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4157 AL © Prime Therapeutics LLC 07/14

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July 2014

Blue Cross and Blue Shield of Alabama Prescription Drug Guide

Contents

Introduction .................................................................... I

Member prescription benefit ............................................ I

Pharmacy And Therapeutics (P&T) Committee .............. I

How to use this list .......................................................... II

Brand drugs and generic drugs ..................................... III

Classification .................................................................. III

Generic substitution ....................................................... III

Specialty drugs .............................................................. III

Compounds ................................................................... III

Utilization management ................................................. IV

Prior Authorization ........................................................ IV

Dispensing Limits ........................................................... IV

Step Therapy ................................................................. IV

Duplicate Therapy .......................................................... IV

Notice ............................................................................. IV

Abbreviation key ............................................................. V

Therapeutic Class Drug List ........................................ 1

Anti-Infective Drugs ........................................................ 1

Cancer Drugs .................................................................. 7

Hormones, Diabetes and Related Drugs ........................ 9

Heart and Circulatory Drugs ......................................... 17

Respiratory Agents ....................................................... 26

Gastrointestinal Drugs .................................................. 28

Genitourinary Drugs ...................................................... 31

Central Nervous System Drugs .................................... 31

Pain Relief Drugs .......................................................... 38

Neuromuscular Drugs ................................................... 43

Supplements ................................................................. 46

Blood Modifying Drugs .................................................. 47

Topical Drugs ................................................................ 48

Miscellaneous Categories ............................................. 53

Index ............................................................................. 58

Please consider talking to your doctor about prescribing preferred generic and brand medications, which may

help reduce your out-of-pocket costs. This list may help guide you and your doctor in selecting an appropriate

medication for you.

The Prescription Drug Guide is regularly updated. Please visit AlabamaBlue.com/pharmacy for the most up-to-

date information.

To search for a drug name within this PDF document, use the Control and F keys on your keyboard, or go to

Edit in the drop-down menu and select Find/Search. Type in the word or phrase you are looking for and click

on Search. If you cannot find a drug on this list it typically means that the drug is Non-Preferred.

Contact information

For questions about the Blue Cross and Blue Shield of Alabama 2014 Prescription Drug Guide, call the customer

service number on the back of your Blue Cross ID card or visit AlabamaBlue.com/pharmacy.

I Blue Cross and Blue Shield of Alabama July 2014 Prescription Drug Guide

Introduction

Blue Cross and Blue Shield of Alabama is pleased to present the July 2014 Prescription Drug Guide.

The Prescription Drug Guide includes all Preferred Brand drugs (Tier 2) and a partial listing of Generic drugs (Tier 1).

Brand name drugs not listed in this Prescription Drug Guide are Non-Preferred Brands (Tier 3). Blue Cross may choose

to not add a drug to the Preferred Brand tier for reasons including safety or effectiveness, or because a similar, more

cost-effective drug is already available as a Preferred Brand or Generic drug. New brand drugs are Non-Preferred until

reviewed and approved for inclusion by the Pharmacy and Therapeutics (P&T) Committee.

Physicians are encouraged to prescribe drugs listed in this Prescription Drug Guide. Members are encouraged to

show this Prescription Drug Guide to their physician and pharmacist.

Member prescription benefit

The Blue Cross prescription benefit is multi-tiered, placing prescription drugs into one of three copayment levels;

Generic drugs (Tier 1), Preferred Brand drugs (Tier 2) and Non-Preferred Brand drugs (Tier 3). Some benefits will

include a fourth tier to cover specialty medications. The drug benefit includes most prescription drugs, although some

restrictions and exclusions do apply. Investigational drugs and drugs indicated for cosmetic purposes (e.g., Propecia

for hair growth) are not covered. Coverage and copayment levels vary depending on the plan. Drugs that require

Prior Authorization, Step Therapy, or that have Duplicate Therapy or Dispensing Limits are noted in the Prescription

Drug Guide.

Tier 1 – Lowest copayment – Generic drugs – listed and unlisted generic drugs

Tier 2 – Middle copayment – Preferred Brand drugs – all shown in the Prescription Drug Guide

Tier 3 – Highest copayment – Non-Preferred Brand drugs – unlisted

Pharmacy and Therapeutics (P&T) committee

The P&T Committee is comprised of independent practicing physicians and pharmacists. The Committee meets at

least quarterly. Decisions to add or remove drugs from the Prescription Drug Guide are based on the drug’s safety,

efficacy, uniqueness and cost.

Members and physicians can view the most up-to-date version of the Prescription Drug Guide at

AlabamaBlue.com/pharmacy.

Blue Cross and Blue Shield of Alabama July 2014 Prescription Drug Guide II

How to use this list

This Prescription Drug Guide is organized into broad therapeutic categories. For example, Hormones, Diabetes

and Related Drugs is a broad category. Within most categories, drugs are sub-grouped based upon drug class.

For example under Hormones, Diabetes and Related Drugs you will find Corticosteroids. All drugs listed, whether

generic or brand, are Preferred drugs.

The first column of the chart lists the drug name. Generic drugs are shown in lower-case boldface type.

Most generic drugs are followed by a reference brand drug in (parentheses). Some generic products have no

reference brand.

Brand prescription drugs are shown in capital letters followed by the generic name.

The second column indicates if the drug is a specialty drug. Note: Additional information about specialty drugs

can be found in this document under the header for Specialty Drugs.

The remaining columns indicate the Utilization Management (UM) program(s) that may apply to the prescription

drug (e.g., Prior Authorization, Step Therapy, Duplicate Therapy, Dispensing Limits). If an indicator is present in

the column(s), then the UM program noted is possibly applied to your benefit. Some plans may have UM on

additional medications beyond those noted in this document.

III Blue Cross and Blue Shield of Alabama July 2014 Prescription Drug Guide

Brand drugs and generic drugs

Classification

Prescription drugs are classified as either: (1) Brand drug, or (2) Generic drug. The Brand/Generic classification

is linked to the copayment level or Tier. Blue Cross uses the Brand or Generic status provided by a nationally

recognized company providing drug product information. The Brand/Generic status for a specific drug/specific

marketer can sometimes change over the life of a product in the marketplace and change from Brand to Generic

(or) Generic to Brand. Such changes might change your copayment share. Brand drug or Generic drug status is

never based upon a product having a trade name. Generic drugs often have trade names.

Generic Substitution

Blue Cross encourages generic utilization as a way to provide high quality drugs at a reduced cost. Generic drugs

are as safe and effective as their brand counterparts, but are usually less expensive. Generic drugs are

manufactured under the same strict requirements of FDA’s current Good Manufacturing Practice regulations required

for Brand drugs and cover the manufacturing, and identity, strength, purity and quality.

An FDA-approved Generic drug may be substituted for the Brand counterpart when it:

Contains the same active ingredient(s) as the brand drug

Is identical in strength, dosage form, and route of administration

Is therapeutically equivalent and can be expected to have the same clinical effect and safety profile.

To encourage use of Generic drugs, Tier 2 Preferred Brand drugs typically move to Tier 3 after an equivalent generic

version becomes available.

Specialty drugs

Specialty drugs are used in the treatment of medical conditions such as hepatitis, multiple sclerosis and

rheumatoid arthritis. Specialty drugs may be oral or injectable medications that can either be self-administered

or administered by a health care professional.

Some Blue Cross members must obtain their specialty drugs from Prime Therapeutics Specialty Pharmacy. If

the preferred provider is not utilized you may be responsible for up to 100 percent of the drug cost.

Compounds

Compounded prescriptions contain two or more drugs mixed together. Compounded prescriptions are processed

according to member benefits. To be eligible for coverage, compounded medications must contain at least one

FDA-approved prescription ingredient and must not be a copy of a commercially available product. All compounded

medications are subject to review and may require prior authorization.

Blue Cross and Blue Shield of Alabama July 2014 Prescription Drug Guide IV

Utilization management

Blue Cross is committed to supporting proper selection and use of drugs for its members. To help assure these goals

are met, several programs have been developed to promote drug selection that encourages both effectiveness and

safety. Detailed coverage criteria can be found at AlabamaBlue.com/pharmacy. Preferred generic or brand drugs

requiring Prior Authorization or Step Therapy, or drugs with Duplicate Therapy or Dispensing Limits will be noted in

the Therapeutic Class Drug List portion of the Prescription Drug Guide.

Prior authorization

Some drugs require Prior Authorization (PA) because of their high potential for misuse or overuse. Drugs selected

for Prior Authorization may require that specific clinical criteria are met before the drugs will be covered under a

member’s prescription benefit. Approval is required for claims to process at network pharmacies.

Dispensing Limits

Dispensing Limits (DL) identify gender or age restrictions, and/or the maximum quantity that can be dispensed over a

specific period of time. Limits are in place to encourage appropriate drug utilization, enhance member outcomes, and

reduce drug benefit costs. Limits are typically developed based upon FDA-approved drug labeling.

Step Therapy

Step Therapy (ST) programs help manage the cost of expensive drugs by redirecting members to safe, effective

and less expensive alternatives. Drugs included in the Step Therapy program require a more cost-effective

prerequisite drug be tried before the Step Therapy drug will be approved for coverage. If the member meets the

prerequisite requirement, the requested drug will be covered automatically without requiring review. If prerequisite

drugs are not found in the claims history, Prior Authorization may be required. Drugs and drug categories included

in the Step Therapy program are subject to change.

Duplicate Therapy

Duplicate Therapy (DT) programs help prevent overuse or misuse by ensuring that similar medications are not given

concomitantly. Drugs included in the Duplicate Therapy program will not be covered if dual therapy is found in the

claims history. Drugs and drug categories included in the Duplicate Therapy program are subject to change.

Notice

The purpose of the Blue Cross Prescription Drug Guide is to provide a guide to coverage. The Prescription Drug

Guide is not intended to dictate to physicians how to practice medicine. Physicians should exercise their medical

judgment in providing the care they feel is most appropriate for their patients.

Neither this Prescription Drug Guide, nor the successful adjudication of a pharmacy claim, is guarantee of payment.

V Blue Cross and Blue Shield of Alabama July 2014 Prescription Drug Guide

Key

cap ................................................................. capsules

chew ............................................................. chewable

conc .......................................................... concentrate

cr...................................................... controlled release

dr ........................................................ delayed release

ec ........................................................... enteric coated

effe............................................................ effervescent

equiv ........................................................... equivalent

er....................................................... extended release

inhal.............................................................. inhalation

inj .................................................................... injection

liq ......................................................................... liquid

lotn ...................................................................... lotion

nebu .............................................................. nebulizer

odt. ....................................... orally disintegrating tabs

oint ................................................................ ointment

ophth ............................................................ opthalmic

osm ..................................................... osmotic release

powd ................................................................ powder

sa ....................................................... sustained action

sl .................................................................. sublingual

soln .................................................................. solution

sr ...................................................... sustained release

suppos ................................................... suppositories

susp ........................................................... suspension

tab ...................................................................... tablets

td ............................................................... transdermal

2014

Blue Cross and Blue Shield of Alabama July 2014 Prescription Drug Guide 1

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ANTI-INFECTIVE DRUGS

PENICILLINS

amoxicillin (trihydrate) cap250 mg

amoxicillin (trihydrate) cap500 mg

amoxicillin (trihydrate) for susp125 mg/5ml




amoxicillin (trihydrate) tab500 mg

amoxicillin (trihydrate) tab875 mg

amoxicillin & k clavulanate chewtab 200-28.5 mg

amoxicillin & k clavulanate chewtab 400-57 mg

amoxicillin & k clavulanate forsusp 200-28.5 mg/5ml

amoxicillin & k clavulanatefor susp 250-62.5 mg/5ml(Augmentin)

amoxicillin & k clavulanate forsusp 400-57 mg/5ml

amoxicillin & k clavulanatefor susp 600-42.9 mg/5ml(Augmentin es-600)

amoxicillin & k clavulanate tab sr12hr 1000-62.5 mg (Augmentinxr)

amoxicillin & k clavulanate tab250-125 mg

amoxicillin & k clavulanate tab500-125 mg (Augmentin)

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amoxicillin & k clavulanate tab875-125 mg (Augmentin)

ampicillin cap 250 mg

ampicillin cap 500 mg

dicloxacillin sodium cap 250 mg

dicloxacillin sodium cap 500 mg

penicillin v potassium for soln125 mg/5ml

penicillin v potassium for soln250 mg/5ml

penicillin v potassium tab250 mg

penicillin v potassium tab500 mg

CEPHALOSPORINS

cefaclor cap 250 mg

cefaclor cap 500 mg

cefadroxil cap 500 mg

cefadroxil for susp 250 mg/5ml

cefadroxil for susp 500 mg/5ml

cefadroxil tab 1 gm

cefdinir cap 300 mg

cefdinir for susp 125 mg/5ml

cefdinir for susp 250 mg/5ml

cefpodoxime proxetil for susp100 mg/5ml

cefpodoxime proxetil for susp50 mg/5ml

cefpodoxime proxetil tab 100 mg

cefpodoxime proxetil tab 200 mg

cefprozil for susp 125 mg/5ml

cefprozil for susp 250 mg/5ml

cefprozil tab 250 mg

cefprozil tab 500 mg

ceftriaxone sodium for inj 1 gm(Rocephin)

ceftriaxone sodium for inj 2 gm

2014

2 Blue Cross and Blue Shield of Alabama July 2014 Prescription Drug Guide

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ceftriaxone sodium for inj250 mg

ceftriaxone sodium for inj500 mg (Rocephin)

cefuroxime axetil for susp125 mg/5ml (Ceftin)

cefuroxime axetil tab 250 mg(Ceftin)

cefuroxime axetil tab 500 mg(Ceftin)

cephalexin cap 250 mg (Keflex)

cephalexin cap 500 mg (Keflex)

cephalexin for susp 125 mg/5ml

cephalexin for susp 250 mg/5ml

SUPRAX – cefixime tab 400 mg

SUPRAX – cefixime for susp 100mg/5ml



MACROLIDES

azithromycin for susp100 mg/5ml (Zithromax)

azithromycin for susp200 mg/5ml (Zithromax)

azithromycin tab 250 mg(Zithromax)



clarithromycin for susp125 mg/5ml

clarithromycin for susp250 mg/5ml (Biaxin)

clarithromycin tab sr 24hr500 mg (Biaxin xl pac)

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clarithromycin tab 250 mg(Biaxin)

clarithromycin tab 500 mg(Biaxin)

erythromycin w/ delayed releaseparticles cap 250 mg

TETRACYCLINES

demeclocycline hcl tab 150 mg

demeclocycline hcl tab 300 mg

doxycycline hyclate cap 100 mg(Vibramycin)

doxycycline hyclate cap 50 mg

doxycycline hyclate tab 100 mg

doxycycline hyclate tab 20 mg

doxycycline monohydrate cap100 mg (Monodox)

doxycycline monohydrate cap150 mg (Adoxa)

doxycycline monohydrate cap50 mg

doxycycline monohydrate cap75 mg (Monodox)

doxycycline monohydrate tab100 mg (Adoxa pak 1/100)

doxycycline monohydrate tab150 mg (Adoxa pak 1/150)

doxycycline monohydrate tab50 mg (Adoxa)

doxycycline monohydrate tab75 mg (Adoxa)

minocycline hcl cap 100 mg(Minocin)



minocycline hcl tab 100 mg



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FLUOROQUINOLONES

ciprofloxacin hcl tab 100 mg(base equiv)

ciprofloxacin hcl tab 250 mg(base equiv) (Cipro)

ciprofloxacin hcl tab 500 mg(base equiv) (Cipro)

ciprofloxacin hcl tab 750 mg(base equiv)

ciprofloxacin-ciprofloxacin hcltab sr 24hr 1000 mg(base eq)(Cipro xr)

ciprofloxacin-ciprofloxacin hcltab sr 24hr 500 mg (base eq)(Cipro xr)

levofloxacin oral soln 25 mg/ml(Levaquin)

levofloxacin tab 250 mg(Levaquin)



ofloxacin tab 200 mg



AMINOGLYCOSIDES

neomycin sulfate tab 500 mg

paromomycin sulfate cap250 mg

tobramycin nebu soln300 mg/5ml (Tobi)

• •

TUBERCULOSIS

ethambutol hcl tab 100 mg(Myambutol)

ethambutol hcl tab 400 mg(Myambutol)

isoniazid & rifampin cap150-300 mg

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isoniazid tab 100 mg

isoniazid tab 300 mg

MYCOBUTIN – rifabutin cap 150mg

PRIFTIN – rifapentine tab 150 mg

pyrazinamide tab 500 mg

rifabutin cap 150 mg (Mycobutin)

rifampin cap 150 mg (Rifadin)

rifampin cap 300 mg (Rifadin)

FUNGAL INFECTIONS

fluconazole for susp 10 mg/ml(Diflucan)

fluconazole for susp 40 mg/ml(Diflucan)

fluconazole tab 100 mg (Diflucan)




flucytosine cap 250 mg(Ancobon)

flucytosine cap 500 mg(Ancobon)

griseofulvin microsize susp125 mg/5ml

griseofulvin microsize tab500 mg (Grifulvin v)

itraconazole cap 100 mg(Sporanox)

NOXAFIL – posaconazole susp 40mg/ml

nystatin tab 500000 unit

terbinafine hcl tab 250 mg(Lamisil)

voriconazole for susp 40 mg/ml(Vfend)

voriconazole tab 200 mg (Vfend)

voriconazole tab 50 mg (Vfend)

VIRAL INFECTIONS

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Cytomegalovirus

VALCYTE – valganciclovir hcl tab450 mg

VALCYTE – valganciclovir hcl forsoln 50 mg/ml (base equiv)

Hepatitis

adefovir dipivoxil tab 10 mg(Hepsera)

BARACLUDE – entecavir tab 0.5mg

BARACLUDE – entecavir tab 1 mg

BARACLUDE – entecavir oral soln0.05 mg/ml

lamivudine tab 100 mg (Epivirhbv)

OLYSIO – simeprevir sodium cap150 mg (base equivalent)

• •

PEGASYS – peginterferon alfa-2ainj 180 mcg/ml

• •

PEGASYS – peginterferon alfa-2ainj 180 mcg/0.5ml

• •

PEGASYS – peginterferon alfa-2ainj kit 180 mcg/0.5ml

• •

PEGASYS PROCLICK –peginterferon alfa-2a inj 135mcg/0.5ml

• •

PEGASYS PROCLICK –peginterferon alfa-2a inj 180mcg/0.5ml

• •

ribavirin cap 200 mg (Rebetol) •ribavirin tab 200 mg (Copegus) •SOVALDI – sofosbuvir tab 400 mg • •Herpes

acyclovir cap 200 mg (Zovirax)

acyclovir susp 200 mg/5ml(Zovirax)

acyclovir tab 400 mg (Zovirax)

acyclovir tab 800 mg (Zovirax)

famciclovir tab 125 mg (Famvir)

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valacyclovir hcl tab 1 gm(Valtrex)

valacyclovir hcl tab 500 mg(Valtrex)

HIV/AIDS

abacavir sulfate tab 300 mg(base equiv) (Ziagen)

•

abacavir sulfate-lamivudine-zidovudine tab 300-150-300 mg(Trizivir)

•

APTIVUS – tipranavir cap 250 mg •APTIVUS – tipranavir oral soln 100

mg/ml•

ATRIPLA – efavirenz-emtricitabine-tenofovir df tab 600-200-300 mg

•

COMPLERA – emtricitabine-rilpivirine-tenofovir df tab200-25-300 mg

•

CRIXIVAN – indinavir sulfate cap200 mg

•

CRIXIVAN – indinavir sulfate cap400 mg

•

didanosine delayed releasecapsule 125 mg (Videx ec)

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•


•


•

EDURANT – rilpivirine hcl tab 25mg (base equivalent)

•

EMTRIVA – emtricitabine caps 200mg

•

EMTRIVA – emtricitabine soln 10mg/ml

•

EPIVIR – lamivudine oral soln 10mg/ml

•

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EPZICOM – abacavir sulfate-lamivudine tab 600-300 mg

•

FUZEON – enfuvirtide for inj 90 mg • •INTELENCE – etravirine tab 25 mg •INTELENCE – etravirine tab 100

mg•

INTELENCE – etravirine tab 200mg

•

INVIRASE – saquinavir mesylatecap 200 mg

•

INVIRASE – saquinavir mesylatetab 500 mg

•

ISENTRESS – raltegravirpotassium tab 400 mg (baseequiv)

•

ISENTRESS – raltegravirpotassium chew tab 25 mg (baseequiv)

•

ISENTRESS – raltegravirpotassium chew tab 100 mg(base equiv)

•

KALETRA – lopinavir-ritonavir tab100-25 mg

•

KALETRA – lopinavir-ritonavir tab200-50 mg

•

KALETRA – lopinavir-ritonavir soln400-100 mg/5ml (80-20 mg/ml)

•

lamivudine tab 150 mg (Epivir) •lamivudine tab 300 mg (Epivir) •lamivudine-zidovudine tab

150-300 mg (Combivir)•

LEXIVA – fosamprenavir calciumtab 700 mg (base equiv)

•

LEXIVA – fosamprenavir calciumsusp 50 mg/ml (base equiv)

•

nevirapine tab sr 24hr 400 mg(Viramune xr)

•

nevirapine tab 200 mg (Viramune) •NORVIR – ritonavir cap 100 mg •NORVIR – ritonavir tab 100 mg •

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NORVIR – ritonavir oral soln 80mg/ml

•

PREZISTA – darunavir ethanolatetab 75 mg (base equiv)

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PREZISTA – darunavir ethanolatesusp 100 mg/ml (base equiv)

•

RESCRIPTOR – delavirdinemesylate tab 100 mg

•

RESCRIPTOR – delavirdinemesylate tab 200 mg

•

REYATAZ – atazanavir sulfate cap100 mg (base equiv)

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SELZENTRY – maraviroc tab 150mg

•

SELZENTRY – maraviroc tab 300mg

•

stavudine cap 15 mg (Zerit) •stavudine cap 20 mg (Zerit) •stavudine cap 30 mg (Zerit) •stavudine cap 40 mg (Zerit) •stavudine for oral soln 1 mg/ml

(Zerit)•

STRIBILD – elvitegrav-cobicis-emtricitab-tenofov tab150-150-200-300 mg

•

SUSTIVA – efavirenz cap 50 mg •

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SUSTIVA – efavirenz cap 200 mg •SUSTIVA – efavirenz tab 600 mg •TIVICAY – dolutegravir sodium tab

50 mg (base equiv)•

TRUVADA – emtricitabine-tenofovirdisoproxil fumarate tab 200-300mg

•

VIDEX – didanosine for soln 2 gm •VIDEX – didanosine for soln 4 gm •VIRACEPT – nelfinavir mesylate

tab 250 mg•

VIRACEPT – nelfinavir mesylatetab 625 mg

•

VIRAMUNE – nevirapine susp 50mg/5ml

•

VIRAMUNE XR – nevirapine tab sr24hr 100 mg

•

VIRAMUNE XR – nevirapine tab sr24hr 400 mg

•

VIREAD – tenofovir disoproxilfumarate tab 150 mg

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VIREAD – tenofovir disoproxilfumarate oral powder 40 mg/gm

•

ZIAGEN – abacavir sulfate soln 20mg/ml (base equiv)

•

zidovudine cap 100 mg (Retrovir) •zidovudine syrup 10 mg/ml

(Retrovir)•

zidovudine tab 300 mg •Influenza

TAMIFLU – oseltamivir phosphatecap 30 mg (base equiv)

•

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TAMIFLU – oseltamivir phosphatefor susp 6 mg/ml (base equiv)

•

MALARIA

atovaquone-proguanil hcl tab250-100 mg (Malarone)

chloroquine phosphate tab250 mg

chloroquine phosphate tab500 mg (Aralen)

DARAPRIM – pyrimethamine tab25 mg

hydroxychloroquine sulfate tab200 mg (Plaquenil)

MALARONE – atovaquone-proguanil hcl tab 62.5-25 mg

mefloquine hcl tab 250 mg

PRIMAQUINE PHOSPHATE –primaquine phosphate tab 26.3mg

WORM INFECTIONS

ALBENZA – albendazole tab 200mg

BILTRICIDE – praziquantel tab 600mg

STROMECTOL – ivermectin tab 3mg

OTHER ANTI-INFECTIVES

clindamycin hcl cap 150 mg(Cleocin)



clindamycin palmitate hcl forsoln 75 mg/5ml (base equiv)(Cleocin pediatric gr)

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DAPSONE – dapsone tab 25 mg

DAPSONE – dapsone tab 100 mg

erythromycin-sulfisoxazole forsusp 200-600 mg/5ml

metronidazole tab 250 mg(Flagyl)

metronidazole tab 500 mg(Flagyl)

NEBUPENT – pentamidineisethionate for nebulization soln300 mg

sulfamethoxazole-trimethoprimsusp 200-40 mg/5ml

sulfamethoxazole-trimethoprimtab 400-80 mg (Bactrim)

sulfamethoxazole-trimethoprimtab 800-160 mg (Bactrim ds)

trimethoprim tab 100 mg

vancomycin hcl cap 125 mg(Vancocin hcl)

vancomycin hcl cap 250 mg(Vancocin hcl)

XIFAXAN – rifaximin tab 550 mg

ZYVOX – linezolid tab 600 mg

ZYVOX – linezolid for susp 100mg/5ml

CANCER DRUGS

AFINITOR – everolimus tab 2.5 mg • • •AFINITOR – everolimus tab 5 mg • • •AFINITOR – everolimus tab 7.5 mg • • •AFINITOR – everolimus tab 10 mg • • •AFINITOR DISPERZ – everolimus

tab for oral susp 2 mg• • •

AFINITOR DISPERZ – everolimustab for oral susp 3 mg

• • •

AFINITOR DISPERZ – everolimustab for oral susp 5 mg

• • •

ALKERAN – melphalan tab 2 mg

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anastrozole tab 1 mg (Arimidex)

bicalutamide tab 50 mg(Casodex)

BOSULIF – bosutinib tab 100 mg • • •BOSULIF – bosutinib tab 500 mg • • •capecitabine tab 150 mg (Xeloda) • • •capecitabine tab 500 mg (Xeloda) • • •CAPRELSA – vandetanib tab 100

mg• • •

CAPRELSA – vandetanib tab 300mg

• • •

CEENU – lomustine cap 10 mg



COMETRIQ – cabozantinib s-malate cap 3 x 20 mg (60 mgdose) kit

• • •

COMETRIQ – cabozantinib s-malcap 1 x 80 mg & 1 x 20 mg (100dose) kit

• • •

COMETRIQ – cabozantinib s-malcap 1 x 80 mg & 3 x 20 mg (140dose) kit

• • •

CYCLOPHOSPHAMIDE –cyclophosphamide tab 25 mg

CYCLOPHOSPHAMIDE –cyclophosphamide tab 50 mg

EMCYT – estramustine phosphatesodium cap 140 mg

ERIVEDGE – vismodegib cap 150mg

• • •

ETOPOSIDE – etoposide cap 50mg

exemestane tab 25 mg(Aromasin)

FARESTON – toremifene citratetab 60 mg (base equivalent)

flutamide cap 125 mg

2014


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GILOTRIF – afatinib dimaleate tab20 mg (base equivalent)

• • •


• • •


• • •

GLEEVEC – imatinib mesylate tab100 mg (base equivalent)

• • •

GLEEVEC – imatinib mesylate tab400 mg (base equivalent)

• • •

HEXALEN – altretamine cap 50 mg • •HYCAMTIN – topotecan hcl cap

0.25 mg (base equiv)• •

HYCAMTIN – topotecan hcl cap 1mg (base equiv)

• •

hydroxyurea cap 500 mg(Hydrea)

ICLUSIG – ponatinib hcl tab 15 mg(base equiv)

• • •

ICLUSIG – ponatinib hcl tab 45 mg(base equiv)

• • •

IMBRUVICA – ibrutinib cap 140 mg • • •INLYTA – axitinib tab 1 mg • • •INLYTA – axitinib tab 5 mg • • •JAKAFI – ruxolitinib phosphate tab

5 mg (base equivalent)• • •

JAKAFI – ruxolitinib phosphate tab10 mg (base equivalent)

• • •


• • •


• • •


• • •

letrozole tab 2.5 mg (Femara)

LEUCOVORIN CALCIUM –leucovorin calcium tab 10 mg

LEUCOVORIN CALCIUM –leucovorin calcium tab 15 mg

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leucovorin calcium tab 25 mg

leucovorin calcium tab 5 mg

LEUKERAN – chlorambucil tab 2mg

LOMUSTINE – lomustine cap 10mg



LYSODREN – mitotane tab 500 mg • •MATULANE – procarbazine hcl

cap 50 mg• •

megestrol acetate susp 40 mg/ml(Megace oral)

megestrol acetate tab 20 mg

megestrol acetate tab 40 mg

MEKINIST – trametinib dimethylsulfoxide tab 0.5 mg (baseequivalent)

• • •

MEKINIST – trametinib dimethylsulfoxide tab 2 mg (baseequivalent)

• • •

mercaptopurine tab 50 mg(Purinethol)

methotrexate sodium tab 2.5 mg(base equiv)

MYLERAN – busulfan tab 2 mg

NEXAVAR – sorafenib tosylate tab200 mg (base equivalent)

• • •

NILANDRON – nilutamide tab 150mg

POMALYST – pomalidomide cap 1mg

• • •


• • •


• • •


• • •

2014


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SPRYCEL – dasatinib tab 20 mg • • •SPRYCEL – dasatinib tab 50 mg • • •SPRYCEL – dasatinib tab 70 mg • • •SPRYCEL – dasatinib tab 80 mg • • •SPRYCEL – dasatinib tab 100 mg • • •SPRYCEL – dasatinib tab 140 mg • • •STIVARGA – regorafenib tab 40

mg• • •

SUTENT – sunitinib malate cap12.5 mg (base equivalent)

• • •

SUTENT – sunitinib malate cap 25mg (base equivalent)

• • •

SUTENT – sunitinib malate cap 50mg (base equivalent)

• • •

SYLATRON – peginterferon alfa-2bfor inj kit 296 mcg

• •


• •


• •

SYLATRON – peginterferon alfa-2bfor inj kit 4 x 296 mcg

• •


• •


• •

TABLOID – thioguanine tab 40 mg

TAFINLAR – dabrafenib mesylatecap 50 mg (base equivalent)

• • •

TAFINLAR – dabrafenib mesylatecap 75 mg (base equivalent)

• • •

tamoxifen citrate tab 10 mg(base equivalent)

tamoxifen citrate tab 20 mg(base equivalent)

TARCEVA – erlotinib tab 25 mg • • •TARCEVA – erlotinib tab 100 mg • • •TARCEVA – erlotinib tab 150 mg • • •

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TARGRETIN – bexarotene cap 75mg

• •

TASIGNA – nilotinib cap 150 mg • • •TASIGNA – nilotinib cap 200 mg • • •temozolomide cap 100 mg

(Temodar)• •

temozolomide cap 140 mg(Temodar)

• •


• •


• •


• •


• •

tretinoin cap 10 mg • •TYKERB – lapatinib ditosylate tab

250 mg (base equiv)• • •

VANDETANIB – vandetanib tab100 mg

• • •

VANDETANIB – vandetanib tab300 mg

• • •

VOTRIENT – pazopanib hcl tab200 mg (base equiv)

• • •

XALKORI – crizotinib cap 200 mg • • •XALKORI – crizotinib cap 250 mg • • •XELODA – capecitabine tab 150

mg• • •

XELODA – capecitabine tab 500mg

• • •

XTANDI – enzalutamide cap 40 mg • • •ZELBORAF – vemurafenib tab 240

mg (base equivalent)• • •

ZOLINZA – vorinostat cap 100 mg • • •ZYKADIA – ceritinib cap 150 mg

ZYTIGA – abiraterone acetate tab250 mg

• • •

HORMONES, DIABETES AND RELATED DRUGS

2014


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CORTICOSTEROIDS

budesonide cap sr 24hr 3 mg(Entocort ec)

CORTISONE ACETATE –cortisone acetate tab 25 mg

dexamethasone elixir 0.5 mg/5ml

dexamethasone tab 0.5 mg



dexamethasone tab 4 mg

dexamethasone tab 6 mg

fludrocortisone acetate tab0.1 mg

hydrocortisone tab 10 mg(Cortef)

hydrocortisone tab 20 mg(Cortef)

hydrocortisone tab 5 mg (Cortef)

methylprednisolone tab 16 mg(Medrol)



methylprednisolone tab 4 mgdose pack (Medrol dosepak)


prednisolone sod phosph oralsoln 6.7 mg/5ml (5 mg/5mlbase) (Pediapred)

prednisolone sod phosphateoral soln 15 mg/5ml (baseequiv)

prednisolone syrup 15 mg/5ml(usp solution equivalent)(Prelone)

prednisone tab 1 mg

prednisone tab 10 mg

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prednisone tab 10 mg dose pack

prednisone tab 2.5 mg

prednisone tab 20 mg

prednisone tab 5 mg

prednisone tab 5 mg dose pack

MALE HORMONES

ANDRODERM – testosterone tdpatch 24hr 2 mg/24hr

•

ANDRODERM – testosterone tdpatch 24hr 4 mg/24hr

•

ANDROGEL – testosterone td gel25 mg/2.5gm (1%)

•

ANDROGEL – testosterone td gel50 mg/5gm (1%)

•

ANDROGEL – testosterone td gel20.25 mg/1.25gm (1.62%)

•

ANDROGEL – testosterone td gel40.5 mg/2.5gm (1.62%)

•

ANDROGEL PUMP – testosteronetd gel 12.5 mg/act (1%)

•

ANDROGEL PUMP – testosteronetd gel 20.25 mg/act (1.62%)

•

danazol cap 100 mg •danazol cap 200 mg •danazol cap 50 mg •testosterone cypionate im in oil

100 mg/ml (Depo-testosterone)

testosterone cypionate im in oil200 mg/ml (Depo-testosterone)

testosterone enanthate im in oil200 mg/ml

ESTROGENS

COMBIPATCH – estradiol-norethindrone ace td pttw0.05-0.14 mg/day

COMBIPATCH – estradiol-norethindrone ace td pttw0.05-0.25 mg/day

2014


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DIVIGEL – estradiol td gel 0.25mg/0.25gm (0.1%)

DIVIGEL – estradiol td gel 0.5mg/0.5gm (0.1%)

DIVIGEL – estradiol td gel 1 mg/gm(0.1%)

estradiol & norethindroneacetate tab 0.5-0.1 mg(Activella)

estradiol & norethindroneacetate tab 1-0.5 mg (Activella)

estradiol tab 0.5 mg (Estrace)

estradiol tab 1 mg (Estrace)

estradiol tab 2 mg (Estrace)

estradiol td patch weekly0.025 mg/24hr (Climara)

estradiol td patch weekly0.0375 mg/24hr (37.5 mcg/24hr)(Climara)





estropipate tab 0.75 mg

estropipate tab 1.5 mg

norethindrone acetate-ethinylestradiol tab 1 mg-5 mcg

PREMARIN – estrogens,conjugated tab 0.3 mg




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PREMPHASE – conj est 0.625(14)/conj est-medroxypro ac tab0.625-5mg(14)

PREMPRO – conjugated estrogen-medroxyprogest acetate tab0.3-1.5 mg



PREMPRO – conjugated estrogen-medroxyprogest acetate tab0.625-5 mg

VIVELLE-DOT – estradiol td patchbiweekly 0.025 mg/24hr





PROGESTINS

medroxyprogesterone acetatetab 10 mg (Provera)

medroxyprogesterone acetatetab 2.5 mg (Provera)

medroxyprogesterone acetatetab 5 mg (Provera)

norethindrone acetate tab 5 mg(Aygestin)

progesterone micronized cap100 mg (Prometrium)

progesterone micronized cap200 mg (Prometrium)

BIRTH CONTROL

2014


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desogest-eth estrad & eth estradtab 0.15-0.02/0.01 mg(21/5)(Mircette)

desogest-ethin est tab0.1-0.025/0.125-0.025/0.15-0.025mg-mg (Cyclessa)

desogestrel & ethinyl estradioltab 0.15 mg-30 mcg (Desogen)

drospirenone-ethinyl estradioltab 3-0.02 mg (Yaz)

drospirenone-ethinyl estradioltab 3-0.03 mg (Yasmin 28)

ELLA – ulipristal acetate tab 30 mg

ethynodiol diacetate & ethinylestradiol tab 1 mg-35 mcg

levonorg-eth est tab0.15-0.03mg(84) & eth est tab0.01mg(7) (Seasonique)

levonorgestrel & ethinylestradiol (91-day) tab0.15-0.03 mg

levonorgestrel & ethinylestradiol tab 0.1 mg-20 mcg

levonorgestrel & ethinylestradiol tab 0.15 mg-30 mcg

levonorgestrel tab 0.75 mg (Planb)

levonorgestrel tab 1.5 mg (Plan bone-step)

levonorgestrel-eth estra tab0.05-30/0.075-40/0.125-30mg-mcg

medroxyprogesterone acetate imsusp 150 mg/ml (Depo-proveracontrac)

norelgestromin-ethinyl estradioltd ptwk 150-35 mcg/24hr (Orthoevra)

norethindrone & ethinyl estradioltab 0.4 mg-35 mcg (Ovcon-35)

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norethindrone & ethinylestradiol tab 0.5 mg-35 mcg(Brevicon-28)

norethindrone & ethinyl estradioltab 1 mg-35 mcg (Norinyl 1+35)

norethindrone & ethinylestradiol-fe chew tab0.4 mg-35 mcg (Femcon fe)

norethindrone ace & ethinylestradiol tab 1 mg-20 mcg(Loestrin 1/20-21)

norethindrone ace & ethinylestradiol tab 1.5 mg-30 mcg(Loestrin 1.5/30-21)

norethindrone ace & ethinylestradiol-fe tab 1 mg-20 mcg(Loestrin fe 1/20)

norethindrone ace & ethinylestradiol-fe tab 1.5 mg-30 mcg(Loestrin fe 1.5/30)

norethindrone tab 0.35 mg (Nor-qd)

norethindrone-eth estradiol tab0.5-35/0.75-35/1-35 mg-mcg(Ortho-novum 7/7/7)

norethindrone-eth estradiol tab0.5-35/1-35/0.5-35 mg-mcg (Tri-norinyl 28)

norgestimate & ethinyl estradioltab 0.25 mg-35 mcg (Ortho-cyclen)

norgestimate-eth estrad tab0.18-35/0.215-35/0.25-35 mg-mcg (Ortho tri-cyclen)

norgestrel & ethinyl estradiol tab0.3 mg-30 mcg

NUVARING – etonogestrel-ethinylestradiol va ring 0.120-0.015mg/24hr

INFERTILITY

chorionic gonadotropin for inj10000 unit

•

2014


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clomiphene citrate tab 50 mg(Clomid)

FOLLISTIM AQ – follitropin beta inj75 unit/0.5ml

•


•


•


•


•

LUPRON DEPOT-PED – leuprolideacetate for inj pediatric kit 7.5 mg

•

LUPRON DEPOT-PED – leuprolideacetate for inj pediatric kit 11.25mg

•

LUPRON DEPOT-PED – leuprolideacetate for inj pediatric kit 15 mg

•

LUPRON DEPOT-PED – leuprolideacetate (3 month) for inj pediatrickit 11.25 mg

•

LUPRON DEPOT-PED – leuprolideacetate (3 month) for inj pediatrickit 30 mg

•

SYNAREL – nafarelin acetatenasal soln 2 mg/ml

DIABETES

acarbose tab 100 mg (Precose)



BYDUREON – exenatide extendedrelease for inj susp 2 mg

• •

BYETTA – exenatide soln pen-injector 5 mcg/0.02ml

• •

BYETTA – exenatide soln pen-injector 10 mcg/0.04ml

• •

glimepiride tab 1 mg (Amaryl)



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glipizide tab sr 24hr 10 mg(Glucotrol xl)

glipizide tab sr 24hr 2.5 mg(Glucotrol xl)

glipizide tab sr 24hr 5 mg(Glucotrol xl)

glipizide tab 10 mg (Glucotrol)

glipizide tab 5 mg (Glucotrol)

glipizide-metformin hcl tab2.5-250 mg

glipizide-metformin hcl tab2.5-500 mg

glipizide-metformin hcl tab5-500 mg

GLUCAGON EMERGENCY KIT –glucagon (rdna) for inj kit 1 mg

glyburide micronized tab 1.5 mg(Glynase)

glyburide micronized tab 3 mg(Glynase)

glyburide micronized tab 6 mg(Glynase)

glyburide tab 1.25 mg

glyburide tab 2.5 mg

glyburide tab 5 mg

glyburide-metformin tab1.25-250 mg (Glucovance)

glyburide-metformin tab2.5-500 mg (Glucovance)

glyburide-metformin tab5-500 mg (Glucovance)

JANUMET – sitagliptin-metforminhcl tab 50-500 mg

•

JANUMET – sitagliptin-metforminhcl tab 50-1000 mg

•

JANUMET XR – sitagliptin-metformin hcl tab sr 24hr 50-500mg

•

2014


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JANUMET XR – sitagliptin-metformin hcl tab sr 24hr50-1000 mg

•

JANUMET XR – sitagliptin-metformin hcl tab sr 24hr100-1000 mg

•

JANUVIA – sitagliptin phosphatetab 25 mg (base equiv)

•


•


•

JUVISYNC – sitagliptin-simvastatintab 50-10 mg

•


•


•


•


•


•

KOMBIGLYZE XR – saxagliptin-metformin hcl tab sr 24hr2.5-1000 mg

•

KOMBIGLYZE XR – saxagliptin-metformin hcl tab sr 24hr 5-500mg

•

KOMBIGLYZE XR – saxagliptin-metformin hcl tab sr 24hr 5-1000mg

•

metformin hcl tab sr 24hr 500 mg(Glucophage xr)

metformin hcl tab sr 24hr 750 mg(Glucophage xr)

metformin hcl tab 1000 mg(Glucophage)


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nateglinide tab 120 mg (Starlix)

nateglinide tab 60 mg (Starlix)

ONGLYZA – saxagliptin hcl tab 2.5mg (base equiv)

•

ONGLYZA – saxagliptin hcl tab 5mg (base equiv)

•

pioglitazone hcl tab 15 mg (baseequiv) (Actos)

•


•


•

pioglitazone hcl-metformin hcltab 15-500 mg (Actoplus met)

•

pioglitazone hcl-metformin hcltab 15-850 mg (Actoplus met)

•

repaglinide tab 0.5 mg (Prandin)

repaglinide tab 1 mg (Prandin)

repaglinide tab 2 mg (Prandin)

SYMLINPEN 120 – pramlintideacetate pen-inj 2700 mcg/2.7ml(1000 mcg/ml)

SYMLINPEN 60 – pramlintideacetate pen-inj 1500 mcg/1.5ml(1000 mcg/ml)

VICTOZA – liraglutide soln pen-injector 18 mg/3ml (6 mg/ml)

• •

DIABETES - INSULINS

Rapid-Acting Insulins

HUMALOG – insulin lispro (human)soln cartridge 100 unit/ml

HUMALOG – insulin lispro (human)inj 100 unit/ml

HUMALOG KWIKPEN – insulinlispro (human) soln pen-injector100 unit/ml

NOVOLOG – insulin aspart inj 100unit/ml

2014


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NOVOLOG FLEXPEN – insulinaspart soln pen-injector 100 unit/ml

NOVOLOG PENFILL – insulinaspart soln cartridge 100 unit/ml

NOVOLOG PENFILL – insulinaspart inj 100 unit/ml

Short-Acting Insulins

HUMULIN R – insulin regular(human) inj 100 unit/ml

HUMULIN R U-500 (CONCENTR– insulin regular (human) inj 500unit/ml

NOVOLIN R – insulin regular(human) inj 100 unit/ml

NOVOLIN R RELION – insulinregular (human) inj 100 unit/ml

Intermediate-Acting Insulins

HUMALOG MIX 50/50 – insulinlispro prot & lispro (human) inj100 unit/ml (50-50)

HUMALOG MIX 50/50 KWIKPEN– insulin lispro prot & lispro suspen-inj 100 unit/ml (50-50)

HUMALOG MIX 75/25 – insulinlispro prot & lispro (human) inj100 unit/ml (75-25)

HUMALOG MIX 75/25 KWIKPEN– insulin lispro prot & lispro suspen-inj 100 unit/ml (75-25)

HUMULIN N – insulin isophane(human) inj 100 unit/ml

HUMULIN N KWIKPEN – insulinisophane (human) susp pen-injector 100 unit/ml

HUMULIN N U-100 PEN – insulinisophane (human) susp pen-injector 100 unit/ml

HUMULIN 70/30 – insulin isophane& regular (human) inj 100 unit/ml(70-30)

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HUMULIN 70/30 KWIKPEN –insulin isophane & regular susppen-inj 100 unit/ml (70-30)

HUMULIN 70/30 PEN – insulinisophane & regular susp pen-inj100 unit/ml (70-30)

NOVOLIN N – insulin isophane(human) inj 100 unit/ml

NOVOLIN N RELION – insulinisophane (human) inj 100 unit/ml

NOVOLIN 70/30 – insulin isophane& regular (human) inj 100 unit/ml(70-30)

NOVOLIN 70/30 RELION – insulinisophane & regular (human) inj100 unit/ml (70-30)

NOVOLOG MIX 70/30 – insulinaspart prot & aspart (human) inj100 unit/ml (70-30)

NOVOLOG MIX 70/30 PREFILL –insulin aspart prot & aspart suspen-inj 100 unit/ml (70-30)

Basal Insulins

LANTUS – insulin glargine inj 100unit/ml

LANTUS SOLOSTAR – insulinglargine soln pen-injector 100unit/ml

LEVEMIR – insulin detemir inj 100unit/ml

LEVEMIR FLEXPEN – insulindetemir soln pen-injector 100unit/ml

LEVEMIR FLEXTOUCH – insulindetemir soln pen-injector 100unit/ml

THYROID REGULATION

levothyroxine sodium tab100 mcg (Synthroid)


2014


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liothyronine sodium tab 25 mcg(Cytomel)



methimazole tab 10 mg(Tapazole)

methimazole tab 5 mg (Tapazole)

propylthiouracil tab 50 mg

SYNTHROID – levothyroxinesodium tab 25 mcg





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GROWTH HORMONE

INCRELEX – mecasermin inj 40mg/4ml (10 mg/ml)

•

OMNITROPE – somatropin inj 5mg/1.5ml

• •

OMNITROPE – somatropin inj 10mg/1.5ml

• •

OMNITROPE – somatropin for inj5.8 mg

• •

OTHER HORMONES AND RELATED DRUGS

ACTONEL – risedronate sodiumtab 5 mg

•


•


•


•

alendronate sodium tab 10 mg •alendronate sodium tab 35 mg •alendronate sodium tab 5 mg •alendronate sodium tab 70 mg

(Fosamax)•

ATELVIA – risedronate sodium tabdelayed release 35 mg

•

2014


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cabergoline tab 0.5 mg

calcitonin (salmon) nasal soln200 unit/act (Miacalcin)

calcitriol cap 0.25 mcg (Rocaltrol)

calcitriol cap 0.5 mcg (Rocaltrol)

calcitriol oral soln 1 mcg/ml(Rocaltrol)

desmopressin acetate inj 4 mcg/ml (Ddavp)

desmopressin acetate nasal soln0.01% (refrigerated) (Ddavp)

desmopressin acetate nasalspray soln 0.01% (Ddavp)

desmopressin acetate nasalspray soln 0.01% (refrigerated)

desmopressin acetate tab 0.1 mg(Ddavp)

desmopressin acetate tab 0.2 mg(Ddavp)

EVISTA – raloxifene hcl tab 60 mg

ibandronate sodium tab 150 mg(base equivalent) (Boniva)

•

levocarnitine oral soln1 gm/10ml (10%) (Carnitor)

levocarnitine tab 330 mg(Carnitor)

LUPRON DEPOT-PED – leuprolideacetate for inj pediatric kit 7.5 mg

•

LUPRON DEPOT-PED – leuprolideacetate for inj pediatric kit 11.25mg

•

LUPRON DEPOT-PED – leuprolideacetate for inj pediatric kit 15 mg

•

methylergonovine maleate tab0.2 mg

octreotide acetate inj 100 mcg/ml(0.1 mg/ml) (Sandostatin)

•

octreotide acetate inj 1000 mcg/ml (1 mg/ml) (Sandostatin)

•

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•


•


•

ORFADIN – nitisinone cap 2 mg •ORFADIN – nitisinone cap 5 mg •ORFADIN – nitisinone cap 10 mg •paricalcitol cap 1 mcg (Zemplar)

paricalcitol cap 2 mcg (Zemplar)

paricalcitol cap 4 mcg (Zemplar)

raloxifene hcl tab 60 mg (Evista)

SANDOSTATIN LAR DEPOT –octreotide acetate for im inj kit 10mg

•


•


•

SENSIPAR – cinacalcet hcl tab 30mg (base equiv)



STIMATE – desmopressin acetatenasal soln 1.5 mg/ml

HEART AND CIRCULATORY DRUGS

ANGIOTENSIN CONVERTING ENZYME (ACE)INHIBITORS AND COMBINATI

benazepril &hydrochlorothiazide tab10-12.5 mg (Lotensin hct)

benazepril &hydrochlorothiazide tab20-12.5 mg (Lotensin hct)

2014


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benazepril &hydrochlorothiazide tab20-25 mg (Lotensin hct)

benazepril &hydrochlorothiazide tab5-6.25 mg

benazepril hcl tab 10 mg(Lotensin)



benazepril hcl tab 5 mg

captopril tab 100 mg

captopril tab 12.5 mg

captopril tab 25 mg

captopril tab 50 mg

enalapril maleate &hydrochlorothiazide tab10-25 mg (Vaseretic)

enalapril maleate &hydrochlorothiazide tab5-12.5 mg

enalapril maleate tab 10 mg(Vasotec)

enalapril maleate tab 2.5 mg(Vasotec)



fosinopril sodium &hydrochlorothiazide tab10-12.5 mg

fosinopril sodium &hydrochlorothiazide tab20-12.5 mg

fosinopril sodium tab 10 mg



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lisinopril & hydrochlorothiazidetab 10-12.5 mg (Zestoretic)

lisinopril & hydrochlorothiazidetab 20-12.5 mg (Zestoretic)

lisinopril & hydrochlorothiazidetab 20-25 mg (Zestoretic)

lisinopril tab 10 mg (Prinivil)

lisinopril tab 2.5 mg (Zestril)


lisinopril tab 30 mg (Zestril)

lisinopril tab 40 mg (Zestril)


moexipril hcl tab 15 mg (Univasc)

moexipril hcl tab 7.5 mg(Univasc)

moexipril-hydrochlorothiazidetab 15-12.5 mg (Uniretic)

moexipril-hydrochlorothiazidetab 15-25 mg

moexipril-hydrochlorothiazidetab 7.5-12.5 mg

perindopril erbumine tab 2 mg

perindopril erbumine tab 4 mg(Aceon)

perindopril erbumine tab 8 mg(Aceon)

quinapril hcl tab 10 mg (Accupril)




quinapril-hydrochlorothiazidetab 10-12.5 mg (Accuretic)

quinapril-hydrochlorothiazidetab 20-12.5 mg (Accuretic)

quinapril-hydrochlorothiazidetab 20-25 mg (Accuretic)

ramipril cap 1.25 mg (Altace)

ramipril cap 10 mg (Altace)

2014


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ramipril cap 2.5 mg (Altace)

ramipril cap 5 mg (Altace)

trandolapril tab 1 mg (Mavik)



ANGIOTENSIN II RECEPTOR ANTAGONISTS (ARBS)AND COMBINATIONS

DIOVAN – valsartan tab 40 mg •DIOVAN – valsartan tab 80 mg •DIOVAN – valsartan tab 160 mg •DIOVAN – valsartan tab 320 mg •EXFORGE HCT – amlodipine-

valsartan-hydrochlorothiazide tab5-160-12.5 mg

•

EXFORGE HCT – amlodipine-valsartan-hydrochlorothiazide tab5-160-25 mg

•

EXFORGE HCT – amlodipine-valsartan-hydrochlorothiazide tab10-160-12.5 mg

•


•


•

irbesartan tab 150 mg (Avapro)



irbesartan-hydrochlorothiazidetab 150-12.5 mg (Avalide)

irbesartan-hydrochlorothiazidetab 300-12.5 mg (Avalide)

losartan potassium &hydrochlorothiazide tab100-12.5 mg (Hyzaar)

losartan potassium &hydrochlorothiazide tab100-25 mg (Hyzaar)

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losartan potassium &hydrochlorothiazide tab50-12.5 mg (Hyzaar)

losartan potassium tab 100 mg(Cozaar)



MICARDIS – telmisartan tab 20 mg •MICARDIS – telmisartan tab 40 mg •MICARDIS – telmisartan tab 80 mg •MICARDIS HCT – telmisartan-

hydrochlorothiazide tab 40-12.5mg

•

MICARDIS HCT – telmisartan-hydrochlorothiazide tab 80-12.5mg

•

MICARDIS HCT – telmisartan-hydrochlorothiazide tab 80-25 mg

•

valsartan-hydrochlorothiazidetab 160-12.5 mg (Diovan hct)

valsartan-hydrochlorothiazidetab 160-25 mg (Diovan hct)


valsartan-hydrochlorothiazidetab 320-25 mg (Diovan hct)


BETA BLOCKERS AND COMBINATIONS

acebutolol hcl cap 200 mg(Sectral)

acebutolol hcl cap 400 mg(Sectral)

atenolol & chlorthalidone tab100-25 mg (Tenoretic 100)

atenolol & chlorthalidone tab50-25 mg (Tenoretic 50)

atenolol tab 100 mg (Tenormin)

2014


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bisoprolol & hydrochlorothiazidetab 10-6.25 mg (Ziac)

bisoprolol & hydrochlorothiazidetab 2.5-6.25 mg (Ziac)

bisoprolol & hydrochlorothiazidetab 5-6.25 mg (Ziac)

bisoprolol fumarate tab 10 mg(Zebeta)

bisoprolol fumarate tab 5 mg(Zebeta)

carvedilol tab 12.5 mg (Coreg)

carvedilol tab 25 mg (Coreg)



DUTOPROL – metoprolol &hydrochlorothiazide tab sr 24hr25-12.5 mg



labetalol hcl tab 100 mg(Trandate)



metoprolol succinate tab sr 24hr100 mg (Toprol xl)




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metoprolol tartrate tab 100 mg(Lopressor)

metoprolol tartrate tab 25 mg

metoprolol tartrate tab 50 mg(Lopressor)

nadolol tab 20 mg (Corgard)



pindolol tab 10 mg

pindolol tab 5 mg

propranolol hcl cap sr 24hr120 mg (Inderal la)




propranolol hcl tab 10 mg





CALCIUM CHANNEL BLOCKERS ANDCOMBINATIONS

amlodipine besylate tab 10 mg(Norvasc)

amlodipine besylate tab 2.5 mg(Norvasc)

amlodipine besylate tab 5 mg(Norvasc)

amlodipine besylate-atorvastatincalcium tab 10-10 mg (Caduet)



2014


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amlodipine besylate-atorvastatincalcium tab 2.5-10 mg (Caduet)







amlodipine besylate-benazeprilhcl cap 10-20 mg (Lotrel)


amlodipine besylate-benazeprilhcl cap 2.5-10 mg (Lotrel)




diltiazem hcl cap sr 24hr 120 mg



diltiazem hcl coated beads capsr 24hr 120 mg (Cardizem cd)




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diltiazem hcl extended releasebeads cap sr 24hr 120 mg(Tiazac)






diltiazem hcl tab 120 mg(Cardizem)



diltiazem hcl tab 90 mg

EXFORGE – amlodipine besylate-valsartan tab 5-160 mg

•


•


•


•

felodipine tab sr 24hr 10 mg

felodipine tab sr 24hr 2.5 mg

felodipine tab sr 24hr 5 mg

nifedipine tab sr 24hr osmotic30 mg (Procardia xl)

2014


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nifedipine tab sr 24hr 30 mg(Adalat cc)



verapamil hcl cap sr 24hr120 mg (Verelan)




verapamil hcl tab cr 120 mg(Calan sr)



verapamil hcl tab 120 mg (Calan)

verapamil hcl tab 80 mg (Calan)

CHEST PAIN

isosorbide dinitrate tab 10 mg



isosorbide dinitrate tab 5 mg(Isordil titradose)

isosorbide mononitrate tab sr24hr 120 mg (Imdur)



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isosorbide mononitrate tab10 mg

isosorbide mononitrate tab20 mg

nitroglycerin td patch 24hr0.1 mg/hr (Nitro-dur)




NITROSTAT – nitroglycerin sl tab0.3 mg



CHOLESTEROL LOWERING

atorvastatin calcium tab 10 mg(base equivalent) (Lipitor)




cholestyramine light powderpackets 4 gm

cholestyramine light powder4 gm/dose (Questran light)

cholestyramine powder packets4 gm (Questran)

cholestyramine powder 4 gm/dose (Questran)

choline fenofibrate cap dr135 mg (fenofibric acid equiv)(Trilipix)

choline fenofibrate cap dr 45 mg(fenofibric acid equiv) (Trilipix)

2014


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colestipol hcl granule packets5 gm (Colestid flavored)

colestipol hcl granules 5 gm(Colestid flavored)

colestipol hcl tab 1 gm (Colestid)

CRESTOR – rosuvastatin calciumtab 5 mg

•


•


•


•

fenofibrate micronized cap134 mg (Lofibra)



fenofibrate tab 145 mg (Tricor)

fenofibrate tab 160 mg (Lofibra)

fenofibrate tab 48 mg (Tricor)

fenofibrate tab 54 mg (Lofibra)

gemfibrozil tab 600 mg (Lopid)

JUXTAPID – lomitapide mesylatecap 5 mg (base equiv)

• • •


• • •


• • •

LIPOFEN – fenofibrate cap 50 mg

LIPOFEN – fenofibrate cap 150 mg

lovastatin tab 10 mg

lovastatin tab 20 mg (Mevacor)

lovastatin tab 40 mg (Mevacor)

LOVAZA – omega-3-acid ethylesters cap 1 gm

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niacin tab cr 1000 mg(antihyperlipidemic) (Niaspan)



pravastatin sodium tab 10 mg

pravastatin sodium tab 20 mg(Pravachol)



simvastatin tab 10 mg (Zocor)





WELCHOL – colesevelam hcl tab625 mg

WELCHOL – colesevelam hclpacket for susp 3.75 gm

ZETIA – ezetimibe tab 10 mg

FLUID RETENTION

acetazolamide cap sr 12hr500 mg (Diamox)

acetazolamide tab 250 mg

amiloride & hydrochlorothiazidetab 5-50 mg

amiloride hcl tab 5 mg

bumetanide tab 0.5 mg

bumetanide tab 1 mg

bumetanide tab 2 mg

chlorothiazide tab 250 mg

chlorothiazide tab 500 mg

furosemide oral soln 10 mg/ml

furosemide tab 20 mg (Lasix)

2014


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hydrochlorothiazide cap 12.5 mg(Microzide)

hydrochlorothiazide tab 25 mg

hydrochlorothiazide tab 50 mg

indapamide tab 1.25 mg

indapamide tab 2.5 mg

methazolamide tab 25 mg(Neptazane)

methazolamide tab 50 mg(Neptazane)

metolazone tab 10 mg

metolazone tab 2.5 mg(Zaroxolyn)

metolazone tab 5 mg (Zaroxolyn)

spironolactone &hydrochlorothiazide tab25-25 mg (Aldactazide)

spironolactone tab 100 mg(Aldactone)



torsemide tab 10 mg (Demadex)




triamterene &hydrochlorothiazide cap37.5-25 mg (Dyazide)

triamterene &hydrochlorothiazide tab37.5-25 mg (Maxzide-25)

triamterene &hydrochlorothiazide tab75-50 mg (Maxzide)

HEART RHYTHM

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amiodarone hcl tab 100 mg

amiodarone hcl tab 200 mg(Cordarone)

amiodarone hcl tab 400 mg

disopyramide phosphate cap100 mg (Norpace)

disopyramide phosphate cap150 mg (Norpace)

flecainide acetate tab 100 mg



mexiletine hcl cap 150 mg



MULTAQ – dronedarone hcl tab400 mg (base equivalent)

propafenone hcl cap sr 12hr225 mg (Rythmol sr)



propafenone hcl tab 150 mg(Rythmol)

propafenone hcl tab 225 mg(Rythmol)

propafenone hcl tab 300 mg

quinidine gluconate tab cr324 mg

quinidine sulfate tab 200 mg

quinidine sulfate tab 300 mg

RYTHMOL – propafenone hcl tab150 mg

RYTHMOL – propafenone hcl tab225 mg

sotalol hcl (afib/afl) tab 120 mg(Betapace af)

2014


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sotalol hcl tab 120 mg (Betapace)


sotalol hcl tab 240 mg


OTHER HEART RELATED DRUGS

clonidine hcl tab 0.1 mg(Catapres)



clonidine hcl td patch weekly0.1 mg/24hr (Catapres-tts-1)



DIBENZYLINE –phenoxybenzamine hcl cap 10mg

digoxin tab 125 mcg (0.125 mg)(Lanoxin)

digoxin tab 250 mcg (0.25 mg)(Lanoxin)

doxazosin mesylate tab 1 mg(Cardura)




eplerenone tab 25 mg (Inspra)

eplerenone tab 50 mg (Inspra)

guanfacine hcl tab 1 mg (Tenex)

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guanfacine hcl tab 2 mg (Tenex)

hydralazine hcl tab 10 mg




LETAIRIS – ambrisentan tab 5 mg •LETAIRIS – ambrisentan tab 10

mg•

methyldopa tab 250 mg

methyldopa tab 500 mg

midodrine hcl tab 10 mg

midodrine hcl tab 2.5 mg

midodrine hcl tab 5 mg

minoxidil tab 10 mg

minoxidil tab 2.5 mg

OPSUMIT – macitentan tab 10 mg •prazosin hcl cap 1 mg (Minipress)

prazosin hcl cap 2 mg (Minipress)

prazosin hcl cap 5 mg (Minipress)

sildenafil citrate tab 20 mg(Revatio)

•

terazosin hcl cap 1 mg




TRACLEER – bosentan tab 62.5mg

•

TRACLEER – bosentan tab 125mg

•

ERECTILE DYSFUNCTION

CIALIS – tadalafil tab 2.5 mg • •CIALIS – tadalafil tab 5 mg • •CIALIS – tadalafil tab 10 mg • •CIALIS – tadalafil tab 20 mg • •BEE STING KITS

2014


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EPIPEN 2-PAK – epinephrinesolution auto-injector 0.3mg/0.3ml (1:1000)

EPIPEN-JR 2-PAK – epinephrinesolution auto-injector 0.15mg/0.3ml (1:2000)

RESPIRATORY AGENTS

ANTIHISTAMINES

cetirizine hcl oral soln 1 mg/ml(5 mg/5ml)

cyproheptadine hcl syrup2 mg/5ml

cyproheptadine hcl tab 4 mg

promethazine hcl suppos12.5 mg

promethazine hcl suppos 25 mg

promethazine hcl syrup6.25 mg/5ml

promethazine hcl tab 12.5 mg

promethazine hcl tab 25 mg

promethazine hcl tab 50 mg

NASAL PRODUCTS

ASTEPRO – azelastine hcl nasalspray 0.15% (205.5 mcg/spray)

•

azelastine hcl nasal spray 0.15%(205.5 mcg/spray) (Astepro)

•

azelastine hcl nasal spray137 mcg/spray (1 mg/ml)

•

flunisolide nasal soln 0.025%(Flunisolide)

•

fluticasone propionate nasalsusp 50 mcg/act (Flonase)

•

ipratropium bromide nasal soln0.03% (21 mcg/spray) (Atrovent)

•

ipratropium bromide nasal soln0.06% (42 mcg/spray) (Atrovent)

•

NASONEX – mometasone furoatenasal susp 50 mcg/act

•

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triamcinolone acetonide nasalinhal 55 mcg/act (Nasacort aq)

•

COUGH/COLD/ALLERGY

acetylcysteine inhal soln 10%

acetylcysteine inhal soln 20%

ASTHMA/COPD

ADVAIR DISKUS – fluticasone-salmeterol aer powder ba 100-50mcg/dose

•


•


•

ADVAIR HFA – fluticasone-salmeterol inhal aerosol 45-21mcg/act

•


•


•

albuterol sulfate soln nebu0.083% (2.5 mg/3ml)

albuterol sulfate soln nebu 0.5%(5 mg/ml)

albuterol sulfate soln nebu0.63 mg/3ml (base equiv)

albuterol sulfate soln nebu1.25 mg/3ml (base equiv)

albuterol sulfate syrup 2 mg/5ml

albuterol sulfate tab 2 mg

albuterol sulfate tab 4 mg

ANORO ELLIPTA – umeclidinium-vilanterol aero powd ba 62.5-25mcg/inh

•

ASMANEX 120 METEREDDOSES – mometasone furoate

•

2014


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inhal powd 220 mcg/inh (breathactivated)

ASMANEX 14 METERED DOSES– mometasone furoate inhalpowd 220 mcg/inh (breathactivated)

•


•


•


•

ATROVENT HFA – ipratropiumbromide hfa inhal aerosol 17mcg/act

•

BREO ELLIPTA – fluticasonefuroate-vilanterol aero powd ba100-25 mcg/inh

•

budesonide inhalation susp0.25 mg/2ml (Pulmicort)

budesonide inhalation susp0.5 mg/2ml (Pulmicort)

COMBIVENT – ipratropium-albuterol aerosol 18-103 mcg/act(20-120mcg/act)

•

COMBIVENT RESPIMAT –ipratropium-albuterol inhalaerosol soln 20-100 mcg/act

•

cromolyn sodium soln nebu20 mg/2ml

DULERA – mometasone furoate-formoterol fumarate aerosol100-5 mcg/act

•

DULERA – mometasone furoate-formoterol fumarate aerosol200-5 mcg/act

•

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FLOVENT DISKUS – fluticasonepropionate aer pow ba 50 mcg/blister

•


•


•

FLOVENT HFA – fluticasonepropionate hfa inhal aero 44mcg/act (50/valve)

•

FLOVENT HFA – fluticasonepropionate hfa inhal aer 110mcg/act (125/valve)

•

FLOVENT HFA – fluticasonepropionate hfa inhal aer 220mcg/act (250/valve)

•

FORADIL AEROLIZER –formoterol fumarate inhal cap 12mcg

•

ipratropium bromide inhal soln0.02%

ipratropium-albuterol nebu soln0.5-2.5(3) mg/3ml (Duoneb)

levalbuterol hcl soln nebu conc1.25 mg/0.5ml (base equiv)(Xopenex concentrate)

levalbuterol hcl soln nebu0.31 mg/3ml (base equiv)(Xopenex)



montelukast sodium chew tab4 mg (base equiv) (Singulair)

•

montelukast sodium chew tab5 mg (base equiv) (Singulair)

•

2014


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montelukast sodiumoral granules packet 4 mg(base equiv) (Singulair)

•

montelukast sodium tab 10 mg(base equiv) (Singulair)

•

PROAIR HFA – albuterol sulfateinhal aero 108 mcg/act (90mcgbase equiv)

•

PULMICORT – budesonideinhalation susp 1 mg/2ml

QVAR – beclomethasonedipropionate inhal aero soln 40mcg/act

•

QVAR – beclomethasonedipropionate inhal aero soln 80mcg/act

•

SPIRIVA HANDIHALER –tiotropium bromide monohydrateinhal cap 18 mcg (base equiv)

•

SYMBICORT – budesonide-formoterol fumarate dihydaerosol 80-4.5 mcg/act

•

SYMBICORT – budesonide-formoterol fumarate dihydaerosol 160-4.5 mcg/act

•

terbutaline sulfate tab 2.5 mg

terbutaline sulfate tab 5 mg

theophylline tab sr 12hr 100 mg






VENTOLIN HFA – albuterol sulfateinhal aero 108 mcg/act (90mcgbase equiv)

•

zafirlukast tab 10 mg (Accolate) •zafirlukast tab 20 mg (Accolate) •OTHER RESPIRATORY DRUGS

KALYDECO – ivacaftor tab 150 mg • • •

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PULMOZYME – dornase alfa inhalsoln 1 mg/ml

•

GASTROINTESTINAL DRUGS

LAXATIVES

lactulose solution 10 gm/15ml

peg 3350-kcl-na bicarb-nacl-na sulfate for soln 236 gm(Golytely)

peg 3350-kcl-na bicarb-nacl-nasulfate for soln 240 gm (Colyte-flavor packs)

peg 3350-kcl-sod bicarb-naclfor soln 420 gm (Nulytely/flavorpack)

diphenoxylate w/ atropine tab2.5-0.025 mg (Lomotil)

loperamide hcl cap 2 mg

ULCER/GERD

cimetidine hcl soln 300 mg/5ml

cimetidine tab 300 mg



dicyclomine hcl cap 10 mg(Bentyl)

dicyclomine hcl tab 20 mg(Bentyl)

famotidine tab 20 mg (Pepcid)

famotidine tab 40 mg (Pepcid)

glycopyrrolate tab 1 mg (Robinul)

glycopyrrolate tab 2 mg (Robinulforte)

hyoscyamine sulfate elixir0.125 mg/5ml

hyoscyamine sulfate soln0.125 mg/ml

hyoscyamine sulfate tab sl0.125 mg (Levsin/sl)

hyoscyamine sulfate tab sr 12hr0.375 mg (Levbid)

2014


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hyoscyamine sulfate tab0.125 mg (Levsin)

lansoprazole cap delayedrelease 15 mg (Prevacid)

•

lansoprazole cap delayedrelease 30 mg (Prevacid)

•

methscopolamine bromide tab2.5 mg (Pamine)

methscopolamine bromide tab5 mg (Pamine forte)

misoprostol tab 100 mcg(Cytotec)

misoprostol tab 200 mcg(Cytotec)

NEXIUM – esomeprazolemagnesium for delayed releasesusp pack 2.5 mg

• •

NEXIUM – esomeprazolemagnesium for delayed releasesusp packet 5 mg

• •


• •


• •


• •

NEXIUM – esomeprazolemagnesium cap delayed release20 mg

• •

NEXIUM – esomeprazolemagnesium cap delayed release40 mg

• •

omeprazole cap delayed release10 mg (Prilosec)

•


•


•

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pantoprazole sodium ec tab20 mg (base equiv) (Protonix)

•

pantoprazole sodium ec tab40 mg (base equiv) (Protonix)

•

ranitidine hcl cap 150 mg

ranitidine hcl cap 300 mg

ranitidine hcl syrup 15 mg/ml(75 mg/5ml)

ranitidine hcl tab 150 mg (Zantac)

ranitidine hcl tab 300 mg (Zantac)

sucralfate tab 1 gm (Carafate)

NAUSEA AND VOMITING

EMEND – aprepitant capsule 40mg

•


•


•

EMEND – aprepitant capsuletherapy pack 80 & 125 mg

•

granisetron hcl tab 1 mg •meclizine hcl tab 12.5 mg

meclizine hcl tab 25 mg

ondansetron hcl inj 4 mg/2ml(2 mg/ml)

ondansetron hcl inj 40 mg/20ml(2 mg/ml) (Zofran)

ondansetron hcl oral soln4 mg/5ml (Zofran)

ondansetron hcl tab 24 mg •ondansetron hcl tab 4 mg

(Zofran)•

ondansetron hcl tab 8 mg(Zofran)

•

ondansetron orallydisintegrating tab 4 mg (Zofranodt)

•

2014


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its

ondansetron orallydisintegrating tab 8 mg (Zofranodt)

•

TRANSDERM-SCOP –scopolamine td patch 72hr 1.5mg

trimethobenzamide hcl cap300 mg (Tigan)

DIGESTIVE ENZYMES

CREON – pancrelipase (lip-prot-amyl) dr cap 3000-9500-15000unit



CREON – pancrelipase(lip-prot-amyl) dr cap24000-76000-120000 unit

CREON – pancrelipase(lip-prot-amyl) dr cap36000-114000-180000 unit

ZENPEP – pancrelipase (lip-prot-amyl) dr cap 3000-10000-16000unit




ZENPEP – pancrelipase(lip-prot-amyl) dr cap20000-68000-109000 unit

ZENPEP – pancrelipase(lip-prot-amyl) dr cap25000-85000-136000 unit

Drug Name Spe

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OTHER GASTROINTESTINAL DRUGS

ASACOL – mesalamine tabdelayed release 400 mg

ASACOL HD – mesalamine tabdelayed release 800 mg

balsalazide disodium cap750 mg (Colazal)

calcium acetate (phosphatebinder) cap 667 mg (169 mgca) (Phoslo)

calcium acetate (phosphatebinder) tab 667 mg (Eliphos)

CANASA – mesalamine suppos1000 mg

CHENODAL – chenodiol tab 250mg

•

DELZICOL – mesalamine cap dr400 mg

lactulose (encephalopathy)solution 10 gm/15ml

LIALDA – mesalamine tab delayedrelease 1.2 gm

mesalamine enema 4 gm

metoclopramide hcl soln5 mg/5ml (10 mg/10ml)

metoclopramide hcl tab 10 mg(Reglan)

metoclopramide hcl tab 5 mg(Reglan)

PENTASA – mesalamine cap cr250 mg

PENTASA – mesalamine cap cr500 mg

sulfasalazine tab delayedrelease 500 mg (Azulfidine en-tabs)

sulfasalazine tab 500 mg(Azulfidine)

ursodiol cap 300 mg (Actigall)

ursodiol tab 250 mg (Urso 250)

2014


Drug Name Spe

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its

ursodiol tab 500 mg (Urso forte)

GENITOURINARY DRUGS

URINARY TRACT INFECTIONS

nitrofurantoin macrocrystallinecap 100 mg (Macrodantin)

nitrofurantoin macrocrystallinecap 50 mg (Macrodantin)

nitrofurantoin monohydratemacrocrystalline cap 100 mg(Macrobid)

nitrofurantoin susp 25 mg/5ml(Furadantin)

URINARY TRACT SPASMS

oxybutynin chloride syrup5 mg/5ml

oxybutynin chloride tab sr 24hr10 mg (Ditropan xl)



oxybutynin chloride tab 5 mg

tolterodine tartrate cap sr 24hr2 mg (Detrol la)

tolterodine tartrate cap sr 24hr4 mg (Detrol la)

tolterodine tartrate tab 1 mg(Detrol)

tolterodine tartrate tab 2 mg(Detrol)

VESICARE – solifenacin succinatetab 5 mg

VESICARE – solifenacin succinatetab 10 mg

VAGINAL PRODUCTS

clindamycin phosphate vaginalcream 2% (Cleocin)

ESTRACE – estradiol vaginalcream 0.1 mg/gm

Drug Name Spe

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metronidazole vaginal gel 0.75%(Metrogel-vaginal)

terconazole vaginal cream 0.4%(Terazol 7)

terconazole vaginal cream 0.8%(Terazol 3)

terconazole vaginal suppos80 mg

VAGIFEM – estradiol vaginal tab10 mcg

OTHER GENITOURINARY DRUGS

alfuzosin hcl tab sr 24hr 10 mg(Uroxatral)

AVODART – dutasteride cap 0.5mg

CYSTAGON – cysteaminebitartrate cap 50 mg

•

CYSTAGON – cysteaminebitartrate cap 150 mg

•

finasteride tab 5 mg (Proscar)

potassium citrate & citric acidpowder pack 3300-1002 mg

potassium citrate & citric acidsoln 1100-334 mg/5ml

sodium citrate & citric acid soln500-334 mg/5ml (Shohls solutionmodi)

tamsulosin hcl cap 0.4 mg(Flomax)

CENTRAL NERVOUS SYSTEM DRUGS

ANXIETY

alprazolam tab sr 24hr 0.5 mg(Xanax xr)

alprazolam tab sr 24hr 1 mg(Xanax xr)



alprazolam tab 0.25 mg (Xanax)

2014


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its

alprazolam tab 0.5 mg (Xanax)

alprazolam tab 1 mg (Xanax)

alprazolam tab 2 mg (Xanax)

buspirone hcl tab 10 mg




diazepam tab 10 mg (Valium)



hydroxyzine hcl syrup 10 mg/5ml

hydroxyzine hcl tab 10 mg



hydroxyzine pamoate cap 25 mg(Vistaril)

hydroxyzine pamoate cap 50 mg(Vistaril)

lorazepam conc 2 mg/ml(Lorazepam intensol)

lorazepam tab 0.5 mg (Ativan)

lorazepam tab 1 mg (Ativan)

lorazepam tab 2 mg (Ativan)

DEPRESSION

amitriptyline hcl tab 10 mg






bupropion hcl tab sr 12hr100 mg (Wellbutrin sr)

•


•


•

Drug Name Spe

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Lim

its

bupropion hcl tab sr 24hr150 mg (Wellbutrin xl)

•

bupropion hcl tab sr 24hr300 mg (Wellbutrin xl)

•

bupropion hcl tab 100 mg(Wellbutrin)

•

bupropion hcl tab 75 mg(Wellbutrin)

•

citalopram hydrobromide oralsoln 10 mg/5ml

citalopram hydrobromide tab10 mg (base equiv) (Celexa)



clomipramine hcl cap 25 mg(Anafranil)



desipramine hcl tab 10 mg(Norpramin)






doxepin hcl cap 10 mg




doxepin hcl conc 10 mg/ml

2014


Drug Name Spe

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its

duloxetine hcl enteric coatedpellets cap 20 mg (Cymbalta)

•


•


•

escitalopram oxalate soln5 mg/5ml (base equiv)(Lexapro)

escitalopram oxalate tab 10 mg(base equiv) (Lexapro)



fluoxetine hcl cap 10 mg (Prozac)



fluoxetine hcl solution20 mg/5ml

fluoxetine hcl tab 10 mg

fluoxetine hcl tab 20 mg

fluvoxamine maleate tab 100 mg



imipramine hcl tab 10 mg(Tofranil)



mirtazapine tab 15 mg (Remeron)



mirtazapine tab 7.5 mg

nortriptyline hcl cap 10 mg(Pamelor)

Drug Name Spe

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its




paroxetine hcl tab sr 24hr12.5 mg (Paxil cr)

paroxetine hcl tab sr 24hr 25 mg(Paxil cr)

paroxetine hcl tab sr 24hr37.5 mg (Paxil cr)

paroxetine hcl tab 10 mg (Paxil)




phenelzine sulfate tab 15 mg(Nardil)

sertraline hcl oral conc 20 mg/ml(Zoloft)

sertraline hcl tab 100 mg (Zoloft)



tranylcypromine sulfate tab10 mg (Parnate)

trazodone hcl tab 100 mg




venlafaxine hcl cap sr 24hr150 mg (base equivalent)(Effexor xr)

•

venlafaxine hcl cap sr 24hr37.5 mg (base equivalent)(Effexor xr)

•

venlafaxine hcl cap sr 24hr75 mg (base equivalent)(Effexor xr)

•

2014


Drug Name Spe

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its

venlafaxine hcl tab sr 24hr150 mg (base equivalent)(Venlafaxine hcl er)

•

venlafaxine hcl tab sr 24hr37.5 mg (base equivalent)(Venlafaxine hcl er)

•

venlafaxine hcl tab sr 24hr 75 mg(base equivalent) (Venlafaxinehcl er)

•

venlafaxine hcl tab 100 mg


venlafaxine hcl tab 37.5 mg



PSYCHOTIC AND BIPOLAR DISORDERS

chlorpromazine hcl tab 10 mg





clozapine tab 100 mg (Clozaril)

clozapine tab 200 mg

clozapine tab 25 mg (Clozaril)

clozapine tab 50 mg

fluphenazine hcl tab 1 mg


fluphenazine hcl tab 2.5 mg


haloperidol decanoate im soln100 mg/ml (Haldol decanoate100)

haloperidol decanoate im soln50 mg/ml (Haldol decanoate 50)

haloperidol lactate oral conc2 mg/ml

haloperidol tab 0.5 mg

haloperidol tab 1 mg

Drug Name Spe

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its





lithium carbonate cap 150 mg(Lithium carbonate)

lithium carbonate cap 300 mg

lithium carbonate cap 600 mg(Lithium carbonate)

lithium carbonate tab cr 300 mg(Lithobid)

lithium carbonate tab cr 450 mg

lithium carbonate tab 300 mg

loxapine succinate cap 10 mg


loxapine succinate cap 5 mg(Loxitane)


olanzapine orally disintegratingtab 10 mg (Zyprexa zydis)




olanzapine tab 10 mg (Zyprexa)


olanzapine tab 2.5 mg (Zyprexa)



olanzapine tab 7.5 mg (Zyprexa)

perphenazine tab 16 mg




2014


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its

prochlorperazine maleate tab10 mg (Compazine)

prochlorperazine maleate tab5 mg (Compazine)

prochlorperazine suppos 25 mg

quetiapine fumarate tab 100 mg(Seroquel)






risperidone orally disintegratingtab 0.25 mg

risperidone orally disintegratingtab 0.5 mg (Risperdal m-tab)

risperidone orally disintegratingtab 1 mg (Risperdal m-tab)




risperidone soln 1 mg/ml(Risperdal)

risperidone tab 0.25 mg(Risperdal)

risperidone tab 0.5 mg(Risperdal)

risperidone tab 1 mg (Risperdal)




Drug Name Spe

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Lim

its

SEROQUEL XR – quetiapinefumarate tab sr 24hr 50 mg





thiothixene cap 1 mg




trifluoperazine hcl tab 1 mg




ziprasidone hcl cap 20 mg(Geodon)




SLEEP AIDS

estazolam tab 1 mg

estazolam tab 2 mg

phenobarbital elixir 20 mg/5ml

phenobarbital tab 16.2 mg

phenobarbital tab 30 mg

phenobarbital tab 32.4 mg

temazepam cap 15 mg (Restoril)

temazepam cap 22.5 mg(Restoril)

temazepam cap 30 mg (Restoril)

2014


Drug Name Spe

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its

temazepam cap 7.5 mg (Restoril)

zaleplon cap 10 mg (Sonata) •zaleplon cap 5 mg (Sonata) •zolpidem tartrate tab cr 12.5 mg

(Ambien cr)•

zolpidem tartrate tab cr 6.25 mg(Ambien cr)

•

zolpidem tartrate tab 10 mg(Ambien)

•

zolpidem tartrate tab 5 mg(Ambien)

•

HYPERACTIVITY/NARCOLEPSY

amphetamine-dextroamphetamine cap sr24hr 10 mg (Adderall xr)

•


•


•


•


•


•

amphetamine-dextroamphetamine tab 10 mg(Adderall)

amphetamine-dextroamphetamine tab12.5 mg (Adderall)


Drug Name Spe

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its




amphetamine-dextroamphetamine tab 7.5 mg(Adderall)

caffeine citrate oral soln60 mg/3ml (10 mg/ml baseequiv) (Cafcit)

dextroamphetamine sulfate capsr 24hr 10 mg (Dexedrine)



dextroamphetamine sulfate tab5 mg

FOCALIN XR –dexmethylphenidate hcl cap sr24 hr 5 mg

•


•


•


•


•

INTUNIV – guanfacine hcl tab sr24hr 1 mg (base equiv)


2014


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its



METHYLPHENIDATE HCL ER –methylphenidate hcl tab cr 10 mg

•

methylphenidate hcl tab cr20 mg (Ritalin sr)

•

methylphenidate hcl tab 10 mg(Ritalin)



modafinil tab 100 mg (Provigil) • •modafinil tab 200 mg (Provigil) • •VYVANSE – lisdexamfetamine

dimesylate cap 20 mg•

VYVANSE – lisdexamfetaminedimesylate cap 30 mg

•


•


•


•


•

MULTIPLE SCLEROSIS

BETASERON – interferon beta-1bfor inj kit 0.3 mg

• •

COPAXONE – glatiramer acetatesoln prefilled syringe 40 mg/ml

• •

COPAXONE – glatiramer acetateinj kit 20 mg/ml

• •

REBIF – interferon beta-1a inj 22mcg/0.5ml (12mu/ml) (44 mcg/ml)

• •

Drug Name Spe

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REBIF – interferon beta-1a inj 44mcg/0.5ml (24mu/ml) (88 mcg/ml)

• •

REBIF REBIDOSE – interferonbeta-1a inj 22 mcg/0.5ml (12mu/ml) (44 mcg/ml)

• •

REBIF REBIDOSE – interferonbeta-1a inj 44 mcg/0.5ml (24mu/ml) (88 mcg/ml)

• •

REBIF REBIDOSE TITRATION– interferon beta-1a inj 6 x 8.8mcg/0.2ml & 6 x 22 mcg/0.5ml

• •

REBIF TITRATION PACK –interferon beta-1a inj 6 x 8.8mcg/0.2ml & 6 x 22 mcg/0.5ml

• •

TECFIDERA – dimethyl fumaratecapsule delayed release 120 mg

• •

TECFIDERA – dimethyl fumaratecapsule delayed release 240 mg

• •

TECFIDERA STARTER PACK –dimethyl fumarate capsule drstarter pack 120 mg & 240 mg

• •

OTHER CENTRAL NERVOUS SYSTEM DRUGS

acamprosate calcium tabdelayed release 333 mg(Campral)

bupropion hcl (smokingdeterrent) tab sr 12hr 150 mg(Zyban)

•

CHANTIX – varenicline tartrate tab0.5 mg (base equiv)

•

CHANTIX – varenicline tartrate tab1 mg (base equiv)

•

CHANTIX CONTINUING MONTH– varenicline tartrate tab 1 mg(base equiv)

•

CHANTIX STARTING MONTH PA– varenicline tartrate tab 0.5 mg x11 & tab 1 mg x 42 pack

•

disulfiram tab 250 mg (Antabuse)

disulfiram tab 500 mg (Antabuse)

2014


Drug Name Spe

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its

donepezil hydrochloride orallydisintegrating tab 10 mg(Aricept odt)

donepezil hydrochloride orallydisintegrating tab 5 mg (Ariceptodt)

donepezil hydrochloride tab10 mg (Aricept)

donepezil hydrochloride tab5 mg (Aricept)

EXELON – rivastigmine td patch24hr 4.6 mg/24hr



galantamine hydrobromide capsr 24hr 16 mg (Razadyne er)



galantamine hydrobromide oralsoln 4 mg/ml (Razadyne)

galantamine hydrobromide tab12 mg (Razadyne)



NICOTROL INHALER – nicotineinhaler system 10 mg (4 mgdelivered)

NICOTROL NS – nicotine nasalspray 10 mg/ml (0.5 mg/spray)

rivastigmine tartrate cap 1.5 mg(Exelon)

rivastigmine tartrate cap 3 mg(Exelon)

rivastigmine tartrate cap 4.5 mg(Exelon)

Drug Name Spe

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its

rivastigmine tartrate cap 6 mg(Exelon)

PAIN RELIEF DRUGS

NON-NARCOTIC DRUGS

butalbital-acetaminophen tab50-325 mg

•

butalbital-acetaminophen tab50-650 mg

•

butalbital-acetaminophen-caffeine cap 50-325-40 mg

•

butalbital-acetaminophen-caffeine tab 50-325-40 mg

•

butalbital-acetaminophen-caffeine tab 50-500-40 mg

•

butalbital-aspirin-caffeine cap50-325-40 mg (Fiorinal)

•

butalbital-aspirin-caffeine tab50-325-40 mg

•

salsalate tab 500 mg

salsalate tab 750 mg

NARCOTIC DRUGS

acetaminophen w/ codeine soln120-12 mg/5ml

•

acetaminophen w/ codeine tab300-15 mg (Tylenol/codeine)

•

acetaminophen w/ codeine tab300-30 mg (Tylenol/codeine #3)

•

acetaminophen w/ codeine tab300-60 mg (Tylenol/codeine #4)

•

AVINZA – morphine sulfate beadscap sr 24hr 30 mg

•


•


•


•


•

2014


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•

buprenorphine hcl sl tab 2 mg(base equiv)

• •

buprenorphine hcl sl tab 8 mg(base equiv)

• •

buprenorphine hcl-naloxone hclsl tab 2-0.5 mg (base equiv)

• •

buprenorphine hcl-naloxone hclsl tab 8-2 mg (base equiv)

• •

butalbital-aspirin-caff w/ codeinecap 50-325-40-30 mg (Fiorinal/codeine #3)

•

fentanyl citrate lollipop1200 mcg (Actiq)

• •

fentanyl citrate lollipop1600 mcg (Actiq)

• •

fentanyl citrate lollipop 200 mcg(Actiq)

• •


• •


• •


• •

fentanyl td patch 72hr 100 mcg/hr (Duragesic)

•

fentanyl td patch 72hr 12 mcg/hr(Duragesic)

•


•


•


•

hydrocodone-acetaminophencap 5-500 mg

•

hydrocodone-acetaminophensoln 7.5-325 mg/15ml (Hycet)

•

Drug Name Spe

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its

hydrocodone-acetaminophensoln 7.5-500 mg/15ml

•

hydrocodone-acetaminophentab 10-325 mg (Norco)

•

hydrocodone-acetaminophentab 10-500 mg

•


•


•

hydrocodone-acetaminophentab 2.5-500 mg

•

hydrocodone-acetaminophentab 5-325 mg (Norco)

•


•

hydrocodone-acetaminophentab 7.5-325 mg (Norco)

•

hydrocodone-acetaminophentab 7.5-750 mg

•

hydrocodone-ibuprofen tab10-200 mg (Ibudone)

•

hydrocodone-ibuprofen tab5-200 mg (Reprexain)

•

hydrocodone-ibuprofen tab7.5-200 mg (Vicoprofen)

•

hydromorphone hcl liqd 1 mg/ml(Dilaudid)

•

hydromorphone hcl tab 2 mg(Dilaudid)

•


•


•

methadone hcl conc 10 mg/ml(Methadose)

•

methadone hcl soln 10 mg/5ml(Methadone hcl)

•

methadone hcl soln 5 mg/5ml(Methadone hcl)

•

2014


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Lim

its

methadone hcl tab for oral susp40 mg

•

methadone hcl tab 10 mg(Dolophine)

•

methadone hcl tab 5 mg(Dolophine hcl)

•

MORPHINE SULFATE – morphinesulfate tab 15 mg

•

MORPHINE SULFATE – morphinesulfate tab 30 mg

•

MORPHINE SULFATE – morphinesulfate suppos 5 mg

•


•


•


•

morphine sulfate (concentrate)oral soln 20 mg/ml

•

morphine sulfate beads cap sr24hr 120 mg (Avinza)

•


•


•


•


•


•

morphine sulfate oral soln10 mg/5ml

•

morphine sulfate oral soln20 mg/5ml

•

morphine sulfate tab cr 100 mg(Ms contin)

•


•

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its


•


•


•

NUCYNTA ER – tapentadol hcl tabsr 12hr 50 mg

•


•


•


•


•

oxycodone hcl cap 5 mg •oxycodone hcl conc 100 mg/5ml

(20 mg/ml) (Oxycodone hcl)•

oxycodone hcl soln 5 mg/5ml(Oxycodone hcl)

•

oxycodone hcl tab 10 mg •oxycodone hcl tab 15 mg

(Roxicodone)•

oxycodone hcl tab 20 mg •oxycodone hcl tab 30 mg

(Roxicodone)•

oxycodone hcl tab 5 mg(Roxicodone)

•

oxycodone w/ acetaminophencap 5-500 mg

•

oxycodone w/ acetaminophentab 10-325 mg (Percocet)

•

oxycodone w/ acetaminophentab 10-650 mg

•

oxycodone w/ acetaminophentab 5-325 mg (Percocet)

•

oxycodone w/ acetaminophentab 7.5-325 mg (Percocet)

•

2014


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oxycodone w/ acetaminophentab 7.5-500 mg

•

oxycodone-aspirin tab4.8355-325 mg (Percodan)

•

OXYCONTIN – oxycodone hcl taber 12hr deter 10 mg

•


•


•


•


•


•


•

SUBOXONE – buprenorphine hcl-naloxone hcl sl film 2-0.5 mg(base equiv)

• •

SUBOXONE – buprenorphine hcl-naloxone hcl sl film 4-1 mg (baseequiv)

• •

SUBOXONE – buprenorphine hcl-naloxone hcl sl film 8-2 mg (baseequiv)

• •

SUBOXONE – buprenorphine hcl-naloxone hcl sl film 12-3 mg(base equiv)

• •

tramadol hcl tab sr 24hr 100 mg(Ultram er)

•


•


•

tramadol hcl tab 50 mg (Ultram) •tramadol-acetaminophen tab

37.5-325 mg (Ultracet)•

RHEUMATOID AND OSTEOARTHRITIS

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diclofenac potassium tab 50 mg(Cataflam)

diclofenac sodium tab delayedrelease 25 mg



diclofenac sodium tab sr 24hr100 mg (Voltaren-xr)

ENBREL – etanerceptsubcutaneous inj 50 mg/ml

• • •

ENBREL – etanerceptsubcutaneous inj 25 mg/0.5ml

• • •

ENBREL – etanercept forsubcutaneous inj kit 25 mg

• • •

ENBREL SURECLICK –etanercept subcutaneous inj 50mg/ml

• • •

etodolac cap 200 mg

etodolac cap 300 mg

etodolac tab sr 24hr 400 mg



etodolac tab 400 mg

etodolac tab 500 mg

flurbiprofen tab 100 mg

flurbiprofen tab 50 mg

HUMIRA – adalimumab inj kit 20mg/0.4ml

• • •

HUMIRA – adalimumab inj kit 40mg/0.8ml (50 mg/ml)

• • •

HUMIRA PEN – adalimumab inj kit40 mg/0.8ml (50 mg/ml)

• • •

HUMIRA PEN-CROHNS DISEASE– adalimumab inj kit 40 mg/0.8ml(50 mg/ml)

• • •

2014


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HUMIRA PEN-PSORIASIS STAR– adalimumab inj kit 40 mg/0.8ml(50 mg/ml)

• • •

ibuprofen susp 100 mg/5ml

ibuprofen tab 400 mg



ILARIS – canakinumab for inj 180mg

• • •

indomethacin cap 25 mg

indomethacin cap 50 mg

ketoprofen cap 50 mg

ketoprofen cap 75 mg

leflunomide tab 10 mg (Arava)

leflunomide tab 20 mg (Arava)

meloxicam tab 15 mg (Mobic)

meloxicam tab 7.5 mg (Mobic)

nabumetone tab 500 mg

nabumetone tab 750 mg

naproxen sodium tab 275 mg(Anaprox)

naproxen sodium tab 550 mg(Anaprox ds)

naproxen susp 125 mg/5ml(Naprosyn)

naproxen tab ec 375 mg (Ec-naprosyn)

naproxen tab ec 500 mg (Ec-naprosyn)

naproxen tab 250 mg (Naprosyn)



oxaprozin tab 600 mg (Daypro)

piroxicam cap 10 mg (Feldene)

piroxicam cap 20 mg (Feldene)

sulindac tab 150 mg

sulindac tab 200 mg

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MIGRAINE HEADACHES

acetaminophen-isometheptene-dichloral cap 325-65-100 mg

naratriptan hcl tab 1 mg (baseequiv) (Amerge)

•

naratriptan hcl tab 2.5 mg (baseequiv) (Amerge)

•

rizatriptan benzoate orallydisintegrating tab 10 mg(Maxalt-mlt)

•

rizatriptan benzoate orallydisintegrating tab 5 mg(Maxalt-mlt)

•

rizatriptan benzoate tab 10 mg(Maxalt)

•

rizatriptan benzoate tab 5 mg(Maxalt)

•

SUMATRIPTAN – sumatriptannasal spray 5 mg/act

•

SUMATRIPTAN – sumatriptannasal spray 20 mg/act

•

sumatriptan succinate inj6 mg/0.5ml (Imitrex)

•

sumatriptan succinate solutionauto-injector 4 mg/0.5ml(Imitrex statdose sys)

•

sumatriptan succinate solutionauto-injector 6 mg/0.5ml(Imitrex statdose sys)

•

sumatriptan succinate solutioncartridge 4 mg/0.5ml (Imitrexstatdose ref)

•

sumatriptan succinate solutioncartridge 6 mg/0.5ml (Imitrexstatdose ref)

•

sumatriptan succinate solutionprefilled syringe 6 mg/0.5ml

•

sumatriptan succinate tab100 mg (Imitrex)

•

sumatriptan succinate tab 25 mg(Imitrex)

•

2014


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sumatriptan succinate tab 50 mg(Imitrex)

•

GOUT

allopurinol tab 100 mg (Zyloprim)

allopurinol tab 300 mg (Zyloprim)

colchicine w/ probenecid tab0.5-500 mg

COLCRYS – colchicine tab 0.6 mg

probenecid tab 500 mg

lidocaine hcl local inj 1%(Xylocaine)

lidocaine hcl local preservativefree (pf) inj 1% (Xylocaine-mpf)

NEUROMUSCULAR DRUGS

SEIZURES

carbamazepine cap sr 12hr100 mg (Carbatrol)



carbamazepine chew tab 100 mg

carbamazepine susp 100 mg/5ml(Tegretol)

carbamazepine tab sr 12hr200 mg (Tegretol-xr)

carbamazepine tab sr 12hr400 mg (Tegretol-xr)

carbamazepine tab 200 mg(Tegretol)

clonazepam tab 0.5 mg(Klonopin)

clonazepam tab 1 mg (Klonopin)

clonazepam tab 2 mg (Klonopin)

DIASTAT ACUDIAL – diazepamrectal gel delivery system 10 mg

DIASTAT ACUDIAL – diazepamrectal gel delivery system 20 mg

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DIASTAT PEDIATRIC – diazepamrectal gel delivery system 2.5 mg

DILANTIN – phenytoin sodiumextended cap 30 mg

DILANTIN – phenytoin sodiumextended cap 100 mg

divalproex sodium cap sprinkle125 mg (Depakote sprinkles)

divalproex sodium tab delayedrelease 125 mg (Depakote)



divalproex sodium tab sr 24 hr250 mg (Depakote er)

divalproex sodium tab sr 24 hr500 mg (Depakote er)

ethosuximide cap 250 mg(Zarontin)

ethosuximide soln 250 mg/5ml(Zarontin)

gabapentin cap 100 mg(Neurontin)



gabapentin oral soln 250 mg/5ml(Neurontin)

gabapentin tab 600 mg(Neurontin)

gabapentin tab 800 mg(Neurontin)

LAMICTAL – lamotrigine tabchewable dispersible 2 mg

lamotrigine tab chewabledispersible 25 mg (Lamictalchewable di)

2014


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lamotrigine tab chewabledispersible 5 mg (Lamictalchewable di)

lamotrigine tab 100 mg (Lamictal)




levetiracetam oral soln 100 mg/ml (Keppra)

levetiracetam tab 1000 mg(Keppra)




LYRICA – pregabalin cap 25 mg •LYRICA – pregabalin cap 50 mg •LYRICA – pregabalin cap 75 mg •LYRICA – pregabalin cap 100 mg •LYRICA – pregabalin cap 150 mg •LYRICA – pregabalin cap 200 mg •LYRICA – pregabalin cap 225 mg •LYRICA – pregabalin cap 300 mg •oxcarbazepine susp 300 mg/5ml

(60 mg/ml) (Trileptal)

oxcarbazepine tab 150 mg(Trileptal)



phenytoin chew tab 50 mg(Dilantin infatabs)

phenytoin sodium extended cap100 mg (Dilantin)

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phenytoin sodium extended cap200 mg (Phenytek)

phenytoin sodium extended cap300 mg (Phenytek)

phenytoin susp 125 mg/5ml(Dilantin)

primidone tab 250 mg (Mysoline)

primidone tab 50 mg (Mysoline)

SABRIL – vigabatrin tab 500 mg

SABRIL – vigabatrin powd pack500 mg

TEGRETOL-XR – carbamazepinetab sr 12hr 100 mg

topiramate sprinkle cap 15 mg(Topamax sprinkle)

topiramate sprinkle cap 25 mg(Topamax sprinkle)

topiramate tab 100 mg (Topamax)




valproate sodium syrup250 mg/5ml (base equiv)(Depakene)

valproic acid cap 250 mg(Depakene)

zonisamide cap 100 mg(Zonegran)

zonisamide cap 25 mg(Zonegran)

zonisamide cap 50 mg

PARKINSON'S DISEASE

amantadine hcl cap 100 mg

amantadine hcl syrup 50 mg/5ml

benztropine mesylate tab 0.5 mg

benztropine mesylate tab 1 mg

benztropine mesylate tab 2 mg

2014


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bromocriptine mesylate cap5 mg (Parlodel)

bromocriptine mesylate tab2.5 mg (Parlodel)

carbidopa & levodopa orallydisintegrating tab 10-100 mg



carbidopa & levodopa tab cr25-100 mg (Sinemet cr)

carbidopa & levodopa tab cr50-200 mg (Sinemet cr)

carbidopa & levodopa tab10-100 mg (Sinemet)



entacapone tab 200 mg (Comtan)

pramipexole dihydrochloride tab0.125 mg (Mirapex)




pramipexole dihydrochloride tab1 mg (Mirapex)


ropinirole hydrochloride tab0.25 mg (Requip)

ropinirole hydrochloride tab0.5 mg (Requip)

ropinirole hydrochloride tab1 mg (Requip)

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selegiline hcl cap 5 mg (Eldepryl)

selegiline hcl tab 5 mg

trihexyphenidyl hcl elixir 0.4 mg/ml

trihexyphenidyl hcl tab 2 mg

trihexyphenidyl hcl tab 5 mg

MUSCLE RELAXANTS

baclofen tab 10 mg

baclofen tab 20 mg

chlorzoxazone tab 500 mg(Parafon forte dsc)

cyclobenzaprine hcl tab 10 mg

cyclobenzaprine hcl tab 5 mg

dantrolene sodium cap 100 mg(Dantrium)



metaxalone tab 800 mg (Skelaxin)

methocarbamol tab 500 mg(Robaxin)

methocarbamol tab 750 mg(Robaxin-750)

orphenadrine citrate tab sr 12hr100 mg

orphenadrine w/ aspirin &caffeine tab 25-385-30 mg

tizanidine hcl tab 2 mg

tizanidine hcl tab 4 mg (Zanaflex)

2014


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OTHER NEUROMUSCULAR DRUGS

pyridostigmine bromide tab60 mg (Mestinon)

RILUTEK – riluzole tab 50 mg

riluzole tab 50 mg (Rilutek)

SUPPLEMENTS

VITAMINS

ergocalciferol cap 50000 unit(Drisdol)

MEPHYTON – phytonadione tab 5mg

MULTIVITAMINS

pediatric multiple vitamins w/ fl-fe drops 0.25-10 mg/ml

pediatric multiple vitamins w/fluoride chew tab 0.25 mg

pediatric multiple vitamins w/fluoride chew tab 0.5 mg

pediatric multiple vitamins w/fluoride chew tab 1 mg

pediatric multiple vitamins w/fluoride soln 0.25 mg/ml

pediatric multiple vitamins w/fluoride soln 0.5 mg/ml

pediatric vitamins acd w/fluoride soln 0.25 mg/ml

pediatric vitamins acd w/fluoride soln 0.5 mg/ml

CITRANATAL ASSURE – prenatw/o a w/fecbn-fegl-dss-fa tab &dha cap 300 mg pack

CITRANATAL B-CALM – prenat w/o a w/ fe cbnyl-fa tab 20-1 mg &vit b6 tab pak

CITRANATAL B-CALM – prenat w/o a w/fecbn-feglu-fa tab 20-1 mg& vit b6 tab pak

CITRANATAL DHA – prenat w/oa w/fecbn-fegl-dss-fa tab & dhacap 250 mg pack

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CITRANATAL HARMONY –prenatal w/o a w/fe cbn-dss-fa-dha cap 28-1-250 mg

CITRANATAL HARMONY –prenatal w/o a w/fe cbn-dss-fa-dha cap 29-1-265 mg

CITRANATAL HARMONY –prenatal w/o vit a w/ fe cbn-dss-fa-dha cap 30-1-260 mg

CITRANATAL RX – prenatal w/o aw/ fe carbonyl-fe gluc-dss-fa tab27-1mg

CITRANATAL 90 DHA – prenat w/o a w/fecbn-fegl-dss-fa tab 90&dha cap 300mg pak

PRENATAL AD – prenatal vit w/dss-iron carbonyl-fa tab 90-1 mg

PRENATAL LOW IRON – prenatalvit w/ fe fumarate-fa tab 27-1 mg

PRENATAL PLUS – prenatal vit w/fe fumarate-fa tab 27-1 mg

PRENATAL VITAMINS PLUS –prenatal vit w/ fe fumarate-fa tab27-1 mg

PRENATAL 19 – prenatal vit w/ fefumarate-fa chew tab 29-1 mg

PRENATAL 19 – prenatal vit w/dss-fe fumarate-fa tab 29-1 mg

PRENATAL-U – prenatal w/o a vitw/ fe fumarate-fa cap 106.5-1 mg

MINERALS AND ELECTROLYTES

K-PHOS – potassium phosphatemonobasic tab 500 mg

pot bicarbonate & chloride effertab 25 meq

pot phos monobasic w/sodphos di & monobas tab155-852-130mg (K-phos neutral)

potassium chloride cap cr 10meq (Micro-k)

2014


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potassium chloride cap cr 8 meq(Micro-k)

potassium chloridemicroencapsulated crys cr tab10 meq

potassium chloridemicroencapsulated crys cr tab20 meq

potassium chloride oral liq 10%(20 meq/15ml)

potassium chloride oral liq 20%(40 meq/15ml)

potassium chloride powderpacket 20 meq

potassium chloride tab cr 10meq (K-tab)

potassium chloride tab cr 8 meq(600 mg)

sodium fluoride chew tab0.25 mg f (from 0.55 mg naf)(Luride)

sodium fluoride chew tab 0.5 mgf (from 1.1 mg naf) (Luride)

sodium fluoride chew tab 1 mg f(from 2.2 mg naf) (Luride)

sodium fluoride soln 0.125 mg/drop f (0.275 mg/drop naf)

sodium fluoride soln 0.5 mg/ml f(from 1.1 mg/ml naf) (Luride)

BLOOD MODIFYING DRUGS

AGGRENOX – aspirin-dipyridamole cap sr 12hr 25-200mg

anagrelide hcl cap 0.5 mg(Agrylin)

anagrelide hcl cap 1 mg

cilostazol tab 100 mg (Pletal)

cilostazol tab 50 mg (Pletal)

clopidogrel bisulfate tab 75 mg(base equiv) (Plavix)

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cyanocobalamin inj 1000 mcg/ml

dipyridamole tab 25 mg(Persantine)



enoxaparin sodium inj 100 mg/ml (Lovenox)

•

enoxaparin sodium inj120 mg/0.8ml (Lovenox)

•

enoxaparin sodium inj 150 mg/ml (Lovenox)

•


•

enoxaparin sodium inj300 mg/3ml (Lovenox)

•


•


•


•

EPOGEN – epoetin alfa inj 2000unit/ml

•


•


•


•


•

FIRAZYR – icatibant acetate inj 30mg/3ml (base equivalent)

• • •

folic acid tab 1 mg

GRANIX – tbo-filgrastim solnprefilled syringe 300 mcg/0.5ml

•

GRANIX – tbo-filgrastim solnprefilled syringe 480 mcg/0.8ml

•

2014


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pentoxifylline tab cr 400 mg

PROCRIT – epoetin alfa inj 2000unit/ml

•


•


•


•


•


•

warfarin sodium tab 1 mg(Coumadin)



warfarin sodium tab 2.5 mg(Coumadin)





warfarin sodium tab 7.5 mg(Coumadin)

TOPICAL DRUGS

EYE

Anti-infectives

BACITRACIN – bacitracin ophthoint 500 unit/gm

bacitracin-polymyxin b ophthoint

ciprofloxacin hcl ophth soln0.3% (Ciloxan)

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erythromycin ophth oint 5 mg/gm

gentamicin sulfate ophth oint0.3%

gentamicin sulfate ophth soln0.3% (Garamycin)

NATACYN – natamycin ophth susp5%

neomycin-bacitrac zn-polymyx5(3.5)mg-400unt-10000unt opoin

neomycin-polymy-gramicid opsol 1.75-10000-0.025mg-unt-mg/ml (Neosporin)

ofloxacin ophth soln 0.3%(Ocuflox)

polymyxin b-trimethoprimophth soln 10000 unit/ml-0.1%(Polytrim)

sulfacetamide sodium ophthsoln 10% (Bleph-10)

tobramycin ophth soln 0.3%(Tobrex)

trifluridine ophth soln 1%(Viroptic)

VIGAMOX – moxifloxacin hcl ophthsoln 0.5% (base equiv)

Steroids and Combination Products

bacitracin-polymyxin-neomycin-hc ophth oint 1%

dexamethasone sodiumphosphate ophth soln 0.1%

fluorometholone ophth susp0.1% (Fml liquifilm)

LOTEMAX – loteprednol etabonateophth susp 0.5%

LOTEMAX – loteprednol etabonateophth gel 0.5%

LOTEMAX – loteprednol etabonateophth oint 0.5%

2014


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neomycin-polymyxin-dexamethasone ophth oint0.1% (Maxitrol)

neomycin-polymyxin-dexamethasone ophth susp0.1% (Maxitrol)

prednisolone acetate ophth susp1% (Pred forte)

sulfacetamide sodium-prednisolone ophth soln10-0.23(0.25)%

tobramycin-dexamethasoneophth susp 0.3-0.1% (Tobradex)

Glaucoma

brimonidine tartrate ophth soln0.15% (Alphagan p)

brimonidine tartrate ophth soln0.2%

carteolol hcl ophth soln 1%

dorzolamide hcl ophth soln 2%(Trusopt)

dorzolamide hcl-timolol maleateophth soln 22.3-6.8 mg/ml(Cosopt)

latanoprost ophth soln 0.005%(Xalatan)

•

levobunolol hcl ophth soln 0.5%(Betagan)

LUMIGAN – bimatoprost ophthsoln 0.01%

•

LUMIGAN – bimatoprost ophthsoln 0.03%

•

pilocarpine hcl ophth soln 1%(Isopto carpine)



timolol maleate ophth gelforming soln 0.25% (Timoptic-xe)

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timolol maleate ophth gelforming soln 0.5% (Timoptic-xe)

timolol maleate ophth soln0.25% (Timoptic)

timolol maleate ophth soln 0.5%(Timoptic)

TRAVATAN Z – travoprost ophthsoln 0.004% (benzalkonium free)(bak free)

•

Other Eye Products

atropine sulfate ophth soln 1%(Isopto atropine)

azelastine hcl ophth soln 0.05%(Optivar)

cromolyn sodium ophth soln 4%

cyclopentolate hcl ophth soln1% (Cyclogyl)

diclofenac sodium ophth soln0.1%

flurbiprofen sodium ophth soln0.03% (Ocufen)

homatropine hbr ophth soln 5%(Isopto homatropine)

ketorolac tromethamine ophthsoln 0.4% (Acular ls)

ketorolac tromethamine ophthsoln 0.5% (Acular)

PATADAY – olopatadine hcl ophthsoln 0.2%

tropicamide ophth soln 0.5%

tropicamide ophth soln 1%(Mydriacyl)

EAR

acetic acid otic soln 2%

antipyrine-benzocaine otic soln54-14 mg/ml (5.4-1.4%)

CIPRODEX – ciprofloxacin-dexamethasone otic susp0.3-0.1%

2014


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hydrocortisone w/ acetic acidotic soln 1-2% (Vosol hc)

neomycin-polymyxin-hc oticsoln 1% (Cortisporin)

neomycin-polymyxin-hc oticsusp 3.5 mg/ml-10000 unit/ml-1%

ofloxacin otic soln 0.3%

MOUTH AND THROAT (LOCAL)

cevimeline hcl cap 30 mg(Evoxac)

chlorhexidine gluconate soln0.12% (Peridex)

clotrimazole troche 10 mg

lidocaine hcl laryngotrachealsoln 4% (Lta 360 kit)

lidocaine hcl viscous soln 2%

nystatin susp 100000 unit/ml

pilocarpine hcl tab 5 mg(Salagen)

pilocarpine hcl tab 7.5 mg(Salagen)

sodium fluoride cream 1.1%(Prevident 5000 plus)

sodium fluoride gel 1.1% (0.5% f)(Prevident fluoride)

triamcinolone acetonide dentalpaste 0.1%

ANORECTAL AGENTS

CORTIFOAM – hydrocortisoneacetate rectal foam 90 mg/dose

hydrocortisone acetate suppos25 mg (Anusol-hc)

hydrocortisone enema100 mg/60ml (Cortenema)

hydrocortisone rectal cream2.5% (Anusol-hc)

SKIN CONDITIONS/PRODUCTS

Acne

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adapalene cream 0.1% (Differin) •adapalene gel 0.1% (Differin) •adapalene gel 0.3% (Differin) •AKNE-MYCIN – erythromycin oint

2%

benzoyl peroxide-erythromycin gel 5-3%(Benzamycin)

clindamycin phosph-benzoylperoxide (refrig) gel 1.2 (1)-5%(Duac)

clindamycin phosphate gel 1%(Cleocin-t)

clindamycin phosphate lotion1% (Cleocin-t)

clindamycin phosphate soln 1%(Cleocin-t)

clindamycin phosphate swab 1%(Cleocin-t)

clindamycin phosphate-benzoylperoxide gel 1-5% (Benzaclin)

DIFFERIN – adapalene gel 0.3% •DIFFERIN – adapalene lotion 0.1% •erythromycin gel 2% (Erygel)

erythromycin pads 2%

erythromycin soln 2%

FINACEA – azelaic acid gel 15%

isotretinoin cap 10 mg



metronidazole cream 0.75%(Metrocream)

metronidazole gel 0.75%

metronidazole gel 1% (Metrogel)

metronidazole lotion 0.75%(Metrolotion)

sulfacetamide sodium lotion10% (acne) (Klaron)

2014


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sulfacetamide sodium w/ sulfurcream 10-5%

sulfacetamide sodium w/ sulfuremulsion 10-5%

sulfacetamide sodium w/ sulfurlotion 10-5%

TAZORAC – tazarotene cream0.05%

•

TAZORAC – tazarotene cream0.1%

•

TAZORAC – tazarotene gel 0.05% •TAZORAC – tazarotene gel 0.1% •tretinoin cream 0.025% (Retin-a) •tretinoin cream 0.05% (Retin-a) •tretinoin cream 0.1% (Retin-a) •tretinoin gel 0.01% (Retin-a) •tretinoin gel 0.025% (Retin-a) •tretinoin microsphere gel 0.04%

(Retin-a micro)•

tretinoin microsphere gel 0.1%(Retin-a micro)

•

Anti-infectives

nystatin topical powder

ciclopirox gel 0.77% (Loprox)

ciclopirox olamine cream 0.77%(base equiv)

ciclopirox olamine susp 0.77%(base equiv)

ciclopirox shampoo 1% (Loproxshampoo)

ciclopirox solution 8% (Penlacnail lacquer)

CORTISPORIN – neomycin-polymyxin-hc cream 0.5%

CORTISPORIN – bacitracin-polymyxin-neomycin hc oint 1%

econazole nitrate cream 1%

ketoconazole cream 2%

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ketoconazole shampoo 2%(Nizoral)

MENTAX – butenafine hcl cream1%

mupirocin calcium cream 2%(Bactroban)

mupirocin oint 2% (Bactroban)

nystatin cream 100000 unit/gm

nystatin oint 100000 unit/gm

silver sulfadiazine cream 1%(Silvadene)

VOLTAREN – diclofenac sodiumgel 1%

Corticosteroids

alclometasone dipropionatecream 0.05% (Aclovate)

alclometasone dipropionate oint0.05%

amcinonide cream 0.1%

betamethasone dipropionateaugmented cream 0.05%(Diprolene af)

betamethasone dipropionateaugmented gel 0.05%

betamethasone dipropionateaugmented lotion 0.05%(Diprolene)

betamethasone dipropionateaugmented oint 0.05%(Diprolene)

betamethasone dipropionatecream 0.05%

betamethasone dipropionatelotion 0.05%

betamethasone dipropionateoint 0.05%

betamethasone valerate cream0.1%

betamethasone valerate lotion0.1%

2014


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betamethasone valerate oint0.1%

clobetasol propionate cream0.05% (Temovate)

clobetasol propionate emollientbase cream 0.05% (Temovate e)

clobetasol propionate foam0.05% (Olux)

clobetasol propionate gel 0.05%(Temovate)

clobetasol propionate oint 0.05%(Temovate)

clobetasol propionate soln0.05% (Temovate)

desonide cream 0.05%(Desowen)

desonide lotion 0.05% (Desowen)

desonide oint 0.05% (Desowen)

desoximetasone cream 0.25%(Topicort)

desoximetasone gel 0.05%(Topicort)

desoximetasone oint 0.25%(Topicort)

diflorasone diacetate oint 0.05%

fluocinolone acetonide cream0.01%

fluocinolone acetonide cream0.025% (Synalar)

fluocinolone acetonide oil 0.01%(Derma-smoothe/fs bod)

fluocinolone acetonide oint0.025% (Synalar)

fluocinolone acetonide soln0.01% (Synalar)

fluocinonide cream 0.05%

fluocinonide emulsified basecream 0.05%

fluocinonide gel 0.05%

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fluocinonide oint 0.05%

fluocinonide soln 0.05%

fluticasone propionate cream0.05% (Cutivate)

fluticasone propionate oint0.005% (Cutivate)

halobetasol propionate cream0.05% (Ultravate)

halobetasol propionate oint0.05% (Ultravate)

hydrocortisone cream 2.5%

hydrocortisone lotion 2.5%

hydrocortisone oint 2.5%

hydrocortisone valerate cream0.2%

hydrocortisone valerate oint0.2% (Westcort)

mometasone furoate cream 0.1%(Elocon)

mometasone furoate oint 0.1%(Elocon)

mometasone furoate solution0.1% (lotion) (Elocon)

nystatin-triamcinolone cream100000-0.1 unit/gm-%

nystatin-triamcinolone oint100000-0.1 unit/gm-%

triamcinolone acetonide cream0.025%



triamcinolone acetonide lotion0.025%

triamcinolone acetonide lotion0.1%

triamcinolone acetonide oint0.025%

2014


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triamcinolone acetonide oint0.1%

Other Skin Products

acitretin cap 10 mg (Soriatane)

acitretin cap 17.5 mg (Soriatane)

acitretin cap 25 mg (Soriatane)

aluminum chloride soln 20%(Drysol)

calcipotriene cream 0.005%(Dovonex)

calcipotriene soln 0.005%(50 mcg/ml)

diclofenac sodium (actinickeratoses) gel 3% (Solaraze)

DRITHO-SCALP – anthralin cream0.5%

ELIDEL – pimecrolimus cream 1%

fluorouracil cream 5% (Efudex)

fluorouracil soln 2%

fluorouracil soln 5%

imiquimod cream 5% (Aldara)

lidocaine hcl gel 2%

lidocaine hcl soln 4% (Xylocaine)

lidocaine oint 5%

lidocaine patch 5% (Lidoderm)

lidocaine-prilocaine cream2.5-2.5% (Emla)

lindane lotion 1%

malathion lotion 0.5% (Ovide)

permethrin cream 5% (Elimite)

PICATO – ingenol mebutate gel0.015%

•

PICATO – ingenol mebutate gel0.05%

•

podofilox soln 0.5% (Condylox)

PROTOPIC – tacrolimus oint0.03%

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PROTOPIC – tacrolimus oint 0.1%

selenium sulfide lotion 2.5%

VALCHLOR – mechlorethamine hclgel 0.016% (base equivalent)

•

MISCELLANEOUS CATEGORIES (includes suppliesand devices)

DIABETIC SUPPLIES

ACCU-CHEK ACTIVE GLUCOSE– blood glucose calibration -liquid

ACCU-CHEK ACTIVE STRIPS –glucose blood test strip

ACCU-CHEK AVIVA – glucoseblood test strip

ACCU-CHEK AVIVA – bloodglucose calibration - liquid

ACCU-CHEK AVIVA PLUS –glucose blood test strip

ACCU-CHEK AVIVA PLUS – bloodglucose monitoring kit w/ device

ACCU-CHEK COMFORT CURVEC – blood glucose calibration -liquid

ACCU-CHEK COMFORT CURVEL – blood glucose calibration -liquid

ACCU-CHEK COMFORT CURVET – glucose blood test strip

ACCU-CHEK COMPACT BLUECO – blood glucose calibration -liquid

ACCU-CHEK COMPACT PLUS –glucose blood test strip

ACCU-CHEK COMPACT PLUSCA – blood glucose monitoringkit

ACCU-CHEK COMPACT PLUSCL – blood glucose calibration -liquid

ACCU-CHEK COMPACT STRIPS– glucose blood test strip

2014


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ACCU-CHEK COMPACT TESTDR – glucose blood test strip

ACCU-CHEK INSTANT GLUCOSE– blood glucose calibration -liquid

ACCU-CHEK NANO SMARTVIEW– blood glucose monitoring kit w/device

ACCU-CHEK SMARTVIEWCONTR – blood glucosecalibration - liquid

ACCU-CHEK SMARTVIEW STRIP– glucose blood test strip

ACCU-CHEK VOICEMATE – bloodglucose monitoring kit w/ device

ACCUTREND GLUCOSE –glucose blood test strip

ACCUTREND GLUCOSECONTROL – blood glucosecalibration - liquid

ASCENSIA AUTODISC LOW AND– blood glucose calibration -liquid

ASCENSIA AUTODISC NORMAL– blood glucose calibration -liquid - normal

ASCENSIA AUTODISC TEST ST –glucose blood test disk

BAYER BREEZE 2 BLOOD GLUC– blood glucose monitoring kit w/device

BAYER BREEZE 2 HIGH CONTR– blood glucose calibration -liquid - high

BAYER BREEZE 2 LOW CONTRO– blood glucose calibration -liquid - low

BAYER BREEZE 2 NORMAL CON– blood glucose calibration -liquid - normal

BAYER BREEZE 2 TEST DISC –glucose blood test disk

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BAYER CONTOUR BLOODGLUCO – glucose blood teststrip

BAYER CONTOUR BLOODGLUCO – blood glucosemonitoring devices

BAYER CONTOUR BLOODGLUCO – blood glucosemonitoring kit w/ device

BAYER CONTOUR HIGHCONTRO – blood glucosecalibration - liquid - high

BAYER CONTOUR LINK BLOOD– blood glucose monitoring kit w/device

BAYER CONTOUR LOWCONTROL – blood glucosecalibration - liquid - low

BAYER CONTOUR NEXT BLOOD– glucose blood test strip

BAYER CONTOUR NEXT BLOOD– blood glucose monitoring kit w/device

BAYER CONTOUR NEXTCONTRO – blood glucosecalibration - liquid - normal

BAYER CONTOUR NEXTCONTRO – blood glucosecalibration - liquid - low

BAYER CONTOUR NEXT EZ BLO– blood glucose monitoring kit w/device

BAYER CONTOUR NEXT LINK B– blood glucose monitoring kit w/device

BAYER CONTOUR NEXT USB BL– blood glucose monitoring kit w/device

BAYER CONTOUR NORMALCONT – blood glucosecalibration - liquid - normal

2014


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BAYER CONTOUR USB BLOODG – blood glucose monitoring kitw/ device

BREEZE 2 BLOOD GLUCOSEMO – blood glucose monitoringdevices

DIDGET – blood glucosemonitoring kit w/ device

ACCU-CHEK FASTCLIX LANCET– lancets

ACCU-CHEK FASTCLIX LANCET– lancets kit

ACCU-CHEK MULTICLIX LANC –lancets kit

ACCU-CHEK MULTICLIX LANCE– lancets

ACCU-CHEK SAFE-T-PRO LANC– lancets

ACCU-CHEK SAFE-T-PRO PLUS– lancets

ACCU-CHEK SOFT TOUCH LANC– lancets

ACCU-CHEK SOFTCLIX LANCET– lancets

ACCU-CHEK SOFTCLIX LANCET– lancet devices

ACCU-CHEK SOFTCLIX LANCET– lancets kit

BAYER MICROLET LANCETS –lancets

COAGUCHEK LANCETS – lancets

FINGERSTIX LANCETS – lancets

MICROLET LANCETS – lancets

MONOJECT ALLERGIST TRAY/P– allergy tray kit 1/2 ml 26 x 3/8"

MONOJECT ALLERGIST TRAY/P– allergy tray kit 1/2 ml 28 x 1/2"

MONOJECT ALLERGIST TRAY/P– allergy tray kit 1 ml 26 x 3/8"

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MONOJECT ALLERGIST TRAY/P– allergy tray kit 1 ml 28 x 1/2"

MONOJECT INSULIN SYRINGE –insulin syringe (disp) u-100 1 ml

MONOJECT INSULIN SYRINGE/ –insulin syringe (disp) u-100 1 ml

MONOJECT INSULIN SYRINGE/ –insulin syringe/needle u-100 0.3ml 29 x 1/2"

MONOJECT INSULIN SYRINGE/ –insulin syringe/needle u-100 0.3ml 30 x 5/16"

MONOJECT INSULIN SYRINGE/ –insulin syringe/needle u-100 1/2ml 28 x 1/2"



MONOJECT INSULIN SYRINGE/ –insulin syringe/needle u-100 1 ml25 x 5/8"






MONOJECT ULTRA COMFORTIN – insulin syringe/needle u-1000.3 ml 29 x 1/2"

2014


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MONOJECT ULTRA COMFORTIN – insulin syringe/needle u-1001/2 ml 31 x 5/16"




MONOJECT ULTRA COMFORTIN – insulin syringe/needle u-1001 ml 28 x 1/2"




REALITY INSULIN SYRINGE/U –insulin syringe/needle u-100 1/2ml 28 x 1/2"

REALITY INSULIN SYRINGE/U –insulin syringe/needle u-100 1/2ml 29 x 1/2"

REALITY INSULIN SYRINGE/U –insulin syringe/needle u-100 1 ml28 x 1/2"

REALITY INSULIN SYRINGE/U –insulin syringe/needle u-100 1 ml29 x 1/2"

SINGLE-LET – lancets

MISCELLANEOUS DRUGS

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sodium polystyrene sulfonatepowder (Kayexalate)

azathioprine tab 50 mg (Imuran)

CELLCEPT – mycophenolatemofetil for oral susp 200 mg/ml

CHEMET – succimer cap 100 mg

CUPRIMINE – penicillamine cap250 mg

•

cyclosporine cap 100 mg(Sandimmune)

cyclosporine cap 25 mg(Sandimmune)

CYCLOSPORINE MODIFIED –cyclosporine modified cap 50 mg

cyclosporine modified cap100 mg (Neoral)

cyclosporine modified cap25 mg (Neoral)

cyclosporine modified oral soln100 mg/ml (Neoral)

mycophenolate mofetil cap250 mg (Cellcept)

mycophenolate mofetil tab500 mg (Cellcept)

mycophenolate sodium tab dr180 mg (mycophenolic acidequiv) (Myfortic)

mycophenolate sodium tab dr360 mg (mycophenolic acidequiv) (Myfortic)

naltrexone hcl tab 50 mg (Revia)

RAPAMUNE – sirolimus tab 1 mg

RAPAMUNE – sirolimus tab 2 mg

RAPAMUNE – sirolimus oral soln 1mg/ml

REVLIMID – lenalidomide caps 2.5mg

• • •

REVLIMID – lenalidomide cap 5mg

• • •

2014


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• • •


• • •


• • •


• • •

SANDIMMUNE – cyclosporine oralsoln 100 mg/ml

sirolimus tab 0.5 mg (Rapamune)

sodium polystyrene sulfonateoral susp 15 gm/60ml (Sps)

tacrolimus cap 0.5 mg (Prograf)

tacrolimus cap 1 mg (Prograf)

tacrolimus cap 5 mg (Prograf)

THALOMID – thalidomide cap 50mg

• • •


• • •


• • •


• • •

ZORTRESS – everolimus tab 0.25mg



2014


INDEX

A

abacavir sulfate-lamivudine-zidovudine tab300-150-300 mg (Trizivir).................................................4

abacavir sulfate tab 300 mg (base equiv) (Ziagen).........4acamprosate calcium tab delayed release 333 mg(Campral)........................................................................ 37

acarbose tab 100 mg (Precose)..................................... 13acarbose tab 25 mg (Precose)....................................... 13acarbose tab 50 mg (Precose)....................................... 13ACCU-CHEK ACTIVE GLUCOSE – blood glucosecalibration - liquid............................................................ 53

ACCU-CHEK ACTIVE STRIPS – glucose blood teststrip.................................................................................. 53

ACCU-CHEK AVIVA – blood glucose calibration -liquid.................................................................................53

ACCU-CHEK AVIVA – glucose blood test strip.................53ACCU-CHEK AVIVA PLUS – blood glucose monitoring kitw/ device..........................................................................53

ACCU-CHEK AVIVA PLUS – glucose blood test strip.......53ACCU-CHEK COMFORT CURVE C – blood glucosecalibration - liquid............................................................ 53

ACCU-CHEK COMFORT CURVE L – blood glucosecalibration - liquid............................................................ 53

ACCU-CHEK COMFORT CURVE T – glucose blood teststrip.................................................................................. 53

ACCU-CHEK COMPACT BLUE CO – blood glucosecalibration - liquid............................................................ 53

ACCU-CHEK COMPACT PLUS CA – blood glucosemonitoring kit................................................................... 53

ACCU-CHEK COMPACT PLUS CL – blood glucosecalibration - liquid............................................................ 53

ACCU-CHEK COMPACT PLUS – glucose blood teststrip.................................................................................. 53

ACCU-CHEK COMPACT STRIPS – glucose blood teststrip.................................................................................. 53

ACCU-CHEK COMPACT TEST DR – glucose blood teststrip.................................................................................. 54

ACCU-CHEK FASTCLIX LANCET – lancets.................... 55ACCU-CHEK FASTCLIX LANCET – lancets kit................55ACCU-CHEK INSTANT GLUCOSE – blood glucosecalibration - liquid............................................................ 54

ACCU-CHEK MULTICLIX LANCE – lancets.....................55ACCU-CHEK MULTICLIX LANC – lancets kit...................55ACCU-CHEK NANO SMARTVIEW – blood glucosemonitoring kit w/ device...................................................54

ACCU-CHEK SAFE-T-PRO LANC – lancets.................... 55ACCU-CHEK SAFE-T-PRO PLUS – lancets.................... 55ACCU-CHEK SMARTVIEW CONTR – blood glucosecalibration - liquid............................................................ 54

ACCU-CHEK SMARTVIEW STRIP – glucose blood teststrip.................................................................................. 54

ACCU-CHEK SOFTCLIX LANCET – lancet devices.........55

ACCU-CHEK SOFTCLIX LANCET – lancets....................55ACCU-CHEK SOFTCLIX LANCET – lancets kit............... 55ACCU-CHEK SOFT TOUCH LANC – lancets...................55ACCU-CHEK VOICEMATE – blood glucose monitoring kitw/ device..........................................................................54

ACCUTREND GLUCOSE CONTROL – blood glucosecalibration - liquid............................................................ 54

ACCUTREND GLUCOSE – glucose blood test strip.........54acebutolol hcl cap 200 mg (Sectral)..............................19acebutolol hcl cap 400 mg (Sectral)..............................19acetaminophen-isometheptene-dichloral cap325-65-100 mg................................................................42

acetaminophen w/ codeine soln 120-12 mg/5ml...........38acetaminophen w/ codeine tab 300-15 mg (Tylenol/codeine).......................................................................... 38

acetaminophen w/ codeine tab 300-30 mg (Tylenol/codeine #3).....................................................................38

acetaminophen w/ codeine tab 300-60 mg (Tylenol/codeine #4).....................................................................38

acetazolamide cap sr 12hr 500 mg (Diamox)................23acetazolamide tab 250 mg..............................................23acetic acid otic soln 2%................................................. 49acetylcysteine inhal soln 10%........................................26acetylcysteine inhal soln 20%........................................26acitretin cap 10 mg (Soriatane)......................................53acitretin cap 17.5 mg (Soriatane)...................................53acitretin cap 25 mg (Soriatane)......................................53ACTONEL – risedronate sodium tab 150 mg....................16ACTONEL – risedronate sodium tab 30 mg......................16ACTONEL – risedronate sodium tab 35 mg......................16ACTONEL – risedronate sodium tab 5 mg........................16acyclovir cap 200 mg (Zovirax)........................................4acyclovir susp 200 mg/5ml (Zovirax).............................. 4acyclovir tab 400 mg (Zovirax)........................................ 4acyclovir tab 800 mg (Zovirax)........................................ 4adapalene cream 0.1% (Differin)....................................50adapalene gel 0.1% (Differin)......................................... 50adapalene gel 0.3% (Differin)......................................... 50adefovir dipivoxil tab 10 mg (Hepsera)........................... 4ADVAIR DISKUS – fluticasone-salmeterol aer powder ba100-50 mcg/dose.............................................................26

ADVAIR DISKUS – fluticasone-salmeterol aer powder ba250-50 mcg/dose.............................................................26

ADVAIR DISKUS – fluticasone-salmeterol aer powder ba500-50 mcg/dose.............................................................26

ADVAIR HFA – fluticasone-salmeterol inhal aerosol115-21 mcg/act................................................................26

ADVAIR HFA – fluticasone-salmeterol inhal aerosol230-21 mcg/act................................................................26

ADVAIR HFA – fluticasone-salmeterol inhal aerosol 45-21mcg/act............................................................................ 26

AFINITOR DISPERZ – everolimus tab for oral susp 2mg...................................................................................... 7


2014



AFINITOR – everolimus tab 10 mg.....................................7AFINITOR – everolimus tab 2.5 mg....................................7AFINITOR – everolimus tab 5 mg.......................................7AFINITOR – everolimus tab 7.5 mg....................................7AGGRENOX – aspirin-dipyridamole cap sr 12hr 25-200mg.................................................................................... 47

AKNE-MYCIN – erythromycin oint 2%.............................. 50ALBENZA – albendazole tab 200 mg................................. 6albuterol sulfate soln nebu 0.083% (2.5 mg/3ml)..........26albuterol sulfate soln nebu 0.5% (5 mg/ml).................. 26albuterol sulfate soln nebu 0.63 mg/3ml (baseequiv).............................................................................. 26

albuterol sulfate soln nebu 1.25 mg/3ml (baseequiv).............................................................................. 26

albuterol sulfate syrup 2 mg/5ml...................................26albuterol sulfate tab 2 mg.............................................. 26albuterol sulfate tab 4 mg.............................................. 26alclometasone dipropionate cream 0.05%(Aclovate)........................................................................51

alclometasone dipropionate oint 0.05%........................51alendronate sodium tab 10 mg...................................... 16alendronate sodium tab 35 mg...................................... 16alendronate sodium tab 5 mg........................................ 16alendronate sodium tab 70 mg (Fosamax)................... 16alfuzosin hcl tab sr 24hr 10 mg (Uroxatral).................. 31ALKERAN – melphalan tab 2 mg....................................... 7allopurinol tab 100 mg (Zyloprim)................................. 43allopurinol tab 300 mg (Zyloprim)................................. 43alprazolam tab 0.25 mg (Xanax).................................... 31alprazolam tab 0.5 mg (Xanax)...................................... 32alprazolam tab 1 mg (Xanax)......................................... 32alprazolam tab 2 mg (Xanax)......................................... 32alprazolam tab sr 24hr 0.5 mg (Xanax xr)..................... 31alprazolam tab sr 24hr 1 mg (Xanax xr)........................ 31alprazolam tab sr 24hr 2 mg (Xanax xr)........................ 31alprazolam tab sr 24hr 3 mg (Xanax xr)........................ 31aluminum chloride soln 20% (Drysol)........................... 53amantadine hcl cap 100 mg........................................... 44amantadine hcl syrup 50 mg/5ml...................................44amcinonide cream 0.1%................................................. 51amiloride & hydrochlorothiazide tab 5-50 mg...............23amiloride hcl tab 5 mg....................................................23amiodarone hcl tab 100 mg........................................... 24amiodarone hcl tab 200 mg (Cordarone)...................... 24amiodarone hcl tab 400 mg........................................... 24amitriptyline hcl tab 100 mg...........................................32amitriptyline hcl tab 10 mg............................................ 32amitriptyline hcl tab 150 mg...........................................32amitriptyline hcl tab 25 mg............................................ 32amitriptyline hcl tab 50 mg............................................ 32amitriptyline hcl tab 75 mg............................................ 32amlodipine besylate-atorvastatin calcium tab 10-10 mg(Caduet).......................................................................... 20

amlodipine besylate-atorvastatin calcium tab 10-20 mg(Caduet).......................................................................... 20



amlodipine besylate-atorvastatin calcium tab 2.5-10mg (Caduet)....................................................................21







amlodipine besylate-benazepril hcl cap 10-20 mg(Lotrel).............................................................................21


amlodipine besylate-benazepril hcl cap 2.5-10 mg(Lotrel).............................................................................21




amlodipine besylate tab 10 mg (Norvasc).....................20amlodipine besylate tab 2.5 mg (Norvasc)....................20amlodipine besylate tab 5 mg (Norvasc)...................... 20amoxicillin (trihydrate) cap 250 mg.................................1amoxicillin (trihydrate) cap 500 mg.................................1amoxicillin (trihydrate) for susp 125 mg/5ml.................. 1amoxicillin (trihydrate) for susp 200 mg/5ml.................. 1amoxicillin (trihydrate) for susp 250 mg/5ml.................. 1amoxicillin (trihydrate) for susp 400 mg/5ml.................. 1amoxicillin (trihydrate) tab 500 mg..................................1amoxicillin (trihydrate) tab 875 mg..................................1amoxicillin & k clavulanate chew tab 200-28.5 mg.........1amoxicillin & k clavulanate chew tab 400-57 mg............1amoxicillin & k clavulanate for susp 200-28.5mg/5ml.............................................................................. 1

amoxicillin & k clavulanate for susp 250-62.5 mg/5ml(Augmentin)......................................................................1

amoxicillin & k clavulanate for susp 400-57 mg/5ml......1amoxicillin & k clavulanate for susp 600-42.9 mg/5ml(Augmentin es-600)......................................................... 1

amoxicillin & k clavulanate tab 250-125 mg................... 1amoxicillin & k clavulanate tab 500-125 mg(Augmentin)......................................................................1

2014


amoxicillin & k clavulanate tab 875-125 mg(Augmentin)......................................................................1

amoxicillin & k clavulanate tab sr 12hr 1000-62.5 mg(Augmentin xr)................................................................. 1

amphetamine-dextroamphetamine cap sr 24hr 10 mg(Adderall xr)................................................................... 36






amphetamine-dextroamphetamine tab 10 mg(Adderall)........................................................................ 36

amphetamine-dextroamphetamine tab 12.5 mg(Adderall)........................................................................ 36





amphetamine-dextroamphetamine tab 7.5 mg(Adderall)........................................................................ 36

ampicillin cap 250 mg.......................................................1ampicillin cap 500 mg.......................................................1anagrelide hcl cap 0.5 mg (Agrylin).............................. 47anagrelide hcl cap 1 mg................................................. 47anastrozole tab 1 mg (Arimidex)..................................... 7ANDRODERM – testosterone td patch 24hr 2mg/24hr............................................................................10

ANDRODERM – testosterone td patch 24hr 4mg/24hr............................................................................10

ANDROGEL PUMP – testosterone td gel 12.5 mg/act(1%)................................................................................. 10

ANDROGEL PUMP – testosterone td gel 20.25 mg/act(1.62%)............................................................................ 10

ANDROGEL – testosterone td gel 20.25 mg/1.25gm(1.62%)............................................................................ 10

ANDROGEL – testosterone td gel 25 mg/2.5gm (1%)...... 10ANDROGEL – testosterone td gel 40.5 mg/2.5gm(1.62%)............................................................................ 10

ANDROGEL – testosterone td gel 50 mg/5gm (1%)......... 10ANORO ELLIPTA – umeclidinium-vilanterol aero powd ba62.5-25 mcg/inh...............................................................26

antipyrine-benzocaine otic soln 54-14 mg/ml(5.4-1.4%)........................................................................ 49

APTIVUS – tipranavir cap 250 mg......................................4APTIVUS – tipranavir oral soln 100 mg/ml......................... 4

ASACOL HD – mesalamine tab delayed release 800mg.................................................................................... 30

ASACOL – mesalamine tab delayed release 400 mg....... 30ASCENSIA AUTODISC LOW AND – blood glucosecalibration - liquid............................................................ 54

ASCENSIA AUTODISC NORMAL – blood glucosecalibration - liquid - normal..............................................54

ASCENSIA AUTODISC TEST ST – glucose blood testdisk...................................................................................54

ASMANEX 120 METERED DOSES – mometasonefuroate inhal powd 220 mcg/inh (breath activated)..........26

ASMANEX 14 METERED DOSES – mometasone furoateinhal powd 220 mcg/inh (breath activated)......................27




ASTEPRO – azelastine hcl nasal spray 0.15% (205.5mcg/spray)....................................................................... 26

ATELVIA – risedronate sodium tab delayed release 35mg.................................................................................... 16

atenolol & chlorthalidone tab 100-25 mg (Tenoretic100)..................................................................................19

atenolol & chlorthalidone tab 50-25 mg (Tenoretic50)....................................................................................19

atenolol tab 100 mg (Tenormin).....................................19atenolol tab 25 mg (Tenormin).......................................20atenolol tab 50 mg (Tenormin).......................................20atorvastatin calcium tab 10 mg (base equivalent)(Lipitor)........................................................................... 22

atorvastatin calcium tab 20 mg (base equivalent)(Lipitor)........................................................................... 22



atovaquone-proguanil hcl tab 250-100 mg(Malarone).........................................................................6

ATRIPLA – efavirenz-emtricitabine-tenofovir df tab600-200-300 mg................................................................ 4

atropine sulfate ophth soln 1% (Isopto atropine).........49ATROVENT HFA – ipratropium bromide hfa inhal aerosol17 mcg/act....................................................................... 27

AVINZA – morphine sulfate beads cap sr 24hr 120mg.................................................................................... 39

AVINZA – morphine sulfate beads cap sr 24hr 30 mg...... 38AVINZA – morphine sulfate beads cap sr 24hr 45 mg...... 38AVINZA – morphine sulfate beads cap sr 24hr 60 mg...... 38AVINZA – morphine sulfate beads cap sr 24hr 75 mg...... 38AVINZA – morphine sulfate beads cap sr 24hr 90 mg...... 38AVODART – dutasteride cap 0.5 mg................................ 31azathioprine tab 50 mg (Imuran)....................................56azelastine hcl nasal spray 0.15% (205.5 mcg/spray)(Astepro)......................................................................... 26

2014


azelastine hcl nasal spray 137 mcg/spray (1 mg/ml)....................................................................................26

azelastine hcl ophth soln 0.05% (Optivar).................... 49azithromycin for susp 100 mg/5ml (Zithromax)..............2azithromycin for susp 200 mg/5ml (Zithromax)..............2azithromycin tab 250 mg (Zithromax)............................. 2azithromycin tab 500 mg (Zithromax)............................. 2azithromycin tab 600 mg (Zithromax)............................. 2

B

BACITRACIN – bacitracin ophth oint 500 unit/gm.............48bacitracin-polymyxin b ophth oint.................................48bacitracin-polymyxin-neomycin-hc ophth oint 1%.......48baclofen tab 10 mg......................................................... 45baclofen tab 20 mg......................................................... 45balsalazide disodium cap 750 mg (Colazal)..................30BARACLUDE – entecavir oral soln 0.05 mg/ml.................. 4BARACLUDE – entecavir tab 0.5 mg................................. 4BARACLUDE – entecavir tab 1 mg.................................... 4BAYER BREEZE 2 BLOOD GLUC – blood glucosemonitoring kit w/ device...................................................54

BAYER BREEZE 2 HIGH CONTR – blood glucosecalibration - liquid - high.................................................. 54

BAYER BREEZE 2 LOW CONTRO – blood glucosecalibration - liquid - low................................................... 54

BAYER BREEZE 2 NORMAL CON – blood glucosecalibration - liquid - normal..............................................54

BAYER BREEZE 2 TEST DISC – glucose blood testdisk...................................................................................54

BAYER CONTOUR BLOOD GLUCO – blood glucosemonitoring devices...........................................................54

BAYER CONTOUR BLOOD GLUCO – blood glucosemonitoring kit w/ device...................................................54

BAYER CONTOUR BLOOD GLUCO – glucose blood teststrip.................................................................................. 54

BAYER CONTOUR HIGH CONTRO – blood glucosecalibration - liquid - high.................................................. 54

BAYER CONTOUR LINK BLOOD – blood glucosemonitoring kit w/ device...................................................54

BAYER CONTOUR LOW CONTROL – blood glucosecalibration - liquid - low................................................... 54

BAYER CONTOUR NEXT BLOOD – blood glucosemonitoring kit w/ device...................................................54

BAYER CONTOUR NEXT BLOOD – glucose blood teststrip.................................................................................. 54

BAYER CONTOUR NEXT CONTRO – blood glucosecalibration - liquid - low................................................... 54

BAYER CONTOUR NEXT CONTRO – blood glucosecalibration - liquid - normal..............................................54

BAYER CONTOUR NEXT EZ BLO – blood glucosemonitoring kit w/ device...................................................54

BAYER CONTOUR NEXT LINK B – blood glucosemonitoring kit w/ device...................................................54

BAYER CONTOUR NEXT USB BL – blood glucosemonitoring kit w/ device...................................................54

BAYER CONTOUR NORMAL CONT – blood glucosecalibration - liquid - normal..............................................54

BAYER CONTOUR USB BLOOD G – blood glucosemonitoring kit w/ device...................................................55

BAYER MICROLET LANCETS – lancets..........................55benazepril & hydrochlorothiazide tab 10-12.5 mg(Lotensin hct).................................................................17

benazepril & hydrochlorothiazide tab 20-12.5 mg(Lotensin hct).................................................................17

benazepril & hydrochlorothiazide tab 20-25 mg(Lotensin hct).................................................................18

benazepril & hydrochlorothiazide tab 5-6.25 mg..........18benazepril hcl tab 10 mg (Lotensin)..............................18benazepril hcl tab 20 mg (Lotensin)..............................18benazepril hcl tab 40 mg (Lotensin)..............................18benazepril hcl tab 5 mg..................................................18benzoyl peroxide-erythromycin gel 5-3%(Benzamycin)..................................................................50

benztropine mesylate tab 0.5 mg...................................44benztropine mesylate tab 1 mg..................................... 44benztropine mesylate tab 2 mg..................................... 44betamethasone dipropionate augmented cream 0.05%(Diprolene af)................................................................. 51

betamethasone dipropionate augmented gel0.05%...............................................................................51

betamethasone dipropionate augmented lotion 0.05%(Diprolene)...................................................................... 51

betamethasone dipropionate augmented oint 0.05%(Diprolene)...................................................................... 51

betamethasone dipropionate cream 0.05%...................51betamethasone dipropionate lotion 0.05%................... 51betamethasone dipropionate oint 0.05%...................... 51betamethasone valerate cream 0.1%.............................51betamethasone valerate lotion 0.1%............................. 51betamethasone valerate oint 0.1%.................................52BETASERON – interferon beta-1b for inj kit 0.3 mg..........37bicalutamide tab 50 mg (Casodex)..................................7BILTRICIDE – praziquantel tab 600 mg..............................6bisoprolol & hydrochlorothiazide tab 10-6.25 mg(Ziac)............................................................................... 20

bisoprolol & hydrochlorothiazide tab 2.5-6.25 mg(Ziac)............................................................................... 20

bisoprolol & hydrochlorothiazide tab 5-6.25 mg(Ziac)............................................................................... 20

bisoprolol fumarate tab 10 mg (Zebeta)........................20bisoprolol fumarate tab 5 mg (Zebeta)..........................20BOSULIF – bosutinib tab 100 mg....................................... 7BOSULIF – bosutinib tab 500 mg....................................... 7BREEZE 2 BLOOD GLUCOSE MO – blood glucosemonitoring devices...........................................................55

BREO ELLIPTA – fluticasone furoate-vilanterol aero powdba 100-25 mcg/inh...........................................................27

brimonidine tartrate ophth soln 0.15% (Alphaganp)......................................................................................49

brimonidine tartrate ophth soln 0.2%............................49bromocriptine mesylate cap 5 mg (Parlodel)................45

2014


bromocriptine mesylate tab 2.5 mg (Parlodel)..............45budesonide cap sr 24hr 3 mg (Entocort ec)................. 10budesonide inhalation susp 0.25 mg/2ml(Pulmicort)...................................................................... 27

budesonide inhalation susp 0.5 mg/2ml(Pulmicort)...................................................................... 27

bumetanide tab 0.5 mg................................................... 23bumetanide tab 1 mg......................................................23bumetanide tab 2 mg......................................................23buprenorphine hcl-naloxone hcl sl tab 2-0.5 mg (baseequiv).............................................................................. 39

buprenorphine hcl-naloxone hcl sl tab 8-2 mg (baseequiv).............................................................................. 39

buprenorphine hcl sl tab 2 mg (base equiv).................39buprenorphine hcl sl tab 8 mg (base equiv).................39bupropion hcl (smoking deterrent) tab sr 12hr 150 mg(Zyban)............................................................................ 37

bupropion hcl tab 100 mg (Wellbutrin)......................... 32bupropion hcl tab 75 mg (Wellbutrin)........................... 32bupropion hcl tab sr 12hr 100 mg (Wellbutrin sr)........ 32bupropion hcl tab sr 12hr 150 mg (Wellbutrin sr)........ 32bupropion hcl tab sr 12hr 200 mg (Wellbutrin sr)........ 32bupropion hcl tab sr 24hr 150 mg (Wellbutrin xl).........32bupropion hcl tab sr 24hr 300 mg (Wellbutrin xl).........32buspirone hcl tab 10 mg................................................ 32buspirone hcl tab 15 mg................................................ 32buspirone hcl tab 30 mg................................................ 32buspirone hcl tab 5 mg.................................................. 32butalbital-acetaminophen-caffeine cap 50-325-40mg....................................................................................38

butalbital-acetaminophen-caffeine tab 50-325-40mg....................................................................................38

butalbital-acetaminophen-caffeine tab 50-500-40mg....................................................................................38

butalbital-acetaminophen tab 50-325 mg......................38butalbital-acetaminophen tab 50-650 mg......................38butalbital-aspirin-caffeine cap 50-325-40 mg(Fiorinal)..........................................................................38

butalbital-aspirin-caffeine tab 50-325-40 mg.................38butalbital-aspirin-caff w/ codeine cap 50-325-40-30 mg(Fiorinal/codeine #3)......................................................39

BYDUREON – exenatide extended release for inj susp 2mg.................................................................................... 13

BYETTA – exenatide soln pen-injector 10 mcg/0.04ml..... 13BYETTA – exenatide soln pen-injector 5 mcg/0.02ml....... 13

C

cabergoline tab 0.5 mg................................................... 17caffeine citrate oral soln 60 mg/3ml (10 mg/ml baseequiv) (Cafcit).................................................................36

calcipotriene cream 0.005% (Dovonex).........................53calcipotriene soln 0.005% (50 mcg/ml)..........................53calcitonin (salmon) nasal soln 200 unit/act(Miacalcin)...................................................................... 17

calcitriol cap 0.25 mcg (Rocaltrol).................................17calcitriol cap 0.5 mcg (Rocaltrol)...................................17

calcitriol oral soln 1 mcg/ml (Rocaltrol)........................17calcium acetate (phosphate binder) cap 667 mg (169mg ca) (Phoslo)............................................................. 30

calcium acetate (phosphate binder) tab 667 mg(Eliphos)..........................................................................30

CANASA – mesalamine suppos 1000 mg........................ 30capecitabine tab 150 mg (Xeloda)................................... 7capecitabine tab 500 mg (Xeloda)................................... 7CAPRELSA – vandetanib tab 100 mg................................ 7CAPRELSA – vandetanib tab 300 mg................................ 7captopril tab 100 mg.......................................................18captopril tab 12.5 mg......................................................18captopril tab 25 mg.........................................................18captopril tab 50 mg.........................................................18carbamazepine cap sr 12hr 100 mg (Carbatrol)............43carbamazepine cap sr 12hr 200 mg (Carbatrol)............43carbamazepine cap sr 12hr 300 mg (Carbatrol)............43carbamazepine chew tab 100 mg.................................. 43carbamazepine susp 100 mg/5ml (Tegretol).................43carbamazepine tab 200 mg (Tegretol)...........................43carbamazepine tab sr 12hr 200 mg (Tegretol-xr)..........43carbamazepine tab sr 12hr 400 mg (Tegretol-xr)..........43carbidopa & levodopa orally disintegrating tab 10-100mg....................................................................................45

carbidopa & levodopa orally disintegrating tab 25-100mg....................................................................................45

carbidopa & levodopa orally disintegrating tab 25-250mg....................................................................................45

carbidopa & levodopa tab 10-100 mg (Sinemet)...........45carbidopa & levodopa tab 25-100 mg (Sinemet)...........45carbidopa & levodopa tab 25-250 mg (Sinemet)...........45carbidopa & levodopa tab cr 25-100 mg (Sinemetcr).................................................................................... 45

carbidopa & levodopa tab cr 50-200 mg (Sinemetcr).................................................................................... 45

carteolol hcl ophth soln 1%........................................... 49carvedilol tab 12.5 mg (Coreg).......................................20carvedilol tab 25 mg (Coreg)..........................................20carvedilol tab 3.125 mg (Coreg).....................................20carvedilol tab 6.25 mg (Coreg).......................................20CEENU – lomustine cap 100 mg........................................ 7CEENU – lomustine cap 10 mg..........................................7CEENU – lomustine cap 40 mg..........................................7cefaclor cap 250 mg......................................................... 1cefaclor cap 500 mg......................................................... 1cefadroxil cap 500 mg...................................................... 1cefadroxil for susp 250 mg/5ml....................................... 1cefadroxil for susp 500 mg/5ml....................................... 1cefadroxil tab 1 gm........................................................... 1cefdinir cap 300 mg.......................................................... 1cefdinir for susp 125 mg/5ml........................................... 1cefdinir for susp 250 mg/5ml........................................... 1cefpodoxime proxetil for susp 100 mg/5ml.................... 1cefpodoxime proxetil for susp 50 mg/5ml...................... 1cefpodoxime proxetil tab 100 mg.................................... 1cefpodoxime proxetil tab 200 mg.................................... 1

2014


cefprozil for susp 125 mg/5ml......................................... 1cefprozil for susp 250 mg/5ml......................................... 1cefprozil tab 250 mg......................................................... 1cefprozil tab 500 mg......................................................... 1ceftriaxone sodium for inj 1 gm (Rocephin)................... 1ceftriaxone sodium for inj 250 mg...................................2ceftriaxone sodium for inj 2 gm...................................... 1ceftriaxone sodium for inj 500 mg (Rocephin)............... 2cefuroxime axetil for susp 125 mg/5ml (Ceftin)..............2cefuroxime axetil tab 250 mg (Ceftin)............................. 2cefuroxime axetil tab 500 mg (Ceftin)............................. 2CELLCEPT – mycophenolate mofetil for oral susp 200 mg/ml..................................................................................... 56

cephalexin cap 250 mg (Keflex).......................................2cephalexin cap 500 mg (Keflex).......................................2cephalexin for susp 125 mg/5ml......................................2cephalexin for susp 250 mg/5ml......................................2cetirizine hcl oral soln 1 mg/ml (5 mg/5ml)...................26cevimeline hcl cap 30 mg (Evoxac)...............................50CHANTIX CONTINUING MONTH – varenicline tartrate tab1 mg (base equiv)........................................................... 37

CHANTIX STARTING MONTH PA – varenicline tartratetab 0.5 mg x 11 & tab 1 mg x 42 pack............................37

CHANTIX – varenicline tartrate tab 0.5 mg (baseequiv)............................................................................... 37

CHANTIX – varenicline tartrate tab 1 mg (base equiv)......37CHEMET – succimer cap 100 mg.................................... 56CHENODAL – chenodiol tab 250 mg................................30chlorhexidine gluconate soln 0.12% (Peridex)............. 50chloroquine phosphate tab 250 mg.................................6chloroquine phosphate tab 500 mg (Aralen).................. 6chlorothiazide tab 250 mg..............................................23chlorothiazide tab 500 mg..............................................23chlorpromazine hcl tab 100 mg..................................... 34chlorpromazine hcl tab 10 mg....................................... 34chlorpromazine hcl tab 200 mg..................................... 34chlorpromazine hcl tab 25 mg....................................... 34chlorpromazine hcl tab 50 mg....................................... 34chlorzoxazone tab 500 mg (Parafon forte dsc).............45cholestyramine light powder 4 gm/dose (Questranlight)................................................................................ 22

cholestyramine light powder packets 4 gm..................22cholestyramine powder 4 gm/dose (Questran)............ 22cholestyramine powder packets 4 gm (Questran)........22choline fenofibrate cap dr 135 mg (fenofibric acidequiv) (Trilipix)...............................................................22

choline fenofibrate cap dr 45 mg (fenofibric acidequiv) (Trilipix)...............................................................22

chorionic gonadotropin for inj 10000 unit.................... 12CIALIS – tadalafil tab 10 mg.............................................25CIALIS – tadalafil tab 2.5 mg............................................25CIALIS – tadalafil tab 20 mg.............................................25CIALIS – tadalafil tab 5 mg...............................................25ciclopirox gel 0.77% (Loprox)........................................ 51ciclopirox olamine cream 0.77% (base equiv).............. 51ciclopirox olamine susp 0.77% (base equiv)................ 51

ciclopirox shampoo 1% (Loprox shampoo)..................51ciclopirox solution 8% (Penlac nail lacquer)................ 51cilostazol tab 100 mg (Pletal).........................................47cilostazol tab 50 mg (Pletal)...........................................47cimetidine hcl soln 300 mg/5ml..................................... 28cimetidine tab 300 mg.................................................... 28cimetidine tab 400 mg.................................................... 28cimetidine tab 800 mg.................................................... 28CIPRODEX – ciprofloxacin-dexamethasone otic susp0.3-0.1%...........................................................................49

ciprofloxacin-ciprofloxacin hcl tab sr 24hr 1000mg(base eq) (Cipro xr)....................................................3

ciprofloxacin-ciprofloxacin hcl tab sr 24hr 500 mg(base eq) (Cipro xr)......................................................... 3

ciprofloxacin hcl ophth soln 0.3% (Ciloxan).................48ciprofloxacin hcl tab 100 mg (base equiv)......................3ciprofloxacin hcl tab 250 mg (base equiv) (Cipro)......... 3ciprofloxacin hcl tab 500 mg (base equiv) (Cipro)......... 3ciprofloxacin hcl tab 750 mg (base equiv)......................3citalopram hydrobromide oral soln 10 mg/5ml.............32citalopram hydrobromide tab 10 mg (base equiv)(Celexa)........................................................................... 32

citalopram hydrobromide tab 20 mg (base equiv)(Celexa)........................................................................... 32

citalopram hydrobromide tab 40 mg (base equiv)(Celexa)........................................................................... 32

CITRANATAL 90 DHA – prenat w/o a w/fecbn-fegl-dss-fatab 90 &dha cap 300mg pak...........................................46

CITRANATAL ASSURE – prenat w/o a w/fecbn-fegl-dss-fatab & dha cap 300 mg pack............................................46

CITRANATAL B-CALM – prenat w/o a w/fecbn-feglu-fa tab20-1 mg & vit b6 tab pak.................................................46

CITRANATAL B-CALM – prenat w/o a w/ fe cbnyl-fa tab20-1 mg & vit b6 tab pak.................................................46

CITRANATAL DHA – prenat w/o a w/fecbn-fegl-dss-fa tab& dha cap 250 mg pack..................................................46

CITRANATAL HARMONY – prenatal w/o a w/fe cbn-dss-fa-dha cap 28-1-250 mg..................................................46

CITRANATAL HARMONY – prenatal w/o a w/fe cbn-dss-fa-dha cap 29-1-265 mg..................................................46

CITRANATAL HARMONY – prenatal w/o vit a w/ fe cbn-dss-fa-dha cap 30-1-260 mg........................................... 46

CITRANATAL RX – prenatal w/o a w/ fe carbonyl-fe gluc-dss-fa tab 27-1mg........................................................... 46

clarithromycin for susp 125 mg/5ml................................2clarithromycin for susp 250 mg/5ml (Biaxin)..................2clarithromycin tab 250 mg (Biaxin)................................. 2clarithromycin tab 500 mg (Biaxin)................................. 2clarithromycin tab sr 24hr 500 mg (Biaxin xl pac)..........2clindamycin hcl cap 150 mg (Cleocin)............................ 6clindamycin hcl cap 300 mg (Cleocin)............................ 6clindamycin hcl cap 75 mg (Cleocin).............................. 6clindamycin palmitate hcl for soln 75 mg/5ml (baseequiv) (Cleocin pediatric gr)...........................................6

clindamycin phosphate-benzoyl peroxide gel 1-5%(Benzaclin)......................................................................50

2014


clindamycin phosphate gel 1% (Cleocin-t)................... 50clindamycin phosphate lotion 1% (Cleocin-t)...............50clindamycin phosphate soln 1% (Cleocin-t)................. 50clindamycin phosphate swab 1% (Cleocin-t)................50clindamycin phosphate vaginal cream 2%(Cleocin)..........................................................................31

clindamycin phosph-benzoyl peroxide (refrig) gel 1.2(1)-5% (Duac)..................................................................50

clobetasol propionate cream 0.05% (Temovate).......... 52clobetasol propionate emollient base cream 0.05%(Temovate e).................................................................. 52

clobetasol propionate foam 0.05% (Olux).....................52clobetasol propionate gel 0.05% (Temovate)................52clobetasol propionate oint 0.05% (Temovate).............. 52clobetasol propionate soln 0.05% (Temovate)............. 52clomiphene citrate tab 50 mg (Clomid)......................... 13clomipramine hcl cap 25 mg (Anafranil)....................... 32clomipramine hcl cap 50 mg (Anafranil)....................... 32clomipramine hcl cap 75 mg (Anafranil)....................... 32clonazepam tab 0.5 mg (Klonopin)................................43clonazepam tab 1 mg (Klonopin)...................................43clonazepam tab 2 mg (Klonopin)...................................43clonidine hcl tab 0.1 mg (Catapres).............................. 25clonidine hcl tab 0.2 mg (Catapres).............................. 25clonidine hcl tab 0.3 mg (Catapres).............................. 25clonidine hcl td patch weekly 0.1 mg/24hr (Catapres-tts-1)................................................................................ 25

clonidine hcl td patch weekly 0.2 mg/24hr (Catapres-tts-2)................................................................................ 25

clonidine hcl td patch weekly 0.3 mg/24hr (Catapres-tts-3)................................................................................ 25

clopidogrel bisulfate tab 75 mg (base equiv)(Plavix)............................................................................ 47

clotrimazole troche 10 mg..............................................50clozapine tab 100 mg (Clozaril)..................................... 34clozapine tab 200 mg......................................................34clozapine tab 25 mg (Clozaril)....................................... 34clozapine tab 50 mg........................................................34COAGUCHEK LANCETS – lancets.................................. 55colchicine w/ probenecid tab 0.5-500 mg......................43COLCRYS – colchicine tab 0.6 mg...................................43colestipol hcl granule packets 5 gm (Colestidflavored)..........................................................................23

colestipol hcl granules 5 gm (Colestid flavored)..........23colestipol hcl tab 1 gm (Colestid)..................................23COMBIPATCH – estradiol-norethindrone ace td pttw0.05-0.14 mg/day.............................................................10

COMBIPATCH – estradiol-norethindrone ace td pttw0.05-0.25 mg/day.............................................................10

COMBIVENT – ipratropium-albuterol aerosol 18-103 mcg/act (20-120mcg/act).........................................................27

COMBIVENT RESPIMAT – ipratropium-albuterol inhalaerosol soln 20-100 mcg/act........................................... 27

COMETRIQ – cabozantinib s-malate cap 3 x 20 mg (60mg dose) kit.......................................................................7

COMETRIQ – cabozantinib s-mal cap 1 x 80 mg & 1 x 20mg (100 dose) kit.............................................................. 7

COMETRIQ – cabozantinib s-mal cap 1 x 80 mg & 3 x 20mg (140 dose) kit.............................................................. 7

COMPLERA – emtricitabine-rilpivirine-tenofovir df tab200-25-300 mg.................................................................. 4

COPAXONE – glatiramer acetate inj kit 20 mg/ml............ 37COPAXONE – glatiramer acetate soln prefilled syringe 40mg/ml............................................................................... 37

CORTIFOAM – hydrocortisone acetate rectal foam 90 mg/dose................................................................................. 50

CORTISONE ACETATE – cortisone acetate tab 25mg.................................................................................... 10

CORTISPORIN – bacitracin-polymyxin-neomycin hc oint1%....................................................................................51

CORTISPORIN – neomycin-polymyxin-hc cream0.5%.................................................................................51

CREON – pancrelipase (lip-prot-amyl) dr cap12000-38000-60000 unit..................................................30

CREON – pancrelipase (lip-prot-amyl) dr cap24000-76000-120000 unit................................................30

CREON – pancrelipase (lip-prot-amyl) dr cap3000-9500-15000 unit......................................................30

CREON – pancrelipase (lip-prot-amyl) dr cap36000-114000-180000 unit..............................................30

CREON – pancrelipase (lip-prot-amyl) dr cap6000-19000-30000 unit....................................................30

CRESTOR – rosuvastatin calcium tab 10 mg................... 23CRESTOR – rosuvastatin calcium tab 20 mg................... 23CRESTOR – rosuvastatin calcium tab 40 mg................... 23CRESTOR – rosuvastatin calcium tab 5 mg..................... 23CRIXIVAN – indinavir sulfate cap 200 mg.......................... 4CRIXIVAN – indinavir sulfate cap 400 mg.......................... 4cromolyn sodium ophth soln 4%...................................49cromolyn sodium soln nebu 20 mg/2ml........................27CUPRIMINE – penicillamine cap 250 mg......................... 56cyanocobalamin inj 1000 mcg/ml.................................. 47cyclobenzaprine hcl tab 10 mg......................................45cyclobenzaprine hcl tab 5 mg........................................45cyclopentolate hcl ophth soln 1% (Cyclogyl)............... 49CYCLOPHOSPHAMIDE – cyclophosphamide tab 25mg...................................................................................... 7

CYCLOPHOSPHAMIDE – cyclophosphamide tab 50mg...................................................................................... 7

cyclosporine cap 100 mg (Sandimmune)......................56cyclosporine cap 25 mg (Sandimmune)........................56cyclosporine modified cap 100 mg (Neoral)................. 56cyclosporine modified cap 25 mg (Neoral)................... 56CYCLOSPORINE MODIFIED – cyclosporine modified cap50 mg...............................................................................56

cyclosporine modified oral soln 100 mg/ml(Neoral)........................................................................... 56

cyproheptadine hcl syrup 2 mg/5ml..............................26cyproheptadine hcl tab 4 mg......................................... 26CYSTAGON – cysteamine bitartrate cap 150 mg............. 31CYSTAGON – cysteamine bitartrate cap 50 mg............... 31

2014


D

danazol cap 100 mg........................................................10danazol cap 200 mg........................................................10danazol cap 50 mg..........................................................10dantrolene sodium cap 100 mg (Dantrium).................. 45dantrolene sodium cap 25 mg (Dantrium).................... 45dantrolene sodium cap 50 mg (Dantrium).................... 45DAPSONE – dapsone tab 100 mg..................................... 7DAPSONE – dapsone tab 25 mg....................................... 7DARAPRIM – pyrimethamine tab 25 mg.............................6DELZICOL – mesalamine cap dr 400 mg......................... 30demeclocycline hcl tab 150 mg....................................... 2demeclocycline hcl tab 300 mg....................................... 2desipramine hcl tab 100 mg (Norpramin)......................32desipramine hcl tab 10 mg (Norpramin)....................... 32desipramine hcl tab 150 mg (Norpramin)......................32desipramine hcl tab 25 mg (Norpramin)....................... 32desipramine hcl tab 50 mg (Norpramin)....................... 32desipramine hcl tab 75 mg (Norpramin)....................... 32desmopressin acetate inj 4 mcg/ml (Ddavp)................ 17desmopressin acetate nasal soln 0.01% (refrigerated)(Ddavp)............................................................................17

desmopressin acetate nasal spray soln 0.01%(Ddavp)............................................................................17

desmopressin acetate nasal spray soln 0.01%(refrigerated)...................................................................17

desmopressin acetate tab 0.1 mg (Ddavp)................... 17desmopressin acetate tab 0.2 mg (Ddavp)................... 17desogest-eth estrad & eth estrad tab 0.15-0.02/0.01mg(21/5) (Mircette).........................................................12

desogest-ethin est tab0.1-0.025/0.125-0.025/0.15-0.025mg-mg(Cyclessa)....................................................................... 12

desogestrel & ethinyl estradiol tab 0.15 mg-30 mcg(Desogen)....................................................................... 12

desonide cream 0.05% (Desowen).................................52desonide lotion 0.05% (Desowen)................................. 52desonide oint 0.05% (Desowen).................................... 52desoximetasone cream 0.25% (Topicort)......................52desoximetasone gel 0.05% (Topicort)........................... 52desoximetasone oint 0.25% (Topicort)..........................52dexamethasone elixir 0.5 mg/5ml.................................. 10dexamethasone sodium phosphate ophth soln0.1%.................................................................................48

dexamethasone tab 0.5 mg............................................ 10dexamethasone tab 0.75 mg.......................................... 10dexamethasone tab 1.5 mg............................................ 10dexamethasone tab 4 mg............................................... 10dexamethasone tab 6 mg............................................... 10dextroamphetamine sulfate cap sr 24hr 10 mg(Dexedrine)..................................................................... 36

dextroamphetamine sulfate cap sr 24hr 15 mg(Dexedrine)..................................................................... 36

dextroamphetamine sulfate cap sr 24hr 5 mg(Dexedrine)..................................................................... 36

dextroamphetamine sulfate tab 5 mg............................36DIASTAT ACUDIAL – diazepam rectal gel delivery system10 mg...............................................................................43

DIASTAT ACUDIAL – diazepam rectal gel delivery system20 mg...............................................................................43

DIASTAT PEDIATRIC – diazepam rectal gel deliverysystem 2.5 mg.................................................................43

diazepam tab 10 mg (Valium).........................................32diazepam tab 2 mg (Valium)...........................................32diazepam tab 5 mg (Valium)...........................................32DIBENZYLINE – phenoxybenzamine hcl cap 10 mg........ 25diclofenac potassium tab 50 mg (Cataflam)................. 41diclofenac sodium (actinic keratoses) gel 3%(Solaraze)........................................................................53

diclofenac sodium ophth soln 0.1%.............................. 49diclofenac sodium tab delayed release 25 mg............. 41diclofenac sodium tab delayed release 50 mg............. 41diclofenac sodium tab delayed release 75 mg............. 41diclofenac sodium tab sr 24hr 100 mg (Voltaren-xr).................................................................................... 41

dicloxacillin sodium cap 250 mg..................................... 1dicloxacillin sodium cap 500 mg..................................... 1dicyclomine hcl cap 10 mg (Bentyl).............................. 28dicyclomine hcl tab 20 mg (Bentyl)...............................28didanosine delayed release capsule 125 mg (Videxec)......................................................................................4

didanosine delayed release capsule 200 mg (Videxec)......................................................................................4



DIDGET – blood glucose monitoring kit w/ device............ 55DIFFERIN – adapalene gel 0.3%......................................50DIFFERIN – adapalene lotion 0.1%..................................50diflorasone diacetate oint 0.05%................................... 52digoxin tab 125 mcg (0.125 mg) (Lanoxin)....................25digoxin tab 250 mcg (0.25 mg) (Lanoxin)......................25DILANTIN – phenytoin sodium extended cap 100 mg.......43DILANTIN – phenytoin sodium extended cap 30 mg........ 43diltiazem hcl cap sr 24hr 120 mg...................................21diltiazem hcl cap sr 24hr 180 mg...................................21diltiazem hcl cap sr 24hr 240 mg...................................21diltiazem hcl coated beads cap sr 24hr 120 mg(Cardizem cd).................................................................21

diltiazem hcl coated beads cap sr 24hr 180 mg(Cardizem cd).................................................................21




diltiazem hcl extended release beads cap sr 24hr 120mg (Tiazac).....................................................................21

2014







diltiazem hcl tab 120 mg (Cardizem)............................. 21diltiazem hcl tab 30 mg (Cardizem)............................... 21diltiazem hcl tab 60 mg (Cardizem)............................... 21diltiazem hcl tab 90 mg.................................................. 21DIOVAN – valsartan tab 160 mg...................................... 19DIOVAN – valsartan tab 320 mg...................................... 19DIOVAN – valsartan tab 40 mg........................................ 19DIOVAN – valsartan tab 80 mg........................................ 19diphenoxylate w/ atropine tab 2.5-0.025 mg(Lomotil)..........................................................................28

dipyridamole tab 25 mg (Persantine)............................ 47dipyridamole tab 50 mg (Persantine)............................ 47dipyridamole tab 75 mg (Persantine)............................ 47disopyramide phosphate cap 100 mg (Norpace)..........24disopyramide phosphate cap 150 mg (Norpace)..........24disulfiram tab 250 mg (Antabuse)................................. 37disulfiram tab 500 mg (Antabuse)................................. 37divalproex sodium cap sprinkle 125 mg (Depakotesprinkles)........................................................................ 43

divalproex sodium tab delayed release 125 mg(Depakote)...................................................................... 43



divalproex sodium tab sr 24 hr 250 mg (Depakoteer).................................................................................... 43

divalproex sodium tab sr 24 hr 500 mg (Depakoteer).................................................................................... 43

DIVIGEL – estradiol td gel 0.25 mg/0.25gm (0.1%).......... 11DIVIGEL – estradiol td gel 0.5 mg/0.5gm (0.1%).............. 11DIVIGEL – estradiol td gel 1 mg/gm (0.1%)......................11donepezil hydrochloride orally disintegrating tab 10mg (Aricept odt).............................................................38

donepezil hydrochloride orally disintegrating tab 5 mg(Aricept odt)................................................................... 38

donepezil hydrochloride tab 10 mg (Aricept)............... 38donepezil hydrochloride tab 5 mg (Aricept)................. 38dorzolamide hcl ophth soln 2% (Trusopt).....................49dorzolamide hcl-timolol maleate ophth soln 22.3-6.8mg/ml (Cosopt).............................................................. 49

doxazosin mesylate tab 1 mg (Cardura)....................... 25doxazosin mesylate tab 2 mg (Cardura)....................... 25doxazosin mesylate tab 4 mg (Cardura)....................... 25doxazosin mesylate tab 8 mg (Cardura)....................... 25doxepin hcl cap 100 mg................................................. 32

doxepin hcl cap 10 mg................................................... 32doxepin hcl cap 25 mg................................................... 32doxepin hcl cap 50 mg................................................... 32doxepin hcl conc 10 mg/ml............................................32doxycycline hyclate cap 100 mg (Vibramycin)............... 2doxycycline hyclate cap 50 mg....................................... 2doxycycline hyclate tab 100 mg...................................... 2doxycycline hyclate tab 20 mg........................................ 2doxycycline monohydrate cap 100 mg (Monodox)........ 2doxycycline monohydrate cap 150 mg (Adoxa)............. 2doxycycline monohydrate cap 50 mg............................. 2doxycycline monohydrate cap 75 mg (Monodox).......... 2doxycycline monohydrate tab 100 mg (Adoxa pak1/100).................................................................................2

doxycycline monohydrate tab 150 mg (Adoxa pak1/150).................................................................................2

doxycycline monohydrate tab 50 mg (Adoxa)................2doxycycline monohydrate tab 75 mg (Adoxa)................2DRITHO-SCALP – anthralin cream 0.5%..........................53drospirenone-ethinyl estradiol tab 3-0.02 mg (Yaz)..... 12drospirenone-ethinyl estradiol tab 3-0.03 mg (Yasmin28)....................................................................................12

DULERA – mometasone furoate-formoterol fumarateaerosol 100-5 mcg/act.....................................................27

DULERA – mometasone furoate-formoterol fumarateaerosol 200-5 mcg/act.....................................................27

duloxetine hcl enteric coated pellets cap 20 mg(Cymbalta)...................................................................... 33



DUTOPROL – metoprolol & hydrochlorothiazide tab sr24hr 100-12.5 mg............................................................ 20

DUTOPROL – metoprolol & hydrochlorothiazide tab sr24hr 25-12.5 mg.............................................................. 20

DUTOPROL – metoprolol & hydrochlorothiazide tab sr24hr 50-12.5 mg.............................................................. 20

E

econazole nitrate cream 1%...........................................51EDURANT – rilpivirine hcl tab 25 mg (base equivalent)......4ELIDEL – pimecrolimus cream 1%................................... 53ELLA – ulipristal acetate tab 30 mg.................................. 12EMCYT – estramustine phosphate sodium cap 140 mg..... 7EMEND – aprepitant capsule 125 mg...............................29EMEND – aprepitant capsule 40 mg.................................29EMEND – aprepitant capsule 80 mg.................................29EMEND – aprepitant capsule therapy pack 80 & 125mg.................................................................................... 29

EMTRIVA – emtricitabine caps 200 mg.............................. 4EMTRIVA – emtricitabine soln 10 mg/ml............................ 4enalapril maleate & hydrochlorothiazide tab 10-25 mg(Vaseretic).......................................................................18

enalapril maleate & hydrochlorothiazide tab 5-12.5mg....................................................................................18

2014


enalapril maleate tab 10 mg (Vasotec).......................... 18enalapril maleate tab 2.5 mg (Vasotec)......................... 18enalapril maleate tab 20 mg (Vasotec).......................... 18enalapril maleate tab 5 mg (Vasotec)............................18ENBREL – etanercept for subcutaneous inj kit 25 mg...... 41ENBREL – etanercept subcutaneous inj 25 mg/0.5ml.......41ENBREL – etanercept subcutaneous inj 50 mg/ml........... 41ENBREL SURECLICK – etanercept subcutaneous inj 50mg/ml............................................................................... 41

enoxaparin sodium inj 100 mg/ml (Lovenox)............... 47enoxaparin sodium inj 120 mg/0.8ml (Lovenox)...........47enoxaparin sodium inj 150 mg/ml (Lovenox)............... 47enoxaparin sodium inj 300 mg/3ml (Lovenox)..............47enoxaparin sodium inj 30 mg/0.3ml (Lovenox).............47enoxaparin sodium inj 40 mg/0.4ml (Lovenox).............47enoxaparin sodium inj 60 mg/0.6ml (Lovenox).............47enoxaparin sodium inj 80 mg/0.8ml (Lovenox).............47entacapone tab 200 mg (Comtan)..................................45EPIPEN 2-PAK – epinephrine solution auto-injector 0.3mg/0.3ml (1:1000)............................................................26

EPIPEN-JR 2-PAK – epinephrine solution auto-injector0.15 mg/0.3ml (1:2000)................................................... 26

EPIVIR – lamivudine oral soln 10 mg/ml.............................4eplerenone tab 25 mg (Inspra).......................................25eplerenone tab 50 mg (Inspra).......................................25EPOGEN – epoetin alfa inj 10000 unit/ml.........................47EPOGEN – epoetin alfa inj 20000 unit/ml.........................47EPOGEN – epoetin alfa inj 2000 unit/ml...........................47EPOGEN – epoetin alfa inj 3000 unit/ml...........................47EPOGEN – epoetin alfa inj 4000 unit/ml...........................47EPZICOM – abacavir sulfate-lamivudine tab 600-300mg...................................................................................... 5

ergocalciferol cap 50000 unit (Drisdol)......................... 46ERIVEDGE – vismodegib cap 150 mg............................... 7erythromycin gel 2% (Erygel).........................................50erythromycin ophth oint 5 mg/gm.................................48erythromycin pads 2%....................................................50erythromycin soln 2%.....................................................50erythromycin-sulfisoxazole for susp 200-600mg/5ml.............................................................................. 7

erythromycin w/ delayed release particles cap 250mg......................................................................................2

escitalopram oxalate soln 5 mg/5ml (base equiv)(Lexapro).........................................................................33

escitalopram oxalate tab 10 mg (base equiv)(Lexapro).........................................................................33



estazolam tab 1 mg.........................................................35estazolam tab 2 mg.........................................................35ESTRACE – estradiol vaginal cream 0.1 mg/gm.............. 31estradiol & norethindrone acetate tab 0.5-0.1 mg(Activella)........................................................................11

estradiol & norethindrone acetate tab 1-0.5 mg(Activella)........................................................................11

estradiol tab 0.5 mg (Estrace)........................................11estradiol tab 1 mg (Estrace)...........................................11estradiol tab 2 mg (Estrace)...........................................11estradiol td patch weekly 0.025 mg/24hr (Climara)...... 11estradiol td patch weekly 0.0375 mg/24hr (37.5mcg/24hr) (Climara).......................................................11

estradiol td patch weekly 0.05 mg/24hr (Climara)........ 11estradiol td patch weekly 0.06 mg/24hr (Climara)........ 11estradiol td patch weekly 0.075 mg/24hr (Climara)...... 11estradiol td patch weekly 0.1 mg/24hr (Climara).......... 11estropipate tab 0.75 mg..................................................11estropipate tab 1.5 mg....................................................11ethambutol hcl tab 100 mg (Myambutol)........................ 3ethambutol hcl tab 400 mg (Myambutol)........................ 3ethosuximide cap 250 mg (Zarontin).............................43ethosuximide soln 250 mg/5ml (Zarontin).................... 43ethynodiol diacetate & ethinyl estradiol tab 1 mg-35mcg..................................................................................12

etodolac cap 200 mg.......................................................41etodolac cap 300 mg.......................................................41etodolac tab 400 mg....................................................... 41etodolac tab 500 mg....................................................... 41etodolac tab sr 24hr 400 mg.......................................... 41etodolac tab sr 24hr 500 mg.......................................... 41etodolac tab sr 24hr 600 mg.......................................... 41ETOPOSIDE – etoposide cap 50 mg..................................7EVISTA – raloxifene hcl tab 60 mg...................................17EXELON – rivastigmine td patch 24hr 13.3 mg/24hr.........38EXELON – rivastigmine td patch 24hr 4.6 mg/24hr...........38EXELON – rivastigmine td patch 24hr 9.5 mg/24hr...........38exemestane tab 25 mg (Aromasin)..................................7EXFORGE – amlodipine besylate-valsartan tab 10-160mg.................................................................................... 21

EXFORGE – amlodipine besylate-valsartan tab 10-320mg.................................................................................... 21



EXFORGE HCT – amlodipine-valsartan-hydrochlorothiazide tab 10-160-12.5 mg......................... 19

EXFORGE HCT – amlodipine-valsartan-hydrochlorothiazide tab 10-160-25 mg............................ 19

EXFORGE HCT – amlodipine-valsartan-hydrochlorothiazide tab 10-320-25 mg............................ 19

EXFORGE HCT – amlodipine-valsartan-hydrochlorothiazide tab 5-160-12.5 mg........................... 19

EXFORGE HCT – amlodipine-valsartan-hydrochlorothiazide tab 5-160-25 mg.............................. 19

F

famciclovir tab 125 mg (Famvir)...................................... 4famciclovir tab 250 mg (Famvir)...................................... 4famciclovir tab 500 mg (Famvir)...................................... 4

2014


famotidine tab 20 mg (Pepcid).......................................28famotidine tab 40 mg (Pepcid).......................................28FARESTON – toremifene citrate tab 60 mg (baseequivalent)......................................................................... 7

felodipine tab sr 24hr 10 mg..........................................21felodipine tab sr 24hr 2.5 mg.........................................21felodipine tab sr 24hr 5 mg............................................21fenofibrate micronized cap 134 mg (Lofibra)................23fenofibrate micronized cap 200 mg (Lofibra)................23fenofibrate micronized cap 67 mg (Lofibra)..................23fenofibrate tab 145 mg (Tricor)...................................... 23fenofibrate tab 160 mg (Lofibra).................................... 23fenofibrate tab 48 mg (Tricor)........................................ 23fenofibrate tab 54 mg (Lofibra)...................................... 23fentanyl citrate lollipop 1200 mcg (Actiq)..................... 39fentanyl citrate lollipop 1600 mcg (Actiq)..................... 39fentanyl citrate lollipop 200 mcg (Actiq)....................... 39fentanyl citrate lollipop 400 mcg (Actiq)....................... 39fentanyl citrate lollipop 600 mcg (Actiq)....................... 39fentanyl citrate lollipop 800 mcg (Actiq)....................... 39fentanyl td patch 72hr 100 mcg/hr (Duragesic)............ 39fentanyl td patch 72hr 12 mcg/hr (Duragesic).............. 39fentanyl td patch 72hr 25 mcg/hr (Duragesic).............. 39fentanyl td patch 72hr 50 mcg/hr (Duragesic).............. 39fentanyl td patch 72hr 75 mcg/hr (Duragesic).............. 39FINACEA – azelaic acid gel 15%..................................... 50finasteride tab 5 mg (Proscar)....................................... 31FINGERSTIX LANCETS – lancets....................................55FIRAZYR – icatibant acetate inj 30 mg/3ml (baseequivalent)....................................................................... 47

flecainide acetate tab 100 mg........................................ 24flecainide acetate tab 150 mg........................................ 24flecainide acetate tab 50 mg.......................................... 24FLOVENT DISKUS – fluticasone propionate aer pow ba100 mcg/blister................................................................ 27

FLOVENT DISKUS – fluticasone propionate aer pow ba250 mcg/blister................................................................ 27

FLOVENT DISKUS – fluticasone propionate aer pow ba50 mcg/blister.................................................................. 27

FLOVENT HFA – fluticasone propionate hfa inhal aer 110mcg/act (125/valve)......................................................... 27

FLOVENT HFA – fluticasone propionate hfa inhal aer 220mcg/act (250/valve)......................................................... 27

FLOVENT HFA – fluticasone propionate hfa inhal aero 44mcg/act (50/valve)........................................................... 27

fluconazole for susp 10 mg/ml (Diflucan)....................... 3fluconazole for susp 40 mg/ml (Diflucan)....................... 3fluconazole tab 100 mg (Diflucan)...................................3fluconazole tab 150 mg (Diflucan)...................................3fluconazole tab 200 mg (Diflucan)...................................3fluconazole tab 50 mg (Diflucan).....................................3flucytosine cap 250 mg (Ancobon)..................................3flucytosine cap 500 mg (Ancobon)..................................3fludrocortisone acetate tab 0.1 mg................................10flunisolide nasal soln 0.025% (Flunisolide).................. 26fluocinolone acetonide cream 0.01%............................ 52

fluocinolone acetonide cream 0.025% (Synalar).......... 52fluocinolone acetonide oil 0.01% (Derma-smoothe/fsbod)................................................................................. 52

fluocinolone acetonide oint 0.025% (Synalar).............. 52fluocinolone acetonide soln 0.01% (Synalar)............... 52fluocinonide cream 0.05%.............................................. 52fluocinonide emulsified base cream 0.05%.................. 52fluocinonide gel 0.05%................................................... 52fluocinonide oint 0.05%.................................................. 52fluocinonide soln 0.05%................................................. 52fluorometholone ophth susp 0.1% (Fml liquifilm)........ 48fluorouracil cream 5% (Efudex)..................................... 53fluorouracil soln 2%........................................................53fluorouracil soln 5%........................................................53fluoxetine hcl cap 10 mg (Prozac)................................. 33fluoxetine hcl cap 20 mg (Prozac)................................. 33fluoxetine hcl cap 40 mg (Prozac)................................. 33fluoxetine hcl solution 20 mg/5ml................................. 33fluoxetine hcl tab 10 mg.................................................33fluoxetine hcl tab 20 mg.................................................33fluphenazine hcl tab 10 mg............................................34fluphenazine hcl tab 1 mg..............................................34fluphenazine hcl tab 2.5 mg...........................................34fluphenazine hcl tab 5 mg..............................................34flurbiprofen sodium ophth soln 0.03% (Ocufen).......... 49flurbiprofen tab 100 mg.................................................. 41flurbiprofen tab 50 mg.................................................... 41flutamide cap 125 mg....................................................... 7fluticasone propionate cream 0.05% (Cutivate)............52fluticasone propionate nasal susp 50 mcg/act(Flonase)......................................................................... 26

fluticasone propionate oint 0.005% (Cutivate)..............52fluvoxamine maleate tab 100 mg...................................33fluvoxamine maleate tab 25 mg.....................................33fluvoxamine maleate tab 50 mg.....................................33FOCALIN XR – dexmethylphenidate hcl cap sr 24 hr 10mg.................................................................................... 36

FOCALIN XR – dexmethylphenidate hcl cap sr 24 hr 20mg.................................................................................... 36




folic acid tab 1 mg.......................................................... 47FOLLISTIM AQ – follitropin beta inj 150 unit/0.5ml........... 13FOLLISTIM AQ – follitropin beta inj 300 unit/0.36ml......... 13FOLLISTIM AQ – follitropin beta inj 600 unit/0.72ml......... 13FOLLISTIM AQ – follitropin beta inj 75 unit/0.5ml............. 13FOLLISTIM AQ – follitropin beta inj 900 unit/1.08ml......... 13FORADIL AEROLIZER – formoterol fumarate inhal cap 12mcg.................................................................................. 27

fosinopril sodium & hydrochlorothiazide tab 10-12.5mg....................................................................................18

2014


fosinopril sodium & hydrochlorothiazide tab 20-12.5mg....................................................................................18

fosinopril sodium tab 10 mg..........................................18fosinopril sodium tab 20 mg..........................................18fosinopril sodium tab 40 mg..........................................18furosemide oral soln 10 mg/ml...................................... 23furosemide tab 20 mg (Lasix)........................................ 23furosemide tab 40 mg (Lasix)........................................ 24furosemide tab 80 mg (Lasix)........................................ 24FUZEON – enfuvirtide for inj 90 mg....................................5

G

gabapentin cap 100 mg (Neurontin).............................. 43gabapentin cap 300 mg (Neurontin).............................. 43gabapentin cap 400 mg (Neurontin).............................. 43gabapentin oral soln 250 mg/5ml (Neurontin).............. 43gabapentin tab 600 mg (Neurontin)...............................43gabapentin tab 800 mg (Neurontin)...............................43galantamine hydrobromide cap sr 24hr 16 mg(Razadyne er)................................................................. 38

galantamine hydrobromide cap sr 24hr 24 mg(Razadyne er)................................................................. 38

galantamine hydrobromide cap sr 24hr 8 mg(Razadyne er)................................................................. 38

galantamine hydrobromide oral soln 4 mg/ml(Razadyne)......................................................................38

galantamine hydrobromide tab 12 mg (Razadyne).......38galantamine hydrobromide tab 4 mg (Razadyne)........ 38galantamine hydrobromide tab 8 mg (Razadyne)........ 38gemfibrozil tab 600 mg (Lopid)......................................23gentamicin sulfate ophth oint 0.3%...............................48gentamicin sulfate ophth soln 0.3% (Garamycin)........ 48GILOTRIF – afatinib dimaleate tab 20 mg (baseequivalent)......................................................................... 8

GILOTRIF – afatinib dimaleate tab 30 mg (baseequivalent)......................................................................... 8

GILOTRIF – afatinib dimaleate tab 40 mg (baseequivalent)......................................................................... 8

GLEEVEC – imatinib mesylate tab 100 mg (baseequivalent)......................................................................... 8

GLEEVEC – imatinib mesylate tab 400 mg (baseequivalent)......................................................................... 8

glimepiride tab 1 mg (Amaryl)....................................... 13glimepiride tab 2 mg (Amaryl)....................................... 13glimepiride tab 4 mg (Amaryl)....................................... 13glipizide-metformin hcl tab 2.5-250 mg.........................13glipizide-metformin hcl tab 2.5-500 mg.........................13glipizide-metformin hcl tab 5-500 mg............................13glipizide tab 10 mg (Glucotrol)...................................... 13glipizide tab 5 mg (Glucotrol)........................................ 13glipizide tab sr 24hr 10 mg (Glucotrol xl)......................13glipizide tab sr 24hr 2.5 mg (Glucotrol xl).....................13glipizide tab sr 24hr 5 mg (Glucotrol xl)....................... 13GLUCAGON EMERGENCY KIT – glucagon (rdna) for injkit 1 mg............................................................................13

glyburide-metformin tab 1.25-250 mg(Glucovance).................................................................. 13

glyburide-metformin tab 2.5-500 mg (Glucovance)...... 13glyburide-metformin tab 5-500 mg (Glucovance).........13glyburide micronized tab 1.5 mg (Glynase).................. 13glyburide micronized tab 3 mg (Glynase).....................13glyburide micronized tab 6 mg (Glynase).....................13glyburide tab 1.25 mg.....................................................13glyburide tab 2.5 mg.......................................................13glyburide tab 5 mg..........................................................13glycopyrrolate tab 1 mg (Robinul).................................28glycopyrrolate tab 2 mg (Robinul forte)........................28granisetron hcl tab 1 mg................................................ 29GRANIX – tbo-filgrastim soln prefilled syringe 300mcg/0.5ml........................................................................ 47

GRANIX – tbo-filgrastim soln prefilled syringe 480mcg/0.8ml........................................................................ 47

griseofulvin microsize susp 125 mg/5ml........................ 3griseofulvin microsize tab 500 mg (Grifulvin v)............. 3guanfacine hcl tab 1 mg (Tenex)................................... 25guanfacine hcl tab 2 mg (Tenex)................................... 25

H

halobetasol propionate cream 0.05% (Ultravate)......... 52halobetasol propionate oint 0.05% (Ultravate)............. 52haloperidol decanoate im soln 100 mg/ml (Haldoldecanoate 100)...............................................................34

haloperidol decanoate im soln 50 mg/ml (Haldoldecanoate 50).................................................................34

haloperidol lactate oral conc 2 mg/ml...........................34haloperidol tab 0.5 mg....................................................34haloperidol tab 10 mg.....................................................34haloperidol tab 1 mg.......................................................34haloperidol tab 20 mg.....................................................34haloperidol tab 2 mg.......................................................34haloperidol tab 5 mg.......................................................34HEXALEN – altretamine cap 50 mg................................... 8homatropine hbr ophth soln 5% (Isoptohomatropine).................................................................. 49

HUMALOG – insulin lispro (human) inj 100 unit/ml...........14HUMALOG – insulin lispro (human) soln cartridge 100unit/ml.............................................................................. 14

HUMALOG KWIKPEN – insulin lispro (human) soln pen-injector 100 unit/ml.......................................................... 14

HUMALOG MIX 50/50 – insulin lispro prot & lispro(human) inj 100 unit/ml (50-50)....................................... 15

HUMALOG MIX 50/50 KWIKPEN – insulin lispro prot &lispro sus pen-inj 100 unit/ml (50-50).............................. 15

HUMALOG MIX 75/25 – insulin lispro prot & lispro(human) inj 100 unit/ml (75-25)....................................... 15

HUMALOG MIX 75/25 KWIKPEN – insulin lispro prot &lispro sus pen-inj 100 unit/ml (75-25).............................. 15

HUMIRA – adalimumab inj kit 20 mg/0.4ml...................... 41HUMIRA – adalimumab inj kit 40 mg/0.8ml (50 mg/ml).....41HUMIRA PEN – adalimumab inj kit 40 mg/0.8ml (50 mg/ml).................................................................................... 41

2014


HUMIRA PEN-CROHNS DISEASE – adalimumab inj kit40 mg/0.8ml (50 mg/ml).................................................. 41

HUMIRA PEN-PSORIASIS STAR – adalimumab inj kit 40mg/0.8ml (50 mg/ml)....................................................... 42

HUMULIN 70/30 – insulin isophane & regular (human) inj100 unit/ml (70-30).......................................................... 15

HUMULIN 70/30 KWIKPEN – insulin isophane & regularsusp pen-inj 100 unit/ml (70-30)......................................15

HUMULIN 70/30 PEN – insulin isophane & regular susppen-inj 100 unit/ml (70-30).............................................. 15

HUMULIN N – insulin isophane (human) inj 100 unit/ml..................................................................................... 15

HUMULIN N KWIKPEN – insulin isophane (human) susppen-injector 100 unit/ml................................................... 15

HUMULIN N U-100 PEN – insulin isophane (human) susppen-injector 100 unit/ml................................................... 15

HUMULIN R – insulin regular (human) inj 100 unit/ml.......15HUMULIN R U-500 (CONCENTR – insulin regular(human) inj 500 unit/ml....................................................15

HYCAMTIN – topotecan hcl cap 0.25 mg (base equiv).......8HYCAMTIN – topotecan hcl cap 1 mg (base equiv)............8hydralazine hcl tab 100 mg............................................ 25hydralazine hcl tab 10 mg.............................................. 25hydralazine hcl tab 25 mg.............................................. 25hydralazine hcl tab 50 mg.............................................. 25hydrochlorothiazide cap 12.5 mg (Microzide)...............24hydrochlorothiazide tab 25 mg...................................... 24hydrochlorothiazide tab 50 mg...................................... 24hydrocodone-acetaminophen cap 5-500 mg................ 39hydrocodone-acetaminophen soln 7.5-325 mg/15ml(Hycet).............................................................................39

hydrocodone-acetaminophen soln 7.5-500mg/15ml.......................................................................... 39

hydrocodone-acetaminophen tab 10-325 mg(Norco)............................................................................ 39

hydrocodone-acetaminophen tab 10-500 mg............... 39hydrocodone-acetaminophen tab 10-650 mg............... 39hydrocodone-acetaminophen tab 10-660 mg............... 39hydrocodone-acetaminophen tab 2.5-500 mg.............. 39hydrocodone-acetaminophen tab 5-325 mg(Norco)............................................................................ 39

hydrocodone-acetaminophen tab 5-500 mg................. 39hydrocodone-acetaminophen tab 7.5-325 mg(Norco)............................................................................ 39

hydrocodone-acetaminophen tab 7.5-750 mg.............. 39hydrocodone-ibuprofen tab 10-200 mg (Ibudone)........39hydrocodone-ibuprofen tab 5-200 mg (Reprexain)...... 39hydrocodone-ibuprofen tab 7.5-200 mg(Vicoprofen)....................................................................39

hydrocortisone acetate suppos 25 mg (Anusol-hc)..... 50hydrocortisone cream 2.5%........................................... 52hydrocortisone enema 100 mg/60ml (Cortenema)....... 50hydrocortisone lotion 2.5%............................................ 52hydrocortisone oint 2.5%............................................... 52hydrocortisone rectal cream 2.5% (Anusol-hc)............ 50hydrocortisone tab 10 mg (Cortef)................................ 10

hydrocortisone tab 20 mg (Cortef)................................ 10hydrocortisone tab 5 mg (Cortef).................................. 10hydrocortisone valerate cream 0.2%.............................52hydrocortisone valerate oint 0.2% (Westcort).............. 52hydrocortisone w/ acetic acid otic soln 1-2% (Vosolhc)....................................................................................50

hydromorphone hcl liqd 1 mg/ml (Dilaudid)................. 39hydromorphone hcl tab 2 mg (Dilaudid)....................... 39hydromorphone hcl tab 4 mg (Dilaudid)....................... 39hydromorphone hcl tab 8 mg (Dilaudid)....................... 39hydroxychloroquine sulfate tab 200 mg (Plaquenil)...... 6hydroxyurea cap 500 mg (Hydrea).................................. 8hydroxyzine hcl syrup 10 mg/5ml..................................32hydroxyzine hcl tab 10 mg.............................................32hydroxyzine hcl tab 25 mg.............................................32hydroxyzine hcl tab 50 mg.............................................32hydroxyzine pamoate cap 25 mg (Vistaril)....................32hydroxyzine pamoate cap 50 mg (Vistaril)....................32hyoscyamine sulfate elixir 0.125 mg/5ml...................... 28hyoscyamine sulfate soln 0.125 mg/ml.........................28hyoscyamine sulfate tab 0.125 mg (Levsin)................. 29hyoscyamine sulfate tab sl 0.125 mg (Levsin/sl)..........28hyoscyamine sulfate tab sr 12hr 0.375 mg (Levbid).....28

I

ibandronate sodium tab 150 mg (base equivalent)(Boniva)...........................................................................17

ibuprofen susp 100 mg/5ml............................................42ibuprofen tab 400 mg......................................................42ibuprofen tab 600 mg......................................................42ibuprofen tab 800 mg......................................................42ICLUSIG – ponatinib hcl tab 15 mg (base equiv)................8ICLUSIG – ponatinib hcl tab 45 mg (base equiv)................8ILARIS – canakinumab for inj 180 mg.............................. 42IMBRUVICA – ibrutinib cap 140 mg....................................8imipramine hcl tab 10 mg (Tofranil).............................. 33imipramine hcl tab 25 mg (Tofranil).............................. 33imipramine hcl tab 50 mg (Tofranil).............................. 33imiquimod cream 5% (Aldara)........................................53INCRELEX – mecasermin inj 40 mg/4ml (10 mg/ml)........ 16indapamide tab 1.25 mg................................................. 24indapamide tab 2.5 mg................................................... 24indomethacin cap 25 mg................................................ 42indomethacin cap 50 mg................................................ 42INLYTA – axitinib tab 1 mg.................................................8INLYTA – axitinib tab 5 mg.................................................8INTELENCE – etravirine tab 100 mg..................................5INTELENCE – etravirine tab 200 mg..................................5INTELENCE – etravirine tab 25 mg....................................5INTUNIV – guanfacine hcl tab sr 24hr 1 mg (baseequiv)............................................................................... 36

INTUNIV – guanfacine hcl tab sr 24hr 2 mg (baseequiv)............................................................................... 36


2014



INVIRASE – saquinavir mesylate cap 200 mg....................5INVIRASE – saquinavir mesylate tab 500 mg.....................5ipratropium-albuterol nebu soln 0.5-2.5(3) mg/3ml(Duoneb)......................................................................... 27

ipratropium bromide inhal soln 0.02%.......................... 27ipratropium bromide nasal soln 0.03% (21 mcg/spray)(Atrovent)........................................................................26

ipratropium bromide nasal soln 0.06% (42 mcg/spray)(Atrovent)........................................................................26

irbesartan-hydrochlorothiazide tab 150-12.5 mg(Avalide)..........................................................................19

irbesartan-hydrochlorothiazide tab 300-12.5 mg(Avalide)..........................................................................19

irbesartan tab 150 mg (Avapro)..................................... 19irbesartan tab 300 mg (Avapro)..................................... 19irbesartan tab 75 mg (Avapro)....................................... 19ISENTRESS – raltegravir potassium chew tab 100 mg(base equiv).......................................................................5

ISENTRESS – raltegravir potassium chew tab 25 mg(base equiv).......................................................................5

ISENTRESS – raltegravir potassium tab 400 mg (baseequiv)................................................................................. 5

isoniazid & rifampin cap 150-300 mg.............................. 3isoniazid tab 100 mg.........................................................3isoniazid tab 300 mg.........................................................3isosorbide dinitrate tab 10 mg.......................................22isosorbide dinitrate tab 20 mg.......................................22isosorbide dinitrate tab 30 mg.......................................22isosorbide dinitrate tab 5 mg (Isordil titradose)........... 22isosorbide mononitrate tab 10 mg................................ 22isosorbide mononitrate tab 20 mg................................ 22isosorbide mononitrate tab sr 24hr 120 mg (Imdur).....22isosorbide mononitrate tab sr 24hr 30 mg (Imdur).......22isosorbide mononitrate tab sr 24hr 60 mg (Imdur).......22isotretinoin cap 10 mg....................................................50isotretinoin cap 20 mg....................................................50isotretinoin cap 40 mg....................................................50itraconazole cap 100 mg (Sporanox)...............................3

J

JAKAFI – ruxolitinib phosphate tab 10 mg (baseequivalent)......................................................................... 8





JANUMET – sitagliptin-metformin hcl tab 50-1000 mg......13JANUMET – sitagliptin-metformin hcl tab 50-500 mg........13JANUMET XR – sitagliptin-metformin hcl tab sr 24hr100-1000 mg................................................................... 14

JANUMET XR – sitagliptin-metformin hcl tab sr 24hr50-1000 mg..................................................................... 14

JANUMET XR – sitagliptin-metformin hcl tab sr 24hr50-500 mg....................................................................... 13

JANUVIA – sitagliptin phosphate tab 100 mg (baseequiv)............................................................................... 14



JUVISYNC – sitagliptin-simvastatin tab 100-10 mg.......... 14JUVISYNC – sitagliptin-simvastatin tab 100-20 mg.......... 14JUVISYNC – sitagliptin-simvastatin tab 100-40 mg.......... 14JUVISYNC – sitagliptin-simvastatin tab 50-10 mg............ 14JUVISYNC – sitagliptin-simvastatin tab 50-20 mg............ 14JUVISYNC – sitagliptin-simvastatin tab 50-40 mg............ 14JUXTAPID – lomitapide mesylate cap 10 mg (baseequiv)............................................................................... 23

JUXTAPID – lomitapide mesylate cap 20 mg (baseequiv)............................................................................... 23

JUXTAPID – lomitapide mesylate cap 5 mg (baseequiv)............................................................................... 23

K

KALETRA – lopinavir-ritonavir soln 400-100 mg/5ml(80-20 mg/ml).................................................................... 5

KALETRA – lopinavir-ritonavir tab 100-25 mg.................... 5KALETRA – lopinavir-ritonavir tab 200-50 mg.................... 5KALYDECO – ivacaftor tab 150 mg..................................28ketoconazole cream 2%..................................................51ketoconazole shampoo 2% (Nizoral)............................. 51ketoprofen cap 50 mg.....................................................42ketoprofen cap 75 mg.....................................................42ketorolac tromethamine ophth soln 0.4% (Acularls).....................................................................................49

ketorolac tromethamine ophth soln 0.5% (Acular).......49KOMBIGLYZE XR – saxagliptin-metformin hcl tab sr 24hr2.5-1000 mg.................................................................... 14

KOMBIGLYZE XR – saxagliptin-metformin hcl tab sr 24hr5-1000 mg....................................................................... 14

KOMBIGLYZE XR – saxagliptin-metformin hcl tab sr 24hr5-500 mg......................................................................... 14

K-PHOS – potassium phosphate monobasic tab 500mg.................................................................................... 46

L

labetalol hcl tab 100 mg (Trandate)...............................20labetalol hcl tab 200 mg (Trandate)...............................20labetalol hcl tab 300 mg (Trandate)...............................20lactulose (encephalopathy) solution 10 gm/15ml.........30lactulose solution 10 gm/15ml....................................... 28LAMICTAL – lamotrigine tab chewable dispersible 2mg.................................................................................... 43

lamivudine tab 100 mg (Epivir hbv).................................4lamivudine tab 150 mg (Epivir)........................................ 5lamivudine tab 300 mg (Epivir)........................................ 5

2014


lamivudine-zidovudine tab 150-300 mg (Combivir)........5lamotrigine tab 100 mg (Lamictal).................................44lamotrigine tab 150 mg (Lamictal).................................44lamotrigine tab 200 mg (Lamictal).................................44lamotrigine tab 25 mg (Lamictal)...................................44lamotrigine tab chewable dispersible 25 mg (Lamictalchewable di)................................................................... 43

lamotrigine tab chewable dispersible 5 mg (Lamictalchewable di)................................................................... 44

lansoprazole cap delayed release 15 mg(Prevacid)........................................................................29

lansoprazole cap delayed release 30 mg(Prevacid)........................................................................29

LANTUS – insulin glargine inj 100 unit/ml.........................15LANTUS SOLOSTAR – insulin glargine soln pen-injector100 unit/ml....................................................................... 15

latanoprost ophth soln 0.005% (Xalatan)...................... 49leflunomide tab 10 mg (Arava).......................................42leflunomide tab 20 mg (Arava).......................................42LETAIRIS – ambrisentan tab 10 mg................................. 25LETAIRIS – ambrisentan tab 5 mg................................... 25letrozole tab 2.5 mg (Femara).......................................... 8LEUCOVORIN CALCIUM – leucovorin calcium tab 10mg...................................................................................... 8

LEUCOVORIN CALCIUM – leucovorin calcium tab 15mg...................................................................................... 8

leucovorin calcium tab 25 mg..........................................8leucovorin calcium tab 5 mg........................................... 8LEUKERAN – chlorambucil tab 2 mg................................. 8levalbuterol hcl soln nebu 0.31 mg/3ml (base equiv)(Xopenex)........................................................................27

levalbuterol hcl soln nebu 0.63 mg/3ml (base equiv)(Xopenex)........................................................................27

levalbuterol hcl soln nebu 1.25 mg/3ml (base equiv)(Xopenex)........................................................................27

levalbuterol hcl soln nebu conc 1.25 mg/0.5ml (baseequiv) (Xopenex concentrate)...................................... 27

LEVEMIR FLEXPEN – insulin detemir soln pen-injector100 unit/ml....................................................................... 15

LEVEMIR FLEXTOUCH – insulin detemir soln pen-injector100 unit/ml....................................................................... 15

LEVEMIR – insulin detemir inj 100 unit/ml........................15levetiracetam oral soln 100 mg/ml (Keppra)................. 44levetiracetam tab 1000 mg (Keppra)..............................44levetiracetam tab 250 mg (Keppra)................................44levetiracetam tab 500 mg (Keppra)................................44levetiracetam tab 750 mg (Keppra)................................44levobunolol hcl ophth soln 0.5% (Betagan)..................49levocarnitine oral soln 1 gm/10ml (10%) (Carnitor)...... 17levocarnitine tab 330 mg (Carnitor)...............................17levofloxacin oral soln 25 mg/ml (Levaquin)....................3levofloxacin tab 250 mg (Levaquin)................................ 3levofloxacin tab 500 mg (Levaquin)................................ 3levofloxacin tab 750 mg (Levaquin)................................ 3levonorgestrel & ethinyl estradiol (91-day) tab0.15-0.03 mg................................................................... 12

levonorgestrel & ethinyl estradiol tab 0.15 mg-30mcg..................................................................................12

levonorgestrel & ethinyl estradiol tab 0.1 mg-20mcg..................................................................................12

levonorgestrel-eth estra tab0.05-30/0.075-40/0.125-30mg-mcg................................ 12

levonorgestrel tab 0.75 mg (Plan b).............................. 12levonorgestrel tab 1.5 mg (Plan b one-step).................12levonorg-eth est tab 0.15-0.03mg(84) & eth est tab0.01mg(7) (Seasonique)................................................ 12

levothyroxine sodium tab 100 mcg (Synthroid)........... 15levothyroxine sodium tab 112 mcg (Synthroid)........... 15levothyroxine sodium tab 125 mcg (Synthroid)........... 16levothyroxine sodium tab 137 mcg (Synthroid)........... 16levothyroxine sodium tab 150 mcg (Synthroid)........... 16levothyroxine sodium tab 175 mcg (Synthroid)........... 16levothyroxine sodium tab 200 mcg (Synthroid)........... 16levothyroxine sodium tab 25 mcg (Synthroid)............. 16levothyroxine sodium tab 300 mcg (Synthroid)........... 16levothyroxine sodium tab 50 mcg (Synthroid)............. 16levothyroxine sodium tab 75 mcg (Synthroid)............. 16levothyroxine sodium tab 88 mcg (Synthroid)............. 16LEXIVA – fosamprenavir calcium susp 50 mg/ml (baseequiv)................................................................................. 5

LEXIVA – fosamprenavir calcium tab 700 mg (baseequiv)................................................................................. 5

LIALDA – mesalamine tab delayed release 1.2 gm.......... 30lidocaine hcl gel 2%........................................................53lidocaine hcl laryngotracheal soln 4% (Lta 360 kit)......50lidocaine hcl local inj 1% (Xylocaine)............................43lidocaine hcl local preservative free (pf) inj 1%(Xylocaine-mpf).............................................................. 43

lidocaine hcl soln 4% (Xylocaine)..................................53lidocaine hcl viscous soln 2%....................................... 50lidocaine oint 5%.............................................................53lidocaine patch 5% (Lidoderm)...................................... 53lidocaine-prilocaine cream 2.5-2.5% (Emla)..................53lindane lotion 1%.............................................................53liothyronine sodium tab 25 mcg (Cytomel)...................16liothyronine sodium tab 50 mcg (Cytomel)...................16liothyronine sodium tab 5 mcg (Cytomel).....................16LIPOFEN – fenofibrate cap 150 mg..................................23LIPOFEN – fenofibrate cap 50 mg....................................23lisinopril & hydrochlorothiazide tab 10-12.5 mg(Zestoretic)..................................................................... 18

lisinopril & hydrochlorothiazide tab 20-12.5 mg(Zestoretic)..................................................................... 18

lisinopril & hydrochlorothiazide tab 20-25 mg(Zestoretic)..................................................................... 18

lisinopril tab 10 mg (Prinivil)..........................................18lisinopril tab 2.5 mg (Zestril)..........................................18lisinopril tab 20 mg (Prinivil)..........................................18lisinopril tab 30 mg (Zestril)...........................................18lisinopril tab 40 mg (Zestril)...........................................18lisinopril tab 5 mg (Prinivil)............................................18lithium carbonate cap 150 mg (Lithium carbonate)......34

2014


lithium carbonate cap 300 mg....................................... 34lithium carbonate cap 600 mg (Lithium carbonate)......34lithium carbonate tab 300 mg........................................ 34lithium carbonate tab cr 300 mg (Lithobid)...................34lithium carbonate tab cr 450 mg....................................34LOMUSTINE – lomustine cap 100 mg................................8LOMUSTINE – lomustine cap 10 mg..................................8LOMUSTINE – lomustine cap 40 mg..................................8loperamide hcl cap 2 mg................................................28lorazepam conc 2 mg/ml (Lorazepam intensol)............32lorazepam tab 0.5 mg (Ativan)....................................... 32lorazepam tab 1 mg (Ativan)..........................................32lorazepam tab 2 mg (Ativan)..........................................32losartan potassium & hydrochlorothiazide tab100-12.5 mg (Hyzaar).....................................................19

losartan potassium & hydrochlorothiazide tab 100-25mg (Hyzaar).................................................................... 19

losartan potassium & hydrochlorothiazide tab 50-12.5mg (Hyzaar).................................................................... 19

losartan potassium tab 100 mg (Cozaar)...................... 19losartan potassium tab 25 mg (Cozaar)........................ 19losartan potassium tab 50 mg (Cozaar)........................ 19LOTEMAX – loteprednol etabonate ophth gel 0.5%..........48LOTEMAX – loteprednol etabonate ophth oint 0.5%.........48LOTEMAX – loteprednol etabonate ophth susp 0.5%.......48lovastatin tab 10 mg....................................................... 23lovastatin tab 20 mg (Mevacor)..................................... 23lovastatin tab 40 mg (Mevacor)..................................... 23LOVAZA – omega-3-acid ethyl esters cap 1 gm............... 23loxapine succinate cap 10 mg....................................... 34loxapine succinate cap 25 mg....................................... 34loxapine succinate cap 50 mg....................................... 34loxapine succinate cap 5 mg (Loxitane)....................... 34LUMIGAN – bimatoprost ophth soln 0.01%...................... 49LUMIGAN – bimatoprost ophth soln 0.03%...................... 49LUPRON DEPOT-PED – leuprolide acetate (3 month) forinj pediatric kit 11.25 mg................................................. 13

LUPRON DEPOT-PED – leuprolide acetate (3 month) forinj pediatric kit 30 mg...................................................... 13

LUPRON DEPOT-PED – leuprolide acetate for injpediatric kit 11.25 mg...................................................... 13

LUPRON DEPOT-PED – leuprolide acetate for injpediatric kit 11.25 mg...................................................... 17

LUPRON DEPOT-PED – leuprolide acetate for injpediatric kit 15 mg...........................................................13

LUPRON DEPOT-PED – leuprolide acetate for injpediatric kit 15 mg...........................................................17

LUPRON DEPOT-PED – leuprolide acetate for injpediatric kit 7.5 mg..........................................................13

LUPRON DEPOT-PED – leuprolide acetate for injpediatric kit 7.5 mg..........................................................17

LYRICA – pregabalin cap 100 mg.................................... 44LYRICA – pregabalin cap 150 mg.................................... 44LYRICA – pregabalin cap 200 mg.................................... 44LYRICA – pregabalin cap 225 mg.................................... 44LYRICA – pregabalin cap 25 mg...................................... 44

LYRICA – pregabalin cap 300 mg.................................... 44LYRICA – pregabalin cap 50 mg...................................... 44LYRICA – pregabalin cap 75 mg...................................... 44LYSODREN – mitotane tab 500 mg................................... 8

M

MALARONE – atovaquone-proguanil hcl tab 62.5-25mg...................................................................................... 6

malathion lotion 0.5% (Ovide)........................................53MATULANE – procarbazine hcl cap 50 mg........................ 8meclizine hcl tab 12.5 mg...............................................29meclizine hcl tab 25 mg..................................................29medroxyprogesterone acetate im susp 150 mg/ml(Depo-provera contrac)................................................. 12

medroxyprogesterone acetate tab 10 mg (Provera).....11medroxyprogesterone acetate tab 2.5 mg(Provera)......................................................................... 11

medroxyprogesterone acetate tab 5 mg (Provera).......11mefloquine hcl tab 250 mg...............................................6megestrol acetate susp 40 mg/ml (Megace oral)............8megestrol acetate tab 20 mg........................................... 8megestrol acetate tab 40 mg........................................... 8MEKINIST – trametinib dimethyl sulfoxide tab 0.5 mg(base equivalent)............................................................... 8

MEKINIST – trametinib dimethyl sulfoxide tab 2 mg (baseequivalent)......................................................................... 8

meloxicam tab 15 mg (Mobic)........................................42meloxicam tab 7.5 mg (Mobic).......................................42MENTAX – butenafine hcl cream 1%............................... 51MEPHYTON – phytonadione tab 5 mg............................. 46mercaptopurine tab 50 mg (Purinethol).......................... 8mesalamine enema 4 gm................................................30metaxalone tab 800 mg (Skelaxin).................................45metformin hcl tab 1000 mg (Glucophage).....................14metformin hcl tab 500 mg (Glucophage)...................... 14metformin hcl tab 850 mg (Glucophage)...................... 14metformin hcl tab sr 24hr 500 mg (Glucophage xr)......14metformin hcl tab sr 24hr 750 mg (Glucophage xr)......14methadone hcl conc 10 mg/ml (Methadose).................39methadone hcl soln 10 mg/5ml (Methadone hcl)..........39methadone hcl soln 5 mg/5ml (Methadone hcl)............39methadone hcl tab 10 mg (Dolophine).......................... 40methadone hcl tab 5 mg (Dolophine hcl)......................40methadone hcl tab for oral susp 40 mg........................ 40methazolamide tab 25 mg (Neptazane)......................... 24methazolamide tab 50 mg (Neptazane)......................... 24methimazole tab 10 mg (Tapazole)................................16methimazole tab 5 mg (Tapazole)..................................16methocarbamol tab 500 mg (Robaxin).......................... 45methocarbamol tab 750 mg (Robaxin-750)................... 45methotrexate sodium tab 2.5 mg (base equiv)............... 8methscopolamine bromide tab 2.5 mg (Pamine)..........29methscopolamine bromide tab 5 mg (Pamineforte)................................................................................29

methyldopa tab 250 mg.................................................. 25methyldopa tab 500 mg.................................................. 25

2014


methylergonovine maleate tab 0.2 mg.......................... 17METHYLPHENIDATE HCL ER – methylphenidate hcl tabcr 10 mg.......................................................................... 37

methylphenidate hcl tab 10 mg (Ritalin)....................... 37methylphenidate hcl tab 20 mg (Ritalin)....................... 37methylphenidate hcl tab 5 mg (Ritalin)......................... 37methylphenidate hcl tab cr 20 mg (Ritalin sr)...............37methylprednisolone tab 16 mg (Medrol)....................... 10methylprednisolone tab 32 mg (Medrol)....................... 10methylprednisolone tab 4 mg (Medrol)......................... 10methylprednisolone tab 4 mg dose pack (Medroldosepak)......................................................................... 10

methylprednisolone tab 8 mg (Medrol)......................... 10metoclopramide hcl soln 5 mg/5ml (10 mg/10ml).........30metoclopramide hcl tab 10 mg (Reglan)....................... 30metoclopramide hcl tab 5 mg (Reglan)......................... 30metolazone tab 10 mg.................................................... 24metolazone tab 2.5 mg (Zaroxolyn)............................... 24metolazone tab 5 mg (Zaroxolyn)..................................24metoprolol succinate tab sr 24hr 100 mg (Toprolxl).....................................................................................20

metoprolol succinate tab sr 24hr 200 mg (Toprolxl).....................................................................................20

metoprolol succinate tab sr 24hr 25 mg (Toprol xl)..... 20metoprolol succinate tab sr 24hr 50 mg (Toprol xl)..... 20metoprolol tartrate tab 100 mg (Lopressor)..................20metoprolol tartrate tab 25 mg........................................ 20metoprolol tartrate tab 50 mg (Lopressor)....................20metronidazole cream 0.75% (Metrocream)....................50metronidazole gel 0.75%................................................ 50metronidazole gel 1% (Metrogel)................................... 50metronidazole lotion 0.75% (Metrolotion)..................... 50metronidazole tab 250 mg (Flagyl).................................. 7metronidazole tab 500 mg (Flagyl).................................. 7metronidazole vaginal gel 0.75% (Metrogel-vaginal)........................................................................... 31

mexiletine hcl cap 150 mg............................................. 24mexiletine hcl cap 200 mg............................................. 24mexiletine hcl cap 250 mg............................................. 24MICARDIS HCT – telmisartan-hydrochlorothiazide tab40-12.5 mg...................................................................... 19

MICARDIS HCT – telmisartan-hydrochlorothiazide tab80-12.5 mg...................................................................... 19

MICARDIS HCT – telmisartan-hydrochlorothiazide tab80-25 mg......................................................................... 19

MICARDIS – telmisartan tab 20 mg..................................19MICARDIS – telmisartan tab 40 mg..................................19MICARDIS – telmisartan tab 80 mg..................................19MICROLET LANCETS – lancets.......................................55midodrine hcl tab 10 mg................................................ 25midodrine hcl tab 2.5 mg............................................... 25midodrine hcl tab 5 mg.................................................. 25minocycline hcl cap 100 mg (Minocin)............................2minocycline hcl cap 50 mg (Minocin)............................. 2minocycline hcl cap 75 mg (Minocin)............................. 2minocycline hcl tab 100 mg............................................. 2

minocycline hcl tab 50 mg............................................... 2minocycline hcl tab 75 mg............................................... 2minoxidil tab 10 mg........................................................ 25minoxidil tab 2.5 mg....................................................... 25mirtazapine tab 15 mg (Remeron)................................. 33mirtazapine tab 30 mg (Remeron)................................. 33mirtazapine tab 45 mg (Remeron)................................. 33mirtazapine tab 7.5 mg................................................... 33misoprostol tab 100 mcg (Cytotec)............................... 29misoprostol tab 200 mcg (Cytotec)............................... 29modafinil tab 100 mg (Provigil)......................................37modafinil tab 200 mg (Provigil)......................................37moexipril hcl tab 15 mg (Univasc).................................18moexipril hcl tab 7.5 mg (Univasc)................................18moexipril-hydrochlorothiazide tab 15-12.5 mg(Uniretic)......................................................................... 18

moexipril-hydrochlorothiazide tab 15-25 mg................ 18moexipril-hydrochlorothiazide tab 7.5-12.5 mg............ 18mometasone furoate cream 0.1% (Elocon)...................52mometasone furoate oint 0.1% (Elocon).......................52mometasone furoate solution 0.1% (lotion)(Elocon)...........................................................................52

MONOJECT ALLERGIST TRAY/P – allergy tray kit 1/2 ml26 x 3/8".......................................................................... 55

MONOJECT ALLERGIST TRAY/P – allergy tray kit 1/2 ml28 x 1/2".......................................................................... 55

MONOJECT ALLERGIST TRAY/P – allergy tray kit 1 ml26 x 3/8".......................................................................... 55

MONOJECT ALLERGIST TRAY/P – allergy tray kit 1 ml28 x 1/2".......................................................................... 55

MONOJECT INSULIN SYRINGE/ – insulin syringe/needleu-100 0.3 ml 29 x 1/2".....................................................55

MONOJECT INSULIN SYRINGE/ – insulin syringe/needleu-100 0.3 ml 30 x 5/16"...................................................55

MONOJECT INSULIN SYRINGE/ – insulin syringe/needleu-100 1/2 ml 28 x 1/2".....................................................55

MONOJECT INSULIN SYRINGE/ – insulin syringe/needleu-100 1/2 ml 29 x 1/2".....................................................55

MONOJECT INSULIN SYRINGE/ – insulin syringe/needleu-100 1/2 ml 30 x 5/16"...................................................55

MONOJECT INSULIN SYRINGE/ – insulin syringe/needleu-100 1 ml 25 x 5/8"....................................................... 55




MONOJECT INSULIN SYRINGE/ – insulin syringe/needleu-100 1 ml 30 x 5/16"......................................................55

MONOJECT INSULIN SYRINGE/ – insulin syringe/needleu-100 1 ml 31 x 5/16"......................................................55

MONOJECT INSULIN SYRINGE/ – insulin syringe (disp)u-100 1 ml....................................................................... 55

MONOJECT INSULIN SYRINGE – insulin syringe (disp)u-100 1 ml....................................................................... 55

2014


MONOJECT ULTRA COMFORT IN – insulin syringe/needle u-100 0.3 ml 29 x 1/2".........................................55

MONOJECT ULTRA COMFORT IN – insulin syringe/needle u-100 0.3 ml 30 x 5/16".......................................56

MONOJECT ULTRA COMFORT IN – insulin syringe/needle u-100 0.3 ml 31 x 5/16".......................................56

MONOJECT ULTRA COMFORT IN – insulin syringe/needle u-100 1/2 ml 28 x 1/2".........................................56

MONOJECT ULTRA COMFORT IN – insulin syringe/needle u-100 1/2 ml 29 x 1/2".........................................56

MONOJECT ULTRA COMFORT IN – insulin syringe/needle u-100 1/2 ml 30 x 5/16".......................................56

MONOJECT ULTRA COMFORT IN – insulin syringe/needle u-100 1/2 ml 31 x 5/16".......................................56

MONOJECT ULTRA COMFORT IN – insulin syringe/needle u-100 1 ml 28 x 1/2"............................................56

MONOJECT ULTRA COMFORT IN – insulin syringe/needle u-100 1 ml 29 x 1/2"............................................56

MONOJECT ULTRA COMFORT IN – insulin syringe/needle u-100 1 ml 30 x 5/16"..........................................56

montelukast sodium chew tab 4 mg (base equiv)(Singulair)....................................................................... 27

montelukast sodium chew tab 5 mg (base equiv)(Singulair)....................................................................... 27

montelukast sodium oral granules packet 4 mg (baseequiv) (Singulair)........................................................... 28

montelukast sodium tab 10 mg (base equiv)(Singulair)....................................................................... 28

morphine sulfate (concentrate) oral soln 20 mg/ml..... 40morphine sulfate beads cap sr 24hr 120 mg(Avinza)........................................................................... 40

morphine sulfate beads cap sr 24hr 30 mg(Avinza)........................................................................... 40





MORPHINE SULFATE – morphine sulfate suppos 10mg.................................................................................... 40




MORPHINE SULFATE – morphine sulfate tab 15 mg.......40MORPHINE SULFATE – morphine sulfate tab 30 mg.......40morphine sulfate oral soln 10 mg/5ml...........................40morphine sulfate oral soln 20 mg/5ml...........................40morphine sulfate tab cr 100 mg (Ms contin).................40morphine sulfate tab cr 15 mg (Ms contin)...................40morphine sulfate tab cr 200 mg (Ms contin).................40

morphine sulfate tab cr 30 mg (Ms contin)...................40morphine sulfate tab cr 60 mg (Ms contin)...................40MULTAQ – dronedarone hcl tab 400 mg (baseequivalent)....................................................................... 24

mupirocin calcium cream 2% (Bactroban)....................51mupirocin oint 2% (Bactroban)......................................51MYCOBUTIN – rifabutin cap 150 mg..................................3mycophenolate mofetil cap 250 mg (Cellcept)............. 56mycophenolate mofetil tab 500 mg (Cellcept).............. 56mycophenolate sodium tab dr 180 mg (mycophenolicacid equiv) (Myfortic).................................................... 56

mycophenolate sodium tab dr 360 mg (mycophenolicacid equiv) (Myfortic).................................................... 56

MYLERAN – busulfan tab 2 mg..........................................8

N

nabumetone tab 500 mg.................................................42nabumetone tab 750 mg.................................................42nadolol tab 20 mg (Corgard)..........................................20nadolol tab 40 mg (Corgard)..........................................20nadolol tab 80 mg (Corgard)..........................................20naltrexone hcl tab 50 mg (Revia)...................................56naproxen sodium tab 275 mg (Anaprox)...................... 42naproxen sodium tab 550 mg (Anaprox ds)................. 42naproxen susp 125 mg/5ml (Naprosyn)........................ 42naproxen tab 250 mg (Naprosyn).................................. 42naproxen tab 375 mg (Naprosyn).................................. 42naproxen tab 500 mg (Naprosyn).................................. 42naproxen tab ec 375 mg (Ec-naprosyn)........................ 42naproxen tab ec 500 mg (Ec-naprosyn)........................ 42naratriptan hcl tab 1 mg (base equiv) (Amerge)...........42naratriptan hcl tab 2.5 mg (base equiv) (Amerge)........ 42NASONEX – mometasone furoate nasal susp 50 mcg/act.................................................................................... 26

NATACYN – natamycin ophth susp 5%............................48nateglinide tab 120 mg (Starlix).....................................14nateglinide tab 60 mg (Starlix).......................................14NEBUPENT – pentamidine isethionate for nebulizationsoln 300 mg.......................................................................7

neomycin-bacitrac zn-polymyx5(3.5)mg-400unt-10000unt op oin.................................48

neomycin-polymy-gramicid op sol1.75-10000-0.025mg-unt-mg/ml (Neosporin)............... 48

neomycin-polymyxin-dexamethasone ophth oint 0.1%(Maxitrol).........................................................................49

neomycin-polymyxin-dexamethasone ophth susp0.1% (Maxitrol)............................................................... 49

neomycin-polymyxin-hc otic soln 1% (Cortisporin).....50neomycin-polymyxin-hc otic susp 3.5 mg/ml-10000unit/ml-1%.......................................................................50

neomycin sulfate tab 500 mg...........................................3nevirapine tab 200 mg (Viramune)...................................5nevirapine tab sr 24hr 400 mg (Viramune xr)................. 5NEXAVAR – sorafenib tosylate tab 200 mg (baseequivalent)......................................................................... 8

2014


NEXIUM – esomeprazole magnesium cap delayed release20 mg...............................................................................29

NEXIUM – esomeprazole magnesium cap delayed release40 mg...............................................................................29

NEXIUM – esomeprazole magnesium for delayed releasesusp pack 2.5 mg............................................................29

NEXIUM – esomeprazole magnesium for delayed releasesusp packet 10 mg..........................................................29



NEXIUM – esomeprazole magnesium for delayed releasesusp packet 5 mg............................................................29

niacin tab cr 1000 mg (antihyperlipidemic)(Niaspan).........................................................................23



NICOTROL INHALER – nicotine inhaler system 10 mg (4mg delivered)...................................................................38

NICOTROL NS – nicotine nasal spray 10 mg/ml (0.5 mg/spray)............................................................................... 38

nifedipine tab sr 24hr 30 mg (Adalat cc).......................22nifedipine tab sr 24hr 60 mg (Adalat cc).......................22nifedipine tab sr 24hr 90 mg (Adalat cc).......................22nifedipine tab sr 24hr osmotic 30 mg (Procardiaxl).....................................................................................21

nifedipine tab sr 24hr osmotic 60 mg (Procardiaxl).....................................................................................22

nifedipine tab sr 24hr osmotic 90 mg (Procardiaxl).....................................................................................22

NILANDRON – nilutamide tab 150 mg............................... 8nitrofurantoin macrocrystalline cap 100 mg(Macrodantin)................................................................. 31

nitrofurantoin macrocrystalline cap 50 mg(Macrodantin)................................................................. 31

nitrofurantoin monohydrate macrocrystalline cap 100mg (Macrobid)................................................................31

nitrofurantoin susp 25 mg/5ml (Furadantin).................31nitroglycerin td patch 24hr 0.1 mg/hr (Nitro-dur)......... 22nitroglycerin td patch 24hr 0.2 mg/hr (Nitro-dur)......... 22nitroglycerin td patch 24hr 0.4 mg/hr (Nitro-dur)......... 22nitroglycerin td patch 24hr 0.6 mg/hr (Nitro-dur)......... 22NITROSTAT – nitroglycerin sl tab 0.3 mg.........................22NITROSTAT – nitroglycerin sl tab 0.4 mg.........................22NITROSTAT – nitroglycerin sl tab 0.6 mg.........................22norelgestromin-ethinyl estradiol td ptwk 150-35mcg/24hr (Ortho evra)...................................................12

norethindrone & ethinyl estradiol-fe chew tab 0.4mg-35 mcg (Femcon fe)................................................12

norethindrone & ethinyl estradiol tab 0.4 mg-35 mcg(Ovcon-35)...................................................................... 12

norethindrone & ethinyl estradiol tab 0.5 mg-35 mcg(Brevicon-28).................................................................. 12

norethindrone & ethinyl estradiol tab 1 mg-35 mcg(Norinyl 1+35).................................................................12

norethindrone ace & ethinyl estradiol-fe tab 1.5 mg-30mcg (Loestrin fe 1.5/30)................................................ 12

norethindrone ace & ethinyl estradiol-fe tab 1 mg-20mcg (Loestrin fe 1/20)................................................... 12

norethindrone ace & ethinyl estradiol tab 1.5 mg-30mcg (Loestrin 1.5/30-21)............................................... 12

norethindrone ace & ethinyl estradiol tab 1 mg-20 mcg(Loestrin 1/20-21)...........................................................12

norethindrone acetate-ethinyl estradiol tab 1 mg-5mcg..................................................................................11

norethindrone acetate tab 5 mg (Aygestin).................. 11norethindrone-eth estradiol tab 0.5-35/0.75-35/1-35mg-mcg (Ortho-novum 7/7/7)....................................... 12

norethindrone-eth estradiol tab 0.5-35/1-35/0.5-35 mg-mcg (Tri-norinyl 28).......................................................12

norethindrone tab 0.35 mg (Nor-qd)..............................12norgestimate & ethinyl estradiol tab 0.25 mg-35 mcg(Ortho-cyclen)................................................................ 12

norgestimate-eth estrad tab 0.18-35/0.215-35/0.25-35mg-mcg (Ortho tri-cyclen)............................................ 12

norgestrel & ethinyl estradiol tab 0.3 mg-30 mcg........ 12nortriptyline hcl cap 10 mg (Pamelor)...........................33nortriptyline hcl cap 25 mg (Pamelor)...........................33nortriptyline hcl cap 50 mg (Pamelor)...........................33nortriptyline hcl cap 75 mg (Pamelor)...........................33NORVIR – ritonavir cap 100 mg......................................... 5NORVIR – ritonavir oral soln 80 mg/ml...............................5NORVIR – ritonavir tab 100 mg..........................................5NOVOLIN 70/30 – insulin isophane & regular (human) inj100 unit/ml (70-30).......................................................... 15

NOVOLIN 70/30 RELION – insulin isophane & regular(human) inj 100 unit/ml (70-30)....................................... 15

NOVOLIN N – insulin isophane (human) inj 100 unit/ml..................................................................................... 15

NOVOLIN N RELION – insulin isophane (human) inj 100unit/ml.............................................................................. 15

NOVOLIN R – insulin regular (human) inj 100 unit/ml.......15NOVOLIN R RELION – insulin regular (human) inj 100unit/ml.............................................................................. 15

NOVOLOG FLEXPEN – insulin aspart soln pen-injector100 unit/ml....................................................................... 15

NOVOLOG – insulin aspart inj 100 unit/ml........................14NOVOLOG MIX 70/30 – insulin aspart prot & aspart(human) inj 100 unit/ml (70-30)....................................... 15

NOVOLOG MIX 70/30 PREFILL – insulin aspart prot &aspart sus pen-inj 100 unit/ml (70-30).............................15

NOVOLOG PENFILL – insulin aspart inj 100 unit/ml........ 15NOVOLOG PENFILL – insulin aspart soln cartridge 100unit/ml.............................................................................. 15

NOXAFIL – posaconazole susp 40 mg/ml.......................... 3NUCYNTA ER – tapentadol hcl tab sr 12hr 100 mg..........40NUCYNTA ER – tapentadol hcl tab sr 12hr 150 mg..........40NUCYNTA ER – tapentadol hcl tab sr 12hr 200 mg..........40NUCYNTA ER – tapentadol hcl tab sr 12hr 250 mg..........40

2014


NUCYNTA ER – tapentadol hcl tab sr 12hr 50 mg........... 40NUVARING – etonogestrel-ethinyl estradiol va ring0.120-0.015 mg/24hr....................................................... 12

nystatin cream 100000 unit/gm......................................51nystatin oint 100000 unit/gm..........................................51nystatin susp 100000 unit/ml......................................... 50nystatin tab 500000 unit................................................... 3nystatin topical powder .................................................51nystatin-triamcinolone cream 100000-0.1 unit/gm-%......................................................................................52

nystatin-triamcinolone oint 100000-0.1 unit/gm-%....... 52

O

octreotide acetate inj 1000 mcg/ml (1 mg/ml)(Sandostatin).................................................................. 17

octreotide acetate inj 100 mcg/ml (0.1 mg/ml)(Sandostatin).................................................................. 17




ofloxacin ophth soln 0.3% (Ocuflox)............................. 48ofloxacin otic soln 0.3%................................................. 50ofloxacin tab 200 mg........................................................ 3ofloxacin tab 300 mg........................................................ 3ofloxacin tab 400 mg........................................................ 3olanzapine orally disintegrating tab 10 mg (Zyprexazydis)...............................................................................34

olanzapine orally disintegrating tab 15 mg (Zyprexazydis)...............................................................................34



olanzapine tab 10 mg (Zyprexa).................................... 34olanzapine tab 15 mg (Zyprexa).................................... 34olanzapine tab 2.5 mg (Zyprexa)................................... 34olanzapine tab 20 mg (Zyprexa).................................... 34olanzapine tab 5 mg (Zyprexa)...................................... 34olanzapine tab 7.5 mg (Zyprexa)................................... 34OLYSIO – simeprevir sodium cap 150 mg (baseequivalent)......................................................................... 4

omeprazole cap delayed release 10 mg (Prilosec).......29omeprazole cap delayed release 20 mg (Prilosec).......29omeprazole cap delayed release 40 mg (Prilosec).......29OMNITROPE – somatropin for inj 5.8 mg.........................16OMNITROPE – somatropin inj 10 mg/1.5ml..................... 16OMNITROPE – somatropin inj 5 mg/1.5ml....................... 16ondansetron hcl inj 40 mg/20ml (2 mg/ml) (Zofran)..... 29ondansetron hcl inj 4 mg/2ml (2 mg/ml)....................... 29ondansetron hcl oral soln 4 mg/5ml (Zofran)............... 29ondansetron hcl tab 24 mg............................................ 29ondansetron hcl tab 4 mg (Zofran)................................29ondansetron hcl tab 8 mg (Zofran)................................29

ondansetron orally disintegrating tab 4 mg (Zofranodt).................................................................................. 29

ondansetron orally disintegrating tab 8 mg (Zofranodt).................................................................................. 30

ONGLYZA – saxagliptin hcl tab 2.5 mg (base equiv)........ 14ONGLYZA – saxagliptin hcl tab 5 mg (base equiv)...........14OPSUMIT – macitentan tab 10 mg...................................25ORFADIN – nitisinone cap 10 mg.....................................17ORFADIN – nitisinone cap 2 mg.......................................17ORFADIN – nitisinone cap 5 mg.......................................17orphenadrine citrate tab sr 12hr 100 mg.......................45orphenadrine w/ aspirin & caffeine tab 25-385-30mg....................................................................................45

oxaprozin tab 600 mg (Daypro)..................................... 42oxcarbazepine susp 300 mg/5ml (60 mg/ml)(Trileptal).........................................................................44

oxcarbazepine tab 150 mg (Trileptal)............................ 44oxcarbazepine tab 300 mg (Trileptal)............................ 44oxcarbazepine tab 600 mg (Trileptal)............................ 44oxybutynin chloride syrup 5 mg/5ml.............................31oxybutynin chloride tab 5 mg........................................ 31oxybutynin chloride tab sr 24hr 10 mg (Ditropanxl).....................................................................................31

oxybutynin chloride tab sr 24hr 15 mg (Ditropanxl).....................................................................................31

oxybutynin chloride tab sr 24hr 5 mg (Ditropan xl)......31oxycodone-aspirin tab 4.8355-325 mg (Percodan).......41oxycodone hcl cap 5 mg................................................ 40oxycodone hcl conc 100 mg/5ml (20 mg/ml)(Oxycodone hcl).............................................................40

oxycodone hcl soln 5 mg/5ml (Oxycodone hcl)........... 40oxycodone hcl tab 10 mg...............................................40oxycodone hcl tab 15 mg (Roxicodone)....................... 40oxycodone hcl tab 20 mg...............................................40oxycodone hcl tab 30 mg (Roxicodone)....................... 40oxycodone hcl tab 5 mg (Roxicodone)......................... 40oxycodone w/ acetaminophen cap 5-500 mg............... 40oxycodone w/ acetaminophen tab 10-325 mg(Percocet)....................................................................... 40

oxycodone w/ acetaminophen tab 10-650 mg.............. 40oxycodone w/ acetaminophen tab 5-325 mg(Percocet)....................................................................... 40

oxycodone w/ acetaminophen tab 7.5-325 mg(Percocet)....................................................................... 40

oxycodone w/ acetaminophen tab 7.5-500 mg............. 41OXYCONTIN – oxycodone hcl tab er 12hr deter 10mg.................................................................................... 41

OXYCONTIN – oxycodone hcl tab er 12hr deter 15mg.................................................................................... 41




2014




P

pantoprazole sodium ec tab 20 mg (base equiv)(Protonix)........................................................................ 29

pantoprazole sodium ec tab 40 mg (base equiv)(Protonix)........................................................................ 29

paricalcitol cap 1 mcg (Zemplar)................................... 17paricalcitol cap 2 mcg (Zemplar)................................... 17paricalcitol cap 4 mcg (Zemplar)................................... 17paromomycin sulfate cap 250 mg................................... 3paroxetine hcl tab 10 mg (Paxil)....................................33paroxetine hcl tab 20 mg (Paxil)....................................33paroxetine hcl tab 30 mg (Paxil)....................................33paroxetine hcl tab 40 mg (Paxil)....................................33paroxetine hcl tab sr 24hr 12.5 mg (Paxil cr)................33paroxetine hcl tab sr 24hr 25 mg (Paxil cr)...................33paroxetine hcl tab sr 24hr 37.5 mg (Paxil cr)................33PATADAY – olopatadine hcl ophth soln 0.2%...................49pediatric multiple vitamins w/ fl-fe drops 0.25-10 mg/ml ................................................................................... 46

pediatric multiple vitamins w/ fluoride chew tab 0.25mg .................................................................................. 46

pediatric multiple vitamins w/ fluoride chew tab 0.5 mg......................................................................................... 46

pediatric multiple vitamins w/ fluoride chew tab 1 mg......................................................................................... 46

pediatric multiple vitamins w/ fluoride soln 0.25 mg/ml......................................................................................... 46

pediatric multiple vitamins w/ fluoride soln 0.5 mg/ml......................................................................................... 46

pediatric vitamins acd w/ fluoride soln 0.25 mg/ml ..... 46pediatric vitamins acd w/ fluoride soln 0.5 mg/ml .......46peg 3350-kcl-na bicarb-nacl-na sulfate for soln 236 gm(Golytely)........................................................................ 28

peg 3350-kcl-na bicarb-nacl-na sulfate for soln 240 gm(Colyte-flavor packs)..................................................... 28

peg 3350-kcl-sod bicarb-nacl for soln 420 gm(Nulytely/flavor pack).................................................... 28

PEGASYS – peginterferon alfa-2a inj 180 mcg/0.5ml......... 4PEGASYS – peginterferon alfa-2a inj 180 mcg/ml..............4PEGASYS – peginterferon alfa-2a inj kit 180 mcg/0.5ml.....4PEGASYS PROCLICK – peginterferon alfa-2a inj 135mcg/0.5ml.......................................................................... 4

PEGASYS PROCLICK – peginterferon alfa-2a inj 180mcg/0.5ml.......................................................................... 4

penicillin v potassium for soln 125 mg/5ml....................1penicillin v potassium for soln 250 mg/5ml....................1penicillin v potassium tab 250 mg...................................1penicillin v potassium tab 500 mg...................................1PENTASA – mesalamine cap cr 250 mg.......................... 30PENTASA – mesalamine cap cr 500 mg.......................... 30pentoxifylline tab cr 400 mg...........................................48

perindopril erbumine tab 2 mg...................................... 18perindopril erbumine tab 4 mg (Aceon)........................ 18perindopril erbumine tab 8 mg (Aceon)........................ 18permethrin cream 5% (Elimite)...................................... 53perphenazine tab 16 mg................................................. 34perphenazine tab 2 mg................................................... 34perphenazine tab 4 mg................................................... 34perphenazine tab 8 mg................................................... 34phenelzine sulfate tab 15 mg (Nardil)............................33phenobarbital elixir 20 mg/5ml...................................... 35phenobarbital tab 16.2 mg............................................. 35phenobarbital tab 30 mg................................................ 35phenobarbital tab 32.4 mg............................................. 35phenytoin chew tab 50 mg (Dilantin infatabs).............. 44phenytoin sodium extended cap 100 mg (Dilantin)......44phenytoin sodium extended cap 200 mg(Phenytek).......................................................................44

phenytoin sodium extended cap 300 mg(Phenytek).......................................................................44

phenytoin susp 125 mg/5ml (Dilantin).......................... 44PICATO – ingenol mebutate gel 0.015%.......................... 53PICATO – ingenol mebutate gel 0.05%............................ 53pilocarpine hcl ophth soln 1% (Isopto carpine)............49pilocarpine hcl ophth soln 2% (Isopto carpine)............49pilocarpine hcl ophth soln 4% (Isopto carpine)............49pilocarpine hcl tab 5 mg (Salagen)................................50pilocarpine hcl tab 7.5 mg (Salagen).............................50pindolol tab 10 mg.......................................................... 20pindolol tab 5 mg............................................................ 20pioglitazone hcl-metformin hcl tab 15-500 mg(Actoplus met)............................................................... 14

pioglitazone hcl-metformin hcl tab 15-850 mg(Actoplus met)............................................................... 14

pioglitazone hcl tab 15 mg (base equiv) (Actos).......... 14pioglitazone hcl tab 30 mg (base equiv) (Actos).......... 14pioglitazone hcl tab 45 mg (base equiv) (Actos).......... 14piroxicam cap 10 mg (Feldene)..................................... 42piroxicam cap 20 mg (Feldene)..................................... 42podofilox soln 0.5% (Condylox).....................................53polymyxin b-trimethoprim ophth soln 10000 unit/ml-0.1% (Polytrim)......................................................... 48

POMALYST – pomalidomide cap 1 mg.............................. 8POMALYST – pomalidomide cap 2 mg.............................. 8POMALYST – pomalidomide cap 3 mg.............................. 8POMALYST – pomalidomide cap 4 mg.............................. 8potassium chloride cap cr 10 meq (Micro-k)................ 46potassium chloride cap cr 8 meq (Micro-k).................. 47potassium chloride microencapsulated crys cr tab 10meq..................................................................................47

potassium chloride microencapsulated crys cr tab 20meq..................................................................................47

potassium chloride oral liq 10% (20 meq/15ml)............47potassium chloride oral liq 20% (40 meq/15ml)............47potassium chloride powder packet 20 meq..................47potassium chloride tab cr 10 meq (K-tab).................... 47potassium chloride tab cr 8 meq (600 mg)................... 47

2014


potassium citrate & citric acid powder pack 3300-1002mg....................................................................................31

potassium citrate & citric acid soln 1100-334mg/5ml............................................................................ 31

pot bicarbonate & chloride effer tab 25 meq................ 46pot phos monobasic w/sod phos di & monobas tab155-852-130mg (K-phos neutral).................................. 46

pramipexole dihydrochloride tab 0.125 mg(Mirapex)......................................................................... 45

pramipexole dihydrochloride tab 0.25 mg(Mirapex)......................................................................... 45

pramipexole dihydrochloride tab 0.5 mg (Mirapex)......45pramipexole dihydrochloride tab 0.75 mg(Mirapex)......................................................................... 45

pramipexole dihydrochloride tab 1.5 mg (Mirapex)......45pramipexole dihydrochloride tab 1 mg (Mirapex)........ 45pravastatin sodium tab 10 mg....................................... 23pravastatin sodium tab 20 mg (Pravachol)................... 23pravastatin sodium tab 40 mg (Pravachol)................... 23pravastatin sodium tab 80 mg (Pravachol)................... 23prazosin hcl cap 1 mg (Minipress)................................ 25prazosin hcl cap 2 mg (Minipress)................................ 25prazosin hcl cap 5 mg (Minipress)................................ 25prednisolone acetate ophth susp 1% (Pred forte)........49prednisolone sod phosphate oral soln 15 mg/5ml(base equiv)....................................................................10

prednisolone sod phosph oral soln 6.7 mg/5ml (5mg/5ml base) (Pediapred).............................................10

prednisolone syrup 15 mg/5ml (usp solutionequivalent) (Prelone)..................................................... 10

prednisone tab 10 mg.....................................................10prednisone tab 10 mg dose pack.................................. 10prednisone tab 1 mg.......................................................10prednisone tab 2.5 mg....................................................10prednisone tab 20 mg.....................................................10prednisone tab 5 mg.......................................................10prednisone tab 5 mg dose pack.................................... 10PREMARIN – estrogens, conjugated tab 0.3 mg.............. 11PREMARIN – estrogens, conjugated tab 0.45 mg............ 11PREMARIN – estrogens, conjugated tab 0.625 mg.......... 11PREMARIN – estrogens, conjugated tab 0.9 mg.............. 11PREMARIN – estrogens, conjugated tab 1.25 mg............ 11PREMPHASE – conj est 0.625(14)/conj est-medroxyproac tab 0.625-5mg(14)...................................................... 11

PREMPRO – conjugated estrogen-medroxyprogestacetate tab 0.3-1.5 mg.................................................... 11

PREMPRO – conjugated estrogen-medroxyprogestacetate tab 0.45-1.5 mg.................................................. 11

PREMPRO – conjugated estrogen-medroxyprogestacetate tab 0.625-2.5 mg................................................ 11

PREMPRO – conjugated estrogen-medroxyprogestacetate tab 0.625-5 mg................................................... 11

PRENATAL 19 – prenatal vit w/ dss-fe fumarate-fa tab29-1 mg........................................................................... 46

PRENATAL 19 – prenatal vit w/ fe fumarate-fa chew tab29-1 mg........................................................................... 46

PRENATAL AD – prenatal vit w/ dss-iron carbonyl-fa tab90-1 mg........................................................................... 46

PRENATAL LOW IRON – prenatal vit w/ fe fumarate-fatab 27-1 mg..................................................................... 46

PRENATAL PLUS – prenatal vit w/ fe fumarate-fa tab 27-1mg.................................................................................... 46

PRENATAL-U – prenatal w/o a vit w/ fe fumarate-fa cap106.5-1 mg...................................................................... 46

PRENATAL VITAMINS PLUS – prenatal vit w/ fefumarate-fa tab 27-1 mg..................................................46

PREZISTA – darunavir ethanolate susp 100 mg/ml (baseequiv)................................................................................. 5

PREZISTA – darunavir ethanolate tab 150 mg (baseequiv)................................................................................. 5





PRIFTIN – rifapentine tab 150 mg...................................... 3PRIMAQUINE PHOSPHATE – primaquine phosphate tab26.3 mg..............................................................................6

primidone tab 250 mg (Mysoline).................................. 44primidone tab 50 mg (Mysoline).................................... 44PROAIR HFA – albuterol sulfate inhal aero 108 mcg/act(90mcg base equiv).........................................................28

probenecid tab 500 mg...................................................43prochlorperazine maleate tab 10 mg (Compazine).......35prochlorperazine maleate tab 5 mg (Compazine).........35prochlorperazine suppos 25 mg....................................35PROCRIT – epoetin alfa inj 10000 unit/ml........................ 48PROCRIT – epoetin alfa inj 20000 unit/ml........................ 48PROCRIT – epoetin alfa inj 2000 unit/ml.......................... 48PROCRIT – epoetin alfa inj 3000 unit/ml.......................... 48PROCRIT – epoetin alfa inj 40000 unit/ml........................ 48PROCRIT – epoetin alfa inj 4000 unit/ml.......................... 48progesterone micronized cap 100 mg(Prometrium).................................................................. 11

progesterone micronized cap 200 mg(Prometrium).................................................................. 11

promethazine hcl suppos 12.5 mg................................ 26promethazine hcl suppos 25 mg................................... 26promethazine hcl syrup 6.25 mg/5ml............................ 26promethazine hcl tab 12.5 mg........................................26promethazine hcl tab 25 mg...........................................26promethazine hcl tab 50 mg...........................................26propafenone hcl cap sr 12hr 225 mg (Rythmol sr).......24propafenone hcl cap sr 12hr 325 mg (Rythmol sr).......24propafenone hcl cap sr 12hr 425 mg (Rythmol sr).......24propafenone hcl tab 150 mg (Rythmol).........................24propafenone hcl tab 225 mg (Rythmol).........................24propafenone hcl tab 300 mg.......................................... 24propranolol hcl cap sr 24hr 120 mg (Inderal la)........... 20

2014


propranolol hcl cap sr 24hr 160 mg (Inderal la)........... 20propranolol hcl cap sr 24hr 60 mg (Inderal la)............. 20propranolol hcl cap sr 24hr 80 mg (Inderal la)............. 20propranolol hcl tab 10 mg..............................................20propranolol hcl tab 20 mg..............................................20propranolol hcl tab 40 mg..............................................20propranolol hcl tab 60 mg..............................................20propranolol hcl tab 80 mg..............................................20propylthiouracil tab 50 mg............................................. 16PROTOPIC – tacrolimus oint 0.03%.................................53PROTOPIC – tacrolimus oint 0.1%...................................53PULMICORT – budesonide inhalation susp 1 mg/2ml...... 28PULMOZYME – dornase alfa inhal soln 1 mg/ml..............28pyrazinamide tab 500 mg................................................. 3pyridostigmine bromide tab 60 mg (Mestinon).............46

Q

quetiapine fumarate tab 100 mg (Seroquel)..................35quetiapine fumarate tab 200 mg (Seroquel)..................35quetiapine fumarate tab 25 mg (Seroquel)....................35quetiapine fumarate tab 300 mg (Seroquel)..................35quetiapine fumarate tab 400 mg (Seroquel)..................35quetiapine fumarate tab 50 mg (Seroquel)....................35quinapril hcl tab 10 mg (Accupril)................................. 18quinapril hcl tab 20 mg (Accupril)................................. 18quinapril hcl tab 40 mg (Accupril)................................. 18quinapril hcl tab 5 mg (Accupril)...................................18quinapril-hydrochlorothiazide tab 10-12.5 mg(Accuretic)...................................................................... 18

quinapril-hydrochlorothiazide tab 20-12.5 mg(Accuretic)...................................................................... 18

quinapril-hydrochlorothiazide tab 20-25 mg(Accuretic)...................................................................... 18

quinidine gluconate tab cr 324 mg................................24quinidine sulfate tab 200 mg..........................................24quinidine sulfate tab 300 mg..........................................24QVAR – beclomethasone dipropionate inhal aero soln 40mcg/act............................................................................ 28

QVAR – beclomethasone dipropionate inhal aero soln 80mcg/act............................................................................ 28

R

raloxifene hcl tab 60 mg (Evista)...................................17ramipril cap 1.25 mg (Altace).........................................18ramipril cap 10 mg (Altace)............................................18ramipril cap 2.5 mg (Altace)...........................................19ramipril cap 5 mg (Altace)..............................................19ranitidine hcl cap 150 mg...............................................29ranitidine hcl cap 300 mg...............................................29ranitidine hcl syrup 15 mg/ml (75 mg/5ml)................... 29ranitidine hcl tab 150 mg (Zantac).................................29ranitidine hcl tab 300 mg (Zantac).................................29RAPAMUNE – sirolimus oral soln 1 mg/ml....................... 56RAPAMUNE – sirolimus tab 1 mg.................................... 56RAPAMUNE – sirolimus tab 2 mg.................................... 56

REALITY INSULIN SYRINGE/U – insulin syringe/needleu-100 1/2 ml 28 x 1/2".....................................................56

REALITY INSULIN SYRINGE/U – insulin syringe/needleu-100 1/2 ml 29 x 1/2".....................................................56

REALITY INSULIN SYRINGE/U – insulin syringe/needleu-100 1 ml 28 x 1/2"....................................................... 56

REALITY INSULIN SYRINGE/U – insulin syringe/needleu-100 1 ml 29 x 1/2"....................................................... 56

REBIF – interferon beta-1a inj 22 mcg/0.5ml (12mu/ml)(44 mcg/ml)......................................................................37

REBIF – interferon beta-1a inj 44 mcg/0.5ml (24mu/ml)(88 mcg/ml)......................................................................37

REBIF REBIDOSE – interferon beta-1a inj 22 mcg/0.5ml(12mu/ml) (44 mcg/ml).................................................... 37

REBIF REBIDOSE – interferon beta-1a inj 44 mcg/0.5ml(24mu/ml) (88 mcg/ml).................................................... 37

REBIF REBIDOSE TITRATION – interferon beta-1a inj 6 x8.8 mcg/0.2ml & 6 x 22 mcg/0.5ml..................................37

REBIF TITRATION PACK – interferon beta-1a inj 6 x 8.8mcg/0.2ml & 6 x 22 mcg/0.5ml........................................37

repaglinide tab 0.5 mg (Prandin)................................... 14repaglinide tab 1 mg (Prandin)...................................... 14repaglinide tab 2 mg (Prandin)...................................... 14RESCRIPTOR – delavirdine mesylate tab 100 mg............. 5RESCRIPTOR – delavirdine mesylate tab 200 mg............. 5REVLIMID – lenalidomide cap 10 mg............................... 57REVLIMID – lenalidomide cap 15 mg............................... 57REVLIMID – lenalidomide cap 20 mg............................... 57REVLIMID – lenalidomide cap 25 mg............................... 57REVLIMID – lenalidomide cap 5 mg................................. 56REVLIMID – lenalidomide caps 2.5 mg............................ 56REYATAZ – atazanavir sulfate cap 100 mg (baseequiv)................................................................................. 5

REYATAZ – atazanavir sulfate cap 150 mg (baseequiv)................................................................................. 5



ribavirin cap 200 mg (Rebetol).........................................4ribavirin tab 200 mg (Copegus)....................................... 4rifabutin cap 150 mg (Mycobutin)....................................3rifampin cap 150 mg (Rifadin)..........................................3rifampin cap 300 mg (Rifadin)..........................................3RILUTEK – riluzole tab 50 mg.......................................... 46riluzole tab 50 mg (Rilutek)............................................ 46risperidone orally disintegrating tab 0.25 mg...............35risperidone orally disintegrating tab 0.5 mg (Risperdalm-tab).............................................................................. 35

risperidone orally disintegrating tab 1 mg (Risperdalm-tab).............................................................................. 35



2014



risperidone soln 1 mg/ml (Risperdal)............................35risperidone tab 0.25 mg (Risperdal).............................. 35risperidone tab 0.5 mg (Risperdal)................................ 35risperidone tab 1 mg (Risperdal)...................................35risperidone tab 2 mg (Risperdal)...................................35risperidone tab 3 mg (Risperdal)...................................35risperidone tab 4 mg (Risperdal)...................................35rivastigmine tartrate cap 1.5 mg (Exelon).....................38rivastigmine tartrate cap 3 mg (Exelon)........................38rivastigmine tartrate cap 4.5 mg (Exelon).....................38rivastigmine tartrate cap 6 mg (Exelon)........................38rizatriptan benzoate orally disintegrating tab 10 mg(Maxalt-mlt).....................................................................42

rizatriptan benzoate orally disintegrating tab 5 mg(Maxalt-mlt).....................................................................42

rizatriptan benzoate tab 10 mg (Maxalt)........................42rizatriptan benzoate tab 5 mg (Maxalt)..........................42ropinirole hydrochloride tab 0.25 mg (Requip).............45ropinirole hydrochloride tab 0.5 mg (Requip)...............45ropinirole hydrochloride tab 1 mg (Requip)................. 45ropinirole hydrochloride tab 2 mg (Requip)................. 45ropinirole hydrochloride tab 3 mg (Requip)................. 45ropinirole hydrochloride tab 4 mg (Requip)................. 45ropinirole hydrochloride tab 5 mg (Requip)................. 45RYTHMOL – propafenone hcl tab 150 mg........................24RYTHMOL – propafenone hcl tab 225 mg........................24

S

SABRIL – vigabatrin powd pack 500 mg.......................... 44SABRIL – vigabatrin tab 500 mg...................................... 44salsalate tab 500 mg.......................................................38salsalate tab 750 mg.......................................................38SANDIMMUNE – cyclosporine oral soln 100 mg/ml..........57SANDOSTATIN LAR DEPOT – octreotide acetate for iminj kit 10 mg.....................................................................17

SANDOSTATIN LAR DEPOT – octreotide acetate for iminj kit 20 mg.....................................................................17

SANDOSTATIN LAR DEPOT – octreotide acetate for iminj kit 30 mg.....................................................................17

selegiline hcl cap 5 mg (Eldepryl)................................. 45selegiline hcl tab 5 mg................................................... 45selenium sulfide lotion 2.5%..........................................53SELZENTRY – maraviroc tab 150 mg................................ 5SELZENTRY – maraviroc tab 300 mg................................ 5SENSIPAR – cinacalcet hcl tab 30 mg (base equiv)......... 17SENSIPAR – cinacalcet hcl tab 60 mg (base equiv)......... 17SENSIPAR – cinacalcet hcl tab 90 mg (base equiv)......... 17SEROQUEL XR – quetiapine fumarate tab sr 24hr 150mg.................................................................................... 35

SEROQUEL XR – quetiapine fumarate tab sr 24hr 200mg.................................................................................... 35




sertraline hcl oral conc 20 mg/ml (Zoloft).....................33sertraline hcl tab 100 mg (Zoloft).................................. 33sertraline hcl tab 25 mg (Zoloft).................................... 33sertraline hcl tab 50 mg (Zoloft).................................... 33sildenafil citrate tab 20 mg (Revatio).............................25silver sulfadiazine cream 1% (Silvadene)..................... 51simvastatin tab 10 mg (Zocor)....................................... 23simvastatin tab 20 mg (Zocor)....................................... 23simvastatin tab 40 mg (Zocor)....................................... 23simvastatin tab 5 mg (Zocor)......................................... 23simvastatin tab 80 mg (Zocor)....................................... 23SINGLE-LET – lancets......................................................56sirolimus tab 0.5 mg (Rapamune)..................................57sodium citrate & citric acid soln 500-334 mg/5ml(Shohls solution modi)..................................................31

sodium fluoride chew tab 0.25 mg f (from 0.55 mg naf)(Luride)............................................................................47

sodium fluoride chew tab 0.5 mg f (from 1.1 mg naf)(Luride)............................................................................47

sodium fluoride chew tab 1 mg f (from 2.2 mg naf)(Luride)............................................................................47

sodium fluoride cream 1.1% (Prevident 5000 plus)......50sodium fluoride gel 1.1% (0.5% f) (Previdentfluoride)...........................................................................50

sodium fluoride soln 0.125 mg/drop f (0.275 mg/dropnaf).................................................................................. 47

sodium fluoride soln 0.5 mg/ml f (from 1.1 mg/ml naf)(Luride)............................................................................47

sodium polystyrene sulfonate oral susp 15 gm/60ml(Sps)................................................................................ 57

sodium polystyrene sulfonate powder(Kayexalate)....................................................................56

sotalol hcl (afib/afl) tab 120 mg (Betapace af).............. 24sotalol hcl (afib/afl) tab 160 mg (Betapace af).............. 25sotalol hcl (afib/afl) tab 80 mg (Betapace af)................ 25sotalol hcl tab 120 mg (Betapace)................................. 25sotalol hcl tab 160 mg (Betapace)................................. 25sotalol hcl tab 240 mg.................................................... 25sotalol hcl tab 80 mg (Betapace)...................................25SOVALDI – sofosbuvir tab 400 mg.....................................4SPIRIVA HANDIHALER – tiotropium bromidemonohydrate inhal cap 18 mcg (base equiv)...................28

spironolactone & hydrochlorothiazide tab 25-25 mg(Aldactazide)...................................................................24

spironolactone tab 100 mg (Aldactone)........................ 24spironolactone tab 25 mg (Aldactone)..........................24spironolactone tab 50 mg (Aldactone)..........................24SPRYCEL – dasatinib tab 100 mg......................................9SPRYCEL – dasatinib tab 140 mg......................................9SPRYCEL – dasatinib tab 20 mg........................................9SPRYCEL – dasatinib tab 50 mg........................................9SPRYCEL – dasatinib tab 70 mg........................................9

2014


SPRYCEL – dasatinib tab 80 mg........................................9stavudine cap 15 mg (Zerit)............................................. 5stavudine cap 20 mg (Zerit)............................................. 5stavudine cap 30 mg (Zerit)............................................. 5stavudine cap 40 mg (Zerit)............................................. 5stavudine for oral soln 1 mg/ml (Zerit)............................5STIMATE – desmopressin acetate nasal soln 1.5 mg/ml..................................................................................... 17

STIVARGA – regorafenib tab 40 mg...................................9STRIBILD – elvitegrav-cobicis-emtricitab-tenofov tab150-150-200-300 mg......................................................... 5

STROMECTOL – ivermectin tab 3 mg................................6SUBOXONE – buprenorphine hcl-naloxone hcl sl film 12-3mg (base equiv)...............................................................41

SUBOXONE – buprenorphine hcl-naloxone hcl sl film2-0.5 mg (base equiv)..................................................... 41

SUBOXONE – buprenorphine hcl-naloxone hcl sl film 4-1mg (base equiv)...............................................................41

SUBOXONE – buprenorphine hcl-naloxone hcl sl film 8-2mg (base equiv)...............................................................41

sucralfate tab 1 gm (Carafate)....................................... 29sulfacetamide sodium lotion 10% (acne) (Klaron)........50sulfacetamide sodium ophth soln 10% (Bleph-10).......48sulfacetamide sodium-prednisolone ophth soln10-0.23(0.25)%................................................................ 49

sulfacetamide sodium w/ sulfur cream 10-5%..............51sulfacetamide sodium w/ sulfur emulsion 10-5%.........51sulfacetamide sodium w/ sulfur lotion 10-5%...............51sulfamethoxazole-trimethoprim susp 200-40mg/5ml.............................................................................. 7

sulfamethoxazole-trimethoprim tab 400-80 mg(Bactrim)........................................................................... 7

sulfamethoxazole-trimethoprim tab 800-160 mg(Bactrim ds)......................................................................7

sulfasalazine tab 500 mg (Azulfidine)........................... 30sulfasalazine tab delayed release 500 mg (Azulfidineen-tabs)........................................................................... 30

sulindac tab 150 mg........................................................42sulindac tab 200 mg........................................................42sumatriptan succinate inj 6 mg/0.5ml (Imitrex)............ 42sumatriptan succinate solution auto-injector 4mg/0.5ml (Imitrex statdose sys)...................................42

sumatriptan succinate solution auto-injector 6mg/0.5ml (Imitrex statdose sys)...................................42

sumatriptan succinate solution cartridge 4 mg/0.5ml(Imitrex statdose ref).....................................................42

sumatriptan succinate solution cartridge 6 mg/0.5ml(Imitrex statdose ref).....................................................42

sumatriptan succinate solution prefilled syringe 6mg/0.5ml......................................................................... 42

sumatriptan succinate tab 100 mg (Imitrex)................. 42sumatriptan succinate tab 25 mg (Imitrex)................... 42sumatriptan succinate tab 50 mg (Imitrex)................... 43SUMATRIPTAN – sumatriptan nasal spray 20 mg/act...... 42SUMATRIPTAN – sumatriptan nasal spray 5 mg/act........42SUPRAX – cefixime for susp 100 mg/5ml.......................... 2

SUPRAX – cefixime for susp 200 mg/5ml.......................... 2SUPRAX – cefixime for susp 500 mg/5ml.......................... 2SUPRAX – cefixime tab 400 mg.........................................2SUSTIVA – efavirenz cap 200 mg...................................... 6SUSTIVA – efavirenz cap 50 mg........................................ 5SUSTIVA – efavirenz tab 600 mg.......................................6SUTENT – sunitinib malate cap 12.5 mg (baseequivalent)......................................................................... 9

SUTENT – sunitinib malate cap 25 mg (baseequivalent)......................................................................... 9

SUTENT – sunitinib malate cap 50 mg (baseequivalent)......................................................................... 9

SYLATRON – peginterferon alfa-2b for inj kit 296 mcg.......9SYLATRON – peginterferon alfa-2b for inj kit 444 mcg.......9SYLATRON – peginterferon alfa-2b for inj kit 4 x 296mcg.................................................................................... 9

SYLATRON – peginterferon alfa-2b for inj kit 4 x 444mcg.................................................................................... 9

SYLATRON – peginterferon alfa-2b for inj kit 4 x 888mcg.................................................................................... 9

SYLATRON – peginterferon alfa-2b for inj kit 888 mcg.......9SYMBICORT – budesonide-formoterol fumarate dihydaerosol 160-4.5 mcg/act..................................................28

SYMBICORT – budesonide-formoterol fumarate dihydaerosol 80-4.5 mcg/act....................................................28

SYMLINPEN 120 – pramlintide acetate pen-inj 2700mcg/2.7ml (1000 mcg/ml)................................................14

SYMLINPEN 60 – pramlintide acetate pen-inj 1500mcg/1.5ml (1000 mcg/ml)................................................14

SYNAREL – nafarelin acetate nasal soln 2 mg/ml............ 13SYNTHROID – levothyroxine sodium tab 100 mcg...........16SYNTHROID – levothyroxine sodium tab 112 mcg...........16SYNTHROID – levothyroxine sodium tab 125 mcg...........16SYNTHROID – levothyroxine sodium tab 137 mcg...........16SYNTHROID – levothyroxine sodium tab 150 mcg...........16SYNTHROID – levothyroxine sodium tab 175 mcg...........16SYNTHROID – levothyroxine sodium tab 200 mcg...........16SYNTHROID – levothyroxine sodium tab 25 mcg.............16SYNTHROID – levothyroxine sodium tab 300 mcg...........16SYNTHROID – levothyroxine sodium tab 50 mcg.............16SYNTHROID – levothyroxine sodium tab 75 mcg.............16SYNTHROID – levothyroxine sodium tab 88 mcg.............16

T

TABLOID – thioguanine tab 40 mg.....................................9tacrolimus cap 0.5 mg (Prograf).................................... 57tacrolimus cap 1 mg (Prograf)....................................... 57tacrolimus cap 5 mg (Prograf)....................................... 57TAFINLAR – dabrafenib mesylate cap 50 mg (baseequivalent)......................................................................... 9

TAFINLAR – dabrafenib mesylate cap 75 mg (baseequivalent)......................................................................... 9

TAMIFLU – oseltamivir phosphate cap 30 mg (baseequiv)................................................................................. 6


2014



TAMIFLU – oseltamivir phosphate for susp 6 mg/ml (baseequiv)................................................................................. 6

tamoxifen citrate tab 10 mg (base equivalent)............... 9tamoxifen citrate tab 20 mg (base equivalent)............... 9tamsulosin hcl cap 0.4 mg (Flomax)............................. 31TARCEVA – erlotinib tab 100 mg....................................... 9TARCEVA – erlotinib tab 150 mg....................................... 9TARCEVA – erlotinib tab 25 mg......................................... 9TARGRETIN – bexarotene cap 75 mg............................... 9TASIGNA – nilotinib cap 150 mg........................................ 9TASIGNA – nilotinib cap 200 mg........................................ 9TAZORAC – tazarotene cream 0.05%..............................51TAZORAC – tazarotene cream 0.1%................................51TAZORAC – tazarotene gel 0.05%...................................51TAZORAC – tazarotene gel 0.1%.....................................51TECFIDERA – dimethyl fumarate capsule delayed release120 mg.............................................................................37

TECFIDERA – dimethyl fumarate capsule delayed release240 mg.............................................................................37

TECFIDERA STARTER PACK – dimethyl fumaratecapsule dr starter pack 120 mg & 240 mg...................... 37

TEGRETOL-XR – carbamazepine tab sr 12hr 100 mg..... 44temazepam cap 15 mg (Restoril)................................... 35temazepam cap 22.5 mg (Restoril)................................ 35temazepam cap 30 mg (Restoril)................................... 35temazepam cap 7.5 mg (Restoril).................................. 36temozolomide cap 100 mg (Temodar).............................9temozolomide cap 140 mg (Temodar).............................9temozolomide cap 180 mg (Temodar).............................9temozolomide cap 20 mg (Temodar)...............................9temozolomide cap 250 mg (Temodar).............................9temozolomide cap 5 mg (Temodar).................................9terazosin hcl cap 10 mg................................................. 25terazosin hcl cap 1 mg................................................... 25terazosin hcl cap 2 mg................................................... 25terazosin hcl cap 5 mg................................................... 25terbinafine hcl tab 250 mg (Lamisil)................................3terbutaline sulfate tab 2.5 mg........................................ 28terbutaline sulfate tab 5 mg........................................... 28terconazole vaginal cream 0.4% (Terazol 7)................. 31terconazole vaginal cream 0.8% (Terazol 3)................. 31terconazole vaginal suppos 80 mg................................31testosterone cypionate im in oil 100 mg/ml (Depo-testosterone).................................................................. 10

testosterone cypionate im in oil 200 mg/ml (Depo-testosterone).................................................................. 10

testosterone enanthate im in oil 200 mg/ml..................10THALOMID – thalidomide cap 100 mg............................. 57THALOMID – thalidomide cap 150 mg............................. 57THALOMID – thalidomide cap 200 mg............................. 57THALOMID – thalidomide cap 50 mg............................... 57theophylline tab sr 12hr 100 mg....................................28theophylline tab sr 12hr 200 mg....................................28theophylline tab sr 12hr 300 mg....................................28

theophylline tab sr 12hr 450 mg....................................28theophylline tab sr 24hr 400 mg....................................28theophylline tab sr 24hr 600 mg....................................28thiothixene cap 10 mg.................................................... 35thiothixene cap 1 mg...................................................... 35thiothixene cap 2 mg...................................................... 35thiothixene cap 5 mg...................................................... 35timolol maleate ophth gel forming soln 0.25%(Timoptic-xe).................................................................. 49

timolol maleate ophth gel forming soln 0.5%(Timoptic-xe).................................................................. 49

timolol maleate ophth soln 0.25% (Timoptic)............... 49timolol maleate ophth soln 0.5% (Timoptic)................. 49TIVICAY – dolutegravir sodium tab 50 mg (base equiv)......6tizanidine hcl tab 2 mg................................................... 45tizanidine hcl tab 4 mg (Zanaflex)................................. 45tobramycin-dexamethasone ophth susp 0.3-0.1%(Tobradex)...................................................................... 49

tobramycin nebu soln 300 mg/5ml (Tobi)....................... 3tobramycin ophth soln 0.3% (Tobrex)...........................48tolterodine tartrate cap sr 24hr 2 mg (Detrol la)........... 31tolterodine tartrate cap sr 24hr 4 mg (Detrol la)........... 31tolterodine tartrate tab 1 mg (Detrol).............................31tolterodine tartrate tab 2 mg (Detrol).............................31topiramate sprinkle cap 15 mg (Topamax sprinkle)..... 44topiramate sprinkle cap 25 mg (Topamax sprinkle)..... 44topiramate tab 100 mg (Topamax).................................44topiramate tab 200 mg (Topamax).................................44topiramate tab 25 mg (Topamax)...................................44topiramate tab 50 mg (Topamax)...................................44torsemide tab 100 mg (Demadex)..................................24torsemide tab 10 mg (Demadex)....................................24torsemide tab 20 mg (Demadex)....................................24torsemide tab 5 mg (Demadex)......................................24TRACLEER – bosentan tab 125 mg................................. 25TRACLEER – bosentan tab 62.5 mg................................ 25tramadol-acetaminophen tab 37.5-325 mg(Ultracet)......................................................................... 41

tramadol hcl tab 50 mg (Ultram)....................................41tramadol hcl tab sr 24hr 100 mg (Ultram er).................41tramadol hcl tab sr 24hr 200 mg (Ultram er).................41tramadol hcl tab sr 24hr 300 mg (Ultram er).................41trandolapril tab 1 mg (Mavik)......................................... 19trandolapril tab 2 mg (Mavik)......................................... 19trandolapril tab 4 mg (Mavik)......................................... 19TRANSDERM-SCOP – scopolamine td patch 72hr 1.5mg.................................................................................... 30

tranylcypromine sulfate tab 10 mg (Parnate)............... 33TRAVATAN Z – travoprost ophth soln 0.004%(benzalkonium free) (bak free)........................................ 49

trazodone hcl tab 100 mg...............................................33trazodone hcl tab 150 mg...............................................33trazodone hcl tab 300 mg...............................................33trazodone hcl tab 50 mg.................................................33tretinoin cap 10 mg...........................................................9tretinoin cream 0.025% (Retin-a)................................... 51

2014


tretinoin cream 0.05% (Retin-a)..................................... 51tretinoin cream 0.1% (Retin-a)....................................... 51tretinoin gel 0.01% (Retin-a)...........................................51tretinoin gel 0.025% (Retin-a).........................................51tretinoin microsphere gel 0.04% (Retin-a micro)..........51tretinoin microsphere gel 0.1% (Retin-a micro)............51triamcinolone acetonide cream 0.025%........................ 52triamcinolone acetonide cream 0.1%............................ 52triamcinolone acetonide cream 0.5%............................ 52triamcinolone acetonide dental paste 0.1%..................50triamcinolone acetonide lotion 0.025%......................... 52triamcinolone acetonide lotion 0.1%............................. 52triamcinolone acetonide nasal inhal 55 mcg/act(Nasacort aq)..................................................................26

triamcinolone acetonide oint 0.025%............................ 52triamcinolone acetonide oint 0.1%................................ 53triamterene & hydrochlorothiazide cap 37.5-25 mg(Dyazide)......................................................................... 24

triamterene & hydrochlorothiazide tab 37.5-25 mg(Maxzide-25)................................................................... 24

triamterene & hydrochlorothiazide tab 75-50 mg(Maxzide).........................................................................24

trifluoperazine hcl tab 10 mg......................................... 35trifluoperazine hcl tab 1 mg........................................... 35trifluoperazine hcl tab 2 mg........................................... 35trifluoperazine hcl tab 5 mg........................................... 35trifluridine ophth soln 1% (Viroptic).............................. 48trihexyphenidyl hcl elixir 0.4 mg/ml.............................. 45trihexyphenidyl hcl tab 2 mg......................................... 45trihexyphenidyl hcl tab 5 mg......................................... 45trimethobenzamide hcl cap 300 mg (Tigan)..................30trimethoprim tab 100 mg.................................................. 7tropicamide ophth soln 0.5%......................................... 49tropicamide ophth soln 1% (Mydriacyl)........................ 49TRUVADA – emtricitabine-tenofovir disoproxil fumaratetab 200-300 mg................................................................. 6

TYKERB – lapatinib ditosylate tab 250 mg (base equiv)..... 9

U

ursodiol cap 300 mg (Actigall).......................................30ursodiol tab 250 mg (Urso 250)..................................... 30ursodiol tab 500 mg (Urso forte)................................... 31

V

VAGIFEM – estradiol vaginal tab 10 mcg......................... 31valacyclovir hcl tab 1 gm (Valtrex)..................................4valacyclovir hcl tab 500 mg (Valtrex).............................. 4VALCHLOR – mechlorethamine hcl gel 0.016% (baseequivalent)....................................................................... 53

VALCYTE – valganciclovir hcl for soln 50 mg/ml (baseequiv)................................................................................. 4

VALCYTE – valganciclovir hcl tab 450 mg......................... 4valproate sodium syrup 250 mg/5ml (base equiv)(Depakene)......................................................................44

valproic acid cap 250 mg (Depakene)........................... 44

valsartan-hydrochlorothiazide tab 160-12.5 mg(Diovan hct)....................................................................19

valsartan-hydrochlorothiazide tab 160-25 mg (Diovanhct).................................................................................. 19

valsartan-hydrochlorothiazide tab 320-12.5 mg(Diovan hct)....................................................................19

valsartan-hydrochlorothiazide tab 320-25 mg (Diovanhct).................................................................................. 19

valsartan-hydrochlorothiazide tab 80-12.5 mg (Diovanhct).................................................................................. 19

vancomycin hcl cap 125 mg (Vancocin hcl)................... 7vancomycin hcl cap 250 mg (Vancocin hcl)................... 7VANDETANIB – vandetanib tab 100 mg............................ 9VANDETANIB – vandetanib tab 300 mg............................ 9venlafaxine hcl cap sr 24hr 150 mg (base equivalent)(Effexor xr)..................................................................... 33

venlafaxine hcl cap sr 24hr 37.5 mg (base equivalent)(Effexor xr)..................................................................... 33

venlafaxine hcl cap sr 24hr 75 mg (base equivalent)(Effexor xr)..................................................................... 33

venlafaxine hcl tab 100 mg............................................ 34venlafaxine hcl tab 25 mg.............................................. 34venlafaxine hcl tab 37.5 mg........................................... 34venlafaxine hcl tab 50 mg.............................................. 34venlafaxine hcl tab 75 mg.............................................. 34venlafaxine hcl tab sr 24hr 150 mg (base equivalent)(Venlafaxine hcl er)....................................................... 34

venlafaxine hcl tab sr 24hr 37.5 mg (base equivalent)(Venlafaxine hcl er)....................................................... 34

venlafaxine hcl tab sr 24hr 75 mg (base equivalent)(Venlafaxine hcl er)....................................................... 34

VENTOLIN HFA – albuterol sulfate inhal aero 108 mcg/act(90mcg base equiv).........................................................28

verapamil hcl cap sr 24hr 120 mg (Verelan)................. 22verapamil hcl cap sr 24hr 180 mg (Verelan)................. 22verapamil hcl cap sr 24hr 240 mg (Verelan)................. 22verapamil hcl cap sr 24hr 360 mg (Verelan)................. 22verapamil hcl tab 120 mg (Calan)..................................22verapamil hcl tab 80 mg (Calan)....................................22verapamil hcl tab cr 120 mg (Calan sr)......................... 22verapamil hcl tab cr 180 mg (Calan sr)......................... 22verapamil hcl tab cr 240 mg (Calan sr)......................... 22VESICARE – solifenacin succinate tab 10 mg..................31VESICARE – solifenacin succinate tab 5 mg....................31VICTOZA – liraglutide soln pen-injector 18 mg/3ml (6 mg/ml).................................................................................... 14

VIDEX – didanosine for soln 2 gm......................................6VIDEX – didanosine for soln 4 gm......................................6VIGAMOX – moxifloxacin hcl ophth soln 0.5% (baseequiv)............................................................................... 48

VIRACEPT – nelfinavir mesylate tab 250 mg..................... 6VIRACEPT – nelfinavir mesylate tab 625 mg..................... 6VIRAMUNE – nevirapine susp 50 mg/5ml.......................... 6VIRAMUNE XR – nevirapine tab sr 24hr 100 mg............... 6VIRAMUNE XR – nevirapine tab sr 24hr 400 mg............... 6

2014


VIREAD – tenofovir disoproxil fumarate oral powder 40mg/gm................................................................................ 6

VIREAD – tenofovir disoproxil fumarate tab 150 mg...........6VIREAD – tenofovir disoproxil fumarate tab 200 mg...........6VIREAD – tenofovir disoproxil fumarate tab 250 mg...........6VIREAD – tenofovir disoproxil fumarate tab 300 mg...........6VIVELLE-DOT – estradiol td patch biweekly 0.025mg/24hr............................................................................11

VIVELLE-DOT – estradiol td patch biweekly 0.0375mg/24hr............................................................................11




VOLTAREN – diclofenac sodium gel 1%.......................... 51voriconazole for susp 40 mg/ml (Vfend)......................... 3voriconazole tab 200 mg (Vfend).....................................3voriconazole tab 50 mg (Vfend).......................................3VOTRIENT – pazopanib hcl tab 200 mg (base equiv)........ 9VYVANSE – lisdexamfetamine dimesylate cap 20 mg......37VYVANSE – lisdexamfetamine dimesylate cap 30 mg......37VYVANSE – lisdexamfetamine dimesylate cap 40 mg......37VYVANSE – lisdexamfetamine dimesylate cap 50 mg......37VYVANSE – lisdexamfetamine dimesylate cap 60 mg......37VYVANSE – lisdexamfetamine dimesylate cap 70 mg......37

W

warfarin sodium tab 10 mg (Coumadin)........................48warfarin sodium tab 1 mg (Coumadin)..........................48warfarin sodium tab 2.5 mg (Coumadin).......................48warfarin sodium tab 2 mg (Coumadin)..........................48warfarin sodium tab 3 mg (Coumadin)..........................48warfarin sodium tab 4 mg (Coumadin)..........................48warfarin sodium tab 5 mg (Coumadin)..........................48warfarin sodium tab 6 mg (Coumadin)..........................48warfarin sodium tab 7.5 mg (Coumadin).......................48WELCHOL – colesevelam hcl packet for susp 3.75gm.................................................................................... 23

WELCHOL – colesevelam hcl tab 625 mg........................23

X

XALKORI – crizotinib cap 200 mg...................................... 9XALKORI – crizotinib cap 250 mg...................................... 9XELODA – capecitabine tab 150 mg.................................. 9XELODA – capecitabine tab 500 mg.................................. 9XIFAXAN – rifaximin tab 550 mg........................................ 7XTANDI – enzalutamide cap 40 mg................................... 9

Y

Z

zafirlukast tab 10 mg (Accolate).................................... 28zafirlukast tab 20 mg (Accolate).................................... 28zaleplon cap 10 mg (Sonata)..........................................36

zaleplon cap 5 mg (Sonata)........................................... 36ZELBORAF – vemurafenib tab 240 mg (baseequivalent)......................................................................... 9

ZENPEP – pancrelipase (lip-prot-amyl) dr cap10000-34000-55000 unit..................................................30

ZENPEP – pancrelipase (lip-prot-amyl) dr cap15000-51000-82000 unit..................................................30

ZENPEP – pancrelipase (lip-prot-amyl) dr cap20000-68000-109000 unit................................................30

ZENPEP – pancrelipase (lip-prot-amyl) dr cap25000-85000-136000 unit................................................30

ZENPEP – pancrelipase (lip-prot-amyl) dr cap3000-10000-16000 unit....................................................30

ZENPEP – pancrelipase (lip-prot-amyl) dr cap5000-17000-27000 unit....................................................30

ZETIA – ezetimibe tab 10 mg........................................... 23ZIAGEN – abacavir sulfate soln 20 mg/ml (base equiv)......6zidovudine cap 100 mg (Retrovir)................................... 6zidovudine syrup 10 mg/ml (Retrovir).............................6zidovudine tab 300 mg..................................................... 6ziprasidone hcl cap 20 mg (Geodon)............................ 35ziprasidone hcl cap 40 mg (Geodon)............................ 35ziprasidone hcl cap 60 mg (Geodon)............................ 35ziprasidone hcl cap 80 mg (Geodon)............................ 35ZOLINZA – vorinostat cap 100 mg..................................... 9zolpidem tartrate tab 10 mg (Ambien)...........................36zolpidem tartrate tab 5 mg (Ambien).............................36zolpidem tartrate tab cr 12.5 mg (Ambien cr)............... 36zolpidem tartrate tab cr 6.25 mg (Ambien cr)............... 36zonisamide cap 100 mg (Zonegran).............................. 44zonisamide cap 25 mg (Zonegran)................................ 44zonisamide cap 50 mg....................................................44ZORTRESS – everolimus tab 0.25 mg............................. 57ZORTRESS – everolimus tab 0.5 mg............................... 57ZORTRESS – everolimus tab 0.75 mg............................. 57ZYKADIA – ceritinib cap 150 mg........................................ 9ZYTIGA – abiraterone acetate tab 250 mg......................... 9ZYVOX – linezolid for susp 100 mg/5ml............................. 7ZYVOX – linezolid tab 600 mg........................................... 7

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