premium formulary reference guide - brown … formulary reference guide ... your member website or...

Premium Formulary Reference Guide

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

FORMULARY DESIGN

The Optum Premium Formulary is a partially-closed formulary. The Premium Formulary is considered partially-closed because it excludes coverage of some brand-name drugs that do not offer a clear clinical advantage over other less costly brand or generic alternatives. Most other prescription drugs are on the formulary including specialty medications. Some medications may be subject to utilization management programs to ensure appropriate clinical use and cost efficiency. The formulary structure features medications generics (with the lowest copayments), preferred and non-preferred brand-name drugs.

• Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under “GENERIC” have the same active ingredient as the brand-name versions but at a lower cost.

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

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

USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS

Many health plans use the formulary to help manage the overall cost of providing prescription drug benefits. This formulary offers a wide range of medications from which to choose. We realize that this formulary reference guide may not include every drug from every manufacturer. However, choosing a generic or preferred drug when it is

Premium Formulary Reference Guide

*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design determines what is

covered and the applicable co‐payment. The medications listed on this formulary are subject to change pursuant to the formulary management

activities of Optum. The presence of a medication on this formulary list does not guarantee coverage. To determine the most up‐to‐date formulary

status of your medication, please visit your member website or call member services at the number listed on your ID card.

appropriate can provide access to the necessary medications to stay healthy, at a cost that is more affordable.

SAVING ON OUT-OF-POCKET COSTS

Your health plan sets the co-payments for each formulary drug status which include generic, preferred brand-name, and non-preferred brand-name medications. Health plans often design prescription drug plans to encourage the use of generic and preferred brand-name drugs. Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients may also pay less for generic drugs, or they may be asked to pay the cost difference between brand-name drugs and their generic alternatives.

PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic version becomes available.

CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE

When employers and other health plans design their prescription drug plans, they may choose to provide coverage only for certain medications, time periods, doses, quantities, or for a specific indications (e.g. they may exclude coverage for medications for unapproved, unproven, or cosmetic indications). When coverage for medications is provided based on use or quantity, your pharmacy benefit may contact your prescriber’s office for additional information to determine whether coverage is available under your plan. Patients who are unsure whether these coverage rules apply for a particular medication can consult their prescription drug benefit manual or contact a Member Services representative to determine specific coverage requirements.

KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED

The following formulary reference guide is designed so that generic products are listed first in each drug category. The preferred brand name products are listed next, and non-preferred brand products are listed last.

OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — a leading provider of integrated health services. Learn more at optum.com.

All OptumTM

trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or

registered marks of their respective owners. © 2015 Optum, Inc. All rights reserved.

Table of Contents

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

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

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

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

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

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

FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

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

TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

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

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

ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

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

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

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

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

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

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

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

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

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

CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

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

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

ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

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

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

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

ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

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

ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

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

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

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

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

ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIHISTAMINES-TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

cefotetan

cefoxitin sodium

cefprozil

cefuroxime axetil

January 2017 cefuroxime sodium

PREFERRED

ANTI-INFECTIVES Cefaclor

NON PREFERRED

PENICILLINS

Cefaclor ER

GENERIC

Cefotan

amoxicillin

Cefotetan

amoxicillin/clavulanate potassium

Cefotetan/Dextrose

amoxicillin/clavulanate potassium ER

Cefoxitin Sodium

ampicillin

Ceftin

ampicillin sodium

Cefuroxime Sodium

ampicillin-sulbactam

Zinacef

dicloxacillin sodium

THIRD GENERATION

nafcillin sodium

GENERIC

oxacillin sodium

cefdinir

penicillin v potassium

cefixime

penicillin G potassium

cefotaxime sodium

piperacillin sodium/ tazobactam sodium

cefpodoxime proxetil

piperacillin sodium/tazobactam sodium

ceftazidime

piperacillin/tazobactam

ceftriaxone sodium

Amoxicillin/Clavulanate Potassium

Cefotaxime Sodium

PREFERRED

Ceftriaxone IN Iso-osmotic Dextrose

Amoxicillin

NON PREFERRED

Ampicillin

Cedax

NON PREFERRED

Cefditoren Pivoxil

Amoxicillin ER

Ceftazidime/Dextrose

Ampicillin Sodium

Ceftibuten

Augmentin

Ceftriaxone Sodium

Augmentin ES-600

Ceftriaxone/Dextrose

Augmentin XR

Claforan

Bactocill IN Dextrose

Claforan/D5W

Bicillin C-R

Fortaz

Bicillin L-a

Rocephin

Moxatag

Spectracef

Nafcillin

Suprax

Nafcillin Sodium

Tazicef

Penicillin G Potassium IN Iso-osmotic Dextrose

FOURTH GENERATION

Penicillin G Procaine

GENERIC

Penicillin G Sodium

cefepime

Pfizerpen-G

NON PREFERRED

Timentin

Cefepime

Unasyn

Cefepime/Dextrose

Unasyn Bulk Pack

Maxipime

Zosyn

MACROLIDES

CEPHALOSPORIN

GENERIC

FIRST GENERATION

azithromycin

GENERIC

clarithromycin

cefadroxil

clarithromycin ER

cefazolin sodium

erythromycin

cephalexin

erythromycin ethylsuccinate

PREFERRED

Azithromycin

Cephalexin

PREFERRED

NON PREFERRED

E.e.s. 400

Ancef

Erythromycin Base

Cefazolin

Erythromycin Ethylsuccinate

Cefazolin Sodium

NON PREFERRED

Cefazolin Sodium/Dextrose

Biaxin

Cefazolin/Dextrose

Dificid

Cefazolin/D5W

E.e.s. Granules

Cefazolin/Sodium Chloride

Ery-TAB

Keflex

Eryped 200

SECOND GENERATION

Eryped 400

GENERIC

Erythrocin Lactobionate

cefaclor

Erythrocin Stearate

Effective January 1, 2017 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2017 Optum, Inc. All rights reserved.

1

PCE GENERIC

Zithromax amikacin sulfate

Zithromax Tri-PAK gentamicin sulfate

Zithromax Z-PAK gentamicin sulfate pediatric

Zmax gentamicin sulfate/0.9% sodium chloride

isotonic gentamicin

TETRACYCLINES neomycin sulfate

paromomycin sulfate

GENERIC

tobramycin

demeclocycline HCL

tobramycin sulfate

doxycycline

Tobramycin

doxycycline hyclate

PREFERRED

doxycycline hyclate DR

Bethkis

doxycycline monohydrate

NON PREFERRED

minocycline HCL

Gentamicin Sulfate/0.9% Sodium Chloride

minocycline HCL ER

Streptomycin Sulfate

tetracycline hydrochloride

Tobramycin Sulfate

Tetracycline HCL

NON PREFERRED

SULFONAMIDES

Acticlate

Adoxa PREFERRED

Adoxa PAK 1/100 Sulfadiazine

Adoxa PAK 1/150

Adoxa PAK 2/100 ANTIMYCOBACTERIAL AGENTS

Alodox Convenience Kit

GENERIC

Avidoxy DK

ethambutol HCL

Benzodox 30 Kit

isoniazid

Benzodox 60 Kit

pyrazinamide

Doryx

rifabutin

Doryx Mpc

rifampin

Minocin

NON PREFERRED

Minocin Kit

Capastat Sulfate

Monodox

Cycloserine

Morgidox 1X100MG

Isoniazid

Morgidox 1X50MG Kit

Myambutol

Morgidox 2X100MG

Mycobutin

Nicazeldoxy 30 Kit

Paser

Nicazeldoxy 60 Kit

Priftin

Nutridox

Rifadin

Ocudox

Rifamate

Solodyn

Rifater

Targadox

Sirturo

Vibramycin

Trecator

QUINOLONES

ANTIFUNGALS

GENERIC

GENERIC

ciprofloxacin

fluconazole

ciprofloxacin ER

fluconazole IN dextrose

ciprofloxacin HCL

fluconazole IN NACL

ciprofloxacin I.V.-IN D5W

flucytosine

levofloxacin

griseofulvin microsize

levofloxacin IN D5W

griseofulvin ultramicrosize

levofloxacin IN 5% dextrose

itraconazole

moxifloxacin HCL

ketoconazole

Ciprofloxacin HCL

nystatin

Ofloxacin

terbinafine HCL

NON PREFERRED

voriconazole

Avelox

NON PREFERRED

Avelox Abc Pack

Abelcet

Cipro

Ambisome

Cipro I.V.-IN D5W

Amphotec

Cipro XR

Amphotericin B

Ciprofloxacin

Ancobon

Factive

Cancidas

Levaquin

Cresemba

Moxifloxacin HCL

Diflucan

Noroxin

Eraxis

Fluconazole IN NACL

AMINOGLYCOSIDES

Grifulvin V

Gris-peg

Effective January 1, 2017

2

Lamisil Tybost

Mycamine Videx Pediatric

Noxafil Viracept

Onmel Viread

Sporanox Vitekta

Sporanox Pulsepak Zepatier

Vfend NON PREFERRED

Vfend IV Acyclovir Sodium

Baraclude

ANTIVIRALS Combivir

Copegus

GENERIC

Cytovene

abacavir

Daklinza

abacavir sulfate/lamivudine/zidovudine

Epivir

abacavir/lamivudine

Epivir HBV

acyclovir

Epzicom

acyclovir sodium

Famvir

adefovir dipivoxil

Flumadine

cidofovir

Foscavir

didanosine

Hepsera

entecavir

Moderiba

famciclovir

Moderiba 1200 Dose Pack

ganciclovir

Moderiba 800 Dose Pack

lamivudine

Olysio

lamivudine/zidovudine

Peg-intron

nevirapine

Peg-intron Redipen

nevirapine ER

Peg-intron Redipen PAK 4

ribavirin

Pegintron

rimantadine HCL

Rapivab

stavudine

Rebetol

valacyclovir HCL

Relenza Diskhaler

valganciclovir

Retrovir

valganciclovir hydrochlorde

Ribasphere

zidovudine

Ribasphere Ribapak

Nevirapine

Rimantalist

PREFERRED

Sitavig

Aptivus

Tamiflu

Atripla

Technivie

Complera

Trizivir

Crixivan

Tyzeka

Descovy

Valcyte

Edurant

Valtrex

Emtriva

Victrelis

Epclusa

Videx EC

Evotaz

Viekira PAK

Fuzeon

Viekira XR

Genvoya

Viramune

Harvoni

Viramune XR

Intelence

Virazole

Invirase

Vistide

Isentress

Zerit

Kaletra

Ziagen

Lexiva

Zovirax

Norvir

Odefsey

ANTIMALARIALS

Pegasys

Pegasys Proclick GENERIC

Prezcobix atovaquone/proguanil HCL

Prezista chloroquine phosphate

Rescriptor hydroxychloroquine sulfate

Retrovir IV Infusion mefloquine HCL

Reyataz quinine sulfate

Ribatab Primaquine Phosphate

Selzentry PREFERRED

Sovaldi Daraprim

Stribild NON PREFERRED

Sustiva Aralen

Tivicay Coartem

Triumeq Malarone

Truvada Plaquenil


3

Qualaquin First-vancomycin 50

Flagyl

AMEBICIDES Flagyl ER

Impavido

PREFERRED

Invanz

Yodoxin

Ketek

Lincocin

ANTHELMINTICS

Lincomycin/Lidocaine

GENERIC

Mepron

ivermectin

Meropenem/Sodium Chloride

PREFERRED

Merrem

Biltricide

Metro IV

NON PREFERRED

Neutrexin

Albenza

Orbactiv

Emverm

Pentam 300

Stromectol

Primaxin IV

Primaxin IV Add-vantage

MISC. ANTI-INFECTIVES

Primsol

GENERIC

Sivextro

atovaquone

Sulfamethoxazole/Trimethoprim

aztreonam

Synercid

bacitracin

Tindamax

clindamycin

Tygacil

clindamycin palmitate HCL

Vancocin HCL

clindamycin phosphate

Vancomycin

clindamycin phosphate add-vantage

Vancomycin Hydrochloride

clindamycin phosphate pharmacy bulk package

Vancomycin Hydrochloride/Dextrose

clindamycin phosphate IN D5W

Vancomycin Hydrochloride/NACL

clindamycin HCL

Vancomycin Hydrochloride/Sodium Chloride

colistimethate sodium

Vancomycin HCL

dapsone

Vancomycin HCL + Syrspendsf PH4

daptomycin

Vancomycin HCL IN Dextrose

imipenem/cilastatin

Vibativ

lincomycin HCL

Xifaxan

linezolid

Zerbaxa

meropenem

Zyvox

metronidazole

metronidazole IN NACL 0.79%

ANTINEOPLASTICS, ETC

polymyxin b sulfate

ALKYLATING AGENTS

sulfamethoxazole/trimethoprim

sulfamethoxazole/trimethoprim DS GENERIC

tinidazole carboplatin

trimethoprim cisplatin

vancomycin HCL cyclophosphamide

Linezolid ifosfamide

PREFERRED melphalan hydrochloride

Alinia oxaliplatin

Nebupent temozolomide

NON PREFERRED Lomustine

Avycaz PREFERRED

Azactam Alkeran

Azactam IN Iso-osmotic Dextrose Bicnu

Bactrim Busulfex

Bactrim DS Hexalen

Cayston Leukeran

Chloramphenicol Sodium Succinate Mustargen

Cleocin Myleran

Cleocin IN D5W Treanda

Cleocin Pediatric Granules Zanosar

Cleocin Phosphate NON PREFERRED

Clin Single Use Kit Bendeka

Clindamycin Phosphate Cisplatin

Coly-mycin M Cyclophosphamide

Cubicin Eloxatin

Cubicin RF Evomela

Dalvance Gleostine

Doribax Gliadel Wafer

First-metronidazole 100 Ifex

First-metronidazole 50 Ifosfamide

First-vancomycin 25 Temodar


4

Thiotepa NON PREFERRED

Valchlor Cyramza

Yondelis

ANTIBODIES

ANTIBIOTICS

PREFERRED

GENERIC Adcetris

bleomycin sulfate Arzerra

daunorubicin HCL Erbitux

doxorubicin HCL Herceptin

doxorubicin HCL liposome Perjeta

epirubicin HCL Yervoy

idarubicin HCL NON PREFERRED

mitomycin Blincyto

mitoxantrone HCL Darzalex

Doxorubicin HCL Empliciti

Mitomycin Gazyva

PREFERRED Kadcyla

Daunoxome Keytruda

NON PREFERRED Opdivo

Bleo 15k Portrazza

Cosmegen Rituxan

Doxil Tecentriq

Ellence Unituxin

Idamycin PFS Vectibix

Zevalin Y-90

ANTINEOPLASTIC ENZYMES

HORMONAL AGENTS

PREFERRED

Oncaspar GENERIC

NON PREFERRED anastrozole

Erwinaze bicalutamide

exemestane

ANTIMETABOLITES flutamide

letrozole

GENERIC

leuprolide acetate

azacitidine

megestrol acetate

capecitabine

nilutamide

cladribine

tamoxifen citrate

cytarabine

Hydroxyprogesterone Caproate

cytarabine aqueous

PREFERRED

decitabine

Emcyt

fludarabine phosphate

Fareston

fluorouracil

Faslodex

gemcitabine

Lupron Depot

gemcitabine HCL

Lysodren

mercaptopurine

Zoladex

methotrexate

NON PREFERRED

methotrexate sodium

Arimidex

Floxuridine

Aromasin

Methotrexate Sodium

Casodex

PREFERRED

Depo-provera

Alimta

Eligard

Arranon

Femara

Clolar

Firmagon

Folotyn

Megace Oral

Tabloid

Nilandron

NON PREFERRED

Soltamox

Cytarabine Aqueous

Trelstar

Dacogen

Trelstar Mixject

Fludara

Vantas

Gemzar

Xtandi

Purinethol

Zytiga

Purixan

Trexall

IMMUNOMODULATORS

Vidaza

Xeloda GENERIC

azathioprine

ANGIOGENESIS INHIBITORS cyclosporine

cyclosporine modified

PREFERRED

mycophenolate mofetil

Avastin

mycophenolic acid DR

Zaltrap


5

sirolimus Zolinza

tacrolimus NON PREFERRED

Azathioprine Afinitor Disperz

PREFERRED Alecensa

Atgam Beleodaq

Cellcept Intravenous Bosulif

Thalomid Cabometyx

NON PREFERRED Cometriq

Astagraf XL Cotellic

Azasan Farydak

Cellcept Gilotrif

Cyclosporine Modified Gleevec

Envarsus XR Ibrance

Imuran Iclusig

Myfortic Imbruvica

Neoral Inlyta

Nulojix Iressa

Pomalyst Lenvima 10 MG Daily Dose

Prograf Lenvima 14 MG Daily Dose

Rapamune Lenvima 18 MG Daily Dose

Revlimid Lenvima 20 MG Daily Dose

Sandimmune Lenvima 24 MG Daily Dose

Simulect Lenvima 8 MG Daily Dose

Thymoglobulin Lynparza

Zortress Ninlaro

Stivarga

MITOTIC INHIBITORS Sutent

Tagrisso

GENERIC

Tarceva

docetaxel

Tasigna

etoposide

Votrient

paclitaxel

Zelboraf

vincristine sulfate

Zydelig

vinorelbine tartrate

Zykadia

PREFERRED

Abraxane

TOPOISOMERASE I INHIBITOR

Etoposide

Halaven GENERIC

Ixempra Kit irinotecan

Jevtana irinotecan HCL

NON PREFERRED topotecan HCL

Docefrez NON PREFERRED

Docetaxel Camptosar

Docetaxel (non-alcohol Formula) Hycamtin

Etopophos Irinotecan

Marqibo Onivyde

Navelbine Topotecan HCL

Paclitaxel

Taxotere RADIOPHARMACEUTICALS

Teniposide

PREFERRED

Vinblastine Sulfate

Xofigo

NON PREFERRED

ENZYME INHIBITORS

Metastron

GENERIC Quadramet

imatinib mesylate

PREFERRED CELLULAR IMMUNOTHERAPY

Afinitor

PREFERRED

Caprelsa

Provenge

Istodax

Istodax (overfill)

ANTINEOPLASTICS MISC.

Jakafi

GENERIC

Kyprolis

bexarotene

Mekinist

dacarbazine

Nexavar

hydroxyurea

Sprycel

tretinoin

Tafinlar

PREFERRED

Torisel

Actimmune

Tykerb

Alferon N

Velcade

Matulane

Xalkori

Proleukin


6

Theracys nitroglycerin IN 5% dextrose

Tice Bcg Nitroglycerin Lingual

Trisenox PREFERRED

NON PREFERRED Dilatrate SR

Dacarbazine Isosorbide Dinitrate ER

Hydrea Nitro-bid

Intron A Nitro-dur

Intron A W/Diluent Ranexa

Nipent NON PREFERRED

Photofrin Imdur

Sylatron Isordil Titradose

Synribo Nitroglycerin

Targretin Nitroglycerin IN Dextrose 5%

Uvadex Nitrolingual Pumpspray

Nitromist

CHEMOTHERAPY RESCUE Nitronal

Nitrostat

GENERIC

amifostine

BETA BLOCKERS

dexrazoxane

leucovorin calcium GENERIC

levoleucovorin acebutolol HCL

levoleucovorin calcium atenolol

mesna betaxolol HCL

PREFERRED bisoprolol fumarate

Leucovorin Calcium carvedilol

NON PREFERRED esmolol HCL

Ethyol labetalol HCL

Fusilev metoprolol succinate ER

Levoleucovorin metoprolol tartrate

Mesnex nadolol

Totect pindolol

Voraxaze propranolol HCL

Zinecard propranolol HCL ER

sotalol HCL

CHEMOTHERAPY ADJUNCTS sotalol HCL (AF)

Metoprolol Tartrate

PREFERRED

PREFERRED

Kepivance

Bystolic

NON PREFERRED

Propranolol HCL

Elitek

Timolol Maleate

NON PREFERRED

ANTINEOPLASTIC COMBO

Betapace

NON PREFERRED

Betapace AF

Lonsurf

Brevibloc

Coreg

CARDIOVASCULAR DRUGS

Coreg CR

PHOSPHODIESTERASE INHBTR

Corgard

GENERIC

Esmolol HCL

milrinone lactate

Hemangeol

milrinone IN dextrose

Hypertenevide-12.5

Inderal LA

CARDIAC GLYCOSIDES

Inderal XL

GENERIC

Innopran XL

digoxin

Kerlone

PREFERRED

Levatol

Lanoxin

Lopressor

NON PREFERRED

Sectral

Digoxin

Sotalol Hydrochloride

Lanoxin Pediatric

Sotylize

Tenormin

ANTIANGINAL AGENTS

Toprol XL

GENERIC

Trandate

isosorbide dinitrate

Zebeta

isosorbide mononitrate

isosorbide mononitrate ER

CALCIUM CHANNEL BLOCKERS

nitroglycerin

GENERIC

nitroglycerin lingual

amlodipine besylate

nitroglycerin transdermal

diltiazem CD

nitroglycerin ER

diltiazem HCL

nitroglycerin IN dextrose 5%


7

diltiazem HCL CD Tikosyn

diltiazem HCL ER Xylocaine

felodipine ER

isradipine ACE INHIBITORS

nicardipine HCL

GENERIC

nifedipine

benazepril HCL

nifedipine ER

captopril

nimodipine

enalapril maleate

nisoldipine

enalaprilat

verapamil HCL

fosinopril sodium

verapamil HCL ER

lisinopril

verapamil HCL SR

moexipril HCL

NON PREFERRED

perindopril erbumine

Adalat CC

quinapril HCL

Calan

ramipril

Calan SR

trandolapril

Cardene IV

NON PREFERRED

Cardizem

Accupril

Cardizem CD

Aceon

Cardizem LA

Altace

Cleviprex

Epaned

Diltiazem Hydrochloride/Sodium Chloride

Lotensin

Diltiazem HCL

Mavik

Hypertenipine-2.5

Prinivil

Nisoldipine

Qbrelis

Nisoldipine ER

Univasc

Norvasc

Vasotec

Nymalize

Zestril

Procardia

Procardia XL

ANGIOTENSIN RCPTR BLOCKER

Sular

GENERIC

Tiazac

candesartan cilexetil

Verelan

irbesartan

Verelan PM

losartan potassium

telmisartan

ANTIARRHYTHMICS

valsartan

GENERIC

Eprosartan Mesylate

adenosine

PREFERRED

amiodarone HCL

Benicar

disopyramide phosphate

Olmesartan Medoxomil

dofetilide

NON PREFERRED

flecainide acetate

Atacand

ibutilide fumarate

Avapro

lidocaine HCL

Cozaar

lidocaine HCL IN D5W

Diovan

lidocaine HCL/dextrose

Edarbi

mexiletine HCL

Micardis

propafenone HCL

Teveten

propafenone HCL ER

quinidine gluconate CR

DIRECT RENIN INHIBITORS

quinidine gluconate ER

PREFERRED

quinidine sulfate

Tekturna

Amiodarone HCL

Quinidine Sulfate ER

ANTIHYPERTENSIVES MISC.

PREFERRED

GENERIC

Norpace CR

clonidine HCL

Quinidine Sulfate

doxazosin

NON PREFERRED

doxazosin mesylate

Adenocard

eplerenone

Cordarone

fenoldopam mesylate

Corvert

guanfacine HCL

Lidocaine HCL

hydralazine HCL

Multaq

methyldopa

Nexterone

minoxidil

Norpace

phenoxybenzamine hydrochloride

Procainamide HCL

prazosin HCL

Quinidine Gluconate

terazosin HCL

Rythmol

PREFERRED

Rythmol SR

Reserpine


8

NON PREFERRED Lotrel

Cardura Lytensopril Kit

Catapres Lytensopril-90 Kit

Catapres-tts-1 Micardis HCT

Catapres-tts-2 Prestalia

Catapres-tts-3 Tarka

Corlopam Tekamlo

Demser Tenoretic 100

Dibenzyline Tenoretic 50

Inspra Teveten HCT

Methyldopate HCL Twynsta

Minipress Vaseretic

Nitropress Zestoretic

Phentolamine Mesylate Ziac

Tenex

Vecamyl DIURETICS

GENERIC

ANTIHYPERTENSIVE COMBO

acetazolamide

GENERIC acetazolamide sodium

amlodipine besylate/benazepril hydrochloride acetazolamide ER

amlodipine besylate/benazepril HCL amiloride HCL

amlodipine besylate/valsartan amiloride/hydrochlorothiazide

amlodipine/valsartan/hctz bumetanide

atenolol/chlorthalidone chlorothiazide

benazepril HCL/hydrochlorothiazide chlorothiazide sodium

bisoprolol fumarate/hydrochlorothiazide chlorthalidone

candesartan cilexetil/hydrochlorothiazide ethacrynate sodium

enalapril maleate/hydrochlorothiazide ethacrynic acid

fosinopril sodium/hydrochlorothiazide furosemide

irbesartan/hydrochlorothiazide hydrochlorothiazide

lisinopril/hydrochlorothiazide indapamide

losartan potassium/hydrochlorothiazide mannitol

metoprolol/hydrochlorothiazide methazolamide

moexipril/hydrochlorothiazide metolazone

nadolol/bendroflumethiazide spironolactone

quinapril/hydrochlorothiazide spironolactone/hydrochlorothiazide

telmisartan/amlodipine torsemide

telmisartan/hydrochlorothiazide triamterene/hydrochlorothiazide

trandolapril/verapamil HCL Acetazolamide

trandolapril/verapamil HCL ER Chlorothiazide

valsartan/hydrochlorothiazide Chlorthalidone

PREFERRED Triamterene/Hydrochlorothiazide

Amlodipine/Olmesartan Medoxomil PREFERRED

Azor Furosemide

Benicar HCT Methyclothiazide

Captopril/Hydrochlorothiazide NON PREFERRED

Dutoprol Aldactazide

Methyldopa/Hydrochlorothiazide Aldactone

Metoprolol Succinate ER/Hydrochlorothiazide Bumex

Olmesartan Medoxomil/Amlodipine/Hydrochlorothiazide Demadex

Olmesartan Medoxomil/Hydrochlorothiazide Diamox

Propranolol/Hydrochlorothiazide Diuril

Tekturna HCT Dyazide

Tribenzor Dyrenium

NON PREFERRED Edecrin

Accuretic Keveyis

Amturnide Lasix

Atacand HCT Maxzide

Avalide Maxzide-25

Clorpres Microzide

Corzide Neptazane

Diovan HCT Sodium Diuril

Edarbyclor Sodium Edecrin

Exforge Torsemide

Exforge HCT Zaroxolyn

Hypertensolol

Hyzaar VASOPRESSORS

Lopressor HCT

GENERIC

Lotensin HCT

dobutamine HCL


9

dobutamine HCL/D5W Antara

dobutamine/dextrose 5% Colestid

dopamine HCL Colestid Flavored

dopamine HCL-dextrose 5% Crestor

dopamine HCL/dextrose 5% Fenoglide

dopamine/D5W Juxtapid

ephedrine sulfate Kynamro

midodrine HCL Lescol

norepinephrine bitartrate Lescol XL

phenylephrine HCL Lipitor

PREFERRED Livalo

Epipen 2-PAK Lofibra

Epipen-JR 2-PAK Lopid

NON PREFERRED Lovaza

Adrenalin Mevacor

Adyphren II Niaspan

Adyphren Kit Omega-3/D-3 Wellness Pack

Akovaz Pravachol

Dopamine HCL Questran

Ephedrine Sulfate Questran Light

Ephedrine Sulfate/Sodium Chloride Repatha

Epinephrine Repatha Pushtronex System

Epinephrine HCL Repatha Sureclick

Episnap Tricor

Epy II Kit Triglide

Epy Kit Trilipix

Levophed Zetia

Norepinephrine Bitartrate/Dextrose Zocor

Norepinephrine Bitartrate/Sodium Chloride

Norepinephrine/Sodium Chloride CARDIOVASCULAR - MISC.

Northera

GENERIC

Phenylephrine Hydrochloride/Dextrose

amlodipine besylate/atorvastatin calcium

Phenylephrine HCL

epoprostenol sodium

Phenylephrine HCL/Sodium Chloride

papaverine HCL

Phenylephrine/Sodium Chloride

sildenafil

Vazculep

sildenafil citrate

PREFERRED

ANTIHYPERLIPIDEMICS

Adempas

GENERIC Cialis

atorvastatin calcium Letairis

cholestyramine Opsumit

cholestyramine light Remodulin

colestipol HCL Tracleer

fenofibrate Veletri

fenofibrate micronized Viagra

fenofibric acid DR NON PREFERRED

fluvastatin Adcirca

fluvastatin sodium ER Bidil

gemfibrozil Caduet

lovastatin Corlanor

niacin ER Entresto

omega-3-acid ethyl esters Flolan

pravastatin sodium Muse

rosuvastatin calcium Natrecor

simvastatin Orenitram

Fenofibrate Revatio

Fenofibric Acid Tyvaso

PREFERRED Tyvaso Refill

Fibricor Tyvaso Starter

Lipofen Uptravi

Niacor Ventavis

Praluent

Simcor DERMATOLOGICALS

Vascepa

ACNE PRODUCTS

Vytorin

GENERIC

Welchol

adapalene

NON PREFERRED

adapalene P.M.

Advicor

benzoyl peroxide

Altoprev

benzoyl peroxide SHORT contact


10

clindamycin phosphate Sodium Sulfacetamide/Sulfur

clindamycin phosphate/tretinoin Sodium Sulfacetamide/Sulfur Cleanser IN Urea

clindamycin/benzoyl peroxide Sodium Sulfacetamide/Sulfur IN Urea

erythromycin Sulfoam

erythromycin/benzoyl peroxide Sumadan Kit

sodium sulfacetamide Sumadan Wash

sodium sulfacetamide/sulfur Sumadan XLT

sodium sulfacetamide/sulfur cleanser Sumaxin

sodium sulfacetamide/sulfur cleansing cloths Sumaxin CP Kit

sodium sulfacetamide/sulfur green Sumaxin Ts

sodium sulfacetamide/sulfur w/sunscreen Sumaxin Wash

sodium sulfacetamide/sulfur wash Tretin-x

sulfacetamide sodium Triseon

sulfacetamide sodium/sulfur Vanoxide-HC

sulfacetamide sodium/sulfur cleanser Zacare 4% Kit

tretinoin Zacare 8% Kit

tretinoin microsphere

tretinoin microsphere P.M. ROSACEA AGENTS

PREFERRED

GENERIC

Clindagel

metronidazole

Retinoic Acid

Doxycycline

Retinoic Acid-all Trans

PREFERRED

Tretinoin

Mirvaso

Tretinoin (all-trans Retinoic Acid)

Soolantra

NON PREFERRED

NON PREFERRED

Absorica

Finacea

Aczone

Metrocream

Adapalene

Metrogel

Akne-mycin

Metrolotion

Atralin

Noritate

Avar

Oracea

Avar LS

Rosadan Kit

Avar LS Cleanser

Avar-e LS

ANALGESICS - TOPICAL

Azelex

NON PREFERRED

Benzac Ac Wash

A.a.g.c. Kit IN Teroderm

Benzefoam

Baclofen

Benzefoam Ultra

Equipto-baclofen

Benzefoamultra

Benziq

ANTIBIOTICS - TOPICAL

Benziq LS

GENERIC

Clarifoam EF

mupirocin

Cleocin-t

mupirocin calcium

Clindacin Etz

PREFERRED

Clindacin PAC

Centany

Clindap-t

Gentamicin Sulfate

Clinoin

NON PREFERRED

Dermapak Plus

Altabax

Differin

Bactroban

Epiduo

Centany AT

Epiduo Forte

Cortisporin

Erygel

Neo-synalar

Evoclin

Neo-synalar Kit

Fabior

Inova

ANTIFUNGALS - TOPICAL

Inova 4/1 Acne Control Therapy

GENERIC

Inova 8/2 Acne Control Therapy

ciclopirox

Klaron

ciclopirox nail lacquer

Neuac Kit

ciclopirox olamine

Nuox

clotrimazole

Onexton

clotrimazole/betamethasone dipropionate

Plexion

econazole nitrate

Plexion Cleanser

ketoconazole

Plexion Cleansing Cloths

naftifine hydrochloride

Prascion Ra With Sunscreens

nystatin

Retin-a

nystatin/triamcinolone

Retin-a Micro

oxiconazole nitrate

Retin-a Micro P.M.

PREFERRED

Riax

Ala-quin

Rosula


11

Exoderm Vopac GB

NON PREFERRED Vopac Kt

Ciclodan Cream Kit Xrylix

Ciclodan Solution Kit Zyvodol

Cnl8 Nail Kit

Dermacinrx Therazole PAK ANTIPRURITICS

Ecoza

GENERIC

Ertaczo

Doxepin Hydrochloride

Exelderm

NON PREFERRED

Extina

Prudoxin

Halotin

Zonalon

Jublia

Kerydin

ANTIPSORIATICS

Ketodan Kit

GENERIC

Loprox

acitretin

Loprox Shampoo

calcipotriene

Lotrisone

methoxsalen

Luzu

Calcitriol

Mentax

PREFERRED

Naftifine HCL

Anthralin

Naftin

Dritho-creme HP

Nizoral

Stelara

Nyata

Vectical

Oxistat

NON PREFERRED

Pediaderm AF Complete Kit

Cosentyx

Penlac Nail Lacquer

Cosentyx Sensoready Pen

Recura

Dovonex

Vusion

Oxsoralen Ultra

Xolegel

Soriatane

Xolegel Corepak

Sorilux

Xolegel Duo/Head & Shoulders

Taltz

Xolegel Duo/Xolex

Tazorac

Zithranol

ANTIVIRALS - TOPICAL

Zithranol-rr

GENERIC

8-mop

acyclovir

NON PREFERRED

ANTISEBORRHEIC AGENTS

Denavir

GENERIC

Lidovir

selenium sulfide

Xerese

sodium sulfacetamide

Zovirax

sodium sulfacetamide wash

NON PREFERRED

ANTIHISTAMINES-TOPICAL

Glycolic Acid

NON PREFERRED

Glycolic Acid 70% High Purity

Allo-pax

Ovace Plus

Nazirex

Ovace Plus Wash

Ovace Wash

ANTI-INFLAMMATORY AGENTS

Promiseb

GENERIC Promiseb Complete

diclofenac sodium Selrx

NON PREFERRED Tersi Foam

Dermacinrx Lexitral Pharmapak TL Triseb

Diclofenac Sodium

Dipentocaine CORTICOSTEROIDS - TOPICAL

Dsg PAK

GENERIC

Emvoren

alclometasone dipropionate

Equipto-naproxen

augmented betamethasone dipropionate

Extardol

betamethasone dipropionate

Flector

betamethasone valerate

Innoprax-5

calcipotriene/betamethasone dipropionate

K.b.g.l. IN Teroderm Cream

clobetasol propionate

Ketophene Rapidpaq

clobetasol propionate emollient

Ketorolac 2% Gel

desonide

Lidoprofen

desoximetasone

Novoclair

fluocinolone acetonide

Nuvya

fluocinonide

Pennsaid

fluocinonide-e

Voltaren

flurandrenolide

Vopac

fluticasone propionate


12

halobetasol propionate Topicort

hydrocortisone Triamsil Combipak

hydrocortisone butyrate Trianex

hydrocortisone butyrate (lipid) Triderma Forte

hydrocortisone butyrate (lipophilic) Ultravate

hydrocortisone valerate Ultravate X

hydrocortisone IN absorbase Validerm

mometasone furoate Vanos

prednicarbate Verdeso

triamcinolone acetonide Westcort

Amcinonide Xilapak

Desoximetasone

Diflorasone Diacetate IMMUNOMODULATING AGENTS

PREFERRED

GENERIC

Pramosone

imiquimod

NON PREFERRED

tacrolimus

Aclovate

PREFERRED

Advanced Allergy Collection Kit

Elidel

Ala Scalp

NON PREFERRED

Capex

Aldara

Clobex

Protopic

Clocortolone Pivalate

Zyclara

Clocortolone Pivalate P.M.

Zyclara P.M.

Clodan Kit

Cloderm

DERMATOLOGICALS - MISC.

Cloderm P.M.

GENERIC

Cordran

ammonium lactate

Cordran Tape

episone CRE

Cutivate

lactic acid

Derma-smoothe/FS Body

lactic acid e

Derma-smoothe/FS Scalp

lactic acid w/vitamin e

Dermasorb HC

lidocaine

Dermasorb Ta

lidocaine HCL

Dermatop

lidocaine HCL jelly

Dermazone

lidocaine-prilocaine-cream base

Desonate

lidocaine/prilocaine

Desowen

lindane

Diprolene

malathion

Diprolene AF

permethrin

Elocon

podofilox

Enstilar

salicylic acid

Epifoam

salicylic acid cream

First-hydrocortisone

salicylic acid lotion

Halog

salicylic acid ER

Kenalog

sodium hyaluronate

Locoid

urea

Locoid Lipocream

urea topical

Luxiq

urea IN zinc undecylenate/lactic acid vehicle

Micort-HC

urea 40% nail film

Noxipak

PREFERRED

Nucort

Drysol

Nuzon

Eurax

Olux

Lindane

Olux-e

NON PREFERRED

Pandel

Accucaine

Pediaderm HC

Acuicyn Daily Eyelid & Eyelash Cleanser

Pediaderm Ta

Alevicyn Antipruritic SG

Rrb PAK

Aluvea

Scalacort DK

Anacaine

Sernivo

Arnica Flower

Silazone Pharmapak

Astero

Silazone-II

Atopiclair

Synalar

Aurstat Anti-itch Hydrogel

Synalar Cream Kit

Aurstat Anti-itch Hydrogel Kit

Synalar Ointment Kit

Avenova

Synalar Ts

Avenova/Neutrox

Taclonex

Benzoin Compound Tincture

Temovate

Benzoin Tincture

Temovate E

Boric Acid

Texacort


13

Ceracade Presera

Coal TAR Pruclair

Cocaine HCL Prumyx

Condylox Pyrogallic Acid

Copasil Qutenza

Dermacinrx Clorhexacin Relyyks

Dermacinrx Duopatch Pharmapak Relyyt

Dermacinrx Neurotral Pharmapak Salex

Dermacinrx Phn PAK Salex Cream

Dermacinrx Surgical Pharmapak Salex Lotion

Dermacinrx Zrm PAK Salicylic Acid

Dermasorb XM Salicylic Acid IN Ammonium Lactate Vehicle

Dermawerx Surgical Plus PAK Salvax

Dermazyl Salvax Duo Plus

Eletone Scar Patch

Eletone Twinpack Sebuderm

Elimite Sinelee

Emla Sklice

Emulsion SB Solaice

Entty Spray Emulsion Soothee

Epiceram Spinosad

Ethyl Chloride Sulfurated Lime

Ethyl Chloride/Fine Pinpoint Supracil

Ethyl Chloride/Fine Stream Synera

Ethyl Chloride/Medium Jet Stream Tetrix

Ethyl Chloride/Medium Stream Tropazone

Ethyl Chloride/Mist Ulesfia

Gebauers Pain Ease Ultrasal-ER

Gebauers Spray And Stretch Umecta

Genadur Umecta Nail Film

Genadur Kit Umecta PD

Gordofilm Uramaxin

Gordons Urea Uramaxin GT

Hydro 35 Uramaxin GT Kit

Hydro 40 Foam Utopic

Hylatopic Veinpuncture Px1 Phlebotomy System

Hylatopic Plus Venipuncture Cpi

Hylira Veregen

HPR Verrunex

HPR Plus Vexa

HPR Plus Hydrogel Kit Virasal

HPR Plus/Mb Hydrogel Xerac Ac

IV Infusion Cpi Xeralux

Keralac Xylocaine

Keralyt

Keralyt Scalp ENDOCRINE AND METABOLIC

Lac-hydrin

CORTICOSTEROIDS

Latrix XM

GENERIC

Ldo Plus

betamethasone sodium phosphate/betamethasone acetate

Lido-RX 4.1

Lidocaine And Tetracaine Cream

budesonide

Lidocaine HCL

dexamethasone

Lidoderm

dexamethasone sodium phosphate

Lidothol

fludrocortisone acetate

Lidotral

hydrocortisone

Lycelle

methylprednisolone

Mb Hydrogel

methylprednisolone acetate

Medi-derm/L-RX

methylprednisolone dose pack

Megrix

methylprednisolone sodiumsuccinate

Natroba

prednisolone

Neosalus

prednisolone sodium phosphate

Neosalus CP

prednisolone sodium phosphate odt

Neuvaxin

prednisone

Nivatopic Plus

Dexamethasone Sodium Phosphate

Nusrugepak Surgical Prep/Carepak

PREFERRED

Nuvail

Cortisone Acetate

Ovide

Dexamethasone

Oxsoralen

Medrol

Pliaglis

Millipred

Pr Cream


14

Prednisone Androgel

Prednisone Intensol Androgel P.M.

NON PREFERRED Androxy

Aristospan Intra-articular NON PREFERRED

Betalido Anadrol-50

Betaloan Suik Android

Betamethasone SP Aveed

Celestone-soluspan Depo-testosterone

Cortef First-testosterone

Depo-medrol First-testosterone Mc Compounding Kit

Dermacinrx Cinlone-i Cpi Natesto

Dexamethasone Intensol Oxandrin

Dexlido Striant

Dexlido-m Testone Cik

Dexpak 10 Day Testopel

Dexpak 13 Day Testosterone

Dexpak 6 Day Testred

Doubledex

Dyural-l ESTROGENS

Dyural-lm

GENERIC

Dyural-40

estradiol

Dyural-80

estradiol valerate

Entocort EC

estradiol/norethindrone acetate

Interarticular Joint Kit

norethindrone acetate/ethinyl estradiol

Kenalog-10

Estropipate

Kenalog-40

PREFERRED

LT Injection Kit

Climara Pro

Marbeta-l

Duavee

Marbeta-25

Menest

Mardex-25

Premphase

Medrol Dosepak

Prempro

Medroloan II Suik

NON PREFERRED

Medroloan Suik

Activella

Methylprednisolone

Alora

Methylprednisolone PF

Angeliq

Methylprednisolone/Lidocaine

Biest/Progesterone

Millipred DP

Climara

Mlk F4 Kit

Combipatch

Mlp A-2

Delestrogen

Orapred Odt

Depo-estradiol

Pediapred

Divigel

Prednisolone Sodium Phosphate

Elestrin

Pro-c-dure 5 Kit

Enjuvia

Pro-c-dure 6 Kit

Estrace

Rayos

Estradiol

Readysharp-k

Estrogel

Readysharp-p40

Evamist

Readysharp-p80

Femhrt Low Dose

Solu-cortef

Menostar

Solu-medrol

Minivelle

Triamcinolone

Prefest

Triamcinolone Acetonide PF

Premarin

Triamcinolone PF

Vivelle-dot

Triamcinolone/Lidocaine

Triloan II Suik

CONTRACEPTIVES

Triloan Suik

GENERIC

Uceris

desogestrel/ethinyl estradiol

Veripred 20

drospirenone/ethinyl estradiol

drospirenone/ethinyl estradiol/levomefolate calcium

ANDROGENS-ANABOLIC

levonorgestrel

GENERIC

levonorgestrel and ethinyl estradiol

danazol

levonorgestrel/ethinyl estradiol

methyltestosterone

norethindrone

oxandrolone

norethindrone & ethinyl estradiol ferrous fumarate

testosterone

norethindrone acetate/ethinyl estradiol

testosterone cypionate

norethindrone acetate/ethinyl estradiol/ferrous fumarate

testosterone enanthate

norgestimate/ethinyl estradiol

PREFERRED

Levonorgestrel

Androderm


15

PREFERRED Humulin N Kwikpen

Natazia Humulin R

Necon 1/50-28 Humulin R U-500 (concentrated)

Necon 10/11-28 Humulin R U-500 Kwikpen

Norinyl 1+50 Humulin 70/30

Nuvaring Humulin 70/30 Kwikpen

Zovia 1/50e Lantus

NON PREFERRED Lantus Solostar

Beyaz Toujeo Solostar

Brevicon-28 NON PREFERRED

Cyclessa Afrezza

Desogen AMYLIN ANALOGS

Ella NON PREFERRED

Estrostep FE Symlinpen 120

Falessa Symlinpen 60

Femcon FE INCRETIN MIMETIC AGENTS

Generess FE PREFERRED

Loestrin FE 1.5/30 Bydureon

Loestrin FE 1/20 Bydureon Pen

Loestrin 1.5/30-21 Byetta

Loestrin 1/20-21 Trulicity

Loseasonique Victoza

LO Loestrin FE SULFONYLUREAS

Minastrin 24 FE GENERIC

Mircette glimepiride

Modicon glipizide

Nor-QD glipizide ER

Norinyl 1+35 glyburide

Ortho Micronor glyburide micronized

Ortho Tri-cyclen tolazamide

Ortho Tri-cyclen LO Glyburide

Ortho-cept Tolazamide

Ortho-cyclen PREFERRED

Ortho-novum 1/35 Chlorpropamide

Ortho-novum 7/7/7 Diabeta

Ovcon-35 Tolbutamide

Quartette NON PREFERRED

Safyral Amaryl

Seasonique Glucotrol

Taytulla Glucotrol XL

Tri-norinyl 28 Glynase

Yasmin 28 BIGUANIDES

Yaz GENERIC

metformin HCL

PROGESTINS metformin HCL ER

NON PREFERRED

GENERIC

Fortamet

medroxyprogesterone acetate

Glucophage

megestrol acetate

Glucophage XR

norethindrone acetate

Glumetza

progesterone

Riomet

PREFERRED

MEGLITINIDE ANALOGUES

Makena

GENERIC

NON PREFERRED

nateglinide

Aygestin

repaglinide

Medroxyprogesterone/Lidocaine

NON PREFERRED

Megace ES

Prandin

Progesterone 10% Kit

Starlix

Prometrium

DIABETIC OTHER

Provera

PREFERRED

Glucagen Hypokit

ANTIDIABETIC AGENTS

Glucagon Emergency Kit

INSULIN

Invokana

PREFERRED

Jardiance

Humalog

Proglycem

Humalog Kwikpen

NON PREFERRED

Humalog Mix 50/50

Cycloset

Humalog Mix 50/50 Kwikpen

Korlym

Humalog Mix 75/25

ALPHA-GLUCOSIDASE INHIBIT

Humalog Mix 75/25 Kwikpen

Humulin N


16

GENERIC CALCITONINS

acarbose

GENERIC

miglitol

calcitonin salmon

NON PREFERRED

calcitonin-salmon

Glyset

NON PREFERRED

Precose

Fortical

DPP-4 INHIBITORS

Miacalcin

GENERIC

Alogliptin

PARATHYROID HORMONE

PREFERRED

PREFERRED

Januvia

Forteo

Tradjenta

NON PREFERRED

INSULIN SENSITIZING AGENT

Natpara

GENERIC

pioglitazone HCL

RANK LIGAND INHIBITORS

NON PREFERRED

PREFERRED

Actos

Prolia

Avandia

Xgeva

ANTIDIABETIC COMBINATIONS

GENERIC

HORMONE RECEPTOR MDLTR

glipizide/metformin HCL

GENERIC

glyburide/metformin HCL

raloxifene hydrochloride

pioglitazone HCL-glimepiride

NON PREFERRED

pioglitazone HCL/metformin HCL

Evista

Alogliptin/Metformin HCL

Osphena

Alogliptin/Pioglitazone

Repaglinide/Metformin Hydrochloride

FERTILITY REGULATORS

PREFERRED

GENERIC

Invokamet

chorionic gonadotropin

Invokamet XR

clomiphene citrate

Janumet

PREFERRED

Janumet XR

Gonal-f

Jentadueto

Gonal-f RFF

Jentadueto XR

Gonal-f RFF Rediject

Synjardy

NON PREFERRED

NON PREFERRED

Menopur

Actoplus Met

Ovidrel

Actoplus Met XR

Appformin

LHRH/GNRH AGONIST

Appformin-d

PREFERRED

Avandamet

Lupron Depot-PED

Avandaryl

Supprelin LA

Duetact

Synarel

Glucovance

NON PREFERRED

Glyxambi

Lupaneta Pack

Prandimet

GNRH/LHRH ANTAGONISTS

BISPHOSPHONATES

PREFERRED

GENERIC

Cetrotide

alendronate sodium

NON PREFERRED

ibandronate sodium

Ganirelix Acetate

pamidronate disodium

risedronate sodium

GROWTH HORMONES

risedronate sodium DR

PREFERRED

zoledronic acid

Norditropin Cartridge

PREFERRED

Norditropin Flexpro

Alendronate Sodium

Norditropin Nordiflex Pen

NON PREFERRED

Nutropin AQ Nuspin 10

Actonel


Atelvia


Binosto

Nutropin AQ Pen

Boniva

Saizen

Etidronate Disodium

Saizen Click.easy

Fosamax

Serostim

Fosamax Plus D

NON PREFERRED

Pamidronate Disodium

Zorbtive

Reclast

Zoledronic Acid

GHRH

Zometa


17

NON PREFERRED NON PREFERRED

Egrifta Ammonul

Buphenyl

SOMATOMEDINS Carnitor

Carnitor SF

PREFERRED

Cystadane

Increlex

Hectorol

Kanuma

SOMATOSTATIC AGENTS

Myalept

GENERIC

Orfadin

octreotide acetate

Ravicti

NON PREFERRED

Rocaltrol

Sandostatin

Sensipar

Sandostatin Lar Depot

Strensiq

Signifor

Vimizim

Signifor Lar

Xuriden

Somatuline Depot

Zemplar

GH RECEPTOR ANTAGONISTS

THYROID AGENTS

NON PREFERRED

GENERIC

Somavert

levothyroxine sodium

liothyronine sodium

POSTERIOR PITUITARY

methimazole

GENERIC

propylthiouracil

desmopressin acetate

NON PREFERRED

vasopressin

Armour Thyroid

NON PREFERRED

Cytomel

Ddavp

Levothyroxine Sodium

Pitressin Synthetic

Nature-throid

Stimate

Nature-throid Nt-2.5

Vasopressin/Sodium Chloride

Synthroid

Vasostrict

Tapazole

Thyrolar-1

CORTICOTROPIN

Thyrolar-1/2

PREFERRED

Thyrolar-1/4

H.p. Acthar

Thyrolar-2

Thyrolar-3

PROLACTIN INHIBITORS

Tirosint

GENERIC

Triostat

cabergoline

Westhroid

Wp Thyroid

VASOPRESSIN ANTAGONISTS

PREFERRED

GASTROINTESTINAL

Samsca

LAXATIVES

NON PREFERRED

GENERIC

Vaprisol

lactulose

mineral oil heavy

PROGESTERONE ANTAGONISTS

peg 3350/electrolytes

NON PREFERRED

peg-3350/electrolytes

Mifeprex

peg-3350/NACL/NA bicarbonate/KCL

polyethylene glycol 3350

METABOLIC MODIFIERS

NON PREFERRED

GENERIC

Cascara Sagrada

calcitriol

Colyte-flavor Packs

doxercalciferol

Gialax

levocarnitine

Golytely

paricalcitol

Kristalose

sodium phenylacetate/sodium benzoate

Moviprep

sodium phenylbutyrate

Nulytely/Flavor Packs

PREFERRED

Osmoprep

Aldurazyme

Pcp 100

Carbaglu

Prepopik

Elaprase

Suclear

Fabrazyme

Suprep Bowel Prep

Kuvan

Lumizyme

ANTIDIARRHEALS

Myozyme

GENERIC

Naglazyme

diphenoxylate/atropine

loperamide HCL


18

opium Esomeprazole Strontium

opium tincture Famotidine Premixed

PREFERRED First-lansoprazole

Diphenoxylate/Atropine First-omeprazole

Paregoric Gabitidine

NON PREFERRED Gastrinex NF

Fulyzaq Glycopyrrolate

Lomotil Levbid

Motofen Levsin

Mytesi Levsin/SL

Restora RX Librax

Restora Sprinkles Nexium

Rezyst IM Nexium I.v.

Vsl#3 DS Omeprazole + Syrspend SF Alka

Pamine

ANTACIDS Pamine Forte

Pamine FQ

NON PREFERRED

Pepcid

Sodium Bicarbonate

Prevacid

Prevacid Solutab

ULCER DRUGS

Prevpac

GENERIC

Prilosec

atropine sulfate

Protonix

chlordiazepoxide HCL/clidinium bromide

Robinul

cimetidine

Robinul Forte

cimetidine HCL

Scopolamine Hydrobromide

dicyclomine HCL

Sentradine

esomeprazole magnesium

Zantac

esomeprazole sodium

Zegerid

famotidine

glycopyrrolate

ANTIEMETICS

hyoscyamine sulfate

GENERIC

hyoscyamine sulfate odt

dronabinol

hyoscyamine sulfate ER

granisetron HCL

hyoscyamine sulfate SR

meclizine HCL

lansoprazole

ondansetron odt

lansoprazole/amoxicillin/clarithromycin

ondansetron HCL

methscopolamine bromide

trimethobenzamide HCL

misoprostol

PREFERRED

nizatidine

Aloxi

omeprazole

NON PREFERRED

omeprazole/sodium bicarbonate

Akynzeo

pantoprazole sodium

Anzemet

rabeprazole sodium

Cesamet

ranitidine HCL

Diclegis

sucralfate

Dimenhydrinate

Esomeprazole Sodium

Emend

Famotidine

Granisol

Nizatidine

Marinol

PREFERRED

Ondansetron Hydrochloride/Sodium Chloride

Dexilant

Sancuso

Omeclamox-PAK

Tigan

Propantheline Bromide

Transderm-scop

Pylera

Varubi

Symax Duotab

Zofran

NON PREFERRED

Zofran Odt

Aciphex

Zuplenz

Aciphex Sprinkle

Anaspaz

DIGESTIVE AIDS

Atropen

Atropine Sulfate PREFERRED

Belladonna & Opium Creon

Belladonna Alkaloids & Opium Pancrelipase

Bentyl Zenpep

Cantil NON PREFERRED

Carafate Sucraid

Cuvposa

Cytotec GASTROINTESTINAL - MISC.

Deprizine Fusepaq

GENERIC

Deprizine Rapidpaq

alosetron hydrochloride


19

balsalazide disodium Viberzi

calcium acetate

cromolyn sodium GENITOURINARY

hydrocort ene 100MG

URINARY ANTI-INFECTIVES

hydrocortisone

GENERIC

hydrocortisone acetate/pramoxine

methenamine hippurate

lactulose

methenamine mandelate

lidocaine HCL/hydrocortisone acetate

nitrofurantoin

mesalamine

nitrofurantoin macrocrystals

metoclopramide odt

nitrofurantoin monohydrate

metoclopramide HCL

nitrofurantoin monohydrate/macrocrystals

sulfasalazine

PREFERRED

ursodiol

Methenamine Mandelate

PREFERRED

NON PREFERRED

Amitiza

Furadantin

Apriso

Hiprex

Canasa

Macrobid

Cimzia

Macrodantin

Cimzia Starter Kit

Monurol

Lialda

Uretron D/S

Linzess

Urimar-t

Proctofoam HC

Urogesic-blue

Relistor

Remicade

URINARY ANTISPASMODICS

Renvela

GENERIC

Sevelamer Carbonate

bethanechol chloride

Sfrowasa

darifenacin hydrobromide ER

Stelara

flavoxate HCL

NON PREFERRED

oxybutynin chloride

Actigall

oxybutynin chloride ER

Analpram Advanced

tolterodine tartrate

Analpram-HC

tolterodine tartrate ER

Analpram-HC Singles

trospium chloride

Anusol-HC

trospium chloride ER

Auryxia

PREFERRED

Azulfidine

Vesicare

Azulfidine EN-TABS

NON PREFERRED

Chenodal

Detrol

Cholbam

Detrol LA

Colazal

Ditropan XL

Cortenema

Enablex

Cortifoam

Gelnique

Dexpanthenol

Oxytrol

Dipentum

Toviaz

Eliphos

Urecholine

Entereg

Entyvio

VAGINAL PRODUCTS

Fosrenol

GENERIC

Gastrocrom

clindamycin phosphate

Gattex

metronidazole vaginal

Giazo

terconazole

Lidocaine HCL-hydrocortisone Acetate With Aloe

PREFERRED

Lotronex

Premarin

Metoclopramide Odt

NON PREFERRED

Metozolv Odt

Avc

Movantik

Cleocin

Ocaliva

Clindesse

Pentasa

Crinone

Phoslo

Endometrin

Phoslyra

Estrace

Procort

Estring

Proctocort

Fem PH

Rectiv

Femring

Reglan

First-progesterone VGS 100 Compounding Kit

Renagel


Rowasa


Uceris


Urso Forte


Urso 250

Gynazole-1

Velphoro


20

Metrogel-vaginal Animi-3/Vitamin D

Nuvessa B-12 Kit

Relagard B-6 Folic Acid

Terazol 3 Biferarx

Terazol 7 Cenfol

Vagifem Centratex

Cerdelga

GENITOURINARY - MISC. Ciferex

Corvite 150

GENERIC

Dermacinrx Purefolix

alfuzosin HCL ER

Divista

citric acid/sodium citrate

Droxia

dutasteride

Ed Cyte F

dutasteride/tamsulosin hydrochloride

Elelyso

dutasteride/tamsulosin HCL

Feraheme

finasteride

Feriva

phenazopyridine HCL

Feriva 21/7

potassium citrate ER

Ferivafa

potassium citrate-citric acid crystals

Ferralet 90

potassium citrate/citric acid

Ferrex 150 Forte Plus

potassium citrate/sodium citrate/citric acid

Ferrex 28

sodium citrate/citric acid

Ferrlecit

tamsulosin HCL

Ferro-plex Hematinic

tricitrates

Ferrotrin

PREFERRED

Focalgin Dss

Cytra-3

Folene

Elmiron

Folgard RX

Rapaflo

Folic Acid

NON PREFERRED

Folivane-f

Avodart

Folivane-plus

Cardura XL

Folixapure

Cystagon

Foltrate

Flomax

Fusion Plus

Jalyn

Fusion Sprinkles

K-phos NO 2

Hematogen Fa

Lithostat

Hematron-AF

Oracit

Hemocyte Plus

Procysbi

Hemocyte-f

Proscar

Hydroxocobalamin

Pyridium

Icar-c Plus

Shohls Solution Modified

Infed

Thiola

Injectafer

Urocit-k 10

Integra F

Urocit-k 15

Integra Plus

Urocit-k 5

Irospan 24/6

Uroxatral

Is 24/6

Leukine

HEMATOLOGICAL

Maxaron Forte

HEMATOPOIETIC AGENTS

Maxfe

GENERIC

Methionine/Inositol/Choline/Cyanocobalamin

cyanocobalamin

Mircera

folic acid

Multigen

folic acid/vitamin b-6/vitamin b-12

Multigen Folic

sodium ferric gluconate complex/sucrose

Multigen Plus

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc

MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa

PREFERRED

MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac

Cerezyme

Folitab 500

Nascobal

Granix

Natalvirt Flt

Mozobil

Nephron Fa

Neumega

Neulasta

Neupogen

Neulasta Onpro Kit

Nplate

Novaferrum

Procrit

Nufera

Zarxio

Omontys

NON PREFERRED

Pre-folic

Abaneu-SL

Proferrin-forte

Albafort

Promacta

Animi-3

Protectiron

Tandem F


21

Tandem Plus Thrombin-jmi W/Dil Spray P.M. Actuator

Triferic Thrombogen

Venofer Tisseel

Vpriv Tisseel VH

Zavesca

Zolate HEMATOLOGICAL - MISC.

GENERIC

ANTICOAGULANTS

anagrelide hydrochloride

GENERIC cilostazol

argatroban clopidogrel

bivalirudin dipyridamole

enoxaparin sodium eptifibatide

fondaparinux sodium hetastarch 6%/NACL

heparin lock pentoxifylline ER

heparin lock flush ticlopidine HCL

heparin lock flush for flushing vascular access devices Aspirin/Dipyridamole

heparin lock flush/NACL for flushing vascular access devices

PREFERRED

Advate

heparin sodium

Alphanate/Von Willebrand Factor Complex/Human

heparin sodium dcu

Alphanine SD

heparin sodium lock flush

Bebulin

heparin sodium/sodium chloride 0.9% premix

Benefix

heparin sodium/D5W

Berinert

heparin sodium/NACL 0.9%

Brilinta

warfarin sodium

Cinryze

PREFERRED

Corifact

Pradaxa

Effient

Xarelto

Feiba

Xarelto Starter Pack

Feiba NF

NON PREFERRED

Firazyr

Angiomax

Hemofil M

Argatroban

Humate-p

Arixtra

Koate-dvi

Coumadin

Monoclate-p

Defitelio

Mononine

Eliquis

Novoseven

Fragmin

Novoseven Rt

Heparin Lock Flush

Profilnine

Heparin Sodium

Profilnine SD

Heparin Sodium/D5W

Recombinate

Heparin Sodium/NACL

Riastap

Heparin Sodium/NACL 0.45%

Soliris

Heparin Sodium/Sodium Chloride

Ticlopidine HCL

Heparin Sodium/Sodium Chloride PF

Wilate

Heparin Sodium/Sodium Chloride 0.9%

NON PREFERRED

Heparin Sodium/Sodium CH Loride

Activase

Iprivask

Aggrastat

Lovenox

Aggrenox

Savaysa

Agrylin

Sodium Citrate

Cathflo Activase

Durlaza

HEMOSTATICS

Helixate FS

GENERIC

Hespan

aminocaproic acid

Hextend

tranexamic acid

Integrilin

NON PREFERRED

Ixinity

Amicar

Kalbitor

Aminocaproic Acid

Kengreal

Artiss

Kinlytic

Astringyn

Kogenate FS

Cyklokapron

Kogenate FS Bio-set

Evicel

Kovaltry

Evithrom

LMD 10% Dextrose 5%

Lysteda

LMD 10% Sodium Chloride 0.9%

Recothrom

Novoeight

Recothrom Spray Kit

Nuwiq

Thrombin-jmi Diluent

Persantine

Thrombin-jmi Epistaxis

Plavix

Thrombin-jmi Syringe Spray Kit

Pletal


22

Protamine Sulfate Hydroxyzine Pamoate

Reopro NON PREFERRED

Tnkase Alprazolam Intensol

Voluven Ativan

Xyntha Gabavale-5

Xyntha Solofuse Gabazolamine

Zontivity Gabazolamine-0.5

Hydroxyzine HCL

MOUTH/THROAT/DENTAL AGENT Lorazepam

Sentrazolam AM 0.25

Tranxene T

GENERIC

Valium

cevimeline HCL

Vistaril

chlorhexidine gluconate

Xanax

chlorhexidine gluconate oral rinse

Xanax XR

clotrimazole

lidocaine viscous

ANTIDEPRESSANTS

lidocaine HCL viscous

GENERIC

nystatin

amitriptyline HCL

pilocarpine hydrochloride

bupropion HCL

pilocarpine HCL

bupropion HCL ER

stannous fluoride oral rinse

bupropion HCL SR

triamcinolone acetonide

bupropion HCL XL

triamcinolone IN orabase

citalopram hydrobromide

Lidocaine HCL

clomipramine HCL

NON PREFERRED

desipramine HCL

Aquoral

doxepin HCL

Caphosol

duloxetine HCL

Debacterol

escitalopram oxalate

Evoxac

fluoxetine DR

First-bxn Mouthwash

fluoxetine HCL

First-dukes Mouthwash

fluvoxamine maleate

First-marys Mouthwash

fluvoxamine maleate ER

First-mouthwash Blm

imipramine pamoate

Gel-kam Oral Care Rinse

imipramine HCL

Gelclair

mirtazapine

Nafrinse Daily/Acidulated

mirtazapine odt

Nafrinse Daily/Neutral

nefazodone HCL

Nafrinse Weekly

nortriptyline HCL

Neutrasal

paroxetine HCL

Numoisyn

paroxetine HCL ER

Orafate

phenelzine sulfate

Oravig

protriptyline HCL

Peridex

sertraline HCL

Prevident

tranylcypromine sulfate

Prothelial

trazodone HCL

Salagen

trimipramine maleate

Salivamax

venlafaxine HCL

Salivate RX

venlafaxine HCL ER

Amoxapine

NEUROLOGY, CNS, PSYCH

Doxepin HCL

ANTIANXIETY AGENTS

Nefazodone HCL

GENERIC

Nortriptyline HCL

alprazolam

Venlafaxine HCL ER

alprazolam odt

PREFERRED

alprazolam ER

Fluoxetine HCL

buspirone HCL

Forfivo XL

chlordiazepoxide HCL

Maprotiline HCL

clorazepate dipotassium

Paxil

diazepam

Pristiq

droperidol

NON PREFERRED

gene-xene TAB 15MG

Anafranil

gene-xene TAB 3.75MG

Aplenzin

gene-xene TAB 7.5MG

Appbutamone

hydroxyzine pamoate

Brintellix

hydroxyzine HCL

Celexa

lorazepam

Cymbalta

meprobamate

Desvenlafaxine ER

oxazepam

Duloxetine HCL

Diazepam


23

Effexor XR Clozapine Odt

Elavil PREFERRED

Emsam Abilify Discmelt

Fetzima Fluphenazine HCL

Fetzima Titration Pack Saphris

Gaboxetine Seroquel XR

Irenka NON PREFERRED

Khedezla Abilify

Lexapro Abilify Maintena

Luvox CR Adasuve

Marplan Aristada

Nardil Chlorpromazine HCL

Norpramin Clozaril

Oleptro Equetro

Pamelor Fanapt

Parnate Fanapt Titration Pack

Paxil CR Fazaclo

Pexeva Geodon

Prozac Haldol

Prozac Weekly Haldol Decanoate 100

Remeron Haldol Decanoate 50

Remeron Soltab Invega

Sentraflox AM-10 Invega Sustenna

Sentralopram AM-10 Invega Trinza

Sentravil PM-25 Latuda

Sentroxatine Lithium

Surmontil Lithium Carbonate

Tofranil Lithobid

Tofranil-PM Molindone Hydrochloride

Trazamine Nuplazid

Trintellix Rexulti

Viibryd Risperdal

Viibryd Starter Pack Risperdal Consta

Vivactil Risperdal M-TAB

Wellbutrin Seroquel

Wellbutrin SR Versacloz

Wellbutrin XL Vraylar

Zoloft Zyprexa

Zyprexa Relprevv

ANTIPSYCHOTICS Zyprexa Zydis

GENERIC

HYPNOTICS

aripiprazole

aripiprazole odt GENERIC

chlorpromazine HCL dexmedetomidine HCL

clozapine estazolam

clozapine odt eszopiclone

fluphenazine decanoate phenobarbital

fluphenazine HCL temazepam

haloperidol triazolam

haloperidol decanoate zaleplon

haloperidol lactate zolpidem tartrate

lithium carbonate zolpidem tartrate ER

lithium carbonate ER Flurazepam HCL

loxapine Phenobarbital

loxapine succinate Quazepam

olanzapine Triazolam

olanzapine odt NON PREFERRED

paliperidone ER Ambien

perphenazine Ambien CR

prochlorperazine Amytal Sodium

prochlorperazine edisylate Belsomra

prochlorperazine maleate Butisol Sodium

quetiapine fumarate Dexmedetomidine HCL

risperidone Doral

risperidone odt Edluar

thioridazine HCL Gabazolpidem-5

thiothixene Halcion

trifluoperazine HCL Hetlioz

ziprasidone HCL Intermezzo


24

Lunesta ANTICONVULSANTS

Nembutal Sodium

GENERIC

Phenobarbital Sodium

carbamazepine

Precedex

carbamazepine ER

Restoril

clonazepam

Rozerem

clonazepam odt

Seconal

divalproex sodium

Seconal Sodium

divalproex sodium DR

Sentrazolpidem PM-5

divalproex sodium ER

Silenor

ethosuximide

Sonata

felbamate

Strazepam

fosphenytoin sodium

Zolpimist

gabapentin

lamotrigine

ADHD, NARCOLEPSY, ETC.

lamotrigine odt

GENERIC lamotrigine titration

amphetamine/dextroamphetamine lamotrigine ER

armodafinil levetiracetam

caffeine citrate levetiracetam ER

clonidine HCL ER oxcarbazepine

dexmethylphenidate HCL phenytoin

dexmethylphenidate HCL ER phenytoin sodium

dextroamphetamine sulfate phenytoin sodium extended

dextroamphetamine sulfate ER primidone

doxapram HCL tiagabine hydrochloride

guanfacine ER topiramate

methamphetamine HCL valproate sodium

methylphenidate hydrochloride valproic acid

methylphenidate HCL zonisamide

methylphenidate HCL CD Diazepam

methylphenidate HCL ER PREFERRED

methylphenidate HCL SR Diastat Acudial

modafinil Diastat Pediatric

Armodafinil Lyrica

Methylphenidate HCL ER NON PREFERRED

PREFERRED Aptiom

Strattera Banzel

Vyvanse Briviact

NON PREFERRED Carbatrol

Adderall Celontin

Adderall XR Cerebyx

Adzenys XR-odt Depacon

Aptensio XR Depakene

Cafcit Depakote

Caffeine/Sodium Benzoate Depakote ER

Concerta Depakote Sprinkles

Daytrana Dilantin

Desoxyn Dilantin Infatabs

Dexedrine Dilantin-125

Dopram Fanatrex Fusepaq

Dyanavel XR Felbatol

Evekeo Fycompa

Focalin Gabitril

Focalin XR Keppra

Intuniv Keppra XR

Kapvay Klonopin

Metadate CD Lamictal

Methylin Lamictal Chewable Dispersible

Nuvigil Lamictal Odt

Procentra Lamictal Starter/Not Taking Carbamazepine

Provigil Lamictal Starter/Taking Carbamazepine/Not Taking Valproate

Quillichew ER

Lamictal Starter/Taking Valproate

Quillivant XR

Lamictal XR

Ritalin

Levetiracetam

Ritalin LA

Mysoline

Sentramodafin AM-100

Neurontin

Zenzedi

Onfi

Oxtellar XR


25

Peganone disulfiram

Phenytek donepezil HCL

Potiga ergoloid mesylates

Qudexy XR galantamine hydrobromide

Sabril glatopa

Spritam memantine hydrochloride

Stavzor memantine HCL

Tegretol memantine HCL titration PAK

Tegretol-XR olanzapine/fluoxetine

Therapentin-60 pimozide

Therapentin-90 rivastigmine tartrate

Topamax rivastigmine transdermal system

Topamax Sprinkle tetrabenazine

Topiramate ER Ergoloid Mesylates

Trileptal Galantamine Hydrobromide

Trokendi XR PREFERRED

Vimpat Ampyra

Zarontin Avonex

Zonegran Avonex Pen

Betaseron

ANTIPARKINSON AGENTS Chlordiazepoxide/Amitriptyline

Copaxone

GENERIC

Namenda XR

amantadine HCL

Namenda XR Titration Pack

benztropine mesylate

Namzaric

bromocriptine mesylate

Perphenazine/Amitriptyline

carbidopa

Tecfidera

carbidopa/levodopa

Tecfidera Starter Pack

carbidopa/levodopa odt

NON PREFERRED

carbidopa/levodopa ER

Antabuse

entacapone

Aricept

pramipexole dihydrochloride

Aricept Odt

pramipexole dihydrochloride ER

Aubagio

ropinirole ER

Brisdelle

ropinirole HCL

Campral

selegiline HCL

Convenience PAK

tolcapone

Dermacinrx Dpn PAK

trihexyphenidyl HCL

Exelon

Carbidopa/Levodopa/Entacapone

Fluoxetine

PREFERRED

Gilenya

Apokyn

Gralise

NON PREFERRED

Gralise Starter

Amantadine HCL

Horizant

Azilect

Lemtrada

Cogentin

Namenda

Comtan

Namenda Titration PAK

Duopa

Nuedexta

Eldepryl

Orap

Lodosyn

Razadyne

Mirapex

Razadyne ER

Mirapex ER

Sarafem

Neupro

Savella

Parlodel

Savella Titration Pack

Requip

Smartrx Gaba Kit

Requip XL

Smartrx Gaba-v Kit

Rytary

Symbyax

Sinemet

Tysabri

Sinemet CR

Xenazine

Stalevo 100

Xyrem

Stalevo 125

Zinbryta

Stalevo 150

Stalevo 200

NEUROMUSCULAR AGENTS

Stalevo 50

Stalevo 75 GENERIC

Tasmar atracurium besylate

Zelapar cisatracurium besylate

pancuronium bromide

NEUROLOGY, PSYCH - MISC. riluzole

rocuronium bromide

GENERIC

vecuronium bromide

acamprosate calcium DR


26

PREFERRED Tabradol Rapidpaq

Botox Therabenzaprine-60

NON PREFERRED Therabenzaprine-90

Anectine Therabenzaprine-90-5

Dysport Tizanidine Comfort PAC

Myobloc Zanaflex

Nimbex

Quelicin ANTIMYASTHENIC AGENTS

Quelicin 1000

GENERIC

Rilutek

neostigmine methylsulfate

Rocuronium Bromide

pyridostigmine bromide

Succinylcholine Chloride

pyridostigmine bromide ER

Vecuronium Bromide

PREFERRED

Vecuronium Bromide/Sodiumchloride

Guanidine HCL

Xeomin

NON PREFERRED

Zemuron

Bloxiverz

Enlon

MUSCULOSKELETAL AGENTS

Enlon-plus

GENERIC Mestinon

baclofen Mestinon Timespan

carisoprodol Neostigmine Methylsulfate

carisoprodol/aspirin Regonol

carisoprodol/aspirin/codeine

chlorzoxazone OPHTHALMOLOGY AND OTIC

cyclobenzaprine HCL

ANTI-INFECTIVES

dantrolene sodium

GENERIC

metaxalone

bacitracin/polymyxin b

methocarbamol

ciprofloxacin HCL

orphenadrine citrate

erythromycin

orphenadrine citrate ER

gatifloxacin

tizanidine HCL

gentamicin sulfate

Metaxalone

levofloxacin

PREFERRED

neomycin/bacitracin/polymyxin

Euflexxa

neomycin/polymyxin/bacitracin zinc

Gablofen

neomycin/polymyxin/gramicidin

Lioresal Intrathecal

ofloxacin

Synvisc

polymyxin b sulfate/trimethoprim sulfate

Synvisc One

sodium sulfacetamide

NON PREFERRED

sulfacetamide sodium

Amrix

tobramycin sulfate

Cyclobenzaprine Comfort PAC

trifluridine

Cyclophene Rapidpaq

trimethoprim sulfate/polymyxin b sulfate

Dantrium

PREFERRED

Dantrium IV

Bacitracin

Fexmid

Moxeza

First-baclofen 1

Natacyn

First-baclofen 5

Sulfacetamide Sodium

Flexepax

Vigamox

Gel-one

NON PREFERRED

Gelsyn-3

Azasite

Genvisc 850

Besivance

Hyalgan

Betadine Ophthalmic Prep

Hymovis

Bleph-10

Lorvatus Pharmapak

Ciloxan

Lorzone

Garamycin

Metaxall CP

Mitosol

Monovisc

Neosporin

Norflex

Ocuflox

Orthovisc

Polytrim

Parafon Forte DSC

Tobrex

Prazolamine

Viroptic

Robaxin

Zirgan

Robaxin-750

Zymaxid

Ryanodex

Skelaxin

ARTIFICIAL TEAR/LUBRICANT

Soma

NON PREFERRED

Supartz

Lacrisert

Supartz Fx

Tabradol Fusepaq


27

BETA-BLOCKERS CYCLOPLEGIC MYDRIATICS

GENERIC GENERIC

betaxolol HCL atropine sulfate

carteolol HCL cyclopentolate hydrochloride

dorzolamide HCL/timolol maleate cyclopentolate HCL

levobunolol HCL homatropine HBR

timolol maleate Atropine Sulfate

timolol maleate ophthalmic gel forming NON PREFERRED

Metipranolol Cyclogyl

PREFERRED Cyclomydril

Betoptic-s Isopto Atropine

Combigan

Timoptic Ocudose DECONGESTANTS

NON PREFERRED

GENERIC

Betagan

phenylephrine HCL

Betimol

PREFERRED

Cosopt

Naphazoline HCL

Cosopt PF

Istalol

MIOTICS

Timoptic

GENERIC

Timoptic-xe

pilocarpine HCL

PREFERRED

OPHTHALMIC STEROIDS

Phospholine Iodide

GENERIC

NON PREFERRED

dexamethasone sodium phosphate

Isopto Carpine

fluorometholone

neomycin/polymyxin/bacitracin/hydrocortisone

ADRENERGIC AGENTS

neomycin/polymyxin/dexamethasone

GENERIC

prednisolone acetate

apraclonidine

sulfacetamide sodium/prednisolone sodium phosphate

brimonidine tartrate

tobramycin/dexamethasone

PREFERRED

PREFERRED

Alphagan P

Dexamethasone Sodium Phosphate

Simbrinza

FML

NON PREFERRED

FML Forte

Iopidine

Pred Mild

Prednisolone Sodium Phosphate

IMMUNOMODULATORS

NON PREFERRED

NON PREFERRED

Alrex

Restasis

Blephamide

Blephamide S.o.p.

LOCAL ANESTHETICS

Durezol

GENERIC

Flarex

proparacaine HCL

FML Liquifilm

tetracaine HCL

Lotemax

NON PREFERRED

Maxidex

Akten

Maxitrol

Alcaine

Neomycin/Polymyxin/Hydrocortisone

Omnipred

OPHTHALMICS - MISC.

Pred Forte

GENERIC

Pred-G

azelastine HCL

Pred-G S.o.p.

bromfenac

Prednisolone/Moxifloxacin

cromolyn sodium

Prednisolone/Moxifloxacin/Bromfenac

diclofenac sodium

Tobradex

dorzolamide HCL

Tobradex ST

epinastine HCL

Vexol

flurbiprofen sodium

Zylet

ketorolac tromethamine

olopatadine HCL

PROSTAGLANDINS

PREFERRED

GENERIC

Azopt

latanoprost

Pataday

Bimatoprost

Pazeo

Travoprost

NON PREFERRED

PREFERRED

Acular

Lumigan

Acular LS

Travatan Z

Acuvail

NON PREFERRED

Alocril

Xalatan

Alomide


28

Bepreve NON PREFERRED

Bromfenac Allzital

Cystaran Bupap

Elestat Disalcid

Emadine Esgic

Ilevro Fioricet

Lastacaft Fiorinal

Nevanac Levacet

Ocufen Ofirmev

Optivar Vanatol LQ

Patanol

Prolensa ANALGESICS - OPIOID

Trusopt

GENERIC

acetaminophen/caffeine/dihydrocodeine

OTIC AGENTS

acetaminophen/codeine

GENERIC acetaminophen/codeine #2

acetic acid acetaminophen/codeine #3

antipyrine/benzocaine acetaminophen/codeine #4

fluocinolone acetonide acetaminophen/codeine phosphate

fluocinolone acetonide ear drops alfentanil

hydrocortisone/acetic acid buprenorphine HCL

neomycin/polymyxin/hydrocortisone buprenorphine HCL/naloxone HCL

neomycin/polymyxin/HC butalbital/acetaminophen/caffeine/codeine

ofloxacin butalbital/aspirin/caffeine/codeine

PREFERRED butorphanol tartrate

Acetic Acid/Aluminum Acetate codeine sulfate

Ciprodex fentanyl

Pramotic fentanyl citrate oral transmucosal

NON PREFERRED hydrocodone bitartrate/acetaminophen

Antipyrine/Benzocaine hydrocodone/acetaminophen

Cetraxal hydrocodone/ibuprofen

Cipro HC hydromorphone hydrochloride

Ciprofloxacin hydromorphone HCL

Coly-mycin S hydromorphone HCL dosette

Cortisporin-tc hydromorphone HCL ER

Dermotic meperidine HCL

Floxin Otic methadone HCL

Otiprio morphine sulfate

Otovel morphine sulfate ER

Otozin nalbuphine HCL

Vosol HC oxycodone HCL

oxycodone/acetaminophen

OXYTOCICS oxycodone/aspirin

oxymorphone hydrochloride

oxymorphone hydrochloride ER

GENERIC

pentazocine/naloxone HCL

methylergonovine maleate

tramadol hydrochloride/acetaminophen

oxytocin

tramadol HCL

NON PREFERRED

tramadol HCL ER

Cervidil

Aspirin-caffeine-dihydrocodeine

Hemabate

Fentanyl

Oxytocin

Hydrocodone/Acetaminophen

Oxytocin/Lactated Ringers

Hydromorphone HCL/Sodium Chloride

Pitocin

Meperidine Hydrochloride/Sodium Chloride

Prepidil

Morphine Sulfate

Prostin E2

Morphine Sulfate ER

Oxycodone HCL ER

PAIN MANAGEMENT

PREFERRED

ANALGESICS - NONNARCOTIC

Embeda

GENERIC

Hydromorphone HCL

butalbital/acetaminophen

Oxycodone/Ibuprofen

butalbital/acetaminophen/caffeine

Oxycontin

butalbital/aspirin/caffeine

Suboxone

choline magnesium trisalicylate

Zubsolv

diflunisal

NON PREFERRED

salsalate

Actiq

PREFERRED

Alfenta

Choline Magnesium Trisalicylate

Avinza

Dologesic

Belbuca

Prialt


29

Bunavail

Buprenex ANTI-INFLAMMATORY

Butrans

GENERIC

Capital/Codeine

celecoxib

Codeine Sulfate

diclofenac potassium

Conzip

diclofenac sodium DR

Demerol

diclofenac sodium ER

Dilaudid

diclofenac sodium/misoprostol

Dilaudid-HP

etodolac

Dolophine

etodolac ER

Duragesic

flurbiprofen

Exalgo

ibuprofen

Fentanyl Citrate

ibuprofen lysine

Fentanyl Citrate/NACL

indomethacin

Fentanyl Citrate/Sodium Chloride

indomethacin ER

Fioricet/Codeine

ketoprofen

Fiorinal/Codeine #3

ketorolac tromethamine

Hycet

leflunomide

Hydromorphone Hydrochloride/ NACL

mefenamic acid

Hydromorphone Hydrochloride/NACL

meloxicam

Hydromorphone Hydrochloride/Sodium Chloride

nabumetone

Hydromorphone HCL/NACL

naproxen

Ibudone

naproxen sodium

Infumorph 200

naproxen sodium CR

Infumorph 500

naproxen sodium ER

Ionsys

oxaprozin

Lazanda

piroxicam

Levorphanol Tartrate

sulindac

Lortab

tolmetin sodium

Meperidine HCL

Meclofenamate Sodium

Methadone HCL

Naproxen

Methadose

Tolmetin Sodium

Methadose Sugar-free

PREFERRED

Morphine Sulfate Add-vantage

Fenoprofen Calcium

Morphine Sulfate/NACL

Humira

Morphine Sulfate/Sodium Chloride

Humira Pediatric Crohns Disease Starter Pack

MS Contin

Humira Pen

Norco

Humira Pen-crohns Diseasestarter

Nucynta

Humira Pen-psoriasis Starter

Opana

Ilaris

Oxaydo

Ketoprofen ER

Oxycodone/Acetaminophen

Meloxicam

Percocet

Rasuvo

Percodan

Simponi

Primlev

Simponi Aria

Probuphine Implant Kit

NON PREFERRED

Remifentanil HCL

Actemra

Reprexain

Anaprox DS

Roxicet

Arava

Roxicodone

Arcalyst

Synalgos-dc

Arthrotec 50

Synapryn Fusepaq

Arthrotec 75

Talwin

Caldolor

Theracodeine-300

Capxib Kit

Theracodophen-325

Cataflam

Theratramadol-60

Celebrex

Theratramadol-90

Daypro

Tramadol HCL ER

Derma Silkrx Anodynexa PAK

Trezix

Derma Silkrx Diclopak

Tylenol/Codeine #3

Dermacinrx Inflammatral PAK

Tylenol/Codeine #4

Dyloject

Ultiva

Enbrel

Ultracet

Enbrel Sureclick

Ultram

EC-naprosyn

Ultram ER

Feldene

Vicoprofen

Fenortho

Xartemis XR

Flanax Pain Relief Kit

Xodol

Ibuprofen Comfort PAC

Xtampza ER

Indocin

Zamicet


30

Indomethacin Imitrex Statdose System

IC 400 Maxalt

IC 800 Maxalt-MLT

Ketorocaine-l Migergot

Ketorocaine-lm Migral

Ketorolac Tromethamine Migranal

Kineret Migranow

Lodine Onzetra Xsail

Meloxicam Comfort PAC Relpax

Mobic Sumavel Dosepro

Nalfon Treximet

Naprelan Zecuity

Naprosyn Zembrace Symtouch

Naproxen Comfort PAC Zomig

Neoprofen Zomig Nasal Spray

Orencia Zomig ZMT

Orencia Clickject

Otezla GOUT AGENTS

Otrexup

GENERIC

Ponstel

allopurinol

Prastera

probenecid

Previdolrx Analgesic PAK

probenecid/colchicine

Rheumatrex

PREFERRED

Ridaura

Colcrys

Sprix

Uloric

Therafeldamine

NON PREFERRED

Theraprofen-60

Aloprim

Theraprofen-800

Colchicine

Theraprofen-90

Krystexxa

Theraproxen-500

Mitigare

Theraproxen-60

Zyloprim

Theraproxen-90

Tivorbex

LOCAL ANESTHETICS-INJ

Toronova II Suik

GENERIC

Toronova Suik

bupivacaine HCL

Trepadiclofen-25

bupivacaine/epinephrine

Trepoxicam-7.5

lidocaine HCL

Vivlodex

lidocaine/epinephrine

Voltaren-XR

ropivacaine

Xeljanz

ropivacaine HCL

Xeljanz XR

Tetracaine HCL

Zipsor

NON PREFERRED

Articadent Dental

MIGRAINE PRODUCTS

Bupivacaine Hydrochloride/Sodium Chloride

GENERIC

BD Pudendal/Local Block Tray 1% Lidocaine

almotriptan

Carbocaine

almotriptan malate

Citanest Forte Dental

dihydroergotamine mesylate

Citanest Plain Dental

frovatriptan succinate

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH

naratriptan HCL

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH

rizatriptan benzoate

rizatriptan benzoate odt

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

sumatriptan

sumatriptan succinate

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

sumatriptan succinate refill

zolmitriptan

Exparel

zolmitriptan odt

Lidocaine HCL

Dihydroergotamine Mesylate

Lidocaine HCL/Dextrose

Sumatriptan Succinate

Marcaine

NON PREFERRED

Marcaine/Epinephrine

Alsuma

Marlido-25

Amerge

Marvona Suik

Axert

Mld Kit

Cafergot

Monoject Bone Marrow Biopsy Prepping Tray

D.h.e. 45

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"

Ergomar

Frova

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"

Imitrex

Imitrex Statdose Refill


31

Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G

Rhinocort Aqua

Ticaspray

Naropin

Tyzine

Nesacaine

Tyzine Pediatric Nasal Drops

Nesacaine-mpf

Veramyst

Readysharp-a

Zetonna

Ropivacaine

Ropivacaine Hydrochloride/Sodium Chloride

COUGH/COLD/ALLERGY

Sensorcaine-mpf/Epinephrine

GENERIC

Turkel Paracentesis Procedure Tray/8french

acetylcysteine

Xylocaine

benzonatate

Xylocaine-mpf

bromphen/pseudoephedrine HCL/dextromethorphan HBR

Xylocaine-mpf/Epinephrine

hydrocodone bitartrate/chlorpheniramine maleate/PSE

Xylocaine/Epinephrine

hydrocodone bitartrate/homatropine methylbromide

hydrocodone polistirex/chlorpheniramine polistirex

RESPIRATORY, ALLERGY, ETC

hydrocodone/homatropine

ANTIHISTAMINES

phenylephrine/guaifenesin

GENERIC promethazine-DM

carbinoxamine maleate promethazine/codeine

cetirizine HCL promethazine/dextromethorphan

clemastine fumarate promethazine/phenylephrine

cyproheptadine HCL promethazine/phenylephrine/codeine

desloratadine sodium chloride

diphenhydramine HCL Benzonatate

levocetirizine dihydrochloride PREFERRED

promethazine HCL Dallergy

promethazine HCL plain J-max

Clemastine Fumarate Mucinex Maximum Strength

Desloratadine Odt Promethazine/Phenylephrine

PREFERRED NON PREFERRED

Allegra Allergy Childrens Carbaphen 12

Dexchlorpheniramine Maleate Carbaphen 12 PED

NON PREFERRED Clarinex-d 12 HOUR

Brompheniramine Codar AR

Brompheniramine Tannate Cpb Wc

Clarinex Decon-a

Dicopanol Fusepaq Exactuss

Dicopanol Rapidpaq Flowtuss

Karbinal ER Gilphex TR

Phenergan Giltuss

Respa-BR Giltuss TR

Xyzal Hycofenix

Hyper-sal

NASAL AGENTS Hypersal

Nebusal

GENERIC

Neotuss Plus

azelastine HCL

Obredon

budesonide

Panatuss Dxp

flunisolide

Relhist

fluticasone propionate

Rescon-JR

ipratropium bromide

Rezira

mometasone furoate

Semprex-d

olopatadine HCL

Tessalon Perles

triamcinolone acetonide

Tussicaps

PREFERRED

Tussionex Pennkinetic Extended Release

Dymista

Tuzistra XR

NON PREFERRED

Vituz

Adrenalin

Zonatuss

Astepro

Zutripro

Atrovent

Bactroban Nasal

ANTIASTHMATIC/COPD AGENTS

Beconase AQ

Dermacinrx Azenase PAK GENERIC

Dermacinrx Ticanase PAK albuterol

Flonase albuterol sulfate

Nasonex albuterol sulfate ER

Omnaris albuterol TAB 4MG

Patanase aminophylline

Qnasl budesonide

Qnasl Childrens epinephrine HCL


32

ipratropium bromide Ofev

ipratropium bromide/albuterol sulfate Orkambi

levalbuterol Prolastin-c

levalbuterol HCL Surfaxin

montelukast sodium Survanta Intratracheal

terbutaline sulfate Zemaira

theophylline

theophylline CR TOXOIDS

theophylline ER

zafirlukast

NON PREFERRED

Cromolyn Sodium

Adacel

PREFERRED

Boostrix

Advair Diskus

Daptacel

Advair HFA

Diphtheria/Tetanus Toxoids Adsorbed Pediatric

Anoro Ellipta

Infanrix

Arnuity Ellipta

Kinrix

Breo Ellipta

Pediarix

Combivent Respimat

Pentacel

Elixophyllin

Quadracel

Flovent Diskus

Tenivac

Flovent HFA

Tetanus/Diphtheria Toxoids-adsorbed

Foradil Aerolizer

Tetanus/Diphtheria Toxoids-adsorbed Adult

Incruse Ellipta

Metaproterenol Sulfate

VACCINES

Proair HFA

Proair Respiclick

NON PREFERRED

Pulmicort Flexhaler

Acthib

Serevent Diskus

Afluria PF 2014-2015

Spiriva Handihaler


Spiriva Respimat


Stiolto Respimat

Afluria Quadrivalent 2016-2017

Symbicort

Afluria 2014-2015

Ventolin HFA

Afluria 2015-2016

Xolair

Afluria 2016-2017

NON PREFERRED

Bcg Vaccine

Accolate

Bexsero

Aerospan

Biothrax

Arcapta Neohaler

Cervarix

Atrovent HFA

Comvax

Brovana

Engerix-b

Cinqair

Fluad 2016-2017

Daliresp

Fluarix Quadrivalent 2014-2015

Isuprel


Lufyllin


Nucala

Fluarix 2014-2015

Perforomist

Flublok 2014-2015

Pulmicort

Flublok 2015-2016

Pulmophylline

Flublok 2016-2017

Singulair

Flucelvax Quadrivalent 2016-2017

Striverdi Respimat

Flucelvax 2014-2015

Theo-24

Flucelvax 2015-2016

Theophylline/D5W

Flulaval Quadrivalent 2014-2015

Utibron Neohaler


Vospire ER


Xopenex

Flulaval 2014-2015

Xopenex Concentrate

Flumist Quadrivalent

Zyflo

Fluvirin PF 2014-2015

Zyflo CR

Fluvirin 2014-2015

Fluvirin 2015-2016

RESPIRATORY AGENTS - MISC

Fluvirin 2016-2017

PREFERRED

Fluzone High-dose PF 2014-2015

Pulmozyme


NON PREFERRED


Aralast NP

Fluzone PF 2014-2015

Curosurf

Fluzone Quadrivalent 2014-2015

Esbriet


Glassia


Infasurf

Fluzone Split 2014-2015

Kalydeco

Fluzone Split 2015-2016


33

Gardasil Duet DHA Balanced

Gardasil 9 Duet DHA 400

Havrix Duet DHA 400EC

Hiberix Duet DHA 430

Imovax Rabies (h.d.c.v.) Duet DHA 430EC

Ipol Inactivated IPV Enbrace HR

Ixiaro Escavite

M-m-r II Escavite D

Medical Provider EZ Flu Shot 2014-2015 Folbee Plus Cz

Medical Provider EZ Flu Shot 2015-2016 Folcaps Omega 3

Medical Provider Single Use EZ Flu Shot Folivane-OB

Menactra Healthy Mama Be Well Rounded

Menhibrix Marnatal-f

Menomune-a/C/Y/W-135 Mission Prenatal

Menveo Mteryti

Pedvax HIB Mteryti Folic 5

Pneumovax 23 Mykidz Iron Fl

Pneumovax 23/1 Dose Mynatal

Pneumovax 23/5 Dose Natachew

Prevnar 13 Natalvit

Proquad Natelle One

Rabavert Neevo DHA

Recombivax HB Nestabs

Rotarix Nestabs DHA

Rotateq Newgen

Trumenba Niva-plus

Twinrix O-CAL Fa

Typhim VI O-CAL Prenatal

Vaqta Obstetrix DHA

Varivax Obtrex

Vaxchora Obtrex DHA

Vivotif One A Day Womens Prenatal/DHA

Yf-vax One A Day Womens Prenatal1

Zostavax One-a-day Womens Prenatal

OB Complete

VITAMINS OB Complete One

OB Complete Petite

VITAMINS

OB Complete Premier

GENERIC

OB Complete/DHA

ascorbic acid

Poly-VI-flor

ergocalciferol

Poly-VI-flor FS

phytonadione

Poly-VI-flor/Iron

pyridoxine HCL

Prefera OB

thiamine HCL

Prefera OB + DHA

vitamin c 222MG

Prenata

vitamin d

Prenatal Vitamin

vitamin k1

Prenatal Vitamins

PREFERRED

Prenate AM

Mephyton

Prenate Elite

Vitamin A

Prenate Essential

NON PREFERRED

Prenate Star

Aquasol A Parenteral

Provida OB

Drisdol

Right Step Prenatal

Niacin

Select-OB

Vitamin K1

Stuart Prenatal

Wheat Germ

Taron-bc

Taron-c DHA

MULTIVITAMINS

Theranatal Core Nutrition

GENERIC

Tri-VI-flor

b-complex 100

Tricare Prenatal

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper

Tricare Prenatal Compleat

PREFERRED

Tricare Prenatal DHA One

Atabex EC

Tricare Prenatal 1

Atabex Prenatal

Vinacal B

Bal-care DHA

Vinate AZ Extra

Citranatal B-calm

Vinate Calcium

Citranatal RX

Vinate DHA RF

Clinical Nutrients Prenatal Formula

Vita-pren

Concept DHA

Vitafol Gummies

Concept OB

Vitafol-nano


34

Vitamedmd Redichew RX Renatabs With Iron

Vitapearl Req 49+

Viva DHA Select-ob+dha

Your Life Multi Prenatal Siderol

Zatean-pn Strovite Forte

Zatean-pn Plus Strovite One

NON PREFERRED Supervite

Adrenal C Formula Supervite EC

Albafort Support-500

Bacmin Synagex

Citranatal Assure Synatek

Citranatal DHA Texavite LQ

Citranatal Harmony Triveen-duo DHA

Citranatal 90 DHA Triveen-prx RNF

Cod Liver Oil TL G-FOL OS

Corvite Udamin SP

Crnatal Vemavite-prx 2

Dialyvite Supreme D Vitafol

Dialyvite 3000 Vitafol Fe+

Dialyvite 5000 Vitafol Ultra

Dialyvite/Zinc Vitafol-ob+dha

Floriva Vitafol-one

Focalgin CA Vital-d RX

Focalgin 90 DHA Vitamedmd One RX/Quatrefolic

Folet DHA Vitamedmd Plus RX/Quatre Folic

Folet One Vitaroca Plus

Folgard OS Vitatrue

Folivane-prx DHA NF Zatean-pn DHA

Fortavit Zatean-CH

Gesticare DHA

Infuvite MEDICAL DEVICES

Infuvite Adult

DIABETIC SUPPLIES

Infuvite Pediatric

PREFERRED

M.v.i. Adult

Accu-chek Safe-t-pro Lancets

M.v.i. Pediatric

Accu-chek Safe-t-pro Pluslancets

M.v.i.-12 Without Vitamin K

Accu-chek Soft Touch Lancets

Natalvirt CA

Accu-chek Softclix Lancets

Natalvirt 90 DHA

Active 1ST Blood Lancets 30G/Easy Twist CAP

Nephplex RX

Advocate Insulin Pen Needles 29GX12.7MM

Nephro-vite RX

Advocate Insulin Pen Needles 31GX5MM

Nephrocaps

Advocate Insulin Pen Needles 31GX8MM

Nephrocaps QT

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

Nestabs Abc


Nexa Plus


Nicadan


Nicadan ZX


Nicazel


Nicazel Forte

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

Nicomide


Nutricap


Nutrivit

Advocate Lancets

Obstetrix One

Advocate Lancets 30G

Ocuvel

Advocate Safety Lancets

OB Complete Gold

Advocate Safety Lancets 26G

Paire OB

Agamatrix Ultra-thin Lancets 33G

Preferaob +dha

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

Preferaob One

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

Prefol-DHA

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

Prenate

Assure Haemolance Plus High Flow 18G

Prenate DHA

Assure Haemolance Plus Low Flow 25G

Prenate Enhance

Assure Haemolance Plus Micro Flow 28G

Prenate Mini

Assure Haemolance Plus Normal Flow 21G

Prenate Pixie

Assure Haemolance Plus Pediatric Blade

Prenate Restore

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

Preque 10

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

Protect Plus

Assure Lance Lancets

Provida DHA

Assure Lance Lancets 21G

Quflora FE

Assure Lance Plus Safety Lancets 25G

R-natal OB

Assure Lance Plus Safety Lancets 30G

Renatabs


35

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

Aurora Lancet Super Thin 30G

BD Microtainer Lancets

Aurora Lancet Thin 23G

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

Aurora Pen Needles 29GX12MM

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

Aurora Pen Needles 31G X 6MM

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

Aurora Pen Needles 31G X 8MM

BD Pen Needle/Ultrafine/29G X 12.7MM

Autolet Platforms

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

AF Lancets Super Thin

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

AT Last Lancets

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

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

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

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

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

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

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

BD-insul SYR Mis LO Dose

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

Carefine Pen Needle 32GX4MM

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

Carefine Pen Needles 29GX1/2"

Bayer Microlet Lancets

Carefine Pen Needles 30GX5/16"

Bullseye Safety Lancets

Carefine Pen Needles 31GX6MM

BD Autoshield Duo 30G X 3/16"

Carefine Pen Needles 31GX8MM

BD Autoshield 29G X 3/16"

Careone Lancet Thin

BD Autoshield 29G X 5/16"

Careone Lancet Ultra Thin

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

Cleanlet Lancets 28G

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

Clever Chek Lancets Ultrathin

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

Clever Chek Lancets Ultrathin 30G

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

Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM

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

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

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

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

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

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 5/16"

BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2" Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16"

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


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

BD Insulin Syringe U-40/1ML/25G X 5/8"


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

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"



BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 15/64" Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16"








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

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






Clever Choice Comfort EZ Pen Needles 29GX12MM

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








BD Insulin Syringe Ultrafine/1ML/30G 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"


Coaguchek Lancets

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

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

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

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"



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

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


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


BD Integra Syringe/Retracting Needle/1ML/25G X 1"

Comfort Lancets

BD Lancet Ultrafine 30G

Diastar Easy Test II Lancets 30G

BD Lancet Ultrafine 33G


36

Diastar Easy Test Lancets30G Easy Touch Safety Lancets26G/Button Activated

Droplet Lancets Ultra Thin 30G Easy Touch Safety Lancets26G/Pressure Activated

Droplet Pen Needles 29GX12MM Easy Touch Safety Lancets28G/Button Activated

Droplet Pen Needles 31GX5MM Easy Touch Safety Lancets28G/Pressure Activated

Droplet Pen Needles 31GX6MM Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2"

Droplet Pen Needles 31GX8MM

Easy Touch Sheathlock Safety Insulin Syringe 1ML/30GX5/16"



Easy Touch Sheathlock Safety Insulin Syringe 1ML/31GX5/16"

Drug Mart On-the-go Lancets Gentle 30G

Drug Mart Unilet Lancets Super Thin 30G

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

Drug Mart Unilet Lancets Ultra Thin 28G

Easy Twist & CAP Lancets

Duane Reade Unifine Pentips 29G X 12MM

Easytest II Lancets

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT

Easytest Lancets

Duane Reade Unifine Pentips 31G X 8MM SHORT

Embrace Lancets Ultra Thin 30G

E-z Ject Lancets

Eql SHORT Pen Needles 31G X 8MM

E-z Ject Lancets Color

Eql Ultra SHORT Pen Needles 31G X 6MM

E-z Ject Lancets Super Thin

Excel Comfort Point Insulin Pen Needles 31G X 4MM

E-z Ject Lancets Super Thin 30G

Exel Comfort Point Insulin Pen Needles 29G X 12MM

E-z Ject Lancets Thin 26G


E-z Ject Lancets 21G


E-ZJECT Lancets Micro-thin 33G

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

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








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


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


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

EZ Smart Blood Glucose Lancets

EZ-lets Lancets 21G

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

EZ-lets Lancets 23G

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

EZ-lets Lancets 26G Super-soft

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

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

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

Fifty50 Pen Needles/31GX8MM


Fifty50 Pen Needles/32GX4MM


Fifty50 Safety Seal Lancets 30G


Fifty50 Safety Seal Lancets 32G


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

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

Easy Touch Insulin Syringe/0.3ML/31G X 5/16" Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16"


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


Fifty50 Unilet Lancets 33G

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

Fine 30

Easy Touch Lancets 21G/Pressure Activated

Fingerstix Lancets


Fora Lancets


Freestyle Lancets

Easy Touch Lancets 26G/Pull-top

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

Easy Touch Lancets 26G/Twist


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


Easy Touch Lancets 28G/Twist

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

Easy Touch Lancets 30G/Button-activated


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


Easy Touch Lancets 30G/Twist Freestyle Unistick II Lancets

Easy Touch Lancets 32G/Pressure Activated Gentle-let GP Lancets

Easy Touch Lancets 32G/Pull-top Gentle-let Lancets General Purpose Style/Fine Point

Easy Touch Lancets 32G/Twist Gentle-let Lancets General Purpose Style/Medium Point

Easy Touch Lancets 33G/Twist Gentle-let Lancets Safety Style/Fine Point

Easy Touch Pen Needles 29GX1/2" Gentle-let Lancets Safety Style/Medium Point

Easy Touch Pen Needles 31GX1/4" Gentle-let Platforms 2.4MM

Easy Touch Pen Needles 31GX5/16" Gentle-let Platforms 3.0MM

Easy Touch Pen Needles 32GX5/32" Glucocom Lancets 28G

Easy Touch Pen Needles/31G X 3/16" Glucocom Lancets 30G

Easy Touch Safety Lancets21G/Pressure Activated Glucocom Lancets 33G

Easy Touch Safety Lancets23G/Pressure Activated Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2"


37

Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16" Leader Unifine Pentips Plus/Mini/31GX3/16"

Glucopro Insulin Syringe/U-100/0.3ML/31G X 5/16" Leader Unifine Pentips Plus/SHORT/31GX5/16"

Glucopro Insulin Syringe/U-100/0.5ML/30G X 1/2" Leader Unifine Pentips/Mini/31GX3/16"

Glucopro Insulin Syringe/U-100/0.5ML/30G X 5/16" Leader Unifine Pentips/Nano/32GX5/32"

Glucopro Insulin Syringe/U-100/0.5ML/31G X 5/16" Leader Unifine Pentips/Plus/32GX5/32"

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

Glucopro Insulin Syringe/U-100/1ML/30G X 5/16" Lifescan Unistik II Lancets

Glucopro Insulin Syringe/U-100/1ML/31G X 5/16" Lifescan Unistik 2 Deep Penetration

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

Gmate Lancets 30G Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2"

H-e-b Incontrol Pen Needles 29GX12MM Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2"

H-e-b IN Control Pen Needles 31GX6MM Litetouch Insulin Syringe/U-100/1ML/28G X 1/2"

H-e-b IN Control Pen Needles 31GX8MM Litetouch Insulin Syringe/U-100/1ML/29G X 1/2"

H-e-b IN Control Unifine Pentips Plus 32GX4MM Litetouch Insulin Syringe/U-100/1ML/31G X 5/16"

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

Haemolance Low Flow Lancets Litetouch Insulin Syringe/0.3ML/30G X 5/16"

Haemolance Plus Litetouch Insulin Syringe/0.3ML/31G X 5/16"

Haemolance Plus High Flow Litetouch Insulin Syringe/0.5ML/30G X 5/16"

Haemolance Plus Low Flow Litetouch Insulin Syringe/0.5ML/31G X 5/16"

Haemolance Plus Max Flow Litetouch Insulin Syringe/1ML/30G X 5/16"

Haemolance Plus Pediatric Flow Litetouch Lancets Micro Thin 33G

Healthwise Mini Pen Needles 31GX6MM Litetouch Pen Needles 29GX12.7MM

Healthwise Pen Needles 29GX12MM Litetouch Pen Needles 31G X 6MM

Healthwise SHORT Pen Needles 31GX8MM Litetouch Pen Needles 31GX8MM SHORT

Hy-vee Lancets Live Better Lancet Super Thin 30G

Insulin Syringe/U-100/0.3ML/29G X 1/2" Live Better Lancet Ultra Thin 28G

Insulin Syringe/U-100/0.5ML/28G X 1/2" Live Better Pen Needles 29G X 12MM

Insulin Syringe/U-100/0.5ML/29G X 1/2" Live Better Pen Needles 31G X 12MM

Insulin Syringe/U-100/1ML/28G X 1/2" Live Better Pen Needles 31G X 6MM

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



Insulin Syringe/0.3ML/29G X 1/2" Magellan Insulin Safety Syringe/U-100/0.5ML/30G X 5/16"

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

Insulin Syringe/0.3ML/30G X 5/16" Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16"

Insulin Syringe/0.3ML/31G X 5/16" Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2"

Insulin Syringe/0.5ML/27G X 1/2" Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2"

Insulin Syringe/0.5ML/28G X 1/2" Medisense Thin Lancets

Insulin Syringe/0.5ML/29G X 1/2" Medlance Plus Extra Lancets 21G

Insulin Syringe/0.5ML/30G X 1/2" Medlance Plus Lancets

Insulin Syringe/0.5ML/30G X 5/16" Medlance Plus Lancets Lite 25G

Insulin Syringe/0.5ML/31G X 5/16" Medlance Plus Lite Lancets 25G

Insulin Syringe/1ML/28G X 1/2" Medlance Plus Special Lancets 0.8MM

Insulin Syringe/1ML/29G X 1/2" Medlance Plus Superlite 30G

Insulin Syringe/1ML/30G X 5/16" Medlance Plus Superlite 30G/Comfort Max

Insulin Syringe/1ML/31G X 5/16" Medlance Plus Universal Lancets 21G

Insupen Sensitive 32GX8MM Medlance Plus/Lite 25G

Insupen Ultrafin 29GX12MM Medlance/Extra

Insupen Ultrafin 30GX8MM Medlance/Lite

Insupen Ultrafin 31GX6MM Medlance/Universal

Insupen Ultrafin 31GX8MM Meijer Lancets Universal 30G

IN Touch Sterile Lancets 30G Meijer Super Thin Lancets

Lancet Transporter Case Microlet Lancets

Lancets Microtainer Safety Flow Lancet/Sterile/Single-use

Lancets Bullseye Safety Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML

Lancets Safety Seal 21G Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8"

Lancets Safety Seal 26G Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2"

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

Lancets Safety Seal 30G

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

Lancets Thin

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

Lancets Twist Top

Lancets Ultra Fine

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

Lancets Ultra Thin

Lancets 26G Twist Top

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

Lancets 28G

Lancets 30G

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


Lancets 30G/Twist Top Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2"


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

Lancets 33G Universal Design

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


38

Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2" Penlet II Replacement CAPS-regular

Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16" Pentips 29GX12MM

Monoject Insulin Syringe/U-100/1ML/28G X 1/2" Pentips 31GX5MM

Monoject Insulin Syringe/U-100/1ML/30G X 5/16" Pentips 31GX6MM

Monoject Insulin Syringe/1ML Pentips 31GX8MM

Monoject Insulin Syringe/1ML/31G X 5/16" Pentips 32GX4MM

Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2" Perfect Lancets 30G

Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16" Perfect Pressure Activated Safety Lancets 28G

Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16" Pharmacist Choice Ultra Thin Lancets

Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2" Pharmacist Choice Ultra Thin Lancets 28G




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

Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2" Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16"

Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16" Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2"

Monojector End CAPS Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2"

Monojector Opd End CAPS Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8"

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

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

Monolettor Safety Lancets

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

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

Precision Thin Lancets

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

Precision Thins GP Lancet

Precision Ultra Lancet

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

Preferred Plus Unifine Pentips 29G X 12MM

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT

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

Preferred Plus Unifine Pentips 31G X 8MM SHORT

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

Myglucohealth Mgh Softlance Lancets 30G

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

Netgroup Lancets

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

Nova Safety Lancets 23G

Prodigy Pressure Activated Safety Lancets

Nova Safety Lancets 28G

Prodigy Safety Lancets

Nova Sureflex Lancets

Prodigy Twist Top Lancets

Novofine Plus 32GX4MM

Pss Select GP Lancets

On Call Lancets

Pss Select Platforms

On Call Plus Lancets

Pss Select Safety Lancets

Onetouch Club Lancets Fine Point

Px Lancets Ultra Thin

Onetouch Combo Pack

PC Unifine Pentips 29G X 1/2"

Onetouch Delica Lancets Extra Fine 33G

PC Unifine Pentips 31G X 6MM Ultra SHORT

Onetouch Delica Lancets Fine 30G

PC Unifine Pentips 31G X 8MM SHORT

Onetouch Finepoint Lancets

Qc Lancets Super Thin

Onetouch Lancets

Qc Lancets Ultra Thin

Onetouch Suresoft Lancing Device/18G

Qc Pen Needles 29G X 12MM





Onetouch Ultra Blue

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

Onetouch Ultra Mini

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

Onetouch Ultra 2

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

Onetouch Ultralink System (hex)

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

Onetouch Ultralink System (DEC)


Onetouch Ultrasoft Lancets


Onetouch Verio


Onetouch Verio Flex Bloodglucose Monitoring System


Onetouch Verio IQ Blood Glucose Monitoring System


Onetouch Verio Sync Bloodglucose Monitoring System


Onetouch Verio Test Strips


Pen Needles 29G X 12MM

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

Pen Needles 29GX1/2"




Pen Needles 31G X 1/4" SHORT

Relion Lancets Micro-thin33G

Pen Needles 31G X 3/16"

Relion Lancets Standard 21G


Relion Lancets Thin 26G


Relion Lancets Ultra-thin30G


Relion Mini Pen Needles 31GX6MM

Pen Needles 31GX6MM (1/4")

Relion Pen Needles 29GX12MM

Pen Needles 31GX8MM


Pen Needles 31GX8MM (5/16")


Pen Needles 32GX4MM


Penlet II Replacement CAPS

Relion SHORT Pen Needles 31GX8MM

Penlet II Replacement CAPS-deep

Relion Thin Lancets


39

Relion Ultra Thin Lancets Surelite Lancets

Relion Ultra Thin Lancets30G Techlite AST Lancets

Relion Ultra Thin Plus Lancets 32G Techlite Lancets

Relion Ultra Thin Plus Lancets 33G Techlite Lancets 30G

Rexall Lancets Ultra Thin Techlite Pen Needles/31G X 5MM

Rightest Gl300 Lancets Techlite Pen Needles/31G X 6 MM

Rightest GD-L500 Alternate Site Adapter Techlite Pen Needles/31G X 8MM

Safe-t-lance Low Flow 25G Techlite Pen Needles/32G X 4MM

Safe-t-lance Normal Flow 21G Techlite Pen Needles/32G X 8MM

Safe-t-lance Plus Safety Lancet High Flow Thinlets GP Lancets

Safe-t-lance Plus Safety Lancet Low Flow Thinlets Lancet

Safe-t-lance Plus Safety Lancet Normal Flow Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2"

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



Safesnap Insulin Syringe/1ML/28G X 1/2" Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2"

Safesnap Insulin Syringe/1ML/29G X 1/2" Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16"

Safety Lancet 21G/Pressure Activated Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16"

Safety Lancet 28G/Pressure Activated Trueplus Insulin Syringe/U-100/1ML/28G X 1/2"

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

Safety Lancets 21G Trueplus Insulin Syringe/U-100/1ML/30G X 5/16"

Safety Lancets 28G Trueplus Insulin Syringe/U-100/1ML/31G X 5/16"

Safety Let Lancets Trueplus Lancets 26G

Safety Seal Lancets 28G Trueplus Lancets 28G

Safety Seal Lancets 30G Trueplus Lancets 28G Super Thin

Safety-glide Insulin Syringe/0.3ML/29G X 1/2" Trueplus Lancets 30G

Shopko On-the-go Comfort Lancets 30G Trueplus Lancets 30G Ultra Thin

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM Trueplus Lancets 33G

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM Trueplus Lancets 33G Micro Thin

Shopko Unifine Pentips Pen Needles/Original/29GX12MM Trueplus Safety Lancets 28G

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2"

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

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

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

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

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

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

Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM

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


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



Shopko Unilet Lancets Super Thin 30G

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

Shopko Unilet Lancets Ultra Thin 28G

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

Single-let

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

Smart Diabetes Vantage Universal Lancets 30G


Smart Sense Color Lancets Universal 33G


Smart Sense Standard Lancets Universal 21G


Smart Sense Super Thin Lancets Universal 30G


Smart Sense Thin Lancets Universal 26G


Smartest Lancets 28G


Solus V2 Pressure Activated Safety Lancets 28G


Solus V2 Twist Lancets 30G

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

Sterilance PA


Sterilance TL


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


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

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

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


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











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



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





Ulticare Micro Pen Needles 31G X 8MM


Ulticare Micro Pen Needles 32G X 4MM

Sure-lance Flat Lancets

Ulticare Micro Pen Needles/32G X 4MM

Sure-lance Lancets 26G

Ulticare Mini Pen Needles Ulti-fine IV

Sure-lance Thin Lancets 28G

Ulticare Mini Pen Needles 31GX6MM

Sure-lance Ultra Thin Lancets

Ulticare Mini Pen Needles/31G X 6MM

Sure-touch Lancets Universal


40

Ulticare Mini Pen Needles31GX6MM Unistik CZT Normal

Ulticare Original Pen Needles Ulti-fine Unistik Safety Lancets 28G

Ulticare Pen Needles/29G X 12.7MM Unistik Safety Lancets 30G

Ulticare SHORT Pen Needles Ulti-fine IV Unistik Touch Safety Lancets 21G

Ulticare SHORT Pen Needles 31GX8MM Unistik Touch Safety Lancets 23G

Ulticare SHORT Pen Needles/31G X 8MM Unistik Touch Safety Lancets 28G

Ulticare Thin Lancets 30G Unistik Touch Safety Lancets 30G

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

Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4" Unistik 2

Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4" Unistik 2 Comfort

Ulticare U-100 Insulin Syringes/1ML/31G X 1/4" Unistik 2 Extra

Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16" Unistik 2 Neonatal

Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16" Unistik 2 Normal

Ultilet Classic Lancets Unistik 2 Super

Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16" Unistik 3

Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16" Unistik 3 Comfort

Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16" Unistik 3 Extra

Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16" Unistik 3 Extra Single Use Safety Lancets/21G

Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16" Unistik 3 Gentle

Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16" Unistik 3 Neonatal

Ultilet Lancets Unistik 3 Normal

Ultilet Lancets 33G Universal 1 Lancets Thin 26G

Ultilet Pen Needle 32GX4MM/SHORT Universal 1 Lancets Ultra Thin 30G

Ultilet Safety Lancets 23G V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2"

Ultilet SHORT Pen Needles 31GX5/16" V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"

Ultilet SHORT Pen Needles31GX3/16" V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"

Ultra-thin II Auto Lancet V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2"

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

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

Valumark Lancet Super Thin 30G


Valumark Lancet Ultra Thin 28G

Valumark Pen Needles 29GX12MM


Valumark Pen Needles 31G X 6MM

Valumark Pen Needles 31G X 8MM


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

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

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

Vida Mia Unifine Pentips Mini 31GX6MM

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

Vida Mia Unifine Pentips Original 29GX12MM

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

Vida Mia Unifine Pentips 32GX4MM

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

Vida Mia Unilet Lancets Super Thin 30G

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

Vida Mia Unilet Lancets Ultra Thin 28G

Ultra-thin II Lancets 28G

Vida Mia Unipfine Pentipsshort 31GX8MM

Ultra-thin II Lancets 30G

Vitalet Pro Lancets

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

Vitalet Pro Plus Lancets

Ultra-thin II Pen Needles 29GX1/2"

W&f Lancets Colored 21G

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

W&f Lancets 26G

Ultra-thin II Safety Autolancets 26G

Walgreens Lancets

Ultralance

Walgreens Thin Lancets

Unifine Pentips Plus 29GX12MM

Walgreens Ultra Thin Lancets


1ST Choice Lancets Super Thin


1ST Choice Lancets Thin


1ST Choice Lancets Ultra Thin

Unifine Pentips 29GX12MM

1ST Tier Unifine Pentips 29GX12MM

Unifine Pentips 31G X 3/16"


Unifine Pentips 31G X 6MM


Unifine Pentips 31G X 8MM


MEDICAL DEVICES - MISC


PREFERRED


Aerochamber Mini Aerosol Chamber


Aerochamber MV

Unilet Comfortouch Lancet

Aerochamber Plus Flow VU

Unilet Excelite

Aerochamber Plus Flow-VU

Unilet Excelite II

Aerochamber Plus Flow-VU/Large Mask

Unilet G.p. Lancet

Aerochamber Plus Flow-VU/Mask

Unilet G.p. Superlite Lancet

Aerochamber Plus Flow-VU/Medium Mask

Unilet GP 28 Ultra Thin

Aerochamber Plus Flow-VU/Small Mask

Unilet Lancet

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

Unilet Lancets Micro-thin33G

Unilet Lancets Super-thin30G

Aerochamber Z-stat Plus/Flowsignal

Unilet Lancets Ultra-thin 28G

Aerochamber Z-stat Plus/Large Mask

Unilet Superlite Lancet

Unistik CZT Comfort


41

Aerochamber Z-stat Plus/Medium Mask Vortex Valved Holding Chamber

Aerochamber Z-stat Plus/Small Mask Watchhaler

Aerochamber/Flowsignal

Aerovent Plus Holding Chamber/Collapsible MISCELLANEOUS

Arial Chamber

Breatherite

NON PREFERRED

Breatherite Collapsible Adult Spacer W/Mask

Chemet

Breatherite Collapsible Child Spacer W/Mask

Exjade

Breatherite Collapsible Infant Spacer W/Mask

Ferriprox

Breatherite Collapsible Small Child Spacer W/Mask

Jadenu

Breatherite Collapsible Spacer W/ Neonate Mask

Pentetate Calcium Trisodium

Breatherite Rigid Spacer W/Mask

Pentetate Zinc Trisodium

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

E-z Spacer

E-z Spacer The Body Guards Pack

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 Bags

Inspirease Drug Delivery System

Inspirease Mouthpiece

Inspirease Reservoir Bags

Liteaire

Mask Vortex/Baby Whirl Duckling

Mask Vortex/Child/Frog

Mask Vortex/Spinner The Duck

Mask Vortex/Toddler/Lady Bug

Microchamber

Microspacer

Nessi Spacer/Large Mask

Nessi Spacer/Mouthpiece

Nessi Spacer/Small/MED Mask

Optichamber Advantage

Optichamber 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

Optichamber Face Mask/Large

Optichamber Face Mask/Medium

Optichamber Face Mask/Small

Optihaler

Optihaler MDI Drug Delivery System

Panda Mask Large

Panda Mask Medium

Panda Mask Small

Pediatric Panda Mask

Pocket Chamber

Pocket Spacer

Riteflo

Effective January 1, 2017 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2017 Optum, Inc. All rights reserved.

42

Index

A

Adacel, 33 Aerochamber Plus Flow-VU/Small Mask, 41

Adalat CC, 8

A.a.g.c. Kit IN Teroderm, 11

adapalene, 10 Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 41

abacavir, 3

Adapalene, 11

abacavir sulfate/lamivudine/zidovudine, 3

adapalene P.M., 10 Aerochamber Z-stat Plus/Flowsignal, 41

abacavir/lamivudine, 3

Adasuve, 24 Aerochamber Z-stat Plus/Large Mask, 41

Abaneu-SL, 21

Adcetris, 5 Aerochamber Z-stat Plus/Medium Mask, 42

Abelcet, 2

Adcirca, 10

Abilify, 24

Adderall, 25 Aerochamber Z-stat Plus/Small Mask, 42

Abilify Discmelt, 24

Adderall XR, 25 Aerochamber/Flowsignal, 42

Abilify Maintena, 24

adefovir dipivoxil, 3 Aerospan, 33

Abraxane, 6

Adempas, 10 Aerovent Plus Holding Chamber/Collapsible, 42

Absorica, 11

Adenocard, 8

acamprosate calcium DR, 26

adenosine, 8 AF Lancets Super Thin, 36

acarbose, 17

Adoxa, 2 Afinitor, 6

Accolate, 33

Adoxa PAK 1/100, 2 Afinitor Disperz, 6

Accu-chek Safe-t-pro Lancets, 35

Adoxa PAK 1/150, 2 Afluria 2014-2015, 33

Accu-chek Safe-t-pro Pluslancets, 35

Adoxa PAK 2/100, 2 Afluria 2015-2016, 33

Accu-chek Soft Touch Lancets, 35

Adrenal C Formula, 35 Afluria 2016-2017, 33

Accu-chek Softclix Lancets, 35

Adrenalin, 10, 32 Afluria PF 2014-2015, 33

Accucaine, 13

Advair Diskus, 33 Afluria PF 2015-2016, 33

Accupril, 8

Advair HFA, 33 Afluria PF 2016-2017, 33

Accuretic, 9

Advanced Allergy Collection Kit, 13 Afluria Quadrivalent 2016-2017, 33

acebutolol HCL, 7

Advate, 22 Afrezza, 16

Aceon, 8

Advicor, 10 Agamatrix Ultra-thin Lancets 33G, 35

acetaminophen/caffeine/dihydrocodeine, 29

Advocate Insulin Pen Needles 29GX12.7MM, 35

Aggrastat, 22

Aggrenox, 22

acetaminophen/codeine, 29

Advocate Insulin Pen Needles 31GX5MM, 35

Agrylin, 22

acetaminophen/codeine #2, 29

Akne-mycin, 11


Advocate Insulin Pen Needles 31GX8MM, 35

Akovaz, 10


Akten, 28

acetaminophen/codeine phosphate, 29

Advocate Insulin Syringe/U-100/0.3ML/29GX1/2", 35

Akynzeo, 19

acetazolamide, 9

Ala Scalp, 13

Acetazolamide, 9


Ala-quin, 11

acetazolamide ER, 9

Albafort, 21, 35

acetazolamide sodium, 9


Albenza, 4

acetic acid, 29

albuterol, 32

Acetic Acid/Aluminum Acetate, 29


albuterol sulfate, 32

acetylcysteine, 32

albuterol sulfate ER, 32

Aciphex, 19


albuterol TAB 4MG, 32

Aciphex Sprinkle, 19

Alcaine, 28

acitretin, 12


alclometasone dipropionate, 12

Aclovate, 13

Aldactazide, 9

Actemra, 30

Advocate Insulin Syringe/U-100/1ML/29GX1/2", 35

Aldactone, 9

Acthib, 33

Aldara, 13

Acticlate, 2


Aldurazyme, 18

Actigall, 20

Alecensa, 6

Actimmune, 6


alendronate sodium, 17

Actiq, 29

Alendronate Sodium, 17

Activase, 22

Advocate Lancets, 35 Alevicyn Antipruritic SG, 13

Active 1ST Blood Lancets 30G/Easy Twist CAP, 35

Advocate Lancets 30G, 35 Alfenta, 29

Advocate Safety Lancets, 35 alfentanil, 29

Activella, 15

Advocate Safety Lancets 26G, 35 Alferon N, 6

Actonel, 17

Adyphren II, 10 alfuzosin HCL ER, 21

Actoplus Met, 17

Adyphren Kit, 10 Alimta, 5

Actoplus Met XR, 17

Adzenys XR-odt, 25 Alinia, 4

Actos, 17

Aerochamber Mini Aerosol Chamber, 41 Alkeran, 4

Acuicyn Daily Eyelid & Eyelash Cleanser, 13

Aerochamber MV, 41 Allegra Allergy Childrens, 32

Aerochamber Plus Flow VU, 41 Allo-pax, 12

Acular, 28

Aerochamber Plus Flow-VU, 41 allopurinol, 31

Acular LS, 28

Aerochamber Plus Flow-VU/Large Mask, 41

Allzital, 29

Acuvail, 28

almotriptan, 31

acyclovir, 3, 12

Aerochamber Plus Flow-VU/Mask, 41 almotriptan malate, 31

acyclovir sodium, 3

Aerochamber Plus Flow-VU/Medium Mask, 41

Alocril, 28

Acyclovir Sodium, 3

Alodox Convenience Kit, 2

Aczone, 11

Alogliptin, 17

Ampyra, 26 armodafinil, 25

Alogliptin/Metformin HCL, 17

Amrix, 27 Armodafinil, 25

Alogliptin/Pioglitazone, 17

Amturnide, 9 Armour Thyroid, 18

Alomide, 28

Amytal Sodium, 24 Arnica Flower, 13

Aloprim, 31

Anacaine, 13 Arnuity Ellipta, 33

Alora, 15

Anadrol-50, 15 Aromasin, 5

alosetron hydrochloride, 19

Anafranil, 23 Arranon, 5

Aloxi, 19

anagrelide hydrochloride, 22 Arthrotec 50, 30

Alphagan P, 28

Analpram Advanced, 20 Arthrotec 75, 30

Alphanate/Von Willebrand Factor Complex/Human, 22

Analpram-HC, 20 Articadent Dental, 31

Analpram-HC Singles, 20 Artiss, 22

Alphanine SD, 22

Anaprox DS, 30 Arzerra, 5

alprazolam, 23

Anaspaz, 19 ascorbic acid, 34

alprazolam ER, 23

anastrozole, 5 Aspirin-caffeine-dihydrocodeine, 29

Alprazolam Intensol, 23

Ancef, 1 Aspirin/Dipyridamole, 22

alprazolam odt, 23

Ancobon, 2 Assure Haemolance Plus High Flow 18G, 35

Alrex, 28

Androderm, 15

Alsuma, 31

Androgel, 15 Assure Haemolance Plus Low Flow 25G, 35

Altabax, 11

Androgel P.M., 15

Altace, 8

Android, 15 Assure Haemolance Plus Micro Flow 28G, 35

Altoprev, 10

Androxy, 15

Aluvea, 13

Anectine, 27 Assure Haemolance Plus Normal Flow 21G, 35

amantadine HCL, 26

Angeliq, 15

Amantadine HCL, 26

Angiomax, 22 Assure Haemolance Plus Pediatric Blade, 35

Amaryl, 16

Animi-3, 21

Ambien, 24

Animi-3/Vitamin D, 21 Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 35

Ambien CR, 24

Anoro Ellipta, 33

Ambisome, 2

Antabuse, 26 Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2", 35

Amcinonide, 13

Antara, 10

Amerge, 31

Anthralin, 12 Assure Lance Lancets, 35

Amicar, 22

Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2", 35

Assure Lance Lancets 21G, 35

amifostine, 7

Assure Lance Plus Safety Lancets 25G, 35

amikacin sulfate, 2

Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2", 35

amiloride HCL, 9

Assure Lance Plus Safety Lancets 30G, 35

amiloride/hydrochlorothiazide, 9

Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2", 35

aminocaproic acid, 22

Assure Lancets, 36

Aminocaproic Acid, 22

antipyrine/benzocaine, 29 Astagraf XL, 6

aminophylline, 32

Antipyrine/Benzocaine, 29 Astepro, 32

amiodarone HCL, 8

Anusol-HC, 20 Astero, 13

Amiodarone HCL, 8

Anzemet, 19 Astringyn, 22

Amitiza, 20

Aplenzin, 23 AT Last Lancets, 36

amitriptyline HCL, 23

Apokyn, 26 Atabex EC, 34

amlodipine besylate, 7

Appbutamone, 23 Atabex Prenatal, 34

amlodipine besylate/atorvastatin calcium, 10

Appformin, 17 Atacand, 8

Appformin-d, 17 Atacand HCT, 9

amlodipine besylate/benazepril HCL, 9

apraclonidine, 28 Atelvia, 17

amlodipine besylate/benazepril hydrochloride, 9

Apriso, 20 atenolol, 7

Aptensio XR, 25 atenolol/chlorthalidone, 9

amlodipine besylate/valsartan, 9

Aptiom, 25 Atgam, 6

Amlodipine/Olmesartan Medoxomil, 9

Aptivus, 3 Ativan, 23

amlodipine/valsartan/hctz, 9

Aquasol A Parenteral, 34 Atopiclair, 13

ammonium lactate, 13

Aquoral, 23 atorvastatin calcium, 10

Ammonul, 18

Aralast NP, 33 atovaquone, 4

Amoxapine, 23

Aralen, 3 atovaquone/proguanil HCL, 3

amoxicillin, 1

Arava, 30 atracurium besylate, 26

Amoxicillin, 1

Arcalyst, 30 Atralin, 11

Amoxicillin ER, 1

Arcapta Neohaler, 33 Atripla, 3

amoxicillin/clavulanate potassium, 1

argatroban, 22 Atropen, 19

Amoxicillin/Clavulanate Potassium, 1

Argatroban, 22 atropine sulfate, 19, 28

amoxicillin/clavulanate potassium ER, 1

Arial Chamber, 42 Atropine Sulfate, 19, 28

amphetamine/dextroamphetamine, 25

Aricept, 26 Atrovent, 32

Amphotec, 2

Aricept Odt, 26 Atrovent HFA, 33

Amphotericin B, 2

Arimidex, 5 Aubagio, 26

ampicillin, 1

aripiprazole, 24 augmented betamethasone dipropionate, 12

Ampicillin, 1

aripiprazole odt, 24

ampicillin sodium, 1

Aristada, 24 Augmentin, 1

Ampicillin Sodium, 1

Aristospan Intra-articular, 15 Augmentin ES-600, 1

ampicillin-sulbactam, 1

Arixtra, 22 Augmentin XR, 1

Aurora Lancet Super Thin 30G, 36

bacitracin/polymyxin b, 27 BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 15/64", 36

Aurora Lancet Thin 23G, 36

Baclofen, 11

Aurora Pen Needles 29GX12MM, 36

baclofen, 27 BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 5/16", 36

Aurora Pen Needles 31G X 6MM, 36

Bacmin, 35

Aurora Pen Needles 31G X 8MM, 36

Bactocill IN Dextrose, 1 BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 36

Aurstat Anti-itch Hydrogel, 13

Bactrim, 4

Aurstat Anti-itch Hydrogel Kit, 13

Bactrim DS, 4 BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2", 36

Auryxia, 20

Bactroban, 11

Autolet Platforms, 36

Bactroban Nasal, 32 BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64", 36

Avalide, 9

Bal-care DHA, 34

Avandamet, 17

balsalazide disodium, 20 BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16", 36

Avandaryl, 17

Banzel, 25

Avandia, 17

Baraclude, 3 BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 36

Avapro, 8

Bayer Microlet Lancets, 36

Avar, 11

Bcg Vaccine, 33 BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 36

Avar LS, 11

BD Autoshield 29G X 3/16", 36

Avar LS Cleanser, 11

BD Autoshield 29G X 5/16", 36 BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64", 36

Avar-e LS, 11

BD Autoshield Duo 30G X 3/16", 36

Avastin, 5

BD Insulin Syringe LUER-LOK/U-100/1ML, 36

BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16", 36

Avc, 20

Aveed, 15

BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 36

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 36

Avelox, 2

Avelox Abc Pack, 2

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 36

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 36

Avenova, 13

Avenova/Neutrox, 13

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 36

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 36

Avidoxy DK, 2

Avinza, 29

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 36

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 36

Avodart, 21

Avonex, 26

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 36

BD Insulin Syringe/U-100/1ML/27G X 1/2", 36

Avonex Pen, 26

Avycaz, 4

BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 36


Axert, 31

Aygestin, 16

BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 36

BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 36

azacitidine, 5

Azactam, 4

BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 36


Azactam IN Iso-osmotic Dextrose, 4

Azasan, 6

BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 36

BD Insulin Syringe/U-500/0.5ML/31G X 15/64", 36

Azasite, 27

azathioprine, 5

BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 36

BD Integra Insulin Syringe/U-100/1ML/29G X 1/2", 36

Azathioprine, 6

azelastine HCL, 28, 32

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 36

BD Integra Syringe/Retracting Needle/1ML/25G X 1", 36

Azelex, 11

Azilect, 26

BD Insulin Syringe Slip Tip/U-100/1ML, 36

BD Lancet Ultrafine 30G, 36

azithromycin, 1

BD Lancet Ultrafine 33G, 36

Azithromycin, 1

BD Insulin Syringe U-40/1ML/25G X 5/8", 36

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 36

Azopt, 28

Azor, 9

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 36

BD Microtainer Lancets, 36

aztreonam, 4

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 36

Azulfidine, 20

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 36

Azulfidine EN-TABS, 20

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 36

B

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 36

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 36

B-12 Kit, 21

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 36

B-6 Folic Acid, 21

BD Pen Needle/Ultrafine/29G X 12.7MM, 36

b-complex 100, 34


B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 36

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 36


B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16", 36

BD Pen Needles SHORT/Ultrafine/31G X 5/16", 36


B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 36

BD Pudendal/Local Block Tray 1% Lidocaine, 31

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 36

B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 36

BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2", 36

BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 36

B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 36

BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 36

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 36

B-d Insulin Syringe Ultrafine/1ML/30G X 1/2", 36

BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 36

BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2", 36

bacitracin, 4

BD-insul SYR Mis LO Dose, 36

Bacitracin, 27

Bebulin, 22

Bleo 15k, 5 butalbital/aspirin/caffeine/codeine, 29

Beconase AQ, 32

bleomycin sulfate, 5 Butisol Sodium, 24

Belbuca, 29

Bleph-10, 27 butorphanol tartrate, 29

Beleodaq, 6

Blephamide, 28 Butrans, 30

Belladonna & Opium, 19

Blephamide S.o.p., 28 Bydureon, 16

Belladonna Alkaloids & Opium, 19

Blincyto, 5 Bydureon Pen, 16

Belsomra, 24

Bloxiverz, 27 Byetta, 16

benazepril HCL, 8

Boniva, 17 Bystolic, 7

benazepril HCL/hydrochlorothiazide, 9

Boostrix, 33 C

Bendeka, 4

Boric Acid, 13

cabergoline, 18

Benefix, 22

Bosulif, 6

Cabometyx, 6

Benicar, 8

Botox, 27

Caduet, 10

Benicar HCT, 9

Breatherite, 42

Cafcit, 25

Bentyl, 19

Breatherite Collapsible Adult Spacer W/Mask, 42

Cafergot, 31

Benzac Ac Wash, 11

caffeine citrate, 25

Benzefoam, 11

Breatherite Collapsible Child Spacer W/Mask, 42

Caffeine/Sodium Benzoate, 25

Benzefoam Ultra, 11

Calan, 8

Benzefoamultra, 11

Breatherite Collapsible Infant Spacer W/Mask, 42

Calan SR, 8

Benziq, 11

calcipotriene, 12

Benziq LS, 11

Breatherite Collapsible Small Child Spacer W/Mask, 42

calcipotriene/betamethasone dipropionate, 12

Benzodox 30 Kit, 2

Benzodox 60 Kit, 2

Breatherite Collapsible Spacer W/ Neonate Mask, 42

calcitonin salmon, 17

Benzoin Compound Tincture, 13

calcitonin-salmon, 17

Benzoin Tincture, 13

Breatherite Rigid Spacer W/Mask, 42

Calcitriol, 12

benzonatate, 32

Breatherite W/Large Mask, 42

calcitriol, 18

Benzonatate, 32

Breatherite W/Medium Mask, 42

calcium acetate, 20

benzoyl peroxide, 10

Breatherite W/Small Mask, 42

Caldolor, 30

benzoyl peroxide SHORT contact, 10

Breo Ellipta, 33

Campral, 26

benztropine mesylate, 26

Brevibloc, 7

Camptosar, 6

Bepreve, 29

Brevicon-28, 16

Canasa, 20

Berinert, 22

Brilinta, 22

Cancidas, 2

Besivance, 27

brimonidine tartrate, 28

candesartan cilexetil, 8

Betadine Ophthalmic Prep, 27

Brintellix, 23

candesartan cilexetil/hydrochlorothiazide, 9

Betagan, 28

Brisdelle, 26

Betalido, 15

Briviact, 25

Cantil, 19

Betaloan Suik, 15

bromfenac, 28

Capastat Sulfate, 2

betamethasone dipropionate, 12

Bromfenac, 29

capecitabine, 5

betamethasone sodium phosphate/betamethasone acetate, 14

bromocriptine mesylate, 26

Capex, 13

bromphen/pseudoephedrine HCL/dextromethorphan HBR, 32

Caphosol, 23

Betamethasone SP, 15

Capital/Codeine, 30

betamethasone valerate, 12

Brompheniramine, 32

Caprelsa, 6

Betapace, 7

Brompheniramine Tannate, 32

captopril, 8

Betapace AF, 7

Brovana, 33

Captopril/Hydrochlorothiazide, 9

Betaseron, 26

budesonide, 14, 32(2)

Capxib Kit, 30

betaxolol HCL, 7, 28

Bullseye Safety Lancets, 36

Carafate, 19

bethanechol chloride, 20

bumetanide, 9

Carbaglu, 18

Bethkis, 2

Bumex, 9

carbamazepine, 25

Betimol, 28

Bunavail, 30

carbamazepine ER, 25

Betoptic-s, 28

Bupap, 29

Carbaphen 12, 32

bexarotene, 6

Buphenyl, 18

Carbaphen 12 PED, 32

Bexsero, 33

bupivacaine HCL, 31

Carbatrol, 25

Beyaz, 16

Bupivacaine Hydrochloride/Sodium Chloride, 31

carbidopa, 26

Biaxin, 1

carbidopa/levodopa, 26

bicalutamide, 5

bupivacaine/epinephrine, 31

carbidopa/levodopa ER, 26

Bicillin C-R, 1

Buprenex, 30

carbidopa/levodopa odt, 26

Bicillin L-a, 1

buprenorphine HCL, 29

Carbidopa/Levodopa/Entacapone, 26

Bicnu, 4

buprenorphine HCL/naloxone HCL, 29

carbinoxamine maleate, 32

Bidil, 10

bupropion HCL, 23

Carbocaine, 31

Biest/Progesterone, 15

bupropion HCL ER, 23

carboplatin, 4

Biferarx, 21

bupropion HCL SR, 23

Cardene IV, 8

Biltricide, 4

bupropion HCL XL, 23

Cardizem, 8

Bimatoprost, 28

buspirone HCL, 23

Cardizem CD, 8

Binosto, 17

Busulfex, 4

Cardizem LA, 8

Biothrax, 33

butalbital/acetaminophen, 29

Cardura, 9

bisoprolol fumarate, 7

butalbital/acetaminophen/caffeine, 29

Cardura XL, 21

bisoprolol fumarate/hydrochlorothiazide, 9

butalbital/acetaminophen/caffeine/codeine, 29

Carefine Pen Needle 32GX4MM, 36

Carefine Pen Needles 29GX1/2", 36

bivalirudin, 22

butalbital/aspirin/caffeine, 29

Carefine Pen Needles 30GX5/16", 36

Carefine Pen Needles 31GX6MM, 36

Centany AT, 11 cisplatin, 4

Carefine Pen Needles 31GX8MM, 36

Centratex, 21 Cisplatin, 4

Careone Lancet Thin, 36

cephalexin, 1 citalopram hydrobromide, 23

Careone Lancet Ultra Thin, 36

Cephalexin, 1 Citanest Forte Dental, 31

carisoprodol, 27

Ceracade, 14 Citanest Plain Dental, 31

carisoprodol/aspirin, 27

Cerdelga, 21 Citranatal 90 DHA, 35

carisoprodol/aspirin/codeine, 27

Cerebyx, 25 Citranatal Assure, 35

Carnitor, 18

Cerezyme, 21 Citranatal B-calm, 34

Carnitor SF, 18

Cervarix, 33 Citranatal DHA, 35

carteolol HCL, 28

Cervidil, 29 Citranatal Harmony, 35

carvedilol, 7

Cesamet, 19 Citranatal RX, 34

Cascara Sagrada, 18

cetirizine HCL, 32 citric acid/sodium citrate, 21

Casodex, 5

Cetraxal, 29 cladribine, 5

Cataflam, 30

Cetrotide, 17 Claforan, 1

Catapres, 9

cevimeline HCL, 23 Claforan/D5W, 1

Catapres-tts-1, 9

Chemet, 42 Clarifoam EF, 11

Catapres-tts-2, 9

Chenodal, 20 Clarinex, 32

Catapres-tts-3, 9

Chloramphenicol Sodium Succinate, 4 Clarinex-d 12 HOUR, 32

Cathflo Activase, 22

chlordiazepoxide HCL, 23 clarithromycin, 1

Cayston, 4

chlordiazepoxide HCL/clidinium bromide, 19

clarithromycin ER, 1

Cedax, 1

Cleanlet Lancets 28G, 36

cefaclor, 1

Chlordiazepoxide/Amitriptyline, 26 clemastine fumarate, 32

Cefaclor, 1

chlorhexidine gluconate, 23 Clemastine Fumarate, 32

Cefaclor ER, 1

chlorhexidine gluconate oral rinse, 23 Cleocin, 4, 20

cefadroxil, 1

chloroquine phosphate, 3 Cleocin IN D5W, 4

Cefazolin, 1

chlorothiazide, 9 Cleocin Pediatric Granules, 4

cefazolin sodium, 1

Chlorothiazide, 9 Cleocin Phosphate, 4

Cefazolin Sodium, 1

chlorothiazide sodium, 9 Cleocin-t, 11

Cefazolin Sodium/Dextrose, 1

chlorpromazine HCL, 24 Clever Chek Lancets Ultrathin, 36

Cefazolin/D5W, 1

Chlorpromazine HCL, 24 Clever Chek Lancets Ultrathin 30G, 36

Cefazolin/Dextrose, 1

Chlorpropamide, 16 Clever Choice Anti-staticvalved Holding Chamber/Adult Large, 42

Cefazolin/Sodium Chloride, 1

chlorthalidone, 9

cefdinir, 1

Chlorthalidone, 9 Clever Choice Anti-staticvalved Holding Chamber/Medium, 42

Cefditoren Pivoxil, 1

chlorzoxazone, 27

cefepime, 1

Cholbam, 20 Clever Choice Anti-staticvalved Holding Chamber/Small, 42

Cefepime, 1

cholestyramine, 10

Cefepime/Dextrose, 1

cholestyramine light, 10 Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 36

cefixime, 1

choline magnesium trisalicylate, 29

Cefotan, 1

Choline Magnesium Trisalicylate, 29 Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 36

cefotaxime sodium, 1

chorionic gonadotropin, 17

Cefotaxime Sodium, 1

Cialis, 10 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2", 36

cefotetan, 1

Ciclodan Cream Kit, 12

Cefotetan, 1

Ciclodan Solution Kit, 12 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16", 36

Cefotetan/Dextrose, 1

ciclopirox, 11

cefoxitin sodium, 1

ciclopirox nail lacquer, 11 Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16", 36

Cefoxitin Sodium, 1

ciclopirox olamine, 11

cefpodoxime proxetil, 1

cidofovir, 3 Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2", 36

cefprozil, 1

Ciferex, 21

ceftazidime, 1

cilostazol, 22 Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2", 36

Ceftazidime/Dextrose, 1

Ciloxan, 27

Ceftibuten, 1

cimetidine, 19 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2", 36

Ceftin, 1

cimetidine HCL, 19

Ceftriaxone IN Iso-osmotic Dextrose, 1

Cimzia, 20 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16", 36

ceftriaxone sodium, 1

Cimzia Starter Kit, 20

Ceftriaxone Sodium, 1

Cinqair, 33 Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16", 36

Ceftriaxone/Dextrose, 1

Cinryze, 22

cefuroxime axetil, 1

Cipro, 2 Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2", 36

cefuroxime sodium, 1

Cipro HC, 29

Cefuroxime Sodium, 1

Cipro I.V.-IN D5W, 2 Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 36

Celebrex, 30

Cipro XR, 2

celecoxib, 30

Ciprodex, 29 Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2", 36

Celestone-soluspan, 15

ciprofloxacin, 2

Celexa, 23

Ciprofloxacin, 2, 29 Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16", 36

Cellcept, 6

ciprofloxacin ER, 2

Cellcept Intravenous, 6

ciprofloxacin HCL, 2, 27 Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 36

Celontin, 25

Ciprofloxacin HCL, 2

Cenfol, 21

ciprofloxacin I.V.-IN D5W, 2 Clever Choice Comfort EZ Pen Needles 29GX12MM, 36

Centany, 11

cisatracurium besylate, 26

Clever Choice Comfort EZ Pen Needles 31GX5MM, 36

Coartem, 3 Corlopam, 9

Cocaine HCL, 14 Cortef, 15


Cod Liver Oil, 35 Cortenema, 20

Codar AR, 32 Cortifoam, 20


codeine sulfate, 29 Cortisone Acetate, 14

Codeine Sulfate, 30 Cortisporin, 11


Cogentin, 26 Cortisporin-tc, 29

Colazal, 20 Corvert, 8


Colchicine, 31 Corvite, 35

Colcrys, 31 Corvite 150, 21


Colestid, 10 Corzide, 9

Colestid Flavored, 10 Cosentyx, 12


colestipol HCL, 10 Cosentyx Sensoready Pen, 12

colistimethate sodium, 4 Cosmegen, 5


Coly-mycin M, 4 Cosopt, 28

Coly-mycin S, 29 Cosopt PF, 28


Colyte-flavor Packs, 18 Cotellic, 6

Combigan, 28 Coumadin, 22

Cleviprex, 8

Combipatch, 15 Cozaar, 8

Climara, 15

Combivent Respimat, 33 Cpb Wc, 32

Climara Pro, 15

Combivir, 3 Creon, 19

Clin Single Use Kit, 4

Cometriq, 6 Cresemba, 2

Clindacin Etz, 11

Comfort Assist Insulin Syringe 0.3ML/29G X 1/2", 36

Crestor, 10

Clindacin PAC, 11

Crinone, 20

Clindagel, 11

Comfort Assist Insulin Syringe/0.3ML/30G X 5/16", 36

Crixivan, 3

clindamycin, 4

Crnatal, 35

clindamycin HCL, 4


cromolyn sodium, 20, 28

clindamycin palmitate HCL, 4

Cromolyn Sodium, 33

clindamycin phosphate, 4, 11, 20


Cubicin, 4

Clindamycin Phosphate, 4

Cubicin RF, 4

clindamycin phosphate add-vantage, 4


Curosurf, 33

clindamycin phosphate IN D5W, 4

Cutivate, 13

clindamycin phosphate pharmacy bulk package, 4


Cuvposa, 19

cyanocobalamin, 21

clindamycin phosphate/tretinoin, 11

Comfort Assist Insulin Syringe/1ML/29G X 1/2", 36

Cyclessa, 16

clindamycin/benzoyl peroxide, 11

Cyclobenzaprine Comfort PAC, 27

Clindap-t, 11


cyclobenzaprine HCL, 27

Clindesse, 20

Cyclogyl, 28

Clinical Nutrients Prenatal Formula, 34


Cyclomydril, 28

Clinoin, 11

cyclopentolate HCL, 28

clobetasol propionate, 12

Comfort Lancets, 36 cyclopentolate hydrochloride, 28

clobetasol propionate emollient, 12

Compact Space Chamber/Anti-static, 42 Cyclophene Rapidpaq, 27

Clobex, 13

Compact Space Chamber/Anti-static/Large Mask, 42

cyclophosphamide, 4

Clocortolone Pivalate, 13

Cyclophosphamide, 4

Clocortolone Pivalate P.M., 13

Compact Space Chamber/Anti-static/Medium Mask, 42

Cycloserine, 2

Clodan Kit, 13

Cycloset, 16

Cloderm, 13

Compact Space Chamber/Anti-static/Small Mask, 42

cyclosporine, 5

Cloderm P.M., 13

cyclosporine modified, 5

Clolar, 5

Complera, 3 Cyclosporine Modified, 6

clomiphene citrate, 17

Comtan, 26 Cyklokapron, 22

clomipramine HCL, 23

Comvax, 33 Cymbalta, 23

clonazepam, 25

Concept DHA, 34 cyproheptadine HCL, 32

clonazepam odt, 25

Concept OB, 34 Cyramza, 5

clonidine HCL, 8

Concerta, 25 Cystadane, 18

clonidine HCL ER, 25

Condylox, 14 Cystagon, 21

clopidogrel, 22

Convenience PAK, 26 Cystaran, 29

clorazepate dipotassium, 23

Conzip, 30 cytarabine, 5

Clorpres, 9

Copasil, 14 cytarabine aqueous, 5

clotrimazole, 11, 23

Copaxone, 26 Cytarabine Aqueous, 5

clotrimazole/betamethasone dipropionate, 11

Copegus, 3 Cytomel, 18

Cordarone, 8 Cytotec, 19

clozapine, 24

Cordran, 13 Cytovene, 3

clozapine odt, 24

Cordran Tape, 13 Cytra-3, 21

Clozapine Odt, 24

Coreg, 7 D

Clozaril, 24

Coreg CR, 7

D.h.e. 45, 31

Cnl8 Nail Kit, 12

Corgard, 7

dacarbazine, 6

Coaguchek Lancets, 36

Corifact, 22

Dacarbazine, 7

Coal TAR, 14

Corlanor, 10

Dacogen, 5

Daklinza, 3

desipramine HCL, 23 digoxin, 7

Daliresp, 33

desloratadine, 32 Digoxin, 7

Dallergy, 32

Desloratadine Odt, 32 dihydroergotamine mesylate, 31

Dalvance, 4

desmopressin acetate, 18 Dihydroergotamine Mesylate, 31

danazol, 15

Desogen, 16 Dilantin, 25

Dantrium, 27

desogestrel/ethinyl estradiol, 15 Dilantin Infatabs, 25

Dantrium IV, 27

Desonate, 13 Dilantin-125, 25

dantrolene sodium, 27

desonide, 12 Dilatrate SR, 7

dapsone, 4

Desowen, 13 Dilaudid, 30

Daptacel, 33

desoximetasone, 12 Dilaudid-HP, 30

daptomycin, 4

Desoximetasone, 13 diltiazem CD, 7

Daraprim, 3

Desoxyn, 25 diltiazem HCL, 7

darifenacin hydrobromide ER, 20

Desvenlafaxine ER, 23 Diltiazem HCL, 8

Darzalex, 5

Detrol, 20 diltiazem HCL CD, 8

daunorubicin HCL, 5

Detrol LA, 20 diltiazem HCL ER, 8

Daunoxome, 5

dexamethasone, 14 Diltiazem Hydrochloride/Sodium Chloride, 8

Daypro, 30

Dexamethasone, 14

Daytrana, 25

Dexamethasone Intensol, 15 Dimenhydrinate, 19

Ddavp, 18

dexamethasone sodium phosphate, 14, 28

Diovan, 8

Debacterol, 23

Diovan HCT, 9

decitabine, 5

Dexamethasone Sodium Phosphate, 14, 28

Dipentocaine, 12

Decon-a, 32

Dipentum, 20

Defitelio, 22

Dexchlorpheniramine Maleate, 32 diphenhydramine HCL, 32

Delestrogen, 15

Dexedrine, 25 diphenoxylate/atropine, 18

Demadex, 9

Dexilant, 19 Diphenoxylate/Atropine, 19

demeclocycline HCL, 2

Dexlido, 15 Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 33

Demerol, 30

Dexlido-m, 15

Demser, 9

dexmedetomidine HCL, 24 Diprolene, 13

Denavir, 12

Dexmedetomidine HCL, 24 Diprolene AF, 13

Depacon, 25

dexmethylphenidate HCL, 25 dipyridamole, 22

Depakene, 25

dexmethylphenidate HCL ER, 25 Disalcid, 29

Depakote, 25

Dexpak 10 Day, 15 disopyramide phosphate, 8

Depakote ER, 25

Dexpak 13 Day, 15 disulfiram, 26

Depakote Sprinkles, 25

Dexpak 6 Day, 15 Ditropan XL, 20

Depo-estradiol, 15

Dexpanthenol, 20 Diuril, 9

Depo-medrol, 15

dexrazoxane, 7 divalproex sodium, 25

Depo-provera, 5

dextroamphetamine sulfate, 25 divalproex sodium DR, 25

Depo-testosterone, 15

dextroamphetamine sulfate ER, 25 divalproex sodium ER, 25

Deprizine Fusepaq, 19

Diabeta, 16 Divigel, 15

Deprizine Rapidpaq, 19

Dialyvite 3000, 35 Divista, 21

Derma Silkrx Anodynexa PAK, 30

Dialyvite 5000, 35 dobutamine HCL, 9

Derma Silkrx Diclopak, 30

Dialyvite Supreme D, 35 dobutamine HCL/D5W, 10

Derma-smoothe/FS Body, 13

Dialyvite/Zinc, 35 dobutamine/dextrose 5%, 10

Derma-smoothe/FS Scalp, 13

Diamox, 9 Docefrez, 6

Dermacinrx Azenase PAK, 32

Diastar Easy Test II Lancets 30G, 36 docetaxel, 6

Dermacinrx Cinlone-i Cpi, 15

Diastar Easy Test Lancets30G, 37 Docetaxel, 6

Dermacinrx Clorhexacin, 14

Diastat Acudial, 25 Docetaxel (non-alcohol Formula), 6

Dermacinrx Dpn PAK, 26

Diastat Pediatric, 25 dofetilide, 8

Dermacinrx Duopatch Pharmapak, 14

diazepam, 23 Dologesic, 29

Dermacinrx Inflammatral PAK, 30

Diazepam, 23, 25 Dolophine, 30

Dermacinrx Lexitral Pharmapak, 12

Dibenzyline, 9 donepezil HCL, 26

Dermacinrx Neurotral Pharmapak, 14

Diclegis, 19 dopamine HCL, 10

Dermacinrx Phn PAK, 14

diclofenac potassium, 30 Dopamine HCL, 10

Dermacinrx Purefolix, 21

diclofenac sodium, 12, 28 dopamine HCL-dextrose 5%, 10

Dermacinrx Surgical Pharmapak, 14

Diclofenac Sodium, 12 dopamine HCL/dextrose 5%, 10

Dermacinrx Therazole PAK, 12

diclofenac sodium DR, 30 dopamine/D5W, 10

Dermacinrx Ticanase PAK, 32

diclofenac sodium ER, 30 Dopram, 25

Dermacinrx Zrm PAK, 14

diclofenac sodium/misoprostol, 30 Doral, 24

Dermapak Plus, 11

dicloxacillin sodium, 1 Doribax, 4

Dermasorb HC, 13

Dicopanol Fusepaq, 32 Doryx, 2

Dermasorb Ta, 13

Dicopanol Rapidpaq, 32 Doryx Mpc, 2

Dermasorb XM, 14

dicyclomine HCL, 19 dorzolamide HCL, 28

Dermatop, 13

didanosine, 3 dorzolamide HCL/timolol maleate, 28

Dermawerx Surgical Plus PAK, 14

Differin, 11 Doubledex, 15

Dermazone, 13

Dificid, 1 Dovonex, 12

Dermazyl, 14

Diflorasone Diacetate, 13 doxapram HCL, 25

Dermotic, 29

Diflucan, 2 doxazosin, 8

Descovy, 3

diflunisal, 29 doxazosin mesylate, 8

doxepin HCL, 23

Dyazide, 9 100/1ML/30G X 1/2", 37

Doxepin HCL, 23

Dyloject, 30 Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16", 37

Doxepin Hydrochloride, 12

Dymista, 32

doxercalciferol, 18

Dyrenium, 9 Easy Touch Lancets 21G/Pressure Activated, 37

Doxil, 5

Dysport, 27

doxorubicin HCL, 5

Dyural-40, 15 Easy Touch Lancets 23G/Pressure Activated, 37

Doxorubicin HCL, 5

Dyural-80, 15

doxorubicin HCL liposome, 5

Dyural-l, 15 Easy Touch Lancets 26G/Pressure Activated, 37

doxycycline, 2

Dyural-lm, 15

Doxycycline, 11

E Easy Touch Lancets 26G/Pull-top, 37

doxycycline hyclate, 2

Easy Touch Lancets 26G/Twist, 37

E-z Ject Lancets, 37

doxycycline hyclate DR, 2

Easy Touch Lancets 28G/Pressure Activated, 37

E-z Ject Lancets 21G, 37

doxycycline monohydrate, 2

E-z Ject Lancets Color, 37

Drisdol, 34

Easy Touch Lancets 28G/Pull-top, 37

E-z Ject Lancets Super Thin, 37

Dritho-creme HP, 12


E-z Ject Lancets Super Thin 30G, 37

dronabinol, 19

Easy Touch Lancets 30G/Button-activated, 37

E-z Ject Lancets Thin 26G, 37

droperidol, 23

E-z Spacer, 42

Droplet Lancets Ultra Thin 30G, 37


E-z Spacer The Body Guards Pack, 42

Droplet Pen Needles 29GX12MM, 37

E-ZJECT Lancets Micro-thin 33G, 37



E.e.s. 400, 1



E.e.s. Granules, 1



Easivent, 42


Easivent/Mask-large, 42



Easivent/Mask-medium, 42

drospirenone/ethinyl estradiol, 15


Easivent/Mask-small, 42

drospirenone/ethinyl estradiol/levomefolate calcium, 15


Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2", 37

Easy Touch Pen Needles 29GX1/2", 37

Droxia, 21



Drug Mart On-the-go Lancets Gentle 30G, 37




Drug Mart Unilet Lancets Super Thin 30G, 37

Easy Touch Pen Needles/31G X 3/16", 37


Drug Mart Unilet Lancets Ultra Thin 28G, 37

Easy Touch Safety Lancets21G/Pressure Activated, 37

Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 37

Drysol, 13


Dsg PAK, 12


Duane Reade Unifine Pentips 29G X 12MM, 37

Easy Touch Safety Lancets26G/Button Activated, 37


Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 37



Duane Reade Unifine Pentips 31G X 8MM SHORT, 37

Easy Touch Safety Lancets28G/Button Activated, 37

Easy Touch Insulin Syringe/1ML/30G X 5/16", 37

Duavee, 15


Duet DHA 400, 34

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2", 37

Duet DHA 400EC, 34

Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2", 37

Duet DHA 430, 34

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16", 37

Duet DHA 430EC, 34


Duet DHA Balanced, 34

Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2", 37

Duetact, 17


duloxetine HCL, 23

Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2", 37

Duloxetine HCL, 23

Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2", 37

Duopa, 26

Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2", 37

Duragesic, 30

Easy Twist & CAP Lancets, 37

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 31

Easytest II Lancets, 37


Easytest Lancets, 37

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 31

EC-naprosyn, 30


econazole nitrate, 11

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 31

Ecoza, 12


Ed Cyte F, 21

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 31

Edarbi, 8


Edarbyclor, 9

Durezol, 28

Edecrin, 9

Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2", 37

Durlaza, 22

Edluar, 24

dutasteride, 21

Edurant, 3


dutasteride/tamsulosin HCL, 21

Effexor XR, 24

dutasteride/tamsulosin hydrochloride, 21

Effient, 22


Dutoprol, 9

Egrifta, 18

Dyanavel XR, 25

Elaprase, 18

Easy Touch Insulin Syringe/U-

Elavil, 24

epirubicin HCL, 5 Ethyl Chloride/Medium Stream, 14

Eldepryl, 26

Episnap, 10 Ethyl Chloride/Mist, 14

Elelyso, 21

episone CRE, 13 Ethyol, 7

Elestat, 29

Epivir, 3 Etidronate Disodium, 17

Elestrin, 15

Epivir HBV, 3 etodolac, 30

Eletone, 14

eplerenone, 8 etodolac ER, 30

Eletone Twinpack, 14

epoprostenol sodium, 10 Etopophos, 6

Elidel, 13

Eprosartan Mesylate, 8 etoposide, 6

Eligard, 5

eptifibatide, 22 Etoposide, 6

Elimite, 14

Epy II Kit, 10 Euflexxa, 27

Eliphos, 20

Epy Kit, 10 Eurax, 13

Eliquis, 22

Epzicom, 3 Evamist, 15

Elitek, 7

Eql SHORT Pen Needles 31G X 8MM, 37

Evekeo, 25

Elixophyllin, 33

Evicel, 22

Ella, 16

Eql Ultra SHORT Pen Needles 31G X 6MM, 37

Evista, 17

Ellence, 5

Evithrom, 22

Elmiron, 21

Equetro, 24 Evoclin, 11

Elocon, 13

Equipto-baclofen, 11 Evomela, 4

Eloxatin, 4

Equipto-naproxen, 12 Evotaz, 3

Emadine, 29

Eraxis, 2 Evoxac, 23

Embeda, 29

Erbitux, 5 Exactuss, 32

Embrace Lancets Ultra Thin 30G, 37

ergocalciferol, 34 Exalgo, 30

Emcyt, 5

ergoloid mesylates, 26 Excel Comfort Point Insulin Pen Needles 31G X 4MM, 37

Emend, 19

Ergoloid Mesylates, 26

Emla, 14

Ergomar, 31 Exel Comfort Point Insulin Pen Needles 29G X 12MM, 37

Empliciti, 5

Ertaczo, 12

Emsam, 24

Erwinaze, 5 Exel Comfort Point Insulin Pen Needles 31G X 6MM, 37

Emtriva, 3

Ery-TAB, 1

Emulsion SB, 14

Erygel, 11 Exel Comfort Point Insulin Pen Needles 31G X 8MM, 37

Emverm, 4

Eryped 200, 1

Emvoren, 12

Eryped 400, 1 Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 37

Enablex, 20

Erythrocin Lactobionate, 1

enalapril maleate, 8

Erythrocin Stearate, 1 Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16", 37

enalapril maleate/hydrochlorothiazide, 9

erythromycin, 1, 11, 27

enalaprilat, 8

Erythromycin Base, 1 Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2", 37

Enbrace HR, 34

erythromycin ethylsuccinate, 1

Enbrel, 30

Erythromycin Ethylsuccinate, 1 Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2", 37

Enbrel Sureclick, 30

erythromycin/benzoyl peroxide, 11

Endometrin, 20

Esbriet, 33 Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16", 37

Engerix-b, 33

Escavite, 34

Enjuvia, 15

Escavite D, 34 Exel Comfort Point Insulin Syringe/1ML/28G X 1/2", 37

Enlon, 27

escitalopram oxalate, 23

Enlon-plus, 27

Esgic, 29 Exel Comfort Point Insulin Syringe/1ML/29G X 1/2", 37

enoxaparin sodium, 22

esmolol HCL, 7

Enstilar, 13

Esmolol HCL, 7 Exel Comfort Point Insulin Syringe/1ML/30G X 5/16", 37

entacapone, 26

esomeprazole magnesium, 19

entecavir, 3

esomeprazole sodium, 19 Exelderm, 12

Entereg, 20

Esomeprazole Sodium, 19 Exelon, 26

Entocort EC, 15

Esomeprazole Strontium, 19 exemestane, 5

Entresto, 10

estazolam, 24 Exforge, 9

Entty Spray Emulsion, 14

Estrace, 15, 20 Exforge HCT, 9

Entyvio, 20

estradiol, 15 Exjade, 42

Envarsus XR, 6

Estradiol, 15 Exoderm, 12

Epaned, 8

estradiol valerate, 15 Exparel, 31

Epclusa, 3

estradiol/norethindrone acetate, 15 Extardol, 12

ephedrine sulfate, 10

Estring, 20 Extina, 12

Ephedrine Sulfate, 10

Estrogel, 15 EZ Smart Blood Glucose Lancets, 37

Ephedrine Sulfate/Sodium Chloride, 10

Estropipate, 15 EZ-lets Lancets 21G, 37

Epiceram, 14

Estrostep FE, 16 EZ-lets Lancets 23G, 37

Epiduo, 11

eszopiclone, 24 EZ-lets Lancets 26G Super-soft, 37

Epiduo Forte, 11

ethacrynate sodium, 9 EZ-lets Lancets 28G Ultra-soft, 37

Epifoam, 13

ethacrynic acid, 9 EZ-lets Lancets 30G, 37

epinastine HCL, 28

ethambutol HCL, 2 F

Epinephrine, 10

ethosuximide, 25

Fabior, 11

Epinephrine HCL, 10

Ethyl Chloride, 14

Fabrazyme, 18

epinephrine HCL, 32

Ethyl Chloride/Fine Pinpoint, 14

Factive, 2

Epipen 2-PAK, 10

Ethyl Chloride/Fine Stream, 14

Falessa, 16

Epipen-JR 2-PAK, 10

Ethyl Chloride/Medium Jet Stream, 14

famciclovir, 3

famotidine, 19

Finacea, 11 fluconazole, 2

Famotidine, 19

finasteride, 21 fluconazole IN dextrose, 2

Famotidine Premixed, 19

Fine 30, 37 fluconazole IN NACL, 2

Famvir, 3

Fingerstix Lancets, 37 Fluconazole IN NACL, 2

Fanapt, 24

Fioricet, 29 flucytosine, 2

Fanapt Titration Pack, 24

Fioricet/Codeine, 30 Fludara, 5

Fanatrex Fusepaq, 25

Fiorinal, 29 fludarabine phosphate, 5

Fareston, 5

Fiorinal/Codeine #3, 30 fludrocortisone acetate, 14

Farydak, 6

Firazyr, 22 Flulaval 2014-2015, 33

Faslodex, 5

Firmagon, 5 Flulaval Quadrivalent 2014-2015, 33

Fazaclo, 24

First-baclofen 1, 27 Flulaval Quadrivalent 2015-2016, 33

Feiba, 22

First-baclofen 5, 27 Flulaval Quadrivalent 2016-2017, 33

Feiba NF, 22

First-bxn Mouthwash, 23 Flumadine, 3

felbamate, 25

First-dukes Mouthwash, 23 Flumist Quadrivalent, 33

Felbatol, 25

First-hydrocortisone, 13 flunisolide, 32

Feldene, 30

First-lansoprazole, 19 fluocinolone acetonide, 12, 29

felodipine ER, 8

First-marys Mouthwash, 23 fluocinolone acetonide ear drops, 29

Fem PH, 20

First-metronidazole 100, 4 fluocinonide, 12

Femara, 5

First-metronidazole 50, 4 fluocinonide-e, 12

Femcon FE, 16

First-mouthwash Blm, 23 fluorometholone, 28

Femhrt Low Dose, 15

First-omeprazole, 19 fluorouracil, 5

Femring, 20

First-progesterone VGS 100 Compounding Kit, 20

Fluoxetine, 26

fenofibrate, 10

fluoxetine DR, 23

Fenofibrate, 10


fluoxetine HCL, 23

fenofibrate micronized, 10

Fluoxetine HCL, 23

Fenofibric Acid, 10


fluphenazine decanoate, 24

fenofibric acid DR, 10

fluphenazine HCL, 24

Fenoglide, 10


Fluphenazine HCL, 24

fenoldopam mesylate, 8

flurandrenolide, 12

Fenoprofen Calcium, 30


Flurazepam HCL, 24

Fenortho, 30

flurbiprofen, 30

fentanyl, 29

First-testosterone, 15 flurbiprofen sodium, 28

Fentanyl, 29

First-testosterone Mc Compounding Kit, 15

flutamide, 5

Fentanyl Citrate, 30

fluticasone propionate, 12, 32

fentanyl citrate oral transmucosal, 29

First-vancomycin 25, 4 fluvastatin, 10

Fentanyl Citrate/NACL, 30

First-vancomycin 50, 4 fluvastatin sodium ER, 10

Fentanyl Citrate/Sodium Chloride, 30

Flagyl, 4 Fluvirin 2014-2015, 33

Feraheme, 21

Flagyl ER, 4 Fluvirin 2015-2016, 33

Feriva, 21

Flanax Pain Relief Kit, 30 Fluvirin 2016-2017, 33

Feriva 21/7, 21

Flarex, 28 Fluvirin PF 2014-2015, 33

Ferivafa, 21

flavoxate HCL, 20 fluvoxamine maleate, 23

Ferralet 90, 21

flecainide acetate, 8 fluvoxamine maleate ER, 23

Ferrex 150 Forte Plus, 21

Flector, 12 Fluzone High-dose PF 2014-2015, 33

Ferrex 28, 21

Flexepax, 27 Fluzone High-dose PF 2015-2016, 33

Ferriprox, 42

Flexichamber, 42 Fluzone High-dose PF 2016-2017, 33

Ferrlecit, 21

Flexichamber Adult Mask/Small, 42 Fluzone PF 2014-2015, 33

Ferro-plex Hematinic, 21

Flexichamber Child Mask/Large, 42 Fluzone Quadrivalent 2014-2015, 33

Ferrotrin, 21

Flexichamber Child Mask/Small, 42 Fluzone Quadrivalent 2015-2016, 33

Fetzima, 24

Flolan, 10 Fluzone Quadrivalent 2016-2017, 33

Fetzima Titration Pack, 24

Flomax, 21 Fluzone Split 2014-2015, 33

Fexmid, 27

Flonase, 32 Fluzone Split 2015-2016, 33

Fibricor, 10

Floriva, 35 FML, 28

Fifty50 Pen Needles 31G X3/16" (5MM), 37

Flovent Diskus, 33 FML Forte, 28

Flovent HFA, 33 FML Liquifilm, 28

Fifty50 Pen Needles 31G X5/16" (8MM), 37

Flowtuss, 32 Focalgin 90 DHA, 35

Floxin Otic, 29 Focalgin CA, 35

Fifty50 Pen Needles 31GX5MM, 37

Floxuridine, 5 Focalgin Dss, 21

Fifty50 Pen Needles/31GX8MM, 37

Fluad 2016-2017, 33 Focalin, 25

Fifty50 Pen Needles/32GX4MM, 37

Fluarix 2014-2015, 33 Focalin XR, 25

Fifty50 Safety Seal Lancets 30G, 37

Fluarix Quadrivalent 2014-2015, 33 Folbee Plus Cz, 34

Fifty50 Safety Seal Lancets 32G, 37

Fluarix Quadrivalent 2015-2016, 33 Folcaps Omega 3, 34

Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16", 37

Fluarix Quadrivalent 2016-2017, 33 Folene, 21

Flublok 2014-2015, 33 Folet DHA, 35

Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 37

Flublok 2015-2016, 33 Folet One, 35

Flublok 2016-2017, 33 Folgard OS, 35

Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 37

Flucelvax 2014-2015, 33 Folgard RX, 21

Flucelvax 2015-2016, 33 folic acid, 21

Fifty50 Unilet Lancets 33G, 37

Flucelvax Quadrivalent 2016-2017, 33 Folic Acid, 21

folic acid/vitamin b-6/vitamin b-12, 21

Gazyva, 5 3ML/31G X 5/16", 38

Folitab 500, 21

Gebauers Pain Ease, 14 Glucopro Insulin Syringe/U-100/0.5ML/30G X 1/2", 38

Folivane-f, 21

Gebauers Spray And Stretch, 14

Folivane-OB, 34

Gel-kam Oral Care Rinse, 23 Glucopro Insulin Syringe/U-100/0.5ML/30G X 5/16", 38

Folivane-plus, 21

Gel-one, 27

Folivane-prx DHA NF, 35

Gelclair, 23 Glucopro Insulin Syringe/U-100/0.5ML/31G X 5/16", 38

Folixapure, 21

Gelnique, 20

Folotyn, 5

Gelsyn-3, 27 Glucopro Insulin Syringe/U-100/1ML/30G X 1/2", 38

Foltrate, 21

gemcitabine, 5

fondaparinux sodium, 22

gemcitabine HCL, 5 Glucopro Insulin Syringe/U-100/1ML/30G X 5/16", 38

Fora Lancets, 37

gemfibrozil, 10

Foradil Aerolizer, 33

Gemzar, 5 Glucopro Insulin Syringe/U-100/1ML/31G X 5/16", 38

Forfivo XL, 23

Genadur, 14

Fortamet, 16

Genadur Kit, 14 Glucosource Lancets, 38

Fortavit, 35

gene-xene TAB 15MG, 23 Glucotrol, 16

Fortaz, 1

gene-xene TAB 3.75MG, 23 Glucotrol XL, 16

Forteo, 17

gene-xene TAB 7.5MG, 23 Glucovance, 17

Fortical, 17

Generess FE, 16 Glumetza, 16

Fosamax, 17

gentamicin sulfate, 2, 27 glyburide, 16

Fosamax Plus D, 17

Gentamicin Sulfate, 11 Glyburide, 16

Foscavir, 3

gentamicin sulfate pediatric, 2 glyburide micronized, 16

fosinopril sodium, 8

gentamicin sulfate/0.9% sodium chloride, 2

glyburide/metformin HCL, 17

fosinopril sodium/hydrochlorothiazide, 9

Glycolic Acid, 12

fosphenytoin sodium, 25

Gentamicin Sulfate/0.9% Sodium Chloride, 2

Glycolic Acid 70% High Purity, 12

Fosrenol, 20

glycopyrrolate, 19

Fragmin, 22

Gentle-let GP Lancets, 37 Glycopyrrolate, 19

Freestyle Lancets, 37

Gentle-let Lancets General Purpose Style/Fine Point, 37

Glynase, 16

Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16", 37

Glyset, 17

Gentle-let Lancets General Purpose Style/Medium Point, 37

Glyxambi, 17

Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16", 37

Gmate Lancets 30G, 38

Gentle-let Lancets Safety Style/Fine Point, 37

Golytely, 18

Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16", 37

Gonal-f, 17

Gentle-let Lancets Safety Style/Medium Point, 37

Gonal-f RFF, 17

Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16", 37

Gonal-f RFF Rediject, 17

Gentle-let Platforms 2.4MM, 37 Gordofilm, 14

Freestyle Unistick II Lancets, 37

Gentle-let Platforms 3.0MM, 37 Gordons Urea, 14

Frova, 31

Genvisc 850, 27 Gralise, 26

frovatriptan succinate, 31

Genvoya, 3 Gralise Starter, 26

Fulyzaq, 19

Geodon, 24 granisetron HCL, 19

Furadantin, 20

Gesticare DHA, 35 Granisol, 19

furosemide, 9

Gialax, 18 Granix, 21

Furosemide, 9

Giazo, 20 Grifulvin V, 2

Fusilev, 7

Gilenya, 26 Gris-peg, 2

Fusion Plus, 21

Gilotrif, 6 griseofulvin microsize, 2

Fusion Sprinkles, 21

Gilphex TR, 32 griseofulvin ultramicrosize, 2

Fuzeon, 3

Giltuss, 32 guanfacine ER, 25

Fycompa, 25

Giltuss TR, 32 guanfacine HCL, 8

G

Glassia, 33 Guanidine HCL, 27

glatopa, 26 Gynazole-1, 20

gabapentin, 25

Gleevec, 6 H

Gabavale-5, 23

Gleostine, 4

Gabazolamine, 23

H-e-b IN Control Pen Needles 31GX6MM, 38

Gliadel Wafer, 4

Gabazolamine-0.5, 23

glimepiride, 16

Gabazolpidem-5, 24

H-e-b IN Control Pen Needles 31GX8MM, 38

glipizide, 16

Gabitidine, 19

glipizide ER, 16

Gabitril, 25

H-e-b IN Control Unifine Pentips Plus 32GX4MM, 38

glipizide/metformin HCL, 17

Gablofen, 27

Glucagen Hypokit, 16

Gaboxetine, 24

H-e-b Incontrol Pen Needles 29GX12MM, 38

Glucagon Emergency Kit, 16

galantamine hydrobromide, 26

Glucocom Lancets 28G, 37

Galantamine Hydrobromide, 26

H.p. Acthar, 18


ganciclovir, 3

Haemolance, 38


Ganirelix Acetate, 17

Haemolance Low Flow Lancets, 38

Glucophage, 16

Garamycin, 27

Haemolance Plus, 38

Glucophage XR, 16

Gardasil, 34

Haemolance Plus High Flow, 38

Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2", 37

Gardasil 9, 34

Haemolance Plus Low Flow, 38

Gastrinex NF, 19

Haemolance Plus Max Flow, 38

Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16", 38

Gastrocrom, 20

Haemolance Plus Pediatric Flow, 38

gatifloxacin, 27

Halaven, 6

Glucopro Insulin Syringe/U-100/0.

Gattex, 20

Halcion, 24

Haldol, 24

Humalog Mix 75/25, 16 Hylatopic, 14

Haldol Decanoate 100, 24

Humalog Mix 75/25 Kwikpen, 16 Hylatopic Plus, 14

Haldol Decanoate 50, 24

Humate-p, 22 Hylira, 14

halobetasol propionate, 13

Humira, 30 Hymovis, 27

Halog, 13

Humira Pediatric Crohns Disease Starter Pack, 30

hyoscyamine sulfate, 19

haloperidol, 24

hyoscyamine sulfate ER, 19

haloperidol decanoate, 24

Humira Pen, 30 hyoscyamine sulfate odt, 19

haloperidol lactate, 24

Humira Pen-crohns Diseasestarter, 30 hyoscyamine sulfate SR, 19

Halotin, 12

Humira Pen-psoriasis Starter, 30 Hyper-sal, 32

Harvoni, 3

Humulin 70/30, 16 Hypersal, 32

Havrix, 34

Humulin 70/30 Kwikpen, 16 Hypertenevide-12.5, 7

Healthwise Mini Pen Needles 31GX6MM, 38

Humulin N, 16 Hypertenipine-2.5, 8

Humulin N Kwikpen, 16 Hypertensolol, 9

Healthwise Pen Needles 29GX12MM, 38

Humulin R, 16 Hyzaar, 9

Healthwise SHORT Pen Needles 31GX8MM, 38

Humulin R U-500 (concentrated), 16 I

Humulin R U-500 Kwikpen, 16

ibandronate sodium, 17

Healthy Mama Be Well Rounded, 34

Hy-vee Lancets, 38

Ibrance, 6

Hectorol, 18

Hyalgan, 27

Ibudone, 30

Helixate FS, 22

Hycamtin, 6

ibuprofen, 30

Hemabate, 29

Hycet, 30

Ibuprofen Comfort PAC, 30

Hemangeol, 7

Hycofenix, 32

ibuprofen lysine, 30

Hematogen Fa, 21

hydralazine HCL, 8

ibutilide fumarate, 8

Hematron-AF, 21

Hydrea, 7

IC 400, 31

Hemocyte Plus, 21

Hydro 35, 14

IC 800, 31

Hemocyte-f, 21

Hydro 40 Foam, 14

Icar-c Plus, 21

Hemofil M, 22

hydrochlorothiazide, 9

Iclusig, 6

heparin lock, 22

hydrocodone bitartrate/acetaminophen, 29

Idamycin PFS, 5

heparin lock flush, 22

idarubicin HCL, 5

Heparin Lock Flush, 22

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 32

Ifex, 4

heparin lock flush for flushing vascular access devices, 22

ifosfamide, 4

hydrocodone bitartrate/homatropine methylbromide, 32

Ifosfamide, 4

heparin lock flush/NACL for flushing vascular access devices, 22

Ilaris, 30

hydrocodone polistirex/chlorpheniramine polistirex, 32

Ilevro, 29

heparin sodium, 22

imatinib mesylate, 6

Heparin Sodium, 22

hydrocodone/acetaminophen, 29

Imbruvica, 6

heparin sodium dcu, 22

Hydrocodone/Acetaminophen, 29

Imdur, 7

heparin sodium lock flush, 22

hydrocodone/homatropine, 32

imipenem/cilastatin, 4

heparin sodium/D5W, 22

hydrocodone/ibuprofen, 29

imipramine HCL, 23

Heparin Sodium/D5W, 22

hydrocort ene 100MG, 20

imipramine pamoate, 23

Heparin Sodium/NACL, 22

hydrocortisone, 13, 14, 20

imiquimod, 13

Heparin Sodium/NACL 0.45%, 22

hydrocortisone acetate/pramoxine, 20

Imitrex, 31

heparin sodium/NACL 0.9%, 22

hydrocortisone butyrate, 13

Imitrex Statdose Refill, 31

Heparin Sodium/Sodium CH Loride, 22

hydrocortisone butyrate (lipid), 13

Imitrex Statdose System, 31

Heparin Sodium/Sodium Chloride, 22

hydrocortisone butyrate (lipophilic), 13

Imovax Rabies (h.d.c.v.), 34

Heparin Sodium/Sodium Chloride 0.9%, 22

hydrocortisone IN absorbase, 13

Impavido, 4

hydrocortisone valerate, 13

Imuran, 6

heparin sodium/sodium chloride 0.9% premix, 22

hydrocortisone/acetic acid, 29

IN Touch Sterile Lancets 30G, 38

hydromorphone HCL, 29

Increlex, 18

Heparin Sodium/Sodium Chloride PF, 22

Hydromorphone HCL, 29

Incruse Ellipta, 33

Hepsera, 3

hydromorphone HCL dosette, 29

indapamide, 9

Herceptin, 5

hydromorphone HCL ER, 29

Inderal LA, 7

Hespan, 22

Hydromorphone HCL/NACL, 30

Inderal XL, 7

hetastarch 6%/NACL, 22

Hydromorphone HCL/Sodium Chloride, 29

Indocin, 30

Hetlioz, 24

indomethacin, 30

Hexalen, 4

hydromorphone hydrochloride, 29

Indomethacin, 31

Hextend, 22

Hydromorphone Hydrochloride/ NACL, 30

indomethacin ER, 30

Hiberix, 34

Infanrix, 33

Hiprex, 20

Hydromorphone Hydrochloride/NACL, 30

Infasurf, 33

homatropine HBR, 28

Hydromorphone Hydrochloride/Sodium Chloride, 30

Infed, 21

Horizant, 26

Infumorph 200, 30

HPR, 14

Hydroxocobalamin, 21

Infumorph 500, 30

HPR Plus, 14

hydroxychloroquine sulfate, 3

Infuvite, 35

HPR Plus Hydrogel Kit, 14

Hydroxyprogesterone Caproate, 5

Infuvite Adult, 35

HPR Plus/Mb Hydrogel, 14

hydroxyurea, 6

Infuvite Pediatric, 35

Humalog, 16

hydroxyzine HCL, 23

Injectafer, 21

Humalog Kwikpen, 16

Hydroxyzine HCL, 23

Inlyta, 6

Humalog Mix 50/50, 16

hydroxyzine pamoate, 23

Innopran XL, 7

Humalog Mix 50/50 Kwikpen, 16

Hydroxyzine Pamoate, 23

Innoprax-5, 12

Inova, 11

ipratropium bromide, 32, 33 Keppra XR, 25

Inova 4/1 Acne Control Therapy, 11

ipratropium bromide/albuterol sulfate, 33 Keralac, 14

Inova 8/2 Acne Control Therapy, 11

Iprivask, 22 Keralyt, 14

Inspirachamber/Anti-static Valved/Mouthpiece, 42

irbesartan, 8 Keralyt Scalp, 14

irbesartan/hydrochlorothiazide, 9 Kerlone, 7

Inspirachamber/Large, 42

Irenka, 24 Kerydin, 12

Inspirachamber/Soothermask/Inspiramask/Medium, 42

Iressa, 6 Ketek, 4

irinotecan, 6 ketoconazole, 2, 11

Inspirachamber/Soothermask/Inspiramask/Small, 42

Irinotecan, 6 Ketodan Kit, 12

irinotecan HCL, 6 Ketophene Rapidpaq, 12

Inspirease Bags, 42

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 21

ketoprofen, 30

Inspirease Drug Delivery System, 42

Ketoprofen ER, 30

Inspirease Mouthpiece, 42

Irospan 24/6, 21 Ketorocaine-l, 31

Inspirease Reservoir Bags, 42

Is 24/6, 21 Ketorocaine-lm, 31

Inspra, 9

Isentress, 3 Ketorolac 2% Gel, 12

Insulin Syringe/0.3ML/29G X 1", 38

isoniazid, 2 ketorolac tromethamine, 28, 30

Insulin Syringe/0.3ML/29G X 1/2", 38

Isoniazid, 2 Ketorolac Tromethamine, 31


Isopto Atropine, 28 Keveyis, 9


Isopto Carpine, 28 Keytruda, 5


Isordil Titradose, 7 Khedezla, 24


isosorbide dinitrate, 7 Kineret, 31


Isosorbide Dinitrate ER, 7 Kinlytic, 22


isosorbide mononitrate, 7 Kinrix, 33


isosorbide mononitrate ER, 7 Klaron, 11


isotonic gentamicin, 2 Klonopin, 25

Insulin Syringe/1ML/28G X 1/2", 38

isradipine, 8 Koate-dvi, 22


Istalol, 28 Kogenate FS, 22


Istodax, 6 Kogenate FS Bio-set, 22


Istodax (overfill), 6 Korlym, 16

Insulin Syringe/U-100/0.3ML/29G X 1/2", 38

Isuprel, 33 Kovaltry, 22

itraconazole, 2 Kristalose, 18


IV Infusion Cpi, 14 Krystexxa, 31

ivermectin, 4 Kuvan, 18


Ixempra Kit, 6 Kynamro, 10

Ixiaro, 34 Kyprolis, 6

Insulin Syringe/U-100/1ML/28G X 1/2", 38

Ixinity, 22 L

J

labetalol HCL, 7


J-max, 32 Lac-hydrin, 14

Jadenu, 42 Lacrisert, 27


Jakafi, 6 lactic acid, 13

Jalyn, 21 lactic acid e, 13


Janumet, 17 lactic acid w/vitamin e, 13

Janumet XR, 17 lactulose, 18, 20

Insupen Sensitive 32GX8MM, 38

Januvia, 17 Lamictal, 25

Insupen Ultrafin 29GX12MM, 38

Jardiance, 16 Lamictal Chewable Dispersible, 25


Jentadueto, 17 Lamictal Odt, 25


Jentadueto XR, 17 Lamictal Starter/Not Taking Carbamazepine, 25


Jevtana, 6

Integra F, 21

Jublia, 12 Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 25

Integra Plus, 21

Juxtapid, 10

Integrilin, 22

K

Intelence, 3

Lamictal Starter/Taking Valproate, 25

Interarticular Joint Kit, 15

K-phos NO 2, 21

Lamictal XR, 25

Intermezzo, 24

K.b.g.l. IN Teroderm Cream, 12

Lamisil, 3

Intron A, 7

Kadcyla, 5

lamivudine, 3

Intron A W/Diluent, 7

Kalbitor, 22

lamivudine/zidovudine, 3

Intuniv, 25

Kaletra, 3

lamotrigine, 25

Invanz, 4

Kalydeco, 33

lamotrigine ER, 25

Invega, 24

Kanuma, 18

lamotrigine odt, 25

Invega Sustenna, 24

Kapvay, 25

lamotrigine titration, 25

Invega Trinza, 24

Karbinal ER, 32

Lancet Transporter Case, 38

Invirase, 3

Keflex, 1

Lancets, 38

Invokamet, 17

Kenalog, 13

Lancets 26G Twist Top, 38

Invokamet XR, 17

Kenalog-10, 15

Lancets 28G, 38

Invokana, 16

Kenalog-40, 15

Lancets 30G, 38

Ionsys, 30

Kengreal, 22


Iopidine, 28

Kepivance, 7

Lancets 30G/Twist Top, 38

Ipol Inactivated IPV, 34

Keppra, 25


Lancets 33G Universal Design, 38

levoleucovorin calcium, 7 Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2", 38

Lancets Bullseye Safety, 38

levonorgestrel, 15

Lancets Safety Seal 21G, 38

Levonorgestrel, 15 Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2", 38


levonorgestrel and ethinyl estradiol, 15


levonorgestrel/ethinyl estradiol, 15 Litetouch Insulin Syringe/U-100/1ML/28G X 1/2", 38


Levophed, 10

Lancets Thin, 38

Levorphanol Tartrate, 30 Litetouch Insulin Syringe/U-100/1ML/29G X 1/2", 38

Lancets Twist Top, 38

levothyroxine sodium, 18

Lancets Ultra Fine, 38

Levothyroxine Sodium, 18 Litetouch Insulin Syringe/U-100/1ML/31G X 5/16", 38

Lancets Ultra Thin, 38

Levsin, 19

Lanoxin, 7

Levsin/SL, 19 Litetouch Lancets Micro Thin 33G, 38

Lanoxin Pediatric, 7

Lexapro, 24 Litetouch Pen Needles 29GX12.7MM, 38

lansoprazole, 19

Lexiva, 3 Litetouch Pen Needles 31G X 6MM, 38

lansoprazole/amoxicillin/clarithromycin, 19

Lialda, 20 Litetouch Pen Needles 31GX8MM SHORT, 38

Liberty Medical Lancets 30G, 38

Lantus, 16

Librax, 19 Lithium, 24

Lantus Solostar, 16

Lido-RX 4.1, 14 lithium carbonate, 24

Lasix, 9

lidocaine, 13 Lithium Carbonate, 24

Lastacaft, 29

Lidocaine And Tetracaine Cream, 14 lithium carbonate ER, 24

latanoprost, 28

lidocaine HCL, 8, 13, 31 Lithobid, 24

Latrix XM, 14

Lidocaine HCL, 8, 14, 23, 31 Lithostat, 21

Latuda, 24

lidocaine HCL IN D5W, 8 Livalo, 10

Lazanda, 30

lidocaine HCL jelly, 13 Live Better Lancet Super Thin 30G, 38

Ldo Plus, 14

lidocaine HCL viscous, 23 Live Better Lancet Ultra Thin 28G, 38

Leader Unifine Pentips Plus/Mini/31GX3/16", 38

Lidocaine HCL-hydrocortisone Acetate With Aloe, 20

Live Better Pen Needles 29G X 12MM, 38

Leader Unifine Pentips Plus/SHORT/31GX5/16", 38

lidocaine HCL/dextrose, 8 Live Better Pen Needles 31G X 12MM, 38

Lidocaine HCL/Dextrose, 31

Leader Unifine Pentips/Mini/31GX3/16", 38

lidocaine HCL/hydrocortisone acetate, 20 Live Better Pen Needles 31G X 6MM, 38

lidocaine viscous, 23 LMD 10% Dextrose 5%, 22

Leader Unifine Pentips/Nano/32GX5/32", 38

lidocaine-prilocaine-cream base, 13 LMD 10% Sodium Chloride 0.9%, 22

lidocaine/epinephrine, 31 LO Loestrin FE, 16

Leader Unifine Pentips/Plus/32GX5/32", 38

lidocaine/prilocaine, 13 Locoid, 13

Lidoderm, 14 Locoid Lipocream, 13

leflunomide, 30

Lidoprofen, 12 Lodine, 31

Lemtrada, 26

Lidothol, 14 Lodosyn, 26

Lenvima 10 MG Daily Dose, 6

Lidotral, 14 Loestrin 1.5/30-21, 16


Lidovir, 12 Loestrin 1/20-21, 16


Lifescan Unistik 2 Deep Penetration, 38 Loestrin FE 1.5/30, 16


Lifescan Unistik II Lancets, 38 Loestrin FE 1/20, 16


Lincocin, 4 Lofibra, 10


lincomycin HCL, 4 Lomotil, 19

Lescol, 10

Lincomycin/Lidocaine, 4 Lomustine, 4

Lescol XL, 10

lindane, 13 Lonsurf, 7

Letairis, 10

Lindane, 13 loperamide HCL, 18

letrozole, 5

linezolid, 4 Lopid, 10

leucovorin calcium, 7

Linezolid, 4 Lopressor, 7

Leucovorin Calcium, 7

Linzess, 20 Lopressor HCT, 9

Leukeran, 4

Lioresal Intrathecal, 27 Loprox, 12

Leukine, 21

liothyronine sodium, 18 Loprox Shampoo, 12

leuprolide acetate, 5

Lipitor, 10 lorazepam, 23

Levacet, 29

Lipofen, 10 Lorazepam, 23

levalbuterol, 33

lisinopril, 8 Lortab, 30

levalbuterol HCL, 33

lisinopril/hydrochlorothiazide, 9 Lorvatus Pharmapak, 27

Levaquin, 2

Lite Touch Pen Needles/31G X 3/16", 38 Lorzone, 27

Levatol, 7

Liteaire, 42 losartan potassium, 8

Levbid, 19

Litetouch Insulin Syringe/0.3ML/29G X 1/2", 38

losartan potassium/hydrochlorothiazide, 9

levetiracetam, 25

Levetiracetam, 25


Loseasonique, 16

levetiracetam ER, 25

Lotemax, 28

levobunolol HCL, 28


Lotensin, 8

levocarnitine, 18

Lotensin HCT, 9

levocetirizine dihydrochloride, 32


Lotrel, 9

levofloxacin, 2, 27

Lotrisone, 12

levofloxacin IN 5% dextrose, 2


Lotronex, 20

levofloxacin IN D5W, 2

lovastatin, 10

levoleucovorin, 7

Litetouch Insulin Syringe/1ML/30G X 5/16", 38

Lovaza, 10

Levoleucovorin, 7

Lovenox, 22

loxapine, 24

100/1ML/28GX1/2", 38 Mepron, 4

loxapine succinate, 24

Maxidex, 28 mercaptopurine, 5

LT Injection Kit, 15

Maxipime, 1 meropenem, 4

Lufyllin, 33

Maxitrol, 28 Meropenem/Sodium Chloride, 4

Lumigan, 28

Maxzide, 9 Merrem, 4

Lumizyme, 18

Maxzide-25, 9 mesalamine, 20

Lunesta, 25

Mb Hydrogel, 14 mesna, 7

Lupaneta Pack, 17

meclizine HCL, 19 Mesnex, 7

Lupron Depot, 5

Meclofenamate Sodium, 30 Mestinon, 27

Lupron Depot-PED, 17

Medi-derm/L-RX, 14 Mestinon Timespan, 27

Luvox CR, 24

Medical Provider EZ Flu Shot 2014-2015, 34

Metadate CD, 25

Luxiq, 13

Metaproterenol Sulfate, 33

Luzu, 12

Medical Provider EZ Flu Shot 2015-2016, 34

Metastron, 6

Lycelle, 14

Metaxall CP, 27

Lynparza, 6

Medical Provider Single Use EZ Flu Shot, 34

metaxalone, 27

Lyrica, 25

Metaxalone, 27

Lysodren, 5

Medisense Thin Lancets, 38 metformin HCL, 16

Lysteda, 22

Medlance Plus Extra Lancets 21G, 38 metformin HCL ER, 16

Lytensopril Kit, 9

Medlance Plus Lancets, 38 methadone HCL, 29

Lytensopril-90 Kit, 9

Medlance Plus Lancets Lite 25G, 38 Methadone HCL, 30

M

Medlance Plus Lite Lancets 25G, 38 Methadose, 30

Medlance Plus Special Lancets 0.8MM, 38

Methadose Sugar-free, 30

M-m-r II, 34

methamphetamine HCL, 25

M.v.i. Adult, 35

Medlance Plus Superlite 30G, 38 methazolamide, 9

M.v.i. Pediatric, 35

Medlance Plus Superlite 30G/Comfort Max, 38

methenamine hippurate, 20

M.v.i.-12 Without Vitamin K, 35

methenamine mandelate, 20

Macrobid, 20

Medlance Plus Universal Lancets 21G, 38

Methenamine Mandelate, 20

Macrodantin, 20

methimazole, 18

Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2", 38

Medlance Plus/Lite 25G, 38 Methionine/Inositol/Choline/Cyanocobalamin, 21

Medlance/Extra, 38


Medlance/Lite, 38 methocarbamol, 27

Medlance/Universal, 38 methotrexate, 5


Medrol, 14 methotrexate sodium, 5

Medrol Dosepak, 15 Methotrexate Sodium, 5


Medroloan II Suik, 15 methoxsalen, 12

Medroloan Suik, 15 methscopolamine bromide, 19

Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2", 38

medroxyprogesterone acetate, 16 Methyclothiazide, 9

Medroxyprogesterone/Lidocaine, 16 methyldopa, 8

Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16", 38

mefenamic acid, 30 Methyldopa/Hydrochlorothiazide, 9

mefloquine HCL, 3 Methyldopate HCL, 9

Makena, 16

Megace ES, 16 methylergonovine maleate, 29

Malarone, 3

Megace Oral, 5 Methylin, 25

malathion, 13

megestrol acetate, 5, 16 methylphenidate HCL, 25

mannitol, 9

Megrix, 14 methylphenidate HCL CD, 25

Maprotiline HCL, 23

Meijer Lancets Universal 30G, 38 methylphenidate HCL ER, 25

Marbeta-25, 15

Meijer Super Thin Lancets, 38 Methylphenidate HCL ER, 25

Marbeta-l, 15

Mekinist, 6 methylphenidate HCL SR, 25

Marcaine, 31

meloxicam, 30 methylphenidate hydrochloride, 25

Marcaine/Epinephrine, 31

Meloxicam, 30 methylprednisolone, 14

Mardex-25, 15

Meloxicam Comfort PAC, 31 Methylprednisolone, 15

Marinol, 19

melphalan hydrochloride, 4 methylprednisolone acetate, 14

Marlido-25, 31

memantine HCL, 26 methylprednisolone dose pack, 14

Marnatal-f, 34

memantine HCL titration PAK, 26 Methylprednisolone PF, 15

Marplan, 24

memantine hydrochloride, 26 methylprednisolone sodiumsuccinate, 14

Marqibo, 6

Menactra, 34 Methylprednisolone/Lidocaine, 15

Marvona Suik, 31

Menest, 15 methyltestosterone, 15

Mask Vortex/Baby Whirl Duckling, 42

Menhibrix, 34 Metipranolol, 28

Mask Vortex/Child/Frog, 42

Menomune-a/C/Y/W-135, 34 metoclopramide HCL, 20

Mask Vortex/Spinner The Duck, 42

Menopur, 17 metoclopramide odt, 20

Mask Vortex/Toddler/Lady Bug, 42

Menostar, 15 Metoclopramide Odt, 20

Matulane, 6

Mentax, 12 metolazone, 9

Mavik, 8

Menveo, 34 metoprolol succinate ER, 7

Maxalt, 31

meperidine HCL, 29 Metoprolol Succinate ER/Hydrochlorothiazide, 9

Maxalt-MLT, 31

Meperidine HCL, 30

Maxaron Forte, 21

Meperidine Hydrochloride/Sodium Chloride, 29

metoprolol tartrate, 7

Maxfe, 21

Metoprolol Tartrate, 7

Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2", 38

Mephyton, 34 metoprolol/hydrochlorothiazide, 9

meprobamate, 23 Metozolv Odt, 20

Maxi-comfort Insulin Syringe/U-

Metro IV, 4

Monodox, 2 Monolettor Safety Lancets, 39

Metrocream, 11

Monoject Bone Marrow Biopsy Prepping Tray, 31

Mononine, 22

Metrogel, 11

Monovisc, 27

Metrogel-vaginal, 21

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 31

montelukast sodium, 33

Metrolotion, 11

Monurol, 20

metronidazole, 4, 11

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 31

Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 39

metronidazole IN NACL 0.79%, 4

metronidazole vaginal, 20

Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 31

Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 39

Mevacor, 10

mexiletine HCL, 8

Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML, 38

Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 39

Miacalcin, 17

Micardis, 8

Monoject Insulin Syringe/1ML, 39 Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 39

Micardis HCT, 9

Monoject Insulin Syringe/1ML/31G X 5/16", 39

Micort-HC, 13

Morgidox 1X100MG, 2

Microchamber, 42

Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8", 38

Morgidox 1X50MG Kit, 2

Microlet Lancets, 38

Morgidox 2X100MG, 2

Microspacer, 42

Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2", 38

morphine sulfate, 29

Microtainer Safety Flow Lancet/Sterile/Single-use, 38

Morphine Sulfate, 29

Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2", 38

Morphine Sulfate Add-vantage, 30

Microzide, 9

morphine sulfate ER, 29

midodrine HCL, 10

Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2", 38

Morphine Sulfate ER, 29

Mifeprex, 18

Morphine Sulfate/NACL, 30

Migergot, 31

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2", 38

Morphine Sulfate/Sodium Chloride, 30

miglitol, 17

Motofen, 19

Migral, 31

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2", 38

Movantik, 20

Migranal, 31

Moviprep, 18

Migranow, 31

Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2", 38

Moxatag, 1

Millipred, 14

Moxeza, 27

Millipred DP, 15

Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2", 38

moxifloxacin HCL, 2

milrinone IN dextrose, 7

Moxifloxacin HCL, 2

milrinone lactate, 7

Monoject Insulin Syringe/Softpack/1ML/27G X 1/2", 38

Mozobil, 21

Minastrin 24 FE, 16

MS Contin, 30

mineral oil heavy, 18

Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2", 38

Mteryti, 34

Minipress, 9

Mteryti Folic 5, 34

Minivelle, 15

Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16", 38

Mucinex Maximum Strength, 32

Minocin, 2

Multaq, 8

Minocin Kit, 2


Multigen, 21

minocycline HCL, 2

Multigen Folic, 21

minocycline HCL ER, 2


Multigen Plus, 21

minoxidil, 8

mupirocin, 11

Mirapex, 26

Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 39

mupirocin calcium, 11

Mirapex ER, 26

Muse, 10

Mircera, 21

Monoject Insulin Syringe/U-100/1ML/30G X 5/16", 39

Mustargen, 4

Mircette, 16

MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 21

mirtazapine, 23

Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 39

mirtazapine odt, 23

MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 21

Mirvaso, 11


misoprostol, 19

Myalept, 18

Mission Prenatal, 34


Myambutol, 2

Mitigare, 31

Mycamine, 3

mitomycin, 5


Mycobutin, 2

Mitomycin, 5

mycophenolate mofetil, 5

Mitosol, 27


mycophenolic acid DR, 5

mitoxantrone HCL, 5

Myfortic, 6

Mld Kit, 31


Myglucohealth Mgh Softlance Lancets 30G, 39

Mlk F4 Kit, 15

Mlp A-2, 15


Mykidz Iron Fl, 34

Mobic, 31

Myleran, 4

modafinil, 25

Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 39

Mynatal, 34

Moderiba, 3

Myobloc, 27

Moderiba 1200 Dose Pack, 3


Myozyme, 18

Moderiba 800 Dose Pack, 3

Mysoline, 25

Modicon, 16


Mytesi, 19

moexipril HCL, 8

N

moexipril/hydrochlorothiazide, 9

Monojector End CAPS, 39

nabumetone, 30

Molindone Hydrochloride, 24

Monojector Opd End CAPS, 39

nadolol, 7

mometasone furoate, 13, 32

Monolet Lancets, 39

nadolol/bendroflumethiazide, 9

Monoclate-p, 22

Monolet Opd Lancets, 39

Nafcillin, 1

nafcillin sodium, 1

Neoral, 6 Nitro-dur, 7

Nafcillin Sodium, 1

Neosalus, 14 nitrofurantoin, 20

Nafrinse Daily/Acidulated, 23

Neosalus CP, 14 nitrofurantoin macrocrystals, 20

Nafrinse Daily/Neutral, 23

Neosporin, 27 nitrofurantoin monohydrate, 20

Nafrinse Weekly, 23

neostigmine methylsulfate, 27 nitrofurantoin monohydrate/macrocrystals, 20

Naftifine HCL, 12

Neostigmine Methylsulfate, 27

naftifine hydrochloride, 11

Neotuss Plus, 32 nitroglycerin, 7

Naftin, 12

Nephplex RX, 35 Nitroglycerin, 7

Naglazyme, 18

Nephro-vite RX, 35 nitroglycerin ER, 7

nalbuphine HCL, 29

Nephrocaps, 35 nitroglycerin IN 5% dextrose, 7

Nalfon, 31

Nephrocaps QT, 35 nitroglycerin IN dextrose 5%, 7

Namenda, 26

Nephron Fa, 21 Nitroglycerin IN Dextrose 5%, 7

Namenda Titration PAK, 26

Neptazane, 9 nitroglycerin lingual, 7

Namenda XR, 26

Nesacaine, 32 Nitroglycerin Lingual, 7

Namenda XR Titration Pack, 26

Nesacaine-mpf, 32 nitroglycerin transdermal, 7

Namzaric, 26

Nessi Spacer/Large Mask, 42 Nitrolingual Pumpspray, 7

Naphazoline HCL, 28

Nessi Spacer/Mouthpiece, 42 Nitromist, 7

Naprelan, 31

Nessi Spacer/Small/MED Mask, 42 Nitronal, 7

Naprosyn, 31

Nestabs, 34 Nitropress, 9

naproxen, 30

Nestabs Abc, 35 Nitrostat, 7

Naproxen, 30

Nestabs DHA, 34 Niva-plus, 34

Naproxen Comfort PAC, 31

Netgroup Lancets, 39 Nivatopic Plus, 14

naproxen sodium, 30

Neuac Kit, 11 nizatidine, 19

naproxen sodium CR, 30

Neulasta, 21 Nizatidine, 19

naproxen sodium ER, 30

Neulasta Onpro Kit, 21 Nizoral, 12

naratriptan HCL, 31

Neumega, 21 Nor-QD, 16

Nardil, 24

Neupogen, 21 Norco, 30

Naropin, 32

Neupro, 26 Norditropin Cartridge, 17

Nascobal, 21

Neurontin, 25 Norditropin Flexpro, 17

Nasonex, 32

Neutrasal, 23 Norditropin Nordiflex Pen, 17

Natachew, 34

Neutrexin, 4 norepinephrine bitartrate, 10

Natacyn, 27

Neuvaxin, 14 Norepinephrine Bitartrate/Dextrose, 10

Natalvirt 90 DHA, 35

Nevanac, 29 Norepinephrine Bitartrate/Sodium Chloride, 10

Natalvirt CA, 35

nevirapine, 3

Natalvirt Flt, 21

Nevirapine, 3 Norepinephrine/Sodium Chloride, 10

Natalvit, 34

nevirapine ER, 3 norethindrone, 15

Natazia, 16

Newgen, 34 norethindrone & ethinyl estradiol ferrous fumarate, 15

nateglinide, 16

Nexa Plus, 35

Natelle One, 34

Nexavar, 6 norethindrone acetate, 16

Natesto, 15

Nexium, 19 norethindrone acetate/ethinyl estradiol, 15(2)

Natpara, 17

Nexium I.v., 19

Natrecor, 10

Nexterone, 8 norethindrone acetate/ethinyl estradiol/ferrous fumarate, 15

Natroba, 14

Niacin, 34

Nature-throid, 18

niacin ER, 10 Norflex, 27

Nature-throid Nt-2.5, 18

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 34

norgestimate/ethinyl estradiol, 15

Navelbine, 6

Norinyl 1+35, 16

Nazirex, 12

Niacor, 10 Norinyl 1+50, 16

Nebupent, 4

Niaspan, 10 Noritate, 11

Nebusal, 32

Nicadan, 35 Noroxin, 2

Necon 1/50-28, 16

Nicadan ZX, 35 Norpace, 8

Necon 10/11-28, 16

nicardipine HCL, 8 Norpace CR, 8

Neevo DHA, 34

Nicazel, 35 Norpramin, 24

nefazodone HCL, 23

Nicazel Forte, 35 Northera, 10

Nefazodone HCL, 23

Nicazeldoxy 30 Kit, 2 nortriptyline HCL, 23

Nembutal Sodium, 25

Nicazeldoxy 60 Kit, 2 Nortriptyline HCL, 23

Neo-synalar, 11

Nicomide, 35 Norvasc, 8

Neo-synalar Kit, 11

nifedipine, 8 Norvir, 3

neomycin sulfate, 2

nifedipine ER, 8 Nova Safety Lancets 23G, 39

neomycin/bacitracin/polymyxin, 27

Nilandron, 5 Nova Safety Lancets 28G, 39

neomycin/polymyxin/bacitracin zinc, 27

nilutamide, 5 Nova Sureflex Lancets, 39

neomycin/polymyxin/bacitracin/hydrocortisone, 28

Nimbex, 27 Novaferrum, 21

nimodipine, 8 Novoclair, 12

neomycin/polymyxin/dexamethasone, 28

Ninlaro, 6 Novoeight, 22

neomycin/polymyxin/gramicidin, 27

Nipent, 7 Novofine Plus 32GX4MM, 39

neomycin/polymyxin/HC, 29

nisoldipine, 8 Novoseven, 22

Neomycin/Polymyxin/Hydrocortisone, 28

Nisoldipine, 8 Novoseven Rt, 22

neomycin/polymyxin/hydrocortisone, 29

Nisoldipine ER, 8 Noxafil, 3

Neoprofen, 31

Nitro-bid, 7 Noxipak, 13

Nplate, 21

Olysio, 3 Optichamber Diamond/Smallface Mask, 42

Nucala, 33

Omeclamox-PAK, 19

Nucort, 13

omega-3-acid ethyl esters, 10 Optichamber Face Mask/Large, 42

Nucynta, 30

Omega-3/D-3 Wellness Pack, 10 Optichamber Face Mask/Medium, 42

Nuedexta, 26

omeprazole, 19 Optichamber Face Mask/Small, 42

Nufera, 21

Omeprazole + Syrspend SF Alka, 19 Optihaler, 42

Nulojix, 6

omeprazole/sodium bicarbonate, 19 Optihaler MDI Drug Delivery System, 42

Nulytely/Flavor Packs, 18

Omnaris, 32 Optivar, 29

Numoisyn, 23

Omnipred, 28 Oracea, 11

Nuox, 11

Omontys, 21 Oracit, 21

Nuplazid, 24

On Call Lancets, 39 Orafate, 23

Nusrugepak Surgical Prep/Carepak, 14

On Call Plus Lancets, 39 Orap, 26

Nutricap, 35

Oncaspar, 5 Orapred Odt, 15

Nutridox, 2

ondansetron HCL, 19 Oravig, 23

Nutrivit, 35

Ondansetron Hydrochloride/Sodium Chloride, 19

Orbactiv, 4

Nutropin AQ Nuspin 10, 17

Orencia, 31


ondansetron odt, 19 Orencia Clickject, 31


One A Day Womens Prenatal/DHA, 34 Orenitram, 10

Nutropin AQ Pen, 17

One A Day Womens Prenatal1, 34 Orfadin, 18

Nuvail, 14

One-a-day Womens Prenatal, 34 Orkambi, 33

Nuvaring, 16

Onetouch Club Lancets Fine Point, 39 orphenadrine citrate, 27

Nuvessa, 21

Onetouch Combo Pack, 39 orphenadrine citrate ER, 27

Nuvigil, 25

Onetouch Delica Lancets Extra Fine 33G, 39

Ortho Micronor, 16

Nuvya, 12

Ortho Tri-cyclen, 16

Nuwiq, 22

Onetouch Delica Lancets Fine 30G, 39 Ortho Tri-cyclen LO, 16

Nuzon, 13

Onetouch Finepoint Lancets, 39 Ortho-cept, 16

Nyata, 12

Onetouch Lancets, 39 Ortho-cyclen, 16

Nymalize, 8

Onetouch Suresoft Lancing Device/18G, 39

Ortho-novum 1/35, 16

nystatin, 2, 11, 23

Ortho-novum 7/7/7, 16

nystatin/triamcinolone, 11


Orthovisc, 27

O

Osmoprep, 18


Osphena, 17

O-CAL Fa, 34

Otezla, 31

O-CAL Prenatal, 34

Onetouch Ultra 2, 39 Otiprio, 29

OB Complete, 34

Onetouch Ultra Blue, 39 Otovel, 29

OB Complete Gold, 35

Onetouch Ultra Mini, 39 Otozin, 29

OB Complete One, 34

Onetouch Ultralink System (DEC), 39 Otrexup, 31

OB Complete Petite, 34

Onetouch Ultralink System (hex), 39 Ovace Plus, 12

OB Complete Premier, 34

Onetouch Ultrasoft Lancets, 39 Ovace Plus Wash, 12

OB Complete/DHA, 34

Onetouch Verio, 39 Ovace Wash, 12

Obredon, 32

Onetouch Verio Flex Bloodglucose Monitoring System, 39

Ovcon-35, 16

Obstetrix DHA, 34

Ovide, 14

Obstetrix One, 35

Onetouch Verio IQ Blood Glucose Monitoring System, 39

Ovidrel, 17

Obtrex, 34

oxacillin sodium, 1

Obtrex DHA, 34

Onetouch Verio Sync Bloodglucose Monitoring System, 39

oxaliplatin, 4

Ocaliva, 20

Oxandrin, 15

octreotide acetate, 18

Onetouch Verio Test Strips, 39 oxandrolone, 15

Ocudox, 2

Onexton, 11 oxaprozin, 30

Ocufen, 29

Onfi, 25 Oxaydo, 30

Ocuflox, 27

Onivyde, 6 oxazepam, 23

Ocuvel, 35

Onmel, 3 oxcarbazepine, 25

Odefsey, 3

Onzetra Xsail, 31 oxiconazole nitrate, 11

Ofev, 33

Opana, 30 Oxistat, 12

Ofirmev, 29

Opdivo, 5 Oxsoralen, 14

Ofloxacin, 2

opium, 19 Oxsoralen Ultra, 12

ofloxacin, 27, 29

opium tincture, 19 Oxtellar XR, 25

olanzapine, 24

Opsumit, 10 oxybutynin chloride, 20

olanzapine odt, 24

Optichamber Advantage, 42 oxybutynin chloride ER, 20

olanzapine/fluoxetine, 26

Optichamber Advantage/Large Mask, 42 oxycodone HCL, 29

Oleptro, 24

Optichamber Advantage/Medium Face Mask, 42

Oxycodone HCL ER, 29

Olmesartan Medoxomil, 8

oxycodone/acetaminophen, 29

Olmesartan Medoxomil/Amlodipine/Hydrochlorothiazide, 9

Optichamber Advantage/Small Face Mask, 42

Oxycodone/Acetaminophen, 30

oxycodone/aspirin, 29

Optichamber Diamond, 42 Oxycodone/Ibuprofen, 29

Olmesartan Medoxomil/Hydrochlorothiazide, 9

Optichamber Diamond/Largeface Mask, 42

Oxycontin, 29

oxymorphone hydrochloride, 29

olopatadine HCL, 28, 32

Optichamber Diamond/Medium Face Mask, 42

oxymorphone hydrochloride ER, 29

Olux, 13

oxytocin, 29

Olux-e, 13

Oxytocin, 29

Pen Needles 31G X 6MM, 39 10

Oxytocin/Lactated Ringers, 29

Pen Needles 31GX5/16", 39 phenylephrine/guaifenesin, 32

Oxytrol, 20

Pen Needles 31GX6MM (1/4"), 39 Phenylephrine/Sodium Chloride, 10

P

Pen Needles 31GX8MM, 39 Phenytek, 26

Pen Needles 31GX8MM (5/16"), 39 phenytoin, 25

paclitaxel, 6

Pen Needles 32GX4MM, 39 phenytoin sodium, 25

Paclitaxel, 6

penicillin G potassium, 1 phenytoin sodium extended, 25

Paire OB, 35

Penicillin G Potassium IN Iso-osmotic Dextrose, 1

Phoslo, 20

paliperidone ER, 24

Phoslyra, 20

Pamelor, 24

Penicillin G Procaine, 1 Phospholine Iodide, 28

pamidronate disodium, 17

Penicillin G Sodium, 1 Photofrin, 7

Pamidronate Disodium, 17

penicillin v potassium, 1 phytonadione, 34

Pamine, 19

Penlac Nail Lacquer, 12 pilocarpine HCL, 23, 28

Pamine Forte, 19

Penlet II Replacement CAPS, 39 pilocarpine hydrochloride, 23

Pamine FQ, 19

Penlet II Replacement CAPS-deep, 39 pimozide, 26

Panatuss Dxp, 32

Penlet II Replacement CAPS-regular, 39 pindolol, 7

Pancrelipase, 19

Pennsaid, 12 pioglitazone HCL, 17

pancuronium bromide, 26

Pentacel, 33 pioglitazone HCL-glimepiride, 17

Panda Mask Large, 42

Pentam 300, 4 pioglitazone HCL/metformin HCL, 17

Panda Mask Medium, 42

Pentasa, 20 piperacillin sodium/ tazobactam sodium, 1

Panda Mask Small, 42

pentazocine/naloxone HCL, 29

Pandel, 13

Pentetate Calcium Trisodium, 42 piperacillin sodium/tazobactam sodium, 1

pantoprazole sodium, 19

Pentetate Zinc Trisodium, 42 piperacillin/tazobactam, 1

papaverine HCL, 10

Pentips 29GX12MM, 39 piroxicam, 30

Parafon Forte DSC, 27

Pentips 31GX5MM, 39 Pitocin, 29

Paregoric, 19

Pentips 31GX6MM, 39 Pitressin Synthetic, 18

paricalcitol, 18

Pentips 31GX8MM, 39 Plaquenil, 3

Parlodel, 26

Pentips 32GX4MM, 39 Plavix, 22

Parnate, 24

pentoxifylline ER, 22 Pletal, 22

paromomycin sulfate, 2

Pepcid, 19 Plexion, 11

paroxetine HCL, 23

Percocet, 30 Plexion Cleanser, 11

paroxetine HCL ER, 23

Percodan, 30 Plexion Cleansing Cloths, 11

Paser, 2

Perfect Lancets 30G, 39 Pliaglis, 14

Pataday, 28

Perfect Pressure Activated Safety Lancets 28G, 39

Pneumovax 23, 34

Patanase, 32

Pneumovax 23/1 Dose, 34

Patanol, 29

Perforomist, 33 Pneumovax 23/5 Dose, 34

Paxil, 23

Peridex, 23 Pocket Chamber, 42

Paxil CR, 24

perindopril erbumine, 8 Pocket Spacer, 42

Pazeo, 28

Perjeta, 5 podofilox, 13

PC Unifine Pentips 29G X 1/2", 39

permethrin, 13 Poly-VI-flor, 34

PC Unifine Pentips 31G X 6MM Ultra SHORT, 39

perphenazine, 24 Poly-VI-flor FS, 34

Perphenazine/Amitriptyline, 26 Poly-VI-flor/Iron, 34

PC Unifine Pentips 31G X 8MM SHORT, 39

Persantine, 22 polyethylene glycol 3350, 18

Pexeva, 24 polymyxin b sulfate, 4

PCE, 2

Pfizerpen-G, 1 polymyxin b sulfate/trimethoprim sulfate, 27

Pcp 100, 18

Pharmacist Choice Ultra Thin Lancets, 39

Pediaderm AF Complete Kit, 12

Polytrim, 27

Pediaderm HC, 13

Pharmacist Choice Ultra Thin Lancets 28G, 39

Pomalyst, 6

Pediaderm Ta, 13

Ponstel, 31

Pediapred, 15


Portrazza, 5

Pediarix, 33

potassium citrate ER, 21

Pediatric Panda Mask, 42


potassium citrate-citric acid crystals, 21

Pedvax HIB, 34

potassium citrate/citric acid, 21

peg 3350/electrolytes, 18


potassium citrate/sodium citrate/citric acid, 21

peg-3350/electrolytes, 18

peg-3350/NACL/NA bicarbonate/KCL, 18

Pharmacy Counter Lancets, 39 Potiga, 26

Peg-intron, 3

phenazopyridine HCL, 21 Pr Cream, 14

Peg-intron Redipen, 3

phenelzine sulfate, 23 Pradaxa, 22

Peg-intron Redipen PAK 4, 3

Phenergan, 32 Praluent, 10

Peganone, 26

phenobarbital, 24 pramipexole dihydrochloride, 26

Pegasys, 3

Phenobarbital, 24 pramipexole dihydrochloride ER, 26

Pegasys Proclick, 3

Phenobarbital Sodium, 25 Pramosone, 13

Pegintron, 3

phenoxybenzamine hydrochloride, 8 Pramotic, 29

Pen Needles 29G X 12MM, 39

Phentolamine Mesylate, 9 Prandimet, 17

Pen Needles 29GX1/2", 39

phenylephrine HCL, 10, 28 Prandin, 16

Pen Needles 30GX5/16", 39

Phenylephrine HCL, 10 Prascion Ra With Sunscreens, 11

Pen Needles 31G X 1/4" SHORT, 39

Phenylephrine HCL/Sodium Chloride, 10 Prastera, 31

Pen Needles 31G X 3/16", 39

Phenylephrine Hydrochloride/Dextrose, Pravachol, 10

Pen Needles 31G X 5MM, 39

pravastatin sodium, 10

Prepopik, 18 promethazine/dextromethorphan, 32

Prazolamine, 27

Preque 10, 35 promethazine/phenylephrine, 32

prazosin HCL, 8

Presera, 14 Promethazine/Phenylephrine, 32

Pre-folic, 21

Prestalia, 9 promethazine/phenylephrine/codeine, 32

Precedex, 25

Prevacid, 19 Prometrium, 16

Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 39

Prevacid Solutab, 19 Promiseb, 12

Prevident, 23 Promiseb Complete, 12


Previdolrx Analgesic PAK, 31 propafenone HCL, 8

Prevnar 13, 34 propafenone HCL ER, 8


Prevpac, 19 Propantheline Bromide, 19

Prezcobix, 3 proparacaine HCL, 28


Prezista, 3 propranolol HCL, 7

Prialt, 29 Propranolol HCL, 7

Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 39

Priftin, 2 propranolol HCL ER, 7

Prilosec, 19 Propranolol/Hydrochlorothiazide, 9

Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 39

Primaquine Phosphate, 3 propylthiouracil, 18

Primaxin IV, 4 Proquad, 34

Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2", 39

Primaxin IV Add-vantage, 4 Proscar, 21

primidone, 25 Prostin E2, 29

Precision Thin Lancets, 39

Primlev, 30 Protamine Sulfate, 23

Precision Thins GP Lancet, 39

Primsol, 4 Protect Plus, 35

Precision Ultra Lancet, 39

Prinivil, 8 Protectiron, 21

Precose, 17

Pristiq, 23 Prothelial, 23

Pred Forte, 28

Pro-c-dure 5 Kit, 15 Protonix, 19

Pred Mild, 28

Pro-c-dure 6 Kit, 15 Protopic, 13

Pred-G, 28

Proair HFA, 33 protriptyline HCL, 23

Pred-G S.o.p., 28

Proair Respiclick, 33 Provenge, 6

prednicarbate, 13

probenecid, 31 Provera, 16

prednisolone, 14

probenecid/colchicine, 31 Provida DHA, 35

prednisolone acetate, 28

Probuphine Implant Kit, 30 Provida OB, 34

prednisolone sodium phosphate, 14

Procainamide HCL, 8 Provigil, 25

Prednisolone Sodium Phosphate, 15, 28

Procardia, 8 Prozac, 24

prednisolone sodium phosphate odt, 14

Procardia XL, 8 Prozac Weekly, 24

Prednisolone/Moxifloxacin, 28

Procentra, 25 Pruclair, 14

Prednisolone/Moxifloxacin/Bromfenac, 28

prochlorperazine, 24 Prudoxin, 12

prochlorperazine edisylate, 24 Prumyx, 14

prednisone, 14

prochlorperazine maleate, 24 Pss Select GP Lancets, 39

Prednisone, 15

Procort, 20 Pss Select Platforms, 39

Prednisone Intensol, 15

Procrit, 21 Pss Select Safety Lancets, 39

Prefera OB, 34

Proctocort, 20 Pulmicort, 33

Prefera OB + DHA, 34

Proctofoam HC, 20 Pulmicort Flexhaler, 33

Preferaob +dha, 35

Procysbi, 21 Pulmophylline, 33

Preferaob One, 35

Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16", 39

Pulmozyme, 33

Preferred Plus Unifine Pentips 29G X 12MM, 39

Purinethol, 5

Prodigy Insulin Syringe/1/2ML/31G X 5/16", 39

Purixan, 5

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT, 39

Px Lancets Ultra Thin, 39

Prodigy Insulin Syringe/1ML/28G X 1/2", 39

Pylera, 19

Preferred Plus Unifine Pentips 31G X 8MM SHORT, 39

pyrazinamide, 2

Prodigy Pressure Activated Safety Lancets, 39

Pyridium, 21

Prefest, 15

pyridostigmine bromide, 27

Prefol-DHA, 35

Prodigy Safety Lancets, 39 pyridostigmine bromide ER, 27

Premarin, 15, 20

Prodigy Twist Top Lancets, 39 pyridoxine HCL, 34

Premphase, 15

Proferrin-forte, 21 Pyrogallic Acid, 14

Prempro, 15

Profilnine, 22 Q

Prenata, 34

Profilnine SD, 22

Qbrelis, 8

Prenatal Vitamin, 34

progesterone, 16

Qc Lancets Super Thin, 39

Prenatal Vitamins, 34

Progesterone 10% Kit, 16

Qc Lancets Ultra Thin, 39

Prenate, 35

Proglycem, 16

Qc Pen Needles 29G X 12MM, 39

Prenate AM, 34

Prograf, 6


Prenate DHA, 35

Prolastin-c, 33


Prenate Elite, 34

Prolensa, 29

Qnasl, 32

Prenate Enhance, 35

Proleukin, 6

Qnasl Childrens, 32

Prenate Essential, 34

Prolia, 17

Quadracel, 33

Prenate Mini, 35

Promacta, 21

Quadramet, 6

Prenate Pixie, 35

promethazine HCL, 32

Qualaquin, 4

Prenate Restore, 35

promethazine HCL plain, 32

Quartette, 16

Prenate Star, 34

promethazine-DM, 32

Quazepam, 24

Prepidil, 29

promethazine/codeine, 32

Qudexy XR, 26

Quelicin, 27

39 Rexulti, 24

Quelicin 1000, 27

Relion Insulin Syringe/U-100/0.5ML/30G X 5/16", 39

Reyataz, 3

Questran, 10

Rezira, 32

Questran Light, 10


Rezyst IM, 19

quetiapine fumarate, 24

Rheumatrex, 31

Quflora FE, 35

Relion Insulin Syringe/U-100/1ML/30G, 39

Rhinocort Aqua, 32

Quillichew ER, 25

Riastap, 22

Quillivant XR, 25

Relion Insulin Syringe/U-100/1ML/30G X 5/16", 39

Riax, 11

quinapril HCL, 8

Ribasphere, 3

quinapril/hydrochlorothiazide, 9


Ribasphere Ribapak, 3

Quinidine Gluconate, 8

Ribatab, 3

quinidine gluconate CR, 8

Relion Lancets Micro-thin33G, 39 ribavirin, 3

quinidine gluconate ER, 8

Relion Lancets Standard 21G, 39 Ridaura, 31

quinidine sulfate, 8

Relion Lancets Thin 26G, 39 rifabutin, 2

Quinidine Sulfate, 8

Relion Lancets Ultra-thin30G, 39 Rifadin, 2

Quinidine Sulfate ER, 8

Relion Mini Pen Needles 31GX6MM, 39 Rifamate, 2

quinine sulfate, 3

Relion Pen Needles 29GX12MM, 39 rifampin, 2

Qutenza, 14

Relion Pen Needles 31GX6MM, 39 Rifater, 2

R

Relion Pen Needles 31GX8MM, 39 Right Step Prenatal, 34

Relion Pen Needles 32GX4MM, 39 Rightest GD-L500 Alternate Site Adapter, 40

R-natal OB, 35

Relion SHORT Pen Needles 31GX8MM, 39

Rabavert, 34

Rightest Gl300 Lancets, 40

rabeprazole sodium, 19

Relion Thin Lancets, 39 Rilutek, 27

raloxifene hydrochloride, 17

Relion Ultra Thin Lancets, 40 riluzole, 26

ramipril, 8

Relion Ultra Thin Lancets30G, 40 rimantadine HCL, 3

Ranexa, 7

Relion Ultra Thin Plus Lancets 32G, 40 Rimantalist, 3

ranitidine HCL, 19

Relion Ultra Thin Plus Lancets 33G, 40 Riomet, 16

Rapaflo, 21

Relistor, 20 risedronate sodium, 17

Rapamune, 6

Relpax, 31 risedronate sodium DR, 17

Rapivab, 3

Relyyks, 14 Risperdal, 24

Rasuvo, 30

Relyyt, 14 Risperdal Consta, 24

Ravicti, 18

Remeron, 24 Risperdal M-TAB, 24

Rayos, 15

Remeron Soltab, 24 risperidone, 24

Razadyne, 26

Remicade, 20 risperidone odt, 24

Razadyne ER, 26

Remifentanil HCL, 30 Ritalin, 25

Readysharp-a, 32

Remodulin, 10 Ritalin LA, 25

Readysharp-k, 15

Renagel, 20 Riteflo, 42

Readysharp-p40, 15

Renatabs, 35 Rituxan, 5

Readysharp-p80, 15

Renatabs With Iron, 35 rivastigmine tartrate, 26

Rebetol, 3

Renvela, 20 rivastigmine transdermal system, 26

Reclast, 17

Reopro, 23 rizatriptan benzoate, 31

Recombinate, 22

repaglinide, 16 rizatriptan benzoate odt, 31

Recombivax HB, 34

Repaglinide/Metformin Hydrochloride, 17 Robaxin, 27

Recothrom, 22

Repatha, 10 Robaxin-750, 27

Recothrom Spray Kit, 22

Repatha Pushtronex System, 10 Robinul, 19

Rectiv, 20

Repatha Sureclick, 10 Robinul Forte, 19

Recura, 12

Reprexain, 30 Rocaltrol, 18

Reglan, 20

Req 49+, 35 Rocephin, 1

Regonol, 27

Requip, 26 rocuronium bromide, 26

Relagard, 21

Requip XL, 26 Rocuronium Bromide, 27

Relenza Diskhaler, 3

Rescon-JR, 32 ropinirole ER, 26

Relhist, 32

Rescriptor, 3 ropinirole HCL, 26

Relion Insulin Syringe/U -100/0.5ML/29G, 39

Reserpine, 8 ropivacaine, 31

Respa-BR, 32 Ropivacaine, 32


Restasis, 28 ropivacaine HCL, 31

Restora RX, 19 Ropivacaine Hydrochloride/Sodium Chloride, 32

Relion Insulin Syringe/U-100/0.3ML/29G, 39

Restora Sprinkles, 19

Restoril, 25 Rosadan Kit, 11


Retin-a, 11 Rosula, 11

Retin-a Micro, 11 rosuvastatin calcium, 10

Relion Insulin Syringe/U-100/0.3ML/30G, 39

Retin-a Micro P.M., 11 Rotarix, 34

Retinoic Acid, 11 Rotateq, 34


Retinoic Acid-all Trans, 11 Rowasa, 20

Retrovir, 3 Roxicet, 30


Retrovir IV Infusion, 3 Roxicodone, 30

Revatio, 10 Rozerem, 25


Revlimid, 6 Rrb PAK, 13

Rexall Lancets Ultra Thin, 40 Ryanodex, 27

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

Rytary, 26

Sebuderm, 14 Sinemet CR, 26

Rythmol, 8

Seconal, 25 Single-let, 40

Rythmol SR, 8

Seconal Sodium, 25 Singulair, 33

S

Sectral, 7 sirolimus, 6

Select-OB, 34 Sirturo, 2

Sabril, 26

Select-ob+dha, 35 Sitavig, 3

Safe-t-lance Low Flow 25G, 40

selegiline HCL, 26 Sivextro, 4

Safe-t-lance Normal Flow 21G, 40

selenium sulfide, 12 Skelaxin, 27

Safe-t-lance Plus Safety Lancet High Flow, 40

Selrx, 12 Sklice, 14

Selzentry, 3 Smart Diabetes Vantage Universal Lancets 30G, 40

Safe-t-lance Plus Safety Lancet Low Flow, 40

Semprex-d, 32

Sensipar, 18 Smart Sense Color Lancets Universal 33G, 40

Safe-t-lance Plus Safety Lancet Normal Flow, 40

Sensorcaine-mpf/Epinephrine, 32

Sentradine, 19 Smart Sense Standard Lancets Universal 21G, 40

Safesnap Insulin Syringe/0.3ML/30G X 5/16", 40

Sentraflox AM-10, 24

Sentralopram AM-10, 24 Smart Sense Super Thin Lancets Universal 30G, 40


Sentramodafin AM-100, 25

Sentravil PM-25, 24 Smart Sense Thin Lancets Universal 26G, 40


Sentrazolam AM 0.25, 23

Sentrazolpidem PM-5, 25 Smartest Lancets 28G, 40

Safesnap Insulin Syringe/1ML/28G X 1/2", 40

Sentroxatine, 24 Smartrx Gaba Kit, 26

Serevent Diskus, 33 Smartrx Gaba-v Kit, 26

Safesnap Insulin Syringe/1ML/29G X 1/2", 40

Sernivo, 13 Sodium Bicarbonate, 19

Seroquel, 24 sodium chloride, 32

Safety Lancet 21G/Pressure Activated, 40

Seroquel XR, 24 Sodium Citrate, 22

Serostim, 17 sodium citrate/citric acid, 21

Safety Lancet 28G/Pressure Activated, 40

sertraline HCL, 23 Sodium Diuril, 9

Sevelamer Carbonate, 20 Sodium Edecrin, 9

Safety Lancets, 40

Sfrowasa, 20 sodium ferric gluconate complex/sucrose, 21

Safety Lancets 21G, 40

Shohls Solution Modified, 21

Safety Lancets 28G, 40

Shopko On-the-go Comfort Lancets 30G, 40

sodium hyaluronate, 13

Safety Let Lancets, 40

sodium phenylacetate/sodium benzoate, 18

Safety Seal Lancets 28G, 40

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 40

Safety Seal Lancets 30G, 40

sodium phenylbutyrate, 18

Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 40

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 40

sodium sulfacetamide, 11, 12, 27

sodium sulfacetamide wash, 12

Safyral, 16

Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 40

sodium sulfacetamide/sulfur, 11

Saizen, 17

Sodium Sulfacetamide/Sulfur, 11

Saizen Click.easy, 17

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 40

sodium sulfacetamide/sulfur cleanser, 11

Salagen, 23

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 11

Salex, 14

Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM, 40

Salex Cream, 14

sodium sulfacetamide/sulfur cleansing cloths, 11

Salex Lotion, 14

Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM, 40

salicylic acid, 13

sodium sulfacetamide/sulfur green, 11

Salicylic Acid, 14

Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM, 40

Sodium Sulfacetamide/Sulfur IN Urea, 11

salicylic acid cream, 13

sodium sulfacetamide/sulfur w/sunscreen, 11

salicylic acid ER, 13

Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM, 40

Salicylic Acid IN Ammonium Lactate Vehicle, 14

sodium sulfacetamide/sulfur wash, 11

Shopko Unilet Lancets Super Thin 30G, 40

Solaice, 14

salicylic acid lotion, 13

Soliris, 22

Salivamax, 23

Shopko Unilet Lancets Ultra Thin 28G, 40

Solodyn, 2

Salivate RX, 23

Soltamox, 5

salsalate, 29

Siderol, 35 Solu-cortef, 15

Salvax, 14

Signifor, 18 Solu-medrol, 15

Salvax Duo Plus, 14

Signifor Lar, 18 Solus V2 Pressure Activated Safety Lancets 28G, 40

Samsca, 18

Silazone Pharmapak, 13

Sancuso, 19

Silazone-II, 13 Solus V2 Twist Lancets 30G, 40

Sandimmune, 6

sildenafil, 10 Soma, 27

Sandostatin, 18

sildenafil citrate, 10 Somatuline Depot, 18

Sandostatin Lar Depot, 18

Silenor, 25 Somavert, 18

Saphris, 24

Simbrinza, 28 Sonata, 25

Sarafem, 26

Simcor, 10 Soolantra, 11

Savaysa, 22

Simponi, 30 Soothee, 14

Savella, 26

Simponi Aria, 30 Soriatane, 12

Savella Titration Pack, 26

Simulect, 6 Sorilux, 12

Scalacort DK, 13

simvastatin, 10 sotalol HCL, 7

Scar Patch, 14

Sinelee, 14 sotalol HCL (AF), 7

Scopolamine Hydrobromide, 19

Sinemet, 26 Sotalol Hydrochloride, 7

Seasonique, 16

Sotylize, 7

Sumaxin, 11 Synercid, 4

Sovaldi, 3

Sumaxin CP Kit, 11 Synjardy, 17

Spectracef, 1

Sumaxin Ts, 11 Synribo, 7

Spinosad, 14

Sumaxin Wash, 11 Synthroid, 18

Spiriva Handihaler, 33

Supartz, 27 Synvisc, 27

Spiriva Respimat, 33

Supartz Fx, 27 Synvisc One, 27

spironolactone, 9

Supervite, 35 T

spironolactone/hydrochlorothiazide, 9

Supervite EC, 35

Tabloid, 5

Sporanox, 3

Support-500, 35

Tabradol Fusepaq, 27

Sporanox Pulsepak, 3

Supprelin LA, 17

Tabradol Rapidpaq, 27

Spritam, 26

Supracil, 14

Taclonex, 13

Sprix, 31

Suprax, 1

tacrolimus, 6, 13

Sprycel, 6

Suprep Bowel Prep, 18

Tafinlar, 6

Stalevo 100, 26

Sure-fine Pen Needles 29GX1/2" 12.7MM, 40

Tagrisso, 6

Stalevo 125, 26

Taltz, 12

Stalevo 150, 26

Sure-fine Pen Needles 31GX3/16" 5MM, 40

Talwin, 30

Stalevo 200, 26

Tamiflu, 3

Stalevo 50, 26

Sure-fine Pen Needles 31GX5/16" 8MM, 40

tamoxifen citrate, 5

Stalevo 75, 26

tamsulosin HCL, 21

stannous fluoride oral rinse, 23

Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2", 40

Tandem F, 21

Starlix, 16

Tandem Plus, 22

stavudine, 3


Tapazole, 18

Stavzor, 26

Tarceva, 6

Stelara, 12, 20


Targadox, 2

Sterilance PA, 40

Targretin, 7

Sterilance TL, 40


Tarka, 9

Stimate, 18

Taron-bc, 34

Stiolto Respimat, 33


Taron-c DHA, 34

Stivarga, 6

Tasigna, 6

Strattera, 25


Tasmar, 26

Strazepam, 25

Taxotere, 6

Strensiq, 18


Taytulla, 16

Streptomycin Sulfate, 2

Tazicef, 1

Striant, 15

Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2", 40

Tazorac, 12

Stribild, 3

Tecentriq, 5

Striverdi Respimat, 33


Tecfidera, 26

Stromectol, 4

Tecfidera Starter Pack, 26

Strovite Forte, 35


Techlite AST Lancets, 40

Strovite One, 35

Techlite Lancets, 40

Stuart Prenatal, 34


Techlite Lancets 30G, 40

Suboxone, 29

Techlite Pen Needles/31G X 5MM, 40

Succinylcholine Chloride, 27

Sure-lance Flat Lancets, 40

Techlite Pen Needles/31G X 6 MM, 40

Suclear, 18

Sure-lance Lancets 26G, 40


Sucraid, 19

Sure-lance Thin Lancets 28G, 40


sucralfate, 19

Sure-lance Ultra Thin Lancets, 40


Sular, 8

Sure-touch Lancets Universal, 40

Technivie, 3

sulfacetamide sodium, 11, 27

Surelite Lancets, 40

Tegretol, 26

Sulfacetamide Sodium, 27

Surfaxin, 33

Tegretol-XR, 26

sulfacetamide sodium/prednisolone sodium phosphate, 28

Surmontil, 24

Tekamlo, 9

Survanta Intratracheal, 33

Tekturna, 8

sulfacetamide sodium/sulfur, 11

Sustiva, 3

Tekturna HCT, 9

sulfacetamide sodium/sulfur cleanser, 11

Sutent, 6

telmisartan, 8

Sulfadiazine, 2

Sylatron, 7

telmisartan/amlodipine, 9

sulfamethoxazole/trimethoprim, 4

Symax Duotab, 19

telmisartan/hydrochlorothiazide, 9

Sulfamethoxazole/Trimethoprim, 4

Symbicort, 33

temazepam, 24

sulfamethoxazole/trimethoprim DS, 4

Symbyax, 26

Temodar, 4

sulfasalazine, 20

Symlinpen 120, 16

Temovate, 13

Sulfoam, 11

Symlinpen 60, 16

Temovate E, 13

Sulfurated Lime, 14

Synagex, 35

temozolomide, 4

sulindac, 30

Synalar, 13

Tenex, 9

Sumadan Kit, 11

Synalar Cream Kit, 13

Teniposide, 6

Sumadan Wash, 11

Synalar Ointment Kit, 13

Tenivac, 33

Sumadan XLT, 11

Synalar Ts, 13

Tenoretic 100, 9

sumatriptan, 31

Synalgos-dc, 30

Tenoretic 50, 9

sumatriptan succinate, 31

Synapryn Fusepaq, 30

Tenormin, 7

Sumatriptan Succinate, 31

Synarel, 17

Terazol 3, 21

sumatriptan succinate refill, 31

Synatek, 35

Terazol 7, 21

Sumavel Dosepro, 31

Synera, 14

terazosin HCL, 8

terbinafine HCL, 2

Thyrolar-3, 18 tramadol hydrochloride/acetaminophen, 29

terbutaline sulfate, 33

tiagabine hydrochloride, 25

terconazole, 20

Tiazac, 8 Trandate, 7

Tersi Foam, 12

Ticaspray, 32 trandolapril, 8

Tessalon Perles, 32

Tice Bcg, 7 trandolapril/verapamil HCL, 9

Testone Cik, 15

ticlopidine HCL, 22 trandolapril/verapamil HCL ER, 9

Testopel, 15

Ticlopidine HCL, 22 tranexamic acid, 22

testosterone, 15

Tigan, 19 Transderm-scop, 19

Testosterone, 15

Tikosyn, 8 Tranxene T, 23

testosterone cypionate, 15

Timentin, 1 tranylcypromine sulfate, 23

testosterone enanthate, 15

Timolol Maleate, 7 Travatan Z, 28

Testred, 15

timolol maleate, 28 Travoprost, 28

Tetanus/Diphtheria Toxoids-adsorbed, 33

timolol maleate ophthalmic gel forming, 28

Trazamine, 24

trazodone HCL, 23

Tetanus/Diphtheria Toxoids-adsorbed Adult, 33

Timoptic, 28 Treanda, 4

Timoptic Ocudose, 28 Trecator, 2

tetrabenazine, 26

Timoptic-xe, 28 Trelstar, 5

tetracaine HCL, 28

Tindamax, 4 Trelstar Mixject, 5

Tetracaine HCL, 31

tinidazole, 4 Trepadiclofen-25, 31

Tetracycline HCL, 2

Tirosint, 18 Trepoxicam-7.5, 31

tetracycline hydrochloride, 2

Tisseel, 22 Tretin-x, 11

Tetrix, 14

Tisseel VH, 22 tretinoin, 6, 11

Teveten, 8

Tivicay, 3 Tretinoin, 11

Teveten HCT, 9

Tivorbex, 31 Tretinoin (all-trans Retinoic Acid), 11

Texacort, 13

Tizanidine Comfort PAC, 27 tretinoin microsphere, 11

Texavite LQ, 35

tizanidine HCL, 27 tretinoin microsphere P.M., 11

Thalomid, 6

TL G-FOL OS, 35 Trexall, 5

Theo-24, 33

TL Triseb, 12 Treximet, 31

theophylline, 33

Tnkase, 23 Trezix, 30

theophylline CR, 33

Tobradex, 28 Tri-norinyl 28, 16

theophylline ER, 33

Tobradex ST, 28 Tri-VI-flor, 34

Theophylline/D5W, 33

tobramycin, 2 Triamcinolone, 15

Therabenzaprine-60, 27

Tobramycin, 2 triamcinolone acetonide, 13, 23, 32

Therabenzaprine-90, 27

tobramycin sulfate, 2, 27 Triamcinolone Acetonide PF, 15

Therabenzaprine-90-5, 27

Tobramycin Sulfate, 2 triamcinolone IN orabase, 23

Theracodeine-300, 30

tobramycin/dexamethasone, 28 Triamcinolone PF, 15

Theracodophen-325, 30

Tobrex, 27 Triamcinolone/Lidocaine, 15

Theracys, 7

Tofranil, 24 Triamsil Combipak, 13

Therafeldamine, 31

Tofranil-PM, 24 triamterene/hydrochlorothiazide, 9

Theranatal Core Nutrition, 34

tolazamide, 16 Triamterene/Hydrochlorothiazide, 9

Therapentin-60, 26

Tolazamide, 16 Trianex, 13

Therapentin-90, 26

Tolbutamide, 16 triazolam, 24

Theraprofen-60, 31

tolcapone, 26 Triazolam, 24

Theraprofen-800, 31

tolmetin sodium, 30 Tribenzor, 9

Theraprofen-90, 31

Tolmetin Sodium, 30 Tricare Prenatal, 34

Theraproxen-500, 31

tolterodine tartrate, 20 Tricare Prenatal 1, 34

Theraproxen-60, 31

tolterodine tartrate ER, 20 Tricare Prenatal Compleat, 34

Theraproxen-90, 31

Topamax, 26 Tricare Prenatal DHA One, 34

Theratramadol-60, 30

Topamax Sprinkle, 26 tricitrates, 21

Theratramadol-90, 30

Topicort, 13 Tricor, 10

thiamine HCL, 34

topiramate, 25 Triderma Forte, 13

Thinlets GP Lancets, 40

Topiramate ER, 26 Triferic, 22

Thinlets Lancet, 40

topotecan HCL, 6 trifluoperazine HCL, 24

Thiola, 21

Topotecan HCL, 6 trifluridine, 27

thioridazine HCL, 24

Toprol XL, 7 Triglide, 10

Thiotepa, 5

Torisel, 6 trihexyphenidyl HCL, 26

thiothixene, 24

Toronova II Suik, 31 Trileptal, 26

Thrombin-jmi Diluent, 22

Toronova Suik, 31 Trilipix, 10

Thrombin-jmi Epistaxis, 22

torsemide, 9 Triloan II Suik, 15

Thrombin-jmi Syringe Spray Kit, 22

Torsemide, 9 Triloan Suik, 15

Thrombin-jmi W/Dil Spray P.M. Actuator, 22

Totect, 7 trimethobenzamide HCL, 19

Toujeo Solostar, 16 trimethoprim, 4

Thrombogen, 22

Toviaz, 20 trimethoprim sulfate/polymyxin b sulfate, 27

Thymoglobulin, 6

Tracleer, 10

Thyrolar-1, 18

Tradjenta, 17 trimipramine maleate, 23

Thyrolar-1/2, 18

tramadol HCL, 29 Trintellix, 24

Thyrolar-1/4, 18

tramadol HCL ER, 29 Triostat, 18

Thyrolar-2, 18

Tramadol HCL ER, 30 Trisenox, 7

Triseon, 11

Uloric, 31 5/16", 40

Triumeq, 3

Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 40

Ulticare Micro Pen Needles 31G X 8MM, 40

Triveen-duo DHA, 35

Triveen-prx RNF, 35

Ulticare Insulin Safety Syringe/1ML/29G X 1/2", 40

Ulticare Micro Pen Needles 32G X 4MM, 40

Trizivir, 3

Trokendi XR, 26

Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16", 40

Ulticare Micro Pen Needles/32G X 4MM, 40

Tropazone, 14

trospium chloride, 20

Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 40

Ulticare Mini Pen Needles 31GX6MM, 40

trospium chloride ER, 20

Ulticare Mini Pen Needles Ulti-fine IV, 40

Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2", 40

Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 40

Ulticare Mini Pen Needles/31G X 6MM, 40


Ulticare Insulin Syringe/0.3ML/29G X 1/2", 40

Ulticare Mini Pen Needles31GX6MM, 41

Ulticare Original Pen Needles Ulti-fine, 41



Ulticare Pen Needles/29G X 12.7MM, 41



Ulticare SHORT Pen Needles 31GX8MM, 41



Ulticare SHORT Pen Needles Ulti-fine IV, 41



Ulticare SHORT Pen Needles/31G X 8MM, 41



Ulticare Thin Lancets 30G, 41

Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4", 41

Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 40


Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4", 41


Ulticare Insulin Syringe/1ML/28G X 1/2", 40

Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4", 41



Ulticare U-100 Insulin Syringes/1ML/31G X 1/4", 41



Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16", 41

Trueplus Lancets 26G, 40



Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16", 41

Trueplus Lancets 28G Super Thin, 40

Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16", 40


Ultilet Classic Lancets, 41

Trueplus Lancets 30G Ultra Thin, 40


Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16", 41


Trueplus Lancets 33G Micro Thin, 40



Trueplus Safety Lancets 28G, 40

Trulicity, 16



Trumenba, 34

Trusopt, 29

Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16", 40


Truvada, 3

Turkel Paracentesis Procedure Tray/8french, 32

Ulticare Insulin Syringe/SHORT/1ML/31GX 5/16", 40

Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 41

Tussicaps, 32

Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2", 40

Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 41

Tussionex Pennkinetic Extended Release, 32


Ultilet Lancets, 41

Tuzistra XR, 32

Ultilet Lancets 33G, 41

Twinrix, 34


Ultilet Pen Needle 32GX4MM/SHORT, 41

Twynsta, 9

Tybost, 3


Ultilet Safety Lancets 23G, 41

Tygacil, 4

Ultilet SHORT Pen Needles 31GX5/16", 41

Tykerb, 6


Tylenol/Codeine #3, 30

Ultilet SHORT Pen Needles31GX3/16", 41

Tylenol/Codeine #4, 30


Typhim VI, 34

Ultiva, 30

Tysabri, 26


Ultra-thin II Auto Lancet, 41

Tyvaso, 10

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 41

Tyvaso Refill, 10


Tyvaso Starter, 10


Tyzeka, 3

Ulticare Insulin Syringe/U-100/1ML/29G X 1/2", 40

Tyzine, 32


Tyzine Pediatric Nasal Drops, 32


U



Uceris, 15, 20

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 41

Udamin SP, 35

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

Ulesfia, 14

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16", 41

Unistik Safety Lancets 28G, 41 Vancomycin HCL IN Dextrose, 4

Unistik Safety Lancets 30G, 41 Vancomycin Hydrochloride, 4

Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 41

Unistik Touch Safety Lancets 21G, 41 Vancomycin Hydrochloride/Dextrose, 4

Unistik Touch Safety Lancets 23G, 41 Vancomycin Hydrochloride/NACL, 4

Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 41

Unistik Touch Safety Lancets 28G, 41 Vancomycin Hydrochloride/Sodium Chloride, 4

Unistik Touch Safety Lancets 30G, 41

Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 41

Unituxin, 5 Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 41

Univasc, 8

Ultra-thin II Lancets 28G, 41

Universal 1 Lancets Thin 26G, 41 Vanishpoint Insulin Syringe/1ML/29G X 1/2", 41

Ultra-thin II Lancets 30G, 41

Universal 1 Lancets Ultra Thin 30G, 41

Ultra-thin II Mini Pen Neeedles/31GX3/16", 41

Uptravi, 10 Vanos, 13

Uramaxin, 14 Vanoxide-HC, 11

Ultra-thin II Pen Needles 29GX1/2", 41

Uramaxin GT, 14 Vantas, 5

Ultra-thin II Pen Needles/SHORT/31GX5/16", 41

Uramaxin GT Kit, 14 Vaprisol, 18

urea, 13 Vaqta, 34

Ultra-thin II Safety Autolancets 26G, 41

urea 40% nail film, 13 Varivax, 34

Ultracet, 30

urea IN zinc undecylenate/lactic acid vehicle, 13

Varubi, 19

Ultralance, 41

Vascepa, 10

Ultram, 30

urea topical, 13 Vaseretic, 9

Ultram ER, 30

Urecholine, 20 vasopressin, 18

Ultrasal-ER, 14

Uretron D/S, 20 Vasopressin/Sodium Chloride, 18

Ultravate, 13

Urimar-t, 20 Vasostrict, 18

Ultravate X, 13

Urocit-k 10, 21 Vasotec, 8

Umecta, 14

Urocit-k 15, 21 Vaxchora, 34

Umecta Nail Film, 14

Urocit-k 5, 21 Vazculep, 10

Umecta PD, 14

Urogesic-blue, 20 Vecamyl, 9

Unasyn, 1

Uroxatral, 21 Vectibix, 5

Unasyn Bulk Pack, 1

Urso 250, 20 Vectical, 12

Unifine Pentips 29GX12MM, 41

Urso Forte, 20 vecuronium bromide, 26

Unifine Pentips 31G X 3/16", 41

ursodiol, 20 Vecuronium Bromide, 27

Unifine Pentips 31G X 6MM, 41

Utibron Neohaler, 33 Vecuronium Bromide/Sodiumchloride, 27

Unifine Pentips 31G X 8MM, 41

Utopic, 14 Veinpuncture Px1 Phlebotomy System, 14


Uvadex, 7


V Velcade, 6


Veletri, 10

V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2", 41


Velphoro, 20

Unifine Pentips Plus 29GX12MM, 41

Vemavite-prx 2, 35



Venipuncture Cpi, 14


venlafaxine HCL, 23



venlafaxine HCL ER, 23

Unilet Comfortouch Lancet, 41

Venlafaxine HCL ER, 23

V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 41

Unilet Excelite, 41

Venofer, 22

Unilet Excelite II, 41

Ventavis, 10

V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 41

Unilet G.p. Lancet, 41

Ventolin HFA, 33

Unilet G.p. Superlite Lancet, 41

Veramyst, 32

Vagifem, 21

Unilet GP 28 Ultra Thin, 41

verapamil HCL, 8

valacyclovir HCL, 3

Unilet Lancet, 41

verapamil HCL ER, 8

Valchlor, 5

Unilet Lancets Micro-thin33G, 41

verapamil HCL SR, 8

Valcyte, 3

Unilet Lancets Super-thin30G, 41

Verdeso, 13

valganciclovir, 3

Unilet Lancets Ultra-thin 28G, 41

Veregen, 14

valganciclovir hydrochlorde, 3

Unilet Superlite Lancet, 41

Verelan, 8

Validerm, 13

Unistik 1, 41

Verelan PM, 8

Valium, 23

Unistik 2, 41

Veripred 20, 15

valproate sodium, 25

Unistik 2 Comfort, 41

Verrunex, 14

valproic acid, 25

Unistik 2 Extra, 41

Versacloz, 24

valsartan, 8

Unistik 2 Neonatal, 41

Vesicare, 20

valsartan/hydrochlorothiazide, 9

Unistik 2 Normal, 41

Vexa, 14

Valtrex, 3

Unistik 2 Super, 41

Vexol, 28

Valumark Lancet Super Thin 30G, 41

Unistik 3, 41

Vfend, 3

Valumark Lancet Ultra Thin 28G, 41

Unistik 3 Comfort, 41

Vfend IV, 3

Valumark Pen Needles 29GX12MM, 41

Unistik 3 Extra, 41

Viagra, 10

Valumark Pen Needles 31G X 6MM, 41

Unistik 3 Extra Single Use Safety Lancets/21G, 41

Vibativ, 4

Valumark Pen Needles 31G X 8MM, 41

Viberzi, 20

Vanatol LQ, 29

Unistik 3 Gentle, 41

Vibramycin, 2

Vancocin HCL, 4

Unistik 3 Neonatal, 41

Vicoprofen, 30

Vancomycin, 4

Unistik 3 Normal, 41

Victoza, 16

vancomycin HCL, 4

Unistik CZT Comfort, 41

Victrelis, 3

Vancomycin HCL, 4

Unistik CZT Normal, 41

Vida Mia Unifine Pentips 32GX4MM, 41

Vancomycin HCL + Syrspendsf PH4, 4

Vida Mia Unifine Pentips Mini 31GX6MM, 41

Vopac, 12 Xylocaine/Epinephrine, 32

Vopac GB, 12 Xyntha, 23

Vida Mia Unifine Pentips Original 29GX12MM, 41

Vopac Kt, 12 Xyntha Solofuse, 23

Voraxaze, 7 Xyrem, 26

Vida Mia Unilet Lancets Super Thin 30G, 41

voriconazole, 2 Xyzal, 32

Vortex Valved Holding Chamber, 42 Y

Vida Mia Unilet Lancets Ultra Thin 28G, 41

Vosol HC, 29

Yasmin 28, 16

Vospire ER, 33

Yaz, 16

Vida Mia Unipfine Pentipsshort 31GX8MM, 41

Votrient, 6

Yervoy, 5

Vpriv, 22

Yf-vax, 34

Vidaza, 5

Vraylar, 24

Yodoxin, 4

Videx EC, 3

Vsl#3 DS, 19

Yondelis, 5

Videx Pediatric, 3

Vusion, 12

Your Life Multi Prenatal, 35

Viekira PAK, 3

Vytorin, 10

Z

Viekira XR, 3

Vyvanse, 25

Vigamox, 27

W

Zacare 4% Kit, 11

Viibryd, 24

Zacare 8% Kit, 11

W&f Lancets 26G, 41

Viibryd Starter Pack, 24

zafirlukast, 33

W&f Lancets Colored 21G, 41

Vimizim, 18

zaleplon, 24

Walgreens Lancets, 41

Vimpat, 26

Zaltrap, 5

Walgreens Thin Lancets, 41

Vinacal B, 34

Zamicet, 30

Walgreens Ultra Thin Lancets, 41

Vinate AZ Extra, 34

Zanaflex, 27

warfarin sodium, 22

Vinate Calcium, 34

Zanosar, 4

Watchhaler, 42

Vinate DHA RF, 34

Zantac, 19

Welchol, 10

Vinblastine Sulfate, 6

Zarontin, 26

Wellbutrin, 24

vincristine sulfate, 6

Zaroxolyn, 9

Wellbutrin SR, 24

vinorelbine tartrate, 6

Zarxio, 21

Wellbutrin XL, 24

Viracept, 3

Zatean-CH, 35

Westcort, 13

Viramune, 3

Zatean-pn, 35

Westhroid, 18

Viramune XR, 3

Zatean-pn DHA, 35

Wheat Germ, 34

Virasal, 14

Zatean-pn Plus, 35

Wilate, 22

Virazole, 3

Zavesca, 22

Wp Thyroid, 18

Viread, 3

Zebeta, 7

X

Viroptic, 27

Zecuity, 31

Vistaril, 23

Xalatan, 28 Zegerid, 19

Vistide, 3

Xalkori, 6 Zelapar, 26

Vita-pren, 34

Xanax, 23 Zelboraf, 6

Vitafol, 35

Xanax XR, 23 Zemaira, 33

Vitafol Fe+, 35

Xarelto, 22 Zembrace Symtouch, 31

Vitafol Gummies, 34

Xarelto Starter Pack, 22 Zemplar, 18

Vitafol Ultra, 35

Xartemis XR, 30 Zemuron, 27

Vitafol-nano, 34

Xeljanz, 31 Zenpep, 19

Vitafol-ob+dha, 35

Xeljanz XR, 31 Zenzedi, 25

Vitafol-one, 35

Xeloda, 5 Zepatier, 3

Vital-d RX, 35

Xenazine, 26 Zerbaxa, 4

Vitalet Pro Lancets, 41

Xeomin, 27 Zerit, 3

Vitalet Pro Plus Lancets, 41

Xerac Ac, 14 Zestoretic, 9

Vitamedmd One RX/Quatrefolic, 35

Xeralux, 14 Zestril, 8

Vitamedmd Plus RX/Quatre Folic, 35

Xerese, 12 Zetia, 10

Vitamedmd Redichew RX, 35

Xgeva, 17 Zetonna, 32

Vitamin A, 34

Xifaxan, 4 Zevalin Y-90, 5

vitamin c 222MG, 34

Xilapak, 13 Ziac, 9

vitamin d, 34

Xodol, 30 Ziagen, 3

vitamin k1, 34

Xofigo, 6 zidovudine, 3

Vitamin K1, 34

Xolair, 33 Zinacef, 1

Vitapearl, 35

Xolegel, 12 Zinbryta, 26

Vitaroca Plus, 35

Xolegel Corepak, 12 Zinecard, 7

Vitatrue, 35

Xolegel Duo/Head & Shoulders, 12 ziprasidone HCL, 24

Vitekta, 3

Xolegel Duo/Xolex, 12 Zipsor, 31

Vituz, 32

Xopenex, 33 Zirgan, 27

Viva DHA, 35

Xopenex Concentrate, 33 Zithranol, 12

Vivactil, 24

Xrylix, 12 Zithranol-rr, 12

Vivelle-dot, 15

Xtampza ER, 30 Zithromax, 2

Vivlodex, 31

Xtandi, 5 Zithromax Tri-PAK, 2

Vivotif, 34

Xuriden, 18 Zithromax Z-PAK, 2

Voltaren, 12

Xylocaine, 8, 14, 32 Zmax, 2

Voltaren-XR, 31

Xylocaine-mpf, 32 Zocor, 10

Voluven, 23

Xylocaine-mpf/Epinephrine, 32 Zofran, 19

Zofran Odt, 19

Zoladex, 5

Zolate, 22

zoledronic acid, 17

Zoledronic Acid, 17

Zolinza, 6

zolmitriptan, 31

zolmitriptan odt, 31

Zoloft, 24

zolpidem tartrate, 24

zolpidem tartrate ER, 24

Zolpimist, 25

Zometa, 17

Zomig, 31

Zomig Nasal Spray, 31

Zomig ZMT, 31

Zonalon, 12

Zonatuss, 32

Zonegran, 26

zonisamide, 25

Zontivity, 23

Zorbtive, 17

Zortress, 6

Zostavax, 34

Zosyn, 1

Zovia 1/50e, 16

Zovirax, 3, 12

Zubsolv, 29

Zuplenz, 19

Zutripro, 32

Zyclara, 13

Zyclara P.M., 13

Zydelig, 6

Zyflo, 33

Zyflo CR, 33

Zykadia, 6

Zylet, 28

Zyloprim, 31

Zymaxid, 27

Zyprexa, 24

Zyprexa Relprevv, 24

Zyprexa Zydis, 24

Zytiga, 5

Zyvodol, 12

Zyvox, 4

1

1ST Choice Lancets Super Thin, 41

1ST Choice Lancets Thin, 41

1ST Choice Lancets Ultra Thin, 41

1ST Tier Unifine Pentips 29GX12MM, 41



8

8-mop, 12

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