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TRANSCRIPT
Premium Formulary Reference Guide
Your formulary utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically sound and that it supports patient health. This committee reviews and evaluates medications on the formulary based on safety and efficacy to help maintain clinical integrity in all therapeutic categories.
FORMULARY DESIGN
The Optum Premium Formulary is a partially-closed formulary. The Premium Formulary is considered partially-closed because it excludes coverage of some brand-name drugs that do not offer a clear clinical advantage over other less costly brand or generic alternatives. Most other prescription drugs are on the formulary including specialty medications. Some medications may be subject to utilization management programs to ensure appropriate clinical use and cost efficiency. The formulary structure features medications generics (with the lowest copayments), preferred and non-preferred brand-name drugs.
• Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under “GENERIC” have the same active ingredient as the brand-name versions but at a lower cost.
• Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs that will generally have lower co-payments than non-preferred brand name drugs.
• Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have higher co-payments than preferred brand name drugs.
USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS
Many health plans use the formulary to help manage the overall cost of providing prescription drug benefits. This formulary offers a wide range of medications from which to choose. We realize that this formulary reference guide may not include every drug from every manufacturer. However, choosing a generic or preferred drug when it is
Premium Formulary Reference Guide
*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design determines what is
covered and the applicable co‐payment. The medications listed on this formulary are subject to change pursuant to the formulary management
activities of Optum. The presence of a medication on this formulary list does not guarantee coverage. To determine the most up‐to‐date formulary
status of your medication, please visit your member website or call member services at the number listed on your ID card.
appropriate can provide access to the necessary medications to stay healthy, at a cost that is more affordable.
SAVING ON OUT-OF-POCKET COSTS
Your health plan sets the co-payments for each formulary drug status which include generic, preferred brand-name, and non-preferred brand-name medications. Health plans often design prescription drug plans to encourage the use of generic and preferred brand-name drugs. Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients may also pay less for generic drugs, or they may be asked to pay the cost difference between brand-name drugs and their generic alternatives.
PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic version becomes available.
CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE
When employers and other health plans design their prescription drug plans, they may choose to provide coverage only for certain medications, time periods, doses, quantities, or for a specific indications (e.g. they may exclude coverage for medications for unapproved, unproven, or cosmetic indications). When coverage for medications is provided based on use or quantity, your pharmacy benefit may contact your prescriber’s office for additional information to determine whether coverage is available under your plan. Patients who are unsure whether these coverage rules apply for a particular medication can consult their prescription drug benefit manual or contact a Member Services representative to determine specific coverage requirements.
KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED
The following formulary reference guide is designed so that generic products are listed first in each drug category. The preferred brand name products are listed next, and non-preferred brand products are listed last.
OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — a leading provider of integrated health services. Learn more at optum.com.
All OptumTM
trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or
registered marks of their respective owners. © 2015 Optum, Inc. All rights reserved.
Table of Contents
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIHISTAMINES-TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
cefoxitin sodium
cefprozil
cefuroxime axetil
cefuroxime sodium
July 2016 PREFERRED
Cefaclor
ANTI-INFECTIVES NON PREFERRED
Cefaclor ER
PENICILLINS
Cefotan
GENERIC
Cefotetan
amoxicillin
Cefotetan/Dextrose
amoxicillin/clavulanate potassium
Cefoxitin Sodium
amoxicillin/clavulanate potassium ER
Ceftin
ampicillin
Cefuroxime Sodium
ampicillin sodium
Cefuroxime/Dextrose
ampicillin-sulbactam
Mefoxin
dicloxacillin sodium
Zinacef
nafcillin sodium
THIRD GENERATION
oxacillin sodium
GENERIC
penicillin v potassium
cefdinir
penicillin G potassium
cefixime
piperacillin sodium/ tazobactam sodium
cefotaxime sodium
piperacillin sodium/tazobactam sodium
cefpodoxime proxetil
piperacillin/tazobactam
ceftazidime
Amoxicillin/Clavulanate Potassium
ceftriaxone sodium
Ampicillin-sulbactam
Ceftriaxone IN Iso-osmotic Dextrose
PREFERRED
NON PREFERRED
Amoxicillin
Cedax
Ampicillin
Cefditoren Pivoxil
NON PREFERRED
Ceftazidime/Dextrose
Amoxicillin ER
Ceftibuten
Ampicillin Sodium
Ceftriaxone Sodium
Augmentin
Ceftriaxone/Dextrose
Augmentin ES-600
Claforan
Augmentin XR
Claforan/D5W
Bactocill IN Dextrose
Fortaz
Bicillin C-R
Rocephin
Bicillin L-a
Spectracef
Moxatag
Suprax
Nafcillin
Tazicef
Nafcillin Sodium
FOURTH GENERATION
Nallpen Iso-osmotic IN Dextrose
GENERIC
Penicillin G Potassium IN Iso-osmotic Dextrose
cefepime
Penicillin G Procaine
NON PREFERRED
Penicillin G Sodium
Cefepime
Pfizerpen-G
Maxipime
Timentin
Unasyn
MACROLIDES
Unasyn Bulk Pack
GENERIC
Zosyn
azithromycin
clarithromycin
CEPHALOSPORIN
clarithromycin ER
FIRST GENERATION
erythromycin
GENERIC
PREFERRED
cefadroxil
Azithromycin
cefazolin sodium
E.e.s. 400
cephalexin
Erythromycin Base
PREFERRED
Erythromycin Ethylsuccinate
Cephalexin
NON PREFERRED
NON PREFERRED
Biaxin
Ancef
Biaxin XL
Cefazolin
Biaxin XL PAC
Cefazolin Sodium
Dificid
Cefazolin Sodium/Dextrose
E.e.s. Granules
Keflex
Ery-TAB
SECOND GENERATION
Eryped 200
GENERIC
Eryped 400
cefaclor
Erythrocin Lactobionate
cefotetan
Erythrocin Stearate
Effective July 1, 2016 v.2 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2016 Optum, Inc. All rights reserved.
1
PCE gentamicin sulfate/0.9% sodium chloride
Zithromax isotonic gentamicin
Zithromax Tri-PAK neomycin sulfate
Zithromax Z-PAK paromomycin sulfate
Zmax tobramycin
tobramycin sulfate
TETRACYCLINES PREFERRED
Bethkis
GENERIC
NON PREFERRED
demeclocycline HCL
Gentamicin Sulfate/0.9% Sodium Chloride
doxycycline
Isotonic Gentamicin
doxycycline hyclate
Streptomycin Sulfate
doxycycline hyclate DR
Tobramycin Sulfate
doxycycline monohydrate
minocycline HCL
SULFONAMIDES
minocycline HCL ER
tetracycline hydrochloride PREFERRED
Tetracycline HCL Sulfadiazine
NON PREFERRED
Acticlate ANTIMYCOBACTERIAL AGENTS
Adoxa
GENERIC
Adoxa PAK 1/100
ethambutol HCL
Adoxa PAK 1/150
isoniazid
Adoxa PAK 2/100
pyrazinamide
Alodox Convenience Kit
rifabutin
Avidoxy DK
rifampin
Benzodox 30 Kit
NON PREFERRED
Benzodox 60 Kit
Capastat Sulfate
Doryx
Cycloserine
Minocin
Isoniazid
Minocin Kit
Myambutol
Monodox
Mycobutin
Morgidox 1X100MG
Paser
Morgidox 2X100MG
Priftin
Nicazeldoxy 30 Kit
Rifadin
Nicazeldoxy 60 Kit
Rifamate
Nutridox
Rifater
Ocudox
Sirturo
Solodyn
Trecator
Targadox
Vibramycin
ANTIFUNGALS
GENERIC
QUINOLONES
fluconazole
GENERIC
fluconazole IN dextrose
ciprofloxacin
fluconazole IN NACL
ciprofloxacin ER
flucytosine
ciprofloxacin HCL
griseofulvin microsize
ciprofloxacin I.V.-IN D5W
griseofulvin ultramicrosize
levofloxacin
itraconazole
levofloxacin IN D5W
ketoconazole
moxifloxacin HCL
nystatin
ofloxacin
terbinafine HCL
Ciprofloxacin HCL
voriconazole
Ofloxacin
NON PREFERRED
NON PREFERRED
Abelcet
Avelox
Ambisome
Avelox Abc Pack
Amphotec
Cipro
Amphotericin B
Cipro I.V.-IN D5W
Ancobon
Cipro XR
Cancidas
Factive
Cresemba
Levaquin
Diflucan
Moxifloxacin HCL
Eraxis
Noroxin
Fluconazole IN NACL
Grifulvin V
AMINOGLYCOSIDES
Gris-peg
GENERIC Lamisil
amikacin sulfate Mycamine
gentamicin sulfate Noxafil
gentamicin sulfate pediatric Onmel
Effective July 1, 2016
2
Sporanox NON PREFERRED
Sporanox Pulsepak Acyclovir Sodium
Vfend Baraclude
Vfend IV Combivir
Copegus
ANTIVIRALS Cytovene
Epivir
GENERIC
Epivir HBV
abacavir
Famvir
abacavir sulfate/lamivudine/zidovudine
Flumadine
acyclovir
Foscavir
acyclovir sodium
Hepsera
adefovir dipivoxil
Moderiba
cidofovir
Moderiba 1200 Dose Pack
didanosine
Moderiba 800 Dose Pack
entecavir
Olysio
famciclovir
Peg-intron
ganciclovir
Peg-intron Redipen
lamivudine
Peg-intron Redipen PAK 4
lamivudine/zidovudine
Pegintron
nevirapine
Rapivab
nevirapine ER
Rebetol
ribavirin
Relenza Diskhaler
rimantadine HCL
Retrovir
stavudine
Ribasphere
valacyclovir HCL
Ribasphere Ribapak
valganciclovir
Rimantalist
zidovudine
Sitavig
PREFERRED
Tamiflu
Aptivus
Technivie
Atripla
Trizivir
Complera
Tyzeka
Crixivan
Valcyte
Daklinza
Valtrex
Edurant
Victrelis
Emtriva
Videx EC
Epzicom
Viekira PAK
Evotaz
Viramune
Fuzeon
Viramune XR
Genvoya
Virazole
Harvoni
Vistide
Intelence
Zerit
Invirase
Ziagen
Isentress
Zovirax
Kaletra
Lexiva
ANTIMALARIALS
Nevirapine
Norvir GENERIC
Pegasys atovaquone/proguanil HCL
Pegasys Proclick chloroquine phosphate
Prezcobix hydroxychloroquine sulfate
Prezista mefloquine HCL
Rescriptor quinine sulfate
Retrovir IV Infusion Primaquine Phosphate
Reyataz PREFERRED
Ribatab Daraprim
Selzentry NON PREFERRED
Sovaldi Aralen
Stribild Coartem
Sustiva Malarone
Tivicay Plaquenil
Triumeq Qualaquin
Truvada
Tybost AMEBICIDES
Videx Pediatric
PREFERRED
Viracept
Yodoxin
Viread
Vitekta
ANTHELMINTICS
Zepatier
GENERIC
ivermectin
Effective July 1, 2016
3
PREFERRED Orbactiv
Biltricide Pentam 300
Emverm Primaxin IV
NON PREFERRED Primaxin IV Add-vantage
Albenza Primsol
Stromectol Sivextro
Sulfamethoxazole/Trimethoprim
MISC. ANTI-INFECTIVES Synercid
Tindamax
GENERIC
Tygacil
atovaquone
Vancocin HCL
aztreonam
Vancomycin
bacitracin
Vancomycin HCL
clindamycin
Vancomycin HCL + Syrspendsf PH4
clindamycin palmitate HCL
Vancomycin HCL IN Dextrose
clindamycin phosphate
Vibativ
clindamycin phosphate add-vantage
Xifaxan
clindamycin phosphate pharmacy bulk package
Zerbaxa
clindamycin phosphate IN D5W
Zyvox
clindamycin HCL
colistimethate sodium
ANTINEOPLASTICS, ETC
dapsone
imipenem/cilastatin
ALKYLATING AGENTS
lincomycin HCL
GENERIC
linezolid
carboplatin
meropenem
cisplatin
metronidazole
cyclophosphamide
metronidazole IN NACL 0.79%
ifosfamide
polymyxin b sulfate
melphalan hydrochloride
sulfamethoxazole/trimethoprim
oxaliplatin
sulfamethoxazole/trimethoprim DS
temozolomide
tinidazole
Lomustine
trimethoprim
PREFERRED
vancomycin HCL
Alkeran
Linezolid
Bicnu
PREFERRED
Busulfex
Alinia
Hexalen
Nebupent
Leukeran
NON PREFERRED
Mustargen
Avycaz
Myleran
Azactam
Treanda
Azactam IN Iso-osmotic Dextrose
Zanosar
Bactrim
NON PREFERRED
Bactrim DS
Bendeka
Cayston
Cisplatin
Chloramphenicol Sodium Succinate
Cyclophosphamide
Cleocin
Eloxatin
Cleocin IN D5W
Gleostine
Cleocin Pediatric Granules
Gliadel Wafer
Cleocin Phosphate
Ifex
Clin Single Use Kit
Ifosfamide
Clin-lido
Temodar
Clindamycin Phosphate
Thiotepa
Coly-mycin M
Valchlor
Cubicin
Yondelis
Dalvance
Doribax
ANTIBIOTICS
First-vancomycin 25
GENERIC
First-vancomycin 50
bleomycin sulfate
Flagyl
daunorubicin HCL
Flagyl ER
doxorubicin HCL
Invanz
doxorubicin HCL liposome
Ketek
epirubicin HCL
Lincocin
idarubicin HCL
Lincomycin/Lidocaine
mitomycin
Mepron
mitoxantrone HCL
Meropenem/Sodium Chloride
Doxorubicin HCL
Merrem
Mitomycin
Metro IV
PREFERRED
Neutrexin
Daunoxome
Effective July 1, 2016
4
NON PREFERRED Kadcyla
Adriamycin Keytruda
Cosmegen Opdivo
Doxil Portrazza
Ellence Rituxan
Epirubicin HCL Unituxin
Idamycin PFS Vectibix
Zevalin Y-90
ANTINEOPLASTIC ENZYMES
HORMONAL AGENTS
PREFERRED
Oncaspar GENERIC
NON PREFERRED anastrozole
Erwinaze bicalutamide
exemestane
ANTIMETABOLITES flutamide
letrozole
GENERIC
leuprolide acetate
azacitidine
megestrol acetate
capecitabine
tamoxifen citrate
cladribine
PREFERRED
cytarabine
Eligard
cytarabine aqueous
Emcyt
decitabine
Fareston
floxuridine
Faslodex
fludarabine phosphate
Lupron Depot
fluorouracil
Lysodren
gemcitabine
Nilandron
gemcitabine HCL
Zoladex
mercaptopurine
NON PREFERRED
methotrexate
Arimidex
methotrexate sodium
Aromasin
Floxuridine
Casodex
Methotrexate Sodium
Depo-provera
PREFERRED
Femara
Alimta
Firmagon
Arranon
Megace Oral
Clolar
Soltamox
Folotyn
Trelstar
Tabloid
Trelstar Mixject
NON PREFERRED
Vantas
Cytarabine
Xtandi
Dacogen
Zytiga
Fludara
Gemzar
IMMUNOMODULATORS
Purinethol
Purixan GENERIC
Trexall azathioprine
Vidaza cyclosporine
Xeloda cyclosporine modified
mycophenolate mofetil
ANGIOGENESIS INHIBITORS mycophenolic acid DR
sirolimus
PREFERRED
tacrolimus
Avastin
Azathioprine
Zaltrap
PREFERRED
NON PREFERRED
Atgam
Cyramza
Cellcept Intravenous
Cyclosporine Modified
ANTIBODIES
Thalomid
PREFERRED
NON PREFERRED
Adcetris
Astagraf XL
Arzerra
Azasan
Erbitux
Cellcept
Herceptin
Envarsus XR
Perjeta
Imuran
Yervoy
Myfortic
NON PREFERRED
Neoral
Blincyto
Nulojix
Darzalex
Pomalyst
Empliciti
Prograf
Gazyva
Effective July 1, 2016
5
Rapamune Lenvima 24MG Daily Dose
Revlimid Lenvima 8MG Daily Dose
Sandimmune Lynparza
Simulect Ninlaro
Thymoglobulin Sprycel
Zortress Stivarga
Sutent
MITOTIC INHIBITORS Tagrisso
Tarceva
GENERIC
Votrient
docetaxel
Zelboraf
etoposide
Zydelig
paclitaxel
Zykadia
vincristine sulfate
vinorelbine tartrate
TOPOISOMERASE I INHIBITOR
PREFERRED
Abraxane GENERIC
Etoposide irinotecan
Halaven irinotecan HCL
Ixempra Kit topotecan HCL
Jevtana NON PREFERRED
NON PREFERRED Camptosar
Docefrez Hycamtin
Docetaxel Irinotecan
Docetaxel (non-alcohol Formula) Onivyde
Etopophos Topotecan HCL
Marqibo
Navelbine RADIOPHARMACEUTICALS
Paclitaxel
PREFERRED
Taxotere
Xofigo
Teniposide
NON PREFERRED
Vinblastine Sulfate
Metastron
Quadramet
ENZYME INHIBITORS
GENERIC CELLULAR IMMUNOTHERAPY
imatinib mesylate
PREFERRED
PREFERRED
Provenge
Afinitor
Caprelsa
ANTINEOPLASTICS MISC.
Istodax
GENERIC
Jakafi
bexarotene
Kyprolis
dacarbazine
Mekinist
hydroxyurea
Nexavar
tretinoin
Tafinlar
PREFERRED
Tasigna
Actimmune
Torisel
Alferon N
Tykerb
Matulane
Velcade
Proleukin
Xalkori
Theracys
Zolinza
Tice Bcg
NON PREFERRED
Trisenox
Afinitor Disperz
NON PREFERRED
Alecensa
Dacarbazine
Beleodaq
Hydrea
Bosulif
Intron A
Cometriq
Intron A W/Diluent
Cotellic
Nipent
Farydak
Photofrin
Gilotrif
Sylatron
Gleevec
Synribo
Ibrance
Targretin
Iclusig
Uvadex
Imbruvica
Inlyta
CHEMOTHERAPY RESCUE
Iressa
GENERIC
Lenvima 10MG Daily Dose
amifostine
Lenvima 14MG Daily Dose
dexrazoxane
Lenvima 18MG Daily Dose
leucovorin calcium
Lenvima 20MG Daily Dose
levoleucovorin
Effective July 1, 2016
6
levoleucovorin calcium GENERIC
mesna acebutolol HCL
PREFERRED atenolol
Leucovorin Calcium betaxolol HCL
NON PREFERRED bisoprolol fumarate
Calcium Folinate carvedilol
Ethyol esmolol HCL
Fusilev labetalol HCL
Levoleucovorin metoprolol succinate ER
Mesnex metoprolol tartrate
Totect nadolol
Voraxaze pindolol
Zinecard propranolol HCL
propranolol HCL ER
CHEMOTHERAPY ADJUNCTS sotalol HCL
sotalol HCL (AF)
PREFERRED
Metoprolol Tartrate
Kepivance
PREFERRED
NON PREFERRED
Bystolic
Elitek
Propranolol HCL
Timolol Maleate
ANTINEOPLASTIC COMBO
NON PREFERRED
NON PREFERRED
Betapace
Lonsurf
Betapace AF
Brevibloc
CARDIOVASCULAR DRUGS
Coreg
PHOSPHODIESTERASE INHBTR
Coreg CR
GENERIC
Corgard
milrinone lactate
Hemangeol
milrinone IN dextrose
Hypertenevide-12.5
Inderal LA
CARDIAC GLYCOSIDES
Inderal XL
GENERIC
Innopran XL
digoxin
Kerlone
PREFERRED
Levatol
Lanoxin
Lopressor
NON PREFERRED
Sectral
Digoxin
Sotalol Hydrochloride
Lanoxin Pediatric
Sotylize
Tenormin
ANTIANGINAL AGENTS
Toprol XL
GENERIC
Trandate
isosorbide dinitrate
Zebeta
isosorbide mononitrate
isosorbide mononitrate ER
CALCIUM CHANNEL BLOCKERS
nitroglycerin lingual
GENERIC
nitroglycerin transdermal
amlodipine besylate
nitroglycerin ER
diltiazem CD
nitroglycerin IN dextrose 5%
diltiazem HCL
nitroglycerin IN 5% dextrose
diltiazem HCL ER
Isosorbide Dinitrate
felodipine ER
Nitroglycerin Lingual
isradipine
PREFERRED
nicardipine HCL
Dilatrate SR
nifedipine
Isosorbide Dinitrate ER
nifedipine ER
Nitro-bid
nimodipine
Nitro-dur
nisoldipine
Nitrostat
verapamil HCL
Ranexa
verapamil HCL ER
NON PREFERRED
verapamil HCL SR
Imdur
NON PREFERRED
Isordil Titradose
Adalat CC
Nitroglycerin
Calan
Nitroglycerin IN Dextrose 5%
Calan SR
Nitrolingual Pumpspray
Cardene IV
Nitromist
Cardene SR
Nitronal
Cardizem
Cardizem CD
BETA BLOCKERS
Cardizem LA
Effective July 1, 2016
7
Cleviprex Lotensin
Diltiazem HCL Mavik
Hypertenipine-2.5 Prinivil
Nisoldipine Univasc
Nisoldipine ER Vasotec
Norvasc Zestril
Nymalize
Procardia ANGIOTENSIN RCPTR BLOCKER
Procardia XL
GENERIC
Sular
candesartan cilexetil
Tiazac
irbesartan
Verelan
losartan potassium
Verelan PM
telmisartan
valsartan
ANTIARRHYTHMICS
Eprosartan Mesylate
GENERIC PREFERRED
adenosine Benicar
amiodarone HCL NON PREFERRED
disopyramide phosphate Atacand
dofetilide Avapro
flecainide acetate Cozaar
ibutilide fumarate Diovan
lidocaine HCL Edarbi
lidocaine HCL IN D5W Micardis
lidocaine HCL/dextrose Teveten
mexiletine HCL
propafenone HCL DIRECT RENIN INHIBITORS
propafenone HCL ER
PREFERRED
quinidine gluconate CR
Tekturna
quinidine gluconate ER
quinidine sulfate
ANTIHYPERTENSIVES MISC.
Quinidine Sulfate ER
GENERIC
PREFERRED
clonidine HCL
Norpace CR
doxazosin
Quinidine Sulfate
doxazosin mesylate
NON PREFERRED
eplerenone
Adenocard
fenoldopam mesylate
Amiodarone HCL
guanfacine HCL
Cordarone
hydralazine HCL
Corvert
methyldopa
Lidocaine HCL
minoxidil
Multaq
phenoxybenzamine hydrochloride
Nexterone
prazosin HCL
Norpace
terazosin HCL
Procainamide HCL
PREFERRED
Quinidine Gluconate
Reserpine
Rythmol
NON PREFERRED
Rythmol SR
Cardura
Tikosyn
Catapres
Xylocaine
Catapres-tts-1
Catapres-tts-2
ACE INHIBITORS
Catapres-tts-3
GENERIC
Corlopam
benazepril HCL
Demser
captopril
Dibenzyline
enalapril maleate
Inspra
enalaprilat
Methyldopate HCL
fosinopril sodium
Minipress
lisinopril
Nitropress
moexipril HCL
Phentolamine Mesylate
perindopril erbumine
Tenex
quinapril HCL
Vecamyl
ramipril
trandolapril
ANTIHYPERTENSIVE COMBO
NON PREFERRED
GENERIC
Accupril
amlodipine besylate/benazepril hydrochloride
Aceon
amlodipine besylate/benazepril HCL
Altace
amlodipine besylate/valsartan
Epaned
amlodipine/valsartan/hctz
Effective July 1, 2016
8
atenolol/chlorthalidone ethacrynate sodium
benazepril HCL/hydrochlorothiazide furosemide
bisoprolol fumarate/hydrochlorothiazide hydrochlorothiazide
candesartan cilexetil/hydrochlorothiazide indapamide
enalapril maleate/hydrochlorothiazide mannitol
fosinopril sodium/hydrochlorothiazide methazolamide
irbesartan/hydrochlorothiazide metolazone
lisinopril/hydrochlorothiazide spironolactone
losartan potassium/hydrochlorothiazide spironolactone/hydrochlorothiazide
metoprolol/hydrochlorothiazide torsemide
moexipril/hydrochlorothiazide triamterene/hydrochlorothiazide
nadolol/bendroflumethiazide Acetazolamide
quinapril/hydrochlorothiazide Chlorothiazide
telmisartan/amlodipine Chlorthalidone
telmisartan/hydrochlorothiazide Triamterene/Hydrochlorothiazide
trandolapril/verapamil HCL PREFERRED
trandolapril/verapamil HCL ER Furosemide
valsartan/hydrochlorothiazide Methyclothiazide
PREFERRED NON PREFERRED
Azor Aldactazide
Benicar HCT Aldactone
Captopril/Hydrochlorothiazide Bumex
Dutoprol Demadex
Methyldopa/Hydrochlorothiazide Diamox
Propranolol/Hydrochlorothiazide Diuril
Tekturna HCT Dyazide
Tribenzor Dyrenium
NON PREFERRED Edecrin
Accuretic Keveyis
Amturnide Lasix
Atacand HCT Maxzide
Avalide Maxzide-25
Clorpres Microzide
Corzide Neptazane
Diovan HCT Sodium Diuril
Edarbyclor Sodium Edecrin
Exforge Torsemide
Exforge HCT Zaroxolyn
Hypertensolol
Hyzaar VASOPRESSORS
Lopressor HCT
GENERIC
Lotensin HCT
dobutamine HCL
Lotrel
dobutamine HCL/D5W
Lytensopril Kit
dobutamine/dextrose 5%
Lytensopril-90 Kit
dopamine HCL
Micardis HCT
dopamine HCL-dextrose 5%
Prestalia
dopamine HCL/dextrose 5%
Tarka
dopamine/D5W
Tekamlo
ephedrine sulfate
Tenoretic 100
midodrine HCL
Tenoretic 50
norepinephrine bitartrate
Teveten HCT
phenylephrine HCL
Twynsta
PREFERRED
Uniretic
Epipen 2-PAK
Vaseretic
Epipen-JR 2-PAK
Zestoretic
NON PREFERRED
Ziac
Adrenalin
Akovaz
DIURETICS
Dopamine HCL
GENERIC Ephedrine Sulfate
acetazolamide Ephedrine Sulfate/Sodium Chloride
acetazolamide sodium Epinephrine
acetazolamide ER Epinephrine HCL
amiloride HCL Episnap
amiloride/hydrochlorothiazide Levophed
bumetanide Northera
chlorothiazide Phenylephrine HCL
chlorothiazide sodium Phenylephrine HCL/Sodium Chloride
chlorthalidone Vazculep
Effective July 1, 2016
9
ANTIHYPERLIPIDEMICS NON PREFERRED
Adcirca
GENERIC
Bidil
atorvastatin calcium
Caduet
cholestyramine
Corlanor
cholestyramine light
Entresto
colestipol HCL
Flolan
fenofibrate
Muse
fenofibrate micronized
Natrecor
fenofibric acid DR
Orenitram
fluvastatin
Revatio
fluvastatin sodium ER
Tyvaso
gemfibrozil
Tyvaso Refill
lovastatin
Tyvaso Starter
niacin ER
Uptravi
omega-3-acid ethyl esters
Ventavis
pravastatin sodium
rosuvastatin calcium
DERMATOLOGICALS
simvastatin
Fenofibric Acid
ACNE PRODUCTS
PREFERRED
GENERIC
Fibricor
adapalene
Lipofen
adapalene P.M.
Niacor
benzoyl peroxide
Praluent
benzoyl peroxide SHORT contact
Simcor
clindamycin phosphate
Vascepa
clindamycin/benzoyl peroxide
Welchol
erythromycin
NON PREFERRED
erythromycin/benzoyl peroxide
Advicor
sodium sulfacetamide
Antara
sodium sulfacetamide/sulfur
Colestid
sodium sulfacetamide/sulfur cleanser
Colestid Flavored
sodium sulfacetamide/sulfur cleansing cloths
Crestor
sodium sulfacetamide/sulfur green
Fenofibrate
sodium sulfacetamide/sulfur w/sunscreen
Fenoglide
sodium sulfacetamide/sulfur wash
Juxtapid
sulfacetamide sodium
Kynamro
sulfacetamide sodium/sulfur
Lescol XL
sulfacetamide sodium/sulfur cleanser
Lofibra
tretinoin
Lopid
tretinoin microsphere
Lovaza
tretinoin microsphere P.M.
Niaspan
PREFERRED
Omega-3/D-3 Wellness Pack
Benzamycinpak
Questran
Clindagel
Questran Light
Retinoic Acid
Repatha
Retinoic Acid-all Trans
Repatha Sureclick
Tretinoin
Tricor
Tretinoin (all-trans Retinoic Acid)
Triglide
NON PREFERRED
Trilipix
Absorica
Zetia
Acanya
Aczone
CARDIOVASCULAR - MISC.
Adapalene
GENERIC
Akne-mycin
amlodipine besylate/atorvastatin calcium
Atralin
epoprostenol sodium
Avar
papaverine HCL
Avar LS
sildenafil
Avar LS Cleanser
sildenafil citrate
Avar-e LS
PREFERRED
Azelex
Adempas
Benzac Ac Wash
Cialis
Benzac W Wash
Letairis
Benzaclin
Opsumit
Benzaclin With P.M.
Remodulin
Benzamycin
Stendra
Benzefoam
Tracleer
Benzefoamultra
Veletri
Benziq
Benziq LS
Effective July 1, 2016
10
Clarifoam EF Baclofen
Cleocin-t Equipto-baclofen
Clindacin Etz
Clindacin PAC ANTIBIOTICS - TOPICAL
Clindap-t
GENERIC
Clinoin
mupirocin
Dermapak Plus
mupirocin calcium
Differin
PREFERRED
Duac
Centany
Epiduo
Gentamicin Sulfate
Epiduo Forte
NON PREFERRED
Erygel
Altabax
Evoclin
Bactroban
Fabior
Centany AT
Inova
Cortisporin
Inova 4/1 Acne Control Therapy
Neo-synalar
Inova 8/2 Acne Control Therapy
Neo-synalar Kit
Klaron
Neuac Kit
ANTIFUNGALS - TOPICAL
Nuox
GENERIC
Onexton
ciclopirox
Plexion
ciclopirox nail lacquer
Plexion Cleanser
ciclopirox olamine
Plexion Cleansing Cloths
clotrimazole
Prascion Ra With Sunscreens
clotrimazole/betamethasone dipropionate
Retin-a
econazole nitrate
Retin-a Micro
ketoconazole
Retin-a Micro P.M.
naftifine hydrochloride
Riax
nystatin
Rosanil
nystatin/triamcinolone
Rosula
oxiconazole nitrate
Sodium Sulfacetamide/Sulfur
PREFERRED
Sodium Sulfacetamide/Sulfur Cleanser IN Urea
Ala-quin
Sodium Sulfacetamide/Sulfur IN Urea
Exoderm
Sulfoam
NON PREFERRED
Sumadan Kit
Ciclodan Cream Kit
Sumadan Wash
Ciclodan Solution Kit
Sumadan XLT
Ciclopirox Topical Solution Kit
Sumaxin
Cnl8 Nail Kit
Sumaxin CP Kit
Ecoza
Sumaxin Ts
Ertaczo
Sumaxin Wash
Exelderm
Tretin-x
Extina
Triseon
Halotin
Vanoxide-HC
Jublia
Veltin
Kerydin
Zacare 4% Kit
Ketodan Kit
Zacare 8% Kit
Lamisil Spray
Ziana
Loprox
Loprox Shampoo
ROSACEA AGENTS
Lotrisone
GENERIC
Luzu
metronidazole
Mentax
Doxycycline
Naftifine HCL
PREFERRED
Naftin
Finacea
Nizoral
NON PREFERRED
Nyata
Metrocream
Oxistat
Metrogel
Pediaderm AF Complete Kit
Metrolotion
Pedipirox-4 Nail
Mirvaso
Penlac Nail Lacquer
Noritate
Recura
Oracea
Vusion
Rosadan Kit
Xolegel
Soolantra
Xolegel Corepak
Xolegel Duo/Head & Shoulders
ANALGESICS - TOPICAL
Xolegel Duo/Xolex
NON PREFERRED
A.a.g.c. Kit IN Teroderm
Effective July 1, 2016
11
ANTIVIRALS - TOPICAL ANTISEBORRHEIC AGENTS
GENERIC GENERIC
acyclovir selenium sulfide
NON PREFERRED sodium sulfacetamide
Denavir sodium sulfacetamide wash
Lidovir NON PREFERRED
Xerese Glycolic Acid
Zovirax Glycolic Acid 70% High Purity
Ovace Plus
ANTIHISTAMINES-TOPICAL Ovace Plus Wash
Ovace Wash
NON PREFERRED
Promiseb
Allo-pax
Promiseb Complete
Nazirex
Selrx
Tersi Foam
ANTI-INFLAMMATORY AGENTS
TL Triseb
GENERIC
diclofenac sodium
CORTICOSTEROIDS - TOPICAL
NON PREFERRED
GENERIC
Dermacinrx Lexitral Pharmapak
alclometasone dipropionate
Dipentocaine
augmented betamethasone dipropionate
Dsg PAK
betamethasone dipropionate
Emvoren
betamethasone valerate
Equipto-naproxen
calcipotriene/betamethasone dipropionate
Extardol
clobetasol propionate
Flector
clobetasol propionate emollient
Innoprax-5
desonide
K.b.g.l. IN Teroderm Cream
desoximetasone
Ketorolac 2% Gel
fluocinolone acetonide
Lidoprofen
fluocinonide
Novoclair
fluocinonide-e
Nuvya
flurandrenolide
Pennsaid
fluticasone propionate
Voltaren
halobetasol propionate
Vopac
hydrocortisone
Vopac GB
hydrocortisone acetate/aloe
Vopac Kt
hydrocortisone butyrate
Xrylix
hydrocortisone butyrate (lipid)
Zyvodol
hydrocortisone butyrate (lipophilic)
hydrocortisone valerate
ANTIPRURITICS
hydrocortisone IN absorbase
GENERIC
mometasone furoate
Doxepin Hydrochloride
prednicarbate
NON PREFERRED
triamcinolone acetonide
Prudoxin
Amcinonide
Zonalon
Desoximetasone
Diflorasone Diacetate
ANTIPSORIATICS
PREFERRED
GENERIC
Pramosone
acitretin
Triamcinolone Acetonide
calcipotriene
NON PREFERRED
methoxsalen
Aclovate
Calcitriol
Advanced Allergy Collection Kit
PREFERRED
Ala Scalp
Anthralin
Capex
Dritho-creme HP
Clobex
Stelara
Clocortolone Pivalate
Vectical
Clocortolone Pivalate P.M.
NON PREFERRED
Clodan Kit
Cosentyx
Cloderm
Cosentyx Sensoready Pen
Cloderm P.M.
Dovonex
Cordran
Oxsoralen Ultra
Cordran Tape
Soriatane
Cutivate
Sorilux
Derma Silkrx Sds PAK
Tazorac
Derma-smoothe/FS Body
Zithranol
Derma-smoothe/FS Scalp
Zithranol-rr
Dermasorb HC
8-mop
Dermasorb Ta
Effective July 1, 2016
12
Dermatop lidocaine
Dermawerx Sds PAK lidocaine HCL
Dermazone lidocaine HCL jelly
Desonate lidocaine-prilocaine-cream base
Desowen lidocaine/prilocaine
Desowen Cream/Cetaphil Lotion lindane
Desowen Lotion/Cetaphil Cream malathion
Desowen Ointment/Cetaphil Lotion permethrin
Diprolene podofilox
Diprolene AF salicylic acid
Elocon salicylic acid cream
Enstilar salicylic acid lotion
Epifoam sodium hyaluronate
First-hydrocortisone urea
Halog urea topical
Kenalog urea IN zinc undecylenate/lactic acid vehicle
Locoid urea 40% nail film
Locoid Lipocream PREFERRED
Luxiq Drysol
Noxipak Eurax
Nucort Lindane
Nuzon NON PREFERRED
Olux Accucaine
Olux-e Acuicyn Daily Eyelid & Eyelash Cleanser
Pandel Alevicyn Antipruritic SG
Pediaderm HC Aluvea
Pediaderm Ta Anacaine
Scalacort DK Arnica Flower
Silazone Pharmapak Atopiclair
Silazone-II Aurstat Anti-itch Hydrogel
Synalar Aurstat Anti-itch Hydrogel Kit
Synalar Cream Kit Avenova
Synalar Ointment Kit Avenova/Neutrox
Synalar Ts Benzoin Compound Tincture
Taclonex Benzoin Tincture
Temovate Boric Acid
Temovate E Ceracade
Texacort Clever Choice Comfort EZ Patch
Topicort Coal TAR
Tri-sila Cocaine HCL
Triamsil Combipak Condylox
Trianex Copasil
Triderma Forte Dermacinrx Duopatch Pharmapak
Ultravate Dermacinrx Neurotral Pharmapak
Ultravate X Dermacinrx Phn PAK
Validerm Dermacinrx Surgical Pharmapak
Vanos Dermacinrx Zrm PAK
Verdeso Dermasorb XM
Westcort Dermawerx Surgical Plus PAK
Eletone
IMMUNOMODULATING AGENTS Eletone Twinpack
Elimite
GENERIC
Emla
imiquimod
Emulsion SB
tacrolimus
Entty Spray Emulsion
PREFERRED
Epiceram
Elidel
Ethyl Chloride
NON PREFERRED
Ethyl Chloride/Fine Pinpoint
Aldara
Ethyl Chloride/Fine Stream
Protopic
Ethyl Chloride/Medium Jet Stream
Zyclara
Ethyl Chloride/Medium Stream
Zyclara P.M.
Ethyl Chloride/Mist
Gebauers Pain Ease
DERMATOLOGICALS - MISC.
Gebauers Spray And Stretch
GENERIC
Genadur
ammonium lactate
Genadur Kit
episone CRE
Gordofilm
lactic acid
Gordons Urea
lactic acid e
Hydro 35
lactic acid w/vitamin e
Hydro 40 Foam
Effective July 1, 2016
13
Hylatopic Uramaxin GT Kit
Hylatopic Plus Utopic
Hylira Venipuncture Cpi
HPR Veregen
HPR Plus Verrunex
HPR Plus Hydrogel Kit Vexa
HPR Plus/Mb Hydrogel Virasal
IV Infusion Cpi Xerac Ac
Kerafoam Xylocaine
Kerafoam 42
Keralac ENDOCRINE AND METABOLIC
Keralyt
CORTICOSTEROIDS
Keralyt Scalp
GENERIC
Lac-hydrin
betamethasone sodium phosphate/betamethasone acetate
Latrix XM
Ldo Plus
budesonide
Lido-RX 4.1
dexamethasone
Lidocaine And Tetracaine Cream
dexamethasone sodium phosphate
Lidocaine HCL
fludrocortisone acetate
Lidoderm
hydrocortisone
Lidothol
methylprednisolone
Lidotral
methylprednisolone acetate
Lycelle
methylprednisolone dose pack
Mb Hydrogel
methylprednisolone sodiumsuccinate
Medi-derm/L-RX
prednisolone
Megrix
prednisolone sodium phosphate
Natroba
prednisolone sodium phosphate odt
Neosalus
prednisone
Neosalus CP
Dexamethasone Sodium Phosphate
Neuvaxin
PREFERRED
Nivatopic Plus
Cortisone Acetate
Nuvail
Dexamethasone
Ovide
Medrol
Oxsoralen
Millipred
Pharmacist Choice Tsx Patch
Prednisone
Pliaglis
Prednisone Intensol
Pr Cream
NON PREFERRED
Presera
Aristospan Intra-articular
Pruclair
Beta Inject Kit
Prumyx
Betalido
Pyrogallic Acid
Betamethasone SP
Qutenza
Celestone-soluspan
Relyyks
Cortef
Relyyt
Depo-medrol
Salex
Dexamethasone Intensol
Salex Cream
Dexlido
Salex Lotion
Dexlido-m
Salicylic Acid
Dexpak 10 Day
Salicylic Acid IN Ammonium Lactate Vehicle
Dexpak 13 Day
Salkera
Dexpak 6 Day
Salvax
Doubledex
Salvax Duo Plus
Dyural-l
Scar Patch
Dyural-lm
Sinelee
Dyural-40
Sklice
Dyural-80
Solaice
Entocort EC
Soothee
Interarticular Joint Kit
Spinosad
Kenalog-10
Sulfurated Lime
Kenalog-40
Supracil
K10-lido
Synera
K40-lido
Tetrix
LT Injection Kit
Tropazone
Marbeta-l
Ulesfia
Marbeta-25
Ultrasal-ER
Mardex-25
Umecta
Medrol Dosepak
Umecta Nail Film
Methylprednisolone
Umecta PD
Methylprednisolone PF
Uramaxin
Methylprednisolone/Lidocaine
Uramaxin GT
Effective July 1, 2016
14
Millipred DP Climara
Mlk F4 Kit Combipatch
Orapred Odt Delestrogen
Pediapred Depo-estradiol
Prednisolone Sodium Phosphate Divigel
Pro-c-dure 1 Kit Elestrin
Pro-c-dure 2 Kit Enjuvia
Pro-c-dure 3 Kit Estrace
Pro-c-dure 4 Kit Estradiol
Pro-c-dure 5 Kit Estrasorb
Pro-c-dure 6 Kit Estrogel
Rayos Evamist
Readysharp-k Femhrt Low Dose
Readysharp-p40 Menostar
Readysharp-p80 Minivelle
Solu-cortef Prefest
Solu-medrol Premarin
Triamcinolone Vivelle-dot
Triamcinolone PF
Triamcinolone/Lidocaine CONTRACEPTIVES
Uceris
GENERIC
Veripred 20
desogestrel/ethinyl estradiol
drospirenone/ethinyl estradiol
ANDROGENS-ANABOLIC
levonorgestrel
GENERIC levonorgestrel and ethinyl estradiol
danazol levonorgestrel/ethinyl estradiol
methyltestosterone norethindrone
oxandrolone norethindrone & ethinyl estradiol ferrous fumarate
testosterone cypionate norethindrone acetate/ethinyl estradiol
testosterone enanthate norethindrone acetate/ethinyl estradiol/ferrous fumarate
PREFERRED norgestimate/ethinyl estradiol
Androderm Levonorgestrel
Androgel PREFERRED
Androgel P.M. Natazia
Androxy Necon 1/50-28
NON PREFERRED Necon 10/11-28
Anadrol-50 Norinyl 1+50
Android Nuvaring
Aveed Zovia 1/50e
Depo-testosterone NON PREFERRED
First-testosterone Beyaz
First-testosterone Mc Compounding Kit Brevicon-28
Natesto Cyclessa
Oxandrin Desogen
Striant Ella
Testone Cik Estrostep FE
Testopel Falessa
Testosterone Femcon FE
Testred Generess FE
Loestrin FE 1.5/30
ESTROGENS Loestrin FE 1/20
Loestrin 1.5/30-21
GENERIC
Loestrin 1/20-21
estradiol
Loseasonique
estradiol valerate
LO Loestrin FE
estradiol/norethindrone acetate
Minastrin 24 FE
norethindrone acetate/ethinyl estradiol
Mircette
Estropipate
Modicon
PREFERRED
Nor-QD
Alora
Norinyl 1+35
Climara Pro
Ortho Micronor
Duavee
Ortho Tri-cyclen
Menest
Ortho Tri-cyclen LO
Premphase
Ortho-cept
Prempro
Ortho-cyclen
NON PREFERRED
Ortho-novum 1/35
Activella
Ortho-novum 7/7/7
Angeliq
Ovcon-35
Biest/Progesterone
Quartette
Cenestin
Effective July 1, 2016
15
Safyral Glucotrol
Seasonique Glucotrol XL
Tri-norinyl 28 Glynase
Yasmin 28 BIGUANIDES
Yaz GENERIC
metformin HCL
PROGESTINS metformin HCL ER
NON PREFERRED
GENERIC
Fortamet
hydroxyprogesterone caproate
Glucophage
medroxyprogesterone acetate
Glucophage XR
megestrol acetate
Glumetza
norethindrone acetate
Riomet
progesterone
MEGLITINIDE ANALOGUES
NON PREFERRED
GENERIC
Aygestin
nateglinide
Makena
repaglinide
Medroxyprogesterone/Lidocaine
NON PREFERRED
Megace ES
Prandin
Progesterone 10% Kit
Starlix
Prometrium
DIABETIC OTHER
Provera
PREFERRED
Glucagen Hypokit
ANTIDIABETIC AGENTS
Glucagon Emergency Kit
INSULIN
Invokana
PREFERRED
Jardiance
Humalog
Proglycem
Humalog Kwikpen
NON PREFERRED
Humalog Mix 50/50
Korlym
Humalog Mix 50/50 Kwikpen
ALPHA-GLUCOSIDASE INHIBIT
Humalog Mix 75/25
GENERIC
Humalog Mix 75/25 Kwikpen
acarbose
Humulin N
miglitol
Humulin N Kwikpen
NON PREFERRED
Humulin R
Glyset
Humulin R U-500 (concentrated)
Precose
Humulin R U-500 Kwikpen
DPP-4 INHIBITORS
Humulin 70/30
GENERIC
Humulin 70/30 Kwikpen
Alogliptin
Lantus
PREFERRED
Lantus Solostar
Januvia
NON PREFERRED
Onglyza
Afrezza
INSULIN SENSITIZING AGENT
Toujeo Solostar
GENERIC
Tresiba Flextouch
pioglitazone HCL
AMYLIN ANALOGS
NON PREFERRED
NON PREFERRED
Actos
Symlinpen 120
Avandia
Symlinpen 60
ANTIDIABETIC COMBINATIONS
INCRETIN MIMETIC AGENTS
GENERIC
PREFERRED
glipizide/metformin HCL
Bydureon
glyburide/metformin HCL
Byetta
pioglitazone HCL-glimepiride
Trulicity
pioglitazone HCL/metformin HCL
Victoza
Alogliptin/Metformin HCL
SULFONYLUREAS
Alogliptin/Pioglitazone
GENERIC
Repaglinide/Metformin Hydrochloride
glimepiride
PREFERRED
glipizide
Invokamet
glipizide ER
Janumet
glyburide
Janumet XR
glyburide micronized
Kombiglyze XR
tolazamide
Synjardy
Glyburide
NON PREFERRED
Tolazamide
Actoplus Met
PREFERRED
Actoplus Met XR
Chlorpropamide
Appformin
Diabeta
Appformin-d
Tolbutamide
Avandamet
NON PREFERRED
Avandaryl
Amaryl
Effective July 1, 2016
16
Duetact LHRH/GNRH AGONIST
Glucovance
PREFERRED
Glyxambi
Lupron Depot-PED
Prandimet
Supprelin LA
Synarel
BISPHOSPHONATES
NON PREFERRED
GENERIC Lupaneta Pack
alendronate sodium
ibandronate sodium GNRH/LHRH ANTAGONISTS
pamidronate disodium
PREFERRED
risedronate sodium
Cetrotide
risedronate sodium DR
NON PREFERRED
zoledronic acid
Ganirelix Acetate
PREFERRED
Alendronate Sodium
GROWTH HORMONES
NON PREFERRED
PREFERRED
Actonel
Norditropin Cartridge
Atelvia
Norditropin Flexpro
Binosto
Norditropin Nordiflex Pen
Boniva
Nutropin AQ Nuspin 10
Etidronate Disodium
Nutropin AQ Nuspin 20
Fosamax
Nutropin AQ Nuspin 5
Fosamax Plus D
Nutropin AQ Pen
Pamidronate Disodium
Saizen
Reclast
Saizen Click.easy
Zoledronic Acid
Serostim
Zometa
NON PREFERRED
Zorbtive
CALCITONINS
GENERIC
GHRH
calcitonin salmon
NON PREFERRED
calcitonin-salmon
Egrifta
NON PREFERRED
Fortical
SOMATOMEDINS
Miacalcin
PREFERRED
Increlex
PARATHYROID HORMONE
PREFERRED
SOMATOSTATIC AGENTS
Forteo
GENERIC
NON PREFERRED
octreotide acetate
Natpara
NON PREFERRED
Sandostatin
RANK LIGAND INHIBITORS
Sandostatin Lar Depot
PREFERRED
Signifor
Prolia
Signifor Lar
Xgeva
Somatuline Depot
HORMONE RECEPTOR MDLTR
GH RECEPTOR ANTAGONISTS
GENERIC
NON PREFERRED
raloxifene hydrochloride
Somavert
NON PREFERRED
Evista
POSTERIOR PITUITARY
Osphena
GENERIC
desmopressin acetate
FERTILITY REGULATORS
vasopressin
GENERIC
NON PREFERRED
chorionic gonadotropin
Ddavp
clomiphene citrate
Pitressin Synthetic
PREFERRED
Stimate
Follistim AQ
Vasostrict
Gonal-f
Gonal-f RFF
CORTICOTROPIN
Gonal-f RFF Rediject
NON PREFERRED
NON PREFERRED
H.p. Acthar
Bravelle
Menopur
PROLACTIN INHIBITORS
Ovidrel
GENERIC
Repronex
cabergoline
Effective July 1, 2016
17
VASOPRESSIN ANTAGONISTS LAXATIVES
PREFERRED GENERIC
Samsca lactulose
NON PREFERRED peg 3350/electrolytes
Vaprisol peg-3350/electrolytes
peg-3350/NACL/NA bicarbonate/KCL
PROGESTERONE ANTAGONISTS polyethylene glycol 3350
NON PREFERRED
NON PREFERRED
Cascara Sagrada
Mifeprex
Colyte-flavor Packs
Golytely
METABOLIC MODIFIERS
Kristalose
GENERIC
Mineral Oil Heavy
calcitriol
Moviprep
doxercalciferol
Nulytely/Flavor Packs
levocarnitine
Osmoprep
paricalcitol
Pcp 100
sodium phenylbutyrate
Prepopik
PREFERRED
Suclear
Aldurazyme
Suprep Bowel Prep
Carbaglu
Elaprase
ANTIDIARRHEALS
Fabrazyme
GENERIC
Kuvan
diphenoxylate/atropine
Lumizyme
loperamide HCL
Myozyme
opium
Naglazyme
opium tincture
NON PREFERRED
PREFERRED
Ammonul
Diphenoxylate/Atropine
Buphenyl
Paregoric
Carnitor
NON PREFERRED
Carnitor SF
Fulyzaq
Cystadane
Lomotil
Hectorol
Motofen
Kanuma
Restora RX
Myalept
Restora Sprinkles
Orfadin
Rezyst IM
Ravicti
Rezyst SB
Rocaltrol
Vsl#3 DS
Sensipar
Strensiq
ANTACIDS
Vimizim
Xuriden NON PREFERRED
Zemplar Sodium Bicarbonate
THYROID AGENTS ULCER DRUGS
GENERIC GENERIC
levothyroxine sodium atropine sulfate
liothyronine sodium chlordiazepoxide HCL/clidinium bromide
methimazole cimetidine
propylthiouracil cimetidine HCL
NON PREFERRED dicyclomine HCL
Armour Thyroid esomeprazole magnesium
Cytomel esomeprazole sodium
Levothyroxine Sodium famotidine
Nature-throid glycopyrrolate
Nature-throid Nt-2.5 hyoscyamine sulfate
Synthroid hyoscyamine sulfate odt
Tapazole hyoscyamine sulfate ER
Thyrolar-1 hyoscyamine sulfate SR
Thyrolar-1/2 lansoprazole
Thyrolar-1/4 lansoprazole/amoxicillin/clarithromycin
Thyrolar-2 methscopolamine bromide
Thyrolar-3 misoprostol
Tirosint nizatidine
Triostat omeprazole
Westhroid omeprazole/sodium bicarbonate
Wp Thyroid pantoprazole sodium
rabeprazole sodium
GASTROINTESTINAL ranitidine HCL
Effective July 1, 2016
18
sucralfate Diclegis
Esomeprazole Sodium Dimenhydrinate
Famotidine Emend
Nizatidine Granisol
PREFERRED Marinol
Carafate Sancuso
Dexilant Tigan
Omeclamox-PAK Transderm-scop
Propantheline Bromide Varubi
Pylera Zofran
Symax Duotab Zofran Odt
NON PREFERRED Zuplenz
Aciphex
Aciphex Sprinkle DIGESTIVE AIDS
Anaspaz
PREFERRED
Atropen
Creon
Atropine Sulfate
Pancrelipase
Axid
Zenpep
Belladonna & Opium
NON PREFERRED
Belladonna Alkaloids & Opium
Sucraid
Bentyl
Cantil
GASTROINTESTINAL - MISC.
Cuvposa
GENERIC
Cytotec
alosetron hydrochloride
Deprizine Fusepaq
balsalazide disodium
Esomeprazole Strontium
calcium acetate
Famotidine Premixed
cromolyn sodium
First-lansoprazole
hydrocort ene 100MG
First-omeprazole
hydrocortisone
Gabitidine
hydrocortisone acetate/lidocaine HCL
Gastrinex NF
hydrocortisone acetate/pramoxine
Glycate
lactulose
Levbid
lidocaine HCL/hydrocortisone acetate
Levsin
mesalamine
Levsin/SL
metoclopramide odt
Librax
metoclopramide HCL
Nexium
sulfasalazine
Nexium I.v.
ursodiol
Omeprazole + Syrspend SF Alka
PREFERRED
Pamine
Amitiza
Pamine Forte
Canasa
Pamine FQ
Cimzia
Pepcid
Cimzia Starter Kit
Prevacid
Lialda
Prevacid Solutab
Linzess
Prevpac
Movantik
Prilosec
Proctofoam HC
Protonix
Relistor
Robinul
Remicade
Robinul Forte
Renvela
Scopolamine Hydrobromide
Sevelamer Carbonate
Sentradine
Sfrowasa
Zantac
NON PREFERRED
Zegerid
Actigall
Analpram Advanced
ANTIEMETICS
Analpram-HC
GENERIC
Analpram-HC Singles
dronabinol
Anusol-HC
granisetron HCL
Auryxia
meclizine HCL
Azulfidine
ondansetron odt
Azulfidine EN-TABS
ondansetron HCL
Chenodal
trimethobenzamide HCL
Cholbam
PREFERRED
Colazal
Aloxi
Cortenema
NON PREFERRED
Cortifoam
Akynzeo
Dexpanthenol
Anzemet
Dipentum
Cesamet
Eliphos
Effective July 1, 2016
19
Entereg Toviaz
Entyvio Urecholine
Fosrenol
Gastrocrom VAGINAL PRODUCTS
Gattex
GENERIC
Giazo
clindamycin phosphate
Lidocaine HCL-hydrocortisone Acetate With Aloe
metronidazole vaginal
Lotronex
terconazole
Metoclopramide Odt
PREFERRED
Metozolv Odt
Premarin
Pentasa
NON PREFERRED
Phoslo
Avc
Phoslyra
Cleocin
Procort
Clindesse
Proctocort
Crinone
Rectiv
Endometrin
Reglan
Estrace
Renagel
Estring
Rowasa
Fem PH
Uceris
Femring
Urso Forte
First-progesterone VGS 100 Compounding Kit
Urso 250
First-progesterone VGS 200 Compounding Kit
Velphoro
First-progesterone VGS 25 Compounding Kit
Viberzi
First-progesterone VGS 400 Compounding Kit
First-progesterone VGS 50 Compounding Kit
GENITOURINARY
Gynazole-1
Metrogel-vaginal
URINARY ANTI-INFECTIVES
Nuvessa
GENERIC
Relagard
methenamine hippurate
Terazol 3
methenamine mandelate
Terazol 7
nitrofurantoin
Vagifem
nitrofurantoin macrocrystals
nitrofurantoin monohydrate
GENITOURINARY - MISC.
nitrofurantoin monohydrate/macrocrystals
GENERIC
PREFERRED
alfuzosin HCL ER
Methenamine Mandelate
citric acid/sodium citrate
NON PREFERRED
dutasteride
Furadantin
dutasteride/tamsulosin hydrochloride
Hiprex
dutasteride/tamsulosin HCL
Macrobid
finasteride
Macrodantin
phenazopyridine HCL
Monurol
potassium citrate ER
Uretron D/S
potassium citrate-citric acid crystals
Urimar-t
potassium citrate/citric acid
Urogesic-blue
potassium citrate/sodium citrate/citric acid
sodium citrate/citric acid
URINARY ANTISPASMODICS
tamsulosin HCL
GENERIC
tricitrates
bethanechol chloride
PREFERRED
darifenacin hydrobromide ER
Cytra-3
darifenacin ER
Elmiron
flavoxate HCL
Rapaflo
oxybutynin chloride
NON PREFERRED
oxybutynin chloride ER
Avodart
tolterodine tartrate
Cardura XL
tolterodine tartrate ER
Cystagon
trospium chloride
Flomax
trospium chloride ER
Jalyn
PREFERRED
K-phos NO 2
Gelnique
Lithostat
Vesicare
Oracit
NON PREFERRED
Procysbi
Detrol
Proscar
Detrol LA
Pyridium
Ditropan XL
Shohls Solution Modified
Enablex
Thiola
Myrbetriq
Urocit-k 10
Oxytrol
Urocit-k 15
Sanctura
Effective July 1, 2016
20
Urocit-k 5 Is 24/6
Uroxatral Leukine
Maxaron Forte
HEMATOLOGICAL Maxfe
Mircera
HEMATOPOIETIC AGENTS
Multigen
GENERIC
Multigen Folic
cyanocobalamin
Multigen Plus
folic acid
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa
folic acid/vitamin b-6/vitamin b-12
sodium ferric gluconate complex/sucrose
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc
Nascobal
PREFERRED
Natalvirt Flt
Cerezyme
Nephron Fa
Folitab 500
Neulasta
Granix
Neulasta Onpro Kit
Mozobil
Novaferrum
Neumega
Nufera
Neupogen
Omontys
Nplate
Pre-folic
Procrit
Proferrin-forte
NON PREFERRED
Promacta
Abaneu-SL
Protectiron
Albafort
Tandem F
Animi-3
Tandem Plus
Animi-3/Vitamin D
Triferic
B-12 Kit
Venofer
B-6 Folic Acid
Vpriv
Biferarx
Zavesca
Cenfol
Centratex
ANTICOAGULANTS
Cerdelga
GENERIC
Ciferex
argatroban
Corvite 150
bivalirudin
Dermacinrx Purefolix
enoxaparin sodium
Divista
fondaparinux sodium
Droxia
heparin lock
Ed Cyte F
heparin lock flush
Elelyso
heparin lock flush for flushing vascular access devices
Feraheme
heparin lock flush/NACL for flushing vascular access devices
Feriva
Feriva 21/7
heparin sodium
Ferivafa
heparin sodium dcu
Ferralet 90
heparin sodium lock flush
Ferrex 150 Forte Plus
heparin sodium/sodium chloride 0.9% premix
Ferrex 28
heparin sodium/D5W
Ferrlecit
heparin sodium/NACL 0.9%
Ferro-plex Hematinic
warfarin sodium
Ferrotrin
PREFERRED
Focalgin Dss
Pradaxa
Folgard RX
Xarelto
Folic Acid
Xarelto Starter Pack
Folivane-f
NON PREFERRED
Folivane-plus
Angiomax
Folixapure
Argatroban
Foltrate
Arixtra
Fusion Plus
Coumadin
Fusion Sprinkles
Defitelio
Hematogen Fa
Eliquis
Hematron-AF
Fragmin
Hemocyte Plus
Heparin Lock Flush
Hemocyte-f
Heparin Sodium
Hydroxocobalamin
Heparin Sodium/D5W
Icar-c Plus
Heparin Sodium/NACL 0.45%
Infed
Heparin Sodium/Sodium Chloride 0.9%
Injectafer
Iprivask
Integra F
Lovenox
Integra Plus
Savaysa
Irospan 24/6
Effective July 1, 2016
21
HEMOSTATICS Helixate FS
Hespan
GENERIC
Hextend
aminocaproic acid
Integrilin
tranexamic acid
Ixinity
NON PREFERRED
Kalbitor
Amicar
Kengreal
Aminocaproic Acid
Kinlytic
Artiss
Kogenate FS
Astringyn
Kogenate FS Bio-set
Cyklokapron
Kovaltry
Evicel
LMD 10% Dextrose 5%
Evithrom
LMD 10% Sodium Chloride 0.9%
Lysteda
Novoeight
Recothrom
Nuwiq
Recothrom Spray Kit
Persantine
Thrombin-jmi Diluent
Plavix
Thrombin-jmi Epistaxis
Pletal
Thrombin-jmi Syringe Spray Kit
Protamine Sulfate
Thrombin-jmi W/Dil Spray P.M. Actuator
Reopro
Thrombogen
Tnkase
Tisseel
Voluven
Tisseel VH
Xyntha
Xyntha Solofuse
HEMATOLOGICAL - MISC.
Zontivity
GENERIC
anagrelide hydrochloride
MOUTH/THROAT/DENTAL AGENT
cilostazol
clopidogrel
dipyridamole GENERIC
eptifibatide cevimeline HCL
hetastarch 6%/NACL chlorhexidine gluconate
pentoxifylline ER chlorhexidine gluconate oral rinse
ticlopidine HCL clotrimazole
Aspirin/Dipyridamole lidocaine viscous
PREFERRED lidocaine HCL viscous
Advate nystatin
Alphanate/Von Willebrand Factor Complex/Human pilocarpine hydrochloride
Alphanine SD pilocarpine HCL
Bebulin stannous fluoride oral rinse
Benefix triamcinolone acetonide
Berinert triamcinolone IN orabase
Brilinta NON PREFERRED
Cinryze Aquoral
Corifact Caphosol
Effient Debacterol
Feiba Evoxac
Feiba NF First-bxn Mouthwash
Firazyr First-dukes Mouthwash
Hemofil M First-marys Mouthwash
Humate-p First-mouthwash Blm
Koate-dvi Gel-kam Oral Care Rinse
Monoclate-p Gelclair
Mononine Lidocaine HCL
Novoseven Nafrinse Daily/Acidulated
Novoseven Rt Nafrinse Daily/Neutral
Profilnine Nafrinse Weekly
Profilnine SD Neutrasal
Recombinate Numoisyn
Riastap Orafate
Soliris Oravig
Ticlopidine HCL Peridex
Wilate Prevident
NON PREFERRED Prothelial
Activase Salagen
Aggrastat Salivamax
Aggrenox Salivate RX
Agrylin
Cathflo Activase NEUROLOGY, CNS, PSYCH
Durlaza
Effective July 1, 2016
22
ANTIANXIETY AGENTS Doxepin HCL
Nefazodone HCL
GENERIC
Nortriptyline HCL
alprazolam
Venlafaxine HCL ER
alprazolam odt
PREFERRED
alprazolam ER
Fluoxetine HCL
buspirone HCL
Forfivo XL
chlordiazepoxide HCL
Maprotiline HCL
clorazepate dipotassium
Paxil
diazepam
Pristiq
droperidol
NON PREFERRED
gene-xene TAB 15MG
Anafranil
gene-xene TAB 3.75MG
Aplenzin
gene-xene TAB 7.5MG
Appbutamone
hydroxyzine pamoate
Brintellix
hydroxyzine HCL
Celexa
lorazepam
Cymbalta
meprobamate
Desvenlafaxine ER
oxazepam
Duloxetine HCL
Diazepam
Effexor XR
Hydroxyzine Pamoate
Elavil
NON PREFERRED
Emsam
Alprazolam Intensol
Fetzima
Ativan
Fetzima Titration Pack
Gabavale-5
Gaboxetine
Gabazolamine
Irenka
Gabazolamine-0.5
Khedezla
Hydroxyzine HCL
Lexapro
Niravam
Luvox CR
Sentrazolam AM 0.25
Marplan
Tranxene T
Nardil
Valium
Norpramin
Vistaril
Oleptro
Xanax
Pamelor
Xanax XR
Parnate
Paxil CR
ANTIDEPRESSANTS
Pexeva
GENERIC
Prozac
amitriptyline HCL
Prozac Weekly
bupropion HCL
Remeron
bupropion HCL ER
Remeron Soltab
bupropion HCL SR
Sentraflox AM-10
bupropion HCL XL
Sentralopram AM-10
citalopram hydrobromide
Sentravil PM-25
clomipramine HCL
Sentroxatine
desipramine HCL
Surmontil
doxepin HCL
Tofranil
duloxetine HCL
Tofranil-PM
escitalopram oxalate
Trazamine
fluoxetine DR
Trintellix
fluoxetine HCL
Viibryd
fluvoxamine maleate
Viibryd Starter Pack
fluvoxamine maleate ER
Vivactil
imipramine pamoate
Wellbutrin
imipramine HCL
Wellbutrin SR
mirtazapine
Wellbutrin XL
mirtazapine odt
Zoloft
nefazodone HCL
nortriptyline HCL
ANTIPSYCHOTICS
paroxetine HCL
GENERIC
paroxetine HCL ER
aripiprazole
phenelzine sulfate
chlorpromazine HCL
protriptyline HCL
clozapine
sertraline HCL
clozapine odt
tranylcypromine sulfate
fluphenazine decanoate
trazodone HCL
fluphenazine HCL
trimipramine maleate
haloperidol
venlafaxine HCL
haloperidol decanoate
venlafaxine HCL ER
haloperidol lactate
Amoxapine
Effective July 1, 2016
23
lithium carbonate zaleplon
lithium carbonate ER zolpidem tartrate
loxapine zolpidem tartrate ER
loxapine succinate Flurazepam HCL
olanzapine Phenobarbital
olanzapine odt Quazepam
paliperidone ER Triazolam
perphenazine NON PREFERRED
prochlorperazine Ambien
prochlorperazine edisylate Ambien CR
prochlorperazine maleate Amytal Sodium
quetiapine fumarate Belsomra
risperidone Butisol Sodium
risperidone odt Doral
thioridazine HCL Edluar
thiothixene Gabazolpidem-5
trifluoperazine HCL Halcion
ziprasidone HCL Hetlioz
Aripiprazole Odt Intermezzo
Clozapine Odt Lunesta
PREFERRED Nembutal Sodium
Abilify Discmelt Phenobarbital Sodium
Fluphenazine HCL Precedex
Saphris Restoril
Seroquel XR Rozerem
NON PREFERRED Seconal
Abilify Seconal Sodium
Abilify Maintena Sentrazolpidem PM-5
Adasuve Silenor
Aristada Sonata
Chlorpromazine HCL Strazepam
Clozaril Zolpimist
Compazine
Equetro ADHD, NARCOLEPSY, ETC.
Fanapt
GENERIC
Fanapt Titration Pack
amphetamine/dextroamphetamine
Fazaclo
armodafinil
Geodon
caffeine citrate
Haldol
clonidine HCL ER
Haldol Decanoate 100
dexmethylphenidate HCL
Haldol Decanoate 50
dexmethylphenidate HCL ER
Invega
dextroamphetamine sulfate
Invega Sustenna
dextroamphetamine sulfate ER
Invega Trinza
doxapram HCL
Latuda
guanfacine ER
Lithium
methamphetamine HCL
Lithium Carbonate
methylphenidate hydrochloride
Lithobid
methylphenidate HCL
Loxitane
methylphenidate HCL CD
Molindone Hydrochloride
methylphenidate HCL ER
Rexulti
methylphenidate HCL SR
Risperdal
modafinil
Risperdal Consta
Methylphenidate HCL ER
Risperdal M-TAB
PREFERRED
Seroquel
Strattera
Versacloz
Vyvanse
Zyprexa
NON PREFERRED
Zyprexa Relprevv
Adderall
Zyprexa Zydis
Adderall XR
Adzenys XR-odt
HYPNOTICS
Aptensio XR
GENERIC Cafcit
dexmedetomidine HCL Caffeine/Sodium Benzoate
estazolam Concerta
eszopiclone Daytrana
flurazepam HCL Desoxyn
phenobarbital Dexedrine
temazepam Dopram
triazolam Dyanavel XR
Effective July 1, 2016
24
Evekeo Dilantin
Focalin Dilantin Infatabs
Focalin XR Dilantin-125
Intuniv Fanatrex Fusepaq
Kapvay Felbatol
Metadate CD Fycompa
Methylin Gabitril
Nuvigil Keppra
Procentra Keppra XR
Provigil Klonopin
Quillichew ER Lamictal Odt
Quillivant XR Lamictal XR
Ritalin Levetiracetam
Ritalin LA Mysoline
Ritalin SR Neurontin
Sentramodafin AM-100 Onfi
Zenzedi Oxtellar XR
Peganone
ANTICONVULSANTS Phenytek
Potiga
GENERIC
Qudexy XR
carbamazepine
Sabril
carbamazepine ER
Spritam
clonazepam
Stavzor
clonazepam odt
Tegretol
divalproex sodium
Tegretol-XR
divalproex sodium DR
Therapentin-60
divalproex sodium ER
Therapentin-90
ethosuximide
Topamax
felbamate
Topamax Sprinkle
fosphenytoin sodium
Topiramate ER
gabapentin
Trileptal
lamotrigine
Trokendi XR
lamotrigine odt
Vimpat
lamotrigine titration
Zarontin
lamotrigine ER
Zonegran
levetiracetam
levetiracetam ER
ANTIPARKINSON AGENTS
oxcarbazepine
phenytoin GENERIC
phenytoin sodium amantadine HCL
phenytoin sodium extended benztropine mesylate
primidone bromocriptine mesylate
tiagabine hydrochloride carbidopa
topiramate carbidopa/levodopa
valproate sodium carbidopa/levodopa odt
valproic acid carbidopa/levodopa ER
zonisamide entacapone
PREFERRED pramipexole dihydrochloride
Diastat Acudial pramipexole dihydrochloride ER
Diastat Pediatric ropinirole ER
Diazepam ropinirole HCL
Lamictal selegiline HCL
Lamictal Chewable Dispersible tolcapone
Lamictal Starter/Not Taking Carbamazepine trihexyphenidyl HCL
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate
Carbidopa/Levodopa/Entacapone
PREFERRED
Lamictal Starter/Taking Valproate
Apokyn
Lyrica
NON PREFERRED
NON PREFERRED
Amantadine HCL
Aptiom
Azilect
Banzel
Cogentin
Carbatrol
Comtan
Celontin
Duopa
Cerebyx
Eldepryl
Depacon
Lodosyn
Depakene
Mirapex
Depakote
Mirapex ER
Depakote ER
Neupro
Depakote Sprinkles
Parlodel
Effective July 1, 2016
25
Requip Savella Titration Pack
Requip XL Smartrx Gaba Kit
Rytary Smartrx Gaba-v Kit
Sinemet Symbyax
Sinemet CR Tysabri
Stalevo 100 Xenazine
Stalevo 125 Xyrem
Stalevo 150
Stalevo 200 NEUROMUSCULAR AGENTS
Stalevo 50
GENERIC
Stalevo 75
atracurium besylate
Tasmar
cisatracurium besylate
Zelapar
pancuronium bromide
riluzole
NEUROLOGY, PSYCH - MISC.
rocuronium bromide
GENERIC vecuronium bromide
acamprosate calcium DR PREFERRED
disulfiram Botox
donepezil HCL NON PREFERRED
ergoloid mesylates Anectine
galantamine hydrobromide Dysport
glatopa Myobloc
memantine hydrochloride Nimbex
memantine HCL Quelicin
memantine HCL titration PAK Quelicin 1000
olanzapine/fluoxetine Rilutek
pimozide Succinylcholine Chloride
rivastigmine tartrate Xeomin
rivastigmine transdermal system Zemuron
tetrabenazine
Ergoloid Mesylates MUSCULOSKELETAL AGENTS
Galantamine Hydrobromide
GENERIC
PREFERRED
baclofen
Ampyra
carisoprodol
Avonex
carisoprodol/aspirin
Avonex Pen
carisoprodol/aspirin/codeine
Chlordiazepoxide/Amitriptyline
chlorzoxazone
Copaxone
cyclobenzaprine HCL
Namenda XR
dantrolene sodium
Namenda XR Titration Pack
metaxalone
Perphenazine/Amitriptyline
methocarbamol
Plegridy
orphenadrine citrate
Plegridy Starter Pack
orphenadrine citrate ER
Tecfidera
tizanidine HCL
Tecfidera Starter Pack
Metaxalone
NON PREFERRED
Orphenadrine/Asa/Caffeine
Antabuse
PREFERRED
Aricept
Euflexxa
Aricept Odt
Gablofen
Aubagio
Lioresal Intrathecal
Brisdelle
Synvisc
Campral
Synvisc One
Convenience PAK
NON PREFERRED
Exelon
Amrix
Fluoxetine
Cyclobenzaprine Comfort PAC
Gilenya
Dantrium
Gralise
Dantrium IV
Gralise Starter
Fexmid
Horizant
Flexepax
Lemtrada
Gel-one
Namenda
Genvisc 850
Namenda Titration PAK
Hyalgan
Namzaric
Lorvatus Pharmapak
Nuedexta
Lorzone
Orap
Monovisc
Razadyne
Norflex
Razadyne ER
Orthovisc
Sarafem
Parafon Forte DSC
Savella
Prazolamine
Effective July 1, 2016
26
Robaxin ARTIFICIAL TEAR/LUBRICANT
Robaxin-750
NON PREFERRED
Ryanodex
Lacrisert
Skelaxin
Soma
BETA-BLOCKERS
Supartz
GENERIC
Supartz Fx
betaxolol HCL
Tabradol Fusepaq
carteolol HCL
Therabenzaprine-60
dorzolamide HCL/timolol maleate
Therabenzaprine-90
levobunolol HCL
Therabenzaprine-90-5
timolol maleate
Tizanidine Comfort PAC
timolol maleate ophthalmic gel forming
Zanaflex
Metipranolol
PREFERRED
ANTIMYASTHENIC AGENTS
Betoptic-s
GENERIC
Combigan
neostigmine methylsulfate
Levobunolol HCL
pyridostigmine bromide
Timoptic Ocudose
PREFERRED
NON PREFERRED
Guanidine HCL
Betagan
NON PREFERRED
Betimol
Bloxiverz
Cosopt
Enlon
Cosopt PF
Enlon-plus
Istalol
Mestinon
Timoptic
Mestinon Timespan
Timoptic-xe
Neostigmine Methylsulfate
Regonol
OPHTHALMIC STEROIDS
GENERIC
OPHTHALMOLOGY AND OTIC
dexamethasone sodium phosphate
ANTI-INFECTIVES fluorometholone
neomycin/polymyxin/bacitracin/hydrocortisone
GENERIC
neomycin/polymyxin/dexamethasone
bacitracin/polymyxin b
prednisolone acetate
ciprofloxacin HCL
sulfacetamide sodium/prednisolone sodium phosphate
erythromycin
tobramycin/dexamethasone
gatifloxacin
PREFERRED
gentamicin sulfate
Dexamethasone Sodium Phosphate
levofloxacin
FML
neomycin/bacitracin/polymyxin
FML Forte
neomycin/polymyxin/bacitracin zinc
Pred Mild
neomycin/polymyxin/gramicidin
Prednisolone Sodium Phosphate
ofloxacin
NON PREFERRED
polymyxin b sulfate/trimethoprim sulfate
Alrex
sodium sulfacetamide
Blephamide
sulfacetamide sodium
Blephamide S.o.p.
tobramycin sulfate
Durezol
trifluridine
Flarex
trimethoprim sulfate/polymyxin b sulfate
FML Liquifilm
PREFERRED
Lotemax
Bacitracin
Maxidex
Moxeza
Maxitrol
Natacyn
Neomycin/Polymyxin/Hydrocortisone
Sulfacetamide Sodium
Omnipred
Vigamox
Pred Forte
NON PREFERRED
Pred-G
Azasite
Pred-G S.o.p.
Besivance
Tobradex
Betadine Ophthalmic Prep
Tobradex ST
Bleph-10
Vexol
Ciloxan
Zylet
Garamycin
Mitosol
PROSTAGLANDINS
Neosporin
Ocuflox GENERIC
Polytrim latanoprost
Tobrex Bimatoprost
Viroptic PREFERRED
Zirgan Lumigan
Zymaxid Travatan Z
Effective July 1, 2016
27
Travoprost Pataday
NON PREFERRED NON PREFERRED
Xalatan Acular
Acular LS
CYCLOPLEGIC MYDRIATICS Acuvail
Alocril
GENERIC
Alomide
atropine sulfate
Bepreve
cyclopentolate hydrochloride
Bromfenac
cyclopentolate HCL
Cystaran
homatropine HBR
Elestat
PREFERRED
Emadine
Atropine Sulfate
Ilevro
Isopto Homatropine
Lastacaft
NON PREFERRED
Nevanac
Cyclogyl
Ocufen
Cyclomydril
Optivar
Isopto Atropine
Patanol
Isopto Hyoscine
Pazeo
Prolensa
DECONGESTANTS
Trusopt
GENERIC
phenylephrine HCL
OTIC AGENTS
PREFERRED
GENERIC
Naphazoline HCL
acetic acid
antipyrine/benzocaine
MIOTICS
fluocinolone acetonide
GENERIC
fluocinolone acetonide ear drops
pilocarpine HCL
hydrocortisone/acetic acid
PREFERRED
neomycin/polymyxin/hydrocortisone
Isopto Carbachol
neomycin/polymyxin/HC
Phospholine Iodide
ofloxacin
NON PREFERRED
PREFERRED
Isopto Carpine
Acetic Acid/Aluminum Acetate
Pramotic
ADRENERGIC AGENTS
NON PREFERRED
GENERIC
Antipyrine/Benzocaine
apraclonidine
Cetraxal
brimonidine tartrate
Cipro HC
PREFERRED
Ciprodex
Alphagan P
Ciprofloxacin
NON PREFERRED
Coly-mycin S
Iopidine
Cortisporin-tc
Simbrinza
Dermotic
Otiprio
IMMUNOMODULATORS
Otozin
NON PREFERRED
Vosol HC
Restasis
OXYTOCICS
LOCAL ANESTHETICS
GENERIC
GENERIC
proparacaine HCL
methylergonovine maleate
tetracaine HCL
oxytocin
NON PREFERRED
NON PREFERRED
Akten
Cervidil
Alcaine
Hemabate
Oxytocin/Lactated Ringers
OPHTHALMICS - MISC.
Pitocin
GENERIC
Prepidil
azelastine HCL
Prostin E2
bromfenac
cromolyn sodium
PAIN MANAGEMENT
diclofenac sodium
ANALGESICS - NONNARCOTIC
dorzolamide HCL
GENERIC
epinastine HCL
butalbital/acetaminophen
flurbiprofen sodium
butalbital/acetaminophen/caffeine
ketorolac tromethamine
butalbital/aspirin/caffeine
olopatadine HCL
choline magnesium trisalicylate
PREFERRED
diflunisal
Azopt
Effective July 1, 2016
28
salsalate Zubsolv
PREFERRED NON PREFERRED
Choline Magnesium Trisalicylate Actiq
Dologesic Alfenta
Prialt Avinza
NON PREFERRED Belbuca
Allzital Bunavail
Bupap Buprenex
Disalcid Butrans
Equagesic Capital/Codeine
Esgic Codeine Sulfate
Fioricet Conzip
Fiorinal Demerol
Levacet Dilaudid
Ofirmev Dilaudid-HP
Vanatol LQ Dolophine
Duragesic
ANALGESICS - OPIOID Exalgo
Fentanyl Citrate
GENERIC
Fentanyl Citrate/Sodium Chloride
acetaminophen/caffeine/dihydrocodeine
Fioricet/Codeine
acetaminophen/codeine
Fiorinal/Codeine #3
acetaminophen/codeine #2
Hycet
acetaminophen/codeine #3
Hydromorphone HCL/NACL
acetaminophen/codeine #4
Ibudone
acetaminophen/codeine phosphate
Infumorph 200
alfentanil
Infumorph 500
buprenorphine HCL
Ionsys
buprenorphine HCL/naloxone HCL
Lazanda
butalbital/acetaminophen/caffeine/codeine
Levorphanol Tartrate
butalbital/aspirin/caffeine/codeine
Lortab
butorphanol tartrate
Meperidine HCL
codeine sulfate
Methadone HCL
fentanyl
Methadose
fentanyl citrate oral transmucosal
Methadose Sugar-free
hydrocodone bitartrate/acetaminophen
Morphine Sulfate Add-vantage
hydrocodone/acetaminophen
Morphine Sulfate/Sodium Chloride
hydrocodone/ibuprofen
MS Contin
hydromorphone HCL
Norco
hydromorphone HCL dosette
Nucynta
hydromorphone HCL ER
Opana
meperidine HCL
Oxaydo
methadone HCL
Percocet
morphine sulfate
Percodan
morphine sulfate ER
Primlev
nalbuphine HCL
Probuphine Implant Kit
oxycodone hydrochloride
Reprexain
oxycodone HCL
Roxicet
oxycodone/acetaminophen
Roxicodone
oxycodone/aspirin
Subsys
oxycodone/ibuprofen
Synalgos-dc
oxymorphone hydrochloride
Synapryn Fusepaq
oxymorphone hydrochloride ER
Talwin
pentazocine/naloxone HCL
Theracodeine-300
tramadol hydrochloride/acetaminophen
Theracodophen-325
tramadol HCL
Theratramadol-60
tramadol HCL ER
Theratramadol-90
Aspirin-caffeine-dihydrocodeine
Tramadol HCL ER
Fentanyl
Trezix
Hydrocodone/Acetaminophen
Tylenol/Codeine #3
Hydromorphone HCL ER
Tylenol/Codeine #4
Hydromorphone HCL/Sodium Chloride
Ultiva
Morphine Sulfate
Ultracet
Morphine Sulfate ER
Ultram
Oxycodone HCL ER
Ultram ER
PREFERRED
Vicoprofen
Hydromorphone HCL
Xartemis XR
Opana ER (crush Resistant)
Xodol
Oxycontin
Zamicet
Suboxone
Effective July 1, 2016
29
ANTI-INFLAMMATORY Indomethacin Sodium
IC 400
GENERIC
IC 800
celecoxib
Ketorocaine-l
diclofenac potassium
Ketorocaine-lm
diclofenac sodium DR
Ketorolac Tromethamine
diclofenac sodium ER
Kineret
diclofenac sodium/misoprostol
Meloxicam Comfort PAC
etodolac
Mobic
etodolac ER
Nalfon
flurbiprofen
Naprelan
ibuprofen
Naprosyn
ibuprofen lysine
Naproxen Comfort PAC
indomethacin
Neoprofen
indomethacin ER
Orencia
ketoprofen
Otezla
ketorolac tromethamine
Otrexup
leflunomide
Ponstel
mefenamic acid
Prastera
meloxicam
Previdolrx Analgesic PAK
nabumetone
Rheumatrex
naproxen
Ridaura
naproxen sodium
Sprix
naproxen sodium CR
Therafeldamine
naproxen sodium ER
Theraprofen-60
oxaprozin
Theraprofen-800
piroxicam
Theraprofen-90
sulindac
Theraproxen-500
tolmetin sodium
Theraproxen-60
Meclofenamate Sodium
Theraproxen-90
Naproxen
Tivorbex
Tolmetin Sodium
Trepadiclofen-25
PREFERRED
Trepoxicam-7.5
Fenoprofen Calcium
Vivlodex
Humira
Voltaren-XR
Humira Pediatric Crohns Disease Starter Pack
Xeljanz
Humira Pen
Xeljanz XR
Humira Pen-crohns Diseasestarter
Zipsor
Humira Pen-psoriasis Starter
Ilaris
MIGRAINE PRODUCTS
Ketoprofen ER
Meloxicam GENERIC
Rasuvo almotriptan malate
Simponi dihydroergotamine mesylate
Simponi Aria frovatriptan succinate
NON PREFERRED naratriptan HCL
Actemra rizatriptan benzoate
Anaprox DS rizatriptan benzoate odt
Arava sumatriptan succinate
Arcalyst sumatriptan succinate refill
Arthrotec 50 zolmitriptan
Arthrotec 75 zolmitriptan odt
Caldolor Dihydroergotamine Mesylate
Capxib Kit Sumatriptan Succinate
Cataflam PREFERRED
Celebrex Sumatriptan
Daypro Zomig Nasal Spray
Derma Silkrx Anodynexa PAK NON PREFERRED
Derma Silkrx Diclopak Alsuma
Dermacinrx Inflammatral PAK Amerge
Dyloject Axert
Enbrel Cafergot
Enbrel Sureclick Cambia
EC-naprosyn D.h.e. 45
Feldene Ergomar
Fenortho Frova
Flanax Pain Relief Kit Imitrex
Ibuprofen Comfort PAC Imitrex Statdose Refill
Indocin Imitrex Statdose System
Indomethacin Maxalt
Effective July 1, 2016
30
Maxalt-MLT Xylocaine-mpf/Epinephrine
Migergot Xylocaine/Epinephrine
Migral
Migranal RESPIRATORY, ALLERGY, ETC
Migranow
ANTIHISTAMINES
Relpax
GENERIC
Sumavel Dosepro
carbinoxamine maleate
Treximet
cetirizine HCL
Zembrace Symtouch
clemastine fumarate
Zomig
cyproheptadine HCL
Zomig ZMT
desloratadine
diphenhydramine HCL
GOUT AGENTS
levocetirizine dihydrochloride
GENERIC
promethazine HCL
allopurinol
promethazine HCL plain
probenecid
Clemastine Fumarate
probenecid/colchicine
Desloratadine Odt
PREFERRED
PREFERRED
Colcrys
Allegra Allergy Childrens
Uloric
Dexchlorpheniramine Maleate
NON PREFERRED
NON PREFERRED
Aloprim
Brompheniramine
Colchicine
Brompheniramine Tannate
Krystexxa
Clarinex
Mitigare
Dicopanol Fusepaq
Zyloprim
Karbinal ER
Phenergan
LOCAL ANESTHETICS-INJ
Respa-BR
GENERIC
Xyzal
bupivacaine HCL
bupivacaine/epinephrine
NASAL AGENTS
chloroprocaine HCL
GENERIC
lidocaine HCL
azelastine HCL
lidocaine/epinephrine
budesonide
ropivacaine
flunisolide
ropivacaine HCL
fluticasone propionate
Tetracaine HCL
ipratropium bromide
NON PREFERRED
mometasone furoate
Articadent Dental
olopatadine HCL
BD Pudendal/Local Block Tray 1% Lidocaine
triamcinolone acetonide
Carbocaine
PREFERRED
Citanest Forte Dental
Dymista
Citanest Plain Dental
NON PREFERRED
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH
Adrenalin
Astepro
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH
Atrovent
Bactroban Nasal
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH
Beconase AQ
Dermacinrx Azenase PAK
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH
Dermacinrx Ticanase PAK
Exparel Flonase
Lidocaine HCL/Dextrose Nasonex
Marcaine Omnaris
Marcaine/Epinephrine Patanase
Marlido-25 Qnasl
Monoject Bone Marrow Biopsy Prepping Tray Qnasl Childrens
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"
Rhinocort Aqua
Tyzine
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"
Tyzine Pediatric Nasal Drops
Veramyst
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G
Zetonna
Naropin
COUGH/COLD/ALLERGY
Nesacaine
GENERIC
Nesacaine-mpf
acetylcysteine
Readysharp-a
benzonatate
Sensorcaine-mpf/Epinephrine
bromphen/pseudoephedrine HCL/dextromethorphan HBR
Turkel Paracentesis Procedure Tray/8french
hydrocodone bitartrate/chlorpheniramine maleate/PSE
Xylocaine
hydrocodone bitartrate/homatropine methylbromide
Xylocaine-mpf
Effective July 1, 2016
31
hydrocodone polistirex/chlorpheniramine polistirex theophylline CR
hydrocodone/homatropine theophylline ER
phenylephrine/guaifenesin zafirlukast
promethazine-DM Cromolyn Sodium
promethazine/codeine PREFERRED
promethazine/dextromethorphan Advair Diskus
promethazine/phenylephrine Advair HFA
promethazine/phenylephrine/codeine Anoro Ellipta
sodium chloride Arnuity Ellipta
PREFERRED Breo Ellipta
Dallergy Combivent Respimat
J-max Elixophyllin
Mucinex Maximum Strength Flovent Diskus
Promethazine/Phenylephrine Flovent HFA
NON PREFERRED Foradil Aerolizer
Carbaphen 12 Incruse Ellipta
Carbaphen 12 PED Metaproterenol Sulfate
Clarinex-d 12 HOUR Proair HFA
Codar AR Proair Respiclick
Cpb Wc Pulmicort Flexhaler
Decon-a Serevent Diskus
Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL
Spiriva Handihaler
Spiriva Respimat
Exactuss
Stiolto Respimat
Flowtuss
Symbicort
Gilphex TR
Ventolin HFA
Giltuss
Xolair
Giltuss PED-c
NON PREFERRED
Giltuss TR
Accolate
Hycofenix
Aerospan
Hyper-sal
Arcapta Neohaler
Hypersal
Atrovent HFA
Nebusal
Brovana
Neotuss Plus
Daliresp
Obredon
Duoneb
Panatuss Dxp
Isuprel
Pediatex TD
Lufyllin
Pediatex TDM
Nucala
Relhist
Perforomist
Rescon-JR
Pulmicort
Rescon-MX
Pulmophylline
Rezira
Singulair
Semprex-d
Striverdi Respimat
Suttar-SF
Theo-24
Suttar-2
Theophylline/D5W
Tessalon Perles
Utibron Neohaler
Tussicaps
Vospire ER
Tussionex Pennkinetic Extended Release
Xopenex
Tuzistra XR
Xopenex Concentrate
Vituz
Zyflo
Zonatuss
Zyflo CR
Zutripro
RESPIRATORY AGENTS - MISC
ANTIASTHMATIC/COPD AGENTS
PREFERRED
GENERIC
Pulmozyme
albuterol
NON PREFERRED
albuterol sulfate
Aralast NP
albuterol sulfate ER
Curosurf
albuterol TAB 4MG
Esbriet
aminophylline
Glassia
budesonide
Infasurf
epinephrine HCL
Kalydeco
ipratropium bromide
Ofev
ipratropium bromide/albuterol sulfate
Orkambi
levalbuterol
Prolastin-c
levalbuterol HCL
Surfaxin
montelukast sodium
Survanta Intratracheal
terbutaline sulfate
Zemaira
theophylline
Effective July 1, 2016
32
TOXOIDS Gardasil
Gardasil 9
Havrix
NON PREFERRED
Hiberix
Adacel
Imovax Rabies (h.d.c.v.)
Boostrix
Ipol Inactivated IPV
Daptacel
Ixiaro
Diphtheria/Tetanus Toxoids Adsorbed Pediatric
M-m-r II
Infanrix
Medical Provider EZ Flu Shot 2014-2015
Kinrix
Medical Provider EZ Flu Shot 2015-2016
Pediarix
Medical Provider Single Use EZ Flu Shot
Pentacel
Menactra
Quadracel
Menhibrix
Tenivac
Menomune-a/C/Y/W-135
Tetanus Toxoid Adsorbed
Menveo
Tetanus/Diphtheria Toxoids-adsorbed
Pedvax HIB
Tetanus/Diphtheria Toxoids-adsorbed Adult
Pneumovax 23
Pneumovax 23/1 Dose
VACCINES
Pneumovax 23/5 Dose
Prevnar 13
NON PREFERRED
Proquad
Acthib
Rabavert
Afluria PF 2012-2013
Recombivax HB
Afluria PF 2013-2014
Rotarix
Afluria PF 2014-2015
Rotateq
Afluria PF 2015-2016
Trumenba
Afluria 2012-2013
Twinrix
Afluria 2013-2014
Typhim VI
Afluria 2014-2015
Vaqta
Afluria 2015-2016
Varivax
Bcg Vaccine
Vivotif
Bexsero
Yf-vax
Biothrax
Zostavax
Cervarix
Comvax
VITAMINS
Engerix-b
VITAMINS
Fluarix Quadrivalent 2013-2014
GENERIC
Fluarix Quadrivalent 2014-2015
ascorbic acid
Fluarix Quadrivalent 2015-2016
ergocalciferol
Fluarix 2013-2014
phytonadione
Fluarix 2014-2015
thiamine HCL
Flublok 2013-2014
vitamin c 222MG
Flublok 2014-2015
vitamin d
Flublok 2015-2016
vitamin k1
Flucelvax 2013-2014
PREFERRED
Flucelvax 2014-2015
Mephyton
Flucelvax 2015-2016
Vitamin A
Flulaval Quadrivalent 2013-2014
NON PREFERRED
Flulaval Quadrivalent 2014-2015
Aquasol A Parenteral
Flulaval Quadrivalent 2015-2016
Drisdol
Flulaval 2013-2014
Niacin
Flulaval 2014-2015
Pyridoxine HCL
Flumist Quadrivalent
Vitamin K1
Fluvirin PF 2013-2014
Wheat Germ
Fluvirin PF 2014-2015
Fluvirin 2013-2014
MULTIVITAMINS
Fluvirin 2014-2015
Fluvirin 2015-2016 GENERIC
Fluzone High-dose PF 2013-2014 b-complex 100
Fluzone High-dose PF 2014-2015 niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper
Fluzone High-dose PF 2015-2016 PREFERRED
Fluzone Pediatric PF 2013-2014 Atabex EC
Fluzone PF 2013-2014 Atabex Prenatal
Fluzone PF 2014-2015 Bal-care DHA
Fluzone Quadrivalent 2013-2014 Citranatal B-calm
Fluzone Quadrivalent 2014-2015 Citranatal RX
Fluzone Quadrivalent 2015-2016 Clinical Nutrients Prenatal Formula
Fluzone Split 2013-2014 Concept DHA
Fluzone Split 2014-2015 Concept OB
Fluzone Split 2015-2016 Duet DHA Balanced
Effective July 1, 2016
33
Duet DHA 400 Your Life Multi Prenatal
Duet DHA 400EC Zatean-pn
Duet DHA 430 Zatean-pn Plus
Duet DHA 430EC NON PREFERRED
Enbrace HR Adrenal C Formula
Escavite Albafort
Escavite D Bacmin
Folcaps Omega 3 Citranatal Assure
Folivane-OB Citranatal DHA
Healthy Mama Be Well Rounded Citranatal Harmony
Marnatal-f Citranatal 90 DHA
Mission Prenatal Cod Liver Oil
Mteryti Corvite
Mteryti Folic 5 Crnatal
Mykidz Iron Fl Dialyvite Supreme D
Mynatal Dialyvite 3000
Natachew Dialyvite 5000
Natalvit Dialyvite/Zinc
Natelle One Diatx ZN
Neevo DHA Floriva
Nestabs Focalgin CA
Nestabs DHA Focalgin 90 DHA
Newgen Folet DHA
Niva-plus Folet One
O-CAL Fa Folgard OS
O-CAL Prenatal Folivane-prx DHA NF
Obstetrix DHA Fortavit
Obtrex Gesticare DHA
Obtrex DHA M.v.i. Adult
One A Day Womens Prenatal/DHA M.v.i. Pediatric
One A Day Womens Prenatal1 M.v.i.-12 Without Vitamin K
One-a-day Womens Prenatal Natalvirt CA
OB Complete Natalvirt 90 DHA
OB Complete One Nephplex RX
OB Complete Petite Nephro-vite RX
OB Complete Premier Nephrocaps
OB Complete 400 Nephrocaps QT
OB Complete/DHA Nestabs Abc
Poly-VI-flor Nexa Plus
Poly-VI-flor FS Nicadan
Poly-VI-flor/Iron Nicazel
Prefera OB Nicazel Forte
Prefera OB + DHA Nicomide
Prenata Nutricap
Prenatal Vitamin Nutrivit
Prenatal Vitamins Ocuvel
Prenate AM OB Complete Gold
Prenate Elite Paire OB
Prenate Essential Preferaob +dha
Prenate Star Preferaob One
Provida OB Prefol-DHA
Right Step Prenatal Prenate
Select-OB Prenate DHA
Stuart Prenatal Prenate Enhance
Taron-bc Prenate Mini
Taron-c DHA Prenate Pixie
Theranatal Core Nutrition Prenate Restore
Tri-VI-flor Preque 10
Tricare Prenatal Compleat Protect Plus
Tricare Prenatal DHA One Provida DHA
Vinacal B R-natal OB
Vinate AZ Extra Renatabs
Vinate Calcium Renatabs With Iron
Vinate DHA RF Req 49+
Vita-pren Select-ob+dha
Vitafol Gummies Siderol
Vitafol-nano Strovite Forte
Vitamedmd Redichew RX Strovite One
Vitapearl Supervite
Viva DHA Supervite EC
Effective July 1, 2016
34
Support-500 AF Lancets Super Thin
Synagex AT Last Lancets
Synatek B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16"
Texavite LQ B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16"
Tricare Prenatal B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16"
Triveen-duo DHA B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
Triveen-prx RNF B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2"
TL G-FOL OS B-d Insulin Syringe Ultrafine/1ML/30G X 1/2"
Udamin SP Bayer Microlet Lancets
Vemavite-prx 2 Bullseye Safety Lancets
Vitafol BD Autoshield Duo 30G X 3/16"
Vitafol Fe+ BD Autoshield 29G X 3/16"
Vitafol Ultra BD Autoshield 29G X 5/16"
Vitafol-ob+dha BD Insulin Syringe LUER-LOK/U-100/1ML
Vitafol-one BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2"
Vital-d RX BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"
Vitamedmd One RX/Quatrefolic BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"
Vitamedmd Plus RX/Quatre Folic BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"
Vitaroca Plus BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"
Vitatrue BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"
Zatean-pn DHA BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"
Zatean-CH BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2"
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"
MEDICAL DEVICES BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"
BD Insulin Syringe Safetyglide/1ML/29G X 1/2"
DIABETIC SUPPLIES
BD Insulin Syringe Slip Tip/U-100/1ML
PREFERRED
BD Insulin Syringe U-40/1ML/25G X 5/8"
Accu-chek Safe-t-pro Lancets
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"
Accu-chek Safe-t-pro Pluslancets
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"
Accu-chek Soft Touch Lancets
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"
Accu-chek Softclix Lancets
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"
Active 1ST Blood Lancets 30G/Easy Twist CAP
BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2"
Advocate Insulin Pen Needles 29GX12.7MM
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 15/64"
Advocate Insulin Pen Needles 31GX5MM
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 5/16"
Advocate Insulin Pen Needles 31GX8MM
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2"
Advocate Insulin Syringe/U-100/0.3ML/29GX1/2"
BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2"
Advocate Insulin Syringe/U-100/0.3ML/30GX5/16"
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64"
Advocate Insulin Syringe/U-100/0.3ML/31GX5/16"
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16"
Advocate Insulin Syringe/U-100/0.5ML/29GX1/2"
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"
Advocate Insulin Syringe/U-100/0.5ML/30GX5/16"
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2"
Advocate Insulin Syringe/U-100/0.5ML/31GX5/16"
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64"
Advocate Insulin Syringe/U-100/1ML/29GX1/2"
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16"
Advocate Insulin Syringe/U-100/1ML/30GX5/16"
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
Advocate Insulin Syringe/U-100/1ML/31GX5/16"
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16"
Advocate Lancets
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2"
Advocate Lancets 30G
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16"
Advocate Safety Lancets
BD Insulin Syringe Ultrafine/1ML/30G X 1/2"
Advocate Safety Lancets 26G
BD Insulin Syringe Ultrafine/1ML/31G X 5/16"
Agamatrix Ultra-thin Lancets 33G
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"
Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2"
Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2"
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"
Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2"
Assure Haemolance Plus High Flow 18G
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"
Assure Haemolance Plus Low Flow 25G
Assure Haemolance Plus Micro Flow 28G
BD Insulin Syringe/U-100/0.5ML/30G X 1/2"
Assure Haemolance Plus Normal Flow 21G
BD Insulin Syringe/U-100/1ML/27G X 1/2"
Assure Haemolance Plus Pediatric Blade
BD Insulin Syringe/U-100/1ML/28G X 1/2"
Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2"
BD Insulin Syringe/U-100/2ML/27.5G X 5/8"
Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2"
BD Insulin Syringe/U-100/2ML/29G X 1/2"
Assure Lance Lancets
BD Integra Insulin Syringe/U-100/1ML/29G X 1/2"
Assure Lance Lancets 21G
BD Integra Syringe/Retracting Needle/1ML/25G X 1"
Assure Lance Plus Safety Lancets 25G
BD Lancet Ultrafine 30G
Assure Lance Plus Safety Lancets 30G
BD Lancet Ultrafine 33G
Assure Lancets
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"
Aurora Lancet Super Thin 30G
BD Microtainer Lancets
Aurora Lancet Thin 23G
BD Pen Needle/Mini/Ultrafine/31G X 3/16"
Aurora Pen Needles 29GX12MM
BD Pen Needle/Nano/Ultra Fine/32G X 4MM
Aurora Pen Needles 31G X 6MM
BD Pen Needle/SHORT/Ultrafine/31G X 5/16"
Aurora Pen Needles 31G X 8MM
BD Pen Needle/Ultrafine/29G X 12.7MM
Autolet Platforms
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM
Effective July 1, 2016
35
BD Pen Needles SHORT/Ultrafine/31G X 5/16" Drug Mart On-the-go Lancets Gentle 30G
BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2" Drug Mart Unilet Lancets Super Thin 30G
BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2"
Drug Mart Unilet Lancets Ultra Thin 28G
Duane Reade Unifine Pentips 29G X 12MM
BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16"
Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT
BD-insul SYR Mis LO Dose
Duane Reade Unifine Pentips 31G X 8MM SHORT
Carefine Pen Needle 32GX4MM
E-z Ject Lancets
Carefine Pen Needles 29GX1/2"
E-z Ject Lancets Color
Carefine Pen Needles 30GX5/16"
E-z Ject Lancets Super Thin
Carefine Pen Needles 31GX6MM
E-z Ject Lancets Super Thin 30G
Carefine Pen Needles 31GX8MM
E-z Ject Lancets Thin 26G
Careone Lancet Thin
E-z Ject Lancets 21G
Careone Lancet Ultra Thin
E-ZJECT Lancets Micro-thin 33G
Cleanlet Lancets 28G
Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2"
Clever Chek Lancets Ultrathin
Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX1/2"
Clever Chek Lancets Ultrathin 30G
Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX5/16"
Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM
Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16"
Easy Touch Fliplock Safety Insulin Syringe 1ML/31GX5/16"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2"
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2"
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16"
Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2"
Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16"
Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2"
Easy Touch Insulin Syringe/U-100/0.5ML/27G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2"
Easy Touch Insulin Syringe/U-100/0.5ML/28G X 1/2"
Easy Touch Insulin Syringe/U-100/0.5ML/30G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2"
Easy Touch Insulin Syringe/U-100/0.5ML/31G X 5/16"
Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2"
Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16"
Easy Touch Insulin Syringe/U-100/1ML/29G X 1/2"
Easy Touch Insulin Syringe/U-100/1ML/30G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16"
Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16"
Easy Touch Insulin Syringe/0.3ML/30G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2"
Easy Touch Insulin Syringe/0.3ML/31G X 5/16"
Easy Touch Insulin Syringe/0.5ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2"
Easy Touch Insulin Syringe/0.5ML/30G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2"
Easy Touch Insulin Syringe/1ML/30G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16"
Easy Touch Lancets 21G/Pressure Activated
Easy Touch Lancets 23G/Pressure Activated
Clever Choice Comfort EZ Pen Needles 29GX12MM
Easy Touch Lancets 26G/Pressure Activated
Clever Choice Comfort EZ Pen Needles 31GX5MM
Easy Touch Lancets 26G/Pull-top
Clever Choice Comfort EZ Pen Needles 31GX6MM
Easy Touch Lancets 26G/Twist
Clever Choice Comfort EZ Pen Needles 31GX8MM
Easy Touch Lancets 28G/Pressure Activated
Clever Choice Comfort EZ Pen Needles 32GX4MM
Easy Touch Lancets 28G/Pull-top
Clever Choice Comfort EZ Pen Needles 32GX8MM
Easy Touch Lancets 28G/Twist
Clever Choice Comfort EZ Pen Needles 33GX4MM
Easy Touch Lancets 30G/Button-activated
Clever Choice Comfort EZ Pen Needles 33GX5MM
Easy Touch Lancets 30G/Pressure Activated
Clever Choice Comfort EZ Pen Needles 33GX6MM
Easy Touch Lancets 30G/Pull-top
Clever Choice Comfort EZ Pen Needles 33GX8MM
Easy Touch Lancets 30G/Twist
Coaguchek Lancets
Easy Touch Lancets 32G/Pressure Activated
Comfort Assist Insulin Syringe 0.3ML/29G X 1/2"
Easy Touch Lancets 32G/Pull-top
Comfort Assist Insulin Syringe/0.3ML/30G X 5/16"
Easy Touch Lancets 32G/Twist
Comfort Assist Insulin Syringe/0.3ML/31G X 5/16"
Easy Touch Lancets 33G/Twist
Comfort Assist Insulin Syringe/0.5ML/29G X 1/2"
Easy Touch Pen Needles 29GX1/2"
Comfort Assist Insulin Syringe/0.5ML/30G X 5/16"
Easy Touch Pen Needles 31GX1/4"
Comfort Assist Insulin Syringe/0.5ML/31G X 5/16"
Easy Touch Pen Needles 31GX5/16"
Comfort Assist Insulin Syringe/1ML/29G X 1/2"
Easy Touch Pen Needles 32GX5/32"
Comfort Assist Insulin Syringe/1ML/30G X 5/16"
Easy Touch Pen Needles/31G X 3/16"
Comfort Assist Insulin Syringe/1ML/31G X 5/16"
Easy Touch Safety Lancets21G/Pressure Activated
Comfort Lancets
Easy Touch Safety Lancets23G/Pressure Activated
Diastar Easy Test II Lancets 30G
Easy Touch Safety Lancets26G/Button Activated
Diastar Easy Test Lancets30G
Easy Touch Safety Lancets26G/Pressure Activated
Droplet Lancets Ultra Thin 30G
Easy Touch Safety Lancets28G/Button Activated
Droplet Pen Needles 29GX12MM
Easy Touch Safety Lancets28G/Pressure Activated
Droplet Pen Needles 31GX5MM
Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2"
Droplet Pen Needles 31GX6MM
Droplet Pen Needles 31GX8MM
Easy Touch Sheathlock Safety Insulin Syringe 1ML/30GX5/16"
Droplet Pen Needles 32GX4MM
Droplet Pen Needles 32GX8MM
Effective July 1, 2016
36
Easy Touch Sheathlock Safety Insulin Syringe 1ML/31GX5/16"
Glucosource Lancets
Gmate Lancets 30G
Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2"
H&h Thinlet Lancets 26G
Easy Twist & CAP Lancets
H&h Thinlet Super Thin Lancets 30G
Easytest II Lancets
H-e-b Incontrol Pen Needles 29GX12MM
Easytest Lancets
H-e-b IN Control Pen Needles 31GX6MM
Embrace Lancets Ultra Thin 30G
H-e-b IN Control Pen Needles 31GX8MM
Eql SHORT Pen Needles 31G X 8MM
H-e-b IN Control Unifine Pentips Plus 32GX4MM
Eql Ultra SHORT Pen Needles 31G X 6MM
Haemolance
Excel Comfort Point Insulin Pen Needles 31G X 4MM
Haemolance Low Flow Lancets
Exel Comfort Point Insulin Pen Needles 29G X 12MM
Haemolance Plus
Exel Comfort Point Insulin Pen Needles 31G X 6MM
Haemolance Plus High Flow
Exel Comfort Point Insulin Pen Needles 31G X 8MM
Haemolance Plus Low Flow
Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2"
Haemolance Plus Max Flow
Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16"
Haemolance Plus Pediatric Flow
Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2"
Healthwise Mini Pen Needles 31GX6MM
Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2"
Healthwise Pen Needles 29GX12MM
Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16"
Healthwise SHORT Pen Needles 31GX8MM
Exel Comfort Point Insulin Syringe/1ML/28G X 1/2"
Hy-vee Lancets
Exel Comfort Point Insulin Syringe/1ML/29G X 1/2"
Insulin Syringe/U-100/0.3ML/29G X 1/2"
Exel Comfort Point Insulin Syringe/1ML/30G X 5/16"
Insulin Syringe/U-100/0.5ML/28G X 1/2"
EZ Smart Blood Glucose Lancets
Insulin Syringe/U-100/0.5ML/29G X 1/2"
EZ-lets Lancets 21G
Insulin Syringe/U-100/1ML/28G X 1/2"
EZ-lets Lancets 23G
Insulin Syringe/U-100/1ML/29G X 1/2"
EZ-lets Lancets 26G Super-soft
Insulin Syringe/U-100/1ML/30G X 5/16"
EZ-lets Lancets 28G Ultra-soft
Insulin Syringe/U-100/1ML/31G X 5/16"
EZ-lets Lancets 30G
Insulin Syringe/0.3ML/29G X 1/2"
Fifty50 Pen Needles 31G X3/16" (5MM)
Insulin Syringe/0.3ML/29G X 1"
Fifty50 Pen Needles 31G X5/16" (8MM)
Insulin Syringe/0.3ML/30G X 5/16"
Fifty50 Pen Needles 31GX5MM
Insulin Syringe/0.3ML/31G X 5/16"
Fifty50 Pen Needles/31GX8MM
Insulin Syringe/0.5ML/27G X 1/2"
Fifty50 Pen Needles/32GX4MM
Insulin Syringe/0.5ML/28G X 1/2"
Fifty50 Safety Seal Lancets 30G
Insulin Syringe/0.5ML/29G X 1/2"
Fifty50 Safety Seal Lancets 32G
Insulin Syringe/0.5ML/30G X 1/2"
Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16"
Insulin Syringe/0.5ML/30G X 5/16"
Insulin Syringe/0.5ML/31G X 5/16"
Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16"
Insulin Syringe/1ML/28G X 1/2"
Insulin Syringe/1ML/29G X 1/2"
Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16"
Insulin Syringe/1ML/30G X 5/16"
Fifty50 Unilet Lancets 33G
Insulin Syringe/1ML/31G X 5/16"
Fine 30
Insupen Sensitive 32GX8MM
Fingerstix Lancets
Insupen Ultrafin 29GX12MM
Fora Lancets
Insupen Ultrafin 30GX8MM
Freestyle Lancets
Insupen Ultrafin 31GX6MM
Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16"
Insupen Ultrafin 31GX8MM
IN Touch Sterile Lancets 30G
Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16"
Lancet Transporter Case
Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16"
Lancets
Lancets Bullseye Safety
Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16"
Lancets Safety Seal 21G
Lancets Safety Seal 26G
Freestyle Unistick II Lancets
Lancets Safety Seal 28G
Gentle-let GP Lancets
Lancets Safety Seal 30G
Gentle-let Lancets General Purpose Style/Fine Point
Lancets Thin
Gentle-let Lancets General Purpose Style/Medium Point
Lancets Twist Top
Gentle-let Lancets Safety Style/Fine Point
Lancets Ultra Fine
Gentle-let Lancets Safety Style/Medium Point
Lancets Ultra Thin
Gentle-let Platforms 2.4MM
Lancets 26G Twist Top
Gentle-let Platforms 3.0MM
Lancets 28G
Glucocom Lancets 28G
Lancets 30G
Glucocom Lancets 30G
Lancets 30G Twist Top
Glucocom Lancets 33G
Lancets 30G/Twist Top
Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2"
Lancets 31G Twist Top
Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16"
Lancets 33G Universal Design
Glucopro Insulin Syringe/U-100/0.3ML/31G X 5/16"
Leader Unifine Pentips Plus/Mini/31GX3/16"
Glucopro Insulin Syringe/U-100/0.5ML/30G X 1/2"
Leader Unifine Pentips Plus/SHORT/31GX5/16"
Glucopro Insulin Syringe/U-100/0.5ML/30G X 5/16"
Leader Unifine Pentips/Mini/31GX3/16"
Glucopro Insulin Syringe/U-100/0.5ML/31G X 5/16"
Leader Unifine Pentips/Nano/32GX5/32"
Glucopro Insulin Syringe/U-100/1ML/30G X 1/2"
Leader Unifine Pentips/Plus/32GX5/32"
Glucopro Insulin Syringe/U-100/1ML/30G X 5/16"
Liberty Medical Lancets 30G
Glucopro Insulin Syringe/U-100/1ML/31G X 5/16"
Effective July 1, 2016
37
Lifescan Unistik II Lancets Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16"
Lifescan Unistik 2 Deep Penetration Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16"
Lite Touch Pen Needles/31G X 3/16" Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2"
Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2" Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2"
Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2" Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16"
Litetouch Insulin Syringe/U-100/1ML/28G X 1/2" Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16"
Litetouch Insulin Syringe/U-100/1ML/29G X 1/2" Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2"
Litetouch Insulin Syringe/U-100/1ML/31G X 5/16" Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2"
Litetouch Insulin Syringe/0.3ML/29G X 1/2" Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16"
Litetouch Insulin Syringe/0.3ML/30G X 5/16" Monojector End CAPS
Litetouch Insulin Syringe/0.3ML/31G X 5/16" Monojector Opd End CAPS
Litetouch Insulin Syringe/0.5ML/30G X 5/16" Monolet Lancets
Litetouch Insulin Syringe/0.5ML/31G X 5/16" Monolet Opd Lancets
Litetouch Insulin Syringe/1ML/30G X 5/16" Monolettor Safety Lancets
Litetouch Lancets Micro Thin 33G Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Litetouch Pen Needles 29GX12.7MM
Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Litetouch Pen Needles 31G X 6MM
Litetouch Pen Needles 31GX8MM SHORT
Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Live Better Lancet Super Thin 30G
Live Better Lancet Ultra Thin 28G
Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2"
Live Better Pen Needles 29G X 12MM
Live Better Pen Needles 31G X 12MM
Myglucohealth Mgh Softlance Lancets 30G
Live Better Pen Needles 31G X 6MM
Netgroup Lancets
Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2"
Nova Safety Lancets 23G
Magellan Insulin Safety Syringe/U-100/0.3ML/30G X 5/16"
Nova Safety Lancets 28G
Magellan Insulin Safety Syringe/U-100/0.5ML/29G X 1/2"
Nova Sureflex Lancets
Magellan Insulin Safety Syringe/U-100/0.5ML/30G X 5/16"
Novofine Plus 32GX4MM
Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2"
On Call Lancets
Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16"
On Call Plus Lancets
Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2"
Onetouch Club Lancets Fine Point
Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2"
Onetouch Combo Pack
Medisense Thin Lancets
Onetouch Delica Lancets Extra Fine 33G
Medlance Plus Extra Lancets 21G
Onetouch Delica Lancets Fine 30G
Medlance Plus Lancets
Onetouch Finepoint Lancets
Medlance Plus Lancets Lite 25G
Onetouch Lancets
Medlance Plus Lite Lancets 25G
Onetouch Suresoft Lancing Device/18G
Medlance Plus Special Lancets 0.8MM
Onetouch Suresoft Lancing Device/21G
Medlance Plus Superlite 30G
Onetouch Suresoft Lancing Device/28G
Medlance Plus Superlite 30G/Comfort Max
Onetouch Ultra Blue
Medlance Plus Universal Lancets 21G
Onetouch Ultra Mini
Medlance Plus/Lite 25G
Onetouch Ultra 2
Medlance/Extra
Onetouch Ultralink System (hex)
Medlance/Lite
Onetouch Ultralink System (DEC)
Medlance/Universal
Onetouch Ultrasoft Lancets
Meijer Super Thin Lancets
Onetouch Verio
Microlet Lancets
Onetouch Verio IQ Blood Glucose Monitoring System
Microtainer Safety Flow Lancet/Sterile/Single-use
Onetouch Verio Sync Bloodglucose Monitoring System
Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML
Onetouch Verio Test Strips
Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8"
Pen Needles 29G X 12MM
Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2"
Pen Needles 29GX1/2"
Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2"
Pen Needles 30GX5/16"
Pen Needles 31G X 1/4" SHORT
Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2"
Pen Needles 31G X 3/16"
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2"
Pen Needles 31G X 5MM
Pen Needles 31G X 6MM
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2"
Pen Needles 31GX5/16"
Pen Needles 31GX8MM
Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2"
Pen Needles 32GX4MM
Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2"
Penlet II Replacement CAPS
Penlet II Replacement CAPS-deep
Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2"
Penlet II Replacement CAPS-regular
Pentips 29GX12MM
Monoject Insulin Syringe/Softpack/1ML/27G X 1/2"
Pentips 31GX5MM
Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16"
Pentips 31GX6MM
Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Pentips 31GX8MM
Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16"
Pentips 32GX4MM
Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Perfect Lancets 30G
Monoject Insulin Syringe/U-100/1ML/30G X 5/16"
Perfect Pressure Activated Safety Lancets 28G
Monoject Insulin Syringe/1ML
Pharmacist Choice Ultra Thin Lancets
Monoject Insulin Syringe/1ML/31G X 5/16"
Pharmacist Choice Ultra Thin Lancets 28G
Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2"
Effective July 1, 2016
38
Pharmacist Choice Ultra Thin Lancets 30G Rightest GD-L500 Alternate Site Adapter
Pharmacist Choice Ultra Thin Lancets 31G Safe-t-lance Low Flow 25G
Pharmacist Choice Ultra Thin Lancets 33G Safe-t-lance Normal Flow 21G
Pharmacy Counter Lancets Safe-t-lance Plus Safety Lancet High Flow
Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16" Safe-t-lance Plus Safety Lancet Low Flow
Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2" Safe-t-lance Plus Safety Lancet Normal Flow
Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2" Safesnap Insulin Syringe/0.3ML/30G X 5/16"
Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8" Safesnap Insulin Syringe/0.5ML/29G X 1/2"
Precision Sure-dose Insulin Syringe/1ML/28G X 1/2" Safesnap Insulin Syringe/0.5ML/30G X 5/16"
Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2"
Safesnap Insulin Syringe/1ML/28G X 1/2"
Safesnap Insulin Syringe/1ML/29G X 1/2"
Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2"
Safety Lancet 21G/Pressure Activated
Precision Thin Lancets
Safety Lancet 28G/Pressure Activated
Precision Thins GP Lancet
Safety Lancets
Precision Ultra Lancet
Safety Lancets 21G
Preferred Plus Unifine Pentips 29G X 12MM
Safety Lancets 28G
Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT
Safety Let Lancets
Preferred Plus Unifine Pentips 31G X 8MM SHORT
Safety Seal Lancets 28G
Prodigy Insulin Mini Pen Needles/31G X 3/16"
Safety Seal Lancets 30G
Prodigy Insulin Pen Needles/29G X 1/2"
Safety-glide Insulin Syringe/0.3ML/29G X 1/2"
Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16"
Shopko On-the-go Comfort Lancets 30G
Prodigy Insulin Syringe/1/2ML/31G X 5/16"
Shopko Unifine Pentips Pen Needles/Micro/32GX4MM
Prodigy Insulin Syringe/1ML/28G X 1/2"
Shopko Unifine Pentips Pen Needles/Mini/31GX5MM
Prodigy Insulin SHORT Penneedles/31G X 5/16"
Shopko Unifine Pentips Pen Needles/Original/29GX12MM
Prodigy Pressure Activated Safety Lancets
Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM
Prodigy Safety Lancets
Shopko Unilet Lancets Super Thin 30G
Prodigy Twist Top Lancets
Shopko Unilet Lancets Ultra Thin 28G
Pss Select GP Lancets
Single-let
Pss Select Platforms
Smart Diabetes Vantage Universal Lancets 30G
Pss Select Safety Lancets
Smart Sense Color Lancets Universal 33G
Px Lancets Ultra Thin
Smart Sense Standard Lancets Universal 21G
PC Unifine Pentips 29G X 1/2"
Smart Sense Super Thin Lancets Universal 30G
PC Unifine Pentips 31G X 6MM Ultra SHORT
Smart Sense Thin Lancets Universal 26G
PC Unifine Pentips 31G X 8MM SHORT
Smartest Lancets 28G
Qc Lancets Super Thin
Solus V2 Pressure Activated Safety Lancets 28G
Qc Lancets Ultra Thin
Solus V2 Twist Lancets 30G
Qc Pen Needles 29G X 12MM
Sterilance PA
Qc Pen Needles 31G X 6MM
Sterilance TL
Qc Pen Needles 31G X 8MM
Sure-fine Pen Needles 29GX1/2" 12.7MM
Relion Insulin Syringe/U -100/0.5ML/29G
Sure-fine Pen Needles 31GX3/16" 5MM
Relion Insulin Syringe/U-00/1ML/29G X 1/2"
Sure-fine Pen Needles 31GX5/16" 8MM
Relion Insulin Syringe/U-100/0.3ML/29G
Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2"
Relion Insulin Syringe/U-100/0.3ML/29G X 1/2"
Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16"
Relion Insulin Syringe/U-100/0.3ML/30G
Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16"
Relion Insulin Syringe/U-100/0.3ML/30G X 5/16"
Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Relion Insulin Syringe/U-100/0.3ML/31G X 5/16"
Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2"
Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16"
Relion Insulin Syringe/U-100/0.5ML/30G
Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16"
Relion Insulin Syringe/U-100/0.5ML/30G X 5/16"
Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2"
Relion Insulin Syringe/U-100/0.5ML/31G X 5/16"
Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2"
Relion Insulin Syringe/U-100/1ML/30G
Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16"
Relion Insulin Syringe/U-100/1ML/30G X 5/16"
Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16"
Relion Insulin Syringe/U-100/1ML/31G X 5/16"
Sure-lance Flat Lancets
Relion Lancets Micro-thin33G
Sure-lance Lancets 26G
Relion Lancets Standard 21G
Sure-lance Thin Lancets 28G
Relion Lancets Thin 26G
Sure-lance Ultra Thin Lancets
Relion Lancets Ultra-thin30G
Sure-touch Lancets Universal
Relion Mini Pen Needles 31GX6MM
Surelite Lancets
Relion Pen Needles 29GX12MM
Techlite AST Lancets
Relion Pen Needles 31GX6MM
Techlite Lancets
Relion Pen Needles 31GX8MM
Techlite Lancets 30G
Relion Pen Needles 32GX4MM
Techlite Pen Needles/31G X 5MM
Relion SHORT Pen Needles 31GX8MM
Techlite Pen Needles/31G X 6 MM
Relion Thin Lancets
Techlite Pen Needles/31G X 8MM
Relion Ultra Thin Lancets
Techlite Pen Needles/32G X 4MM
Relion Ultra Thin Lancets30G
Techlite Pen Needles/32G X 8MM
Relion Ultra Thin Plus Lancets 32G
Terumo Insulin Syringe/U-100/0.3ML/29G X 1/2"
Relion Ultra Thin Plus Lancets 33G
Terumo Insulin Syringe/U-100/0.5ML/27G X 1/2"
Renew Advanced Lancing Cartridge Refills
Terumo Insulin Syringe/U-100/0.5ML/28G X 1/2"
Rexall Lancets Ultra Thin
Terumo Insulin Syringe/U-100/1ML/28G X 1/2"
Rightest Gl300 Lancets
Effective July 1, 2016
39
Terumo Insulin Syringe/0.3ML/30G X 3/8" Ulticare Insulin Syringe/0.5ML/28G X 1/2"
Terumo Insulin Syringe/0.5ML/29G X 1/2" Ulticare Insulin Syringe/0.5ML/29G X 1/2"
Terumo Insulin Syringe/0.5ML/30G X 3/8" Ulticare Insulin Syringe/0.5ML/30G X 1/2"
Terumo Insulin Syringe/1ML/27G X 1/2" Ulticare Insulin Syringe/0.5ML/30G X 5/16"
Terumo Insulin Syringe/1ML/29G X 1/2" Ulticare Insulin Syringe/1ML/28G X 1/2"
Terumo Insulin Syringe/1ML/30G X 3/8" Ulticare Insulin Syringe/1ML/29G X 1/2"
Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2" Ulticare Insulin Syringe/1ML/30G X 1/2"
Terumo Surguard Insulin Syringe/0.5ML/28G X 1/2" Ulticare Insulin Syringe/1ML/30G X 5/16"
Terumo Surguard Insulin Syringe/0.5ML/29G X 1/2" Ulticare Micro Pen Needles 31G X 8MM
Terumo Surguard Insulin Syringe/1ML/28G X 1/2" Ulticare Micro Pen Needles 32G X 4MM
Terumo Surguard Insulin Syringe/1ML/29G X 1/2" Ulticare Micro Pen Needles/31G X 8MM
Thinlets GP Lancets Ulticare Micro Pen Needles/32G X 4MM
Thinlets Lancet Ulticare Mini Pen Needles Ulti-fine IV
Thinpro Insulin Syringe/0.3ML/29G X 1/2" Ulticare Mini Pen Needles 31GX6MM
Thinpro Insulin Syringe/0.3ML/30G X 3/8" Ulticare Mini Pen Needles/31G X 6MM
Thinpro Insulin Syringe/0.3ML/31G X 3/8" Ulticare Mini Pen Needles31GX6MM
Thinpro Insulin Syringe/0.5ML/28G X 1/2" Ulticare Original Pen Needles Ulti-fine
Thinpro Insulin Syringe/0.5ML/29G X 1/2" Ulticare Pen Needles/29G X 12.7MM
Thinpro Insulin Syringe/0.5ML/30G X 3/8" Ulticare SHORT Pen Needles Ulti-fine IV
Thinpro Insulin Syringe/0.5ML/31G X 3/8" Ulticare SHORT Pen Needles 31GX8MM
Thinpro Insulin Syringe/1ML/28G X 1/2" Ulticare SHORT Pen Needles/31G X 8MM
Thinpro Insulin Syringe/1ML/29G X 1/2" Ulticare Thin Lancets 30G
Thinpro Insulin Syringe/1ML/30G X 3/8" Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4"
Thinpro Insulin Syringe/1ML/31G X 3/8" Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4"
Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2" Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4"
Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16" Ulticare U-100 Insulin Syringes/1ML/31G X 1/4"
Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16" Ultiguard Insulin Syringe/U-100/0.3ML/29G X 1/2"
Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2" Ultiguard Insulin Syringe/U-100/0.3ML/30G X 5/16"
Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2" Ultiguard Insulin Syringe/U-100/0.5ML/29G X 1/2"
Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16" Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16"
Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16" Ultiguard Insulin Syringe/U-100/1ML/29G X 1/2"
Trueplus Insulin Syringe/U-100/1ML/28G X 1/2" Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16"
Trueplus Insulin Syringe/U-100/1ML/29G X 1/2" Ultilet Classic Lancets
Trueplus Insulin Syringe/U-100/1ML/30G X 5/16" Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16"
Trueplus Insulin Syringe/U-100/1ML/31G X 5/16" Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16"
Trueplus Lancets 26G Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16"
Trueplus Lancets 28G Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16"
Trueplus Lancets 28G Super Thin Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16"
Trueplus Lancets 30G Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16"
Trueplus Lancets 30G Ultra Thin Ultilet Lancets
Trueplus Lancets 33G Ultilet Lancets 33G
Trueplus Lancets 33G Micro Thin Ultilet Pen Needle 32GX4MM/SHORT
Trueplus Safety Lancets 28G Ultilet Safety Lancets 23G
Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2" Ultilet SHORT Pen Needles 31GX5/16"
Ulticare Insulin Safety Syringe/1ML/29G X 1/2" Ultilet SHORT Pen Needles31GX3/16"
Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16" Ultra-thin II Auto Lancet
Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16" Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16"
Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16"
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/31GX5/16"
Ulticare Insulin Syringe 1CC/28G U-100 1/2"
Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16"
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/30GX5/16"
Ulticare Insulin Syringe/SHORT/0.3ML/31G X 5/16"
Ulticare Insulin Syringe/SHORT/0.5ML/30G X 5/16"
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/31GX5/16"
Ulticare Insulin Syringe/SHORT/0.5ML/31G X 5/16"
Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16"
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16"
Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16"
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16"
Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2"
Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2"
Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2"
Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2"
Ulticare Insulin Syringe/U-100/0.3ML/30G X 5/16"
Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2"
Ulticare Insulin Syringe/U-100/0.3ML/31G X 5/16"
Ultra-thin II Lancets 28G
Ulticare Insulin Syringe/U-100/0.5ML/29G X 1/2"
Ultra-thin II Lancets 30G
Ulticare Insulin Syringe/U-100/0.5ML/30G X 1/2"
Ultra-thin II Mini Pen Neeedles/31GX3/16"
Ulticare Insulin Syringe/U-100/0.5ML/30G X 5/16"
Ultra-thin II Pen Needles 29GX1/2"
Ulticare Insulin Syringe/U-100/0.5ML/31G X 5/16"
Ultra-thin II Pen Needles/SHORT/31GX5/16"
Ulticare Insulin Syringe/U-100/1ML/29G X 1/2"
Ultra-thin II Safety Autolancets 26G
Ulticare Insulin Syringe/U-100/1ML/30G X 1/2"
Ultralance
Ulticare Insulin Syringe/U-100/1ML/30G X 5/16"
Unifine Pentips Plus 29GX12MM
Ulticare Insulin Syringe/U-100/1ML/31G X 5/16"
Unifine Pentips Plus 31GX5MM
Ulticare Insulin Syringe/0.3ML/29G X 1/2"
Unifine Pentips Plus 31GX6MM
Ulticare Insulin Syringe/0.3ML/30G X 1/2"
Unifine Pentips Plus 31GX8MM
Ulticare Insulin Syringe/0.3ML/30G X 5/16"
Unifine Pentips 29GX12MM
Effective July 1, 2016
40
Unifine Pentips 31G X 3/16" 1ST Tier Unifine Pentips 29GX12MM
Unifine Pentips 31G X 6MM 1ST Tier Unifine Pentips 31GX6MM
Unifine Pentips 31G X 8MM 1ST Tier Unifine Pentips 31GX8MM
Unifine Pentips 31GX5MM
Unifine Pentips 31GX6MM MEDICAL DEVICES - MISC
Unifine Pentips 31GX8MM
PREFERRED
Unifine Pentips 32GX4MM
Aerochamber Mini Aerosol Chamber
Unilet Comfortouch Lancet
Aerochamber MV
Unilet Excelite
Aerochamber Plus Flow VU
Unilet Excelite II
Aerochamber Plus Flow-VU
Unilet G.p. Lancet
Aerochamber Plus Flow-VU/Large Mask
Unilet G.p. Superlite Lancet
Aerochamber Plus Flow-VU/Mask
Unilet GP 28 Ultra Thin
Aerochamber Plus Flow-VU/Medium Mask
Unilet Lancet
Aerochamber Plus Flow-VU/Small Mask
Unilet Lancets Micro-thin33G
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU
Unilet Lancets Super-thin30G
Aerochamber Z-stat Plus/Flowsignal
Unilet Lancets Ultra-thin 28G
Aerochamber Z-stat Plus/Large Mask
Unilet Superlite Lancet
Aerochamber Z-stat Plus/Medium Mask
Unistik CZT Comfort
Aerochamber Z-stat Plus/Small Mask
Unistik CZT Normal
Aerochamber/Flowsignal
Unistik Safety Lancets 28G
Aerovent Plus Holding Chamber/Collapsible
Unistik Safety Lancets 30G
Arial Chamber
Unistik Touch Safety Lancets 21G
Breatherite
Unistik Touch Safety Lancets 23G
Breatherite Collapsible Adult Spacer W/Mask
Unistik Touch Safety Lancets 28G
Breatherite Collapsible Child Spacer W/Mask
Unistik Touch Safety Lancets 30G
Breatherite Collapsible Infant Spacer W/Mask
Unistik 1
Breatherite Collapsible Small Child Spacer W/Mask
Unistik 2
Breatherite Collapsible Spacer W/ Neonate Mask
Unistik 2 Comfort
Breatherite Rigid Spacer W/Mask
Unistik 2 Extra
Breatherite W/Large Mask
Unistik 2 Neonatal
Breatherite W/Medium Mask
Unistik 2 Normal
Breatherite W/Small Mask
Unistik 2 Super
Compact Space Chamber/Anti-static
Unistik 3
Compact Space Chamber/Anti-static/Large Mask
Unistik 3 Comfort
Compact Space Chamber/Anti-static/Medium Mask
Unistik 3 Extra
Compact Space Chamber/Anti-static/Small Mask
Unistik 3 Extra Single Use Safety Lancets/21G
E-z Spacer
Unistik 3 Gentle
E-z Spacer The Body Guards Pack
Unistik 3 Neonatal
Easivent
Unistik 3 Normal
Easivent/Mask-large
Universal 1 Lancets Thin 26G
Easivent/Mask-medium
Universal 1 Lancets Ultra Thin 30G
Easivent/Mask-small
V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2"
Flexichamber
V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Flexichamber Adult Mask/Small
V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Flexichamber Child Mask/Large
V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Flexichamber Child Mask/Small
V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2"
Inspirachamber/Anti-static Valved/Mouthpiece
Valumark Lancet Super Thin 30G
Inspirachamber/Large
Valumark Lancet Ultra Thin 28G
Inspirachamber/Soothermask/Inspiramask/Medium
Valumark Pen Needles 29GX12MM
Inspirachamber/Soothermask/Inspiramask/Small
Valumark Pen Needles 31G X 6MM
Inspirease Bags
Valumark Pen Needles 31G X 8MM
Inspirease Drug Delivery System
Vanishpoint Insulin Syringe/0.5ML/30G X 1/2"
Inspirease Mouthpiece
Vanishpoint Insulin Syringe/1ML/29G X 1/2"
Inspirease Reservoir Bags
Vida Mia Unifine Pentips Mini 31GX6MM
Liteaire
Vida Mia Unifine Pentips Original 29GX12MM
Mask Vortex/Baby Whirl Duckling
Vida Mia Unifine Pentips 32GX4MM
Mask Vortex/Child/Frog
Vida Mia Unilet Lancets Super Thin 30G
Mask Vortex/Spinner The Duck
Vida Mia Unilet Lancets Ultra Thin 28G
Mask Vortex/Toddler/Lady Bug
Vida Mia Unipfine Pentipsshort 31GX8MM
Microchamber
Vitalet Pro Lancets
Microspacer
Vitalet Pro Plus Lancets
Nessi Spacer/Large Mask
W&f Lancets Colored 21G
Nessi Spacer/Mouthpiece
W&f Lancets 26G
Nessi Spacer/Small/MED Mask
Walgreens Lancets
Optichamber Advantage
Walgreens Thin Lancets
Optichamber Advantage/Large Mask
Walgreens Ultra Thin Lancets
Optichamber Advantage/Medium Face Mask
1ST Choice Lancets Super Thin
Optichamber Advantage/Small Face Mask
1ST Choice Lancets Thin
1ST Choice Lancets Ultra Thin
Effective July 1, 2016
41
Optichamber Diamond
Optichamber Diamond/Largeface Mask
Optichamber Diamond/Medium Face Mask
Optichamber Diamond/Smallface Mask
Optichamber Face Mask/Large
Optichamber Face Mask/Medium
Optichamber Face Mask/Small
Optihaler
Optihaler MDI Drug Delivery System
Panda Mask Large
Panda Mask Medium
Panda Mask Small
Pediatric Panda Mask
Pocket Chamber
Pocket Spacer
Riteflo
Vortex Valved Holding Chamber
Watchhaler
MISCELLANEOUS
NON PREFERRED
Chemet
Exjade
Ferriprox
Jadenu
Pentetate Calcium Trisodium
Pentetate Zinc Trisodium
Effective July 1, 2016 v.2 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2016 Optum, Inc. All rights reserved.
42
Index
A
Adacel, 33 41
Adalat CC, 7 Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 41
A.a.g.c. Kit IN Teroderm, 11
adapalene, 10
abacavir, 3
Adapalene, 10 Aerochamber Z-stat Plus/Flowsignal, 41
abacavir sulfate/lamivudine/zidovudine, 3
adapalene P.M., 10 Aerochamber Z-stat Plus/Large Mask, 41
Abaneu-SL, 21
Adasuve, 24 Aerochamber Z-stat Plus/Medium Mask, 41
Abelcet, 2
Adcetris, 5
Abilify, 24
Adcirca, 10 Aerochamber Z-stat Plus/Small Mask, 41
Abilify Discmelt, 24
Adderall, 24 Aerochamber/Flowsignal, 41
Abilify Maintena, 24
Adderall XR, 24 Aerospan, 32
Abraxane, 6
adefovir dipivoxil, 3 Aerovent Plus Holding Chamber/Collapsible, 41
Absorica, 10
Adempas, 10
acamprosate calcium DR, 26
Adenocard, 8 AF Lancets Super Thin, 35
Acanya, 10
adenosine, 8 Afinitor, 6
acarbose, 16
Adoxa, 2 Afinitor Disperz, 6
Accolate, 32
Adoxa PAK 1/100, 2 Afluria 2012-2013, 33
Accu-chek Safe-t-pro Lancets, 35
Adoxa PAK 1/150, 2 Afluria 2013-2014, 33
Accu-chek Safe-t-pro Pluslancets, 35
Adoxa PAK 2/100, 2 Afluria 2014-2015, 33
Accu-chek Soft Touch Lancets, 35
Adrenal C Formula, 34 Afluria 2015-2016, 33
Accu-chek Softclix Lancets, 35
Adrenalin, 9, 31 Afluria PF 2012-2013, 33
Accucaine, 13
Adriamycin, 5 Afluria PF 2013-2014, 33
Accupril, 8
Advair Diskus, 32 Afluria PF 2014-2015, 33
Accuretic, 9
Advair HFA, 32 Afluria PF 2015-2016, 33
acebutolol HCL, 7
Advanced Allergy Collection Kit, 12 Afrezza, 16
Aceon, 8
Advate, 22 Agamatrix Ultra-thin Lancets 33G, 35
acetaminophen/caffeine/dihydrocodeine, 29
Advicor, 10 Aggrastat, 22
Advocate Insulin Pen Needles 29GX12.7MM, 35
Aggrenox, 22
acetaminophen/codeine, 29
Agrylin, 22
acetaminophen/codeine #2, 29
Advocate Insulin Pen Needles 31GX5MM, 35
Akne-mycin, 10
acetaminophen/codeine #3, 29
Akovaz, 9
acetaminophen/codeine #4, 29
Advocate Insulin Pen Needles 31GX8MM, 35
Akten, 28
acetaminophen/codeine phosphate, 29
Akynzeo, 19
acetazolamide, 9
Advocate Insulin Syringe/U-100/0.3ML/29GX1/2", 35
Ala Scalp, 12
Acetazolamide, 9
Ala-quin, 11
acetazolamide ER, 9
Advocate Insulin Syringe/U-100/0.3ML/30GX5/16", 35
Albafort, 21, 34
acetazolamide sodium, 9
Albenza, 4
acetic acid, 28
Advocate Insulin Syringe/U-100/0.3ML/31GX5/16", 35
albuterol, 32
Acetic Acid/Aluminum Acetate, 28
albuterol sulfate, 32
acetylcysteine, 31
Advocate Insulin Syringe/U-100/0.5ML/29GX1/2", 35
albuterol sulfate ER, 32
Aciphex, 19
albuterol TAB 4MG, 32
Aciphex Sprinkle, 19
Advocate Insulin Syringe/U-100/0.5ML/30GX5/16", 35
Alcaine, 28
acitretin, 12
alclometasone dipropionate, 12
Aclovate, 12
Advocate Insulin Syringe/U-100/0.5ML/31GX5/16", 35
Aldactazide, 9
Actemra, 30
Aldactone, 9
Acthib, 33
Advocate Insulin Syringe/U-100/1ML/29GX1/2", 35
Aldara, 13
Acticlate, 2
Aldurazyme, 18
Actigall, 19
Advocate Insulin Syringe/U-100/1ML/30GX5/16", 35
Alecensa, 6
Actimmune, 6
alendronate sodium, 17
Actiq, 29
Advocate Insulin Syringe/U-100/1ML/31GX5/16", 35
Alendronate Sodium, 17
Activase, 22
Alevicyn Antipruritic SG, 13
Active 1ST Blood Lancets 30G/Easy Twist CAP, 35
Advocate Lancets, 35 Alfenta, 29
Advocate Lancets 30G, 35 alfentanil, 29
Activella, 15
Advocate Safety Lancets, 35 Alferon N, 6
Actonel, 17
Advocate Safety Lancets 26G, 35 alfuzosin HCL ER, 20
Actoplus Met, 16
Adzenys XR-odt, 24 Alimta, 5
Actoplus Met XR, 16
Aerochamber Mini Aerosol Chamber, 41 Alinia, 4
Actos, 16
Aerochamber MV, 41 Alkeran, 4
Acuicyn Daily Eyelid & Eyelash Cleanser, 13
Aerochamber Plus Flow VU, 41 Allegra Allergy Childrens, 31
Aerochamber Plus Flow-VU, 41 Allo-pax, 12
Acular, 28
Aerochamber Plus Flow-VU/Large Mask, 41
allopurinol, 31
Acular LS, 28
Allzital, 29
Acuvail, 28
Aerochamber Plus Flow-VU/Mask, 41 almotriptan malate, 30
acyclovir, 3, 12
Aerochamber Plus Flow-VU/Medium Mask, 41
Alocril, 28
acyclovir sodium, 3
Alodox Convenience Kit, 2
Acyclovir Sodium, 3
Aerochamber Plus Flow-VU/Small Mask, Alogliptin, 16
Aczone, 10
Alogliptin/Metformin HCL, 16
Amturnide, 9 Arnuity Ellipta, 32
Alogliptin/Pioglitazone, 16
Amytal Sodium, 24 Aromasin, 5
Alomide, 28
Anacaine, 13 Arranon, 5
Aloprim, 31
Anadrol-50, 15 Arthrotec 50, 30
Alora, 15
Anafranil, 23 Arthrotec 75, 30
alosetron hydrochloride, 19
anagrelide hydrochloride, 22 Articadent Dental, 31
Aloxi, 19
Analpram Advanced, 19 Artiss, 22
Alphagan P, 28
Analpram-HC, 19 Arzerra, 5
Alphanate/Von Willebrand Factor Complex/Human, 22
Analpram-HC Singles, 19 ascorbic acid, 33
Anaprox DS, 30 Aspirin-caffeine-dihydrocodeine, 29
Alphanine SD, 22
Anaspaz, 19 Aspirin/Dipyridamole, 22
alprazolam, 23
anastrozole, 5 Assure Haemolance Plus High Flow 18G, 35
alprazolam ER, 23
Ancef, 1
Alprazolam Intensol, 23
Ancobon, 2 Assure Haemolance Plus Low Flow 25G, 35
alprazolam odt, 23
Androderm, 15
Alrex, 27
Androgel, 15 Assure Haemolance Plus Micro Flow 28G, 35
Alsuma, 30
Androgel P.M., 15
Altabax, 11
Android, 15 Assure Haemolance Plus Normal Flow 21G, 35
Altace, 8
Androxy, 15
Aluvea, 13
Anectine, 26 Assure Haemolance Plus Pediatric Blade, 35
amantadine HCL, 25
Angeliq, 15
Amantadine HCL, 25
Angiomax, 21 Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 35
Amaryl, 16
Animi-3, 21
Ambien, 24
Animi-3/Vitamin D, 21 Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2", 35
Ambien CR, 24
Anoro Ellipta, 32
Ambisome, 2
Antabuse, 26 Assure Lance Lancets, 35
Amcinonide, 12
Antara, 10 Assure Lance Lancets 21G, 35
Amerge, 30
Anthralin, 12 Assure Lance Plus Safety Lancets 25G, 35
Amicar, 22
Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2", 35
amifostine, 6
Assure Lance Plus Safety Lancets 30G, 35
amikacin sulfate, 2
Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2", 35
amiloride HCL, 9
Assure Lancets, 35
amiloride/hydrochlorothiazide, 9
Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2", 35
Astagraf XL, 5
aminocaproic acid, 22
Astepro, 31
Aminocaproic Acid, 22
antipyrine/benzocaine, 28 Astringyn, 22
aminophylline, 32
Antipyrine/Benzocaine, 28 AT Last Lancets, 35
amiodarone HCL, 8
Anusol-HC, 19 Atabex EC, 33
Amiodarone HCL, 8
Anzemet, 19 Atabex Prenatal, 33
Amitiza, 19
Aplenzin, 23 Atacand, 8
amitriptyline HCL, 23
Apokyn, 25 Atacand HCT, 9
amlodipine besylate, 7
Appbutamone, 23 Atelvia, 17
amlodipine besylate/atorvastatin calcium, 10
Appformin, 16 atenolol, 7
Appformin-d, 16 atenolol/chlorthalidone, 9
amlodipine besylate/benazepril HCL, 8
apraclonidine, 28 Atgam, 5
amlodipine besylate/benazepril hydrochloride, 8
Aptensio XR, 24 Ativan, 23
Aptiom, 25 Atopiclair, 13
amlodipine besylate/valsartan, 8
Aptivus, 3 atorvastatin calcium, 10
amlodipine/valsartan/hctz, 8
Aquasol A Parenteral, 33 atovaquone, 4
ammonium lactate, 13
Aquoral, 22 atovaquone/proguanil HCL, 3
Ammonul, 18
Aralast NP, 32 atracurium besylate, 26
Amoxapine, 23
Aralen, 3 Atralin, 10
amoxicillin, 1
Arava, 30 Atripla, 3
Amoxicillin, 1
Arcalyst, 30 Atropen, 19
Amoxicillin ER, 1
Arcapta Neohaler, 32 atropine sulfate, 18, 28
amoxicillin/clavulanate potassium, 1
argatroban, 21 Atropine Sulfate, 19, 28
Amoxicillin/Clavulanate Potassium, 1
Argatroban, 21 Atrovent, 31
amoxicillin/clavulanate potassium ER, 1
Arial Chamber, 41 Atrovent HFA, 32
amphetamine/dextroamphetamine, 24
Aricept, 26 Aubagio, 26
Amphotec, 2
Aricept Odt, 26 augmented betamethasone dipropionate, 12
Amphotericin B, 2
Arimidex, 5
ampicillin, 1
aripiprazole, 23 Augmentin, 1
Ampicillin, 1
Aripiprazole Odt, 24 Augmentin ES-600, 1
ampicillin sodium, 1
Aristada, 24 Augmentin XR, 1
Ampicillin Sodium, 1
Aristospan Intra-articular, 14 Aurora Lancet Super Thin 30G, 35
ampicillin-sulbactam, 1
Arixtra, 21 Aurora Lancet Thin 23G, 35
Ampicillin-sulbactam, 1
armodafinil, 24 Aurora Pen Needles 29GX12MM, 35
Ampyra, 26
Armour Thyroid, 18 Aurora Pen Needles 31G X 6MM, 35
Amrix, 26
Arnica Flower, 13 Aurora Pen Needles 31G X 8MM, 35
Aurstat Anti-itch Hydrogel, 13
Bactocill IN Dextrose, 1 BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 35
Aurstat Anti-itch Hydrogel Kit, 13
Bactrim, 4
Auryxia, 19
Bactrim DS, 4 BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2", 35
Autolet Platforms, 35
Bactroban, 11
Avalide, 9
Bactroban Nasal, 31 BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64", 35
Avandamet, 16
Bal-care DHA, 33
Avandaryl, 16
balsalazide disodium, 19 BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16", 35
Avandia, 16
Banzel, 25
Avapro, 8
Baraclude, 3 BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 35
Avar, 10
Bayer Microlet Lancets, 35
Avar LS, 10
Bcg Vaccine, 33 BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 35
Avar LS Cleanser, 10
BD Autoshield 29G X 3/16", 35
Avar-e LS, 10
BD Autoshield 29G X 5/16", 35 BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64", 35
Avastin, 5
BD Autoshield Duo 30G X 3/16", 35
Avc, 20
BD Insulin Syringe LUER-LOK/U-100/1ML, 35
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16", 35
Aveed, 15
Avelox, 2
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 35
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 35
Avelox Abc Pack, 2
Avenova, 13
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 35
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 35
Avenova/Neutrox, 13
Avidoxy DK, 2
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 35
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 35
Avinza, 29
Avodart, 20
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 35
BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 35
Avonex, 26
Avonex Pen, 26
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 35
BD Insulin Syringe/U-100/1ML/27G X 1/2", 35
Avycaz, 4
Axert, 30
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 35
BD Insulin Syringe/U-100/1ML/28G X 1/2", 35
Axid, 19
Aygestin, 16
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 35
BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 35
azacitidine, 5
Azactam, 4
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 35
BD Insulin Syringe/U-100/2ML/29G X 1/2", 35
Azactam IN Iso-osmotic Dextrose, 4
Azasan, 5
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 35
BD Integra Insulin Syringe/U-100/1ML/29G X 1/2", 35
Azasite, 27
azathioprine, 5
BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 35
BD Integra Syringe/Retracting Needle/1ML/25G X 1", 35
Azathioprine, 5
azelastine HCL, 28, 31
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 35
BD Lancet Ultrafine 30G, 35
Azelex, 10
BD Lancet Ultrafine 33G, 35
Azilect, 25
BD Insulin Syringe Slip Tip/U-100/1ML, 35
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 35
azithromycin, 1
Azithromycin, 1
BD Insulin Syringe U-40/1ML/25G X 5/8", 35
BD Microtainer Lancets, 35
Azopt, 28
BD Pen Needle/Mini/Ultrafine/31G X 3/16", 35
Azor, 9
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 35
aztreonam, 4
BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 35
Azulfidine, 19
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 35
Azulfidine EN-TABS, 19
BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 35
B
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 35
BD Pen Needle/Ultrafine/29G X 12.7MM, 35
B-12 Kit, 21
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 35
B-6 Folic Acid, 21
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 35
b-complex 100, 33
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16", 35
B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 35
BD Pen Needles SHORT/Ultrafine/31G X 5/16", 36
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 35
B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16", 35
BD Pudendal/Local Block Tray 1% Lidocaine, 31
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16", 35
B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 35
BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2", 36
BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 35
B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 35
BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 36
BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 35
B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 35
BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 36
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 35
B-d Insulin Syringe Ultrafine/1ML/30G X 1/2", 35
BD-insul SYR Mis LO Dose, 36
BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2", 35
Bebulin, 22
bacitracin, 4
Beconase AQ, 31
Bacitracin, 27
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 15/64", 35
Belbuca, 29
bacitracin/polymyxin b, 27
Beleodaq, 6
Baclofen, 11
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 5/16", 35
Belladonna & Opium, 19
baclofen, 26
Belladonna Alkaloids & Opium, 19
Bacmin, 34
Belsomra, 24
Blephamide, 27 Byetta, 16
benazepril HCL, 8
Blephamide S.o.p., 27 Bystolic, 7
benazepril HCL/hydrochlorothiazide, 9
Blincyto, 5 C
Bendeka, 4
Bloxiverz, 27
cabergoline, 17
Benefix, 22
Boniva, 17
Caduet, 10
Benicar, 8
Boostrix, 33
Cafcit, 24
Benicar HCT, 9
Boric Acid, 13
Cafergot, 30
Bentyl, 19
Bosulif, 6
caffeine citrate, 24
Benzac Ac Wash, 10
Botox, 26
Caffeine/Sodium Benzoate, 24
Benzac W Wash, 10
Bravelle, 17
Calan, 7
Benzaclin, 10
Breatherite, 41
Calan SR, 7
Benzaclin With P.M., 10
Breatherite Collapsible Adult Spacer W/Mask, 41
calcipotriene, 12
Benzamycin, 10
calcipotriene/betamethasone dipropionate, 12
Benzamycinpak, 10
Breatherite Collapsible Child Spacer W/Mask, 41
Benzefoam, 10
calcitonin salmon, 17
Benzefoamultra, 10
Breatherite Collapsible Infant Spacer W/Mask, 41
calcitonin-salmon, 17
Benziq, 10
Calcitriol, 12
Benziq LS, 10
Breatherite Collapsible Small Child Spacer W/Mask, 41
calcitriol, 18
Benzodox 30 Kit, 2
calcium acetate, 19
Benzodox 60 Kit, 2
Breatherite Collapsible Spacer W/ Neonate Mask, 41
Calcium Folinate, 7
Benzoin Compound Tincture, 13
Caldolor, 30
Benzoin Tincture, 13
Breatherite Rigid Spacer W/Mask, 41
Cambia, 30
benzonatate, 31
Breatherite W/Large Mask, 41
Campral, 26
benzoyl peroxide, 10
Breatherite W/Medium Mask, 41
Camptosar, 6
benzoyl peroxide SHORT contact, 10
Breatherite W/Small Mask, 41
Canasa, 19
benztropine mesylate, 25
Breo Ellipta, 32
Cancidas, 2
Bepreve, 28
Brevibloc, 7
candesartan cilexetil, 8
Berinert, 22
Brevicon-28, 15
candesartan cilexetil/hydrochlorothiazide, 9
Besivance, 27
Brilinta, 22
Beta Inject Kit, 14
brimonidine tartrate, 28
Cantil, 19
Betadine Ophthalmic Prep, 27
Brintellix, 23
Capastat Sulfate, 2
Betagan, 27
Brisdelle, 26
capecitabine, 5
Betalido, 14
bromfenac, 28
Capex, 12
betamethasone dipropionate, 12
Bromfenac, 28
Caphosol, 22
betamethasone sodium phosphate/betamethasone acetate, 14
bromocriptine mesylate, 25
Capital/Codeine, 29
bromphen/pseudoephedrine HCL/dextromethorphan HBR, 31
Caprelsa, 6
Betamethasone SP, 14
captopril, 8
betamethasone valerate, 12
Brompheniramine, 31
Captopril/Hydrochlorothiazide, 9
Betapace, 7
Brompheniramine Tannate, 31
Capxib Kit, 30
Betapace AF, 7
Brovana, 32
Carafate, 19
betaxolol HCL, 7, 27
budesonide, 14, 31, 32
Carbaglu, 18
bethanechol chloride, 20
Bullseye Safety Lancets, 35
carbamazepine, 25
Bethkis, 2
bumetanide, 9
carbamazepine ER, 25
Betimol, 27
Bumex, 9
Carbaphen 12, 32
Betoptic-s, 27
Bunavail, 29
Carbaphen 12 PED, 32
bexarotene, 6
Bupap, 29
Carbatrol, 25
Bexsero, 33
Buphenyl, 18
carbidopa, 25
Beyaz, 15
bupivacaine HCL, 31
carbidopa/levodopa, 25
Biaxin, 1
bupivacaine/epinephrine, 31
carbidopa/levodopa ER, 25
Biaxin XL, 1
Buprenex, 29
carbidopa/levodopa odt, 25
Biaxin XL PAC, 1
buprenorphine HCL, 29
Carbidopa/Levodopa/Entacapone, 25
bicalutamide, 5
buprenorphine HCL/naloxone HCL, 29
carbinoxamine maleate, 31
Bicillin C-R, 1
bupropion HCL, 23
Carbocaine, 31
Bicillin L-a, 1
bupropion HCL ER, 23
carboplatin, 4
Bicnu, 4
bupropion HCL SR, 23
Cardene IV, 7
Bidil, 10
bupropion HCL XL, 23
Cardene SR, 7
Biest/Progesterone, 15
buspirone HCL, 23
Cardizem, 7
Biferarx, 21
Busulfex, 4
Cardizem CD, 7
Biltricide, 4
butalbital/acetaminophen, 28
Cardizem LA, 7
Bimatoprost, 27
butalbital/acetaminophen/caffeine, 28
Cardura, 8
Binosto, 17
butalbital/acetaminophen/caffeine/codeine, 29
Cardura XL, 20
Biothrax, 33
Carefine Pen Needle 32GX4MM, 36
bisoprolol fumarate, 7
butalbital/aspirin/caffeine, 28
Carefine Pen Needles 29GX1/2", 36
bisoprolol fumarate/hydrochlorothiazide, 9
butalbital/aspirin/caffeine/codeine, 29
Carefine Pen Needles 30GX5/16", 36
Butisol Sodium, 24
Carefine Pen Needles 31GX6MM, 36
bivalirudin, 21
butorphanol tartrate, 29
Carefine Pen Needles 31GX8MM, 36
bleomycin sulfate, 4
Butrans, 29
Careone Lancet Thin, 36
Bleph-10, 27
Bydureon, 16
Careone Lancet Ultra Thin, 36
carisoprodol, 26
Cerezyme, 21 Citranatal Assure, 34
carisoprodol/aspirin, 26
Cervarix, 33 Citranatal B-calm, 33
carisoprodol/aspirin/codeine, 26
Cervidil, 28 Citranatal DHA, 34
Carnitor, 18
Cesamet, 19 Citranatal Harmony, 34
Carnitor SF, 18
cetirizine HCL, 31 Citranatal RX, 33
carteolol HCL, 27
Cetraxal, 28 citric acid/sodium citrate, 20
carvedilol, 7
Cetrotide, 17 cladribine, 5
Cascara Sagrada, 18
cevimeline HCL, 22 Claforan, 1
Casodex, 5
Chemet, 42 Claforan/D5W, 1
Cataflam, 30
Chenodal, 19 Clarifoam EF, 11
Catapres, 8
Chloramphenicol Sodium Succinate, 4 Clarinex, 31
Catapres-tts-1, 8
chlordiazepoxide HCL, 23 Clarinex-d 12 HOUR, 32
Catapres-tts-2, 8
chlordiazepoxide HCL/clidinium bromide, 18
clarithromycin, 1
Catapres-tts-3, 8
clarithromycin ER, 1
Cathflo Activase, 22
Chlordiazepoxide/Amitriptyline, 26 Cleanlet Lancets 28G, 36
Cayston, 4
chlorhexidine gluconate, 22 clemastine fumarate, 31
Cedax, 1
chlorhexidine gluconate oral rinse, 22 Clemastine Fumarate, 31
cefaclor, 1
chloroprocaine HCL, 31 Cleocin, 4, 20
Cefaclor, 1
chloroquine phosphate, 3 Cleocin IN D5W, 4
Cefaclor ER, 1
chlorothiazide, 9 Cleocin Pediatric Granules, 4
cefadroxil, 1
Chlorothiazide, 9 Cleocin Phosphate, 4
Cefazolin, 1
chlorothiazide sodium, 9 Cleocin-t, 11
cefazolin sodium, 1
chlorpromazine HCL, 23 Clever Chek Lancets Ultrathin, 36
Cefazolin Sodium, 1
Chlorpromazine HCL, 24 Clever Chek Lancets Ultrathin 30G, 36
Cefazolin Sodium/Dextrose, 1
Chlorpropamide, 16 Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 36
cefdinir, 1
chlorthalidone, 9
Cefditoren Pivoxil, 1
Chlorthalidone, 9 Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 36
cefepime, 1
chlorzoxazone, 26
Cefepime, 1
Cholbam, 19 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2", 36
cefixime, 1
cholestyramine, 10
Cefotan, 1
cholestyramine light, 10 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16", 36
cefotaxime sodium, 1
choline magnesium trisalicylate, 28
cefotetan, 1
Choline Magnesium Trisalicylate, 29 Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16", 36
Cefotetan, 1
chorionic gonadotropin, 17
Cefotetan/Dextrose, 1
Cialis, 10 Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2", 36
cefoxitin sodium, 1
Ciclodan Cream Kit, 11
Cefoxitin Sodium, 1
Ciclodan Solution Kit, 11 Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2", 36
cefpodoxime proxetil, 1
ciclopirox, 11
cefprozil, 1
ciclopirox nail lacquer, 11 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2", 36
ceftazidime, 1
ciclopirox olamine, 11
Ceftazidime/Dextrose, 1
Ciclopirox Topical Solution Kit, 11 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16", 36
Ceftibuten, 1
cidofovir, 3
Ceftin, 1
Ciferex, 21 Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16", 36
Ceftriaxone IN Iso-osmotic Dextrose, 1
cilostazol, 22
ceftriaxone sodium, 1
Ciloxan, 27 Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2", 36
Ceftriaxone Sodium, 1
cimetidine, 18
Ceftriaxone/Dextrose, 1
cimetidine HCL, 18 Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 36
cefuroxime axetil, 1
Cimzia, 19
cefuroxime sodium, 1
Cimzia Starter Kit, 19 Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2", 36
Cefuroxime Sodium, 1
Cinryze, 22
Cefuroxime/Dextrose, 1
Cipro, 2 Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16", 36
Celebrex, 30
Cipro HC, 28
celecoxib, 30
Cipro I.V.-IN D5W, 2 Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 36
Celestone-soluspan, 14
Cipro XR, 2
Celexa, 23
Ciprodex, 28 Clever Choice Comfort EZ Patch, 13
Cellcept, 5
ciprofloxacin, 2 Clever Choice Comfort EZ Pen Needles 29GX12MM, 36
Cellcept Intravenous, 5
Ciprofloxacin, 28
Celontin, 25
ciprofloxacin ER, 2 Clever Choice Comfort EZ Pen Needles 31GX5MM, 36
Cenestin, 15
ciprofloxacin HCL, 2, 27
Cenfol, 21
Ciprofloxacin HCL, 2 Clever Choice Comfort EZ Pen Needles 31GX6MM, 36
Centany, 11
ciprofloxacin I.V.-IN D5W, 2
Centany AT, 11
cisatracurium besylate, 26 Clever Choice Comfort EZ Pen Needles 31GX8MM, 36
Centratex, 21
cisplatin, 4
cephalexin, 1
Cisplatin, 4 Clever Choice Comfort EZ Pen Needles 32GX4MM, 36
Cephalexin, 1
citalopram hydrobromide, 23
Ceracade, 13
Citanest Forte Dental, 31 Clever Choice Comfort EZ Pen Needles 32GX8MM, 36
Cerdelga, 21
Citanest Plain Dental, 31
Cerebyx, 25
Citranatal 90 DHA, 34 Clever Choice Comfort EZ Pen Needles
33GX4MM, 36
Colestid Flavored, 10 Corzide, 9
Clever Choice Comfort EZ Pen Needles 33GX5MM, 36
colestipol HCL, 10 Cosentyx, 12
colistimethate sodium, 4 Cosentyx Sensoready Pen, 12
Clever Choice Comfort EZ Pen Needles 33GX6MM, 36
Coly-mycin M, 4 Cosmegen, 5
Coly-mycin S, 28 Cosopt, 27
Clever Choice Comfort EZ Pen Needles 33GX8MM, 36
Colyte-flavor Packs, 18 Cosopt PF, 27
Combigan, 27 Cotellic, 6
Cleviprex, 8
Combipatch, 15 Coumadin, 21
Climara, 15
Combivent Respimat, 32 Cozaar, 8
Climara Pro, 15
Combivir, 3 Cpb Wc, 32
Clin Single Use Kit, 4
Cometriq, 6 Creon, 19
Clin-lido, 4
Comfort Assist Insulin Syringe 0.3ML/29G X 1/2", 36
Cresemba, 2
Clindacin Etz, 11
Crestor, 10
Clindacin PAC, 11
Comfort Assist Insulin Syringe/0.3ML/30G X 5/16", 36
Crinone, 20
Clindagel, 10
Crixivan, 3
clindamycin, 4
Comfort Assist Insulin Syringe/0.3ML/31G X 5/16", 36
Crnatal, 34
clindamycin HCL, 4
cromolyn sodium, 19, 28
clindamycin palmitate HCL, 4
Comfort Assist Insulin Syringe/0.5ML/29G X 1/2", 36
Cromolyn Sodium, 32
clindamycin phosphate, 4, 10, 20
Cubicin, 4
Clindamycin Phosphate, 4
Comfort Assist Insulin Syringe/0.5ML/30G X 5/16", 36
Curosurf, 32
clindamycin phosphate add-vantage, 4
Cutivate, 12
clindamycin phosphate IN D5W, 4
Comfort Assist Insulin Syringe/0.5ML/31G X 5/16", 36
Cuvposa, 19
clindamycin phosphate pharmacy bulk package, 4
cyanocobalamin, 21
Comfort Assist Insulin Syringe/1ML/29G X 1/2", 36
Cyclessa, 15
clindamycin/benzoyl peroxide, 10
Cyclobenzaprine Comfort PAC, 26
Clindap-t, 11
Comfort Assist Insulin Syringe/1ML/30G X 5/16", 36
cyclobenzaprine HCL, 26
Clindesse, 20
Cyclogyl, 28
Clinical Nutrients Prenatal Formula, 33
Comfort Assist Insulin Syringe/1ML/31G X 5/16", 36
Cyclomydril, 28
Clinoin, 11
cyclopentolate HCL, 28
clobetasol propionate, 12
Comfort Lancets, 36 cyclopentolate hydrochloride, 28
clobetasol propionate emollient, 12
Compact Space Chamber/Anti-static, 41 cyclophosphamide, 4
Clobex, 12
Compact Space Chamber/Anti-static/Large Mask, 41
Cyclophosphamide, 4
Clocortolone Pivalate, 12
Cycloserine, 2
Clocortolone Pivalate P.M., 12
Compact Space Chamber/Anti-static/Medium Mask, 41
cyclosporine, 5
Clodan Kit, 12
cyclosporine modified, 5
Cloderm, 12
Compact Space Chamber/Anti-static/Small Mask, 41
Cyclosporine Modified, 5
Cloderm P.M., 12
Cyklokapron, 22
Clolar, 5
Compazine, 24 Cymbalta, 23
clomiphene citrate, 17
Complera, 3 cyproheptadine HCL, 31
clomipramine HCL, 23
Comtan, 25 Cyramza, 5
clonazepam, 25
Comvax, 33 Cystadane, 18
clonazepam odt, 25
Concept DHA, 33 Cystagon, 20
clonidine HCL, 8
Concept OB, 33 Cystaran, 28
clonidine HCL ER, 24
Concerta, 24 cytarabine, 5
clopidogrel, 22
Condylox, 13 Cytarabine, 5
clorazepate dipotassium, 23
Convenience PAK, 26 cytarabine aqueous, 5
Clorpres, 9
Conzip, 29 Cytomel, 18
clotrimazole, 11, 22
Copasil, 13 Cytotec, 19
clotrimazole/betamethasone dipropionate, 11
Copaxone, 26 Cytovene, 3
Copegus, 3 Cytra-3, 20
clozapine, 23
Cordarone, 8 D
clozapine odt, 23
Cordran, 12
D.h.e. 45, 30
Clozapine Odt, 24
Cordran Tape, 12
dacarbazine, 6
Clozaril, 24
Coreg, 7
Dacarbazine, 6
Cnl8 Nail Kit, 11
Coreg CR, 7
Dacogen, 5
Coaguchek Lancets, 36
Corgard, 7
Daklinza, 3
Coal TAR, 13
Corifact, 22
Daliresp, 32
Coartem, 3
Corlanor, 10
Dallergy, 32
Cocaine HCL, 13
Corlopam, 8
Dalvance, 4
Cod Liver Oil, 34
Cortef, 14
danazol, 15
Codar AR, 32
Cortenema, 19
Dantrium, 26
codeine sulfate, 29
Cortifoam, 19
Dantrium IV, 26
Codeine Sulfate, 29
Cortisone Acetate, 14
dantrolene sodium, 26
Cogentin, 25
Cortisporin, 11
dapsone, 4
Colazal, 19
Cortisporin-tc, 28
Daptacel, 33
Colchicine, 31
Corvert, 8
Daraprim, 3
Colcrys, 31
Corvite, 34
darifenacin ER, 20
Colestid, 10
Corvite 150, 21
darifenacin hydrobromide ER, 20
Darzalex, 5
dexamethasone, 14 Dimenhydrinate, 19
daunorubicin HCL, 4
Dexamethasone, 14 Diovan, 8
Daunoxome, 4
Dexamethasone Intensol, 14 Diovan HCT, 9
Daypro, 30
dexamethasone sodium phosphate, 14, 27
Dipentocaine, 12
Daytrana, 24
Dipentum, 19
Ddavp, 17
Dexamethasone Sodium Phosphate, 14, 27
diphenhydramine HCL, 31
Debacterol, 22
diphenoxylate/atropine, 18
decitabine, 5
Dexchlorpheniramine Maleate, 31 Diphenoxylate/Atropine, 18
Decon-a, 32
Dexedrine, 24 Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 33
Defitelio, 21
Dexilant, 19
Delestrogen, 15
Dexlido, 14 Diprolene, 13
Demadex, 9
Dexlido-m, 14 Diprolene AF, 13
demeclocycline HCL, 2
dexmedetomidine HCL, 24 dipyridamole, 22
Demerol, 29
dexmethylphenidate HCL, 24 Disalcid, 29
Demser, 8
dexmethylphenidate HCL ER, 24 disopyramide phosphate, 8
Denavir, 12
Dexpak 10 Day, 14 disulfiram, 26
Depacon, 25
Dexpak 13 Day, 14 Ditropan XL, 20
Depakene, 25
Dexpak 6 Day, 14 Diuril, 9
Depakote, 25
Dexpanthenol, 19 divalproex sodium, 25
Depakote ER, 25
dexrazoxane, 6 divalproex sodium DR, 25
Depakote Sprinkles, 25
dextroamphetamine sulfate, 24 divalproex sodium ER, 25
Depo-estradiol, 15
dextroamphetamine sulfate ER, 24 Divigel, 15
Depo-medrol, 14
Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 32
Divista, 21
Depo-provera, 5
dobutamine HCL, 9
Depo-testosterone, 15
dobutamine HCL/D5W, 9
Deprizine Fusepaq, 19
dobutamine/dextrose 5%, 9
Diabeta, 16
Derma Silkrx Anodynexa PAK, 30
Docefrez, 6
Dialyvite 3000, 34
Derma Silkrx Diclopak, 30
docetaxel, 6
Dialyvite 5000, 34
Derma Silkrx Sds PAK, 12
Docetaxel, 6
Dialyvite Supreme D, 34
Derma-smoothe/FS Body, 12
Docetaxel (non-alcohol Formula), 6
Dialyvite/Zinc, 34
Derma-smoothe/FS Scalp, 12
dofetilide, 8
Diamox, 9
Dermacinrx Azenase PAK, 31
Dologesic, 29
Diastar Easy Test II Lancets 30G, 36
Dermacinrx Duopatch Pharmapak, 13
Dolophine, 29
Diastar Easy Test Lancets30G, 36
Dermacinrx Inflammatral PAK, 30
donepezil HCL, 26
Diastat Acudial, 25
Dermacinrx Lexitral Pharmapak, 12
dopamine HCL, 9
Diastat Pediatric, 25
Dermacinrx Neurotral Pharmapak, 13
Dopamine HCL, 9
Diatx ZN, 34
Dermacinrx Phn PAK, 13
dopamine HCL-dextrose 5%, 9
diazepam, 23
Dermacinrx Purefolix, 21
dopamine HCL/dextrose 5%, 9
Diazepam, 23, 25
Dermacinrx Surgical Pharmapak, 13
dopamine/D5W, 9
Dibenzyline, 8
Dermacinrx Ticanase PAK, 31
Dopram, 24
Diclegis, 19
Dermacinrx Zrm PAK, 13
Doral, 24
diclofenac potassium, 30
Dermapak Plus, 11
Doribax, 4
diclofenac sodium, 12, 28
Dermasorb HC, 12
Doryx, 2
diclofenac sodium DR, 30
Dermasorb Ta, 12
dorzolamide HCL, 28
diclofenac sodium ER, 30
Dermasorb XM, 13
dorzolamide HCL/timolol maleate, 27
diclofenac sodium/misoprostol, 30
Dermatop, 13
Doubledex, 14
dicloxacillin sodium, 1
Dermawerx Sds PAK, 13
Dovonex, 12
Dicopanol Fusepaq, 31
Dermawerx Surgical Plus PAK, 13
doxapram HCL, 24
dicyclomine HCL, 18
Dermazone, 13
doxazosin, 8
didanosine, 3
Dermotic, 28
doxazosin mesylate, 8
Differin, 11
desipramine HCL, 23
doxepin HCL, 23
Dificid, 1
desloratadine, 31
Doxepin HCL, 23
Diflorasone Diacetate, 12
Desloratadine Odt, 31
Doxepin Hydrochloride, 12
Diflucan, 2
desmopressin acetate, 17
doxercalciferol, 18
diflunisal, 28
Desogen, 15
Doxil, 5
digoxin, 7
desogestrel/ethinyl estradiol, 15
doxorubicin HCL, 4
Digoxin, 7
Desonate, 13
Doxorubicin HCL, 4
dihydroergotamine mesylate, 30
desonide, 12
doxorubicin HCL liposome, 4
Dihydroergotamine Mesylate, 30
Desowen, 13
doxycycline, 2
Dilantin, 25
Desowen Cream/Cetaphil Lotion, 13
Doxycycline, 11
Dilantin Infatabs, 25
Desowen Lotion/Cetaphil Cream, 13
doxycycline hyclate, 2
Dilantin-125, 25
Desowen Ointment/Cetaphil Lotion, 13
doxycycline hyclate DR, 2
Dilatrate SR, 7
desoximetasone, 12
doxycycline monohydrate, 2
Dilaudid, 29
Desoximetasone, 12
Drisdol, 33
Dilaudid-HP, 29
Desoxyn, 24
Dritho-creme HP, 12
diltiazem CD, 7
Desvenlafaxine ER, 23
dronabinol, 19
diltiazem HCL, 7
Detrol, 20
droperidol, 23
Diltiazem HCL, 8
Detrol LA, 20
Droplet Lancets Ultra Thin 30G, 36
diltiazem HCL ER, 7
Droplet Pen Needles 29GX12MM, 36
E-ZJECT Lancets Micro-thin 33G, 36 Activated, 36
Droplet Pen Needles 31GX5MM, 36
E.e.s. 400, 1 Easy Touch Lancets 30G/Pull-top, 36
Droplet Pen Needles 31GX6MM, 36
E.e.s. Granules, 1 Easy Touch Lancets 30G/Twist, 36
Droplet Pen Needles 31GX8MM, 36
Easivent, 41 Easy Touch Lancets 32G/Pressure Activated, 36
Droplet Pen Needles 32GX4MM, 36
Easivent/Mask-large, 41
Droplet Pen Needles 32GX8MM, 36
Easivent/Mask-medium, 41 Easy Touch Lancets 32G/Pull-top, 36
drospirenone/ethinyl estradiol, 15
Easivent/Mask-small, 41 Easy Touch Lancets 32G/Twist, 36
Droxia, 21
Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2", 36
Easy Touch Lancets 33G/Twist, 36
Drug Mart On-the-go Lancets Gentle 30G, 36
Easy Touch Pen Needles 29GX1/2", 36
Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX1/2", 36
Easy Touch Pen Needles 31GX1/4", 36
Drug Mart Unilet Lancets Super Thin 30G, 36
Easy Touch Pen Needles 31GX5/16", 36
Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX5/16", 36
Easy Touch Pen Needles 32GX5/32", 36
Drug Mart Unilet Lancets Ultra Thin 28G, 36
Easy Touch Pen Needles/31G X 3/16", 36
Easy Touch Fliplock Safety Insulin Syringe 1ML/31GX5/16", 36
Drysol, 13
Easy Touch Safety Lancets21G/Pressure Activated, 36
Dsg PAK, 12
Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 36
Duac, 11
Easy Touch Safety Lancets23G/Pressure Activated, 36
Duane Reade Unifine Pentips 29G X 12MM, 36
Easy Touch Insulin Syringe/0.3ML/31G X 5/16", 36
Easy Touch Safety Lancets26G/Button Activated, 36
Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 36
Easy Touch Insulin Syringe/0.5ML/29G X 1/2", 36
Easy Touch Safety Lancets26G/Pressure Activated, 36
Duane Reade Unifine Pentips 31G X 8MM SHORT, 36
Easy Touch Insulin Syringe/0.5ML/30G X 5/16", 36
Easy Touch Safety Lancets28G/Button Activated, 36
Duavee, 15
Easy Touch Insulin Syringe/1ML/30G X 5/16", 36
Duet DHA 400, 34
Easy Touch Safety Lancets28G/Pressure Activated, 36
Duet DHA 400EC, 34
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2", 36
Duet DHA 430, 34
Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2", 36
Duet DHA 430EC, 34
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16", 36
Duet DHA Balanced, 33
Easy Touch Sheathlock Safety Insulin Syringe 1ML/30GX5/16", 36
Duetact, 17
Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2", 36
duloxetine HCL, 23
Easy Touch Sheathlock Safety Insulin Syringe 1ML/31GX5/16", 36
Duloxetine HCL, 23
Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2", 36
Duoneb, 32
Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2", 37
Duopa, 25
Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2", 36
Duragesic, 29
Easy Twist & CAP Lancets, 37
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 31
Easy Touch Insulin Syringe/U-100/0.5ML/27G X 1/2", 36
Easytest II Lancets, 37
Easytest Lancets, 37
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 31
Easy Touch Insulin Syringe/U-100/0.5ML/28G X 1/2", 36
EC-naprosyn, 30
econazole nitrate, 11
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 31
Easy Touch Insulin Syringe/U-100/0.5ML/30G X 1/2", 36
Ecoza, 11
Ed Cyte F, 21
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 31
Easy Touch Insulin Syringe/U-100/0.5ML/31G X 5/16", 36
Edarbi, 8
Edarbyclor, 9
Durezol, 27
Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2", 36
Edecrin, 9
Durlaza, 22
Edluar, 24
dutasteride, 20
Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2", 36
Edurant, 3
dutasteride/tamsulosin HCL, 20
Effexor XR, 23
dutasteride/tamsulosin hydrochloride, 20
Easy Touch Insulin Syringe/U-100/1ML/29G X 1/2", 36
Effient, 22
Dutoprol, 9
Egrifta, 17
Dyanavel XR, 24
Easy Touch Insulin Syringe/U-100/1ML/30G X 1/2", 36
Elaprase, 18
Dyazide, 9
Elavil, 23
Dyloject, 30
Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16", 36
Eldepryl, 25
Dymista, 31
Elelyso, 21
Dyrenium, 9
Easy Touch Lancets 21G/Pressure Activated, 36
Elestat, 28
Dysport, 26
Elestrin, 15
Dyural-40, 14
Easy Touch Lancets 23G/Pressure Activated, 36
Eletone, 13
Dyural-80, 14
Eletone Twinpack, 13
Dyural-l, 14
Easy Touch Lancets 26G/Pressure Activated, 36
Elidel, 13
Dyural-lm, 14
Eligard, 5
E
Easy Touch Lancets 26G/Pull-top, 36 Elimite, 13
Easy Touch Lancets 26G/Twist, 36 Eliphos, 19
E-z Ject Lancets, 36
Easy Touch Lancets 28G/Pressure Activated, 36
Eliquis, 21
E-z Ject Lancets 21G, 36
Elitek, 7
E-z Ject Lancets Color, 36
Easy Touch Lancets 28G/Pull-top, 36 Elixophyllin, 32
E-z Ject Lancets Super Thin, 36
Easy Touch Lancets 28G/Twist, 36 Ella, 15
E-z Ject Lancets Super Thin 30G, 36
Easy Touch Lancets 30G/Button-activated, 36
Ellence, 5
E-z Ject Lancets Thin 26G, 36
Elmiron, 20
E-z Spacer, 41
Easy Touch Lancets 30G/Pressure Elocon, 13
E-z Spacer The Body Guards Pack, 41
Eloxatin, 4
Erbitux, 5 31G X 4MM, 37
Emadine, 28
ergocalciferol, 33 Exel Comfort Point Insulin Pen Needles 29G X 12MM, 37
Embrace Lancets Ultra Thin 30G, 37
ergoloid mesylates, 26
Emcyt, 5
Ergoloid Mesylates, 26 Exel Comfort Point Insulin Pen Needles 31G X 6MM, 37
Emend, 19
Ergomar, 30
Emla, 13
Ertaczo, 11 Exel Comfort Point Insulin Pen Needles 31G X 8MM, 37
Empliciti, 5
Erwinaze, 5
Emsam, 23
Ery-TAB, 1 Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 37
Emtriva, 3
Erygel, 11
Emulsion SB, 13
Eryped 200, 1 Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16", 37
Emverm, 4
Eryped 400, 1
Emvoren, 12
Erythrocin Lactobionate, 1 Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2", 37
Enablex, 20
Erythrocin Stearate, 1
enalapril maleate, 8
erythromycin, 1, 10, 27 Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2", 37
enalapril maleate/hydrochlorothiazide, 9
Erythromycin Base, 1
enalaprilat, 8
Erythromycin Ethylsuccinate, 1 Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16", 37
Enbrace HR, 34
erythromycin/benzoyl peroxide, 10
Enbrel, 30
Esbriet, 32 Exel Comfort Point Insulin Syringe/1ML/28G X 1/2", 37
Enbrel Sureclick, 30
Escavite, 34
Endometrin, 20
Escavite D, 34 Exel Comfort Point Insulin Syringe/1ML/29G X 1/2", 37
Engerix-b, 33
escitalopram oxalate, 23
Enjuvia, 15
Esgic, 29 Exel Comfort Point Insulin Syringe/1ML/30G X 5/16", 37
Enlon, 27
esmolol HCL, 7
Enlon-plus, 27
esomeprazole magnesium, 18 Exelderm, 11
enoxaparin sodium, 21
esomeprazole sodium, 18 Exelon, 26
Enstilar, 13
Esomeprazole Sodium, 19 exemestane, 5
entacapone, 25
Esomeprazole Strontium, 19 Exforge, 9
entecavir, 3
estazolam, 24 Exforge HCT, 9
Entereg, 20
Estrace, 15, 20 Exjade, 42
Entocort EC, 14
estradiol, 15 Exoderm, 11
Entresto, 10
Estradiol, 15 Exparel, 31
Entty Spray Emulsion, 13
estradiol valerate, 15 Extardol, 12
Entyvio, 20
estradiol/norethindrone acetate, 15 Extina, 11
Envarsus XR, 5
Estrasorb, 15 EZ Smart Blood Glucose Lancets, 37
Epaned, 8
Estring, 20 EZ-lets Lancets 21G, 37
ephedrine sulfate, 9
Estrogel, 15 EZ-lets Lancets 23G, 37
Ephedrine Sulfate, 9
Estropipate, 15 EZ-lets Lancets 26G Super-soft, 37
Ephedrine Sulfate/Sodium Chloride, 9
Estrostep FE, 15 EZ-lets Lancets 28G Ultra-soft, 37
Epiceram, 13
eszopiclone, 24 EZ-lets Lancets 30G, 37
Epiduo, 11
ethacrynate sodium, 9 F
Epiduo Forte, 11
ethambutol HCL, 2
Fabior, 11
Epifoam, 13
ethosuximide, 25
Fabrazyme, 18
epinastine HCL, 28
Ethyl Chloride, 13
Factive, 2
Epinephrine, 9
Ethyl Chloride/Fine Pinpoint, 13
Falessa, 15
Epinephrine HCL, 9
Ethyl Chloride/Fine Stream, 13
famciclovir, 3
epinephrine HCL, 32
Ethyl Chloride/Medium Jet Stream, 13
famotidine, 18
Epipen 2-PAK, 9
Ethyl Chloride/Medium Stream, 13
Famotidine, 19
Epipen-JR 2-PAK, 9
Ethyl Chloride/Mist, 13
Famotidine Premixed, 19
epirubicin HCL, 4
Ethyol, 7
Famvir, 3
Epirubicin HCL, 5
Etidronate Disodium, 17
Fanapt, 24
Episnap, 9
etodolac, 30
Fanapt Titration Pack, 24
episone CRE, 13
etodolac ER, 30
Fanatrex Fusepaq, 25
Epivir, 3
Etopophos, 6
Fareston, 5
Epivir HBV, 3
etoposide, 6
Farydak, 6
eplerenone, 8
Etoposide, 6
Faslodex, 5
epoprostenol sodium, 10
Euflexxa, 26
Fazaclo, 24
Eprosartan Mesylate, 8
Eurax, 13
Feiba, 22
eptifibatide, 22
Evamist, 15
Feiba NF, 22
Epzicom, 3
Evekeo, 25
felbamate, 25
Eql SHORT Pen Needles 31G X 8MM, 37
Evicel, 22
Felbatol, 25
Evista, 17
Feldene, 30
Eql Ultra SHORT Pen Needles 31G X 6MM, 37
Evithrom, 22
felodipine ER, 7
Evoclin, 11
Fem PH, 20
Equagesic, 29
Evotaz, 3
Femara, 5
Equetro, 24
Evoxac, 22
Femcon FE, 15
Equipto-baclofen, 11
Exactuss, 32
Femhrt Low Dose, 15
Equipto-naproxen, 12
Exalgo, 29
Femring, 20
Eraxis, 2
Excel Comfort Point Insulin Pen Needles
fenofibrate, 10
Fenofibrate, 10
Compounding Kit, 20 Fluphenazine HCL, 24
fenofibrate micronized, 10
First-progesterone VGS 50 Compounding Kit, 20
flurandrenolide, 12
Fenofibric Acid, 10
flurazepam HCL, 24
fenofibric acid DR, 10
First-testosterone, 15 Flurazepam HCL, 24
Fenoglide, 10
First-testosterone Mc Compounding Kit, 15
flurbiprofen, 30
fenoldopam mesylate, 8
flurbiprofen sodium, 28
Fenoprofen Calcium, 30
First-vancomycin 25, 4 flutamide, 5
Fenortho, 30
First-vancomycin 50, 4 fluticasone propionate, 12, 31
fentanyl, 29
Flagyl, 4 fluvastatin, 10
Fentanyl, 29
Flagyl ER, 4 fluvastatin sodium ER, 10
Fentanyl Citrate, 29
Flanax Pain Relief Kit, 30 Fluvirin 2013-2014, 33
fentanyl citrate oral transmucosal, 29
Flarex, 27 Fluvirin 2014-2015, 33
Fentanyl Citrate/Sodium Chloride, 29
flavoxate HCL, 20 Fluvirin 2015-2016, 33
Feraheme, 21
flecainide acetate, 8 Fluvirin PF 2013-2014, 33
Feriva, 21
Flector, 12 Fluvirin PF 2014-2015, 33
Feriva 21/7, 21
Flexepax, 26 fluvoxamine maleate, 23
Ferivafa, 21
Flexichamber, 41 fluvoxamine maleate ER, 23
Ferralet 90, 21
Flexichamber Adult Mask/Small, 41 Fluzone High-dose PF 2013-2014, 33
Ferrex 150 Forte Plus, 21
Flexichamber Child Mask/Large, 41 Fluzone High-dose PF 2014-2015, 33
Ferrex 28, 21
Flexichamber Child Mask/Small, 41 Fluzone High-dose PF 2015-2016, 33
Ferriprox, 42
Flolan, 10 Fluzone Pediatric PF 2013-2014, 33
Ferrlecit, 21
Flomax, 20 Fluzone PF 2013-2014, 33
Ferro-plex Hematinic, 21
Flonase, 31 Fluzone PF 2014-2015, 33
Ferrotrin, 21
Floriva, 34 Fluzone Quadrivalent 2013-2014, 33
Fetzima, 23
Flovent Diskus, 32 Fluzone Quadrivalent 2014-2015, 33
Fetzima Titration Pack, 23
Flovent HFA, 32 Fluzone Quadrivalent 2015-2016, 33
Fexmid, 26
Flowtuss, 32 Fluzone Split 2013-2014, 33
Fibricor, 10
floxuridine, 5 Fluzone Split 2014-2015, 33
Fifty50 Pen Needles 31G X3/16" (5MM), 37
Floxuridine, 5 Fluzone Split 2015-2016, 33
Fluarix 2013-2014, 33 FML, 27
Fifty50 Pen Needles 31G X5/16" (8MM), 37
Fluarix 2014-2015, 33 FML Forte, 27
Fluarix Quadrivalent 2013-2014, 33 FML Liquifilm, 27
Fifty50 Pen Needles 31GX5MM, 37
Fluarix Quadrivalent 2014-2015, 33 Focalgin 90 DHA, 34
Fifty50 Pen Needles/31GX8MM, 37
Fluarix Quadrivalent 2015-2016, 33 Focalgin CA, 34
Fifty50 Pen Needles/32GX4MM, 37
Flublok 2013-2014, 33 Focalgin Dss, 21
Fifty50 Safety Seal Lancets 30G, 37
Flublok 2014-2015, 33 Focalin, 25
Fifty50 Safety Seal Lancets 32G, 37
Flublok 2015-2016, 33 Focalin XR, 25
Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16", 37
Flucelvax 2013-2014, 33 Folcaps Omega 3, 34
Flucelvax 2014-2015, 33 Folet DHA, 34
Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 37
Flucelvax 2015-2016, 33 Folet One, 34
fluconazole, 2 Folgard OS, 34
Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 37
fluconazole IN dextrose, 2 Folgard RX, 21
fluconazole IN NACL, 2 folic acid, 21
Fifty50 Unilet Lancets 33G, 37
Fluconazole IN NACL, 2 Folic Acid, 21
Finacea, 11
flucytosine, 2 folic acid/vitamin b-6/vitamin b-12, 21
finasteride, 20
Fludara, 5 Folitab 500, 21
Fine 30, 37
fludarabine phosphate, 5 Folivane-f, 21
Fingerstix Lancets, 37
fludrocortisone acetate, 14 Folivane-OB, 34
Fioricet, 29
Flulaval 2013-2014, 33 Folivane-plus, 21
Fioricet/Codeine, 29
Flulaval 2014-2015, 33 Folivane-prx DHA NF, 34
Fiorinal, 29
Flulaval Quadrivalent 2013-2014, 33 Folixapure, 21
Fiorinal/Codeine #3, 29
Flulaval Quadrivalent 2014-2015, 33 Follistim AQ, 17
Firazyr, 22
Flulaval Quadrivalent 2015-2016, 33 Folotyn, 5
Firmagon, 5
Flumadine, 3 Foltrate, 21
First-bxn Mouthwash, 22
Flumist Quadrivalent, 33 fondaparinux sodium, 21
First-dukes Mouthwash, 22
flunisolide, 31 Fora Lancets, 37
First-hydrocortisone, 13
fluocinolone acetonide, 12, 28 Foradil Aerolizer, 32
First-lansoprazole, 19
fluocinolone acetonide ear drops, 28 Forfivo XL, 23
First-marys Mouthwash, 22
fluocinonide, 12 Fortamet, 16
First-mouthwash Blm, 22
fluocinonide-e, 12 Fortavit, 34
First-omeprazole, 19
fluorometholone, 27 Fortaz, 1
First-progesterone VGS 100 Compounding Kit, 20
fluorouracil, 5 Forteo, 17
Fluoxetine, 26 Fortical, 17
First-progesterone VGS 200 Compounding Kit, 20
fluoxetine DR, 23 Fosamax, 17
fluoxetine HCL, 23 Fosamax Plus D, 17
First-progesterone VGS 25 Compounding Kit, 20
Fluoxetine HCL, 23 Foscavir, 3
fluphenazine decanoate, 23 fosinopril sodium, 8
First-progesterone VGS 400
fluphenazine HCL, 23 fosinopril sodium/hydrochlorothiazide, 9
fosphenytoin sodium, 25
Chloride, 2 Glycolic Acid 70% High Purity, 12
Fosrenol, 20
Gentle-let GP Lancets, 37 glycopyrrolate, 18
Fragmin, 21
Gentle-let Lancets General Purpose Style/Fine Point, 37
Glynase, 16
Freestyle Lancets, 37
Glyset, 16
Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16", 37
Gentle-let Lancets General Purpose Style/Medium Point, 37
Glyxambi, 17
Gmate Lancets 30G, 37
Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16", 37
Gentle-let Lancets Safety Style/Fine Point, 37
Golytely, 18
Gonal-f, 17
Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16", 37
Gentle-let Lancets Safety Style/Medium Point, 37
Gonal-f RFF, 17
Gonal-f RFF Rediject, 17
Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16", 37
Gentle-let Platforms 2.4MM, 37 Gordofilm, 13
Gentle-let Platforms 3.0MM, 37 Gordons Urea, 13
Freestyle Unistick II Lancets, 37
Genvisc 850, 26 Gralise, 26
Frova, 30
Genvoya, 3 Gralise Starter, 26
frovatriptan succinate, 30
Geodon, 24 granisetron HCL, 19
Fulyzaq, 18
Gesticare DHA, 34 Granisol, 19
Furadantin, 20
Giazo, 20 Granix, 21
furosemide, 9
Gilenya, 26 Grifulvin V, 2
Furosemide, 9
Gilotrif, 6 Gris-peg, 2
Fusilev, 7
Gilphex TR, 32 griseofulvin microsize, 2
Fusion Plus, 21
Giltuss, 32 griseofulvin ultramicrosize, 2
Fusion Sprinkles, 21
Giltuss PED-c, 32 guanfacine ER, 24
Fuzeon, 3
Giltuss TR, 32 guanfacine HCL, 8
Fycompa, 25
Glassia, 32 Guanidine HCL, 27
G
glatopa, 26 Gynazole-1, 20
Gleevec, 6 H
gabapentin, 25
Gleostine, 4
Gabavale-5, 23
H&h Thinlet Lancets 26G, 37
Gliadel Wafer, 4
Gabazolamine, 23
H&h Thinlet Super Thin Lancets 30G, 37
glimepiride, 16
Gabazolamine-0.5, 23
H-e-b IN Control Pen Needles 31GX6MM, 37
glipizide, 16
Gabazolpidem-5, 24
glipizide ER, 16
Gabitidine, 19
H-e-b IN Control Pen Needles 31GX8MM, 37
glipizide/metformin HCL, 16
Gabitril, 25
Glucagen Hypokit, 16
Gablofen, 26
H-e-b IN Control Unifine Pentips Plus 32GX4MM, 37
Glucagon Emergency Kit, 16
Gaboxetine, 23
Glucocom Lancets 28G, 37
galantamine hydrobromide, 26
H-e-b Incontrol Pen Needles 29GX12MM, 37
Glucocom Lancets 30G, 37
Galantamine Hydrobromide, 26
Glucocom Lancets 33G, 37
ganciclovir, 3
H.p. Acthar, 17
Glucophage, 16
Ganirelix Acetate, 17
Haemolance, 37
Glucophage XR, 16
Garamycin, 27
Haemolance Low Flow Lancets, 37
Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2", 37
Gardasil, 33
Haemolance Plus, 37
Gardasil 9, 33
Haemolance Plus High Flow, 37
Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16", 37
Gastrinex NF, 19
Haemolance Plus Low Flow, 37
Gastrocrom, 20
Haemolance Plus Max Flow, 37
Glucopro Insulin Syringe/U-100/0.3ML/31G X 5/16", 37
gatifloxacin, 27
Haemolance Plus Pediatric Flow, 37
Gattex, 20
Halaven, 6
Glucopro Insulin Syringe/U-100/0.5ML/30G X 1/2", 37
Gazyva, 5
Halcion, 24
Gebauers Pain Ease, 13
Haldol, 24
Glucopro Insulin Syringe/U-100/0.5ML/30G X 5/16", 37
Gebauers Spray And Stretch, 13
Haldol Decanoate 100, 24
Gel-kam Oral Care Rinse, 22
Haldol Decanoate 50, 24
Glucopro Insulin Syringe/U-100/0.5ML/31G X 5/16", 37
Gel-one, 26
halobetasol propionate, 12
Gelclair, 22
Halog, 13
Glucopro Insulin Syringe/U-100/1ML/30G X 1/2", 37
Gelnique, 20
haloperidol, 23
gemcitabine, 5
haloperidol decanoate, 23
Glucopro Insulin Syringe/U-100/1ML/30G X 5/16", 37
gemcitabine HCL, 5
haloperidol lactate, 23
gemfibrozil, 10
Halotin, 11
Glucopro Insulin Syringe/U-100/1ML/31G X 5/16", 37
Gemzar, 5
Harvoni, 3
Genadur, 13
Havrix, 33
Glucosource Lancets, 37
Genadur Kit, 13
Healthwise Mini Pen Needles 31GX6MM, 37
Glucotrol, 16
gene-xene TAB 15MG, 23
Glucotrol XL, 16
gene-xene TAB 3.75MG, 23
Healthwise Pen Needles 29GX12MM, 37
Glucovance, 17
gene-xene TAB 7.5MG, 23
Healthwise SHORT Pen Needles 31GX8MM, 37
Glumetza, 16
Generess FE, 15
glyburide, 16
gentamicin sulfate, 2, 27
Healthy Mama Be Well Rounded, 34
Glyburide, 16
Gentamicin Sulfate, 11
Hectorol, 18
glyburide micronized, 16
gentamicin sulfate pediatric, 2
Helixate FS, 22
glyburide/metformin HCL, 16
gentamicin sulfate/0.9% sodium chloride, 2
Hemabate, 28
Glycate, 19
Hemangeol, 7
Glycolic Acid, 12
Gentamicin Sulfate/0.9% Sodium
Hematogen Fa, 21
Hematron-AF, 21
hydrocodone bitartrate/acetaminophen, 29
Ifosfamide, 4
Hemocyte Plus, 21
Ilaris, 30
Hemocyte-f, 21
hydrocodone bitartrate/chlorpheniramine maleate/PSE, 31
Ilevro, 28
Hemofil M, 22
imatinib mesylate, 6
heparin lock, 21
hydrocodone bitartrate/homatropine methylbromide, 31
Imbruvica, 6
heparin lock flush, 21
Imdur, 7
Heparin Lock Flush, 21
hydrocodone polistirex/chlorpheniramine polistirex, 32
imipenem/cilastatin, 4
heparin lock flush for flushing vascular access devices, 21
imipramine HCL, 23
hydrocodone/acetaminophen, 29 imipramine pamoate, 23
heparin lock flush/NACL for flushing vascular access devices, 21
Hydrocodone/Acetaminophen, 29 imiquimod, 13
hydrocodone/homatropine, 32 Imitrex, 30
heparin sodium, 21
hydrocodone/ibuprofen, 29 Imitrex Statdose Refill, 30
Heparin Sodium, 21
hydrocort ene 100MG, 19 Imitrex Statdose System, 30
heparin sodium dcu, 21
hydrocortisone, 12, 14, 19 Imovax Rabies (h.d.c.v.), 33
heparin sodium lock flush, 21
hydrocortisone acetate/aloe, 12 Imuran, 5
heparin sodium/D5W, 21
hydrocortisone acetate/lidocaine HCL, 19 IN Touch Sterile Lancets 30G, 37
Heparin Sodium/D5W, 21
hydrocortisone acetate/pramoxine, 19 Increlex, 17
Heparin Sodium/NACL 0.45%, 21
hydrocortisone butyrate, 12 Incruse Ellipta, 32
heparin sodium/NACL 0.9%, 21
hydrocortisone butyrate (lipid), 12 indapamide, 9
Heparin Sodium/Sodium Chloride 0.9%, 21
hydrocortisone butyrate (lipophilic), 12 Inderal LA, 7
hydrocortisone IN absorbase, 12 Inderal XL, 7
heparin sodium/sodium chloride 0.9% premix, 21
hydrocortisone valerate, 12 Indocin, 30
hydrocortisone/acetic acid, 28 indomethacin, 30
Hepsera, 3
hydromorphone HCL, 29 Indomethacin, 30
Herceptin, 5
Hydromorphone HCL, 29 indomethacin ER, 30
Hespan, 22
hydromorphone HCL dosette, 29 Indomethacin Sodium, 30
hetastarch 6%/NACL, 22
hydromorphone HCL ER, 29 Infanrix, 33
Hetlioz, 24
Hydromorphone HCL ER, 29 Infasurf, 32
Hexalen, 4
Hydromorphone HCL/NACL, 29 Infed, 21
Hextend, 22
Hydromorphone HCL/Sodium Chloride, 29
Infumorph 200, 29
Hiberix, 33
Infumorph 500, 29
Hiprex, 20
Hydroxocobalamin, 21 Injectafer, 21
homatropine HBR, 28
hydroxychloroquine sulfate, 3 Inlyta, 6
Horizant, 26
hydroxyprogesterone caproate, 16 Innopran XL, 7
HPR, 14
hydroxyurea, 6 Innoprax-5, 12
HPR Plus, 14
hydroxyzine HCL, 23 Inova, 11
HPR Plus Hydrogel Kit, 14
Hydroxyzine HCL, 23 Inova 4/1 Acne Control Therapy, 11
HPR Plus/Mb Hydrogel, 14
hydroxyzine pamoate, 23 Inova 8/2 Acne Control Therapy, 11
Humalog, 16
Hydroxyzine Pamoate, 23 Inspirachamber/Anti-static Valved/Mouthpiece, 41
Humalog Kwikpen, 16
Hylatopic, 14
Humalog Mix 50/50, 16
Hylatopic Plus, 14 Inspirachamber/Large, 41
Humalog Mix 50/50 Kwikpen, 16
Hylira, 14 Inspirachamber/Soothermask/Inspiramask/Medium, 41
Humalog Mix 75/25, 16
hyoscyamine sulfate, 18
Humalog Mix 75/25 Kwikpen, 16
hyoscyamine sulfate ER, 18 Inspirachamber/Soothermask/Inspiramask/Small, 41
Humate-p, 22
hyoscyamine sulfate odt, 18
Humira, 30
hyoscyamine sulfate SR, 18 Inspirease Bags, 41
Humira Pediatric Crohns Disease Starter Pack, 30
Hyper-sal, 32 Inspirease Drug Delivery System, 41
Hypersal, 32 Inspirease Mouthpiece, 41
Humira Pen, 30
Hypertenevide-12.5, 7 Inspirease Reservoir Bags, 41
Humira Pen-crohns Diseasestarter, 30
Hypertenipine-2.5, 8 Inspra, 8
Humira Pen-psoriasis Starter, 30
Hypertensolol, 9 Insulin Syringe/0.3ML/29G X 1", 37
Humulin 70/30, 16
Hyzaar, 9 Insulin Syringe/0.3ML/29G X 1/2", 37
Humulin 70/30 Kwikpen, 16
I Insulin Syringe/0.3ML/30G X 5/16", 37
Humulin N, 16
Insulin Syringe/0.3ML/31G X 5/16", 37
ibandronate sodium, 17
Humulin N Kwikpen, 16
Insulin Syringe/0.5ML/27G X 1/2", 37
Ibrance, 6
Humulin R, 16
Insulin Syringe/0.5ML/28G X 1/2", 37
Ibudone, 29
Humulin R U-500 (concentrated), 16
Insulin Syringe/0.5ML/29G X 1/2", 37
ibuprofen, 30
Humulin R U-500 Kwikpen, 16
Insulin Syringe/0.5ML/30G X 1/2", 37
Ibuprofen Comfort PAC, 30
Hy-vee Lancets, 37
Insulin Syringe/0.5ML/30G X 5/16", 37
ibuprofen lysine, 30
Hyalgan, 26
Insulin Syringe/0.5ML/31G X 5/16", 37
ibutilide fumarate, 8
Hycamtin, 6
Insulin Syringe/1ML/28G X 1/2", 37
IC 400, 30
Hycet, 29
Insulin Syringe/1ML/29G X 1/2", 37
IC 800, 30
Hycofenix, 32
Insulin Syringe/1ML/30G X 5/16", 37
Icar-c Plus, 21
hydralazine HCL, 8
Insulin Syringe/1ML/31G X 5/16", 37
Iclusig, 6
Hydrea, 6
Insulin Syringe/U-100/0.3ML/29G X 1/2", 37
Idamycin PFS, 5
Hydro 35, 13
idarubicin HCL, 4
Hydro 40 Foam, 13
Insulin Syringe/U-100/0.5ML/28G X 1/2", 37
Ifex, 4
hydrochlorothiazide, 9
ifosfamide, 4
Insulin Syringe/U-100/0.5ML/29G X 1/2", 37
itraconazole, 2 Korlym, 16
IV Infusion Cpi, 14 Kovaltry, 22
Insulin Syringe/U-100/1ML/28G X 1/2", 37
ivermectin, 3 Kristalose, 18
Ixempra Kit, 6 Krystexxa, 31
Insulin Syringe/U-100/1ML/29G X 1/2", 37
Ixiaro, 33 Kuvan, 18
Ixinity, 22 Kynamro, 10
Insulin Syringe/U-100/1ML/30G X 5/16", 37
J Kyprolis, 6
L
J-max, 32
Insulin Syringe/U-100/1ML/31G X 5/16", 37
Jadenu, 42 labetalol HCL, 7
Jakafi, 6 Lac-hydrin, 14
Insupen Sensitive 32GX8MM, 37
Jalyn, 20 Lacrisert, 27
Insupen Ultrafin 29GX12MM, 37
Janumet, 16 lactic acid, 13
Insupen Ultrafin 30GX8MM, 37
Janumet XR, 16 lactic acid e, 13
Insupen Ultrafin 31GX6MM, 37
Januvia, 16 lactic acid w/vitamin e, 13
Insupen Ultrafin 31GX8MM, 37
Jardiance, 16 lactulose, 18, 19
Integra F, 21
Jevtana, 6 Lamictal, 25
Integra Plus, 21
Jublia, 11 Lamictal Chewable Dispersible, 25
Integrilin, 22
Juxtapid, 10 Lamictal Odt, 25
Intelence, 3
K Lamictal Starter/Not Taking Carbamazepine, 25
Interarticular Joint Kit, 14
Intermezzo, 24
K-phos NO 2, 20
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 25
Intron A, 6
K.b.g.l. IN Teroderm Cream, 12
Intron A W/Diluent, 6
K10-lido, 14
Intuniv, 25
K40-lido, 14
Lamictal Starter/Taking Valproate, 25
Invanz, 4
Kadcyla, 5
Lamictal XR, 25
Invega, 24
Kalbitor, 22
Lamisil, 2
Invega Sustenna, 24
Kaletra, 3
Lamisil Spray, 11
Invega Trinza, 24
Kalydeco, 32
lamivudine, 3
Invirase, 3
Kanuma, 18
lamivudine/zidovudine, 3
Invokamet, 16
Kapvay, 25
lamotrigine, 25
Invokana, 16
Karbinal ER, 31
lamotrigine ER, 25
Ionsys, 29
Keflex, 1
lamotrigine odt, 25
Iopidine, 28
Kenalog, 13
lamotrigine titration, 25
Ipol Inactivated IPV, 33
Kenalog-10, 14
Lancet Transporter Case, 37
ipratropium bromide, 31, 32
Kenalog-40, 14
Lancets, 37
ipratropium bromide/albuterol sulfate, 32
Kengreal, 22
Lancets 26G Twist Top, 37
Iprivask, 21
Kepivance, 7
Lancets 28G, 37
irbesartan, 8
Keppra, 25
Lancets 30G, 37
irbesartan/hydrochlorothiazide, 9
Keppra XR, 25
Lancets 30G Twist Top, 37
Irenka, 23
Kerafoam, 14
Lancets 30G/Twist Top, 37
Iressa, 6
Kerafoam 42, 14
Lancets 31G Twist Top, 37
irinotecan, 6
Keralac, 14
Lancets 33G Universal Design, 37
Irinotecan, 6
Keralyt, 14
Lancets Bullseye Safety, 37
irinotecan HCL, 6
Keralyt Scalp, 14
Lancets Safety Seal 21G, 37
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 21
Kerlone, 7
Lancets Safety Seal 26G, 37
Kerydin, 11
Lancets Safety Seal 28G, 37
Irospan 24/6, 21
Ketek, 4
Lancets Safety Seal 30G, 37
Is 24/6, 21
ketoconazole, 2, 11
Lancets Thin, 37
Isentress, 3
Ketodan Kit, 11
Lancets Twist Top, 37
isoniazid, 2
ketoprofen, 30
Lancets Ultra Fine, 37
Isoniazid, 2
Ketoprofen ER, 30
Lancets Ultra Thin, 37
Isopto Atropine, 28
Ketorocaine-l, 30
Lanoxin, 7
Isopto Carbachol, 28
Ketorocaine-lm, 30
Lanoxin Pediatric, 7
Isopto Carpine, 28
Ketorolac 2% Gel, 12
lansoprazole, 18
Isopto Homatropine, 28
ketorolac tromethamine, 28, 30
lansoprazole/amoxicillin/clarithromycin, 18
Isopto Hyoscine, 28
Ketorolac Tromethamine, 30
Isordil Titradose, 7
Keveyis, 9
Lantus, 16
isosorbide dinitrate, 7
Keytruda, 5
Lantus Solostar, 16
Isosorbide Dinitrate, 7
Khedezla, 23
Lasix, 9
Isosorbide Dinitrate ER, 7
Kineret, 30
Lastacaft, 28
isosorbide mononitrate, 7
Kinlytic, 22
latanoprost, 27
isosorbide mononitrate ER, 7
Kinrix, 33
Latrix XM, 14
isotonic gentamicin, 2
Klaron, 11
Latuda, 24
Isotonic Gentamicin, 2
Klonopin, 25
Lazanda, 29
isradipine, 7
Koate-dvi, 22
Ldo Plus, 14
Istalol, 27
Kogenate FS, 22
Leader Unifine Pentips Plus/Mini/31GX3/16", 37
Istodax, 6
Kogenate FS Bio-set, 22
Isuprel, 32
Kombiglyze XR, 16
Leader Unifine Pentips
Plus/SHORT/31GX5/16", 37
lidocaine HCL/hydrocortisone acetate, 19 LMD 10% Sodium Chloride 0.9%, 22
Leader Unifine Pentips/Mini/31GX3/16", 37
lidocaine viscous, 22 LO Loestrin FE, 15
lidocaine-prilocaine-cream base, 13 Locoid, 13
Leader Unifine Pentips/Nano/32GX5/32", 37
lidocaine/epinephrine, 31 Locoid Lipocream, 13
lidocaine/prilocaine, 13 Lodosyn, 25
Leader Unifine Pentips/Plus/32GX5/32", 37
Lidoderm, 14 Loestrin 1.5/30-21, 15
Lidoprofen, 12 Loestrin 1/20-21, 15
leflunomide, 30
Lidothol, 14 Loestrin FE 1.5/30, 15
Lemtrada, 26
Lidotral, 14 Loestrin FE 1/20, 15
Lenvima 10MG Daily Dose, 6
Lidovir, 12 Lofibra, 10
Lenvima 14MG Daily Dose, 6
Lifescan Unistik 2 Deep Penetration, 38 Lomotil, 18
Lenvima 18MG Daily Dose, 6
Lifescan Unistik II Lancets, 38 Lomustine, 4
Lenvima 20MG Daily Dose, 6
Lincocin, 4 Lonsurf, 7
Lenvima 24MG Daily Dose, 6
lincomycin HCL, 4 loperamide HCL, 18
Lenvima 8MG Daily Dose, 6
Lincomycin/Lidocaine, 4 Lopid, 10
Lescol XL, 10
lindane, 13 Lopressor, 7
Letairis, 10
Lindane, 13 Lopressor HCT, 9
letrozole, 5
linezolid, 4 Loprox, 11
leucovorin calcium, 6
Linezolid, 4 Loprox Shampoo, 11
Leucovorin Calcium, 7
Linzess, 19 lorazepam, 23
Leukeran, 4
Lioresal Intrathecal, 26 Lortab, 29
Leukine, 21
liothyronine sodium, 18 Lorvatus Pharmapak, 26
leuprolide acetate, 5
Lipofen, 10 Lorzone, 26
Levacet, 29
lisinopril, 8 losartan potassium, 8
levalbuterol, 32
lisinopril/hydrochlorothiazide, 9 losartan potassium/hydrochlorothiazide, 9
levalbuterol HCL, 32
Lite Touch Pen Needles/31G X 3/16", 38
Levaquin, 2
Liteaire, 41 Loseasonique, 15
Levatol, 7
Litetouch Insulin Syringe/0.3ML/29G X 1/2", 38
Lotemax, 27
Levbid, 19
Lotensin, 8
levetiracetam, 25
Litetouch Insulin Syringe/0.3ML/30G X 5/16", 38
Lotensin HCT, 9
Levetiracetam, 25
Lotrel, 9
levetiracetam ER, 25
Litetouch Insulin Syringe/0.3ML/31G X 5/16", 38
Lotrisone, 11
levobunolol HCL, 27
Lotronex, 20
Levobunolol HCL, 27
Litetouch Insulin Syringe/0.5ML/30G X 5/16", 38
lovastatin, 10
levocarnitine, 18
Lovaza, 10
levocetirizine dihydrochloride, 31
Litetouch Insulin Syringe/0.5ML/31G X 5/16", 38
Lovenox, 21
levofloxacin, 2, 27
loxapine, 24
levofloxacin IN D5W, 2
Litetouch Insulin Syringe/1ML/30G X 5/16", 38
loxapine succinate, 24
levoleucovorin, 6
Loxitane, 24
Levoleucovorin, 7
Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2", 38
LT Injection Kit, 14
levoleucovorin calcium, 7
Lufyllin, 32
levonorgestrel, 15
Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2", 38
Lumigan, 27
Levonorgestrel, 15
Lumizyme, 18
levonorgestrel and ethinyl estradiol, 15
Litetouch Insulin Syringe/U-100/1ML/28G X 1/2", 38
Lunesta, 24
levonorgestrel/ethinyl estradiol, 15
Lupaneta Pack, 17
Levophed, 9
Litetouch Insulin Syringe/U-100/1ML/29G X 1/2", 38
Lupron Depot, 5
Levorphanol Tartrate, 29
Lupron Depot-PED, 17
levothyroxine sodium, 18
Litetouch Insulin Syringe/U-100/1ML/31G X 5/16", 38
Luvox CR, 23
Levothyroxine Sodium, 18
Luxiq, 13
Levsin, 19
Litetouch Lancets Micro Thin 33G, 38 Luzu, 11
Levsin/SL, 19
Litetouch Pen Needles 29GX12.7MM, 38 Lycelle, 14
Lexapro, 23
Litetouch Pen Needles 31G X 6MM, 38 Lynparza, 6
Lexiva, 3
Litetouch Pen Needles 31GX8MM SHORT, 38
Lyrica, 25
Lialda, 19
Lysodren, 5
Liberty Medical Lancets 30G, 37
Lithium, 24 Lysteda, 22
Librax, 19
lithium carbonate, 24 Lytensopril Kit, 9
Lido-RX 4.1, 14
Lithium Carbonate, 24 Lytensopril-90 Kit, 9
lidocaine, 13
lithium carbonate ER, 24 M
Lidocaine And Tetracaine Cream, 14
Lithobid, 24
M-m-r II, 33
lidocaine HCL, 8, 13, 31
Lithostat, 20
M.v.i. Adult, 34
Lidocaine HCL, 8, 14, 22
Live Better Lancet Super Thin 30G, 38
M.v.i. Pediatric, 34
lidocaine HCL IN D5W, 8
Live Better Lancet Ultra Thin 28G, 38
M.v.i.-12 Without Vitamin K, 34
lidocaine HCL jelly, 13
Live Better Pen Needles 29G X 12MM, 38
Macrobid, 20
lidocaine HCL viscous, 22
Macrodantin, 20
Lidocaine HCL-hydrocortisone Acetate With Aloe, 20
Live Better Pen Needles 31G X 12MM, 38
Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2", 38
lidocaine HCL/dextrose, 8
Live Better Pen Needles 31G X 6MM, 38
Magellan Insulin Safety Syringe/U-100/0.3ML/30G X 5/16", 38
Lidocaine HCL/Dextrose, 31
LMD 10% Dextrose 5%, 22
Magellan Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 38
Medrol, 14 Methyldopate HCL, 8
Medrol Dosepak, 14 methylergonovine maleate, 28
Magellan Insulin Safety Syringe/U-100/0.5ML/30G X 5/16", 38
medroxyprogesterone acetate, 16 Methylin, 25
Medroxyprogesterone/Lidocaine, 16 methylphenidate HCL, 24
Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2", 38
mefenamic acid, 30 methylphenidate HCL CD, 24
mefloquine HCL, 3 methylphenidate HCL ER, 24
Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16", 38
Mefoxin, 1 Methylphenidate HCL ER, 24
Megace ES, 16 methylphenidate HCL SR, 24
Makena, 16
Megace Oral, 5 methylphenidate hydrochloride, 24
Malarone, 3
megestrol acetate, 5, 16 methylprednisolone, 14
malathion, 13
Megrix, 14 Methylprednisolone, 14
mannitol, 9
Meijer Super Thin Lancets, 38 methylprednisolone acetate, 14
Maprotiline HCL, 23
Mekinist, 6 methylprednisolone dose pack, 14
Marbeta-25, 14
meloxicam, 30 Methylprednisolone PF, 14
Marbeta-l, 14
Meloxicam, 30 methylprednisolone sodiumsuccinate, 14
Marcaine, 31
Meloxicam Comfort PAC, 30 Methylprednisolone/Lidocaine, 14
Marcaine/Epinephrine, 31
melphalan hydrochloride, 4 methyltestosterone, 15
Mardex-25, 14
memantine HCL, 26 Metipranolol, 27
Marinol, 19
memantine HCL titration PAK, 26 metoclopramide HCL, 19
Marlido-25, 31
memantine hydrochloride, 26 metoclopramide odt, 19
Marnatal-f, 34
Menactra, 33 Metoclopramide Odt, 20
Marplan, 23
Menest, 15 metolazone, 9
Marqibo, 6
Menhibrix, 33 metoprolol succinate ER, 7
Mask Vortex/Baby Whirl Duckling, 41
Menomune-a/C/Y/W-135, 33 metoprolol tartrate, 7
Mask Vortex/Child/Frog, 41
Menopur, 17 Metoprolol Tartrate, 7
Mask Vortex/Spinner The Duck, 41
Menostar, 15 metoprolol/hydrochlorothiazide, 9
Mask Vortex/Toddler/Lady Bug, 41
Mentax, 11 Metozolv Odt, 20
Matulane, 6
Menveo, 33 Metro IV, 4
Mavik, 8
meperidine HCL, 29 Metrocream, 11
Maxalt, 30
Meperidine HCL, 29 Metrogel, 11
Maxalt-MLT, 31
Mephyton, 33 Metrogel-vaginal, 20
Maxaron Forte, 21
meprobamate, 23 Metrolotion, 11
Maxfe, 21
Mepron, 4 metronidazole, 4, 11
Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2", 38
mercaptopurine, 5 metronidazole IN NACL 0.79%, 4
meropenem, 4 metronidazole vaginal, 20
Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2", 38
Meropenem/Sodium Chloride, 4 mexiletine HCL, 8
Merrem, 4 Miacalcin, 17
Maxidex, 27
mesalamine, 19 Micardis, 8
Maxipime, 1
mesna, 7 Micardis HCT, 9
Maxitrol, 27
Mesnex, 7 Microchamber, 41
Maxzide, 9
Mestinon, 27 Microlet Lancets, 38
Maxzide-25, 9
Mestinon Timespan, 27 Microspacer, 41
Mb Hydrogel, 14
Metadate CD, 25 Microtainer Safety Flow Lancet/Sterile/Single-use, 38
meclizine HCL, 19
Metaproterenol Sulfate, 32
Meclofenamate Sodium, 30
Metastron, 6 Microzide, 9
Medi-derm/L-RX, 14
metaxalone, 26 midodrine HCL, 9
Medical Provider EZ Flu Shot 2014-2015, 33
Metaxalone, 26 Mifeprex, 18
metformin HCL, 16 Migergot, 31
Medical Provider EZ Flu Shot 2015-2016, 33
metformin HCL ER, 16 miglitol, 16
methadone HCL, 29 Migral, 31
Medical Provider Single Use EZ Flu Shot, 33
Methadone HCL, 29 Migranal, 31
Methadose, 29 Migranow, 31
Medisense Thin Lancets, 38
Methadose Sugar-free, 29 Millipred, 14
Medlance Plus Extra Lancets 21G, 38
methamphetamine HCL, 24 Millipred DP, 15
Medlance Plus Lancets, 38
methazolamide, 9 milrinone IN dextrose, 7
Medlance Plus Lancets Lite 25G, 38
methenamine hippurate, 20 milrinone lactate, 7
Medlance Plus Lite Lancets 25G, 38
methenamine mandelate, 20 Minastrin 24 FE, 15
Medlance Plus Special Lancets 0.8MM, 38
Methenamine Mandelate, 20 Mineral Oil Heavy, 18
methimazole, 18 Minipress, 8
Medlance Plus Superlite 30G, 38
methocarbamol, 26 Minivelle, 15
Medlance Plus Superlite 30G/Comfort Max, 38
methotrexate, 5 Minocin, 2
methotrexate sodium, 5 Minocin Kit, 2
Medlance Plus Universal Lancets 21G, 38
Methotrexate Sodium, 5 minocycline HCL, 2
methoxsalen, 12 minocycline HCL ER, 2
Medlance Plus/Lite 25G, 38
methscopolamine bromide, 18 minoxidil, 8
Medlance/Extra, 38
Methyclothiazide, 9 Mirapex, 25
Medlance/Lite, 38
methyldopa, 8 Mirapex ER, 25
Medlance/Universal, 38
Methyldopa/Hydrochlorothiazide, 9 Mircera, 21
Mircette, 15
3ML/29G X 1/2", 38 Myalept, 18
mirtazapine, 23
Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 38
Myambutol, 2
mirtazapine odt, 23
Mycamine, 2
Mirvaso, 11
Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16", 38
Mycobutin, 2
misoprostol, 18
mycophenolate mofetil, 5
Mission Prenatal, 34
Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2", 38
mycophenolic acid DR, 5
Mitigare, 31
Myfortic, 5
mitomycin, 4
Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2", 38
Myglucohealth Mgh Softlance Lancets 30G, 38
Mitomycin, 4
Mitosol, 27
Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16", 38
Mykidz Iron Fl, 34
mitoxantrone HCL, 4
Myleran, 4
Mlk F4 Kit, 15
Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16", 38
Mynatal, 34
Mobic, 30
Myobloc, 26
modafinil, 24
Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 38
Myozyme, 18
Moderiba, 3
Myrbetriq, 20
Moderiba 1200 Dose Pack, 3
Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2", 38
Mysoline, 25
Moderiba 800 Dose Pack, 3
N
Modicon, 15
Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 38
nabumetone, 30
moexipril HCL, 8
nadolol, 7
moexipril/hydrochlorothiazide, 9
Monojector End CAPS, 38
nadolol/bendroflumethiazide, 9
Molindone Hydrochloride, 24
Monojector Opd End CAPS, 38
Nafcillin, 1
mometasone furoate, 12, 31
Monolet Lancets, 38
nafcillin sodium, 1
Monoclate-p, 22
Monolet Opd Lancets, 38
Nafcillin Sodium, 1
Monodox, 2
Monolettor Safety Lancets, 38
Nafrinse Daily/Acidulated, 22
Monoject Bone Marrow Biopsy Prepping Tray, 31
Mononine, 22
Nafrinse Daily/Neutral, 22
Monovisc, 26
Nafrinse Weekly, 22
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 31
montelukast sodium, 32
Naftifine HCL, 11
Monurol, 20
naftifine hydrochloride, 11
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 31
Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 38
Naftin, 11
Naglazyme, 18
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 31
Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 38
nalbuphine HCL, 29
Nalfon, 30
Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML, 38
Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 38
Nallpen Iso-osmotic IN Dextrose, 1
Namenda, 26
Monoject Insulin Syringe/1ML, 38
Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 38
Namenda Titration PAK, 26
Monoject Insulin Syringe/1ML/31G X 5/16", 38
Namenda XR, 26
Morgidox 1X100MG, 2
Namenda XR Titration Pack, 26
Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8", 38
Morgidox 2X100MG, 2
Namzaric, 26
morphine sulfate, 29
Naphazoline HCL, 28
Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2", 38
Morphine Sulfate, 29
Naprelan, 30
Morphine Sulfate Add-vantage, 29
Naprosyn, 30
Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2", 38
morphine sulfate ER, 29
naproxen, 30
Morphine Sulfate ER, 29
Naproxen, 30
Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2", 38
Morphine Sulfate/Sodium Chloride, 29
Naproxen Comfort PAC, 30
Motofen, 18
naproxen sodium, 30
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2", 38
Movantik, 19
naproxen sodium CR, 30
Moviprep, 18
naproxen sodium ER, 30
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2", 38
Moxatag, 1
naratriptan HCL, 30
Moxeza, 27
Nardil, 23
Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2", 38
moxifloxacin HCL, 2
Naropin, 31
Moxifloxacin HCL, 2
Nascobal, 21
Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2", 38
Mozobil, 21
Nasonex, 31
MS Contin, 29
Natachew, 34
Monoject Insulin Syringe/Softpack/1ML/27G X 1/2", 38
Mteryti, 34
Natacyn, 27
Mteryti Folic 5, 34
Natalvirt 90 DHA, 34
Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2", 38
Mucinex Maximum Strength, 32
Natalvirt CA, 34
Multaq, 8
Natalvirt Flt, 21
Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16", 38
Multigen, 21
Natalvit, 34
Multigen Folic, 21
Natazia, 15
Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 38
Multigen Plus, 21
nateglinide, 16
mupirocin, 11
Natelle One, 34
Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16", 38
mupirocin calcium, 11
Natesto, 15
Muse, 10
Natpara, 17
Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 38
Mustargen, 4
Natrecor, 10
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 21
Natroba, 14
Monoject Insulin Syringe/U-100/1ML/30G X 5/16", 38
Nature-throid, 18
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 21
Nature-throid Nt-2.5, 18
Monoject Ultra Comfort Insulin Syringe/0.
Navelbine, 6
Nazirex, 12
Niacor, 10 Northera, 9
Nebupent, 4
Niaspan, 10 nortriptyline HCL, 23
Nebusal, 32
Nicadan, 34 Nortriptyline HCL, 23
Necon 1/50-28, 15
nicardipine HCL, 7 Norvasc, 8
Necon 10/11-28, 15
Nicazel, 34 Norvir, 3
Neevo DHA, 34
Nicazel Forte, 34 Nova Safety Lancets 23G, 38
nefazodone HCL, 23
Nicazeldoxy 30 Kit, 2 Nova Safety Lancets 28G, 38
Nefazodone HCL, 23
Nicazeldoxy 60 Kit, 2 Nova Sureflex Lancets, 38
Nembutal Sodium, 24
Nicomide, 34 Novaferrum, 21
Neo-synalar, 11
nifedipine, 7 Novoclair, 12
Neo-synalar Kit, 11
nifedipine ER, 7 Novoeight, 22
neomycin sulfate, 2
Nilandron, 5 Novofine Plus 32GX4MM, 38
neomycin/bacitracin/polymyxin, 27
Nimbex, 26 Novoseven, 22
neomycin/polymyxin/bacitracin zinc, 27
nimodipine, 7 Novoseven Rt, 22
neomycin/polymyxin/bacitracin/hydrocortisone, 27
Ninlaro, 6 Noxafil, 2
Nipent, 6 Noxipak, 13
neomycin/polymyxin/dexamethasone, 27
Niravam, 23 Nplate, 21
neomycin/polymyxin/gramicidin, 27
nisoldipine, 7 Nucala, 32
neomycin/polymyxin/HC, 28
Nisoldipine, 8 Nucort, 13
Neomycin/Polymyxin/Hydrocortisone, 27
Nisoldipine ER, 8 Nucynta, 29
neomycin/polymyxin/hydrocortisone, 28
Nitro-bid, 7 Nuedexta, 26
Neoprofen, 30
Nitro-dur, 7 Nufera, 21
Neoral, 5
nitrofurantoin, 20 Nulojix, 5
Neosalus, 14
nitrofurantoin macrocrystals, 20 Nulytely/Flavor Packs, 18
Neosalus CP, 14
nitrofurantoin monohydrate, 20 Numoisyn, 22
Neosporin, 27
nitrofurantoin monohydrate/macrocrystals, 20
Nuox, 11
neostigmine methylsulfate, 27
Nutricap, 34
Neostigmine Methylsulfate, 27
Nitroglycerin, 7 Nutridox, 2
Neotuss Plus, 32
nitroglycerin ER, 7 Nutrivit, 34
Nephplex RX, 34
nitroglycerin IN 5% dextrose, 7 Nutropin AQ Nuspin 10, 17
Nephro-vite RX, 34
nitroglycerin IN dextrose 5%, 7 Nutropin AQ Nuspin 20, 17
Nephrocaps, 34
Nitroglycerin IN Dextrose 5%, 7 Nutropin AQ Nuspin 5, 17
Nephrocaps QT, 34
nitroglycerin lingual, 7 Nutropin AQ Pen, 17
Nephron Fa, 21
Nitroglycerin Lingual, 7 Nuvail, 14
Neptazane, 9
nitroglycerin transdermal, 7 Nuvaring, 15
Nesacaine, 31
Nitrolingual Pumpspray, 7 Nuvessa, 20
Nesacaine-mpf, 31
Nitromist, 7 Nuvigil, 25
Nessi Spacer/Large Mask, 41
Nitronal, 7 Nuvya, 12
Nessi Spacer/Mouthpiece, 41
Nitropress, 8 Nuwiq, 22
Nessi Spacer/Small/MED Mask, 41
Nitrostat, 7 Nuzon, 13
Nestabs, 34
Niva-plus, 34 Nyata, 11
Nestabs Abc, 34
Nivatopic Plus, 14 Nymalize, 8
Nestabs DHA, 34
nizatidine, 18 nystatin, 2, 11, 22
Netgroup Lancets, 38
Nizatidine, 19 nystatin/triamcinolone, 11
Neuac Kit, 11
Nizoral, 11 O
Neulasta, 21
Nor-QD, 15
O-CAL Fa, 34
Neulasta Onpro Kit, 21
Norco, 29
O-CAL Prenatal, 34
Neumega, 21
Norditropin Cartridge, 17
OB Complete, 34
Neupogen, 21
Norditropin Flexpro, 17
OB Complete 400, 34
Neupro, 25
Norditropin Nordiflex Pen, 17
OB Complete Gold, 34
Neurontin, 25
norepinephrine bitartrate, 9
OB Complete One, 34
Neutrasal, 22
norethindrone, 15
OB Complete Petite, 34
Neutrexin, 4
norethindrone & ethinyl estradiol ferrous fumarate, 15
OB Complete Premier, 34
Neuvaxin, 14
OB Complete/DHA, 34
Nevanac, 28
norethindrone acetate, 16
Obredon, 32
nevirapine, 3
norethindrone acetate/ethinyl estradiol, 15(2)
Obstetrix DHA, 34
Nevirapine, 3
Obtrex, 34
nevirapine ER, 3
norethindrone acetate/ethinyl estradiol/ferrous fumarate, 15
Obtrex DHA, 34
Newgen, 34
octreotide acetate, 17
Nexa Plus, 34
Norflex, 26
Ocudox, 2
Nexavar, 6
norgestimate/ethinyl estradiol, 15
Ocufen, 28
Nexium, 19
Norinyl 1+35, 15
Ocuflox, 27
Nexium I.v., 19
Norinyl 1+50, 15
Ocuvel, 34
Nexterone, 8
Noritate, 11
Ofev, 32
Niacin, 33
Noroxin, 2
Ofirmev, 29
niacin ER, 10
Norpace, 8
ofloxacin, 2, 27, 28
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 33
Norpace CR, 8
Ofloxacin, 2
Norpramin, 23
olanzapine, 24
olanzapine odt, 24
42 oxymorphone hydrochloride ER, 29
olanzapine/fluoxetine, 26
Optichamber Diamond/Medium Face Mask, 42
oxytocin, 28
Oleptro, 23
Oxytocin/Lactated Ringers, 28
olopatadine HCL, 28, 31
Optichamber Diamond/Smallface Mask, 42
Oxytrol, 20
Olux, 13
P
Olux-e, 13
Optichamber Face Mask/Large, 42
paclitaxel, 6
Olysio, 3
Optichamber Face Mask/Medium, 42
Paclitaxel, 6
Omeclamox-PAK, 19
Optichamber Face Mask/Small, 42
Paire OB, 34
omega-3-acid ethyl esters, 10
Optihaler, 42
paliperidone ER, 24
Omega-3/D-3 Wellness Pack, 10
Optihaler MDI Drug Delivery System, 42
Pamelor, 23
omeprazole, 18
Optivar, 28
pamidronate disodium, 17
Omeprazole + Syrspend SF Alka, 19
Oracea, 11
Pamidronate Disodium, 17
omeprazole/sodium bicarbonate, 18
Oracit, 20
Pamine, 19
Omnaris, 31
Orafate, 22
Pamine Forte, 19
Omnipred, 27
Orap, 26
Pamine FQ, 19
Omontys, 21
Orapred Odt, 15
Panatuss Dxp, 32
On Call Lancets, 38
Oravig, 22
Pancrelipase, 19
On Call Plus Lancets, 38
Orbactiv, 4
pancuronium bromide, 26
Oncaspar, 5
Orencia, 30
Panda Mask Large, 42
ondansetron HCL, 19
Orenitram, 10
Panda Mask Medium, 42
ondansetron odt, 19
Orfadin, 18
Panda Mask Small, 42
One A Day Womens Prenatal/DHA, 34
Orkambi, 32
Pandel, 13
One A Day Womens Prenatal1, 34
orphenadrine citrate, 26
pantoprazole sodium, 18
One-a-day Womens Prenatal, 34
orphenadrine citrate ER, 26
papaverine HCL, 10
Onetouch Club Lancets Fine Point, 38
Orphenadrine/Asa/Caffeine, 26
Parafon Forte DSC, 26
Onetouch Combo Pack, 38
Ortho Micronor, 15
Paregoric, 18
Onetouch Delica Lancets Extra Fine 33G, 38
Ortho Tri-cyclen, 15
paricalcitol, 18
Ortho Tri-cyclen LO, 15
Parlodel, 25
Onetouch Delica Lancets Fine 30G, 38
Ortho-cept, 15
Parnate, 23
Onetouch Finepoint Lancets, 38
Ortho-cyclen, 15
paromomycin sulfate, 2
Onetouch Lancets, 38
Ortho-novum 1/35, 15
paroxetine HCL, 23
Onetouch Suresoft Lancing Device/18G, 38
Ortho-novum 7/7/7, 15
paroxetine HCL ER, 23
Orthovisc, 26
Paser, 2
Onetouch Suresoft Lancing Device/21G, 38
Osmoprep, 18
Pataday, 28
Osphena, 17
Patanase, 31
Onetouch Suresoft Lancing Device/28G, 38
Otezla, 30
Patanol, 28
Otiprio, 28
Paxil, 23
Onetouch Ultra 2, 38
Otozin, 28
Paxil CR, 23
Onetouch Ultra Blue, 38
Otrexup, 30
Pazeo, 28
Onetouch Ultra Mini, 38
Ovace Plus, 12
PC Unifine Pentips 29G X 1/2", 39
Onetouch Ultralink System (DEC), 38
Ovace Plus Wash, 12
PC Unifine Pentips 31G X 6MM Ultra SHORT, 39
Onetouch Ultralink System (hex), 38
Ovace Wash, 12
Onetouch Ultrasoft Lancets, 38
Ovcon-35, 15
PC Unifine Pentips 31G X 8MM SHORT, 39
Onetouch Verio, 38
Ovide, 14
Onetouch Verio IQ Blood Glucose Monitoring System, 38
Ovidrel, 17
PCE, 2
oxacillin sodium, 1
Pcp 100, 18
Onetouch Verio Sync Bloodglucose Monitoring System, 38
oxaliplatin, 4
Pediaderm AF Complete Kit, 11
Oxandrin, 15
Pediaderm HC, 13
Onetouch Verio Test Strips, 38
oxandrolone, 15
Pediaderm Ta, 13
Onexton, 11
oxaprozin, 30
Pediapred, 15
Onfi, 25
Oxaydo, 29
Pediarix, 33
Onglyza, 16
oxazepam, 23
Pediatex TD, 32
Onivyde, 6
oxcarbazepine, 25
Pediatex TDM, 32
Onmel, 2
oxiconazole nitrate, 11
Pediatric Panda Mask, 42
Opana, 29
Oxistat, 11
Pedipirox-4 Nail, 11
Opana ER (crush Resistant), 29
Oxsoralen, 14
Pedvax HIB, 33
Opdivo, 5
Oxsoralen Ultra, 12
peg 3350/electrolytes, 18
opium, 18
Oxtellar XR, 25
peg-3350/electrolytes, 18
opium tincture, 18
oxybutynin chloride, 20
peg-3350/NACL/NA bicarbonate/KCL, 18
Opsumit, 10
oxybutynin chloride ER, 20
Peg-intron, 3
Optichamber Advantage, 41
oxycodone HCL, 29
Peg-intron Redipen, 3
Optichamber Advantage/Large Mask, 41
Oxycodone HCL ER, 29
Peg-intron Redipen PAK 4, 3
Optichamber Advantage/Medium Face Mask, 41
oxycodone hydrochloride, 29
Peganone, 25
oxycodone/acetaminophen, 29
Pegasys, 3
Optichamber Advantage/Small Face Mask, 41
oxycodone/aspirin, 29
Pegasys Proclick, 3
oxycodone/ibuprofen, 29
Pegintron, 3
Optichamber Diamond, 42
Oxycontin, 29
Pen Needles 29G X 12MM, 38
Optichamber Diamond/Largeface Mask,
oxymorphone hydrochloride, 29
Pen Needles 29GX1/2", 38
Pen Needles 30GX5/16", 38
Phenylephrine HCL, 9 Prastera, 30
Pen Needles 31G X 1/4" SHORT, 38
Phenylephrine HCL/Sodium Chloride, 9 pravastatin sodium, 10
Pen Needles 31G X 3/16", 38
phenylephrine/guaifenesin, 32 Prazolamine, 26
Pen Needles 31G X 5MM, 38
Phenytek, 25 prazosin HCL, 8
Pen Needles 31G X 6MM, 38
phenytoin, 25 Pre-folic, 21
Pen Needles 31GX5/16", 38
phenytoin sodium, 25 Precedex, 24
Pen Needles 31GX8MM, 38
phenytoin sodium extended, 25 Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 39
Pen Needles 32GX4MM, 38
Phoslo, 20
penicillin G potassium, 1
Phoslyra, 20 Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2", 39
Penicillin G Potassium IN Iso-osmotic Dextrose, 1
Phospholine Iodide, 28
Photofrin, 6 Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2", 39
Penicillin G Procaine, 1
phytonadione, 33
Penicillin G Sodium, 1
pilocarpine HCL, 22, 28 Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8", 39
penicillin v potassium, 1
pilocarpine hydrochloride, 22
Penlac Nail Lacquer, 11
pimozide, 26 Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 39
Penlet II Replacement CAPS, 38
pindolol, 7
Penlet II Replacement CAPS-deep, 38
pioglitazone HCL, 16 Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 39
Penlet II Replacement CAPS-regular, 38
pioglitazone HCL-glimepiride, 16
Pennsaid, 12
pioglitazone HCL/metformin HCL, 16 Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2", 39
Pentacel, 33
piperacillin sodium/ tazobactam sodium, 1
Pentam 300, 4
Precision Thin Lancets, 39
Pentasa, 20
piperacillin sodium/tazobactam sodium, 1 Precision Thins GP Lancet, 39
pentazocine/naloxone HCL, 29
piperacillin/tazobactam, 1 Precision Ultra Lancet, 39
Pentetate Calcium Trisodium, 42
piroxicam, 30 Precose, 16
Pentetate Zinc Trisodium, 42
Pitocin, 28 Pred Forte, 27
Pentips 29GX12MM, 38
Pitressin Synthetic, 17 Pred Mild, 27
Pentips 31GX5MM, 38
Plaquenil, 3 Pred-G, 27
Pentips 31GX6MM, 38
Plavix, 22 Pred-G S.o.p., 27
Pentips 31GX8MM, 38
Plegridy, 26 prednicarbate, 12
Pentips 32GX4MM, 38
Plegridy Starter Pack, 26 prednisolone, 14
pentoxifylline ER, 22
Pletal, 22 prednisolone acetate, 27
Pepcid, 19
Plexion, 11 prednisolone sodium phosphate, 14
Percocet, 29
Plexion Cleanser, 11 Prednisolone Sodium Phosphate, 15, 27
Percodan, 29
Plexion Cleansing Cloths, 11 prednisolone sodium phosphate odt, 14
Perfect Lancets 30G, 38
Pliaglis, 14 prednisone, 14
Perfect Pressure Activated Safety Lancets 28G, 38
Pneumovax 23, 33 Prednisone, 14
Pneumovax 23/1 Dose, 33 Prednisone Intensol, 14
Perforomist, 32
Pneumovax 23/5 Dose, 33 Prefera OB, 34
Peridex, 22
Pocket Chamber, 42 Prefera OB + DHA, 34
perindopril erbumine, 8
Pocket Spacer, 42 Preferaob +dha, 34
Perjeta, 5
podofilox, 13 Preferaob One, 34
permethrin, 13
Poly-VI-flor, 34 Preferred Plus Unifine Pentips 29G X 12MM, 39
perphenazine, 24
Poly-VI-flor FS, 34
Perphenazine/Amitriptyline, 26
Poly-VI-flor/Iron, 34 Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT, 39
Persantine, 22
polyethylene glycol 3350, 18
Pexeva, 23
polymyxin b sulfate, 4 Preferred Plus Unifine Pentips 31G X 8MM SHORT, 39
Pfizerpen-G, 1
polymyxin b sulfate/trimethoprim sulfate, 27
Pharmacist Choice Tsx Patch, 14
Prefest, 15
Pharmacist Choice Ultra Thin Lancets, 38
Polytrim, 27 Prefol-DHA, 34
Pomalyst, 5 Premarin, 15, 20
Pharmacist Choice Ultra Thin Lancets 28G, 38
Ponstel, 30 Premphase, 15
Portrazza, 5 Prempro, 15
Pharmacist Choice Ultra Thin Lancets 30G, 39
potassium citrate ER, 20 Prenata, 34
potassium citrate-citric acid crystals, 20 Prenatal Vitamin, 34
Pharmacist Choice Ultra Thin Lancets 31G, 39
potassium citrate/citric acid, 20 Prenatal Vitamins, 34
potassium citrate/sodium citrate/citric acid, 20
Prenate, 34
Pharmacist Choice Ultra Thin Lancets 33G, 39
Prenate AM, 34
Potiga, 25 Prenate DHA, 34
Pharmacy Counter Lancets, 39
Pr Cream, 14 Prenate Elite, 34
phenazopyridine HCL, 20
Pradaxa, 21 Prenate Enhance, 34
phenelzine sulfate, 23
Praluent, 10 Prenate Essential, 34
Phenergan, 31
pramipexole dihydrochloride, 25 Prenate Mini, 34
phenobarbital, 24
pramipexole dihydrochloride ER, 25 Prenate Pixie, 34
Phenobarbital, 24
Pramosone, 12 Prenate Restore, 34
Phenobarbital Sodium, 24
Pramotic, 28 Prenate Star, 34
phenoxybenzamine hydrochloride, 8
Prandimet, 17 Prepidil, 28
Phentolamine Mesylate, 8
Prandin, 16 Prepopik, 18
phenylephrine HCL, 9, 28
Prascion Ra With Sunscreens, 11 Preque 10, 34
Presera, 14
Prolensa, 28 Quadracel, 33
Prestalia, 9
Proleukin, 6 Quadramet, 6
Prevacid, 19
Prolia, 17 Qualaquin, 3
Prevacid Solutab, 19
Promacta, 21 Quartette, 15
Prevident, 22
promethazine HCL, 31 Quazepam, 24
Previdolrx Analgesic PAK, 30
promethazine HCL plain, 31 Qudexy XR, 25
Prevnar 13, 33
promethazine-DM, 32 Quelicin, 26
Prevpac, 19
promethazine/codeine, 32 Quelicin 1000, 26
Prezcobix, 3
promethazine/dextromethorphan, 32 Questran, 10
Prezista, 3
promethazine/phenylephrine, 32 Questran Light, 10
Prialt, 29
Promethazine/Phenylephrine, 32 quetiapine fumarate, 24
Priftin, 2
promethazine/phenylephrine/codeine, 32 Quillichew ER, 25
Prilosec, 19
Prometrium, 16 Quillivant XR, 25
Primaquine Phosphate, 3
Promiseb, 12 quinapril HCL, 8
Primaxin IV, 4
Promiseb Complete, 12 quinapril/hydrochlorothiazide, 9
Primaxin IV Add-vantage, 4
propafenone HCL, 8 Quinidine Gluconate, 8
primidone, 25
propafenone HCL ER, 8 quinidine gluconate CR, 8
Primlev, 29
Propantheline Bromide, 19 quinidine gluconate ER, 8
Primsol, 4
proparacaine HCL, 28 quinidine sulfate, 8
Prinivil, 8
propranolol HCL, 7 Quinidine Sulfate, 8
Pristiq, 23
Propranolol HCL, 7 Quinidine Sulfate ER, 8
Pro-c-dure 1 Kit, 15
propranolol HCL ER, 7 quinine sulfate, 3
Pro-c-dure 2 Kit, 15
Propranolol/Hydrochlorothiazide, 9 Qutenza, 14
Pro-c-dure 3 Kit, 15
propylthiouracil, 18 R
Pro-c-dure 4 Kit, 15
Proquad, 33
R-natal OB, 34
Pro-c-dure 5 Kit, 15
Proscar, 20
Rabavert, 33
Pro-c-dure 6 Kit, 15
Prostin E2, 28
rabeprazole sodium, 18
Proair HFA, 32
Protamine Sulfate, 22
raloxifene hydrochloride, 17
Proair Respiclick, 32
Protect Plus, 34
ramipril, 8
probenecid, 31
Protectiron, 21
Ranexa, 7
probenecid/colchicine, 31
Prothelial, 22
ranitidine HCL, 18
Probuphine Implant Kit, 29
Protonix, 19
Rapaflo, 20
Procainamide HCL, 8
Protopic, 13
Rapamune, 6
Procardia, 8
protriptyline HCL, 23
Rapivab, 3
Procardia XL, 8
Provenge, 6
Rasuvo, 30
Procentra, 25
Provera, 16
Ravicti, 18
prochlorperazine, 24
Provida DHA, 34
Rayos, 15
prochlorperazine edisylate, 24
Provida OB, 34
Razadyne, 26
prochlorperazine maleate, 24
Provigil, 25
Razadyne ER, 26
Procort, 20
Prozac, 23
Readysharp-a, 31
Procrit, 21
Prozac Weekly, 23
Readysharp-k, 15
Proctocort, 20
Pruclair, 14
Readysharp-p40, 15
Proctofoam HC, 19
Prudoxin, 12
Readysharp-p80, 15
Procysbi, 20
Prumyx, 14
Rebetol, 3
Prodigy Insulin Mini Pen Needles/31G X 3/16", 39
Pss Select GP Lancets, 39
Reclast, 17
Pss Select Platforms, 39
Recombinate, 22
Prodigy Insulin Pen Needles/29G X 1/2", 39
Pss Select Safety Lancets, 39
Recombivax HB, 33
Pulmicort, 32
Recothrom, 22
Prodigy Insulin SHORT Penneedles/31G X 5/16", 39
Pulmicort Flexhaler, 32
Recothrom Spray Kit, 22
Pulmophylline, 32
Rectiv, 20
Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16", 39
Pulmozyme, 32
Recura, 11
Purinethol, 5
Reglan, 20
Prodigy Insulin Syringe/1/2ML/31G X 5/16", 39
Purixan, 5
Regonol, 27
Px Lancets Ultra Thin, 39
Relagard, 20
Prodigy Insulin Syringe/1ML/28G X 1/2", 39
Pylera, 19
Relenza Diskhaler, 3
pyrazinamide, 2
Relhist, 32
Prodigy Pressure Activated Safety Lancets, 39
Pyridium, 20
Relion Insulin Syringe/U -100/0.5ML/29G, 39
pyridostigmine bromide, 27
Prodigy Safety Lancets, 39
Pyridoxine HCL, 33
Relion Insulin Syringe/U-00/1ML/29G X 1/2", 39
Prodigy Twist Top Lancets, 39
Pyrogallic Acid, 14
Proferrin-forte, 21
Q
Relion Insulin Syringe/U-100/0.3ML/29G, 39
Profilnine, 22
Qc Lancets Super Thin, 39
Profilnine SD, 22
Qc Lancets Ultra Thin, 39 Relion Insulin Syringe/U-100/0.3ML/29G X 1/2", 39
progesterone, 16
Qc Pen Needles 29G X 12MM, 39
Progesterone 10% Kit, 16
Qc Pen Needles 31G X 6MM, 39 Relion Insulin Syringe/U-100/0.3ML/30G, 39
Proglycem, 16
Qc Pen Needles 31G X 8MM, 39
Prograf, 5
Qnasl, 31 Relion Insulin Syringe/U-100/0.3ML/30G X 5/16", 39
Prolastin-c, 32
Qnasl Childrens, 31
Relion Insulin Syringe/U-100/0.3ML/31G X 5/16", 39
Retinoic Acid, 10 Rowasa, 20
Retinoic Acid-all Trans, 10 Roxicet, 29
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 39
Retrovir, 3 Roxicodone, 29
Retrovir IV Infusion, 3 Rozerem, 24
Relion Insulin Syringe/U-100/0.5ML/30G, 39
Revatio, 10 Ryanodex, 27
Revlimid, 6 Rytary, 26
Relion Insulin Syringe/U-100/0.5ML/30G X 5/16", 39
Rexall Lancets Ultra Thin, 39 Rythmol, 8
Rexulti, 24 Rythmol SR, 8
Relion Insulin Syringe/U-100/0.5ML/31G X 5/16", 39
Reyataz, 3 S
Rezira, 32
Sabril, 25
Relion Insulin Syringe/U-100/1ML/30G, 39
Rezyst IM, 18
Safe-t-lance Low Flow 25G, 39
Rezyst SB, 18
Safe-t-lance Normal Flow 21G, 39
Relion Insulin Syringe/U-100/1ML/30G X 5/16", 39
Rheumatrex, 30
Safe-t-lance Plus Safety Lancet High Flow, 39
Rhinocort Aqua, 31
Relion Insulin Syringe/U-100/1ML/31G X 5/16", 39
Riastap, 22
Safe-t-lance Plus Safety Lancet Low Flow, 39
Riax, 11
Relion Lancets Micro-thin33G, 39
Ribasphere, 3
Safe-t-lance Plus Safety Lancet Normal Flow, 39
Relion Lancets Standard 21G, 39
Ribasphere Ribapak, 3
Relion Lancets Thin 26G, 39
Ribatab, 3
Safesnap Insulin Syringe/0.3ML/30G X 5/16", 39
Relion Lancets Ultra-thin30G, 39
ribavirin, 3
Relion Mini Pen Needles 31GX6MM, 39
Ridaura, 30
Safesnap Insulin Syringe/0.5ML/29G X 1/2", 39
Relion Pen Needles 29GX12MM, 39
rifabutin, 2
Relion Pen Needles 31GX6MM, 39
Rifadin, 2
Safesnap Insulin Syringe/0.5ML/30G X 5/16", 39
Relion Pen Needles 31GX8MM, 39
Rifamate, 2
Relion Pen Needles 32GX4MM, 39
rifampin, 2
Safesnap Insulin Syringe/1ML/28G X 1/2", 39
Relion SHORT Pen Needles 31GX8MM, 39
Rifater, 2
Right Step Prenatal, 34
Safesnap Insulin Syringe/1ML/29G X 1/2", 39
Relion Thin Lancets, 39
Rightest GD-L500 Alternate Site Adapter, 39
Relion Ultra Thin Lancets, 39
Safety Lancet 21G/Pressure Activated, 39
Relion Ultra Thin Lancets30G, 39
Rightest Gl300 Lancets, 39
Relion Ultra Thin Plus Lancets 32G, 39
Rilutek, 26
Safety Lancet 28G/Pressure Activated, 39
Relion Ultra Thin Plus Lancets 33G, 39
riluzole, 26
Relistor, 19
rimantadine HCL, 3
Safety Lancets, 39
Relpax, 31
Rimantalist, 3
Safety Lancets 21G, 39
Relyyks, 14
Riomet, 16
Safety Lancets 28G, 39
Relyyt, 14
risedronate sodium, 17
Safety Let Lancets, 39
Remeron, 23
risedronate sodium DR, 17
Safety Seal Lancets 28G, 39
Remeron Soltab, 23
Risperdal, 24
Safety Seal Lancets 30G, 39
Remicade, 19
Risperdal Consta, 24
Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 39
Remodulin, 10
Risperdal M-TAB, 24
Renagel, 20
risperidone, 24
Safyral, 16
Renatabs, 34
risperidone odt, 24
Saizen, 17
Renatabs With Iron, 34
Ritalin, 25
Saizen Click.easy, 17
Renew Advanced Lancing Cartridge Refills, 39
Ritalin LA, 25
Salagen, 22
Ritalin SR, 25
Salex, 14
Renvela, 19
Riteflo, 42
Salex Cream, 14
Reopro, 22
Rituxan, 5
Salex Lotion, 14
repaglinide, 16
rivastigmine tartrate, 26
salicylic acid, 13
Repaglinide/Metformin Hydrochloride, 16
rivastigmine transdermal system, 26
Salicylic Acid, 14
Repatha, 10
rizatriptan benzoate, 30
salicylic acid cream, 13
Repatha Sureclick, 10
rizatriptan benzoate odt, 30
Salicylic Acid IN Ammonium Lactate Vehicle, 14
Reprexain, 29
Robaxin, 27
Repronex, 17
Robaxin-750, 27
salicylic acid lotion, 13
Req 49+, 34
Robinul, 19
Salivamax, 22
Requip, 26
Robinul Forte, 19
Salivate RX, 22
Requip XL, 26
Rocaltrol, 18
Salkera, 14
Rescon-JR, 32
Rocephin, 1
salsalate, 29
Rescon-MX, 32
rocuronium bromide, 26
Salvax, 14
Rescriptor, 3
ropinirole ER, 25
Salvax Duo Plus, 14
Reserpine, 8
ropinirole HCL, 25
Samsca, 18
Respa-BR, 31
ropivacaine, 31
Sanctura, 20
Restasis, 28
ropivacaine HCL, 31
Sancuso, 19
Restora RX, 18
Rosadan Kit, 11
Sandimmune, 6
Restora Sprinkles, 18
Rosanil, 11
Sandostatin, 17
Restoril, 24
Rosula, 11
Sandostatin Lar Depot, 17
Retin-a, 11
rosuvastatin calcium, 10
Saphris, 24
Retin-a Micro, 11
Rotarix, 33
Sarafem, 26
Retin-a Micro P.M., 11
Rotateq, 33
Savaysa, 21
Savella, 26
Sirturo, 2 spironolactone/hydrochlorothiazide, 9
Savella Titration Pack, 26
Sitavig, 3 Sporanox, 3
Scalacort DK, 13
Sivextro, 4 Sporanox Pulsepak, 3
Scar Patch, 14
Skelaxin, 27 Spritam, 25
Scopolamine Hydrobromide, 19
Sklice, 14 Sprix, 30
Seasonique, 16
Smart Diabetes Vantage Universal Lancets 30G, 39
Sprycel, 6
Seconal, 24
Stalevo 100, 26
Seconal Sodium, 24
Smart Sense Color Lancets Universal 33G, 39
Stalevo 125, 26
Sectral, 7
Stalevo 150, 26
Select-OB, 34
Smart Sense Standard Lancets Universal 21G, 39
Stalevo 200, 26
Select-ob+dha, 34
Stalevo 50, 26
selegiline HCL, 25
Smart Sense Super Thin Lancets Universal 30G, 39
Stalevo 75, 26
selenium sulfide, 12
stannous fluoride oral rinse, 22
Selrx, 12
Smart Sense Thin Lancets Universal 26G, 39
Starlix, 16
Selzentry, 3
stavudine, 3
Semprex-d, 32
Smartest Lancets 28G, 39 Stavzor, 25
Sensipar, 18
Smartrx Gaba Kit, 26 Stelara, 12
Sensorcaine-mpf/Epinephrine, 31
Smartrx Gaba-v Kit, 26 Stendra, 10
Sentradine, 19
Sodium Bicarbonate, 18 Sterilance PA, 39
Sentraflox AM-10, 23
sodium chloride, 32 Sterilance TL, 39
Sentralopram AM-10, 23
sodium citrate/citric acid, 20 Stimate, 17
Sentramodafin AM-100, 25
Sodium Diuril, 9 Stiolto Respimat, 32
Sentravil PM-25, 23
Sodium Edecrin, 9 Stivarga, 6
Sentrazolam AM 0.25, 23
sodium ferric gluconate complex/sucrose, 21
Strattera, 24
Sentrazolpidem PM-5, 24
Strazepam, 24
Sentroxatine, 23
sodium hyaluronate, 13 Strensiq, 18
Serevent Diskus, 32
sodium phenylbutyrate, 18 Streptomycin Sulfate, 2
Seroquel, 24
sodium sulfacetamide, 10, 12, 27 Striant, 15
Seroquel XR, 24
sodium sulfacetamide wash, 12 Stribild, 3
Serostim, 17
sodium sulfacetamide/sulfur, 10 Striverdi Respimat, 32
sertraline HCL, 23
Sodium Sulfacetamide/Sulfur, 11 Stromectol, 4
Sevelamer Carbonate, 19
sodium sulfacetamide/sulfur cleanser, 10 Strovite Forte, 34
Sfrowasa, 19
Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 11
Strovite One, 34
Shohls Solution Modified, 20
Stuart Prenatal, 34
Shopko On-the-go Comfort Lancets 30G, 39
sodium sulfacetamide/sulfur cleansing cloths, 10
Suboxone, 29
Subsys, 29
Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 39
sodium sulfacetamide/sulfur green, 10 Succinylcholine Chloride, 26
Sodium Sulfacetamide/Sulfur IN Urea, 11 Suclear, 18
Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 39
sodium sulfacetamide/sulfur w/sunscreen, 10
Sucraid, 19
sucralfate, 19
Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 39
sodium sulfacetamide/sulfur wash, 10 Sular, 8
Solaice, 14 sulfacetamide sodium, 10, 27
Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 39
Soliris, 22 Sulfacetamide Sodium, 27
Solodyn, 2 sulfacetamide sodium/prednisolone sodium phosphate, 27
Shopko Unilet Lancets Super Thin 30G, 39
Soltamox, 5
Solu-cortef, 15 sulfacetamide sodium/sulfur, 10
Shopko Unilet Lancets Ultra Thin 28G, 39
Solu-medrol, 15 sulfacetamide sodium/sulfur cleanser, 10
Solus V2 Pressure Activated Safety Lancets 28G, 39
Sulfadiazine, 2
Siderol, 34
sulfamethoxazole/trimethoprim, 4
Signifor, 17
Solus V2 Twist Lancets 30G, 39 Sulfamethoxazole/Trimethoprim, 4
Signifor Lar, 17
Soma, 27 sulfamethoxazole/trimethoprim DS, 4
Silazone Pharmapak, 13
Somatuline Depot, 17 sulfasalazine, 19
Silazone-II, 13
Somavert, 17 Sulfoam, 11
sildenafil, 10
Sonata, 24 Sulfurated Lime, 14
sildenafil citrate, 10
Soolantra, 11 sulindac, 30
Silenor, 24
Soothee, 14 Sumadan Kit, 11
Simbrinza, 28
Soriatane, 12 Sumadan Wash, 11
Simcor, 10
Sorilux, 12 Sumadan XLT, 11
Simponi, 30
sotalol HCL, 7 Sumatriptan, 30
Simponi Aria, 30
sotalol HCL (AF), 7 sumatriptan succinate, 30
Simulect, 6
Sotalol Hydrochloride, 7 Sumatriptan Succinate, 30
simvastatin, 10
Sotylize, 7 sumatriptan succinate refill, 30
Sinelee, 14
Sovaldi, 3 Sumavel Dosepro, 31
Sinemet, 26
Spectracef, 1 Sumaxin, 11
Sinemet CR, 26
Spinosad, 14 Sumaxin CP Kit, 11
Single-let, 39
Spiriva Handihaler, 32 Sumaxin Ts, 11
Singulair, 32
Spiriva Respimat, 32 Sumaxin Wash, 11
sirolimus, 5
spironolactone, 9 Supartz, 27
Supartz Fx, 27
Synthroid, 18 1/2", 40
Supervite, 34
Synvisc, 26 Terumo Insulin Syringe/0.5ML/30G X 3/8", 40
Supervite EC, 34
Synvisc One, 26
Support-500, 35
T Terumo Insulin Syringe/1ML/27G X 1/2", 40
Supprelin LA, 17
Tabloid, 5
Supracil, 14
Terumo Insulin Syringe/1ML/29G X 1/2", 40
Tabradol Fusepaq, 27
Suprax, 1
Taclonex, 13
Suprep Bowel Prep, 18
Terumo Insulin Syringe/1ML/30G X 3/8", 40
tacrolimus, 5, 13
Sure-fine Pen Needles 29GX1/2" 12.7MM, 39
Tafinlar, 6
Terumo Insulin Syringe/U-100/0.3ML/29G X 1/2", 39
Tagrisso, 6
Sure-fine Pen Needles 31GX3/16" 5MM, 39
Talwin, 29
Terumo Insulin Syringe/U-100/0.5ML/27G X 1/2", 39
Tamiflu, 3
Sure-fine Pen Needles 31GX5/16" 8MM, 39
tamoxifen citrate, 5
Terumo Insulin Syringe/U-100/0.5ML/28G X 1/2", 39
tamsulosin HCL, 20
Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2", 39
Tandem F, 21
Terumo Insulin Syringe/U-100/1ML/28G X 1/2", 39
Tandem Plus, 21
Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16", 39
Tapazole, 18
Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2", 40
Tarceva, 6
Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16", 39
Targadox, 2
Terumo Surguard Insulin Syringe/0.5ML/28G X 1/2", 40
Targretin, 6
Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2", 39
Tarka, 9
Terumo Surguard Insulin Syringe/0.5ML/29G X 1/2", 40
Taron-bc, 34
Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2", 39
Taron-c DHA, 34
Terumo Surguard Insulin Syringe/1ML/28G X 1/2", 40
Tasigna, 6
Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16", 39
Tasmar, 26
Terumo Surguard Insulin Syringe/1ML/29G X 1/2", 40
Taxotere, 6
Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16", 39
Tazicef, 1
Tessalon Perles, 32
Tazorac, 12
Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2", 39
Testone Cik, 15
Tecfidera, 26
Testopel, 15
Tecfidera Starter Pack, 26
Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2", 39
Testosterone, 15
Techlite AST Lancets, 39
testosterone cypionate, 15
Techlite Lancets, 39
Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16", 39
testosterone enanthate, 15
Techlite Lancets 30G, 39
Testred, 15
Techlite Pen Needles/31G X 5MM, 39
Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16", 39
Tetanus Toxoid Adsorbed, 33
Techlite Pen Needles/31G X 6 MM, 39
Tetanus/Diphtheria Toxoids-adsorbed, 33
Techlite Pen Needles/31G X 8MM, 39
Sure-lance Flat Lancets, 39
Techlite Pen Needles/32G X 4MM, 39
Sure-lance Lancets 26G, 39
Tetanus/Diphtheria Toxoids-adsorbed Adult, 33
Techlite Pen Needles/32G X 8MM, 39
Sure-lance Thin Lancets 28G, 39
Technivie, 3
Sure-lance Ultra Thin Lancets, 39
tetrabenazine, 26
Tegretol, 25
Sure-touch Lancets Universal, 39
tetracaine HCL, 28
Tegretol-XR, 25
Surelite Lancets, 39
Tetracaine HCL, 31
Tekamlo, 9
Surfaxin, 32
Tetracycline HCL, 2
Tekturna, 8
Surmontil, 23
tetracycline hydrochloride, 2
Tekturna HCT, 9
Survanta Intratracheal, 32
Tetrix, 14
telmisartan, 8
Sustiva, 3
Teveten, 8
telmisartan/amlodipine, 9
Sutent, 6
Teveten HCT, 9
telmisartan/hydrochlorothiazide, 9
Suttar-2, 32
Texacort, 13
temazepam, 24
Suttar-SF, 32
Texavite LQ, 35
Temodar, 4
Sylatron, 6
Thalomid, 5
Temovate, 13
Symax Duotab, 19
Theo-24, 32
Temovate E, 13
Symbicort, 32
theophylline, 32
temozolomide, 4
Symbyax, 26
theophylline CR, 32
Tenex, 8
Symlinpen 120, 16
theophylline ER, 32
Teniposide, 6
Symlinpen 60, 16
Theophylline/D5W, 32
Tenivac, 33
Synagex, 35
Therabenzaprine-60, 27
Tenoretic 100, 9
Synalar, 13
Therabenzaprine-90, 27
Tenoretic 50, 9
Synalar Cream Kit, 13
Therabenzaprine-90-5, 27
Tenormin, 7
Synalar Ointment Kit, 13
Theracodeine-300, 29
Terazol 3, 20
Synalar Ts, 13
Theracodophen-325, 29
Terazol 7, 20
Synalgos-dc, 29
Theracys, 6
terazosin HCL, 8
Synapryn Fusepaq, 29
Therafeldamine, 30
terbinafine HCL, 2
Synarel, 17
Theranatal Core Nutrition, 34
terbutaline sulfate, 32
Synatek, 35
Therapentin-60, 25
terconazole, 20
Synera, 14
Therapentin-90, 25
Tersi Foam, 12
Synercid, 4
Theraprofen-60, 30
Terumo Insulin Syringe/0.3ML/30G X 3/8", 40
Synjardy, 16
Theraprofen-800, 30
Synribo, 6
Theraprofen-90, 30
Terumo Insulin Syringe/0.5ML/29G X
Theraproxen-500, 30
Tizanidine Comfort PAC, 27 Treximet, 31
Theraproxen-60, 30
tizanidine HCL, 26 Trezix, 29
Theraproxen-90, 30
TL G-FOL OS, 35 Tri-norinyl 28, 16
Theratramadol-60, 29
TL Triseb, 12 Tri-sila, 13
Theratramadol-90, 29
Tnkase, 22 Tri-VI-flor, 34
thiamine HCL, 33
Tobradex, 27 Triamcinolone, 15
Thinlets GP Lancets, 40
Tobradex ST, 27 triamcinolone acetonide, 12, 22, 31
Thinlets Lancet, 40
tobramycin, 2 Triamcinolone Acetonide, 12
Thinpro Insulin Syringe/0.3ML/29G X 1/2", 40
tobramycin sulfate, 2, 27 triamcinolone IN orabase, 22
Tobramycin Sulfate, 2 Triamcinolone PF, 15
Thinpro Insulin Syringe/0.3ML/30G X 3/8", 40
tobramycin/dexamethasone, 27 Triamcinolone/Lidocaine, 15
Tobrex, 27 Triamsil Combipak, 13
Thinpro Insulin Syringe/0.3ML/31G X 3/8", 40
Tofranil, 23 triamterene/hydrochlorothiazide, 9
Tofranil-PM, 23 Triamterene/Hydrochlorothiazide, 9
Thinpro Insulin Syringe/0.5ML/28G X 1/2", 40
tolazamide, 16 Trianex, 13
Tolazamide, 16 triazolam, 24
Thinpro Insulin Syringe/0.5ML/29G X 1/2", 40
Tolbutamide, 16 Triazolam, 24
tolcapone, 25 Tribenzor, 9
Thinpro Insulin Syringe/0.5ML/30G X 3/8", 40
tolmetin sodium, 30 Tricare Prenatal, 35
Tolmetin Sodium, 30 Tricare Prenatal Compleat, 34
Thinpro Insulin Syringe/0.5ML/31G X 3/8", 40
tolterodine tartrate, 20 Tricare Prenatal DHA One, 34
tolterodine tartrate ER, 20 tricitrates, 20
Thinpro Insulin Syringe/1ML/28G X 1/2", 40
Topamax, 25 Tricor, 10
Topamax Sprinkle, 25 Triderma Forte, 13
Thinpro Insulin Syringe/1ML/29G X 1/2", 40
Topicort, 13 Triferic, 21
topiramate, 25 trifluoperazine HCL, 24
Thinpro Insulin Syringe/1ML/30G X 3/8", 40
Topiramate ER, 25 trifluridine, 27
topotecan HCL, 6 Triglide, 10
Thinpro Insulin Syringe/1ML/31G X 3/8", 40
Topotecan HCL, 6 trihexyphenidyl HCL, 25
Toprol XL, 7 Trileptal, 25
Thiola, 20
Torisel, 6 Trilipix, 10
thioridazine HCL, 24
torsemide, 9 trimethobenzamide HCL, 19
Thiotepa, 4
Torsemide, 9 trimethoprim, 4
thiothixene, 24
Totect, 7 trimethoprim sulfate/polymyxin b sulfate, 27
Thrombin-jmi Diluent, 22
Toujeo Solostar, 16
Thrombin-jmi Epistaxis, 22
Toviaz, 20 trimipramine maleate, 23
Thrombin-jmi Syringe Spray Kit, 22
Tracleer, 10 Trintellix, 23
Thrombin-jmi W/Dil Spray P.M. Actuator, 22
tramadol HCL, 29 Triostat, 18
tramadol HCL ER, 29 Trisenox, 6
Thrombogen, 22
Tramadol HCL ER, 29 Triseon, 11
Thymoglobulin, 6
tramadol hydrochloride/acetaminophen, 29
Triumeq, 3
Thyrolar-1, 18
Triveen-duo DHA, 35
Thyrolar-1/2, 18
Trandate, 7 Triveen-prx RNF, 35
Thyrolar-1/4, 18
trandolapril, 8 Trizivir, 3
Thyrolar-2, 18
trandolapril/verapamil HCL, 9 Trokendi XR, 25
Thyrolar-3, 18
trandolapril/verapamil HCL ER, 9 Tropazone, 14
tiagabine hydrochloride, 25
tranexamic acid, 22 trospium chloride, 20
Tiazac, 8
Transderm-scop, 19 trospium chloride ER, 20
Tice Bcg, 6
Tranxene T, 23 Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2", 40
ticlopidine HCL, 22
tranylcypromine sulfate, 23
Ticlopidine HCL, 22
Travatan Z, 27 Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16", 40
Tigan, 19
Travoprost, 28
Tikosyn, 8
Trazamine, 23 Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16", 40
Timentin, 1
trazodone HCL, 23
Timolol Maleate, 7
Treanda, 4 Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2", 40
timolol maleate, 27
Trecator, 2
timolol maleate ophthalmic gel forming, 27
Trelstar, 5 Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2", 40
Trelstar Mixject, 5
Timoptic, 27
Trepadiclofen-25, 30 Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16", 40
Timoptic Ocudose, 27
Trepoxicam-7.5, 30
Timoptic-xe, 27
Tresiba Flextouch, 16 Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16", 40
Tindamax, 4
Tretin-x, 11
tinidazole, 4
tretinoin, 6, 10 Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 40
Tirosint, 18
Tretinoin, 10
Tisseel, 22
Tretinoin (all-trans Retinoic Acid), 10 Trueplus Insulin Syringe/U-100/1ML/29G X 1/2", 40
Tisseel VH, 22
tretinoin microsphere, 10
Tivicay, 3
tretinoin microsphere P.M., 10 Trueplus Insulin Syringe/U-100/1ML/30G X 5/16", 40
Tivorbex, 30
Trexall, 5
Trueplus Insulin Syringe/U-100/1ML/31G X 5/16", 40
Ulticare Insulin Syringe/1ML/29G X 1/2", 40
3ML/31G X1/4", 40
Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4", 40
Trueplus Lancets 26G, 40
Ulticare Insulin Syringe/1ML/30G X 1/2", 40
Trueplus Lancets 28G, 40
Ulticare U-100 Insulin Syringes/1ML/31G X 1/4", 40
Trueplus Lancets 28G Super Thin, 40
Ulticare Insulin Syringe/1ML/30G X 5/16", 40
Trueplus Lancets 30G, 40
Ultiguard Insulin Syringe/U-100/0.3ML/29G X 1/2", 40
Trueplus Lancets 30G Ultra Thin, 40
Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16", 40
Trueplus Lancets 33G, 40
Ultiguard Insulin Syringe/U-100/0.3ML/30G X 5/16", 40
Trueplus Lancets 33G Micro Thin, 40
Ulticare Insulin Syringe/SHORT/0.3ML/31G X 5/16", 40
Trueplus Safety Lancets 28G, 40
Ultiguard Insulin Syringe/U-100/0.5ML/29G X 1/2", 40
Trulicity, 16
Ulticare Insulin Syringe/SHORT/0.5ML/30G X 5/16", 40
Trumenba, 33
Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16", 40
Trusopt, 28
Ulticare Insulin Syringe/SHORT/0.5ML/31G X 5/16", 40
Truvada, 3
Ultiguard Insulin Syringe/U-100/1ML/29G X 1/2", 40
Turkel Paracentesis Procedure Tray/8french, 31
Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16", 40
Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16", 40
Tussicaps, 32
Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16", 40
Tussionex Pennkinetic Extended Release, 32
Ultilet Classic Lancets, 40
Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2", 40
Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16", 40
Tuzistra XR, 32
Twinrix, 33
Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2", 40
Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16", 40
Twynsta, 9
Tybost, 3
Ulticare Insulin Syringe/U-100/0.3ML/30G X 5/16", 40
Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16", 40
Tygacil, 4
Tykerb, 6
Ulticare Insulin Syringe/U-100/0.3ML/31G X 5/16", 40
Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16", 40
Tylenol/Codeine #3, 29
Tylenol/Codeine #4, 29
Ulticare Insulin Syringe/U-100/0.5ML/29G X 1/2", 40
Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 40
Typhim VI, 33
Tysabri, 26
Ulticare Insulin Syringe/U-100/0.5ML/30G X 1/2", 40
Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 40
Tyvaso, 10
Tyvaso Refill, 10
Ulticare Insulin Syringe/U-100/0.5ML/30G X 5/16", 40
Ultilet Lancets, 40
Tyvaso Starter, 10
Ultilet Lancets 33G, 40
Tyzeka, 3
Ulticare Insulin Syringe/U-100/0.5ML/31G X 5/16", 40
Ultilet Pen Needle 32GX4MM/SHORT, 40
Tyzine, 31
Tyzine Pediatric Nasal Drops, 31
Ulticare Insulin Syringe/U-100/1ML/29G X 1/2", 40
Ultilet Safety Lancets 23G, 40
U
Ultilet SHORT Pen Needles 31GX5/16", 40
Ulticare Insulin Syringe/U-100/1ML/30G X 1/2", 40
Uceris, 15, 20
Ultilet SHORT Pen Needles31GX3/16", 40
Udamin SP, 35
Ulticare Insulin Syringe/U-100/1ML/30G X 5/16", 40
Ulesfia, 14
Ultiva, 29
Uloric, 31
Ulticare Insulin Syringe/U-100/1ML/31G X 5/16", 40
Ultra-thin II Auto Lancet, 40
Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 40
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 40
Ulticare Micro Pen Needles 31G X 8MM, 40
Ulticare Insulin Safety Syringe/1ML/29G X 1/2", 40
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/31GX5/16", 40
Ulticare Micro Pen Needles 32G X 4MM, 40
Ulticare Insulin Syringe 1CC/28G U-100 1/2", 40
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/30GX5/16", 40
Ulticare Micro Pen Needles/31G X 8MM, 40
Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16", 40
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/31GX5/16", 40
Ulticare Micro Pen Needles/32G X 4MM, 40
Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 40
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 40
Ulticare Mini Pen Needles 31GX6MM, 40
Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 40
Ulticare Mini Pen Needles Ulti-fine IV, 40 Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16", 40
Ulticare Mini Pen Needles/31G X 6MM, 40
Ulticare Insulin Syringe/0.3ML/29G X 1/2", 40
Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 40
Ulticare Mini Pen Needles31GX6MM, 40
Ulticare Insulin Syringe/0.3ML/30G X 1/2", 40
Ulticare Original Pen Needles Ulti-fine, 40
Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 40
Ulticare Insulin Syringe/0.3ML/30G X 5/16", 40
Ulticare Pen Needles/29G X 12.7MM, 40 Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 40
Ulticare SHORT Pen Needles 31GX8MM, 40
Ulticare Insulin Syringe/0.5ML/28G X 1/2", 40
Ultra-thin II Lancets 28G, 40
Ulticare SHORT Pen Needles Ulti-fine IV, 40
Ultra-thin II Lancets 30G, 40
Ulticare Insulin Syringe/0.5ML/29G X 1/2", 40
Ultra-thin II Mini Pen Neeedles/31GX3/16", 40
Ulticare SHORT Pen Needles/31G X 8MM, 40
Ulticare Insulin Syringe/0.5ML/30G X 1/2", 40
Ultra-thin II Pen Needles 29GX1/2", 40
Ulticare Thin Lancets 30G, 40 Ultra-thin II Pen Needles/SHORT/31GX5/16", 40
Ulticare Insulin Syringe/0.5ML/30G X 5/16", 40
Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4", 40
Ultra-thin II Safety Autolancets 26G, 40
Ulticare Insulin Syringe/1ML/28G X 1/2", 40
Ulticare U-100 Insulin Syringes/0. Ultracet, 29
Ultralance, 40
urea IN zinc undecylenate/lactic acid vehicle, 13
Vazculep, 9
Ultram, 29
Vecamyl, 8
Ultram ER, 29
urea topical, 13 Vectibix, 5
Ultrasal-ER, 14
Urecholine, 20 Vectical, 12
Ultravate, 13
Uretron D/S, 20 vecuronium bromide, 26
Ultravate X, 13
Urimar-t, 20 Velcade, 6
Umecta, 14
Urocit-k 10, 20 Veletri, 10
Umecta Nail Film, 14
Urocit-k 15, 20 Velphoro, 20
Umecta PD, 14
Urocit-k 5, 21 Veltin, 11
Unasyn, 1
Urogesic-blue, 20 Vemavite-prx 2, 35
Unasyn Bulk Pack, 1
Uroxatral, 21 Venipuncture Cpi, 14
Unifine Pentips 29GX12MM, 40
Urso 250, 20 venlafaxine HCL, 23
Unifine Pentips 31G X 3/16", 41
Urso Forte, 20 venlafaxine HCL ER, 23
Unifine Pentips 31G X 6MM, 41
ursodiol, 19 Venlafaxine HCL ER, 23
Unifine Pentips 31G X 8MM, 41
Utibron Neohaler, 32 Venofer, 21
Unifine Pentips 31GX5MM, 41
Utopic, 14 Ventavis, 10
Unifine Pentips 31GX6MM, 41
Uvadex, 6 Ventolin HFA, 32
Unifine Pentips 31GX8MM, 41
V Veramyst, 31
Unifine Pentips 32GX4MM, 41
verapamil HCL, 7
V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2", 41
Unifine Pentips Plus 29GX12MM, 40
verapamil HCL ER, 7
Unifine Pentips Plus 31GX5MM, 40
verapamil HCL SR, 7
V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 41
Unifine Pentips Plus 31GX6MM, 40
Verdeso, 13
Unifine Pentips Plus 31GX8MM, 40
Veregen, 14
V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 41
Unilet Comfortouch Lancet, 41
Verelan, 8
Unilet Excelite, 41
Verelan PM, 8
V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 41
Unilet Excelite II, 41
Veripred 20, 15
Unilet G.p. Lancet, 41
Verrunex, 14
V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 41
Unilet G.p. Superlite Lancet, 41
Versacloz, 24
Unilet GP 28 Ultra Thin, 41
Vesicare, 20
Vagifem, 20
Unilet Lancet, 41
Vexa, 14
valacyclovir HCL, 3
Unilet Lancets Micro-thin33G, 41
Vexol, 27
Valchlor, 4
Unilet Lancets Super-thin30G, 41
Vfend, 3
Valcyte, 3
Unilet Lancets Ultra-thin 28G, 41
Vfend IV, 3
valganciclovir, 3
Unilet Superlite Lancet, 41
Vibativ, 4
Validerm, 13
Uniretic, 9
Viberzi, 20
Valium, 23
Unistik 1, 41
Vibramycin, 2
valproate sodium, 25
Unistik 2, 41
Vicoprofen, 29
valproic acid, 25
Unistik 2 Comfort, 41
Victoza, 16
valsartan, 8
Unistik 2 Extra, 41
Victrelis, 3
valsartan/hydrochlorothiazide, 9
Unistik 2 Neonatal, 41
Vida Mia Unifine Pentips 32GX4MM, 41
Valtrex, 3
Unistik 2 Normal, 41
Vida Mia Unifine Pentips Mini 31GX6MM, 41
Valumark Lancet Super Thin 30G, 41
Unistik 2 Super, 41
Valumark Lancet Ultra Thin 28G, 41
Unistik 3, 41
Vida Mia Unifine Pentips Original 29GX12MM, 41
Valumark Pen Needles 29GX12MM, 41
Unistik 3 Comfort, 41
Valumark Pen Needles 31G X 6MM, 41
Unistik 3 Extra, 41
Vida Mia Unilet Lancets Super Thin 30G, 41
Valumark Pen Needles 31G X 8MM, 41
Unistik 3 Extra Single Use Safety Lancets/21G, 41
Vanatol LQ, 29
Vida Mia Unilet Lancets Ultra Thin 28G, 41
Vancocin HCL, 4
Unistik 3 Gentle, 41
Vancomycin, 4
Unistik 3 Neonatal, 41
Vida Mia Unipfine Pentipsshort 31GX8MM, 41
vancomycin HCL, 4
Unistik 3 Normal, 41
Vancomycin HCL, 4
Unistik CZT Comfort, 41
Vidaza, 5
Vancomycin HCL + Syrspendsf PH4, 4
Unistik CZT Normal, 41
Videx EC, 3
Vancomycin HCL IN Dextrose, 4
Unistik Safety Lancets 28G, 41
Videx Pediatric, 3
Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 41
Unistik Safety Lancets 30G, 41
Viekira PAK, 3
Unistik Touch Safety Lancets 21G, 41
Vigamox, 27
Vanishpoint Insulin Syringe/1ML/29G X 1/2", 41
Unistik Touch Safety Lancets 23G, 41
Viibryd, 23
Unistik Touch Safety Lancets 28G, 41
Viibryd Starter Pack, 23
Vanos, 13
Unistik Touch Safety Lancets 30G, 41
Vimizim, 18
Vanoxide-HC, 11
Unituxin, 5
Vimpat, 25
Vantas, 5
Univasc, 8
Vinacal B, 34
Vaprisol, 18
Universal 1 Lancets Thin 26G, 41
Vinate AZ Extra, 34
Vaqta, 33
Universal 1 Lancets Ultra Thin 30G, 41
Vinate Calcium, 34
Varivax, 33
Uptravi, 10
Vinate DHA RF, 34
Varubi, 19
Uramaxin, 14
Vinblastine Sulfate, 6
Vascepa, 10
Uramaxin GT, 14
vincristine sulfate, 6
Vaseretic, 9
Uramaxin GT Kit, 14
vinorelbine tartrate, 6
vasopressin, 17
urea, 13
Viracept, 3
Vasostrict, 17
urea 40% nail film, 13
Viramune, 3
Vasotec, 8
Viramune XR, 3
Wp Thyroid, 18 Zelboraf, 6
Virasal, 14
Zemaira, 32
X
Virazole, 3
Zembrace Symtouch, 31
Xalatan, 28
Viread, 3
Zemplar, 18
Xalkori, 6
Viroptic, 27
Zemuron, 26
Xanax, 23
Vistaril, 23
Zenpep, 19
Xanax XR, 23
Vistide, 3
Zenzedi, 25
Xarelto, 21
Vita-pren, 34
Zepatier, 3
Xarelto Starter Pack, 21
Vitafol, 35
Zerbaxa, 4
Xartemis XR, 29
Vitafol Fe+, 35
Zerit, 3
Xeljanz, 30
Vitafol Gummies, 34
Zestoretic, 9
Xeljanz XR, 30
Vitafol Ultra, 35
Zestril, 8
Xeloda, 5
Vitafol-nano, 34
Zetia, 10
Xenazine, 26
Vitafol-ob+dha, 35
Zetonna, 31
Xeomin, 26
Vitafol-one, 35
Zevalin Y-90, 5
Xerac Ac, 14
Vital-d RX, 35
Ziac, 9
Xerese, 12
Vitalet Pro Lancets, 41
Ziagen, 3
Xgeva, 17
Vitalet Pro Plus Lancets, 41
Ziana, 11
Xifaxan, 4
Vitamedmd One RX/Quatrefolic, 35
zidovudine, 3
Xodol, 29
Vitamedmd Plus RX/Quatre Folic, 35
Zinacef, 1
Xofigo, 6
Vitamedmd Redichew RX, 34
Zinecard, 7
Xolair, 32
Vitamin A, 33
ziprasidone HCL, 24
Xolegel, 11
vitamin c 222MG, 33
Zipsor, 30
Xolegel Corepak, 11
vitamin d, 33
Zirgan, 27
Xolegel Duo/Head & Shoulders, 11
vitamin k1, 33
Zithranol, 12
Xolegel Duo/Xolex, 11
Vitamin K1, 33
Zithranol-rr, 12
Xopenex, 32
Vitapearl, 34
Zithromax, 2
Xopenex Concentrate, 32
Vitaroca Plus, 35
Zithromax Tri-PAK, 2
Xrylix, 12
Vitatrue, 35
Zithromax Z-PAK, 2
Xtandi, 5
Vitekta, 3
Zmax, 2
Xuriden, 18
Vituz, 32
Zofran, 19
Xylocaine, 8, 14, 31
Viva DHA, 34
Zofran Odt, 19
Xylocaine-mpf, 31
Vivactil, 23
Zoladex, 5
Xylocaine-mpf/Epinephrine, 31
Vivelle-dot, 15
zoledronic acid, 17
Xylocaine/Epinephrine, 31
Vivlodex, 30
Zoledronic Acid, 17
Xyntha, 22
Vivotif, 33
Zolinza, 6
Xyntha Solofuse, 22
Voltaren, 12
zolmitriptan, 30
Xyrem, 26
Voltaren-XR, 30
zolmitriptan odt, 30
Xyzal, 31
Voluven, 22
Zoloft, 23
Y
Vopac, 12
zolpidem tartrate, 24
Vopac GB, 12
zolpidem tartrate ER, 24
Yasmin 28, 16
Vopac Kt, 12
Zolpimist, 24
Yaz, 16
Voraxaze, 7
Zometa, 17
Yervoy, 5
voriconazole, 2
Zomig, 31
Yf-vax, 33
Vortex Valved Holding Chamber, 42
Zomig Nasal Spray, 30
Yodoxin, 3
Vosol HC, 28
Zomig ZMT, 31
Yondelis, 4
Vospire ER, 32
Zonalon, 12
Your Life Multi Prenatal, 34
Votrient, 6
Zonatuss, 32
Z
Vpriv, 21
Zonegran, 25
Vsl#3 DS, 18
Zacare 4% Kit, 11 zonisamide, 25
Vusion, 11
Zacare 8% Kit, 11 Zontivity, 22
Vyvanse, 24
zafirlukast, 32 Zorbtive, 17
W
zaleplon, 24 Zortress, 6
Zaltrap, 5 Zostavax, 33
W&f Lancets 26G, 41
Zamicet, 29 Zosyn, 1
W&f Lancets Colored 21G, 41
Zanaflex, 27 Zovia 1/50e, 15
Walgreens Lancets, 41
Zanosar, 4 Zovirax, 3, 12
Walgreens Thin Lancets, 41
Zantac, 19 Zubsolv, 29
Walgreens Ultra Thin Lancets, 41
Zarontin, 25 Zuplenz, 19
warfarin sodium, 21
Zaroxolyn, 9 Zutripro, 32
Watchhaler, 42
Zatean-CH, 35 Zyclara, 13
Welchol, 10
Zatean-pn, 34 Zyclara P.M., 13
Wellbutrin, 23
Zatean-pn DHA, 35 Zydelig, 6
Wellbutrin SR, 23
Zatean-pn Plus, 34 Zyflo, 32
Wellbutrin XL, 23
Zavesca, 21 Zyflo CR, 32
Westcort, 13
Zebeta, 7 Zykadia, 6
Westhroid, 18
Zegerid, 19 Zylet, 27
Wheat Germ, 33
Zelapar, 26 Zyloprim, 31
Wilate, 22
Zymaxid, 27
Zyprexa, 24
Zyprexa Relprevv, 24
Zyprexa Zydis, 24
Zytiga, 5
Zyvodol, 12
Zyvox, 4
1
1ST Choice Lancets Super Thin, 41
1ST Choice Lancets Thin, 41
1ST Choice Lancets Ultra Thin, 41
1ST Tier Unifine Pentips 29GX12MM, 41
1ST Tier Unifine Pentips 31GX6MM, 41
1ST Tier Unifine Pentips 31GX8MM, 41
8
8-mop, 12