2020 cigna star+plus quantity limit criteria · ambien 10 mg tablet tablet 30 30 ambien 5 mg tablet...

of 21/21
Drug Name and Strength Dosage Form Quantity Limit Days Supply ABILIFY 10 MG TABLET TABLET 90 30 ABILIFY 15 MG TABLET TABLET 60 30 ABILIFY 5 MG TABLET TABLET 90 30 ABILIFY MAINTENA ER 300 MG SYR SUSPENSION,EXTENDED RELEASE SYRINGE (EA) 1.07142 30 ABILIFY MAINTENA ER 300 MG VL SUSPENSION,EXTENDED RELEASE VIAL 1.07142 30 ABILIFY MAINTENA ER 400 MG SYR SUSPENSION,EXTENDED RELEASE SYRINGE (EA) 1.07142 30 ABILIFY MAINTENA ER 400 MG VL SUSPENSION,EXTENDED RELEASE VIAL 1.07142 30 ABSTRAL 100 MCG TAB SUBLINGUAL TABLET, SUBLINGUAL 120 30 ABSTRAL 200 MCG TAB SUBLINGUAL TABLET, SUBLINGUAL 120 30 ABSTRAL 300 MCG TAB SUBLINGUAL TABLET, SUBLINGUAL 120 30 ABSTRAL 400 MCG TAB SUBLINGUAL TABLET, SUBLINGUAL 120 30 ABSTRAL 600 MCG TAB SUBLINGUAL TABLET, SUBLINGUAL 120 30 ABSTRAL 800 MCG TAB SUBLINGUAL TABLET, SUBLINGUAL 120 30 ACARBOSE 100 MG TABLET TABLET 90 30 ACARBOSE 25 MG TABLET TABLET 90 30 ACARBOSE 50 MG TABLET TABLET 90 30 ACETAMIN-CODEIN 300-30 MG/12.5 SOLUTION, ORAL 4500 30 ACETAMINOP-CODEIN 240-24 MG/10 SOLUTION, ORAL 4500 30 ACETAMINOP-CODEINE 120-12 MG/5 SOLUTION, ORAL 4500 30 ACETAMINOPHEN-COD #2 TABLET TABLET 360 30 ACETAMINOPHEN-COD #3 TABLET TABLET 360 30 ACETAMINOPHEN-COD #4 TABLET TABLET 240 30 ACTEMRA 162 MG/0.9 ML SYRINGE SYRINGE (ML) 3.9 30 ACTIQ 1,200 MCG LOZENGE LOZENGE ON A HANDLE 120 30 ACTIQ 1,600 MCG LOZENGE LOZENGE ON A HANDLE 120 30 ACTIQ 200 MCG LOZENGE LOZENGE ON A HANDLE 120 30 ACTIQ 400 MCG LOZENGE LOZENGE ON A HANDLE 120 30 ACTIQ 600 MCG LOZENGE LOZENGE ON A HANDLE 120 30 ACTIQ 800 MCG LOZENGE LOZENGE ON A HANDLE 120 30 ACTOPLUS MET 15 MG-500 MG TAB TABLET 90 30 ACTOPLUS MET 15 MG-850 MG TAB TABLET 90 30 ACTOPLUS MET XR 15-1,000 MG TB TABLET,EXTENDED RELEASE MULTIPHASE 24 HR 30 30 ACTOPLUS MET XR 30-1,000 MG TB TABLET,EXTENDED RELEASE MULTIPHASE 24 HR 30 30 ADALAT CC 30 MG TABLET TABLET, EXTENDED RELEASE 30 30 ADDERALL 10 MG TABLET TABLET 90 30 ADDERALL 12.5 MG TABLET TABLET 90 30 ADDERALL 15 MG TABLET TABLET 120 30 ADDERALL 20 MG TABLET TABLET 90 30 ADDERALL 30 MG TABLET TABLET 90 30 ADDERALL 5 MG TABLET TABLET 90 30 ADDERALL 7.5 MG TABLET TABLET 90 30 ADDERALL XR 10 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 30 30 ADDERALL XR 15 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 30 30 ADDERALL XR 20 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 60 30 ADDERALL XR 25 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 60 30 ADDERALL XR 30 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 60 30 ADDERALL XR 5 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 30 30 ADMELOG 100 UNIT/ML VIAL VIAL (ML) 90 30 ADMELOG SOLOSTAR 100 UNIT/ML INSULIN PEN (ML) 90 30 ADULT ROBITUSSIN PEAK COLD DM LIQUID (ML) 1800 30 ADULT WAL-TUSSIN DM SYRUP SYRUP 1800 30 AFEDITAB CR 30 MG TABLET TABLET, EXTENDED RELEASE 30 30 AFREZZA 12 UNIT CARTRIDGE CARTRIDGE WITH INHALER 180 30 AFREZZA 4 UNIT CARTRIDGE CARTRIDGE WITH INHALER 90 30 AFREZZA 8 UNIT CARTRIDGE CARTRIDGE WITH INHALER 180 30 ALINIA 100 MG/5 ML SUSPENSION SUSPENSION, RECONSTITUTED, ORAL (ML) 1500 30 ALINIA 500 MG TABLET TABLET 60 30 ALKA-SELTZER PLUS DAY CAP CAPSULE 360 30 ALKA-SELTZER PLUS SINUS-COUGH CAPSULE 360 30 ALOGLIPTIN 12.5 MG TABLET TABLET 30 30 ALOGLIPTIN 25 MG TABLET TABLET 30 30 ALOGLIPTIN 6.25 MG TABLET TABLET 30 30 ALOGLIPTIN-METFORMIN 12.5-1000 TABLET 60 30 2020 Cigna STAR+PLUS Quantity Limit Criteria

Post on 01-Aug-2020

6 views

Category:

Documents

1 download

Embed Size (px)

TRANSCRIPT

  • Drug Name and Strength Dosage Form Quantity Limit Days Supply

    ABILIFY 10 MG TABLET TABLET 90 30

    ABILIFY 15 MG TABLET TABLET 60 30

    ABILIFY 5 MG TABLET TABLET 90 30

    ABILIFY MAINTENA ER 300 MG SYR SUSPENSION,EXTENDED RELEASE SYRINGE (EA) 1.07142 30

    ABILIFY MAINTENA ER 300 MG VL SUSPENSION,EXTENDED RELEASE VIAL 1.07142 30

    ABILIFY MAINTENA ER 400 MG SYR SUSPENSION,EXTENDED RELEASE SYRINGE (EA) 1.07142 30

    ABILIFY MAINTENA ER 400 MG VL SUSPENSION,EXTENDED RELEASE VIAL 1.07142 30

    ABSTRAL 100 MCG TAB SUBLINGUAL TABLET, SUBLINGUAL 120 30

    ABSTRAL 200 MCG TAB SUBLINGUAL TABLET, SUBLINGUAL 120 30

    ABSTRAL 300 MCG TAB SUBLINGUAL TABLET, SUBLINGUAL 120 30

    ABSTRAL 400 MCG TAB SUBLINGUAL TABLET, SUBLINGUAL 120 30

    ABSTRAL 600 MCG TAB SUBLINGUAL TABLET, SUBLINGUAL 120 30

    ABSTRAL 800 MCG TAB SUBLINGUAL TABLET, SUBLINGUAL 120 30

    ACARBOSE 100 MG TABLET TABLET 90 30

    ACARBOSE 25 MG TABLET TABLET 90 30

    ACARBOSE 50 MG TABLET TABLET 90 30

    ACETAMIN-CODEIN 300-30 MG/12.5 SOLUTION, ORAL 4500 30

    ACETAMINOP-CODEIN 240-24 MG/10 SOLUTION, ORAL 4500 30

    ACETAMINOP-CODEINE 120-12 MG/5 SOLUTION, ORAL 4500 30

    ACETAMINOPHEN-COD #2 TABLET TABLET 360 30

    ACETAMINOPHEN-COD #3 TABLET TABLET 360 30

    ACETAMINOPHEN-COD #4 TABLET TABLET 240 30

    ACTEMRA 162 MG/0.9 ML SYRINGE SYRINGE (ML) 3.9 30

    ACTIQ 1,200 MCG LOZENGE LOZENGE ON A HANDLE 120 30

    ACTIQ 1,600 MCG LOZENGE LOZENGE ON A HANDLE 120 30

    ACTIQ 200 MCG LOZENGE LOZENGE ON A HANDLE 120 30

    ACTIQ 400 MCG LOZENGE LOZENGE ON A HANDLE 120 30

    ACTIQ 600 MCG LOZENGE LOZENGE ON A HANDLE 120 30

    ACTIQ 800 MCG LOZENGE LOZENGE ON A HANDLE 120 30

    ACTOPLUS MET 15 MG-500 MG TAB TABLET 90 30

    ACTOPLUS MET 15 MG-850 MG TAB TABLET 90 30

    ACTOPLUS MET XR 15-1,000 MG TB TABLET,EXTENDED RELEASE MULTIPHASE 24 HR 30 30

    ACTOPLUS MET XR 30-1,000 MG TB TABLET,EXTENDED RELEASE MULTIPHASE 24 HR 30 30

    ADALAT CC 30 MG TABLET TABLET, EXTENDED RELEASE 30 30

    ADDERALL 10 MG TABLET TABLET 90 30

    ADDERALL 12.5 MG TABLET TABLET 90 30

    ADDERALL 15 MG TABLET TABLET 120 30

    ADDERALL 20 MG TABLET TABLET 90 30

    ADDERALL 30 MG TABLET TABLET 90 30

    ADDERALL 5 MG TABLET TABLET 90 30

    ADDERALL 7.5 MG TABLET TABLET 90 30

    ADDERALL XR 10 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 30 30

    ADDERALL XR 15 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 30 30

    ADDERALL XR 20 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 60 30

    ADDERALL XR 25 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 60 30

    ADDERALL XR 30 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 60 30

    ADDERALL XR 5 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 30 30

    ADMELOG 100 UNIT/ML VIAL VIAL (ML) 90 30

    ADMELOG SOLOSTAR 100 UNIT/ML INSULIN PEN (ML) 90 30

    ADULT ROBITUSSIN PEAK COLD DM LIQUID (ML) 1800 30

    ADULT WAL-TUSSIN DM SYRUP SYRUP 1800 30

    AFEDITAB CR 30 MG TABLET TABLET, EXTENDED RELEASE 30 30

    AFREZZA 12 UNIT CARTRIDGE CARTRIDGE WITH INHALER 180 30

    AFREZZA 4 UNIT CARTRIDGE CARTRIDGE WITH INHALER 90 30

    AFREZZA 8 UNIT CARTRIDGE CARTRIDGE WITH INHALER 180 30

    ALINIA 100 MG/5 ML SUSPENSION SUSPENSION, RECONSTITUTED, ORAL (ML) 1500 30

    ALINIA 500 MG TABLET TABLET 60 30

    ALKA-SELTZER PLUS DAY CAP CAPSULE 360 30

    ALKA-SELTZER PLUS SINUS-COUGH CAPSULE 360 30

    ALOGLIPTIN 12.5 MG TABLET TABLET 30 30

    ALOGLIPTIN 25 MG TABLET TABLET 30 30

    ALOGLIPTIN 6.25 MG TABLET TABLET 30 30

    ALOGLIPTIN-METFORMIN 12.5-1000 TABLET 60 30

    2020 Cigna STAR+PLUS Quantity Limit Criteria

  • ALOGLIPTIN-METFORMIN 12.5-500 TABLET 60 30

    ALOGLIPTIN-PIOGLIT 12.5-15 MG TABLET 30 30

    ALOGLIPTIN-PIOGLIT 12.5-30 MG TABLET 30 30

    ALOGLIPTIN-PIOGLIT 12.5-45 MG TABLET 30 30

    ALOGLIPTIN-PIOGLIT 25-15 MG TB TABLET 30 30

    ALOGLIPTIN-PIOGLIT 25-30 MG TB TABLET 30 30

    ALOGLIPTIN-PIOGLIT 25-45 MG TB TABLET 30 30

    ALPRAZOLAM 0.25 MG TABLET TABLET 90 30

    ALPRAZOLAM 0.5 MG TABLET TABLET 90 30

    ALPRAZOLAM 1 MG TABLET TABLET 300 30

    ALPRAZOLAM 2 MG TABLET TABLET 150 30

    ALPRAZOLAM ER 0.5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    ALPRAZOLAM ER 1 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    ALPRAZOLAM ER 2 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    ALPRAZOLAM ER 3 MG TABLET TABLET, EXTENDED RELEASE 24 HR 60 30

    ALPRAZOLAM INTENSOL 1 MG/ML CONCENTRATE, ORAL 300 30

    ALPRAZOLAM ODT 0.25 MG TAB TABLET,DISINTEGRATING 90 30

    ALPRAZOLAM ODT 0.5 MG TAB TABLET,DISINTEGRATING 90 30

    ALPRAZOLAM ODT 1 MG TAB TABLET,DISINTEGRATING 300 30

    ALPRAZOLAM ODT 2 MG TAB TABLET,DISINTEGRATING 150 30

    ALPRAZOLAM XR 0.5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    ALPRAZOLAM XR 1 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    ALPRAZOLAM XR 2 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    ALPRAZOLAM XR 3 MG TABLET TABLET, EXTENDED RELEASE 24 HR 60 30

    ALTOPREV 20 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    AMARYL 1 MG TABLET TABLET 120 30

    AMARYL 2 MG TABLET TABLET 120 30

    AMARYL 4 MG TABLET TABLET 60 30

    AMBI 20DM-4CPM TABLET TABLET 180 30

    AMBI 40PSE-400GFN-20DM TABLET TABLET 180 30

    AMBIEN 10 MG TABLET TABLET 30 30

    AMBIEN 5 MG TABLET TABLET 30 30

    AMBIEN CR 12.5 MG TABLET TABLET, EXTENDED RELEASE MULTIPHASE 30 30

    AMBIEN CR 6.25 MG TABLET TABLET, EXTENDED RELEASE MULTIPHASE 30 30

    AMITIZA 24 MCG CAPSULES CAPSULE 60 30

    AMITIZA 8 MCG CAPSULE CAPSULE 60 30

    AMLODIPINE BESYLATE 2.5 MG TAB TABLET 30 30

    AMLODIPINE BESYLATE 5 MG TAB TABLET 30 30

    AMLODIPINE-ATORVAST 2.5-10 MG TABLET 30 30

    AMLODIPINE-ATORVAST 2.5-20 MG TABLET 30 30

    AMLODIPINE-ATORVAST 2.5-40 MG TABLET 30 30

    AMLODIPINE-ATORVAST 5-10 MG TABLET 30 30

    AMLODIPINE-ATORVAST 5-20 MG TABLET 30 30

    AMLODIPINE-ATORVAST 5-40 MG TABLET 30 30

    ANECREAM5 5% CREAM CREAM (GRAM) 60 22

    AP-HIST DM LIQUID LIQUID (ML) 1200 30

    APIDRA 100 UNITS/ML VIAL VIAL (ML) 90 30

    APIDRA SOLOSTAR 100 UNITS/ML INSULIN PEN (ML) 90 30

    APTENSIO XR 10 MG CAPSULE CAPSULE, ER SPRINKLE, BIPHASIC 40-60 30 30

    APTENSIO XR 20 MG CAPSULE CAPSULE, ER SPRINKLE, BIPHASIC 40-60 30 30

    APTENSIO XR 30 MG CAPSULE CAPSULE, ER SPRINKLE, BIPHASIC 40-60 30 30

    ARICEPT 5 MG TABLET TABLET 30 30

    ARIPIPRAZOLE 1 MG/ML SOLUTION SOLUTION, ORAL 900 30

    ARIPIPRAZOLE 10 MG TABLET TABLET 90 30

    ARIPIPRAZOLE 15 MG TABLET TABLET 60 30

    ARIPIPRAZOLE 5 MG TABLET TABLET 90 30

    ARIPIPRAZOLE ODT 10 MG TABLET TABLET,DISINTEGRATING 90 30

    ARIPIPRAZOLE ODT 15 MG TABLET TABLET,DISINTEGRATING 60 30

    ARMODAFINIL 150 MG TABLET TABLET 30 30

    ARMODAFINIL 250 MG TABLET TABLET 30 30

    ARMODAFINIL 50 MG TABLET TABLET 30 30

    ASA-BUTALB-CAFF-COD #3 CAPSULE CAPSULE 180 30

    ASCOMP WITH CODEINE CAPSULE CAPSULE 180 30

    ATACAND 16 MG TABLET TABLET 30 30

    ATACAND 4 MG TABLET TABLET 30 30

  • ATACAND 8 MG TABLET TABLET 30 30

    ATACAND HCT 16-12.5 MG TAB TABLET 30 30

    ATIVAN 0.5 MG TABLET TABLET 120 30

    ATIVAN 1 MG TABLET TABLET 120 30

    ATIVAN 2 MG TABLET TABLET 120 30

    ATIVAN 2 MG/ML VIAL VIAL (ML) 120 30

    ATIVAN 20 MG/10 ML VIAL VIAL (ML) 120 30

    ATIVAN 4 MG/ML VIAL VIAL (ML) 60 30

    ATIVAN 40 MG/10 ML VIAL VIAL (ML) 60 30

    ATORVASTATIN 10 MG TABLET TABLET 30 30

    ATORVASTATIN 20 MG TABLET TABLET 30 30

    ATORVASTATIN 40 MG TABLET TABLET 30 30

    AVAPRO 150 MG TABLET TABLET 30 30

    AVAPRO 75 MG TABLET TABLET 30 30

    BASAGLAR 100 UNIT/ML KWIKPEN INSULIN PEN (ML) 90 30

    BENICAR 20 MG TABLET TABLET 30 30

    BIO T PRES-B LIQUID LIQUID (ML) 900 30

    BIOCOTRON LIQUID LIQUID (ML) 1800 30

    BPM-DM-PHEN SYRUP LIQUID (ML) 1800 30

    BROMFED DM COUGH SYRUP SYRUP 1800 30

    BROMPHENIR-PSEUDOEPHED-DM SYR SYRUP 1800 30

    BUPRENORPHINE 10 MCG/HR PATCH PATCH, TRANSDERMAL WEEKLY 4 21

    BUPRENORPHINE 15 MCG/HR PATCH PATCH, TRANSDERMAL WEEKLY 4 21

    BUPRENORPHINE 20 MCG/HR PATCH PATCH, TRANSDERMAL WEEKLY 4 21

    BUPRENORPHINE 5 MCG/HR PATCH PATCH, TRANSDERMAL WEEKLY 4 21

    BUPRENORPHINE 7.5 MCG/HR PATCH PATCH, TRANSDERMAL WEEKLY 4 21

    BUPROPION HCL XL 150 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    BUTALB-ACETAMINOPH-CAFF-CODEIN CAPSULE 180 30

    BUTALB-CAFF-ACETAMINOPH-CODEIN CAPSULE 180 30

    BUTALBITAL COMP-CODEINE #3 CAP CAPSULE 180 30

    BUTALBITAL-ASA-CAFFEINE CAP CAPSULE 180 30

    BUTORPHANOL 10 MG/ML SPRAY AEROSOL, SPRAY (ML) 5 22

    BUTRANS 10 MCG/HR PATCH PATCH, TRANSDERMAL WEEKLY 4 21

    BUTRANS 15 MCG/HR PATCH PATCH, TRANSDERMAL WEEKLY 4 21

    BUTRANS 20 MCG/HR PATCH PATCH, TRANSDERMAL WEEKLY 4 21

    BUTRANS 5 MCG/HR PATCH PATCH, TRANSDERMAL WEEKLY 4 21

    BUTRANS 7.5 MCG/HR PATCH PATCH, TRANSDERMAL WEEKLY 4 21

    BYDUREON 2 MG VIAL VIAL (EA) 4 21

    BYETTA 10 MCG DOSE PEN INJ PEN INJECTOR (ML) 2.4 22

    BYETTA 5 MCG DOSE PEN INJ PEN INJECTOR (ML) 2.4 22

    CADUET 2.5 MG-40 MG TABLET TABLET 30 30

    CADUET 5 MG-10 MG TABLET TABLET 30 30

    CADUET 5 MG-20 MG TABLET TABLET 30 30

    CADUET 5 MG-40 MG TABLET TABLET 30 30

    CAFFEINE CIT 60 MG/3 ML ORAL SOLUTION, ORAL 30 30

    CANDESARTAN CILEXETIL 16 MG TB TABLET 30 30

    CANDESARTAN CILEXETIL 4 MG TAB TABLET 30 30

    CANDESARTAN CILEXETIL 8 MG TAB TABLET 30 30

    CANDESARTAN-HCTZ 16-12.5 MG TB TABLET 30 30

    CAPITAL WITH CODEINE SUSP SUSPENSION, ORAL (FINAL DOSE FORM) 4500 30

    CAPSAICIN 0.025% CREAM CREAM (GRAM) 120 22

    CARDIZEM CD 120 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 30 30

    CARDIZEM CD 180 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 30 30

    CARDURA 1 MG TABLET TABLET 30 30

    CARDURA 2 MG TABLET TABLET 30 30

    CARDURA 4 MG TABLET TABLET 30 30

    CARISOPRODOL 250 MG TABLET TABLET 168 30

    CARISOPRODOL 350 MG TABLET TABLET 140 30

    CARISOPRODOL-ASPIRIN-CODEIN TB TABLET 240 30

    CARTIA XT 120 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 30 30

    CARTIA XT 180 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 30 30

    CARVEDILOL ER 10 MG CAPSULE CAPSULE,EXTENDED RELEASE MULTIPHASE 24HR 30 30

    CARVEDILOL ER 20 MG CAPSULE CAPSULE,EXTENDED RELEASE MULTIPHASE 24HR 30 30

    CARVEDILOL ER 40 MG CAPSULE CAPSULE,EXTENDED RELEASE MULTIPHASE 24HR 30 30

    CELEXA 10 MG TABLET TABLET 90 30

  • CELEXA 20 MG TABLET TABLET 60 30

    CETIRIZINE HCL 5 MG TABLET TABLET 30 30

    CHEST CONGESTION RELIEF DM TAB TABLET 180 30

    CHEST CONGST-COUGH RELIEF TAB TABLET 180 30

    CHLORPROMAZINE 10 MG TABLET TABLET 120 30

    CHLORPROMAZINE 100 MG TABLET TABLET 120 30

    CHLORPROMAZINE 200 MG TABLET TABLET 120 30

    CHLORPROMAZINE 25 MG TABLET TABLET 90 30

    CHLORPROMAZINE 25 MG/ML AMP AMPUL (ML) 180 30

    CHLORPROMAZINE 50 MG TABLET TABLET 90 30

    CIMZIA 200 MG/ML SYRINGE KIT SYRINGE KIT (EA) 2.4 30

    CITALOPRAM HBR 10 MG TABLET TABLET 90 30

    CITALOPRAM HBR 20 MG TABLET TABLET 60 30

    CLONIDINE HCL ER 0.1 MG TABLET TABLET, EXTENDED RELEASE 12 HR 120 30

    CODEINE SULFATE 15 MG TABLET TABLET 180 30

    CODEINE SULFATE 30 MG TABLET TABLET 180 30

    CODEINE SULFATE 60 MG TABLET TABLET 180 30

    COLD HEAD CONGESTION CAPLET TABLET 360 30

    COLD MULTI-SYMPTOM CAPLET TABLET 360 30

    COLD MULTI-SYMPTOM GELCAP TABLET 360 30

    COLD MULTI-SYMPTOM NIGHT LIQ LIQUID (ML) 5400 30

    COLD RELIEF MULTI-SYMPTOM CPLT TABLET 360 30

    COLD RLF HEAD CONGESTION CPLT TABLET 360 30

    COLD-FLU SEVERE CAPLET TABLET 360 30

    CONCERTA ER 18 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    CONCERTA ER 27 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    CONCERTA ER 36 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    CONCERTA ER 54 MG TABLET TABLET, EXTENDED RELEASE 24 HR 60 30

    CONZIP 100 MG CAPSULE CAPSULE,EXT.RELEASE 24 HR BIPHASIC 25-75 30 30

    CONZIP 200 MG CAPSULE CAPSULE,EXT.RELEASE 24 HR BIPHASIC 25-75 30 30

    CONZIP 300 MG CAPSULE CAPSULE,EXT.RELEASE 24 HR BIPHASIC 17-83 30 30

    COREG CR 10 MG CAPSULE CAPSULE,EXTENDED RELEASE MULTIPHASE 24HR 30 30

    COREG CR 20 MG CAPSULE CAPSULE,EXTENDED RELEASE MULTIPHASE 24HR 30 30

    COREG CR 40 MG CAPSULE CAPSULE,EXTENDED RELEASE MULTIPHASE 24HR 30 30

    COUGH DM SYRUP SYRUP 1800 30

    COUGH FORMULA DM SYRUP SYRUP 1800 30

    COUGH SYRUP SYRUP 1800 30

    COUGH SYRUP DM SYRUP 1800 30

    COZAAR 25 MG TABLET TABLET 30 30

    COZAAR 50 MG TABLET TABLET 30 30

    CRESTOR 10 MG TABLET TABLET 30 30

    CRESTOR 20 MG TABLET TABLET 30 30

    CRESTOR 5 MG TABLET TABLET 30 30

    CVS CHEST CONGEST RELIEF DM TB TABLET 180 30

    CVS CHEST CONGESTION RLF DM TB TABLET 180 30

    CVS DAYTIME COLD-FLU RLF SFTGL CAPSULE 360 30

    CVS ESOMEPRAZOLE MAG 20 MG CAP CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    CVS LANSOPRAZOLE DR 15 MG CAP CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    CVS TUSSIN COUGH LIQUID LIQUID (ML) 1800 30

    CVS TUSSIN DM LIQUID LIQUID (ML) 1800 30

    CVS TUSSIN MAX-STR SYRUP SYRUP 360 30

    CYCLOBENZAPRINE 7.5 MG TABLET TABLET 63 30

    CYCLOSET 0.8 MG TABLET TABLET 180 30

    DARIFENACIN ER 7.5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    DAY TIME COLD-FLU SOFTGEL CAPSULE 360 30

    DAY TIME SOFTGEL CAPSULE 360 30

    DAYTIME COLD MULTI-SYMP GELCAP TABLET 360 30

    DAYTIME COLD RELIEF CAPLET TABLET 360 30

    DAYTIME COLD-FLU RELIEF SOFTGL CAPSULE 360 30

    DAYTRANA 10 MG/9 HR PATCH PATCH, TRANSDERMAL 24 HOURS 30 30

    DAYTRANA 15 MG/9 HR PATCH PATCH, TRANSDERMAL 24 HOURS 30 30

    DAYTRANA 20 MG/9 HOUR PATCH PATCH, TRANSDERMAL 24 HOURS 30 30

    DAYTRANA 30 MG/9 HOUR PATCH PATCH, TRANSDERMAL 24 HOURS 30 30

    DDAVP 0.1 MG TABLET TABLET 360 30

    DDAVP 0.2 MG TABLET TABLET 180 30

  • DECONEX DMX TABLET TABLET 240 30

    DEMEROL 100 MG TABLET TABLET 6 34

    DESMOPRESSIN ACETATE 0.1 MG TB TABLET 360 30

    DESMOPRESSIN ACETATE 0.2 MG TB TABLET 180 30

    DESOXYN 5 MG TABLET TABLET 180 30

    DESVENLAFAXINE SUC ER 25 MG TB TABLET, EXTENDED RELEASE 24 HR 30 30

    DESVENLAFAXINE SUC ER 50 MG TB TABLET, EXTENDED RELEASE 24 HR 30 30

    DETROL LA 2 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 30 30

    DEXEDRINE 10 MG TABLET TABLET 180 30

    DEXEDRINE 5 MG TABLET TABLET 90 30

    DEXEDRINE SPANSULE 10 MG CAPSULE, EXTENDED RELEASE 30 30

    DEXEDRINE SPANSULE 15 MG CAPSULE, EXTENDED RELEASE 30 30

    DEXEDRINE SPANSULE 5 MG CAPSULE, EXTENDED RELEASE 30 30

    DEXILANT DR 30 MG CAPSULE CAPSULE, DELAYED RELEASE, BIPHASIC 30 30

    DEXMETHYLPHENIDATE 10 MG TAB TABLET 150 30

    DEXMETHYLPHENIDATE 2.5 MG TAB TABLET 60 30

    DEXMETHYLPHENIDATE 5 MG TAB TABLET 60 30

    DEXMETHYLPHENIDATE ER 10 MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    DEXMETHYLPHENIDATE ER 15 MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    DEXMETHYLPHENIDATE ER 20 MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    DEXMETHYLPHENIDATE ER 25 MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 60 30

    DEXMETHYLPHENIDATE ER 30 MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    DEXMETHYLPHENIDATE ER 35 MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    DEXMETHYLPHENIDATE ER 40 MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    DEXMETHYLPHENIDATE ER 5 MG CAP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    DEXTROAMP-AMPHET ER 10 MG CAP CAPSULE, EXT RELEASE 24 HR 30 30

    DEXTROAMP-AMPHET ER 15 MG CAP CAPSULE, EXT RELEASE 24 HR 30 30

    DEXTROAMP-AMPHET ER 20 MG CAP CAPSULE, EXT RELEASE 24 HR 60 30

    DEXTROAMP-AMPHET ER 25 MG CAP CAPSULE, EXT RELEASE 24 HR 60 30

    DEXTROAMP-AMPHET ER 30 MG CAP CAPSULE, EXT RELEASE 24 HR 60 30

    DEXTROAMP-AMPHET ER 5 MG CAP CAPSULE, EXT RELEASE 24 HR 30 30

    DEXTROAMP-AMPHETAM 12.5 MG TAB TABLET 90 30

    DEXTROAMP-AMPHETAM 7.5 MG TAB TABLET 90 30

    DEXTROAMP-AMPHETAMIN 10 MG TAB TABLET 90 30

    DEXTROAMP-AMPHETAMIN 15 MG TAB TABLET 120 30

    DEXTROAMP-AMPHETAMIN 20 MG TAB TABLET 90 30

    DEXTROAMP-AMPHETAMIN 30 MG TAB TABLET 90 30

    DEXTROAMP-AMPHETAMINE 5 MG TAB TABLET 90 30

    DEXTROAMPHETAMINE 10 MG TAB TABLET 180 30

    DEXTROAMPHETAMINE 5 MG TAB TABLET 90 30

    DEXTROAMPHETAMINE 5 MG/5 ML SOLUTION, ORAL 1800 30

    DEXTROAMPHETAMINE ER 10 MG CAP CAPSULE, EXTENDED RELEASE 30 30

    DEXTROAMPHETAMINE ER 15 MG CAP CAPSULE, EXTENDED RELEASE 30 30

    DEXTROAMPHETAMINE ER 5 MG CAP CAPSULE, EXTENDED RELEASE 30 30

    DIABETIC SILTUSSIN-DM LIQUID LIQUID (ML) 1800 30

    DIABETIC TUSSIN DM LIQUID LIQUID (ML) 1800 30

    DIASTAT 2.5 MG PEDI SYSTEM KIT 120 30

    DIASTAT ACUDIAL 12.5-15-20 MG KIT 120 30

    DIASTAT ACUDIAL 5-7.5-10 MG KT KIT 120 30

    DIAZEPAM 10 MG RECTAL GEL SYST KIT 120 30

    DIAZEPAM 2.5 MG RECTAL GEL SYS KIT 120 30

    DIAZEPAM 20 MG RECTAL GEL SYST KIT 120 30

    DICLOFENAC 1.5% TOPICAL SOLN DROPS 300 30

    DICLOFENAC EPOLAMINE 1.3% PTCH PATCH, TRANSDERMAL 12 HOURS 60 30

    DICLOFENAC SODIUM 1% GEL GEL (GRAM) 1020 30

    DICLOFENAC SODIUM 3% GEL GEL (GRAM) 300 365

    DILAUDID 2 MG TABLET TABLET 240 30

    DILAUDID 4 MG TABLET TABLET 240 30

    DILAUDID 5 MG/5 ML ORAL LIQUID LIQUID (ML) 1200 30

    DILAUDID 8 MG TABLET TABLET 240 30

    DILTIAZEM 24H ER(CD) 120 MG CP CAPSULE, EXT RELEASE 24 HR 30 30

    DILTIAZEM 24H ER(CD) 180 MG CP CAPSULE, EXT RELEASE 24 HR 30 30

    DILTIAZEM 24H ER(XR) 120 MG CP CAPSULE,EXTENDED-RELEASE 24HR DEGRADABLE 30 30

    DIOVAN 160 MG TABLET TABLET 60 30

    DIOVAN 80 MG TABLET TABLET 60 30

  • DIOVAN HCT 160-12.5 MG TAB TABLET 60 30

    DIOVAN HCT 80-12.5 MG TABLET TABLET 60 30

    DONEPEZIL HCL 5 MG TABLET TABLET 30 30

    DONEPEZIL HCL ODT 5 MG TABLET TABLET,DISINTEGRATING 30 30

    DORAL 15 MG TABLET TABLET 30 30

    DOXAZOSIN MESYLATE 1 MG TAB TABLET 30 30

    DOXAZOSIN MESYLATE 2 MG TAB TABLET 30 30

    DOXAZOSIN MESYLATE 4 MG TAB TABLET 30 30

    DUETACT 30-2 MG TABLET TABLET 30 30

    DUETACT 30-4 MG TABLET TABLET 30 30

    DUEXIS 800-26.6 MG TABLET TABLET 90 30

    DURAGESIC 100 MCG/HR PATCH PATCH, TRANSDERMAL 72 HOURS 15 30

    DURAGESIC 12 MCG/HR PATCH PATCH, TRANSDERMAL 72 HOURS 15 30

    DURAGESIC 25 MCG/HR PATCH PATCH, TRANSDERMAL 72 HOURS 15 30

    DURAGESIC 50 MCG/HR PATCH PATCH, TRANSDERMAL 72 HOURS 15 30

    DURAGESIC 75 MCG/HR PATCH PATCH, TRANSDERMAL 72 HOURS 15 30

    ED-A-HIST DM LIQUID LIQUID (ML) 1200 30

    EDLUAR 10 MG SL TABLET TABLET, SUBLINGUAL 30 30

    EDLUAR 5 MG SL TABLET TABLET, SUBLINGUAL 30 30

    EFFEXOR XR 37.5 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 30 30

    EFFEXOR XR 75 MG CAPSULE CAPSULE, EXT RELEASE 24 HR 30 30

    EMLA CREAM CREAM (GRAM) 30 22

    ENABLEX 7.5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    ENBREL 50 MG/ML MINI CARTRIDGE CARTRIDGE (ML) 8.7 30

    ENBREL 50 MG/ML SURECLICK SYR PEN INJECTOR (ML) 8.7 30

    ENBREL 50 MG/ML SYRINGE SYRINGE (ML) 8.7 30

    ENDOCET 10-325 MG TABLET TABLET 360 30

    ENDOCET 2.5-325 MG TABLET TABLET 360 30

    ENDOCET 5-325 TABLET TABLET 360 30

    ENDOCET 7.5-325 MG TABLET TABLET 360 30

    ENDUR-ACIN ER 500 MG TABLET TABLET, EXTENDED RELEASE 30 30

    EQ COLD MULTI-SYMP SEVERE CPLT TABLET 360 30

    EQ COLD MULTI-SYMPTOM GELCAP TABLET 360 30

    EQ DAYTIME COLD-FLU SOFTGEL CAPSULE 360 30

    EQ LANSOPRAZOLE DR 15 MG CAP CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    EQ NIGHTTIME COLD-FLU SOFTGEL CAPSULE 240 30

    EQ TUSSIN DM COUGH-CHEST SYR SYRUP 1800 30

    EQL COLD HEAD CONGESTION CPLT TABLET 360 30

    EQL DAY COLD-FLU RELIEF SOFTGL CAPSULE 360 30

    EQL LANSOPRAZOLE DR 15 MG CAP CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    EQL MUCUS RLF COLD-FLU-THROAT TABLET 360 30

    EQL MUCUS RLF SEVERE COLD CPLT TABLET 360 30

    EQL NIGHT COLD-FLU RELIEF SFGL CAPSULE 240 30

    EQL NIGHT COLD-FLU RLF SOFTGEL CAPSULE 240 30

    EQL NIGHT SEVERE COLD-FLU LIQ LIQUID (ML) 5400 30

    EQL SEVERE COLD MULTI-SYM CPLT TABLET 360 30

    EQL TUSSIN DM COUGH-CHEST SYR SYRUP 1800 30

    ESCITALOPRAM 10 MG TABLET TABLET 60 30

    ESCITALOPRAM 5 MG TABLET TABLET 90 30

    ESOMEPRAZOLE MAG DR 20 MG CAP CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    ESTAZOLAM 1 MG TABLET TABLET 30 30

    ESTAZOLAM 2 MG TABLET TABLET 30 30

    ESZOPICLONE 1 MG TABLET TABLET 30 30

    ESZOPICLONE 2 MG TABLET TABLET 30 30

    ESZOPICLONE 3 MG TABLET TABLET 30 30

    EXALGO ER 12 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    EXALGO ER 16 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    EXALGO ER 32 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    EXALGO ER 8 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    EXTRA ACTION COUGH SYRUP SYRUP 1800 30

    FARXIGA 10 MG TABLET TABLET 30 30

    FARXIGA 5 MG TABLET TABLET 30 30

    FELODIPINE ER 2.5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    FELODIPINE ER 5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    FENESIN DM IR TABLET TABLET 180 30

  • FENTANYL 100 MCG/HR PATCH PATCH, TRANSDERMAL 72 HOURS 15 30

    FENTANYL 12 MCG/HR PATCH PATCH, TRANSDERMAL 72 HOURS 15 30

    FENTANYL 25 MCG/HR PATCH PATCH, TRANSDERMAL 72 HOURS 15 30

    FENTANYL 37.5 MCG/HR PATCH PATCH, TRANSDERMAL 72 HOURS 15 30

    FENTANYL 50 MCG/HR PATCH PATCH, TRANSDERMAL 72 HOURS 15 30

    FENTANYL 62.5 MCG/HR PATCH PATCH, TRANSDERMAL 72 HOURS 15 30

    FENTANYL 75 MCG/HR PATCH PATCH, TRANSDERMAL 72 HOURS 15 30

    FENTANYL 87.5 MCG/HR PATCH PATCH, TRANSDERMAL 72 HOURS 15 30

    FENTANYL CIT OTFC 1,200 MCG LOZENGE ON A HANDLE 120 30

    FENTANYL CIT OTFC 1,600 MCG LOZENGE ON A HANDLE 120 30

    FENTANYL CITRATE OTFC 200 MCG LOZENGE ON A HANDLE 120 30

    FENTANYL CITRATE OTFC 400 MCG LOZENGE ON A HANDLE 120 30

    FENTANYL CITRATE OTFC 600 MCG LOZENGE ON A HANDLE 120 30

    FENTANYL CITRATE OTFC 800 MCG LOZENGE ON A HANDLE 120 30

    FENTORA 100 MCG BUCCAL TABLET TABLET, EFFERVESCENT 120 30

    FENTORA 200 MCG BUCCAL TABLET TABLET, EFFERVESCENT 120 30

    FENTORA 400 MCG BUCCAL TABLET TABLET, EFFERVESCENT 120 30

    FENTORA 600 MCG BUCCAL TABLET TABLET, EFFERVESCENT 120 30

    FENTORA 800 MCG BUCCAL TABLET TABLET, EFFERVESCENT 120 30

    FEXMID 7.5 MG TABLET TABLET 63 30

    FIASP 100 UNIT/ML FLEXTOUCH INSULIN PEN (ML) 90 30

    FIASP 100 UNIT/ML VIAL VIAL (ML) 90 30

    FIORICET-COD 50-300-40-30 CAP CAPSULE 180 30

    FIORINAL WITH CODEINE #3 CAP CAPSULE 180 30

    FIORINAL-COD 30-50-325-40 CAP CAPSULE 180 30

    FLECTOR 1.3% PATCH PATCH, TRANSDERMAL 12 HOURS 60 30

    FLUOXETINE HCL 10 MG CAPSULE CAPSULE 150 30

    FLUOXETINE HCL 10 MG TABLET TABLET 150 30

    FLUOXETINE HCL 20 MG CAPSULE CAPSULE 120 30

    FLUOXETINE HCL 20 MG TABLET TABLET 120 30

    FLUPHENAZINE 1 MG TABLET TABLET 120 30

    FLUPHENAZINE 10 MG TABLET TABLET 120 30

    FLUPHENAZINE 2.5 MG TABLET TABLET 120 30

    FLUPHENAZINE 2.5 MG/5 ML ELIX ELIXIR 240 30

    FLUPHENAZINE 2.5 MG/ML VIAL VIAL (ML) 120 22

    FLUPHENAZINE 5 MG TABLET TABLET 120 30

    FLUPHENAZINE 5 MG/ML CONC CONCENTRATE, ORAL 240 30

    FLURAZEPAM 15 MG CAPSULE CAPSULE 30 30

    FLURAZEPAM 30 MG CAPSULE CAPSULE 30 30

    FLUVASTATIN SODIUM 20 MG CAP CAPSULE 30 30

    FLUVASTATIN SODIUM 40 MG CAP CAPSULE 30 30

    FOCALIN 10 MG TABLET TABLET 150 30

    FOCALIN 2.5 MG TABLET TABLET 60 30

    FOCALIN 5 MG TABLET TABLET 60 30

    FOCALIN XR 10 MG CAPSULE CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    FOCALIN XR 15 MG CAPSULE CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    FOCALIN XR 20 MG CAPSULE CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    FOCALIN XR 25 MG CAPSULE CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 60 30

    FOCALIN XR 30 MG CAPSULE CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    FOCALIN XR 35 MG CAPSULE CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    FOCALIN XR 40 MG CAPSULE CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    FOCALIN XR 5 MG CAPSULE CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    FORTAMET ER 1,000 MG TABLET TABLET, EXTENDED RELEASE 24 HR 60 30

    FORTAMET ER 500 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    GABAPENTIN 100 MG CAPSULE CAPSULE 270 30

    GABAPENTIN 250 MG/5 ML SOLN SOLUTION, ORAL 2160 30

    GABAPENTIN 300 MG CAPSULE CAPSULE 270 30

    GABAPENTIN 300 MG/6 ML SOLN SOLUTION, ORAL 2160 30

    GABAPENTIN 400 MG CAPSULE CAPSULE 180 30

    GABAPENTIN 600 MG TABLET TABLET 180 30

    GABAPENTIN 800 MG TABLET TABLET 120 30

    GALANTAMINE HBR 8 MG TABLET TABLET 30 30

    GERI-TUSSIN DM SYRUP SYRUP 1800 30

    GLENMAX PEB DM FORTE LIQUID LIQUID (ML) 900 30

    GLIMEPIRIDE 1 MG TABLET TABLET 120 30

  • GLIMEPIRIDE 2 MG TABLET TABLET 120 30

    GLIMEPIRIDE 4 MG TABLET TABLET 60 30

    GLIPIZIDE 10 MG TABLET TABLET 120 30

    GLIPIZIDE 5 MG TABLET TABLET 240 30

    GLIPIZIDE ER 10 MG TABLET TABLET, EXTENDED RELEASE 24 HR 60 30

    GLIPIZIDE ER 2.5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    GLIPIZIDE ER 5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    GLIPIZIDE XL 10 MG TABLET TABLET, EXTENDED RELEASE 24 HR 60 30

    GLIPIZIDE XL 2.5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    GLIPIZIDE XL 5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    GLIPIZIDE-METFORMIN 2.5-250 MG TABLET 120 30

    GLIPIZIDE-METFORMIN 2.5-500 MG TABLET 120 30

    GLIPIZIDE-METFORMIN 5-500 MG TABLET 120 30

    GLUCOPHAGE 1,000 MG TABLET TABLET 75 30

    GLUCOPHAGE 500 MG TABLET TABLET 150 30

    GLUCOPHAGE 850 MG TABLET TABLET 90 30

    GLUCOPHAGE XR 500 MG TAB TABLET, EXTENDED RELEASE 24 HR 150 30

    GLUCOPHAGE XR 750 MG TAB TABLET, EXTENDED RELEASE 24 HR 90 30

    GLUCOTROL 10 MG TABLET TABLET 120 30

    GLUCOTROL 5 MG TABLET TABLET 240 30

    GLUCOTROL XL 10 MG TABLET TABLET, EXTENDED RELEASE 24 HR 60 30

    GLUCOTROL XL 2.5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    GLUCOTROL XL 5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    GLUCOVANCE 5-500 MG TABLET TABLET 120 30

    GLUMETZA ER 1,000 MG TABLET TABLET, ER GASTRIC RETENTION 24 HR 60 30

    GLUMETZA ER 500 MG TABLET TABLET, ER GASTRIC RETENTION 24 HR 30 30

    GLYBURIDE 1.25 MG TABLET TABLET 120 30

    GLYBURIDE 2.5 MG TABLET TABLET 120 30

    GLYBURIDE 5 MG TABLET TABLET 120 30

    GLYBURIDE MICRO 1.5 MG TAB TABLET 120 30

    GLYBURIDE MICRO 3 MG TABLET TABLET 120 30

    GLYBURIDE MICRO 6 MG TABLET TABLET 60 30

    GLYBURIDE-METFORMIN 2.5-500 MG TABLET 120 30

    GLYBURIDE-METFORMIN 5-500 MG TABLET 120 30

    GLYBURID-METFORMIN 1.25-250 MG TABLET 240 30

    GLYDO 2% JELLY SYRINGE JELLY WITH PREFILLED APPLICATOR (ML) 60 22

    GLYNASE 1.5 MG PRESTAB TABLET 120 30

    GLYNASE 3 MG PRESTAB TABLET 120 30

    GLYNASE 6 MG PRESTAB TABLET 60 30

    GLYXAMBI 10 MG-5 MG TABLET TABLET 30 30

    GLYXAMBI 25 MG-5 MG TABLET TABLET 30 30

    GNP CHEST CONGST-COUGH RLF TAB TABLET 180 30

    GNP TUSSIN COUGH LIQUID LIQUID (ML) 360 30

    GNP TUSSIN DM CLEAR SYRUP SYRUP 1800 30

    GNP TUSSIN DM SYRUP SYRUP 1800 30

    GRALISE 30-DAY STARTER PACK TABLET, EXTENDED RELEASE 24 HR 78 135

    GRALISE ER 300 MG TABLET TABLET, EXTENDED RELEASE 24 HR 360 30

    GRALISE ER 600 MG TABLET TABLET, EXTENDED RELEASE 24 HR 180 30

    GS COLD MULTI-SYMPTOM CAPLET TABLET 360 30

    GS DAYTIME COLD-FLU SOFTGEL CAPSULE 360 30

    GS LANSOPRAZOLE DR 15 MG CAP CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    GS MUCUS RELIEF DM TABLET TABLET 180 30

    GS NIGHTTIME COLD-FLU SOFTGEL CAPSULE 240 30

    GS SEVERE DAY COLD-FLU CAPLET TABLET 360 30

    GS TUSSIN DM COUGH SYRUP SYRUP 1800 30

    GS TUSSIN DM COUGH-CHEST SOLN SYRUP 1800 30

    GS TUSSIN DM LIQUID SYRUP 1800 30

    G-TRON LIQUID LIQUID (ML) 1800 30

    GUAIASORB DM LIQUID LIQUID (ML) 1800 30

    GUAICON DMS LIQUID PACKET LIQUID IN PACKET (ML) 1800 30

    GUAIFENESIN DM 400-20 MG TAB TABLET 180 30

    GUAIFENESIN DM SYRUP SYRUP 1800 30

    GUAIFENESIN-DM 400-20 MG CPLT TABLET 180 30

    GUAIFENESIN-DM ER 1,200-60 MG TABLET, EXTENDED RELEASE 12 HR 60 30

    GUAIFENESIN-DM SOLUTION LIQUID (ML) 1800 30

  • HALCION 0.25 MG TABLET TABLET 60 30

    HALOPERIDOL 0.5 MG TABLET TABLET 90 30

    HALOPERIDOL 1 MG TABLET TABLET 90 30

    HALOPERIDOL 10 MG TABLET TABLET 90 30

    HALOPERIDOL 2 MG TABLET TABLET 90 30

    HALOPERIDOL 20 MG TABLET TABLET 150 30

    HALOPERIDOL 5 MG TABLET TABLET 90 30

    HEARTBURN TREATMENT 20 MG CAP CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    HEARTBURN TREATMNT 24 HR 15 MG CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    HM ADT TUSSIN COUGH CONG DM LQ LIQUID (ML) 1800 30

    HM ADULT TUSSIN DM SYRUP SYRUP 1800 30

    HM CHEST CONGEST RLF DM CAPLET TABLET 180 30

    HM ESOMEPRAZOLE MAG DR 20 MG CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    HM LANSOPRAZOLE DR 15 MG CAP CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    HM NIGHT TIME LIQUID CAP CAPSULE 240 30

    HM SEVERE COLD-FLU CAPLET TABLET 360 30

    HORIZANT ER 300 MG TABLET TABLET, EXTENDED RELEASE 120 30

    HORIZANT ER 600 MG TABLET TABLET, EXTENDED RELEASE 60 30

    HUMALOG 100 UNIT/ML VIAL VIAL (ML) 90 30

    HUMALOG 100 UNITS/ML KWIKPEN INSULIN PEN (ML) 90 30

    HUMALOG 200 UNITS/ML KWIKPEN INSULIN PEN (ML) 30 30

    HUMALOG JR 100 UNIT/ML KWIKPEN INSULIN PEN, HALF-UNIT (ML) 90 30

    HUMALOG MIX 50-50 KWIKPEN INSULIN PEN (ML) 90 30

    HUMALOG MIX 50-50 VIAL VIAL (ML) 90 30

    HUMALOG MIX 75-25 KWIKPEN INSULIN PEN (ML) 90 30

    HUMALOG MIX 75-25 VIAL VIAL (ML) 90 30

    HUMIRA 40 MG/0.8 ML SYRINGE SYRINGE KIT (EA) 8.7 30

    HUMIRA PEDI CROHN 40 MG/0.8 ML SYRINGE KIT (EA) 8.7 30

    HUMIRA PEN 40 MG/0.8 ML PEN INJECTOR KIT (EA) 8.7 30

    HUMIRA PEN CROHN-UC-HS 40 MG PEN INJECTOR KIT (EA) 8.7 30

    HUMIRA PEN PS-UV-ADOL HS 40 MG PEN INJECTOR KIT (EA) 8.7 30

    HUMULIN 70/30 KWIKPEN INSULIN PEN (ML) 90 30

    HUMULIN 70-30 VIAL VIAL (ML) 90 30

    HUMULIN N 100 UNIT/ML VIAL VIAL (ML) 90 30

    HUMULIN N 100 UNITS/ML KWIKPEN INSULIN PEN (ML) 90 30

    HUMULIN N 100 UNITS/ML VIAL VIAL (ML) 90 30

    HUMULIN R 100 UNIT/ML VIAL VIAL (ML) 90 30

    HUMULIN R 100 UNITS/ML VIAL VIAL (ML) 90 30

    HUMULIN R 500 UNITS/ML VIAL VIAL (ML) 90 30

    HYDROCODONE-ACETAMIN 10-300 MG TABLET 390 30

    HYDROCODONE-ACETAMIN 10-325 MG TABLET 360 30

    HYDROCODONE-ACETAMIN 10-325/15 SOLUTION, ORAL 5400 30

    HYDROCODONE-ACETAMIN 2.5-108/5 SOLUTION, ORAL 5400 30

    HYDROCODONE-ACETAMIN 5-163/7.5 SOLUTION, ORAL 5400 30

    HYDROCODONE-ACETAMIN 5-217/10 SOLUTION, ORAL 5400 30

    HYDROCODONE-ACETAMIN 5-300 MG TABLET 390 30

    HYDROCODONE-ACETAMIN 5-325 MG TABLET 360 30

    HYDROCODONE-ACETAMIN 7.5-300 TABLET 390 30

    HYDROCODONE-ACETAMIN 7.5-325 TABLET 360 30

    HYDROCODONE-ACETAMN 7.5-325/15 SOLUTION, ORAL 5400 30

    HYDROCODONE-IBUPROFEN 10-200 TABLET 150 30

    HYDROCODONE-IBUPROFEN 5-200 MG TABLET 150 30

    HYDROCODONE-IBUPROFEN 7.5-200 TABLET 150 30

    HYDROMORPHONE 1 MG/ML SOLUTION LIQUID (ML) 1200 30

    HYDROMORPHONE 2 MG TABLET TABLET 240 30

    HYDROMORPHONE 3 MG SUPPOS SUPPOSITORY, RECTAL 240 30

    HYDROMORPHONE 4 MG TABLET TABLET 240 30

    HYDROMORPHONE 5 MG/5 ML SOLN LIQUID (ML) 1200 30

    HYDROMORPHONE 8 MG TABLET TABLET 240 30

    HYDROMORPHONE HCL ER 12 MG TAB TABLET, EXTENDED RELEASE 24 HR 30 30

    HYDROMORPHONE HCL ER 16 MG TAB TABLET, EXTENDED RELEASE 24 HR 30 30

    HYDROMORPHONE HCL ER 32 MG TAB TABLET, EXTENDED RELEASE 24 HR 30 30

    HYDROMORPHONE HCL ER 8 MG TAB TABLET, EXTENDED RELEASE 24 HR 30 30

    HYZAAR 50-12.5 TABLET TABLET 30 30

    IBUDONE 10-200 MG TABLET TABLET 150 30

  • IBUDONE 5-200 MG TABLET TABLET 150 30

    INSULIN LISPRO 100 UNIT/ML PEN INSULIN PEN (ML) 90 30

    INSULIN LISPRO 100 UNIT/ML VL VIAL (ML) 90 30

    INTERMEZZO 1.75 MG TAB SUBLING TABLET, SUBLINGUAL 30 30

    INTERMEZZO 3.5 MG TAB SUBLING TABLET, SUBLINGUAL 30 30

    INVEGA ER 1.5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    INVEGA ER 3 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    INVEGA SUSTENNA 117 MG/0.75 ML SYRINGE (ML) 0.75 21

    INVEGA SUSTENNA 156 MG/ML SYRG SYRINGE (ML) 1 21

    INVEGA SUSTENNA 234 MG/1.5 ML SYRINGE (ML) 1.5 21

    INVEGA SUSTENNA 39 MG/0.25 ML SYRINGE (ML) 0.25 21

    INVEGA SUSTENNA 78 MG/0.5 ML SYRINGE (ML) 0.5 21

    INVOKAMET 150-1,000 MG TABLET TABLET 60 30

    INVOKAMET 150-500 MG TABLET TABLET 60 30

    INVOKAMET 50-1,000 MG TABLET TABLET 60 30

    INVOKAMET 50-500 MG TABLET TABLET 60 30

    INVOKANA 100 MG TABLET TABLET 60 30

    INVOKANA 300 MG TABLET TABLET 30 30

    IRBESARTAN 150 MG TABLET TABLET 30 30

    IRBESARTAN 75 MG TABLET TABLET 30 30

    JANUMET 50-1,000 MG TABLET TABLET 60 30

    JANUMET 50-500 MG TABLET TABLET 60 30

    JANUMET XR 100-1,000 MG TABLET TABLET,EXTENDED RELEASE MULTIPHASE 24 HR 30 30

    JANUMET XR 50-1,000 MG TABLET TABLET,EXTENDED RELEASE MULTIPHASE 24 HR 60 30

    JANUMET XR 50-500 MG TABLET TABLET,EXTENDED RELEASE MULTIPHASE 24 HR 30 30

    JANUVIA 100 MG TABLET TABLET 30 30

    JANUVIA 25 MG TABLET TABLET 30 30

    JANUVIA 50 MG TABLET TABLET 30 30

    JARDIANCE 10 MG TABLET TABLET 30 30

    JARDIANCE 25 MG TABLET TABLET 30 30

    JENTADUETO 2.5 MG-1000 MG TAB TABLET 60 30

    JENTADUETO 2.5 MG-500 MG TAB TABLET 60 30

    JENTADUETO 2.5 MG-850 MG TAB TABLET 60 30

    KADIAN ER 10 MG CAPSULE CAPSULE, EXTENDED RELEASE PELLETS 60 30

    KADIAN ER 100 MG CAPSULE CAPSULE, EXTENDED RELEASE PELLETS 60 30

    KADIAN ER 20 MG CAPSULE CAPSULE, EXTENDED RELEASE PELLETS 60 30

    KADIAN ER 200 MG CAPSULE CAPSULE, EXTENDED RELEASE PELLETS 60 30

    KADIAN ER 30 MG CAPSULE CAPSULE, EXTENDED RELEASE PELLETS 60 30

    KADIAN ER 40 MG CAPSULE CAPSULE, EXTENDED RELEASE PELLETS 60 30

    KADIAN ER 50 MG CAPSULE CAPSULE, EXTENDED RELEASE PELLETS 60 30

    KADIAN ER 60 MG CAPSULE CAPSULE, EXTENDED RELEASE PELLETS 60 30

    KADIAN ER 80 MG CAPSULE CAPSULE, EXTENDED RELEASE PELLETS 60 30

    KALYDECO 50 MG GRANULES PACKET GRANULES IN PACKET (EA) 56 21

    KAPVAY ER 0.1 MG TABLET TABLET, EXTENDED RELEASE 12 HR 120 30

    KAZANO 12.5-1,000 MG TABLET TABLET 60 30

    KAZANO 12.5-500 MG TABLET TABLET 60 30

    KETOROLAC 10 MG TABLET TABLET 120 30

    KETOROLAC 60 MG/2 ML CARPUJECT CARTRIDGE (ML) 120 30

    KETOROLAC 60 MG/2 ML SYRINGE SYRINGE (ML) 120 30

    KETOROLAC 60 MG/2 ML VIAL VIAL (ML) 120 30

    KLOFENSAID II 1.5% TOPICAL SOL DROPS 300 30

    KOMBIGLYZE XR 2.5-1,000 MG TAB TABLET,EXTENDED RELEASE MULTIPHASE 24 HR 60 30

    KOMBIGLYZE XR 5-1,000 MG TAB TABLET,EXTENDED RELEASE MULTIPHASE 24 HR 30 30

    KOMBIGLYZE XR 5-500 MG TABLET TABLET,EXTENDED RELEASE MULTIPHASE 24 HR 30 30

    KORLYM 300 MG TABLET TABLET 120 30

    KRO TUSSIN DM COUGH-CHEST CONG LIQUID (ML) 1800 30

    KRO TUSSIN DM LIQUID LIQUID (ML) 1800 30

    LANSOPRAZOLE DR 15 MG CAPSULE CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    LANTUS 100 UNIT/ML VIAL VIAL (ML) 90 30

    LANTUS SOLOSTAR 100 UNIT/ML INSULIN PEN (ML) 90 30

    LATUDA 60 MG TABLET TABLET 30 30

    LC-5 5% CREAM CREAM (GRAM) 60 22

    LESCOL 20 MG CAPSULE CAPSULE 30 30

    LEVEMIR 100 UNIT/ML VIAL VIAL (ML) 90 30

    LEVEMIR FLEXTOUCH 100 UNIT/ML INSULIN PEN (ML) 90 30

  • LEVORPHANOL 2 MG TABLET TABLET 180 30

    LEVORPHANOL 3 MG TABLET TABLET 180 30

    LEXAPRO 10 MG TABLET TABLET 60 30

    LEXAPRO 5 MG TABLET TABLET 90 30

    LIDOCAINE 5% PATCH ADHESIVE PATCH, MEDICATED 90 30

    LIDOCAINE ANORECTAL 5% CREAM CREAM (GRAM) 60 22

    LIDOCAINE HCL 2% ABBOJECT SYRINGE (ML) 125 22

    LIDOCAINE HCL 2% JEL UROJET AC JELLY WITH PREFILLED APPLICATOR (ML) 60 22

    LIDOCAINE HCL 2% JELLY JELLY (ML) 60 22

    LIDOCAINE HCL 2% JELLY URO-JET JELLY WITH PREFILLED APPLICATOR (ML) 60 22

    LIDOCAINE HCL 2% LUER-JET SYRINGE (ML) 125 22

    LIDOCAINE HCL 2% SYRINGE SYRINGE (ML) 125 22

    LIDOCAINE HCL 2% VIAL VIAL (ML) 125 22

    LIDOCAINE HCL 4% SOLUTION SOLUTION, NON-ORAL 50 22

    LIDOCAINE-PRILOCAINE CREAM CREAM (GRAM) 30 22

    LIDODERM 5% PATCH ADHESIVE PATCH, MEDICATED 90 30

    LINDANE 1% SHAMPOO SHAMPOO 60 23

    LIPITOR 10 MG TABLET TABLET 30 30

    LIPITOR 20 MG TABLET TABLET 30 30

    LIPITOR 40 MG TABLET TABLET 30 30

    LIVALO 1 MG TABLET TABLET 30 30

    LIVALO 2 MG TABLET TABLET 30 30

    LMX 5 5% CREAM CREAM (GRAM) 60 22

    LOHIST-DM SYRUP LIQUID (ML) 1800 30

    LORAZEPAM 0.5 MG TABLET TABLET 120 30

    LORAZEPAM 1 MG TABLET TABLET 120 30

    LORAZEPAM 2 MG TABLET TABLET 120 30

    LORAZEPAM 2 MG/ML CARPUJECT CARTRIDGE (ML) 120 30

    LORAZEPAM 2 MG/ML ORAL CONCENT CONCENTRATE, ORAL 120 30

    LORAZEPAM 2 MG/ML VIAL VIAL (ML) 120 30

    LORAZEPAM 20 MG/10 ML VIAL VIAL (ML) 120 30

    LORAZEPAM 4 MG/ML CARPUJECT CARTRIDGE (ML) 60 30

    LORAZEPAM 4 MG/ML VIAL VIAL (ML) 60 30

    LORAZEPAM 40 MG/10 ML VIAL VIAL (ML) 60 30

    LORAZEPAM INTENSOL 2 MG/ML CONCENTRATE, ORAL 120 30

    LORCET 5-325 MG TABLET TABLET 360 30

    LORCET HD 10-325 MG TABLET TABLET 360 30

    LORCET PLUS 7.5-325 MG TABLET TABLET 360 30

    LOSARTAN POTASSIUM 25 MG TAB TABLET 30 30

    LOSARTAN POTASSIUM 50 MG TAB TABLET 30 30

    LOSARTAN-HCTZ 50-12.5 MG TAB TABLET 30 30

    LOVASTATIN 10 MG TABLET TABLET 30 30

    LOVASTATIN 20 MG TABLET TABLET 30 30

    LOVAZA 1 GM CAPSULE CAPSULE 120 30

    LOXAPINE 10 MG CAPSULE CAPSULE 150 30

    LOXAPINE 25 MG CAPSULE CAPSULE 150 30

    LOXAPINE 5 MG CAPSULE CAPSULE 150 30

    LUNESTA 1 MG TABLET TABLET 30 30

    LUNESTA 2 MG TABLET TABLET 30 30

    LUNESTA 3 MG TABLET TABLET 30 30

    LYRICA 100 MG CAPSULE CAPSULE 120 30

    LYRICA 150 MG CAPSULE CAPSULE 120 30

    LYRICA 200 MG CAPSULE CAPSULE 90 30

    LYRICA 225 MG CAPSULE CAPSULE 60 30

    LYRICA 25 MG CAPSULE CAPSULE 120 30

    LYRICA 300 MG CAPSULE CAPSULE 60 30

    LYRICA 50 MG CAPSULE CAPSULE 120 30

    LYRICA 75 MG CAPSULE CAPSULE 120 30

    MAPAP COLD FORMULA CAPLET TABLET 360 30

    MEPERIDINE 100 MG TABLET TABLET 6 34

    MEPERIDINE 50 MG TABLET TABLET 12 34

    MEPERIDINE 50 MG/5 ML SOLUTION SOLUTION, ORAL 120 34

    METADATE CD 30 MG CAPSULE CAPSULE,EXTENDED RELEASE BIPHASIC 30-70 30 30

    METADATE CD 50 MG CAPSULE CAPSULE,EXTENDED RELEASE BIPHASIC 30-70 60 30

    METADATE ER 20 MG TABLET TABLET, EXTENDED RELEASE 150 30

  • METFORMIN ER 1,000 MG GASTR-TB TABLET, ER GASTRIC RETENTION 24 HR 60 30

    METFORMIN ER 1,000 MG OSM-TAB TABLET, EXTENDED RELEASE 24 HR 60 30

    METFORMIN ER 500 MG GASTRC-TB TABLET, ER GASTRIC RETENTION 24 HR 30 30

    METFORMIN ER 500 MG OSMOTIC TB TABLET, EXTENDED RELEASE 24 HR 30 30

    METFORMIN HCL 1,000 MG TABLET TABLET 75 30

    METFORMIN HCL 500 MG TABLET TABLET 150 30

    METFORMIN HCL 850 MG TABLET TABLET 90 30

    METFORMIN HCL ER 500 MG TABLET TABLET, EXTENDED RELEASE 24 HR 150 30

    METFORMIN HCL ER 750 MG TABLET TABLET, EXTENDED RELEASE 24 HR 90 30

    METHAMPHETAMINE 5 MG TABLET TABLET 180 30

    METHYLIN 10 MG CHEWABLE TABLET TABLET,CHEWABLE 60 30

    METHYLIN 10 MG/5 ML SOLUTION SOLUTION, ORAL 1500 30

    METHYLIN 2.5 MG CHEWABLE TAB TABLET,CHEWABLE 90 30

    METHYLIN 5 MG CHEWABLE TABLET TABLET,CHEWABLE 90 30

    METHYLIN 5 MG/5 ML SOLUTION SOLUTION, ORAL 450 30

    METHYLPHENIDATE 10 MG CHEW TAB TABLET,CHEWABLE 60 30

    METHYLPHENIDATE 10 MG TABLET TABLET 90 30

    METHYLPHENIDATE 10 MG/5 ML SOL SOLUTION, ORAL 1500 30

    METHYLPHENIDATE 2.5 MG CHEW TB TABLET,CHEWABLE 90 30

    METHYLPHENIDATE 20 MG TABLET TABLET 150 30

    METHYLPHENIDATE 5 MG CHEW TAB TABLET,CHEWABLE 90 30

    METHYLPHENIDATE 5 MG TABLET TABLET 90 30

    METHYLPHENIDATE 5 MG/5 ML SOLN SOLUTION, ORAL 450 30

    METHYLPHENIDATE CD 10 MG CAP CAPSULE,EXTENDED RELEASE BIPHASIC 30-70 30 30

    METHYLPHENIDATE CD 20 MG CAP CAPSULE,EXTENDED RELEASE BIPHASIC 30-70 30 30

    METHYLPHENIDATE CD 30 MG CAP CAPSULE,EXTENDED RELEASE BIPHASIC 30-70 30 30

    METHYLPHENIDATE CD 40 MG CAP CAPSULE,EXTENDED RELEASE BIPHASIC 30-70 30 30

    METHYLPHENIDATE CD 50 MG CAP CAPSULE,EXTENDED RELEASE BIPHASIC 30-70 60 30

    METHYLPHENIDATE CD 60 MG CAP CAPSULE,EXTENDED RELEASE BIPHASIC 30-70 30 30

    METHYLPHENIDATE ER 10 MG TAB TABLET, EXTENDED RELEASE 30 30

    METHYLPHENIDATE ER 18 MG TAB TABLET, EXTENDED RELEASE 24 HR 30 30

    METHYLPHENIDATE ER 20 MG TAB TABLET, EXTENDED RELEASE 150 30

    METHYLPHENIDATE ER 27 MG TAB TABLET, EXTENDED RELEASE 24 HR 30 30

    METHYLPHENIDATE ER 36 MG TAB TABLET, EXTENDED RELEASE 24 HR 30 30

    METHYLPHENIDATE ER 54 MG TAB TABLET, EXTENDED RELEASE 24 HR 60 30

    METHYLPHENIDATE ER(CD) 10MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 30-70 30 30

    METHYLPHENIDATE ER(CD) 20MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 30-70 30 30

    METHYLPHENIDATE ER(CD) 30MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 30-70 30 30

    METHYLPHENIDATE ER(CD) 40MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 30-70 30 30

    METHYLPHENIDATE ER(CD) 50MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 30-70 60 30

    METHYLPHENIDATE ER(CD) 60MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 30-70 30 30

    METHYLPHENIDATE ER(LA) 10MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    METHYLPHENIDATE ER(LA) 20MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    METHYLPHENIDATE ER(LA) 30MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    METHYLPHENIDATE ER(LA) 40MG CP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    METHYLPHENIDATE LA 10 MG CAP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    METHYLPHENIDATE LA 20 MG CAP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    METHYLPHENIDATE LA 30 MG CAP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    METHYLPHENIDATE LA 40 MG CAP CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    METOPROLOL SUCC ER 100 MG TAB TABLET, EXTENDED RELEASE 24 HR 30 30

    METOPROLOL SUCC ER 25 MG TAB TABLET, EXTENDED RELEASE 24 HR 30 30

    METOPROLOL SUCC ER 50 MG TAB TABLET, EXTENDED RELEASE 24 HR 30 30

    MICARDIS 20 MG TABLET TABLET 30 30

    MICARDIS 40 MG TABLET TABLET 30 30

    MICARDIS HCT 40-12.5 MG TABLET TABLET 30 30

    MIRTAZAPINE 15 MG ODT TABLET,DISINTEGRATING 90 30

    MIRTAZAPINE 15 MG TABLET TABLET 90 30

    MIRTAZAPINE 7.5 MG TABLET TABLET 90 30

    MODAFINIL 100 MG TABLET TABLET 30 30

    MODAFINIL 200 MG TABLET TABLET 60 30

    MORPHINE 10 MG/0.5 ML ORAL SYR SYRINGE (EA) 540 30

    MORPHINE 20 MG/ML ORAL SYRINGE SYRINGE (ML) 540 30

    MORPHINE SULF 10 MG/5 ML SOLN SOLUTION, ORAL 5400 30

    MORPHINE SULF 100 MG/5 ML CONC SOLUTION, ORAL 540 30

    MORPHINE SULF 20 MG/5 ML SOLN SOLUTION, ORAL 2700 30

  • MORPHINE SULF CR 100 MG TABLET TABLET, EXTENDED RELEASE 90 30

    MORPHINE SULF CR 60 MG TABLET TABLET, EXTENDED RELEASE 90 30

    MORPHINE SULF ER 100 MG TABLET TABLET, EXTENDED RELEASE 90 30

    MORPHINE SULF ER 15 MG TABLET TABLET, EXTENDED RELEASE 90 30

    MORPHINE SULF ER 200 MG TABLET TABLET, EXTENDED RELEASE 90 30

    MORPHINE SULF ER 30 MG TABLET TABLET, EXTENDED RELEASE 90 30

    MORPHINE SULF ER 60 MG TABLET TABLET, EXTENDED RELEASE 90 30

    MORPHINE SULFATE ER 10 MG CAP CAPSULE, EXTENDED RELEASE PELLETS 60 30

    MORPHINE SULFATE ER 100 MG CAP CAPSULE, EXTENDED RELEASE PELLETS 60 30

    MORPHINE SULFATE ER 20 MG CAP CAPSULE, EXTENDED RELEASE PELLETS 60 30

    MORPHINE SULFATE ER 30 MG CAP CAPSULE, EXTENDED RELEASE PELLETS 60 30

    MORPHINE SULFATE ER 40 MG CAP CAPSULE, EXTENDED RELEASE PELLETS 60 30

    MORPHINE SULFATE ER 50 MG CAP CAPSULE, EXTENDED RELEASE PELLETS 60 30

    MORPHINE SULFATE ER 60 MG CAP CAPSULE, EXTENDED RELEASE PELLETS 60 30

    MORPHINE SULFATE ER 80 MG CAP CAPSULE, EXTENDED RELEASE PELLETS 60 30

    MORPHINE SULFATE IR 15 MG TAB TABLET 360 30

    MORPHINE SULFATE IR 30 MG TAB TABLET 360 30

    MS CONTIN ER 100 MG TABLET TABLET, EXTENDED RELEASE 90 30

    MS CONTIN ER 15 MG TABLET TABLET, EXTENDED RELEASE 90 30

    MS CONTIN ER 200 MG TABLET TABLET, EXTENDED RELEASE 90 30

    MS CONTIN ER 30 MG TABLET TABLET, EXTENDED RELEASE 90 30

    MS CONTIN ER 60 MG TABLET TABLET, EXTENDED RELEASE 90 30

    MUCINEX DM ER 1,200-60 MG TAB TABLET, EXTENDED RELEASE 12 HR 60 30

    MUCINEX DM ER 600-30 MG TABLET TABLET, EXTENDED RELEASE 12 HR 120 30

    MUCINEX FAST-MAX COLD-FLU CPLT TABLET 360 30

    MUCINEX FAST-MAX COLD-SINUS CP CAPSULE 360 30

    MUCINEX FAST-MAX CONGEST-HEAD CAPSULE 360 30

    MUCINEX FAST-MAX SEV COLD CPLT TABLET 360 30

    MUCOSA DM 400-20 MG TABLET TABLET 180 30

    MUCUS AND COUGH RELIEF TABLET TABLET 180 30

    MUCUS DM 600-30 MG TABLET TABLET, EXTENDED RELEASE 12 HR 120 30

    MUCUS DM MAX 1,200-60 MG TAB TABLET, EXTENDED RELEASE 12 HR 60 30

    MUCUS DM MAX ER 1,200-60 MG TB TABLET, EXTENDED RELEASE 12 HR 60 30

    MUCUS RELIEF DM 20-400 MG TAB TABLET 180 30

    MUCUS RELIEF DM COUGH TABLET TABLET 180 30

    MUCUS RELIEF DM TABLET TABLET 180 30

    MUCUS RELIEF SEVERE COLD CPLT TABLET 360 30

    MUCUS RLF COLD-FLU-THROAT CPLT TABLET 360 30

    MUCUS RLF DM ER 600-30 MG TAB TABLET, EXTENDED RELEASE 12 HR 120 30

    MUCUS RLF DM MAX ER 1200-60 MG TABLET, EXTENDED RELEASE 12 HR 60 30

    MYRBETRIQ ER 25 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    NATEGLINIDE 120 MG TABLET TABLET 90 30

    NATEGLINIDE 60 MG TABLET TABLET 90 30

    NATROBA 0.9% TOPICAL SUSP SUSPENSION, TOPICAL (ML) 120 7

    NEO-TUSS LIQUID LIQUID (ML) 1800 30

    NESINA 12.5 MG TABLET TABLET 30 30

    NESINA 25 MG TABLET TABLET 30 30

    NESINA 6.25 MG TABLET TABLET 30 30

    NEURONTIN 100 MG CAPSULE CAPSULE 270 30

    NEURONTIN 250 MG/5 ML SOLN SOLUTION, ORAL 2160 30

    NEURONTIN 300 MG CAPSULE CAPSULE 270 30

    NEURONTIN 400 MG CAPSULE CAPSULE 180 30

    NEURONTIN 600 MG TABLET TABLET 180 30

    NEURONTIN 800 MG TABLET TABLET 120 30

    NEXIUM 24HR 20 MG CAPSULE CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    NEXIUM DR 20 MG CAPSULE CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    NIACIN 500 MG CAPSULE SA CAPSULE, EXTENDED RELEASE 30 30

    NIACIN ER 500 MG CAPLET TABLET, EXTENDED RELEASE 30 30

    NIACIN ER 500 MG CAPSULE CAPSULE, EXTENDED RELEASE 30 30

    NIACIN ER 500 MG TABLET TABLET, EXTENDED RELEASE 30 30

    NIACIN TR 500 MG CAPLET TABLET, EXTENDED RELEASE 30 30

    NIACIN TR 500 MG CAPSULE CAPSULE, EXTENDED RELEASE 30 30

    NIACIN TR 500 MG TABLET TABLET, EXTENDED RELEASE 30 30

    NIFEDIPINE ER 30 MG TABLET TABLET, EXTENDED RELEASE 30 30

    NIGHT COLD-FLU RELIEF LIQ CAP CAPSULE 240 30

  • NIGHT COLD-FLU RELIEF LIQ GEL CAPSULE 240 30

    NIGHT TIME COLD-FLU RLF SFTGL CAPSULE 240 30

    NIGHT TIME COLD-FLU SOFTGEL CAPSULE 240 30

    NIGHT TIME SOFTGELS CAPSULE 240 30

    NIGHTTIME COLD-FLU RLF SOFTGEL CAPSULE 240 30

    NIGHTTIME SEVERE COLD-FLU LIQ LIQUID (ML) 5400 30

    NIGHTTIME SINUS-CONGESTION CP CAPSULE 240 30

    NIGHT-TIME SOFTGEL CAPSULE 240 30

    NISOLDIPINE ER 20 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    NIVA-HIST DM LIQUID LIQUID (ML) 1200 30

    NIVANEX DMX TABLET TABLET 240 30

    NOHIST-DM LIQUID LIQUID (ML) 1200 30

    NORCO 10-325 TABLET TABLET 360 30

    NORCO 5-325 TABLET TABLET 360 30

    NORCO 7.5-325 TABLET TABLET 360 30

    NORVASC 2.5 MG TABLET TABLET 30 30

    NORVASC 5 MG TABLET TABLET 30 30

    NOVOLIN 70-30 100 UNIT/ML VIAL VIAL (ML) 90 30

    NOVOLIN 70-30 FLEXPEN INSULIN PEN (ML) 90 30

    NOVOLIN N 100 UNIT/ML VIAL VIAL (ML) 90 30

    NOVOLIN R 100 UNIT/ML VIAL VIAL (ML) 90 30

    NOVOLOG 100 UNIT/ML FLEXPEN INSULIN PEN (ML) 90 30

    NOVOLOG 100 UNIT/ML VIAL VIAL (ML) 90 30

    NOVOLOG 100 UNITS/ML FLEXPEN INSULIN PEN (ML) 90 30

    NOVOLOG MIX 70-30 FLEXPEN SYRN INSULIN PEN (ML) 90 30

    NOVOLOG MIX 70-30 VIAL VIAL (ML) 90 30

    NUCYNTA 100 MG TABLET TABLET 180 30

    NUCYNTA 50 MG TABLET TABLET 180 30

    NUCYNTA 75 MG TABLET TABLET 180 30

    NUCYNTA ER 100 MG TABLET TABLET, EXTENDED RELEASE 12 HR 60 30

    NUCYNTA ER 150 MG TABLET TABLET, EXTENDED RELEASE 12 HR 60 30

    NUCYNTA ER 200 MG TABLET TABLET, EXTENDED RELEASE 12 HR 60 30

    NUCYNTA ER 250 MG TABLET TABLET, EXTENDED RELEASE 12 HR 60 30

    NUCYNTA ER 50 MG TABLET TABLET, EXTENDED RELEASE 12 HR 60 30

    NUVIGIL 150 MG TABLET TABLET 30 30

    NUVIGIL 250 MG TABLET TABLET 30 30

    NUVIGIL 50 MG TABLET TABLET 30 30

    OLANZAPINE 10 MG TABLET TABLET 60 30

    OLANZAPINE 2.5 MG TABLET TABLET 90 30

    OLANZAPINE 5 MG TABLET TABLET 90 30

    OLANZAPINE 7.5 MG TABLET TABLET 60 30

    OLANZAPINE ODT 10 MG TABLET TABLET,DISINTEGRATING 60 30

    OLANZAPINE ODT 5 MG TABLET TABLET,DISINTEGRATING 90 30

    OLANZAPINE-FLUOXETINE 3-25 MG CAPSULE 30 30

    OLANZAPINE-FLUOXETINE 6-25 MG CAPSULE 30 30

    OLMESARTAN MEDOXOMIL 20 MG TAB TABLET 30 30

    OMEGA-3 ETHYL ESTERS 1 GM CAP CAPSULE 120 30

    OMEPRAZOLE DR 10 MG CAPSULE CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    OMEPRAZOLE DR 20 MG CAPSULE CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    ONGLYZA 2.5 MG TABLET TABLET 30 30

    ONGLYZA 5 MG TABLET TABLET 30 30

    OPANA 10 MG TABLET TABLET 180 30

    OPANA 5 MG TABLET TABLET 180 30

    OPANA ER 10 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OPANA ER 15 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OPANA ER 20 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OPANA ER 30 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OPANA ER 40 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OPANA ER 5 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OPANA ER 7.5 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    ORENCIA 125 MG/ML SYRINGE SYRINGE (ML) 4.5 30

    ORENCIA CLICKJECT 125 MG/ML AUTO-INJECTOR (ML) 4.5 30

    OSENI 12.5-15 MG TABLET TABLET 30 30

    OSENI 12.5-30 MG TABLET TABLET 30 30

    OSENI 12.5-45 MG TABLET TABLET 30 30

  • OSENI 25-15 MG TABLET TABLET 30 30

    OSENI 25-30 MG TABLET TABLET 30 30

    OSENI 25-45 MG TABLET TABLET 30 30

    OTEZLA 30 MG TABLET TABLET 60 30

    OXAZEPAM 10 MG CAPSULE CAPSULE 120 30

    OXAZEPAM 15 MG CAPSULE CAPSULE 120 30

    OXAZEPAM 30 MG CAPSULE CAPSULE 120 30

    OXYBUTYNIN 5 MG TABLET TABLET 90 30

    OXYCODON 10 MG/0.5 ML ORAL SYR SYRINGE (EA) 1200 30

    OXYCODON-ACETAMINOPHEN 2.5-325 TABLET 360 30

    OXYCODON-ACETAMINOPHEN 7.5-325 TABLET 360 30

    OXYCODONE HCL 10 MG TABLET TABLET 240 30

    OXYCODONE HCL 100 MG/5 ML CONC CONCENTRATE, ORAL 1200 30

    OXYCODONE HCL 15 MG TABLET TABLET 240 30

    OXYCODONE HCL 20 MG TABLET TABLET 240 30

    OXYCODONE HCL 30 MG TABLET TABLET 240 30

    OXYCODONE HCL 5 MG CAPSULE CAPSULE 240 30

    OXYCODONE HCL 5 MG TABLET TABLET 240 30

    OXYCODONE HCL 5 MG/5 ML SOLN SOLUTION, ORAL 1200 30

    OXYCODONE HCL ER 10 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OXYCODONE HCL ER 15 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OXYCODONE HCL ER 20 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OXYCODONE HCL ER 30 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OXYCODONE HCL ER 40 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OXYCODONE HCL ER 60 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OXYCODONE HCL ER 80 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OXYCODONE-ACETAMINOPHEN 10-325 TABLET 360 30

    OXYCODONE-ACETAMINOPHEN 5-325 TABLET 360 30

    OXYCODONE-ASPIRIN 4.8355-325 TABLET 360 30

    OXYCODONE-IBUPROFEN 5-400 TAB TABLET 150 30

    OXYCONTIN ER 10 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OXYCONTIN ER 15 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OXYCONTIN ER 20 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OXYCONTIN ER 30 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OXYCONTIN ER 40 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OXYCONTIN ER 60 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OXYCONTIN ER 80 MG TABLET TABLET,ORAL ONLY,EXTENDED RELEASE 12 HR 60 30

    OXYMORPHONE HCL 10 MG TABLET TABLET 180 30

    OXYMORPHONE HCL 5 MG TABLET TABLET 180 30

    OXYMORPHONE HCL ER 10 MG TAB TABLET, EXTENDED RELEASE 12 HR 60 30

    OXYMORPHONE HCL ER 15 MG TAB TABLET, EXTENDED RELEASE 12 HR 60 30

    OXYMORPHONE HCL ER 20 MG TAB TABLET, EXTENDED RELEASE 12 HR 60 30

    OXYMORPHONE HCL ER 30 MG TAB TABLET, EXTENDED RELEASE 12 HR 60 30

    OXYMORPHONE HCL ER 40 MG TAB TABLET, EXTENDED RELEASE 12 HR 60 30

    OXYMORPHONE HCL ER 5 MG TABLET TABLET, EXTENDED RELEASE 12 HR 60 30

    OXYMORPHONE HCL ER 7.5 MG TAB TABLET, EXTENDED RELEASE 12 HR 60 30

    PALIPERIDONE ER 1.5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    PALIPERIDONE ER 3 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    PANTOPRAZOLE SOD DR 20 MG TAB TABLET, ENTERIC COATED 30 30

    PAROXETINE CR 12.5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    PAROXETINE ER 12.5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    PAROXETINE HCL 10 MG TABLET TABLET 90 30

    PAROXETINE HCL 20 MG TABLET TABLET 90 30

    PAXIL 10 MG TABLET TABLET 90 30

    PAXIL 20 MG TABLET TABLET 90 30

    PAXIL CR 12.5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    PENNSAID 2% PUMP SOLUTION IN METERED-DOSE PUMP (GRAM) 240 30

    PENTAZOCINE-NALOXONE TABLET TABLET 360 30

    PERCOCET 10-325 MG TABLET TABLET 360 30

    PERCOCET 2.5-325 MG TABLET TABLET 360 30

    PERCOCET 5-325 MG TABLET TABLET 360 30

    PERCOCET 7.5-325 MG TABLET TABLET 360 30

    PIOGLITAZONE-GLIMEPIRIDE 30-2 TABLET 30 30

    PIOGLITAZONE-GLIMEPIRIDE 30-4 TABLET 30 30

    PIOGLITAZONE-METFORMIN 15-500 TABLET 90 30

  • PIOGLITAZONE-METFORMIN 15-850 TABLET 90 30

    PRANDIN 0.5 MG TABLET TABLET 480 30

    PRANDIN 1 MG TABLET TABLET 240 30

    PRANDIN 2 MG TABLET TABLET 240 30

    PRAVACHOL 20 MG TABLET TABLET 30 30

    PRAVACHOL 40 MG TABLET TABLET 30 30

    PRAVASTATIN SODIUM 10 MG TAB TABLET 30 30

    PRAVASTATIN SODIUM 20 MG TAB TABLET 30 30

    PRAVASTATIN SODIUM 40 MG TAB TABLET 30 30

    PRECOSE 100 MG TABLET TABLET 90 30

    PRECOSE 25 MG TABLET TABLET 90 30

    PRECOSE 50 MG TABLET TABLET 90 30

    PRESGEN B LIQUID LIQUID (ML) 900 30

    PREVACID 15 MG SOLUTAB TABLET,DISINTEGRATING, DELAYED RELEASE 30 30

    PREVACID 24HR DR 15 MG CAPSULE CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    PREVACID DR 15 MG CAPSULE CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    PRISTIQ ER 25 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    PRISTIQ ER 50 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    PROCARDIA XL 30 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    PROCENTRA 5 MG/5 ML SOLUTION SOLUTION, ORAL 1800 30

    PROMETHAZINE-DM SOLUTION SYRUP 1200 30

    PROMETHAZINE-DM SYRUP SYRUP 1200 30

    PROTONIX DR 20 MG TABLET TABLET, ENTERIC COATED 30 30

    PROVIGIL 100 MG TABLET TABLET 30 30

    PROVIGIL 200 MG TABLET TABLET 60 30

    PROZAC 10 MG PULVULE CAPSULE 150 30

    PROZAC 20 MG PULVULE CAPSULE 120 30

    PUB SEVERE COLD CAPLET TABLET 360 30

    PUB SEVERE COLD MULTI-SYM CPLT TABLET 360 30

    PUB TUSSIN DM LIQUID SYRUP 1800 30

    PV COLD HEAD CONGESTION CAPLET TABLET 360 30

    PV COLD MULTI-SYMPTOM CAPLET TABLET 360 30

    PV COLD-FLU SEVERE CAPLET TABLET 360 30

    PV DAY SEVERE COLD-FLU CAPLET TABLET 360 30

    PV DAYTIME COLD-FLU RLF PLUS CAPSULE 360 30

    PV DAYTIME COLD-FLU RLF SFTGL CAPSULE 360 30

    PV LANSOPRAZOLE DR 15 MG CAP CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    PV MUCUS RELIEF DM TABLET TABLET 180 30

    PV MUCUS RELIEF SEV COLD CPLT TABLET 360 30

    PV MUCUS RLF COLD-FLU-THR CPLT TABLET 360 30

    PV NIGHT COLD-FLU RELIEF SFTGL CAPSULE 240 30

    PV NIGHTTIME SINUS SOFTGEL CAPSULE 240 30

    PV NIGHT-TIME SINUS SOFTGEL CAPSULE 240 30

    PV NIGHT-TIME SOFTGEL CAPSULE 240 30

    PV NON-ASA SEVERE CONGEST CPLT TABLET 360 30

    PV TUSSIN COUGH DM LIQUID LIQUID (ML) 1800 30

    PV TUSSIN COUGH LIQUID LIQUID (ML) 360 30

    PV TUSSIN DM LIQUID LIQUID (ML) 1800 30

    PV TUSSIN DM MAX LIQUID LIQUID (ML) 1800 30

    PV TUSSIN DM SYRUP SYRUP 1800 30

    QC MUCUS RELIEF DM TABLET TABLET 180 30

    QC TUSSIN DM LIQUID LIQUID (ML) 1800 30

    Q-TUSSIN DM SYRUP SYRUP 1800 30

    QUAZEPAM 15 MG TABLET TABLET 30 30

    QUETIAPINE ER 150 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    QUETIAPINE ER 200 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    QUILLICHEW ER 20 MG CHEW TAB TABLET,CHEW,IR AND ER BIPHASIC REL 24HR 30 30

    QUILLIVANT XR 25 MG/5 ML SUSP SUSPENSION,EXTENDED RELEASE,RECONST.24HR 360 30

    RA ANTI-TUSSIVE DM SYRUP SYRUP 1800 30

    RA COLD MULTI-SYMPTOM CAPLET TABLET 360 30

    RA DAY COLD-FLU RELIEF SOFTGEL CAPSULE 360 30

    RA ESOMEPRAZOLE MAG DR 20 MG CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    RA LANSOPRAZOLE DR 15 MG CAP CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    RA LIDOCAINE ANORECTAL 5% CRM CREAM (GRAM) 60 22

    RA MUCUS RELIEF PLUS CAPLET TABLET 360 30

  • RA MUCUS RLF COLD-FLU-THROAT TABLET 360 30

    RA MUCUS RLF SEV CONGEST-COLD TABLET 360 30

    RA MULTI-SYMPTOM COLD CAPLET TABLET 360 30

    RA NIGHT COLD-FLU RELIEF SFTGL CAPSULE 240 30

    RA TUSSIN COUGH LIQUID LIQUID (ML) 1800 30

    RA TUSSIN DM COUGH-CHEST SYRUP SYRUP 1800 30

    RA TUSSIN DM SYRUP SYRUP 1800 30

    RA TUSSIN MAX STRN COUGH SYRUP SYRUP 360 30

    RAPAFLO 4 MG CAPSULE CAPSULE 30 30

    RAZADYNE 8 MG TABLET TABLET 30 30

    RECTASMOOTHE 5% CREAM CREAM (GRAM) 60 22

    RECTICARE 5% CREAM CREAM (GRAM) 60 22

    REFENESEN DM CAPLET TABLET 180 30

    REGENECARE HA 2% GEL GEL (ML) 60 22

    RELCOF DM 4-15-7.5 MG/5 ML LIQ LIQUID (ML) 1200 30

    RELHIST DMX 15-380-10 MG TAB TABLET 240 30

    RELION NOVOLIN 70-30 FLEXPEN INSULIN PEN (ML) 90 30

    RELION NOVOLIN 70-30 VIAL VIAL (ML) 90 30

    RELION NOVOLIN N 100 UNIT/ML VIAL (ML) 90 30

    RELION NOVOLIN R 100 UNIT/ML VIAL (ML) 90 30

    REMERON 15 MG SOLTAB TABLET,DISINTEGRATING 90 30

    REMERON 15 MG TABLET TABLET 90 30

    REPAGLINIDE 0.5 MG TABLET TABLET 480 30

    REPAGLINIDE 1 MG TABLET TABLET 240 30

    REPAGLINIDE 2 MG TABLET TABLET 240 30

    REPREXAIN 10-200 MG TABLET TABLET 150 30

    REPREXAIN 5-200 MG TABLET TABLET 150 30

    RESCON-DM LIQUID LIQUID (ML) 1800 30

    RESTORIL 15 MG CAPSULE CAPSULE 30 30

    RESTORIL 22.5 MG CAPSULE CAPSULE 30 30

    RESTORIL 30 MG CAPSULE CAPSULE 30 30

    RESTORIL 7.5 MG CAPSULE CAPSULE 30 30

    REVATIO 10 MG/ML ORAL SUSP SUSPENSION, RECONSTITUTED, ORAL (ML) 180 30

    REVATIO 20 MG TABLET TABLET 90 30

    RISPERDAL 0.25 MG TABLET TABLET 90 30

    RISPERDAL 0.5 MG TABLET TABLET 90 30

    RISPERDAL 1 MG TABLET TABLET 90 30

    RISPERDAL 2 MG TABLET TABLET 90 30

    RISPERDAL CONSTA 25 MG SYR SYRINGE (EA) 2.16 30

    RISPERIDONE 0.25 MG TABLET TABLET 90 30

    RISPERIDONE 0.5 MG ODT TABLET,DISINTEGRATING 90 30

    RISPERIDONE 0.5 MG TABLET TABLET 90 30

    RISPERIDONE 1 MG ODT TABLET,DISINTEGRATING 90 30

    RISPERIDONE 1 MG TABLET TABLET 90 30

    RISPERIDONE 2 MG ODT TABLET,DISINTEGRATING 90 30

    RISPERIDONE 2 MG TABLET TABLET 90 30

    RITALIN 10 MG TABLET TABLET 90 30

    RITALIN 20 MG TABLET TABLET 150 30

    RITALIN 5 MG TABLET TABLET 90 30

    RITALIN LA 10 MG CAPSULE CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    RITALIN LA 20 MG CAPSULE CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    RITALIN LA 30 MG CAPSULE CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    RITALIN LA 40 MG CAPSULE CAPSULE,EXTENDED RELEASE BIPHASIC 50-50 30 30

    RI-TUSSIN DM SYRUP SYRUP 1800 30

    ROBAFEN DM CGH-CHEST CONG SYRP SYRUP 1800 30

    ROBAFEN DM COUGH LIQUID LIQUID (ML) 1800 30

    ROBAFEN DM COUGH SYRUP LIQUID (ML) 1800 30

    ROBAFEN-DM SYRUP SYRUP 1800 30

    ROSUVASTATIN CALCIUM 10 MG TAB TABLET 30 30

    ROSUVASTATIN CALCIUM 20 MG TAB TABLET 30 30

    ROSUVASTATIN CALCIUM 5 MG TAB TABLET 30 30

    ROXICODONE 15 MG TABLET TABLET 240 30

    ROXICODONE 30 MG TABLET TABLET 240 30

    ROXICODONE 5 MG TABLET TABLET 240 30

    ROZEREM 8 MG TABLET TABLET 30 30

  • SAFETUSSIN DM LIQUID LIQUID (ML) 1800 30

    SANTYL OINTMENT OINTMENT (GRAM) 270 30

    SB COLD-FLU SEVERE CAPLET TABLET 360 30

    SB COUGH CONTROL DM LIQUID LIQUID (ML) 1800 30

    SB TAB TUSSIN DM 400-20 MG TABLET 180 30

    SEROQUEL XR 150 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    SEROQUEL XR 200 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    SERTRALINE HCL 25 MG TABLET TABLET 90 30

    SERTRALINE HCL 50 MG TABLET TABLET 90 30

    SEVERE COLD MULTI-SYMPTOM CPLT TABLET 360 30

    SEVERE COLD-FLU CAPLET TABLET 360 30

    SEVERE COLD-FLU NIGHTTIME LIQ LIQUID (ML) 5400 30

    SILDENAFIL 10 MG/ML ORAL SUSP SUSPENSION, RECONSTITUTED, ORAL (ML) 180 30

    SILDENAFIL 20 MG TABLET TABLET 90 30

    SILENOR 3 MG TABLET TABLET 30 30

    SILENOR 6 MG TABLET TABLET 30 30

    SILODOSIN 4 MG CAPSULE CAPSULE 30 30

    SILTUSSIN DM COUGH SYRUP SYRUP 1800 30

    SILTUSSIN DM DAS LIQUID LIQUID (ML) 1800 30

    SIMPONI 100 MG/ML PEN INJECTOR PEN INJECTOR (ML) 3.3 30

    SIMPONI 100 MG/ML SYRINGE SYRINGE (ML) 3.3 30

    SIMPONI 50 MG/0.5 ML PEN INJEC PEN INJECTOR (ML) 0.6 30

    SIMPONI 50 MG/0.5 ML SYRINGE SYRINGE (ML) 0.6 30

    SIMVASTATIN 10 MG TABLET TABLET 30 30

    SIMVASTATIN 20 MG TABLET TABLET 30 30

    SIMVASTATIN 40 MG TABLET TABLET 30 30

    SIMVASTATIN 5 MG TABLET TABLET 30 30

    SKLICE 0.5% LOTION LOTION (GRAM) 117 23

    SLO-NIACIN 500 MG TABLET TABLET, EXTENDED RELEASE 30 30

    SM CHEST CONGEST RLF DM CAPLET TABLET 180 30

    SM COLD HEAD CONGESTION CAPLET TABLET 360 30

    SM COLD-FLU SEVERE CAPLET TABLET 360 30

    SM COUGH RELIEF LIQUID LIQUID (ML) 360 30

    SM DAY TIME COLD-FLU RLF SFTGL CAPSULE 360 30

    SM ESOMEPRAZOLE MAG DR 20 MG CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    SM LANSOPRAZOLE DR 15 MG CAP CAPSULE,DELAYED RELEASE (ENTERIC COATED) 30 30

    SM NIGHTTIME COLD-FLU SFTGL CAPSULE 240 30

    SM TUSSIN DM LIQUID LIQUID (ML) 1800 30

    SM TUSSIN DM SYRUP SYRUP 1800 30

    SOLIFENACIN 5 MG TABLET TABLET 30 30

    SOMA 250 MG TABLET TABLET 168 30

    SOMA 350 MG TABLET TABLET 140.001 30

    SONATA 10 MG CAPSULE CAPSULE 30 30

    SORBUGEN NR 150-15 MG/7.5 ML LIQUID (ML) 1800 30

    SPINOSAD 0.9% TOPICAL SUSP SUSPENSION, TOPICAL (ML) 120 7

    SPRIX 15.75 MG NASAL SPRAY SPRAY, NON-AEROSOL (EA) 30 30

    STARLIX 120 MG TABLET TABLET 90 30

    STARLIX 60 MG TABLET TABLET 90 30

    SUBSYS 1,200 MCG SPRAY SPRAY, NON-AEROSOL (EA) 120 30

    SUBSYS 1,600 MCG SPRAY SPRAY, NON-AEROSOL (EA) 120 30

    SUBSYS 100 MCG SPRAY SPRAY, NON-AEROSOL (EA) 120 30

    SUBSYS 200 MCG SPRAY SPRAY, NON-AEROSOL (EA) 120 30

    SUBSYS 400 MCG SPRAY SPRAY, NON-AEROSOL (EA) 120 30

    SUBSYS 600 MCG SPRAY SPRAY, NON-AEROSOL (EA) 120 30

    SUBSYS 800 MCG SPRAY SPRAY, NON-AEROSOL (EA) 120 30

    SYMBYAX 3-25 MG CAPSULE CAPSULE 30 30

    SYMBYAX 6-25 MG CAPSULE CAPSULE 30 30

    SYMLINPEN 120 PEN INJECTOR PEN INJECTOR (ML) 10.8 22

    SYMLINPEN 60 PEN INJECTOR PEN INJECTOR (ML) 6 22

    SYNAGIS 100 MG/1 ML VIAL VIAL (ML) 1 26

    SYNAGIS 50 MG/0.5 ML VIAL VIAL (ML) 1 26

    SYNALGOS-DC CAPSULE CAPSULE 180 30

    SYNERA PATCH ADHESIVE PATCH, MEDICATED SELF-HEATING 10 22

    SYNJARDY 12.5-1,000 MG TABLET TABLET 60 30

    SYNJARDY 12.5-500 MG TABLET TABLET 60 30

  • SYNJARDY 5-1,000 MG TABLET TABLET 60 30

    SYNJARDY 5-500 MG TABLET TABLET 60 30

    TANZEUM 30 MG PEN INJECT PEN INJECTOR (EA) 4 22

    TANZEUM 50 MG PEN INJECT PEN INJECTOR (EA) 4 22

    TELMISARTAN 20 MG TABLET TABLET 30 30

    TELMISARTAN 40 MG TABLET TABLET 30 30

    TELMISARTAN-HCTZ 40-12.5 MG TB TABLET 30 30

    TEMAZEPAM 15 MG CAPSULE CAPSULE 30 30

    TEMAZEPAM 22.5 MG CAPSULE CAPSULE 30 30

    TEMAZEPAM 30 MG CAPSULE CAPSULE 30 30

    TEMAZEPAM 7.5 MG CAPSULE CAPSULE 30 30

    TERAZOSIN 1 MG CAPSULE CAPSULE 30 30

    TERAZOSIN 5 MG CAPSULE CAPSULE 30 30

    TG 10PEH-380GFN-15DM TABLET TABLET 240 30

    THERAFLU EXPRESSMAX DAY CAPLET TABLET 360 30

    THERAGEN 0.025% CREAM CREAM (GRAM) 120 22

    TOLTERODINE TART ER 2 MG CAP CAPSULE, EXT RELEASE 24 HR 30 30

    TOPROL XL 100 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    TOPROL XL 25 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    TOPROL XL 50 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    TOUJEO MAX SOLOSTAR 300UNIT/ML INSULIN PEN (ML) 30 30

    TOUJEO SOLOSTAR 300 UNIT/ML INSULIN PEN (ML) 30 30

    TOVIAZ ER 4 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    TRADJENTA 5 MG TABLET TABLET 30 30

    TRAMADOL ER 100 MG TABLET TABLET,EXTENDED RELEASE MULTIPHASE 24 HR 30 30

    TRAMADOL ER 200 MG TABLET TABLET,EXTENDED RELEASE MULTIPHASE 24 HR 30 30

    TRAMADOL ER 300 MG TABLET TABLET,EXTENDED RELEASE MULTIPHASE 24 HR 30 30

    TRAMADOL HCL 50 MG TABLET TABLET 240 30

    TRAMADOL HCL ER 100 MG CAPSULE CAPSULE,EXT.RELEASE 24 HR BIPHASIC 25-75 30 30

    TRAMADOL HCL ER 100 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    TRAMADOL HCL ER 150 MG CAPSULE CAPSULE,EXT.RELEASE 24 HR BIPHASIC 25-75 30 30

    TRAMADOL HCL ER 200 MG CAPSULE CAPSULE,EXT.RELEASE 24 HR BIPHASIC 25-75 30 30

    TRAMADOL HCL ER 200 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    TRAMADOL HCL ER 300 MG CAPSULE CAPSULE,EXT.RELEASE 24 HR BIPHASIC 17-83 30 30

    TRAMADOL HCL ER 300 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    TRAMADOL-ACETAMINOPHN 37.5-325 TABLET 240 30

    TRANDOLAPRIL 1 MG TABLET TABLET 30 30

    TRANDOLAPRIL 2 MG TABLET TABLET 30 30

    TRESIBA FLEXTOUCH 100 UNIT/ML INSULIN PEN (ML) 45 30

    TRESIBA FLEXTOUCH 200 UNIT/ML INSULIN PEN (ML) 45 30

    TRIAZOLAM 0.125 MG TABLET TABLET 30 30

    TRIAZOLAM 0.25 MG TABLET TABLET 60 30

    TRIKLO 1 GM CAPSULE CAPSULE 120 30

    TRULICITY 0.75 MG/0.5 ML PEN PEN INJECTOR (ML) 2 21

    TRULICITY 1.5 MG/0.5 ML PEN PEN INJECTOR (ML) 2 21

    TUSICOF CAPLET TABLET 180 30

    TUSNEL DIABETIC LIQUID LIQUID (ML) 1800 30

    TUSSI PRES-B LIQUID LIQUID (ML) 900 30

    TUSSIN COUGH LIQUID LIQUID (ML) 360 30

    TUSSIN COUGH SYRUP SYRUP 360 30

    TUSSIN COUGH-CHEST CONGEST LIQ LIQUID (ML) 1800 30

    TUSSIN DM 400-20 MG TABLET TABLET 180 30

    TUSSIN DM CLEAR SYRUP SYRUP 1800 30

    TUSSIN DM COUGH & CHEST SYRUP SYRUP 1800 30

    TUSSIN DM COUGH SYRUP SYRUP 1800 30

    TUSSIN DM LIQUID LIQUID (ML) 1800 30

    TUSSIN DM SYRUP SYRUP 1800 30

    TUSSI-PRES B LIQUID LIQUID (ML) 900 30

    TYLENOL WITH CODEINE #3 TABLET TABLET 360 30

    TYLENOL WITH CODEINE #4 TABLET TABLET 240 30

    ULTRACET TABLET TABLET 240 30

    ULTRAM 50 MG TABLET TABLET 240 30

    ULTRAM ER 100 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    ULTRAM ER 200 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    ULTRAM ER 300 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

  • VALSARTAN 160 MG TABLET TABLET 60 30

    VALSARTAN 80 MG TABLET TABLET 60 30

    VALSARTAN-HCTZ 160-12.5 MG TAB TABLET 60 30

    VALSARTAN-HCTZ 80-12.5 MG TAB TABLET 60 30

    VENLAFAXINE HCL ER 37.5 MG CAP CAPSULE, EXT RELEASE 24 HR 30 30

    VENLAFAXINE HCL ER 37.5 MG TAB TABLET, EXTENDED RELEASE 24 HR 30 30

    VENLAFAXINE HCL ER 75 MG CAP CAPSULE, EXT RELEASE 24 HR 30 30

    VENLAFAXINE HCL ER 75 MG TAB TABLET, EXTENDED RELEASE 24 HR 30 30

    VERAPAMIL ER PM 100 MG CAPSULE CAPSULE,24HR EXTENDED RELEASE PELLET CT 30 30

    VERELAN PM 100 MG CAP PELLET CAPSULE,24HR EXTENDED RELEASE PELLET CT 30 30

    VESICARE 5 MG TABLET TABLET 30 30

    VICKS DAYQUIL LIQUICAPS CAPSULE 360 30

    VICKS DAYQUIL SEVERE COLD-FLU TABLET 360 30

    VICKS NATURE FUSION CAPLETS TABLET 360 30

    VICKS NYQUIL LIQUICAPS CAPSULE 240 30

    VICKS NYQUIL SEVERE COLD-FLU LIQUID (ML) 5400 30

    VICKS NYQUIL SINEX LIQUICAPS CAPSULE 240 30

    VICKS QLEARQUIL NIGHT LIQUICAP CAPSULE 240 30

    VICKS SINEX NIGHTTIME LIQUICAP CAPSULE 240 30

    VICODIN 5-300 MG TABLET TABLET 390 30

    VICODIN ES 7.5-300 MG TABLET TABLET 390 30

    VICODIN HP 10-300 MG TABLET TABLET 390 30

    VICTOZA 2-PAK 18 MG/3 ML PEN PEN INJECTOR (ML) 9 22

    VICTOZA 3-PAK 18 MG/3 ML PEN PEN INJECTOR (ML) 9 22

    VOLTAREN 1% GEL GEL (GRAM) 1020 30

    VYVANSE 20 MG CAPSULE CAPSULE 30 30

    VYVANSE 30 MG CAPSULE CAPSULE 30 30

    VYVANSE 40 MG CAPSULE CAPSULE 30 30

    VYVANSE 50 MG CAPSULE CAPSULE 30 30

    VYVANSE 60 MG CAPSULE CAPSULE 30 30

    VYVANSE 70 MG CAPSULE CAPSULE 30 30

    WAL-TUSSIN LONG ACT COUGH SYRP SYRUP 360 30

    WAL-TUSSIN MAX STR COUGH SYRUP SYRUP 360 30

    WAL-ZYR 10 MG TABLET TABLET 360 30

    WELLBUTRIN XL 150 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    XANAX 0.25 MG TABLET TABLET 90 30

    XANAX 0.5 MG TABLET TABLET 90 30

    XANAX 1 MG TABLET TABLET 300 30

    XANAX 2 MG TABLET TABLET 150 30

    XANAX XR 0.5 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    XANAX XR 1 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    XANAX XR 2 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    XANAX XR 3 MG TABLET TABLET, EXTENDED RELEASE 24 HR 60 30

    XELJANZ 5 MG TABLET TABLET 60 30

    XELJANZ XR 11 MG TABLET TABLET, EXTENDED RELEASE 24 HR 30 30

    XIFAXAN 200 MG TABLET TABLET 90 30

    XIFAXAN 550 MG TABLET TABLET 90 30

    XIGDUO XR 10 MG-1,000 MG TAB TABLET,IMMED AND EXTEND REL BIPHASE 24HR 30 30

    XIGDUO XR 10 MG-500 MG TABLET TABLET,IMMED AND EXTEND REL BIPHASE 24HR 30 30

    XIGDUO XR 5 MG-1,000 MG TABLET TABLET,IMMED AND EXTEND REL BIPHASE 24HR 60 30

    XIGDUO XR 5 MG-500 MG TABLET TABLET,IMMED AND EXTEND REL BIPHASE 24HR 60 30

    XYLOCAINE IV 2% AMPUL AMPUL (ML) 125 22

    XYLON 10-200 MG TABLET TABLET 150 30

    XYREM 500 MG/ML ORAL SOLUTION SOLUTION, ORAL 540 30

    ZALEPLON 10 MG CAPSULE CAPSULE 30 30

    ZALEPLON 5 MG CAPSULE CAPSULE 30 30

    ZAMICET 10-325 MG/15 ML SOLN SOLUTION, ORAL 5400 30

    ZENZEDI 10 MG TABLET TABLET 180 30

    ZENZEDI 5 MG TABLET TABLET 90 30

    ZOCOR 10 MG TABLET TABLET 30 30

    ZOCOR 20 MG TABLET TABLET 30 30

    ZOCOR 40 MG TABLET TABLET 30 30

    ZOCOR 5 MG TABLET TABLET 30 30

    ZOLOFT 25 MG TABLET TABLET 90 30

    ZOLOFT 50 MG TABLET TABLET 90 30

  • ZOLPIDEM TART 1.75 MG TAB SL TABLET, SUBLINGUAL 30 30

    ZOLPIDEM TART 3.5 MG TABLET SL TABLET, SUBLINGUAL 30 30

    ZOLPIDEM TART ER 12.5 MG TAB TABLET, EXTENDED RELEASE MULTIPHASE 30 30

    ZOLPIDEM TART ER 6.25 MG TAB TABLET, EXTENDED RELEASE MULTIPHASE 30 30

    ZOLPIDEM TARTRATE 10 MG TABLET TABLET 30 30

    ZOLPIDEM TARTRATE 5 MG TABLET TABLET 30 30

    ZOLPIMIST 5 MG ORAL SPRAY AEROSOL, SPRAY WITH PUMP (ML) 30 30

    ZOSTRIX 0.025% CREAM CREAM (GRAM) 120 22

    ZYNCOF 400-20 MG TABLET TABLET 180 30

    ZYPREXA 10 MG TABLET TABLET 60 30

    ZYPREXA 2.5 MG TABLET TABLET 90 30

    ZYPREXA 5 MG TABLET TABLET 90 30

    ZYPREXA 7.5 MG TABLET TABLET 60 30

    ZYPREXA ZYDIS 10 MG TABLET TABLET,DISINTEGRATING 60 30

    ZYPREXA ZYDIS 5 MG TABLET TABLET,DISINTEGRATING 90 30