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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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

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

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

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

ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

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

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

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

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

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

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

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

ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

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

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

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

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

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

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

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

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

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

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

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

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

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

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

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

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

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

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

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

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

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

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

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

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

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

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

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

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

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

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

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

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

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

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

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

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

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

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

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

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

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

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

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

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

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

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

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

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

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

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

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

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

cefoxitin sodium

cefprozil

cefuroxime axetil

cefuroxime sodium

July 2016 PREFERRED

Cefaclor

ANTI-INFECTIVES NON PREFERRED

Cefaclor ER

PENICILLINS

Cefotan

GENERIC

Cefotetan

amoxicillin

Cefotetan/Dextrose

amoxicillin/clavulanate potassium

Cefoxitin Sodium

amoxicillin/clavulanate potassium ER

Ceftin

ampicillin

Cefuroxime Sodium

ampicillin sodium

Cefuroxime/Dextrose

ampicillin-sulbactam

Mefoxin

dicloxacillin sodium

Zinacef

nafcillin sodium

THIRD GENERATION

oxacillin sodium

GENERIC

penicillin v potassium

cefdinir

penicillin G potassium

cefixime

piperacillin sodium/ tazobactam sodium

cefotaxime sodium

piperacillin sodium/tazobactam sodium

cefpodoxime proxetil

piperacillin/tazobactam

ceftazidime

Amoxicillin/Clavulanate Potassium

ceftriaxone sodium

Ampicillin-sulbactam

Ceftriaxone IN Iso-osmotic Dextrose

PREFERRED

NON PREFERRED

Amoxicillin

Cedax

Ampicillin

Cefditoren Pivoxil

NON PREFERRED

Ceftazidime/Dextrose

Amoxicillin ER

Ceftibuten

Ampicillin Sodium

Ceftriaxone Sodium

Augmentin

Ceftriaxone/Dextrose

Augmentin ES-600

Claforan

Augmentin XR

Claforan/D5W

Bactocill IN Dextrose

Fortaz

Bicillin C-R

Rocephin

Bicillin L-a

Spectracef

Moxatag

Suprax

Nafcillin

Tazicef

Nafcillin Sodium

FOURTH GENERATION

Nallpen Iso-osmotic IN Dextrose

GENERIC

Penicillin G Potassium IN Iso-osmotic Dextrose

cefepime

Penicillin G Procaine

NON PREFERRED

Penicillin G Sodium

Cefepime

Pfizerpen-G

Maxipime

Timentin

Unasyn

MACROLIDES

Unasyn Bulk Pack

GENERIC

Zosyn

azithromycin

clarithromycin

CEPHALOSPORIN

clarithromycin ER

FIRST GENERATION

erythromycin

GENERIC

PREFERRED

cefadroxil

Azithromycin

cefazolin sodium

E.e.s. 400

cephalexin

Erythromycin Base

PREFERRED

Erythromycin Ethylsuccinate

Cephalexin

NON PREFERRED

NON PREFERRED

Biaxin

Ancef

Biaxin XL

Cefazolin

Biaxin XL PAC

Cefazolin Sodium

Dificid

Cefazolin Sodium/Dextrose

E.e.s. Granules

Keflex

Ery-TAB

SECOND GENERATION

Eryped 200

GENERIC

Eryped 400

cefaclor

Erythrocin Lactobionate

cefotetan

Erythrocin Stearate

Effective July 1, 2016 v.2 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. © 2016 Optum, Inc. All rights reserved.

1

PCE gentamicin sulfate/0.9% sodium chloride

Zithromax isotonic gentamicin

Zithromax Tri-PAK neomycin sulfate

Zithromax Z-PAK paromomycin sulfate

Zmax tobramycin

tobramycin sulfate

TETRACYCLINES PREFERRED

Bethkis

GENERIC

NON PREFERRED

demeclocycline HCL

Gentamicin Sulfate/0.9% Sodium Chloride

doxycycline

Isotonic Gentamicin

doxycycline hyclate

Streptomycin Sulfate

doxycycline hyclate DR

Tobramycin Sulfate

doxycycline monohydrate

minocycline HCL

SULFONAMIDES

minocycline HCL ER

tetracycline hydrochloride PREFERRED

Tetracycline HCL Sulfadiazine

NON PREFERRED

Acticlate ANTIMYCOBACTERIAL AGENTS

Adoxa

GENERIC

Adoxa PAK 1/100

ethambutol HCL

Adoxa PAK 1/150

isoniazid

Adoxa PAK 2/100

pyrazinamide

Alodox Convenience Kit

rifabutin

Avidoxy DK

rifampin

Benzodox 30 Kit

NON PREFERRED

Benzodox 60 Kit

Capastat Sulfate

Doryx

Cycloserine

Minocin

Isoniazid

Minocin Kit

Myambutol

Monodox

Mycobutin

Morgidox 1X100MG

Paser

Morgidox 2X100MG

Priftin

Nicazeldoxy 30 Kit

Rifadin

Nicazeldoxy 60 Kit

Rifamate

Nutridox

Rifater

Ocudox

Sirturo

Solodyn

Trecator

Targadox

Vibramycin

ANTIFUNGALS

GENERIC

QUINOLONES

fluconazole

GENERIC

fluconazole IN dextrose

ciprofloxacin

fluconazole IN NACL

ciprofloxacin ER

flucytosine

ciprofloxacin HCL

griseofulvin microsize

ciprofloxacin I.V.-IN D5W

griseofulvin ultramicrosize

levofloxacin

itraconazole

levofloxacin IN D5W

ketoconazole

moxifloxacin HCL

nystatin

ofloxacin

terbinafine HCL

Ciprofloxacin HCL

voriconazole

Ofloxacin

NON PREFERRED

NON PREFERRED

Abelcet

Avelox

Ambisome

Avelox Abc Pack

Amphotec

Cipro

Amphotericin B

Cipro I.V.-IN D5W

Ancobon

Cipro XR

Cancidas

Factive

Cresemba

Levaquin

Diflucan

Moxifloxacin HCL

Eraxis

Noroxin

Fluconazole IN NACL

Grifulvin V

AMINOGLYCOSIDES

Gris-peg

GENERIC Lamisil

amikacin sulfate Mycamine

gentamicin sulfate Noxafil

gentamicin sulfate pediatric Onmel

Effective July 1, 2016

2

Sporanox NON PREFERRED

Sporanox Pulsepak Acyclovir Sodium

Vfend Baraclude

Vfend IV Combivir

Copegus

ANTIVIRALS Cytovene

Epivir

GENERIC

Epivir HBV

abacavir

Famvir

abacavir sulfate/lamivudine/zidovudine

Flumadine

acyclovir

Foscavir

acyclovir sodium

Hepsera

adefovir dipivoxil

Moderiba

cidofovir

Moderiba 1200 Dose Pack

didanosine

Moderiba 800 Dose Pack

entecavir

Olysio

famciclovir

Peg-intron

ganciclovir

Peg-intron Redipen

lamivudine

Peg-intron Redipen PAK 4

lamivudine/zidovudine

Pegintron

nevirapine

Rapivab

nevirapine ER

Rebetol

ribavirin

Relenza Diskhaler

rimantadine HCL

Retrovir

stavudine

Ribasphere

valacyclovir HCL

Ribasphere Ribapak

valganciclovir

Rimantalist

zidovudine

Sitavig

PREFERRED

Tamiflu

Aptivus

Technivie

Atripla

Trizivir

Complera

Tyzeka

Crixivan

Valcyte

Daklinza

Valtrex

Edurant

Victrelis

Emtriva

Videx EC

Epzicom

Viekira PAK

Evotaz

Viramune

Fuzeon

Viramune XR

Genvoya

Virazole

Harvoni

Vistide

Intelence

Zerit

Invirase

Ziagen

Isentress

Zovirax

Kaletra

Lexiva

ANTIMALARIALS

Nevirapine

Norvir GENERIC

Pegasys atovaquone/proguanil HCL

Pegasys Proclick chloroquine phosphate

Prezcobix hydroxychloroquine sulfate

Prezista mefloquine HCL

Rescriptor quinine sulfate

Retrovir IV Infusion Primaquine Phosphate

Reyataz PREFERRED

Ribatab Daraprim

Selzentry NON PREFERRED

Sovaldi Aralen

Stribild Coartem

Sustiva Malarone

Tivicay Plaquenil

Triumeq Qualaquin

Truvada

Tybost AMEBICIDES

Videx Pediatric

PREFERRED

Viracept

Yodoxin

Viread

Vitekta

ANTHELMINTICS

Zepatier

GENERIC

ivermectin


3

PREFERRED Orbactiv

Biltricide Pentam 300

Emverm Primaxin IV

NON PREFERRED Primaxin IV Add-vantage

Albenza Primsol

Stromectol Sivextro

Sulfamethoxazole/Trimethoprim

MISC. ANTI-INFECTIVES Synercid

Tindamax

GENERIC

Tygacil

atovaquone

Vancocin HCL

aztreonam

Vancomycin

bacitracin

Vancomycin HCL

clindamycin

Vancomycin HCL + Syrspendsf PH4

clindamycin palmitate HCL

Vancomycin HCL IN Dextrose

clindamycin phosphate

Vibativ

clindamycin phosphate add-vantage

Xifaxan

clindamycin phosphate pharmacy bulk package

Zerbaxa

clindamycin phosphate IN D5W

Zyvox

clindamycin HCL

colistimethate sodium

ANTINEOPLASTICS, ETC

dapsone

imipenem/cilastatin

ALKYLATING AGENTS

lincomycin HCL

GENERIC

linezolid

carboplatin

meropenem

cisplatin

metronidazole

cyclophosphamide

metronidazole IN NACL 0.79%

ifosfamide

polymyxin b sulfate

melphalan hydrochloride

sulfamethoxazole/trimethoprim

oxaliplatin

sulfamethoxazole/trimethoprim DS

temozolomide

tinidazole

Lomustine

trimethoprim

PREFERRED

vancomycin HCL

Alkeran

Linezolid

Bicnu

PREFERRED

Busulfex

Alinia

Hexalen

Nebupent

Leukeran

NON PREFERRED

Mustargen

Avycaz

Myleran

Azactam

Treanda

Azactam IN Iso-osmotic Dextrose

Zanosar

Bactrim

NON PREFERRED

Bactrim DS

Bendeka

Cayston

Cisplatin

Chloramphenicol Sodium Succinate

Cyclophosphamide

Cleocin

Eloxatin

Cleocin IN D5W

Gleostine

Cleocin Pediatric Granules

Gliadel Wafer

Cleocin Phosphate

Ifex

Clin Single Use Kit

Ifosfamide

Clin-lido

Temodar

Clindamycin Phosphate

Thiotepa

Coly-mycin M

Valchlor

Cubicin

Yondelis

Dalvance

Doribax

ANTIBIOTICS

First-vancomycin 25

GENERIC

First-vancomycin 50

bleomycin sulfate

Flagyl

daunorubicin HCL

Flagyl ER

doxorubicin HCL

Invanz

doxorubicin HCL liposome

Ketek

epirubicin HCL

Lincocin

idarubicin HCL

Lincomycin/Lidocaine

mitomycin

Mepron

mitoxantrone HCL

Meropenem/Sodium Chloride

Doxorubicin HCL

Merrem

Mitomycin

Metro IV

PREFERRED

Neutrexin

Daunoxome


4

NON PREFERRED Kadcyla

Adriamycin Keytruda

Cosmegen Opdivo

Doxil Portrazza

Ellence Rituxan

Epirubicin HCL 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

tamoxifen citrate

cladribine

PREFERRED

cytarabine

Eligard

cytarabine aqueous

Emcyt

decitabine

Fareston

floxuridine

Faslodex

fludarabine phosphate

Lupron Depot

fluorouracil

Lysodren

gemcitabine

Nilandron

gemcitabine HCL

Zoladex

mercaptopurine

NON PREFERRED

methotrexate

Arimidex

methotrexate sodium

Aromasin

Floxuridine

Casodex

Methotrexate Sodium

Depo-provera

PREFERRED

Femara

Alimta

Firmagon

Arranon

Megace Oral

Clolar

Soltamox

Folotyn

Trelstar

Tabloid

Trelstar Mixject

NON PREFERRED

Vantas

Cytarabine

Xtandi

Dacogen

Zytiga

Fludara

Gemzar

IMMUNOMODULATORS

Purinethol

Purixan GENERIC

Trexall azathioprine

Vidaza cyclosporine

Xeloda cyclosporine modified

mycophenolate mofetil

ANGIOGENESIS INHIBITORS mycophenolic acid DR

sirolimus

PREFERRED

tacrolimus

Avastin

Azathioprine

Zaltrap

PREFERRED

NON PREFERRED

Atgam

Cyramza

Cellcept Intravenous

Cyclosporine Modified

ANTIBODIES

Thalomid

PREFERRED

NON PREFERRED

Adcetris

Astagraf XL

Arzerra

Azasan

Erbitux

Cellcept

Herceptin

Envarsus XR

Perjeta

Imuran

Yervoy

Myfortic

NON PREFERRED

Neoral

Blincyto

Nulojix

Darzalex

Pomalyst

Empliciti

Prograf

Gazyva


5

Rapamune Lenvima 24MG Daily Dose

Revlimid Lenvima 8MG Daily Dose

Sandimmune Lynparza

Simulect Ninlaro

Thymoglobulin Sprycel

Zortress Stivarga

Sutent

MITOTIC INHIBITORS Tagrisso

Tarceva

GENERIC

Votrient

docetaxel

Zelboraf

etoposide

Zydelig

paclitaxel

Zykadia

vincristine sulfate

vinorelbine tartrate

TOPOISOMERASE I INHIBITOR

PREFERRED

Abraxane GENERIC

Etoposide irinotecan

Halaven irinotecan HCL

Ixempra Kit topotecan HCL

Jevtana NON PREFERRED

NON PREFERRED Camptosar

Docefrez Hycamtin

Docetaxel Irinotecan

Docetaxel (non-alcohol Formula) Onivyde

Etopophos Topotecan HCL

Marqibo

Navelbine RADIOPHARMACEUTICALS

Paclitaxel

PREFERRED

Taxotere

Xofigo

Teniposide

NON PREFERRED

Vinblastine Sulfate

Metastron

Quadramet

ENZYME INHIBITORS

GENERIC CELLULAR IMMUNOTHERAPY

imatinib mesylate

PREFERRED

PREFERRED

Provenge

Afinitor

Caprelsa

ANTINEOPLASTICS MISC.

Istodax

GENERIC

Jakafi

bexarotene

Kyprolis

dacarbazine

Mekinist

hydroxyurea

Nexavar

tretinoin

Tafinlar

PREFERRED

Tasigna

Actimmune

Torisel

Alferon N

Tykerb

Matulane

Velcade

Proleukin

Xalkori

Theracys

Zolinza

Tice Bcg

NON PREFERRED

Trisenox

Afinitor Disperz

NON PREFERRED

Alecensa

Dacarbazine

Beleodaq

Hydrea

Bosulif

Intron A

Cometriq

Intron A W/Diluent

Cotellic

Nipent

Farydak

Photofrin

Gilotrif

Sylatron

Gleevec

Synribo

Ibrance

Targretin

Iclusig

Uvadex

Imbruvica

Inlyta

CHEMOTHERAPY RESCUE

Iressa

GENERIC

Lenvima 10MG Daily Dose

amifostine


dexrazoxane


leucovorin calcium


levoleucovorin


6

levoleucovorin calcium GENERIC

mesna acebutolol HCL

PREFERRED atenolol

Leucovorin Calcium betaxolol HCL

NON PREFERRED bisoprolol fumarate

Calcium Folinate carvedilol

Ethyol esmolol HCL

Fusilev labetalol HCL

Levoleucovorin metoprolol succinate ER

Mesnex metoprolol tartrate

Totect nadolol

Voraxaze pindolol

Zinecard propranolol HCL

propranolol HCL ER

CHEMOTHERAPY ADJUNCTS sotalol HCL

sotalol HCL (AF)

PREFERRED

Metoprolol Tartrate

Kepivance

PREFERRED

NON PREFERRED

Bystolic

Elitek

Propranolol HCL

Timolol Maleate

ANTINEOPLASTIC COMBO

NON PREFERRED

NON PREFERRED

Betapace

Lonsurf

Betapace AF

Brevibloc

CARDIOVASCULAR DRUGS

Coreg

PHOSPHODIESTERASE INHBTR

Coreg CR

GENERIC

Corgard

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 lingual

GENERIC

nitroglycerin transdermal

amlodipine besylate

nitroglycerin ER

diltiazem CD

nitroglycerin IN dextrose 5%

diltiazem HCL

nitroglycerin IN 5% dextrose

diltiazem HCL ER

Isosorbide Dinitrate

felodipine ER

Nitroglycerin Lingual

isradipine

PREFERRED

nicardipine HCL

Dilatrate SR

nifedipine

Isosorbide Dinitrate ER

nifedipine ER

Nitro-bid

nimodipine

Nitro-dur

nisoldipine

Nitrostat

verapamil HCL

Ranexa

verapamil HCL ER

NON PREFERRED

verapamil HCL SR

Imdur

NON PREFERRED

Isordil Titradose

Adalat CC

Nitroglycerin

Calan

Nitroglycerin IN Dextrose 5%

Calan SR

Nitrolingual Pumpspray

Cardene IV

Nitromist

Cardene SR

Nitronal

Cardizem

Cardizem CD

BETA BLOCKERS

Cardizem LA


7

Cleviprex Lotensin

Diltiazem HCL Mavik

Hypertenipine-2.5 Prinivil

Nisoldipine Univasc

Nisoldipine ER Vasotec

Norvasc Zestril

Nymalize

Procardia ANGIOTENSIN RCPTR BLOCKER

Procardia XL

GENERIC

Sular

candesartan cilexetil

Tiazac

irbesartan

Verelan

losartan potassium

Verelan PM

telmisartan

valsartan

ANTIARRHYTHMICS

Eprosartan Mesylate

GENERIC PREFERRED

adenosine Benicar

amiodarone HCL NON PREFERRED

disopyramide phosphate Atacand

dofetilide Avapro

flecainide acetate Cozaar

ibutilide fumarate Diovan

lidocaine HCL Edarbi

lidocaine HCL IN D5W Micardis

lidocaine HCL/dextrose Teveten

mexiletine HCL

propafenone HCL DIRECT RENIN INHIBITORS

propafenone HCL ER

PREFERRED

quinidine gluconate CR

Tekturna

quinidine gluconate ER

quinidine sulfate

ANTIHYPERTENSIVES MISC.

Quinidine Sulfate ER

GENERIC

PREFERRED

clonidine HCL

Norpace CR

doxazosin

Quinidine Sulfate

doxazosin mesylate

NON PREFERRED

eplerenone

Adenocard

fenoldopam mesylate

Amiodarone HCL

guanfacine HCL

Cordarone

hydralazine HCL

Corvert

methyldopa

Lidocaine HCL

minoxidil

Multaq

phenoxybenzamine hydrochloride

Nexterone

prazosin HCL

Norpace

terazosin HCL

Procainamide HCL

PREFERRED

Quinidine Gluconate

Reserpine

Rythmol

NON PREFERRED

Rythmol SR

Cardura

Tikosyn

Catapres

Xylocaine

Catapres-tts-1

Catapres-tts-2

ACE INHIBITORS

Catapres-tts-3

GENERIC

Corlopam

benazepril HCL

Demser

captopril

Dibenzyline

enalapril maleate

Inspra

enalaprilat

Methyldopate HCL

fosinopril sodium

Minipress

lisinopril

Nitropress

moexipril HCL

Phentolamine Mesylate

perindopril erbumine

Tenex

quinapril HCL

Vecamyl

ramipril

trandolapril

ANTIHYPERTENSIVE COMBO

NON PREFERRED

GENERIC

Accupril

amlodipine besylate/benazepril hydrochloride

Aceon

amlodipine besylate/benazepril HCL

Altace

amlodipine besylate/valsartan

Epaned

amlodipine/valsartan/hctz


8

atenolol/chlorthalidone ethacrynate sodium

benazepril HCL/hydrochlorothiazide furosemide

bisoprolol fumarate/hydrochlorothiazide hydrochlorothiazide

candesartan cilexetil/hydrochlorothiazide indapamide

enalapril maleate/hydrochlorothiazide mannitol

fosinopril sodium/hydrochlorothiazide methazolamide

irbesartan/hydrochlorothiazide metolazone

lisinopril/hydrochlorothiazide spironolactone

losartan potassium/hydrochlorothiazide spironolactone/hydrochlorothiazide

metoprolol/hydrochlorothiazide torsemide

moexipril/hydrochlorothiazide triamterene/hydrochlorothiazide

nadolol/bendroflumethiazide Acetazolamide

quinapril/hydrochlorothiazide Chlorothiazide

telmisartan/amlodipine Chlorthalidone

telmisartan/hydrochlorothiazide Triamterene/Hydrochlorothiazide

trandolapril/verapamil HCL PREFERRED

trandolapril/verapamil HCL ER Furosemide

valsartan/hydrochlorothiazide Methyclothiazide

PREFERRED NON PREFERRED

Azor Aldactazide

Benicar HCT Aldactone

Captopril/Hydrochlorothiazide Bumex

Dutoprol Demadex

Methyldopa/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

Lotrel

dobutamine HCL/D5W

Lytensopril Kit

dobutamine/dextrose 5%

Lytensopril-90 Kit

dopamine HCL

Micardis HCT

dopamine HCL-dextrose 5%

Prestalia

dopamine HCL/dextrose 5%

Tarka

dopamine/D5W

Tekamlo

ephedrine sulfate

Tenoretic 100

midodrine HCL

Tenoretic 50

norepinephrine bitartrate

Teveten HCT

phenylephrine HCL

Twynsta

PREFERRED

Uniretic

Epipen 2-PAK

Vaseretic

Epipen-JR 2-PAK

Zestoretic

NON PREFERRED

Ziac

Adrenalin

Akovaz

DIURETICS

Dopamine HCL

GENERIC Ephedrine Sulfate

acetazolamide Ephedrine Sulfate/Sodium Chloride

acetazolamide sodium Epinephrine

acetazolamide ER Epinephrine HCL

amiloride HCL Episnap

amiloride/hydrochlorothiazide Levophed

bumetanide Northera

chlorothiazide Phenylephrine HCL

chlorothiazide sodium Phenylephrine HCL/Sodium Chloride

chlorthalidone Vazculep


9

ANTIHYPERLIPIDEMICS NON PREFERRED

Adcirca

GENERIC

Bidil

atorvastatin calcium

Caduet

cholestyramine

Corlanor

cholestyramine light

Entresto

colestipol HCL

Flolan

fenofibrate

Muse

fenofibrate micronized

Natrecor

fenofibric acid DR

Orenitram

fluvastatin

Revatio

fluvastatin sodium ER

Tyvaso

gemfibrozil

Tyvaso Refill

lovastatin

Tyvaso Starter

niacin ER

Uptravi

omega-3-acid ethyl esters

Ventavis

pravastatin sodium

rosuvastatin calcium

DERMATOLOGICALS

simvastatin

Fenofibric Acid

ACNE PRODUCTS

PREFERRED

GENERIC

Fibricor

adapalene

Lipofen

adapalene P.M.

Niacor

benzoyl peroxide

Praluent

benzoyl peroxide SHORT contact

Simcor


Vascepa

clindamycin/benzoyl peroxide

Welchol

erythromycin

NON PREFERRED

erythromycin/benzoyl peroxide

Advicor

sodium sulfacetamide

Antara

sodium sulfacetamide/sulfur

Colestid

sodium sulfacetamide/sulfur cleanser

Colestid Flavored

sodium sulfacetamide/sulfur cleansing cloths

Crestor

sodium sulfacetamide/sulfur green

Fenofibrate

sodium sulfacetamide/sulfur w/sunscreen

Fenoglide

sodium sulfacetamide/sulfur wash

Juxtapid

sulfacetamide sodium

Kynamro

sulfacetamide sodium/sulfur

Lescol XL

sulfacetamide sodium/sulfur cleanser

Lofibra

tretinoin

Lopid

tretinoin microsphere

Lovaza

tretinoin microsphere P.M.

Niaspan

PREFERRED

Omega-3/D-3 Wellness Pack

Benzamycinpak

Questran

Clindagel

Questran Light

Retinoic Acid

Repatha

Retinoic Acid-all Trans

Repatha Sureclick

Tretinoin

Tricor

Tretinoin (all-trans Retinoic Acid)

Triglide

NON PREFERRED

Trilipix

Absorica

Zetia

Acanya

Aczone

CARDIOVASCULAR - MISC.

Adapalene

GENERIC

Akne-mycin

amlodipine besylate/atorvastatin calcium

Atralin

epoprostenol sodium

Avar

papaverine HCL

Avar LS

sildenafil

Avar LS Cleanser

sildenafil citrate

Avar-e LS

PREFERRED

Azelex

Adempas

Benzac Ac Wash

Cialis

Benzac W Wash

Letairis

Benzaclin

Opsumit

Benzaclin With P.M.

Remodulin

Benzamycin

Stendra

Benzefoam

Tracleer

Benzefoamultra

Veletri

Benziq

Benziq LS


10

Clarifoam EF Baclofen

Cleocin-t Equipto-baclofen

Clindacin Etz

Clindacin PAC ANTIBIOTICS - TOPICAL

Clindap-t

GENERIC

Clinoin

mupirocin

Dermapak Plus

mupirocin calcium

Differin

PREFERRED

Duac

Centany

Epiduo

Gentamicin Sulfate

Epiduo Forte

NON PREFERRED

Erygel

Altabax

Evoclin

Bactroban

Fabior

Centany AT

Inova

Cortisporin

Inova 4/1 Acne Control Therapy

Neo-synalar

Inova 8/2 Acne Control Therapy

Neo-synalar Kit

Klaron

Neuac Kit

ANTIFUNGALS - TOPICAL

Nuox

GENERIC

Onexton

ciclopirox

Plexion

ciclopirox nail lacquer

Plexion Cleanser

ciclopirox olamine

Plexion Cleansing Cloths

clotrimazole

Prascion Ra With Sunscreens

clotrimazole/betamethasone dipropionate

Retin-a

econazole nitrate

Retin-a Micro

ketoconazole

Retin-a Micro P.M.

naftifine hydrochloride

Riax

nystatin

Rosanil

nystatin/triamcinolone

Rosula

oxiconazole nitrate

Sodium Sulfacetamide/Sulfur

PREFERRED

Sodium Sulfacetamide/Sulfur Cleanser IN Urea

Ala-quin

Sodium Sulfacetamide/Sulfur IN Urea

Exoderm

Sulfoam

NON PREFERRED

Sumadan Kit

Ciclodan Cream Kit

Sumadan Wash

Ciclodan Solution Kit

Sumadan XLT

Ciclopirox Topical Solution Kit

Sumaxin

Cnl8 Nail Kit

Sumaxin CP Kit

Ecoza

Sumaxin Ts

Ertaczo

Sumaxin Wash

Exelderm

Tretin-x

Extina

Triseon

Halotin

Vanoxide-HC

Jublia

Veltin

Kerydin

Zacare 4% Kit

Ketodan Kit

Zacare 8% Kit

Lamisil Spray

Ziana

Loprox

Loprox Shampoo

ROSACEA AGENTS

Lotrisone

GENERIC

Luzu

metronidazole

Mentax

Doxycycline

Naftifine HCL

PREFERRED

Naftin

Finacea

Nizoral

NON PREFERRED

Nyata

Metrocream

Oxistat

Metrogel

Pediaderm AF Complete Kit

Metrolotion

Pedipirox-4 Nail

Mirvaso

Penlac Nail Lacquer

Noritate

Recura

Oracea

Vusion

Rosadan Kit

Xolegel

Soolantra

Xolegel Corepak

Xolegel Duo/Head & Shoulders

ANALGESICS - TOPICAL

Xolegel Duo/Xolex

NON PREFERRED

A.a.g.c. Kit IN Teroderm


11

ANTIVIRALS - TOPICAL ANTISEBORRHEIC AGENTS

GENERIC GENERIC

acyclovir selenium sulfide

NON PREFERRED sodium sulfacetamide

Denavir sodium sulfacetamide wash

Lidovir NON PREFERRED

Xerese Glycolic Acid

Zovirax Glycolic Acid 70% High Purity

Ovace Plus

ANTIHISTAMINES-TOPICAL Ovace Plus Wash

Ovace Wash

NON PREFERRED

Promiseb

Allo-pax

Promiseb Complete

Nazirex

Selrx

Tersi Foam

ANTI-INFLAMMATORY AGENTS

TL Triseb

GENERIC

diclofenac sodium

CORTICOSTEROIDS - TOPICAL

NON PREFERRED

GENERIC

Dermacinrx Lexitral Pharmapak

alclometasone dipropionate

Dipentocaine

augmented betamethasone dipropionate

Dsg PAK

betamethasone dipropionate

Emvoren

betamethasone valerate

Equipto-naproxen

calcipotriene/betamethasone dipropionate

Extardol

clobetasol propionate

Flector

clobetasol propionate emollient

Innoprax-5

desonide

K.b.g.l. IN Teroderm Cream

desoximetasone

Ketorolac 2% Gel

fluocinolone acetonide

Lidoprofen

fluocinonide

Novoclair

fluocinonide-e

Nuvya

flurandrenolide

Pennsaid

fluticasone propionate

Voltaren

halobetasol propionate

Vopac

hydrocortisone

Vopac GB

hydrocortisone acetate/aloe

Vopac Kt

hydrocortisone butyrate

Xrylix

hydrocortisone butyrate (lipid)

Zyvodol

hydrocortisone butyrate (lipophilic)

hydrocortisone valerate

ANTIPRURITICS

hydrocortisone IN absorbase

GENERIC

mometasone furoate

Doxepin Hydrochloride

prednicarbate

NON PREFERRED

triamcinolone acetonide

Prudoxin

Amcinonide

Zonalon

Desoximetasone

Diflorasone Diacetate

ANTIPSORIATICS

PREFERRED

GENERIC

Pramosone

acitretin

Triamcinolone Acetonide

calcipotriene

NON PREFERRED

methoxsalen

Aclovate

Calcitriol

Advanced Allergy Collection Kit

PREFERRED

Ala Scalp

Anthralin

Capex

Dritho-creme HP

Clobex

Stelara

Clocortolone Pivalate

Vectical

Clocortolone Pivalate P.M.

NON PREFERRED

Clodan Kit

Cosentyx

Cloderm

Cosentyx Sensoready Pen

Cloderm P.M.

Dovonex

Cordran

Oxsoralen Ultra

Cordran Tape

Soriatane

Cutivate

Sorilux

Derma Silkrx Sds PAK

Tazorac

Derma-smoothe/FS Body

Zithranol

Derma-smoothe/FS Scalp

Zithranol-rr

Dermasorb HC

8-mop

Dermasorb Ta


12

Dermatop lidocaine

Dermawerx Sds PAK lidocaine HCL

Dermazone lidocaine HCL jelly

Desonate lidocaine-prilocaine-cream base

Desowen lidocaine/prilocaine

Desowen Cream/Cetaphil Lotion lindane

Desowen Lotion/Cetaphil Cream malathion

Desowen Ointment/Cetaphil Lotion permethrin

Diprolene podofilox

Diprolene AF salicylic acid

Elocon salicylic acid cream

Enstilar salicylic acid lotion

Epifoam sodium hyaluronate

First-hydrocortisone urea

Halog urea topical

Kenalog urea IN zinc undecylenate/lactic acid vehicle

Locoid urea 40% nail film

Locoid Lipocream PREFERRED

Luxiq Drysol

Noxipak Eurax

Nucort Lindane

Nuzon NON PREFERRED

Olux Accucaine

Olux-e Acuicyn Daily Eyelid & Eyelash Cleanser

Pandel Alevicyn Antipruritic SG

Pediaderm HC Aluvea

Pediaderm Ta Anacaine

Scalacort DK Arnica Flower

Silazone Pharmapak Atopiclair

Silazone-II Aurstat Anti-itch Hydrogel

Synalar Aurstat Anti-itch Hydrogel Kit

Synalar Cream Kit Avenova

Synalar Ointment Kit Avenova/Neutrox

Synalar Ts Benzoin Compound Tincture

Taclonex Benzoin Tincture

Temovate Boric Acid

Temovate E Ceracade

Texacort Clever Choice Comfort EZ Patch

Topicort Coal TAR

Tri-sila Cocaine HCL

Triamsil Combipak Condylox

Trianex Copasil

Triderma Forte Dermacinrx Duopatch Pharmapak

Ultravate Dermacinrx Neurotral Pharmapak

Ultravate X Dermacinrx Phn PAK

Validerm Dermacinrx Surgical Pharmapak

Vanos Dermacinrx Zrm PAK

Verdeso Dermasorb XM

Westcort Dermawerx Surgical Plus PAK

Eletone

IMMUNOMODULATING AGENTS Eletone Twinpack

Elimite

GENERIC

Emla

imiquimod

Emulsion SB

tacrolimus

Entty Spray Emulsion

PREFERRED

Epiceram

Elidel

Ethyl Chloride

NON PREFERRED

Ethyl Chloride/Fine Pinpoint

Aldara

Ethyl Chloride/Fine Stream

Protopic

Ethyl Chloride/Medium Jet Stream

Zyclara

Ethyl Chloride/Medium Stream

Zyclara P.M.

Ethyl Chloride/Mist

Gebauers Pain Ease

DERMATOLOGICALS - MISC.

Gebauers Spray And Stretch

GENERIC

Genadur

ammonium lactate

Genadur Kit

episone CRE

Gordofilm

lactic acid

Gordons Urea

lactic acid e

Hydro 35

lactic acid w/vitamin e

Hydro 40 Foam


13

Hylatopic Uramaxin GT Kit

Hylatopic Plus Utopic

Hylira Venipuncture Cpi

HPR Veregen

HPR Plus Verrunex

HPR Plus Hydrogel Kit Vexa

HPR Plus/Mb Hydrogel Virasal

IV Infusion Cpi Xerac Ac

Kerafoam Xylocaine

Kerafoam 42

Keralac ENDOCRINE AND METABOLIC

Keralyt

CORTICOSTEROIDS

Keralyt Scalp

GENERIC

Lac-hydrin

betamethasone sodium phosphate/betamethasone acetate

Latrix XM

Ldo Plus

budesonide

Lido-RX 4.1

dexamethasone

Lidocaine And Tetracaine Cream

dexamethasone sodium phosphate

Lidocaine HCL

fludrocortisone acetate

Lidoderm

hydrocortisone

Lidothol

methylprednisolone

Lidotral

methylprednisolone acetate

Lycelle

methylprednisolone dose pack

Mb Hydrogel

methylprednisolone sodiumsuccinate

Medi-derm/L-RX

prednisolone

Megrix

prednisolone sodium phosphate

Natroba

prednisolone sodium phosphate odt

Neosalus

prednisone

Neosalus CP

Dexamethasone Sodium Phosphate

Neuvaxin

PREFERRED

Nivatopic Plus

Cortisone Acetate

Nuvail

Dexamethasone

Ovide

Medrol

Oxsoralen

Millipred

Pharmacist Choice Tsx Patch

Prednisone

Pliaglis

Prednisone Intensol

Pr Cream

NON PREFERRED

Presera

Aristospan Intra-articular

Pruclair

Beta Inject Kit

Prumyx

Betalido

Pyrogallic Acid

Betamethasone SP

Qutenza

Celestone-soluspan

Relyyks

Cortef

Relyyt

Depo-medrol

Salex

Dexamethasone Intensol

Salex Cream

Dexlido

Salex Lotion

Dexlido-m

Salicylic Acid

Dexpak 10 Day

Salicylic Acid IN Ammonium Lactate Vehicle

Dexpak 13 Day

Salkera

Dexpak 6 Day

Salvax

Doubledex

Salvax Duo Plus

Dyural-l

Scar Patch

Dyural-lm

Sinelee

Dyural-40

Sklice

Dyural-80

Solaice

Entocort EC

Soothee

Interarticular Joint Kit

Spinosad

Kenalog-10

Sulfurated Lime

Kenalog-40

Supracil

K10-lido

Synera

K40-lido

Tetrix

LT Injection Kit

Tropazone

Marbeta-l

Ulesfia

Marbeta-25

Ultrasal-ER

Mardex-25

Umecta

Medrol Dosepak

Umecta Nail Film

Methylprednisolone

Umecta PD

Methylprednisolone PF

Uramaxin

Methylprednisolone/Lidocaine

Uramaxin GT


14

Millipred DP Climara

Mlk F4 Kit Combipatch

Orapred Odt Delestrogen

Pediapred Depo-estradiol

Prednisolone Sodium Phosphate Divigel

Pro-c-dure 1 Kit Elestrin

Pro-c-dure 2 Kit Enjuvia

Pro-c-dure 3 Kit Estrace

Pro-c-dure 4 Kit Estradiol

Pro-c-dure 5 Kit Estrasorb

Pro-c-dure 6 Kit Estrogel

Rayos Evamist

Readysharp-k Femhrt Low Dose

Readysharp-p40 Menostar

Readysharp-p80 Minivelle

Solu-cortef Prefest

Solu-medrol Premarin

Triamcinolone Vivelle-dot

Triamcinolone PF

Triamcinolone/Lidocaine CONTRACEPTIVES

Uceris

GENERIC

Veripred 20

desogestrel/ethinyl estradiol

drospirenone/ethinyl estradiol

ANDROGENS-ANABOLIC

levonorgestrel

GENERIC levonorgestrel and ethinyl estradiol

danazol levonorgestrel/ethinyl estradiol

methyltestosterone norethindrone

oxandrolone norethindrone & ethinyl estradiol ferrous fumarate

testosterone cypionate norethindrone acetate/ethinyl estradiol

testosterone enanthate norethindrone acetate/ethinyl estradiol/ferrous fumarate

PREFERRED norgestimate/ethinyl estradiol

Androderm Levonorgestrel

Androgel PREFERRED

Androgel P.M. Natazia

Androxy Necon 1/50-28

NON PREFERRED Necon 10/11-28

Anadrol-50 Norinyl 1+50

Android Nuvaring

Aveed Zovia 1/50e

Depo-testosterone NON PREFERRED

First-testosterone Beyaz

First-testosterone Mc Compounding Kit Brevicon-28

Natesto Cyclessa

Oxandrin Desogen

Striant Ella

Testone Cik Estrostep FE

Testopel Falessa

Testosterone Femcon FE

Testred Generess FE

Loestrin FE 1.5/30

ESTROGENS Loestrin FE 1/20

Loestrin 1.5/30-21

GENERIC

Loestrin 1/20-21

estradiol

Loseasonique

estradiol valerate

LO Loestrin FE

estradiol/norethindrone acetate

Minastrin 24 FE

norethindrone acetate/ethinyl estradiol

Mircette

Estropipate

Modicon

PREFERRED

Nor-QD

Alora

Norinyl 1+35

Climara Pro

Ortho Micronor

Duavee

Ortho Tri-cyclen

Menest

Ortho Tri-cyclen LO

Premphase

Ortho-cept

Prempro

Ortho-cyclen

NON PREFERRED

Ortho-novum 1/35

Activella

Ortho-novum 7/7/7

Angeliq

Ovcon-35

Biest/Progesterone

Quartette

Cenestin


15

Safyral Glucotrol

Seasonique Glucotrol XL

Tri-norinyl 28 Glynase

Yasmin 28 BIGUANIDES

Yaz GENERIC

metformin HCL

PROGESTINS metformin HCL ER

NON PREFERRED

GENERIC

Fortamet

hydroxyprogesterone caproate

Glucophage

medroxyprogesterone acetate

Glucophage XR

megestrol acetate

Glumetza

norethindrone acetate

Riomet

progesterone

MEGLITINIDE ANALOGUES

NON PREFERRED

GENERIC

Aygestin

nateglinide

Makena

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

Korlym

Humalog Mix 50/50 Kwikpen

ALPHA-GLUCOSIDASE INHIBIT

Humalog Mix 75/25

GENERIC

Humalog Mix 75/25 Kwikpen

acarbose

Humulin N

miglitol

Humulin N Kwikpen

NON PREFERRED

Humulin R

Glyset

Humulin R U-500 (concentrated)

Precose

Humulin R U-500 Kwikpen

DPP-4 INHIBITORS

Humulin 70/30

GENERIC

Humulin 70/30 Kwikpen

Alogliptin

Lantus

PREFERRED

Lantus Solostar

Januvia

NON PREFERRED

Onglyza

Afrezza

INSULIN SENSITIZING AGENT

Toujeo Solostar

GENERIC

Tresiba Flextouch

pioglitazone HCL

AMYLIN ANALOGS

NON PREFERRED

NON PREFERRED

Actos

Symlinpen 120

Avandia

Symlinpen 60

ANTIDIABETIC COMBINATIONS

INCRETIN MIMETIC AGENTS

GENERIC

PREFERRED

glipizide/metformin HCL

Bydureon

glyburide/metformin HCL

Byetta

pioglitazone HCL-glimepiride

Trulicity

pioglitazone HCL/metformin HCL

Victoza

Alogliptin/Metformin HCL

SULFONYLUREAS

Alogliptin/Pioglitazone

GENERIC

Repaglinide/Metformin Hydrochloride

glimepiride

PREFERRED

glipizide

Invokamet

glipizide ER

Janumet

glyburide

Janumet XR

glyburide micronized

Kombiglyze XR

tolazamide

Synjardy

Glyburide

NON PREFERRED

Tolazamide

Actoplus Met

PREFERRED

Actoplus Met XR

Chlorpropamide

Appformin

Diabeta

Appformin-d

Tolbutamide

Avandamet

NON PREFERRED

Avandaryl

Amaryl


16

Duetact LHRH/GNRH AGONIST

Glucovance

PREFERRED

Glyxambi

Lupron Depot-PED

Prandimet

Supprelin LA

Synarel

BISPHOSPHONATES

NON PREFERRED

GENERIC Lupaneta Pack

alendronate sodium

ibandronate sodium GNRH/LHRH ANTAGONISTS

pamidronate disodium

PREFERRED

risedronate sodium

Cetrotide

risedronate sodium DR

NON PREFERRED

zoledronic acid

Ganirelix Acetate

PREFERRED

Alendronate Sodium

GROWTH HORMONES

NON PREFERRED

PREFERRED

Actonel

Norditropin Cartridge

Atelvia

Norditropin Flexpro

Binosto

Norditropin Nordiflex Pen

Boniva

Nutropin AQ Nuspin 10

Etidronate Disodium


Fosamax


Fosamax Plus D

Nutropin AQ Pen

Pamidronate Disodium

Saizen

Reclast

Saizen Click.easy

Zoledronic Acid

Serostim

Zometa

NON PREFERRED

Zorbtive

CALCITONINS

GENERIC

GHRH

calcitonin salmon

NON PREFERRED

calcitonin-salmon

Egrifta

NON PREFERRED

Fortical

SOMATOMEDINS

Miacalcin

PREFERRED

Increlex

PARATHYROID HORMONE

PREFERRED

SOMATOSTATIC AGENTS

Forteo

GENERIC

NON PREFERRED

octreotide acetate

Natpara

NON PREFERRED

Sandostatin

RANK LIGAND INHIBITORS

Sandostatin Lar Depot

PREFERRED

Signifor

Prolia

Signifor Lar

Xgeva

Somatuline Depot

HORMONE RECEPTOR MDLTR

GH RECEPTOR ANTAGONISTS

GENERIC

NON PREFERRED

raloxifene hydrochloride

Somavert

NON PREFERRED

Evista

POSTERIOR PITUITARY

Osphena

GENERIC

desmopressin acetate

FERTILITY REGULATORS

vasopressin

GENERIC

NON PREFERRED

chorionic gonadotropin

Ddavp

clomiphene citrate

Pitressin Synthetic

PREFERRED

Stimate

Follistim AQ

Vasostrict

Gonal-f

Gonal-f RFF

CORTICOTROPIN

Gonal-f RFF Rediject

NON PREFERRED

NON PREFERRED

H.p. Acthar

Bravelle

Menopur

PROLACTIN INHIBITORS

Ovidrel

GENERIC

Repronex

cabergoline


17

VASOPRESSIN ANTAGONISTS LAXATIVES

PREFERRED GENERIC

Samsca lactulose

NON PREFERRED peg 3350/electrolytes

Vaprisol peg-3350/electrolytes

peg-3350/NACL/NA bicarbonate/KCL

PROGESTERONE ANTAGONISTS polyethylene glycol 3350

NON PREFERRED

NON PREFERRED

Cascara Sagrada

Mifeprex

Colyte-flavor Packs

Golytely

METABOLIC MODIFIERS

Kristalose

GENERIC

Mineral Oil Heavy

calcitriol

Moviprep

doxercalciferol

Nulytely/Flavor Packs

levocarnitine

Osmoprep

paricalcitol

Pcp 100

sodium phenylbutyrate

Prepopik

PREFERRED

Suclear

Aldurazyme

Suprep Bowel Prep

Carbaglu

Elaprase

ANTIDIARRHEALS

Fabrazyme

GENERIC

Kuvan

diphenoxylate/atropine

Lumizyme

loperamide HCL

Myozyme

opium

Naglazyme

opium tincture

NON PREFERRED

PREFERRED

Ammonul

Diphenoxylate/Atropine

Buphenyl

Paregoric

Carnitor

NON PREFERRED

Carnitor SF

Fulyzaq

Cystadane

Lomotil

Hectorol

Motofen

Kanuma

Restora RX

Myalept

Restora Sprinkles

Orfadin

Rezyst IM

Ravicti

Rezyst SB

Rocaltrol

Vsl#3 DS

Sensipar

Strensiq

ANTACIDS

Vimizim

Xuriden NON PREFERRED

Zemplar Sodium Bicarbonate

THYROID AGENTS ULCER DRUGS

GENERIC GENERIC

levothyroxine sodium atropine sulfate

liothyronine sodium chlordiazepoxide HCL/clidinium bromide

methimazole cimetidine

propylthiouracil cimetidine HCL

NON PREFERRED dicyclomine HCL

Armour Thyroid esomeprazole magnesium

Cytomel esomeprazole sodium

Levothyroxine Sodium famotidine

Nature-throid glycopyrrolate

Nature-throid Nt-2.5 hyoscyamine sulfate

Synthroid hyoscyamine sulfate odt

Tapazole hyoscyamine sulfate ER

Thyrolar-1 hyoscyamine sulfate SR

Thyrolar-1/2 lansoprazole

Thyrolar-1/4 lansoprazole/amoxicillin/clarithromycin

Thyrolar-2 methscopolamine bromide

Thyrolar-3 misoprostol

Tirosint nizatidine

Triostat omeprazole

Westhroid omeprazole/sodium bicarbonate

Wp Thyroid pantoprazole sodium

rabeprazole sodium

GASTROINTESTINAL ranitidine HCL


18

sucralfate Diclegis

Esomeprazole Sodium Dimenhydrinate

Famotidine Emend

Nizatidine Granisol

PREFERRED Marinol

Carafate Sancuso

Dexilant Tigan

Omeclamox-PAK Transderm-scop

Propantheline Bromide Varubi

Pylera Zofran

Symax Duotab Zofran Odt

NON PREFERRED Zuplenz

Aciphex

Aciphex Sprinkle DIGESTIVE AIDS

Anaspaz

PREFERRED

Atropen

Creon

Atropine Sulfate

Pancrelipase

Axid

Zenpep

Belladonna & Opium

NON PREFERRED

Belladonna Alkaloids & Opium

Sucraid

Bentyl

Cantil

GASTROINTESTINAL - MISC.

Cuvposa

GENERIC

Cytotec

alosetron hydrochloride

Deprizine Fusepaq

balsalazide disodium

Esomeprazole Strontium

calcium acetate

Famotidine Premixed

cromolyn sodium

First-lansoprazole

hydrocort ene 100MG

First-omeprazole

hydrocortisone

Gabitidine

hydrocortisone acetate/lidocaine HCL

Gastrinex NF

hydrocortisone acetate/pramoxine

Glycate

lactulose

Levbid

lidocaine HCL/hydrocortisone acetate

Levsin

mesalamine

Levsin/SL

metoclopramide odt

Librax

metoclopramide HCL

Nexium

sulfasalazine

Nexium I.v.

ursodiol

Omeprazole + Syrspend SF Alka

PREFERRED

Pamine

Amitiza

Pamine Forte

Canasa

Pamine FQ

Cimzia

Pepcid

Cimzia Starter Kit

Prevacid

Lialda

Prevacid Solutab

Linzess

Prevpac

Movantik

Prilosec

Proctofoam HC

Protonix

Relistor

Robinul

Remicade

Robinul Forte

Renvela

Scopolamine Hydrobromide

Sevelamer Carbonate

Sentradine

Sfrowasa

Zantac

NON PREFERRED

Zegerid

Actigall

Analpram Advanced

ANTIEMETICS

Analpram-HC

GENERIC

Analpram-HC Singles

dronabinol

Anusol-HC

granisetron HCL

Auryxia

meclizine HCL

Azulfidine

ondansetron odt

Azulfidine EN-TABS

ondansetron HCL

Chenodal

trimethobenzamide HCL

Cholbam

PREFERRED

Colazal

Aloxi

Cortenema

NON PREFERRED

Cortifoam

Akynzeo

Dexpanthenol

Anzemet

Dipentum

Cesamet

Eliphos


19

Entereg Toviaz

Entyvio Urecholine

Fosrenol

Gastrocrom VAGINAL PRODUCTS

Gattex

GENERIC

Giazo


Lidocaine HCL-hydrocortisone Acetate With Aloe

metronidazole vaginal

Lotronex

terconazole

Metoclopramide Odt

PREFERRED

Metozolv Odt

Premarin

Pentasa

NON PREFERRED

Phoslo

Avc

Phoslyra

Cleocin

Procort

Clindesse

Proctocort

Crinone

Rectiv

Endometrin

Reglan

Estrace

Renagel

Estring

Rowasa

Fem PH

Uceris

Femring

Urso Forte

First-progesterone VGS 100 Compounding Kit

Urso 250


Velphoro


Viberzi



GENITOURINARY

Gynazole-1

Metrogel-vaginal

URINARY ANTI-INFECTIVES

Nuvessa

GENERIC

Relagard

methenamine hippurate

Terazol 3

methenamine mandelate

Terazol 7

nitrofurantoin

Vagifem

nitrofurantoin macrocrystals

nitrofurantoin monohydrate

GENITOURINARY - MISC.

nitrofurantoin monohydrate/macrocrystals

GENERIC

PREFERRED

alfuzosin HCL ER

Methenamine Mandelate

citric acid/sodium citrate

NON PREFERRED

dutasteride

Furadantin

dutasteride/tamsulosin hydrochloride

Hiprex

dutasteride/tamsulosin HCL

Macrobid

finasteride

Macrodantin

phenazopyridine HCL

Monurol

potassium citrate ER

Uretron D/S

potassium citrate-citric acid crystals

Urimar-t

potassium citrate/citric acid

Urogesic-blue

potassium citrate/sodium citrate/citric acid

sodium citrate/citric acid

URINARY ANTISPASMODICS

tamsulosin HCL

GENERIC

tricitrates

bethanechol chloride

PREFERRED

darifenacin hydrobromide ER

Cytra-3

darifenacin ER

Elmiron

flavoxate HCL

Rapaflo

oxybutynin chloride

NON PREFERRED

oxybutynin chloride ER

Avodart

tolterodine tartrate

Cardura XL

tolterodine tartrate ER

Cystagon

trospium chloride

Flomax

trospium chloride ER

Jalyn

PREFERRED

K-phos NO 2

Gelnique

Lithostat

Vesicare

Oracit

NON PREFERRED

Procysbi

Detrol

Proscar

Detrol LA

Pyridium

Ditropan XL

Shohls Solution Modified

Enablex

Thiola

Myrbetriq

Urocit-k 10

Oxytrol

Urocit-k 15

Sanctura


20

Urocit-k 5 Is 24/6

Uroxatral Leukine

Maxaron Forte

HEMATOLOGICAL Maxfe

Mircera

HEMATOPOIETIC AGENTS

Multigen

GENERIC

Multigen Folic

cyanocobalamin

Multigen Plus

folic acid

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

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

sodium ferric gluconate complex/sucrose

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

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

Nascobal

PREFERRED

Natalvirt Flt

Cerezyme

Nephron Fa

Folitab 500

Neulasta

Granix

Neulasta Onpro Kit

Mozobil

Novaferrum

Neumega

Nufera

Neupogen

Omontys

Nplate

Pre-folic

Procrit

Proferrin-forte

NON PREFERRED

Promacta

Abaneu-SL

Protectiron

Albafort

Tandem F

Animi-3

Tandem Plus

Animi-3/Vitamin D

Triferic

B-12 Kit

Venofer

B-6 Folic Acid

Vpriv

Biferarx

Zavesca

Cenfol

Centratex

ANTICOAGULANTS

Cerdelga

GENERIC

Ciferex

argatroban

Corvite 150

bivalirudin

Dermacinrx Purefolix

enoxaparin sodium

Divista

fondaparinux sodium

Droxia

heparin lock

Ed Cyte F

heparin lock flush

Elelyso

heparin lock flush for flushing vascular access devices

Feraheme

heparin lock flush/NACL for flushing vascular access devices

Feriva

Feriva 21/7

heparin sodium

Ferivafa

heparin sodium dcu

Ferralet 90

heparin sodium lock flush

Ferrex 150 Forte Plus

heparin sodium/sodium chloride 0.9% premix

Ferrex 28

heparin sodium/D5W

Ferrlecit

heparin sodium/NACL 0.9%

Ferro-plex Hematinic

warfarin sodium

Ferrotrin

PREFERRED

Focalgin Dss

Pradaxa

Folgard RX

Xarelto

Folic Acid

Xarelto Starter Pack

Folivane-f

NON PREFERRED

Folivane-plus

Angiomax

Folixapure

Argatroban

Foltrate

Arixtra

Fusion Plus

Coumadin

Fusion Sprinkles

Defitelio

Hematogen Fa

Eliquis

Hematron-AF

Fragmin

Hemocyte Plus

Heparin Lock Flush

Hemocyte-f

Heparin Sodium

Hydroxocobalamin

Heparin Sodium/D5W

Icar-c Plus

Heparin Sodium/NACL 0.45%

Infed

Heparin Sodium/Sodium Chloride 0.9%

Injectafer

Iprivask

Integra F

Lovenox

Integra Plus

Savaysa

Irospan 24/6


21

HEMOSTATICS Helixate FS

Hespan

GENERIC

Hextend

aminocaproic acid

Integrilin

tranexamic acid

Ixinity

NON PREFERRED

Kalbitor

Amicar

Kengreal

Aminocaproic Acid

Kinlytic

Artiss

Kogenate FS

Astringyn

Kogenate FS Bio-set

Cyklokapron

Kovaltry

Evicel

LMD 10% Dextrose 5%

Evithrom

LMD 10% Sodium Chloride 0.9%

Lysteda

Novoeight

Recothrom

Nuwiq

Recothrom Spray Kit

Persantine

Thrombin-jmi Diluent

Plavix

Thrombin-jmi Epistaxis

Pletal

Thrombin-jmi Syringe Spray Kit

Protamine Sulfate

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

Reopro

Thrombogen

Tnkase

Tisseel

Voluven

Tisseel VH

Xyntha

Xyntha Solofuse

HEMATOLOGICAL - MISC.

Zontivity

GENERIC

anagrelide hydrochloride

MOUTH/THROAT/DENTAL AGENT

cilostazol

clopidogrel

dipyridamole GENERIC

eptifibatide cevimeline HCL

hetastarch 6%/NACL chlorhexidine gluconate

pentoxifylline ER chlorhexidine gluconate oral rinse

ticlopidine HCL clotrimazole

Aspirin/Dipyridamole lidocaine viscous

PREFERRED lidocaine HCL viscous

Advate nystatin

Alphanate/Von Willebrand Factor Complex/Human pilocarpine hydrochloride

Alphanine SD pilocarpine HCL

Bebulin stannous fluoride oral rinse

Benefix triamcinolone acetonide

Berinert triamcinolone IN orabase

Brilinta NON PREFERRED

Cinryze Aquoral

Corifact Caphosol

Effient Debacterol

Feiba Evoxac

Feiba NF First-bxn Mouthwash

Firazyr First-dukes Mouthwash

Hemofil M First-marys Mouthwash

Humate-p First-mouthwash Blm

Koate-dvi Gel-kam Oral Care Rinse

Monoclate-p Gelclair

Mononine Lidocaine HCL

Novoseven Nafrinse Daily/Acidulated

Novoseven Rt Nafrinse Daily/Neutral

Profilnine Nafrinse Weekly

Profilnine SD Neutrasal

Recombinate Numoisyn

Riastap Orafate

Soliris Oravig

Ticlopidine HCL Peridex

Wilate Prevident

NON PREFERRED Prothelial

Activase Salagen

Aggrastat Salivamax

Aggrenox Salivate RX

Agrylin

Cathflo Activase NEUROLOGY, CNS, PSYCH

Durlaza


22

ANTIANXIETY AGENTS Doxepin HCL

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

Effexor XR

Hydroxyzine Pamoate

Elavil

NON PREFERRED

Emsam

Alprazolam Intensol

Fetzima

Ativan

Fetzima Titration Pack

Gabavale-5

Gaboxetine

Gabazolamine

Irenka

Gabazolamine-0.5

Khedezla

Hydroxyzine HCL

Lexapro

Niravam

Luvox CR

Sentrazolam AM 0.25

Marplan

Tranxene T

Nardil

Valium

Norpramin

Vistaril

Oleptro

Xanax

Pamelor

Xanax XR

Parnate

Paxil CR

ANTIDEPRESSANTS

Pexeva

GENERIC

Prozac

amitriptyline HCL

Prozac Weekly

bupropion HCL

Remeron

bupropion HCL ER

Remeron Soltab

bupropion HCL SR

Sentraflox AM-10

bupropion HCL XL

Sentralopram AM-10

citalopram hydrobromide

Sentravil PM-25

clomipramine HCL

Sentroxatine

desipramine HCL

Surmontil

doxepin HCL

Tofranil

duloxetine HCL

Tofranil-PM

escitalopram oxalate

Trazamine

fluoxetine DR

Trintellix

fluoxetine HCL

Viibryd

fluvoxamine maleate

Viibryd Starter Pack

fluvoxamine maleate ER

Vivactil

imipramine pamoate

Wellbutrin

imipramine HCL

Wellbutrin SR

mirtazapine

Wellbutrin XL

mirtazapine odt

Zoloft

nefazodone HCL

nortriptyline HCL

ANTIPSYCHOTICS

paroxetine HCL

GENERIC

paroxetine HCL ER

aripiprazole

phenelzine sulfate

chlorpromazine HCL

protriptyline HCL

clozapine

sertraline HCL

clozapine odt

tranylcypromine sulfate

fluphenazine decanoate

trazodone HCL

fluphenazine HCL

trimipramine maleate

haloperidol

venlafaxine HCL

haloperidol decanoate

venlafaxine HCL ER

haloperidol lactate

Amoxapine


23

lithium carbonate zaleplon

lithium carbonate ER zolpidem tartrate

loxapine zolpidem tartrate ER

loxapine succinate Flurazepam HCL

olanzapine Phenobarbital

olanzapine odt Quazepam

paliperidone ER Triazolam

perphenazine NON PREFERRED

prochlorperazine Ambien

prochlorperazine edisylate Ambien CR

prochlorperazine maleate Amytal Sodium

quetiapine fumarate Belsomra

risperidone Butisol Sodium

risperidone odt Doral

thioridazine HCL Edluar

thiothixene Gabazolpidem-5

trifluoperazine HCL Halcion

ziprasidone HCL Hetlioz

Aripiprazole Odt Intermezzo

Clozapine Odt Lunesta

PREFERRED Nembutal Sodium

Abilify Discmelt Phenobarbital Sodium

Fluphenazine HCL Precedex

Saphris Restoril

Seroquel XR Rozerem

NON PREFERRED Seconal

Abilify Seconal Sodium

Abilify Maintena Sentrazolpidem PM-5

Adasuve Silenor

Aristada Sonata

Chlorpromazine HCL Strazepam

Clozaril Zolpimist

Compazine

Equetro ADHD, NARCOLEPSY, ETC.

Fanapt

GENERIC

Fanapt Titration Pack

amphetamine/dextroamphetamine

Fazaclo

armodafinil

Geodon

caffeine citrate

Haldol

clonidine HCL ER

Haldol Decanoate 100

dexmethylphenidate HCL

Haldol Decanoate 50

dexmethylphenidate HCL ER

Invega

dextroamphetamine sulfate

Invega Sustenna

dextroamphetamine sulfate ER

Invega Trinza

doxapram HCL

Latuda

guanfacine ER

Lithium

methamphetamine HCL

Lithium Carbonate

methylphenidate hydrochloride

Lithobid

methylphenidate HCL

Loxitane

methylphenidate HCL CD

Molindone Hydrochloride

methylphenidate HCL ER

Rexulti

methylphenidate HCL SR

Risperdal

modafinil

Risperdal Consta

Methylphenidate HCL ER

Risperdal M-TAB

PREFERRED

Seroquel

Strattera

Versacloz

Vyvanse

Zyprexa

NON PREFERRED

Zyprexa Relprevv

Adderall

Zyprexa Zydis

Adderall XR

Adzenys XR-odt

HYPNOTICS

Aptensio XR

GENERIC Cafcit

dexmedetomidine HCL Caffeine/Sodium Benzoate

estazolam Concerta

eszopiclone Daytrana

flurazepam HCL Desoxyn

phenobarbital Dexedrine

temazepam Dopram

triazolam Dyanavel XR


24

Evekeo Dilantin

Focalin Dilantin Infatabs

Focalin XR Dilantin-125

Intuniv Fanatrex Fusepaq

Kapvay Felbatol

Metadate CD Fycompa

Methylin Gabitril

Nuvigil Keppra

Procentra Keppra XR

Provigil Klonopin

Quillichew ER Lamictal Odt

Quillivant XR Lamictal XR

Ritalin Levetiracetam

Ritalin LA Mysoline

Ritalin SR Neurontin

Sentramodafin AM-100 Onfi

Zenzedi Oxtellar XR

Peganone

ANTICONVULSANTS Phenytek

Potiga

GENERIC

Qudexy XR

carbamazepine

Sabril

carbamazepine ER

Spritam

clonazepam

Stavzor

clonazepam odt

Tegretol

divalproex sodium

Tegretol-XR

divalproex sodium DR

Therapentin-60

divalproex sodium ER

Therapentin-90

ethosuximide

Topamax

felbamate

Topamax Sprinkle

fosphenytoin sodium

Topiramate ER

gabapentin

Trileptal

lamotrigine

Trokendi XR

lamotrigine odt

Vimpat

lamotrigine titration

Zarontin

lamotrigine ER

Zonegran

levetiracetam

levetiracetam ER

ANTIPARKINSON AGENTS

oxcarbazepine

phenytoin GENERIC

phenytoin sodium amantadine HCL

phenytoin sodium extended benztropine mesylate

primidone bromocriptine mesylate

tiagabine hydrochloride carbidopa

topiramate carbidopa/levodopa

valproate sodium carbidopa/levodopa odt

valproic acid carbidopa/levodopa ER

zonisamide entacapone

PREFERRED pramipexole dihydrochloride

Diastat Acudial pramipexole dihydrochloride ER

Diastat Pediatric ropinirole ER

Diazepam ropinirole HCL

Lamictal selegiline HCL

Lamictal Chewable Dispersible tolcapone

Lamictal Starter/Not Taking Carbamazepine trihexyphenidyl HCL

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate

Carbidopa/Levodopa/Entacapone

PREFERRED

Lamictal Starter/Taking Valproate

Apokyn

Lyrica

NON PREFERRED

NON PREFERRED

Amantadine HCL

Aptiom

Azilect

Banzel

Cogentin

Carbatrol

Comtan

Celontin

Duopa

Cerebyx

Eldepryl

Depacon

Lodosyn

Depakene

Mirapex

Depakote

Mirapex ER

Depakote ER

Neupro

Depakote Sprinkles

Parlodel


25

Requip Savella Titration Pack

Requip XL Smartrx Gaba Kit

Rytary Smartrx Gaba-v Kit

Sinemet Symbyax

Sinemet CR Tysabri

Stalevo 100 Xenazine

Stalevo 125 Xyrem

Stalevo 150

Stalevo 200 NEUROMUSCULAR AGENTS

Stalevo 50

GENERIC

Stalevo 75

atracurium besylate

Tasmar

cisatracurium besylate

Zelapar

pancuronium bromide

riluzole

NEUROLOGY, PSYCH - MISC.

rocuronium bromide

GENERIC vecuronium bromide

acamprosate calcium DR PREFERRED

disulfiram Botox

donepezil HCL NON PREFERRED

ergoloid mesylates Anectine

galantamine hydrobromide Dysport

glatopa Myobloc

memantine hydrochloride Nimbex

memantine HCL Quelicin

memantine HCL titration PAK Quelicin 1000

olanzapine/fluoxetine Rilutek

pimozide Succinylcholine Chloride

rivastigmine tartrate Xeomin

rivastigmine transdermal system Zemuron

tetrabenazine

Ergoloid Mesylates MUSCULOSKELETAL AGENTS

Galantamine Hydrobromide

GENERIC

PREFERRED

baclofen

Ampyra

carisoprodol

Avonex

carisoprodol/aspirin

Avonex Pen

carisoprodol/aspirin/codeine

Chlordiazepoxide/Amitriptyline

chlorzoxazone

Copaxone

cyclobenzaprine HCL

Namenda XR

dantrolene sodium

Namenda XR Titration Pack

metaxalone

Perphenazine/Amitriptyline

methocarbamol

Plegridy

orphenadrine citrate

Plegridy Starter Pack

orphenadrine citrate ER

Tecfidera

tizanidine HCL

Tecfidera Starter Pack

Metaxalone

NON PREFERRED

Orphenadrine/Asa/Caffeine

Antabuse

PREFERRED

Aricept

Euflexxa

Aricept Odt

Gablofen

Aubagio

Lioresal Intrathecal

Brisdelle

Synvisc

Campral

Synvisc One

Convenience PAK

NON PREFERRED

Exelon

Amrix

Fluoxetine

Cyclobenzaprine Comfort PAC

Gilenya

Dantrium

Gralise

Dantrium IV

Gralise Starter

Fexmid

Horizant

Flexepax

Lemtrada

Gel-one

Namenda

Genvisc 850

Namenda Titration PAK

Hyalgan

Namzaric

Lorvatus Pharmapak

Nuedexta

Lorzone

Orap

Monovisc

Razadyne

Norflex

Razadyne ER

Orthovisc

Sarafem

Parafon Forte DSC

Savella

Prazolamine


26

Robaxin ARTIFICIAL TEAR/LUBRICANT

Robaxin-750

NON PREFERRED

Ryanodex

Lacrisert

Skelaxin

Soma

BETA-BLOCKERS

Supartz

GENERIC

Supartz Fx

betaxolol HCL

Tabradol Fusepaq

carteolol HCL

Therabenzaprine-60

dorzolamide HCL/timolol maleate

Therabenzaprine-90

levobunolol HCL

Therabenzaprine-90-5

timolol maleate

Tizanidine Comfort PAC

timolol maleate ophthalmic gel forming

Zanaflex

Metipranolol

PREFERRED

ANTIMYASTHENIC AGENTS

Betoptic-s

GENERIC

Combigan

neostigmine methylsulfate

Levobunolol HCL

pyridostigmine bromide

Timoptic Ocudose

PREFERRED

NON PREFERRED

Guanidine HCL

Betagan

NON PREFERRED

Betimol

Bloxiverz

Cosopt

Enlon

Cosopt PF

Enlon-plus

Istalol

Mestinon

Timoptic

Mestinon Timespan

Timoptic-xe

Neostigmine Methylsulfate

Regonol

OPHTHALMIC STEROIDS

GENERIC

OPHTHALMOLOGY AND OTIC

dexamethasone sodium phosphate

ANTI-INFECTIVES fluorometholone

neomycin/polymyxin/bacitracin/hydrocortisone

GENERIC

neomycin/polymyxin/dexamethasone

bacitracin/polymyxin b

prednisolone acetate

ciprofloxacin HCL

sulfacetamide sodium/prednisolone sodium phosphate

erythromycin

tobramycin/dexamethasone

gatifloxacin

PREFERRED

gentamicin sulfate

Dexamethasone Sodium Phosphate

levofloxacin

FML

neomycin/bacitracin/polymyxin

FML Forte

neomycin/polymyxin/bacitracin zinc

Pred Mild

neomycin/polymyxin/gramicidin

Prednisolone Sodium Phosphate

ofloxacin

NON PREFERRED

polymyxin b sulfate/trimethoprim sulfate

Alrex

sodium sulfacetamide

Blephamide

sulfacetamide sodium

Blephamide S.o.p.

tobramycin sulfate

Durezol

trifluridine

Flarex

trimethoprim sulfate/polymyxin b sulfate

FML Liquifilm

PREFERRED

Lotemax

Bacitracin

Maxidex

Moxeza

Maxitrol

Natacyn

Neomycin/Polymyxin/Hydrocortisone

Sulfacetamide Sodium

Omnipred

Vigamox

Pred Forte

NON PREFERRED

Pred-G

Azasite

Pred-G S.o.p.

Besivance

Tobradex

Betadine Ophthalmic Prep

Tobradex ST

Bleph-10

Vexol

Ciloxan

Zylet

Garamycin

Mitosol

PROSTAGLANDINS

Neosporin

Ocuflox GENERIC

Polytrim latanoprost

Tobrex Bimatoprost

Viroptic PREFERRED

Zirgan Lumigan

Zymaxid Travatan Z


27

Travoprost Pataday

NON PREFERRED NON PREFERRED

Xalatan Acular

Acular LS

CYCLOPLEGIC MYDRIATICS Acuvail

Alocril

GENERIC

Alomide

atropine sulfate

Bepreve

cyclopentolate hydrochloride

Bromfenac

cyclopentolate HCL

Cystaran

homatropine HBR

Elestat

PREFERRED

Emadine

Atropine Sulfate

Ilevro

Isopto Homatropine

Lastacaft

NON PREFERRED

Nevanac

Cyclogyl

Ocufen

Cyclomydril

Optivar

Isopto Atropine

Patanol

Isopto Hyoscine

Pazeo

Prolensa

DECONGESTANTS

Trusopt

GENERIC

phenylephrine HCL

OTIC AGENTS

PREFERRED

GENERIC

Naphazoline HCL

acetic acid

antipyrine/benzocaine

MIOTICS

fluocinolone acetonide

GENERIC

fluocinolone acetonide ear drops

pilocarpine HCL

hydrocortisone/acetic acid

PREFERRED

neomycin/polymyxin/hydrocortisone

Isopto Carbachol

neomycin/polymyxin/HC

Phospholine Iodide

ofloxacin

NON PREFERRED

PREFERRED

Isopto Carpine

Acetic Acid/Aluminum Acetate

Pramotic

ADRENERGIC AGENTS

NON PREFERRED

GENERIC

Antipyrine/Benzocaine

apraclonidine

Cetraxal

brimonidine tartrate

Cipro HC

PREFERRED

Ciprodex

Alphagan P

Ciprofloxacin

NON PREFERRED

Coly-mycin S

Iopidine

Cortisporin-tc

Simbrinza

Dermotic

Otiprio

IMMUNOMODULATORS

Otozin

NON PREFERRED

Vosol HC

Restasis

OXYTOCICS

LOCAL ANESTHETICS

GENERIC

GENERIC

proparacaine HCL

methylergonovine maleate

tetracaine HCL

oxytocin

NON PREFERRED

NON PREFERRED

Akten

Cervidil

Alcaine

Hemabate

Oxytocin/Lactated Ringers

OPHTHALMICS - MISC.

Pitocin

GENERIC

Prepidil

azelastine HCL

Prostin E2

bromfenac

cromolyn sodium

PAIN MANAGEMENT

diclofenac sodium

ANALGESICS - NONNARCOTIC

dorzolamide HCL

GENERIC

epinastine HCL

butalbital/acetaminophen

flurbiprofen sodium

butalbital/acetaminophen/caffeine

ketorolac tromethamine

butalbital/aspirin/caffeine

olopatadine HCL

choline magnesium trisalicylate

PREFERRED

diflunisal

Azopt


28

salsalate Zubsolv

PREFERRED NON PREFERRED

Choline Magnesium Trisalicylate Actiq

Dologesic Alfenta

Prialt Avinza

NON PREFERRED Belbuca

Allzital Bunavail

Bupap Buprenex

Disalcid Butrans

Equagesic Capital/Codeine

Esgic Codeine Sulfate

Fioricet Conzip

Fiorinal Demerol

Levacet Dilaudid

Ofirmev Dilaudid-HP

Vanatol LQ Dolophine

Duragesic

ANALGESICS - OPIOID Exalgo

Fentanyl Citrate

GENERIC

Fentanyl Citrate/Sodium Chloride

acetaminophen/caffeine/dihydrocodeine

Fioricet/Codeine

acetaminophen/codeine

Fiorinal/Codeine #3

acetaminophen/codeine #2

Hycet


Hydromorphone HCL/NACL


Ibudone

acetaminophen/codeine phosphate

Infumorph 200

alfentanil

Infumorph 500

buprenorphine HCL

Ionsys

buprenorphine HCL/naloxone HCL

Lazanda

butalbital/acetaminophen/caffeine/codeine

Levorphanol Tartrate

butalbital/aspirin/caffeine/codeine

Lortab

butorphanol tartrate

Meperidine HCL

codeine sulfate

Methadone HCL

fentanyl

Methadose

fentanyl citrate oral transmucosal

Methadose Sugar-free

hydrocodone bitartrate/acetaminophen

Morphine Sulfate Add-vantage

hydrocodone/acetaminophen

Morphine Sulfate/Sodium Chloride

hydrocodone/ibuprofen

MS Contin

hydromorphone HCL

Norco

hydromorphone HCL dosette

Nucynta

hydromorphone HCL ER

Opana

meperidine HCL

Oxaydo

methadone HCL

Percocet

morphine sulfate

Percodan

morphine sulfate ER

Primlev

nalbuphine HCL

Probuphine Implant Kit

oxycodone hydrochloride

Reprexain

oxycodone HCL

Roxicet

oxycodone/acetaminophen

Roxicodone

oxycodone/aspirin

Subsys

oxycodone/ibuprofen

Synalgos-dc

oxymorphone hydrochloride

Synapryn Fusepaq

oxymorphone hydrochloride ER

Talwin

pentazocine/naloxone HCL

Theracodeine-300

tramadol hydrochloride/acetaminophen

Theracodophen-325

tramadol HCL

Theratramadol-60

tramadol HCL ER

Theratramadol-90

Aspirin-caffeine-dihydrocodeine

Tramadol HCL ER

Fentanyl

Trezix

Hydrocodone/Acetaminophen

Tylenol/Codeine #3

Hydromorphone HCL ER

Tylenol/Codeine #4

Hydromorphone HCL/Sodium Chloride

Ultiva

Morphine Sulfate

Ultracet

Morphine Sulfate ER

Ultram

Oxycodone HCL ER

Ultram ER

PREFERRED

Vicoprofen

Hydromorphone HCL

Xartemis XR

Opana ER (crush Resistant)

Xodol

Oxycontin

Zamicet

Suboxone


29

ANTI-INFLAMMATORY Indomethacin Sodium

IC 400

GENERIC

IC 800

celecoxib

Ketorocaine-l

diclofenac potassium

Ketorocaine-lm

diclofenac sodium DR

Ketorolac Tromethamine

diclofenac sodium ER

Kineret

diclofenac sodium/misoprostol

Meloxicam Comfort PAC

etodolac

Mobic

etodolac ER

Nalfon

flurbiprofen

Naprelan

ibuprofen

Naprosyn

ibuprofen lysine

Naproxen Comfort PAC

indomethacin

Neoprofen

indomethacin ER

Orencia

ketoprofen

Otezla

ketorolac tromethamine

Otrexup

leflunomide

Ponstel

mefenamic acid

Prastera

meloxicam

Previdolrx Analgesic PAK

nabumetone

Rheumatrex

naproxen

Ridaura

naproxen sodium

Sprix

naproxen sodium CR

Therafeldamine

naproxen sodium ER

Theraprofen-60

oxaprozin

Theraprofen-800

piroxicam

Theraprofen-90

sulindac

Theraproxen-500

tolmetin sodium

Theraproxen-60

Meclofenamate Sodium

Theraproxen-90

Naproxen

Tivorbex

Tolmetin Sodium

Trepadiclofen-25

PREFERRED

Trepoxicam-7.5

Fenoprofen Calcium

Vivlodex

Humira

Voltaren-XR

Humira Pediatric Crohns Disease Starter Pack

Xeljanz

Humira Pen

Xeljanz XR

Humira Pen-crohns Diseasestarter

Zipsor

Humira Pen-psoriasis Starter

Ilaris

MIGRAINE PRODUCTS

Ketoprofen ER

Meloxicam GENERIC

Rasuvo almotriptan malate

Simponi dihydroergotamine mesylate

Simponi Aria frovatriptan succinate

NON PREFERRED naratriptan HCL

Actemra rizatriptan benzoate

Anaprox DS rizatriptan benzoate odt

Arava sumatriptan succinate

Arcalyst sumatriptan succinate refill

Arthrotec 50 zolmitriptan

Arthrotec 75 zolmitriptan odt

Caldolor Dihydroergotamine Mesylate

Capxib Kit Sumatriptan Succinate

Cataflam PREFERRED

Celebrex Sumatriptan

Daypro Zomig Nasal Spray

Derma Silkrx Anodynexa PAK NON PREFERRED

Derma Silkrx Diclopak Alsuma

Dermacinrx Inflammatral PAK Amerge

Dyloject Axert

Enbrel Cafergot

Enbrel Sureclick Cambia

EC-naprosyn D.h.e. 45

Feldene Ergomar

Fenortho Frova

Flanax Pain Relief Kit Imitrex

Ibuprofen Comfort PAC Imitrex Statdose Refill

Indocin Imitrex Statdose System

Indomethacin Maxalt


30

Maxalt-MLT Xylocaine-mpf/Epinephrine

Migergot Xylocaine/Epinephrine

Migral

Migranal RESPIRATORY, ALLERGY, ETC

Migranow

ANTIHISTAMINES

Relpax

GENERIC

Sumavel Dosepro

carbinoxamine maleate

Treximet

cetirizine HCL

Zembrace Symtouch

clemastine fumarate

Zomig

cyproheptadine HCL

Zomig ZMT

desloratadine

diphenhydramine HCL

GOUT AGENTS

levocetirizine dihydrochloride

GENERIC

promethazine HCL

allopurinol

promethazine HCL plain

probenecid

Clemastine Fumarate

probenecid/colchicine

Desloratadine Odt

PREFERRED

PREFERRED

Colcrys

Allegra Allergy Childrens

Uloric

Dexchlorpheniramine Maleate

NON PREFERRED

NON PREFERRED

Aloprim

Brompheniramine

Colchicine

Brompheniramine Tannate

Krystexxa

Clarinex

Mitigare

Dicopanol Fusepaq

Zyloprim

Karbinal ER

Phenergan

LOCAL ANESTHETICS-INJ

Respa-BR

GENERIC

Xyzal

bupivacaine HCL

bupivacaine/epinephrine

NASAL AGENTS

chloroprocaine HCL

GENERIC

lidocaine HCL

azelastine HCL

lidocaine/epinephrine

budesonide

ropivacaine

flunisolide

ropivacaine HCL

fluticasone propionate

Tetracaine HCL

ipratropium bromide

NON PREFERRED

mometasone furoate

Articadent Dental

olopatadine HCL

BD Pudendal/Local Block Tray 1% Lidocaine

triamcinolone acetonide

Carbocaine

PREFERRED

Citanest Forte Dental

Dymista

Citanest Plain Dental

NON PREFERRED

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

Adrenalin

Astepro

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

Atrovent

Bactroban Nasal

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

Beconase AQ

Dermacinrx Azenase PAK

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

Dermacinrx Ticanase PAK

Exparel Flonase

Lidocaine HCL/Dextrose Nasonex

Marcaine Omnaris

Marcaine/Epinephrine Patanase

Marlido-25 Qnasl

Monoject Bone Marrow Biopsy Prepping Tray Qnasl Childrens

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

Rhinocort Aqua

Tyzine

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

Tyzine Pediatric Nasal Drops

Veramyst

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

Zetonna

Naropin

COUGH/COLD/ALLERGY

Nesacaine

GENERIC

Nesacaine-mpf

acetylcysteine

Readysharp-a

benzonatate

Sensorcaine-mpf/Epinephrine

bromphen/pseudoephedrine HCL/dextromethorphan HBR

Turkel Paracentesis Procedure Tray/8french

hydrocodone bitartrate/chlorpheniramine maleate/PSE

Xylocaine

hydrocodone bitartrate/homatropine methylbromide

Xylocaine-mpf


31

hydrocodone polistirex/chlorpheniramine polistirex theophylline CR

hydrocodone/homatropine theophylline ER

phenylephrine/guaifenesin zafirlukast

promethazine-DM Cromolyn Sodium

promethazine/codeine PREFERRED

promethazine/dextromethorphan Advair Diskus

promethazine/phenylephrine Advair HFA

promethazine/phenylephrine/codeine Anoro Ellipta

sodium chloride Arnuity Ellipta

PREFERRED Breo Ellipta

Dallergy Combivent Respimat

J-max Elixophyllin

Mucinex Maximum Strength Flovent Diskus

Promethazine/Phenylephrine Flovent HFA

NON PREFERRED Foradil Aerolizer

Carbaphen 12 Incruse Ellipta

Carbaphen 12 PED Metaproterenol Sulfate

Clarinex-d 12 HOUR Proair HFA

Codar AR Proair Respiclick

Cpb Wc Pulmicort Flexhaler

Decon-a Serevent Diskus

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL

Spiriva Handihaler

Spiriva Respimat

Exactuss

Stiolto Respimat

Flowtuss

Symbicort

Gilphex TR

Ventolin HFA

Giltuss

Xolair

Giltuss PED-c

NON PREFERRED

Giltuss TR

Accolate

Hycofenix

Aerospan

Hyper-sal

Arcapta Neohaler

Hypersal

Atrovent HFA

Nebusal

Brovana

Neotuss Plus

Daliresp

Obredon

Duoneb

Panatuss Dxp

Isuprel

Pediatex TD

Lufyllin

Pediatex TDM

Nucala

Relhist

Perforomist

Rescon-JR

Pulmicort

Rescon-MX

Pulmophylline

Rezira

Singulair

Semprex-d

Striverdi Respimat

Suttar-SF

Theo-24

Suttar-2

Theophylline/D5W

Tessalon Perles

Utibron Neohaler

Tussicaps

Vospire ER

Tussionex Pennkinetic Extended Release

Xopenex

Tuzistra XR

Xopenex Concentrate

Vituz

Zyflo

Zonatuss

Zyflo CR

Zutripro

RESPIRATORY AGENTS - MISC

ANTIASTHMATIC/COPD AGENTS

PREFERRED

GENERIC

Pulmozyme

albuterol

NON PREFERRED

albuterol sulfate

Aralast NP

albuterol sulfate ER

Curosurf

albuterol TAB 4MG

Esbriet

aminophylline

Glassia

budesonide

Infasurf

epinephrine HCL

Kalydeco

ipratropium bromide

Ofev

ipratropium bromide/albuterol sulfate

Orkambi

levalbuterol

Prolastin-c

levalbuterol HCL

Surfaxin

montelukast sodium

Survanta Intratracheal

terbutaline sulfate

Zemaira

theophylline


32

TOXOIDS Gardasil

Gardasil 9

Havrix

NON PREFERRED

Hiberix

Adacel

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

Boostrix

Ipol Inactivated IPV

Daptacel

Ixiaro

Diphtheria/Tetanus Toxoids Adsorbed Pediatric

M-m-r II

Infanrix

Medical Provider EZ Flu Shot 2014-2015

Kinrix

Medical Provider EZ Flu Shot 2015-2016

Pediarix

Medical Provider Single Use EZ Flu Shot

Pentacel

Menactra

Quadracel

Menhibrix

Tenivac

Menomune-a/C/Y/W-135

Tetanus Toxoid Adsorbed

Menveo

Tetanus/Diphtheria Toxoids-adsorbed

Pedvax HIB

Tetanus/Diphtheria Toxoids-adsorbed Adult

Pneumovax 23

Pneumovax 23/1 Dose

VACCINES

Pneumovax 23/5 Dose

Prevnar 13

NON PREFERRED

Proquad

Acthib

Rabavert

Afluria PF 2012-2013

Recombivax HB


Rotarix


Rotateq


Trumenba

Afluria 2012-2013

Twinrix

Afluria 2013-2014

Typhim VI

Afluria 2014-2015

Vaqta

Afluria 2015-2016

Varivax

Bcg Vaccine

Vivotif

Bexsero

Yf-vax

Biothrax

Zostavax

Cervarix

Comvax

VITAMINS

Engerix-b

VITAMINS

Fluarix Quadrivalent 2013-2014

GENERIC


ascorbic acid


ergocalciferol

Fluarix 2013-2014

phytonadione

Fluarix 2014-2015

thiamine HCL

Flublok 2013-2014

vitamin c 222MG

Flublok 2014-2015

vitamin d

Flublok 2015-2016

vitamin k1

Flucelvax 2013-2014

PREFERRED

Flucelvax 2014-2015

Mephyton

Flucelvax 2015-2016

Vitamin A

Flulaval Quadrivalent 2013-2014

NON PREFERRED


Aquasol A Parenteral


Drisdol

Flulaval 2013-2014

Niacin

Flulaval 2014-2015

Pyridoxine HCL

Flumist Quadrivalent

Vitamin K1

Fluvirin PF 2013-2014

Wheat Germ

Fluvirin PF 2014-2015

Fluvirin 2013-2014

MULTIVITAMINS

Fluvirin 2014-2015

Fluvirin 2015-2016 GENERIC

Fluzone High-dose PF 2013-2014 b-complex 100

Fluzone High-dose PF 2014-2015 niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper

Fluzone High-dose PF 2015-2016 PREFERRED

Fluzone Pediatric PF 2013-2014 Atabex EC

Fluzone PF 2013-2014 Atabex Prenatal

Fluzone PF 2014-2015 Bal-care DHA

Fluzone Quadrivalent 2013-2014 Citranatal B-calm

Fluzone Quadrivalent 2014-2015 Citranatal RX

Fluzone Quadrivalent 2015-2016 Clinical Nutrients Prenatal Formula

Fluzone Split 2013-2014 Concept DHA

Fluzone Split 2014-2015 Concept OB

Fluzone Split 2015-2016 Duet DHA Balanced


33

Duet DHA 400 Your Life Multi Prenatal

Duet DHA 400EC Zatean-pn

Duet DHA 430 Zatean-pn Plus

Duet DHA 430EC NON PREFERRED

Enbrace HR Adrenal C Formula

Escavite Albafort

Escavite D Bacmin

Folcaps Omega 3 Citranatal Assure

Folivane-OB Citranatal DHA

Healthy Mama Be Well Rounded Citranatal Harmony

Marnatal-f Citranatal 90 DHA

Mission Prenatal Cod Liver Oil

Mteryti Corvite

Mteryti Folic 5 Crnatal

Mykidz Iron Fl Dialyvite Supreme D

Mynatal Dialyvite 3000

Natachew Dialyvite 5000

Natalvit Dialyvite/Zinc

Natelle One Diatx ZN

Neevo DHA Floriva

Nestabs Focalgin CA

Nestabs DHA Focalgin 90 DHA

Newgen Folet DHA

Niva-plus Folet One

O-CAL Fa Folgard OS

O-CAL Prenatal Folivane-prx DHA NF

Obstetrix DHA Fortavit

Obtrex Gesticare DHA

Obtrex DHA M.v.i. Adult

One A Day Womens Prenatal/DHA M.v.i. Pediatric

One A Day Womens Prenatal1 M.v.i.-12 Without Vitamin K

One-a-day Womens Prenatal Natalvirt CA

OB Complete Natalvirt 90 DHA

OB Complete One Nephplex RX

OB Complete Petite Nephro-vite RX

OB Complete Premier Nephrocaps

OB Complete 400 Nephrocaps QT

OB Complete/DHA Nestabs Abc

Poly-VI-flor Nexa Plus

Poly-VI-flor FS Nicadan

Poly-VI-flor/Iron Nicazel

Prefera OB Nicazel Forte

Prefera OB + DHA Nicomide

Prenata Nutricap

Prenatal Vitamin Nutrivit

Prenatal Vitamins Ocuvel

Prenate AM OB Complete Gold

Prenate Elite Paire OB

Prenate Essential Preferaob +dha

Prenate Star Preferaob One

Provida OB Prefol-DHA

Right Step Prenatal Prenate

Select-OB Prenate DHA

Stuart Prenatal Prenate Enhance

Taron-bc Prenate Mini

Taron-c DHA Prenate Pixie

Theranatal Core Nutrition Prenate Restore

Tri-VI-flor Preque 10

Tricare Prenatal Compleat Protect Plus

Tricare Prenatal DHA One Provida DHA

Vinacal B R-natal OB

Vinate AZ Extra Renatabs

Vinate Calcium Renatabs With Iron

Vinate DHA RF Req 49+

Vita-pren Select-ob+dha

Vitafol Gummies Siderol

Vitafol-nano Strovite Forte

Vitamedmd Redichew RX Strovite One

Vitapearl Supervite

Viva DHA Supervite EC


34

Support-500 AF Lancets Super Thin

Synagex AT Last Lancets

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

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

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

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

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

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

Udamin SP Bayer Microlet Lancets

Vemavite-prx 2 Bullseye Safety Lancets

Vitafol BD Autoshield Duo 30G X 3/16"

Vitafol Fe+ BD Autoshield 29G X 3/16"

Vitafol Ultra BD Autoshield 29G X 5/16"

Vitafol-ob+dha BD Insulin Syringe LUER-LOK/U-100/1ML

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

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

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

Vitamedmd Plus RX/Quatre Folic BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"

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

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

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

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

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

MEDICAL DEVICES BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"

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

DIABETIC SUPPLIES

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

PREFERRED

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

Accu-chek Safe-t-pro Lancets

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

Accu-chek Safe-t-pro Pluslancets

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

Accu-chek Soft Touch Lancets

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

Accu-chek Softclix Lancets

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

Active 1ST Blood Lancets 30G/Easy Twist CAP


Advocate Insulin Pen Needles 29GX12.7MM


Advocate Insulin Pen Needles 31GX5MM


Advocate Insulin Pen Needles 31GX8MM


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







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





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



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



Advocate Lancets


Advocate Lancets 30G


Advocate Safety Lancets

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

Advocate Safety Lancets 26G

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

Agamatrix Ultra-thin Lancets 33G

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

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

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

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

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

Assure Haemolance Plus High Flow 18G

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

Assure Haemolance Plus Low Flow 25G

Assure Haemolance Plus Micro Flow 28G

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

Assure Haemolance Plus Normal Flow 21G

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

Assure Haemolance Plus Pediatric Blade


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

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

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


Assure Lance Lancets

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

Assure Lance Lancets 21G

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

Assure Lance Plus Safety Lancets 25G

BD Lancet Ultrafine 30G

Assure Lance Plus Safety Lancets 30G

BD Lancet Ultrafine 33G

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


35

BD Pen Needles SHORT/Ultrafine/31G X 5/16" Drug Mart On-the-go Lancets Gentle 30G

BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2" Drug Mart Unilet Lancets Super Thin 30G

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

Drug Mart Unilet Lancets Ultra Thin 28G

Duane Reade Unifine Pentips 29G X 12MM

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

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT

BD-insul SYR Mis LO Dose

Duane Reade Unifine Pentips 31G X 8MM SHORT

Carefine Pen Needle 32GX4MM

E-z Ject Lancets

Carefine Pen Needles 29GX1/2"

E-z Ject Lancets Color

Carefine Pen Needles 30GX5/16"

E-z Ject Lancets Super Thin

Carefine Pen Needles 31GX6MM

E-z Ject Lancets Super Thin 30G

Carefine Pen Needles 31GX8MM

E-z Ject Lancets Thin 26G

Careone Lancet Thin

E-z Ject Lancets 21G

Careone Lancet Ultra Thin

E-ZJECT Lancets Micro-thin 33G

Cleanlet Lancets 28G

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

Clever Chek Lancets Ultrathin


Clever Chek Lancets Ultrathin 30G


Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM

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


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


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

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


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







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








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




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



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


Easy Touch Lancets 21G/Pressure Activated


Clever Choice Comfort EZ Pen Needles 29GX12MM



Easy Touch Lancets 26G/Pull-top


Easy Touch Lancets 26G/Twist








Easy Touch Lancets 30G/Button-activated







Coaguchek Lancets


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


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





Easy Touch Pen Needles 29GX1/2"





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



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


Easy Touch Safety Lancets21G/Pressure Activated

Comfort Lancets


Diastar Easy Test II Lancets 30G

Easy Touch Safety Lancets26G/Button Activated

Diastar Easy Test Lancets30G


Droplet Lancets Ultra Thin 30G

Easy Touch Safety Lancets28G/Button Activated

Droplet Pen Needles 29GX12MM



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







36


Glucosource Lancets

Gmate Lancets 30G

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

H&h Thinlet Lancets 26G

Easy Twist & CAP Lancets

H&h Thinlet Super Thin Lancets 30G

Easytest II Lancets

H-e-b Incontrol Pen Needles 29GX12MM

Easytest Lancets

H-e-b IN Control Pen Needles 31GX6MM

Embrace Lancets Ultra Thin 30G

H-e-b IN Control Pen Needles 31GX8MM

Eql SHORT Pen Needles 31G X 8MM

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

Eql Ultra SHORT Pen Needles 31G X 6MM

Haemolance

Excel Comfort Point Insulin Pen Needles 31G X 4MM

Haemolance Low Flow Lancets

Exel Comfort Point Insulin Pen Needles 29G X 12MM

Haemolance Plus


Haemolance Plus High Flow


Haemolance Plus Low Flow

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

Haemolance Plus Max Flow


Haemolance Plus Pediatric Flow


Healthwise Mini Pen Needles 31GX6MM


Healthwise Pen Needles 29GX12MM


Healthwise SHORT Pen Needles 31GX8MM

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

Hy-vee Lancets


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



EZ Smart Blood Glucose Lancets


EZ-lets Lancets 21G

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

EZ-lets Lancets 23G


EZ-lets Lancets 26G Super-soft


EZ-lets Lancets 28G Ultra-soft


EZ-lets Lancets 30G

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

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

Insulin Syringe/0.3ML/29G X 1"

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


Fifty50 Pen Needles 31GX5MM


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"



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

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


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


Fifty50 Unilet Lancets 33G


Fine 30

Insupen Sensitive 32GX8MM

Fingerstix Lancets

Insupen Ultrafin 29GX12MM

Fora Lancets


Freestyle Lancets


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


IN Touch Sterile Lancets 30G

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

Lancet Transporter Case

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

Lancets

Lancets Bullseye Safety

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

Lancets Safety Seal 21G


Freestyle Unistick II Lancets


Gentle-let GP Lancets


Gentle-let Lancets General Purpose Style/Fine Point

Lancets Thin

Gentle-let Lancets General Purpose Style/Medium Point

Lancets Twist Top

Gentle-let Lancets Safety Style/Fine Point

Lancets Ultra Fine

Gentle-let Lancets Safety Style/Medium Point

Lancets Ultra Thin

Gentle-let Platforms 2.4MM

Lancets 26G Twist Top

Gentle-let Platforms 3.0MM

Lancets 28G

Glucocom Lancets 28G

Lancets 30G




Lancets 30G/Twist Top

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



Lancets 33G Universal Design


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


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


Leader Unifine Pentips/Mini/31GX3/16"


Leader Unifine Pentips/Nano/32GX5/32"

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

Leader Unifine Pentips/Plus/32GX5/32"


Liberty Medical Lancets 30G



37

Lifescan Unistik II Lancets Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16"

Lifescan Unistik 2 Deep Penetration Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16"

Lite Touch Pen Needles/31G X 3/16" Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2"

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

Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2" Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16"

Litetouch Insulin Syringe/U-100/1ML/28G X 1/2" Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16"

Litetouch Insulin Syringe/U-100/1ML/29G X 1/2" Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2"

Litetouch Insulin Syringe/U-100/1ML/31G X 5/16" Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2"

Litetouch Insulin Syringe/0.3ML/29G X 1/2" Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16"

Litetouch Insulin Syringe/0.3ML/30G X 5/16" Monojector End CAPS

Litetouch Insulin Syringe/0.3ML/31G X 5/16" Monojector Opd End CAPS

Litetouch Insulin Syringe/0.5ML/30G X 5/16" Monolet Lancets

Litetouch Insulin Syringe/0.5ML/31G X 5/16" Monolet Opd Lancets

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

Litetouch Lancets Micro Thin 33G Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"

Litetouch Pen Needles 29GX12.7MM

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

Litetouch Pen Needles 31G X 6MM

Litetouch Pen Needles 31GX8MM SHORT

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

Live Better Lancet Super Thin 30G

Live Better Lancet Ultra Thin 28G

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

Live Better Pen Needles 29G X 12MM


Myglucohealth Mgh Softlance Lancets 30G


Netgroup Lancets

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

Nova Safety Lancets 23G


Nova Safety Lancets 28G


Nova Sureflex Lancets


Novofine Plus 32GX4MM

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

On Call Lancets

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

On Call Plus Lancets

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

Onetouch Club Lancets Fine Point

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

Onetouch Combo Pack

Medisense Thin Lancets

Onetouch Delica Lancets Extra Fine 33G

Medlance Plus Extra Lancets 21G

Onetouch Delica Lancets Fine 30G

Medlance Plus Lancets

Onetouch Finepoint Lancets

Medlance Plus Lancets Lite 25G

Onetouch Lancets

Medlance Plus Lite Lancets 25G

Onetouch Suresoft Lancing Device/18G

Medlance Plus Special Lancets 0.8MM


Medlance Plus Superlite 30G


Medlance Plus Superlite 30G/Comfort Max

Onetouch Ultra Blue

Medlance Plus Universal Lancets 21G

Onetouch Ultra Mini

Medlance Plus/Lite 25G

Onetouch Ultra 2

Medlance/Extra

Onetouch Ultralink System (hex)

Medlance/Lite

Onetouch Ultralink System (DEC)

Medlance/Universal

Onetouch Ultrasoft Lancets

Meijer Super Thin Lancets

Onetouch Verio

Microlet Lancets

Onetouch Verio IQ Blood Glucose Monitoring System

Microtainer Safety Flow Lancet/Sterile/Single-use

Onetouch Verio Sync Bloodglucose Monitoring System

Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML

Onetouch Verio Test Strips

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

Pen Needles 29G X 12MM

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

Pen Needles 29GX1/2"

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


Pen Needles 31G X 1/4" SHORT

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

Pen Needles 31G X 3/16"

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



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


Pen Needles 31GX8MM

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

Pen Needles 32GX4MM

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

Penlet II Replacement CAPS

Penlet II Replacement CAPS-deep

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

Penlet II Replacement CAPS-regular

Pentips 29GX12MM

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

Pentips 31GX5MM

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

Pentips 31GX6MM


Pentips 31GX8MM


Pentips 32GX4MM

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

Perfect Lancets 30G

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

Perfect Pressure Activated Safety Lancets 28G

Monoject Insulin Syringe/1ML

Pharmacist Choice Ultra Thin Lancets

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

Pharmacist Choice Ultra Thin Lancets 28G

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


38

Pharmacist Choice Ultra Thin Lancets 30G Rightest GD-L500 Alternate Site Adapter

Pharmacist Choice Ultra Thin Lancets 31G Safe-t-lance Low Flow 25G

Pharmacist Choice Ultra Thin Lancets 33G Safe-t-lance Normal Flow 21G

Pharmacy Counter Lancets Safe-t-lance Plus Safety Lancet High Flow

Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16" Safe-t-lance Plus Safety Lancet Low Flow

Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2" Safe-t-lance Plus Safety Lancet Normal Flow

Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2" Safesnap Insulin Syringe/0.3ML/30G X 5/16"

Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8" Safesnap Insulin Syringe/0.5ML/29G X 1/2"

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

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

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

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

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

Safety Lancet 21G/Pressure Activated

Precision Thin Lancets

Safety Lancet 28G/Pressure Activated

Precision Thins GP Lancet

Safety Lancets

Precision Ultra Lancet

Safety Lancets 21G

Preferred Plus Unifine Pentips 29G X 12MM

Safety Lancets 28G

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT

Safety Let Lancets

Preferred Plus Unifine Pentips 31G X 8MM SHORT

Safety Seal Lancets 28G

Prodigy Insulin Mini Pen Needles/31G X 3/16"

Safety Seal Lancets 30G

Prodigy Insulin Pen Needles/29G X 1/2"

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

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

Shopko On-the-go Comfort Lancets 30G

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

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM

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

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM

Prodigy Insulin SHORT Penneedles/31G X 5/16"

Shopko Unifine Pentips Pen Needles/Original/29GX12MM

Prodigy Pressure Activated Safety Lancets

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM

Prodigy Safety Lancets

Shopko Unilet Lancets Super Thin 30G

Prodigy Twist Top Lancets

Shopko Unilet Lancets Ultra Thin 28G

Pss Select GP Lancets

Single-let

Pss Select Platforms

Smart Diabetes Vantage Universal Lancets 30G

Pss Select Safety Lancets

Smart Sense Color Lancets Universal 33G

Px Lancets Ultra Thin

Smart Sense Standard Lancets Universal 21G

PC Unifine Pentips 29G X 1/2"

Smart Sense Super Thin Lancets Universal 30G

PC Unifine Pentips 31G X 6MM Ultra SHORT

Smart Sense Thin Lancets Universal 26G

PC Unifine Pentips 31G X 8MM SHORT

Smartest Lancets 28G

Qc Lancets Super Thin

Solus V2 Pressure Activated Safety Lancets 28G

Qc Lancets Ultra Thin

Solus V2 Twist Lancets 30G

Qc Pen Needles 29G X 12MM

Sterilance PA


Sterilance TL


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

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

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

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

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

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

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

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













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



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





Sure-lance Flat Lancets

Relion Lancets Micro-thin33G

Sure-lance Lancets 26G

Relion Lancets Standard 21G

Sure-lance Thin Lancets 28G

Relion Lancets Thin 26G

Sure-lance Ultra Thin Lancets

Relion Lancets Ultra-thin30G

Sure-touch Lancets Universal

Relion Mini Pen Needles 31GX6MM

Surelite Lancets

Relion Pen Needles 29GX12MM

Techlite AST Lancets


Techlite Lancets


Techlite Lancets 30G


Techlite Pen Needles/31G X 5MM

Relion SHORT Pen Needles 31GX8MM

Techlite Pen Needles/31G X 6 MM

Relion Thin Lancets


Relion Ultra Thin Lancets


Relion Ultra Thin Lancets30G


Relion Ultra Thin Plus Lancets 32G

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

Relion Ultra Thin Plus Lancets 33G


Renew Advanced Lancing Cartridge Refills


Rexall Lancets Ultra Thin

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

Rightest Gl300 Lancets


39

Terumo Insulin Syringe/0.3ML/30G X 3/8" Ulticare Insulin Syringe/0.5ML/28G X 1/2"



Terumo Insulin Syringe/1ML/27G X 1/2" Ulticare Insulin Syringe/0.5ML/30G X 5/16"

Terumo Insulin Syringe/1ML/29G X 1/2" Ulticare Insulin Syringe/1ML/28G X 1/2"

Terumo Insulin Syringe/1ML/30G X 3/8" Ulticare Insulin Syringe/1ML/29G X 1/2"

Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2" Ulticare Insulin Syringe/1ML/30G X 1/2"

Terumo Surguard Insulin Syringe/0.5ML/28G X 1/2" Ulticare Insulin Syringe/1ML/30G X 5/16"

Terumo Surguard Insulin Syringe/0.5ML/29G X 1/2" Ulticare Micro Pen Needles 31G X 8MM

Terumo Surguard Insulin Syringe/1ML/28G X 1/2" Ulticare Micro Pen Needles 32G X 4MM

Terumo Surguard Insulin Syringe/1ML/29G X 1/2" Ulticare Micro Pen Needles/31G X 8MM

Thinlets GP Lancets Ulticare Micro Pen Needles/32G X 4MM

Thinlets Lancet Ulticare Mini Pen Needles Ulti-fine IV

Thinpro Insulin Syringe/0.3ML/29G X 1/2" Ulticare Mini Pen Needles 31GX6MM

Thinpro Insulin Syringe/0.3ML/30G X 3/8" Ulticare Mini Pen Needles/31G X 6MM

Thinpro Insulin Syringe/0.3ML/31G X 3/8" Ulticare Mini Pen Needles31GX6MM

Thinpro Insulin Syringe/0.5ML/28G X 1/2" Ulticare Original Pen Needles Ulti-fine

Thinpro Insulin Syringe/0.5ML/29G X 1/2" Ulticare Pen Needles/29G X 12.7MM

Thinpro Insulin Syringe/0.5ML/30G X 3/8" Ulticare SHORT Pen Needles Ulti-fine IV

Thinpro Insulin Syringe/0.5ML/31G X 3/8" Ulticare SHORT Pen Needles 31GX8MM

Thinpro Insulin Syringe/1ML/28G X 1/2" Ulticare SHORT Pen Needles/31G X 8MM

Thinpro Insulin Syringe/1ML/29G X 1/2" Ulticare Thin Lancets 30G

Thinpro Insulin Syringe/1ML/30G X 3/8" Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4"

Thinpro Insulin Syringe/1ML/31G X 3/8" Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4"

Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2" Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4"

Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16" Ulticare U-100 Insulin Syringes/1ML/31G X 1/4"

Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16" Ultiguard Insulin Syringe/U-100/0.3ML/29G X 1/2"




Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16" Ultiguard Insulin Syringe/U-100/1ML/29G X 1/2"

Trueplus Insulin Syringe/U-100/1ML/28G X 1/2" Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16"

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

Trueplus Insulin Syringe/U-100/1ML/30G X 5/16" Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16"

Trueplus Insulin Syringe/U-100/1ML/31G X 5/16" Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16"

Trueplus Lancets 26G Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16"

Trueplus Lancets 28G Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16"

Trueplus Lancets 28G Super Thin Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16"

Trueplus Lancets 30G Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16"

Trueplus Lancets 30G Ultra Thin Ultilet Lancets

Trueplus Lancets 33G Ultilet Lancets 33G

Trueplus Lancets 33G Micro Thin Ultilet Pen Needle 32GX4MM/SHORT

Trueplus Safety Lancets 28G Ultilet Safety Lancets 23G

Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2" Ultilet SHORT Pen Needles 31GX5/16"

Ulticare Insulin Safety Syringe/1ML/29G X 1/2" Ultilet SHORT Pen Needles31GX3/16"

Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16" Ultra-thin II Auto Lancet

Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16" Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16"

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

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/31GX5/16"

Ulticare Insulin Syringe 1CC/28G U-100 1/2"

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






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

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

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

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

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

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


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


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


Ultra-thin II Lancets 28G


Ultra-thin II Lancets 30G


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


Ultra-thin II Pen Needles 29GX1/2"


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

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

Ultra-thin II Safety Autolancets 26G


Ultralance


Unifine Pentips Plus 29GX12MM



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





Unifine Pentips 29GX12MM


40

Unifine Pentips 31G X 3/16" 1ST Tier Unifine Pentips 29GX12MM

Unifine Pentips 31G X 6MM 1ST Tier Unifine Pentips 31GX6MM

Unifine Pentips 31G X 8MM 1ST Tier Unifine Pentips 31GX8MM


Unifine Pentips 31GX6MM MEDICAL DEVICES - MISC


PREFERRED


Aerochamber Mini Aerosol Chamber

Unilet Comfortouch Lancet

Aerochamber MV

Unilet Excelite

Aerochamber Plus Flow VU

Unilet Excelite II

Aerochamber Plus Flow-VU

Unilet G.p. Lancet

Aerochamber Plus Flow-VU/Large Mask

Unilet G.p. Superlite Lancet

Aerochamber Plus Flow-VU/Mask

Unilet GP 28 Ultra Thin

Aerochamber Plus Flow-VU/Medium Mask

Unilet Lancet

Aerochamber Plus Flow-VU/Small Mask

Unilet Lancets Micro-thin33G

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

Unilet Lancets Super-thin30G

Aerochamber Z-stat Plus/Flowsignal

Unilet Lancets Ultra-thin 28G

Aerochamber Z-stat Plus/Large Mask

Unilet Superlite Lancet

Aerochamber Z-stat Plus/Medium Mask

Unistik CZT Comfort

Aerochamber Z-stat Plus/Small Mask

Unistik CZT Normal

Aerochamber/Flowsignal

Unistik Safety Lancets 28G

Aerovent Plus Holding Chamber/Collapsible

Unistik Safety Lancets 30G

Arial Chamber

Unistik Touch Safety Lancets 21G

Breatherite


Breatherite Collapsible Adult Spacer W/Mask


Breatherite Collapsible Child Spacer W/Mask


Breatherite Collapsible Infant Spacer W/Mask

Unistik 1

Breatherite Collapsible Small Child Spacer W/Mask

Unistik 2

Breatherite Collapsible Spacer W/ Neonate Mask

Unistik 2 Comfort

Breatherite Rigid Spacer W/Mask

Unistik 2 Extra

Breatherite W/Large Mask

Unistik 2 Neonatal

Breatherite W/Medium Mask

Unistik 2 Normal

Breatherite W/Small Mask

Unistik 2 Super

Compact Space Chamber/Anti-static

Unistik 3

Compact Space Chamber/Anti-static/Large Mask

Unistik 3 Comfort

Compact Space Chamber/Anti-static/Medium Mask

Unistik 3 Extra

Compact Space Chamber/Anti-static/Small Mask

Unistik 3 Extra Single Use Safety Lancets/21G

E-z Spacer

Unistik 3 Gentle

E-z Spacer The Body Guards Pack

Unistik 3 Neonatal

Easivent

Unistik 3 Normal

Easivent/Mask-large

Universal 1 Lancets Thin 26G

Easivent/Mask-medium

Universal 1 Lancets Ultra Thin 30G

Easivent/Mask-small

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

Flexichamber


Flexichamber Adult Mask/Small


Flexichamber Child Mask/Large

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

Flexichamber Child Mask/Small

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

Inspirachamber/Anti-static Valved/Mouthpiece

Valumark Lancet Super Thin 30G

Inspirachamber/Large

Valumark Lancet Ultra Thin 28G

Inspirachamber/Soothermask/Inspiramask/Medium

Valumark Pen Needles 29GX12MM

Inspirachamber/Soothermask/Inspiramask/Small

Valumark Pen Needles 31G X 6MM

Inspirease Bags

Valumark Pen Needles 31G X 8MM

Inspirease Drug Delivery System

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

Inspirease Mouthpiece

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

Inspirease Reservoir Bags

Vida Mia Unifine Pentips Mini 31GX6MM

Liteaire

Vida Mia Unifine Pentips Original 29GX12MM

Mask Vortex/Baby Whirl Duckling

Vida Mia Unifine Pentips 32GX4MM

Mask Vortex/Child/Frog

Vida Mia Unilet Lancets Super Thin 30G

Mask Vortex/Spinner The Duck

Vida Mia Unilet Lancets Ultra Thin 28G

Mask Vortex/Toddler/Lady Bug

Vida Mia Unipfine Pentipsshort 31GX8MM

Microchamber

Vitalet Pro Lancets

Microspacer

Vitalet Pro Plus Lancets

Nessi Spacer/Large Mask

W&f Lancets Colored 21G

Nessi Spacer/Mouthpiece

W&f Lancets 26G

Nessi Spacer/Small/MED Mask

Walgreens Lancets

Optichamber Advantage

Walgreens Thin Lancets

Optichamber Advantage/Large Mask

Walgreens Ultra Thin Lancets

Optichamber Advantage/Medium Face Mask

1ST Choice Lancets Super Thin

Optichamber Advantage/Small Face Mask

1ST Choice Lancets Thin

1ST Choice Lancets Ultra Thin


41

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

Vortex Valved Holding Chamber

Watchhaler

MISCELLANEOUS

NON PREFERRED

Chemet

Exjade

Ferriprox

Jadenu

Pentetate Calcium Trisodium

Pentetate Zinc Trisodium

Effective July 1, 2016 v.2 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. © 2016 Optum, Inc. All rights reserved.

42

Index

A

Adacel, 33 41

Adalat CC, 7 Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 41

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

adapalene, 10

abacavir, 3

Adapalene, 10 Aerochamber Z-stat Plus/Flowsignal, 41

abacavir sulfate/lamivudine/zidovudine, 3

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

Abaneu-SL, 21

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

Abelcet, 2

Adcetris, 5

Abilify, 24

Adcirca, 10 Aerochamber Z-stat Plus/Small Mask, 41

Abilify Discmelt, 24

Adderall, 24 Aerochamber/Flowsignal, 41

Abilify Maintena, 24

Adderall XR, 24 Aerospan, 32

Abraxane, 6

adefovir dipivoxil, 3 Aerovent Plus Holding Chamber/Collapsible, 41

Absorica, 10

Adempas, 10

acamprosate calcium DR, 26

Adenocard, 8 AF Lancets Super Thin, 35

Acanya, 10

adenosine, 8 Afinitor, 6

acarbose, 16

Adoxa, 2 Afinitor Disperz, 6

Accolate, 32

Adoxa PAK 1/100, 2 Afluria 2012-2013, 33

Accu-chek Safe-t-pro Lancets, 35


Accu-chek Safe-t-pro Pluslancets, 35


Accu-chek Soft Touch Lancets, 35

Adrenal C Formula, 34 Afluria 2015-2016, 33

Accu-chek Softclix Lancets, 35

Adrenalin, 9, 31 Afluria PF 2012-2013, 33

Accucaine, 13

Adriamycin, 5 Afluria PF 2013-2014, 33

Accupril, 8

Advair Diskus, 32 Afluria PF 2014-2015, 33

Accuretic, 9

Advair HFA, 32 Afluria PF 2015-2016, 33

acebutolol HCL, 7

Advanced Allergy Collection Kit, 12 Afrezza, 16

Aceon, 8

Advate, 22 Agamatrix Ultra-thin Lancets 33G, 35

acetaminophen/caffeine/dihydrocodeine, 29

Advicor, 10 Aggrastat, 22

Advocate Insulin Pen Needles 29GX12.7MM, 35

Aggrenox, 22

acetaminophen/codeine, 29

Agrylin, 22

acetaminophen/codeine #2, 29

Advocate Insulin Pen Needles 31GX5MM, 35

Akne-mycin, 10


Akovaz, 9


Advocate Insulin Pen Needles 31GX8MM, 35

Akten, 28

acetaminophen/codeine phosphate, 29

Akynzeo, 19

acetazolamide, 9

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

Ala Scalp, 12

Acetazolamide, 9

Ala-quin, 11

acetazolamide ER, 9


Albafort, 21, 34

acetazolamide sodium, 9

Albenza, 4

acetic acid, 28


albuterol, 32

Acetic Acid/Aluminum Acetate, 28

albuterol sulfate, 32

acetylcysteine, 31


albuterol sulfate ER, 32

Aciphex, 19

albuterol TAB 4MG, 32

Aciphex Sprinkle, 19


Alcaine, 28

acitretin, 12

alclometasone dipropionate, 12

Aclovate, 12


Aldactazide, 9

Actemra, 30

Aldactone, 9

Acthib, 33

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

Aldara, 13

Acticlate, 2

Aldurazyme, 18

Actigall, 19


Alecensa, 6

Actimmune, 6

alendronate sodium, 17

Actiq, 29


Alendronate Sodium, 17

Activase, 22

Alevicyn Antipruritic SG, 13

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

Advocate Lancets, 35 Alfenta, 29

Advocate Lancets 30G, 35 alfentanil, 29

Activella, 15

Advocate Safety Lancets, 35 Alferon N, 6

Actonel, 17

Advocate Safety Lancets 26G, 35 alfuzosin HCL ER, 20

Actoplus Met, 16

Adzenys XR-odt, 24 Alimta, 5

Actoplus Met XR, 16

Aerochamber Mini Aerosol Chamber, 41 Alinia, 4

Actos, 16

Aerochamber MV, 41 Alkeran, 4

Acuicyn Daily Eyelid & Eyelash Cleanser, 13

Aerochamber Plus Flow VU, 41 Allegra Allergy Childrens, 31

Aerochamber Plus Flow-VU, 41 Allo-pax, 12

Acular, 28

Aerochamber Plus Flow-VU/Large Mask, 41

allopurinol, 31

Acular LS, 28

Allzital, 29

Acuvail, 28

Aerochamber Plus Flow-VU/Mask, 41 almotriptan malate, 30

acyclovir, 3, 12

Aerochamber Plus Flow-VU/Medium Mask, 41

Alocril, 28

acyclovir sodium, 3

Alodox Convenience Kit, 2

Acyclovir Sodium, 3

Aerochamber Plus Flow-VU/Small Mask, Alogliptin, 16

Aczone, 10

Alogliptin/Metformin HCL, 16

Amturnide, 9 Arnuity Ellipta, 32

Alogliptin/Pioglitazone, 16

Amytal Sodium, 24 Aromasin, 5

Alomide, 28

Anacaine, 13 Arranon, 5

Aloprim, 31

Anadrol-50, 15 Arthrotec 50, 30

Alora, 15

Anafranil, 23 Arthrotec 75, 30

alosetron hydrochloride, 19

anagrelide hydrochloride, 22 Articadent Dental, 31

Aloxi, 19

Analpram Advanced, 19 Artiss, 22

Alphagan P, 28

Analpram-HC, 19 Arzerra, 5

Alphanate/Von Willebrand Factor Complex/Human, 22

Analpram-HC Singles, 19 ascorbic acid, 33

Anaprox DS, 30 Aspirin-caffeine-dihydrocodeine, 29

Alphanine SD, 22

Anaspaz, 19 Aspirin/Dipyridamole, 22

alprazolam, 23

anastrozole, 5 Assure Haemolance Plus High Flow 18G, 35

alprazolam ER, 23

Ancef, 1

Alprazolam Intensol, 23

Ancobon, 2 Assure Haemolance Plus Low Flow 25G, 35

alprazolam odt, 23

Androderm, 15

Alrex, 27

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

Alsuma, 30

Androgel P.M., 15

Altabax, 11

Android, 15 Assure Haemolance Plus Normal Flow 21G, 35

Altace, 8

Androxy, 15

Aluvea, 13

Anectine, 26 Assure Haemolance Plus Pediatric Blade, 35

amantadine HCL, 25

Angeliq, 15

Amantadine HCL, 25

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

Amaryl, 16

Animi-3, 21

Ambien, 24

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

Ambien CR, 24

Anoro Ellipta, 32

Ambisome, 2

Antabuse, 26 Assure Lance Lancets, 35

Amcinonide, 12

Antara, 10 Assure Lance Lancets 21G, 35

Amerge, 30

Anthralin, 12 Assure Lance Plus Safety Lancets 25G, 35

Amicar, 22

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

amifostine, 6

Assure Lance Plus Safety Lancets 30G, 35

amikacin sulfate, 2

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

amiloride HCL, 9

Assure Lancets, 35

amiloride/hydrochlorothiazide, 9

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

Astagraf XL, 5

aminocaproic acid, 22

Astepro, 31

Aminocaproic Acid, 22

antipyrine/benzocaine, 28 Astringyn, 22

aminophylline, 32

Antipyrine/Benzocaine, 28 AT Last Lancets, 35

amiodarone HCL, 8

Anusol-HC, 19 Atabex EC, 33

Amiodarone HCL, 8

Anzemet, 19 Atabex Prenatal, 33

Amitiza, 19

Aplenzin, 23 Atacand, 8

amitriptyline HCL, 23

Apokyn, 25 Atacand HCT, 9

amlodipine besylate, 7

Appbutamone, 23 Atelvia, 17

amlodipine besylate/atorvastatin calcium, 10

Appformin, 16 atenolol, 7

Appformin-d, 16 atenolol/chlorthalidone, 9

amlodipine besylate/benazepril HCL, 8

apraclonidine, 28 Atgam, 5

amlodipine besylate/benazepril hydrochloride, 8

Aptensio XR, 24 Ativan, 23

Aptiom, 25 Atopiclair, 13

amlodipine besylate/valsartan, 8

Aptivus, 3 atorvastatin calcium, 10

amlodipine/valsartan/hctz, 8

Aquasol A Parenteral, 33 atovaquone, 4

ammonium lactate, 13

Aquoral, 22 atovaquone/proguanil HCL, 3

Ammonul, 18

Aralast NP, 32 atracurium besylate, 26

Amoxapine, 23

Aralen, 3 Atralin, 10

amoxicillin, 1

Arava, 30 Atripla, 3

Amoxicillin, 1

Arcalyst, 30 Atropen, 19

Amoxicillin ER, 1

Arcapta Neohaler, 32 atropine sulfate, 18, 28

amoxicillin/clavulanate potassium, 1

argatroban, 21 Atropine Sulfate, 19, 28

Amoxicillin/Clavulanate Potassium, 1

Argatroban, 21 Atrovent, 31

amoxicillin/clavulanate potassium ER, 1

Arial Chamber, 41 Atrovent HFA, 32

amphetamine/dextroamphetamine, 24

Aricept, 26 Aubagio, 26

Amphotec, 2

Aricept Odt, 26 augmented betamethasone dipropionate, 12

Amphotericin B, 2

Arimidex, 5

ampicillin, 1

aripiprazole, 23 Augmentin, 1

Ampicillin, 1

Aripiprazole Odt, 24 Augmentin ES-600, 1

ampicillin sodium, 1

Aristada, 24 Augmentin XR, 1

Ampicillin Sodium, 1

Aristospan Intra-articular, 14 Aurora Lancet Super Thin 30G, 35

ampicillin-sulbactam, 1

Arixtra, 21 Aurora Lancet Thin 23G, 35

Ampicillin-sulbactam, 1

armodafinil, 24 Aurora Pen Needles 29GX12MM, 35

Ampyra, 26

Armour Thyroid, 18 Aurora Pen Needles 31G X 6MM, 35

Amrix, 26

Arnica Flower, 13 Aurora Pen Needles 31G X 8MM, 35

Aurstat Anti-itch Hydrogel, 13

Bactocill IN Dextrose, 1 BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 35

Aurstat Anti-itch Hydrogel Kit, 13

Bactrim, 4

Auryxia, 19

Bactrim DS, 4 BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2", 35

Autolet Platforms, 35

Bactroban, 11

Avalide, 9

Bactroban Nasal, 31 BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64", 35

Avandamet, 16

Bal-care DHA, 33

Avandaryl, 16

balsalazide disodium, 19 BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16", 35

Avandia, 16

Banzel, 25

Avapro, 8

Baraclude, 3 BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 35

Avar, 10

Bayer Microlet Lancets, 35

Avar LS, 10

Bcg Vaccine, 33 BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 35

Avar LS Cleanser, 10

BD Autoshield 29G X 3/16", 35

Avar-e LS, 10

BD Autoshield 29G X 5/16", 35 BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64", 35

Avastin, 5

BD Autoshield Duo 30G X 3/16", 35

Avc, 20

BD Insulin Syringe LUER-LOK/U-100/1ML, 35

BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16", 35

Aveed, 15

Avelox, 2

BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 35

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 35

Avelox Abc Pack, 2

Avenova, 13

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 35

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 35

Avenova/Neutrox, 13

Avidoxy DK, 2

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 35

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 35

Avinza, 29

Avodart, 20

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 35

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 35

Avonex, 26

Avonex Pen, 26

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 35

BD Insulin Syringe/U-100/1ML/27G X 1/2", 35

Avycaz, 4

Axert, 30

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


Axid, 19

Aygestin, 16

BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 35

BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 35

azacitidine, 5

Azactam, 4

BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 35


Azactam IN Iso-osmotic Dextrose, 4

Azasan, 5

BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 35

BD Integra Insulin Syringe/U-100/1ML/29G X 1/2", 35

Azasite, 27

azathioprine, 5

BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 35

BD Integra Syringe/Retracting Needle/1ML/25G X 1", 35

Azathioprine, 5

azelastine HCL, 28, 31

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 35

BD Lancet Ultrafine 30G, 35

Azelex, 10

BD Lancet Ultrafine 33G, 35

Azilect, 25

BD Insulin Syringe Slip Tip/U-100/1ML, 35

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 35

azithromycin, 1

Azithromycin, 1

BD Insulin Syringe U-40/1ML/25G X 5/8", 35

BD Microtainer Lancets, 35

Azopt, 28

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 35

Azor, 9

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 35

aztreonam, 4

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 35

Azulfidine, 19

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 35

Azulfidine EN-TABS, 19

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 35

B

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 35

BD Pen Needle/Ultrafine/29G X 12.7MM, 35

B-12 Kit, 21

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 35

B-6 Folic Acid, 21

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 35

b-complex 100, 33


B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 35

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


B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16", 35

BD Pudendal/Local Block Tray 1% Lidocaine, 31


B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 35

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

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 35

B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 35

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

BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 35

B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 35

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

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 35

B-d Insulin Syringe Ultrafine/1ML/30G X 1/2", 35

BD-insul SYR Mis LO Dose, 36


Bebulin, 22

bacitracin, 4

Beconase AQ, 31

Bacitracin, 27


Belbuca, 29

bacitracin/polymyxin b, 27

Beleodaq, 6

Baclofen, 11


Belladonna & Opium, 19

baclofen, 26

Belladonna Alkaloids & Opium, 19

Bacmin, 34

Belsomra, 24

Blephamide, 27 Byetta, 16

benazepril HCL, 8

Blephamide S.o.p., 27 Bystolic, 7

benazepril HCL/hydrochlorothiazide, 9

Blincyto, 5 C

Bendeka, 4

Bloxiverz, 27

cabergoline, 17

Benefix, 22

Boniva, 17

Caduet, 10

Benicar, 8

Boostrix, 33

Cafcit, 24

Benicar HCT, 9

Boric Acid, 13

Cafergot, 30

Bentyl, 19

Bosulif, 6

caffeine citrate, 24

Benzac Ac Wash, 10

Botox, 26

Caffeine/Sodium Benzoate, 24

Benzac W Wash, 10

Bravelle, 17

Calan, 7

Benzaclin, 10

Breatherite, 41

Calan SR, 7

Benzaclin With P.M., 10

Breatherite Collapsible Adult Spacer W/Mask, 41

calcipotriene, 12

Benzamycin, 10

calcipotriene/betamethasone dipropionate, 12

Benzamycinpak, 10

Breatherite Collapsible Child Spacer W/Mask, 41

Benzefoam, 10

calcitonin salmon, 17

Benzefoamultra, 10

Breatherite Collapsible Infant Spacer W/Mask, 41

calcitonin-salmon, 17

Benziq, 10

Calcitriol, 12

Benziq LS, 10

Breatherite Collapsible Small Child Spacer W/Mask, 41

calcitriol, 18

Benzodox 30 Kit, 2

calcium acetate, 19

Benzodox 60 Kit, 2

Breatherite Collapsible Spacer W/ Neonate Mask, 41

Calcium Folinate, 7

Benzoin Compound Tincture, 13

Caldolor, 30

Benzoin Tincture, 13

Breatherite Rigid Spacer W/Mask, 41

Cambia, 30

benzonatate, 31

Breatherite W/Large Mask, 41

Campral, 26

benzoyl peroxide, 10

Breatherite W/Medium Mask, 41

Camptosar, 6

benzoyl peroxide SHORT contact, 10

Breatherite W/Small Mask, 41

Canasa, 19

benztropine mesylate, 25

Breo Ellipta, 32

Cancidas, 2

Bepreve, 28

Brevibloc, 7

candesartan cilexetil, 8

Berinert, 22

Brevicon-28, 15

candesartan cilexetil/hydrochlorothiazide, 9

Besivance, 27

Brilinta, 22

Beta Inject Kit, 14

brimonidine tartrate, 28

Cantil, 19

Betadine Ophthalmic Prep, 27

Brintellix, 23

Capastat Sulfate, 2

Betagan, 27

Brisdelle, 26

capecitabine, 5

Betalido, 14

bromfenac, 28

Capex, 12

betamethasone dipropionate, 12

Bromfenac, 28

Caphosol, 22

betamethasone sodium phosphate/betamethasone acetate, 14

bromocriptine mesylate, 25

Capital/Codeine, 29

bromphen/pseudoephedrine HCL/dextromethorphan HBR, 31

Caprelsa, 6

Betamethasone SP, 14

captopril, 8

betamethasone valerate, 12

Brompheniramine, 31

Captopril/Hydrochlorothiazide, 9

Betapace, 7

Brompheniramine Tannate, 31

Capxib Kit, 30

Betapace AF, 7

Brovana, 32

Carafate, 19

betaxolol HCL, 7, 27

budesonide, 14, 31, 32

Carbaglu, 18

bethanechol chloride, 20

Bullseye Safety Lancets, 35

carbamazepine, 25

Bethkis, 2

bumetanide, 9

carbamazepine ER, 25

Betimol, 27

Bumex, 9

Carbaphen 12, 32

Betoptic-s, 27

Bunavail, 29

Carbaphen 12 PED, 32

bexarotene, 6

Bupap, 29

Carbatrol, 25

Bexsero, 33

Buphenyl, 18

carbidopa, 25

Beyaz, 15

bupivacaine HCL, 31

carbidopa/levodopa, 25

Biaxin, 1

bupivacaine/epinephrine, 31

carbidopa/levodopa ER, 25

Biaxin XL, 1

Buprenex, 29

carbidopa/levodopa odt, 25

Biaxin XL PAC, 1

buprenorphine HCL, 29

Carbidopa/Levodopa/Entacapone, 25

bicalutamide, 5

buprenorphine HCL/naloxone HCL, 29

carbinoxamine maleate, 31

Bicillin C-R, 1

bupropion HCL, 23

Carbocaine, 31

Bicillin L-a, 1

bupropion HCL ER, 23

carboplatin, 4

Bicnu, 4

bupropion HCL SR, 23

Cardene IV, 7

Bidil, 10

bupropion HCL XL, 23

Cardene SR, 7

Biest/Progesterone, 15

buspirone HCL, 23

Cardizem, 7

Biferarx, 21

Busulfex, 4

Cardizem CD, 7

Biltricide, 4

butalbital/acetaminophen, 28

Cardizem LA, 7

Bimatoprost, 27

butalbital/acetaminophen/caffeine, 28

Cardura, 8

Binosto, 17

butalbital/acetaminophen/caffeine/codeine, 29

Cardura XL, 20

Biothrax, 33

Carefine Pen Needle 32GX4MM, 36

bisoprolol fumarate, 7

butalbital/aspirin/caffeine, 28

Carefine Pen Needles 29GX1/2", 36

bisoprolol fumarate/hydrochlorothiazide, 9

butalbital/aspirin/caffeine/codeine, 29

Carefine Pen Needles 30GX5/16", 36

Butisol Sodium, 24

Carefine Pen Needles 31GX6MM, 36

bivalirudin, 21

butorphanol tartrate, 29

Carefine Pen Needles 31GX8MM, 36

bleomycin sulfate, 4

Butrans, 29

Careone Lancet Thin, 36

Bleph-10, 27

Bydureon, 16

Careone Lancet Ultra Thin, 36

carisoprodol, 26

Cerezyme, 21 Citranatal Assure, 34

carisoprodol/aspirin, 26

Cervarix, 33 Citranatal B-calm, 33

carisoprodol/aspirin/codeine, 26

Cervidil, 28 Citranatal DHA, 34

Carnitor, 18

Cesamet, 19 Citranatal Harmony, 34

Carnitor SF, 18

cetirizine HCL, 31 Citranatal RX, 33

carteolol HCL, 27

Cetraxal, 28 citric acid/sodium citrate, 20

carvedilol, 7

Cetrotide, 17 cladribine, 5

Cascara Sagrada, 18

cevimeline HCL, 22 Claforan, 1

Casodex, 5

Chemet, 42 Claforan/D5W, 1

Cataflam, 30

Chenodal, 19 Clarifoam EF, 11

Catapres, 8

Chloramphenicol Sodium Succinate, 4 Clarinex, 31

Catapres-tts-1, 8

chlordiazepoxide HCL, 23 Clarinex-d 12 HOUR, 32

Catapres-tts-2, 8

chlordiazepoxide HCL/clidinium bromide, 18

clarithromycin, 1

Catapres-tts-3, 8

clarithromycin ER, 1

Cathflo Activase, 22

Chlordiazepoxide/Amitriptyline, 26 Cleanlet Lancets 28G, 36

Cayston, 4

chlorhexidine gluconate, 22 clemastine fumarate, 31

Cedax, 1

chlorhexidine gluconate oral rinse, 22 Clemastine Fumarate, 31

cefaclor, 1

chloroprocaine HCL, 31 Cleocin, 4, 20

Cefaclor, 1

chloroquine phosphate, 3 Cleocin IN D5W, 4

Cefaclor ER, 1

chlorothiazide, 9 Cleocin Pediatric Granules, 4

cefadroxil, 1

Chlorothiazide, 9 Cleocin Phosphate, 4

Cefazolin, 1

chlorothiazide sodium, 9 Cleocin-t, 11

cefazolin sodium, 1

chlorpromazine HCL, 23 Clever Chek Lancets Ultrathin, 36

Cefazolin Sodium, 1

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

Cefazolin Sodium/Dextrose, 1

Chlorpropamide, 16 Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 36

cefdinir, 1

chlorthalidone, 9

Cefditoren Pivoxil, 1

Chlorthalidone, 9 Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 36

cefepime, 1

chlorzoxazone, 26

Cefepime, 1

Cholbam, 19 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2", 36

cefixime, 1

cholestyramine, 10

Cefotan, 1

cholestyramine light, 10 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16", 36

cefotaxime sodium, 1

choline magnesium trisalicylate, 28

cefotetan, 1

Choline Magnesium Trisalicylate, 29 Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16", 36

Cefotetan, 1

chorionic gonadotropin, 17

Cefotetan/Dextrose, 1

Cialis, 10 Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2", 36

cefoxitin sodium, 1

Ciclodan Cream Kit, 11

Cefoxitin Sodium, 1

Ciclodan Solution Kit, 11 Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2", 36

cefpodoxime proxetil, 1

ciclopirox, 11

cefprozil, 1

ciclopirox nail lacquer, 11 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2", 36

ceftazidime, 1

ciclopirox olamine, 11

Ceftazidime/Dextrose, 1

Ciclopirox Topical Solution Kit, 11 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16", 36

Ceftibuten, 1

cidofovir, 3

Ceftin, 1

Ciferex, 21 Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16", 36

Ceftriaxone IN Iso-osmotic Dextrose, 1

cilostazol, 22

ceftriaxone sodium, 1

Ciloxan, 27 Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2", 36

Ceftriaxone Sodium, 1

cimetidine, 18

Ceftriaxone/Dextrose, 1

cimetidine HCL, 18 Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 36

cefuroxime axetil, 1

Cimzia, 19

cefuroxime sodium, 1

Cimzia Starter Kit, 19 Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2", 36

Cefuroxime Sodium, 1

Cinryze, 22

Cefuroxime/Dextrose, 1

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

Celebrex, 30

Cipro HC, 28

celecoxib, 30

Cipro I.V.-IN D5W, 2 Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 36

Celestone-soluspan, 14

Cipro XR, 2

Celexa, 23

Ciprodex, 28 Clever Choice Comfort EZ Patch, 13

Cellcept, 5

ciprofloxacin, 2 Clever Choice Comfort EZ Pen Needles 29GX12MM, 36

Cellcept Intravenous, 5

Ciprofloxacin, 28

Celontin, 25

ciprofloxacin ER, 2 Clever Choice Comfort EZ Pen Needles 31GX5MM, 36

Cenestin, 15

ciprofloxacin HCL, 2, 27

Cenfol, 21

Ciprofloxacin HCL, 2 Clever Choice Comfort EZ Pen Needles 31GX6MM, 36

Centany, 11

ciprofloxacin I.V.-IN D5W, 2

Centany AT, 11

cisatracurium besylate, 26 Clever Choice Comfort EZ Pen Needles 31GX8MM, 36

Centratex, 21

cisplatin, 4

cephalexin, 1

Cisplatin, 4 Clever Choice Comfort EZ Pen Needles 32GX4MM, 36

Cephalexin, 1

citalopram hydrobromide, 23

Ceracade, 13

Citanest Forte Dental, 31 Clever Choice Comfort EZ Pen Needles 32GX8MM, 36

Cerdelga, 21

Citanest Plain Dental, 31

Cerebyx, 25

Citranatal 90 DHA, 34 Clever Choice Comfort EZ Pen Needles

33GX4MM, 36

Colestid Flavored, 10 Corzide, 9

Clever Choice Comfort EZ Pen Needles 33GX5MM, 36

colestipol HCL, 10 Cosentyx, 12

colistimethate sodium, 4 Cosentyx Sensoready Pen, 12


Coly-mycin M, 4 Cosmegen, 5

Coly-mycin S, 28 Cosopt, 27


Colyte-flavor Packs, 18 Cosopt PF, 27

Combigan, 27 Cotellic, 6

Cleviprex, 8

Combipatch, 15 Coumadin, 21

Climara, 15

Combivent Respimat, 32 Cozaar, 8

Climara Pro, 15

Combivir, 3 Cpb Wc, 32

Clin Single Use Kit, 4

Cometriq, 6 Creon, 19

Clin-lido, 4

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

Cresemba, 2

Clindacin Etz, 11

Crestor, 10

Clindacin PAC, 11

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

Crinone, 20

Clindagel, 10

Crixivan, 3

clindamycin, 4


Crnatal, 34

clindamycin HCL, 4

cromolyn sodium, 19, 28

clindamycin palmitate HCL, 4


Cromolyn Sodium, 32

clindamycin phosphate, 4, 10, 20

Cubicin, 4

Clindamycin Phosphate, 4


Curosurf, 32

clindamycin phosphate add-vantage, 4

Cutivate, 12

clindamycin phosphate IN D5W, 4


Cuvposa, 19

clindamycin phosphate pharmacy bulk package, 4

cyanocobalamin, 21

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

Cyclessa, 15

clindamycin/benzoyl peroxide, 10

Cyclobenzaprine Comfort PAC, 26

Clindap-t, 11


cyclobenzaprine HCL, 26

Clindesse, 20

Cyclogyl, 28

Clinical Nutrients Prenatal Formula, 33


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, 41 cyclophosphamide, 4

Clobex, 12

Compact Space Chamber/Anti-static/Large Mask, 41

Cyclophosphamide, 4

Clocortolone Pivalate, 12

Cycloserine, 2

Clocortolone Pivalate P.M., 12

Compact Space Chamber/Anti-static/Medium Mask, 41

cyclosporine, 5

Clodan Kit, 12

cyclosporine modified, 5

Cloderm, 12

Compact Space Chamber/Anti-static/Small Mask, 41

Cyclosporine Modified, 5

Cloderm P.M., 12

Cyklokapron, 22

Clolar, 5

Compazine, 24 Cymbalta, 23

clomiphene citrate, 17

Complera, 3 cyproheptadine HCL, 31

clomipramine HCL, 23

Comtan, 25 Cyramza, 5

clonazepam, 25

Comvax, 33 Cystadane, 18

clonazepam odt, 25

Concept DHA, 33 Cystagon, 20

clonidine HCL, 8

Concept OB, 33 Cystaran, 28

clonidine HCL ER, 24

Concerta, 24 cytarabine, 5

clopidogrel, 22

Condylox, 13 Cytarabine, 5

clorazepate dipotassium, 23

Convenience PAK, 26 cytarabine aqueous, 5

Clorpres, 9

Conzip, 29 Cytomel, 18

clotrimazole, 11, 22

Copasil, 13 Cytotec, 19

clotrimazole/betamethasone dipropionate, 11

Copaxone, 26 Cytovene, 3

Copegus, 3 Cytra-3, 20

clozapine, 23

Cordarone, 8 D

clozapine odt, 23

Cordran, 12

D.h.e. 45, 30

Clozapine Odt, 24

Cordran Tape, 12

dacarbazine, 6

Clozaril, 24

Coreg, 7

Dacarbazine, 6

Cnl8 Nail Kit, 11

Coreg CR, 7

Dacogen, 5

Coaguchek Lancets, 36

Corgard, 7

Daklinza, 3

Coal TAR, 13

Corifact, 22

Daliresp, 32

Coartem, 3

Corlanor, 10

Dallergy, 32

Cocaine HCL, 13

Corlopam, 8

Dalvance, 4

Cod Liver Oil, 34

Cortef, 14

danazol, 15

Codar AR, 32

Cortenema, 19

Dantrium, 26

codeine sulfate, 29

Cortifoam, 19

Dantrium IV, 26

Codeine Sulfate, 29

Cortisone Acetate, 14

dantrolene sodium, 26

Cogentin, 25

Cortisporin, 11

dapsone, 4

Colazal, 19

Cortisporin-tc, 28

Daptacel, 33

Colchicine, 31

Corvert, 8

Daraprim, 3

Colcrys, 31

Corvite, 34

darifenacin ER, 20

Colestid, 10

Corvite 150, 21

darifenacin hydrobromide ER, 20

Darzalex, 5

dexamethasone, 14 Dimenhydrinate, 19

daunorubicin HCL, 4

Dexamethasone, 14 Diovan, 8

Daunoxome, 4

Dexamethasone Intensol, 14 Diovan HCT, 9

Daypro, 30

dexamethasone sodium phosphate, 14, 27

Dipentocaine, 12

Daytrana, 24

Dipentum, 19

Ddavp, 17

Dexamethasone Sodium Phosphate, 14, 27

diphenhydramine HCL, 31

Debacterol, 22

diphenoxylate/atropine, 18

decitabine, 5

Dexchlorpheniramine Maleate, 31 Diphenoxylate/Atropine, 18

Decon-a, 32

Dexedrine, 24 Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 33

Defitelio, 21

Dexilant, 19

Delestrogen, 15

Dexlido, 14 Diprolene, 13

Demadex, 9

Dexlido-m, 14 Diprolene AF, 13

demeclocycline HCL, 2

dexmedetomidine HCL, 24 dipyridamole, 22

Demerol, 29

dexmethylphenidate HCL, 24 Disalcid, 29

Demser, 8

dexmethylphenidate HCL ER, 24 disopyramide phosphate, 8

Denavir, 12

Dexpak 10 Day, 14 disulfiram, 26

Depacon, 25

Dexpak 13 Day, 14 Ditropan XL, 20

Depakene, 25

Dexpak 6 Day, 14 Diuril, 9

Depakote, 25

Dexpanthenol, 19 divalproex sodium, 25

Depakote ER, 25

dexrazoxane, 6 divalproex sodium DR, 25

Depakote Sprinkles, 25

dextroamphetamine sulfate, 24 divalproex sodium ER, 25

Depo-estradiol, 15

dextroamphetamine sulfate ER, 24 Divigel, 15

Depo-medrol, 14

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 32

Divista, 21

Depo-provera, 5

dobutamine HCL, 9

Depo-testosterone, 15

dobutamine HCL/D5W, 9

Deprizine Fusepaq, 19

dobutamine/dextrose 5%, 9

Diabeta, 16

Derma Silkrx Anodynexa PAK, 30

Docefrez, 6

Dialyvite 3000, 34

Derma Silkrx Diclopak, 30

docetaxel, 6

Dialyvite 5000, 34

Derma Silkrx Sds PAK, 12

Docetaxel, 6

Dialyvite Supreme D, 34

Derma-smoothe/FS Body, 12

Docetaxel (non-alcohol Formula), 6

Dialyvite/Zinc, 34

Derma-smoothe/FS Scalp, 12

dofetilide, 8

Diamox, 9

Dermacinrx Azenase PAK, 31

Dologesic, 29

Diastar Easy Test II Lancets 30G, 36

Dermacinrx Duopatch Pharmapak, 13

Dolophine, 29

Diastar Easy Test Lancets30G, 36

Dermacinrx Inflammatral PAK, 30

donepezil HCL, 26

Diastat Acudial, 25

Dermacinrx Lexitral Pharmapak, 12

dopamine HCL, 9

Diastat Pediatric, 25

Dermacinrx Neurotral Pharmapak, 13

Dopamine HCL, 9

Diatx ZN, 34

Dermacinrx Phn PAK, 13

dopamine HCL-dextrose 5%, 9

diazepam, 23

Dermacinrx Purefolix, 21

dopamine HCL/dextrose 5%, 9

Diazepam, 23, 25

Dermacinrx Surgical Pharmapak, 13

dopamine/D5W, 9

Dibenzyline, 8

Dermacinrx Ticanase PAK, 31

Dopram, 24

Diclegis, 19

Dermacinrx Zrm PAK, 13

Doral, 24

diclofenac potassium, 30

Dermapak Plus, 11

Doribax, 4

diclofenac sodium, 12, 28

Dermasorb HC, 12

Doryx, 2

diclofenac sodium DR, 30

Dermasorb Ta, 12

dorzolamide HCL, 28

diclofenac sodium ER, 30

Dermasorb XM, 13

dorzolamide HCL/timolol maleate, 27

diclofenac sodium/misoprostol, 30

Dermatop, 13

Doubledex, 14

dicloxacillin sodium, 1

Dermawerx Sds PAK, 13

Dovonex, 12

Dicopanol Fusepaq, 31

Dermawerx Surgical Plus PAK, 13

doxapram HCL, 24

dicyclomine HCL, 18

Dermazone, 13

doxazosin, 8

didanosine, 3

Dermotic, 28

doxazosin mesylate, 8

Differin, 11

desipramine HCL, 23

doxepin HCL, 23

Dificid, 1

desloratadine, 31

Doxepin HCL, 23

Diflorasone Diacetate, 12

Desloratadine Odt, 31

Doxepin Hydrochloride, 12

Diflucan, 2

desmopressin acetate, 17

doxercalciferol, 18

diflunisal, 28

Desogen, 15

Doxil, 5

digoxin, 7

desogestrel/ethinyl estradiol, 15

doxorubicin HCL, 4

Digoxin, 7

Desonate, 13

Doxorubicin HCL, 4

dihydroergotamine mesylate, 30

desonide, 12

doxorubicin HCL liposome, 4

Dihydroergotamine Mesylate, 30

Desowen, 13

doxycycline, 2

Dilantin, 25

Desowen Cream/Cetaphil Lotion, 13

Doxycycline, 11

Dilantin Infatabs, 25

Desowen Lotion/Cetaphil Cream, 13

doxycycline hyclate, 2

Dilantin-125, 25

Desowen Ointment/Cetaphil Lotion, 13

doxycycline hyclate DR, 2

Dilatrate SR, 7

desoximetasone, 12

doxycycline monohydrate, 2

Dilaudid, 29

Desoximetasone, 12

Drisdol, 33

Dilaudid-HP, 29

Desoxyn, 24

Dritho-creme HP, 12

diltiazem CD, 7

Desvenlafaxine ER, 23

dronabinol, 19

diltiazem HCL, 7

Detrol, 20

droperidol, 23

Diltiazem HCL, 8

Detrol LA, 20

Droplet Lancets Ultra Thin 30G, 36

diltiazem HCL ER, 7

Droplet Pen Needles 29GX12MM, 36

E-ZJECT Lancets Micro-thin 33G, 36 Activated, 36


E.e.s. 400, 1 Easy Touch Lancets 30G/Pull-top, 36


E.e.s. Granules, 1 Easy Touch Lancets 30G/Twist, 36


Easivent, 41 Easy Touch Lancets 32G/Pressure Activated, 36


Easivent/Mask-large, 41


Easivent/Mask-medium, 41 Easy Touch Lancets 32G/Pull-top, 36

drospirenone/ethinyl estradiol, 15

Easivent/Mask-small, 41 Easy Touch Lancets 32G/Twist, 36

Droxia, 21

Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2", 36

Easy Touch Lancets 33G/Twist, 36

Drug Mart On-the-go Lancets Gentle 30G, 36

Easy Touch Pen Needles 29GX1/2", 36



Drug Mart Unilet Lancets Super Thin 30G, 36




Drug Mart Unilet Lancets Ultra Thin 28G, 36

Easy Touch Pen Needles/31G X 3/16", 36


Drysol, 13

Easy Touch Safety Lancets21G/Pressure Activated, 36

Dsg PAK, 12

Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 36

Duac, 11


Duane Reade Unifine Pentips 29G X 12MM, 36


Easy Touch Safety Lancets26G/Button Activated, 36

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 36



Duane Reade Unifine Pentips 31G X 8MM SHORT, 36


Easy Touch Safety Lancets28G/Button Activated, 36

Duavee, 15

Easy Touch Insulin Syringe/1ML/30G X 5/16", 36

Duet DHA 400, 34


Duet DHA 400EC, 34

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2", 36

Duet DHA 430, 34

Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2", 36

Duet DHA 430EC, 34

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16", 36

Duet DHA Balanced, 33


Duetact, 17

Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2", 36

duloxetine HCL, 23


Duloxetine HCL, 23

Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2", 36

Duoneb, 32

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

Duopa, 25

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

Duragesic, 29

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, 11

Ed Cyte F, 21

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


Edarbi, 8

Edarbyclor, 9

Durezol, 27

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

Edecrin, 9

Durlaza, 22

Edluar, 24

dutasteride, 20


Edurant, 3

dutasteride/tamsulosin HCL, 20

Effexor XR, 23

dutasteride/tamsulosin hydrochloride, 20


Effient, 22

Dutoprol, 9

Egrifta, 17

Dyanavel XR, 24


Elaprase, 18

Dyazide, 9

Elavil, 23

Dyloject, 30


Eldepryl, 25

Dymista, 31

Elelyso, 21

Dyrenium, 9

Easy Touch Lancets 21G/Pressure Activated, 36

Elestat, 28

Dysport, 26

Elestrin, 15

Dyural-40, 14


Eletone, 13

Dyural-80, 14

Eletone Twinpack, 13

Dyural-l, 14


Elidel, 13

Dyural-lm, 14

Eligard, 5

E

Easy Touch Lancets 26G/Pull-top, 36 Elimite, 13

Easy Touch Lancets 26G/Twist, 36 Eliphos, 19

E-z Ject Lancets, 36


Eliquis, 21

E-z Ject Lancets 21G, 36

Elitek, 7

E-z Ject Lancets Color, 36

Easy Touch Lancets 28G/Pull-top, 36 Elixophyllin, 32

E-z Ject Lancets Super Thin, 36

Easy Touch Lancets 28G/Twist, 36 Ella, 15

E-z Ject Lancets Super Thin 30G, 36

Easy Touch Lancets 30G/Button-activated, 36

Ellence, 5

E-z Ject Lancets Thin 26G, 36

Elmiron, 20

E-z Spacer, 41

Easy Touch Lancets 30G/Pressure Elocon, 13

E-z Spacer The Body Guards Pack, 41

Eloxatin, 4

Erbitux, 5 31G X 4MM, 37

Emadine, 28

ergocalciferol, 33 Exel Comfort Point Insulin Pen Needles 29G X 12MM, 37

Embrace Lancets Ultra Thin 30G, 37

ergoloid mesylates, 26

Emcyt, 5

Ergoloid Mesylates, 26 Exel Comfort Point Insulin Pen Needles 31G X 6MM, 37

Emend, 19

Ergomar, 30

Emla, 13

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

Empliciti, 5

Erwinaze, 5

Emsam, 23

Ery-TAB, 1 Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 37

Emtriva, 3

Erygel, 11

Emulsion SB, 13

Eryped 200, 1 Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16", 37

Emverm, 4

Eryped 400, 1

Emvoren, 12

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

Enablex, 20

Erythrocin Stearate, 1

enalapril maleate, 8

erythromycin, 1, 10, 27 Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2", 37

enalapril maleate/hydrochlorothiazide, 9

Erythromycin Base, 1

enalaprilat, 8

Erythromycin Ethylsuccinate, 1 Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16", 37

Enbrace HR, 34

erythromycin/benzoyl peroxide, 10

Enbrel, 30

Esbriet, 32 Exel Comfort Point Insulin Syringe/1ML/28G X 1/2", 37

Enbrel Sureclick, 30

Escavite, 34

Endometrin, 20

Escavite D, 34 Exel Comfort Point Insulin Syringe/1ML/29G X 1/2", 37

Engerix-b, 33

escitalopram oxalate, 23

Enjuvia, 15

Esgic, 29 Exel Comfort Point Insulin Syringe/1ML/30G X 5/16", 37

Enlon, 27

esmolol HCL, 7

Enlon-plus, 27

esomeprazole magnesium, 18 Exelderm, 11

enoxaparin sodium, 21

esomeprazole sodium, 18 Exelon, 26

Enstilar, 13

Esomeprazole Sodium, 19 exemestane, 5

entacapone, 25

Esomeprazole Strontium, 19 Exforge, 9

entecavir, 3

estazolam, 24 Exforge HCT, 9

Entereg, 20

Estrace, 15, 20 Exjade, 42

Entocort EC, 14

estradiol, 15 Exoderm, 11

Entresto, 10

Estradiol, 15 Exparel, 31

Entty Spray Emulsion, 13

estradiol valerate, 15 Extardol, 12

Entyvio, 20

estradiol/norethindrone acetate, 15 Extina, 11

Envarsus XR, 5

Estrasorb, 15 EZ Smart Blood Glucose Lancets, 37

Epaned, 8

Estring, 20 EZ-lets Lancets 21G, 37

ephedrine sulfate, 9

Estrogel, 15 EZ-lets Lancets 23G, 37

Ephedrine Sulfate, 9

Estropipate, 15 EZ-lets Lancets 26G Super-soft, 37

Ephedrine Sulfate/Sodium Chloride, 9

Estrostep FE, 15 EZ-lets Lancets 28G Ultra-soft, 37

Epiceram, 13

eszopiclone, 24 EZ-lets Lancets 30G, 37

Epiduo, 11

ethacrynate sodium, 9 F

Epiduo Forte, 11

ethambutol HCL, 2

Fabior, 11

Epifoam, 13

ethosuximide, 25

Fabrazyme, 18

epinastine HCL, 28

Ethyl Chloride, 13

Factive, 2

Epinephrine, 9

Ethyl Chloride/Fine Pinpoint, 13

Falessa, 15

Epinephrine HCL, 9

Ethyl Chloride/Fine Stream, 13

famciclovir, 3

epinephrine HCL, 32

Ethyl Chloride/Medium Jet Stream, 13

famotidine, 18

Epipen 2-PAK, 9

Ethyl Chloride/Medium Stream, 13

Famotidine, 19

Epipen-JR 2-PAK, 9

Ethyl Chloride/Mist, 13

Famotidine Premixed, 19

epirubicin HCL, 4

Ethyol, 7

Famvir, 3

Epirubicin HCL, 5

Etidronate Disodium, 17

Fanapt, 24

Episnap, 9

etodolac, 30

Fanapt Titration Pack, 24

episone CRE, 13

etodolac ER, 30

Fanatrex Fusepaq, 25

Epivir, 3

Etopophos, 6

Fareston, 5

Epivir HBV, 3

etoposide, 6

Farydak, 6

eplerenone, 8

Etoposide, 6

Faslodex, 5

epoprostenol sodium, 10

Euflexxa, 26

Fazaclo, 24

Eprosartan Mesylate, 8

Eurax, 13

Feiba, 22

eptifibatide, 22

Evamist, 15

Feiba NF, 22

Epzicom, 3

Evekeo, 25

felbamate, 25

Eql SHORT Pen Needles 31G X 8MM, 37

Evicel, 22

Felbatol, 25

Evista, 17

Feldene, 30

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

Evithrom, 22

felodipine ER, 7

Evoclin, 11

Fem PH, 20

Equagesic, 29

Evotaz, 3

Femara, 5

Equetro, 24

Evoxac, 22

Femcon FE, 15

Equipto-baclofen, 11

Exactuss, 32

Femhrt Low Dose, 15

Equipto-naproxen, 12

Exalgo, 29

Femring, 20

Eraxis, 2

Excel Comfort Point Insulin Pen Needles

fenofibrate, 10

Fenofibrate, 10

Compounding Kit, 20 Fluphenazine HCL, 24

fenofibrate micronized, 10

First-progesterone VGS 50 Compounding Kit, 20

flurandrenolide, 12

Fenofibric Acid, 10

flurazepam HCL, 24

fenofibric acid DR, 10

First-testosterone, 15 Flurazepam HCL, 24

Fenoglide, 10

First-testosterone Mc Compounding Kit, 15

flurbiprofen, 30

fenoldopam mesylate, 8

flurbiprofen sodium, 28

Fenoprofen Calcium, 30

First-vancomycin 25, 4 flutamide, 5

Fenortho, 30

First-vancomycin 50, 4 fluticasone propionate, 12, 31

fentanyl, 29

Flagyl, 4 fluvastatin, 10

Fentanyl, 29

Flagyl ER, 4 fluvastatin sodium ER, 10

Fentanyl Citrate, 29

Flanax Pain Relief Kit, 30 Fluvirin 2013-2014, 33

fentanyl citrate oral transmucosal, 29

Flarex, 27 Fluvirin 2014-2015, 33

Fentanyl Citrate/Sodium Chloride, 29

flavoxate HCL, 20 Fluvirin 2015-2016, 33

Feraheme, 21

flecainide acetate, 8 Fluvirin PF 2013-2014, 33

Feriva, 21

Flector, 12 Fluvirin PF 2014-2015, 33

Feriva 21/7, 21

Flexepax, 26 fluvoxamine maleate, 23

Ferivafa, 21

Flexichamber, 41 fluvoxamine maleate ER, 23

Ferralet 90, 21

Flexichamber Adult Mask/Small, 41 Fluzone High-dose PF 2013-2014, 33

Ferrex 150 Forte Plus, 21

Flexichamber Child Mask/Large, 41 Fluzone High-dose PF 2014-2015, 33

Ferrex 28, 21

Flexichamber Child Mask/Small, 41 Fluzone High-dose PF 2015-2016, 33

Ferriprox, 42

Flolan, 10 Fluzone Pediatric PF 2013-2014, 33

Ferrlecit, 21

Flomax, 20 Fluzone PF 2013-2014, 33

Ferro-plex Hematinic, 21

Flonase, 31 Fluzone PF 2014-2015, 33

Ferrotrin, 21

Floriva, 34 Fluzone Quadrivalent 2013-2014, 33

Fetzima, 23

Flovent Diskus, 32 Fluzone Quadrivalent 2014-2015, 33

Fetzima Titration Pack, 23

Flovent HFA, 32 Fluzone Quadrivalent 2015-2016, 33

Fexmid, 26

Flowtuss, 32 Fluzone Split 2013-2014, 33

Fibricor, 10

floxuridine, 5 Fluzone Split 2014-2015, 33

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

Floxuridine, 5 Fluzone Split 2015-2016, 33

Fluarix 2013-2014, 33 FML, 27

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

Fluarix 2014-2015, 33 FML Forte, 27

Fluarix Quadrivalent 2013-2014, 33 FML Liquifilm, 27

Fifty50 Pen Needles 31GX5MM, 37

Fluarix Quadrivalent 2014-2015, 33 Focalgin 90 DHA, 34

Fifty50 Pen Needles/31GX8MM, 37

Fluarix Quadrivalent 2015-2016, 33 Focalgin CA, 34

Fifty50 Pen Needles/32GX4MM, 37

Flublok 2013-2014, 33 Focalgin Dss, 21

Fifty50 Safety Seal Lancets 30G, 37

Flublok 2014-2015, 33 Focalin, 25

Fifty50 Safety Seal Lancets 32G, 37

Flublok 2015-2016, 33 Focalin XR, 25

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

Flucelvax 2013-2014, 33 Folcaps Omega 3, 34

Flucelvax 2014-2015, 33 Folet DHA, 34

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

Flucelvax 2015-2016, 33 Folet One, 34

fluconazole, 2 Folgard OS, 34

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

fluconazole IN dextrose, 2 Folgard RX, 21

fluconazole IN NACL, 2 folic acid, 21

Fifty50 Unilet Lancets 33G, 37

Fluconazole IN NACL, 2 Folic Acid, 21

Finacea, 11

flucytosine, 2 folic acid/vitamin b-6/vitamin b-12, 21

finasteride, 20

Fludara, 5 Folitab 500, 21

Fine 30, 37

fludarabine phosphate, 5 Folivane-f, 21

Fingerstix Lancets, 37

fludrocortisone acetate, 14 Folivane-OB, 34

Fioricet, 29

Flulaval 2013-2014, 33 Folivane-plus, 21

Fioricet/Codeine, 29

Flulaval 2014-2015, 33 Folivane-prx DHA NF, 34

Fiorinal, 29

Flulaval Quadrivalent 2013-2014, 33 Folixapure, 21

Fiorinal/Codeine #3, 29

Flulaval Quadrivalent 2014-2015, 33 Follistim AQ, 17

Firazyr, 22

Flulaval Quadrivalent 2015-2016, 33 Folotyn, 5

Firmagon, 5

Flumadine, 3 Foltrate, 21

First-bxn Mouthwash, 22

Flumist Quadrivalent, 33 fondaparinux sodium, 21

First-dukes Mouthwash, 22

flunisolide, 31 Fora Lancets, 37

First-hydrocortisone, 13

fluocinolone acetonide, 12, 28 Foradil Aerolizer, 32

First-lansoprazole, 19

fluocinolone acetonide ear drops, 28 Forfivo XL, 23

First-marys Mouthwash, 22

fluocinonide, 12 Fortamet, 16

First-mouthwash Blm, 22

fluocinonide-e, 12 Fortavit, 34

First-omeprazole, 19

fluorometholone, 27 Fortaz, 1


fluorouracil, 5 Forteo, 17

Fluoxetine, 26 Fortical, 17


fluoxetine DR, 23 Fosamax, 17

fluoxetine HCL, 23 Fosamax Plus D, 17


Fluoxetine HCL, 23 Foscavir, 3

fluphenazine decanoate, 23 fosinopril sodium, 8

First-progesterone VGS 400

fluphenazine HCL, 23 fosinopril sodium/hydrochlorothiazide, 9

fosphenytoin sodium, 25

Chloride, 2 Glycolic Acid 70% High Purity, 12

Fosrenol, 20

Gentle-let GP Lancets, 37 glycopyrrolate, 18

Fragmin, 21

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

Glynase, 16

Freestyle Lancets, 37

Glyset, 16

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

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

Glyxambi, 17

Gmate Lancets 30G, 37

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

Gentle-let Lancets Safety Style/Fine Point, 37

Golytely, 18

Gonal-f, 17

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

Gentle-let Lancets Safety Style/Medium Point, 37

Gonal-f RFF, 17

Gonal-f RFF Rediject, 17

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

Gentle-let Platforms 2.4MM, 37 Gordofilm, 13

Gentle-let Platforms 3.0MM, 37 Gordons Urea, 13

Freestyle Unistick II Lancets, 37

Genvisc 850, 26 Gralise, 26

Frova, 30

Genvoya, 3 Gralise Starter, 26

frovatriptan succinate, 30

Geodon, 24 granisetron HCL, 19

Fulyzaq, 18

Gesticare DHA, 34 Granisol, 19

Furadantin, 20

Giazo, 20 Granix, 21

furosemide, 9

Gilenya, 26 Grifulvin V, 2

Furosemide, 9

Gilotrif, 6 Gris-peg, 2

Fusilev, 7

Gilphex TR, 32 griseofulvin microsize, 2

Fusion Plus, 21

Giltuss, 32 griseofulvin ultramicrosize, 2

Fusion Sprinkles, 21

Giltuss PED-c, 32 guanfacine ER, 24

Fuzeon, 3

Giltuss TR, 32 guanfacine HCL, 8

Fycompa, 25

Glassia, 32 Guanidine HCL, 27

G

glatopa, 26 Gynazole-1, 20

Gleevec, 6 H

gabapentin, 25

Gleostine, 4

Gabavale-5, 23

H&h Thinlet Lancets 26G, 37

Gliadel Wafer, 4

Gabazolamine, 23

H&h Thinlet Super Thin Lancets 30G, 37

glimepiride, 16

Gabazolamine-0.5, 23

H-e-b IN Control Pen Needles 31GX6MM, 37

glipizide, 16

Gabazolpidem-5, 24

glipizide ER, 16

Gabitidine, 19

H-e-b IN Control Pen Needles 31GX8MM, 37

glipizide/metformin HCL, 16

Gabitril, 25

Glucagen Hypokit, 16

Gablofen, 26

H-e-b IN Control Unifine Pentips Plus 32GX4MM, 37

Glucagon Emergency Kit, 16

Gaboxetine, 23

Glucocom Lancets 28G, 37

galantamine hydrobromide, 26

H-e-b Incontrol Pen Needles 29GX12MM, 37


Galantamine Hydrobromide, 26


ganciclovir, 3

H.p. Acthar, 17

Glucophage, 16

Ganirelix Acetate, 17

Haemolance, 37

Glucophage XR, 16

Garamycin, 27

Haemolance Low Flow Lancets, 37

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

Gardasil, 33

Haemolance Plus, 37

Gardasil 9, 33

Haemolance Plus High Flow, 37


Gastrinex NF, 19

Haemolance Plus Low Flow, 37

Gastrocrom, 20

Haemolance Plus Max Flow, 37


gatifloxacin, 27

Haemolance Plus Pediatric Flow, 37

Gattex, 20

Halaven, 6


Gazyva, 5

Halcion, 24

Gebauers Pain Ease, 13

Haldol, 24


Gebauers Spray And Stretch, 13

Haldol Decanoate 100, 24

Gel-kam Oral Care Rinse, 22

Haldol Decanoate 50, 24


Gel-one, 26

halobetasol propionate, 12

Gelclair, 22

Halog, 13

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

Gelnique, 20

haloperidol, 23

gemcitabine, 5

haloperidol decanoate, 23


gemcitabine HCL, 5

haloperidol lactate, 23

gemfibrozil, 10

Halotin, 11


Gemzar, 5

Harvoni, 3

Genadur, 13

Havrix, 33

Glucosource Lancets, 37

Genadur Kit, 13

Healthwise Mini Pen Needles 31GX6MM, 37

Glucotrol, 16

gene-xene TAB 15MG, 23

Glucotrol XL, 16

gene-xene TAB 3.75MG, 23

Healthwise Pen Needles 29GX12MM, 37

Glucovance, 17

gene-xene TAB 7.5MG, 23

Healthwise SHORT Pen Needles 31GX8MM, 37

Glumetza, 16

Generess FE, 15

glyburide, 16

gentamicin sulfate, 2, 27

Healthy Mama Be Well Rounded, 34

Glyburide, 16

Gentamicin Sulfate, 11

Hectorol, 18

glyburide micronized, 16

gentamicin sulfate pediatric, 2

Helixate FS, 22

glyburide/metformin HCL, 16

gentamicin sulfate/0.9% sodium chloride, 2

Hemabate, 28

Glycate, 19

Hemangeol, 7

Glycolic Acid, 12

Gentamicin Sulfate/0.9% Sodium

Hematogen Fa, 21

Hematron-AF, 21

hydrocodone bitartrate/acetaminophen, 29

Ifosfamide, 4

Hemocyte Plus, 21

Ilaris, 30

Hemocyte-f, 21

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 31

Ilevro, 28

Hemofil M, 22

imatinib mesylate, 6

heparin lock, 21

hydrocodone bitartrate/homatropine methylbromide, 31

Imbruvica, 6

heparin lock flush, 21

Imdur, 7

Heparin Lock Flush, 21

hydrocodone polistirex/chlorpheniramine polistirex, 32

imipenem/cilastatin, 4

heparin lock flush for flushing vascular access devices, 21

imipramine HCL, 23

hydrocodone/acetaminophen, 29 imipramine pamoate, 23

heparin lock flush/NACL for flushing vascular access devices, 21

Hydrocodone/Acetaminophen, 29 imiquimod, 13

hydrocodone/homatropine, 32 Imitrex, 30

heparin sodium, 21

hydrocodone/ibuprofen, 29 Imitrex Statdose Refill, 30

Heparin Sodium, 21

hydrocort ene 100MG, 19 Imitrex Statdose System, 30

heparin sodium dcu, 21

hydrocortisone, 12, 14, 19 Imovax Rabies (h.d.c.v.), 33

heparin sodium lock flush, 21

hydrocortisone acetate/aloe, 12 Imuran, 5

heparin sodium/D5W, 21

hydrocortisone acetate/lidocaine HCL, 19 IN Touch Sterile Lancets 30G, 37

Heparin Sodium/D5W, 21

hydrocortisone acetate/pramoxine, 19 Increlex, 17

Heparin Sodium/NACL 0.45%, 21

hydrocortisone butyrate, 12 Incruse Ellipta, 32

heparin sodium/NACL 0.9%, 21

hydrocortisone butyrate (lipid), 12 indapamide, 9

Heparin Sodium/Sodium Chloride 0.9%, 21

hydrocortisone butyrate (lipophilic), 12 Inderal LA, 7

hydrocortisone IN absorbase, 12 Inderal XL, 7

heparin sodium/sodium chloride 0.9% premix, 21

hydrocortisone valerate, 12 Indocin, 30

hydrocortisone/acetic acid, 28 indomethacin, 30

Hepsera, 3

hydromorphone HCL, 29 Indomethacin, 30

Herceptin, 5

Hydromorphone HCL, 29 indomethacin ER, 30

Hespan, 22

hydromorphone HCL dosette, 29 Indomethacin Sodium, 30

hetastarch 6%/NACL, 22

hydromorphone HCL ER, 29 Infanrix, 33

Hetlioz, 24

Hydromorphone HCL ER, 29 Infasurf, 32

Hexalen, 4

Hydromorphone HCL/NACL, 29 Infed, 21

Hextend, 22

Hydromorphone HCL/Sodium Chloride, 29

Infumorph 200, 29

Hiberix, 33

Infumorph 500, 29

Hiprex, 20

Hydroxocobalamin, 21 Injectafer, 21

homatropine HBR, 28

hydroxychloroquine sulfate, 3 Inlyta, 6

Horizant, 26

hydroxyprogesterone caproate, 16 Innopran XL, 7

HPR, 14

hydroxyurea, 6 Innoprax-5, 12

HPR Plus, 14

hydroxyzine HCL, 23 Inova, 11

HPR Plus Hydrogel Kit, 14

Hydroxyzine HCL, 23 Inova 4/1 Acne Control Therapy, 11

HPR Plus/Mb Hydrogel, 14

hydroxyzine pamoate, 23 Inova 8/2 Acne Control Therapy, 11

Humalog, 16

Hydroxyzine Pamoate, 23 Inspirachamber/Anti-static Valved/Mouthpiece, 41

Humalog Kwikpen, 16

Hylatopic, 14

Humalog Mix 50/50, 16

Hylatopic Plus, 14 Inspirachamber/Large, 41

Humalog Mix 50/50 Kwikpen, 16

Hylira, 14 Inspirachamber/Soothermask/Inspiramask/Medium, 41

Humalog Mix 75/25, 16

hyoscyamine sulfate, 18

Humalog Mix 75/25 Kwikpen, 16

hyoscyamine sulfate ER, 18 Inspirachamber/Soothermask/Inspiramask/Small, 41

Humate-p, 22

hyoscyamine sulfate odt, 18

Humira, 30

hyoscyamine sulfate SR, 18 Inspirease Bags, 41

Humira Pediatric Crohns Disease Starter Pack, 30

Hyper-sal, 32 Inspirease Drug Delivery System, 41

Hypersal, 32 Inspirease Mouthpiece, 41

Humira Pen, 30

Hypertenevide-12.5, 7 Inspirease Reservoir Bags, 41

Humira Pen-crohns Diseasestarter, 30

Hypertenipine-2.5, 8 Inspra, 8

Humira Pen-psoriasis Starter, 30

Hypertensolol, 9 Insulin Syringe/0.3ML/29G X 1", 37

Humulin 70/30, 16

Hyzaar, 9 Insulin Syringe/0.3ML/29G X 1/2", 37

Humulin 70/30 Kwikpen, 16

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

Humulin N, 16

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

ibandronate sodium, 17

Humulin N Kwikpen, 16


Ibrance, 6

Humulin R, 16


Ibudone, 29

Humulin R U-500 (concentrated), 16


ibuprofen, 30

Humulin R U-500 Kwikpen, 16


Ibuprofen Comfort PAC, 30

Hy-vee Lancets, 37


ibuprofen lysine, 30

Hyalgan, 26


ibutilide fumarate, 8

Hycamtin, 6

Insulin Syringe/1ML/28G X 1/2", 37

IC 400, 30

Hycet, 29


IC 800, 30

Hycofenix, 32


Icar-c Plus, 21

hydralazine HCL, 8


Iclusig, 6

Hydrea, 6

Insulin Syringe/U-100/0.3ML/29G X 1/2", 37

Idamycin PFS, 5

Hydro 35, 13

idarubicin HCL, 4

Hydro 40 Foam, 13


Ifex, 4

hydrochlorothiazide, 9

ifosfamide, 4


itraconazole, 2 Korlym, 16

IV Infusion Cpi, 14 Kovaltry, 22

Insulin Syringe/U-100/1ML/28G X 1/2", 37

ivermectin, 3 Kristalose, 18

Ixempra Kit, 6 Krystexxa, 31


Ixiaro, 33 Kuvan, 18

Ixinity, 22 Kynamro, 10


J Kyprolis, 6

L

J-max, 32


Jadenu, 42 labetalol HCL, 7

Jakafi, 6 Lac-hydrin, 14

Insupen Sensitive 32GX8MM, 37

Jalyn, 20 Lacrisert, 27

Insupen Ultrafin 29GX12MM, 37

Janumet, 16 lactic acid, 13


Janumet XR, 16 lactic acid e, 13


Januvia, 16 lactic acid w/vitamin e, 13


Jardiance, 16 lactulose, 18, 19

Integra F, 21

Jevtana, 6 Lamictal, 25

Integra Plus, 21

Jublia, 11 Lamictal Chewable Dispersible, 25

Integrilin, 22

Juxtapid, 10 Lamictal Odt, 25

Intelence, 3

K Lamictal Starter/Not Taking Carbamazepine, 25

Interarticular Joint Kit, 14

Intermezzo, 24

K-phos NO 2, 20

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 25

Intron A, 6

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

Intron A W/Diluent, 6

K10-lido, 14

Intuniv, 25

K40-lido, 14

Lamictal Starter/Taking Valproate, 25

Invanz, 4

Kadcyla, 5

Lamictal XR, 25

Invega, 24

Kalbitor, 22

Lamisil, 2

Invega Sustenna, 24

Kaletra, 3

Lamisil Spray, 11

Invega Trinza, 24

Kalydeco, 32

lamivudine, 3

Invirase, 3

Kanuma, 18

lamivudine/zidovudine, 3

Invokamet, 16

Kapvay, 25

lamotrigine, 25

Invokana, 16

Karbinal ER, 31

lamotrigine ER, 25

Ionsys, 29

Keflex, 1

lamotrigine odt, 25

Iopidine, 28

Kenalog, 13

lamotrigine titration, 25

Ipol Inactivated IPV, 33

Kenalog-10, 14

Lancet Transporter Case, 37

ipratropium bromide, 31, 32

Kenalog-40, 14

Lancets, 37

ipratropium bromide/albuterol sulfate, 32

Kengreal, 22

Lancets 26G Twist Top, 37

Iprivask, 21

Kepivance, 7

Lancets 28G, 37

irbesartan, 8

Keppra, 25

Lancets 30G, 37

irbesartan/hydrochlorothiazide, 9

Keppra XR, 25


Irenka, 23

Kerafoam, 14

Lancets 30G/Twist Top, 37

Iressa, 6

Kerafoam 42, 14


irinotecan, 6

Keralac, 14

Lancets 33G Universal Design, 37

Irinotecan, 6

Keralyt, 14

Lancets Bullseye Safety, 37

irinotecan HCL, 6

Keralyt Scalp, 14

Lancets Safety Seal 21G, 37

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

Kerlone, 7


Kerydin, 11


Irospan 24/6, 21

Ketek, 4


Is 24/6, 21

ketoconazole, 2, 11

Lancets Thin, 37

Isentress, 3

Ketodan Kit, 11

Lancets Twist Top, 37

isoniazid, 2

ketoprofen, 30

Lancets Ultra Fine, 37

Isoniazid, 2

Ketoprofen ER, 30

Lancets Ultra Thin, 37

Isopto Atropine, 28

Ketorocaine-l, 30

Lanoxin, 7

Isopto Carbachol, 28

Ketorocaine-lm, 30

Lanoxin Pediatric, 7

Isopto Carpine, 28

Ketorolac 2% Gel, 12

lansoprazole, 18

Isopto Homatropine, 28

ketorolac tromethamine, 28, 30

lansoprazole/amoxicillin/clarithromycin, 18

Isopto Hyoscine, 28

Ketorolac Tromethamine, 30

Isordil Titradose, 7

Keveyis, 9

Lantus, 16

isosorbide dinitrate, 7

Keytruda, 5

Lantus Solostar, 16

Isosorbide Dinitrate, 7

Khedezla, 23

Lasix, 9

Isosorbide Dinitrate ER, 7

Kineret, 30

Lastacaft, 28

isosorbide mononitrate, 7

Kinlytic, 22

latanoprost, 27

isosorbide mononitrate ER, 7

Kinrix, 33

Latrix XM, 14

isotonic gentamicin, 2

Klaron, 11

Latuda, 24

Isotonic Gentamicin, 2

Klonopin, 25

Lazanda, 29

isradipine, 7

Koate-dvi, 22

Ldo Plus, 14

Istalol, 27

Kogenate FS, 22

Leader Unifine Pentips Plus/Mini/31GX3/16", 37

Istodax, 6

Kogenate FS Bio-set, 22

Isuprel, 32

Kombiglyze XR, 16

Leader Unifine Pentips

Plus/SHORT/31GX5/16", 37

lidocaine HCL/hydrocortisone acetate, 19 LMD 10% Sodium Chloride 0.9%, 22

Leader Unifine Pentips/Mini/31GX3/16", 37

lidocaine viscous, 22 LO Loestrin FE, 15

lidocaine-prilocaine-cream base, 13 Locoid, 13

Leader Unifine Pentips/Nano/32GX5/32", 37

lidocaine/epinephrine, 31 Locoid Lipocream, 13

lidocaine/prilocaine, 13 Lodosyn, 25

Leader Unifine Pentips/Plus/32GX5/32", 37

Lidoderm, 14 Loestrin 1.5/30-21, 15

Lidoprofen, 12 Loestrin 1/20-21, 15

leflunomide, 30

Lidothol, 14 Loestrin FE 1.5/30, 15

Lemtrada, 26

Lidotral, 14 Loestrin FE 1/20, 15

Lenvima 10MG Daily Dose, 6

Lidovir, 12 Lofibra, 10


Lifescan Unistik 2 Deep Penetration, 38 Lomotil, 18


Lifescan Unistik II Lancets, 38 Lomustine, 4


Lincocin, 4 Lonsurf, 7


lincomycin HCL, 4 loperamide HCL, 18


Lincomycin/Lidocaine, 4 Lopid, 10

Lescol XL, 10

lindane, 13 Lopressor, 7

Letairis, 10

Lindane, 13 Lopressor HCT, 9

letrozole, 5

linezolid, 4 Loprox, 11

leucovorin calcium, 6

Linezolid, 4 Loprox Shampoo, 11

Leucovorin Calcium, 7

Linzess, 19 lorazepam, 23

Leukeran, 4

Lioresal Intrathecal, 26 Lortab, 29

Leukine, 21

liothyronine sodium, 18 Lorvatus Pharmapak, 26

leuprolide acetate, 5

Lipofen, 10 Lorzone, 26

Levacet, 29

lisinopril, 8 losartan potassium, 8

levalbuterol, 32

lisinopril/hydrochlorothiazide, 9 losartan potassium/hydrochlorothiazide, 9

levalbuterol HCL, 32

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

Levaquin, 2

Liteaire, 41 Loseasonique, 15

Levatol, 7

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

Lotemax, 27

Levbid, 19

Lotensin, 8

levetiracetam, 25


Lotensin HCT, 9

Levetiracetam, 25

Lotrel, 9

levetiracetam ER, 25


Lotrisone, 11

levobunolol HCL, 27

Lotronex, 20

Levobunolol HCL, 27


lovastatin, 10

levocarnitine, 18

Lovaza, 10

levocetirizine dihydrochloride, 31


Lovenox, 21

levofloxacin, 2, 27

loxapine, 24

levofloxacin IN D5W, 2

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

loxapine succinate, 24

levoleucovorin, 6

Loxitane, 24

Levoleucovorin, 7

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

LT Injection Kit, 14

levoleucovorin calcium, 7

Lufyllin, 32

levonorgestrel, 15

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

Lumigan, 27

Levonorgestrel, 15

Lumizyme, 18

levonorgestrel and ethinyl estradiol, 15

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

Lunesta, 24

levonorgestrel/ethinyl estradiol, 15

Lupaneta Pack, 17

Levophed, 9


Lupron Depot, 5

Levorphanol Tartrate, 29

Lupron Depot-PED, 17

levothyroxine sodium, 18


Luvox CR, 23

Levothyroxine Sodium, 18

Luxiq, 13

Levsin, 19

Litetouch Lancets Micro Thin 33G, 38 Luzu, 11

Levsin/SL, 19

Litetouch Pen Needles 29GX12.7MM, 38 Lycelle, 14

Lexapro, 23

Litetouch Pen Needles 31G X 6MM, 38 Lynparza, 6

Lexiva, 3

Litetouch Pen Needles 31GX8MM SHORT, 38

Lyrica, 25

Lialda, 19

Lysodren, 5

Liberty Medical Lancets 30G, 37

Lithium, 24 Lysteda, 22

Librax, 19

lithium carbonate, 24 Lytensopril Kit, 9

Lido-RX 4.1, 14

Lithium Carbonate, 24 Lytensopril-90 Kit, 9

lidocaine, 13

lithium carbonate ER, 24 M

Lidocaine And Tetracaine Cream, 14

Lithobid, 24

M-m-r II, 33

lidocaine HCL, 8, 13, 31

Lithostat, 20

M.v.i. Adult, 34

Lidocaine HCL, 8, 14, 22

Live Better Lancet Super Thin 30G, 38

M.v.i. Pediatric, 34

lidocaine HCL IN D5W, 8

Live Better Lancet Ultra Thin 28G, 38

M.v.i.-12 Without Vitamin K, 34

lidocaine HCL jelly, 13

Live Better Pen Needles 29G X 12MM, 38

Macrobid, 20

lidocaine HCL viscous, 22

Macrodantin, 20

Lidocaine HCL-hydrocortisone Acetate With Aloe, 20


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

lidocaine HCL/dextrose, 8



Lidocaine HCL/Dextrose, 31

LMD 10% Dextrose 5%, 22


Medrol, 14 Methyldopate HCL, 8

Medrol Dosepak, 14 methylergonovine maleate, 28


medroxyprogesterone acetate, 16 Methylin, 25

Medroxyprogesterone/Lidocaine, 16 methylphenidate HCL, 24

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

mefenamic acid, 30 methylphenidate HCL CD, 24

mefloquine HCL, 3 methylphenidate HCL ER, 24

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

Mefoxin, 1 Methylphenidate HCL ER, 24

Megace ES, 16 methylphenidate HCL SR, 24

Makena, 16

Megace Oral, 5 methylphenidate hydrochloride, 24

Malarone, 3

megestrol acetate, 5, 16 methylprednisolone, 14

malathion, 13

Megrix, 14 Methylprednisolone, 14

mannitol, 9

Meijer Super Thin Lancets, 38 methylprednisolone acetate, 14

Maprotiline HCL, 23

Mekinist, 6 methylprednisolone dose pack, 14

Marbeta-25, 14

meloxicam, 30 Methylprednisolone PF, 14

Marbeta-l, 14

Meloxicam, 30 methylprednisolone sodiumsuccinate, 14

Marcaine, 31

Meloxicam Comfort PAC, 30 Methylprednisolone/Lidocaine, 14

Marcaine/Epinephrine, 31

melphalan hydrochloride, 4 methyltestosterone, 15

Mardex-25, 14

memantine HCL, 26 Metipranolol, 27

Marinol, 19

memantine HCL titration PAK, 26 metoclopramide HCL, 19

Marlido-25, 31

memantine hydrochloride, 26 metoclopramide odt, 19

Marnatal-f, 34

Menactra, 33 Metoclopramide Odt, 20

Marplan, 23

Menest, 15 metolazone, 9

Marqibo, 6

Menhibrix, 33 metoprolol succinate ER, 7

Mask Vortex/Baby Whirl Duckling, 41

Menomune-a/C/Y/W-135, 33 metoprolol tartrate, 7

Mask Vortex/Child/Frog, 41

Menopur, 17 Metoprolol Tartrate, 7

Mask Vortex/Spinner The Duck, 41

Menostar, 15 metoprolol/hydrochlorothiazide, 9

Mask Vortex/Toddler/Lady Bug, 41

Mentax, 11 Metozolv Odt, 20

Matulane, 6

Menveo, 33 Metro IV, 4

Mavik, 8

meperidine HCL, 29 Metrocream, 11

Maxalt, 30

Meperidine HCL, 29 Metrogel, 11

Maxalt-MLT, 31

Mephyton, 33 Metrogel-vaginal, 20

Maxaron Forte, 21

meprobamate, 23 Metrolotion, 11

Maxfe, 21

Mepron, 4 metronidazole, 4, 11

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

mercaptopurine, 5 metronidazole IN NACL 0.79%, 4

meropenem, 4 metronidazole vaginal, 20

Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2", 38

Meropenem/Sodium Chloride, 4 mexiletine HCL, 8

Merrem, 4 Miacalcin, 17

Maxidex, 27

mesalamine, 19 Micardis, 8

Maxipime, 1

mesna, 7 Micardis HCT, 9

Maxitrol, 27

Mesnex, 7 Microchamber, 41

Maxzide, 9

Mestinon, 27 Microlet Lancets, 38

Maxzide-25, 9

Mestinon Timespan, 27 Microspacer, 41

Mb Hydrogel, 14

Metadate CD, 25 Microtainer Safety Flow Lancet/Sterile/Single-use, 38

meclizine HCL, 19

Metaproterenol Sulfate, 32

Meclofenamate Sodium, 30

Metastron, 6 Microzide, 9

Medi-derm/L-RX, 14

metaxalone, 26 midodrine HCL, 9

Medical Provider EZ Flu Shot 2014-2015, 33

Metaxalone, 26 Mifeprex, 18

metformin HCL, 16 Migergot, 31

Medical Provider EZ Flu Shot 2015-2016, 33

metformin HCL ER, 16 miglitol, 16

methadone HCL, 29 Migral, 31

Medical Provider Single Use EZ Flu Shot, 33

Methadone HCL, 29 Migranal, 31

Methadose, 29 Migranow, 31

Medisense Thin Lancets, 38

Methadose Sugar-free, 29 Millipred, 14

Medlance Plus Extra Lancets 21G, 38

methamphetamine HCL, 24 Millipred DP, 15

Medlance Plus Lancets, 38

methazolamide, 9 milrinone IN dextrose, 7

Medlance Plus Lancets Lite 25G, 38

methenamine hippurate, 20 milrinone lactate, 7

Medlance Plus Lite Lancets 25G, 38

methenamine mandelate, 20 Minastrin 24 FE, 15

Medlance Plus Special Lancets 0.8MM, 38

Methenamine Mandelate, 20 Mineral Oil Heavy, 18

methimazole, 18 Minipress, 8

Medlance Plus Superlite 30G, 38

methocarbamol, 26 Minivelle, 15

Medlance Plus Superlite 30G/Comfort Max, 38

methotrexate, 5 Minocin, 2

methotrexate sodium, 5 Minocin Kit, 2

Medlance Plus Universal Lancets 21G, 38

Methotrexate Sodium, 5 minocycline HCL, 2

methoxsalen, 12 minocycline HCL ER, 2

Medlance Plus/Lite 25G, 38

methscopolamine bromide, 18 minoxidil, 8

Medlance/Extra, 38

Methyclothiazide, 9 Mirapex, 25

Medlance/Lite, 38

methyldopa, 8 Mirapex ER, 25

Medlance/Universal, 38

Methyldopa/Hydrochlorothiazide, 9 Mircera, 21

Mircette, 15

3ML/29G X 1/2", 38 Myalept, 18

mirtazapine, 23

Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 38

Myambutol, 2

mirtazapine odt, 23

Mycamine, 2

Mirvaso, 11


Mycobutin, 2

misoprostol, 18

mycophenolate mofetil, 5

Mission Prenatal, 34


mycophenolic acid DR, 5

Mitigare, 31

Myfortic, 5

mitomycin, 4


Myglucohealth Mgh Softlance Lancets 30G, 38

Mitomycin, 4

Mitosol, 27


Mykidz Iron Fl, 34

mitoxantrone HCL, 4

Myleran, 4

Mlk F4 Kit, 15


Mynatal, 34

Mobic, 30

Myobloc, 26

modafinil, 24

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

Myozyme, 18

Moderiba, 3

Myrbetriq, 20

Moderiba 1200 Dose Pack, 3


Mysoline, 25

Moderiba 800 Dose Pack, 3

N

Modicon, 15


nabumetone, 30

moexipril HCL, 8

nadolol, 7

moexipril/hydrochlorothiazide, 9

Monojector End CAPS, 38

nadolol/bendroflumethiazide, 9

Molindone Hydrochloride, 24

Monojector Opd End CAPS, 38

Nafcillin, 1

mometasone furoate, 12, 31

Monolet Lancets, 38

nafcillin sodium, 1

Monoclate-p, 22

Monolet Opd Lancets, 38

Nafcillin Sodium, 1

Monodox, 2

Monolettor Safety Lancets, 38

Nafrinse Daily/Acidulated, 22

Monoject Bone Marrow Biopsy Prepping Tray, 31

Mononine, 22

Nafrinse Daily/Neutral, 22

Monovisc, 26

Nafrinse Weekly, 22

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

montelukast sodium, 32

Naftifine HCL, 11

Monurol, 20

naftifine hydrochloride, 11

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

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

Naftin, 11

Naglazyme, 18

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

Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 38

nalbuphine HCL, 29

Nalfon, 30

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

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

Nallpen Iso-osmotic IN Dextrose, 1

Namenda, 26

Monoject Insulin Syringe/1ML, 38

Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 38

Namenda Titration PAK, 26

Monoject Insulin Syringe/1ML/31G X 5/16", 38

Namenda XR, 26

Morgidox 1X100MG, 2

Namenda XR Titration Pack, 26

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

Morgidox 2X100MG, 2

Namzaric, 26

morphine sulfate, 29

Naphazoline HCL, 28

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

Morphine Sulfate, 29

Naprelan, 30

Morphine Sulfate Add-vantage, 29

Naprosyn, 30

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

morphine sulfate ER, 29

naproxen, 30

Morphine Sulfate ER, 29

Naproxen, 30

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

Morphine Sulfate/Sodium Chloride, 29

Naproxen Comfort PAC, 30

Motofen, 18

naproxen sodium, 30

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

Movantik, 19

naproxen sodium CR, 30

Moviprep, 18

naproxen sodium ER, 30

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

Moxatag, 1

naratriptan HCL, 30

Moxeza, 27

Nardil, 23

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

moxifloxacin HCL, 2

Naropin, 31

Moxifloxacin HCL, 2

Nascobal, 21

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

Mozobil, 21

Nasonex, 31

MS Contin, 29

Natachew, 34

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

Mteryti, 34

Natacyn, 27

Mteryti Folic 5, 34

Natalvirt 90 DHA, 34

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

Mucinex Maximum Strength, 32

Natalvirt CA, 34

Multaq, 8

Natalvirt Flt, 21

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

Multigen, 21

Natalvit, 34

Multigen Folic, 21

Natazia, 15


Multigen Plus, 21

nateglinide, 16

mupirocin, 11

Natelle One, 34


mupirocin calcium, 11

Natesto, 15

Muse, 10

Natpara, 17

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

Mustargen, 4

Natrecor, 10

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

Natroba, 14

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

Nature-throid, 18

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

Nature-throid Nt-2.5, 18

Monoject Ultra Comfort Insulin Syringe/0.

Navelbine, 6

Nazirex, 12

Niacor, 10 Northera, 9

Nebupent, 4

Niaspan, 10 nortriptyline HCL, 23

Nebusal, 32

Nicadan, 34 Nortriptyline HCL, 23

Necon 1/50-28, 15

nicardipine HCL, 7 Norvasc, 8

Necon 10/11-28, 15

Nicazel, 34 Norvir, 3

Neevo DHA, 34

Nicazel Forte, 34 Nova Safety Lancets 23G, 38

nefazodone HCL, 23

Nicazeldoxy 30 Kit, 2 Nova Safety Lancets 28G, 38

Nefazodone HCL, 23

Nicazeldoxy 60 Kit, 2 Nova Sureflex Lancets, 38

Nembutal Sodium, 24

Nicomide, 34 Novaferrum, 21

Neo-synalar, 11

nifedipine, 7 Novoclair, 12

Neo-synalar Kit, 11

nifedipine ER, 7 Novoeight, 22

neomycin sulfate, 2

Nilandron, 5 Novofine Plus 32GX4MM, 38

neomycin/bacitracin/polymyxin, 27

Nimbex, 26 Novoseven, 22

neomycin/polymyxin/bacitracin zinc, 27

nimodipine, 7 Novoseven Rt, 22

neomycin/polymyxin/bacitracin/hydrocortisone, 27

Ninlaro, 6 Noxafil, 2

Nipent, 6 Noxipak, 13

neomycin/polymyxin/dexamethasone, 27

Niravam, 23 Nplate, 21

neomycin/polymyxin/gramicidin, 27

nisoldipine, 7 Nucala, 32

neomycin/polymyxin/HC, 28

Nisoldipine, 8 Nucort, 13

Neomycin/Polymyxin/Hydrocortisone, 27

Nisoldipine ER, 8 Nucynta, 29

neomycin/polymyxin/hydrocortisone, 28

Nitro-bid, 7 Nuedexta, 26

Neoprofen, 30

Nitro-dur, 7 Nufera, 21

Neoral, 5

nitrofurantoin, 20 Nulojix, 5

Neosalus, 14

nitrofurantoin macrocrystals, 20 Nulytely/Flavor Packs, 18

Neosalus CP, 14

nitrofurantoin monohydrate, 20 Numoisyn, 22

Neosporin, 27

nitrofurantoin monohydrate/macrocrystals, 20

Nuox, 11

neostigmine methylsulfate, 27

Nutricap, 34

Neostigmine Methylsulfate, 27

Nitroglycerin, 7 Nutridox, 2

Neotuss Plus, 32

nitroglycerin ER, 7 Nutrivit, 34

Nephplex RX, 34

nitroglycerin IN 5% dextrose, 7 Nutropin AQ Nuspin 10, 17

Nephro-vite RX, 34

nitroglycerin IN dextrose 5%, 7 Nutropin AQ Nuspin 20, 17

Nephrocaps, 34

Nitroglycerin IN Dextrose 5%, 7 Nutropin AQ Nuspin 5, 17

Nephrocaps QT, 34

nitroglycerin lingual, 7 Nutropin AQ Pen, 17

Nephron Fa, 21

Nitroglycerin Lingual, 7 Nuvail, 14

Neptazane, 9

nitroglycerin transdermal, 7 Nuvaring, 15

Nesacaine, 31

Nitrolingual Pumpspray, 7 Nuvessa, 20

Nesacaine-mpf, 31

Nitromist, 7 Nuvigil, 25

Nessi Spacer/Large Mask, 41

Nitronal, 7 Nuvya, 12

Nessi Spacer/Mouthpiece, 41

Nitropress, 8 Nuwiq, 22

Nessi Spacer/Small/MED Mask, 41

Nitrostat, 7 Nuzon, 13

Nestabs, 34

Niva-plus, 34 Nyata, 11

Nestabs Abc, 34

Nivatopic Plus, 14 Nymalize, 8

Nestabs DHA, 34

nizatidine, 18 nystatin, 2, 11, 22

Netgroup Lancets, 38

Nizatidine, 19 nystatin/triamcinolone, 11

Neuac Kit, 11

Nizoral, 11 O

Neulasta, 21

Nor-QD, 15

O-CAL Fa, 34

Neulasta Onpro Kit, 21

Norco, 29

O-CAL Prenatal, 34

Neumega, 21

Norditropin Cartridge, 17

OB Complete, 34

Neupogen, 21

Norditropin Flexpro, 17

OB Complete 400, 34

Neupro, 25

Norditropin Nordiflex Pen, 17

OB Complete Gold, 34

Neurontin, 25

norepinephrine bitartrate, 9

OB Complete One, 34

Neutrasal, 22

norethindrone, 15

OB Complete Petite, 34

Neutrexin, 4

norethindrone & ethinyl estradiol ferrous fumarate, 15

OB Complete Premier, 34

Neuvaxin, 14

OB Complete/DHA, 34

Nevanac, 28

norethindrone acetate, 16

Obredon, 32

nevirapine, 3

norethindrone acetate/ethinyl estradiol, 15(2)

Obstetrix DHA, 34

Nevirapine, 3

Obtrex, 34

nevirapine ER, 3

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 15

Obtrex DHA, 34

Newgen, 34

octreotide acetate, 17

Nexa Plus, 34

Norflex, 26

Ocudox, 2

Nexavar, 6

norgestimate/ethinyl estradiol, 15

Ocufen, 28

Nexium, 19

Norinyl 1+35, 15

Ocuflox, 27

Nexium I.v., 19

Norinyl 1+50, 15

Ocuvel, 34

Nexterone, 8

Noritate, 11

Ofev, 32

Niacin, 33

Noroxin, 2

Ofirmev, 29

niacin ER, 10

Norpace, 8

ofloxacin, 2, 27, 28

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 33

Norpace CR, 8

Ofloxacin, 2

Norpramin, 23

olanzapine, 24

olanzapine odt, 24

42 oxymorphone hydrochloride ER, 29

olanzapine/fluoxetine, 26

Optichamber Diamond/Medium Face Mask, 42

oxytocin, 28

Oleptro, 23

Oxytocin/Lactated Ringers, 28

olopatadine HCL, 28, 31

Optichamber Diamond/Smallface Mask, 42

Oxytrol, 20

Olux, 13

P

Olux-e, 13

Optichamber Face Mask/Large, 42

paclitaxel, 6

Olysio, 3

Optichamber Face Mask/Medium, 42

Paclitaxel, 6

Omeclamox-PAK, 19

Optichamber Face Mask/Small, 42

Paire OB, 34

omega-3-acid ethyl esters, 10

Optihaler, 42

paliperidone ER, 24

Omega-3/D-3 Wellness Pack, 10

Optihaler MDI Drug Delivery System, 42

Pamelor, 23

omeprazole, 18

Optivar, 28

pamidronate disodium, 17

Omeprazole + Syrspend SF Alka, 19

Oracea, 11

Pamidronate Disodium, 17

omeprazole/sodium bicarbonate, 18

Oracit, 20

Pamine, 19

Omnaris, 31

Orafate, 22

Pamine Forte, 19

Omnipred, 27

Orap, 26

Pamine FQ, 19

Omontys, 21

Orapred Odt, 15

Panatuss Dxp, 32

On Call Lancets, 38

Oravig, 22

Pancrelipase, 19

On Call Plus Lancets, 38

Orbactiv, 4

pancuronium bromide, 26

Oncaspar, 5

Orencia, 30

Panda Mask Large, 42

ondansetron HCL, 19

Orenitram, 10

Panda Mask Medium, 42

ondansetron odt, 19

Orfadin, 18

Panda Mask Small, 42

One A Day Womens Prenatal/DHA, 34

Orkambi, 32

Pandel, 13

One A Day Womens Prenatal1, 34

orphenadrine citrate, 26

pantoprazole sodium, 18

One-a-day Womens Prenatal, 34

orphenadrine citrate ER, 26

papaverine HCL, 10

Onetouch Club Lancets Fine Point, 38

Orphenadrine/Asa/Caffeine, 26

Parafon Forte DSC, 26

Onetouch Combo Pack, 38

Ortho Micronor, 15

Paregoric, 18

Onetouch Delica Lancets Extra Fine 33G, 38

Ortho Tri-cyclen, 15

paricalcitol, 18

Ortho Tri-cyclen LO, 15

Parlodel, 25

Onetouch Delica Lancets Fine 30G, 38

Ortho-cept, 15

Parnate, 23

Onetouch Finepoint Lancets, 38

Ortho-cyclen, 15

paromomycin sulfate, 2

Onetouch Lancets, 38

Ortho-novum 1/35, 15

paroxetine HCL, 23

Onetouch Suresoft Lancing Device/18G, 38

Ortho-novum 7/7/7, 15

paroxetine HCL ER, 23

Orthovisc, 26

Paser, 2


Osmoprep, 18

Pataday, 28

Osphena, 17

Patanase, 31


Otezla, 30

Patanol, 28

Otiprio, 28

Paxil, 23

Onetouch Ultra 2, 38

Otozin, 28

Paxil CR, 23

Onetouch Ultra Blue, 38

Otrexup, 30

Pazeo, 28

Onetouch Ultra Mini, 38

Ovace Plus, 12

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

Onetouch Ultralink System (DEC), 38

Ovace Plus Wash, 12

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

Onetouch Ultralink System (hex), 38

Ovace Wash, 12

Onetouch Ultrasoft Lancets, 38

Ovcon-35, 15

PC Unifine Pentips 31G X 8MM SHORT, 39

Onetouch Verio, 38

Ovide, 14

Onetouch Verio IQ Blood Glucose Monitoring System, 38

Ovidrel, 17

PCE, 2

oxacillin sodium, 1

Pcp 100, 18

Onetouch Verio Sync Bloodglucose Monitoring System, 38

oxaliplatin, 4

Pediaderm AF Complete Kit, 11

Oxandrin, 15

Pediaderm HC, 13

Onetouch Verio Test Strips, 38

oxandrolone, 15

Pediaderm Ta, 13

Onexton, 11

oxaprozin, 30

Pediapred, 15

Onfi, 25

Oxaydo, 29

Pediarix, 33

Onglyza, 16

oxazepam, 23

Pediatex TD, 32

Onivyde, 6

oxcarbazepine, 25

Pediatex TDM, 32

Onmel, 2

oxiconazole nitrate, 11

Pediatric Panda Mask, 42

Opana, 29

Oxistat, 11

Pedipirox-4 Nail, 11

Opana ER (crush Resistant), 29

Oxsoralen, 14

Pedvax HIB, 33

Opdivo, 5

Oxsoralen Ultra, 12

peg 3350/electrolytes, 18

opium, 18

Oxtellar XR, 25

peg-3350/electrolytes, 18

opium tincture, 18

oxybutynin chloride, 20

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

Opsumit, 10

oxybutynin chloride ER, 20

Peg-intron, 3

Optichamber Advantage, 41

oxycodone HCL, 29

Peg-intron Redipen, 3

Optichamber Advantage/Large Mask, 41

Oxycodone HCL ER, 29

Peg-intron Redipen PAK 4, 3

Optichamber Advantage/Medium Face Mask, 41

oxycodone hydrochloride, 29

Peganone, 25

oxycodone/acetaminophen, 29

Pegasys, 3

Optichamber Advantage/Small Face Mask, 41

oxycodone/aspirin, 29

Pegasys Proclick, 3

oxycodone/ibuprofen, 29

Pegintron, 3

Optichamber Diamond, 42

Oxycontin, 29

Pen Needles 29G X 12MM, 38

Optichamber Diamond/Largeface Mask,

oxymorphone hydrochloride, 29

Pen Needles 29GX1/2", 38


Phenylephrine HCL, 9 Prastera, 30

Pen Needles 31G X 1/4" SHORT, 38

Phenylephrine HCL/Sodium Chloride, 9 pravastatin sodium, 10

Pen Needles 31G X 3/16", 38

phenylephrine/guaifenesin, 32 Prazolamine, 26


Phenytek, 25 prazosin HCL, 8


phenytoin, 25 Pre-folic, 21


phenytoin sodium, 25 Precedex, 24

Pen Needles 31GX8MM, 38

phenytoin sodium extended, 25 Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 39

Pen Needles 32GX4MM, 38

Phoslo, 20

penicillin G potassium, 1

Phoslyra, 20 Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2", 39

Penicillin G Potassium IN Iso-osmotic Dextrose, 1

Phospholine Iodide, 28

Photofrin, 6 Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2", 39

Penicillin G Procaine, 1

phytonadione, 33

Penicillin G Sodium, 1

pilocarpine HCL, 22, 28 Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8", 39

penicillin v potassium, 1

pilocarpine hydrochloride, 22

Penlac Nail Lacquer, 11

pimozide, 26 Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 39

Penlet II Replacement CAPS, 38

pindolol, 7

Penlet II Replacement CAPS-deep, 38

pioglitazone HCL, 16 Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 39

Penlet II Replacement CAPS-regular, 38

pioglitazone HCL-glimepiride, 16

Pennsaid, 12

pioglitazone HCL/metformin HCL, 16 Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2", 39

Pentacel, 33

piperacillin sodium/ tazobactam sodium, 1

Pentam 300, 4

Precision Thin Lancets, 39

Pentasa, 20

piperacillin sodium/tazobactam sodium, 1 Precision Thins GP Lancet, 39

pentazocine/naloxone HCL, 29

piperacillin/tazobactam, 1 Precision Ultra Lancet, 39

Pentetate Calcium Trisodium, 42

piroxicam, 30 Precose, 16

Pentetate Zinc Trisodium, 42

Pitocin, 28 Pred Forte, 27

Pentips 29GX12MM, 38

Pitressin Synthetic, 17 Pred Mild, 27

Pentips 31GX5MM, 38

Plaquenil, 3 Pred-G, 27

Pentips 31GX6MM, 38

Plavix, 22 Pred-G S.o.p., 27

Pentips 31GX8MM, 38

Plegridy, 26 prednicarbate, 12

Pentips 32GX4MM, 38

Plegridy Starter Pack, 26 prednisolone, 14

pentoxifylline ER, 22

Pletal, 22 prednisolone acetate, 27

Pepcid, 19

Plexion, 11 prednisolone sodium phosphate, 14

Percocet, 29

Plexion Cleanser, 11 Prednisolone Sodium Phosphate, 15, 27

Percodan, 29

Plexion Cleansing Cloths, 11 prednisolone sodium phosphate odt, 14

Perfect Lancets 30G, 38

Pliaglis, 14 prednisone, 14

Perfect Pressure Activated Safety Lancets 28G, 38

Pneumovax 23, 33 Prednisone, 14

Pneumovax 23/1 Dose, 33 Prednisone Intensol, 14

Perforomist, 32

Pneumovax 23/5 Dose, 33 Prefera OB, 34

Peridex, 22

Pocket Chamber, 42 Prefera OB + DHA, 34

perindopril erbumine, 8

Pocket Spacer, 42 Preferaob +dha, 34

Perjeta, 5

podofilox, 13 Preferaob One, 34

permethrin, 13

Poly-VI-flor, 34 Preferred Plus Unifine Pentips 29G X 12MM, 39

perphenazine, 24

Poly-VI-flor FS, 34

Perphenazine/Amitriptyline, 26

Poly-VI-flor/Iron, 34 Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT, 39

Persantine, 22

polyethylene glycol 3350, 18

Pexeva, 23

polymyxin b sulfate, 4 Preferred Plus Unifine Pentips 31G X 8MM SHORT, 39

Pfizerpen-G, 1

polymyxin b sulfate/trimethoprim sulfate, 27

Pharmacist Choice Tsx Patch, 14

Prefest, 15

Pharmacist Choice Ultra Thin Lancets, 38

Polytrim, 27 Prefol-DHA, 34

Pomalyst, 5 Premarin, 15, 20

Pharmacist Choice Ultra Thin Lancets 28G, 38

Ponstel, 30 Premphase, 15

Portrazza, 5 Prempro, 15


potassium citrate ER, 20 Prenata, 34

potassium citrate-citric acid crystals, 20 Prenatal Vitamin, 34


potassium citrate/citric acid, 20 Prenatal Vitamins, 34

potassium citrate/sodium citrate/citric acid, 20

Prenate, 34


Prenate AM, 34

Potiga, 25 Prenate DHA, 34

Pharmacy Counter Lancets, 39

Pr Cream, 14 Prenate Elite, 34

phenazopyridine HCL, 20

Pradaxa, 21 Prenate Enhance, 34

phenelzine sulfate, 23

Praluent, 10 Prenate Essential, 34

Phenergan, 31

pramipexole dihydrochloride, 25 Prenate Mini, 34

phenobarbital, 24

pramipexole dihydrochloride ER, 25 Prenate Pixie, 34

Phenobarbital, 24

Pramosone, 12 Prenate Restore, 34

Phenobarbital Sodium, 24

Pramotic, 28 Prenate Star, 34

phenoxybenzamine hydrochloride, 8

Prandimet, 17 Prepidil, 28

Phentolamine Mesylate, 8

Prandin, 16 Prepopik, 18

phenylephrine HCL, 9, 28

Prascion Ra With Sunscreens, 11 Preque 10, 34

Presera, 14

Prolensa, 28 Quadracel, 33

Prestalia, 9

Proleukin, 6 Quadramet, 6

Prevacid, 19

Prolia, 17 Qualaquin, 3

Prevacid Solutab, 19

Promacta, 21 Quartette, 15

Prevident, 22

promethazine HCL, 31 Quazepam, 24

Previdolrx Analgesic PAK, 30

promethazine HCL plain, 31 Qudexy XR, 25

Prevnar 13, 33

promethazine-DM, 32 Quelicin, 26

Prevpac, 19

promethazine/codeine, 32 Quelicin 1000, 26

Prezcobix, 3

promethazine/dextromethorphan, 32 Questran, 10

Prezista, 3

promethazine/phenylephrine, 32 Questran Light, 10

Prialt, 29

Promethazine/Phenylephrine, 32 quetiapine fumarate, 24

Priftin, 2

promethazine/phenylephrine/codeine, 32 Quillichew ER, 25

Prilosec, 19

Prometrium, 16 Quillivant XR, 25

Primaquine Phosphate, 3

Promiseb, 12 quinapril HCL, 8

Primaxin IV, 4

Promiseb Complete, 12 quinapril/hydrochlorothiazide, 9

Primaxin IV Add-vantage, 4

propafenone HCL, 8 Quinidine Gluconate, 8

primidone, 25

propafenone HCL ER, 8 quinidine gluconate CR, 8

Primlev, 29

Propantheline Bromide, 19 quinidine gluconate ER, 8

Primsol, 4

proparacaine HCL, 28 quinidine sulfate, 8

Prinivil, 8

propranolol HCL, 7 Quinidine Sulfate, 8

Pristiq, 23

Propranolol HCL, 7 Quinidine Sulfate ER, 8

Pro-c-dure 1 Kit, 15

propranolol HCL ER, 7 quinine sulfate, 3


Propranolol/Hydrochlorothiazide, 9 Qutenza, 14


propylthiouracil, 18 R


Proquad, 33

R-natal OB, 34


Proscar, 20

Rabavert, 33


Prostin E2, 28

rabeprazole sodium, 18

Proair HFA, 32

Protamine Sulfate, 22

raloxifene hydrochloride, 17

Proair Respiclick, 32

Protect Plus, 34

ramipril, 8

probenecid, 31

Protectiron, 21

Ranexa, 7

probenecid/colchicine, 31

Prothelial, 22

ranitidine HCL, 18

Probuphine Implant Kit, 29

Protonix, 19

Rapaflo, 20

Procainamide HCL, 8

Protopic, 13

Rapamune, 6

Procardia, 8

protriptyline HCL, 23

Rapivab, 3

Procardia XL, 8

Provenge, 6

Rasuvo, 30

Procentra, 25

Provera, 16

Ravicti, 18

prochlorperazine, 24

Provida DHA, 34

Rayos, 15

prochlorperazine edisylate, 24

Provida OB, 34

Razadyne, 26

prochlorperazine maleate, 24

Provigil, 25

Razadyne ER, 26

Procort, 20

Prozac, 23

Readysharp-a, 31

Procrit, 21

Prozac Weekly, 23

Readysharp-k, 15

Proctocort, 20

Pruclair, 14

Readysharp-p40, 15

Proctofoam HC, 19

Prudoxin, 12

Readysharp-p80, 15

Procysbi, 20

Prumyx, 14

Rebetol, 3

Prodigy Insulin Mini Pen Needles/31G X 3/16", 39

Pss Select GP Lancets, 39

Reclast, 17

Pss Select Platforms, 39

Recombinate, 22

Prodigy Insulin Pen Needles/29G X 1/2", 39

Pss Select Safety Lancets, 39

Recombivax HB, 33

Pulmicort, 32

Recothrom, 22

Prodigy Insulin SHORT Penneedles/31G X 5/16", 39

Pulmicort Flexhaler, 32

Recothrom Spray Kit, 22

Pulmophylline, 32

Rectiv, 20

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

Pulmozyme, 32

Recura, 11

Purinethol, 5

Reglan, 20

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

Purixan, 5

Regonol, 27

Px Lancets Ultra Thin, 39

Relagard, 20

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

Pylera, 19

Relenza Diskhaler, 3

pyrazinamide, 2

Relhist, 32

Prodigy Pressure Activated Safety Lancets, 39

Pyridium, 20

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

pyridostigmine bromide, 27

Prodigy Safety Lancets, 39

Pyridoxine HCL, 33

Relion Insulin Syringe/U-00/1ML/29G X 1/2", 39

Prodigy Twist Top Lancets, 39

Pyrogallic Acid, 14

Proferrin-forte, 21

Q

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

Profilnine, 22

Qc Lancets Super Thin, 39

Profilnine SD, 22

Qc Lancets Ultra Thin, 39 Relion Insulin Syringe/U-100/0.3ML/29G X 1/2", 39

progesterone, 16

Qc Pen Needles 29G X 12MM, 39

Progesterone 10% Kit, 16

Qc Pen Needles 31G X 6MM, 39 Relion Insulin Syringe/U-100/0.3ML/30G, 39

Proglycem, 16

Qc Pen Needles 31G X 8MM, 39

Prograf, 5

Qnasl, 31 Relion Insulin Syringe/U-100/0.3ML/30G X 5/16", 39

Prolastin-c, 32

Qnasl Childrens, 31

Relion Insulin Syringe/U-100/0.3ML/31G X 5/16", 39

Retinoic Acid, 10 Rowasa, 20

Retinoic Acid-all Trans, 10 Roxicet, 29


Retrovir, 3 Roxicodone, 29

Retrovir IV Infusion, 3 Rozerem, 24

Relion Insulin Syringe/U-100/0.5ML/30G, 39

Revatio, 10 Ryanodex, 27

Revlimid, 6 Rytary, 26


Rexall Lancets Ultra Thin, 39 Rythmol, 8

Rexulti, 24 Rythmol SR, 8


Reyataz, 3 S

Rezira, 32

Sabril, 25

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

Rezyst IM, 18

Safe-t-lance Low Flow 25G, 39

Rezyst SB, 18

Safe-t-lance Normal Flow 21G, 39


Rheumatrex, 30

Safe-t-lance Plus Safety Lancet High Flow, 39

Rhinocort Aqua, 31


Riastap, 22

Safe-t-lance Plus Safety Lancet Low Flow, 39

Riax, 11

Relion Lancets Micro-thin33G, 39

Ribasphere, 3

Safe-t-lance Plus Safety Lancet Normal Flow, 39

Relion Lancets Standard 21G, 39

Ribasphere Ribapak, 3

Relion Lancets Thin 26G, 39

Ribatab, 3

Safesnap Insulin Syringe/0.3ML/30G X 5/16", 39

Relion Lancets Ultra-thin30G, 39

ribavirin, 3

Relion Mini Pen Needles 31GX6MM, 39

Ridaura, 30


Relion Pen Needles 29GX12MM, 39

rifabutin, 2


Rifadin, 2



Rifamate, 2


rifampin, 2

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

Relion SHORT Pen Needles 31GX8MM, 39

Rifater, 2

Right Step Prenatal, 34

Safesnap Insulin Syringe/1ML/29G X 1/2", 39

Relion Thin Lancets, 39

Rightest GD-L500 Alternate Site Adapter, 39

Relion Ultra Thin Lancets, 39

Safety Lancet 21G/Pressure Activated, 39

Relion Ultra Thin Lancets30G, 39

Rightest Gl300 Lancets, 39

Relion Ultra Thin Plus Lancets 32G, 39

Rilutek, 26

Safety Lancet 28G/Pressure Activated, 39

Relion Ultra Thin Plus Lancets 33G, 39

riluzole, 26

Relistor, 19

rimantadine HCL, 3

Safety Lancets, 39

Relpax, 31

Rimantalist, 3

Safety Lancets 21G, 39

Relyyks, 14

Riomet, 16

Safety Lancets 28G, 39

Relyyt, 14

risedronate sodium, 17

Safety Let Lancets, 39

Remeron, 23

risedronate sodium DR, 17

Safety Seal Lancets 28G, 39

Remeron Soltab, 23

Risperdal, 24

Safety Seal Lancets 30G, 39

Remicade, 19

Risperdal Consta, 24

Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 39

Remodulin, 10

Risperdal M-TAB, 24

Renagel, 20

risperidone, 24

Safyral, 16

Renatabs, 34

risperidone odt, 24

Saizen, 17

Renatabs With Iron, 34

Ritalin, 25

Saizen Click.easy, 17

Renew Advanced Lancing Cartridge Refills, 39

Ritalin LA, 25

Salagen, 22

Ritalin SR, 25

Salex, 14

Renvela, 19

Riteflo, 42

Salex Cream, 14

Reopro, 22

Rituxan, 5

Salex Lotion, 14

repaglinide, 16

rivastigmine tartrate, 26

salicylic acid, 13

Repaglinide/Metformin Hydrochloride, 16

rivastigmine transdermal system, 26

Salicylic Acid, 14

Repatha, 10

rizatriptan benzoate, 30

salicylic acid cream, 13

Repatha Sureclick, 10

rizatriptan benzoate odt, 30

Salicylic Acid IN Ammonium Lactate Vehicle, 14

Reprexain, 29

Robaxin, 27

Repronex, 17

Robaxin-750, 27

salicylic acid lotion, 13

Req 49+, 34

Robinul, 19

Salivamax, 22

Requip, 26

Robinul Forte, 19

Salivate RX, 22

Requip XL, 26

Rocaltrol, 18

Salkera, 14

Rescon-JR, 32

Rocephin, 1

salsalate, 29

Rescon-MX, 32

rocuronium bromide, 26

Salvax, 14

Rescriptor, 3

ropinirole ER, 25

Salvax Duo Plus, 14

Reserpine, 8

ropinirole HCL, 25

Samsca, 18

Respa-BR, 31

ropivacaine, 31

Sanctura, 20

Restasis, 28

ropivacaine HCL, 31

Sancuso, 19

Restora RX, 18

Rosadan Kit, 11

Sandimmune, 6

Restora Sprinkles, 18

Rosanil, 11

Sandostatin, 17

Restoril, 24

Rosula, 11

Sandostatin Lar Depot, 17

Retin-a, 11

rosuvastatin calcium, 10

Saphris, 24

Retin-a Micro, 11

Rotarix, 33

Sarafem, 26

Retin-a Micro P.M., 11

Rotateq, 33

Savaysa, 21

Savella, 26

Sirturo, 2 spironolactone/hydrochlorothiazide, 9

Savella Titration Pack, 26

Sitavig, 3 Sporanox, 3

Scalacort DK, 13

Sivextro, 4 Sporanox Pulsepak, 3

Scar Patch, 14

Skelaxin, 27 Spritam, 25

Scopolamine Hydrobromide, 19

Sklice, 14 Sprix, 30

Seasonique, 16

Smart Diabetes Vantage Universal Lancets 30G, 39

Sprycel, 6

Seconal, 24

Stalevo 100, 26

Seconal Sodium, 24

Smart Sense Color Lancets Universal 33G, 39

Stalevo 125, 26

Sectral, 7

Stalevo 150, 26

Select-OB, 34

Smart Sense Standard Lancets Universal 21G, 39

Stalevo 200, 26

Select-ob+dha, 34

Stalevo 50, 26

selegiline HCL, 25

Smart Sense Super Thin Lancets Universal 30G, 39

Stalevo 75, 26

selenium sulfide, 12

stannous fluoride oral rinse, 22

Selrx, 12

Smart Sense Thin Lancets Universal 26G, 39

Starlix, 16

Selzentry, 3

stavudine, 3

Semprex-d, 32

Smartest Lancets 28G, 39 Stavzor, 25

Sensipar, 18

Smartrx Gaba Kit, 26 Stelara, 12

Sensorcaine-mpf/Epinephrine, 31

Smartrx Gaba-v Kit, 26 Stendra, 10

Sentradine, 19

Sodium Bicarbonate, 18 Sterilance PA, 39

Sentraflox AM-10, 23

sodium chloride, 32 Sterilance TL, 39

Sentralopram AM-10, 23

sodium citrate/citric acid, 20 Stimate, 17

Sentramodafin AM-100, 25

Sodium Diuril, 9 Stiolto Respimat, 32

Sentravil PM-25, 23

Sodium Edecrin, 9 Stivarga, 6

Sentrazolam AM 0.25, 23

sodium ferric gluconate complex/sucrose, 21

Strattera, 24

Sentrazolpidem PM-5, 24

Strazepam, 24

Sentroxatine, 23

sodium hyaluronate, 13 Strensiq, 18

Serevent Diskus, 32

sodium phenylbutyrate, 18 Streptomycin Sulfate, 2

Seroquel, 24

sodium sulfacetamide, 10, 12, 27 Striant, 15

Seroquel XR, 24

sodium sulfacetamide wash, 12 Stribild, 3

Serostim, 17

sodium sulfacetamide/sulfur, 10 Striverdi Respimat, 32

sertraline HCL, 23

Sodium Sulfacetamide/Sulfur, 11 Stromectol, 4

Sevelamer Carbonate, 19

sodium sulfacetamide/sulfur cleanser, 10 Strovite Forte, 34

Sfrowasa, 19

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 11

Strovite One, 34

Shohls Solution Modified, 20

Stuart Prenatal, 34

Shopko On-the-go Comfort Lancets 30G, 39

sodium sulfacetamide/sulfur cleansing cloths, 10

Suboxone, 29

Subsys, 29

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 39

sodium sulfacetamide/sulfur green, 10 Succinylcholine Chloride, 26

Sodium Sulfacetamide/Sulfur IN Urea, 11 Suclear, 18

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 39

sodium sulfacetamide/sulfur w/sunscreen, 10

Sucraid, 19

sucralfate, 19

Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 39

sodium sulfacetamide/sulfur wash, 10 Sular, 8

Solaice, 14 sulfacetamide sodium, 10, 27

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 39

Soliris, 22 Sulfacetamide Sodium, 27

Solodyn, 2 sulfacetamide sodium/prednisolone sodium phosphate, 27

Shopko Unilet Lancets Super Thin 30G, 39

Soltamox, 5

Solu-cortef, 15 sulfacetamide sodium/sulfur, 10

Shopko Unilet Lancets Ultra Thin 28G, 39

Solu-medrol, 15 sulfacetamide sodium/sulfur cleanser, 10

Solus V2 Pressure Activated Safety Lancets 28G, 39

Sulfadiazine, 2

Siderol, 34

sulfamethoxazole/trimethoprim, 4

Signifor, 17

Solus V2 Twist Lancets 30G, 39 Sulfamethoxazole/Trimethoprim, 4

Signifor Lar, 17

Soma, 27 sulfamethoxazole/trimethoprim DS, 4

Silazone Pharmapak, 13

Somatuline Depot, 17 sulfasalazine, 19

Silazone-II, 13

Somavert, 17 Sulfoam, 11

sildenafil, 10

Sonata, 24 Sulfurated Lime, 14

sildenafil citrate, 10

Soolantra, 11 sulindac, 30

Silenor, 24

Soothee, 14 Sumadan Kit, 11

Simbrinza, 28

Soriatane, 12 Sumadan Wash, 11

Simcor, 10

Sorilux, 12 Sumadan XLT, 11

Simponi, 30

sotalol HCL, 7 Sumatriptan, 30

Simponi Aria, 30

sotalol HCL (AF), 7 sumatriptan succinate, 30

Simulect, 6

Sotalol Hydrochloride, 7 Sumatriptan Succinate, 30

simvastatin, 10

Sotylize, 7 sumatriptan succinate refill, 30

Sinelee, 14

Sovaldi, 3 Sumavel Dosepro, 31

Sinemet, 26

Spectracef, 1 Sumaxin, 11

Sinemet CR, 26

Spinosad, 14 Sumaxin CP Kit, 11

Single-let, 39

Spiriva Handihaler, 32 Sumaxin Ts, 11

Singulair, 32

Spiriva Respimat, 32 Sumaxin Wash, 11

sirolimus, 5

spironolactone, 9 Supartz, 27

Supartz Fx, 27

Synthroid, 18 1/2", 40

Supervite, 34

Synvisc, 26 Terumo Insulin Syringe/0.5ML/30G X 3/8", 40

Supervite EC, 34

Synvisc One, 26

Support-500, 35

T Terumo Insulin Syringe/1ML/27G X 1/2", 40

Supprelin LA, 17

Tabloid, 5

Supracil, 14

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

Tabradol Fusepaq, 27

Suprax, 1

Taclonex, 13

Suprep Bowel Prep, 18

Terumo Insulin Syringe/1ML/30G X 3/8", 40

tacrolimus, 5, 13

Sure-fine Pen Needles 29GX1/2" 12.7MM, 39

Tafinlar, 6

Terumo Insulin Syringe/U-100/0.3ML/29G X 1/2", 39

Tagrisso, 6

Sure-fine Pen Needles 31GX3/16" 5MM, 39

Talwin, 29


Tamiflu, 3

Sure-fine Pen Needles 31GX5/16" 8MM, 39

tamoxifen citrate, 5


tamsulosin HCL, 20

Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2", 39

Tandem F, 21

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

Tandem Plus, 21


Tapazole, 18

Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2", 40

Tarceva, 6


Targadox, 2


Targretin, 6


Tarka, 9


Taron-bc, 34


Taron-c DHA, 34

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

Tasigna, 6


Tasmar, 26

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

Taxotere, 6


Tazicef, 1

Tessalon Perles, 32

Tazorac, 12

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

Testone Cik, 15

Tecfidera, 26

Testopel, 15

Tecfidera Starter Pack, 26


Testosterone, 15

Techlite AST Lancets, 39

testosterone cypionate, 15

Techlite Lancets, 39


testosterone enanthate, 15

Techlite Lancets 30G, 39

Testred, 15

Techlite Pen Needles/31G X 5MM, 39


Tetanus Toxoid Adsorbed, 33

Techlite Pen Needles/31G X 6 MM, 39

Tetanus/Diphtheria Toxoids-adsorbed, 33


Sure-lance Flat Lancets, 39


Sure-lance Lancets 26G, 39

Tetanus/Diphtheria Toxoids-adsorbed Adult, 33


Sure-lance Thin Lancets 28G, 39

Technivie, 3

Sure-lance Ultra Thin Lancets, 39

tetrabenazine, 26

Tegretol, 25

Sure-touch Lancets Universal, 39

tetracaine HCL, 28

Tegretol-XR, 25

Surelite Lancets, 39

Tetracaine HCL, 31

Tekamlo, 9

Surfaxin, 32

Tetracycline HCL, 2

Tekturna, 8

Surmontil, 23

tetracycline hydrochloride, 2

Tekturna HCT, 9

Survanta Intratracheal, 32

Tetrix, 14

telmisartan, 8

Sustiva, 3

Teveten, 8

telmisartan/amlodipine, 9

Sutent, 6

Teveten HCT, 9

telmisartan/hydrochlorothiazide, 9

Suttar-2, 32

Texacort, 13

temazepam, 24

Suttar-SF, 32

Texavite LQ, 35

Temodar, 4

Sylatron, 6

Thalomid, 5

Temovate, 13

Symax Duotab, 19

Theo-24, 32

Temovate E, 13

Symbicort, 32

theophylline, 32

temozolomide, 4

Symbyax, 26

theophylline CR, 32

Tenex, 8

Symlinpen 120, 16

theophylline ER, 32

Teniposide, 6

Symlinpen 60, 16

Theophylline/D5W, 32

Tenivac, 33

Synagex, 35

Therabenzaprine-60, 27

Tenoretic 100, 9

Synalar, 13

Therabenzaprine-90, 27

Tenoretic 50, 9

Synalar Cream Kit, 13

Therabenzaprine-90-5, 27

Tenormin, 7

Synalar Ointment Kit, 13

Theracodeine-300, 29

Terazol 3, 20

Synalar Ts, 13

Theracodophen-325, 29

Terazol 7, 20

Synalgos-dc, 29

Theracys, 6

terazosin HCL, 8

Synapryn Fusepaq, 29

Therafeldamine, 30

terbinafine HCL, 2

Synarel, 17

Theranatal Core Nutrition, 34

terbutaline sulfate, 32

Synatek, 35

Therapentin-60, 25

terconazole, 20

Synera, 14

Therapentin-90, 25

Tersi Foam, 12

Synercid, 4

Theraprofen-60, 30

Terumo Insulin Syringe/0.3ML/30G X 3/8", 40

Synjardy, 16

Theraprofen-800, 30

Synribo, 6

Theraprofen-90, 30

Terumo Insulin Syringe/0.5ML/29G X

Theraproxen-500, 30

Tizanidine Comfort PAC, 27 Treximet, 31

Theraproxen-60, 30

tizanidine HCL, 26 Trezix, 29

Theraproxen-90, 30

TL G-FOL OS, 35 Tri-norinyl 28, 16

Theratramadol-60, 29

TL Triseb, 12 Tri-sila, 13

Theratramadol-90, 29

Tnkase, 22 Tri-VI-flor, 34

thiamine HCL, 33

Tobradex, 27 Triamcinolone, 15

Thinlets GP Lancets, 40

Tobradex ST, 27 triamcinolone acetonide, 12, 22, 31

Thinlets Lancet, 40

tobramycin, 2 Triamcinolone Acetonide, 12

Thinpro Insulin Syringe/0.3ML/29G X 1/2", 40

tobramycin sulfate, 2, 27 triamcinolone IN orabase, 22

Tobramycin Sulfate, 2 Triamcinolone PF, 15


tobramycin/dexamethasone, 27 Triamcinolone/Lidocaine, 15

Tobrex, 27 Triamsil Combipak, 13


Tofranil, 23 triamterene/hydrochlorothiazide, 9

Tofranil-PM, 23 Triamterene/Hydrochlorothiazide, 9


tolazamide, 16 Trianex, 13

Tolazamide, 16 triazolam, 24


Tolbutamide, 16 Triazolam, 24

tolcapone, 25 Tribenzor, 9


tolmetin sodium, 30 Tricare Prenatal, 35

Tolmetin Sodium, 30 Tricare Prenatal Compleat, 34


tolterodine tartrate, 20 Tricare Prenatal DHA One, 34

tolterodine tartrate ER, 20 tricitrates, 20

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

Topamax, 25 Tricor, 10

Topamax Sprinkle, 25 Triderma Forte, 13


Topicort, 13 Triferic, 21

topiramate, 25 trifluoperazine HCL, 24


Topiramate ER, 25 trifluridine, 27

topotecan HCL, 6 Triglide, 10


Topotecan HCL, 6 trihexyphenidyl HCL, 25

Toprol XL, 7 Trileptal, 25

Thiola, 20

Torisel, 6 Trilipix, 10

thioridazine HCL, 24

torsemide, 9 trimethobenzamide HCL, 19

Thiotepa, 4

Torsemide, 9 trimethoprim, 4

thiothixene, 24

Totect, 7 trimethoprim sulfate/polymyxin b sulfate, 27

Thrombin-jmi Diluent, 22

Toujeo Solostar, 16

Thrombin-jmi Epistaxis, 22

Toviaz, 20 trimipramine maleate, 23

Thrombin-jmi Syringe Spray Kit, 22

Tracleer, 10 Trintellix, 23

Thrombin-jmi W/Dil Spray P.M. Actuator, 22

tramadol HCL, 29 Triostat, 18

tramadol HCL ER, 29 Trisenox, 6

Thrombogen, 22

Tramadol HCL ER, 29 Triseon, 11

Thymoglobulin, 6

tramadol hydrochloride/acetaminophen, 29

Triumeq, 3

Thyrolar-1, 18

Triveen-duo DHA, 35

Thyrolar-1/2, 18

Trandate, 7 Triveen-prx RNF, 35

Thyrolar-1/4, 18

trandolapril, 8 Trizivir, 3

Thyrolar-2, 18

trandolapril/verapamil HCL, 9 Trokendi XR, 25

Thyrolar-3, 18

trandolapril/verapamil HCL ER, 9 Tropazone, 14

tiagabine hydrochloride, 25

tranexamic acid, 22 trospium chloride, 20

Tiazac, 8

Transderm-scop, 19 trospium chloride ER, 20

Tice Bcg, 6

Tranxene T, 23 Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2", 40

ticlopidine HCL, 22

tranylcypromine sulfate, 23

Ticlopidine HCL, 22

Travatan Z, 27 Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16", 40

Tigan, 19

Travoprost, 28

Tikosyn, 8

Trazamine, 23 Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16", 40

Timentin, 1

trazodone HCL, 23

Timolol Maleate, 7

Treanda, 4 Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2", 40

timolol maleate, 27

Trecator, 2

timolol maleate ophthalmic gel forming, 27

Trelstar, 5 Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2", 40

Trelstar Mixject, 5

Timoptic, 27

Trepadiclofen-25, 30 Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16", 40

Timoptic Ocudose, 27

Trepoxicam-7.5, 30

Timoptic-xe, 27

Tresiba Flextouch, 16 Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16", 40

Tindamax, 4

Tretin-x, 11

tinidazole, 4

tretinoin, 6, 10 Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 40

Tirosint, 18

Tretinoin, 10

Tisseel, 22

Tretinoin (all-trans Retinoic Acid), 10 Trueplus Insulin Syringe/U-100/1ML/29G X 1/2", 40

Tisseel VH, 22

tretinoin microsphere, 10

Tivicay, 3

tretinoin microsphere P.M., 10 Trueplus Insulin Syringe/U-100/1ML/30G X 5/16", 40

Tivorbex, 30

Trexall, 5

Trueplus Insulin Syringe/U-100/1ML/31G X 5/16", 40

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

3ML/31G X1/4", 40

Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4", 40

Trueplus Lancets 26G, 40



Ulticare U-100 Insulin Syringes/1ML/31G X 1/4", 40

Trueplus Lancets 28G Super Thin, 40



Ultiguard Insulin Syringe/U-100/0.3ML/29G X 1/2", 40

Trueplus Lancets 30G Ultra Thin, 40

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



Trueplus Lancets 33G Micro Thin, 40


Trueplus Safety Lancets 28G, 40


Trulicity, 16


Trumenba, 33


Trusopt, 28


Truvada, 3

Ultiguard Insulin Syringe/U-100/1ML/29G X 1/2", 40

Turkel Paracentesis Procedure Tray/8french, 31

Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16", 40

Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16", 40

Tussicaps, 32

Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16", 40

Tussionex Pennkinetic Extended Release, 32

Ultilet Classic Lancets, 40

Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2", 40

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

Tuzistra XR, 32

Twinrix, 33



Twynsta, 9

Tybost, 3



Tygacil, 4

Tykerb, 6



Tylenol/Codeine #3, 29

Tylenol/Codeine #4, 29


Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 40

Typhim VI, 33

Tysabri, 26


Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 40

Tyvaso, 10

Tyvaso Refill, 10


Ultilet Lancets, 40

Tyvaso Starter, 10

Ultilet Lancets 33G, 40

Tyzeka, 3


Ultilet Pen Needle 32GX4MM/SHORT, 40

Tyzine, 31

Tyzine Pediatric Nasal Drops, 31

Ulticare Insulin Syringe/U-100/1ML/29G X 1/2", 40

Ultilet Safety Lancets 23G, 40

U

Ultilet SHORT Pen Needles 31GX5/16", 40


Uceris, 15, 20

Ultilet SHORT Pen Needles31GX3/16", 40

Udamin SP, 35


Ulesfia, 14

Ultiva, 29

Uloric, 31


Ultra-thin II Auto Lancet, 40

Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 40

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 40

Ulticare Micro Pen Needles 31G X 8MM, 40

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


Ulticare Micro Pen Needles 32G X 4MM, 40

Ulticare Insulin Syringe 1CC/28G U-100 1/2", 40


Ulticare Micro Pen Needles/31G X 8MM, 40

Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16", 40


Ulticare Micro Pen Needles/32G X 4MM, 40

Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 40

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 40

Ulticare Mini Pen Needles 31GX6MM, 40

Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 40

Ulticare Mini Pen Needles Ulti-fine IV, 40 Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16", 40

Ulticare Mini Pen Needles/31G X 6MM, 40

Ulticare Insulin Syringe/0.3ML/29G X 1/2", 40

Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 40

Ulticare Mini Pen Needles31GX6MM, 40


Ulticare Original Pen Needles Ulti-fine, 40

Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 40


Ulticare Pen Needles/29G X 12.7MM, 40 Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 40

Ulticare SHORT Pen Needles 31GX8MM, 40


Ultra-thin II Lancets 28G, 40

Ulticare SHORT Pen Needles Ulti-fine IV, 40

Ultra-thin II Lancets 30G, 40


Ultra-thin II Mini Pen Neeedles/31GX3/16", 40

Ulticare SHORT Pen Needles/31G X 8MM, 40


Ultra-thin II Pen Needles 29GX1/2", 40

Ulticare Thin Lancets 30G, 40 Ultra-thin II Pen Needles/SHORT/31GX5/16", 40


Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4", 40

Ultra-thin II Safety Autolancets 26G, 40


Ulticare U-100 Insulin Syringes/0. Ultracet, 29

Ultralance, 40

urea IN zinc undecylenate/lactic acid vehicle, 13

Vazculep, 9

Ultram, 29

Vecamyl, 8

Ultram ER, 29

urea topical, 13 Vectibix, 5

Ultrasal-ER, 14

Urecholine, 20 Vectical, 12

Ultravate, 13

Uretron D/S, 20 vecuronium bromide, 26

Ultravate X, 13

Urimar-t, 20 Velcade, 6

Umecta, 14

Urocit-k 10, 20 Veletri, 10

Umecta Nail Film, 14

Urocit-k 15, 20 Velphoro, 20

Umecta PD, 14

Urocit-k 5, 21 Veltin, 11

Unasyn, 1

Urogesic-blue, 20 Vemavite-prx 2, 35

Unasyn Bulk Pack, 1

Uroxatral, 21 Venipuncture Cpi, 14

Unifine Pentips 29GX12MM, 40

Urso 250, 20 venlafaxine HCL, 23

Unifine Pentips 31G X 3/16", 41

Urso Forte, 20 venlafaxine HCL ER, 23

Unifine Pentips 31G X 6MM, 41

ursodiol, 19 Venlafaxine HCL ER, 23

Unifine Pentips 31G X 8MM, 41

Utibron Neohaler, 32 Venofer, 21


Utopic, 14 Ventavis, 10


Uvadex, 6 Ventolin HFA, 32


V Veramyst, 31


verapamil HCL, 7

V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2", 41

Unifine Pentips Plus 29GX12MM, 40

verapamil HCL ER, 7


verapamil HCL SR, 7



Verdeso, 13


Veregen, 14


Unilet Comfortouch Lancet, 41

Verelan, 8

Unilet Excelite, 41

Verelan PM, 8

V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 41

Unilet Excelite II, 41

Veripred 20, 15

Unilet G.p. Lancet, 41

Verrunex, 14

V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 41

Unilet G.p. Superlite Lancet, 41

Versacloz, 24

Unilet GP 28 Ultra Thin, 41

Vesicare, 20

Vagifem, 20

Unilet Lancet, 41

Vexa, 14

valacyclovir HCL, 3

Unilet Lancets Micro-thin33G, 41

Vexol, 27

Valchlor, 4

Unilet Lancets Super-thin30G, 41

Vfend, 3

Valcyte, 3

Unilet Lancets Ultra-thin 28G, 41

Vfend IV, 3

valganciclovir, 3

Unilet Superlite Lancet, 41

Vibativ, 4

Validerm, 13

Uniretic, 9

Viberzi, 20

Valium, 23

Unistik 1, 41

Vibramycin, 2

valproate sodium, 25

Unistik 2, 41

Vicoprofen, 29

valproic acid, 25

Unistik 2 Comfort, 41

Victoza, 16

valsartan, 8

Unistik 2 Extra, 41

Victrelis, 3

valsartan/hydrochlorothiazide, 9

Unistik 2 Neonatal, 41

Vida Mia Unifine Pentips 32GX4MM, 41

Valtrex, 3

Unistik 2 Normal, 41

Vida Mia Unifine Pentips Mini 31GX6MM, 41

Valumark Lancet Super Thin 30G, 41

Unistik 2 Super, 41

Valumark Lancet Ultra Thin 28G, 41

Unistik 3, 41

Vida Mia Unifine Pentips Original 29GX12MM, 41

Valumark Pen Needles 29GX12MM, 41

Unistik 3 Comfort, 41

Valumark Pen Needles 31G X 6MM, 41

Unistik 3 Extra, 41

Vida Mia Unilet Lancets Super Thin 30G, 41

Valumark Pen Needles 31G X 8MM, 41

Unistik 3 Extra Single Use Safety Lancets/21G, 41

Vanatol LQ, 29

Vida Mia Unilet Lancets Ultra Thin 28G, 41

Vancocin HCL, 4

Unistik 3 Gentle, 41

Vancomycin, 4

Unistik 3 Neonatal, 41

Vida Mia Unipfine Pentipsshort 31GX8MM, 41

vancomycin HCL, 4

Unistik 3 Normal, 41

Vancomycin HCL, 4

Unistik CZT Comfort, 41

Vidaza, 5

Vancomycin HCL + Syrspendsf PH4, 4

Unistik CZT Normal, 41

Videx EC, 3

Vancomycin HCL IN Dextrose, 4

Unistik Safety Lancets 28G, 41

Videx Pediatric, 3

Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 41

Unistik Safety Lancets 30G, 41

Viekira PAK, 3

Unistik Touch Safety Lancets 21G, 41

Vigamox, 27

Vanishpoint Insulin Syringe/1ML/29G X 1/2", 41


Viibryd, 23


Viibryd Starter Pack, 23

Vanos, 13


Vimizim, 18

Vanoxide-HC, 11

Unituxin, 5

Vimpat, 25

Vantas, 5

Univasc, 8

Vinacal B, 34

Vaprisol, 18

Universal 1 Lancets Thin 26G, 41

Vinate AZ Extra, 34

Vaqta, 33

Universal 1 Lancets Ultra Thin 30G, 41

Vinate Calcium, 34

Varivax, 33

Uptravi, 10

Vinate DHA RF, 34

Varubi, 19

Uramaxin, 14

Vinblastine Sulfate, 6

Vascepa, 10

Uramaxin GT, 14

vincristine sulfate, 6

Vaseretic, 9

Uramaxin GT Kit, 14

vinorelbine tartrate, 6

vasopressin, 17

urea, 13

Viracept, 3

Vasostrict, 17

urea 40% nail film, 13

Viramune, 3

Vasotec, 8

Viramune XR, 3

Wp Thyroid, 18 Zelboraf, 6

Virasal, 14

Zemaira, 32

X

Virazole, 3

Zembrace Symtouch, 31

Xalatan, 28

Viread, 3

Zemplar, 18

Xalkori, 6

Viroptic, 27

Zemuron, 26

Xanax, 23

Vistaril, 23

Zenpep, 19

Xanax XR, 23

Vistide, 3

Zenzedi, 25

Xarelto, 21

Vita-pren, 34

Zepatier, 3

Xarelto Starter Pack, 21

Vitafol, 35

Zerbaxa, 4

Xartemis XR, 29

Vitafol Fe+, 35

Zerit, 3

Xeljanz, 30

Vitafol Gummies, 34

Zestoretic, 9

Xeljanz XR, 30

Vitafol Ultra, 35

Zestril, 8

Xeloda, 5

Vitafol-nano, 34

Zetia, 10

Xenazine, 26

Vitafol-ob+dha, 35

Zetonna, 31

Xeomin, 26

Vitafol-one, 35

Zevalin Y-90, 5

Xerac Ac, 14

Vital-d RX, 35

Ziac, 9

Xerese, 12

Vitalet Pro Lancets, 41

Ziagen, 3

Xgeva, 17

Vitalet Pro Plus Lancets, 41

Ziana, 11

Xifaxan, 4

Vitamedmd One RX/Quatrefolic, 35

zidovudine, 3

Xodol, 29

Vitamedmd Plus RX/Quatre Folic, 35

Zinacef, 1

Xofigo, 6

Vitamedmd Redichew RX, 34

Zinecard, 7

Xolair, 32

Vitamin A, 33

ziprasidone HCL, 24

Xolegel, 11

vitamin c 222MG, 33

Zipsor, 30

Xolegel Corepak, 11

vitamin d, 33

Zirgan, 27

Xolegel Duo/Head & Shoulders, 11

vitamin k1, 33

Zithranol, 12

Xolegel Duo/Xolex, 11

Vitamin K1, 33

Zithranol-rr, 12

Xopenex, 32

Vitapearl, 34

Zithromax, 2

Xopenex Concentrate, 32

Vitaroca Plus, 35

Zithromax Tri-PAK, 2

Xrylix, 12

Vitatrue, 35

Zithromax Z-PAK, 2

Xtandi, 5

Vitekta, 3

Zmax, 2

Xuriden, 18

Vituz, 32

Zofran, 19

Xylocaine, 8, 14, 31

Viva DHA, 34

Zofran Odt, 19

Xylocaine-mpf, 31

Vivactil, 23

Zoladex, 5

Xylocaine-mpf/Epinephrine, 31

Vivelle-dot, 15

zoledronic acid, 17

Xylocaine/Epinephrine, 31

Vivlodex, 30

Zoledronic Acid, 17

Xyntha, 22

Vivotif, 33

Zolinza, 6

Xyntha Solofuse, 22

Voltaren, 12

zolmitriptan, 30

Xyrem, 26

Voltaren-XR, 30

zolmitriptan odt, 30

Xyzal, 31

Voluven, 22

Zoloft, 23

Y

Vopac, 12

zolpidem tartrate, 24

Vopac GB, 12

zolpidem tartrate ER, 24

Yasmin 28, 16

Vopac Kt, 12

Zolpimist, 24

Yaz, 16

Voraxaze, 7

Zometa, 17

Yervoy, 5

voriconazole, 2

Zomig, 31

Yf-vax, 33

Vortex Valved Holding Chamber, 42

Zomig Nasal Spray, 30

Yodoxin, 3

Vosol HC, 28

Zomig ZMT, 31

Yondelis, 4

Vospire ER, 32

Zonalon, 12

Your Life Multi Prenatal, 34

Votrient, 6

Zonatuss, 32

Z

Vpriv, 21

Zonegran, 25

Vsl#3 DS, 18

Zacare 4% Kit, 11 zonisamide, 25

Vusion, 11

Zacare 8% Kit, 11 Zontivity, 22

Vyvanse, 24

zafirlukast, 32 Zorbtive, 17

W

zaleplon, 24 Zortress, 6

Zaltrap, 5 Zostavax, 33

W&f Lancets 26G, 41

Zamicet, 29 Zosyn, 1

W&f Lancets Colored 21G, 41

Zanaflex, 27 Zovia 1/50e, 15

Walgreens Lancets, 41

Zanosar, 4 Zovirax, 3, 12

Walgreens Thin Lancets, 41

Zantac, 19 Zubsolv, 29

Walgreens Ultra Thin Lancets, 41

Zarontin, 25 Zuplenz, 19

warfarin sodium, 21

Zaroxolyn, 9 Zutripro, 32

Watchhaler, 42

Zatean-CH, 35 Zyclara, 13

Welchol, 10

Zatean-pn, 34 Zyclara P.M., 13

Wellbutrin, 23

Zatean-pn DHA, 35 Zydelig, 6

Wellbutrin SR, 23

Zatean-pn Plus, 34 Zyflo, 32

Wellbutrin XL, 23

Zavesca, 21 Zyflo CR, 32

Westcort, 13

Zebeta, 7 Zykadia, 6

Westhroid, 18

Zegerid, 19 Zylet, 27

Wheat Germ, 33

Zelapar, 26 Zyloprim, 31

Wilate, 22

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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