drug name dosage form drug requirements/ tier limits ...drug name dosage form drug tier...
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
Analgesics Non-opioid Analgesics ACUFLEX TABS 2 PA ali-flex TABS 2 PA ALPAIN TABS 2 PA amigesic TABS 1 anabar TABS 2 PA asp 300/200/20 CAPS 1 by-ache CAPS 2 PA c.m.t TABS 1 cafgesic CAPS 2 PA carisoprodol compound TABS 1 carisoprodol/aspirin TABS 1 CELEBREX CAPS 2 ST choline magnesium trisalicylate LIQD 1 choline magnesium trisalicylate TABS 1 cmt TABS 1 CYMBALTA CPEP 2 DOLOGESIC CAPS 2 PA DOLOGESIC LIQD 2 PA dologesic TABS 2 PA dolorex CAPS 2 PA dolorex TABS 2 PA DURABAC CAPS 2 PA DURAXIN CAPS 2 PA ed-flex CAPS 2 PA EQUAGESIC TABS 2 PA FLEXTRA DS TABS 2 PA FLEXTRA CAPS 2 PA FLEXTRA-650 TABS 2 PA genecar TABS 2 PA genedolorex CAPS 2 PA gene-r-gesic TABS 2 PA hyflex-650 TABS 2 PA hyflex-ds TABS 2 PA LAGESIC TBCR 2 PA LEVACET TABS 2 PA myophen TBCR 2 PA NEOPROFEN SOLN 2 PA NORGESIC FORTE TABS 2 PA novagesic TABS 2 PA orphenadrine /asa /caffeine TABS 1 orphenadrine compound ds TABS 1 orphenadrine compound TABS 1 orphenadrine/asa/caff TABS 1 orphengesic forte TABS 1 orphengesic TABS 1 pentazocine /acetaminophen TABS 1 pentazocine hcl/acetaminophen TABS 1 PRIALT SOLN 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
RELAGESIC TABS 2 PA rhinoflex TABS 2 PA rhinoflex-650 TABS 2 PA salflex TABS 1 salsalate TABS 1 SOMA COMPOUND/CODEINE TABS 1 SOMA COMPOUND TABS 1 STAFLEX TABS 2 PA tricosal TABS 1 TRILISATE TABS 2 PA Opioid Analgesics, Long-acting astramorph SOLN 2 PA AVINZA CP24 2 PA B & O 15-A SUPPRETTE SUPP 1 B & O 16-A SUPPRETTE SUPP 1 belladonna alkaloids & opium SUPP 1 DEPODUR SUSP 2 PA DOLOPHINE HCL TABS 2 PA DOLOPHINE SOLN 2 PA DOLOPHINE TABS 2 PA DURAGESIC PT72 2 PA duramorph SOLN 2 PA fentanyl PT72 1 fentanyl PT72 1 QL INFUMORPH 200 SOLN 2 PA KADIAN CP24 2 LEVO DROMORAN SOLN 2 PA LEVO-DROMORAN TABS 2 PA levorphanol tartrate TABS 1 methadone hcl CONC 1 METHADONE HCL SOLN 1 methadone hcl TABS 1 METHADONE HCL SOLN 2 PA methadose TABS 1 morphine sulfate add-vantage SOLN 1 morphine sulfate dilute-a-jet SOLN 1 PA morphine sulfate er TB12 1 MORPHINE SULFATE IN DEXTROSE 5% SOLN 2 PA morphine sulfate stick-gard SOLN 1 PA MORPHINE SULFATE/D5W SOLN 2 PA MORPHINE SULFATE/NS SOLN 1 MORPHINE SULFATE SOLN 1 morphine sulfate SOLN 1 PA morphine sulfate SUPP 1 morphine sulfate TABS 1 MORPHINE/D5W SOLN 2 PA MS CONTIN TB12 2 PA ms/l SOLN 1 ORAMORPH SR TB12 1 oxycodone hcl cr TB12 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
oxycodone hcl cr TB12 1 PA oxycodone hcl er TB12 1 oxycodone hcl er TB12 1 PA OXYCONTIN TB12 2 PA RMS SUPP 1 ROXANOL SOLN 2 PA Opioid Analgesics, Short-acting acetaminophen /hydrocodone TABS 1 acetaminophen/codeine #2 TABS 1 acetaminophen/codeine #3 TABS 1 acetaminophen/codeine #4 TABS 1 acetaminophen/codeine SOLN 1 acetaminophen/codeine TABS 1 acetaminophen/oxycodone TABS 1 acetaminophen-codeine #4 TABS 1 ACTIQ LPOP 2 PA ALCET TABS 2 PA anexsia TABS 2 PA apap/hydrocodone bitartrate TABS 1 apap/oxycodone CAPS 1 apap/oxycodone TABS 1 aspirin/codeine #3 TABS 1 aspirin/codeine TABS 1 BALACET 325 TABS 2 PA BANCAP-HC CAPS 2 PA BUPRENEX SOLN 2 PA buprenorphine hcl SOLN 1 butalbital /apap /caffeine /codeine CAPS 1 butorphanol tartrate SOLN 1 butorphanol tartrate SOLN 1 PA CAPITAL/CODEINE SUSP 2 PA carisoprodol /aspirin /codeine TABS 1 CODEINE PHOSPHATE SOLN 1 codeine sulfate TABS 2 co-gesic TABS 2 PA COMBUNOX TABS 2 PA DARVOCET A500 TABS 2 PA DARVOCET-N 100 TABS 2 PA DARVOCET-N 50 TABS 2 PA DARVON COMPOUND-65 CAPS 2 PA DARVON CAPS 2 PA DARVON-N TABS 2 PA DEMEROL SOLN 2 PA DEMEROL SYRP 2 PA DEMEROL TABS 2 PA DILAUDID TABS 2 PA DILAUDID-5 LIQD 2 PA DILAUDID-HP SOLN 2 PA DILAUDID-HP SOLR 2 PA dolacet CAPS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
dolagesic CAPS 2 PA dolorex forte CAPS 2 PA endocet TABS 1 endodan TABS 1 eth-oxydose CONC 1 FENTANYL CITRATE ORAL TRANSMUCOSAL LPOP 1 fentanyl citrate SOLN 1 FENTORA TABS 2 PA FIORICET/CODEINE CAPS 1 HYCET SOLN 2 PA hydrocet CAPS 2 PA hydrocodone /acetaminophen SOLN 1 hydrocodone /acetaminophen TABS 1 hydrocodone /acetaminophen-hs TABS 1 hydrocodone bitartrate/acetaminophen TABS 1 hydrocodone bitartrate/apap TABS 1 hydrocodone/apap TABS 1 hydrocodone/ibuprofen TABS 1 hydrocodone-acetaminophen TABS 1 hydrocodone-apap TABS 1 hydromorphone hcl TABS 1 hydromorphone hcl SOLN 2 PA LORCET 10/650 TABS 2 PA LORCET PLUS TABS 2 PA lorcet-hd CAPS 2 PA LORTAB 10 TABS 2 PA LORTAB 2.5 TABS 2 PA LORTAB 5 TABS 1 LORTAB 7.5 TABS 2 PA LORTAB ELIX 2 PA margesic-h CAPS 2 PA MAXIDONE TABS 2 PA MEPERIDINE HCL SOLN 1 meperidine hcl SYRP 1 meperidine hcl TABS 1 meperidine hcl SOLN 2 PA meperitab TABS 1 nalbuphine hcl SOLN 1 naloxone/pentazocine TABS 1 narvox TABS 2 PA NORCO TABS 2 PA NUBAIN SOLN 2 PA NUMORPHAN SOLN 2 PA NUMORPHAN SUPP 2 PA OPANA ER TB12 2 PA OPANA TABS 2 PA oxycodone hcl CAPS 1 oxycodone hcl CONC 1 oxycodone hcl SOLN 1 oxycodone hcl TABS 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
oxycodone/acetaminophen CAPS 1 oxycodone/acetaminophen TABS 1 oxycodone/apap TABS 1 oxycodone/aspirin TABS 1 oxycodone-apap TABS 1 oxyfast CONC 2 PA OXYIR CAPS 2 PA PANLOR DC CAPS 2 PA PANLOR SS TABS 2 PA pentazocine /acetaminophen TABS 1 pentazocine hcl/acetaminophen TABS 1 pentazocine/naloxone hcl TABS 1 PERCOCET TABS 2 PA PERCODAN TABS 2 PA percolone TABS 1 phrenilin w/caffeine/codeine CAPS 2 PA propoxacet TABS 2 PA propoxacet-n TABS 2 PA propoxyphene /acetaminophen TABS 1 PROPOXYPHENE COMPOUND CAPS 1 propoxyphene hcl CAPS 1 PROPOXYPHENE/ASA/CAFF CAPS 1 propoxyphene-n /acetaminophen TABS 1 REPREXAIN TABS 2 ROXICET SOLN 1 PA roxicet TABS 1 PA ROXICODONE INTENSOL CONC 2 PA ROXICODONE SOLN 1 ROXICODONE TABS 1 SOMA COMPOUND/CODEINE TABS 1 STADOL SOLN 2 PA STAGESIC-10 TABS 2 PA stagesic CAPS 2 PA SUBOXONE SUBL 2 PA SUBUTEX SUBL 2 PA TALACEN TABS 2 PA TALWIN NX TABS 2 PA TALWIN SOLN 2 PA tramadol hcl TABS 1 tramadol hydrochloride/acetaminophen TABS 1 TRYCET TABS 2 PA TYLENOL/CODEINE #3 TABS 2 PA TYLENOL/CODEINE #4 TABS 2 PA TYLOX CAPS 2 PA ULTRACET TABS 2 PA ULTRAM ER TB24 2 PA ULTRAM TABS 2 PA vanacet TABS 2 PA VICODIN ES TABS 2 PA vicodin hp TABS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
VICODIN TABS 2 PA VICOPROFEN TABS 2 PA VOPAC TABS 2 PA XODOL TABS 2 PA ZYDONE TABS 2 PA Anesthetics Local Anesthetics ALCAINE SOLN 2 PA antipyrine/benzocaine SOLN 1 BICILLIN C-R SUSP 2 PA EMLA/TEGADERM KIT 2 PA EMLA CREA 2 PA lidocaine hcl GEL 1 lidocaine hcl SOLN 1 lidocaine hcl SOLN 1 PA lidocaine hcl SOLN 2 PA lidocaine/prilocaine CREA 1 lidocaine OINT 1 LIDODERM PTCH 2 PA mydral SOLN 2 PA MYDRIACYL SOLN 2 PA parcaine SOLN 2 PA PENICILLIN G PROCAINE SUSP 1 phenazopyridine hcl TABS 1 proparacaine hcl SOLN 1 proparacaine hcl SOLN 2 PA TROLAMINE LIQD 2 PA tropicacyl SOLN 2 PA tropicamide SOLN 1 TYMPAGESIC DROPS SOLN 2 PA uni-otic LIQD 2 PA XYLOCAINE JELLY GEL 2 PA XYLOCAINE VISCOUS SOLN 2 PA XYLOCAINE SOLN 2 PA Antibacterials Amino Derivative Penicillins amoclan SUSR 2 PA amoxicillin/clavulanate potassium CHEW 1 amoxicillin/clavulanate potassium SUSR 1 amoxicillin/clavulanate potassium TABS 1 amoxicillin/potassium clavulanate CHEW 1 amoxicillin/potassium clavulanate SUSR 1 amoxicillin/potassium clavulanate TABS 1 amoxicillin CAPS 1 amoxicillin CHEW 1 amoxicillin SUSR 1 amoxicillin TABS 1 amoxil CAPS 2 PA AMOXIL CHEW 2 PA amoxil SUSR 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
AMOXIL TABS 2 PA ampicillin sodium SOLR 1 PA ampicillin CAPS 1 ampicillin SUSR 1 ampicillin-sulbactam SOLR 2 PA AUGMENTIN ES-600 SUSR 2 PA AUGMENTIN XR TB12 2 PA AUGMENTIN CHEW 2 PA AUGMENTIN SUSR 2 PA AUGMENTIN TABS 2 PA DISPERMOX TBSO 2 PA PREVPAC MISC 2 PA trimox CAPS 1 trimox SUSR 1 UNASYN ADD-VANTAGE SOLR 2 PA UNASYN BULK PACK SOLR 2 PA UNASYN PIGGYBACK UNIT SOLR 2 PA UNASYN SOLR 2 PA Aminoglycosides amikacin sulfate SOLN 1 AMIKIN SOLN 2 PA aurobiotic-hc SOLN 2 PA COLY-MYCIN S SUSP 2 PA COLY-MYCIN-S SUSP 2 PA CORTISPORIN CREA 2 PA CORTISPORIN OINT 2 PA CORTISPORIN SOLN 2 PA CORTISPORIN SUSP 2 PA CORTISPORIN-TC SUSP 2 PA cortomycin SOLN 1 cortomycin SUSP 1 dexasporin SUSP 2 PA GARAMYCIN SOLN 2 PA genoptic SOLN 2 PA gentacidin SOLN 2 PA gentak OINT 1 gentak SOLN 1 GENTAMICIN SULFATE/0.9% SODIUM CHLORIDE SOLN 1 gentamicin sulfate/0.9% sodium chloride SOLN 2 PA gentamicin sulfate/sodium chloride SOLN 2 PA gentamicin sulfate CREA 1 gentamicin sulfate OINT 1 gentamicin sulfate SOLN 1 gentamicin sulfate SOLN 1 PA gentamicin sulfate SOLN 2 PA HUMATIN CAPS 2 PA isotonic gentamicin SOLN 1 KANAMYCIN SULFATE SOLN 1 MAXITROL OINT 2 PA MAXITROL SUSP 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
NEBCIN MDV SOLN 2 PA NEBCIN SOLN 2 PA NEBCIN SOLR 2 PA neo/polymyxin/hc 5-10000-1 SUSP 1 NEO-FRADIN SOLN 2 PA neomycin /bacitracin /polymyxin /hydrocortisone OINT 1 neomycin /polymyxin /dexamethasone OINT 1 neomycin /polymyxin /dexamethasone SUSP 1 neomycin /polymyxin /gramicidin SOLN 1 neomycin /polymyxin /hydrocortisone SOLN 1 neomycin /polymyxin /hydrocortisone SUSP 1 neomycin sulfate TABS 1 neomycin/bacitracin zn/polymyx OINT 1 neomycin/polymyxin b/gramicidin SOLN 1 neomycin/polymyxin/hc SOLN 1 ocutricin SOLN 1 oticin hc SUSP 2 PA otimar SOLN 2 PA otimar SUSP 2 PA paromomycin sulfate CAPS 1 PEDIOTIC SUSP 2 PA poly-dex OINT 2 PA polymyxin /gramicidin /neomycin SOLN 1 POLY-PRED SUSP 2 PA PRED-G S.O.P. OINT 2 PA PRED-G SUSP 2 PA STREPTOMYCIN SULFATE SOLR 1 TOBI NEBU 2 PA TOBRADEX OINT 2 TOBRADEX SUSP 2 TOBRAMYCIN SULFATE ADD-VANTAGE SOLN 2 PA tobramycin sulfate fliptop SOLN 2 PA TOBRAMYCIN SULFATE/SODIUM CHLORIDE SOLN 1 tobramycin sulfate SOLN 1 tobramycin sulfate SOLN 1 PA tobramycin sulfate SOLN 2 PA tobramycin sulfate SOLR 2 PA tobrasol SOLN 2 PA TOBREX OINT 2 PA TOBREX SOLN 2 PA triple antibiotic OINT 1 triple antibiotic SOLN 1 ZYLET SUSP 2 PA Antifolate Antibacterials BACTRIM DS TABS 2 PA BACTRIM TABS 2 PA PRIMSOL SOLN 2 PA PROLOPRIM TABS 2 PA SEPTRA DS TABS 2 PA SEPTRA TABS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
smz-tmp ds TABS 1 sulfamethoxazole /trimethoprim SUSP 1 sulfatrim SUSP 1 trimethoprim TABS 1 Beta-lactam, Other AZACTAM IN DEXTROSE SOLN 2 PA AZACTAM SOLR 2 PA cefoxitin sodium SOLR 1 cefoxitin sodium SOLR 2 PA CEFOXITIN SOLR 1 INVANZ SOLR 2 PA LORABID CAPS 2 LORABID CAPS 2 PA LORABID SUSR 2 MEFOXIN ADD-VANTAGE SOLR 2 PA MEFOXIN IN DEXTROSE 2.2% SOLN 2 PA MEFOXIN IN DEXTROSE 3.9% SOLN 2 PA MEFOXIN SOLR 2 PA MERREM SOLR 2 PA PRIMAXIN I.M. SOLR 2 PA PRIMAXIN IV ADD-VANTAGE SOLR 2 PA PRIMAXIN IV SOLR 2 PA Cephalosporin Antibacterials, 1st Generation cefadroxil CAPS 1 cefadroxil SUSR 1 cefadroxil TABS 1 cefazolin sodium SOLR 1 PA CEFAZOLIN SODIUM SOLN 2 PA cefazolin sodium SOLR 2 PA CEFAZOLIN SODIUM-DEXTROSE SOLR 2 PA cephalexin CAPS 1 cephalexin SUSR 1 CEPHALEXIN TABS 1 DURICEF SUSR 2 PA KEFLEX CAPS 2 PA KEFLEX SUSR 2 PA PANIXINE DISPERDOSE TBSO 2 PA VELOSEF CAPS 2 PA Cephalosporin Antibacterials, 2nd Generation cefaclor er TB12 1 cefaclor CAPS 1 CEFACLOR SUSR 1 cefoxitin sodium SOLR 1 cefoxitin sodium SOLR 2 PA CEFOXITIN SOLR 1 cefprozil SUSR 1 cefprozil TABS 1 CEFTIN SUSR 2 PA CEFTIN TABS 2 PA cefuroxime axetil TABS 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
cefuroxime sodium SOLR 1 CEFUROXIME/DEXTROSE SOLR 1 PA CEFZIL SUSR 2 PA CEFZIL TABS 2 PA MANDOL/D5W SOLN 2 PA MEFOXIN ADD-VANTAGE SOLR 2 PA MEFOXIN IN DEXTROSE 2.2% SOLN 2 PA MEFOXIN IN DEXTROSE 3.9% SOLN 2 PA MEFOXIN SOLR 2 PA RANICLOR CHEW 2 PA ZINACEF IN ISO-OSMOTIC DEXTROSE SOLN 2 PA ZINACEF IN ISO-OSMOTIC DILUENT SOLN 2 PA ZINACEF/D5W SOLN 2 PA ZINACEF SOLR 2 PA Cephalosporin Antibacterials, 3rd Generation CEDAX CAPS 2 PA CEDAX SUSR 2 PA CEFIZOX IN DEXTROSE 5% SOLN 1 CEFIZOX SOLR 2 PA cefotaxime sodium SOLR 1 cefpodoxime proxetil TABS 1 CEFTAZIDIME SOLR 2 PA ceftriaxone in iso-osmotic dextrose SOLN 1 ceftriaxone sodium SOLR 1 CEFTRIAXONE/DEXTROSE SOLR 1 CLAFORAN INFUSION BOTTLES SOLR 2 PA CLAFORAN/D5W GALAXY SOLN 2 PA CLAFORAN SOLR 2 PA FORTAZ INFUSION PACK SOLR 2 PA FORTAZ SOLN 2 PA FORTAZ SOLR 2 PA OMNICEF CAPS 2 OMNICEF SUSR 2 OMNI-PAC CAPS 2 ROCEPHIN IN ISO-OSMOTIC DEXTROSE SOLN 2 PA ROCEPHIN SOLR 2 PA SPECTRACEF TABS 2 PA SUPRAX SUSR 2 PA TAZICEF SOLN 2 PA tazicef SOLR 2 PA VANTIN SUSR 2 PA VANTIN TABS 2 PA Cephalosporin Antibacterials, 4th Generation MAXIPIME SOLR 2 PA Erythromycins AKNE-MYCIN OINT 2 PA e.e.s. 200 SUSP 2 PA e.e.s. 400 SUSP 2 PA e.e.s. 400 TABS 2 PA E.E.S. GRANULES SUSR 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
E-MYCIN TBEC 2 PA ERYC CPEP 2 PA eryderm SOLN 1 ERYGEL GEL 2 PA ERYPED 200 SUSR 2 PA ERYPED 400 SUSR 2 PA ERYPED SUSR 2 PA ERY-TAB TBEC 2 PA ERYTHROCIN LACTOBIONATE SOLR 1 erythrocin stearate TABS 2 PA ERYTHROCIN SOLR 2 PA erythromycin /sulfisoxazole SUSR 1 ERYTHROMYCIN BASE TABS 1 erythromycin ethylsuccinate SUSP 1 erythromycin ethylsuccinate SUSR 1 erythromycin ethylsuccinate TABS 2 PA ERYTHROMYCIN LACTOBIONATE SOLR 1 erythromycin stearate TABS 1 ERYTHROMYCIN CPEP 1 erythromycin GEL 1 erythromycin OINT 1 erythromycin PADS 1 erythromycin SOLN 1 ERYTHROMYCIN TBEC 1 PCE TBEC 2 PA PEDIAZOLE SUSR 2 PA Extended Spectrum Penicillins GEOCILLIN TABS 2 PA PIPERACILLIN SODIUM SOLR 2 PA PIPRACIL/D5W SOLN 2 PA TIMENTIN SOLN 2 PA TIMENTIN SOLR 2 PA ZOSYN SOLN 2 PA ZOSYN SOLR 2 PA Glycopeptide Antibacterials TYGACIL SOLR 2 PA VANCOCIN HCL ISO-OSMOTIC DEXTROSE SOLN 2 PA VANCOCIN HCL CAPS 2 PA VANCOCIN HCL SOLN 2 PA vancomycin hcl SOLR 1 PA Ketolides KETEK PAK TABS 2 PA KETEK TABS 2 KETEK TABS 2 QL Lincomycin Antibacterials CLEOCIN PEDIATRIC GRANULES SOLN 2 PA CLEOCIN PHOSPHATE SOLN 2 PA CLEOCIN CAPS 2 PA clindamycin hcl CAPS 1 clindamycin phosphate add-vantage SOLN 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
clindamycin phosphate SOLN 2 PA LINCOCIN SOLN 2 PA ZIANA GEL 2 PA Macrolides (Non-erythromycins, Non-ketolides) AZASITE SOLN 2 PA AZITHROMYCIN PACK 1 azithromycin SOLR 1 azithromycin SUSR 1 azithromycin TABS 1 BIAXIN XL PAC TB24 2 BIAXIN XL TB24 2 BIAXIN SUSR 2 PA BIAXIN TABS 2 PA clarithromycin er TB24 1 clarithromycin SUSR 1 clarithromycin TABS 1 DYNABAC D5-PAK TBEC 2 PA PREVPAC MISC 2 PA ZITHROMAX TRI-PAK TABS 2 PA ZITHROMAX Z-PAK TABS 2 PA ZITHROMAX PACK 2 PA ZITHROMAX SOLR 2 PA ZITHROMAX SUSR 2 PA ZITHROMAX TABS 2 QL PA ZMAX SUSR 2 Miscellaneous Antibacterials acetic acid SOLN 1 acid jelly GEL 1 acidic vaginal jelly GEL 1 ak-poly-bac OINT 1 bac/poly/neomy/hc OINT 1 baciim SOLR 2 PA bacitracin /neomycin /polymyxin OINT 1 bacitracin/polymyxin b OINT 1 bacitracin OINT 1 BACITRACIN SOLR 1 PA BACTROBAN NASAL OINT 2 PA BACTROBAN CREA 2 PA BACTROBAN OINT 2 PA borofair SOLN 1 centany OINT 1 CHLORAMPHENICOL SODIUM SUCCINATE SOLR 1 CHLOROMYCETIN SOLR 2 PA colistimethate sodium SOLR 1 COLY-MYCIN-M SOLR 2 PA CRESYLATE SOLN 2 PA CUBICIN SOLR 2 PA FLAGYL ER TB24 2 PA FLAGYL CAPS 2 PA FLAGYL TABS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
HELIDAC MISC 2 PA HIPREX TABS 2 PA MANDELAMINE TABS 2 PA methenamine hippurate TABS 1 methenamine mandelate TABS 1 METRO IV SOLN 2 PA METROCREAM CREA 2 PA METROGEL VAGINAL GEL 2 PA METROGEL GEL 2 PA METROLOTION LOTN 2 PA metronidazole in nacl 0.79% SOLN 2 PA metronidazole vaginal GEL 1 metronidazole CAPS 1 metronidazole CREA 1 metronidazole TABS 1 MONUROL PACK 2 PA mupirocin OINT 1 neo/poly/bac/hc OINT 1 neocin OINT 2 PA neomycin /bacitracin /polymyxin /hydrocortisone OINT 1 neomycin /bacitracin /polymyxin OINT 1 neomycin /polymyxin /bacitracin OINT 1 neomycin/bacitracin zn/polymyx OINT 1 NORITATE CREA 2 PA ocumycin OINT 1 polymyxin b sulfate SOLR 1 POLYTRIM SOLN 2 PA PYLERA CAPS 2 PA ROZEX EMUL 2 PA SILVADENE CREA 2 PA silver sulfadiazine CREA 1 ssd af CREA 1 ssd CREA 1 SYNERCID SOLR 2 PA thermazene CREA 1 trimethoprim sulfate/polymyxin b sulfate SOLN 1 trimethoprim/polymyxin b SOLN 1 triple antibiotic OINT 1 uni-otic LIQD 2 PA UREX TABS 1 UROQID #2 TABS 2 PA vandazole GEL 2 PA XIFAXAN TABS 2 PA Natural Penicillins BICILLIN C-R SUSP 2 PA BICILLIN L-A SUSP 2 PA PENICILLIN G POTASSIUM IN ISO-OSMOTIC DEXTROSE SOLN 2 PA penicillin g potassium SOLR 1 PA PENICILLIN G PROCAINE SUSP 1 PENICILLIN G SODIUM SOLR 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
penicillin v potassium SOLR 1 penicillin v potassium TABS 1 penicillin vk TABS 1 pfizerpen-g SOLR 2 PA veetids SOLR 1 veetids TABS 1 Nitrofuran Antibacterials FURADANTIN SUSP 2 PA MACROBID CAPS 2 PA MACRODANTIN CAPS 2 PA nitrofurantoin macrocrystalline CAPS 1 nitrofurantoin monohydrate CAPS 1 nitrofurantoin CAPS 1 Oxazolidinone Antibacterials ZYVOX SOLN 2 PA ZYVOX SUSR 2 ZYVOX TABS 2 PA Penicillinase-resistant Penicillins BACTOCILL IN DEXTROSE SOLN 2 PA dicloxacillin sodium CAPS 1 NAFCILLIN SODIUM SOLR 1 NALLPEN ISO-OSMOTIC IN DEXTROSE SOLN 2 PA NALLPEN/DEXTROSE SOLN 2 PA OXACILLIN SODIUM SOLR 1 PA OXACILLIN SODIUM SOLR 2 PA Quinolones AVELOX ABC PACK TABS 2 PA AVELOX SOLN 2 PA AVELOX TABS 2 PA CILOXAN OINT 2 PA CILOXAN SOLN 2 PA CIPRO HC SUSP 2 PA CIPRO I.V. SOLN 2 PA CIPRO I.V.-IN D5W SOLN 2 PA CIPRO XR TB24 2 PA CIPRO SUSR 2 PA CIPRO TABS 2 PA CIPRODEX SUSP 2 ciprofloxacin er TB24 1 ciprofloxacin extended-release TB24 1 ciprofloxacin hcl SOLN 1 ciprofloxacin hcl TABS 1 ciprofloxacin SOLN 1 FACTIVE TABS 2 PA FLOXIN OTIC SINGLES SOLN 2 FLOXIN OTIC SOLN 2 FLOXIN TABS 2 PA LEVAQUIN LEVA-PAK TABS 2 LEVAQUIN PREMIX SOLN 2 PA LEVAQUIN SOLN 2
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
LEVAQUIN SOLN 2 PA LEVAQUIN TABS 2 NEGGRAM TABS 2 PA NOROXIN TABS 2 PA ofloxacin SOLN 1 ofloxacin TABS 1 ofloxacin TABS 1 QL PROQUIN XR TB24 2 PA QUIXIN SOLN 2 PA VIGAMOX SOLN 2 PA ZYMAR SOLN 2 PA Sulfonamides AZULFIDINE EN-TABS TBEC 2 PA AZULFIDINE TABS 2 PA BACTRIM DS TABS 2 PA BACTRIM TABS 2 PA BLEPH-10 SOLN 2 PA BLEPHAMIDE S.O.P. OINT 2 PA CARMOL SCALP TREATMENT KIT 2 PA CARMOL SCALP TREATMENT LOTN 2 PA erythromycin /sulfisoxazole SUSR 1 GANTRISIN PEDIATRIC SUSP 2 PA KLARON LOTN 2 PA PEDIAZOLE SUSR 2 PA prednisolone /sulfacetamide SOLN 1 PREDNISOLONE /SULFACETAMIDE SUSP 2 PA ROSULA NS PADS 2 PA ROSULA EMUL 1 ROSULA GEL 2 PA scalp treatment KIT 2 PA SEPTRA DS TABS 2 PA SEPTRA SUSP 2 PA SEPTRA TABS 2 PA smz-tmp ds TABS 1 sodium sulfacetamide LOTN 1 sodium sulfacetamide SOLN 1 sulf-10 SOLN 2 PA sulfac SOLN 2 PA SULFACETAMIDE SODIUM OINT 1 sulfacetamide sodium SOLN 1 sulfacetamide sodium LOTN 2 PA SULFADIAZINE TABS 1 SULFAMETHOXAZOLE /TRIMETHOPRIM SOLN 1 PA sulfamethoxazole /trimethoprim SUSP 1 sulfamethoxazole /trimethoprim TABS 1 sulfamethoxazole/trimethoprim ds TABS 1 SULFAMYLON CREA 2 PA SULFAMYLON PACK 2 PA sulfasalazine ec TBEC 1 sulfasalazine TABS 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
sulfasalazine TBEC 1 sulfatol cleanser EMUL 2 PA sulfatol GEL 1 sulfatrim SUSP 1 SULFISOXAZOLE TABS 1 trimethoprim/sulfamethoxazole ds TABS 1 Tetracyclines ADOXA PAK 1/100 TABS 2 PA ADOXA PAK 1/150 TABS 2 PA ADOXA PAK 1/75 TABS 2 PA ADOXA PAK 2/100 TABS 2 PA ADOXA TABS 2 PA ARESTIN MISC 2 PA ATRIDOX KIT 2 PA DECLOMYCIN TABS 2 PA demeclocycline hcl TABS 1 DORYX CPEP 2 PA DORYX TBEC 2 PA doxy-caps CAPS 2 PA doxycycline hyclate CAPS 1 DOXYCYCLINE HYCLATE CPEP 1 doxycycline hyclate TABS 1 doxycycline hyclate SOLR 2 PA doxycycline monohydrate CAPS 1 doxycycline monohydrate TABS 1 dynacin CAPS 1 DYNACIN CAPS 2 PA DYNACIN TABS 2 PA MINOCIN PAC KIT 2 PA MINOCIN CAPS 2 PA minocycline hcl CAPS 1 minocycline hcl TABS 1 MONODOX CAPS 2 PA myrac TABS 2 PA ORACEA CPDR 2 PA PERIOSTAT TABS 2 PA SOLODYN TB24 2 PA SUMYCIN SYRP 2 PA SUMYCIN TABS 2 PA tetracycline hcl CAPS 1 VIBRAMYCIN CAPS 2 PA VIBRAMYCIN SUSR 2 PA VIBRAMYCIN SYRP 2 PA VIBRATAB TABS 2 PA Anticonvulsants Anticonvulsants (Other) carbamazepine CHEW 1 carbamazepine SUSP 1 carbamazepine TABS 1 CARBATROL CP12 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
EQUETRO CP12 2 PA KEPPRA SOLN 2 KEPPRA SOLN 2 PA KEPPRA TABS 2 KEPPRA TABS 2 PA MAGNESIUM SULFATE IN D5W SOLN 1 PA MAGNESIUM SULFATE SOLN 2 PA tis-u-sol viaflex SOLN 1 tis-u-sol SOLN 1 Calcium Channel Modifying Agents CELONTIN CAPS 2 PA ethosuximide CAPS 1 ethosuximide SOLN 1 LYRICA CAPS 2 ZARONTIN CAPS 2 PA ZARONTIN SOLN 2 PA Gamma-aminobutyric Acid (GABA) Augmenting Agents DEPACON SOLN 2 PA DEPAKENE CAPS 2 PA DEPAKENE SYRP 2 PA DEPAKOTE ER TB24 2 PA DEPAKOTE SPRINKLES CPSP 2 PA DEPAKOTE TBEC 2 gabapentin CAPS 1 gabapentin TABS 1 GABARONE TABS 2 PA GABITRIL TABS 2 GABITRIL TABS 2 PA MYSOLINE TABS 2 PA NEURONTIN CAPS 2 PA NEURONTIN SOLN 2 PA NEURONTIN TABS 2 PA primidone TABS 1 valproate sodium SOLN 1 valproic acid CAPS 1 VALPROIC ACID LIQD 1 valproic acid SYRP 1 ZONEGRAN CAPS 2 ZONEGRAN CAPS 2 PA zonisamide CAPS 1 Glutamate Reducing Agents FELBATOL SUSP 2 PA FELBATOL TABS 2 PA LAMICTAL CHEWABLE DISPERSIBLE TBDP 2 PA LAMICTAL STARTER/TAKING CARBAMAZEPINE/NOT TAKING VALPROATE
KIT 2
LAMICTAL STARTER/TAKING VALPROATE KIT 2 LAMICTAL TABS 2 lamotrigine chewable dispersible TBDP 1 TOPAMAX SPRINKLE CPSP 2
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
TOPAMAX TABS 2 TOPAMAX TABS 2 PA Sodium Channel Inhibitors carbamazepine CHEW 1 carbamazepine SUSP 1 carbamazepine TABS 1 CARBATROL CP12 2 PA DILANTIN INFATABS CHEW 2 DILANTIN-125 SUSP 1 DILANTIN CAPS 2 DILANTIN CAPS 2 PA DILANTIN SUSP 2 PA epitol TABS 1 EQUETRO CP12 2 PA PEGANONE TABS 2 PA PHENYTEK CAPS 2 phenytoin sodium extended CAPS 1 PHENYTOIN SODIUM PROMPT CAPS 1 phenytoin sodium SOLN 1 PA phenytoin SUSP 1 TEGRETOL CHEW 2 PA TEGRETOL SUSP 2 PA TEGRETOL TABS 2 PA TEGRETOL-XR TB12 2 TRILEPTAL SUSP 2 TRILEPTAL TABS 2 Antidementia Agents Antidementia Agents, Other ergoloid mesylates TABS 1 HYDERGINE TABS 2 PA Cholinesterase Inhibitors ARICEPT ODT TBDP 2 PA ARICEPT TABS 2 COGNEX CAPS 2 PA EXELON CAPS 2 EXELON SOLN 2 RAZADYNE ER CP24 2 PA RAZADYNE SOLN 2 PA RAZADYNE TABS 2 PA Glutamate Pathway Modifiers NAMENDA TITRATION PAK TABS 2 NAMENDA SOLN 2 NAMENDA TABS 2 Antidepressants Antidepressants, Other budeprion sr TB12 1 budeprion xl TB24 1 bupropion er TB12 1 bupropion hcl er TB12 1 bupropion hcl sr TB12 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
bupropion hcl TABS 1 bupropion hcl TB12 1 EFFEXOR XR CP24 2 EFFEXOR TABS 2 PA mirtazapine TABS 1 mirtazapine TBDP 1 nefazodone hcl TABS 1 REMERON SOLTAB TBDP 2 PA REMERON TABS 2 PA trazodone hcl dividose TABS 1 trazodone hcl TABS 1 venlafaxine hcl TABS 1 WELLBUTRIN SR TB12 2 PA WELLBUTRIN XL TB24 2 WELLBUTRIN TABS 2 PA Monoamine Oxidase (Type A) Inhibitors MARPLAN TABS 2 NARDIL TABS 2 PARNATE TABS 2 Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs) CELEXA SOLN 2 PA CELEXA TABS 2 PA citalopram hydrobromide SOLN 1 citalopram hydrobromide TABS 1 CYMBALTA CPEP 2 fluoxetine hcl CAPS 1 fluoxetine hcl SOLN 1 fluoxetine hcl TABS 1 fluoxetine hcl TABS 2 PA fluvoxamine maleate TABS 1 LEXAPRO SOLN 2 LEXAPRO TABS 2 paroxetine hcl SUSP 1 paroxetine hcl TABS 1 PAXIL CR TB24 2 PAXIL SUSP 2 PA PAXIL TABS 2 PA PEXEVA TABS 2 PA PROZAC WEEKLY CPDR 2 PA PROZAC CAPS 2 PA PROZAC SOLN 2 PA PROZAC TABS 2 PA RAPIFLUX TABS 2 PA SARAFEM CAPS 2 PA sertraline hcl CONC 1 sertraline hcl TABS 1 sertraline hydrochloride CONC 1 SYMBYAX CAPS 2 ZOLOFT CONC 2 PA ZOLOFT TABS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
Tricyclics amitriptyline /chlordiazepoxide TABS 1 amitriptyline hcl TABS 1 AMOXAPINE TABS 1 ANAFRANIL CAPS 2 PA AVENTYL CAPS 2 PA chlordiazepoxide /amitriptyline TABS 1 clomipramine hcl CAPS 1 desipramine hcl TABS 1 doxepin hcl CAPS 1 doxepin hcl CONC 1 DUO-VIL TABS 2 PA imipramine hcl TABS 1 LIMBITROL DS TABS 2 PA LIMBITROL TABS 2 PA MAPROTILINE HCL TABS 1 NORPRAMIN TABS 2 PA nortriptyline hcl CAPS 1 nortriptyline hcl SOLN 1 PAMELOR CAPS 2 PA PAMELOR SOLN 2 PA PERPHENAZINE /AMITRIPTYLINE TABS 2 PA SURMONTIL CAPS 2 SURMONTIL CAPS 2 PA TOFRANIL TABS 2 PA TOFRANIL-PM CAPS 2 PA trimipramine maleate CAPS 1 VIVACTIL TABS 2 PA Antidotes, Deterrents, and Toxicologic Agents Alcohol Deterrents ANTABUSE TABS 2 PA CAMPRAL TBEC 2 PA depade TABS 2 PA REVIA TABS 2 PA VIVITROL SUSR 2 PA Antidotes, Deterrents, and Toxicologic Agents CHEMET CAPS 2 PA CUPRIMINE CAPS 2 DEPEN TITRATABS TABS 2 PA SYPRINE CAPS 2 PA Ion Exchange Resins FOSRENOL CHEW 2 KAYEXALATE POWD 2 PA kionex POWD 1 RENAGEL TABS 2 RENAGEL TABS 2 PA sodium polystyrene sulfonate SUSP 2 PA sps 30gm/120ml enema SUSP 1 sps SUSP 1 Opioid Antagonists
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
naloxone hcl SOLN 1 naloxone/pentazocine TABS 1 naltrexone hcl TABS 1 NARCAN SOLN 2 PA pentazocine/naloxone hcl TABS 1 REVEX SOLN 2 PA SUBOXONE SUBL 2 PA Smoking Cessation Agents buproban TB12 1 CHANTIX TABS 2 PA NICOTROL INHALER INHA 2 PA NICOTROL NS SOLN 2 PA ZYBAN TB12 2 PA Antiemetics 5-Hydroxytryptamine 3 (5-HT3) Antagonists ALOXI SOLN 2 PA ANZEMET SOLN 2 PA ANZEMET TABS 2 PA KYTRIL SOLN 2 PA KYTRIL SOLN 2 QL PA KYTRIL TABS 2 QL PA ondansetron hcl SOLN 1 ondansetron hcl TABS 1 ondansetron odt TBDP 1 ZOFRAN ODT TBDP 2 PA ZOFRAN SOLN 2 ZOFRAN SOLN 2 PA ZOFRAN SOLN 2 QL PA ZOFRAN TABS 2 Antiemetics, Other CESAMET CAPS 2 PA chlorpromazine hcl TABS 1 compro SUPP 1 MARINOL CAPS 2 PA NICOTROL NS SOLN 2 PA phenadoz SUPP 1 PHENERGAN SOLN 2 PA promethazine hcl SOLN 1 PA promethazine hcl SUPP 1 promethazine hcl SYRP 1 promethazine hcl TABS 1 promethegan SUPP 1 TIGAN CAPS 2 PA TIGAN SOLN 2 PA trimethobenzamide hcl CAPS 1 trimethobenzamide hcl SOLN 1 Neurokinin 1 (NK1) Receptor Antagonists EMEND CAPS 2 EMEND MISC 2 Antifungals
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
Allylamine Antifungals LAMISIL SOLN 2 LAMISIL TABS 2 PA NAFTIN CREA 2 PA NAFTIN GEL 2 PA NAFTIN-MP CREA 2 PA Antifungals (Other) ANCOBON CAPS 2 ANCOBON CAPS 2 PA ciclopirox olamine CREA 1 ciclopirox SUSP 1 clotrimazole CREA 1 clotrimazole LOZG 1 clotrimazole SOLN 1 clotrimazole TROC 1 ERAXIS SOLR 2 PA GRIFULVIN V SUSP 1 GRIFULVIN V SUSP 2 PA GRIFULVIN V TABS 2 PA griseofulvin microsize SUSP 2 PA GRISEOFULVIN ULTRAMICROSIZE TABS 2 PA GRIS-PEG TABS 2 PA LOPROX SHAMPOO SHAM 2 PA LOPROX CREA 2 PA LOPROX GEL 2 PA LOPROX SUSP 2 PA LOTRISONE CREA 2 PA MENTAX CREA 2 PA MYCAMINE SOLR 2 PA MYCELEX TROC 2 PA PENLAC NAIL LACQUER SOLN 2 PA sb clotrimazole foot CREA 1 selenium sulfide SHAM 1 SELSEB SHAM 2 PA SPECTAZOLE CREA 2 PA versiclear LOTN 2 PA Azole Antifungals clotrimazole/betamethasone dipropionate CREA 1 clotrimazole/betamethasone dipropionate LOTN 1 DIFLUCAN IN ISO-OSMOTIC DEXTROSE SOLN 2 PA DIFLUCAN IN NACL SOLN 2 PA DIFLUCAN SUSR 2 PA DIFLUCAN TABS 2 PA econazole nitrate CREA 1 eq miconazole 3 combo pack KIT 1 EXELDERM CREA 2 PA EXELDERM SOLN 2 PA fluconazole in dextrose SOLN 2 PA fluconazole in nacl SOLN 1 fluconazole SUSR 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
fluconazole TABS 1 itraconazole CAPS 1 itraconazole CAPS 1 PA ketoconazole CREA 1 ketoconazole SHAM 1 ketoconazole TABS 1 kuric CREA 1 LOTRISONE LOTN 2 PA MICONAZOLE 3 SUPP 1 MONISTAT 3 SUPP 2 PA MONISTAT-DERM CREA 2 PA NIZORAL SHAM 2 PA NIZORAL TABS 2 PA NOXAFIL SUSP 2 PA OXISTAT CREA 2 PA OXISTAT LOTN 2 PA sb miconazole 3-day combo KIT 1 SPORANOX PULSEPAK CAPS 2 PA SPORANOX CAPS 2 PA SPORANOX KIT 2 PA SPORANOX SOLN 2 PA TERAZOL 3 CREA 1 TERAZOL 3 CREA 2 PA TERAZOL 3 SUPP 2 PA TERAZOL 7 CREA 2 PA terconazole CREA 1 VFEND IV SOLR 2 PA VFEND SUSR 2 VFEND TABS 2 XOLEGEL GEL 2 PA zazole CREA 2 PA zazole SUPP 2 PA Polyene Antifungals ABELCET SUSP 1 PA AMBISOME SUSR 2 PA amphocin SOLR 2 PA AMPHOTEC SUSR 2 PA amphotericin b SOLR 2 PA BIO-STATIN CAPS 2 PA FUNGIZONE SOLR 2 PA MYCOSTATIN CREA 2 PA MYCOSTATIN POWD 2 PA MYCOSTATIN SUSP 2 PA mytrex CREA 1 NATACYN SUSP 2 PA nyamyc POWD 1 nystatin/triamcinolone CREA 1 nystatin/triamcinolone OINT 1 nystatin CREA 1 nystatin OINT 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
nystatin POWD 1 nystatin SUSP 1 nystatin TABS 1 nystop POWD 1 pedi-dri POWD 1 triamcinolone/nystatin CREA 1 triamcinolone/nystatin OINT 1 Antigout Agents Antigout Agents (Non-renal Tubular Blocking Agents and Non-xanthine Inhibitors)
colchicine TABS 1 COLCHICINE SOLN 2 PA Renal Tubular Blocking Agents probenecid/colchicine TABS 1 probenecid TABS 1 Xanthine Oxidase Inhibitors allopurinol sodium SOLR 1 allopurinol TABS 1 ALOPRIM SOLR 2 PA ZYLOPRIM TABS 2 PA Anti-inflammatories Glucocorticoids CORTEF TABS 2 PA hydrocortisone TABS 1 Nonsteroidal Anti-inflammatory Drugs ANAPROX DS TABS 2 PA ANAPROX TABS 2 PA ANSAID TABS 2 PA ARTHROTEC 50 TABS 2 PA ARTHROTEC 75 TABS 2 PA CATAFLAM TABS 2 PA CELEBREX CAPS 2 CELEBREX CAPS 2 ST CLINORIL TABS 2 PA DAYPRO TABS 2 PA diclofenac potassium TABS 1 diclofenac sodium dr TBEC 1 diclofenac sodium ec TBEC 1 diclofenac sodium er TB24 1 diclofenac sodium sr TB24 1 diclofenac sodium xr TB24 1 diclofenac sodium TBEC 1 DIFLUNISAL TABS 1 DIFLUNISAL TABS 2 PA DOLOBID TABS 2 PA EC-NAPROSYN TBEC 2 PA etodolac er TB24 1 etodolac CAPS 1 etodolac TABS 1 FELDENE CAPS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
fenoprofen calcium TABS 1 flurbiprofen TABS 1 ibu TABS 1 ibuprofen SUSP 1 ibuprofen TABS 1 INDOCIN IV SOLR 2 PA INDOCIN SR CPCR 2 PA INDOCIN CAPS 2 PA INDOCIN SUSP 2 PA indomethacin cr CPCR 1 indomethacin er CPCR 1 indomethacin sa CPCR 1 indomethacin sr CPCR 1 indomethacin CAPS 1 KETOPROFEN ER CP24 1 ketoprofen CAPS 1 ketorolac tromethamine SOLN 1 ketorolac tromethamine TABS 1 ketorolac tromethamine SOLN 2 PA MECLOFENAMATE SODIUM CAPS 1 MELOXICAM SUSP 1 meloxicam TABS 1 MOBIC SUSP 2 PA MOBIC TABS 2 PA MOTRIN TABS 2 PA nabumetone TABS 1 NALFON CAPS 2 PA NAPRELAN TB24 2 PA NAPROSYN SUSP 2 PA NAPROSYN TABS 2 PA naproxen dr TBEC 1 naproxen ec TBEC 1 naproxen sodium TABS 1 naproxen sodium TB24 1 naproxen SUSP 1 naproxen TABS 1 NEOPROFEN SOLN 2 PA ORUDIS CAPS 2 PA ORUVAIL CP24 2 PA oxaprozin TABS 1 piroxicam CAPS 1 PONSTEL CAPS 2 PA PREVACID NAPRAPAC KIT 2 PA RELAFEN TABS 2 PA rufen TABS 2 PA sulindac TABS 1 TOLECTIN DS CAPS 2 tolmetin sodium CAPS 1 TOLMETIN SODIUM TABS 1 TORADOL ORAL TABS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
VOLTAREN TBEC 2 PA VOLTAREN-XR TB24 2 PA Antimigraine Agents Antimigraine Agents, Prophylactic (Non-beta-adrenergic Blocking Agents)
DEPAKOTE ER TB24 2 PA DEPAKOTE TBEC 2 TOPAMAX SPRINKLE CPSP 2 TOPAMAX TABS 2 TOPAMAX TABS 2 PA Beta-adrenergic Blocking Agents BLOCADREN TABS 2 PA INDERAL LA CP24 2 PA INDERAL TABS 2 PA INNOPRAN XL CP24 2 PA propranolol hcl er CP24 1 PROPRANOLOL HCL INTENSOL CONC 1 PROPRANOLOL HCL SOLN 1 propranolol hcl SOLN 1 PA propranolol hcl TABS 1 TIMOLOL MALEATE TABS 1 Ergot Alkaloids CAFERGOT TABS 2 PA D.H.E. 45 SOLN 2 PA dihydroergotamine mesylate SOLN 1 ERGOMAR SUBL 2 PA ergotamine tartrate/caffeine TABS 1 MIGERGOT SUPP 2 QL PA MIGRANAL SOLN 2 PA Triptans AMERGE TABS 2 QL PA AXERT TABS 2 QL PA FROVA TABS 2 PA IMITREX STATDOSE REFILL KIT 2 IMITREX STATDOSE SYSTEM KIT 2 IMITREX SOLN 2 IMITREX SOLN 2 QL IMITREX TABS 2 IMITREX TABS 2 QL MAXALT TABS 2 PA MAXALT-MLT TBDP 2 PA RELPAX TABS 2 ZOMIG ZMT TBDP 2 PA ZOMIG SOLN 2 ZOMIG TABS 2 ZOMIG TABS 2 QL Antimyasthenic Agents Parasympathomimetics bethanechol chloride TABS 1 GUANIDINE HCL TABS 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
MESTINON TIMESPAN TBCR 2 PA MESTINON SOLN 2 PA MESTINON SYRP 2 PA MESTINON TABS 2 PA MYTELASE TABS 2 PA neostigmine methylsulfate SOLN 1 PHYSOSTIGMINE SALICYLATE SOLN 1 PROSTIGMIN SOLN 2 PA PROSTIGMIN TABS 2 PA pyridostigmine bromide TABS 1 REGONOL SOLN 2 PA URECHOLINE TABS 2 PA Antimycobacterials Antimycobacterials, Other DAPSONE TABS 1 MYCOBUTIN CAPS 2 Antituberculars amikacin sulfate SOLN 1 CAPASTAT SULFATE SOLR 2 PA ethambutol hcl TABS 1 isonarif CAPS 2 PA isoniazid TABS 1 ISONIAZID SYRP 2 PA KANAMYCIN SULFATE SOLN 1 MYAMBUTOL TABS 2 PA NYDRAZID SOLN 2 PA PRIFTIN TABS 2 PA pyrazinamide TABS 1 RIFADIN CAPS 2 PA RIFADIN SOLR 2 PA RIFAMATE CAPS 2 PA rifampin CAPS 1 rifampin SOLR 1 RIFATER TABS 2 PA rimactane CAPS 2 PA SEROMYCIN CAPS 2 PA STREPTOMYCIN SULFATE SOLR 1 TRECATOR TABS 2 PA TRECATOR-SC TABS 2 PA Antineoplastics Antineoplastics ABRAXANE SUSR 2 PA adriamycin SOLN 2 PA adriamycin SOLR 2 PA adrucil SOLN 2 PA ALIMTA SOLR 2 PA ALKERAN SOLR 2 PA ARRANON SOLN 2 PA AVASTIN SOLN 2 PA AZASAN TABS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
AZATHIOPRINE SODIUM SOLR 1 azathioprine TABS 1 BEXXAR CONC 2 PA BICNU W/DILUENT ABSOLUTE ETHANOL SOLR 2 PA BLENOXANE SOLR 2 PA bleomycin sulfate SOLR 1 BUSULFEX SOLN 2 PA CAMPATH SOLN 2 PA CAMPTOSAR SOLN 2 PA carboplatin SOLN 2 PA carboplatin SOLR 2 PA CEENU CAPS 2 CERUBIDINE SOLR 2 PA cisplatin SOLN 2 PA cladribine SOLN 1 CLOLAR SOLN 2 PA COSMEGEN SOLR 2 PA cyclophosphamide TABS 1 cyclophosphamide SOLR 2 PA cytarabine aqueous SOLN 1 PA cytarabine SOLN 1 CYTARABINE SOLR 1 CYTOXAN SOLR 2 PA CYTOXAN TABS 2 PA DACARBAZINE SOLR 1 dacarbazine SOLR 1 PA DAUNORUBICIN HCL INJ 1 daunorubicin hcl SOLR 1 DAUNOXOME INJ 2 PA DOXIL INJ 2 PA doxorubicin hcl SOLN 1 doxorubicin hcl SOLR 1 DROXIA CAPS 2 PA DTIC-DOME SOLR 2 PA EFUDEX OCCLUSION PACK KIT 2 PA EFUDEX CREA 2 PA EFUDEX SOLN 2 PA ELITEK SOLR 2 PA ELLENCE SOLN 2 PA ELOXATIN SOLN 2 PA ELOXATIN SOLR 2 PA EPIRUBICIN HCL SOLR 1 PA ERBITUX SOLN 2 PA ETHYOL SOLR 2 PA ETOPOPHOS SOLR 2 PA etoposide SOLN 2 PA FASLODEX SOLN 2 PA floxuridine SOLR 1 FLUDARA SOLR 2 PA FLUDARABINE PHOSPHATE SOLN 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
fludarabine phosphate SOLR 1 FLUOROPLEX CREA 2 PA FLUOROPLEX SOLN 2 PA FLUOROURACIL SOLN 2 PA FUDR SOLR 2 PA GEMZAR SOLR 2 PA HERCEPTIN SOLR 2 PA HEXALEN CAPS 2 PA HYCAMTIN SOLR 2 PA HYDREA CAPS 2 PA hydroxyurea CAPS 1 IDAMYCIN PFS SOLN 2 PA idarubicin SOLN 2 PA IFEX/MESNEX COMBO PACK KIT 2 PA IFEX SOLR 2 PA ifosfamide/mesna KIT 2 PA ifosfamide SOLR 2 PA IMURAN TABS 2 PA LEUKERAN TABS 2 LEUSTATIN SOLN 2 PA LYSODREN TABS 2 MATULANE CAPS 2 PA mercaptopurine TABS 1 mesna SOLN 1 MESNEX SOLN 2 PA MESNEX TABS 2 PA mitomycin SOLR 2 PA MUSTARGEN SOLR 2 PA MUTAMYCIN SOLR 2 PA MYLOTARG SOLR 2 PA NAVELBINE SOLN 2 PA NEUMEGA SOLR 2 PA NIPENT SOLR 2 PA NOVANTRONE CONC 2 ONCASPAR SOLN 2 PA ONTAK SOLN 2 PA onxol CONC 2 PA paclitaxel CONC 2 PA PARAPLATIN SOLN 2 PA PARAPLATIN SOLR 2 PA PHOTOFRIN SOLR 2 PA PLATINOL AQ SOLN 2 PA PROLEUKIN SOLR 2 PA PURINETHOL TABS 2 PA QUADRAMET SOLN 2 PA RITUXAN CONC 2 PA TABLOID TABS 2 PA TAXOL CONC 2 PA TAXOTERE CONC 2 PA THERACYS SUSR 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
THIOTEPA SOLR 1 thiotepa SOLR 1 PA toposar SOLN 2 PA TORISEL SOLN 2 PA TYKERB TABS 2 PA VECTIBIX SOLN 2 PA VELCADE SOLR 2 PA VIDAZA SUSR 2 PA VINBLASTINE SULFATE SOLN 2 PA VINBLASTINE SULFATE SOLR 2 PA vincasar pfs SOLN 2 PA vincristine sulfate SOLN 2 PA vinorelbine tartrate SOLN 2 PA ZANOSAR SOLR 2 PA ZEVALIN IN-111 KIT 2 PA ZEVALIN Y-90 KIT 2 PA ZINECARD SOLR 2 PA ZOLINZA CAPS 2 PA Aromatase Inhibitors, 3rd Generation ARIMIDEX TABS 2 AROMASIN TABS 2 PA FEMARA TABS 2 Epidermal Growth Factor Receptor Kinase Inhibitors IRESSA TABS 2 PA TARCEVA TABS 2 TARCEVA TABS 2 PA Estrogen-nitrosoureas EMCYT CAPS 2 Multitargeted Kinase Inhibitors, Bcr-Abl/c-kit Receptor Tyrosine Kinases
NEXAVAR TABS 2 PA Multitargeted Kinase Inhibitors, Gastrointestinal Stromal Tumors GLEEVEC TABS 2 SPRYCEL TABS 2 PA SUTENT CAPS 2 PA Multitargeted Kinase Inhibitors, Renal Cell Carcinoma NEXAVAR TABS 2 PA Retinoids PANRETIN GEL 2 PA TARGRETIN CAPS 2 PA TARGRETIN GEL 2 PA VESANOID CAPS 2 PA Selective Estrogen Receptor Modulators, 1st Generation FARESTON TABS 2 PA SOLTAMOX SOLN 2 PA tamoxifen citrate TABS 1 Antiparasitics Anthelmintics ALBENZA TABS 2 PA BILTRICIDE TABS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
mebendazole CHEW 1 MINTEZOL CHEW 2 PA MINTEZOL SUSP 2 PA STROMECTOL TABS 2 PA VERMOX CHEW 2 PA Antimalarials ARALEN TABS 2 PA chloroquine phosphate TABS 1 DARAPRIM TABS 2 FANSIDAR TABS 2 PA hydroxychloroquine sulfate TABS 1 LARIAM TABS 2 PA MALARONE TABS 2 PA mefloquine hcl TABS 1 PLAQUENIL TABS 2 PA PRIMAQUINE PHOSPHATE TABS 1 QUALAQUIN CAPS 2 PA Antiprotozoals (Non-antimalarials) ALINIA SUSR 2 PA ALINIA TABS 2 PA HUMATIN CAPS 2 PA MALARONE TABS 2 PA MEPRON SUSP 2 NEBUPENT SOLR 2 PA paromomycin sulfate CAPS 1 PENTAM 300 SOLR 2 PA pentamidine isethionate SOLR 2 PA TINDAMAX TABS 2 PA YODOXIN TABS 2 PA Pediculicides/Scabicides acticin CREA 1 CAPITROL SHAM 2 PA ELIMITE CREA 2 PA EURAX CREA 2 PA EURAX LOTN 2 PA LINDANE LOTN 1 lindane SHAM 1 MALATHION LIQD 2 PA OVIDE LOTN 2 PA PERMETHRIN TECHNICAL LIQD 1 permethrin CREA 1 Antiparkinson Agents Anticholinergics AKINETON TABS 2 PA benztropine mesylate TABS 1 COGENTIN SOLN 2 PA KEMADRIN TABS 2 PA trihexyphenidyl hcl ELIX 1 trihexyphenidyl hcl TABS 1 Antiparkinson Agents, Other
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
amantadine hcl CAPS 1 amantadine hcl SYRP 1 AMANTADINE HCL TABS 1 APOKYN SOLN 2 PA AZILECT TABS 2 PA ELDEPRYL CAPS 2 PA EMSAM PT24 2 PA selegiline hcl CAPS 1 selegiline hcl TABS 1 SYMMETREL TABS 2 PA ZELAPAR TBDP 2 PA Catechol O-methyltransferase (COMT) Inhibitors COMTAN TABS 2 PA STALEVO 100 TABS 2 PA STALEVO 150 TABS 2 PA STALEVO 50 TABS 2 PA TASMAR TABS 2 Dopamine Agonists bromocriptine mesylate CAPS 1 bromocriptine mesylate TABS 1 cabergoline TABS 2 PA MIRAPEX TABS 2 PARLODEL CAPS 2 PA PARLODEL TABS 2 PA pergolide mesylate TABS 1 PERMAX TABS 2 PA REQUIP TABS 2 Dopamine Precursors atamet TABS 2 PA carbidopa/levodopa cr TBCR 1 carbidopa/levodopa er TBCR 1 carbidopa/levodopa sr TBCR 1 carbidopa/levodopa TABS 1 LODOSYN TABS 2 PA PARCOPA TBDP 2 PA SINEMET CR TBCR 2 PA SINEMET TABS 2 PA STALEVO 100 TABS 2 PA STALEVO 150 TABS 2 PA STALEVO 50 TABS 2 PA Antipsychotics Atypicals ABILIFY DISCMELT TBDP 2 ABILIFY SOLN 2 ABILIFY SOLN 2 PA ABILIFY TABS 2 CLOZAPINE TABS 1 CLOZARIL TABS 2 PA FAZACLO TBDP 2 PA GEODON CAPS 2
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
GEODON SOLR 2 PA INVEGA TB24 2 PA RISPERDAL CONSTA SUSR 2 PA RISPERDAL M-TAB TBDP 2 RISPERDAL M-TAB TBDP 2 PA RISPERDAL SOLN 2 RISPERDAL TABS 2 SEROQUEL XR TB24 2 SEROQUEL TABS 2 SYMBYAX CAPS 2 ZYPREXA ZYDIS TBDP 2 ZYPREXA SOLR 2 ZYPREXA TABS 2 Conventional CHLORPROMAZINE HCL SOLN 1 PA chlorpromazine hcl TABS 1 DUO-VIL TABS 2 PA fluphenazine decanoate SOLN 2 PA FLUPHENAZINE HCL CONC 1 FLUPHENAZINE HCL ELIX 1 fluphenazine hcl TABS 1 FLUPHENAZINE HCL SOLN 2 PA HALDOL DECANOATE 50 SOLN 2 PA HALDOL DECANOATE-100 SOLN 2 PA HALDOL DECANOATE-50 SOLN 2 PA HALDOL SOLN 2 PA haloperidol decanoate SOLN 2 PA haloperidol lactate SOLN 2 PA haloperidol CONC 1 haloperidol TABS 1 loxapine succinate CAPS 1 LOXITANE CAPS 2 PA MOBAN TABS 2 MOBAN TABS 2 PA NAVANE CAPS 2 PA ORAP TABS 2 PERPHENAZINE /AMITRIPTYLINE TABS 2 PA perphenazine TABS 1 prochlorperazine edisylate SOLN 2 PA prochlorperazine maleate TABS 1 prochlorperazine SUPP 1 thioridazine hcl TABS 1 thiothixene CAPS 1 trifluoperazine hcl TABS 1 VESPRIN SOLN 1 Antivirals Anti-cytomegalovirus (CMV) Agents CYTOVENE CAPS 2 PA CYTOVENE SOLR 2 PA foscarnet sodium SOLN 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
FOSCAVIR SOLN 2 PA GANCICLOVIR CAPS 1 GANCICLOVIR CAPS 1 PA VALCYTE TABS 2 PA VISTIDE SOLN 2 PA Antiherpetic Agents ACYCLOVIR SODIUM SOLN 1 acyclovir sodium SOLR 1 acyclovir CAPS 1 acyclovir SUSP 1 acyclovir TABS 1 DENAVIR CREA 2 FAMVIR TABS 2 foscarnet sodium SOLN 2 PA FOSCAVIR SOLN 2 PA trifluridine SOLN 1 VALTREX TABS 2 VIROPTIC SOLN 2 PA ZOVIRAX CAPS 2 PA ZOVIRAX CREA 2 PA ZOVIRAX OINT 2 PA ZOVIRAX SOLR 2 PA ZOVIRAX SUSP 2 PA ZOVIRAX TABS 2 PA Anti-HIV Agents, Non-nucleoside Reverse Transcriptase Inhibitors
ATRIPLA TABS 2 RESCRIPTOR TABS 2 SUSTIVA CAPS 2 SUSTIVA TABS 2 VIRAMUNE SUSP 2 VIRAMUNE TABS 2 Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
ATRIPLA TABS 2 COMBIVIR TABS 2 didanosine CPDR 1 EMTRIVA CAPS 2 EMTRIVA SOLN 2 EPIVIR HBV SOLN 2 EPIVIR HBV TABS 2 EPIVIR SOLN 2 EPIVIR TABS 2 EPZICOM TABS 2 RETROVIR IV INFUSION SOLN 2 RETROVIR CAPS 2 RETROVIR SYRP 2 RETROVIR TABS 2 TRIZIVIR TABS 2 TRUVADA TABS 2
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
VIDEX EC CPDR 2 VIDEX PEDIATRIC SOLR 2 VIREAD TABS 2 ZERIT CAPS 2 ZERIT SOLR 2 ZIAGEN SOLN 2 ZIAGEN TABS 2 zidovudine SYRP 1 zidovudine TABS 1 Anti-HIV Agents, Protease Inhibitors AGENERASE CAPS 2 AGENERASE SOLN 2 APTIVUS CAPS 2 CRIXIVAN CAPS 2 INVIRASE CAPS 2 INVIRASE TABS 2 KALETRA CAPS 2 KALETRA SOLN 2 KALETRA TABS 2 LEXIVA TABS 2 NORVIR CAPS 2 NORVIR SOLN 2 PREZISTA TABS 2 REYATAZ CAPS 2 VIRACEPT TABS 2 Anti-human Immunodeficiency Virus (HIV) Agents, Fusion Inhibitors
FUZEON KIT 2 PA Anti-influenza Agents amantadine hcl CAPS 1 amantadine hcl SYRP 1 AMANTADINE HCL TABS 1 FLUMADINE SYRP 2 PA FLUMADINE TABS 2 PA RELENZA DISKHALER AEPB 2 QL PA rimantadine hcl TABS 1 SYMMETREL TABS 2 PA TAMIFLU CAPS 2 QL PA TAMIFLU SUSR 2 Antivirals, Other BARACLUDE TABS 2 COPEGUS TABS 2 PA HEPSERA TABS 2 PA REBETOL CAPS 2 PA REBETOL SOLN 2 PA ribapak MISC 2 PA ribapak TABS 2 PA ribasphere CAPS 2 PA ribasphere TABS 2 PA ribatab MISC 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
ribatab TABS 2 PA ribavirin CAPS 2 PA ribavirin TABS 2 PA TYZEKA TABS 2 PA VIRAZOLE SOLR 2 PA Anxiolytics Antidepressants doxepin hcl CAPS 1 doxepin hcl CONC 1 LEXAPRO SOLN 2 LEXAPRO TABS 2 Anxiolytics, Other amitriptyline /chlordiazepoxide TABS 1 chlordiazepoxide /amitriptyline TABS 1 LIMBITROL DS TABS 2 PA LIMBITROL TABS 2 PA Bipolar Agents Bipolar Agents ABILIFY DISCMELT TBDP 2 ABILIFY SOLN 2 ABILIFY SOLN 2 PA ABILIFY TABS 2 carbamazepine CHEW 1 carbamazepine SUSP 1 carbamazepine TABS 1 CARBATROL CP12 2 PA DEPAKOTE ER TB24 2 PA DEPAKOTE SPRINKLES CPSP 2 PA DEPAKOTE TBEC 2 epitol TABS 1 EQUETRO CP12 2 PA ESKALITH CR TBCR 2 PA ESKALITH CAPS 2 PA GEODON CAPS 2 GEODON SOLR 2 PA LAMICTAL STARTER/NOT TAKING CARBAMAZEPINE KIT 2 lithium carbonate er TBCR 1 lithium carbonate CAPS 1 LITHIUM CARBONATE TABS 1 lithium citrate SOLN 1 lithium citrate SYRP 1 LITHOBID TBCR 2 PA RISPERDAL CONSTA SUSR 2 PA RISPERDAL M-TAB TBDP 2 RISPERDAL M-TAB TBDP 2 PA RISPERDAL SOLN 2 RISPERDAL TABS 2 SEROQUEL XR TB24 2 SEROQUEL TABS 2 SYMBYAX CAPS 2
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
TEGRETOL CHEW 2 PA TEGRETOL SUSP 2 PA TEGRETOL TABS 2 PA TEGRETOL-XR TB12 2 ZYPREXA ZYDIS TBDP 2 ZYPREXA SOLR 2 ZYPREXA TABS 2 Bipolar Agents DEPAKOTE TBEC 2 Blood Glucose Regulators Alpha Glucosidase Inhibitors GLYSET TABS 2 PA PRECOSE TABS 2 PRECOSE TABS 2 PA ST Amylinomimetics SYMLIN SOLN 2 PA Biguanides ACTOPLUS MET TABS 2 AVANDAMET TABS 2 AVANDAMET TABS 2 PA ST FORTAMET TB24 2 glipizide/metformin hcl TABS 1 GLUCOPHAGE XR TB24 2 PA GLUCOPHAGE TABS 2 PA GLUCOVANCE TABS 2 PA GLUMETZA TB24 2 PA glyburide/metformin hcl TABS 1 JANUMET TABS 2 PA METAGLIP TABS 2 PA metformin hcl er TB24 1 metformin hcl TABS 1 RIOMET SOLN 2 PA Glycemic Agents GLUCAGEN HYPOKIT SOLR 2 PA GLUCAGON EMERGENCY KIT KIT 2 PROGLYCEM SUSP 2 PA Incretin Mimetics BYETTA SOLN 2 PA Insulin Mixtures, Analogs HUMALOG MIX 50/50 PEN SUSP 2 HUMALOG MIX 50/50 SUSP 2 HUMALOG MIX 75/25 PEN SUSP 2 HUMALOG MIX 75/25 SUSP 2 NOVOLOG MIX 70/30 PENFILL SUSP 2 PA NOVOLOG MIX 70/30 PREFILLED FLEXPEN SUSP 2 PA NOVOLOG MIX 70/30 SUSP 2 PA Insulin Mixtures, Short-acting and Intermediate-acting HUMULIN 50/50 SUSP 2 HUMULIN 70/30 PEN SUSP 2
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
HUMULIN 70/30 SUSP 2 NOVOLIN 70/30 INNOLET SUSP 2 PA NOVOLIN 70/30 PENFILL SUSP 2 PA NOVOLIN 70/30 SUSP 1 Insulin, Intermediate-acting HUMULIN N U-100 PEN SUSP 2 HUMULIN N SUSP 2 NOVOLIN N INNOLET SUSP 2 PA NOVOLIN N U-100 PENFILL SUSP 2 PA NOVOLIN N U-100 SUSP 1 NOVOLIN N SUSP 1 RELION 70/30 INNOLET SUSP 2 PA RELION 70/30 SUSP 1 RELION N INNOLET SUSP 2 PA RELION N SUSP 1 Insulin, Long-acting LANTUS OPTICLIK SOLN 2 PA LANTUS SOLN 2 LEVEMIR SOLN 2 Insulin, Rapid-acting APIDRA SOLN 2 PA EXUBERA COMBINATION PACK 15 POWD 2 PA EXUBERA KIT POWD 2 PA HUMALOG PEN SOLN 2 HUMALOG SOLN 2 NOVOLOG PENFILL SOLN 2 PA NOVOLOG SOLN 2 PA RELION R SOLN 2 PA Insulin, Short-acting HUMULIN R U-500 (CONCENTRATED) SOLN 2 HUMULIN R SOLN 2 NOVOLIN R INNOLET SOLN 2 PA NOVOLIN R U-100 PENFILL SOLN 2 PA NOVOLIN R U-100 SOLN 2 PA NOVOLIN R SOLN 2 PA Meglitinides PRANDIN TABS 2 STARLIX TABS 2 STARLIX TABS 2 ST Sulfonylureas AMARYL TABS 2 PA AVANDARYL TABS 2 chlorpropamide TABS 1 DIABETA TABS 2 PA DIABINESE TABS 2 PA DUETACT TABS 2 ST glimepiride TABS 1 glipizide er TB24 1 glipizide xl TB24 1 glipizide/metformin hcl TABS 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
glipizide TABS 1 GLUCOTROL XL TB24 2 PA GLUCOTROL TABS 2 PA GLUCOVANCE TABS 2 PA glyburide micronized TABS 1 glyburide/metformin hcl TABS 1 glyburide TABS 1 glycron TABS 2 PA GLYNASE TABS 2 PA METAGLIP TABS 2 PA MICRONASE TABS 2 PA tolazamide TABS 1 TOLAZAMIDE TABS 2 PA TOLBUTAMIDE TABS 1 TOLINASE TABS 2 PA Thiazolidinediones ACTOPLUS MET TABS 2 ACTOS TABS 2 AVANDAMET TABS 2 AVANDAMET TABS 2 PA ST AVANDARYL TABS 2 AVANDIA TABS 2 AVANDIA TABS 2 PA ST DUETACT TABS 2 ST Blood Glucose Regulators JANUVIA TABS 2 PA Blood Products/Modifiers/Volume Expanders Adenosine Diphosphate P2Y12 Inhibitors PLAVIX TABS 2 TICLID TABS 2 PA ticlopidine hcl TABS 1 Anticoagulants, Oral COUMADIN SOLR 2 PA COUMADIN TABS 2 PA jantoven TABS 2 jantoven TABS 2 PA warfarin sodium TABS 1 Blood Products/Modifiers/Volume Expanders HEPARIN SODIUM (PORCINE) POWD 1 HEPARIN SODIUM DCU SOLN 2 PA heparin sodium/d5w SOLN 2 PA HEPARIN SODIUM/NACL 0.45% SOLN 1 heparin sodium/nacl 0.9% SOLN 1 heparin sodium/nacl 0.9% SOLN 2 PA HEPARIN SODIUM/SODIUM CHLORIDE 0.9% SOLN 1 HEPARIN SODIUM SOLN 1 HEPARIN SODIUM SOLN 2 PA pentopak TBCR 2 PA pentoxifylline cr TBCR 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
pentoxifylline er TBCR 1 pentoxil TBCR 1 TRENTAL TBCR 2 PA Colony Stimulating Factors LEUKINE SOLN 2 PA LEUKINE SOLR 2 PA NEULASTA SOLN 2 PA NEUPOGEN SOLN 2 PA Cyclic Adenosine Monophosphate Reuptake Inhibitors AGGRENOX CP12 2 dipyridamole TABS 1 PERSANTINE TABS 2 PA Erythropoietins ARANESP ALBUMIN FREE SURECLICK SOLN 2 PA ARANESP ALBUMIN FREE SOLN 2 PA ARANESP SOLN 2 PA EPOGEN SOLN 2 PA PROCRIT SOLN 2 PA Factor Xa Inhibitors, Indirect ARIXTRA SOLN 2 PA Iron Overload Agents EXJADE TBSO 2 PA Low Molecular Weight Heparins FRAGMIN INJ 2 PA INNOHEP SOLN 2 PA LOVENOX SOLN 2 PA Phosphodiesterase III/Adenosine Uptake Inhibitors cilostazol TABS 1 PLETAL TABS 2 PA Blood Products/Modifiers/Volume Expanders AGRYLIN CAPS 2 PA anagrelide hydrochloride CAPS 1 Cardiovascular Agents 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) Reductase Inhibitors
ADVICOR TB24 2 ALTOPREV TB24 2 CADUET TABS 2 CRESTOR TABS 2 LESCOL XL TB24 2 LESCOL CAPS 2 LIPITOR TABS 2 lovastatin TABS 1 MEVACOR TABS 2 PA PRAVACHOL TABS 2 pravastatin sodium TABS 1 simvastatin TABS 1 VYTORIN TABS 2 ZOCOR TABS 2
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
Aldosterone Receptor Antagonists ALDACTAZIDE TABS 2 PA ALDACTONE TABS 2 PA INSPRA TABS 2 PA spironolactone /hydrochlorothiazide TABS 1 spironolactone TABS 1 Alpha-adrenergic Agonists ALDORIL D30 TABS 2 PA ALDORIL D50 TABS 2 PA ALDORIL-15 TABS 2 PA ALDORIL-25 TABS 2 PA CATAPRES TABS 2 PA CATAPRES-TTS 2 PTWK 2 PA CATAPRES-TTS-1 PTWK 2 CATAPRES-TTS-2 PTWK 2 PA CATAPRES-TTS-3 PTWK 2 PA clonidine hcl TABS 1 CLORPRES TABS 2 PA DURACLON SOLN 2 PA GUANABENZ ACETATE TABS 1 guanfacine hcl TABS 1 METHYLDOPA /HYDROCHLOROTHIAZIDE TABS 1 methyldopa TABS 1 METHYLDOPATE HCL SOLN 1 midodrine hcl TABS 1 PROAMATINE TABS 2 PA TENEX TABS 2 PA Alpha-adrenergic Blocking Agents CARDURA TABS 2 PA carvedilol TABS 1 doxazosin mesylate TABS 1 HYTRIN CAPS 2 PA MINIPRESS CAPS 2 PA MINIZIDE CAPS 2 PA prazosin hcl CAPS 1 RESERPINE TABS 1 terazosin hcl CAPS 1 Alpha-beta-adrenergic Blocking Agents carvedilol TABS 1 COREG CR CP24 2 COREG TABS 2 labetalol hcl TABS 1 labetalol hcl SOLN 2 PA PROPRANOLOL HCL ER CP24 1 TRANDATE IV SOLN 2 PA TRANDATE SOLN 2 PA TRANDATE TABS 2 PA Angiotensin II Receptor Antagonists ATACAND HCT TABS 2 PA ATACAND TABS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
AVALIDE TABS 2 PA AVAPRO TABS 2 PA BENICAR HCT TABS 2 BENICAR TABS 2 COZAAR TABS 2 DIOVAN HCT TABS 2 DIOVAN TABS 2 EXFORGE TABS 2 HYZAAR TABS 2 HYZAAR TABS 2 PA MICARDIS HCT TABS 2 PA MICARDIS TABS 2 PA TEVETEN HCT TABS 2 PA TEVETEN TABS 2 PA Angiotensin-converting Enzyme (ACE) Inhibitors ACCUPRIL TABS 2 PA ACCURETIC TABS 2 PA ACEON TABS 2 PA ALTACE CAPS 2 amlodipine besylate/benazepril hydrochloride CAPS 1 benazepril hcl/hydrochlorothiazide TABS 1 benazepril hcl TABS 1 CAPOTEN TABS 2 PA CAPOZIDE TABS 2 PA captopril /hydrochlorothiazide TABS 1 captopril TABS 1 enalapril maleate/hydrochlorothiazide TABS 1 enalapril maleate TABS 1 fosinopril sodium/hydrochlorothiazide TABS 1 fosinopril sodium TABS 1 fosinopril sodium TABS 2 PA LEXXEL TBCR 2 PA lisinopril /hydrochlorothiazide TABS 1 lisinopril TABS 1 LOTENSIN HCT TABS 2 PA LOTENSIN TABS 2 PA LOTREL CAPS 2 MAVIK TABS 2 PA moexipril hcl TABS 1 MONOPRIL HCT TABS 2 PA MONOPRIL TABS 2 PA PRINIVIL TABS 2 PA PRINZIDE TABS 2 PA quinapril /hydrochlorothiazide TABS 1 quinapril hcl TABS 1 quinapril/hctz TABS 1 quinapril TABS 1 quinaretic TABS 1 TARKA TBCR 2 PA trandolapril TABS 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
UNIRETIC TABS 2 PA UNIVASC TABS 2 PA VASERETIC TABS 2 PA VASOTEC TABS 2 PA ZESTORETIC TABS 2 PA ZESTRIL TABS 2 PA Antiarrhythmics - Class Ia/II/III/IV pacerone TABS 2 PA PROCAINAMIDE HCL ER TBCR 1 procainamide hcl sr TBCR 1 procainamide hcl CAPS 1 PROCAINAMIDE HCL SOLN 1 PROCAINAMIDE HCL SOLN 2 PA PROCANBID TB12 2 PA PRONESTYL SR TBCR 2 PA PRONESTYL CAPS 1 PRONESTYL CAPS 2 PA PRONESTYL TABS 2 PA Antiarrhythmics - Class II/III BETAPACE AF TABS 2 PA BETAPACE TABS 2 PA sorine TABS 1 sotalol hcl (af) TABS 1 sotalol hcl TABS 1 Antiarrhythmics - Class II acebutolol hcl CAPS 1 BLOCADREN TABS 2 PA Antiarrhythmics - Class III amiodarone hcl SOLN 1 PA amiodarone hcl TABS 1 BETAPACE AF TABS 2 PA BETAPACE TABS 2 PA CORDARONE I.V. SOLN 2 PA CORDARONE TABS 2 PA Antiarrhythmics - Class II INDERAL LA CP24 2 PA INDERAL TABS 2 PA INNOPRAN XL CP24 2 PA Antiarrhythmics - Class III PACERONE TABS 2 PA sotalol hcl TABS 1 TIKOSYN CAPS 2 PA Antiarrhythmics - Class II nadolol TABS 1 pindolol TABS 1 propranolol hcl er CP24 1 PROPRANOLOL HCL INTENSOL CONC 1 PROPRANOLOL HCL SOLN 1 propranolol hcl SOLN 1 PA propranolol hcl TABS 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
PROPRANOLOL HCL SOLN 2 PA SECTRAL CAPS 2 PA TIMOLIDE 10/25 TABS 2 PA TIMOLOL MALEATE TABS 1 Antiarrhythmics - Class IV CALAN SR TBCR 2 PA CALAN TABS 2 PA CARDIZEM CD CP24 2 PA CARDIZEM LA TB24 2 PA CARDIZEM SOLN 2 PA CARDIZEM TABS 2 PA cartia xt CP24 1 COVERA-HS TB24 2 PA DILACOR XR CP24 2 PA dilt-cd CP24 1 diltia xt CP24 1 diltiazem cd CP24 1 diltiazem hcl er CP12 1 diltiazem hcl er CP24 1 diltiazem hcl sr CP24 1 diltiazem hcl CP24 1 diltiazem hcl TABS 1 diltiazem hcl SOLN 2 PA DILTIAZEM HCL SOLR 2 PA diltiazem xr CP24 1 ISOPTIN SR TBCR 2 PA taztia xt CP24 1 TIAZAC CP24 2 PA verapamil hcl cr TBCR 1 verapamil hcl er CP24 1 verapamil hcl er TBCR 1 verapamil hcl sa TBCR 1 verapamil hcl sr CP24 1 verapamil hcl sr TBCR 1 verapamil hcl SOLN 1 PA verapamil hcl TABS 1 VERELAN PM CP24 2 PA VERELAN CP24 2 PA Antiarrhythmics - Classes IA, B, and C disopyramide phosphate er CP12 1 disopyramide phosphate CAPS 1 flecainide acetate TABS 1 MEXILETINE HCL CAPS 1 MEXITIL CAPS 2 PA NORPACE CR CP12 2 PA NORPACE CAPS 2 PA procainamide hcl CAPS 1 propafenone hcl TABS 1 quinidine gluconate cr TBCR 1 quinidine gluconate er TBCR 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
quinidine gluconate sa TBCR 1 QUINIDINE SULFATE ER TBCR 1 quinidine sulfate TABS 1 RYTHMOL SR CP12 2 PA RYTHMOL TABS 2 PA TAMBOCOR TABS 2 PA Antiarrhythmics (Other) MAGNESIUM SULFATE IN D5W SOLN 1 PA MAGNESIUM SULFATE SOLN 2 PA tis-u-sol viaflex SOLN 1 tis-u-sol SOLN 1 Bile Acid Sequestrants cholestyramine light PACK 1 cholestyramine light POWD 1 cholestyramine PACK 1 cholestyramine POWD 1 COLESTID FLAVORED GRAN 2 COLESTID FLAVORED PACK 2 COLESTID GRAN 2 COLESTID PACK 2 COLESTID TABS 2 colestipol hcl GRAN 1 colestipol hcl TABS 1 prevalite PACK 1 QUESTRAN LIGHT PACK 2 PA QUESTRAN LIGHT POWD 2 PA QUESTRAN PACK 2 PA QUESTRAN POWD 2 PA WELCHOL TABS 2 PA Calcium Channel Blocking Agents (Non-dihydropyridines) CALAN SR TBCR 2 PA CALAN TABS 2 PA CARDIZEM CD CP24 2 PA CARDIZEM LA TB24 2 PA CARDIZEM SOLN 2 PA CARDIZEM TABS 2 PA cartia xt CP24 1 COVERA-HS TB24 2 PA DILACOR XR CP24 2 PA dilt-cd CP24 1 diltia xt CP24 1 diltiazem cd CP24 1 diltiazem hcl er CP12 1 diltiazem hcl er CP24 1 diltiazem hcl sr CP24 1 diltiazem hcl CP24 1 diltiazem hcl TABS 1 diltiazem hcl SOLN 2 PA DILTIAZEM HCL SOLR 2 PA diltiazem xr CP24 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
dilt-xr CP24 1 ISOPTIN SR TBCR 2 PA TARKA TBCR 2 PA taztia xt CP24 1 TIAZAC CP24 2 PA verapamil hcl cr TBCR 1 verapamil hcl er CP24 1 verapamil hcl er TBCR 1 verapamil hcl sa TBCR 1 verapamil hcl sr CP24 1 verapamil hcl sr TBCR 1 verapamil hcl SOLN 1 PA verapamil hcl TABS 1 VERELAN PM CP24 2 PA VERELAN CP24 2 PA Carbonic Anhydrase Inhibitors ACETAZOLAMIDE SODIUM SOLR 1 acetazolamide TABS 1 DIAMOX CP12 2 PA methazolamide TABS 1 Cardioselective Beta-adrenergic Blocking Agents acebutolol hcl CAPS 1 atenolol/chlorthalidone TABS 1 atenolol TABS 1 betaxolol hcl TABS 1 bisoprolol fumarate/hydrochlorothiazide TABS 1 bisoprolol fumarate TABS 1 CORZIDE TABS 2 PA KERLONE TABS 1 KERLONE TABS 2 PA LOPRESSOR HCT TABS 2 PA LOPRESSOR SOLN 2 PA LOPRESSOR TABS 2 PA metoprolol /hydrochlorothiazide TABS 1 metoprolol succinate er TB24 1 metoprolol tartrate SOLN 1 PA metoprolol tartrate TABS 1 metoprolol tartrate TABS 1 PA SECTRAL CAPS 2 PA TENORMIN SOLN 2 PA TENORMIN TABS 2 PA TOPROL XL TB24 2 ZEBETA TABS 2 PA ZIAC TABS 2 PA Cardiovascular Agents INVERSINE TABS 2 PA TEKTURNA TABS 2 PA Cholesterol Absorption Inhibitors VYTORIN TABS 2 ZETIA TABS 2
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
Dihydropyridines ADALAT CC TB24 2 PA afeditab cr TB24 1 amlodipine besylate/benazepril hydrochloride CAPS 1 amlodipine besylate TABS 1 CADUET TABS 2 CARDENE I.V. SOLN 2 PA CARDENE SR CP12 2 PA CARDENE CAPS 2 PA DYNACIRC CR TB24 2 PA DYNACIRC CAPS 2 PA DYNACIRC-CR TB24 2 PA EXFORGE TABS 2 felodipine er TB24 1 isradipine CAPS 1 LEXXEL TBCR 2 PA LOTREL CAPS 2 nicardipine hcl CAPS 1 nifediac cc TB24 1 nifedical xl TB24 1 nifedipine er TB24 1 nifedipine CAPS 1 nifedipine TB24 1 NIMOTOP CAPS 2 PA NORVASC TABS 2 PLENDIL TB24 2 PA PROCARDIA XL TB24 2 PA PROCARDIA CAPS 2 PA SULAR TB24 2 Direct Cardiac Inotropics digitek TABS 1 DIGOXIN SOLN 1 digoxin TABS 1 digoxin SOLN 2 PA LANOXICAPS CAPS 2 PA LANOXIN SOLN 2 LANOXIN SOLN 2 PA LANOXIN TABS 2 PA Fibrates ANTARA CAPS 2 PA CLOFIBRATE LIQD 2 PA fenofibrate CAPS 1 gemfibrozil TABS 1 LOFIBRA CAPS 2 PA LOFIBRA TABS 2 PA LOPID TABS 2 PA TRICOR TABS 2 TRIGLIDE TABS 2 PA Loop Diuretics bumetanide TABS 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
bumetanide SOLN 2 PA BUMEX SOLN 2 PA BUMEX TABS 2 PA DEMADEX SOLN 2 PA DEMADEX TABS 2 PA EDECRIN TABS 2 PA FUROSEMIDE SOLN 1 furosemide SOLN 1 PA furosemide TABS 1 furosemide SOLN 2 PA LASIX TABS 2 PA SODIUM EDECRIN SOLR 2 PA torsemide TABS 1 Nonselective Beta-adrenergic Blocking Agents CARTROL TABS 2 PA CORGARD TABS 2 PA INDERAL LA CP24 2 PA INDERAL TABS 2 PA INDERIDE 40/25 TABS 2 PA INNOPRAN XL CP24 2 PA LEVATOL TABS 2 PA nadolol TABS 1 propranolol /hydrochlorothiazide TABS 1 propranolol hcl er CP24 1 PROPRANOLOL HCL INTENSOL CONC 1 PROPRANOLOL HCL SOLN 1 propranolol hcl SOLN 1 PA propranolol hcl TABS 1 PROPRANOLOL HCL SOLN 2 PA TIMOLOL MALEATE TABS 1 Omega-3 Fatty Acids OMACOR CAPS 2 Osmotic Diuretics ISMOTIC SOLN 2 PA Partial Fatty Acid Oxidase Inhibitors RANEXA TB12 2 PA Potassium-sparing Diuretics ALDACTAZIDE TABS 2 PA ALDACTONE TABS 2 PA amiloride /hydrochlorothiazide TABS 1 AMILORIDE HCL TABS 1 DYAZIDE CAPS 2 PA DYRENIUM CAPS 2 PA INSPRA TABS 2 PA MAXZIDE-25 TABS 2 PA MAXZIDE TABS 2 PA MIDAMOR TABS 2 PA MODURETIC 5-50 TABS 2 PA spironolactone /hydrochlorothiazide TABS 1 spironolactone TABS 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
triamterene /hydrochlorothiazide CAPS 1 triamterene /hydrochlorothiazide TABS 1 Thiazide Diuretics ALDACTAZIDE TABS 2 PA ALDORIL D30 TABS 2 PA ALDORIL D50 TABS 2 PA ALDORIL-15 TABS 2 PA ALDORIL-25 TABS 2 PA amiloride /hydrochlorothiazide TABS 1 ATACAND HCT TABS 2 PA benazepril hcl/hydrochlorothiazide TABS 1 bisoprolol fumarate/hydrochlorothiazide TABS 1 CAPOZIDE TABS 2 PA chlorothiazide TABS 1 chlorthalidone TABS 1 CLORPRES TABS 2 PA CORZIDE TABS 2 PA DIURIL IV SOLR 2 PA DIURIL SUSP 2 PA DYAZIDE CAPS 2 PA HYDRALAZINE /HYDROCHLOROTHIAZIDE CAPS 2 PA hydrochlorothiazide CAPS 1 hydrochlorothiazide TABS 1 HYDROCHLOROTHIAZIDE SOLN 2 PA indapamide TABS 1 INDERIDE 40/25 TABS 2 PA LOPRESSOR HCT TABS 2 PA LOZOL TABS 1 LOZOL TABS 2 PA MAXZIDE-25 TABS 2 PA MAXZIDE TABS 2 PA METHYCLOTHIAZIDE TABS 1 METHYLDOPA /HYDROCHLOROTHIAZIDE TABS 1 metolazone TABS 1 metoprolol /hydrochlorothiazide TABS 1 MICROZIDE CAPS 2 PA MINIZIDE CAPS 2 PA MODURETIC 5-50 TABS 2 PA NATURETIN TABS 2 PA propranolol /hydrochlorothiazide TABS 1 quinapril /hydrochlorothiazide TABS 1 quinapril/hctz TABS 1 quinaretic TABS 1 spironolactone /hydrochlorothiazide TABS 1 TENORETIC 100 TABS 2 PA TENORETIC 50 TABS 2 PA TEVETEN HCT TABS 2 PA THALITONE TABS 2 PA TIMOLIDE 10/25 TABS 2 PA triamterene /hydrochlorothiazide CAPS 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
triamterene /hydrochlorothiazide TABS 1 VASERETIC TABS 2 PA ZAROXOLYN TABS 2 PA ZIAC TABS 2 PA Vasodilators, Direct-acting Arterial/Venous BIDIL TABS 2 PA DILATRATE SR CPCR 2 PA IMDUR TB24 2 PA ISMO TABS 2 PA isochron TBCR 2 PA ISORDIL TITRADOSE TABS 1 ISORDIL TITRADOSE TABS 2 PA isosorbide dinitrate er TBCR 1 isosorbide dinitrate sa TBCR 1 isosorbide dinitrate tr TBCR 1 isosorbide dinitrate SUBL 1 isosorbide dinitrate TABS 1 isosorbide mononitrate er TB24 1 isosorbide mononitrate TABS 1 minitran PT24 1 MONOKET TABS 1 MONOKET TABS 2 PA nitrek PT24 1 NITRO-BID OINT 2 PA NITRO-DUR PT24 1 NITRO-DUR PT24 2 PA NITROGARD TBCR 2 PA nitroglycerin cr CPCR 1 nitroglycerin er CPCR 1 nitroglycerin sr CPCR 1 nitroglycerin td CPCR 1 nitroglycerin transdermal PT24 1 NITROGLYCERIN OINT 1 nitroglycerin PT24 1 nitroglycerin SUBL 1 nitroglycerin SOLN 2 PA NITROLINGUAL PUMPSPRAY SOLN 2 PA nitroquick SUBL 1 NITROSTAT SUBL 1 nitro-time CPCR 1 Vasodilators, Direct-acting Arterial BIDIL TABS 2 PA HYDRALAZINE /HYDROCHLOROTHIAZIDE CAPS 2 PA hydralazine hcl TABS 1 hydralazine hcl SOLN 2 PA minoxidil TABS 1 papaverine hcl cr CPCR 1 papaverine hcl er CPCR 1 papaverine hcl SOLN 2 PA para-time CPCR 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
Vasodilators, Endothelin Receptor Antagonists LETAIRIS TABS 2 PA TRACLEER TABS 2 PA Cardiovascular Agents DEMSER CAPS 2 PA niacor TABS 2 NIASPAN TBCR 2 Central Nervous System Agents Amphetamines ADDERALL XR CP24 2 ADDERALL TABS 2 PA amphetamine /dextroamphetamine TABS 1 amphetamine salt combo TABS 1 amphetamine salts combo TABS 1 DESOXYN TABS 2 PA DEXEDRINE CP24 2 PA DEXEDRINE TABS 2 PA dextroamphetamine sulfate TABS 1 dextroamphetamine sulfatecr CP24 1 dextrostat TABS 1 methamphetamine hcl TABS 1 VYVANSE CAPS 2 PA Non-amphetamines CONCERTA TBCR 2 DAYTRANA PTCH 2 PA FOCALIN XR CP24 2 FOCALIN XR CP24 2 PA FOCALIN TABS 2 PA METADATE CD CPCR 2 PA METADATE ER TBCR 2 PA methylin er TBCR 1 methylin TABS 1 METHYLIN CHEW 2 PA METHYLIN SOLN 2 PA methylphenidate hcl er TBCR 1 methylphenidate hcl sr TBCR 1 methylphenidate hcl TABS 1 methylphenidate hcl TBCR 1 PROVIGIL TABS 2 PA RILUTEK TABS 2 PA RITALIN LA CP24 2 RITALIN SR TBCR 2 PA RITALIN TABS 2 PA STRATTERA CAPS 2 STRATTERA CAPS 2 PA XYREM SOLN 2 PA Dental and Oral Agents Dental and Oral Agents APHTHASOL PSTE 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
cavarest GEL 2 PA chlorhexadine gluconate oral rinse SOLN 1 CHLORHEXIDINE CONCENTRATE CONC 1 chlorhexidine gluconate SOLN 1 CHLORHEXIDINE GLUCONATE SOLN 2 PA KENALOG IN ORABASE PSTE 1 PERIDEX ORAL RINSE SOLN 2 PA PERIDEX SOLN 2 PA periogard SOLN 1 perisol SOLN 2 PA pilocarpine hcl TABS 1 pilocarpine hydrochloride TABS 1 SALAGEN TABS 2 PA triamcinolone dental PSTE 1 triamcinolone in orabase PSTE 1 Dermatological Agents Dermatological Anti-inflammatories ELOCON CREA 2 PA locoid OINT 2 PA LOTRISONE CREA 2 PA mometasone furoate CREA 1 SOLARAZE GEL 2 PA Dermatological Antipruritic Agents a/b otic SOLN 1 allergen SOLN 2 PA AMERICAINE OTIC SOLN 2 PA AMERICAINE GEL 2 PA ANACAINE OINT 2 PA antiben SOLN 2 PA antipyrine /benzocaine SOLN 1 antipyrine/benzocaine SOLN 1 aurodex SOLN 2 PA auroguard SOLN 2 PA auroto SOLN 2 PA balagan SOLN 2 PA benzotic SOLN 2 PA cefadroxil SUSR 1 cefadroxil TABS 1 dolotic SOLN 2 PA DURICEF CAPS 2 PA DURICEF TABS 2 PA ear drops SOLN 1 ear-gesic SOLN 1 omedia otic SOLN 2 PA oticaine otic SOLN 1 oticin hc SOLN 2 PA otocain SOLN 2 PA otogesic otic SOLN 2 PA otogesic SOLN 2 PA otra nr SOLN 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
pro-otic SOLN 2 PA prudoxin CREA 2 PA PYRIDIUM TABS 2 PA ZONALON CREA 2 PA Dermatological Caustic Agents BENSAL HP OINT 2 PA CONDYLOX W/APPLICATORS SOLN 2 PA CONDYLOX GEL 2 PA DICHLOROACETIC ACID LIQD 1 KERALYT GEL 2 PA podofilox SOLN 1 SALEX CREA 2 PA SALEX LOTN 2 PA Dermatological Emolients ammonium lactate CREA 1 ammonium lactate LOTN 1 AMMONIUM LACTATE SOLN 1 CARMOL-HC CREA 2 PA laccream CREA 2 PA LAC-HYDRIN CREA 2 PA LAC-HYDRIN LOTN 2 PA laclotion LOTN 2 PA Dermatological Immunomodulators ALDARA CREA 2 PA ELIDEL CREA 2 PA PROTOPIC OINT 2 Dermatological Mitotic Inhibitors anthralin CREA 2 PA DOVONEX CREA 2 PA DOVONEX OINT 2 PA DOVONEX SOLN 2 PA DRITHO-SCALP CREA 2 PA PSORIATEC CREA 2 PA TACLONEX OINT 2 PA Dermatological Photochemotherapy Agents 8-MOP CAPS 1 PA OXSORALEN ULTRA CAPS 2 PA OXSORALEN LOTN 2 PA UVADEX SOLN 2 PA Dermatological Retinoids ACCUTANE CAPS 2 PA amnesteem CAPS 2 PA claravis CAPS 2 PA isotretinoin CAPS 1 SORIATANE CAPS 2 PA sotret CAPS 2 PA TAZORAC CREA 2 TAZORAC GEL 2 tretinoin CREA 1 tretinoin GEL 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
ZIANA GEL 2 PA Dermatological Wound Care Agents ACCUZYME LIQD 2 ACCUZYME OINT 2 allanenzyme LIQD 2 PA allanenzyme OINT 2 PA ALLANFILLENZYME LIQD 2 PA allanfillenzyme OINT 2 PA ethezyme 830 OINT 2 PA ETHEZYME OINT 2 PA gladase OINT 1 gladase-c OINT 1 kovia 6.5 OINT 2 kovia OINT 1 PANAFIL LIQD 2 PA PANAFIL OINT 2 PA papain-urea-chlorophyllin OINT 1 pap-urea OINT 1 REGRANEX GEL 2 QL PA SANTYL OINT 2 PA SILVER NITRATE OINT 1 SILVER NITRATE SOLN 1 ziox 405 OINT 2 PA ziox OINT 1 Pigmenting Agents BENOQUIN CREA 2 PA Dermatological Agents AZELEX CREA 2 PA CARAC CREA 2 PA FINACEA GEL 2 PA Enzyme Replacements/Modifiers Enzyme Replacements/Modifiers ALDURAZYME SOLN 2 PA BUPHENYL TABS 2 PA CEREDASE SOLN 2 PA CEREZYME SOLR 2 PA CREON 5 CPEP 2 PA CREON 10 CPEP 2 PA CREON 20 CPEP 2 PA CYSTADANE POWD 2 PA CYSTAGON CAPS 2 PA DYGASE CAPS 2 PA ELAPRASE SOLN 2 PA ELSPAR SOLR 2 PA ENZYCAP CAPS 2 PA ENZYMAX TABS 2 PA FABRAZYME SOLR 2 PA KUTRASE CAPS 2 PA KU-ZYME HP CAPS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
KU-ZYME CAPS 2 PA LAPASE CAPS 2 PA LIPRAM 4500 CPEP 2 PA LIPRAM-CR10 CPEP 2 PA LIPRAM-CR20 CPEP 2 PA LIPRAM-CR5 CPEP 2 PA LIPRAM-PN10 CPEP 2 PA LIPRAM-PN16 CPEP 2 PA LIPRAM-PN20 CPEP 2 PA LIPRAM-UL12 CPEP 2 PA LIPRAM-UL18 CPEP 2 PA LIPRAM-UL20 CPEP 2 PA MYOZYME SOLR 2 PA NAGLAZYME SOLN 2 PA PALCAPS 10 CPEP 2 PA PALCAPS 20 CPEP 2 PA PALIPASE MT 16 CPEP 2 PA PALIPASE MT 20 CPEP 2 PA PALIPASE CPEP 2 PA PALPEON DR 10 CPEP 2 PA PALPEON DR 20 CPEP 2 PA PALPEON MT 20 CPEP 2 PA PALTRASE V8 TABS 2 PA PANCREASE MT 10 CPEP 2 PA PANCREASE MT 16 CPEP 2 PA PANCREASE MT 20 CPEP 2 PA PANCREASE MT 4 CPEP 2 PA PANCREASE CPEP 2 PA PANCRECARB MS-16 CPEP 2 PA PANCRECARB MS-4 CPEP 2 PA PANCRECARB MS-8 CPEP 2 PA PANCRELIPASE MST-16 CPEP 2 PA PANCRELIPASE CAPS 2 PA PANCRELIPASE CPEP 2 PA PANCRELIPASE TABS 2 PA PANCRON 10 CPEP 2 PA PANCRON 20 CPEP 2 PA PANGESTYME CN 10 CPEP 2 PA PANGESTYME CN 20 CPEP 2 PA PANGESTYME EC CPEP 2 PA PANGESTYME MT 16 CPEP 2 PA PANGESTYME UL 12 CPEP 2 PA PANGESTYME UL 18 CPEP 2 PA PANGESTYME UL 20 CPEP 2 PA PANOCAPS MT 16 CPEP 2 PA PANOCAPS MT 20 CPEP 2 PA PANOCAPS CPEP 2 PA PANOKASE-16 TABS 2 PA PANOKASE TABS 2 PA PLARETASE 8000 TABS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
PULMOZYME SOLN 2 PA SUCRAID SOLN 2 PA ULTRACAPS MT 20 CPEP 2 PA ULTRASE MT 12 CPEP 2 PA ULTRASE MT 18 CPEP 2 PA ULTRASE MT 20 CPEP 2 PA ULTRASE CPEP 2 PA VIOKASE 16 TABS 2 PA VIOKASE 8 TABS 2 PA ZAVESCA CAPS 2 PA Gastrointestinal Agents Antispasmodics, Gastrointestinal ANASPAZ TABS 2 PA a-spas SUBL 2 PA atreza TABS 2 PA atropine sulfate SOLN 1 PA ATROVENT SOLN 2 PA B & O 15-A SUPPRETTE SUPP 1 B & O 16-A SUPPRETTE SUPP 1 belladonna & opium SUPP 1 belladonna alkaloids & opium SUPP 1 BENTYL CAPS 2 PA BENTYL SOLN 2 PA BENTYL SYRP 2 PA BENTYL TABS 2 PA CANTIL TABS 2 PA colidrops pediatric SOLN 2 PA COLYTROL PEDIATRIC SOLN 2 PA COLYTROL SUSP 2 PA COLYTROL TABS 2 PA CYSTOSPAZ TABS 2 PA dicyclomine hcl CAPS 1 dicyclomine hcl SOLN 1 dicyclomine hcl TABS 1 dicyclomine hcl SOLN 2 PA diphenatol TABS 1 diphenoxylate/atropine TABS 1 dispas TBDP 2 PA ENLON-PLUS SOLN 2 PA glycopyrrolate TABS 1 glycopyrrolate SOLN 2 PA hyoscyamine sulfate ELIX 1 hyoscyamine sulfate SOLN 1 hyoscyamine sulfate SUBL 1 hyoscyamine sulfate TABS 1 hyoscyamine sulfate TBDP 1 hyoscyamine TABS 1 hyospaz TABS 1 hyosyne ELIX 2 PA hyosyne SOLN 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
IB-STAT AERS 2 PA LEVSIN/SL SUBL 2 PA LEVSIN ELIX 2 PA LEVSIN SOLN 2 PA LEVSIN TABS 2 PA LOMOTIL LIQD 2 PA LOMOTIL TABS 2 PA maldemar TABS 2 PA MAR-SPAS TBDP 2 PA methscopolamine bromide TABS 1 MOTOFEN TABS 2 PA neosol TBDP 2 PA NULEV TBDP 2 PA PAMINE FORTE TABS 2 PA PAMINE TABS 2 PA PRO-BANTHINE TABS 2 PA PROPANTHELINE BROMIDE TABS 1 PROSED/DS (ATROPINE FREE) TABS 2 PA ROBINUL FORTE TABS 2 PA ROBINUL SOLN 2 PA ROBINUL TABS 2 PA SAL-TROPINE TABS 2 PA SCOPACE TABS 2 PA SCOPOLAMINE HYDROBROMIDE SOLN 1 SIMETYL ELIX 2 PA SIMETYL TABS 2 PA spasdel ELIX 2 PA spasdel SOLN 2 PA spasdel TABS 2 PA symax fastabs TBDP 2 PA symax-sl SUBL 2 PA TRANSDERM-SCOP PT72 2 PA Gastrointestinal Agents, Other ACTIGALL CAPS 2 PA AMITIZA CAPS 2 PA COLYTE SOLR 1 COLYTE-FLAVOR PACKS SOLR 1 constulose SOLN 1 di-atro TABS 1 DIPENTUM CAPS 2 diphenatol TABS 1 diphenoxylate/atropine LIQD 1 diphenoxylate/atropine TABS 1 enulose SOLN 1 GASTROCROM CONC 2 PA generlac SOLN 1 glycolax PACK 1 glycolax POWD 1 GOLYTELY SOLR 2 PA KRISTALOSE PACK 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
LACTULOSE SOLN 1 lofene TABS 1 LOMOTIL LIQD 2 PA LOMOTIL TABS 2 PA lonox TABS 2 PA loperamide hcl CAPS 1 metoclopramide hcl SOLN 1 metoclopramide hcl TABS 1 MOVIPREP SOLR 2 PA NULYTELY SOLR 2 PA OSMOPREP TABS 2 PA peg 3350/electrolytes SOLR 1 polyethylene glycol 3350 PACK 1 POLYETHYLENE GLYCOL 3350 POWD 1 PYLERA CAPS 2 PA REGLAN SOLN 2 PA REGLAN TABS 2 PA URSO 250 TABS 2 PA URSO FORTE TABS 2 PA ursodiol CAPS 1 XENICAL CAPS 2 PA Histamine2 (H2) Blocking Agents AXID CAPS 2 PA AXID SOLN 2 PA cimetidine hcl SOLN 1 cimetidine TABS 1 famotidine premixed SOLN 2 PA famotidine TABS 1 famotidine SOLN 2 PA nizatidine CAPS 1 PEPCID I.V. SOLN 2 PA PEPCID PREMIXED SOLN 2 PA PEPCID SUSR 2 PA PEPCID TABS 2 PA ranitidine hcl CAPS 1 ranitidine hcl SOLN 1 PA ranitidine hcl SYRP 1 ranitidine hcl TABS 1 TAGAMET TABS 1 TAGAMET TABS 2 PA TALADINE CAPS 2 PA ZANTAC CAPS 2 PA ZANTAC PACK 2 PA ZANTAC SOLN 2 PA ZANTAC SYRP 2 PA ZANTAC TABS 2 PA ZANTAC TBEF 2 PA Irritable Bowel Syndrome Agents LOTRONEX TABS 2 PA Protectants
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
ARTHROTEC 50 TABS 2 PA ARTHROTEC 75 TABS 2 PA CARAFATE SUSP 2 PA CARAFATE TABS 2 PA CYTOTEC TABS 2 PA misoprostol TABS 1 sucralfate TABS 1 SUCRALFATE SUSP 2 PA Proton Pump Inhibitors ACIPHEX TBEC 2 PA ST NEXIUM I.V. SOLR 2 PA NEXIUM CPDR 2 NEXIUM PACK 2 PA omeprazole CPDR 1 PREVACID NAPRAPAC KIT 2 PA PREVACID SOLUTAB TBDP 2 PREVACID SOLUTAB TBDP 2 PA ST PREVACID CPDR 2 PREVACID PACK 2 PREVACID PACK 2 ST PREVPAC MISC 2 PA PRILOSEC CPDR 2 PA PROTONIX SOLR 2 PA PROTONIX TBEC 2 PA PROTONIX TBEC 2 PA ST ZEGERID CAPS 2 PA ZEGERID PACK 2 PA Genitourinary Agents 5 Alpha-reductase Inhibitors AVODART CAPS 2 PROSCAR TABS 2 Alpha1-adrenergic Blocking Agents CARDURA TABS 2 PA doxazosin mesylate TABS 1 FLOMAX CP24 2 PA HYTRIN CAPS 2 PA prazosin hcl CAPS 1 terazosin hcl CAPS 1 UROXATRAL TB24 2 PA Antispasmodics, Urinary DETROL LA CP24 2 DETROL TABS 2 DITROPAN XL TB24 2 PA DITROPAN SYRP 2 PA DITROPAN TABS 2 PA ENABLEX TB24 1 oxybutynin chloride er TB24 1 oxybutynin chloride SYRP 1 oxybutynin chloride TABS 1 OXYTROL PTTW 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
SANCTURA TABS 2 PA SIMETHICONE LIQD 1 URISPAS TABS 2 PA VESICARE TABS 2 Genitourinary Agents ELMIRON CAPS 2 PA THIOLA TABS 2 PA URELLE TABS 2 PA UTIRA TBEC 1 Oxytocics oxytocin SOLN 1 PITOCIN SOLN 2 PA Phosphate Binders FOSRENOL CHEW 2 FOSRENOL CHEW 2 PA PHOSLO CAPS 2 RENAGEL TABS 2 RENAGEL TABS 2 PA Genitourinary Agents URECHOLINE TABS 2 PA Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids ADVAIR DISKUS MISC 2 a-methapred SOLR 2 PA ARISTOSPAN INTRA-ARTICULAR SUSP 2 PA ARISTOSPAN INTRALESIONAL SUSP 2 PA CELESTONE SOLN 2 PA CORTEF TABS 2 PA cortisone acetate TABS 1 DECADRON TABS 2 PA deltasone TABS 2 PA DEPO-MEDROL SUSP 2 PA DEXAMETHASONE INTENSOL CONC 2 PA dexamethasone sodium phosphate SOLN 1 dexamethasone sodium phosphate SOLN 2 PA DEXAMETHASONE ELIX 1 DEXAMETHASONE SOLN 1 dexamethasone TABS 1 DEXPAK 13 DAY TABS 2 PA KENALOG-10 MDV SUSP 2 PA KENALOG-10 SUSP 2 PA KENALOG-40 SUSP 2 PA KEY-PRED SUSP 2 PA LOTRISONE CREA 2 PA MEDROL DOSEPAK TABS 2 PA MEDROL TABS 2 PA methylprednisolone acetate SUSP 1 methylprednisolone sodiumsuccinate SOLR 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
methylprednisolone TABS 1 neomycin /polymyxin /dexamethasone SUSP 1 ORAPRED ODT TBDP 2 PA ORAPRED SOLN 2 PA PEDIAPRED LIQD 2 PA prednisolone acetate SUSP 1 prednisolone sodium phosphate LIQD 1 prednisolone sodium phosphate SOLN 1 prednisolone SYRP 1 prednisolone TABS 1 PREDNISONE INTENSOL CONC 2 PA PREDNISONE SOLN 1 PREDNISONE TABS 1 PRELONE SYRP 2 PA SOLU-CORTEF SOLR 2 PA SOLU-MEDROL ACT-O-VIAL SOLR 2 PA SOLU-MEDROL SOLR 2 PA SOLUREX LA SUSP 2 PA STERAPRED 12 DAY TABS 1 STERAPRED DS 12 DAY TABS 1 STERAPRED DS TABS 1 STERAPRED TABS 1 Glucocorticoids-Topical-High Potency alclometasone dipropionate CREA 1 amcinonide CREA 1 AMCINONIDE LOTN 1 amcinonide OINT 1 ARISTOCORT A CREA 2 PA ARISTOCORT A OINT 2 PA ARISTOCORT TABS 2 PA augmented betamethasone dipropionate CREA 1 augmented betamethasone dipropionate GEL 1 betamethasone dipropionate CREA 1 betamethasone dipropionate GEL 1 betamethasone dipropionate LOTN 1 betamethasone dipropionate OINT 1 clotrimazole/betamethasone dipropionate CREA 1 clotrimazole/betamethasone dipropionate LOTN 1 CYCLOCORT CREA 2 PA CYCLOCORT LOTN 2 PA CYCLOCORT OINT 2 PA del-beta LOTN 2 PA DESONATE GEL 2 PA desoximetasone CREA 1 desoximetasone GEL 1 desoximetasone OINT 2 PA DIPROLENE AF CREA 2 PA DIPROLENE GEL 2 PA DIPROLENE LOTN 2 PA DIPROLENE OINT 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
fluocinolone acetonide CREA 1 fluocinolone acetonide OINT 1 fluocinolone acetonide SOLN 1 fluocinonide emollient base CREA 1 fluocinonide CREA 1 fluocinonide GEL 1 fluocinonide OINT 1 fluocinonide SOLN 1 fluocinonide-e CREA 1 HALOG CREA 2 PA HALOG OINT 2 PA HALOG SOLN 2 PA KENALOG AERS 2 PA KENALOG CREA 2 PA LIDEX CREA 2 PA LIDEX GEL 2 PA LIDEX OINT 2 PA LIDEX SOLN 2 PA LIDEX-E CREA 2 PA LOTRISONE CREA 2 PA LOTRISONE LOTN 2 PA mytrex CREA 1 nystatin/triamcinolone CREA 1 nystatin/triamcinolone OINT 1 TACLONEX OINT 2 PA TOPICORT CREA 2 PA TOPICORT GEL 2 PA TOPICORT OINT 2 PA triamcinolone acetonide CREA 1 triamcinolone acetonide OINT 1 VANOS CREA 2 PA Glucocorticoids-Topical-Low Potency ACLOVATE CREA 2 PA ACLOVATE OINT 2 PA ala-cort CREA 2 PA ala-cort LOTN 2 PA ALA-SCALP LOTN 2 PA alclometasone dipropionate OINT 1 ANUSOL-HC CREA 1 CARMOL-HC CREA 2 PA cetacort LOTN 2 PA CLODERM CREA 2 PA CORTIFOAM FOAM 2 PA CORTISPORIN CREA 2 PA CORTISPORIN OINT 2 PA desonide OINT 1 hc cream CREA 1 hydrocortisone in absorbase OINT 1 hydrocortisone CREA 1 hydrocortisone LOTN 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
hydrocortisone OINT 1 HYTONE LOTN 1 HYTONE CREA 2 PA keratol hc CREA 2 PA lacticare-hc LOTN 2 PA nutracort LOTN 1 nystatin/triamcinolone OINT 1 proctocare-hc CREA 2 PA PROCTOCORT CREA 2 PA proctocream-hc CREA 2 PA procto-kit CREA 2 PA procto-pak CREA 1 proctosol hc CREA 2 PA proctozone-hc CREA 1 SYNALAR SOLN 2 PA texacort SOLN 1 TEXACORT SOLN 2 PA triamcinolone/nystatin CREA 1 triamcinolone/nystatin OINT 1 TRIDESILON CREA 2 PA TRIDESILON OINT 2 PA u-cort CREA 2 PA VERDESO FOAM 2 PA Glucocorticoids-Topical-Medium Potency betamethasone valerate CREA 1 betamethasone valerate LOTN 1 betamethasone valerate OINT 1 beta-val CREA 1 beta-val LOTN 1 CAPEX SHAM 2 PA CORDRAN SP CREA 2 PA CORDRAN TAPE TAPE 2 PA CORDRAN LOTN 2 PA CORDRAN OINT 2 PA CUTIVATE CREA 2 PA CUTIVATE LOTN 2 PA CUTIVATE OINT 2 PA DERMA-SMOOTHE/FS BODY OIL OIL 2 PA DERMA-SMOOTHE/FS SCALP OIL OIL 2 PA DERMATOP CREA 2 PA DERMATOP OINT 2 PA desonide CREA 1 desonide LOTN 1 DESOWEN OINT 1 DESOWEN CREA 2 PA DESOWEN LOTN 2 PA desoximetasone CREA 1 ELOCON CREA 2 PA ELOCON LOTN 2 PA ELOCON OINT 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
fluocinolone acetonide CREA 1 fluocinolone acetonide SOLN 1 fluticasone propionate CREA 1 fluticasone propionate OINT 1 hydrocortisone butyrate CREA 1 hydrocortisone butyrate OINT 1 hydrocortisone butyrate SOLN 1 hydrocortisone valerate CREA 1 hydrocortisone valerate OINT 1 KENALOG CREA 2 PA KENALOG LOTN 2 PA KENALOG OINT 2 PA LOCOID LIPOCREAM CREA 2 PA locoid CREA 2 PA locoid OINT 2 PA locoid SOLN 2 PA lokara LOTN 1 LUXIQ FOAM 2 PA mometasone furoate CREA 1 mometasone furoate OINT 1 mometasone furoate SOLN 1 PANDEL CREA 2 PA prednicarbate CREA 1 SYNALAR CREA 2 PA SYNALAR OINT 2 PA TEMOVATE SOLN 2 PA TOPICORT LP CREA 2 PA TRIAMCINOLONE ACETONIDE IN ABSORBASE OINT 2 PA triamcinolone acetonide CREA 1 triamcinolone acetonide LOTN 1 triamcinolone acetonide OINT 1 triamcinolone acetonide PSTE 1 triderm CREA 2 PA triderm OINT 2 PA WESTCORT CREA 2 PA WESTCORT OINT 2 PA Glucocorticoids-Topical-Very High Potency alphatrex GEL 2 PA apexicon e CREA 1 apexicon OINT 2 PA augmented betamethasone dipropionate OINT 1 clobetasol propionate e CREA 1 clobetasol propionate emollient CREA 1 clobetasol propionate CREA 1 clobetasol propionate GEL 1 clobetasol propionate OINT 1 clobetasol propionate SOLN 1 clobevate GEL 2 PA CLOBEX LIQD 2 PA CLOBEX LOTN 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
CLOBEX SHAM 2 PA cormax CREA 1 cormax OINT 1 cormax SOLN 1 diflorasone diacetate CREA 1 diflorasone diacetate OINT 1 embeline e CREA 1 embeline CREA 1 embeline GEL 1 embeline OINT 1 embeline SOLN 1 halobetasol propionate CREA 1 halobetasol propionate OINT 1 isovate CREA 2 PA MAXIFLOR CREA 1 MAXIFLOR OINT 1 OLUX FOAM 2 PA OLUX-E FOAM 2 PA PSORCON E CREA 2 PA PSORCON E OINT 2 PA TEMOVATE E CREA 2 PA TEMOVATE CREA 2 PA TEMOVATE GEL 2 PA TEMOVATE OINT 2 PA ULTRAVATE CREA 2 PA ULTRAVATE OINT 2 PA Mineralocorticoids FLORINEF TABS 2 PA fludrocortisone acetate TABS 1 Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Bisphosphonates, Oral ACTONEL WITH CALCIUM TABS 2 ACTONEL TABS 2 BONIVA TABS 2 PA DIDRONEL TABS 2 etidronate disodium TABS 1 FOSAMAX PLUS D TABS 2 FOSAMAX SOLN 2 FOSAMAX TABS 2 SKELID TABS 2 PA Bisphosphonates, Parenteral AREDIA SOLR 2 PA BONIVA KIT 2 PA DIDRONEL IV SOLN 2 PA pamidronate disodium SOLN 2 PA pamidronate disodium SOLR 2 PA RECLAST SOLN 2 PA ZOMETA CONC 2 PA Calcium Regulating Hormones
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
FORTEO SOLN 2 PA fortical SOLN 2 PA MIACALCIN SOLN 2 MIACALCIN SOLN 2 PA Parathyroid Hormone Analogs FORTEO SOLN 2 PA Vitamin D-related Agents/Metabolic Bone Disease Agents CALCIJEX SOLN 2 PA calcitriol CAPS 1 calcitriol SOLN 1 PA DHT INTENSOL SOLN 2 PA DHT TABS 2 PA HECTOROL CAPS 2 HECTOROL CAPS 2 PA HECTOROL SOLN 2 PA ROCALTROL CAPS 2 PA ROCALTROL SOLN 2 PA ZEMPLAR CAPS 2 PA ZEMPLAR SOLN 2 PA Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary) DDAVP SOLN 2 PA DDAVP TABS 2 PA desmopressin acetate SOLN 1 desmopressin acetate TABS 1 desmopressin acetate SOLN 2 PA GENOTROPIN MINIQUICK SOLR 2 PA GENOTROPIN SOLR 2 PA HUMATROPE COMBO PACK SOLR 2 PA HUMATROPE SOLR 2 PA minirin SOLN 2 PA NORDITROPIN CARTRIDGE SOLN 2 PA NORDITROPIN NORDIFLEX PEN SOLN 2 PA NORDITROPIN NORDIFLEX SOLN 2 PA NUTROPIN AQ PEN SOLN 2 PA NUTROPIN AQ SOLN 2 PA NUTROPIN SOLR 2 PA SAIZEN CLICK.EASY SOLR 2 PA SAIZEN SOLR 2 PA SEROSTIM SOLR 2 PA SOMAVERT SOLR 2 PA STIMATE SOLN 2 PA TEV-TROPIN SOLR 2 PA ZORBTIVE SOLR 2 PA Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
INCRELEX SOLN 2 PA Hormonal Agents, Stimulant/Replacement/Modifying (Sex
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
Hormones/Modifiers) Androgens/Anabolic Steroids ANADROL-50 TABS 2 PA ANDRODERM PT24 2 ANDRODERM PT24 2 PA ANDROGEL GEL 2 PA ANDROID CAPS 2 PA ANDROXY TABS 2 danazol CAPS 1 danazol CAPS 1 PA DEPO-TESTOSTERONE OIL 2 PA NANDROLONE DECANOATE OIL 2 PA OXANDRIN TABS 2 PA oxandrolone TABS 1 STRIANT MISC 2 PA TESLAC TABS 2 PA TESTIM GEL 1 PA testosterone cypionate OIL 1 PA testosterone enanthate OIL 1 PA TESTOSTERONE PROPIONATE OIL 1 PA TESTOSTERONE SUSP 1 PA TESTRED CAPS 2 PA Contraceptives ALESSE-28 TABS 2 PA ALESSE TABS 2 PA apri TABS 2 PA aranelle TABS 2 PA aviane TABS 2 PA balziva TABS 1 BREVICON-28 TABS 2 PA camila TABS 2 PA cesia TABS 2 PA cryselle-28 TABS 2 PA CYCLESSA TABS 2 PA DEMULEN 1/35-28 TABS 2 PA DEMULEN 1/50-28 TABS 2 PA DESOGEN TABS 2 PA enpresse-28 TABS 1 errin TABS 2 PA ESTROSTEP FE TABS 1 FEMCON FE CHEW 2 PA jolessa TABS 1 jolivette TABS 2 PA junel 1.5/30 TABS 1 junel 1/20 TABS 1 junel fe 1.5/30 TABS 1 junel fe 1/20 TABS 1 kariva TABS 2 PA kelnor 1/35 TABS 2 PA leena TABS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
lessina-28 TABS 2 PA LEVLEN CONTRACT PACK TABS 2 PA LEVLEN-28 TABS 2 PA LEVLITE-28 TABS 2 PA levora 0.15/30-28 TABS 2 PA LO/OVRAL-28 TABS 2 PA LO/OVRAL TABS 2 PA LOESTRIN 1.5/30-21 TABS 2 PA LOESTRIN 1/20-21 TABS 2 PA LOESTRIN 24 FE TABS 2 PA LOESTRIN FE 1.5/30 TABS 2 PA LOESTRIN FE 1/20 TABS 2 PA low-ogestrel TABS 2 PA lutera TABS 2 PA LYBREL TABS 2 PA microgestin 1.5/30 TABS 2 PA microgestin 1/20 TABS 2 PA microgestin fe 1.5/30 TABS 2 PA microgestin fe TABS 2 PA MODICON-28 TABS 2 PA mononessa TABS 2 PA necon 0.5/35-28 TABS 1 necon 1/35-28 TABS 1 necon 1/50-28 TABS 1 NECON 10/11-28 TABS 1 necon 7/7/7 TABS 1 nora-be TABS 2 PA NORDETTE-28 TABS 2 PA NORDETTE TABS 2 PA NORINYL 1+35 TABS 2 PA NORINYL 1+50 TABS 2 PA NOR-QD TABS 2 PA nortrel 0.5/35 (28) TABS 2 PA nortrel 1/35 (21) TABS 2 PA nortrel 1/35 (28) TABS 2 PA nortrel 7/7/7 TABS 2 PA NUVARING RING 2 PA OGESTREL TABS 2 PA ORTHO EVRA PTWK 2 PA ORTHO MICRONOR TABS 2 PA ORTHO TRI-CYCLEN LO TABS 2 PA ORTHO TRI-CYCLEN TABS 2 PA ORTHO-CEPT-28 TABS 2 PA ORTHO-CEPT TABS 2 PA ORTHO-CYCLEN-28 TABS 2 PA ORTHO-NOVUM 1/35-28 TABS 2 PA ORTHO-NOVUM 1/50-28 TABS 2 PA ORTHO-NOVUM 10/11-28 TABS 2 PA ORTHO-NOVUM 7/7/7-28 TABS 2 PA OVCON-35 TABS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
OVCON-50 28 TABS 2 PA PLAN B TABS 2 portia-28 TABS 1 previfem TABS 2 PA quasense TABS 1 reclipsen TABS 2 PA SEASONALE TABS 2 PA SEASONIQUE TABS 2 PA solia TABS 2 PA sprintec 28 TABS 2 PA TRI-LEVLEN CONTRACT PACK TABS 2 PA TRI-LEVLEN TABS 2 PA trinessa TABS 2 PA TRI-NORINYL 28 TABS 2 PA TRIPHASIL 28 TABS 2 PA tri-previfem TABS 2 PA tri-sprintec TABS 2 PA trivora-28 TABS 2 PA velivet TABS 2 PA YASMIN 28 TABS 2 PA YAZ TABS 2 PA zovia 1/35e TABS 1 zovia 1/50e TABS 1 Estrogens ALORA PTTW 1 ANGELIQ TABS 2 PA CENESTIN TABS 2 PA CLIMARA PRO PTWK 2 PA CLIMARA PTWK 2 CLIMARA PTWK 2 PA COMBIPATCH PTTW 2 PA DELESTROGEN OIL 2 PA DEPO-ESTRADIOL OIL 2 PA DIVIGEL GEL 2 PA ELESTRIN GEL 2 PA ESCLIM PTTW 2 PA ESTRACE TABS 1 ESTRACE CREA 2 PA ESTRACE TABS 2 PA ESTRADERM PTTW 2 PA estradiol PTWK 1 estradiol TABS 1 ESTRASORB EMUL 2 PA ESTRING RING 2 PA estro-5 SUSP 2 PA ESTROGEL GEL 2 PA estropipate TABS 1 FEMHRT 1/5 TABS 2 PA FEMHRT LOW DOSE TABS 2 PA FEMRING RING 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
FEMTRACE TABS 2 PA GYNODIOL TABS 2 PA junel 1.5/30 TABS 1 kestrone 5 SUSP 2 PA MENEST TABS 2 PA MENOSTAR PTWK 2 PA MIRCETTE TABS 2 PA OGEN TABS 2 PA ORTHO-CEPT-28 TABS 2 PA ortho-est TABS 2 PA OVCON-50 28 TABS 2 PA OVCON-50/28 TABS 2 PA PREFEST TABS 2 PA PREMARIN W/APPLICATOR CREA 2 PREMARIN SOLR 2 PA PREMARIN TABS 2 PREMPHASE TABS 2 PREMPRO TABS 2 VAGIFEM TABS 2 PA VIVELLE PTTW 1 VIVELLE-DOT PTTW 1 VIVELLE-DOT PTTW 2 PA Progestins ANGELIQ TABS 2 PA AYGESTIN TABS 1 COMBIPATCH PTTW 2 PA CRINONE GEL 2 PA DEPO-PROVERA CONTRACEPTIVE SUSP 2 PA DEPO-PROVERA SUSP 2 PA DEPO-SUBQ PROVERA 104 SUSP 2 PA medroxyprogesterone acetate TABS 1 medroxyprogesterone acetate SUSP 2 PA MEGACE ES SUSP 2 MEGACE ORAL SUSP 2 PA megestrol acetate SUSP 1 megestrol acetate TABS 1 norethindrone acetate TABS 1 PREMPHASE TABS 2 PREMPRO TABS 2 PROCHIEVE GEL 2 PA PROMETRIUM CAPS 2 PA PROVERA TABS 2 PA Selective Estrogen Receptor Modifying Agents EVISTA TABS 2 Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid) ARMOUR THYROID TABS 2 PA CYTOMEL TABS 2 levothroid TABS 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
levothroid TABS 1 PA levothyroxine sodium TABS 1 levothyroxine sodium SOLR 2 PA levoxyl TABS 1 nature-throid TABS 1 SYNTHROID TABS 1 SYNTHROID TABS 2 PA thyroid TABS 1 THYROLAR-1/2 TABS 2 PA THYROLAR-1/4 TABS 2 PA THYROLAR-1 TABS 2 PA THYROLAR-2 TABS 2 THYROLAR-3 TABS 2 PA TRIOSTAT SOLN 2 PA unithroid TABS 1 westhroid light blue sugar coated TABS 2 PA westhroid tan compressed TABS 2 PA westhroid TABS 2 PA Hormonal Agents, Suppressant (Adrenal) Hormonal Agents, Suppressant (Adrenal) CYTADREN TABS 2 Hormonal Agents, Suppressant (Parathyroid) Calcimimetics SENSIPAR TABS 2 PA Hormonal Agents, Suppressant (Pituitary) Dopamine Agonists DOSTINEX TABS 2 PA pergolide mesylate TABS 1 Somatostatin Analogs octreotide acetate SOLN 2 PA SANDOSTATIN LAR DEPOT KIT 2 PA SANDOSTATIN SOLN 2 PA Hormonal Agents, Suppressant (Sex Hormones/Modifiers) Antiandrogens AVODART CAPS 2 CASODEX TABS 2 ELIGARD KIT 2 PA flutamide CAPS 1 leuprolide acetate KIT 2 PA leuprolide acetate SOLN 2 PA LUPRON 2 WEEK SUPPLY KIT 2 PA LUPRON 6-PACK SOLN 2 PA LUPRON DEPOT KIT 2 PA LUPRON DEPOT-PED KIT 2 PA NILANDRON TABS 2 PA SYNAREL SOLN 2 PA TRELSTAR DEPOT SUSR 2 PA TRELSTAR LA SUSR 2 PA VANTAS KIT 2 PA VIADUR KIT 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
ZOLADEX IMPL 2 PA Hormonal Agents, Suppressant (Thyroid) Hormonal Agents, Suppressant (Thyroid) liothyronine sodium SOLN 1 methimazole TABS 1 propylthiouracil TABS 1 TAPAZOLE TABS 2 PA Immunological Agents Immune Suppressants (Non-TNF Inhibitors) AMEVIVE SOLR 2 PA azathioprine TABS 1 CELLCEPT INTRAVENOUS SOLR 2 PA CELLCEPT CAPS 2 CELLCEPT SUSR 2 CELLCEPT TABS 2 cyclosporine modified CAPS 1 cyclosporine modified SOLN 1 CYCLOSPORINE MODIFIED CAPS 2 PA cyclosporine CAPS 1 cyclosporine SOLN 1 cyclosporine SOLN 2 PA gengraf CAPS 1 gengraf CAPS 1 PA gengraf SOLN 1 methotrexate sodium SOLN 2 PA methotrexate sodium SOLR 2 PA methotrexate TABS 1 MYFORTIC TBEC 2 NEORAL CAPS 2 PA NEORAL SOLN 2 PA PROGRAF CAPS 2 PROGRAF SOLN 2 PA RAPAMUNE SOLN 2 PA RAPAMUNE TABS 2 PA RAPTIVA KIT 2 PA RESTASIS EMUL 2 PA RHEUMATREX TABS 2 PA SANDIMMUNE CAPS 2 PA SANDIMMUNE SOLN 2 PA SIMULECT SOLR 2 PA TREXALL TABS 2 PA ZENAPAX CONC 2 PA Immunomodulators, Other ARAVA TABS 2 ARAVA TABS 2 PA CARIMUNE NANOFILTERED SOLR 2 PA COPAXONE KIT 2 PA KINERET SOLN 2 PA leflunomide TABS 1 REVLIMID CAPS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
RIDAURA CAPS 2 PA THALOMID CAPS 2 PA TYSABRI CONC 2 PA Interferons, Alfa ALFERON N SOLN 2 PA INFERGEN INJ 2 PA INTRON-A W/DILUENT SOLR 2 PA INTRON-A KIT 2 PA INTRON-A SOLN 2 PA PEGASYS KIT 2 PA PEGASYS SOLN 2 PA PEG-INTRON REDIPEN PAK 4 KIT 2 PA PEG-INTRON REDIPEN KIT 2 PA PEG-INTRON KIT 2 PA REBETRON KIT 2 PA ROFERON-A KIT 2 PA Interferons, Beta AVONEX KIT 2 PA BETASERON SOLR 2 PA REBIF TITRATION PACK SOLN 2 PA REBIF SOLN 2 PA Interferons, Gamma ACTIMMUNE SOLN 2 PA Tumor Necrosis Factor (TNF) Inhibitors ENBREL SURECLICK SOLN 2 PA ENBREL KIT 2 PA ENBREL SOLN 2 PA HUMIRA PEN KIT 2 PA HUMIRA KIT 2 PA ORENCIA SOLR 2 PA REMICADE SOLR 2 PA Vaccines ACTHIB SOLR 2 PA ADACEL SUSP 2 PA ATTENUVAX INJ 2 PA BOOSTRIX SUSP 2 PA CARIMUNE NANOFILTERED SOLR 2 PA CARIMUNE SOLR 2 PA COMVAX SUSP 2 PA DAPTACEL SUSP 2 PA DECAVAC INJ 2 PA DIPTHERIA/TETANUS TOXOID PEDIATRIC INJ 2 PA ENGERIX-B SDV SUSP 2 PA ENGERIX-B INJ 2 PA ENGERIX-B SUSP 2 PA FLEBOGAMMA INJ 2 PA GAMASTAN S/D INJ 2 PA GAMMAGARD LIQUID SOLN 2 PA GAMMAGARD S/D SOLR 2 PA gammar-p i.v. SOLR 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
GAMUNEX INJ 2 PA GARDASIL SUSP 2 PA HAVRIX SUSP 2 PA HIBTITER SOLN 2 PA IMMUNE GLOBULIN INJ 2 PA INFANRIX SUSP 2 PA IPOL INACTIVATED IPV INJ 2 PA IVEEGAM EN SOLR 2 PA MENACTRA INJ 2 PA MENOMUNE-A/C/Y/W-135 INJ 2 PA MERUVAX II W/DILUENT 1 DOSE INJ 2 PA MERUVAX II W/DILUENT 10 DOSE INJ 2 PA M-M-R II 1 DOSE INJ 2 PA M-M-R II W/DILUENT 1 DOSE INJ 2 PA M-M-R II W/DILUENT 10 DOSE INJ 2 PA M-M-R II INJ 2 PA M-R-VAX II INJ 2 PA MUMPSVAX W/DILUENT 1 DOSE INJ 2 PA MUMPSVAX W/DILUENT 10 DOSE INJ 2 PA OCTAGAM SOLN 2 PA PANGLOBULIN NF SOLR 2 PA PANGLOBULIN. SOLR 2 PA PANGLOBULIN SOLR 2 PA PEDIARIX SUSP 2 PA PEDVAX HIB SOLN 2 PA POLYGAM S/D SOLR 2 PA PROQUAD INJ 2 PA RECOMBIVAX HB INJ 2 PA RECOMBIVAX HB SUSP 2 PA ROTATEQ SUSP 2 PA TETANUS TOXOID ADSORBED SOLN 2 PA TETANUS TOXOID SOLN 1 PA TETANUS/DIPHTHERIA TOXOID-ADULT INJ 2 PA TETANUS/DIPHTHERIA TOXOIDS-ABSORBED ADULT SUSP 2 PA TICE BCG SUSR 2 PA TRIHIBIT KIT 2 PA TRIPEDIA SUSP 2 PA TWINRIX SUSP 2 PA VAQTA INJ 2 PA VARIVAX INJ 2 PA VENOGLOBULIN-S INJ 2 PA VIVAGLOBIN SOLN 2 PA ZOSTAVAX SOLR 2 PA Inflammatory Bowel Disease Agents Glucocorticoids colocort ENEM 1 ENTOCORT EC CP24 2 PA hydrocortisone ENEM 1 Salicylates ASACOL TBEC 2
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
CANASA SUPP 2 PA COLAZAL CAPS 2 PA LIALDA TBEC 2 PA mesalamine ENEM 1 PENTASA CPCR 2 PA ROWASA ENEM 2 PA Insulin Administration Supplies Insulin Administration Supplies ALCOHOL SWABS PADS 1 DIABETIC SUPPLIES, MISC SYRP 1 emcin clear PADS 2 PA GAUZE PADS 2"X2" PADS 1 KMART VALU PLUS INSULIN SYRINGE/0.3ML/30G MISC 1 KMART VALU PLUS INSULIN SYRINGE/0.5ML/29G MISC 1 KMART VALU PLUS INSULIN SYRINGE/1ML/29G MISC 1 pen needles, insulin disposable NOT
APPLICABLE 1
UNIFINE PENTIPS/12MM MISC 1 Ophthalmic Agents Alpha-adrenergic Agonists, Ophthalmic ALPHAGAN P SOLN 2 brimonidine tartrate SOLN 1 dipivefrin hcl SOLN 1 IOPIDINE SOLN 2 PROPINE SOLN 2 PA Beta-adrenergic Blocking Agents, Ophthalmic BETAGAN C CAP QD SOLN 1 BETAGAN WITHOUT C CAP SOLN 2 PA BETAGAN SOLN 1 BETAGAN SOLN 2 PA BETAXOLOL HCL SOLN 2 PA BETIMOL SOLN 2 PA BETOPTIC-S SUSP 2 PA carteolol hcl SOLN 1 COSOPT SOLN 2 ISTALOL SOLN 1 levobunolol hcl SOLN 1 metipranolol SOLN 2 PA OPTIPRANOLOL SOLN 2 PA timolol maleate ophthalmic gel forming SOLG 1 timolol maleate SOLG 1 timolol maleate SOLN 1 TIMOPTIC OCUDOSE SOLN 2 PA TIMOPTIC SOLN 2 PA TIMOPTIC-XE SOLG 2 PA Carbonic Anhydrase Inhibitors, Ophthalmic ACETAZOLAMIDE SODIUM SOLR 1 acetazolamide TABS 1 AZOPT SUSP 2 PA COSOPT SOLN 2
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
DIAMOX CP12 2 PA methazolamide TABS 1 TRUSOPT SOLN 2 Glucocorticoids, Ophthalmic ALREX SUSP 2 PA bac/poly/neomy/hc OINT 1 BLEPHAMIDE LIQUIFILM SUSP 2 PA BLEPHAMIDE S.O.P. OINT 2 PA BLEPHAMIDE SUSP 2 PA CORTISPORIN SUSP 2 PA dexamethasone sodium phosphate SOLN 1 dexasol SOLN 2 PA dexasporin SUSP 2 PA ECONOPRED PLUS SUSP 1 FLAREX SUSP 2 PA fluorometholone SUSP 1 fluor-op SUSP 1 FML FORTE SUSP 2 FML LIQUIFILM SUSP 2 FML S.O.P. OINT 2 FML-S LIQUIFILM SUSP 2 INFLAMASE FORTE SOLN 2 PA INFLAMASE MILD SOLN 2 PA LOTEMAX SUSP 2 PA MAXIDEX SUSP 2 PA MAXITROL OINT 2 PA MAXITROL SUSP 2 PA neo/poly/bac/hc OINT 1 neomycin /bacitracin /polymyxin /hydrocortisone OINT 1 neomycin /polymyxin /dexamethasone OINT 1 neomycin /polymyxin /dexamethasone SUSP 1 neomycin /polymyxin /hydrocortisone SUSP 1 poly-dex OINT 2 PA poly-dex SUSP 2 PA POLY-PRED SUSP 2 PA PRED FORTE SUSP 2 PA PRED MILD SUSP 2 PA PRED-G S.O.P. OINT 2 PA PRED-G SUSP 2 PA prednisol SOLN 2 PA prednisolone /sulfacetamide SOLN 1 PREDNISOLONE /SULFACETAMIDE SUSP 2 PA prednisolone acetate SUSP 1 prednisolone sodium phosphate SOLN 1 SULFACETAMIDE /PREDNISOLONE SUSP 2 PA sulfacetamide sodium/prednisolone sodium phosphate SOLN 1 TOBRADEX OINT 2 TOBRADEX SUSP 2 triple antibiotic OINT 1 VEXOL SUSP 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
ZYLET SUSP 2 PA Miotics, Ophthalmic carbastat SOLN 2 PA ISOPTO CARPINE SOLN 1 ISOPTO CARPINE SOLN 2 PA MIOSTAT SOLN 2 PA PHOSPHOLINE IODIDE SOLR 2 pilocar SOLN 2 pilocar SOLN 2 PA pilocarpine hcl SOLN 1 PILOPINE HS GEL 2 PA piloptic-1/2 SOLN 1 piloptic-1 SOLN 1 piloptic-2 SOLN 2 PA piloptic-3 SOLN 2 PA piloptic-4 SOLN 2 PA piloptic-6 SOLN 2 PA Nonsteroidal Anti-inflammatory Drugs, Ophthalmic ACULAR LS SOLN 2 ACULAR PF SOLN 2 ACULAR SOLN 2 flurbiprofen sodium SOLN 1 NEVANAC SUSP 2 PA OCUFEN SOLN 2 PA VOLTAREN SOLN 2 PA XIBROM SOLN 2 PA Ocular Surface Agents LACRISERT INST 2 Ophthalmic Agents, Other ak-con SOLN 1 allersol SOLN 2 PA atropine sulfate OINT 1 atropine sulfate SOLN 1 atropine-care SOLN 2 PA AZASITE SOLN 2 PA homatropaire SOLN 1 ISOPTO ATROPINE SOLN 2 PA ISOPTO HOMATROPINE SOLN 1 naphazole SOLN 1 naphazoline hcl SOLN 1 OCUFLOX SOLN 2 PA POLYSPORIN OINT 1 triple antibiotic OINT 1 Ophthalmic Anti-allergy Agents ALAMAST SOLN 2 PA ALOCRIL SOLN 2 PA ALOMIDE SOLN 2 PA CROLOM SOLN 1 cromolyn sodium SOLN 1 ELESTAT SOLN 2
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
EMADINE SOLN 2 PA ketotifen fumarate SOLN 1 OPTIVAR SOLN 2 PATADAY SOLN 2 PATANOL SOLN 2 Prostaglandins, Ophthalmic LUMIGAN SOLN 2 TRAVATAN Z SOLN 2 PA TRAVATAN SOLN 2 XALATAN SOLN 2 Ophthalmic Agents ak-tob SOLN 1 gentasol SOLN 2 PA ocusulf-10 SOLN 2 PA polycin b OINT 2 PA polymyxin b sulfate/trimethoprim sulfate SOLN 1 romycin OINT 2 PA Otic Agents Otic Anti-inflammatories acetasol hc SOLN 1 acetic acid/aluminum acetate SOLN 1 acetic acid/hydrocortisone SOLN 1 antibiotic ear SOLN 1 antibiotic ear SUSP 1 aurobiotic-hc SOLN 2 PA CIPRO HC SUSP 2 PA CIPRODEX SUSP 2 COLY-MYCIN S SUSP 2 PA COLY-MYCIN-S SUSP 2 PA CORTISPORIN SOLN 2 PA CORTISPORIN SUSP 2 PA CORTISPORIN-TC SUSP 2 PA cortomycin SOLN 1 cortomycin SUSP 1 CRESYLATE SOLN 2 PA DERMOTIC OIL 2 PA neo/polymyxin/hc 5-10000-1 SUSP 1 neomycin /polymyxin /hydrocortisone SOLN 1 neomycin /polymyxin /hydrocortisone SUSP 1 neomycin/polymyxin/hc SOLN 1 oticin hc SOLN 2 PA oticin hc SUSP 2 PA otimar SOLN 2 PA otimar SUSP 2 PA PEDIOTIC SUSP 2 PA Respiratory Tract Agents Bronchodilators, Anticholinergic ALBUTEROL SULFATE/IPRATROPIUM BROMIDE SOLN 1 ATROVENT HFA AERS 2
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
ATROVENT SOLN 2 PA COMBIVENT AERO 2 DUONEB SOLN 2 PA ENLON-PLUS SOLN 2 PA ipratropium bromide SOLN 1 Bronchodilators, Anti-inflammatories ADVAIR DISKUS MISC 2 ADVAIR HFA AERO 2 AEROBID AERS 2 PA AEROBID-M AERS 2 PA ASMANEX 120 METERED DOSES AEPB 2 PA ASMANEX 14 METERED DOSES AEPB 2 PA ASMANEX 30 METERED DOSES AEPB 2 PA ASMANEX 60 METERED DOSES AEPB 2 PA AZMACORT AERS 2 PA FLOVENT HFA AERO 2 PA FLOVENT AERO 2 PULMICORT TURBUHALER AEPB 2 PA PULMICORT SUSP 2 PA QVAR AERS 2 SYMBICORT AERO 2 PA Bronchodilators, Phosphodiesterase 2 Inhibitors (Xanthines) aminophylline SOLN 1 PA aminophylline TABS 1 ELIXOPHYLLIN ELIX 2 PA LUFYLLIN TABS 2 PA QUIBRON-T/SR TB12 2 PA QUIBRON-T TABS 2 PA SLO-BID GYROCAPS CP12 2 PA THEO-24 CP24 2 PA theocap CP12 2 PA theochron TB12 1 theophylline anhydrous cr TB12 1 theophylline cr TB12 1 theophylline er CP12 1 theophylline er TB12 1 theophylline sr TB12 1 theophylline td TB12 1 UNIPHYL TB24 2 PA Bronchodilators, Sympathomimetic ACCUNEB NEBU 2 PA ADRENALIN SOLN 2 PA ADVAIR DISKUS MISC 2 ADVAIR HFA AERO 2 airet NEBU 2 PA alavert allergy/sinus TB12 1 ALBUTEROL SULFATE/IPRATROPIUM BROMIDE SOLN 1 albuterol sulfate NEBU 1 albuterol sulfate SYRP 1 albuterol sulfate TABS 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
albuterol AERS 1 ALLEGRA-D 12 HOUR TB12 2 QL PA ST ALLEGRA-D 24 HOUR TB24 2 PA ST ALUPENT AERP 2 PA BRETHINE SOLN 2 PA BRETHINE TABS 2 PA BROVANA NEBU 2 PA CLARINEX-D 12 HOUR TB12 2 PA CLARINEX-D 24 HOUR TB24 2 PA COMBIVENT AERO 2 epinephrine hcl SOLN 2 PA EPIPEN 2-PAK DEVI 2 PA EPIPEN-JR 2-PAK DEVI 2 PA FORADIL AEROLIZER CAPS 2 ISUPREL SOLN 2 PA MAXAIR AUTOHALER AERB 2 PA metaproterenol sulfate NEBU 1 metaproterenol sulfate SYRP 1 METAPROTERENOL SULFATE TABS 1 PROAIR HFA AERS 1 PROVENTIL HFA AERS 2 PROVENTIL NEBU 1 PROVENTIL AERS 2 PA PROVENTIL NEBU 2 PA SEREVENT DISKUS AEPB 2 SYMBICORT AERO 2 PA terbutaline sulfate SOLN 1 PA terbutaline sulfate TABS 1 VENTOLIN HFA AERS 2 VENTOLIN NEBU 2 PA VOSPIRE ER TB12 2 PA XOPENEX CONCENTRATE NEBU 2 PA XOPENEX HFA AERO 2 PA XOPENEX NEBU 2 PA H1 Blocking Agents, Sedating ANTIVERT TABS 2 PA ATARAX SYRP 2 PA BENADRYL CAPS 1 cyproheptadine hcl SYRP 1 cyproheptadine hcl TABS 1 DEXCHLORPHENIRAMINE MALEATE SYRP 1 diphenhydramine hcl CAPS 1 diphenhydramine hcl ELIX 1 diphenhydramine hcl SOLN 2 PA hydroxyzine hcl SYRP 1 hydroxyzine hcl TABS 1 hydroxyzine hcl SOLN 2 PA hydroxyzine pamoate CAPS 1 hyzine SOLN 2 PA meclizine hcl CHEW 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
meclizine hcl TABS 1 PHENERGAN SUPP 2 PA promethazine /phenylephrine SYRP 1 promethazine hcl plain SYRP 1 promethazine hcl SOLN 1 PA promethazine hcl TABS 1 univert TABS 2 PA vertin-32 TABS 2 PA VISTARIL CAPS 2 PA VISTARIL SUSP 2 PA Histamine1 (H1) Blocking Agents, Mildly/Non-sedating alavert allergy/sinus TB12 1 ALLEGRA SUSP 2 ST ALLEGRA TABS 2 ALLEGRA-D 12 HOUR TB12 2 ALLEGRA-D 12 HOUR TB12 2 QL PA ST ALLEGRA-D 24 HOUR TB24 2 PA ST allergy relief for kids SYRP 1 ASTELIN SOLN 2 CLARINEX REDITABS TBDP 2 PA CLARINEX SYRP 2 PA CLARINEX TABS 2 PA CLARINEX-D 12 HOUR TB12 2 PA CLARINEX-D 24 HOUR TB24 2 PA fexofenadine hcl TABS 1 loratadine TABS 1 ZYRTEC CHEW 2 PA ZYRTEC SYRP 2 PA ST ZYRTEC TABS 2 PA ZYRTEC-D TB12 2 QL PA ST Mast Cell Stabilizers cromolyn sodium NEBU 1 INTAL 112 AERS 2 INTAL 200 AERS 2 INTAL INHALER AERS 2 INTAL NEBU 2 TILADE AERS 2 PA Receptor Antagonists ACCOLATE TABS 2 PA SINGULAIR CHEW 2 SINGULAIR PACK 2 SINGULAIR TABS 2 Respiratory Tract Agents, Other acetylcysteine SOLN 1 ARALAST SOLR 2 PA BECONASE AQ SUSP 2 PA FLONASE SUSP 2 flunisolide SOLN 1 fluticasone propionate SUSP 1 ipratropium bromide SOLN 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
LETAIRIS TABS 2 PA MUCOMYST-10 SOLN 2 PA NASACORT AQ AERS 2 NASAREL SOLN 2 PA NASONEX SUSP 2 PROLASTIN SOLR 2 PA PROLASTIN SUSR 2 PA REVATIO TABS 2 PA RHINOCORT AQUA SUSP 2 TRACLEER TABS 2 PA TYZINE PEDIATRIC NASAL DROPS SOLN 2 PA TYZINE SOLN 2 PA VERAMYST SUSP 2 PA XOLAIR SOLR 2 PA ZEMAIRA SOLR 2 PA Synthesis Inhibitors ZYFLO TABS 2 PA Sedatives/Hypnotics Sedatives/Hypnotics AMBIEN CR TBCR 2 AMBIEN TABS 2 AQUACHLORAL SUPP 2 PA ATARAX SYRP 2 PA BUSPAR TABS 2 PA buspirone hcl TABS 1 butalbital /apap /caffeine /codeine CAPS 1 CHLORAL HYDRATE SUPP 1 PA chloral hydrate SYRP 1 EQUAGESIC TABS 2 PA hydroxyzine hcl SYRP 1 hydroxyzine hcl TABS 1 hydroxyzine hcl SOLN 2 PA hydroxyzine pamoate CAPS 1 hyzine SOLN 2 PA LUNESTA TABS 2 PA MEPROBAMATE TABS 1 PHENERGAN SUPP 2 PA phrenilin w/caffeine/codeine CAPS 2 PA promethazine hcl plain SYRP 1 promethazine hcl SOLN 1 PA promethazine hcl TABS 1 ROZEREM TABS 2 SOMNOTE CAPS 2 PA SONATA CAPS 2 PA VANSPAR TABS 2 PA VISTARIL CAPS 2 PA VISTARIL SUSP 2 PA zolpidem tartrate TABS 1 Skeletal Muscle Relaxants Skeletal Muscle Relaxants
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
AMRIX CP24 2 PA baclofen TABS 1 carisoprodol /aspirin /codeine TABS 1 carisoprodol compound TABS 1 carisoprodol/aspirin TABS 1 carisoprodol TABS 1 chlorzoxazone TABS 1 cyclobenzaprine hcl TABS 1 DANTRIUM CAPS 2 PA dantrolene sodium CAPS 1 FLEXERIL TABS 2 PA methocarbamol TABS 1 NORFLEX SOLN 2 PA NORGESIC FORTE TABS 2 PA orphenadrine /asa /caffeine TABS 1 orphenadrine citrate cr TB12 1 orphenadrine citrate er TB12 1 orphenadrine citrate SOLN 2 PA orphenadrine compound ds TABS 1 orphenadrine compound TABS 1 orphenadrine/asa/caff TABS 1 orphengesic forte TABS 1 orphengesic TABS 1 PARAFON FORTE DSC TABS 2 PA ROBAXIN SOLN 2 PA ROBAXIN TABS 2 PA ROBAXIN-750 TABS 2 PA SKELAXIN TABS 2 PA SOMA COMPOUND/CODEINE TABS 1 SOMA COMPOUND TABS 1 SOMA TABS 2 PA tizanidine hcl TABS 1 ZANAFLEX CAPS 2 PA ZANAFLEX TABS 2 PA Sulfonamides sulfazine ec TBEC 1 sulfazine TABS 1 Therapeutic Nutrients/Minerals/Electrolytes Electrolytes/Minerals ALCOHOL 10%/DEXTROSE 5% SOLN 1 AMINESS SOLN 2 PA calcium gluconate SOLN 1 CITROLITH TABS 2 PA COLYTE-FLAVOR PACKS SOLR 1 delflex-lc/1.5% dextrose SOLN 1 delflex-lc/2.5% dextrose SOLN 1 delflex-lc/4.25% dextrose SOLN 1 delflex-lm/1.5% dextrose SOLN 1 delflex-lm/2.5% dextrose SOLN 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
delflex-lm/4.25% dextrose SOLN 1 delflex-sm/1.5% dextrose SOLN 1 delflex-sm/2.5% dextrose SOLN 1 DELFLEX-SM/4.25% DEXTROSE SOLN 1 DEXTROSE 10%/NACL 0.45% SOLN 2 PA dextrose 2.5% lactated ringer's 1/2 strength SOLN 1 dextrose 2.5% lactated ringers 1/2st SOLN 1 dextrose 2.5%/lactated ringer's 1/2 strength SOLN 1 DEXTROSE 2.5% SOLN 2 PA dextrose 5% /electrolyte #48 viaflex SOLN 1 dextrose 5% /electrolyte #75 viaflex SOLN 1 dextrose 10% flex container SOLN 2 PA dextrose 10%/nacl 0.2% SOLN 2 PA DEXTROSE 10%/NACL 0.225% SOLN 2 PA dextrose 10%/nacl 0.9% SOLN 2 PA dextrose 10%/sodium chloride 0.9% SOLN 2 PA dextrose 2.5%/nacl 0.45% SOLN 2 PA dextrose 2.5%/sodium chloride 0.45% SOLN 2 PA dextrose 5%/lactated ringer's SOLN 1 dextrose 5%/nacl 0.2% SOLN 2 PA DEXTROSE 5%/NACL 0.225% SOLN 2 PA DEXTROSE 5%/NACL 0.3% SOLN 2 PA dextrose 5%/nacl 0.33% SOLN 2 PA dextrose 5%/nacl 0.45% SOLN 2 PA dextrose 5%/nacl 0.9% SOLN 2 PA DEXTROSE 5%/POTASSIUM CHLORIDE 0.075% SOLN 2 PA dextrose 5%/potassium chloride 0.15% SOLN 2 PA dextrose 5%/ringer's SOLN 1 dextrose 5%/sodium chloride 0.2% SOLN 2 PA dextrose 5%/sodium chloride 0.33% SOLN 2 PA dextrose 5%/sodium chloride 0.45% SOLN 2 PA dextrose 5%/sodium chloride 0.9% SOLN 2 PA dextrose 5% SOLN 2 PA DEXTROSE 50% /ELECTROLYTES A PARTIAL FILL SOLN 1 dialyte/1.5% dextrose pattern lm SOLN 2 PA dialyte/2.5% dextrose pattern lm SOLN 2 PA dialyte/4.25% dextrose pattern lm SOLN 2 PA DIANEAL PD-2/3.5% DEXTROSE SOLN 2 PA ed k+10 TBCR 2 PA effer-k TBEF 1 fluoridex daily defense GEL 1 FREAMINE III 3% SOLN 2 PA GOLYTELY SOLR 2 PA inpersol/dextrose SOLN 1 inpersol-lm/1.5% dextrose SOLN 1 inpersol-lm/2.5% dextrose SOLN 1 inpersol-lm/4.25% dextrose SOLN 1 IONOSOL-B/DEXTROSE 5% SOLN 1 IONOSOL-MB/DEXTROSE 5% SOLN 1 IONOSOL-T/DEXTROSE 5% SOLN 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
k+ potassium PACK 1 kaochlor LIQD 2 PA KAON ELIX 2 PA kaon-cl-10 TBCR 2 PA KAON-CL LIQD 2 PA kay ciel PACK 2 PA kcl 0.075%/d5w/nacl 0.2% SOLN 2 PA KCL 0.075%/D5W/NACL 0.225 SOLN 2 PA kcl 0.075%/d5w/nacl 0.45% SOLN 2 PA KCL 0.15%/D10W/NACL 0.2% SOLN 2 PA kcl 0.15%/d5w/ nacl 0.3% SOLN 2 PA KCL 0.15%/D5W/LR SOLN 1 kcl 0.15%/d5w/nacl 0.2% SOLN 2 PA kcl 0.15%/d5w/nacl 0.225% SOLN 2 PA kcl 0.15%/d5w/nacl 0.45% SOLN 2 PA kcl 0.15%/d5w/nacl 0.9% SOLN 2 PA kcl 0.22%/d5w/nacl 0.2% SOLN 2 PA kcl 0.224%/d5w/nacl 0.2% SOLN 2 PA KCL 0.224%/D5W/NACL 0.225 SOLN 2 PA kcl 0.224%/d5w/nacl 0.45% SOLN 2 PA KCL 0.3%/D5W/LR IV LAC RING SOLN 1 KCL 0.3%/D5W/LR SOLN 1 kcl 0.3%/d5w/nacl 0.2% SOLN 2 PA KCL 0.3%/D5W/NACL 0.225% SOLN 2 PA KCL 0.3%/D5W/NACL 0.33% SOLN 2 PA kcl 0.3%/d5w/nacl 0.45% SOLN 2 PA KCL 0.3%/D5W/NACL 0.9% SOLN 2 PA K-DUR TBCR 2 PA k-effervescent TBEF 1 K-LOR PACK 2 PA klor-con 10 TBCR 1 KLOR-CON 25 PACK 2 PA klor-con 8 TBCR 1 klor-con m10 TBCR 2 PA KLOR-CON M15 TBCR 2 PA klor-con m20 TBCR 1 klor-con/ef TBEF 1 klor-con PACK 1 klotrix TBCR 1 K-LYTE DS TBEF 2 PA K-LYTE TBEF 1 K-PHOS MF TABS 2 PA K-PHOS NEUTRAL TABS 1 K-PHOS NO 2 TABS 2 PA K-PHOS TABS 2 PA K-TABS TBCR 1 k-vescent TBEF 1 k-vescent PACK 2 PA lactated ringer's dextrose 5% viaflex SOLN 1 lactated ringer's irrigation SOLN 1
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
lactated ringer's viaflex SOLN 1 lactated ringer's SOLN 1 leucovorin calcium TABS 1 leucovorin calcium SOLN 2 PA leucovorin calcium SOLR 2 PA MICRO-K CPCR 1 MICRO-K CPCR 2 PA NACL 0.9%/DEXTROSE 0.2% SOLN 2 PA phospha 250 neutral TABS 1 poly-vitamin/fluoride SOLN 1 potassium acetate SOLN 1 POTASSIUM BICARBONATE CAPS 1 potassium bicarbonate TBEF 1 potassium chloride 0.075%/d5w/nacl 0.225% SOLN 2 PA POTASSIUM CHLORIDE 0.15% /NACL 0.45% VIAFLEX SOLN 2 PA potassium chloride 0.15% d5w/nacl 0.33% SOLN 2 PA potassium chloride 0.15% d5w/nacl 0.45% viaflex SOLN 2 PA potassium chloride 0.15% w/nacl 0.9% viaflex SOLN 2 PA potassium chloride 0.15%/d5w SOLN 2 PA POTASSIUM CHLORIDE 0.15%/NACL 0.9% SOLN 2 PA potassium chloride 0.22% d5w/nacl 0.45% SOLN 2 PA potassium chloride 0.224%/d5w/nacl 0.45% SOLN 2 PA potassium chloride 0.224%/d5w SOLN 2 PA POTASSIUM CHLORIDE 0.224%D5W/NACL 0.33% SOLN 2 PA POTASSIUM CHLORIDE 0.3%/ NACL 0.9% SOLN 2 PA potassium chloride 0.3%/d5w SOLN 2 PA potassium chloride 0.3%/nacl 0.9%/viaflex SOLN 2 PA potassium chloride cr TBCR 1 potassium chloride er CPCR 1 potassium chloride er TBCR 1 potassium chloride mini-vial SOLN 1 PA potassium chloride sa TBCR 1 potassium chloride sr TBCR 1 potassium chloride LIQD 1 POTASSIUM CHLORIDE PACK 1 POTASSIUM CHLORIDE SOLN 1 PA potassium effervescent TBEF 1 potassium phosphate SOLN 1 QUICK-K TABS 2 PA RENAMIN SOLN 2 ringer's injection SOLN 1 ringer's irrigation SOLN 1 RUM-K LIQD 2 PA sodium acetate SOLN 1 sodium bicarbonate partial fill SOLN 1 PA sodium bicarbonate stick-gard SOLN 1 PA sodium bicarbonate SOLN 1 sodium bicarbonate SOLN 1 PA sodium chloride 0.9% SOLN 1 PA sodium chloride 0.45% viaflex SOLN 1 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
sodium chloride 0.45% SOLN 1 PA sodium chloride 0.9% SOLN 1 sodium chloride bacteriostatic SOLN 1 PA sodium chloride SOLN 1 sodium chloride SOLN 1 PA tis-u-sol viaflex SOLN 1 tis-u-sol SOLN 1 tpn electrolytes ftv CONC 2 PA tpn electrolytes ftv SOLN 2 PA tpn electrolytes ii SOLN 2 PA travert 10%/electrolyte 2 SOLN 1 travert 5%/electrolyte #2 SOLN 1 trilyte SOLR 1 trinate TABS 2 PA ULTRABAG/DIANEAL LOW CALCIUM/1.5% DEXTROSE SOLN 2 PA ULTRABAG/DIANEAL LOW CALCIUM/2.5% DEXTROSE SOLN 2 PA ULTRABAG/DIANEAL LOW CALCIUM/4.25% DEXTROSE SOLN 2 PA ULTRABAG/DIANEAL PD-2/1.5% DEXTROSE SOLN 2 PA ULTRABAG/DIANEAL PD-2/2.5% DEXTROSE SOLN 2 PA ULTRABAG/DIANEAL PD-2/4.25% DEXTROSE SOLN 2 PA UROCIT-K 10 TBCR 2 PA UROCIT-K 5 TBCR 2 PA URO-KP-NEUTRAL TABS 2 VISICOL TABS 2 PA ZANTAC SOLN 2 PA Parenteral Nutrition aminosyn 8.5%/electrolytes SOLN 1 PA DIANEAL LOW CALCIUM/4.25%DEXTROSE SOLN 2 PA FREAMINE HBC 6.9% SOLN 2 PA intralipid 20% EMUL 2 intralipid EMUL 2 LIPOSYN II EMUL 2 liposyn iii EMUL 2 Prenatal Vitamins advanced natalcare TABS 2 PA advanced-rf natalcare TABS 2 PA ANEMAGEN OB CAPS 2 PA ATABEX PRENATAL TABS 2 PA BRIGHT BEGINNINGS PRENATAL BAR BAR 1 BRIGHT BEGINNINGS PRENATAL BAR BAR 2 PA cal-nate TABS 1 CENOGEN ULTRA CAPS 2 PA CITRACAL PRENATAL + DHA MISC 2 PA CITRACAL PRENATAL RX TABS 2 PA co-natal fa TABS 2 PA DUET DHA EC MISC 2 PA DUET DHA MISC 2 PA DUET CHEW 2 PA DUET TABS 2 PA ICAR PRENATAL COMBO PACK MISC 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
inatal advance TABS 1 inatal gt TABS 2 PA inatal ultra TABS 2 PA maternity TABS 1 maternity-90 TABS 2 PA multiple vitamins/fluoride SOLN 1 mynatal advance TABS 2 PA mynatal plus TABS 2 PA mynatal ultracaplet TABS 2 PA MYNATAL CAPS 2 PA mynatal-z TABS 2 PA mynate 90 plus TBCR 2 PA natacaps CAPS 2 PA NATACHEW CHEW 2 PA natafolic-pn TABS 2 PA NATAFORT TABS 2 PA natalcare cfe 60 TABS 2 PA natalcare glosstabs TABS 2 PA natalcare pic forte TABS 2 PA natalcare pic TABS 1 natalcare plus TABS 1 natalcare plus TABS 2 PA natalcare rx TABS 1 natalcare three TABS 2 PA NATALVIT TABS 2 PA natamar rx TABS 2 PA natatab cfe TABS 2 PA natatab fa TABS 2 PA natatab rx TABS 2 PA NATELLE C TABS 2 PA NATELLE EZ TABS 2 PA NATELLE PREFER TABS 2 PA NATELLE TABS 2 PA NESTABS CBF TABS 2 PA NESTABS FA TABS 2 PA NESTABS RX TABS 2 PA niferex-pn forte TABS 2 PA NOVANATAL TABS 2 PA NOVASTART TABS 2 PA nu-natal advanced TABS 2 PA nutrinate CHEW 2 PA obstetrix ec TABS 2 PA OBTREX TABS 2 PA O-CAL PRENATAL TABS 2 PA PRECARE CONCEIVE TABS 2 PA PRECARE PRENATAL TABS 2 PA PRECARE CHEW 2 PA PREMESIS RX TABS 1 PRENA-CAP CAPS 2 PA prenafirst TABS 2 PA
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
prenatabs cbf TABS 1 prenatabs fa TABS 2 PA prenatabs obn TABS 2 PA prenatabs rx TABS 2 PA prenatal 1 + iron TABS 1 prenatal 1 plus 1 TABS 2 PA prenatal 1+1 TABS 1 PRENATAL 19 TABS 2 PA prenatal ad TABS 2 PA prenatal advantage TABS 1 prenatal formula 3 TABS 1 prenatal formula TABS 1 prenatal low iron TABS 1 prenatal mr 90 fe TBCR 2 PA prenatal mtr/selenium TABS 1 prenatal multivitamin-ultra TABS 1 prenatal plus nf TABS 2 PA prenatal plus/27mg iron TABS 1 prenatal plus/betacarotene TABS 1 prenatal plus/iron TABS 1 prenatal plus TABS 1 prenatal rx 1 TABS 1 prenatal rx/beta-carotene TABS 1 prenatal rx TABS 1 prenatal rx TABS 2 PA prenatal start TABS 2 PA prenatal z TABS 2 PA prenatal/folic acid TABS 1 prenatal-h CAPS 1 prenatal-u CAPS 2 PA PRENATE GT TABS 2 PA PRIMACARE MISC 2 PA SELECT-OB CHEW 2 PA STRONGSTART CHEW 2 PA STRONGSTART TABS 2 PA STUARTNATAL PLUS 3 TABS 2 PA ultra natal TABS 2 PA ultra natalcare TABS 2 PA ultra-natal TABS 2 PA vinatal forte TABS 2 PA vinate 90 TBCR 2 PA vinate advanced TABS 2 PA vinate good start CHEW 2 PA vinate gt TABS 1 vinate ii TABS 2 PA vinate m TABS 2 PA vinate ultra TABS 2 PA VITAFOL-OB TABS 2 PA vynatal fa TABS 2 PA Unclassified
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Drug Name Dosage Form Drug Tier
Requirements/ Limits
Unclassified ALCOHOL 5%/DEXTROSE 5% SOLN 1 ANTIZOL SOLN 2 PA BOTOX SOLR 2 PA CARNITOR TABS 2 PA dexrazoxane SOLR 1 dexrazoxane SOLR 1 PA DIANEAL LOW CALCIUM/1.5% DEXTROSE SOLN 2 PA DIANEAL LOW CALCIUM/2.5% DEXTROSE SOLN 2 PA DIANEAL PD-2/1.5% DEXTROSE SOLN 2 PA DIANEAL PD-2/2.5% DEXTROSE SOLN 2 PA DIANEAL PD-2/4.25% DEXTROSE SOLN 2 PA gold sodium thiomalate SOLN 2 PA levocarnitine TABS 1 LITHOSTAT TABS 2 PA MYOBLOC SOLN 2 PA MYOCHRYSINE SOLN 2 PA SALEX SHAM 2 PA ZINECARD SOLR 2 PA Unclassified No Classification ACTIVELLA TABS 2 PA ACTONEL TABS 2 allergy relief/nasal decongestant TB24 1 amlodipine besylate/benazepril hydrochloride CAPS 1 BARACLUDE SOLN 2 BARACLUDE TABS 2 CLARITIN SYRP 2 PA CLARITIN TABS 2 PA CLARITIN-D 12 HOUR TB12 2 PA CLARITIN-D 24 HOUR TB24 2 PA flunisolide SOLN 2 PA PAMIDRONATE DISODIUM SOLN 2 PA PRILOSEC OTC TBEC 1 RELPAX TABS 2 SPIRIVA HANDIHALER CAPS 2
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Index Drug Name Class Category Class Name Page #
8-MOP Dermatological Agents Dermatological Photochemotherapy Agents
53
a/b otic Dermatological Agents Dermatological Antipruritic Agents
52
ABELCET Antifungals Polyene Antifungals 23 ABILIFY DISCMELT Antipsychotics Atypicals 32 ABILIFY DISCMELT Bipolar Agents Bipolar Agents 36 ABILIFY Antipsychotics Atypicals 32 ABILIFY Antipsychotics Atypicals 32 ABILIFY Antipsychotics Atypicals 32 ABILIFY Bipolar Agents Bipolar Agents 36 ABILIFY Bipolar Agents Bipolar Agents 36 ABILIFY Bipolar Agents Bipolar Agents 36 ABRAXANE Antineoplastics Antineoplastics 27 ACCOLATE Respiratory Tract Agents Receptor Antagonists 81 ACCUNEB Respiratory Tract Agents Bronchodilators,
Sympathomimetic 79
ACCUPRIL Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
ACCURETIC Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
ACCUTANE Dermatological Agents Dermatological Retinoids 53 ACCUZYME Dermatological Agents Dermatological Wound Care
Agents 54
ACCUZYME Dermatological Agents Dermatological Wound Care Agents
54
acebutolol hcl Cardiovascular Agents Antiarrhythmics - Class II 43 acebutolol hcl Cardiovascular Agents Cardioselective Beta-adrenergic
Blocking Agents 46
ACEON Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
acetaminophen /hydrocodone Analgesics Opioid Analgesics, Short-acting 3 acetaminophen/codeine #2 Analgesics Opioid Analgesics, Short-acting 3 acetaminophen/codeine #3 Analgesics Opioid Analgesics, Short-acting 3 acetaminophen/codeine #4 Analgesics Opioid Analgesics, Short-acting 3 acetaminophen/codeine Analgesics Opioid Analgesics, Short-acting 3 acetaminophen/codeine Analgesics Opioid Analgesics, Short-acting 3 acetaminophen/oxycodone Analgesics Opioid Analgesics, Short-acting 3 acetaminophen-codeine #4 Analgesics Opioid Analgesics, Short-acting 3 acetasol hc Otic Agents Otic Anti-inflammatories 78 ACETAZOLAMIDE SODIUM Cardiovascular Agents Carbonic Anhydrase Inhibitors 46 ACETAZOLAMIDE SODIUM Ophthalmic Agents Carbonic Anhydrase Inhibitors,
Ophthalmic 75
acetazolamide Cardiovascular Agents Carbonic Anhydrase Inhibitors 46 acetazolamide Ophthalmic Agents Carbonic Anhydrase Inhibitors,
Ophthalmic 75
acetic acid/aluminum acetate Otic Agents Otic Anti-inflammatories 78
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Drug Name Class Category Class Name Page #acetic acid/hydrocortisone Otic Agents Otic Anti-inflammatories 78 acetic acid Antibacterials Miscellaneous Antibacterials 12 acetylcysteine Respiratory Tract Agents Respiratory Tract Agents, Other 81 acid jelly Antibacterials Miscellaneous Antibacterials 12 acidic vaginal jelly Antibacterials Miscellaneous Antibacterials 12 ACIPHEX Gastrointestinal Agents Proton Pump Inhibitors 59 ACLOVATE Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
ACLOVATE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
ACTHIB Immunological Agents Vaccines 73 acticin Antiparasitics Pediculicides/Scabicides 31 ACTIGALL Gastrointestinal Agents Gastrointestinal Agents, Other 57 ACTIMMUNE Immunological Agents Interferons, Gamma 73 ACTIQ Analgesics Opioid Analgesics, Short-acting 3 ACTIVELLA Unclassified No Classification 90 ACTONEL WITH CALCIUM Hormonal Agents,
Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Bisphosphonates, Oral 65
ACTONEL Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Bisphosphonates, Oral 65
ACTONEL Unclassified No Classification 90 ACTOPLUS MET Blood Glucose Regulators Biguanides 37 ACTOPLUS MET Blood Glucose Regulators Thiazolidinediones 39 ACTOS Blood Glucose Regulators Thiazolidinediones 39 ACUFLEX Analgesics Non-opioid Analgesics 1 ACULAR LS Ophthalmic Agents Nonsteroidal Anti-inflammatory
Drugs, Ophthalmic 77
ACULAR PF Ophthalmic Agents Nonsteroidal Anti-inflammatory Drugs, Ophthalmic
77
ACULAR Ophthalmic Agents Nonsteroidal Anti-inflammatory Drugs, Ophthalmic
77
ACYCLOVIR SODIUM Antivirals Antiherpetic Agents 34 acyclovir sodium Antivirals Antiherpetic Agents 34 acyclovir Antivirals Antiherpetic Agents 34 acyclovir Antivirals Antiherpetic Agents 34 acyclovir Antivirals Antiherpetic Agents 34 ADACEL Immunological Agents Vaccines 73 ADALAT CC Cardiovascular Agents Dihydropyridines 47 ADDERALL XR Central Nervous System
Agents Amphetamines 51
ADDERALL Central Nervous System Agents
Amphetamines 51
ADOXA PAK 1/100 Antibacterials Tetracyclines 16 ADOXA PAK 1/150 Antibacterials Tetracyclines 16 ADOXA PAK 1/75 Antibacterials Tetracyclines 16
Page of 231 93
Drug Name Class Category Class Name Page #ADOXA PAK 2/100 Antibacterials Tetracyclines 16 ADOXA Antibacterials Tetracyclines 16 ADRENALIN Respiratory Tract Agents Bronchodilators,
Sympathomimetic 79
adriamycin Antineoplastics Antineoplastics 27 adriamycin Antineoplastics Antineoplastics 27 adrucil Antineoplastics Antineoplastics 27 ADVAIR DISKUS Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
ADVAIR DISKUS Respiratory Tract Agents Bronchodilators, Anti-inflammatories
79
ADVAIR DISKUS Respiratory Tract Agents Bronchodilators, Sympathomimetic
79
ADVAIR HFA Respiratory Tract Agents Bronchodilators, Anti-inflammatories
79
ADVAIR HFA Respiratory Tract Agents Bronchodilators, Sympathomimetic
79
advanced natalcare Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
advanced-rf natalcare Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
ADVICOR Cardiovascular Agents 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) Reductase Inhibitors
40
AEROBID-M Respiratory Tract Agents Bronchodilators, Anti-inflammatories
79
AEROBID Respiratory Tract Agents Bronchodilators, Anti-inflammatories
79
afeditab cr Cardiovascular Agents Dihydropyridines 47 AGENERASE Antivirals Anti-HIV Agents, Protease
Inhibitors 35
AGENERASE Antivirals Anti-HIV Agents, Protease Inhibitors
35
AGGRENOX Blood Products/Modifiers/Volume Expanders
Cyclic Adenosine Monophosphate Reuptake Inhibitors
40
AGRYLIN Blood Products/Modifiers/Volume Expanders
40
airet Respiratory Tract Agents Bronchodilators, Sympathomimetic
79
ak-con Ophthalmic Agents Ophthalmic Agents, Other 77 AKINETON Antiparkinson Agents Anticholinergics 31 AKNE-MYCIN Antibacterials Erythromycins 10 ak-poly-bac Antibacterials Miscellaneous Antibacterials 12 ak-tob Ophthalmic Agents 78 ala-cort Hormonal Agents,
Stimulant/Replacement/ModifyGlucocorticoids-Topical-Low Potency
62
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Drug Name Class Category Class Name Page #ing (Adrenal)
ala-cort Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
ALAMAST Ophthalmic Agents Ophthalmic Anti-allergy Agents 77 ALA-SCALP Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
alavert allergy/sinus Respiratory Tract Agents Bronchodilators, Sympathomimetic
79
alavert allergy/sinus Respiratory Tract Agents Histamine1 (H1) Blocking Agents, Mildly/Non-sedating
81
ALBENZA Antiparasitics Anthelmintics 30 ALBUTEROL SULFATE/IPRATROPIUM BROMIDE
Respiratory Tract Agents Bronchodilators, Anticholinergic 78
ALBUTEROL SULFATE/IPRATROPIUM BROMIDE
Respiratory Tract Agents Bronchodilators, Sympathomimetic
79
albuterol sulfate Respiratory Tract Agents Bronchodilators, Sympathomimetic
79
albuterol sulfate Respiratory Tract Agents Bronchodilators, Sympathomimetic
79
albuterol sulfate Respiratory Tract Agents Bronchodilators, Sympathomimetic
79
albuterol Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
ALCAINE Anesthetics Local Anesthetics 6 ALCET Analgesics Opioid Analgesics, Short-acting 3 alclometasone dipropionate Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
alclometasone dipropionate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
ALCOHOL 10%/DEXTROSE 5%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 83
ALCOHOL 5%/DEXTROSE 5% Unclassified Unclassified 90 ALCOHOL SWABS Insulin Administration
Supplies Insulin Administration Supplies 75
ALDACTAZIDE Cardiovascular Agents Aldosterone Receptor Antagonists
41
ALDACTAZIDE Cardiovascular Agents Potassium-sparing Diuretics 48 ALDACTAZIDE Cardiovascular Agents Thiazide Diuretics 49 ALDACTONE Cardiovascular Agents Aldosterone Receptor
Antagonists 41
ALDACTONE Cardiovascular Agents Potassium-sparing Diuretics 48 ALDARA Dermatological Agents Dermatological
Immunomodulators 53
ALDORIL D30 Cardiovascular Agents Alpha-adrenergic Agonists 41
Page of 231 95
Drug Name Class Category Class Name Page #ALDORIL D30 Cardiovascular Agents Thiazide Diuretics 49 ALDORIL D50 Cardiovascular Agents Alpha-adrenergic Agonists 41 ALDORIL D50 Cardiovascular Agents Thiazide Diuretics 49 ALDORIL-15 Cardiovascular Agents Alpha-adrenergic Agonists 41 ALDORIL-15 Cardiovascular Agents Thiazide Diuretics 49 ALDORIL-25 Cardiovascular Agents Alpha-adrenergic Agonists 41 ALDORIL-25 Cardiovascular Agents Thiazide Diuretics 49 ALDURAZYME Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
54
ALESSE-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
ALESSE Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
ALFERON N Immunological Agents Interferons, Alfa 73 ali-flex Analgesics Non-opioid Analgesics 1 ALIMTA Antineoplastics Antineoplastics 27 ALINIA Antiparasitics Antiprotozoals (Non-
antimalarials) 31
ALINIA Antiparasitics Antiprotozoals (Non-antimalarials)
31
ALKERAN Antineoplastics Antineoplastics 27 allanenzyme Dermatological Agents Dermatological Wound Care
Agents 54
allanenzyme Dermatological Agents Dermatological Wound Care Agents
54
ALLANFILLENZYME Dermatological Agents Dermatological Wound Care Agents
54
allanfillenzyme Dermatological Agents Dermatological Wound Care Agents
54
ALLEGRA-D 12 HOUR Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
ALLEGRA-D 12 HOUR Respiratory Tract Agents Histamine1 (H1) Blocking Agents, Mildly/Non-sedating
81
ALLEGRA-D 12 HOUR Respiratory Tract Agents Histamine1 (H1) Blocking Agents, Mildly/Non-sedating
81
ALLEGRA-D 24 HOUR Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
ALLEGRA-D 24 HOUR Respiratory Tract Agents Histamine1 (H1) Blocking Agents, Mildly/Non-sedating
81
ALLEGRA Respiratory Tract Agents Histamine1 (H1) Blocking Agents, Mildly/Non-sedating
81
ALLEGRA Respiratory Tract Agents Histamine1 (H1) Blocking Agents, Mildly/Non-sedating
81
allergen Dermatological Agents Dermatological Antipruritic Agents
52
allergy relief for kids Respiratory Tract Agents Histamine1 (H1) Blocking Agents, Mildly/Non-sedating
81
allergy relief/nasal decongestant
Unclassified No Classification 90
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Drug Name Class Category Class Name Page #allersol Ophthalmic Agents Ophthalmic Agents, Other 77 allopurinol sodium Antigout Agents Xanthine Oxidase Inhibitors 24 allopurinol Antigout Agents Xanthine Oxidase Inhibitors 24 ALOCRIL Ophthalmic Agents Ophthalmic Anti-allergy Agents 77 ALOMIDE Ophthalmic Agents Ophthalmic Anti-allergy Agents 77 ALOPRIM Antigout Agents Xanthine Oxidase Inhibitors 24 ALORA Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
ALOXI Antiemetics 5-Hydroxytryptamine 3 (5-HT3) Antagonists
21
ALPAIN Analgesics Non-opioid Analgesics 1 ALPHAGAN P Ophthalmic Agents Alpha-adrenergic Agonists,
Ophthalmic 75
alphatrex Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
64
ALREX Ophthalmic Agents Glucocorticoids, Ophthalmic 76 ALTACE Cardiovascular Agents Angiotensin-converting Enzyme
(ACE) Inhibitors 42
ALTOPREV Cardiovascular Agents 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) Reductase Inhibitors
40
ALUPENT Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
amantadine hcl Antiparkinson Agents Antiparkinson Agents, Other 32 amantadine hcl Antiparkinson Agents Antiparkinson Agents, Other 32 AMANTADINE HCL Antiparkinson Agents Antiparkinson Agents, Other 32 amantadine hcl Antivirals Anti-influenza Agents 35 amantadine hcl Antivirals Anti-influenza Agents 35 AMANTADINE HCL Antivirals Anti-influenza Agents 35 AMARYL Blood Glucose Regulators Sulfonylureas 38 AMBIEN CR Sedatives/Hypnotics Sedatives/Hypnotics 82 AMBIEN Sedatives/Hypnotics Sedatives/Hypnotics 82 AMBISOME Antifungals Polyene Antifungals 23 amcinonide Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
AMCINONIDE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
amcinonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
AMERGE Antimigraine Agents Triptans 26 AMERICAINE OTIC Dermatological Agents Dermatological Antipruritic
Agents 52
AMERICAINE Dermatological Agents Dermatological Antipruritic Agents
52
a-methapred Hormonal Agents, Stimulant/Replacement/Modify
Glucocorticoids 60
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Drug Name Class Category Class Name Page #ing (Adrenal)
AMEVIVE Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
amigesic Analgesics Non-opioid Analgesics 1 amikacin sulfate Antibacterials Aminoglycosides 7 amikacin sulfate Antimycobacterials Antituberculars 27 AMIKIN Antibacterials Aminoglycosides 7 amiloride /hydrochlorothiazide Cardiovascular Agents Potassium-sparing Diuretics 48 amiloride /hydrochlorothiazide Cardiovascular Agents Thiazide Diuretics 49 AMILORIDE HCL Cardiovascular Agents Potassium-sparing Diuretics 48 AMINESS Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 83
aminophylline Respiratory Tract Agents Bronchodilators, Phosphodiesterase 2 Inhibitors (Xanthines)
79
aminophylline Respiratory Tract Agents Bronchodilators, Phosphodiesterase 2 Inhibitors (Xanthines)
79
aminosyn 8.5%/electrolytes Therapeutic Nutrients/Minerals/Electrolytes
Parenteral Nutrition 87
amiodarone hcl Cardiovascular Agents Antiarrhythmics - Class III 43 amiodarone hcl Cardiovascular Agents Antiarrhythmics - Class III 43 AMITIZA Gastrointestinal Agents Gastrointestinal Agents, Other 57 amitriptyline /chlordiazepoxide Antidepressants Tricyclics 20 amitriptyline /chlordiazepoxide Anxiolytics Anxiolytics, Other 36 amitriptyline hcl Antidepressants Tricyclics 20 amlodipine besylate/benazepril hydrochloride
Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
amlodipine besylate/benazepril hydrochloride
Cardiovascular Agents Dihydropyridines 47
amlodipine besylate/benazepril hydrochloride
Unclassified No Classification 90
amlodipine besylate Cardiovascular Agents Dihydropyridines 47 ammonium lactate Dermatological Agents Dermatological Emolients 53 ammonium lactate Dermatological Agents Dermatological Emolients 53 AMMONIUM LACTATE Dermatological Agents Dermatological Emolients 53 amnesteem Dermatological Agents Dermatological Retinoids 53 amoclan Antibacterials Amino Derivative Penicillins 6 AMOXAPINE Antidepressants Tricyclics 20 amoxicillin/clavulanate potassium
Antibacterials Amino Derivative Penicillins 6
amoxicillin/clavulanate potassium
Antibacterials Amino Derivative Penicillins 6
amoxicillin/clavulanate potassium
Antibacterials Amino Derivative Penicillins 6
amoxicillin/potassium clavulanate
Antibacterials Amino Derivative Penicillins 6
amoxicillin/potassium clavulanate
Antibacterials Amino Derivative Penicillins 6
Page of 231 98
Drug Name Class Category Class Name Page #amoxicillin/potassium clavulanate
Antibacterials Amino Derivative Penicillins 6
amoxicillin Antibacterials Amino Derivative Penicillins 6 amoxicillin Antibacterials Amino Derivative Penicillins 6 amoxicillin Antibacterials Amino Derivative Penicillins 6 amoxicillin Antibacterials Amino Derivative Penicillins 6 amoxil Antibacterials Amino Derivative Penicillins 6 AMOXIL Antibacterials Amino Derivative Penicillins 6 amoxil Antibacterials Amino Derivative Penicillins 6 AMOXIL Antibacterials Amino Derivative Penicillins 7 amphetamine /dextroamphetamine
Central Nervous System Agents
Amphetamines 51
amphetamine salt combo Central Nervous System Agents
Amphetamines 51
amphetamine salts combo Central Nervous System Agents
Amphetamines 51
amphocin Antifungals Polyene Antifungals 23 AMPHOTEC Antifungals Polyene Antifungals 23 amphotericin b Antifungals Polyene Antifungals 23 ampicillin sodium Antibacterials Amino Derivative Penicillins 7 ampicillin Antibacterials Amino Derivative Penicillins 7 ampicillin Antibacterials Amino Derivative Penicillins 7 ampicillin-sulbactam Antibacterials Amino Derivative Penicillins 7 AMRIX Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 anabar Analgesics Non-opioid Analgesics 1 ANACAINE Dermatological Agents Dermatological Antipruritic
Agents 52
ANADROL-50 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
ANAFRANIL Antidepressants Tricyclics 20 anagrelide hydrochloride Blood
Products/Modifiers/Volume Expanders
40
ANAPROX DS Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
24
ANAPROX Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
24
ANASPAZ Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 ANCOBON Antifungals Antifungals (Other) 22 ANCOBON Antifungals Antifungals (Other) 22 ANDRODERM Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
ANDRODERM Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
ANDROGEL Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
ANDROID Hormonal Agents, Androgens/Anabolic Steroids 67
Page of 231 99
Drug Name Class Category Class Name Page #Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
ANDROXY Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
ANEMAGEN OB Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
anexsia Analgesics Opioid Analgesics, Short-acting 3 ANGELIQ Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
ANGELIQ Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
ANSAID Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
24
ANTABUSE Antidotes, Deterrents, and Toxicologic Agents
Alcohol Deterrents 20
ANTARA Cardiovascular Agents Fibrates 47 anthralin Dermatological Agents Dermatological Mitotic Inhibitors 53 antiben Dermatological Agents Dermatological Antipruritic
Agents 52
antibiotic ear Otic Agents Otic Anti-inflammatories 78 antibiotic ear Otic Agents Otic Anti-inflammatories 78 antipyrine /benzocaine Dermatological Agents Dermatological Antipruritic
Agents 52
antipyrine/benzocaine Anesthetics Local Anesthetics 6 antipyrine/benzocaine Dermatological Agents Dermatological Antipruritic
Agents 52
ANTIVERT Respiratory Tract Agents H1 Blocking Agents, Sedating 80 ANTIZOL Unclassified Unclassified 90 ANUSOL-HC Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
ANZEMET Antiemetics 5-Hydroxytryptamine 3 (5-HT3) Antagonists
21
ANZEMET Antiemetics 5-Hydroxytryptamine 3 (5-HT3) Antagonists
21
apap/hydrocodone bitartrate Analgesics Opioid Analgesics, Short-acting 3 apap/oxycodone Analgesics Opioid Analgesics, Short-acting 3 apap/oxycodone Analgesics Opioid Analgesics, Short-acting 3 apexicon e Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
64
apexicon Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
64
APHTHASOL Dental and Oral Agents Dental and Oral Agents 51 APIDRA Blood Glucose Regulators Insulin, Rapid-acting 38 APOKYN Antiparkinson Agents Antiparkinson Agents, Other 32
Page of 231 100
Drug Name Class Category Class Name Page #apri Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
APTIVUS Antivirals Anti-HIV Agents, Protease Inhibitors
35
AQUACHLORAL Sedatives/Hypnotics Sedatives/Hypnotics 82 ARALAST Respiratory Tract Agents Respiratory Tract Agents, Other 81 ARALEN Antiparasitics Antimalarials 31 aranelle Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
ARANESP ALBUMIN FREE SURECLICK
Blood Products/Modifiers/Volume Expanders
Erythropoietins 40
ARANESP ALBUMIN FREE Blood Products/Modifiers/Volume Expanders
Erythropoietins 40
ARANESP Blood Products/Modifiers/Volume Expanders
Erythropoietins 40
ARAVA Immunological Agents Immunomodulators, Other 72 ARAVA Immunological Agents Immunomodulators, Other 72 AREDIA Hormonal Agents,
Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Bisphosphonates, Parenteral 65
ARESTIN Antibacterials Tetracyclines 16 ARICEPT ODT Antidementia Agents Cholinesterase Inhibitors 18 ARICEPT Antidementia Agents Cholinesterase Inhibitors 18 ARIMIDEX Antineoplastics Aromatase Inhibitors, 3rd
Generation 30
ARISTOCORT A Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
ARISTOCORT A Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
ARISTOCORT Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
ARISTOSPAN INTRA-ARTICULAR
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
ARISTOSPAN INTRALESIONAL
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
ARIXTRA Blood Products/Modifiers/Volume Expanders
Factor Xa Inhibitors, Indirect 40
ARMOUR THYROID Hormonal Agents, Stimulant/Replacement/Modify
Hormonal Agents, Stimulant/Replacement/Modifyin
70
Page of 231 101
Drug Name Class Category Class Name Page #ing (Thyroid) g (Thyroid)
AROMASIN Antineoplastics Aromatase Inhibitors, 3rd Generation
30
ARRANON Antineoplastics Antineoplastics 27 ARTHROTEC 50 Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 24
ARTHROTEC 50 Gastrointestinal Agents Protectants 59 ARTHROTEC 75 Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 24
ARTHROTEC 75 Gastrointestinal Agents Protectants 59 ASACOL Inflammatory Bowel Disease
Agents Salicylates 74
ASMANEX 120 METERED DOSES
Respiratory Tract Agents Bronchodilators, Anti-inflammatories
79
ASMANEX 14 METERED DOSES
Respiratory Tract Agents Bronchodilators, Anti-inflammatories
79
ASMANEX 30 METERED DOSES
Respiratory Tract Agents Bronchodilators, Anti-inflammatories
79
ASMANEX 60 METERED DOSES
Respiratory Tract Agents Bronchodilators, Anti-inflammatories
79
asp 300/200/20 Analgesics Non-opioid Analgesics 1 a-spas Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 aspirin/codeine #3 Analgesics Opioid Analgesics, Short-acting 3 aspirin/codeine Analgesics Opioid Analgesics, Short-acting 3 ASTELIN Respiratory Tract Agents Histamine1 (H1) Blocking
Agents, Mildly/Non-sedating 81
astramorph Analgesics Opioid Analgesics, Long-acting 2 ATABEX PRENATAL Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
ATACAND HCT Cardiovascular Agents Angiotensin II Receptor Antagonists
41
ATACAND HCT Cardiovascular Agents Thiazide Diuretics 49 ATACAND Cardiovascular Agents Angiotensin II Receptor
Antagonists 41
atamet Antiparkinson Agents Dopamine Precursors 32 ATARAX Respiratory Tract Agents H1 Blocking Agents, Sedating 80 ATARAX Sedatives/Hypnotics Sedatives/Hypnotics 82 atenolol/chlorthalidone Cardiovascular Agents Cardioselective Beta-adrenergic
Blocking Agents 46
atenolol Cardiovascular Agents Cardioselective Beta-adrenergic Blocking Agents
46
atreza Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 ATRIDOX Antibacterials Tetracyclines 16 ATRIPLA Antivirals Anti-HIV Agents, Non-
nucleoside Reverse Transcriptase Inhibitors
34
ATRIPLA Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
34
atropine sulfate Gastrointestinal Agents Antispasmodics, Gastrointestinal 56
Page of 231 102
Drug Name Class Category Class Name Page #atropine sulfate Ophthalmic Agents Ophthalmic Agents, Other 77 atropine sulfate Ophthalmic Agents Ophthalmic Agents, Other 77 atropine-care Ophthalmic Agents Ophthalmic Agents, Other 77 ATROVENT HFA Respiratory Tract Agents Bronchodilators, Anticholinergic 78 ATROVENT Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 ATROVENT Respiratory Tract Agents Bronchodilators, Anticholinergic 79 ATTENUVAX Immunological Agents Vaccines 73 augmented betamethasone dipropionate
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
augmented betamethasone dipropionate
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
augmented betamethasone dipropionate
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
64
AUGMENTIN ES-600 Antibacterials Amino Derivative Penicillins 7 AUGMENTIN XR Antibacterials Amino Derivative Penicillins 7 AUGMENTIN Antibacterials Amino Derivative Penicillins 7 AUGMENTIN Antibacterials Amino Derivative Penicillins 7 AUGMENTIN Antibacterials Amino Derivative Penicillins 7 aurobiotic-hc Antibacterials Aminoglycosides 7 aurobiotic-hc Otic Agents Otic Anti-inflammatories 78 aurodex Dermatological Agents Dermatological Antipruritic
Agents 52
auroguard Dermatological Agents Dermatological Antipruritic Agents
52
auroto Dermatological Agents Dermatological Antipruritic Agents
52
AVALIDE Cardiovascular Agents Angiotensin II Receptor Antagonists
42
AVANDAMET Blood Glucose Regulators Biguanides 37 AVANDAMET Blood Glucose Regulators Biguanides 37 AVANDAMET Blood Glucose Regulators Thiazolidinediones 39 AVANDAMET Blood Glucose Regulators Thiazolidinediones 39 AVANDARYL Blood Glucose Regulators Sulfonylureas 38 AVANDARYL Blood Glucose Regulators Thiazolidinediones 39 AVANDIA Blood Glucose Regulators Thiazolidinediones 39 AVANDIA Blood Glucose Regulators Thiazolidinediones 39 AVAPRO Cardiovascular Agents Angiotensin II Receptor
Antagonists 42
AVASTIN Antineoplastics Antineoplastics 27 AVELOX ABC PACK Antibacterials Quinolones 14 AVELOX Antibacterials Quinolones 14 AVELOX Antibacterials Quinolones 14 AVENTYL Antidepressants Tricyclics 20 aviane Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
AVINZA Analgesics Opioid Analgesics, Long-acting 2 AVODART Genitourinary Agents 5 Alpha-reductase Inhibitors 59
Page of 231 103
Drug Name Class Category Class Name Page #AVODART Hormonal Agents,
Suppressant (Sex Hormones/Modifiers)
Antiandrogens 71
AVONEX Immunological Agents Interferons, Beta 73 AXERT Antimigraine Agents Triptans 26 AXID Gastrointestinal Agents Histamine2 (H2) Blocking
Agents 58
AXID Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
AYGESTIN Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
AZACTAM IN DEXTROSE Antibacterials Beta-lactam, Other 9 AZACTAM Antibacterials Beta-lactam, Other 9 AZASAN Antineoplastics Antineoplastics 27 AZASITE Antibacterials Macrolides (Non-erythromycins,
Non-ketolides) 12
AZASITE Ophthalmic Agents Ophthalmic Agents, Other 77 AZATHIOPRINE SODIUM Antineoplastics Antineoplastics 28 azathioprine Antineoplastics Antineoplastics 28 azathioprine Immunological Agents Immune Suppressants (Non-
TNF Inhibitors) 72
AZELEX Dermatological Agents 54 AZILECT Antiparkinson Agents Antiparkinson Agents, Other 32 AZITHROMYCIN Antibacterials Macrolides (Non-erythromycins,
Non-ketolides) 12
azithromycin Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
azithromycin Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
azithromycin Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
AZMACORT Respiratory Tract Agents Bronchodilators, Anti-inflammatories
79
AZOPT Ophthalmic Agents Carbonic Anhydrase Inhibitors, Ophthalmic
75
AZULFIDINE EN-TABS Antibacterials Sulfonamides 15 AZULFIDINE Antibacterials Sulfonamides 15 B & O 15-A SUPPRETTE Analgesics Opioid Analgesics, Long-acting 2 B & O 15-A SUPPRETTE Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 B & O 16-A SUPPRETTE Analgesics Opioid Analgesics, Long-acting 2 B & O 16-A SUPPRETTE Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 bac/poly/neomy/hc Antibacterials Miscellaneous Antibacterials 12 bac/poly/neomy/hc Ophthalmic Agents Glucocorticoids, Ophthalmic 76 baciim Antibacterials Miscellaneous Antibacterials 12 bacitracin /neomycin /polymyxin Antibacterials Miscellaneous Antibacterials 12 bacitracin/polymyxin b Antibacterials Miscellaneous Antibacterials 12 bacitracin Antibacterials Miscellaneous Antibacterials 12 BACITRACIN Antibacterials Miscellaneous Antibacterials 12 baclofen Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 BACTOCILL IN DEXTROSE Antibacterials Penicillinase-resistant Penicillins 14
Page of 231 104
Drug Name Class Category Class Name Page #BACTRIM DS Antibacterials Antifolate Antibacterials 8 BACTRIM DS Antibacterials Sulfonamides 15 BACTRIM Antibacterials Antifolate Antibacterials 8 BACTRIM Antibacterials Sulfonamides 15 BACTROBAN NASAL Antibacterials Miscellaneous Antibacterials 12 BACTROBAN Antibacterials Miscellaneous Antibacterials 12 BACTROBAN Antibacterials Miscellaneous Antibacterials 12 BALACET 325 Analgesics Opioid Analgesics, Short-acting 3 balagan Dermatological Agents Dermatological Antipruritic
Agents 52
balziva Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
BANCAP-HC Analgesics Opioid Analgesics, Short-acting 3 BARACLUDE Antivirals Antivirals, Other 35 BARACLUDE Unclassified No Classification 90 BARACLUDE Unclassified No Classification 90 BECONASE AQ Respiratory Tract Agents Respiratory Tract Agents, Other 81 belladonna & opium Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 belladonna alkaloids & opium Analgesics Opioid Analgesics, Long-acting 2 belladonna alkaloids & opium Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 BENADRYL Respiratory Tract Agents H1 Blocking Agents, Sedating 80 benazepril hcl/hydrochlorothiazide
Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
benazepril hcl/hydrochlorothiazide
Cardiovascular Agents Thiazide Diuretics 49
benazepril hcl Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
BENICAR HCT Cardiovascular Agents Angiotensin II Receptor Antagonists
42
BENICAR Cardiovascular Agents Angiotensin II Receptor Antagonists
42
BENOQUIN Dermatological Agents Pigmenting Agents 54 BENSAL HP Dermatological Agents Dermatological Caustic Agents 53 BENTYL Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 BENTYL Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 BENTYL Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 BENTYL Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 benzotic Dermatological Agents Dermatological Antipruritic
Agents 52
benztropine mesylate Antiparkinson Agents Anticholinergics 31 BETAGAN C CAP QD Ophthalmic Agents Beta-adrenergic Blocking
Agents, Ophthalmic 75
BETAGAN WITHOUT C CAP Ophthalmic Agents Beta-adrenergic Blocking Agents, Ophthalmic
75
BETAGAN Ophthalmic Agents Beta-adrenergic Blocking Agents, Ophthalmic
75
BETAGAN Ophthalmic Agents Beta-adrenergic Blocking Agents, Ophthalmic
75
betamethasone dipropionate Hormonal Agents, Stimulant/Replacement/Modify
Glucocorticoids-Topical-High Potency
61
Page of 231 105
Drug Name Class Category Class Name Page #ing (Adrenal)
betamethasone dipropionate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
betamethasone dipropionate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
betamethasone dipropionate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
betamethasone valerate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
betamethasone valerate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
betamethasone valerate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
BETAPACE AF Cardiovascular Agents Antiarrhythmics - Class II/III 43 BETAPACE AF Cardiovascular Agents Antiarrhythmics - Class III 43 BETAPACE Cardiovascular Agents Antiarrhythmics - Class II/III 43 BETAPACE Cardiovascular Agents Antiarrhythmics - Class III 43 BETASERON Immunological Agents Interferons, Beta 73 beta-val Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
beta-val Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
betaxolol hcl Cardiovascular Agents Cardioselective Beta-adrenergic Blocking Agents
46
BETAXOLOL HCL Ophthalmic Agents Beta-adrenergic Blocking Agents, Ophthalmic
75
bethanechol chloride Antimyasthenic Agents Parasympathomimetics 26 BETIMOL Ophthalmic Agents Beta-adrenergic Blocking
Agents, Ophthalmic 75
BETOPTIC-S Ophthalmic Agents Beta-adrenergic Blocking Agents, Ophthalmic
75
BEXXAR Antineoplastics Antineoplastics 28 BIAXIN XL PAC Antibacterials Macrolides (Non-erythromycins,
Non-ketolides) 12
BIAXIN XL Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
BIAXIN Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
BIAXIN Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
BICILLIN C-R Anesthetics Local Anesthetics 6 BICILLIN C-R Antibacterials Natural Penicillins 13 BICILLIN L-A Antibacterials Natural Penicillins 13
Page of 231 106
Drug Name Class Category Class Name Page #BICNU W/DILUENT ABSOLUTE ETHANOL
Antineoplastics Antineoplastics 28
BIDIL Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
BIDIL Cardiovascular Agents Vasodilators, Direct-acting Arterial
50
BILTRICIDE Antiparasitics Anthelmintics 30 BIO-STATIN Antifungals Polyene Antifungals 23 bisoprolol fumarate/hydrochlorothiazide
Cardiovascular Agents Cardioselective Beta-adrenergic Blocking Agents
46
bisoprolol fumarate/hydrochlorothiazide
Cardiovascular Agents Thiazide Diuretics 49
bisoprolol fumarate Cardiovascular Agents Cardioselective Beta-adrenergic Blocking Agents
46
BLENOXANE Antineoplastics Antineoplastics 28 bleomycin sulfate Antineoplastics Antineoplastics 28 BLEPH-10 Antibacterials Sulfonamides 15 BLEPHAMIDE LIQUIFILM Ophthalmic Agents Glucocorticoids, Ophthalmic 76 BLEPHAMIDE S.O.P. Antibacterials Sulfonamides 15 BLEPHAMIDE S.O.P. Ophthalmic Agents Glucocorticoids, Ophthalmic 76 BLEPHAMIDE Ophthalmic Agents Glucocorticoids, Ophthalmic 76 BLOCADREN Antimigraine Agents Beta-adrenergic Blocking Agents 26 BLOCADREN Cardiovascular Agents Antiarrhythmics - Class II 43 BONIVA Hormonal Agents,
Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Bisphosphonates, Oral 65
BONIVA Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Bisphosphonates, Parenteral 65
BOOSTRIX Immunological Agents Vaccines 73 borofair Antibacterials Miscellaneous Antibacterials 12 BOTOX Unclassified Unclassified 90 BRETHINE Respiratory Tract Agents Bronchodilators,
Sympathomimetic 80
BRETHINE Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
BREVICON-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
BRIGHT BEGINNINGS PRENATAL BAR
Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
BRIGHT BEGINNINGS PRENATAL BAR
Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
brimonidine tartrate Ophthalmic Agents Alpha-adrenergic Agonists, Ophthalmic
75
bromocriptine mesylate Antiparkinson Agents Dopamine Agonists 32 bromocriptine mesylate Antiparkinson Agents Dopamine Agonists 32
Page of 231 107
Drug Name Class Category Class Name Page #BROVANA Respiratory Tract Agents Bronchodilators,
Sympathomimetic 80
budeprion sr Antidepressants Antidepressants, Other 18 budeprion xl Antidepressants Antidepressants, Other 18 bumetanide Cardiovascular Agents Loop Diuretics 47 bumetanide Cardiovascular Agents Loop Diuretics 48 BUMEX Cardiovascular Agents Loop Diuretics 48 BUMEX Cardiovascular Agents Loop Diuretics 48 BUPHENYL Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
54
BUPRENEX Analgesics Opioid Analgesics, Short-acting 3 buprenorphine hcl Analgesics Opioid Analgesics, Short-acting 3 buproban Antidotes, Deterrents, and
Toxicologic Agents Smoking Cessation Agents 21
bupropion er Antidepressants Antidepressants, Other 18 bupropion hcl er Antidepressants Antidepressants, Other 18 bupropion hcl sr Antidepressants Antidepressants, Other 18 bupropion hcl Antidepressants Antidepressants, Other 19 bupropion hcl Antidepressants Antidepressants, Other 19 BUSPAR Sedatives/Hypnotics Sedatives/Hypnotics 82 buspirone hcl Sedatives/Hypnotics Sedatives/Hypnotics 82 BUSULFEX Antineoplastics Antineoplastics 28 butalbital /apap /caffeine /codeine
Analgesics Opioid Analgesics, Short-acting 3
butalbital /apap /caffeine /codeine
Sedatives/Hypnotics Sedatives/Hypnotics 82
butorphanol tartrate Analgesics Opioid Analgesics, Short-acting 3 butorphanol tartrate Analgesics Opioid Analgesics, Short-acting 3 by-ache Analgesics Non-opioid Analgesics 1 BYETTA Blood Glucose Regulators Incretin Mimetics 37 c.m.t Analgesics Non-opioid Analgesics 1 cabergoline Antiparkinson Agents Dopamine Agonists 32 CADUET Cardiovascular Agents 3-hydroxy-3-methylglutaryl
coenzyme A (HMG CoA) Reductase Inhibitors
40
CADUET Cardiovascular Agents Dihydropyridines 47 CAFERGOT Antimigraine Agents Ergot Alkaloids 26 cafgesic Analgesics Non-opioid Analgesics 1 CALAN SR Cardiovascular Agents Antiarrhythmics - Class IV 44 CALAN SR Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 45
CALAN Cardiovascular Agents Antiarrhythmics - Class IV 44 CALAN Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 45
CALCIJEX Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Vitamin D-related Agents/Metabolic Bone Disease Agents
66
calcitriol Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic
Vitamin D-related Agents/Metabolic Bone Disease Agents
66
Page of 231 108
Drug Name Class Category Class Name Page #Bone Disease Agents)
calcitriol Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Vitamin D-related Agents/Metabolic Bone Disease Agents
66
calcium gluconate Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 83
cal-nate Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
camila Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
CAMPATH Antineoplastics Antineoplastics 28 CAMPRAL Antidotes, Deterrents, and
Toxicologic Agents Alcohol Deterrents 20
CAMPTOSAR Antineoplastics Antineoplastics 28 CANASA Inflammatory Bowel Disease
Agents Salicylates 75
CANTIL Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 CAPASTAT SULFATE Antimycobacterials Antituberculars 27 CAPEX Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
CAPITAL/CODEINE Analgesics Opioid Analgesics, Short-acting 3 CAPITROL Antiparasitics Pediculicides/Scabicides 31 CAPOTEN Cardiovascular Agents Angiotensin-converting Enzyme
(ACE) Inhibitors 42
CAPOZIDE Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
CAPOZIDE Cardiovascular Agents Thiazide Diuretics 49 captopril /hydrochlorothiazide Cardiovascular Agents Angiotensin-converting Enzyme
(ACE) Inhibitors 42
captopril Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
CARAC Dermatological Agents 54 CARAFATE Gastrointestinal Agents Protectants 59 CARAFATE Gastrointestinal Agents Protectants 59 carbamazepine Anticonvulsants Anticonvulsants (Other) 16 carbamazepine Anticonvulsants Anticonvulsants (Other) 16 carbamazepine Anticonvulsants Anticonvulsants (Other) 16 carbamazepine Anticonvulsants Sodium Channel Inhibitors 18 carbamazepine Anticonvulsants Sodium Channel Inhibitors 18 carbamazepine Anticonvulsants Sodium Channel Inhibitors 18 carbamazepine Bipolar Agents Bipolar Agents 36 carbamazepine Bipolar Agents Bipolar Agents 36 carbamazepine Bipolar Agents Bipolar Agents 36 carbastat Ophthalmic Agents Miotics, Ophthalmic 77 CARBATROL Anticonvulsants Anticonvulsants (Other) 16 CARBATROL Anticonvulsants Sodium Channel Inhibitors 18
Page of 231 109
Drug Name Class Category Class Name Page #CARBATROL Bipolar Agents Bipolar Agents 36 carbidopa/levodopa cr Antiparkinson Agents Dopamine Precursors 32 carbidopa/levodopa er Antiparkinson Agents Dopamine Precursors 32 carbidopa/levodopa sr Antiparkinson Agents Dopamine Precursors 32 carbidopa/levodopa Antiparkinson Agents Dopamine Precursors 32 carboplatin Antineoplastics Antineoplastics 28 carboplatin Antineoplastics Antineoplastics 28 CARDENE I.V. Cardiovascular Agents Dihydropyridines 47 CARDENE SR Cardiovascular Agents Dihydropyridines 47 CARDENE Cardiovascular Agents Dihydropyridines 47 CARDIZEM CD Cardiovascular Agents Antiarrhythmics - Class IV 44 CARDIZEM CD Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 45
CARDIZEM LA Cardiovascular Agents Antiarrhythmics - Class IV 44 CARDIZEM LA Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 45
CARDIZEM Cardiovascular Agents Antiarrhythmics - Class IV 44 CARDIZEM Cardiovascular Agents Antiarrhythmics - Class IV 44 CARDIZEM Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 45
CARDIZEM Cardiovascular Agents Calcium Channel Blocking Agents (Non-dihydropyridines)
45
CARDURA Cardiovascular Agents Alpha-adrenergic Blocking Agents
41
CARDURA Genitourinary Agents Alpha1-adrenergic Blocking Agents
59
CARIMUNE NANOFILTERED Immunological Agents Immunomodulators, Other 72 CARIMUNE NANOFILTERED Immunological Agents Vaccines 73 CARIMUNE Immunological Agents Vaccines 73 carisoprodol /aspirin /codeine Analgesics Opioid Analgesics, Short-acting 3 carisoprodol /aspirin /codeine Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 carisoprodol compound Analgesics Non-opioid Analgesics 1 carisoprodol compound Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 carisoprodol/aspirin Analgesics Non-opioid Analgesics 1 carisoprodol/aspirin Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 carisoprodol Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 CARMOL SCALP TREATMENT
Antibacterials Sulfonamides 15
CARMOL SCALP TREATMENT
Antibacterials Sulfonamides 15
CARMOL-HC Dermatological Agents Dermatological Emolients 53 CARMOL-HC Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
CARNITOR Unclassified Unclassified 90 carteolol hcl Ophthalmic Agents Beta-adrenergic Blocking
Agents, Ophthalmic 75
cartia xt Cardiovascular Agents Antiarrhythmics - Class IV 44 cartia xt Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 45
CARTROL Cardiovascular Agents Nonselective Beta-adrenergic 48
Page of 231 110
Drug Name Class Category Class Name Page #Blocking Agents
carvedilol Cardiovascular Agents Alpha-adrenergic Blocking Agents
41
carvedilol Cardiovascular Agents Alpha-beta-adrenergic Blocking Agents
41
CASODEX Hormonal Agents, Suppressant (Sex Hormones/Modifiers)
Antiandrogens 71
CATAFLAM Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
24
CATAPRES Cardiovascular Agents Alpha-adrenergic Agonists 41 CATAPRES-TTS 2 Cardiovascular Agents Alpha-adrenergic Agonists 41 CATAPRES-TTS-1 Cardiovascular Agents Alpha-adrenergic Agonists 41 CATAPRES-TTS-2 Cardiovascular Agents Alpha-adrenergic Agonists 41 CATAPRES-TTS-3 Cardiovascular Agents Alpha-adrenergic Agonists 41 cavarest Dental and Oral Agents Dental and Oral Agents 52 CEDAX Antibacterials Cephalosporin Antibacterials,
3rd Generation 10
CEDAX Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
CEENU Antineoplastics Antineoplastics 28 cefaclor er Antibacterials Cephalosporin Antibacterials,
2nd Generation 9
cefaclor Antibacterials Cephalosporin Antibacterials, 2nd Generation
9
CEFACLOR Antibacterials Cephalosporin Antibacterials, 2nd Generation
9
cefadroxil Antibacterials Cephalosporin Antibacterials, 1st Generation
9
cefadroxil Antibacterials Cephalosporin Antibacterials, 1st Generation
9
cefadroxil Antibacterials Cephalosporin Antibacterials, 1st Generation
9
cefadroxil Dermatological Agents Dermatological Antipruritic Agents
52
cefadroxil Dermatological Agents Dermatological Antipruritic Agents
52
cefazolin sodium Antibacterials Cephalosporin Antibacterials, 1st Generation
9
CEFAZOLIN SODIUM Antibacterials Cephalosporin Antibacterials, 1st Generation
9
cefazolin sodium Antibacterials Cephalosporin Antibacterials, 1st Generation
9
CEFAZOLIN SODIUM-DEXTROSE
Antibacterials Cephalosporin Antibacterials, 1st Generation
9
CEFIZOX IN DEXTROSE 5% Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
CEFIZOX Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
cefotaxime sodium Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
Page of 231 111
Drug Name Class Category Class Name Page #cefoxitin sodium Antibacterials Beta-lactam, Other 9 cefoxitin sodium Antibacterials Beta-lactam, Other 9 cefoxitin sodium Antibacterials Cephalosporin Antibacterials,
2nd Generation 9
cefoxitin sodium Antibacterials Cephalosporin Antibacterials, 2nd Generation
9
CEFOXITIN Antibacterials Beta-lactam, Other 9 CEFOXITIN Antibacterials Cephalosporin Antibacterials,
2nd Generation 9
cefpodoxime proxetil Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
cefprozil Antibacterials Cephalosporin Antibacterials, 2nd Generation
9
cefprozil Antibacterials Cephalosporin Antibacterials, 2nd Generation
9
CEFTAZIDIME Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
CEFTIN Antibacterials Cephalosporin Antibacterials, 2nd Generation
9
CEFTIN Antibacterials Cephalosporin Antibacterials, 2nd Generation
9
ceftriaxone in iso-osmotic dextrose
Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
ceftriaxone sodium Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
CEFTRIAXONE/DEXTROSE Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
cefuroxime axetil Antibacterials Cephalosporin Antibacterials, 2nd Generation
9
cefuroxime sodium Antibacterials Cephalosporin Antibacterials, 2nd Generation
10
CEFUROXIME/DEXTROSE Antibacterials Cephalosporin Antibacterials, 2nd Generation
10
CEFZIL Antibacterials Cephalosporin Antibacterials, 2nd Generation
10
CEFZIL Antibacterials Cephalosporin Antibacterials, 2nd Generation
10
CELEBREX Analgesics Non-opioid Analgesics 1 CELEBREX Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 24
CELEBREX Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
24
CELESTONE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
CELEXA Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
CELEXA Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
CELLCEPT INTRAVENOUS Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
Page of 231 112
Drug Name Class Category Class Name Page #CELLCEPT Immunological Agents Immune Suppressants (Non-
TNF Inhibitors) 72
CELLCEPT Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
CELLCEPT Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
CELONTIN Anticonvulsants Calcium Channel Modifying Agents
17
CENESTIN Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
CENOGEN ULTRA Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
centany Antibacterials Miscellaneous Antibacterials 12 cephalexin Antibacterials Cephalosporin Antibacterials,
1st Generation 9
cephalexin Antibacterials Cephalosporin Antibacterials, 1st Generation
9
CEPHALEXIN Antibacterials Cephalosporin Antibacterials, 1st Generation
9
CEREDASE Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
54
CEREZYME Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
54
CERUBIDINE Antineoplastics Antineoplastics 28 CESAMET Antiemetics Antiemetics, Other 21 cesia Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
cetacort Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
CHANTIX Antidotes, Deterrents, and Toxicologic Agents
Smoking Cessation Agents 21
CHEMET Antidotes, Deterrents, and Toxicologic Agents
Antidotes, Deterrents, and Toxicologic Agents
20
CHLORAL HYDRATE Sedatives/Hypnotics Sedatives/Hypnotics 82 chloral hydrate Sedatives/Hypnotics Sedatives/Hypnotics 82 CHLORAMPHENICOL SODIUM SUCCINATE
Antibacterials Miscellaneous Antibacterials 12
chlordiazepoxide /amitriptyline Antidepressants Tricyclics 20 chlordiazepoxide /amitriptyline Anxiolytics Anxiolytics, Other 36 chlorhexadine gluconate oral rinse
Dental and Oral Agents Dental and Oral Agents 52
CHLORHEXIDINE CONCENTRATE
Dental and Oral Agents Dental and Oral Agents 52
chlorhexidine gluconate Dental and Oral Agents Dental and Oral Agents 52 CHLORHEXIDINE GLUCONATE
Dental and Oral Agents Dental and Oral Agents 52
CHLOROMYCETIN Antibacterials Miscellaneous Antibacterials 12
Page of 231 113
Drug Name Class Category Class Name Page #chloroquine phosphate Antiparasitics Antimalarials 31 chlorothiazide Cardiovascular Agents Thiazide Diuretics 49 chlorpromazine hcl Antiemetics Antiemetics, Other 21 CHLORPROMAZINE HCL Antipsychotics Conventional 33 chlorpromazine hcl Antipsychotics Conventional 33 chlorpropamide Blood Glucose Regulators Sulfonylureas 38 chlorthalidone Cardiovascular Agents Thiazide Diuretics 49 chlorzoxazone Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 cholestyramine light Cardiovascular Agents Bile Acid Sequestrants 45 cholestyramine light Cardiovascular Agents Bile Acid Sequestrants 45 cholestyramine Cardiovascular Agents Bile Acid Sequestrants 45 cholestyramine Cardiovascular Agents Bile Acid Sequestrants 45 choline magnesium trisalicylate Analgesics Non-opioid Analgesics 1 choline magnesium trisalicylate Analgesics Non-opioid Analgesics 1 ciclopirox olamine Antifungals Antifungals (Other) 22 ciclopirox Antifungals Antifungals (Other) 22 cilostazol Blood
Products/Modifiers/Volume Expanders
Phosphodiesterase III/Adenosine Uptake Inhibitors
40
CILOXAN Antibacterials Quinolones 14 CILOXAN Antibacterials Quinolones 14 cimetidine hcl Gastrointestinal Agents Histamine2 (H2) Blocking
Agents 58
cimetidine Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
CIPRO HC Antibacterials Quinolones 14 CIPRO HC Otic Agents Otic Anti-inflammatories 78 CIPRO I.V. Antibacterials Quinolones 14 CIPRO I.V.-IN D5W Antibacterials Quinolones 14 CIPRO XR Antibacterials Quinolones 14 CIPRO Antibacterials Quinolones 14 CIPRO Antibacterials Quinolones 14 CIPRODEX Antibacterials Quinolones 14 CIPRODEX Otic Agents Otic Anti-inflammatories 78 ciprofloxacin er Antibacterials Quinolones 14 ciprofloxacin extended-release Antibacterials Quinolones 14 ciprofloxacin hcl Antibacterials Quinolones 14 ciprofloxacin hcl Antibacterials Quinolones 14 ciprofloxacin Antibacterials Quinolones 14 cisplatin Antineoplastics Antineoplastics 28 citalopram hydrobromide Antidepressants Serotonin and Norepinephrine
Reuptake Inhibitors (SNRIs) 19
citalopram hydrobromide Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
CITRACAL PRENATAL + DHA Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
CITRACAL PRENATAL RX Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
CITROLITH Therapeutic Electrolytes/Minerals 83
Page of 231 114
Drug Name Class Category Class Name Page #Nutrients/Minerals/Electrolytes
cladribine Antineoplastics Antineoplastics 28 CLAFORAN INFUSION BOTTLES
Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
CLAFORAN/D5W GALAXY Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
CLAFORAN Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
claravis Dermatological Agents Dermatological Retinoids 53 CLARINEX REDITABS Respiratory Tract Agents Histamine1 (H1) Blocking
Agents, Mildly/Non-sedating 81
CLARINEX-D 12 HOUR Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
CLARINEX-D 12 HOUR Respiratory Tract Agents Histamine1 (H1) Blocking Agents, Mildly/Non-sedating
81
CLARINEX-D 24 HOUR Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
CLARINEX-D 24 HOUR Respiratory Tract Agents Histamine1 (H1) Blocking Agents, Mildly/Non-sedating
81
CLARINEX Respiratory Tract Agents Histamine1 (H1) Blocking Agents, Mildly/Non-sedating
81
CLARINEX Respiratory Tract Agents Histamine1 (H1) Blocking Agents, Mildly/Non-sedating
81
clarithromycin er Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
clarithromycin Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
clarithromycin Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
CLARITIN-D 12 HOUR Unclassified No Classification 90 CLARITIN-D 24 HOUR Unclassified No Classification 90 CLARITIN Unclassified No Classification 90 CLARITIN Unclassified No Classification 90 CLEOCIN PEDIATRIC GRANULES
Antibacterials Lincomycin Antibacterials 11
CLEOCIN PHOSPHATE Antibacterials Lincomycin Antibacterials 11 CLEOCIN Antibacterials Lincomycin Antibacterials 11 CLIMARA PRO Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
CLIMARA Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
CLIMARA Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
clindamycin hcl Antibacterials Lincomycin Antibacterials 11 clindamycin phosphate add-vantage
Antibacterials Lincomycin Antibacterials 11
clindamycin phosphate Antibacterials Lincomycin Antibacterials 12
Page of 231 115
Drug Name Class Category Class Name Page #CLINORIL Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 24
clobetasol propionate e Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
64
clobetasol propionate emollient Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
64
clobetasol propionate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
64
clobetasol propionate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
64
clobetasol propionate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
64
clobetasol propionate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
64
clobevate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
64
CLOBEX Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
64
CLOBEX Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
64
CLOBEX Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
CLODERM Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
CLOFIBRATE Cardiovascular Agents Fibrates 47 CLOLAR Antineoplastics Antineoplastics 28 clomipramine hcl Antidepressants Tricyclics 20 clonidine hcl Cardiovascular Agents Alpha-adrenergic Agonists 41 CLORPRES Cardiovascular Agents Alpha-adrenergic Agonists 41 CLORPRES Cardiovascular Agents Thiazide Diuretics 49 clotrimazole/betamethasone dipropionate
Antifungals Azole Antifungals 22
clotrimazole/betamethasone dipropionate
Antifungals Azole Antifungals 22
clotrimazole/betamethasone dipropionate
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
clotrimazole/betamethasone dipropionate
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
Page of 231 116
Drug Name Class Category Class Name Page #clotrimazole Antifungals Antifungals (Other) 22 clotrimazole Antifungals Antifungals (Other) 22 clotrimazole Antifungals Antifungals (Other) 22 clotrimazole Antifungals Antifungals (Other) 22 CLOZAPINE Antipsychotics Atypicals 32 CLOZARIL Antipsychotics Atypicals 32 cmt Analgesics Non-opioid Analgesics 1 CODEINE PHOSPHATE Analgesics Opioid Analgesics, Short-acting 3 codeine sulfate Analgesics Opioid Analgesics, Short-acting 3 COGENTIN Antiparkinson Agents Anticholinergics 31 co-gesic Analgesics Opioid Analgesics, Short-acting 3 COGNEX Antidementia Agents Cholinesterase Inhibitors 18 COLAZAL Inflammatory Bowel Disease
Agents Salicylates 75
colchicine Antigout Agents Antigout Agents (Non-renal Tubular Blocking Agents and Non-xanthine Inhibitors)
24
COLCHICINE Antigout Agents Antigout Agents (Non-renal Tubular Blocking Agents and Non-xanthine Inhibitors)
24
COLESTID FLAVORED Cardiovascular Agents Bile Acid Sequestrants 45 COLESTID FLAVORED Cardiovascular Agents Bile Acid Sequestrants 45 COLESTID Cardiovascular Agents Bile Acid Sequestrants 45 COLESTID Cardiovascular Agents Bile Acid Sequestrants 45 COLESTID Cardiovascular Agents Bile Acid Sequestrants 45 colestipol hcl Cardiovascular Agents Bile Acid Sequestrants 45 colestipol hcl Cardiovascular Agents Bile Acid Sequestrants 45 colidrops pediatric Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 colistimethate sodium Antibacterials Miscellaneous Antibacterials 12 colocort Inflammatory Bowel Disease
Agents Glucocorticoids 74
COLY-MYCIN S Antibacterials Aminoglycosides 7 COLY-MYCIN S Otic Agents Otic Anti-inflammatories 78 COLY-MYCIN-M Antibacterials Miscellaneous Antibacterials 12 COLY-MYCIN-S Antibacterials Aminoglycosides 7 COLY-MYCIN-S Otic Agents Otic Anti-inflammatories 78 COLYTE-FLAVOR PACKS Gastrointestinal Agents Gastrointestinal Agents, Other 57 COLYTE-FLAVOR PACKS Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 83
COLYTE Gastrointestinal Agents Gastrointestinal Agents, Other 57 COLYTROL PEDIATRIC Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 COLYTROL Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 COLYTROL Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 COMBIPATCH Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
COMBIPATCH Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
COMBIVENT Respiratory Tract Agents Bronchodilators, Anticholinergic 79
Page of 231 117
Drug Name Class Category Class Name Page #COMBIVENT Respiratory Tract Agents Bronchodilators,
Sympathomimetic 80
COMBIVIR Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
34
COMBUNOX Analgesics Opioid Analgesics, Short-acting 3 compro Antiemetics Antiemetics, Other 21 COMTAN Antiparkinson Agents Catechol O-methyltransferase
(COMT) Inhibitors 32
COMVAX Immunological Agents Vaccines 73 co-natal fa Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
CONCERTA Central Nervous System Agents
Non-amphetamines 51
CONDYLOX W/APPLICATORS Dermatological Agents Dermatological Caustic Agents 53 CONDYLOX Dermatological Agents Dermatological Caustic Agents 53 constulose Gastrointestinal Agents Gastrointestinal Agents, Other 57 COPAXONE Immunological Agents Immunomodulators, Other 72 COPEGUS Antivirals Antivirals, Other 35 CORDARONE I.V. Cardiovascular Agents Antiarrhythmics - Class III 43 CORDARONE Cardiovascular Agents Antiarrhythmics - Class III 43 CORDRAN SP Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
CORDRAN TAPE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
CORDRAN Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
CORDRAN Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
COREG CR Cardiovascular Agents Alpha-beta-adrenergic Blocking Agents
41
COREG Cardiovascular Agents Alpha-beta-adrenergic Blocking Agents
41
CORGARD Cardiovascular Agents Nonselective Beta-adrenergic Blocking Agents
48
cormax Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
cormax Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
cormax Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
CORTEF Anti-inflammatories Glucocorticoids 24 CORTEF Hormonal Agents, Glucocorticoids 60
Page of 231 118
Drug Name Class Category Class Name Page #Stimulant/Replacement/Modifying (Adrenal)
CORTIFOAM Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
cortisone acetate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
CORTISPORIN Antibacterials Aminoglycosides 7 CORTISPORIN Antibacterials Aminoglycosides 7 CORTISPORIN Antibacterials Aminoglycosides 7 CORTISPORIN Antibacterials Aminoglycosides 7 CORTISPORIN Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
CORTISPORIN Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
CORTISPORIN Ophthalmic Agents Glucocorticoids, Ophthalmic 76 CORTISPORIN Otic Agents Otic Anti-inflammatories 78 CORTISPORIN Otic Agents Otic Anti-inflammatories 78 CORTISPORIN-TC Antibacterials Aminoglycosides 7 CORTISPORIN-TC Otic Agents Otic Anti-inflammatories 78 cortomycin Antibacterials Aminoglycosides 7 cortomycin Antibacterials Aminoglycosides 7 cortomycin Otic Agents Otic Anti-inflammatories 78 cortomycin Otic Agents Otic Anti-inflammatories 78 CORZIDE Cardiovascular Agents Cardioselective Beta-adrenergic
Blocking Agents 46
CORZIDE Cardiovascular Agents Thiazide Diuretics 49 COSMEGEN Antineoplastics Antineoplastics 28 COSOPT Ophthalmic Agents Beta-adrenergic Blocking
Agents, Ophthalmic 75
COSOPT Ophthalmic Agents Carbonic Anhydrase Inhibitors, Ophthalmic
75
COUMADIN Blood Products/Modifiers/Volume Expanders
Anticoagulants, Oral 39
COUMADIN Blood Products/Modifiers/Volume Expanders
Anticoagulants, Oral 39
COVERA-HS Cardiovascular Agents Antiarrhythmics - Class IV 44 COVERA-HS Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 45
COZAAR Cardiovascular Agents Angiotensin II Receptor Antagonists
42
CREON 5 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
54
CREON 10 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
54
CREON 20 Enzyme Enzyme 54
Page of 231 119
Drug Name Class Category Class Name Page #Replacements/Modifiers Replacements/Modifiers
CRESTOR Cardiovascular Agents 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) Reductase Inhibitors
40
CRESYLATE Antibacterials Miscellaneous Antibacterials 12 CRESYLATE Otic Agents Otic Anti-inflammatories 78 CRINONE Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
CRIXIVAN Antivirals Anti-HIV Agents, Protease Inhibitors
35
CROLOM Ophthalmic Agents Ophthalmic Anti-allergy Agents 77 cromolyn sodium Ophthalmic Agents Ophthalmic Anti-allergy Agents 77 cromolyn sodium Respiratory Tract Agents Mast Cell Stabilizers 81 cryselle-28 Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
CUBICIN Antibacterials Miscellaneous Antibacterials 12 CUPRIMINE Antidotes, Deterrents, and
Toxicologic Agents Antidotes, Deterrents, and Toxicologic Agents
20
CUTIVATE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
CUTIVATE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
CUTIVATE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
CYCLESSA Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
cyclobenzaprine hcl Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 CYCLOCORT Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
CYCLOCORT Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
CYCLOCORT Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
cyclophosphamide Antineoplastics Antineoplastics 28 cyclophosphamide Antineoplastics Antineoplastics 28 cyclosporine modified Immunological Agents Immune Suppressants (Non-
TNF Inhibitors) 72
cyclosporine modified Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
CYCLOSPORINE MODIFIED Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
cyclosporine Immunological Agents Immune Suppressants (Non- 72
Page of 231 120
Drug Name Class Category Class Name Page #TNF Inhibitors)
cyclosporine Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
cyclosporine Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
CYMBALTA Analgesics Non-opioid Analgesics 1 CYMBALTA Antidepressants Serotonin and Norepinephrine
Reuptake Inhibitors (SNRIs) 19
cyproheptadine hcl Respiratory Tract Agents H1 Blocking Agents, Sedating 80 cyproheptadine hcl Respiratory Tract Agents H1 Blocking Agents, Sedating 80 CYSTADANE Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
54
CYSTAGON Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
54
CYSTOSPAZ Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 CYTADREN Hormonal Agents,
Suppressant (Adrenal) Hormonal Agents, Suppressant (Adrenal)
71
cytarabine aqueous Antineoplastics Antineoplastics 28 cytarabine Antineoplastics Antineoplastics 28 CYTARABINE Antineoplastics Antineoplastics 28 CYTOMEL Hormonal Agents,
Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
70
CYTOTEC Gastrointestinal Agents Protectants 59 CYTOVENE Antivirals Anti-cytomegalovirus (CMV)
Agents 33
CYTOVENE Antivirals Anti-cytomegalovirus (CMV) Agents
33
CYTOXAN Antineoplastics Antineoplastics 28 CYTOXAN Antineoplastics Antineoplastics 28 D.H.E. 45 Antimigraine Agents Ergot Alkaloids 26 DACARBAZINE Antineoplastics Antineoplastics 28 dacarbazine Antineoplastics Antineoplastics 28 danazol Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
danazol Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
DANTRIUM Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 dantrolene sodium Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 DAPSONE Antimycobacterials Antimycobacterials, Other 27 DAPTACEL Immunological Agents Vaccines 73 DARAPRIM Antiparasitics Antimalarials 31 DARVOCET A500 Analgesics Opioid Analgesics, Short-acting 3 DARVOCET-N 100 Analgesics Opioid Analgesics, Short-acting 3 DARVOCET-N 50 Analgesics Opioid Analgesics, Short-acting 3 DARVON COMPOUND-65 Analgesics Opioid Analgesics, Short-acting 3 DARVON Analgesics Opioid Analgesics, Short-acting 3 DARVON-N Analgesics Opioid Analgesics, Short-acting 3 DAUNORUBICIN HCL Antineoplastics Antineoplastics 28
Page of 231 121
Drug Name Class Category Class Name Page #daunorubicin hcl Antineoplastics Antineoplastics 28 DAUNOXOME Antineoplastics Antineoplastics 28 DAYPRO Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 24
DAYTRANA Central Nervous System Agents
Non-amphetamines 51
DDAVP Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
DDAVP Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
DECADRON Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
DECAVAC Immunological Agents Vaccines 73 DECLOMYCIN Antibacterials Tetracyclines 16 del-beta Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
DELESTROGEN Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
delflex-lc/1.5% dextrose Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 83
delflex-lc/2.5% dextrose Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 83
delflex-lc/4.25% dextrose Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 83
delflex-lm/1.5% dextrose Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 83
delflex-lm/2.5% dextrose Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 83
delflex-lm/4.25% dextrose Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
delflex-sm/1.5% dextrose Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
delflex-sm/2.5% dextrose Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
DELFLEX-SM/4.25% DEXTROSE
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
deltasone Hormonal Agents, Glucocorticoids 60
Page of 231 122
Drug Name Class Category Class Name Page #Stimulant/Replacement/Modifying (Adrenal)
DEMADEX Cardiovascular Agents Loop Diuretics 48 DEMADEX Cardiovascular Agents Loop Diuretics 48 demeclocycline hcl Antibacterials Tetracyclines 16 DEMEROL Analgesics Opioid Analgesics, Short-acting 3 DEMEROL Analgesics Opioid Analgesics, Short-acting 3 DEMEROL Analgesics Opioid Analgesics, Short-acting 3 DEMSER Cardiovascular Agents 51 DEMULEN 1/35-28 Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
DEMULEN 1/50-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
DENAVIR Antivirals Antiherpetic Agents 34 DEPACON Anticonvulsants Gamma-aminobutyric Acid
(GABA) Augmenting Agents 17
depade Antidotes, Deterrents, and Toxicologic Agents
Alcohol Deterrents 20
DEPAKENE Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
DEPAKENE Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
DEPAKOTE ER Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
DEPAKOTE ER Antimigraine Agents Antimigraine Agents, Prophylactic (Non-beta-adrenergic Blocking Agents)
26
DEPAKOTE ER Bipolar Agents Bipolar Agents 36 DEPAKOTE SPRINKLES Anticonvulsants Gamma-aminobutyric Acid
(GABA) Augmenting Agents 17
DEPAKOTE SPRINKLES Bipolar Agents Bipolar Agents 36 DEPAKOTE Anticonvulsants Gamma-aminobutyric Acid
(GABA) Augmenting Agents 17
DEPAKOTE Antimigraine Agents Antimigraine Agents, Prophylactic (Non-beta-adrenergic Blocking Agents)
26
DEPAKOTE Bipolar Agents Bipolar Agents 36 DEPAKOTE Bipolar Agents 37 DEPEN TITRATABS Antidotes, Deterrents, and
Toxicologic Agents Antidotes, Deterrents, and Toxicologic Agents
20
DEPODUR Analgesics Opioid Analgesics, Long-acting 2 DEPO-ESTRADIOL Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
DEPO-MEDROL Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
DEPO-PROVERA CONTRACEPTIVE
Hormonal Agents, Stimulant/Replacement/Modify
Progestins 70
Page of 231 123
Drug Name Class Category Class Name Page #ing (Sex Hormones/Modifiers)
DEPO-PROVERA Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
DEPO-SUBQ PROVERA 104 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
DEPO-TESTOSTERONE Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
DERMA-SMOOTHE/FS BODY OIL
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
DERMA-SMOOTHE/FS SCALP OIL
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
DERMATOP Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
DERMATOP Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
DERMOTIC Otic Agents Otic Anti-inflammatories 78 desipramine hcl Antidepressants Tricyclics 20 desmopressin acetate Hormonal Agents,
Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
desmopressin acetate Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
desmopressin acetate Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
DESOGEN Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
DESONATE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
desonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
desonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
desonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
DESOWEN Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
Page of 231 124
Drug Name Class Category Class Name Page #DESOWEN Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
DESOWEN Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
desoximetasone Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
desoximetasone Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
desoximetasone Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
desoximetasone Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
DESOXYN Central Nervous System Agents
Amphetamines 51
DETROL LA Genitourinary Agents Antispasmodics, Urinary 59 DETROL Genitourinary Agents Antispasmodics, Urinary 59 DEXAMETHASONE INTENSOL
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
dexamethasone sodium phosphate
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
dexamethasone sodium phosphate
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
dexamethasone sodium phosphate
Ophthalmic Agents Glucocorticoids, Ophthalmic 76
DEXAMETHASONE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
DEXAMETHASONE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
dexamethasone Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
dexasol Ophthalmic Agents Glucocorticoids, Ophthalmic 76 dexasporin Antibacterials Aminoglycosides 7 dexasporin Ophthalmic Agents Glucocorticoids, Ophthalmic 76 DEXCHLORPHENIRAMINE MALEATE
Respiratory Tract Agents H1 Blocking Agents, Sedating 80
DEXEDRINE Central Nervous System Agents
Amphetamines 51
DEXEDRINE Central Nervous System Agents
Amphetamines 51
Page of 231 125
Drug Name Class Category Class Name Page #DEXPAK 13 DAY Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
dexrazoxane Unclassified Unclassified 90 dexrazoxane Unclassified Unclassified 90 dextroamphetamine sulfate Central Nervous System
Agents Amphetamines 51
dextroamphetamine sulfatecr Central Nervous System Agents
Amphetamines 51
DEXTROSE 10%/NACL 0.45% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 2.5% lactated ringer's 1/2 strength
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 2.5% lactated ringers 1/2st
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 2.5%/lactated ringer's 1/2 strength
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
DEXTROSE 2.5% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 5% /electrolyte #48 viaflex
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 5% /electrolyte #75 viaflex
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 10% flex container Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 10%/nacl 0.2% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
DEXTROSE 10%/NACL 0.225%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 10%/nacl 0.9% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 10%/sodium chloride 0.9%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 2.5%/nacl 0.45% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 2.5%/sodium chloride 0.45%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
Page of 231 126
Drug Name Class Category Class Name Page #dextrose 5%/lactated ringer's Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 5%/nacl 0.2% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
DEXTROSE 5%/NACL 0.225% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
DEXTROSE 5%/NACL 0.3% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 5%/nacl 0.33% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 5%/nacl 0.45% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 5%/nacl 0.9% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
DEXTROSE 5%/POTASSIUM CHLORIDE 0.075%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 5%/potassium chloride 0.15%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 5%/ringer's Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 5%/sodium chloride 0.2%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 5%/sodium chloride 0.33%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 5%/sodium chloride 0.45%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 5%/sodium chloride 0.9%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrose 5% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
DEXTROSE 50% /ELECTROLYTES A PARTIAL FILL
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dextrostat Central Nervous System Agents
Amphetamines 51
DHT INTENSOL Hormonal Agents, Vitamin D-related 66
Page of 231 127
Drug Name Class Category Class Name Page #Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Agents/Metabolic Bone Disease Agents
DHT Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Vitamin D-related Agents/Metabolic Bone Disease Agents
66
DIABETA Blood Glucose Regulators Sulfonylureas 38 DIABETIC SUPPLIES, MISC Insulin Administration
Supplies Insulin Administration Supplies 75
DIABINESE Blood Glucose Regulators Sulfonylureas 38 dialyte/1.5% dextrose pattern lm
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dialyte/2.5% dextrose pattern lm
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
dialyte/4.25% dextrose pattern lm
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
DIAMOX Cardiovascular Agents Carbonic Anhydrase Inhibitors 46 DIAMOX Ophthalmic Agents Carbonic Anhydrase Inhibitors,
Ophthalmic 76
DIANEAL LOW CALCIUM/1.5% DEXTROSE
Unclassified Unclassified 90
DIANEAL LOW CALCIUM/2.5% DEXTROSE
Unclassified Unclassified 90
DIANEAL LOW CALCIUM/4.25%DEXTROSE
Therapeutic Nutrients/Minerals/Electrolytes
Parenteral Nutrition 87
DIANEAL PD-2/1.5% DEXTROSE
Unclassified Unclassified 90
DIANEAL PD-2/2.5% DEXTROSE
Unclassified Unclassified 90
DIANEAL PD-2/3.5% DEXTROSE
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
DIANEAL PD-2/4.25% DEXTROSE
Unclassified Unclassified 90
di-atro Gastrointestinal Agents Gastrointestinal Agents, Other 57 DICHLOROACETIC ACID Dermatological Agents Dermatological Caustic Agents 53 diclofenac potassium Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 24
diclofenac sodium dr Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
24
diclofenac sodium ec Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
24
diclofenac sodium er Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
24
diclofenac sodium sr Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
24
Page of 231 128
Drug Name Class Category Class Name Page #diclofenac sodium xr Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 24
diclofenac sodium Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
24
dicloxacillin sodium Antibacterials Penicillinase-resistant Penicillins 14 dicyclomine hcl Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 dicyclomine hcl Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 dicyclomine hcl Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 dicyclomine hcl Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 didanosine Antivirals Anti-HIV Agents, Nucleoside and
Nucleotide Reverse Transcriptase Inhibitors
34
DIDRONEL IV Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Bisphosphonates, Parenteral 65
DIDRONEL Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Bisphosphonates, Oral 65
diflorasone diacetate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
diflorasone diacetate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
DIFLUCAN IN ISO-OSMOTIC DEXTROSE
Antifungals Azole Antifungals 22
DIFLUCAN IN NACL Antifungals Azole Antifungals 22 DIFLUCAN Antifungals Azole Antifungals 22 DIFLUCAN Antifungals Azole Antifungals 22 DIFLUNISAL Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 24
DIFLUNISAL Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
24
digitek Cardiovascular Agents Direct Cardiac Inotropics 47 DIGOXIN Cardiovascular Agents Direct Cardiac Inotropics 47 digoxin Cardiovascular Agents Direct Cardiac Inotropics 47 digoxin Cardiovascular Agents Direct Cardiac Inotropics 47 dihydroergotamine mesylate Antimigraine Agents Ergot Alkaloids 26 DILACOR XR Cardiovascular Agents Antiarrhythmics - Class IV 44 DILACOR XR Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 45
DILANTIN INFATABS Anticonvulsants Sodium Channel Inhibitors 18 DILANTIN-125 Anticonvulsants Sodium Channel Inhibitors 18 DILANTIN Anticonvulsants Sodium Channel Inhibitors 18 DILANTIN Anticonvulsants Sodium Channel Inhibitors 18 DILANTIN Anticonvulsants Sodium Channel Inhibitors 18 DILATRATE SR Cardiovascular Agents Vasodilators, Direct-acting
Arterial/Venous 50
DILAUDID-5 Analgesics Opioid Analgesics, Short-acting 3
Page of 231 129
Drug Name Class Category Class Name Page #DILAUDID Analgesics Opioid Analgesics, Short-acting 3 DILAUDID-HP Analgesics Opioid Analgesics, Short-acting 3 DILAUDID-HP Analgesics Opioid Analgesics, Short-acting 3 dilt-cd Cardiovascular Agents Antiarrhythmics - Class IV 44 dilt-cd Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 45
diltia xt Cardiovascular Agents Antiarrhythmics - Class IV 44 diltia xt Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 45
diltiazem cd Cardiovascular Agents Antiarrhythmics - Class IV 44 diltiazem cd Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 45
diltiazem hcl er Cardiovascular Agents Antiarrhythmics - Class IV 44 diltiazem hcl er Cardiovascular Agents Antiarrhythmics - Class IV 44 diltiazem hcl er Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 45
diltiazem hcl er Cardiovascular Agents Calcium Channel Blocking Agents (Non-dihydropyridines)
45
diltiazem hcl sr Cardiovascular Agents Antiarrhythmics - Class IV 44 diltiazem hcl sr Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 45
diltiazem hcl Cardiovascular Agents Antiarrhythmics - Class IV 44 diltiazem hcl Cardiovascular Agents Antiarrhythmics - Class IV 44 diltiazem hcl Cardiovascular Agents Antiarrhythmics - Class IV 44 DILTIAZEM HCL Cardiovascular Agents Antiarrhythmics - Class IV 44 diltiazem hcl Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 45
diltiazem hcl Cardiovascular Agents Calcium Channel Blocking Agents (Non-dihydropyridines)
45
diltiazem hcl Cardiovascular Agents Calcium Channel Blocking Agents (Non-dihydropyridines)
45
DILTIAZEM HCL Cardiovascular Agents Calcium Channel Blocking Agents (Non-dihydropyridines)
45
diltiazem xr Cardiovascular Agents Antiarrhythmics - Class IV 44 diltiazem xr Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 45
dilt-xr Cardiovascular Agents Calcium Channel Blocking Agents (Non-dihydropyridines)
46
DIOVAN HCT Cardiovascular Agents Angiotensin II Receptor Antagonists
42
DIOVAN Cardiovascular Agents Angiotensin II Receptor Antagonists
42
DIPENTUM Gastrointestinal Agents Gastrointestinal Agents, Other 57 diphenatol Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 diphenatol Gastrointestinal Agents Gastrointestinal Agents, Other 57 diphenhydramine hcl Respiratory Tract Agents H1 Blocking Agents, Sedating 80 diphenhydramine hcl Respiratory Tract Agents H1 Blocking Agents, Sedating 80 diphenhydramine hcl Respiratory Tract Agents H1 Blocking Agents, Sedating 80 diphenoxylate/atropine Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 diphenoxylate/atropine Gastrointestinal Agents Gastrointestinal Agents, Other 57 diphenoxylate/atropine Gastrointestinal Agents Gastrointestinal Agents, Other 57
Page of 231 130
Drug Name Class Category Class Name Page #dipivefrin hcl Ophthalmic Agents Alpha-adrenergic Agonists,
Ophthalmic 75
DIPROLENE AF Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
DIPROLENE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
DIPROLENE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
DIPROLENE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
61
DIPTHERIA/TETANUS TOXOID PEDIATRIC
Immunological Agents Vaccines 73
dipyridamole Blood Products/Modifiers/Volume Expanders
Cyclic Adenosine Monophosphate Reuptake Inhibitors
40
disopyramide phosphate er Cardiovascular Agents Antiarrhythmics - Classes IA, B, and C
44
disopyramide phosphate Cardiovascular Agents Antiarrhythmics - Classes IA, B, and C
44
dispas Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 DISPERMOX Antibacterials Amino Derivative Penicillins 7 DITROPAN XL Genitourinary Agents Antispasmodics, Urinary 59 DITROPAN Genitourinary Agents Antispasmodics, Urinary 59 DITROPAN Genitourinary Agents Antispasmodics, Urinary 59 DIURIL IV Cardiovascular Agents Thiazide Diuretics 49 DIURIL Cardiovascular Agents Thiazide Diuretics 49 DIVIGEL Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
dolacet Analgesics Opioid Analgesics, Short-acting 3 dolagesic Analgesics Opioid Analgesics, Short-acting 4 DOLOBID Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 24
DOLOGESIC Analgesics Non-opioid Analgesics 1 DOLOGESIC Analgesics Non-opioid Analgesics 1 dologesic Analgesics Non-opioid Analgesics 1 DOLOPHINE HCL Analgesics Opioid Analgesics, Long-acting 2 DOLOPHINE Analgesics Opioid Analgesics, Long-acting 2 DOLOPHINE Analgesics Opioid Analgesics, Long-acting 2 dolorex forte Analgesics Opioid Analgesics, Short-acting 4 dolorex Analgesics Non-opioid Analgesics 1 dolorex Analgesics Non-opioid Analgesics 1 dolotic Dermatological Agents Dermatological Antipruritic
Agents 52
DORYX Antibacterials Tetracyclines 16 DORYX Antibacterials Tetracyclines 16 DOSTINEX Hormonal Agents, Dopamine Agonists 71
Page of 231 131
Drug Name Class Category Class Name Page #Suppressant (Pituitary)
DOVONEX Dermatological Agents Dermatological Mitotic Inhibitors 53 DOVONEX Dermatological Agents Dermatological Mitotic Inhibitors 53 DOVONEX Dermatological Agents Dermatological Mitotic Inhibitors 53 doxazosin mesylate Cardiovascular Agents Alpha-adrenergic Blocking
Agents 41
doxazosin mesylate Genitourinary Agents Alpha1-adrenergic Blocking Agents
59
doxepin hcl Antidepressants Tricyclics 20 doxepin hcl Antidepressants Tricyclics 20 doxepin hcl Anxiolytics Antidepressants 36 doxepin hcl Anxiolytics Antidepressants 36 DOXIL Antineoplastics Antineoplastics 28 doxorubicin hcl Antineoplastics Antineoplastics 28 doxorubicin hcl Antineoplastics Antineoplastics 28 doxy-caps Antibacterials Tetracyclines 16 doxycycline hyclate Antibacterials Tetracyclines 16 DOXYCYCLINE HYCLATE Antibacterials Tetracyclines 16 doxycycline hyclate Antibacterials Tetracyclines 16 doxycycline hyclate Antibacterials Tetracyclines 16 doxycycline monohydrate Antibacterials Tetracyclines 16 doxycycline monohydrate Antibacterials Tetracyclines 16 DRITHO-SCALP Dermatological Agents Dermatological Mitotic Inhibitors 53 DROXIA Antineoplastics Antineoplastics 28 DTIC-DOME Antineoplastics Antineoplastics 28 DUET DHA EC Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
DUET DHA Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
DUETACT Blood Glucose Regulators Sulfonylureas 38 DUETACT Blood Glucose Regulators Thiazolidinediones 39 DUET Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
DUET Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
DUONEB Respiratory Tract Agents Bronchodilators, Anticholinergic 79 DUO-VIL Antidepressants Tricyclics 20 DUO-VIL Antipsychotics Conventional 33 DURABAC Analgesics Non-opioid Analgesics 1 DURACLON Cardiovascular Agents Alpha-adrenergic Agonists 41 DURAGESIC Analgesics Opioid Analgesics, Long-acting 2 duramorph Analgesics Opioid Analgesics, Long-acting 2 DURAXIN Analgesics Non-opioid Analgesics 1 DURICEF Antibacterials Cephalosporin Antibacterials,
1st Generation 9
DURICEF Dermatological Agents Dermatological Antipruritic Agents
52
Page of 231 132
Drug Name Class Category Class Name Page #DURICEF Dermatological Agents Dermatological Antipruritic
Agents 52
DYAZIDE Cardiovascular Agents Potassium-sparing Diuretics 48 DYAZIDE Cardiovascular Agents Thiazide Diuretics 49 DYGASE Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
54
DYNABAC D5-PAK Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
dynacin Antibacterials Tetracyclines 16 DYNACIN Antibacterials Tetracyclines 16 DYNACIN Antibacterials Tetracyclines 16 DYNACIRC CR Cardiovascular Agents Dihydropyridines 47 DYNACIRC Cardiovascular Agents Dihydropyridines 47 DYNACIRC-CR Cardiovascular Agents Dihydropyridines 47 DYRENIUM Cardiovascular Agents Potassium-sparing Diuretics 48 e.e.s. 200 Antibacterials Erythromycins 10 e.e.s. 400 Antibacterials Erythromycins 10 e.e.s. 400 Antibacterials Erythromycins 10 E.E.S. GRANULES Antibacterials Erythromycins 10 ear drops Dermatological Agents Dermatological Antipruritic
Agents 52
ear-gesic Dermatological Agents Dermatological Antipruritic Agents
52
EC-NAPROSYN Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
24
econazole nitrate Antifungals Azole Antifungals 22 ECONOPRED PLUS Ophthalmic Agents Glucocorticoids, Ophthalmic 76 ed k+10 Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
EDECRIN Cardiovascular Agents Loop Diuretics 48 ed-flex Analgesics Non-opioid Analgesics 1 effer-k Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
EFFEXOR XR Antidepressants Antidepressants, Other 19 EFFEXOR Antidepressants Antidepressants, Other 19 EFUDEX OCCLUSION PACK Antineoplastics Antineoplastics 28 EFUDEX Antineoplastics Antineoplastics 28 EFUDEX Antineoplastics Antineoplastics 28 ELAPRASE Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
54
ELDEPRYL Antiparkinson Agents Antiparkinson Agents, Other 32 ELESTAT Ophthalmic Agents Ophthalmic Anti-allergy Agents 77 ELESTRIN Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
ELIDEL Dermatological Agents Dermatological Immunomodulators
53
ELIGARD Hormonal Agents, Suppressant (Sex
Antiandrogens 71
Page of 231 133
Drug Name Class Category Class Name Page #Hormones/Modifiers)
ELIMITE Antiparasitics Pediculicides/Scabicides 31 ELITEK Antineoplastics Antineoplastics 28 ELIXOPHYLLIN Respiratory Tract Agents Bronchodilators,
Phosphodiesterase 2 Inhibitors (Xanthines)
79
ELLENCE Antineoplastics Antineoplastics 28 ELMIRON Genitourinary Agents Genitourinary Agents 60 ELOCON Dermatological Agents Dermatological Anti-
inflammatories 52
ELOCON Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
ELOCON Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
ELOCON Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
63
ELOXATIN Antineoplastics Antineoplastics 28 ELOXATIN Antineoplastics Antineoplastics 28 ELSPAR Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
54
EMADINE Ophthalmic Agents Ophthalmic Anti-allergy Agents 78 embeline e Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
embeline Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
embeline Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
embeline Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
embeline Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
emcin clear Insulin Administration Supplies
Insulin Administration Supplies 75
EMCYT Antineoplastics Estrogen-nitrosoureas 30 EMEND Antiemetics Neurokinin 1 (NK1) Receptor
Antagonists 21
EMEND Antiemetics Neurokinin 1 (NK1) Receptor Antagonists
21
EMLA/TEGADERM Anesthetics Local Anesthetics 6 EMLA Anesthetics Local Anesthetics 6 EMSAM Antiparkinson Agents Antiparkinson Agents, Other 32 EMTRIVA Antivirals Anti-HIV Agents, Nucleoside and
Nucleotide Reverse 34
Page of 231 134
Drug Name Class Category Class Name Page #Transcriptase Inhibitors
EMTRIVA Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
34
E-MYCIN Antibacterials Erythromycins 11 ENABLEX Genitourinary Agents Antispasmodics, Urinary 59 enalapril maleate/hydrochlorothiazide
Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
enalapril maleate Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
ENBREL SURECLICK Immunological Agents Tumor Necrosis Factor (TNF) Inhibitors
73
ENBREL Immunological Agents Tumor Necrosis Factor (TNF) Inhibitors
73
ENBREL Immunological Agents Tumor Necrosis Factor (TNF) Inhibitors
73
endocet Analgesics Opioid Analgesics, Short-acting 4 endodan Analgesics Opioid Analgesics, Short-acting 4 ENGERIX-B SDV Immunological Agents Vaccines 73 ENGERIX-B Immunological Agents Vaccines 73 ENGERIX-B Immunological Agents Vaccines 73 ENLON-PLUS Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 ENLON-PLUS Respiratory Tract Agents Bronchodilators, Anticholinergic 79 enpresse-28 Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
ENTOCORT EC Inflammatory Bowel Disease Agents
Glucocorticoids 74
enulose Gastrointestinal Agents Gastrointestinal Agents, Other 57 ENZYCAP Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
54
ENZYMAX Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
54
epinephrine hcl Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
EPIPEN 2-PAK Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
EPIPEN-JR 2-PAK Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
EPIRUBICIN HCL Antineoplastics Antineoplastics 28 epitol Anticonvulsants Sodium Channel Inhibitors 18 epitol Bipolar Agents Bipolar Agents 36 EPIVIR HBV Antivirals Anti-HIV Agents, Nucleoside and
Nucleotide Reverse Transcriptase Inhibitors
34
EPIVIR HBV Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
34
EPIVIR Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
34
Page of 231 135
Drug Name Class Category Class Name Page #EPIVIR Antivirals Anti-HIV Agents, Nucleoside and
Nucleotide Reverse Transcriptase Inhibitors
34
EPOGEN Blood Products/Modifiers/Volume Expanders
Erythropoietins 40
EPZICOM Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
34
eq miconazole 3 combo pack Antifungals Azole Antifungals 22 EQUAGESIC Analgesics Non-opioid Analgesics 1 EQUAGESIC Sedatives/Hypnotics Sedatives/Hypnotics 82 EQUETRO Anticonvulsants Anticonvulsants (Other) 17 EQUETRO Anticonvulsants Sodium Channel Inhibitors 18 EQUETRO Bipolar Agents Bipolar Agents 36 ERAXIS Antifungals Antifungals (Other) 22 ERBITUX Antineoplastics Antineoplastics 28 ergoloid mesylates Antidementia Agents Antidementia Agents, Other 18 ERGOMAR Antimigraine Agents Ergot Alkaloids 26 ergotamine tartrate/caffeine Antimigraine Agents Ergot Alkaloids 26 errin Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
ERYC Antibacterials Erythromycins 11 eryderm Antibacterials Erythromycins 11 ERYGEL Antibacterials Erythromycins 11 ERYPED 200 Antibacterials Erythromycins 11 ERYPED 400 Antibacterials Erythromycins 11 ERYPED Antibacterials Erythromycins 11 ERY-TAB Antibacterials Erythromycins 11 ERYTHROCIN LACTOBIONATE
Antibacterials Erythromycins 11
erythrocin stearate Antibacterials Erythromycins 11 ERYTHROCIN Antibacterials Erythromycins 11 erythromycin /sulfisoxazole Antibacterials Erythromycins 11 erythromycin /sulfisoxazole Antibacterials Sulfonamides 15 ERYTHROMYCIN BASE Antibacterials Erythromycins 11 erythromycin ethylsuccinate Antibacterials Erythromycins 11 erythromycin ethylsuccinate Antibacterials Erythromycins 11 erythromycin ethylsuccinate Antibacterials Erythromycins 11 ERYTHROMYCIN LACTOBIONATE
Antibacterials Erythromycins 11
erythromycin stearate Antibacterials Erythromycins 11 ERYTHROMYCIN Antibacterials Erythromycins 11 erythromycin Antibacterials Erythromycins 11 erythromycin Antibacterials Erythromycins 11 erythromycin Antibacterials Erythromycins 11 erythromycin Antibacterials Erythromycins 11 ERYTHROMYCIN Antibacterials Erythromycins 11 ESCLIM Hormonal Agents,
Stimulant/Replacement/ModifyEstrogens 69
Page of 231 136
Drug Name Class Category Class Name Page #ing (Sex Hormones/Modifiers)
ESKALITH CR Bipolar Agents Bipolar Agents 36 ESKALITH Bipolar Agents Bipolar Agents 36 ESTRACE Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
ESTRACE Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
ESTRACE Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
ESTRADERM Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
estradiol Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
estradiol Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
ESTRASORB Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
ESTRING Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
estro-5 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
ESTROGEL Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
estropipate Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
ESTROSTEP FE Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
ethambutol hcl Antimycobacterials Antituberculars 27 ethezyme 830 Dermatological Agents Dermatological Wound Care
Agents 54
ETHEZYME Dermatological Agents Dermatological Wound Care Agents
54
ethosuximide Anticonvulsants Calcium Channel Modifying Agents
17
ethosuximide Anticonvulsants Calcium Channel Modifying Agents
17
eth-oxydose Analgesics Opioid Analgesics, Short-acting 4 ETHYOL Antineoplastics Antineoplastics 28 etidronate disodium Hormonal Agents, Bisphosphonates, Oral 65
Page of 231 137
Drug Name Class Category Class Name Page #Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
etodolac er Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
24
etodolac Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
24
etodolac Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
24
ETOPOPHOS Antineoplastics Antineoplastics 28 etoposide Antineoplastics Antineoplastics 28 EURAX Antiparasitics Pediculicides/Scabicides 31 EURAX Antiparasitics Pediculicides/Scabicides 31 EVISTA Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Selective Estrogen Receptor Modifying Agents
70
EXELDERM Antifungals Azole Antifungals 22 EXELDERM Antifungals Azole Antifungals 22 EXELON Antidementia Agents Cholinesterase Inhibitors 18 EXELON Antidementia Agents Cholinesterase Inhibitors 18 EXFORGE Cardiovascular Agents Angiotensin II Receptor
Antagonists 42
EXFORGE Cardiovascular Agents Dihydropyridines 47 EXJADE Blood
Products/Modifiers/Volume Expanders
Iron Overload Agents 40
EXUBERA COMBINATION PACK 15
Blood Glucose Regulators Insulin, Rapid-acting 38
EXUBERA KIT Blood Glucose Regulators Insulin, Rapid-acting 38 FABRAZYME Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
54
FACTIVE Antibacterials Quinolones 14 famotidine premixed Gastrointestinal Agents Histamine2 (H2) Blocking
Agents 58
famotidine Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
famotidine Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
FAMVIR Antivirals Antiherpetic Agents 34 FANSIDAR Antiparasitics Antimalarials 31 FARESTON Antineoplastics Selective Estrogen Receptor
Modulators, 1st Generation 30
FASLODEX Antineoplastics Antineoplastics 28 FAZACLO Antipsychotics Atypicals 32 FELBATOL Anticonvulsants Glutamate Reducing Agents 17 FELBATOL Anticonvulsants Glutamate Reducing Agents 17 FELDENE Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 24
felodipine er Cardiovascular Agents Dihydropyridines 47 FEMARA Antineoplastics Aromatase Inhibitors, 3rd
Generation 30
Page of 231 138
Drug Name Class Category Class Name Page #FEMCON FE Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
FEMHRT 1/5 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
FEMHRT LOW DOSE Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
FEMRING Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 69
FEMTRACE Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
fenofibrate Cardiovascular Agents Fibrates 47 fenoprofen calcium Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 25
FENTANYL CITRATE ORAL TRANSMUCOSAL
Analgesics Opioid Analgesics, Short-acting 4
fentanyl citrate Analgesics Opioid Analgesics, Short-acting 4 fentanyl Analgesics Opioid Analgesics, Long-acting 2 fentanyl Analgesics Opioid Analgesics, Long-acting 2 FENTORA Analgesics Opioid Analgesics, Short-acting 4 fexofenadine hcl Respiratory Tract Agents Histamine1 (H1) Blocking
Agents, Mildly/Non-sedating 81
FINACEA Dermatological Agents 54 FIORICET/CODEINE Analgesics Opioid Analgesics, Short-acting 4 FLAGYL ER Antibacterials Miscellaneous Antibacterials 12 FLAGYL Antibacterials Miscellaneous Antibacterials 12 FLAGYL Antibacterials Miscellaneous Antibacterials 12 FLAREX Ophthalmic Agents Glucocorticoids, Ophthalmic 76 FLEBOGAMMA Immunological Agents Vaccines 73 flecainide acetate Cardiovascular Agents Antiarrhythmics - Classes IA, B,
and C 44
FLEXERIL Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 FLEXTRA DS Analgesics Non-opioid Analgesics 1 FLEXTRA-650 Analgesics Non-opioid Analgesics 1 FLEXTRA Analgesics Non-opioid Analgesics 1 FLOMAX Genitourinary Agents Alpha1-adrenergic Blocking
Agents 59
FLONASE Respiratory Tract Agents Respiratory Tract Agents, Other 81 FLORINEF Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Mineralocorticoids 65
FLOVENT HFA Respiratory Tract Agents Bronchodilators, Anti-inflammatories
79
FLOVENT Respiratory Tract Agents Bronchodilators, Anti-inflammatories
79
FLOXIN OTIC SINGLES Antibacterials Quinolones 14 FLOXIN OTIC Antibacterials Quinolones 14
Page of 231 139
Drug Name Class Category Class Name Page #FLOXIN Antibacterials Quinolones 14 floxuridine Antineoplastics Antineoplastics 28 fluconazole in dextrose Antifungals Azole Antifungals 22 fluconazole in nacl Antifungals Azole Antifungals 22 fluconazole Antifungals Azole Antifungals 22 fluconazole Antifungals Azole Antifungals 23 FLUDARA Antineoplastics Antineoplastics 28 FLUDARABINE PHOSPHATE Antineoplastics Antineoplastics 28 fludarabine phosphate Antineoplastics Antineoplastics 29 fludrocortisone acetate Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Mineralocorticoids 65
FLUMADINE Antivirals Anti-influenza Agents 35 FLUMADINE Antivirals Anti-influenza Agents 35 flunisolide Respiratory Tract Agents Respiratory Tract Agents, Other 81 flunisolide Unclassified No Classification 90 fluocinolone acetonide Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
fluocinolone acetonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
fluocinolone acetonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
fluocinolone acetonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
fluocinolone acetonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
fluocinonide emollient base Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
fluocinonide-e Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
fluocinonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
fluocinonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
fluocinonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
fluocinonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
fluoridex daily defense Therapeutic Nutrients/Minerals/Electrolyte
Electrolytes/Minerals 84
Page of 231 140
Drug Name Class Category Class Name Page #s
fluorometholone Ophthalmic Agents Glucocorticoids, Ophthalmic 76 FLUOROPLEX Antineoplastics Antineoplastics 29 FLUOROPLEX Antineoplastics Antineoplastics 29 fluor-op Ophthalmic Agents Glucocorticoids, Ophthalmic 76 FLUOROURACIL Antineoplastics Antineoplastics 29 fluoxetine hcl Antidepressants Serotonin and Norepinephrine
Reuptake Inhibitors (SNRIs) 19
fluoxetine hcl Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
fluoxetine hcl Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
fluoxetine hcl Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
fluphenazine decanoate Antipsychotics Conventional 33 FLUPHENAZINE HCL Antipsychotics Conventional 33 FLUPHENAZINE HCL Antipsychotics Conventional 33 fluphenazine hcl Antipsychotics Conventional 33 FLUPHENAZINE HCL Antipsychotics Conventional 33 flurbiprofen sodium Ophthalmic Agents Nonsteroidal Anti-inflammatory
Drugs, Ophthalmic 77
flurbiprofen Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
flutamide Hormonal Agents, Suppressant (Sex Hormones/Modifiers)
Antiandrogens 71
fluticasone propionate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
fluticasone propionate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
fluticasone propionate Respiratory Tract Agents Respiratory Tract Agents, Other 81 fluvoxamine maleate Antidepressants Serotonin and Norepinephrine
Reuptake Inhibitors (SNRIs) 19
FML FORTE Ophthalmic Agents Glucocorticoids, Ophthalmic 76 FML LIQUIFILM Ophthalmic Agents Glucocorticoids, Ophthalmic 76 FML S.O.P. Ophthalmic Agents Glucocorticoids, Ophthalmic 76 FML-S LIQUIFILM Ophthalmic Agents Glucocorticoids, Ophthalmic 76 FOCALIN XR Central Nervous System
Agents Non-amphetamines 51
FOCALIN XR Central Nervous System Agents
Non-amphetamines 51
FOCALIN Central Nervous System Agents
Non-amphetamines 51
FORADIL AEROLIZER Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
FORTAMET Blood Glucose Regulators Biguanides 37 FORTAZ INFUSION PACK Antibacterials Cephalosporin Antibacterials,
3rd Generation 10
FORTAZ Antibacterials Cephalosporin Antibacterials, 10
Page of 231 141
Drug Name Class Category Class Name Page #3rd Generation
FORTAZ Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
FORTEO Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Calcium Regulating Hormones 66
FORTEO Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Parathyroid Hormone Analogs 66
fortical Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Calcium Regulating Hormones 66
FOSAMAX PLUS D Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Bisphosphonates, Oral 65
FOSAMAX Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Bisphosphonates, Oral 65
FOSAMAX Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Bisphosphonates, Oral 65
foscarnet sodium Antivirals Anti-cytomegalovirus (CMV) Agents
33
foscarnet sodium Antivirals Antiherpetic Agents 34 FOSCAVIR Antivirals Anti-cytomegalovirus (CMV)
Agents 34
FOSCAVIR Antivirals Antiherpetic Agents 34 fosinopril sodium/hydrochlorothiazide
Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
fosinopril sodium Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
fosinopril sodium Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
FOSRENOL Antidotes, Deterrents, and Toxicologic Agents
Ion Exchange Resins 20
FOSRENOL Genitourinary Agents Phosphate Binders 60 FOSRENOL Genitourinary Agents Phosphate Binders 60 FRAGMIN Blood
Products/Modifiers/Volume Expanders
Low Molecular Weight Heparins 40
FREAMINE HBC 6.9% Therapeutic Nutrients/Minerals/Electrolytes
Parenteral Nutrition 87
FREAMINE III 3% Therapeutic Nutrients/Minerals/Electrolyte
Electrolytes/Minerals 84
Page of 231 142
Drug Name Class Category Class Name Page #s
FROVA Antimigraine Agents Triptans 26 FUDR Antineoplastics Antineoplastics 29 FUNGIZONE Antifungals Polyene Antifungals 23 FURADANTIN Antibacterials Nitrofuran Antibacterials 14 FUROSEMIDE Cardiovascular Agents Loop Diuretics 48 furosemide Cardiovascular Agents Loop Diuretics 48 furosemide Cardiovascular Agents Loop Diuretics 48 furosemide Cardiovascular Agents Loop Diuretics 48 FUZEON Antivirals Anti-human Immunodeficiency
Virus (HIV) Agents, Fusion Inhibitors
35
gabapentin Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
gabapentin Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
GABARONE Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
GABITRIL Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
GABITRIL Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
GAMASTAN S/D Immunological Agents Vaccines 73 GAMMAGARD LIQUID Immunological Agents Vaccines 73 GAMMAGARD S/D Immunological Agents Vaccines 73 gammar-p i.v. Immunological Agents Vaccines 73 GAMUNEX Immunological Agents Vaccines 74 GANCICLOVIR Antivirals Anti-cytomegalovirus (CMV)
Agents 34
GANCICLOVIR Antivirals Anti-cytomegalovirus (CMV) Agents
34
GANTRISIN PEDIATRIC Antibacterials Sulfonamides 15 GARAMYCIN Antibacterials Aminoglycosides 7 GARDASIL Immunological Agents Vaccines 74 GASTROCROM Gastrointestinal Agents Gastrointestinal Agents, Other 57 GAUZE PADS 2"X2" Insulin Administration
Supplies Insulin Administration Supplies 75
gemfibrozil Cardiovascular Agents Fibrates 47 GEMZAR Antineoplastics Antineoplastics 29 genecar Analgesics Non-opioid Analgesics 1 genedolorex Analgesics Non-opioid Analgesics 1 gene-r-gesic Analgesics Non-opioid Analgesics 1 generlac Gastrointestinal Agents Gastrointestinal Agents, Other 57 gengraf Immunological Agents Immune Suppressants (Non-
TNF Inhibitors) 72
gengraf Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
gengraf Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
genoptic Antibacterials Aminoglycosides 7 GENOTROPIN MINIQUICK Hormonal Agents, Hormonal Agents, 66
Page of 231 143
Drug Name Class Category Class Name Page #Stimulant/Replacement/Modifying (Pituitary)
Stimulant/Replacement/Modifying (Pituitary)
GENOTROPIN Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
gentacidin Antibacterials Aminoglycosides 7 gentak Antibacterials Aminoglycosides 7 gentak Antibacterials Aminoglycosides 7 GENTAMICIN SULFATE/0.9% SODIUM CHLORIDE
Antibacterials Aminoglycosides 7
gentamicin sulfate/0.9% sodium chloride
Antibacterials Aminoglycosides 7
gentamicin sulfate/sodium chloride
Antibacterials Aminoglycosides 7
gentamicin sulfate Antibacterials Aminoglycosides 7 gentamicin sulfate Antibacterials Aminoglycosides 7 gentamicin sulfate Antibacterials Aminoglycosides 7 gentamicin sulfate Antibacterials Aminoglycosides 7 gentamicin sulfate Antibacterials Aminoglycosides 7 gentasol Ophthalmic Agents 78 GEOCILLIN Antibacterials Extended Spectrum Penicillins 11 GEODON Antipsychotics Atypicals 32 GEODON Antipsychotics Atypicals 33 GEODON Bipolar Agents Bipolar Agents 36 GEODON Bipolar Agents Bipolar Agents 36 gladase-c Dermatological Agents Dermatological Wound Care
Agents 54
gladase Dermatological Agents Dermatological Wound Care Agents
54
GLEEVEC Antineoplastics Multitargeted Kinase Inhibitors, Gastrointestinal Stromal Tumors
30
glimepiride Blood Glucose Regulators Sulfonylureas 38 glipizide er Blood Glucose Regulators Sulfonylureas 38 glipizide xl Blood Glucose Regulators Sulfonylureas 38 glipizide/metformin hcl Blood Glucose Regulators Biguanides 37 glipizide/metformin hcl Blood Glucose Regulators Sulfonylureas 38 glipizide Blood Glucose Regulators Sulfonylureas 39 GLUCAGEN HYPOKIT Blood Glucose Regulators Glycemic Agents 37 GLUCAGON EMERGENCY KIT
Blood Glucose Regulators Glycemic Agents 37
GLUCOPHAGE XR Blood Glucose Regulators Biguanides 37 GLUCOPHAGE Blood Glucose Regulators Biguanides 37 GLUCOTROL XL Blood Glucose Regulators Sulfonylureas 39 GLUCOTROL Blood Glucose Regulators Sulfonylureas 39 GLUCOVANCE Blood Glucose Regulators Biguanides 37 GLUCOVANCE Blood Glucose Regulators Sulfonylureas 39 GLUMETZA Blood Glucose Regulators Biguanides 37 glyburide micronized Blood Glucose Regulators Sulfonylureas 39 glyburide/metformin hcl Blood Glucose Regulators Biguanides 37 glyburide/metformin hcl Blood Glucose Regulators Sulfonylureas 39 glyburide Blood Glucose Regulators Sulfonylureas 39
Page of 231 144
Drug Name Class Category Class Name Page #glycolax Gastrointestinal Agents Gastrointestinal Agents, Other 57 glycolax Gastrointestinal Agents Gastrointestinal Agents, Other 57 glycopyrrolate Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 glycopyrrolate Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 glycron Blood Glucose Regulators Sulfonylureas 39 GLYNASE Blood Glucose Regulators Sulfonylureas 39 GLYSET Blood Glucose Regulators Alpha Glucosidase Inhibitors 37 gold sodium thiomalate Unclassified Unclassified 90 GOLYTELY Gastrointestinal Agents Gastrointestinal Agents, Other 57 GOLYTELY Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
GRIFULVIN V Antifungals Antifungals (Other) 22 GRIFULVIN V Antifungals Antifungals (Other) 22 GRIFULVIN V Antifungals Antifungals (Other) 22 griseofulvin microsize Antifungals Antifungals (Other) 22 GRISEOFULVIN ULTRAMICROSIZE
Antifungals Antifungals (Other) 22
GRIS-PEG Antifungals Antifungals (Other) 22 GUANABENZ ACETATE Cardiovascular Agents Alpha-adrenergic Agonists 41 guanfacine hcl Cardiovascular Agents Alpha-adrenergic Agonists 41 GUANIDINE HCL Antimyasthenic Agents Parasympathomimetics 26 GYNODIOL Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
HALDOL DECANOATE 50 Antipsychotics Conventional 33 HALDOL DECANOATE-100 Antipsychotics Conventional 33 HALDOL DECANOATE-50 Antipsychotics Conventional 33 HALDOL Antipsychotics Conventional 33 halobetasol propionate Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
halobetasol propionate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
HALOG Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
HALOG Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
HALOG Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
haloperidol decanoate Antipsychotics Conventional 33 haloperidol lactate Antipsychotics Conventional 33 haloperidol Antipsychotics Conventional 33 haloperidol Antipsychotics Conventional 33 HAVRIX Immunological Agents Vaccines 74 hc cream Hormonal Agents,
Stimulant/Replacement/ModifyGlucocorticoids-Topical-Low Potency
62
Page of 231 145
Drug Name Class Category Class Name Page #ing (Adrenal)
HECTOROL Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Vitamin D-related Agents/Metabolic Bone Disease Agents
66
HECTOROL Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Vitamin D-related Agents/Metabolic Bone Disease Agents
66
HECTOROL Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Vitamin D-related Agents/Metabolic Bone Disease Agents
66
HELIDAC Antibacterials Miscellaneous Antibacterials 13 HEPARIN SODIUM (PORCINE)
Blood Products/Modifiers/Volume Expanders
Blood Products/Modifiers/Volume Expanders
39
HEPARIN SODIUM DCU Blood Products/Modifiers/Volume Expanders
Blood Products/Modifiers/Volume Expanders
39
heparin sodium/d5w Blood Products/Modifiers/Volume Expanders
Blood Products/Modifiers/Volume Expanders
39
HEPARIN SODIUM/NACL 0.45%
Blood Products/Modifiers/Volume Expanders
Blood Products/Modifiers/Volume Expanders
39
heparin sodium/nacl 0.9% Blood Products/Modifiers/Volume Expanders
Blood Products/Modifiers/Volume Expanders
39
heparin sodium/nacl 0.9% Blood Products/Modifiers/Volume Expanders
Blood Products/Modifiers/Volume Expanders
39
HEPARIN SODIUM/SODIUM CHLORIDE 0.9%
Blood Products/Modifiers/Volume Expanders
Blood Products/Modifiers/Volume Expanders
39
HEPARIN SODIUM Blood Products/Modifiers/Volume Expanders
Blood Products/Modifiers/Volume Expanders
39
HEPARIN SODIUM Blood Products/Modifiers/Volume Expanders
Blood Products/Modifiers/Volume Expanders
39
HEPSERA Antivirals Antivirals, Other 35 HERCEPTIN Antineoplastics Antineoplastics 29 HEXALEN Antineoplastics Antineoplastics 29 HIBTITER Immunological Agents Vaccines 74 HIPREX Antibacterials Miscellaneous Antibacterials 13 homatropaire Ophthalmic Agents Ophthalmic Agents, Other 77 HUMALOG MIX 50/50 PEN Blood Glucose Regulators Insulin Mixtures, Analogs 37 HUMALOG MIX 50/50 Blood Glucose Regulators Insulin Mixtures, Analogs 37 HUMALOG MIX 75/25 PEN Blood Glucose Regulators Insulin Mixtures, Analogs 37 HUMALOG MIX 75/25 Blood Glucose Regulators Insulin Mixtures, Analogs 37
Page of 231 146
Drug Name Class Category Class Name Page #HUMALOG PEN Blood Glucose Regulators Insulin, Rapid-acting 38 HUMALOG Blood Glucose Regulators Insulin, Rapid-acting 38 HUMATIN Antibacterials Aminoglycosides 7 HUMATIN Antiparasitics Antiprotozoals (Non-
antimalarials) 31
HUMATROPE COMBO PACK Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
HUMATROPE Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
HUMIRA PEN Immunological Agents Tumor Necrosis Factor (TNF) Inhibitors
73
HUMIRA Immunological Agents Tumor Necrosis Factor (TNF) Inhibitors
73
HUMULIN 50/50 Blood Glucose Regulators Insulin Mixtures, Short-acting and Intermediate-acting
37
HUMULIN 70/30 PEN Blood Glucose Regulators Insulin Mixtures, Short-acting and Intermediate-acting
37
HUMULIN 70/30 Blood Glucose Regulators Insulin Mixtures, Short-acting and Intermediate-acting
38
HUMULIN N U-100 PEN Blood Glucose Regulators Insulin, Intermediate-acting 38 HUMULIN N Blood Glucose Regulators Insulin, Intermediate-acting 38 HUMULIN R U-500 (CONCENTRATED)
Blood Glucose Regulators Insulin, Short-acting 38
HUMULIN R Blood Glucose Regulators Insulin, Short-acting 38 HYCAMTIN Antineoplastics Antineoplastics 29 HYCET Analgesics Opioid Analgesics, Short-acting 4 HYDERGINE Antidementia Agents Antidementia Agents, Other 18 HYDRALAZINE /HYDROCHLOROTHIAZIDE
Cardiovascular Agents Thiazide Diuretics 49
HYDRALAZINE /HYDROCHLOROTHIAZIDE
Cardiovascular Agents Vasodilators, Direct-acting Arterial
50
hydralazine hcl Cardiovascular Agents Vasodilators, Direct-acting Arterial
50
hydralazine hcl Cardiovascular Agents Vasodilators, Direct-acting Arterial
50
HYDREA Antineoplastics Antineoplastics 29 hydrocet Analgesics Opioid Analgesics, Short-acting 4 hydrochlorothiazide Cardiovascular Agents Thiazide Diuretics 49 hydrochlorothiazide Cardiovascular Agents Thiazide Diuretics 49 HYDROCHLOROTHIAZIDE Cardiovascular Agents Thiazide Diuretics 49 hydrocodone /acetaminophen Analgesics Opioid Analgesics, Short-acting 4 hydrocodone /acetaminophen Analgesics Opioid Analgesics, Short-acting 4 hydrocodone /acetaminophen-hs
Analgesics Opioid Analgesics, Short-acting 4
hydrocodone bitartrate/acetaminophen
Analgesics Opioid Analgesics, Short-acting 4
hydrocodone bitartrate/apap Analgesics Opioid Analgesics, Short-acting 4 hydrocodone/apap Analgesics Opioid Analgesics, Short-acting 4 hydrocodone/ibuprofen Analgesics Opioid Analgesics, Short-acting 4
Page of 231 147
Drug Name Class Category Class Name Page #hydrocodone-acetaminophen Analgesics Opioid Analgesics, Short-acting 4 hydrocodone-apap Analgesics Opioid Analgesics, Short-acting 4 hydrocortisone butyrate Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
hydrocortisone butyrate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
hydrocortisone butyrate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
hydrocortisone in absorbase Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
hydrocortisone valerate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
hydrocortisone valerate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
hydrocortisone Anti-inflammatories Glucocorticoids 24 hydrocortisone Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
hydrocortisone Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
62
hydrocortisone Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
hydrocortisone Inflammatory Bowel Disease Agents
Glucocorticoids 74
hydromorphone hcl Analgesics Opioid Analgesics, Short-acting 4 hydromorphone hcl Analgesics Opioid Analgesics, Short-acting 4 hydroxychloroquine sulfate Antiparasitics Antimalarials 31 hydroxyurea Antineoplastics Antineoplastics 29 hydroxyzine hcl Respiratory Tract Agents H1 Blocking Agents, Sedating 80 hydroxyzine hcl Respiratory Tract Agents H1 Blocking Agents, Sedating 80 hydroxyzine hcl Respiratory Tract Agents H1 Blocking Agents, Sedating 80 hydroxyzine hcl Sedatives/Hypnotics Sedatives/Hypnotics 82 hydroxyzine hcl Sedatives/Hypnotics Sedatives/Hypnotics 82 hydroxyzine hcl Sedatives/Hypnotics Sedatives/Hypnotics 82 hydroxyzine pamoate Respiratory Tract Agents H1 Blocking Agents, Sedating 80 hydroxyzine pamoate Sedatives/Hypnotics Sedatives/Hypnotics 82 hyflex-650 Analgesics Non-opioid Analgesics 1 hyflex-ds Analgesics Non-opioid Analgesics 1 hyoscyamine sulfate Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 hyoscyamine sulfate Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 hyoscyamine sulfate Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 hyoscyamine sulfate Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 hyoscyamine sulfate Gastrointestinal Agents Antispasmodics, Gastrointestinal 56
Page of 231 148
Drug Name Class Category Class Name Page #hyoscyamine Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 hyospaz Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 hyosyne Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 hyosyne Gastrointestinal Agents Antispasmodics, Gastrointestinal 56 HYTONE Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
HYTONE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
HYTRIN Cardiovascular Agents Alpha-adrenergic Blocking Agents
41
HYTRIN Genitourinary Agents Alpha1-adrenergic Blocking Agents
59
HYZAAR Cardiovascular Agents Angiotensin II Receptor Antagonists
42
HYZAAR Cardiovascular Agents Angiotensin II Receptor Antagonists
42
hyzine Respiratory Tract Agents H1 Blocking Agents, Sedating 80 hyzine Sedatives/Hypnotics Sedatives/Hypnotics 82 IB-STAT Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 ibu Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 25
ibuprofen Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
ibuprofen Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
ICAR PRENATAL COMBO PACK
Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 87
IDAMYCIN PFS Antineoplastics Antineoplastics 29 idarubicin Antineoplastics Antineoplastics 29 IFEX/MESNEX COMBO PACK Antineoplastics Antineoplastics 29 IFEX Antineoplastics Antineoplastics 29 ifosfamide/mesna Antineoplastics Antineoplastics 29 ifosfamide Antineoplastics Antineoplastics 29 IMDUR Cardiovascular Agents Vasodilators, Direct-acting
Arterial/Venous 50
imipramine hcl Antidepressants Tricyclics 20 IMITREX STATDOSE REFILL Antimigraine Agents Triptans 26 IMITREX STATDOSE SYSTEM Antimigraine Agents Triptans 26 IMITREX Antimigraine Agents Triptans 26 IMITREX Antimigraine Agents Triptans 26 IMITREX Antimigraine Agents Triptans 26 IMITREX Antimigraine Agents Triptans 26 IMMUNE GLOBULIN Immunological Agents Vaccines 74 IMURAN Antineoplastics Antineoplastics 29 inatal advance Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
inatal gt Therapeutic Prenatal Vitamins 88
Page of 231 149
Drug Name Class Category Class Name Page #Nutrients/Minerals/Electrolytes
inatal ultra Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
INCRELEX Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
indapamide Cardiovascular Agents Thiazide Diuretics 49 INDERAL LA Antimigraine Agents Beta-adrenergic Blocking Agents 26 INDERAL LA Cardiovascular Agents Antiarrhythmics - Class II 43 INDERAL LA Cardiovascular Agents Nonselective Beta-adrenergic
Blocking Agents 48
INDERAL Antimigraine Agents Beta-adrenergic Blocking Agents 26 INDERAL Cardiovascular Agents Antiarrhythmics - Class II 43 INDERAL Cardiovascular Agents Nonselective Beta-adrenergic
Blocking Agents 48
INDERIDE 40/25 Cardiovascular Agents Nonselective Beta-adrenergic Blocking Agents
48
INDERIDE 40/25 Cardiovascular Agents Thiazide Diuretics 49 INDOCIN IV Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 25
INDOCIN SR Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
INDOCIN Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
INDOCIN Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
indomethacin cr Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
indomethacin er Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
indomethacin sa Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
indomethacin sr Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
indomethacin Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
INFANRIX Immunological Agents Vaccines 74 INFERGEN Immunological Agents Interferons, Alfa 73 INFLAMASE FORTE Ophthalmic Agents Glucocorticoids, Ophthalmic 76 INFLAMASE MILD Ophthalmic Agents Glucocorticoids, Ophthalmic 76 INFUMORPH 200 Analgesics Opioid Analgesics, Long-acting 2 INNOHEP Blood
Products/Modifiers/Volume Expanders
Low Molecular Weight Heparins 40
INNOPRAN XL Antimigraine Agents Beta-adrenergic Blocking Agents 26 INNOPRAN XL Cardiovascular Agents Antiarrhythmics - Class II 43 INNOPRAN XL Cardiovascular Agents Nonselective Beta-adrenergic
Blocking Agents 48
inpersol/dextrose Therapeutic Electrolytes/Minerals 84
Page of 231 150
Drug Name Class Category Class Name Page #Nutrients/Minerals/Electrolytes
inpersol-lm/1.5% dextrose Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
inpersol-lm/2.5% dextrose Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
inpersol-lm/4.25% dextrose Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
INSPRA Cardiovascular Agents Aldosterone Receptor Antagonists
41
INSPRA Cardiovascular Agents Potassium-sparing Diuretics 48 INTAL 112 Respiratory Tract Agents Mast Cell Stabilizers 81 INTAL 200 Respiratory Tract Agents Mast Cell Stabilizers 81 INTAL INHALER Respiratory Tract Agents Mast Cell Stabilizers 81 INTAL Respiratory Tract Agents Mast Cell Stabilizers 81 intralipid 20% Therapeutic
Nutrients/Minerals/Electrolytes
Parenteral Nutrition 87
intralipid Therapeutic Nutrients/Minerals/Electrolytes
Parenteral Nutrition 87
INTRON-A W/DILUENT Immunological Agents Interferons, Alfa 73 INTRON-A Immunological Agents Interferons, Alfa 73 INTRON-A Immunological Agents Interferons, Alfa 73 INVANZ Antibacterials Beta-lactam, Other 9 INVEGA Antipsychotics Atypicals 33 INVERSINE Cardiovascular Agents Cardiovascular Agents 46 INVIRASE Antivirals Anti-HIV Agents, Protease
Inhibitors 35
INVIRASE Antivirals Anti-HIV Agents, Protease Inhibitors
35
IONOSOL-B/DEXTROSE 5% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
IONOSOL-MB/DEXTROSE 5% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
IONOSOL-T/DEXTROSE 5% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 84
IOPIDINE Ophthalmic Agents Alpha-adrenergic Agonists, Ophthalmic
75
IPOL INACTIVATED IPV Immunological Agents Vaccines 74 ipratropium bromide Respiratory Tract Agents Bronchodilators, Anticholinergic 79 ipratropium bromide Respiratory Tract Agents Respiratory Tract Agents, Other 81 IRESSA Antineoplastics Epidermal Growth Factor
Receptor Kinase Inhibitors 30
ISMO Cardiovascular Agents Vasodilators, Direct-acting 50
Page of 231 151
Drug Name Class Category Class Name Page #Arterial/Venous
ISMOTIC Cardiovascular Agents Osmotic Diuretics 48 isochron Cardiovascular Agents Vasodilators, Direct-acting
Arterial/Venous 50
isonarif Antimycobacterials Antituberculars 27 isoniazid Antimycobacterials Antituberculars 27 ISONIAZID Antimycobacterials Antituberculars 27 ISOPTIN SR Cardiovascular Agents Antiarrhythmics - Class IV 44 ISOPTIN SR Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 46
ISOPTO ATROPINE Ophthalmic Agents Ophthalmic Agents, Other 77 ISOPTO CARPINE Ophthalmic Agents Miotics, Ophthalmic 77 ISOPTO CARPINE Ophthalmic Agents Miotics, Ophthalmic 77 ISOPTO HOMATROPINE Ophthalmic Agents Ophthalmic Agents, Other 77 ISORDIL TITRADOSE Cardiovascular Agents Vasodilators, Direct-acting
Arterial/Venous 50
ISORDIL TITRADOSE Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
isosorbide dinitrate er Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
isosorbide dinitrate sa Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
isosorbide dinitrate tr Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
isosorbide dinitrate Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
isosorbide dinitrate Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
isosorbide mononitrate er Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
isosorbide mononitrate Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
isotonic gentamicin Antibacterials Aminoglycosides 7 isotretinoin Dermatological Agents Dermatological Retinoids 53 isovate Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
isradipine Cardiovascular Agents Dihydropyridines 47 ISTALOL Ophthalmic Agents Beta-adrenergic Blocking
Agents, Ophthalmic 75
ISUPREL Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
itraconazole Antifungals Azole Antifungals 23 itraconazole Antifungals Azole Antifungals 23 IVEEGAM EN Immunological Agents Vaccines 74 jantoven Blood
Products/Modifiers/Volume Expanders
Anticoagulants, Oral 39
jantoven Blood Products/Modifiers/Volume Expanders
Anticoagulants, Oral 39
Page of 231 152
Drug Name Class Category Class Name Page #JANUMET Blood Glucose Regulators Biguanides 37 JANUVIA Blood Glucose Regulators 39 jolessa Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
jolivette Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
junel 1.5/30 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
junel 1.5/30 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
junel 1/20 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
junel fe 1.5/30 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
junel fe 1/20 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
k+ potassium Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KADIAN Analgesics Opioid Analgesics, Long-acting 2 KALETRA Antivirals Anti-HIV Agents, Protease
Inhibitors 35
KALETRA Antivirals Anti-HIV Agents, Protease Inhibitors
35
KALETRA Antivirals Anti-HIV Agents, Protease Inhibitors
35
KANAMYCIN SULFATE Antibacterials Aminoglycosides 7 KANAMYCIN SULFATE Antimycobacterials Antituberculars 27 kaochlor Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
kaon-cl-10 Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KAON-CL Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KAON Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
kariva Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
kay ciel Therapeutic Electrolytes/Minerals 85
Page of 231 153
Drug Name Class Category Class Name Page #Nutrients/Minerals/Electrolytes
KAYEXALATE Antidotes, Deterrents, and Toxicologic Agents
Ion Exchange Resins 20
kcl 0.075%/d5w/nacl 0.2% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KCL 0.075%/D5W/NACL 0.225 Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
kcl 0.075%/d5w/nacl 0.45% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KCL 0.15%/D10W/NACL 0.2% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
kcl 0.15%/d5w/ nacl 0.3% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KCL 0.15%/D5W/LR Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
kcl 0.15%/d5w/nacl 0.2% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
kcl 0.15%/d5w/nacl 0.225% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
kcl 0.15%/d5w/nacl 0.45% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
kcl 0.15%/d5w/nacl 0.9% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
kcl 0.22%/d5w/nacl 0.2% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
kcl 0.224%/d5w/nacl 0.2% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KCL 0.224%/D5W/NACL 0.225 Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
kcl 0.224%/d5w/nacl 0.45% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KCL 0.3%/D5W/LR IV LAC RING
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KCL 0.3%/D5W/LR Therapeutic Nutrients/Minerals/Electrolyte
Electrolytes/Minerals 85
Page of 231 154
Drug Name Class Category Class Name Page #s
kcl 0.3%/d5w/nacl 0.2% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KCL 0.3%/D5W/NACL 0.225% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KCL 0.3%/D5W/NACL 0.33% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
kcl 0.3%/d5w/nacl 0.45% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KCL 0.3%/D5W/NACL 0.9% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
K-DUR Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
k-effervescent Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KEFLEX Antibacterials Cephalosporin Antibacterials, 1st Generation
9
KEFLEX Antibacterials Cephalosporin Antibacterials, 1st Generation
9
kelnor 1/35 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
KEMADRIN Antiparkinson Agents Anticholinergics 31 KENALOG IN ORABASE Dental and Oral Agents Dental and Oral Agents 52 KENALOG-10 MDV Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
KENALOG-10 Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
KENALOG-40 Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
KENALOG Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
KENALOG Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
KENALOG Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
KENALOG Hormonal Agents, Stimulant/Replacement/Modify
Glucocorticoids-Topical-Medium Potency
64
Page of 231 155
Drug Name Class Category Class Name Page #ing (Adrenal)
KENALOG Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
KEPPRA Anticonvulsants Anticonvulsants (Other) 17 KEPPRA Anticonvulsants Anticonvulsants (Other) 17 KEPPRA Anticonvulsants Anticonvulsants (Other) 17 KEPPRA Anticonvulsants Anticonvulsants (Other) 17 KERALYT Dermatological Agents Dermatological Caustic Agents 53 keratol hc Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
KERLONE Cardiovascular Agents Cardioselective Beta-adrenergic Blocking Agents
46
KERLONE Cardiovascular Agents Cardioselective Beta-adrenergic Blocking Agents
46
kestrone 5 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
KETEK PAK Antibacterials Ketolides 11 KETEK Antibacterials Ketolides 11 KETEK Antibacterials Ketolides 11 ketoconazole Antifungals Azole Antifungals 23 ketoconazole Antifungals Azole Antifungals 23 ketoconazole Antifungals Azole Antifungals 23 KETOPROFEN ER Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 25
ketoprofen Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
ketorolac tromethamine Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
ketorolac tromethamine Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
ketorolac tromethamine Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
ketotifen fumarate Ophthalmic Agents Ophthalmic Anti-allergy Agents 78 KEY-PRED Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
KINERET Immunological Agents Immunomodulators, Other 72 kionex Antidotes, Deterrents, and
Toxicologic Agents Ion Exchange Resins 20
KLARON Antibacterials Sulfonamides 15 klor-con 10 Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KLOR-CON 25 Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
klor-con 8 Therapeutic Nutrients/Minerals/Electrolyte
Electrolytes/Minerals 85
Page of 231 156
Drug Name Class Category Class Name Page #s
klor-con m10 Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KLOR-CON M15 Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
klor-con m20 Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
klor-con/ef Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
klor-con Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
K-LOR Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
klotrix Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
K-LYTE DS Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
K-LYTE Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KMART VALU PLUS INSULIN SYRINGE/0.3ML/30G
Insulin Administration Supplies
Insulin Administration Supplies 75
KMART VALU PLUS INSULIN SYRINGE/0.5ML/29G
Insulin Administration Supplies
Insulin Administration Supplies 75
KMART VALU PLUS INSULIN SYRINGE/1ML/29G
Insulin Administration Supplies
Insulin Administration Supplies 75
kovia 6.5 Dermatological Agents Dermatological Wound Care Agents
54
kovia Dermatological Agents Dermatological Wound Care Agents
54
K-PHOS MF Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
K-PHOS NEUTRAL Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
K-PHOS NO 2 Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
K-PHOS Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KRISTALOSE Gastrointestinal Agents Gastrointestinal Agents, Other 57
Page of 231 157
Drug Name Class Category Class Name Page #K-TABS Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
kuric Antifungals Azole Antifungals 23 KUTRASE Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
54
KU-ZYME HP Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
54
KU-ZYME Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
k-vescent Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
k-vescent Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
KYTRIL Antiemetics 5-Hydroxytryptamine 3 (5-HT3) Antagonists
21
KYTRIL Antiemetics 5-Hydroxytryptamine 3 (5-HT3) Antagonists
21
KYTRIL Antiemetics 5-Hydroxytryptamine 3 (5-HT3) Antagonists
21
labetalol hcl Cardiovascular Agents Alpha-beta-adrenergic Blocking Agents
41
labetalol hcl Cardiovascular Agents Alpha-beta-adrenergic Blocking Agents
41
laccream Dermatological Agents Dermatological Emolients 53 LAC-HYDRIN Dermatological Agents Dermatological Emolients 53 LAC-HYDRIN Dermatological Agents Dermatological Emolients 53 laclotion Dermatological Agents Dermatological Emolients 53 LACRISERT Ophthalmic Agents Ocular Surface Agents 77 lactated ringer's dextrose 5% viaflex
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
lactated ringer's irrigation Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 85
lactated ringer's viaflex Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
lactated ringer's Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
lacticare-hc Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
LACTULOSE Gastrointestinal Agents Gastrointestinal Agents, Other 58 LAGESIC Analgesics Non-opioid Analgesics 1 LAMICTAL CHEWABLE DISPERSIBLE
Anticonvulsants Glutamate Reducing Agents 17
LAMICTAL STARTER/NOT Bipolar Agents Bipolar Agents 36
Page of 231 158
Drug Name Class Category Class Name Page #TAKING CARBAMAZEPINE LAMICTAL STARTER/TAKING CARBAMAZEPINE/NOT TAKING VALPROATE
Anticonvulsants Glutamate Reducing Agents 17
LAMICTAL STARTER/TAKING VALPROATE
Anticonvulsants Glutamate Reducing Agents 17
LAMICTAL Anticonvulsants Glutamate Reducing Agents 17 LAMISIL Antifungals Allylamine Antifungals 22 LAMISIL Antifungals Allylamine Antifungals 22 lamotrigine chewable dispersible
Anticonvulsants Glutamate Reducing Agents 17
LANOXICAPS Cardiovascular Agents Direct Cardiac Inotropics 47 LANOXIN Cardiovascular Agents Direct Cardiac Inotropics 47 LANOXIN Cardiovascular Agents Direct Cardiac Inotropics 47 LANOXIN Cardiovascular Agents Direct Cardiac Inotropics 47 LANTUS OPTICLIK Blood Glucose Regulators Insulin, Long-acting 38 LANTUS Blood Glucose Regulators Insulin, Long-acting 38 LAPASE Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
55
LARIAM Antiparasitics Antimalarials 31 LASIX Cardiovascular Agents Loop Diuretics 48 leena Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 67
leflunomide Immunological Agents Immunomodulators, Other 72 LESCOL XL Cardiovascular Agents 3-hydroxy-3-methylglutaryl
coenzyme A (HMG CoA) Reductase Inhibitors
40
LESCOL Cardiovascular Agents 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) Reductase Inhibitors
40
lessina-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
LETAIRIS Cardiovascular Agents Vasodilators, Endothelin Receptor Antagonists
51
LETAIRIS Respiratory Tract Agents Respiratory Tract Agents, Other 82 leucovorin calcium Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
leucovorin calcium Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
leucovorin calcium Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
LEUKERAN Antineoplastics Antineoplastics 29 LEUKINE Blood
Products/Modifiers/Volume Expanders
Colony Stimulating Factors 40
LEUKINE Blood Colony Stimulating Factors 40
Page of 231 159
Drug Name Class Category Class Name Page #Products/Modifiers/Volume Expanders
leuprolide acetate Hormonal Agents, Suppressant (Sex Hormones/Modifiers)
Antiandrogens 71
leuprolide acetate Hormonal Agents, Suppressant (Sex Hormones/Modifiers)
Antiandrogens 71
LEUSTATIN Antineoplastics Antineoplastics 29 LEVACET Analgesics Non-opioid Analgesics 1 LEVAQUIN LEVA-PAK Antibacterials Quinolones 14 LEVAQUIN PREMIX Antibacterials Quinolones 14 LEVAQUIN Antibacterials Quinolones 14 LEVAQUIN Antibacterials Quinolones 15 LEVAQUIN Antibacterials Quinolones 15 LEVATOL Cardiovascular Agents Nonselective Beta-adrenergic
Blocking Agents 48
LEVEMIR Blood Glucose Regulators Insulin, Long-acting 38 LEVLEN CONTRACT PACK Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
LEVLEN-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
LEVLITE-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
LEVO DROMORAN Analgesics Opioid Analgesics, Long-acting 2 levobunolol hcl Ophthalmic Agents Beta-adrenergic Blocking
Agents, Ophthalmic 75
levocarnitine Unclassified Unclassified 90 LEVO-DROMORAN Analgesics Opioid Analgesics, Long-acting 2 levora 0.15/30-28 Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
levorphanol tartrate Analgesics Opioid Analgesics, Long-acting 2 levothroid Hormonal Agents,
Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
70
levothroid Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
levothyroxine sodium Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
levothyroxine sodium Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
levoxyl Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
Page of 231 160
Drug Name Class Category Class Name Page #LEVSIN/SL Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 LEVSIN Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 LEVSIN Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 LEVSIN Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 LEXAPRO Antidepressants Serotonin and Norepinephrine
Reuptake Inhibitors (SNRIs) 19
LEXAPRO Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
LEXAPRO Anxiolytics Antidepressants 36 LEXAPRO Anxiolytics Antidepressants 36 LEXIVA Antivirals Anti-HIV Agents, Protease
Inhibitors 35
LEXXEL Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
LEXXEL Cardiovascular Agents Dihydropyridines 47 LIALDA Inflammatory Bowel Disease
Agents Salicylates 75
LIDEX-E Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
LIDEX Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
LIDEX Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
LIDEX Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
LIDEX Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
lidocaine hcl Anesthetics Local Anesthetics 6 lidocaine hcl Anesthetics Local Anesthetics 6 lidocaine hcl Anesthetics Local Anesthetics 6 lidocaine hcl Anesthetics Local Anesthetics 6 lidocaine/prilocaine Anesthetics Local Anesthetics 6 lidocaine Anesthetics Local Anesthetics 6 LIDODERM Anesthetics Local Anesthetics 6 LIMBITROL DS Antidepressants Tricyclics 20 LIMBITROL DS Anxiolytics Anxiolytics, Other 36 LIMBITROL Antidepressants Tricyclics 20 LIMBITROL Anxiolytics Anxiolytics, Other 36 LINCOCIN Antibacterials Lincomycin Antibacterials 12 LINDANE Antiparasitics Pediculicides/Scabicides 31 lindane Antiparasitics Pediculicides/Scabicides 31 liothyronine sodium Hormonal Agents,
Suppressant (Thyroid) Hormonal Agents, Suppressant (Thyroid)
72
LIPITOR Cardiovascular Agents 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) Reductase Inhibitors
40
Page of 231 161
Drug Name Class Category Class Name Page #liposyn iii Therapeutic
Nutrients/Minerals/Electrolytes
Parenteral Nutrition 87
LIPOSYN II Therapeutic Nutrients/Minerals/Electrolytes
Parenteral Nutrition 87
LIPRAM 4500 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
LIPRAM-CR10 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
LIPRAM-CR20 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
LIPRAM-CR5 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
LIPRAM-PN10 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
LIPRAM-PN16 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
LIPRAM-PN20 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
LIPRAM-UL12 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
LIPRAM-UL18 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
LIPRAM-UL20 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
lisinopril /hydrochlorothiazide Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
lisinopril Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
lithium carbonate er Bipolar Agents Bipolar Agents 36 lithium carbonate Bipolar Agents Bipolar Agents 36 LITHIUM CARBONATE Bipolar Agents Bipolar Agents 36 lithium citrate Bipolar Agents Bipolar Agents 36 lithium citrate Bipolar Agents Bipolar Agents 36 LITHOBID Bipolar Agents Bipolar Agents 36 LITHOSTAT Unclassified Unclassified 90 LO/OVRAL-28 Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
LO/OVRAL Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
LOCOID LIPOCREAM Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
locoid Dermatological Agents Dermatological Anti-inflammatories
52
locoid Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
Page of 231 162
Drug Name Class Category Class Name Page #locoid Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
locoid Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
LODOSYN Antiparkinson Agents Dopamine Precursors 32 LOESTRIN 1.5/30-21 Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
LOESTRIN 1/20-21 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
LOESTRIN 24 FE Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
LOESTRIN FE 1.5/30 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
LOESTRIN FE 1/20 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
lofene Gastrointestinal Agents Gastrointestinal Agents, Other 58 LOFIBRA Cardiovascular Agents Fibrates 47 LOFIBRA Cardiovascular Agents Fibrates 47 lokara Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
LOMOTIL Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 LOMOTIL Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 LOMOTIL Gastrointestinal Agents Gastrointestinal Agents, Other 58 LOMOTIL Gastrointestinal Agents Gastrointestinal Agents, Other 58 lonox Gastrointestinal Agents Gastrointestinal Agents, Other 58 loperamide hcl Gastrointestinal Agents Gastrointestinal Agents, Other 58 LOPID Cardiovascular Agents Fibrates 47 LOPRESSOR HCT Cardiovascular Agents Cardioselective Beta-adrenergic
Blocking Agents 46
LOPRESSOR HCT Cardiovascular Agents Thiazide Diuretics 49 LOPRESSOR Cardiovascular Agents Cardioselective Beta-adrenergic
Blocking Agents 46
LOPRESSOR Cardiovascular Agents Cardioselective Beta-adrenergic Blocking Agents
46
LOPROX SHAMPOO Antifungals Antifungals (Other) 22 LOPROX Antifungals Antifungals (Other) 22 LOPROX Antifungals Antifungals (Other) 22 LOPROX Antifungals Antifungals (Other) 22 LORABID Antibacterials Beta-lactam, Other 9 LORABID Antibacterials Beta-lactam, Other 9 LORABID Antibacterials Beta-lactam, Other 9 loratadine Respiratory Tract Agents Histamine1 (H1) Blocking
Agents, Mildly/Non-sedating 81
Page of 231 163
Drug Name Class Category Class Name Page #LORCET 10/650 Analgesics Opioid Analgesics, Short-acting 4 LORCET PLUS Analgesics Opioid Analgesics, Short-acting 4 lorcet-hd Analgesics Opioid Analgesics, Short-acting 4 LORTAB 10 Analgesics Opioid Analgesics, Short-acting 4 LORTAB 2.5 Analgesics Opioid Analgesics, Short-acting 4 LORTAB 5 Analgesics Opioid Analgesics, Short-acting 4 LORTAB 7.5 Analgesics Opioid Analgesics, Short-acting 4 LORTAB Analgesics Opioid Analgesics, Short-acting 4 LOTEMAX Ophthalmic Agents Glucocorticoids, Ophthalmic 76 LOTENSIN HCT Cardiovascular Agents Angiotensin-converting Enzyme
(ACE) Inhibitors 42
LOTENSIN Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
LOTREL Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
LOTREL Cardiovascular Agents Dihydropyridines 47 LOTRISONE Antifungals Antifungals (Other) 22 LOTRISONE Antifungals Azole Antifungals 23 LOTRISONE Dermatological Agents Dermatological Anti-
inflammatories 52
LOTRISONE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
LOTRISONE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
LOTRISONE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
LOTRONEX Gastrointestinal Agents Irritable Bowel Syndrome Agents 58 lovastatin Cardiovascular Agents 3-hydroxy-3-methylglutaryl
coenzyme A (HMG CoA) Reductase Inhibitors
40
LOVENOX Blood Products/Modifiers/Volume Expanders
Low Molecular Weight Heparins 40
low-ogestrel Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
loxapine succinate Antipsychotics Conventional 33 LOXITANE Antipsychotics Conventional 33 LOZOL Cardiovascular Agents Thiazide Diuretics 49 LOZOL Cardiovascular Agents Thiazide Diuretics 49 LUFYLLIN Respiratory Tract Agents Bronchodilators,
Phosphodiesterase 2 Inhibitors (Xanthines)
79
LUMIGAN Ophthalmic Agents Prostaglandins, Ophthalmic 78 LUNESTA Sedatives/Hypnotics Sedatives/Hypnotics 82 LUPRON 2 WEEK SUPPLY Hormonal Agents,
Suppressant (Sex Hormones/Modifiers)
Antiandrogens 71
Page of 231 164
Drug Name Class Category Class Name Page #LUPRON 6-PACK Hormonal Agents,
Suppressant (Sex Hormones/Modifiers)
Antiandrogens 71
LUPRON DEPOT Hormonal Agents, Suppressant (Sex Hormones/Modifiers)
Antiandrogens 71
LUPRON DEPOT-PED Hormonal Agents, Suppressant (Sex Hormones/Modifiers)
Antiandrogens 71
lutera Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
LUXIQ Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
LYBREL Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
LYRICA Anticonvulsants Calcium Channel Modifying Agents
17
LYSODREN Antineoplastics Antineoplastics 29 MACROBID Antibacterials Nitrofuran Antibacterials 14 MACRODANTIN Antibacterials Nitrofuran Antibacterials 14 MAGNESIUM SULFATE IN D5W
Anticonvulsants Anticonvulsants (Other) 17
MAGNESIUM SULFATE IN D5W
Cardiovascular Agents Antiarrhythmics (Other) 45
MAGNESIUM SULFATE Anticonvulsants Anticonvulsants (Other) 17 MAGNESIUM SULFATE Cardiovascular Agents Antiarrhythmics (Other) 45 MALARONE Antiparasitics Antimalarials 31 MALARONE Antiparasitics Antiprotozoals (Non-
antimalarials) 31
MALATHION Antiparasitics Pediculicides/Scabicides 31 maldemar Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 MANDELAMINE Antibacterials Miscellaneous Antibacterials 13 MANDOL/D5W Antibacterials Cephalosporin Antibacterials,
2nd Generation 10
MAPROTILINE HCL Antidepressants Tricyclics 20 margesic-h Analgesics Opioid Analgesics, Short-acting 4 MARINOL Antiemetics Antiemetics, Other 21 MARPLAN Antidepressants Monoamine Oxidase (Type A)
Inhibitors 19
MAR-SPAS Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 maternity-90 Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
maternity Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
MATULANE Antineoplastics Antineoplastics 29 MAVIK Cardiovascular Agents Angiotensin-converting Enzyme 42
Page of 231 165
Drug Name Class Category Class Name Page #(ACE) Inhibitors
MAXAIR AUTOHALER Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
MAXALT Antimigraine Agents Triptans 26 MAXALT-MLT Antimigraine Agents Triptans 26 MAXIDEX Ophthalmic Agents Glucocorticoids, Ophthalmic 76 MAXIDONE Analgesics Opioid Analgesics, Short-acting 4 MAXIFLOR Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
MAXIFLOR Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
MAXIPIME Antibacterials Cephalosporin Antibacterials, 4th Generation
10
MAXITROL Antibacterials Aminoglycosides 7 MAXITROL Antibacterials Aminoglycosides 7 MAXITROL Ophthalmic Agents Glucocorticoids, Ophthalmic 76 MAXITROL Ophthalmic Agents Glucocorticoids, Ophthalmic 76 MAXZIDE-25 Cardiovascular Agents Potassium-sparing Diuretics 48 MAXZIDE-25 Cardiovascular Agents Thiazide Diuretics 49 MAXZIDE Cardiovascular Agents Potassium-sparing Diuretics 48 MAXZIDE Cardiovascular Agents Thiazide Diuretics 49 mebendazole Antiparasitics Anthelmintics 31 meclizine hcl Respiratory Tract Agents H1 Blocking Agents, Sedating 80 meclizine hcl Respiratory Tract Agents H1 Blocking Agents, Sedating 81 MECLOFENAMATE SODIUM Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 25
MEDROL DOSEPAK Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
MEDROL Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
medroxyprogesterone acetate Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
medroxyprogesterone acetate Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
mefloquine hcl Antiparasitics Antimalarials 31 MEFOXIN ADD-VANTAGE Antibacterials Beta-lactam, Other 9 MEFOXIN ADD-VANTAGE Antibacterials Cephalosporin Antibacterials,
2nd Generation 10
MEFOXIN IN DEXTROSE 2.2%
Antibacterials Beta-lactam, Other 9
MEFOXIN IN DEXTROSE 2.2%
Antibacterials Cephalosporin Antibacterials, 2nd Generation
10
MEFOXIN IN DEXTROSE 3.9%
Antibacterials Beta-lactam, Other 9
MEFOXIN IN DEXTROSE Antibacterials Cephalosporin Antibacterials, 10
Page of 231 166
Drug Name Class Category Class Name Page #3.9% 2nd Generation MEFOXIN Antibacterials Beta-lactam, Other 9 MEFOXIN Antibacterials Cephalosporin Antibacterials,
2nd Generation 10
MEGACE ES Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
MEGACE ORAL Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
megestrol acetate Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
megestrol acetate Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
MELOXICAM Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
meloxicam Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
MENACTRA Immunological Agents Vaccines 74 MENEST Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
MENOMUNE-A/C/Y/W-135 Immunological Agents Vaccines 74 MENOSTAR Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
MENTAX Antifungals Antifungals (Other) 22 MEPERIDINE HCL Analgesics Opioid Analgesics, Short-acting 4 meperidine hcl Analgesics Opioid Analgesics, Short-acting 4 meperidine hcl Analgesics Opioid Analgesics, Short-acting 4 meperidine hcl Analgesics Opioid Analgesics, Short-acting 4 meperitab Analgesics Opioid Analgesics, Short-acting 4 MEPROBAMATE Sedatives/Hypnotics Sedatives/Hypnotics 82 MEPRON Antiparasitics Antiprotozoals (Non-
antimalarials) 31
mercaptopurine Antineoplastics Antineoplastics 29 MERREM Antibacterials Beta-lactam, Other 9 MERUVAX II W/DILUENT 1 DOSE
Immunological Agents Vaccines 74
MERUVAX II W/DILUENT 10 DOSE
Immunological Agents Vaccines 74
mesalamine Inflammatory Bowel Disease Agents
Salicylates 75
mesna Antineoplastics Antineoplastics 29 MESNEX Antineoplastics Antineoplastics 29 MESNEX Antineoplastics Antineoplastics 29 MESTINON TIMESPAN Antimyasthenic Agents Parasympathomimetics 27 MESTINON Antimyasthenic Agents Parasympathomimetics 27 MESTINON Antimyasthenic Agents Parasympathomimetics 27
Page of 231 167
Drug Name Class Category Class Name Page #MESTINON Antimyasthenic Agents Parasympathomimetics 27 METADATE CD Central Nervous System
Agents Non-amphetamines 51
METADATE ER Central Nervous System Agents
Non-amphetamines 51
METAGLIP Blood Glucose Regulators Biguanides 37 METAGLIP Blood Glucose Regulators Sulfonylureas 39 metaproterenol sulfate Respiratory Tract Agents Bronchodilators,
Sympathomimetic 80
metaproterenol sulfate Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
METAPROTERENOL SULFATE
Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
metformin hcl er Blood Glucose Regulators Biguanides 37 metformin hcl Blood Glucose Regulators Biguanides 37 methadone hcl Analgesics Opioid Analgesics, Long-acting 2 METHADONE HCL Analgesics Opioid Analgesics, Long-acting 2 methadone hcl Analgesics Opioid Analgesics, Long-acting 2 METHADONE HCL Analgesics Opioid Analgesics, Long-acting 2 methadose Analgesics Opioid Analgesics, Long-acting 2 methamphetamine hcl Central Nervous System
Agents Amphetamines 51
methazolamide Cardiovascular Agents Carbonic Anhydrase Inhibitors 46 methazolamide Ophthalmic Agents Carbonic Anhydrase Inhibitors,
Ophthalmic 76
methenamine hippurate Antibacterials Miscellaneous Antibacterials 13 methenamine mandelate Antibacterials Miscellaneous Antibacterials 13 methimazole Hormonal Agents,
Suppressant (Thyroid) Hormonal Agents, Suppressant (Thyroid)
72
methocarbamol Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 methotrexate sodium Immunological Agents Immune Suppressants (Non-
TNF Inhibitors) 72
methotrexate sodium Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
methotrexate Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
methscopolamine bromide Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 METHYCLOTHIAZIDE Cardiovascular Agents Thiazide Diuretics 49 METHYLDOPA /HYDROCHLOROTHIAZIDE
Cardiovascular Agents Alpha-adrenergic Agonists 41
METHYLDOPA /HYDROCHLOROTHIAZIDE
Cardiovascular Agents Thiazide Diuretics 49
methyldopa Cardiovascular Agents Alpha-adrenergic Agonists 41 METHYLDOPATE HCL Cardiovascular Agents Alpha-adrenergic Agonists 41 methylin er Central Nervous System
Agents Non-amphetamines 51
methylin Central Nervous System Agents
Non-amphetamines 51
METHYLIN Central Nervous System Agents
Non-amphetamines 51
METHYLIN Central Nervous System Non-amphetamines 51
Page of 231 168
Drug Name Class Category Class Name Page #Agents
methylphenidate hcl er Central Nervous System Agents
Non-amphetamines 51
methylphenidate hcl sr Central Nervous System Agents
Non-amphetamines 51
methylphenidate hcl Central Nervous System Agents
Non-amphetamines 51
methylphenidate hcl Central Nervous System Agents
Non-amphetamines 51
methylprednisolone acetate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
methylprednisolone sodiumsuccinate
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 60
methylprednisolone Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
metipranolol Ophthalmic Agents Beta-adrenergic Blocking Agents, Ophthalmic
75
metoclopramide hcl Gastrointestinal Agents Gastrointestinal Agents, Other 58 metoclopramide hcl Gastrointestinal Agents Gastrointestinal Agents, Other 58 metolazone Cardiovascular Agents Thiazide Diuretics 49 metoprolol /hydrochlorothiazide Cardiovascular Agents Cardioselective Beta-adrenergic
Blocking Agents 46
metoprolol /hydrochlorothiazide Cardiovascular Agents Thiazide Diuretics 49 metoprolol succinate er Cardiovascular Agents Cardioselective Beta-adrenergic
Blocking Agents 46
metoprolol tartrate Cardiovascular Agents Cardioselective Beta-adrenergic Blocking Agents
46
metoprolol tartrate Cardiovascular Agents Cardioselective Beta-adrenergic Blocking Agents
46
metoprolol tartrate Cardiovascular Agents Cardioselective Beta-adrenergic Blocking Agents
46
METRO IV Antibacterials Miscellaneous Antibacterials 13 METROCREAM Antibacterials Miscellaneous Antibacterials 13 METROGEL VAGINAL Antibacterials Miscellaneous Antibacterials 13 METROGEL Antibacterials Miscellaneous Antibacterials 13 METROLOTION Antibacterials Miscellaneous Antibacterials 13 metronidazole in nacl 0.79% Antibacterials Miscellaneous Antibacterials 13 metronidazole vaginal Antibacterials Miscellaneous Antibacterials 13 metronidazole Antibacterials Miscellaneous Antibacterials 13 metronidazole Antibacterials Miscellaneous Antibacterials 13 metronidazole Antibacterials Miscellaneous Antibacterials 13 MEVACOR Cardiovascular Agents 3-hydroxy-3-methylglutaryl
coenzyme A (HMG CoA) Reductase Inhibitors
40
MEXILETINE HCL Cardiovascular Agents Antiarrhythmics - Classes IA, B, and C
44
MEXITIL Cardiovascular Agents Antiarrhythmics - Classes IA, B, and C
44
Page of 231 169
Drug Name Class Category Class Name Page #MIACALCIN Hormonal Agents,
Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Calcium Regulating Hormones 66
MIACALCIN Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Calcium Regulating Hormones 66
MICARDIS HCT Cardiovascular Agents Angiotensin II Receptor Antagonists
42
MICARDIS Cardiovascular Agents Angiotensin II Receptor Antagonists
42
MICONAZOLE 3 Antifungals Azole Antifungals 23 microgestin 1.5/30 Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
microgestin 1/20 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
microgestin fe 1.5/30 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
microgestin fe Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
MICRO-K Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
MICRO-K Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
MICRONASE Blood Glucose Regulators Sulfonylureas 39 MICROZIDE Cardiovascular Agents Thiazide Diuretics 49 MIDAMOR Cardiovascular Agents Potassium-sparing Diuretics 48 midodrine hcl Cardiovascular Agents Alpha-adrenergic Agonists 41 MIGERGOT Antimigraine Agents Ergot Alkaloids 26 MIGRANAL Antimigraine Agents Ergot Alkaloids 26 MINIPRESS Cardiovascular Agents Alpha-adrenergic Blocking
Agents 41
minirin Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
minitran Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
MINIZIDE Cardiovascular Agents Alpha-adrenergic Blocking Agents
41
MINIZIDE Cardiovascular Agents Thiazide Diuretics 49 MINOCIN PAC Antibacterials Tetracyclines 16 MINOCIN Antibacterials Tetracyclines 16 minocycline hcl Antibacterials Tetracyclines 16 minocycline hcl Antibacterials Tetracyclines 16
Page of 231 170
Drug Name Class Category Class Name Page #minoxidil Cardiovascular Agents Vasodilators, Direct-acting
Arterial 50
MINTEZOL Antiparasitics Anthelmintics 31 MINTEZOL Antiparasitics Anthelmintics 31 MIOSTAT Ophthalmic Agents Miotics, Ophthalmic 77 MIRAPEX Antiparkinson Agents Dopamine Agonists 32 MIRCETTE Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
mirtazapine Antidepressants Antidepressants, Other 19 mirtazapine Antidepressants Antidepressants, Other 19 misoprostol Gastrointestinal Agents Protectants 59 mitomycin Antineoplastics Antineoplastics 29 M-M-R II 1 DOSE Immunological Agents Vaccines 74 M-M-R II W/DILUENT 1 DOSE Immunological Agents Vaccines 74 M-M-R II W/DILUENT 10 DOSE
Immunological Agents Vaccines 74
M-M-R II Immunological Agents Vaccines 74 MOBAN Antipsychotics Conventional 33 MOBAN Antipsychotics Conventional 33 MOBIC Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 25
MOBIC Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
MODICON-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
MODURETIC 5-50 Cardiovascular Agents Potassium-sparing Diuretics 48 MODURETIC 5-50 Cardiovascular Agents Thiazide Diuretics 49 moexipril hcl Cardiovascular Agents Angiotensin-converting Enzyme
(ACE) Inhibitors 42
mometasone furoate Dermatological Agents Dermatological Anti-inflammatories
52
mometasone furoate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
mometasone furoate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
mometasone furoate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
MONISTAT 3 Antifungals Azole Antifungals 23 MONISTAT-DERM Antifungals Azole Antifungals 23 MONODOX Antibacterials Tetracyclines 16 MONOKET Cardiovascular Agents Vasodilators, Direct-acting
Arterial/Venous 50
MONOKET Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
mononessa Hormonal Agents, Stimulant/Replacement/Modify
Contraceptives 68
Page of 231 171
Drug Name Class Category Class Name Page #ing (Sex Hormones/Modifiers)
MONOPRIL HCT Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
MONOPRIL Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
MONUROL Antibacterials Miscellaneous Antibacterials 13 morphine sulfate add-vantage Analgesics Opioid Analgesics, Long-acting 2 morphine sulfate dilute-a-jet Analgesics Opioid Analgesics, Long-acting 2 morphine sulfate er Analgesics Opioid Analgesics, Long-acting 2 MORPHINE SULFATE IN DEXTROSE 5%
Analgesics Opioid Analgesics, Long-acting 2
morphine sulfate stick-gard Analgesics Opioid Analgesics, Long-acting 2 MORPHINE SULFATE/D5W Analgesics Opioid Analgesics, Long-acting 2 MORPHINE SULFATE/NS Analgesics Opioid Analgesics, Long-acting 2 MORPHINE SULFATE Analgesics Opioid Analgesics, Long-acting 2 morphine sulfate Analgesics Opioid Analgesics, Long-acting 2 morphine sulfate Analgesics Opioid Analgesics, Long-acting 2 morphine sulfate Analgesics Opioid Analgesics, Long-acting 2 MORPHINE/D5W Analgesics Opioid Analgesics, Long-acting 2 MOTOFEN Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 MOTRIN Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 25
MOVIPREP Gastrointestinal Agents Gastrointestinal Agents, Other 58 M-R-VAX II Immunological Agents Vaccines 74 MS CONTIN Analgesics Opioid Analgesics, Long-acting 2 ms/l Analgesics Opioid Analgesics, Long-acting 2 MUCOMYST-10 Respiratory Tract Agents Respiratory Tract Agents, Other 82 multiple vitamins/fluoride Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
MUMPSVAX W/DILUENT 1 DOSE
Immunological Agents Vaccines 74
MUMPSVAX W/DILUENT 10 DOSE
Immunological Agents Vaccines 74
mupirocin Antibacterials Miscellaneous Antibacterials 13 MUSTARGEN Antineoplastics Antineoplastics 29 MUTAMYCIN Antineoplastics Antineoplastics 29 MYAMBUTOL Antimycobacterials Antituberculars 27 MYCAMINE Antifungals Antifungals (Other) 22 MYCELEX Antifungals Antifungals (Other) 22 MYCOBUTIN Antimycobacterials Antimycobacterials, Other 27 MYCOSTATIN Antifungals Polyene Antifungals 23 MYCOSTATIN Antifungals Polyene Antifungals 23 MYCOSTATIN Antifungals Polyene Antifungals 23 mydral Anesthetics Local Anesthetics 6 MYDRIACYL Anesthetics Local Anesthetics 6 MYFORTIC Immunological Agents Immune Suppressants (Non-
TNF Inhibitors) 72
MYLOTARG Antineoplastics Antineoplastics 29 mynatal advance Therapeutic
Nutrients/Minerals/ElectrolytePrenatal Vitamins 88
Page of 231 172
Drug Name Class Category Class Name Page #s
mynatal plus Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
mynatal ultracaplet Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
MYNATAL Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
mynatal-z Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
mynate 90 plus Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
MYOBLOC Unclassified Unclassified 90 MYOCHRYSINE Unclassified Unclassified 90 myophen Analgesics Non-opioid Analgesics 1 MYOZYME Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
55
myrac Antibacterials Tetracyclines 16 MYSOLINE Anticonvulsants Gamma-aminobutyric Acid
(GABA) Augmenting Agents 17
MYTELASE Antimyasthenic Agents Parasympathomimetics 27 mytrex Antifungals Polyene Antifungals 23 mytrex Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
nabumetone Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
NACL 0.9%/DEXTROSE 0.2% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
nadolol Cardiovascular Agents Antiarrhythmics - Class II 43 nadolol Cardiovascular Agents Nonselective Beta-adrenergic
Blocking Agents 48
NAFCILLIN SODIUM Antibacterials Penicillinase-resistant Penicillins 14 NAFTIN Antifungals Allylamine Antifungals 22 NAFTIN Antifungals Allylamine Antifungals 22 NAFTIN-MP Antifungals Allylamine Antifungals 22 NAGLAZYME Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
55
nalbuphine hcl Analgesics Opioid Analgesics, Short-acting 4 NALFON Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 25
NALLPEN ISO-OSMOTIC IN DEXTROSE
Antibacterials Penicillinase-resistant Penicillins 14
NALLPEN/DEXTROSE Antibacterials Penicillinase-resistant Penicillins 14 naloxone hcl Antidotes, Deterrents, and
Toxicologic Agents Opioid Antagonists 21
Page of 231 173
Drug Name Class Category Class Name Page #naloxone/pentazocine Analgesics Opioid Analgesics, Short-acting 4 naloxone/pentazocine Antidotes, Deterrents, and
Toxicologic Agents Opioid Antagonists 21
naltrexone hcl Antidotes, Deterrents, and Toxicologic Agents
Opioid Antagonists 21
NAMENDA TITRATION PAK Antidementia Agents Glutamate Pathway Modifiers 18 NAMENDA Antidementia Agents Glutamate Pathway Modifiers 18 NAMENDA Antidementia Agents Glutamate Pathway Modifiers 18 NANDROLONE DECANOATE Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
naphazole Ophthalmic Agents Ophthalmic Agents, Other 77 naphazoline hcl Ophthalmic Agents Ophthalmic Agents, Other 77 NAPRELAN Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 25
NAPROSYN Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
NAPROSYN Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
naproxen dr Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
naproxen ec Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
naproxen sodium Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
naproxen sodium Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
naproxen Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
naproxen Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
NARCAN Antidotes, Deterrents, and Toxicologic Agents
Opioid Antagonists 21
NARDIL Antidepressants Monoamine Oxidase (Type A) Inhibitors
19
narvox Analgesics Opioid Analgesics, Short-acting 4 NASACORT AQ Respiratory Tract Agents Respiratory Tract Agents, Other 82 NASAREL Respiratory Tract Agents Respiratory Tract Agents, Other 82 NASONEX Respiratory Tract Agents Respiratory Tract Agents, Other 82 natacaps Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
NATACHEW Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
NATACYN Antifungals Polyene Antifungals 23 natafolic-pn Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
NATAFORT Therapeutic Nutrients/Minerals/Electrolyte
Prenatal Vitamins 88
Page of 231 174
Drug Name Class Category Class Name Page #s
natalcare cfe 60 Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
natalcare glosstabs Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
natalcare pic forte Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
natalcare pic Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
natalcare plus Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
natalcare plus Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
natalcare rx Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
natalcare three Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
NATALVIT Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
natamar rx Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
natatab cfe Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
natatab fa Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
natatab rx Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
NATELLE C Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
NATELLE EZ Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
NATELLE PREFER Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
NATELLE Therapeutic Nutrients/Minerals/Electrolyte
Prenatal Vitamins 88
Page of 231 175
Drug Name Class Category Class Name Page #s
nature-throid Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
NATURETIN Cardiovascular Agents Thiazide Diuretics 49 NAVANE Antipsychotics Conventional 33 NAVELBINE Antineoplastics Antineoplastics 29 NEBCIN MDV Antibacterials Aminoglycosides 8 NEBCIN Antibacterials Aminoglycosides 8 NEBCIN Antibacterials Aminoglycosides 8 NEBUPENT Antiparasitics Antiprotozoals (Non-
antimalarials) 31
necon 0.5/35-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
necon 1/35-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
necon 1/50-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
NECON 10/11-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
necon 7/7/7 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
nefazodone hcl Antidepressants Antidepressants, Other 19 NEGGRAM Antibacterials Quinolones 15 neo/poly/bac/hc Antibacterials Miscellaneous Antibacterials 13 neo/poly/bac/hc Ophthalmic Agents Glucocorticoids, Ophthalmic 76 neo/polymyxin/hc 5-10000-1 Antibacterials Aminoglycosides 8 neo/polymyxin/hc 5-10000-1 Otic Agents Otic Anti-inflammatories 78 neocin Antibacterials Miscellaneous Antibacterials 13 NEO-FRADIN Antibacterials Aminoglycosides 8 neomycin /bacitracin /polymyxin /hydrocortisone
Antibacterials Aminoglycosides 8
neomycin /bacitracin /polymyxin /hydrocortisone
Antibacterials Miscellaneous Antibacterials 13
neomycin /bacitracin /polymyxin /hydrocortisone
Ophthalmic Agents Glucocorticoids, Ophthalmic 76
neomycin /bacitracin /polymyxin Antibacterials Miscellaneous Antibacterials 13 neomycin /polymyxin /bacitracin Antibacterials Miscellaneous Antibacterials 13 neomycin /polymyxin /dexamethasone
Antibacterials Aminoglycosides 8
neomycin /polymyxin /dexamethasone
Antibacterials Aminoglycosides 8
neomycin /polymyxin /dexamethasone
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
neomycin /polymyxin Ophthalmic Agents Glucocorticoids, Ophthalmic 76
Page of 231 176
Drug Name Class Category Class Name Page #/dexamethasone neomycin /polymyxin /dexamethasone
Ophthalmic Agents Glucocorticoids, Ophthalmic 76
neomycin /polymyxin /gramicidin
Antibacterials Aminoglycosides 8
neomycin /polymyxin /hydrocortisone
Antibacterials Aminoglycosides 8
neomycin /polymyxin /hydrocortisone
Antibacterials Aminoglycosides 8
neomycin /polymyxin /hydrocortisone
Ophthalmic Agents Glucocorticoids, Ophthalmic 76
neomycin /polymyxin /hydrocortisone
Otic Agents Otic Anti-inflammatories 78
neomycin /polymyxin /hydrocortisone
Otic Agents Otic Anti-inflammatories 78
neomycin sulfate Antibacterials Aminoglycosides 8 neomycin/bacitracin zn/polymyx Antibacterials Aminoglycosides 8 neomycin/bacitracin zn/polymyx Antibacterials Miscellaneous Antibacterials 13 neomycin/polymyxin b/gramicidin
Antibacterials Aminoglycosides 8
neomycin/polymyxin/hc Antibacterials Aminoglycosides 8 neomycin/polymyxin/hc Otic Agents Otic Anti-inflammatories 78 NEOPROFEN Analgesics Non-opioid Analgesics 1 NEOPROFEN Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 25
NEORAL Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
NEORAL Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
neosol Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 neostigmine methylsulfate Antimyasthenic Agents Parasympathomimetics 27 NESTABS CBF Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
NESTABS FA Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
NESTABS RX Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
NEULASTA Blood Products/Modifiers/Volume Expanders
Colony Stimulating Factors 40
NEUMEGA Antineoplastics Antineoplastics 29 NEUPOGEN Blood
Products/Modifiers/Volume Expanders
Colony Stimulating Factors 40
NEURONTIN Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
NEURONTIN Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
Page of 231 177
Drug Name Class Category Class Name Page #NEURONTIN Anticonvulsants Gamma-aminobutyric Acid
(GABA) Augmenting Agents 17
NEVANAC Ophthalmic Agents Nonsteroidal Anti-inflammatory Drugs, Ophthalmic
77
NEXAVAR Antineoplastics Multitargeted Kinase Inhibitors, Bcr-Abl/c-kit Receptor Tyrosine Kinases
30
NEXAVAR Antineoplastics Multitargeted Kinase Inhibitors, Renal Cell Carcinoma
30
NEXIUM I.V. Gastrointestinal Agents Proton Pump Inhibitors 59 NEXIUM Gastrointestinal Agents Proton Pump Inhibitors 59 NEXIUM Gastrointestinal Agents Proton Pump Inhibitors 59 niacor Cardiovascular Agents 51 NIASPAN Cardiovascular Agents 51 nicardipine hcl Cardiovascular Agents Dihydropyridines 47 NICOTROL INHALER Antidotes, Deterrents, and
Toxicologic Agents Smoking Cessation Agents 21
NICOTROL NS Antidotes, Deterrents, and Toxicologic Agents
Smoking Cessation Agents 21
NICOTROL NS Antiemetics Antiemetics, Other 21 nifediac cc Cardiovascular Agents Dihydropyridines 47 nifedical xl Cardiovascular Agents Dihydropyridines 47 nifedipine er Cardiovascular Agents Dihydropyridines 47 nifedipine Cardiovascular Agents Dihydropyridines 47 nifedipine Cardiovascular Agents Dihydropyridines 47 niferex-pn forte Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
NILANDRON Hormonal Agents, Suppressant (Sex Hormones/Modifiers)
Antiandrogens 71
NIMOTOP Cardiovascular Agents Dihydropyridines 47 NIPENT Antineoplastics Antineoplastics 29 nitrek Cardiovascular Agents Vasodilators, Direct-acting
Arterial/Venous 50
NITRO-BID Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
NITRO-DUR Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
NITRO-DUR Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
nitrofurantoin macrocrystalline Antibacterials Nitrofuran Antibacterials 14 nitrofurantoin monohydrate Antibacterials Nitrofuran Antibacterials 14 nitrofurantoin Antibacterials Nitrofuran Antibacterials 14 NITROGARD Cardiovascular Agents Vasodilators, Direct-acting
Arterial/Venous 50
nitroglycerin cr Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
nitroglycerin er Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
nitroglycerin sr Cardiovascular Agents Vasodilators, Direct-acting 50
Page of 231 178
Drug Name Class Category Class Name Page #Arterial/Venous
nitroglycerin td Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
nitroglycerin transdermal Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
NITROGLYCERIN Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
nitroglycerin Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
nitroglycerin Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
nitroglycerin Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
NITROLINGUAL PUMPSPRAY Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
nitroquick Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
NITROSTAT Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
nitro-time Cardiovascular Agents Vasodilators, Direct-acting Arterial/Venous
50
nizatidine Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
NIZORAL Antifungals Azole Antifungals 23 NIZORAL Antifungals Azole Antifungals 23 nora-be Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
NORCO Analgesics Opioid Analgesics, Short-acting 4 NORDETTE-28 Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
NORDETTE Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
NORDITROPIN CARTRIDGE Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
NORDITROPIN NORDIFLEX PEN
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
NORDITROPIN NORDIFLEX Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
norethindrone acetate Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
NORFLEX Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 NORGESIC FORTE Analgesics Non-opioid Analgesics 1 NORGESIC FORTE Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 NORINYL 1+35 Hormonal Agents, Contraceptives 68
Page of 231 179
Drug Name Class Category Class Name Page #Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
NORINYL 1+50 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
NORITATE Antibacterials Miscellaneous Antibacterials 13 NOROXIN Antibacterials Quinolones 15 NORPACE CR Cardiovascular Agents Antiarrhythmics - Classes IA, B,
and C 44
NORPACE Cardiovascular Agents Antiarrhythmics - Classes IA, B, and C
44
NORPRAMIN Antidepressants Tricyclics 20 NOR-QD Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
nortrel 0.5/35 (28) Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
nortrel 1/35 (21) Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
nortrel 1/35 (28) Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
nortrel 7/7/7 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
nortriptyline hcl Antidepressants Tricyclics 20 nortriptyline hcl Antidepressants Tricyclics 20 NORVASC Cardiovascular Agents Dihydropyridines 47 NORVIR Antivirals Anti-HIV Agents, Protease
Inhibitors 35
NORVIR Antivirals Anti-HIV Agents, Protease Inhibitors
35
novagesic Analgesics Non-opioid Analgesics 1 NOVANATAL Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
NOVANTRONE Antineoplastics Antineoplastics 29 NOVASTART Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
NOVOLIN 70/30 INNOLET Blood Glucose Regulators Insulin Mixtures, Short-acting and Intermediate-acting
38
NOVOLIN 70/30 PENFILL Blood Glucose Regulators Insulin Mixtures, Short-acting and Intermediate-acting
38
NOVOLIN 70/30 Blood Glucose Regulators Insulin Mixtures, Short-acting and Intermediate-acting
38
NOVOLIN N INNOLET Blood Glucose Regulators Insulin, Intermediate-acting 38 NOVOLIN N U-100 PENFILL Blood Glucose Regulators Insulin, Intermediate-acting 38 NOVOLIN N U-100 Blood Glucose Regulators Insulin, Intermediate-acting 38
Page of 231 180
Drug Name Class Category Class Name Page #NOVOLIN N Blood Glucose Regulators Insulin, Intermediate-acting 38 NOVOLIN R INNOLET Blood Glucose Regulators Insulin, Short-acting 38 NOVOLIN R U-100 PENFILL Blood Glucose Regulators Insulin, Short-acting 38 NOVOLIN R U-100 Blood Glucose Regulators Insulin, Short-acting 38 NOVOLIN R Blood Glucose Regulators Insulin, Short-acting 38 NOVOLOG MIX 70/30 PENFILL
Blood Glucose Regulators Insulin Mixtures, Analogs 37
NOVOLOG MIX 70/30 PREFILLED FLEXPEN
Blood Glucose Regulators Insulin Mixtures, Analogs 37
NOVOLOG MIX 70/30 Blood Glucose Regulators Insulin Mixtures, Analogs 37 NOVOLOG PENFILL Blood Glucose Regulators Insulin, Rapid-acting 38 NOVOLOG Blood Glucose Regulators Insulin, Rapid-acting 38 NOXAFIL Antifungals Azole Antifungals 23 NUBAIN Analgesics Opioid Analgesics, Short-acting 4 NULEV Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 NULYTELY Gastrointestinal Agents Gastrointestinal Agents, Other 58 NUMORPHAN Analgesics Opioid Analgesics, Short-acting 4 NUMORPHAN Analgesics Opioid Analgesics, Short-acting 4 nu-natal advanced Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
nutracort Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
nutrinate Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
NUTROPIN AQ PEN Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
NUTROPIN AQ Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
NUTROPIN Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
NUVARING Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
nyamyc Antifungals Polyene Antifungals 23 NYDRAZID Antimycobacterials Antituberculars 27 nystatin/triamcinolone Antifungals Polyene Antifungals 23 nystatin/triamcinolone Antifungals Polyene Antifungals 23 nystatin/triamcinolone Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
nystatin/triamcinolone Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
nystatin/triamcinolone Hormonal Agents, Stimulant/Replacement/Modify
Glucocorticoids-Topical-Low Potency
63
Page of 231 181
Drug Name Class Category Class Name Page #ing (Adrenal)
nystatin Antifungals Polyene Antifungals 23 nystatin Antifungals Polyene Antifungals 23 nystatin Antifungals Polyene Antifungals 24 nystatin Antifungals Polyene Antifungals 24 nystatin Antifungals Polyene Antifungals 24 nystop Antifungals Polyene Antifungals 24 obstetrix ec Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
OBTREX Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
O-CAL PRENATAL Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
OCTAGAM Immunological Agents Vaccines 74 octreotide acetate Hormonal Agents,
Suppressant (Pituitary) Somatostatin Analogs 71
OCUFEN Ophthalmic Agents Nonsteroidal Anti-inflammatory Drugs, Ophthalmic
77
OCUFLOX Ophthalmic Agents Ophthalmic Agents, Other 77 ocumycin Antibacterials Miscellaneous Antibacterials 13 ocusulf-10 Ophthalmic Agents 78 ocutricin Antibacterials Aminoglycosides 8 ofloxacin Antibacterials Quinolones 15 ofloxacin Antibacterials Quinolones 15 ofloxacin Antibacterials Quinolones 15 OGEN Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
OGESTREL Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
OLUX-E Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
OLUX Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
OMACOR Cardiovascular Agents Omega-3 Fatty Acids 48 omedia otic Dermatological Agents Dermatological Antipruritic
Agents 52
omeprazole Gastrointestinal Agents Proton Pump Inhibitors 59 OMNICEF Antibacterials Cephalosporin Antibacterials,
3rd Generation 10
OMNICEF Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
OMNI-PAC Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
ONCASPAR Antineoplastics Antineoplastics 29
Page of 231 182
Drug Name Class Category Class Name Page #ondansetron hcl Antiemetics 5-Hydroxytryptamine 3 (5-HT3)
Antagonists 21
ondansetron hcl Antiemetics 5-Hydroxytryptamine 3 (5-HT3) Antagonists
21
ondansetron odt Antiemetics 5-Hydroxytryptamine 3 (5-HT3) Antagonists
21
ONTAK Antineoplastics Antineoplastics 29 onxol Antineoplastics Antineoplastics 29 OPANA ER Analgesics Opioid Analgesics, Short-acting 4 OPANA Analgesics Opioid Analgesics, Short-acting 4 OPTIPRANOLOL Ophthalmic Agents Beta-adrenergic Blocking
Agents, Ophthalmic 75
OPTIVAR Ophthalmic Agents Ophthalmic Anti-allergy Agents 78 ORACEA Antibacterials Tetracyclines 16 ORAMORPH SR Analgesics Opioid Analgesics, Long-acting 2 ORAP Antipsychotics Conventional 33 ORAPRED ODT Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
ORAPRED Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
ORENCIA Immunological Agents Tumor Necrosis Factor (TNF) Inhibitors
73
orphenadrine /asa /caffeine Analgesics Non-opioid Analgesics 1 orphenadrine /asa /caffeine Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 orphenadrine citrate cr Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 orphenadrine citrate er Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 orphenadrine citrate Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 orphenadrine compound ds Analgesics Non-opioid Analgesics 1 orphenadrine compound ds Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 orphenadrine compound Analgesics Non-opioid Analgesics 1 orphenadrine compound Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 orphenadrine/asa/caff Analgesics Non-opioid Analgesics 1 orphenadrine/asa/caff Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 orphengesic forte Analgesics Non-opioid Analgesics 1 orphengesic forte Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 orphengesic Analgesics Non-opioid Analgesics 1 orphengesic Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 ORTHO EVRA Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
ORTHO MICRONOR Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
ORTHO TRI-CYCLEN LO Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
ORTHO TRI-CYCLEN Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
Page of 231 183
Drug Name Class Category Class Name Page #ORTHO-CEPT-28 Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
ORTHO-CEPT-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
ORTHO-CEPT Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
ORTHO-CYCLEN-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
ortho-est Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
ORTHO-NOVUM 1/35-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
ORTHO-NOVUM 1/50-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
ORTHO-NOVUM 10/11-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
ORTHO-NOVUM 7/7/7-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
ORUDIS Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
ORUVAIL Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
OSMOPREP Gastrointestinal Agents Gastrointestinal Agents, Other 58 oticaine otic Dermatological Agents Dermatological Antipruritic
Agents 52
oticin hc Antibacterials Aminoglycosides 8 oticin hc Dermatological Agents Dermatological Antipruritic
Agents 52
oticin hc Otic Agents Otic Anti-inflammatories 78 oticin hc Otic Agents Otic Anti-inflammatories 78 otimar Antibacterials Aminoglycosides 8 otimar Antibacterials Aminoglycosides 8 otimar Otic Agents Otic Anti-inflammatories 78 otimar Otic Agents Otic Anti-inflammatories 78 otocain Dermatological Agents Dermatological Antipruritic
Agents 52
otogesic otic Dermatological Agents Dermatological Antipruritic Agents
52
otogesic Dermatological Agents Dermatological Antipruritic Agents
52
otra nr Dermatological Agents Dermatological Antipruritic Agents
52
Page of 231 184
Drug Name Class Category Class Name Page #OVCON-35 Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 68
OVCON-50 28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
OVCON-50 28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
OVCON-50/28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
OVIDE Antiparasitics Pediculicides/Scabicides 31 OXACILLIN SODIUM Antibacterials Penicillinase-resistant Penicillins 14 OXACILLIN SODIUM Antibacterials Penicillinase-resistant Penicillins 14 OXANDRIN Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
oxandrolone Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
oxaprozin Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
OXISTAT Antifungals Azole Antifungals 23 OXISTAT Antifungals Azole Antifungals 23 OXSORALEN ULTRA Dermatological Agents Dermatological
Photochemotherapy Agents 53
OXSORALEN Dermatological Agents Dermatological Photochemotherapy Agents
53
oxybutynin chloride er Genitourinary Agents Antispasmodics, Urinary 59 oxybutynin chloride Genitourinary Agents Antispasmodics, Urinary 59 oxybutynin chloride Genitourinary Agents Antispasmodics, Urinary 59 oxycodone hcl cr Analgesics Opioid Analgesics, Long-acting 2 oxycodone hcl cr Analgesics Opioid Analgesics, Long-acting 3 oxycodone hcl er Analgesics Opioid Analgesics, Long-acting 3 oxycodone hcl er Analgesics Opioid Analgesics, Long-acting 3 oxycodone hcl Analgesics Opioid Analgesics, Short-acting 4 oxycodone hcl Analgesics Opioid Analgesics, Short-acting 4 oxycodone hcl Analgesics Opioid Analgesics, Short-acting 4 oxycodone hcl Analgesics Opioid Analgesics, Short-acting 4 oxycodone/acetaminophen Analgesics Opioid Analgesics, Short-acting 5 oxycodone/acetaminophen Analgesics Opioid Analgesics, Short-acting 5 oxycodone/apap Analgesics Opioid Analgesics, Short-acting 5 oxycodone/aspirin Analgesics Opioid Analgesics, Short-acting 5 oxycodone-apap Analgesics Opioid Analgesics, Short-acting 5 OXYCONTIN Analgesics Opioid Analgesics, Long-acting 3 oxyfast Analgesics Opioid Analgesics, Short-acting 5 OXYIR Analgesics Opioid Analgesics, Short-acting 5 oxytocin Genitourinary Agents Oxytocics 60 OXYTROL Genitourinary Agents Antispasmodics, Urinary 59 pacerone Cardiovascular Agents Antiarrhythmics - Class Ia/II/III/IV 43
Page of 231 185
Drug Name Class Category Class Name Page #PACERONE Cardiovascular Agents Antiarrhythmics - Class III 43 paclitaxel Antineoplastics Antineoplastics 29 PALCAPS 10 Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
55
PALCAPS 20 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PALIPASE MT 16 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PALIPASE MT 20 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PALIPASE Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PALPEON DR 10 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PALPEON DR 20 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PALPEON MT 20 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PALTRASE V8 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PAMELOR Antidepressants Tricyclics 20 PAMELOR Antidepressants Tricyclics 20 pamidronate disodium Hormonal Agents,
Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Bisphosphonates, Parenteral 65
pamidronate disodium Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Bisphosphonates, Parenteral 65
PAMIDRONATE DISODIUM Unclassified No Classification 90 PAMINE FORTE Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 PAMINE Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 PANAFIL Dermatological Agents Dermatological Wound Care
Agents 54
PANAFIL Dermatological Agents Dermatological Wound Care Agents
54
PANCREASE MT 10 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANCREASE MT 16 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANCREASE MT 20 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANCREASE MT 4 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANCREASE Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANCRECARB MS-16 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANCRECARB MS-4 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
Page of 231 186
Drug Name Class Category Class Name Page #PANCRECARB MS-8 Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
55
PANCRELIPASE MST-16 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANCRELIPASE Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANCRELIPASE Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANCRELIPASE Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANCRON 10 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANCRON 20 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANDEL Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
PANGESTYME CN 10 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANGESTYME CN 20 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANGESTYME EC Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANGESTYME MT 16 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANGESTYME UL 12 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANGESTYME UL 18 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANGESTYME UL 20 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANGLOBULIN NF Immunological Agents Vaccines 74 PANGLOBULIN. Immunological Agents Vaccines 74 PANGLOBULIN Immunological Agents Vaccines 74 PANIXINE DISPERDOSE Antibacterials Cephalosporin Antibacterials,
1st Generation 9
PANLOR DC Analgesics Opioid Analgesics, Short-acting 5 PANLOR SS Analgesics Opioid Analgesics, Short-acting 5 PANOCAPS MT 16 Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
55
PANOCAPS MT 20 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANOCAPS Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANOKASE-16 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANOKASE Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
55
PANRETIN Antineoplastics Retinoids 30 papain-urea-chlorophyllin Dermatological Agents Dermatological Wound Care
Agents 54
Page of 231 187
Drug Name Class Category Class Name Page #papaverine hcl cr Cardiovascular Agents Vasodilators, Direct-acting
Arterial 50
papaverine hcl er Cardiovascular Agents Vasodilators, Direct-acting Arterial
50
papaverine hcl Cardiovascular Agents Vasodilators, Direct-acting Arterial
50
pap-urea Dermatological Agents Dermatological Wound Care Agents
54
PARAFON FORTE DSC Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 PARAPLATIN Antineoplastics Antineoplastics 29 PARAPLATIN Antineoplastics Antineoplastics 29 para-time Cardiovascular Agents Vasodilators, Direct-acting
Arterial 50
parcaine Anesthetics Local Anesthetics 6 PARCOPA Antiparkinson Agents Dopamine Precursors 32 PARLODEL Antiparkinson Agents Dopamine Agonists 32 PARLODEL Antiparkinson Agents Dopamine Agonists 32 PARNATE Antidepressants Monoamine Oxidase (Type A)
Inhibitors 19
paromomycin sulfate Antibacterials Aminoglycosides 8 paromomycin sulfate Antiparasitics Antiprotozoals (Non-
antimalarials) 31
paroxetine hcl Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
paroxetine hcl Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
PATADAY Ophthalmic Agents Ophthalmic Anti-allergy Agents 78 PATANOL Ophthalmic Agents Ophthalmic Anti-allergy Agents 78 PAXIL CR Antidepressants Serotonin and Norepinephrine
Reuptake Inhibitors (SNRIs) 19
PAXIL Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
PAXIL Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
PCE Antibacterials Erythromycins 11 PEDIAPRED Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
PEDIARIX Immunological Agents Vaccines 74 PEDIAZOLE Antibacterials Erythromycins 11 PEDIAZOLE Antibacterials Sulfonamides 15 pedi-dri Antifungals Polyene Antifungals 24 PEDIOTIC Antibacterials Aminoglycosides 8 PEDIOTIC Otic Agents Otic Anti-inflammatories 78 PEDVAX HIB Immunological Agents Vaccines 74 peg 3350/electrolytes Gastrointestinal Agents Gastrointestinal Agents, Other 58 PEGANONE Anticonvulsants Sodium Channel Inhibitors 18 PEGASYS Immunological Agents Interferons, Alfa 73 PEGASYS Immunological Agents Interferons, Alfa 73 PEG-INTRON REDIPEN PAK 4 Immunological Agents Interferons, Alfa 73 PEG-INTRON REDIPEN Immunological Agents Interferons, Alfa 73
Page of 231 188
Drug Name Class Category Class Name Page #PEG-INTRON Immunological Agents Interferons, Alfa 73 pen needles, insulin disposable Insulin Administration
Supplies Insulin Administration Supplies 75
PENICILLIN G POTASSIUM IN ISO-OSMOTIC DEXTROSE
Antibacterials Natural Penicillins 13
penicillin g potassium Antibacterials Natural Penicillins 13 PENICILLIN G PROCAINE Anesthetics Local Anesthetics 6 PENICILLIN G PROCAINE Antibacterials Natural Penicillins 13 PENICILLIN G SODIUM Antibacterials Natural Penicillins 13 penicillin v potassium Antibacterials Natural Penicillins 14 penicillin v potassium Antibacterials Natural Penicillins 14 penicillin vk Antibacterials Natural Penicillins 14 PENLAC NAIL LACQUER Antifungals Antifungals (Other) 22 PENTAM 300 Antiparasitics Antiprotozoals (Non-
antimalarials) 31
pentamidine isethionate Antiparasitics Antiprotozoals (Non-antimalarials)
31
PENTASA Inflammatory Bowel Disease Agents
Salicylates 75
pentazocine /acetaminophen Analgesics Non-opioid Analgesics 1 pentazocine /acetaminophen Analgesics Opioid Analgesics, Short-acting 5 pentazocine hcl/acetaminophen Analgesics Non-opioid Analgesics 1 pentazocine hcl/acetaminophen Analgesics Opioid Analgesics, Short-acting 5 pentazocine/naloxone hcl Analgesics Opioid Analgesics, Short-acting 5 pentazocine/naloxone hcl Antidotes, Deterrents, and
Toxicologic Agents Opioid Antagonists 21
pentopak Blood Products/Modifiers/Volume Expanders
Blood Products/Modifiers/Volume Expanders
39
pentoxifylline cr Blood Products/Modifiers/Volume Expanders
Blood Products/Modifiers/Volume Expanders
39
pentoxifylline er Blood Products/Modifiers/Volume Expanders
Blood Products/Modifiers/Volume Expanders
40
pentoxil Blood Products/Modifiers/Volume Expanders
Blood Products/Modifiers/Volume Expanders
40
PEPCID I.V. Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
PEPCID PREMIXED Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
PEPCID Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
PEPCID Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
PERCOCET Analgesics Opioid Analgesics, Short-acting 5 PERCODAN Analgesics Opioid Analgesics, Short-acting 5 percolone Analgesics Opioid Analgesics, Short-acting 5 pergolide mesylate Antiparkinson Agents Dopamine Agonists 32 pergolide mesylate Hormonal Agents, Dopamine Agonists 71
Page of 231 189
Drug Name Class Category Class Name Page #Suppressant (Pituitary)
PERIDEX ORAL RINSE Dental and Oral Agents Dental and Oral Agents 52 PERIDEX Dental and Oral Agents Dental and Oral Agents 52 periogard Dental and Oral Agents Dental and Oral Agents 52 PERIOSTAT Antibacterials Tetracyclines 16 perisol Dental and Oral Agents Dental and Oral Agents 52 PERMAX Antiparkinson Agents Dopamine Agonists 32 PERMETHRIN TECHNICAL Antiparasitics Pediculicides/Scabicides 31 permethrin Antiparasitics Pediculicides/Scabicides 31 PERPHENAZINE /AMITRIPTYLINE
Antidepressants Tricyclics 20
PERPHENAZINE /AMITRIPTYLINE
Antipsychotics Conventional 33
perphenazine Antipsychotics Conventional 33 PERSANTINE Blood
Products/Modifiers/Volume Expanders
Cyclic Adenosine Monophosphate Reuptake Inhibitors
40
PEXEVA Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
pfizerpen-g Antibacterials Natural Penicillins 14 phenadoz Antiemetics Antiemetics, Other 21 phenazopyridine hcl Anesthetics Local Anesthetics 6 PHENERGAN Antiemetics Antiemetics, Other 21 PHENERGAN Respiratory Tract Agents H1 Blocking Agents, Sedating 81 PHENERGAN Sedatives/Hypnotics Sedatives/Hypnotics 82 PHENYTEK Anticonvulsants Sodium Channel Inhibitors 18 phenytoin sodium extended Anticonvulsants Sodium Channel Inhibitors 18 PHENYTOIN SODIUM PROMPT
Anticonvulsants Sodium Channel Inhibitors 18
phenytoin sodium Anticonvulsants Sodium Channel Inhibitors 18 phenytoin Anticonvulsants Sodium Channel Inhibitors 18 PHOSLO Genitourinary Agents Phosphate Binders 60 phospha 250 neutral Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
PHOSPHOLINE IODIDE Ophthalmic Agents Miotics, Ophthalmic 77 PHOTOFRIN Antineoplastics Antineoplastics 29 phrenilin w/caffeine/codeine Analgesics Opioid Analgesics, Short-acting 5 phrenilin w/caffeine/codeine Sedatives/Hypnotics Sedatives/Hypnotics 82 PHYSOSTIGMINE SALICYLATE
Antimyasthenic Agents Parasympathomimetics 27
pilocar Ophthalmic Agents Miotics, Ophthalmic 77 pilocar Ophthalmic Agents Miotics, Ophthalmic 77 pilocarpine hcl Dental and Oral Agents Dental and Oral Agents 52 pilocarpine hcl Ophthalmic Agents Miotics, Ophthalmic 77 pilocarpine hydrochloride Dental and Oral Agents Dental and Oral Agents 52 PILOPINE HS Ophthalmic Agents Miotics, Ophthalmic 77 piloptic-1/2 Ophthalmic Agents Miotics, Ophthalmic 77 piloptic-1 Ophthalmic Agents Miotics, Ophthalmic 77 piloptic-2 Ophthalmic Agents Miotics, Ophthalmic 77 piloptic-3 Ophthalmic Agents Miotics, Ophthalmic 77
Page of 231 190
Drug Name Class Category Class Name Page #piloptic-4 Ophthalmic Agents Miotics, Ophthalmic 77 piloptic-6 Ophthalmic Agents Miotics, Ophthalmic 77 pindolol Cardiovascular Agents Antiarrhythmics - Class II 43 PIPERACILLIN SODIUM Antibacterials Extended Spectrum Penicillins 11 PIPRACIL/D5W Antibacterials Extended Spectrum Penicillins 11 piroxicam Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 25
PITOCIN Genitourinary Agents Oxytocics 60 PLAN B Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
PLAQUENIL Antiparasitics Antimalarials 31 PLARETASE 8000 Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
55
PLATINOL AQ Antineoplastics Antineoplastics 29 PLAVIX Blood
Products/Modifiers/Volume Expanders
Adenosine Diphosphate P2Y12 Inhibitors
39
PLENDIL Cardiovascular Agents Dihydropyridines 47 PLETAL Blood
Products/Modifiers/Volume Expanders
Phosphodiesterase III/Adenosine Uptake Inhibitors
40
podofilox Dermatological Agents Dermatological Caustic Agents 53 polycin b Ophthalmic Agents 78 poly-dex Antibacterials Aminoglycosides 8 poly-dex Ophthalmic Agents Glucocorticoids, Ophthalmic 76 poly-dex Ophthalmic Agents Glucocorticoids, Ophthalmic 76 polyethylene glycol 3350 Gastrointestinal Agents Gastrointestinal Agents, Other 58 POLYETHYLENE GLYCOL 3350
Gastrointestinal Agents Gastrointestinal Agents, Other 58
POLYGAM S/D Immunological Agents Vaccines 74 polymyxin /gramicidin /neomycin
Antibacterials Aminoglycosides 8
polymyxin b sulfate/trimethoprim sulfate
Ophthalmic Agents 78
polymyxin b sulfate Antibacterials Miscellaneous Antibacterials 13 POLY-PRED Antibacterials Aminoglycosides 8 POLY-PRED Ophthalmic Agents Glucocorticoids, Ophthalmic 76 POLYSPORIN Ophthalmic Agents Ophthalmic Agents, Other 77 POLYTRIM Antibacterials Miscellaneous Antibacterials 13 poly-vitamin/fluoride Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
PONSTEL Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
portia-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
potassium acetate Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
Page of 231 191
Drug Name Class Category Class Name Page #POTASSIUM BICARBONATE Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium bicarbonate Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride 0.075%/d5w/nacl 0.225%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
POTASSIUM CHLORIDE 0.15% /NACL 0.45% VIAFLEX
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride 0.15% d5w/nacl 0.33%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride 0.15% d5w/nacl 0.45% viaflex
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride 0.15% w/nacl 0.9% viaflex
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride 0.15%/d5w Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
POTASSIUM CHLORIDE 0.15%/NACL 0.9%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride 0.22% d5w/nacl 0.45%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride 0.224%/d5w/nacl 0.45%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride 0.224%/d5w Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
POTASSIUM CHLORIDE 0.224%D5W/NACL 0.33%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
POTASSIUM CHLORIDE 0.3%/ NACL 0.9%
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride 0.3%/d5w Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride 0.3%/nacl 0.9%/viaflex
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride cr Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
Page of 231 192
Drug Name Class Category Class Name Page #potassium chloride er Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride er Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride mini-vial Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride sa Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride sr Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium chloride Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
POTASSIUM CHLORIDE Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
POTASSIUM CHLORIDE Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium effervescent Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
potassium phosphate Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
PRANDIN Blood Glucose Regulators Meglitinides 38 PRAVACHOL Cardiovascular Agents 3-hydroxy-3-methylglutaryl
coenzyme A (HMG CoA) Reductase Inhibitors
40
pravastatin sodium Cardiovascular Agents 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) Reductase Inhibitors
40
prazosin hcl Cardiovascular Agents Alpha-adrenergic Blocking Agents
41
prazosin hcl Genitourinary Agents Alpha1-adrenergic Blocking Agents
59
PRECARE CONCEIVE Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
PRECARE PRENATAL Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
PRECARE Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
PRECOSE Blood Glucose Regulators Alpha Glucosidase Inhibitors 37
Page of 231 193
Drug Name Class Category Class Name Page #PRECOSE Blood Glucose Regulators Alpha Glucosidase Inhibitors 37 PRED FORTE Ophthalmic Agents Glucocorticoids, Ophthalmic 76 PRED MILD Ophthalmic Agents Glucocorticoids, Ophthalmic 76 PRED-G S.O.P. Antibacterials Aminoglycosides 8 PRED-G S.O.P. Ophthalmic Agents Glucocorticoids, Ophthalmic 76 PRED-G Antibacterials Aminoglycosides 8 PRED-G Ophthalmic Agents Glucocorticoids, Ophthalmic 76 prednicarbate Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
prednisolone /sulfacetamide Antibacterials Sulfonamides 15 PREDNISOLONE /SULFACETAMIDE
Antibacterials Sulfonamides 15
prednisolone /sulfacetamide Ophthalmic Agents Glucocorticoids, Ophthalmic 76 PREDNISOLONE /SULFACETAMIDE
Ophthalmic Agents Glucocorticoids, Ophthalmic 76
prednisolone acetate Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
prednisolone acetate Ophthalmic Agents Glucocorticoids, Ophthalmic 76 prednisolone sodium phosphate
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
prednisolone sodium phosphate
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
prednisolone sodium phosphate
Ophthalmic Agents Glucocorticoids, Ophthalmic 76
prednisolone Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
prednisolone Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
prednisol Ophthalmic Agents Glucocorticoids, Ophthalmic 76 PREDNISONE INTENSOL Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
PREDNISONE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
PREDNISONE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
PREFEST Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
PRELONE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
PREMARIN W/APPLICATOR Hormonal Agents, Estrogens 70
Page of 231 194
Drug Name Class Category Class Name Page #Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
PREMARIN Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
PREMARIN Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
PREMESIS RX Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
PREMPHASE Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
PREMPHASE Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
PREMPRO Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
PREMPRO Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
PRENA-CAP Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
prenafirst Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 88
prenatabs cbf Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatabs fa Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatabs obn Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatabs rx Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal 1 + iron Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal 1 plus 1 Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal 1+1 Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
PRENATAL 19 Therapeutic Prenatal Vitamins 89
Page of 231 195
Drug Name Class Category Class Name Page #Nutrients/Minerals/Electrolytes
prenatal ad Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal advantage Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal formula 3 Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal formula Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal low iron Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal mr 90 fe Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal mtr/selenium Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal multivitamin-ultra Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal plus nf Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal plus/27mg iron Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal plus/betacarotene Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal plus/iron Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal plus Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal rx 1 Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal rx/beta-carotene Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal rx Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal rx Therapeutic Prenatal Vitamins 89
Page of 231 196
Drug Name Class Category Class Name Page #Nutrients/Minerals/Electrolytes
prenatal start Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal z Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal/folic acid Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal-h Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
prenatal-u Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
PRENATE GT Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
PREVACID NAPRAPAC Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
PREVACID NAPRAPAC Gastrointestinal Agents Proton Pump Inhibitors 59 PREVACID SOLUTAB Gastrointestinal Agents Proton Pump Inhibitors 59 PREVACID SOLUTAB Gastrointestinal Agents Proton Pump Inhibitors 59 PREVACID Gastrointestinal Agents Proton Pump Inhibitors 59 PREVACID Gastrointestinal Agents Proton Pump Inhibitors 59 PREVACID Gastrointestinal Agents Proton Pump Inhibitors 59 prevalite Cardiovascular Agents Bile Acid Sequestrants 45 previfem Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
PREVPAC Antibacterials Amino Derivative Penicillins 7 PREVPAC Antibacterials Macrolides (Non-erythromycins,
Non-ketolides) 12
PREVPAC Gastrointestinal Agents Proton Pump Inhibitors 59 PREZISTA Antivirals Anti-HIV Agents, Protease
Inhibitors 35
PRIALT Analgesics Non-opioid Analgesics 1 PRIFTIN Antimycobacterials Antituberculars 27 PRILOSEC OTC Unclassified No Classification 90 PRILOSEC Gastrointestinal Agents Proton Pump Inhibitors 59 PRIMACARE Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
PRIMAQUINE PHOSPHATE Antiparasitics Antimalarials 31 PRIMAXIN I.M. Antibacterials Beta-lactam, Other 9 PRIMAXIN IV ADD-VANTAGE Antibacterials Beta-lactam, Other 9 PRIMAXIN IV Antibacterials Beta-lactam, Other 9 primidone Anticonvulsants Gamma-aminobutyric Acid
(GABA) Augmenting Agents 17
Page of 231 197
Drug Name Class Category Class Name Page #PRIMSOL Antibacterials Antifolate Antibacterials 8 PRINIVIL Cardiovascular Agents Angiotensin-converting Enzyme
(ACE) Inhibitors 42
PRINZIDE Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
PROAIR HFA Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
PROAMATINE Cardiovascular Agents Alpha-adrenergic Agonists 41 PRO-BANTHINE Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 probenecid/colchicine Antigout Agents Renal Tubular Blocking Agents 24 probenecid Antigout Agents Renal Tubular Blocking Agents 24 PROCAINAMIDE HCL ER Cardiovascular Agents Antiarrhythmics - Class Ia/II/III/IV 43 procainamide hcl sr Cardiovascular Agents Antiarrhythmics - Class Ia/II/III/IV 43 procainamide hcl Cardiovascular Agents Antiarrhythmics - Class Ia/II/III/IV 43 PROCAINAMIDE HCL Cardiovascular Agents Antiarrhythmics - Class Ia/II/III/IV 43 PROCAINAMIDE HCL Cardiovascular Agents Antiarrhythmics - Class Ia/II/III/IV 43 procainamide hcl Cardiovascular Agents Antiarrhythmics - Classes IA, B,
and C 44
PROCANBID Cardiovascular Agents Antiarrhythmics - Class Ia/II/III/IV 43 PROCARDIA XL Cardiovascular Agents Dihydropyridines 47 PROCARDIA Cardiovascular Agents Dihydropyridines 47 PROCHIEVE Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
prochlorperazine edisylate Antipsychotics Conventional 33 prochlorperazine maleate Antipsychotics Conventional 33 prochlorperazine Antipsychotics Conventional 33 PROCRIT Blood
Products/Modifiers/Volume Expanders
Erythropoietins 40
proctocare-hc Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
PROCTOCORT Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
proctocream-hc Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
procto-kit Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
procto-pak Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
proctosol hc Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
proctozone-hc Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
Page of 231 198
Drug Name Class Category Class Name Page #PROGLYCEM Blood Glucose Regulators Glycemic Agents 37 PROGRAF Immunological Agents Immune Suppressants (Non-
TNF Inhibitors) 72
PROGRAF Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
PROLASTIN Respiratory Tract Agents Respiratory Tract Agents, Other 82 PROLASTIN Respiratory Tract Agents Respiratory Tract Agents, Other 82 PROLEUKIN Antineoplastics Antineoplastics 29 PROLOPRIM Antibacterials Antifolate Antibacterials 8 promethazine /phenylephrine Respiratory Tract Agents H1 Blocking Agents, Sedating 81 promethazine hcl plain Respiratory Tract Agents H1 Blocking Agents, Sedating 81 promethazine hcl plain Sedatives/Hypnotics Sedatives/Hypnotics 82 promethazine hcl Antiemetics Antiemetics, Other 21 promethazine hcl Antiemetics Antiemetics, Other 21 promethazine hcl Antiemetics Antiemetics, Other 21 promethazine hcl Antiemetics Antiemetics, Other 21 promethazine hcl Respiratory Tract Agents H1 Blocking Agents, Sedating 81 promethazine hcl Respiratory Tract Agents H1 Blocking Agents, Sedating 81 promethazine hcl Sedatives/Hypnotics Sedatives/Hypnotics 82 promethazine hcl Sedatives/Hypnotics Sedatives/Hypnotics 82 promethegan Antiemetics Antiemetics, Other 21 PROMETRIUM Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
PRONESTYL SR Cardiovascular Agents Antiarrhythmics - Class Ia/II/III/IV 43 PRONESTYL Cardiovascular Agents Antiarrhythmics - Class Ia/II/III/IV 43 PRONESTYL Cardiovascular Agents Antiarrhythmics - Class Ia/II/III/IV 43 PRONESTYL Cardiovascular Agents Antiarrhythmics - Class Ia/II/III/IV 43 pro-otic Dermatological Agents Dermatological Antipruritic
Agents 53
propafenone hcl Cardiovascular Agents Antiarrhythmics - Classes IA, B, and C
44
PROPANTHELINE BROMIDE Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 proparacaine hcl Anesthetics Local Anesthetics 6 proparacaine hcl Anesthetics Local Anesthetics 6 PROPINE Ophthalmic Agents Alpha-adrenergic Agonists,
Ophthalmic 75
propoxacet Analgesics Opioid Analgesics, Short-acting 5 propoxacet-n Analgesics Opioid Analgesics, Short-acting 5 propoxyphene /acetaminophen Analgesics Opioid Analgesics, Short-acting 5 PROPOXYPHENE COMPOUND
Analgesics Opioid Analgesics, Short-acting 5
propoxyphene hcl Analgesics Opioid Analgesics, Short-acting 5 PROPOXYPHENE/ASA/CAFF Analgesics Opioid Analgesics, Short-acting 5 propoxyphene-n /acetaminophen
Analgesics Opioid Analgesics, Short-acting 5
propranolol /hydrochlorothiazide
Cardiovascular Agents Nonselective Beta-adrenergic Blocking Agents
48
propranolol /hydrochlorothiazide
Cardiovascular Agents Thiazide Diuretics 49
propranolol hcl er Antimigraine Agents Beta-adrenergic Blocking Agents 26
Page of 231 199
Drug Name Class Category Class Name Page #PROPRANOLOL HCL ER Cardiovascular Agents Alpha-beta-adrenergic Blocking
Agents 41
propranolol hcl er Cardiovascular Agents Antiarrhythmics - Class II 43 propranolol hcl er Cardiovascular Agents Nonselective Beta-adrenergic
Blocking Agents 48
PROPRANOLOL HCL INTENSOL
Antimigraine Agents Beta-adrenergic Blocking Agents 26
PROPRANOLOL HCL INTENSOL
Cardiovascular Agents Antiarrhythmics - Class II 43
PROPRANOLOL HCL INTENSOL
Cardiovascular Agents Nonselective Beta-adrenergic Blocking Agents
48
PROPRANOLOL HCL Antimigraine Agents Beta-adrenergic Blocking Agents 26 propranolol hcl Antimigraine Agents Beta-adrenergic Blocking Agents 26 propranolol hcl Antimigraine Agents Beta-adrenergic Blocking Agents 26 PROPRANOLOL HCL Cardiovascular Agents Antiarrhythmics - Class II 43 propranolol hcl Cardiovascular Agents Antiarrhythmics - Class II 43 propranolol hcl Cardiovascular Agents Antiarrhythmics - Class II 43 PROPRANOLOL HCL Cardiovascular Agents Antiarrhythmics - Class II 44 PROPRANOLOL HCL Cardiovascular Agents Nonselective Beta-adrenergic
Blocking Agents 48
propranolol hcl Cardiovascular Agents Nonselective Beta-adrenergic Blocking Agents
48
propranolol hcl Cardiovascular Agents Nonselective Beta-adrenergic Blocking Agents
48
PROPRANOLOL HCL Cardiovascular Agents Nonselective Beta-adrenergic Blocking Agents
48
propylthiouracil Hormonal Agents, Suppressant (Thyroid)
Hormonal Agents, Suppressant (Thyroid)
72
PROQUAD Immunological Agents Vaccines 74 PROQUIN XR Antibacterials Quinolones 15 PROSCAR Genitourinary Agents 5 Alpha-reductase Inhibitors 59 PROSED/DS (ATROPINE FREE)
Gastrointestinal Agents Antispasmodics, Gastrointestinal 57
PROSTIGMIN Antimyasthenic Agents Parasympathomimetics 27 PROSTIGMIN Antimyasthenic Agents Parasympathomimetics 27 PROTONIX Gastrointestinal Agents Proton Pump Inhibitors 59 PROTONIX Gastrointestinal Agents Proton Pump Inhibitors 59 PROTONIX Gastrointestinal Agents Proton Pump Inhibitors 59 PROTOPIC Dermatological Agents Dermatological
Immunomodulators 53
PROVENTIL HFA Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
PROVENTIL Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
PROVENTIL Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
PROVENTIL Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
PROVERA Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Progestins 70
Page of 231 200
Drug Name Class Category Class Name Page #PROVIGIL Central Nervous System
Agents Non-amphetamines 51
PROZAC WEEKLY Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
PROZAC Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
PROZAC Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
PROZAC Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
prudoxin Dermatological Agents Dermatological Antipruritic Agents
53
PSORCON E Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
PSORCON E Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
PSORIATEC Dermatological Agents Dermatological Mitotic Inhibitors 53 PULMICORT TURBUHALER Respiratory Tract Agents Bronchodilators, Anti-
inflammatories 79
PULMICORT Respiratory Tract Agents Bronchodilators, Anti-inflammatories
79
PULMOZYME Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
56
PURINETHOL Antineoplastics Antineoplastics 29 PYLERA Antibacterials Miscellaneous Antibacterials 13 PYLERA Gastrointestinal Agents Gastrointestinal Agents, Other 58 pyrazinamide Antimycobacterials Antituberculars 27 PYRIDIUM Dermatological Agents Dermatological Antipruritic
Agents 53
pyridostigmine bromide Antimyasthenic Agents Parasympathomimetics 27 QUADRAMET Antineoplastics Antineoplastics 29 QUALAQUIN Antiparasitics Antimalarials 31 quasense Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
QUESTRAN LIGHT Cardiovascular Agents Bile Acid Sequestrants 45 QUESTRAN LIGHT Cardiovascular Agents Bile Acid Sequestrants 45 QUESTRAN Cardiovascular Agents Bile Acid Sequestrants 45 QUESTRAN Cardiovascular Agents Bile Acid Sequestrants 45 QUIBRON-T/SR Respiratory Tract Agents Bronchodilators,
Phosphodiesterase 2 Inhibitors (Xanthines)
79
QUIBRON-T Respiratory Tract Agents Bronchodilators, Phosphodiesterase 2 Inhibitors (Xanthines)
79
QUICK-K Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
quinapril /hydrochlorothiazide Cardiovascular Agents Angiotensin-converting Enzyme 42
Page of 231 201
Drug Name Class Category Class Name Page #(ACE) Inhibitors
quinapril /hydrochlorothiazide Cardiovascular Agents Thiazide Diuretics 49 quinapril hcl Cardiovascular Agents Angiotensin-converting Enzyme
(ACE) Inhibitors 42
quinapril/hctz Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
quinapril/hctz Cardiovascular Agents Thiazide Diuretics 49 quinapril Cardiovascular Agents Angiotensin-converting Enzyme
(ACE) Inhibitors 42
quinaretic Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
quinaretic Cardiovascular Agents Thiazide Diuretics 49 quinidine gluconate cr Cardiovascular Agents Antiarrhythmics - Classes IA, B,
and C 44
quinidine gluconate er Cardiovascular Agents Antiarrhythmics - Classes IA, B, and C
44
quinidine gluconate sa Cardiovascular Agents Antiarrhythmics - Classes IA, B, and C
45
QUINIDINE SULFATE ER Cardiovascular Agents Antiarrhythmics - Classes IA, B, and C
45
quinidine sulfate Cardiovascular Agents Antiarrhythmics - Classes IA, B, and C
45
QUIXIN Antibacterials Quinolones 15 QVAR Respiratory Tract Agents Bronchodilators, Anti-
inflammatories 79
RANEXA Cardiovascular Agents Partial Fatty Acid Oxidase Inhibitors
48
RANICLOR Antibacterials Cephalosporin Antibacterials, 2nd Generation
10
ranitidine hcl Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
ranitidine hcl Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
ranitidine hcl Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
ranitidine hcl Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
RAPAMUNE Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
RAPAMUNE Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
RAPIFLUX Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
RAPTIVA Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
RAZADYNE ER Antidementia Agents Cholinesterase Inhibitors 18 RAZADYNE Antidementia Agents Cholinesterase Inhibitors 18 RAZADYNE Antidementia Agents Cholinesterase Inhibitors 18 REBETOL Antivirals Antivirals, Other 35 REBETOL Antivirals Antivirals, Other 35 REBETRON Immunological Agents Interferons, Alfa 73
Page of 231 202
Drug Name Class Category Class Name Page #REBIF TITRATION PACK Immunological Agents Interferons, Beta 73 REBIF Immunological Agents Interferons, Beta 73 RECLAST Hormonal Agents,
Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Bisphosphonates, Parenteral 65
reclipsen Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
RECOMBIVAX HB Immunological Agents Vaccines 74 RECOMBIVAX HB Immunological Agents Vaccines 74 REGLAN Gastrointestinal Agents Gastrointestinal Agents, Other 58 REGLAN Gastrointestinal Agents Gastrointestinal Agents, Other 58 REGONOL Antimyasthenic Agents Parasympathomimetics 27 REGRANEX Dermatological Agents Dermatological Wound Care
Agents 54
RELAFEN Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
RELAGESIC Analgesics Non-opioid Analgesics 2 RELENZA DISKHALER Antivirals Anti-influenza Agents 35 RELION 70/30 INNOLET Blood Glucose Regulators Insulin, Intermediate-acting 38 RELION 70/30 Blood Glucose Regulators Insulin, Intermediate-acting 38 RELION N INNOLET Blood Glucose Regulators Insulin, Intermediate-acting 38 RELION N Blood Glucose Regulators Insulin, Intermediate-acting 38 RELION R Blood Glucose Regulators Insulin, Rapid-acting 38 RELPAX Antimigraine Agents Triptans 26 RELPAX Unclassified No Classification 90 REMERON SOLTAB Antidepressants Antidepressants, Other 19 REMERON Antidepressants Antidepressants, Other 19 REMICADE Immunological Agents Tumor Necrosis Factor (TNF)
Inhibitors 73
RENAGEL Antidotes, Deterrents, and Toxicologic Agents
Ion Exchange Resins 20
RENAGEL Antidotes, Deterrents, and Toxicologic Agents
Ion Exchange Resins 20
RENAGEL Genitourinary Agents Phosphate Binders 60 RENAGEL Genitourinary Agents Phosphate Binders 60 RENAMIN Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
REPREXAIN Analgesics Opioid Analgesics, Short-acting 5 REQUIP Antiparkinson Agents Dopamine Agonists 32 RESCRIPTOR Antivirals Anti-HIV Agents, Non-
nucleoside Reverse Transcriptase Inhibitors
34
RESERPINE Cardiovascular Agents Alpha-adrenergic Blocking Agents
41
RESTASIS Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
RETROVIR IV INFUSION Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse
34
Page of 231 203
Drug Name Class Category Class Name Page #Transcriptase Inhibitors
RETROVIR Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
34
RETROVIR Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
34
RETROVIR Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
34
REVATIO Respiratory Tract Agents Respiratory Tract Agents, Other 82 REVEX Antidotes, Deterrents, and
Toxicologic Agents Opioid Antagonists 21
REVIA Antidotes, Deterrents, and Toxicologic Agents
Alcohol Deterrents 20
REVLIMID Immunological Agents Immunomodulators, Other 72 REYATAZ Antivirals Anti-HIV Agents, Protease
Inhibitors 35
RHEUMATREX Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
RHINOCORT AQUA Respiratory Tract Agents Respiratory Tract Agents, Other 82 rhinoflex-650 Analgesics Non-opioid Analgesics 2 rhinoflex Analgesics Non-opioid Analgesics 2 ribapak Antivirals Antivirals, Other 35 ribapak Antivirals Antivirals, Other 35 ribasphere Antivirals Antivirals, Other 35 ribasphere Antivirals Antivirals, Other 35 ribatab Antivirals Antivirals, Other 35 ribatab Antivirals Antivirals, Other 36 ribavirin Antivirals Antivirals, Other 36 ribavirin Antivirals Antivirals, Other 36 RIDAURA Immunological Agents Immunomodulators, Other 73 RIFADIN Antimycobacterials Antituberculars 27 RIFADIN Antimycobacterials Antituberculars 27 RIFAMATE Antimycobacterials Antituberculars 27 rifampin Antimycobacterials Antituberculars 27 rifampin Antimycobacterials Antituberculars 27 RIFATER Antimycobacterials Antituberculars 27 RILUTEK Central Nervous System
Agents Non-amphetamines 51
rimactane Antimycobacterials Antituberculars 27 rimantadine hcl Antivirals Anti-influenza Agents 35 ringer's injection Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
ringer's irrigation Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
RIOMET Blood Glucose Regulators Biguanides 37 RISPERDAL CONSTA Antipsychotics Atypicals 33 RISPERDAL CONSTA Bipolar Agents Bipolar Agents 36
Page of 231 204
Drug Name Class Category Class Name Page #RISPERDAL M-TAB Antipsychotics Atypicals 33 RISPERDAL M-TAB Antipsychotics Atypicals 33 RISPERDAL M-TAB Bipolar Agents Bipolar Agents 36 RISPERDAL M-TAB Bipolar Agents Bipolar Agents 36 RISPERDAL Antipsychotics Atypicals 33 RISPERDAL Antipsychotics Atypicals 33 RISPERDAL Bipolar Agents Bipolar Agents 36 RISPERDAL Bipolar Agents Bipolar Agents 36 RITALIN LA Central Nervous System
Agents Non-amphetamines 51
RITALIN SR Central Nervous System Agents
Non-amphetamines 51
RITALIN Central Nervous System Agents
Non-amphetamines 51
RITUXAN Antineoplastics Antineoplastics 29 RMS Analgesics Opioid Analgesics, Long-acting 3 ROBAXIN-750 Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 ROBAXIN Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 ROBAXIN Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 ROBINUL FORTE Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 ROBINUL Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 ROBINUL Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 ROCALTROL Hormonal Agents,
Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Vitamin D-related Agents/Metabolic Bone Disease Agents
66
ROCALTROL Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Vitamin D-related Agents/Metabolic Bone Disease Agents
66
ROCEPHIN IN ISO-OSMOTIC DEXTROSE
Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
ROCEPHIN Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
ROFERON-A Immunological Agents Interferons, Alfa 73 romycin Ophthalmic Agents 78 ROSULA NS Antibacterials Sulfonamides 15 ROSULA Antibacterials Sulfonamides 15 ROSULA Antibacterials Sulfonamides 15 ROTATEQ Immunological Agents Vaccines 74 ROWASA Inflammatory Bowel Disease
Agents Salicylates 75
ROXANOL Analgesics Opioid Analgesics, Long-acting 3 ROXICET Analgesics Opioid Analgesics, Short-acting 5 roxicet Analgesics Opioid Analgesics, Short-acting 5 ROXICODONE INTENSOL Analgesics Opioid Analgesics, Short-acting 5 ROXICODONE Analgesics Opioid Analgesics, Short-acting 5 ROXICODONE Analgesics Opioid Analgesics, Short-acting 5 ROZEREM Sedatives/Hypnotics Sedatives/Hypnotics 82 ROZEX Antibacterials Miscellaneous Antibacterials 13 rufen Anti-inflammatories Nonsteroidal Anti-inflammatory 25
Page of 231 205
Drug Name Class Category Class Name Page #Drugs
RUM-K Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
RYTHMOL SR Cardiovascular Agents Antiarrhythmics - Classes IA, B, and C
45
RYTHMOL Cardiovascular Agents Antiarrhythmics - Classes IA, B, and C
45
SAIZEN CLICK.EASY Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
SAIZEN Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
SALAGEN Dental and Oral Agents Dental and Oral Agents 52 SALEX Dermatological Agents Dermatological Caustic Agents 53 SALEX Dermatological Agents Dermatological Caustic Agents 53 SALEX Unclassified Unclassified 90 salflex Analgesics Non-opioid Analgesics 2 salsalate Analgesics Non-opioid Analgesics 2 SAL-TROPINE Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 SANCTURA Genitourinary Agents Antispasmodics, Urinary 60 SANDIMMUNE Immunological Agents Immune Suppressants (Non-
TNF Inhibitors) 72
SANDIMMUNE Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
SANDOSTATIN LAR DEPOT Hormonal Agents, Suppressant (Pituitary)
Somatostatin Analogs 71
SANDOSTATIN Hormonal Agents, Suppressant (Pituitary)
Somatostatin Analogs 71
SANTYL Dermatological Agents Dermatological Wound Care Agents
54
SARAFEM Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
sb clotrimazole foot Antifungals Antifungals (Other) 22 sb miconazole 3-day combo Antifungals Azole Antifungals 23 scalp treatment Antibacterials Sulfonamides 15 SCOPACE Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 SCOPOLAMINE HYDROBROMIDE
Gastrointestinal Agents Antispasmodics, Gastrointestinal 57
SEASONALE Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
SEASONIQUE Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
SECTRAL Cardiovascular Agents Antiarrhythmics - Class II 44 SECTRAL Cardiovascular Agents Cardioselective Beta-adrenergic
Blocking Agents 46
SELECT-OB Therapeutic Nutrients/Minerals/Electrolyte
Prenatal Vitamins 89
Page of 231 206
Drug Name Class Category Class Name Page #s
selegiline hcl Antiparkinson Agents Antiparkinson Agents, Other 32 selegiline hcl Antiparkinson Agents Antiparkinson Agents, Other 32 selenium sulfide Antifungals Antifungals (Other) 22 SELSEB Antifungals Antifungals (Other) 22 SENSIPAR Hormonal Agents,
Suppressant (Parathyroid) Calcimimetics 71
SEPTRA DS Antibacterials Antifolate Antibacterials 8 SEPTRA DS Antibacterials Sulfonamides 15 SEPTRA Antibacterials Antifolate Antibacterials 8 SEPTRA Antibacterials Sulfonamides 15 SEPTRA Antibacterials Sulfonamides 15 SEREVENT DISKUS Respiratory Tract Agents Bronchodilators,
Sympathomimetic 80
SEROMYCIN Antimycobacterials Antituberculars 27 SEROQUEL XR Antipsychotics Atypicals 33 SEROQUEL XR Bipolar Agents Bipolar Agents 36 SEROQUEL Antipsychotics Atypicals 33 SEROQUEL Bipolar Agents Bipolar Agents 36 SEROSTIM Hormonal Agents,
Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
sertraline hcl Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
sertraline hcl Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
sertraline hydrochloride Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
SILVADENE Antibacterials Miscellaneous Antibacterials 13 SILVER NITRATE Dermatological Agents Dermatological Wound Care
Agents 54
SILVER NITRATE Dermatological Agents Dermatological Wound Care Agents
54
silver sulfadiazine Antibacterials Miscellaneous Antibacterials 13 SIMETHICONE Genitourinary Agents Antispasmodics, Urinary 60 SIMETYL Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 SIMETYL Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 SIMULECT Immunological Agents Immune Suppressants (Non-
TNF Inhibitors) 72
simvastatin Cardiovascular Agents 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) Reductase Inhibitors
40
SINEMET CR Antiparkinson Agents Dopamine Precursors 32 SINEMET Antiparkinson Agents Dopamine Precursors 32 SINGULAIR Respiratory Tract Agents Receptor Antagonists 81 SINGULAIR Respiratory Tract Agents Receptor Antagonists 81 SINGULAIR Respiratory Tract Agents Receptor Antagonists 81 SKELAXIN Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 SKELID Hormonal Agents,
Stimulant/Replacement/Modifying (Parathyroid/Metabolic
Bisphosphonates, Oral 65
Page of 231 207
Drug Name Class Category Class Name Page #Bone Disease Agents)
SLO-BID GYROCAPS Respiratory Tract Agents Bronchodilators, Phosphodiesterase 2 Inhibitors (Xanthines)
79
smz-tmp ds Antibacterials Antifolate Antibacterials 9 smz-tmp ds Antibacterials Sulfonamides 15 sodium acetate Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
sodium bicarbonate partial fill Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
sodium bicarbonate stick-gard Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
sodium bicarbonate Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
sodium bicarbonate Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
sodium chloride 0.9% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
sodium chloride 0.45% viaflex Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 86
sodium chloride 0.45% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
sodium chloride 0.9% Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
sodium chloride bacteriostatic Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
sodium chloride Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
sodium chloride Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
SODIUM EDECRIN Cardiovascular Agents Loop Diuretics 48 sodium polystyrene sulfonate Antidotes, Deterrents, and
Toxicologic Agents Ion Exchange Resins 20
sodium sulfacetamide Antibacterials Sulfonamides 15 sodium sulfacetamide Antibacterials Sulfonamides 15 SOLARAZE Dermatological Agents Dermatological Anti-
inflammatories 52
solia Hormonal Agents, Stimulant/Replacement/Modify
Contraceptives 69
Page of 231 208
Drug Name Class Category Class Name Page #ing (Sex Hormones/Modifiers)
SOLODYN Antibacterials Tetracyclines 16 SOLTAMOX Antineoplastics Selective Estrogen Receptor
Modulators, 1st Generation 30
SOLU-CORTEF Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
SOLU-MEDROL ACT-O-VIAL Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
SOLU-MEDROL Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
SOLUREX LA Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
SOMA COMPOUND/CODEINE Analgesics Non-opioid Analgesics 2 SOMA COMPOUND/CODEINE Analgesics Opioid Analgesics, Short-acting 5 SOMA COMPOUND/CODEINE Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 SOMA COMPOUND Analgesics Non-opioid Analgesics 2 SOMA COMPOUND Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 SOMA Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 SOMAVERT Hormonal Agents,
Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
SOMNOTE Sedatives/Hypnotics Sedatives/Hypnotics 82 SONATA Sedatives/Hypnotics Sedatives/Hypnotics 82 SORIATANE Dermatological Agents Dermatological Retinoids 53 sorine Cardiovascular Agents Antiarrhythmics - Class II/III 43 sotalol hcl (af) Cardiovascular Agents Antiarrhythmics - Class II/III 43 sotalol hcl Cardiovascular Agents Antiarrhythmics - Class II/III 43 sotalol hcl Cardiovascular Agents Antiarrhythmics - Class III 43 sotret Dermatological Agents Dermatological Retinoids 53 spasdel Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 spasdel Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 spasdel Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 SPECTAZOLE Antifungals Antifungals (Other) 22 SPECTRACEF Antibacterials Cephalosporin Antibacterials,
3rd Generation 10
SPIRIVA HANDIHALER Unclassified No Classification 90 spironolactone /hydrochlorothiazide
Cardiovascular Agents Aldosterone Receptor Antagonists
41
spironolactone /hydrochlorothiazide
Cardiovascular Agents Potassium-sparing Diuretics 48
spironolactone /hydrochlorothiazide
Cardiovascular Agents Thiazide Diuretics 49
spironolactone Cardiovascular Agents Aldosterone Receptor Antagonists
41
spironolactone Cardiovascular Agents Potassium-sparing Diuretics 48 SPORANOX PULSEPAK Antifungals Azole Antifungals 23 SPORANOX Antifungals Azole Antifungals 23
Page of 231 209
Drug Name Class Category Class Name Page #SPORANOX Antifungals Azole Antifungals 23 SPORANOX Antifungals Azole Antifungals 23 sprintec 28 Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
SPRYCEL Antineoplastics Multitargeted Kinase Inhibitors, Gastrointestinal Stromal Tumors
30
sps 30gm/120ml enema Antidotes, Deterrents, and Toxicologic Agents
Ion Exchange Resins 20
sps Antidotes, Deterrents, and Toxicologic Agents
Ion Exchange Resins 20
ssd af Antibacterials Miscellaneous Antibacterials 13 ssd Antibacterials Miscellaneous Antibacterials 13 STADOL Analgesics Opioid Analgesics, Short-acting 5 STAFLEX Analgesics Non-opioid Analgesics 2 STAGESIC-10 Analgesics Opioid Analgesics, Short-acting 5 stagesic Analgesics Opioid Analgesics, Short-acting 5 STALEVO 100 Antiparkinson Agents Catechol O-methyltransferase
(COMT) Inhibitors 32
STALEVO 100 Antiparkinson Agents Dopamine Precursors 32 STALEVO 150 Antiparkinson Agents Catechol O-methyltransferase
(COMT) Inhibitors 32
STALEVO 150 Antiparkinson Agents Dopamine Precursors 32 STALEVO 50 Antiparkinson Agents Catechol O-methyltransferase
(COMT) Inhibitors 32
STALEVO 50 Antiparkinson Agents Dopamine Precursors 32 STARLIX Blood Glucose Regulators Meglitinides 38 STARLIX Blood Glucose Regulators Meglitinides 38 STERAPRED 12 DAY Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
STERAPRED DS 12 DAY Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
STERAPRED DS Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
STERAPRED Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids 61
STIMATE Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
STRATTERA Central Nervous System Agents
Non-amphetamines 51
STRATTERA Central Nervous System Agents
Non-amphetamines 51
STREPTOMYCIN SULFATE Antibacterials Aminoglycosides 8 STREPTOMYCIN SULFATE Antimycobacterials Antituberculars 27 STRIANT Hormonal Agents,
Stimulant/Replacement/ModifyAndrogens/Anabolic Steroids 67
Page of 231 210
Drug Name Class Category Class Name Page #ing (Sex Hormones/Modifiers)
STROMECTOL Antiparasitics Anthelmintics 31 STRONGSTART Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
STRONGSTART Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
STUARTNATAL PLUS 3 Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
SUBOXONE Analgesics Opioid Analgesics, Short-acting 5 SUBOXONE Antidotes, Deterrents, and
Toxicologic Agents Opioid Antagonists 21
SUBUTEX Analgesics Opioid Analgesics, Short-acting 5 SUCRAID Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
56
sucralfate Gastrointestinal Agents Protectants 59 SUCRALFATE Gastrointestinal Agents Protectants 59 SULAR Cardiovascular Agents Dihydropyridines 47 sulf-10 Antibacterials Sulfonamides 15 sulfac Antibacterials Sulfonamides 15 SULFACETAMIDE /PREDNISOLONE
Ophthalmic Agents Glucocorticoids, Ophthalmic 76
sulfacetamide sodium/prednisolone sodium phosphate
Ophthalmic Agents Glucocorticoids, Ophthalmic 76
SULFACETAMIDE SODIUM Antibacterials Sulfonamides 15 sulfacetamide sodium Antibacterials Sulfonamides 15 sulfacetamide sodium Antibacterials Sulfonamides 15 SULFADIAZINE Antibacterials Sulfonamides 15 sulfamethoxazole /trimethoprim Antibacterials Antifolate Antibacterials 9 SULFAMETHOXAZOLE /TRIMETHOPRIM
Antibacterials Sulfonamides 15
sulfamethoxazole /trimethoprim Antibacterials Sulfonamides 15 sulfamethoxazole /trimethoprim Antibacterials Sulfonamides 15 sulfamethoxazole/trimethoprim ds
Antibacterials Sulfonamides 15
SULFAMYLON Antibacterials Sulfonamides 15 SULFAMYLON Antibacterials Sulfonamides 15 sulfasalazine ec Antibacterials Sulfonamides 15 sulfasalazine Antibacterials Sulfonamides 15 sulfasalazine Antibacterials Sulfonamides 16 sulfatol cleanser Antibacterials Sulfonamides 16 sulfatol Antibacterials Sulfonamides 16 sulfatrim Antibacterials Antifolate Antibacterials 9 sulfatrim Antibacterials Sulfonamides 16 sulfazine ec Sulfonamides 83 sulfazine Sulfonamides 83 SULFISOXAZOLE Antibacterials Sulfonamides 16 sulindac Anti-inflammatories Nonsteroidal Anti-inflammatory 25
Page of 231 211
Drug Name Class Category Class Name Page #Drugs
SUMYCIN Antibacterials Tetracyclines 16 SUMYCIN Antibacterials Tetracyclines 16 SUPRAX Antibacterials Cephalosporin Antibacterials,
3rd Generation 10
SURMONTIL Antidepressants Tricyclics 20 SURMONTIL Antidepressants Tricyclics 20 SUSTIVA Antivirals Anti-HIV Agents, Non-
nucleoside Reverse Transcriptase Inhibitors
34
SUSTIVA Antivirals Anti-HIV Agents, Non-nucleoside Reverse Transcriptase Inhibitors
34
SUTENT Antineoplastics Multitargeted Kinase Inhibitors, Gastrointestinal Stromal Tumors
30
symax fastabs Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 symax-sl Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 SYMBICORT Respiratory Tract Agents Bronchodilators, Anti-
inflammatories 79
SYMBICORT Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
SYMBYAX Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
SYMBYAX Antipsychotics Atypicals 33 SYMBYAX Bipolar Agents Bipolar Agents 36 SYMLIN Blood Glucose Regulators Amylinomimetics 37 SYMMETREL Antiparkinson Agents Antiparkinson Agents, Other 32 SYMMETREL Antivirals Anti-influenza Agents 35 SYNALAR Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
SYNALAR Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
SYNALAR Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
SYNAREL Hormonal Agents, Suppressant (Sex Hormones/Modifiers)
Antiandrogens 71
SYNERCID Antibacterials Miscellaneous Antibacterials 13 SYNTHROID Hormonal Agents,
Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
SYNTHROID Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
SYPRINE Antidotes, Deterrents, and Toxicologic Agents
Antidotes, Deterrents, and Toxicologic Agents
20
TABLOID Antineoplastics Antineoplastics 29 TACLONEX Dermatological Agents Dermatological Mitotic Inhibitors 53
Page of 231 212
Drug Name Class Category Class Name Page #TACLONEX Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
TAGAMET Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
TAGAMET Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
TALACEN Analgesics Opioid Analgesics, Short-acting 5 TALADINE Gastrointestinal Agents Histamine2 (H2) Blocking
Agents 58
TALWIN NX Analgesics Opioid Analgesics, Short-acting 5 TALWIN Analgesics Opioid Analgesics, Short-acting 5 TAMBOCOR Cardiovascular Agents Antiarrhythmics - Classes IA, B,
and C 45
TAMIFLU Antivirals Anti-influenza Agents 35 TAMIFLU Antivirals Anti-influenza Agents 35 tamoxifen citrate Antineoplastics Selective Estrogen Receptor
Modulators, 1st Generation 30
TAPAZOLE Hormonal Agents, Suppressant (Thyroid)
Hormonal Agents, Suppressant (Thyroid)
72
TARCEVA Antineoplastics Epidermal Growth Factor Receptor Kinase Inhibitors
30
TARCEVA Antineoplastics Epidermal Growth Factor Receptor Kinase Inhibitors
30
TARGRETIN Antineoplastics Retinoids 30 TARGRETIN Antineoplastics Retinoids 30 TARKA Cardiovascular Agents Angiotensin-converting Enzyme
(ACE) Inhibitors 42
TARKA Cardiovascular Agents Calcium Channel Blocking Agents (Non-dihydropyridines)
46
TASMAR Antiparkinson Agents Catechol O-methyltransferase (COMT) Inhibitors
32
TAXOL Antineoplastics Antineoplastics 29 TAXOTERE Antineoplastics Antineoplastics 29 TAZICEF Antibacterials Cephalosporin Antibacterials,
3rd Generation 10
tazicef Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
TAZORAC Dermatological Agents Dermatological Retinoids 53 TAZORAC Dermatological Agents Dermatological Retinoids 53 taztia xt Cardiovascular Agents Antiarrhythmics - Class IV 44 taztia xt Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 46
TEGRETOL Anticonvulsants Sodium Channel Inhibitors 18 TEGRETOL Anticonvulsants Sodium Channel Inhibitors 18 TEGRETOL Anticonvulsants Sodium Channel Inhibitors 18 TEGRETOL Bipolar Agents Bipolar Agents 37 TEGRETOL Bipolar Agents Bipolar Agents 37 TEGRETOL Bipolar Agents Bipolar Agents 37 TEGRETOL-XR Anticonvulsants Sodium Channel Inhibitors 18 TEGRETOL-XR Bipolar Agents Bipolar Agents 37
Page of 231 213
Drug Name Class Category Class Name Page #TEKTURNA Cardiovascular Agents Cardiovascular Agents 46 TEMOVATE E Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
TEMOVATE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
TEMOVATE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
TEMOVATE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
TEMOVATE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
TENEX Cardiovascular Agents Alpha-adrenergic Agonists 41 TENORETIC 100 Cardiovascular Agents Thiazide Diuretics 49 TENORETIC 50 Cardiovascular Agents Thiazide Diuretics 49 TENORMIN Cardiovascular Agents Cardioselective Beta-adrenergic
Blocking Agents 46
TENORMIN Cardiovascular Agents Cardioselective Beta-adrenergic Blocking Agents
46
TERAZOL 3 Antifungals Azole Antifungals 23 TERAZOL 3 Antifungals Azole Antifungals 23 TERAZOL 3 Antifungals Azole Antifungals 23 TERAZOL 7 Antifungals Azole Antifungals 23 terazosin hcl Cardiovascular Agents Alpha-adrenergic Blocking
Agents 41
terazosin hcl Genitourinary Agents Alpha1-adrenergic Blocking Agents
59
terbutaline sulfate Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
terbutaline sulfate Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
terconazole Antifungals Azole Antifungals 23 TESLAC Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
TESTIM Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
testosterone cypionate Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
testosterone enanthate Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
TESTOSTERONE PROPIONATE
Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
Page of 231 214
Drug Name Class Category Class Name Page #TESTOSTERONE Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
TESTRED Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Androgens/Anabolic Steroids 67
TETANUS TOXOID ADSORBED
Immunological Agents Vaccines 74
TETANUS TOXOID Immunological Agents Vaccines 74 TETANUS/DIPHTHERIA TOXOID-ADULT
Immunological Agents Vaccines 74
TETANUS/DIPHTHERIA TOXOIDS-ABSORBED ADULT
Immunological Agents Vaccines 74
tetracycline hcl Antibacterials Tetracyclines 16 TEVETEN HCT Cardiovascular Agents Angiotensin II Receptor
Antagonists 42
TEVETEN HCT Cardiovascular Agents Thiazide Diuretics 49 TEVETEN Cardiovascular Agents Angiotensin II Receptor
Antagonists 42
TEV-TROPIN Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
texacort Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
TEXACORT Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
THALITONE Cardiovascular Agents Thiazide Diuretics 49 THALOMID Immunological Agents Immunomodulators, Other 73 THEO-24 Respiratory Tract Agents Bronchodilators,
Phosphodiesterase 2 Inhibitors (Xanthines)
79
theocap Respiratory Tract Agents Bronchodilators, Phosphodiesterase 2 Inhibitors (Xanthines)
79
theochron Respiratory Tract Agents Bronchodilators, Phosphodiesterase 2 Inhibitors (Xanthines)
79
theophylline anhydrous cr Respiratory Tract Agents Bronchodilators, Phosphodiesterase 2 Inhibitors (Xanthines)
79
theophylline cr Respiratory Tract Agents Bronchodilators, Phosphodiesterase 2 Inhibitors (Xanthines)
79
theophylline er Respiratory Tract Agents Bronchodilators, Phosphodiesterase 2 Inhibitors (Xanthines)
79
theophylline er Respiratory Tract Agents Bronchodilators, Phosphodiesterase 2 Inhibitors (Xanthines)
79
Page of 231 215
Drug Name Class Category Class Name Page #theophylline sr Respiratory Tract Agents Bronchodilators,
Phosphodiesterase 2 Inhibitors (Xanthines)
79
theophylline td Respiratory Tract Agents Bronchodilators, Phosphodiesterase 2 Inhibitors (Xanthines)
79
THERACYS Antineoplastics Antineoplastics 29 thermazene Antibacterials Miscellaneous Antibacterials 13 THIOLA Genitourinary Agents Genitourinary Agents 60 thioridazine hcl Antipsychotics Conventional 33 THIOTEPA Antineoplastics Antineoplastics 30 thiotepa Antineoplastics Antineoplastics 30 thiothixene Antipsychotics Conventional 33 thyroid Hormonal Agents,
Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
THYROLAR-1/2 Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
THYROLAR-1/4 Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
THYROLAR-1 Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
THYROLAR-2 Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
THYROLAR-3 Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
TIAZAC Cardiovascular Agents Antiarrhythmics - Class IV 44 TIAZAC Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 46
TICE BCG Immunological Agents Vaccines 74 TICLID Blood
Products/Modifiers/Volume Expanders
Adenosine Diphosphate P2Y12 Inhibitors
39
ticlopidine hcl Blood Products/Modifiers/Volume Expanders
Adenosine Diphosphate P2Y12 Inhibitors
39
TIGAN Antiemetics Antiemetics, Other 21 TIGAN Antiemetics Antiemetics, Other 21 TIKOSYN Cardiovascular Agents Antiarrhythmics - Class III 43 TILADE Respiratory Tract Agents Mast Cell Stabilizers 81 TIMENTIN Antibacterials Extended Spectrum Penicillins 11 TIMENTIN Antibacterials Extended Spectrum Penicillins 11 TIMOLIDE 10/25 Cardiovascular Agents Antiarrhythmics - Class II 44 TIMOLIDE 10/25 Cardiovascular Agents Thiazide Diuretics 49 timolol maleate ophthalmic gel forming
Ophthalmic Agents Beta-adrenergic Blocking Agents, Ophthalmic
75
Page of 231 216
Drug Name Class Category Class Name Page #TIMOLOL MALEATE Antimigraine Agents Beta-adrenergic Blocking Agents 26 TIMOLOL MALEATE Cardiovascular Agents Antiarrhythmics - Class II 44 TIMOLOL MALEATE Cardiovascular Agents Nonselective Beta-adrenergic
Blocking Agents 48
timolol maleate Ophthalmic Agents Beta-adrenergic Blocking Agents, Ophthalmic
75
timolol maleate Ophthalmic Agents Beta-adrenergic Blocking Agents, Ophthalmic
75
TIMOPTIC OCUDOSE Ophthalmic Agents Beta-adrenergic Blocking Agents, Ophthalmic
75
TIMOPTIC Ophthalmic Agents Beta-adrenergic Blocking Agents, Ophthalmic
75
TIMOPTIC-XE Ophthalmic Agents Beta-adrenergic Blocking Agents, Ophthalmic
75
TINDAMAX Antiparasitics Antiprotozoals (Non-antimalarials)
31
tis-u-sol viaflex Anticonvulsants Anticonvulsants (Other) 17 tis-u-sol viaflex Cardiovascular Agents Antiarrhythmics (Other) 45 tis-u-sol viaflex Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
tis-u-sol Anticonvulsants Anticonvulsants (Other) 17 tis-u-sol Cardiovascular Agents Antiarrhythmics (Other) 45 tis-u-sol Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
tizanidine hcl Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 TOBI Antibacterials Aminoglycosides 8 TOBRADEX Antibacterials Aminoglycosides 8 TOBRADEX Antibacterials Aminoglycosides 8 TOBRADEX Ophthalmic Agents Glucocorticoids, Ophthalmic 76 TOBRADEX Ophthalmic Agents Glucocorticoids, Ophthalmic 76 TOBRAMYCIN SULFATE ADD-VANTAGE
Antibacterials Aminoglycosides 8
tobramycin sulfate fliptop Antibacterials Aminoglycosides 8 TOBRAMYCIN SULFATE/SODIUM CHLORIDE
Antibacterials Aminoglycosides 8
tobramycin sulfate Antibacterials Aminoglycosides 8 tobramycin sulfate Antibacterials Aminoglycosides 8 tobramycin sulfate Antibacterials Aminoglycosides 8 tobramycin sulfate Antibacterials Aminoglycosides 8 tobrasol Antibacterials Aminoglycosides 8 TOBREX Antibacterials Aminoglycosides 8 TOBREX Antibacterials Aminoglycosides 8 TOFRANIL Antidepressants Tricyclics 20 TOFRANIL-PM Antidepressants Tricyclics 20 tolazamide Blood Glucose Regulators Sulfonylureas 39 TOLAZAMIDE Blood Glucose Regulators Sulfonylureas 39 TOLBUTAMIDE Blood Glucose Regulators Sulfonylureas 39 TOLECTIN DS Anti-inflammatories Nonsteroidal Anti-inflammatory 25
Page of 231 217
Drug Name Class Category Class Name Page #Drugs
TOLINASE Blood Glucose Regulators Sulfonylureas 39 tolmetin sodium Anti-inflammatories Nonsteroidal Anti-inflammatory
Drugs 25
TOLMETIN SODIUM Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
TOPAMAX SPRINKLE Anticonvulsants Glutamate Reducing Agents 17 TOPAMAX SPRINKLE Antimigraine Agents Antimigraine Agents,
Prophylactic (Non-beta-adrenergic Blocking Agents)
26
TOPAMAX Anticonvulsants Glutamate Reducing Agents 18 TOPAMAX Anticonvulsants Glutamate Reducing Agents 18 TOPAMAX Antimigraine Agents Antimigraine Agents,
Prophylactic (Non-beta-adrenergic Blocking Agents)
26
TOPAMAX Antimigraine Agents Antimigraine Agents, Prophylactic (Non-beta-adrenergic Blocking Agents)
26
TOPICORT LP Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
TOPICORT Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
TOPICORT Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
TOPICORT Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
toposar Antineoplastics Antineoplastics 30 TOPROL XL Cardiovascular Agents Cardioselective Beta-adrenergic
Blocking Agents 46
TORADOL ORAL Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
25
TORISEL Antineoplastics Antineoplastics 30 torsemide Cardiovascular Agents Loop Diuretics 48 tpn electrolytes ftv Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
tpn electrolytes ftv Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
tpn electrolytes ii Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
TRACLEER Cardiovascular Agents Vasodilators, Endothelin Receptor Antagonists
51
TRACLEER Respiratory Tract Agents Respiratory Tract Agents, Other 82 tramadol hcl Analgesics Opioid Analgesics, Short-acting 5 tramadol Analgesics Opioid Analgesics, Short-acting 5
Page of 231 218
Drug Name Class Category Class Name Page #hydrochloride/acetaminophen TRANDATE IV Cardiovascular Agents Alpha-beta-adrenergic Blocking
Agents 41
TRANDATE Cardiovascular Agents Alpha-beta-adrenergic Blocking Agents
41
TRANDATE Cardiovascular Agents Alpha-beta-adrenergic Blocking Agents
41
trandolapril Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
42
TRANSDERM-SCOP Gastrointestinal Agents Antispasmodics, Gastrointestinal 57 TRAVATAN Z Ophthalmic Agents Prostaglandins, Ophthalmic 78 TRAVATAN Ophthalmic Agents Prostaglandins, Ophthalmic 78 travert 10%/electrolyte 2 Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
travert 5%/electrolyte #2 Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
trazodone hcl dividose Antidepressants Antidepressants, Other 19 trazodone hcl Antidepressants Antidepressants, Other 19 TRECATOR Antimycobacterials Antituberculars 27 TRECATOR-SC Antimycobacterials Antituberculars 27 TRELSTAR DEPOT Hormonal Agents,
Suppressant (Sex Hormones/Modifiers)
Antiandrogens 71
TRELSTAR LA Hormonal Agents, Suppressant (Sex Hormones/Modifiers)
Antiandrogens 71
TRENTAL Blood Products/Modifiers/Volume Expanders
Blood Products/Modifiers/Volume Expanders
40
tretinoin Dermatological Agents Dermatological Retinoids 53 tretinoin Dermatological Agents Dermatological Retinoids 53 TREXALL Immunological Agents Immune Suppressants (Non-
TNF Inhibitors) 72
TRIAMCINOLONE ACETONIDE IN ABSORBASE
Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
triamcinolone acetonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
triamcinolone acetonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
triamcinolone acetonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
triamcinolone acetonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
triamcinolone acetonide Hormonal Agents, Glucocorticoids-Topical-Medium 64
Page of 231 219
Drug Name Class Category Class Name Page #Stimulant/Replacement/Modifying (Adrenal)
Potency
triamcinolone acetonide Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
triamcinolone dental Dental and Oral Agents Dental and Oral Agents 52 triamcinolone in orabase Dental and Oral Agents Dental and Oral Agents 52 triamcinolone/nystatin Antifungals Polyene Antifungals 24 triamcinolone/nystatin Antifungals Polyene Antifungals 24 triamcinolone/nystatin Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
triamcinolone/nystatin Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
triamterene /hydrochlorothiazide
Cardiovascular Agents Potassium-sparing Diuretics 49
triamterene /hydrochlorothiazide
Cardiovascular Agents Potassium-sparing Diuretics 49
triamterene /hydrochlorothiazide
Cardiovascular Agents Thiazide Diuretics 49
triamterene /hydrochlorothiazide
Cardiovascular Agents Thiazide Diuretics 50
TRICOR Cardiovascular Agents Fibrates 47 tricosal Analgesics Non-opioid Analgesics 2 triderm Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
triderm Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
TRIDESILON Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
TRIDESILON Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
trifluoperazine hcl Antipsychotics Conventional 33 trifluridine Antivirals Antiherpetic Agents 34 TRIGLIDE Cardiovascular Agents Fibrates 47 trihexyphenidyl hcl Antiparkinson Agents Anticholinergics 31 trihexyphenidyl hcl Antiparkinson Agents Anticholinergics 31 TRIHIBIT Immunological Agents Vaccines 74 TRILEPTAL Anticonvulsants Sodium Channel Inhibitors 18 TRILEPTAL Anticonvulsants Sodium Channel Inhibitors 18 TRI-LEVLEN CONTRACT PACK
Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
TRI-LEVLEN Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
Page of 231 220
Drug Name Class Category Class Name Page #TRILISATE Analgesics Non-opioid Analgesics 2 trilyte Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
trimethobenzamide hcl Antiemetics Antiemetics, Other 21 trimethobenzamide hcl Antiemetics Antiemetics, Other 21 trimethoprim sulfate/polymyxin b sulfate
Antibacterials Miscellaneous Antibacterials 13
trimethoprim/polymyxin b Antibacterials Miscellaneous Antibacterials 13 trimethoprim/sulfamethoxazole ds
Antibacterials Sulfonamides 16
trimethoprim Antibacterials Antifolate Antibacterials 9 trimipramine maleate Antidepressants Tricyclics 20 trimox Antibacterials Amino Derivative Penicillins 7 trimox Antibacterials Amino Derivative Penicillins 7 trinate Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
trinessa Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
TRI-NORINYL 28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
TRIOSTAT Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
TRIPEDIA Immunological Agents Vaccines 74 TRIPHASIL 28 Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
triple antibiotic Antibacterials Aminoglycosides 8 triple antibiotic Antibacterials Aminoglycosides 8 triple antibiotic Antibacterials Miscellaneous Antibacterials 13 triple antibiotic Ophthalmic Agents Glucocorticoids, Ophthalmic 76 triple antibiotic Ophthalmic Agents Ophthalmic Agents, Other 77 tri-previfem Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
tri-sprintec Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
trivora-28 Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
TRIZIVIR Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
34
TROLAMINE Anesthetics Local Anesthetics 6 tropicacyl Anesthetics Local Anesthetics 6 tropicamide Anesthetics Local Anesthetics 6
Page of 231 221
Drug Name Class Category Class Name Page #TRUSOPT Ophthalmic Agents Carbonic Anhydrase Inhibitors,
Ophthalmic 76
TRUVADA Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
34
TRYCET Analgesics Opioid Analgesics, Short-acting 5 TWINRIX Immunological Agents Vaccines 74 TYGACIL Antibacterials Glycopeptide Antibacterials 11 TYKERB Antineoplastics Antineoplastics 30 TYLENOL/CODEINE #3 Analgesics Opioid Analgesics, Short-acting 5 TYLENOL/CODEINE #4 Analgesics Opioid Analgesics, Short-acting 5 TYLOX Analgesics Opioid Analgesics, Short-acting 5 TYMPAGESIC DROPS Anesthetics Local Anesthetics 6 TYSABRI Immunological Agents Immunomodulators, Other 73 TYZEKA Antivirals Antivirals, Other 36 TYZINE PEDIATRIC NASAL DROPS
Respiratory Tract Agents Respiratory Tract Agents, Other 82
TYZINE Respiratory Tract Agents Respiratory Tract Agents, Other 82 u-cort Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
ultra natalcare Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
ultra natal Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
ULTRABAG/DIANEAL LOW CALCIUM/1.5% DEXTROSE
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
ULTRABAG/DIANEAL LOW CALCIUM/2.5% DEXTROSE
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
ULTRABAG/DIANEAL LOW CALCIUM/4.25% DEXTROSE
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
ULTRABAG/DIANEAL PD-2/1.5% DEXTROSE
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
ULTRABAG/DIANEAL PD-2/2.5% DEXTROSE
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
ULTRABAG/DIANEAL PD-2/4.25% DEXTROSE
Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
ULTRACAPS MT 20 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
56
ULTRACET Analgesics Opioid Analgesics, Short-acting 5 ULTRAM ER Analgesics Opioid Analgesics, Short-acting 5 ULTRAM Analgesics Opioid Analgesics, Short-acting 5 ultra-natal Therapeutic Prenatal Vitamins 89
Page of 231 222
Drug Name Class Category Class Name Page #Nutrients/Minerals/Electrolytes
ULTRASE MT 12 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
56
ULTRASE MT 18 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
56
ULTRASE MT 20 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
56
ULTRASE Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
56
ULTRAVATE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
ULTRAVATE Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Very High Potency
65
UNASYN ADD-VANTAGE Antibacterials Amino Derivative Penicillins 7 UNASYN BULK PACK Antibacterials Amino Derivative Penicillins 7 UNASYN PIGGYBACK UNIT Antibacterials Amino Derivative Penicillins 7 UNASYN Antibacterials Amino Derivative Penicillins 7 UNIFINE PENTIPS/12MM Insulin Administration
Supplies Insulin Administration Supplies 75
uni-otic Anesthetics Local Anesthetics 6 uni-otic Antibacterials Miscellaneous Antibacterials 13 UNIPHYL Respiratory Tract Agents Bronchodilators,
Phosphodiesterase 2 Inhibitors (Xanthines)
79
UNIRETIC Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
43
unithroid Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
UNIVASC Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
43
univert Respiratory Tract Agents H1 Blocking Agents, Sedating 81 URECHOLINE Antimyasthenic Agents Parasympathomimetics 27 URECHOLINE Genitourinary Agents 60 URELLE Genitourinary Agents Genitourinary Agents 60 UREX Antibacterials Miscellaneous Antibacterials 13 URISPAS Genitourinary Agents Antispasmodics, Urinary 60 UROCIT-K 10 Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
UROCIT-K 5 Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
URO-KP-NEUTRAL Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
UROQID #2 Antibacterials Miscellaneous Antibacterials 13 UROXATRAL Genitourinary Agents Alpha1-adrenergic Blocking 59
Page of 231 223
Drug Name Class Category Class Name Page #Agents
URSO 250 Gastrointestinal Agents Gastrointestinal Agents, Other 58 URSO FORTE Gastrointestinal Agents Gastrointestinal Agents, Other 58 ursodiol Gastrointestinal Agents Gastrointestinal Agents, Other 58 UTIRA Genitourinary Agents Genitourinary Agents 60 UVADEX Dermatological Agents Dermatological
Photochemotherapy Agents 53
VAGIFEM Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
VALCYTE Antivirals Anti-cytomegalovirus (CMV) Agents
34
valproate sodium Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
valproic acid Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
VALPROIC ACID Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
valproic acid Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
VALTREX Antivirals Antiherpetic Agents 34 vanacet Analgesics Opioid Analgesics, Short-acting 5 VANCOCIN HCL ISO-OSMOTIC DEXTROSE
Antibacterials Glycopeptide Antibacterials 11
VANCOCIN HCL Antibacterials Glycopeptide Antibacterials 11 VANCOCIN HCL Antibacterials Glycopeptide Antibacterials 11 vancomycin hcl Antibacterials Glycopeptide Antibacterials 11 vandazole Antibacterials Miscellaneous Antibacterials 13 VANOS Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-High Potency
62
VANSPAR Sedatives/Hypnotics Sedatives/Hypnotics 82 VANTAS Hormonal Agents,
Suppressant (Sex Hormones/Modifiers)
Antiandrogens 71
VANTIN Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
VANTIN Antibacterials Cephalosporin Antibacterials, 3rd Generation
10
VAQTA Immunological Agents Vaccines 74 VARIVAX Immunological Agents Vaccines 74 VASERETIC Cardiovascular Agents Angiotensin-converting Enzyme
(ACE) Inhibitors 43
VASERETIC Cardiovascular Agents Thiazide Diuretics 50 VASOTEC Cardiovascular Agents Angiotensin-converting Enzyme
(ACE) Inhibitors 43
VECTIBIX Antineoplastics Antineoplastics 30 veetids Antibacterials Natural Penicillins 14 veetids Antibacterials Natural Penicillins 14 VELCADE Antineoplastics Antineoplastics 30 velivet Hormonal Agents, Contraceptives 69
Page of 231 224
Drug Name Class Category Class Name Page #Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
VELOSEF Antibacterials Cephalosporin Antibacterials, 1st Generation
9
venlafaxine hcl Antidepressants Antidepressants, Other 19 VENOGLOBULIN-S Immunological Agents Vaccines 74 VENTOLIN HFA Respiratory Tract Agents Bronchodilators,
Sympathomimetic 80
VENTOLIN Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
VERAMYST Respiratory Tract Agents Respiratory Tract Agents, Other 82 verapamil hcl cr Cardiovascular Agents Antiarrhythmics - Class IV 44 verapamil hcl cr Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 46
verapamil hcl er Cardiovascular Agents Antiarrhythmics - Class IV 44 verapamil hcl er Cardiovascular Agents Antiarrhythmics - Class IV 44 verapamil hcl er Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 46
verapamil hcl er Cardiovascular Agents Calcium Channel Blocking Agents (Non-dihydropyridines)
46
verapamil hcl sa Cardiovascular Agents Antiarrhythmics - Class IV 44 verapamil hcl sa Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 46
verapamil hcl sr Cardiovascular Agents Antiarrhythmics - Class IV 44 verapamil hcl sr Cardiovascular Agents Antiarrhythmics - Class IV 44 verapamil hcl sr Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 46
verapamil hcl sr Cardiovascular Agents Calcium Channel Blocking Agents (Non-dihydropyridines)
46
verapamil hcl Cardiovascular Agents Antiarrhythmics - Class IV 44 verapamil hcl Cardiovascular Agents Antiarrhythmics - Class IV 44 verapamil hcl Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 46
verapamil hcl Cardiovascular Agents Calcium Channel Blocking Agents (Non-dihydropyridines)
46
VERDESO Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Low Potency
63
VERELAN PM Cardiovascular Agents Antiarrhythmics - Class IV 44 VERELAN PM Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 46
VERELAN Cardiovascular Agents Antiarrhythmics - Class IV 44 VERELAN Cardiovascular Agents Calcium Channel Blocking
Agents (Non-dihydropyridines) 46
VERMOX Antiparasitics Anthelmintics 31 versiclear Antifungals Antifungals (Other) 22 vertin-32 Respiratory Tract Agents H1 Blocking Agents, Sedating 81 VESANOID Antineoplastics Retinoids 30 VESICARE Genitourinary Agents Antispasmodics, Urinary 60 VESPRIN Antipsychotics Conventional 33 VEXOL Ophthalmic Agents Glucocorticoids, Ophthalmic 76
Page of 231 225
Drug Name Class Category Class Name Page #VFEND IV Antifungals Azole Antifungals 23 VFEND Antifungals Azole Antifungals 23 VFEND Antifungals Azole Antifungals 23 VIADUR Hormonal Agents,
Suppressant (Sex Hormones/Modifiers)
Antiandrogens 71
VIBRAMYCIN Antibacterials Tetracyclines 16 VIBRAMYCIN Antibacterials Tetracyclines 16 VIBRAMYCIN Antibacterials Tetracyclines 16 VIBRATAB Antibacterials Tetracyclines 16 VICODIN ES Analgesics Opioid Analgesics, Short-acting 5 vicodin hp Analgesics Opioid Analgesics, Short-acting 5 VICODIN Analgesics Opioid Analgesics, Short-acting 6 VICOPROFEN Analgesics Opioid Analgesics, Short-acting 6 VIDAZA Antineoplastics Antineoplastics 30 VIDEX EC Antivirals Anti-HIV Agents, Nucleoside and
Nucleotide Reverse Transcriptase Inhibitors
35
VIDEX PEDIATRIC Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
35
VIGAMOX Antibacterials Quinolones 15 vinatal forte Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
vinate 90 Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
vinate advanced Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
vinate good start Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
vinate gt Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
vinate ii Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
vinate m Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
vinate ultra Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
VINBLASTINE SULFATE Antineoplastics Antineoplastics 30 VINBLASTINE SULFATE Antineoplastics Antineoplastics 30 vincasar pfs Antineoplastics Antineoplastics 30 vincristine sulfate Antineoplastics Antineoplastics 30 vinorelbine tartrate Antineoplastics Antineoplastics 30
Page of 231 226
Drug Name Class Category Class Name Page #VIOKASE 16 Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
56
VIOKASE 8 Enzyme Replacements/Modifiers
Enzyme Replacements/Modifiers
56
VIRACEPT Antivirals Anti-HIV Agents, Protease Inhibitors
35
VIRAMUNE Antivirals Anti-HIV Agents, Non-nucleoside Reverse Transcriptase Inhibitors
34
VIRAMUNE Antivirals Anti-HIV Agents, Non-nucleoside Reverse Transcriptase Inhibitors
34
VIRAZOLE Antivirals Antivirals, Other 36 VIREAD Antivirals Anti-HIV Agents, Nucleoside and
Nucleotide Reverse Transcriptase Inhibitors
35
VIROPTIC Antivirals Antiherpetic Agents 34 VISICOL Therapeutic
Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
VISTARIL Respiratory Tract Agents H1 Blocking Agents, Sedating 81 VISTARIL Respiratory Tract Agents H1 Blocking Agents, Sedating 81 VISTARIL Sedatives/Hypnotics Sedatives/Hypnotics 82 VISTARIL Sedatives/Hypnotics Sedatives/Hypnotics 82 VISTIDE Antivirals Anti-cytomegalovirus (CMV)
Agents 34
VITAFOL-OB Therapeutic Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
VIVACTIL Antidepressants Tricyclics 20 VIVAGLOBIN Immunological Agents Vaccines 74 VIVELLE-DOT Hormonal Agents,
Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
VIVELLE-DOT Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
VIVELLE Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Estrogens 70
VIVITROL Antidotes, Deterrents, and Toxicologic Agents
Alcohol Deterrents 20
VOLTAREN Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
26
VOLTAREN Ophthalmic Agents Nonsteroidal Anti-inflammatory Drugs, Ophthalmic
77
VOLTAREN-XR Anti-inflammatories Nonsteroidal Anti-inflammatory Drugs
26
VOPAC Analgesics Opioid Analgesics, Short-acting 6 VOSPIRE ER Respiratory Tract Agents Bronchodilators,
Sympathomimetic 80
Page of 231 227
Drug Name Class Category Class Name Page #vynatal fa Therapeutic
Nutrients/Minerals/Electrolytes
Prenatal Vitamins 89
VYTORIN Cardiovascular Agents 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) Reductase Inhibitors
40
VYTORIN Cardiovascular Agents Cholesterol Absorption Inhibitors 46 VYVANSE Central Nervous System
Agents Amphetamines 51
warfarin sodium Blood Products/Modifiers/Volume Expanders
Anticoagulants, Oral 39
WELCHOL Cardiovascular Agents Bile Acid Sequestrants 45 WELLBUTRIN SR Antidepressants Antidepressants, Other 19 WELLBUTRIN XL Antidepressants Antidepressants, Other 19 WELLBUTRIN Antidepressants Antidepressants, Other 19 WESTCORT Hormonal Agents,
Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
WESTCORT Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
Glucocorticoids-Topical-Medium Potency
64
westhroid light blue sugar coated
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
westhroid tan compressed Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
westhroid Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
71
XALATAN Ophthalmic Agents Prostaglandins, Ophthalmic 78 XENICAL Gastrointestinal Agents Gastrointestinal Agents, Other 58 XIBROM Ophthalmic Agents Nonsteroidal Anti-inflammatory
Drugs, Ophthalmic 77
XIFAXAN Antibacterials Miscellaneous Antibacterials 13 XODOL Analgesics Opioid Analgesics, Short-acting 6 XOLAIR Respiratory Tract Agents Respiratory Tract Agents, Other 82 XOLEGEL Antifungals Azole Antifungals 23 XOPENEX CONCENTRATE Respiratory Tract Agents Bronchodilators,
Sympathomimetic 80
XOPENEX HFA Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
XOPENEX Respiratory Tract Agents Bronchodilators, Sympathomimetic
80
XYLOCAINE JELLY Anesthetics Local Anesthetics 6 XYLOCAINE VISCOUS Anesthetics Local Anesthetics 6 XYLOCAINE Anesthetics Local Anesthetics 6 XYREM Central Nervous System
Agents Non-amphetamines 51
YASMIN 28 Hormonal Agents, Contraceptives 69
Page of 231 228
Drug Name Class Category Class Name Page #Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
YAZ Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
YODOXIN Antiparasitics Antiprotozoals (Non-antimalarials)
31
ZANAFLEX Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 ZANAFLEX Skeletal Muscle Relaxants Skeletal Muscle Relaxants 83 ZANOSAR Antineoplastics Antineoplastics 30 ZANTAC Gastrointestinal Agents Histamine2 (H2) Blocking
Agents 58
ZANTAC Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
ZANTAC Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
ZANTAC Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
ZANTAC Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
ZANTAC Gastrointestinal Agents Histamine2 (H2) Blocking Agents
58
ZANTAC Therapeutic Nutrients/Minerals/Electrolytes
Electrolytes/Minerals 87
ZARONTIN Anticonvulsants Calcium Channel Modifying Agents
17
ZARONTIN Anticonvulsants Calcium Channel Modifying Agents
17
ZAROXOLYN Cardiovascular Agents Thiazide Diuretics 50 ZAVESCA Enzyme
Replacements/Modifiers Enzyme Replacements/Modifiers
56
zazole Antifungals Azole Antifungals 23 zazole Antifungals Azole Antifungals 23 ZEBETA Cardiovascular Agents Cardioselective Beta-adrenergic
Blocking Agents 46
ZEGERID Gastrointestinal Agents Proton Pump Inhibitors 59 ZEGERID Gastrointestinal Agents Proton Pump Inhibitors 59 ZELAPAR Antiparkinson Agents Antiparkinson Agents, Other 32 ZEMAIRA Respiratory Tract Agents Respiratory Tract Agents, Other 82 ZEMPLAR Hormonal Agents,
Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Vitamin D-related Agents/Metabolic Bone Disease Agents
66
ZEMPLAR Hormonal Agents, Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Vitamin D-related Agents/Metabolic Bone Disease Agents
66
ZENAPAX Immunological Agents Immune Suppressants (Non-TNF Inhibitors)
72
ZERIT Antivirals Anti-HIV Agents, Nucleoside and 35
Page of 231 229
Drug Name Class Category Class Name Page #Nucleotide Reverse Transcriptase Inhibitors
ZERIT Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
35
ZESTORETIC Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
43
ZESTRIL Cardiovascular Agents Angiotensin-converting Enzyme (ACE) Inhibitors
43
ZETIA Cardiovascular Agents Cholesterol Absorption Inhibitors 46 ZEVALIN IN-111 Antineoplastics Antineoplastics 30 ZEVALIN Y-90 Antineoplastics Antineoplastics 30 ZIAC Cardiovascular Agents Cardioselective Beta-adrenergic
Blocking Agents 46
ZIAC Cardiovascular Agents Thiazide Diuretics 50 ZIAGEN Antivirals Anti-HIV Agents, Nucleoside and
Nucleotide Reverse Transcriptase Inhibitors
35
ZIAGEN Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
35
ZIANA Antibacterials Lincomycin Antibacterials 12 ZIANA Dermatological Agents Dermatological Retinoids 54 zidovudine Antivirals Anti-HIV Agents, Nucleoside and
Nucleotide Reverse Transcriptase Inhibitors
35
zidovudine Antivirals Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
35
ZINACEF IN ISO-OSMOTIC DEXTROSE
Antibacterials Cephalosporin Antibacterials, 2nd Generation
10
ZINACEF IN ISO-OSMOTIC DILUENT
Antibacterials Cephalosporin Antibacterials, 2nd Generation
10
ZINACEF/D5W Antibacterials Cephalosporin Antibacterials, 2nd Generation
10
ZINACEF Antibacterials Cephalosporin Antibacterials, 2nd Generation
10
ZINECARD Antineoplastics Antineoplastics 30 ZINECARD Unclassified Unclassified 90 ziox 405 Dermatological Agents Dermatological Wound Care
Agents 54
ziox Dermatological Agents Dermatological Wound Care Agents
54
ZITHROMAX TRI-PAK Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
ZITHROMAX Z-PAK Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
ZITHROMAX Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
ZITHROMAX Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
Page of 231 230
Drug Name Class Category Class Name Page #ZITHROMAX Antibacterials Macrolides (Non-erythromycins,
Non-ketolides) 12
ZITHROMAX Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
ZMAX Antibacterials Macrolides (Non-erythromycins, Non-ketolides)
12
ZOCOR Cardiovascular Agents 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) Reductase Inhibitors
40
ZOFRAN ODT Antiemetics 5-Hydroxytryptamine 3 (5-HT3) Antagonists
21
ZOFRAN Antiemetics 5-Hydroxytryptamine 3 (5-HT3) Antagonists
21
ZOFRAN Antiemetics 5-Hydroxytryptamine 3 (5-HT3) Antagonists
21
ZOFRAN Antiemetics 5-Hydroxytryptamine 3 (5-HT3) Antagonists
21
ZOFRAN Antiemetics 5-Hydroxytryptamine 3 (5-HT3) Antagonists
21
ZOLADEX Hormonal Agents, Suppressant (Sex Hormones/Modifiers)
Antiandrogens 72
ZOLINZA Antineoplastics Antineoplastics 30 ZOLOFT Antidepressants Serotonin and Norepinephrine
Reuptake Inhibitors (SNRIs) 19
ZOLOFT Antidepressants Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)
19
zolpidem tartrate Sedatives/Hypnotics Sedatives/Hypnotics 82 ZOMETA Hormonal Agents,
Stimulant/Replacement/Modifying (Parathyroid/Metabolic Bone Disease Agents)
Bisphosphonates, Parenteral 65
ZOMIG ZMT Antimigraine Agents Triptans 26 ZOMIG Antimigraine Agents Triptans 26 ZOMIG Antimigraine Agents Triptans 26 ZOMIG Antimigraine Agents Triptans 26 ZONALON Dermatological Agents Dermatological Antipruritic
Agents 53
ZONEGRAN Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
ZONEGRAN Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
zonisamide Anticonvulsants Gamma-aminobutyric Acid (GABA) Augmenting Agents
17
ZORBTIVE Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
66
ZOSTAVAX Immunological Agents Vaccines 74 ZOSYN Antibacterials Extended Spectrum Penicillins 11 ZOSYN Antibacterials Extended Spectrum Penicillins 11 zovia 1/35e Hormonal Agents, Contraceptives 69
Page of 231 231
Drug Name Class Category Class Name Page #Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
zovia 1/50e Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
Contraceptives 69
ZOVIRAX Antivirals Antiherpetic Agents 34 ZOVIRAX Antivirals Antiherpetic Agents 34 ZOVIRAX Antivirals Antiherpetic Agents 34 ZOVIRAX Antivirals Antiherpetic Agents 34 ZOVIRAX Antivirals Antiherpetic Agents 34 ZOVIRAX Antivirals Antiherpetic Agents 34 ZYBAN Antidotes, Deterrents, and
Toxicologic Agents Smoking Cessation Agents 21
ZYDONE Analgesics Opioid Analgesics, Short-acting 6 ZYFLO Respiratory Tract Agents Synthesis Inhibitors 82 ZYLET Antibacterials Aminoglycosides 8 ZYLET Ophthalmic Agents Glucocorticoids, Ophthalmic 77 ZYLOPRIM Antigout Agents Xanthine Oxidase Inhibitors 24 ZYMAR Antibacterials Quinolones 15 ZYPREXA ZYDIS Antipsychotics Atypicals 33 ZYPREXA ZYDIS Bipolar Agents Bipolar Agents 37 ZYPREXA Antipsychotics Atypicals 33 ZYPREXA Antipsychotics Atypicals 33 ZYPREXA Bipolar Agents Bipolar Agents 37 ZYPREXA Bipolar Agents Bipolar Agents 37 ZYRTEC-D Respiratory Tract Agents Histamine1 (H1) Blocking
Agents, Mildly/Non-sedating 81
ZYRTEC Respiratory Tract Agents Histamine1 (H1) Blocking Agents, Mildly/Non-sedating
81
ZYRTEC Respiratory Tract Agents Histamine1 (H1) Blocking Agents, Mildly/Non-sedating
81
ZYRTEC Respiratory Tract Agents Histamine1 (H1) Blocking Agents, Mildly/Non-sedating
81
ZYVOX Antibacterials Oxazolidinone Antibacterials 14 ZYVOX Antibacterials Oxazolidinone Antibacterials 14 ZYVOX Antibacterials Oxazolidinone Antibacterials 14