CHRONIC FORMULARY (Continued)

Valsartan/HCTZ 160-12.5mg tablets {DIOVAN HCT} Valsartan/HCTZ 160-25mg tablets {DIOVAN HCD Valsartan/HCTZ 320-25mg tablets {DIOVAN HCD Verapamil SR 180mg tablets {CALAN SR} Verapamil SR 240mg tablets {CALAN SR}

Cholesterol/Triglycerides Atorvastatin 10mg tablets {LIPITOR} Atorvastatin 20mg tablets {LIPITOR} Atorvastatin 40mg tablets {LIPITOR} Atorvastatin 80mg tablets {LIPITOR} Gemfibrozil 600mg tablets {LOPID}

Fenofibrate 145mg capsules {TRICOR} Fenofibrate 160mg capsules {TRICOR} Lovastatin 20mg tablets {MEVACOR} Lovastatin 40mg tablets {MEVACOR} Pravastatin 20mg tablets {PRAVACHOL} Pravastatin 40mg tablets {PRAVACHOL} Pravastatin 80mg tablets {PRAVACHOL} Rosuvastatin 5mg tablets {CRESTOR} Rosuvastatin 10mg tablets {CRESTOR} Rosuvastatin 20mg tablets {CRESTOR} Rosuvastatin 40mg tablets {CRESTOR} Simvastatin 10mg tablets {ZOCOR} Simvastatin 20mg tablets {ZOCOR} Simvastatin 40mg tablets {ZOCOR} Simvastatin 80mg tablets {ZOCOR}

Diabetes Glimepride 2mg tablets {AMARYL} Glimepride 4mg tablets {AMARYL} Glipizide 5mg tablets {GLUCOTROL} Glipizide 10mg tablets {GLUCOTROL}

Glipizide ER 5mg tablets {GLUCOTROL XL} Glipizide ER 10mg tablets {GLUCOTROL XL} Glyburide 5mg tablets {GLYNASE} Glyburide/Metformin 2.5-500mg tablets {GLUCOVANCE} Glyburide/Metformin 5-500mg tablets {GLUCOVANCE} Metformin 500mg tablets {GLUCOPHAGE} Metformin 850mg tablets {GLUCOPHAGE} Metformin 1000mg tablets {GLUCOPHAGE} Pioglitazone 15mg tablets {ACTOS} Pioglitazone 30mg tablets {ACTOS} Pioglitazone 45mg tablets {ACTOS}

Estrogen Estradiol oral 0.5mg tablets {ESTRACE} Estradiol oral 1 mg tablets {ESTRACE} Estradiol oral 2mg tablets {ESTRACE}

Female Hormones Medroyxprogesterone 2.5mg tablets {PROVERA} Progesterone 100mg capsules {PROMETHRIUM}

Progesterone 200mg capsules {PROMETHRIUM}

Gastrointestinal Esomeprazole 40mg capsules {NEXIUM} Famotidine 20mg tablets {PEPCID} Lansoprazole 30mg capsules {PREVACID} Omeprazole 20mg capsules {PRILOSEC} Omeprazole 40mg capsules {PRILOSEC} Pantoprazole 40mg tablets {PROTONIX}

Glaucoma Brimonidine 0.2% (15 ml Bottle) {ALPHAGAN P}

Hormone-Based Chemo (Breast Cancer) Anastrozole 1 mg {ARIMIDEX} Letrozole 2.5mg {FEMARA}

Mens Health Finasteride 1 mg tablets {PROSCAR/PROPECIA} Finasteride 5mg tablets {PROSCAR/PROPECIA} Sildenafil 50mg tablets (10 tablets/30 days) {VIAGRA}

Sildenafil 50mg tablets (30 tablets/90 days) {VIAGRA} Sildenafil 100mg tablets (10 tablets/30 days) {VIAGRA}

Sildenafil 100mg tablets (30 tablets/90 days) {VIAGRA} Tadalafil 2.5mg tablets (10 tablets/30 days) {CIALIS}

Tadalafil 2.5mg tablets (30 tablets/90 days) {CIALIS} Tamsulosin 0.4mg capsules {FLOMAX}

Migraine Rizatriptan 5mg tablets {MAXALD Rizatriptan 10mg tablets {MAXALD Sumatriptan Succinate 50mg tablets {IMITREX} Sumatriptan Succinate 100mg tablets {IMITREX}

Oral Contraceptives (All cycles sold in 28 count) EE 30mcg/Desogestrel 0.15mg

(Ortho-Cept/Desogen/Reclipsen) - $15.00 (1) $30.00 (3)

EE 20mcg/Drospirenone 3mg X 24 days (Yaz/ Loryna/Gianvi) - $10.00 (1) $30.00 (3)

EE 30mcg/Drospirenone 3mg (Yasmin/Ocella/Zarah) - $10.00 (1) $30.00 (3)

EE 30mcg/Levonorgestrel 0.15mg

(Nordette 28/Levora) - $10.00 (1) $30.00 (3)

EE 20mcg/Norethindrone1 mg/Iron (Junel Fe 1/20/ Loestrin Fe 1/20/Microgestin 1/20) -

$10.00 (1) $30.00 (3)

EE 20mcg/Norethindrone 1 mg/Iron

Loestrin 24 Fe/Junel Fe 24/Microgestin 24 Fe1/20 -$15.00 (1) $45.00 (3)

EE 30mcg/Norethindrone 0.15mg/lron

Loestrin Fe 1.5/30/Larin Fe 1.5/30 - $10.00 (1) $30.00 (3)

EE 35mcg/Norethindrone 1 mg

(Norinyl 1/35/ Ortho-Novum 1/35) - $10.00 (1) $30.00 (3)

EE35mcg/Norethindrone-Total of 15.75mg/cycle (Alyacen 7/7/7/Necon 7/7/7) $15.00 (1) $45.00 (3)

EE 35mcg/Norgestimate 0.25mg Ortho-cyclen 28/SprintedMono-Nessa - $10.00 (1) $30.00 (3)

EE35mcg/Norgestimate 0.18mg/0.215mg/0.25mg x 7 days (Tri-Nessa/ Tri-SprintedOrtho-Tri-Cyclen) -

$10.00 (1) $30.00 (3)

EE 25mcg/Norgestimate 0.18mg/0.215mg/0.25mg X 7 days

Ortho-Tri-Cyclen Lo/Trinessa Lo/ Tri-Lo-Sprintec - $10.00 (1) $30.00 (3)

EE 35mg/Norethindrone 0.5mg (total of 10, 5mg/cycle) (Modicon-28/Brevicon-28) - $15.00 (1) $45.00 (3)

Norethindrone 0.35mg (progesterone only)

(Errin/ Aygestin) $10.00 (1) $30.00 (3)

Osteoporosis Alendronate 35mg {FOSAMAX} Alendronate 70mg {FOSAMAX} Hydroxychloroquine 200mg tablets {PLAQUENIL} Raloxifene HCI 60mg tablets {EVISTA}

Thyroid Levothyroxine Sodium 25mcg tablets {SYNTHROID} Levothyroxine Sodium 50mcg tablets {SYNTHROID} Levothyroxine Sodium 75mcg tablets {SYNTHROID} Levothyroxine Sodium 88mcg tablets {SYNTHROID} Levothyroxine Sodium 100mcg tablets {SYNTHROID} Levothyroxine Sodium 112mcg tablets {SYNTHROID} Levothyroxine Sodium 125mcg tablets {SYNTHROID} Levothyroxine Sodium 137mcg tablets {SYNTHROID} Levothyroxine Sodium 150mcg tablets {SYNTHROID} Levothyroxine Sodium 175mcg tablets {SYNTHROID} Levothyroxine Sodium 200mcg tablets {SYNTHROID} Liothyronine Sodium 5mcg tablets {CYTOMEL} Nature - Thyroid 32.Smcg tablets {ARMOUR THYROID} Nature - Thyroid 65mcg tablets {ARMOUR THYROID} Nature - Thyroid 97.5mcg tablets {ARMOUR THYROID}

Vitamin Cholecalciferol 50000 IU tablets {VITAMIN D3}

Folic Acid 1 mg tablets {METHYLFOLATE}