premium formulary reference guide rx... · premium formulary reference guide your formulary...

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. Your specific prescription benefit plan design may not cover certain products or categories, regardless of their appearance in this document. For specific information, visit www.optumrx.com/calpers or contact an OptumRx Customer Care representative at 1-855-505-8110.

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.

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 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. *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.

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 1

QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3

AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3

ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3

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

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

ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3

ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

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

HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

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

5

RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5

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

ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5

CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5

CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5

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

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

CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5

ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5

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

6

ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6

ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6

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

6

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

6

ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6

ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7

DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7

VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7

ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7

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

8

DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8

ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9

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

9

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

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

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

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

ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9

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

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

IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10

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

10

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

11

CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11

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

11

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12

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

13

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

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13

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

13

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

13

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

13

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13

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

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

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

13

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

13

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

13

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14

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

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14

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

14

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14

CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14

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

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15

ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15

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

15

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

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

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16

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

16

HEMATOLOGICAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17

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

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17

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

17

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

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

18

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

19

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

19

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

20

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

20

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

20

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

21

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

21

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

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

21

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

21

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

22

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

22

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

22

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

22

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

22

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

22

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

22

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

22

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

22

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

22

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

23

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

23

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

23

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

23

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

23

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

24

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

24

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25

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

25

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

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

25

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

26

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

26

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

26

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

26

DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

26

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

34

MISCELLANEOUS AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

34

Fortaz

Rocephin

Spectracef

Suprax

January 2017

FOURTH GENERATION

GENERIC

ANTI-INFECTIVES

cefepime

NON PREFERRED

PENICILLINS

Maxipime

GENERIC

amoxicillin

MACROLIDES

amoxicillin ER

GENERIC

amoxicillin/clavulanate potassium

azithromycin

amoxicillin/clavulanate potassium ER

clarithromycin

ampicillin

clarithromycin ER

ampicillin sodium

erythromycin

ampicillin-sulbactam

erythromycin base

dicloxacillin sodium

erythromycin ethylsuccinate

nafcillin sodium

PREFERRED BRAND

oxacillin sodium

Zithromax

penicillin v potassium

NON PREFERRED

penicillin G potassium

Biaxin

penicillin G procaine

Dificid

penicillin G sodium

E.e.s. Granules

NON PREFERRED

Ery-TAB

Augmentin

Eryped 200

Augmentin ES-600

Eryped 400

Augmentin XR

Erythrocin Stearate

Bicillin C-R

PCE

Bicillin L-a

Zithromax Tri-PAK

Moxatag

Zithromax Z-PAK

Pfizerpen-G

Zmax

Unasyn

Unasyn Bulk Pack

TETRACYCLINES

GENERIC

CEPHALOSPORIN

demeclocycline HCL

FIRST GENERATION

doxycycline

GENERIC

doxycycline hyclate

cefadroxil

doxycycline hyclate DR

cefazolin sodium

doxycycline monohydrate

cephalexin

minocycline HCL

NON PREFERRED

minocycline HCL ER

Keflex

tetracycline hydrochloride

SECOND GENERATION

tetracycline HCL

GENERIC

NON PREFERRED

cefaclor

minocin

cefaclor ER

Acticlate

cefotetan

Adoxa

cefoxitin sodium

Adoxa PAK 1/100

cefprozil

Adoxa PAK 1/150

cefuroxime axetil

Adoxa PAK 2/100

cefuroxime sodium

Alodox Convenience Kit

NON PREFERRED

Avidoxy DK

Cefotan

Doryx

Ceftin

Doryx Mpc

Zinacef

Minocin

THIRD GENERATION

Minocin Kit

GENERIC

Monodox

cefdinir

Morgidox 1X100MG

cefditoren pivoxil

Morgidox 1X50MG Kit

cefixime

Morgidox 2X100MG

cefotaxime sodium

Ocudox

cefpodoxime proxetil

Solodyn

ceftazidime

Targadox

ceftibuten

Vibramycin

ceftriaxone sodium

NON PREFERRED

QUINOLONES

Cedax

GENERIC

Claforan

ciprofloxacin

Effective January 1, 2017

1

ciprofloxacin ER

Lamisil

ciprofloxacin HCL

Noxafil

levofloxacin

Onmel

moxifloxacin HCL

Sporanox

ofloxacin

Sporanox Pulsepak

NON PREFERRED

Vfend

Avelox

Avelox Abc Pack

ANTIVIRALS

Cipro

GENERIC

Cipro XR

abacavir

Factive

abacavir sulfate/lamivudine/zidovudine

Levaquin

acyclovir

Noroxin

adefovir dipivoxil

didanosine

AMINOGLYCOSIDES

entecavir

GENERIC

famciclovir

amikacin sulfate

lamivudine

gentamicin sulfate

lamivudine/zidovudine

gentamicin sulfate pediatric

nevirapine

neomycin sulfate

nevirapine ER

paromomycin sulfate

ribavirin

streptomycin sulfate

rimantadine HCL

tobramycin

stavudine

tobramycin sulfate

valacyclovir HCL

PREFERRED BRAND

valganciclovir

Bethkis

valganciclovir hydrochlorde

zidovudine

SULFONAMIDES

PREFERRED BRAND

Aptivus

GENERIC

Atripla

sulfadiazine

Complera

Crixivan

ANTIMYCOBACTERIAL AGENTS

Descovy

GENERIC

Edurant

cycloserine

Emtriva

ethambutol HCL

Epclusa

isoniazid

Epzicom

pyrazinamide

Evotaz

rifabutin

Fuzeon

rifampin

Genvoya

NON PREFERRED

Harvoni

Capastat Sulfate

Intelence

Myambutol

Invirase

Mycobutin

Isentress

Paser

Kaletra

Priftin

Lexiva

Rifadin

Norvir

Rifamate

Odefsey

Rifater

Pegasys

Sirturo

Pegasys Proclick

Trecator

Prezcobix

Prezista

ANTIFUNGALS

Rescriptor

GENERIC

Retrovir IV Infusion

amphotericin b

Reyataz

fluconazole

Selzentry

flucytosine

Sovaldi

griseofulvin microsize

Stribild

griseofulvin ultramicrosize

Sustiva

itraconazole

Tivicay

ketoconazole

Triumeq

nystatin

Truvada

terbinafine HCL

Tybost

voriconazole

Videx Pediatric

NON PREFERRED

Viracept

Ancobon

Viread

Cresemba

Vitekta

Diflucan

Zepatier

Grifulvin V

Gris-peg


2

NON PREFERRED

Stromectol

Baraclude

Combivir

MISC. ANTI-INFECTIVES

Copegus

GENERIC

Daklinza

atovaquone

Epivir

aztreonam

Epivir HBV

bacitracin

Famvir

clindamycin palmitate HCL

Flumadine

clindamycin phosphate

Hepsera

clindamycin phosphate pharmacy bulk package

Moderiba

clindamycin HCL

Moderiba 1200 Dose Pack

colistimethate sodium

Moderiba 800 Dose Pack

dapsone

Olysio

lincomycin HCL

Peg-intron

linezolid

Peg-intron Redipen

metronidazole

Peg-intron Redipen PAK 4

polymyxin b sulfate

Pegintron

sulfamethoxazole/trimethoprim

Rebetol

sulfamethoxazole/trimethoprim DS

Relenza Diskhaler

tinidazole

Retrovir

trimethoprim

Ribasphere Ribapak

vancomycin HCL

Sitavig

PREFERRED BRAND

Tamiflu

Alinia

Technivie

Nebupent

Trizivir

NON PREFERRED

Tyzeka

Azactam

Valcyte

Bactrim

Valtrex

Bactrim DS

Victrelis

Cayston

Videx EC

Cleocin

Viekira PAK

Cleocin Pediatric Granules

Viekira XR

Cleocin Phosphate

Viramune

Coly-mycin M

Viramune XR

First-vancomycin 25

Virazole

First-vancomycin 50

Zerit

Flagyl

Ziagen

Flagyl ER

Zovirax

Impavido

Invanz

ANTIMALARIALS

Ketek

GENERIC

Lincocin

atovaquone/proguanil HCL

Mepron

chloroquine phosphate

Pentam 300

hydroxychloroquine sulfate

Primsol

mefloquine HCL

Sivextro

primaquine phosphate

Tindamax

quinine sulfate

Vancocin HCL

PREFERRED BRAND

Xifaxan

Daraprim

Zyvox

NON PREFERRED

Aralen

ANTINEOPLASTICS, ETC.

Coartem

ALKYLATING AGENTS

Malarone

GENERIC

Plaquenil

cyclophosphamide

Qualaquin

lomustine

temozolomide

AMEBICIDES

thiotepa

PREFERRED BRAND

PREFERRED BRAND

Yodoxin

Alkeran

Bicnu

ANTHELMINTICS

Busulfex

GENERIC

Hexalen

ivermectin

Leukeran

PREFERRED BRAND

Mustargen

Biltricide

Myleran

Emverm

Treanda

NON PREFERRED

Zanosar

Albenza


3

NON PREFERRED

Fareston

Gleostine

Faslodex

Gliadel Wafer

Lupron Depot

Temodar

Lysodren

Valchlor

Zoladex

NON PREFERRED

ANTIBIOTICS

Arimidex

Aromasin

GENERIC

Casodex

bleomycin sulfate

Depo-provera

PREFERRED BRAND

Eligard

Daunoxome

Femara

Firmagon

ANTINEOPLASTIC ENZYMES

Megace Oral

PREFERRED BRAND

Nilandron

Oncaspar

Soltamox

NON PREFERRED

Trelstar

Erwinaze

Trelstar Mixject

Vantas

ANTIMETABOLITES

Xtandi

GENERIC

Zytiga

azacitidine

capecitabine

IMMUNOMODULATORS

cytarabine

GENERIC

cytarabine aqueous

azathioprine

floxuridine

cyclosporine

mercaptopurine

cyclosporine modified

methotrexate

mycophenolate mofetil

methotrexate sodium

mycophenolic acid DR

PREFERRED BRAND

sirolimus

Alimta

tacrolimus

Arranon

PREFERRED BRAND

Clolar

Atgam

Folotyn

Cellcept Intravenous

Tabloid

Sandimmune

NON PREFERRED

Thalomid

Purinethol

NON PREFERRED

Purixan

Astagraf XL

Trexall

Azasan

Vidaza

Cellcept

Xeloda

Envarsus XR

Imuran

ANGIOGENESIS INHIBITORS

Myfortic

PREFERRED BRAND

Neoral

Avastin

Pomalyst

Zaltrap

Prograf

Rapamune

ANTIBODIES

Revlimid

PREFERRED BRAND

Zortress

Adcetris

Arzerra

MITOTIC INHIBITORS

Erbitux

GENERIC

Herceptin

etoposide

Perjeta

PREFERRED BRAND

Yervoy

Abraxane

Halaven

HORMONAL AGENTS

Ixempra Kit

GENERIC

Jevtana

anastrozole

bicalutamide

ENZYME INHIBITORS

exemestane

GENERIC

flutamide

imatinib mesylate

hydroxyprogesterone caproate

PREFERRED BRAND

letrozole

Afinitor

leuprolide acetate

Caprelsa

megestrol acetate

Istodax

nilutamide

Jakafi

tamoxifen citrate

Kyprolis

PREFERRED BRAND

Mekinist

Emcyt


4

Nexavar

Intron A W/Diluent

Sprycel

Sylatron

Tafinlar

Synribo

Torisel

Targretin

Tykerb

Uvadex

Velcade

Xalkori

CHEMOTHERAPY RESCUE

Zolinza

GENERIC

NON PREFERRED

leucovorin calcium

Afinitor Disperz

NON PREFERRED

Alecensa

Mesnex

Bosulif

Cabometyx

CHEMOTHERAPY ADJUNCTS

Cometriq

PREFERRED BRAND

Cotellic

Kepivance

Farydak

Gilotrif

ANTINEOPLASTIC COMBO

Gleevec

NON PREFERRED

Ibrance

Lonsurf

Iclusig

Imbruvica

CARDIOVASCULAR DRUGS

Inlyta

CARDIAC GLYCOSIDES

Iressa

GENERIC

Lenvima 10 MG Daily Dose

digoxin


PREFERRED BRAND


lanoxin


Lanoxin


NON PREFERRED


Lanoxin Pediatric

Lynparza

Ninlaro

ANTIANGINAL AGENTS

Stivarga

GENERIC

Sutent

isosorbide dinitrate

Tagrisso

isosorbide dinitrate ER

Tarceva

isosorbide mononitrate

Tasigna

isosorbide mononitrate ER

Votrient

nitroglycerin

Zelboraf

nitroglycerin lingual

Zydelig

nitroglycerin transdermal

Zykadia

nitroglycerin ER

PREFERRED BRAND

TOPOISOMERASE I INHIBITOR

Dilatrate SR

NON PREFERRED

Nitro-bid

Hycamtin

Nitro-dur

Ranexa

RADIOPHARMACEUTICALS

NON PREFERRED

PREFERRED BRAND

Imdur

Xofigo

Isordil Titradose

Nitrolingual Pumpspray

CELLULAR IMMUNOTHERAPY

Nitromist

PREFERRED BRAND

Nitrostat

Provenge

BETA BLOCKERS

ANTINEOPLASTICS MISC.

GENERIC

GENERIC

acebutolol HCL

bexarotene

atenolol

hydroxyurea

betaxolol HCL

tretinoin

bisoprolol fumarate

PREFERRED BRAND

carvedilol

Actimmune

labetalol HCL

Alferon N

metoprolol succinate ER

Matulane

metoprolol tartrate

Proleukin

nadolol

Theracys

pindolol

Tice Bcg

propranolol HCL

Trisenox

propranolol HCL ER

NON PREFERRED

sotalol HCL

Hydrea

sotalol HCL (AF)

Intron A

timolol maleate


5

PREFERRED BRAND

quinidine sulfate

Bystolic

quinidine sulfate ER

NON PREFERRED

PREFERRED BRAND

Betapace

Norpace CR

Betapace AF

NON PREFERRED

Coreg

Cordarone

Coreg CR

Multaq

Corgard

Norpace

Hemangeol

Rythmol

Inderal LA

Rythmol SR

Inderal XL

Tikosyn

Innopran XL

Kerlone

ACE INHIBITORS

Levatol

GENERIC

Lopressor

benazepril HCL

Sectral

captopril

Sotylize

enalapril maleate

Tenormin

fosinopril sodium

Toprol XL

lisinopril

Trandate

moexipril HCL

Zebeta

perindopril erbumine

quinapril HCL

CALCIUM CHANNEL BLOCKERS

ramipril

GENERIC

trandolapril

amlodipine besylate

NON PREFERRED

diltiazem CD

Accupril

diltiazem HCL

Aceon

diltiazem HCL CD

Altace

diltiazem HCL ER

Epaned

felodipine ER

Lotensin

isradipine

Mavik

nicardipine HCL

Prinivil

nifedipine

Univasc

nifedipine ER

Vasotec

nimodipine

Zestril

nisoldipine

nisoldipine ER

ANGIOTENSIN RCPTR BLOCKER

verapamil HCL

GENERIC

verapamil HCL ER

candesartan cilexetil

verapamil HCL SR

eprosartan mesylate

NON PREFERRED

irbesartan

verelan

losartan potassium

verelan PM

telmisartan

Adalat CC

valsartan

Calan

PREFERRED BRAND

Calan SR

Benicar

Cardizem

NON PREFERRED

Cardizem CD

Atacand

Cardizem LA

Avapro

Norvasc

Cozaar

Nymalize

Diovan

Procardia

Edarbi

Procardia XL

Micardis

Sular

Teveten

Tiazac

DIRECT RENIN INHIBITORS

ANTIARRHYTHMICS

PREFERRED BRAND

GENERIC

Tekturna

amiodarone HCL

disopyramide phosphate

ANTIHYPERTENSIVES MISC.

dofetilide

GENERIC

flecainide acetate

clonidine HCL

mexiletine HCL

doxazosin

procainamide HCL

doxazosin mesylate

propafenone HCL

eplerenone

propafenone HCL ER

guanfacine HCL

quinidine gluconate

hydralazine HCL

quinidine gluconate CR

methyldopa

quinidine gluconate ER

minoxidil


6

phenoxybenzamine hydrochloride

Tekamlo

phentolamine mesylate

Tenoretic 100

prazosin HCL

Tenoretic 50

reserpine

Teveten HCT

terazosin HCL

Twynsta

NON PREFERRED

Uniretic

Cardura

Vaseretic

Catapres

Zestoretic

Catapres-tts-1

Ziac

Catapres-tts-2

Catapres-tts-3

DIURETICS

Demser

GENERIC

Dibenzyline

acetazolamide

Inspra

acetazolamide sodium

Minipress

acetazolamide ER

Tenex

amiloride HCL

Vecamyl

amiloride/hydrochlorothiazide

bumetanide

ANTIHYPERTENSIVE COMBO

chlorothiazide

GENERIC

chlorthalidone

amlodipine besylate/benazepril hydrochloride

ethacrynic acid

amlodipine besylate/benazepril HCL

furosemide

amlodipine besylate/valsartan

hydrochlorothiazide

amlodipine/valsartan/hctz

indapamide

atenolol/chlorthalidone

methazolamide

benazepril HCL/hydrochlorothiazide

methyclothiazide

bisoprolol fumarate/hydrochlorothiazide

metolazone

candesartan cilexetil/hydrochlorothiazide

spironolactone

captopril/hydrochlorothiazide

spironolactone/hydrochlorothiazide

enalapril maleate/hydrochlorothiazide

torsemide

fosinopril sodium/hydrochlorothiazide

triamterene/hydrochlorothiazide

irbesartan/hydrochlorothiazide

NON PREFERRED

lisinopril/hydrochlorothiazide

Aldactazide

losartan potassium/hydrochlorothiazide

Aldactone

methyldopa/hydrochlorothiazide

Bumex

metoprolol/hydrochlorothiazide

Demadex

moexipril/hydrochlorothiazide

Diamox

nadolol/bendroflumethiazide

Diuril

propranolol/hydrochlorothiazide

Dyazide

quinapril/hydrochlorothiazide

Dyrenium

telmisartan/amlodipine

Edecrin

telmisartan/hydrochlorothiazide

Keveyis

trandolapril/verapamil HCL

Lasix

trandolapril/verapamil HCL ER

Maxzide

valsartan/hydrochlorothiazide

Maxzide-25

PREFERRED BRAND

Microzide

Azor

Neptazane

Benicar HCT

Zaroxolyn

Dutoprol

Tekturna HCT

VASOPRESSORS

Tribenzor

GENERIC

NON PREFERRED

ephedrine sulfate

Accuretic

epinephrine

Amturnide

midodrine HCL

Atacand HCT

phenylephrine HCL

Avalide

PREFERRED BRAND

Clorpres

Epipen 2-PAK

Corzide

Epipen-JR 2-PAK

Diovan HCT

NON PREFERRED

Edarbyclor

Adrenalin

Exforge

Northera

Exforge HCT

Hyzaar

ANTIHYPERLIPIDEMICS

Lopressor HCT

GENERIC

Lotensin HCT

atorvastatin calcium

Lotrel

cholestyramine

Micardis HCT

cholestyramine light

Prestalia

colestipol HCL

Tarka

fenofibrate


7

fenofibrate micronized

Corlanor

fenofibric acid

Entresto

fenofibric acid DR

Muse

fluvastatin

Orenitram

fluvastatin sodium ER

Revatio

gemfibrozil

Tyvaso

lovastatin

Tyvaso Refill

niacin ER

Tyvaso Starter

omega-3-acid ethyl esters

Uptravi

pravastatin sodium

Ventavis

rosuvastatin calcium

simvastatin

DERMATOLOGICALS

PREFERRED BRAND

ACNE PRODUCTS

Fibricor

GENERIC

Lipofen

adapalene

Praluent

adapalene P.M.

Simcor

benzoyl peroxide

Vascepa


Vytorin

clindamycin phosphate/tretinoin

Welchol

clindamycin/benzoyl peroxide

NON PREFERRED

erythromycin

Advicor

erythromycin/benzoyl peroxide

Altoprev

sodium sulfacetamide

Antara

sodium sulfacetamide/sulfur

Colestid

sodium sulfacetamide/sulfur cleanser

Colestid Flavored

sulfacetamide sodium

Crestor

sulfacetamide sodium/sulfur

Fenoglide

sulfacetamide sodium/sulfur cleanser

Juxtapid

tretinoin

Kynamro

tretinoin microsphere

Lescol

tretinoin microsphere P.M.

Lescol XL

PREFERRED BRAND

Lipitor

Clindagel

Livalo

NON PREFERRED

Lofibra

Aczone

Lopid

Akne-mycin

Lovaza

Atralin

Mevacor

Avar

Niaspan

Avar LS

Pravachol

Azelex

Questran

Benzac Ac Wash

Questran Light

Benzac W Wash

Repatha

Benzefoam

Repatha Pushtronex System

Benzefoam Ultra

Repatha Sureclick

Benziq

Tricor

Benziq LS

Triglide

Cleocin-t

Trilipix

Clindacin Etz

Zetia

Clindacin PAC

Zocor

Differin

Epiduo

CARDIOVASCULAR - MISC.

Epiduo Forte

GENERIC

Erygel

amlodipine besylate/atorvastatin calcium

Evoclin

sildenafil

Fabior

sildenafil citrate

Inova

PREFERRED BRAND

Inova 4/1 Acne Control Therapy

Adempas

Inova 8/2 Acne Control Therapy

Cialis

Klaron

Letairis

Neuac Kit

Opsumit

Retin-a

Remodulin

Retin-a Micro

Tracleer

Retin-a Micro P.M.

Veletri

Riax

Viagra

Sulfoam

NON PREFERRED

Tretin-x

Adcirca

Zacare 4% Kit

Bidil

Zacare 8% Kit

Caduet


8

ROSACEA AGENTS

Penlac Nail Lacquer

Recura

GENERIC

Vusion

doxycycline

Xolegel

metronidazole

Xolegel Corepak

PREFERRED BRAND

Xolegel Duo/Head & Shoulders

Mirvaso

Xolegel Duo/Xolex

Soolantra

NON PREFERRED

ANTIVIRALS - TOPICAL

Finacea

Metrocream

GENERIC

Metrogel

acyclovir

Metrolotion

NON PREFERRED

Noritate

Denavir

Oracea

Xerese

Rosadan Kit

Zovirax

ANTIBIOTICS - TOPICAL

ANTI-INFLAMMATORY AGENTS

GENERIC

GENERIC

gentamicin sulfate

diclofenac sodium

mupirocin

NON PREFERRED

mupirocin calcium

Flector

NON PREFERRED

Ketophene Rapidpaq

centany

Pennsaid

Altabax

Voltaren

Bactroban

Centany AT

ANTIPRURITICS

Cortisporin

GENERIC

Neo-synalar

doxepin hydrochloride

Neo-synalar Kit

NON PREFERRED

Prudoxin

ANTIFUNGALS - TOPICAL

Zonalon

GENERIC

ciclopirox

ANTIPSORIATICS

ciclopirox nail lacquer

GENERIC

ciclopirox olamine

acitretin

clotrimazole

calcipotriene

clotrimazole/betamethasone dipropionate

calcitriol

econazole nitrate

methoxsalen

ketoconazole

PREFERRED BRAND

naftifine hydrochloride

Stelara

naftifine HCL

Vectical

nystatin

NON PREFERRED

nystatin/triamcinolone

Cosentyx

oxiconazole nitrate

Cosentyx Sensoready Pen

PREFERRED BRAND

Dovonex

Ala-quin

Oxsoralen Ultra

NON PREFERRED

Soriatane

Ciclodan Cream Kit

Sorilux

Ciclodan Solution Kit

Taltz

Cnl8 Nail Kit

Tazorac

Ecoza

8-mop

Ertaczo

Exelderm

ANTISEBORRHEIC AGENTS

Extina

GENERIC

Halotin

glycolic acid

Jublia

glycolic acid 70% high purity

Kerydin

selenium sulfide

Ketodan Kit

NON PREFERRED

Lamisil Spray

Ovace Plus Wash

Loprox

Promiseb

Loprox Shampoo

Promiseb Complete

Lotrisone

TL Triseb

Luzu

Mentax

CORTICOSTEROIDS - TOPICAL

Naftin

GENERIC

Nizoral

alclometasone dipropionate

Nyata

amcinonide

Oxistat

augmented betamethasone dipropionate

Pediaderm AF Complete Kit

betamethasone dipropionate


9

betamethasone valerate

Temovate

calcipotriene/betamethasone dipropionate

Temovate E

clobetasol propionate

Texacort

clobetasol propionate emollient

Topicort

clocortolone pivalate

Tri-sila

clocortolone pivalate P.M.

Trianex

desonide

Ultravate

desoximetasone

Ultravate X

diflorasone diacetate

Vanos

fluocinolone acetonide

Verdeso

fluocinonide

Westcort

fluocinonide-e

Xilapak

flurandrenolide

fluticasone propionate

IMMUNOMODULATING AGENTS

halobetasol propionate

GENERIC

hydrocortisone

imiquimod

hydrocortisone butyrate

tacrolimus

hydrocortisone butyrate (lipid)

PREFERRED BRAND

hydrocortisone butyrate (lipophilic)

Elidel

hydrocortisone valerate

NON PREFERRED

hydrocortisone IN absorbase

Aldara

mometasone furoate

Protopic

prednicarbate

Zyclara

triamcinolone acetonide

Zyclara P.M.

PREFERRED BRAND

Pramosone

DERMATOLOGICALS - MISC.

NON PREFERRED

GENERIC

Aclovate

ammonium lactate

Ala Scalp

arnica flower

Capex

benzoin compound tincture

Clobex

benzoin tincture

Clodan Kit

boric acid

Cloderm

capsaicin

Cloderm P.M.

coal TAR

Cordran

ethyl chloride

Cordran Tape

lactic acid

Cutivate

lactic acid e

Derma Silkrx Sds PAK

lactic acid w/vitamin e

Derma-smoothe/FS Body

lidocaine

Derma-smoothe/FS Scalp

lidocaine HCL

Dermasorb HC

lidocaine HCL jelly

Dermasorb Ta

lidocaine/prilocaine

Dermatop

lindane

Dermawerx Sds PAK

malathion

Dermazone

permethrin

Desonate

podofilox

Desowen

pyrogallic acid

Diprolene

salicylic acid

Diprolene AF

salicylic acid cream

Elocon

salicylic acid lotion

Epifoam

salicylic acid ER

Halog

sodium hyaluronate

Kenalog

spinosad

Locoid

sulfurated lime

Locoid Lipocream

urea

Luxiq

urea topical

Olux

PREFERRED BRAND

Olux-e

Drysol

Pandel

Eurax

Pediaderm HC

NON PREFERRED

Pediaderm Ta

Acuicyn Daily Eyelid & Eyelash Cleanser

Scalacort DK

Alevicyn Antipruritic SG

Sernivo

Atopiclair

Silazone Pharmapak

Aurstat Anti-itch Hydrogel

Silazone-II

Aurstat Anti-itch Hydrogel Kit

Synalar

Avenova

Synalar Cream Kit

Avenova/Neutrox

Synalar Ointment Kit

Condylox

Synalar Ts

Copasil

Taclonex


10

Dermacinrx Surgical Pharmapak

methylprednisolone/lidocaine

Dermawerx Surgical Plus PAK

prednisolone

Eletone

prednisolone sodium phosphate

Eletone Twinpack

prednisolone sodium phosphate odt

Elimite

prednisone

Emla

triamcinolone

Emulsion SB

triamcinolone PF

Entty Spray Emulsion

triamcinolone/lidocaine

Epiceram

PREFERRED BRAND

Gebauers Pain Ease

Medrol

Genadur

Millipred

Genadur Kit

Prednisone Intensol

Gordofilm

NON PREFERRED

Hydro 40 Foam

Aristospan Intra-articular

Hylatopic

Betalido

Hylatopic Plus

Celestone-soluspan

Hylira

Cortef

HPR

Depo-medrol

HPR Plus

Dexamethasone Intensol

HPR Plus Hydrogel Kit

Dexlido

HPR Plus/Mb Hydrogel

Dexlido-m

IV Infusion Cpi

Dexpak 10 Day

Keralyt

Dexpak 13 Day

Lac-hydrin

Dexpak 6 Day

Lidoderm

Doubledex

Lycelle

Dyural-l

Mb Hydrogel

Dyural-lm

Natroba

Dyural-40

Neosalus

Dyural-80

Neosalus CP

Entocort EC

Nivatopic Plus

Interarticular Joint Kit

Nuvail

Kenalog-10

Ovide

Kenalog-40

Oxsoralen

LT Injection Kit

Pliaglis

Marbeta-l

Pr Cream

Marbeta-25

Presera

Mardex-25

Pruclair

Medrol Dosepak

Prumyx

Millipred DP

Qutenza

Mlk F4 Kit

Salvax Duo Plus

Orapred Odt

Sklice

Pediapred

Synera

Readysharp-k

Tetrix

Readysharp-p40

Tropazone

Readysharp-p80

Ulesfia

Solu-cortef

Uramaxin

Solu-medrol

Veregen

Uceris

Xerac Ac

Veripred 20

Xeralux

Xylocaine

ANDROGENS-ANABOLIC

GENERIC

ENDOCRINE AND METABOLIC

danazol

methyltestosterone

CORTICOSTEROIDS

oxandrolone

GENERIC

testosterone

betamethasone sodium phosphate/betamethasone acetate

testosterone cypionate

betamethasone SP

testosterone enanthate

budesonide

PREFERRED BRAND

cortisone acetate

Androderm

dexamethasone

Androgel

dexamethasone sodium phosphate

Androgel P.M.

fludrocortisone acetate

Androxy

hydrocortisone

NON PREFERRED

methylprednisolone

Anadrol-50

methylprednisolone acetate

Android

methylprednisolone dose pack

Depo-testosterone

methylprednisolone sodiumsuccinate

Natesto

methylprednisolone PF

Oxandrin


11

Striant

Mircette

Testopel

Modicon

Testred

Nor-QD

Norinyl 1+35

ESTROGENS

Ortho Micronor

Ortho Tri-cyclen

GENERIC

Ortho Tri-cyclen LO

estradiol

Ortho-cept

estradiol valerate

Ortho-cyclen

estradiol/norethindrone acetate

Ortho-novum 1/35

estropipate

Ortho-novum 7/7/7

norethindrone acetate/ethinyl estradiol

Ovcon-35

PREFERRED BRAND

Safyral

Climara Pro

Seasonique

Duavee

Tri-norinyl 28

Menest

Yasmin 28

Premphase

Yaz

Prempro

NON PREFERRED

PROGESTINS

Activella

Alora

GENERIC

Angeliq

medroxyprogesterone acetate

Climara

megestrol acetate

Combipatch

norethindrone acetate

Delestrogen

progesterone

Depo-estradiol

PREFERRED BRAND

Divigel

Makena

Elestrin

NON PREFERRED

Enjuvia

Aygestin

Estrace

Megace ES

Estrogel

Prometrium

Evamist

Provera

Femhrt Low Dose

Menostar

ANTIDIABETIC AGENTS

Minivelle

INSULIN

Prefest

PREFERRED BRAND

Premarin

Lantus

Vivelle-dot

Lantus Solostar

Levemir

CONTRACEPTIVES

Levemir Flexpen

GENERIC

Levemir Flextouch

desogestrel/ethinyl estradiol

Novolin N

drospirenone/ethinyl estradiol

Novolin N Relion

levonorgestrel

Novolin R

levonorgestrel and ethinyl estradiol

Novolin R Relion

levonorgestrel/ethinyl estradiol

Novolin 70/30

norethindrone

Novolin 70/30 Relion

norethindrone & ethinyl estradiol ferrous fumarate

Novolog

norethindrone acetate/ethinyl estradiol

Novolog Flexpen

norethindrone acetate/ethinyl estradiol/ferrous fumarate

Novolog Mix 70/30

norgestimate/ethinyl estradiol

Novolog Mix 70/30 Prefilled Flexpen

PREFERRED BRAND

Novolog Penfill

Natazia

Toujeo Solostar

Norinyl 1+50

NON PREFERRED

NON PREFERRED

Afrezza

Beyaz

Humalog

Brevicon-28

Humalog Kwikpen

Cyclessa

Humalog Mix 50/50

Desogen

Humalog Mix 50/50 Kwikpen

Ella

Humalog Mix 75/25

Estrostep FE

Humalog Mix 75/25 Kwikpen

Femcon FE

Humulin N

Generess FE

Humulin N Kwikpen

Loestrin FE 1.5/30

Humulin R

Loestrin FE 1/20

Humulin R U-500 (concentrated)

Loestrin 1.5/30-21

Humulin R U-500 Kwikpen

Loestrin 1/20-21

Humulin 70/30

Loseasonique

Humulin 70/30 Kwikpen

LO Loestrin FE

AMYLIN ANALOGS

Minastrin 24 FE

NON PREFERRED

Symlinpen 120


12

Symlinpen 60

ANTIDIABETIC COMBINATIONS

INCRETIN MIMETIC AGENTS

GENERIC

PREFERRED BRAND

alogliptin/metformin HCL

Bydureon

alogliptin/pioglitazone

Byetta

glipizide/metformin HCL

Trulicity

glyburide/metformin HCL

Victoza

pioglitazone HCL-glimepiride

SULFONYLUREAS

pioglitazone HCL/metformin HCL

GENERIC

repaglinide/metformin hydrochloride

chlorpropamide

PREFERRED BRAND

glimepiride

Invokamet

glipizide

Janumet

glipizide ER

Janumet XR

glyburide

Jentadueto

glyburide micronized

Jentadueto XR

tolazamide

Synjardy

tolbutamide

NON PREFERRED

PREFERRED BRAND

Actoplus Met

Diabeta

Actoplus Met XR

NON PREFERRED

Avandamet

Amaryl

Avandaryl

Glucotrol

Duetact

Glucotrol XL

Glucovance

Glynase

Glyxambi

BIGUANIDES

Prandimet

GENERIC

metformin HCL

BISPHOSPHONATES

metformin HCL ER

GENERIC

NON PREFERRED

alendronate sodium

Fortamet

etidronate disodium

Glucophage

ibandronate sodium

Glucophage XR

risedronate sodium

Glumetza

risedronate sodium DR

Riomet

NON PREFERRED

MEGLITINIDE ANALOGUES

Actonel

GENERIC

Atelvia

nateglinide

Binosto

repaglinide

Boniva

NON PREFERRED

Fosamax

Prandin

Fosamax Plus D

Starlix

DIABETIC OTHER

CALCITONINS

PREFERRED BRAND

GENERIC

Glucagen Hypokit

calcitonin salmon

Glucagon Emergency Kit

calcitonin-salmon

Invokana

NON PREFERRED

Jardiance

fortical

Proglycem

Miacalcin

NON PREFERRED

Korlym

PARATHYROID HORMONE

ALPHA-GLUCOSIDASE INHIBIT

PREFERRED BRAND

GENERIC

Forteo

acarbose

NON PREFERRED

miglitol

Natpara

NON PREFERRED

Glyset

RANK LIGAND INHIBITORS

Precose

PREFERRED BRAND

DPP-4 INHIBITORS

Prolia

GENERIC

Xgeva

alogliptin

PREFERRED BRAND

HORMONE RECEPTOR MDLTR

Januvia

GENERIC

Tradjenta

raloxifene hydrochloride

INSULIN SENSITIZING AGENT

NON PREFERRED

GENERIC

Evista

pioglitazone HCL

Osphena

NON PREFERRED

Actos

LHRH/GNRH AGONIST

Avandia


13

PREFERRED BRAND

paricalcitol

Lupron Depot-PED

sodium phenylbutyrate

Supprelin LA

PREFERRED BRAND

Synarel

Aldurazyme

NON PREFERRED

Carbaglu

Lupaneta Pack

Elaprase

Fabrazyme

GROWTH HORMONES

Kuvan

Lumizyme

PREFERRED BRAND

Myozyme

Norditropin Cartridge

Naglazyme

Norditropin Flexpro

NON PREFERRED

Norditropin Nordiflex Pen

Buphenyl

Nutropin AQ Nuspin 10

Carnitor


Carnitor SF


Cystadane

Nutropin AQ Pen

Hectorol

Saizen

Myalept

Saizen Click.easy

Orfadin

Serostim

Ravicti

NON PREFERRED

Rocaltrol

Zorbtive

Sensipar

Strensiq

GHRH

Xuriden

NON PREFERRED

Zemplar

Egrifta

THYROID AGENTS

SOMATOMEDINS

GENERIC

PREFERRED BRAND

levothyroxine sodium

Increlex

levothyroxine sodium TAB 0.075MG

liothyronine sodium

SOMATOSTATIC AGENTS

methimazole

GENERIC

propylthiouracil

octreotide acetate

PREFERRED BRAND

NON PREFERRED

Synthroid

Sandostatin

NON PREFERRED

Sandostatin Lar Depot

Armour Thyroid

Signifor

Cytomel

Signifor Lar

Nature-throid

Somatuline Depot

Nature-throid Nt-2.5

Tapazole

GH RECEPTOR ANTAGONISTS

Thyrolar-1

NON PREFERRED

Thyrolar-1/2

Somavert

Thyrolar-1/4

Thyrolar-2

POSTERIOR PITUITARY

Thyrolar-3

GENERIC

Tirosint

desmopressin acetate

Westhroid

NON PREFERRED

Wp Thyroid

Ddavp

Stimate

GASTROINTESTINAL

LAXATIVES

CORTICOTROPIN

GENERIC

PREFERRED BRAND

cascara sagrada

H.p. Acthar

lactulose

mineral oil heavy

PROLACTIN INHIBITORS

peg 3350/electrolytes

GENERIC

peg-3350/electrolytes

cabergoline

peg-3350/NACL/NA bicarbonate/KCL

polyethylene glycol 3350

VASOPRESSIN ANTAGONISTS

senna plus

PREFERRED BRAND

NON PREFERRED

Samsca

Colyte-flavor Packs

Golytely

METABOLIC MODIFIERS

Kristalose

GENERIC

Moviprep

calcitriol

Nulytely/Flavor Packs

doxercalciferol

Osmoprep

levocarnitine

Pcp 100


14

Prepopik

Pamine Forte

Suclear

Pamine FQ

Suprep Bowel Prep

Pepcid

Prevacid

ANTIDIARRHEALS

Prevacid Solutab

Prevpac

GENERIC

Prilosec

diphenoxylate/atropine

Protonix

loperamide HCL

Robinul

paregoric

Robinul Forte

NON PREFERRED

Zantac

Fulyzaq

Zegerid

Lomotil

Motofen

ANTIEMETICS

Restora RX

Rezyst IM

GENERIC

Rezyst SB

dimenhydrinate

Vsl#3 DS

dronabinol

granisetron HCL

ANTACIDS

meclizine HCL

ondansetron odt

GENERIC

ondansetron HCL

sodium bicarbonate

trimethobenzamide HCL

PREFERRED BRAND

ULCER DRUGS

Aloxi

GENERIC

NON PREFERRED

atropine sulfate

Akynzeo

chlordiazepoxide HCL/clidinium bromide

Anzemet

cimetidine

Cesamet

cimetidine HCL

Diclegis

dicyclomine HCL

Emend

esomeprazole magnesium

Granisol

esomeprazole strontium

Marinol

famotidine

Sancuso

glycopyrrolate

Tigan

hyoscyamine sulfate

Transderm-scop

hyoscyamine sulfate odt

Varubi

hyoscyamine sulfate ER

Zofran

hyoscyamine sulfate SR

Zofran Odt

lansoprazole

lansoprazole/amoxicillin/clarithromycin

DIGESTIVE AIDS

methscopolamine bromide

GENERIC

misoprostol

pancrelipase

nizatidine

PREFERRED BRAND

omeprazole

Creon

omeprazole/sodium bicarbonate

Zenpep

pantoprazole sodium

NON PREFERRED

propantheline bromide

Sucraid

rabeprazole sodium

ranitidine HCL

GASTROINTESTINAL - MISC.

sucralfate

PREFERRED BRAND

GENERIC

Carafate

alosetron hydrochloride

Dexilant

balsalazide disodium

Omeclamox-PAK

calcium acetate

Pylera

cromolyn sodium

NON PREFERRED

hydrocortisone

Aciphex

lactulose

Aciphex Sprinkle

lidocaine HCL-hydrocortisone acetate with aloe

Atropen

lidocaine HCL/hydrocortisone acetate

Bentyl

mesalamine

Cantil

metoclopramide odt

Cuvposa

metoclopramide HCL

Cytotec

sevelamer carbonate

First-lansoprazole

sulfasalazine

First-omeprazole

ursodiol

Levbid

PREFERRED BRAND

Librax

Amitiza

Nexium

Apriso

Omeprazole + Syrspend SF Alka

Canasa

Pamine

Cimzia


15

Cimzia Starter Kit

tolterodine tartrate

Lialda

tolterodine tartrate ER

Linzess

trospium chloride

Proctofoam HC

trospium chloride ER

Remicade

PREFERRED BRAND

Renvela

Vesicare

Sfrowasa

NON PREFERRED

NON PREFERRED

Detrol

auryxia

Detrol LA

Actigall

Ditropan XL

Analpram Advanced

Enablex

Analpram-HC

Gelnique

Analpram-HC Singles

Oxytrol

Anusol-HC

Toviaz

Azulfidine

Urecholine

Azulfidine EN-TABS

Chenodal

VAGINAL PRODUCTS

Cholbam

GENERIC

Colazal


Cortenema

metronidazole vaginal

Cortifoam

terconazole

Dipentum

PREFERRED BRAND

Eliphos

Premarin

Entereg

NON PREFERRED

Fosrenol

Avc

Gastrocrom

Cleocin

Gattex

Clindesse

Lotronex

Crinone

Metozolv Odt

Endometrin

Movantik

Estrace

Ocaliva

Estring

Pentasa

Femring

Phoslo

Gynazole-1

Phoslyra

Metrogel-vaginal

Rectiv

Relagard

Reglan

Terazol 3

Relistor

Terazol 7

Renagel

Vagifem

Rowasa

Uceris

GENITOURINARY - MISC.

Urso Forte

GENERIC

Urso 250

alfuzosin HCL ER

Velphoro

dutasteride

Viberzi

dutasteride/tamsulosin hydrochloride

dutasteride/tamsulosin HCL

GENITOURINARY

finasteride

URINARY ANTI-INFECTIVES

phenazopyridine HCL

potassium citrate ER

GENERIC

potassium citrate/citric acid

methenamine hippurate

potassium citrate/sodium citrate/citric acid

nitrofurantoin

sodium citrate/citric acid

nitrofurantoin macrocrystals

tamsulosin HCL

nitrofurantoin monohydrate

PREFERRED BRAND

nitrofurantoin monohydrate/macrocrystals

Elmiron

NON PREFERRED

Rapaflo

Furadantin

NON PREFERRED

Hiprex

Avodart

Macrobid

Cardura XL

Macrodantin

Cystagon

Monurol

Flomax

Uretron D/S

Jalyn

Lithostat

URINARY ANTISPASMODICS

Procysbi

GENERIC

Proscar

bethanechol chloride

Pyridium

darifenacin hydrobromide ER

Shohls Solution Modified

darifenacin ER

Thiola

flavoxate HCL

Urocit-k 10

oxybutynin chloride

Urocit-k 15

oxybutynin chloride ER


16

Urocit-k 5

Recothrom Spray Kit

Uroxatral

Thrombin-jmi Diluent

Thrombin-jmi Epistaxis

HEMATOLOGICAL AGENTS

Thrombin-jmi Syringe Spray Kit

Thrombin-jmi W/Dil Spray P.M. Actuator

HEMATOPOIETIC AGENTS

Thrombogen

GENERIC

Tisseel

b-12 kit

Tisseel VH

cyanocobalamin

folic acid

HEMATOLOGICAL - MISC.

hydroxocobalamin

GENERIC

PREFERRED BRAND

anagrelide hydrochloride

Cerezyme

aspirin/dipyridamole

Granix

cilostazol

Mozobil

clopidogrel

Neumega

dipyridamole

Neupogen

pentoxifylline ER

Nplate

ticlopidine HCL

Procrit

PREFERRED BRAND

Zarxio

Advate

NON PREFERRED

Alphanate/Von Willebrand Factor Complex/Human

Cerdelga

Alphanine SD

Droxia

Bebulin

Folivane-f

Benefix

Folixapure

Berinert

Integra F

Brilinta

Mircera

Cinryze

Nascobal

Corifact

Neulasta

Effient

Neulasta Onpro Kit

Feiba

Omontys

Feiba NF

Proferrin-forte

Firazyr

Promacta

Hemofil M

Zavesca

Humate-p

Koate-dvi

ANTICOAGULANTS

Monoclate-p

GENERIC

Mononine

enoxaparin sodium

Novoseven

fondaparinux sodium

Novoseven Rt

heparin sodium

Profilnine

heparin sodium dcu

Profilnine SD

heparin sodium/sodium chloride 0.9%

Recombinate

heparin sodium/sodium chloride 0.9% premix

Riastap

heparin sodium/NACL 0.45%

Soliris

heparin sodium/NACL 0.9%

Wilate

warfarin sodium

NON PREFERRED

PREFERRED BRAND

Aggrenox

Pradaxa

Agrylin

Xarelto

Cathflo Activase

Xarelto Starter Pack

Helixate FS

NON PREFERRED

Ixinity

Arixtra

Kalbitor

Coumadin

Kinlytic

Eliquis

Kogenate FS

Fragmin

Kogenate FS Bio-set

Iprivask

Kovaltry

Lovenox

Novoeight

Savaysa

Nuwiq

Persantine

HEMOSTATICS

Plavix

GENERIC

Pletal

aminocaproic acid

Xyntha

tranexamic acid

Xyntha Solofuse

NON PREFERRED

Zontivity

Amicar

Artiss

MOUTH/THROAT/DENTAL AGENT

Evicel

Evithrom

GENERIC

Lysteda

cevimeline HCL

Recothrom


17

chlorhexidine gluconate

fluoxetine HCL

chlorhexidine gluconate oral rinse

fluvoxamine maleate

clotrimazole

fluvoxamine maleate ER

lidocaine viscous

imipramine pamoate

lidocaine HCL

imipramine HCL

lidocaine HCL viscous

maprotiline HCL

nystatin

mirtazapine

pilocarpine hydrochloride

mirtazapine odt

pilocarpine HCL

nefazodone HCL


nortriptyline HCL

triamcinolone IN orabase

paroxetine HCL

NON PREFERRED

paroxetine HCL ER

Aquoral

phenelzine sulfate

Caphosol

protriptyline HCL

Debacterol

sertraline HCL

Evoxac

tranylcypromine sulfate

Gelclair

trazodone HCL

Nafrinse Daily/Acidulated

trimipramine maleate

Neutrasal

venlafaxine HCL

Numoisyn

venlafaxine HCL ER

Orafate

PREFERRED BRAND

Peridex

Forfivo XL

Prothelial

Paxil

Salagen

Pristiq

Salivamax

NON PREFERRED

Salivate RX

Anafranil

Aplenzin

NEUROLOGY, CNS, PSYCH

Brintellix

Celexa

ANTIANXIETY AGENTS

Cymbalta

GENERIC

Effexor XR

alprazolam

Elavil

alprazolam odt

Emsam

alprazolam ER

Fetzima

buspirone HCL

Fetzima Titration Pack

chlordiazepoxide HCL

Irenka

clorazepate dipotassium

Khedezla

diazepam

Lexapro

droperidol

Luvox CR

hydroxyzine pamoate

Marplan

hydroxyzine HCL

Nardil

lorazepam

Norpramin

meprobamate

Oleptro

oxazepam

Pamelor

NON PREFERRED

Parnate

Alprazolam Intensol

Paxil CR

Ativan

Pexeva

Niravam

Prozac

Tranxene T

Prozac Weekly

Valium

Remeron

Vistaril

Remeron Soltab

Xanax

Surmontil

Xanax XR

Tofranil

Tofranil-PM

ANTIDEPRESSANTS

Trintellix

GENERIC

Viibryd

amitriptyline HCL

Viibryd Starter Pack

amoxapine

Vivactil

bupropion HCL

Wellbutrin

bupropion HCL ER

Wellbutrin SR

bupropion HCL SR

Wellbutrin XL

bupropion HCL XL

Zoloft

citalopram hydrobromide

clomipramine HCL

ANTIPSYCHOTICS

desipramine HCL

GENERIC

desvenlafaxine ER

aripiprazole

doxepin HCL

aripiprazole odt

duloxetine HCL

chlorpromazine HCL

escitalopram oxalate

clozapine

fluoxetine DR


18

clozapine odt

triazolam

fluphenazine decanoate

zaleplon

fluphenazine HCL

zolpidem tartrate

haloperidol

zolpidem tartrate ER

haloperidol decanoate

NON PREFERRED

haloperidol lactate

Ambien

lithium

Ambien CR

lithium carbonate

Amytal Sodium

lithium carbonate ER

Belsomra

loxapine

Butisol Sodium

loxapine succinate

Doral

molindone hydrochloride

Edluar

olanzapine

Halcion

olanzapine odt

Hetlioz

paliperidone ER

Intermezzo

perphenazine

Lunesta

prochlorperazine

Nembutal Sodium

prochlorperazine edisylate

Restoril

prochlorperazine maleate

Rozerem

quetiapine fumarate

Seconal

risperidone

Seconal Sodium

risperidone odt

Silenor

thioridazine HCL

Sonata

thiothixene

Zolpimist

trifluoperazine HCL

ziprasidone HCL

ADHD, NARCOLEPSY, ETC.

PREFERRED BRAND

GENERIC

Abilify Discmelt

amphetamine/dextroamphetamine

Saphris

armodafinil

Seroquel XR

caffeine citrate

NON PREFERRED

clonidine HCL ER

Abilify

dexmethylphenidate HCL

Abilify Maintena

dexmethylphenidate HCL ER

Adasuve

dextroamphetamine sulfate

Aristada

dextroamphetamine sulfate ER

Clozaril

guanfacine ER

Equetro

methamphetamine HCL

Fanapt

methylphenidate hydrochloride

Fanapt Titration Pack

methylphenidate HCL

Fazaclo

methylphenidate HCL CD

Geodon

methylphenidate HCL ER

Haldol

methylphenidate HCL SR

Haldol Decanoate 100

modafinil

Haldol Decanoate 50

PREFERRED BRAND

Invega

Strattera

Invega Sustenna

Vyvanse

Invega Trinza

NON PREFERRED

Latuda

Adderall

Lithobid

Adderall XR

Nuplazid

Adzenys XR-odt

Rexulti

Cafcit

Risperdal

Concerta

Risperdal Consta

Daytrana

Risperdal M-TAB

Desoxyn

Seroquel

Dexedrine

Versacloz

Evekeo

Vraylar

Focalin

Zyprexa

Focalin XR

Zyprexa Relprevv

Intuniv

Zyprexa Zydis

Kapvay

Metadate CD

HYPNOTICS

Methylin

GENERIC

Nuvigil

estazolam

Procentra

eszopiclone

Provigil

flurazepam HCL

Quillivant XR

phenobarbital

Ritalin

quazepam

Ritalin LA

temazepam

Ritalin SR


19

Sentramodafin AM-100

Peganone

Zenzedi

Phenytek

Potiga

ANTICONVULSANTS

Qudexy XR

Sabril

GENERIC

Stavzor

carbamazepine

Tegretol

carbamazepine ER

Tegretol-XR

clonazepam

Topamax

clonazepam odt

Topamax Sprinkle

diazepam

Trileptal

divalproex sodium

Trokendi XR

divalproex sodium DR

Vimpat

divalproex sodium ER

Zarontin

ethosuximide

Zonegran

felbamate

fosphenytoin sodium

ANTIPARKINSON AGENTS

gabapentin

lamotrigine

GENERIC

lamotrigine odt

amantadine HCL

lamotrigine titration

benztropine mesylate

lamotrigine ER

bromocriptine mesylate

levetiracetam

carbidopa

levetiracetam ER

carbidopa/levodopa

oxcarbazepine

carbidopa/levodopa odt

phenytoin

carbidopa/levodopa ER

phenytoin sodium

carbidopa/levodopa/entacapone

phenytoin sodium extended

entacapone

primidone

pramipexole dihydrochloride

tiagabine hydrochloride

pramipexole dihydrochloride ER

topiramate

ropinirole ER

topiramate ER

ropinirole HCL

valproic acid

selegiline HCL

zonisamide

tolcapone

PREFERRED BRAND

trihexyphenidyl HCL

Diastat Acudial

PREFERRED BRAND

Diastat Pediatric

Apokyn

Lyrica

NON PREFERRED

NON PREFERRED

Azilect

Aptiom

Cogentin

Banzel

Comtan

Briviact

Duopa

Carbatrol

Eldepryl

Celontin

Lodosyn

Cerebyx

Mirapex

Depakene

Mirapex ER

Depakote

Neupro

Depakote ER

Parlodel

Depakote Sprinkles

Requip

Dilantin

Requip XL

Dilantin Infatabs

Sinemet

Dilantin-125

Sinemet CR

Felbatol

Stalevo 100

Fycompa

Stalevo 125

Gabitril

Stalevo 150

Keppra

Stalevo 200

Keppra XR

Stalevo 50

Klonopin

Stalevo 75

Lamictal

Tasmar

Lamictal Chewable Dispersible

Zelapar

Lamictal Odt

Lamictal Starter/Not Taking Carbamazepine

NEUROLOGY, PSYCH - MISC.

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate

GENERIC

acamprosate calcium DR

Lamictal Starter/Taking Valproate

chlordiazepoxide/amitriptyline

Lamictal XR

disulfiram

Mysoline

donepezil HCL

Neurontin

ergoloid mesylates

Onfi

fluoxetine

Oxtellar XR

galantamine hydrobromide


20

glatopa

metaxalone

memantine hydrochloride

methocarbamol

memantine HCL

orphenadrine citrate

memantine HCL titration PAK

orphenadrine citrate ER

olanzapine/fluoxetine

tizanidine HCL

perphenazine/amitriptyline

PREFERRED BRAND

pimozide

Euflexxa

rivastigmine tartrate

Gablofen

rivastigmine transdermal system

Lioresal Intrathecal

tetrabenazine

Synvisc

PREFERRED BRAND

Synvisc One

Ampyra

NON PREFERRED

Avonex

Cyclobenzaprine Comfort PAC

Avonex Pen

Dantrium

Betaseron

Fexmid

Copaxone

Hyalgan

Namenda XR

Norflex

Namenda XR Titration Pack

Parafon Forte DSC

Tecfidera

Robaxin

Tecfidera Starter Pack

Robaxin-750

NON PREFERRED

Skelaxin

Antabuse

Soma

Aricept

Tizanidine Comfort PAC

Aricept Odt

Zanaflex

Aubagio

Brisdelle

ANTIMYASTHENIC AGENTS

Campral

GENERIC

Exelon

guanidine HCL

Gilenya

pyridostigmine bromide

Gralise

NON PREFERRED

Gralise Starter

Enlon

Horizant

Mestinon

Namenda

Mestinon Timespan

Namenda Titration PAK

Namzaric

OPHTHALMOLOGY AND OTIC

Nuedexta

ANTI-INFECTIVES

Orap

GENERIC

Razadyne

bacitracin

Razadyne ER

bacitracin/polymyxin b

Sarafem

ciprofloxacin HCL

Savella

erythromycin

Savella Titration Pack

gatifloxacin

Symbyax

gentamicin sulfate

Xenazine

levofloxacin

Xyrem

neomycin/bacitracin/polymyxin

neomycin/polymyxin/bacitracin zinc

NEUROMUSCULAR AGENTS

neomycin/polymyxin/gramicidin

GENERIC

ofloxacin

riluzole

polymyxin b sulfate/trimethoprim sulfate

PREFERRED BRAND

sodium sulfacetamide

Botox

sulfacetamide sodium

NON PREFERRED

tobramycin sulfate

Anectine

trifluridine

Dysport

trimethoprim sulfate/polymyxin b sulfate

Myobloc

PREFERRED BRAND

Quelicin

Moxeza

Quelicin 1000

Natacyn

Rilutek

Vigamox

Xeomin

NON PREFERRED

Azasite

MUSCULOSKELETAL AGENTS

Besivance

GENERIC

Betadine Ophthalmic Prep

baclofen

Bleph-10

carisoprodol

Ciloxan

carisoprodol/aspirin

Garamycin

carisoprodol/aspirin/codeine

Mitosol

chlorzoxazone

Neosporin

cyclobenzaprine HCL

Ocuflox

dantrolene sodium

Polytrim


21

Tobrex

PROSTAGLANDINS

Viroptic

GENERIC

Zirgan

bimatoprost

Zymaxid

latanoprost

travoprost

ARTIFICIAL TEAR/LUBRICANT

PREFERRED BRAND

NON PREFERRED

Lumigan

Lacrisert

Travatan Z

NON PREFERRED

BETA-BLOCKERS

Xalatan

GENERIC

CYCLOPLEGIC MYDRIATICS

betaxolol HCL

carteolol HCL

GENERIC

dorzolamide HCL/timolol maleate

atropine sulfate

levobunolol HCL

cyclopentolate hydrochloride

metipranolol

cyclopentolate HCL

timolol maleate

NON PREFERRED

timolol maleate ophthalmic gel forming

Cyclogyl

PREFERRED BRAND

Cyclomydril

Betoptic-s

Combigan

DECONGESTANTS

Timoptic Ocudose

GENERIC

NON PREFERRED

naphazoline HCL

istalol

phenylephrine HCL

Betagan

Betimol

MIOTICS

Cosopt

GENERIC

Cosopt PF

pilocarpine HCL

Istalol

PREFERRED BRAND

Timoptic

Phospholine Iodide

Timoptic-xe

NON PREFERRED

Isopto Carpine

OPHTHALMIC STEROIDS

GENERIC

ADRENERGIC AGENTS

dexamethasone sodium phosphate

GENERIC

fluorometholone

apraclonidine

neomycin/polymyxin/bacitracin/hydrocortisone

brimonidine tartrate

neomycin/polymyxin/dexamethasone

PREFERRED BRAND

neomycin/polymyxin/hydrocortisone

Alphagan P

prednisolone acetate

Simbrinza

prednisolone sodium phosphate

NON PREFERRED

prednisolone/moxifloxacin

Iopidine

prednisolone/moxifloxacin/bromfenac

sulfacetamide sodium/prednisolone sodium phosphate

IMMUNOMODULATORS

tobramycin/dexamethasone

NON PREFERRED

PREFERRED BRAND

Restasis

FML

FML Forte

LOCAL ANESTHETICS

Pred Mild

GENERIC

NON PREFERRED

proparacaine HCL

Alrex

tetracaine HCL

Blephamide

NON PREFERRED

Blephamide S.o.p.

Akten

Durezol

Alcaine

Flarex

FML Liquifilm

OPHTHALMICS - MISC.

Lotemax

GENERIC

Maxidex

azelastine HCL

Maxitrol

bromfenac

Omnipred

cromolyn sodium

Pred Forte

diclofenac sodium

Pred-G

dorzolamide HCL

Pred-G S.o.p.

epinastine HCL

Tobradex

flurbiprofen sodium

Tobradex ST

ketorolac tromethamine

Vexol

olopatadine HCL

Zylet

PREFERRED BRAND

Azopt

Pataday


22

Pazeo

ANALGESICS - OPIOID

NON PREFERRED

GENERIC

Acular

acetaminophen/caffeine/dihydrocodeine

Acular LS

acetaminophen/codeine

Acuvail

acetaminophen/codeine #2

Alocril


Alomide


Bepreve

acetaminophen/codeine phosphate

Cystaran

alfentanil

Elestat

aspirin-caffeine-dihydrocodeine

Emadine

buprenorphine HCL

Ilevro

buprenorphine HCL/naloxone HCL

Lastacaft

butalbital/acetaminophen/caffeine/codeine

Nevanac

butalbital/aspirin/caffeine/codeine

Ocufen

butorphanol tartrate

Optivar

codeine sulfate

Patanol

fentanyl

Prolensa

fentanyl citrate oral transmucosal

Trusopt

hydrocodone bitartrate/acetaminophen

hydrocodone/acetaminophen

OTIC AGENTS

hydrocodone/ibuprofen

GENERIC

hydromorphone HCL

acetic acid

hydromorphone HCL ER

acetic acid/aluminum acetate

levorphanol tartrate

ciprofloxacin

meperidine HCL

fluocinolone acetonide

methadone HCL

fluocinolone acetonide ear drops

morphine sulfate

hydrocortisone/acetic acid

morphine sulfate ER

neomycin/polymyxin/hydrocortisone

nalbuphine HCL

neomycin/polymyxin/HC

oxycodone HCL

ofloxacin

oxycodone HCL ER

PREFERRED BRAND

oxycodone/acetaminophen

Ciprodex

oxycodone/aspirin

Pramotic

oxycodone/ibuprofen

NON PREFERRED

oxymorphone hydrochloride

Cetraxal

oxymorphone hydrochloride ER

Cipro HC

pentazocine/naloxone HCL

Coly-mycin S

tramadol hydrochloride/acetaminophen

Cortisporin-tc

tramadol HCL

Dermotic

tramadol HCL ER

Floxin Otic

PREFERRED BRAND

Vosol HC

Embeda

Methadose

OXYTOCICS

Oxycontin

Suboxone

Zubsolv

GENERIC

NON PREFERRED

methylergonovine maleate

Actiq

oxytocin

Alfenta

NON PREFERRED

Avinza

Pitocin

Belbuca

Bunavail

PAIN MANAGEMENT

Buprenex

ANALGESICS - NONNARCOTIC

Butrans

GENERIC

Capital/Codeine

butalbital/acetaminophen

Demerol

butalbital/acetaminophen/caffeine

Dilaudid

butalbital/aspirin/caffeine

Dilaudid-HP

choline magnesium trisalicylate

Dolophine

diflunisal

Duragesic

salsalate

Fioricet/Codeine

PREFERRED BRAND

Fiorinal/Codeine #3

Prialt

Hycet

NON PREFERRED

Ibudone

Bupap

Infumorph 200

Esgic

Infumorph 500

Fioricet

Lazanda

Fiorinal

Lortab

Levacet

Morphine Sulfate Powder


23

MS Contin

Arcalyst

Norco

Arthrotec 50

Nucynta

Arthrotec 75

Opana

Capxib Kit

Oxaydo

Cataflam

Percocet

Celebrex

Percodan

Daypro

Primlev

Derma Silkrx Anodynexa PAK

Reprexain

Derma Silkrx Diclopak

Roxicet

Enbrel

Roxicodone

Enbrel Sureclick

Synalgos-dc

EC-naprosyn

Talwin

Feldene

Trezix

Fenortho

Tylenol/Codeine #3

Flanax Pain Relief Kit

Tylenol/Codeine #4

Ibuprofen Comfort PAC

Ultracet

Indocin

Ultram

IC 400

Ultram ER

IC 800

Vicoprofen

Ketorocaine-l

Xartemis XR

Ketorocaine-lm

Xodol

Kineret

Xtampza ER

Meloxicam Comfort PAC

Zamicet

Mobic

Nalfon

ANTI-INFLAMMATORY

Naprelan

Naprosyn

GENERIC

Naproxen Comfort PAC

celecoxib

Orencia

diclofenac potassium

Orencia Clickject

diclofenac sodium DR

Otezla

diclofenac sodium ER

Otrexup

diclofenac sodium/misoprostol

Ponstel

etodolac

Rheumatrex

etodolac ER

Ridaura

fenoprofen calcium

Sprix

flurbiprofen

Voltaren-XR

ibuprofen

Xeljanz

indomethacin

Xeljanz XR

indomethacin ER

ketoprofen

MIGRAINE PRODUCTS

ketoprofen ER

ketorolac tromethamine

GENERIC

leflunomide

almotriptan

meclofenamate sodium

almotriptan malate

mefenamic acid

dihydroergotamine mesylate

meloxicam

frovatriptan succinate

nabumetone

naratriptan HCL

naproxen

rizatriptan benzoate

naproxen sodium

rizatriptan benzoate odt

naproxen sodium CR

sumatriptan

naproxen sodium ER

sumatriptan succinate

oxaprozin

sumatriptan succinate refill

piroxicam

zolmitriptan

sulindac

zolmitriptan odt

tolmetin sodium

NON PREFERRED

PREFERRED BRAND

Alsuma

Humira

Amerge

Humira Pediatric Crohns Disease Starter Pack

Axert

Humira Pen

Cafergot

Humira Pen-crohns Diseasestarter

D.h.e. 45

Humira Pen-psoriasis Starter

Ergomar

Ilaris

Frova

Rasuvo

Imitrex

Simponi

Imitrex Statdose Refill

Simponi Aria

Imitrex Statdose System

NON PREFERRED

Maxalt

Actemra

Maxalt-MLT

Anaprox DS

Migergot

Arava

Migral


24

Migranal

ANTIHISTAMINES

Migranow

GENERIC

Onzetra Xsail

brompheniramine tannate

Relpax

carbinoxamine maleate

Sumavel Dosepro

cetirizine HCL

Treximet

clemastine fumarate

Zecuity

cyproheptadine HCL

Zembrace Symtouch

desloratadine

Zomig

desloratadine odt

Zomig Nasal Spray

dexchlorpheniramine maleate

Zomig ZMT

diphenhydramine HCL

levocetirizine dihydrochloride

GOUT AGENTS

promethazine HCL

GENERIC

promethazine HCL plain

allopurinol

PREFERRED BRAND

colchicine

Phenergan Fortis

probenecid

NON PREFERRED

probenecid/colchicine

Clarinex

PREFERRED BRAND

Karbinal ER

Colcrys

Phenergan

Uloric

Xyzal

NON PREFERRED

Zyloprim

NASAL AGENTS

GENERIC

LOCAL ANESTHETICS-INJ

azelastine HCL

GENERIC

budesonide

bupivacaine hydrochloride/sodium chloride

flunisolide

bupivacaine HCL

fluticasone propionate

bupivacaine/epinephrine

ipratropium bromide

chloroprocaine HCL

mometasone furoate

lidocaine HCL

olopatadine HCL

lidocaine/epinephrine


ropivacaine

PREFERRED BRAND

ropivacaine HCL

Dymista

NON PREFERRED

NON PREFERRED

Articadent Dental

flonase

Carbocaine

Adrenalin

Citanest Forte Dental

Astepro

Citanest Plain Dental

Atrovent

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH

Bactroban Nasal

Beconase AQ

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH

Nasonex

Omnaris

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH

Patanase

Qnasl

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH

Qnasl Childrens

Rhinocort Aqua

Exparel

Tyzine

Marcaine

Tyzine Pediatric Nasal Drops

Marcaine/Epinephrine

Veramyst

Marlido-25

Zetonna

Monoject Bone Marrow Biopsy Prepping Tray

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"

COUGH/COLD/ALLERGY

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"

GENERIC

acetylcysteine

Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G

benzonatate

bromphen/pseudoephedrine HCL/dextromethorphan HBR

Naropin

dextromethorphan HBR/chlorpheniramine/phenylephrine HCL

Nesacaine

Nesacaine-mpf

hydrocodone bitartrate/chlorpheniramine maleate/PSE

Readysharp-a

hydrocodone bitartrate/homatropine methylbromide

Sensorcaine-mpf/Epinephrine

hydrocodone polistirex/chlorpheniramine polistirex

Turkel Paracentesis Procedure Tray/8french

hydrocodone/homatropine

Xylocaine

phenylephrine/guaifenesin

Xylocaine-mpf

promethazine-DM

Xylocaine-mpf/Epinephrine

promethazine/codeine

Xylocaine/Epinephrine

promethazine/dextromethorphan

promethazine/phenylephrine

RESPIRATORY, ALLERGY, ETC

promethazine/phenylephrine/codeine


25

sodium chloride

Singulair

NON PREFERRED

Striverdi Respimat

Exactuss

Theo-24

Giltuss

Utibron Neohaler

Hyper-sal

Vospire ER

Hypersal

Xopenex

Nebusal

Xopenex Concentrate

Pediatex TD

Zyflo

Rezira

Zyflo CR

Suttar-SF

Suttar-2

RESPIRATORY AGENTS - MISC

Tessalon Perles

PREFERRED BRAND

Tussionex Pennkinetic Extended Release

Pulmozyme

Zonatuss

NON PREFERRED

Zutripro

Curosurf

Esbriet

ANTIASTHMATIC/COPD AGENTS

Infasurf

GENERIC

Kalydeco

albuterol

Ofev

albuterol sulfate

Orkambi

albuterol sulfate ER

Surfaxin

budesonide

Survanta Intratracheal

cromolyn sodium

epinephrine HCL

VITAMINS

ipratropium bromide

VITAMINS

ipratropium bromide/albuterol sulfate

GENERIC

levalbuterol

ergocalciferol

levalbuterol HCL

niacin

metaproterenol sulfate

phytonadione

montelukast sodium

pyridoxine HCL

terbutaline sulfate

thiamine HCL

theophylline

vitamin c 222MG

theophylline CR

vitamin d

theophylline ER

vitamin k1

zafirlukast

wheat germ

PREFERRED BRAND

PREFERRED BRAND

Advair Diskus

Mephyton

Advair HFA

NON PREFERRED

Anoro Ellipta

Aquasol A Parenteral

Arnuity Ellipta

Drisdol

Breo Ellipta

Combivent Respimat

MULTIVITAMINS

Elixophyllin

NON PREFERRED

Flovent Diskus

Nicomide

Flovent HFA

Foradil Aerolizer

MEDICAL DEVICES

Incruse Ellipta

DIABETIC SUPPLIES

Proair HFA

PREFERRED BRAND

Proair Respiclick

unifine pentips 31GX8MM

Pulmicort Flexhaler

Accu-chek Safe-t-pro Lancets

Serevent Diskus

Accu-chek Safe-t-pro Pluslancets

Spiriva Handihaler

Accu-chek Soft Touch Lancets

Spiriva Respimat

Accu-chek Softclix Lancets

Stiolto Respimat

Active 1ST Blood Lancets 30G/Easy Twist CAP

Symbicort

Advocate Insulin Pen Needles 29GX12.7MM

Ventolin HFA

Advocate Insulin Pen Needles 31GX5MM

Xolair

Advocate Insulin Pen Needles 31GX8MM

NON PREFERRED

Advocate Insulin Syringe/U-100/0.3ML/29GX1/2"

Accolate


Aerospan


Arcapta Neohaler


Atrovent HFA


Brovana


Daliresp

Advocate Insulin Syringe/U-100/1ML/29GX1/2"

Isuprel


Lufyllin


Nucala

Advocate Lancets

Perforomist

Advocate Lancets 30G

Pulmicort

Advocate Safety Lancets


26

Advocate Safety Lancets 26G

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

Agamatrix Ultra-thin Lancets 33G

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

Assure Haemolance Plus High Flow 18G

Assure Haemolance Plus Low Flow 25G

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

Assure Haemolance Plus Micro Flow 28G

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

Assure Haemolance Plus Normal Flow 21G


Assure Haemolance Plus Pediatric Blade

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

Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2"


Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2"

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

Assure Lance Lancets

BD Integra Syringe/Retracting Needle/1ML/25G X 1"

Assure Lance Lancets 21G

BD Lancet Ultrafine 30G

Assure Lance Plus Safety Lancets 25G

BD Lancet Ultrafine 33G

Assure Lance Plus Safety Lancets 30G

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

Assure Lancets

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

AF Lancets Super Thin

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

AT Last Lancets

BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2"

B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16"

BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2"

B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16"

B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16"

BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16"

B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2"

Carefine Pen Needle 32GX4MM

B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2"

Carefine Pen Needles 29GX1/2"

B-d Insulin Syringe Ultrafine/1ML/30G X 1/2"

Carefine Pen Needles 30GX5/16"

Bayer Microlet Lancets

Carefine Pen Needles 31GX6MM

Bullseye Safety Lancets

Carefine Pen Needles 31GX8MM

BD Autoshield Duo 30G X 3/16"

Careone Lancet Thin

BD Autoshield 29G X 3/16"

Careone Lancet Ultra Thin

BD Autoshield 29G X 5/16"

Cleanlet Lancets 28G

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

Clever Chek Lancets Ultrathin

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

Clever Chek Lancets Ultrathin 30G

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

Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM

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

Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16"

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

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

Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2"

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


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

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


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

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


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

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


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

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


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


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

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










Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2"



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



Clever Choice Comfort EZ Pen Needles 29GX12MM





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








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


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


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


Coaguchek Lancets


27

Comfort Assist Insulin Syringe 0.3ML/29G X 1/2"

Easy Touch Lancets 32G/Pressure Activated

Comfort Assist Insulin Syringe/0.3ML/30G X 5/16"

Easy Touch Lancets 32G/Pull-top


Easy Touch Lancets 32G/Twist




Easy Touch Pen Needles 29GX1/2"



Comfort Assist Insulin Syringe/1ML/29G X 1/2"





Easy Touch Pen Needles/31G X 3/16"

Comfort Lancets

Easy Touch Safety Lancets21G/Pressure Activated

Diastar Easy Test II Lancets 30G


Diastar Easy Test Lancets30G

Easy Touch Safety Lancets26G/Button Activated

Droplet Lancets Ultra Thin 30G


Droplet Pen Needles 29GX12MM

Easy Touch Safety Lancets28G/Button Activated




Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2"






Drug Mart On-the-go Lancets Gentle 30G

Drug Mart Unilet Lancets Super Thin 30G

Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2"

Drug Mart Unilet Lancets Ultra Thin 28G

Easytest II Lancets

Duane Reade Unifine Pentips 29G X 12MM

Easytest Lancets

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT

Embrace Lancets Ultra Thin 30G

Duane Reade Unifine Pentips 31G X 8MM SHORT

Eql SHORT Pen Needles 31G X 8MM

E-z Ject Lancets

Eql Ultra SHORT Pen Needles 31G X 6MM

E-z Ject Lancets Color

Excel Comfort Point Insulin Pen Needles 31G X 4MM

E-z Ject Lancets Super Thin

Exel Comfort Point Insulin Pen Needles 29G X 12MM

E-z Ject Lancets Super Thin 30G


E-z Ject Lancets Thin 26G


E-z Ject Lancets 21G

Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2"

E-ZJECT Lancets Micro-thin 33G


Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2"






Exel Comfort Point Insulin Syringe/1ML/28G X 1/2"




Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2"

EZ Smart Blood Glucose Lancets

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16"

EZ-lets Lancets 21G

EZ-lets Lancets 23G

Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2"

EZ-lets Lancets 26G Super-soft

Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2"

EZ-lets Lancets 28G Ultra-soft

Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2"

EZ-lets Lancets 30G


Fifty50 Pen Needles 31G X3/16" (5MM)


Fifty50 Pen Needles 31G X5/16" (8MM)


Fifty50 Pen Needles 31GX5MM


Fifty50 Pen Needles/31GX8MM

Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2"

Fifty50 Pen Needles/32GX4MM


Fifty50 Safety Seal Lancets 30G


Fifty50 Safety Seal Lancets 32G


Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16"


Easy Touch Insulin Syringe/0.3ML/30G X 5/16"

Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16"


Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16"


Fifty50 Unilet Lancets 33G


Fine 30

Easy Touch Insulin Syringe/1ML/30G X 5/16"

Fingerstix Lancets


Fora Lancets


Freestyle Lancets


Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16"



Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16"



Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16"


Easy Touch Lancets 30G/Button-activated

Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16"



Freestyle Unistick II Lancets


Gentle-let GP Lancets


28

Gentle-let Lancets General Purpose Style/Fine Point

Live Better Lancet Super Thin 30G

Gentle-let Lancets General Purpose Style/Medium Point

Live Better Lancet Ultra Thin 28G

Gentle-let Lancets Safety Style/Fine Point

Live Better Pen Needles 29G X 12MM

Gentle-let Lancets Safety Style/Medium Point


Gentle-let Platforms 2.4MM


Gentle-let Platforms 3.0MM

Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2"

Glucocom Lancets 28G






Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2"

Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2"


Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16"


Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2"


Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2"


Medisense Thin Lancets


Medlance Plus Extra Lancets 21G

Glucopro Insulin Syringe/U-100/1ML/30G X 1/2"

Medlance Plus Lancets


Medlance Plus Lancets Lite 25G


Medlance Plus Lite Lancets 25G

Glucosource Lancets

Medlance Plus Special Lancets 0.8MM

Gmate Lancets 30G

Medlance Plus Superlite 30G

H&h Thinlet Lancets 26G

Medlance Plus Superlite 30G/Comfort Max

H&h Thinlet Super Thin Lancets 30G

Medlance Plus Universal Lancets 21G

H-e-b Incontrol Pen Needles 29GX12MM

Medlance Plus/Lite 25G

H-e-b IN Control Pen Needles 31GX6MM

Medlance/Extra

H-e-b IN Control Pen Needles 31GX8MM

Medlance/Lite

H-e-b IN Control Unifine Pentips Plus 32GX4MM

Medlance/Universal

Haemolance

Meijer Lancets Universal 30G

Haemolance Low Flow Lancets

Meijer Super Thin Lancets

Haemolance Plus

Microlet Lancets

Haemolance Plus High Flow

Microtainer Safety Flow Lancet/Sterile/Single-use

Haemolance Plus Low Flow

Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML

Haemolance Plus Max Flow

Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8"

Haemolance Plus Pediatric Flow

Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2"

Healthwise Mini Pen Needles 31GX6MM

Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2"

Healthwise Pen Needles 29GX12MM

Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2"

Healthwise SHORT Pen Needles 31GX8MM

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2"

Hy-vee Lancets

Insupen Sensitive 32GX8MM

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2"

Insupen Ultrafin 29GX12MM


Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2"



Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2"

IN Touch Sterile Lancets 30G

Lancets Thin

Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2"

Lancets Ultra Fine

Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16"

Lancets Ultra Thin


Leader Unifine Pentips Plus/Mini/31GX3/16"


Leader Unifine Pentips Plus/SHORT/31GX5/16"

Monoject Insulin Syringe/U-100/1ML/28G X 1/2"

Leader Unifine Pentips/Mini/31GX3/16"

Monoject Insulin Syringe/U-100/1ML/30G X 5/16"

Leader Unifine Pentips/Nano/32GX5/32"

Monoject Insulin Syringe/1ML

Leader Unifine Pentips/Plus/32GX5/32"

Monoject Insulin Syringe/1ML/31G X 5/16"

Liberty Medical Lancets 30G

Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2"

Lifescan Unistik II Lancets


Lifescan Unistik 2 Deep Penetration


Lite Touch Pen Needles/31G X 3/16"


Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2"


Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2"


Litetouch Insulin Syringe/U-100/1ML/28G X 1/2"



Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2"



Litetouch Insulin Syringe/0.3ML/29G X 1/2"



Monojector End CAPS


Monojector Opd End CAPS


Monolet Lancets


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

Litetouch Pen Needles 31G X 6MM

Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"

Litetouch Pen Needles 31GX8MM SHORT


29

Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2"

Prodigy Twist Top Lancets

Pss Select GP Lancets

Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2"

Pss Select Platforms

Pss Select Safety Lancets

Myglucohealth Mgh Softlance Lancets 30G

Px Lancets Ultra Thin

Netgroup Lancets

PC Unifine Pentips 29G X 1/2"

Nova Safety Lancets 23G

PC Unifine Pentips 31G X 6MM Ultra SHORT

Nova Safety Lancets 28G

PC Unifine Pentips 31G X 8MM SHORT

Nova Sureflex Lancets

Qc Lancets Super Thin

Novofine Plus 32GX4MM

Qc Lancets Ultra Thin

On Call Lancets

Qc Pen Needles 29G X 12MM

On Call Plus Lancets


Onetouch Club Lancets Fine Point


Onetouch Combo Pack

Relion Insulin Syringe/U -100/0.5ML/29G

Onetouch Delica Lancets Extra Fine 33G

Relion Insulin Syringe/U-00/1ML/29G X 1/2"

Onetouch Delica Lancets Fine 30G

Relion Insulin Syringe/U-100/0.3ML/29G

Onetouch Finepoint Lancets

Relion Insulin Syringe/U-100/0.3ML/29G X 1/2"

Onetouch Lancets


Onetouch Suresoft Lancing Device/18G






Onetouch Ultra Blue


Onetouch Ultra Mini


Onetouch Ultra Test Strips


Onetouch Ultra 2

Relion Insulin Syringe/U-100/1ML/30G

Onetouch Ultralink System (hex)


Onetouch Ultralink System (DEC)


Onetouch Ultrasoft Lancets

Relion Lancets Micro-thin33G

Onetouch Verio

Relion Lancets Standard 21G

Onetouch Verio Flex Bloodglucose Monitoring System

Relion Lancets Thin 26G

Onetouch Verio IQ Blood Glucose Monitoring System

Relion Lancets Ultra-thin30G

Onetouch Verio Sync Bloodglucose Monitoring System

Relion Mini Pen Needles 31GX6MM

Onetouch Verio Test Strips

Relion Pen Needles 29GX12MM

Penlet II Replacement CAPS


Penlet II Replacement CAPS-deep


Penlet II Replacement CAPS-regular


Pentips 29GX12MM

Relion SHORT Pen Needles 31GX8MM

Pentips 31GX5MM

Relion Thin Lancets

Pentips 31GX6MM

Relion Ultra Thin Lancets

Pentips 31GX8MM

Relion Ultra Thin Lancets30G

Pentips 32GX4MM

Relion Ultra Thin Plus Lancets 32G

Perfect Lancets 30G

Relion Ultra Thin Plus Lancets 33G

Perfect Pressure Activated Safety Lancets 28G

Renew Advanced Lancing Cartridge Refills

Pharmacist Choice Ultra Thin Lancets

Rexall Lancets Ultra Thin

Pharmacist Choice Ultra Thin Lancets 28G

Rightest Gl300 Lancets


Rightest GD-L500 Alternate Site Adapter


Safe-t-lance Low Flow 25G


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


Safe-t-lance Plus Safety Lancet Normal Flow


Safesnap Insulin Syringe/0.3ML/30G X 5/16"



Precision Sure-dose Insulin Syringe/1ML/28G X 1/2"


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 Lancets

Precision Thin Lancets

Safety Lancets 21G

Precision Thins GP Lancet

Safety Let Lancets

Precision Ultra Lancet

Safety Seal Lancets 28G

Preferred Plus Unifine Pentips 29G X 12MM

Safety Seal Lancets 30G

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT

Safety-glide Insulin Syringe/0.3ML/29G X 1/2"

Preferred Plus Unifine Pentips 31G X 8MM SHORT

Shopko On-the-go Comfort Lancets 30G

Prodigy Insulin Mini Pen Needles/31G X 3/16"

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM

Prodigy Insulin Pen Needles/29G X 1/2"

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM

Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16"

Shopko Unifine Pentips Pen Needles/Original/29GX12MM

Prodigy Insulin Syringe/1/2ML/31G X 5/16"

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM

Prodigy Insulin Syringe/1ML/28G X 1/2"

Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM

Prodigy Insulin SHORT Penneedles/31G X 5/16"

Prodigy Pressure Activated Safety Lancets

Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM

Prodigy Safety Lancets


30

Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM

Thinpro Insulin Syringe/1ML/30G X 3/8"


Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM

Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2"


Shopko Unilet Lancets Super Thin 30G


Shopko Unilet Lancets Ultra Thin 28G


Single-let


Smart Diabetes Vantage Universal Lancets 30G


Smart Sense Color Lancets Universal 33G


Smart Sense Standard Lancets Universal 21G

Trueplus Insulin Syringe/U-100/1ML/28G X 1/2"

Smart Sense Super Thin Lancets Universal 30G


Smart Sense Thin Lancets Universal 26G


Smartest Lancets 28G


Solus V2 Pressure Activated Safety Lancets 28G

Trueplus Lancets 26G

Solus V2 Twist Lancets 30G


Sterilance PA

Trueplus Lancets 28G Super Thin

Sterilance TL


Sure-fine Pen Needles 29GX1/2" 12.7MM

Trueplus Lancets 30G Ultra Thin

Sure-fine Pen Needles 31GX3/16" 5MM


Sure-fine Pen Needles 31GX5/16" 8MM

Trueplus Lancets 33G Micro Thin

Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2"

Trueplus Safety Lancets 28G


Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2"


Ulticare Insulin Safety Syringe/1ML/29G X 1/2"


Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16"


Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16"


Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16"


Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16"

Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2"







Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16"

Sure-lance Flat Lancets

Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16"

Sure-lance Lancets 26G

Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2"

Sure-lance Thin Lancets 28G


Sure-lance Ultra Thin Lancets


Sure-touch Lancets Universal


Surelite Lancets


Techlite AST Lancets


Techlite Lancets


Techlite Lancets 30G


Techlite Pen Needles/31G X 5MM

Ulticare Insulin Syringe/U-100/1ML/29G X 1/2"

Techlite Pen Needles/31G X 6 MM







Ulticare Insulin Syringe/0.3ML/29G X 1/2"

Terumo Insulin Syringe/U-100/0.3ML/29G X 1/2"






Terumo Insulin Syringe/U-100/1ML/28G X 1/2"


Terumo Insulin Syringe/0.3ML/30G X 3/8"





Ulticare Insulin Syringe/1ML/28G X 1/2"

Terumo Insulin Syringe/1ML/27G X 1/2"






Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2"

Ulticare Micro Pen Needles 31G X 8MM


Ulticare Micro Pen Needles 32G X 4MM


Ulticare Micro Pen Needles/32G X 4MM

Terumo Surguard Insulin Syringe/1ML/28G X 1/2"

Ulticare Mini Pen Needles Ulti-fine IV

Terumo Surguard Insulin Syringe/1ML/29G X 1/2"

Ulticare Mini Pen Needles 31GX6MM

Thinlets GP Lancets

Ulticare Mini Pen Needles/31G X 6MM

Thinlets Lancet

Ulticare Mini Pen Needles31GX6MM

Thinpro Insulin Syringe/0.3ML/29G X 1/2"

Ulticare Original Pen Needles Ulti-fine


Ulticare Pen Needles/29G X 12.7MM


Ulticare SHORT Pen Needles Ulti-fine IV


Ulticare SHORT Pen Needles 31GX8MM


Ulticare SHORT Pen Needles/31G X 8MM


Ulticare Thin Lancets 30G


Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4"


Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4"



31

Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4"

Unistik 2 Comfort

Ulticare U-100 Insulin Syringes/1ML/31G X 1/4"

Unistik 2 Extra

Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16"

Unistik 2 Neonatal

Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16"

Unistik 2 Normal

Ultilet Classic Lancets

Unistik 2 Super

Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16"

Unistik 3


Unistik 3 Comfort


Unistik 3 Extra


Unistik 3 Extra Single Use Safety Lancets/21G

Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16"

Unistik 3 Gentle

Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16"

Unistik 3 Neonatal

Ultilet Lancets

Unistik 3 Normal

Ultilet Lancets 33G

Universal 1 Lancets Thin 26G

Ultilet Pen Needle 32GX4MM/SHORT

Universal 1 Lancets Ultra Thin 30G

Ultilet Safety Lancets 23G

V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2"

Ultilet SHORT Pen Needles 31GX5/16"


Ultilet SHORT Pen Needles31GX3/16"


Ultra-thin II Auto Lancet

V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2"

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16"

V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2"

Valumark Lancet Super Thin 30G


Valumark Lancet Ultra Thin 28G

Valumark Pen Needles 29GX12MM


Valumark Pen Needles 31G X 6MM

Valumark Pen Needles 31G X 8MM


Vanishpoint Insulin Syringe/0.5ML/30G X 1/2"

Vanishpoint Insulin Syringe/1ML/29G X 1/2"

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16"

Vida Mia Unifine Pentips Mini 31GX6MM

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16"

Vida Mia Unifine Pentips Original 29GX12MM

Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2"

Vida Mia Unifine Pentips 32GX4MM

Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2"

Vida Mia Unilet Lancets Super Thin 30G

Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2"

Vida Mia Unilet Lancets Ultra Thin 28G

Ultra-thin II Lancets 28G

Vida Mia Unipfine Pentipsshort 31GX8MM

Ultra-thin II Lancets 30G

Vitalet Pro Lancets

Ultra-thin II Mini Pen Neeedles/31GX3/16"

Vitalet Pro Plus Lancets

Ultra-thin II Pen Needles 29GX1/2"

W&f Lancets Colored 21G

Ultra-thin II Pen Needles/SHORT/31GX5/16"

W&f Lancets 26G

Ultra-thin II Safety Autolancets 26G

Walgreens Lancets

Ultralance

Walgreens Thin Lancets

Unifine Pentips Plus 29GX12MM

Walgreens Ultra Thin Lancets


1ST Choice Lancets Super Thin


1ST Choice Lancets Thin


1ST Choice Lancets Ultra Thin

Unifine Pentips 29GX12MM

1ST Tier Unifine Pentips 29GX12MM

Unifine Pentips 31G X 3/16"


Unifine Pentips 31G X 6MM


Unifine Pentips 31G X 8MM

NON PREFERRED


Accu-chek Active Strips


Accu-chek Aviva


Accu-chek Aviva Plus


Accu-chek Comfort Curve Test Strips

Unilet Comfortouch Lancet

Accu-chek Compact Plus

Unilet Excelite

Accu-chek Compact Strips

Unilet Excelite II

Accu-chek Compact Test Drum

Unilet G.p. Lancet

Accu-chek Smartview Strips

Unilet G.p. Superlite Lancet

Accutrend Glucose

Unilet GP 28 Ultra Thin

Acura Blood Glucose Test Strips

Unilet Lancet

Advance Intuition Test Strips

Unilet Lancets Micro-thin33G

Advance Micro-draw Test Strips

Unilet Lancets Super-thin30G

Advocate Redi-code

Unilet Lancets Ultra-thin 28G

Advocate Redi-code+ Test Strips

Unilet Superlite Lancet

Advocate Test Strips

Unistik CZT Comfort

Agamatrix Amp NO Code Test Strips

Unistik CZT Normal

Agamatrix Jazz Test Strips

Unistik Safety Lancets 28G

Agamatrix Keynote Test Strips

Unistik Safety Lancets 30G

Agamatrix Presto Test Strips

Unistik Touch Safety Lancets 21G

Assure II


Assure II Check Strip


Assure II Test Strips


Assure Platinum Test Strips

Unistik 1

Assure Prism Multi Test Strips

Unistik 2


32

Assure Pro Test Strips

Glucocard Expression Blood Glucose Test Strips

Assure 3 Test Strips

Glucocard Shine Test Strips

Assure 4 Test Strips

Glucocard Vital Test Strips

AT Last Test Strips

Glucocard X-sensor

Bayer Contour Blood Glucose Test Strips

Glucocard 01 Sensor Plus

Bayer Contour Next Blood Glucose Test

Glucocard 01 Sensor Plus Test Strips

Bg Star Blood Glucose Test

Glucocom Test Strips

Careone Blood Glucose Test Strips/Premium

Gluconavii Blood Glucose Test Strips

Careone Blood Glucose Test Strips/Value

Gmate Blood Glucose Test Strips

Caresens N Blood Glucose Test Strips

Infinity Blood Glucose Test Strips

Clever Chek Auto-code Test Strips

IN Touch Blood Glucose Test Strips

Clever Chek Auto-code Voice Test Strips

Liberty Next Generation Blood Glucose Test Strips

Clever Chek Test Strips

Maxima Blood Glucose Teststrips

Clever Choice Auto-code Pro Test Strips

Microdot Test Strips

Clever Choice Micro Test Strips

Myglucohealth Blood Glucose Test

Control AST

Neutek 2tek Test Strips

Control Test Strips

Nexgen Test Strips

Cool Blood Glucose Test Strips

Nova Max Glucose Test Strips

CVS Advanced Glucose Meter Test Strips

On Call Express Blood Glucose Test Strips

Duo-care Test Strips

On Call Plus Blood Glucose Test

Easy Step Test Strips

On Call Vivid Blood Glucose Test

Easy Touch Glucose Test Strips

On Call Vivid Blood Glucose Test Strips

Easy Touch Healthpro Glucose Test Strips

Optium Test Strips

Easygluco

Optiumez Test Strips

Easygluco Plus

Optumrx Blood Glucose Test

Easymax Test Strips

Pharmacist Choice Autocode Blood Glucose Test Strips

Easymax 15 Test Strips

Pocketchem EZ Blood Glucose Test Strips

Easypro Blood Glucose Test Strips

Precision Point Of Care Test Strips

Easypro Plus

Precision PCX

Element Test Strips

Precision PCX Plus Test Strips

Embrace Blood Glucose Test Strips

Precision QID Test Strips

Embrace Evo Blood Glucosetest Strips

Precision Sof-tact Test Strips

Embrace Pro Blood Glucosetest Strips

Precision XTRA Blood Glucose Test Strips

Eql Truetrack Test

Prestige Test Strips

Evencare + Blood Glucose Test Strip

Prodigy NO Coding Blood Glucose Test Strips

Evencare Blood Glucose Test Strip

Pts Panels Glucose Test

Evencare G2 Test Strips

Quicktek Test Strips

Evencare G3 Test Strips

Quintet Ac Blood Glucose Test Strips

Evencare Mini Blood Glucose Test Strips

Quintet Blood Glucose Test Strips

Evolution Autocode

Refuah Plus Blood Glucosetest Strips

Exactech R-s-G Test Strips

Relion Blood Glucose Teststrips

Exactech Test Strips

Relion Confirm/Micro Test Strips

EZ Smart Blood Glucose Test Strips

Relion Prime Blood Glucose Test Strips

EZ Smart Plus Blood Glucose Test Strips

Relion Ultima Blood Glucose Test Strips

Fifty50 Glucose Test Strip 2.0

Relion Ultima Test Strips

Fora D10 Blood Glucose Test Strips

Reveal Blood Glucose Test

Fora D15G Blood Glucose Test Strips

Rexall Blood Glucose Test Strips

Fora D20 Blood Glucose Test Strips

Rightest GS100 Blood Glucose Test Strips

Fora D40/G31 Blood Glucose Test Strips


Fora GD20 Test Strips


Fora GD50 Blood Glucose Test Strips

Smart Diabetes Xpres Blood Glucose Test Strips

Fora G20 Blood Glucose Test Strips

Smart Sense Premium Bloodglucose Strips

Fora G30a Blood Glucose Test Strips

Smart Sense Value Blood Glucose Strips

Fora Test N' Go Blood Glucose Test Strips

Smartest Blood Glucose Test Strips

Fora Tn'g/Tn'g Voice Blood Glucose Test Strips

Solus V2 Audible Test

Fora V10 Blood Glucose Test Strips

Supreme Test Strips


Sure Edge Blood Glucose Test Strips


Sure-test Easyplus Mini Blood Glucose Test Strips

Fora V30a Blood Glucose Test Strips

Surechek Blood Glucose Test Strips

Foracare GD40

Telcare Blood Glucose Test Strips

Foracare Premium V10 Teststrips

True Metrix Blood Glucosetest Strips

Foracare Test N Go Test Strips

True Metrix Self Monitoring Blood Glucose Strips

Fortiscare Blood Glucose Test Strip

Truetest Blood Glucose T Est

Freestyle Insulinx Blood Glucose Test

Truetest Blood Glucose T Est Strips

Freestyle Insulinx Blood Glucose Test Strips

Truetest Strips

Freestyle Lite Test Strips

Truetrack Blood Glucose Test

Freestyle Precision Neo Blood Glucose Test Strips

Truetrack Test

Freestyle Test Strips

Ultima Test Strips

Genstrip 50

Ultratrak Pro Test Strips

Gluco Perfect 3 Test Strips

Ultratrak Ultimate Test Strips


33

Unistrip1 Generic

Optichamber Diamond/Largeface Mask

Victory Agm-4000 Test Strips

Optichamber Diamond/Medium Face Mask

Vocal Point Blood Glucose Test Strips

Optichamber Diamond/Smallface Mask

Optichamber Face Mask/Large

MEDICAL DEVICES - MISC

Optichamber Face Mask/Medium

Optichamber Face Mask/Small

PREFERRED BRAND

Optihaler

Aerochamber Mini Aerosol Chamber

Optihaler MDI Drug Delivery System

Aerochamber MV

Panda Mask Large

Aerochamber Plus Flow VU

Panda Mask Medium

Aerochamber Plus Flow-VU

Panda Mask Small

Aerochamber Plus Flow-VU/Large Mask

Pediatric Panda Mask

Aerochamber Plus Flow-VU/Mask

Riteflo

Aerochamber Plus Flow-VU/Medium Mask

Vortex Valved Holding Chamber

Aerochamber Plus Flow-VU/Small Mask

Watchhaler

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

Aerochamber Z-stat Plus/Flowsignal

MISCELLANEOUS AGENTS

Aerochamber Z-stat Plus/Large Mask

Aerochamber Z-stat Plus/Medium Mask

GENERIC

Aerochamber Z-stat Plus/Small Mask

pentetate calcium trisodium

Aerochamber/Flowsignal

pentetate zinc trisodium

Aerovent Plus Holding Chamber/Collapsible

NON PREFERRED

Arial Chamber

Chemet

Breatherite

Exjade

Breatherite Collapsible Adult Spacer W/Mask

Ferriprox

Breatherite Collapsible Child Spacer W/Mask

Jadenu

Breatherite Collapsible Infant Spacer W/Mask

Breatherite Collapsible Small Child Spacer W/Mask

Breatherite Collapsible Spacer W/ Neonate Mask

Breatherite Rigid Spacer W/Mask

Breatherite W/Large Mask

Breatherite W/Medium Mask

Breatherite W/Small Mask

Compact Space Chamber/Anti-static

Compact Space Chamber/Anti-static/Large Mask

Compact Space Chamber/Anti-static/Medium Mask

E-z Spacer

E-z Spacer The Body Guards Pack

Easivent

Easivent/Mask-large

Easivent/Mask-medium

Easivent/Mask-small

Flexichamber

Flexichamber Adult Mask/Small

Flexichamber Child Mask/Large

Flexichamber Child Mask/Small

Inspirachamber/Anti-static Valved/Mouthpiece

Inspirachamber/Large

Inspirachamber/Soothermask/Inspiramask/Medium

Inspirachamber/Soothermask/Inspiramask/Small

Inspirease Bags

Inspirease Drug Delivery System

Inspirease Mouthpiece

Inspirease Reservoir Bags

Liteaire

Mask Vortex/Baby Whirl Duckling

Mask Vortex/Child/Frog

Mask Vortex/Spinner The Duck

Mask Vortex/Toddler/Lady Bug

Microchamber

Microspacer

Nessi Spacer/Large Mask

Nessi Spacer/Mouthpiece

Nessi Spacer/Small/MED Mask

Optichamber Advantage

Optichamber Advantage/Large Mask

Optichamber Advantage/Medium Face Mask

Optichamber Advantage/Small Face Mask

Optichamber Diamond


34

Index

A

adapalene, 8

Aerochamber Z-stat Plus/Flowsignal, 34

adapalene P.M., 8

Aerochamber Z-stat Plus/Large Mask, 34

abacavir, 2

Adasuve, 19

Aerochamber Z-stat Plus/Medium Mask, 34

abacavir sulfate/lamivudine/zidovudine, 2

Adcetris, 4

Abilify, 19

Adcirca, 8

Aerochamber Z-stat Plus/Small Mask, 34

Abilify Discmelt, 19

Adderall, 19

Aerochamber/Flowsignal, 34

Abilify Maintena, 19

Adderall XR, 19

Aerospan, 26

Abraxane, 4

adefovir dipivoxil, 2

Aerovent Plus Holding Chamber/Collapsible, 34

acamprosate calcium DR, 20

Adempas, 8

acarbose, 13

Adoxa, 1

AF Lancets Super Thin, 27

Accolate, 26

Adoxa PAK 1/100, 1

Afinitor, 4

Accu-chek Active Strips, 32

Adoxa PAK 1/150, 1

Afinitor Disperz, 5

Accu-chek Aviva, 32

Adoxa PAK 2/100, 1

Afrezza, 12

Accu-chek Aviva Plus, 32

Adrenalin, 7, 25

Agamatrix Amp NO Code Test Strips, 32

Accu-chek Comfort Curve Test Strips, 32

Advair Diskus, 26

Agamatrix Jazz Test Strips, 32

Accu-chek Compact Plus, 32

Advair HFA, 26

Agamatrix Keynote Test Strips, 32

Accu-chek Compact Strips, 32

Advance Intuition Test Strips, 32

Agamatrix Presto Test Strips, 32

Accu-chek Compact Test Drum, 32

Advance Micro-draw Test Strips, 32

Agamatrix Ultra-thin Lancets 33G, 27

Accu-chek Safe-t-pro Lancets, 26

Advate, 17

Aggrenox, 17

Accu-chek Safe-t-pro Pluslancets, 26

Advicor, 8

Agrylin, 17

Accu-chek Smartview Strips, 32

Advocate Insulin Pen Needles 29GX12.7MM, 26

Akne-mycin, 8

Accu-chek Soft Touch Lancets, 26

Akten, 22

Accu-chek Softclix Lancets, 26

Advocate Insulin Pen Needles 31GX5MM, 26

Akynzeo, 15

Accupril, 6

Ala Scalp, 10

Accuretic, 7

Advocate Insulin Pen Needles 31GX8MM, 26

Ala-quin, 9

Accutrend Glucose, 32

Albenza, 3

acebutolol HCL, 5

Advocate Insulin Syringe/U-100/0.3ML/29GX1/2", 26

albuterol, 26

Aceon, 6

albuterol sulfate, 26

acetaminophen/caffeine/dihydrocodeine, 23


albuterol sulfate ER, 26

Alcaine, 22

acetaminophen/codeine, 23


alclometasone dipropionate, 9

acetaminophen/codeine #2, 23

Aldactazide, 7



Aldactone, 7


Aldara, 10

acetaminophen/codeine phosphate, 23


Aldurazyme, 14

acetazolamide, 7

Alecensa, 5

acetazolamide ER, 7


alendronate sodium, 13

acetazolamide sodium, 7

Alevicyn Antipruritic SG, 10

acetic acid, 23

Advocate Insulin Syringe/U-100/1ML/29GX1/2", 26

Alfenta, 23

acetic acid/aluminum acetate, 23

alfentanil, 23

acetylcysteine, 25


Alferon N, 5

Aciphex, 15

alfuzosin HCL ER, 16

Aciphex Sprinkle, 15


Alimta, 4

acitretin, 9

Alinia, 3

Aclovate, 10

Advocate Lancets, 26

Alkeran, 3

Actemra, 24

Advocate Lancets 30G, 26

allopurinol, 25

Acticlate, 1

Advocate Redi-code, 32

almotriptan, 24

Actigall, 16

Advocate Redi-code+ Test Strips, 32

almotriptan malate, 24

Actimmune, 5

Advocate Safety Lancets, 26

Alocril, 23

Actiq, 23

Advocate Safety Lancets 26G, 27

Alodox Convenience Kit, 1

Active 1ST Blood Lancets 30G/Easy Twist CAP, 26

Advocate Test Strips, 32

alogliptin, 13

Adzenys XR-odt, 19

alogliptin/metformin HCL, 13

Activella, 12

Aerochamber Mini Aerosol Chamber, 34

alogliptin/pioglitazone, 13

Actonel, 13

Aerochamber MV, 34

Alomide, 23

Actoplus Met, 13

Aerochamber Plus Flow VU, 34

Alora, 12

Actoplus Met XR, 13

Aerochamber Plus Flow-VU, 34

alosetron hydrochloride, 15

Actos, 13

Aerochamber Plus Flow-VU/Large Mask, 34

Aloxi, 15

Acuicyn Daily Eyelid & Eyelash Cleanser, 10

Alphagan P, 22

Aerochamber Plus Flow-VU/Mask, 34

Alphanate/Von Willebrand Factor Complex/Human, 17

Acular, 23

Aerochamber Plus Flow-VU/Medium Mask, 34

Acular LS, 23

Alphanine SD, 17

Acura Blood Glucose Test Strips, 32

Aerochamber Plus Flow-VU/Small Mask, 34

alprazolam, 18

Acuvail, 23

alprazolam ER, 18

acyclovir, 2, 9

Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 34

Alprazolam Intensol, 18

Aczone, 8

alprazolam odt, 18

Adalat CC, 6

Alrex, 22

Aquasol A Parenteral, 26

Atopiclair, 10

Alsuma, 24

Aquoral, 18

atorvastatin calcium, 7

Altabax, 9

Aralen, 3

atovaquone, 3

Altace, 6

Arava, 24

atovaquone/proguanil HCL, 3

Altoprev, 8

Arcalyst, 24

Atralin, 8

amantadine HCL, 20

Arcapta Neohaler, 26

Atripla, 2

Amaryl, 13

Arial Chamber, 34

Atropen, 15

Ambien, 19

Aricept, 21

atropine sulfate, 15, 22

Ambien CR, 19

Aricept Odt, 21

Atrovent, 25

amcinonide, 9

Arimidex, 4

Atrovent HFA, 26

Amerge, 24

aripiprazole, 18

Aubagio, 21

Amicar, 17

aripiprazole odt, 18

augmented betamethasone dipropionate, 9

amikacin sulfate, 2

Aristada, 19

amiloride HCL, 7

Aristospan Intra-articular, 11

Augmentin, 1

amiloride/hydrochlorothiazide, 7

Arixtra, 17

Augmentin ES-600, 1

aminocaproic acid, 17

armodafinil, 19

Augmentin XR, 1

amiodarone HCL, 6

Armour Thyroid, 14

Aurora Lancet Super Thin 30G, 27

Amitiza, 15

arnica flower, 10

Aurora Lancet Thin 23G, 27

amitriptyline HCL, 18

Arnuity Ellipta, 26

Aurora Pen Needles 29GX12MM, 27

amlodipine besylate, 6

Aromasin, 4

Aurora Pen Needles 31G X 6MM, 27

amlodipine besylate/atorvastatin calcium, 8

Arranon, 4

Aurora Pen Needles 31G X 8MM, 27

Arthrotec 50, 24

Aurstat Anti-itch Hydrogel, 10

amlodipine besylate/benazepril HCL, 7

Arthrotec 75, 24

Aurstat Anti-itch Hydrogel Kit, 10

amlodipine besylate/benazepril hydrochloride, 7

Articadent Dental, 25

auryxia, 16

Artiss, 17

Autolet Platforms, 27

amlodipine besylate/valsartan, 7

Arzerra, 4

Avalide, 7

amlodipine/valsartan/hctz, 7

aspirin-caffeine-dihydrocodeine, 23

Avandamet, 13

ammonium lactate, 10

aspirin/dipyridamole, 17

Avandaryl, 13

amoxapine, 18

Assure 3 Test Strips, 33

Avandia, 13

amoxicillin, 1

Assure 4 Test Strips, 33

Avapro, 6

amoxicillin ER, 1

Assure Haemolance Plus High Flow 18G, 27

Avar, 8

amoxicillin/clavulanate potassium, 1

Avar LS, 8

amoxicillin/clavulanate potassium ER, 1

Assure Haemolance Plus Low Flow 25G, 27

Avastin, 4

amphetamine/dextroamphetamine, 19

Avc, 16

amphotericin b, 2

Assure Haemolance Plus Micro Flow 28G, 27

Avelox, 2

ampicillin, 1

Avelox Abc Pack, 2

ampicillin sodium, 1

Assure Haemolance Plus Normal Flow 21G, 27

Avenova, 10

ampicillin-sulbactam, 1

Avenova/Neutrox, 10

Ampyra, 21

Assure Haemolance Plus Pediatric Blade, 27

Avidoxy DK, 1

Amturnide, 7

Avinza, 23

Amytal Sodium, 19

Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 27

Avodart, 16

Anadrol-50, 11

Avonex, 21

Anafranil, 18

Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2", 27

Avonex Pen, 21

anagrelide hydrochloride, 17

Axert, 24

Analpram Advanced, 16

Assure II, 32

Aygestin, 12

Analpram-HC, 16

Assure II Check Strip, 32

azacitidine, 4

Analpram-HC Singles, 16

Assure II Test Strips, 32

Azactam, 3

Anaprox DS, 24

Assure Lance Lancets, 27

Azasan, 4

anastrozole, 4

Assure Lance Lancets 21G, 27

Azasite, 21

Ancobon, 2

Assure Lance Plus Safety Lancets 25G, 27

azathioprine, 4

Androderm, 11

azelastine HCL, 22, 25

Androgel, 11

Assure Lance Plus Safety Lancets 30G, 27

Azelex, 8

Androgel P.M., 11

Azilect, 20

Android, 11

Assure Lancets, 27

azithromycin, 1

Androxy, 11

Assure Platinum Test Strips, 32

Azopt, 22

Anectine, 21

Assure Prism Multi Test Strips, 32

Azor, 7

Angeliq, 12

Assure Pro Test Strips, 33

aztreonam, 3

Anoro Ellipta, 26

Astagraf XL, 4

Azulfidine, 16

Antabuse, 21

Astepro, 25

Azulfidine EN-TABS, 16

Antara, 8

AT Last Lancets, 27

B

Anusol-HC, 16

AT Last Test Strips, 33

b-12 kit, 17

Anzemet, 15

Atacand, 6

B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 27

Aplenzin, 18

Atacand HCT, 7

Apokyn, 20

Atelvia, 13

B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16", 27

apraclonidine, 22

atenolol, 5

Apriso, 15

atenolol/chlorthalidone, 7

B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 27

Aptiom, 20

Atgam, 4

Aptivus, 2

Ativan, 18

B-d Insulin Syringe Ultrafine/0.3ML/30G X

1/2", 27

5/16", 27

Bebulin, 17

B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 27

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 27

Beconase AQ, 25

Belbuca, 23

B-d Insulin Syringe Ultrafine/1ML/30G X 1/2", 27


Belsomra, 19

benazepril HCL, 6

bacitracin, 3, 21


benazepril HCL/hydrochlorothiazide, 7

bacitracin/polymyxin b, 21

Benefix, 17

baclofen, 21


Benicar, 6

Bactrim, 3

Benicar HCT, 7

Bactrim DS, 3


Bentyl, 15

Bactroban, 9

Benzac Ac Wash, 8

Bactroban Nasal, 25


Benzac W Wash, 8

balsalazide disodium, 15

Benzefoam, 8

Banzel, 20


Benzefoam Ultra, 8

Baraclude, 3

Benziq, 8

Bayer Contour Blood Glucose Test Strips, 33


Benziq LS, 8

benzoin compound tincture, 10

Bayer Contour Next Blood Glucose Test, 33

BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 27

benzoin tincture, 10

benzonatate, 25

Bayer Microlet Lancets, 27


benzoyl peroxide, 8

BD Autoshield 29G X 3/16", 27

benztropine mesylate, 20

BD Autoshield 29G X 5/16", 27


Bepreve, 23

BD Autoshield Duo 30G X 3/16", 27

Berinert, 17

BD Insulin Syringe LUER-LOK/U-100/1ML, 27


Besivance, 21

Betadine Ophthalmic Prep, 21

BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 27

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 27

Betagan, 22

Betalido, 11

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 27

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 27

betamethasone dipropionate, 9

betamethasone sodium phosphate/betamethasone acetate, 11

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

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 27

betamethasone SP, 11

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 27

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 27

betamethasone valerate, 10

Betapace, 6

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 27

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

Betapace AF, 6

Betaseron, 21

BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 27


betaxolol HCL, 5, 22

bethanechol chloride, 16

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

BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 27

Bethkis, 2

Betimol, 22

BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 27


Betoptic-s, 22

bexarotene, 5

BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 27

BD Integra Insulin Syringe/U-100/1ML/29G X 1/2", 27

Beyaz, 12

Bg Star Blood Glucose Test, 33

BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 27

BD Integra Syringe/Retracting Needle/1ML/25G X 1", 27

Biaxin, 1

bicalutamide, 4

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 27

BD Lancet Ultrafine 30G, 27

Bicillin C-R, 1

BD Lancet Ultrafine 33G, 27

Bicillin L-a, 1

BD Insulin Syringe Slip Tip/U-100/1ML, 27

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 27

Bicnu, 3

Bidil, 8

BD Insulin Syringe U-40/1ML/25G X 5/8", 27

BD Microtainer Lancets, 27

Biltricide, 3

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 27

bimatoprost, 22

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 27

Binosto, 13

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 27

bisoprolol fumarate, 5

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 27

bisoprolol fumarate/hydrochlorothiazide, 7

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 27

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 27

bleomycin sulfate, 4

BD Pen Needle/Ultrafine/29G X 12.7MM, 27

Bleph-10, 21

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 27

Blephamide, 22

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 27

Blephamide S.o.p., 22


Boniva, 13

BD Pen Needles SHORT/Ultrafine/31G X 5/16", 27

boric acid, 10


Bosulif, 5

BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2", 27

Botox, 21


Breatherite, 34

BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 27

Breatherite Collapsible Adult Spacer W/Mask, 34

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 27

BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 27

Breatherite Collapsible Child Spacer W/Mask, 34

BD Insulin Syringe Ultrafine/1ML/31G X

Breatherite Collapsible Infant Spacer W/Mask, 34

calcitonin-salmon, 13

cefadroxil, 1

calcitriol, 9, 14

cefazolin sodium, 1

Breatherite Collapsible Small Child Spacer W/Mask, 34

calcium acetate, 15

cefdinir, 1

Campral, 21

cefditoren pivoxil, 1

Breatherite Collapsible Spacer W/ Neonate Mask, 34

Canasa, 15

cefepime, 1

candesartan cilexetil, 6

cefixime, 1

Breatherite Rigid Spacer W/Mask, 34

candesartan cilexetil/hydrochlorothiazide, 7

Cefotan, 1

Breatherite W/Large Mask, 34

cefotaxime sodium, 1

Breatherite W/Medium Mask, 34

Cantil, 15

cefotetan, 1

Breatherite W/Small Mask, 34

Capastat Sulfate, 2

cefoxitin sodium, 1

Breo Ellipta, 26

capecitabine, 4

cefpodoxime proxetil, 1

Brevicon-28, 12

Capex, 10

cefprozil, 1

Brilinta, 17

Caphosol, 18

ceftazidime, 1

brimonidine tartrate, 22

Capital/Codeine, 23

ceftibuten, 1

Brintellix, 18

Caprelsa, 4

Ceftin, 1

Brisdelle, 21

capsaicin, 10

ceftriaxone sodium, 1

Briviact, 20

captopril, 6

cefuroxime axetil, 1

bromfenac, 22

captopril/hydrochlorothiazide, 7

cefuroxime sodium, 1

bromocriptine mesylate, 20

Capxib Kit, 24

Celebrex, 24

bromphen/pseudoephedrine HCL/dextromethorphan HBR, 25

Carafate, 15

celecoxib, 24

Carbaglu, 14

Celestone-soluspan, 11

brompheniramine tannate, 25

carbamazepine, 20

Celexa, 18

Brovana, 26

carbamazepine ER, 20

Cellcept, 4

budesonide, 11, 25, 26

Carbatrol, 20

Cellcept Intravenous, 4

Bullseye Safety Lancets, 27

carbidopa, 20

Celontin, 20

bumetanide, 7

carbidopa/levodopa, 20

centany, 9

Bumex, 7

carbidopa/levodopa ER, 20

Centany AT, 9

Bunavail, 23

carbidopa/levodopa odt, 20

cephalexin, 1

Bupap, 23

carbidopa/levodopa/entacapone, 20

Cerdelga, 17

Buphenyl, 14

carbinoxamine maleate, 25

Cerebyx, 20

bupivacaine HCL, 25

Carbocaine, 25

Cerezyme, 17

bupivacaine hydrochloride/sodium chloride, 25

Cardizem, 6

Cesamet, 15

Cardizem CD, 6

cetirizine HCL, 25

bupivacaine/epinephrine, 25

Cardizem LA, 6

Cetraxal, 23

Buprenex, 23

Cardura, 7

cevimeline HCL, 17

buprenorphine HCL, 23

Cardura XL, 16

Chemet, 34

buprenorphine HCL/naloxone HCL, 23

Carefine Pen Needle 32GX4MM, 27

Chenodal, 16

bupropion HCL, 18

Carefine Pen Needles 29GX1/2", 27

chlordiazepoxide HCL, 18

bupropion HCL ER, 18

Carefine Pen Needles 30GX5/16", 27

chlordiazepoxide HCL/clidinium bromide, 15

bupropion HCL SR, 18

Carefine Pen Needles 31GX6MM, 27

bupropion HCL XL, 18

Carefine Pen Needles 31GX8MM, 27

chlordiazepoxide/amitriptyline, 20

buspirone HCL, 18

Careone Blood Glucose Test Strips/Premium, 33

chlorhexidine gluconate, 18

Busulfex, 3

chlorhexidine gluconate oral rinse, 18

butalbital/acetaminophen, 23

Careone Blood Glucose Test Strips/Value, 33

chloroprocaine HCL, 25

butalbital/acetaminophen/caffeine, 23

chloroquine phosphate, 3

butalbital/acetaminophen/caffeine/codeine, 23

Careone Lancet Thin, 27

chlorothiazide, 7

Careone Lancet Ultra Thin, 27

chlorpromazine HCL, 18

butalbital/aspirin/caffeine, 23

Caresens N Blood Glucose Test Strips, 33

chlorpropamide, 13

butalbital/aspirin/caffeine/codeine, 23

chlorthalidone, 7

Butisol Sodium, 19

carisoprodol, 21

chlorzoxazone, 21

butorphanol tartrate, 23

carisoprodol/aspirin, 21

Cholbam, 16

Butrans, 23

carisoprodol/aspirin/codeine, 21

cholestyramine, 7

Bydureon, 13

Carnitor, 14

cholestyramine light, 7

Byetta, 13

Carnitor SF, 14

choline magnesium trisalicylate, 23

Bystolic, 6

carteolol HCL, 22

Cialis, 8

C

carvedilol, 5

Ciclodan Cream Kit, 9

cascara sagrada, 14

Ciclodan Solution Kit, 9

cabergoline, 14

Casodex, 4

ciclopirox, 9

Cabometyx, 5

Cataflam, 24

ciclopirox nail lacquer, 9

Caduet, 8

Catapres, 7

ciclopirox olamine, 9

Cafcit, 19

Catapres-tts-1, 7

cilostazol, 17

Cafergot, 24

Catapres-tts-2, 7

Ciloxan, 21

caffeine citrate, 19

Catapres-tts-3, 7

cimetidine, 15

Calan, 6

Cathflo Activase, 17

cimetidine HCL, 15

Calan SR, 6

Cayston, 3

Cimzia, 15

calcipotriene, 9

Cedax, 1

Cimzia Starter Kit, 16

calcipotriene/betamethasone dipropionate, 10

cefaclor, 1

Cinryze, 17

cefaclor ER, 1

Cipro, 2

calcitonin salmon, 13

Cipro HC, 23

32GX8MM, 27

X 1/2", 28

Cipro XR, 2

Clever Choice Comfort EZ Pen Needles 33GX4MM, 27

Comfort Assist Insulin Syringe/0.3ML/30G X 5/16", 28

Ciprodex, 23

ciprofloxacin, 1, 23



ciprofloxacin ER, 2

ciprofloxacin HCL, 2, 21



citalopram hydrobromide, 18

Citanest Forte Dental, 25



Citanest Plain Dental, 25

Claforan, 1

Clever Choice Micro Test Strips, 33


Clarinex, 25

Climara, 12

clarithromycin, 1

Climara Pro, 12

Comfort Assist Insulin Syringe/1ML/29G X 1/2", 28

clarithromycin ER, 1

Clindacin Etz, 8

Cleanlet Lancets 28G, 27

Clindacin PAC, 8


clemastine fumarate, 25

Clindagel, 8

Cleocin, 3, 16

clindamycin HCL, 3


Cleocin Pediatric Granules, 3

clindamycin palmitate HCL, 3

Cleocin Phosphate, 3

clindamycin phosphate, 3, 8, 16

Comfort Lancets, 28

Cleocin-t, 8

clindamycin phosphate pharmacy bulk package, 3

Compact Space Chamber/Anti-static, 34

Clever Chek Auto-code Test Strips, 33

Compact Space Chamber/Anti-static/Large Mask, 34

Clever Chek Auto-code Voice Test Strips, 33

clindamycin phosphate/tretinoin, 8

clindamycin/benzoyl peroxide, 8

Compact Space Chamber/Anti-static/Medium Mask, 34

Clever Chek Lancets Ultrathin, 27

Clindesse, 16

Clever Chek Lancets Ultrathin 30G, 27

clobetasol propionate, 10

Complera, 2

Clever Chek Test Strips, 33

clobetasol propionate emollient, 10

Comtan, 20

Clever Choice Auto-code Pro Test Strips, 33

Clobex, 10

Concerta, 19

clocortolone pivalate, 10

Condylox, 10

Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 27

clocortolone pivalate P.M., 10

Control AST, 33

Clodan Kit, 10

Control Test Strips, 33

Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 27

Cloderm, 10

Cool Blood Glucose Test Strips, 33

Cloderm P.M., 10

Copasil, 10


Clolar, 4

Copaxone, 21

clomipramine HCL, 18

Copegus, 3


clonazepam, 20

Cordarone, 6

clonazepam odt, 20

Cordran, 10


clonidine HCL, 6

Cordran Tape, 10

clonidine HCL ER, 19

Coreg, 6


clopidogrel, 17

Coreg CR, 6

clorazepate dipotassium, 18

Corgard, 6


Clorpres, 7

Corifact, 17

clotrimazole, 9, 18

Corlanor, 8


clotrimazole/betamethasone dipropionate, 9

Cortef, 11

Cortenema, 16


clozapine, 18

Cortifoam, 16

clozapine odt, 19

cortisone acetate, 11


Clozaril, 19

Cortisporin, 9

Cnl8 Nail Kit, 9

Cortisporin-tc, 23


Coaguchek Lancets, 27

Corzide, 7

coal TAR, 10

Cosentyx, 9

Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 27

Coartem, 3

Cosentyx Sensoready Pen, 9

codeine sulfate, 23

Cosopt, 22


Cogentin, 20

Cosopt PF, 22

Colazal, 16

Cotellic, 5


colchicine, 25

Coumadin, 17

Colcrys, 25

Cozaar, 6

Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 27

Colestid, 8

Creon, 15

Colestid Flavored, 8

Cresemba, 2


colestipol HCL, 7

Crestor, 8

colistimethate sodium, 3

Crinone, 16


Coly-mycin M, 3

Crixivan, 2

Coly-mycin S, 23

cromolyn sodium, 15, 22, 26


Colyte-flavor Packs, 14

Curosurf, 26

Combigan, 22

Cutivate, 10


Combipatch, 12

Cuvposa, 15

Combivent Respimat, 26

CVS Advanced Glucose Meter Test Strips, 33


Combivir, 3

Cometriq, 5

cyanocobalamin, 17

Clever Choice Comfort EZ Pen Needles

Comfort Assist Insulin Syringe 0.3ML/29G

Cyclessa, 12

Cyclobenzaprine Comfort PAC, 21

desogestrel/ethinyl estradiol, 12

Diprolene, 10

cyclobenzaprine HCL, 21

Desonate, 10

Diprolene AF, 10

Cyclogyl, 22

desonide, 10

dipyridamole, 17

Cyclomydril, 22

Desowen, 10

disopyramide phosphate, 6

cyclopentolate HCL, 22

desoximetasone, 10

disulfiram, 20

cyclopentolate hydrochloride, 22

Desoxyn, 19

Ditropan XL, 16

cyclophosphamide, 3

desvenlafaxine ER, 18

Diuril, 7

cycloserine, 2

Detrol, 16

divalproex sodium, 20

cyclosporine, 4

Detrol LA, 16

divalproex sodium DR, 20

cyclosporine modified, 4

dexamethasone, 11

divalproex sodium ER, 20

Cymbalta, 18

Dexamethasone Intensol, 11

Divigel, 12

cyproheptadine HCL, 25

dexamethasone sodium phosphate, 11, 22

dofetilide, 6

Cystadane, 14

Dolophine, 23

Cystagon, 16

dexchlorpheniramine maleate, 25

donepezil HCL, 20

Cystaran, 23

Dexedrine, 19

Doral, 19

cytarabine, 4

Dexilant, 15

Doryx, 1

cytarabine aqueous, 4

Dexlido, 11

Doryx Mpc, 1

Cytomel, 14

Dexlido-m, 11

dorzolamide HCL, 22

Cytotec, 15

dexmethylphenidate HCL, 19

dorzolamide HCL/timolol maleate, 22

D

dexmethylphenidate HCL ER, 19

Doubledex, 11

Dexpak 10 Day, 11

Dovonex, 9

D.h.e. 45, 24

Dexpak 13 Day, 11

doxazosin, 6

Daklinza, 3

Dexpak 6 Day, 11

doxazosin mesylate, 6

Daliresp, 26

dextroamphetamine sulfate, 19

doxepin HCL, 18

danazol, 11

dextroamphetamine sulfate ER, 19

doxepin hydrochloride, 9

Dantrium, 21

dextromethorphan HBR/chlorpheniramine/phenylephrine HCL, 25

doxercalciferol, 14

dantrolene sodium, 21

doxycycline, 1, 9

dapsone, 3

doxycycline hyclate, 1

Daraprim, 3

doxycycline hyclate DR, 1

Diabeta, 13

darifenacin ER, 16

doxycycline monohydrate, 1

Diamox, 7

darifenacin hydrobromide ER, 16

Drisdol, 26

Diastar Easy Test II Lancets 30G, 28

Daunoxome, 4

dronabinol, 15

Diastar Easy Test Lancets30G, 28

Daypro, 24

droperidol, 18

Diastat Acudial, 20

Daytrana, 19

Droplet Lancets Ultra Thin 30G, 28

Diastat Pediatric, 20

Ddavp, 14

Droplet Pen Needles 29GX12MM, 28

diazepam, 18, 20

Debacterol, 18


Dibenzyline, 7

Delestrogen, 12


Diclegis, 15

Demadex, 7


diclofenac potassium, 24

demeclocycline HCL, 1


diclofenac sodium, 9, 22

Demerol, 23


diclofenac sodium DR, 24

Demser, 7

drospirenone/ethinyl estradiol, 12

diclofenac sodium ER, 24

Denavir, 9

Droxia, 17

diclofenac sodium/misoprostol, 24

Depakene, 20

Drug Mart On-the-go Lancets Gentle 30G, 28

dicloxacillin sodium, 1

Depakote, 20

dicyclomine HCL, 15

Depakote ER, 20

Drug Mart Unilet Lancets Super Thin 30G, 28

didanosine, 2

Depakote Sprinkles, 20

Differin, 8

Depo-estradiol, 12

Drug Mart Unilet Lancets Ultra Thin 28G, 28

Dificid, 1

Depo-medrol, 11

diflorasone diacetate, 10

Depo-provera, 4

Drysol, 10

Diflucan, 2

Depo-testosterone, 11

Duane Reade Unifine Pentips 29G X 12MM, 28

diflunisal, 23

Derma Silkrx Anodynexa PAK, 24

digoxin, 5

Derma Silkrx Diclopak, 24

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 28

dihydroergotamine mesylate, 24

Derma Silkrx Sds PAK, 10

Dilantin, 20

Derma-smoothe/FS Body, 10

Duane Reade Unifine Pentips 31G X 8MM SHORT, 28

Dilantin Infatabs, 20

Derma-smoothe/FS Scalp, 10

Dilantin-125, 20

Dermacinrx Surgical Pharmapak, 11

Duavee, 12

Dilatrate SR, 5

Dermasorb HC, 10

Duetact, 13

Dilaudid, 23

Dermasorb Ta, 10

duloxetine HCL, 18

Dilaudid-HP, 23

Dermatop, 10

Duo-care Test Strips, 33

diltiazem CD, 6

Dermawerx Sds PAK, 10

Duopa, 20

diltiazem HCL, 6

Dermawerx Surgical Plus PAK, 11

Duragesic, 23

diltiazem HCL CD, 6

Dermazone, 10

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 25

diltiazem HCL ER, 6

Dermotic, 23

dimenhydrinate, 15

Descovy, 2

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 25

Diovan, 6

desipramine HCL, 18

Diovan HCT, 7

desloratadine, 25

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 25

Dipentum, 16

desloratadine odt, 25

diphenhydramine HCL, 25

desmopressin acetate, 14

Durasafe Spinal/Epidural Tray/1%

diphenoxylate/atropine, 15

Desogen, 12

Xylocaine/20GX36"open CATH, 25

5ML/31G X 5/16", 28

EC-naprosyn, 24

Durezol, 22

Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2", 28

econazole nitrate, 9

dutasteride, 16

Ecoza, 9

dutasteride/tamsulosin HCL, 16


Edarbi, 6

dutasteride/tamsulosin hydrochloride, 16

Edarbyclor, 7

Dutoprol, 7


Edecrin, 7

Dyazide, 7

Edluar, 19

Dymista, 25


Edurant, 2

Dyrenium, 7

Effexor XR, 18

Dysport, 21


Effient, 17

Dyural-40, 11

Egrifta, 14

Dyural-80, 11

Easy Touch Lancets 21G/Pressure Activated, 28

Elaprase, 14

Dyural-l, 11

Elavil, 18

Dyural-lm, 11


Eldepryl, 20

E

Element Test Strips, 33


Elestat, 23

E-z Ject Lancets, 28

Elestrin, 12

E-z Ject Lancets 21G, 28

Easy Touch Lancets 26G/Pull-top, 28

Eletone, 11

E-z Ject Lancets Color, 28

Easy Touch Lancets 26G/Twist, 28

Eletone Twinpack, 11

E-z Ject Lancets Super Thin, 28


Elidel, 10

E-z Ject Lancets Super Thin 30G, 28

Eligard, 4

E-z Ject Lancets Thin 26G, 28


Elimite, 11

E-z Spacer, 34


Eliphos, 16

E-z Spacer The Body Guards Pack, 34

Easy Touch Lancets 30G/Button-activated, 28

Eliquis, 17

E-ZJECT Lancets Micro-thin 33G, 28

Elixophyllin, 26

E.e.s. Granules, 1


Ella, 12

Easivent, 34

Elmiron, 16

Easivent/Mask-large, 34


Elocon, 10

Easivent/Mask-medium, 34


Emadine, 23

Easivent/Mask-small, 34


Embeda, 23

Easy Step Test Strips, 33

Embrace Blood Glucose Test Strips, 33

Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2", 28


Embrace Evo Blood Glucosetest Strips, 33




Embrace Lancets Ultra Thin 30G, 28

Easy Touch Pen Needles 29GX1/2", 28

Embrace Pro Blood Glucosetest Strips, 33




Emcyt, 4



Emend, 15

Easy Touch Pen Needles/31G X 3/16", 28

Emla, 11

Easy Touch Glucose Test Strips, 33

Emsam, 18

Easy Touch Healthpro Glucose Test Strips, 33

Easy Touch Safety Lancets21G/Pressure Activated, 28

Emtriva, 2

Emulsion SB, 11

Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 28


Emverm, 3

Enablex, 16


Easy Touch Safety Lancets26G/Button Activated, 28

enalapril maleate, 6

enalapril maleate/hydrochlorothiazide, 7



Enbrel, 24

Enbrel Sureclick, 24


Easy Touch Safety Lancets28G/Button Activated, 28

Endometrin, 16

Enjuvia, 12

Easy Touch Insulin Syringe/1ML/30G X 5/16", 28


Enlon, 21

enoxaparin sodium, 17

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2", 28

Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2", 28

entacapone, 20

entecavir, 2

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16", 28


Entereg, 16

Entocort EC, 11

Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2", 28


Entresto, 8

Entty Spray Emulsion, 11

Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2", 28

Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2", 28

Envarsus XR, 4

Epaned, 6

Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2", 28

Easygluco, 33

Epclusa, 2

Easygluco Plus, 33

ephedrine sulfate, 7


Easymax 15 Test Strips, 33

Epiceram, 11

Easymax Test Strips, 33

Epiduo, 8


Easypro Blood Glucose Test Strips, 33

Epiduo Forte, 8

Easypro Plus, 33

Epifoam, 10


Easytest II Lancets, 28

epinastine HCL, 22

Easytest Lancets, 28

epinephrine, 7

Easy Touch Insulin Syringe/U-100/0.

epinephrine HCL, 26

Evoxac, 18

fenofibrate, 7

Epipen 2-PAK, 7

Exactech R-s-G Test Strips, 33

fenofibrate micronized, 8

Epipen-JR 2-PAK, 7

Exactech Test Strips, 33

fenofibric acid, 8

Epivir, 3

Exactuss, 26

fenofibric acid DR, 8

Epivir HBV, 3

Excel Comfort Point Insulin Pen Needles 31G X 4MM, 28

Fenoglide, 8

eplerenone, 6

fenoprofen calcium, 24

eprosartan mesylate, 6

Exel Comfort Point Insulin Pen Needles 29G X 12MM, 28

Fenortho, 24

Epzicom, 2

fentanyl, 23

Eql SHORT Pen Needles 31G X 8MM, 28


fentanyl citrate oral transmucosal, 23

Ferriprox, 34

Eql Truetrack Test, 33


Fetzima, 18

Eql Ultra SHORT Pen Needles 31G X 6MM, 28

Fetzima Titration Pack, 18

Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 28

Fexmid, 21

Equetro, 19

Fibricor, 8

Erbitux, 4


Fifty50 Glucose Test Strip 2.0, 33

ergocalciferol, 26

Fifty50 Pen Needles 31G X3/16" (5MM), 28

ergoloid mesylates, 20


Ergomar, 24

Fifty50 Pen Needles 31G X5/16" (8MM), 28

Ertaczo, 9


Erwinaze, 4

Fifty50 Pen Needles 31GX5MM, 28

Ery-TAB, 1


Fifty50 Pen Needles/31GX8MM, 28

Erygel, 8

Fifty50 Pen Needles/32GX4MM, 28

Eryped 200, 1

Exel Comfort Point Insulin Syringe/1ML/28G X 1/2", 28

Fifty50 Safety Seal Lancets 30G, 28

Eryped 400, 1

Fifty50 Safety Seal Lancets 32G, 28

Erythrocin Stearate, 1


Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16", 28

erythromycin, 1, 8, 21

erythromycin base, 1


Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 28

erythromycin ethylsuccinate, 1

erythromycin/benzoyl peroxide, 8

Exelderm, 9

Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 28

Esbriet, 26

Exelon, 21

escitalopram oxalate, 18

exemestane, 4

Fifty50 Unilet Lancets 33G, 28

Esgic, 23

Exforge, 7

Finacea, 9

esomeprazole magnesium, 15

Exforge HCT, 7

finasteride, 16

esomeprazole strontium, 15

Exjade, 34

Fine 30, 28

estazolam, 19

Exparel, 25

Fingerstix Lancets, 28

Estrace, 12, 16

Extina, 9

Fioricet, 23

estradiol, 12

EZ Smart Blood Glucose Lancets, 28

Fioricet/Codeine, 23

estradiol valerate, 12

EZ Smart Blood Glucose Test Strips, 33

Fiorinal, 23

estradiol/norethindrone acetate, 12

EZ Smart Plus Blood Glucose Test Strips, 33

Fiorinal/Codeine #3, 23

Estring, 16

Firazyr, 17

Estrogel, 12

EZ-lets Lancets 21G, 28

Firmagon, 4

estropipate, 12


First-lansoprazole, 15

Estrostep FE, 12

EZ-lets Lancets 26G Super-soft, 28

First-omeprazole, 15

eszopiclone, 19

EZ-lets Lancets 28G Ultra-soft, 28

First-vancomycin 25, 3

ethacrynic acid, 7


First-vancomycin 50, 3

ethambutol HCL, 2

F

Flagyl, 3

ethosuximide, 20

Flagyl ER, 3

Fabior, 8

ethyl chloride, 10

Flanax Pain Relief Kit, 24

Fabrazyme, 14

etidronate disodium, 13

Flarex, 22

Factive, 2

etodolac, 24

flavoxate HCL, 16

famciclovir, 2

etodolac ER, 24

flecainide acetate, 6

famotidine, 15

etoposide, 4

Flector, 9

Famvir, 3

Euflexxa, 21

Flexichamber, 34

Fanapt, 19

Eurax, 10

Flexichamber Adult Mask/Small, 34

Fanapt Titration Pack, 19

Evamist, 12

Flexichamber Child Mask/Large, 34

Fareston, 4

Evekeo, 19

Flexichamber Child Mask/Small, 34

Farydak, 5

Evencare + Blood Glucose Test Strip, 33

Flomax, 16

Faslodex, 4

Evencare Blood Glucose Test Strip, 33

flonase, 25

Fazaclo, 19

Evencare G2 Test Strips, 33

Flovent Diskus, 26

Feiba, 17

Evencare G3 Test Strips, 33

Flovent HFA, 26

Feiba NF, 17

Evencare Mini Blood Glucose Test Strips, 33

Floxin Otic, 23

felbamate, 20

floxuridine, 4

Felbatol, 20

Evicel, 17

fluconazole, 2

Feldene, 24

Evista, 13

flucytosine, 2

felodipine ER, 6

Evithrom, 17

fludrocortisone acetate, 11

Femara, 4

Evoclin, 8

Flumadine, 3

Femcon FE, 12

Evolution Autocode, 33

flunisolide, 25

Femhrt Low Dose, 12

Evotaz, 2

fluocinolone acetonide, 10, 23

Femring, 16

fluocinolone acetonide ear drops, 23

Freestyle Insulinx Blood Glucose Test Strips, 33

Gluco Perfect 3 Test Strips, 33

fluocinonide, 10

Glucocard 01 Sensor Plus, 33

fluocinonide-e, 10

Freestyle Lancets, 28

Glucocard 01 Sensor Plus Test Strips, 33

fluorometholone, 22

Freestyle Lite Test Strips, 33

fluoxetine, 20

Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16", 28

Glucocard Expression Blood Glucose Test Strips, 33

fluoxetine DR, 18

fluoxetine HCL, 18

Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16", 28

Glucocard Shine Test Strips, 33

fluphenazine decanoate, 19

Glucocard Vital Test Strips, 33

fluphenazine HCL, 19

Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16", 28

Glucocard X-sensor, 33

flurandrenolide, 10

Glucocom Lancets 28G, 29

flurazepam HCL, 19

Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16", 28


flurbiprofen, 24


flurbiprofen sodium, 22

Freestyle Precision Neo Blood Glucose Test Strips, 33

Glucocom Test Strips, 33

flutamide, 4

Gluconavii Blood Glucose Test Strips, 33

fluticasone propionate, 10, 25

Freestyle Test Strips, 33

Glucophage, 13

fluvastatin, 8

Freestyle Unistick II Lancets, 28

Glucophage XR, 13

fluvastatin sodium ER, 8

Frova, 24

Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2", 29

fluvoxamine maleate, 18

frovatriptan succinate, 24

fluvoxamine maleate ER, 18

Fulyzaq, 15


FML, 22

Furadantin, 16

FML Forte, 22

furosemide, 7


FML Liquifilm, 22

Fuzeon, 2

Focalin, 19

Fycompa, 20


Focalin XR, 19

G

folic acid, 17


gabapentin, 20

Folivane-f, 17

Gabitril, 20

Folixapure, 17


Gablofen, 21

Folotyn, 4

galantamine hydrobromide, 20

fondaparinux sodium, 17

Glucopro Insulin Syringe/U-100/1ML/30G X 1/2", 29

Garamycin, 21

Fora D10 Blood Glucose Test Strips, 33

Gastrocrom, 16

Fora D15G Blood Glucose Test Strips, 33


gatifloxacin, 21

Gattex, 16

Fora D20 Blood Glucose Test Strips, 33


Gebauers Pain Ease, 11

Fora D40/G31 Blood Glucose Test Strips, 33

Gelclair, 18

Glucosource Lancets, 29

Gelnique, 16

Fora G20 Blood Glucose Test Strips, 33

Glucotrol, 13

gemfibrozil, 8

Fora G30a Blood Glucose Test Strips, 33

Glucotrol XL, 13

Genadur, 11

Fora GD20 Test Strips, 33

Glucovance, 13

Genadur Kit, 11

Fora GD50 Blood Glucose Test Strips, 33

Glumetza, 13

Generess FE, 12

glyburide, 13

Genstrip 50, 33

Fora Lancets, 28

glyburide micronized, 13

gentamicin sulfate, 2, 9, 21

Fora Test N' Go Blood Glucose Test Strips, 33

glyburide/metformin HCL, 13

gentamicin sulfate pediatric, 2

glycolic acid, 9

Gentle-let GP Lancets, 28

Fora Tn'g/Tn'g Voice Blood Glucose Test Strips, 33

glycolic acid 70% high purity, 9

Gentle-let Lancets General Purpose Style/Fine Point, 29

glycopyrrolate, 15

Fora V10 Blood Glucose Test Strips, 33

Glynase, 13

Gentle-let Lancets General Purpose Style/Medium Point, 29


Glyset, 13


Glyxambi, 13

Gentle-let Lancets Safety Style/Fine Point, 29

Fora V30a Blood Glucose Test Strips, 33

Gmate Blood Glucose Test Strips, 33

Foracare GD40, 33

Gmate Lancets 30G, 29

Gentle-let Lancets Safety Style/Medium Point, 29

Foracare Premium V10 Teststrips, 33

Golytely, 14

Foracare Test N Go Test Strips, 33

Gordofilm, 11

Gentle-let Platforms 2.4MM, 29

Foradil Aerolizer, 26

Gralise, 21

Gentle-let Platforms 3.0MM, 29

Forfivo XL, 18

Gralise Starter, 21

Genvoya, 2

Fortamet, 13

granisetron HCL, 15

Geodon, 19

Fortaz, 1

Granisol, 15

Gilenya, 21

Forteo, 13

Granix, 17

Gilotrif, 5

fortical, 13

Grifulvin V, 2

Giltuss, 26

Fortiscare Blood Glucose Test Strip, 33

Gris-peg, 2

glatopa, 21

Fosamax, 13

griseofulvin microsize, 2

Gleevec, 5

Fosamax Plus D, 13

griseofulvin ultramicrosize, 2

Gleostine, 4

fosinopril sodium, 6

guanfacine ER, 19

Gliadel Wafer, 4

fosinopril sodium/hydrochlorothiazide, 7

guanfacine HCL, 6

glimepiride, 13

fosphenytoin sodium, 20

guanidine HCL, 21

glipizide, 13

Fosrenol, 16

Gynazole-1, 16

glipizide ER, 13

Fragmin, 17

H

glipizide/metformin HCL, 13

Freestyle Insulinx Blood Glucose Test, 33

Glucagen Hypokit, 13

H&h Thinlet Lancets 26G, 29

Glucagon Emergency Kit, 13

H&h Thinlet Super Thin Lancets 30G, 29

H-e-b IN Control Pen Needles 31GX6MM, 29

Humulin 70/30, 12

Imitrex, 24

Humulin 70/30 Kwikpen, 12

Imitrex Statdose Refill, 24

H-e-b IN Control Pen Needles 31GX8MM, 29

Humulin N, 12

Imitrex Statdose System, 24

Humulin N Kwikpen, 12

Impavido, 3

H-e-b IN Control Unifine Pentips Plus 32GX4MM, 29

Humulin R, 12

Imuran, 4

Humulin R U-500 (concentrated), 12

IN Touch Blood Glucose Test Strips, 33

H-e-b Incontrol Pen Needles 29GX12MM, 29

Humulin R U-500 Kwikpen, 12

IN Touch Sterile Lancets 30G, 29

Hy-vee Lancets, 29

Increlex, 14

H.p. Acthar, 14

Hyalgan, 21

Incruse Ellipta, 26

Haemolance, 29

Hycamtin, 5

indapamide, 7

Haemolance Low Flow Lancets, 29

Hycet, 23

Inderal LA, 6

Haemolance Plus, 29

hydralazine HCL, 6

Inderal XL, 6

Haemolance Plus High Flow, 29

Hydrea, 5

Indocin, 24

Haemolance Plus Low Flow, 29

Hydro 40 Foam, 11

indomethacin, 24

Haemolance Plus Max Flow, 29

hydrochlorothiazide, 7

indomethacin ER, 24

Haemolance Plus Pediatric Flow, 29

hydrocodone bitartrate/acetaminophen, 23

Infasurf, 26

Halaven, 4

Infinity Blood Glucose Test Strips, 33

Halcion, 19

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 25

Infumorph 200, 23

Haldol, 19

Infumorph 500, 23

Haldol Decanoate 100, 19

hydrocodone bitartrate/homatropine methylbromide, 25

Inlyta, 5

Haldol Decanoate 50, 19

Innopran XL, 6

halobetasol propionate, 10

hydrocodone polistirex/chlorpheniramine polistirex, 25

Inova, 8

Halog, 10

Inova 4/1 Acne Control Therapy, 8

haloperidol, 19

hydrocodone/acetaminophen, 23

Inova 8/2 Acne Control Therapy, 8

haloperidol decanoate, 19

hydrocodone/homatropine, 25

Inspirachamber/Anti-static Valved/Mouthpiece, 34

haloperidol lactate, 19

hydrocodone/ibuprofen, 23

Halotin, 9

hydrocortisone, 10, 11, 15

Inspirachamber/Large, 34

Harvoni, 2

hydrocortisone butyrate, 10

Inspirachamber/Soothermask/Inspiramask/Medium, 34

Healthwise Mini Pen Needles 31GX6MM, 29

hydrocortisone butyrate (lipid), 10

hydrocortisone butyrate (lipophilic), 10

Inspirachamber/Soothermask/Inspiramask/Small, 34

Healthwise Pen Needles 29GX12MM, 29

hydrocortisone IN absorbase, 10

Healthwise SHORT Pen Needles 31GX8MM, 29

hydrocortisone valerate, 10

Inspirease Bags, 34

hydrocortisone/acetic acid, 23

Inspirease Drug Delivery System, 34

Hectorol, 14

hydromorphone HCL, 23

Inspirease Mouthpiece, 34

Helixate FS, 17

hydromorphone HCL ER, 23

Inspirease Reservoir Bags, 34

Hemangeol, 6

hydroxocobalamin, 17

Inspra, 7

Hemofil M, 17

hydroxychloroquine sulfate, 3

Insupen Sensitive 32GX8MM, 29

heparin sodium, 17

hydroxyprogesterone caproate, 4

Insupen Ultrafin 29GX12MM, 29

heparin sodium dcu, 17

hydroxyurea, 5


heparin sodium/NACL 0.45%, 17

hydroxyzine HCL, 18


heparin sodium/NACL 0.9%, 17

hydroxyzine pamoate, 18


heparin sodium/sodium chloride 0.9%, 17

Hylatopic, 11

Integra F, 17

Hylatopic Plus, 11

Intelence, 2

heparin sodium/sodium chloride 0.9% premix, 17

Hylira, 11

Interarticular Joint Kit, 11

hyoscyamine sulfate, 15

Intermezzo, 19

Hepsera, 3

hyoscyamine sulfate ER, 15

Intron A, 5

Herceptin, 4

hyoscyamine sulfate odt, 15

Intron A W/Diluent, 5

Hetlioz, 19

hyoscyamine sulfate SR, 15

Intuniv, 19

Hexalen, 3

Hyper-sal, 26

Invanz, 3

Hiprex, 16

Hypersal, 26

Invega, 19

Horizant, 21

Hyzaar, 7

Invega Sustenna, 19

HPR, 11

I

Invega Trinza, 19

HPR Plus, 11

Invirase, 2

ibandronate sodium, 13

HPR Plus Hydrogel Kit, 11

Invokamet, 13

Ibrance, 5

HPR Plus/Mb Hydrogel, 11

Invokana, 13

Ibudone, 23

Humalog, 12

Iopidine, 22

ibuprofen, 24

Humalog Kwikpen, 12

ipratropium bromide, 25, 26

Ibuprofen Comfort PAC, 24

Humalog Mix 50/50, 12

ipratropium bromide/albuterol sulfate, 26

IC 400, 24

Humalog Mix 50/50 Kwikpen, 12

Iprivask, 17

IC 800, 24

Humalog Mix 75/25, 12

irbesartan, 6

Iclusig, 5

Humalog Mix 75/25 Kwikpen, 12

irbesartan/hydrochlorothiazide, 7

Ilaris, 24

Humate-p, 17

Irenka, 18

Ilevro, 23

Humira, 24

Iressa, 5

imatinib mesylate, 4

Humira Pediatric Crohns Disease Starter Pack, 24

Isentress, 2

Imbruvica, 5

isoniazid, 2

Imdur, 5

Humira Pen, 24

Isopto Carpine, 22

imipramine HCL, 18

Humira Pen-crohns Diseasestarter, 24

Isordil Titradose, 5

imipramine pamoate, 18

Humira Pen-psoriasis Starter, 24

isosorbide dinitrate, 5

imiquimod, 10

isosorbide dinitrate ER, 5

L

levalbuterol HCL, 26

isosorbide mononitrate, 5

Levaquin, 2

labetalol HCL, 5

isosorbide mononitrate ER, 5

Levatol, 6

Lac-hydrin, 11

isradipine, 6

Levbid, 15

Lacrisert, 22

istalol, 22

Levemir, 12

lactic acid, 10

Istalol, 22

Levemir Flexpen, 12

lactic acid e, 10

Istodax, 4

Levemir Flextouch, 12

lactic acid w/vitamin e, 10

Isuprel, 26

levetiracetam, 20

lactulose, 14, 15

itraconazole, 2

levetiracetam ER, 20

Lamictal, 20

IV Infusion Cpi, 11

levobunolol HCL, 22

Lamictal Chewable Dispersible, 20

ivermectin, 3

levocarnitine, 14

Lamictal Odt, 20

Ixempra Kit, 4

levocetirizine dihydrochloride, 25

Lamictal Starter/Not Taking Carbamazepine, 20

Ixinity, 17

levofloxacin, 2, 21

J

levonorgestrel, 12

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 20

levonorgestrel and ethinyl estradiol, 12

Jadenu, 34

levonorgestrel/ethinyl estradiol, 12

Jakafi, 4

levorphanol tartrate, 23

Jalyn, 16

Lamictal Starter/Taking Valproate, 20

levothyroxine sodium, 14

Janumet, 13

Lamictal XR, 20

levothyroxine sodium TAB 0.075MG, 14

Janumet XR, 13

Lamisil, 2

Lexapro, 18

Januvia, 13

Lamisil Spray, 9

Lexiva, 2

Jardiance, 13

lamivudine, 2

Lialda, 16

Jentadueto, 13

lamivudine/zidovudine, 2

Liberty Medical Lancets 30G, 29

Jentadueto XR, 13

lamotrigine, 20

Liberty Next Generation Blood Glucose Test Strips, 33

Jevtana, 4

lamotrigine ER, 20

Jublia, 9

lamotrigine odt, 20

Librax, 15

Juxtapid, 8

lamotrigine titration, 20

lidocaine, 10

K

Lancets Thin, 29

lidocaine HCL, 10, 18, 25

Lancets Ultra Fine, 29

lidocaine HCL jelly, 10

Kalbitor, 17

Lancets Ultra Thin, 29

lidocaine HCL viscous, 18

Kaletra, 2

lanoxin, 5

lidocaine HCL-hydrocortisone acetate with aloe, 15

Kalydeco, 26

Lanoxin, 5

Kapvay, 19

Lanoxin Pediatric, 5

lidocaine HCL/hydrocortisone acetate, 15

Karbinal ER, 25

lansoprazole, 15

lidocaine viscous, 18

Keflex, 1

lansoprazole/amoxicillin/clarithromycin, 15

lidocaine/epinephrine, 25

Kenalog, 10

lidocaine/prilocaine, 10

Kenalog-10, 11

Lantus, 12

Lidoderm, 11

Kenalog-40, 11

Lantus Solostar, 12

Lifescan Unistik 2 Deep Penetration, 29

Kepivance, 5

Lasix, 7

Lifescan Unistik II Lancets, 29

Keppra, 20

Lastacaft, 23

Lincocin, 3

Keppra XR, 20

latanoprost, 22

lincomycin HCL, 3

Keralyt, 11

Latuda, 19

lindane, 10

Kerlone, 6

Lazanda, 23

linezolid, 3

Kerydin, 9

Leader Unifine Pentips Plus/Mini/31GX3/16", 29

Linzess, 16

Ketek, 3

Lioresal Intrathecal, 21

ketoconazole, 2, 9

Leader Unifine Pentips Plus/SHORT/31GX5/16", 29

liothyronine sodium, 14

Ketodan Kit, 9

Lipitor, 8

Ketophene Rapidpaq, 9

Leader Unifine Pentips/Mini/31GX3/16", 29

Lipofen, 8

ketoprofen, 24

lisinopril, 6

ketoprofen ER, 24

Leader Unifine Pentips/Nano/32GX5/32", 29

lisinopril/hydrochlorothiazide, 7

Ketorocaine-l, 24

Lite Touch Pen Needles/31G X 3/16", 29

Ketorocaine-lm, 24

Leader Unifine Pentips/Plus/32GX5/32", 29

Liteaire, 34

ketorolac tromethamine, 22, 24

Litetouch Insulin Syringe/0.3ML/29G X 1/2", 29

Keveyis, 7

leflunomide, 24

Khedezla, 18

Lenvima 10 MG Daily Dose, 5


Kineret, 24


Kinlytic, 17



Klaron, 8


Klonopin, 20



Koate-dvi, 17


Kogenate FS, 17

Lescol, 8


Kogenate FS Bio-set, 17

Lescol XL, 8

Korlym, 13

Letairis, 8

Litetouch Insulin Syringe/1ML/30G X 5/16", 29

Kovaltry, 17

letrozole, 4

Kristalose, 14

leucovorin calcium, 5

Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2", 29

Kuvan, 14

Leukeran, 3

Kynamro, 8

leuprolide acetate, 4

Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2", 29

Kyprolis, 4

Levacet, 23

levalbuterol, 26

Litetouch Insulin Syringe/U-100/1ML/28G X 1/2", 29

Luxiq, 10

Medlance/Extra, 29

Luzu, 9

Medlance/Lite, 29


Lycelle, 11

Medlance/Universal, 29

Lynparza, 5

Medrol, 11


Lyrica, 20

Medrol Dosepak, 11

Lysodren, 4

medroxyprogesterone acetate, 12

Litetouch Lancets Micro Thin 33G, 29

Lysteda, 17

mefenamic acid, 24

Litetouch Pen Needles 29GX12.7MM, 29

M

mefloquine HCL, 3

Litetouch Pen Needles 31G X 6MM, 29

Megace ES, 12

Macrobid, 16

Litetouch Pen Needles 31GX8MM SHORT, 29

Megace Oral, 4

Macrodantin, 16

megestrol acetate, 4, 12

Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2", 29

lithium, 19

Meijer Lancets Universal 30G, 29

lithium carbonate, 19

Meijer Super Thin Lancets, 29


lithium carbonate ER, 19

Mekinist, 4

Lithobid, 19

meloxicam, 24


Lithostat, 16

Meloxicam Comfort PAC, 24

Livalo, 8

memantine HCL, 21


Live Better Lancet Super Thin 30G, 29

memantine HCL titration PAK, 21

Live Better Lancet Ultra Thin 28G, 29

memantine hydrochloride, 21

Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2", 29

Live Better Pen Needles 29G X 12MM, 29

Menest, 12

Menostar, 12

Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16", 29


Mentax, 9

meperidine HCL, 23

Makena, 12


Mephyton, 26

Malarone, 3

LO Loestrin FE, 12

meprobamate, 18

malathion, 10

Locoid, 10

Mepron, 3

maprotiline HCL, 18

Locoid Lipocream, 10

mercaptopurine, 4

Marbeta-25, 11

Lodosyn, 20

mesalamine, 15

Marbeta-l, 11

Loestrin 1.5/30-21, 12

Mesnex, 5

Marcaine, 25

Loestrin 1/20-21, 12

Mestinon, 21

Marcaine/Epinephrine, 25

Loestrin FE 1.5/30, 12

Mestinon Timespan, 21

Mardex-25, 11

Loestrin FE 1/20, 12

Metadate CD, 19

Marinol, 15

Lofibra, 8

metaproterenol sulfate, 26

Marlido-25, 25

Lomotil, 15

metaxalone, 21

Marplan, 18

lomustine, 3

metformin HCL, 13

Mask Vortex/Baby Whirl Duckling, 34

Lonsurf, 5

metformin HCL ER, 13

Mask Vortex/Child/Frog, 34

loperamide HCL, 15

methadone HCL, 23

Mask Vortex/Spinner The Duck, 34

Lopid, 8

Methadose, 23

Mask Vortex/Toddler/Lady Bug, 34

Lopressor, 6

methamphetamine HCL, 19

Matulane, 5

Lopressor HCT, 7

methazolamide, 7

Mavik, 6

Loprox, 9

methenamine hippurate, 16

Maxalt, 24

Loprox Shampoo, 9

methimazole, 14

Maxalt-MLT, 24

lorazepam, 18

methocarbamol, 21

Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2", 29

Lortab, 23

methotrexate, 4

losartan potassium, 6

methotrexate sodium, 4

Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2", 29

losartan potassium/hydrochlorothiazide, 7

methoxsalen, 9

methscopolamine bromide, 15

Maxidex, 22

Loseasonique, 12

methyclothiazide, 7

Maxima Blood Glucose Teststrips, 33

Lotemax, 22

methyldopa, 6

Maxipime, 1

Lotensin, 6

methyldopa/hydrochlorothiazide, 7

Maxitrol, 22

Lotensin HCT, 7

methylergonovine maleate, 23

Maxzide, 7

Lotrel, 7

Methylin, 19

Maxzide-25, 7

Lotrisone, 9

methylphenidate HCL, 19

Mb Hydrogel, 11

Lotronex, 16

methylphenidate HCL CD, 19

meclizine HCL, 15

lovastatin, 8

methylphenidate HCL ER, 19

meclofenamate sodium, 24

Lovaza, 8

methylphenidate HCL SR, 19

Medisense Thin Lancets, 29

Lovenox, 17

methylphenidate hydrochloride, 19

Medlance Plus Extra Lancets 21G, 29

loxapine, 19

methylprednisolone, 11

Medlance Plus Lancets, 29

loxapine succinate, 19

methylprednisolone acetate, 11

Medlance Plus Lancets Lite 25G, 29

LT Injection Kit, 11

methylprednisolone dose pack, 11

Medlance Plus Lite Lancets 25G, 29

Lufyllin, 26

methylprednisolone PF, 11

Medlance Plus Special Lancets 0.8MM, 29

Lumigan, 22

methylprednisolone sodiumsuccinate, 11

Lumizyme, 14

methylprednisolone/lidocaine, 11

Medlance Plus Superlite 30G, 29

Lunesta, 19

methyltestosterone, 11

Medlance Plus Superlite 30G/Comfort Max, 29

Lupaneta Pack, 14

metipranolol, 22

Lupron Depot, 4

metoclopramide HCL, 15

Medlance Plus Universal Lancets 21G, 29

Lupron Depot-PED, 14

metoclopramide odt, 15

Luvox CR, 18

metolazone, 7

Medlance Plus/Lite 25G, 29

metoprolol succinate ER, 5

Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 25

100/1ML/28G X 1/2", 30

metoprolol tartrate, 5

Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 30

metoprolol/hydrochlorothiazide, 7

Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML, 29

Metozolv Odt, 16

Morgidox 1X100MG, 1

Metrocream, 9

Monoject Insulin Syringe/1ML, 29

Morgidox 1X50MG Kit, 1

Metrogel, 9

Monoject Insulin Syringe/1ML/31G X 5/16", 29

Morgidox 2X100MG, 1

Metrogel-vaginal, 16

morphine sulfate, 23

Metrolotion, 9

Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8", 29

morphine sulfate ER, 23

metronidazole, 3, 9

Morphine Sulfate Powder, 23

metronidazole vaginal, 16

Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2", 29

Motofen, 15

Mevacor, 8

Movantik, 16

mexiletine HCL, 6

Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2", 29

Moviprep, 14

Miacalcin, 13

Moxatag, 1

Micardis, 6

Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2", 29

Moxeza, 21

Micardis HCT, 7

moxifloxacin HCL, 2

Microchamber, 34

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2", 29

Mozobil, 17

Microdot Test Strips, 33

MS Contin, 24

Microlet Lancets, 29

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2", 29

Multaq, 6

Microspacer, 34

mupirocin, 9

Microtainer Safety Flow Lancet/Sterile/Single-use, 29

Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2", 29

mupirocin calcium, 9

Muse, 8

Microzide, 7

Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2", 29

Mustargen, 3

midodrine HCL, 7

Myalept, 14

Migergot, 24

Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2", 29

Myambutol, 2

miglitol, 13

Mycobutin, 2

Migral, 24

Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16", 29

mycophenolate mofetil, 4

Migranal, 25

mycophenolic acid DR, 4

Migranow, 25


Myfortic, 4

Millipred, 11

Myglucohealth Blood Glucose Test, 33

Millipred DP, 11


Myglucohealth Mgh Softlance Lancets 30G, 30

Minastrin 24 FE, 12

mineral oil heavy, 14

Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 29

Myleran, 3

Minipress, 7

Myobloc, 21

Minivelle, 12

Monoject Insulin Syringe/U-100/1ML/30G X 5/16", 29

Myozyme, 14

minocin, 1

Mysoline, 20

Minocin, 1

Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 29

N

Minocin Kit, 1

nabumetone, 24

minocycline HCL, 1


nadolol, 5

minocycline HCL ER, 1

nadolol/bendroflumethiazide, 7

minoxidil, 6


nafcillin sodium, 1

Mirapex, 20

Nafrinse Daily/Acidulated, 18

Mirapex ER, 20


naftifine HCL, 9

Mircera, 17

naftifine hydrochloride, 9

Mircette, 12


Naftin, 9

mirtazapine, 18

Naglazyme, 14

mirtazapine odt, 18


nalbuphine HCL, 23

Mirvaso, 9

Nalfon, 24

misoprostol, 15


Namenda, 21

Mitosol, 21

Namenda Titration PAK, 21

Mlk F4 Kit, 11

Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 29

Namenda XR, 21

Mobic, 24

Namenda XR Titration Pack, 21

modafinil, 19


Namzaric, 21

Moderiba, 3

naphazoline HCL, 22

Moderiba 1200 Dose Pack, 3


Naprelan, 24

Moderiba 800 Dose Pack, 3

Naprosyn, 24

Modicon, 12

Monojector End CAPS, 29

naproxen, 24

moexipril HCL, 6

Monojector Opd End CAPS, 29

Naproxen Comfort PAC, 24

moexipril/hydrochlorothiazide, 7

Monolet Lancets, 29

naproxen sodium, 24

molindone hydrochloride, 19

Monolet Opd Lancets, 29

naproxen sodium CR, 24

mometasone furoate, 10, 25

Monolettor Safety Lancets, 29

naproxen sodium ER, 24

Monoclate-p, 17

Mononine, 17

naratriptan HCL, 24

Monodox, 1

montelukast sodium, 26

Nardil, 18

Monoject Bone Marrow Biopsy Prepping Tray, 25

Monurol, 16

Naropin, 25

Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 29

Nascobal, 17

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 25

Nasonex, 25

Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 29

Natacyn, 21

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 25

Natazia, 12

Moore MED Monoject Insulin Syringe/U-

nateglinide, 13

Natesto, 11

nitroglycerin, 5

Nuvigil, 19

Natpara, 13

nitroglycerin ER, 5

Nuwiq, 17

Natroba, 11

nitroglycerin lingual, 5

Nyata, 9

Nature-throid, 14

nitroglycerin transdermal, 5

Nymalize, 6

Nature-throid Nt-2.5, 14

Nitrolingual Pumpspray, 5

nystatin, 2, 9, 18

Nebupent, 3

Nitromist, 5

nystatin/triamcinolone, 9

Nebusal, 26

Nitrostat, 5

O

nefazodone HCL, 18

Nivatopic Plus, 11

Ocaliva, 16

Nembutal Sodium, 19

nizatidine, 15

octreotide acetate, 14

Neo-synalar, 9

Nizoral, 9

Ocudox, 1

Neo-synalar Kit, 9

Nor-QD, 12

Ocufen, 23

neomycin sulfate, 2

Norco, 24

Ocuflox, 21

neomycin/bacitracin/polymyxin, 21

Norditropin Cartridge, 14

Odefsey, 2

neomycin/polymyxin/bacitracin zinc, 21

Norditropin Flexpro, 14

Ofev, 26

neomycin/polymyxin/bacitracin/hydrocortisone, 22

Norditropin Nordiflex Pen, 14

ofloxacin, 2, 21, 23

norethindrone, 12

olanzapine, 19

neomycin/polymyxin/dexamethasone, 22

norethindrone & ethinyl estradiol ferrous fumarate, 12

olanzapine odt, 19

neomycin/polymyxin/gramicidin, 21

olanzapine/fluoxetine, 21

neomycin/polymyxin/HC, 23

norethindrone acetate, 12

Oleptro, 18

neomycin/polymyxin/hydrocortisone, 22, 23

norethindrone acetate/ethinyl estradiol, 12(2)

olopatadine HCL, 22, 25

Olux, 10

Neoral, 4

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 12

Olux-e, 10

Neosalus, 11

Olysio, 3

Neosalus CP, 11

Norflex, 21

Omeclamox-PAK, 15

Neosporin, 21

norgestimate/ethinyl estradiol, 12

omega-3-acid ethyl esters, 8

Neptazane, 7

Norinyl 1+35, 12

omeprazole, 15

Nesacaine, 25

Norinyl 1+50, 12

Omeprazole + Syrspend SF Alka, 15

Nesacaine-mpf, 25

Noritate, 9

omeprazole/sodium bicarbonate, 15

Nessi Spacer/Large Mask, 34

Noroxin, 2

Omnaris, 25

Nessi Spacer/Mouthpiece, 34

Norpace, 6

Omnipred, 22

Nessi Spacer/Small/MED Mask, 34

Norpace CR, 6

Omontys, 17

Netgroup Lancets, 30

Norpramin, 18

On Call Express Blood Glucose Test Strips, 33

Neuac Kit, 8

Northera, 7

Neulasta, 17

nortriptyline HCL, 18

On Call Lancets, 30

Neulasta Onpro Kit, 17

Norvasc, 6

On Call Plus Blood Glucose Test, 33

Neumega, 17

Norvir, 2

On Call Plus Lancets, 30

Neupogen, 17

Nova Max Glucose Test Strips, 33

On Call Vivid Blood Glucose Test, 33

Neupro, 20

Nova Safety Lancets 23G, 30

On Call Vivid Blood Glucose Test Strips, 33

Neurontin, 20

Nova Safety Lancets 28G, 30

Neutek 2tek Test Strips, 33

Nova Sureflex Lancets, 30

Oncaspar, 4

Neutrasal, 18

Novoeight, 17

ondansetron HCL, 15

Nevanac, 23

Novofine Plus 32GX4MM, 30

ondansetron odt, 15

nevirapine, 2

Novolin 70/30, 12

Onetouch Club Lancets Fine Point, 30

nevirapine ER, 2

Novolin 70/30 Relion, 12

Onetouch Combo Pack, 30

Nexavar, 5

Novolin N, 12

Onetouch Delica Lancets Extra Fine 33G, 30

Nexgen Test Strips, 33

Novolin N Relion, 12

Nexium, 15

Novolin R, 12

Onetouch Delica Lancets Fine 30G, 30

niacin, 26

Novolin R Relion, 12

Onetouch Finepoint Lancets, 30

niacin ER, 8

Novolog, 12

Onetouch Lancets, 30

Niaspan, 8

Novolog Flexpen, 12

Onetouch Suresoft Lancing Device/18G, 30

nicardipine HCL, 6

Novolog Mix 70/30, 12

Nicomide, 26

Novolog Mix 70/30 Prefilled Flexpen, 12


nifedipine, 6

Novolog Penfill, 12

nifedipine ER, 6

Novoseven, 17


Nilandron, 4

Novoseven Rt, 17

nilutamide, 4

Noxafil, 2

Onetouch Ultra 2, 30

nimodipine, 6

Nplate, 17

Onetouch Ultra Blue, 30

Ninlaro, 5

Nucala, 26

Onetouch Ultra Mini, 30

Niravam, 18

Nucynta, 24

Onetouch Ultra Test Strips, 30

nisoldipine, 6

Nuedexta, 21

Onetouch Ultralink System (DEC), 30

nisoldipine ER, 6

Nulytely/Flavor Packs, 14

Onetouch Ultralink System (hex), 30

Nitro-bid, 5

Numoisyn, 18

Onetouch Ultrasoft Lancets, 30

Nitro-dur, 5

Nuplazid, 19

Onetouch Verio, 30

nitrofurantoin, 16

Nutropin AQ Nuspin 10, 14

Onetouch Verio Flex Bloodglucose Monitoring System, 30

nitrofurantoin macrocrystals, 16


nitrofurantoin monohydrate, 16


Onetouch Verio IQ Blood Glucose Monitoring System, 30

nitrofurantoin monohydrate/macrocrystals, 16

Nutropin AQ Pen, 14

Nuvail, 11

Onetouch Verio Sync Bloodglucose

Monitoring System, 30

oxycodone HCL, 23

Pennsaid, 9

Onetouch Verio Test Strips, 30

oxycodone HCL ER, 23

Pentam 300, 3

Onfi, 20

oxycodone/acetaminophen, 23

Pentasa, 16

Onmel, 2

oxycodone/aspirin, 23

pentazocine/naloxone HCL, 23

Onzetra Xsail, 25

oxycodone/ibuprofen, 23

pentetate calcium trisodium, 34

Opana, 24

Oxycontin, 23

pentetate zinc trisodium, 34

Opsumit, 8

oxymorphone hydrochloride, 23

Pentips 29GX12MM, 30

Optichamber Advantage, 34

oxymorphone hydrochloride ER, 23

Pentips 31GX5MM, 30

Optichamber Advantage/Large Mask, 34

oxytocin, 23

Pentips 31GX6MM, 30

Optichamber Advantage/Medium Face Mask, 34

Oxytrol, 16

Pentips 31GX8MM, 30

P

Pentips 32GX4MM, 30

Optichamber Advantage/Small Face Mask, 34

pentoxifylline ER, 17

paliperidone ER, 19

Pepcid, 15

Pamelor, 18

Optichamber Diamond, 34

Percocet, 24

Pamine, 15

Optichamber Diamond/Largeface Mask, 34

Percodan, 24

Pamine Forte, 15

Perfect Lancets 30G, 30

Pamine FQ, 15

Optichamber Diamond/Medium Face Mask, 34

Perfect Pressure Activated Safety Lancets 28G, 30

pancrelipase, 15

Panda Mask Large, 34

Optichamber Diamond/Smallface Mask, 34

Perforomist, 26

Panda Mask Medium, 34

Peridex, 18

Panda Mask Small, 34

Optichamber Face Mask/Large, 34

perindopril erbumine, 6

Pandel, 10

Optichamber Face Mask/Medium, 34

Perjeta, 4

pantoprazole sodium, 15

Optichamber Face Mask/Small, 34

permethrin, 10

Parafon Forte DSC, 21

Optihaler, 34

perphenazine, 19

paregoric, 15

Optihaler MDI Drug Delivery System, 34

perphenazine/amitriptyline, 21

paricalcitol, 14

Optium Test Strips, 33

Persantine, 17

Parlodel, 20

Optiumez Test Strips, 33

Pexeva, 18

Parnate, 18

Optivar, 23

Pfizerpen-G, 1

paromomycin sulfate, 2

Optumrx Blood Glucose Test, 33

Pharmacist Choice Autocode Blood Glucose Test Strips, 33

paroxetine HCL, 18

Oracea, 9

paroxetine HCL ER, 18

Orafate, 18

Pharmacist Choice Ultra Thin Lancets, 30

Paser, 2

Orap, 21

Pataday, 22

Orapred Odt, 11

Pharmacist Choice Ultra Thin Lancets 28G, 30

Patanase, 25

Orencia, 24

Patanol, 23

Orencia Clickject, 24


Paxil, 18

Orenitram, 8

Paxil CR, 18

Orfadin, 14


Pazeo, 23

Orkambi, 26

PC Unifine Pentips 29G X 1/2", 30

orphenadrine citrate, 21


PC Unifine Pentips 31G X 6MM Ultra SHORT, 30

orphenadrine citrate ER, 21

Ortho Micronor, 12

Pharmacy Counter Lancets, 30

PC Unifine Pentips 31G X 8MM SHORT, 30

Ortho Tri-cyclen, 12

phenazopyridine HCL, 16

Ortho Tri-cyclen LO, 12

phenelzine sulfate, 18

PCE, 1

Ortho-cept, 12

Phenergan, 25

Pcp 100, 14

Ortho-cyclen, 12

Phenergan Fortis, 25

Pediaderm AF Complete Kit, 9

Ortho-novum 1/35, 12

phenobarbital, 19

Pediaderm HC, 10

Ortho-novum 7/7/7, 12

phenoxybenzamine hydrochloride, 7

Pediaderm Ta, 10

Osmoprep, 14

phentolamine mesylate, 7

Pediapred, 11

Osphena, 13

phenylephrine HCL, 7, 22

Pediatex TD, 26

Otezla, 24

phenylephrine/guaifenesin, 25

Pediatric Panda Mask, 34

Otrexup, 24

Phenytek, 20

peg 3350/electrolytes, 14

Ovace Plus Wash, 9

phenytoin, 20

peg-3350/electrolytes, 14

Ovcon-35, 12

phenytoin sodium, 20

peg-3350/NACL/NA bicarbonate/KCL, 14

Ovide, 11

phenytoin sodium extended, 20

Peg-intron, 3

oxacillin sodium, 1

Phoslo, 16

Peg-intron Redipen, 3

Oxandrin, 11

Phoslyra, 16

Peg-intron Redipen PAK 4, 3

oxandrolone, 11

Phospholine Iodide, 22

Peganone, 20

oxaprozin, 24

phytonadione, 26

Pegasys, 2

Oxaydo, 24

pilocarpine HCL, 18, 22

Pegasys Proclick, 2

oxazepam, 18

pilocarpine hydrochloride, 18

Pegintron, 3

oxcarbazepine, 20

pimozide, 21

penicillin G potassium, 1

oxiconazole nitrate, 9

pindolol, 5

penicillin G procaine, 1

Oxistat, 9

pioglitazone HCL, 13

penicillin G sodium, 1

Oxsoralen, 11

pioglitazone HCL-glimepiride, 13

penicillin v potassium, 1

Oxsoralen Ultra, 9

pioglitazone HCL/metformin HCL, 13

Penlac Nail Lacquer, 9

Oxtellar XR, 20

piroxicam, 24

Penlet II Replacement CAPS, 30

oxybutynin chloride, 16

Pitocin, 23

Penlet II Replacement CAPS-deep, 30

oxybutynin chloride ER, 16

Plaquenil, 3

Penlet II Replacement CAPS-regular, 30

Plavix, 17

Preferred Plus Unifine Pentips 29G X 12MM, 30

Prolia, 13

Pletal, 17

Promacta, 17

Pliaglis, 11

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT, 30

promethazine HCL, 25

Pocketchem EZ Blood Glucose Test Strips, 33

promethazine HCL plain, 25

Preferred Plus Unifine Pentips 31G X 8MM SHORT, 30

promethazine-DM, 25

podofilox, 10

promethazine/codeine, 25

polyethylene glycol 3350, 14

Prefest, 12

promethazine/dextromethorphan, 25

polymyxin b sulfate, 3

Premarin, 12, 16

promethazine/phenylephrine, 25

polymyxin b sulfate/trimethoprim sulfate, 21

Premphase, 12

promethazine/phenylephrine/codeine, 25

Prempro, 12

Prometrium, 12

Polytrim, 21

Prepopik, 15

Promiseb, 9

Pomalyst, 4

Presera, 11

Promiseb Complete, 9

Ponstel, 24

Prestalia, 7

propafenone HCL, 6

potassium citrate ER, 16

Prestige Test Strips, 33

propafenone HCL ER, 6

potassium citrate/citric acid, 16

Prevacid, 15

propantheline bromide, 15

potassium citrate/sodium citrate/citric acid, 16

Prevacid Solutab, 15

proparacaine HCL, 22

Prevpac, 15

propranolol HCL, 5

Potiga, 20

Prezcobix, 2

propranolol HCL ER, 5

Pr Cream, 11

Prezista, 2

propranolol/hydrochlorothiazide, 7

Pradaxa, 17

Prialt, 23

propylthiouracil, 14

Praluent, 8

Priftin, 2

Proscar, 16

pramipexole dihydrochloride, 20

Prilosec, 15

Prothelial, 18

pramipexole dihydrochloride ER, 20

primaquine phosphate, 3

Protonix, 15

Pramosone, 10

primidone, 20

Protopic, 10

Pramotic, 23

Primlev, 24

protriptyline HCL, 18

Prandimet, 13

Primsol, 3

Provenge, 5

Prandin, 13

Prinivil, 6

Provera, 12

Pravachol, 8

Pristiq, 18

Provigil, 19

pravastatin sodium, 8

Proair HFA, 26

Prozac, 18

prazosin HCL, 7

Proair Respiclick, 26

Prozac Weekly, 18

Precision PCX, 33

probenecid, 25

Pruclair, 11

Precision PCX Plus Test Strips, 33

probenecid/colchicine, 25

Prudoxin, 9

Precision Point Of Care Test Strips, 33

procainamide HCL, 6

Prumyx, 11

Precision QID Test Strips, 33

Procardia, 6

Pss Select GP Lancets, 30

Precision Sof-tact Test Strips, 33

Procardia XL, 6

Pss Select Platforms, 30

Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 30

Procentra, 19

Pss Select Safety Lancets, 30

prochlorperazine, 19

Pts Panels Glucose Test, 33


prochlorperazine edisylate, 19

Pulmicort, 26

prochlorperazine maleate, 19

Pulmicort Flexhaler, 26


Procrit, 17

Pulmozyme, 26

Proctofoam HC, 16

Purinethol, 4


Procysbi, 16

Purixan, 4

Prodigy Insulin Mini Pen Needles/31G X 3/16", 30

Px Lancets Ultra Thin, 30

Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 30

Pylera, 15

Prodigy Insulin Pen Needles/29G X 1/2", 30

pyrazinamide, 2

Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 30

Pyridium, 16

Prodigy Insulin SHORT Penneedles/31G X 5/16", 30

pyridostigmine bromide, 21

Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2", 30

pyridoxine HCL, 26

Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16", 30

pyrogallic acid, 10

Precision Thin Lancets, 30

Q

Precision Thins GP Lancet, 30

Prodigy Insulin Syringe/1/2ML/31G X 5/16", 30

Qc Lancets Super Thin, 30

Precision Ultra Lancet, 30

Qc Lancets Ultra Thin, 30

Precision XTRA Blood Glucose Test Strips, 33

Prodigy Insulin Syringe/1ML/28G X 1/2", 30

Qc Pen Needles 29G X 12MM, 30


Precose, 13

Prodigy NO Coding Blood Glucose Test Strips, 33


Pred Forte, 22

Qnasl, 25

Pred Mild, 22

Prodigy Pressure Activated Safety Lancets, 30

Qnasl Childrens, 25

Pred-G, 22

Qualaquin, 3

Pred-G S.o.p., 22

Prodigy Safety Lancets, 30

quazepam, 19

prednicarbate, 10

Prodigy Twist Top Lancets, 30

Qudexy XR, 20

prednisolone, 11

Proferrin-forte, 17

Quelicin, 21

prednisolone acetate, 22

Profilnine, 17

Quelicin 1000, 21

prednisolone sodium phosphate, 11, 22

Profilnine SD, 17

Questran, 8

prednisolone sodium phosphate odt, 11

progesterone, 12

Questran Light, 8

prednisolone/moxifloxacin, 22

Proglycem, 13

quetiapine fumarate, 19

prednisolone/moxifloxacin/bromfenac, 22

Prograf, 4

Quicktek Test Strips, 33

prednisone, 11

Prolensa, 23

Quillivant XR, 19

Prednisone Intensol, 11

Proleukin, 5

quinapril HCL, 6

quinapril/hydrochlorothiazide, 7

Relion Lancets Standard 21G, 30

rifampin, 2

quinidine gluconate, 6

Relion Lancets Thin 26G, 30

Rifater, 2

quinidine gluconate CR, 6

Relion Lancets Ultra-thin30G, 30

Rightest GD-L500 Alternate Site Adapter, 30

quinidine gluconate ER, 6

Relion Mini Pen Needles 31GX6MM, 30

quinidine sulfate, 6

Relion Pen Needles 29GX12MM, 30

Rightest Gl300 Lancets, 30

quinidine sulfate ER, 6


Rightest GS100 Blood Glucose Test Strips, 33

quinine sulfate, 3


Quintet Ac Blood Glucose Test Strips, 33



Quintet Blood Glucose Test Strips, 33

Relion Prime Blood Glucose Test Strips, 33

Qutenza, 11


R

Relion SHORT Pen Needles 31GX8MM, 30

Rilutek, 21

rabeprazole sodium, 15

Relion Thin Lancets, 30

riluzole, 21

raloxifene hydrochloride, 13

Relion Ultima Blood Glucose Test Strips, 33

rimantadine HCL, 2

ramipril, 6

Riomet, 13

Ranexa, 5

Relion Ultima Test Strips, 33

risedronate sodium, 13

ranitidine HCL, 15

Relion Ultra Thin Lancets, 30

risedronate sodium DR, 13

Rapaflo, 16

Relion Ultra Thin Lancets30G, 30

Risperdal, 19

Rapamune, 4

Relion Ultra Thin Plus Lancets 32G, 30

Risperdal Consta, 19

Rasuvo, 24

Relion Ultra Thin Plus Lancets 33G, 30

Risperdal M-TAB, 19

Ravicti, 14

Relistor, 16

risperidone, 19

Razadyne, 21

Relpax, 25

risperidone odt, 19

Razadyne ER, 21

Remeron, 18

Ritalin, 19

Readysharp-a, 25

Remeron Soltab, 18

Ritalin LA, 19

Readysharp-k, 11

Remicade, 16

Ritalin SR, 19

Readysharp-p40, 11

Remodulin, 8

Riteflo, 34

Readysharp-p80, 11

Renagel, 16

rivastigmine tartrate, 21

Rebetol, 3

Renew Advanced Lancing Cartridge Refills, 30

rivastigmine transdermal system, 21

Recombinate, 17

rizatriptan benzoate, 24

Recothrom, 17

Renvela, 16

rizatriptan benzoate odt, 24

Recothrom Spray Kit, 17

repaglinide, 13

Robaxin, 21

Rectiv, 16

repaglinide/metformin hydrochloride, 13

Robaxin-750, 21

Recura, 9

Repatha, 8

Robinul, 15

Refuah Plus Blood Glucosetest Strips, 33

Repatha Pushtronex System, 8

Robinul Forte, 15

Repatha Sureclick, 8

Rocaltrol, 14

Reglan, 16

Reprexain, 24

Rocephin, 1

Relagard, 16

Requip, 20

ropinirole ER, 20

Relenza Diskhaler, 3

Requip XL, 20

ropinirole HCL, 20

Relion Blood Glucose Teststrips, 33

Rescriptor, 2

ropivacaine, 25

Relion Confirm/Micro Test Strips, 33

reserpine, 7

ropivacaine HCL, 25

Relion Insulin Syringe/U -100/0.5ML/29G, 30

Restasis, 22

Rosadan Kit, 9

Restora RX, 15

rosuvastatin calcium, 8

Relion Insulin Syringe/U-00/1ML/29G X 1/2", 30

Restoril, 19

Rowasa, 16

Retin-a, 8

Roxicet, 24

Relion Insulin Syringe/U-100/0.3ML/29G, 30

Retin-a Micro, 8

Roxicodone, 24

Retin-a Micro P.M., 8

Rozerem, 19

Relion Insulin Syringe/U-100/0.3ML/29G X 1/2", 30

Retrovir, 3

Rythmol, 6

Retrovir IV Infusion, 2

Rythmol SR, 6


Revatio, 8

S

Reveal Blood Glucose Test, 33


Sabril, 20

Revlimid, 4

Safe-t-lance Low Flow 25G, 30

Rexall Blood Glucose Test Strips, 33


Safe-t-lance Normal Flow 21G, 30

Rexall Lancets Ultra Thin, 30

Safe-t-lance Plus Safety Lancet High Flow, 30

Rexulti, 19


Reyataz, 2

Safe-t-lance Plus Safety Lancet Low Flow, 30

Rezira, 26


Rezyst IM, 15

Safe-t-lance Plus Safety Lancet Normal Flow, 30

Rezyst SB, 15


Rheumatrex, 24

Safesnap Insulin Syringe/0.3ML/30G X 5/16", 30

Rhinocort Aqua, 25


Riastap, 17


Riax, 8

Relion Insulin Syringe/U-100/1ML/30G, 30

Ribasphere Ribapak, 3


ribavirin, 2


Ridaura, 24

Safesnap Insulin Syringe/1ML/28G X 1/2", 30

rifabutin, 2


Rifadin, 2

Safesnap Insulin Syringe/1ML/29G X 1/2", 30

Rifamate, 2

Relion Lancets Micro-thin33G, 30

Safety Lancets, 30

Shopko Unilet Lancets Super Thin 30G, 31

sotalol HCL, 5

Safety Lancets 21G, 30

sotalol HCL (AF), 5

Safety Let Lancets, 30

Shopko Unilet Lancets Ultra Thin 28G, 31

Sotylize, 6

Safety Seal Lancets 28G, 30

Sovaldi, 2

Safety Seal Lancets 30G, 30

Signifor, 14

Spectracef, 1

Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 30

Signifor Lar, 14

spinosad, 10

Silazone Pharmapak, 10

Spiriva Handihaler, 26

Safyral, 12

Silazone-II, 10

Spiriva Respimat, 26

Saizen, 14

sildenafil, 8

spironolactone, 7

Saizen Click.easy, 14

sildenafil citrate, 8

spironolactone/hydrochlorothiazide, 7

Salagen, 18

Silenor, 19

Sporanox, 2

salicylic acid, 10

Simbrinza, 22

Sporanox Pulsepak, 2

salicylic acid cream, 10

Simcor, 8

Sprix, 24

salicylic acid ER, 10

Simponi, 24

Sprycel, 5

salicylic acid lotion, 10

Simponi Aria, 24

Stalevo 100, 20

Salivamax, 18

simvastatin, 8

Stalevo 125, 20

Salivate RX, 18

Sinemet, 20

Stalevo 150, 20

salsalate, 23

Sinemet CR, 20

Stalevo 200, 20

Salvax Duo Plus, 11

Single-let, 31

Stalevo 50, 20

Samsca, 14

Singulair, 26

Stalevo 75, 20

Sancuso, 15

sirolimus, 4

Starlix, 13

Sandimmune, 4

Sirturo, 2

stavudine, 2

Sandostatin, 14

Sitavig, 3

Stavzor, 20

Sandostatin Lar Depot, 14

Sivextro, 3

Stelara, 9

Saphris, 19

Skelaxin, 21

Sterilance PA, 31

Sarafem, 21

Sklice, 11

Sterilance TL, 31

Savaysa, 17

Smart Diabetes Vantage Universal Lancets 30G, 31

Stimate, 14

Savella, 21

Stiolto Respimat, 26

Savella Titration Pack, 21

Smart Diabetes Xpres Blood Glucose Test Strips, 33

Stivarga, 5

Scalacort DK, 10

Strattera, 19

Seasonique, 12

Smart Sense Color Lancets Universal 33G, 31

Strensiq, 14

Seconal, 19

streptomycin sulfate, 2

Seconal Sodium, 19

Smart Sense Premium Bloodglucose Strips, 33

Striant, 12

Sectral, 6

Stribild, 2

selegiline HCL, 20

Smart Sense Standard Lancets Universal 21G, 31

Striverdi Respimat, 26

selenium sulfide, 9

Stromectol, 3

Selzentry, 2

Smart Sense Super Thin Lancets Universal 30G, 31

Suboxone, 23

senna plus, 14

Suclear, 15

Sensipar, 14

Smart Sense Thin Lancets Universal 26G, 31

Sucraid, 15

Sensorcaine-mpf/Epinephrine, 25

sucralfate, 15

Sentramodafin AM-100, 20

Smart Sense Value Blood Glucose Strips, 33

Sular, 6

Serevent Diskus, 26

sulfacetamide sodium, 8, 21

Sernivo, 10

Smartest Blood Glucose Test Strips, 33

sulfacetamide sodium/prednisolone sodium phosphate, 22

Seroquel, 19

Smartest Lancets 28G, 31

Seroquel XR, 19

sodium bicarbonate, 15

sulfacetamide sodium/sulfur, 8

Serostim, 14

sodium chloride, 26

sulfacetamide sodium/sulfur cleanser, 8

sertraline HCL, 18

sodium citrate/citric acid, 16

sulfadiazine, 2

sevelamer carbonate, 15

sodium hyaluronate, 10

sulfamethoxazole/trimethoprim, 3

Sfrowasa, 16

sodium phenylbutyrate, 14

sulfamethoxazole/trimethoprim DS, 3

Shohls Solution Modified, 16

sodium sulfacetamide, 8, 21

sulfasalazine, 15

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

sodium sulfacetamide/sulfur, 8

Sulfoam, 8

sodium sulfacetamide/sulfur cleanser, 8

sulfurated lime, 10

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 30

Soliris, 17

sulindac, 24

Solodyn, 1

sumatriptan, 24

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 30

Soltamox, 4

sumatriptan succinate, 24

Solu-cortef, 11

sumatriptan succinate refill, 24

Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 30

Solu-medrol, 11

Sumavel Dosepro, 25

Solus V2 Audible Test, 33

Supprelin LA, 14

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 30

Solus V2 Pressure Activated Safety Lancets 28G, 31

Suprax, 1

Supreme Test Strips, 33

Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM, 30

Solus V2 Twist Lancets 30G, 31

Suprep Bowel Prep, 15

Soma, 21

Sure Edge Blood Glucose Test Strips, 33

Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM, 30

Somatuline Depot, 14

Sure-fine Pen Needles 29GX1/2" 12.7MM, 31

Somavert, 14

Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM, 31

Sonata, 19

Sure-fine Pen Needles 31GX3/16" 5MM, 31

Soolantra, 9

Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM, 31

Soriatane, 9

Sure-fine Pen Needles 31GX5/16" 8MM, 31

Sorilux, 9

Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2", 31

Targadox, 1

Syringe/1ML/28G X 1/2", 31

Targretin, 5

Terumo Surguard Insulin Syringe/1ML/29G X 1/2", 31


Tarka, 7

Tasigna, 5

Tessalon Perles, 26


Tasmar, 20

Testopel, 12

Tazorac, 9

testosterone, 11


Tecfidera, 21

testosterone cypionate, 11

Tecfidera Starter Pack, 21

testosterone enanthate, 11


Techlite AST Lancets, 31

Testred, 12

Techlite Lancets, 31

tetrabenazine, 21


Techlite Lancets 30G, 31

tetracaine HCL, 22

Techlite Pen Needles/31G X 5MM, 31

tetracycline HCL, 1


Techlite Pen Needles/31G X 6 MM, 31

tetracycline hydrochloride, 1


Tetrix, 11

Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2", 31


Teveten, 6


Teveten HCT, 7


Technivie, 3

Texacort, 10

Tegretol, 20

Thalomid, 4


Tegretol-XR, 20

Theo-24, 26

Tekamlo, 7

theophylline, 26


Tekturna, 6

theophylline CR, 26

Tekturna HCT, 7

theophylline ER, 26

Sure-lance Flat Lancets, 31

Telcare Blood Glucose Test Strips, 33

Theracys, 5

Sure-lance Lancets 26G, 31

telmisartan, 6

thiamine HCL, 26

Sure-lance Thin Lancets 28G, 31

telmisartan/amlodipine, 7

Thinlets GP Lancets, 31

Sure-lance Ultra Thin Lancets, 31

telmisartan/hydrochlorothiazide, 7

Thinlets Lancet, 31

Sure-test Easyplus Mini Blood Glucose Test Strips, 33

temazepam, 19

Thinpro Insulin Syringe/0.3ML/29G X 1/2", 31

Temodar, 4

Sure-touch Lancets Universal, 31

Temovate, 10


Surechek Blood Glucose Test Strips, 33

Temovate E, 10

Surelite Lancets, 31

temozolomide, 3


Surfaxin, 26

Tenex, 7

Surmontil, 18

Tenoretic 100, 7


Survanta Intratracheal, 26

Tenoretic 50, 7

Sustiva, 2

Tenormin, 6


Sutent, 5

Terazol 3, 16

Suttar-2, 26

Terazol 7, 16


Suttar-SF, 26

terazosin HCL, 7

Sylatron, 5

terbinafine HCL, 2


Symbicort, 26

terbutaline sulfate, 26

Symbyax, 21

terconazole, 16

Thinpro Insulin Syringe/1ML/28G X 1/2", 31

Symlinpen 120, 12

Terumo Insulin Syringe/0.3ML/30G X 3/8", 31

Symlinpen 60, 13


Synalar, 10


Synalar Cream Kit, 10


Synalar Ointment Kit, 10


Synalar Ts, 10


Synalgos-dc, 24

Terumo Insulin Syringe/1ML/27G X 1/2", 31

Synarel, 14

Thiola, 16

Synera, 11


thioridazine HCL, 19

Synjardy, 13

thiotepa, 3

Synribo, 5


thiothixene, 19

Synthroid, 14

Thrombin-jmi Diluent, 17

Synvisc, 21

Terumo Insulin Syringe/U-100/0.3ML/29G X 1/2", 31

Thrombin-jmi Epistaxis, 17

Synvisc One, 21

Thrombin-jmi Syringe Spray Kit, 17

T


Thrombin-jmi W/Dil Spray P.M. Actuator, 17

Tabloid, 4


Thrombogen, 17

Taclonex, 10

Thyrolar-1, 14

tacrolimus, 4, 10

Terumo Insulin Syringe/U-100/1ML/28G X 1/2", 31

Thyrolar-1/2, 14

Tafinlar, 5

Thyrolar-1/4, 14

Tagrisso, 5

Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2", 31

Thyrolar-2, 14

Taltz, 9

Thyrolar-3, 14

Talwin, 24


tiagabine hydrochloride, 20

Tamiflu, 3

Tiazac, 6

tamoxifen citrate, 4


Tice Bcg, 5

tamsulosin HCL, 16

ticlopidine HCL, 17

Tapazole, 14

Terumo Surguard Insulin

Tigan, 15

Tarceva, 5

Tikosyn, 6

Tri-norinyl 28, 12

Truetrack Test, 33

timolol maleate, 5, 22

Tri-sila, 10

Trulicity, 13

timolol maleate ophthalmic gel forming, 22

triamcinolone, 11

Trusopt, 23

triamcinolone acetonide, 10, 18, 25

Truvada, 2

Timoptic, 22

triamcinolone IN orabase, 18

Turkel Paracentesis Procedure Tray/8french, 25

Timoptic Ocudose, 22

triamcinolone PF, 11

Timoptic-xe, 22

triamcinolone/lidocaine, 11

Tussionex Pennkinetic Extended Release, 26

Tindamax, 3

triamterene/hydrochlorothiazide, 7

tinidazole, 3

Trianex, 10

Twynsta, 7

Tirosint, 14

triazolam, 19

Tybost, 2

Tisseel, 17

Tribenzor, 7

Tykerb, 5

Tisseel VH, 17

Tricor, 8

Tylenol/Codeine #3, 24

Tivicay, 2

trifluoperazine HCL, 19

Tylenol/Codeine #4, 24

Tizanidine Comfort PAC, 21

trifluridine, 21

Tyvaso, 8

tizanidine HCL, 21

Triglide, 8

Tyvaso Refill, 8

TL Triseb, 9

trihexyphenidyl HCL, 20

Tyvaso Starter, 8

Tobradex, 22

Trileptal, 20

Tyzeka, 3

Tobradex ST, 22

Trilipix, 8

Tyzine, 25

tobramycin, 2

trimethobenzamide HCL, 15

Tyzine Pediatric Nasal Drops, 25

tobramycin sulfate, 2, 21

trimethoprim, 3

U

tobramycin/dexamethasone, 22

trimethoprim sulfate/polymyxin b sulfate, 21

Uceris, 11, 16

Tobrex, 22

Ulesfia, 11

Tofranil, 18

trimipramine maleate, 18

Uloric, 25

Tofranil-PM, 18

Trintellix, 18

Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 31

tolazamide, 13

Trisenox, 5

tolbutamide, 13

Triumeq, 2

Ulticare Insulin Safety Syringe/1ML/29G X 1/2", 31

tolcapone, 20

Trizivir, 3

tolmetin sodium, 24

Trokendi XR, 20

Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16", 31

tolterodine tartrate, 16

Tropazone, 11

tolterodine tartrate ER, 16

trospium chloride, 16

Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 31

Topamax, 20

trospium chloride ER, 16

Topamax Sprinkle, 20

True Metrix Blood Glucosetest Strips, 33

Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 31

Topicort, 10

True Metrix Self Monitoring Blood Glucose Strips, 33

topiramate, 20

Ulticare Insulin Syringe/0.3ML/29G X 1/2", 31

topiramate ER, 20

Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2", 31

Toprol XL, 6


Torisel, 5


torsemide, 7


Toujeo Solostar, 12


Toviaz, 16


Tracleer, 8


Tradjenta, 13


tramadol HCL, 23


tramadol HCL ER, 23


tramadol hydrochloride/acetaminophen, 23



Trandate, 6


trandolapril, 6

Ulticare Insulin Syringe/1ML/28G X 1/2", 31

trandolapril/verapamil HCL, 7

Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 31

trandolapril/verapamil HCL ER, 7


tranexamic acid, 17


Transderm-scop, 15


Tranxene T, 18


tranylcypromine sulfate, 18


Travatan Z, 22


travoprost, 22

Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16", 31

trazodone HCL, 18

Trueplus Lancets 26G, 31

Treanda, 3



Trecator, 2

Trueplus Lancets 28G Super Thin, 31

Trelstar, 4



Trelstar Mixject, 4

Trueplus Lancets 30G Ultra Thin, 31

Tretin-x, 8



tretinoin, 5, 8

Trueplus Lancets 33G Micro Thin, 31

tretinoin microsphere, 8

Trueplus Safety Lancets 28G, 31

Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16", 31

tretinoin microsphere P.M., 8

Truetest Blood Glucose T Est, 33

Trexall, 4

Truetest Blood Glucose T Est Strips, 33

Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16", 31

Treximet, 25

Truetest Strips, 33

Trezix, 24

Truetrack Blood Glucose Test, 33

Ulticare Insulin Syringe/U-100/0.3ML/29G

X 1/2", 31

5/16", 32

Unilet Lancets Micro-thin33G, 32

Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2", 31

Ultilet Lancets, 32

Unilet Lancets Super-thin30G, 32

Ultilet Lancets 33G, 32

Unilet Lancets Ultra-thin 28G, 32


Ultilet Pen Needle 32GX4MM/SHORT, 32

Unilet Superlite Lancet, 32

Uniretic, 7


Ultilet Safety Lancets 23G, 32

Unistik 1, 32

Ultilet SHORT Pen Needles 31GX5/16", 32

Unistik 2, 32


Unistik 2 Comfort, 32

Ultilet SHORT Pen Needles31GX3/16", 32

Unistik 2 Extra, 32


Unistik 2 Neonatal, 32

Ultima Test Strips, 33

Unistik 2 Normal, 32


Ultra-thin II Auto Lancet, 32

Unistik 2 Super, 32

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 32

Unistik 3, 32


Unistik 3 Comfort, 32


Unistik 3 Extra, 32

Ulticare Insulin Syringe/U-100/1ML/29G X 1/2", 31

Unistik 3 Extra Single Use Safety Lancets/21G, 32



Unistik 3 Gentle, 32


Unistik 3 Neonatal, 32


Unistik 3 Normal, 32

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 32

Unistik CZT Comfort, 32


Unistik CZT Normal, 32

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16", 32

Unistik Safety Lancets 28G, 32

Ulticare Micro Pen Needles 31G X 8MM, 31

Unistik Safety Lancets 30G, 32

Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 32

Unistik Touch Safety Lancets 21G, 32

Ulticare Micro Pen Needles 32G X 4MM, 31


Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 32


Ulticare Micro Pen Needles/32G X 4MM, 31


Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 32

Unistrip1 Generic, 34

Ulticare Mini Pen Needles 31GX6MM, 31

Univasc, 6

Ulticare Mini Pen Needles Ulti-fine IV, 31

Ultra-thin II Lancets 28G, 32

Universal 1 Lancets Thin 26G, 32

Ulticare Mini Pen Needles/31G X 6MM, 31

Ultra-thin II Lancets 30G, 32

Universal 1 Lancets Ultra Thin 30G, 32

Ultra-thin II Mini Pen Neeedles/31GX3/16", 32

Uptravi, 8

Ulticare Mini Pen Needles31GX6MM, 31

Uramaxin, 11

Ulticare Original Pen Needles Ulti-fine, 31

Ultra-thin II Pen Needles 29GX1/2", 32

urea, 10

Ultra-thin II Pen Needles/SHORT/31GX5/16", 32

urea topical, 10

Ulticare Pen Needles/29G X 12.7MM, 31

Urecholine, 16

Ulticare SHORT Pen Needles 31GX8MM, 31

Ultra-thin II Safety Autolancets 26G, 32

Uretron D/S, 16

Ultracet, 24

Urocit-k 10, 16

Ulticare SHORT Pen Needles Ulti-fine IV, 31

Ultralance, 32

Urocit-k 15, 16

Ultram, 24

Urocit-k 5, 17

Ulticare SHORT Pen Needles/31G X 8MM, 31

Ultram ER, 24

Uroxatral, 17

Ultratrak Pro Test Strips, 33

Urso 250, 16

Ulticare Thin Lancets 30G, 31

Ultratrak Ultimate Test Strips, 33

Urso Forte, 16

Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4", 31

Ultravate, 10

ursodiol, 15

Ultravate X, 10

Utibron Neohaler, 26

Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4", 31

Unasyn, 1

Uvadex, 5

Unasyn Bulk Pack, 1

V

Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4", 32

Unifine Pentips 29GX12MM, 32

V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2", 32

Unifine Pentips 31G X 3/16", 32

Ulticare U-100 Insulin Syringes/1ML/31G X 1/4", 32

Unifine Pentips 31G X 6MM, 32


Unifine Pentips 31G X 8MM, 32

Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16", 32




Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16", 32

unifine pentips 31GX8MM, 26

V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 32


Ultilet Classic Lancets, 32


V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 32

Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16", 32

Unifine Pentips Plus 29GX12MM, 32


Vagifem, 16



valacyclovir HCL, 2


Valchlor, 4


Unilet Comfortouch Lancet, 32

Valcyte, 3

Unilet Excelite, 32

valganciclovir, 2


Unilet Excelite II, 32

valganciclovir hydrochlorde, 2

Unilet G.p. Lancet, 32

Valium, 18

Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 32

Unilet G.p. Superlite Lancet, 32

valproic acid, 20

Unilet GP 28 Ultra Thin, 32

valsartan, 6

Ultilet Insulin Syringe/SHORT/1ML/31G X

Unilet Lancet, 32

valsartan/hydrochlorothiazide, 7

Valtrex, 3

Viramune, 3

Xolegel, 9

Valumark Lancet Super Thin 30G, 32

Viramune XR, 3

Xolegel Corepak, 9

Valumark Lancet Ultra Thin 28G, 32

Virazole, 3

Xolegel Duo/Head & Shoulders, 9

Valumark Pen Needles 29GX12MM, 32

Viread, 2

Xolegel Duo/Xolex, 9

Valumark Pen Needles 31G X 6MM, 32

Viroptic, 22

Xopenex, 26

Valumark Pen Needles 31G X 8MM, 32

Vistaril, 18

Xopenex Concentrate, 26

Vancocin HCL, 3

Vitalet Pro Lancets, 32

Xtampza ER, 24

vancomycin HCL, 3

Vitalet Pro Plus Lancets, 32

Xtandi, 4

Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 32

vitamin c 222MG, 26

Xuriden, 14

vitamin d, 26

Xylocaine, 11, 25

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

vitamin k1, 26

Xylocaine-mpf, 25

Vitekta, 2

Xylocaine-mpf/Epinephrine, 25

Vanos, 10

Vivactil, 18

Xylocaine/Epinephrine, 25

Vantas, 4

Vivelle-dot, 12

Xyntha, 17

Varubi, 15

Vocal Point Blood Glucose Test Strips, 34

Xyntha Solofuse, 17

Vascepa, 8

Xyrem, 21

Vaseretic, 7

Voltaren, 9

Xyzal, 25

Vasotec, 6

Voltaren-XR, 24

Y

Vecamyl, 7

voriconazole, 2

Yasmin 28, 12

Vectical, 9

Vortex Valved Holding Chamber, 34

Yaz, 12

Velcade, 5

Vosol HC, 23

Yervoy, 4

Veletri, 8

Vospire ER, 26

Yodoxin, 3

Velphoro, 16

Votrient, 5

Z

venlafaxine HCL, 18

Vraylar, 19

venlafaxine HCL ER, 18

Vsl#3 DS, 15

Zacare 4% Kit, 8

Ventavis, 8

Vusion, 9

Zacare 8% Kit, 8

Ventolin HFA, 26

Vytorin, 8

zafirlukast, 26

Veramyst, 25

Vyvanse, 19

zaleplon, 19

verapamil HCL, 6

W

Zaltrap, 4

verapamil HCL ER, 6

Zamicet, 24

W&f Lancets 26G, 32

verapamil HCL SR, 6

Zanaflex, 21

W&f Lancets Colored 21G, 32

Verdeso, 10

Zanosar, 3

Walgreens Lancets, 32

Veregen, 11

Zantac, 15

Walgreens Thin Lancets, 32

verelan, 6

Zarontin, 20

Walgreens Ultra Thin Lancets, 32

verelan PM, 6

Zaroxolyn, 7

warfarin sodium, 17

Veripred 20, 11

Zarxio, 17

Watchhaler, 34

Versacloz, 19

Zavesca, 17

Welchol, 8

Vesicare, 16

Zebeta, 6

Wellbutrin, 18

Vexol, 22

Zecuity, 25

Wellbutrin SR, 18

Vfend, 2

Zegerid, 15

Wellbutrin XL, 18

Viagra, 8

Zelapar, 20

Westcort, 10

Viberzi, 16

Zelboraf, 5

Westhroid, 14

Vibramycin, 1

Zembrace Symtouch, 25

wheat germ, 26

Vicoprofen, 24

Zemplar, 14

Wilate, 17

Victory Agm-4000 Test Strips, 34

Zenpep, 15

Wp Thyroid, 14

Victoza, 13

Zenzedi, 20

X

Victrelis, 3

Zepatier, 2

Vida Mia Unifine Pentips 32GX4MM, 32

Xalatan, 22

Zerit, 3

Vida Mia Unifine Pentips Mini 31GX6MM, 32

Xalkori, 5

Zestoretic, 7

Xanax, 18

Zestril, 6

Vida Mia Unifine Pentips Original 29GX12MM, 32

Xanax XR, 18

Zetia, 8

Xarelto, 17

Zetonna, 25

Vida Mia Unilet Lancets Super Thin 30G, 32

Xarelto Starter Pack, 17

Ziac, 7

Xartemis XR, 24

Ziagen, 3

Vida Mia Unilet Lancets Ultra Thin 28G, 32

Xeljanz, 24

zidovudine, 2

Xeljanz XR, 24

Zinacef, 1

Vida Mia Unipfine Pentipsshort 31GX8MM, 32

Xeloda, 4

ziprasidone HCL, 19

Xenazine, 21

Zirgan, 22

Vidaza, 4

Xeomin, 21

Zithromax, 1

Videx EC, 3

Xerac Ac, 11

Zithromax Tri-PAK, 1

Videx Pediatric, 2

Xeralux, 11

Zithromax Z-PAK, 1

Viekira PAK, 3

Xerese, 9

Zmax, 1

Viekira XR, 3

Xgeva, 13

Zocor, 8

Vigamox, 21

Xifaxan, 3

Zofran, 15

Viibryd, 18

Xilapak, 10

Zofran Odt, 15

Viibryd Starter Pack, 18

Xodol, 24

Zoladex, 4

Vimpat, 20

Xofigo, 5

Zolinza, 5

Viracept, 2

Xolair, 26

zolmitriptan, 24

zolmitriptan odt, 24

Zoloft, 18

zolpidem tartrate, 19

zolpidem tartrate ER, 19

Zolpimist, 19

Zomig, 25

Zomig Nasal Spray, 25

Zomig ZMT, 25

Zonalon, 9

Zonatuss, 26

Zonegran, 20

zonisamide, 20

Zontivity, 17

Zorbtive, 14

Zortress, 4

Zovirax, 3, 9

Zubsolv, 23

Zutripro, 26

Zyclara, 10

Zyclara P.M., 10

Zydelig, 5

Zyflo, 26

Zyflo CR, 26

Zykadia, 5

Zylet, 22

Zyloprim, 25

Zymaxid, 22

Zyprexa, 19

Zyprexa Relprevv, 19

Zyprexa Zydis, 19

Zytiga, 4

Zyvox, 3

1

1ST Choice Lancets Super Thin, 32

1ST Choice Lancets Thin, 32

1ST Choice Lancets Ultra Thin, 32

1ST Tier Unifine Pentips 29GX12MM, 32



8

8-mop, 9

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