allumatm care formulary - jan to mar 2021...drug requires prior authorization to confirm medical...

T1

T2

T3

PAQLBPSP

Tier 1 medication, typically generics or drugs available at lowest member cost share.

Tier 2 medication, typically preferred or formulary brand drugs.

Tier 3 medication, typically non-preferred or non-formulary drugs.

Drug requires prior authorization to confirm medical necessity prior to coverage.Quantity limits may apply.Brand Penalty: Member may be responsible for the cost difference between brand and generic. Specialty Medication: This drug may only be available at the plan's preferred specialty pharmacy. Step Therapy: One or more first-line drugs must be tried before coverage is authorized.ST

22TEK SOLUTION T3

330ML SYRINGES LUER LOCK MISC

T3

Aabacavir solution T1

abacavir sulfate tablet T1

abacavir tablet T1

abacavir-lamivudine tablet T1

abacavir-lamivudine-zidovudine tablet

T1

ABILIFY MYCITE TABLET T3, PA

ABILIFY TABLET T2, BP

abiraterone tablet T1, QL, SP, PA

ABSORICA CAPSULE T2

ABSORICA LD CAPSULE T3

acamprosate calcium dr tablet

T1

ACANYA GEL T3, BP

acarbose tablet T1

ACCOLATE TABLET T3, BP

ACCU-CHEK AVIVA CONNECT KIT

T2, QL

ACCU-CHEK AVIVA PLUS KIT

T2, QL

ACCU-CHEK AVIVA PLUS STRIP

T2

ACCU-CHEK AVIVA SOLUTION

T3

ACCU-CHEK COMBO KIT T3

ACCU-CHEK COMPACT PLUS CONTROL SOLUTION

T3

ACCU-CHEK COMPACT PLUS STRIP

T2

ACCU-CHEK FASTCLIX KIT

T2

ACCU-CHEK FASTCLIX MISC

T2

ACCU-CHEK GUIDE CONTROL SOLN LIQUID

T3

ACCU-CHEK GUIDE KIT T2, QL

ACCU-CHEK GUIDE ME KIT

T2, QL

ACCU-CHEK GUIDE STRIP

T2

ACCU-CHEK MISC T2

ACCU-CHEK MULTICLIX LANC KIT

T2

ACCU-CHEK NANO SMARTVIEW KIT

T2, QL

ACCU-CHEK RAPID D MISC

T3

ACCU-CHEK SMARTVIEW LIQUID

T3

ACCU-CHEK SMARTVIEW STRIP

T2

ACCU-CHEK SOFTCLIX KIT

T2

ACCU-CHEK SOFTCLIX MISC

T2

ACCU-CHEK SPIRIT ADAPTER MISC

T3

ACCU-CHEK SPIRIT BATTERY MISC

T3

ACCU-CHEK TENDER KIT

T3

ACCU-CHEK TENDER MISC

T3

ACCU-CHEK ULTRAFLEX MISC

T3

Page 1 of 40For plan specific information, call the pharmacy phone number listed on your member ID card

or log onto your member portal at: members.allumaco.com.

AllumaTM Care Formulary - Jan to Mar 2021

covered at the lowest member cost share.common coverage indicators present on this file. Drugs shown in lower-case are generically available and typicallyEach medication may have specific coverage requirements not reflected in this document. The key below explains

card.your member portal and use the “Calculate my Copay” feature or call the phone number printed on your member IDcriteria, cost sharing information, or information about drugs that do not appear on this abbreviated list please log intocovered by your plan at 100%. Individual plans may vary. For questions regarding plan-specific restrictions, coverageSome medications may be subject to the Affordable Care Act (ACA) provisions or your plan's preventive benefit andPLEASE NOTE: Certain specialty medications may only be available through your plan’s preferred specialty pharmacy.

requiring provider administration are generally covered under the medical benefit and may not appear on this list.may be covered. Agents listed are primarily oral, self-injected, inhaled or topical pharmaceutical formulations. Drugs list does not guarantee coverage. Individual plans may vary and medications that do not appear on this abbreviated list This document provides an alphabetical listing of medications covered on the Alluma Care Formulary. Inclusion on this

ACCUPRIL TABLET T2, BP

ACCURETIC TABLET T2, BP

ACCUTREND GLUCOSE SOLUTION

T3

ACCUTREND GLUCOSE STRIP

T2

ACD FORMULA A SOLUTION

T3

ACD SOLUTION T3

ACD-A NOCLOT-50 SOLUTION

T3

acebutolol capsule T1

acetaminophen w/codeine tablet

T1, QL

acetaminophen/codeine solution

T1, QL

acetaminophen/codeine tablet

T1, QL

acetazolamide er capsule T1

acetazolamide tablet T1

ACETIC ACID 0.25% SOLUTION

T2

acetic acid solution T1

acetic acid/hydrocortisone solution

T1

acetylcysteine solution T1

ACIPHEX SPRINKLE CAPSULE

T3

ACIPHEX TABLET T3, BP

acitretin capsule T1

ACTEMRA ACTPEN INJECTION

T2, SP, PA

ACTEMRA INJECTION T2, SP, PA

ACTHIB SOLUTION T2

ACTIGALL CAPSULE T2, BP

ACTI-LANCE MISC T2

ACTIMMUNE SOLUTION T2, QL, PA, SP

ACTIQ LOLLIPOP T3, BP

ACTIVE FE TABLET T3

ACTIVELLA TABLET T2, BP

ACTONEL TABLET T2, BP

ACTOPLUS MET TABLET T2, BP

ACTOS TABLET T2, BP

ACUICYN ANTIMICROBIAL EY SOLUTION

T3

ACUICYN SOLUTION T3

ACULAR LS SOLUTION T2, BP

ACULAR SOLUTION T2, BP

acyclovir capsule T1

ACYCLOVIR CREAM T2

acyclovir ointment T1

acyclovir suspension T1

acyclovir tablet T1

ACZONE GEL T3, BP

ADACEL SUSPENSION T2

adapalene cream T1

adapalene gel T1

adapalene pump gel T1

ADASUVE AEROSOL T3

ADCIRCA TABLET T2, QL

ADDERALL TABLET T2, BP

ADDERALL XR 24 HOUR CAP

T2, BP

ADDYI TABLET T2, QL

adefovir dipivoxil tablet T1, SP

ADEMPAS TABLET T2, QL, PA, SP

ADHANSIA XR 24 HOUR CAP

T3, PA

ADIPEX-P CAPSULE T2, BP

ADJUSTABLE LANCING DEVICE MISC

T2

ADLYXIN INJECTION T3, PA

ADLYXIN STARTER PACK INJECTION

T3, PA

ADMELOG SOLOSTAR INJECTION

T3, PA

ADMELOG SOLUTION T3, PA

ADRENALIN SOLUTION T2

adult aspirin regimen tablet

T1

advair diskus aerosol T1

ADVAIR HFA AEROSOL T2

ADVANCED LANCING DEVICE MISC

T2

ADVOCATE CONTROL SOLUTION LIQUID

T3

ADVOCATE DUO/TALKING

T3

ADVOCATE DUO/TALKING KIT

T3

ADVOCATE LANCING DEVICE MISC

T2

ADVOCATE RAPID-SAFE MISC

T2

ADVOCATE REDI-CODE+ CTRL SOLN SOLUTION

T3

ADVOCATE SYRINGES MISC

T2

ADZENYS ER SUSPENSION

T3

ADZENYS XR-ODT TABLET

T3, QL

AEMCOLO TABLET T3

AEROCHAMBER MINI AEROSOL

T3

AEROCHAMBER MISC T3

AEROCHAMBER MV MISC

T3

AEROCHAMBER PLUS FLOW VU MISC

T3

AEROCHAMBER PLUS FLOW-VU MISC

T3

AEROCHAMBER Z-STAT PLUS MISC

T3

AEROCHAMBER/FLOWSIGNAL MISC

T3

AEROECLIPSE II MISC T3

AERONEB GO MISC T3

AERONEB GO NEBULISER MISC

T3

AEROVENT PLUS T3

AFINITOR DISPERZ TABLET

T2, QL, SP, PA

AFINITOR TABLET T2, QL, SP, PA, BP

afirmelle tablet T1

AFLURIA QUAD 2020-2021 SUSPENSION

T2

AFLURIA QUAD 2020-21 (3YR UP) INJECTION

T2

AFLURIA QUAD 2020-21 (6-35MO) INJECTION

T2

AFREZZA POWDER T3, PA

AFTERA TABLET T3

AGAMATRIX CONTROL HIGH SOLUTION

T3

AGAMATRIX CONTROL NORMAL SOLUTION

T3

AGRYLIN CAPSULE T2, BP

AIMOVIG INJECTION T2, QL, PA

AIRDUO DIGIHALER 113/14 AEROSOL

T2, PA


T2, PA


T2, PA

AIRDUO RESPICLICK 113/14 AEROSOL

T2


T2


T2

AJOVY INJECTION T2, QL, PA

AKLIEF CREAM T3

AKTEN GEL T2

AKYNZEO CAPSULE T3

ALA SCALP LOTION T3

ala-cort cream T1

ALA-QUIN CREAM T3

ALA-SCALP LOTION T3



albendazole tablet T1

ALBENZA TABLET T2, BP

albuterol sulfate er 12 hr tab

T1

albuterol sulfate hfa aerosol

T1, QL

albuterol sulfate nebulized T1

albuterol sulfate syrup T1

albuterol sulfate tablet T1

ALCLOMETASONE DIPROPIONATE CREAM

T3

ALCLOMETASONE DIPROPIONATE OINTMENT

T3

ALDACTAZIDE TABLET T2, BP

ALDACTONE TABLET T2, BP

ALDARA CREAM T2, BP

ALECENSA CAPSULE T2, QL, SP, PA

ALENDRONATE SODIUM SOLUTION

T2

alendronate sodium tablet T1

ALFUZOSIN ER 24 HR TAB

T3

ALINIA SUSPENSION T2

ALINIA TABLET T2, BP

aliskiren tablet T1

ALKERAN TABLET T2, BP, SP

ALKINDI SPRINKLE CAPSULE

T3, QL, PA

ALLERGIST TRAY SYR-DETACH NDL KIT

T3

allopurinol tablet T1

ALLZITAL TABLET T3

almotriptan malate tablet T1, QL, ST

almotriptan tablet T1, QL, ST

ALOCRIL SOLUTION T3

ALOGLIPTIN TABLET T3, PA

ALOGLIPTIN/METFORMIN TABLET

T3, PA

ALOGLIPTIN/PIOGLITAZONE TABLET

T3, PA

ALOMIDE SOLUTION T2

alophen tablet T1

ALORA PATCH T2

alosetron tablet T1

ALPHAGAN P SOLUTION T2, BP

ALPRAZOLAM ER 24 HR TAB

T3

ALPRAZOLAM INTENSOL

T3

ALPRAZOLAM ODT TABLET

T3

alprazolam tablet T1

ALPRAZOLAM XR 24 HR TAB

T3

ALREX SUSPENSION T3

ALTABAX OINTMENT T3

ALTACAINE SOLUTION T2

ALTACE CAPSULE T2, BP

ALTAFLUOR BENOX SOLUTION

T3

altavera tablet T1

ALTERA NEBULIZER MISC

T3

ALTERNATE SITE LANCING DEVICE MISC

T2

ALTRENO LOTION T3

ALUNBRIG TABLET T2, QL, SP, PA

ALVESCO AEROSOL T3, ST

alvimopan capsule T1, SP

alyacen 1/35 tablet T1

alyacen 7/7/7 tablet T1

ALYQ TABLET T2, QL

amabelz tablet T1

amantadine capsule T1

amantadine syrup T1

amantadine tablet T1

AMARYL TABLET T2, BP

AMBIEN CR TABLET T2, BP

AMBIEN TABLET T2, BP

ambrisentan tablet T1, PA, SP

AMCINONIDE CREAM T3

AMCINONIDE LOTION T3

AMCINONIDE OINTMENT T3

AMELUZ GEL T2, PA

AMERGE TABLET T2, QL, BP

amethia lo tablet T1

amethia tablet T1

amethyst tablet T1

AMICAR SOLUTION T2, BP

AMICAR TABLET T2, BP

amiloride tablet T1

amiloride w/hctz tablet T1

AMINOACETIC ACID SOLUTION

T2

aminocaproic acid solution

T1

aminocaproic acid tablet T1

amiodarone tablet T1

AMITIZA CAPSULE T2

amitriptyline tablet T1

AMITRIPTYLINE/CHLORDIAZEPOXIDE TABLET

T3

amitriptyline-perphenazine tablet

T1

amlodipine besylate tablet T1

amlodipine besylate-benazepril capsule

T1

AMLODIPINE-OLMESARTAN TABLET

T3

AMLODIPINE-VALSARTAN TABLET

T3

AMLODIPINE-VALSARTAN-HCTZ TABLET

T3

amnesteem capsule T1

AMOXAPINE TABLET T3

amoxicillin capsule T1

amoxicillin chew tab T1

amoxicillin suspension T1

amoxicillin tablet T1

AMOXICILLIN-CLAVULANATE POT ER 12 HR TAB

T3

amoxicillin-clavulanate potass chew tab

T1

amoxicillin-clavulanate potass suspension

T1

amoxicillin-clavulanate potass tablet

T1

AMPHETAMINE ER SUSPENSION

T3

AMPHETAMINE SULFATE TABLET

T3

AMPICILLIN CAPSULE T3

AMPYRA 12 HR TAB T2, SP, PA, BP

AMZEEQ FOAM T3, PA

ANADROL-50 TABLET T2, PA

ANAFRANIL CAPSULE T2, BP

anagrelide capsule T1

ANA-LEX KIT T3

ANALPRAM HC CREAM T2

ANALPRAM HC SINGLES CREAM

T2

ANALPRAM-HC LOTION T3

ANASPAZ TABLET T2

anastrozole tablet T1

ANCOBON CAPSULE T2, PA, BP

ANDRODERM PATCH T2

ANDROGEL GEL T2

ANDROGEL PUMP GEL T2, BP

ANGELIQ TABLET T2

ANHYDROUS BASE OINTMENT

T3

ANHYDROUS CREAM BASE

T3



ANORO ELLIPTA AEROSOL

T2

ANTARA CAPSULE T3

ANTICOAGULANT SODIUM SOLUTION

T3

anucort-hc suppository T1

ANUSOL-HC CREAM T2, BP

anusol-hc suppository T1

ANZEMET TABLET T3

APADAZ TABLET T3

APAP-CAFFEINE-DIHYDROCODEINE CAPSULE

T3

APAP-CAFFEINE-DIHYDROCODEINE TABLET

T3

APEXICON E CREAM T3

APIDRA SOLOSTAR INJECTION

T2, PA

APIDRA SOLUTION T2, PA

APLENZIN 24 HR TAB T3

APOKYN INJECTION T2, PA, SP

apraclonidine solution T1

aprepitant capsule T1, QL, PA

apri tablet T1

APRISO 24 HOUR CAP T2, BP

APTENSIO XR 24 HOUR CAP

T3

APTIOM TABLET T2, QL, ST

APTIVUS CAPSULE T2

APTIVUS SOLUTION T2

AQUA CARE STERILE WATER IRRIG SOLUTION

T2

ARAKODA TABLET T3

aranelle tablet T1

ARANESP ALBUMIN FREE INJECTION

T2, SP

ARANESP ALBUMIN FREE SOLUTION

T2, SP

ARAVA TABLET T2, BP

ARAZLO LOTION T3

ARCALYST SOLUTION T2, QL, PA, SP

ARCAPTA NEOHALER CAPSULE

T3

ARESTIN MISC T3, PA, SP

ARICEPT TABLET T2, BP

ARIKAYCE SUSPENSION

T3, SP, QL, PA

ARIMIDEX TABLET T2, BP

ARIPIPRAZOLE ODT TABLET

T3

aripiprazole solution T1

aripiprazole tablet T1

ARIXTRA SOLUTION T3, BP

ARMODAFINIL TABLET T3

ARMONAIR DIGIHALER AEROSOL

T3

ARMOUR THYROID TABLET

T2

ARNICA FLOWER TINCTURE

T3

ARNICA LG LIQUID T3

ARNUITY ELLIPTA AEROSOL

T2

AROMASIN TABLET T2, BP

ARTHROTEC 50 TABLET T2, BP

ARTHROTEC 75 TABLET T2, BP

ARYMO ER T3

ARZOL SILVER NITRATE APP MISC

T3

asa-butalb-caff-cod capsule

T1, QL

ASACOL HD TABLET T2, BP

ascomp/codeine capsule T1, QL

ashlyna tablet T1

ASMANEX AEROSOL T2

ASMANEX HFA AEROSOL

T2

aspirin 81 low dose chew tab

T1

aspirin 81 tablet T1

aspirin adult low dose tablet

T1

aspirin adult tablet T1

aspirin chew tab T1

aspirin childrens chew tab T1

aspirin e.c. tablet T1

aspirin ec low dose tablet T1

aspirin ec tablet T1

aspirin low dose chew tab T1

aspirin low dose tablet T1

aspirin low strength chew tab

T1

aspirin regular strength tablet

T1

aspirin tablet T1

aspirin/dipyridamole capsule

T1

aspirin/dipyridamole er capsule

T1

ASSURE 4 LIQUID T3

ASSURE DOSE SOLUTION

T3

ASSURE HAEMOLANCE PLUS MISC

T2

ASSURE ID INSULIN SAFETY MISC

T2

ASSURE PRISM CONTROL LEV SOLUTION

T3

ASTAGRAF XL 24 HOUR CAP

T2, PA

ATABEX EC TABLET T2

ATACAND HCT TABLET T2, BP

ATACAND TABLET T2, BP

atazanavir capsule T1

atazanavir sulfate capsule T1

ATELVIA TABLET T3, BP

atenolol tablet T1

atenolol/chlorthalidone tablet

T1

ATIVAN TABLET T2, BP

atomoxetine capsule T1

atorvastatin calcium tablet T1

atovaquone suspension T1

atovaquone/proguanil tablet

T1

ATRALIN GEL T2, BP

ATRIPLA TABLET T3, BP

ATROPINE SULFATE OINTMENT

T2

atropine sulfate solution T1

ATROVENT HFA AEROSOL

T2

AUBAGIO TABLET EXaubra eq tablet T1

aubra tablet T1

AUGMENTIN ES-600 SUSPENSION

T2, BP

AUGMENTIN SUSPENSION

T2, BP

AUGMENTIN TABLET T2

AURA PORTANEB MISC T3

aurovela 1.5/30 tablet T1

aurovela 1/20 tablet T1

aurovela 24 fe tablet T1

aurovela fe 1.5/30 tablet T1

aurovela fe 1/20 tablet T1

AURYXIA TABLET T3

AUSTEDO TABLET T3, QL, PA, SP

AUTO-LANCET MINI MISC

T2

AUTOLET IMPRESSION MISC

T2

AUTOLET LANCING DEVICE MISC

T2

AUTOLET PLUS MISC T2



AUTOPEN T2

AUTOSOFT 30 MISC T3

AUTOSOFT 90 MISC T3

AUTOSOFT XC MISC T3

AUVI-Q INJECTION T3, QL, PA

AVALIDE TABLET T3, BP

AVAPRO TABLET T3, BP

avar cleanser emulsion T1

AVAR LS CLEANSER LIQUID

T3

AVAR-E EMOLLIENT CREAM

T3

AVAR-E GREEN CREAM T3

AVENOVA SOLUTION T3

aviane tablet T1

AVIDOXY DK KIT T3

avidoxy tablet T1

avita cream T1

avita gel T1

AVODART CAPSULE T2, BP

AVONEX INJECTION T2, SP

AVONEX PEN INJECTION

T2, SP

AYGESTIN TABLET T2, BP

ayuna tablet T1

AYVAKIT TABLET T2, QL, SP, PA

AZACITIDINE SUSPENSION

T2, PA, SP

AZASAN TABLET T2

AZASITE SOLUTION T3

azathioprine tablet T1

AZELAIC ACID GEL T2

azelastine solution T1

AZELEX CREAM T2

AZILECT TABLET T3, BP

azithromycin packet T1

azithromycin suspension T1

azithromycin tablet T1

AZOPT SUSPENSION T2

AZOR TABLET T3, BP

AZULFIDINE EN-TABS TABLET

T2, BP

AZULFIDINE TABLET T2, BP

azurette tablet T1

Bbacitracin ointment T1

bacitracin/polymyxin b ointment

T1

baclofen tablet T1

BACTRIM DS TABLET T2, BP

BACTRIM TABLET T2, BP

BAFIERTAM CAPSULE (DELAYED RELEASE)

T3, QL, SP, PA

BALCOLTRA TABLET T2

balsalazide disodium capsule

T1

BALVERSA TABLET T3, QL, SP, PA

balziva tablet T1

BANZEL SUSPENSION T2, BP

BANZEL TABLET T2

BAQSIMI ONE PACK POWDER

T2, QL

BAQSIMI TWO PACK POWDER

T2, QL

BARACLUDE SOLUTION T2, SP

BARACLUDE TABLET T2, BP, SP

BASAGLAR KWIKPEN INJECTION

T3

BAXDELA TABLET T3, PA

bayer aspirin tablet T1

BAYER CHEWABLE LOW DOSE CHEW TAB

T2

bayer low dose tablet T1

B-D INSULIN SYRINGE MISC

T2

BD INSULIN SYRINGE ULTRA MISC

T2

BD LO-DOSE INSULIN SYRIN MISC

T2

BD MAGNI-GUIDE MAGNIFIER MISC

T2

B-D SAFETYGLIDE MISC T2

BD SAFETYGLIDESYRINGE MISC

T2

BD SAFETY-LOK MISC T3

BD VACUTAINER COLLECTION SET MISC

T3

BECONASE AQ SUSPENSION

T3

bekyree tablet T1

BELBUCA FILM T3

BELLADONNA/OPIUM SUPPOSITORY

T2

BELSOMRA TABLET T2, ST

benazepril tablet T1

benazepril-hctz tablet T1

BENLYSTA INJECTION T2, SP, PA

BENSAL HP OINTMENT T3

BENTLEY THE BEAR MISC

T3

BENZACLIN GEL T2, BP

BENZACLIN WITH PUMP GEL

T2, BP

BENZAMYCIN GEL T2, BP

BENZHYDROCODONE-ACETAMINOPHEN TABLET

T3

BENZNIDAZOLE TABLET T3

BENZOIN T3

BENZOIN COMPOUND TINCTURE

T3

benzonatate capsule T1

BENZPHETAMINE TABLET

T3, PA

benztropine mesylate tablet

T1

BEPREVE SOLUTION T3

BESER LOTION T3

BESIVANCE SUSPENSION

T3

betamethasone dipropionate cream

T1

betamethasone dipropionate gel

T1

betamethasone dipropionate lotion

T1

betamethasone dipropionate ointment

T1

betamethasone dp augmented ointment

T1

betamethasone valerate cream

T1

BETAMETHASONE VALERATE FOAM

T3

betamethasone valerate lotion

T1

betamethasone valerate ointment

T1

BETAPACE AF TABLET T2, BP

BETAPACE TABLET T2, BP

BETASERON KIT T2, SP

betaxolol solution T1

BETAXOLOL TABLET T3

bethanechol chloride tablet

T1

BETHKIS NEBULIZED T3, PA, BP, SP

BETIMOL SOLUTION T2

BETOPTIC-S SUSPENSION

T2

BEVESPI AEROSPHERE AEROSOL

T2

bexarotene capsule T1, QL, SP, PA

BEXSERO INJECTION T2

BEYAZ TABLET T2, BP

bicalutamide tablet T1

BIDIL TABLET T3



BIKTARVY TABLET T2

BILTRICIDE TABLET T2, BP

BIMATOPROST SOLUTION

T2

BINOSTO TABLET (EFF) T3, PA

bisacodyl ec tablet T1

bisoprolol fumarate tablet T1

bisoprolol fumarate/hctz tablet

T1

BLANCHE CREAM T3

BLEPH-10 SOLUTION T2, BP

BLEPHAMIDE S.O.P. OINTMENT

T2

BLEPHAMIDE SUSPENSION

T2

blisovi 24 fe tablet T1

blisovi fe 1.5/30 tablet T1

blisovi fe 1/20 tablet T1

BONIVA TABLET T2, BP

BONJESTA TABLET T3

BOOSTRIX SUSPENSION

T2

BORIC ACID GRANULES T3

bosentan tablet T1, QL, PA, SP

BOSULIF TABLET T2, QL, SP, PA

BP 10-1 EMULSION T3

BP VIT 3 CAPSULE T3

BRAFTOVI CAPSULE T2, QL, SP, PA

BREATHERITE COLLAPSIBLE MISC

T3

BREATHERITE MISC T3

BREATHERITE RIGID SPACER MISC

T3

BREATHERITE W/LARGE MASK MISC

T3

BREATHERITE W/SMALL MASK MISC

T3

BREO ELLIPTA AEROSOL

T2

BREZTRI AEROSPHERE AEROSOL

T3, PA

briellyn tablet T1

BRILINTA TABLET T2

brimonidine tartrate solution

T1

BRIMONIDINE-DORZOLAMIDE SOLUTION

T3

BRINEURA KIT T3, PA, SP

BRISDELLE CAPSULE T3, BP

BRIVIACT SOLUTION T2, PA

BRIVIACT TABLET T2, PA

BROMFENAC SOLUTION T3

bromocriptine mesylate capsule

T1

bromocriptine mesylate tablet

T1

BROMSITE SOLUTION T3

BROVANA NEBULIZED T2

BRUKINSA CAPSULE T3, QL, SP, PA

BRYHALI LOTION T3, PA

budesonide capsule T1

budesonide er 24 hr tab T1, QL, PA

budesonide suspension T1

BUDESONIDE-FORMOTEROL FUMARATE AEROSOL

T2

bumetanide tablet T1

BUNAVAIL FILM T2

BUPHENYL POWDER T2, BP, SP

BUPHENYL TABLET T2, BP, SP

buprenorphine patch T1

buprenorphine sl T1

buprenorphine-naloxone film

T1

buprenorphine-naloxone sl

T1

bupropion sr 12 hr tab T1

bupropion tablet T1

bupropion xl 24 hr tab T1

buspirone tablet T1

butalbital compound capsule

T1

butalbital compound w/codeine capsule

T1, QL

butalbital/acetaminophen capsule

T1, BP

butalbital/acetaminophen tablet

T1

butalbital/apap/caffeine capsule

T1

butalbital/apap/caffeine tablet

T1

BUTALBITAL/CAFF/APAP/CODEINE CAPSULE

T3

butalbital-asp-caffeine capsule

T1

BUTALBITAL-ASP-CAFFEINE TABLET

T2

butorphanol tartrate solution

T1

BUTRANS PATCH T2, BP

BYSTOLIC TABLET T3

Ccabergoline tablet T1

CABOMETYX TABLET T2, QL, SP, PA

CAFERGOT TABLET T2, BP

caffeine solution T1

CALAN SR TABLET T2, BP

calcipotriene cream T1

CALCIPOTRIENE FOAM T3

calcipotriene ointment T1

calcipotriene solution T1

CALCIPOTRIENE-BETAMETHASONE DP OINTMENT

T3

CALCIPOTRIENE-BETAMETHASONE SUSPENSION

T3

CALCIPOTRIENE-CLOBETASOL PROP SOLUTION

T3

calcitonin salmon solution T1

calcitonin-salmon solution T1

calcitrene ointment T1

calcitriol capsule T1

CALCITRIOL OINTMENT T2

calcitriol solution T1

calcium capsule T1

calcium tablet T1

CALQUENCE CAPSULE T2, QL, SP, PA

CAMBIA PACKET T3

camila tablet T1

camrese lo tablet T1

camrese tablet T1

CANASA SUPPOSITORY T2, BP

candesartan cilexetil tablet

T1

candesartan-hydrochlorothiazid tablet

T1

capecitabine tablet T1, QL, SP

CAPEX SHAMPOO T2

CAPLYTA CAPSULE T3, QL, ST

CAPRELSA TABLET T2, QL, PA, SP

CAPSULE #0 CAPSULE T3

CAPSULE #0 DRCAPS CAPSULE

T3







CAPSULE CONI-SNAP CAPSULE

T3

CAPTAIN EAGLE MISC T3

captopril tablet T1



captopril/hydrochlorothiazide tablet

T1

CARAC CREAM T2

CARAFATE SUSPENSION

T2, BP

CARAFATE TABLET T2, BP

CARBAGLU TABLET T2, QL, PA, SP

carbamazepine chew tab T1

carbamazepine er 12 hr tab

T1

carbamazepine er capsule T1

carbamazepine suspension

T1

carbamazepine tablet T1

CARBATROL CAPSULE T2, BP

carbidopa tablet T1

carbidopa/levodopa er tablet

T1

CARBIDOPA/LEVODOPA ODT TABLET

T3

carbidopa/levodopa tablet T1

CARBIDOPA-LEVODOPA-ENTACAPONE TABLET

T3

CARBINOXAMINE MALEATE SOLUTION

T3

CARBINOXAMINE MALEATE TABLET

T3

CARBOGEL 940 GEL T3

CARBOHOL 940 GEL T3

CARBOMER AQUEOUS T3

CARBOMER-HYDROALCOHOLIC

T3

CARDIZEM CD 24 HOUR CAP

T2

CARDIZEM LA 24 HR TAB

T3, BP

CARDIZEM TABLET T2, BP

CARDURA TABLET T2, BP

CARDURA XL 24 HR TAB T3

CAREONE ADVANCED LANCING MISC

T2

CAREONE MISC T2

CARESENS SOLUTION T3

CARETOUCH INSULIN SYRINGE MISC

T2

CARETOUCH LANCING DEVICE MISC

T2

carisoprodol tablet T1

CARISOPRODOL-ASPIRIN-CODEINE TABLET

T3

CARNITOR SF SOLUTION

T2, BP

CARNITOR SOLUTION T2, BP

CARNITOR TABLET T2, BP

CAROSPIR SUSPENSION

T2

carteolol solution T1

cartia xt 24 hour cap T1

CARVEDILOL PHOSPHATE 24 HOUR CAP

T3

carvedilol tablet T1

CASCARA SAGRADA T3

CASODEX TABLET T2, BP

CATAPRES TABLET T2, BP

CATAPRES-TTS-1 PATCH

T2, BP


T2, BP


T2, BP

CAVERJECT IMPULSE KIT

T2, QL

CAVERJECT SOLUTION T2, QL

CAYA T2

CAYSTON SOLUTION T2, SP, PA

caziant tablet T1

CEFACLOR CAPSULE T3

CEFACLOR ER 12 HR TAB

T3

CEFACLOR SUSPENSION

T3

cefadroxil capsule T1

cefadroxil suspension T1

cefadroxil tablet T1

cefdinir capsule T1

cefdinir suspension T1

cefixime capsule T1, PA

CEFIXIME SUSPENSION T3

CEFPODOXIME PROXETIL SUSPENSION

T3

CEFPODOXIME PROXETIL TABLET

T3

cefprozil suspension T1

CEFPROZIL TABLET T3

cefuroxime axetil tablet T1

CELEBREX CAPSULE T2, BP

celecoxib capsule T1

CELEXA TABLET T2, BP

CELLCEPT CAPSULE T2, BP

CELLCEPT SUSPENSION

T2, BP

CELLCEPT TABLET T2, BP

CELONTIN CAPSULE T3

CENTANY AT KIT T3

CENTANY OINTMENT T2

cephalexin capsule T1

cephalexin suspension T1

CEPHALEXIN TABLET T2

CEQUA SOLUTION T3

CEQUR SIMPLICITY 2U T2

CERDELGA CAPSULE T3, QL, PA, SP

CERVIDIL T2

CETRAXAL SOLUTION T3

CEVIMELINE CAPSULE T3

CHANTIX CONTINUING MONTH TABLET

T2

CHANTIX TABLET T2

charlotte 24 fe chew tab T1

chateal eq tablet T1

chateal tablet T1

CHEMET CAPSULE T2

CHEMSTRIP BG LOG BOOK MISC

T2

CHEMSTRIP UGK STRIP T3

CHEMSTRIP-K STRIP T2

CHENODAL TABLET T3, SP

CHERRY SYRUP T3

children's aspirin chew tab T1

chlordiazepoxide capsule T1

chlorhexidine gluconate solution

T1

chloroquine phosphate tablet

T1

chlorpromazine tablet T1

chlorthalidone tablet T1

CHLORZOXAZONE TABLET

T3

CHOLBAM CAPSULE T3, SP

cholestyramine light packet

T1

cholestyramine light powder

T1

cholestyramine packet T1

cholestyramine powder T1

CHONDROITIN SULFATE SOLUTION

T3

CHROMAGEN CAPSULE T3

CIALIS TABLET T2, QL, BP

ciclodan solution T1

ciclopirox gel T1

ciclopirox nail lacquer solution

T1

ciclopirox olamine cream T1

CICLOPIROX SHAMPOO T3

ciclopirox suspension T1



cilostazol tablet T1

CILOXAN OINTMENT T2

CILOXAN SOLUTION T2, BP

CIMDUO TABLET T2

CIMETIDINE SOLUTION T3

CIMETIDINE TABLET T3

CIMZIA KIT T2, SP, PA

CIMZIA STARTER KIT T2, SP, PA

CINACALCET TABLET T2, SP

CIPRO HC SUSPENSION T2

CIPRO SUSPENSION T2

CIPRO TABLET T2, BP

CIPRODEX SUSPENSION

T2, BP

ciprofloxacin solution T1

ciprofloxacin tablet T1

CIPROFLOXACIN-DEXAMETHASONE SUSPENSION

T2

CIPROFLOXACIN-FLUOCINOLONE SOLUTION

T3

citalopram solution T1

citalopram tablet T1

CITRANATAL 90 DHA MISC

T2

CITRANATAL ASSURE MISC

T2

CITRANATAL B-CALM MISC

T2

CITRANATAL BLOOM TABLET

T2

CITRANATAL DHA MISC T2

CITRANATAL HARMONY CAPSULE

T2

CITRANATAL RX TABLET

T2

citroma solution T1

claravis capsule T1

CLARINEX-D 12 HOUR TAB

T3

CLARITHROMYCIN ER 24 HR TAB

T3

clarithromycin suspension T1

clarithromycin tablet T1

clearlax powder T1

CLEMASTINE FUMARATE TABLET

T3

CLENPIQ SOLUTION T3

CLEOCIN CAPSULE T2, BP

CLEOCIN CREAM T2, BP

CLEOCIN PALMITATE SOLUTION

T2, BP

CLEOCIN SUPPOSITORY

T2

CLEOCIN-T LOTION T2, BP

CLEVER CHEK AUTOCODE

T3

CLEVER CHEK CONTROL SOLUTION LIQUID

T3

CLEVER CHOICE COMFORT EZ MISC

T2

CLEVER CHOICE HOLDING CHAMBER

T3

CLEVER CHOICE NEBULIZER MISC

T3

CLEVER CHOICE WHISPER AIRE PED MISC

T3

CLICKFINE MISC T2

CLIDINIUM W/CHLORDIAZEPOXIDE CAPSULE

T3

CLIMARA PATCH T2, BP

CLIMARA PRO PATCH T2

CLINDACIN ETZ KIT T3

clindacin etz pledgets swab

T1

CLINDACIN PAC KIT T3

clindacin-p swab T1

CLINDAGEL GEL T2

clindamycin capsule T1

clindamycin palmitate solution

T1

clindamycin pediatric solution

T1

clindamycin phosphate cream

T1

CLINDAMYCIN PHOSPHATE FOAM

T3

clindamycin phosphate gel

T1

clindamycin phosphate lotion

T1

clindamycin phosphate solution

T1

clindamycin phosphate swab

T1

clindamycin-benzoyl peroxide gel

T1

CLINDESSE CREAM T3

clobazam suspension T1

clobazam tablet T1

clobetasol cream T1

CLOBETASOL E CREAM T3

CLOBETASOL FOAM T3

clobetasol gel T1

CLOBETASOL LIQUID T3

CLOBETASOL LOTION T3

clobetasol ointment T1

clobetasol shampoo T1

clobetasol solution T1

CLOBEX LIQUID T3, BP

CLOBEX LOTION T3, BP

CLOBEX SHAMPOO T2, BP

CLOCORTOLONE PIVALATE CREAM

T3

CLODAN KIT T3

clodan shampoo T1

CLODERM CREAM T3

CLOMIPHENE TABLET T3

clomipramine capsule T1

CLONAZEPAM ODT TABLET

T3

clonazepam tablet T1

CLONIDINE 12 HR TAB T3

CLONIDINE ER 12 HR TAB

T3

clonidine patch T1

clonidine tablet T1

clopidogrel tablet T1

clorazepate dipotassium tablet

T1

clotrimazole cream T1

clotrimazole lozenge T1

clotrimazole solution T1

clotrimazole/betamethasone cream

T1

clotrimazole/betamethasone lotion

T1

CLOVIQUE CAPSULE T3, PA, SP

clozapine odt tablet T1

clozapine tablet T1

CLOZARIL TABLET T2, BP

C-NATE DHA CAPSULE T2

COAL TAR SOLUTION T3

COARTEM TABLET T2

codeine sulfate tablet T1, QL, BP

COLAZAL CAPSULE T2, BP

COLCHICINE CAPSULE T2

COLCHICINE TABLET T2

COLCRYS TABLET T2, BP

colesevelam packet T1

colesevelam tablet T1

COLESTID FLAVORED GRANULES

T2

COLESTID FLAVORED PACKET

T2



COLESTID GRANULES T2, BP

COLESTID PACKET T2, BP

COLESTID TABLET T2, BP

colestipol granules T1

colestipol packet T1

colestipol tablet T1

COLLODION FLEXIBLE LIQUID

T3

COMBIGAN SOLUTION T3

COMBIPATCH PATCH T2

COMBIVENT RESPIMAT AEROSOL

T2

COMBIVIR TABLET T2, BP

COMETRIQ KIT T2, QL, SP, PA

COMFORT EZ MISC T2

COMFORT EZ/31G X 5MM MISC

T2

COMFORT EZ/31G X 6MM MISC

T2

COMPACT SPACE CHAMBER

T3

COMP-AIR NEBULIZER COMPRESSOR MISC

T3

COMPLERA TABLET T3

COMPLETE NATAL DHA MISC

T2

COMPLETENATE CHEW TAB

T2

compro suppository T1

COMTAN TABLET T2, BP

CONCEPT DHA CAPSULE

T2

CONCEPT OB CAPSULE T2

CONCEPTROL GEL T3

CONCERTA TABLET T2, BP

CONDYLOX GEL T2

CONJUPRI TABLET T3, PA

constulose solution T1

CONTOUR T2

CONTOUR HIGH CONTROL LIQUID

T3

CONTOUR LOW CONTROL LIQUID

T3

CONTOUR NEXT CONTROL SOLUTION

T3

CONTOUR NEXT EZ KIT T2, QL

CONTOUR NEXT EZ STRIP

T2

CONTOUR NEXT KIT T2, QL

CONTOUR NEXT LINK KIT

T2, QL

CONTOUR NEXT ONE KIT

T2, QL

CONTOUR NEXT TEST STRIP

T2

CONTOUR NORMAL CONTROL LIQUID

T3

CONTOUR STRIP T2

CONTRAVE 12 HR TAB T2, QL, PA

CONTROL SOLUTION T3

CONTROL SOLUTION NORMAL

T3

CONZIP 24 HOUR CAP T3, QL

COOL CONTROL SOLUTION A

T3

COOL CONTROL SOLUTION B

T3

COPAXONE INJECTION T2, SP, PA, BP

COPIKTRA CAPSULE T3, QL, SP, PA

CORDRAN CREAM T2, BP

CORDRAN LOTION T2, BP

CORDRAN OINTMENT T2, BP

CORDRAN TAPE T2

COREG CR 24 HOUR CAP

T3, BP

COREG TABLET T2, BP

CORGARD TABLET T2, BP

CORLANOR SOLUTION T3

CORLANOR TABLET T2

CORRECTOL TABLET T2

CORTANE-B LOTION T3

CORTEF TABLET T2, BP

CORTENEMA ENEMA T2, BP

CORTIFOAM FOAM T2

CORTISONE TABLET T2

CORTISPORIN CREAM T3

CORTISPORIN OINTMENT

T2

CORTISPORIN-TC SUSPENSION

T2

CORVITA 150 TABLET T3

CORVITE 150 TABLET T3

CORVITE FE TABLET T3

COSENTYX INJECTION T2, SP, PA

COSENTYX SENSOREADY PEN INJECTION

T2, SP, PA

COSOPT PF SOLUTION T2, BP

COSOPT SOLUTION T2, BP

COTELLIC TABLET T2, QL, SP, PA

COTEMPLA XR-ODT TABLET

T3

COVARYX HS TABLET T3

COVARYX TABLET T3

COZAAR TABLET T2, BP

CREON CAPSULE T2

CRESEMBA CAPSULE T2

CRESTOR TABLET T2, BP

CRINONE GEL T3

CRIXIVAN CAPSULE T2

cromolyn sodium T1

cromolyn sodium nebulized

T1

cromolyn sodium solution T1

crotan lotion T1

cryselle-28 tablet T1

CUPRIMINE CAPSULE T3, BP, SP

CURITY SOLUTION T2

CUROSURF SUSPENSION

T3

CUTIVATE LOTION T3, BP

CUVPOSA SOLUTION T2

cvs aspirin ec tablet T1

cvs aspirin low dose tablet T1

cvs aspirin low strength tablet

T1

cvs aspirin tablet T1

cvs bisacodyl tablet T1

cvs folic acid tablet T1

cvs gentle laxative tablet T1

CVS KETONE CARE STRIP

T3

CVS LANCING DEVICE MISC

T2

cvs magnesium solution T1

cvs nicotine lozenge T1, QL

cvs nicotine polacrilex gum

T1, QL

cvs nicotine polacrilex lozenge

T1, QL

cvs nicotine transdermal patch

T1, QL

cvs of magnesia solution T1

cvs purelax packet T1

cvs purelax powder T1

CYANOCOBALAMIN SOLUTION

T2

cyclafem 1/35 tablet T1

cyclafem 7/7/7 tablet T1

cyclobenzaprine tablet T1

CYCLOGYL SOLUTION T2, BP

CYCLOMYDRIL SOLUTION

T2

cyclopentolate solution T1

cyclophosphamide capsule

T1, BP



CYCLOSERINE CAPSULE

T3

CYCLOSET TABLET T3

cyclosporine capsule T1

CYCLOSPORINE IN KLARITY EMULSION

T2

cyclosporine modified capsule

T1

cyclosporine modified solution

T1

CYMBALTA CAPSULE T2, BP

cyproheptadine syrup T1

cyproheptadine tablet T1

cyred eq tablet T1

cyred tablet T1

CYSTADANE POWDER T2, SP

CYSTADROPS SOLUTION

T2, QL, SP

CYSTAGON CAPSULE T3, SP

CYSTARAN SOLUTION T2, QL, SP

CYTOMEL TABLET T2, BP

CYTOTEC TABLET T2, BP

cytra k crystals packet T1

DD.H.E. 45 SOLUTION T2, QL, BP

dalfampridine er 12 hr tab T1, SP, PA

DALIRESP TABLET T3

danazol capsule T1

DANTRIUM CAPSULE T2, BP

dantrolene sodium capsule

T1

DAPSONE GEL T3

dapsone tablet T1

DAPTACEL SUSPENSION

T2

DARAPRIM TABLET T2, PA, BP, SP

darifenacin 24 hr tab T1

dasetta 1/35 tablet T1

dasetta 7/7/7 tablet T1

DAURISMO TABLET T2, QL, SP, PA

DAYPRO TABLET T2, BP

daysee tablet T1

DAYTRANA PATCH T3

DAYVIGO TABLET T3, QL, PA

DDAVP SOLUTION T2, BP

DDAVP TABLET T2, BP

DEBACTEROL SOLUTION

T3

deblitane tablet T1

decadron tablet T1

deferasirox packet T1, SP

deferasirox tablet T1, SP

DEFERIPRONE TABLET T3, QL, PA, SP

DELSTRIGO TABLET T2

DELTEC COZMO CLEO INFUSION SET MISC

T3

delyla tablet T1

DELZICOL CAPSULE (DELAYED RELEASE)

T2, BP

demeclocycline tablet T1

DEMSER CAPSULE T2, BP, SP

DENAVIR CREAM T2

DEPAKOTE ER 24 HR TAB

T2, BP

DEPAKOTE SPRINKLES CAPSULE

T2, BP

DEPAKOTE TABLET T2, BP

DEPEN TITRATABS TABLET

T2, BP, SP

DEPO-PROVERA INJECTION

T2, BP

DEPO-PROVERA SUSPENSION

T2, BP

DEPO-SUBQ PROVERA 104 INJECTION

T2

DEPO-TESTOSTERONE SOLUTION

T2, BP

DERMA-SMOOTHE/FS BODY OIL

T2, BP

DERMA-SMOOTHE/FS SCALP OIL

T2, BP

DERMAZENE CREAM T3

DERMOTIC OIL T2, BP

DESCOVY TABLET T2

desipramine tablet T1

desmopressin solution T1

desmopressin tablet T1

desogestr-eth estrad eth estra tablet

T1

DESONATE GEL T3, BP

desonide cream T1

DESONIDE GEL T3

desonide lotion T1

desonide ointment T1

DESOWEN CREAM T2, BP

DESOXIMETASONE CREAM

T3

DESOXIMETASONE GEL T3

DESOXIMETASONE LIQUID

T3

DESOXIMETASONE OINTMENT

T3

DESOXYN TABLET T2, BP

desvenlafaxine er 24 hr tab

T1

DETROL LA 24 HOUR CAP

T2, BP

DETROL TABLET T2, BP

dexamethasone elixir T1

DEXAMETHASONE INTENSOL

T2

dexamethasone sodium phosphate solution

T1

dexamethasone solution T1

dexamethasone tablet T1

DEXCHLORPHENIRAMINE MALEATE SOLUTION

T3, PA

DEXCOM G4 T3, QL, PA

DEXCOM G5 T3, QL, PA

DEXCOM G5 RECEIVER KIT

T3, QL, PA

DEXEDRINE 24 HOUR CAP

T2, BP

DEXILANT CAPSULE (DELAYED RELEASE)

T3, PA

DEXMETHYLPHENIDATE ER 24 HOUR CAP

T3

dexmethylphenidate tablet T1

DEXONTO 0.4% SOLUTION

T2

dextroamphetamine sulfate er 24 hour cap

T1

DEXTROAMPHETAMINE SULFATE SOLUTION

T3

dextroamphetamine sulfate tablet

T1

dextroamphetamine-amphet er 24 hour cap

T1

dextroamphetamine-amphetamine tablet

T1

DIACOMIT CAPSULE T2, QL, PA, SP

DIACOMIT PACKET T2, QL, PA, SP

DIASTAT ACUDIAL GEL T2

DIASTAT PEDIATRIC GEL

T2

DIASTIX STRIP T2

DIATRUE SOLUTION T3

diazepam T1

diazepam intensol T1

DIAZEPAM RECTAL T2

diazepam solution T1

diazepam tablet T1

DIAZOXIDE SUSPENSION

T2

DIBENZYLINE CAPSULE T2, BP, SP

DICLOFENAC EPOLAMINE PATCH

T3



diclofenac potassium tablet

T1

diclofenac sodium dr tablet

T1

diclofenac sodium er 24

hr tabT1

diclofenac sodium

solution

T1

diclofenac sodium-

misoprostol tabletT1

DICLOFONO GEL T3

dicloxacillin sodium capsule

T1

dicyclomine capsule T1

dicyclomine solution T1

dicyclomine tablet T1

didanosine capsule (delayed release)

T1

DIETHYLPROPION ER 24 HR TAB

T3

DIETHYLPROPION TABLET

T3

DIFFERIN CREAM T2, BP

DIFFERIN GEL T2, BP

DIFFERIN LOTION T3

DIFICID SUSPENSION T3

DIFICID TABLET T2, PA

DIFLORASONE DIACETATE CREAM

T3

DIFLORASONE DIACETATE OINTMENT

T3

DIFLUCAN T2, BP

DIFLUCAN TABLET T2, BP

diflunisal tablet T1

digitek tablet T1

digox tablet T1

digoxin solution T1

digoxin tablet T1

DIHYDROERGOTAMINE MESYLATE SOLUTION

T2, QL

DILANTIN CAPSULE T2, BP

DILANTIN INFATABS CHEW TAB

T2, BP

DILANTIN-125 SUSPENSION

T2, BP

DILATRATE SR CAPSULE

T3

DILAUDID LIQUID T2, BP

DILAUDID TABLET T2, BP

diltiazem 24hr er (cd) 24 hour cap

T1

diltiazem 24hr er (xr) 24 hour cap

T1

diltiazem cd 24 hour cap T1

diltiazem er 24 hour cap T1

DILTIAZEM ER 24 HR TAB

T3

diltiazem er capsule T1

diltiazem tablet T1

dilt-xr 24 hour cap T1

dimethyl fumarate capsule (delayed release)

T1, QL, SP, PA

dimethyl fumarate misc T1, QL, SP, PA

DIMOXIA GEL T3

DIOVAN HCT TABLET T2, BP

DIOVAN TABLET T2, BP

DI-PHEN LIQUID T3

diphenoxylate w/atropine tablet

T1

DIPHENOXYLATE/ATROPINE LIQUID

T2

diphenoxylate/atropine tablet

T1

DIPHTHERIA-TETANUS TOXOIDS-PED SUSPENSION

T2

DIPROLENE OINTMENT T2, BP

dipyridamole tablet T1

disopyramide phosphate capsule

T1

disulfiram tablet T1

DITROPAN XL 24 HR TAB

T2, BP

DIURIL SUSPENSION T2

divalproex sodium capsule

T1

divalproex sodium dr tablet

T1

divalproex sodium er 24 hr tab

T1

DIVIGEL GEL T2

dofetilide capsule T1

DOLOPHINE TABLET T2, BP

donepezil tablet T1

DONNATAL ELIXIR T2

DONNATAL TABLET T2

DOPTELET TABLET T3, QL, PA, SP

DORAL TABLET T3

dorzolamide solution T1

dorzolamide-timolol solution

T1

dotti patch T1

DOVATO TABLET T2

DOVONEX CREAM T2, BP

doxazosin mesylate tablet T1

doxazosin tablet T1

doxepin T1

doxepin capsule T1

DOXEPIN CREAM T2

doxercalciferol capsule T1

doxycycline monohydrate capsule

T1

doxycycline monohydrate tablet

T1

doxycycline suspension T1

doxycycline tablet T1

DRAXACE SUSPENSION T3

DRCAPS SIZE 1 CLEAR CAPSULE

T3

DRISDOL CAPSULE T2, BP

DRITHO-CREME HP CREAM

T2

DRIZALMA SPRINKLE CAPSULE

T3

dronabinol capsule T1

DROPLET INSULIN SYRINGE MISC

T2

DROPLET LANCING DEVICE MISC

T2

drospirenone-eth estra-levomef tablet

T1

drospirenone-ethinyl estradiol tablet

T1

DROXIA CAPSULE T2

DRYSOL SOLUTION T2

DSUVIA SL T3, PA

DUAKLIR PRESSAIR AEROSOL

T3, QL, PA

DUAVEE TABLET T2

ducodyl tablet T1

DUET DHA 400 MISC T2

DUET DHA BALANCED MISC

T2

DUETACT TABLET T3, BP

DULERA AEROSOL T2

duloxetine capsule T1

DUOPA SUSPENSION T2, PA

DUPIXENT INJECTION T2, SP, PA, QL

DURAGESIC PATCH T2, BP

DUREZOL EMULSION T2

dutasteride capsule T1

DUTASTERIDE-TAMSULOSIN CAPSULE

T3

DUTOPROL 24 HR TAB T3

DYANAVEL XR SUSPENSION

T3

DYAZIDE CAPSULE T2, BP

DYRENIUM CAPSULE T2, BP



EE.E.S. GRANULES SUSPENSION

T2, BP

EASIVENT MISC T3

EASIVENT/MASK-LARGE MISC

T3

EASIVENT/MASK-MEDIUM MISC

T3

EASIVENT/MASK-SMALL MISC

T3

EASY COMFORT INSULIN SYRINGE MISC

T2

EASY COMFORT MISC T2

EASY GLIDE INSULIN SYRINGE MISC

T2

EASY MINI EJECT LANCING DEVICE MISC

T2

EASY MINI LANCING DEVICE MISC

T2

EASY PLUS II SOLUTION T3

EASY STEP CONTROL SOLUTION

T3

EASY TALK SOLUTION T3

EASY TOUCH 32GX5MM MISC

T2

EASY TOUCH 32GX6MM MISC

T2

EASY TOUCH FLIPLOCK INSULIN MISC

T2

EASY TOUCH INSULIN SAFETY MISC

T2

EASY TOUCH LANCING DEVICE MISC

T2

EASY TOUCH MISC T2

EASY TOUCH SHEATHLOCK INSULIN MISC

T2

EASY TOUCH SOLUTION

T3

EASY TRAK II CONTROL SOL LIQUID

T3

EASY TRAK SOLUTION T3

EASYGLUCO KIT T2, QL

EASYGLUCO PLUS CONTROL NORMAL SOLUTION

T3

EASYGLUCO STARTER KIT

T2, QL

EASYMAX CONTROL SOLUTION

T3

EASYMAX SOLUTION T3

ECEOXIA CREAM T3

EC-NAPROSYN TABLET T2, BP

ec-naproxen tablet T1

econazole nitrate cream T1

econtra ez tablet T1

econtra one-step tablet T1

ecotrin low strength tablet T1

ECOTRIN TABLET T2

ECOZA FOAM T3

ecpirin tablet T1

EDARBI TABLET T3

EDARBYCLOR TABLET T3

EDECRIN TABLET T2, BP

EDEX KIT T2, QL

ed-spaz tablet T1

EDURANT TABLET T2

EEMT HS TABLET T3

EEMT TABLET T3

efavirenz capsule T1

efavirenz tablet T1

EFAVIRENZ-EMTRIC-TENOFOV DISOP TABLET

T3

efavirenz-lamivu-tenofov disop tablet

T1

EFFER-K TABLET (EFF) T3

EFFEXOR XR 24 HOUR CAP

T2, BP

EFFIENT TABLET T2, PA, BP

EFUDEX CREAM T2, BP

ELEMENT COMPACT CONTROL SOLN SOLUTION

T3

ELEMENT HIGH CONTROL LIQUID

T3

ELEMENT LOW CONTROL LIQUID

T3

ELEMENT NORMAL CONTROL LIQUID

T3

ELESTRIN GEL T2

eletriptan tablet T1, QL

ELIDEL CREAM T2, BP

ELIMITE CREAM T2, BP

elinest tablet T1

ELIQUIS STARTER PACK TABLET

T2

ELIQUIS TABLET T2

ELITE-OB TABLET T2

ELIXOPHYLLIN ELIXIR T2

ELLA TABLET T2

ELMIRON CAPSULE T2

eluryng T1

EMBRACE CONTROL SOLUTION

T3

EMBRACE EVO LIQUID T3

EMBRACE LIQUID T3

EMBRACE MISC T2

EMBRACE PRO LIQUID T3

EMBRACE TALK CONTROL SOLUTION

T3

EMCYT CAPSULE T3, SP

EMEND CAPSULE T2, QL, PA, BP

EMEND SUSPENSION T2, QL, PA

EMEND TRIPACK CAPSULE

T3

EMFLAZA SUSPENSION T3, PA, SP

EMFLAZA TABLET T3, PA, SP

EMGALITY INJECTION T2, QL, PA

emoquette tablet T1

EMPTY CAPSULE SIZE 1 RED

T3

EMPTY CAPSULE SIZE 3 RED

T3

EMSAM PATCH T2

emtricitabine capsule T1

emtricitabine-tenofovir disop tablet

T1

EMTRIVA CAPSULE T2, BP

EMTRIVA SOLUTION T3

EMVERM CHEW TAB T2

ENABLEX 24 HR TAB T2, BP

enalapril maleate tablet T1

enalapril maleate/hctz tablet

T1

ENBRACE HR CAPSULE T2

ENBREL INJECTION T2, SP, PA

ENBREL MINI INJECTION

T2, SP, PA

ENBREL SOLUTION T2, SP, PA

ENBREL SURECLICK INJECTION

T2, SP, PA

ENDARI PACKET T2, QL, PA, SP

endocet tablet T1

ENDOMETRIN T3

ENGERIX-B SUSPENSION

T2

ENLITE MISC T3

ENLITE SERTER MISC T3

ENOXAPARIN SODIUM SOLUTION

T2

enpresse-28 tablet T1

enskyce tablet T1

ENSPRYNG INJECTION T3, SP, PA

ENSTILAR FOAM T3

entacapone tablet T1

entecavir tablet T1, SP



ENTEREG CAPSULE T2, BP, SP

ENTOCORT EC CAPSULE

T2, BP

ENTRESTO TABLET T2, QL

enulose solution T1

ENVARSUS XR 24 HR TAB

T2, PA

EPANED SOLUTION T2

EPCLUSA TABLET T2, QL, SP, PA

EPIDIOLEX SOLUTION T2, SP, PA

EPIFOAM FOAM T2

EPINASTINE SOLUTION T3

epinephrine chloride solution

T1

EPINEPHRINE INJECTION

T2, QL

epitol tablet T1

EPIVIR HBV SOLUTION T2, SP

EPIVIR HBV TABLET T2, BP, SP

EPIVIR SOLUTION T2, BP

EPIVIR TABLET T2, BP

eplerenone tablet T1

EPOGEN SOLUTION T2, SP

EPZICOM TABLET T2, BP

eq aspirin low dose chew tab

T1

eq aspirin tablet T1

eq childrens aspirin chew tab

T1

eq clearlax powder T1

eq gentle laxative tablet T1

eq magnesium solution T1

eq nicotine lozenge T1, QL

eq nicotine lozenges T1, QL

eq nicotine patch T1, QL

eq nicotine polacrilex gum T1, QL

eq nicotine polacrilex lozenge

T1, QL

eq nicotine step 3 patch T1, QL

eql aspirin ec tablet T1

eql aspirin low dose chew tab

T1

eql aspirin low dose tablet T1

eql clearlax powder T1

eql gentle laxative tablet T1

eql magnesium solution T1

eql nicotine polacrilex gum

T1, QL

eql nicotine polacrilex lozenge

T1, QL

EQUACARE JR POWDER

T2, PA

EQUETRO CAPSULE T2

ERAPID NEBULIZER MISC

T3

ERGOCAL CAPSULE T2

ergoloid mesylates tablet T1

ERGOMAR SL T2

ergotamine-caffeine tablet T1

ERIVEDGE CAPSULE T2, QL, SP, PA

ERLEADA TABLET T2, QL, SP, PA

erlotinib tablet T1, QL, SP, PA

errin tablet T1

ERTACZO CREAM T3

ery pads T1

ERYGEL GEL T2, BP

ERYPED 200 SUSPENSION

T2, BP

ERYPED 400 SUSPENSION

T2, BP

ery-tab tablet T1

ERYTHROCIN STEARATE TABLET

T2

erythromycin base tablet T1

erythromycin capsule T1

erythromycin dr tablet T1

erythromycin ethylsuccinate suspension

T1

ERYTHROMYCIN ETHYLSUCCINATE TABLET

T2

erythromycin gel T1

erythromycin ointment T1

erythromycin solution T1

erythromycin-benzoyl peroxide gel

T1

ESBRIET CAPSULE T2, QL, SP, PA

ESBRIET TABLET T2, QL, SP, PA

escitalopram oxalate solution

T1

escitalopram oxalate tablet

T1

ESGIC CAPSULE T3

ESGIC TABLET T2, BP

ESPUMIL FOAM T3

ESSENTIAL CARE JR POWDER

T2, PA

estarylla tablet T1

estazolam tablet T1

ESTRACE CREAM T2, BP

ESTRACE TABLET T2, BP

estradiol cream T1

estradiol patch T1

estradiol tablet T1

estradiol-norethindrone acetat tablet

T1

ESTRING T2

ESTROGEL GEL T2

ESTROGEN & METHYLTESTOSTERONE TABLET

T3

ESTROSTEP FE TABLET T2, BP

eszopiclone tablet T1

ethacrynic acid tablet T1

ethambutol tablet T1

ethosuximide capsule T1

ethosuximide solution T1

ETHOXIA CREAM T3

ETHYL CHLORIDE AEROSOL

T3

ETHYL CHLORIDE/MIST AEROSOL

T3

ethynodiol-ethinyl estradiol tablet

T1

etodolac capsule T1

etodolac er 24 hr tab T1

etodolac tablet T1

etonogestrelethinyl estradiol

T1

ETOPOSIDE CAPSULE T2, SP

EUCRISA OINTMENT T2, PA

euthyrox tablet T1

EVAMIST SOLUTION T3

EVEKEO ODT TABLET T3

EVEKEO TABLET T3, BP

EVENCARE G2 SOLUTION

T3

EVENCARE G3 SOLUTION

T3

everolimus tablet T1, SP, PA, QL

EVISTA TABLET T2, BP

EVOCLIN FOAM T3, BP

EVOLUTION CONTROL SOLUTION

T3

EVOTAZ TABLET T2

EVOXAC CAPSULE T3, BP

EVRYSDI SOLUTION T2, QL, PA, SP

EXELDERM CREAM T3

EXELDERM SOLUTION T3

EXELON PATCH T2, BP

exemestane tablet T1

EXFORGE HCT TABLET T3, BP

EXFORGE TABLET T3, BP

EXJADE TABLET T2, SP, BP

EXODERM LOTION T3



EXTAVIA KIT T2, SP

EXTINA FOAM T3, BP

EYSUVIS SUSPENSION T3, QL, PA

EZALLOR SPRINKLE CAPSULE

T3, PA

ezetimibe tablet T1

ezetimibe/simvastatin tablet

T1

EZ-LETS MISC T2

FFA-8 CAPSULE T3

FABB TABLET T3

FABIOR FOAM T3

falmina tablet T1

famciclovir tablet T1

famotidine suspension T1

famotidine tablet T1

FANAPT TABLET T3

FANAPT TITRATION PACK TABLET

T3

FARESTON TABLET T3, PA, BP

FARXIGA TABLET T2, PA

FARYDAK CAPSULE T2, QL, SP, PA

fayosim tablet T1

febuxostat tablet T1

felbamate suspension T1

felbamate tablet T1

FELBATOL SUSPENSION

T2, BP

FELBATOL TABLET T2, BP

FELDENE CAPSULE T3, BP

felodipine er 24 hr tab T1

FEM PH GEL T3

FEMARA TABLET T2, BP

FEMCAP T3

FEMHRT LOW DOSE TABLET

T2, BP

FEMRING T3

femynor tablet T1

fenofibrate capsule T1

fenofibrate micronized capsule

T1

fenofibrate tablet T1

FENOFIBRIC ACID DR CAPSULE (DELAYED RELEASE)

T3

FENOGLIDE TABLET T3, BP

FENOPROFEN CALCIUM CAPSULE

T3

FENOPROFEN CALCIUM TABLET

T3

FENORTHO CAPSULE T3

FENTANYL LOLLIPOP T3

fentanyl patch T1

FENTANYL TABLET T2

FENTORA TABLET T2

FERIVA 21/7 TABLET T3

FEROCON CAPSULE T3

FERRALET 90 TABLET T3

FERRAPLUS 90 TABLET T3

FERRIPROX SOLUTION T3, SP

FERRIPROX TABLET T3, QL, PA, SP

FERRIPROX TWICE-A-DAY TABLET

T3, SP

FERROCITE PLUS TABLET

T3

FETZIMA 24 HOUR CAP T3

FETZIMA TITRATION PACK CAPSULE

T3

FIASP FLEXTOUCH INJECTION

T2

FIASP PENFILL INJECTION

T2

FIASP SOLUTION T2

FIFTY50 SUPERIOR COMFORT MISC

T2

FILTER; MILLEX-FG 0.2UM MISC

T3

FINACEA FOAM T3

FINACEA GEL T2, BP

finasteride tablet T1

FINE 30 MISC T2

FINTEPLA SOLUTION T3, PA, SP

FIORICET CAPSULE T2, BP

FIORICET/CODEINE CAPSULE

T3

FIRAZYR SOLUTION T2, QL, SP, PA, BP

FIRDAPSE TABLET T2, QL, SP, PA

FIRST-LANSOPRAZOLE SUSPENSION

T2

FIRST-MOUTHWASH BLM SUSPENSION

T2

FIRST-OMEPRAZOLE SUSPENSION

T2

FIRST-PROGESTERONE VGS SUPPOSITORY

T2

FIRVANQ SOLUTION T2

FLAC OIL T3

FLAGYL CAPSULE T2, BP

FLAGYL TABLET T2, BP

FLAREX SUSPENSION T3

FLAVOR BLEND SUSPENSION

T3

FLAVOR PLUS LIQUID T3

FLAVOR SWEET SYRUP T3

FLAVOR SWEET-SF SYRUP

T3

FLAVOXATE TABLET T3

flecainide tablet T1

FLEXICHAMBER T3

FLEXICHAMBER MISC T3

FLOLIPID SUSPENSION T3

FLOMAX CAPSULE T2, BP

FLOVENT DISKUS AEROSOL

T2

FLOVENT HFA AEROSOL

T2

FLUAD 2020-2021 INJECTION

T2

FLUAD QUAD 2020-2021 INJECTION

T2

FLUARIX INJECTION T2

FLUBLOK QUAD 2020-2021 INJECTION

T2

FLUCELVAX QUAD 2020-2021 INJECTION

T2

FLUCELVAX QUAD 2020-2021 SUSPENSION

T2

fluconazole suspension T1

fluconazole tablet T1

flucytosine capsule T1, PA

fludrocortisone tablet T1

FLULAVAL INJECTION T2

FLUMIST QUADRIVALENT SUSPENSION

T2

FLUNISOLIDE SOLUTION

T2

fluocinolone acetonide cream

T1

fluocinolone acetonide oil T1

fluocinolone acetonide oil T1

fluocinolone acetonide ointment

T1

fluocinolone acetonide solution

T1

fluocinonide cream T1

fluocinonide emulsified cream

T1

fluocinonide gel T1

fluocinonide ointment T1

fluocinonide solution T1

fluocinonide-e cream T1

FLUORABON SOLUTION T2



fluoritab chew tab T1

fluorometholone suspension

T1

FLUOROPLEX CREAM T2

fluorouracil cream T1

fluorouracil solution T1

fluoxetine capsule T1

FLUOXETINE DR CAPSULE (DELAYED RELEASE)

T3

fluoxetine solution T1

fluoxetine tablet T1, BP

FLUPHENAZINE T2

FLUPHENAZINE ELIXIR T2

fluphenazine tablet T1

flurandrenolide cream T1

flurandrenolide lotion T1

flurandrenolide ointment T1

FLURAZEPAM CAPSULE T3

FLURBIPROFEN SODIUM SOLUTION

T3

flurbiprofen tablet T1

flutamide capsule T1

fluticasone cream T1

FLUTICASONE LOTION T3

fluticasone ointment T1

FLUTICASONE-SALMETEROL AEROSOL

T2

FLUVASTATIN CAPSULE T3

FLUVASTATIN SODIUM ER 24 HR TAB

T3

FLUVOXAMINE MALEATE ER 24 HOUR CAP

T3

fluvoxamine maleate tablet

T1

FLUZONE HIGH-DOSE QUAD 2020-21 INJECTION

T2

FLUZONE QUAD 2020-2021 INJECTION

T2

FLUZONE QUAD 2020-2021 SUSPENSION

T2

FLYP NEBULIZER MISC T3

FML FORTE SUSPENSION

T2

FML LIQUIFILM SUSPENSION

T2

FML OINTMENT T2

FOCALIN TABLET T2, BP

FOCALIN XR 24 HOUR CAP

T3, BP

folate tablet T1

folbee tablet T1

FOLGARD RX TABLET T3

FOLIC ACID CAPSULE T3

folic acid tablet T1

FOLIC ACID-CYANCOBAL-PYRIDOXIN TABLET

T3

FOLIVANE-F CAPSULE T3

FOLIVANE-OB CAPSULE T2

FOLIVANE-PLUS CAPSULE

T3

FOLPLEX 2.2 TABLET T3

FONDAPARINUX SODIUM SOLUTION

T3

FOOD COLOR BLUE LIQUID

T3

FORA CONTROL SOLUTION

T3

FORA D10 T3

FORA D15 T3

FORA D20 T3

FORA D40 T3

FORA GTEL KETONE TEST STRIP

T2

FORA LANCING DEVICE MISC

T2

FORA V10-V12-D10-D20 KIT

T2, QL

FORACARE SOLUTION T3

FORANE SOLUTION T3, BP

FORFIVO XL 24 HR TAB T3

FORMALDEHYDE SOLUTION

T2

FORTEO INJECTION T2, QL, SP, PA

FORTESTA GEL T3, BP

FORTISCARE SOLUTION T3

FOSAMAX PLUS D TABLET

T3

FOSAMAX TABLET T2, BP

fosamprenavir calcium tablet

T1

fosfomycin tromethamine packet

T1, QL

fosinopril sodium tablet T1

FOSINOPRIL-HYDROCHLOROTHIAZIDE TABLET

T3

FOSRENOL CHEW TAB T2, BP

FOSRENOL PACKET T3

FRAGMIN SOLUTION T3

FREESTYLE CONTROL SOLUTION LIQUID

T3

FREESTYLE FLASH SYSTEM KIT

T2, QL

FREESTYLE LIBRE READER

T2, QL, PA

FREESTYLE LIBRE SENSOR MISC

T2, QL, PA

FREESTYLE PRECISION MISC

T2

FREESTYLE PRECISION NEO STRIP

T2, PA

FREESTYLE SYSTEM KIT

T2, QL

FREESTYLE UNISTIK 2 MISC

T2

FROVA TABLET T3, BP

FROVATRIPTAN TABLET T3

furosemide solution T1

furosemide tablet T1

FUSION PLUS CAPSULE T3

FUZEON SOLUTION T2, SP

fyavolv tablet T1

FYCOMPA SUSPENSION T2, PA

FYCOMPA TABLET T2, PA

Ggabapentin capsule T1

gabapentin solution T1

gabapentin tablet T1

GABITRIL TABLET T2, BP

GALAFOLD CAPSULE T2, QL, PA, SP

galantamine 24 hour cap T1

GALANTAMINE SOLUTION

T2

galantamine tablet T1

GALZIN CAPSULE T2

GARDASIL 9 INJECTION T2

GARDASIL 9 SUSPENSION

T2

GASTROCROM T2, BP

gatifloxacin solution T1

GATTEX KIT T3, PA, SP

gavilax powder T1

gavilyte-c solution T1

gavilyte-g solution T1

GAVILYTE-H KIT T3

gavilyte-n/flavor pack solution

T1

GAVRETO CAPSULE T2, QL, SP, PA

GE100 CONTROL SOLUTION NORMAL

T3

GELFILM OP FILM T3

GELNIQUE GEL T3

gemfibrozil tablet T1

gemmily capsule T1

GENADUR LIQUID T3



GENERESS FE CHEW TAB

T2, BP

generlac solution T1

gengraf capsule T1

gengraf solution T1

GENOTROPIN MINIQUICK SOLUTION

T2, SP, PA

GENOTROPIN SOLUTION

T2, SP, PA

gentak ointment T1

gentamicin sulfate cream T1

gentamicin sulfate ointment

T1

gentamicin sulfate solution

T1

GENTEEL VACUUM LANCING DEVICE KIT

T2

GENTEEL VACUUM LANCING DEVICE MISC

T2

gentle laxative tablet T1

gentlelax powder T1

GENVOYA TABLET T2

GEODON CAPSULE T2, BP

gianvi tablet T1

GILENYA CAPSULE T2, QL, SP, PA

GILOTRIF TABLET T2, QL, SP, PA

GILPHEX TR TABLET T3

GIMOTI SOLUTION T3, QL, PA

GLATIRAMER INJECTION

T2, SP

GLATOPA INJECTION T2, SP

GLEEVEC TABLET T2, QL, SP, PA, BP

GLEOSTINE CAPSULE T2, QL, SP

glimepiride tablet T1

glipizide er 24 hr tab T1

glipizide tablet T1

glipizide xl 24 hr tab T1

GLIPIZIDE-METFORMIN TABLET

T3

GLOBAL LANCING DEVICE MISC

T2

GLOPERBA SOLUTION T3

GLUCAGEN HYPOKIT SOLUTION

T2, QL

GLUCAGON EMERGENCY KIT

T2, QL

GLUCOCARD 01 CONTROL LIQUID

T3

GLUCOCARD 01 CONTROL SOLUTION

T3

GLUCOCARD EXPRESSION SOLUTION

T3

GLUCOCARD SHINE SOLUTION

T3

GLUCOCOM AUTOLINK MISC

T2

GLUCOCOM HIGH CONTROL LIQUID

T3

GLUCOCOM NORMAL CONTROL LIQUID

T3

GLUCOSE CONTROL LIQUID

T3

GLUCOSE CONTROL NORMAL SOLUTION

T3

GLUCOSE CONTROL SOLUTION

T3

GLUCOSE CONTROL SOLUTION LIQUID

T3

GLUCOTROL TABLET T2, BP

GLUCOTROL XL 24 HR TAB

T2, BP

GLUTARALDEHYDE SOLUTION

T3

glyburide micronized tablet

T1

glyburide tablet T1

glyburide-metformin tablet T1

GLYCINE SOLUTION T2

glycolax powder T1

GLYCOLIC ACID SOLUTION

T3

glycopyrrolate tablet T1

glydo injection T1

GLYNASE TABLET T2, BP

GLYXAMBI TABLET T3, PA

gnp aspirin low dose tablet

T1

gnp aspirin tablet T1

gnp bisa-lax tablet T1

gnp clearlax packet T1

gnp clearlax powder T1

gnp folic acid tablet T1

gnp gentle laxative tablet T1

gnp laxative tablet T1

gnp magnesium solution T1

gnp nicotine gum T1, QL

gnp nicotine polacrilex gum

T1, QL

gnp nicotine polacrilex lozenge

T1, QL

gnp nicotine transdermal patch

T1, QL

GOJJI BLOOD KETONE TEST STRIP

T2

GOJJI GLUCOSE CONTROL SOLUTION

T3

GOJJI LANCING DEVICE MISC

T2

GOLYTELY SOLUTION T2, BP

GONITRO PACKET T3

goodsense aspirin chew tab

T1

goodsense aspirin tablet T1

goodsense bisacodyl ec tablet

T1

goodsense clearlax powder

T1

GOODSENSE LANCING DEVICE MISC

T2

goodsense nicotine gum T1, QL

goodsense nicotine lozenge

T1, QL

GORDOFILM SOLUTION T3

GRALISE TABLET T3

granisetron tablet T1

GRANIX SOLUTION T3, SP

GRASTEK SL T2, PA

griseofulvin microsize suspension

T1

griseofulvin microsize tablet

T1

griseofulvin ultramicrosize tablet

T1

GUANFACINE 24 HR TAB

T3

GUANFACINE ER 24 HR TAB

T3

guanfacine tablet T1

GUANIDINE TABLET T2

GUARDIAN CONNECT TRANSMITTER MISC

T3, PA

GUARDIAN LINK 3 MISC T3, PA

GUARDIAN RT CHARGER MISC

T3, PA

GUARDIAN SENSOR (3) MISC

T3, QL, PA

GUARDIAN TEST PLUG MISC

T3, PA

GVOKE HYPOPEN 1-PACK INJECTION

T2, QL

GVOKE HYPOPEN 2-PACK INJECTION

T2, QL

GVOKE PFS INJECTION T2, QL

GYNAZOLE-1 CREAM T2

HHAEGARDA SOLUTION T2, QL, PA, SP

hailey 1.5/30 tablet T1

hailey 24 fe tablet T1

hailey fe 1.5/30 tablet T1



hailey fe 1/20 tablet T1

HALCINONIDE CREAM T3

HALCION TABLET T3, BP

HALOBETASOL CREAM T3, PA

HALOBETASOL FOAM T3, QL, PA

HALOBETASOL OINTMENT

T3, PA

HALOG CREAM T3, BP

HALOG OINTMENT T3

HALOG SOLUTION T3

haloperidol T1

haloperidol tablet T1

HARVONI PACKET T3, QL, SP, PA

HARVONI TABLET T2, QL, SP, PA

HAVRIX SUSPENSION T2

hc pramoxine cream T1

HEALTHWISE INSULIN SYRINGE MISC

T2

HEALTHY ACCENTS AUTOLET MISC

T2

HEALTHY ACCENTS UNIFINE PENTIP MISC

T2

healthylax packet T1

heather tablet T1

H-E-B IN CONTROL UNIFINE MISC

T2

H-E-B INCONTROL ADVANCED MISC

T2

HEMANGEOL SOLUTION T3, SP

HEMATINIC PLUS TABLET

T3

HEMATINIC/FOLIC ACID TABLET

T3

hemmorex-hc suppository T1

HEMOCYTE PLUS CAPSULE

T3

HEMOCYTE-F TABLET T3

HEPARIN SODIUM INJECTION

T3, PA

HEPARIN SODIUM SOLUTION

T2

HEPLISAV-B INJECTION T2

HEPSERA TABLET T2, BP, SP

HETLIOZ CAPSULE T3, QL, PA, SP

HIBERIX SOLUTION T2

HIPREX TABLET T2, BP

hm adult aspirin tablet T1

hm aspirin chew tab T1

hm aspirin ec low dose tablet

T1

hm aspirin ec tablet T1

hm aspirin tablet T1

hm clearlax powder T1

hm folic acid tablet T1

hm laxative tablet T1

hm magnesium solution T1

hm nicotine polacrilex gum

T1, QL

hm nicotine polacrilex lozenge

T1, QL

homatropaire solution T1

HORIZANT TABLET T2, PA

HUMALOG INJECTION T2, PA

HUMALOG KWIKPEN INJECTION

T2, PA

HUMALOG MIX 50/50 SUSPENSION

T2, PA

HUMALOG MIX 50-50 SUSPENSION

T2, PA

HUMALOG MIX 75/25 SUSPENSION

T2, PA

HUMATROPE COMBO PACK SOLUTION

T2, SP, PA

HUMATROPE SOLUTION T2, SP, PA

HUMIRA INJECTION T2, SP, PA

HUMIRA PEDIATRIC INJECTION

T2, SP, PA

HUMIRA PEN INJECTION T2, SP, PA

HUMIRA PEN-PS/UV STARTER INJECTION

T2, SP, PA

HUMULIN 70/30 KWIKPEN SUSPENSION

T2, PA

HUMULIN 70/30 SUSPENSION

T2, PA

HUMULIN N KWIKPEN SUSPENSION

T2

HUMULIN N SUSPENSION

T2, PA

HUMULIN R SOLUTION T2, PA

HUMULIN R U-500 KWIKPEN INJECTION

T2, PA

HYCAMTIN CAPSULE T2, QL, SP, PA

HYCLODEX SOLUTION T3

HYCODAN SYRUP T3

hydralazine tablet T1

HYDREA CAPSULE T2, BP

HYDRO 40 FOAM T3

hydrochlorothiazide capsule

T1

hydrochlorothiazide tablet T1

HYDROCODONE BITARTRATE CAPSULE

T3, QL

hydrocodone w/acetaminophen solution

T1

hydrocodone w/acetaminophen tablet

T1

HYDROCODONE/HOMATROPINE SYRUP

T3

hydrocodone/homatropine tablet

T1

hydrocodone/ibuprofen tablet

T1

HYDROCODONE-CHLORPHENIRAMINE SUSPENSION

T3

HYDROCORTISONE BUTYRATE CREAM

T3

HYDROCORTISONE BUTYRATE LOTION

T3

HYDROCORTISONE BUTYRATE OINTMENT

T3

HYDROCORTISONE BUTYRATE SOLUTION

T3

hydrocortisone cream T1

hydrocortisone enema T1

hydrocortisone lotion T1

hydrocortisone ointment T1

hydrocortisone suppository

T1

hydrocortisone tablet T1

hydrocortisone valerate cream

T1

hydrocortisone valerate ointment

T1

HYDROCORTISONE W/IODOQUINOL CREAM

T3

HYDROGEL GEL T3

HYDROGEN PEROXIDE SOLUTION

T3

HYDROMET SYRUP T3

HYDROMORPHONE ER 24 HR TAB

T3

hydromorphone liquid T1

HYDROMORPHONE SUPPOSITORY

T2

hydromorphone tablet T1

HYDROQUINONE CREAM

T3

hydroxychloroquine sulfate tablet

T1

hydroxyurea capsule T1

hydroxyzine pamoate capsule

T1

hydroxyzine syrup T1

hydroxyzine tablet T1

hyoscyamine sulfate elixir T1

hyoscyamine sulfate er 12 hr tab

T1

hyoscyamine sulfate odt tablet

T1

hyoscyamine sulfate sl T1



hyoscyamine sulfate solution

T1

hyoscyamine sulfate sr 12 hr tab

T1

hyoscyamine sulfate tablet

T1

hyosyne elixir T1

hyosyne solution T1

HYPERSAL NEBULIZED T2

HYPOLANCE KIT T2

HYSINGLA ER 24 HR TAB

T3

HYZAAR TABLET T2, BP

Iibandronate sodium tablet T1

IBRANCE CAPSULE T2, QL, SP, PA

IBRANCE TABLET T2, SP, PA

ibu tablet T1

ibuprofen suspension T1

ibuprofen tablet T1

ICAR-C PLUS TABLET T3

ICATIBANT SOLUTION T2, QL, SP, PA

ICLUSIG TABLET T2, QL, SP, PA

ICOSAPENT ETHYL CAPSULE

T3

ID NOW COVID-19 KIT T3

IDHIFA TABLET T2, QL, SP, PA

IFEREX 150 FORTE CAPSULE

T3

ILEVRO SUSPENSION T3

imatinib mesylate tablet T1, QL, SP, PA

IMBRUVICA CAPSULE T2, QL, PA, SP

IMBRUVICA TABLET T2, QL, PA, SP

imipramine pamoate capsule

T1

imipramine tablet T1

imiquimod cream T1

IMITREX SOLUTION T2, QL, BP

IMITREX STATDOSE REFILL INJECTION

T2, QL, BP

IMITREX STATDOSE SYSTEM INJECTION

T2, QL, BP

IMITREX TABLET T2, QL, BP

IMPAVIDO CAPSULE T3, PA

IMPOYZ CREAM T2

IMURAN TABLET T2, BP

IMVEXXY MAINTENANCE PACK

T3

IMVEXXY STARTER PACK

T3

INBRIJA CAPSULE T2, QL, PA, SP

incassia tablet T1

INCRELEX SOLUTION T3, SP, PA

INCRUSE ELLIPTA AEROSOL

T2

indapamide tablet T1

INDERAL LA 24 HOUR CAP

T2, BP

INDERAL XL 24 HOUR CAP

T3

INDOCIN SUPPOSITORY T2

INDOCIN SUSPENSION T2

indomethacin capsule T1

indomethacin er capsule T1

INFANRIX SUSPENSION T2

INFASURF T3

INFINITY CONTROL SOLUTION

T3

INFINITY VOICE LEVEL 2 LIQUID

T3

INGREZZA CAPSULE T3, PA, SP

INLYTA TABLET T2, QL, SP, PA

INNOPRAN XL 24 HOUR CAP

T3

INNOSPIRE ELEGANCE MISC

T3

INNOSPIRE ESSENCE MISC

T3

INNOSPIRE MINI MISC T3

INOVA 4-1 KIT T3

INOVA 8-2 KIT T3

INOVA KIT T3

INPEN 100/BLUE/NOVO T2

INPEN 100/GRAY/LILLY T2

INPEN 100/GREY/NOVO T2

INPEN 100/PINK/LILLY T2

INPEN 100/PINK/NOVO T2

INQOVI TABLET T2, QL, SP, PA

INREBIC CAPSULE T2, QL, SP, PA

INSPIRACHAMBER T3

INSPIRACHAMBER/LARGE

T3

INSPRA TABLET T2, BP

INSUFLON 25G X 0.71" MISC

T3

INSULIN ASPART FLEXPEN INJECTION

T2

INSULIN ASPART PENFILL INJECTION

T2

INSULIN ASPART PROT-INSULN ASP SUSPENSION

T2

INSULIN ASPART SOLUTION

T2

INSULIN CARTRIDGE 3ML MISC

T3

INSULIN LISPRO JUNIOR KWIKPEN INJECTION

T2, PA

INSULIN LISPRO KWIKPEN INJECTION

T2, PA

INSULIN LISPRO PROTAMINE MIX SUSPENSION

T2, PA

INSULIN LISPRO SOLUTION

T2, PA

INSULIN- SYRINGE MISC T2

INSUPEN 29G X 12MM MISC

T2


T2


T2


T2

INSUPEN 33GX4MM MISC

T2

INSUPEN MISC T2

INSUPEN ULTRAFIN 30GX8MM MISC

T2


T2


T2

INTEGRA F CAPSULE T3

INTEGRA PLUS CAPSULE

T3

INTELENCE TABLET T2

INTRAROSA T2

INTRON A SOLUTION T2, SP

introvale tablet T1

INTUNIV 24 HR TAB T3, BP

INVEGA 24 HR TAB T3, BP

INVELTYS SUSPENSION T3

INVIRASE TABLET T2

INVOKAMET TABLET T2, PA

INVOKAMET XR 24 HR TAB

T2, PA

INVOKANA TABLET T2, PA

IODINE STRONG SOLUTION

T3

IODOFLEX PADS T3

IODOSORB GEL T3

IOPIDINE SOLUTION T2

IPOL INACTIVATED IPV INJECTION

T2

I-PORT ADVANCE 6MM MISC

T3

I-PORT ADVANCE 9MM MISC

T3



ipratropium bromide solution

T1

ipratropium-albuterol solution

T1

IRBESARTAN TABLET T3

IRBESARTAN-HYDROCHLOROTHIAZIDE TABLET

T3

IRESSA TABLET T2, QL, SP, PA

IROSPAN 24/6 MISC T3

ISENTRESS CHEW TAB T2

ISENTRESS HD TABLET T2

ISENTRESS PACKET T2

ISENTRESS TABLET T2

isibloom tablet T1

ISOFLURANE SOLUTION T3

ISONIAZID SYRUP T2

isoniazid tablet T1

ISOPROPANOL SOLUTION

T3

ISOPROPYL ALCOHOL SOLUTION

T3

ISOPTO ATROPINE SOLUTION

T2

ISOPTO CARPINE SOLUTION

T2, BP

ISORDIL TITRADOSE TABLET

T2, BP

isosorbide dinitrate tablet T1

isosorbide mononitrate 24 hr tab

T1

isosorbide mononitrate tablet

T1

isotretinoin capsule T1

ISOXSUPRINE TABLET T3

isradipine capsule T1

ISTALOL SOLUTION T2

ISTURISA TABLET T3, QL, PA, SP

ITHOXIA CREAM T3

itraconazole capsule T1

itraconazole solution T1

IV ADMINISTRATION SET MISC

T3

IV CATHETER MISC T3

ivermectin lotion T1

ivermectin tablet T1

JJADENU SPRINKLE PACKET

T2, SP, BP

JADENU TABLET T2, SP, BP

jaimiess tablet T1

JAKAFI TABLET T2, QL, SP, PA

JALYN CAPSULE T3, BP

jantoven tablet T1

JANUMET TABLET T2

JANUMET XR 24 HR TAB T2

JANUVIA TABLET T2

JARDIANCE TABLET T2, PA

jasmiel tablet T1

JATENZO CAPSULE T3, PA

jencycla tablet T1

JENTADUETO TABLET T3, PA

JENTADUETO XR 24 HR TAB

T3, PA

jinteli tablet T1

jolessa tablet T1

JORNAY PM 24 HOUR CAP

T3

JUBLIA SOLUTION T3

juleber tablet T1

JULUCA TABLET T2

junel 1.5/30 tablet T1

junel 1/20 tablet T1

junel fe 1.5/30 tablet T1

junel fe 1/20 tablet T1

junel fe 24 tablet T1

JUXTAPID CAPSULE T3, PA, SP

JYNARQUE TABLET T2, QL, PA, SP

Kkaitlib fe chew tab T1

KALETRA SOLUTION T2, BP

KALETRA TABLET T2

kalliga tablet T1

KALYDECO PACKET T2, SP, PA

KALYDECO TABLET T2, SP, PA

KAPSPARGO SPRINKLE CAPSULE

T3

KAPVAY 12 HR TAB T3

KARBINAL ER SUSPENSION

T3

kariva tablet T1

KATERZIA SUSPENSION T2

KAXM EMULSION T3

KAZANO TABLET T3, PA

KEFLEX CAPSULE T2, BP

kelnor 1/35 tablet T1

kelnor 1/50 tablet T1

KENALOG AEROSOL T2, BP

KEPPRA SOLUTION T2, BP

KEPPRA TABLET T2, BP

KEPPRA XR 24 HR TAB

KERALYT GEL

KERYDIN SOLUTION

KESIMPTA INJECTION

ketoconazole cream

T2, BP

T2

T3, BP

T2, QL, SP T1

KETOCONAZOLE FOAM T3

ketoconazole shampoo T1

ketoconazole tablet T1

KETONE STRIP T2

KETONE TEST STRIPS T2

KETOPROFEN CAPSULE T3

KETOPROFEN ER 24 HOUR CAP

T3

ketorolac tromethamine solution

T1, QL, PA, SP

KETOROLAC TROMETHAMINE TABLET

T3

KETOSTIX STRIP T2

KEVEYIS TABLET T3, PA, SP

KEVZARA INJECTION T2, SP, PA

KINERET INJECTION T2, PA, SP

KINRIX SUSPENSION T3

kionex suspension T1

KISQALI FEMARA 200 DOSE TABLET

T3, PA, SP


T3, PA, SP


T3, PA, SP

KISQALI TABLET T2, QL, SP, PA

KITABIS PAK NEBULIZED

T2, PA, SP

KLARITY-A SOLUTION T3

KLARON LOTION T2, BP

KLONOPIN TABLET T2, BP

klor-con 10 tablet T1

klor-con 8 tablet T1

klor-con m10 tablet T1

KLOR-CON M15 TABLET T2

klor-con m20 tablet T1

klor-con packet T1

KLOR-CON/EF TABLET (EFF)

T3

kls aspirin ec tablet T1

kls aspirin low dose tablet T1

kls laxaclear powder T1

kls quit2 gum T1, QL

kls quit2 lozenge T1, QL

kls quit4 gum T1, QL



kls quit4 lozenge T1, QL

KOMBIGLYZE XR 24 HR TAB

T3, PA

KORLYM TABLET T3, SP

KOSELUGO CAPSULE T2, QL, SP, PA

KOSHER PRENATAL PLUS IRON TABLET

T2

kp aspirin tablet T1

kp bisacodyl tablet T1

kp folic acid tablet T1

K-PHOS NEUTRAL TABLET

T2

K-PHOS NO 2 TABLET T3

KRINTAFEL TABLET T3

KRISGEL 100 GEL T3

KRISTALOSE PACKET T2

KROGER HEALTHPRO GLUCOSE LIQUID

T3

KROGER LANCING DEVICE MISC

T2

K-TAB TABLET T2

kurvelo tablet T1

KUVAN PACKET T2, PA, BP, SP

KUVAN TABLET T2, PA, BP, SP

KYLEENA T2, PA

KYNMOBI FILM T3, QL, PA, SP

LL.E.T. GEL T3

labetalol tablet T1

LACRISERT T3

LACTATED RINGERS SOLUTION

T2

lactulose solution T1

LAMICTAL CHEW TAB T2, BP

LAMICTAL KIT T3, BP

LAMICTAL ODT KIT T3, QL, BP

LAMICTAL ODT TABLET T3, BP

LAMICTAL TABLET T2, BP

LAMICTAL XR 24 HR TAB

T3, BP

LAMICTAL XR KIT T3

lamivudine solution T1

lamivudine tablet T1, SP

lamivudine/zidovudine tablet

T1

LAMOTRIGINE (BLUE) KIT

T3

LAMOTRIGINE (GREEN) KIT

T3

LAMOTRIGINE (ORANGE) KIT

T3

lamotrigine chew tab T1

LAMOTRIGINE ER 24 HR TAB

T3

LAMOTRIGINE ODT TABLET

T3

lamotrigine tablet T1

LAMPIT TABLET T3

LANCET MISC T2

LANCETS 28G MISC T2

LANCETS 30G MISC T2

LANCETS 30G TWIST TOP MISC

T2

LANCETS 30G/TWIST TOP MISC

T2

LANCETS MICRO THIN 33G MISC

T2

LANCETS MISC T2

LANCETS SAFETY SEAL 28G MISC

T2

LANCETS SAFETY SEAL 30G MISC

T2

LANCETS SUPER THIN 28G MISC

T2

LANCETS THIN MISC T2

LANCETS TWIST TOP MISC

T2

LANCETS ULTRA FINE MISC

T2

LANCETS ULTRA THIN 30G MISC

T2

LANCETS ULTRA THIN MISC

T2

LANCING DEVICE MISC T2

LANOLIN ANHYDROUS OINTMENT

T3

LANOLIN OIL T3

LANOXIN TABLET T2, BP

lansoprazol-amoxicil-clarithro misc

T1

LANSOPRAZOLE CAPSULE (DELAYED RELEASE)

T3

lanthanum carbonate chew tab

T1

LANTUS SOLOSTAR INJECTION

T2

LANTUS SOLUTION T2

LANZO MISC T2

lapatinib ditosylate tablet T1, QL, SP, PA

larin 1.5/30 tablet T1

larin 1/20 tablet T1

larin 24 fe tablet T1

larin fe 1.5/30 tablet T1

larin fe 1/20 tablet T1

larissia tablet T1

LASIX TABLET T2, BP

LASTACAFT SOLUTION T3

latanoprost solution T1

LATUDA TABLET T2, ST

layolis fe chew tab T1

LAZANDA SOLUTION T3, PA

LC PLUS MISC T3

LC PLUS NEBULIZER-PED MASK MISC

T3

LECITHIN ORGANOGEL GEL

T3

LEDIPASVIR/SOFOSBUVIR TABLET

T2, QL, SP, PA

leena tablet T1

leflunomide tablet T1

LENVIMA 10 MG DAILY DOSE CAPSULE

T2, QL, SP, PA

LENVIMA 12MG DAILY DOSE CAPSULE

T2, QL, SP, PA


T2, QL, SP, PA


T2, QL, SP, PA


T2, QL, SP, PA


T2, QL, SP, PA


T2, QL, SP, PA


T2, QL, SP, PA

LESCOL XL 24 HR TAB T3, BP

lessina tablet T1

LETAIRIS TABLET T2, PA, BP, SP

letrozole tablet T1

leucovorin calcium tablet T1

LEUKERAN TABLET T2

LEUPROLIDE KIT T2, SP

LEVALBUTEROL NEBULIZED

T2, ST

LEVALBUTEROL TARTRATE HFA AEROSOL

T2, QL, ST

LEVBID 12 HR TAB T2

LEVEMIR FLEXTOUCH INJECTION

T2

LEVEMIR SOLUTION T2

levetiracetam er 24 hr tab T1

levetiracetam solution T1

levetiracetam tablet T1

LEVITRA TABLET T3, QL, BP

LEVOBUNOLOL SOLUTION

T3

levocarnitine sf solution T1



levocarnitine solution T1

levocarnitine tablet T1

levofloxacin solution T1

levofloxacin tablet T1

levonest tablet T1

levonorgestrel tablet T1

levonorgestrel-eth estradiol tablet

T1

levonorg-eth estrad eth estrad tablet

T1

levora 0.15/30-28 tablet T1

LEVORPHANOL TARTRATE TABLET

T3

levo-t tablet T1

LEVOTHYROXINE SODIUM CAPSULE

T3

levothyroxine sodium tablet

T1

levoxyl tablet T1

LEVSIN TABLET T2

LEVSIN/SL SL T2

LEXAPRO TABLET T2, BP

LEXETTE FOAM T3, QL, PA

LEXIVA SUSPENSION T2

LEXIVA TABLET T2, BP

LIALDA TABLET T2, BP

LIBRAX CAPSULE T3, BP

LICART PATCH T3, PA

LIDOCAINE CREAM T3

lidocaine injection T1

lidocaine jelly gel T1

lidocaine jelly injection T1

lidocaine ointment T1

lidocaine patch T1

lidocaine patch 5% T1

lidocaine solution T1

lidocaine viscous solution T1

LIDOCAINE/DEXTROSE SOLUTION

T3

lidocaine/prilocaine cream T1

LIDOCAINE-HC CREAM T3

LIDOCAINE-HC GEL T3

LIDOCAINE-HC KIT T3

LIDOCORT CREAM T3

LIDODERM PATCH T2, BP

LIDOPIN CREAM T3

LIDO-SORB LOTION T3

LIDOTRAL CREAM T3

LIFESHIELD BLUNT CANNULA MISC

T3

LILETTA T2, SP

lillow tablet T1

LINDANE SHAMPOO T2

LINEZOLID SUSPENSION

T3, PA

linezolid tablet T1

LINZESS CAPSULE T2

liothyronine sodium tablet T1

LIPITOR TABLET T2, BP

LIPOFEN CAPSULE T3

LIPOLAYER CREAM T3

LIPOZYME CREAM T3

lisinopril tablet T1

lisinopril-hctz tablet T1

LITE TOUCH LANCING PEN MISC

T2

LITE TOUCH MISC T2

lithium carbonate capsule T1, BP

lithium carbonate er tablet T1

lithium carbonate tablet T1

LITHIUM SOLUTION T2

LITHOBID TABLET T2, BP

LITHOSTAT TABLET T3

LIVALO TABLET T3

LO LOESTRIN FE TABLET

T2

LOCOID LIPOCREAM CREAM

T3

LOCOID LOTION T3, BP

LODINE TABLET T2, BP

LODOSYN TABLET T2, BP

loestrin 1.5/30-21 tablet T1

loestrin 1/20-21 tablet T1

loestrin fe 1.5/30 tablet T1

loestrin fe 1/20 tablet T1

lojaimiess tablet T1

LOKELMA PACKET T2, QL, PA

LOMAIRA TABLET T2

LOMOTIL TABLET T2, BP

LONHALA MAGNAIR REFILL SOLUTION

T3

LONHALA MAGNAIR STARTER SOLUTION

T3

LONSURF TABLET T2, QL, SP, PA

loperamide capsule T1

LOPID TABLET T2, BP

lopinavir/ritonavir solution T1

LOPRESSOR HCT TABLET

T2, BP

LOPRESSOR TABLET T2, BP

LOPROX T3, BP

LOPROX CREAM T2, BP

LOPROX SUSPENSION T2, BP

lorazepam T1

lorazepam intensol T1

lorazepam tablet T1

LORBRENA TABLET T2, QL, SP, PA

LORTAB ELIXIR T2

loryna tablet T1

LORZONE TABLET T3

losartan potassium tablet T1

losartan-hydrochlorothiazide tablet

T1

LOSEASONIQUE TABLET

T2, BP

LOTEMAX GEL T3

LOTEMAX OINTMENT T3

LOTEMAX SM GEL T3

LOTEMAX SUSPENSION T3, BP

LOTENSIN HCT TABLET T2, BP

LOTENSIN TABLET T2, BP

LOTEPREDNOL ETABONATE SUSPENSION

T3

LOTREL CAPSULE T2, BP

LOTRONEX TABLET T2, BP

lovastatin tablet T1

LOVAZA CAPSULE T2, BP

LOVENOX SOLUTION T2, BP

low dose aspirin tablet T1

low-ogestrel tablet T1

LOXAPINE CAPSULE T3

LOZIBASE S MISC T3

lo-zumandimine tablet T1

LUCEMYRA TABLET T3, QL

LUER-LOK SYRINGE MISC

T2

LUER-LOK SYRINGE-NEEDLE MISC

T3

LULICONAZOLE CREAM T3

LUMIGAN SOLUTION T2

LUNESTA TABLET T2, BP

LUPANETA PACK KIT T3, SP

LUPRON DEPOT-PED KIT

T2, SP

lutera tablet T1

LUXIQ FOAM T3, BP

LUZU CREAM T3

lyllana patch T1

LYNPARZA TABLET T2, QL, SP, PA



LYRICA CAPSULE T2, BP

LYRICA CR 24 HR TAB T3

LYRICA SOLUTION T2, BP

LYSODREN TABLET T2, SP

LYSTEDA TABLET T2, BP

lyza tablet T1

MMACROBID CAPSULE T2, BP

MACRODANTIN CAPSULE

T2, BP

MAFENIDE PACKET T3

MAGELLAN INSULIN SAFETY SYRNG MISC

T2

MAGELLAN INSULIN SYRINGE MISC

T2

MAGELLAN SAFETY SYRINGE MISC

T3

MAGELLAN TUBERCULIN SYRINGE MISC

T3

magnesium solution T1

MALARONE TABLET T2, BP

malathion lotion T1

MAPROTILINE TABLET T2

MARATHON MEDICAL PENTIPS MISC

T2

MARINOL CAPSULE T2, BP

marlissa tablet T1

MARNATAL-F CAPSULE T2

MARPLAN TABLET T2

MATULANE CAPSULE T2, SP

MATZIM LA 24 HR TAB T3

MAVENCLAD TABLET T3, QL, PA, SP

MAVYRET TABLET T2, QL, SP, PA

MAXALT TABLET T2, QL, BP

MAXALT-MLT TABLET T2, QL, BP

MAXICOMFORT INSULIN SYRINGE MISC

T2

MAXIDEX SUSPENSION T2

MAXITROL OINTMENT T2, BP

MAXITROL SUSPENSION

T2, BP

MAXZIDE TABLET T2, BP

MAXZIDE-25 TABLET T2, BP

MAYZENT TABLET T3, PA, SP

ME/NAPHOS/MB/HYO 1 TABLET

T3

meclizine tablet T1

MECLOFENAMATE SODIUM CAPSULE

T3

MEDIHOL BASE GEL T3

MEDISENSE GLUCOSE KETONE LIQUID

T3

MEDISENSE LIQUID T3

MEDLANCE PLUS MISC T2

MEDLANCE PLUS SPECIAL BLADE MISC

T2

MEDLANCE PLUS/LITE 25G MISC

T2

MEDLANCE/LITE MISC T2

MEDLANCE/UNIVERSAL MISC

T2

MEDROL DOSEPAK TABLET

T2, BP

MEDROL TABLET T2, BP

MEDROX-RX OINTMENT T3

MEDROXYPROGESTERONE INJECTION

T2

MEDROXYPROGESTERONE SUSPENSION

T2

medroxyprogesterone tablet

T1

MEFENAMIC ACID CAPSULE

T3

mefloquine tablet T1

megestrol suspension T1

megestrol tablet T1

MEKINIST TABLET T2, QL, SP, PA

MEKTOVI TABLET T2, QL, SP, PA

melodetta 24 fe chew tab T1

meloxicam tablet T1

melphalan tablet T1, SP

memantine er 24 hour cap T1

memantine solution T1

memantine tablet T1

MEMBRANEBLUE SOLUTION

T3

MENACTRA INJECTION T2

MENEST TABLET T2

MENOSTAR PATCH T2

MENQUADFI INJECTION T2

MENTAX CREAM T3

MENVEO SOLUTION T2

MEPHYTON TABLET T2, BP

MEPROBAMATE TABLET T3

MEPRON SUSPENSION T2, BP

mercaptopurine t

allumatm care formulary - jan to mar 2021...drug requires prior authorization to confirm medical...

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