ny44/ pharmacy benefit dimensions drug formulary

September 2016

NY44/ Pharmacy Benefit Dimensions Drug FormularyThis Drug Formulary represents the list of drugs and their appropriate copayment tiers for members of the NY44Health Benefits Plan Trust.

Note: If you are reading a printed version of this drug formulary, content may have been updated since it was lastprinted. For the most up-to-date information, please visit www.pbdrx.com.

Drug Formulary Introduction

• Generic drugs appear in lower case. Brand name drugs are capitalized. This formulary lists all covered Tier1 and Tier 2 drugs, but only lists representative products in Tier 3.

• Formulary/preferred generic drugs and select Over the Counter (OTC) and select Brand Name drugslisted on the Formulary are assigned to copay Tier 1. The formulary follows a “Mandatory Generic” policywhich means that in most instances, once a generic product is available for which there are nobioequivalence concerns, the branded product is assigned to Copay Tier 3, and the generic product isassigned to Copay Tier 1. Certain non-preferred generic drugs may also be covered in the 3rd tier whenefficacy, safety or cost factors suggest that better alternatives exist on the formulary. Not all tier 3 non-preferred drugs are listed in the formulary. For members with a 3 tier plan, most drugs not listed may beobtained, but the member will be responsible for their third tier copayment.

• Pharmacy Benefit Dimensions reserves the right to modify the copay tier of a particular drug as necessary.For example, the copay tier of a brand drug will be raised from Tier 2 to Tier 3 when a generic drugbecomes available (the generic drug will be placed in copay Tier 1). The copay of a brand drug may belowered from Tier 3 to Tier 2 if the generic equivalents are discontinued or no longer available.

• Some medications are considered non-formulary (not covered). To obtain a medication that is non-formulary your health care provider is encouraged to submit a prior authorization request for coveragethrough the exceptions process. If the request is approved, that particular medication will be covered atyour Tier 3 copayment/coinsurance level.

• Certain self-funded employer groups may not follow this base formulary. Members in these pharmacybenefit management groups should refer to their summary plan description and/or their benefitadministrator. Specific drugs may be Preferred Brand or Non-Preferred Brand based on individual group’sbenefit design.

Prior-AuthorizationPrior Authorization is required for certain medications. To obtain coverage for a medication requiring priorauthorization, a prior authorization request for medical exception must be submitted by your health care providerand approved by us. Medications that require prior authorization are listed with a “PA” in the formulary.

Step TherapyIn some cases, you may be required to first try certain medications to treat your medical condition before we coveranother medication for that condition. Step therapy is a way to help you get the best quality and value from your

September 2016

prescription medication benefit. This usually means that an equally effective generic medication is prescribedbefore a more expensive brand-name medication. Step therapy may also ensure that two medications are usedtogether if they are more effective. Medications that require step therapy are listed with a “ST” in the formulary.

Quantity LimitationsQuantity limitations may apply to certain medications. Some medications are covered up to a specific quantity per30 or 90 days. Some examples of medications with a quantity limitation are: sumatriptan (generic Imitrex®) andzolpidem tartrate (generic Ambien®). Medications with quantity limitations are listed with a “QL” in the formulary.

Specialty MedicationsIn order to add value and accessibility in your pharmacy benefits, we offer a specialized prescription medicationprogram for certain specialty medications through Reliance Rx® Specialty Pharmacy. Specialty medications includethose that are either self-injectable, require special distribution, handling and/or are at limited supply and certainoral oncology medications. These medications are restricted to designated pharmacies such as Reliance Rx. RelianceRx specializes in providing high-quality service for complex chronic conditions such as hepatitis, multiple sclerosis,cancer and rheumatoid arthritis.

Along with providing these specialized medications, Reliance Rx also provides a convenient way for you to receivethe medication, by arranging delivery at no charge directly to your home. They can also provide you with educationon the medication you’re taking, refill reminders and even the necessary supplies, if applicable. Specialtymedications are listed with an “SP” on the formulary. Reliance Rx can be reached at 1-800-809-4763.

Age RestrictionSome prescription medications are restricted by age due to safety reasons or Food and Drug Administration (FDA)recommended labeling. Medications with an age limit are listed with an “AL” in the formulary.

Maximum Daily Dose (MDD)Certain medications are dose limited by a maximum daily dose (MDD) as recommended by the Food and DrugAdministration (FDA) for safety reasons. Limits may be set by the number of tablets/capsules per day or the totaldaily dose.

Maintenance MedicationsPharmacy Benefit Dimensions allows up to a 90-day supply of certain medications to be filled. Medications eligiblefor up to a 90-day supply are listed with an “MO” on the formulary.

Over-the-Counter (OTC) MedicationsCertain medications listed in the formulary are available over the counter. A prescription is required for coverage ofthe OTC products.

Sedative/Hypnotic MedicationsSedative/hypnotic medications are limited for all prescribers except sleep specialists to 14 tablets/capsules permonth with a maximum of 3 fills per year (3 fills/365 days).

Tablet SplittingTablet splitting is the act of physically cutting a higher strength tablet in half to achieve your prescribed dosage.This provides an identical dose while increasing the number of total doses available. For example, by splitting pills intwo, 30 tablets can be transformed into a 60-day supply for the same copayment/coinsurance. Not all medicationsare good candidates for tablet splitting. We recommend that you speak with your health care provider orpharmacist to see if your medication meets splitting requirements. Please note this is a voluntary program. Tabletsplitting is not mandated by your plan. Medications eligible for tablet splitting are listed with an “HT” on theformulary.

September 2016

Compounded Prescription MedicationsCompounded prescriptions (medications that are not commercially manufactured) must be prepared by aparticipating pharmacy and contain at least one prescription component. The dispensing pharmacy is required tosubmit for prior approval and when covered the compounded prescription will be available at a Tier 2copayment/coinsurance. Coverage is provided in accordance with our Compounding Medication Products Policy.Bulk products and powders are excluded from coverage because they are not prescription medication productsthat are approved under sections 505, 505(j) or 507 of the Federal Food, Drug and Cosmetic Act.

Diabetic Supplies/MedicationsOneTouch blood glucose meters, lancets, test strips, and supplies are our preferred diabetic supplies and do notrequire Prior Authorization. Test strips are limited to 100 strips per 30 days, for up to a 90-day supply. Copaymentsvary by plan.

OneTouch will provide a glucose meter to you with no copayment. Quantities are limited to one meter permember. Please have your ID number available when you contact the manufacturer. One Touch Glucose Meterscan be obtained by calling LifeScan, Inc. at 1-888-377-5227, please reference offer code 289IHA001.

Antibiotic MedicationsAntibiotics are generally limited to a 10-day supply with one refill within 15 days after the original fill.

Affordable Care Act (ACA)Preventive Services Medications listed on the formulary that are covered as preventive services under theAffordable Care Act may be covered. Certain restrictions may apply.

Lost/Stolen/Damaged MedicationsReplacement of any lost, stolen or damaged medications is the responsibility of the member.

Emergency Room PrescriptionsEmergency Room prescriptions are limited to a 10-day supply.

Dental FormularyDrugs covered on our Dental Formulary are available when prescribed by a dental provider. Unless otherwisespecified, all products are limited to a 10-day supply with one refill. Drugs included in our Dental Formulary arelisted with a “DF” on the formulary. Drugs without a “DF” will not be covered when written by a dental provider.

Additional Formulary Information

• Appetite suppressants/weight-loss medications are excluded from coverage.

• Medications used for cosmetic purposes are excluded from coverage.

• Medical devices (which may or may not require a prescription) are excluded from coverage.

• Medical foods other than PKU supplements (which may or may not require a prescription) are excludedfrom coverage.

• Drugs used for the treatment of impotence (ED Drugs) are limited to male patients only. Duplicatetherapy with other ED medications is not allowed.

• Prenatal vitamins classified as medical foods are not covered. Multivitamins are NOT included in theFormulary as various OTC products are available.

September 2016

• Medications listed on the drug formulary as covered without restriction may require prior authorization ormay not be covered if it is determined that they are being used in conjunction with a procedure ortreatment not covered under the employer group’s benefit design.

• Medications not recognized by the FDA without a National Drug Code (NDC) are excluded fromcoverage.

KeyAL – Age LimitDF – Dental FormularyHT – Tablet SplittingMO – 90-day supplyPA – Prior Authorization Required

QL – Quantity Limits ApplyRF – Restricted to FemalesRM – Restricted to MalesSP – Specialty PharmacyST – Step Therapy

TABLE OF CONTENTS

Table of Contents

*Adhd/Anti-Narcolepsy/Anti-Obesity/Anorexiants* ................................................................................................................................................................................................................................ 3*Aminoglycosides* ......................................................................................................................................................................................................................................................................................................... 3*Analgesics - Anti-Inflammatory* ........................................................................................................................................................................................................................................................................ 3*Analgesics - Nonnarcotic* ...................................................................................................................................................................................................................................................................................... 4*Analgesics - Opioid* ................................................................................................................................................................................................................................................................................................... 4*Androgens-Anabolic* ................................................................................................................................................................................................................................................................................................. 5*Anorectal Agents* ........................................................................................................................................................................................................................................................................................................ 5*Anthelmintics* ................................................................................................................................................................................................................................................................................................................. 5*Antianginal Agents* ..................................................................................................................................................................................................................................................................................................... 5*Antianxiety Agents* ..................................................................................................................................................................................................................................................................................................... 6*Antiarrhythmics* ............................................................................................................................................................................................................................................................................................................ 6*Antiasthmatic And Bronchodilator Agents* ............................................................................................................................................................................................................................................... 6*Anticoagulants* .............................................................................................................................................................................................................................................................................................................. 7*Anticonvulsants* ............................................................................................................................................................................................................................................................................................................ 7*Antidementia Agent Combinations*** ............................................................................................................................................................................................................................................................ 7*Antidepressants* ........................................................................................................................................................................................................................................................................................................... 8*Antidiabetics* ................................................................................................................................................................................................................................................................................................................... 8*Antidiarrheals* ................................................................................................................................................................................................................................................................................................................. 9*Antidotes* ........................................................................................................................................................................................................................................................................................................................... 9*Antiemetics* ...................................................................................................................................................................................................................................................................................................................... 9*Antifungals* ....................................................................................................................................................................................................................................................................................................................... 9*Antihistamines* .............................................................................................................................................................................................................................................................................................................. 9*Antihyperlipidemics* ................................................................................................................................................................................................................................................................................................... 9*Antihypertensives* .................................................................................................................................................................................................................................................................................................... 10*Anti-Infective Agents - Misc.* ............................................................................................................................................................................................................................................................................ 11*Antimalarials* ................................................................................................................................................................................................................................................................................................................ 11*Antimyasthenic Agents* ........................................................................................................................................................................................................................................................................................ 11*Antimyasthenic/Cholinergic Agents* ........................................................................................................................................................................................................................................................... 11*Antimycobacterial Agents* .................................................................................................................................................................................................................................................................................. 11*Antineoplastics And Adjunctive Therapies* ........................................................................................................................................................................................................................................... 11*Antiparkinson Agents* ............................................................................................................................................................................................................................................................................................ 12*Antipsychotics/Antimanic Agents* ................................................................................................................................................................................................................................................................. 13*Antiretrovirals Adjuvants*** ................................................................................................................................................................................................................................................................................ 13*Antivirals* ......................................................................................................................................................................................................................................................................................................................... 13*Assorted Classes* ..................................................................................................................................................................................................................................................................................................... 14*Beta Blockers* ............................................................................................................................................................................................................................................................................................................. 14*Bile Acid Synthesis Disorder Agents*** .................................................................................................................................................................................................................................................... 15*Biologicals Misc* ........................................................................................................................................................................................................................................................................................................ 15*Calcium Channel Blockers* ............................................................................................................................................................................................................................................................................... 15*Cardiotonics* ................................................................................................................................................................................................................................................................................................................. 15*Cardiovascular Agents - Misc.* ....................................................................................................................................................................................................................................................................... 15*Cephalosporins* ......................................................................................................................................................................................................................................................................................................... 15*Contraceptives* ........................................................................................................................................................................................................................................................................................................... 16*Corticosteroids* ........................................................................................................................................................................................................................................................................................................... 17*Cough/Cold/Allergy* ................................................................................................................................................................................................................................................................................................ 17*Cyclin-Dependent Kinases (Cdk) Inhibitors*** ..................................................................................................................................................................................................................................... 17*Cystic Fibrosis Agent - Combinations*** .................................................................................................................................................................................................................................................. 17*Dermatologicals* ........................................................................................................................................................................................................................................................................................................ 17*Diagnostic Products* ............................................................................................................................................................................................................................................................................................... 20*Digestive Aids* ............................................................................................................................................................................................................................................................................................................ 21*Direct-Acting P2y12 Inhibitors*** ................................................................................................................................................................................................................................................................... 21*Diuretics* .......................................................................................................................................................................................................................................................................................................................... 21*Endocrine And Metabolic Agents - Misc.* ............................................................................................................................................................................................................................................... 21*Estrogens* ...................................................................................................................................................................................................................................................................................................................... 22*Estrogen-Selective Estrogen Receptor Modulator Comb*** ..................................................................................................................................................................................................... 22*Fluoroquinolones* ..................................................................................................................................................................................................................................................................................................... 22

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Table of Contents

*Gastrointestinal Agents - Misc.* ..................................................................................................................................................................................................................................................................... 22*Genitourinary Agents - Miscellaneous* ..................................................................................................................................................................................................................................................... 23*Gout Agents* ................................................................................................................................................................................................................................................................................................................. 23*Hematological Agents - Misc.* ......................................................................................................................................................................................................................................................................... 23*Hematopoietic Agents* .......................................................................................................................................................................................................................................................................................... 23*Hemostatics* ................................................................................................................................................................................................................................................................................................................. 23*Hepatitis C Agent - Combinations*** ........................................................................................................................................................................................................................................................... 23*Hereditary Orotic Aciduria Treatment - Agents** ............................................................................................................................................................................................................................... 23*Hypnotics* ....................................................................................................................................................................................................................................................................................................................... 23*Hypophosphatasia (Hpp) Agents*** ............................................................................................................................................................................................................................................................ 24*Ibs Agent - Mu-Opioid Receptor Agonists*** ........................................................................................................................................................................................................................................ 24*Laxatives* ........................................................................................................................................................................................................................................................................................................................ 24*Leptin Analogues*** ................................................................................................................................................................................................................................................................................................. 24*Macrolides* .................................................................................................................................................................................................................................................................................................................... 24*Medical Devices* ....................................................................................................................................................................................................................................................................................................... 24*Migraine Products* ................................................................................................................................................................................................................................................................................................... 24*Minerals & Electrolytes* ........................................................................................................................................................................................................................................................................................ 24*Mixed Allergenic Extracts*** .............................................................................................................................................................................................................................................................................. 25*Mouth/Throat/Dental Agents* ........................................................................................................................................................................................................................................................................... 25*Multivitamins* ............................................................................................................................................................................................................................................................................................................... 25*Musculoskeletal Therapy Agents* ................................................................................................................................................................................................................................................................. 25*Nasal Agents - Systemic And Topical* ...................................................................................................................................................................................................................................................... 25*Neprilysin Inhib (Arni)-Angiotensin Ii Recept Antag Comb*** .................................................................................................................................................................................................. 26*Neurogenic Orthostatic Hypotension (Noh) - Agents*** ............................................................................................................................................................................................................... 26*Neuromuscular Agents* ........................................................................................................................................................................................................................................................................................ 26*Nutrients* ......................................................................................................................................................................................................................................................................................................................... 26*Ophthalmic Agents* ................................................................................................................................................................................................................................................................................................. 26*Orexin Receptor Antagonists*** ..................................................................................................................................................................................................................................................................... 27*Otic Agents* ................................................................................................................................................................................................................................................................................................................... 27*Oxaborole-Related Antifungals - Topical*** ........................................................................................................................................................................................................................................... 27*Oxytocics* ....................................................................................................................................................................................................................................................................................................................... 27*Pcsk9 Inhibitors*** .................................................................................................................................................................................................................................................................................................... 27*Penicillins* ....................................................................................................................................................................................................................................................................................................................... 27*Phosphatidylinositol 3-Kinase (Pi3k) Inhibitors*** ............................................................................................................................................................................................................................. 27*Phosphodiesterase 4 (Pde4) Inhibitors*** ............................................................................................................................................................................................................................................... 27*Poly (Adp-Ribose) Polymerase (Parp) Inhibitors** ......................................................................................................................................................................................................................... 27*Poly (Adp-Ribose) Polymerase (Parp) Inhibitors*** ......................................................................................................................................................................................................................... 27*Potassium Removing Agents*** ..................................................................................................................................................................................................................................................................... 27*Progestins* ..................................................................................................................................................................................................................................................................................................................... 27*Protease-Activated Receptor-1 (Par-1) Antagonists*** ................................................................................................................................................................................................................. 28*Psychotherapeutic And Neurological Agents - Misc.* .................................................................................................................................................................................................................... 28*Pulmonary Hypertension - Prostacyclin Receptor Agonist*** .................................................................................................................................................................................................. 28*Respiratory Agents - Misc.* ............................................................................................................................................................................................................................................................................... 28*Serotonin 1A Recept Agonist/Serotonin 2A Recept Antag*** .................................................................................................................................................................................................. 28*Serotonin Modulators*** ....................................................................................................................................................................................................................................................................................... 28*Sglt2 Inhibitor - Dpp-4 Inhibitor Combinations*** ............................................................................................................................................................................................................................... 28*Sinus Node Inhibitors** ......................................................................................................................................................................................................................................................................................... 28*Sodium-Glucose Co-Transporter 2 Inhibitor-Biguanide Comb*** ......................................................................................................................................................................................... 28*Sulfonamides* .............................................................................................................................................................................................................................................................................................................. 29*Tetracyclines* ............................................................................................................................................................................................................................................................................................................... 29*Thyroid Agents* .......................................................................................................................................................................................................................................................................................................... 29*Ulcer Drugs* .................................................................................................................................................................................................................................................................................................................. 29*Urinary Anti-Infectives* .......................................................................................................................................................................................................................................................................................... 29*Urinary Antispasmodics* ...................................................................................................................................................................................................................................................................................... 29*Vaginal Products* ...................................................................................................................................................................................................................................................................................................... 30*Vasopressors* .............................................................................................................................................................................................................................................................................................................. 30*Vitamins* .......................................................................................................................................................................................................................................................................................................................... 30

2

*Adhd/Anti-Narcolepsy/Anti-Obesity/Anorexiants*amphetamine-dextroamphet er 1 ALamphetamine-dextroamphetamine

1 AL

APTENSIO XR 3 ALclonidine hcl er 3CONCERTA 3 ALDAYTRANA 3 ALdexmethylphenidate hcl 1 ALdexmethylphenidate hcl er oral capsule extended release 24 hour 10 mg, 15 mg, 30 mg, 40 mg, 5 mg

3 MO; AL

dexmethylphenidate hcl er oral capsule extended release 24 hour 20 mg

1 AL

dextroamphetamine sulfate er 1 ALdextroamphetamine sulfate oral 1 ALguanfacine hcl er 3 MO; ALmethamphetamine hcl 1 ALmethylphenidate hcl er 1 ALmethylphenidate hcl er (cd) 1 ALmethylphenidate hcl er (la) 1 ALmethylphenidate hcl oral solution 10 mg/5ml

3 AL

methylphenidate hcl oral solution 5 mg/5ml

1 AL

methylphenidate hcl oral tablet 1 MO; ALmethylphenidate hcl oral tablet chewable

3 MO; AL

modafinil 1 PA; ALQUILLIVANT XR 3 ST; ALRITALIN LA ORAL CAPSULE EXTENDED RELEASE 24 HOUR 10 MG

3 MO; AL

STRATTERA 2 MO; ALVYVANSE 3 PA; ALZENZEDI ORAL TABLET 10 MG, 2.5 MG, 5 MG, 7.5 MG

3 AL

*Aminoglycosides*BETHKIS 3 PA; QLKITABIS PAK 3 PA; SP; QLneomycin sulfate oral 1paromomycin sulfate oral 1TOBI 3 PA; PA Except

Cystic Fibrosis Specialists; QL

TOBI PODHALER 2 PA; PA Except Cystic Fibrosis Specialists; QL

tobramycin inhalation 1 PA; QL

*Analgesics - Anti-Inflammatory*ACTEMRA SUBCUTANEOUS* 3 PA; SPARAVA 3 PA; MOARCALYST 2 PA; SP; Accredo

PharmacyARTHROTEC ORAL TABLET DELAYED RELEASE

3 MO

CELEBREX 3 MOcelecoxib oral 1 MODAYPRO 3 MO

diclofenac potassium 1 MOdiclofenac sodium er 1 MOdiclofenac sodium oral 1 MOdiclofenac-misoprostol oral tablet delayed release

1 MO

DUEXIS 3 PAENBREL SUBCUTANEOUS* 2 PA; SPENBREL SUBCUTANEOUS* SOLUTION RECONSTITUTED

2 PA; SP

ENBREL SURECLICK SUBCUTANEOUS*

2 PA; SP

etodolac er 1 MOetodolac oral 1 MOFELDENE 3 MOfenoprofen calcium oral capsule 400 mg

1

fenoprofen calcium oral tablet 2 MOflurbiprofen oral 1 MOHUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS* 40 MG/0.8ML

2 PA; SP; AL

HUMIRA PEN SUBCUTANEOUS*

2 PA; SP; AL

HUMIRA PEN-CROHNS STARTER SUBCUTANEOUS*

2 PA; SP; AL

HUMIRA PEN-PSORIASIS STARTER SUBCUTANEOUS*

2 PA; SP; AL

HUMIRA SUBCUTANEOUS* 2 PA; SP; ALibuprofen oral tablet 400 mg, 600 mg, 800 mg

1 DF; MO

INDOCIN 2 MOINDOCIN ORAL 2 MO; ALindomethacin er 1 MO; ALindomethacin oral 1 MO; ALketoprofen er 3 MOketoprofen oral 1 MOketorolac tromethamine oral 1 QL; ALKINERET SUBCUTANEOUS* 3 PA; SPleflunomide oral 1 PAmeclofenamate sodium oral 1 MOmefenamic acid oral 3 MOmeloxicam oral tablet 1 MOMOBIC ORAL TABLET 3 MOnabumetone oral 1 MONALFON ORAL CAPSULE 400 MG

3

NAPROSYN ORAL TABLET 250 MG, 500 MG

3 MO

naproxen dr 1 DF; MOnaproxen oral suspension NF DF; MOnaproxen oral tablet 1 DF; MOORENCIA CLICKJECT 3 PAORENCIA SUBCUTANEOUS* 3 PA; SPOTREXUP SUBCUTANEOUS* 10 MG/0.4ML, 15 MG/0.4ML, 17.5 MG/0.4ML, 20 MG/0.4ML, 22.5 MG/0.4ML, 25 MG/0.4ML, 7.5 MG/0.4ML

3 PA

oxaprozin 1 MOpiroxicam oral 1 MO

Drug Name Tier Notes Drug Name Tier Notes

3

RASUVO SUBCUTANEOUS* 10 MG/0.2ML, 12.5 MG/0.25ML, 15 MG/0.3ML, 17.5 MG/0.35ML, 20 MG/0.4ML, 22.5 MG/0.45ML, 25 MG/0.5ML, 27.5 MG/0.55ML

3 PA

RHEUMATREX ORAL TABLET 2.5 MG

3

RIDAURA 2SIMPONI SUBCUTANEOUS* 3 PASPRIX 3 PA; QL; ALsulindac oral 1 MOtolmetin sodium 1 MOVIMOVO 3 PAXELJANZ 3 PA; SPXELJANZ XR 3 PA; SP

*Analgesics - Nonnarcotic*BUPAP ORAL TABLET 50-300 MG

3 AL

butalbital-acetaminophen 1 ALbutalbital-apap-caffeine oral capsule

1 AL

butalbital-apap-caffeine oral tablet 50-325-40 mg

1 AL

butalbital-asa-caffeine 1 ALbutalbital-aspirin-caffeine oral capsule

1 AL

CAPACET 3choline-mag trisalicylate 1clonidine hcl (analgesia) 1 MOdiflunisal oral 1 MODURACLON 3 MOESGIC ORAL CAPSULE 3 ALFIORICET ORAL CAPSULE 3 ALFIORINAL 3 ALLEVACET 3margesic 3marten-tab 1 ALsalsalate oral 1 MOTENCON ORAL TABLET 50-325 MG

1 AL

ZEBUTAL ORAL CAPSULE 50-325-40 MG

3

*Analgesics - Opioid*ABSTRAL 3 PA; STacetaminophen-codeine #2 1 DFacetaminophen-codeine #3 1 DFacetaminophen-codeine #4 1 DFacetaminophen-codeine oral solution

1 DF

aspirin-caff-dihydrocodeine 3buprenorphine hcl sublingual 1 PAbutalbital-apap-caff-cod oral capsule 50-325-40-30 mg

1

butalbital-asa-caff-codeine 1butorphanol tartrate nasal 1 PABUTRANS 2codeine sulfate oral tablet 1CONZIP 3 STDILAUDID ORAL 3 PADOLOPHINE 3DURAGESIC-100 3 ST

DURAGESIC-12 3DURAGESIC-25 3DURAGESIC-50 3 STDURAGESIC-75 3 STfentanyl citrate buccal lollipop 1200 mcg

3 PA; ST

fentanyl citrate buccal lollipop 1600 mcg, 200 mcg, 400 mcg, 600 mcg, 800 mcg

3 PA; ST; PA Except Oncology

fentanyl transdermal patch 72 hr 100 mcg/hr, 50 mcg/hr, 75 mcg/hr

1 ST

fentanyl transdermal patch 72 hr 12 mcg/hr, 25 mcg/hr

1

FENTORA BUCCAL TABLET 100 MCG, 200 MCG, 400 MCG, 600 MCG, 800 MCG

3 PA; ST; PA Except Oncology

FIORICET/CODEINE ORAL CAPSULE 50-300-40-30 MG

3

FIORINAL/CODEINE #3 3hydrocodone-acetaminophen oral solution 2.5-108 mg/5ml, 5-217 mg/10ml, 7.5-325 mg/15ml

1 DF

hydrocodone-acetaminophen oral tablet 10-325 mg, 2.5-325 mg, 5-325 mg, 7.5-325 mg

1 DF

hydrocodone-ibuprofen oral tablet 10-200 mg, 5-200 mg, 7.5-200 mg

1 DF

hydromorphone hcl er 3 SThydromorphone hcl oral 1 PA; SThydromorphone hcl suppository 1 PA; STHYSINGLA ER 2KADIAN ORAL CAPSULE EXTENDED RELEASE 24 HOUR 10 MG, 100 MG, 20 MG, 200 MG, 30 MG, 40 MG, 50 MG, 60 MG, 80 MG

3 ST

LAZANDA 3 PA; STlevorphanol tartrate oral 1METHADONE HCL INTENSOL 1methadone hcl oral 1METHADOSE ORAL CONCENTRATE

3

METHADOSE ORAL TABLET SOLUBLE

3

METHADOSE SUGAR-FREE 3morphine sulfate (concentrate) oral solution 100 mg/5ml

1 ST

morphine sulfate (concentrate) oral solution 20 mg/ml

1

morphine sulfate er beads 3 STmorphine sulfate er oral capsule extended release 24 hour 10 mg, 20 mg, 30 mg, 50 mg, 60 mg

1

morphine sulfate er oral capsule extended release 24 hour 100 mg, 80 mg

1 ST


4

morphine sulfate er oral tablet extendedrelease* 100 mg, 200 mg

1 ST

morphine sulfate er oral tablet extendedrelease* 15 mg, 30 mg, 60 mg

1

morphine sulfate intramuscular* 1morphine sulfate oral 1morphine sulfate suppository 1MS CONTIN ORAL TABLET EXTENDEDRELEASE*

3

NORCO 3NUCYNTA 2NUCYNTA ER 2OPANA ER ORAL 3 SToxycodone hcl er oral 1oxycodone hcl oral capsule 1oxycodone hcl oral concentrate 100 mg/5ml

1

oxycodone hcl oral solution 1oxycodone hcl oral tablet 1oxycodone-acetaminophen oral tablet 10-325 mg, 2.5-325 mg, 5-325 mg, 7.5-325 mg

1

oxycodone-aspirin oral tablet 4.8355-325 mg

1

oxycodone-ibuprofen 3OXYCONTIN ORAL 10 MG, 15 MG, 20 MG, 30 MG, 40 MG

2

OXYCONTIN ORAL 60 MG, 80 MG

2 ST

oxymorphone hcl 3 PAoxymorphone hcl er 1 STpentazocine-naloxone hcl 1PERCOCET ORAL TABLET 10-325 MG, 2.5-325 MG, 5-325 MG, 7.5-325 MG

3

SUBSYS 3 PA; PA Except Oncology

SYNALGOS-DC 3tramadol hcl er 1 STtramadol hcl er (biphasic) 1 STtramadol hcl oral 1tramadol-acetaminophen 3 PATYLENOL WITH CODEINE #3 3 DFTYLENOL WITH CODEINE #4 3 DFULTRAM 3ULTRAM ER ORAL TABLET EXTENDED RELEASE 24 HR* 300 MG

3 ST

VICOPROFEN 3XARTEMIS XR 3ZUBSOLV 2

*Androgens-Anabolic*ANADROL-50 3ANDRODERM TRANSDERMAL PATCH 24 HR 2 MG/24HR, 4 MG/24HR

2 PA; RM

ANDROGEL PUMP TRANSDERMAL GEL 20.25 MG/ACT (1.62%)

2 PA; RM

ANDROGEL TRANSDERMAL GEL 20.25 MG/1.25GM (1.62%), 40.5 MG/2.5GM (1.62%)

2 PA; RM

AXIRON 3 PA; RMdanazol oral 1FORTESTA 3 PA; RMmethitest 2 PA; RMmethyltestosterone oral 1 PANATESTO 3 PA; RMOXANDRIN 3oxandrolone oral 1STRIANT 3 PA; RMTESTIM 3 PA; RMtestosterone cypionate intramuscular* solution 100 mg/ml, 200 mg/ml

1 PA; RM

testosterone enanthate intramuscular* solution

1 PA; RM

testosterone transdermal gel 12.5 mg/act (1%)

1 PA; RM

testosterone transdermal gel 25 mg/2.5gm (1%), 50 mg/5gm (1%)

1 PA

VOGELXO TRANSDERMAL GEL 50 MG/5GM (1%)

3 PA

*Anorectal Agents*ANALPRAM E 3ANALPRAM HC 3ANALPRAM HC SINGLES 3ANALPRAM-HC CREAM 3ANALPRAM-HC SINGLES 3ANUSOL-HC 3COLOCORT 1CORTENEMA 3CORTIFOAM 3hydrocortisone ace-pramoxine cream

1

hydrocortisone acetate suppository

1

hydrocortisone enema 1lidocaine-hydrocortisone ace 1PROCTOCORT CREAM 3PROCTOCORT SUPPOSITORY

3

PROCTO-PAK 1PROCTOSOL HC 1PROCTOZONE-HC 1RECTIV 3

*Anthelmintics*ALBENZA 3BILTRICIDE 3EMVERM 3ivermectin oral 1STROMECTOL 3

*Antianginal Agents*DILATRATE-SR 2 MOISORDIL TITRADOSE ORAL TABLET 40 MG

2 MO

isosorbide dinitrate er 1 MOisosorbide dinitrate oral 1 MO


5

isosorbide mononitrate 1 MOisosorbide mononitrate er 1 MONITRO-BID 3NITRO-DUR TRANSDERMAL PATCH 24 HR 0.3 MG/HR

3 MO

nitroglycerin er 1 MOnitroglycerin transdermal patch 24 hr

1 MO

nitroglycerin translingual 3 MONITROSTAT 2 MORANEXA 3 MO

*Antianxiety Agents*alprazolam er 3ALPRAZOLAM INTENSOL 3alprazolam oral tablet 1alprazolam oral tablet dispersible

1 PA

alprazolam xr 3ATIVAN ORAL 3buspirone hcl oral 1chlordiazepoxide hcl 1 ALclorazepate dipotassium 1diazepam intensol 1 ALdiazepam oral solution 1 mg/ml 1 ALdiazepam oral tablet 1 ALhydroxyzine hcl oral syrup 1 ALhydroxyzine hcl oral tablet 1 MO; ALhydroxyzine pamoate oral 1 MO; ALLORAZEPAM INTENSOL 3lorazepam oral concentrate 3lorazepam oral tablet 1meprobamate 3 PA; ALoxazepam 1VALIUM 3 ALVISTARIL 3 MO; ALXANAX 3

*Antiarrhythmics*amiodarone hcl oral 1 MOdisopyramide phosphate oral 1 MO; ALdofetilide 1 MOflecainide acetate 1 MOmexiletine hcl oral 1 MOMULTAQ 3 MONORPACE CR 2 MO; ALpacerone oral tablet 100 mg, 200 mg, 400 mg

1 MO

propafenone hcl 1 MOpropafenone hcl er 1 MOquinidine gluconate er 1 MOquinidine sulfate oral 1 MO

*Antiasthmatic And Bronchodilator Agents*ACCOLATE 3 MOADVAIR DISKUS 2 MOADVAIR HFA 2 MOalbuterol sulfate er 1 MOalbuterol sulfate inhalation 1 MOalbuterol sulfate oral 1 MOANORO ELLIPTA 2 ALARCAPTA NEOHALER 2 MO; ALARNUITY ELLIPTA 1 MO; AL

ASMANEX 120 METERED DOSES

1 MO


1 MO


1 MO


1 MO


1 MO

ASMANEX HFA 1 MOATROVENT HFA 2 MOBREO ELLIPTA INHALATION AEROSOL POWDER, BREATH ACTIVATED 100-25 MCG/INH

2 MO; AL

BREO ELLIPTA INHALATION AEROSOL POWDER, BREATH ACTIVATED 200-25 MCG/INH

2 MO

BROVANA 3 PA; MObudesonide inhalation suspension 0.25 mg/2ml, 0.5 mg/2ml

1 AL

budesonide inhalation suspension 1 mg/2ml

1 MO; AL

COMBIVENT RESPIMAT 2 MOcromolyn sodium inhalation 1DALIRESP 3 PAELIXOPHYLLIN 3FLOVENT DISKUS 1 MOFLOVENT HFA 1 MOINCRUSE ELLIPTA 3 MO; ALipratropium bromide inhalation 1 MOipratropium-albuterol 1 MOlevalbuterol hcl inhalation 3 PA; MOmetaproterenol sulfate oral 1 MOmontelukast sodium oral packet 1 MO; ALmontelukast sodium oral tablet 1 MO; ALmontelukast sodium oral tablet chewable 4 mg, 5 mg

1 MO; AL

PERFOROMIST 3 PA; MOPULMICORT FLEXHALER 1 MOPULMICORT INHALATION SUSPENSION 0.25 MG/2ML, 0.5 MG/2ML

3 MO; AL

PULMICORT INHALATION SUSPENSION 1 MG/2ML

1 MO; AL

QVAR INHALATION AEROSOL, SOLUTION 40 MCG/ACT, 80 MCG/ACT

1 MO

SEREVENT DISKUS 2 ST; MOSINGULAIR ORAL PACKET 3 MO; ALSINGULAIR ORAL TABLET 3 MO; ALSINGULAIR ORAL TABLET CHEWABLE 4 MG, 5 MG

3 MO; AL

SPIRIVA HANDIHALER 2 MO; ALSPIRIVA RESPIMAT INHALATION AEROSOL, SOLUTION 1.25 MCG/ACT, 2.5 MCG/ACT

2 MO; AL

STIOLTO RESPIMAT 2 MO; ALSTRIVERDI RESPIMAT 2 MO; ALSYMBICORT 2 MO


6

terbutaline sulfate oral 1 MOTHEO-24 2theophylline er oral tablet extended release 12 hr*

1 MO

theophylline er oral tablet extended release 24 hr*

1

theophylline oral solution 1TUDORZA PRESSAIR INHALATION AEROSOL POWDER, BREATH ACTIVATED 400 MCG/ACT

3 MO; AL

VENTOLIN HFA 2VOSPIRE ER 3 MOXOPENEX HFA 3 MOzafirlukast 3ZYFLO 3 PA; MOZYFLO CR 3 PA; MO

*Anticoagulants*COUMADIN ORAL 3 MOELIQUIS 2 MOenoxaparin sodium 1 PA required for

duration of greater than 14 days except when

written by Oncology; QL

fondaparinux sodium 1 PA; PA required for duration of greater

than 14 days except when


FRAGMIN SUBCUTANEOUS* SOLUTION 10000 UNIT/ML, 12500 UNIT/0.5ML, 15000 UNIT/0.6ML, 18000 UNT/0.72ML, 2500 UNIT/0.2ML, 5000 UNIT/0.2ML, 7500 UNIT/0.3ML, 95000 UNIT/3.8ML

2 PA required for duration of greater

than 14 days except when


JANTOVEN 1 MOPRADAXA ORAL CAPSULE 110 MG

2

PRADAXA ORAL CAPSULE 150 MG, 75 MG

2 MO

SAVAYSA 3 MOwarfarin sodium oral 1 MOXARELTO 2 MO

*Anticonvulsants*APTIOM 3 MOBANZEL 2 MOBRIVIACT ORAL 3 PAcarbamazepine er oral capsule extended release 12 hour

1 MO

carbamazepine er oral tablet extended release 12 hr* 100 mg

3 MO

carbamazepine er oral tablet extended release 12 hr* 200 mg, 400 mg

1 MO

carbamazepine oral 1 MOCELONTIN 2 MOclonazepam oral tablet 1

clonazepam oral tablet dispersible

1 ST

DIASTAT ACUDIAL 3 PA; ALDIASTAT PEDIATRIC 3 PA; ALdiazepam gel 3 PA; ALDILANTIN ORAL CAPSULE 30 MG

3 MO

divalproex sodium er oral tablet extended release 24 hr*

1 MO

divalproex sodium oral 1 MOdivalproex sodium oral tablet delayed release

1 MO

ethosuximide oral 1 MOfelbamate 1 MOFYCOMPA 3 ALgabapentin oral capsule 1 MOgabapentin oral solution 250 mg/5ml

1 MO

gabapentin oral tablet 1 MOGABITRIL ORAL TABLET 12 MG, 16 MG

2 MO

KLONOPIN 3LAMICTAL STARTER 3 PALAMICTAL XR ORAL KIT 3 MO; ALlamotrigine er 3 MO; ALlamotrigine oral tablet 1 MOlamotrigine oral tablet chewable 1lamotrigine oral tablet dispersible

3 PA; MO

levetiracetam er 1 MOlevetiracetam oral 1 MOLYRICA 2MYSOLINE 3 MOONFI ORAL SUSPENSION 2 PAONFI ORAL TABLET 10 MG, 20 MG

2 PA

oxcarbazepine 1 MOOXTELLAR XR 3 ST; MOphenytoin infatabs 1 MOphenytoin oral suspension 125 mg/5ml

1 MO

phenytoin oral tablet chewable 1 MOphenytoin sodium extended oral capsule 100 mg, 200 mg

1 MO

phenytoin sodium extended oral capsule 300 mg

3 MO

POTIGA 3 MOprimidone oral 1 MOSABRIL 2 PA; MOSPRITAM 3 STtiagabine hcl 1 MOtopiramate er 3 PAtopiramate oral 1 MOTROKENDI XR 3 PAvalproic acid oral 1 MOVIMPAT ORAL 2 ALZONEGRAN 3 MOzonisamide oral 1 MO

*Antidementia Agent Combinations***NAMZARIC 3 PA


7

*Antidepressants*amitriptyline hcl oral 1 ALamoxapine 3APLENZIN ORAL TABLET EXTENDED RELEASE 24 HR* 348 MG, 522 MG

3 MO

bupropion hcl er (sr) 1 MObupropion hcl er (xl) 1 MObupropion hcl oral 1 MOcitalopram hydrobromide oral solution

1 MO

citalopram hydrobromide oral tablet

1 HT; MO

clomipramine hcl oral 1 ALdesipramine hcl oral 1desvenlafaxine er 3 STdesvenlafaxine fumarate er 3 MOdoxepin hcl oral 1 ALduloxetine hcl oral 1EMSAM 3 PAescitalopram oxalate oral solution

1 MO

escitalopram oxalate oral tablet 1 HT; MOFETZIMA 3 STfluoxetine hcl oral capsule 10 mg, 20 mg

1 MO

fluoxetine hcl oral capsule 40 mg

3

fluoxetine hcl oral capsule delayed release

3

fluoxetine hcl oral solution 1fluvoxamine maleate 1fluvoxamine maleate er 3FORFIVO XL 3imipramine hcl oral 1 ALimipramine pamoate 1 ALmaprotiline hcl 1 PAMARPLAN 3 MOmirtazapine oral 1 MOnefazodone hcl 1 PA; MONORPRAMIN ORAL TABLET 10 MG, 25 MG

3

nortriptyline hcl oral 1paroxetine hcl er 1 ST; MOparoxetine hcl oral tablet 1 HT; MOPAXIL ORAL SUSPENSION 2PEXEVA 3phenelzine sulfate oral 1PRISTIQ 3 ST; MOprotriptyline hcl 1sertraline hcl oral concentrate 1 MOsertraline hcl oral tablet 1 HT; MOtranylcypromine sulfate 1 MOtrazodone hcl oral 1TRINTELLIX 3 STvenlafaxine hcl 1 MOvenlafaxine hcl er 1 MOVIIBRYD ORAL TABLET 3 MO

*Antidiabetics*acarbose 1 MOACTOPLUS MET XR 2 MO

AFREZZA INHALATION POWDER 4 (30) & 8 (60) UNIT, 4 (60) & 8 (30) UNIT, 4 UNIT, 8 (60)& 12 (30) UNIT

3 PA

APIDRA 3 PA; MOAPIDRA SOLOSTAR SUBCUTANEOUS*

3 PA; MO

AVANDIA ORAL TABLET 2 MG, 4 MG

3 PA; MO

BYDUREON SUBCUTANEOUS*

3 ST

BYETTA 10 MCG PEN SUBCUTANEOUS*

3 ST; ST Except Endocrinology

BYETTA 5 MCG PEN SUBCUTANEOUS*

3 ST; ST Except Endocrinology

chlorpropamide 1 MO; ALCYCLOSET 3glimepiride 1 MOglipizide er 1 MOglipizide oral 1 MOglipizide xl 1 MOglipizide-metformin hcl 1 MOGLUCAGEN HYPOKIT 1GLUCAGON EMERGENCY 1glyburide micronized 1 MOglyburide oral 1 MO; ALglyburide-metformin 1 MOHUMALOG 2 MOHUMALOG KWIKPEN SUBCUTANEOUS* 100 UNIT/ML, 200 UNIT/ML

2 MO

HUMALOG MIX 50/50 2 MOHUMALOG MIX 50/50 KWIKPEN SUBCUTANEOUS*

2 MO

HUMALOG MIX 75/25 2 MOHUMALOG MIX 75/25 KWIKPEN SUBCUTANEOUS*

2 MO

HUMULIN 70/30 2 OTC; MOHUMULIN 70/30 KWIKPEN SUBCUTANEOUS*

2 OTC; MO

HUMULIN N 2 OTC; MOHUMULIN N KWIKPEN SUBCUTANEOUS*

2 OTC; MO

HUMULIN R 2 OTC; MOHUMULIN R U-500 (CONCENTRATED)

2 MO

INVOKANA 2 MOJANUMET 2 MOJANUMET XR 2 MOJANUVIA 2 HT; MOJARDIANCE 3JENTADUETO 2 MOJENTADUETO XR 2 MOKORLYM 2 PA; SPLANTUS 2 MOLANTUS SOLOSTAR SUBCUTANEOUS*

2 MO

LEVEMIR 2 MOLEVEMIR FLEXTOUCH 2 MOmetformin hcl er 1 MOmetformin hcl oral 1 MOmiglitol 3 PA; MO


8

nateglinide 1 PA; MONOVOLIN 70/30 2 OTC; MONOVOLIN N 2 OTC; MONOVOLIN R 2 OTC; MONOVOLOG 2 MONOVOLOG FLEXPEN SUBCUTANEOUS*

2 MO

NOVOLOG MIX 70/30 2 MONOVOLOG MIX 70/30 FLEXPEN SUBCUTANEOUS*

2 MO

NOVOLOG PENFILL SUBCUTANEOUS*

2 MO

pioglitazone hcl 1 MOpioglitazone hcl-glimepiride 1 MOpioglitazone hcl-metformin hcl 1 MOPROGLYCEM 2 PArepaglinide 1 MOrepaglinide-metformin hcl 1 MORIOMET 2SYMLINPEN 120 SUBCUTANEOUS*

2 PA; PA except Endocrinology; MO

SYMLINPEN 60 SUBCUTANEOUS*

2 PA; PA except Endocrinology; MO

TANZEUM 3 STtolazamide 3 MOtolbutamide 3TOUJEO SOLOSTAR 2 MOTRADJENTA 2 MOTRESIBA FLEXTOUCH 2 MOTRULICITY 2 ST; ST Except

EndocrinologyVICTOZA SUBCUTANEOUS* 2 ST

*Antidiarrheals*diphenoxylate-atropine 1LOMOTIL ORAL TABLET 3loperamide hcl oral capsule 3MOTOFEN 3 AL

*Antidotes*EVZIO 3 PA; QLEXJADE 2 PA; SP; Walgreens

Specialty Pharmacy

FERRIPROX ORAL TABLET 3 PA; SP; Centric Specialty

PharmacyJADENU 3 PA; SPnaloxone hcl injection 1naltrexone hcl oral 1NARCAN 2 QL

*Antiemetics*AKYNZEO 3 ST; QLANZEMET ORAL 3 ST; QLCESAMET 3 PADICLEGIS 2 QLdronabinol 3 PAEMEND ORAL CAPSULE 125 MG, 80 & 125 MG, 80 MG

2 ST; QL

EMEND ORAL CAPSULE 40 MG

2 QL

EMEND ORAL SUSPENSION RECONSTITUTED

2 PA; ST

granisetron hcl oral 3 ST; QLmeclizine hcl oral tablet 1 OTC; MOondansetron 1 QLondansetron hcl oral solution 1 QLondansetron hcl oral tablet 1 QLSANCUSO 3 ST; QLTIGAN ORAL 3 PA; ALTRANSDERM-SCOP (1.5 MG) 3 QLtrimethobenzamide hcl oral 1 PA; ALVARUBI 3 PA; SP; QLZOFRAN ORAL TABLET 8 MG 3 ST; QLZUPLENZ 3 ST; QL

*Antifungals*fluconazole oral suspension reconstituted

1

fluconazole oral tablet 100 mg, 200 mg, 50 mg

1

fluconazole oral tablet 150 mg 1 QLflucytosine oral 3griseofulvin microsize oral suspension

1

griseofulvin microsize oral tablet 3griseofulvin ultramicrosize 1itraconazole oral 1 PA; PA Except

Infectious Diseaseketoconazole oral 1 PANOXAFIL ORAL SUSPENSION 2 PA; MONOXAFIL ORAL TABLET DELAYED RELEASE

2 PA

nystatin oral powder 3nystatin oral tablet 1SPORANOX ORAL SOLUTION 3 PAterbinafine hcl oral 1 PA; PA Except

Infectious Diseasevoriconazole oral 1 PA; PA Except

Infectious Disease

*Antihistamines*carbinoxamine maleate oral solution

1 AL

carbinoxamine maleate oral tablet

1 AL

CLARINEX ORAL SYRUP 3 PAcyproheptadine hcl oral 1 ALdesloratadine oral tablet 3 PAdesloratadine oral tablet dispersible

3 PA; AL

diphenhydramine hcl oral elixir 1 OTC; ALlevocetirizine dihydrochloride oral

3 PA

promethazine hcl oral 1 ALpromethazine hcl suppository 1 AL

*Antihyperlipidemics*atorvastatin calcium oral 1 HT; MOcholestyramine light 1 MOcholestyramine oral 1 MOcolestipol hcl 1 MOfenofibrate micronized oral capsule 134 mg, 200 mg, 67 mg

1 MO

fenofibrate oral tablet 160 mg, 54 mg

1 MO

fluvastatin sodium 3 MO


9

fluvastatin sodium er 3 MOgemfibrozil oral 1 MOJUXTAPID ORAL CAPSULE 10 MG, 20 MG, 5 MG

3 PA; SP

KYNAMRO SUBCUTANEOUS* 3 PA; SP; QLLIVALO 3lovastatin 1 HT; MOniacin er (antihyperlipidemic) 1NIACOR 2omega-3-acid ethyl esters 1 MOpravastatin sodium 1 HT; MOrosuvastatin calcium 1 MOsimvastatin oral tablet 10 mg, 20 mg, 40 mg, 5 mg

1 HT; MO

simvastatin oral tablet 80 mg 1 PA; HT; MOVASCEPA 2VYTORIN ORAL TABLET 10-10 MG, 10-20 MG, 10-40 MG

3 ST; MO

VYTORIN ORAL TABLET 10-80 MG

3 PA; ST; MO

WELCHOL 2 MOZETIA 2 MO

*Antihypertensives*ACCUPRIL 3ACCURETIC 3ACEON ORAL TABLET 4 MG, 8 MG

3 MO

ALTACE ORAL CAPSULE 3amlodipine besy-benazepril hcl 1 MOamlodipine besylate-valsartan 3 STamlodipine-valsartan-hctz 3 ST; MOATACAND 3 ST; MOATACAND HCT 3 ST; MOatenolol-chlorthalidone 1 MOAVALIDE ORAL TABLET 150-12.5 MG, 300-12.5 MG

3 HT; MO

AVAPRO 3 HT; MOAZOR 3 STbenazepril hcl oral 1 MObenazepril-hydrochlorothiazide 1 MOBENICAR 3 ST; MOBENICAR HCT 3 ST; MObisoprolol-hydrochlorothiazide 1 MOcandesartan cilexetil 1 ST; MOcandesartan cilexetil-hctz 1 ST; MOcaptopril oral 1 MOcaptopril-hydrochlorothiazide 1 MOCARDURA 3 MOCATAPRES 3CATAPRES-TTS-1 3 MOCATAPRES-TTS-2 3 MOCATAPRES-TTS-3 3 MOclonidine hcl oral 1 MOclonidine hcl transdermal 1CLORPRES 3 MOCORZIDE 3 MOCOZAAR 3 MODEMSER 2DIBENZYLINE 3 PADIOVAN 3 HT; MODIOVAN HCT 3 HT; MO

doxazosin mesylate 1 MODUTOPROL 1 MOEDARBI ORAL TABLET 80 MG 3 STEDARBYCLOR ORAL TABLET 40-12.5 MG

3 ST

enalapril maleate oral 1 HT; MOenalapril-hydrochlorothiazide 1 HT; MOEPANED 3 PAeplerenone 1 PA; MOeprosartan mesylate 1 ST; MOfosinopril sodium 1 HT; MOfosinopril sodium-hctz 1 MOguanfacine hcl oral 1 MO; ALhydralazine hcl oral 1 MOHYZAAR 3 MOirbesartan 1 HT; MOirbesartan-hydrochlorothiazide 1 HT; MOlisinopril oral 1 HT; MOlisinopril-hydrochlorothiazide 1 HT; MOLOPRESSOR HCT ORAL TABLET 100-25 MG, 50-25 MG

3 MO

losartan potassium 1 MOlosartan potassium-hctz 1 MOLOTENSIN HCT ORAL TABLET 10-12.5 MG, 20-12.5 MG, 20-25 MG

3 MO

LOTENSIN ORAL TABLET 10 MG, 20 MG, 40 MG

3 MO

LOTREL ORAL CAPSULE 10-20 MG, 10-40 MG, 5-10 MG, 5-20 MG

3 MO

MAVIK 3 MOmethyldopa oral 1 MO; ALmethyldopa-hydrochlorothiazide 1 MOmetoprolol-hydrochlorothiazide 1 MOMICARDIS 3 ST; MOMICARDIS HCT 3 ST; MOMINIPRESS 3 MOminoxidil oral 1 MOmoexipril hcl 1 HT; MOmoexipril-hydrochlorothiazide 1 HT; MOnadolol-bendroflumethiazide 1 MOperindopril erbumine 1 HT; MOphenoxybenzamine hcl oral 1 PAprazosin hcl oral 1 MOPRINIVIL 3 MOpropranolol-hctz 1 MOquinapril hcl 1 HT; MOquinapril-hydrochlorothiazide 1 HT; MOramipril 1 MOTEKTURNA 3 ST; MOTEKTURNA HCT 3 ST; MOtelmisartan 1 ST; MOtelmisartan-amlodipine 3 ST; MOtelmisartan-hctz 1 ST; MOTENEX 3 MO; ALTENORETIC 100 3 MOTENORETIC 50 3 MOterazosin hcl oral 1 MOtrandolapril 1 HT; MOTRIBENZOR 3 ST; MOvalsartan 1 HT; MO


10

valsartan-hydrochlorothiazide 1 HT; MOVASERETIC 3 MOVASOTEC 3 MOVECAMYL 3 PA; SPZESTORETIC 3 MOZESTRIL 3 MOZIAC 3 MO

*Anti-Infective Agents - Misc.*ALINIA ORAL SUSPENSION RECONSTITUTED

2 PA; AL

ALINIA ORAL TABLET 2 PAatovaquone oral 1 PACAYSTON 2 PA; SP; Must be

obtained through Cystic Fibrosis

Services; PA Except Cystic

Fibrosis Specialists; QL; AL

clindamycin hcl oral 1 DFclindamycin palmitate hcl 1 DFdapsone oral 1FLAGYL ER 3KETEK 3linezolid oral 3 PA; PA Except

Infectious DiseaseMEPRON 3 PAmetronidazole oral capsule 3metronidazole oral tablet 1NEBUPENT 2 PAPRIMSOL 2SIVEXTRO ORAL 3 PA; PA Except

Infectious Diseasesulfamethoxazole-trimethoprim oral suspension 200-40 mg/5ml

1

sulfamethoxazole-trimethoprim oral tablet 400-80 mg, 800-160 mg

1

TINDAMAX 3tinidazole oral 1trimethoprim oral 1vancomycin hcl oral 1 PA; PA Except

Infectious DiseaseXIFAXAN ORAL TABLET 200 MG

3 QL

XIFAXAN ORAL TABLET 550 MG

3 PA

*Antimalarials*ARALEN 3atovaquone-proguanil hcl 1chloroquine phosphate oral 1COARTEM 2 QLDARAPRIM 2hydroxychloroquine sulfate oral 1 MOmefloquine hcl 1PLAQUENIL 3primaquine phosphate oral 1QUALAQUIN 3 PA; QL; ALquinine sulfate oral 1 PA; QL; AL

*Antimyasthenic Agents*guanidine hcl oral 1 MO

MESTINON ORAL SYRUP 2MESTINON ORAL TABLET 3MESTINON ORAL TABLET EXTENDEDRELEASE*

3

pyridostigmine bromide er 1pyridostigmine bromide oral 1 MO

*Antimyasthenic/Cholinergic Agents*guanidine hcl oral 1 MOMESTINON ORAL SYRUP 2MESTINON ORAL TABLET 3MESTINON ORAL TABLET EXTENDEDRELEASE*

3

pyridostigmine bromide er 1pyridostigmine bromide oral 1 MO

*Antimycobacterial Agents*ethambutol hcl oral 1isoniazid oral 1 MOMYAMBUTOL 3MYCOBUTIN 3 PAPASER 3PRIFTIN 3pyrazinamide oral 1rifabutin 1 PARIFADIN ORAL 3RIFAMATE 2rifampin oral 1RIFATER 2SIRTURO 3 PATRECATOR 3

*Antineoplastics And Adjunctive Therapies*AFINITOR 2 PA; SPAFINITOR DISPERZ 2 PA; SPALKERAN ORAL 2 SPanastrozole oral 1 PA; SP; RF; MOARIMIDEX 3 PA; SP; RF; MOAROMASIN 3 PA; SP; RF; MObexarotene 3 PA; SPbicalutamide 1 SP; RMBOSULIF 3 PA; SPcapecitabine 1 PACAPRELSA 2 PA; SP; Biologics,

Inc.CASODEX 3 SP; RMCOMETRIQ (100 MG DAILY DOSE)

3 PA; SP

COMETRIQ (140 MG DAILY DOSE)

3 PA; SP

COMETRIQ (60 MG DAILY DOSE)

3 PA; SP

COTELLIC 3 PA; SPcyclophosphamide oral capsule 1EMCYT 2 SPERIVEDGE 2 PA; SP; Walgreens

Specialty Pharmacy

etoposide oral 1 SPexemestane 1 PA; SP; RF; MOFARESTON 2 SP; RF; MOFARYDAK 3 PA; SPflutamide 1 SP; RMGILOTRIF 3 PA; SP


11

HEXALEN 2 SPHYCAMTIN ORAL 2 PA; SP; Walgreens

Specialty Pharmacy

HYDREA 3 SPhydroxyurea oral 1 SPICLUSIG 3 PA; SPimatinib mesylate 1 PA; SPIMBRUVICA 3 PA; SPINLYTA 3 PA; SPINTRON A INJECTION SOLUTION

2 PA; SP

JAKAFI 2 PA; SP; Walgreens Specialty

PharmacyLENVIMA 10 MG DAILY DOSE 3 PA; SPLENVIMA 14 MG DAILY DOSE 3 PA; SPLENVIMA 18 MG DAILY DOSE 3 PA; SPLENVIMA 20 MG DAILY DOSE 3 PA; SPLENVIMA 24 MG DAILY DOSE 3 PA; SPLENVIMA 8 MG DAILY DOSE 3 PA; SPletrozole oral 1 PA; SP; QL & AL

for Fertility; RF; MO; QL

leucovorin calcium oral 1LEUKERAN 2 SPLONSURF 3 PA; SPLYSODREN 2 SPMATULANE 2 SP; Accredo

Pharmacymegestrol acetate oral suspension 40 mg/ml, 400 mg/10ml

1 SP

megestrol acetate oral tablet 1 SPMEKINIST 3 PA; SPmercaptopurine oral 1MESNEX ORAL 2 PA; SPmethotrexate oral 1 MOmethotrexate sodium (pf) injection solution 1 gm/40ml, 100 mg/4ml, 250 mg/10ml, 50 mg/2ml

1 PA; PA Except Rheumatology,

Derm, and GI

methotrexate sodium injection solution 250 mg/10ml, 50 mg/2ml


Derm, and GImethotrexate sodium injection solution reconstituted


Derm, and GIMYLERAN 2 SPNEXAVAR 3 PA; SP; Walgreens

Specialty Pharmacy

NILANDRON 2 PA; PA except Oncology &

UrologyNINLARO 3 PA; SPODOMZO 3 PA; SPPOMALYST 3 PA; SPSOLTAMOX 2 MOSPRYCEL 2 ST; SP

STIVARGA 3 PA; SP; Walgreens Specialty

PharmacySUTENT ORAL CAPSULE 12.5 MG, 25 MG, 50 MG

2 PA; SP

SYNRIBO 3 PATABLOID 2TAFINLAR 3 PA; SPTAGRISSO 3 PA; SPtamoxifen citrate oral 1 MOTARCEVA 2 PA; SP; PA Except

OncologyTARGRETIN ORAL 3 PA; SPTASIGNA 2 ST; SPTEMODAR ORAL 3 SPtemozolomide 1 SPtretinoin oral 1 SPTREXALL 2XALKORI 3 PA; SP; Walgreens

Specialty Pharmacy

XELODA 3 PAXTANDI 3 PA; SPZELBORAF 3 PA; SPZOLADEX 2 PAZOLINZA 2 PA; SPZYKADIA 3 PA; SPZYTIGA 2 PA; SP

*Antiparkinson Agents*amantadine hcl oral 1 MOAPOKYN 2 PA; SP; Accredo

PharmacyAZILECT 2 PA; MObenztropine mesylate oral 1 MO; ALbromocriptine mesylate oral 1 MOcarbidopa oral 3 MOcarbidopa-levodopa er oral tablet extendedrelease* 25-100 mg, 50-200 mg

1 MO

carbidopa-levodopa oral tablet 1 MOcarbidopa-levodopa oral tablet dispersible

1 ST

carbidopa-levodopa-entacapone 1COMTAN 3 ST; MODUOPA SUSPENSION 4.63-20 MG/ML

3 PA; SP

ELDEPRYL 3entacapone 1 ST; MOMIRAPEX 3 PA; MOMIRAPEX ER ORAL TABLET EXTENDED RELEASE 24 HR* 3.75 MG

3 PA

NEUPRO 3 PA; MOPARLODEL ORAL CAPSULE 3pramipexole dihydrochloride 1 PA; MOpramipexole dihydrochloride er oral tablet extended release 24 hr* 0.375 mg, 0.75 mg, 1.5 mg, 3 mg, 4.5 mg

3 PA; PA Except Neurology


12

pramipexole dihydrochloride er oral tablet extended release 24 hr* 2.25 mg

1 PA; PA Except Neurology

REQUIP 3 PA; MOREQUIP XL 3 PAropinirole hcl 1 PA; PA Except

Neurology; MOropinirole hcl er 3 PA; PA Except

Neurologyselegiline hcl oral 1 MOSINEMET 3 MOSINEMET CR 3 MOSTALEVO 100 3 MOSTALEVO 125 3 MOSTALEVO 150 3 MOSTALEVO 200 3 MOSTALEVO 50 3 MOSTALEVO 75 3 MOtrihexyphenidyl hcl 1 MO; ALZELAPAR 2 PA; MO

*Antipsychotics/Antimanic Agents*aripiprazole oral tablet 10 mg, 15 mg, 2 mg, 20 mg

1 PA; PA Except Psychiatry

aripiprazole oral tablet 30 mg, 5 mg

1 PA

chlorpromazine hcl oral 1 MOclozapine oral tablet 1 PA; QLclozapine oral tablet dispersible 3 ST; PA Except

Psychiatry; QLCOMPRO 1 MOEQUETRO 3 MOFANAPT 3 PA; MOFANAPT TITRATION PACK 3 PAfluphenazine hcl oral 1haloperidol lactate oral 1 MOhaloperidol oral 1 MOLATUDA 2lithium 1 MOlithium carbonate er 1lithium carbonate oral 1 MOloxapine succinate oral 1 MOolanzapine oral tablet 1 MOolanzapine oral tablet dispersible

1 PA

paliperidone er 3 PA; PA Except Psychiatry

perphenazine oral 1 MOprochlorperazine 1prochlorperazine maleate oral 1 MO; ALquetiapine fumarate 1 MOREXULTI 3 PARISPERIDONE M-TAB 1 PArisperidone oral solution 1 MO; ALrisperidone oral tablet 1 MOrisperidone oral tablet dispersible

1 PA

SAPHRIS 3SEROQUEL XR 3 STthioridazine hcl oral 1 MO; ALthiothixene oral 1 MOtrifluoperazine hcl oral 1 MO

VRAYLAR 3 PAziprasidone hcl 1 MO

*Antiretrovirals Adjuvants***TYBOST 2 ST

*Antivirals*abacavir sulfate 1abacavir-lamivudine-zidovudine 1 PA; MOacyclovir oral 1adefovir dipivoxil 1 PAAPTIVUS 2ATRIPLA 2BARACLUDE 2 PACOMBIVIR 3COMPLERA 2COPEGUS 3 PA; SPCRIXIVAN ORAL CAPSULE 200 MG, 400 MG

2

DAKLINZA 3 PA; SPdidanosine 1EDURANT 3EMTRIVA 2EPIVIR 3EPIVIR HBV ORAL SOLUTION 2EPIVIR HBV ORAL TABLET 3EPZICOM 2EVOTAZ 3famciclovir oral 1FAMVIR 3FLUMADINE 3FUZEON SUBCUTANEOUS* SOLUTION RECONSTITUTED

2 PA; SP

GENVOYA 2 ALHEPSERA 3 PAINTELENCE 2INVIRASE 2ISENTRESS 2KALETRA ORAL SOLUTION 2KALETRA ORAL TABLET 2lamivudine oral solution 1lamivudine oral tablet 1 MOlamivudine-zidovudine 1 MOLEXIVA 2MODERIBA 3 PA; SPMODERIBA 1200 DOSE PACK 3 PA; SPMODERIBA 800 DOSE PACK 3 PA; SPnevirapine 1nevirapine er 1NORVIR 2ODEFSEY 2OLYSIO 2 PA; SPPEGASYS PROCLICK 2 PA; SPPEGASYS SUBCUTANEOUS* SOLUTION

2 PA; SP

PEG-INTRON REDIPEN 2 PA; SPPEG-INTRON REDIPEN PAK 4 SUBCUTANEOUS* KIT 120 MCG/0.5ML

2 PA; SP

PREZCOBIX 3PREZISTA ORAL SUSPENSION

2 ST


13

PREZISTA ORAL TABLET 150 MG, 600 MG, 75 MG, 800 MG

2 ST

REBETOL 3 PA; SPRELENZA DISKHALER 2 QL; ALRESCRIPTOR 2RETROVIR ORAL CAPSULE 3RETROVIR ORAL SYRUP 3REYATAZ ORAL CAPSULE 150 MG, 200 MG, 300 MG

2

REYATAZ ORAL PACKET 2RIBASPHERE 3 PA; SPRIBASPHERE RIBAPAK 3 PA; SPribavirin oral capsule 1 PA; SPribavirin oral tablet 200 mg 1 PA; SPrimantadine hcl 1SELZENTRY 2SOVALDI 2 PA; SPstavudine 1STRIBILD 2SUSTIVA 2TAMIFLU ORAL CAPSULE 2 QLTAMIFLU ORAL SUSPENSION RECONSTITUTED 6 MG/ML

2 QL

TIVICAY 2TRIUMEQ 2 PATRIZIVIR 3 PATRUVADA 2TYZEKA 2 PAvalacyclovir hcl oral tablet 1 gm, 500 mg

1 QL

VALCYTE ORAL SOLUTION RECONSTITUTED

2 PA

valganciclovir hcl 1 PAVALTREX ORAL TABLET 1 GM, 500 MG

3 QL

VIDEX 2VIDEX EC 3VIRACEPT ORAL TABLET 2VIRAMUNE 3VIRAMUNE XR 3VIREAD 2VITEKTA 2 STZERIT 3ZIAGEN ORAL SOLUTION 2ZIAGEN ORAL TABLET 3zidovudine oral capsule 1 MOzidovudine oral syrup 1zidovudine oral tablet 1 MOZOVIRAX ORAL CAPSULE 3ZOVIRAX ORAL TABLET 800 MG

3

*Assorted Classes*ASTAGRAF XL 3 PAAZASAN 2 MOazathioprine oral 1 MOCELLCEPT 3 MOCUPRIMINE ORAL CAPSULE 250 MG

2 PA

cyclosporine modified 1 MOcyclosporine oral capsule 1 MODEPEN TITRATABS 2

ENVARSUS XR 3 STGENGRAF ORAL CAPSULE 100 MG, 25 MG

1 MO

GENGRAF ORAL SOLUTION 1 MOIMURAN 3 MOKIONEX ORAL POWDER 1lactated ringers irrigation 1mycophenolate mofetil 1 MOmycophenolic acid 1 PA; PA except

Renal Transplant Surgeons and

Nephrology; MOMYFORTIC 3 PA; PA except

Renal Transplant Surgeons and

Nephrology; MONEORAL 3PHYSIOLYTE 1PHYSIOSOL IRRIGATION 1PROGRAF ORAL 3RAPAMUNE ORAL SOLUTION 2 PA; MORAPAMUNE ORAL TABLET 3 PA; MOREVLIMID 2 PA; SP; Walgreens

Specialty Pharmacy

ringers irrigation 1SANDIMMUNE ORAL CAPSULE

3 MO

SANDIMMUNE ORAL SOLUTION

2 MO

sirolimus oral 1 PA; PA except Renal Transplant

Surgeons and Nephrology; MO

sodium polystyrene sulfonate oral

1

sodium polystyrene sulfonate suspension

1

sterile water for irrigation 1SYPRINE 2 PAtacrolimus oral 1THALOMID ORAL CAPSULE 100 MG, 150 MG, 200 MG

2 SP

THALOMID ORAL CAPSULE 50 MG

2 SP; Walgreens Specialty

PharmacyVELTASSA 2 SP; Walgreens

Specialty Pharmacy

ZORTRESS 2 PA

*Beta Blockers*acebutolol hcl oral 1 MOatenolol oral 1 MObetaxolol hcl oral 3bisoprolol fumarate 1 HT; MOBYSTOLIC 3 MOcarvedilol 1 MOCOREG CR 3 MOCORGARD 3 MOHEMANGEOL 3 PAINDERAL LA 3 MO


14

labetalol hcl oral 1 MOLEVATOL 3LOPRESSOR ORAL 3 MOmetoprolol succinate er 1 MOmetoprolol tartrate oral 1 MOnadolol oral tablet 20 mg, 40 mg, 80 mg

1 MO

pindolol 1 MOpropranolol hcl er 1 MOpropranolol hcl oral 1 MOSECTRAL 3SORINE 1 MOsotalol hcl (af) 1 MOsotalol hcl oral 1 MOSOTYLIZE 3TENORMIN 3 MOtimolol maleate oral 1 MOTOPROL XL 3 MOZEBETA 3 MO

*Bile Acid Synthesis Disorder Agents***CHOLBAM 3 PA; SP

*Biologicals Misc*GRASTEK 3 PA; SPRAGWITEK 3 PA

*Calcium Channel Blockers*ADALAT CC 3 MOAFEDITAB CR 1 MOamlodipine besylate oral 1 MOCALAN ORAL TABLET 120 MG, 80 MG

3 MO

CALAN SR 3 MOCARDIZEM CD 3 MOCARDIZEM LA 3 MOCARDIZEM ORAL TABLET 120 MG, 30 MG, 60 MG

3 MO

CARTIA XT 1 MOdiltiazem hcl er beads 1 MOdiltiazem hcl er coated beads oral capsule extended release 24 hour

1 MO

diltiazem hcl er oral capsule extended release 12 hour

1 MO

diltiazem hcl er oral capsule extended release 24 hour 120 mg, 180 mg, 240 mg

1 MO

diltiazem hcl oral 1 MOdilt-xr 1 MOfelodipine er 1 MOISOPTIN SR ORAL TABLET EXTENDEDRELEASE* 240 MG

3 MO

isradipine 3 MOMATZIM LA 1 MOnicardipine hcl oral 3NIFEDIAC CC ORAL TABLET EXTENDED RELEASE 24 HR* 30 MG

1 MO

NIFEDICAL XL 1 MOnifedipine er 1 MOnifedipine er osmotic release 1 MOnifedipine oral 1 MO; ALnimodipine oral 1 PA; MO

nisoldipine er 3 MONORVASC 3 MONYMALIZE 3 PA; QLPROCARDIA 3 MO; ALPROCARDIA XL 3 MOTAZTIA XT 1 MOTIAZAC 3verapamil hcl er oral capsule extended release 24 hour

1 MO

verapamil hcl er oral tablet extendedrelease* 120 mg, 180 mg, 240 mg

1 MO

verapamil hcl oral 1 MO

*Cardiotonics*digoxin oral solution 1 MOdigoxin oral tablet 125 mcg 1 MOdigoxin oral tablet 250 mcg 1 MO; ALLANOXIN ORAL TABLET 187.5 MCG

3 MO; AL

LANOXIN ORAL TABLET 62.5 MCG

3 MO

*Cardiovascular Agents - Misc.*ADCIRCA 2 PAADEMPAS 3 PA; SPamlodipine-atorvastatin 3 MOBIDIL 3 MOCAVERJECT 2 PA; QLCAVERJECT IMPULSE 2 PA; QLEDEX 2 PA; QLisoxsuprine hcl oral 1 MO; ALLETAIRIS 2 PA; SPMUSE 2 PA; QLOPSUMIT 3 PA; SPORENITRAM 3 PA; SPREVATIO ORAL SUSPENSION RECONSTITUTED

3 PA; AL

sildenafil citrate oral 1 PA; ALTRACLEER 2 PA; SPTYVASO 3 PATYVASO REFILL 3 PATYVASO STARTER 3 PAVENTAVIS 3 PAVIAGRA 2 QL

*Cephalosporins*CEDAX ORAL CAPSULE 3CEDAX ORAL SUSPENSION RECONSTITUTED 180 MG/5ML

3

cefaclor 1cefaclor er 1cefadroxil 1cefdinir 1cefditoren pivoxil oral tablet 400 mg

3 AL

cefixime 1cefpodoxime proxetil oral suspension reconstituted

1

cefpodoxime proxetil oral tablet 3cefprozil 1CEFTIN ORAL SUSPENSION RECONSTITUTED

3


15

cefuroxime axetil oral tablet 1cephalexin oral capsule 1 DFcephalexin oral suspension reconstituted

1 DF

SUPRAX ORAL CAPSULE 2SUPRAX ORAL SUSPENSION RECONSTITUTED 500 MG/5ML

2

SUPRAX ORAL TABLET CHEWABLE

2

*Contraceptives*ALTAVERA 1 MOalyacen 1/35 1 MOalyacen 7/7/7 1 MOAMETHIA 1AMETHIA LO 1AMETHYST 2APRI 1 MOARANELLE 1 MOASHLYNA 1AVIANE 1 MOAZURETTE 1 MOBALZIVA 1 MOBEYAZ 3 MObriellyn 1 MOCAMILA 1 MOCAMRESE 1CAMRESE LO 1CAZIANT 1 MOCESIA 1 MOCHATEAL 1 MOCRYSELLE-28 1 MOCYCLAFEM 1/35 1 MOCYCLAFEM 7/7/7 1 MOCYRED 1 MODASETTA 1/35 1 MODASETTA 7/7/7 1 MODAYSEE 1DEBLITANE 1DEPO-SUBQ PROVERA 104 3 PAdesogestrel-ethinyl estradiol 1 MOdrospirenone-ethinyl estradiol 1 MOELINEST 1 MOELLA 2 QLEMOQUETTE 1 MOENPRESSE-28 1 MOENSKYCE 1 MOERRIN 1 MOESTARYLLA 1 MOFALMINA 1 MOGIANVI 1 MOGILDAGIA 1 MOGILDESS 1.5/30 1 MOGILDESS 1/20 1 MOGILDESS 24 FE 1 MOGILDESS FE 1.5/30 1 MOGILDESS FE 1/20 1 MOHEATHER 1 MOINTROVALE 1JENCYCLA 1 MOJOLESSA 1

JOLIVETTE 1 MOJULEBER 1 MOJUNEL 1.5/30 1 MOJUNEL 1/20 1 MOJUNEL FE 1.5/30 1 MOJUNEL FE 1/20 1 MOJUNEL FE 24 1 MOKARIVA 1 MOKELNOR 1/35 1 MOKIMIDESS 1 MOKURVELO 1 MOLARIN 1.5/30 1 MOLARIN 1/20 1 MOLARIN 24 FE 1 MOLARIN FE 1.5/30 1 MOLARIN FE 1/20 1 MOLEENA 1 MOLESSINA 1 MOLEVONEST 1 MOlevonorgest-eth estrad 91-day oral tablet 0.1-0.02 & 0.01 mg, 0.15-0.03 &0.01 mg, 0.15-0.03 mg

1

levonorgestrel oral tablet 1.5 mg 1 OTC; QLlevonorgestrel-ethinyl estrad oral tablet 0.1-20 mg-mcg, 0.15-30 mg-mcg

1 MO

LEVORA 0.15/30 (28) 1 MOLO LOESTRIN FE 2 MOLOMEDIA 24 FE 1 MOLORYNA 1 MOLOW-OGESTREL 1 MOLUTERA 1 MOLYZA 1 MOmarlissa 1 MOMICROGESTIN 1.5/30 1 MOMICROGESTIN 1/20 1 MOMICROGESTIN FE 1.5/30 1 MOMICROGESTIN FE 1/20 1 MOMINASTRIN 24 FE 2 MOMONO-LINYAH 1 MOMONONESSA 1 MOMYZILRA 1 MONATAZIA 3 PA; MONECON 0.5/35 (28) 1 MONECON 1/35 (28) 1 MONECON 1/50 (28) 2 MONECON 10/11 (28) 2 MONECON 7/7/7 1 MONIKKI 1 MONORA-BE 1 MOnorethin ace-eth estrad-fe 1 MOnorethindrone acet-ethinyl est 1 MOnorethindrone oral 1 MOnorgestimate-eth estradiol oral tablet 0.25-35 mg-mcg

1 MO

norgestim-eth estrad triphasic 1 MONORLYROC 1NORTREL 0.5/35 (28) 1 MONORTREL 1/35 (21) 1 MONORTREL 1/35 (28) 1 MONORTREL 7/7/7 1 MO


16

NUVARING 2 QLOCELLA 1 MOOGESTREL 2 MOORSYTHIA 1 MOPHILITH 1 MOPIMTREA 1 MOPIRMELLA 1/35 1 MOPIRMELLA 7/7/7 1 MOPORTIA-28 1 MOPREVIFEM 1 MOQUARTETTE 3QUASENSE 1RECLIPSEN 1 MOSAFYRAL 3 MOSHAROBEL 1SOLIA 1 MOSPRINTEC 28 1 MOSRONYX 1 MOSYEDA 1 MOTARINA FE 1/20 1 MOTILIA FE 1 MOTRI-ESTARYLLA 1 MOTRI-LEGEST FE 1 MOTRI-LINYAH 1 MOTRI-LO-ESTARYLLA 1 MOTRI-LO-MARZIA 1TRINESSA (28) 1 MOTRINESSA LO 1 MOTRI-PREVIFEM 1 MOTRI-SPRINTEC 1 MOTRIVORA (28) 1 MOVELIVET 1 MOVESTURA 1 MOviorele 1 MOVYFEMLA 1 MOWERA 1 MOWYMZYA FE 1 MOXULANE 1 MOZARAH 1 MOZENCHENT 1 MOZENCHENT FE 1 MOZOVIA 1/35E (28) 1 MOzovia 1/50e (28) 1 MO

*Corticosteroids*budesonide oral 1 PACORTEF 3 MOcortisone acetate oral 1 MOdexamethasone intensol 1 DFdexamethasone oral 1 DFDEXPAK 10 DAY ORAL 2DEXPAK 13 DAY ORAL 2DEXPAK 6 DAY ORAL 2fludrocortisone acetate oral 1 MOhydrocortisone oral 1 MOMEDROL ORAL TABLET 16 MG, 32 MG, 4 MG, 8 MG

3

methylprednisolone oral 1methylprednisolone oral tablet 1 DFMILLIPRED DP ORAL 3 QLMILLIPRED ORAL SOLUTION 3MILLIPRED ORAL TABLET 3 QL

PEDIAPRED 3prednisolone oral solution 1prednisolone oral syrup 15 mg/5ml

1

prednisolone sodium phosphate oral solution 15 mg/5ml, 25 mg/5ml, 6.7 (5 base) mg/5ml

1

prednisolone sodium phosphate oral tablet dispersible

3

PREDNISONE INTENSOL 1prednisone oral solution 1 DFprednisone oral tablet 1 DFRAYOS 3 STUCERIS ORAL 3 PAVERIPRED 20 3

*Cough/Cold/Allergy*acetylcysteine inhalation 1benzonatate oral capsule 100 mg, 200 mg

1

CLARINEX-D 12 HOUR 3 PAhydrocodone-homatropine 1NEBUSAL 3phenylephrine-chlorphen-dm oral liquid† 1.75-0.75-2.75 mg/ml

1

promethazine vc 1 ALpromethazine vc plain 1 ALpromethazine vc/codeine 1 ALpromethazine-codeine 1 ALpromethazine-dm 1 ALpromethazine-phenylephrine 1 ALsodium chloride inhalation nebulization solution 0.9 %, 10 %, 3 %, 7 %

1

TESSALON PERLES 3TUSSICAPS 2VITUZ 3

*Cyclin-Dependent Kinases (Cdk) Inhibitors***IBRANCE 3 PA; SP

*Cystic Fibrosis Agent - Combinations***ORKAMBI 2 PA; SP; AL

*Dermatologicals*8-MOP 3ABSORICA 3 PA; PA Except

DermACANYA 3 STacitretin 1 PAACLOVATE EXTERNAL CREAM

3

acyclovir external 1ACZONE 3 PAadapalene external cream 1adapalene external gel 1adapalene external lotion 3alclometasone dipropionate 1ALDARA 3 PAALTABAX 3 STamcinonide 1ANACAINE 3APEXICON E 3


17

AVAR LS CLEANSER 3AVAR-E LS 3AVITA 3AZELEX 2BACTROBAN 3BENZAC AC WASH EXTERNAL LIQUID† 5 %

3

BENZAMYCIN 3BENZAMYCINPAK 3BENZEPRO 3BENZEPRO SHORT CONTACT 3benzoyl peroxide external foam 5.3 %

3 OTC

benzoyl peroxide external foam 9.8 %

3

benzoyl peroxide short contact 3benzoyl peroxide wash external liquid† 10 %

1 OTC

benzoyl peroxide-erythromycin 1betamethasone dipropionate aug

1

betamethasone dipropionate external

1

betamethasone valerate external cream

1

betamethasone valerate external foam

3

betamethasone valerate external lotion

1

betamethasone valerate external ointment

1

bp foam 3bp foaming wash 1calcipotriene external 1 PAcalcipotriene-betameth diprop 3 PAcalcitriol external 1 PACAPEX 2CENTANY 3CENTANY AT 3CICLODAN CREAM 3CICLODAN EXTERNAL SOLUTION

3

ciclopirox 3ciclopirox olamine external 3ciclopirox treatment 3ciclopirox-vitamin e 3CLARAVIS 1 PACLEOCIN-T 3CLINDACIN ETZ EXTERNAL KIT

3 ST

CLINDACIN PAC 3 STclindamycin phos-benzoyl perox 1clindamycin phosphate external 1clindamycin-tretinoin 1clobetasol propionate e 1clobetasol propionate emulsion 3clobetasol propionate external cream

1

clobetasol propionate external foam

3

clobetasol propionate external gel

1

clobetasol propionate external liquid†

3

clobetasol propionate external lotion

3

clobetasol propionate external ointment

1

clobetasol propionate external shampoo

3

clobetasol propionate external solution

1

CLODERM 3CLODERM PUMP 3clotrimazole external 1 OTCclotrimazole-betamethasone 1coal tar external solution 2CORDRAN EXTERNAL LOTION

3

CORDRAN EXTERNAL TAPE 2COSENTYX 3 PA; SPCOSENTYX SENSOREADY PEN SUBCUTANEOUS* 150 MG/ML

3 PA; SP

CUTIVATE EXTERNAL CREAM 3CUTIVATE EXTERNAL LOTION

3

DENAVIR 3DERMA-SMOOTHE/FS BODY 3DERMA-SMOOTHE/FS SCALP 3DERMATOP 3DESONATE 3desonide external 1DESOWEN EXTERNAL CREAM

3

DESOWEN EXTERNAL LOTION

3

desoximetasone external 1diclofenac sodium transdermal gel 1 %

3 QL

diclofenac sodium transdermal gel 3 %

3 PA

DICLOFENAC SODIUM TRANSDERMAL SOLUTION

3 QL

DIFFERIN EXTERNAL CREAM 3DIFFERIN EXTERNAL GEL 3diflorasone diacetate external 1DIPROLENE 3DIPROLENE AF 3DOVONEX EXTERNAL CREAM

3 PA

doxepin hcl external 3DRITHO-CREME HP 3DRYSOL 2DUAC 3econazole nitrate external 1EFUDEX EXTERNAL CREAM 3ELIDEL 2 PAELIMITE 3ELOCON 3ENSTILAR 3 PA; QLEPIDUO 3 PA; PA Except

Dermatology and Pediatrics


18

EPIDUO FORTE 3 PA; PA Except Dermatology and

PediatricsERTACZO 3erythromycin external 1EURAX 2EVOCLIN 3EXELDERM 3EXTINA 3FABIOR 2 PAFINACEA EXTERNAL GEL 2FLECTOR 3fluocinolone acetonide body 1fluocinolone acetonide external 1fluocinolone acetonide scalp 1fluocinonide external cream 0.05 %

1

fluocinonide external cream 0.1 %

3

fluocinonide external gel 1fluocinonide external ointment 1fluocinonide external solution 1fluocinonide-e 1FLUOROPLEX 3fluorouracil external cream 0.5 %

3 ST

fluorouracil external cream 5 % 1fluorouracil external solution 1fluticasone propionate external 1gentamicin sulfate external 1halac 3halobetasol propionate 1HALOG 2HALOTIN 3hydrocortisone ace-pramoxine external cream 2.5-1 %

1

hydrocortisone butyr lipo base 1hydrocortisone butyrate external cream

3

hydrocortisone butyrate external ointment

1

hydrocortisone butyrate external solution

1

hydrocortisone external cream 2.5 %

1

hydrocortisone external lotion 2.5 %

1

hydrocortisone external ointment 2.5 %

1

hydrocortisone valerate 1hydrocortisone-iodoquinol external cream 1-1 %

3

imiquimod external 1 PAiodoquinol-hydrocortisone-aloe 3JUBLIA 3 PAKENALOG EXTERNAL 3ketoconazole external cream 1ketoconazole external shampoo 1KETODAN 3KLARON 3LAMISIL SPRAY 3 PALEVULAN KERASTICK 3

lidocaine external ointment 1lidocaine external patch 5 % 3lidocaine hcl external cream 1lidocaine-prilocaine external cream

1

lindane external shampoo 1LOCOID 3LOCOID LIPOCREAM 3LOTRISONE EXTERNAL CREAM

3

malathion external 1MEDROX-RX 3 PAMENTAX 3methoxsalen rapid 1METROCREAM 3METROLOTION 3metronidazole external 1MIRVASO 3 PAmometasone furoate external 1 MOmupirocin calcium 1mupirocin external 1MYORISAN 1 PA; PA Except

Dermnaftifine hcl 3NAFTIN EXTERNAL GEL 3NATROBA 3 ST; QLNIZORAL 3NORITATE 2NUCORT 3NUOX 3NUVAIL 3 PAnystatin external cream 1nystatin external ointment 1nystatin external powder 100000 unit/gm

1

nystatin-triamcinolone 1NYSTOP 1OVACE PLUS EXTERNAL CREAM

3

OVACE PLUS EXTERNAL SHAMPOO

3

OVACE PLUS WASH 3OVACE WASH 3oxiconazole nitrate 3OXISTAT EXTERNAL LOTION 3OXSORALEN ULTRA 3PANDEL 3PANRETIN 3 PAPENNSAID TRANSDERMAL SOLUTION 2 %

3 QL

permethrin external cream 1PICATO 3PLEXION 3PRAMOSONE E 3PRAMOSONE EXTERNAL LOTION 1-2.5 %

3

PRAMOSONE EXTERNAL OINTMENT 1-2.5 %

3

prednicarbate 1PROTOPIC 3 PARETIN-A 3


19

RETIN-A MICRO EXTERNAL GEL 0.04 %

3

RETIN-A MICRO PUMP EXTERNAL GEL 0.04 %, 0.08 %

3

RIAX 3 PAROSADAN EXTERNAL KIT 3salicylic acid external liquid† 26 %

3

selenium sulfide external lotion 1SILVADENE 3silver sulfadiazine external 1SKLICE 3 ST; QLsodium sulfacetamide external shampoo

1

sodium sulfacetamide wash 1SOOLANTRA 3 PA; PA Except

DermSORIATANE ORAL CAPSULE 10 MG, 17.5 MG, 25 MG

3 PA

SORILUX 3 PAspinosad 3 ST; QLsulfacetamide sodium (acne) 1sulfacetamide sodium external gel

1

sulfacetamide sodium external liquid†

1

sulfacetamide sodium external suspension

1

sulfacetamide sodium-sulfur external cream 10-2 %, 10-5 %

1

sulfacetamide sodium-sulfur external cream 9.8-4.8 %

3

sulfacetamide sodium-sulfur external emulsion

1

sulfacetamide sodium-sulfur external liquid†

1

sulfacetamide sodium-sulfur external lotion 10-5 %

1

sulfacetamide sodium-sulfur external lotion 9.8-4.8 %

3

sulfacetamide sodium-sulfur external pad 10-4 %

1

sulfacetamide sodium-sulfur external suspension

1

sulfacetamide sod-sulfur wash external kit

1

sulfacetamide-sulfur in urea 1SULFAMYLON 3SULFOAM 3SUMADAN 3SUMADAN WASH 3SUMAXIN 3SUMAXIN CP 3SUMAXIN TS 3SUMAXIN WASH 3SYNALAR 3SYNALAR (CREAM) 3SYNALAR (OINTMENT) 3SYNALAR TS 3TACLONEX EXTERNAL SUSPENSION

3 PA

tacrolimus external 1 PATARGRETIN EXTERNAL 3 PA; SPTAZORAC 2 PATOPICORT EXTERNAL CREAM

3

TOPICORT EXTERNAL GEL 3TOPICORT EXTERNAL OINTMENT

3

TOPICORT SPRAY 3tretinoin (emollient) 1tretinoin external cream 1tretinoin external gel 0.01 %, 0.025 %

1

tretinoin external gel 0.05 % 3tretinoin microsphere external gel 0.04 %

1

tretinoin microsphere external gel 0.1 %

3

tretinoin microsphere pump external gel 0.04 %

1

tretinoin microsphere pump external gel 0.1 %

3

TRETIN-X EXTERNAL CREAM 0.075 %

3

triamcinolone acetonide external 1ULTRAVATE EXTERNAL CREAM

3

ULTRAVATE EXTERNAL OINTMENT

3

ULTRAVATE X (CREAM) 3ULTRAVATE X (OINTMENT) 3urea external cream 39 %, 40 %, 45 %, 50 %

3

urea external emulsion 3urea external gel 3urea external lotion 40 %, 45 % 3urea external suspension 50 % 3urea hydrating 3VALCHLOR 3 PA; SPVANOXIDE-HC 3VECTICAL 3 PAVELTIN 3VEREGEN 2VUSION 3VYTONE 3XERAC AC 3XERESE 3XOLEGEL 3ZENATANE 1 PA; PA Except

DermZIANA 3ZITHRANOL 3 PAZITHRANOL-RR 3 PAZOVIRAX EXTERNAL CREAM 3 PAZOVIRAX EXTERNAL OINTMENT

3

ZYCLARA 3 PAZYCLARA PUMP 3 PA

*Diagnostic Products*METOPIRONE 2 PA; SP


20

*Digestive Aids*CREON 2 MOPANCREAZE 2 MOPERTZYE 2 MOSUCRAID 2 PA; SP; Accredo

PharmacyVIOKACE 2 MOZENPEP 2 MO

*Direct-Acting P2y12 Inhibitors***BRILINTA 2 MO

*Diuretics*acetazolamide er 1 MOacetazolamide oral 1 MOALDACTAZIDE ORAL TABLET 25-25 MG

3 MO

ALDACTAZIDE ORAL TABLET 50-50 MG

2 MO

ALDACTONE 3 MOamiloride hcl oral 1 MOamiloride-hydrochlorothiazide 1 MObumetanide oral 1 MOchlorothiazide oral 1 MOchlorthalidone oral tablet 25 mg, 50 mg

1 MO

DEMADEX ORAL TABLET 10 MG, 20 MG, 5 MG

3

DIURIL 2DYAZIDE 3 MODYRENIUM 3 MOethacrynic acid oral 1 MOfurosemide oral solution 10 mg/ml, 8 mg/ml

1 MO

furosemide oral tablet 1 MOhydrochlorothiazide oral 1 MOindapamide oral 1 MOKEVEYIS 3 PA; SPLASIX 3 MOMAXZIDE 3 MOMAXZIDE-25 3 MOmethazolamide oral 1 MOmethyclothiazide oral 1 MOmetolazone 1 MOMICROZIDE 3 MOspironolactone oral 1 MOspironolactone-hctz 1 MOtorsemide oral 1 MOtriamterene-hctz 1 MO

*Endocrine And Metabolic Agents - Misc.*ACTONEL ORAL TABLET 150 MG, 30 MG, 35 MG, 5 MG

3 MO

alendronate sodium 1 MOATELVIA 3BINOSTO 3 STBRAVELLE 2 PABUPHENYL ORAL POWDER 3 GM/TSP

3 PA

BUPHENYL ORAL TABLET 2 PAcabergoline 1 PAcalcitonin (salmon) 1calcitriol oral 1 MO

CARBAGLU 2 PACARNITOR ORAL SOLUTION 3CARNITOR SF 3CETROTIDE SUBCUTANEOUS* KIT 0.25 MG

3 PA

chorionic gonadotropin intramuscular*

1 ST

clomiphene citrate oral 1 RF; QL; ALCYSTADANE 2 PA; SPDDAVP ORAL 3 MODDAVP RHINAL TUBE 3desmopressin ace rhinal tube 1 MOdesmopressin ace spray refrig 1 MOdesmopressin acetate oral 1 MOdesmopressin acetate spray 1 MOdoxercalciferol oral 1 STetidronate disodium 3FOLLISTIM AQ SUBCUTANEOUS*

3 PA; AL

FORTEO SUBCUTANEOUS* SOLUTION 600 MCG/2.4ML

2 PA; SP

FORTICAL 1FOSAMAX ORAL TABLET 70 MG

3 MO

FOSAMAX PLUS D 2 MOGENOTROPIN 3 PA; ST; SPGENOTROPIN MINIQUICK 3 PA; ST; SPGONAL-F 2 PA; SPGONAL-F RFF 2 PA; SPGONAL-F RFF REDIJECT 2 PA; SPHECTOROL ORAL 3 STHUMATROPE INJECTION SOLUTION RECONSTITUTED 12 MG, 5 MG, 6 MG

3 PA; SP

HUMATROPE INJECTION SOLUTION RECONSTITUTED 24 MG

3 PA; SP; MO

ibandronate sodium oral 3 QLINCRELEX 2 PA; SP; MOKUVAN ORAL TABLET SOLUBLE

2 PA; SP; Walgreens Specialty

Pharmacylevocarnitine oral solution 1 PAlevocarnitine oral tablet 1 PAMENOPUR 2 PAMIACALCIN NASAL 3MIFEPREX 2NATPARA 3 PA; SPNORDITROPIN FLEXPRO 2 PA; SPNUTROPIN AQ NUSPIN 10 3 PA; ST; SPNUTROPIN AQ NUSPIN 20 3 PA; ST; SPNUTROPIN AQ NUSPIN 5 3 PA; ST; SPNUTROPIN AQ PEN SUBCUTANEOUS* SOLUTION 10 MG/2ML

3 PA; ST; SP

octreotide acetate injection solution 100 mcg/ml, 1000 mcg/ml, 200 mcg/ml, 50 mcg/ml, 500 mcg/ml

1 PA

OMNITROPE 3 PA; ST; SPORFADIN 2 PA; SP


21

OSPHENA 3OVIDREL 3 PA; STparicalcitol oral 1 ST; MOraloxifene hcl 1 MORAVICTI 3 PA; SPrisedronate sodium oral tablet 150 mg, 30 mg, 35 mg, 5 mg

1 MO

risedronate sodium oral tablet delayed release

1

SAIZEN 3 PA; ST; SPSAIZEN CLICK.EASY 3 PA; ST; SPSAMSCA 3 PASANDOSTATIN 3 PA; PA except

Oncology & Hematology

SENSIPAR 2 MOSEROSTIM SUBCUTANEOUS* SOLUTION RECONSTITUTED 4 MG, 5 MG, 6 MG

3 PA; ST; SP

SIGNIFOR 3 PAsodium phenylbutyrate oral powder 3 gm/tsp

1 PA

SOMAVERT SUBCUTANEOUS* SOLUTION RECONSTITUTED 10 MG, 15 MG, 20 MG

2 PA; SP; Accredo Pharmacy

STIMATE 2SYNAREL 2 PAZEMPLAR INTRAVENOUS* 3 ST; MOZEMPLAR ORAL CAPSULE 1 MCG, 2 MCG

3 ST; MO

ZORBTIVE 3 PA; ST; SP

*Estrogens*ALORA 3 MO; ALANGELIQ 3 MO; ALCLIMARA PRO 3 MO; ALCOMBIPATCH 2 MO; ALCOVARYX 1 ALCOVARYX HS 1 ALDIVIGEL 3 ALELESTRIN 3 ALest estrogens-methyltest 1 ALest estrogens-methyltest ds 1 ALest estrogens-methyltest hs 1 ALESTRACE ORAL 3 MO; ALestradiol oral 1 MO; ALestradiol transdermal patch biweekly 0.025 mg/24hr, 0.05 mg/24hr, 0.075 mg/24hr, 0.1 mg/24hr

1 MO; AL

estradiol transdermal patch biweekly 0.0375 mg/24hr

1 AL

estradiol transdermal patch weekly

1 MO; AL

estradiol-norethindrone acet 1 MO; ALESTROGEL 3 ALestropipate oral 1 MOEVAMIST 3 MOJINTELI 1 RF; MO; ALLOPREEZA 1 MO; ALMENEST 3 MO; AL

MENOSTAR 2 RF; ALMIMVEY 1 MO; ALMIMVEY LO 1 MO; ALMINIVELLE 3 MO; ALnorethindrone-eth estradiol 1 MO; ALPREFEST 3 MOPREMARIN ORAL 2 MO; ALPREMPHASE 2 MO; ALPREMPRO 2 MO; AL

*Estrogen-Selective Estrogen Receptor Modulator Comb***DUAVEE 3 AL

*Fluoroquinolones*ciprofloxacin hcl oral 1ciprofloxacin oral 3ciprofloxacin-ciproflox hcl er 3FACTIVE 3levofloxacin oral 1moxifloxacin hcl oral 1ofloxacin oral tablet 400 mg 1

*Gastrointestinal Agents - Misc.*ACTIGALL 3alosetron hcl 3 PAAMITIZA 3 STAPRISO 3 ST; MOASACOL HD 2 MOAURYXIA 3balsalazide disodium 1 ALcalcium acetate (phos binder) oral tablet

1 MO

CANASA 2CHENODAL 3 PA; SP; Centric

Specialty Pharmacy

CIMZIA PREFILLED 3 PA; SPCIMZIA STARTER KIT 3 PA; SPCIMZIA SUBCUTANEOUS* KIT 2 X 200 MG

3 PA; SP

cromolyn sodium oral 1 MODELZICOL 2FOSRENOL ORAL TABLET CHEWABLE 1000 MG, 500 MG, 750 MG

2 MO

GASTROCROM 3GATTEX 3 PA; SPGIAZO 3 RMlactulose encephalopathy 1LIALDA 2LINZESS 3 STmesalamine enema 1mesalamine-cleanser 1metoclopramide hcl oral solution 10 mg/10ml, 5 mg/5ml

1

metoclopramide hcl oral tablet 1METOZOLV ODT ORAL TABLET DISPERSIBLE 5 MG

3 PA

MOVANTIK 3 PAPENTASA 2 MOPHOSLYRA 2 MOREGLAN ORAL 3


22

RELISTOR SUBCUTANEOUS* SOLUTION 12 MG/0.6ML, 8 MG/0.4ML

2

RENAGEL 2 MORENVELA ORAL PACKET 2 MORENVELA ORAL TABLET 2sulfasalazine oral 1 MOSULFAZINE 1 MOURSO 250 3URSO FORTE 3ursodiol oral 1VELPHORO 3

*Genitourinary Agents - Miscellaneous*acetic acid irrigation 1alfuzosin hcl er 1 RM; MOaminoacetic acid 1CARDURA XL 3 MOCYSTAGON 2 PAdutasteride 1 RM; MOdutasteride-tamsulosin hcl 3 RMELMIRON 2finasteride oral tablet 5 mg 1 RM; MOglycine irrigation 1glycine urologic 1LITHOSTAT 3neomycin-polymyxin b gu 1NEOSPORIN GU IRRIGANT 3phenazopyridine hcl oral tablet 100 mg, 200 mg

1

potassium citrate er 1 MOPROCYSBI 3 PA; SPPYRIDIUM ORAL TABLET 200 MG

3

RAPAFLO 3 RM; MORENACIDIN 2RESECTISOL 3tamsulosin hcl 1 MOTHIOLA 2 PAUROCIT-K 10 3UROCIT-K 15 3UROCIT-K 5 3

*Gout Agents*allopurinol oral 1 MOcolchicine-probenecid 1 MOCOLCRYS 3MITIGARE 3probenecid oral 1 MOULORIC 2 ST; MOZYLOPRIM 3 MO

*Hematological Agents - Misc.*AGGRENOX 3 PA; PA Except

Neurology; MOanagrelide hcl 1 PA; MOaspirin-dipyridamole er 1 PA; PA Except

Neurology; MOBRILINTA 2 MOcilostazol 1 MOclopidogrel bisulfate 1 MOdipyridamole oral 1 MO; ALEFFIENT 2 MO; ALFIRAZYR 3 PA; SP

pentoxifylline er 1 MOPLAVIX 3 MORUCONEST 2 PA; SP

*Hematopoietic Agents*ARANESP (ALBUMIN FREE) INJECTION

2 PA; SP

ARANESP (ALBUMIN FREE) INJECTION SOLUTION 10 MCG/0.4ML, 100 MCG/ML, 200 MCG/ML, 25 MCG/ML, 300 MCG/ML, 40 MCG/ML, 60 MCG/ML

2 PA; SP

BIFERARX 3CERDELGA 3 PA; SPcyanocobalamin injection 1DROXIA 3 SPEPOGEN INJECTION SOLUTION 10000 UNIT/ML, 2000 UNIT/ML, 20000 UNIT/ML, 3000 UNIT/ML, 4000 UNIT/ML

2 PA; SP

FERRALET 90 3ferraplus 90 3ferrex 150 forte 1 OTC; MOFERREX 150 FORTE PLUS 3FERROCITE PLUS ORAL TABLET

3

folic acid oral tablet 1 mg 1 OTC; MOGRANIX 2 PA; SPHEMETAB 3MULTIGEN PLUS 2NEULASTA SUBCUTANEOUS* 2 PA; SPNEUPOGEN INJECTION 2 PA; SPNEUPOGEN INJECTION SOLUTION 300 MCG/ML, 480 MCG/1.6ML

2 PA; SP

poly-iron 150 forte 2polysaccharide iron forte 1PROCRIT 2 PA; SPPROMACTA ORAL TABLET 12.5 MG

2 PA; SP; Walgreens Specialty

PharmacyZARXIO 2 PA; SPZAVESCA 2 PA; SP; Accredo

Pharmacy; MO

*Hemostatics*AMICAR ORAL SOLUTION 3AMICAR ORAL TABLET 3tranexamic acid oral 3 PA; AL

*Hepatitis C Agent - Combinations***HARVONI 2 PA; SPTECHNIVIE 3 PA; SPVIEKIRA PAK 3 PA; SP

*Hereditary Orotic Aciduria Treatment - Agents**XURIDEN 2 PA; SP

*Hypnotics*AMBIEN 3 QLAMBIEN CR ORAL TABLET EXTENDEDRELEASE* 12.5 MG

3 ST; QL; AL


23

BUTISOL SODIUM ORAL TABLET 30 MG

3 AL

EDLUAR 3 ST; QL; ALestazolam 1ESZOPICLONE 3 PAflurazepam hcl 1 QL; ALHALCION 3 QLHETLIOZ 3 PAmidazolam hcl oral 1phenobarbital oral 1 ALquazepam 3RESTORIL 3 QLROZEREM 2 QLSECONAL 3 ALSILENOR 3 QLSONATA 3 QLtemazepam 1 QLtriazolam 1 QLzaleplon 1 QLzolpidem tartrate er 3 ST; QL; ALzolpidem tartrate oral 1 QLzolpidem tartrate sublingual 3 ST; QL; AL

*Hypophosphatasia (Hpp) Agents***STRENSIQ 2 PA; SP

*Ibs Agent - Mu-Opioid Receptor Agonists***VIBERZI 3 PA

*Laxatives*COLYTE WITH FLAVOR PACKS ORAL SOLUTION RECONSTITUTED 240 GM

3

GAVILYTE-G 1GOLYTELY 3KRISTALOSE 2lactulose oral 1MOVIPREP 3NULYTELY WITH FLAVOR PACKS

3

OSMOPREP 3peg 3350/electrolytes 1peg 3350-kcl-na bicarb-nacl 1PREPOPIK 3SUPREP BOWEL PREP 3

*Leptin Analogues***MYALEPT 3 PA; SP

*Macrolides*azithromycin oral suspension reconstituted 100 mg/5ml, 200 mg/5ml

1

azithromycin oral tablet 250 mg, 600 mg

1

azithromycin oral tablet 500 mg 1 DFclarithromycin er 1clarithromycin oral suspension reconstituted

1

clarithromycin oral tablet 250 mg

1

clarithromycin oral tablet 500 mg

1 DF

DIFICID 3 PAE.E.S. 400 ORAL TABLET 3

E.E.S. GRANULES 3ERYPED 200 3ERYPED 400 3ERY-TAB 2ERYTHROCIN STEARATE ORAL TABLET 250 MG

2

erythromycin base oral capsule delayed release particles

1 DF

erythromycin base oral tablet 1 DFerythromycin ethylsuccinate oral 1 DFZMAX 3

*Medical Devices*alcohol wipes pad 2BD AUTOSHIELD DUO 1 OTC; MOV-GO 20 2V-GO 30 2V-GO 40 2

*Migraine Products*almotriptan malate 3 QLALSUMA SUBCUTANEOUS* 3 QLCAFERGOT 2CAMBIA 3 QL; ALdihydroergotamine mesylate nasal

3 PA; QL

ERGOMAR 2frovatriptan succinate 3 QLIMITREX NASAL 3 QLIMITREX ORAL 3 QLIMITREX STATDOSE REFILL SUBCUTANEOUS*

3 QL

IMITREX STATDOSE SYSTEM SUBCUTANEOUS*

3 QL

IMITREX SUBCUTANEOUS* 3 QLMIGERGOT 3MIGRANAL 3 PA; QLnaratriptan hcl 3 QLPRODRIN ORAL TABLET 65-20-325 MG

3

rizatriptan benzoate 3 QLsumatriptan nasal 1 QLsumatriptan succinate oral 1 QLsumatriptan succinate refill subcutaneous*

1 QL

sumatriptan succinate subcutaneous* 4 mg/0.5ml, 6 mg/0.5ml

1 QL

sumatriptan succinate subcutaneous* solution 6 mg/0.5ml

1 QL

SUMAVEL DOSEPRO SUBCUTANEOUS*

3 QL

zolmitriptan oral tablet 1 QLzolmitriptan oral tablet dispersible

1 QL

ZOMIG NASAL 2 QLZOMIG ORAL 3 QLZOMIG ZMT 3 QL

*Minerals & Electrolytes*GALZIN 2 MOiodine strong oral 2KLOR-CON 10 1 MO


24

potassium bicarbonate oral 1 MOpotassium chloride crys er 1 MOpotassium chloride er 1 MOpotassium chloride oral solution 20 meq/15ml (10%)

1 MO

sodium fluoride oral solution 1 DF; MOsodium fluoride oral tablet chewable

1 DF; MO

SSKI 3 MO

*Mixed Allergenic Extracts***ORALAIR 3 PA

*Mouth/Throat/Dental Agents*cevimeline hcl 1 MOchlorhexidine gluconate mouth/throat

1 DF

CLINPRO 5000 1clotrimazole mouth/throat 1 DFDEBACTEROL 3dobells 1 OTCFLUORIDEX SENSITIVITY RELIEF DENTAL PASTE

1

lidocaine viscous 1 DFnystatin mouth/throat 1 DFpilocarpine hcl oral 1sf 1sf 5000 plus 1triamcinolone acetonide mouth/throat

1 DF

*Multivitamins*CITRANATAL 90 DHA ORAL 90-1 & 300 MG

2 MO

CITRANATAL B-CALM 2CITRANATAL DHA 2 MOCITRANATAL HARMONY ORAL CAPSULE 27-1-260 MG

2 MO

CITRANATAL RX 2 MOcompletenate 2DIALYVITE 1 PA; MODUET DHA 400 2 ALDUET DHA BALANCED ORAL 25-1 & 267 MG

2 AL

folcal dha oral capsule 27-1.25-300 mg

2

FOLCAPS OMEGA 3 ORAL CAPSULE 27-1 MG

2

NATALVIT 2NESTABS 2 MONESTABS ABC 2 MO; ALNESTABS DHA 2 MOOBTREX 2 OTCpnv fe fum/docusate/folic acid 2 MOpnv folic acid + iron 2 MOpnv ob+dha 2 MOpnv prenatal plus multivitamin 2 OTC; MOpnv tabs 29-1 2 MOpnv-dha 2 MOpnv-dha+docusate 2 MOpnv-omega 2pnv-total 2 MOPOLY-VI-FLOR ORAL TABLET CHEWABLE

3

PRENATABS RX 2 MOprenatal 19 oral tablet 2prenatal 19 oral tablet chewable 2 MOprenatal 19 oral tablet chewable 29-1 mg

2

prenatal formula a-free 1 OTCprenatal low iron oral tablet 27-0.8 mg

1 OTC

prenatal low iron oral tablet 27-1 mg

2 MO

prenatal multi +dha oral capsule 27-0.8-228 mg

1 OTC

prenatal one daily 1 OTCprenatal oral tablet 27-0.8 mg, 28-0.8 mg, 6.75-0.2 mg

1 OTC

prenatal oral tablet 27-1 mg 2 MOprenatal plus 2 MOprenatal plus iron 2 MOprenatal plus/iron 2 MOprenatal vitamins oral tablet 28-0.8 mg

1 OTC

preplus 2 MOrena-vite rx 1se-natal 19 oral tablet 2 MOse-natal 19 oral tablet chewable 2thrivite 19 2 MOTRI-VI-SOL ORAL SOLUTION 750-400-35 UNIT-MG/ML

3 OTC

tri-vitamin 1 OTCultimatecare one 2ultimatecare one nf 2VITAFOL-OB+DHA 2VITAFOL-ONE 3vol-care rx 2vol-nate 2vol-plus 2 MOvol-tab rx 2 MO

*Musculoskeletal Therapy Agents*baclofen oral 1 MOcarisoprodol oral 1 ALcarisoprodol-aspirin 1 ALcarisoprodol-aspirin-codeine 1 ALchlorzoxazone oral tablet 500 mg

1 AL

cyclobenzaprine hcl oral 1 ALDANTRIUM ORAL CAPSULE 25 MG, 50 MG

3

dantrolene sodium oral 1FEXMID 3 ALLORZONE 3 PA; ALmetaxalone 3 ALmethocarbamol oral 1 PA; ALPARAFON FORTE DSC 3 ALROBAXIN ORAL 3SOMA 3 ALtizanidine hcl oral capsule 3 MOtizanidine hcl oral tablet 1 MOZANAFLEX ORAL TABLET 3 MO

*Nasal Agents - Systemic And Topical*ADRENALIN NASAL 2


25

azelastine hcl nasal solution 0.1 %

1

azelastine hcl nasal solution 0.15 %

3 ST

BACTROBAN NASAL 3BECONASE AQ 3 ST; ALBUDESONIDE NASAL 3 ST; OTCDYMISTA 3 ST; QLflunisolide nasal solution 25 mcg/act (0.025%)

1

fluticasone propionate nasal 1 OTCipratropium bromide nasal 1mometasone furoate nasal 3 STolopatadine hcl nasal 3 STOMNARIS 3 STQNASL 3 STTYZINE 3VERAMYST 3 STZETONNA 3 ST

*Neprilysin Inhib (Arni)-Angiotensin Ii Recept Antag Comb***ENTRESTO 3 PA

*Neurogenic Orthostatic Hypotension (Noh) - Agents***NORTHERA 3 PA; SP

*Neuromuscular Agents*RILUTEK 3 MOriluzole 1 MO

*Nutrients*n-acetyl-l-cysteine oral 1

*Ophthalmic Agents*ACUVAIL 2 PAALAWAY 1 OTCALAWAY CHILDRENS ALLERGY

1 OTC

ALOCRIL 3 STALOMIDE 2 PAALPHAGAN P OPHTHALMIC SOLUTION 0.1 %

2

ALREX 2 PAapraclonidine hcl 1atropine sulfate ophthalmic 1azelastine hcl ophthalmic 1 STAZOPT 2bacitracin-polymyxin b ophthalmic ointment 500-10000 unit/gm

1

bacitra-neomycin-polymyxin-hc 3balanced salt intraocular 1BEPREVE 3 STBETADINE OPHTHALMIC PREP

3

betaxolol hcl ophthalmic 3BETIMOL OPHTHALMIC SOLUTION 0.25 %

2

BETOPTIC-S 2bimatoprost ophthalmic 2 MO; ALBLEPH-10 3BLEPHAMIDE 2BLEPHAMIDE S.O.P. 2brimonidine tartrate ophthalmic 1bromfenac sodium (once-daily) 1

bromfenac sodium ophthalmic 1carteolol hcl 1CILOXAN OPHTHALMIC OINTMENT

3

ciprofloxacin hcl ophthalmic 1COMBIGAN 2COSOPT PF 3 MOcromolyn sodium ophthalmic 1 PACYSTARAN 2 PAdexamethasone sodium phosphate ophthalmic

1

diclofenac sodium ophthalmic 1 PA; PA except Ophthalmology

dorzolamide hcl 1dorzolamide hcl-timolol mal 1DUREZOL 3EMADINE 3epinastine hcl 1 STerythromycin ophthalmic 1FLAREX 2fluorometholone ophthalmic 1flurbiprofen sodium 3FML 2FML FORTE 2FML LIQUIFILM 3gentamicin sulfate ophthalmic 1ILEVRO 2 PA; Max 2 fills/yearIOPIDINE OPHTHALMIC SOLUTION 1 %

3

ISOPTO CARPINE 3ISOPTO HOMATROPINE OPHTHALMIC SOLUTION 5 %

3

ISTALOL 3ketorolac tromethamine ophthalmic

1 PA

ketotifen fumarate ophthalmic 1 OTCLACRISERT 2LASTACAFT 3 STlatanoprost ophthalmic 1 ALlevobunolol hcl ophthalmic solution 0.5 %

1

levofloxacin ophthalmic 1LOTEMAX 2LUMIGAN OPHTHALMIC SOLUTION 0.01 %

2 AL

MAXIDEX 3MAXITROL OPHTHALMIC SUSPENSION

3

metipranolol 1MYDRIACYL 3NATACYN 2 PAneomycin-bacitracin zn-polymyx 1neomycin-polymyxin-dexameth ophthalmic ointment

1

neomycin-polymyxin-dexameth ophthalmic suspension 3.5-10000-0.1

1

neomycin-polymyxin-gramicidin ophthalmic solution 1.75-10000-.025

1


26

neomycin-polymyxin-hc ophthalmic suspension 3.5-10000-1

3

NEOSPORIN 3NEVANAC 2 PA; Max 2 fills/yearofloxacin ophthalmic 1 QLolopatadine hcl ophthalmic 3 STPATADAY 3 STphenylephrine hcl ophthalmic solution 10 %, 2.5 %

1

PHOSPHOLINE IODIDE 2pilocarpine hcl ophthalmic solution 1 %, 2 %, 4 %

1

polymyxin b-trimethoprim 1POLYTRIM 3PRED MILD 2PRED-G 3PRED-G S.O.P. 3prednisolone acetate ophthalmic 1prednisolone sodium phosphate ophthalmic

1

PROLENSA 3 PA; ST; Max 2 fills/year

RESCULA 3 PA; ALRESTASIS 2 PASIMBRINZA 2sulfacetamide sodium ophthalmic solution

1

sulfacetamide-prednisolone ophthalmic solution

1

timolol maleate ophthalmic 1TIMOPTIC OCUDOSE 3tobradex ophthalmic ointment 2TOBRADEX ST 2tobramycin ophthalmic 1tobramycin-dexamethasone 1TOBREX 3TRAVATAN Z 2 ALtravoprost 1 ALtrifluridine ophthalmic 1tropicamide ophthalmic 1VEXOL 2ZADITOR 1 OTCZIOPTAN 3 ALZIRGAN 2ZYLET 3

*Orexin Receptor Antagonists***BELSOMRA 3 ST; QL

*Otic Agents*ACETASOL HC 3acetic acid otic 1antipyrine-benzocaine otic solution 5.4-1.4 %, 54-14 mg/ml

1

CETRAXAL 1 PA; Max 7 Days Supply

CIPRO HC 3 PACIPRODEX 2 PAciprofloxacin hcl otic 1 PAfluocinolone acetonide otic 1hydrocortisone-acetic acid 1neomycin-polymyxin-hc otic 1

ofloxacin otic 1 PA

*Oxaborole-Related Antifungals - Topical***KERYDIN 3 PA

*Oxytocics*cervidil 3methylergonovine maleate oral 1PREPIDIL 3PROSTIN E2 3

*Pcsk9 Inhibitors***PRALUENT 3 SP

*Penicillins*AMOXICILLIN ER 3 DFamoxicillin oral capsule 1 DFamoxicillin oral suspension reconstituted 125 mg/5ml, 200 mg/5ml, 250 mg/5ml, 400 mg/5ml

1 DF

amoxicillin oral tablet 1 DFamoxicillin oral tablet chewable 125 mg, 250 mg

1 DF

amoxicillin-pot clavulanate er 1 DFamoxicillin-pot clavulanate oral 1 DFampicillin 1AUGMENTIN ORAL SUSPENSION RECONSTITUTED 125-31.25 MG/5ML

3

dicloxacillin sodium 1penicillin v potassium oral solution reconstituted

1

penicillin v potassium oral tablet 1 DF

*Phosphatidylinositol 3-Kinase (Pi3k) Inhibitors***ZYDELIG 3 PA; SP

*Phosphodiesterase 4 (Pde4) Inhibitors***OTEZLA ORAL 10 & 20 & 30 MG

3 PA; SP

OTEZLA ORAL TABLET 3 PA; SP; QL

*Poly (Adp-Ribose) Polymerase (Parp) Inhibitors**LYNPARZA 3 PA; SP

*Poly (Adp-Ribose) Polymerase (Parp) Inhibitors***LYNPARZA 3 PA; SP

*Potassium Removing Agents***KIONEX ORAL POWDER 1sodium polystyrene sulfonate oral

1

sodium polystyrene sulfonate suspension

1

VELTASSA 2 SP; Walgreens Specialty

Pharmacy

*Progestins*medroxyprogesterone acetate oral

1 MO

megestrol acetate oral suspension 625 mg/5ml

3 SP

norethindrone acetate oral 1 MOprogesterone micronized oral 1 MO


27

*Protease-Activated Receptor-1 (Par-1) Antagonists***ZONTIVITY 3 PA; MO

*Psychotherapeutic And Neurological Agents - Misc.*acamprosate calcium 1 PAAMPYRA 2 PA; SP; Walgreens

Specialty Pharmacy

ANTABUSE 3 PAARICEPT ORAL TABLET 10 MG, 5 MG

3 MO

AUBAGIO 3 PA; SP; Walgreens Specialty

PharmacyAVONEX 2 PA; SP; PA Except

NeurologyAVONEX PEN INTRAMUSCULAR*

2 PA; SP; PA Except Neurology

AVONEX PREFILLED INTRAMUSCULAR*


BRISDELLE 3bupropion hcl er (smoking det) 1 QLCHANTIX 2 QLCHANTIX CONTINUING MONTH PAK

2 QL

CHANTIX STARTING MONTH PAK

2 QL

chlordiazepoxide-amitriptyline 1 ALCOPAXONE SUBCUTANEOUS* 20 MG/ML

3 PA; SP

COPAXONE SUBCUTANEOUS* 40 MG/ML

2 PA; SP

disulfiram oral 1donepezil hcl oral tablet 10 mg, 5 mg

1 MO

donepezil hcl oral tablet dispersible

1 MO

ergoloid mesylates oral 1EXELON ORAL CAPSULE 3 MOEXTAVIA SUBCUTANEOUS* KIT

3 PA; SP

fluoxetine hcl (pmdd) 3galantamine hydrobromide 1 MOgalantamine hydrobromide er 1 MOGILENYA 2 PA; SP; PA Except

NeurologyGLATOPA 1 PA; SPGRALISE 3 STGRALISE STARTER 3 STHORIZANT ORAL TABLET EXTENDEDRELEASE*

3 PA

memantine hcl oral solution 1 MOmemantine hcl oral tablet 10 mg, 5 mg

1 MO

memantine hcl oral tablet 5 (28)-10 (21) mg

1

NAMENDA 3 MONAMENDA TITRATION PAK 3NAMENDA XR 2 MONAMENDA XR TITRATION PACK

2

NICOTROL 3 QL

NICOTROL NS 3 QLNUEDEXTA 2 PAolanzapine-fluoxetine hcl 3 PAORAP 3perphenazine-amitriptyline 1 ALpimozide 1PLEGRIDY 2 PA; SP; PA Except

NeurologyPLEGRIDY STARTER PACK 2 PA; SP; PA Except

NeurologyRAZADYNE ER 3 MORAZADYNE ORAL TABLET 3 MOREBIF REBIDOSE SUBCUTANEOUS*


REBIF REBIDOSE TITRATION PACK SUBCUTANEOUS*


REBIF SUBCUTANEOUS* 3 PA; SP; PA Except Neurology

REBIF TITRATION PACK SUBCUTANEOUS*


rivastigmine 3 MOrivastigmine tartrate 3SARAFEM ORAL TABLET 10 MG, 20 MG

3 MO

SAVELLA 2 MOSAVELLA TITRATION PACK 2SYMBYAX 3 PATECFIDERA 2 PA; SP; PA Except

Neurologytetrabenazine 1 PA; SP; QLXENAZINE 2 PA; SP; Accredo

Pharmacy; QLXYREM 2 PA; SP; PA Except

Pulmonology and Neurology; Express

Scripts PharmacyZINBRYTA 3 PA; SPZYBAN 3 QL

*Pulmonary Hypertension - Prostacyclin Receptor Agonist***UPTRAVI 3 PA; SP

*Respiratory Agents - Misc.*KALYDECO ORAL PACKET 2 PA; ALKALYDECO ORAL TABLET 2 PA; SP; ALPULMOZYME 2

*Serotonin 1A Recept Agonist/Serotonin 2A Recept Antag***ADDYI 3 PA; RF

*Serotonin Modulators***nefazodone hcl 1 PA; MOtrazodone hcl oral 1TRINTELLIX 3 STVIIBRYD ORAL TABLET 3 MO

*Sglt2 Inhibitor - Dpp-4 Inhibitor Combinations***GLYXAMBI 3 ST; MO

*Sinus Node Inhibitors**CORLANOR 3 PA

*Sodium-Glucose Co-Transporter 2 Inhibitor-Biguanide Comb***

INVOKAMET 2 MOSYNJARDY 3


28

*Sulfonamides*sulfadiazine oral 1

*Tetracyclines*demeclocycline hcl oral 3doxycycline hyclate oral capsule 1 DFdoxycycline hyclate oral tablet 100 mg

1 DF

doxycycline hyclate oral tablet 20 mg

1 DF; PA Except Dental

doxycycline monohydrate oral suspension reconstituted

3 DF

minocycline hcl oral capsule 1tetracycline hcl oral 1VIBRAMYCIN ORAL SYRUP 2

*Thyroid Agents*ARMOUR THYROID 2 MOCYTOMEL 3levothyroxine sodium oral 1 MOliothyronine sodium oral 1 MOmethimazole oral 1 MONATURE-THROID 3 MOnp thyroid 1 MOpropylthiouracil oral 1 MOSYNTHROID 2 MOTAPAZOLE 3THYROLAR-1 3 MOTHYROLAR-1/2 3 MOTHYROLAR-1/4 3 MOTHYROLAR-2 3 MOTHYROLAR-3 3 MOTIROSINT 3 MOUNITHROID ORAL TABLET 100 MCG, 112 MCG, 125 MCG, 150 MCG, 175 MCG, 200 MCG, 25 MCG, 300 MCG, 50 MCG, 75 MCG, 88 MCG

1 MO

WESTHROID ORAL TABLET 130 MG, 195 MG, 32.5 MG, 65 MG, 97.5 MG

3 MO

WP THYROID ORAL TABLET 130 MG, 16.25 MG, 32.5 MG, 48.75 MG, 65 MG, 97.5 MG

3 MO

*Ulcer Drugs*amoxicill-clarithro-lansopraz 3ANASPAZ 3 MO; ALbelladonna alkaloids-opium 1 ALbelladonna-opium 1 ALBENTYL ORAL CAPSULE 3BENTYL ORAL TABLET 3CARAFATE ORAL SUSPENSION

2

CARAFATE ORAL TABLET 3chlordiazepoxide-clidinium 1 ALcimetidine hcl oral 1 MOcimetidine oral tablet 300 mg, 400 mg, 800 mg

1 MO

CUVPOSA 3 STCYTOTEC 3dicyclomine hcl oral 1DONNATAL ORAL TABLET 3

famotidine oral suspension reconstituted

1 MO

famotidine oral tablet 20 mg, 40 mg

1 MO

FIRST-OMEPRAZOLE 3 PAglycopyrrolate oral 1hyoscyamine sulfate er oral tablet extended release 12 hr*

1 MO; AL

hyoscyamine sulfate oral elixir 1 MO; ALhyoscyamine sulfate oral solution

1 MO; AL

hyoscyamine sulfate oral tablet 1 ALhyoscyamine sulfate oral tablet dispersible

1 MO; AL

hyoscyamine sulfate sublingual 1 MO; ALlansoprazole oral capsule delayed release 15 mg

1 OTC; MO

lansoprazole oral capsule delayed release 30 mg

1 MO

LEVBID 3 ALLEVSIN ORAL TABLET 3 ALLEVSIN/SL 3 ALmethscopolamine bromide oral 3 MOmisoprostol oral 1 MOnizatidine 3 MOOMECLAMOX-PAK 3omeprazole oral capsule delayed release

1 MO

pantoprazole sodium oral 1 MOPEPCID ORAL SUSPENSION RECONSTITUTED

3

PEPCID ORAL TABLET 20 MG 3PRILOSEC ORAL PACKET 10 MG

3 PA

propantheline bromide oral 1PYLERA 3rabeprazole sodium 1 MOranitidine hcl oral capsule 300 mg

3

ranitidine hcl oral syrup 1ranitidine hcl oral tablet 300 mg 1 MOROBINUL ORAL 3ROBINUL-FORTE 3sucralfate oral tablet 1 MOZANTAC ORAL TABLET 3

*Urinary Anti-Infectives*MACRODANTIN ORAL CAPSULE 25 MG

3 AL

methenamine hippurate 1methenamine mandelate oral 1nitrofurantoin macrocrystal oral 1 ALnitrofurantoin monohyd macro 1 ALnitrofurantoin oral suspension 1 ALURAMIT MB 3URIBEL 3uroav-b 3uro-mp 3

*Urinary Antispasmodics*bethanechol chloride oral 1 MOdarifenacin hydrobromide er 3 ST; MO; ALflavoxate hcl 1 MO


29

GELNIQUE TRANSDERMAL GEL 10 %

3 ST; MO

MYRBETRIQ 3 SToxybutynin chloride er 1 MOoxybutynin chloride oral 1 MOtolterodine tartrate 1 ST; MOtolterodine tartrate er 1 ST; MOTOVIAZ 3 ST; MOtrospium chloride 1 ST; MOtrospium chloride er 1 ST; MOURECHOLINE 3VESICARE 3 ST; MO

*Vaginal Products*CLEOCIN VAGINAL SUPPOSITORY

2

clindamycin phosphate vaginal 1CLINDESSE 3CRINONE 3 PA; QLENDOMETRIN 3 PA; QLESTRACE VAGINAL 2ESTRING 2FEM PH 3FEMRING 3GYNAZOLE-1 3metronidazole vaginal 1miconazole 3 vaginal suppository

3

PREMARIN VAGINAL 2RELAGARD 3terconazole 3VAGIFEM VAGINAL TABLET 10 MCG

2

*Vasopressors*ADRENACLICK INJECTION 3 QLEPIPEN 2-PAK INJECTION 2 QLEPIPEN JR 2-PAK INJECTION 2 QLmidodrine hcl 1

*Vitamins*ergocalciferol oral capsule 1 MOMEPHYTON 2 MOvitamin d (ergocalciferol) 1 MO


30

INDEX

Index

8-MOP ................................................................................... 17abacavir sulfate .............................................................. 13abacavir-lamivudine-zidovudine ........................ 13ABSORICA ........................................................................ 17ABSTRAL .............................................................................. 4acamprosate calcium ................................................. 28ACANYA .............................................................................. 17acarbose ................................................................................. 8ACCOLATE .......................................................................... 6ACCUPRIL ........................................................................ 10ACCURETIC .................................................................... 10acebutolol hcl ................................................................... 14ACEON ................................................................................. 10acetaminophen-codeine ............................................. 4acetaminophen-codeine #2 ...................................... 4acetaminophen-codeine #3 ...................................... 4acetaminophen-codeine #4 ...................................... 4ACETASOL HC .............................................................. 27acetazolamide ................................................................. 21acetazolamide er ........................................................... 21acetic acid ................................................................. 23, 27acetylcysteine .................................................................. 17acitretin ................................................................................. 17ACLOVATE ....................................................................... 17ACTEMRA ............................................................................ 3ACTIGALL .......................................................................... 22ACTONEL .......................................................................... 21ACTOPLUS MET XR .................................................... 8ACUVAIL ............................................................................. 26acyclovir ...................................................................... 13, 17ACZONE ............................................................................. 17ADALAT CC ..................................................................... 15adapalene ........................................................................... 17ADCIRCA ........................................................................... 15ADDYI ................................................................................... 28adefovir dipivoxil ............................................................ 13ADEMPAS ......................................................................... 15ADRENACLICK ............................................................. 30ADRENALIN ..................................................................... 25ADVAIR DISKUS ............................................................. 6ADVAIR HFA ...................................................................... 6AFEDITAB CR ................................................................ 15AFINITOR ........................................................................... 11AFINITOR DISPERZ .................................................. 11AFREZZA .............................................................................. 8AGGRENOX ..................................................................... 23AKYNZEO ............................................................................. 9ALAWAY ............................................................................. 26ALAWAY CHILDRENS ALLERGY .................. 26ALBENZA .............................................................................. 5albuterol sulfate ................................................................. 6albuterol sulfate er .......................................................... 6alclometasone dipropionate .................................. 17alcohol wipes ................................................................... 24ALDACTAZIDE ............................................................... 21ALDACTONE ................................................................... 21ALDARA .............................................................................. 17alendronate sodium .................................................... 21alfuzosin hcl er ................................................................ 23ALINIA ................................................................................... 11ALKERAN ........................................................................... 11allopurinol ........................................................................... 23almotriptan malate ....................................................... 24ALOCRIL ............................................................................. 26ALOMIDE ........................................................................... 26ALORA ................................................................................. 22alosetron hcl ..................................................................... 22ALPHAGAN P ................................................................. 26

Index

alprazolam ............................................................................ 6alprazolam er ...................................................................... 6ALPRAZOLAM INTENSOL ...................................... 6alprazolam xr ...................................................................... 6ALREX .................................................................................. 26ALSUMA .............................................................................. 24ALTABAX ........................................................................... 17ALTACE ............................................................................... 10ALTAVERA ........................................................................ 16alyacen 1/35 ..................................................................... 16alyacen 7/7/7 .................................................................... 16amantadine hcl ............................................................... 12AMBIEN ............................................................................... 23AMBIEN CR ...................................................................... 23amcinonide ........................................................................ 17AMETHIA ............................................................................ 16AMETHIA LO ................................................................... 16AMETHYST ...................................................................... 16AMICAR ............................................................................... 23amiloride hcl ..................................................................... 21amiloride-hydrochlorothiazide ............................. 21aminoacetic acid ............................................................ 23amiodarone hcl .................................................................. 6AMITIZA .............................................................................. 22amitriptyline hcl .................................................................. 8amlodipine besy-benazepril hcl .......................... 10amlodipine besylate .................................................... 15amlodipine besylate-valsartan ............................ 10amlodipine-atorvastatin ............................................ 15amlodipine-valsartan-hctz ...................................... 10amoxapine ............................................................................ 8amoxicill-clarithro-lansopraz ................................. 29amoxicillin ........................................................................... 27AMOXICILLIN ER ......................................................... 27amoxicillin-pot clavulanate ..................................... 27amoxicillin-pot clavulanate er .............................. 27amphetamine-dextroamphet er ............................. 3amphetamine-dextroamphetamine ..................... 3ampicillin .............................................................................. 27AMPYRA ............................................................................. 28ANACAINE ........................................................................ 17ANADROL-50 ..................................................................... 5anagrelide hcl .................................................................. 23ANALPRAM E .................................................................... 5ANALPRAM HC ................................................................ 5ANALPRAM HC SINGLES ....................................... 5ANALPRAM-HC ............................................................... 5ANALPRAM-HC SINGLES ....................................... 5ANASPAZ ........................................................................... 29anastrozole ........................................................................ 11ANDRODERM ................................................................... 5ANDROGEL ........................................................................ 5ANDROGEL PUMP ....................................................... 5ANGELIQ ............................................................................ 22ANORO ELLIPTA ............................................................ 6ANTABUSE ....................................................................... 28antipyrine-benzocaine ............................................... 27ANUSOL-HC ....................................................................... 5ANZEMET ............................................................................. 9APEXICON E ................................................................... 17APIDRA ................................................................................... 8APIDRA SOLOSTAR .................................................... 8APLENZIN ............................................................................ 8APOKYN ............................................................................. 12apraclonidine hcl ........................................................... 26APRI ....................................................................................... 16APRISO ............................................................................... 22APTENSIO XR .................................................................. 3

Index

APTIOM .................................................................................. 7APTIVUS ............................................................................. 13ARALEN .............................................................................. 11ARANELLE ........................................................................ 16ARANESP (ALBUMIN FREE) ............................. 23ARAVA .................................................................................... 3ARCALYST .......................................................................... 3ARCAPTA NEOHALER .............................................. 6ARICEPT ............................................................................ 28ARIMIDEX .......................................................................... 11aripiprazole ........................................................................ 13ARMOUR THYROID .................................................. 29ARNUITY ELLIPTA ........................................................ 6AROMASIN ....................................................................... 11ARTHROTEC ..................................................................... 3ASACOL HD ..................................................................... 22ASHLYNA ........................................................................... 16ASMANEX 120 METERED DOSES .................. 6ASMANEX 14 METERED DOSES ..................... 6ASMANEX 30 METERED DOSES ..................... 6ASMANEX 60 METERED DOSES ..................... 6ASMANEX 7 METERED DOSES ........................ 6ASMANEX HFA ................................................................ 6aspirin-caff-dihydrocodeine ...................................... 4aspirin-dipyridamole er ............................................. 23ASTAGRAF XL ............................................................... 14ATACAND .......................................................................... 10ATACAND HCT ............................................................. 10ATELVIA .............................................................................. 21atenolol ................................................................................. 14atenolol-chlorthalidone ............................................. 10ATIVAN ................................................................................... 6atorvastatin calcium ....................................................... 9atovaquone ........................................................................ 11atovaquone-proguanil hcl ....................................... 11ATRIPLA ............................................................................. 13atropine sulfate ............................................................... 26ATROVENT HFA ............................................................. 6AUBAGIO ........................................................................... 28AUGMENTIN ................................................................... 27AURYXIA ............................................................................ 22AVALIDE ............................................................................. 10AVANDIA ............................................................................... 8AVAPRO ............................................................................. 10AVAR LS CLEANSER .............................................. 18AVAR-E LS ........................................................................ 18AVIANE ................................................................................ 16AVITA .................................................................................... 18AVONEX ............................................................................. 28AVONEX PEN ................................................................. 28AVONEX PREFILLED .............................................. 28AXIRON .................................................................................. 5AZASAN .............................................................................. 14azathioprine ...................................................................... 14azelastine hcl ................................................................... 26AZELEX ............................................................................... 18AZILECT .............................................................................. 12azithromycin ..................................................................... 24AZOPT .................................................................................. 26AZOR ..................................................................................... 10AZURETTE ....................................................................... 16bacitracin-polymyxin b .............................................. 26bacitra-neomycin-polymyxin-hc ......................... 26baclofen ............................................................................... 25BACTROBAN .................................................................. 18BACTROBAN NASAL ............................................... 26balanced salt .................................................................... 26balsalazide disodium .................................................. 22

31

Index

BALZIVA .............................................................................. 16BANZEL .................................................................................. 7BARACLUDE ................................................................... 13BD AUTOSHIELD DUO ........................................... 24BECONASE AQ ............................................................ 26belladonna alkaloids-opium .................................. 29belladonna-opium ......................................................... 29BELSOMRA ...................................................................... 27benazepril hcl .................................................................. 10benazepril-hydrochlorothiazide .......................... 10BENICAR ............................................................................ 10BENICAR HCT ............................................................... 10BENTYL ............................................................................... 29BENZAC AC WASH ................................................... 18BENZAMYCIN ................................................................ 18BENZAMYCINPAK ...................................................... 18BENZEPRO ...................................................................... 18BENZEPRO SHORT CONTACT ...................... 18benzonatate ...................................................................... 17benzoyl peroxide ........................................................... 18benzoyl peroxide short contact ........................... 18benzoyl peroxide wash ............................................. 18benzoyl peroxide-erythromycin .......................... 18benztropine mesylate ................................................ 12BEPREVE .......................................................................... 26BETADINE OPHTHALMIC PREP .................... 26betamethasone dipropionate ............................... 18betamethasone dipropionate aug ..................... 18betamethasone valerate .......................................... 18betaxolol hcl ............................................................. 14, 26bethanechol chloride .................................................. 29BETHKIS ................................................................................ 3BETIMOL ............................................................................ 26BETOPTIC-S ................................................................... 26bexarotene ......................................................................... 11BEYAZ .................................................................................. 16bicalutamide ..................................................................... 11BIDIL ...................................................................................... 15BIFERARX ......................................................................... 23BILTRICIDE ......................................................................... 5bimatoprost ........................................................................ 26BINOSTO ........................................................................... 21bisoprolol fumarate ...................................................... 14bisoprolol-hydrochlorothiazide ............................ 10BLEPH-10 .......................................................................... 26BLEPHAMIDE ................................................................. 26BLEPHAMIDE S.O.P. ................................................ 26BOSULIF ............................................................................. 11bp foam ................................................................................ 18bp foaming wash ........................................................... 18BRAVELLE ........................................................................ 21BREO ELLIPTA ................................................................ 6briellyn ................................................................................... 16BRILINTA .................................................................. 21, 23brimonidine tartrate ..................................................... 26BRISDELLE ...................................................................... 28BRIVIACT .............................................................................. 7bromfenac sodium ....................................................... 26bromfenac sodium (once-daily) .......................... 26bromocriptine mesylate ............................................ 12BROVANA ............................................................................ 6budesonide .................................................................. 6, 17BUDESONIDE ................................................................ 26bumetanide ........................................................................ 21BUPAP .................................................................................... 4BUPHENYL ....................................................................... 21buprenorphine hcl ............................................................ 4bupropion hcl ...................................................................... 8bupropion hcl er (smoking det) ........................... 28bupropion hcl er (sr) ...................................................... 8bupropion hcl er (xl) ....................................................... 8

Index

buspirone hcl ....................................................................... 6butalbital-acetaminophen .......................................... 4butalbital-apap-caff-cod .............................................. 4butalbital-apap-caffeine ............................................... 4butalbital-asa-caff-codeine ....................................... 4butalbital-asa-caffeine .................................................. 4butalbital-aspirin-caffeine ........................................... 4BUTISOL SODIUM ...................................................... 24butorphanol tartrate ........................................................ 4BUTRANS ............................................................................. 4BYDUREON ........................................................................ 8BYETTA 10 MCG PEN ................................................ 8BYETTA 5 MCG PEN ................................................... 8BYSTOLIC ......................................................................... 14cabergoline ........................................................................ 21CAFERGOT ...................................................................... 24CALAN .................................................................................. 15CALAN SR ......................................................................... 15calcipotriene ..................................................................... 18calcipotriene-betameth diprop ............................. 18calcitonin (salmon) ....................................................... 21calcitriol ....................................................................... 18, 21calcium acetate (phos binder) ............................. 22CAMBIA ............................................................................... 24CAMILA ................................................................................ 16CAMRESE ......................................................................... 16CAMRESE LO ................................................................ 16CANASA .............................................................................. 22candesartan cilexetil ................................................... 10candesartan cilexetil-hctz ....................................... 10CAPACET ............................................................................. 4capecitabine ..................................................................... 11CAPEX ................................................................................. 18CAPRELSA ....................................................................... 11captopril ............................................................................... 10captopril-hydrochlorothiazide ............................... 10CARAFATE ....................................................................... 29CARBAGLU ...................................................................... 21carbamazepine .................................................................. 7carbamazepine er ............................................................ 7carbidopa ............................................................................ 12carbidopa-levodopa .................................................... 12carbidopa-levodopa er .............................................. 12carbidopa-levodopa-entacapone ...................... 12carbinoxamine maleate ............................................... 9CARDIZEM ........................................................................ 15CARDIZEM CD .............................................................. 15CARDIZEM LA ............................................................... 15CARDURA ......................................................................... 10CARDURA XL ................................................................. 23carisoprodol ...................................................................... 25carisoprodol-aspirin ..................................................... 25carisoprodol-aspirin-codeine ................................ 25CARNITOR ........................................................................ 21CARNITOR SF ............................................................... 21carteolol hcl ....................................................................... 26CARTIA XT ........................................................................ 15carvedilol ............................................................................. 14CASODEX ......................................................................... 11CATAPRES ....................................................................... 10CATAPRES-TTS-1 ...................................................... 10CATAPRES-TTS-2 ...................................................... 10CATAPRES-TTS-3 ...................................................... 10CAVERJECT .................................................................... 15CAVERJECT IMPULSE .......................................... 15CAYSTON .......................................................................... 11CAZIANT ............................................................................. 16CEDAX ................................................................................. 15cefaclor ................................................................................. 15cefaclor er ........................................................................... 15cefadroxil ............................................................................. 15

Index

cefdinir .................................................................................. 15cefditoren pivoxil ............................................................ 15cefixime ................................................................................ 15cefpodoxime proxetil .................................................. 15cefprozil ................................................................................ 15CEFTIN ................................................................................ 15cefuroxime axetil ........................................................... 16CELEBREX .......................................................................... 3celecoxib ................................................................................ 3CELLCEPT ........................................................................ 14CELONTIN ........................................................................... 7CENTANY .......................................................................... 18CENTANY AT .................................................................. 18cephalexin .......................................................................... 16CERDELGA ...................................................................... 23cervidil ................................................................................... 27CESAMET ............................................................................. 9CESIA .................................................................................... 16CETRAXAL ....................................................................... 27CETROTIDE ..................................................................... 21cevimeline hcl .................................................................. 25CHANTIX ............................................................................ 28CHANTIX CONTINUING MONTH PAK ....... 28CHANTIX STARTING MONTH PAK .............. 28CHATEAL ........................................................................... 16CHENODAL ...................................................................... 22chlordiazepoxide hcl ...................................................... 6chlordiazepoxide-amitriptyline ............................. 28chlordiazepoxide-clidinium .................................... 29chlorhexidine gluconate ........................................... 25chloroquine phosphate ............................................. 11chlorothiazide .................................................................. 21chlorpromazine hcl ...................................................... 13chlorpropamide .................................................................. 8chlorthalidone .................................................................. 21chlorzoxazone ................................................................. 25CHOLBAM ......................................................................... 15cholestyramine .................................................................. 9cholestyramine light ....................................................... 9choline-mag trisalicylate ............................................. 4chorionic gonadotropin ............................................. 21CICLODAN ........................................................................ 18CICLODAN CREAM ................................................... 18ciclopirox ............................................................................. 18ciclopirox olamine ......................................................... 18ciclopirox treatment ..................................................... 18ciclopirox-vitamin e ...................................................... 18cilostazol .............................................................................. 23CILOXAN ............................................................................ 26cimetidine ........................................................................... 29cimetidine hcl ................................................................... 29CIMZIA ................................................................................. 22CIMZIA PREFILLED ................................................... 22CIMZIA STARTER KIT ............................................. 22CIPRO HC ......................................................................... 27CIPRODEX ........................................................................ 27ciprofloxacin ...................................................................... 22ciprofloxacin hcl ........................................... 22, 26, 27ciprofloxacin-ciproflox hcl er ................................. 22citalopram hydrobromide ........................................... 8CITRANATAL 90 DHA .............................................. 25CITRANATAL B-CALM ............................................ 25CITRANATAL DHA ..................................................... 25CITRANATAL HARMONY ..................................... 25CITRANATAL RX ......................................................... 25CLARAVIS ......................................................................... 18CLARINEX ............................................................................ 9CLARINEX-D 12 HOUR .......................................... 17clarithromycin .................................................................. 24clarithromycin er ............................................................ 24CLEOCIN ............................................................................ 30

32

Index

CLEOCIN-T ....................................................................... 18CLIMARA PRO ............................................................... 22CLINDACIN ETZ ........................................................... 18CLINDACIN PAC .......................................................... 18clindamycin hcl ............................................................... 11clindamycin palmitate hcl ........................................ 11clindamycin phos-benzoyl perox ....................... 18clindamycin phosphate .................................... 18, 30clindamycin-tretinoin ................................................... 18CLINDESSE ..................................................................... 30CLINPRO 5000 .............................................................. 25clobetasol propionate ................................................ 18clobetasol propionate e ............................................ 18clobetasol propionate emulsion ......................... 18CLODERM ......................................................................... 18CLODERM PUMP ........................................................ 18clomiphene citrate ........................................................ 21clomipramine hcl .............................................................. 8clonazepam .......................................................................... 7clonidine hcl ...................................................................... 10clonidine hcl (analgesia) ............................................. 4clonidine hcl er ................................................................... 3clopidogrel bisulfate .................................................... 23clorazepate dipotassium ............................................. 6CLORPRES ...................................................................... 10clotrimazole .............................................................. 18, 25clotrimazole-betamethasone ................................ 18clozapine ............................................................................. 13coal tar .................................................................................. 18COARTEM ......................................................................... 11codeine sulfate .................................................................. 4colchicine-probenecid ................................................ 23COLCRYS .......................................................................... 23colestipol hcl ........................................................................ 9COLOCORT ........................................................................ 5COLYTE WITH FLAVOR PACKS .................... 24COMBIGAN ...................................................................... 26COMBIPATCH ................................................................ 22COMBIVENT RESPIMAT .......................................... 6COMBIVIR ......................................................................... 13COMETRIQ (100 MG DAILY DOSE) ............ 11COMETRIQ (140 MG DAILY DOSE) ............ 11COMETRIQ (60 MG DAILY DOSE) ............... 11COMPLERA ..................................................................... 13completenate ................................................................... 25COMPRO ........................................................................... 13COMTAN ............................................................................ 12CONCERTA ........................................................................ 3CONZIP .................................................................................. 4COPAXONE ..................................................................... 28COPEGUS ......................................................................... 13CORDRAN ........................................................................ 18COREG CR ....................................................................... 14CORGARD ........................................................................ 14CORLANOR ..................................................................... 28CORTEF .............................................................................. 17CORTENEMA .................................................................... 5CORTIFOAM ...................................................................... 5cortisone acetate ........................................................... 17CORZIDE ........................................................................... 10COSENTYX ...................................................................... 18COSENTYX SENSOREADY PEN .................. 18COSOPT PF ..................................................................... 26COTELLIC ......................................................................... 11COUMADIN ......................................................................... 7COVARYX ......................................................................... 22COVARYX HS ................................................................ 22COZAAR ............................................................................. 10CREON ................................................................................ 21CRINONE ........................................................................... 30CRIXIVAN .......................................................................... 13

Index

cromolyn sodium ............................................ 6, 22, 26CRYSELLE-28 ................................................................ 16CUPRIMINE ..................................................................... 14CUTIVATE ......................................................................... 18CUVPOSA ......................................................................... 29cyanocobalamin ............................................................. 23CYCLAFEM 1/35 .......................................................... 16CYCLAFEM 7/7/7 ......................................................... 16cyclobenzaprine hcl .................................................... 25cyclophosphamide ....................................................... 11CYCLOSET .......................................................................... 8cyclosporine ...................................................................... 14cyclosporine modified ................................................ 14cyproheptadine hcl ......................................................... 9CYRED ................................................................................. 16CYSTADANE ................................................................... 21CYSTAGON ..................................................................... 23CYSTARAN ...................................................................... 26CYTOMEL .......................................................................... 29CYTOTEC .......................................................................... 29DAKLINZA ......................................................................... 13DALIRESP ............................................................................ 6danazol .................................................................................... 5DANTRIUM ....................................................................... 25dantrolene sodium ....................................................... 25dapsone ............................................................................... 11DARAPRIM ....................................................................... 11darifenacin hydrobromide er ................................. 29DASETTA 1/35 ............................................................... 16DASETTA 7/7/7 ............................................................. 16DAYPRO ................................................................................ 3DAYSEE .............................................................................. 16DAYTRANA ......................................................................... 3DDAVP ................................................................................. 21DDAVP RHINAL TUBE ............................................ 21DEBACTEROL ............................................................... 25DEBLITANE ...................................................................... 16DELZICOL ......................................................................... 22DEMADEX ......................................................................... 21demeclocycline hcl ...................................................... 29DEMSER ............................................................................. 10DENAVIR ............................................................................ 18DEPEN TITRATABS .................................................. 14DEPO-SUBQ PROVERA 104 ............................. 16DERMA-SMOOTHE/FS BODY .......................... 18DERMA-SMOOTHE/FS SCALP ........................ 18DERMATOP ..................................................................... 18desipramine hcl ................................................................. 8desloratadine ...................................................................... 9desmopressin ace rhinal tube ............................. 21desmopressin ace spray refrig ........................... 21desmopressin acetate ............................................... 21desmopressin acetate spray ................................ 21desogestrel-ethinyl estradiol ................................. 16DESONATE ...................................................................... 18desonide .............................................................................. 18DESOWEN ........................................................................ 18desoximetasone ............................................................ 18desvenlafaxine er ............................................................ 8desvenlafaxine fumarate er ...................................... 8dexamethasone ............................................................. 17dexamethasone intensol ......................................... 17dexamethasone sodium phosphate ................ 26dexmethylphenidate hcl .............................................. 3dexmethylphenidate hcl er ........................................ 3DEXPAK 10 DAY .......................................................... 17DEXPAK 13 DAY .......................................................... 17DEXPAK 6 DAY ............................................................. 17dextroamphetamine sulfate ...................................... 3dextroamphetamine sulfate er ............................... 3DIALYVITE ........................................................................ 25

Index

DIASTAT ACUDIAL ....................................................... 7DIASTAT PEDIATRIC .................................................. 7diazepam ......................................................................... 6, 7diazepam intensol ........................................................... 6DIBENZYLINE ................................................................ 10DICLEGIS .............................................................................. 9diclofenac potassium .................................................... 3diclofenac sodium .......................................... 3, 18, 26DICLOFENAC SODIUM .......................................... 18diclofenac sodium er ..................................................... 3diclofenac-misoprostol ................................................. 3dicloxacillin sodium ...................................................... 27dicyclomine hcl ............................................................... 29didanosine .......................................................................... 13DIFFERIN ........................................................................... 18DIFICID ................................................................................ 24diflorasone diacetate .................................................. 18diflunisal .................................................................................. 4digoxin ................................................................................... 15dihydroergotamine mesylate ................................ 24DILANTIN .............................................................................. 7DILATRATE-SR ................................................................ 5DILAUDID .............................................................................. 4diltiazem hcl ...................................................................... 15diltiazem hcl er ................................................................ 15diltiazem hcl er beads ................................................ 15diltiazem hcl er coated beads .............................. 15dilt-xr ....................................................................................... 15DIOVAN ............................................................................... 10DIOVAN HCT .................................................................. 10diphenhydramine hcl ..................................................... 9diphenoxylate-atropine ................................................ 9DIPROLENE ..................................................................... 18DIPROLENE AF ............................................................ 18dipyridamole ..................................................................... 23disopyramide phosphate ............................................ 6disulfiram ............................................................................. 28DIURIL .................................................................................. 21divalproex sodium ........................................................... 7divalproex sodium er ..................................................... 7DIVIGEL .............................................................................. 22dobells ................................................................................... 25dofetilide ................................................................................. 6DOLOPHINE ....................................................................... 4donepezil hcl .................................................................... 28DONNATAL ...................................................................... 29dorzolamide hcl .............................................................. 26dorzolamide hcl-timolol mal .................................. 26DOVONEX ......................................................................... 18doxazosin mesylate .................................................... 10doxepin hcl .................................................................. 8, 18doxercalciferol ................................................................. 21doxycycline hyclate ..................................................... 29doxycycline monohydrate ....................................... 29DRITHO-CREME HP ................................................. 18dronabinol .............................................................................. 9drospirenone-ethinyl estradiol ............................. 16DROXIA ............................................................................... 23DRYSOL .............................................................................. 18DUAC .................................................................................... 18DUAVEE .............................................................................. 22DUET DHA 400 .............................................................. 25DUET DHA BALANCED .......................................... 25DUEXIS ................................................................................... 3duloxetine hcl ...................................................................... 8DUOPA ................................................................................. 12DURACLON ........................................................................ 4DURAGESIC-100 ............................................................ 4DURAGESIC-12 ............................................................... 4DURAGESIC-25 ............................................................... 4DURAGESIC-50 ............................................................... 4

33

Index

DURAGESIC-75 ............................................................... 4DUREZOL .......................................................................... 26dutasteride ......................................................................... 23dutasteride-tamsulosin hcl ..................................... 23DUTOPROL ...................................................................... 10DYAZIDE ............................................................................ 21DYMISTA ............................................................................ 26DYRENIUM ....................................................................... 21E.E.S. 400 .......................................................................... 24E.E.S. GRANULES ..................................................... 24econazole nitrate ........................................................... 18EDARBI ................................................................................ 10EDARBYCLOR ............................................................... 10EDEX ..................................................................................... 15EDLUAR .............................................................................. 24EDURANT .......................................................................... 13EFFIENT ............................................................................. 23EFUDEX .............................................................................. 18ELDEPRYL ........................................................................ 12ELESTRIN ......................................................................... 22ELIDEL ................................................................................. 18ELIMITE ............................................................................... 18ELINEST ............................................................................. 16ELIQUIS ................................................................................. 7ELIXOPHYLLIN ................................................................ 6ELLA ....................................................................................... 16ELMIRON ........................................................................... 23ELOCON ............................................................................. 18EMADINE ........................................................................... 26EMCYT ................................................................................. 11EMEND ................................................................................... 9EMOQUETTE .................................................................. 16EMSAM ................................................................................... 8EMTRIVA ............................................................................ 13EMVERM ............................................................................... 5enalapril maleate ........................................................... 10enalapril-hydrochlorothiazide ............................... 10ENBREL ................................................................................. 3ENBREL SURECLICK ................................................. 3ENDOMETRIN ............................................................... 30enoxaparin sodium ......................................................... 7ENPRESSE-28 ............................................................... 16ENSKYCE .......................................................................... 16ENSTILAR ......................................................................... 18entacapone ........................................................................ 12ENTRESTO ...................................................................... 26ENVARSUS XR ............................................................. 14EPANED .............................................................................. 10EPIDUO ............................................................................... 18EPIDUO FORTE ........................................................... 19epinastine hcl ................................................................... 26EPIPEN 2-PAK ............................................................... 30EPIPEN JR 2-PAK ....................................................... 30EPIVIR .................................................................................. 13EPIVIR HBV ..................................................................... 13eplerenone ......................................................................... 10EPOGEN ............................................................................. 23eprosartan mesylate ................................................... 10EPZICOM ........................................................................... 13EQUETRO ......................................................................... 13ergocalciferol .................................................................... 30ergoloid mesylates ....................................................... 28ERGOMAR ........................................................................ 24ERIVEDGE ........................................................................ 11ERRIN ................................................................................... 16ERTACZO .......................................................................... 19ERYPED 200 ................................................................... 24ERYPED 400 ................................................................... 24ERY-TAB ............................................................................ 24ERYTHROCIN STEARATE .................................. 24erythromycin ............................................................ 19, 26

Index

erythromycin base ........................................................ 24erythromycin ethylsuccinate ................................. 24escitalopram oxalate ..................................................... 8ESGIC ...................................................................................... 4est estrogens-methyltest ......................................... 22est estrogens-methyltest ds .................................. 22est estrogens-methyltest hs .................................. 22ESTARYLLA ..................................................................... 16estazolam ........................................................................... 24ESTRACE ................................................................. 22, 30estradiol ............................................................................... 22estradiol-norethindrone acet ................................. 22ESTRING ............................................................................ 30ESTROGEL ...................................................................... 22estropipate ......................................................................... 22ESZOPICLONE ............................................................. 24ethacrynic acid ................................................................ 21ethambutol hcl ................................................................. 11ethosuximide ....................................................................... 7etidronate disodium ..................................................... 21etodolac .................................................................................. 3etodolac er ............................................................................ 3etoposide ............................................................................ 11EURAX ................................................................................. 19EVAMIST ............................................................................ 22EVOCLIN ............................................................................ 19EVOTAZ .............................................................................. 13EVZIO ....................................................................................... 9EXELDERM ...................................................................... 19EXELON .............................................................................. 28exemestane ...................................................................... 11EXJADE .................................................................................. 9EXTAVIA ............................................................................. 28EXTINA ................................................................................ 19FABIOR ................................................................................ 19FACTIVE ............................................................................. 22FALMINA ............................................................................ 16famciclovir .......................................................................... 13famotidine ........................................................................... 29FAMVIR ............................................................................... 13FANAPT .............................................................................. 13FANAPT TITRATION PACK ................................ 13FARESTON ...................................................................... 11FARYDAK .......................................................................... 11felbamate ............................................................................... 7FELDENE .............................................................................. 3felodipine er ...................................................................... 15FEM PH ............................................................................... 30FEMRING ........................................................................... 30fenofibrate ............................................................................. 9fenofibrate micronized .................................................. 9fenoprofen calcium ......................................................... 3fentanyl .................................................................................... 4fentanyl citrate .................................................................... 4FENTORA ............................................................................. 4FERRALET 90 ................................................................ 23ferraplus 90 ....................................................................... 23ferrex 150 forte ............................................................... 23FERREX 150 FORTE PLUS ................................ 23FERRIPROX ....................................................................... 9FERROCITE PLUS ..................................................... 23FETZIMA ................................................................................ 8FEXMID ............................................................................... 25FINACEA ............................................................................ 19finasteride ........................................................................... 23FIORICET .............................................................................. 4FIORICET/CODEINE ................................................... 4FIORINAL .............................................................................. 4FIORINAL/CODEINE #3 ............................................ 4FIRAZYR ............................................................................. 23FIRST-OMEPRAZOLE ............................................. 29

Index

FLAGYL ER ...................................................................... 11FLAREX ............................................................................... 26flavoxate hcl ...................................................................... 29flecainide acetate ............................................................. 6FLECTOR ........................................................................... 19FLOVENT DISKUS ........................................................ 6FLOVENT HFA .................................................................. 6fluconazole ........................................................................... 9flucytosine ............................................................................. 9fludrocortisone acetate ............................................. 17FLUMADINE ..................................................................... 13flunisolide ............................................................................ 26fluocinolone acetonide ..................................... 19, 27fluocinolone acetonide body ................................. 19fluocinolone acetonide scalp ................................ 19fluocinonide ....................................................................... 19fluocinonide-e .................................................................. 19FLUORIDEX SENSITIVITY RELIEF .............. 25fluorometholone ............................................................. 26FLUOROPLEX ............................................................... 19fluorouracil ......................................................................... 19fluoxetine hcl ....................................................................... 8fluoxetine hcl (pmdd) .................................................. 28fluphenazine hcl ............................................................. 13flurazepam hcl ................................................................. 24flurbiprofen ............................................................................ 3flurbiprofen sodium ...................................................... 26flutamide .............................................................................. 11fluticasone propionate ...................................... 19, 26fluvastatin sodium ............................................................ 9fluvastatin sodium er .................................................. 10fluvoxamine maleate ..................................................... 8fluvoxamine maleate er ............................................... 8FML ......................................................................................... 26FML FORTE ..................................................................... 26FML LIQUIFILM ............................................................. 26folcal dha ............................................................................. 25FOLCAPS OMEGA 3 ................................................ 25folic acid ............................................................................... 23FOLLISTIM AQ ............................................................... 21fondaparinux sodium ..................................................... 7FORFIVO XL ....................................................................... 8FORTEO ............................................................................. 21FORTESTA .......................................................................... 5FORTICAL ......................................................................... 21FOSAMAX ......................................................................... 21FOSAMAX PLUS D .................................................... 21fosinopril sodium ........................................................... 10fosinopril sodium-hctz ................................................ 10FOSRENOL ...................................................................... 22FRAGMIN .............................................................................. 7frovatriptan succinate ................................................ 24furosemide ......................................................................... 21FUZEON .............................................................................. 13FYCOMPA ............................................................................ 7gabapentin ............................................................................ 7GABITRIL .............................................................................. 7galantamine hydrobromide .................................... 28galantamine hydrobromide er .............................. 28GALZIN ................................................................................ 24GASTROCROM ............................................................ 22GATTEX .............................................................................. 22GAVILYTE-G ................................................................... 24GELNIQUE ........................................................................ 30gemfibrozil .......................................................................... 10GENGRAF ......................................................................... 14GENOTROPIN ............................................................... 21GENOTROPIN MINIQUICK ................................. 21gentamicin sulfate ............................................... 19, 26GENVOYA ......................................................................... 13GIANVI ................................................................................. 16

34

Index

GIAZO ................................................................................... 22GILDAGIA .......................................................................... 16GILDESS 1.5/30 ............................................................ 16GILDESS 1/20 ................................................................ 16GILDESS 24 FE ............................................................ 16GILDESS FE 1.5/30 ................................................... 16GILDESS FE 1/20 ........................................................ 16GILENYA ............................................................................ 28GILOTRIF ........................................................................... 11GLATOPA .......................................................................... 28glimepiride ............................................................................. 8glipizide ................................................................................... 8glipizide er ............................................................................. 8glipizide xl .............................................................................. 8glipizide-metformin hcl ................................................. 8GLUCAGEN HYPOKIT ............................................... 8GLUCAGON EMERGENCY .................................... 8glyburide ................................................................................. 8glyburide micronized ..................................................... 8glyburide-metformin ....................................................... 8glycine ................................................................................... 23glycine urologic ............................................................... 23glycopyrrolate .................................................................. 29GLYXAMBI ........................................................................ 28GOLYTELY ....................................................................... 24GONAL-F ............................................................................ 21GONAL-F RFF ................................................................ 21GONAL-F RFF REDIJECT .................................... 21GRALISE ............................................................................ 28GRALISE STARTER .................................................. 28granisetron hcl ................................................................... 9GRANIX ............................................................................... 23GRASTEK .......................................................................... 15griseofulvin microsize ................................................... 9griseofulvin ultramicrosize ......................................... 9guanfacine hcl ................................................................. 10guanfacine hcl er .............................................................. 3guanidine hcl .................................................................... 11GYNAZOLE-1 .................................................................. 30halac ....................................................................................... 19HALCION ............................................................................ 24halobetasol propionate ............................................. 19HALOG ................................................................................. 19haloperidol ......................................................................... 13haloperidol lactate ........................................................ 13HALOTIN ............................................................................ 19HARVONI ........................................................................... 23HEATHER .......................................................................... 16HECTOROL ...................................................................... 21HEMANGEOL ................................................................. 14HEMETAB .......................................................................... 23HEPSERA .......................................................................... 13HETLIOZ ............................................................................. 24HEXALEN ........................................................................... 12HORIZANT ........................................................................ 28HUMALOG ........................................................................... 8HUMALOG KWIKPEN ................................................. 8HUMALOG MIX 50/50 ................................................. 8HUMALOG MIX 50/50 KWIKPEN ....................... 8HUMALOG MIX 75/25 ................................................. 8HUMALOG MIX 75/25 KWIKPEN ....................... 8HUMATROPE ................................................................. 21HUMIRA ................................................................................. 3HUMIRA PEDIATRIC CROHNS START ....... 3HUMIRA PEN ..................................................................... 3HUMIRA PEN-CROHNS STARTER ................. 3HUMIRA PEN-PSORIASIS STARTER ........... 3HUMULIN 70/30 ............................................................... 8HUMULIN 70/30 KWIKPEN ..................................... 8HUMULIN N ......................................................................... 8HUMULIN N KWIKPEN .............................................. 8

Index

HUMULIN R ......................................................................... 8HUMULIN R U-500 (CONCENTRATED) ...... 8HYCAMTIN ........................................................................ 12hydralazine hcl ................................................................ 10HYDREA ............................................................................. 12hydrochlorothiazide ..................................................... 21hydrocodone-acetaminophen ................................. 4hydrocodone-homatropine ..................................... 17hydrocodone-ibuprofen ............................................... 4hydrocortisone ................................................. 5, 17, 19hydrocortisone ace-pramoxine ..................... 5, 19hydrocortisone acetate ................................................ 5hydrocortisone butyr lipo base ............................ 19hydrocortisone butyrate ........................................... 19hydrocortisone valerate ............................................ 19hydrocortisone-acetic acid ..................................... 27hydrocortisone-iodoquinol ...................................... 19hydromorphone hcl ......................................................... 4hydromorphone hcl er .................................................. 4hydroxychloroquine sulfate .................................... 11hydroxyurea ...................................................................... 12hydroxyzine hcl .................................................................. 6hydroxyzine pamoate ................................................... 6hyoscyamine sulfate ................................................... 29hyoscyamine sulfate er ............................................. 29HYSINGLA ER .................................................................. 4HYZAAR .............................................................................. 10ibandronate sodium .................................................... 21IBRANCE ............................................................................ 17ibuprofen ................................................................................ 3ICLUSIG .............................................................................. 12ILEVRO ................................................................................ 26imatinib mesylate .......................................................... 12IMBRUVICA ...................................................................... 12imipramine hcl .................................................................... 8imipramine pamoate ...................................................... 8imiquimod ........................................................................... 19IMITREX .............................................................................. 24IMITREX STATDOSE REFILL ........................... 24IMITREX STATDOSE SYSTEM ........................ 24IMURAN .............................................................................. 14INCRELEX ......................................................................... 21INCRUSE ELLIPTA ....................................................... 6indapamide ........................................................................ 21INDERAL LA .................................................................... 14INDOCIN ................................................................................ 3indomethacin ....................................................................... 3indomethacin er ................................................................ 3INLYTA ................................................................................. 12INTELENCE ..................................................................... 13INTRON A .......................................................................... 12INTROVALE ..................................................................... 16INVIRASE ........................................................................... 13INVOKAMET .................................................................... 28INVOKANA ........................................................................... 8iodine strong ..................................................................... 24iodoquinol-hydrocortisone-aloe .......................... 19IOPIDINE ............................................................................ 26ipratropium bromide .............................................. 6, 26ipratropium-albuterol ..................................................... 6irbesartan ............................................................................ 10irbesartan-hydrochlorothiazide ........................... 10ISENTRESS ..................................................................... 13isoniazid ............................................................................... 11ISOPTIN SR ..................................................................... 15ISOPTO CARPINE ...................................................... 26ISOPTO HOMATROPINE ...................................... 26ISORDIL TITRADOSE ................................................. 5isosorbide dinitrate ......................................................... 5isosorbide dinitrate er ................................................... 5isosorbide mononitrate ................................................ 6

Index

isosorbide mononitrate er .......................................... 6isoxsuprine hcl ................................................................ 15isradipine ............................................................................. 15ISTALOL .............................................................................. 26itraconazole .......................................................................... 9ivermectin .............................................................................. 5JADENU ................................................................................. 9JAKAFI ................................................................................. 12JANTOVEN .......................................................................... 7JANUMET ............................................................................. 8JANUMET XR .................................................................... 8JANUVIA ................................................................................ 8JARDIANCE ........................................................................ 8JENCYCLA ........................................................................ 16JENTADUETO ................................................................... 8JENTADUETO XR .......................................................... 8JINTELI ................................................................................ 22JOLESSA ........................................................................... 16JOLIVETTE ....................................................................... 16JUBLIA ................................................................................. 19JULEBER ........................................................................... 16JUNEL 1.5/30 .................................................................. 16JUNEL 1/20 ....................................................................... 16JUNEL FE 1.5/30 .......................................................... 16JUNEL FE 1/20 .............................................................. 16JUNEL FE 24 ................................................................... 16JUXTAPID .......................................................................... 10KADIAN ................................................................................... 4KALETRA ........................................................................... 13KALYDECO ...................................................................... 28KARIVA ................................................................................ 16KELNOR 1/35 .................................................................. 16KENALOG .......................................................................... 19KERYDIN ............................................................................ 27KETEK .................................................................................. 11ketoconazole .............................................................. 9, 19KETODAN .......................................................................... 19ketoprofen ............................................................................. 3ketoprofen er ....................................................................... 3ketorolac tromethamine ..................................... 3, 26ketotifen fumarate ......................................................... 26KEVEYIS ............................................................................. 21KIMIDESS .......................................................................... 16KINERET ............................................................................... 3KIONEX ...................................................................... 14, 27KITABIS PAK ...................................................................... 3KLARON .............................................................................. 19KLONOPIN ........................................................................... 7KLOR-CON 10 ................................................................ 24KORLYM ................................................................................ 8KRISTALOSE .................................................................. 24KURVELO .......................................................................... 16KUVAN ................................................................................. 21KYNAMRO ........................................................................ 10labetalol hcl ....................................................................... 15LACRISERT ..................................................................... 26lactated ringers ............................................................... 14lactulose .............................................................................. 24lactulose encephalopathy ....................................... 22LAMICTAL STARTER .................................................. 7LAMICTAL XR ................................................................... 7LAMISIL SPRAY ........................................................... 19lamivudine .......................................................................... 13lamivudine-zidovudine .............................................. 13lamotrigine ............................................................................ 7lamotrigine er ...................................................................... 7LANOXIN ............................................................................ 15lansoprazole ..................................................................... 29LANTUS ................................................................................. 8LANTUS SOLOSTAR ................................................... 8LARIN 1.5/30 ................................................................... 16

35

Index

LARIN 1/20 ........................................................................ 16LARIN 24 FE .................................................................... 16LARIN FE 1.5/30 ........................................................... 16LARIN FE 1/20 ............................................................... 16LASIX .................................................................................... 21LASTACAFT ..................................................................... 26latanoprost ......................................................................... 26LATUDA .............................................................................. 13LAZANDA .............................................................................. 4LEENA .................................................................................. 16leflunomide ........................................................................... 3LENVIMA 10 MG DAILY DOSE ........................ 12LENVIMA 14 MG DAILY DOSE ........................ 12LENVIMA 18 MG DAILY DOSE ........................ 12LENVIMA 20 MG DAILY DOSE ........................ 12LENVIMA 24 MG DAILY DOSE ........................ 12LENVIMA 8 MG DAILY DOSE ........................... 12LESSINA ............................................................................. 16LETAIRIS ............................................................................ 15letrozole ............................................................................... 12leucovorin calcium ....................................................... 12LEUKERAN ....................................................................... 12LEVACET .............................................................................. 4levalbuterol hcl ................................................................... 6LEVATOL ........................................................................... 15LEVBID ................................................................................. 29LEVEMIR ............................................................................... 8LEVEMIR FLEXTOUCH ............................................. 8levetiracetam ....................................................................... 7levetiracetam er ................................................................ 7levobunolol hcl ................................................................ 26levocarnitine ..................................................................... 21levocetirizine dihydrochloride ................................. 9levofloxacin ............................................................... 22, 26LEVONEST ....................................................................... 16levonorgest-eth estrad 91-day ............................ 16levonorgestrel .................................................................. 16levonorgestrel-ethinyl estrad ................................ 16LEVORA 0.15/30 (28) ............................................... 16levorphanol tartrate ........................................................ 4levothyroxine sodium ................................................. 29LEVSIN ................................................................................. 29LEVSIN/SL ........................................................................ 29LEVULAN KERASTICK ........................................... 19LEXIVA ................................................................................. 13LIALDA ................................................................................. 22lidocaine .............................................................................. 19lidocaine hcl ...................................................................... 19lidocaine viscous ........................................................... 25lidocaine-hydrocortisone ace .................................. 5lidocaine-prilocaine ...................................................... 19lindane .................................................................................. 19linezolid ................................................................................ 11LINZESS ............................................................................. 22liothyronine sodium ..................................................... 29lisinopril ................................................................................ 10lisinopril-hydrochlorothiazide ................................ 10lithium .................................................................................... 13lithium carbonate ........................................................... 13lithium carbonate er .................................................... 13LITHOSTAT ...................................................................... 23LIVALO ................................................................................. 10LO LOESTRIN FE ........................................................ 16LOCOID ............................................................................... 19LOCOID LIPOCREAM .............................................. 19LOMEDIA 24 FE ............................................................ 16LOMOTIL ............................................................................... 9LONSURF .......................................................................... 12loperamide hcl .................................................................... 9LOPREEZA ....................................................................... 22LOPRESSOR .................................................................. 15

Index

LOPRESSOR HCT ...................................................... 10lorazepam .............................................................................. 6LORAZEPAM INTENSOL ......................................... 6LORYNA .............................................................................. 16LORZONE .......................................................................... 25losartan potassium ...................................................... 10losartan potassium-hctz ........................................... 10LOTEMAX .......................................................................... 26LOTENSIN ......................................................................... 10LOTENSIN HCT ............................................................ 10LOTREL ............................................................................... 10LOTRISONE ..................................................................... 19lovastatin ............................................................................. 10LOW-OGESTREL ........................................................ 16loxapine succinate ....................................................... 13LUMIGAN ........................................................................... 26LUTERA .............................................................................. 16LYNPARZA ....................................................................... 27LYRICA ................................................................................... 7LYSODREN ...................................................................... 12LYZA ...................................................................................... 16MACRODANTIN ............................................................ 29malathion ............................................................................ 19maprotiline hcl .................................................................... 8margesic ................................................................................. 4marlissa ................................................................................ 16MARPLAN ............................................................................. 8marten-tab ............................................................................. 4MATULANE ...................................................................... 12MATZIM LA ....................................................................... 15MAVIK ................................................................................... 10MAXIDEX ........................................................................... 26MAXITROL ........................................................................ 26MAXZIDE ............................................................................ 21MAXZIDE-25 .................................................................... 21meclizine hcl ........................................................................ 9meclofenamate sodium ............................................... 3MEDROL ............................................................................. 17MEDROX-RX ................................................................... 19medroxyprogesterone acetate ............................ 27mefenamic acid ................................................................. 3mefloquine hcl ................................................................. 11megestrol acetate ................................................ 12, 27MEKINIST .......................................................................... 12meloxicam ............................................................................. 3memantine hcl ................................................................. 28MENEST ............................................................................. 22MENOPUR ........................................................................ 21MENOSTAR ..................................................................... 22MENTAX ............................................................................. 19MEPHYTON ..................................................................... 30meprobamate ..................................................................... 6MEPRON ............................................................................ 11mercaptopurine .............................................................. 12mesalamine ....................................................................... 22mesalamine-cleanser ................................................ 22MESNEX ............................................................................. 12MESTINON ....................................................................... 11metaproterenol sulfate ................................................. 6metaxalone ........................................................................ 25metformin hcl ...................................................................... 8metformin hcl er ................................................................ 8methadone hcl ................................................................... 4METHADONE HCL INTENSOL ........................... 4METHADOSE ..................................................................... 4METHADOSE SUGAR-FREE ................................ 4methamphetamine hcl .................................................. 3methazolamide ............................................................... 21methenamine hippurate ........................................... 29methenamine mandelate ........................................ 29methimazole ..................................................................... 29

Index

methitest ................................................................................. 5methocarbamol ............................................................... 25methotrexate .................................................................... 12methotrexate sodium ................................................. 12methotrexate sodium (pf) ........................................ 12methoxsalen rapid ........................................................ 19methscopolamine bromide .................................... 29methyclothiazide ............................................................ 21methyldopa ........................................................................ 10methyldopa-hydrochlorothiazide ....................... 10methylergonovine maleate .................................... 27methylphenidate hcl ....................................................... 3methylphenidate hcl er ................................................ 3methylphenidate hcl er (cd) ...................................... 3methylphenidate hcl er (la) ....................................... 3methylprednisolone ..................................................... 17methyltestosterone ......................................................... 5metipranolol ...................................................................... 26metoclopramide hcl ..................................................... 22metolazone ........................................................................ 21METOPIRONE ............................................................... 20metoprolol succinate er ............................................ 15metoprolol tartrate ........................................................ 15metoprolol-hydrochlorothiazide .......................... 10METOZOLV ODT ......................................................... 22METROCREAM ............................................................. 19METROLOTION ............................................................ 19metronidazole ................................................ 11, 19, 30mexiletine hcl ...................................................................... 6MIACALCIN ...................................................................... 21MICARDIS ......................................................................... 10MICARDIS HCT ............................................................. 10miconazole 3 .................................................................... 30MICROGESTIN 1.5/30 ............................................. 16MICROGESTIN 1/20 .................................................. 16MICROGESTIN FE 1.5/30 ..................................... 16MICROGESTIN FE 1/20 ......................................... 16MICROZIDE ..................................................................... 21midazolam hcl ................................................................. 24midodrine hcl .................................................................... 30MIFEPREX ........................................................................ 21MIGERGOT ...................................................................... 24miglitol ...................................................................................... 8MIGRANAL ........................................................................ 24MILLIPRED ....................................................................... 17MILLIPRED DP .............................................................. 17MIMVEY .............................................................................. 22MIMVEY LO ...................................................................... 22MINASTRIN 24 FE ...................................................... 16MINIPRESS ...................................................................... 10MINIVELLE ........................................................................ 22minocycline hcl ............................................................... 29minoxidil ............................................................................... 10MIRAPEX ........................................................................... 12MIRAPEX ER .................................................................. 12mirtazapine ........................................................................... 8MIRVASO ........................................................................... 19misoprostol ........................................................................ 29MITIGARE .......................................................................... 23MOBIC ..................................................................................... 3modafinil ................................................................................. 3MODERIBA ....................................................................... 13MODERIBA 1200 DOSE PACK ........................ 13MODERIBA 800 DOSE PACK ........................... 13moexipril hcl ...................................................................... 10moexipril-hydrochlorothiazide .............................. 10mometasone furoate ......................................... 19, 26MONO-LINYAH .............................................................. 16MONONESSA ................................................................. 16montelukast sodium ....................................................... 6morphine sulfate ............................................................... 5

36

Index

morphine sulfate (concentrate) .............................. 4morphine sulfate er ................................................... 4, 5morphine sulfate er beads ........................................ 4MOTOFEN ............................................................................ 9MOVANTIK ........................................................................ 22MOVIPREP ....................................................................... 24moxifloxacin hcl .............................................................. 22MS CONTIN ........................................................................ 5MULTAQ ................................................................................ 6MULTIGEN PLUS ........................................................ 23mupirocin ............................................................................ 19mupirocin calcium ......................................................... 19MUSE .................................................................................... 15MYALEPT ........................................................................... 24MYAMBUTOL .................................................................. 11MYCOBUTIN ................................................................... 11mycophenolate mofetil .............................................. 14mycophenolic acid ....................................................... 14MYDRIACYL .................................................................... 26MYFORTIC ........................................................................ 14MYLERAN .......................................................................... 12MYORISAN ....................................................................... 19MYRBETRIQ .................................................................... 30MYSOLINE ........................................................................... 7MYZILRA ............................................................................ 16nabumetone ......................................................................... 3n-acetyl-l-cysteine ........................................................ 26nadolol .................................................................................. 15nadolol-bendroflumethiazide ................................ 10naftifine hcl ........................................................................ 19NAFTIN ................................................................................ 19NALFON ................................................................................. 3naloxone hcl ........................................................................ 9naltrexone hcl ..................................................................... 9NAMENDA ......................................................................... 28NAMENDA TITRATION PAK .............................. 28NAMENDA XR ................................................................ 28NAMENDA XR TITRATION PACK .................. 28NAMZARIC ........................................................................... 7NAPROSYN ........................................................................ 3naproxen ................................................................................ 3naproxen dr .......................................................................... 3naratriptan hcl .................................................................. 24NARCAN ................................................................................ 9NATACYN .......................................................................... 26NATALVIT .......................................................................... 25NATAZIA ............................................................................. 16nateglinide ............................................................................. 9NATESTO ............................................................................. 5NATPARA .......................................................................... 21NATROBA .......................................................................... 19NATURE-THROID ....................................................... 29NEBUPENT ...................................................................... 11NEBUSAL ........................................................................... 17NECON 0.5/35 (28) ..................................................... 16NECON 1/35 (28) ......................................................... 16NECON 1/50 (28) ......................................................... 16NECON 10/11 (28) ...................................................... 16NECON 7/7/7 ................................................................... 16nefazodone hcl ......................................................... 8, 28neomycin sulfate .............................................................. 3neomycin-bacitracin zn-polymyx ....................... 26neomycin-polymyxin b gu ....................................... 23neomycin-polymyxin-dexameth ......................... 26neomycin-polymyxin-gramicidin ........................ 26neomycin-polymyxin-hc ........................................... 27NEORAL .............................................................................. 14NEOSPORIN ................................................................... 27NEOSPORIN GU IRRIGANT .............................. 23NESTABS ........................................................................... 25NESTABS ABC .............................................................. 25

Index

NESTABS DHA .............................................................. 25NEULASTA ....................................................................... 23NEUPOGEN ..................................................................... 23NEUPRO ............................................................................. 12NEVANAC .......................................................................... 27nevirapine ........................................................................... 13nevirapine er ..................................................................... 13NEXAVAR .......................................................................... 12niacin er (antihyperlipidemic) ............................... 10NIACOR ............................................................................... 10nicardipine hcl ................................................................. 15NICOTROL ........................................................................ 28NICOTROL NS ............................................................... 28NIFEDIAC CC ................................................................. 15NIFEDICAL XL ............................................................... 15nifedipine ............................................................................. 15nifedipine er ...................................................................... 15nifedipine er osmotic release ............................... 15NIKKI ...................................................................................... 16NILANDRON .................................................................... 12nimodipine .......................................................................... 15NINLARO ............................................................................ 12nisoldipine er .................................................................... 15NITRO-BID ........................................................................... 6NITRO-DUR ........................................................................ 6nitrofurantoin .................................................................... 29nitrofurantoin macrocrystal .................................... 29nitrofurantoin monohyd macro ............................ 29nitroglycerin .......................................................................... 6nitroglycerin er ................................................................... 6NITROSTAT ........................................................................ 6nizatidine ............................................................................. 29NIZORAL ............................................................................ 19NORA-BE ........................................................................... 16NORCO ................................................................................... 5NORDITROPIN FLEXPRO ................................... 21norethin ace-eth estrad-fe ...................................... 16norethindrone .................................................................. 16norethindrone acetate ............................................... 27norethindrone acet-ethinyl est ............................. 16norethindrone-eth estradiol ................................... 22norgestimate-eth estradiol ..................................... 16norgestim-eth estrad triphasic ............................. 16NORITATE ........................................................................ 19NORLYROC ..................................................................... 16NORPACE CR ................................................................... 6NORPRAMIN ...................................................................... 8NORTHERA ..................................................................... 26NORTREL 0.5/35 (28) .............................................. 16NORTREL 1/35 (21) ................................................... 16NORTREL 1/35 (28) ................................................... 16NORTREL 7/7/7 ............................................................ 16nortriptyline hcl .................................................................. 8NORVASC ......................................................................... 15NORVIR ............................................................................... 13NOVOLIN 70/30 ............................................................... 9NOVOLIN N ......................................................................... 9NOVOLIN R ......................................................................... 9NOVOLOG ........................................................................... 9NOVOLOG FLEXPEN ................................................. 9NOVOLOG MIX 70/30 ................................................. 9NOVOLOG MIX 70/30 FLEXPEN ....................... 9NOVOLOG PENFILL .................................................... 9NOXAFIL ................................................................................ 9np thyroid ............................................................................ 29NUCORT ............................................................................. 19NUCYNTA ............................................................................. 5NUCYNTA ER .................................................................... 5NUEDEXTA ...................................................................... 28NULYTELY WITH FLAVOR PACKS .............. 24NUOX .................................................................................... 19

Index

NUTROPIN AQ NUSPIN 10 ................................. 21NUTROPIN AQ NUSPIN 20 ................................. 21NUTROPIN AQ NUSPIN 5 .................................... 21NUTROPIN AQ PEN .................................................. 21NUVAIL ................................................................................ 19NUVARING ....................................................................... 17NYMALIZE ......................................................................... 15nystatin .................................................................. 9, 19, 25nystatin-triamcinolone ............................................... 19NYSTOP .............................................................................. 19OBTREX .............................................................................. 25OCELLA .............................................................................. 17octreotide acetate ......................................................... 21ODEFSEY .......................................................................... 13ODOMZO ........................................................................... 12ofloxacin ..................................................................... 22, 27OGESTREL ...................................................................... 17olanzapine .......................................................................... 13olanzapine-fluoxetine hcl ........................................ 28olopatadine hcl ...................................................... 26, 27OLYSIO ................................................................................ 13OMECLAMOX-PAK .................................................... 29omega-3-acid ethyl esters ...................................... 10omeprazole ........................................................................ 29OMNARIS ........................................................................... 26OMNITROPE ................................................................... 21ondansetron ......................................................................... 9ondansetron hcl ................................................................ 9ONFI .......................................................................................... 7OPANA ER ........................................................................... 5OPSUMIT ........................................................................... 15ORALAIR ............................................................................ 25ORAP .................................................................................... 28ORENCIA .............................................................................. 3ORENCIA CLICKJECT ............................................... 3ORENITRAM ................................................................... 15ORFADIN ........................................................................... 21ORKAMBI ........................................................................... 17ORSYTHIA ........................................................................ 17OSMOPREP ..................................................................... 24OSPHENA ......................................................................... 22OTEZLA ............................................................................... 27OTREXUP ............................................................................. 3OVACE PLUS ................................................................. 19OVACE PLUS WASH ................................................ 19OVACE WASH ............................................................... 19OVIDREL ............................................................................ 22OXANDRIN .......................................................................... 5oxandrolone ......................................................................... 5oxaprozin ............................................................................... 3oxazepam .............................................................................. 6oxcarbazepine .................................................................... 7oxiconazole nitrate ....................................................... 19OXISTAT ............................................................................. 19OXSORALEN ULTRA ............................................... 19OXTELLAR XR .................................................................. 7oxybutynin chloride ...................................................... 30oxybutynin chloride er ............................................... 30oxycodone hcl .................................................................... 5oxycodone hcl er .............................................................. 5oxycodone-acetaminophen ...................................... 5oxycodone-aspirin ........................................................... 5oxycodone-ibuprofen .................................................... 5OXYCONTIN ....................................................................... 5oxymorphone hcl .............................................................. 5oxymorphone hcl er ....................................................... 5pacerone ................................................................................ 6paliperidone er ................................................................ 13PANCREAZE ................................................................... 21PANDEL .............................................................................. 19PANRETIN ........................................................................ 19

37

Index

pantoprazole sodium .................................................. 29PARAFON FORTE DSC ......................................... 25paricalcitol .......................................................................... 22PARLODEL ....................................................................... 12paromomycin sulfate ..................................................... 3paroxetine hcl ..................................................................... 8paroxetine hcl er ............................................................... 8PASER ................................................................................. 11PATADAY ........................................................................... 27PAXIL ....................................................................................... 8PEDIAPRED ..................................................................... 17peg 3350/electrolytes ................................................ 24peg 3350-kcl-na bicarb-nacl ................................. 24PEGASYS .......................................................................... 13PEGASYS PROCLICK ............................................. 13PEG-INTRON REDIPEN ........................................ 13PEG-INTRON REDIPEN PAK 4 ........................ 13penicillin v potassium ................................................. 27PENNSAID ........................................................................ 19PENTASA ........................................................................... 22pentazocine-naloxone hcl .......................................... 5pentoxifylline er .............................................................. 23PEPCID ................................................................................ 29PERCOCET ......................................................................... 5PERFOROMIST ............................................................... 6perindopril erbumine ................................................... 10permethrin .......................................................................... 19perphenazine ................................................................... 13perphenazine-amitriptyline .................................... 28PERTZYE ........................................................................... 21PEXEVA ................................................................................. 8phenazopyridine hcl .................................................... 23phenelzine sulfate ........................................................... 8phenobarbital ................................................................... 24phenoxybenzamine hcl ............................................. 10phenylephrine hcl ......................................................... 27phenylephrine-chlorphen-dm ............................... 17phenytoin ............................................................................... 7phenytoin infatabs ........................................................... 7phenytoin sodium extended ..................................... 7PHILITH ............................................................................... 17PHOSLYRA ...................................................................... 22PHOSPHOLINE IODIDE ......................................... 27PHYSIOLYTE .................................................................. 14PHYSIOSOL IRRIGATION .................................... 14PICATO ................................................................................ 19pilocarpine hcl ........................................................ 25, 27pimozide .............................................................................. 28PIMTREA ............................................................................ 17pindolol ................................................................................. 15pioglitazone hcl .................................................................. 9pioglitazone hcl-glimepiride ...................................... 9pioglitazone hcl-metformin hcl ............................... 9PIRMELLA 1/35 ............................................................. 17PIRMELLA 7/7/7 ............................................................ 17piroxicam ................................................................................ 3PLAQUENIL ..................................................................... 11PLAVIX ................................................................................. 23PLEGRIDY ........................................................................ 28PLEGRIDY STARTER PACK .............................. 28PLEXION ............................................................................ 19pnv fe fum/docusate/folic acid ............................. 25pnv folic acid + iron ..................................................... 25pnv ob+dha ....................................................................... 25pnv prenatal plus multivitamin ............................. 25pnv tabs 29-1 ................................................................... 25pnv-dha ................................................................................ 25pnv-dha+docusate ....................................................... 25pnv-omega ......................................................................... 25pnv-total ............................................................................... 25poly-iron 150 forte ........................................................ 23

Index

polymyxin b-trimethoprim ....................................... 27polysaccharide iron forte ......................................... 23POLYTRIM ........................................................................ 27POLY-VI-FLOR .............................................................. 25POMALYST ...................................................................... 12PORTIA-28 ........................................................................ 17potassium bicarbonate ............................................. 25potassium chloride ....................................................... 25potassium chloride crys er ..................................... 25potassium chloride er ................................................ 25potassium citrate er ..................................................... 23POTIGA .................................................................................. 7PRADAXA ............................................................................. 7PRALUENT ....................................................................... 27pramipexole dihydrochloride ................................ 12pramipexole dihydrochloride er ................. 12, 13PRAMOSONE ................................................................. 19PRAMOSONE E ............................................................ 19pravastatin sodium ...................................................... 10prazosin hcl ....................................................................... 10PRED MILD ...................................................................... 27PRED-G ............................................................................... 27PRED-G S.O.P. ............................................................. 27prednicarbate ................................................................... 19prednisolone ..................................................................... 17prednisolone acetate .................................................. 27prednisolone sodium phosphate .............. 17, 27prednisone ......................................................................... 17PREDNISONE INTENSOL .................................... 17PREFEST ........................................................................... 22PREMARIN .............................................................. 22, 30PREMPHASE .................................................................. 22PREMPRO ........................................................................ 22PRENATABS RX .......................................................... 25prenatal ................................................................................ 25prenatal 19 ......................................................................... 25prenatal formula a-free ............................................. 25prenatal low iron ............................................................ 25prenatal multi +dha ...................................................... 25prenatal one daily ......................................................... 25prenatal plus ..................................................................... 25prenatal plus iron .......................................................... 25prenatal plus/iron .......................................................... 25prenatal vitamins ........................................................... 25PREPIDIL ........................................................................... 27preplus .................................................................................. 25PREPOPIK ........................................................................ 24PREVIFEM ........................................................................ 17PREZCOBIX ..................................................................... 13PREZISTA ................................................................ 13, 14PRIFTIN ............................................................................... 11PRILOSEC ........................................................................ 29primaquine phosphate .............................................. 11primidone ............................................................................... 7PRIMSOL ........................................................................... 11PRINIVIL ............................................................................. 10PRISTIQ ................................................................................. 8probenecid ......................................................................... 23PROCARDIA .................................................................... 15PROCARDIA XL ............................................................ 15prochlorperazine ............................................................ 13prochlorperazine maleate ....................................... 13PROCRIT ........................................................................... 23PROCTOCORT ................................................................ 5PROCTO-PAK ................................................................... 5PROCTOSOL HC ............................................................ 5PROCTOZONE-HC ....................................................... 5PROCYSBI ........................................................................ 23PRODRIN ........................................................................... 24progesterone micronized ........................................ 27PROGLYCEM .................................................................... 9

Index

PROGRAF ......................................................................... 14PROLENSA ...................................................................... 27PROMACTA ..................................................................... 23promethazine hcl .............................................................. 9promethazine vc ............................................................ 17promethazine vc plain ............................................... 17promethazine vc/codeine ........................................ 17promethazine-codeine .............................................. 17promethazine-dm .......................................................... 17promethazine-phenylephrine ............................... 17propafenone hcl ................................................................ 6propafenone hcl er .......................................................... 6propantheline bromide .............................................. 29propranolol hcl ................................................................ 15propranolol hcl er .......................................................... 15propranolol-hctz ............................................................. 10propylthiouracil ............................................................... 29PROSTIN E2 .................................................................... 27PROTOPIC ........................................................................ 19protriptyline hcl .................................................................. 8PULMICORT ....................................................................... 6PULMICORT FLEXHALER ...................................... 6PULMOZYME .................................................................. 28PYLERA .............................................................................. 29pyrazinamide .................................................................... 11PYRIDIUM ......................................................................... 23pyridostigmine bromide ............................................ 11pyridostigmine bromide er ...................................... 11QNASL ................................................................................. 26QUALAQUIN .................................................................... 11QUARTETTE ................................................................... 17QUASENSE ...................................................................... 17quazepam ........................................................................... 24quetiapine fumarate .................................................... 13QUILLIVANT XR .............................................................. 3quinapril hcl ....................................................................... 10quinapril-hydrochlorothiazide ............................... 10quinidine gluconate er .................................................. 6quinidine sulfate ................................................................ 6quinine sulfate ................................................................. 11QVAR ....................................................................................... 6rabeprazole sodium .................................................... 29RAGWITEK ....................................................................... 15raloxifene hcl .................................................................... 22ramipril .................................................................................. 10RANEXA ................................................................................. 6ranitidine hcl ..................................................................... 29RAPAFLO ........................................................................... 23RAPAMUNE ..................................................................... 14RASUVO ................................................................................ 4RAVICTI .............................................................................. 22RAYOS ................................................................................. 17RAZADYNE ...................................................................... 28RAZADYNE ER ............................................................. 28REBETOL ........................................................................... 14REBIF .................................................................................... 28REBIF REBIDOSE ...................................................... 28REBIF REBIDOSE TITRATION PACK ........ 28REBIF TITRATION PACK ...................................... 28RECLIPSEN ..................................................................... 17RECTIV ................................................................................... 5REGLAN .............................................................................. 22RELAGARD ...................................................................... 30RELENZA DISKHALER ........................................... 14RELISTOR ......................................................................... 23RENACIDIN ...................................................................... 23RENAGEL .......................................................................... 23rena-vite rx ......................................................................... 25RENVELA ........................................................................... 23repaglinide ............................................................................ 9repaglinide-metformin hcl .......................................... 9

38

Index

REQUIP ............................................................................... 13REQUIP XL ....................................................................... 13RESCRIPTOR ................................................................ 14RESCULA .......................................................................... 27RESECTISOL .................................................................. 23RESTASIS ......................................................................... 27RESTORIL ......................................................................... 24RETIN-A .............................................................................. 19RETIN-A MICRO ........................................................... 20RETIN-A MICRO PUMP .......................................... 20RETROVIR ........................................................................ 14REVATIO ............................................................................ 15REVLIMID .......................................................................... 14REXULTI ............................................................................. 13REYATAZ ........................................................................... 14RHEUMATREX ................................................................. 4RIAX ....................................................................................... 20RIBASPHERE ................................................................. 14RIBASPHERE RIBAPAK ........................................ 14ribavirin ................................................................................. 14RIDAURA .............................................................................. 4rifabutin ................................................................................. 11RIFADIN .............................................................................. 11RIFAMATE ........................................................................ 11rifampin ................................................................................. 11RIFATER ............................................................................. 11RILUTEK ............................................................................. 26riluzole ................................................................................... 26rimantadine hcl ............................................................... 14ringers irrigation ............................................................. 14RIOMET .................................................................................. 9risedronate sodium ...................................................... 22risperidone ......................................................................... 13RISPERIDONE M-TAB ............................................ 13RITALIN LA .......................................................................... 3rivastigmine ....................................................................... 28rivastigmine tartrate .................................................... 28rizatriptan benzoate .................................................... 24ROBAXIN ........................................................................... 25ROBINUL ............................................................................ 29ROBINUL-FORTE ........................................................ 29ropinirole hcl ..................................................................... 13ropinirole hcl er ............................................................... 13ROSADAN ......................................................................... 20rosuvastatin calcium ................................................... 10ROZEREM ......................................................................... 24RUCONEST ..................................................................... 23SABRIL .................................................................................... 7SAFYRAL ........................................................................... 17SAIZEN ................................................................................ 22SAIZEN CLICK.EASY ............................................... 22salicylic acid ...................................................................... 20salsalate ................................................................................. 4SAMSCA ............................................................................. 22SANCUSO ............................................................................ 9SANDIMMUNE ............................................................... 14SANDOSTATIN ............................................................. 22SAPHRIS ............................................................................ 13SARAFEM .......................................................................... 28SAVAYSA .............................................................................. 7SAVELLA ............................................................................ 28SAVELLA TITRATION PACK .............................. 28SECONAL .......................................................................... 24SECTRAL ........................................................................... 15selegiline hcl ..................................................................... 13selenium sulfide ............................................................. 20SELZENTRY .................................................................... 14se-natal 19 ......................................................................... 25SENSIPAR ........................................................................ 22SEREVENT DISKUS .................................................... 6SEROQUEL XR ............................................................. 13

Index

SEROSTIM ........................................................................ 22sertraline hcl ........................................................................ 8sf ................................................................................................ 25sf 5000 plus ....................................................................... 25SHAROBEL ...................................................................... 17SIGNIFOR .......................................................................... 22sildenafil citrate ............................................................... 15SILENOR ............................................................................ 24SILVADENE ..................................................................... 20silver sulfadiazine ......................................................... 20SIMBRINZA ...................................................................... 27SIMPONI ................................................................................ 4simvastatin ......................................................................... 10SINEMET ............................................................................ 13SINEMET CR .................................................................. 13SINGULAIR .......................................................................... 6sirolimus .............................................................................. 14SIRTURO ........................................................................... 11SIVEXTRO ........................................................................ 11SKLICE ................................................................................. 20sodium chloride .............................................................. 17sodium fluoride ............................................................... 25sodium phenylbutyrate ............................................. 22sodium polystyrene sulfonate ..................... 14, 27sodium sulfacetamide ................................................ 20sodium sulfacetamide wash ................................. 20SOLIA .................................................................................... 17SOLTAMOX ...................................................................... 12SOMA .................................................................................... 25SOMAVERT ..................................................................... 22SONATA .............................................................................. 24SOOLANTRA .................................................................. 20SORIATANE ..................................................................... 20SORILUX ............................................................................ 20SORINE ............................................................................... 15sotalol hcl ............................................................................ 15sotalol hcl (af) .................................................................. 15SOTYLIZE .......................................................................... 15SOVALDI ............................................................................ 14spinosad .............................................................................. 20SPIRIVA HANDIHALER ............................................. 6SPIRIVA RESPIMAT .................................................... 6spironolactone ................................................................. 21spironolactone-hctz ..................................................... 21SPORANOX ........................................................................ 9SPRINTEC 28 ................................................................. 17SPRITAM ............................................................................... 7SPRIX ....................................................................................... 4SPRYCEL ........................................................................... 12SRONYX ............................................................................. 17SSKI ....................................................................................... 25STALEVO 100 ................................................................ 13STALEVO 125 ................................................................ 13STALEVO 150 ................................................................ 13STALEVO 200 ................................................................ 13STALEVO 50 ................................................................... 13STALEVO 75 ................................................................... 13stavudine ............................................................................. 14sterile water for irrigation ......................................... 14STIMATE ............................................................................ 22STIOLTO RESPIMAT ................................................... 6STIVARGA ........................................................................ 12STRATTERA ....................................................................... 3STRENSIQ ........................................................................ 24STRIANT ................................................................................ 5STRIBILD ........................................................................... 14STRIVERDI RESPIMAT ............................................. 6STROMECTOL ................................................................. 5SUBSYS ................................................................................. 5SUCRAID ........................................................................... 21sucralfate ............................................................................ 29

Index

sulfacetamide sodium ....................................... 20, 27sulfacetamide sodium (acne) ............................... 20sulfacetamide sodium-sulfur ................................. 20sulfacetamide sod-sulfur wash ........................... 20sulfacetamide-prednisolone .................................. 27sulfacetamide-sulfur in urea ................................. 20sulfadiazine ....................................................................... 29sulfamethoxazole-trimethoprim .......................... 11SULFAMYLON ............................................................... 20sulfasalazine ..................................................................... 23SULFAZINE ...................................................................... 23SULFOAM .......................................................................... 20sulindac ................................................................................... 4SUMADAN ......................................................................... 20SUMADAN WASH ....................................................... 20sumatriptan ........................................................................ 24sumatriptan succinate ............................................... 24sumatriptan succinate refill .................................... 24SUMAVEL DOSEPRO ............................................. 24SUMAXIN ........................................................................... 20SUMAXIN CP .................................................................. 20SUMAXIN TS ................................................................... 20SUMAXIN WASH ......................................................... 20SUPRAX .............................................................................. 16SUPREP BOWEL PREP ........................................ 24SUSTIVA ............................................................................. 14SUTENT .............................................................................. 12SYEDA ................................................................................. 17SYMBICORT ....................................................................... 6SYMBYAX .......................................................................... 28SYMLINPEN 120 ............................................................. 9SYMLINPEN 60 ................................................................ 9SYNALAR ........................................................................... 20SYNALAR (CREAM) .................................................. 20SYNALAR (OINTMENT) ......................................... 20SYNALAR TS .................................................................. 20SYNALGOS-DC ............................................................... 5SYNAREL ........................................................................... 22SYNJARDY ....................................................................... 28SYNRIBO ........................................................................... 12SYNTHROID .................................................................... 29SYPRINE ............................................................................ 14TABLOID ............................................................................. 12TACLONEX ....................................................................... 20tacrolimus .................................................................. 14, 20TAFINLAR .......................................................................... 12TAGRISSO ........................................................................ 12TAMIFLU ............................................................................. 14tamoxifen citrate ............................................................ 12tamsulosin hcl .................................................................. 23TANZEUM ............................................................................. 9TAPAZOLE ........................................................................ 29TARCEVA .......................................................................... 12TARGRETIN ............................................................ 12, 20TARINA FE 1/20 ............................................................ 17TASIGNA ............................................................................ 12TAZORAC .......................................................................... 20TAZTIA XT ......................................................................... 15TECFIDERA ..................................................................... 28TECHNIVIE ....................................................................... 23TEKTURNA ....................................................................... 10TEKTURNA HCT .......................................................... 10telmisartan ......................................................................... 10telmisartan-amlodipine ............................................. 10telmisartan-hctz .............................................................. 10temazepam ........................................................................ 24TEMODAR ......................................................................... 12temozolomide .................................................................. 12TENCON ................................................................................ 4TENEX .................................................................................. 10TENORETIC 100 .......................................................... 10

39

Index

TENORETIC 50 ............................................................. 10TENORMIN ....................................................................... 15terazosin hcl ..................................................................... 10terbinafine hcl ..................................................................... 9terbutaline sulfate ............................................................ 7terconazole ........................................................................ 30TESSALON PERLES ................................................ 17TESTIM ................................................................................... 5testosterone ......................................................................... 5testosterone cypionate ................................................ 5testosterone enanthate ................................................ 5tetrabenazine ................................................................... 28tetracycline hcl ................................................................ 29THALOMID ........................................................................ 14THEO-24 ................................................................................ 7theophylline .......................................................................... 7theophylline er .................................................................... 7THIOLA ................................................................................ 23thioridazine hcl ................................................................ 13thiothixene .......................................................................... 13thrivite 19 ............................................................................ 25THYROLAR-1 .................................................................. 29THYROLAR-1/2 ............................................................. 29THYROLAR-1/4 ............................................................. 29THYROLAR-2 .................................................................. 29THYROLAR-3 .................................................................. 29tiagabine hcl ........................................................................ 7TIAZAC ................................................................................. 15TIGAN ...................................................................................... 9TILIA FE .............................................................................. 17timolol maleate ...................................................... 15, 27TIMOPTIC OCUDOSE ............................................. 27TINDAMAX ........................................................................ 11tinidazole ............................................................................. 11TIROSINT ........................................................................... 29TIVICAY ............................................................................... 14tizanidine hcl ..................................................................... 25TOBI .......................................................................................... 3TOBI PODHALER ........................................................... 3tobradex ............................................................................... 27TOBRADEX ST .............................................................. 27tobramycin ................................................................... 3, 27tobramycin-dexamethasone ................................. 27TOBREX .............................................................................. 27tolazamide ............................................................................. 9tolbutamide ........................................................................... 9tolmetin sodium ................................................................. 4tolterodine tartrate ........................................................ 30tolterodine tartrate er .................................................. 30TOPICORT ........................................................................ 20TOPICORT SPRAY .................................................... 20topiramate ............................................................................. 7topiramate er ....................................................................... 7TOPROL XL ..................................................................... 15torsemide ............................................................................ 21TOUJEO SOLOSTAR .................................................. 9TOVIAZ ................................................................................ 30TRACLEER ....................................................................... 15TRADJENTA ....................................................................... 9tramadol hcl ......................................................................... 5tramadol hcl er ................................................................... 5tramadol hcl er (biphasic) .......................................... 5tramadol-acetaminophen ........................................... 5trandolapril ......................................................................... 10tranexamic acid .............................................................. 23TRANSDERM-SCOP (1.5 MG) ............................. 9tranylcypromine sulfate ............................................... 8TRAVATAN Z .................................................................. 27travoprost ............................................................................ 27trazodone hcl ............................................................. 8, 28TRECATOR ...................................................................... 11

Index

TRESIBA FLEXTOUCH ............................................. 9tretinoin ........................................................................ 12, 20tretinoin (emollient) ...................................................... 20tretinoin microsphere ................................................. 20tretinoin microsphere pump .................................. 20TRETIN-X ........................................................................... 20TREXALL ............................................................................ 12triamcinolone acetonide .................................. 20, 25triamterene-hctz ............................................................. 21triazolam .............................................................................. 24TRIBENZOR ..................................................................... 10TRI-ESTARYLLA .......................................................... 17trifluoperazine hcl ......................................................... 13trifluridine ............................................................................ 27trihexyphenidyl hcl ....................................................... 13TRI-LEGEST FE ............................................................ 17TRI-LINYAH ...................................................................... 17TRI-LO-ESTARYLLA ................................................. 17TRI-LO-MARZIA ............................................................ 17trimethobenzamide hcl ................................................ 9trimethoprim ...................................................................... 11TRINESSA (28) .............................................................. 17TRINESSA LO ................................................................ 17TRINTELLIX ............................................................... 8, 28TRI-PREVIFEM .............................................................. 17TRI-SPRINTEC .............................................................. 17TRIUMEQ ........................................................................... 14TRI-VI-SOL ........................................................................ 25tri-vitamin ............................................................................ 25TRIVORA (28) ................................................................. 17TRIZIVIR ............................................................................. 14TROKENDI XR .................................................................. 7tropicamide ........................................................................ 27trospium chloride ........................................................... 30trospium chloride er .................................................... 30TRULICITY ........................................................................... 9TRUVADA .......................................................................... 14TUDORZA PRESSAIR ................................................ 7TUSSICAPS ..................................................................... 17TYBOST .............................................................................. 13TYLENOL WITH CODEINE #3 ............................. 5TYLENOL WITH CODEINE #4 ............................. 5TYVASO .............................................................................. 15TYVASO REFILL .......................................................... 15TYVASO STARTER ................................................... 15TYZEKA ............................................................................... 14TYZINE ................................................................................. 26UCERIS ............................................................................... 17ULORIC ............................................................................... 23ultimatecare one ............................................................ 25ultimatecare one nf ...................................................... 25ULTRAM ................................................................................. 5ULTRAM ER ........................................................................ 5ULTRAVATE .................................................................... 20ULTRAVATE X (CREAM) ...................................... 20ULTRAVATE X (OINTMENT) .............................. 20UNITHROID ...................................................................... 29UPTRAVI ............................................................................ 28URAMIT MB ..................................................................... 29urea ......................................................................................... 20urea hydrating ................................................................. 20URECHOLINE ................................................................ 30URIBEL ................................................................................ 29uroav-b ................................................................................. 29UROCIT-K 10 .................................................................. 23UROCIT-K 15 .................................................................. 23UROCIT-K 5 ..................................................................... 23uro-mp ................................................................................... 29URSO 250 .......................................................................... 23URSO FORTE ................................................................ 23ursodiol ................................................................................. 23

Index

VAGIFEM ........................................................................... 30valacyclovir hcl ............................................................... 14VALCHLOR ....................................................................... 20VALCYTE ........................................................................... 14valganciclovir hcl ........................................................... 14VALIUM ................................................................................... 6valproic acid ......................................................................... 7valsartan .............................................................................. 10valsartan-hydrochlorothiazide ............................. 11VALTREX ........................................................................... 14vancomycin hcl ............................................................... 11VANOXIDE-HC .............................................................. 20VARUBI ................................................................................... 9VASCEPA .......................................................................... 10VASERETIC ..................................................................... 11VASOTEC .......................................................................... 11VECAMYL .......................................................................... 11VECTICAL ......................................................................... 20VELIVET .............................................................................. 17VELPHORO ...................................................................... 23VELTASSA ............................................................... 14, 27VELTIN ................................................................................. 20venlafaxine hcl ................................................................... 8venlafaxine hcl er ............................................................. 8VENTAVIS ......................................................................... 15VENTOLIN HFA ............................................................... 7VERAMYST ...................................................................... 26verapamil hcl .................................................................... 15verapamil hcl er .............................................................. 15VEREGEN ......................................................................... 20VERIPRED 20 ................................................................. 17VESICARE ........................................................................ 30VESTURA .......................................................................... 17VEXOL .................................................................................. 27V-GO 20 .............................................................................. 24V-GO 30 .............................................................................. 24V-GO 40 .............................................................................. 24VIAGRA ............................................................................... 15VIBERZI ............................................................................... 24VIBRAMYCIN .................................................................. 29VICOPROFEN ................................................................... 5VICTOZA ............................................................................... 9VIDEX .................................................................................... 14VIDEX EC ........................................................................... 14VIEKIRA PAK .................................................................. 23VIIBRYD ........................................................................ 8, 28VIMOVO ................................................................................. 4VIMPAT ................................................................................... 7VIOKACE ............................................................................ 21viorele .................................................................................... 17VIRACEPT ......................................................................... 14VIRAMUNE ....................................................................... 14VIRAMUNE XR .............................................................. 14VIREAD ................................................................................ 14VISTARIL ............................................................................... 6VITAFOL-OB+DHA ..................................................... 25VITAFOL-ONE ................................................................ 25vitamin d (ergocalciferol) ......................................... 30VITEKTA ............................................................................. 14VITUZ .................................................................................... 17VOGELXO ............................................................................ 5vol-care rx ........................................................................... 25vol-nate ................................................................................. 25vol-plus ................................................................................. 25vol-tab rx .............................................................................. 25voriconazole ........................................................................ 9VOSPIRE ER ...................................................................... 7VRAYLAR ........................................................................... 13VUSION ............................................................................... 20VYFEMLA ........................................................................... 17VYTONE .............................................................................. 20

40

Index

VYTORIN ............................................................................ 10VYVANSE ............................................................................. 3warfarin sodium ................................................................. 7WELCHOL ......................................................................... 10WERA .................................................................................... 17WESTHROID ................................................................... 29WP THYROID ................................................................. 29WYMZYA FE .................................................................... 17XALKORI ............................................................................ 12XANAX .................................................................................... 6XARELTO .............................................................................. 7XARTEMIS XR .................................................................. 5XELJANZ ............................................................................... 4XELJANZ XR ...................................................................... 4XELODA .............................................................................. 12XENAZINE ......................................................................... 28XERAC AC ........................................................................ 20XERESE .............................................................................. 20XIFAXAN ............................................................................. 11XOLEGEL ........................................................................... 20XOPENEX HFA ................................................................ 7XTANDI ................................................................................ 12XULANE .............................................................................. 17XURIDEN ........................................................................... 23XYREM ................................................................................. 28ZADITOR ............................................................................ 27zafirlukast .............................................................................. 7zaleplon ................................................................................ 24ZANAFLEX ........................................................................ 25ZANTAC .............................................................................. 29ZARAH ................................................................................. 17ZARXIO ................................................................................ 23ZAVESCA ........................................................................... 23ZEBETA ............................................................................... 15ZEBUTAL .............................................................................. 4ZELAPAR ........................................................................... 13ZELBORAF ....................................................................... 12ZEMPLAR .......................................................................... 22ZENATANE ....................................................................... 20ZENCHENT ...................................................................... 17ZENCHENT FE .............................................................. 17ZENPEP .............................................................................. 21ZENZEDI ................................................................................ 3ZERIT .................................................................................... 14ZESTORETIC .................................................................. 11ZESTRIL .............................................................................. 11ZETIA .................................................................................... 10ZETONNA .......................................................................... 26ZIAC ....................................................................................... 11ZIAGEN ................................................................................ 14ZIANA .................................................................................... 20zidovudine .......................................................................... 14ZINBRYTA ......................................................................... 28ZIOPTAN ............................................................................ 27ziprasidone hcl ................................................................ 13ZIRGAN ............................................................................... 27ZITHRANOL ..................................................................... 20ZITHRANOL-RR ............................................................ 20ZMAX ..................................................................................... 24ZOFRAN ................................................................................. 9ZOLADEX ........................................................................... 12ZOLINZA ............................................................................. 12zolmitriptan ........................................................................ 24zolpidem tartrate ............................................................ 24zolpidem tartrate er ..................................................... 24ZOMIG .................................................................................. 24ZOMIG ZMT ..................................................................... 24ZONEGRAN ........................................................................ 7zonisamide ........................................................................... 7ZONTIVITY ........................................................................ 28ZORBTIVE ......................................................................... 22

Index

ZORTRESS ...................................................................... 14ZOVIA 1/35E (28) ......................................................... 17zovia 1/50e (28) ............................................................. 17ZOVIRAX ................................................................... 14, 20ZUBSOLV .............................................................................. 5ZUPLENZ .............................................................................. 9ZYBAN .................................................................................. 28ZYCLARA ........................................................................... 20ZYCLARA PUMP .......................................................... 20ZYDELIG ............................................................................. 27ZYFLO ..................................................................................... 7ZYFLO CR ............................................................................ 7ZYKADIA ............................................................................. 12ZYLET ................................................................................... 27ZYLOPRIM ........................................................................ 23ZYTIGA ................................................................................ 12

41

ny44/ pharmacy benefit dimensions drug formulary

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