2015 healthsmart rx advantage formulary reference guide...effective january 1, 2015 v.1 1 non...

2015 HealthSmart Rx Advantage Formulary Reference Guide

LIST OF COVERED DRUGS List of covered drugs

INTRODUCTION HealthSmart Rx utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically sound and that it supports patient health. This committee reviews and evaluates medications on the formulary based on safety and efficacy to help maintain clinical integrity in all therapeutic categories.

FORMULARY DESIGN HealthSmart Rx has chosen a formulary structure which includes most prescription drugs. The formulary structure features generics (with the lowest co-payments), preferred and non- preferred brand-name drugs.

Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under

“GENERIC” have the same active ingredient as the brand-name versions but at a lower cost.

Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs that will generally have lower co-payments than non-preferred brand name drugs.

Non-preferred drugs: Drugs listed under “NON-PREFERRED” generally have higher co- payments than preferred brand name drugs.

USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS Many health plans use the HealthSmart Rx 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 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, HealthSmart Rx 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 HealthSmart Rx 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.

*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 HealthSmart Rx. 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

CALCIUM REGULATORS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Effective January 1, 2015 v.1 1

NON PREFERRED Cefaclor Cefaclor ER Cefotetan

January 2015 Cefotetan/Dextrose Cefoxitin Sodium

ANTI-INFECTIVES Ceftin

PENICILLINS GENERIC amoxicillin amoxicillin/clavulanate potassium amoxicillin/clavulanate potassium ER ampicillin ampicillin sodium ampicillin-sulbactam dicloxacillin sodium nafcillin sodium oxacillin sodium penicillin v potassium penicillin G potassium piperacillin sodium/ tazobactam sodium piperacillin sodium/tazobactam sodium piperacillin/tazobactam NON PREFERRED Amoxicillin Amoxicillin ER Ampicillin Ampicillin Sodium Ampicillin-sulbactam Augmentin Augmentin ES-600 Augmentin XR Bactocill IN Dextrose Bicillin C-R Bicillin L-a Moxatag Nafcillin Sodium Nallpen Iso-osmotic IN Dextrose Nallpen/Dextrose Penicillin G Potassium IN Iso-osmotic Dextrose Penicillin G Procaine Penicillin G Sodium Pfizerpen-G Timentin Unasyn Unasyn Bulk Pack Zosyn

Cefuroxime Sodium Cefuroxime/Dextrose Mefoxin Zinacef Zinacef IN Iso-osmotic Dextrose Zinacef IN Iso-osmotic Diluent

THIRD GENERATION GENERIC cefdinir cefotaxime sodium cefpodoxime proxetil ceftazidime ceftriaxone sodium NON PREFERRED Cedax Cefditoren Pivoxil Ceftazidime Ceftazidime/Dextrose Ceftibuten Ceftriaxone IN Iso-osmotic Dextrose Ceftriaxone/Dextrose Claforan Claforan/D5W Fortaz Rocephin Spectracef Suprax Tazicef

FOURTH GENERATION GENERIC cefepime NON PREFERRED Cefepime Maxipime

MACROLIDES

GENERIC azithromycin clarithromycin clarithromycin ER erythromycin

CEPHALOSPORIN FIRST GENERATION

GENERIC cefadroxil cefazolin sodium cephalexin NON PREFERRED Ancef Cefazolin Sodium Cefazolin Sodium/Dextrose Cephalexin Keflex

SECOND GENERATION GENERIC cefaclor cefoxitin sodium cefprozil cefuroxime axetil cefuroxime sodium

NON PREFERRED Azithromycin Biaxin Biaxin XL Biaxin XL PAC Dificid E.e.s. Granules E.e.s. 400 Ery-TAB Eryped 200 Eryped 400 Erythrocin Lactobionate Erythrocin Stearate Erythromycin Base Erythromycin Ethylsuccinate PCE Zithromax Zithromax Tri-PAK Zithromax Z-PAK Zmax

Effective January 1, 2015 2

TETRACYCLINES NON PREFERRED GENERIC demeclocycline HCL doxycycline doxycycline hyclate doxycycline hyclate DR doxycycline monohydrate minocycline HCL minocycline HCL ER

Bethkis Gentamicin Sulfate/0.9% Sodium Chloride Isotonic Gentamicin Streptomycin Sulfate Tobi Tobramycin Sulfate/Sodium Chloride

SULFONAMIDES

NON PREFERRED PREFERRED Acticlate Sulfisoxizole Adoxa NON PREFERRED Adoxa PAK 1/100 Sulfadiazine Adoxa PAK 1/150 Adoxa PAK 2/100 ANTIMYCOBACTERIAL AGENTS Alodox Convenience Kit GENERIC Avidoxy DK ethambutol HCL Doryx isoniazid Dynacin pyrazinamide Minocin rifabutin Minocin Kit rifampin Monodox PREFERRED Morgidox 1X100MG Priftin Morgidox 2X100MG Seromycin Nicazeldoxy 30 Kit Sirturo Nicazeldoxy 60 Kit NON PREFERRED Nutridox Capastat Sulfate Ocudox Cycloserine Oraxyl Isoniazid Solodyn Myambutol Tetracycline HCL Mycobutin Vibramycin Paser

Rifadin QUINOLONES Rifamate

GENERIC Rifater ciprofloxacin Trecator ciprofloxacin ER ciprofloxacin HCL ANTIFUNGALS ciprofloxacin I.V.-IN D5W GENERIC levofloxacin fluconazole levofloxacin IN D5W fluconazole IN dextrose moxifloxacin HCL fluconazole IN NACL ofloxacin flucytosine Ofloxacin griseofulvin microsize NON PREFERRED griseofulvin ultramicrosize Avelox itraconazole Avelox Abc Pack ketoconazole Cipro nystatin Cipro I.V.-IN D5W terbinafine HCL Cipro XR voriconazole Factive PREFERRED Levaquin Cancidas Noroxin Mycamine

Noxafil AMINOGLYCOSIDES NON PREFERRED

GENERIC Abelcet amikacin sulfate Ambisome gentamicin sulfate Amphotec gentamicin sulfate pediatric Amphotericin B gentamicin sulfate/sodium chloride Ancobon gentamicin sulfate/0.9% sodium chloride Diflucan isotonic gentamicin Eraxis neomycin sulfate Fluconazole IN NACL paromomycin sulfate Grifulvin V tobramycin Gris-peg tobramycin sulfate Lamisil PREFERRED Onmel Tobi Podhaler Sporanox

Sporanox Pulsepak


Terbinex Viracept Vfend Viread Vfend IV NON PREFERRED

Acyclovir Sodium ANTIVIRALS Baraclude

GENERIC abacavir abacavir sulfate/lamivudine/zidovudine acyclovir acyclovir sodium adefovir dipivoxil cidofovir didanosine entecavir famciclovir ganciclovir lamivudine lamivudine/zidovudine nevirapine nevirapine ER ribavirin rimantadine HCL stavudine valacyclovir HCL zidovudine PREFERRED Aptivus Atripla Complera Crixivan Edurant Emtriva Epzicom Fuzeon

Combivir Copegus Cytovene Epivir Epivir HBV Famvir Flumadine Foscarnet Sodium Foscavir Hepsera Infergen Rebetol Retrovir Rimantalist Sitavig Triumeq Trizivir Tyzeka Valtrex Videx EC Viramune Viramune XR Virazole Vistide Zerit Ziagen Zovirax

ANTIMALARIALS

Incivek GENERIC Intelence atovaquone/proguanil HCL Invirase chloroquine phosphate Isentress hydroxychloroquine sulfate Kaletra mefloquine HCL Lexiva quinine sulfate Moderiba PREFERRED Moderiba 1200 Dose Pack Coartem Moderiba 800 Dose Pack Daraprim Nevirapine Primaquine Phosphate Norvir NON PREFERRED Olysio Aralen Peg-intron Malarone Peg-intron Redipen Plaquenil Peg-intron Redipen PAK 4 Qualaquin Pegasys Pegasys Proclick AMEBICIDES Prezista NON PREFERRED Relenza Diskhaler Yodoxin Rescriptor Retrovir IV Infusion ANTHELMINTICS Reyataz PREFERRED Ribasphere Albenza Ribasphere Ribapak Stromectol Ribatab NON PREFERRED Selzentry Biltricide Sovaldi Stribild MISC. ANTI-INFECTIVES Sustiva GENERIC Tamiflu atovaquone Tivicay aztreonam Truvada bacitracin Valcyte clindamycin palmitate HCL Victrelis clindamycin phosphate Videx Pediatric clindamycin phosphate add-vantage


clindamycin phosphate pharmacy bulk package melphalan hydrochloride clindamycin phosphate IN D5W oxaliplatin clindamycin HCL temozolomide colistimethate sodium Lomustine imipenem/cilastatin PREFERRED meropenem Alkeran metronidazole Bicnu metronidazole IN NACL 0.79% Busulfex polymyxin b sulfate Gliadel Wafer sulfamethoxazole/trimethoprim Hexalen sulfamethoxazole/trimethoprim DS Leukeran tinidazole Mustargen trimethoprim Myleran vancomycin HCL Treanda Dapsone Valchlor PREFERRED Zanosar Alinia NON PREFERRED Cayston Carboplatin Dalvance Ceenu Nebupent Cisplatin Tygacil Cyclophosphamide Xifaxan Eloxatin Zyvox Ifex NON PREFERRED Ifosfamide Azactam Temodar Azactam IN Iso-osmotic Dextrose Bacitracin ANTIBIOTICS Bactrim GENERIC Bactrim DS bleomycin sulfate Chloramphenicol Sodium Succinate daunorubicin HCL Cleocin doxorubicin HCL Cleocin IN D5W doxorubicin HCL liposome Cleocin Pediatric Granules epirubicin HCL Cleocin Phosphate idarubicin HCL Clindamycin Phosphate mitomycin Coly-mycin M mitoxantrone HCL Cubicin PREFERRED Doribax Daunoxome First-vancomycin 25 Valstar First-vancomycin 50 NON PREFERRED Flagyl Adriamycin Flagyl ER Cosmegen Invanz Doxil Ketek Ellence Lincocin Epirubicin HCL Mepron Idamycin PFS Merrem Metro IV ANTINEOPLASTIC ENZYMES Neutrexin PREFERRED Orbactiv Elspar Pentam 300 Erwinaze Primaxin IV Oncaspar Primaxin IV Add-vantage Primsol ANTIMETABOLITES Sivextro GENERIC Sulfamethoxazole/Trimethoprim azacitidine Synercid capecitabine Tindamax cladribine Vancocin HCL cytarabine Vancomycin HCL cytarabine aqueous Vancomycin HCL IN Dextrose decitabine Vibativ floxuridine

fludarabine phosphate ANTINEOPLASTICS, ETC fluorouracil ALKYLATING AGENTS gemcitabine HCL

GENERIC mercaptopurine carboplatin methotrexate cisplatin methotrexate sodium ifosfamide


PREFERRED Trelstar Mixject Alimta Vantas Arranon Xtandi Clolar Zoladex Depocyt Zytiga Folotyn NON PREFERRED Purixan Arimidex Tabloid Aromasin Trexall Casodex NON PREFERRED Femara Cytarabine Megace Oral Dacogen Fludara IMMUNOMODULATORS Fludarabine Phosphate GENERIC Gemcitabine azathioprine Gemzar cyclosporine Purinethol cyclosporine modified Vidaza mycophenolate mofetil Xeloda mycophenolic acid DR

sirolimus ANGIOGENESIS INHIBITORS tacrolimus

PREFERRED PREFERRED Avastin Azasan Cyramza Pomalyst Zaltrap Rapamune

Revlimid ANTIBODIES Thalomid

PREFERRED Adcetris Arzerra Bexxar Erbitux Gazyva Herceptin Kadcyla Perjeta Rituxan Vectibix Yervoy Zevalin Y-90 NON PREFERRED Keytruda

NON PREFERRED Astagraf XL Atgam Cellcept Cellcept Intravenous Cyclosporine Modified Imuran Myfortic Neoral Nulojix Prograf Sandimmune Simulect Thymoglobulin Zortress

HORMONAL AGENTS

GENERIC anastrozole bicalutamide exemestane flutamide letrozole leuprolide acetate megestrol acetate tamoxifen citrate PREFERRED Depo-provera Eligard Emcyt Fareston Faslodex Firmagon Lupron Depot Lysodren Megestrol Acetate Nilandron Soltamox Trelstar Depot Trelstar Depot Mixject Trelstar LA Trelstar LA Mixject

MITOTIC INHIBITORS GENERIC etoposide paclitaxel vincristine sulfate vinorelbine tartrate PREFERRED Abraxane Docefrez Etopophos Halaven Ixempra Kit Jevtana Marqibo Taxotere Teniposide Vumon NON PREFERRED Docetaxel Etoposide Navelbine Paclitaxel Vinblastine Sulfate

ENZYME INHIBITORS


PREFERRED Sylatron Afinitor Synribo Afinitor Disperz Targretin Bosulif Theracys Caprelsa Tice Bcg Cometriq Trisenox Gilotrif Uvadex Gleevec NON PREFERRED Iclusig Dacarbazine Imbruvica Hydrea Inlyta Nipent Istodax Jakafi CHEMOTHERAPY RESCUE Kyprolis GENERIC Mekinist amifostine Nexavar dexrazoxane Sprycel leucovorin calcium Stivarga mesna Sutent PREFERRED Tafinlar Fusilev Tarceva Totect Tasigna Voraxaze Torisel NON PREFERRED Tykerb Calcium Folinate Velcade Ethyol Votrient Leucovorin Calcium Xalkori Mesnex Zelboraf Zinecard Zolinza Zykadia CHEMOTHERAPY ADJUNCTS NON PREFERRED PREFERRED Beleodaq Elitek Zydelig Kepivance

TOPOISOMERASE I INHIBITOR ANTINEOPLASTIC COMBO

GENERIC NON PREFERRED irinotecan Ifosfamide/Mesna topotecan HCL NON PREFERRED CARDIOVASCULAR DRUGS Camptosar PHOSPHODIESTERASE INHBTR Hycamtin GENERIC Irinotecan milrinone lactate Topotecan HCL milrinone IN dextrose

RADIOPHARMACEUTICALS CARDIAC GLYCOSIDES

PREFERRED GENERIC Bexxar 131 Iodine digoxin Metastron NON PREFERRED Quadramet Digoxin NON PREFERRED Lanoxin Xofigo Lanoxin Pediatric

CELLULAR IMMUNOTHERAPY ANTIANGINAL AGENTS

PREFERRED GENERIC Provenge isosorbide dinitrate

isosorbide dinitrate ER ANTINEOPLASTICS MISC. isosorbide mononitrate

GENERIC isosorbide mononitrate ER dacarbazine nitroglycerin hydroxyurea nitroglycerin lingual tretinoin nitroglycerin transdermal PREFERRED nitroglycerin IN dextrose 5% Actimmune nitroglycerin IN 5% dextrose Alferon N PREFERRED Intron-a Dilatrate SR Intron-a W/Diluent Nitro-bid Matulane Nitrostat Photofrin Ranexa Proleukin


NON PREFERRED Verapamil HCL Imdur NON PREFERRED Isordil Titradose Adalat CC Isosorbide Dinitrate Calan Nitro-dur Calan SR Nitroglycerin Cardene I.v. Nitroglycerin IN Dextrose 5% Cardene IV Nitroglycerin Lingual Cardene SR Nitrolingual Pumpspray Cardizem Nitromist Cardizem CD Nitronal Cardizem LA

Cleviprex BETA BLOCKERS Dilacor XR

GENERIC acebutolol HCL atenolol betaxolol HCL bisoprolol fumarate carvedilol esmolol HCL labetalol HCL metoprolol succinate ER metoprolol tartrate nadolol pindolol propranolol HCL propranolol HCL ER sotalol HCL sotalol HCL (AF)

Diltiazem HCL Hypertenipine-2.5 Isoptin SR Isradipine Nisoldipine Nisoldipine ER Norvasc Nymalize Procardia Procardia XL Sular Tiazac Verelan Verelan PM

ANTIARRHYTHMICS

PREFERRED GENERIC Bystolic adenosine Coreg CR amiodarone HCL NON PREFERRED disopyramide phosphate Betapace flecainide acetate Betapace AF ibutilide fumarate Brevibloc lidocaine HCL Coreg lidocaine HCL IN D5W Corgard lidocaine HCL/dextrose Hemangeol mexiletine HCL Hypertenevide-12.5 propafenone HCL Inderal LA propafenone HCL ER Inderal XL quinidine gluconate CR Innopran XL quinidine gluconate ER Kerlone quinidine sulfate Levatol Quinidine Sulfate Lopressor PREFERRED Propranolol HCL Tikosyn Sectral NON PREFERRED Tenormin Adenocard Timolol Maleate Amiodarone HCL Toprol XL Cordarone Trandate Corvert Zebeta Lidocaine HCL

Multaq CALCIUM CHANNEL BLOCKERS Nexterone

GENERIC amlodipine besylate diltiazem CD diltiazem HCL diltiazem HCL ER felodipine ER nicardipine HCL nifedipine nifedipine ER nimodipine nisoldipine

Norpace Norpace CR Procainamide HCL Quinidine Gluconate Quinidine Sulfate ER Rythmol Rythmol SR Tambocor Xylocaine

ACE INHIBITORS

verapamil HCL GENERIC verapamil HCL ER benazepril HCL verapamil HCL SR captopril


enalapril maleate Nitropress enalaprilat Phentolamine Mesylate fosinopril sodium Reserpine lisinopril Tenex moexipril HCL Vecamyl perindopril erbumine quinapril HCL ANTIHYPERTENSIVE COMBO ramipril GENERIC trandolapril amlodipine besylate/benazepril hydrochloride NON PREFERRED amlodipine besylate/benazepril HCL Accupril atenolol/chlorthalidone Aceon benazepril HCL/hydrochlorothiazide Altace bisoprolol fumarate/hydrochlorothiazide Epaned candesartan cilexetil/hydrochlorothiazide Lotensin enalapril maleate/hydrochlorothiazide Mavik fosinopril sodium/hydrochlorothiazide Prinivil irbesartan/hydrochlorothiazide Univasc lisinopril/hydrochlorothiazide Vasotec losartan potassium/hydrochlorothiazide Zestril metoprolol/hydrochlorothiazide

moexipril/hydrochlorothiazide ANGIOTENSIN RCPTR BLOCKER nadolol/bendroflumethiazide

GENERIC quinapril/hydrochlorothiazide candesartan cilexetil telmisartan/amlodipine eprosartan mesylate telmisartan/hydrochloroth irbesartan telmisartan/hydrochlorothiazide losartan potassium valsartan/hydrochlorothiazide telmisartan PREFERRED valsartan Amturnide PREFERRED Azor Benicar Benicar HCT NON PREFERRED Exforge Atacand Exforge HCT Avapro Tarka Cozaar Tekamlo Diovan Tekturna HCT Edarbi Tribenzor Micardis NON PREFERRED Teveten Accuretic

Atacand HCT DIRECT RENIN INHIBITORS Avalide

PREFERRED Tekturna

ANTIHYPERTENSIVES MISC.

GENERIC clonidine HCL doxazosin mesylate eplerenone fenoldopam mesylate guanfacine HCL hydralazine HCL methyldopa minoxidil prazosin HCL terazosin HCL PREFERRED Demser Dibenzyline NON PREFERRED Cardura Catapres Catapres-tts-1 Catapres-tts-2 Catapres-tts-3 Corlopam Inspra Methyldopate HCL Minipress

DIURETICS

Captopril/Hydrochlorothiazide Clorpres Corzide Diovan HCT Dutoprol Edarbyclor Hypertensolol Hyzaar Lopressor HCT Lotensin HCT Lotrel Lytensopril Kit Lytensopril-90 Lytensopril-90 Kit Methyldopa/Hydrochlorothiazide Micardis HCT Propranolol/Hydrochlorothiazide Tenoretic 100 Tenoretic 50 Teveten HCT Twynsta Uniretic Vaseretic Zestoretic Ziac


GENERIC Northera acetazolamide Phenylephrine HCL acetazolamide sodium acetazolamide ER ANTIHYPERLIPIDEMICS amiloride HCL GENERIC amiloride/hydrochlorothiazide atorvastatin calcium bumetanide cholestyramine chlorothiazide cholestyramine light chlorothiazide sodium colestipol HCL furosemide colestipol HCL for oral suspension hydrochlorothiazide fenofibrate indapamide fenofibrate micronized mannitol fenofibric acid DR methazolamide fluvastatin metolazone gemfibrozil spironolactone lovastatin spironolactone/hydrochlorothiazide niacin ER torsemide omega-3-acid ethyl esters triamterene/hydrochlorothiazide pravastatin sodium Chlorothiazide simvastatin Chlorthalidone PREFERRED Triamterene/Hydrochlorothiazide Crestor NON PREFERRED Fenofibrate Acetazolamide Juxtapid Aldactazide Lipofen Aldactone Liptruzet Demadex Simcor Diamox Vascepa Diuril Vytorin Dyazide Welchol Dyrenium Zetia Edecrin NON PREFERRED Furosemide Advicor Introl Altoprev Lasix Antara Maxzide Colestid Maxzide-25 Colestid Flavored Methyclothiazide Fenofibric Acid Microzide Fenoglide Neptazane Fibricor Sodium Diuril Kynamro Sodium Edecrin Lescol Torsemide Lescol XL Zaroxolyn Lipitor

Livalo VASOPRESSORS Lofibra

GENERIC Lopid dobutamine HCL Lovaza dobutamine HCL/D5W Mevacor dobutamine/dextrose 5% Niacor dopamine HCL Niaspan dopamine HCL-dextrose 5% Pravachol dopamine HCL/dextrose 5% Questran dopamine/D5W Questran Light ephedrine sulfate Tricor midodrine HCL Triglide norepinephrine bitartrate Trilipix phenylephrine HCL Zocor PREFERRED Auvi-q CARDIOVASCULAR - MISC. Epipen 2-PAK GENERIC Epipen-JR 2-PAK amlodipine besylate/atorvastatin calcium NON PREFERRED epoprostenol sodium Adrenaclick papaverine HCL Adrenalin sildenafil Dobutamine/Dextrose 5% sildenafil citrate Dopamine HCL PREFERRED Epinephrine Adcirca Levophed Adempas


Caverject Benzefoam Caverject Impulse Benzefoamultra Cialis Benziq Edex Benziq LS Letairis Clarifoam EF Muse Cleocin-t Opsumit Clindacin Etz Remodulin Clindacin PAC Tracleer Clindagel Tyvaso Differin Tyvaso Refill Duac Tyvaso Starter Erygel Veletri Evoclin Ventavis Fabior Viagra Inova NON PREFERRED Inova 4/1 Acne Control Therapy Bidil Inova 8/2 Acne Control Therapy Caduet Klaron Flolan Lavoclen-4 Creamy Wash Levitra Lavoclen-8 Creamy Wash Natrecor Neuac Kit Orenitram Nuox Revatio Plexion Staxyn Plexion Cleanser Stendra Plexion Cleansing Cloths

Retin-a DERMATOLOGICALS Retin-a Micro ACNE PRODUCTS GENERIC

adapalene benzoyl peroxide benzoyl peroxide SHORT contact clindamycin phosphate clindamycin/benzoyl peroxide erythromycin erythromycin/benzoyl peroxide sodium sulfacetamide sodium sulfacetamide/sulfur sodium sulfacetamide/sulfur cleanser sodium sulfacetamide/sulfur cleansing cloths sodium sulfacetamide/sulfur green sodium sulfacetamide/sulfur w/sunscreen sodium sulfacetamide/sulfur wash sulfacetamide sodium sulfacetamide sodium/sulfur cleanser tretinoin tretinoin microsphere tretinoin microsphere P.M. Claravis PREFERRED Acanya Atralin Epiduo Ziana NON PREFERRED Absorica Aczone Akne-mycin Avar Avar LS Avar LS Cleanser Avar-e LS Azelex Benzac Ac Wash Benzac W Wash Benzaclin Benzaclin With P.M. Benzamycin Benzamycinpak

Retin-a Micro P.M. Riax Rosanil Sodium Sulfacetamide/Sulfur Sodium Sulfacetamide/Sulfur Cleanser IN Urea Sodium Sulfacetamide/Sulfur IN Urea Sulfoam Sumadan Kit Sumadan Wash Sumadan XLT Sumaxin Sumaxin CP Kit Sumaxin Ts Sumaxin Wash Tretin-x Vanoxide-HC Veltin Zacare 4% Kit Zacare 8% Kit

ROSACEA AGENTS

GENERIC metronidazole PREFERRED Finacea Mirvaso Oracea NON PREFERRED Metrocream Metrogel Metrolotion Noritate Rosadan Kit

ANTIBIOTICS - TOPICAL

GENERIC mupirocin mupirocin calcium Centany NON PREFERRED Altabax Bactroban


Centany AT K.b.g.l. IN Teroderm Cream Cortisporin Lidoprofen Gentamicin Sulfate Pennsaid Neo-synalar Vopac Neo-synalar Kit Vopac GB

Vopac Kt ANTIFUNGALS - TOPICAL

GENERIC ANTIPRURITICS

ciclopirox NON PREFERRED ciclopirox nail lacquer Prudoxin ciclopirox olamine Zonalon clotrimazole clotrimazole/betamethasone dipropionate ANTIPSORIATICS econazole nitrate GENERIC ketoconazole acitretin nystatin calcipotriene nystatin/triamcinolone methoxsalen PREFERRED Calcitriol Nystatin PREFERRED Nystatin Domestic Tazorac Nystatin Foreign 8-mop NON PREFERRED NON PREFERRED Ciclodan Cream Kit Dovonex Ciclodan Solution Kit Dritho-creme HP Ciclopirox Topical Solution Kit Oxsoralen Ultra Cnl8 Nail Kit Soriatane Ecoza Sorilux Ertaczo Stelara Exelderm Vectical Extina Zithranol Halotin Zithranol-rr Jublia Kerydin ANTISEBORRHEIC AGENTS Ketodan Kit GENERIC Lamisil Spray selenium sulfide Loprox sodium sulfacetamide Loprox Shampoo sodium sulfacetamide wash Lotrisone NON PREFERRED Luzu Glycolic Acid Mentax Glycolic Acid 70% High Purity Naftin Ovace Plus Nizoral Ovace Plus Wash Oxistat Ovace Wash Pediaderm AF Complete Kit Promiseb Pedipirox-4 Nail Promiseb Complete Penlac Nail Lacquer Seb-prev Vusion Selenium Sulfide Xolegel Selrx Xolegel Corepak Selsun Shampoo Xolegel Duo/Head & Shoulders Sodium Sulfacetamide/Urea Xolegel Duo/Xolex Tersi Foam

TL Triseb ANTIVIRALS - TOPICAL

GENERIC CORTICOSTEROIDS - TOPICAL acyclovir GENERIC PREFERRED alclometasone dipropionate Denavir amcinonide NON PREFERRED augmented betamethasone dipropionate Lidovir betamethasone dipropionate Xerese betamethasone valerate Zovirax calcipotriene/betamethasone dipropionate

clobetasol propionate ANTI-INFLAMMATORY AGENTS clobetasol propionate emollient

GENERIC desonide diclofenac sodium desoximetasone PREFERRED diflorasone diacetate Voltaren fluocinolone acetonide NON PREFERRED fluocinonide Flector fluocinonide emollient base


fluocinonide-e Taclonex fluticasone propionate Temovate halobetasol propionate Temovate E hydrocortisone Texacort hydrocortisone acetate/aloe Topicort hydrocortisone butyrate Triamcinolone Acetonide hydrocortisone butyrate (lipid) Trianex hydrocortisone butyrate (lipophilic) U-cort hydrocortisone valerate Ultravate hydrocortisone IN absorbase Ultravate PAC mometasone furoate Ultravate X prednicarbate Vanos triamcinolone acetonide Verdeso Apexicon E Westcort Desoximetasone PREFERRED IMMUNOMODULATING AGENTS Pramosone GENERIC Pramosone E imiquimod Tucks Anti-itch PREFERRED NON PREFERRED Elidel Aclovate Protopic Ala Scalp NON PREFERRED Amcinonide Aldara Capex Zyclara Carmol-HC Zyclara P.M. Clobex Clocortolone Pivalate DERMATOLOGICALS - MISC. Clocortolone Pivalate P.M. GENERIC Clodan Kit ammonium lactate Cloderm episone CRE Cloderm P.M. lactic acid Cordran lactic acid e Cordran Tape lactic acid w/vitamin e Cutivate lidocaine Derma-smoothe/FS Body lidocaine HCL Derma-smoothe/FS Body Oil lidocaine HCL jelly Derma-smoothe/FS Scalp lidocaine/prilocaine Derma-smoothe/FS Scalp Oil lindane Dermasorb HC malathion Dermasorb Ta permethrin Dermatop podofilox Desonate salicylic acid Desowen salicylic acid cream Desowen Cream/Cetaphil Lotion salicylic acid lotion Desowen Lotion/Cetaphil Cream sodium hyaluronate Desowen Ointment/Cetaphil Lotion urea Diflorasone Diacetate urea topical Diprolene urea IN zinc undecylenate/lactic acid vehicle Diprolene AF urea 40% nail film Elocon Cem-urea Epifoam PREFERRED First-hydrocortisone Condylox Halog Oxsoralen Halonate NON PREFERRED Kenalog Aluvea Locoid Anacaine Locoid Lipocream Arnica Flower Luxiq Atopiclair Nucort Aurstat Nuzon Aurstat Anti-itch Hydrogel Olux Aurstat Anti-itch Hydrogel Kit Olux-e Benzoin Compound Tincture Pandel Benzoin Tincture Pediaderm HC Boric Acid Pediaderm Ta Coal TAR Scalacort DK Cocaine HCL Synalar Dermasorb XM Synalar Cream Kit Drysol Synalar Ointment Kit Elenzapatch Synalar Ts


Eletone Umecta Eletone Twinpack Umecta Nail Film Elimite Umecta PD Emla Uramaxin Emulsion SB Uramaxin GT Epiceram Uramaxin GT Kit Ethyl Chloride Utopic Ethyl Chloride/Fine Pinpoint Veregen Ethyl Chloride/Fine Stream Vexa Ethyl Chloride/Medium Jet Stream Virasal Ethyl Chloride/Medium Stream Witch Hazel Ethyl Chloride/Mist Xclair Eurax Xerac Ac Gebauers Pain Ease Xylocaine Gebauers Spray And Stretch Genadur ENDOCRINE AND METABOLIC Genadur Kit CORTICOSTEROIDS Gordofilm GENERIC Gordons Urea betamethasone sodium phosphate/betamethasone Hydro 35 acetate Hydro 40 Foam budesonide Hylatopic dexamethasone Hylatopic Plus dexamethasone sodium phosphate Hylira fludrocortisone acetate HPR hydrocortisone HPR Plus methylprednisolone HPR Plus/Mb Hydrogel methylprednisolone acetate Kerafoam methylprednisolone dose pack Kerafoam 42 methylprednisolone sodiumsuccinate Keralac prednisolone Keralyt prednisolone sodium phosphate Keralyt Scalp prednisone Lac-hydrin A-hydrocort Latrix XM Dexamethasone Sodium Phosphate Lidocaine HCL PREFERRED Lidocaine/Prilocaine Uceris Lidoderm NON PREFERRED Lycelle Aristospan Intra-articular Mb Hydrogel Aristospan Intralesional Medi-derm/L-RX Celestone Natroba Celestone-soluspan Neosalus Cortef Neosalus CP Cortisone Acetate Nivatopic Plus Depo-medrol Nuvail Dexamethasone Ovide Dexamethasone Intensol Pliaglis Dexpak 10 Day Pr Cream Dexpak 13 Day Presera Dexpak 6 Day Pruclair Entocort EC Prumyx FLO-pred Pyrogallic Acid Interarticular Joint Kit Qutenza Kenalog-10 Salex Kenalog-40 Salex Cream Medrol Salex Lotion Medrol Dosepak Salicylic Acid Millipred Salicylic Acid IN Ammonium Lactate Vehicle Millipred DP Salkera Orapred Salvax Orapred Odt Salvax Duo Plus Pediapred Sklice Prednisolone Sodium Phosphate Spinosad Prednisone Sulfurated Lime Prednisone Intensol Synera Prelone Tetrix Rayos Tropazone Solu-cortef TL-cermide Solu-medrol Ulesfia Veripred 20 Ultrasal-ER


ANDROGENS-ANABOLIC GENERIC

ESTROGENS

GENERIC danazol oxandrolone testosterone cypionate testosterone enanthate Testosterone Testosterone P.M. PREFERRED Androgel Androgel P.M. Androxy Axiron NON PREFERRED Anadrol-50 Androderm Android Aveed Depo-testosterone First-testosterone First-testosterone Mc Compounding Kit Fortesta Oxandrin Striant Testim Testopel Testred Vogelxo Vogelxo P.M. GENERIC estradiol estradiol valerate estradiol/norethindrone acetate estropipate Jinteli PREFERRED Alora Cenestin Combipatch Enjuvia Evamist Minivelle Premphase Prempro Vivelle-dot NON PREFERRED Activella Angeliq Climara Climara Pro Delestrogen Depo-estradiol Divigel Duavee Elestrin Estrace Estrasorb Estrogel Estropipate Femhrt Low Dose Menest Menostar Prefest Premarin

PROGESTINS

desogestrel/ethinyl estradiol drospirenone/ethinyl estradiol levonorgestrel levonorgestrel and ethinyl estradiol levonorgestrel/ethinyl estradiol norethindrone norethindrone acetate/ethinyl estradiol norethindrone acetate/ethinyl estradiol/ferrous fumarate norgestimate/ethinyl estradiol Ogestrel PREFERRED Beyaz Loestrin 24 FE Lomedia 24 FE LO Loestrin FE Minastrin 24 FE Natazia Safyral NON PREFERRED Amethyst Brevicon-28 Cyclessa Desogen Ella Estrostep FE Falessa Femcon FE Generess FE Loestrin FE 1.5/30 Loestrin FE 1/20 Loestrin 1.5/30-21 Loestrin 1/20-21 Loseasonique LO Minastrin FE Mircette Modicon Necon 1/50-28 Necon 10/11-28 Nor-QD Nordette-28 Norinyl 1+35 Norinyl 1+50 Ortho Micronor Ortho Tri-cyclen Ortho Tri-cyclen LO Ortho-cept Ortho-cyclen Ortho-novum 1/35 Ortho-novum 7/7/7 Ovcon-35 Plan B Plan B One-step Quartette Seasonique Tri-norinyl 28 Yasmin 28 Yaz Zovia 1/50e GENERIC medroxyprogesterone acetate norethindrone acetate progesterone PREFERRED Makena

CONTRACEPTIVES NON PREFERRED Aygestin


Megace ES BIGUANIDES Prometrium GENERIC Provera metformin HCL

metformin HCL ER ANTIDIABETIC AGENTS PREFERRED INSULIN

PREFERRED Lantus Lantus Solostar Novolin N Novolin N Relion Novolin R Novolin R Relion Novolin 70/30 Novolin 70/30 Relion Novolog Novolog Flexpen Novolog Mix 70/30 Novolog Mix 70/30 Prefilled Flexpen Novolog Penfill NON PREFERRED Apidra Apidra Solostar Humalog Humalog Kwikpen Humalog Mix 50/50 Humalog Mix 50/50 Kwikpen Humalog Mix 75/25 Humalog Mix 75/25 Kwikpen Humulin N Humulin N Kwikpen Humulin N U-100 Pen Humulin R Humulin R U-500 (concentrated) Humulin 70/30 Humulin 70/30 Kwikpen Humulin 70/30 Pen Levemir Levemir Flexpen Levemir Flextouch Relion R

Riomet NON PREFERRED Fortamet Glucophage Glucophage XR Glumetza

MEGLITINIDE ANALOGUES GENERIC nateglinide repaglinide NON PREFERRED Prandin Starlix

DIABETIC OTHER PREFERRED Glucagen Glucagen Hypokit Glucagon Emergency Kit Invokana Proglycem NON PREFERRED Farxiga Jardiance Korlym

ALPHA-GLUCOSIDASE INHIBIT GENERIC acarbose NON PREFERRED Glyset Precose

DPP-4 INHIBITORS PREFERRED Januvia Onglyza NON PREFERRED Nesina

AMYLIN ANALOGS PREFERRED Symlinpen 120 Symlinpen 60

INCRETIN MIMETIC AGENTS PREFERRED Bydureon Byetta Victoza NON PREFERRED Tanzeum

SULFONYLUREAS GENERIC glimepiride glipizide glipizide ER glyburide glyburide micronized tolazamide Glyburide NON PREFERRED Amaryl Chlorpropamide Diabeta Glucotrol Glucotrol XL Glynase Tolazamide Tolbutamide

Tradjenta INSULIN SENSITIZING AGENT

GENERIC pioglitazone HCL NON PREFERRED Actos Avandia

ANTIDIABETIC COMBINATIONS GENERIC glipizide/metformin HCL glyburide/metformin HCL pioglitazone HCL-glimepiride pioglitazone HCL/metformin HCL PREFERRED Actoplus Met XR Janumet Janumet XR Juvisync Kombiglyze XR Prandimet NON PREFERRED Actoplus Met Appformin Appformin-d Avandamet Avandaryl Duetact Glucovance Invokamet Jentadueto Kazano


Oseni Ovidrel LHRH/GNRH AGONIST

PREFERRED BISPHOSPHONATES Lupron Depot-PED

GENERIC Supprelin LA alendronate sodium Synarel ibandronate sodium NON PREFERRED pamidronate disodium Lupaneta Pack risedronate sodium zoledronic acid GNRH/LHRH ANTAGONISTS PREFERRED PREFERRED Fosamax Plus D Cetrotide NON PREFERRED Ganirelix Acetate Actonel Alendronate Sodium Atelvia GROWTH HORMONES PREFERRED Binosto Norditropin Cartridge Boniva Norditropin Flexpro Etidronate Disodium Norditropin Nordiflex Pen Fosamax Nutropin Pamidronate Disodium Nutropin AQ Nuspin 10 Reclast Nutropin AQ Nuspin 20 Zoledronic Acid Nutropin AQ Nuspin 5 Zometa Nutropin AQ Pen

NON PREFERRED CALCITONINS Genotropin

GENERIC Genotropin Miniquick calcitonin salmon Humatrope calcitonin-salmon Humatrope Combo Pack NON PREFERRED Omnitrope Fortical Saizen Miacalcin Saizen Click.easy

Serostim PARATHYROID HORMONE Tev-tropin

PREFERRED Zorbtive Forteo

GHRH RANK LIGAND INHIBITORS NON PREFERRED

PREFERRED Egrifta Xgeva NON PREFERRED SOMATOMEDINS Prolia NON PREFERRED

Increlex CALCIUM REGULATORS - MISC

NON PREFERRED SOMATOSTATIC AGENTS Ganite GENERIC

octreotide acetate HORMONE RECEPTOR MDLTR PREFERRED

GENERIC Sandostatin Lar Depot raloxifene hydrochloride Signifor NON PREFERRED Somatuline Depot Evista NON PREFERRED Osphena Sandostatin

FERTILITY REGULATORS GH RECEPTOR ANTAGONISTS

GENERIC PREFERRED chorionic gonadotropin Somavert clomiphene citrate PREFERRED POSTERIOR PITUITARY Bravelle GENERIC Follistim AQ desmopressin acetate Repronex vasopressin NON PREFERRED PREFERRED Gonal-f Stimate Gonal-f RFF NON PREFERRED Gonal-f RFF Pen Ddavp Gonal-f RFF Rediject Pitressin Synthetic Menopur


CORTICOTROPIN Tirosint PREFERRED H.p. Acthar

PROLACTIN INHIBITORS

GENERIC cabergoline

Triostat Westhroid Westhroid-p Wp Thyroid

GASTROINTESTINAL LAXATIVES

VASOPRESSIN ANTAGONISTS GENERIC PREFERRED lactulose Samsca peg 3350/electrolytes NON PREFERRED peg-3350/electrolytes Vaprisol peg-3350/NACL/NA bicarbonate/KCL

polyethylene glycol 3350 PROGESTERONE ANTAGONISTS PREFERRED

NON PREFERRED Mifeprex

METABOLIC MODIFIERS

GENERIC calcitriol doxercalciferol levocarnitine paricalcitol sodium phenylbutyrate PREFERRED Aldurazyme Carbaglu Cystadane Elaprase Fabrazyme Kuvan Lumizyme Myalept Myozyme Naglazyme Orfadin Ravicti Sensipar Vimizim NON PREFERRED Ammonul Buphenyl Carnitor Carnitor SF Hectorol Rocaltrol

Halflytely Bowel Prep/Flavor Packs Moviprep Suclear Suprep Bowel Prep NON PREFERRED Cascara Sagrada Colyte-flavor Packs Golytely Kristalose Mineral Oil Heavy Nulytely/Flavor Packs Osmoprep Prepopik

ANTIDIARRHEALS GENERIC

diphenoxylate/atropine loperamide HCL opium opium tincture NON PREFERRED Diphenoxylate/Atropine Fulyzaq Lomotil Motofen Opium Tincture (paregoric) Restora RX Rezyst IM Rezyst SB Vsl#3 DS

ANTACIDS

Zemplar NON PREFERRED Sodium Bicarbonate

THYROID AGENTS GENERIC

ULCER DRUGS

levothyroxine sodium GENERIC liothyronine sodium atropine sulfate methimazole cimetidine propylthiouracil cimetidine HCL PREFERRED dicyclomine HCL Armour Thyroid esomeprazole sodium NON PREFERRED famotidine Cytomel glycopyrrolate Levothyroxine Sodium hyoscyamine sulfate Nature-throid hyoscyamine sulfate odt Nature-throid Nt-2.5 hyoscyamine sulfate ER Synthroid hyoscyamine sulfate SR Tapazole lansoprazole Thyrolar-1 lansoprazole/amoxicillin/clarithromycin Thyrolar-1/2 methscopolamine bromide Thyrolar-1/4 misoprostol Thyrolar-2 nizatidine Thyrolar-3 omeprazole


omeprazole/sodium bicarbonate PREFERRED pantoprazole sodium Aloxi rabeprazole sodium Emend ranitidine HCL Sancuso sucralfate Transderm-scop Dicyclomine HCL NON PREFERRED Esomeprazole Sodium Anzemet Famotidine Cesamet Gastrinex NF Diclegis PREFERRED Dimenhydrinate Carafate Granisol Nexium Marinol Nexium 24HR Tigan Pylera Zofran NON PREFERRED Zofran Odt Aciphex Zuplenz Aciphex Sprinkle Anaspaz DIGESTIVE AIDS Atropen PREFERRED Atropine Sulfate Creon Axid Pancrelipase Belladonna & Opium Sucraid Belladonna Alkaloids & Opium Viokace Bentyl NON PREFERRED Cantil Pancreaze Cuvposa Pertzye Cytotec Ultresa Deprizine Fusepaq Zenpep Dexilant Digex NF GASTROINTESTINAL - MISC. Esomeprazole Strontium GENERIC Famotidine Premixed balsalazide disodium First-lansoprazole calcium acetate First-omeprazole cromolyn sodium Gabitidine hydrocort ene 100MG Glycate hydrocortisone Helidac hydrocortisone acetate/lidocaine HCL Levbid hydrocortisone acetate/pramoxine Levsin lactulose Levsin/SL lidocaine HCL/hydrocortisone acetate Nexium I.v. mesalamine Omeclamox-PAK metoclopramide HCL Omeprazole + Syrspend SF Alka sulfasalazine Pamine ursodiol Pamine Forte PREFERRED Pamine FQ Amitiza Pepcid Analpram Advanced Prevacid Asacol HD Prevacid Solutab Canasa Prevpac Chenodal Prilosec Cimzia Propantheline Bromide Cimzia Starter Kit Protonix Cortifoam Robinul Delzicol Robinul Forte Fosrenol Scopolamine Hydrobromide Lialda Sentradine Linzess Symax Duotab Lotronex Zantac Pentasa Zegerid Proctofoam HC

Rectiv ANTIEMETICS Relistor

GENERIC Renvela dronabinol Sevelamer Carbonate granisetron HCL NON PREFERRED meclizine HCL Actigall ondansetron odt Analpram-HC ondansetron HCL Analpram-HC Singles trimethobenzamide HCL Anusol-HC


Apriso Vesicare Azulfidine NON PREFERRED Azulfidine EN-TABS Detrol Colazal Detrol LA Cortenema Ditropan XL Dexpanthenol Enablex Dipentum Sanctura Eliphos Sanctura XR Entereg Urecholine Entyvio Gastrocrom VAGINAL PRODUCTS Gattex GENERIC Giazo clindamycin phosphate Lidocaine HCL-hydrocortisone Acetate With Aloe metronidazole vaginal Metozolv Odt terconazole Phoslo PREFERRED Phoslyra Clindesse Procort Crinone Proctocort Endometrin Reglan Estrace Remicade Estring Renagel Vagifem Rowasa NON PREFERRED Sfrowasa Avc Urso Forte Cleocin Urso 250 Fem PH Velphoro Femring

First-progesterone VGS 100 Compounding Kit GENITOURINARY First-progesterone VGS 200 Compounding Kit URINARY ANTI-INFECTIVES

GENERIC methenamine hippurate methenamine mandelate nitrofurantoin nitrofurantoin macrocrystals nitrofurantoin monohydrate nitrofurantoin monohydrate/macrocrystals NON PREFERRED Furadantin Hiprex Macrobid Macrodantin Methenamine Mandelate Monurol Prosed/DS Urelle Uretron D/S Urex Uribel Urimar-t Urogesic-blue Uroqid #2

URINARY ANTISPASMODICS

GENERIC bethanechol chloride flavoxate HCL oxybutynin chloride oxybutynin chloride ER tolterodine tartrate tolterodine tartrate ER trospium chloride trospium chloride ER PREFERRED Gelnique Myrbetriq Oxytrol Oxytrol For Women Toviaz

First-progesterone VGS 25 Compounding Kit First-progesterone VGS 400 Compounding Kit First-progesterone VGS 50 Compounding Kit Gynazole-1 Metrogel-vaginal Premarin Relagard Terazol 3 Terazol 7

GENITOURINARY - MISC.

GENERIC alfuzosin HCL ER citric acid/sodium citrate finasteride hydrochloric acid phenazopyridine HCL potassium citrate ER potassium citrate-citric acid crystals tamsulosin HCL PREFERRED Cystagon Elmiron Procysbi Rapaflo Renacidin NON PREFERRED Avodart Cardura XL Citrolith Cytra-3 Flomax Jalyn K-phos NO 2 Lithostat Oracit Proscar Pyridium Shohls Solution Modified Thiola


Tricitrates Integra Plus Urocit-k 10 Irospan 24/6 Urocit-k 15 Is 24/6 Urocit-k 5 Maxaron Forte Uroxatral Maxfe

Multigen HEMATOLOGICAL Multigen Folic HEMATOPOIETIC AGENTS

GENERIC cyanocobalamin folic acid

Multigen Plus MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac

folic acid/vitamin b-6/vitamin b-12 Natalvirt Flt sodium ferric gluconate complex/sucrose Nephron Fa Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc

Novaferrum Omontys

PREFERRED Pre-folic Cerezyme Proferrin-forte Cyanocobalamin Protectiron Droxia Tandem F Elelyso Tandem Plus Feraheme Zavesca Ferrex 150 Forte Plus Ferrex 28 Leukine Mozobil Nascobal Neulasta Neumega Neupogen Nplate Procrit Promacta

ANTICOAGULANTS GENERIC argatroban enoxaparin sodium fondaparinux sodium heparin lock heparin lock flush heparin lock flush for flushing vascular access devices heparin lock flush/NACL for flushing vascular access devices

Venofer heparin sodium Vpriv heparin sodium dcu NON PREFERRED heparin sodium lock flush Albafort heparin sodium/sodium chloride 0.9% premix Animi-3 heparin sodium/D5W Animi-3/Vitamin D heparin sodium/NACL 0.9% Aranesp Albumin Free warfarin sodium B-6 Folic Acid PREFERRED Biferarx Eliquis Cenfol Pradaxa Centratex Xarelto Cerdelga NON PREFERRED Corvite 150 Angiomax Divista Argatroban Ed Cyte F Arixtra Epogen Coumadin Feriva Fragmin Ferivafa Heparin Lock Flush Ferralet 90 Heparin Sodium Ferrlecit Heparin Sodium/D5W Ferro-plex Hematinic Heparin Sodium/NACL 0.45% Ferrotrin Heparin Sodium/Sodium Chloride 0.9% Folgard RX Iprivask Folic Acid Lovenox Folivane-f Folivane-plus HEMOSTATICS Foltrate GENERIC Fusion Plus aminocaproic acid Granix tranexamic acid Hematogen Fa NON PREFERRED Hematron-AF Amicar Hemocyte Plus Aminocaproic Acid Hemocyte-f Artiss Hydroxocobalamin Astringyn Icar-c Plus Cyklokapron Injectafer Evicel Integra F Evithrom


Lysteda Tnkase Recothrom Trental Recothrom Spray Kit Voluven Thrombin-jmi Diluent Zontivity Thrombin-jmi Epistaxis Thrombin-jmi Syringe Spray Kit MOUTH/THROAT/DENTAL AGENT Thrombin-jmi W/Dil Spray P.M. Actuator Thrombogen GENERIC Tisseel cevimeline HCL Trasylol chlorhexidine gluconate

chlorhexidine gluconate oral rinse HEMATOLOGICAL - MISC. clotrimazole

GENERIC lidocaine viscous anagrelide hydrochloride lidocaine HCL cilostazol lidocaine HCL viscous clopidogrel nystatin dipyridamole pilocarpine hydrochloride hetastarch 6%/NACL pilocarpine HCL pentoxifylline ER stannous fluoride oral rinse ticlopidine HCL triamcinolone acetonide PREFERRED triamcinolone IN orabase Advate NON PREFERRED Aggrenox Aquoral Alphanate/Von Willebrand Factor Complex/Human Caphosol Alphanine SD Debacterol Alprolix Evoxac Benefix First-bxn Mouthwash Berinert First-dukes Mouthwash Brilinta First-marys Mouthwash Corifact First-mouthwash Blm Effient Gel-kam Oral Care Rinse Feiba NF Gelclair Helixate FS Lta 360 Kit Hemofil M Nafrinse Daily/Acidulated Humate-p Nafrinse Daily/Neutral Koate-dvi Nafrinse Weekly Kogenate FS Neutrasal Kogenate FS Bio-set Numoisyn Monoclate-p Orafate Mononine Oravig Novoseven Peridex Novoseven Rt Prevident Recombinate Prothelial Riastap Salagen Soliris Tretten NEUROLOGY, CNS, PSYCH Wilate ANTIANXIETY AGENTS Xyntha GENERIC Xyntha Solofuse alprazolam NON PREFERRED alprazolam odt Activase alprazolam ER Aggrastat buspirone HCL Agrylin chlordiazepoxide HCL Cathflo Activase clorazepate dipotassium Firazyr diazepam Hespan droperidol Hextend gene-xene TAB 15MG Integrilin gene-xene TAB 3.75MG Kalbitor gene-xene TAB 7.5MG Kinlytic hydroxyzine pamoate LMD 10% Dextrose 5% hydroxyzine HCL LMD 10% Sodium Chloride 0.9% lorazepam Persantine meprobamate Plavix oxazepam Pletal Hydroxyzine Pamoate Protamine Sulfate NON PREFERRED Reopro Alprazolam Intensol Retavase Ativan Retavase Half-kit Diazepam


Diazepam Intensol Lexapro Gabavale-5 Luvox CR Gabazolamine Maprotiline HCL Gabazolamine-0.5 Marplan Hydroxyzine HCL Nardil Lorazepam Intensol Norpramin Niravam Nortriptyline HCL Sentrazolam AM 0.25 Oleptro Tranxene T Pamelor Valium Parnate Vistaril Paxil Xanax Paxil CR Xanax XR Pexeva

Prozac ANTIDEPRESSANTS Prozac Weekly

GENERIC amitriptyline HCL bupropion HCL bupropion HCL ER bupropion HCL SR bupropion HCL XL citalopram hydrobromide clomipramine HCL desipramine HCL doxepin HCL duloxetine HCL escitalopram oxalate fluoxetine DR fluoxetine HCL fluvoxamine maleate fluvoxamine maleate ER imipramine pamoate imipramine HCL mirtazapine

Remeron Remeron Soltab Sentraflox AM-10 Sentralopram AM-10 Sentravil PM-25 Sentroxatine Surmontil Tofranil Tofranil-PM Trazamine Venlafaxine HCL ER Viibryd Vivactil Wellbutrin Wellbutrin SR Wellbutrin XL Zoloft

ANTIPSYCHOTICS

mirtazapine odt GENERIC nefazodone HCL chlorpromazine HCL nortriptyline HCL clozapine paroxetine HCL fluphenazine decanoate paroxetine HCL ER fluphenazine HCL phenelzine sulfate haloperidol protriptyline HCL haloperidol decanoate sertraline HCL haloperidol lactate tranylcypromine sulfate lithium carbonate trazodone HCL lithium carbonate ER trimipramine maleate loxapine venlafaxine HCL loxapine succinate venlafaxine HCL ER olanzapine Amoxapine olanzapine odt Doxepin HCL perphenazine Nefazodone HCL prochlorperazine PREFERRED prochlorperazine edisylate Pristiq prochlorperazine maleate NON PREFERRED quetiapine fumarate Anafranil risperidone Aplenzin risperidone odt Appbutamone thioridazine HCL Appbutamone-d thiothixene Brintellix trifluoperazine HCL Celexa ziprasidone HCL Cymbalta PREFERRED Desvenlafaxine ER Abilify Effexor XR Abilify Discmelt Emsam Abilify Maintena Fetzima Latuda Fetzima Titration Pack Risperdal Consta Fluoxetine HCL Seroquel XR Forfivo XL NON PREFERRED Gaboxetine Adasuve Khedezla Chlorpromazine HCL


HYPNOTICS

Clozapine Odt Clozaril

ADHD, NARCOLEPSY, ETC. GENERIC

Compazine Equetro Fanapt Fanapt Titration Pack Fazaclo Fluphenazine HCL Geodon Haldol Haldol Decanoate 100 Haldol Decanoate 50 Invega Invega Sustenna Lithium Carbonate Lithium Citrate Lithobid Loxitane Risperdal Risperdal M-TAB Saphris Seroquel Versacloz Zyprexa Zyprexa Relprevv Zyprexa Zydis

amphetamine/dextroamphetamine caffeine citrate clonidine HCL ER dexmethylphenidate HCL dexmethylphenidate HCL ER dextroamphetamine sulfate dextroamphetamine sulfate ER doxapram HCL methamphetamine HCL methylphenidate hydrochloride methylphenidate HCL methylphenidate HCL CD methylphenidate HCL ER methylphenidate HCL SR modafinil Methylphenidate HCL ER Procentra PREFERRED Daytrana Intuniv Nuvigil Quillivant XR Strattera Vyvanse

GENERIC

NON PREFERRED Adderall Adderall XR

dexmedetomidine HCL Cafcit estazolam Caffeine/Sodium Benzoate eszopiclone Concerta flurazepam HCL Desoxyn phenobarbital Dexedrine temazepam Dopram triazolam Focalin zaleplon Focalin XR zolpidem tartrate Kapvay zolpidem tartrate ER Kapvay Dose Pack Flurazepam HCL Metadate CD Phenobarbital Methylin PREFERRED Provigil Chloral Hydrate Ritalin Hetlioz Ritalin LA Rozerem Ritalin SR NON PREFERRED Sentramodafin AM-100 Ambien Zenzedi

Ambien CR Amytal Sodium ANTICONVULSANTS Butisol Sodium GENERIC Doral carbamazepine Edluar carbamazepine ER Gabazolpidem-5 clonazepam Halcion clonazepam odt Intermezzo divalproex sodium Lunesta divalproex sodium DR Nembutal Sodium divalproex sodium ER Phenobarbital Sodium ethosuximide Precedex felbamate Quazepam fosphenytoin sodium Restoril gabapentin Seconal lamotrigine Sentrazolpidem PM-5 lamotrigine ER Silenor levetiracetam Sonata levetiracetam ER Strazepam oxcarbazepine Zolpimist phenytoin

phenytoin sodium phenytoin sodium extended


primidone carbidopa/levodopa odt tiagabine hydrochloride carbidopa/levodopa ER topiramate entacapone valproate sodium pramipexole dihydrochloride valproic acid ropinirole ER zonisamide ropinirole HCL PREFERRED selegiline HCL Banzel trihexyphenidyl HCL Celontin PREFERRED Diazepam Apokyn Fycompa Azilect Lyrica Mirapex ER Onfi NON PREFERRED Oxtellar XR Amantadine HCL Peganone Carbidopa/Levodopa/Entacapone Potiga Cogentin Tegretol-XR Comtan NON PREFERRED Eldepryl Aptiom Lodosyn Carbatrol Mirapex Cerebyx Neupro Depacon Parcopa Depakene Parlodel Depakote Requip Depakote ER Requip XL Depakote Sprinkles Sinemet Diastat Acudial Sinemet CR Diastat Pediatric Stalevo 100 Dilantin Stalevo 125 Dilantin Infatabs Stalevo 150 Felbatol Stalevo 200 Gabitril Stalevo 50 Keppra Stalevo 75 Keppra XR Tasmar Klonopin Zelapar Lamictal Lamictal Chewable Dispersible NEUROLOGY, PSYCH - MISC. Lamictal Odt GENERIC Lamictal Starter/Not Taking Carbamazepine acamprosate calcium DR Lamictal Starter/Taking Carbamazepine/Not Taking Valproate

disulfiram donepezil HCL

Lamictal Starter/Taking Valproate fluoxetine Lamictal XR galantamine Levetiracetam galantamine hydrobromide Mysoline olanzapine/fluoxetine Neurontin rivastigmine tartrate Phenytek PREFERRED Qudexy XR Ampyra Sabril Avonex Stavzor Avonex Pen Tegretol Copaxone Therapentin-60 Gralise Therapentin-90 Gralise Starter Topamax Namenda Topamax Sprinkle Namenda Titration PAK Topiramate ER Namenda XR Trileptal Namenda XR Titration Pack Trokendi XR Nuedexta Vimpat Rebif Zarontin Rebif Rebidose Zonegran Rebif Rebidose Titration Pack

Rebif Titration Pack ANTIPARKINSON AGENTS Savella

GENERIC Tecfidera amantadine HCL Tecfidera Starter Pack benztropine mesylate Xenazine bromocriptine mesylate Xyrem carbidopa NON PREFERRED carbidopa/levodopa Antabuse


Aricept Dantrium IV Aricept Odt Euflexxa Aubagio Fexmid Betaseron Flexeril Brisdelle Hyalgan Campral Lorzone Chlordiazepoxide/Amitriptyline Norflex Ergoloid Mesylates Parafon Forte DSC Exelon Prazolamine Extavia Robaxin Gilenya Robaxin-750 Horizant Ryanodex Orap Skelaxin Perphenazine/Amitriptyline Soma Razadyne Supartz Razadyne ER Therabenzaprine-60 Sarafem Therabenzaprine-90 Savella Titration Pack Therabenzaprine-90-5 Symbyax Tizanidine Comfort PAC Tysabri Zanaflex

NEUROMUSCULAR AGENTS ANTIMYASTHENIC AGENTS

GENERIC GENERIC atracurium besylate neostigmine methylsulfate cisatracurium besylate pyridostigmine bromide pancuronium bromide PREFERRED riluzole Mestinon Timespan rocuronium bromide Prostigmin vecuronium bromide NON PREFERRED NON PREFERRED Bloxiverz Anectine Enlon Botox Enlon-plus Dysport Guanidine HCL Myobloc Mestinon Nimbex Regonol Quelicin Quelicin 1000 OPHTHALMOLOGY AND OTIC Rilutek ANTI-INFECTIVES Xeomin GENERIC Zemuron bacitracin/polymyxin b

ciprofloxacin HCL MUSCULOSKELETAL AGENTS erythromycin

GENERIC gatifloxacin baclofen gentamicin sulfate carisoprodol levofloxacin carisoprodol/aspirin neomycin/bacitracin/polymyxin carisoprodol/aspirin/codeine neomycin/polymyxin/bacitracin zinc chlorzoxazone neomycin/polymyxin/gramicidin cyclobenzaprine HCL ofloxacin dantrolene sodium polymyxin b sulfate/trimethoprim sulfate metaxalone sodium sulfacetamide methocarbamol sulfacetamide sodium orphenadrine citrate tobramycin sulfate orphenadrine citrate ER trifluridine orphenadrine/asa/caffeine trimethoprim sulfate/polymyxin b sulfate tizanidine HCL PREFERRED Carisoprodol Besivance Dantrolene Sodium Moxeza PREFERRED Natacyn Gablofen Vigamox Lioresal Intrathecal NON PREFERRED Monovisc Azasite Orthovisc Bacitracin Synvisc Betadine Ophthalmic Prep Synvisc One Bleph-10 NON PREFERRED Ciloxan Amrix Garamycin Cyclobenzaprine Comfort PAC Mitosol Dantrium Neosporin


Ocuflox PROSTAGLANDINS Polytrim GENERIC Sulfacetamide Sodium latanoprost Tobrex PREFERRED Viroptic Lumigan Zirgan Travatan Z Zymaxid Travoprost

NON PREFERRED ARTIFICIAL TEAR/LUBRICANT Rescula

NON PREFERRED Xalatan Lacrisert Zioptan

BETA-BLOCKERS CYCLOPLEGIC MYDRIATICS

GENERIC GENERIC betaxolol HCL atropine sulfate carteolol HCL cyclopentolate HCL dorzolamide HCL/timolol maleate homatropine HBR levobunolol HCL NON PREFERRED timolol maleate Atropine Sulfate timolol maleate ophthalmic gel forming Cyclogyl Metipranolol Cyclomydril PREFERRED Isopto Atropine Combigan Isopto Homatropine NON PREFERRED Isopto Hyoscine Betagan Betimol DECONGESTANTS Betoptic-s GENERIC Cosopt phenylephrine HCL Cosopt PF NON PREFERRED Istalol Mydfrin Levobunolol HCL Naphazoline HCL Timoptic Timoptic Ocudose MIOTICS Timoptic-xe GENERIC

pilocarpine HCL OPHTHALMIC STEROIDS PREFERRED

GENERIC Phospholine Iodide dexamethasone sodium phosphate Pilopine HS fluorometholone NON PREFERRED neomycin/polymyxin/bacitracin/hydrocortisone Isopto Carbachol neomycin/polymyxin/dexamethasone Isopto Carpine prednisolone acetate sulfacetamide sodium/prednisolone sodium phosphate ADRENERGIC AGENTS tobramycin/dexamethasone GENERIC PREFERRED apraclonidine Alrex brimonidine tartrate FML NON PREFERRED Lotemax Alphagan P Pred Mild Iopidine Retisert Simbrinza Tobradex ST Zylet IMMUNOMODULATORS NON PREFERRED PREFERRED Blephamide Restasis Blephamide S.o.p. Durezol LOCAL ANESTHETICS Flarex GENERIC FML Forte proparacaine HCL FML Liquifilm tetracaine HCL Maxidex NON PREFERRED Maxitrol Akten Neomycin/Polymyxin/Hydrocortisone Alcaine Omnipred Pred Forte OPHTHALMICS - MISC. Pred-G GENERIC Pred-G S.o.p. azelastine HCL Prednisolone Sodium Phosphate bromfenac Tobradex cromolyn sodium Vexol diclofenac sodium


dorzolamide HCL PAIN MANAGEMENT epinastine HCL ANALGESICS - NONNARCOTIC flurbiprofen sodium GENERIC ketorolac tromethamine butal/asa/caff PREFERRED butalbital/acetaminophen Bepreve butalbital/acetaminophen/caffeine Bromday butalbital/apap/caffeine Bromfenac butalbital/asa/caffeine Cystaran choline magnesium trisalicylate Ilevro diflunisal Jetrea salsalate Nevanac Butalbital/Aspirin/Caffeine Pataday NON PREFERRED Patanol Alagesic LQ Prolensa Bupap NON PREFERRED Dolgic Plus Acular Dologesic Acular LS Equagesic Acuvail Esgic Alocril Esgic-plus Alomide Fioricet Azopt Fiorinal Elestat Levacet Emadine Mst 600 Lastacaft Ofirmev Ocufen Orbivan Optivar Orbivan CF Trusopt Phrenilin Forte

Rhinoflex-650 OTIC AGENTS Staflex

GENERIC Tencon acetic acid antipyrine/benzocaine ANALGESICS - OPIOID fluocinolone acetonide GENERIC fluocinolone acetonide ear drops acetaminophen/codeine hydrocortisone/acetic acid acetaminophen/codeine #2 neomycin/polymyxin/hydrocortisone acetaminophen/codeine #3 neomycin/polymyxin/HC acetaminophen/codeine #4 ofloxacin acetaminophen/codeine phosphate PREFERRED alfentanil Ciprodex buprenorphine HCL NON PREFERRED buprenorphine HCL/naloxone HCL Acetic Acid/Aluminum Acetate butalbital/acetaminophen/caffeine/codeine Antipyrine/Benzocaine butalbital/aspirin/caffeine/codeine Auralgan butorphanol tartrate Cetraxal codeine sulfate Cipro HC fentanyl Ciprofloxacin fentanyl citrate oral transmucosal Coly-mycin S hydrocodone bitartrate/acetaminophen Cortisporin hydrocodone/acetaminophen Cortisporin-tc hydrocodone/ibuprofen Cresylate hydromorphone HCL Dermotic hydromorphone HCL ER Myoxin meperidine HCL Otozin methadone HCL Pramotic morphine sulfate Vosol HC morphine sulfate ER

nalbuphine HCL OXYTOCICS oxycodone HCL

oxycodone/acetaminophen GENERIC oxycodone/aspirin methylergonovine maleate oxycodone/ibuprofen oxytocin oxymorphone hydrochloride NON PREFERRED oxymorphone hydrochloride ER Cervidil pentazocine/acetaminophen Hemabate pentazocine/naloxone HCL Pitocin tramadol hydrochloride/acetaminophen Prepidil tramadol HCL Prostin E2 tramadol HCL ER


Hydrocodone Bitartrate/Acetaminophen Theracodophen-low-90 PREFERRED Theracodophen-325 Butrans Theracodophen-650 Lazanda Theracodophen-750 Nucynta Theratramadol-60 Nucynta ER Theratramadol-90 Opana ER (crush Resistant) Tramadol HCL ER Oxycontin Trezix Suboxone Tylenol/Codeine #3 Zubsolv Tylenol/Codeine #4 NON PREFERRED Ultiva Abstral Ultracet Acetaminophen/Caffeine/Dihydrocodeine Bitartrate Ultram Actiq Ultram ER Alfenta Vicoprofen Aspirin-caffeine-dihydrocodeine Xartemis XR Avinza Xodol Bunavail Xolox Buprenex Zohydro ER Capital/Codeine Zolvit Codeine Sulfate Zydone Conzip Demerol ANTI-INFLAMMATORY Dilaudid GENERIC Dilaudid-HP diclofenac potassium Dolophine diclofenac sodium DR Dolophine HCL diclofenac sodium ER Duragesic diclofenac sodium/misoprostol Exalgo etodolac Fentora etodolac ER Fioricet/Codeine flurbiprofen Fiorinal/Codeine #3 ibuprofen Hycet indomethacin Hydrocodone/Acetaminophen indomethacin sodium Hydromorphone HCL indomethacin ER Hydromorphone HCL Dosette ketoprofen Hydromorphone HCL ER ketorolac tromethamine Ibudone leflunomide Infumorph 200 mefenamic acid Infumorph 500 meloxicam Kadian nabumetone Levorphanol Tartrate naproxen Liquicet naproxen sodium Lorcet Plus oxaprozin Lorcet 10/650 piroxicam Lortab sulindac Magnacet tolmetin sodium Maxidone Meclofenamate Sodium Meperidine HCL Tolmetin Sodium Methadone HCL PREFERRED Methadose Arcalyst Methadose Sugar-free Celebrex Morphine Sulfate Humira Morphine Sulfate Add-vantage Humira Pen MS Contin Humira Pen-crohns Diseasestarter Norco Humira Pen-psoriasis Starter Opana Ridaura Oxecta Zorvolex Oxycodone HCL NON PREFERRED Percocet Actemra Percodan Anaprox Primlev Anaprox DS Reprexain Arava Roxicet Arthrotec 50 Roxicodone Arthrotec 75 Rybix Odt Caldolor Subsys Cataflam Synalgos-dc Daypro Talwin Duexis Theracodeine-300


Enbrel Dihydroergotamine Mesylate Enbrel Sureclick Ergomar EC-naprosyn Frova Feldene Imitrex Fenoprofen Calcium Imitrex Statdose Refill Ibuprofen Comfort PAC Imitrex Statdose System Ilaris Maxalt Indocin Maxalt-MLT Indocin IV Migergot Indomethacin Migral IC 400 Migranal IC 800 Sumatriptan Ketoprofen ER Sumavel Dosepro Ketorolac Tromethamine Treximet Kineret Zomig Meloxicam Zomig Nasal Spray Meloxicam Comfort PAC Zomig ZMT Mobic Nalfon GOUT AGENTS Naprelan GENERIC Naprosyn allopurinol Naproxen Comfort PAC probenecid Neoprofen probenecid/colchicine Orencia PREFERRED Otezla Colcrys Otrexup Krystexxa Ponstel Uloric Prastera NON PREFERRED Rasuvo Aloprim Rheumatrex Zyloprim Simponi Simponi Aria LOCAL ANESTHETICS-INJ Sprix GENERIC Therafeldamine bupivacaine HCL Theraprofen-60 bupivacaine/epinephrine Theraprofen-800 chloroprocaine HCL Theraprofen-90 lidocaine HCL Theraproxen-500 lidocaine/epinephrine Theraproxen-60 ropivacaine HCL Theraproxen-90 Tetracaine HCL Trepadiclofen-25 NON PREFERRED Trepoxen-250 BD Pudendal/Local Block Tray 1% Lidocaine Trepoxicam-7.5 Carbocaine Vimovo Duocaine Voltaren-XR Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close Xeljanz CATH Zipsor Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open

CATH MIGRAINE PRODUCTS

GENERIC dihydroergotamine mesylate

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

naratriptan HCL Exparel rizatriptan benzoate Lidocaine HCL/Dextrose rizatriptan benzoate odt Marcaine sumatriptan succinate Marcaine W/O Epi sumatriptan succinate refill Marcaine/Epinephrine zolmitriptan Mepivacaine HCL zolmitriptan odt Monoject Bone Marrow Biopsy Prepping Tray Isometheptene/Caffeine/Acetaminophen Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle Sumatriptan Succinate 11GX4" PREFERRED Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle Relpax NON PREFERRED Alsuma Amerge Axert Cafergot Cambia D.h.e. 45

8GX4" Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G Naropin Nesacaine Nesacaine-mpf Sensorcaine-mpf/Epinephrine Turkel Paracentesis Procedure Tray/8french Xylocaine


Xylocaine-mpf hydrocodone bitartrate/homatropine methylbromide Xylocaine-mpf/Epinephrine hydrocodone polistirex/chlorpheniramine polistirex Xylocaine/Epinephrine hydrocodone/homatropine

phenylephrine/guaifenesin RESPIRATORY, ALLERGY, ETC promethazine-DM ANTIHISTAMINES

GENERIC carbinoxamine maleate cetirizine HCL clemastine fumarate cyproheptadine HCL desloratadine desloratadine odt diphenhydramine HCL levocetirizine dihydrochloride promethazine HCL promethazine HCL plain Clemastine Fumarate NON PREFERRED Brompheniramine Tannate Clarinex Clarinex Reditabs Dexchlorpheniramine Maleate Dicopanol Fusepaq Doxytex Ed-chlor-tan Karbinal ER Palgic Phenergan Respa-BR Xyzal

promethazine/codeine promethazine/dextromethorphan sodium chloride PREFERRED Tussicaps NON PREFERRED Alahist Ac Alahist DHC Carbaphen 12 Carbaphen 12 PED Clarinex-d 12 HOUR Clarinex-d 24 HOUR Cpb Wc Decon-a Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL Donatuss Dc Exactuss Gilphex TR Giltuss Giltuss PED-c Giltuss TR Hyper-sal Hypersal J-cof DHC J-max DHC Nebusal Neotuss Plus

NASAL AGENTS Panatuss Dxp GENERIC Pediatex TD azelastine HCL Pediatex TDM budesonide Poly-tussin DHC flunisolide Relhist fluticasone propionate Rescon-JR ipratropium bromide Rescon-MX triamcinolone acetonide Rezira Flunisolide Semprex-d PREFERRED Suttar-SF Dymista Suttar-2 Nasonex Tessalon Perles Phenylephrine HCL Tussionex Pennkinetic Extended Release NON PREFERRED Vituz Adrenalin Zonatuss Astelin Zutripro Astepro Atrovent ANTIASTHMATIC/COPD AGENTS Bactroban Nasal GENERIC Beconase AQ albuterol sulfate Flonase albuterol sulfate ER Nasacort AQ albuterol TAB 4MG Omnaris aminophylline Patanase budesonide Qnasl cromolyn sodium Rhinocort Aqua epinephrine HCL Tyzine ipratropium bromide Tyzine Pediatric Nasal Drops ipratropium bromide/albuterol sulfate Veramyst levalbuterol Zetonna levalbuterol HCL

montelukast sodium COUGH/COLD/ALLERGY terbutaline sulfate

GENERIC theophylline acetylcysteine theophylline CR benzonatate theophylline ER bromphen/pseudoephedrine HCL/dextromethorphan HBR theophylline/D5W hydrocodone bitartrate/chlorpheniramine maleate/PSE zafirlukast


Glassia PREFERRED Infasurf Anoro Ellipta Surfaxin Arcapta Neohaler Survanta Intratracheal Asmanex Twisthaler 120 Metered Doses Asmanex Twisthaler 14 Metered Doses TOXOIDS Asmanex Twisthaler 30 Me Tered Doses Asmanex Twisthaler 30 Metered Doses PREFERRED Asmanex Twisthaler 60 Metered Doses Adacel Asmanex Twisthaler 7 Metered Doses Boostrix Atrovent HFA Daptacel Combivent Diphtheria/Tetanus Toxoids Adsorbed Pediatric Combivent Respimat Infanrix Daliresp Kinrix Dulera Pediarix Foradil Aerolizer Pentacel Perforomist Tenivac Proair HFA Tetanus Toxoid Adsorbed Pulmicort Flexhaler Tetanus/Diphtheria Toxoids-adsorbed Adult Qvar Serevent Diskus VACCINES Spiriva Handihaler Symbicort PREFERRED Tudorza Pressair Acthib NON PREFERRED Afluria PF 2012-2013 Accolate Afluria PF 2013-2014 Accuneb Afluria PF 2014-2015 Adrenalin Afluria 2012-2013 Advair Diskus Afluria 2013-2014 Advair HFA Afluria 2014-2015 Aerospan Biothrax Alvesco Cervarix Breo Ellipta Comvax Brondil Engerix-b Brovana Fluarix Quadrivalent 2013-2014 Duoneb Fluarix Quadrivalent 2014-2015 Elixophyllin Fluarix 2012-2013 Flovent Diskus Fluarix 2013-2014 Flovent HFA Fluarix 2014-2015 Isuprel Flublok 2013-2014 Lufyllin Flublok 2014-2015 Maxair Autohaler Flucelvax 2012-2013 Metaproterenol Sulfate Flucelvax 2013-2014 Proventil HFA Flucelvax 2014-2015 Pulmicort Flulaval Quadrivalent 2013-2014 Pulmophylline Flulaval Quadrivalent 2014-2015 Senophylline Flulaval 2012-2013 Singulair Flulaval 2013-2014 Striverdi Respimat Flulaval 2014-2015 Theo-24 Flumist Nasal Vaccine 2012-2013 Theophylline/D5W Flumist Quadrivalent Ventolin HFA Fluvirin PF 2012-2013 Vospire ER Fluvirin PF 2013-2014 Xolair Fluvirin PF 2014-2015 Xopenex Fluvirin 2012-2013 Xopenex Concentrate Fluvirin 2013-2014 Xopenex HFA Fluvirin 2014-2015 Zyflo Fluzone High-dose PF 2012-2013 Zyflo CR Fluzone High-dose PF 2013-2014

Fluzone High-dose PF 2014-2015 RESPIRATORY AGENTS - MISC Fluzone Intradermal

PREFERRED Fluzone Pediatric PF 2012-2013 Kalydeco Fluzone Pediatric PF 2013-2014 Prolastin-c Fluzone PF 2012-2013 Pulmozyme Fluzone PF 2013-2014 Zemaira Fluzone PF 2014-2015 NON PREFERRED Fluzone Quadrivalent 2013-2014 Aralast NP Fluzone Quadrivalent 2014-2015 Curosurf Fluzone Split 2012-2013


Fluzone Split 2013-2014 Mynatal Advance Fluzone Split 2014-2015 Mynatal Ultracaplet Gardasil Obstetrix EC Havrix OB-natal One Hiberix Perry Prenatal Imovax Rabies (h.d.c.v.) Pr Natal 400 Influenza A (h1n1) Monovalent 2009 Pr Natal 400 EC Ipol Inactivated IPV Pr Natal 430 Ixiaro Pr Natal 430 EC M-m-r II W/Diluent 10 Dose Prenatabs RX Medical Provider EZ Flu Shot 2014-2015 Prenatal Ad Menactra Prenatal Vitamins Menhibrix Prenatal-u Menomune-a/C/Y/W-135 Quflora Pediatric Menveo Taron-prex Pedvax HIB Tricare Pneumovax 23 Trinate Pneumovax 23/1 Dose Vinate C Pneumovax 23/5 Dose Vinate Care Prevnar 13 Vinate GT Proquad Vinate IC Rabavert Vinate II Recombivax HB Vinate M Rotarix Vinate One Rotateq Vinate Pn Care Twinrix Vitafol-OB Typhim VI NON PREFERRED Vaqta Adrenal C Formula Varivax Albafort Vivotif Berna Atabex EC Yf-vax Atabex Prenatal Zostavax B-nexa NON PREFERRED Bacmin Bcg Vaccine Bal-care DHA

Bal-care DHA Essential VITAMINS Cavan-alpha Kit VITAMINS

GENERIC ascorbic acid ergocalciferol phytonadione thiamine HCL vitamin c 222MG vitamin d vitamin k1 PREFERRED Mephyton NON PREFERRED Aquasol A Parenteral Decara Drisdol Pyridoxine HCL Vitamin K1 Wheat Germ

Citranatal Assure Citranatal B-calm Citranatal DHA Citranatal Harmony Citranatal RX Citranatal 90 DHA Cod Liver Oil Concept DHA Concept OB Corvite Crnatal Dialyvite Supreme D Dialyvite 3000 Dialyvite 5000 Dialyvite/Zinc Diatx ZN Duet DHA Duet DHA Balanced Duet DHA EC

MULTIVITAMINS GENERIC b-complex b-complex 100 niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper CO-natal Fa Elite-OB Folbecal Inatal Advance Inatal GT Inatal Ultra M-vit Macnatal CN DHA Mission Prenatal HP

Duet DHA 400 Duet DHA 400EC Duet DHA 430 Duet DHA 430EC Escavite Escavite D Folcaps Omega 3 Folet DHA Folet One Folgard OS Folivane-prx DHA NF Folivane-OB Fortavit Gesticare DHA M.v.i. Adult


M.v.i. Pediatric Strovite M.v.i.-12 Without Vitamin K Strovite Forte Marnatal-f Strovite One Moms Choice RX Supervite Mykidz Iron Fl Supervite EC Mynatal Support-500 Natachew Synagex Natafort Synatek Natalvirt CA Taron-bc Natalvirt 90 DHA Taron-c DHA Natalvit Taron-duo EC Natelle One Tri-VI-flor Neevo DHA Tricare Prenatal Compleat Nephplex RX Tricare Prenatal DHA One Nephro-vite RX Triveen-duo DHA Nephrocaps Triveen-prx RNF Nephrocaps QT Triveen-ten Nestabs Triveen-u Nestabs Abc TL G-FOL OS Nestabs DHA Udamin Newgen Udamin SP Nexa Plus Vemavite-prx 2 Nexa Select Vinacal Nicadan Vinacal B Nicazel Vinate AZ Extra Nicazel Forte Vinate Calcium Nicomide Vinate DHA Nutricap Vinate DHA RF Nutrivit Vita-pren O-CAL Fa Vitafol O-CAL Prenatal Vitafol Ultra Obstetrix DHA Vitafol-nano OB Complete Vitafol-ob+dha OB Complete One Vitafol-one OB Complete Petite Vitafol-plus OB Complete Premier Vitafol-pn OB Complete 400 Vital-d RX OB Complete/DHA Vitamedmd One RX/Quatrefolic Paire OB Vitamedmd Plus RX/Quatre Folic Poly-VI-flor Vitamedmd Redichew RX Poly-VI-flor/Iron Vitamedmd Redichew RX/Quatrefolic Prefera OB Vitapearl Prefera OB + DHA Vitaroca Plus Preferaob One Viva CT Prenatal Prefol-DHA Viva DHA Prenata Zatean-pn Prenate Zatean-pn DHA Prenate AM Zatean-pn Plus Prenate DHA Zatean-CH Prenate Elite Prenate Enhance MEDICAL DEVICES Prenate Essential DIABETIC SUPPLIES Prenate Mini PREFERRED Prenate Pixie Accu-chek Fastclix Lancets Prenate Restore Accu-chek Multiclix Lancets Prenate Star Accu-chek Safe-t-pro Lancets Prenexa Accu-chek Safe-t-pro Pluslancets Preque 10 Accu-chek Soft Touch Lancets Protect Plus Accu-chek Softclix Lancets Protectbone Advocate Lancets Protectnatal Advocate Safety Lancets Provida OB Agamatrix Ultra-thin Lancets 33G R-natal OB Assure Haemolance Plus High Flow 18G Renatabs Assure Haemolance Plus Low Flow 25G Renatabs With Iron Assure Haemolance Plus Micro Flow 28G Renax Assure Haemolance Plus Normal Flow 21G Req 49+ Assure Haemolance Plus Pediatric Blade Select-ob+dha Assure Lance Lancets Select-OB Assure Lancets Siderol


Aurora Lancet Super Thin 30G E-z Ject Lancets Super Thin 30G Aurora Lancet Thin 23G E-z Ject Lancets Thin 26G AF Lancets Super Thin E-z Ject Lancets 21G AT Last Lancets E-ZJECT Lancets Micro-thin 33G Bayer Microlet Lancets Easy Touch Lancets 21G/Pressure Activated Bullseye Safety Lancets Easy Touch Lancets 23G/Pressure Activated BD Insulin Syringe LUER-LOK/U-100/1ML Easy Touch Lancets 26G/Pressure Activated BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2" Easy Touch Lancets 28G/Pressure Activated BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2" Easy Touch Lancets 28G/Twist BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8" Easy Touch Lancets 30G/Pressure Activated BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2" Easy Touch Lancets 30G/Twist BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2" Easy Touch Lancets 32G/Pressure Activated BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2" Easy Touch Lancets 32G/Twist BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8" Easy Touch Lancets 33G/Twist BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2" Easy Touch Safety Lancets21G/Pressure Activated BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16" Easy Touch Safety Lancets23G/Pressure Activated BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2" Easy Touch Safety Lancets26G/Button Activated BD Insulin Syringe Safetyglide/1ML/29G X 1/2" Easy Touch Safety Lancets26G/Pressure Activated BD Insulin Syringe Slip Tip/U-100/1ML Easy Touch Safety Lancets28G/Button Activated BD Insulin Syringe U-40/1ML/25G X 5/8" Easy Touch Safety Lancets28G/Pressure Activated BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16" Easy Twist & CAP Lancets BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16" Easytest II Lancets BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16" Easytest Lancets BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2" Embrace Lancets Ultra Thin 30G BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2" EZ Smart Blood Glucose Lancets BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2" EZ-lets Lancets 21G BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2" EZ-lets Lancets 23G BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2" EZ-lets Lancets 26G Super-soft BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16" EZ-lets Lancets 28G Ultra-soft BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2" EZ-lets Lancets 30G BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16" Fasttake Test Strips BD Insulin Syringe Ultrafine/1ML/30G X 1/2" Fifty50 Safety Seal Lancets 30G BD Insulin Syringe Ultrafine/1ML/31G X 5/16" Fifty50 Safety Seal Lancets 32G BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1” BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8” BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"

Fine 30 Fingerstix Lancets Fora Lancets Freestyle Lancets

Freestyle Unistick II Lancets BD Insulin Syringe/U-100/0.5ML/30G X 1/2" BD Insulin Syringe/U-100/1ML/27G X 1/2" BD Insulin Syringe/U-100/1ML/28G X 1/2" BD Insulin Syringe/U-100/2ML/27.5G X 5/8" BD Insulin Syringe/U-100/2ML/29G X 1/2" BD Lancet Ultrafine 30G BD Lancet Ultrafine 33G BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"

Gentle-let GP Lancets Gentle-let Lancets General Purpose Style/Fine Point Gentle-let Lancets General Purpose Style/Medium Point Gentle-let Lancets Safety Style/Fine Point Gentle-let Lancets Safety Style/Medium Point Glucocom Lancets 28G Glucocom Lancets 30G Glucocom Lancets 33G

Glucosource Lancets BD Microtainer Lancets BD Pen Needle/Mini/Ultrafine/31G X 3/16" BD Pen Needle/Nano/Ultra Fine/32G X 4MM BD Pen Needle/SHORT/Ultrafine/31G X 5/16" BD Pen Needle/Ultrafine/29G X 12.7MM BD Pen Needle/Ultrafine/29GX1/2" 12.7MM BD Pen Needles SHORT/Ultrafine/31G X 5/16" Careone Lancet Thin Careone Lancet Ultra Thin Cleanlet Lancets 28G Clever Chek Lancets Ultrathin Clever Chek Lancets Ultrathin 30G Coaguchek Lancets Comfort Lancets Diastar Easy Test II Lancets 30G Diastar Easy Test Lancets30G Droplet Lancets Ultra Thin 30G Drug Mart On-the-go Lancets Gentle 30G Drug Mart Unilet Lancets Super Thin 30G Drug Mart Unilet Lancets Ultra Thin 28G E-z Ject Lancets E-z Ject Lancets Color E-z Ject Lancets Super Thin

Gmate Lancets 30G H&h Thinlet Lancets 26G H&h Thinlet Super Thin Lancets 30G Haemolance Haemolance Low Flow Lancets Haemolance Plus Haemolance Plus High Flow Haemolance Plus Low Flow Haemolance Plus Max Flow Haemolance Plus Pediatric Flow Hy-vee Lancets Lancets Lancets Bullseye Safety Lancets Safety Seal 21G Lancets Safety Seal 26G Lancets Safety Seal 28G Lancets Safety Seal 30G Lancets Thin Lancets Twist Top Lancets Ultra Fine Lancets Ultra Thin Lancets 26G Twist Top Lancets 28G


Lancets 30G Onetouch Ultrasoft Lancets Lancets 30G Twist Top Onetouch Verio Control Solution High Lancets 31G Twist Top Onetouch Verio IQ Blood Glucose Monitoring System Liberty Control Solution High Onetouch Verio Mid Control Solution Liberty Control Solution Normal Onetouch Verio Sync Bloodglucose Monitoring System Liberty Glucose Control Level 1 Onetouch Verio Test Strips Liberty Glucose Control Level 2 Pen Needles 29G X 12MM Liberty Glucose Control Mid Pen Needles 29GX1/2" Liberty Glucose Control Normal Pen Needles 30GX5/16" Liberty Mini Lancing Device Pen Needles 31G X 1/4" SHORT Liberty Next Generation Blood Glucose Monitor Pen Needles 31G X 3/16" Liberty Next Generation Blood Glucose Test Strips Pen Needles 31G X 6MM Lifescan Unistik II Lancets Pen Needles 31GX5/16" Lifescan Unistik 2 Deep Penetration Perfect Lancets 30G Litetouch Lancets Micro Thin 33G Perfect Pressure Activated Safety Lancets 28G Live Better Lancet Super Thin 30G Pharmacy Counter Lancets Live Better Lancet Ultra Thin 28G Precision Thin Lancets Medisense Thin Lancets Precision Thins GP Lancet Medlance Plus Extra Lancets 21G Precision Ultra Lancet Medlance Plus Lancets Prodigy Pressure Activated Safety Lancets Medlance Plus Lancets Lite 25G Prodigy Twist Top Lancets Medlance Plus Lite Lancets 25G Pss Select GP Lancets Medlance Plus Special Lancets 0.8MM Pss Select Safety Lancets Medlance Plus Superlite 30G Px Lancets Ultra Thin Medlance Plus Superlite 30G/Comfort Max Qc Lancets Super Thin Medlance Plus Universal Lancets 21G Qc Lancets Ultra Thin Medlance Plus/Lite 25G Relion Lancets Medlance/Extra Relion Lancets Micro-thin33G Medlance/Lite Relion Lancets Standard 21G Medlance/Universal Relion Lancets Thin 26G Meijer Super Thin Lancets Relion Lancets Ultra-thin30G Microlet Lancets Relion Thin Lancets Microtainer Safety Flow Lancet/Sterile/Single-use Relion Ultra Thin Lancets Monolet Lancets Relion Ultra Thin Lancets30G Monolet Opd Lancets Relion Ultra Thin Plus Lancets 32G Monolettor Safety Lancets Relion Ultra Thin Plus Lancets 33G Myglucohealth Mgh Softlance Lancets 30G Renew Advanced Lancing Cartridge Refills Netgroup Lancets Rexall Lancets Ultra Thin Nova Safety Lancets 23G Rightest Gl300 Lancets Nova Safety Lancets 28G Safe-t-lance Low Flow 25G Nova Sureflex Lancets Safe-t-lance Normal Flow 21G Novofine Autocover 30GX8MM Safe-t-lance Plus Safety Lancet High Flow Novofine 30GX8MM Safe-t-lance Plus Safety Lancet Low Flow Novofine 32GX6MM Safe-t-lance Plus Safety Lancet Normal Flow Novotwist 30GX8MM Safety Lancet 2MM Novotwist 32GX5MM Safety Lancet 21G/Pressure Activated On Call Lancets Safety Lancet 28G/Pressure Activated On Call Plus Lancets Safety Lancets Onetouch Basic System Safety Lancets 21G Onetouch Basic/Profile Test Strips Safety Lancets 28G Onetouch Club Lancets Fine Point Safety Let Lancets Onetouch Combo Pack Safety Seal Lancets 28G Onetouch Delica Lancets Extra Fine 33G Safety Seal Lancets 30G Onetouch Delica Lancets Fine 30G Shopko On-the-go Comfort Lancets 30G Onetouch Delica Lancing Device Shopko Unilet Lancets Super Thin 30G Onetouch Finepoint Lancets Shopko Unilet Lancets Ultra Thin 28G Onetouch Lancets Single-let Onetouch Ping Meter Remote Smart Diabetes Vantage Universal Lancets 30G Onetouch Profile System Smart Sense Color Lancets Universal 33G Onetouch Suresoft Lancing Device/18G Smart Sense Standard Lancets Universal 21G Onetouch Suresoft Lancing Device/21G Smart Sense Super Thin Lancets Universal 30G Onetouch Suresoft Lancing Device/28G Smart Sense Thin Lancets Universal 26G Onetouch Ultra Blue Smartest Lancets 28G Onetouch Ultra Control Solus V2 Pressure Activated Safety Lancets 28G Onetouch Ultra Mini Solus V2 Twist Lancets 30G Onetouch Ultra System Kit Sterilance TL Onetouch Ultra 2 Sure-lance Flat Lancets Onetouch Ultralink System (hex) Sure-lance Lancets 26G Onetouch Ultralink System (DEC) Sure-lance Thin Lancets 28G Onetouch Ultrasmart Sure-lance Ultra Thin Lancets


Sure-touch Lancets Universal Agamatrix Presto Test Strips Surelite Lancets Ascensia Autodisc Test Strips Surestep Pro Test Strips Assure II Surestep Test Strips Assure II Check Strip Techlite AST Lancets Assure II Test Strips Techlite Lancets Assure Platinum Test Strips Techlite Lancets 30G Assure Pro Test Strips Thinlets GP Lancets Assure 3 Test Strips Thinlets Lancet Assure 4 Test Strips Trueplus Lancets 26G AT Last Test Strips Trueplus Lancets 28G Bayer Breeze 2 Test Disc Trueplus Lancets 28G Super Thin Bayer Contour Blood Glucose Test Strips Trueplus Lancets 30G Bayer Contour Next Blood Glucose Test Trueplus Lancets 30G Ultra Thin Bg Star Blood Glucose Test Trueplus Lancets 33G Bioscanner Glucose Test Strips Trueplus Lancets 33G Micro Thin Blood Glucose Test Strips Trueplus Safety Lancets 28G Blood Glucose Test Strips Premium Ulticare Thin Lancets 30G Careone Blood Glucose Test Strips/Premium Ultilet Basic Lancets 30G Careone Blood Glucose Test Strips/Value Ultilet Classic Lancets Caresens N Blood Glucose Test Strips Ultilet Lancets Choice DM Fora G20 Test Strips Ultilet Lancets 33G Clever Chek Auto-code Test Strips Ultilet Safety Lancets 23G Clever Chek Auto-code Voice Test Strips Ultra-thin II Auto Lancet Clever Chek Test Strips Ultra-thin II Lancets 28G Clever Choice Auto-code Pro Test Strips Ultra-thin II Lancets 30G Clever Choice Micro Test Strips Ultra-thin II Safety Autolancets 26G Control AST Unilet Comfortouch Lancet Control Test Strips Unilet Excelite CVS Advanced Glucose Meter Test Strips Unilet Excelite II Duo-care Test Strips Unilet G.p. Lancet Easy Step Test Strips Unilet G.p. Superlite Lancet Easy Touch Glucose Test Strips Unilet GP 28 Ultra Thin Easy Touch Healthpro Glucose Test Strips Unilet Lancet Easygluco Unilet Superlite Lancet Easymax Test Strips Unistik 3 Gentle Easymax 15 Test Strips Universal 1 Lancets Thin 26G Easypro Blood Glucose Test Strips Universal 1 Lancets Ultra Thin 30G Easypro Plus Valumark Lancet Super Thin 30G Eclipse Test Strips Valumark Lancet Ultra Thin 28G Element Plus Test Strips Vida Mia Unilet Lancets Super Thin 30G Element Test Strips Vida Mia Unilet Lancets Ultra Thin 28G Embrace Blood Glucose Test Strips Vitalet Pro Lancets Embrace Evo Blood Glucosetest Strips Vitalet Pro Plus Lancets Embrace Pro Blood Glucosetest Strips W&f Lancets Colored 21G Envision Autocode Test Strips W&f Lancets 26G Eql Truetrack Test Walgreens Lancets Evencare + Blood Glucose Test Strip Walgreens Thin Lancets Evencare Blood Glucose Test Strip Walgreens Ultra Thin Lancets Evencare G2 Test Strips 1ST Choice Lancets Super Thin Evencare G3 Test Strips 1ST Choice Lancets Thin Evolution Autocode 1ST Choice Lancets Ultra Thin Exactech R-s-G Test Strips NON PREFERRED Exactech Test Strips Accu-chek Active Strips EZ Smart Blood Glucose Test Strips Accu-chek Aviva EZ Smart Plus Blood Glucose Test Strips Accu-chek Aviva Plus Fifty50 Glucose Test Strip 2.0 Accu-chek Comfort Curve Test Strips Fora D10 Blood Glucose Test Strips Accu-chek Compact Plus Fora D15c Blood Glucose Test Strips Accu-chek Compact Test Drum Fora D15z Blood Glucose Test Strips Accu-chek Smartview Strips Fora D15G Blood Glucose Test Strips Accutrend Glucose Fora D20 Blood Glucose Test Strips Acura Blood Glucose Test Strips Fora GD20 Test Strips Advance Intuition Test Strips Fora G20 Blood Glucose Test Strips Advance Micro-draw Test Strips Fora G30a Blood Glucose Test Strips Advocate Redi-code Fora G71a Blood Glucose Test Strips Advocate Redi-code+ Test Strips Fora G90 Blood Glucose Test Strips Advocate Test Strips Fora V10 Blood Glucose Test Strips Agamatrix Amp NO Code Test Strips Fora V12 Blood Glucose Test Strips Agamatrix Jazz Test Strips Fora V20 Blood Glucose Test Strips Agamatrix Keynote Test Strips Fora V22 Blood Glucose Test Strips


Fora V30a Blood Glucose Test Strips True Metrix Blood Glucose Test Strips Foracare GD40 Truetest Blood Glucose Test Foracare Premium V10 Teststrips Truetest Blood Glucose Test Strips Foracare Test N Go Test Strips Truetest Strips Freestyle Insulinx Blood Glucose Test Truetrack Blood Glucose Test Insulinx Blood Glucose Test Strips Truetrack Test Freestyle Freestyle Lite Test Strips Ultima Test Strips Freestyle Test Strips Ultratrak Pro Test Strips Gluco Perfect 3 Test Strips Ultratrak Ultimate Test Strips Glucocard Expression Blood Glucose Test Strips Unistrip1 Generic Glucocard Vital Test Strips Victory Agm-4000 Test Strips Glucocard X-sensor Vocal Point Blood Glucose Test Strips Glucocard 01 Sensor Wavesense Presto Test Strips Glucocard 01 Test Strips MEDICAL DEVICES - MISC Glucocom Test Strips PREFERRED Glucolab Test Strips Aerochamber Mini Aerosol Chamber Gluconavii Blood Glucose Test Strips Aerochamber MV Gmate Blood Glucose Test Strips Aerochamber Plus Flow VU Infinity Blood Glucose Test Strips Aerochamber Plus Flow-VU Insulin Syringe/0.5ML/30G X 5/16" Aerochamber Plus Flow-VU/Large Mask Maxima Blood Glucose Teststrips Aerochamber Plus Flow-VU/Mask Microdot Test Strips Aerochamber Plus Flow-VU/Medium Mask Myglucohealth Blood Glucose Test Aerochamber Plus Flow-VU/Small Mask Neutek 2tek Test Strips Aerochamber Z-stat Plus Valved Holding Chamber W/Flow Nexgen Test Strips Nova Max Glucose Test Strips On Call Express Blood Glucose Test Strips On Call Plus Blood Glucose Test On Call Vivid Blood Glucose Test On Call Vivid Blood Glucose Test Strips Optium Test Strips Optiumez Test Strips Optumrx Blood Glucose Test Pharmacist Choice Autocode Blood Glucose Test Strips Pocketchem EZ Blood Glucose Test Strips Precision Point of Care Test Strips Precision PCX Precision PCX Plus Test Strips Precision QID Test Strips Precision Sof-tact Test Strips Precision XTRA Blood Glucose Test Strips Prestige Test Strips Prodigy NO Coding Blood Glucose Test Strips Pts Panels Glucose Test Quicktek Test Strips Quintet Ac Blood Glucose Test Strips Quintet Blood Glucose Test Strips Refuah Plus Blood Glucosetest Strips Relion Blood Glucose Teststrips Relion Confirm/Micro Test Strips Relion Insulin Syringe/U-100/0.5ML/29G X 1/2" Relion Prime Blood Glucose Test Strips Relion Ultima Blood Glucose Test Strips Relion Ultima Test Strips Reveal Blood Glucose Test Rexall Blood Glucose Test Strips Rightest GS100 Blood Glucose Test Strips Rightest GS300 Blood Glucose Test Strips Rightest GS550 Blood Glucose Test Strips Smart Diabetes Xpres Blood Glucose Test Strips Smart Sense Premium Bloodglucose Strips Smart Sense Value Blood Glucose Strips Smartest Blood Glucose Test Strips Solus V2 Audible Test Supreme Test Strips Sure Edge Blood Glucose Test Strips Sure-test Easyplus Mini Blood Glucose Test Strips Surechek Blood Glucose Test Strips Telcare Blood Glucose Test Strips

Aerochamber Z-stat Plus/Flowsignal Aerochamber Z-stat Plus/Large Mask Aerochamber Z-stat Plus/Medium Mask Aerochamber Z-stat Plus/Small Mask Aerochamber/Flowsignal Arial Chamber Breatherite Breatherite Collapsible Adult Spacer W/Mask Breatherite Collapsible Child Spacer W/Mask 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 E-z Spacer E-z Spacer the Body Guards Pack Easivent Easivent/Mask-large Easivent/Mask-medium Easivent/Mask-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 Diamond Optichamber Diamond/Largeface Mask Optichamber Diamond/Medium Face Mask Optichamber Diamond/Smallface Mask Optihaler Optihaler MDI Drug Delivery System Panda Mask Large

Effective Januar 1, 2015 38

Panda Mask Medium Panda Mask Small Pediatric Panda Mask Pocket Chamber Pocket Spacer Riteflo Vortex Valved Holding Chamber Watchhaler

MISCELLANEOUS

PREFERRED Chemet Exjade NON PREFERRED Ferriprox Pentetate Calcium Trisodium Pentetate Zinc Trisodium

Index A Abacavir Sulfate/Lamivudine/Zidovudine, 3 Abacavir, 3 Abelcet, 2 Abilify Discmelt, 22 Abilify Maintena, 22 Abilify, 22 Abraxane, 5 Absorica, 10 Abstral, 28 Acamprosate Calcium DR, 24 Acanya, 10 Acarbose, 15 Acetic Acid/Aluminum Acetate, 27 Accolate, 31 Accu-Chek Active Strips, 36 Accu-Chek Aviva Plus, 36 Accu-Chek Aviva, 36 Accu-Chek Comfort Curve Test Strips, 36 Accu-Chek Compact Plus, 36 Accu-Chek Compact Test Drum, 36 Accu-Chek Fastclix Lancets, 33 Accu-Chek Multiclix Lancets, 33 Accu-Chek Safe-T-Pro Lancets, 33 Accu-Chek Safe-T-Pro Plus Lancets, 33 Accu-Chek Smartview Strips, 36 Accu-Chek Soft Touch Lancets, 33 Accu-Chek Softclix Lancets, 33 Accuneb, 31 Accupril, 8 Accuretic, 8 Accutrend Glucose, 36 Acebutolol HCL, 7 Aceon, 8 Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 28 Acetaminophen/Codeine #2, 27 Acetaminophen/Codeine #3, 27 Acetaminophen/Codeine #4, 27 Acetaminophen/Codeine Phosphate, 27 Acetaminophen/Codeine, 27 Acetazolamide ER, 9 Acetazolamide Sodium, 9 Acetazolamide, 9 Acetic Acid, 27 Acetylcysteine, 30 Aciphex Sprinkle, 18 Aciphex, 18 Acitretin, 11 Aclovate, 12 Actemra, 28 Acthib, 31 Acticlate, 2 Actigall, 18 Actimmune, 6 Actiq, 28 Activase, 21 Activella, 14 Actonel, 16 Actoplus Met XR, 15

Actoplus Met, 15 Actos, 15 Acular LS, 27 Acular, 27 Acura Blood Glucose Test Strips, 36 Acuvail, 27 Acyclovir Sodium, 3 Acyclovir, 3, 11 Aczone, 10 Adacel, 31 Adalat CC, 7 Adapalene, 10 Adasuve, 22 Adcetris, 5 Adcirca, 9 Adderall XR, 23 Adderall, 23 Adefovir Dipivoxil, 3 Adempas, 9 Adenocard, 7 Adenosine, 7 Adoxa Pak 1/100, 2 Adoxa Pak 1/150, 2 Adoxa Pak 2/100, 2 Adoxa, 2 Adrenaclick, 9 Adrenal C Formula, 32 Adrenalin, 9, 30, 31 Adriamycin, 4 Advair Diskus, 31 Advair HFA, 31 Advance Intuition Test Strips, 36 Advance Micro-Draw Test Strips, 36 Advate, 21 Advicor, 9 Advocate Lancets, 33 Advocate Redi-Code, 36 Advocate Redi-Code+ Test Strips, 36 Advocate Safety Lancets, 33 Advocate Test Strips, 36 Aerochamber Mini Aerosol Chamber, 37 Aerochamber MV, 37 Aerochamber Plus Flow Vu, 37 Aerochamber Plus Flow-Vu/Large Mask, 37 Aerochamber Plus Flow-Vu/Mask, 37 Aerochamber Plus Flow-Vu/Medium Mask, 37 Aerochamber Plus Flow-Vu/Small Mask, 37 Aerochamber Z-Stat Plus Valved Holding Chamber W/Flow Vu, 37 Aerochamber Z-Stat Plus/Flowsignal, 37 Aerochamber Z-Stat Plus/Large Mask, 37 Aerochamber Z-Stat Plus/Medium Mask, 37 Aerochamber Z-Stat Plus/Small Mask, 37 Aerochamber/Flowsignal, 37 Aerospan, 31 AF Lancets Super Thin, 34 Afinitor Disperz, 6 Afinitor, 6 Afluria PF 2012-2013, 31 Afluria PF 2013-2014, 31

Afluria PF 2014-2015, 31 Agamatrix Amp No Code Test Strips, 36 Agamatrix Jazz Test Strips, 36 Agamatrix Keynote Test Strips, 36 Agamatrix Presto Test Strips, 36 Agamatrix Ultra-Thin Lancets 33G, 33 Aggrastat, 21 Aggrenox, 21 Agrylin, 21 A-Hydrocort, 13 Akne-Mycin, 10 Akten, 26 Ala Scalp, 12 Alagesic LQ, 27 Alahist AC, 30 Alahist Dhc, 30 Albafort, 20, 32 Albenza, 3 Albuterol Sulfate ER, 30 Albuterol Sulfate, 30 Albuterol Tab 4mg, 30 Alcaine, 26 Alclometasone Dipropionate, 11 Aldactazide, 9 Aldactone, 9 Aldara, 12 Aldurazyme, 17 Alendronate Sodium, 16 Alfenta, 28 Alfentanil, 27 Alferon N, 6 Alfuzosin HCL ER, 19 Alimta, 5 Alinia, 4 Alkeran, 4 Allopurinol, 29 Alocril, 27 Alodox Convenience Kit, 2 Alomide, 27 Aloprim, 29 Alora, 14 Aloxi, 18 Alphagan P, 26 Alphanate/Von Willebrand Factor Complex/Human, 21 Alphanine SD, 21 Alprazolam ER, 21 Alprazolam Intensol, 21 Alprazolam ODT, 21 Alprazolam, 21 Alprolix, 21 Alrex, 26 Alsuma, 29 Altabax, 10 Altace, 8 Altoprev, 9 Aluvea, 12 Alvesco, 31 Amantadine HCL, 24 Amaryl, 15 Ambien CR, 23

Ambien, 23 Ambisome, 2 Amcinonide, 11 Amcinonide, 12 Amerge, 29 Amethyst, 14 Amicar, 20 Amifostine, 6 Amikacin Sulfate, 2 Amiloride Hcl, 9 Amiloride/Hydrochlorothiazide, 9 Aminocaproic Acid, 20 Aminophylline, 30 Amiodarone Hcl, 7 Amitiza, 18 Amitriptyline Hcl, 22 Amlodipine Besylate, 7 Amlodipine Besylate/Atorvastatin Calcium, 9 Amlodipine Besylate/Benazepril Hcl, 8 Amlodipine Besylate/Benazepril Hydrochloride, 8 Ammonium Lactate, 12 Ammonul, 17 Amoxapine, 22 Amoxicillin Er, 1 Amoxicillin, 1 Amoxicillin/Clavulanate Potassium Er, 1 Amoxicillin/Clavulanate Potassium, 1 Amphetamine/Dextroamphetamine, 23 Amphotec, 2 Amphotericin B, 2 Ampicillin Sodium, 1 Ampicillin, 1 Ampicillin-Sulbactam, 1 Ampyra, 24 Amrix, 25 Amturnide, 8 Amytal Sodium, 23 Anacaine, 12 Anadrol-50, 14 Anafranil, 22 Anagrelide Hydrochloride, 21 Analpram Advanced, 18 Analpram-Hc Singles, 18 Analpram-Hc, 18 Anaprox Ds, 28 Anaprox, 28 Anaspaz, 18 Anastrozole, 5 Ancef, 1 Ancobon, 2 Androderm, 14 Androgel P.M., 14 Androgel, 14 Android, 14

Androxy, 14 Anectine, 25 Angeliq, 14 Angiomax, 20 Animi-3, 20 Animi-3/Vitamin D, 20 Anoro Ellipta, 31 Antabuse, 24 Antara, 9 Antipyrine/Benzocaine, 27 Anusol-Hc, 18 Anzemet, 18 Apexicon E, 12 Apidra Solostar, 15 Apidra, 15 Aplenzin, 22 Apokyn, 24 Appbutamone, 22 Appbutamone-D, 22 Appformin, 15 Appformin-D, 15 Apraclonidine, 26 Apriso, 19 Aptiom, 24 Aptivus, 3 Aquasol A Parenteral, 32 Aquoral, 21 Aralast Np, 31 Aralen, 3 Aranesp Albumin Free, 20 Arava, 28 Arcalyst, 28 Arcapta Neohaler, 31 Argatroban, 20 Arial Chamber, 37 Aricept Odt, 25 Aricept, 25 Arimidex, 5 Aristospan Intra-Articular, 13 Aristospan Intralesional, 13 Arixtra, 20 Armour Thyroid, 17 Arnica Flower, 12 Aromasin, 5 Arranon, 5 Arthrotec 50, 28 Arthrotec 75, 28 Artiss, 20 Arzerra, 5 Asacol Hd, 18 Ascensia Autodisc Test Strips, 36 Ascorbic Acid, 32 Asmanex Twisthaler 120 Metered Doses, 31 Asmanex Twisthaler 14 Metered Doses, 31 Asmanex Twisthaler 30 Me Tered Doses, 31

Asmanex Twisthaler 30 Metered Doses, 31 Asmanex Twisthaler 60 Metered Doses, 31 Asmanex Twisthaler 7 Metered Doses, 31 Aspirin-Caffeine-Dihydrocodeine, 28 Assure 3 Test Strips, 36 Assure 4 Test Strips, 36 Assure Haemolance Plus High Flow 18g, 33 Assure Haemolance Plus Low Flow 25g, 33 Assure Haemolance Plus Micro Flow 28g, 33 Assure Haemolance Plus Normal Flow 21g, 33 Assure Haemolance Plus Pediatric Blade 21g, 33 Assure Ii Check Strip, 36 Assure Ii Test Strips, 36 Assure Ii, 36 Assure Lance Lancets, 33 Assure Lancets, 33 Assure Platinum Test Strips, 36 Assure Pro Test Strips, 36 Astagraf Xl, 5 Astelin, 30 Astepro, 30 Astringyn, 20 At Last Lancets, 34 At Last Test Strips, 36 Atabex Ec, 32 Atabex Prenatal, 32 Atacand Hct, 8 Atacand, 8 Atelvia, 16 Atenolol, 7 Atenolol/Chlorthalidone, 8 Atgam, 5 Ativan, 21 Atopiclair, 12 Atorvastatin Calcium, 9 Atovaquone, 3 Atovaquone/Proguanil Hcl, 3 Atracurium Besylate, 25 Atralin, 10 Atripla, 3 Atropen, 18 Atropine Sulfate, 17, 26 Atropine Sulfate, 18, 26 Atrovent Hfa, 31 Atrovent, 30 Aubagio, 25 Augmented Betamethasone Dipropionate, 11 Augmentin Es-600, 1 Augmentin Xr, 1 Augmentin, 1 Auralgan, 27 Aurora Lancet Super Thin 30g, 34 Aurora Lancet Thin 23g, 34 Aurstat Anti-Itch Hydrogel Kit, 12 Aurstat Anti-Itch Hydrogel, 12

Aurstat, 12 Auvi-Q, 9 Avalide, 8 Avandamet, 15 Avandaryl, 15 Avandia, 15 Avapro, 8 Avar Ls Cleanser, 10 Avar Ls, 10 Avar, 10 Avar-E Ls, 10 Avastin, 5 Avc, 19 Aveed, 14 Avelox Abc Pack, 2 Avelox, 2 Avidoxy Dk, 2 Avinza, 28 Avodart, 19 Avonex Pen, 24 Avonex, 24 Axert, 29 Axid, 18 Axiron, 14 Aygestin, 14 Azacitidine, 4 Azactam IN Iso-osmotic Dextrose, 4 Azactam, 4 Azasan, 5 Azasite, 25 Azathioprine, 5 Azelastine HCL, 26, 30 Azelex, 10 Azilect, 24 Azithromycin, 1 Azopt, 27 Azor, 8 Aztreonam, 3 Azulfidine EN-TABS, 19 Azulfidine, 19 B B-6 Folic Acid, 20 Bacitracin, 3 Bacitracin, 4, 25 Bacitracin/Polymyxin b, 25 Baclofen, 25 Bacmin, 32 Bactocill IN Dextrose, 1 Bactrim DS, 4 Bactrim, 4 Bactroban Nasal, 30 Bactroban, 10 Bal-care DHA Essential, 32 Bal-care DHA, 32 Balsalazide Disodium, 18

Banzel, 24 Baraclude, 3 Bayer Breeze 2 Test Disc, 36 Bayer Contour Blood Glucose Test Strips, 36 Bayer Contour Next Blood Glucose Test, 36 Bayer Microlet Lancets, 34 Bcg Vaccine, 32 B-complex 100, 32 B-complex, 32 BD Insulin Syringe LUER-LOK/U-100/1ML, 34 BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 34 BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 34 BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 34 BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 34 BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 34 BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 34 BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 34 BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 34 BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 34 BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 34 BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 34 BD Insulin Syringe Slip Tip/U-100/1ML, 34 BD Insulin Syringe U-40/1ML/25G X 5/8", 34 BD Insulin Syringe Ultrafine Half-Unit/0.3ML/31G X 5/16", 34 BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 34 BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 34 BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 34 BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16", 34 BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 34 BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16", 34 BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 34 BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 34 BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 34

BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 34 BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 34 BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 34 BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 34 BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 34 BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 34 BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 34 BD Insulin Syringe/U-100/1ML/27G X 1/2", 34 BD Insulin Syringe/U-100/1ML/28G X 1/2", 34 BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 34 BD Insulin Syringe/U-100/2ML/29G X 1/2", 34 BD Lancet Ultrafine 30G, 34 BD Lancet Ultrafine 33G, 34 BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 34 BD Microtainer Lancets, 34 BD Pen Needle/Mini/Ultrafine/31G X 3/16", 34 BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 34 BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 34 BD Pen Needle/Ultrafine/29G X 12.7MM, 34 BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 34 BD Pen Needles SHORT/Ultrafine/31G X 5/16", 34 BD Pudendal/Local Block Tray 1% Lidocaine, 29 Beconase AQ, 30 Beleodaq, 6 Belladonna & Opium, 18 Belladonna Alkaloids & Opium, 18 Benazepril HCL, 7 Benazepril HCL/hydrochlorothiazide, 8 Benefix, 21 Benicar HCT, 8 Benicar, 8 Bentyl, 18 Benzac Ac Wash, 10 Benzac W Wash, 10 Benzaclin with P.M., 10 Benzaclin, 10 Benzamycin, 10 Benzamycinpak, 10 Benzefoam, 10 Benzefoamultra, 10

Benziq LS, 10 Benziq, 10 Benzoin Compound Tincture, 12 Benzoin Tincture, 12 Benzonatate, 30 Benzoyl Peroxide SHORT Contact, 10 Benzoyl Peroxide, 10 Benztropine Mesylate, 24 Bepreve, 27 Berinert, 21 Besivance, 25 Betadine Ophthalmic Prep, 25 Betagan, 26 Betamethasone Dipropionate, 11 Betamethasone Sodium Phosphate/Betamethasone Acetate, 13 Betamethasone Valerate, 11 Betapace AF, 7 Betapace, 7 Betaseron, 25 Betaxolol HCL, 7, 26 Bethanechol Chloride, 19 Bethkis, 2 Betimol, 26 Betoptic-s, 26 Bexxar 131 Iodine, 6 Bexxar, 5 Beyaz, 14 BG Star Blood Glucose Test, 36 Biaxin XL PAC, 1 Biaxin XL, 1 Biaxin, 1 Bicalutamide, 5 Bicillin C-R, 1 Bicillin L-a, 1 Bicnu, 4 Bidil, 10 Biferarx, 20 Biltricide, 3 Binosto, 16 Bioscanner Glucose Test Strips, 36 Biothrax, 31 Bisoprolol Fumarate, 7 Bisoprolol Fumarate/Hydrochlorothiazide, 8 Bleomycin Sulfate, 4 Bleph-10, 25 Blephamide S.O.P., 26 Blephamide, 26 Blood Glucose Test Strips Premium, 36 Blood Glucose Test Strips, 36 Bloxiverz, 25 B-nexa, 32 Boniva, 16 Boostrix, 31 Boric Acid, 12

Bosulif, 6 Botox, 25 Bravelle, 16 Breatherite Collapsible Adult Spacer w/Mask, 37 Breatherite Collapsible Child Spacer w/Mask, 37 Breatherite Collapsible Infant Spacer w/Mask, 37 Breatherite Collapsible Small Child Spacer w/Mask, 37 Breatherite Collapsible Spacer w/ Neonate Mask, 37 Breatherite Rigid Spacer w/Mask, 37 Breatherite w/Large Mask, 37 Breatherite w/Medium Mask, 37 Breatherite w/Small Mask, 37 Breatherite, 37 Breo Ellipta, 31 Brevibloc, 7 Brevicon-28, 14 Brilinta, 21 Brimonidine Tartrate, 26 Brintellix, 22 Brisdelle, 25 Bromday, 27 Bromfenac, 26 Bromfenac, 27 Bromocriptine Mesylate, 24 Bromphen/Pseudoephedrine HCL/Dextromethorphan HBR, 30 Brompheniramine Tannate, 30 Brondil, 31 Brovana, 31 Budesonide, 13, 30 Bullseye Safety Lancets, 34 Bumetanide, 9 Bunavail, 28 Bupap, 27 Buphenyl, 17 Bupivacaine HCL, 29 Bupivacaine/Epinephrine, 29 Buprenex, 28 Buprenorphine HCL, 27 Buprenorphine HCL/Naloxone HCL, 27 Bupropion HCL ER, 22 Bupropion HCL SR, 22 Bupropion HCL XL, 22 Bupropion HCL, 22 Buspirone HCL, 21 Busulfex, 4 Butalbital/Acetaminophen, 27 Butalbital/Acetaminophen/Caffeine, 27 Butalbital/Acetaminophen/Caffeine/Codeine, 27 Butalbital/Apap/Caffeine, 27

Butalbital/Asa/Caffeine, 27 Butalbital/Aspirin/Caffeine, 27 Butalbital/Aspirin/Caffeine/Codeine, 27 Butisol Sodium, 23 Butorphanol Tartrate, 27 Butrans, 28 Bydureon, 15 Byetta, 15 Bystolic, 7 C Cabergoline, 17 Caduet, 10 Cafcit, 23 Cafergot, 29 Caffeine Citrate, 23 Caffeine/Sodium Benzoate, 23 Calan SR, 7 Calan, 7 Calcipotriene, 11 Calcipotriene/Betamethasone Dipropionate, 11 Calcitonin-Salmon, 16 Calcitriol, 11, 17 Calcium Acetate, 18 Calcium Folinate, 6 Caldolor, 28 Cambia, 29 Campral, 25 Camptosar, 6 Canasa, 18 Cancidas, 2 Candesartan Cilexetil, 8 Candesartan Cilexetil/Hydrochlorothiazide, 8 Cantil, 18 Capastat Sulfate, 2 Capecitabine, 4 Capex, 12 Caphosol, 21 Capital/Codeine, 28 Caprelsa, 6 Captopril, 7 Captopril/Hydrochlorothiazide, 8 Carafate, 18 Carbaglu, 17 Carbamazepine ER, 23 Carbamazepine, 23 Carbaphen 12 PED, 30 Carbaphen 12, 30 Carbatrol, 24 Carbidopa, 24 Carbidopa/Levodopa ER, 24 Carbidopa/Levodopa odt, 24 Carbidopa/Levodopa, 24 Carbidopa/Levodopa/Entacapone, 24

Carbinoxamine Maleate, 30 Carbocaine, 29 Carboplatin, 4 Cardene IV, 7 Cardene SR, 7 Cardizem CD, 7 Cardizem LA, 7 Cardizem, 7 Cardura XL, 19 Cardura, 8 Careone Blood Glucose Test Strips/Premium, 36 Careone Blood Glucose Test Strips/Value, 36 Careone Lancet Thin, 34 Careone Lancet Ultra Thin, 34 Caresens N Blood Glucose Test Strips, 36 Carisoprodol, 25 Carisoprodol/Aspirin, 25 Carisoprodol/Aspirin/Codeine, 25 Carmol-HC, 12 Carnitor SF, 17 Carnitor, 17 Carteolol HCL, 26 Carvedilol, 7 Cascara Sagrada, 17 Casodex, 5 Cataflam, 28 Catapres, 8 Catapres-Tts-1, 8 Catapres-Tts-2, 8 Catapres-Tts-3, 8 Cathflo Activase, 21 Cavan-Alpha Kit, 32 Caverject Impulse, 10 Caverject, 10 Cayston, 4 Cedax, 1 Ceenu, 4 Cefaclor ER, 1 Cefaclor, 1 Cefadroxil, 1 Cefazolin Sodium, 1 Cefazolin Sodium/Dextrose, 1 Cefdinir, 1 Cefditoren Pivoxil, 1 Cefepime, 1 Cefepime, 1 Cefotaxime Sodium, 1 Cefotetan, 1 Cefotetan/Dextrose, 1 Cefoxitin Sodium, 1 Cefpodoxime Proxetil, 1 Cefprozil, 1 Ceftazidime, 1 Ceftazidime/Dextrose, 1

Ceftibuten, 1 Ceftin, 1 Ceftriaxone IN Iso-Osmotic Dextrose, 1 Ceftriaxone Sodium, 1 Ceftriaxone/Dextrose, 1 Cefuroxime Axetil, 1 Cefuroxime Sodium, 1 Cefuroxime/Dextrose, 1 Celebrex, 28 Celestone, 13 Celestone-Soluspan, 13 Celexa, 22 Cellcept Intravenous, 5 Cellcept, 5 Celontin, 24 Cem-Urea, 12 Cenestin, 14 Cenfol, 20 Centany AT, 11 Centany, 10 Centratex, 20 Cephalexin, 1 Cerdelga, 20 Cerebyx, 24 Cerezyme, 20 Cervarix, 31 Cervidil, 27 Cesamet, 18 Cetirizine HCL, 30 Cetraxal, 27 Cetrotide, 16 Cevimeline HCL, 21 Chemet, 38 Chenodal, 18 Chloral Hydrate, 23 Chloramphenicol Sodium Succinate, 4 Chlordiazepoxide HCL, 21 Chlordiazepoxide/Amitriptyline, 25 Chlorhexidine Gluconate Oral Rinse, 21 Chlorhexidine Gluconate, 21 Chloroprocaine HCL, 29 Chloroquine Phosphate, 3 Chlorothiazide Sodium, 9 Chlorothiazide, 9 Chlorpromazine HCL, 22 Chlorpropamide, 15 Chlorthalidone, 9 Chlorzoxazone, 25 Choice DM Fora G20 Test Strips, 36 Cholestyramine Light, 9 Cholestyramine, 9 Choline Magnesium Trisalicylate, 27 Chorionic Gonadotropin, 16 Cialis, 10 Ciclodan Cream Kit, 11

Ciclodan Solution Kit, 11 Ciclopirox Nail Lacquer, 11 Ciclopirox Olamine, 11 Ciclopirox Topical Solution Kit, 11 Ciclopirox, 11 Cidofovir, 3 Cilostazol, 21 Ciloxan, 25 Cimetidine HCL, 17 Cimetidine, 17 Cimzia Starter Kit, 18 Cimzia, 18 Cipro HC, 27 Cipro XR, 2 Cipro, 2 Ciprodex, 27 Ciprofloxacin ER, 2 Ciprofloxacin HCL, 2, 25 Ciprofloxacin I.V.-IN D5W, 2 Ciprofloxacin, 2 Ciprofloxacin, 27 Cisatracurium Besylate, 25 Cisplatin, 4 Citalopram Hydrobromide, 22 Citranatal 90 DHA, 32 Citranatal Assure, 32 Citranatal B-Calm, 32 Citranatal DHA, 32 Citranatal Harmony, 32 Citranatal RX, 32 Citric Acid/Sodium Citrate, 19 Citrolith, 19 Cladribine, 4 Claforan, 1 Claforan/D5W, 1 Claravis, 10 Clarifoam EF, 10 Clarinex Reditabs, 30 Clarinex, 30 Clarinex-D 12 HOUR, 30 Clarinex-D 24 HOUR, 30 Clarithromycin ER, 1 Clarithromycin, 1 Cleanlet Lancets 28G, 34 Clemastine Fumarate, 30 Cleocin IN D5W, 4 Cleocin Pediatric Granules, 4 Cleocin Phosphate, 4 Cleocin, 4, 19 Cleocin-T, 10 Clever Chek Auto-Code Test Strips, 36 Clever Chek Auto-Code Voice Test Strips, 36 Clever Chek Lancets Ultrathin 30G, 34 Clever Chek Lancets Ultrathin, 34 Clever Chek Test Strips, 36

Clever Choice Auto-Code Pro Test Strips, 36 Clever Choice Micro Test Strips, 36 Cleviprex, 7 Climara Pro, 14 Climara, 14 Clindacin Etz, 10 Clindacin PAC, 10 Clindagel, 10 Clindamycin HCL, 4 Clindamycin Palmitate HCL, 3 Clindamycin Phosphate Add-Vantage, 3 Clindamycin Phosphate IN D5W, 4 Clindamycin Phosphate Pharmacy Bulk Package, 4 Clindamycin Phosphate, 3, 10, 19 Clindamycin Phosphate, 4 Clindamycin/Benzoyl Peroxide, 10 Clindesse, 19 Clobetasol Propionate Emollient, 11 Clobetasol Propionate, 11 Clobex, 12 Clocortolone Pivalate P.M., 12 Clocortolone Pivalate, 12 Clodan Kit, 12 Cloderm P.M., 12 Cloderm, 12 Clolar, 5 Clomiphene Citrate, 16 Clomipramine HCL, 22 Clonazepam Odt, 23 Clonazepam, 23 Clonidine HCL ER, 23 Clonidine HCL, 8 Clopidogrel, 21 Clorazepate Dipotassium, 21 Clorpres, 8 Clotrimazole, 11, 21 Clotrimazole/Betamethasone Dipropionate, 11 Clozapine Odt, 23 Clozapine, 22 Clozaril, 23 Cnl8 Nail Kit, 11 Coaguchek Lancets, 34 Coal TAR, 12 Coartem, 3 Cocaine HCL, 12 Cod Liver Oil, 32 Codeine Sulfate, 27 Codeine Sulfate, 28 Cogentin, 24 Colazal, 19 Colcrys, 29 Colestid Flavored, 9 Colestid, 9 Colestipol HCL for Oral Suspension, 9

Colestipol HCL, 9 Colistimethate Sodium, 4 Coly-Mycin M, 4 Coly-Mycin S, 27 Colyte-Flavor Packs, 17 Combigan, 26 Combipatch, 14 Combivent Respimat, 31 Combivent, 31 Combivir, 3 Cometriq, 6 Comfort Lancets, 34 Compazine, 23 Complera, 3 Comtan, 24 Comvax, 31 CO-Natal Fa, 32 Concept DHA, 32 Concept OB, 32 Concerta, 23 Condylox, 12 Control AST, 36 Control Test Strips, 36 Conzip, 28 Copaxone, 24 Copegus, 3 Cordarone, 7 Cordran Tape, 12 Cordran, 12 Coreg CR, 7 Coreg, 7 Corgard, 7 Corifact, 21 Corlopam, 8 Cortef, 13 Cortenema, 19 Cortifoam, 18 Cortisone Acetate, 13 Cortisporin, 11, 27 Cortisporin-Tc, 27 Corvert, 7 Corvite 150, 20 Corvite, 32 Corzide, 8 Cosmegen, 4 Cosopt PF, 26 Cosopt, 26 Coumadin, 20 Cozaar, 8 CPB WC, 30 Creon, 18 Crestor, 9 Cresylate, 27 Crinone, 19 Crixivan, 3

Crnatal, 32 Cromolyn Sodium, 18, 26, 30 Cubicin, 4 Curosurf, 31 Cutivate, 12 Cuvposa, 18 CVS Advanced Glucose Meter Test Strips, 36 Cyanocobalamin, 20 Cyclessa, 14 Cyclobenzaprine Comfort PAC, 25 Cyclobenzaprine HCL, 25 Cyclogyl, 26 Cyclomydril, 26 Cyclopentolate HCL, 26 Cyclophosphamide, 4 Cycloserine, 2 Cyclosporine Modified, 5 Cyclosporine, 5 Cyklokapron, 20 Cymbalta, 22 Cyproheptadine HCL, 30 Cyramza, 5 Cystadane, 17 Cystagon, 19 Cystaran, 27 Cytarabine Aqueous, 4 Cytarabine, 4 Cytarabine, 5 Cytomel, 17 Cytotec, 18 Cytovene, 3 Cytra-3, 19 D D.H.E. 45, 29 Dacarbazine, 6 Dacogen, 5 Daliresp, 31 Dalvance, 4 Danazol, 14 Dantrium IV, 25 Dantrium, 25 Dantrolene Sodium, 25 Dapsone, 4 Daptacel, 31 Daraprim, 3 Daunorubicin HCL, 4 Daunoxome, 4 Daypro, 28 Daytrana, 23 Ddavp, 16 Debacterol, 21 Decara, 32 Decitabine, 4 Decon-A, 30 Delestrogen, 14

Delzicol, 18 Demadex, 9 Demeclocycline HCL, 2 Demerol, 28 Demser, 8 Denavir, 11 Depacon, 24 Depakene, 24 Depakote ER, 24 Depakote Sprinkles, 24 Depakote, 24 Depocyt, 5 Depo-Estradiol, 14 Depo-Medrol, 13 Depo-Provera, 5 Depo-Testosterone, 14 Deprizine Fusepaq, 18 Derma-Smoothe/FS Body Oil, 12 Derma-Smoothe/FS Body, 12 Derma-Smoothe/FS Scalp Oil, 12 Dermasorb HC, 12 Dermasorb Ta, 12 Dermasorb XM, 12 Dermatop, 12 Dermotic, 27 Desipramine HCL, 22 Desloratadine Odt, 30 Desloratadine, 30 Desmopressin Acetate, 16 Desogen, 14 Desogestrel/Ethinyl Estradiol, 14 Desonate, 12 Desonide, 11 Desowen Cream/Cetaphil Lotion, 12 Desowen Lotion/Cetaphil Cream, 12 Desowen Ointment/Cetaphil Lotion, 12 Desowen, 12 Desoximetasone, 11, 12 Desoxyn, 23 Desvenlafaxine ER, 22 Detrol LA, 19 Detrol, 19 Dexamethasone Intensol, 13 Dexamethasone Sodium Phosphate, 13, 26 Dexamethasone, 13 Dexchlorpheniramine Maleate, 30 Dexedrine, 23 Dexilant, 18 Dexmedetomidine HCL, 23 Dexmethylphenidate HCL ER, 23 Dexmethylphenidate HCL, 23 Dexpak 10 Day, 13 Dexpak 13 Day, 13 Dexpak 6 Day, 13 Dexpanthenol, 19

Dexrazoxane, 6 Dextroamphetamine Sulfate ER, 23 Dextroamphetamine Sulfate, 23 Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 30 Diabeta, 15 Dialyvite 3000, 32 Dialyvite 5000, 32 Dialyvite Supreme D, 32 Dialyvite/Zinc, 32 Diamox, 9 Diastar Easy Test II Lancets 30G, 34 Diastar Easy Test Lancets30G, 34 Diastat Acudial, 24 Diastat Pediatric, 24 Diatx ZN, 32 Diazepam Intensol, 22 Diazepam, 21 Diazepam, 21, 24 Dibenzyline, 8 Diclegis, 18 Diclofenac Potassium, 28 Diclofenac Sodium DR, 28 Diclofenac Sodium ER, 28 Diclofenac Sodium, 11, 26 Diclofenac Sodium/Misoprostol, 28 Dicloxacillin Sodium, 1 Dicopanol Fusepaq, 30 Dicyclomine HCL, 17 Dicyclomine HCL, 18 Didanosine, 3 Differin, 10 Dificid, 1 Diflorasone Diacetate, 11 Diflorasone Diacetate, 12 Diflucan, 2 Diflunisal, 27 Digex NF, 18 Digoxin, 6 Dihydroergotamine Mesylate, 29 Dilacor XR, 7 Dilantin Infatabs, 24 Dilantin, 24 Dilatrate SR, 6 Dilaudid, 28 Dilaudid-HP, 28 Diltiazem CD, 7 Diltiazem HCL ER, 7 Diltiazem HCL, 7 Dimenhydrinate, 18 Diovan HCT, 8 Diovan, 8 Dipentum, 19 Diphenhydramine HCL, 30 Diphenoxylate/Atropine, 17

Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 31 Diprolene AF, 12 Diprolene, 12 Dipyridamole, 21 Disopyramide Phosphate, 7 Disulfiram, 24 Ditropan XL, 19 Diuril, 9 Divalproex Sodium DR, 23 Divalproex Sodium ER, 23 Divalproex Sodium, 23 Divigel, 14 Divista, 20 Dobutamine HCL, 9 Dobutamine HCL/D5W, 9 Dobutamine/Dextrose 5%, 9 Docefrez, 5 Docetaxel, 5 Dolgic Plus, 27 Dologesic, 27 Dolophine HCL, 28 Dolophine, 28 Donatuss DC, 30 Donepezil HCL, 24 Dopamine HCL, 9 Dopamine HCL-Dextrose 5%, 9 Dopamine/D5W, 9 Dopram, 23 Doral, 23 Doribax, 4 Doryx, 2 Dorzolamide HCL, 27 Dorzolamide HCL/Timolol Maleate, 26 Dovonex, 11 Doxapram HCL, 23 Doxazosin Mesylate, 8 Doxepin HCL, 22 Doxercalciferol, 17 Doxil, 4 Doxorubicin HCL Liposome, 4 Doxorubicin HCL, 4 Doxycycline Hyclate DR, 2 Doxycycline Hyclate, 2 Doxycycline Monohydrate, 2 Doxycycline, 2 Doxytex, 30 Drisdol, 32 Dritho-Creme HP, 11 Dronabinol, 18 Droperidol, 21 Droplet Lancets Ultra Thin 30G, 34 Drospirenone/Ethinyl Estradiol, 14 Droxia, 20 Drug Mart On-The-Go Lancets Gentle 30G, 34

Drug Mart Unilet Lancets Super Thin 30G, 34 Drug Mart Unilet Lancets Ultra Thin 28G, 34 Drysol, 12 Duac, 10 Duavee, 14 Duet DHA 400, 32 Duet DHA 400EC, 32 Duet DHA 430, 32 Duet DHA 430EC, 32 Duet DHA Balanced, 32 Duet DHA EC, 32 Duet DHA, 32 Duetact, 15 Duexis, 28 Dulera, 31 Duloxetine HCL, 22 Duocaine, 29 Duo-Care Test Strips, 36 Duoneb, 31 Duragesic, 28 Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"Close CATH, 29 Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"Open CATH, 29 Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"Close CATH, 29 Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"Open CATH, 29 Durezol, 26 Dutoprol, 8 Dyazide, 9 Dymista, 30 Dynacin, 2 Dyrenium, 9 Dysport, 25 E E.E.S. 400, 1 E.E.S. Granules, 1 Easivent, 37 Easivent/Mask-Large, 37 Easivent/Mask-Medium, 37 Easivent/Mask-Small, 37 Easy Step Test Strips, 36 Easy Touch Glucose Test Strips, 36 Easy Touch Healthpro Glucose Test Strips, 36 Easy Touch Lancets 21G/Pressure Activated, 34 Easy Touch Lancets 23G/Pressure Activated, 34 Easy Touch Lancets 26G/Pressure Activated, 34 Easy Touch Lancets 28G/Pressure Activated, 34 Easy Touch Lancets 28G/Twist, 34

Easy Touch Lancets 30G/Pressure Activated, 34 Easy Touch Lancets 30G/Twist, 34 Easy Touch Lancets 32G/Pressure Activated, 34 Easy Touch Lancets 32G/Twist, 34 Easy Touch Lancets 33G/Twist, 34 Easy Touch Safety Lancets21G/Pressure Activated, 34 Easy Touch Safety Lancets23G/Pressure Activated, 34 Easy Touch Safety Lancets26G/Button Activated, 34 Easy Touch Safety Lancets26G/Pressure Activated, 34 Easy Touch Safety Lancets28G/Button Activated, 34 Easy Touch Safety Lancets28G/Pressure Activated, 34 Easy Twist & CAP Lancets, 34 Easygluco, 36 Easymax 15 Test Strips, 36 Easymax Test Strips, 36 Easypro Blood Glucose Test Strips, 36 Easypro Plus, 36 Easytest II Lancets, 34 Easytest Lancets, 34 Eclipse Test Strips, 36 EC-Naprosyn, 29 Econazole Nitrate, 11 Ecoza, 11 Ed Cyte F, 20 Edarbi, 8 Edarbyclor, 8 Ed-Chlor-Tan, 30 Edecrin, 9 Edex, 10 Edluar, 23 Edurant, 3 Effexor XR, 22 Effient, 21 Egrifta, 16 Elaprase, 17 Eldepryl, 24 Elelyso, 20 Element Plus Test Strips, 36 Element Test Strips, 36 Elenzapatch, 12 Elestat, 27 Elestrin, 14 Eletone Twin pack, 13 Eletone, 13 Elidel, 12 Eligard, 5 Elimite, 13

Eliphos, 19 Eliquis, 20 Elitek, 6 Elite-OB, 32 Elixophyllin, 31 Ella, 14 Ellence, 4 Elmiron, 19 Elocon, 12 Eloxatin, 4 Elspar, 4 Emadine, 27 Embrace Blood Glucose Test Strips, 36 Embrace Evo Blood Glucosetest Strips, 36 Embrace Lancets Ultra Thin 30G, 34 Embrace Pro Blood Glucosetest Strips, 36 Emcyt, 5 Emend, 18 Emla, 13 Emsam, 22 Emtriva, 3 Emulsion SB, 13 Enablex, 19 Enalapril Maleate, 8 Enalapril Maleate/Hydrochlorothiazide, 8 Enalaprilat, 8 Enbrel Sureclick, 29 Enbrel, 29 Endometrin, 19 Engerix-B, 31 Enjuvia, 14 Enlon, 25 Enlon-Plus, 25 Enoxaparin Sodium, 20 Entacapone, 24 Entecavir, 3 Entereg, 19 Entocort EC, 13 Entyvio, 19 Envision Autocode Test Strips, 36 Epaned, 8 Ephedrine Sulfate, 9 Epiceram, 13 Epiduo, 10 Epifoam, 12 Epinastine HCL, 27 Epinephrine HCL, 30 Epinephrine, 9 Epipen 2-PAK, 9 Epipen-JR 2-PAK, 9 Epirubicin HCL, 4 Episone CRE, 12 Epivir HBV, 3 Epivir, 3 Eplerenone, 8

Epogen, 20 Epoprostenol Sodium, 9 Eprosartan Mesylate, 8 Epzicom, 3 Eql Truetrack Test, 36 Equagesic, 27 Equetro, 23 Eraxis, 2 Erbitux, 5 Ergocalciferol, 32 Ergoloid Mesylates, 25 Ergomar, 29 Ertaczo, 11 Erwinaze, 4 Erygel, 10 Eryped 200, 1 Eryped 400, 1 Ery-TAB, 1 Erythrocin Lactobionate, 1 Erythrocin Stearate, 1 Erythromycin Base, 1 Erythromycin Ethylsuccinate, 1 Erythromycin, 1, 10, 25 Erythromycin/Benzoyl Peroxide, 10 Escavite D, 32 Escavite, 32 Escitalopram Oxalate, 22 Esgic, 27 Esgic-Plus, 27 Esmolol HCL, 7 Esomeprazole Sodium, 17 Esomeprazole Sodium, 18 Esomeprazole Strontium, 18 Estazolam, 23 Estrace, 14, 19 Estradiol Valerate, 14 Estradiol, 14 Estradiol/Norethindrone Acetate, 14 Estrasorb, 14 Estring, 19 Estrogel, 14 Estropipate, 14 Estrostep FE, 14 Eszopiclone, 23 Ethambutol HCL, 2 Ethosuximide, 23 Ethyl Chloride, 13 Ethyl Chloride/Fine Pinpoint, 13 Ethyl Chloride/Fine Stream, 13 Ethyl Chloride/Medium Jet Stream, 13 Ethyl Chloride/Medium Stream, 13 Ethyl Chloride/Mist, 13 Ethyol, 6 Etidronate Disodium, 16 Etodolac ER, 28

Etodolac, 28 Etopophos, 5 Etoposide, 5 Euflexxa, 25 Eurax, 13 Evamist, 14 Evencare + Blood Glucose Test Strip, 36 Evencare Blood Glucose Test Strip, 36 Evencare G2 Test Strips, 36 Evencare G3 Test Strips, 36 Evicel, 20 Evista, 16 Evithrom, 20 Evoclin, 10 Evolution Autocode, 36 Evoxac, 21 Exactech R-S-G Test Strips, 36 Exactech Test Strips, 36 Exactuss, 30 Exalgo, 28 Exelderm, 11 Exelon, 25 Exemestane, 5 Exforge HCT, 8 Exforge, 8 Exjade, 38 Exparel, 29 Extavia, 25 Extina, 11 E-Z Ject Lancets 21G, 34 E-Z Ject Lancets Color, 34 E-Z Ject Lancets Super Thin 30G, 34 E-Z Ject Lancets Super Thin, 34 E-Z Ject Lancets Thin 26G, 34 E-Z Ject Lancets, 34 EZ Smart Blood Glucose Lancets, 34 EZ Smart Blood Glucose Test Strips, 36 EZ Smart Plus Blood Glucose Test Strips, 36 E-Z Spacer the Body Guards Pack, 37 E-Z Spacer, 37 E-ZJECT Lancets Micro-Thin 33G, 34 EZ-Lets Lancets 21G, 34 EZ-Lets Lancets 23G, 34 EZ-Lets Lancets 26G Super-Soft, 34 EZ-Lets Lancets 28G Ultra-Soft, 34 EZ-Lets Lancets 30G, 34 F Fabior, 10 Fabrazyme, 17 Factive, 2 Falessa, 14 Famciclovir, 3 Famotidine Premixed, 18 Famotidine, 17, 18 Famvir, 3

Fanapt Titration Pack, 23 Fanapt, 23 Fareston, 5 Farxiga, 15 Faslodex, 5 Fasttake Test Strips, 34 Fazaclo, 23 Feiba NF, 21 Felbamate, 23 Felbatol, 24 Feldene, 29 Felodipine ER, 7 Fem PH, 19 Femara, 5 Femcon FE, 14 Femhrt Low Dose, 14 Femring, 19 Fenofibrate Micronized, 9 Fenofibrate, 9 Fenofibric Acid DR, 9 Fenofibric Acid, 9 Fenoglide, 9 Fenoldopam Mesylate, 8 Fenoprofen Calcium, 29 Fentanyl Citrate Oral Transmucosal, 27 Fentanyl, 27 Fentora, 28 Feraheme, 20 Feriva, 20 Ferivafa, 20 Ferralet 90, 20 Ferrex 150 Forte Plus, 20 Ferrex 28, 20 Ferriprox, 38 Ferrlecit, 20 Ferro-Plex Hematinic, 20 Ferrotrin, 20 Fetzima Titration Pack, 22 Fetzima, 22 Fexmid, 25 Fibricor, 9 Fifty50 Glucose Test Strip 2.0, 36 Fifty50 Safety Seal Lancets 30G, 34 Fifty50 Safety Seal Lancets 32G, 34 Finacea, 10 Finasteride, 19 Fine-30, 34 Fingerstix Lancets, 34 Fioricet, 27 Fioricet/Codeine, 28 Fiorinal, 27 Fiorinal/Codeine #3, 28 Firazyr, 21 Firmagon, 5 First-Bxn Mouthwash, 21

First-Dukes Mouthwash, 21 First-Hydrocortisone, 12 First-Lansoprazole, 18 First-Marys Mouthwash, 21 First-Mouthwash Blm, 21 First-Omeprazole, 18 First-Progesterone VGS 100 Compounding Kit, 19 First-Progesterone VGS 200 Compounding Kit, 19 First-Progesterone VGS 25 Compounding Kit, 19 First-Progesterone VGS 400 Compounding Kit, 19 First-Progesterone VGS 50 Compounding Kit, 19 First-Testosterone Mc Compounding Kit, 14 First-Testosterone, 14 First-Vancomycin 25, 4 First-Vancomycin 50, 4 Flagyl ER, 4 Flagyl, 4 Flarex, 26 Flavoxate HCL, 19 Flecainide Acetate, 7 Flector, 11 Flexeril, 25 Flolan, 10 Flomax, 19 Flonase, 30 FLO-Pred, 13 Flovent Diskus, 31 Flovent HFA, 31 Floxuridine, 4 Fluarix 2012-2013, 31 Fluarix 2013-2014, 31 Fluarix 2014-2015, 31 Fluarix Quadrivalent 2013-2014, 31 Fluarix Quadrivalent 2014-2015, 31 Flublok 2013-2014, 31 Flublok 2014-2015, 31 Flucelvax 2012-2013, 31 Flucelvax 2013-2014, 31 Flucelvax 2014-2015, 31 Fluconazole IN Dextrose, 2 Fluconazole IN NACL, 2 Fluconazole, 2 Flucytosine, 2 Fludara, 5 Fludarabine Phosphate, 4 Fludarabine Phosphate, 5 Fludrocortisone Acetate, 13 Flulaval 2012-2013, 31 Flulaval 2013-2014, 31 Flulaval 2014-2015, 31 Flulaval Quadrivalent 2013-2014, 31 Flulaval Quadrivalent 2014-2015, 31 Flumadine, 3 Flumist Nasal Vaccine 2012-2013, 31 Flumist Quadrivalent, 31

Flunisolide, 30 Fluocinolone Acetonide Ear Drops, 27 Fluocinolone Acetonide, 11, 27 Fluocinonide Emollient Base, 11 Fluocinonide, 11 Fluocinonide-E, 12 Fluorometholone, 26 Fluorouracil, 4 Fluoxetine DR, 22 Fluoxetine HCL, 22 Fluoxetine, 24 Fluphenazine Decanoate, 22 Fluphenazine HCL, 22 Fluphenazine HCL, 23 Flurazepam HCL, 23 Flurbiprofen Sodium, 27 Flurbiprofen, 28 Flutamide, 5 Fluticasone Propionate, 12, 30 Fluvastatin, 9 Fluvirin 2012-2013, 31 Fluvirin 2013-2014, 31 Fluvirin PF 2012-2013, 31 Fluvirin PF 2013-2014, 31 Fluvirin PF 2014-2015, 31 Fluvoxamine Maleate ER, 22 Fluvoxamine Maleate, 22 Fluzone High-Dose PF 2012-2013, 31 Fluzone High-Dose PF 2013-2014, 31 Fluzone High-Dose PF 2014-2015, 31 Fluzone Intradermal, 31 Fluzone Pediatric PF 2012-2013, 31 Fluzone Pediatric PF 2013-2014, 31 Fluzone PF 2012-2013, 31 Fluzone PF 2013-2014, 31 Fluzone PF 2014-2015, 31 Fluzone Quadrivalent 2013-2014, 31 Fluzone Quadrivalent 2014-2015, 31 Fluzone Split 2012-2013, 31 Fluzone Split 2013-2014, 32 Fluzone Split 2014-2015, 32 FML Forte, 26 FML Liquifilm, 26 FML, 26 Focalin XR, 23 Focalin, 23 Folbecal, 32 Folcaps Omega 3, 32 Folet DHA, 32 Folet One, 3 Folgard OS, 32 Folgard RX, 20 Folic Acid, 20 Folic Acid/Vitamin B-6/B-12, 20 Folivane-F, 20

Folivane-OB, 32 Folivane-Plus, 20 Folivane-Prx DHA NF, 32 Follistim AQ, 16 Folotyn, 5 Foltrate, 20 Fondaparinux Sodium, 20 Fora D10 Blood Glucose Test Strips, 36 Fora D15c Blood Glucose Test Strips, 36 Fora D15g Blood Glucose Test Strips, 36 Fora D15z Blood Glucose Test Strips, 36 Fora D20 Blood Glucose Test Strips, 36 Fora G20 Blood Glucose Test Strips, 36 Fora G30a Blood Glucose Test Strips, 36 Fora G71a Blood Glucose Test Strips, 36 Fora G90 Blood Glucose Test Strips, 36 Fora GD20 Test Strips, 36 Fora Lancets, 34 Fora V12 Blood Glucose Test Strips, 36 Fora V20 Blood Glucose Test Strips, 36 Fora V22 Blood Glucose Test Strips, 36 Fora V30a Blood Glucose Test Strips, 37 Foracare GD40, 37 Foracare Premium V10 Test Strips, 37 Foracare Test N Go Test Strips, 37 Foradil Aerolizer, 31 Forfivo XL, 22 Fortamet, 15 Fortavit, 32 Fortaz, 1 Forteo, 16 Fortesta, 14 Fortical, 16 Fosamax Plus D, 16 Fosamax, 16 Foscarnet Sodium, 3 Foscavir, 3 Fosinopril Sodium, 8 Fosinopril Sodium/Hydrochlorothiazide, 8 Fosphenytoin Sodium, 23 Fosrenol, 18 Fragmin, 20 Freestyle Insulinx Blood Glucose Test Strips, 37 Freestyle Insulinx Blood Glucose Test, 37 Freestyle Lancets, 34 Freestyle Lite Test Strips, 37 Freestyle Test Strips, 37 Freestyle Unistick II Lancets, 34 Frova, 29 Fulyzaq, 17 Furadantin, 19 Furosemide, 9 Fusilev, 6 Fusion Plus, 20 Fuzeon, 3

Fycompa, 24 G Gabapentin, 23 Gabavale-5, 22 Gabazolamine, 22 Gabazolamine-0.5, 22 Gabazolpidem-5, 23 Gabitidine, 18 Gabitril, 24 Gablofen, 25 Gaboxetine, 22 Galantamine Hydrobromide, 24 Galantamine, 24 Ganciclovir, 3 Ganirelix Acetate, 16 Ganite, 16 Garamycin, 25 Gardasil, 32 Gastrinex NF, 18 Gastrocrom, 19 Gatifloxacin, 25 Gattex, 19 Gazyva, 5 Gebauers Pain Ease, 13 Gebauers Spray and Stretch, 13 Gelclair, 21 Gel-Kam Oral Care Rinse, 21 Gelnique, 19 Gemcitabine HCL, 4 Gemcitabine, 5 Gemfibrozil, 9 Gemzar, 5 Genadur Kit, 13 Genadur, 13 Generess FE, 14 Gene-Xene TAB 15MG, 21 Gene-Xene TAB 3.75MG, 21 Gene-Xene TAB 7.5MG, 21 Genotropin Miniquick, 16 Genotropin, 16 Gentamicin Sulfate Pediatric, 2 Gentamicin Sulfate, 2, 11, 25 Gentamicin Sulfate/0.9% Sodium Chloride, 2 Gentamicin Sulfate/Sodium Chloride, 2 Gentle-Let GP Lancets, 34 Gentle-Let Lancets General Purpose Style/Fine Point, 34 Gentle-Let Lancets General Purpose Style/Medium Point, 34 Gentle-Let Lancets Safety Style/Fine Point, 34 Gentle-Let Lancets Safety Style/Medium Point, 34 Geodon, 23 Gesticare DHA, 32 Giazo, 19

Gilenya, 25 Gilotrif, 6 Gilphex TR, 30 Giltuss PED-C, 30 Giltuss TR, 30 Giltuss, 30 Glassia, 31 Gleevec, 6 Gliadel Wafer, 4 Glimepiride, 15 Glipizide ER, 15 Glipizide, 15 Glipizide/Metformin HCL, 15 Glucagen Hypokit, 15 Glucagen, 15 Glucagon Emergency Kit, 15 Gluco Perfect 3 Test Strips, 37 Glucocard 01 Sensor, 37 Glucocard 01 Test Strips, 37 Glucocard Expression Blood Glucose Test Strips, 37 Glucocard Vital Test Strips, 37 Glucocard X-Sensor, 37 Glucocom Lancets 28G, 34 Glucocom Lancets 30G, 34 Glucocom Lancets 33G, 34 Glucocom Test Strips, 37 Glucolab Test Strips, 37 Gluconavii Blood Glucose Test Strips, 37 Glucophage XR, 15 Glucophage, 15 Glucosource Lancets, 34 Glucotrol XL, 15 Glucotrol, 15 Glucovance, 15 Glumetza, 15 Glyburide Micronized, 15 Glyburide, 15 Glyburide/Metformin HCL, 15 Glycate, 18 Glycolic Acid 70% High Purity, 11 Glycolic Acid, 11 Glycopyrrolate, 17 Glynase, 15 Glyset, 15 Gmate Blood Glucose Test Strips, 37 Gmate Lancets 30G, 34 Golytely, 17 Gonal-F RFF Pen, 16 Gonal-F RFF Rediject, 16 Gonal-F RFF, 16 Gonal-F, 16 Gordofilm, 13 Gordons Urea, 13 Gralise Starter, 24

Gralise, 24 Granisetron HCL, 18 Granisol, 18 Granix, 20 Grifulvin V, 2 Griseofulvin Microsize, 2 Griseofulvin Ultramicrosize, 2 Gris-Peg, 2 Guanfacine HCL, 8 Guanidine HCL, 25 Gynazole-1, 19 H H&H Thinlet Lancets 26G, 34 H&H Thinlet Super Thin Lancets 30G, 34 H.P. Acthar, 17 Haemolance Low Flow Lancets, 34 Haemolance Plus High Flow, 34 Haemolance Plus Low Flow, 34 Haemolance Plus Max Flow, 34 Haemolance Plus Pediatric Flow, 34 Haemolance Plus, 34 Haemolance, 34 Halaven, 5 Halcion, 23 Haldol Decanoate-100, 23 Haldol Decanoate-50, 23 Haldol, 23 Halflytely Bowel Prep/Flavor Packs, 17 Halobetasol Propionate, 12 Halog, 12 Halonate, 12 Haloperidol Decanoate, 22 Haloperidol Lactate, 22 Haloperidol, 22 Halotin, 11 Havrix, 32 Hectorol, 17 Helidac, 18 Helixate FS, 21 Hemabate, 27 Hemangeol, 7 Hematogen Fa, 20 Hematron-AF, 20 Hemocyte Plus, 20 Hemocyte-F, 20 Hemofil M, 21 Heparin Lock Flush for Flushing Vascular Access Devices, 20 Heparin Lock Flush, 20 Heparin Lock Flush/NACL for Flushing Vascular Access Devices, 20 Heparin Lock, 20 Heparin Sodium Dcu, 20 Heparin Sodium Lock Flush, 20 Heparin Sodium, 20

Heparin Sodium/D5W, 20 Heparin Sodium/NACL 0.45%, 20 Heparin Sodium/NACL 0.9%, 20 Heparin Sodium/Sodium Chloride 0.9% Premix, 20 Heparin Sodium/Sodium Chloride 0.9%, 20 Hepsera, 3 Herceptin, 5 Hespan, 21 Hetastarch 6%/NACL, 21 Hetlioz, 23 Hexalen, 4 Hextend, 21 Hiberix, 32 Hiprex, 19 Homatropine HBR, 26 Horizant, 25 HPR Plus, 13 HPR Plus/Mb Hydrogel, 13 HPR, 13 Humalog Kwikpen, 15 Humalog Mix 50/50 Kwikpen, 15 Humalog Mix 50/50, 15 Humalog Mix 75/25 Kwikpen, 15 Humalog Mix 75/25, 15 Humalog, 15 Humate-P, 21 Humatrope Combo Pack, 16 Humatrope, 16 Humira Pen, 28 Humira Pen-Crohns Diseasestarter, 28 Humira Pen-Psoriasis Starter, 28 Humira, 28 Humulin 70/30 Kwikpen, 15 Humulin 70/30 Pen, 15 Humulin 70/30, 15 Humulin N Kwikpen, 15 Humulin N U-100 Pen, 15 Humulin N, 15 Humulin R U-500 (concentrated), 15 Humulin R, 15 Hyalgan, 25 Hycamtin, 6 Hycet, 28 Hydralazine HCL, 8 Hydrea, 6 Hydro 35, 13 Hydro 40 Foam, 13 Hydrochloric Acid, 19 Hydrochlorothiazide, 9 Hydrocodone Bitartrate/Acetaminophen, 27 Hydrocodone Bitartrate/Acetaminophen, 28 Hydrocodone Bitartrate/Chlorpheniramine Maleate/PSE, 30

Hydrocodone Bitartrate/Homatropine Methylbromide, 30 Hydrocodone Polistirex/Chlorpheniramine Polistirex, 30 Hydrocodone/Acetaminophen, 27, 28 Hydrocodone/Homatropine, 30 Hydrocodone/Ibuprofen, 27 Hydrocort Ene 100MG, 18 Hydrocortisone Acetate/Aloe, 12 Hydrocortisone Acetate/Lidocaine HCL, 18 Hydrocortisone Acetate/Pramoxine, 18 Hydrocortisone Butyrate (Lipid), 12 Hydrocortisone Butyrate (Lipophilic), 12 Hydrocortisone Butyrate, 12 Hydrocortisone IN Absorbase, 12 Hydrocortisone Valerate, 12 Hydrocortisone, 12, 13, 18 Hydrocortisone/Acetic Acid, 27 Hydromorphone HCL Dosette, 28 Hydromorphone HCL ER, 27, 28 Hydromorphone HCL, 27, 28 Hydroxocobalamin, 20 Hydroxychloroquine Sulfate, 3 Hydroxyurea, 6 Hydroxyzine HCL, 21, 22 Hydroxyzine Pamoate, 21 Hylatopic Plus, 13 Hylatopic, 13 Hylira, 13 Hyoscyamine Sulfate ER, 17 Hyoscyamine Sulfate Odt, 17 Hyoscyamine Sulfate SR, 17 Hyoscyamine Sulfate, 17 Hypersal, 30 Hyper-Sal, 30 Hypertenevide-12.5, 7 Hypertenipine-2.5, 7 Hypertensolol, 8 Hy-Vee Lancets, 34 Hyzaar, 8 I Ibandronate Sodium, 16 Ibudone, 28 Ibuprofen Comfort PAC, 29 Ibuprofen, 28 Ibutilide Fumarate, 7 IC 400, 29 IC 800, 29 Icar-C Plus, 20 Iclusig, 6 Idamycin PFS, 4 Idarubicin HCL, 4 Ifex, 4 Ifosfamide, 4 Ifosfamide/Mesna, 6

Ilaris, 29 Ilevro, 27 Imbruvica, 6 Imdur, 7 Imipenem/Cilastatin, 4 Imipramine HCL, 22 Imipramine Pamoate, 22 Imiquimod, 12 Imitrex Statdose Refill, 29 Imitrex Statdose System, 29 Imovax Rabies (H.D.C.V.), 32 Imuran, 5 Inatal Advance, 32 Inatal GT, 32 Inatal Ultra, 32 Incivek, 3 Increlex, 16 Indapamide, 9 Inderal LA, 7 Inderal XL, 7 Indocin IV, 29 Indocin, 29 Indomethacin ER, 28 Indomethacin Sodium, 28 Indomethacin, 28, 29 Infanrix, 31 Infasurf, 31 Infergen, 3 Infinity Blood Glucose Test Strips, 37 Influenza A (H1n1) Monovalent 2009, 32 Infumorph 200, 28 Infumorph 500, 28 Injectafer, 20 Inlyta, 6 Innopran XL, 7 Inova 4/1 Acne Control Therapy, 10 Inova 8/2 Acne Control Therapy, 10 Inova, 10 Inspirease Bags, 37 Inspirease Drug Delivery System, 37 Inspirease Mouthpiece, 37 Inspirease Reservoir Bags, 37 Inspra, 8 Insulin Syringe/0.5ML/30G X 5/16", 37 Integra F, 20 Integra Plus, 20 Integrilin, 21 Intelence, 3 Interarticular Joint Kit, 13 Intermezzo, 23 Introl, 9 Intron-A w/Diluent, 6 Intron-A, 6 Intuniv, 23 Invanz, 4

Invega Sustenna, 23 Invega, 23 Invirase, 3 Invokamet, 15 Invokana, 15 Iopidine, 26 Ipol Inactivated IPV, 32 Ipratropium Bromide, 30 Ipratropium Bromide/Albuterol Sulfate, 30 Iprivask, 20 Irbesartan, 8 Irbesartan/Hydrochlorothiazide, 8 Irinotecan, 6 Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 20 Irospan 24/6, 20 Is 24/6, 20 Isentress, 3 Isoniazid, 2 Isoptin SR, 7 Isopto Atropine, 26 Isopto Carbachol, 26 Isopto Carpine, 26 Isopto Homatropine, 26 Isopto Hyoscine, 26 Isordil Titradose, 7 Isosorbide Dinitrate ER, 6 Isosorbide Dinitrate, 6, 7 Isosorbide Mononitrate ER, 6 Isosorbide Mononitrate, 6 Isotonic Gentamicin, 2 Isradipine, 7 Istalol, 26 Istodax, 6 Isuprel, 31 Itraconazole, 2 Ixempra Kit, 5 Ixiaro, 32 J Jakafi, 6 Jalyn, 19 Janumet XR, 15 Janumet, 15 Januvia, 15 Jardiance, 15 J-Cof DHC, 30 Jentadueto, 16 Jetrea, 27 Jevtana, 5 Jinteli, 14 J-Max DHC, 30 Jublia, 11 Juvisync, 15 Juxtapid, 9 K

K.B.G.L. IN Teroderm Cream, 11 Kadcyla, 5 Kadian, 28 Kalbitor, 21 Kaletra, 3 Kalydeco, 31 Kapvay Dose Pack, 23 Kapvay, 23 Karbinal ER, 30 Kazano, 16 Keflex, 1 Kenalog, 12 Kenalog-10, 13 Kenalog-40, 13 Kepivance, 6 Keppra XR, 24 Keppra, 24 Kerafoam, 13, 42 Keralac, 13 Keralyt Scalp, 13 Keralyt, 13 Kerlone, 7 Kerydin, 11 Ketoconazole, 2, 11 Ketodan Kit, 11 Ketoprofen ER, 29 Ketoprofen, 28 Ketorolac Tromethamine, 27, 28, 29 Keytruda, 5 Khedezla, 22 Kineret, 29 Kinlytic, 21 Kinrix, 31 Klaron, 10 Klonopin, 24 Koate-Dvi, 21 Kogenate FS Bio-Set, 21 Kogenate FS, 21 Kombiglyze XR, 15 Korlym, 15 K-Phos NO 2, 19 Kristalose, 17 Krystexxa, 29 Kuvan, 17 Kynamro, 9 Kyprolis, 6 L Labetalol HCL, 7 Lac-Hydrin, 13 Lacrisert, 26 Lactic Acid E, 12 Lactic Acid w/Vitamin E, 12 Lactic Acid, 12 Lactulose, 17, 18 Lamictal Chewable Dispersible, 24

Lamictal Odt, 24 Lamictal Starter/Not Taking Carbamazepine, 24 Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 24 Lamictal Starter/Taking Valproate, 24 Lamictal XR, 24 Lamictal, 24 Lamisil Spray, 11 Lamisil, 2 Lamivudine, 3 Lamivudine/Zidovudine, 3 Lamotrigine ER, 23 Lamotrigine, 23 Lancets 26G Twist Top, 34 Lancets 28G, 34 Lancets 30G Twist Top, 35 Lancets 30G, 35 Lancets 31G Twist Top, 35 Lancets Bullseye Safety, 34 Lancets Safety Seal 21G, 34 Lancets Safety Seal 26G, 34 Lancets Safety Seal 28G, 34 Lancets Safety Seal 30G, 34 Lancets Thin, 34 Lancets Twist Top, 34 Lancets Ultra Fine, 34 Lancets Ultra Thin, 34 Lancets, 34 Lanoxin Pediatric, 6 Lanoxin, 6 Lansoprazole, 17 Lansoprazole/Amoxicillin/Clarithromycin, 17 Lantus Solostar, 15 Lantus, 15 Lasix, 9 Lastacaft, 27 Latanoprost, 26 Latrix XM, 13 Latuda, 22 Lavoclen-4 Creamy Wash, 10 Lavoclen-8 Creamy Wash, 10 Lazanda, 28 Leflunomide, 28 Lescol XL, 9 Lescol, 9 Letairis, 10 Letrozole, 5 Leucovorin Calcium, 6 Leukeran, 4 Leukine, 20 Leuprolide Acetate, 5 Levacet, 27 Levalbuterol HCL, 30 Levalbuterol, 30

Levaquin, 2 Levatol, 7 Levbid, 18 Levemir Flexpen, 15 Levemir Flextouch, 15 Levemir, 15 Levetiracetam ER, 23 Levetiracetam, 23 Levetiracetam, 24 Levitra, 10 Levobunolol HCL, 26 Levocarnitine, 17 Levocetirizine Dihydrochloride, 30 Levofloxacin IN D5W, 2 Levofloxacin, 2, 25 Levonorgestrel and Ethinyl Estradiol, 14 Levonorgestrel, 14 Levonorgestrel/Ethinyl Estradiol, 14 Levophed, 9 Levorphanol Tartrate, 28 Levothyroxine Sodium, 17 Levsin, 18 Levsin/SL, 18 Lexapro, 22 Lexiva, 3 Lialda, 18 Liberty Control Solution High, 35 Liberty Control Solution Normal, 35 Liberty Glucose Control Level 1, 35 Liberty Glucose Control Level 2, 35 Liberty Glucose Control Mid, 35 Liberty Glucose Control Normal, 35 Liberty Mini Lancing Device, 35 Liberty Next Generation Blood Glucose Monitor, 35 Liberty Next Generation Blood Glucose Test Strips, 35 Lidocaine HCL IN D5W, 7 Lidocaine HCL Jelly, 12 Lidocaine HCL Viscous, 21 Lidocaine HCL, 7, 12, 13, 21, 29 Lidocaine HCL/Dextrose, 7, 29 Lidocaine HCL-Hydrocortisone Acetate with Aloe, 19 Lidocaine HCL-Hydrocortisone Acetate, 18 Lidocaine Viscous, 21 Lidocaine, 12 Lidocaine, 29 Lidocaine/Epinephrine, 29 Lidocaine/Prilocaine, 12 Lidocaine/Prilocaine, 13 Lidoderm, 13 Lidoprofen, 11 Lidovir, 11 Lifescan Unistik 2 Deep Penetration, 35

Lifescan Unistik II Lancets, 35 Lincocin, 4 Lindane, 12 Linzess, 18 Lioresal Intrathecal, 25 Liothyronine Sodium, 17 Lipitor, 9 Lipofen, 9 Liptruzet, 9 Liquicet, 28 Lisinopril, 8 Lisinopril/Hydrochlorothiazide, 8 Liteaire, 37 Litetouch Lancets Micro Thin 33G, 35 Lithium Carbonate ER, 22 Lithium Carbonate, 22, 23 Lithium Citrate, 23 Lithobid, 23 Lithostat, 19 Livalo, 9 Live Better Lancet Super Thin 30G, 35 Live Better Lancet Ultra Thin 28G, 35 LMD 10% Dextrose 5%, 21 LMD 10% Sodium Chloride 0.9%, 21 LO Loestrin FE, 14 LO Minastrin FE, 14 Locoid Lipocream, 12 Locoid, 12 Lodosyn, 24 Loestrin 1.5/30-21, 14 Loestrin 1/20-21, 14 Loestrin 24 FE, 14 Loestrin FE 1.5/30, 14 Loestrin FE 1/20, 14 Lofibra, 9 Lomedia 24 FE, 14 Lomotil, 17 Lomustine, 4 Loperamide HCL, 17 Lopid, 9 Lopressor HCT, 8 Lopressor, 7 Loprox Shampoo, 11 Loprox, 11 Lorazepam Intensol, 22 Lorazepam, 21 Lorcet 10/650, 28 Lorcet Plus, 28 Lortab, 28 Lorzone, 25 Losartan Potassium, 8 Losartan Potassium/Hydrochlorothiazide, 8 Loseasonique, 14 Lotemax, 26 Lotensin HCT, 8

Lotensin, 8 Lotrel, 8 Lotrisone, 11 Lotronex, 18 Lovastatin, 9 Lovaza, 9 Lovenox, 20 Loxapine Succinate, 22 Loxapine, 22 Loxitane, 23 Lta 360 Kit, 21 Lufyllin, 31 Lumigan, 26 Lumizyme, 17 Lunesta, 23 Lupaneta Pack, 16 Lupron Depot, 5 Lupron Depot-PED, 16 Luvox CR, 22 Luxiq, 12 Luzu, 11 Lycelle, 13 Lyrica, 24 Lysodren, 5 Lysteda, 21 Lytensopril Kit, 8 Lytensopril-90 Kit, 8 Lytensopril-90, 8 M M.V.I. Adult, 32 M.V.I. Pediatric, 33 M.V.I.-12 without Vitamin K, 33 Macnatal CN DHA, 32 Macrobid, 19 Macrodantin, 19 Magnacet, 28 Makena, 14 Malarone, 3 Malathion, 12 Mannitol, 9 Maprotiline HCL, 22 Marcaine without Epi, 29 Marcaine, 29 Marcaine/Epinephrine, 29 Marinol, 18 Marnatal-F, 33 Marplan, 22 Marqibo, 5 Mask Vortex/Baby Whirl Duckling, 37 Mask Vortex/Child/Frog, 37 Mask Vortex/Spinner the Duck, 37 Mask Vortex/Toddler/Lady Bug, 37 Matulane, 6 Mavik, 8 Maxair Autohaler, 31

Maxalt, 29 Maxalt-MLT, 29 Maxaron Forte, 20 Maxfe, 20 Maxidex, 26 Maxidone, 28 Maxima Blood Glucose Teststrips, 37 Maxipime, 1 Maxitrol, 26 Maxzide, 9 Maxzide-25, 9 Mb Hydrogel, 13 Meclizine HCL, 18 Meclofenamate Sodium, 28 Medical Provider EZ Flu Shot 2014-2015, 32 Medi-Derm/L-RX, 13 Medisense Thin Lancets, 35 Medlance Plus Extra Lancets 21G, 35 Medlance Plus Lancets Lite 25G, 35 Medlance Plus Lancets, 35 Medlance Plus Lite Lancets 25G, 35 Medlance Plus Special Lancets 0.8MM, 35 Medlance Plus Superlite 30G, 35 Medlance Plus Superlite 30G/Comfort Max, 35 Medlance Plus Universal Lancets 21G, 35 Medlance Plus/Lite 25G, 35 Medlance/Extra, 35 Medlance/Lite, 35 Medlance/Universal, 35 Medrol Dosepak, 13 Medrol, 13 Medroxyprogesterone Acetate, 14 Mefenamic Acid, 28 Mefloquine HCL, 3 Mefoxin, 1 Megace ES, 15 Megace Oral, 5 Megestrol Acetate, 5 Meijer Super Thin Lancets, 35 Mekinist, 6 Meloxicam Comfort PAC, 29 Meloxicam, 28 Meloxicam, 29 Melphalan Hydrochloride, 4 Menactra, 32 Menest, 14 Menhibrix, 32 Menomune-A/C/Y/W-135, 32 Menopur, 16 Menostar, 14 Mentax, 11 Menveo, 32 Meperidine HCL, 27, 28 Mephyton, 32

Mepivacaine HCL, 29 Meprobamate, 21 Mepron, 4 Mercaptopurine, 4 Meropenem, 4 Merrem, 4 Mesalamine, 18 Mesna, 6 Mesnex, 6 Mestinon Timespan, 25 Mestinon, 25 Metadate CD, 23 Metaproterenol Sulfate, 31 Metastron, 6 Metaxalone, 25 Metformin HCL ER, 15 Metformin HCL, 15 Methadone HCL, 27 Methadone HCL, 28 Methadose Sugar-Free, 28 Methadose, 28 Methamphetamine HCL, 23 Methazolamide, 9 Methenamine Hippurate, 19 Methenamine Mandelate, 19 Methimazole, 17 Methocarbamol, 25 Methotrexate Sodium, 4 Methotrexate, 4 Methoxsalen, 11 Methscopolamine Bromide, 17 Methyclothiazide, 9 Methyldopa, 8 Methyldopa/Hydrochlorothiazide, 8 Methyldopate HCL, 8 Methylergonovine Maleate, 27 Methylin, 23 Methylphenidate HCL CD, 23 Methylphenidate HCL ER, 23 Methylphenidate HCL SR, 23 Methylphenidate HCL, 23 Methylphenidate Hydrochloride, 23 Methylprednisolone Acetate, 13 Methylprednisolone Dose Pack, 13 Methylprednisolone Sodiumsuccinate, 13 Methylprednisolone, 13 Metipranolol, 26 Metoclopramide HCL, 18 Metolazone, 9 Metoprolol Succinate ER, 7 Metoprolol Tartrate, 7 Metoprolol/Hydrochlorothiazide, 8 Metozolv Odt, 19 Metro IV, 4 Metrocream, 10

Metrogel, 10 Metrogel-Vaginal, 19 Metrolotion, 10 Metronidazole IN NACL 0.79%, 4 Metronidazole Vaginal, 19 Metronidazole, 4, 10 Mevacor, 9 Mexiletine HCL, 7 Miacalcin, 16 Micardis HCT, 8 Micardis, 8 Microchamber, 37 Microdot Test Strips, 37 Microlet Lancets, 35 Microspacer, 37 Microtainer Safety Flow Lancet/Sterile/Single-Use, 35 Microzide, 9 Midodrine HCL, 9 Mifeprex, 17 Migergot, 29 Migral, 29 Migranal, 29 Millipred DP, 13 Millipred, 13 Milrinone IN Dextrose, 6 Milrinone Lactate, 6 Minastrin 24 FE, 14 Mineral Oil Heavy, 17 Minipress, 8 Minivelle, 14 Minocin Kit, 2 Minocin, 2 Minocycline HCL ER, 2 Minocycline HCL, 2 Minoxidil, 8 Mirapex ER, 24 Mirapex, 24 Mircette, 14 Mirtazapine Odt, 22 Mirtazapine, 22 Mirvaso, 10 Misoprostol, 17 Mission Prenatal HP, 32 Mitomycin, 4 Mitosol, 25 Mitoxantrone HCL, 4 M-M-R II w/Diluent 10 Dose, 32 Mobic, 29 Modafinil, 23 Moderiba 1200 Dose Pack, 3 Moderiba 800 Dose Pack, 3 Moderiba, 3 Modicon, 14 Moexipril HCL, 8

Moexipril/Hydrochlorothiazide, 8 Mometasone Furoate, 12 Moms Choice RX, 33 Monoclate-P, 21 Monodox, 2 Monoject Bone Marrow Biopsy Prepping Tray, 29 Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 29 Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 29 Monoject Bone Marrow Biopsy Tray/Sternal-Iliac Needle 16G, 29 Monolet Lancets, 35 Monolet Opd Lancets, 35 Monolettor Safety Lancets, 35 Mononine, 21 Monovisc, 25 Montelukast Sodium, 30 Monurol, 19 Morgidox 1X100MG, 2 Morgidox 2X100MG, 2 Morphine Sulfate Add-Vantage, 28 Morphine Sulfate ER, 27 Morphine Sulfate, 27, 28 Motofen, 17 Moviprep, 17 Moxatag, 1 Moxeza, 25 Moxifloxacin HCL, 2 Mozobil, 20 MS Contin, 28 Mst 600, 27 Multaq, 7 Multigen Folic, 20 Multigen Plus, 20 Multigen, 20 Mupirocin Calcium, 10 Mupirocin, 10 Muse, 10 Mustargen, 4 MV FE Asparto Gly/FE Fum/Succ Acid/VitC/Threonic Acd/B12/Fa, 20 MV FE Asparto Gly/Vit C/Vit B12/CA/Threonate/Succ Acd/Stomac, 20 M-Vit, 32 Myalept, 17 Myambutol, 2 Mycamine, 2 Mycobutin, 2 Mycophenolate Mofetil, 5 Mycophenolic Acid DR, 5 Mydfrin, 26 Myfortic, 5 Myglucohealth Blood Glucose Test, 37

Myglucohealth Mgh Softlance Lancets 30G, 35 Mykidz Iron Fl, 33 Myleran, 4 Mynatal Advance, 32 Mynatal Ultracaplet, 32 Mynatal, 33 Myobloc, 25 Myoxin, 27 Myozyme, 17 Myrbetriq, 19 Mysoline, 24 N Nabumetone, 28 Nadolol, 7 Nadolol/Bendroflumethiazide, 8 Nafcillin Sodium, Nafrinse Daily/Acidulated, 21 Nafrinse Daily/Neutral, 21 Nafrinse Weekly, 21 Naftin, 11 Naglazyme, 17 Nalbuphine HCL, 27 Nalfon, 29 Nallpen Iso-Osmotic IN Dextrose, 1 Nallpen/Dextrose, 1 Namenda Titration PAK, 24 Namenda XR Titration Pack, 24 Namenda XR, 24 Namenda, 24 Naphazoline HCL, 26 Naprelan, 29 Naprosyn, 29 Naproxen Comfort PAC, 29 Naproxen Sodium, 28 Naproxen, 28 Naratriptan HCL, 29 Nardil, 22 Naropin, 29 Nasacort AQ, 30 Nascobal, 20 Nasonex, 30 Natachew, 33 Natacyn, 25 Natafort, 33 Natalvirt 90 DHA, 33 Natalvirt CA, 33 Natalvirt Flt, 20 Natalvit, 33 Natazia, 14 Nateglinide, 15 Natelle One, 33 Natrecor, 10 Natroba, 13 Nature-Throid Nt-2.5, 17

Nature-Throid, 17 Navelbine, 5 Nebupent, 4 Nebusal, 30 Necon 1/50-28, 14 Necon 10/11-28, 14 Neevo DHA, 33 Nefazodone HCL, 22 Nembutal Sodium, 23 Neomycin Sulfate, 2 Neomycin/Bacitracin/Polymyxin, 25 Neomycin/Polymyxin/Bacitracin Zinc, 25 Neomycin/Polymyxin/Bacitracin/HydrocortiSone, 26 Neomycin/Polymyxin/Dexamethasone, 26 Neomycin/Polymyxin/Gramicidin, 25 Neomycin/Polymyxin/HC, 27 Neomycin/Polymyxin/Hydrocortisone, 26, 27 Neoprofen, 29 Neoral, 5 Neosalus CP, 13 Neosalus, 13 Neosporin, 25 Neostigmine Methylsulfate, 25 Neo-Synalar Kit, 11 Neo-Synalar, 11 Neotuss Plus, 30 Nephplex RX, 33 Nephrocaps QT, 33 Nephrocaps, 33 Nephron Fa, 20 Nephro-Vite RX, 33 Neptazane, 9 Nesacaine, 29 Nesacaine-Mpf, 29 Nesina, 15 Nessi Spacer/Large Mask, 37 Nessi Spacer/Mouthpiece, 37 Nessi Spacer/Small/MED Mask, 37 Nestabs Abc, 33 Nestabs DHA, 33 Nestabs, 33 Netgroup Lancets, 35 Neuac Kit, 10 Neulasta, 20 Neumega, 20 Neupogen, 20 Neupro, 24 Neurontin, 24 Neutek 2tek Test Strips, 37 Neutrasal, 21 Neutrexin, 4 Nevanac, 27 Nevirapine ER, 3 Nevirapine, 3

Newgen, 33 Nexa Plus, 33 Nexa Select, 33 Nexavar, 6 Nexgen Test Strips, 37 Nexium 24HR, 18 Nexium IV, 18 Nexium, 18 Nexterone, 7 Niacin ER, 9 Niacinamide/Azelaic Ac/Turmer/Fa/B6/Zinc/Ox/Copper, 32 Niacor, 9 Niaspan, 9 Nicadan, 33 Nicardipine HCL, 7 Nicazel Forte, 33 Nicazel, 33 Nicazeldoxy 30 Kit, 2 Nicazeldoxy 60 Kit, 2 Nicomide, 33 Nifedipine ER, 7 Nifedipine, 7 Nilandron, 5 Nimbex, 25 Nimodipine, 7 Nipent, 6 Niravam, 22 Nisoldipine ER, 7 Nisoldipine, 7 Nitro-Bid, 6 Nitro-Dur, 7 Nitrofurantoin Macrocrystals, 19 Nitrofurantoin Monohydrate, 19 Nitrofurantoin Monohydrate/Macrocrystals, 19 Nitrofurantoin, 19 Nitroglycerin IN 5% Dextrose, 6, 7 Nitroglycerin Lingual, 6 Nitroglycerin Lingual, 7 Nitroglycerin Transdermal, 6 Nitroglycerin, 6 Nitroglycerin, 7 Nitrolingual Pumpspray, 7 Nitromist, 7 Nitronal, 7 Nitropress, 8 Nitrostat, 6 Nivatopic Plus, 13 Nizatidine, 17 Nizoral, 11 Norco, 28 Nordette-28, 14 Norditropin Cartridge, 16 Norditropin Flexpro, 16

Norditropin Nordiflex Pen, 16 Norepinephrine Bitartrate, 9 Norethindrone Acetate, 14 Norethindrone Acetate/Ethinyl Estradiol, 14 Norethindrone Acetate/Ethinyl Estradiol/Ferrous Fumarate, 14 Norethindrone, 14 Norflex, 25 Norgestimate/Ethinyl Estradiol, 14 Norinyl 1+35, 14 Norinyl 1+50, 14 Noritate, 10 Noroxin, 2 Norpace CR, 7 Norpace, 7 Norpramin, 22 Nor-QD, 14 Northera, 9 Nortriptyline HCL, 22 Norvasc, 7 Norvir, 3 Nova Max Glucose Test Strips, 37 Nova Safety Lancets 23G, 35 Nova Safety Lancets 28G, 35 Nova Sureflex Lancets, 35 Novaferrum, 20 Novofine 30GX8MM, 35 Novofine 32GX6MM, 35 Novofine Autocover 30GX8MM, 35 Novolin 70/30 Relion, 15 Novolin 70/30, 15 Novolin N Relion, 15 Novolin N, 15 Novolin R Relion, 15 Novolin R, 15 Novolog Flexpen, 15 Novolog Mix 70/30 Prefilled Flexpen, 15 Novolog Mix 70/30, 15 Novolog Penfill, 15 Novolog, 15 Novoseven Rt, 21 Novoseven, 21 Novotwist 30GX8MM, 35 Novotwist 32GX5MM, 35 Noxafil, 2 Nplate, 20 Nucort, 12 Nucynta ER, 28 Nucynta, 28 Nuedexta, 24 Nulojix, 5 Nulytely/Flavor Packs, 17 Numoisyn, 21 Nuox, 10 Nutricap, 33

Nutridox, 2 Nutrivit, 33 Nutropin AQ Nuspin 10, 16 Nutropin AQ Nuspin 20, 16 Nutropin AQ Nuspin 5, 16 Nutropin AQ Pen, 16 Nutropin, 16 Nuvail, 13 Nuvigil, 23 Nuzon, 12 Nymalize, 7 Nystatin Domestic, 11 Nystatin Foreign, 11 Nystatin, 11 Nystatin, 2, 11, 21 Nystatin/Triamcinolone, 11 O OB Complete 400, 33 OB Complete One, 33 OB Complete Petite, 33 OB Complete Premier, 33 OB Complete, 33 OB Complete/DHA, 33 OB-Natal One, 32 Obstetrix DHA, 33 Obstetrix EC, 32 O-CAL Fa, 33 O-CAL Prenatal, 33 Octreotide Acetate, 16 Ocudox, 2 Ocufen, 27 Ocuflox, 26 Ofirmev, 27 Ofloxacin, 2, 25, 27 Ogestrel, 14 Olanzapine Odt, 22 Olanzapine, 22 Olanzapine/Fluoxetine, 24 Oleptro, 22 Olux, 12 Olux-E, 12 Olysio, 3 Omeclamox-PAK, 18 Omega-3-Acid Ethyl Esters, 9 Omeprazole + Syrspend SF Alka, 18 Omeprazole, 17 Omeprazole/Sodium Bicarbonate, 18 Omnaris, 30 Omnipred, 26 Omnitrope, 16 Omontys, 20 On Call Express Blood Glucose Test Strips, 37 On Call Lancets, 35 On Call Plus Blood Glucose Test, 37 On Call Plus Lancets, 35

On Call Vivid Blood Glucose Test Strips, 37 On Call Vivid Blood Glucose Test, 37 Oncaspar, 4 Ondansetron HCL, 18 Ondansetron Odt, 18 Onetouch Basic System, 35 Onetouch Basic/Profile Test Strips, 35 Onetouch Club Lancets Fine Point, 35 Onetouch Combo Pack, 35 Onetouch Delica Lancets Extra Fine 33G, 35 Onetouch Delica Lancets Fine 30G, 35 Onetouch Delica Lancing Device, 35 Onetouch Finepoint Lancets, 35 Onetouch Lancets, 35 Onetouch Ping Meter Remote, 35 Onetouch Profile System, 35 Onetouch Suresoft Lancing Device 18G, 35 Onetouch Suresoft Lancing Device 21G, 35 Onetouch Suresoft Lancing Device 28G, 35 Onetouch Ultra 2, 35 Onetouch Ultra Blue, 35 Onetouch Ultra Control, 35 Onetouch Ultra Mini, 35 Onetouch Ultra System Kit, 35 Onetouch Ultralink System (DEC), 35 Onetouch Ultralink System (Hex), 35 Onetouch Ultrasmart, 35 Onetouch Ultrasoft Lancets, 35 Onetouch Verio Control Solution High, 35 Onetouch Verio IQ Blood Glucose Monitoring System, 35 Onetouch Verio Mid Control Solution, 35 Onetouch Verio Sync Blood Glucose Monitoring System, 35 Onetouch Verio Test Strips, 35 Onfi, 24 Onglyza, 15 Onmel, 2 Opana ER (Crush Resistant), 28 Opana, 28 Opium Tincture (paregoric), 17 Opium Tincture, 17 Opium, 17 Opsumit, 10 Optichamber Advantage, 37 Optichamber Diamond, 37 Optichamber Diamond/Large Face Mask, 37 Optichamber Diamond/Medium Face Mask, 37 Optichamber Diamond/Small Face Mask, 37 Optihaler MDI Drug Delivery System, 37 Optihaler, 37 Optium Test Strips, 37 Optiumez Test Strips, 37 Optivar, 27 Optumrx Blood Glucose Test, 37

Oracea, 10 Oracit, 19 Orafate, 21 Orap, 25 Orapred Odt, 13 Orapred, 13 Oravig, 21 Oraxyl, 2 Orbactiv, 4 Orbivan CF, 27 Orbivan, 27 Orencia, 29 Orenitram, 10 Orfadin, 17 Orphenadrine Citrate ER, 25 Orphenadrine Citrate, 25 Orphenadrine/Asa/Caffeine, 25 Ortho Micronor, 14 Ortho Tri-Cyclen LO, 14 Ortho Tri-Cyclen, 14 Ortho-Cept, 14 Ortho-Cyclen, 14 Ortho-Novum 1/35, 14 Ortho-Novum 7/7/7, 14 Orthovisc, 25 Oseni, 16 Osmoprep, 17 Osphena, 16 Otezla, 29 Otozin, 27 Otrexup, 29 Ovace Plus Wash, 11 Ovace Plus, 11 Ovace Wash, 11 Ovcon-35, 14 Ovide, 13 Ovidrel, 16 Oxacillin Sodium, 1 Oxaliplatin, 4 Oxandrin, 14 Oxandrolone, 14 Oxaprozin, 28 Oxazepam, 21 Oxcarbazepine, 23 Oxecta, 28 Oxistat, 11 Oxsoralen Ultra, 11 Oxsoralen, 12 Oxtellar XR, 24 Oxybutynin Chloride ER, 19 Oxybutynin Chloride, 19 Oxycodone HCL, 27, 28 Oxycodone/Acetaminophen, 27 Oxycodone/Aspirin, 27 Oxycodone/Ibuprofen, 27

Oxycontin, 28 Oxymorphone Hydrochloride ER, 27 Oxymorphone Hydrochloride, 27 Oxytocin, 27 Oxytrol for Women, 19 Oxytrol, 19 P Paclitaxel, 5 Paire OB, 33 Palgic, 30 Pamelor, 22 Pamidronate Disodium, 16 Pamine Forte, 18 Pamine FQ, 18 Pamine, 18 Panatuss Dxp, 30 Pancreaze, 18 Pancrelipase, 18 Pancuronium Bromide, 25 Panda Mask Large, 37 Panda Mask Medium, 38 Panda Mask Small, 38 Pandel, 12 Pantoprazole Sodium, 18 Papaverine HCL, 9 Parafon Forte DSC, 25 Parcopa, 24 Paricalcitol, 17 Parlodel, 24 Parnate, 22 Paromomycin Sulfate, 2 Paroxetine HCL ER, 22 Paroxetine HCL, 22 Paser, 2 Pataday, 27 Patanase, 30 Patanol, 27 Paxil CR, 22 Paxil, 22 PCE, 1 Pediaderm AF Complete Kit, 11 Pediaderm HC, 12 Pediaderm Ta, 12 Pediapred, 13 Pediarix, 31 Pediatex TD, 30 Pediatex TDM, 30 Pediatric Panda Mask, 38 Pedipirox-4 Nail, 11 Pedvax HIB, 32 Peg 3350/Electrolytes, 17 Peg-3350/NACL/NA Bicarbonate/KCL, 17 Peganone, 24 Pegasys Proclick, 3 Pegasys, 3

Peg-Intron Redipen 4 PAK, 3 Peg-Intron Redipen, 3 Peg-Intron, 3 Pen Needles 29G X 12MM, 35 Pen Needles 29GX1/2", 35 Pen Needles 30GX5/16", 35 Pen Needles 31G X 1/4" SHORT, 35 Pen Needles 31G X 3/16", 35 Pen Needles 31G X 5/16", 35 Pen Needles 31G X 6MM, 35 Penicillin G Potassium IN Iso-osmotic Dextrose, 1 Penicillin G Potassium, 1 Penicillin G Procaine, 1 Penicillin G Sodium, 1 Penicillin V Potassium, 1 Penlac Nail Lacquer, 11 Pennsaid, 11 Pentacel, 31 Pentam 300, 4 Pentasa, 18 Pentazocine/Acetaminophen, 27 Pentazocine/Naloxone HCL, 27 Pentetate Calcium Trisodium, 38 Pentetate Zinc Trisodium, 38 Pentoxifylline ER, 21 Pepcid, 18 Percocet, 28 Percodan, 28 Perfect Lancets 30G, 35 Perfect Pressure Activated Safety Lancets 28G, 35 Perforomist, 31 Peridex, 21 Perindopril Erbumine, 8 Perjeta, 5 Permethrin, 12 Perphenazine, 22 Perphenazine/Amitriptyline, 25 Perry Prenatal, 32 Persantine, 21 Pertzye, 18 Pexeva, 22 Pfizerpen-G, 1 Pharmacist Choice Autocode Blood Glucose Test Strips, 37 Pharmacy Counter Lancets, 35 Phenazopyridine HCL, 19 Phenelzine Sulfate, 22 Phenergan, 30 Phenobarbital Sodium, 23 Phenobarbital, 23 Phentolamine Mesylate, 8 Phenylephrine HCL, 9, 26, 30 Phenylephrine/Guaifenesin, 30 Phenytek, 24

Phenytoin Sodium Extended, 23 Phenytoin Sodium, 23 Phenytoin, 23 Phoslo, 19 Phoslyra, 19 Phospholine Iodide, 26 Photofrin, 6 Phrenilin Forte, 27 Phytonadione, 32 Pilocarpine HCL, 21, 26 Pilocarpine Hydrochloride, 21 Pilopine HS, 26 Pindolol, 7 Pioglitazone HCL, 15 Pioglitazone HCL/Metformin HCL, 15 Pioglitazone HCL-Glimepiride, 15 Piperacillin Sodium/Tazobactam Sodium, 1 Piperacillin/Tazobactam, 1 Piroxicam, 28 Pitocin, 27 Pitressin Synthetic, 16 Plan B One-Step, 14 Plan B, 14 Plaquenil, 3 Plavix, 21 Pletal, 21 Plexion Cleanser, 10 Plexion Cleansing Cloths, 10 Plexion, 10 Pliaglis, 13 Pneumovax 23, 32 Pneumovax 23/1 Dose, 32 Pneumovax 23/5 Dose, 32 Pocket Chamber, 38 Pocket Spacer, 38 Pocketchem EZ Blood Glucose Test Strips, 37 Podofilox, 12 Polyethylene Glycol 3350, 17 Polymyxin B Sulfate, 4 Polymyxin B Sulfate/Trimethoprim Sulfate, 25 Polytrim, 26 Poly-Tussin DHC, 30 Poly-VI-Flor, 33 Poly-VI-Flor/Iron, 33 Pomalyst, 5 Ponstel, 29 Potassium Citrate ER, 19 Potassium Citrate-Citric Acid Crystals, 19 Potiga, 24 Pr Cream, 13 Pr Natal 400 EC, 32 Pr Natal 400, 32 Pr Natal 430 EC, 32 Pr Natal 430, 32 Pradaxa, 20

Pramipexole Dihydrochloride, 24 Pramosone E, 12 Pramosone, 12 Pramotic, 27 Prandimet, 15 Prandin, 15 Prastera, 29 Pravachol, 9 Pravastatin Sodium, 9 Prazolamine, 25 Prazosin HCL, 8 Precedex, 23 Precision PCX Plus Test Strips, 37 Precision PCX, 37 Precision Point of Care Test Strips, 37 Precision QID Test Strips, 37 Precision Sof-Tact Test Strips, 37 Precision Thin Lancets, 35 Precision Thins GP Lancet, 35 Precision Ultra Lancet, 35 Precision XTRA Blood Glucose Test Strips, 37 Precose, 15 Pred Forte, 26 Pred Mild, 26 Pred-G S.O.P., 26 Pred-G, 26 Prednicarbate, 12 Prednisolone Acetate, 26 Prednisolone Sodium Phosphate, 13 Prednisolone Sodium Phosphate, 13, 26 Prednisolone, 13 Prednisone Intensol, 13 Prednisone, 13 Prefera OB + DHA, 33 Prefera OB, 33 Preferaob One, 33 Prefest, 14 Prefol-DHA, 33 Pre-Folic, 20 Prelone, 13 Premarin, 14, 19 Premphase, 14 Prempro, 14 Prenata, 33 Prenatabs RX, 32 Prenatal Ad, 32 Prenatal Vitamins, 32 Prenatal-U, 32 Prenate AM, 33 Prenate DHA, 33 Prenate Elite, 33 Prenate Essential, 33 Prenate Mini, 33 Prenate Pixie, 33 Prenate Restore, 33

Prenate Star, 33 Prenate, 33 Prenexa, 33 Prepidil, 27 Prepopik, 17 Preque 10, 33 Presera, 13 Prestige Test Strips, 37 Prevacid Solutab, 18 Prevacid, 18 Prevident, 21 Prevnar 13, 32 Prevpac, 18 Prezista, 3 Priftin, 2 Prilosec, 18 Primaquine Phosphate, 3 Primaxin IV Add-Vantage, 4 Primaxin IV, 4 Primidone, 24 Primlev, 28 Primsol, 4 Prinivil, 8 Pristiq, 22 Proair HFA, 31 Probenecid, 29 Probenecid/Colchicine, 29 Procainamide HCL, 7 Procardia XL, 7 Procardia, 7 Procentra, 23 Prochlorperazine Edisylate, 22 Prochlorperazine Maleate, 22 Prochlorperazine, 22 Procort, 19 Procrit, 20 Proctocort, 19 Proctofoam HC, 18 Procysbi, 19 Prodigy NO Coding Blood Glucose Test Strips, 37 Prodigy Pressure Activated Safety Lancets, 35 Prodigy Twist Top Lancets, 35 Proferrin-Forte, 20 Progesterone, 14 Proglycem, 15 Prograf, 5 Prolastin-C, 31 Prolensa, 27 Proleukin, 6 Prolia, 16 Promacta, 20 Promethazine HCL Plain, 30 Promethazine HCL, 30 Promethazine/Codeine, 30 Promethazine/Dextromethorphan, 30

Promethazine-DM, 30 Prometrium, 15 Promiseb Complete, 11 Promiseb, 11 Propafenone HCL ER, 7 Propafenone HCL, 7 Propantheline Bromide, 18 Proparacaine HCL, 26 Propranolol HCL ER, 7 Propranolol HCL, 7 Propranolol/Hydrochlorothiazide, 8 Propylthiouracil, 17 Proquad, 32 Proscar, 19 Prosed/DS, 19 Prostigmin, 25 Prostin E2, 27 Protamine Sulfate, 21 Protect Plus, 33 Protectbone, 33 Protectiron, 20 Protectnatal, 33 Prothelial, 21 Protonix, 18 Protopic, 12 Protriptyline HCL, 22 Provenge, 6 Proventil HFA, 31 Provera, 15 Provida OB, 33 Provigil, 23 Prozac Weekly, 22 Prozac, 22 Pruclair, 13 Prudoxin, 11 Prumyx, 13 Pss Select GP Lancets, 35 Pss Select Safety Lancets, 35 Pts Panels Glucose Test, 37 Pulmicort Flexhaler, 31 Pulmicort, 31 Pulmophylline, 31 Pulmozyme, 31 Purinethol, 5 Purixan, 5 Px Lancets Ultra Thin, 35 Pylera, 18 Pyrazinamide, 2 Pyridium, 19 Pyridostigmine Bromide, 25 Pyridoxine HCL, 32 Pyrogallic Acid, 13 Q Qc Lancets Super Thin, 35 Qc Lancets Ultra Thin, 35

Qnasl, 30 Quadramet, 6 Qualaquin, 3 Quartette, 14 Quazepam, 23 Qudexy XR, 24 Quelicin 1000, 25 Quelicin, 25 Questran Light, 9 Questran, 9 Quetiapine Fumarate, 22 Quflora Pediatric, 32 Quicktek Test Strips, 37 Quillivant XR, 23 Quinapril HCL, 8 Quinapril/Hydrochlorothiazide, 8 Quinidine Gluconate CR, 7 Quinidine Gluconate ER, 7 Quinidine Gluconate, 7 Quinidine Sulfate ER, 7 Quinidine Sulfate, 7 Quinine Sulfate, 3 Quintet AC Blood Glucose Test Strips, 37 Quintet Blood Glucose Test Strips, 37 Qutenza, 13 Qvar, 31 R Rabavert, 32 Rabeprazole Sodium, 18 Raloxifene Hydrochloride, 16 Ramipril, 8 Ranexa, 6 Ranitidine HCL, 18 Rapaflo, 19 Rapamune, 5 Rasuvo, 29 Ravicti, 17 Rayos, 13 Razadyne ER, 25 Razadyne, 25 Rebetol, 3 Rebif Rebidose Titration Pack, 24 Rebif Rebidose, 24 Rebif Titration Pack, 24 Rebif, 24 Reclast, 16 Recombinate, 21 Recombivax HB, 32 Recothrom Spray Kit, 21 Recothrom, 21 Rectiv, 18 Refuah Plus Blood Glucose Test Strips, 37 Reglan, 19 Regonol, 25 Relagard, 19

Relenza Diskhaler, 3 Relhist, 30 Relion Blood Glucose Test Strips, 37 Relion Confirm/Micro Test Strips, 37 Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 37 Relion Lancets Micro-Thin33g, 35 Relion Lancets Standard 21G, 35 Relion Lancets Thin 26G, 35 Relion Lancets Ultra-Thin30g, 35 Relion Lancets, 35 Relion Prime Blood Glucose Test Strips, 37 Relion R, 15 Relion Thin Lancets, 35 Relion Ultima Blood Glucose Test Strips, 37 Relion Ultima Test Strips, 37 Relion Ultra Thin Lancets, 35 Relion Ultra Thin Lancets30G, 35 Relion Ultra Thin Plus Lancets 32G, 35 Relion Ultra Thin Plus Lancets 33G, 35 Relistor, 18 Relpax, 29 Remeron Soltab, 22 Remeron, 22 Remicade, 19 Remodulin, 10 Renacidin, 19 Renagel, 19 Renatabs with Iron, 33 Renatabs, 33 Renax, 33 Renew Advanced Lancing Cartridge Refills, 35 Renvela, 18 Reopro, 21 Repaglinide, 15 Reprexain, 28 Repronex, 16 Req 49+, 33 Requip XL, 24 Requip, 24 Rescon-JR, 30 Rescon-MX, 30 Rescriptor, 3 Rescula, 26 Reserpine, 8 Respa-BR, 30 Restasis, 26 Restora RX, 17 Restoril, 23 Retavase Half-Kit, 21 Retavase, 21 Retin-A Micro P.M., 10 Retin-A Micro, 10 Retin-A, 10 Retisert, 26

Retrovir IV Infusion, 3 Retrovir, 3 Revatio, 10 Reveal Blood Glucose Test, 37 Revlimid, 5 Rexall Blood Glucose Test Strips, 37 Rexall Lancets Ultra Thin, 35 Reyataz, 3 Rezira, 30 Rezyst IM, 17 Rezyst SB, 17 Rheumatrex, 29 Rhinocort Aqua, 30 Rhinoflex-650, 27 Riastap, 21 Riax, 10 Ribasphere Ribapak, 3 Ribasphere, 3 Ribatab, 3 Ribavirin, 3 Ridaura, 28 Rifabutin, 2 Rifadin, 2 Rifamate, 2 Rifampin, 2 Rifater, 2 Rightest Gl300 Lancets, 35 Rightest GS100 Blood Glucose Test Strips, 37 Rightest GS300 Blood Glucose Test Strips, 37 Rightest GS550 Blood Glucose Test Strips, 37 Rilutek, 25 Riluzole, 25 Rimantadine HCL, 3 Rimantalist, 3 Riomet, 15 Risedronate Sodium, 16 Risperdal Consta, 22 Risperdal M-TAB, 23 Risperdal, 23 Risperidone Odt, 22 Risperidone, 22 Ritalin LA, 23 Ritalin SR, 23 Ritalin, 23 Riteflo, 38 Rituxan, 5 Rivastigmine Tartrate, 24 Rizatriptan Benzoate Odt, 29 Rizatriptan Benzoate, 29 R-Natal OB, 33 Robaxin, 25 Robaxin-750, 25 Robinul Forte, 18 Robinul, 18 Rocaltrol, 17

Rocephin, 1 Rocuronium Bromide, 25 Ropinirole ER, 24 Ropinirole HCL, 24 Ropivacaine HCL, 29 Rosadan Kit, 10 Rosanil, 10 Rotarix, 32 Rotateq, 32 Rowasa, 19 Roxicet, 28 Roxicodone, 28 Rozerem, 23 Ryanodex, 25 Rybix Odt, 28 Rythmol SR, 7 Rythmol, 7 S Sabril, 24 Safe-T-Lance Low Flow 25G, 35 Safe-T-Lance Normal Flow 21G, 35 Safe-T-Lance Plus Safety Lancet High Flow, 35 Safe-T-Lance Plus Safety Lancet Low Flow, 35 Safe-T-Lance Plus Safety Lancet Normal Flow, 35 Safety Lancet 21G/Pressure Activated, 35 Safety Lancet 28G/Pressure Activated, 35 Safety Lancet 2MM, 35 Safety Lancets 21G, 35 Safety Lancets 28G, 35 Safety Lancets, 35 Safety Let Lancets, 35 Safety Seal Lancets 28G, 35 Safety Seal Lancets 30G, 35 Safyral, 14 Saizen Click.Easy, 16 Saizen, 16 Salagen, 21 Salex Cream, 13 Salex Lotion, 13 Salex, 13 Salicylic Acid Cream, 12 Salicylic Acid IN Ammonium Lactate Vehicle, 13 Salicylic Acid Lotion, 12 Salicylic Acid, 12, 13 Salkera, 13 Salsalate, 27 Salvax Duo Plus, 13 Salvax, 13 Samsca, 17 Sanctura XR, 19 Sanctura, 19 Sancuso, 18 Sandimmune, 5 Sandostatin Lar Depot, 16 Sandostatin, 16

Saphris, 23 Sarafem, 25 Savella Titration Pack, 25 Savella, 24 Scalacort DK, 12 Scopolamine Hydrobromide, 18 Seasonique, 14 Seb-Prev, 11 Seconal, 23 Sectral, 7 Select-OB, 33 Select-Ob+Dha, 33 Selegiline HCL, 24 Selenium Sulfide, 11 Selrx, 11 Selsun Shampoo, 11 Selzentry, 3 Semprex-D, 30 Senophylline, 31 Sensipar, 17 Sensorcaine-Mpf/Epinephrine, 29 Sentradine, 18 Sentraflox AM-10, 22 Sentralopram AM-10, 22 Sentramodafin AM-100, 23 Sentravil PM-25, 22 Sentrazolam AM 0.25, 22 Sentrazolpidem PM-5, 23 Sentroxatine, 22 Serevent Diskus, 31 Seromycin, 2 Seroquel XR, 22 Seroquel, 23 Serostim, 16 Sertraline HCL, 22 Sevelamer Carbonate, 18 Sfrowasa, 19 Shohls Solution Modified, 19 Shopko On-The-Go Comfort Lancets 30G, 35 Shopko Unilet Lancets Super Thin 30G, 35 Shopko Unilet Lancets Ultra Thin 28G, 35 Siderol, 33 Signifor, 16 Sildenafil Citrate, 9 Sildenafil, 9 Silenor, 23 Simbrinza, 26 Simcor, 9 Simponi Aria, 29 Simponi, 29 Simulect, 5 Simvastatin, 9 Sinemet CR, 24 Sinemet, 24 Single-Let, 35

Singulair, 31 Sirolimus, 5 Sirturo, 2 Sitavig, 3 Sivextro, 4 Skelaxin, 25 Sklice, 13 Smart Diabetes Vantage Universal Lancets 30G, 35 Smart Diabetes Xpres Blood Glucose Test Strips, 37 Smart Sense Color Lancets Universal 33G, 35 Smart Sense Premium Blood Glucose Strips, 37 Smart Sense Standard Lancets Universal 21G, 35 Smart Sense Super Thin Lancets Universal 30G, 35 Smart Sense Thin Lancets Universal 26G, 35 Smart Sense Value Blood Glucose Strips, 37 Smartest Blood Glucose Test Strips, 37 Smartest Lancets 28G, 35 Sodium Bicarbonate, 17 Sodium Chloride, 30 Sodium Diuril, 9 Sodium Edecrin, 9 Sodium Ferric Gluconate Complex/Sucrose, 20 Sodium Hyaluronate, 12 Sodium Phenylbutyrate, 17 Sodium Sulfacetamide Wash, 11 Sodium Sulfacetamide, 10, 11, 25 Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 10 Sodium Sulfacetamide/Sulfur Cleanser, 10 Sodium Sulfacetamide/Sulfur Cleansing Cloths, 10 Sodium Sulfacetamide/Sulfur Green, 10 Sodium Sulfacetamide/Sulfur IN Urea, 10 Sodium Sulfacetamide/Sulfur w/Sunscreen, 10 Sodium Sulfacetamide/Sulfur Wash, 10 Sodium Sulfacetamide/Sulfur, 10 Sodium Sulfacetamide/Urea, 11 Soliris, 21 Solodyn, 2 Soltamox, 5 Solu-Cortef, 13 Solu-Medrol, 13 Solus V2 Audible Test, 37 Solus V2 Pressure Activated Safety Lancets 28G, 35 Solus V2 Twist Lancets 30G, 35 Soma, 25 Somatuline Depot, 16 Somavert, 16 Sonata, 23 Soriatane, 11 Sorilux, 11 Sotalol HCL (AF), 7 Sotalol HCL, 7 Sovaldi, 3 Spectracef, 1 Spinosad, 13

Spiriva Handihaler, 31 Spironolactone, 9 Spironolactone/Hydrochlorothiazide, 9 Sporanox Pulsepak, 2 Sporanox, 2 Sprix, 29 Sprycel, 6 Staflex, 27 Stalevo 100, 24 Stalevo 125, 24 Stalevo 150, 24 Stalevo 200, 24 Stalevo 50, 24 Stalevo 75, 24 Stannous Fluoride Oral Rinse, 21 Starlix, 15 Stavudine, 3 Stavzor, 24 Staxyn, 10 Stelara, 11 Stendra, 10 Sterilance TL, 35 Stimate, 16 Stivarga, 6 Strattera, 23 Strazepam, 23 Streptomycin Sulfate, 2 Striant, 14 Stribild, 3 Striverdi Respimat, 31 Stromectol, 3 Strovite Forte, 33 Strovite One, 33 Strovite, 33 Suboxone, 28 Subsys, 28 Suclear, 17 Sucraid, 18 Sucralfate, 18 Sular, 7 Sulfacetamide Sodium, 10, 25, 26 Sulfacetamide Sodium/Prednisolone Sodium Phosphate, 26 Sulfacetamide Sodium/Sulfur Cleanser, 10 Sulfadiazine, 2 Sulfamethoxazole/Trimethoprim DS, 4 Sulfamethoxazole/Trimethoprim, 4 Sulfasalazine, 18 Sulfisoxizole, 2 Sulfoam, 10 Sulfurated Lime, 13 Sulindac, 28 Sumadan Kit, 10 Sumadan Wash, 10 Sumadan XLT, 10

Sumatriptan Succinate Refill, 29 Sumatriptan Succinate, 29 Sumatriptan, 29 Sumavel Dosepro, 29 Sumaxin CP Kit, 10 Sumaxin Ts, 10 Sumaxin Wash, 10 Sumaxin, 10 Supartz, 25 Supervite EC, 33 Supervite, 33 Support-500, 33 Supprelin LA, 16 Suprax, 1 Supreme Test Strips, 37 Suprep Bowel Prep, 17 Sure Edge Blood Glucose Test Strips, 37 Surechek Blood Glucose Test Strips, 37 Sure-Lance Flat Lancets, 35 Sure-Lance Lancets 26G, 35 Sure-Lance Thin Lancets 28G, 35 Sure-Lance Ultra Thin Lancets, 35 Surelite Lancets, 36 Surestep Pro Test Strips, 36 Surestep Test Strips, 36 Sure-Test Easyplus Mini Blood Glucose Test Strips, 37 Sure-Touch Lancets Universal, 36 Surfaxin, 31 Surmontil, 22 Survanta Intratracheal, 31 Sustiva, 3 Sutent, 6 Suttar-2, 30 Suttar-SF, 30 Sylatron, 6 Symax Duotab, 18 Symbicort, 31 Symbyax, 25 Symlinpen 120, 15 Symlinpen 60, 15 Synagex, 33 Synalar Cream Kit, 12 Synalar Ointment Kit, 12 Synalar Ts, 12 Synalar, 12 Synalgos-Dc, 28 Synarel, 16 Synatek, 33 Synera, 13 Synercid, 4 Synribo, 6 Synthroid, 17 Synvisc One, 25 Synvisc, 25

T Tabloid, 5 Taclonex, 12 Tacrolimus, 5 Tafinlar, 6 Talwin, 28 Tambocor, 7 Tamiflu, 3 Tamoxifen Citrate, 5 Tamsulosin HCL, 19 Tandem F, 20 Tandem Plus, 20 Tanzeum, 15 Tapazole, 17 Tarceva, 6 Targretin, 6 Tarka, 8 Taron-Bc, 33 Taron-C DHA, 33 Taron-Duo EC, 33 Taron-Prex, 32 Tasigna, 6 Tasmar, 24 Taxotere, 5 Tazicef, 1 Tazorac, 11 Tecfidera Starter Pack, 24 Tecfidera, 24 Techlite AST Lancets, 36 Techlite Lancets 30G, 36 Techlite Lancets, 36 Tegretol, 24 Tegretol-XR, 24 Tekamlo, 8 Tekturna, 8 Tekturna HCT, 8 Telcare Blood Glucose Test Strips, 37 Telmisartan, 8 Telmisartan/Amlodipine, 8 Telmisartan/Hydrochloroth, 8 Telmisartan/Hydrochlorothiazide, 8 Temazepam, 23 Temodar, 4 Temovate, 12 Temovate E, 12 Temozolomide, 4 Tencon, 27 Tenex, 8 Teniposide, 5 Tenivac, 31 Tenoretic 100, 8 Tenoretic 50, 8 Tenormin, 7 Terazol 3, 7, 19 Terazosin HCL, 8

Terbinafine HCL, 2 Terbinex, 3 Terbutaline Sulfate, 30 Terconazole, 19 Tersi Foam, 11 Tessalon Perles, 30 Testim, 14 Testopel, 14 Testosterone, 14 Testosterone Cypionate, 14 Testosterone Enanthate, 14 Testosterone P.M., 14 Testred, 14 Tetanus Toxoid Adsorbed, 31 Tetanus/Diphtheria Toxoids-Adsorbed Adult, 31 Tetracaine HCL, 26, 29 Tetracycline HCL, 2 Tetrix, 13 Teveten, 8 Teveten HCT, 8 Tev-Tropin, 16 Texacort, 12 Thalomid, 5 Theo-24, 31 Theophylline, 30 Theophylline CR, 30 Theophylline ER, 30 Theophylline/D5W, 30, 31 Therabenzaprine-60, 25 Therabenzaprine-90, 25 Therabenzaprine-90-5, 25 Theracodeine-300, 28 Theracodophen-325, 28 Theracodophen-650, 28 Theracodophen-750, 28 Theracodophen-Low-90, 28 Theracys, 6 Therafeldamine, 29 Therapentin-60, 24 Therapentin-90, 24 Theraprofen-60, 29 Theraprofen-800, 29 Theraprofen-90, 29 Theraproxen-500, 29 Theraproxen-60, 29 Theraproxen-90, 29 Theratramadol-60, 28 Theratramadol-90, 28 Thiamine HCL, 32 Thinlets GP Lancets, 36 Thinlets Lancet, 36 Thiola, 19 Thioridazine HCL, 22 Thiothixene, 22 Thrombin-Jmi Diluent, 21

Thrombin-Jmi Epistaxis, 21 Thrombin-Jmi Syringe Spray Kit, 21 Thrombin-Jmi w/Dil Spray PM Actuator, 21 Thrombogen, 21 Thymoglobulin, 5 Thyrolar-1, 17 Thyrolar-1/2, 17 Thyrolar-1/4, 17 Thyrolar-2, 17 Thyrolar-3, 17 Tiagabine Hydrochloride, 24 Tiazac, 7 Tice Bcg, 6 Ticlopidine HCL, 21 Tigan, 18 Tikosyn, 7 Timentin, 1 Timolol Maleate, 7, 26 Timolol Maleate Ophthalmic Gel Forming, 26 Timoptic, 26 Timoptic Ocudose, 26 Timoptic-Xe, 26 Tindamax, 4 Tinidazole, 4 Tirosint, 17 Tisseel, 21 Tivicay, 3 Tizanidine Comfort PAC, 25 Tolazamide, 15 Tolbutamide, 15 Tolmetin Sodium, 28 Tolterodine Tartrate, 19 Tolterodine Tartrate ER, 19 Topamax, 24 Topamax Sprinkle, 24 Topicort, 12 Topiramate, 24 Topiramate ER, 24 Topotecan HCL, 6 Toprol XL, 7 Torisel, 6 Torsemide, 9 Totect, 6 Toviaz, 19 Tracleer, 10 Tradjenta, 15 Tramadol HCL, 27 Tramadol HCL ER, 27, 28 Tramadol Hydrochloride/Acetaminophen, 27 Trandate, 7 Trandolapril, 8 Tranexamic Acid, 20 Transderm-Scop, 18 Tranxene T, 22 Tranylcypromine Sulfate, 22

Trasylol, 21 Travatan Z, 26 Travoprost, 26 Trazamine, 22 Trazodone HCL, 22 Treanda, 4 Trecator, 2 Trelstar Depot, 5 Trelstar Depot Mixject, 5 Trelstar LA, 5 Trelstar LA Mixject, 5 Trelstar Mixject, 5 Trental, 21 Trepadiclofen-25, 29 Trepoxen-250, 29 Trepoxicam-7.5, 29 Tretinoin, 6, 10 Tretinoin Microsphere, 10 Tretin-X, 10 Tricare Prenatal Compleat, 33 Tricare Prenatal DHA One, 33 Tricitrates, 20 Tricor, 9 Trifluoperazine HCL, 22 Trifluridine, 25 Triglide, 9 Trihexyphenidyl HCL, 24 Trileptal, 24 Trilipix, 9 Trimethobenzamide HCL, 18 Trimethoprim, 4 Trimethoprim Sulfate/Polymyxin B Sulfate, 25 Trimipramine Maleate, 22 Trinate, 32 Triostat, 17 Trisenox, 6 Triumeq, 3 Triveen-Duo DHA, 33 Triveen-Prx RNF, 33 Triveen-Ten, 33 Triveen-U, 33 Trizivir, 3 Trokendi XR, 24 Tropazone, 13 Trospium Chloride, 19 Trospium Chloride ER, 19 True Metrix Blood Glucose Test Strips, 37 Trueplus Lancets 26G, 36 Trueplus Lancets 28G, 36 Trueplus Lancets 28G Super Thin, 36 Trueplus Lancets 30G, 36 Trueplus Lancets 30G Ultra Thin, 36 Trueplus Lancets 33G, 36 Trueplus Lancets 33G Micro Thin, 36 Trueplus Safety Lancets 28G, 36

Truetest Blood Glucose Test, 37 Truetest Blood Glucose Test Strips, 37 Truetest Strips, 37 Truetrack Blood Glucose Test, 37 Truetrack Test, 37 Trusopt, 27 Truvada, 3 Tucks Anti-Itch, 12 Tudorza Pressair, 31 Turkel Paracentesis Procedure Tray/8french, 29 Tussicaps, 30 Tussionex Pennkinetic Extended Release, 30 Twinrix, 32 U U-Cort, 12 Udamin, 33 Udamin SP, 33 Ulesfia, 13 Uloric, 29 Ulticare Thin Lancets 30G, 36 Ultilet Basic Lancets 30G, 36 Ultilet Classic Lancets, 36 Ultilet Lancets, 36 Ultilet Lancets 33G, 36 Ultilet Safety Lancets 23G, 36 Ultima Test Strips, 37 Ultiva, 28 Ultracet, 28 Ultram, 28 Ultram ER, 28 Ultrasal-ER, 13 Ultra-Thin II Auto Lancet, 36 Ultra-Thin II Lancets 28G, 36 Ultra-Thin II Lancets 30G, 36 Ultra-Thin II Safety Auto Lancets 26G, 36 Ultratrak Pro Test Strips, 37 Ultratrak Ultimate Test Strips, 37 Ultravate, 12 Ultravate PAC, 12 Ultravate X, 12 Ultresa, 18 Umecta, 13 Umecta Nail Film, 13 Umecta PD, 13 Unasyn Bulk Pack, 1 Unasyn, 1 Unilet Comfortouch Lancet, 36 Unilet Excelite, 36 Unilet Excelite II, 36 Unilet GP Lancet, 36 Unilet GP Superlite Lancet, 36 Unilet GP 28 Ultra Thin, 36 Unilet Lancet, 36 Unilet Superlite Lancet, 36

Uniretic, 8 Unistik 3 Gentle, 36 Unistrip1 Generic, 37 Univasc, 8 Universal 1 Lancets Thin 26G, 36 Universal 1 Lancets Ultra Thin 30G, 36 Uramaxin, 13 Uramaxin GT, 13 Uramaxin GT Kit, 13 Urea, 12 Urea 40% Nail Film, 12 Urea IN Zinc Undecylenate/Lactic Acid Vehicle, 12 Urea Topical, 12 Urecholine, 19 Urelle, 19 Uretron D/S, 19 Urex, 19 Uribel, 19 Urimar-T, 19 Urocit-K 5, 20 Urocit-K 10, 20 Urocit-K 15, 20 Urogesic-Blue, 19 Uroqid #2, 19 Uroxatral, 20 Urso 250, 19 Urso Forte, 19 Ursodiol, 18 Utopic, 13 Uvadex, 6 V Vagifem, 19 Valacyclovir HCL, 3 Valchlor, 4 Valcyte, 3 Valium, 22 Valproate Sodium, 24 Valproic Acid, 24 Valsartan, 8 Valsartan/Hydrochlorothiazide, 8 Valstar, 4 Valtrex, 3 Valumark Lancet Super Thin 30G, 36 Valumark Lancet Ultra Thin 28G, 36 Vancocin HCL, 4 Vancomycin HCL, 4 Vancomycin HCL IN Dextrose, 4 Vanos, 12 Vanoxide-HC, 10 Vantas, 5 Vaprisol, 17 Vaqta, 32 Varivax, 32 Vascepa, 9

Vaseretic, 8 Vasopressin, 16 Vasotec, 8 Vecamyl, 8 Vectibix, 5 Vectical, 11 Vecuronium Bromide, 25 Velcade, 6 Veletri, 10 Velphoro, 19 Veltin, 10 Vemavite-Prx 2, 33 Venlafaxine HCL, 22 Venlafaxine HCL ER, 22 Venofer, 20 Ventavis, 10 Ventolin HFA, 31 Veramyst, 30 Verapamil HCL, 7 Verapamil HCL ER, 7 Verapamil HCL SR, 7 Verdeso, 12 Veregen, 13 Verelan, 7 Verelan PM, 7 Veripred 20, 13 Versacloz, 23 Vesicare, 19 Vexa, 13 Vexol, 26 Vfend IV, 3 Vfend, 3 Viagra, 10 Vibativ, 4 Vibramycin, 2 Vicoprofen, 28 Victory Agm-4000 Test Strips, 37 Victoza, 15 Victrelis, 3 Vida Mia Unilet Lancets Super Thin 30G, 37 Vida Mia Unilet Lancets Ultra Thin 28G, 36 Vidaza, 5 Videx EC, 3 Videx Pediatric, 3 Vigamox, 25 Viibryd, 22 Vimizim, 17 Vimovo, 29 Vimpat, 24 Vinacal, 33 Vinacal B, 33 Vinate AZ Extra, 33 Vinate C, 32 Vinate Calcium, 33 Vinate Care, 32

Vinate DHA RF, 33 Vinate DHA, 33 Vinate GT, 32 Vinate IC, 32 Vinate II, 32 Vinate M, 32 Vinate One, 32 Vinate Pn Care, 32 Vincristine Sulfate, 5 Vinorelbine Tartrate, 5 Viokace, 18 Viracept, 3 Viramune, 3 Viramune XR, 3 Virasal, 13 Virazole, 3 Viread, 3 Viroptic, 26 Vistaril, 22 Vistide, 3 Vitafol, 33 Vitafol-Nano, 33 Vitafol-Ob, 32 Vitafol-Ob+Dha, 33 Vitafol-One, 33 Vitafol-Plus, 33 Vitafol-Pn, 33 Vitafol Ultra, 33 Vital-D RX, 33 Vitalet Pro Lancets, 36 Vitalet Pro Plus Lancets, 36 Vitamedmd One RX/Quatre Folic, 33 Vitamedmd Plus RX/Quatre Folic, 33 Vitamedmd Redichew RX, 33 Vitamedmd Redichew RX/Quatre Folic, 33 Vitamin C 222MG, 32 Vitamin D, 32 Vitamin K1, 32 Vitapearl, 33 Vita-Pren, 33 Vitaroca Plus, 33 Vituz, 30 Viva CT Prenatal, 33 Viva DHA, 33 Vivactil, 22 Vivelle-Dot, 14 Vivotif Berna, 32 Vocal Point Blood Glucose Test Strips, 36 Vogelxo P.M., 14 Vogelxo, 14 Voltaren, 11 Voltaren-XR, 29 Voluven, 21 Vopac GB, 11 Vopac Kt, 11

Vopac, 11 Voraxaze, 6 Voriconazole, 2 Vortex Valved Holding Chamber, 38 Vosol HC, 27 Vospire ER, 31 Votrient, 6 Vpriv, 20 Vsl#3 DS, 17 Vumon, 5 Vusion, 11 Vytorin, 9 Vyvanse, 23 W W&F Lancets 26G, 36 W&F Lancets Colored 21G, 36 Walgreens Lancets, 36 Walgreens Thin Lancets, 36 Walgreens Ultra Thin Lancets, 36 Warfarin Sodium, 20 Watchhaler, 38 Wavesense Presto Test Strips, 37 Welchol, 9 Wellbutrin, 22 Wellbutrin SR, 22 Wellbutrin XL, 22 Westcort, 12 Westhroid, 17 Westhroid-P, 17 Wheat Germ, 32 Wilate, 21 Witch Hazel, 13 Wp Thyroid, 17 X Xalatan, 26 Xalkori, 6 Xanax, 22 Xanax XR, 22 Xarelto, 20 Xartemis XR, 28 Xclair, 13 Xeljanz, 29 Xeloda, 5 Xenazine, 24 Xeomin, 25 Xerac Ac, 13 Xerese, 11 Xgeva, 16 Xifaxan, 4 Xodol, 28 Xofigo, 6 Xolair, 31 Xolegel Corepak, 11 Xolegel Duo/Head & Shoulders, 11 Xolegel Duo/Xolex, 11

Xolegel, 11 Xolox, 28 Xopenex Concentrate, 31 Xopenex HFA, 31 Xopenex, 31 Xtandi, 5 Xylocaine, 7, 13, 29 Xylocaine/Epinephrine, 30 Xylocaine-Mpf, 30 Xylocaine-Mpf/Epinephrine, 30 Xyntha Solofuse, 21 Xyntha, 21 Xyrem, 24 Xyzal, 30 Y Yasmin 28, 14 Yaz, 14 Yervoy, 5 Yf-Vax, 32 Yodoxin, 3 Z Zacare 4% Kit, 10 Zacare 8% Kit, 10 Zafirlukast, 31 Zaleplon, 23 Zaltrap, 5 Zanaflex, 25 Zanosar, 4 Zantac, 18 Zarontin, 24 Zaroxolyn, 9 Zatean-CH, 33 Zatean-Pn DHA, 33 Zatean-Pn Plus, 33 Zatean-Pn, 33 Zavesca, 20 Zebeta, 7 Zegerid, 18 Zelapar, 24 Zelboraf, 6 Zemaira, 31 Zemplar, 17 Zemuron, 25 Zenpep, 18 Zenzedi, 23 Zerit, 3 Zestoretic, 8 Zestril, 8 Zetia, 9 Zetonna, 30 Zevalin Y-90, 5 Ziac, 8 Ziagen, 3 Ziana, 10 Zidovudine, 3

Zinacef IN Iso-Osmotic Dextrose, 1 Zinacef IN Iso-Osmotic Diluent, 1 Zinacef, 1 Zinecard, 6 Zioptan, 26 Ziprasidone HCL, 22 Zipsor, 29 Zirgan, 26 Zithranol, 11 Zithranol-Rr, 11 Zithromax Tri-PAK, 1 Zithromax Z-PAK, 1 Zithromax, 1 Zmax, 1 Zocor, 9 Zofran Odt, 18 Zofran, 18 Zohydro ER, 28 Zoladex, 5 Zoledronic Acid, 16 Zolinza, 6 Zolmitriptan Odt, 29 Zolmitriptan, 29 Zoloft, 22 Zolpidem Tartrate ER, 23 Zolpidem Tartrate, 23 Zolpimist, 23 Zolvit, 28 Zometa, 16 Zomig Nasal Spray, 29 Zomig ZMT, 29 Zomig, 29 Zonalon, 11 Zonatuss, 30 Zonegran, 24 Zonisamide, 24 Zontivity, 21 Zorbtive, 16 Zortress, 5 Zorvolex, 28 Zostavax, 32 Zosyn, 1 Zovia 1/50e, 14 Zovirax, 3, 11 Zubsolv, 28 Zuplenz, 18 Zutripro, 30 Zyclara P.M., 12 Zyclara, 12 Zydelig, 6 Zydone, 28 Zyflo CR, 31 Zyflo, 31 Zykadia, 6 Zylet, 26

Zyloprim, 29 Zymaxid, 26 Zyprexa Relprevv, 23 Zyprexa Zydis, 23 Zyprexa, 23

Zytiga, 5 Zyvox, 4 1 1ST Choice Lancets Super Thin, 36 1ST Choice Lancets Thin, 36

8 8-Mop, 11

1ST Choice Lancets Ultra Thin, 36

2015 healthsmart rx advantage formulary reference guide...effective january 1, 2015 v.1 1 non...

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