essential formulary - qualchoiceuserfiles/pdfs/pharmacy/2018-formula… · essential formulary 2018...

ESSENTIAL FORMULARY2018 Comprehensive Medication List

Effective Date: June 1, 2018

This document has information about the drugs covered in your plan. Please read carefully.

1711 CR 011_01 6/2018

How We Develop Our FormularyQualChoice uses a Pharmacy and Therapeutics Committee made up of practicing doctors, pharmacists, and nurses to make sure our drug list is clinically sound and gives the best value to our members. This committee reviews FDA-approved drugs that are newly approved and those thatare currently on the market. Drugs are chosen based on safety, effectiveness, and cost in comparison to other drugs in their class.

Formulary DesignOur Essential formulary includes generic drugs, preferred and non-preferred drugs, specialty drugs and ACA (Affordable Care Act) preventive drugs. Our Essential formulary is a closed formulary. This means that coverage is limited to those products listed in the different tiers. There are 4 tiers on the formulary, along with the preventive drugs.

Tier 1 This tier has the lowest member cost share. Most, but not all, generic medications are in Tier 1.

Tier 2 This tier contains some higher cost generic drugs and preferred brand-name drugs. Preferred brand-name drugs generally have lower co-payments than non-preferredbrand-name drugs.

Tier 3 This tier may contain some higher cost generic drugs but is mostly non-preferred brand drugs. Non-preferred drugs generally have higher co-payments than preferred brand-name drugs.

Tier 5 This tier contains specialty drugs and has the highest co-payment and cost. These drugs are used to treat complex or rare health problems.

ACA Preventive Drugs – Drugs listed as ‘Preventive’ may have coverage and no co-payment when health care reform requirements are met for age, gender, and/or risk factors.

Medical ManagementWe use reasonable medical and utilization management to determine whether a medication is medically necessary. These may include prior authorization, quantity limits, and step therapy as described below. Those drugs are listed as:

PA – Prior Authorization QL – Quantity Limits ST – Step Therapy

Table of Contents

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

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

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

morgidox 1X100MG

morgidox 1X50MG

morgidox 2X100MG

okebo

June 2018

Doxycycline Hyclate

TIER 02 tetracycline hydrochloride

ANTI-INFECTIVES

tetracycline HCL

Tetracycline HCL

PENICILLINS

TIER 03 Vibramycin

TIER 01 amoxicillin

amoxicillin/clavulanate potassium

QUINOLONES

amoxicillin/clavulanate potassium ER

TIER 01 ciprofloxacin

dicloxacillin sodium

ciprofloxacin ER

penicillin v potassium

ciprofloxacin HCL

Amoxicillin

levofloxacin

Amoxicillin/Clavulanate Potassium

moxifloxacin HCL

Ampicillin

ofloxacin

Penicillin V Potassium

Ciprofloxacin HCL

TIER 03 Augmentin

Levofloxacin

Moxatag

TIER 03 Baxdela

Cipro

CEPHALOSPORIN

FIRST GENERATION

AMINOGLYCOSIDES

TIER 01 cefadroxil

TIER 01 amikacin sulfate

cephalexin

gentamicin sulfate

Cefazolin Sodium

gentamicin sulfate pediatric

SECOND GENERATION

neomycin sulfate

TIER 01 cefaclor

paromomycin sulfate

cefprozil

tobramycin sulfate

cefuroxime axetil

Tobramycin Sulfate

Cefaclor

TIER 03 Streptomycin Sulfate

Cefaclor ER

TIER 05 tobramycin

THIRD GENERATION

Kitabis PAK

TIER 01 cefdinir

Tobramycin

cefixime

cefpodoxime proxetil

SULFONAMIDES

ceftriaxone sodium

TIER 01 Sulfadiazine

TIER 03 Cefditoren Pivoxil

Suprax

ANTIMYCOBACTERIAL AGENTS

MACROLIDES

TIER 01 ethambutol HCL

isoniazid

TIER 01 azithromycin

pyrazinamide

clarithromycin

rifabutin

clarithromycin ER

rifampin

erythromycin

Isoniazid

erythromycin base

TIER 03 Cycloserine

erythromycin ethylsuccinate

Paser

Azithromycin

Priftin

Clarithromycin

Rifamate

E.e.s. 400

Rifater

Erythrocin Stearate

Trecator

Erythromycin Ethylsuccinate

TIER 03 DificidQL,PA

ANTIFUNGALS

Ery-TAB

Eryped 400

TIER 01 fluconazole

Zmax

flucytosine

griseofulvin microsize

TETRACYCLINES

griseofulvin ultramicrosize

itraconazole

TIER 01 avidoxy

ketoconazolePA

demeclocycline hydrochloride

nystatin

demeclocycline HCL

terbinafine HCL

doxycycline

voriconazole

doxycycline hyclate

TIER 03 Bio-statin

doxycycline monohydrate

NoxafilPA

minocycline hydrochloride

Sporanox

minocycline HCL

TIER 05 CresembaPA

mondoxyne nl

ANTIVIRALS

TIER 01

Effective June 1, 2018

PA=Prior Auth Required; ST=Step Therapy; QL=Quantity Limits; 1

abacavir

Moderiba

abacavir sulfate/lamivudine/zidovudine

Moderiba 1200 Dose Pack

abacavir/lamivudine

Moderiba 800 Dose Pack

acyclovir

Pegasys

atazanavir

Pegasys Proclick

atazanavir sulfate

Pegintron

didanosine

Prevymis

efavirenz

Rebetol

famciclovir

Ribasphere

fosamprenavir calcium

Ribasphere Ribapak

lamivudine/zidovudine

Vemlidy

lopinavir/ritonavir

VoseviPA

nevirapine

nevirapine ERST

ANTIMALARIALS

oseltamivir phosphate

TIER 01 atovaquone/proguanil HCL

rimantadine HCL

chloroquine phosphate

ritonavir

hydroxychloroquine sulfate

stavudine

quinine sulfate

tenofovir disoproxil fumarate

Chloroquine Phosphate

valacyclovir HCL

Mefloquine HCL

valganciclovir

Primaquine Phosphate

valganciclovir hydrochlorde

TIER 03 Coartem

zidovudine

Daraprim

TIER 02 Atripla

Intelence

ANTHELMINTICS

Invirase

TIER 01 ivermectin

Kaletra

praziquantel

Norvir

TIER 03 AlbenzaQL

Prezista

BenznidazolePA

Reyataz

Emverm

Truvada

Viramune

MISC. ANTI-INFECTIVES

Viread

TIER 01 atovaquone

TIER 03 Aptivus

baciim

Biktarvy

bacitracin

Complera

clindamycin palmitate HCL

Crixivan

clindamycin HCL

Descovy

dapsone

Edurant

linezolid

Emtriva

metronidazole

Evotaz

polymyxin b sulfate

Genvoya

sulfamethoxazole/trimethoprim

Isentress

sulfamethoxazole/trimethoprim DS

Isentress HD

sulfatrim pediatric

Lexiva

tinidazole

Odefsey

trimethoprim

Prezcobix

vancomycin HCL

Relenza Diskhaler

TIER 03 Alinia

Rescriptor

Nebupent

Selzentry

Primsol

Stribild

Sivextro

Symfi

Trimpex

Symfi LO

Xifaxan

Tivicay

TIER 05 colistimethate sodium

Triumeq

Cayston

Tybost

Videx Pediatric

ANTINEOPLASTICS, ETC

Viracept

ALKYLATING AGENTS

TIER 05 adefovir dipivoxil

TIER 01 melphalan

entecavir

TIER 03 Hexalen

lamivudine

Leukeran

moderiba

Myleran

ribasphere

TIER 05 cyclophosphamide

ribavirin

temozolomide

Baraclude

Cyclophosphamide

EpclusaPA

Gleostine

Epivir HBV

Fuzeon

ANTIMETABOLITES

MavyretPA

TIER 01



mercaptopurine

GilotrifPA

methotrexate

IbrancePA

methotrexate sodium

IclusigPA

Methotrexate Sodium

IdhifaPA

TIER 03 Trexall

ImbruvicaPA

TIER 05 capecitabinePA

InlytaPA

Tabloid

IressaPA

JakafiPA

HORMONAL AGENTS

KisqaliPA

Lenvima 10 MG Daily DosePA

TIER 01 anastrozole


letrozole


megestrol acetate


tamoxifen citrate


TIER 03 Lysodren


Soltamox

LynparzaPA

TIER 05 bicalutamide

MekinistPA

exemestane

NerlynxPA

flutamide

NexavarPA

leuprolide acetate

NinlaroPA

nilutamide

RubracaPA

Eligard

RydaptPA

Emcyt

SprycelPA

Fareston

StivargaPA

Faslodex

SutentPA

Hydroxyprogesterone Caproate

TafinlarPA

Lupron Depot (1-month)

TagrissoPA


TarcevaPA


TasignaPA


ToriselPA

Trelstar Mixject

TykerbPA

XtandiPA

VerzenioPA

ZytigaPA

Votrient

XalkoriPA

IMMUNOMODULATORS

ZejulaPA

TIER 01 azathioprine

ZelborafPA

cyclosporine

ZolinzaPA

cyclosporine modified

ZydeligPA

gengraf

ZykadiaPA

mycophenolate mofetil

mycophenolic acid DR

TOPOISOMERASE I INHIBITOR

sirolimus

TIER 03 Hycamtin

tacrolimus

Cyclosporine Modified

ANTINEOPLASTICS MISC.

TIER 03 Astagraf XLPA

Azasan

TIER 01 hydroxyurea

Envarsus XRPA

TIER 05 bexarotenePA

Rapamune

tretinoin

Sandimmune

ActimmunePA

Zortress

Alferon NPA

TIER 05 PomalystPA

Intron A

Revlimid

Matulane

Thalomid

SylatronPA

MITOTIC INHIBITORS

CHEMOTHERAPY RESCUE

TIER 05 Etoposide

TIER 01 leucovorin calcium

Leucovorin Calcium

ENZYME INHIBITORS

TIER 03 Mesnex

TIER 05 imatinib mesylatePA

ANTINEOPLASTIC COMBO

AfinitorPA

Afinitor DisperzPA

TIER 05 Kisqali Femara 200 DosePA

AlecensaPA

Kisqali Femara 400 DosePA

AlunbrigPA

Kisqali Femara 600 DosePA

BosulifPA

LonsurfPA

CalquencePA

CaprelsaPA

CARDIOVASCULAR DRUGS

CometriqPA

CARDIAC GLYCOSIDES

CotellicPA

TIER 01 digitek

FarydakPA

digox



digoxin

verapamil HCL SR

Digoxin

Nisoldipine ER

TIER 03 Nymalize

ANTIANGINAL AGENTS

ANTIARRHYTHMICS

TIER 01 isosorbide dinitrate

isosorbide mononitrate

TIER 01 amiodarone hydrochloride

isosorbide mononitrate ER

amiodarone hydrocloride

minitran

amiodarone HCL

nitro-time

disopyramide phosphate

nitroglycerin

dofetilide

nitroglycerin lingual

flecainide acetate

nitroglycerin transdermal

mexiletine HCL

nitroglycerin ER

pacerone

Isosorbide Dinitrate ER

propafenone hydrochloride ER

TIER 02 Ranexa

propafenone hydrochlorideer

TIER 03 Dilatrate SR

propafenone HCL

Isordil Titradose

propafenone HCL ER

Nitro-bid

quinidine gluconate CR

Nitro-dur

quinidine gluconate ER

Nitromist

Quinidine Sulfate

TIER 03 Multaq

BETA BLOCKERS

Norpace CR

TIER 01 acebutolol hydrochloride

ACE INHIBITORS

acebutolol HCL

atenolol

TIER 01 benazepril HCL

betaxolol HCL

captopril

bisoprolol fumarate

enalapril maleate

carvedilol

fosinopril sodium

carvedilol phosphate

lisinopril

labetalol hydrochloride

moexipril HCL

labetalol HCL

perindopril erbumine

metoprolol succinate ER

quinapril hydrochloride

metoprolol tartrate

quinapril HCL

nadolol

ramipril

pindolol

trandolapril

propranolol hydrochloride

propranolol HCL

ANGIOTENSIN RCPTR BLOCKER

propranolol HCL ER

TIER 01 candesartan cilexetil

sorine

irbesartan

sotalol hydrochloride

losartan potassium

sotalol hydrochloride (AF)

olmesartan medoxomilQL,PA,ST

sotalol hydrocholride

telmisartanQL

sotalol HCL

valsartan

sotalol HCL (AF)

Eprosartan Mesylate

Propranolol HCL

TIER 03 EdarbiQL,PA

Timolol Maleate

TIER 03 Bystolic

DIRECT RENIN INHIBITORS

TIER 03 TekturnaQL

CALCIUM CHANNEL BLOCKERS

TIER 01 afeditab CR

ANTIHYPERTENSIVES MISC.

amlodipine besylate

TIER 01 clonidine HCL

cartia XT

doxazosin

dilt-XR

doxazosin mesylate

diltiazem CD

eplerenone

diltiazem HCL

guanfacine HCL

diltiazem HCL CD

hydralazine hydrochloride

diltiazem HCL ER

hydralazine HCL

felodipine ER

methyldopa

isradipine

minoxidil

matzim LA

phenoxybenzamine hydrochloride

nicardipine HCL

prazosin HCL

nifedipine

terazosin HCL

nifedipine ER

TIER 03 Demser

nimodipine

nisoldipine ER

ANTIHYPERTENSIVE COMBO

taztia XT

TIER 01 amlodipine besylate/benazepril hydrochloride

verapamil HCL

amlodipine besylate/benazepril HCL

verapamil HCL ER

amlodipine besylate/valsartan



amlodipine/olmesartan medoxomil

ANTIHYPERLIPIDEMICS

amlodipine/valsartan/hctz

TIER 01 atorvastatin calcium

atenolol/chlorthalidone

cholestyramine

benazepril HCL/hydrochlorothiazide

cholestyramine light

bisoprolol fumarate/hydrochlorothiazide

colesevelam hydrochlori DE

candesartan cilexetil/hydrochlorothiazide

colestipol HCL

enalapril maleate/hydrochlorothiazide

ezetimibe

fosinopril sodium/hydrochlorothiazide

ezetimibe/simvastatinPA

irbesartan/hydrochlorothiazide

fenofibrate

lisinopril/hydrochlorothiazide

fenofibrate micronized

losartan potassium/hydrochlorothiazide

fluvastatin

metoprolol/hydrochlorothiazide

fluvastatin sodium ER

moexipril/hydrochlorothiazide

gemfibrozil

nadolol/bendroflumethiazide

lovastatin

olmesartan medoxomil/amlodipine/hydrochlorothiazide

niacin ER

olmesartan medoxomil/hydrochlorothiazideQL,PA,ST

omega-3-acid ethyl esters

quinapril/hydrochlorothiazide

pravastatin sodium

telmisartan/amlodipine

prevalite

telmisartan/hydrochlorothiazideQL

simvastatin

trandolapril/verapamil HCL ER

triklo

valsartan/hydrochlorothiazide

Fenofibrate

Captopril/Hydrochlorothiazide

Fenofibric Acid

Methyldopa/Hydrochlorothiazide

TIER 02 fenofibric acid DR

Metoprolol/Hydrochlorothiazide

rosuvastatin calcium

Propranolol/Hydrochlorothiazide

TIER 03 LivaloPA

Trandolapril/Verapamil HCL ER

Welchol

TIER 03 Dutoprol

TIER 05 RepathaPA

EdarbyclorPA

Repatha Pushtronex SystemPA

Metoprolol Succinate ER/Hydrochlorothiazide

Repatha SureclickPA

Tekturna HCTQL

CARDIOVASCULAR - MISC.

DIURETICS

TIER 01 amlodipine besylate/atorvastatin calcium

TIER 01 acetazolamide

isoxsuprine HCL

acetazolamide sodium

sildenafil citrateQL,PA

acetazolamide ER

TIER 03 BidilQL

amiloride HCL

CaverjectQL,PA

amiloride/hydrochlorothiazide

Caverject ImpulseQL,PA

bumetanide

CialisQL,PA

chlorothiazide

EdexQL,PA

chlorthalidone

Entresto

ethacrynic acid

MuseQL,PA

furosemide

TIER 05 sildenafilPA

hydrochlorothiazide

AdcircaPA

indapamide

AdempasPA

methazolamide

LetairisPA

metolazone

OpsumitPA

spironolactone

RevatioPA

spironolactone/hydrochlorothiazide

TracleerPA

torsemide

TyvasoPA

triamterene/hydrochlorothiazide

Tyvaso RefillPA

Chlorothiazide

Tyvaso StarterPA

Furosemide

UptraviQL,PA

Methyclothiazide

VentavisPA

TIER 03 Aldactazide

Amiloride HCL

DERMATOLOGICALS

Diuril

ACNE PRODUCTS

Dyrenium

TIER 01 adapalene

adapalene and benzoyl peroxide

VASOPRESSORS

adapalene P.M.

TIER 01 ephedrine sulfate

amnesteem

epinephrine HCL

avar cleanser

midodrine HCL

avar-e emollient

Phenylephrine HCL

avar-e green

TIER 02 Auvi-q

avita

Epinephrine

benzepro

Epipen 2-PAK

benzepro creamy wash

Epipen-JR 2-PAK

benzepro foaming cloths

benzepro SHORT contact



benzoyl peroxide

ciclopirox treatment

bp foam

clotrimazole

bp wash

clotrimazole/betamethasone dipropionate

bp 10-1

econazole nitrate

bpo foaming cloths

ketoconazole

claravis

nystatin

clindacin etz pledgets

nystatin/triamcinolone

clindacin-p

nystatin/triamcinolone acetonide

clindamycin phosphate

oxiconazole nitrate

clindamycin phosphate/tretinoin

TIER 03 Ertaczo

clindamycin/benzoyl peroxide

Exelderm

dapsone

Halotin

ery

Mentax

erythromycin

Naftin

erythromycin/benzoyl peroxide

Oxistat

isotretinoin

Xolegel

myorisan

neuac

ANTIVIRALS - TOPICAL

pr benzoyl peroxide wash

TIER 01 acyclovir

rosanil cleanser

TIER 02 Denavir

sodium sulfacetamide

TIER 03 Xerese

sodium sulfacetamide/sulfur

Zovirax

sodium sulfacetamide/sulfur cleanser

sodium sulfacetamide/sulfur green

ANTI-INFLAMMATORY AGENTS

sodium sulfacetamide/sulfur wash

TIER 01 diclofenac sodium

sss 10%-5%

klofensaid II

sulfacetamide sodium

TIER 03 FlectorPA

sulfacetamide sodium/sulfur

sulfacetamide sodium/sulfur cleanser

ANTIPRURITICS

sulfamez wash

TIER 03 Camphor

tretinoin

Doxepin HydrochlorideQL,PA

tretinoin microsphere

tretinoin microsphere P.M.

ANTIPSORIATICS

zenatane

TIER 01 acitretin

Sodium Sulfacetamide/Sulfur

calcipotriene

TIER 03 benzoyl peroxide- HC

calcitrene

vanoxide-HC

methoxsalen

Aczone

tazarotene

Azelex

Calcitriol

Benziq

TIER 03 Dritho-creme HP

Benziq LS

Tazorac

Benzoyl Peroxide 8%

TIER 05 CosentyxPA

Clindagel

Cosentyx Sensoready PenPA

Fabior

StelaraPA

Sodium Sulfacetamide/Sulfur Cleanser IN Urea

TaltzPA

Sumaxin CP Kit

TremfyaPA

Zaclir Cleansing

ANTISEBORRHEIC AGENTS

ROSACEA AGENTS

TIER 01 seb-prev wash

TIER 01 metronidazole

selenium sulfide

rosadan

selenium sulfide shampoo

TIER 03 Finacea


Noritate

sodium sulfacetamide wash

Rosadan Kit

TIER 03 Glycolic Acid

Soolantra

Glycolic Acid 70% High Purity

Loutrex

ANTIBIOTICS - TOPICAL

Ovace Plus

TIER 01 gentamicin sulfate

Promiseb

mupirocin

TIER 03 Altabax

CORTICOSTEROIDS - TOPICAL

Cortisporin

TIER 01 ala-cort

Neo-synalar

alclometasone dipropionate

augmented betamethasone dipropionate

ANTIFUNGALS - TOPICAL

betamethasone dipropionate

TIER 01 ciclodan

betamethasone valerate

ciclopirox

calcipotriene/betamethasone dipropionate

ciclopirox nail lacquer

clobetasol propionate

ciclopirox olamine

clobetasol propionate e



clobetasol propionate emollient

lidocaine-prilocaine-cream base

clodan

lidocaine/prilocaine

desonide

lidopin

desoximetasone

lidopril

fluocinolone acetonide

lidopril XR

fluocinolone acetonide body

liprozonepak

fluocinolone acetonide scalp

livixil PAK

fluocinonide

malathion

fluocinonide emulsified base

medolor PAK

flurandrenolide

permethrin

fluticasone propionate

podofilox

halobetasol propionate

port-prep

hydrocortisone

pramox gel

hydrocortisone butyrate

prikaan

hydrocortisone butyrate (lipid)

prikaan lite

hydrocortisone butyrate (lipophilic)

prilolid

hydrocortisone valerate

priloxx LP

hydrocortisone 1% IN absorbase

rea LO 40

mometasone furoate

relador PAK

nolix

relador PAK plus

scalacort

salicylic acid

triamcinolone acetonide

salicylic acid cream

triderm

salicylic acid lotion

Amcinonide

salimez

Apexicon E

salisol forte

Augmented Betamethasone Dipropionate

salitech forte

Clocortolone Pivalate

sodium hyaluronate

Clocortolone Pivalate P.M.

soluline

Diflorasone Diacetate

solupicc

Prednicarbate

umecta mousse

Psorcon

ure-k

Trianex

urea

TIER 03 Capex

urea hydrating

Cordran

urea nail

Desonate

urea-c40

Enstilar

uremez-40

Epifoam

Cem-urea

Halog

Ethyl Chloride

Nucort

Ethyl Chloride/Fine Pinpoint

Pramosone

Ethyl Chloride/Fine Stream

Pramosone E

Ethyl Chloride/Medium Jet Stream

Taclonex

Ethyl Chloride/Medium Stream

Texacort

Ethyl Chloride/Mist

Lindane

IMMUNOMODULATING AGENTS

Podocon 25 IN Benzoin Tincture

Tretinoin Emollient

TIER 01 imiquimod

Urea

tacrolimus

Urea IN Zinc Undecylenate/Lactic Acid Vehicle

TIER 02 Elidel

Urea Topical

TIER 03 lidocaineQL

DERMATOLOGICALS - MISC.

lidocaine PAKQL

TIER 01 agoneaze

lidozion

ammonium lactate

premium lidocaineQL

anodyne lpt

Aluminum Chloride Hexahydrate

benzoin compound tincture

Anacaine

cerovel

Arnica Flower

dermacinrx empricaine

Avage

dermacinrx prizopak

Bensal HP

episone CRE

Benzoin Tincture

glydo

Boric Acid

lactic acid

Coal TAR

lactic acid e

Cocaine HCL

lactic acid w/vitamin e

Condylox

lido bdk

Eurax

lido-k

Gebauers Pain Ease

lido-prilo caine pack

Gebauers Spray And Stretch

lidocaine hydrochloride

Genadur

lidocaine HCL

Gordofilm

lidocaine HCL jelly

Gordons Urea



Hylira

norethindrone acetate/ethinyl estradiol

Keralyt Scalp

Estropipate

Latrix XM

TIER 02 Climara Pro

Neosalus

Premarin

Pyrogallic Acid

Premphase

Sulfurated Lime

Prempro

Synera

TIER 03 Combipatch

Ulesfia

Depo-estradiol

Urea Nail

Divigel

Veregen

DuaveePA

Elestrin

ENDOCRINE AND METABOLIC

Estrogel

Evamist

CORTICOSTEROIDS

Menest

TIER 01 betamethasone sodium phosphate/betamethasone acetate

Menostar

Prefest

budesonide

deltasone

CONTRACEPTIVES

dexamethasone

dexamethasone sodium phosphate

TIER 01 aftera

fludrocortisone acetate

altavera

hydrocortisone

alyacen 1/35

methylprednisolone

alyacen 7/7/7

methylprednisolone acetate

amethia

methylprednisolone dose pack

amethia LO

prednisolone sodium phosphate

amethyst

prednisolone sodium phosphate odt

apri

prednisone

aranelle


ashlyna

Dexamethasone

aubra

Dexamethasone Intensol

aviane

Dexamethasone Sodium Phosphate

azurette

Prednisolone

balziva

Prednisolone Sodium Phosphate

bekyree

Prednisone

blisovi FE 1.5/30

Prednisone Intensol

blisovi FE 1/20

TIER 03 Cortisone Acetate

blisovi 24 FE

Medrol

briellyn

camila

ANDROGENS-ANABOLIC

camrese

camrese LO

TIER 01 danazol

caziant

oxandrolone

chateal

testosteronePA

cryselle-28

testosterone topical solutionPA

cyclafem 1/35

Methyltestosterone

cyclafem 7/7/7

TIER 02 testosterone cypionatePA

cyred

testosterone enanthatePA

dasetta 1/35

AndrogelPA

dasetta 7/7/7

Androgel P.M.PA

daysee

TIER 03 Anadrol-50

deblitane

delyla

ESTROGENS

desogestrel/ethinyl estradiol

TIER 01 amabelz

drospirenone/ethinyl estradiol

covaryx

drospirenone/ethinyl estradiol/levomefolate calcium

covaryx HS

econtra one-step

eemt

econtra EZ

eemt HS

elinest

esterified estrogens/methyltestosterone

emoquette

esterified estrogens/methyltestosterone DS

enpresse-28

esterified estrogens/methyltestosterone HS

enskyce

estradiol

errin

estradiol valerate

estarylla

estradiol/norethindrone acetate

ethynodiol diacetate/ethinyl estradiol

fyavolv

falmina

jevantique LO

fayosim

jinteli

femynor

lopreeza

gianvi

mimvey

heather

mimvey LO



introvale

pimtrea

isibloom

pirmella 1/35

jencycla

pirmella 7/7/7

jolessa

portia-28

jolivette

previfem

juleber

quasense

junel FE 1.5/30

rajani

junel FE 1/20

react

junel FE 24

reclipsen

junel 1.5/30

rivelsa

junel 1/20

setlakin

kaitlib FE

sharobel

kariva

sprintec 28

kelnor 1/35

sronyx

kelnor 1/50

syeda

kimidess

take action

kurvelo

tarina FE 1/20

larin FE 1.5/30

tilia FE

larin FE 1/20

tri femynor

larin 1.5/30

tri-estarylla

larin 1/20

tri-legest FE

larin 24 FE

tri-linyah

larissia

tri-mili

layolis FE

tri-sprintec

leena

tri-vylibra

lessina

tri-LO-estarylla

levonest

tri-LO-marzia

levonorgestrel

tri-LO-sprintec

levonorgestrel and ethinyl estradiol

trinessa

levonorgestrel/ethinyl estradiol

trinessa LO

levora 0.15/30-28

trivora-28

lillow

tulana

loryna

tydemy

low-ogestrel

velivet

lutera

vienva

lyza

viorele

marlissa

vyfemla

medroxyprogesterone acetateQL

vylibra

melodetta 24 FE

wera

mibelas 24 FE

wymzya FE

microgestin FE

zarah

microgestin FE 1.5/30

zenchent

microgestin 1.5/30

zovia 1/35e

microgestin 1/20

Ogestrel

mili

TIER 02 Nuvaring

mono-linyah

Xulane

mononessa

TIER 03 Depo-subq Provera 104QL

my choice

Ella

my way

LO Loestrin FE

myzilra

necon 0.5/35-28

PROGESTINS

necon 7/7/7

TIER 01 medroxyprogesterone acetate

nikki

megestrol acetate

nora-be

norethindrone acetate

norethindrone

progesterone

norethindrone & ethinyl estradiol ferrous fumarate

TIER 05 MakenaPA

norethindrone acetate/ethinyl estradiol

norethindrone acetate/ethinyl estradiol/ferrous fumarate

ANTIDIABETIC AGENTS

norethindrone/ethinyl estradiol/ferrous fumarate

INSULIN

norgestimate/ethinyl estradiol

TIER 02 Fiasp

norlyda

Fiasp Flextouch

norlyroc

Lantus

nortrel 0.5/35 (28)

Lantus Solostar

nortrel 1/35

Levemir

nortrel 7/7/7

Levemir Flextouch

ocella

Novolin N

opcicon one-step

Novolin N Relion

option 2

Novolin R

orsythia

Novolin R Relion

philith



Novolin 70/30

INSULIN SENSITIZING AGENT

Novolin 70/30 Relion

TIER 01 pioglitazone HCL

Novolog

TIER 03 AvandiaPA

Novolog Flexpen

ANTIDIABETIC COMBINATIONS

Novolog Mix 70/30

TIER 01 glipizide/metformin HCL

Novolog Mix 70/30 Prefilled Flexpen

glyburide/metformin HCL

Novolog Penfill

pioglitazone HCL-glimepiride

Relion R

pioglitazone HCL/metformin HCL

Toujeo Max Solostar

Repaglinide/Metformin Hydrochloride

Toujeo Solostar

TIER 02 InvokametPA

TIER 03 Admelog

Invokamet XR

Apidra

Janumet

Apidra Solostar

Janumet XRST

Humalog

JentaduetoST

Humalog Junior Kwikpen

Jentadueto XRST

Humalog Kwikpen

SynjardyPA

Humalog Mix 50/50

Synjardy XRPA

Humalog Mix 50/50 Kwikpen

TIER 03 Actoplus Met XR

Humalog Mix 75/25

Humalog Mix 75/25 Kwikpen

BISPHOSPHONATES

Humulin N

TIER 01 alendronate sodium

Humulin N Kwikpen

risedronate sodium

Humulin R

risedronate sodium DR

Humulin R U-500 (concentrated)

Alendronate Sodium

Humulin R U-500 Kwikpen

Etidronate Disodium

Humulin 70/30

TIER 03 ibandronate sodiumST

Humulin 70/30 Kwikpen

AMYLIN ANALOGS

CALCITONINS

TIER 03 Symlinpen 120

TIER 01 calcitonin salmon

Symlinpen 60

calcitonin-salmon

INCRETIN MIMETIC AGENTS

TIER 02 VictozaPA

PARATHYROID HORMONE

TIER 03 BydureonPA

TIER 05 ForteoPA

Bydureon PenPA

NatparaPA

ByettaPA

TymlosPA

SULFONYLUREAS

TIER 01 glimepiride

RANK LIGAND INHIBITORS

glipizide

TIER 05 ProliaPA

glipizide ER

glipizide XL

HORMONE RECEPTOR MDLTR

glyburide

TIER 01 raloxifene hydrochloride

glyburide micronized

TIER 03 OsphenaPA

Chlorpropamide

Tolazamide

FERTILITY REGULATORS

Tolbutamide

TIER 05 BravellePA

TIER 03 Glyburide

Chorionic GonadotropinPA

BIGUANIDES

Follistim AQPA

TIER 01 metformin hydrochloride

Gonal-fPA

metformin hydrochloride ER

Gonal-f RFFPA

metformin HCL

Gonal-f RFF RedijectPA

metformin HCL ER

MenopurPA

TIER 03 Riomet

NovarelPA

MEGLITINIDE ANALOGUES

OvidrelPA

TIER 01 nateglinide

Pregnyl W/Diluent Benzyl Alcohol/NACLPA

repaglinide

DIABETIC OTHER

LHRH/GNRH AGONIST

TIER 02 InvokanaPA

TIER 05 Lupaneta Pack

JardiancePA

Lupron Depot-PED (1-month)PA

TIER 03 CyclosetPA

Lupron Depot-PED (3-month)PA

Glucagen Hypokit

Supprelin LAPA

Glucagon Emergency Kit

Synarel

Proglycem

TIER 05 KorlymPA

GNRH/LHRH ANTAGONISTS

ALPHA-GLUCOSIDASE INHIBIT

TIER 05 CetrotidePA

TIER 01 acarbose

Ganirelix AcetatePA

miglitol

DPP-4 INHIBITORS

GROWTH HORMONES

TIER 02 JanuviaPA

TIER 05

TradjentaPA



Norditropin CartridgePA

Wp Thyroid

Norditropin FlexproPA

GASTROINTESTINAL

GHRH

LAXATIVES

TIER 05 EgriftaPA

TIER 01 constulose

gavilyte-c

SOMATOMEDINS

gavilyte-h

TIER 05 IncrelexPA

gavilyte-n/flavor pack

gavilyte-G

SOMATOSTATIC AGENTS

lactulose

TIER 05 octreotide acetate

peg 3350/electrolytes

Sandostatin Lar Depot

peg-prep

Signifor

peg-3350/electrolytes

Somatuline Depot

peg-3350/NACL/NA bicarbonate/KCL

pegylax

GH RECEPTOR ANTAGONISTS

polyethylene glycol 3350

trilyte

TIER 05 Somavert

TIER 03 Cascara Sagrada

Colyte-flavor Packs

POSTERIOR PITUITARY

Gialax

TIER 01 desmopressin acetate

Golytely

TIER 03 Stimate

Kristalose

Moviprep

PROLACTIN INHIBITORS

Osmoprep

TIER 01 cabergoline

Prepopik

Suprep Bowel Prep Kit

VASOPRESSIN ANTAGONISTS

TIER 03 Samsca

ANTIDIARRHEALS

TIER 01 diphenoxylate/atropine

PROGESTERONE ANTAGONISTS

loperamide HCL

TIER 03 Mifeprex

Diphenoxylate/Atropine

TIER 03 Motofen

METABOLIC MODIFIERS

TIER 01 calcitriol

ULCER DRUGS

doxercalciferol

TIER 01 atropine sulfate

levocarnitine

belladonna alkaloids/phenobarbital

paricalcitol

cimetidine

sodium phenylbutyrate

dicyclomine HCL

TIER 03 Cystadane

ed-spaz

TIER 05 CarbagluPA

famotidine

KuvanPA

glycopyrrolate

NityrPA

hyoscyamine sulfate

Sensipar

hyoscyamine sulfate odt

hyoscyamine sulfate ER

THYROID AGENTS

hyoscyamine sulfate SR

TIER 01 levo-t

hyosyne

levothyroxine sodium

lansoprazole

levothyroxine/liothyronine

lansoprazole/amoxicillin/clarithromycin

levoxyl

methscopolamine bromide

liothyronine sodium

misoprostol

methimazole

nulev

propylthiouracil

omeprazole

unithroid

omeprazole DR

unithroid direct

oscimin

NP thyroid 120

oscimin SR

NP thyroid 15

pantoprazole sodium

NP thyroid 30

pantoprazole sodium DR

NP thyroid 60

phenohytro

NP thyroid 90

ranitidine HCL

TIER 02 Armour Thyroid

sucralfate

Nature-throid

symax-SL

Nature-throid Nt-2.5

symax-SR

Thyrolar-1

Atropine Sulfate

Thyrolar-1/2

Belladonna & Opium

Thyrolar-1/4

Belladonna Alkaloids & Opium

Thyrolar-2

Cimetidine HCL

Thyrolar-3

Propantheline Bromide

Westhroid

TIER 02 esomeprazole magnesiumQL,PA



nizatidine

Chenodal

rabeprazole sodium

Dipentum

Nizatidine

Entereg

TIER 03 Carafate

Movantik

Cuvposa

Pentasa

DexilantQL,PA

Phoslyra

Levsin

Procort

Pylera

Rectiv

Symax DuotabQL

Renagel

Symproic

ANTIEMETICS

Uceris

TIER 05 CholbamPA

TIER 01 aprepitantQL

CimziaPA

dronabinol

Cimzia Starter KitPA

granisetron HCLQL

RelistorQL,PA

meclizine HCL

XermeloPA

ondansetron odt

ondansetron HCLQL

GENITOURINARY

scopolamine

trimethobenzamide HCL

URINARY ANTI-INFECTIVES

TIER 03 Akynzeo

TIER 01 me/naphos/mb/hyo 1

AnzemetQL

methenamine hippurate

Cesamet

methenamine mandelate

Emend

nitrofurantoin

SancusoQL

nitrofurantoin macrocrystals

SyndrosPA

nitrofurantoin monohydrate

VarubiQL

nitrofurantoin monohydrate/macrocrystals

phosphasal

DIGESTIVE AIDS

urelle

TIER 02 Creon

uretron d/s

Zenpep

uribel

TIER 03 SucraidPA

urin d/s

uro-mp

GASTROINTESTINAL - MISC.

uro-458

TIER 01 alosetron hydrochloride

uroav-b

ana-lex

uroav-81

balsalazide disodium

uryl

calcium acetate

ustell

colocort

uticap

cromolyn sodium

utira-c

enulose

utrona-c

generlac

vilamit mb

hydrocort ene 100MG

vilevev mb

hydrocortisone

Hyophen

hydrocortisone acetate/pramoxine

Methenamine Mandelate

lactulose

TIER 03 Monurol

lanthanum carbonate

Uta

lidocaine HCL/hydrocortisone acetate

mesalamine

URINARY ANTISPASMODICS

mesalamine DR

TIER 01 bethanechol chloride

metoclopramide HCL

darifenacin hydrobromide ERPA,ST

pramcort

flavoxate HCL

procto-MED HC

oxybutynin chloride

procto-PAK

oxybutynin chloride ER

proctosol HC

tolterodine tartrate

proctozone-HC

tolterodine tartrate ER

sevelamer carbonate

trospium chloride

sulfasalazine

trospium chloride ER

ursodiol

TIER 03 MyrbetriqPA

Lidocaine HCL-hydrocortisone Acetate With Aloe

ToviazPA

TIER 02 Apriso

VesicarePA

Canasa

Cortifoam

VAGINAL PRODUCTS

Linzess

TIER 01 clindamycin phosphate

Proctofoam HC

estradiol

Sfrowasa

metronidazole vaginal

TIER 03 Amitiza

terconazole

Analpram-HC

vandazole

Auryxia

vcf vaginal contraceptivegel



yuvafem

ferrous sulfate

Miconazole 3

folic acid

Terconazole

gnp folic acid

TIER 02 Clindesse

iron supplement childrens

Encare

kp folic acid

Options Gynol II Vaginal Contraceptive

px folic acid

Premarin

ra folic acid

Shur-seal

sm folic acid

Today Sponge

wee care

Vcf Vaginal Contraceptive Film

yl folic acid

Vcf Vaginal Contraceptive Foam

CVS folic acid

TIER 03 Avc

Hydroxocobalamin

Cleocin

HM folic acid

Crinone

TIER 02 Ferretts IPS

Endometrin

Ferrous Sulfate

Estring

Iron Chews Pediatric

Fem PH

Iron Up

Femring

Nascobal

First-progesterone VGS 100 Compounding Kit

Novaferrum Pediatric Drops

First-progesterone VGS 200 Compounding Kit

TIER 03 Droxia

Gynazole-1

Ferrous Sulfate Heptahydrate

IntrarosaPA

TIER 05 miglustat

Relagard

CerdelgaPA

ElelysoPA

GENITOURINARY - MISC.

GranixPA

LeukinePA

TIER 01 acetic acid 0.25%

Mircera

alfuzosin HCL ER

Mozobil

aminoacetic acid

Neulasta

argyle sterile saline 100ML

Neulasta Onpro Kit

curity sterile saline

Neupogen

cytra k crystals

Nplate

dutasteride

Procrit

dutasteride/tamsulosin hydrochloride

Promacta

dutasteride/tamsulosin HCL

Zarxio

finasteride

glycine

ANTICOAGULANTS

neomycin/polymyxin b sulfates

phenazo

TIER 01 jantoven

phenazopyridine hydrochloride

warfarin sodium

phenazopyridine hydrocholride

TIER 02 Eliquis

phenazopyridine HCL

Eliquis Starter Pack

potassium citrate ER

Xarelto

potassium citrate/citric acid

Xarelto Starter Pack

sodium chloride

TIER 03 Bevyxxa

sodium chloride 0.9%

Pradaxa

sodium citrate/citric acid

TIER 05 enoxaparin sodium

tamsulosin HCL

fondaparinux sodium

taron-crystals

Fragmin

Tricitrates

TIER 02 Elmiron

HEMOSTATICS

TIER 03 Cardura XL

TIER 01 tranexamic acidQL

Cystagon

TIER 03 Amicar

K-phos NO 2

Lithostat

HEMATOLOGICAL - MISC.

Oracit

TIER 01 anagrelide hydrochloride

Potassium Citrate Monohydrate

aspirin/dipyridamole

Rapaflo

cilostazol

Renacidin

clopidogrel

Sorbitol

dipyridamole

Sorbitol-mannitol

pentoxifylline ER

Thiola

prasugrel

TIER 03 Brilinta

HEMATOLOGICAL

TIER 05 AdvatePA

HEMATOPOIETIC AGENTS

AdynovatePA

AfstylaPA

TIER 01 bprotected pedia iron

Alphanate/Von Willebrand Factor Complex/HumanPA

cyanocobalamin

Alphanine SDPA

fa-8

AlprolixPA

ferosul



BebulinPA

Mucotrol

BenefixPA

Nafrinse Daily/Acidulated

CoagadexPA

Neutrasal

CorifactPA

Oramagicrx

EloctatePA

OravigST

FeibaPA

Salicept

Fibryga

Salivamax

HaegardaPA

Helixate FSPA

NEUROLOGY, CNS, PSYCH

Hemofil MPA

ANTIANXIETY AGENTS

Humate-pPA

TIER 01 alprazolam

IdelvionPA

alprazolam odt

IxinityPA

alprazolam ER

KoatePA

alprazolam XR

Koate-dviPA

buspirone HCL

Kogenate FSPA

chlordiazepoxide HCL

Kogenate FS Bio-setPA

clorazepate dipotassium

Monoclate-pPA

diazepam

MononinePA

diazepam intensol

NovosevenPA

droperidol

Novoseven RtPA

gene-xene TAB 15MG

ProfilninePA

gene-xene TAB 3.75MG

Profilnine SDPA

gene-xene TAB 7.5MG

RecombinatePA

hydroxyzine pamoate

Riastap

hydroxyzine HCL

RixubisPA

lorazepam

Thrombate Iii

lorazepam intensol

Thrombate Iii W/10 ML Sterile Water

meprobamate

Thrombate Iii W/20 ML Sterile Water

oxazepam

XynthaPA

Alprazolam Intensol

Xyntha SolofusePA

Diazepam

Hydroxyzine Pamoate

MOUTH/THROAT/DENTAL AGENT

Oxazepam

TIER 01 cavarest

ANTIDEPRESSANTS

cevimeline HCL

TIER 01 amitriptyline HCL

chlorhexidine gluconate

bupropion hydrochloride

clinpro 5000

bupropion HCL

clotrimazole

bupropion HCL ER

denta 5000 plus

bupropion HCL SR

dentagel

bupropion HCL XL

easygel

citalopram

fluoridex

citalopram hydrobromide

fluoridex daily renewal

clomipramine HCL

fluoridex enhanced whitening

desipramine HCL

fluoridex sensitivity relief

desvenlafaxine ERQL

fluoridex sensitivity relief/sls free

doxepin HCL

lidocaine viscous

escitalopram oxalate

lidocaine HCL viscous

fluoxetine HCL

neutral sodium fluoride

fluvoxamine maleate

nystatin

fluvoxamine maleate ER

oralone dental paste

imipramine pamoate

paroex

imipramine HCL

periogard

mirtazapine

phos-flur

mirtazapine odt

pilocarpine hydrochloride

nefazodone HCL

pilocarpine HCL

nortriptyline hydrochloride

prevident rinse

nortriptyline HCL

topex topical anesthetic

paroxetine HCL

triamcinolone acetonide dental paste

paroxetine HCL ER

Lidocaine HCL

phenelzine sulfate

SF

protriptyline HCL

SF 5000 plus

sertraline hydrochloride

TIER 03 Arestin

sertraline HCL

Bocasal

tranylcypromine sulfate

Debacterol

trazodone hydrochloride

Gelclair

trazodone hydrochorlide

Gelx

trazodone hydrocloride



trazodone HCL

HYPNOTICS

trimipramine maleate

TIER 01 estazolam

venlafaxine HCLQL

phenobarbital

venlafaxine HCL ER

temazepam

Amoxapine

triazolam

Fluoxetine DR

zaleplonQL

Maprotiline HCL

zolpidem tartrateQL

Nefazodone HCL

Flurazepam HCL

TIER 02 duloxetine hydroclorideQL

Phenobarbital

duloxetine HCLQL

Phenobarbital Sodium

TIER 03 Desvenlafaxine ER

Quazepam

EmsamQL

Triazolam

Khedezla

TIER 02 eszopicloneQL

Marplan

zolpidem tartrate ERQL

Viibryd

TIER 03 Amytal Sodium

Viibryd Starter Pack

Butisol Sodium

Chloral Hydrate

ANTIPSYCHOTICS

Doral

TIER 01 aripiprazoleQL

RozeremQL

aripiprazole odtQL

Seconal Sodium

chlorpromazine HCL

SilenorQL,ST

clozapineQL

clozapine odtQL

ADHD, NARCOLEPSY, ETC.

compro

TIER 01 armodafinilQL,PA,ST

fluphenazine decanoate

atomoxetineQL

fluphenazine HCL

caffeine citrate

haloperidol

dexmethylphenidate hydrochloride

haloperidol decanoate

dexmethylphenidate HCL

haloperidol lactate

dexmethylphenidate HCL ERQL

lithium carbonate

dextroamphetamine sulfateQL

lithium carbonate ER

guanfacine ERPA

loxapine

methamphetamine HCLQL

loxapine succinate

methylphenidate hydrochlorideQL

olanzapineQL

methylphenidate HCLQL

olanzapine odtQL

modafinilQL,PA

paliperidone ERQL

zenzediQL

perphenazine

TIER 02 amphetamine/dextroamphetamineQL

prochlorperazine

dextroamphetamine sulfate ERQL

prochlorperazine maleate

metadate ERQL

quetiapine fumarateQL

methylphenidate hydrochloride ERQL

quetiapine fumarate ERQL

methylphenidate hydrocloride ERQL

risperidoneQL

methylphenidate HCL CDQL

risperidone odtQL

methylphenidate HCL ERQL

risperidone M-TABQL

Methylphenidate HCL ERQL

thioridazine HCL

Methylphenidate HCL ER (LA)

thiothixene

TIER 03 DaytranaQL,PA

trifluoperazine HCL

Quillivant XRQL

ziprasidone HCLQL

VyvansePA

Clozapine Odt

Fluphenazine HCL

ANTICONVULSANTS

Lithium

TIER 01 carbamazepine

Lithium Carbonate

carbamazepine ER

Risperidone OdtQL

clonazepam

TIER 03 Abilify Maintena

clonazepam odt

Aristada

divalproex sodium

Chlorpromazine HCL

divalproex sodium DR

EquetroQL

divalproex sodium ER

FanaptQL

epitol

Fanapt Titration PackQL

ethosuximide

Invega Sustenna

felbamate

Invega Trinza

gabapentin

LatudaQL

lamotrigine

NuplazidPA

lamotrigine odt

RexultiPA

lamotrigine titration

SaphrisQL,PA

lamotrigine ER

VraylarPA

levetiracetam

Zyprexa Relprevv

levetiracetam ER

TIER 05 Risperdal Consta

oxcarbazepine



phenytoin

Fluoxetine

phenytoin infatabs

Galantamine Hydrobromide

phenytoin sodium extended

Perphenazine/Amitriptyline

primidone

TIER 02 donepezil HCLST

roweepra

TIER 03 ChantixPA

roweepra XR

Chantix Continuing Month PAKPA

tiagabine hydrochloride

Chantix Starting Month PAKPA

topiramate

NuedextaPA

valproic acid

Savella

vigabatrin

Savella Titration Pack

zonisamide

TIER 05 glatiramer acetate

Diazepam Rectal Gel

glatopa

Topiramate ER

tetrabenazinePA

TIER 03 Banzel

AmpyraPA

BriviactPA

AubagioPA

Celontin

Avonex

Dilantin

Avonex Pen

Dilantin Infatabs

Betaseron

Dilantin-125

Copaxone

FycompaPA

GilenyaPA

LyricaPA

Tecfidera

OnfiPA

Tecfidera Starter Pack

Oxtellar XR

XyremPA

Peganone

Sabril

NEUROMUSCULAR AGENTS

Trokendi XRPA

TIER 03 Xeomin

Vimpat

TIER 05 riluzole

BotoxPA

ANTIPARKINSON AGENTS

DysportPA

TIER 01 amantadine HCL

MyoblocPA

benztropine mesylate

bromocriptine mesylate

MUSCULOSKELETAL AGENTS

carbidopa

TIER 01 baclofen

carbidopa/levodopa

carisoprodol

carbidopa/levodopa odt

carisoprodol/aspirin

carbidopa/levodopa ER

carisoprodol/aspirin/codeine

entacapone

cyclobenzaprine hydrochloride

pramipexole dihydrochloride

cyclobenzaprine HCL

pramipexole dihydrochloride ER

dantrolene sodium

rasagiline mesylate

methocarbamol

ropinirole ER

orphenadrine citrate

ropinirole HCL

orphenadrine citrate ER

selegiline HCL

tizanidine hydrochloride

tolcapone

tizanidine HCL

trihexyphenidyl HCL

Chlorzoxazone

Carbidopa/Levodopa/Entacapone

TIER 02 metaxallST

TIER 03 NeuproPA

metaxaloneST

Zelapar

ANTIMYASTHENIC AGENTS

NEUROLOGY, PSYCH - MISC.

TIER 01 pyridostigmine bromide

TIER 01 acamprosate calcium DR

pyridostigmine bromide ER

bupropion HCL SR

Guanidine HCL

disulfiram

TIER 03 Mestinon

donepezil hydrochloride

donepezil hydrochloride odt

OPHTHALMOLOGY AND OTIC

fluoxetine HCL

ANTI-INFECTIVES

galantamine hydrobromide

TIER 01 bacitracin/polymyxin b

galantamine hydrobromide ER

ciprofloxacin HCL

memantine hydrochloride

erythromycin

memantine hydrochloride ER

gatifloxacin

memantine HCL

gentamicin sulfate

memantine HCL titration PAK

levofloxacin

olanzapine/fluoxetineQL

moxifloxacin

pimozide

moxifloxacin hydrochloride

rivastigmine tartrate

moxifloxacin HCL

rivastigmine transdermal system

neo-polycin

Chlordiazepoxide/Amitriptyline

neomycin/bacitracin/polymyxin

Ergoloid Mesylates

neomycin/polymyxin/bacitracin



neomycin/polymyxin/gramicidin

Lumigan

ofloxacin

Travatan Z

polycin

polymyxin b sulfate/trimethoprim sulfate

CYCLOPLEGIC MYDRIATICS


TIER 01 cyclopentolate hydrochloride

sulfacetamide sodium

cyclopentolate HCL

tobramycin

homatropaire

tobramycin sulfate

homatropine HBR

trifluridine

tropicamide

trimethoprim sulfate/polymyxin b sulfate

Atropine Sulfate

Bacitracin

TIER 03 Cyclomydril

Gentak

TIER 03 Azasite

DECONGESTANTS

Besivance

TIER 01 altafrin

Betadine Ophthalmic Prep

phenylephrine HCL

Ciloxan

Moxeza

MIOTICS

Natacyn

TIER 01 pilocarpine HCL

Sulfacetamide Sodium

TIER 03 Phospholine Iodide

Tobrex

Zirgan

ADRENERGIC AGENTS

TIER 01 apraclonidine

ARTIFICIAL TEAR/LUBRICANT

brimonidine tartrate

TIER 03 Lacrisert

TIER 03 Alphagan P

Iopidine

BETA-BLOCKERS

Simbrinza

TIER 01 betaxolol HCL

dorzolamide HCL/timolol maleate

IMMUNOMODULATORS

levobunolol HCL

TIER 02 Restasis

timolol maleate

Restasis Multidose

Carteolol HCL

Metipranolol

LOCAL ANESTHETICS

Timolol Maleate Ophthalmic Gel Forming

TIER 01 altacaine

TIER 03 Betimol

proparacaine HCL

Betoptic-s

tetcaine

Combigan

tetracaine HCL

Timoptic Ocudose

tetravisc

tetravisc forte

OPHTHALMIC STEROIDS

TIER 03 Akten

TIER 01 fluorometholone

neo-polycin HC

OPHTHALMICS - MISC.

neomycin/polymyxin/bacitracin/hydrocortisone

TIER 01 azelastine HCL

neomycin/polymyxin/dexamethasone

cromolyn sodium

prednisolone acetate

diclofenac sodium

sulfacetamide sodium/prednisolone sodium phosphate

dorzolamide HCL

tobramycin/dexamethasone

epinastine HCL

Dexamethasone Sodium Phosphate

ketorolac tromethamine

Neomycin/Polymyxin/Hydrocortisone

olopatadine hydrochloride

Prednisolone Sodium Phosphate

olopatadine HCL

TIER 03 Alrex

Bromfenac

Blephamide

Flurbiprofen Sodium

Blephamide S.o.p.

TIER 03 Alocril

Durezol

Alomide

Flarex

Azopt

FML

Bepreve

FML Forte

Emadine

Lotemax

Ilevro

Maxidex

Lastacaft

Pred Mild

Nevanac

Pred-G

Pazeo

Pred-G S.o.p.

Xiidra

Tobradex

Tobradex ST

OTIC AGENTS

Zylet

TIER 01 acetasol HC

acetic acid

PROSTAGLANDINS

fluocinolone acetonide

TIER 01 latanoprost

fluocinolone acetonide ear drops

Bimatoprost

hydrocortisone/acetic acid

TIER 03



neomycin/polymyxin/hydrocortisone

kp aspirin

neomycin/polymyxin/HC

meijer aspirin EC

ofloxacin

miniprin low dose

Ciprofloxacin

norwich aspirin

TIER 02 Ciprodex

phrenilin forte

TIER 03 Cipro HC

px aspirin

Coly-mycin S

px enteric aspirin

qc aspirin

OXYTOCICS

qc aspirin low dose

qc chewable aspirin low dose

qc childrens aspirin

TIER 01 methergine

qc enteric aspirin

methylergonovine maleate

ra aspirin

ra aspirin adult low dose

PAIN MANAGEMENT

ra aspirin adult low strength

ANALGESICS - NONNARCOTIC

ra aspirin childrens

TIER 01 adult aspirin regimen

ra aspirin EC

adult aspirin EC low strength

ra aspirin EC adult low strength

aspir-low

ra childrens aspirin

aspir-81

salsalate

aspirin

sm aspirin

aspirin adult low dose

sm aspirin adult low strength

aspirin adult low strength

sm aspirin enteric coated

aspirin childrens

sm aspirin low dose

aspirin enteric coated adult low strength

sm aspirin EC low strength

aspirin low dose

sm childrens aspirin

aspirin low strength

st joseph aspirin

aspirin regimen low dose/adult

st joseph low dose aspirin

aspirin EC

tgt aspirin

aspirin EC low dose

tgt aspirin low dose

aspirin 81

tgt childrens aspirin

aspirin 81 low dose

tgt enteric-coated aspirin

aspirtab

zebutal

bayer advanced aspirin regular strength

Butalbital/Aspirin/Caffeine

bayer aspirin

CVS aspirin

bayer aspirin regimen

CVS aspirin adult low dose

bayer aspirin EC low dose

CVS aspirin adult low strength

bayer chewable low dose

CVS aspirin low dose

bayer low dose

CVS aspirin low strength

butalbital/acetaminophen

CVS aspirin EC

butalbital/acetaminophen/caffeine

CVS enteric aspirin

butalbital/aspirin/caffeine

EC-81 aspirin

childrens aspirin

HM aspirin

childrens aspirin low strength

HM aspirin EC

choline magnesium trisalicylate

HM aspirin EC low dose

diflunisal

MM aspirin

ecotrin

SB aspirin

ecotrin low strength

SB aspirin adult low strength

ecpirin

SB aspirin EC

enteric coated aspirin

SB childrens aspirin

eq adult aspirin low strength

SB low dose asa EC

eq aspirin

Tencon

eq aspirin adult low dose

Vanatol LQ

eq aspirin low dose

Vanatol S

eq aspirin EC

TIER 05 Prialt

eq childrens aspirin

eql aspirin

ANALGESICS - OPIOID

eql aspirin low dose

TIER 01 acetaminophen/codeineQL

eql aspirin EC

acetaminophen/codeine phosphateQL

esgic

ascomp/codeine

gnp adult aspirin low strength

buprenorphine HCL

gnp aspirin

buprenorphine HCL/naloxone HCLPA

gnp aspirin low dose

butalbital/acetaminophen/caffeine/codeine

goodsense aspirin

butalbital/aspirin/caffeine/codeine

goodsense aspirin adult low strength

butorphanol tartrateQL

goodsense aspirin low dose

codeine sulfate

h-e-b aspirin

endocetQL

kls aspirin low dose

fentanyl

kls aspirin EC



fentanyl citrate oral transmucosalQL,PA

naproxen

hydrocodone bitartrate/acetaminophenQL

naproxen sodium

hydrocodone/acetaminophenQL

naproxen DR

hydrocodone/ibuprofen

oxaprozin

hydromorphone hydrochloride

piroxicam

hydromorphone hydrochloride ER

profeno

hydromorphone HCL

sulindac

hydromorphone HCL ER

Fenoprofen Calcium

ibudone

Ketoprofen

lorcetQL

Ketorolac Tromethamine

lorcet plusQL

Meclofenamate Sodium

lorcet HDQL

Tolmetin Sodium

meperidine HCL

TIER 02 celecoxib

methadone HCL

TIER 03 Indocin

methadone HCL intensol

Ridaura

methadose

TIER 05 ActemraPA

morphine sulfate

EnbrelPA

morphine sulfate ER

Enbrel SureclickPA

oxycodone hydrochloride

HumiraPA

oxycodone HCL

Humira Pediatric Crohns Disease Starter PackPA

oxycodone/acetaminophenQL

Humira PenPA

oxycodone/aspirin

Humira Pen-crohns DiseasestarterPA

oxymorphone hydrochloride

Humira Pen-psoriasis StarterPA

pentazocine/naloxone HCL

KevzaraPA

tramadol hydrochloride/acetaminophenQL

KineretPA

tramadol HCL

OrenciaPA

tramadol HCL ER

Orencia ClickjectPA

verdrocet

OtezlaPA

vicodinQL

SimponiPA

vicodin ESQL

XeljanzPA

vicodin HPQL

Xeljanz XRPA

Codeine Sulfate

Hydromorphone HCL

MIGRAINE PRODUCTS

Levorphanol Tartrate

TIER 01 eletriptan hydrobromideQL,PA,ST

Meperidine HCL

ergotamine tartrate/caffeine

Methadone HCL

naratriptan HCLQL

Morphine Sulfate

rizatriptan benzoateQL

Morphine Sulfate ER

rizatriptan benzoate odtQL

Oxycodone/Ibuprofen

sumatriptanQL

Oxymorphone Hydrochloride ER

sumatriptan succinateQL

TIER 02 Oxycodone HCL ER

sumatriptan succinate refillQL

Oxycontin

zolmitriptanQL

TIER 03 BunavailPA

zolmitriptan odtQL

FentoraQL,PA

TIER 02 almotriptanQL,PA,ST

Kadian

almotriptan malateQL,PA,ST

Lortab

frovatriptan succinateQL,PA,ST

Nucynta

TIER 03 Dihydroergotamine MesylateQL

Oxycodone/AcetaminophenQL

Ergomar

PrimlevQL

Migergot

ZomigQL

ANTI-INFLAMMATORY

TIER 01 diclofenac potassium

GOUT AGENTS

diclofenac sodium DR

TIER 01 allopurinol

diclofenac sodium ER

probenecid

diclofenac sodium/misoprostol

probenecid/colchicine

etodolac

TIER 03 Colchicine

etodolac ER

Colcrys

fenoprofen calcium

DuzalloPA

flurbiprofen

Mitigare

ibu

Uloric

ibuprofen

ZurampicPA

indomethacin

indomethacin ER

LOCAL ANESTHETICS-INJ

ketorolac tromethamine

TIER 01 bupivacaine HCL

leflunomide

bupivacaine/epinephrine

mefenamic acid

chloroprocaine hydrochloride

meloxicam

lidocaine HCL

nabumetone

lidocaine/epinephrine



polocaine

Desloratadine Odt

polocaine-mpf

TIER 03 Brompheniramine Tannate

ropivacaine

ropivacaine HCL

NASAL AGENTS

sensorcaine

TIER 01 azelastine hydrochloride

sensorcaine-mpf

azelastine HCL

sensorcaine-mpf/epinephrine

fluticasone propionate

sensorcaine/epinephrine

ipratropium bromide

xylocaine dental

mometasone furoate

Ropivacaine Hydrochloride

olopatadine HCL

TIER 03 Mepivacaine HCL


Sensorcaine-mpf/Epinephrine

Flunisolide

TIER 03 Adrenalin

RESPIRATORY, ALLERGY, ETC

Beconase AQ

ANTIHISTAMINES

COUGH/COLD/ALLERGY

TIER 01 allergy

TIER 01 acetylcysteine

allergy childrens

benzonatate

allergy relief

biotuss

allergy relief child

biotuss pediatric

allergy relief childrens

bromfed DM

carbinoxamine maleate

bromphen/pseudoephedrine HCL/dextromethorphan HBR

cetirizine HCL

giltuss pediatric

childrens loratadine

hydrocodone bitartrate/homatropine methylbromide

claritin allergy childrens

hydrocodone polistirex/chlorpheniramine polistirex

cyproheptadine hydrochloride

hydrocodone/homatropine

cyproheptadine HCL

hydromet

diphenhydramine HCL

nebusal

eq allergy relief

nortuss-DE

eq allergy relief childrens

promethazine VC plain

eq childrens loratadine

promethazine VC/codeine

eq loratadine

promethazine-DM

eql allergy relief

promethazine/codeine

gnp loratadine

promethazine/dextromethorphan

gnp loratadine childrens

promethazine/phenylephrine

kls allerclear

promethazine/phenylephrine/codeine

kp loratadine

pulmosal

loradamed

sodium chloride

loratadine

tussigon

loratadine childrens

TIER 03 Carbaphen 12

meijer allergy relief

Carbaphen 12 PED

meijer loratadine

Decon-a

pharbedryl

Hypersal

phenadoz

Nortuss-EX

promethazine HCL

Relhist

promethazine HCL plain

Sski

promethegan

px allergy relief

ANTIASTHMATIC/COPD AGENTS

qc allergy relief childrens

qc loratadine allergy relief

TIER 01 albuterol sulfate

ra allergy relief 24 HOUR

albuterol TAB 4MG

ra loratadine

budesonide

ra loratadine childrens

cromolyn sodium

sm allergy relief loratadine

difil-G forte

sm childrens loratadine

ipratropium bromide

sm loratadine

ipratropium bromide/albuterol sulfate

tgt allergy relief

levalbuterol

tgt allergy relief medication

levalbuterol hydrochloride

tgt loratadine childrens

levalbuterol HCL

wal-itin

montelukast sodium

wal-itin childrens

terbutaline sulfate

CVS allergy relief

theochron

CVS allergy relief childrens

theophylline CR

HM loratadine

theophylline ER

HM loratadine childrens

zafirlukast

SB loratadine

zileuton ERST

SB loratadine allergy relief

Albuterol Sulfate ER

TIER 02 desloratadine

Elixophyllin

levocetirizine dihydrochloride

Fluticasone Propionate/SalmeterolPA

TIER 02



Advair DiskusPA

Bexsero

Advair HFAPA

Engerix-b

Anoro Ellipta

Fluad 2017-2018

Armonair Respiclick 113

Fluarix Quadrivalent 2017-2018


Flublok 2015-2016


Flublok 2017-2018

Arnuity Ellipta

Flucelvax Quadrivalent 2017-2018

Breo ElliptaPA

Flulaval Quadrivalent 2017-2018

Flovent Diskus

Fluvirin 2015-2016QL

Flovent HFA

Fluvirin 2017-2018QL

Incruse Ellipta

Fluzone High-dose PF 2017-2018

Proair HFA

Fluzone Intradermal Quadrivalent 2017-2018

Proair Respiclick

Fluzone Quadrivalent 2017-2018

Pulmicort Flexhaler

Gardasil 9

Serevent Diskus

Havrix

Spiriva Handihaler

Heplisav-b

Spiriva Respimat

Hiberix

SymbicortPA

Ipol Inactivated IPV

Ventolin HFA

M-m-r II

TIER 03 AlvescoST

Menactra

Asmanex HFAST

Menveo

Asmanex Twisthaler 120 Metered DosesST

Pedvax HIB


Pneumovax 23


Pneumovax 23/1 Dose


Prevnar 13


Proquad

Atrovent HFA

Recombivax HB

Bevespi Aerosphere

Rotarix

Brovana

Rotateq

Combivent Respimat

Trumenba

DalirespPA

Twinrix

Metaproterenol Sulfate

Vaqta

Perforomist

Varivax

QvarST

Qvar RedihalerPA

VITAMINS

Stiolto Respimat

VITAMINS

Striverdi Respimat

TIER 01 aqueous vitamin d infants

Theo-24

bprotected pedia d-vite

Trelegy ElliptaPA

d 1000

Utibron Neohaler

d 10000

ZyfloST

d 2000

TIER 05 NucalaPA

d 400

XolairPA

d 5000

d-1000

RESPIRATORY AGENTS - MISC

d-1000 extra strength

TIER 03 Curosurf

d-2000 maximum strength

Survanta Intratracheal

d-3-5

TIER 05 EsbrietPA

d-400

KalydecoPA

d-5000

OfevPA

decara

OrkambiPA

delta d3

Pulmozyme

dialyvite vitamin d 5000

dialyvite vitamin d3 max

TOXOIDS

d2000 ultra strength

d3

TIER 03 Boostrix

d3 adult

Infanrix

d3 adult gummy

Kinrix

d3 high potency

Pediarix

d3 kids

Quadracel

d3 maximum strength

d3 super strength

VACCINES

d3 ultra strength

d3 vitamin

d3 2000

TIER 02 Flublok Quadrivalent 2017-2018

d3-1000

TIER 03 Acthib

d3-50

Afluria PF 2017-2018

eql vitamin d3

Afluria Quadrivalent 2017-2018

eql vitamin d3 gummies

Afluria 2017-2018QL



gnp d 1000

CO-natal Fa

gnp d 2000

Elite-OB

gnp vitamin d

Inatal GT

gnp vitamin d maximum strength

M-vit

gnp vitamin d super strength

Multi Prenatal

gnp vitamin d3 extra strength

Mynatal Advance

healthy kids vitamin d3

Mynatal Plus

just d

Mynatal Ultracaplet

kp vitamin d

Mynatal-z

kp vitamin d3

Mynate 90 Plus

maximum d3

Obstetrix EC

nat-rul vitamin d

Perry Prenatal

natural vitamin d-3

Pr Natal 400

optimal-d

Pre-natal Formula

optimal-d pack

Prenaissance Plus

opurity vitamin d

Prenatabs RX

pronutrients vitamin d3

Prenatal

ra vitamin d-3

Prenatal And Iron

sm vitamin d

Prenatal Forte

sm vitamin d3

Prenatal Low Iron

thera-d rapid repletion

Prenatal 19

thera-d 2000

Prenatal-u

vitajoy daily d gummies

PNV-select

vitamin d

PNV-DHA

vitamin d high potency

Se-natal 19

vitamin d 400

Taron-prex

vitamin d-1000

Tricare

vitamin d-1000 maximum strength

Trinatal RX 1

vitamin d-3

Trinate

vitamin d-400

Ultimatecare One

vitamin d3

Vinate II

vitamin d3 adult gummies

Vinate M

vitamin d3 gummies

Vinate One

vitamin d3 gummies adult

Vitafol-OB

vitamin d3 maximum strength

TIER 02 sm prenatal vitamins

vitamin d3 super strength

Atabex Prenatal

vitamin d3 ultra potency

Citranatal Assure

vitamin d3 400

Citranatal B-calm

CVS d3

Citranatal Bloom DHA

CVS vitamin d childrens gummies

Citranatal DHA

CVS vitamin d3

Citranatal 90 DHA

HM vitamin d

Classic Prenatal

HM vitamin d3

Clinical Nutrients Prenatal Formula

PA vitamin d-3

CVS Prenatal

PA vitamin d-3 gummy

Eql Prenatal Formula

TIER 02 Baby Super Daily D3

Ezfe Forte

Baby Vitamin D3 Drops

Gnp Daily Prenatal

Bio-d-mulsion

Gnp Prenatal

Bio-d-mulsion Forte

Goodsense Prenatal Vitamins

CVS Vitamin D3 Drops/Infants

Hemenatal OB + DHA

Ddrops

HM One Daily Prenatal Combo

Decara

HM Prenatal

D3 Dots

Kosher Prenatal Plus Iron

HM Vitamin D3

Kp Prenatal Multivitamins

Mommys Bliss Vitamin D Organic

Kpn Prenatal

Replesta

Nestabs DHA

Replesta Childrens

Niva-plus

Replesta Nx

O-CAL Fa

Sm Vitamin D3 Maximum Strength

Obstetrix DHA

Super Daily D3

One-a-day Womens Prenatal

Thera-d 4000

Preferaob +dha

Vitamelts Vitamin D

Prenatal Complete

Vitamin D3

Prenatal Formula A-free

Wellesse Vitamin D3

Prenatal Multi +dha

Prenatal Multivitamin

MULTIVITAMINS

Prenatal One Daily

Prenatal Plus

TIER 01 Complete Natal DHA

Prenatal Vitamin

Completenate

Prenatal Vitamin & Mineral



Prenatal Vitamin/Iron

Acti-lance Lite Safety Lancets 28G

Prenatal Vitamins

Acti-lance Special Safety Lancets 17G

Prenatal Vitamins Plus Low Iron

Acti-lance Special Safetylancets 17G

Preplus

Acti-lance Universal Safety Lancets 23G

Px Prenatal Multivitamins

Active 1ST Blood Lancets 30G/Easy Twist CAP

PA Prenatal Formula

Adjustable Lancing Device

PNV Folic Acid + Iron Multivitamin

Advanced Mobile Lancet 30G

PNV Ob+dha

Advocate Insulin Pen Needles

PNV Prenatal Plus Multivitamin

Advocate Insulin Pen Needles 29GX12.7MM

Qc Prenatal

Advocate Insulin Pen Needles 31GX5MM

Ra One Daily

Advocate Insulin Pen Needles 31GX8MM

Ra Prenatal

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

Ra Prenatal Formula/Folicacid


Right Step Prenatal


Select-ob+dha


Sm One Daily Prenatal


Sm Prenatal Vitamins


Theranatal Core Nutrition

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

Tri-TABS DHA


Tricare Prenatal


Triveen-duo DHA

Advocate Lancets

Vitafol Ultra

Advocate Lancets 30G

Vitafol-ob+dha

Advocate Lancing Device

Vol-plus

Advocate Rapid-safe Lancing Device

Vp-heme OB + DHA

Advocate Safety Lancets

TIER 03 Nestabs One

Advocate Safety Lancets 26G

Prefera OB

Agamatrix Ultra-thin Lancets 33G

Provida DHA

Alternate Site Lancing Device

Tristart DHA

Aqua Lance Adjustable Lancing Device

Assure Comfort Lancets Ultra Thin 28G

MEDICAL DEVICES

Assure Comfort Lancets Ultra Thin 30G

Assure Haemolance Plus High Flow 18G

DIABETIC SUPPLIES

Assure Haemolance Plus Low Flow 25G

TIER 01 Insulin Syringe 1ML/31G X1/4"

Assure Haemolance Plus Micro Flow 28G

Insulin Syringes 0.3ML/31G X 1/4"

Assure Haemolance Plus Normal Flow 21G

Insulin Syringes 0.5ML/31G X 1/4"

Assure Haemolance Plus Pediatric Blade

Pen Needles 31G X 6MM

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


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


Assure Lance Lancets


Assure Lance Lancets 21G


Assure Lance Plus Safety Lancets 25G

TIER 02 Accu-chek Aviva

Assure Lance Plus Safety Lancets 30G

Accu-chek Aviva Plus

Assure Lancets

Accu-chek Compact Plus

Aurora Lancet Super Thin 30G

Accu-chek Compact Test Drum

Aurora Lancet Thin 23G

Accu-chek Fastclix Lancetdevice Kit

Aurora Pen Needles 29GX12MM

Accu-chek Fastclix Lancets

Aurora Pen Needles 31G X 6MM

Accu-chek Guide

Aurora Pen Needles 31G X 8MM

Accu-chek Multiclix Lanc Et Device Kit

Aurora Unifine Pentips/Mini/31GX3/16"

Accu-chek Multiclix Lancets

Aurora Unifine Pentips/32GX5/32"

Accu-chek Safe-t-pro Lancets

Auto-lancet

Accu-chek Safe-t-pro Pluslancets

Auto-lancet Mini

Accu-chek Smartview Strips

Autolet Impression Lancing Device

Accu-chek Soft Touch Lancets

Autolet II Clinisafe

Accu-chek Softclix Lancetdevice Kit

Autolet Lancing Device

Accu-chek Softclix Lancets

Autolet Lite Clinisafe

Accutrend Glucose

Autolet Lite Starter Pack

Onetouch Club Lancets Fine Point

Autolet Mini

Onetouch Combo Pack

Autolet Platforms

Onetouch Delica Lancets Fine 30G

Autolet Plus

Onetouch Delica Lancing Device

AF Lancets Super Thin

Onetouch Finepoint Lancets

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

Onetouch Suresoft Lancing Device/18G

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


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


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

Onetouch Ultra Blue

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

Onetouch Ultrasoft Lancets

Bayer Microlet Lancets

Onetouch Verio Test Strips

Bayer Microlet 2 Lancing Device

TIER 03 Acti-lance Lancets 28G

Bullseye Mini Safety Lancets

Bullseye Safety Lancets



BD Autoshield Duo 30G X 3/16"

Careone Insulin Syringes/0.3ML/31G X 5/16"

BD Autoshield 29G X 3/16"


BD Autoshield 29G X 5/16"


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

Careone Insulin Syringes/1ML/30G X 1/2"

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

Careone Insulin Syringes/1ML/31GX5/16"

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

Careone Lancet Thin

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

Careone Lancet Ultra Thin

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

Careone Unifine Pentips Pen Needles 32GX4MM

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

Careone Unifine Pentips Plus Pen Needles 29GX12MM

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


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


BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 15/64"





Careone Unifine Pentips 29GX12MM

BD Insulin Syringe Safetyglide/U-100/1ML/31G X 15/64"


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


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


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

Caretouch Lancing Device With Ejector

BD Insulin Syringe Ultra Fine/1ML/30G X 1/2"

Caretouch Pen Needles 31 G X 6 MM

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

Caretouch Pen Needles 31GX 5MM

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


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


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



Caretouch Twist Lancets 28G





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

Cleanlet Lancets 28G

BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64"

Clever Chek Lancets Ultrathin

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

Clever Chek Lancets Ultrathin 30G


Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM


Clever Choice Comfort EZ Insulin Pen Needles 33GX4MM


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

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

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

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

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


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


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


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


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

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


BD Insulin Syringe/U-500/0.5ML/31G X 15/64"

BD Lancet Ultrafine 30G


BD Lancet Ultrafine 33G

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


BD Microtainer Lancets


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


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

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

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

BD Pen Needle/Ultrafine/29G X 12.7MM


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


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

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

Clever Choice Comfort EZ Lancets 21G

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



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

Clever Choice Comfort EZ Pen Needles 29GX12MM

BD Ultra-fine Micro Pen Needles 6MM X 32G


BD-insul SYR Mis LO Dose


Cardiocom Lancing Device


Carefine Pen Needle 32GX4MM


Carefine Pen Needles 29GX1/2"


Carefine Pen Needles 30GX5/16"


Carefine Pen Needles 31GX6MM








Careone Advanced Lancing Device



Clickfine Pen Needle Universal/31GX1/4"



Clickfine Pen Needle Universal/31GX5/16"

Easy Comfort Insulin Syringe/0.5ML/30G X 5/16"

Clickfine Pen Needle 32GX5/32"

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

Clickfine Pen Needles/31GX1/4"

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

Clickfine Pen Needles/31GX5/16"

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

Clickfine Universal Pen Needles 31GX5/16"

Easy Comfort Lancets

Coaguchek Lancets

Easy Comfort Lancets 30G/Pull Top

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

Easy Comfort Lancets 30G/Thin Top

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

Easy Comfort Pen Needles 31GX1/4"








Easy Glide Pen Needles 33G X 5/32"

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

Easy Mini Eject Lancing Device


Easy Mini Lancing Device


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

Comfort Assured Lancets Micro Thin 33G


Comfort Assured Lancets Super Thin 28G


Comfort Lancets


CVS Lancets Micro Thin 33G

CVS Lancets Micro-thin 33G

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

CVS Lancets Original

CVS Lancets Thin 26G

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

CVS Lancets Ultra Thin 30G

CVS Lancets Ultra-thin 30G

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

CVS Lancets 21G

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

CVS Lancing Device

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

CVS Ultra Thin Lancets


Droplet Lancets Ultra Thin 30G


Droplet Lancing Device


Droplet Pen Needles 29GX10MM



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







Droplet Pen Needles 32G X 1/4"



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








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


Easy Touch Lancets 21G/Pressure Activated



Drug Mart Adjustable Lancing Device


Drug Mart Lancets Thin

Easy Touch Lancets 26G/Pull-top

Drug Mart Lancets Ultra Thin

Easy Touch Lancets 26G/Twist

Drug Mart On-the-go Lancets Gentle 30G


Drug Mart Unifine Pentips 31GX5MM


Drug Mart Unifine Pentipsplus 32GX4MM


Drug Mart Unifine Pentips29G X 12MM

Easy Touch Lancets 30G/Button-activated

Drug Mart Unifine Pentips31GX6MM






Drug Mart Unilet Lancets Super Thin 30G


Drug Mart Unilet Lancets Ultra Thin 28G


Drug Mart Unilet Micro Thin Lancets 33G


Duane Reade Lancet Alternate Site 26G


Duane Reade Lancet Super Thin 30G

Easy Touch Lancing Device/Ejector

Duane Reade Lancet Ultra Thin 28G

Easy Touch Pen Needle 30 G X 5/16"

Duane Reade Unifine Pentips 29G X 12MM

Easy Touch Pen Needles 29GX1/2"

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT


Duane Reade Unifine Pentips 31G X 8MM SHORT


E-z Ject Lancets


E-z Ject Lancets Color


E-z Ject Lancets Super Thin


E-z Ject Lancets Super Thin 30G

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

E-z Ject Lancets Thin 26G

Easy Touch Safety Lancets21G/Pressure Activated

E-z Ject Lancets 21G


E-ZJECT Lancets Micro-thin 33G

Easy Touch Safety Lancets26G/Button Activated

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


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

Easy Touch Safety Lancets28G/Button Activated




Fifty50 Unilet Lancets 33G

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

Fine 30

Fingerstix Lancets


Fora Lancets

Fora Lancing Device


Fora Lancing Device/Clearcap

Freds Pharmacy Autolet Lancing Device

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

Freds Pharmacy Unifine Pentips Pen Needles 32GX4MM

Easy Touch 32GX5MM

Freds Pharmacy Unifine Pentips Plus 31GX5MM

Easy Touch 32GX6MM

Freds Pharmacy Unifine Pentips Plus 31GX8MM

Easy Twist & CAP Lancets

Freds Pharmacy Unilet Lancets Super Thin 30G

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

Freds Pharmacy Unilet Lancets Ultra Thin 28G


Freestyle Lancets


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


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

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



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


Elite-thin Insulin Syringe/0.3ML/31G X 5/16"

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


Freestyle Unistick II Lancets


Genteel Butterfly Touch Lancets

Elite-thin Insulin Syringe/1ML/29G X 5/16"

Genteel Contact Tips/Blue

Elite-thin Insulin Syringe/1ML/30G X 5/16"

Genteel Contact Tips/Clear

Embrace Lancets Ultra Thin 30G

Genteel Contact Tips/Green

Eql Color Lancets Micro Thin 33G

Genteel Contact Tips/Orange

Eql Color Lancets 21G

Genteel Contact Tips/Rainbow

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

Genteel Contact Tips/Violet


Genteel Contact Tips/Yellow


Genteel Lancing Device/Buff Black


Genteel Lancing Device/Butterfly Blue


Genteel Lancing Device/Glorious Gold


Genteel Lancing Device/Playful Purple

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

Genteel Lancing Device/Precious Platinum


Genteel Lancing Device/Princess Pink


Genteel Lancing Device/Stately Silver

Eql Super Thin Lancets 30G

Genteel Lancing Device/Willowy White

Eql SHORT Pen Needles 31G X 8MM

Genteel Nozzles

Eql Thin Lancets 26G

Gentle-let GP Lancets

Eql Ultra SHORT Pen Needles 31G X 6MM

Gentle-let Lancets General Purpose Style/Fine Point

Excel Comfort Point Insulin Pen Needles 31G X 4MM

Gentle-let Lancets General Purpose Style/Medium Point

Exel Comfort Point Insulin Pen Needles 29G X 12MM

Gentle-let Lancets Safety Style/Fine Point


Gentle-let Lancets Safety Style/Medium Point


Gentle-let Platforms 2.4MM

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

Gentle-let Platforms 3.0MM


Global Ease Inject Pen Needles 29GX12MM






Global Ease Inject Pen Neeedles 31GX5MM

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

Global Easy Glide Insulinsyringe/U-100/0.3ML/31G X 5/16"



Global Easy Glide Pen Needles 32GX4MM

EZ Smart Blood Glucose Lancets

Global Inject Ease Insulin Syringe/U-100/0.3ML/29G X 1/2"

EZ-lets Lancets 21G

EZ-lets Lancets 23G


EZ-lets Lancets 26G Super-soft

EZ-lets Lancets 28G Ultra-soft


EZ-lets Lancets 30G

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


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


Fifty50 Pen Needles 31GX5MM

Fifty50 Pen Needles/31GX8MM





Fifty50 Safety Seal Lancets 30G

Fifty50 Safety Seal Lancets 32G


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


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

Global Inject Ease Insulin Syringe/U-100/1ML/28G X 1/2"

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





H-e-b IN Control Pen Needles 31GX8MM


H-e-b IN Control Pen Needles/Nano/32GX4MM


H-e-b IN Control Unifine Pentips Plus 31GX5MM

Global Inject Ease Lancets 28G

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

Global Inject Ease Lancets 30G

Haemolance

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

Haemolance Low Flow Lancets

Global Insulin Syringes/U-100/0.3ML/30GX5/16"

Haemolance Plus

Global Lancing Device

Haemolance Plus High Flow

Glucocom Lancets 28G

Haemolance Plus Low Flow


Haemolance Plus Max Flow


Haemolance Plus Pediatric Flow

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

Health Care Lancing Device


Healthwise Mini Pen Needles 31GX6MM


Healthwise Pen Needles 29GX12MM


Healthwise SHORT Pen Needles 31GX8MM


Healthwise Unifine Pentips Pen Needles 32GX4MM


Healthy Accents Autolet Impression Lancing Device

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

Healthy Accents Unifine Pentips Pen Needles 29GX12MM





Gnp Clickfine Pen Needle Universal/31GX5/16"


Gnp Clickfine Universal Pen Needles 31GX1/4"


Gnp Clickfine Universal Pen Needles 31GX5/16"

Healthy Accents Unilet Lancets Super Thin 30G

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

Hy-vee Lancets


Hy-vee Thin Lancets


Hypolance AST Lancing Kit


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







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



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





Gnp Lancets

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

Gnp Lancets Micro Thin 33G

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

Gnp Lancets Super Thin 30G

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

Gnp Lancets Thin


Gnp Lancets Thin 26G


Gnp Lancets 21G

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

Gnp Micro Thin Lancets 33G

Insulin Syringe/0.3ML/29G X 1"

Gnp Super Thin Lancets/30G


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


Gnp Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16" SHORT









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





Insulin Syringes/0.5ML/27GX1/2"


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


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


Gnp Ultra Comfort Insulin Syringe/1ML/30G X 5/16" SHORT

Insulin Syringes/0.5ML/31GX 5/16"

Gnp Ultra Comfort Insulin Syringe/1ML/31G X 5/16" SHORT


Insulin Syringes/1ML/27GX/1/2"

Goodsense Lancets Micro-thin 33G

Insulin Syringes/1ML/27GX1/2"

Goodsense Lancets Ultra-thin 30G


Goodsense Lancing Device


Goodsense Universal 1 Micro Thin 33G


Goodsense Universal 1 Micro-thin 33G


Goodsense Universal 1 Thin 26G

Insupen Pen Needles 32G X4MM

H-e-b Incontrol Advanced Lancing Device

Insupen Sensitive 32GX6MM

H-e-b Incontrol Lancets Micro Thin 33G

Insupen Sensitive 32GX8MM

H-e-b Incontrol Lancets Super Thin 30G

Insupen Ultrafin 29GX12MM

H-e-b Incontrol Lancets Ultra Thin 28G


H-e-b Incontrol Pen Needles 29GX12MM







Insupen 29G X 12MM

Leader Insulin Syringe/0.5ML/30G X 5/16"

Insupen 31G X 5MM


Insupen 31G X 8MM

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

Insupen 32G X 4MM


Insupen 33GX4MM


IN Touch Lancing Device


IN Touch Sterile Lancets 30G

Leader Lancets Colored

Kinney Lancets

Leader Super Thin Lancet

Kinney Thin Lancets

Leader Thin Lancets

Kinray Insulin Syringe Preferred Plus/0.3ML/31G X 5/16"

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

Kinray Insulin Syringe Preferred Plus/0.5ML/31G X 5/16"

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

Kinray Insulin Syringe Preferred Plus/1ML/31G X 5/16"

Leader Unifine Pentips/Mini/31GX3/16"

Kinray Insulin Syringe/0.5ML/29G X 1/2"

Leader Unifine Pentips/Nano/32GX5/32"

Kmart Valu Plus Insulin Syringe/0.3ML/30G

Leader Unifine Pentips/Plus/32GX5/32"


Liberty Medical Lancets 30G


Liberty Mini Lancing Device

Kmart Valu Plus Insulin Syringe/1ML/29G

Lifescan Unistik II Lancets

Kmart Valu Plus Insulin Syringe/1ML/30G

Lifescan Unistik 2 Deep Penetration

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

Lite Touch Lancets


Lite Touch Lancing Pen


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


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


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


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

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





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

Kroger Lancets


Kroger Lancets Micro Thin33G


Kroger Lancets Super Thin


Kroger Lancets Thin


Kroger Lancets Thin 26G

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

Kroger Lancets Ultrathin 30G

Litetouch Lancets Micro Thin 33G

Kroger Lancets 21G

Litetouch Pen Needles 29GX12.7MM

Kroger Lancing Device

Litetouch Pen Needles 31G X 6MM

Kroger Pen Needles 29G X 12MM

Litetouch Pen Needles 31GX8MM SHORT

Kroger Pen Needles 31G X 8MM

Live Better Advanced Lancing Device

Kroger Pen Needles 31GX1/4"

Live Better Lancet Super Thin 30G

Lancet Device Adjustable

Live Better Lancet Ultra Thin 28G

Lancet Device With Ejector

Live Better Pen Needles 29G X 12MM

Lancet Transporter Case


Lancets


Lancets Bullseye Safety

Longs Insulin Syringe/0.5ML/31G X 5/16"

Lancets Micro Thin 33G

Longs Lancets Standard

Lancets Safety Seal 21G

Longs Lancets Thin


Longs Lancets Ultra Thin


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



Lancets Super Thin 28G


Lancets Thin


Lancets Twist Top

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

Lancets Ultra Fine

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

Lancets Ultra Thin

Marathon Medical Pentips 29GX12MM

Lancets Ultra Thin 30G


Lancets 26G Twist Top


Lancets 28G


Lancets 30G

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


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

Lancets 30G/Twist Top

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


Medic Insulin Syringe/0.5ML/30G X 5/16"

Lancets 33G Universal Design

Medichoice Pre-set Safety Lancet Dual Use

Lancing Device

Medichoice Pre-set Safety Lancet Low Flow

Lancing Device Adjustable

Medichoice Pre-set Safety Lancet Medium Flow

Lanzo

Medichoice Pre-set Safety Lancet Moderate Flow

Leader Advanced Lancing Device

Medichoice Safety Lancet Extra


Medichoice Safety Lancet Normal


Medicine Shoppe Lancets


Medicine Shoppe Lancets Thin


Medicine Shoppe Pen Needles 29G X 12MM






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

Medisense Thin Lancets

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

Medlance Plus Extra Lancets 21G

MM Lancing Device

Medlance Plus Lancets

MM Pen Needles 31G X 1/4"

Medlance Plus Lancets Lite 25G


Medlance Plus Lite Lancets 25G


Medlance Plus Special Lancets 0.8MM


Medlance Plus Superlite 30G

MM Twist Lancets

Medlance Plus Superlite 30G/Comfort Max

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

Medlance Plus Universal Lancets 21G


Medlance Plus/Lite 25G


Medlance/Extra


Medlance/Lite


Medlance/Universal


Meijer Color Lancets Universal 33G

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

Meijer Lancets


Meijer Lancets Thin


Meijer Lancets Universal 21G

Nova Safety Lancets 23G


Nova Safety Lancets 28G


Nova Sureflex Lancets

Meijer Pen Needles 29G X 12MM

Nova Sureflex Lancing Device


Novofine Autocover 30GX8MM


Novofine Plus 32GX4MM

Meijer Super Thin Lancets

Novofine 32GX6MM

Microlet Lancets

Novotwist 32GX5MM

Microlet Next

On Call Lancets

Microtainer Safety Flow Lancet/Sterile/Single-use

On Call Lancing Device

Mini Lancing Device

On Call Plus Lancets

Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML

On Call Plus Lancing Device

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

Onetouch Delica Lancets Extra Fine 33G

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


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

Pen Needles 29GX1/2"


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

Pen Needles 30GX5MM

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

Pen Needles 30GX8MM

Pen Needles 31G X 1/4" SHORT

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

Pen Needles 31G X 3/16"


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


Pen Needles 31GX6MM (1/4")

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

Pen Needles 31GX8MM

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

Pen Needles 31GX8MM (5/16")

Pen Needles 32GX4MM

Monoject Insulin Syringe/Softpack/1ML/27G X 1/2"

Penlet II Automatic Bloodsampler

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

Penlet II Replacement CAPS

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

Penlet II Replacement CAPS-deep

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

Penlet II Replacement CAPS-regular

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

Pentips 29G X 12MM

Monoject Insulin Syringe/1ML

Pentips 29GX12MM

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

Pentips 31G X 5MM

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

Pentips 31G X 8MM


Pentips 31GX5MM


Pentips 31GX6MM


Pentips 31GX8MM


Pentips 32G X 4MM


Pentips 32GX4MM


Perfect Lancets 30G

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

Perfect Pressure Activated Safety Lancets 28G

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

Pharmacist Choice Ultra Thin Lancets

Monojector End CAPS

Pharmacist Choice Ultra Thin Lancets 28G

Monojector Opd End CAPS


Monolet Lancets


Monolet Opd Lancets


Monolettor Safety Lancets

Pharmacy Counter Lancets

Multi-lancet Device

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

Multi-lancet Device 2


Myglucohealth Mgh Softlance Lancets 30G


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


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

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

MM Insulin Syringe/U-100/1/2ML/30G X 5/16"

MM Insulin Syringe/U-100/1/2ML/31G X 5/16"



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

Qc Pen Needles 31G X 6MM


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

Qc Unifine Pentips 32GX4MM

Precision Thins GP Lancet

Qc Unilet Lancets 28G/Ultra Thin

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

Qc Unilet Lancets 33G/Micro Thin


Ra E-ZJECT Color Lancets Micro-thin 33G


Ra E-ZJECT Lancets Thin 26G


Ra E-ZJECT Lancets Thin 28G


Ra E-ZJECT Lancets Ultra Thin 30G

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

Ra E-ZJECT Lancets 28G


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


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

Preferred Plus Lancets Colored 21G

Ra Insulin Syringe/0.5ML/29G X 1/2"

Preferred Plus Lancets Super Thin 30G

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

Preferred Plus Lancets Thin 26G

Ra Lancing Device

Preferred Plus Unifine Pentips 29G X 12MM

Ra Pen Needles 31G X 5MM 3/16"

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT

Ra Pen Needles 31G X 8MM 5/16"

Preferred Plus Unifine Pentips 31G X 8MM SHORT

Readylance Safety Lancets/21G/2.2MM

Preferred Plus Unifine Pentips 32GX4MM


Preferred Plus Unifine Pentips/Mini/31GX5MM


Pressure Activated Safetylancet 21G


Pro Comfort Insulin Syringes/0.5ML/30G X 1/2"



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


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

Pro Comfort Insulin Syringes/1ML/30G X 1/2"

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


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


Reality Lancets

Pro Comfort Lancets 30G

Reality Trigger Lancets

Pro Comfort Lancets 31G

Relion Insulin Syringe 0.5ML/31G X 15/64"

Pro Comfort Pen Needles/ 31G X 8MM

Relion Insulin Syringe 1ML/31GX15/64"


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


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


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

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

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

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


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


Prodigy Lancing Device


Prodigy Pressure Activated Safety Lancets


Prodigy Safety Lancets


Prodigy Twist Top Lancets


Pss Select GP Lancets


Pss Select Platforms


Pss Select Safety Lancets

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

Push Button Safety Lancets 21G


Push Button Safety Lancets 28G


Px Advanced Lancing Device


Px Extra SHORT Pen Needles 31GX6MM

Relion Lancets Micro-thin33G

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

Relion Lancets Standard 21G

Px Lancet Auto Injector

Relion Lancets Thin 26G

Px Lancets Ultra Thin

Relion Lancets Ultra-thin30G

Px Lancets Ultra Thin 28G

Relion Lancing Device

Px Mini Pen Needles 31GX5MM

Relion Mini Pen Needles 31GX6MM

Px Pen Needle 29GX12MM

Relion Pen Needles 29GX12MM

Px Pen Needle 31GX8MM


Px Shortlength Pen Needles/31GX8MM


PC Lancets Super Thin 30G


PC Unifine Pentips 29G X 1/2"

Relion SHORT Pen Needles 31GX8MM

PC Unifine Pentips 31G X 5MM Mini

Relion Thin Lancets

PC Unifine Pentips 31G X 6MM Ultra SHORT

Relion Ultra Thin Lancets

PC Unifine Pentips 31G X 8MM SHORT

Relion Ultra Thin Lancets30G

Qc Advanced Lancing Device

Relion Ultra Thin Plus Lancets 32G

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

Relion Ultra Thin Plus Lancets 33G


Relion 2-IN-1 Lancing Device 25G


Relion 2-IN-1 Lancing Device 30G

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

Rexall Lancets Ultra Thin

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

Rightest Gl300 Lancets

Qc Lancets

Rightest GD-L500 Alternate Site Adapter

Qc Lancets Super Thin

Rightest GD500 Lancing Device

Qc Lancets Thin

Safe-t-lance Low Flow 25G

Qc Lancets Ultra Thin

Safe-t-lance Normal Flow 21G




Safe-t-lance Plus Safety Lancet High Flow

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

Safe-t-lance Plus Safety Lancet Low Flow


Safe-t-lance Plus Safety Lancet Normal Flow


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



Sure Comfort Insulin Syringe/U-100/0.5ML/31G X 5/16


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

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


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


Safety Insulin Syringes 0.5ML/29GX1/2"


Safety Insulin Syringes 0.5ML/30GX5/16"


Safety Insulin Syringes 1ML/27GX1/2"

Sure Comfort Insulin Syringes/U-100/1ML/31GX6MM


Sure Comfort Insulin Syringes/0.5ML/31G X 6MM


Sure Comfort Lancets 18G

Safety Lancet 21G/Pressure Activated


Safety Lancet 28G/Pressure Activated


Safety Lancets


Safety Lancets 21G


Safety Lancets 28G

Sure Comfort Lancing Pen

Safety Let Lancets

Sure Comfort Pen Needles 29GX1/2" 12.7MM

Safety Seal Lancets 28G

Sure Comfort Pen Needles 30GX5/16" SHORT

Safety Seal Lancets 30G

Sure Comfort Pen Needles 31GX3/16" (5MM)

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

Sure Comfort Pen Needles 31GX5/16" (8MM)

Saps Health Twist Top Lancets 30G

Sure Comfort Pen Needles 32GX5/32"

Sapscare Twist Top Lancets 30G

Sure Comfort Pen Needles 32GX6MM

Schnucks Insulin Syringe Ulti-fine/U-100/0.5ML/29G X 1/2"

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

Schnucks Insulin Syringe Ulti-fine/U-100/0.5ML/30G X 5/16"

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

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

Select-lite Device/Lancets

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

Select-lite Lancing Device


Shopko Autolet Lancing Device


Shopko On-the-go Comfort Lancets 30G


Shopko Unifine Pentips Pen Needles/Micro/32GX4MM


Shopko Unifine Pentips Pen Needles/Mini/31GX5MM


Shopko Unifine Pentips Pen Needles/Original/29GX12MM


Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM

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

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



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


Sure-lance Flat Lancets

Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM

Sure-lance Lancets 26G

Sure-lance Thin Lancets 28G

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

Sure-lance Ultra Thin Lancets

Shopko Unilet Lancets Super Thin 30G

Sure-pen

Shopko Unilet Lancets Ultra Thin 28G

Sure-touch Lancets Universal

Side Button Safety Lancet21G

Surelite Lancets

Simple Diagnostics Lancing Device

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

Single-let

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

Sm Lancets 21G

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

Sm Micro Thin Lancets 33G


Sm Super Thin Lancets 30G


Sm Thin Lancets 26G

SB Lancets Thin

Sm Truedraw Lancing Device

SB Lancets Ultra Thin

Smart Diabetes Vantage Lancing Device

Techlite AST Lancets

Smart Sense Color Lancets Universal 33G

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

Smart Sense Standard Lancets Universal 21G


Smart Sense Super Thin Lancets Universal 30G


Smart Sense Thin Lancets Universal 26G


Smartest Lancets 28G


Solus V2 Lancing Device


Solus V2 Pressure Activated Safety Lancets 28G


Solus V2 Twist Lancets 30G


Sterilance PA


Sterilance TL


Super Thin Lancets

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







Sure Comfort Insulin Syringe/U-100/0.3ML/31G X 5/16



Techlite Lancets

Sure Comfort Insulin Syringe/U-100/0.3ML/31GX1/4"

Techlite Lancets 30G



Techlite Pen Needles 29G X 10MM

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

Techlite Pen Needles 29G X 12 MM

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

Techlite Pen Needles 31G X 5MM

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

Techlite Pen Needles/31G X 5MM


Techlite Pen Needles/31G X 6 MM





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


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


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

Tgt Advanced Lancing Device


Tgt Lancet Alternate Site


Tgt Lancet Micro Thin 33G


Tgt Lancet Super Thin 30G

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

Tgt Lancet Thin 23G

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

Tgt Lancet Thin 26G

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

Tgt Lancet Ultra Thin 28G


Tgt Lancet Ultra Thin 30G


Tgt Lancing Device


Thinlets GP Lancets


Todays Health Advanced Lancing Device


Todays Health Mini Pen Needles 31G X 1/4"


Todays Health Original Pen Needles 29G X 1/2"

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

Todays Health Super Thin Lancets 30G


Todays Health SHORT Pen Needles 31G X 5/16"


Todays Health Ultra Thin Lancets 28G


Topcare Clickfine Universal Pen Eedles 31GX1/4"

Ulticare Micro Pen Needles 31G X 8MM

Topcare Clickfine Universal Pen Eedles 31GX5/16"

Ulticare Micro Pen Needles 32G X 4MM

Topcare Lancets Micro-thin 33G

Ulticare Micro Pen Needles/32G X 4MM

Topcare Ultra Comfort Insulin Syringe/U-100/0.3ML/29G X 1/2"

Ulticare Mini Pen Needles Ulti-fine IV

Ulticare Mini Pen Needles 31GX6MM

Topcare Ultra Comfort Insulin Syringe/U-100/0.5ML/29G X 1/2"

Ulticare Mini Pen Needles/31G X 6MM

Ulticare Mini Pen Needles31GX6MM

Topcare Ultra Comfort Insulin Syringe/U-100/1ML/29G X 1/2"

Ulticare Original Pen Needles Ulti-fine

Ulticare Pen Needles 31G X 5MM/Mini

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

Ulticare Pen Needles/29G X 12.7MM


Ulticare SHORT Pen Needles Ulti-fine IV


Ulticare SHORT Pen Needles 31GX8MM


Ulticare SHORT Pen Needles/31G X 8MM

Topcare Ultra Comfort Insulin Syringe/1ML/30G X 5/16"

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

Topcare Ultra Comfort Insulin Syringe/1ML/31G X 5/16"

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

Travel Lancets Advanced 28G

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

Travel Lancets 30G

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

Truedraw Lancing Device

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

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

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


Ultilet Classic Lancets


Ultilet Insulin Syringe 31X6MM


Ultilet Insulin Syringe/SHORT/0.3ML/30G X 12.7MM


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





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



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


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


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

Trueplus Lancets 26G

Ultilet Insulin Syringe/U-100/0.5ML/31GX6MM


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

Trueplus Lancets 28G Super Thin

Ultilet Insulin Syringe/0.3ML/30G X 8MM



Trueplus Lancets 30G Ultra Thin



Ultilet Insulin Syringe/1ML/30G X 8MM

Trueplus Lancets 33G Micro Thin

Ultilet Insulin Syringe/1ML/31G X 8MM

Trueplus Pen Needles 29GX12MM

Ultilet Lancets


Ultilet Lancets 33G


Ultilet Pen Needle 29GX12.7MM


Ultilet Pen Needle 31GX5MM



Trueplus Safety Lancets 28G


Ulti-lance Automatic/ Clear Tip

Ultilet Pen Needle 32GX4MM/SHORT

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

Ultilet Safety Lancets 21G X 2.2MM

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

Ultilet Safety Lancets 23G

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



Ultilet SHORT Pen Needles 31GX5/16"

Unistik Touch Safety Lancets 30G

Ultilet SHORT Pen Needles31GX3/16"

Unistik 1

Ultilet U-100 Insulin Syringes/1ML/31G X 6MM

Unistik 2

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

Unistik 2 Comfort

Ultra Thin Lancets 28G

Unistik 2 Extra

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

Unistik 2 Neonatal


Unistik 2 Normal


Unistik 2 Super


Unistik 3


Unistik 3 Comfort


Unistik 3 Extra


Unistik 3 Extra Single Use Safety Lancets/21G

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

Unistik 3 Gentle


Unistik 3 Neonatal


Unistik 3 Normal


Universal 1 Lancets Thin 26G

Ultra-thin II Auto Lancet

Universal 1 Lancets Ultra Thin 30G

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

Universal 1 Lancets/33G/Micro-thin

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


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

Value Plus Lancets Standard 21G


Value Plus Lancets Super Thin 30G

Value Plus Lancets Thin 26G


Value Plus Lancing Device

Valumark Lancet Super Thin 30G

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

Valumark Lancet Ultra Thin 28G

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

Valumark Pen Needles 29GX12MM

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

Valumark Pen Needles 31G X 6MM

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

Valumark Pen Needles 31G X 8MM

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

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

Ultra-thin II Lancets 28G

Vanishpoint Insulin Syringe/0.5ML/30G X 5/16"

Ultra-thin II Lancets 30G

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

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


Ultra-thin II Pen Needles 29GX1/2"


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

Vida Mia Autolet Lancing Device

Ultra-thin II Safety Autolancets 26G

Vida Mia Unifine Pentips Mini 31GX6MM

Ultralance

Vida Mia Unifine Pentips Original 29GX12MM

Unifine Pentips Plus 29GX12MM

Vida Mia Unifine Pentips 32GX4MM


Vida Mia Unilet Lancets Super Thin 30G


Vida Mia Unilet Lancets Ultra Thin 28G


Vida Mia Unipfine Pentipsshort 31GX8MM


Vitalet Pro Lancets

Unifine Pentips 29GX12MM

Vitalet Pro Plus Lancets

Unifine Pentips 31G X 3/16"

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

Unifine Pentips 31G X 6MM

Walgreens Advanced Travellancets 28G

Unifine Pentips 31G X 8MM

Walgreens Comfort Assuredlancets Micro Thin/33G


Walgreens Comfort Assuredlancets Super Thin/28G


Walgreens Lancets


Walgreens Thin Lancets


Walgreens Ultra Thin Lancets

Unilet Comfortouch Lancet

Wegmans Unifine Pentips Plus 32GX4MM

Unilet Excelite

Wegmans Unifine Pentips Plus/Mini/31GX5MM

Unilet Excelite II

Wegmans Unifine Pentips Plus/SHORT/31GX8MM

Unilet G.p. Lancet

Wegmans Unifine Pentips Plus/Ultra SHORT/31GX6MM

Unilet G.p. Superlite Lancet

1ST Choice Lancets Super Thin

Unilet GP 28 Ultra Thin

1ST Choice Lancets Thin

Unilet Lancet

1ST Choice Lancets Ultra Thin

Unilet Lancets Micro-thin33G

1ST Tier Unifine Pentips /Mini/31GX5MM

Unilet Lancets Super-thin30G

1ST Tier Unifine Pentips Plus 31GX8MM

Unilet Lancets Ultra-thin 28G

1ST Tier Unifine Pentips Plus 32GX4MM

Unilet Superlite Lancet

1ST Tier Unifine Pentips Plus/Mini/31GX5MM

Unistik CZT Comfort

1ST Tier Unifine Pentips Plus/Original/29GX12MM

Unistik CZT Normal

1ST Tier Unifine Pentips Plus/Ultra SHORT/31GX6MM

Unistik Pro Safety Lancet 21G

1ST Tier Unifine Pentips 29GX12MM





Unistik Safety Lancets 28G


Unistik Safety Lancets 30G

1ST Tier Unilet Comfortouch Lancets 28G


1ST Tier Unilet Comfortouch Lancets 30G





MEDICAL DEVICES - MISC

TIER 01 naloxone HCL

TIER 03 Aerochamber Mini Aerosol Chamber

Naloxone HCL

Aerochamber MV

TIER 03 Chemet

Aerochamber Plus Flow VU

TIER 05 naltrexone HCL

Aerochamber Plus Flow-VU

ExjadePA

Aerochamber Plus Flow-VU/Large Mask

FerriproxPA

Aerochamber Plus Flow-VU/Mask

JadenuPA

Aerochamber Plus Flow-VU/Medium Mask

Jadenu SprinklePA

Aerochamber Plus Flow-VU/Small Mask

VivitrolPA

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

Aerochamber Z-stat Plus/Flowsignal

Aerochamber Z-stat Plus/Large Mask

Aerochamber Z-stat Plus/Medium Mask

Aerochamber Z-stat Plus/Small Mask

Aerochamber/Flowsignal

Aerovent Plus Holding Chamber/Collapsible

Breatherite

Breatherite Collapsible Adult Spacer W/Mask

Breatherite Collapsible Child Spacer W/Mask

Breatherite Collapsible Infant Spacer W/Mask

Breatherite Collapsible Small Child Spacer W/Mask

Breatherite Collapsible Spacer W/ Neonate Mask

Breatherite Rigid Spacer W/Mask

Breatherite W/Large Mask

Breatherite W/Medium Mask

Breatherite W/Small Mask

Clever Choice Anti-staticvalved Holding Chamber/Adult Large

Clever Choice Anti-staticvalved Holding Chamber/Medium

Clever Choice Anti-staticvalved Holding Chamber/Small

Compact Space Chamber/Anti-static

Compact Space Chamber/Anti-static/Large Mask

Compact Space Chamber/Anti-static/Medium Mask

Compact Space Chamber/Anti-static/Small Mask

Easivent

Easivent/Mask-large

Easivent/Mask-medium

Easivent/Mask-small

Flexichamber

Flexichamber Adult Mask/Small

Flexichamber Child Mask/Large

Flexichamber Child Mask/Small

Inspirachamber/Anti-static Valved/Mouthpiece

Inspirachamber/Large

Inspirachamber/Soothermask/Inspiramask/Medium

Inspirachamber/Soothermask/Inspiramask/Small

Inspirease Drug Delivery System

Inspirease Reservoir Bags

Liteaire

Microchamber

Microspacer

Optichamber Advantage/Large Mask

Optichamber Advantage/Medium Face Mask

Optichamber Advantage/Small Face Mask

Optichamber Diamond

Optichamber Diamond/Largeface Mask

Optichamber Diamond/Medium Face Mask

Optichamber Diamond/Smallface Mask

Optihaler

Optihaler MDI Drug Delivery System

Pocket Chamber

Pocket Spacer

Riteflo

Valved Holding Chamber

Vortex Valved Holding Chamber

Watchhaler

MISCELLANEOUS



Index

A

Advate, 13

Akten, 17

Advocate Insulin Pen Needles, 23

Akynzeo, 12

abacavir, 2

Advocate Insulin Pen Needles 29GX12.7MM, 23

ala-cort, 6

abacavir sulfate/lamivudine/zidovudine, 2

Albenza, 2

abacavir/lamivudine, 2

Advocate Insulin Pen Needles 31GX5MM, 23

albuterol sulfate, 20

Abilify Maintena, 15

Albuterol Sulfate ER, 20

acamprosate calcium DR, 16

Advocate Insulin Pen Needles 31GX8MM, 23

albuterol TAB 4MG, 20

acarbose, 10

alclometasone dipropionate, 6

Accu-chek Aviva, 23

Advocate Insulin Syringe/U-100/0.3ML/29GX1/2", 23

Aldactazide, 5

Accu-chek Aviva Plus, 23

Alecensa, 3

Accu-chek Compact Plus, 23


alendronate sodium, 10

Accu-chek Compact Test Drum, 23

Alendronate Sodium, 10

Accu-chek Fastclix Lancetdevice Kit, 23


Alferon N, 3

Accu-chek Fastclix Lancets, 23

alfuzosin HCL ER, 13

Accu-chek Guide, 23


Alinia, 2

Accu-chek Multiclix Lanc Et Device Kit, 23

allergy, 20


allergy childrens, 20

Accu-chek Multiclix Lancets, 23

allergy relief, 20

Accu-chek Safe-t-pro Lancets, 23


allergy relief child, 20

Accu-chek Safe-t-pro Pluslancets, 23

allergy relief childrens, 20

Accu-chek Smartview Strips, 23

Advocate Insulin Syringe/U-100/1ML/29GX1/2", 23

allopurinol, 19

Accu-chek Soft Touch Lancets, 23

almotriptan, 19

Accu-chek Softclix Lancetdevice Kit, 23


almotriptan malate, 19

Accu-chek Softclix Lancets, 23

Alocril, 17

Accutrend Glucose, 23


Alomide, 17

acebutolol HCL, 4

alosetron hydrochloride, 12

acebutolol hydrochloride, 4

Advocate Lancets, 23

Alphagan P, 17

acetaminophen/codeine, 18

Advocate Lancets 30G, 23

Alphanate/Von Willebrand Factor Complex/Human, 13

acetaminophen/codeine phosphate, 18

Advocate Lancing Device, 23

acetasol HC, 17

Advocate Rapid-safe Lancing Device, 23

Alphanine SD, 13

acetazolamide, 5

Advocate Safety Lancets, 23

alprazolam, 14

acetazolamide ER, 5

Advocate Safety Lancets 26G, 23

alprazolam ER, 14

acetazolamide sodium, 5

Adynovate, 13

Alprazolam Intensol, 14

acetic acid, 17

Aerochamber Mini Aerosol Chamber, 34

alprazolam odt, 14

acetic acid 0.25%, 13

Aerochamber MV, 34

alprazolam XR, 14

acetylcysteine, 20

Aerochamber Plus Flow VU, 34

Alprolix, 13

acitretin, 6

Aerochamber Plus Flow-VU, 34

Alrex, 17

Actemra, 19

Aerochamber Plus Flow-VU/Large Mask, 34

Altabax, 6

Acthib, 21

altacaine, 17

Acti-lance Lancets 28G, 23

Aerochamber Plus Flow-VU/Mask, 34

altafrin, 17

Acti-lance Lite Safety Lancets 28G, 23

Aerochamber Plus Flow-VU/Medium Mask, 34

altavera, 8

Acti-lance Special Safety Lancets 17G, 23

Alternate Site Lancing Device, 23

Aerochamber Plus Flow-VU/Small Mask, 34

Aluminum Chloride Hexahydrate, 7

Acti-lance Special Safetylancets 17G, 23

Alunbrig, 3

Acti-lance Universal Safety Lancets 23G, 23

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

Alvesco, 21

alyacen 1/35, 8

Actimmune, 3

Aerochamber Z-stat Plus/Flowsignal, 34

alyacen 7/7/7, 8

Active 1ST Blood Lancets 30G/Easy Twist CAP, 23

Aerochamber Z-stat Plus/Large Mask, 34

amabelz, 8

Aerochamber Z-stat Plus/Medium Mask, 34

amantadine HCL, 16

Actoplus Met XR, 10

Amcinonide, 7

acyclovir, 2, 6

Aerochamber Z-stat Plus/Small Mask, 34

amethia, 8

Aczone, 6

Aerochamber/Flowsignal, 34

amethia LO, 8

adapalene, 5

Aerovent Plus Holding Chamber/Collapsible, 34

amethyst, 8

adapalene and benzoyl peroxide, 5

Amicar, 13

adapalene P.M., 5

AF Lancets Super Thin, 23

amikacin sulfate, 1

Adcirca, 5

afeditab CR, 4

amiloride HCL, 5

adefovir dipivoxil, 2

Afinitor, 3

Amiloride HCL, 5

Adempas, 5

Afinitor Disperz, 3

amiloride/hydrochlorothiazide, 5

Adjustable Lancing Device, 23

Afluria 2017-2018, 21

aminoacetic acid, 13

Admelog, 10

Afluria PF 2017-2018, 21

amiodarone HCL, 4

Adrenalin, 20

Afluria Quadrivalent 2017-2018, 21

amiodarone hydrochloride, 4

adult aspirin EC low strength, 18

Afstyla, 13

amiodarone hydrocloride, 4

adult aspirin regimen, 18

aftera, 8

Amitiza, 12

Advair Diskus, 21

Agamatrix Ultra-thin Lancets 33G, 23

amitriptyline HCL, 14

Advair HFA, 21

agoneaze, 7

amlodipine besylate, 4

Advanced Mobile Lancet 30G, 23

amlodipine besylate/atorvastatin calcium, 5

aspir-81, 18

Aurora Unifine Pentips/32GX5/32", 23

aspir-low, 18

Aurora Unifine Pentips/Mini/31GX3/16", 23

amlodipine besylate/benazepril HCL, 4

aspirin, 18

amlodipine besylate/benazepril hydrochloride, 4

aspirin 81, 18

Auryxia, 12

aspirin 81 low dose, 18

Auto-lancet, 23

amlodipine besylate/valsartan, 4

aspirin adult low dose, 18

Auto-lancet Mini, 23

amlodipine/olmesartan medoxomil, 5

aspirin adult low strength, 18

Autolet II Clinisafe, 23

amlodipine/valsartan/hctz, 5

aspirin childrens, 18

Autolet Impression Lancing Device, 23

ammonium lactate, 7

aspirin EC, 18

Autolet Lancing Device, 23

amnesteem, 5

aspirin EC low dose, 18

Autolet Lite Clinisafe, 23

Amoxapine, 15

aspirin enteric coated adult low strength, 18

Autolet Lite Starter Pack, 23

amoxicillin, 1

Autolet Mini, 23

Amoxicillin, 1

aspirin low dose, 18

Autolet Platforms, 23

amoxicillin/clavulanate potassium, 1

aspirin low strength, 18

Autolet Plus, 23

Amoxicillin/Clavulanate Potassium, 1

aspirin regimen low dose/adult, 18

Auvi-q, 5

amoxicillin/clavulanate potassium ER, 1

aspirin/dipyridamole, 13

Avage, 7

amphetamine/dextroamphetamine, 15

aspirtab, 18

Avandia, 10

Ampicillin, 1

Assure Comfort Lancets Ultra Thin 28G, 23

avar cleanser, 5

Ampyra, 16

avar-e emollient, 5

Amytal Sodium, 15

Assure Comfort Lancets Ultra Thin 30G, 23

avar-e green, 5

ana-lex, 12

Avc, 13

Anacaine, 7

Assure Haemolance Plus High Flow 18G, 23

aviane, 8

Anadrol-50, 8

avidoxy, 1

anagrelide hydrochloride, 13

Assure Haemolance Plus Low Flow 25G, 23

avita, 5

Analpram-HC, 12

Avonex, 16

anastrozole, 3

Assure Haemolance Plus Micro Flow 28G, 23

Avonex Pen, 16

Androgel, 8

Azasan, 3

Androgel P.M., 8

Assure Haemolance Plus Normal Flow 21G, 23

Azasite, 17

anodyne lpt, 7

azathioprine, 3

Anoro Ellipta, 21

Assure Haemolance Plus Pediatric Blade, 23

azelastine HCL, 17, 20

Anzemet, 12

azelastine hydrochloride, 20

Apexicon E, 7

Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 23

Azelex, 6

Apidra, 10

azithromycin, 1

Apidra Solostar, 10

Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2", 23

Azithromycin, 1

apraclonidine, 17

Azopt, 17

aprepitant, 12

Assure Lance Lancets, 23

azurette, 8

apri, 8

Assure Lance Lancets 21G, 23

B

Apriso, 12

Assure Lance Plus Safety Lancets 25G, 23

B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 23

Aptivus, 2

Aqua Lance Adjustable Lancing Device, 23

Assure Lance Plus Safety Lancets 30G, 23

B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16", 23

aqueous vitamin d infants, 21

Assure Lancets, 23

B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 23

aranelle, 8

Astagraf XL, 3

Arestin, 14

Atabex Prenatal, 22

B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 23

argyle sterile saline 100ML, 13

atazanavir, 2

aripiprazole, 15

atazanavir sulfate, 2

B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 23

aripiprazole odt, 15

atenolol, 4

Aristada, 15

atenolol/chlorthalidone, 5

Baby Super Daily D3, 22

armodafinil, 15

atomoxetine, 15

Baby Vitamin D3 Drops, 22

Armonair Respiclick 113, 21

atorvastatin calcium, 5

baciim, 2


atovaquone, 2

bacitracin, 2


atovaquone/proguanil HCL, 2

Bacitracin, 17

Armour Thyroid, 11

Atripla, 2

bacitracin/polymyxin b, 16

Arnica Flower, 7

atropine sulfate, 11

baclofen, 16

Arnuity Ellipta, 21

Atropine Sulfate, 11, 17

balsalazide disodium, 12

ascomp/codeine, 18

Atrovent HFA, 21

balziva, 8

ashlyna, 8

Aubagio, 16

Banzel, 16

Asmanex HFA, 21

aubra, 8

Baraclude, 2

Asmanex Twisthaler 120 Metered Doses, 21

augmented betamethasone dipropionate, 6

Baxdela, 1

bayer advanced aspirin regular strength, 18


Augmented Betamethasone Dipropionate, 7

bayer aspirin, 18


Augmentin, 1

bayer aspirin EC low dose, 18

Aurora Lancet Super Thin 30G, 23

bayer aspirin regimen, 18


Aurora Lancet Thin 23G, 23

bayer chewable low dose, 18

Aurora Pen Needles 29GX12MM, 23

bayer low dose, 18


Aurora Pen Needles 31G X 6MM, 23

Bayer Microlet 2 Lancing Device, 23

Aurora Pen Needles 31G X 8MM, 23

Bayer Microlet Lancets, 23

BD Autoshield 29G X 3/16", 24

100/1ML/25G X 5/8", 24

Betaseron, 16

BD Autoshield 29G X 5/16", 24

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 24

betaxolol HCL, 4, 17

BD Autoshield Duo 30G X 3/16", 24

bethanechol chloride, 12

BD Insulin Syringe LUER-LOK/U-100/1ML, 24

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 24

Betimol, 17

Betoptic-s, 17

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 24

BD Insulin Syringe/U-100/1ML/27G X 1/2", 24

Bevespi Aerosphere, 21

Bevyxxa, 13

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 24

BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 24

bexarotene, 3

Bexsero, 21

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 24

BD Insulin Syringe/U-500/0.5ML/31G X 15/64", 24

bicalutamide, 3

Bidil, 5

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 24

BD Lancet Ultrafine 30G, 24

Biktarvy, 2

BD Lancet Ultrafine 33G, 24

Bimatoprost, 17

BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 24

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 24

Bio-d-mulsion, 22

Bio-d-mulsion Forte, 22

BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 24

BD Microtainer Lancets, 24

Bio-statin, 1

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 24

biotuss, 20

BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 24

biotuss pediatric, 20

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 24

bisoprolol fumarate, 4

BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 24

bisoprolol fumarate/hydrochlorothiazide, 5

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 24

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 15/64", 24

Blephamide, 17

BD Pen Needle/Ultrafine/29G X 12.7MM, 24

Blephamide S.o.p., 17


blisovi 24 FE, 8

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 24

blisovi FE 1.5/30, 8


blisovi FE 1/20, 8

BD Pen Needles SHORT/Ultrafine/31G X 5/16", 24

Bocasal, 14

BD Insulin Syringe Safetyglide/U-100/1ML/31G X 15/64", 24

Boostrix, 21

BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2", 24

Boric Acid, 7

BD Insulin Syringe Slip Tip/U-100/1ML, 24

Bosulif, 3

BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 24

Botox, 16

BD Insulin Syringe U-100/0.3ML/29G X 1/2", 24

bp 10-1, 6

BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 24

bp foam, 6

BD Insulin Syringe Ultra Fine/1ML/30G X 1/2", 24

bp wash, 6

BD Ultra-fine Micro Pen Needles 6MM X 32G, 24

bpo foaming cloths, 6

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 24

bprotected pedia d-vite, 21

BD-insul SYR Mis LO Dose, 24

bprotected pedia iron, 13

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 24

Bebulin, 14

Bravelle, 10

Beconase AQ, 20

Breatherite, 34

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 24

bekyree, 8

Breatherite Collapsible Adult Spacer W/Mask, 34

Belladonna & Opium, 11

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 24

Belladonna Alkaloids & Opium, 11

Breatherite Collapsible Child Spacer W/Mask, 34

belladonna alkaloids/phenobarbital, 11


benazepril HCL, 4

Breatherite Collapsible Infant Spacer W/Mask, 34

benazepril HCL/hydrochlorothiazide, 5


Benefix, 14

Breatherite Collapsible Small Child Spacer W/Mask, 34

Bensal HP, 7


benzepro, 5

Breatherite Collapsible Spacer W/ Neonate Mask, 34

benzepro creamy wash, 5

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 24

benzepro foaming cloths, 5

Breatherite Rigid Spacer W/Mask, 34

benzepro SHORT contact, 5

Breatherite W/Large Mask, 34

BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 24

Benziq, 6

Breatherite W/Medium Mask, 34

Benziq LS, 6

Breatherite W/Small Mask, 34

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 24

Benznidazole, 2

Breo Ellipta, 21

benzoin compound tincture, 7

briellyn, 8


Benzoin Tincture, 7

Brilinta, 13

benzonatate, 20

brimonidine tartrate, 17


benzoyl peroxide, 6

Briviact, 16

Benzoyl Peroxide 8%, 6

bromfed DM, 20


benzoyl peroxide- HC, 6

Bromfenac, 17

benztropine mesylate, 16

bromocriptine mesylate, 16

BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 24

Bepreve, 17

bromphen/pseudoephedrine HCL/dextromethorphan HBR, 20

Besivance, 17

BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64", 24

Betadine Ophthalmic Prep, 17

Brompheniramine Tannate, 20

betamethasone dipropionate, 6

Brovana, 21

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 24

betamethasone sodium phosphate/betamethasone acetate, 8

budesonide, 8, 20

Bullseye Mini Safety Lancets, 23

BD Insulin Syringe/Detachable Needle/U-

betamethasone valerate, 6

Bullseye Safety Lancets, 23

bumetanide, 5

Carefine Pen Needles 31GX6MM, 24

cefprozil, 1

Bunavail, 19


ceftriaxone sodium, 1

bupivacaine HCL, 19


cefuroxime axetil, 1

bupivacaine/epinephrine, 19


celecoxib, 19

buprenorphine HCL, 18

Careone Advanced Lancing Device, 24

Celontin, 16

buprenorphine HCL/naloxone HCL, 18

Careone Insulin Syringes/0.3ML/30G X 1/2", 24

Cem-urea, 7

bupropion HCL, 14

cephalexin, 1

bupropion HCL ER, 14


Cerdelga, 13

bupropion HCL SR, 14, 16

cerovel, 7

bupropion HCL XL, 14


Cesamet, 12

bupropion hydrochloride, 14

cetirizine HCL, 20

buspirone HCL, 14


Cetrotide, 10

butalbital/acetaminophen, 18

cevimeline HCL, 14

butalbital/acetaminophen/caffeine, 18

Careone Insulin Syringes/1ML/30G X 1/2", 24

Chantix, 16

butalbital/acetaminophen/caffeine/codeine, 18

Chantix Continuing Month PAK, 16

Careone Insulin Syringes/1ML/31GX5/16", 24

Chantix Starting Month PAK, 16

butalbital/aspirin/caffeine, 18

chateal, 8

Butalbital/Aspirin/Caffeine, 18

Careone Lancet Thin, 24

Chemet, 34

butalbital/aspirin/caffeine/codeine, 18

Careone Lancet Ultra Thin, 24

Chenodal, 12

Butisol Sodium, 15

Careone Unifine Pentips 29GX12MM, 24

childrens aspirin, 18

butorphanol tartrate, 18


childrens aspirin low strength, 18

Bydureon, 10


childrens loratadine, 20

Bydureon Pen, 10


Chloral Hydrate, 15

Byetta, 10

Careone Unifine Pentips Pen Needles 32GX4MM, 24

chlordiazepoxide HCL, 14

Bystolic, 4

Chlordiazepoxide/Amitriptyline, 16

C

Careone Unifine Pentips Plus Pen Needles 29GX12MM, 24

chlorhexidine gluconate, 14

chloroprocaine hydrochloride, 19

cabergoline, 11


chloroquine phosphate, 2

caffeine citrate, 15

Chloroquine Phosphate, 2

calcipotriene, 6


chlorothiazide, 5

calcipotriene/betamethasone dipropionate, 6

Chlorothiazide, 5


chlorpromazine HCL, 15

calcitonin salmon, 10

Chlorpromazine HCL, 15

calcitonin-salmon, 10


Chlorpropamide, 10

calcitrene, 6

chlorthalidone, 5

Calcitriol, 6

Caretouch Lancing Device With Ejector, 24

Chlorzoxazone, 16

calcitriol, 11

Cholbam, 12

calcium acetate, 12

Caretouch Pen Needles 31 G X 6 MM, 24

cholestyramine, 5

Calquence, 3

cholestyramine light, 5

camila, 8

Caretouch Pen Needles 31GX 5MM, 24

choline magnesium trisalicylate, 18

Camphor, 6


Chorionic Gonadotropin, 10

camrese, 8


Cialis, 5

camrese LO, 8


ciclodan, 6

Canasa, 12

Caretouch Twist Lancets 28G, 24

ciclopirox, 6

candesartan cilexetil, 4


ciclopirox nail lacquer, 6

candesartan cilexetil/hydrochlorothiazide, 5


ciclopirox olamine, 6

carisoprodol, 16

ciclopirox treatment, 6

capecitabine, 3

carisoprodol/aspirin, 16

cilostazol, 13

Capex, 7

carisoprodol/aspirin/codeine, 16

Ciloxan, 17

Caprelsa, 3

Carteolol HCL, 17

cimetidine, 11

captopril, 4

cartia XT, 4

Cimetidine HCL, 11

Captopril/Hydrochlorothiazide, 5

carvedilol, 4

Cimzia, 12

Carafate, 12

carvedilol phosphate, 4

Cimzia Starter Kit, 12

Carbaglu, 11

Cascara Sagrada, 11

Cipro, 1

carbamazepine, 15

cavarest, 14

Cipro HC, 18

carbamazepine ER, 15

Caverject, 5

Ciprodex, 18

Carbaphen 12, 20

Caverject Impulse, 5

ciprofloxacin, 1

Carbaphen 12 PED, 20

Cayston, 2

Ciprofloxacin, 18

carbidopa, 16

caziant, 8

ciprofloxacin ER, 1

carbidopa/levodopa, 16

cefaclor, 1

ciprofloxacin HCL, 1, 16

carbidopa/levodopa ER, 16

Cefaclor, 1

Ciprofloxacin HCL, 1

carbidopa/levodopa odt, 16

Cefaclor ER, 1

citalopram, 14

Carbidopa/Levodopa/Entacapone, 16

cefadroxil, 1

citalopram hydrobromide, 14

carbinoxamine maleate, 20

Cefazolin Sodium, 1

Citranatal 90 DHA, 22

Cardiocom Lancing Device, 24

cefdinir, 1

Citranatal Assure, 22

Cardura XL, 13

Cefditoren Pivoxil, 1

Citranatal B-calm, 22

Carefine Pen Needle 32GX4MM, 24

cefixime, 1

Citranatal Bloom DHA, 22

Carefine Pen Needles 29GX1/2", 24

cefpodoxime proxetil, 1

Citranatal DHA, 22

Carefine Pen Needles 30GX5/16", 24

claravis, 6

Clever Choice Comfort EZ Pen Needles 32GX8MM, 24

Cometriq, 3

clarithromycin, 1

Comfort Assist Insulin Syringe 0.3ML/29G X 1/2", 25

Clarithromycin, 1


clarithromycin ER, 1

Comfort Assist Insulin Syringe/0.3ML/30G X 5/16", 25

claritin allergy childrens, 20


Classic Prenatal, 22


Cleanlet Lancets 28G, 24


Cleocin, 13


Clever Chek Lancets Ultrathin, 24


Clever Chek Lancets Ultrathin 30G, 24


Clever Choice Anti-staticvalved Holding Chamber/Adult Large, 34

Clickfine Pen Needle 32GX5/32", 25

Clickfine Pen Needle Universal/31GX1/4", 24


Clever Choice Anti-staticvalved Holding Chamber/Medium, 34

Clickfine Pen Needle Universal/31GX5/16", 25

Comfort Assist Insulin Syringe/1ML/29G X 1/2", 25

Clever Choice Anti-staticvalved Holding Chamber/Small, 34

Clickfine Pen Needles/31GX1/4", 25


Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 24

Clickfine Pen Needles/31GX5/16", 25

Clickfine Universal Pen Needles 31GX5/16", 25


Clever Choice Comfort EZ Insulin Pen Needles 33GX4MM, 24

Climara Pro, 8

Comfort Assured Lancets Micro Thin 33G, 25

Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 24

clindacin etz pledgets, 6

clindacin-p, 6

Comfort Assured Lancets Super Thin 28G, 25


Clindagel, 6

clindamycin HCL, 2

Comfort Lancets, 25


clindamycin palmitate HCL, 2

Compact Space Chamber/Anti-static, 34

clindamycin phosphate, 6, 12

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


clindamycin phosphate/tretinoin, 6

clindamycin/benzoyl peroxide, 6

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


Clindesse, 13

Clinical Nutrients Prenatal Formula, 22

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


clinpro 5000, 14

clobetasol propionate, 6

Complera, 2


clobetasol propionate e, 6

Complete Natal DHA, 22

clobetasol propionate emollient, 7

Completenate, 22


Clocortolone Pivalate, 7

compro, 15

Clocortolone Pivalate P.M., 7

Condylox, 7


clodan, 7

constulose, 11

clomipramine HCL, 14

Copaxone, 16


clonazepam, 15

Cordran, 7

clonazepam odt, 15

Corifact, 14

Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 24

clonidine HCL, 4

Cortifoam, 12

clopidogrel, 13

Cortisone Acetate, 8


clorazepate dipotassium, 14

Cortisporin, 6

clotrimazole, 6, 14

Cosentyx, 6


clotrimazole/betamethasone dipropionate, 6

Cosentyx Sensoready Pen, 6

Cotellic, 3

Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 24

clozapine, 15

covaryx, 8

clozapine odt, 15

covaryx HS, 8

Clever Choice Comfort EZ Lancets 21G, 24

Clozapine Odt, 15

Creon, 12

CO-natal Fa, 22

Cresemba, 1


Coagadex, 14

Crinone, 13

Coaguchek Lancets, 25

Crixivan, 2


Coal TAR, 7

cromolyn sodium, 12, 17, 20

Coartem, 2

cryselle-28, 8


Cocaine HCL, 7

curity sterile saline, 13

codeine sulfate, 18

Curosurf, 21


Codeine Sulfate, 19

Cuvposa, 12

Colchicine, 19

CVS allergy relief, 20


Colcrys, 19

CVS allergy relief childrens, 20

colesevelam hydrochlori DE, 5

CVS aspirin, 18


colestipol HCL, 5

CVS aspirin adult low dose, 18

colistimethate sodium, 2

CVS aspirin adult low strength, 18


colocort, 12

CVS aspirin EC, 18

Coly-mycin S, 18

CVS aspirin low dose, 18


Colyte-flavor Packs, 11

CVS aspirin low strength, 18

Combigan, 17

CVS d3, 22


Combipatch, 8

CVS enteric aspirin, 18

Combivent Respimat, 21

CVS folic acid, 13

CVS Lancets 21G, 25

daysee, 8

Dilantin Infatabs, 16

CVS Lancets Micro Thin 33G, 25

Daytrana, 15

Dilantin-125, 16

CVS Lancets Micro-thin 33G, 25

Ddrops, 22

Dilatrate SR, 4

CVS Lancets Original, 25

Debacterol, 14

dilt-XR, 4

CVS Lancets Thin 26G, 25

deblitane, 8

diltiazem CD, 4

CVS Lancets Ultra Thin 30G, 25

decara, 21

diltiazem HCL, 4

CVS Lancets Ultra-thin 30G, 25

Decara, 22

diltiazem HCL CD, 4

CVS Lancing Device, 25

Decon-a, 20

diltiazem HCL ER, 4

CVS Prenatal, 22

delta d3, 21

Dipentum, 12

CVS Ultra Thin Lancets, 25

deltasone, 8

diphenhydramine HCL, 20

CVS vitamin d childrens gummies, 22

delyla, 8

diphenoxylate/atropine, 11

CVS vitamin d3, 22

demeclocycline HCL, 1

Diphenoxylate/Atropine, 11

CVS Vitamin D3 Drops/Infants, 22

demeclocycline hydrochloride, 1

dipyridamole, 13

cyanocobalamin, 13

Demser, 4

disopyramide phosphate, 4

cyclafem 1/35, 8

Denavir, 6

disulfiram, 16

cyclafem 7/7/7, 8

denta 5000 plus, 14

Diuril, 5

cyclobenzaprine HCL, 16

dentagel, 14

divalproex sodium, 15

cyclobenzaprine hydrochloride, 16

Depo-estradiol, 8

divalproex sodium DR, 15

Cyclomydril, 17

Depo-subq Provera 104, 9

divalproex sodium ER, 15

cyclopentolate HCL, 17

dermacinrx empricaine, 7

Divigel, 8

cyclopentolate hydrochloride, 17

dermacinrx prizopak, 7

dofetilide, 4

cyclophosphamide, 2

Descovy, 2

donepezil HCL, 16

Cyclophosphamide, 2

desipramine HCL, 14

donepezil hydrochloride, 16

Cycloserine, 1

desloratadine, 20

donepezil hydrochloride odt, 16

Cycloset, 10

Desloratadine Odt, 20

Doral, 15

cyclosporine, 3

desmopressin acetate, 11

dorzolamide HCL, 17

cyclosporine modified, 3

desogestrel/ethinyl estradiol, 8

dorzolamide HCL/timolol maleate, 17

Cyclosporine Modified, 3

Desonate, 7

doxazosin, 4

cyproheptadine HCL, 20

desonide, 7

doxazosin mesylate, 4

cyproheptadine hydrochloride, 20

desoximetasone, 7

doxepin HCL, 14

cyred, 8

desvenlafaxine ER, 14

Doxepin Hydrochloride, 6

Cystadane, 11

Desvenlafaxine ER, 15

doxercalciferol, 11

Cystagon, 13

dexamethasone, 8

doxycycline, 1

cytra k crystals, 13

Dexamethasone, 8

doxycycline hyclate, 1

D

Dexamethasone Intensol, 8

Doxycycline Hyclate, 1

dexamethasone sodium phosphate, 8

doxycycline monohydrate, 1

d 1000, 21

Dexamethasone Sodium Phosphate, 8, 17

Dritho-creme HP, 6

d 10000, 21

dronabinol, 12

d 2000, 21

Dexilant, 12

droperidol, 14

d 400, 21

dexmethylphenidate HCL, 15

Droplet Lancets Ultra Thin 30G, 25

d 5000, 21

dexmethylphenidate HCL ER, 15

Droplet Lancing Device, 25

d-1000, 21

dexmethylphenidate hydrochloride, 15

Droplet Pen Needles 29GX10MM, 25

d-1000 extra strength, 21

dextroamphetamine sulfate, 15


d-2000 maximum strength, 21

dextroamphetamine sulfate ER, 15


d-3-5, 21

dialyvite vitamin d 5000, 21


d-400, 21

dialyvite vitamin d3 max, 21


d-5000, 21

diazepam, 14

Droplet Pen Needles 32G X 1/4", 25

d2000 ultra strength, 21

Diazepam, 14


d3, 21

diazepam intensol, 14


d3 2000, 21

Diazepam Rectal Gel, 16


d3 adult, 21

diclofenac potassium, 19


d3 adult gummy, 21

diclofenac sodium, 6, 17


D3 Dots, 22

diclofenac sodium DR, 19


d3 high potency, 21

diclofenac sodium ER, 19


d3 kids, 21

diclofenac sodium/misoprostol, 19

drospirenone/ethinyl estradiol, 8

d3 maximum strength, 21

dicloxacillin sodium, 1

drospirenone/ethinyl estradiol/levomefolate calcium, 8

d3 super strength, 21

dicyclomine HCL, 11

d3 ultra strength, 21

didanosine, 2

Droxia, 13

d3 vitamin, 21

Dificid, 1

Drug Mart Adjustable Lancing Device, 25

d3-1000, 21

difil-G forte, 20

Drug Mart Lancets Thin, 25

d3-50, 21

Diflorasone Diacetate, 7

Drug Mart Lancets Ultra Thin, 25

Daliresp, 21

diflunisal, 18

Drug Mart On-the-go Lancets Gentle 30G, 25

danazol, 8

digitek, 3

dantrolene sodium, 16

digox, 3

Drug Mart Unifine Pentips 31GX5MM, 25

dapsone, 2, 6

digoxin, 4

Drug Mart Unifine Pentips29G X 12MM, 25

Daraprim, 2

Digoxin, 4

darifenacin hydrobromide ER, 12

Dihydroergotamine Mesylate, 19

Drug Mart Unifine Pentips31GX6MM, 25

dasetta 1/35, 8

Dilantin, 16


dasetta 7/7/7, 8


Easy Mini Lancing Device, 25

Activated, 25

Drug Mart Unifine Pentipsplus 32GX4MM, 25

Easy Touch 32GX5MM, 26

Easy Touch Lancets 32G/Pull-top, 25

Easy Touch 32GX6MM, 26

Easy Touch Lancets 32G/Twist, 25

Drug Mart Unilet Lancets Super Thin 30G, 25

Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2", 25


Easy Touch Lancing Device/Ejector, 25

Drug Mart Unilet Lancets Ultra Thin 28G, 25


Easy Touch Pen Needle 30 G X 5/16", 25

Drug Mart Unilet Micro Thin Lancets 33G, 25


Easy Touch Pen Needles 29GX1/2", 25


Duane Reade Lancet Alternate Site 26G, 25




Duane Reade Lancet Super Thin 30G, 25

Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 25



Duane Reade Lancet Ultra Thin 28G, 25


Easy Touch Pen Needles/31G X 3/16", 25

Duane Reade Unifine Pentips 29G X 12MM, 25


Easy Touch Safety Lancets21G/Pressure Activated, 25

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 25



Duane Reade Unifine Pentips 31G X 8MM SHORT, 25

Easy Touch Insulin Syringe/1ML/30G X 5/16", 25

Easy Touch Safety Lancets26G/Button Activated, 25

Duavee, 8

duloxetine HCL, 15

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2", 25


duloxetine hydrocloride, 15

Durezol, 17

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16", 25

Easy Touch Safety Lancets28G/Button Activated, 25

dutasteride, 13

dutasteride/tamsulosin HCL, 13

Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2", 25


dutasteride/tamsulosin hydrochloride, 13

Dutoprol, 5

Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2", 25

Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2", 26

Duzallo, 19

Dyrenium, 5

Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2", 25


Dysport, 16

E



E-z Ject Lancets, 25


Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2", 26

E-z Ject Lancets 21G, 25

E-z Ject Lancets Color, 25


Easy Twist & CAP Lancets, 26

E-z Ject Lancets Super Thin, 25

easygel, 14

E-z Ject Lancets Super Thin 30G, 25


EC-81 aspirin, 18

E-z Ject Lancets Thin 26G, 25

econazole nitrate, 6

E-ZJECT Lancets Micro-thin 33G, 25

Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2", 25

econtra EZ, 8

E.e.s. 400, 1

econtra one-step, 8

Easivent, 34


ecotrin, 18

Easivent/Mask-large, 34

ecotrin low strength, 18

Easivent/Mask-medium, 34


ecpirin, 18

Easivent/Mask-small, 34

ed-spaz, 11

Easy Comfort Insulin Syringe/0.5ML/30G X 5/16", 25


Edarbi, 4

Edarbyclor, 5

Easy Comfort Insulin Syringe/0.5ML/31G X 5/16", 25


Edex, 5

Edurant, 2

Easy Comfort Insulin Syringe/1ML/30G X 5/16", 25

Easy Touch Lancets 21G/Pressure Activated, 25

eemt, 8

eemt HS, 8

Easy Comfort Insulin Syringe/1ML/31G X 5/16", 25


efavirenz, 2

Egrifta, 11

Easy Comfort Insulin Syringe/U-100/0.5ML/30G X 1/2", 25


Elelyso, 13

Elestrin, 8

Easy Comfort Insulin Syringe/U-100/1ML/30G X 1/2", 25


eletriptan hydrobromide, 19


Elidel, 7

Easy Comfort Lancets, 25


Eligard, 3

Easy Comfort Lancets 30G/Pull Top, 25

elinest, 8

Easy Comfort Lancets 30G/Thin Top, 25


Eliquis, 13

Easy Comfort Pen Needles 31GX1/4", 25


Eliquis Starter Pack, 13


Easy Touch Lancets 30G/Button-activated, 25

Elite-OB, 22

Elite-thin Insulin Syringe/0.3ML/31G X 5/16", 26








Easy Glide Pen Needles 33G X 5/32", 25

Easy Touch Lancets 32G/Pressure

Easy Mini Eject Lancing Device, 25

Elite-thin Insulin Syringe/1ML/29G X 5/16", 26

eq aspirin adult low dose, 18

ethacrynic acid, 5

eq aspirin EC, 18

ethambutol HCL, 1

Elite-thin Insulin Syringe/1ML/30G X 5/16", 26

eq aspirin low dose, 18

ethosuximide, 15

eq childrens aspirin, 18

Ethyl Chloride, 7

Elite-thin Insulin Syringe/U-100/0.5ML/28G X 1/2", 26

eq childrens loratadine, 20

Ethyl Chloride/Fine Pinpoint, 7

eq loratadine, 20

Ethyl Chloride/Fine Stream, 7


eql allergy relief, 20

Ethyl Chloride/Medium Jet Stream, 7

eql aspirin, 18

Ethyl Chloride/Medium Stream, 7


eql aspirin EC, 18

Ethyl Chloride/Mist, 7

eql aspirin low dose, 18

ethynodiol diacetate/ethinyl estradiol, 8


Eql Color Lancets 21G, 26

Etidronate Disodium, 10

Eql Color Lancets Micro Thin 33G, 26

etodolac, 19

Elite-thin Insulin Syringe/U-100/1ML/28G X 1/2", 26

Eql Insulin Syringe/0.3ML/29G X 1/2", 26

etodolac ER, 19


Etoposide, 3


Eurax, 7


Evamist, 8


Evotaz, 2


Excel Comfort Point Insulin Pen Needles 31G X 4MM, 26



Exel Comfort Point Insulin Pen Needles 29G X 12MM, 26

Elixophyllin, 20


Ella, 9


Elmiron, 13

Eql Insulin Syringe/1ML/29G X 1/2", 26

Eloctate, 14



Emadine, 17


Embrace Lancets Ultra Thin 30G, 26

Eql Prenatal Formula, 22

Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 26

Emcyt, 3

Eql SHORT Pen Needles 31G X 8MM, 26

Emend, 12


emoquette, 8

Eql Super Thin Lancets 30G, 26

Emsam, 15

Eql Thin Lancets 26G, 26


Emtriva, 2

Eql Ultra SHORT Pen Needles 31G X 6MM, 26

Emverm, 2


enalapril maleate, 4

eql vitamin d3, 21

enalapril maleate/hydrochlorothiazide, 5

eql vitamin d3 gummies, 21


Enbrel, 19

Equetro, 15

Enbrel Sureclick, 19

Ergoloid Mesylates, 16

Exel Comfort Point Insulin Syringe/1ML/28G X 1/2", 26

Encare, 13

Ergomar, 19

endocet, 18

ergotamine tartrate/caffeine, 19


Endometrin, 13

errin, 8

Engerix-b, 21

Ertaczo, 6


enoxaparin sodium, 13

ery, 6

enpresse-28, 8

Ery-TAB, 1

Exelderm, 6

enskyce, 8

Eryped 400, 1

exemestane, 3

Enstilar, 7

Erythrocin Stearate, 1

Exjade, 34

entacapone, 16

erythromycin, 1, 6, 16

EZ Smart Blood Glucose Lancets, 26

entecavir, 2

erythromycin base, 1

EZ-lets Lancets 21G, 26

Entereg, 12

erythromycin ethylsuccinate, 1


enteric coated aspirin, 18

Erythromycin Ethylsuccinate, 1

EZ-lets Lancets 26G Super-soft, 26

Entresto, 5

erythromycin/benzoyl peroxide, 6

EZ-lets Lancets 28G Ultra-soft, 26

enulose, 12

Esbriet, 21


Envarsus XR, 3

escitalopram oxalate, 14

ezetimibe, 5

Epclusa, 2

esgic, 18

ezetimibe/simvastatin, 5

ephedrine sulfate, 5

esomeprazole magnesium, 11

Ezfe Forte, 22

Epifoam, 7

estarylla, 8

F

epinastine HCL, 17

estazolam, 15

fa-8, 13

Epinephrine, 5

esterified estrogens/methyltestosterone, 8

Fabior, 6

epinephrine HCL, 5

falmina, 8

Epipen 2-PAK, 5

esterified estrogens/methyltestosterone DS, 8

famciclovir, 2

Epipen-JR 2-PAK, 5

famotidine, 11

episone CRE, 7

esterified estrogens/methyltestosterone HS, 8

Fanapt, 15

epitol, 15

Fanapt Titration Pack, 15

Epivir HBV, 2

estradiol, 8, 12

Fareston, 3

eplerenone, 4

estradiol valerate, 8

Farydak, 3

Eprosartan Mesylate, 4

estradiol/norethindrone acetate, 8

Faslodex, 3

eq adult aspirin low strength, 18

Estring, 13

fayosim, 8

eq allergy relief, 20

Estrogel, 8

Feiba, 14

eq allergy relief childrens, 20

Estropipate, 8

felbamate, 15

eq aspirin, 18

eszopiclone, 15

felodipine ER, 4

Fem PH, 13

fluocinolone acetonide, 7, 17

100/1ML/30G X 5/16", 26

Femring, 13

fluocinolone acetonide body, 7

Freestyle Unistick II Lancets, 26

femynor, 8

fluocinolone acetonide ear drops, 17

frovatriptan succinate, 19

fenofibrate, 5

fluocinolone acetonide scalp, 7

furosemide, 5

Fenofibrate, 5

fluocinonide, 7

Furosemide, 5

fenofibrate micronized, 5

fluocinonide emulsified base, 7

Fuzeon, 2

Fenofibric Acid, 5

fluoridex, 14

fyavolv, 8

fenofibric acid DR, 5

fluoridex daily renewal, 14

Fycompa, 16

fenoprofen calcium, 19

fluoridex enhanced whitening, 14

G

Fenoprofen Calcium, 19

fluoridex sensitivity relief, 14

gabapentin, 15

fentanyl, 18

fluoridex sensitivity relief/sls free, 14

galantamine hydrobromide, 16

fentanyl citrate oral transmucosal, 19

fluorometholone, 17

Galantamine Hydrobromide, 16

Fentora, 19

Fluoxetine, 16

galantamine hydrobromide ER, 16

ferosul, 13

Fluoxetine DR, 15

Ganirelix Acetate, 10

Ferretts IPS, 13

fluoxetine HCL, 14, 16

Gardasil 9, 21

Ferriprox, 34

fluphenazine decanoate, 15

gatifloxacin, 16

ferrous sulfate, 13

fluphenazine HCL, 15

gavilyte-c, 11

Ferrous Sulfate, 13

Fluphenazine HCL, 15

gavilyte-G, 11

Ferrous Sulfate Heptahydrate, 13

flurandrenolide, 7

gavilyte-h, 11

Fiasp, 9

Flurazepam HCL, 15

gavilyte-n/flavor pack, 11

Fiasp Flextouch, 9

flurbiprofen, 19

Gebauers Pain Ease, 7

Fibryga, 14

Flurbiprofen Sodium, 17

Gebauers Spray And Stretch, 7

Fifty50 Pen Needles 31G X3/16" (5MM), 26

flutamide, 3

Gelclair, 14

fluticasone propionate, 7, 20

Gelx, 14

Fifty50 Pen Needles 31G X5/16" (8MM), 26

Fluticasone Propionate/Salmeterol, 20

gemfibrozil, 5

fluvastatin, 5

Genadur, 7

Fifty50 Pen Needles 31GX5MM, 26

fluvastatin sodium ER, 5

gene-xene TAB 15MG, 14

Fifty50 Pen Needles/31GX8MM, 26

Fluvirin 2015-2016, 21

gene-xene TAB 3.75MG, 14


Fluvirin 2017-2018, 21

gene-xene TAB 7.5MG, 14


fluvoxamine maleate, 14

generlac, 12

Fifty50 Safety Seal Lancets 30G, 26

fluvoxamine maleate ER, 14

gengraf, 3

Fifty50 Safety Seal Lancets 32G, 26

Fluzone High-dose PF 2017-2018, 21

Gentak, 17

Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16", 26

Fluzone Intradermal Quadrivalent 2017-2018, 21

gentamicin sulfate, 1, 6, 16

gentamicin sulfate pediatric, 1

Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 26

Fluzone Quadrivalent 2017-2018, 21

Genteel Butterfly Touch Lancets, 26

FML, 17

Genteel Contact Tips/Blue, 26

Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 26

FML Forte, 17

Genteel Contact Tips/Clear, 26

folic acid, 13

Genteel Contact Tips/Green, 26

Fifty50 Unilet Lancets 33G, 26

Follistim AQ, 10

Genteel Contact Tips/Orange, 26

Finacea, 6

fondaparinux sodium, 13

Genteel Contact Tips/Rainbow, 26

finasteride, 13

Fora Lancets, 26

Genteel Contact Tips/Violet, 26

Fine 30, 26

Fora Lancing Device, 26

Genteel Contact Tips/Yellow, 26

Fingerstix Lancets, 26

Fora Lancing Device/Clearcap, 26

Genteel Lancing Device/Buff Black, 26

First-progesterone VGS 100 Compounding Kit, 13

Forteo, 10

Genteel Lancing Device/Butterfly Blue, 26

fosamprenavir calcium, 2

First-progesterone VGS 200 Compounding Kit, 13

fosinopril sodium, 4

Genteel Lancing Device/Glorious Gold, 26

fosinopril sodium/hydrochlorothiazide, 5

Flarex, 17

Fragmin, 13

Genteel Lancing Device/Playful Purple, 26

flavoxate HCL, 12

Freds Pharmacy Autolet Lancing Device, 26

flecainide acetate, 4

Genteel Lancing Device/Precious Platinum, 26

Flector, 6

Freds Pharmacy Unifine Pentips Pen Needles 32GX4MM, 26

Flexichamber, 34

Genteel Lancing Device/Princess Pink, 26

Flexichamber Adult Mask/Small, 34

Freds Pharmacy Unifine Pentips Plus 31GX5MM, 26

Flexichamber Child Mask/Large, 34

Genteel Lancing Device/Stately Silver, 26

Flexichamber Child Mask/Small, 34

Freds Pharmacy Unifine Pentips Plus 31GX8MM, 26

Flovent Diskus, 21

Genteel Lancing Device/Willowy White, 26

Flovent HFA, 21

Freds Pharmacy Unilet Lancets Super Thin 30G, 26

Fluad 2017-2018, 21

Genteel Nozzles, 26

Fluarix Quadrivalent 2017-2018, 21

Freds Pharmacy Unilet Lancets Ultra Thin 28G, 26

Gentle-let GP Lancets, 26

Flublok 2015-2016, 21

Gentle-let Lancets General Purpose Style/Fine Point, 26

Flublok 2017-2018, 21

Freestyle Lancets, 26

Flublok Quadrivalent 2017-2018, 21

Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16", 26

Gentle-let Lancets General Purpose Style/Medium Point, 26

Flucelvax Quadrivalent 2017-2018, 21

fluconazole, 1

Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16", 26

Gentle-let Lancets Safety Style/Fine Point, 26

flucytosine, 1

fludrocortisone acetate, 8

Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16", 26

Gentle-let Lancets Safety Style/Medium Point, 26

Flulaval Quadrivalent 2017-2018, 21

Flunisolide, 20

Freestyle Precision Insulin Syringes/U-

Gentle-let Platforms 2.4MM, 26

Gentle-let Platforms 3.0MM, 26

3ML/30G X 1/2", 27

Gnp Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 27

Genvoya, 2

Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16", 27

Gialax, 11

Gnp Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16" SHORT, 27

gianvi, 8


Gilenya, 16


Gilotrif, 3


giltuss pediatric, 20


glatiramer acetate, 16


glatopa, 16


Gleostine, 2


glimepiride, 10


glipizide, 10

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

glipizide ER, 10


glipizide XL, 10


glipizide/metformin HCL, 10

Gnp Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 27

Global Ease Inject Pen Needles 29GX12MM, 26


Gnp Ultra Comfort Insulin Syringe/1ML/29G X 1/2", 27


glyburide, 10

Glyburide, 10

Gnp Ultra Comfort Insulin Syringe/1ML/30G X 5/16" SHORT, 27


glyburide micronized, 10

glyburide/metformin HCL, 10

Gnp Ultra Comfort Insulin Syringe/1ML/31G X 5/16" SHORT, 27

Global Ease Inject Pen Neeedles 31GX5MM, 26

glycine, 13

Glycolic Acid, 6

gnp vitamin d, 22

Global Easy Glide Insulinsyringe/U-100/0.3ML/31G X 5/16", 26

Glycolic Acid 70% High Purity, 6

gnp vitamin d maximum strength, 22

glycopyrrolate, 11

gnp vitamin d super strength, 22

Global Easy Glide Pen Needles 32GX4MM, 26

glydo, 7

gnp vitamin d3 extra strength, 22

gnp adult aspirin low strength, 18

Golytely, 11

Global Inject Ease Insulin Syringe/U-100/0.3ML/29G X 1/2", 26

gnp aspirin, 18

Gonal-f, 10

gnp aspirin low dose, 18

Gonal-f RFF, 10


Gnp Clickfine Pen Needle Universal/31GX5/16", 27

Gonal-f RFF Rediject, 10

goodsense aspirin, 18


Gnp Clickfine Universal Pen Needles 31GX1/4", 27

goodsense aspirin adult low strength, 18

goodsense aspirin low dose, 18


Gnp Clickfine Universal Pen Needles 31GX5/16", 27

Goodsense Lancets Micro-thin 33G, 27

Goodsense Lancets Ultra-thin 30G, 27


gnp d 1000, 22

Goodsense Lancing Device, 27

gnp d 2000, 22

Goodsense Prenatal Vitamins, 22


Gnp Daily Prenatal, 22

Goodsense Universal 1 Micro Thin 33G, 27

gnp folic acid, 13


Gnp Insulin Syringe/0.3ML/29G X 1/2", 27

Goodsense Universal 1 Micro-thin 33G, 27



Goodsense Universal 1 Thin 26G, 27

Gordofilm, 7



Gordons Urea, 7

granisetron HCL, 12

Global Inject Ease Insulin Syringe/U-100/1ML/28G X 1/2", 26


Granix, 13

griseofulvin microsize, 1



griseofulvin ultramicrosize, 1

guanfacine ER, 15



guanfacine HCL, 4

Guanidine HCL, 16



Gynazole-1, 13

H


Gnp Insulin Syringe/1ML/28G X 1/2", 27

h-e-b aspirin, 18


H-e-b IN Control Pen Needles 31GX5MM, 27

Global Inject Ease Lancets 28G, 27


Global Inject Ease Lancets 30G, 27



Global Insulin Syringe/U-100/0.3ML/30G X 1/2", 27

Gnp Lancets, 27

Gnp Lancets 21G, 27


Global Insulin Syringes/U-100/0.3ML/30GX5/16", 27

Gnp Lancets Micro Thin 33G, 27

Gnp Lancets Super Thin 30G, 27

H-e-b IN Control Pen Needles/Nano/32GX4MM, 27

Global Lancing Device, 27

Gnp Lancets Thin, 27

Glucagen Hypokit, 10

Gnp Lancets Thin 26G, 27

H-e-b IN Control Unifine Pentips Plus 31GX5MM, 27

Glucagon Emergency Kit, 10

gnp loratadine, 20

Glucocom Lancets 28G, 27

gnp loratadine childrens, 20

H-e-b IN Control Unifine Pentips Plus 32GX4MM, 27


Gnp Micro Thin Lancets 33G, 27


Gnp Prenatal, 22

H-e-b Incontrol Advanced Lancing Device, 27

Glucopro Insulin Syringe/U-100/0.

Gnp Super Thin Lancets/30G, 27

H-e-b Incontrol Lancets Micro Thin 33G, 27

Humalog Kwikpen, 10

ibu, 19

Humalog Mix 50/50, 10

ibudone, 19

H-e-b Incontrol Lancets Super Thin 30G, 27

Humalog Mix 50/50 Kwikpen, 10

ibuprofen, 19

Humalog Mix 75/25, 10

Iclusig, 3

H-e-b Incontrol Lancets Ultra Thin 28G, 27

Humalog Mix 75/25 Kwikpen, 10

Idelvion, 14

Humate-p, 14

Idhifa, 3

H-e-b Incontrol Pen Needles 29GX12MM, 27

Humira, 19

Ilevro, 17

Humira Pediatric Crohns Disease Starter Pack, 19

imatinib mesylate, 3

Haegarda, 14

Imbruvica, 3

Haemolance, 27

Humira Pen, 19

imipramine HCL, 14

Haemolance Low Flow Lancets, 27

Humira Pen-crohns Diseasestarter, 19

imipramine pamoate, 14

Haemolance Plus, 27

Humira Pen-psoriasis Starter, 19

imiquimod, 7

Haemolance Plus High Flow, 27

Humulin 70/30, 10

IN Touch Lancing Device, 28

Haemolance Plus Low Flow, 27

Humulin 70/30 Kwikpen, 10

IN Touch Sterile Lancets 30G, 28

Haemolance Plus Max Flow, 27

Humulin N, 10

Inatal GT, 22

Haemolance Plus Pediatric Flow, 27

Humulin N Kwikpen, 10

Increlex, 11

halobetasol propionate, 7

Humulin R, 10

Incruse Ellipta, 21

Halog, 7

Humulin R U-500 (concentrated), 10

indapamide, 5

haloperidol, 15

Humulin R U-500 Kwikpen, 10

Indocin, 19

haloperidol decanoate, 15

Hy-vee Lancets, 27

indomethacin, 19

haloperidol lactate, 15

Hy-vee Thin Lancets, 27

indomethacin ER, 19

Halotin, 6

Hycamtin, 3

Infanrix, 21

Havrix, 21

hydralazine HCL, 4

Inlyta, 3

Health Care Lancing Device, 27

hydralazine hydrochloride, 4

Inspirachamber/Anti-static Valved/Mouthpiece, 34

Healthwise Mini Pen Needles 31GX6MM, 27

hydrochlorothiazide, 5

hydrocodone bitartrate/acetaminophen, 19

Inspirachamber/Large, 34

Healthwise Pen Needles 29GX12MM, 27

Inspirachamber/Soothermask/Inspiramask/Medium, 34

Healthwise SHORT Pen Needles 31GX8MM, 27

hydrocodone bitartrate/homatropine methylbromide, 20

Inspirachamber/Soothermask/Inspiramask/Small, 34

Healthwise Unifine Pentips Pen Needles 32GX4MM, 27

hydrocodone polistirex/chlorpheniramine polistirex, 20

Inspirease Drug Delivery System, 34

Healthy Accents Autolet Impression Lancing Device, 27

hydrocodone/acetaminophen, 19

Inspirease Reservoir Bags, 34

hydrocodone/homatropine, 20

Insulin Syringe 1ML/31G X1/4", 23

Healthy Accents Unifine Pentips Pen Needles 29GX12MM, 27

hydrocodone/ibuprofen, 19

Insulin Syringe/0.3ML/29G X 1", 27

hydrocort ene 100MG, 12

Insulin Syringe/0.3ML/29G X 1/2", 27


hydrocortisone, 7, 8, 12


hydrocortisone 1% IN absorbase, 7



hydrocortisone acetate/pramoxine, 12


hydrocortisone butyrate, 7



hydrocortisone butyrate (lipid), 7


hydrocortisone butyrate (lipophilic), 7



hydrocortisone valerate, 7


hydrocortisone/acetic acid, 17

Insulin Syringe/1ML/28G X 1/2", 27

Healthy Accents Unilet Lancets Super Thin 30G, 27

hydromet, 20


hydromorphone HCL, 19


healthy kids vitamin d3, 22

Hydromorphone HCL, 19

Insulin Syringe/Needle 0.3ML/30G X 5/16", 27

heather, 8

hydromorphone HCL ER, 19

Helixate FS, 14

hydromorphone hydrochloride, 19


Hemenatal OB + DHA, 22

hydromorphone hydrochloride ER, 19

Hemofil M, 14

Hydroxocobalamin, 13


Heplisav-b, 21

hydroxychloroquine sulfate, 2

Hexalen, 2

Hydroxyprogesterone Caproate, 3


Hiberix, 21

hydroxyurea, 3

HM aspirin, 18

hydroxyzine HCL, 14


HM aspirin EC, 18

hydroxyzine pamoate, 14

HM aspirin EC low dose, 18

Hydroxyzine Pamoate, 14

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

HM folic acid, 13

Hylira, 8

HM loratadine, 20

Hyophen, 12


HM loratadine childrens, 20

hyoscyamine sulfate, 11

HM One Daily Prenatal Combo, 22

hyoscyamine sulfate ER, 11


HM Prenatal, 22

hyoscyamine sulfate odt, 11

HM vitamin d, 22

hyoscyamine sulfate SR, 11

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

HM vitamin d3, 22

hyosyne, 11

HM Vitamin D3, 22

Hypersal, 20

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

homatropaire, 17

Hypolance AST Lancing Kit, 27

homatropine HBR, 17

I

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

Humalog, 10

ibandronate sodium, 10

Humalog Junior Kwikpen, 10

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

Ibrance, 3

27

Jakafi, 3

Koate, 14

Insulin Syringe/U-100/1ML/31G X 5/16", 27

jantoven, 13

Koate-dvi, 14

Janumet, 10

Kogenate FS, 14

Insulin Syringes 0.3ML/31G X 1/4", 23

Janumet XR, 10

Kogenate FS Bio-set, 14

Insulin Syringes 0.5ML/31G X 1/4", 23

Januvia, 10

Korlym, 10

Insulin Syringes/0.5ML/27GX1/2", 27

Jardiance, 10

Kosher Prenatal Plus Iron, 22


jencycla, 9

kp aspirin, 18


Jentadueto, 10

kp folic acid, 13


Jentadueto XR, 10

kp loratadine, 20

Insulin Syringes/0.5ML/31GX 5/16", 27

jevantique LO, 8

Kp Prenatal Multivitamins, 22


jinteli, 8

kp vitamin d, 22

Insulin Syringes/1ML/27GX/1/2", 27

jolessa, 9

kp vitamin d3, 22

Insulin Syringes/1ML/27GX1/2", 27

jolivette, 9

Kpn Prenatal, 22


juleber, 9

Kristalose, 11


junel 1.5/30, 9

Kroger Insulin Syringe/0.3ML/29G X 1/2", 28


junel 1/20, 9


junel FE 1.5/30, 9


Insupen 29G X 12MM, 28

junel FE 1/20, 9


junel FE 24, 9



just d, 22


K


Insupen 33GX4MM, 28

K-phos NO 2, 13

Insupen Pen Needles 32G X4MM, 27


Kadian, 19

Insupen Sensitive 32GX6MM, 27

kaitlib FE, 9

Insupen Sensitive 32GX8MM, 27


Kaletra, 2

Insupen Ultrafin 29GX12MM, 27

Kalydeco, 21


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

kariva, 9


kelnor 1/35, 9



kelnor 1/50, 9

Intelence, 2

Keralyt Scalp, 8

Intrarosa, 13


ketoconazole, 1, 6

Intron A, 3

Ketoprofen, 19

introvale, 9

Kroger Lancets, 28

ketorolac tromethamine, 17, 19

Invega Sustenna, 15

Kroger Lancets 21G, 28

Ketorolac Tromethamine, 19

Invega Trinza, 15

Kroger Lancets Micro Thin33G, 28

Kevzara, 19

Invirase, 2

Kroger Lancets Super Thin, 28

Khedezla, 15

Invokamet, 10

Kroger Lancets Thin, 28

kimidess, 9

Invokamet XR, 10

Kroger Lancets Thin 26G, 28

Kineret, 19

Invokana, 10

Kroger Lancets Ultrathin 30G, 28

Kinney Lancets, 28

Iopidine, 17

Kroger Lancing Device, 28

Kinney Thin Lancets, 28

Ipol Inactivated IPV, 21

Kroger Pen Needles 29G X 12MM, 28

Kinray Insulin Syringe Preferred Plus/0.3ML/31G X 5/16", 28

ipratropium bromide, 20(2)

Kroger Pen Needles 31G X 8MM, 28

ipratropium bromide/albuterol sulfate, 20

Kroger Pen Needles 31GX1/4", 28

Kinray Insulin Syringe Preferred Plus/0.5ML/31G X 5/16", 28

irbesartan, 4

kurvelo, 9

irbesartan/hydrochlorothiazide, 5

Kuvan, 11

Kinray Insulin Syringe Preferred Plus/1ML/31G X 5/16", 28

Iressa, 3

L

Iron Chews Pediatric, 13

Kinray Insulin Syringe/0.5ML/29G X 1/2", 28

labetalol HCL, 4

iron supplement childrens, 13

labetalol hydrochloride, 4

Iron Up, 13

Kinrix, 21

Lacrisert, 17

Isentress, 2

Kisqali, 3

lactic acid, 7

Isentress HD, 2

Kisqali Femara 200 Dose, 3

lactic acid e, 7

isibloom, 9


lactic acid w/vitamin e, 7

isoniazid, 1


lactulose, 11, 12

Isoniazid, 1

Kitabis PAK, 1

lamivudine, 2

Isordil Titradose, 4

klofensaid II, 6

lamivudine/zidovudine, 2

isosorbide dinitrate, 4

kls allerclear, 20

lamotrigine, 15

Isosorbide Dinitrate ER, 4

kls aspirin EC, 18

lamotrigine ER, 15

isosorbide mononitrate, 4

kls aspirin low dose, 18

lamotrigine odt, 15

isosorbide mononitrate ER, 4

Kmart Valu Plus Insulin Syringe/0.3ML/30G, 28

lamotrigine titration, 15

isotretinoin, 6

Lancet Device Adjustable, 28

isoxsuprine HCL, 5


Lancet Device With Ejector, 28

isradipine, 4

Lancet Transporter Case, 28

itraconazole, 1


Lancets, 28

ivermectin, 2

Lancets 26G Twist Top, 28

Ixinity, 14

Kmart Valu Plus Insulin Syringe/1ML/29G, 28

Lancets 28G, 28

J

Lancets 30G, 28

Jadenu, 34

Kmart Valu Plus Insulin Syringe/1ML/30G, 28


Jadenu Sprinkle, 34

Lancets 30G/Twist Top, 28


Leader Unifine Pentips/Plus/32GX5/32", 28

Lindane, 7

Lancets 33G Universal Design, 28

linezolid, 2

Lancets Bullseye Safety, 28

leena, 9

Linzess, 12

Lancets Micro Thin 33G, 28

leflunomide, 19

liothyronine sodium, 11

Lancets Safety Seal 21G, 28

Lenvima 10 MG Daily Dose, 3

liprozonepak, 7



lisinopril, 4



lisinopril/hydrochlorothiazide, 5



Lite Touch Lancets, 28

Lancets Super Thin 28G, 28


Lite Touch Lancing Pen, 28

Lancets Thin, 28


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

Lancets Twist Top, 28

lessina, 9

Liteaire, 34

Lancets Ultra Fine, 28

Letairis, 5

Litetouch Insulin Syringe/0.3ML/29G X 1/2", 28

Lancets Ultra Thin, 28

letrozole, 3

Lancets Ultra Thin 30G, 28

leucovorin calcium, 3


Lancing Device, 28

Leucovorin Calcium, 3

Lancing Device Adjustable, 28

Leukeran, 2


lansoprazole, 11

Leukine, 13

lansoprazole/amoxicillin/clarithromycin, 11

leuprolide acetate, 3


levalbuterol, 20

lanthanum carbonate, 12

levalbuterol HCL, 20


Lantus, 9

levalbuterol hydrochloride, 20

Lantus Solostar, 9

Levemir, 9

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

Lanzo, 28

Levemir Flextouch, 9

larin 1.5/30, 9

levetiracetam, 15

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

larin 1/20, 9

levetiracetam ER, 15

larin 24 FE, 9

levo-t, 11

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

larin FE 1.5/30, 9

levobunolol HCL, 17

larin FE 1/20, 9

levocarnitine, 11

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

larissia, 9

levocetirizine dihydrochloride, 20

Lastacaft, 17

levofloxacin, 1, 16


latanoprost, 17

Levofloxacin, 1

Latrix XM, 8

levonest, 9


Latuda, 15

levonorgestrel, 9

layolis FE, 9

levonorgestrel and ethinyl estradiol, 9

Litetouch Lancets Micro Thin 33G, 28

Leader Advanced Lancing Device, 28

levonorgestrel/ethinyl estradiol, 9

Litetouch Pen Needles 29GX12.7MM, 28

Leader Insulin Syringe/0.3ML/29G X 1/2", 28

levora 0.15/30-28, 9

Litetouch Pen Needles 31G X 6MM, 28

Levorphanol Tartrate, 19

Litetouch Pen Needles 31GX8MM SHORT, 28


levothyroxine sodium, 11

levothyroxine/liothyronine, 11

Lithium, 15


levoxyl, 11

lithium carbonate, 15

Levsin, 12

Lithium Carbonate, 15


Lexiva, 2

lithium carbonate ER, 15

Liberty Medical Lancets 30G, 28

Lithostat, 13


Liberty Mini Lancing Device, 28

Livalo, 5

lido bdk, 7

Live Better Advanced Lancing Device, 28


lido-k, 7

Live Better Lancet Super Thin 30G, 28

lido-prilo caine pack, 7

Live Better Lancet Ultra Thin 28G, 28


lidocaine, 7

Live Better Pen Needles 29G X 12MM, 28

lidocaine HCL, 7, 19

Leader Insulin Syringe/1ML/28G X 1/2", 28

Lidocaine HCL, 14


lidocaine HCL jelly, 7


lidocaine HCL viscous, 14


Lidocaine HCL-hydrocortisone Acetate With Aloe, 12

livixil PAK, 7


LO Loestrin FE, 9

lidocaine HCL/hydrocortisone acetate, 12

Longs Insulin Syringe/0.5ML/31G X 5/16", 28


lidocaine hydrochloride, 7

lidocaine PAK, 7

Longs Lancets Standard, 28

Leader Lancets Colored, 28

lidocaine viscous, 14

Longs Lancets Thin, 28

Leader Super Thin Lancet, 28

lidocaine-prilocaine-cream base, 7

Longs Lancets Ultra Thin, 28

Leader Thin Lancets, 28

lidocaine/epinephrine, 19

Lonsurf, 3

Leader Unifine Pentips Plus/Mini/31GX3/16", 28

lidocaine/prilocaine, 7

loperamide HCL, 11

lidopin, 7

lopinavir/ritonavir, 2

Leader Unifine Pentips Plus/SHORT/31GX5/16", 28

lidopril, 7

lopreeza, 8

lidopril XR, 7

loradamed, 20

Leader Unifine Pentips/Mini/31GX3/16", 28

lidozion, 7

loratadine, 20

Lifescan Unistik 2 Deep Penetration, 28

loratadine childrens, 20

Leader Unifine Pentips/Nano/32GX5/32", 28

Lifescan Unistik II Lancets, 28

lorazepam, 14

lillow, 9

lorazepam intensol, 14

lorcet, 19

Medichoice Pre-set Safety Lancet Dual Use, 28

Meperidine HCL, 19

lorcet HD, 19

Mepivacaine HCL, 20

lorcet plus, 19

Medichoice Pre-set Safety Lancet Low Flow, 28

meprobamate, 14

Lortab, 19

mercaptopurine, 3

loryna, 9

Medichoice Pre-set Safety Lancet Medium Flow, 28

mesalamine, 12

losartan potassium, 4

mesalamine DR, 12

losartan potassium/hydrochlorothiazide, 5

Medichoice Pre-set Safety Lancet Moderate Flow, 28

Mesnex, 3

Mestinon, 16

Lotemax, 17

Medichoice Safety Lancet Extra, 28

metadate ER, 15

Loutrex, 6

Medichoice Safety Lancet Normal, 28

Metaproterenol Sulfate, 21

lovastatin, 5

Medicine Shoppe Lancets, 28

metaxall, 16

low-ogestrel, 9

Medicine Shoppe Lancets Thin, 28

metaxalone, 16

loxapine, 15

Medicine Shoppe Pen Needles 29G X 12MM, 28

metformin HCL, 10

loxapine succinate, 15

metformin HCL ER, 10

Lumigan, 17


metformin hydrochloride, 10

Lupaneta Pack, 10

metformin hydrochloride ER, 10

Lupron Depot (1-month), 3


methadone HCL, 19


Methadone HCL, 19


Medisense Thin Lancets, 29

methadone HCL intensol, 19


Medlance Plus Extra Lancets 21G, 29

methadose, 19

Lupron Depot-PED (1-month), 10

Medlance Plus Lancets, 29

methamphetamine HCL, 15

Lupron Depot-PED (3-month), 10

Medlance Plus Lancets Lite 25G, 29

methazolamide, 5

lutera, 9

Medlance Plus Lite Lancets 25G, 29

methenamine hippurate, 12

Lynparza, 3

Medlance Plus Special Lancets 0.8MM, 29

methenamine mandelate, 12

Lyrica, 16

Methenamine Mandelate, 12

Lysodren, 3

Medlance Plus Superlite 30G, 29

methergine, 18

lyza, 9

Medlance Plus Superlite 30G/Comfort Max, 29

methimazole, 11

M

methocarbamol, 16

Medlance Plus Universal Lancets 21G, 29

methotrexate, 3

M-m-r II, 21

methotrexate sodium, 3

M-vit, 22

Medlance Plus/Lite 25G, 29

Methotrexate Sodium, 3

Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2", 28

Medlance/Extra, 29

methoxsalen, 6

Medlance/Lite, 29

methscopolamine bromide, 11


Medlance/Universal, 29

Methyclothiazide, 5

medolor PAK, 7

methyldopa, 4


Medrol, 8

Methyldopa/Hydrochlorothiazide, 5

medroxyprogesterone acetate, 9(2)

methylergonovine maleate, 18


mefenamic acid, 19

methylphenidate HCL, 15

Mefloquine HCL, 2

methylphenidate HCL CD, 15

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

megestrol acetate, 3, 9

methylphenidate HCL ER, 15

meijer allergy relief, 20

Methylphenidate HCL ER, 15

Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16", 28

meijer aspirin EC, 18

Methylphenidate HCL ER (LA), 15

Meijer Color Lancets Universal 33G, 29

methylphenidate hydrochloride, 15

Makena, 9

Meijer Lancets, 29

methylphenidate hydrochloride ER, 15

malathion, 7

Meijer Lancets Thin, 29

methylphenidate hydrocloride ER, 15

Maprotiline HCL, 15

Meijer Lancets Universal 21G, 29

methylprednisolone, 8

Marathon Medical Pentips 29GX12MM, 28


methylprednisolone acetate, 8


methylprednisolone dose pack, 8


meijer loratadine, 20

Methyltestosterone, 8


Meijer Pen Needles 29G X 12MM, 29

Metipranolol, 17



metoclopramide HCL, 12

marlissa, 9


metolazone, 5

Marplan, 15

Meijer Super Thin Lancets, 29

metoprolol succinate ER, 4

Matulane, 3

Mekinist, 3

Metoprolol Succinate ER/Hydrochlorothiazide, 5

matzim LA, 4

melodetta 24 FE, 9

Mavyret, 2

meloxicam, 19

metoprolol tartrate, 4

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

melphalan, 2

metoprolol/hydrochlorothiazide, 5

memantine HCL, 16

Metoprolol/Hydrochlorothiazide, 5

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

memantine HCL titration PAK, 16

metronidazole, 2, 6

memantine hydrochloride, 16

metronidazole vaginal, 12

Maxidex, 17

memantine hydrochloride ER, 16

mexiletine HCL, 4

maximum d3, 22

Menactra, 21

mibelas 24 FE, 9

me/naphos/mb/hyo 1, 12

Menest, 8

Miconazole 3, 13

meclizine HCL, 12

Menopur, 10

Microchamber, 34

Meclofenamate Sodium, 19

Menostar, 8

microgestin 1.5/30, 9

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

Mentax, 6

microgestin 1/20, 9

Menveo, 21

microgestin FE, 9

Medic Insulin Syringe/0.5ML/30G X 5/16", 28

meperidine HCL, 19

microgestin FE 1.5/30, 9

Microlet Lancets, 29

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

MS Insulin Syringe/0.5ML/29G X 1/2", 29

Microlet Next, 29


Microspacer, 34

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

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


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

midodrine HCL, 5

MS Insulin Syringe/1ML/29G X 1/2", 29

Mifeprex, 11

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


Migergot, 19


miglitol, 10

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

Mucotrol, 14

miglustat, 13

Multaq, 4

mili, 9

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

Multi Prenatal, 22

mimvey, 8

Multi-lancet Device, 29

mimvey LO, 8

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

Multi-lancet Device 2, 29

Mini Lancing Device, 29

mupirocin, 6

miniprin low dose, 18

Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16", 29

Muse, 5

minitran, 4

my choice, 9

minocycline HCL, 1

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

my way, 9

minocycline hydrochloride, 1

mycophenolate mofetil, 3

minoxidil, 4

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

mycophenolic acid DR, 3

Mircera, 13

Myglucohealth Mgh Softlance Lancets 30G, 29

mirtazapine, 14

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

mirtazapine odt, 14

Myleran, 2

misoprostol, 11


Mynatal Advance, 22

Mitigare, 19

Mynatal Plus, 22

MM aspirin, 18


Mynatal Ultracaplet, 22

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

Mynatal-z, 22


Mynate 90 Plus, 22

MM Insulin Syringe/U-100/0.3ML/31G X 5/16", 29

Myobloc, 16


myorisan, 6

MM Insulin Syringe/U-100/1/2ML/30G X 5/16", 29

Myrbetriq, 12


myzilra, 9

MM Insulin Syringe/U-100/1/2ML/31G X 5/16", 29

N


nabumetone, 19

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

nadolol, 4

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

nadolol/bendroflumethiazide, 5

MM Insulin Syringe/U-100/1ML/31G X 5/16", 29

Nafrinse Daily/Acidulated, 14

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

Naftin, 6

MM Lancing Device, 29

naloxone HCL, 34

MM Pen Needles 31G X 1/4", 29

Monojector End CAPS, 29

Naloxone HCL, 34


Monojector Opd End CAPS, 29

naltrexone HCL, 34


Monolet Lancets, 29

naproxen, 19


Monolet Opd Lancets, 29

naproxen DR, 19

MM Twist Lancets, 29

Monolettor Safety Lancets, 29

naproxen sodium, 19

modafinil, 15

mononessa, 9

naratriptan HCL, 19

moderiba, 2

Mononine, 14

Nascobal, 13

Moderiba, 2

montelukast sodium, 20

nat-rul vitamin d, 22

Moderiba 1200 Dose Pack, 2

Monurol, 12

Natacyn, 17

Moderiba 800 Dose Pack, 2

morgidox 1X100MG, 1

nateglinide, 10

moexipril HCL, 4

morgidox 1X50MG, 1

Natpara, 10

moexipril/hydrochlorothiazide, 5

morgidox 2X100MG, 1

natural vitamin d-3, 22

mometasone furoate, 7, 20

morphine sulfate, 19

Nature-throid, 11

Mommys Bliss Vitamin D Organic, 22

Morphine Sulfate, 19

Nature-throid Nt-2.5, 11

mondoxyne nl, 1

morphine sulfate ER, 19

Nebupent, 2

mono-linyah, 9

Morphine Sulfate ER, 19

nebusal, 20

Monoclate-p, 14

Motofen, 11

necon 0.5/35-28, 9

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

Movantik, 12

necon 7/7/7, 9

Moviprep, 11

nefazodone HCL, 14

Monoject Insulin Syringe/1ML, 29

Moxatag, 1

Nefazodone HCL, 15

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

Moxeza, 17

neo-polycin, 16

moxifloxacin, 16

neo-polycin HC, 17

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

moxifloxacin HCL, 1, 16

Neo-synalar, 6

moxifloxacin hydrochloride, 16

neomycin sulfate, 1

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

Mozobil, 13

neomycin/bacitracin/polymyxin, 16


neomycin/polymyxin b sulfates, 13

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


neomycin/polymyxin/bacitracin, 16

neomycin/polymyxin/bacitracin/hydrocortisone, 17

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


neomycin/polymyxin/dexamethasone, 17

neomycin/polymyxin/gramicidin, 17

nortriptyline HCL, 14

olopatadine hydrochloride, 17

neomycin/polymyxin/HC, 18

nortriptyline hydrochloride, 14

omega-3-acid ethyl esters, 5

Neomycin/Polymyxin/Hydrocortisone, 17

nortuss-DE, 20

omeprazole, 11

neomycin/polymyxin/hydrocortisone, 18

Nortuss-EX, 20

omeprazole DR, 11

Neosalus, 8

Norvir, 2

On Call Lancets, 29

Nerlynx, 3

norwich aspirin, 18

On Call Lancing Device, 29

Nestabs DHA, 22

Nova Safety Lancets 23G, 29

On Call Plus Lancets, 29

Nestabs One, 23

Nova Safety Lancets 28G, 29

On Call Plus Lancing Device, 29

neuac, 6

Nova Sureflex Lancets, 29

ondansetron HCL, 12

Neulasta, 13

Nova Sureflex Lancing Device, 29

ondansetron odt, 12

Neulasta Onpro Kit, 13

Novaferrum Pediatric Drops, 13

One-a-day Womens Prenatal, 22

Neupogen, 13

Novarel, 10

Onetouch Club Lancets Fine Point, 23

Neupro, 16

Novofine 32GX6MM, 29

Onetouch Combo Pack, 23

neutral sodium fluoride, 14

Novofine Autocover 30GX8MM, 29

Onetouch Delica Lancets Extra Fine 33G, 29

Neutrasal, 14

Novofine Plus 32GX4MM, 29

Nevanac, 17

Novolin 70/30, 10

Onetouch Delica Lancets Fine 30G, 23

nevirapine, 2

Novolin 70/30 Relion, 10

Onetouch Delica Lancing Device, 23

nevirapine ER, 2

Novolin N, 9

Onetouch Finepoint Lancets, 23

Nexavar, 3

Novolin N Relion, 9

Onetouch Suresoft Lancing Device/18G, 23

niacin ER, 5

Novolin R, 9

nicardipine HCL, 4

Novolin R Relion, 9


nifedipine, 4

Novolog, 10

nifedipine ER, 4

Novolog Flexpen, 10


nikki, 9

Novolog Mix 70/30, 10

nilutamide, 3

Novolog Mix 70/30 Prefilled Flexpen, 10

Onetouch Ultra Blue, 23

nimodipine, 4

Novolog Penfill, 10

Onetouch Ultrasoft Lancets, 23

Ninlaro, 3

Novoseven, 14

Onetouch Verio Test Strips, 23

nisoldipine ER, 4

Novoseven Rt, 14

Onfi, 16

Nisoldipine ER, 4

Novotwist 32GX5MM, 29

opcicon one-step, 9

Nitro-bid, 4

Noxafil, 1

Opsumit, 5

Nitro-dur, 4

NP thyroid 120, 11

Optichamber Advantage/Large Mask, 34

nitro-time, 4

NP thyroid 15, 11

Optichamber Advantage/Medium Face Mask, 34

nitrofurantoin, 12

NP thyroid 30, 11

nitrofurantoin macrocrystals, 12

NP thyroid 60, 11

Optichamber Advantage/Small Face Mask, 34

nitrofurantoin monohydrate, 12

NP thyroid 90, 11

nitrofurantoin monohydrate/macrocrystals, 12

Nplate, 13

Optichamber Diamond, 34

Nucala, 21

Optichamber Diamond/Largeface Mask, 34

nitroglycerin, 4

Nucort, 7

nitroglycerin ER, 4

Nucynta, 19

Optichamber Diamond/Medium Face Mask, 34

nitroglycerin lingual, 4

Nuedexta, 16

nitroglycerin transdermal, 4

nulev, 11

Optichamber Diamond/Smallface Mask, 34

Nitromist, 4

Nuplazid, 15

Nityr, 11

Nuvaring, 9

Optihaler, 34

Niva-plus, 22

Nymalize, 4

Optihaler MDI Drug Delivery System, 34

nizatidine, 12

nystatin, 1, 6, 14

optimal-d, 22

Nizatidine, 12

nystatin/triamcinolone, 6

optimal-d pack, 22

nolix, 7

nystatin/triamcinolone acetonide, 6

option 2, 9

nora-be, 9

O

Options Gynol II Vaginal Contraceptive, 13

Norditropin Cartridge, 11

O-CAL Fa, 22

Norditropin Flexpro, 11

opurity vitamin d, 22

Obstetrix DHA, 22

norethindrone, 9

Oracit, 13

Obstetrix EC, 22

norethindrone & ethinyl estradiol ferrous fumarate, 9

oralone dental paste, 14

ocella, 9

Oramagicrx, 14

octreotide acetate, 11

norethindrone acetate, 9

Oravig, 14

Odefsey, 2

norethindrone acetate/ethinyl estradiol, 8, 9

Orencia, 19

Ofev, 21

Orencia Clickject, 19

ofloxacin, 1, 17, 18

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 9

Orkambi, 21

Ogestrel, 9

orphenadrine citrate, 16

okebo, 1

norethindrone/ethinyl estradiol/ferrous fumarate, 9

orphenadrine citrate ER, 16

olanzapine, 15

orsythia, 9

olanzapine odt, 15

norgestimate/ethinyl estradiol, 9

oscimin, 11

olanzapine/fluoxetine, 16

Noritate, 6

oscimin SR, 11

olmesartan medoxomil, 4

norlyda, 9

oseltamivir phosphate, 2

olmesartan medoxomil/amlodipine/hydrochlorothiazide, 5

norlyroc, 9

Osmoprep, 11

Norpace CR, 4

Osphena, 10

nortrel 0.5/35 (28), 9

Otezla, 19

olmesartan medoxomil/hydrochlorothiazide, 5

nortrel 1/35, 9

Ovace Plus, 6

nortrel 7/7/7, 9

Ovidrel, 10

olopatadine HCL, 17, 20

oxandrolone, 8

Pen Needles 32G X 5MM, 23

pimtrea, 9

oxaprozin, 19


pindolol, 4

oxazepam, 14

Pen Needles 32GX4MM, 29

pioglitazone HCL, 10

Oxazepam, 14

penicillin v potassium, 1

pioglitazone HCL-glimepiride, 10

oxcarbazepine, 15

Penicillin V Potassium, 1

pioglitazone HCL/metformin HCL, 10

oxiconazole nitrate, 6

Penlet II Automatic Bloodsampler, 29

pirmella 1/35, 9

Oxistat, 6

Penlet II Replacement CAPS, 29

pirmella 7/7/7, 9

Oxtellar XR, 16

Penlet II Replacement CAPS-deep, 29

piroxicam, 19

oxybutynin chloride, 12

Penlet II Replacement CAPS-regular, 29

Pneumovax 23, 21

oxybutynin chloride ER, 12

Pentasa, 12

Pneumovax 23/1 Dose, 21

oxycodone HCL, 19

pentazocine/naloxone HCL, 19

PNV Folic Acid + Iron Multivitamin, 23

Oxycodone HCL ER, 19

Pentips 29G X 12MM, 29

PNV Ob+dha, 23

oxycodone hydrochloride, 19

Pentips 29GX12MM, 29

PNV Prenatal Plus Multivitamin, 23

oxycodone/acetaminophen, 19


PNV-DHA, 22

Oxycodone/Acetaminophen, 19


PNV-select, 22

oxycodone/aspirin, 19

Pentips 31GX5MM, 29

Pocket Chamber, 34

Oxycodone/Ibuprofen, 19

Pentips 31GX6MM, 29

Pocket Spacer, 34

Oxycontin, 19

Pentips 31GX8MM, 29

Podocon 25 IN Benzoin Tincture, 7

oxymorphone hydrochloride, 19


podofilox, 7

Oxymorphone Hydrochloride ER, 19

Pentips 32GX4MM, 29

polocaine, 20

P

pentoxifylline ER, 13

polocaine-mpf, 20

Perfect Lancets 30G, 29

polycin, 17

PA Prenatal Formula, 23

Perfect Pressure Activated Safety Lancets 28G, 29

polyethylene glycol 3350, 11

PA vitamin d-3, 22

polymyxin b sulfate, 2

PA vitamin d-3 gummy, 22

Perforomist, 21

polymyxin b sulfate/trimethoprim sulfate, 17

pacerone, 4

perindopril erbumine, 4

paliperidone ER, 15

periogard, 14

Pomalyst, 3

pantoprazole sodium, 11

permethrin, 7

port-prep, 7

pantoprazole sodium DR, 11

perphenazine, 15

portia-28, 9

paricalcitol, 11

Perphenazine/Amitriptyline, 16

potassium citrate ER, 13

paroex, 14

Perry Prenatal, 22

Potassium Citrate Monohydrate, 13

paromomycin sulfate, 1

pharbedryl, 20

potassium citrate/citric acid, 13

paroxetine HCL, 14

Pharmacist Choice Ultra Thin Lancets, 29

pr benzoyl peroxide wash, 6

paroxetine HCL ER, 14

Pr Natal 400, 22

Paser, 1

Pharmacist Choice Ultra Thin Lancets 28G, 29

Pradaxa, 13

Pazeo, 17

pramcort, 12

PC Lancets Super Thin 30G, 30


pramipexole dihydrochloride, 16

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

pramipexole dihydrochloride ER, 16

PC Unifine Pentips 31G X 5MM Mini, 30


Pramosone, 7

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

Pramosone E, 7


pramox gel, 7

PC Unifine Pentips 31G X 8MM SHORT, 30

prasugrel, 13

Pharmacy Counter Lancets, 29

pravastatin sodium, 5

Pediarix, 21

phenadoz, 20

praziquantel, 2

Pedvax HIB, 21

phenazo, 13

prazosin HCL, 4

peg 3350/electrolytes, 11

phenazopyridine HCL, 13

Pre-natal Formula, 22

peg-3350/electrolytes, 11

phenazopyridine hydrochloride, 13

Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 29

peg-3350/NACL/NA bicarbonate/KCL, 11

phenazopyridine hydrocholride, 13

peg-prep, 11

phenelzine sulfate, 14


Peganone, 16

phenobarbital, 15

Pegasys, 2

Phenobarbital, 15


Pegasys Proclick, 2

Phenobarbital Sodium, 15

Pegintron, 2

phenohytro, 11


pegylax, 11

phenoxybenzamine hydrochloride, 4


Phenylephrine HCL, 5

Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 29

Pen Needles 29GX1/2", 29

phenylephrine HCL, 17


phenytoin, 16

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


phenytoin infatabs, 16


phenytoin sodium extended, 16

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

Pen Needles 31G X 1/4" SHORT, 29

philith, 9

Pen Needles 31G X 3/16", 29

phos-flur, 14

Precision Thins GP Lancet, 30


Phoslyra, 12

Pred Mild, 17


phosphasal, 12

Pred-G, 17


Phospholine Iodide, 17

Pred-G S.o.p., 17


phrenilin forte, 18

Prednicarbate, 7

Pen Needles 31GX6MM (1/4"), 29

pilocarpine HCL, 14, 17

Prednisolone, 8


pilocarpine hydrochloride, 14

prednisolone acetate, 17

Pen Needles 31GX8MM (5/16"), 29

pimozide, 16

prednisolone sodium phosphate, 8


Prednisolone Sodium Phosphate, 8, 17

previfem, 9

promethazine HCL, 20

prednisolone sodium phosphate odt, 8

Prevnar 13, 21

promethazine HCL plain, 20

prednisone, 8

Prevymis, 2

promethazine VC plain, 20

Prednisone, 8

Prezcobix, 2

promethazine VC/codeine, 20

Prednisone Intensol, 8

Prezista, 2

promethazine-DM, 20

Prefera OB, 23

Prialt, 18

promethazine/codeine, 20

Preferaob +dha, 22

Priftin, 1

promethazine/dextromethorphan, 20

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

prikaan, 7

promethazine/phenylephrine, 20

prikaan lite, 7

promethazine/phenylephrine/codeine, 20


prilolid, 7

promethegan, 20

priloxx LP, 7

Promiseb, 6


Primaquine Phosphate, 2

pronutrients vitamin d3, 22

primidone, 16

propafenone HCL, 4


Primlev, 19

propafenone HCL ER, 4

Primsol, 2

propafenone hydrochloride ER, 4


Pro Comfort Insulin Syringes/0.5ML/30G X 1/2", 30

propafenone hydrochlorideer, 4

Propantheline Bromide, 11

Preferred Plus Insulin Syringe/U-100/1ML/28G X 1/2", 30


proparacaine HCL, 17

propranolol HCL, 4



Propranolol HCL, 4

propranolol HCL ER, 4


Pro Comfort Insulin Syringes/1ML/30G X 1/2", 30

propranolol hydrochloride, 4

Propranolol/Hydrochlorothiazide, 5

Preferred Plus Lancets Colored 21G, 30


propylthiouracil, 11

Preferred Plus Lancets Super Thin 30G, 30

Proquad, 21


protriptyline HCL, 14

Preferred Plus Lancets Thin 26G, 30

Provida DHA, 23

Preferred Plus Unifine Pentips 29G X 12MM, 30

Pro Comfort Lancets 30G, 30

Psorcon, 7

Pro Comfort Lancets 31G, 30

Pss Select GP Lancets, 30

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

Pro Comfort Pen Needles/ 31G X 8MM, 30

Pss Select Platforms, 30

Pss Select Safety Lancets, 30

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


Pulmicort Flexhaler, 21

pulmosal, 20

Preferred Plus Unifine Pentips 32GX4MM, 30


Pulmozyme, 21

Push Button Safety Lancets 21G, 30

Preferred Plus Unifine Pentips/Mini/31GX5MM, 30


Push Button Safety Lancets 28G, 30

Px Advanced Lancing Device, 30

Prefest, 8

Proair HFA, 21

px allergy relief, 20

Pregnyl W/Diluent Benzyl Alcohol/NACL, 10

Proair Respiclick, 21

px aspirin, 18

probenecid, 19

px enteric aspirin, 18

Premarin, 8, 13

probenecid/colchicine, 19

Px Extra SHORT Pen Needles 31GX6MM, 30

premium lidocaine, 7

prochlorperazine, 15

Premphase, 8

prochlorperazine maleate, 15

px folic acid, 13

Prempro, 8

Procort, 12

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

Prenaissance Plus, 22

Procrit, 13

Prenatabs RX, 22

procto-MED HC, 12

Px Lancet Auto Injector, 30

Prenatal, 22

procto-PAK, 12

Px Lancets Ultra Thin, 30

Prenatal 19, 22

Proctofoam HC, 12

Px Lancets Ultra Thin 28G, 30

Prenatal And Iron, 22

proctosol HC, 12

Px Mini Pen Needles 31GX5MM, 30

Prenatal Complete, 22

proctozone-HC, 12

Px Pen Needle 29GX12MM, 30

Prenatal Formula A-free, 22

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

Px Pen Needle 31GX8MM, 30

Prenatal Forte, 22

Px Prenatal Multivitamins, 23

Prenatal Low Iron, 22

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

Px Shortlength Pen Needles/31GX8MM, 30

Prenatal Multi +dha, 22

Prenatal Multivitamin, 22

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

Pylera, 12

Prenatal One Daily, 22

pyrazinamide, 1

Prenatal Plus, 22

Prodigy Lancing Device, 30

pyridostigmine bromide, 16

Prenatal Vitamin, 22

Prodigy Pressure Activated Safety Lancets, 30

pyridostigmine bromide ER, 16

Prenatal Vitamin & Mineral, 22

Pyrogallic Acid, 8

Prenatal Vitamin/Iron, 23

Prodigy Safety Lancets, 30

Q

Prenatal Vitamins, 23

Prodigy Twist Top Lancets, 30

Qc Advanced Lancing Device, 30

Prenatal Vitamins Plus Low Iron, 23

profeno, 19

qc allergy relief childrens, 20

Prenatal-u, 22

Profilnine, 14

qc aspirin, 18

Preplus, 23

Profilnine SD, 14

qc aspirin low dose, 18

Prepopik, 11

progesterone, 9

qc chewable aspirin low dose, 18

Pressure Activated Safetylancet 21G, 30

Proglycem, 10

qc childrens aspirin, 18

prevalite, 5

Prolia, 10

qc enteric aspirin, 18

prevident rinse, 14

Promacta, 13

Qc Insulin Syringe/0.3ML/29G X 1/2", 30


ranitidine HCL, 11

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


Rapaflo, 13

Rapamune, 3


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

rasagiline mesylate, 16

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

rea LO 40, 7


Qc Lancets, 30

react, 9

Qc Lancets Super Thin, 30

Readylance Safety Lancets/21G/2.2MM, 30

Relion Lancets Micro-thin33G, 30

Qc Lancets Thin, 30

Relion Lancets Standard 21G, 30

Qc Lancets Ultra Thin, 30


Relion Lancets Thin 26G, 30

qc loratadine allergy relief, 20

Relion Lancets Ultra-thin30G, 30

Qc Pen Needles 29G X 12MM, 30


Relion Lancing Device, 30


Relion Mini Pen Needles 31GX6MM, 30



Relion Pen Needles 29GX12MM, 30

Qc Prenatal, 23


Qc Unifine Pentips 32GX4MM, 30



Qc Unilet Lancets 28G/Ultra Thin, 30


Qc Unilet Lancets 33G/Micro Thin, 30

Reality Insulin Syringe/U-100/0.5ML/28G X 1/2", 30

Relion R, 10

Quadracel, 21

Relion SHORT Pen Needles 31GX8MM, 30

quasense, 9

Reality Insulin Syringe/U-100/0.5ML/29G X 1/2", 30

Quazepam, 15

Relion Thin Lancets, 30

quetiapine fumarate, 15

Reality Insulin Syringe/U-100/1ML/28G X 1/2", 30

Relion Ultra Thin Lancets, 30

quetiapine fumarate ER, 15

Relion Ultra Thin Lancets30G, 30

Quillivant XR, 15

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

Relion Ultra Thin Plus Lancets 32G, 30

quinapril HCL, 4

Relion Ultra Thin Plus Lancets 33G, 30

quinapril hydrochloride, 4

Reality Lancets, 30

Relistor, 12

quinapril/hydrochlorothiazide, 5

Reality Trigger Lancets, 30

Renacidin, 13

quinidine gluconate CR, 4

Rebetol, 2

Renagel, 12

quinidine gluconate ER, 4

reclipsen, 9

repaglinide, 10

Quinidine Sulfate, 4

Recombinate, 14

Repaglinide/Metformin Hydrochloride, 10

quinine sulfate, 2

Recombivax HB, 21

Repatha, 5

Qvar, 21

Rectiv, 12

Repatha Pushtronex System, 5

Qvar Redihaler, 21

relador PAK, 7

Repatha Sureclick, 5

R

relador PAK plus, 7

Replesta, 22

Relagard, 13

Replesta Childrens, 22

ra allergy relief 24 HOUR, 20

Relenza Diskhaler, 2

Replesta Nx, 22

ra aspirin, 18

Relhist, 20

Rescriptor, 2

ra aspirin adult low dose, 18

Relion 2-IN-1 Lancing Device 25G, 30

Restasis, 17

ra aspirin adult low strength, 18

Relion 2-IN-1 Lancing Device 30G, 30

Restasis Multidose, 17

ra aspirin childrens, 18

Relion Insulin Syringe 0.5ML/31G X 15/64", 30

Revatio, 5

ra aspirin EC, 18

Revlimid, 3

ra aspirin EC adult low strength, 18

Relion Insulin Syringe 1ML/31GX15/64", 30

Rexall Lancets Ultra Thin, 30

ra childrens aspirin, 18

Rexulti, 15

Ra E-ZJECT Color Lancets Micro-thin 33G, 30

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

Reyataz, 2

Riastap, 14

Ra E-ZJECT Lancets 28G, 30


ribasphere, 2

Ra E-ZJECT Lancets Thin 26G, 30

Ribasphere, 2

Ra E-ZJECT Lancets Thin 28G, 30

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

Ribasphere Ribapak, 2

Ra E-ZJECT Lancets Ultra Thin 30G, 30

ribavirin, 2

ra folic acid, 13

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

Ridaura, 19

Ra Insulin Syringe/0.5ML/29G X 1/2", 30

rifabutin, 1

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


Rifamate, 1

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

rifampin, 1


Rifater, 1

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

Right Step Prenatal, 23


Rightest GD-L500 Alternate Site Adapter, 30

Ra Lancing Device, 30

ra loratadine, 20


Rightest GD500 Lancing Device, 30

ra loratadine childrens, 20

Rightest Gl300 Lancets, 30

Ra One Daily, 23


riluzole, 16

Ra Pen Needles 31G X 5MM 3/16", 30

rimantadine HCL, 2

Ra Pen Needles 31G X 8MM 5/16", 30


Riomet, 10

Ra Prenatal, 23

risedronate sodium, 10

Ra Prenatal Formula/Folicacid, 23


risedronate sodium DR, 10

ra vitamin d-3, 22

Risperdal Consta, 15

rabeprazole sodium, 12


risperidone, 15

rajani, 9

risperidone M-TAB, 15

raloxifene hydrochloride, 10

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

risperidone odt, 15

ramipril, 4

Risperidone Odt, 15

Ranexa, 4

Riteflo, 34

salicylic acid cream, 7

31

ritonavir, 2

salicylic acid lotion, 7

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 31

rivastigmine tartrate, 16

salimez, 7

rivastigmine transdermal system, 16

salisol forte, 7

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

rivelsa, 9

salitech forte, 7

Rixubis, 14

Salivamax, 14

Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 31

rizatriptan benzoate, 19

salsalate, 18

rizatriptan benzoate odt, 19

Samsca, 11

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

ropinirole ER, 16

Sancuso, 12

ropinirole HCL, 16

Sandimmune, 3

Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM, 31

ropivacaine, 20

Sandostatin Lar Depot, 11

ropivacaine HCL, 20

Saphris, 15

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

Ropivacaine Hydrochloride, 20

Saps Health Twist Top Lancets 30G, 31

rosadan, 6

Sapscare Twist Top Lancets 30G, 31

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

Rosadan Kit, 6

Savella, 16

rosanil cleanser, 6

Savella Titration Pack, 16

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

rosuvastatin calcium, 5

SB aspirin, 18

Rotarix, 21

SB aspirin adult low strength, 18

Shopko Unilet Lancets Super Thin 30G, 31

Rotateq, 21

SB aspirin EC, 18

roweepra, 16

SB childrens aspirin, 18

Shopko Unilet Lancets Ultra Thin 28G, 31

roweepra XR, 16

SB Insulin Syringe/U-100/0.5ML/29G X 1/2", 31

Rozerem, 15

Shur-seal, 13

Rubraca, 3

SB Insulin Syringe/U-100/0.5ML/30G X 5/16", 31

Side Button Safety Lancet21G, 31

Rydapt, 3

Signifor, 11

S

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

sildenafil, 5

sildenafil citrate, 5

Sabril, 16


Silenor, 15

Safe-t-lance Low Flow 25G, 30

Simbrinza, 17

Safe-t-lance Normal Flow 21G, 30


Simple Diagnostics Lancing Device, 31

Safe-t-lance Plus Safety Lancet High Flow, 31

Simponi, 19

SB Lancets Thin, 31

simvastatin, 5

Safe-t-lance Plus Safety Lancet Low Flow, 31

SB Lancets Ultra Thin, 31

Single-let, 31

SB loratadine, 20

sirolimus, 3

Safe-t-lance Plus Safety Lancet Normal Flow, 31

SB loratadine allergy relief, 20

Sivextro, 2

SB low dose asa EC, 18

sm allergy relief loratadine, 20

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

scalacort, 7

sm aspirin, 18

Schnucks Insulin Syringe Ulti-fine/U-100/0.5ML/29G X 1/2", 31

sm aspirin adult low strength, 18


sm aspirin EC low strength, 18

Schnucks Insulin Syringe Ulti-fine/U-100/0.5ML/30G X 5/16", 31

sm aspirin enteric coated, 18


sm aspirin low dose, 18

scopolamine, 12

sm childrens aspirin, 18

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

Se-natal 19, 22

sm childrens loratadine, 20

seb-prev wash, 6

sm folic acid, 13

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

Seconal Sodium, 15

Sm Lancets 21G, 31

Select-lite Device/Lancets, 31

sm loratadine, 20

Safety Insulin Syringes 0.5ML/29GX1/2", 31

Select-lite Lancing Device, 31

Sm Micro Thin Lancets 33G, 31

Select-ob+dha, 23

Sm One Daily Prenatal, 23

Safety Insulin Syringes 0.5ML/30GX5/16", 31

selegiline HCL, 16

sm prenatal vitamins, 22

selenium sulfide, 6

Sm Prenatal Vitamins, 23

Safety Insulin Syringes 1ML/27GX1/2", 31

selenium sulfide shampoo, 6

Sm Super Thin Lancets 30G, 31

Selzentry, 2

Sm Thin Lancets 26G, 31


Sensipar, 11

Sm Truedraw Lancing Device, 31

sensorcaine, 20

sm vitamin d, 22


sensorcaine-mpf, 20

sm vitamin d3, 22

sensorcaine-mpf/epinephrine, 20

Sm Vitamin D3 Maximum Strength, 22

Safety Lancet 21G/Pressure Activated, 31

Sensorcaine-mpf/Epinephrine, 20

Smart Diabetes Vantage Lancing Device, 31

sensorcaine/epinephrine, 20

Safety Lancet 28G/Pressure Activated, 31

Serevent Diskus, 21

Smart Sense Color Lancets Universal 33G, 31

sertraline HCL, 14

Safety Lancets, 31

sertraline hydrochloride, 14

Smart Sense Standard Lancets Universal 21G, 31

Safety Lancets 21G, 31

setlakin, 9

Safety Lancets 28G, 31

sevelamer carbonate, 12

Smart Sense Super Thin Lancets Universal 30G, 31

Safety Let Lancets, 31

SF, 14

Safety Seal Lancets 28G, 31

SF 5000 plus, 14

Smart Sense Thin Lancets Universal 26G, 31

Safety Seal Lancets 30G, 31

Sfrowasa, 12

Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 31

sharobel, 9

Smartest Lancets 28G, 31

Shopko Autolet Lancing Device, 31

sodium chloride, 13, 20

Salicept, 14

Shopko On-the-go Comfort Lancets 30G,

sodium chloride 0.9%, 13

salicylic acid, 7

sodium citrate/citric acid, 13

sumatriptan, 19

31

sodium hyaluronate, 7

sumatriptan succinate, 19

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

sodium phenylbutyrate, 11

sumatriptan succinate refill, 19

sodium sulfacetamide, 6(2), 17

Sumaxin CP Kit, 6


sodium sulfacetamide wash, 6

Super Daily D3, 22

sodium sulfacetamide/sulfur, 6

Super Thin Lancets, 31


Sodium Sulfacetamide/Sulfur, 6

Supprelin LA, 10

sodium sulfacetamide/sulfur cleanser, 6

Suprax, 1


Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 6

Suprep Bowel Prep Kit, 11

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


sodium sulfacetamide/sulfur green, 6

sodium sulfacetamide/sulfur wash, 6



Soltamox, 3

soluline, 7



solupicc, 7

Solus V2 Lancing Device, 31

Sure Comfort Insulin Syringe/U-100/0.3ML/31G X 5/16, 31

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

Solus V2 Pressure Activated Safety Lancets 28G, 31



Solus V2 Twist Lancets 30G, 31

Somatuline Depot, 11

Sure Comfort Insulin Syringe/U-100/0.3ML/31GX1/4", 31


Somavert, 11

Soolantra, 6



Sorbitol, 13

Sorbitol-mannitol, 13


Sure-lance Flat Lancets, 31

sorine, 4

Sure-lance Lancets 26G, 31

sotalol HCL, 4


Sure-lance Thin Lancets 28G, 31

sotalol HCL (AF), 4

Sure-lance Ultra Thin Lancets, 31

sotalol hydrochloride, 4


Sure-pen, 31

sotalol hydrochloride (AF), 4

Sure-touch Lancets Universal, 31

sotalol hydrocholride, 4

Sure Comfort Insulin Syringe/U-100/0.5ML/31G X 5/16, 31

Surelite Lancets, 31

Spiriva Handihaler, 21

Survanta Intratracheal, 21

Spiriva Respimat, 21

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

Sutent, 3

spironolactone, 5

syeda, 9

spironolactone/hydrochlorothiazide, 5


Sylatron, 3

Sporanox, 1

Symax Duotab, 12

sprintec 28, 9


symax-SL, 11

Sprycel, 3

symax-SR, 11

sronyx, 9


Symbicort, 21

Sski, 20

Symfi, 2

sss 10%-5%, 6


Symfi LO, 2

st joseph aspirin, 18

Symlinpen 120, 10

st joseph low dose aspirin, 18

Sure Comfort Insulin Syringes/0.5ML/31G X 6MM, 31

Symlinpen 60, 10

stavudine, 2

Symproic, 12

Stelara, 6

Sure Comfort Insulin Syringes/U-100/1ML/31GX6MM, 31

Synarel, 10

Sterilance PA, 31

Syndros, 12

Sterilance TL, 31

Sure Comfort Lancets 18G, 31

Synera, 8

Stimate, 11


Synjardy, 10

Stiolto Respimat, 21


Synjardy XR, 10

Stivarga, 3


T

Streptomycin Sulfate, 1


Tabloid, 3

Stribild, 2

Sure Comfort Lancing Pen, 31

Taclonex, 7

Striverdi Respimat, 21

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

tacrolimus, 3, 7

Sucraid, 12

Tafinlar, 3

sucralfate, 11

Sure Comfort Pen Needles 30GX5/16" SHORT, 31

Tagrisso, 3

sulfacetamide sodium, 6, 17

take action, 9

Sulfacetamide Sodium, 17

Sure Comfort Pen Needles 31GX3/16" (5MM), 31

Taltz, 6

sulfacetamide sodium/prednisolone sodium phosphate, 17

tamoxifen citrate, 3

Sure Comfort Pen Needles 31GX5/16" (8MM), 31

tamsulosin HCL, 13

sulfacetamide sodium/sulfur, 6

Tarceva, 3

sulfacetamide sodium/sulfur cleanser, 6

Sure Comfort Pen Needles 32GX5/32", 31

tarina FE 1/20, 9

Sulfadiazine, 1

taron-crystals, 13

sulfamethoxazole/trimethoprim, 2

Sure Comfort Pen Needles 32GX6MM, 31

Taron-prex, 22

sulfamethoxazole/trimethoprim DS, 2

Tasigna, 3

sulfamez wash, 6

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

tazarotene, 6

sulfasalazine, 12

Tazorac, 6

sulfatrim pediatric, 2

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

taztia XT, 4

Sulfurated Lime, 8

Tecfidera, 16

sulindac, 19

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

Tecfidera Starter Pack, 16

Techlite AST Lancets, 31

Texacort, 7

Todays Health Ultra Thin Lancets 28G, 32

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

Tgt Advanced Lancing Device, 32

tgt allergy relief, 20

Tolazamide, 10


tgt allergy relief medication, 20

Tolbutamide, 10

tgt aspirin, 18

tolcapone, 16


tgt aspirin low dose, 18

Tolmetin Sodium, 19

tgt childrens aspirin, 18

tolterodine tartrate, 12


tgt enteric-coated aspirin, 18

tolterodine tartrate ER, 12

Tgt Lancet Alternate Site, 32

Topcare Clickfine Universal Pen Eedles 31GX1/4", 32


Tgt Lancet Micro Thin 33G, 32

Tgt Lancet Super Thin 30G, 32

Topcare Clickfine Universal Pen Eedles 31GX5/16", 32


Tgt Lancet Thin 23G, 32

Tgt Lancet Thin 26G, 32

Topcare Lancets Micro-thin 33G, 32


Tgt Lancet Ultra Thin 28G, 32

Topcare Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 32

Tgt Lancet Ultra Thin 30G, 32


Tgt Lancing Device, 32


tgt loratadine childrens, 20


Thalomid, 3


Theo-24, 21


theochron, 20


theophylline CR, 20

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

theophylline ER, 20

Topcare Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 32

thera-d 2000, 22


Thera-d 4000, 22

Topcare Ultra Comfort Insulin Syringe/1ML/31G X 5/16", 32

thera-d rapid repletion, 22


Theranatal Core Nutrition, 23

Topcare Ultra Comfort Insulin Syringe/U-100/0.3ML/29G X 1/2", 32

Thinlets GP Lancets, 32


Thiola, 13

Topcare Ultra Comfort Insulin Syringe/U-100/0.5ML/29G X 1/2", 32

thioridazine HCL, 15


thiothixene, 15

Topcare Ultra Comfort Insulin Syringe/U-100/1ML/29G X 1/2", 32

Thrombate Iii, 14

Techlite Lancets, 31

Thrombate Iii W/10 ML Sterile Water, 14

topex topical anesthetic, 14

Techlite Lancets 30G, 31

Thrombate Iii W/20 ML Sterile Water, 14

topiramate, 16

Techlite Pen Needles 29G X 10MM, 32

Thyrolar-1, 11

Topiramate ER, 16

Techlite Pen Needles 29G X 12 MM, 32

Thyrolar-1/2, 11

Torisel, 3

Techlite Pen Needles 31G X 5MM, 32

Thyrolar-1/4, 11

torsemide, 5

Techlite Pen Needles/31G X 5MM, 32

Thyrolar-2, 11

Toujeo Max Solostar, 10

Techlite Pen Needles/31G X 6 MM, 32

Thyrolar-3, 11

Toujeo Solostar, 10


tiagabine hydrochloride, 16

Toviaz, 12


tilia FE, 9

Tracleer, 5


Timolol Maleate, 4

Tradjenta, 10


timolol maleate, 17

tramadol HCL, 19

Tekturna, 4

Timolol Maleate Ophthalmic Gel Forming, 17

tramadol HCL ER, 19

Tekturna HCT, 5

tramadol hydrochloride/acetaminophen, 19

telmisartan, 4

Timoptic Ocudose, 17

telmisartan/amlodipine, 5

tinidazole, 2

trandolapril, 4

telmisartan/hydrochlorothiazide, 5

Tivicay, 2

trandolapril/verapamil HCL ER, 5

temazepam, 15

tizanidine HCL, 16

Trandolapril/Verapamil HCL ER, 5

temozolomide, 2

tizanidine hydrochloride, 16

tranexamic acid, 13

Tencon, 18

Tobradex, 17

tranylcypromine sulfate, 14

tenofovir disoproxil fumarate, 2

Tobradex ST, 17

Travatan Z, 17

terazosin HCL, 4

tobramycin, 1, 17

Travel Lancets 30G, 32

terbinafine HCL, 1

Tobramycin, 1

Travel Lancets Advanced 28G, 32

terbutaline sulfate, 20

tobramycin sulfate, 1, 17

trazodone HCL, 15

terconazole, 12

Tobramycin Sulfate, 1

trazodone hydrochloride, 14

Terconazole, 13

tobramycin/dexamethasone, 17

trazodone hydrochorlide, 14

testosterone, 8

Tobrex, 17

trazodone hydrocloride, 14

testosterone cypionate, 8

Today Sponge, 13

Trecator, 1

testosterone enanthate, 8

Todays Health Advanced Lancing Device, 32

Trelegy Ellipta, 21

testosterone topical solution, 8

Trelstar Mixject, 3

tetcaine, 17

Todays Health Mini Pen Needles 31G X 1/4", 32

Tremfya, 6

tetrabenazine, 16

tretinoin, 3, 6

tetracaine HCL, 17

Todays Health Original Pen Needles 29G X 1/2", 32

Tretinoin Emollient, 7

tetracycline HCL, 1

tretinoin microsphere, 6

Tetracycline HCL, 1

Todays Health SHORT Pen Needles 31G X 5/16", 32

tretinoin microsphere P.M., 6

tetracycline hydrochloride, 1

Trexall, 3

tetravisc, 17

Todays Health Super Thin Lancets 30G, 32

tri femynor, 9

tetravisc forte, 17

tri-estarylla, 9

tri-legest FE, 9

Trueplus Lancets 30G, 32

X 5/16", 32

tri-linyah, 9

Trueplus Lancets 30G Ultra Thin, 32

Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16", 32

tri-LO-estarylla, 9


tri-LO-marzia, 9

Trueplus Lancets 33G Micro Thin, 32

Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2", 32

tri-LO-sprintec, 9

Trueplus Pen Needles 29GX12MM, 32

tri-mili, 9



tri-sprintec, 9


Tri-TABS DHA, 23



tri-vylibra, 9


triamcinolone acetonide, 7, 8, 20

Trueplus Safety Lancets 28G, 32


triamcinolone acetonide dental paste, 14

Trumenba, 21

triamterene/hydrochlorothiazide, 5

Truvada, 2

Ulticare Insulin Syringe/U-100/1ML/30G X 1/2", 32

Trianex, 7

tulana, 9

triazolam, 15

tussigon, 20

Ulticare Insulin Syringe/U-100/1ML/31G X 5/16", 32

Triazolam, 15

Twinrix, 21

Tricare, 22

Tybost, 2

Ulticare Micro Pen Needles 31G X 8MM, 32

Tricare Prenatal, 23

tydemy, 9

Tricitrates, 13

Tykerb, 3

Ulticare Micro Pen Needles 32G X 4MM, 32

triderm, 7

Tymlos, 10

trifluoperazine HCL, 15

Tyvaso, 5

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

trifluridine, 17

Tyvaso Refill, 5

trihexyphenidyl HCL, 16

Tyvaso Starter, 5

Ulticare Mini Pen Needles 31GX6MM, 32

triklo, 5

U

Ulticare Mini Pen Needles Ulti-fine IV, 32

trilyte, 11

Ulticare Mini Pen Needles/31G X 6MM, 32

Uceris, 12

trimethobenzamide HCL, 12

Ulesfia, 8

trimethoprim, 2

Ulticare Mini Pen Needles31GX6MM, 32

Uloric, 19

trimethoprim sulfate/polymyxin b sulfate, 17

Ulticare Original Pen Needles Ulti-fine, 32

Ulti-lance Automatic/ Clear Tip, 32

Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 32

trimipramine maleate, 15

Ulticare Pen Needles 31G X 5MM/Mini, 32

Trimpex, 2

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

Trinatal RX 1, 22

Ulticare Pen Needles/29G X 12.7MM, 32

Trinate, 22

Ulticare SHORT Pen Needles 31GX8MM, 32

Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16", 32

trinessa, 9

trinessa LO, 9

Ulticare SHORT Pen Needles Ulti-fine IV, 32

Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 32

Tristart DHA, 23

Triumeq, 2

Ulticare SHORT Pen Needles/31G X 8MM, 32

Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 32

Triveen-duo DHA, 23

trivora-28, 9

Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4", 32

Ulticare Insulin Syringe/0.3ML/29G X 1/2", 32

Trokendi XR, 16

tropicamide, 17

Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4", 32


trospium chloride, 12

trospium chloride ER, 12

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


Truedraw Lancing Device, 32

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

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



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



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



Ultilet Classic Lancets, 32


Ultilet Insulin Syringe 31X6MM, 32


Ultilet Insulin Syringe/0.3ML/30G X 8MM, 32

Ulticare Insulin Syringe/1ML/28G X 1/2", 32







Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 32

Ultilet Insulin Syringe/1ML/30G X 8MM, 32



Ultilet Insulin Syringe/1ML/31G X 8MM, 32

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


Ultilet Insulin Syringe/SHORT/0.3ML/30G X 12.7MM, 32



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






Trueplus Lancets 28G Super Thin, 32

Ultilet Insulin Syringe/SHORT/0.5ML/30G

Ulticare Insulin Syringe/SHORT/1ML/30G

X 5/16", 32

Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 33

Universal 1 Lancets Thin 26G, 33


Universal 1 Lancets Ultra Thin 30G, 33

Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 33

Universal 1 Lancets/33G/Micro-thin, 33

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

Uptravi, 5

Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 33

ure-k, 7

Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 32

urea, 7

Ultra-thin II Lancets 28G, 33

Urea, 7

Ultilet Insulin Syringe/U-100/0.5ML/30G X 1/2", 32

Ultra-thin II Lancets 30G, 33

urea hydrating, 7

Ultra-thin II Mini Pen Neeedles/31GX3/16", 33

Urea IN Zinc Undecylenate/Lactic Acid Vehicle, 7

Ultilet Insulin Syringe/U-100/0.5ML/31GX6MM, 32

Ultra-thin II Pen Needles 29GX1/2", 33

urea nail, 7

Ultilet Insulin Syringe/U-100/1ML/30G X 1/2", 32

Ultra-thin II Pen Needles/SHORT/31GX5/16", 33

Urea Nail, 8

Urea Topical, 7

Ultilet Lancets, 32

Ultra-thin II Safety Autolancets 26G, 33

urea-c40, 7

Ultilet Lancets 33G, 32

Ultralance, 33

urelle, 12

Ultilet Pen Needle 29GX12.7MM, 32

umecta mousse, 7

uremez-40, 7

Ultilet Pen Needle 31GX5MM, 32

Unifine Pentips 29GX12MM, 33

uretron d/s, 12


Unifine Pentips 31G X 3/16", 33

uribel, 12


Unifine Pentips 31G X 6MM, 33

urin d/s, 12

Ultilet Pen Needle 32GX4MM/SHORT, 32

Unifine Pentips 31G X 8MM, 33

uro-458, 12


uro-mp, 12

Ultilet Safety Lancets 21G X 2.2MM, 32


uroav-81, 12

Ultilet Safety Lancets 23G, 32


uroav-b, 12

Ultilet SHORT Pen Needles 31GX5/16", 33


ursodiol, 12

Unifine Pentips Plus 29GX12MM, 33

uryl, 12

Ultilet SHORT Pen Needles31GX3/16", 33


ustell, 12


Uta, 12

Ultilet U-100 Insulin Syringes/1ML/31G X 6MM, 33


Utibron Neohaler, 21


uticap, 12

Ultimatecare One, 22

Unilet Comfortouch Lancet, 33

utira-c, 12

Ultra Comfort Insulin Syringe/U-100/0.3ML/30G X 5/16", 33

Unilet Excelite, 33

utrona-c, 12

Unilet Excelite II, 33

V

Ultra Thin Lancets 28G, 33

Unilet G.p. Lancet, 33

valacyclovir HCL, 2

Ultra-comfort Insulin Syringe/U-100/0.3ML/29G X 1/2", 33

Unilet G.p. Superlite Lancet, 33

valganciclovir, 2

Unilet GP 28 Ultra Thin, 33

valganciclovir hydrochlorde, 2


Unilet Lancet, 33

valproic acid, 16

Unilet Lancets Micro-thin33G, 33

valsartan, 4


Unilet Lancets Super-thin30G, 33

valsartan/hydrochlorothiazide, 5

Unilet Lancets Ultra-thin 28G, 33

Value Health Insulin Syringe/U-100/0.5ML/29G X 1/2", 33


Unilet Superlite Lancet, 33

Unistik 1, 33

Value Health Insulin Syringe/U-100/1ML/29G X 1/2", 33


Unistik 2, 33

Unistik 2 Comfort, 33

Value Plus Lancets Standard 21G, 33


Unistik 2 Extra, 33

Value Plus Lancets Super Thin 30G, 33

Unistik 2 Neonatal, 33

Value Plus Lancets Thin 26G, 33


Unistik 2 Normal, 33

Value Plus Lancing Device, 33

Unistik 2 Super, 33

Valumark Lancet Super Thin 30G, 33

Ultra-comfort Insulin Syringe/U-100/1ML/28G X 1/2", 33

Unistik 3, 33

Valumark Lancet Ultra Thin 28G, 33

Unistik 3 Comfort, 33

Valumark Pen Needles 29GX12MM, 33


Unistik 3 Extra, 33

Valumark Pen Needles 31G X 6MM, 33

Unistik 3 Extra Single Use Safety Lancets/21G, 33

Valumark Pen Needles 31G X 8MM, 33


Valved Holding Chamber, 34

Unistik 3 Gentle, 33

Vanatol LQ, 18


Unistik 3 Neonatal, 33

Vanatol S, 18

Unistik 3 Normal, 33

vancomycin HCL, 2

Ultra-thin II Auto Lancet, 33

Unistik CZT Comfort, 33

vandazole, 12

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 33

Unistik CZT Normal, 33

Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 33

Unistik Pro Safety Lancet 21G, 33



Vanishpoint Insulin Syringe/0.5ML/30G X 5/16", 33



Unistik Safety Lancets 28G, 33

Vanishpoint Insulin Syringe/1ML/29G X 1/2", 33

Unistik Safety Lancets 30G, 33


Unistik Touch Safety Lancets 21G, 33



Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 33




Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16", 33

unithroid, 11

vanoxide-HC, 6

unithroid direct, 11

Vaqta, 21

Varivax, 21

vitamin d3 gummies, 22

Y

Varubi, 12

vitamin d3 gummies adult, 22

yl folic acid, 13

Vcf Vaginal Contraceptive Film, 13

vitamin d3 maximum strength, 22

yuvafem, 13

Vcf Vaginal Contraceptive Foam, 13

vitamin d3 super strength, 22

Z

vcf vaginal contraceptivegel, 12

vitamin d3 ultra potency, 22

velivet, 9

Vivitrol, 34

Zaclir Cleansing, 6

Vemlidy, 2

Vol-plus, 23

zafirlukast, 20

venlafaxine HCL, 15

voriconazole, 1

zaleplon, 15

venlafaxine HCL ER, 15

Vortex Valved Holding Chamber, 34

zarah, 9

Ventavis, 5

Vosevi, 2

Zarxio, 13

Ventolin HFA, 21

Votrient, 3

zebutal, 18

verapamil HCL, 4

Vp Insulin Syringe/U-100/0.3ML/29G X 1/2", 33

Zejula, 3

verapamil HCL ER, 4

Zelapar, 16

verapamil HCL SR, 4

Vp-heme OB + DHA, 23

Zelboraf, 3

verdrocet, 19

Vraylar, 15

zenatane, 6

Veregen, 8

vyfemla, 9

zenchent, 9

Verzenio, 3

vylibra, 9

Zenpep, 12

Vesicare, 12

Vyvanse, 15

zenzedi, 15

Vibramycin, 1

W

zidovudine, 2

vicodin, 19

zileuton ER, 20

wal-itin, 20

vicodin ES, 19

ziprasidone HCL, 15

wal-itin childrens, 20

vicodin HP, 19

Zirgan, 17

Walgreens Advanced Travellancets 28G, 33

Victoza, 10

Zmax, 1

Vida Mia Autolet Lancing Device, 33

Zolinza, 3

Walgreens Comfort Assuredlancets Micro Thin/33G, 33

Vida Mia Unifine Pentips 32GX4MM, 33

zolmitriptan, 19

Vida Mia Unifine Pentips Mini 31GX6MM, 33

zolmitriptan odt, 19

Walgreens Comfort Assuredlancets Super Thin/28G, 33

zolpidem tartrate, 15

Vida Mia Unifine Pentips Original 29GX12MM, 33

zolpidem tartrate ER, 15

Walgreens Lancets, 33

Zomig, 19

Walgreens Thin Lancets, 33

Vida Mia Unilet Lancets Super Thin 30G, 33

zonisamide, 16

Walgreens Ultra Thin Lancets, 33

Zortress, 3

warfarin sodium, 13

Vida Mia Unilet Lancets Ultra Thin 28G, 33

zovia 1/35e, 9

Watchhaler, 34

Zovirax, 6

wee care, 13

Vida Mia Unipfine Pentipsshort 31GX8MM, 33

Zurampic, 19

Wegmans Unifine Pentips Plus 32GX4MM, 33

Zydelig, 3

Videx Pediatric, 2

Zyflo, 21

Wegmans Unifine Pentips Plus/Mini/31GX5MM, 33

vienva, 9

Zykadia, 3

vigabatrin, 16

Zylet, 17

Wegmans Unifine Pentips Plus/SHORT/31GX8MM, 33

Viibryd, 15

Zyprexa Relprevv, 15

Viibryd Starter Pack, 15

Zytiga, 3

Wegmans Unifine Pentips Plus/Ultra SHORT/31GX6MM, 33

vilamit mb, 12

1

vilevev mb, 12

Welchol, 5

1ST Choice Lancets Super Thin, 33

Vimpat, 16

Wellesse Vitamin D3, 22

1ST Choice Lancets Thin, 33

Vinate II, 22

wera, 9

1ST Choice Lancets Ultra Thin, 33

Vinate M, 22

Westhroid, 11

1ST Tier Unifine Pentips /Mini/31GX5MM, 33

Vinate One, 22

Wp Thyroid, 11

viorele, 9

wymzya FE, 9

1ST Tier Unifine Pentips 29GX12MM, 33

Viracept, 2

X


Viramune, 2


Viread, 2

Xalkori, 3


Vitafol Ultra, 23

Xarelto, 13

1ST Tier Unifine Pentips Plus 31GX8MM, 33

Vitafol-OB, 22

Xarelto Starter Pack, 13

Vitafol-ob+dha, 23

Xeljanz, 19

1ST Tier Unifine Pentips Plus 32GX4MM, 33

vitajoy daily d gummies, 22

Xeljanz XR, 19

Vitalet Pro Lancets, 33

Xeomin, 16

1ST Tier Unifine Pentips Plus/Mini/31GX5MM, 33

Vitalet Pro Plus Lancets, 33

Xerese, 6

Vitamelts Vitamin D, 22

Xermelo, 12

1ST Tier Unifine Pentips Plus/Original/29GX12MM, 33

vitamin d, 22

Xifaxan, 2

vitamin d 400, 22

Xiidra, 17

1ST Tier Unifine Pentips Plus/Ultra SHORT/31GX6MM, 33

vitamin d high potency, 22

Xolair, 21

vitamin d-1000, 22

Xolegel, 6

1ST Tier Unilet Comfortouch Lancets 28G, 33

vitamin d-1000 maximum strength, 22

Xtandi, 3

vitamin d-3, 22

Xulane, 9

1ST Tier Unilet Comfortouch Lancets 30G, 33

vitamin d-400, 22

xylocaine dental, 20

vitamin d3, 22

Xyntha, 14

Vitamin D3, 22

Xyntha Solofuse, 14

vitamin d3 400, 22

Xyrem, 16

vitamin d3 adult gummies, 22

53379208.1

Non-Discrimination and Accessibility Notice

QualChoice complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. QualChoice does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

QualChoice:

Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o Written information in other formats (large print, audio, accessible electronic formats, other formats)

Provides free language services to people whose primary language is not English, such as: o Qualified interpreters o Information written in other languages

If you need these services, contact Customer Service at (501) 228-7111. If you believe that QualChoice has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

QualChoice Civil Rights Coordinator QualChoice P.O. Box 25610 Little Rock, AR 72221-5610 (501) 228-7111 Fax #: 501-707-6729 [email protected]

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the QualChoice Civil Rights Coordinator is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-868-1019, 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. Notice of Discrimination Grievance Procedures

It is the policy of QualChoice not to discriminate on the basis of race, color, national origin, sex, age or disability. QualChoice has adopted an internal grievance procedure providing for prompt and equitable resolution of complaints alleging any action prohibited by Section 1557 of the Affordable Care Act (42 U.S.C. 18116) and its implementing regulations at 45 CFR part 92, issued by the U.S. Department of Health and Human Services. Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age or disability in certain health programs and activities. Section 1557 and its implementing regulations may be examined in the office of the QualChoice Civil Rights Coordinator, who has been designated to coordinate the efforts of QualChoice to comply with Section 1557 (the “Section 1557 Coordinator”):

QualChoice Civil Rights Coordinator QualChoice P.O. Box 25610 Little Rock, AR 72221-5610 (501) 228-7111 Fax #: 501-707-6729 [email protected]

Any person who believes someone has been subjected to discrimination on the basis of race, color, national origin, sex, age or disability may file a grievance under this procedure. It is against the law for QualChoice to retaliate against anyone who opposes discrimination, files a grievance, or participates in the investigation of a grievance.

Procedure:

Grievances must be submitted to the Section 1557 Coordinator within sixty (60) days of the date the person filing the grievance becomes aware of the alleged discriminatory action.

A complaint must be in writing, containing the name and address of the person filing it. The complaint must state the problem or action alleged to be discriminatory and the remedy or relief sought.

The Section 1557 Coordinator (or her/his designee) shall conduct an investigation of the complaint. This investigation may be informal, but it will be thorough, affording all interested persons an opportunity to submit evidence relevant to the complaint. The Section 1557 Coordinator will maintain the files and records of QualChoice relating to such grievances. To the extent possible, and in accordance with applicable law, the Section 1557 Coordinator will take appropriate steps to preserve the confidentiality of files and records relating to grievances and will share them only with those who have a need to know.

The Section 1557 Coordinator will issue a written decision on the grievance, based on a preponderance of the evidence, no later than thirty (30) days after its filing, including a notice to the complainant of their right to pursue further administrative or legal remedies.

The person filing the grievance may appeal the decision of the Section 1557 Coordinator by writing to the Vice President Corporate Responsibility within fifteen (15) days of receiving the Section 1557 Coordinator’s decision. The Vice President Corporate Responsibility shall issue a written decision in response to the appeal no later than thirty (30) days after its filing.

1607 CO 027 1 of 2

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

http://www.hhs.gov/ocr/office/file/index.html

The availability and use of this grievance procedure does not prevent a person from pursuing other legal or administrative remedies, including filing a complaint of discrimination on the basis of race, color, national origin, sex, age or disability in court or with the U.S. Department of Health and Human Services, Office for Civil Rights. A person can file a complaint of discrimination electronically through the Office for Civil Rights Complaint Portal, which is available at: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf , or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201.

Complaint forms are available at: http://www.hhs.gov/ocr/office/file/index.html. Such complaints must be filed within 180 days of the date of the alleged discrimination. QualChoice will make appropriate arrangements to ensure that individuals with disabilities and individuals with limited English proficiency are provided auxiliary aids and services or language assistance services, respectively, if needed to participate in this grievance process. Such arrangements may include, but are not limited to, providing qualified interpreters, providing taped cassettes of material for individuals with low vision, or assuring a barrier-free location for the proceedings. The Section 1557 Coordinator will be responsible for such arrangements. QualChoice offers help for members with limited English proficiency (LEP). The following statement is printed in the top languages used in

Arkansas, as required by the Federal government. ATTENTION: If you speak [insert language], language assistance services, free of charge, are

available to you. Call 1-800-235-7111 (TTY: 711).

Spanish ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-235-7111 (TTY: 711). Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-235-7111 (TTY: 711). Marshallese LALE: Ñe kwōj kōnono Kajin Ṃajōḷ, kwomaroñ bōk jerbal in jipañ ilo kajin ṇe aṃ ejjeḷọk wōṇāān. Kaalọk 1-800-235-7111 (TTY: 711). Chinese 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-235-7111 (TTY: 711).

Lao

ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວ ້ າພາສາ ລາວ, ການບໍ ລິ ການຊ່ວຍເຫ ຼື ອດ້ານພາສາ, ໂດຍບໍ່ ເສັຽຄ່າ, ແມ່ນມີ ພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-235-7111 (TTY: 711). Tagalog PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-235-7111 (TTY: 711). Arabic

.(117)رقمهاتف الصم والبكم: 7111-235-800-1 ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقمGerman ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-235-7111 (TTY: 711). French ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-235-7111 (ATS: 711). Hmong LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-800-235-7111 (TTY: 711). Korean

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-235-7111 (TTY: 711) 번으로 전화해 주십시오. Portuguese ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-800-235-7111 (TTY: 711). Japanese 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-800-235-7111 (TTY: 711)s まで、お電話にてご連絡ください。

Hindi

ध्यान दें: यदद आप द िंदी बोलते ैं तो आपके ललए मुफ्त में भाषा स ायता सेवाएिं उपलब्ध ैं। 1-800-235-7111 (TTY: 711) पर कॉल करें। Gujarati

સચુના: જો તમે ગજુરાતી બોલતા હો, તો નન:શલુ્ક ભાષા સહાય સવેાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો 1-800-235-7111 (TTY: 711).

1607 CO 027 2 of 2

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

http://www.hhs.gov/ocr/office/file/index.html

800.235.7111 | 501 228.7111 | FAX 501.228.0135 | QualChoice.com

1711 CR 011_01 6/2018

essential formulary - qualchoiceuserfiles/pdfs/pharmacy/2018-formula… · essential formulary 2018...

Documents