brand name pa status generic name strength …...brand name pa status generic name strength form...

112
Brand Name PA Status Generic Name Strength Form Therapeutic Class 8-MOP METHOXSALEN 10MG CAPSULE Antipsoriatic Agents, Systemic ABILIFY ARIPIPRAZOLE 10MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed ABILIFY ARIPIPRAZOLE 15MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed ABILIFY ARIPIPRAZOLE 20MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed ABILIFY ARIPIPRAZOLE 30MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed ABILIFY ARIPIPRAZOLE 5MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed ABILIFY ARIPIPRAZOLE 2MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed ABILIFY ARIPIPRAZOLE 5MG/5ML SOLUTION Antipsycotic, Atyp,D2 Agonist/5HT Mixed ABLETEX PSE GUAIFENESIN/P-EPHED HCL 600-120MG TAB.SR 12H Expectorants ACCOLATE ZAFIRLUKAST 10MG TABLET Leukotriene Receptor Antagonists ACCOLATE ZAFIRLUKAST 20MG TABLET Leukotriene Receptor Antagonists ACCUPRIL QUINAPRIL HCL/MAG CARB 10MG TABLET Hypotensives, ACE Blocking Agents ACCUPRIL QUINAPRIL HCL/MAG CARB 20MG TABLET Hypotensives, ACE Blocking Agents ACCUPRIL QUINAPRIL HCL/MAG CARB 40MG TABLET Hypotensives, ACE Blocking Agents ACCUPRIL QUINAPRIL HCL/MAG CARB 5MG TABLET Hypotensives, ACE Blocking Agents ACCURETIC QUINAPRIL/HCTZ/MAG CARB 10-12.5MG TABLET Hypotensives, ACE Blocking Agents ACCURETIC QUINAPRIL/HCTZ/MAG CARB 20-12.5MG TABLET Hypotensives, ACE Blocking Agents ACCURETIC QUINAPRIL/HCTZ/MAG CARB 20-25MG TABLET Hypotensives, ACE Blocking Agents ACCUTANE ISOTRETINOIN 10MG CAPSULE Acne Agents, Systemic ACCUTANE ISOTRETINOIN 20MG CAPSULE Acne Agents, Systemic ACCUTANE ISOTRETINOIN 40MG CAPSULE Acne Agents, Systemic ACETOHEXAMIDE ACETOHEXAMIDE 250MG TABLET Oral Hypoglycemics, Sulfonylureas ACETYLCYSTEINE ACETYLCYSTEINE 200MG/ML VIAL Mucolytics ACLOVATE ALCLOMETASONE DIPROPIONAT 0.05% CREAM(GM) Topical Antiinflammatory Preparations ACLOVATE ALCLOMETASONE DIPROPIONAT 0.05% OINT.(GM) Topical Antiinflammatory Preparations ACTIFED WITH CODEINE P-EPHED HCL/COD PHOS/TRIP 30-10-1.25 SYRUP Cough and Cold Preparations ACTIGALL URSODIOL 300MG CAPSULE Bile Salts ACTIQ PA Required FENTANYL CITRATE 1200MCG LOLLIPOP Analgesics, Narcotics ACTIQ PA Required FENTANYL CITRATE 1600MCG LOLLIPOP Analgesics, Narcotics ACTIQ PA Required FENTANYL CITRATE 200MCG LOLLIPOP Analgesics, Narcotics

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Page 1: Brand Name PA Status Generic Name Strength …...Brand Name PA Status Generic Name Strength Form Therapeutic Class ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic

Brand Name PA Status Generic Name Strength Form Therapeutic Class

8-MOP METHOXSALEN 10MG CAPSULE Antipsoriatic Agents, Systemic

ABILIFY ARIPIPRAZOLE 10MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed

ABILIFY ARIPIPRAZOLE 15MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed

ABILIFY ARIPIPRAZOLE 20MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed

ABILIFY ARIPIPRAZOLE 30MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed

ABILIFY ARIPIPRAZOLE 5MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed

ABILIFY ARIPIPRAZOLE 2MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed

ABILIFY ARIPIPRAZOLE 5MG/5ML SOLUTION Antipsycotic, Atyp,D2 Agonist/5HT Mixed

ABLETEX PSE GUAIFENESIN/P-EPHED HCL 600-120MG TAB.SR 12H Expectorants

ACCOLATE ZAFIRLUKAST 10MG TABLET Leukotriene Receptor Antagonists

ACCOLATE ZAFIRLUKAST 20MG TABLET Leukotriene Receptor Antagonists

ACCUPRIL QUINAPRIL HCL/MAG CARB 10MG TABLET Hypotensives, ACE Blocking Agents

ACCUPRIL QUINAPRIL HCL/MAG CARB 20MG TABLET Hypotensives, ACE Blocking Agents

ACCUPRIL QUINAPRIL HCL/MAG CARB 40MG TABLET Hypotensives, ACE Blocking Agents

ACCUPRIL QUINAPRIL HCL/MAG CARB 5MG TABLET Hypotensives, ACE Blocking Agents

ACCURETIC QUINAPRIL/HCTZ/MAG CARB 10-12.5MG TABLET Hypotensives, ACE Blocking Agents

ACCURETIC QUINAPRIL/HCTZ/MAG CARB 20-12.5MG TABLET Hypotensives, ACE Blocking Agents

ACCURETIC QUINAPRIL/HCTZ/MAG CARB 20-25MG TABLET Hypotensives, ACE Blocking Agents

ACCUTANE ISOTRETINOIN 10MG CAPSULE Acne Agents, Systemic

ACCUTANE ISOTRETINOIN 20MG CAPSULE Acne Agents, Systemic

ACCUTANE ISOTRETINOIN 40MG CAPSULE Acne Agents, Systemic

ACETOHEXAMIDE ACETOHEXAMIDE 250MG TABLET Oral Hypoglycemics, Sulfonylureas

ACETYLCYSTEINE ACETYLCYSTEINE 200MG/ML VIAL Mucolytics

ACLOVATE ALCLOMETASONE DIPROPIONAT 0.05% CREAM(GM) Topical Antiinflammatory Preparations

ACLOVATE ALCLOMETASONE DIPROPIONAT 0.05% OINT.(GM) Topical Antiinflammatory Preparations

ACTIFED WITH CODEINE P-EPHED HCL/COD PHOS/TRIP 30-10-1.25 SYRUP Cough and Cold Preparations

ACTIGALL URSODIOL 300MG CAPSULE Bile Salts

ACTIQ

PA

Required FENTANYL CITRATE 1200MCG LOLLIPOP Analgesics, Narcotics

ACTIQ

PA

Required FENTANYL CITRATE 1600MCG LOLLIPOP Analgesics, Narcotics

ACTIQ

PA

Required FENTANYL CITRATE 200MCG LOLLIPOP Analgesics, Narcotics

Page 2: Brand Name PA Status Generic Name Strength …...Brand Name PA Status Generic Name Strength Form Therapeutic Class ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic

Brand Name PA Status Generic Name Strength Form Therapeutic Class

ACTIQ

PA

Required FENTANYL CITRATE 400MCG LOLLIPOP Analgesics, Narcotics

ACTIQ

PA

Required FENTANYL CITRATE 600MCG LOLLIPOP Analgesics, Narcotics

ACTIQ

PA

Required FENTANYL CITRATE 800MCG LOLLIPOP Analgesics, Narcotics

ACTIVELLA ESTRADIOL/NORETH AC 0.5-1.0mg TABLET Miotics/Other Intraocular Pressure Reducers

ACTONEL RISEDRONATE SODIUM 30MG TABLET Bone Ossification Suppression Agents

ACTONEL RISEDRONATE SODIUM 35MG TABLET Bone Ossification Suppression Agents

ACTONEL RISEDRONATE SODIUM 5MG TABLET Bone Ossification Suppression Agents

ACTONEL RISEDRONATE SODIUM 75mg TABLET Bone Ossification Suppression Agents

Actonel RISEDRONATE SODIUM 150mg Tablet Bone Ossification Suppression Agents

ACTOS PIOGLITAZONE HCL 15MG TABLET Hypoglycemics, Insulin-Response Enhancer

ACTOS PIOGLITAZONE HCL 30MG TABLET Hypoglycemics, Insulin-Response Enhancer

ACTOS PIOGLITAZONE HCL 45MG TABLET Hypoglycemics, Insulin-Response Enhancer

ACULAR KETOROLAC TROMETHAMINE 0.50% DROPS Eye Antiinflammatory Agents

ACULAR LS KETOROLAC TROMETHAMINE 0.40% DROPS Eye Antiinflammatory Agents

ACULAR PF KETOROLAC TROMETHAMINE 0.50% DROPERETTE Eye Antiinflammatory Agents

ADALAT CC NIFEDIPINE 30MG TABLET SA Calcium Channel Blocking Agents

ADALAT CC NIFEDIPINE 60MG TABLET SA Calcium Channel Blocking Agents

ADALAT CC NIFEDIPINE 90MG TABLET SA Calcium Channel Blocking Agents

ADAPIN DOXEPIN HCL 100MG CAPSULE Antidepressants

ADAPIN DOXEPIN HCL 100MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

ADAPIN DOXEPIN HCL 150MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

ADAPIN DOXEPIN HCL 75MG CAPSULE Antidepressants

ADAPIN DOXEPIN HCL 75MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

ADDERALL AMPHET ASP/AMPHET/D-AMPHE 10MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine

ADDERALL AMPHET ASP/AMPHET/D-AMPHE 12.5MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine

ADDERALL AMPHET ASP/AMPHET/D-AMPHE 15MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine

ADDERALL AMPHET ASP/AMPHET/D-AMPHE 20MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine

ADDERALL AMPHET ASP/AMPHET/D-AMPHE 30MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine

ADDERALL AMPHET ASP/AMPHET/D-AMPHE 5MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine

ADDERALL AMPHET ASP/AMPHET/D-AMPHE 7.5MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine

ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 10MG CAP.SR 24H Adrenergic Agents, Aromatic, Non-Catecholamine

Page 3: Brand Name PA Status Generic Name Strength …...Brand Name PA Status Generic Name Strength Form Therapeutic Class ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic

Brand Name PA Status Generic Name Strength Form Therapeutic Class

ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic Agents, Aromatic, Non-Catecholamine

ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 20MG CAP.SR 24H Adrenergic Agents, Aromatic, Non-Catecholamine

ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 25MG CAP.SR 24H Adrenergic Agents, Aromatic, Non-Catecholamine

ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 30MG CAP.SR 24H Adrenergic Agents, Aromatic, Non-Catecholamine

ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 5MG CAP.SR 24H Adrenergic Agents, Aromatic, Non-Catecholamine

ADRENALIN CHLORIDE EPINEPHRINE SOLUTION General Bronchodilator Agents

ADRENALIN CHLORIDE EPINEPHRINE 1MG/ML VIAL Adrenergic Agents, Catecholamines

ADRENALIN CHLORIDE NASAL EPINEPHRINE SOLUTION Nose Preparations, Vasoconstrictors

ADSORBOCARPINE PILOCARPINE HCL 1% DROPS Miotics/Other Intraocular Pressure Reducers

ADVAIR DISKUS FLUTICASONE/SALMETEROL 100-50MCG DISK W/DEV Beta-Adrenergic and Glucocorticoids Combination

ADVAIR DISKUS FLUTICASONE/SALMETEROL 250-50MCG DISK W/DEV Beta-Adrenergic and Glucocorticoids Combination

ADVAIR DISKUS FLUTICASONE/SALMETEROL 500-50MCG DISK W/DEV Beta-Adrenergic and Glucocorticoids Combination

ADVAIR HFA FLUTICASONE/SALMETEROL 45-21MCG AER W/ADAP Beta-Adrenergic and Glucocorticoids Combination

ADVAIR HFA FLUTICASONE/SALMETEROL 115-21MCG AER W/ADAP Beta-Adrenergic and Glucocorticoids Combination

ADVAIR HFA FLUTICASONE/SALMETEROL 230-21MCG AER W/ADAP Beta-Adrenergic and Glucocorticoids Combination

ADVICOR NIACIN/LOVASTATIN 1000-20MG TAB MPHASE Lipotropics

ADVICOR NIACIN/LOVASTATIN 500-20MG TAB MPHASE Lipotropics

ADVICOR NIACIN/LOVASTATIN 750-20MG TAB MPHASE Lipotropics

ADVICOR NIACIN/LOVASTATIN 1000-40MG TAB MPHASE Lipotropics

AEROBID FLUNISOLIDE 250MCG AER W/ADAP Glucocorticoids, Topical

AEROBID-M FLUNISOLIDE/MENTHOL 250MCG AER W/ADAP Glucocorticoids, Topical

AEROKID PHENYLEPHRINE/CHLOR-MAL/S 10-4-1.25 SYRUP Cough and Cold Preparations

AEROLATE 111 THEOPHYLLINE ANHYDROUS 65MG CAP.SR 12H Xanthines

AEROLATE JR THEOPHYLLINE ANHYDROUS 130MG CAP.SR 12H Xanthines

AGENERASE AMPRENAVIR/VITAMIN E 150MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

AGENERASE AMPRENAVIR/VITAMIN E 50MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

AGENERASE AMPRENAVIR/VITAMIN E/PROP 15MG/ML SOLUTION Antivirals, HIV-Specific, Protease Inhibitors

AGRYLIN ANAGRELIDE HCL 0.5MG CAPSULE Platelet Reducing Agents

AGRYLIN ANAGRELIDE HCL 1MG CAPSULE Platelet Reducing Agents

AIRET ALBUTEROL SULFATE 0.83MG/ML SOLUTION Beta-Adrenergic Agents

AKINETON BIPERIDEN HCL 2MG TABLET Antiparkinsonism Drugs, Anticholinergic

AK-TRACIN BACITRACIN 500 UNIT/G OINT.(GM) Eye Antibiotics

ALA-CORT HYDROCORTISONE 1% CREAM(GM) Topical Antiinflammatory Preparations

Page 4: Brand Name PA Status Generic Name Strength …...Brand Name PA Status Generic Name Strength Form Therapeutic Class ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic

Brand Name PA Status Generic Name Strength Form Therapeutic Class

ALAMAST PEMIROLAST POTASSIUM 0.10% DROPS Ophthalmic Mast Cell Stabilizers

ALA-TET TETRACYCLINE HCL 250MG CAPSULE Tetracyclines

ALDACTONE SPIRONOLACTONE 100MG TABLET Potassium Sparing Diuretics

ALDACTONE SPIRONOLACTONE 25MG TABLET Potassium Sparing Diuretics

ALDACTONE SPIRONOLACTONE 50MG TABLET Potassium Sparing Diuretics

ALDARA IMIQUIMOD 5% PACKET Immunomodulators

ALDOMET METHYLDOPA 125MG TABLET Hypotensives, Sympatholitic

ALDOMET METHYLDOPA 250MG TABLET Hypotensives, Sympatholitic

ALDOMET METHYLDOPA 250MG/5ML ORAL SUSP Hypotensives, Sympatholitic

ALKERAN MELPHALAN 2MG TABLET Alkylating Agents

ALKERAN MELPHALAN HCL 50MG VIAL Alkylating Agents

ALLEGRA FEXOFENADINE HCL 180MG TABLET Antihistamines, Cont 5

ALLEGRA FEXOFENADINE HCL 30MG TABLET Antihistamines, Cont 2

ALLEGRA FEXOFENADINE HCL 60MG CAPSULE Antihistamines, Cont 3

ALLEGRA FEXOFENADINE HCL 60MG TABLET Antihistamines, Cont 4

ALLEGRA-D P-EPHED HCL/FEXOFENADINE 120-60MG TAB.SR 12H Antihistamines

ALLERGIA-C DIPHENHYDRAMINE HCL 25MG CAPSULE Antihistamines

ALOCRIL NEDOCROMIL SODIUM 2% DROPS Ophthalmic Mast Cell Stabilizers

ALOMIDE LODOXAMIDE TROMETHAMINE 0.10% DROPS Eye Antiinflammatory Agents

ALOMIDE LODOXAMIDE TROMETHAMINE 0.10% DROPS Ophthalmic Mast Cell Stabilizers

ALPHAGAN BRIMONIDINE TARTRATE 0.20% DROPS Miotics/Other Intraocular Pressure Reducers

ALPHAGAN P BRIMONIDINE TARTRATE 0.15% DROPS Miotics/Other Intraocular Pressure Reducers

ALPHAGAN P BRIMONIDINE TARTRATE 0.10% DROPS Miotics/Other Intraocular Pressure Reducers

ALPHATREX BETAMETHASONE DIPROPIONAT 0.05% LOTION Topical Antiinflammatory Preparations

ALPRAZOLAM INTENSOL ALPRAZOLAM 1MG/ML ORAL CONC. Anti-Anxiety Drugs

Alrex Loteprednol etabonate 0.20% Drops Eye Antiinflammatory Agents

ALTACE RAMIPRIL 1.25MG CAPSULE Hypotensives, ACE Blocking Agents

ALTACE RAMIPRIL 10MG CAPSULE Hypotensives, ACE Blocking Agents

ALTACE RAMIPRIL 2.5MG CAPSULE Hypotensives, ACE Blocking Agents

ALTACE RAMIPRIL 5MG CAPSULE Hypotensives, ACE Blocking Agents

ALTACE RAMIPRIL 1.25MG TABLET Hypotensives, ACE Blocking Agents

ALTACE RAMIPRIL 2.5MG TABLET Hypotensives, ACE Blocking Agents

ALTACE RAMIPRIL 5MG TABLET Hypotensives, ACE Blocking Agents

Page 5: Brand Name PA Status Generic Name Strength …...Brand Name PA Status Generic Name Strength Form Therapeutic Class ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic

Brand Name PA Status Generic Name Strength Form Therapeutic Class

ALTACE RAMIPRIL 10MG TABLET Hypotensives, ACE Blocking Agents

ALUPENT METAPROTERENOL SULFATE 10MG TABLET Beta-Adrenergic Agents

ALUPENT METAPROTERENOL SULFATE 10MG/5ML SYRUP Beta-Adrenergic Agents

ALUPENT METAPROTERENOL SULFATE 20MG TABLET Beta-Adrenergic Agents

ALUPENT METAPROTERENOL SULFATE 4MG/ML SOLUTION Beta-Adrenergic Agents

ALUPENT METAPROTERENOL SULFATE 50MG/ML SOLUTION Beta-Adrenergic Agents

ALUPENT METAPROTERENOL SULFATE 650MCG AER W/ADAP Beta-Adrenergic Agents

ALUPENT METAPROTERENOL SULFATE 6MG/ML SOLUTION Beta-Adrenergic Agents

ALUSTRA VITAMIN A/HYDROQUINONE 4% CREAM(GM) Antimelamin Agents

AMARYL GLIMEPIRIDE 1MG TABLET Oral Hypoglycemics, Sulfonylureas

AMARYL GLIMEPIRIDE 2MG TABLET Oral Hypoglycemics, Sulfonylureas

AMARYL GLIMEPIRIDE 4MG TABLET Oral Hypoglycemics, Sulfonylureas

AMBIEN ZOLPIDEM TARTRATE 10MG TABLET Non-Barbiturate, Sedative-Hypnotic

AMBIEN ZOLPIDEM TARTRATE 5MG TABLET Non-Barbiturate, Sedative-Hypnotic

AMBIEN CR

Step Edit

Required-

Must Try

Ambien

First ZOLPIDEM TARTRATE

6.25MG

TABLET Non-Barbiturate, Sedative-Hypnotic

AMBIEN CR

Step Edit

Required-

Must Try

Ambien

First ZOLPIDEM TARTRATE

12.5MG

TABLET Non-Barbiturate, Sedative-Hypnotic

AMINOPHYLLIN AMINOPHYLLINE 100MG TABLET Xanthines

AMINOPHYLLIN AMINOPHYLLINE 200MG TABLET Xanthines

AMINOPHYLLINE AMINOPHYLLINE 200MG TABLET EC Xanthines

AMITRIPTYLINE W/PERPHENAZ AMITRIPTYLINE HCL/PERPHEN 10-4MG TABLET Tricyclic Antidepressant/Phenothiazine Combinatns

AMITRIPTYLINE W/PERPHENAZ AMITRIPTYLINE HCL/PERPHEN 50-4MG TABLET Tricyclic Antidepressant/Phenothiazine Combinatns

AMOXAPINE AMOXAPINE 100MG TABLET Antidepressants

AMOXAPINE AMOXAPINE 150MG TABLET Antidepressants

AMOXAPINE AMOXAPINE 25MG TABLET Antidepressants

AMOXAPINE AMOXAPINE 25MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

AMOXAPINE AMOXAPINE 50MG TABLET Antidepressants

AMOXICILLIN AMOXICILLIN TRIHYDRATE 250MG CAPSULE Penicillins

Page 6: Brand Name PA Status Generic Name Strength …...Brand Name PA Status Generic Name Strength Form Therapeutic Class ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic

Brand Name PA Status Generic Name Strength Form Therapeutic Class

AMOXIL AMOXICILLIN TRIHYDRATE 125MG TAB CHEW Penicillins

AMOXIL AMOXICILLIN TRIHYDRATE 200MG TAB CHEW Penicillins

AMOXIL AMOXICILLIN TRIHYDRATE 200MG/5ML SUSP RECON Penicillins

AMOXIL AMOXICILLIN TRIHYDRATE 250MG TAB CHEW Penicillins

AMOXIL AMOXICILLIN TRIHYDRATE 400MG TAB CHEW Penicillins

AMOXIL AMOXICILLIN TRIHYDRATE 400MG/5ML SUSP RECON Penicillins

AMOXIL AMOXICILLIN TRIHYDRATE 500MG CAPSULE Penicillins

AMOXIL AMOXICILLIN TRIHYDRATE 500MG TABLET Penicillins

AMOXIL AMOXICILLIN TRIHYDRATE 50MG/ML DROP RECON Penicillins

AMOXIL AMOXICILLIN TRIHYDRATE 875MG TABLET Penicillins

AMPICILLIN TRIHYDRATE AMPICILLIN TRIHYDRATE 250MG CAPSULE Penicillins

AMPICILLIN TRIHYDRATE AMPICILLIN TRIHYDRATE 500MG CAPSULE Penicillins

ANAFRANIL CLOMIPRAMINE HCL 25MG CAPSULE Antidepressants

ANAFRANIL CLOMIPRAMINE HCL 25MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

ANAFRANIL CLOMIPRAMINE HCL 50MG CAPSULE Antidepressants

ANAFRANIL CLOMIPRAMINE HCL 50MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

ANAFRANIL CLOMIPRAMINE HCL 75MG CAPSULE Antidepressants

ANAFRANIL CLOMIPRAMINE HCL 75MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

ANA-GUARD EPINEPHRINE 1MG/ML DISP SYRIN Anaphylaxis therapy agent

ANALPRAM-HC HC ACETATE/PRAMOXINE HCL 1-1% CREAM(GM) Hemorrhoidal Preparations

ANALPRAM-HC HC ACETATE/PRAMOXINE HCL 2.5-1% LOTION Hemorrhoidal Preparations

ANALPRAM-HC HC ACETATE/PRAMOXINE HCL 2.5-1% CREAM(GM) Hemorrhoidal Preparations

ANAPROX NAPROXEN SODIUM 275MG TABLET Anti-inflammatory Agents

ANAPROX DS NAPROXEN SODIUM 550MG TABLET Anti-inflammatory Agents

ANDROID METHYLTESTOSTERONE 10MG CAPSULE Androgenic Agents

ANEXSIA HYDROCODONE BIT/ACETAMINO 10-660MG TABLET Analgesics, Narcotics

ANSAID FLURBIPROFEN 100MG TABLET Anti-inflammatory Agents

ANSAID FLURBIPROFEN 50MG TABLET Anti-inflammatory Agents

ANTABUSE DISULFIRAM 250MG TABLET Antialcoholic Preparations

ANTARA FENOFIBRATE,MICRONIZED 43MG CAPSULE Lipotropics

ANTARA FENOFIBRATE,MICRONIZED 130MG CAPSULE Lipotropics

ANTIMINTH PYRANTEL PAMOATE 144MG/ML ORAL SUSP Anthelmintics

ANTIVERT MECLIZINE HCL 50MG TABLET Anti-Emetics

Page 7: Brand Name PA Status Generic Name Strength …...Brand Name PA Status Generic Name Strength Form Therapeutic Class ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic

Brand Name PA Status Generic Name Strength Form Therapeutic Class

ANTURANE SULFINPYRAZONE 200MG CAPSULE Uricosuric Agents

ANUSOL-HC HC/BISMUTH SUBGAL/ZNOX/RE CREAM Hemorrhoidal Preparations

ANUSOL-HC HC/RESOR/BISMUTH SUBGAL/Z SUPP.RECT Hemorrhoidal Preparations

ANUSOL-HC HYDROCORTISONE 2.50% CREAM(GM) Rectal Preparations

ANUSOL-HC HYDROCORTISONE ACETATE 1% OINT.(GM) Rectal Preparations

ANUSOL-HC HYDROCORTISONE ACETATE 25MG SUPP.RECT Rectal Preparations

ANZEMET

PA

Required DOLASETRON MESYLATE 100MG TABLET Anti-Emetics

ANZEMET

PA

Required DOLASETRON MESYLATE 12.5/0.625 AMPUL Anti-Emetics

ANZEMET

PA

Required DOLASETRON MESYLATE 20MG/ML VIAL Anti-Emetics

ANZEMET

PA

Required DOLASETRON MESYLATE 50MG TABLET Anti-Emetics

APIDRA INSULIN GLULISINE 100 U/ML VIAL Insulins

APIDRA INSULIN GLULISINE 101 U/ML CARTRIDGE Insulins

APRESOLINE HYDRALAZINE HCL 100MG TABLET Hypotensives, Vasodilators

APRESOLINE HYDRALAZINE HCL 10MG TABLET Hypotensives, Vasodilators

APRESOLINE HYDRALAZINE HCL 25MG TABLET Hypotensives, Vasodilators

APRESOLINE HYDRALAZINE HCL 50MG TABLET Hypotensives, Vasodilators

APTIVUS TIPRANAVIR 250MG CAPSULE Antiretroviral Agents

AQUASOL A VITAMIN A 50MU CAPSULE Vitamin A Preparations

AQUASOL A DROPS VITAMIN A 5MU/0.1ML DROPS Vitamin A Preparations

ARALEN HCL CHLOROQUINE HCL 50MG/ML AMPUL Antimalarial Drugs

ARALEN PHOSPHATE CHLOROQUINE PHOSPHATE 500MG TABLET Antimalarial Drugs

ARALEN W/PRIMAQUINE CHLOROQUINE/PRIMAQUIN TABLET Antimalarial Drugs

ARANESP

PA

Required DARBEPOETIN ALFA IN ALBUM 100MCG/0.5 DISP SYRIN Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN ALBUM 100MCG/ML VIAL Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN ALBUM 150MCG/.75 VIAL Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN ALBUM 150MCG/0.3 DISP SYRIN Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN ALBUM 200MCG/0.4 DISP SYRIN Hematinics, Other

Page 8: Brand Name PA Status Generic Name Strength …...Brand Name PA Status Generic Name Strength Form Therapeutic Class ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic

Brand Name PA Status Generic Name Strength Form Therapeutic Class

ARANESP

PA

Required DARBEPOETIN ALFA IN ALBUM 200MCG/ML VIAL Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN ALBUM 25MCG/0.42 DISP SYRIN Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN ALBUM 25MCG/ML VIAL Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN ALBUM 300MCG/0.6 DISP SYRIN Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN ALBUM 300MCG/ML VIAL Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN ALBUM 40MCG/0.4 DISP SYRIN Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN ALBUM 40MCG/ML VIAL Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN ALBUM 500MCG/ML DISP SYRIN Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN ALBUM 60MCG/.3ML DISP SYRIN Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN ALBUM 60MCG/ML VIAL Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN POLYSORBAT 40MCG/0.4ML DISP SYRIN Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN POLYSORBAT 60MCG/0.3ML DISP SYRIN Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN POLYSORBAT 100MCG/0.5ML DISP SYRIN Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN POLYSORBAT 200MCG/0.4ML DISP SYRIN Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN POLYSORBAT 250MCG/0.42ML DISP SYRIN Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN POLYSORBAT 300MCG/0.6ML DISP SYRIN Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN POLYSORBAT 300MCG/ML VIAL Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN POLYSORBAT 25MCG/ML VIAL Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN POLYSORBAT 40MCG/ML VIAL Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN POLYSORBAT 60MCG/ML VIAL Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN POLYSORBAT 1000MCG/ML VIAL Hematinics, Other

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

ARANESP

PA

Required DARBEPOETIN ALFA IN POLYSORBAT 200MCG/ML VIAL Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN POLYSORBAT 150MCG/0.3ML DISP SYRIN Hematinics, Other

ARANESP

PA

Required DARBEPOETIN ALFA IN POLYSORBAT 150MCG/0.75ML VIAL Hematinics, Other

ARAVA LEFLUNOMIDE 100MG TABLET Anti-inflammatory, Pyrimidine Synthesis Inhibitor

ARAVA LEFLUNOMIDE 10MG TABLET Anti-inflammatory, Pyrimidine Synthesis Inhibitor

ARAVA LEFLUNOMIDE 20MG TABLET Anti-inflammatory, Pyrimidine Synthesis Inhibitor

ARICEPT DONEPEZIL HCL 10MG TABLET Cholinesterase Inhibitors

ARICEPT DONEPEZIL HCL 5MG TABLET Cholinesterase Inhibitors

ARIMIDEX ANASTROZOLE 1MG TABLET Antineoplastics, Misc

ARISTOCORT TRIAMCINOLONE 1MG TABLET Glucocorticoids, Topical

ARISTOCORT TRIAMCINOLONE 2MG TABLET Glucocorticoids, Topical

ARISTOCORT TRIAMCINOLONE 4MG TABLET Glucocorticoids, Topical

ARISTOCORT TRIAMCINOLONE 8MG TABLET Glucocorticoids, Topical

ARISTOCORT TRIAMCINOLONE ACETONIDE 0.03% CREAM(GM) Topical Antiinflammatory Preparations

ARISTOCORT TRIAMCINOLONE DIACETATE 2MG/5ML SYRUP Glucocorticoids, Topical

ARISTOCORT A TRIAMCINOLONE ACETONIDE/L 0.03% CREAM(GM) Topical Antiinflammatory Preparations

ARISTOCORT A TRIAMCINOLONE ACETONIDE/L 0.10% CREAM(GM) Topical Antiinflammatory Preparations

ARISTOCORT A TRIAMCINOLONE ACETONIDE/L 0.10% OINT.(GM) Topical Antiinflammatory Preparations

ARISTOCORT A TRIAMCINOLONE ACETONIDE/L 0.50% CREAM(GM) Topical Antiinflammatory Preparations

ARISTOCORT HP TRIAMCINOLONE ACETONIDE 0.50% OINT.(GM) Topical Antiinflammatory Preparations

ARISTO-PAK TRIAMCINOLONE 4MG TAB DS PK Glucocorticoids, Topical

ARIXTRA FONDAPARINUX SODIUM 10MG/0.8ML DISP SYRIN Heparin Preparations

ARIXTRA FONDAPARINUX SODIUM 2.5MG/0.5 DISP SYRIN Heparin Preparations

ARIXTRA FONDAPARINUX SODIUM 5MG/0.4ML DISP SYRIN Heparin Preparations

ARIXTRA FONDAPARINUX SODIUM 7.5MG/0.6 DISP SYRIN Heparin Preparations

ARMOUR THYROID THYROID 120MG TABLET Thyroid Hormones

ARMOUR THYROID THYROID 15MG TABLET Thyroid Hormones

ARMOUR THYROID THYROID 180MG TABLET Thyroid Hormones

ARMOUR THYROID THYROID 240MG TABLET Thyroid Hormones

ARMOUR THYROID THYROID 300MG TABLET Thyroid Hormones

ARMOUR THYROID THYROID 30MG TABLET Thyroid Hormones

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

ARMOUR THYROID THYROID 60MG TABLET Thyroid Hormones

ARMOUR THYROID THYROID 90MG TABLET Thyroid Hormones

AROMASIN EXEMESTANE 25MG TABLET Antineoplastics, Misc, cont

ARTANE TRIHEXYPHENIDYL HCL 2MG TABLET Antiparkinsonism Drugs, Anticholinergic

ARTANE TRIHEXYPHENIDYL HCL 2MG/5ML ELIXIR Antiparkinsonism Drugs, Anticholinergic

ARTANE TRIHEXYPHENIDYL HCL 5MG TABLET Antiparkinsonism Drugs, Anticholinergic

ARTANE SEQUEL TRIHEXYPHENIDYL HCL 5MG CAPSULE SA Antiparkinsonism Drugs, Anticholinergic

ASACOL MESALAMINE 400MG TABLET DR Drug TX-Chronic Inflam. Colon DX

ASCRIPTIN ASA/CALCIUM CARB/MAG/AL H 325MG TABLET Analgesics, Salicylates

ASCRIPTIN MAXIMUM STRENGT ASA/CALCIUM CARB/MAG/AL H 500MG TABLET Analgesics, Salicylates

ASENDIN AMOXAPINE 100MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

ASENDIN AMOXAPINE 150MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

ASENDIN AMOXAPINE 50MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

ASMANEX MOMETASONE FUROATE 220MCG AERO POWD Glucocorticoids, Topical

ASPIRIN ASPIRIN 81MG TAB CHEW Analgesics, Salicylates

ASPIRIN W/CODEINE CODEINE PHOSPHATE/ASPIRIN 15-325MG TABLET Analgesics, Narcotics

ASPIR-TRIN ASPIRIN 650MG TABLET DR Analgesics, Salicylates

ASTELIN AZELASTINE HCL 137MCG SPRAY/PUMP Nose Preparations, Vasoconstrictors

ATABRINE HCL QUINACRINE HCL 100MG TABLET Antimalarial Drugs

ATARAX HYDROXYZINE HCL 100MG TABLET Antihistamines, Cont 7

ATARAX HYDROXYZINE HCL 10MG/5ML SYRUP Antihistamines, Cont 6

ATIVAN LORAZEPAM 0.5MG TABLET Anti-Anxiety Drugs

ATIVAN LORAZEPAM 1MG TABLET Anti-Anxiety Drugs

ATIVAN LORAZEPAM 2MG TABLET Anti-Anxiety Drugs

ATRIPLA EMTRICITABINE/TENOFOVIR/EFAVIR 200-300-600 TABLET

ARTV CMB Nucleoside, Nucleotide, & non-Nucleoside

RTI

ATROPINE SULFATE ATROPINE SULFATE 1% OINTMENT Mydriatics

ATROVENT IPRATROPIUM BROMIDE 18MCG AER W/ADAP General Bronchodilator Agents

ATROVENT IPRATROPIUM BROMIDE 21MCG SPRAY Nose Preparations, Miscellaneous (RX)

ATROVENT IPRATROPIUM BROMIDE 42MCG SPRAY Nose Preparations, Miscellaneous (RX)

ATROVENT HFA IPRATROPIUM BROMIDE 17MCG AER W/ADAP Nose Preparations, Miscellaneous (RX)

AUGMENTIN AMOX TR/POTASSIUM CLAVULA 125-31.25 SUSP RECON Penicillins

AUGMENTIN AMOX TR/POTASSIUM CLAVULA 125-31.25 TAB CHEW Penicillins

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

AUGMENTIN AMOX TR/POTASSIUM CLAVULA 200-28.5/5 SUSP RECON Penicillins

AUGMENTIN AMOX TR/POTASSIUM CLAVULA 200-28.5MG TAB CHEW Penicillins

AUGMENTIN AMOX TR/POTASSIUM CLAVULA 250-62.5/5 SUSP RECON Penicillins

AUGMENTIN AMOX TR/POTASSIUM CLAVULA 400-57MG TAB CHEW Penicillins

AUGMENTIN AMOX TR/POTASSIUM CLAVULA 400-57MG/5 SUSP RECON Penicillins

AUGMENTIN AMOX TR/POTASSIUM CLAVULA 875-125MG TABLET Penicillins

AUGMENTIN 250 AMOX TR/POTASSIUM CLAVULA 250-125MG TABLET Penicillins

AUGMENTIN 250 AMOX TR/POTASSIUM CLAVULA 250-62.5MG TAB CHEW Penicillins

AUGMENTIN 500 AMOX TR/POTASSIUM CLAVULA 500-125MG TABLET Penicillins

AUGMENTIN ES-600 AMOX TR/POTASSIUM CLAVULA 600-42.9/5 SUSP RECON Penicillins

AUGMENTIN XR AMOX TR/POTASSIUM CLAVULA 1000-62.5 TAB.SR 12H Penicillins

AVALIDE IRBESARTAN/HYDROCHLOROTHI 150-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist

AVALIDE IRBESARTAN/HYDROCHLOROTHI 300-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist

AVALIDE IRBESARTAN/HYDROCHLOROTHI 300-25MG TABLET Hypotensives, Angiotensin Receptor Antagonist

AVANDAMET ROSIGLITAZONE/METFORMIN H 1-500MG TABLET Hypoglycemics, Insulin-Response Enhancer

AVANDAMET ROSIGLITAZONE/METFORMIN H 2-1000MG TABLET Hypoglycemics, Insulin-Response Enhancer

AVANDAMET ROSIGLITAZONE/METFORMIN H 2-500MG TABLET Hypoglycemics, Insulin-Response Enhancer

AVANDAMET ROSIGLITAZONE/METFORMIN H 4-1000MG TABLET Hypoglycemics, Insulin-Response Enhancer

AVANDAMET ROSIGLITAZONE/METFORMIN H 4-500MG TABLET Hypoglycemics, Insulin-Response Enhancer

AVANDIA ROSIGLITAZONE MALEATE 2MG TABLET Hypoglycemics, Insulin-Response Enhancer

AVANDIA ROSIGLITAZONE MALEATE 4MG TABLET Hypoglycemics, Insulin-Response Enhancer

AVANDIA ROSIGLITAZONE MALEATE 8MG TABLET Hypoglycemics, Insulin-Response Enhancer

AVAPRO IRBESARTAN 150MG TABLET Hypotensives, Angiotensin Receptor Antagonist

AVAPRO IRBESARTAN 300MG TABLET Hypotensives, Angiotensin Receptor Antagonist

AVAPRO IRBESARTAN 75MG TABLET Hypotensives, Angiotensin Receptor Antagonist

AVC SULFANILAMIDE 15% CREAM/APPL Vaginal Sulfonamides

AVELOX MOXIFLOXACIN HCL 400MG TABLET Quinolones

AVODART DUTASTERIDE 0.5MG CAPSULE BPH/Micturition Agents

AVONEX INTERFERON BETA-1A 30MCG/.5ML KIT Agents to treat Multiple Sclerosis

AVONEX ADMINISTRATION PAC INTERFERON BETA-1A/ALBUMI 30MCG KIT Agents to treat Multiple Sclerosis

AXERT ALMOTRIPTAN MALATE 12.5MG TABLET Imitrex Oral Drugs

AXERT ALMOTRIPTAN MALATE 6.25MG TABLET Antimigraine Preparations

AXID NIZATIDINE 150MG CAPSULE Gastric Acid Secretion Reducers

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

AXID NIZATIDINE 150MG/10ML SOLUTION Gastric Acid Secretion Reducers

AXID NIZATIDINE 300MG CAPSULE Gastric Acid Secretion Reducers

AYGESTIN NORETHINDRONE ACETATE 5MG TABLET Progestational Agents

AZASAN AZATHIOPRINE 100MG TABLET Immunosuppresives

AZASAN AZATHIOPRINE 75MG TABLET Immunosuppresives

AZILECT RASAGILINE 0.5MG TABLET Antiparkinsonism Drugs, Other

AZILECT RASAGILINE 1MG TABLET Antiparkinsonism Drugs, Other

AZILECT RASAGILINE MESYLATE 0.5mg TABLET Antiparkinsonism Drugs, Other

AZILECT RASAGILINE MESYLATE 1mg TABLET Antiparkinsonism Drugs, Other

AZMACORT TRIAMCINOLONE ACETONIDE 100MCG AER W/ADAP Glucocorticoids, Topical

AZOPT BRINZOLAMIDE 1% DROPS SUSP Miotics/Other Intraocular Pressure Reducers

AZULFIDINE SULFASALAZINE 250MG/5ML ORAL SUSP Absorbable Sulfonamides

AZULFIDINE SULFASALAZINE 500MG TABLET Absorbable Sulfonamides

AZULFIDINE SULFASALAZINE 500MG TABLET DR Absorbable Sulfonamides

B-12 CYANOCOBALAMIN 1000MCG TABLET Vitamin B-12 Preparations

BACTRIM DS SULFAMETHOXAZOLE/TRIMETHO 800-160MG TABLET Absorbable Sulfonamides

BACTROBAN MUPIROCIN CALCIUM 2% CREAM(GM) Topical Antibiotics

BACTROBAN NASAL MUPIROCIN CALCIUM 2% OINT.(GM) Nose Preparations, Antibiotics

BALAGAN ANTIPYRINE/BENZOCAINE/GLY 5.4-1.4% DROPS Ear Preparations, Local Anesthetics

BALAMINE DM DM HB/P-EPHED HCL/CARBINO 4-25-2/ML DROPS Cough and Cold Preparations

BALTUSSIN HC PHENYLEPHRINE/HYDROCODONE 5-2.5-2 SYRUP Cough and Cold Preparations

BANCAP HC HYDROCODONE BIT/ACETAMINO 5-500MG CAPSULE Analgesics, Narcotics

BANOPHEN PLUS P-EPHED HCL/DP-HYDRAM HCL CAPSULE Cough and Cold Preparations

BAN-SMOKE BENZOCAINE 6MG GUM Smoking Deterrents, other

BARACLUDE ENTECAVIR 0.5MG TABLET Hepatitis B Treatment Agents

BARACLUDE ENTECAVIR 1MG TABLET Hepatitis B Treatment Agents

BARACLUDE ENTECAVIR 0.05MG/ML SOLUTION Hepatitis B Treatment Agents

BAYER EXTRA STRENGTH ASPIRIN 500MG TABLET Analgesics, Salicylates

BECONASE BECLOMETHASONE DIPROPIONA 42MCG AER W/ADAP Nose Preparations, Antiinflammatory

BECONASE AQ BECLOMETHASONE DIPROPIONA 42MCG SPRAY Nose Preparations, Antiinflammatory

BELLERGAL-S ERGOTAMINE/BELLAD ALK/PB 0.6-0.2-40 TABLET Antispasmodic Agents

BENADRYL ALLERGY DIPHENHYDRAMINE HCL 25MG TABLET Antihistamines

BENEMID PROBENECID 500MG TABLET Uricosuric Agents

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

BENICAR OLMESARTAN MEDOXOMIL 20MG TABLET Hypotensives, Angiotensin Receptor Antagonist

BENICAR OLMESARTAN MEDOXOMIL 40MG TABLET Hypotensives, Angiotensin Receptor Antagonist

BENICAR OLMESARTAN MEDOXOMIL 5MG TABLET Hypotensives, Angiotensin Receptor Antagonist

BENICAR HCT OLMESARTN/HYDROCHLOROTHIA 20-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist

BENICAR HCT OLMESARTN/HYDROCHLOROTHIA 40-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist

BENICAR HCT OLMESARTN/HYDROCHLOROTHIA 40-25MG TABLET Hypotensives, Angiotensin Receptor Antagonist

BENTYL DICYCLOMINE HCL 10MG CAPSULE Anticholinergics, Antispasmodics

BENTYL DICYCLOMINE HCL 10MG/5ML SYRUP Anticholinergics, Antispasmodics

BENTYL DICYCLOMINE HCL 20MG TABLET Anticholinergics, Antispasmodics

BENZAC AC BENZOYL PEROXIDE 5% GEL Keratolytics

BENZAC W 2.5 BENZOYL PEROXIDE 2.50% GEL Keratolytics

BENZAC W WASH BENZOYL PEROXIDE 10% LIQUID Keratolytics

BENZACLIN CLINDAMYCIN PHOSPHATE/BEN 1-5% GEL Acne Agents, Topical

BENZAMYCIN ERYTHROMYCIN BASE/BENZ PE 3-5% GEL Topical Antibiotics

BENZAMYCINPAK ERYTHROMYCIN BASE/BENZ PE 3-5% GEL Topical Antibiotics

BENZONATATE BENZONATATE 100MG CAPSULE Antitussives, Non-Narcotic

BENZONATATE BENZONATATE 200MG CAPSULE Antitussives, Non-Narcotic

BENZTROPINE MESYLATE BENZTROPINE MESYLATE 2MG TABLET Antiparkinsonism Drugs, Anticholinergic

BETA HC HYDROCORTISONE 0.25% CREAM(GM) Topical Antiinflammatory Preparations

BETAGAN LEVOBUNOLOL HCL 0.25% DROPS Miotics/Other Intraocular Pressure Reducers

BETAGAN LEVOBUNOLOL HCL 0.50% DROPS Miotics/Other Intraocular Pressure Reducers

BETAPACE SOTALOL HCL 120MG TABLET Beta-Adrenergic Blocking Agents

BETAPACE SOTALOL HCL 240MG TABLET Beta-Adrenergic Blocking Agents

BETAPACE AF SOTALOL HCL 160MG TABLET Beta-Adrenergic Blocking Agents

BETAPACE AF SOTALOL HCL 80MG TABLET Beta-Adrenergic Blocking Agents

BETASERON INTERFERON BETA-1B 0.3MG VIAL Agents to treat Multiple Sclerosis

BETATREX BETAMETHASONE VALERATE 0.10% OINT.(GM) Topical Antiinflammatory Preparations

BETATREX BETAMETHASONE VALERATE 0.10% LOTION Topical Antiinflammatory Preparations

BETIMOL TIMOLOL 0.25% DROPS Miotics/Other Intraocular Pressure Reducers

BETIMOL TIMOLOL 0.50% DROPS Miotics/Other Intraocular Pressure Reducers

BETOPTIC BETAXOLOL HCL 0.50% DROPS Miotics/Other Intraocular Pressure Reducers

BETOPTIC S BETAXOLOL HCL 0.25% DROPS SUSP Miotics/Other Intraocular Pressure Reducers

BIAXIN CLARITHROMYCIN 125MG/5ML SUSP RECON Macrolides

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

BIAXIN CLARITHROMYCIN 250MG TABLET Macrolides

BIAXIN CLARITHROMYCIN 250MG/5ML SUSP RECON Macrolides

BIAXIN CLARITHROMYCIN 500MG TABLET Macrolides

BILTRICIDE PRAZIQUANTEL 600MG TABLET Anthelmintics

BIODEC P-EPHED HCL/CARBINOX MAL 25-2MG/ML DROPS Antihistamines

BLEPH-10 SULFACETAMIDE SODIUM 10% DROPS Eye Sulfonamides

BLEPHAMIDE NA SULFACETM/PREDNISOL AC 10-0.2% DROPS SUSP Eye Sulfonamides

BLEPHAMIDE S.O.P. NA SULFACETM/PREDNISOL AC 10-0.2% OINT.(GM) Eye Sulfonamides

BLOCADREN TIMOLOL MALEATE 10MG TABLET Beta-Adrenergic Blocking Agents

BLOCADREN TIMOLOL MALEATE 20MG TABLET Beta-Adrenergic Blocking Agents

BLOCADREN TIMOLOL MALEATE 5MG TABLET Beta-Adrenergic Blocking Agents

BLOOD GLUCOSE BLOOD-GLUCOSE METER KIT Diabetic Supplies

BRETHINE TERBUTALINE SULFATE 2.5MG TABLET Beta-Adrenergic Agents

BRETHINE TERBUTALINE SULFATE 5MG TABLET Beta-Adrenergic Agents

BREVOXYL-4 BENZOYL PEROXIDE 4% LIQUID Keratolytics

BROFED P-EPHED HCL/BROMPHENIRAMI 30-4MG/5ML SYRUP Antihistamines

BROMFED P-EPHED HCL/BROMPHENIRAMI 120-12MG CAPSULE SA Antihistamines

BROMFED P-EPHED HCL/BROMPHENIRAMI 60-4MG TABLET Antihistamines

BROMFED-PD P-EPHED HCL/BROMPHENIRAMI 60-6MG CAPSULE SA Antihistamines

BROMPHENIRAMINE/PHENYLPRO PPA HCL/BROMPHENIRAMIN 75-12MG TAB.SR 12H Cough and Cold Preparations

BUMEX BUMETANIDE 0.5MG TABLET Loop Diuretics

BUMEX BUMETANIDE 1MG TABLET Loop Diuretics

BUMEX BUMETANIDE 2MG TABLET Loop Diuretics

BUSPAR BUSPIRONE HCL 10MG TABLET Anti-Anxiety Drugs

BUSPAR BUSPIRONE HCL 15MG TABLET Anti-Anxiety Drugs

BUSPAR BUSPIRONE HCL 30MG TABLET Anti-Anxiety Drugs

BUSPAR BUSPIRONE HCL 5MG TABLET Anti-Anxiety Drugs

BUTALBITAL-CAFF-APAP-CODE CODEINE/APAP/CAFFEIN/BUTA 30MG CAPSULE Analgesics, Narcotics

BUTISOL SODIUM BUTABARBITAL SODIUM 100MG TABLET Barbiturates

BUTISOL SODIUM BUTABARBITAL SODIUM 15MG TABLET Barbiturates

BUTISOL SODIUM BUTABARBITAL SODIUM 30MG TABLET Barbiturates

BUTISOL SODIUM BUTABARBITAL SODIUM 30MG/5ML ELIXIR Barbiturates

BUTISOL SODIUM BUTABARBITAL SODIUM 50MG TABLET Barbiturates

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

BYETTA EXENATIDE 5MCG/0.02ML PEN INJ GLP-Recep Agonist

BYETTA EXENATIDE 10MCG/0.04ML PEN INJ GLP-Recep Agonist

CAFATINE PB ERGOT TT/CAFF/BELL ALK/P- TABLET Antimigraine Preparations

CAFERGOT ERGOTAMINE TARTRATE/CAFFE 1-100MG TABLET Antimigraine Preparations

CAFERGOT ERGOTAMINE TARTRATE/CAFFE 2-100MG SUPP.RECT Antimigraine Preparations

CALAN VERAPAMIL HCL 120MG TABLET Calcium Channel Blocking Agents

CALAN VERAPAMIL HCL 40MG TABLET Calcium Channel Blocking Agents

CALAN VERAPAMIL HCL 80MG TABLET Calcium Channel Blocking Agents

CALAN SR VERAPAMIL HCL 120MG TABLET SA Calcium Channel Blocking Agents

CALAN SR VERAPAMIL HCL 180MG TABLET SA Calcium Channel Blocking Agents

CALAN SR VERAPAMIL HCL 240MG TABLET SA Calcium Channel Blocking Agents

CALDEROL CALCIFEDIOL 20MCG CAPSULE Vitamin D Preparations

CALDEROL CALCIFEDIOL 50MCG CAPSULE Vitamin D Preparations

CANASA MESALAMINE 500MG SUPP.RECT Chronic Inflam. Colon DX, 5-A Salicylat, Rectal TX

CANASA MESALAMINE 1000MG SUPP.RECT Drug TX-Chronic Inflam. Colon DX

CAPITAL W-CODEINE CODEINE PHOS/ACETAMINOPHE 12-120MG/5 ORAL SUSP Analgesics, Narcotics

CAPOTEN CAPTOPRIL 100MG TABLET Hypotensives, ACE Blocking Agents

CAPOTEN CAPTOPRIL 12.5MG TABLET Hypotensives, ACE Blocking Agents

CAPOTEN CAPTOPRIL 25MG TABLET Hypotensives, ACE Blocking Agents

CAPOTEN CAPTOPRIL 50MG TABLET Hypotensives, ACE Blocking Agents

CAPOZIDE CAPTOPRIL/HYDROCHLOROTHIA 25MG-15MG TABLET Hypotensives, ACE Blocking Agents

CAPOZIDE CAPTOPRIL/HYDROCHLOROTHIA 25MG-25MG TABLET Hypotensives, ACE Blocking Agents

CAPOZIDE CAPTOPRIL/HYDROCHLOROTHIA 50MG-15MG TABLET Hypotensives, ACE Blocking Agents

CAPOZIDE CAPTOPRIL/HYDROCHLOROTHIA 50MG-25MG TABLET Hypotensives, ACE Blocking Agents

CARAFATE SUCRALFATE 1G TABLET Antiulcer Preparations

CARAFATE SUCRALFATE 1G/10ML ORAL SUSP Antiulcer Preparations

CARBATROL CARBAMAZEPINE 100MG CAP.SR 12H Anticonvulsants

CARBATROL CARBAMAZEPINE 200MG CAP.SR 12H Anticonvulsants

CARBATROL CARBAMAZEPINE 300MG CAP.SR 12H Anticonvulsants

CARBEX SELEGILINE HCL 5MG TABLET Antiparkinsonism Drugs, Other

CARDENE SR NICARDIPINE HCL 30MG CAPSULE SA Calcium Channel Blocking Agents

CARDENE SR NICARDIPINE HCL 45MG CAPSULE SA Calcium Channel Blocking Agents

CARDENE SR NICARDIPINE HCL 60MG CAPSULE SA Calcium Channel Blocking Agents

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

CARDIZEM DILTIAZEM HCL 120MG TABLET Calcium Channel Blocking Agents

CARDIZEM DILTIAZEM HCL 30MG TABLET Calcium Channel Blocking Agents

CARDIZEM DILTIAZEM HCL 60MG TABLET Calcium Channel Blocking Agents

CARDIZEM DILTIAZEM HCL 90MG TABLET Calcium Channel Blocking Agents

CARDIZEM CD DILTIAZEM HCL 120MG CAP.SR 24H Calcium Channel Blocking Agents

CARDIZEM CD DILTIAZEM HCL 180MG CAP.SR 24H Calcium Channel Blocking Agents

CARDIZEM CD DILTIAZEM HCL 240MG CAP.SR 24H Calcium Channel Blocking Agents

CARDIZEM CD DILTIAZEM HCL 300MG CAP.SR 24H Calcium Channel Blocking Agents

CARDIZEM CD DILTIAZEM HCL 360MG CAP.SR 24H Calcium Channel Blocking Agents

CARDIZEM LA DILTIAZEM HCL 120MG TAB.SR 24H Calcium Channel Blocking Agents

CARDIZEM LA DILTIAZEM HCL 180MG TAB.SR 24H Calcium Channel Blocking Agents

CARDIZEM LA DILTIAZEM HCL 240MG TAB.SR 24H Calcium Channel Blocking Agents

CARDIZEM LA DILTIAZEM HCL 300MG TAB.SR 24H Calcium Channel Blocking Agents

CARDIZEM LA DILTIAZEM HCL 360MG TAB.SR 24H Calcium Channel Blocking Agents

CARDIZEM LA DILTIAZEM HCL 420MG TAB.SR 24H Calcium Channel Blocking Agents

CARDIZEM SR DILTIAZEM HCL 120MG CAP.SR 12H Calcium Channel Blocking Agents

CARDIZEM SR DILTIAZEM HCL 60MG CAP.SR 12H Calcium Channel Blocking Agents

CARDIZEM SR DILTIAZEM HCL 90MG CAP.SR 12H Calcium Channel Blocking Agents

CARDURA DOXAZOSIN MESYLATE 1MG TABLET Alpha-Adrenergic Blocking Agents

CARDURA DOXAZOSIN MESYLATE 2MG TABLET Alpha-Adrenergic Blocking Agents

CARDURA DOXAZOSIN MESYLATE 4MG TABLET Alpha-Adrenergic Blocking Agents

CARDURA DOXAZOSIN MESYLATE 8MG TABLET Alpha-Adrenergic Blocking Agents

CASODEX BICALUTAMIDE 50MG TABLET Antiandrogenic Agents

CATAPRES CLONIDINE HCL 0.1MG TABLET Hypotensives, Sympatholitic

CATAPRES CLONIDINE HCL 0.2MG TABLET Hypotensives, Sympatholitic

CATAPRES CLONIDINE HCL 0.3MG TABLET Hypotensives, Sympatholitic

CATAPRES-TTS 1 CLONIDINE HCL 0.1MG/24HR PATCH TDWK Hypotensives, Sympatholitic

CATAPRES-TTS 2 CLONIDINE HCL 0.2MG/24HR PATCH TDWK Hypotensives, Sympatholitic

CATAPRES-TTS 3 CLONIDINE HCL 0.3MG/24HR PATCH TDWK Hypotensives, Sympatholitic

CEBERCLON CLONAZEPAM 1MG TABLET Anticonvulsants

CECLOR CEFACLOR 125MG/5ML SUSP RECON Cephalosporins-2nd Generation

CECLOR CEFACLOR 187MG/5ML SUSP RECON Cephalosporins-2nd Generation

CECLOR CEFACLOR 250MG CAPSULE Cephalosporins-2nd Generation

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

CECLOR CEFACLOR 250MG/5ML SUSP RECON Cephalosporins-2nd Generation

CECLOR CEFACLOR 375MG/5ML SUSP RECON Cephalosporins-2nd Generation

CECLOR CEFACLOR 500MG CAPSULE Cephalosporins-2nd Generation

CECLOR CD CEFACLOR 375MG TAB.SR 12H Cephalosporins-2nd Generation

CECLOR CD CEFACLOR 500MG TAB.SR 12H Cephalosporins-2nd Generation

CEENU LOMUSTINE 100MG CAPSULE Alkylating Agents

CEENU LOMUSTINE 10-40-100 CAPSULE Alkylating Agents

CEENU LOMUSTINE 10MG CAPSULE Alkylating Agents

CEENU LOMUSTINE 40MG CAPSULE Alkylating Agents

CEFTIN CEFUROXIME AXETIL 125MG TABLET Cephalosporins-2nd Generation

CEFTIN CEFUROXIME AXETIL 125MG/5ML SUSP RECON Cephalosporins-2nd Generation

CEFTIN CEFUROXIME AXETIL 250MG TABLET Cephalosporins-2nd Generation

CEFTIN CEFUROXIME AXETIL 250MG/5ML SUSP RECON Cephalosporins-2nd Generation

CEFTIN CEFUROXIME AXETIL 500MG TABLET Cephalosporins-2nd Generation

CEFZIL CEFPROZIL 125MG/5ML SUSP RECON Cephalosporins-2nd Generation

CEFZIL CEFPROZIL 250MG TABLET Cephalosporins-2nd Generation

CEFZIL CEFPROZIL 250MG/5ML SUSP RECON Cephalosporins-2nd Generation

CEFZIL CEFPROZIL 500MG TABLET Cephalosporins-2nd Generation

CELESTONE BETAMETHASONE 0.6MG TABLET Glucocorticoids, Topical

CELESTONE BETAMETHASONE 0.6MG/5ML SYRUP Glucocorticoids, Systemic, Cont.

CELEXA CITALOPRAM HYDROBROMIDE 10MG TABLET Antidepressants I.e. Prozac Weekly

CELEXA CITALOPRAM HYDROBROMIDE 10MG/5ML SOLUTION Antidepressants I.e. Prozac Weekly

CELEXA CITALOPRAM HYDROBROMIDE 20MG TABLET Antidepressants I.e. Prozac Weekly

CELEXA CITALOPRAM HYDROBROMIDE 40MG TABLET Antidepressants I.e. Prozac Weekly

CELLCEPT MYCOPHENOLATE MOFETIL 200MG/ML SUSP RECON Immunosuppresives

CELLCEPT MYCOPHENOLATE MOFETIL 250MG CAPSULE Immunosuppresives

CELLCEPT MYCOPHENOLATE MOFETIL 500MG TABLET Immunosuppresives

CELONTIN METHSUXIMIDE 150MG CAPSULE Anticonvulsants

CELONTIN METHSUXIMIDE 300MG CAPSULE Anticonvulsants

CENESTIN ESTROGENS,CONJ.,SYNTHETIC 0.3MG TABLET Estrogenic Agents

CENESTIN ESTROGENS,CONJ.,SYNTHETIC 0.45MG TABLET Estrogenic Agents

CENESTIN ESTROGENS,CONJ.,SYNTHETIC 0.625MG TABLET Estrogenic Agents

CENESTIN ESTROGENS,CONJ.,SYNTHETIC 0.9MG TABLET Estrogenic Agents

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

CENESTIN ESTROGENS,CONJ.,SYNTHETIC 1.25MG TABLET Estrogenic Agents

CENTANY MUPIROCIN 2% OINT.(GM) Topical Antibiotics

CENTANY MUCIPIROCIN 2% KIT Topical Antibiotics

CEPHALEXIN CEPHALEXIN MONOHYDRATE 500MG TABLET Cephalosporins

CEPHULAC LACTULOSE 10G/15ML SYRUP Ammonia Inhibitors

CERUMENEX TRIETHANOLAMINE 10% DROPS Ear Preparations, Ear Wax Removers

CETACORT HYDROCORTISONE 0.25% LOTION Topical Antiinflammatory Preparations

CETACORT HYDROCORTISONE 0.50% LOTION Topical Antiinflammatory Preparations

CETACORT HYDROCORTISONE 1% LOTION Topical Antiinflammatory Preparations

CETAMIDE SULFACETAMIDE SODIUM 10% OINT.(GM) Eye Sulfonamides

Cetirizine Cetirizine HCL 5mg Chew Tab Antihistimines-2nd Gen

Cetirizine Cetirizine HCL 10mg Chew Tab Antihistimines-2nd Gen

CHANTIX

PA

Required

for greater

than 24

weeks VARENICLINE TARTRATE

0.5mg

TABLET Smoking Deterrent-Nicotinic Recep. Partial Agonist

CHANTIX

PA

Required

for greater

than 24

weeks VARENICLINE TARTRATE

1mg

TABLET Smoking Deterrent-Nicotinic Recep. Partial Agonist

CHERACOL GUAIFENESIN/CODEINE PHOS 100-10MG/5 SYRUP Expectorants

CHERACOL GUAIFENESIN/CODEINE PHOS SYRUP Expectorants

CHERACOL D GUAIFENESIN/D-METHORPHAN 100-10/5ML LIQUID Expectorants

CHLORAL HYDRATE CHLORAL HYDRATE 500MG SUPP.RECT Non-Barbiturate, Sedative-Hypnotic

CHLORAL HYDRATE CHLORAL HYDRATE 500MG/5ML SYRUP Non-Barbiturate, Sedative-Hypnotic

CHLORAMPHENICOL CHLORAMPHENICOL 1% OINT.(GM) Eye Antibiotics

CHLORAMPHENICOL CHLORAMPHENICOL 250MG CAPSULE Chloramphenicol and Derivatives

CHLOROMYCETIN CHLORAMPHENICOL 1% CREAM(GM) Topical Antibiotics

CHLOROMYCETIN CHLORAMPHENICOL 25MG DROPS Eye Antibiotics

CHLOROMYCETIN CHLORAMPHENICOL PALMITATE 150MG/5ML ORAL SUSP Chloramphenicol and Derivatives

CHLOROMYCETIN W/HYDROCORT CHLORAMPHENICOL/HC ACETAT DROPS SUSP Eye Antibiotic-Corticoid Combinations

CHLOROPTIC CHLORAMPHENICOL 0.50% DROPS Eye Antibiotics

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE 250MG TABLET Antimalarial Drugs

CHLORPROMAZINE HCL CHLORPROMAZINE HCL 30MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines

CHLOR-TRIMETON CHLORPHENIRAMINE MALEATE 2MG/5ML SYRUP Antihistamines

CHLOR-TRIMETON CHLORPHENIRAMINE MALEATE 4MG TABLET Antihistamines

CHLOR-TRIMETON CHLORPHENIRAMINE MALEATE 8MG TABLET SA Antihistamines

CHLOR-TRIMETON PPA HCL/ACETAMINOPHN/CP 2-12.5-500 TABLET Cough and Cold Preparations

CHLOR-TRIMETON PSEUDOEPHEDRINE SULFATE 60MG TABLET Sympathomimetic Agents

CHLOR-TRIMETON ALLERGY RE CHLORPHENIRAMINE MALEATE 12MG TABLET SA Antihistamines

CHLOR-TRIMETON D PSEUDOEPHEDRINE HCL/CHLOR 60-4MG TABLET Cough and Cold Preparations

CHLOR-TRIMETON DECONGESTA PSEUDOEPHEDRINE HCL/CHLOR 120-8MG TAB.SR 12H Cough and Cold Preparations

CHOLOXIN DEXTROTHYROXINE SODIUM 2MG TABLET Lipotropics

CHOLOXIN DEXTROTHYROXINE SODIUM 4MG TABLET Lipotropics

CHROMAGEN OB PV MIN,W-O A/FE FUMARATE/ 28-1MG CAPSULE Prenatal Vitamin Preparations

CHROMAGEN OB PV W-O VIT A/FE FUM/DOSS/ 28-1MG CAPSULE Prenatal Vitamin Preparations

CHRONULAC LACTULOSE 10G/15ML SYRUP Laxatives and Cathartics

CIBALITH-S LITHIUM CITRATE 8MEQ/5ML SYRUP Anti-Psychotic, Non-Phenothiazines

CILOXAN CIPROFLOXACIN HCL 0.30% OINT.(GM) Eye Antibiotics

CILOXAN CIPROFLOXACIN HCL 0.30% DROPS Eye Antibiotics

CIPRO CIPROFLOXACIN HCL 100MG TABLET Quinolones

CIPRO CIPROFLOXACIN HCL 250MG TABLET Quinolones

CIPRO CIPROFLOXACIN HCL 500MG TABLET Quinolones

CIPRO CIPROFLOXACIN HCL 750MG TABLET Quinolones

CIPRO HC CIPROFLOXACIN HCL/HC 0.2-1% DROPS SUSP Otic Prep, Anti-Inflammatory-Antibiotics

CIPRO XR CIPROFLOXACIN HCL-BETAINE 1000MG TAB.SR 24H Quinolones

CIPRO XR CIPROFLOXACIN HCL-BETAINE 500MG TAB.SR 24H Quinolones

CIPROFLOXACIN CIPROFLOXACIN 250MG/5ML SUS MC REC Quinolones

CIPROFLOXACIN CIPROFLOXACIN 500MG/5ML SUS MC REC Quinolones

CLARITIN LORATADINE 10MG TAB RAPDIS Antihistamines, Cont

CLARITIN LORATADINE 10MG TABLET Antihistamines, Cont

CLARITIN LORATADINE 5MG/5ML SYRUP Antihistamines, Cont

CLARITIN-D 12 HOUR P-EPHED SUL/LORATADINE 120-5MG TAB.SR 12H Antihistamines

CLARITIN-D 24 HOUR P-EPHED SUL/LORATADINE 240-10MG TAB.SR 24H Antihistamines

CLEOCIN HCL CLINDAMYCIN HCL 150MG CAPSULE Lincosamides

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

CLEOCIN HCL CLINDAMYCIN HCL 300MG CAPSULE Lincosamides

CLEOCIN HCL CLINDAMYCIN HCL 75MG CAPSULE Lincosamides

CLEOCIN PALMITATE CLINDAMYCIN PALMITATE 75MG/5ML SOLN RECON Lincosamides

CLEOCIN T CLINDAMYCIN PHOSPHATE 1% SOLUTION Topical Antibiotics

CLEOCIN T CLINDAMYCIN PHOSPHATE 1% LOTION Topical Antibiotics

CLEOCIN T CLINDAMYCIN PHOSPHATE 1% GEL Topical Antibiotics

CLEOCIN T CLINDAMYCIN PHOSPHATE 1% MED. SWAB Topical Antibiotics

CLIMARA ESTRADIOL .025MG/24H PATCH TDWK Estrogenic Agents

CLIMARA ESTRADIOL .0375MG/24 PATCH TDWK Estrogenic Agents

CLIMARA ESTRADIOL .075MG/24H PATCH TDWK Estrogenic Agents

CLIMARA ESTRADIOL 0.05MG/24H PATCH TDWK Estrogenic Agents

CLIMARA ESTRADIOL 0.06MG/24H PATCH TDWK Estrogenic Agents

CLIMARA ESTRADIOL 0.1MG/24HR PATCH TDWK Estrogenic Agents

CLINORIL SULINDAC 150MG TABLET Anti-inflammatory Agents

CLINORIL SULINDAC 200MG TABLET Anti-inflammatory Agents

CLOBEX CLOBETASOL PROPIONATE 0.05% SHAMPOO Topical Antiinflammatory Preparations

CLOBEX CLOBETASOL PROPIONATE 0.05% LOTION Topical Antiinflammatory Preparations

CLOBEX CLOBETASOL PROPIONATE 0.05% SPRAY Topical Antiinflammatory Preparations

CLODERM CLOCORTOLONE PIVALATE 0.10% CREAM(GM) Topical Antiinflammatory Preparations

CLOFIBRATE CLOFIBRATE 500MG CAPSULE Lipotropics

CLOMID CLOMIPHENE CITRATE 50MG TABLET Fertility Preparations

CLOZAPINE CLOZAPINE 12.5MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

CLOZAPINE CLOZAPINE 50MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

CLOZAPINE CLOZAPINE 200MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

CLOZARIL CLOZAPINE 100MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

CLOZARIL CLOZAPINE 25MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

CODEINE COUGH SYRUP PHENYLEPHRINE/COD/CHLORPH SYRUP Cough and Cold Preparations

CODEINE PHOSPHATE CODEINE PHOS 15MG/5ML SOLUTION Analgesics, Narcotics

CODEINE PHOSPHATE CODEINE PHOS 30MG TABLET SOL Analgesics, Narcotics

CODEINE PHOSPHATE CODEINE PHOS 60MG TABLET SOL Analgesics, Narcotics

Page 21: Brand Name PA Status Generic Name Strength …...Brand Name PA Status Generic Name Strength Form Therapeutic Class ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic

Brand Name PA Status Generic Name Strength Form Therapeutic Class

CODEINE PHOSPHATE CODEINE PHOSPHATE 15MG TABLET SOL Analgesics, Narcotics

CODEINE SULFATE CODEINE SULF 15MG TABLET Analgesics, Narcotics

CODEINE SULFATE CODEINE SULF 60MG TABLET Analgesics, Narcotics

CODEINE SULFATE CODEINE SULFATE 30MG TABLET SOL Analgesics, Narcotics

COGENTIN BENZTROPINE MESYLATE 0.5MG TABLET Antiparkinsonism Drugs, Anticholinergic

COGENTIN BENZTROPINE MESYLATE 1MG TABLET Antiparkinsonism Drugs, Anticholinergic

COLAZAL BALSALAZIDE DISODIUM 750MG CAPSULE Drug TX-Chronic Inflam. Colon DX

COL-BENEMID COLCHICINE/PROBENECID TABLET Colchicine

COLCHICINE COLCHICINE 0.5MG TABLET Colchicine

COLCHICINE COLCHICINE 0.6MG TABLET Colchicine

COLY-MYCIN S NEOMYCIN SULFATE/COLIST S DROPS SUSP Ear Preparations, Antibiotics

COMBIPATCH ESTRADIOL/NORETH AC .05-.14/24 PATCH TDBW Estrogenic Agents

COMBIPATCH ESTRADIOL/NORETH AC .05-.25/24 PATCH TDBW Estrogenic Agents

COMBIVENT ALBUTEROL SULFATE/IPRATRO 103-18MCG AER W/ADAP Beta-Adrenergic Agents

COMBIVIR LAMIVUDINE/ZIDOVUDINE 150-300MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI Comb

COMMIT NICOTINE POLACRILEX 2MG LOZENGE Ganglionic Stimulants

COMMIT NICOTINE POLACRILEX 4MG LOZENGE Ganglionic Stimulants

COMPAZINE PROCHLORPERAZINE EDISYLAT 5MG/5ML SYRUP Anti-Emetics

COMPAZINE PROCHLORPERAZINE MALEATE 10MG CAPSULE SA Anti-Emetics

COMPAZINE PROCHLORPERAZINE MALEATE 10MG TABLET Anti-Emetics

COMPAZINE PROCHLORPERAZINE MALEATE 15MG CAPSULE SA Anti-Emetics

COMPAZINE PROCHLORPERAZINE MALEATE 2.5MG SUPP.RECT Anti-Emetics

COMPAZINE PROCHLORPERAZINE MALEATE 25MG SUPP.RECT Anti-Emetics

COMPAZINE PROCHLORPERAZINE MALEATE 25MG TABLET Anti-Emetics

COMPAZINE PROCHLORPERAZINE MALEATE 5MG SUPP.RECT Anti-Emetics

COMPAZINE PROCHLORPERAZINE MALEATE 5MG TABLET Anti-Emetics

COMPOUND W SALICYLIC ACID 17% GEL Keratolytics

COMPOUND W SALICYLIC ACID 40% ADH. PATCH Keratolytics

COMTAN ENTACAPONE 200MG TABLET Antiparkinsonism Drugs, Other

CONCERTA METHYLPHENIDATE HCL 18MG TAB SA OSM Anti-narcolepsy/Anti-Hyperkinesis Agents

CONCERTA METHYLPHENIDATE HCL 27MG TAB SA OSM Anti-narcolepsy/Anti-Hyperkinesis Agents

CONCERTA METHYLPHENIDATE HCL 36MG TAB SA OSM Anti-narcolepsy/Anti-Hyperkinesis Agents

Page 22: Brand Name PA Status Generic Name Strength …...Brand Name PA Status Generic Name Strength Form Therapeutic Class ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic

Brand Name PA Status Generic Name Strength Form Therapeutic Class

CONCERTA METHYLPHENIDATE HCL 54MG TAB SA OSM Anti-narcolepsy/Anti-Hyperkinesis Agents

CONDYLOX PODOFILOX 0.50% GEL Keratolytics

CONDYLOX PODOFILOX 0.50% SOLUTION Keratolytics

COPAXONE GLATIRAMER ACETATE 20MG KIT Agents to treat Multiple Sclerosis

COPEGUS

PA

Required RIBAVIRIN 200MG TABLET Hepatitis C Treatment Agents

CORDARONE AMIODARONE HCL 200MG TABLET Antiarrhythmics

CORDRAN FLURANDRENOLIDE 0.03% OINT.(GM) Topical Antiinflammatory Preparations

CORDRAN FLURANDRENOLIDE 0.05% OINT.(GM) Topical Antiinflammatory Preparations

CORDRAN FLURANDRENOLIDE 0.05% LOTION Topical Antiinflammatory Preparations

CORDRAN FLURANDRENOLIDE 4MCG/SQ CM MED. TAPE Topical Antiinflammatory Preparations

CORDRAN SP FLURANDRENOLIDE 0.03% CREAM(GM) Topical Antiinflammatory Preparations

CORDRAN SP FLURANDRENOLIDE 0.05% CREAM(GM) Topical Antiinflammatory Preparations

CORDRAN TAPE PATCH FLURANDRENOLIDE 4MCG/SQ CM ADH. PATCH Topical Antiinflammatory Preparations

COREG CARVEDILOL 12.5MG TABLET Adrenergic Inhibitors

COREG CARVEDILOL 25MG TABLET Adrenergic Inhibitors

COREG CARVEDILOL 3.125MG TABLET Adrenergic Inhibitors

COREG CARVEDILOL 6.25MG TABLET Adrenergic Inhibitors

COREG CR CARVEDILOL PHOSPHATE 10MG TABLET Adrenergic Inhibitors

COREG CR CARVEDILOL PHOSPHATE 20MG TABLET Adrenergic Inhibitors

COREG CR CARVEDILOL PHOSPHATE 40MG TABLET Adrenergic Inhibitors

COREG CR CARVEDILOL PHOSPHATE 80MG TABLET Adrenergic Inhibitors

COREG CR CARVEDILOL PHOSPHATE 10mg CPMP 24Hr Adrenergic Inhibitors

COREG CR CARVEDILOL PHOSPHATE 20mg CPMP 24Hr Adrenergic Inhibitors

COREG CR CARVEDILOL PHOSPHATE 40mg CPMP 24Hr Adrenergic Inhibitors

COREG CR CARVEDILOL PHOSPHATE 80mg CPMP 24Hr Adrenergic Inhibitors

CORGARD NADOLOL 120MG TABLET Beta-Adrenergic Blocking Agents

CORGARD NADOLOL 160MG TABLET Beta-Adrenergic Blocking Agents

CORGARD NADOLOL 20MG TABLET Beta-Adrenergic Blocking Agents

CORGARD NADOLOL 40MG TABLET Beta-Adrenergic Blocking Agents

CORGARD NADOLOL 80MG TABLET Beta-Adrenergic Blocking Agents

CORICIDIN D PPA HCL/ACETAMINOPHN/CP 2-12.5-325 TABLET Cough and Cold Preparations

CORMAX CLOBETASOL PROPIONATE 0.05% SOLUTION Topical Antiinflammatory Preparations

Page 23: Brand Name PA Status Generic Name Strength …...Brand Name PA Status Generic Name Strength Form Therapeutic Class ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic

Brand Name PA Status Generic Name Strength Form Therapeutic Class

CORTAID HYDROCORTISONE ACETATE 1% OINT.(GM) Topical Antiinflammatory Preparations

CORTEF HYDROCORTISONE 10MG TABLET Glucocorticoids, Systemic

CORTEF HYDROCORTISONE 20MG TABLET Glucocorticoids, Systemic

CORTEF HYDROCORTISONE 5MG TABLET Glucocorticoids, Systemic

CORTEF HYDROCORTISONE CYPIONATE 10MG/5ML ORAL SUSP Glucocorticoids, Systemic

CORTENEMA HYDROCORTISONE 100MG/60ML ENEMA Recta/Lower Bowel Prep, Glucocort

CORTIFOAM HYDROCORTISONE ACETATE 10% FOAM Recta/Lower Bowel Prep, Glucocort

CORTISONE ACETATE CORTISONE ACETATE 10MG TABLET Glucocorticoids, Systemic

CORTISONE ACETATE CORTISONE ACETATE 25MG TABLET Glucocorticoids, Systemic

CORTISONE ACETATE CORTISONE ACETATE 5MG TABLET Glucocorticoids, Systemic

CORTISPORIN NEOMY SULF/BACITRAC ZN/PO 3.5-10K-1 OINT.(GM) Eye Antibiotic-Corticoid Combinations

CORTISPORIN NEOMY SULF/POLYMYX B SULF 0.50% CREAM(GM) Topical Antibiotics/Antiinflammatory,Steroidal

CORTISPORIN NEOMY SULF/POLYMYX B SULF 3.5-10K-1 SOLUTION Ear Preparations, Antibiotics

CORTISPORIN NEOMY SULF/POLYMYX B SULF 3.5-10K-1 DROPS SUSP Ear Preparations, Antibiotics

CORTISPORIN NEOMY SULF/POLYMYX B SULF DROPS SUSP Eye Antibiotic-Corticoid Combinations

CORTISPORIN NEOMYCIN/BACITRA/POLYMYXI 1% OINT.(GM) Topical Antibiotics/Antiinflammatory,Steroidal

CORTISPORIN-TC NEOMY SULF/COLIST SUL/HC/ 3.3-3-10/1 DROPS SUSP Ear Preparations, Antibiotics

CORTIZONE-10 HYDROCORTISONE 1% OINT.(GM) Topical Antiinflammatory Preparations

CORTIZONE-5 HYDROCORTISONE 0.50% OINT.(GM) Topical Antiinflammatory Preparations

COSOPT TIMOLOL MALEATE/DORZOLAM 0.5-2% DROPS Miotics/Other Intraocular Pressure Reducers

COTAZYM-S AMYLASE/LIPASE/PROTEASE 20-5-20 CAPSULE DR Pancreatic Enzymes

COUMADIN WARFARIN SODIUM 10MG TABLET Oral Anticoagulants, Coumarin Type

COUMADIN WARFARIN SODIUM 1MG TABLET Oral Anticoagulants, Coumarin Type

COUMADIN WARFARIN SODIUM 2.5MG TABLET Oral Anticoagulants, Coumarin Type

COUMADIN WARFARIN SODIUM 2MG TABLET Oral Anticoagulants, Coumarin Type

COUMADIN WARFARIN SODIUM 3MG TABLET Oral Anticoagulants, Coumarin Type

COUMADIN WARFARIN SODIUM 4MG TABLET Oral Anticoagulants, Coumarin Type

COUMADIN WARFARIN SODIUM 5MG TABLET Oral Anticoagulants, Coumarin Type

COUMADIN WARFARIN SODIUM 6MG TABLET Oral Anticoagulants, Coumarin Type

COUMADIN WARFARIN SODIUM 7.5MG TABLET Oral Anticoagulants, Coumarin Type

COZAAR LOSARTAN POTASSIUM 100MG TABLET Hypotensives, Angiotensin Receptor Antagonist

COZAAR LOSARTAN POTASSIUM 25MG TABLET Hypotensives, Angiotensin Receptor Antagonist

COZAAR LOSARTAN POTASSIUM 50MG TABLET Hypotensives, Angiotensin Receptor Antagonist

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

CREON AMYLASE/LIPASE/PROTE/PANC CAPSULE EC Pancreatic Enzymes

CREON 10 AMYLASE/LIPASE/PROTEASE 33.2-10-38 CAPSULE DR Pancreatic Enzymes

CREON 20 AMYLASE/LIPASE/PROTEASE 66.4-20-75 CAPSULE DR Pancreatic Enzymes

CREON 5 AMYLASE/LIPASE/PROTEASE 16.6-5-19 CAPSULE DR Pancreatic Enzymes

CRESTOR ROSUVASTATIN 5MG TABLET Lipotropics

CRESTOR ROSUVASTATIN 10MG TABLET Lipotropics

CRESTOR ROSUVASTATIN 20MG TABLET Lipotropics

CRESTOR ROSUVASTATIN 40MG TABLET Lipotropics

CRESTOR ROSUVASTATIN 5mg TABLET Lipotropics, cont

CRESTOR ROSUVASTATIN 10mg TABLET Lipotropics, cont

CRESTOR ROSUVASTATIN 20mg TABLET Lipotropics, cont

CRESTOR ROSUVASTATIN 40mg TABLET Lipotropics, cont

CRIXIVAN INDINAVIR SULFATE 100MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

CRIXIVAN INDINAVIR SULFATE 200MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

CRIXIVAN INDINAVIR SULFATE 333MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

CRIXIVAN INDINAVIR SULFATE 400MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

CUPRIMINE PENICILLAMINE 125MG CAPSULE Metallic Poison Antidotes

CUPRIMINE PENICILLAMINE 250MG CAPSULE Metallic Poison Antidotes

CUTIVATE FLUTICASONE PROPIONATE 0.01% OINT.(GM) Topical Antiinflammatory Preparations

CUTIVATE FLUTICASONE PROPIONATE 0.05% CREAM(GM) Topical Antiinflammatory Preparations

CUTIVATE FLUTICASONE PROPIONATE 0.05% LOTION Topical Antiinflammatory Preparations

CYCLESSA DESOGESTREL-ETHINYL ESTRA 7 DAYS X 3 TABLET Contraceptives, Oral

CYCLOCORT AMCINONIDE 0.10% CREAM(GM) Topical Antiinflammatory Preparations

CYCLOCORT AMCINONIDE 0.10% OINT.(GM) Topical Antiinflammatory Preparations

CYCLOCORT AMCINONIDE 0.10% LOTION Topical Antiinflammatory Preparations

CYCLOGYL CYCLOPENTOLATE HCL 0.50% DROPS Mydriatics

CYCLOGYL CYCLOPENTOLATE HCL 1% DROPS Mydriatics

CYCLOGYL CYCLOPENTOLATE HCL 2% DROPS Mydriatics

CYLERT PEMOLINE 18.75MG TABLET CNS Stimulants

CYLERT PEMOLINE 37.5MG TABLET CNS Stimulants

CYLERT PEMOLINE 37.5MG TAB CHEW CNS Stimulants

CYLERT PEMOLINE 75MG TABLET CNS Stimulants

CYMBALTA DULOXETINE HCL 20MG CAPSULE DR Serotonin-Norepinephrine Reuptake-Inhib (SNRIS)

Page 25: Brand Name PA Status Generic Name Strength …...Brand Name PA Status Generic Name Strength Form Therapeutic Class ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic

Brand Name PA Status Generic Name Strength Form Therapeutic Class

CYMBALTA DULOXETINE HCL 30MG CAPSULE DR Serotonin-Norepinephrine Reuptake-Inhib (SNRIS)

CYMBALTA DULOXETINE HCL 60MG CAPSULE DR Serotonin-Norepinephrine Reuptake-Inhib (SNRIS)

CYTADREN AMINOGLUTETHIMIDE 250MG TABLET Adrenal Steroid Inhibitors

CYTOMEL LIOTHYRONINE SODIUM 25MCG TABLET Thyroid Hormones

CYTOMEL LIOTHYRONINE SODIUM 50MCG TABLET Thyroid Hormones

CYTOMEL LIOTHYRONINE SODIUM 5MCG TABLET Thyroid Hormones

CYTOTEC MISOPROSTOL 100MCG TABLET Antiulcer Preparations

CYTOTEC MISOPROSTOL 200MCG TABLET Antiulcer Preparations

CYTOVENE GANCICLOVIR 250MG CAPSULE Antivirals, General

CYTOVENE GANCICLOVIR 500MG CAPSULE Antivirals, General

CYTOXAN CYCLOPHOSPHAMIDE 25MG TABLET Alkylating Agents

CYTOXAN CYCLOPHOSPHAMIDE 50MG TABLET Alkylating Agents

D.H.E.45 DIHYDROERGOTAMINE MESYLAT 1MG/ML AMPUL Antimigraine Preparations

DALMANE FLURAZEPAM HCL 15MG CAPSULE Non-Barbiturate, Sedative-Hypnotic

DALMANE FLURAZEPAM HCL 30MG CAPSULE Non-Barbiturate, Sedative-Hypnotic

DANOCRINE DANAZOL 100MG CAPSULE Pituitary Suppressive Agents

DANOCRINE DANAZOL 200MG CAPSULE Pituitary Suppressive Agents

DANOCRINE DANAZOL 50MG CAPSULE Pituitary Suppressive Agents

DANTRIUM DANTROLENE SODIUM 100MG CAPSULE Skeletal Muscle Relaxants

DANTRIUM DANTROLENE SODIUM 25MG CAPSULE Skeletal Muscle Relaxants

DANTRIUM DANTROLENE SODIUM 50MG CAPSULE Skeletal Muscle Relaxants

DAPSONE DAPSONE 100MG TABLET Antileprotics

DAPSONE DAPSONE 25MG TABLET Antileprotics

DARAPRIM PYRIMETHAMINE 25MG TABLET Antimalarial Drugs

DARVOCET A500 PROPOXYPHENE/ACETAMINOPHE 100-500MG TABLET Analgesics, Narcotics

DARVOCET-N 100 PROPOXYPHENE/ACETAMINOPHE 100-650MG TABLET Analgesics, Narcotics

DARVOCET-N 50 PROPOXYPHENE/ACETAMINOPHE 50-325MG TABLET Analgesics, Narcotics

DARVON PROPOXYPHENE HCL 32MG CAPSULE Analgesics, Narcotics

DARVON PROPOXYPHENE HCL 65MG CAPSULE Analgesics, Narcotics

DARVON COMPOUND 32 PROPOXYPHENE HCL/ASA/CAFF 32-389-32 CAPSULE Analgesics, Narcotics

DARVON COMPOUND-65 PROPOXYPHENE HCL/ASA/CAFF 65-389 CAPSULE Analgesics, Narcotics

DARVON-N PROPOXYPHENE NAPSYL 100MG TABLET Analgesics, Narcotics

DARVON-N PROPOXYPHENE NAPSYLATE 50MG/5ML ORAL SUSP Analgesics, Narcotics

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

DDAVP DESMOPRESSIN 0.1MG/ML SPRAY/PUMP Antidiuretic and Vasopressor Hormones

DDAVP DESMOPRESSIN ACETATE 0.1MG TABLET Antidiuretic and Vasopressor Hormones

DDAVP DESMOPRESSIN ACETATE 0.1MG/ML SOLUTION Antidiuretic and Vasopressor Hormones

DDAVP DESMOPRESSIN ACETATE 0.2MG TABLET Antidiuretic and Vasopressor Hormones

DECADRON DEXAMETHASONE SOD PHOSPHA 0.05% OINT.(GM) Eye Antiinflammatory Agents

DECADRON DEXAMETHASONE SOD PHOSPHA 0.10% DROPS Eye Antiinflammatory Agents

DECONAMINE PSEUDOEPHEDRINE HCL/CHLOR 15-1MG TAB CHEW Cough and Cold Preparations

DECONAMINE PSEUDOEPHEDRINE HCL/CHLOR 30-2MG/5ML SYRUP Cough and Cold Preparations

DEL-MYCIN ERYTHROMYCIN BASE 2% SOLUTION Topical Antibiotics

DEMEROL MEPERIDINE HCL 100MG TABLET Analgesics, Narcotics

DEMEROL MEPERIDINE HCL 50MG TABLET Analgesics, Narcotics

DEMEROL MEPERIDINE HCL 50MG/5ML SYRUP Analgesics, Narcotics

DEMULEN 1/35-28 ETHYNODIOL D-ETHINYL ESTR 1-0.035MG TABLET Contraceptives, Oral

DEMULEN 1/50-21 ETHYNODIOL D-ETHINYL ESTR 1-0.05MG TABLET Contraceptives, Oral

DEPAKENE VALPROATE SODIUM 250MG/5ML SYRUP Anticonvulsants

DEPAKENE VALPROIC ACID 250MG CAPSULE Anticonvulsants

DEPAKOTE DIVALPROEX SODIUM 125MG TABLET DR Anticonvulsants

DEPAKOTE DIVALPROEX SODIUM 250MG TABLET DR Anticonvulsants

DEPAKOTE DIVALPROEX SODIUM 500MG TABLET DR Anticonvulsants

DEPAKOTE ER DIVALPROEX SODIUM 250MG TAB.SR 24H Anticonvulsants

DEPAKOTE ER DIVALPROEX SODIUM 500MG TAB.SR 24H Anticonvulsants

DEPAKOTE SPRINKLE DIVALPROEX SODIUM 125MG CAP SPRINK Anticonvulsants

DEPEN PENICILLAMINE 250MG TABLET Metallic Poison Antidotes

DEPO-PROVERA MEDROXYPROGESTERONE ACET 150MG/ML VIAL Contraceptives, Injectable

DEPO-PROVERA MEDROXYPROGESTERONE ACET 150MG/ML DISP SYRIN Contraceptives, Injectable

DEPO-TESTOSTERONE TESTOSTERONE CYPIONATE 200MG/ML VIAL Androgenic Agents

DERMAREST DRICORT HYDROCORTISONE ACETATE 1% CREAM(GM) Topical Antiinflammatory Preparations

DERMOLATE ANTI-ITCH HYDROCORTISONE 0.50% CREAM(GM) Topical Antiinflammatory Preparations

DESENEX MICONAZOLE NITRATE 2% SPRAY Topical Antifungals

DESIPRAMINE HCL DESIPRAMINE HCL 100MG TABLET Antidepressants

DESIPRAMINE HCL DESIPRAMINE HCL 150MG TABLET Antidepressants

DESIPRAMINE HCL DESIPRAMINE HCL 75MG TABLET Antidepressants

DESOWEN DESONIDE 0.05% CREAM(GM) Topical Antiinflammatory Preparations

Page 27: Brand Name PA Status Generic Name Strength …...Brand Name PA Status Generic Name Strength Form Therapeutic Class ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic

Brand Name PA Status Generic Name Strength Form Therapeutic Class

DESOWEN DESONIDE 0.05% LOTION Topical Antiinflammatory Preparations

DESOXYN METHAMPHETAMINE HCL 5MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine

DESQUAM-X BENZOYL PEROXIDE 5% LIQUID Keratolytics

DESYREL TRAZODONE HCL 100MG TABLET Serotonin-2 Antagonist/Reuptake Inhibitors

DESYREL TRAZODONE HCL 150MG TABLET Antidepressants

DESYREL TRAZODONE HCL 150MG TABLET Serotonin-2 Antagonist/Reuptake Inhibitors

DESYREL TRAZODONE HCL 300MG TABLET Serotonin-2 Antagonist/Reuptake Inhibitors

DESYREL TRAZODONE HCL 50MG TABLET Antidepressants

DESYREL TRAZODONE HCL 50MG TABLET Serotonin-2 Antagonist/Reuptake Inhibitors

DETROL TOLTERODINE TARTRATE 1MG TABLET Urinary Tract Antispasmodic Agents

DETROL TOLTERODINE TARTRATE 2MG TABLET Urinary Tract Antispasmodic Agents

DETROL LA TOLTERODINE TARTRATE 2MG CAP.SR 24H Urinary Tract Antispasmodic Agents

DETROL LA TOLTERODINE TARTRATE 4MG CAP.SR 24H Urinary Tract Antispasmodic Agents

DEXCHLORPHENIRAMINE MALEA DEXCHLORPHENIRAMINE MALEA 6MG TABLET SA Antihistamines

DEXEDRINE D-AMPHETAMINE SULFATE 10MG CAPSULE SA Adrenergic Agents, Aromatic, Non-Catecholamine

DEXEDRINE D-AMPHETAMINE SULFATE 15MG CAPSULE SA Adrenergic Agents, Aromatic, Non-Catecholamine

DEXEDRINE D-AMPHETAMINE SULFATE 5MG CAPSULE SA Adrenergic Agents, Aromatic, Non-Catecholamine

DEXEDRINE D-AMPHETAMINE SULFATE 5MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine

DEXEDRINE D-AMPHETAMINE SULFATE 5MG/5ML ELIXIR Adrenergic Agents, Aromatic, Non-Catecholamine

DEXTROSTAT D-AMPHETAMINE SULFATE 10MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine

DHT DIHYDROTACHYSTEROL 0.125MG TABLET Vitamin D Preparations

DHT DIHYDROTACHYSTEROL 0.2MG TABLET Vitamin D Preparations

DHT DIHYDROTACHYSTEROL 0.4MG TABLET Vitamin D Preparations

DHT DIHYDROTACHYSTEROL 200MCG/ML SOLUTION Vitamin D Preparations

DIABETIC TUSSIN C GUAIFENESIN/CODEINE PHOS 200-10MG/5 LIQUID Expectorants

DIABINESE CHLORPROPAMIDE 100MG TABLET Oral Hypoglycemics, Sulfonylureas

DIABINESE CHLORPROPAMIDE 250MG TABLET Oral Hypoglycemics, Sulfonylureas

DIAMOX ACETAZOLAMIDE 125MG TABLET Carbonic Anhydrase Inhibitors

DIAMOX ACETAZOLAMIDE 250MG TABLET Carbonic Anhydrase Inhibitors

DIAMOX SEQUELS ACETAZOLAMIDE 500MG CAPSULE SA Carbonic Anhydrase Inhibitors

DIAZEPAM DIAZEPAM 5MG/5ML SOLUTION Anti-Anxiety Drugs

DIAZEPAM DIAZEPAM 5MG/ML VIAL Anti-Anxiety Drugs

DIAZEPAM DIAZEPAM 5MG/ML ORAL CONC. Anti-Anxiety Drugs

Page 28: Brand Name PA Status Generic Name Strength …...Brand Name PA Status Generic Name Strength Form Therapeutic Class ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic

Brand Name PA Status Generic Name Strength Form Therapeutic Class

DIBENZYLINE PHENOXYBENZAMINE HCL 10MG CAPSULE Alpha-Adrenergic Blocking Agents

DICLOXACILLIN SODIUM DICLOXACILLIN SODIUM 250MG CAPSULE Penicillins

DICUMAROL DICUMAROL 25MG TABLET Oral Anticoagulants, Coumarin Type

DICUMAROL DICUMAROL 50MG TABLET Oral Anticoagulants, Coumarin Type

DIDRONEL ETIDRONATE DISODIUM 200MG TABLET Bone Ossification Suppression Agents

DIDRONEL ETIDRONATE DISODIUM 400MG TABLET Bone Ossification Suppression Agents

DIETHYLSTILBESTROL DIETHYLSTILBESTROL 1MG TABLET Estrogenic Agents

DIETHYLSTILBESTROL DIETHYLSTILBESTROL 5MG TABLET Estrogenic Agents

DIETHYLSTILBESTROL DIETHYLSTILBESTROL 5MG TABLET EC Estrogenic Agents

DIFFERIN

PA

Required

>age 30 ADAPALENE0.10%

GEL Vitamin A Derivatives

DIFFERIN

PA

Required

>age 31 ADAPALENE0.30%

GEL Vitamin A Derivatives

DIFFERIN

PA

Required

>age 30 ADAPALENE0.10%

CREAM(GM) Vitamin A Derivatives

DIFFERIN

PA

Required

>age 30 ADAPALENE0.10%

SOLUTION Vitamin A Derivatives

DIFFERIN

PA

Required

>age 30 ADAPALENE0.10%

MED. SWAB Vitamin A Derivatives

DIFLUCAN FLUCONAZOLE 100MG TABLET Antifungal Agents, Cont

DIFLUCAN FLUCONAZOLE 10MG/ML SUSP RECON Antifungal Agents, Cont

DIFLUCAN FLUCONAZOLE 150MG TABLET Antifungal Agents, Cont

DIFLUCAN FLUCONAZOLE 200MG TABLET Antifungal Agents, Cont

DIFLUCAN FLUCONAZOLE 40MG/ML SUSP RECON Antifungal Agents, Cont

DIFLUCAN FLUCONAZOLE 50MG TABLET Antifungal Agents, Cont

DIHYDROERGOTAMINE MESYLAT DIHYDROERGOTAMINE MESYLAT 1MG/ML VIAL Antimigraine Preparations

DILACOR XR DILTIAZEM HCL 120MG CAPSULE CR Calcium Channel Blocking Agents

DILACOR XR DILTIAZEM HCL 180MG CAPSULE CR Calcium Channel Blocking Agents

DILACOR XR DILTIAZEM HCL 240MG CAPSULE CR Calcium Channel Blocking Agents

DILANTIN PHENYTOIN 50MG TAB CHEW Anticonvulsants

DILANTIN PHENYTOIN SODIUM EXTENDED 100MG CAPSULE Anticonvulsants

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

DILANTIN PHENYTOIN SODIUM EXTENDED 30MG CAPSULE Anticonvulsants

DILANTIN W/PB PHENYTOIN SODIUM/PHENOBAR 100-15MG CAPSULE Anticonvulsants

DILANTIN W/PB PHENYTOIN SODIUM/PHENOBAR 100-30MG CAPSULE Anticonvulsants

DILANTIN-125 PHENYTOIN 100MG/4ML ORAL SUSP Anticonvulsants

DILANTIN-30 PHENYTOIN 30MG/5ML ORAL SUSP Anticonvulsants

DILATRATE-SR ISOSORBIDE DINITRATE 40MG CAPSULE SA Vasodilator, Coronary

DILAUDID HYDROMORPHONE HCL 1MG TABLET Analgesics, Narcotics

DILAUDID HYDROMORPHONE HCL 2MG TABLET Analgesics, Narcotics

DILAUDID HYDROMORPHONE HCL 3MG SUPP.RECT Analgesics, Narcotics

DILAUDID HYDROMORPHONE HCL 3MG TABLET Analgesics, Narcotics

DILAUDID HYDROMORPHONE HCL 4MG TABLET Analgesics, Narcotics

DILAUDID HYDROMORPHONE HCL 8MG TABLET Analgesics, Narcotics

DILAUDID-5 HYDROMORPHONE HCL 1MG/ML LIQUID Analgesics, Narcotics

DIMETAPP P-EPHED HCL/BROMPHENIRAMI 15-1MG/5ML ELIXIR Cough and Cold Preparations

DIMETAPP PPA HCL/BROMPHENIRAMIN 25-4MG TABLET Cough and Cold Preparations

DIMETAPP PPA HCL/BROMPHENIRAMIN 25-4MG CAPSULE Cough and Cold Preparations

DIOVAN VALSARTAN 160MG TABLET Hypotensives, Angiotensin Receptor Antagonist

DIOVAN VALSARTAN 160MG CAPSULE Hypotensives, Angiotensin Receptor Antagonist

DIOVAN VALSARTAN 320MG TABLET Hypotensives, Angiotensin Receptor Antagonist

DIOVAN VALSARTAN 40MG TABLET Hypotensives, Angiotensin Receptor Antagonist

DIOVAN VALSARTAN 80MG TABLET Hypotensives, Angiotensin Receptor Antagonist

DIOVAN VALSARTAN 80MG CAPSULE Hypotensives, Angiotensin Receptor Antagonist

DIOVAN HCT VALSARTAN/HYDROCHLOROTHIA 160-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist

DIOVAN HCT VALSARTAN/HYDROCHLOROTHIA 160-25MG TABLET Hypotensives, Angiotensin Receptor Antagonist

DIOVAN HCT VALSARTAN/HYDROCHLOROTHIA 80-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist

DIOVAN HCT VALSARTAN/HYDROCHLOROTHIA 320-25MG TABLET Hypotensives, Angiotensin Receptor Antagonist

DIOVAN HCT VALSARTAN/HYDROCHLOROTHIA 320-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist

DIPENTUM OLSALAZINE SODIUM 250MG CAPSULE Drug TX-Chronic Inflam. Colon DX

DIPHENHYDRAMINE HCL DIPHENHYDRAMINE HCL 50MG CAPSULE Antihistamines

DIPROLENE BETAMET DIPROP/PROP GLY 0.05% LOTION Topical Antiinflammatory Preparations

DIPROLENE BETAMET DIPROP/PROP GLY 0.05% OINT.(GM) Topical Antiinflammatory Preparations

DIPROLENE BETAMETHASONE DIPROPIONAT 0.05% GEL Topical Antiinflammatory Preparations

DIPROLENE AF BETAMET DIPROP/PROP GLY 0.05% CREAM(GM) Topical Antiinflammatory Preparations

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

DIPROSONE BETAMETHASONE DIPROPIONAT 0.05% CREAM(GM) Topical Antiinflammatory Preparations

DIPROSONE BETAMETHASONE DIPROPIONAT 0.10% AEROSOL Topical Antiinflammatory Preparations

DISALCID SALSALATE 500MG CAPSULE Analgesics, Salicylates

DISALCID SALSALATE 500MG TABLET Analgesics, Salicylates

DISALCID SALSALATE 750MG TABLET Analgesics, Salicylates

DISPERMOX AMOXICILLIN TRIHYDRATE 600MG TAB DISPER Penicillins

DISULFIRAM DISULFIRAM 500MG TABLET Antialcoholic Preparations

DITROPAN OXYBUTYNIN CHLORIDE 5MG TABLET Urinary Tract Antispasmodic Agents

DITROPAN OXYBUTYNIN CHLORIDE 5MG/5ML SYRUP Urinary Tract Antispasmodic Agents

DITROPAN XL OXYBUTYNIN CHLORIDE 10MG TAB SR OSM Urinary Tract Antispasmodic Agents

DITROPAN XL OXYBUTYNIN CHLORIDE 15MG TAB SR OSM Urinary Tract Antispasmodic Agents

DITROPAN XL OXYBUTYNIN CHLORIDE 5MG TAB SR OSM Urinary Tract Antispasmodic Agents

DOLOBID DIFLUNISAL 250MG TABLET Analgesics, Salicylates

DOLOBID DIFLUNISAL 500MG TABLET Analgesics, Salicylates

DOLOPHINE HCL METHADONE HCL 10MG/ML VIAL Analgesics, Narcotics

DOMEBORO ACETIC ACID/ALUMINUM ACET 2% DROPS Ear Preparations, Misc. Anti-infectives

DONNATAL BELLADONNA ALKALOIDS/PHEN 16.2MG CAPSULE Belladonna Alkaloids

DONNATAL BELLADONNA ALKALOIDS/PHEN 16.2MG TABLET Belladonna Alkaloids

DONNATAL BELLADONNA ALKALOIDS/PHEN 16.2MG/5ML ELIXIR Belladonna Alkaloids

DONNATAL BELLADONNA ALKALOIDS/PHEN 48.6MG TABLET SA Belladonna Alkaloids

DONNATAL NO.2 BELLADONNA ALKALOIDS/PHEN 32.4MG TABLET Belladonna Alkaloids

DONNAZYME AMYLASE/LIPASE/PROTE/PANC 500MG TABLET Pancreatic Enzymes

DOPAR LEVODOPA 100MG CAPSULE Antiparkinsonism Drugs, Other

DOPAR LEVODOPA 250MG CAPSULE Antiparkinsonism Drugs, Other

DOPAR LEVODOPA 500MG CAPSULE Antiparkinsonism Drugs, Other

DOSTINEX CABERGOLINE 0.5MG TABLET Pituitary Suppressive Agents

DOVONEX CALCIPOTRIENE 0.01% OINT.(GM) Antipsoriatic Agents

DOVONEX CALCIPOTRIENE 0.01% CREAM Antipsoriatic Agents

DOVONEX CALCIPOTRIENE 0.01% SOLUTION Antipsoriatic Agents

DOXEPIN HCL DOXEPIN HCL 150MG CAPSULE Antidepressants

DRISDOL ERGOCALCIFEROL 50000 UNIT CAPSULE Vitamin D Preparations

DRISDOL ERGOCALCIFEROL 8000 U/ML DROPS Vitamin D Preparations

DRITHOCREME ANTHRALIN 0.10% CREAM(GM) Antipsoriatic Agents

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

DRITHOCREME ANTHRALIN 0.25% CREAM(GM) Antipsoriatic Agents

DRITHOCREME ANTHRALIN 0.50% CREAM(GM) Antipsoriatic Agents

DRITHO-SCALP ANTHRALIN 0.25% CREAM/APPL Antipsoriatic Agents

DRITHO-SCALP ANTHRALIN 0.50% CREAM/APPL Antipsoriatic Agents

DRIZE PPA HCL/CHLOR-MAL 75-12MG CAPSULE SA Cough and Cold Preparations

DRYSOL DAB-O-MATIC ALUMINUM CHLORIDE 20% SOLUTION Antiperspirants

DUETACT PIOGLITAZONE/GLIMEPIRIDE 30-2MG TABLET Hypoglycemics

DUETACT PIOGLITAZONE/GLIMEPIRIDE 30-4MG TABLET Hypoglycemics

DUOFILM SALICYLIC ACID 17% LIQUID Keratolytics

DUOPLANT SALICYLIC ACID 27% GEL Keratolytics

DURAGESIC FENTANYL 100MCG/HR PATCH TD72 Analgesics, Narcotics

DURAGESIC FENTANYL 25MCG/HR PATCH TD72 Analgesics, Narcotics

DURAGESIC FENTANYL 50MCG/HR PATCH TD72 Analgesics, Narcotics

DURAGESIC FENTANYL 75MCG/HR PATCH TD72 Analgesics, Narcotics

DURAGESIC FENTANYL 12MCG/HR PATCH TD73 Analgesics, Narcotics

DURA-GEST GUAIFEN/PHENYLEPHRINE/PPA CAPSULE Expectorants

DURICEF CEFADROXIL HYDRATE 125MG/5ML SUSP RECON Cephalosporins

DURICEF CEFADROXIL HYDRATE 1G TABLET Cephalosporins

DURICEF CEFADROXIL HYDRATE 250MG/5ML SUSP RECON Cephalosporins

DURICEF CEFADROXIL HYDRATE 500MG/5ML SUSP RECON Cephalosporins

DURICEF CEFADROXIL HYDRATE 500MG/5ML SUSP RECON Cephalosporins

DURICEF CEFADROXIL MONOHYDRATE 500MG CAPSULE Cephalosporins

DYAZIDE TRIAMTERENE/HYDROCHLOROTH 25-50MG CAPSULE Potassium Sparing Diuretics in Combination

DYAZIDE TRIAMTERENE/HYDROCHLOROTH 37.5-25MG CAPSULE Potassium Sparing Diuretics in Combination

DYMELOR ACETOHEXAMIDE 500MG TABLET Oral Hypoglycemics, Sulfonylureas

DYNACIN MINOCYCLINE HCL 100MG TABLET Tetracyclines

DYNACIN MINOCYCLINE HCL 50MG CAPSULE Tetracyclines

DYNACIN MINOCYCLINE HCL 75MG TABLET Tetracyclines

DYNACIN MINOCYCLINE HCL 75MG CAPSULE Tetracyclines

DYNACIRC ISRADIPINE 2.5MG CAPSULE Calcium Channel Blocking Agents

DYNACIRC ISRADIPINE 5MG CAPSULE Calcium Channel Blocking Agents

DYNACIRC CR ISRADIPINE 10MG TAB SA OSM Calcium Channel Blocking Agents

DYNACIRC CR ISRADIPINE 5MG TAB SA OSM Calcium Channel Blocking Agents

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

DYNAPEN DICLOXACILLIN SODIUM 125MG CAPSULE Penicillins

DYNAPEN DICLOXACILLIN SODIUM 62.5MG/5ML SUSP RECON Penicillins

DYRENIUM TRIAMTERENE 100MG CAPSULE Potassium Sparing Diuretics

DYRENIUM TRIAMTERENE 50MG CAPSULE Potassium Sparing Diuretics

EASPRIN ASPIRIN 975MG TABLET DR Analgesics, Salicylates

EC-NAPROSYN NAPROXEN 375MG TABLET DR Anti-inflammatory Agents

EC-NAPROSYN NAPROXEN 500MG TABLET DR Anti-inflammatory Agents

ECONOPRED PREDNISOLONE ACETATE 0.13% DROPS SUSP Eye Antiinflammatory Agents

ECOTRIN ASPIRIN 325MG TABLET EC Analgesics, Salicylates

ECOTRIN ASPIRIN 500MG TABLET DR Analgesics, Salicylates

ECOTRIN ASPIRIN 81MG TABLET DR Analgesics, Salicylates

ED A-CEPH CEPHALEXIN MONOHYDRATE 250MG/5ML SUSP RECON Cephalosporins

EFFEXOR VENLAFAXINE HCL 100MG TABLET Serotonin-Norepinephrine Reuptake-Inhib (SNRIS)

EFFEXOR VENLAFAXINE HCL 25MG TABLET Antidepressants, Cont.

EFFEXOR VENLAFAXINE HCL 25MG TABLET Serotonin-Norepinephrine Reuptake-Inhib (SNRIS)

EFFEXOR VENLAFAXINE HCL 37.5MG TABLET Antidepressants, Cont.

EFFEXOR VENLAFAXINE HCL 37.5MG TABLET Serotonin-Norepinephrine Reuptake-Inhib (SNRIS)

EFFEXOR VENLAFAXINE HCL 50MG TABLET Antidepressants, Cont.

EFFEXOR VENLAFAXINE HCL 50MG TABLET Serotonin-Norepinephrine Reuptake-Inhib (SNRIS)

EFFEXOR VENLAFAXINE HCL 75MG TABLET Antidepressants, Cont.

EFFEXOR VENLAFAXINE HCL 75MG TABLET Serotonin-Norepinephrine Reuptake-Inhib (SNRIS)

EFFEXOR XR VENLAFAXINE HCL 150MG CAP.SR 24H Serotonin-Norepinephrine Reuptake-Inhib (SNRIS)

EFFEXOR XR VENLAFAXINE HCL 37.5MG CAP.SR 24H Serotonin-Norepinephrine Reuptake-Inhib (SNRIS)

EFFEXOR XR VENLAFAXINE HCL 75MG CAP.SR 24H Serotonin-Norepinephrine Reuptake-Inhib (SNRIS)

EFUDEX FLUOROURACIL 2% SOLUTION Topical Antineoplastics

EFUDEX FLUOROURACIL 5% CREAM(GM) Topical Antineoplastics

EFUDEX FLUOROURACIL 5% SOLUTION Topical Antineoplastics

ELAVIL AMITRIPTYLINE HCL 100MG TABLET Antidepressants

ELAVIL AMITRIPTYLINE HCL 100MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

ELAVIL AMITRIPTYLINE HCL 10MG TABLET Antidepressants

ELAVIL AMITRIPTYLINE HCL 10MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

ELAVIL AMITRIPTYLINE HCL 150MG TABLET Antidepressants

ELAVIL AMITRIPTYLINE HCL 150MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

ELAVIL AMITRIPTYLINE HCL 25MG TABLET Antidepressants

ELAVIL AMITRIPTYLINE HCL 25MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

ELAVIL AMITRIPTYLINE HCL 50MG TABLET Antidepressants

ELAVIL AMITRIPTYLINE HCL 50MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

ELAVIL AMITRIPTYLINE HCL 75MG TABLET Antidepressants

ELAVIL AMITRIPTYLINE HCL 75MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

ELDOPAQUE SUNSCREEN/HYDROQUINONE 2% CREAM(GM) Antimelamin Agents

ELIDEL PIMECROLIMUS 1% CREAM(GM) Topical Immunosuppressive Agents

ELIGARD LEUPROLIDE ACETATE 22.5MG DISP SYRIN Antineoplastic LHRH Agonist, Pituitary Suppressant

ELIGARD LEUPROLIDE ACETATE 30MG DISP SYRIN Antineoplastic LHRH Agonist, Pituitary Suppressant

ELIGARD LEUPROLIDE ACETATE 7.5MG DISP SYRIN Antineoplastic LHRH Agonist, Pituitary Suppressant

ELIMITE PERMETHRIN 5% CREAM(GM) Topical Antiparasitics

ELIXOPHYLLIN THEOPHYLLINE ANHYDROUS 100MG CAPSULE Xanthines

ELIXOPHYLLIN THEOPHYLLINE ANHYDROUS 200MG CAPSULE Xanthines

ELIXOPHYLLIN THEOPHYLLINE ANHYDROUS 80MG/15ML ELIXIR Xanthines

ELMIRON PENTOSAN POLYSULFATE SODI 100MG CAPSULE Urinary Tract Analgesic Agents

ELOCON MOMETASONE FUROATE 0.10% CREAM(GM) Topical Antiinflammatory Preparations

ELOCON MOMETASONE FUROATE 0.10% LOTION Topical Antiinflammatory Preparations

ELOCON MOMETASONE FUROATE 0.10% OINT.(GM) Topical Antiinflammatory Preparations

EMCYT ESTRAMUSTINE PHOSPHATE SO 140MG CAPSULE Steroid Antineoplastics

EMPIRIN W/CODEINE CODEINE PHOS/ASPIRIN 30-325MG TABLET Analgesics, Narcotics

EMPIRIN W/CODEINE CODEINE PHOS/ASPIRIN 60-325MG TABLET Analgesics, Narcotics

EMTRIVA EMTRICITABINE 200MG CAPSULE Antivirals, HIV-Specific, Nucleoside Analog, RTI

EMTRIVA EMTRICITABINE 10MG/ML SOLUTION Antivirals, HIV-Specific, Nucleoside Analog, RTI

E-MYCIN E ERYTHROMYCIN ETHYLSUCCINA 400MG/5ML ORAL SUSP Macrolides

ENABLEX DARIFENACIN HYDROBROMIDE 7.5MG SR TABLET Urinary Tract Antispasmodic, M(3) Sele

ENABLEX DARIFENACIN HYDROBROMIDE 15MG SR TABLET Urinary Tract Antispasmodic, M(3) Sele

ENBREL

PA

Required ETANERCEPT 25MG KIT Anti-Inflammatory Tumor Necrosis Factor Inhibitors

ENBREL

PA

Required ETANERCEPT 50MG/ML DISP SYRIN Anti-Inflammatory Tumor Necrosis Factor Inhibitors

ENBREL

PA

Required ETANERCEPT 25MG/0.5ML DISP SYRIN Anti-Inflammatory Tumor Necrosis Factor Inhibitors

ENDAL GUAIFENESIN/PHENYLEPHRINE 300-20MG TABLET SA Expectorants

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

ENOVID MESTRANOL/NORETHYNODREL 0.075-5MG TABLET Estrogenic Agents

ENOVID MESTRANOL/NORETHYNODREL 0.15-9.85 TABLET Estrogenic Agents

ENTEX GUAIFEN/PHENYLEPHRINE/PPA LIQUID Expectorants

ENTEX LA GUAIFENESIN/PHENYLEPHRINE 400MG-30MG CAP.SR 12H Expectorants

ENTEX LA GUAIFENESIN/PHENYLEPHRINE 600-30MG TAB.SR 12H Expectorants

ENTEX PSE GUAIFENESIN/P-EPHED HCL 400-120MG CAP.SR 12H Expectorants

ENTOCORT EC BUDESONIDE 3MG CAP.SR 24H Glucocorticoids, Topical

ENTUSS-D P-EPHED HCL/HYDROCODONE B 30-5MG/5ML LIQUID Cough and Cold Preparations

EPHEDRINE HCL EPHEDRINE HCL POWDER Bulk Chemicals

EPHEDRINE SULFATE EPHEDRINE SULFATE 50MG/ML AMPUL Sympathomimetic Agents

EPHEDRINE SULFATE EPHEDRINE SULFATE POWDER Bulk Chemicals

EPIFOAM HC ACETATE/PRAMOXINE HCL 1-1% FOAM Topical Local Anesthetics

EPIFRIN EPINEPHRINE 0.25% DROPS Mydriatics

EPIFRIN EPINEPHRINE 0.50% DROPS Mydriatics

EPIFRIN EPINEPHRINE 1% DROPS Mydriatics

EPIFRIN EPINEPHRINE 2% DROPS Mydriatics

EPINAL EPINEPHRYL BORATE 0.50% DROPS Miotics/Other Intraocular Pressure Reducers

EPINAL EPINEPHRYL BORATE 1% DROPS Miotics/Other Intraocular Pressure Reducers

EPINEPHRINE EPINEPHRINE 1MG/ML AMPUL Adrenergic Agents, Catecholamines

EPIPEN EPINEPHRINE 0.3MG DISP SYRIN Anaphylaxis therapy agent

EPIPEN JR. EPINEPHRINE 0.15MG DISP SYRIN Anaphylaxis therapy agent

EPIVIR LAMIVUDINE 10MG/ML SOLUTION Antivirals, HIV-Specific, Nucleoside Analog, RTI

EPIVIR LAMIVUDINE 150MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI

EPIVIR LAMIVUDINE 300MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI

EPIVIR HBV LAMIVUDINE 100MG TABLET Hepatitis B Treatment Agents

EPIVIR HBV LAMIVUDINE 25MG/5ML SOLUTION Hepatitis B Treatment Agents

EPOGEN EPOETIN ALFA 20000 U/ML VIAL Hematinics, Other

EPOGEN EPOETIN ALFA 3000 U/ML VIAL Hematinics, Other

EPOGEN EPOETIN ALFA 40000 U/ML VIAL Hematinics, Other

EPPY/N EPINEPHRYL BORATE 2% DROPS Miotics/Other Intraocular Pressure Reducers

EPZICOM ABACAVIR SULFATE/LAMIVUDI 600-300MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI Comb

ERGAMISOL LEVAMISOLE HCL 50MG TABLET Immunomodulators

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

ERGOCAFF-PB ERGOT TT/CAFF/BELL ALK/P- SUPP.RECT Antimigraine Preparations

ERGOMAR ERGOTAMINE TARTRATE 2MG TAB SUBL Antimigraine Preparations

ERGOTRATE MALEATE ERGONOVINE MALEATE 0.2MG TABLET Oxytocics

ERYC ERYTHROMYCIN BASE 125MG CAPSULE EC Macrolides

ERYC ERYTHROMYCIN BASE 250MG CAPSULE DR Macrolides

ERYGEL ERYTHROMYCIN BASE/ETHANOL 2% GEL Topical Antibiotics

ERYPED ERYTHROMYCIN ETHYLSUCCINA 200MG TAB CHEW Macrolides

ERYPED ERYTHROMYCIN ETHYLSUCCINA 40MG/ML DROPS Macrolides

ERYPED 200 ERYTHROMYCIN ETHYLSUCCINA 200MG/5ML SUSP RECON Macrolides

ERYPED 400 ERYTHROMYCIN ETHYLSUCCINA 400MG/5ML SUSP RECON Macrolides

ERY-TAB ERYTHROMYCIN BASE 250MG TABLET DR Macrolides

ERY-TAB ERYTHROMYCIN BASE 333MG TABLET DR Macrolides

ERY-TAB ERYTHROMYCIN BASE 500MG TABLET DR Macrolides

ERYTHROMYCIN BASE ERYTHROMYCIN BASE 250MG TABLET Macrolides

ERYTHROMYCIN BASE ERYTHROMYCIN BASE 500MG TABLET Macrolides

ERYTHROMYCIN ESTOLATE ERYTHROMYCIN ESTOLATE 250MG/5ML ORAL SUSP Macrolides

ERYTHROMYCIN ETHYLSUCCINA ERYTHROMYCIN ETHYLSUCCINA 400MG TABLET Macrolides

ERYTHROMYCIN STEARATE ERYTHROMYCIN STEARATE 500MG TABLET Macrolides

ESCLIM ESTRADIOL .0375MG/24 PATCH TDBW Estrogenic Agents

ESCLIM ESTRADIOL .075MG/24H PATCH TDBW Estrogenic Agents

ESCLIM ESTRADIOL 0.05MG/24H PATCH TDBW Estrogenic Agents

ESGIC ACETAMINOPHEN/CAFFEINE/BU 325-40-50 CAPSULE Analgesics, Antipyretics, Non-Salicylate

ESGIC ACETAMINOPHEN/CAFFEINE/BU 325-40-50 TABLET Analgesics, Antipyretics, Non-Salicylate

ESGIC PLUS ACETAMINOPHEN/CAFFEINE/BU 500-40-50 CAPSULE Analgesics, Antipyretics, Non-Salicylate

ESGIC-PLUS ACETAMINOPHEN/CAFFEINE/BU 500-40-50 TABLET Analgesics, Antipyretics, Non-Salicylate

ESKALITH LITHIUM CARBONATE 300MG CAPSULE Anti-Mania Drugs

ESKALITH CR LITHIUM CARBONATE 450MG TABLET SA Anti-Mania Drugs

ESTINYL ETHINYL ESTRADIOL 0.02MG TABLET Estrogenic Agents

ESTINYL ETHINYL ESTRADIOL 0.05MG TABLET Estrogenic Agents

ESTINYL ETHINYL ESTRADIOL 0.5MG TABLET Estrogenic Agents

ESTRACE ESTRADIOL 0.01% CREAM/APPL Vaginal Estrogen Preparations

ESTRACE ESTRADIOL 0.5MG TABLET Estrogenic Agents

ESTRACE ESTRADIOL 1MG TABLET Estrogenic Agents

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

ESTRACE ESTRADIOL 2MG TABLET Estrogenic Agents

ESTRATEST ME-TESTOSTERONE/ESTROGEN, 2.5-1.25MG TABLET Estrogen/Androgen Combinations

ESTRATEST H.S. ME-TESTOSTERONE/ESTROGEN, 1.25-0.625 TABLET Estrogen/Androgen Combinations

ESTRING ESTRADIOL 2MG VAG RING Vaginal Estrogen Preparations

ESTROSTEP FE NORETH A-ET ESTRA/FE FUMA 5-7-9-7 TABLET Contraceptives, Oral

ETHMOZINE MORICIZINE HCL 200MG TABLET Antiarrhythmics

ETHMOZINE MORICIZINE HCL 250MG TABLET Antiarrhythmics

ETHMOZINE MORICIZINE HCL 300MG TABLET Antiarrhythmics

ETHRIL 250 ERYTHROMYCIN STEARATE 250MG TABLET Macrolides

EULEXIN FLUTAMIDE 125MG CAPSULE Antiandrogenic Agents

EURAX CROTAMITON 10% CREAM(GM) Topical Antiparasitics

EURAX CROTAMITON 10% LOTION Topical Antiparasitics

EVISTA RALOXIFENE HCL 60MG TABLET Bone Ossification Suppression Agents

EVOXAC CEVIMELINE HCL 30MG CAPSULE Parasympathetic Agents

EXELDERM SULCONAZOLE NITRATE 1% SOLUTION Topical Antifungals

EXELDERM SULCONAZOLE NITRATE 1% CREAM(GM) Topical Antifungals

EXELON RIVASTIGMINE TARTRATE 1.5MG CAPSULE Cholinesterase Inhibitors

EXELON RIVASTIGMINE TARTRATE 2MG/ML SOLUTION Cholinesterase Inhibitors

EXELON RIVASTIGMINE TARTRATE 3MG CAPSULE Cholinesterase Inhibitors

EXELON RIVASTIGMINE TARTRATE 4.5MG CAPSULE Cholinesterase Inhibitors

EXELON RIVASTIGMINE TARTRATE 6MG CAPSULE Cholinesterase Inhibitors

EXUBERA

PA

Required INSULIN REG HUMAN REC/RLSE 1-3MG(90) COMBO PKG Insulins

EXUBERA

PA

Required INSULIN REG HUMAN REC/RLSE 1-3MG(180) COMBO PKG Insulins

EXUBERA INSULIN REGULAR HUMAN REC/RLSE 1mg INH Insulins

EXUBERA INSULIN REGULAR HUMAN REC/RLSE 3mg INH Insulins

FA-8 FOLIC ACID 0.8MG TABLET Folic Acid Preparations

FAMVIR FAMCICLOVIR 125MG TABLET Antivirals, General

FAMVIR FAMCICLOVIR 250MG TABLET Antivirals, General

FAMVIR FAMCICLOVIR 500MG TABLET Antivirals, General

FANSIDAR PYRIMETHAMINE/SULFADOXINE 25-500MG TABLET Antimalarial Drugs

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

FARESTON TOREMIFENE CITRATE 60MG TABLET Nolvadex, Faslodex, only

FELDENE PIROXICAM 10MG CAPSULE Anti-inflammatory Agents

FELDENE PIROXICAM 20MG CAPSULE Anti-inflammatory Agents

FEMARA LETROZOLE 2.5MG TABLET Antineoplastics, Misc, cont

FEMHRT ETHINYL ESTRADIOL/NORETH 0.005-1MG TABLET Estrogenic Agents

FEMRING ESTRADIOL ACETATE 0.05MG/24H VAG RING Vaginal Estrogen Preparations

FEMRING ESTRADIOL ACETATE 0.1MG/24HR VAG RING Vaginal Estrogen Preparations

FEMSTAT 3 BUTOCONAZOLE NITRATE 2% CRM/PF APP Vaginal Antifungals

FIORINAL ASPIRIN/CAFFEINE/BUTALBIT 325-40-50 CAPSULE Analgesics, Salicylates

FIORINAL ASPIRIN/CAFFEINE/BUTALBIT 325-40-50 TABLET Analgesics, Salicylates

FIORINAL W/CODEINE #1 CODEINE PHOS/ASA/CAFFEIN/ 7.5MG CAPSULE Analgesics, Narcotics

FIORINAL W/CODEINE #2 CODEINE PHOS/ASA/CAFFEIN/ 15MG CAPSULE Analgesics, Narcotics

FIORINAL W/CODEINE #3 CODEINE/ASA/CAFFEINE/BUTA 30MG CAPSULE Analgesics, Narcotics

FLAGYL METRONIDAZOLE 250MG TABLET Trichomonacides

FLAGYL METRONIDAZOLE 500MG TABLET Trichomonacides

FLAGYL 375 METRONIDAZOLE 375MG CAPSULE Trichomonacides

FLAGYL ER METRONIDAZOLE 750MG TABLET SA Trichomonacides

FLAREX FLUOROMETHOLONE ACETATE 0.10% DROPS SUSP Eye Antiinflammatory Agents

FLEXERIL CYCLOBENZAPRINE HCL 10MG TABLET Skeletal Muscle Relaxants

FLOMAX TAMSULOSIN HCL 0.4MG CAP.SR 24H BPH/Micturition Agents

FLONASE FLUTICASONE PROPIONATE 50MCG SPRAY Nose Preparations, Antiinflammatory

FLORINEF ACETATE FLUDROCORTISONE ACETATE 0.1MG TABLET Mineralcorticoids

FLOVENT FLUTICASONE PROPIONATE 110MCG AER W/ADAP Glucocorticoids, Topical

FLOVENT FLUTICASONE PROPIONATE 220MCG AER W/ADAP Glucocorticoids, Topical

FLOVENT FLUTICASONE PROPIONATE 44MCG AER W/ADAP Glucocorticoids, Topical

FLOVENT ROTADISK FLUTICASONE PROPIONATE 100MCG DISK W/DEV Glucocorticoids, Topical

FLOVENT ROTADISK FLUTICASONE PROPIONATE 250MCG DISK W/DEV Glucocorticoids, Topical

FLOVENT ROTADISK FLUTICASONE PROPIONATE 50MCG DISK W/DEV Glucocorticoids, Topical

FLOXIN OFLOXACIN 0.30% DROPS Ear Preparations, Antibiotics

FLOXIN OFLOXACIN 200MG TABLET Quinolones

FLOXIN OFLOXACIN 300MG TABLET Quinolones

FLOXIN OFLOXACIN 400MG TABLET Quinolones

FLUMADINE RIMANTADINE HCL 100MG TABLET Antivirals, General

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

FLUMADINE RIMANTADINE HCL 50MG/5ML SYRUP Antivirals, General

FLUPHENAZINE HCL FLUPHENAZINE HCL 10MG TABLET Anti-Psychotics, Phenothiazines

FLURA-DROPS SODIUM FLUORIDE 0.25MG/DRP DROPS Fluoride Preparations

FML FLUOROMETHOLONE 0.10% DROPS SUSP Eye Antiinflammatory Agents

FML FORTE FLUOROMETHOLONE 0.25% DROPS SUSP Eye Antiinflammatory Agents

FML S.O.P. FLUOROMETHOLONE 0.10% OINT.(GM) Eye Antiinflammatory Agents

FML-S NA SULFACETM/FLUOROMETHOL 10-0.1% DROPS SUSP Eye Preparations, Misc

FOLIC ACID FOLIC ACID 0.4MG TABLET Folic Acid Preparations

FOLIC ACID FOLIC ACID 1MG TABLET Folic Acid Preparations

FORADIL FORMOTEROL FUMARATE 12MCG CAP W/DEV Beta-Adrenergic Agents

FORTEO

PA

Required TERIPARATIDE 750MCG/3ML DISP SYRIN Forteo, only

FORTOVASE SAQUINAVIR 200MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

FOSAMAX ALENDRONATE SODIUM 10MG TABLET Bone Ossification Suppression Agents

FOSAMAX ALENDRONATE SODIUM 35MG TABLET Bone Ossification Suppression Agents

FOSAMAX ALENDRONATE SODIUM 40MG TABLET Bone Ossification Suppression Agents

FOSAMAX ALENDRONATE SODIUM 5MG TABLET Bone Ossification Suppression Agents

FOSAMAX ALENDRONATE SODIUM 70MG TABLET Bone Ossification Suppression Agents

FOSAMAX ALENDRONATE SODIUM 70MG/75ML SOLUTION Bone Ossification Suppression Agents

FOSAMAX PLUS D ALENDRONATE SODIUM/VIT D3 70MG/2800MG TABLET Bone Ossification Suppression Agents

FOSAMAX PLUS D ALENDRONATE SODIUM/VIT D4 70MG/5600MG TABLET Bone Ossification Suppression Agents

FOSTEX BENZOYL PEROXIDE 10% BAR Keratolytics

FRAGMIN DALTEPARIN SODIUM,PORCINE 10000 U/ML VIAL Heparin Preparations

FRAGMIN DALTEPARIN SODIUM,PORCINE 10000 U/ML DISP SYRIN Heparin Preparations

FRAGMIN DALTEPARIN SODIUM,PORCINE 2500 U/0.2 DISP SYRIN Heparin Preparations

FRAGMIN DALTEPARIN SODIUM,PORCINE 25000 U/ML VIAL Heparin Preparations

FRAGMIN DALTEPARIN SODIUM,PORCINE 5000 U/0.2 DISP SYRIN Heparin Preparations

FRAGMIN DALTEPARIN SODIUM,PORCINE 7500 U/0.3 DISP SYRIN Heparin Preparations

FRAGMIN DALTEPARIN SODIUM,PORCINE 12500/0.5 DISP SYRIN Heparin Preparations

FRAGMIN DALTEPARIN SODIUM,PORCINE 15000/0.6 DISP SYRIN Heparin Preparations

FRAGMIN DALTEPARIN SODIUM,PORCINE 18000/0.72 DISP SYRIN Heparin Preparations

FULVICIN P/G GRISEOFULVIN ULTRAMICROSI 165MG TABLET Antifungal Antibiotics

FULVICIN P/G GRISEOFULVIN ULTRAMICROSI 330MG TABLET Antifungal Antibiotics

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

FULVICIN U/F GRISEOFULVIN,MICROSIZE 250MG TABLET Antifungal Antibiotics

FURADANTIN NITROFURANTOIN 100MG TABLET Nitrofuran Derivatives

FURADANTIN NITROFURANTOIN 25MG/5ML ORAL SUSP Nitrofuran Derivatives

FURADANTIN NITROFURANTOIN 50MG TABLET Nitrofuran Derivatives

FUROSEMIDE FUROSEMIDE 40MG/5ML SOLUTION Loop Diuretics

FUROXONE FURAZOLIDONE 100MG TABLET Nitrofuran Derivatives

FUROXONE FURAZOLIDONE 50MG/15ML ORAL SUSP Nitrofuran Derivatives

GABARONE GABAPENTIN 100MG TABLET Anticonvulsants

GABARONE GABAPENTIN 300MG TABLET Anticonvulsants

GABARONE GABAPENTIN 400MG TABLET Anticonvulsants

GABITRIL TIAGABINE HCL 12MG TABLET Anticonvulsants, cont

GABITRIL TIAGABINE HCL 16MG TABLET Anticonvulsants, cont

GABITRIL TIAGABINE HCL 20MG TABLET Anticonvulsants, cont

GABITRIL TIAGABINE HCL 2MG TABLET Anticonvulsants, cont

GABITRIL TIAGABINE HCL 4MG TABLET Anticonvulsants, cont

GANTRISIN SULFISOXAZOLE 500MG TABLET Absorbable Sulfonamides

GANTRISIN SULFISOXAZOLE ACETYL 500MG/5ML ORAL SUSP Absorbable Sulfonamides

GANTRISIN SULFISOXAZOLE ACETYL 500MG/5ML SYRUP Absorbable Sulfonamides

GANTRISIN SULFISOXAZOLE DIOLAMINE 4% OINT.(GM) Eye Sulfonamides

GANTRISIN SULFISOXAZOLE DIOLAMINE 4% DROPS Eye Sulfonamides

GARAMYCIN GENTAMICIN SULFATE 0.30% OINT.(GM) Eye Antibiotics

GELPIRIN ASPIRIN/ACETAMINOPHEN/CAF 240-125-32 TABLET Analgesics, Salicylates

GENOPTIC GENTAMICIN SULFATE 0.30% DROPS Eye Antibiotics

GENOTROPIN

PA

Required SOMATROPIN 0.2MG CARTRIDGE Growth Hormones

GENOTROPIN

PA

Required SOMATROPIN 0.4MG CARTRIDGE Growth Hormones

GENOTROPIN

PA

Required SOMATROPIN 0.6MG CARTRIDGE Growth Hormones

GENOTROPIN

PA

Required SOMATROPIN 0.8MG CARTRIDGE Growth Hormones

GENOTROPIN

PA

Required SOMATROPIN 1.2MG CARTRIDGE Growth Hormones

GENOTROPIN

PA

Required SOMATROPIN 1.4MG CARTRIDGE Growth Hormones

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

GENOTROPIN

PA

Required SOMATROPIN 1.6MG CARTRIDGE Growth Hormones

GENOTROPIN

PA

Required SOMATROPIN 1.8MG CARTRIDGE Growth Hormones

GENOTROPIN

PA

Required SOMATROPIN 15 UNIT CARTRIDGE Growth Hormones

GENOTROPIN

PA

Required SOMATROPIN 1MG CARTRIDGE Growth Hormones

GENOTROPIN

PA

Required SOMATROPIN 2MG CARTRIDGE Growth Hormones

GENOTROPIN

PA

Required SOMATROPIN 36 UNIT CARTRIDGE Growth Hormones

GENOTROPIN

PA

Required SOMATROPIN 4 UNIT CARTRIDGE Growth Hormones

GENTAMICIN SULFATE GENTAMICIN SULFATE 0.10% CREAM(GM) Topical Antibiotics

GENTAMICIN SULFATE GENTAMICIN SULFATE 0.10% OINT.(GM) Topical Antibiotics

GENTAPP PPA HCL/BROMPHENIRAMIN ELIXIR Cough and Cold Preparations

GEODON ZIPRASIDONE MESYLATE 20MG CAPSULE Antipsychotics,Atypical, Dopamine & Serotonin Antag

GEODON ZIPRASIDONE MESYLATE 40MG CAPSULE Antipsychotics,Atypical, Dopamine & Serotonin Antag

GEODON ZIPRASIDONE MESYLATE 60MG CAPSULE Antipsychotics,Atypical, Dopamine & Serotonin Antag

GEODON ZIPRASIDONE MESYLATE 80MG CAPSULE Antipsychotics,Atypical, Dopamine & Serotonin Antag

GLEEVEC IMATINIB MESYLATE 100MG CAPSULE Antineoplastic Systemic Enzyme Inhibitors

GLEEVEC IMATINIB MESYLATE 100MG TABLET Antineoplastic Systemic Enzyme Inhibitors

GLEEVEC IMATINIB MESYLATE 400MG TABLET Antineoplastic Systemic Enzyme Inhibitors

GLUCAGON GLUCAGON 10MG VIAL Hyperglycemics

GLUCAGON GLUCAGON 1MG VIAL Hyperglycemics

GLUCAGON EMERGENCY KIT GLUCAGON 1MG KIT Hyperglycemics

GLUCAGON EMERGENCY KIT GLUCAGON,HUMAN RECOMBINAN 1MG KIT Hyperglycemics

GLUCOLET ENDCAPS DIABETIC SUPPLIES,MISCELL EACH Diabetic Supplies

GLUCOPHAGE METFORMIN HCL 1000MG TABLET Oral Hypoglycemics, Non-Sulfonylureas

GLUCOPHAGE METFORMIN HCL 500MG TABLET Oral Hypoglycemics, Non-Sulfonylureas

GLUCOPHAGE METFORMIN HCL 850MG TABLET Oral Hypoglycemics, Non-Sulfonylureas

GLUCOPHAGE XR METFORMIN HCL 500MG TAB.SR 24H Oral Hypoglycemics, Non-Sulfonylureas

GLUCOPHAGE XR METFORMIN HCL 750MG TAB.SR 24H Oral Hypoglycemics, Non-Sulfonylureas

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

GLUCOTROL GLIPIZIDE 10MG TABLET Oral Hypoglycemics, Sulfonylureas

GLUCOTROL GLIPIZIDE 5MG TABLET Oral Hypoglycemics, Sulfonylureas

GLUCOTROL XL GLIPIZIDE 10MG TAB SA OSM Oral Hypoglycemics, Sulfonylureas

GLUCOTROL XL GLIPIZIDE 2.5MG TAB SA OSM Oral Hypoglycemics, Sulfonylureas

GLUCOTROL XL GLIPIZIDE 5MG TAB SA OSM Oral Hypoglycemics, Sulfonylureas

GLUCOVANCE GLYBURIDE/METFORMIN HCL 1.25-250MG TABLET Oral Hypoglycemics, Sulfonylureas

GLUCOVANCE GLYBURIDE/METFORMIN HCL 2.5-500MG TABLET Oral Hypoglycemics, Sulfonylureas

GLUCOVANCE GLYBURIDE/METFORMIN HCL 5-500MG TABLET Oral Hypoglycemics, Sulfonylureas

GLYNASE GLYBURIDE,MICRONIZED 1.5MG TABLET Oral Hypoglycemics, Sulfonylureas

GLYNASE GLYBURIDE,MICRONIZED 3MG TABLET Oral Hypoglycemics, Sulfonylureas

GLYNASE GLYBURIDE,MICRONIZED 6MG TABLET Oral Hypoglycemics, Sulfonylureas

GOLD SODIUM THIOMALATE GOLD SODIUM THIOMALATE 50MG/ML AMPUL Gold Salts

GOLYTELY SOD SULF/SOD/NAHCO3/KCL/P SOLN RECON Laxatives and Cathartics

GOLYTELY SOD SULF/SOD/NAHCO3/KCL/P PACKET Laxatives and Cathartics

GORDOFILM SALICYLIC ACID/LA/COLLODI 16.7-16.7% SOLUTION Keratolytics

GRIFULVIN V GRISEOFULVIN,MICROSIZE 500MG TABLET Antifungal Antibiotics

GRISACTIN GRISEOFULVIN,MICROSIZE 125MG CAPSULE Antifungal Antibiotics

GRISACTIN GRISEOFULVIN,MICROSIZE 250MG CAPSULE Antifungal Antibiotics

GRIS-PEG GRISEOFULVIN ULTRAMICROSI 125MG TABLET Antifungal Antibiotics

GRIS-PEG GRISEOFULVIN ULTRAMICROSI 250MG TABLET Antifungal Antibiotics

GUAIFED GUAIFENESIN/P-EPHED HCL 200-30/5ML SYRUP Expectorants

GUAIFED GUAIFENESIN/P-EPHED HCL 250-120MG CAPSULE SA Expectorants

GUAIFED GUAIFENESIN/PHENYLEPHRINE 400-15MG CAP.SR 12H Expectorants

GUAIFED-PD GUAIFENESIN/PHENYLEPHRINE 200-7.5MG CAP.SR 12H Expectorants

GUAIFENESIN/PHENYLPROP GUAIFENESIN/PPA HCL 400-75MG TABLET SA Expectorants

GYNAZOLE-1 BUTOCONAZOLE NITRATE 2% CRM SR(GM) Vaginal Antifungals

GYNE-LOTRIMIN CLOTRIMAZOLE 100MG TABLET Vaginal Antifungals

GYNODIOL ESTRADIOL 1.5MG TABLET Estrogenic Agents

HALCION TRIAZOLAM 0.125MG TABLET Non-Barbiturate, Sedative-Hypnotic

HALCION TRIAZOLAM 0.25MG TABLET Non-Barbiturate, Sedative-Hypnotic

HALDOL HALOPERIDOL 0.5MG TABLET Antipsychotics,Dopamine Antagonists, Butyrophenones

HALDOL HALOPERIDOL 10MG TABLET Antipsychotics,Dopamine Antagonists, Butyrophenones

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

HALDOL HALOPERIDOL 1MG TABLET Antipsychotics,Dopamine Antagonists, Butyrophenones

HALDOL HALOPERIDOL 20MG TABLET Antipsychotics,Dopamine Antagonists, Butyrophenones

HALDOL HALOPERIDOL 2MG TABLET Antipsychotics,Dopamine Antagonists, Butyrophenones

HALDOL HALOPERIDOL LACTATE 2MG/ML ORAL CONC. Antipsychotics,Dopamine Antagonists, Butyrophenones

HALOG HALCINONIDE 0.10% CREAM(GM) Topical Antiinflammatory Preparations

HALOG HALCINONIDE 0.10% OINT.(GM) Topical Antiinflammatory Preparations

HALOG HALCINONIDE 0.10% SOLUTION Topical Antiinflammatory Preparations

HALOG-E HALCINONIDE/EMOLLIENT 0.10% CREAM(GM) Topical Antiinflammatory Preparations

HALOPERIDOL HALOPERIDOL 5MG TABLET Antipsychotics,Dopamine Antagonists, Butyrophenones

HALOPERIDOL HALOPERIDOL LACTATE 1MG/ML SOLUTION Anti-Psychotic, Non-Phenothiazines

HALOTESTIN FLUOXYMESTERONE 10MG TABLET Androgenic Agents

HALOTESTIN FLUOXYMESTERONE 2MG TABLET Androgenic Agents

HALOTESTIN FLUOXYMESTERONE 5MG TABLET Androgenic Agents

HELIDAC TETRACYC HCL/BIS SS/METRO COMBO. PKG Anti-Ulcer Preps-E.pylori agents

HEPARIN LOCK FLUSH HEPARIN SODIUM,PORCINE 100 U/ML VIAL Heparin Preparations

HEPARIN SODIUM HEPARIN SODIUM,PORCINE 1000 U/ML VIAL Heparin Preparations

HEPARIN SODIUM HEPARIN SODIUM,PORCINE 10000 U/ML DISP SYRIN Heparin Preparations

HEPARIN SODIUM HEPARIN SODIUM,PORCINE 10000 U/ML VIAL Heparin Preparations

HEPARIN SODIUM HEPARIN SODIUM,PORCINE 1MU/ML AMPUL Heparin Preparations

HEPARIN SODIUM HEPARIN SODIUM,PORCINE 1MU/ML DISP SYRIN Heparin Preparations

HEPARIN SODIUM HEPARIN SODIUM,PORCINE 20000 U/ML VIAL Heparin Preparations

HEPARIN SODIUM HEPARIN SODIUM,PORCINE 20MU/ML DISP SYRIN Heparin Preparations

HEPARIN SODIUM HEPARIN SODIUM,PORCINE 2500 U/ML DISP SYRIN Heparin Preparations

HEPARIN SODIUM HEPARIN SODIUM,PORCINE 40000 U/ML VIAL Heparin Preparations

HEPARIN SODIUM HEPARIN SODIUM,PORCINE 5000 U/ML DISP SYRIN Heparin Preparations

HEPARIN SODIUM HEPARIN SODIUM,PORCINE 5000 U/ML VIAL Heparin Preparations

HEPARIN SODIUM HEPARIN SODIUM,PORCINE 7500 U/ML DISP SYRIN Heparin Preparations

HEP-LOCK HEPARIN SODIUM,PORCINE 10 UNIT/ML VIAL Heparin Preparations

HEPSERA

PA

Required ADEFOVIR DIPIVOXIL 10MG TABLET Hepatitis B Treatment Agents

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

HERPLEX IDOXURIDINE 0.10% DROPS Eye Antivirals

HEXALEN ALTRETAMINE 50MG CAPSULE Alkylating Agents

HISTAFED-LA PSEUDOEPHEDRINE HCL/CHLOR 120-8MG CAPSULE SA Cough and Cold Preparations

HIVID ZALCITABINE 0.375MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI

HIVID ZALCITABINE 0.750MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI

HMS MEDRYSONE 1% DROPS SUSP Eye Antiinflammatory Agents

HUMALOG INSULIN LISPRO,HUMAN REC. 100 U/ML CARTRIDGE Insulins

HUMALOG INSULIN LISPRO,HUMAN REC. 100 U/ML VIAL Insulins

HUMALOG INSULIN LISPRO,HUMAN REC. 300 U/3ML DISP SYRIN Insulins

HUMALOG MIX 50/50 INSULIN NPL/INSULIN LISPR 50-50 U/ML PEN INJ Insulins

HUMALOG MIX 75/25 INSULIN NPL/INSULIN LISPR 75-25 U/ML VIAL Insulins

HUMALOG MIX 75/25 INSULIN NPL/INSULIN LISPR 75-25 U/ML DISP SYRIN Insulins

HUMATIN PAROMOMYCIN SULFATE 250MG CAPSULE Amebacides

HUMATROPE

PA

Required SOMATROPIN 18 UNIT CARTRIDGE Growth Hormones

HUMATROPE

PA

Required SOMATROPIN 36 UNIT CARTRIDGE Growth Hormones

HUMATROPE

PA

Required SOMATROPIN 5MG VIAL Growth Hormones

HUMATROPE

PA

Required SOMATROPIN 72 UNIT CARTRIDGE Growth Hormones

HUMIBID L.A. GUAIFENESIN 600MG TABLET SA Expectorants

HUMIRA

PA

Required ADALIMUMAB 40MG/0.8ML KIT Anti-Inflammatory Tumor Necrosis Factor Inhibitors

HUMIRA

PA

Required ADALIMUMAB 40MG/0.8MLPEN

INJECTOR Anti-Inflammatory Tumor Necrosis Factor Inhibitors

Humira PA Req Adalimumab 20mg/0.4ml Kit Anti-Inflammatory Tumor Necrosis Factor Inhibitors

HUMORSOL DEMECARIUM BROMIDE 0.13% DROPS Miotics/Other Intraocular Pressure Reducers

HUMORSOL DEMECARIUM BROMIDE 0.25% DROPS Miotics/Other Intraocular Pressure Reducers

HUMULIN 50/50 INSULIN NPH S-S/REG INSUL 50-50 U/ML VIAL Insulins

HUMULIN 70/30 INSULIN/INSUL NPH HUM S-S 100U/ML VIAL Insulins

HUMULIN L INSULIN ZINC HUMAN REC 100 U/ML VIAL Insulins

HUMULIN N INSULIN NPH HUMAN RECOM 300 U/3ML DISP SYRIN Insulins

HUMULIN R INSULIN REGULAR HUMAN REC 100 U/ML VIAL Insulins

HUMULIN R INSULIN REGULAR HUMAN REC 500 U/ML VIAL Insulins

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

HUMULIN U INSULIN ZINC EXTEND HUMAN 100 U/ML VIAL Insulins

HYCET HYDROCODONE BIT/ACETAMINO 2.5-108/5 SOLUTION Analgesics, Narcotics

HYCOMINE PPA HCL/HYDROCODONE BIT 25-5 SYRUP Cough and Cold Preparations

HYDREA HYDROXYUREA 500MG CAPSULE Alkylating Agents

HYDRISALIC SALICYLIC ACID/ALC/PROP G 6% GEL Keratolytics

HYDROCHLORIAZIDE HYDROCHLOROTHIAZIED 12.5mg TABLET Thiazide Diuretics and Related Agents

HYDROCHLOROTHIAZIDE HYDROCHLOROTHIAZIDE 25MG TABLET Thiazide Diuretics and Related Agents

HYDROCHLOROTHIAZIDE HYDROCHLOROTHIAZIDE 50MG TABLET Thiazide Diuretics and Related Agents

HYDROCHLOROTHIAZIDE HYDROCHLOROTHIAZIDE 50MG/5ML SOLUTION Thiazide Diuretics and Related Agents

HYDROCODONE PA PPA HCL/HYDROCODONE BIT 12.5-2.5 SYRUP Cough and Cold Preparations

HYDROCORTISONE HYDROCORTISONE 100MG/60ML ENEMA Recta/Lower Bowel Prep, Glucocort

HYDROCORTISONE ACETATE HYDROCORTISONE ACETATE 1% PACKET Topical Antiinflammatory Preparations

HYDROCORTISONEACETATE HYDROCORTISONE ACETATE 2.50% CREAM/APPL Rectal Preparations

HYDRODIURIL HYDROCHLOROTHIAZIDE 100MG TABLET Thiazide Diuretics and Related Agents

HYDROXYZINE HCL HYDROXYZINE HCL 10MG TABLET Antihistamines, Cont 8

HYDROXYZINE HCL HYDROXYZINE HCL 25MG TABLET Antihistamines, Cont 9

HYDROXYZINE HCL HYDROXYZINE HCL 50MG TABLET Antihistamines, Cont 10

HYGROTON CHLORTHALIDONE 100MG TABLET Thiazide Diuretics and Related Agents

HYGROTON CHLORTHALIDONE 50MG TABLET Thiazide Diuretics and Related Agents

HYTAKEROL DIHYDROTACHYSTEROL 0.125MG CAPSULE Vitamin D Preparations

HYTONE HYDROCORTISONE 2.50% CREAM(GM) Topical Antiinflammatory Preparations

HYTONE HYDROCORTISONE 2.50% OINT.(GM) Topical Antiinflammatory Preparations

HYTRIN TERAZOSIN HCL 10MG TABLET Hypotensives, Vasodilators

HYTRIN TERAZOSIN HCL 10MG CAPSULE Alpha-Adrenergic Blocking Agents

HYTRIN TERAZOSIN HCL 1MG TABLET Hypotensives, Vasodilators

HYTRIN TERAZOSIN HCL 1MG CAPSULE Alpha-Adrenergic Blocking Agents

HYTRIN TERAZOSIN HCL 2MG TABLET Hypotensives, Vasodilators

HYTRIN TERAZOSIN HCL 2MG CAPSULE Alpha-Adrenergic Blocking Agents

HYTRIN TERAZOSIN HCL 5MG TABLET Hypotensives, Vasodilators

HYTRIN TERAZOSIN HCL 5MG CAPSULE Alpha-Adrenergic Blocking Agents

HYZAAR LOSARTAN/HYDROCHLOROTHIAZ 100-25MG TABLET Hypotensives, Angiotensin Receptor Antagonist

HYZAAR LOSARTAN/HYDROCHLOROTHIAZ 50-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist

HYZAAR LOSARTAN/HYDROCHLOROTHIAZ 100-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

ILETIN I LENTE INSULIN ZINC,BEEF-PORK 100 U/ML VIAL Insulins

ILETIN I LENTE INSULIN ZINC,BEEF-PORK 40U/ML VIAL Insulins

ILETIN I NPH INSULIN ISOPHANE NPH,BF-P 100 U/ML VIAL Insulins

ILETIN I NPH INSULIN ISOPHANE NPH,BF-P 40U/ML VIAL Insulins

ILETIN I PROTAMINE,ZINC INSULIN PROTAMINE ZN,BF-P 100U/ML VIAL Insulins

ILETIN I REGULAR INSULIN REGULAR,BEEF-PORK 100 U/ML VIAL Insulins

ILETIN I REGULAR INSULIN REGULAR,BEEF-PORK 40U/ML VIAL Insulins

ILETIN I SEMILENTE INSULIN ZINC PROMPT,BF-PK 100U/ML VIAL Insulins

ILETIN I ULTRALENTE INSULIN ZINC EXTENDED,BF- 100U/ML VIAL Insulins

ILETIN I ULTRALENTE INSULIN ZINC EXTENDED,BF- 40U/ML VIAL Insulins

ILETIN II LENTE(BEEF) INSULIN ZINC,BEEF PURIFIE 100U/ML VIAL Insulins

ILETIN II LENTE(PORK) INSULIN ZINC,PORK PURIFIE 100 U/ML VIAL Insulins

ILETIN II NPH(BEEF) INSULIN ISOPHANE,BEEF PUR 100U/ML VIAL Insulins

ILETIN II NPH(PORK) INSULIN ISOPHANE,PORK PUR 100 U/ML VIAL Insulins

ILETIN II REGULAR(BEEF) INSULIN,BEEF 100U/ML VIAL Insulins

ILETIN II REGULAR(PORK) INSULIN,PORK PURIFIED 100 U/ML VIAL Insulins

ILETIN II REGULAR(PORK)CO INSULIN,PORK REG. CONCENT 500U/ML VIAL Insulins

ILOSONE ERYTHROMYCIN ESTOLATE 125MG/5ML ORAL SUSP Macrolides

IMDUR ISOSORBIDE MONONITRATE 120MG TAB.SR 24H Vasodilator, Coronary

IMDUR ISOSORBIDE MONONITRATE 30MG TAB.SR 24H Vasodilator, Coronary

IMDUR ISOSORBIDE MONONITRATE 60MG TAB.SR 24H Vasodilator, Coronary

IMITREX SUMATRIPTAN 20MG SPRAY Antimigraine Preparations

IMITREX SUMATRIPTAN 5MG SPRAY Antimigraine Preparations

IMITREX SUMATRIPTAN SUCCINATE 100MG TABLET Imitrex Oral Drugs

IMITREX SUMATRIPTAN SUCCINATE 25MG TABLET Imitrex Oral Drugs

IMITREX SUMATRIPTAN SUCCINATE 50MG TABLET Imitrex Oral Drugs

IMITREX SUMATRIPTAN SUCCINATE 6MG/0.5ML KIT,REFILL Antimigraine Preparations

IMITREX SUMATRIPTAN SUCCINATE 6MG/0.5ML VIAL Antimigraine Preparations

IMITREX SUMATRIPTAN SUCCINATE 4MG/0.5ML PEN INJ Antimigraine Preparations

IMITREX SUMATRIPTAN SUCCINATE 4MG/0.5ML CARTRIDGE Antimigraine Preparations

IMURAN AZATHIOPRINE 50MG TABLET Immunosuppresives

INATAL GT PRENATAL VIT/IRON,CARB/DO 90-1MG TABLET Prenatal Vitamin Preparations

INDERAL PROPRANOLOL HCL 10MG TABLET Beta-Adrenergic Blocking Agents

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

INDERAL PROPRANOLOL HCL 20MG TABLET Beta-Adrenergic Blocking Agents

INDERAL PROPRANOLOL HCL 40MG TABLET Beta-Adrenergic Blocking Agents

INDERAL PROPRANOLOL HCL 60MG TABLET Beta-Adrenergic Blocking Agents

INDERAL PROPRANOLOL HCL 90MG TABLET Beta-Adrenergic Blocking Agents

INDERAL LA PROPRANOLOL HCL 120MG CAP.SA 24H Beta-Adrenergic Blocking Agents

INDERAL LA PROPRANOLOL HCL 160MG CAP.SA 24H Beta-Adrenergic Blocking Agents

INDERAL LA PROPRANOLOL HCL 60MG CAP.SA 24H Beta-Adrenergic Blocking Agents

INDERAL LA PROPRANOLOL HCL 80MG CAP.SA 24H Beta-Adrenergic Blocking Agents

INDOCIN INDOMETHACIN 25MG CAPSULE Anti-inflammatory Agents

INDOCIN INDOMETHACIN 25MG/5ML ORAL SUSP Anti-inflammatory Agents

INDOCIN INDOMETHACIN 50MG SUPP.RECT Anti-inflammatory Agents

INDOCIN INDOMETHACIN 50MG CAPSULE Anti-inflammatory Agents

INDOCIN SR INDOMETHACIN 75MG CAPSULE SA Anti-inflammatory Agents

INFERGEN

PA

Required INTERFERON ALFACON-1 15MCG/.5ML DISP SYRIN Hepatitis C Treatment Agents

INFERGEN

PA

Required INTERFERON ALFACON-1 15MCG/.5ML VIAL Hepatitis C Treatment Agents

INFERGEN

PA

Required INTERFERON ALFACON-1 9MCG/0.3ML DISP SYRIN Hepatitis C Treatment Agents

INFERGEN

PA

Required INTERFERON ALFACON-1 9MCG/0.3ML VIAL Hepatitis C Treatment Agents

INFLAMASE FORTE PREDNISOLONE SOD PHOSPHAT 1% DROPS Eye Antiinflammatory Agents

INFLAMASE MILD PREDNISOLONE SOD PHOSPHAT 0.13% DROPS Eye Antiinflammatory Agents

INNOHEP TINZAPARIN SODIUM,PORCINE 20000 U/ML VIAL Heparin Preparations

INNOPRAN XL PROPRANOLOL HCL 120MG CAP.SR 24H Beta-Adrenergic Blocking Agents

INNOPRAN XL PROPRANOLOL HCL 80MG CAP.SR 24H Beta-Adrenergic Blocking Agents

INSPRA

PA

Required EPLERENONE 25MG TABLET Potassium Sparing Diuretics

INSPRA

PA

Required EPLERENONE 50MG TABLET Potassium Sparing Diuretics

INSULATARD HUMAN N INSULIN NPH HUMAN SEMI-SY 100U/ML VIAL Insulins

INSULIN LENTE BEEF INSULIN ZINC BEEF 100U/ML VIAL Insulins

INSULIN NPH BEEF INSULIN ISOPHANE,BEEF 100U/ML VIAL Insulins

INSULIN REGULAR PORK INSULIN,PORK 100U/ML VIAL Insulins

INSULIN SEMILENTE BEEF INSULIN ZINC PROMPT,BEEF 100U/ML VIAL Insulins

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

INSULIN U PURIFIED BEEF INSULIN ZINC EXT,BEEF (P) 100U/ML VIAL Insulins

INSULIN ULTRALENTE BEEF INSULIN ZINC EXTENDED,BEE 100U/ML VIAL Insulins

INTAL CROMOLYN SODIUM 20MG CAPSULE Mast Cell Stablizers

INTAL CROMOLYN SODIUM 20MG/2ML AMPUL-NEB. Mast Cell Stablizers

INTAL CROMOLYN SODIUM 800MCG AEROSOL Mast Cell Stablizers

Intelence Etravirine 100mg Tablet Antivirals, HIV-Specific, Non-Nucleoside, RTI

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 10MMU VIAL Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 10MMU/.2ML DISP SYRIN Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 10MMU/ML VIAL Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 10MMU/ML KIT Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 18MMU VIAL Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 25MMU VIAL Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 3MMU VIAL Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 3MMU/0.2ML DISP SYRIN Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 3MMU/0.5ML VIAL Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 3MMU/0.5ML KIT Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 50MMU VIAL Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 5MMU VIAL Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 5MMU/0.2ML DISP SYRIN Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 5MMU/0.5ML VIAL Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 5MMU/0.5ML KIT Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 5MMU/ML VIAL Immunomodulators

INTRON A

PA

Required INTERFERON ALFA-2B,RECOMB 6MMU/ML VIAL Immunomodulators

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

INVIRASE SAQUINAVIR MESYLATE 200MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

INVIRASE SAQUINAVIR MESYLATE 500MG TABLET Antivirals, HIV-Specific, Protease Inhibitors

IPRATROPIUM BROMIDE IPRATROPIUM BROMIDE 0.2MG/ML SOLUTION General Bronchodilator Agents

ISENTRESS RALTEGRAVIR POTASSIUM 400MG TABLET Antivirals, HIV-1 Integrase Strand Transfer Inhibitor

ISMELIN GUANETHIDINE SULFATE 10MG TABLET Hypotensives, Sympatholitic

ISMELIN GUANETHIDINE SULFATE 25MG TABLET Hypotensives, Sympatholitic

ISOCHRON ISOSORBIDE DINITRATE 40MG TABLET SA Vasodilator, Coronary

ISOETHARINE HCL ISOETHARINE HCL 10MG/ML SOLUTION Adrenergic Agents, Catecholamines

ISONIAZID ISONIAZID 300MG TABLET Antimycobacterium Agents

ISONIAZID ISONIAZID 50MG/5ML SYRUP Antimycobacterium Agents

ISOPTO ATROPINE ATROPINE SULFATE 0.50% DROPS Mydriatics

ISOPTO ATROPINE ATROPINE SULFATE 1% DROPS Mydriatics

ISOPTO ATROPINE ATROPINE SULFATE 3% DROPS Mydriatics

ISOPTO CARBACHOL CARBACHOL 0.75% DROPS Miotics/Other Intraocular Pressure Reducers

ISOPTO CARBACHOL CARBACHOL 1.50% DROPS Miotics/Other Intraocular Pressure Reducers

ISOPTO CARBACHOL CARBACHOL 2.25% DROPS Miotics/Other Intraocular Pressure Reducers

ISOPTO CARBACHOL CARBACHOL 3% DROPS Miotics/Other Intraocular Pressure Reducers

ISOPTO CARPINE PILOCARPINE HCL 0.25% DROPS Miotics/Other Intraocular Pressure Reducers

ISOPTO CARPINE PILOCARPINE HCL 3% DROPS Miotics/Other Intraocular Pressure Reducers

ISOPTO CARPINE PILOCARPINE HCL 4% DROPS Miotics/Other Intraocular Pressure Reducers

ISOPTO CARPINE PILOCARPINE HCL 8% DROPS Miotics/Other Intraocular Pressure Reducers

ISOPTO CARPINE PILOCARPINE HCL 10% DROPS Miotics/Other Intraocular Pressure Reducers

ISOPTO CETAMIDE SULFACETAMIDE SODIUM 15% DROPS Eye Sulfonamides

ISOPTO HOMATROPINE HOMATROPINE HBR 2% DROPS Mydriatics

ISOPTO HOMATROPINE HOMATROPINE HBR 5% DROPS Mydriatics

ISORDIL ISOSORBIDE DINITRATE 10MG TABLET Vasodilator, Coronary

ISORDIL ISOSORBIDE DINITRATE 10MG TAB SUBL Vasodilator, Coronary

ISORDIL ISOSORBIDE DINITRATE 2.5MG TAB SUBL Vasodilator, Coronary

ISORDIL ISOSORBIDE DINITRATE 20MG TABLET Vasodilator, Coronary

ISORDIL ISOSORBIDE DINITRATE 30MG TABLET Vasodilator, Coronary

ISORDIL ISOSORBIDE DINITRATE 40MG TABLET Vasodilator, Coronary

ISORDIL ISOSORBIDE DINITRATE 5MG TABLET Vasodilator, Coronary

ISORDIL ISOSORBIDE DINITRATE 5MG TAB SUBL Vasodilator, Coronary

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

ISTALOL TIMOLOL MALEATE 0.50% DROPS Miotics/Other Intraocular Pressure Reducers

JANUMET SITAGLIPTIN PHOS/METFORMIN HCL 50-1000mg TABLET

Antihyperglycemic, (DPP-4) Enzyme Inhibitor &

Biguanide Type (non-sulfonylureas)

JANUMET SITAGLIPTIN PHOS/METFORMIN HCL 50-500mg TABLET

Antihyperglycemic, (DPP-4) Enzyme Inhibitor &

Biguanide Type (non-sulfonylureas)

JANUVIA SITAGLIPTIN PHOSPHATE 25mg TABLET Antihyperglycemic

JANUVIA SITAGLIPTIN PHOSPHATE 50mg TABLET Antihyperglycemic

JANUVIA SITAGLIPTIN PHOSPHATE 100mg TABLET Antihyperglycemic

KALETRA RITONAVIR/LOPINAVIR 100-400/5 SOLUTION Antivirals, HIV-Specific, Protease Inhibitor Comb

KALETRA RITONAVIR/LOPINAVIR 33.3-133.3 CAPSULE Antivirals, HIV-Specific, Protease Inhibitor Comb

KALETRA RITONAVIR/LOVINAVIR 25-100MG TABLET Antivirals, HIV-Specific, Protease Inhibitor Comb

KAOCHLOR-EFF POTASSIUM CHLORIDE/POT BI 20MEQ TABLET EFF Potassium Replacement

KAOPECTATE BISMUTH SUBSALICYLATE 87MG/5ML ORAL SUSP Antidiarrheals

KAY CIEL POTASSIUM CHLORIDE 20MEQ/15ML LIQUID Potassium Replacement

KAYEXALATE SODIUM POLYSTYRENE SULFON POWDER Electrolyte Depleters

K-DUR POTASSIUM CHLORIDE 10MEQ TAB PRT SR Potassium Replacement

K-DUR POTASSIUM CHLORIDE 20MEQ TAB PRT SR Potassium Replacement

KEFLET CEPHALEXIN MH 250MG TABLET Cephalosporins

KEFLEX CEPHALEXIN MH 100MG/ML SUSP RECON Cephalosporins

KEFLEX CEPHALEXIN MH 1G TABLET Cephalosporins

KEFLEX CEPHALEXIN MONOHYDRATE 125MG/5ML SUSP RECON Cephalosporins

KEFLEX CEPHALEXIN MONOHYDRATE 250MG CAPSULE Cephalosporins

KEFLEX CEPHALEXIN MONOHYDRATE 500MG CAPSULE Cephalosporins

KEFLEX CEPHALEXIN MONOHYDRATE 750MG CAPSULE Cephalosporins

KEMADRIN PROCYCLIDINE HCL 5MG TABLET Antiparkinsonism Drugs, Anticholinergic

KENALOG TRIAMCINOLONE ACETONIDE 0.03% OINT.(GM) Topical Antiinflammatory Preparations

KENALOG TRIAMCINOLONE ACETONIDE 0.03% LOTION Topical Antiinflammatory Preparations

KENALOG TRIAMCINOLONE ACETONIDE 0.10% CREAM(GM) Topical Antiinflammatory Preparations

KENALOG TRIAMCINOLONE ACETONIDE 0.10% OINT.(GM) Topical Antiinflammatory Preparations

KENALOG TRIAMCINOLONE ACETONIDE 0.10% LOTION Topical Antiinflammatory Preparations

KENALOG TRIAMCINOLONE ACETONIDE 0.50% CREAM(GM) Topical Antiinflammatory Preparations

KENALOG TRIAMCINOLONE ACETONIDE AEROSOL Topical Antiinflammatory Preparations

KENALOG IN ORABASE TRIAMCINOLONE ACETONIDE 0.10% PASTE Dental Aids and Preparations

KEPPRA LEVETIRACETAM 100MG/ML SOLUTION Anticonvulsants, cont

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

KEPPRA LEVETIRACETAM 250MG TABLET Anticonvulsants, cont

KEPPRA LEVETIRACETAM 500MG TABLET Anticonvulsants, cont

KEPPRA LEVETIRACETAM 750MG TABLET Anticonvulsants, cont

KEPPRA LEVETIRACETAM 1000MG TABLET Anticonvulsants, cont

KERLONE BETAXOLOL HCL 10MG TABLET Beta-Adrenergic Blocking Agents

KETEK TELITHROMYCIN 400MG TABLET Ketolides

KETEK TELITHROMYCIN 300MG TABLET Ketolides

KETOROLAC TROMETHAMINE KETOROLAC TROMETHAMINE 15MG/ML DISP SYRIN Anti-inflammatory Agents

KETOROLAC TROMETHAMINE KETOROLAC TROMETHAMINE 30MG/ML DISP SYRIN Anti-inflammatory Agents

KETOROLAC TROMETHAMINE KETOROLAC TROMETHAMINE 60MG/2ML DISP SYRIN Anti-inflammatory Agents

KINERET

PA

Required ANAKINRA 100MG/0.67 DISP SYRIN Anti-Flam. Interleukin-1 Receptor Antagonist

KLARON SULFACETAMIDE SODIUM 10% LOTION Acne Agents, Topical

KLONOPIN CLONAZEPAM 0.5MG TABLET Anticonvulsants

KLONOPIN CLONAZEPAM 2MG TABLET Anticonvulsants

K-LOR POTASSIUM CHLORIDE 15MEQ PACKET Potassium Replacement

K-LOR POTASSIUM CHLORIDE 20MEQ PACKET Potassium Replacement

KLOR-CON/25 POTASSIUM CHLORIDE 25MEQ PACKET Potassium Replacement

KLORVESS POTASSIUM CHLORIDE/POT BI 20MEQ PACKET Potassium Replacement

KLOTRIX POTASSIUM CHLORIDE 10MEQ TABLET SA Potassium Replacement

K-LYTE POTASSIUM BICARBONATE/CIT 25MEQ TABLET EFF Potassium Replacement

K-LYTE DS POT BICARB/POTASSIUM CIT/ 50MEQ TABLET EFF Potassium Replacement

K-LYTE/CL POT CHLORIDE/POT BICARB/C 25MEQ TABLET EFF Potassium Replacement

K-LYTE/CL POT CHLORIDE/POT BICARB/C 50MEQ TABLET EFF Potassium Replacement

K-LYTE/CL POTASSIUM CHLORIDE 25MEQ POWDER Potassium Replacement

KUTRASE AMYLASE/LIPASE/PROTEASE 30-2.4-30 CAPSULE Pancreatic Enzymes

KU-ZYME AMYLASE/LIPASE/PROTEASE 15-1.2-15 CAPSULE Pancreatic Enzymes

KU-ZYME HP AMYLASE/LIPASE/PROTEASE 30K-8K-30K CAPSULE Pancreatic Enzymes

KWELL LINDANE 1% CREAM(GM) Topical Antiparasitics

KWELL LINDANE 1% SHAMPOO Topical Antiparasitics

KYTRIL

PA

Required GRANISETRON HCL 0.1MG/ML VIAL Anti-Emetics

KYTRIL

PA

Required GRANISETRON HCL 1MG TABLET Anti-Emetics

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

KYTRIL

PA

Required GRANISETRON HCL 1MG/5ML SOLUTION Anti-Emetics

KYTRIL

PA

Required GRANISETRON HCL 1MG/ML VIAL Anti-Emetics

LAC-HYDRIN AMMONIUM LACTATE 12% LOTION Protectives

LAC-HYDRIN AMMONIUM LACTATE 12% CREAM(GM) Protectives

LAC-HYDRIN 5 AMMONIUM LACTATE 5% LOTION Protectives

LACTICARE-HC HYDROCORTISONE 2.50% LOTION Topical Antiinflammatory Preparations

LAMICTAL LAMOTRIGINE 100MG TABLET Anticonvulsants

LAMICTAL LAMOTRIGINE 150MG TABLET Anticonvulsants

LAMICTAL LAMOTRIGINE 200MG TABLET Anticonvulsants

LAMICTAL LAMOTRIGINE 25MG TABLET Anticonvulsants

LAMISIL TERBINAFINE HCL 1% SPRAY Topical Antifungals

LAMISIL

PA

Required TERBINAFINE HCL 250MG TABLET Antifungal Agents, Cont

LAMISIL AT TERBINAFINE HCL 1% CREAM(GM) Topical Antifungals

LAMPRENE CLOFAZIMINE 100MG CAPSULE Antileprotics

LAMPRENE CLOFAZIMINE 50MG CAPSULE Antileprotics

LANCETS LANCETS EACH Durable Medical Equipment, Misc (Group 1)

LANOXICAPS DIGOXIN 100MCG CAPSULE Digitalis Glycosides

LANOXICAPS DIGOXIN 200MCG CAPSULE Digitalis Glycosides

LANOXICAPS DIGOXIN 50MCG CAPSULE Digitalis Glycosides

LANOXIN DIGOXIN 0.125MG TABLET Digitalis Glycosides

LANOXIN DIGOXIN 0.25MG TABLET Digitalis Glycosides

LANOXIN DIGOXIN 500MCG TABLET Digitalis Glycosides

LANOXIN DIGOXIN 50MCG/ML ELIXIR Digitalis Glycosides

LANTUS INSULIN GLARGINE,HUM.REC. 100 U/ML VIAL Insulins

LANTUS INSULIN GLARGINE,HUM.REC. 100 U/ML CARTRIDGE Insulins

LARIAM MEFLOQUINE HCL 250MG TABLET Antimalarial Drugs

LARODOPA LEVODOPA 100MG TABLET Antiparkinsonism Drugs, Other

LARODOPA LEVODOPA 250MG TABLET Antiparkinsonism Drugs, Other

LARODOPA LEVODOPA 500MG TABLET Antiparkinsonism Drugs, Other

LASIX FUROSEMIDE 10MG/ML SOLUTION Loop Diuretics

LASIX FUROSEMIDE 20MG TABLET Loop Diuretics

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

LASIX FUROSEMIDE 40MG TABLET Loop Diuretics

LASIX FUROSEMIDE 80MG TABLET Loop Diuretics

Letairis Ambrisentan 5mg Tablet Pulmonary Anti-HTN, Endo Receptor Antagonist

Letairis Ambrisentan 10mg Tablet Pulmonary Anti-HTN, Endo Receptor Antagonist

LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 10MG TABLET Chemotherapy Rescue/Antidote Agents

LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 10MG TABLET Chemotherapy Rescue/Antidote Agents

LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 15MG TABLET Chemotherapy Rescue/Antidote Agents

LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 15MG TABLET Chemotherapy Rescue/Antidote Agents

LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 25MG TABLET Chemotherapy Rescue/Antidote Agents

LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 25MG TABLET Chemotherapy Rescue/Antidote Agents

LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 50MG VIAL Chemotherapy Rescue/Antidote Agents

LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 5MG TABLET Chemotherapy Rescue/Antidote Agents

LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 5MG TABLET Chemotherapy Rescue/Antidote Agents

LEUKERAN CHLORAMBUCIL 2MG TABLET Alkylating Agents

LEUKINE SARGRAMOSTIM 250MCG VIAL Leukocyte Stimulants

LEUKINE SARGRAMOSTIM 500MCG VIAL Leukocyte Stimulants

LEUKINE SARGRAMOSTIM 500MCG/ML VIAL Leukocyte Stimulants

LEVAQUIN LEVOFLOXACIN 250MG TABLET Quinolones

LEVAQUIN LEVOFLOXACIN 250MG/10ML SOLUTION Quinolones

LEVAQUIN LEVOFLOXACIN 500MG TABLET Quinolones

LEVAQUIN LEVOFLOXACIN 750MG TABLET Quinolones

LEVBID HYOSCYAMINE SULFATE 0.375MG TAB.SR 12H Belladonna Alkaloids

LEVEMIR INSULIN DETEMIR 100 U/ML PEN INJ Insulins

LEVEMIR INSULIN DETEMIR 101 U/ML VIAL Insulins

LEVSIN HYOSCYAMINE SULFATE 0.125MG TABLET Belladonna Alkaloids

LEVSIN HYOSCYAMINE SULFATE 0.125MG/ML DROPS Belladonna Alkaloids

LEVSIN HYOSCYAMINE SULFATE 125MCG/5ML ELIXIR Belladonna Alkaloids

LEVSIN/SL HYOSCYAMINE SULFATE 0.125MG TAB SUBL Belladonna Alkaloids

LEVSINEX HYOSCYAMINE SULFATE 0.375MG CAP.SR 12H Belladonna Alkaloids

LEXAPRO ESCITALOPRAM 5MG TABLET Antidepressants I.e. Prozac Weekly

LEXAPRO ESCITALOPRAM 10MG TABLET Antidepressants I.e. Prozac Weekly

LEXAPRO ESCITALOPRAM 20MG TABLET Antidepressants I.e. Prozac Weekly

LEXAPRO ESCITALOPRAM 5MG/5ML TABLET Antidepressants I.e. Prozac Weekly

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

LEXAPRO ESCITALOPRAM 5mg TABLET Antidepressants I.e. Prozac Weekly

LEXAPRO ESCITALOPRAM 10mg TABLET Antidepressants I.e. Prozac Weekly

LEXAPRO ESCITALOPRAM 20mg TABLET Antidepressants I.e. Prozac Weekly

LEXAPRO ESCITALOPRAM 5mg/5ml TABLET Antidepressants I.e. Prozac Weekly

LEXAPRO FEXOFENADINE 30mg/5ml SUSP Antihistamines, 2nd generation

LEXIVA FOSAMPRENAVIR CALCIUM 700MG TABLET Antivirals, HIV-Specific, Protease Inhibitors

LEXIVA FOSAMPRENAVIR CALCIUM 50MG/ML TABLET Antivirals, HIV-Specific, Protease Inhibitors

LIALDA MESALAMINE 1.2Gm TABLET Drug TX-Chronic Inflam. Colon DX

LIBRAX CLIDINIUM BR/CHLORDIAZEPO 2.5-5MG CAPSULE Anticholinergics, Quarternary

LIBRIUM CHLORDIAZEPOXIDE HCL 10MG CAPSULE Anti-Anxiety Drugs

LIBRIUM CHLORDIAZEPOXIDE HCL 25MG CAPSULE Anti-Anxiety Drugs

LIBRIUM CHLORDIAZEPOXIDE HCL 5MG CAPSULE Anti-Anxiety Drugs

LIDEX FLUOCINONIDE 0.05% GEL Topical Antiinflammatory Preparations

LIDEX FLUOCINONIDE 0.05% CREAM(GM) Topical Antiinflammatory Preparations

LIDEX FLUOCINONIDE 0.05% OINT.(GM) Topical Antiinflammatory Preparations

LIDEX FLUOCINONIDE 0.05% SOLUTION Topical Antiinflammatory Preparations

LIDEX-E FLUOCINONIDE/EMOLLIENT 0.05% CREAM(GM) Topical Antiinflammatory Preparations

LINDANE LINDANE 1% LOTION Topical Antiparasitics

LIORESAL BACLOFEN 10MG TABLET Skeletal Muscle Relaxants

LIORESAL BACLOFEN 20MG TABLET Skeletal Muscle Relaxants

LITHIUM CARBONATE LITHIUM CARBONATE 150MG CAPSULE Anti-Mania Drugs

LITHIUM CARBONATE LITHIUM CARBONATE 600MG CAPSULE Anti-Mania Drugs

LITHOBID LITHIUM CARBONATE 300MG TABLET SA Anti-Mania Drugs

LITHOTABS LITHIUM CARBONATE 300MG TABLET Anti-Mania Drugs

LIVOSTIN LEVOCABASTINE HCL 0.05% DROPS SUSP Eye Antihistamines

LO/OVRAL-28 NORGESTREL-ETHINYL ESTRAD 0.3-0.03MG TABLET Contraceptives, Oral

LOCOID HYDROCORTISONE BUTYRATE/E 0.10% CREAM(GM) Topical Antiinflammatory Preparations

LOCOID HYDROCORTISONE BUTYRATE/E 0.10% SOLUTION Topical Antiinflammatory Preparations

LODINE ETODOLAC 200MG CAPSULE Anti-inflammatory Agents

LODINE ETODOLAC 300MG CAPSULE Anti-inflammatory Agents

LODINE ETODOLAC 400MG TABLET Anti-inflammatory Agents

LODINE ETODOLAC 500MG TABLET Anti-inflammatory Agents

LODINE XL ETODOLAC 400MG TAB.SR 24H Anti-inflammatory Agents

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

LODINE XL ETODOLAC 500MG TAB.SR 24H Anti-inflammatory Agents

LODINE XL ETODOLAC 600MG TAB.SR 24H Anti-inflammatory Agents

LODOSYN CARBIDOPA 25MG TABLET Decarboxylase Inhibitors

LOESTRIN NORETHINDRONE A-E ESTRADI 1.5-0.03MG TABLET Contraceptives, Oral

LOESTRIN NORETHINDRONE A-E ESTRADI 1-0.02MG TABLET Contraceptives, Oral

LOESTRIN 24 FE NORETH A-ET ESTRA/FE FUMA 1MG-20(24) TABLET Contraceptives, Oral

LOESTRIN FE NORETH A-ET ESTRA/FE FUMA 1.5-0.03MG TABLET Contraceptives, Oral

LOESTRIN FE NORETH A-ET ESTRA/FE FUMA 1-0.02MG TABLET Contraceptives, Oral

LOFIBRA FENOFIBRATE,MICRONIZED 134MG CAPSULE Lipotropics

LOFIBRA FENOFIBRATE,MICRONIZED 200MG CAPSULE Lipotropics

LOFIBRA FENOFIBRATE,MICRONIZED 67MG CAPSULE Lipotropics

LOMOTIL DIPHENOXYLATE HCL/ATROP S 2.5-.025/5 LIQUID Antidiarrheals

LOMOTIL DIPHENOXYLATE HCL/ATROP S 2.5-.025MG TABLET Antidiarrheals

LONITEN MINOXIDIL 10MG TABLET Hypotensives, Vasodilators

LONITEN MINOXIDIL 2.5MG TABLET Hypotensives, Vasodilators

LOPERAMIDE HCL LOPERAMIDE HCL 2MG CAPSULE Antidiarrheals

LOPID GEMFIBROZIL 300MG CAPSULE Lipotropics

LOPID GEMFIBROZIL 600MG TABLET Lipotropics

LOPRESSOR METOPROLOL TARTRATE 100MG TABLET Beta-Adrenergic Blocking Agents

LOPRESSOR METOPROLOL TARTRATE 50MG TABLET Beta-Adrenergic Blocking Agents

LOPROX CICLOPIROX 0.77% GEL Topical Antifungals

LOPROX CICLOPIROX 0.77% CREAM(GM) Topical Antifungals

LOPROX CICLOPIROX 0.77% LOTION Topical Antifungals

LOPROX CICLOPIROX 1% SHAMPOO Topical Antifungals

LOPROX CICLOPIROX OLAMINE 1% CREAM(GM) Topical Antifungals

LOPROX CICLOPIROX OLAMINE 1% LOTION Topical Antifungals

LORABID LORACARBEF 100MG/5ML SUSP RECON Cephalosporins-2nd Generation

LORABID LORACARBEF 200MG CAPSULE Cephalosporins-2nd Generation

LORABID LORACARBEF 200MG/5ML SUSP RECON Cephalosporins-2nd Generation

LORABID LORACARBEF 400MG CAPSULE Cephalosporins-2nd Generation

LORAZEPAM INTENSOL LORAZEPAM 2MG/ML ORAL CONC. Anti-Anxiety Drugs

LORCET 10/650 HYDROCODONE BIT/ACETAMINO 10-650MG TABLET Analgesics, Narcotics

LORCET PLUS HYDROCODONE BIT/ACETAMINO 7.5-650MG TABLET Analgesics, Narcotics

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

LORELCO PROBUCOL 250MG TABLET Lipotropics

LORELCO PROBUCOL 500MG TABLET Lipotropics

LORTAB HYDROCODONE BIT/ACETAMINO 10-500MG TABLET Analgesics, Narcotics

LORTAB HYDROCODONE BIT/ACETAMINO 2.5-167/5 SOLUTION Analgesics, Narcotics

LORTAB HYDROCODONE BIT/ACETAMINO 2.5-500MG TABLET Analgesics, Narcotics

LORTAB HYDROCODONE BIT/ACETAMINO 7.5-500MG TABLET Analgesics, Narcotics

Lotemax Loteprednol etabonate 0.50% Drops Eye Antiinflammatory Agents

LOTENSIN BENAZEPRIL HCL 10MG TABLET Hypotensives, ACE Blocking Agents

LOTENSIN BENAZEPRIL HCL 20MG TABLET Hypotensives, ACE Blocking Agents

LOTENSIN BENAZEPRIL HCL 40MG TABLET Hypotensives, ACE Blocking Agents

LOTENSIN BENAZEPRIL HCL 5MG TABLET Hypotensives, ACE Blocking Agents

LOTENSIN HCT BENAZEPRIL/HYDROCHLOROTHI 10-12.5MG TABLET Hypotensives, ACE Blocking Agents

LOTENSIN HCT BENAZEPRIL/HYDROCHLOROTHI 20-12.5MG TABLET Hypotensives, ACE Blocking Agents

LOTENSIN HCT BENAZEPRIL/HYDROCHLOROTHI 20-25MG TABLET Hypotensives, ACE Blocking Agents

LOTENSIN HCT BENAZEPRIL/HYDROCHLOROTHI 5-6.25MG TABLET Hypotensives, ACE Blocking Agents

LOTREL AMLODIPINE BESYLATE/BENAZ 10-20MG CAPSULE ACE Inhibitor/Calcium Channel Blocker Combination

LOTREL AMLODIPINE BESYLATE/BENAZ 2.5-10MG CAPSULE ACE Inhibitor/Calcium Channel Blocker Combination

LOTREL AMLODIPINE BESYLATE/BENAZ 5-10MG CAPSULE ACE Inhibitor/Calcium Channel Blocker Combination

LOTREL AMLODIPINE BESYLATE/BENAZ 5-20MG CAPSULE ACE Inhibitor/Calcium Channel Blocker Combination

LOTREL AMLODIPINE BESYLATE/BENAZ 5-40MG CAPSULE ACE Inhibitor/Calcium Channel Blocker Combination

LOTREL AMLODIPINE BESYLATE/BENAZ 10-40MG CAPSULE ACE Inhibitor/Calcium Channel Blocker Combination

LOTRIMIN AF CLOTRIMAZOLE 1% LOTION Topical Antifungals

LOTRIMIN AF CLOTRIMAZOLE 1% SOLUTION Topical Antifungals

LOTRIMIN AF MICONAZOLE NITRATE 2% POWDER Topical Antifungals

LOTRISONE CLOTRIMAZOLE/BETAMET DIPR 1-0.05 CREAM(GM) Topical Antifungals

LOTRISONE CLOTRIMAZOLE/BETAMET DIPR 1-0.05% LOTION Topical Antifungals

LOTRISONE CLOTRIMAZOLE/BETAMET DIPR CREAM(GM) Topical Antifungals

LOTRONEX

PA

Required ALOSETRON HCL 0.5MG TABLET Irritable Bowel Synd Agent, 5HT-3 Antagonist Type

LOTRONEX

PA

Required ALOSETRON HCL 1MG TABLET Irritable Bowel Synd Agent, 5HT-3 Antagonist Type

LOVENOX ENOXAPARIN SODIUM 100MG/ML DISP SYRIN Heparin Preparations

LOVENOX ENOXAPARIN SODIUM 120MG/.8ML DISP SYRIN Heparin Preparations

LOVENOX ENOXAPARIN SODIUM 150MG/ML DISP SYRIN Heparin Preparations

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

LOVENOX ENOXAPARIN SODIUM 30MG/0.3ML DISP SYRIN Heparin Preparations

LOVENOX ENOXAPARIN SODIUM 30MG/0.3ML AMPUL Heparin Preparations

LOVENOX ENOXAPARIN SODIUM 40MG/0.4ML DISP SYRIN Heparin Preparations

LOVENOX ENOXAPARIN SODIUM 60MG/0.6ML DISP SYRIN Heparin Preparations

LOVENOX ENOXAPARIN SODIUM 80MG/0.8ML DISP SYRIN Heparin Preparations

LOXAPINE SUCCINATE LOXAPINE SUCCINATE 50MG CAPSULE Antipsychotics, Dopamine & Serotonin Antagonists

LOXAPINE SUCCINATE LOXAPINE SUCCINATE 5MG CAPSULE Antipsychotics, Dopamine & Serotonin Antagonists

LOXITANE LOXAPINE SUCCINATE 10MG CAPSULE Antipsychotics, Dopamine & Serotonin Antagonists

LOXITANE LOXAPINE SUCCINATE 25MG CAPSULE Antipsychotics, Dopamine & Serotonin Antagonists

LOXITANE C LOXAPINE HCL 25MG/ML ORAL CONC. Antipsychotics, Dopamine & Serotonin Antagonists

LOZOL INDAPAMIDE 1.25MG TABLET Thiazide Diuretics and Related Agents

LOZOL INDAPAMIDE 2.5MG TABLET Thiazide Diuretics and Related Agents

LUDIOMIL MAPROTILINE HCL 25MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

LUDIOMIL MAPROTILINE HCL 50MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

LUDIOMIL MAPROTILINE HCL 75MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

LUMIGAN BIMATOPROST 0.03% DROPS Miotics/Other Intraocular Pressure Reducers

LUMITENE BETA-CAROTENE 30MG CAPSULE Vitamin A Preparations

LUNESTA ESCOPICLONE 1MG TABLET Non-Barbiturate, Sedative-Hypnotic

LUNESTA ESCOPICLONE 2MG TABLET Non-Barbiturate, Sedative-Hypnotic

LUNESTA ESCOPICLONE 3MG TABLET Non-Barbiturate, Sedative-Hypnotic

LUPRON

PA

Required LEUPROLIDE ACETATE 1MG/0.2ML KIT Antineoplastic LHRH Agonist, Pituitary Suppressant

LUPRON

PA

Required LEUPROLIDE ACETATE 1MG/0.2ML KIT Antineoplastic LHRH Agonist, Pituitary Suppressant

LUPRON

PA

Required LEUPROLIDE ACETATE 1MG/0.2ML VIAL Antineoplastic LHRH Agonist, Pituitary Suppressant

LUPRON DEPOT

PA

Required LEUPROLIDE ACETATE 22.5MG DISP SYRIN Antineoplastic LHRH Agonist, Pituitary Suppressant

LUPRON DEPOT

PA

Required LEUPROLIDE ACETATE 3.75MG VIAL

LHRH (GNRH) Agnst Pit. Sup-Central Precocious

Puberty

LUPRON DEPOT

PA

Required LEUPROLIDE ACETATE 3.75MG VIAL LHRH/GNRH Agonist Analog Pituitary Suppressants

LUPRON DEPOT

PA

Required LEUPROLIDE ACETATE 3.75MG KIT LHRH/GNRH Agonist Analog Pituitary Suppressants

LUPRON DEPOT

PA

Required LEUPROLIDE ACETATE 3.75MG KIT Antineoplastic LHRH Agonist, Pituitary Suppressant

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

LUPRON DEPOT

PA

Required LEUPROLIDE ACETATE 30MG KIT Antineoplastic LHRH Agonist, Pituitary Suppressant

LUPRON DEPOT

PA

Required LEUPROLIDE ACETATE 7.5MG VIAL Antineoplastic LHRH Agonist, Pituitary Suppressant

LUPRON DEPOT

PA

Required LEUPROLIDE ACETATE 7.5MG DISP SYRIN Antineoplastic LHRH Agonist, Pituitary Suppressant

LUPRON DEPOT-PED

PA

Required LEUPROLIDE ACETATE 11.25MG KIT LHRH/GNRH Agonist Analog Pituitary Suppressants

LUPRON DEPOT-PED

PA

Required LEUPROLIDE ACETATE 11.25MG KIT Luteinizing Hormones

LUPRON DEPOT-PED

PA

Required LEUPROLIDE ACETATE 15MG KIT LHRH/GNRH Agonist Analog Pituitary Suppressants

LUPRON DEPOT-PED

PA

Required LEUPROLIDE ACETATE 15MG KIT Luteinizing Hormones

LUPRON DEPOT-PED

PA

Required LEUPROLIDE ACETATE 7.5MG KIT LHRH/GNRH Agonist Analog Pituitary Suppressants

LUPRON DEPOT-PED

PA

Required LEUPROLIDE ACETATE 7.5MG KIT Luteinizing Hormones

LURIDE SODIUM FLUORIDE 0.25MG TAB CHEW Fluoride Preparations

LURIDE SODIUM FLUORIDE 0.5MG TAB CHEW Fluoride Preparations

LURIDE SODIUM FLUORIDE 1MG TAB CHEW Fluoride Preparations

LURIDE SODIUM FLUORIDE 2.2MG/ML DROPS Fluoride Preparations

LUSTRA HYDROQUINONE 4% CREAM(GM) Antimelamin Agents

LUSTRA-AF OCTINOXATE/HYDROQUINONE 4% CREAM(GM) Antimelamin Agents

LUVOX FLUVOXAMINE MALEATE 100MG TABLET Antidepressants I.e. Prozac Weekly

LUVOX FLUVOXAMINE MALEATE 25MG TABLET Antidepressants I.e. Prozac Weekly

LUVOX FLUVOXAMINE MALEATE 50MG TABLET Antidepressants I.e. Prozac Weekly

LYRICA

QUANTITY

LIMIT OF

3/DAY PREGABALIN25MG

CAPSULE Anticonfulsants, Cont

LYRICA

QUANTITY

LIMIT OF

3/DAY PREGABALIN50MG

CAPSULE Anticonfulsants, Cont

LYRICA

QUANTITY

LIMIT OF

3/DAY PREGABALIN75MG

CAPSULE Anticonfulsants, Cont

LYRICA

QUANTITY

LIMIT OF

3/DAY PREGABALIN100MG

CAPSULE Anticonfulsants, Cont

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

LYRICA

QUANTITY

LIMIT OF

3/DAY PREGABALIN150MG

CAPSULE Anticonfulsants, Cont

LYRICA

QUANTITY

LIMIT OF

3/DAY PREGABALIN200MG

CAPSULE Anticonfulsants, Cont

LYRICA

QUANTITY

LIMIT OF

3/DAY PREGABALIN225MG

CAPSULE Anticonfulsants, Cont

LYRICA

QUANTITY

LIMIT OF

3/DAY PREGABALIN300MG

CAPSULE Anticonfulsants, Cont

LYSODREN MITOTANE 500MG TABLET Antineoplastics, Misc

MACROBID NITROFURANTOIN/NITROFURAN 100MG CAPSULE Nitrofuran Derivatives

MACRODANTIN NITROFURANTOIN MACROCRYST 100MG CAPSULE Nitrofuran Derivatives

MACRODANTIN NITROFURANTOIN MACROCRYST 25MG CAPSULE Nitrofuran Derivatives

MACRODANTIN NITROFURANTOIN MACROCRYST 50MG CAPSULE Nitrofuran Derivatives

MAPROTILINE HCL MAPROTILINE HCL 25MG TABLET Antidepressants

MAPROTILINE HCL MAPROTILINE HCL 50MG TABLET Antidepressants

MAPROTILINE HCL MAPROTILINE HCL 75MG TABLET Antidepressants

MARPLAN ISOCARBOXAZID 10MG TABLET MAOIS-Non-Selective & Irreversible

MATULANE PROCARBAZINE HCL 50MG CAPSULE Antineoplastics, Misc

MAVIK TRANDOLAPRIL 1MG TABLET Hypotensives, ACE Blocking Agents

MAVIK TRANDOLAPRIL 2MG TABLET Hypotensives, ACE Blocking Agents

MAVIK TRANDOLAPRIL 4MG TABLET Hypotensives, ACE Blocking Agents

MAXAIR PIRBUTEROL ACETATE 0.2MG AER W/ADAP Beta-Adrenergic Agents

MAXAIR AUTOHALER PIRBUTEROL ACETATE 0.2MG AER BR.ACT Beta-Adrenergic Agents

MAXALT RIZATRIPTAN BENZOATE 10MG TABLET Antimigraine Preparations

MAXALT RIZATRIPTAN BENZOATE 5MG TABLET Antimigraine Preparations

MAXALT MLT RIZATRIPTAN BENZOATE 10MG TAB RAPDIS Antimigraine Preparations

MAXALT MLT RIZATRIPTAN BENZOATE 5MG TAB RAPDIS Antimigraine Preparations

MAXIDONE HYDROCODONE BIT/ACETAMINO 10-750MG TABLET Analgesics, Narcotics

MAXIFED GUAIFENESIN/P-EPHED HCL 400MG TABLET Decongestant-Expectorant Combinations

MAXIFED DM GUAIFEN/DM HB/P-EPHEDINRE 400-20-40 TABLET Non-Narcotic Antituss-Decongestant-Expectorant CMB

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

MAXIFED DMX GUAIFEN/DM HB/P-EPHEDINRE 400-40-80 TABLET Non-Narcotic Antituss-Decongestant-Expectorant CMB

MAXIFED-G GUAIFENESIN/P-EPHED HCL 580-60MG TABLET Expectorants

MAXIFED-G GUAIFENESIN/P-EPHED HCL 400-40 TABLET Decongestant-Expectorant Combinations

MAXIFED-G CD GUAIFENESIN/P-EPHED HCL/COD 400-40-10 TABLET Narcotic Antituss-Decongestant-Expectorant Comb

MAXITROL NEO/POLYMYX B SULF/DEXAME 0.10% OINT.(GM) Eye Antibiotic-Corticoid Combinations

MAXITROL NEO/POLYMYX B SULF/DEXAME 0.10% DROPS SUSP Eye Antibiotic-Corticoid Combinations

MAXIVATE BETAMETHASONE DIPROPIONAT 0.05% OINT.(GM) Topical Antiinflammatory Preparations

MAXZIDE TRIAMTERENE/HYDROCHLOROTH 75-50MG TABLET Potassium Sparing Diuretics in Combination

MAXZIDE-25MG TRIAMTERENE/HYDROCHLOROTH 37.5-25MG TABLET Potassium Sparing Diuretics in Combination

MEBARAL MEPHOBARBITAL 100MG TABLET Anticonvulsants

MEBARAL MEPHOBARBITAL 32MG TABLET Anticonvulsants

MEBARAL MEPHOBARBITAL 50MG TABLET Anticonvulsants

MECLOMEN MECLOFENAMATE SODIUM 100MG CAPSULE Anti-inflammatory Agents

MECLOMEN MECLOFENAMATE SODIUM 50MG CAPSULE Anti-inflammatory Agents

MEDROL METHYLPREDNISOLONE 16MG TABLET Glucocorticoids, Systemic

MEDROL METHYLPREDNISOLONE 24MG TABLET Glucocorticoids, Systemic

MEDROL METHYLPREDNISOLONE 2MG TABLET Glucocorticoids, Systemic

MEDROL METHYLPREDNISOLONE 32MG TABLET Glucocorticoids, Systemic

MEDROL METHYLPREDNISOLONE 4MG TABLET Glucocorticoids, Systemic

MEDROL METHYLPREDNISOLONE 4MG TAB DS PK Glucocorticoids, Systemic

MEDROL METHYLPREDNISOLONE 8MG TABLET Glucocorticoids, Systemic

MEDROL METHYLPREDNISOLONE ACETAT 0.25% OINT.(GM) Topical Antiinflammatory Preparations

MEDROL METHYLPREDNISOLONE ACETAT 1% OINT.(GM) Topical Antiinflammatory Preparations

MEGACE MEGESTROL ACETATE 20MG TABLET Steroid Antineoplastics

MEGACE MEGESTROL ACETATE 40MG TABLET Steroid Antineoplastics

MEGACE MEGESTROL ACETATE 40MG/ML ORAL SUSP Steroid Antineoplastics

MEGACE MEGESTROL ACETATE 625MG/5ML ORAL SUSP Appetite Stimulants

MELLARIL THIORIDAZINE HCL 100MG TABLET Anti-Psychotics, Phenothiazines

MELLARIL THIORIDAZINE HCL 100MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines

MELLARIL THIORIDAZINE HCL 10MG TABLET Anti-Psychotics, Phenothiazines

MELLARIL THIORIDAZINE HCL 150MG TABLET Anti-Psychotics, Phenothiazines

MELLARIL THIORIDAZINE HCL 15MG TABLET Anti-Psychotics, Phenothiazines

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

MELLARIL THIORIDAZINE HCL 200MG TABLET Anti-Psychotics, Phenothiazines

MELLARIL THIORIDAZINE HCL 25MG TABLET Anti-Psychotics, Phenothiazines

MELLARIL THIORIDAZINE HCL 30MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines

MELLARIL THIORIDAZINE HCL 50MG TABLET Anti-Psychotics, Phenothiazines

MELLARIL-S THIORIDAZINE HCL 100MG/5ML ORAL SUSP Anti-Psychotics, Phenothiazines

MELLARIL-S THIORIDAZINE HCL 25MG/5ML ORAL SUSP Anti-Psychotics, Phenothiazines

MENEST ESTROGENS,ESTERIFIED 0.3MG TABLET Estrogenic Agents

MENEST ESTROGENS,ESTERIFIED 0.625MG TABLET Estrogenic Agents

MENEST ESTROGENS,ESTERIFIED 1.25MG TABLET Estrogenic Agents

MENEST ESTROGENS,ESTERIFIED 2.5MG TABLET Estrogenic Agents

MEPHYTON PHYTONADIONE 5MG TABLET Vitamin K Preparations

MESANTOIN MEPHENYTOIN 100MG TABLET Anticonvulsants

MESTINON PYRIDOSTIGMINE BROMIDE 180MG TABLET SA Cholinesterase Inhibitors

MESTINON PYRIDOSTIGMINE BROMIDE 60MG TABLET Cholinesterase Inhibitors

MESTINON PYRIDOSTIGMINE BROMIDE 60MG/5ML SYRUP Cholinesterase Inhibitors

METADATE CD METHYLPHENIDATE HCL 10MG CAPSULE Anti-narcolepsy/Anti-Hyperkinesis Agents

METADATE CD METHYLPHENIDATE HCL 40MG CAPSULE Anti-narcolepsy/Anti-Hyperkinesis Agents

METADATE CD METHYLPHENIDATE HCL 50MG CAPSULE Anti-narcolepsy/Anti-Hyperkinesis Agents

METADATE CD METHYLPHENIDATE HCL 60MG CAPSULE Anti-narcolepsy/Anti-Hyperkinesis Agents

METADATE ER METHYLPHENIDATE HCL 10MG TABLET SA Anti-narcolepsy/Anti-Hyperkinesis Agents

METAGLIP GLIPIZIDE/METFORMIN HCL 2.5-250MG TABLET Oral Hypoglycemics, Sulfonylureas

METAGLIP GLIPIZIDE/METFORMIN HCL 2.5-500MG TABLET Oral Hypoglycemics, Sulfonylureas

METAGLIP GLIPIZIDE/METFORMIN HCL 5-500MG TABLET Oral Hypoglycemics, Sulfonylureas

METANDREN METHYLTESTOSTERONE 5MG TAB SUBL Androgenic Agents

METAPREL METAPROTERENOL SULFATE 650MCG AER W/ADAP Beta-Adrenergic Agents

METHADONE HCL METHADONE HCL 10MG TABLET Analgesics, Narcotics

METHADONE HCL METHADONE HCL 5MG TABLET Analgesics, Narcotics

METHERGINE METHYLERGONOVINE MALEATE 0.2MG TABLET Oxytocics

METHIMAZOLE METHIMAZOLE 20MG TABLET Antithyroid Preparations

METHITEST METHYLTESTOSTERONE 10MG TABLET Androgenic Agents

METHITEST METHYLTESTOSTERONE 25MG TABLET Androgenic Agents

METHOTREXATE METHOTREXATE 2.5MG TABLET Antimetabolites

METHOTREXATE METHOTREXATE SODIUM 2.5MG TABLET Antimetabolites

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

METHYLDOPA METHYLDOPA 500MG TABLET Hypotensives, Sympatholitic

METHYLIN METHYLPHENIDATE HCL 10MG TAB CHEW Anti-narcolepsy/Anti-Hyperkinesis Agents

METHYLIN METHYLPHENIDATE HCL 10MG/5ML SOLUTION Anti-narcolepsy/Anti-Hyperkinesis Agents

METHYLIN METHYLPHENIDATE HCL 2.5MG TAB CHEW Anti-narcolepsy/Anti-Hyperkinesis Agents

METHYLIN METHYLPHENIDATE HCL 5MG TAB CHEW Anti-narcolepsy/Anti-Hyperkinesis Agents

METHYLIN METHYLPHENIDATE HCL 5MG/5ML SOLUTION Anti-narcolepsy/Anti-Hyperkinesis Agents

METHYLTESTOSTERONE METHYLTESTOSTERONE 10MG TAB SUBL Androgenic Agents

METICORTEN PREDNISONE 1MG TABLET Glucocorticoids, Systemic

METIMYD NA SULFACETM/PREDNISOL AC 10-0.5% OINT.(GM) Eye Sulfonamides

METIMYD NA SULFACETM/PREDNISOL AC 10-0.5% DROPS SUSP Eye Sulfonamides

METOCLOPRAMIDE HCL INTENS METOCLOPRAMIDE HCL 10MG/ML ORAL CONC. Intestinal Motility Stimulants

METOPROLOL TARTRATE METOPROLOL TARTRATE 25MG TABLET Beta-Adrenergic Blocking Agents

METROCREAM METRONIDAZOLE 0.75% CREAM Rosacea Agents

METROGEL-VAGINAL METRONIDAZOLE 0.75% GEL W/APPL Vaginal Antibiotics

METROLOTION METRONIDAZOLE 0.75% LOTION Rosacea Agents

MEVACOR LOVASTATIN 20MG TABLET Lipotropics

MEVACOR LOVASTATIN 40MG TABLET Lipotropics

MEVACOR 10MG LOVASTATIN 10MG TABLET Lipotropics

MEXITIL MEXILETINE HCL 150MG CAPSULE Antiarrhythmics

MEXITIL MEXILETINE HCL 200MG CAPSULE Antiarrhythmics

MEXITIL MEXILETINE HCL 250MG CAPSULE Antiarrhythmics

MIACALCIN CALCITONIN,SALMON,SYNTHET 200 U/DOSE SPRAY/PUMP Bone Ossification Suppression Agents

MICARDIS TELMISARTAN 20MG TABLET Hypotensives, Angiotensin Receptor Antagonist

MICARDIS TELMISARTAN 40MG TABLET Hypotensives, Angiotensin Receptor Antagonist

MICARDIS TELMISARTAN 80MG TABLET Hypotensives, Angiotensin Receptor Antagonist

MICARDIS HCT TELMISARTAN/HYDROCHLOROTH 40-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist

MICARDIS HCT TELMISARTAN/HYDROCHLOROTH 80-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist

MICARDIS HCT TELMISARTAN/HYDROCHLOROTH 80-25MG TABLET Hypotensives, Angiotensin Receptor Antagonist

MICATIN MICONAZOLE NITRATE 2% AERO POWD Topical Antifungals

MICATIN MICONAZOLE NITRATE 2% CREAM(GM) Topical Antifungals

MICRO-K POTASSIUM CHLORIDE 8MEQ CAPSULE SA Potassium Replacement

MICRO-K 10 POTASSIUM CHLORIDE 10MEQ CAPSULE SA Potassium Replacement

MICRONASE GLYBURIDE 1.25MG TABLET Oral Hypoglycemics, Sulfonylureas

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

MICRONASE GLYBURIDE 2.5MG TABLET Oral Hypoglycemics, Sulfonylureas

MICRONASE GLYBURIDE 5MG TABLET Oral Hypoglycemics, Sulfonylureas

MICROZIDE HYDROCHLOROTHIAZIDE 12.5MG CAPSULE Thiazide Diuretics and Related Agents

MIDRIN ISOMETHEPTENE/APAP/DICHLP 65-325-100 CAPSULE Antimigraine Preparations

MIGRANAL DIHYDROERGOTAMINE MESYLAT 4MG/ML AMP W/DEV. Antimigraine Preparations

MIGRANAL DIHYDROERGOTAMINE MESYLAT 0.5MG NASAL SPRAY Antimigraine Preparations

MILONTIN PHENSUXIMIDE 500MG CAPSULE Anticonvulsants

MILTOWN MEPROBAMATE 200MG TABLET Anti-Anxiety Drugs

MILTOWN MEPROBAMATE 400MG TABLET Anti-Anxiety Drugs

MINIPRESS PRAZOSIN HCL 1MG CAPSULE Alpha-Adrenergic Blocking Agents

MINIPRESS PRAZOSIN HCL 2MG CAPSULE Alpha-Adrenergic Blocking Agents

MINIPRESS PRAZOSIN HCL 5MG CAPSULE Alpha-Adrenergic Blocking Agents

MINOCIN MINOCYCLINE HCL 100MG CAPSULE Tetracyclines

MINOCIN MINOCYCLINE HCL 50MG/5ML ORAL SUSP Tetracyclines

MINTEZOL THIABENDAZOLE 500MG TAB CHEW Anthelmintics

MINTEZOL THIABENDAZOLE 500MG/5ML ORAL SUSP Anthelmintics

MIRALAX POLYETHYLENE GLYCOL 3350 PACKET Laxatives and Cathartics

MIRALAX POLYETHYLENE GLYCOL 3350 POWDER Laxatives and Cathartics

MIRAPEX PRAMIPEXOLE DI-HCL 0.125MG TABLET Antiparkinsonism Drugs, Other

MIRAPEX PRAMIPEXOLE DI-HCL 0.25MG TABLET Antiparkinsonism Drugs, Other

MIRAPEX PRAMIPEXOLE DI-HCL 0.5MG TABLET Antiparkinsonism Drugs, Other

MIRAPEX PRAMIPEXOLE DI-HCL 1.5MG TABLET Antiparkinsonism Drugs, Other

MIRAPEX PRAMIPEXOLE DI-HCL 1MG TABLET Antiparkinsonism Drugs, Other

MIRAPEX PRAMIPEXOLE DI-HCL 0.75MG TABLET Antiparkinsonism Drugs, Other

MIRCETTE DESOG-ET ESTRA/ETHIN ESTR 21-5 TABLET Contraceptives, Oral

MIRTAZAPINE MIRTAZAPINE 7.5MG TABLET Alpha-2 Receptor Antagonist Antidepressants

MIXTARD 70/30 INSUL,PK PURE/INSUL NPH,P 100U/ML VIAL Insulins

MIXTARD HUMAN 70/30 INSUL NPH HU S-S/INS RG H 70-30U/ML VIAL Insulins

MOBAN MOLINDONE HCL 100MG TABLET Antipsychotics,Dopamine Antagonst, Dihydroindolones

MOBAN MOLINDONE HCL 10MG TABLET Antipsychotics,Dopamine Antagonst, Dihydroindolones

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

MOBAN MOLINDONE HCL 20MG/ML ORAL CONC. Antipsychotics,Dopamine Antagonst, Dihydroindolones

MOBAN MOLINDONE HCL 25MG TABLET Antipsychotics,Dopamine Antagonst, Dihydroindolones

MOBAN MOLINDONE HCL 50MG TABLET Antipsychotics,Dopamine Antagonst, Dihydroindolones

MOBAN MOLINDONE HCL 5MG TABLET Antipsychotics,Dopamine Antagonst, Dihydroindolones

MODICON NORETHINDRONE-ETHINYL EST 0.5-0.035 TABLET Contraceptives, Oral

MONISTAT 3 MICONAZOLE NITRATE 200MG SUPP.VAG Vaginal Antifungals

MONISTAT 3 MICONAZOLE NITRATE 200MG-2% COMBO. PKG Vaginal Antifungals

MONISTAT 5 MICONAZOLE NITRATE 100MG TAMPON Vaginal Antifungals

MONISTAT 7 MICONAZOLE NITRATE 2% CREAM/APPL Vaginal Antifungals

MONISTAT 7 MICONAZOLE NITRATE 100MG SUPP.VAG Vaginal Antifungals

MONISTAT 7 MICONAZOLE NITRATE 100MG-2% COMBO. PKG Vaginal Antifungals

MONOKET ISOSORBIDE MONONITRATE 10MG TABLET Vasodilator, Coronary

MONOKET ISOSORBIDE MONONITRATE 20MG TABLET Vasodilator, Coronary

MONOPRIL FOSINOPRIL SODIUM 10MG TABLET Hypotensives, ACE Blocking Agents

MONOPRIL FOSINOPRIL SODIUM 20MG TABLET Hypotensives, ACE Blocking Agents

MONOPRIL FOSINOPRIL SODIUM 40MG TABLET Hypotensives, ACE Blocking Agents

MORPHINE SULFATE MORPHINE SULFATE 10MG TABLET SOL Analgesics, Narcotics

MORPHINE SULFATE MORPHINE SULFATE 10MG/5ML SOLUTION Analgesics, Narcotics

MORPHINE SULFATE MORPHINE SULFATE 15MG TABLET Analgesics, Narcotics

MORPHINE SULFATE MORPHINE SULFATE 15MG TABLET SOL Analgesics, Narcotics

MORPHINE SULFATE MORPHINE SULFATE 30MG TABLET Analgesics, Narcotics

MORPHINE SULFATE MORPHINE SULFATE 30MG TABLET SOL Analgesics, Narcotics

MOTRIN IBUPROFEN 100MG/5ML ORAL SUSP Anti-inflammatory Agents

MOTRIN IBUPROFEN 300MG TABLET Anti-inflammatory Agents

MOTRIN IBUPROFEN 400MG TABLET Anti-inflammatory Agents

MOTRIN IBUPROFEN 40MG/ML DROPS SUSP Anti-inflammatory Agents

MOTRIN IBUPROFEN 600MG TABLET Anti-inflammatory Agents

MOTRIN IBUPROFEN 800MG TABLET Anti-inflammatory Agents

MOTRIN IB IBUPROFEN 200MG TABLET Anti-inflammatory Agents

MS CONTIN MORPHINE SULFATE 100MG TABLET SA Analgesics, Narcotics

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

MS CONTIN MORPHINE SULFATE 15MG TABLET SA Analgesics, Narcotics

MS CONTIN MORPHINE SULFATE 200MG TABLET SA Analgesics, Narcotics

MS CONTIN MORPHINE SULFATE 30MG TABLET SA Analgesics, Narcotics

MS CONTIN MORPHINE SULFATE 60MG TABLET SA Analgesics, Narcotics

MSIR MORPHINE SULFATE 15MG CAPSULE Analgesics, Narcotics

MSIR MORPHINE SULFATE 20MG/5ML SOLUTION Analgesics, Narcotics

MSIR MORPHINE SULFATE 30MG CAPSULE Analgesics, Narcotics

MUCOMYST-10 ACETYLCYSTEINE 100MG/ML VIAL Mucolytics

MYAMBUTOL ETHAMBUTOL HCL 100MG TABLET Antimycobacterium Agents

MYAMBUTOL ETHAMBUTOL HCL 400MG TABLET Antimycobacterium Agents

MYCELEX CLOTRIMAZOLE 1% CREAM(GM) Topical Antifungals

MYCELEX CLOTRIMAZOLE 10MG TROCHE Antifungal Agents

MYCELEX-3 BUTOCONAZOLE NITRATE 2% CREAM/APPL Vaginal Antifungals

MYCELEX-7 CLOTRIMAZOLE 1% CREAM/APPL Vaginal Antifungals

MYCELEX-7 CLOTRIMAZOLE 100MG-1% COMBO. PKG Vaginal Antifungals

MYCELEX-G CLOTRIMAZOLE 500MG TABLET Vaginal Antifungals

MYCOLOG II NYSTATIN/TRIAMCIN 100000-0.1 OINT.(GM) Topical Antifungals

MYCOSTATIN NYSTATIN 100000 U/G CREAM(GM) Topical Antifungals

MYCOSTATIN NYSTATIN 100K U/ML ORAL SUSP Antifungal Antibiotics

MYCOSTATIN NYSTATIN 200000 U LOZENGE Antifungal Antibiotics

MYCOSTATIN NYSTATIN 500000 U TABLET Antifungal Antibiotics

MYDRIACYL TROPICAMIDE 0.50% DROPS Mydriatics

MYDRIACYL TROPICAMIDE 1% DROPS Mydriatics

MYFORTIC MYCOPHENOLATE SODIUM 180MG TABLET DR Immunosuppresives

MYFORTIC MYCOPHENOLATE SODIUM 360MG TABLET DR Immunosuppresives

MYLERAN BUSULFAN 2MG TABLET Alkylating Agents

MYLOCEL HYDROXYUREA 1000MG TABLET Alkylating Agents

MYOCHRYSINE GOLD SODIUM THIOMALATE 50MG/ML VIAL Gold Salts

MYSOLINE PRIMIDONE 250MG TABLET Anticonvulsants

MYSOLINE PRIMIDONE 250MG/5ML ORAL SUSP Anticonvulsants

MYSOLINE PRIMIDONE 50MG TABLET Anticonvulsants

MYTREX NYSTATIN/TRIAMCIN 100000-0.1 CREAM(GM) Topical Antifungals

NAFTIN NAFTIFINE HCL 1% CREAM(GM) Topical Antifungals

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

NAFTIN NAFTIFINE HCL 1% GEL Topical Antifungals

NALDECON PHENYLEPHRINE/PP HCL/P-TL TABLET SA Cough and Cold Preparations

NALEX DH PHENYLEPHRINE HCL/HYDROCO 5-2.5MG/5 LIQUID Cough and Cold Preparations

NALFON FENOPROFEN CALCIUM 200MG CAPSULE Anti-inflammatory Agents

NALFON FENOPROFEN CALCIUM 300MG CAPSULE Anti-inflammatory Agents

NALFON FENOPROFEN CALCIUM 600MG TABLET Anti-inflammatory Agents

NAMENDA

PA

Required MEMANTINE HCL 10MG TABLET NMDA Receptor Antagonists

NAMENDA

PA

Required MEMANTINE HCL 5-10MG TAB DS PK NMDA Receptor Antagonists

NAMENDA

PA

Required MEMANTINE HCL 5MG TABLET NMDA Receptor Antagonists

NAMENDA

PA

Required MEMANTINE HCL 10MG/5ML SOLUTION NMDA Receptor Antagonists

NAPHCON-A NAPHAZOLINE HCL/PHENIR MA 0.025-0.3% DROPS Eye Vasoconstrictors

NAPROSYN NAPROXEN 125MG/5ML ORAL SUSP Anti-inflammatory Agents

NAPROSYN NAPROXEN 250MG TABLET Anti-inflammatory Agents

NAPROSYN NAPROXEN 375MG TABLET Anti-inflammatory Agents

NAPROSYN NAPROXEN 500MG TABLET Anti-inflammatory Agents

NARDIL PHENELZINE SULFATE 15MG TABLET MAOIS-Non-Selective & Irreversible

NARIZ GUAIFENESIN/PHENYLEPHRINE HCL 200-7.5/5 LIQUID Decongestant-Expectorant Combinations

NARIZ

GUAIFENESIN/PHENYLEPHRINE/HCO

D 200-7.5-2.5/5 LIQUID Narcotic Antituss-decongestant-Expectorant Comb

NASACORT TRIAMCINOLONE ACETONIDE 55MCG AER W/ADAP Nose Preparations, Antiinflammatory

NASACORT AQ TRIAMCINOLONE ACETONIDE 55MCG SPRAY Nose Preparations, Antiinflammatory

NASAREL FLUNISOLIDE 29MCG SPRAY Nose Preparations, Antiinflammatory

NASONEX MOMETASONE FUROATE 50MCG SPRAY Nose Preparations, Antiinflammatory

NAVANE THIOTHIXENE 10MG CAPSULE Antipsychotics,Dopamine Antagonists, Thioxanthines

NAVANE THIOTHIXENE 1MG CAPSULE Antipsychotics,Dopamine Antagonists, Thioxanthines

NAVANE THIOTHIXENE 20MG CAPSULE Antipsychotics,Dopamine Antagonists, Thioxanthines

NAVANE THIOTHIXENE 2MG CAPSULE Antipsychotics,Dopamine Antagonists, Thioxanthines

NAVANE THIOTHIXENE 5MG CAPSULE Antipsychotics,Dopamine Antagonists, Thioxanthines

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

NAVANE THIOTHIXENE HCL 5MG/ML ORAL CONC. Antipsychotics,Dopamine Antagonists, Thioxanthines

NEBUPENT PENTAMIDINE ISETHIONATE 300MG VIAL Antiprotozoal Drugs, Misc

NEMBUTAL SODIUM PENTOBARBITAL SODIUM 100MG CAPSULE Barbiturates

NEMBUTAL SODIUM PENTOBARBITAL SODIUM 50MG CAPSULE Barbiturates

NEODECADRON NEOMYCIN SULFATE/DEX NA P 0.35-.05% OINT.(GM) Eye Antibiotic-Corticoid Combinations

NEODECADRON NEOMYCIN SULFATE/DEX NA P 0.35-0.1% DROPS Eye Antibiotic-Corticoid Combinations

NEO-FRADIN NEOMYCIN SULFATE 125MG/5ML SOLUTION Aminoglycosides

NEOMYCIN SULFATE NEOMYCIN SULFATE 500MG TABLET Aminoglycosides

NEORAL CYCLOSPORINE, MODIFIED 100MG CAPSULE Immunosuppresives

NEORAL CYCLOSPORINE, MODIFIED 100MG/ML SOLUTION Immunosuppresives

NEORAL CYCLOSPORINE, MODIFIED 25MG CAPSULE Immunosuppresives

NEOSPORIN NEOMY SULF/BACITRA/POLYMY 3.5MG-400 OINT.(GM) Eye Antibiotics

NEOSPORIN NEOMY SULF/GRAMICID D/POL DROPS Eye Antibiotics

NEPTAZANE METHAZOLAMIDE 25MG TABLET Carbonic Anhydrase Inhibitors

NEPTAZANE METHAZOLAMIDE 50MG TABLET Carbonic Anhydrase Inhibitors

NEULASTA

PA

Required PEGFILGRASTIM 6MG/0.6ML DISP SYRIN Leukocyte Stimulants

NEUPOGEN

PA

Required FILGRASTIM 300MCG/0.5 DISP SYRIN Leukocyte Stimulants

NEUPOGEN

PA

Required FILGRASTIM 300MCG/ML VIAL Leukocyte Stimulants

NEUPOGEN

PA

Required FILGRASTIM 480MCG/0.8 DISP SYRIN Leukocyte Stimulants

NEUPOGEN

PA

Required FILGRASTIM 480MCG/1.6 VIAL Leukocyte Stimulants

NEUPRO Step Edit Rotigotine 2mg Patch Antiparkinsonism Drugs, Other

NEUPRO Step Edit Rotigotine 4mg Patch Antiparkinsonism Drugs, Other

NEUPRO Step Edit Rotigotine 6mg Patch Antiparkinsonism Drugs, Other

NEURONTIN GABAPENTIN 100MG CAPSULE Anticonvulsants

NEURONTIN GABAPENTIN 250MG/5ML SOLUTION Anticonvulsants

NEURONTIN GABAPENTIN 300MG CAPSULE Anticonvulsants

NEURONTIN GABAPENTIN 400MG CAPSULE Anticonvulsants

NEURONTIN GABAPENTIN 600MG TABLET Anticonvulsants

NEURONTIN GABAPENTIN 800MG TABLET Anticonvulsants

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

Nevanac Nepafenac 0.10% Drops Eye Antiinflammatory Agents

NEXIUM

PA

Required

Except Mail

Order Only ESOMEPRAZOLE MAG TRIHYDRA

20MG

CAPSULE DR Gastric Acid Secretion Reducers

NEXIUM

PA

Required

Except Mail

Order Only ESOMEPRAZOLE MAG TRIHYDRA

40MG

CAPSULE DR Gastric Acid Secretion Reducers

NEXIUM

PA

Required ESOMEPRAZOLE 20mg SUSPDRREC Gastric Acid Secretion Reducers

NEXIUM

PA

Required ESOMEPRAZOLE 40mg SUSPDRREC Gastric Acid Secretion Reducers

NIACIN NIACIN 100MG TABLET Niacin Preparations

NIASPAN NIACIN 7/7/2007 TAB SA SEQ Lipotropics

NIASPAN NIACIN 1000MG TABLET SA Lipotropics

NIASPAN NIACIN 500MG TABLET SA Lipotropics

NIASPAN NIACIN 750MG TABLET SA Lipotropics

NICLOCIDE NICLOSAMIDE 500MG TAB CHEW Anthelmintics

NICOBID NIACIN 125MG CAPSULE SA Niacin Preparations

NICOBID NIACIN 250MG CAPSULE SA Niacin Preparations

NICOBID NIACIN 500MG CAPSULE SA Niacin Preparations

NICODERM CQ NICOTINE 7MG/24HR PATCH TD24 Ganglionic Stimulants

NICORETTE NICOTINE POLACRILEX 2MG GUM Ganglionic Stimulants

NICORETTE NICOTINE POLACRILEX 4MG GUM Ganglionic Stimulants

NICOTINE NICOTINE 11MG/24HR PATCH TD24 Ganglionic Stimulants

NICOTINE NICOTINE 14MG/24HR PATCH TD24 Ganglionic Stimulants

NICOTINE NICOTINE 21MG/24HR PATCH TD24 Ganglionic Stimulants

NICOTINE NICOTINE 22MG/24HR PATCH TD24 Ganglionic Stimulants

NICOTINE TRANSDERMAL NICOTINE 21-14-7MG PATCH DYSQ Ganglionic Stimulants

NICOTROL NICOTINE 10MG CARTRIDGE Ganglionic Stimulants

NICOTROL NICOTINE 10MG/16HR PATCH TD24 Ganglionic Stimulants

NICOTROL NICOTINE 15MG/16HR PATCH TD24 Ganglionic Stimulants

NICOTROL NICOTINE 5MG/16HR PATCH TD24 Ganglionic Stimulants

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

NICOTROL NS NICOTINE 10MG/ML SPRAY Ganglionic Stimulants

NILANDRON NILUTAMIDE 150MG TABLET Antiandrogenic Agents

NILANDRON NILUTAMIDE 50MG TABLET Antiandrogenic Agents

NIMOTOP NIMODIPINE 30MG CAPSULE Calcium Channel Blocking Agents

NITRO-BID NITROGLYCERIN 2% OINT.(GM) Vasodilator, Coronary

NITRO-BID NITROGLYCERIN 2.5MG CAPSULE SA Vasodilator, Coronary

NITRO-BID NITROGLYCERIN 6.5MG CAPSULE SA Vasodilator, Coronary

NITRO-BID NITROGLYCERIN 9MG CAPSULE SA Vasodilator, Coronary

NITRO-DUR NITROGLYCERIN 0.1MG/HR PATCH TD24 Vasodilator, Coronary

NITRO-DUR NITROGLYCERIN 0.2MG/HR PATCH TD24 Vasodilator, Coronary

NITRO-DUR NITROGLYCERIN 0.3MG/HR PATCH TD24 Vasodilator, Coronary

NITRO-DUR NITROGLYCERIN 0.4MG/HR PATCH TD24 Vasodilator, Coronary

NITRO-DUR NITROGLYCERIN 0.6MG/HR PATCH TD24 Vasodilator, Coronary

NITRO-DUR NITROGLYCERIN 0.8MG/HR PATCH TD24 Vasodilator, Coronary

NITROLINGUAL NITROGLYCERIN 0.4MG/DOSE AEROSOL Vasodilator, Coronary

NITROLINGUAL NITROGLYCERIN 0.4MG/DOSE SPRAY Vasodilator, Coronary

NITROSTAT NITROGLYCERIN 0.15MG TAB SUBL Vasodilator, Coronary

NITROSTAT NITROGLYCERIN 0.3MG TAB SUBL Vasodilator, Coronary

NITROSTAT NITROGLYCERIN 0.4MG TAB SUBL Vasodilator, Coronary

NITROSTAT NITROGLYCERIN 0.6MG TAB SUBL Vasodilator, Coronary

NIX PERMETHRIN 1% LIQUID Topical Antiparasitics

NIZORAL KETOCONAZOLE 2% SHAMPOO Topical Antifungals

NIZORAL KETOCONAZOLE 2% CREAM(GM) Topical Antifungals

NIZORAL KETOCONAZOLE 200MG TABLET Antifungal Agents

NOCTEC CHLORAL HYDRATE 250MG CAPSULE Non-Barbiturate, Sedative-Hypnotic

NOLVADEX TAMOXIFEN CITRATE 10MG TABLET Nolvadex, Faslodex, only

NOLVADEX TAMOXIFEN CITRATE 20MG TABLET Nolvadex, Faslodex, only

NORCO HYDROCODONE BIT/ACETAMINO 10-325MG TABLET Analgesics, Narcotics

NORCO HYDROCODONE BIT/ACETAMINO 5-325MG TABLET Analgesics, Narcotics

NORCO HYDROCODONE BIT/ACETAMINO 7.5-325MG TABLET Analgesics, Narcotics

NORDETTE-21 LEVONORGESTREL-ETH ESTRA 0.15-0.03 TABLET Contraceptives, Oral

NORDITROPIN

PA

Required SOMATROPIN 15MG/1.5ML CARTRIDGE Growth Hormones

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

NORDITROPIN

PA

Required SOMATROPIN 5MG/1.5ML CARTRIDGE Growth Hormones

NORDITROPIN

PA

Required SOMATROPIN 8MG VIAL Growth Hormones

NORDITROPIN NORDIFLEX

PA

Required SOMATROPIN 15MG/1.5ML PEN INJ Growth Hormones

NORDITROPIN NORDIFLEX

PA

Required SOMATROPIN 10MG/1.5ML PEN INJ Growth Hormones

NORDITROPIN NORDIFLEX

PA

Required SOMATROPIN 5MG/1.5ML CARTRIDGE Growth Hormones

NORFLEX ORPHENADRINE CITRATE 100MG TABLET SA Skeletal Muscle Relaxants

NORFLEX ORPHENADRINE CITRATE 30MG/ML AMPUL Skeletal Muscle Relaxants

NORGESIC ORPHENADRINE/ASPIRIN/CAFF 25-385-30 TABLET Skeletal Muscle Relaxants

NORGESIC FORTE ORPHENADRINE/ASPIRIN/CAFF 50-770-60 TABLET Skeletal Muscle Relaxants

NORLESTRIN NORETHINDRONE A-E ESTRADI 1-0.05MG TABLET Contraceptives, Oral

NORLESTRIN NORETHINDRONE A-E ESTRADI 2.5-0.05MG TABLET Contraceptives, Oral

NOROXIN NORFLOXACIN 400MG TABLET Quinolones

NORPACE DISOPYRAMIDE PHOSPHATE 100MG CAPSULE Antiarrhythmics

NORPACE DISOPYRAMIDE PHOSPHATE 150MG CAPSULE Antiarrhythmics

NORPACE CR DISOPYRAMIDE PHOSPHATE 100MG CAPSULE SA Antiarrhythmics

NORPACE CR DISOPYRAMIDE PHOSPHATE 150MG CAPSULE SA Antiarrhythmics

NORPRAMIN DESIPRAMINE HCL 100MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

NORPRAMIN DESIPRAMINE HCL 10MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

NORPRAMIN DESIPRAMINE HCL 150MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

NORPRAMIN DESIPRAMINE HCL 25MG TABLET Antidepressants

NORPRAMIN DESIPRAMINE HCL 25MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

NORPRAMIN DESIPRAMINE HCL 50MG TABLET Antidepressants

NORPRAMIN DESIPRAMINE HCL 50MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

NORPRAMIN DESIPRAMINE HCL 75MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

NORPRAMIN DESIPRAMINE HYDROCHLORIDE 10MG TABLET Antidepressants

NOR-Q-D NORETHINDRONE 0.35MG TABLET Contraceptives, Oral

NORTRIPTYLINE HCL NORTRIPTYLINE HCL 50MG CAPSULE Antidepressants

NORTRIPTYLINE HCL NORTRIPTYLINE HCL 75MG CAPSULE Antidepressants

NORVASC AMLODIPINE BESYLATE 10MG TABLET Calcium Channel Blocking Agents

NORVASC AMLODIPINE BESYLATE 2.5MG TABLET Calcium Channel Blocking Agents

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

NORVASC AMLODIPINE BESYLATE 5MG TABLET Calcium Channel Blocking Agents

NORVIR RITONAVIR 100MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

NORVIR RITONAVIR 80MG/ML SOLUTION Antivirals, HIV-Specific, Protease Inhibitors

NOVAHISTINE DH P-EPHED HCL/COD/CHLORPHEN 30-10-2/5 LIQUID Cough and Cold Preparations

NOVAHISTINE DH PHENYLEPRINE/DHCOD BT/CP 5-7.25-2/5 LIQUID Narcotic Antituss-Decongestant-Expectorant Comb

NOVAHISTINE DH PHENYLEPHRINE/DHCODEINE BT/CP 5-7.25-2/5 LIQUID Narcotic Antituss-decongestant-Expectorant Comb

NOVOLIN 70/30 HUM INSULIN NPH/REG INSUL 70-30 U/ML CARTRIDGE Insulins

NOVOLIN 70/30 INSUL NPH HU S-S/INS RG H 70-30U/ML CARTRIDGE Insulins

NOVOLIN L INSULIN ZINC HUMAN SEMI-S 100U/ML VIAL Insulins

NOVOLIN N INSULIN NPH HUMAN RECOM 100 U/ML CARTRIDGE Insulins

NOVOLIN N INSULIN NPH HUMAN RECOM 100 U/ML VIAL Insulins

NOVOLIN N INSULIN NPH HUMAN SEMI-SY 100U/ML CARTRIDGE Insulins

NOVOLIN R INSULIN REG HUMAN SEMI-SY 100U/ML CARTRIDGE Insulins

NOVOLIN R INSULIN REGULAR HUMAN REC 100 U/ML CARTRIDGE Insulins

NOVOLIN R INSULIN REGULAR HUMAN REC 150 U/1.5 DISP SYRIN Insulins

NOVOLIN R INSULIN REGULAR HUMAN REC 300 U/3ML DISP SYRIN Insulins

NOVOLOG INSULIN ASPART 100 U/ML VIAL Insulins

NOVOLOG INSULIN ASPART 100 U/ML DISP SYRIN Insulins

NOVOLOG INSULIN ASPART 100 U/ML CARTRIDGE Insulins

NOVOLOG MIX 70/30 INSULN ASP PRT/INSULIN AS 70-30 U/ML CARTRIDGE Insulins

NOVOLOG MIX 70/30 INSULN ASP PRT/INSULIN AS 70-30 U/ML DISP SYRIN Insulins

NOVOLOG MIX 70/30 INSULN ASP PRT/INSULIN AS 70-30 U/ML VIAL Insulins

NULEV HYOSCYAMINE SULFATE 0.125MG TAB RAPDIS Belladonna Alkaloids

NULYTELY SOD CHLORIDE/NAHCO3/KCL/P 420G SOLN RECON Laxatives and Cathartics

NUTROPIN

PA

Required SOMATROPIN 10MG VIAL Growth Hormones

NUTROPIN AQ

PA

Required SOMATROPIN 10MG/2ML CARTRIDGE Growth Hormones

NUTROPIN AQ

PA

Required SOMATROPIN 10MG/2ML VIAL Growth Hormones

Nutropin AQ PA Req Somatropin 20mg/2ml Cartridge Growth Hormones

NUTROPIN DEPOT

PA

Required SOMATROPIN 13.5MG KIT Growth Hormones

NUTROPIN DEPOT

PA

Required SOMATROPIN 18MG KIT Growth Hormones

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

NUTROPIN DEPOT

PA

Required SOMATROPIN 22.5MG KIT Growth Hormones

NUVARING ETONOGESTREL/ETHINYL ESTR 0.12-0.015 VAG RING Nuvaring, only

NYDRAZID ISONIAZID 100MG TABLET Antimycobacterium Agents

NYSTATIN NYSTATIN 100000 U TABLET Vaginal Antifungals

NYSTATIN NYSTATIN 150MMU POWDER Antifungal Antibiotics

NYSTATIN NYSTATIN 2B UNIT POWDER Antifungal Antibiotics

NYSTATIN NYSTATIN 500MMU POWDER Antifungal Antibiotics

NYSTATIN NYSTATIN 50MMU POWDER Antifungal Antibiotics

NYSTATIN NYSTATIN 5B UNIT POWDER Antifungal Antibiotics

NYSTEX NYSTATIN 100000 U/G OINT.(GM) Topical Antifungals

NYSTOP NYSTATIN 100000 U/G POWDER Topical Antifungals

OCUFEN FLURBIPROFEN SODIUM 0.03% DROPS Eye Antiinflammatory Agents

OCUFLOX OFLOXACIN 0.30% DROPS Eye Antibiotics

OCUPRESS CARTEOLOL HCL 1% DROPS Miotics/Other Intraocular Pressure Reducers

OGEN ESTROPIPATE 1.5MG/G CREAM(GM) Vaginal Estrogen Preparations

OGEN ESTROPIPATE 3MG TABLET Estrogenic Agents

OGEN ESTROPIPATE 6MG TABLET Estrogenic Agents

OMNICEF CEFDINIR 125MG/5ML SUSP RECON Cephalosporins-3rd Generation

OMNICEF CEFDINIR 250MG/5ML SUSP RECON Cephalosporins-3rd Generation

OMNICEF CEFDINIR 300MG CAPSULE Cephalosporins-3rd Generation

OMNITROPE

PA

Required SOMATROPIN 5.8mg VIAL Growth Hormones

ONE TOUCH BLOOD SUGAR DIAGNOSTIC STRIP Blood Sugar Diagnostics

OPTICROM CROMOLYN SODIUM 4% DROPS Ophthalmic Mast Cell Stabilizers

OPTICROM CROMOLYN SODIUM 4% DROPS Ophthalmic Mast Cell Stabilizers

OPTIPRANOLOL METIPRANOLOL 0.30% DROPS Miotics/Other Intraocular Pressure Reducers

OPTIVAR AZELASTINE HCL 0.05% DROPS Eye Antihistamines

ORABASE HCA HYDROCORTISONE ACETATE 0.50% PASTE Dental Aids and Preparations

ORAMORPH SR MORPHINE SULFATE 100MG TABLET SA Analgesics, Narcotics

ORAMORPH SR MORPHINE SULFATE 15MG TABLET SA Analgesics, Narcotics

ORAMORPH SR MORPHINE SULFATE 30MG TABLET SA Analgesics, Narcotics

ORAMORPH SR MORPHINE SULFATE 60MG TABLET SA Analgesics, Narcotics

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

ORAP PIMOZIDE 2MG TABLET Antipsych,Dopamine Antag.,Diphenylbutylpiperidenes

ORAPRED PREDNISOLONE SOD PHOSPHAT 15MG/5ML SOLUTION Glucocorticoids, Systemic

ORGANIDIN IODINATED GLYCEROL 60MG/5ML ELIXIR Expectorants

ORINASE TOLBUTAMIDE 250MG TABLET Oral Hypoglycemics, Sulfonylureas

ORINASE TOLBUTAMIDE 500MG TABLET Oral Hypoglycemics, Sulfonylureas

ORTHO EVRA ETHINYL ESTRADIOL/NORELGE 20-150/24H PATCH TDWK Progesterone Receptors

ORTHO TRI-CYCLEN NORGESTIMATE-ETHINYL ESTR 7 DAYS X 3 TABLET Contraceptives, Oral

ORTHO TRI-CYCLEN LO NORGESTIMATE-ETHINYL ESTR 7DAYSX3 LO TABLET Contraceptives, Oral

ORTHO-CEPT DESOGESTREL-ETHINYL ESTRA 0.15-0.03 TABLET Contraceptives, Oral

ORTHO-CYCLEN NORGESTIMATE-ETHINYL ESTR 0.25-0.035 TABLET Contraceptives, Oral

ORTHO-DIENESTROL DIENESTROL 0.01% CREAM/APPL Vaginal Estrogen Preparations

ORTHO-EST ESTROPIPATE 0.75MG TABLET Estrogenic Agents

ORTHO-EST ESTROPIPATE 1.5MG TABLET Estrogenic Agents

ORTHO-NOVUM NORETHINDRONE-ETHINYL EST 11-Oct TABLET Contraceptives, Oral

ORTHO-NOVUM NORETHINDRONE-ETHINYL EST 1-0.035MG TABLET Contraceptives, Oral

ORTHO-NOVUM NORETHINDRONE-ETHINYL EST 7 DAYS X 3 TABLET Contraceptives, Oral

ORTHO-NOVUM NORETHINDRONE-MESTRANOL 1-0.05MG TABLET Contraceptives, Oral

ORUDIS KETOPROFEN 25MG CAPSULE Anti-inflammatory Agents

ORUDIS KETOPROFEN 50MG CAPSULE Anti-inflammatory Agents

ORUDIS KETOPROFEN 75MG CAPSULE Anti-inflammatory Agents

ORUVAIL KETOPROFEN 100MG CAP24H PEL Anti-inflammatory Agents

ORUVAIL KETOPROFEN 150MG CAP24H PEL Anti-inflammatory Agents

ORUVAIL KETOPROFEN 200MG CAP24H PEL Anti-inflammatory Agents

OSMOGLYN GLYCERIN 50% SOLUTION Osmotic Diuretics

OTOBIOTIC POLYMYXIN B SULFATE/HC DROPS Ear Preparations, Antibiotics

OVCON-35 NORETHINDRONE-ETHINYL EST 0.4-0.035 TABLET Contraceptives, Oral

OVCON-35 NORETHINDRONE-ETHINYL EST 0.4-0.035 TAB CHEW Contraceptives, Oral

OVCON-50 NORETHINDRONE-ETHINYL EST 1-0.05MG TABLET Contraceptives, Oral

OVIDE MALATHION 0.50% LOTION Topical Antiparasitics

OVRAL-28 NORGESTREL-ETHINYL ESTRAD 0.5-0.05MG TABLET Contraceptives, Oral

OVRETTE NORGESTREL 75MCG TABLET Contraceptives, Oral

OVULEN-28 ETHYNODIOL DIACETATE-MEST 1-0.1MG TABLET Contraceptives, Oral

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

OXAPROZIN OXAPROZIN 600MG TABLET NSAIDS, Cyclooxygenase Inhibitor-Type (Cont'd 1)

OXAZEPAM OXAZEPAM 10MG TABLET Anti-Anxiety Drugs

OXISTAT OXICONAZOLE NITRATE 1% LOTION Topical Antifungals

OXISTAT OXICONAZOLE NITRATE 1% CREAM(GM) Topical Antifungals

OXSORALEN METHOXSALEN 1% LOTION Topical Hyperpigmentation Agents

OXSORALEN-ULTRA METHOXSALEN, RAPID 10MG CAPSULE Antipsoriatic Agents, Systemic

OXYCODONE HCL OXYCODONE HCL 5MG TABLET Analgesics, Narcotics

OXYCONTIN OXYCODONE HCL 10MG TAB.SR 12H Analgesics, Narcotics

OXYCONTIN OXYCODONE HCL 160MG TAB.SR 12H Analgesics, Narcotics

OXYCONTIN OXYCODONE HCL 20MG TAB.SR 12H Analgesics, Narcotics

OXYCONTIN OXYCODONE HCL 40MG TAB.SR 12H Analgesics, Narcotics

OXYCONTIN OXYCODONE HCL 80MG TAB.SR 12H Analgesics, Narcotics

OXYCONTIN OXYCODONE HCL 15MG TAB SR 12H Analgesics, Narcotics

OXYCONTIN OXYCODONE HCL 30MG TAB SR 12H Analgesics, Narcotics

OXYCONTIN OXYCODONE HCL 60MG TAB SR 12H Analgesics, Narcotics

OXYFAST OXYCODONE HCL 20MG/ML ORAL CONC. Analgesics, Narcotics

OXYIR OXYCODONE HCL 5MG CAPSULE Analgesics, Narcotics

OXYTOCIN OXYTOCIN 10 UNIT/ML DISP SYRIN Oxytocics

OXYTROL OXYBUTYNIN 3.9MG/24HR PATCH TDBW Urinary Tract Antispasmodic Agents

P1E1 PILOCARPINE HCL/EPI BIT 1% DROPS Miotics/Other Intraocular Pressure Reducers

P2E1 PILOCARPINE HCL/EPI BIT 2% DROPS Miotics/Other Intraocular Pressure Reducers

P3E1 PILOCARPINE HCL/EPI BIT 3% DROPS Miotics/Other Intraocular Pressure Reducers

P4E1 PILOCARPINE HCL/EPI BIT 4% DROPS Miotics/Other Intraocular Pressure Reducers

P6E1 PILOCARPINE HCL/EPI BIT 6% DROPS Miotics/Other Intraocular Pressure Reducers

PACERONE AMIODARONE HCL 100MG TABLET Antiarrhythmics

PACERONE AMIODARONE HCL 300MG TABLET Antiarrhythmics

PAMELOR NORTRIPTYLINE HCL 10MG CAPSULE Antidepressants

PAMELOR NORTRIPTYLINE HCL 10MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

PAMELOR NORTRIPTYLINE HCL 10MG/5ML SOLUTION Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

PAMELOR NORTRIPTYLINE HCL 25MG CAPSULE Antidepressants

PAMELOR NORTRIPTYLINE HCL 25MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

PAMELOR NORTRIPTYLINE HCL 50MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

PAMELOR NORTRIPTYLINE HCL 75MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

PAN-2400 AMYLASE/LIPASE/PROTE/PANC 2400MG CAPSULE Pancreatic Enzymes

PANCREASE AMYLASE/LIPASE/PROTEASE 20-4.5-25 CAPSULE DR Pancreatic Enzymes

PANCREASE MT 10 AMYLASE/LIPASE/PROTEASE 30-10-30 CAPSULE DR Pancreatic Enzymes

PANCREASE MT 16 AMYLASE/LIPASE/PROTEASE 48-16-48 CAPSULE DR Pancreatic Enzymes

PANCREASE MT 20 AMYLASE/LIPASE/PROTEASE 56-20-44 CAPSULE DR Pancreatic Enzymes

PANCREASE MT 25 AMYLASE/LIPASE/PROTEASE 70-25-55 CAPSULE EC Pancreatic Enzymes

PANCREASE MT 32 AMYLASE/LIPASE/PROTEASE 90-32-70 CAPSULE EC Pancreatic Enzymes

PANCREASE MT 4 AMYLASE/LIPASE/PROTEASE 12K-4K-12K CAPSULE DR Pancreatic Enzymes

PANCREATIC ENZYME AMYLASE/LIPASE/PROTEASE 20-4-25 CAPSULE EC Pancreatic Enzymes

PANCREATIN AMYLASE/LIPASE/PROTE/PANC 325MG TABLET Pancreatic Enzymes

PANCREATIN 8X AMYLASE/LIPASE/PROTE/PANC 7200MG TABLET Pancreatic Enzymes

PANCRECARB MS-16 AMYLASE/LIPASE/PROTEASE 52-16-52 CAPSULE DR Pancreatic Enzymes

PANCRECARB MS-4 AMYLASE/LIPASE/PROTEASE 25K-4K-25K CAPSULE DR Pancreatic Enzymes

PANCRECARB MS-8 AMYLASE/LIPASE/PROTEASE 40K-8K-45K CAPSULE DR Pancreatic Enzymes

PANCREZYME 4X AMYLASE/LIPASE/PROTE/PANC 2400MG TABLET Pancreatic Enzymes

PANIXINE CEPHALEXIN MONOHYDRATE 125MG TAB DISPER Cephalosporins

PANIXINE CEPHALEXIN MONOHYDRATE 250MG TAB DISPER Cephalosporins

PANLOR DC DHCODEINE BT/ACETAMINOPHN 16-356-30 CAPSULE Analgesics, Narcotics

PANOXYL BENZOYL PEROXIDE 10% GEL Keratolytics

PARAFLEX CHLORZOXAZONE 250MG TABLET Skeletal Muscle Relaxants

PARAFON FORTE DSC CHLORZOXAZONE 500MG TABLET Skeletal Muscle Relaxants

PARLODEL BROMOCRIPTINE MESYLATE 2.5MG TABLET Pituitary Suppressive Agents

PARLODEL BROMOCRIPTINE MESYLATE 5MG CAPSULE Pituitary Suppressive Agents

PARNATE TRANYLCYPROMINE SULFATE 10MG TABLET MAOIS-Non-Selective & Irreversible

PATADAY OLAPATADINE 0.2% DROPS Eye Antihistamines

PATANOL OLOPATADINE HCL 0.10% DROPS Eye Antihistamines

PATHOCIL DICLOXACILLIN SODIUM 500MG CAPSULE Penicillins

PAXIL PAROXETINE HCL 10MG TABLET Antidepressants I.e. Prozac Weekly

PAXIL PAROXETINE HCL 10MG/5ML ORAL SUSP Antidepressants I.e. Prozac Weekly

PAXIL PAROXETINE HCL 20MG TABLET Antidepressants

PAXIL PAROXETINE HCL 20MG TABLET Antidepressants I.e. Prozac Weekly

PAXIL PAROXETINE HCL 30MG TABLET Antidepressants

PAXIL PAROXETINE HCL 30MG TABLET Antidepressants I.e. Prozac Weekly

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

PAXIL PAROXETINE HCL 40MG TABLET Antidepressants I.e. Prozac Weekly

PCE ERYTHROMYCIN BASE 333MG TAB PART Macrolides

PCE ERYTHROMYCIN BASE 500MG TAB PART Macrolides

PEDIAFLOR SODIUM FLUORIDE 0.5MG/ML DROPS Fluoride Preparations

PEDIAPRED PREDNISOLONE SOD PHOSPHAT 5MG/5ML SOLUTION Glucocorticoids, Systemic

PEDIAPRED PREDNISOLONE SOD PHOSPHAT 6.7MG/5ML SOLUTION Glucocorticoids, Systemic

PEDIAZOLE ERY E-SUCC/SULFISOXAZOLE 200-600/5 SUSP RECON Macrolides

PEGASYS

PA

Required PEGINTERFERON ALFA-2A 180MCG/ML VIAL Hepatitis C Treatment Agents

PEGASYS

PA

Required PEGINTERFERON ALFA-2A 180MCG/ML KIT Hepatitis C Treatment Agents

PEG-INTRON REDIPEN

PA

Required PEGINTERFERON ALFA-2B 120MCG/0.5 KIT Hepatitis C Treatment Agents

PEG-INTRON REDIPEN

PA

Required PEGINTERFERON ALFA-2B 150MCG/0.5 KIT Hepatitis C Treatment Agents

PEG-INTRON REDIPEN

PA

Required PEGINTERFERON ALFA-2B 50MCG/0.5 KIT Hepatitis C Treatment Agents

PEG-INTRON REDIPEN

PA

Required PEGINTERFERON ALFA-2B 80MCG/0.5 KIT Hepatitis C Treatment Agents

PEN NEEDLES NEEDLES, INSULIN DISPOSAB 31GX0.312" DIS NEEDLE Needles/Needleless Devices

PENICILLIN V POTASSIUM PENICILLIN V POTASSIUM 250MG TABLET Penicillins

PENTASA MESALAMINE 250MG CAPSULE SA Drug TX-Chronic Inflam. Colon DX

PENTASA MESALAMINE 500MG CAPSULE SA Drug TX-Chronic Inflam. Colon DX

PEPCID FAMOTIDINE 20MG TABLET Gastric Acid Secretion Reducers

PEPCID FAMOTIDINE 40MG TABLET Gastric Acid Secretion Reducers

PEPCID FAMOTIDINE 40MG/5ML ORAL SUSP Gastric Acid Secretion Reducers

PERCOCET OXYCODONE HCL/ACETAMINOPH 10-325MG TABLET Analgesics, Narcotics

PERCOCET OXYCODONE HCL/ACETAMINOPH 10-650MG TABLET Analgesics, Narcotics

PERCOCET OXYCODONE HCL/ACETAMINOPH 2.5-325MG TABLET Analgesics, Narcotics

PERCOCET OXYCODONE HCL/ACETAMINOPH 5-325MG TABLET Analgesics, Narcotics

PERCOCET OXYCODONE HCL/ACETAMINOPH 7.5-325MG TABLET Analgesics, Narcotics

PERCOCET OXYCODONE HCL/ACETAMINOPH 7.5-500MG TABLET Analgesics, Narcotics

PERCODAN OXYCODONE/ASPIRIN 4.88-325MG TABLET Analgesics, Narcotics

PERCODAN DEMI OXYCODONE/ASPIRIN 2.44-325MG TABLET Analgesics, Narcotics

PERIACTIN CYPROHEPTADINE HCL 2MG/5ML SYRUP Antihistamines, Cont 11

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

PERIACTIN CYPROHEPTADINE HCL 4MG TABLET Antihistamines, Cont 12

PERIDEX CHLORHEXIDINE GLUCONATE 1.2MG/ML LIQUID Dental Aids and Preparations

PERSANTINE DIPYRIDAMOLE 25MG TABLET Platelet Aggregation Inhibitors

PERSANTINE DIPYRIDAMOLE 25MG TABLET Platelet Aggregation Inhibitors

PERSANTINE DIPYRIDAMOLE 50MG TABLET Platelet Aggregation Inhibitors

PERSANTINE DIPYRIDAMOLE 50MG TABLET Platelet Aggregation Inhibitors

PERSANTINE DIPYRIDAMOLE 75MG TABLET Platelet Aggregation Inhibitors

PERSANTINE DIPYRIDAMOLE 75MG TABLET Platelet Aggregation Inhibitors

PHENACON PHENYLEPHRINE/CHLOR-MAL/S 20-8-2.5MG TAB.SR 12H Cough and Cold Preparations

PHENA-PLUS PHENYLEPHRINE/PPA HCL/CP 10-10-2.5 TABLET Cough and Cold Preparations

PHENATAN-S PHENYLEPHRINE/PYRIL TAN/C 5-12.5-2/5 ORAL SUSP Cough and Cold Preparations

PHENERGAN PROMETHAZINE HCL 12.5MG SUPP.RECT Anti-Emetics

PHENERGAN PROMETHAZINE HCL 12.5MG TABLET Antihistamines

PHENERGAN PROMETHAZINE HCL 25MG SUPP.RECT Anti-Emetics

PHENERGAN PROMETHAZINE HCL 25MG TABLET Antihistamines

PHENERGAN PROMETHAZINE HCL 25MG/5ML SYRUP Antihistamines

PHENERGAN PROMETHAZINE HCL 50MG SUPP.RECT Anti-Emetics

PHENERGAN PROMETHAZINE HCL 50MG TABLET Antihistamines

PHENERGAN PROMETHAZINE HCL 6.25MG/5ML SYRUP Antihistamines

PHENERGAN VC W/CODEINE PHENYLEPHRINE HCL/COD/PRO SYRUP Cough and Cold Preparations

PHENERGAN W/CODEINE CODEINE/PROMETHAZINE HCL 10-6.25/5 SYRUP Cough and Cold Preparations

PHENERGAN W/DEXTROMETHORP D-METHORPHAN HB/PROMETH H SYRUP Cough and Cold Preparations

PHENOBARBITAL PHENOBARBITAL 100MG TABLET Barbiturates

PHENOBARBITAL PHENOBARBITAL 20MG/5ML ELIXIR Barbiturates

PHENOBARBITAL PHENOBARBITAL 30MG TABLET Barbiturates

PHENOBARBITAL PHENOBARBITAL 60MG TABLET Barbiturates

PHENOBARBITAL PHENOBARBITAL 8MG TABLET Barbiturates

PHEN-TUSS AD PHENYLEPHRINE HCL/PROMETH SYRUP Cough and Cold Preparations

PHENYTEK PHENYTOIN SODIUM EXTENDED 200MG CAPSULE Anticonvulsants

PHENYTEK PHENYTOIN SODIUM EXTENDED 300MG CAPSULE Anticonvulsants

PHENYTOIN SODIUM PHENYTOIN SODIUM 100MG CAPSULE Anticonvulsants

PHOSLO CALCIUM ACETATE 667MG CAPSULE Electrolyte Depleters

PHOSLO CALCIUM ACETATE 667MG TABLET Electrolyte Depleters

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

PHOSPHOLINE IODIDE ECHOTHIOPHATE IODIDE 0.03% DROPS Miotics/Other Intraocular Pressure Reducers

PHOSPHOLINE IODIDE ECHOTHIOPHATE IODIDE 0.06% DROPS Miotics/Other Intraocular Pressure Reducers

PHOSPHOLINE IODIDE ECHOTHIOPHATE IODIDE 0.13% DROPS Miotics/Other Intraocular Pressure Reducers

PHOSPHOLINE IODIDE ECHOTHIOPHATE IODIDE 0.25% DROPS Miotics/Other Intraocular Pressure Reducers

PHYSOSTIGMINE SULFATE PHYSOSTIGMINE SULFATE 0.25% OINT.(GM) Miotics/Other Intraocular Pressure Reducers

PILOCAR PILOCARPINE HCL 0.50% DROPS Miotics/Other Intraocular Pressure Reducers

PILOCAR PILOCARPINE HCL 2% DROPS Miotics/Other Intraocular Pressure Reducers

PILOCAR PILOCARPINE HCL 6% DROPS Miotics/Other Intraocular Pressure Reducers

PILOCARPINE HCL PILOCARPINE HCL 5% DROPS Miotics/Other Intraocular Pressure Reducers

PITOCIN OXYTOCIN 10 UNIT/ML VIAL Oxytocics

PLAQUENIL HYDROXYCHLOROQUINE SULFAT 200MG TABLET Antimalarial Drugs

PLAVIX CLOPIDOGREL BISULFATE 75MG TABLET Platelet Aggregation Inhibitors

Plavix Clopidogrel 300mg Tablet Platelet Aggregation Inhibitors

PLENDIL FELODIPINE 10MG TAB.SR 24H Calcium Channel Blocking Agents

PLENDIL FELODIPINE 2.5MG TAB.SR 24H Calcium Channel Blocking Agents

PLENDIL FELODIPINE 5MG TAB.SR 24H Calcium Channel Blocking Agents

PLETAL CILOSTAZOL 100MG TABLET Platelet Aggregation Inhibitors

PLETAL CILOSTAZOL 50MG TABLET Platelet Aggregation Inhibitors

POLARAMINE DEXCHLORPHENIRAMINE MALEA 2MG TABLET Antihistamines

POLARAMINE DEXCHLORPHENIRAMINE MALEA 2MG/5ML SYRUP Antihistamines

POLARAMINE DEXCHLORPHENIRAMINE MALEA 4MG TABLET SA Antihistamines

POLARAMINE GUAIFEN/P-EPHED HCL/D-CP 100-20-2/5 EXPECT. Expectorants

POLYCILLIN AMPICILLIN TRIHYDRATE 125MG/5ML SUSP RECON Penicillins

POLYCILLIN AMPICILLIN TRIHYDRATE 250MG/5ML SUSP RECON Penicillins

POLY-HISTINE CS PPA HCL/CODEINE/BR-PHENIR SYRUP Cough and Cold Preparations

POLY-HISTINE DM D-METHORPHAN HB/PPA HCL/B 10-12.5-2 SYRUP Cough and Cold Preparations

POLY-HISTINE-D PPA HCL/PYRIL MAL/P-TLOX/ ADULT CAPSULE SA Antihistamines

POLY-HISTINE-D PPA HCL/PYRIL MAL/P-TLOX/ ELIXIR Antihistamines

POLY-HISTINE-D PED PPA HCL/PYRIL MAL/P-TLOX/ PEDIATRIC CAPSULE SA Antihistamines

POLYMOX AMOXICILLIN TRIHYDRATE 125MG/5ML SUSP RECON Penicillins

POLYMOX AMOXICILLIN TRIHYDRATE 250MG/5ML SUSP RECON Penicillins

POLY-PRED NEOMY SULF/POLYMYX B SULF 0.50% DROPS SUSP Eye Antibiotic-Corticoid Combinations

POLYSPORIN BACITRACIN/POLYMYXIN B SU OINT.(GM) Eye Antibiotics

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

POLYTRIM POLYMYXIN B SULFATE/TMP 10K U-0.1% DROPS Eye Antibiotics

POLY-VENT GUAIFENESIN/P-EPHED HCL 650-90MG TAB.SR 12H Expectorants

POLY-VI-FLOR FLUORIDE ION/MULTIVITAMIN 0.25MG TAB CHEW Pediatric Vitamin Preparations

POLY-VI-FLOR FLUORIDE ION/MULTIVITAMIN 0.25MG/ML DROPS Pediatric Vitamin Preparations

POLY-VI-FLOR FLUORIDE ION/MULTIVITAMIN 0.5MG TAB CHEW Pediatric Vitamin Preparations

POLY-VI-FLOR FLUORIDE ION/MULTIVITAMIN 0.5MG/ML DROPS Pediatric Vitamin Preparations

POLY-VI-FLOR FLUORIDE ION/MULTIVITAMIN 1MG TAB CHEW Pediatric Vitamin Preparations

POLY-VI-FLOR W/IRON FLUORIDE ION/MULTIVITS W- 0.25MG TAB CHEW Pediatric Vitamin Preparations

POLY-VI-FLOR W/IRON FLUORIDE ION/MULTIVITS W- 0.25MG/ML DROPS Pediatric Vitamin Preparations

POLY-VI-FLOR W/IRON FLUORIDE ION/MULTIVITS W- 0.5MG TAB CHEW Pediatric Vitamin Preparations

POLY-VI-FLOR W/IRON FLUORIDE ION/MULTIVITS W- 0.5MG/ML DROPS Pediatric Vitamin Preparations

POTASSIUM CHLORIDE POTASSIUM CHLORIDE 8MEQ TABLET SA Potassium Replacement

PRAMOSONE HYDROCORTISONE/PRAMOXINE 1% CREAM(GM) Topical Local Anesthetics

PRAMOSONE HYDROCORTISONE/PRAMOXINE 1% OINT.(GM) Topical Local Anesthetics

PRAMOSONE HYDROCORTISONE/PRAMOXINE 1% LOTION Topical Local Anesthetics

PRAMOSONE HYDROCORTISONE/PRAMOXINE 2.50% CREAM(GM) Topical Local Anesthetics

PRAMOSONE HYDROCORTISONE/PRAMOXINE 2.50% OINT.(GM) Topical Local Anesthetics

PRAMOSONE HYDROCORTISONE/PRAMOXINE 2.50% LOTION Topical Local Anesthetics

PRAMOTIC PRAMOXINE HCL/CHLOROXYLEN 1-0.1% DROPS Ear Preparations, Local Anesthetics

PRANDIN REPAGLINIDE 0.5MG TABLET Oral Hypoglycemics, Sulfonylureas

PRANDIN REPAGLINIDE 2MG TABLET Oral Hypoglycemics, Sulfonylureas

PRECOSE ACARBOSE 100MG TABLET Hypoglycemics, Insulin-Response Enhancer

PRECOSE ACARBOSE 25MG TABLET Hypoglycemics, Insulin-Response Enhancer

PRECOSE ACARBOSE 50MG TABLET Hypoglycemics, Insulin-Response Enhancer

PRED FORTE PREDNISOLONE ACETATE 1% DROPS SUSP Eye Antiinflammatory Agents

PRED MILD PREDNISOLONE ACETATE 0.12% DROPS SUSP Eye Antiinflammatory Agents

PRED-G GENTAMICIN/PREDNISOL AC 1% DROPS SUSP Eye Antibiotic-Corticoid Combinations

PRED-G GENTAMICIN/PREDNISOL AC 0.3-0.6% OINT.(GM) Eye Antibiotic-Corticoid Combinations

PREDNISOLONE PREDNISOLONE 5MG TABLET Glucocorticoids, Systemic

PREDNISONE PREDNISONE 10MG TABLET Glucocorticoids, Systemic

PREDNISONE PREDNISONE 2.5MG TABLET Glucocorticoids, Systemic

PREDNISONE PREDNISONE 20MG TABLET Glucocorticoids, Systemic

PREDNISONE PREDNISONE 50MG TABLET Glucocorticoids, Systemic

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

PREDNISONE PREDNISONE 5MG TABLET Glucocorticoids, Systemic

PREDNISONE PREDNISONE 5MG/5ML SOLUTION Glucocorticoids, Systemic

PREDNISONE INTENSOL PREDNISONE 5MG/ML ORAL CONC. Glucocorticoids, Systemic

PRELONE PREDNISOLONE 15MG/5ML SYRUP Glucocorticoids, Systemic

PRELONE PREDNISOLONE 5MG/5ML SYRUP Glucocorticoids, Systemic

PREMARIN ESTROGENS,CONJUGATED 0.3MG TABLET Estrogenic Agents

PREMARIN ESTROGENS,CONJUGATED 0.45MG TABLET Estrogenic Agents

PREMARIN ESTROGENS,CONJUGATED 0.625MG TABLET Estrogenic Agents

PREMARIN ESTROGENS,CONJUGATED 0.625MG/G CREAM/APPL Vaginal Estrogen Preparations

PREMARIN ESTROGENS,CONJUGATED 0.9MG TABLET Estrogenic Agents

PREMARIN ESTROGENS,CONJUGATED 1.25MG TABLET Estrogenic Agents

PREMARIN ESTROGENS,CONJUGATED 2.5MG TABLET Estrogenic Agents

PREMPHASE ESTROGEN,CON/M-PROGEST AC 0.625-5MG TABLET SEQ Estrogenic Agents

PREMPRO ESTROGEN,CON/M-PROGEST AC 0.3-1.5MG TABLET Estrogenic Agents

PREMPRO ESTROGEN,CON/M-PROGEST AC 0.45-1.5MG TABLET Estrogenic Agents

PREMPRO ESTROGEN,CON/M-PROGEST AC 0.625-2.5 TABLET Estrogenic Agents

PREMPRO ESTROGEN,CON/M-PROGEST AC 0.625-5MG TABLET Estrogenic Agents

PRENATE-90 PRENATAL VIT/FE FUM/DOSS/ 90-1MG TABLET SA Prenatal Vitamin Preparations

PREVACID LANSOPRAZOLE 15MG CAPSULE DR Gastric Acid Secretion Reducers

PREVACID LANSOPRAZOLE 30MG CAPSULE DR Gastric Acid Secretion Reducers

PREVEN L-NORGEST-ETH ESTR/PRG TS 0.25-0.05 KIT Contraceptives, Oral

PREZISTA DARUNAVIR ETHANOLATE 300MG TABLET Antiretroviral Agents

Prezista Darunavir Ethanolate 600mg Tablet Antiretroviaral Agents

PRILOSEC OMEPRAZOLE 10MG CAPSULE DR Gastric Acid Secretion Reducers

PRILOSEC OMEPRAZOLE 20MG CAPSULE DR Gastric Acid Secretion Reducers

PRILOSEC OMEPRAZOLE 20MG CAPSULE DR Gastric Acid Secretion Reducers

PRILOSEC OMEPRAZOLE 40MG CAPSULE DR Gastric Acid Secretion Reducers

PRILOSEC OTC OMEPRAZOLE MAGNESIUM 20MG TABLET DR Gastric Acid Secretion Reducers

PRIMAQUINE PRIMAQUINE PHOSPHATE 26.3MG TABLET Antimalarial Drugs

PRIMSOL TRIMETHOPRIM 50MG/5ML SOLUTION Chemotherapeutics, Antibacterial, Misc.

PRINIVIL LISINOPRIL 10MG TABLET Hypotensives, ACE Blocking Agents

PRINIVIL LISINOPRIL 5MG TABLET Hypotensives, ACE Blocking Agents

PRINZIDE LISINOPRIL/HYDROCHLOROTHI 10-12.5MG TABLET Hypotensives, ACE Blocking Agents

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

PRINZIDE LISINOPRIL/HYDROCHLOROTHI 20-12.5MG TABLET Hypotensives, ACE Blocking Agents

PRINZIDE LISINOPRIL/HYDROCHLOROTHI 20-25MG TABLET Hypotensives, ACE Blocking Agents

PROAIR HFA ALBUTEROL SULFATE HFA 90MCG INHALER Beta-Adrenergic Agents

PRO-BANTHINE PROPANTHELINE BROMIDE 15MG TABLET Anticholinergics, Quarternary

PRO-BANTHINE PROPANTHELINE BROMIDE 7.5MG TABLET Anticholinergics, Quarternary

PROCAINAMIDE HCL PROCAINAMIDE HCL 1000MG TABLET SA Antiarrhythmics

PROCAINAMIDE HCL PROCAINAMIDE HCL 250MG TABLET SA Antiarrhythmics

PROCAINAMIDE HCL PROCAINAMIDE HCL 500MG CAPSULE Antiarrhythmics

PROCAN SR PROCAINAMIDE HCL 750MG TABLET SA Antiarrhythmics

PROCANBID PROCAINAMIDE HCL 1000MG TAB.SR 12H Antiarrhythmics

PROCANBID PROCAINAMIDE HCL 500MG TAB.SR 12H Antiarrhythmics

PROCARDIA NIFEDIPINE 10MG CAPSULE Calcium Channel Blocking Agents

PROCARDIA NIFEDIPINE 20MG CAPSULE Calcium Channel Blocking Agents

PROCARDIA XL NIFEDIPINE 30MG TAB SA OSM Calcium Channel Blocking Agents

PROCARDIA XL NIFEDIPINE 60MG TABLET SA Calcium Channel Blocking Agents

PROCARDIA XL NIFEDIPINE 90MG TAB SA OSM Calcium Channel Blocking Agents

PROCRIT EPOETIN ALFA 10000 U/ML VIAL Hematinics, Other

PROCRIT EPOETIN ALFA 2000 U/ML VIAL Hematinics, Other

PROCRIT EPOETIN ALFA 4000 U/ML VIAL Hematinics, Other

PROCTOCORT HYDROCORTISONE 1% CREAM(GM) Rectal Preparations

PROCTOCORT HYDROCORTISONE ACETATE 30MG SUPP.RECT Rectal Preparations

PROCTOCREAM-HC PRAMOXINE HCL/HYDROCORTIS 1% CREAM(GM) Hemorrhoidal Preparations

PROCTOFOAM PRAMOXINE HCL 1% FOAM/APPL. Hemorrhoidal Preparations

PROCTOFOAM-HC HC ACETATE/PRAMOXINE HCL 1-1% FOAM Rectal Preparations

PROCTOZONE H HYDROCORTISONE ACETATE 1% CREAM(GM) Rectal Preparations

PROGRAF TACROLIMUS ANHYDROUS 0.5MG CAPSULE Immunosuppresives

PROGRAF TACROLIMUS ANHYDROUS 1MG CAPSULE Immunosuppresives

PROGRAF TACROLIMUS ANHYDROUS 5MG CAPSULE Immunosuppresives

PROGRAF TACROLIMUS ANHYDROUS 5MG/ML AMPUL Immunosuppresives

PROLEX DH POT GUAIACO/HYDROCODONE B 300-4.5/5 SYRUP Expectorants

PROLIXIN FLUPHENAZINE HCL 1MG TABLET Anti-Psychotics, Phenothiazines

PROLIXIN FLUPHENAZINE HCL 2.5MG TABLET Anti-Psychotics, Phenothiazines

PROLIXIN FLUPHENAZINE HCL 2.5MG/5ML ELIXIR Anti-Psychotics, Phenothiazines

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

PROLIXIN FLUPHENAZINE HCL 5MG TABLET Anti-Psychotics, Phenothiazines

PROLIXIN FLUPHENAZINE HCL 5MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines

PROLOID THYROGLOBULIN 130MG TABLET Thyroid Hormones

PROLOID THYROGLOBULIN 200MG TABLET Thyroid Hormones

PROLOID THYROGLOBULIN 65MG TABLET Thyroid Hormones

PROLOPRIM TRIMETHOPRIM 200MG TABLET Chemotherapeutics, Antibacterial, Misc.

PROMETRIUM PROGESTERONE,MICRONIZED 100MG CAPSULE Progestational Agents

PROMETRIUM PROGESTERONE,MICRONIZED 200MG CAPSULE Progestational Agents

PRONESTYL PROCAINAMIDE HCL 250MG CAPSULE Antiarrhythmics

PRONESTYL PROCAINAMIDE HCL 250MG TABLET Antiarrhythmics

PRONESTYL PROCAINAMIDE HCL 375MG CAPSULE Antiarrhythmics

PRONESTYL PROCAINAMIDE HCL 375MG TABLET Antiarrhythmics

PRONESTYL PROCAINAMIDE HCL 500MG TABLET Antiarrhythmics

PRONESTYL-SR PROCAINAMIDE HCL 500MG TABLET SA Antiarrhythmics

PROPINE DIPIVEFRIN HCL 0.10% DROPS Mydriatics

PROPRANOLOL HCL PROPRANOLOL HCL 20MG/5ML SOLUTION Beta-Adrenergic Blocking Agents

PROPRANOLOL HCL PROPRANOLOL HCL 40MG/5ML SOLUTION Beta-Adrenergic Blocking Agents

PROPRANOLOL HCL PROPRANOLOL HCL 80MG TABLET Beta-Adrenergic Blocking Agents

PROPRANOLOL HCL PROPRANOLOL HCL 80MG/ML DROPS Beta-Adrenergic Blocking Agents

PROPYLTHIOURACIL PROPYLTHIOURACIL 50MG CAPSULE Antithyroid Preparations

PROPYLTHIOURACIL PROPYLTHIOURACIL 50MG TABLET Antithyroid Preparations

PROSCAR FINASTERIDE 5MG TABLET BPH/Micturition Agents

PROSED EC MTH/ME BLUE/BA/SALICY/ATP 81.6-0.06 TABLET DR Chemotherapeutics, Antibacterial, Misc.

PROSED/DS MTH/ME BLUE/BA/SALICY/ATP 81.6-0.06 TABLET Chemotherapeutics, Antibacterial, Misc.

PROSOM ESTAZOLAM 1MG TABLET Non-Barbiturate, Sedative-Hypnotic

PROSOM ESTAZOLAM 2MG TABLET Non-Barbiturate, Sedative-Hypnotic

PROSTIGMIN NEOSTIGMINE BROMIDE 15MG TABLET Cholinesterase Inhibitors

PROTONIX PANTOPRAZOLE SOD SESQUIHY 40MG TABLET DR Gastric Acid Secretion Reducers

PROTONIX PANTOPRAZOLE SODIUM 20MG TABLET DR Gastric Acid Secretion Reducers

PROTOPIC TACROLIMUS 0.03% OINT.(GM) Topical Immunosuppressive Agents

PROTOPIC TACROLIMUS 0.10% OINT.(GM) Topical Immunosuppressive Agents

PROTROPIN

PA

Required SOMATREM 10MG VIAL Growth Hormones

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

PROTROPIN

PA

Required SOMATREM 5MG VIAL Growth Hormones

PROVENTIL ALBUTEROL SULFATE 2MG TABLET Beta-Adrenergic Agents

PROVENTIL ALBUTEROL SULFATE 4MG TABLET Beta-Adrenergic Agents

PROVENTIL ALBUTEROL SULFATE 4MG TAB MPHASE Beta-Adrenergic Agents

PROVENTIL ALBUTEROL SULFATE 5MG/ML SOLUTION Beta-Adrenergic Agents

PROVENTIL HFA ALBUTEROL SULFATE 90MCG AER W/ADAP Beta-Adrenergic Agents

PROVERA MEDROXYPROGESTERONE ACET 10MG TABLET Progestational Agents

PROVERA MEDROXYPROGESTERONE ACET 2.5MG TABLET Progestational Agents

PROVERA MEDROXYPROGESTERONE ACET 5MG TABLET Progestational Agents

PROZAC FLUOXETINE HCL 10MG TABLET Antidepressants I.e. Prozac Weekly

PROZAC FLUOXETINE HCL 20MG CAPSULE Antidepressants I.e. Prozac Weekly

PROZAC FLUOXETINE HCL 20MG/5ML SOLUTION Antidepressants I.e. Prozac Weekly

PROZAC FLUOXETINE HCL 40MG CAPSULE Antidepressants I.e. Prozac Weekly

PROZAC FLUOXETINE HYDROCHLORIDE 10MG CAPSULE Antidepressants

PROZAC FLUOXETINE HYDROCHLORIDE 20MG CAPSULE Antidepressants

PROZAC FLUOXETINE HYDROCHLORIDE 20MG/5ML SOLUTION Antidepressants

PSORCON DIFLORASONE DIACETATE 0.05% CREAM(GM) Topical Antiinflammatory Preparations

PSORCON DIFLORASONE DIACETATE 0.05% OINT.(GM) Topical Antiinflammatory Preparations

PSORCON E DIFLORASONE DIACETATE/EMO 0.05% CREAM(GM) Topical Antiinflammatory Preparations

PSORCON E DIFLORASONE DIACETATE/EMO 0.05% OINT.(GM) Topical Antiinflammatory Preparations

PSORIATEC ANTHRALIN 1% CREAM(GM) Antipsoriatic Agents

PULMICORT

PA

Required

>age 6 BUDESONIDE0.25MG/2ML

AMPUL-NEB. Glucocorticoids, Systemic

PULMICORT

PA

Required

>age 6 BUDESONIDE0.5MG/2ML

AMPUL-NEB. Glucocorticoids, Systemic

PULMICORT

PA

Required

>age 6 BUDESONIDE1MG/ML

AMPUL-NEB. Glucocorticoids, Systemic

PULMICORT BUDESONIDE 200MCG AER POW BA Glucocorticoids, Systemic

PULMICORT BUDESONIDE 90mcg AER POW Glucocorticoids, Systemic, Cont.

PULMICORT BUDESONIDE 180mcg AER POW Glucocorticoids, Systemic, Cont.

PULMOZYME

PA

Required DORNASE ALFA 1MG/ML SOLUTION Mucolytics

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

PURINETHOL MERCAPTOPURINE 50MG TABLET Antimetabolites

P-V-TUSSIN GUAIFEN/HYDROCOD BIT/PHEN TABLET Expectorants

P-V-TUSSIN P-EPHED HCL/HYDROCODONE/C 30-2.5-2/5 SYRUP Cough and Cold Preparations

PYRAZINAMIDE PYRAZINAMIDE 500MG TABLET Antimycobacterium Agents

PYRIDIUM PHENAZOPYRIDINE HCL 100MG TABLET Urinary Tract Anesthetic/Analgesic Agents

PYRIDIUM PHENAZOPYRIDINE HCL 200MG TABLET Urinary Tract Anesthetic/Analgesic Agents

PYRIDIUM PLUS PHENAZOPY HCL/HYOSCY/BUTA 150-0.3-15 TABLET Urinary Tract Anesthetic/Analgesic Agents

QUESTRAN CHOLESTYRAMINE 1G TABLET Bile Salt Sequestrants

QUESTRAN CHOLESTYRAMINE/SUCROSE 4G POWDER Bile Salt Sequestrants

QUESTRAN CHOLESTYRAMINE/SUCROSE 4G PACKET Bile Salt Sequestrants

QUESTRAN LIGHT CHOLESTYRAMINE/ASPARTAME 4G PACKET Bile Salt Sequestrants

QUESTRAN LIGHT CHOLESTYRAMINE/ASPARTAME POWDER Bile Salt Sequestrants

QUIBRON-T/SR THEOPHYLLINE ANHYDROUS 300MG TAB.SR 12H Xanthines

QUINAGLUTE QUINIDINE GLUCONATE 324MG TABLET SA Antiarrhythmics

QUINERVA QUININE SULFATE 260MG TABLET Antimalarial Drugs

QUINIDEX QUINIDINE SULFATE 300MG TABLET SA Antiarrhythmics

QUINIDINE SULFATE QUINIDINE SULFATE 100MG TABLET Antiarrhythmics

QUINIDINE SULFATE QUINIDINE SULFATE 200MG CAPSULE Antiarrhythmics

QUINIDINE SULFATE QUINIDINE SULFATE 200MG TABLET Antiarrhythmics

QUINIDINE SULFATE QUINIDINE SULFATE 300MG TABLET Antiarrhythmics

QUININE SULFATE QUININE SULFATE 200MG CAPSULE Antimalarial Drugs

QUININE SULFATE QUININE SULFATE 300MG CAPSULE Antimalarial Drugs

QUININE SULFATE QUININE SULFATE 325MG CAPSULE Antimalarial Drugs

QUININE SULFATE QUININE SULFATE 325MG TABLET Antimalarial Drugs

QUIXIN LEVOFLOXACIN 0.50% DROPS Eye Antibiotics

QVAR BECLOMETHASONE DIPROPIONA 40MCG AER W/ADAP Glucocorticoids, Topical

QVAR BECLOMETHASONE DIPROPIONA 80MCG AER W/ADAP Glucocorticoids, Topical

RANEXA

PA

Required RANOLAZINE 500MG TABLET Antianginal & Anti-ischemic Agents

RANEXA

PA

Required RANOLAZINE 1000MG TABLET Antianginal & Anti-ischemic Agents

RAPAMUNE SIROLIMUS 1MG TABLET Immunosuppresives

RAPAMUNE SIROLIMUS 1MG/ML SOLUTION Immunosuppresives

RAPAMUNE SIROLIMUS 2MG TABLET Immunosuppresives

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

RAPIFLUX FLUOXETINE HCL 20MG TABLET Antidepressants I.e. Prozac Weekly

REBETOL

PA

Required RIBAVIRIN 200MG CAPSULE Hepatitis C Treatment Agents

REBETOL

PA

Required RIBAVIRIN 40MG/ML SOLUTION Hepatitis C Treatment Agents

REBETRON 600

PA

Required RIBAVIRIN/INTERFERON A-2B 600-3/.5ML KIT Hepatitis C Treatment Agents

REBIF INTERFERON BETA-1A/ALBUMI 22MCG/.5ML DISP SYRIN Agents to treat Multiple Sclerosis

REBIF INTERFERON BETA-1A/ALBUMI 44MCG/.5ML DISP SYRIN Agents to treat Multiple Sclerosis

REBIF TITRATION PACK INTERFERON BETA-1A/ALBUMI8.8mcg/.5cc-

22mcg/.5cc DISP SYRIN Agents to treat Multiple Sclerosis

REGLAN METOCLOPRAMIDE HCL 10MG TABLET Intestinal Motility Stimulants

REGLAN METOCLOPRAMIDE HCL 5MG TABLET Intestinal Motility Stimulants

REGLAN METOCLOPRAMIDE HCL 5MG/5ML SOLUTION Intestinal Motility Stimulants

REGRANEX

PA

Required BECAPLERMIN 0.01% GEL Diabetic Ulcer Preparations, Topical

RELAFEN NABUMETONE 500MG TABLET Anti-inflammatory Agents

RELAFEN NABUMETONE 750MG TABLET Anti-inflammatory Agents

RELION 70/30 HUM INSULIN NPH/REG INSUL 70-30 U/ML VIAL Insulins

RELION 70/30 INNOLET HUM INSULIN NPH/REG INSUL 70-30 U/ML DISP SYRIN Insulins

RELPAX ELETRIPTAN HYDROBROMIDE 20MG TABLET Antimigraine Preparations

RELPAX ELETRIPTAN HYDROBROMIDE 40MG TABLET Antimigraine Preparations

REMERON MIRTAZAPINE 15MG TAB RAPDIS Alpha-2 Receptor Antagonist Antidepressants

REMERON MIRTAZAPINE 15MG TABLET Alpha-2 Receptor Antagonist Antidepressants

REMERON MIRTAZAPINE 30MG TAB RAPDIS Alpha-2 Receptor Antagonist Antidepressants

REMERON MIRTAZAPINE 30MG TABLET Alpha-2 Receptor Antagonist Antidepressants

REMERON MIRTAZAPINE 45MG TAB RAPDIS Alpha-2 Receptor Antagonist Antidepressants

REMERON MIRTAZAPINE 45MG TABLET Alpha-2 Receptor Antagonist Antidepressants

REMICADE

PA

Required INFLIXIMAB 100MG VIAL Drugs to TX Chronic Inflamm. Disease of Colon

RENAGEL SEVELAMER HCL 400MG TABLET Electrolyte Depleters

RENAGEL SEVELAMER HCL 403MG CAPSULE Electrolyte Depleters

RENAGEL SEVELAMER HCL 800MG TABLET Electrolyte Depleters

Renvela Sevelamer Carbonate 800mg Tablet Electrolyte Depleters

REPAN-CF ACETAMINOPHEN/BUTALBITAL 650-50MG TABLET Analgesics, Antipyretics, Non-Salicylate

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

REQUIP ROPINIROLE HCL 0.25MG TABLET Antiparkinsonism Drugs, Other

REQUIP ROPINIROLE HCL 0.5MG TABLET Antiparkinsonism Drugs, Other

REQUIP ROPINIROLE HCL 1MG TABLET Antiparkinsonism Drugs, Other

REQUIP ROPINIROLE HCL 2MG TABLET Antiparkinsonism Drugs, Other

REQUIP ROPINIROLE HCL 3MG TABLET Antiparkinsonism Drugs, Other

REQUIP ROPINIROLE HCL 4MG TABLET Antiparkinsonism Drugs, Other

REQUIP ROPINIROLE HCL 5MG TABLET Antiparkinsonism Drugs, Other

REQUIP ROPINIROLE HCL .25-.5-1MG TABLET Antiparkinsonism Drugs, Other

RESCRIPTOR DELAVIRDINE MESYLATE 100MG TABLET Antivirals, HIV-Specific, Non-Nucleoside, RTI

RESCRIPTOR DELAVIRDINE MESYLATE 200MG TABLET Antivirals, HIV-Specific, Non-Nucleoside, RTI

RESCULA UNOPROSTONE ISOPROPYL 0.15% DROPS Miotics/Other Intraocular Pressure Reducers

RESERPINE RESERPINE 0.25MG TABLET Hypotensives, Sympatholitic

RESTASIS

PA

Required CYCLOSPORINE 0.05% DROPERETTE EENT Preparations

RESTORIL TEMAZEPAM 15MG CAPSULE Non-Barbiturate, Sedative-Hypnotic

RESTORIL TEMAZEPAM 30MG CAPSULE Non-Barbiturate, Sedative-Hypnotic

RESTORIL TEMAZEPAM 7.5MG CAPSULE Non-Barbiturate, Sedative-Hypnotic

RESTORIL TEMAZEPAM 22.5MG CAPSULE Non-Barbiturate, Sedative-Hypnotic

RETIN-A

PA

Required

>age 30 TRETINOIN0.01%

GEL Vitamin A Derivatives

RETIN-A

PA

Required

>age 30 TRETINOIN0.03%

GEL Vitamin A Derivatives

RETIN-A

PA

Required

>age 30 TRETINOIN0.03%

CREAM(GM) Vitamin A Derivatives

RETIN-A

PA

Required

>age 30 TRETINOIN0.05%

CREAM(GM) Vitamin A Derivatives

RETIN-A

PA

Required

>age 30 TRETINOIN0.05%

LIQUID Vitamin A Derivatives

RETIN-A

PA

Required

>age 30 TRETINOIN0.10%

CREAM(GM) Vitamin A Derivatives

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

RETIN-A MICRO

PA

Required

>age 30 TRETINOIN0.04%

GEL Vitamin A Derivatives

RETIN-A MICRO

PA

Required

>age 30 TRETINOIN0.10%

GEL Vitamin A Derivatives

RETROVIR ZIDOVUDINE 100MG CAPSULE Antivirals, HIV-Specific, Nucleoside Analog, RTI

RETROVIR ZIDOVUDINE 10MG/ML SYRUP Antivirals, HIV-Specific, Nucleoside Analog, RTI

RETROVIR ZIDOVUDINE 300MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI

REVATIO SILDENAFIL CITRATE 20MG TABLET Phosphodiesterase Inhibitors

REVIA NALTREXONE HCL 50MG TABLET Narcotic Antagonists

REYATAZ ATAZANAVIR SULFATE 100MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

REYATAZ ATAZANAVIR SULFATE 150MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

REYATAZ ATAZANAVIR SULFATE 200MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

REYATAZ ATAZANAVIR SULFATE 300MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

REYATAZ ATAZANAVIR SULFATE 300mg CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

REYATAZ ATAZANAVIR SULFATE 200mg CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

REYATAZ ATAZANAVIR SULFATE 100mg CAPSULE Antivirals, HIV-Specific, Protease Inhibitors

RHEUMATREX METHOTREXATE SODIUM 2.5MG TAB DS PK Anti-arthritic, Folate Antagonis Agents

RHINATATE PHENYLEPHRINE/PYRIL TAN/C 25-25-8MG TABLET Cough and Cold Preparations

RHINOCORT BUDESONIDE 32MCG AER W/ADAP Nose Preparations, Antiinflammatory

RHINOCORT AQUA BUDESONIDE 32MCG SPRAY Nose Preparations, Antiinflammatory

RIDAURA AURANOFIN 3MG CAPSULE Gold Salts

RIDIPRIN ASPIRIN 325MG TABLET Analgesics, Salicylates

RIFADIN RIFAMPIN 150MG CAPSULE Antitubercular Antibiotics

RIFADIN RIFAMPIN 300MG CAPSULE Antitubercular Antibiotics

RIFAMATE RIFAMPIN/ISONIAZIDE 300/100MG CAPSULE Antitubercular Antibiotics

RIFAMATE RIFAMPIN/ISONIAZIDE 300-150mg CAPSULE Antitubercular Antibiotics

RIOMET METFORMIN HCL 500MG/5ML SOLUTION Oral Hypoglycemics, Non-Sulfonylureas

RISPERDAL RISPERIDONE 0.25MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

RISPERDAL RISPERIDONE 0.5MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

RISPERDAL RISPERIDONE 1MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

RISPERDAL RISPERIDONE 1MG/ML SOLUTION Antipsychotics, Atypical,Dopamine & Serotonin Antag

RISPERDAL RISPERIDONE 2MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

RISPERDAL RISPERIDONE 3MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

RISPERDAL RISPERIDONE 4MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

RITALIN METHYLPHENIDATE HCL 10MG TABLET Anti-narcolepsy/Anti-Hyperkinesis Agents

RITALIN METHYLPHENIDATE HCL 20MG TABLET Anti-narcolepsy/Anti-Hyperkinesis Agents

RITALIN METHYLPHENIDATE HCL 5MG TABLET Anti-narcolepsy/Anti-Hyperkinesis Agents

RITALIN LA METHYLPHENIDATE HCL 10MG CPMP 50-50 Anti-narcolepsy/Anti-Hyperkinesis Agents

RITALIN LA METHYLPHENIDATE HCL 20MG CPMP 50-50 Anti-narcolepsy/Anti-Hyperkinesis Agents

RITALIN LA METHYLPHENIDATE HCL 30MG CPMP 50-50 Anti-narcolepsy/Anti-Hyperkinesis Agents

RITALIN LA METHYLPHENIDATE HCL 40MG CPMP 50-50 Anti-narcolepsy/Anti-Hyperkinesis Agents

RITALIN-SR METHYLPHENIDATE HCL 20MG TABLET SA Anti-narcolepsy/Anti-Hyperkinesis Agents

RITODRINE HCL RITODRINE HCL 10MG/ML VIAL Beta-Adrenergic Agents

RITODRINE HCL RITODRINE HCL 15MG/ML VIAL Beta-Adrenergic Agents

ROBAXIN METHOCARBAMOL 100MG/ML VIAL Skeletal Muscle Relaxants

ROBAXIN METHOCARBAMOL 500MG TABLET Skeletal Muscle Relaxants

ROBAXIN-750 METHOCARBAMOL 750MG TABLET Skeletal Muscle Relaxants

ROBAXISAL METHOCARBAMOL/ASPIRIN 400-325MG TABLET Skeletal Muscle Relaxants

ROCALTROL CALCITRIOL 0.25MCG CAPSULE Vitamin D Preparations

ROCALTROL CALCITRIOL 0.5MCG CAPSULE Vitamin D Preparations

ROCALTROL CALCITRIOL 1MCG/ML SOLUTION Vitamin D Preparations

ROFERON-A INTERFERON ALFA-2A,RECOMB 18MMU VIAL Immunomodulators

ROFERON-A INTERFERON ALFA-2A,RECOMB 36MMU/ML VIAL Immunomodulators

ROFERON-A INTERFERON ALFA-2A,RECOMB 3MMU/ML VIAL Immunomodulators

ROFERON-A INTERFERON ALFA-2A,RECOMB 6MMU/ML VIAL Immunomodulators

ROFERON-A INTERFERON ALFA-2A,RECOMB 9MMU/0.9ML VIAL Immunomodulators

ROMAZICON FLUMAZENIL 0.1MG/ML VIAL Benzodiazepine Antagonists

ROMYCIN ERYTHROMYCIN BASE 5MG/G OINT.(GM) Eye Antibiotics

RONDEC P-EPHED HCL/CARBINOX MAL 60-4MG/5ML SYRUP Antihistamines

RONDEC P-EPHED HCL/CARBINOX MAL TABLET Antihistamines

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

RONDEC-DM DM HB/P-EPHED HCL/CARBINO 4-25-2/ML DROPS Cough and Cold Preparations

RONDEC-DM DM HB/P-EPHED HCL/CARBINO SYRUP Cough and Cold Preparations

RONDEC-DM DM HB/P-EPHED HCL/CCHLORPHEN 15-12.5-4/5ML SYRUP Cough and Cold Preparations

RONDEC-DM DM HB/P-EPHED HCL/CCHLORPHEN 3-3.5-1/ML DROPS Cough and Cold Preparations

RONDEC-TR P-EPHED HCL/CARBINOX MAL 120-8MG TAB.SR 12H Antihistamines

ROWASA MESALAMINE 4G/60ML ENEMA Chronic Inflam. Colon DX, 5-A Salicylat, Rectal TX

ROWASA MESALAMINE 500MG SUPP.RECT Chronic Inflam. Colon DX, 5-A Salicylat, Rectal TX

ROXANOL MORPHINE SULFATE 20MG/ML SOLUTION Analgesics, Narcotics

ROXICET OXYCODONE HCL/ACETAMINOPH 5-325/5ML SOLUTION Analgesics, Narcotics

ROXICET OXYCODONE HCL/ACETAMINOPH 5-500MG TABLET Analgesics, Narcotics

ROXICODONE OXYCODONE HCL 15MG TABLET Analgesics, Narcotics

ROXICODONE OXYCODONE HCL 30MG TABLET Analgesics, Narcotics

ROXICODONE OXYCODONE HCL 5MG/5ML SOLUTION Analgesics, Narcotics

RYNA-CX GUAIFENESIN/P-EPHED HCL/C 100-30-10 SYRUP Expectorants

RYNATAN PHENYLEPHRINE/CHLOR-TAN 25-9MG TABLET Cough and Cold Preparations

RYNATAN PHENYLEPHRINE/CHLOR-TAN 5-4.5MG/5 ORAL SUSP Cough and Cold Preparations

RYNATAN PHENYLEPHRINE/CHLOR-TAN 5-4.5MG CHEW TAB Cough and Cold Preparations

RYTHMOL PROPAFENONE HCL 150MG TABLET Antiarrhythmics

RYTHMOL PROPAFENONE HCL 225MG TABLET Antiarrhythmics

RYTHMOL PROPAFENONE HCL 300MG TABLET Antiarrhythmics

RYTHMOL SR PROPAFENONE HCL 225MG CAP.SR 12H Antiarrhythmics

RYTHMOL SR PROPAFENONE HCL 325MG CAP.SR 12H Antiarrhythmics

RYTHMOL SR PROPAFENONE HCL 425MG CAP.SR 12H Antiarrhythmics

SAIZEN

PA

Required SOMATROPIN 8.8MG/1.5 CARTRIDGE Growth Hormones

SALAGEN PILOCARPINE HCL 5MG TABLET Parasympathetic Agents

SALAGEN PILOCARPINE HCL 7.5MG TABLET Parasympathetic Agents

SANDIMMUNE CYCLOSPORINE 100MG CAPSULE Immunosuppresives

SANDIMMUNE CYCLOSPORINE 100MG/ML SOLUTION Immunosuppresives

SANDIMMUNE CYCLOSPORINE 25MG CAPSULE Immunosuppresives

SANDIMMUNE CYCLOSPORINE 50MG CAPSULE Immunosuppresives

SANDIMMUNE CYCLOSPORINE 50MG/ML AMPUL Immunosuppresives

SANSERT METHYSERGIDE MALEATE 2MG TABLET Antimigraine Preparations

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

SARAFEM FLUOXETINE HCL 10MG CAPSULE Antidepressants I.e. Prozac Weekly

SEASONALE LEVONORGESTREL-ETH ESTRA 0.15-0.03 TBDSPK 3MO Contraceptives, Oral

SEASONIQUE LEVONORGESTREL-ETH ESTRA 150-30(84) TBDSPK 3MO Contraceptives, Oral

SEBIZON SULFACETAMIDE SODIUM 10% LOTION Antiseborrheic Agents

SECTRAL ACEBUTOLOL HCL 200MG CAPSULE Beta-Adrenergic Blocking Agents

SECTRAL ACEBUTOLOL HCL 400MG CAPSULE Beta-Adrenergic Blocking Agents

SELDANE TERFENADINE 60MG TABLET Antihistamines, Cont

SELDANE-D P-EPHED HCL/TERFENADINE 120-60MG TABLET SA Antihistamines

SELSUN RX SELENIUM SULFIDE 2.50% SHAMPOO Antiseborrheic Agents

SELZENTRY MARAVIROX 150MG TABLET Antivirals, HIV-Specific, CCR5 Co-receptor antag

SELZENTRY MARAVIROX 300MG TABLET Antivirals, HIV-Specific, CCR5 Co-receptor antag

SEPTRA SULFAMETHOXAZOLE/TRIMETHO 200-40MG/5 ORAL SUSP Absorbable Sulfonamides

SEPTRA SULFAMETHOXAZOLE/TRIMETHO 400-80MG TABLET Absorbable Sulfonamides

SERAX OXAZEPAM 10MG CAPSULE Anti-Anxiety Drugs

SERAX OXAZEPAM 15MG CAPSULE Anti-Anxiety Drugs

SERAX OXAZEPAM 15MG TABLET Anti-Anxiety Drugs

SERAX OXAZEPAM 30MG CAPSULE Anti-Anxiety Drugs

SERENTIL MESORIDAZINE BESYLATE 100MG TABLET Anti-Psychotics, Phenothiazines

SERENTIL MESORIDAZINE BESYLATE 10MG TABLET Anti-Psychotics, Phenothiazines

SERENTIL MESORIDAZINE BESYLATE 25MG TABLET Anti-Psychotics, Phenothiazines

SERENTIL MESORIDAZINE BESYLATE 25MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines

SERENTIL MESORIDAZINE BESYLATE 50MG TABLET Anti-Psychotics, Phenothiazines

SEREVENT SALMETEROL XINAFOATE 21MCG AER REFILL Beta-Adrenergic Agents

SEREVENT DISKUS SALMETEROL XINAFOATE 50MCG DISK W/DEV Beta-Adrenergic Agents

SEROQUEL QUETIAPINE FUMARATE 100MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

SEROQUEL QUETIAPINE FUMARATE 200MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

SEROQUEL QUETIAPINE FUMARATE 25MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

SEROQUEL QUETIAPINE FUMARATE 50MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

SEROQUEL QUETIAPINE FUMARATE 300MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

SEROQUEL QUETIAPINE FUMARATE 400MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

SEROSTIM

PA

Required SOMATROPIN 4MG VIAL Growth Hormones

SEROSTIM

PA

Required SOMATROPIN 5MG VIAL Growth Hormones

SEROSTIM

PA

Required SOMATROPIN 6MG VIAL Growth Hormones

SERPASIL RESERPINE 0.1MG TABLET Hypotensives, Sympatholitic

SERZONE NEFAZODONE HCL 100MG TABLET Antidepressants, Cont.

SERZONE NEFAZODONE HCL 150MG TABLET Antidepressants, Cont.

SERZONE NEFAZODONE HCL 200MG TABLET Antidepressants, Cont.

SERZONE 100MG NEFAZODONE HCL 0 Serotonin-2 Antagonist/Reuptake Inhibitors

SERZONE 150MG NEFAZODONE HCL 0 Serotonin-2 Antagonist/Reuptake Inhibitors

SERZONE 200MG NEFAZODONE HCL 0 Serotonin-2 Antagonist/Reuptake Inhibitors

SERZONE 250MG NEFAZODONE HCL 0 Serotonin-2 Antagonist/Reuptake Inhibitors

SERZONE 50MG NEFAZODONE HCL 0 Serotonin-2 Antagonist/Reuptake Inhibitors

SILVADENE SILVER SULFADIAZINE 1% CREAM(GM) Topical Sulfonamides

SINEMET CR CARBIDOPA/LEVODOPA 25-100MG TABLET SA Antiparkinsonism Drugs, Other

SINEMET CR CARBIDOPA/LEVODOPA 50-200MG TABLET SA Antiparkinsonism Drugs, Other

SINEMET-10/100 CARBIDOPA/LEVODOPA 10-100MG TABLET Antiparkinsonism Drugs, Other

SINEMET-25/100 CARBIDOPA/LEVODOPA 25-100MG TABLET Antiparkinsonism Drugs, Other

SINEMET-25/250 CARBIDOPA/LEVODOPA 25-250MG TABLET Antiparkinsonism Drugs, Other

SINE-OFF PPA HCL/ACETAMINOPHN/CP TABLET Cough and Cold Preparations

SINEQUAN DOXEPIN HCL 10MG CAPSULE Antidepressants

SINEQUAN DOXEPIN HCL 10MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

SINEQUAN DOXEPIN HCL 10MG/ML ORAL CONC. Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

SINEQUAN DOXEPIN HCL 25MG CAPSULE Antidepressants

SINEQUAN DOXEPIN HCL 25MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

SINEQUAN DOXEPIN HCL 50MG CAPSULE Antidepressants

SINEQUAN DOXEPIN HCL 50MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

SINEQUAN DOXEPIN HYDROCHLORIDE 10MG/ML ORAL CONC. Antidepressants

SINGULAIR MONTELUKAST SODIUM 10MG TABLET Leukotriene Receptor Antagonists

SINGULAIR MONTELUKAST SODIUM 4MG GRAN PACK Leukotriene Receptor Antagonists

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

SINGULAIR MONTELUKAST SODIUM 4MG TAB CHEW Leukotriene Receptor Antagonists

SINGULAIR MONTELUKAST SODIUM 5MG TAB CHEW Leukotriene Receptor Antagonists

SINULIN PPA HCL/ACETAMINOPHN/CP 4-25-650MG TABLET Cough and Cold Preparations

SKELAXIN METAXALONE 400MG TABLET Skeletal Muscle Relaxants

SKELAXIN METAXALONE 800MG TABLET Skeletal Muscle Relaxants

SKIN BLEACHING WITH SUNSC SUNSCREEN/HYDROQUINONE 4% CREAM(GM) Antimelamin Agents

SLO-BID 100 THEOPHYLLINE ANHYDROUS 100MG CAP.SR 12H Xanthines

SLO-BID 50 THEOPHYLLINE ANHYDROUS 50MG CAP.SR 12H Xanthines

SLO-BID 75 THEOPHYLLINE ANHYDROUS 75MG CAP.SR 12H Xanthines

SLO-NIACIN NIACIN 250MG TABLET SA Niacin Preparations

SLO-PHYLLIN THEOPHYLLINE ANHYDROUS 100MG TABLET Xanthines

SLO-PHYLLIN THEOPHYLLINE ANHYDROUS 200MG TABLET Xanthines

SLO-PHYLLIN THEOPHYLLINE ANHYDROUS 250MG CAP.SR 12H Xanthines

SLO-PHYLLIN THEOPHYLLINE ANHYDROUS 60MG CAP.SR 12H Xanthines

SLO-PHYLLIN 80 THEOPHYLLINE ANHYDROUS 80MG/15ML SYRUP Xanthines

SODIUM FLUORIDE SODIUM FLUORIDE 0.5MG TABLET Fluoride Preparations

SODIUM FLUORIDE SODIUM FLUORIDE 1MG TABLET Fluoride Preparations

SODIUM SULAMYD SULFACETAMIDE SODIUM 30% DROPS Eye Sulfonamides

SOLAQUIN FORTE DIOXYBENZONE/PDO/HYDROQUI 3-5-4% GEL Antimelamin Agents

SOLAQUIN FORTE DIOXYBENZONE/PDO/HYDROQUI 3-5-4% CREAM(GM) Antimelamin Agents

SOLAQUIN FORTE DIOXYBENZONE/PDO/HYDROQUI 3-5-4% CREAM(GM) Antimelamin Agents

SOLAQUIN FORTE DIOXYBENZONE/PDO/HYDROQUI 3-5-4% GEL Antimelamin Agents

SOLFOTON PHENOBARBITAL 15MG TABLET Barbiturates

SOLGANAL SUSPENSION AUROTHIOGLUCOSE 50MG/ML VIAL Gold Salts

SOMA CARISOPRODOL 350MG TABLET Skeletal Muscle Relaxants

SOMA COMPOUND CARISOPRODOL/ASPIRIN 200-325MG TABLET Skeletal Muscle Relaxants

SOMA COMPOUND W/CODEINE CODEINE PHOS/CARISOPRODOL 16-200-325 TABLET Analgesics, Narcotics

SOMNOTE CHLORAL HYDRATE 500MG CAPSULE Non-Barbiturate, Sedative-Hypnotic

SOMOPHYLLIN-DF AMINOPHYLLINE 105MG/5ML LIQUID Xanthines

SONATA ZALEPLON 10MG CAPSULE Non-Barbiturate, Sedative-Hypnotic

SONATA ZALEPLON 5MG CAPSULE Non-Barbiturate, Sedative-Hypnotic

SORIATANE ACITRETIN 10MG CAPSULE Antipsoriatic Agents, Systemic

SORIATANE ACITRETIN 25MG CAPSULE Antipsoriatic Agents, Systemic

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

Soriatane CK Acitretin/Emollient 25mg Kit Antipsoriatic Agents, Systemic

SOTRET ISOTRETINOIN 30MG CAPSULE Acne Agents, Systemic

SPARINE PROMAZINE HCL 30MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines

SPIRIVA TIOTROPIUM BROMIDE 18MCG CAP W/DEV General Bronchodilator Agents

SPORANOX

PA

Required ITRACONAZOLE 100MG CAPSULE Antifungal Agents, Cont

SPORANOX

PA

Required ITRACONAZOLE 10MG/ML SOLUTION Antifungal Agents, Cont

SPORANOX

PA

Required ITRACONAZOLE 250MG KIT Antifungal Agents, Cont

SPRYCEL DASATINIB 20MG TABLET Antineoplastic Systemic Enzyme Inhibitors

SPRYCEL DASATINIB 50MG TABLET Antineoplastic Systemic Enzyme Inhibitors

SSKI POTASSIUM IODIDE 1G/ML SOLUTION Iodine Replacement

STADOL NS BUTORPHANOL TARTRATE 10MG/ML SPRAY Analgesics, Narcotics (cont 1)

STAGESIC-10 HYDROCODONE BIT/ACETAMINO 10-250MG TABLET Analgesics, Narcotics

STALEVO 100 CARBIDOPA/LEVODOPA/ENTACA 25-100-200 TABLET Antiparkinsonism Drugs, Other

STALEVO 150 CARBIDOPA/LEVODOPA/ENTACA 37.5-150MG TABLET Antiparkinsonism Drugs, Other

STALEVO 200

CARBIDOPA/LEVODOPA/ENTACAPON

E 50-200-200 TABLET Antiparkinsonism Drugs, Other

STALEVO 50 CARBIDOPA/LEVODOPA/ENTACA 12.5-50MG TABLET Antiparkinsonism Drugs, Other

STARLIX NATEGLINIDE 120MG TABLET Oral Hypoglycemics, Sulfonylureas

STARLIX NATEGLINIDE 60MG TABLET Oral Hypoglycemics, Sulfonylureas

STELAZINE TRIFLUOPERAZINE HCL 10MG TABLET Anti-Psychotics, Phenothiazines

STELAZINE TRIFLUOPERAZINE HCL 10MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines

STELAZINE TRIFLUOPERAZINE HCL 1MG TABLET Anti-Psychotics, Phenothiazines

STELAZINE TRIFLUOPERAZINE HCL 2MG TABLET Anti-Psychotics, Phenothiazines

STELAZINE TRIFLUOPERAZINE HCL 5MG TABLET Anti-Psychotics, Phenothiazines

STERAPRED PREDNISONE 5MG TAB DS PK Glucocorticoids, Systemic

STERAPRED DS PREDNISONE 10MG TAB DS PK Glucocorticoids, Systemic

STILPHOSTROL DIETHYLSTILBESTROL DIPHOS 50MG/ML AMPUL Estrogenic Agents

STOP SMOKING AID SILVER ACETATE 2.5MG LOZENGE Smoking Deterrents, other

STOXIL IDOXURIDINE 0.50% OINT.(GM) Eye Antivirals

STRATTERA

PA

Required ATOMOXETINE HCL 10MG CAPSULE TX for Attention Deficit-Hyperactivity(ADHD), NRI-Type

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

STRATTERA

PA

Required ATOMOXETINE HCL 18MG CAPSULE TX for Attention Deficit-Hyperactivity(ADHD), NRI-Type

STRATTERA

PA

Required ATOMOXETINE HCL 25MG CAPSULE TX for Attention Deficit-Hyperactivity(ADHD), NRI-Type

STRATTERA

PA

Required ATOMOXETINE HCL 40MG CAPSULE TX for Attention Deficit-Hyperactivity(ADHD), NRI-Type

STRATTERA

PA

Required ATOMOXETINE HCL 60MG CAPSULE TX for Attention Deficit-Hyperactivity(ADHD), NRI-Type

STRATTERA

PA

Required ATOMOXETINE HCL 100MG CAPSULE TX for Attention Deficit-Hyperactivity(ADHD), NRI-Type

STRATTERA

PA

Required ATOMOXETINE HCL 200MG CAPSULE TX for Attention Deficit-Hyperactivity(ADHD), NRI-Type

STRONGSTART PRENATAL VIT/FE FUM/DOSS/ 29-1MG TABLET Prenatal Vitamin Preparations

STRONGSTART PRENATAL VIT/FE FUM/DOSS/ 40-25-1MG TABLET Prenatal Vitamin Preparations

STRONGSTART PRENATAL VIT/FE FUMARATE/ 29-1MG TAB CHEW Prenatal Vitamin Preparations

STRONGSTART PRENATAL VIT/FE FUMARATE/ 35-1MG TAB CHEW Prenatal Vitamin Preparations

SUBOXONE BUPRENORPHINE HCL/NALOXON 2MG-0.5MG TAB SUBL Analgesics, Narcotics

SUBOXONE BUPRENORPHINE HCL/NALOXON 8MG-2MG TAB SUBL Analgesics, Narcotics

SUBUTEX BUPRENORPHINE HCL 2MG TAB SUBL Analgesics, Narcotics

SUBUTEX BUPRENORPHINE HCL 8MG TAB SUBL Analgesics, Narcotics

SUDO GEST PSEUDOEPHEDRINE HCL 15MG/5ML SYRUP Sympathomimetic Agents

SULAR NISOLDIPINE 10MG TAB.SR 24H Calcium Channel Blocking Agents

SULAR NISOLDIPINE 20MG TAB.SR 24H Calcium Channel Blocking Agents

SULAR NISOLDIPINE 30MG TAB.SR 24H Calcium Channel Blocking Agents

SULAR NISOLDIPINE 40MG TAB.SR 24H Calcium Channel Blocking Agents

Sular Nisoldipine 8.5mg SR Tablet Calcium Channel Blocking Agents

Sular Nisoldipine 17mg SR Tablet Calcium Channel Blocking Agents

Sular Nisoldipine 25.5mg SR Tablet Calcium Channel Blocking Agents

Sular Nisoldipine 34mg SR Tablet Calcium Channel Blocking Agents

SULFADIAZINE SULFADIAZINE 500MG TABLET Absorbable Sulfonamides

SULFINPYRAZONE SULFINPYRAZONE 100MG TABLET Uricosuric Agents

SULFOXYL REGULAR BENZOYL PEROXIDE/SULFUR 5-2% LOTION Keratolytics

SULFOXYL STRONG BENZOYL PEROXIDE/SULFUR 10%-5% LOTION Keratolytics

SULTRIN SULFATHIAZ/SULFACET/SULFA TABLET Vaginal Sulfonamides

SUMYCIN TETRACYCLINE HCL 125MG/5ML ORAL SUSP Tetracyclines

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

SUMYCIN 250 TETRACYCLINE HCL 250MG TABLET Tetracyclines

SUMYCIN 500 TETRACYCLINE HCL 500MG TABLET Tetracyclines

SUPRAX CEFIXIME 100MG/5ML SUSP RECON Cephalosporins-3rd Generation

SUPRAX CEFIXIME 200MG TABLET Cephalosporins

SUPRAX CEFIXIME 400MG TABLET Cephalosporins-3rd Generation

SUPRAX CEFIXIME 200MG/5ML SUSP RECON Cephalosporins-3rd Generation

SURMONTIL TRIMIPRAMINE MALEATE 100MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

SURMONTIL TRIMIPRAMINE MALEATE 25MG CAPSULE Antidepressants

SURMONTIL TRIMIPRAMINE MALEATE 25MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

SURMONTIL TRIMIPRAMINE MALEATE 50MG CAPSULE Antidepressants

SURMONTIL TRIMIPRAMINE MALEATE 50MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

SUSTIVA EFAVIRENZ 100MG CAPSULE Antivirals, HIV-Specific, Non-Nucleoside, RTI

SUSTIVA EFAVIRENZ 200MG CAPSULE Antivirals, HIV-Specific, Non-Nucleoside, RTI

SUSTIVA EFAVIRENZ 50MG CAPSULE Antivirals, HIV-Specific, Non-Nucleoside, RTI

SUSTIVA EFAVIRENZ 600MG TABLET Antivirals, HIV-Specific, Non-Nucleoside, RTI

SYMBICORT

BUDESONIDE/FORMOTEROL

FUMARATE 160/4.5MCG INHALER Beta-Adrenergic and Glucocorticoids Combination

SYMBICORT

BUDESONIDE/FORMOTEROL

FUMARATE 80/4.5mcg INHALER Beta-Adrenergic and Glucocorticoids Combination

SYMLIN PRAMLINTIDE ACETATE 0.6MG/ML VIAL Antihyperglycemic, amylin analog-type

Symlinpen 120 Pramlintide Acetate 1000mcg/ml Pen Injector Antihyperglycemic, amylin analog-type

Symlinpen 60 Pramlintide Acetate 1000mcg/ml Pen Injector Antihyperglycemic, amylin analog-type

SYMMETREL AMANTADINE HCL 100MG CAPSULE Antiparkinsonism Drugs, Other

SYMMETREL AMANTADINE HCL 100MG TABLET Antiparkinsonism Drugs, Other

SYMMETREL AMANTADINE HCL 50MG/5ML SYRUP Antiparkinsonism Drugs, Other

SYNALAR FLUOCINOLONE ACETONIDE 0.01% CREAM(GM) Topical Antiinflammatory Preparations

SYNALAR FLUOCINOLONE ACETONIDE 0.01% SOLUTION Topical Antiinflammatory Preparations

SYNALAR FLUOCINOLONE ACETONIDE 0.03% CREAM(GM) Topical Antiinflammatory Preparations

SYNALAR FLUOCINOLONE ACETONIDE 0.03% OINT.(GM) Topical Antiinflammatory Preparations

SYNALAR-HP FLUOCINOLONE ACETONIDE 0.20% CREAM(GM) Topical Antiinflammatory Preparations

SYNKAYVITE MENADIOL SODIUM DIPHOSPHA 5MG TABLET Vitamin K Preparations

SYNTHROID LEVOTHYROXINE SODIUM 100MCG TABLET Thyroid Hormones

SYNTHROID LEVOTHYROXINE SODIUM 112MCG TABLET Thyroid Hormones

SYNTHROID LEVOTHYROXINE SODIUM 125MCG TABLET Thyroid Hormones

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

SYNTHROID LEVOTHYROXINE SODIUM 137MCG TABLET Thyroid Hormones

SYNTHROID LEVOTHYROXINE SODIUM 150MCG TABLET Thyroid Hormones

SYNTHROID LEVOTHYROXINE SODIUM 175MCG TABLET Thyroid Hormones

SYNTHROID LEVOTHYROXINE SODIUM 200MCG TABLET Thyroid Hormones

SYNTHROID LEVOTHYROXINE SODIUM 25MCG TABLET Thyroid Hormones

SYNTHROID LEVOTHYROXINE SODIUM 300MCG TABLET Thyroid Hormones

SYNTHROID LEVOTHYROXINE SODIUM 50MCG TABLET Thyroid Hormones

SYNTHROID LEVOTHYROXINE SODIUM 75MCG TABLET Thyroid Hormones

SYNTHROID LEVOTHYROXINE SODIUM 88MCG TABLET Thyroid Hormones

SYNTOCINON OXYTOCIN 10U/ML AMPUL Oxytocics

TACE CHLOROTRIANISENE 12MG CAPSULE Estrogenic Agents

TACE CHLOROTRIANISENE 25MG CAPSULE Estrogenic Agents

TAGAMET CIMETIDINE 200MG TABLET Gastric Acid Secretion Reducers

TAGAMET CIMETIDINE 300MG TABLET Gastric Acid Secretion Reducers

TAGAMET CIMETIDINE 400MG TABLET Gastric Acid Secretion Reducers

TAGAMET CIMETIDINE 800MG TABLET Gastric Acid Secretion Reducers

TAGAMET CIMETIDINE HCL 300MG/5ML LIQUID Gastric Acid Secretion Reducers

TALADINE RANITIDINE HCL 150MG CAPSULE Gastric Acid Secretion Reducers

TALADINE RANITIDINE HCL 300MG CAPSULE Gastric Acid Secretion Reducers

TAMBOCOR FLECAINIDE ACETATE 100MG TABLET Antiarrhythmics

TAMBOCOR FLECAINIDE ACETATE 150MG TABLET Antiarrhythmics

TAMBOCOR FLECAINIDE ACETATE 50MG TABLET Antiarrhythmics

TAPAZOLE METHIMAZOLE 10MG TABLET Antithyroid Preparations

TAPAZOLE METHIMAZOLE 5MG TABLET Antithyroid Preparations

TARACTAN CHLORPROTHIXENE 100MG TABLET Anti-Psychotic, Non-Phenothiazines

TARACTAN CHLORPROTHIXENE 10MG TABLET Anti-Psychotic, Non-Phenothiazines

TARACTAN CHLORPROTHIXENE 25MG TABLET Anti-Psychotic, Non-Phenothiazines

TARACTAN CHLORPROTHIXENE 50MG TABLET Anti-Psychotic, Non-Phenothiazines

TARGRETIN BEXAROTENE 1% GEL Topical Antineoplastics

TARGRETIN BEXAROTENE 75MG CAPSULE Selective Retinoid X Receptor Agonists (RXR)

TASIGNA NILOTINIB HCL 200MG CAPSULE Antineoplastic Systemic Enzyme Inhibitors

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

TAZORAC

PA

Required

>age 30 TAZAROTENE0.05%

GEL Antipsoriatic Agents

TAZORAC

PA

Required

>age 30 TAZAROTENE0.05%

CREAM(GM) Antipsoriatic Agents

TAZORAC

PA

Required

>age 30 TAZAROTENE0.10%

GEL Antipsoriatic Agents

TAZORAC

PA

Required

>age 30 TAZAROTENE0.10%

CREAM(GM) Antipsoriatic Agents

TEGISON ETRETINATE 10MG CAPSULE Antipsoriatic Agents, Systemic

TEGISON ETRETINATE 25MG CAPSULE Antipsoriatic Agents, Systemic

TEGRETOL CARBAMAZEPINE 100MG TAB CHEW Anticonvulsants

TEGRETOL CARBAMAZEPINE 100MG/5ML ORAL SUSP Anticonvulsants

TEGRETOL CARBAMAZEPINE 200MG TABLET Anticonvulsants

TEGRETOL XR CARBAMAZEPINE 100MG TAB.SR 12H Anticonvulsants

TEGRETOL XR CARBAMAZEPINE 200MG TAB.SR 12H Anticonvulsants

TEGRETOL XR CARBAMAZEPINE 400MG TAB.SR 12H Anticonvulsants

TEKTURNA ALISKIREN 150MG TABLET Renin Inhibitor, direct

TEKTURNA ALISKIREN 300MG TABLET Renin Inhibitor, direct

Tekturna HCT Aliskiren/HCT 150/12.5mg Tablet

Renin Inhibitor, direct/Thiazide Diuretic & Thiazide-Like

Comb

Tekturna HCT Aliskiren/HCT 150/25mg Tablet

Renin Inhibitor, direct/Thiazide Diuretic & Thiazide-Like

Comb

TEMODAR TEMOZOLOMIDE 100MG CAPSULE Alkylating Agents

TEMODAR TEMOZOLOMIDE 20MG CAPSULE Alkylating Agents

TEMODAR TEMOZOLOMIDE 250MG CAPSULE Alkylating Agents

TEMODAR TEMOZOLOMIDE 5MG CAPSULE Alkylating Agents

TEMODAR TEMOZOLOMIDE 140mg CAPSULE Alkylating Agents

TEMODAR TEMOZOLOMIDE 180mg CAPSULE Alkylating Agents

TEMOVATE CLOBETASOL PROPIONATE 0.05% GEL Topical Antiinflammatory Preparations

TEMOVATE CLOBETASOL PROPIONATE 0.05% OINT.(GM) Topical Antiinflammatory Preparations

TEMOVATE CLOBETASOL PROPIONATE 0.05% CREAM(GM) Topical Antiinflammatory Preparations

TEMOVATE EMOLLIENT CLOBETASOL PROPIONATE/EMO 0.05% CREAM(GM) Topical Antiinflammatory Preparations

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

TENEX GUANFACINE HCL 1MG TABLET Hypotensives, Sympatholitic

TENEX GUANFACINE HCL 2MG TABLET Hypotensives, Sympatholitic

TENORETIC 100 ATENOLOL/CHLORTHALIDONE 100-25MG TABLET Hypotensives, Misc

TENORETIC 50 ATENOLOL/CHLORTHALIDONE 50MG-25MG TABLET Hypotensives, Misc

TENORMIN ATENOLOL 100MG TABLET Beta-Adrenergic Blocking Agents

TENORMIN ATENOLOL 25MG TABLET Beta-Adrenergic Blocking Agents

TENORMIN ATENOLOL 50MG TABLET Beta-Adrenergic Blocking Agents

TEQUIN GATIFLOXACIN 10MG/ML VIAL Quinolones

TEQUIN GATIFLOXACIN 200MG TABLET Quinolones

TEQUIN GATIFLOXACIN 400MG TABLET Quinolones

TERAZOL 7 TERCONAZOLE 0.40% CREAM/APPL Vaginal Antifungals

TERPIN HYDRATE W/CODEINE TERPIN HYDRATE/CODEINE ELIXIR Expectorants

TESLAC TESTOLACTONE 50MG TABLET Steroid Antineoplastics

TETRACYCLINE HCL TETRACYCLINE HCL 500MG CAPSULE Tetracyclines

TEV-TROPIN

PA

Required SOMATROPIN 5MG VIAL Growth Hormones

THALITONE CHLORTHALIDONE 25MG TABLET Thiazide Diuretics and Related Agents

THEO-24 THEOPHYLLINE ANHYDROUS 100MG CAP.SR 24H Xanthines

THEO-24 THEOPHYLLINE ANHYDROUS 200MG CAP.SR 24H Xanthines

THEO-24 THEOPHYLLINE ANHYDROUS 300MG CAP.SR 24H Xanthines

THEO-24 THEOPHYLLINE ANHYDROUS 400MG CAP.SR 24H Xanthines

THEOBID THEOPHYLLINE ANHYDROUS 260MG CAP.SR 12H Xanthines

THEOCAP THEOPHYLLINE ANHYDROUS 125MG CAP.SR 12H Xanthines

THEO-DUR THEOPHYLLINE ANHYDROUS 100MG TAB.SR 12H Xanthines

THEO-DUR THEOPHYLLINE ANHYDROUS 450MG TAB.SR 12H Xanthines

THEO-DUR SPRINKLE THEOPHYLLINE ANHYDROUS 125MG CAP SPRINK Xanthines

THEO-DUR SPRINKLE THEOPHYLLINE ANHYDROUS 200MG CAP SPRINK Xanthines

THEO-DUR SPRINKLE THEOPHYLLINE ANHYDROUS 50MG CAP SPRINK Xanthines

THEO-DUR SPRINKLE THEOPHYLLINE ANHYDROUS 75MG CAP SPRINK Xanthines

THEOLAIR THEOPHYLLINE ANHYDROUS 125MG TABLET Xanthines

THEOLAIR THEOPHYLLINE ANHYDROUS 250MG TABLET Xanthines

THEOLAIR-SR THEOPHYLLINE ANHYDROUS 250MG TAB.SR 12H Xanthines

THEOLAIR-SR THEOPHYLLINE ANHYDROUS 500MG TAB.SR 12H Xanthines

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

THEOPHYLLINE THEOPHYLLINE ANHYDROUS 200MG CAP.SR 12H Xanthines

THEOPHYLLINE THEOPHYLLINE ANHYDROUS 80MG/15ML SOLUTION Xanthines

THEOPHYLLINE ANHYDROUS THEOPHYLLINE ANHYDROUS 200MG TAB.SR 12H Xanthines

THEOPHYLLINE ANHYDROUS THEOPHYLLINE ANHYDROUS 300MG CAP.SR 12H Xanthines

THERAMILL FORTE MULTIVITAMINS,THER W-MINE CAPSULE Multivitamin Preparations

THERAPEUTIC SHAMPOO COAL TAR 2% SHAMPOO Irritants/Counter-irritants

THIOGUANINE THIOGUANINE 40MG TABLET Antimetabolites

THORAZINE CHLORPROMAZINE HCL 100MG SUPP.RECT Anti-Psychotics, Phenothiazines

THORAZINE CHLORPROMAZINE HCL 100MG TABLET Anti-Psychotics, Phenothiazines

THORAZINE CHLORPROMAZINE HCL 100MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines

THORAZINE CHLORPROMAZINE HCL 10MG TABLET Anti-Psychotics, Phenothiazines

THORAZINE CHLORPROMAZINE HCL 10MG/5ML SYRUP Anti-Psychotics, Phenothiazines

THORAZINE CHLORPROMAZINE HCL 200MG TABLET Anti-Psychotics, Phenothiazines

THORAZINE CHLORPROMAZINE HCL 25MG SUPP.RECT Anti-Psychotics, Phenothiazines

THORAZINE CHLORPROMAZINE HCL 25MG TABLET Anti-Psychotics, Phenothiazines

THORAZINE CHLORPROMAZINE HCL 50MG TABLET Anti-Psychotics, Phenothiazines

THYROLAR-1 LIOTRIX 60MG TABLET Thyroid Hormones

THYROLAR-1/2 LIOTRIX 30MG TABLET Thyroid Hormones

THYROLAR-1/4 LIOTRIX 15MG TABLET Thyroid Hormones

THYROLAR-2 LIOTRIX 120MG TABLET Thyroid Hormones

THYROLAR-3 LIOTRIX 180MG TABLET Thyroid Hormones

TIAZAC DILTIAZEM HCL 120MG CAPSULE SA Calcium Channel Blocking Agents

TIAZAC DILTIAZEM HCL 180MG CAPSULE SA Calcium Channel Blocking Agents

TIAZAC DILTIAZEM HCL 240MG CAPSULE SA Calcium Channel Blocking Agents

TIAZAC DILTIAZEM HCL 300MG CAPSULE SA Calcium Channel Blocking Agents

TIAZAC DILTIAZEM HCL 360MG CAPSULE SA Calcium Channel Blocking Agents

TICLID TICLOPIDINE HCL 250MG TABLET Platelet Aggregation Inhibitors

TIGAN TRIMETHOBENZAMIDE HCL 100MG CAPSULE Anti-Emetics

TIGAN TRIMETHOBENZAMIDE HCL 100MG SUPP.RECT Anti-Emetics

TIGAN TRIMETHOBENZAMIDE HCL 200MG SUPP.RECT Anti-Emetics

TIGAN TRIMETHOBENZAMIDE HCL 250MG CAPSULE Anti-Emetics

TIGAN TRIMETHOBENZAMIDE HCL 300MG CAPSULE Anti-Emetics

TIGAN TRIMETHOBENZAMIDE HCL/B-C 100MG SUPP.RECT Anti-Emetics

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

TIGAN TRIMETHOBENZAMIDE HCL/B-C 200MG SUPP.RECT Anti-Emetics

TIKOSYN DOFETILIDE 0.125MG CAPSULE Antiarrhythmics

TIKOSYN DOFETILIDE 0.25MG CAPSULE Antiarrhythmics

TIKOSYN DOFETILIDE 0.5MG CAPSULE Antiarrhythmics

TILADE NEDOCROMIL SODIUM 1.75MG AER W/ADAP Mast Cell Stablizers

TIMOPTIC TIMOLOL MALEATE 0.25% DROPS Miotics/Other Intraocular Pressure Reducers

TIMOPTIC-XE TIMOLOL MALEATE 0.25% SOL-GEL Miotics/Other Intraocular Pressure Reducers

TIMOPTIC-XE TIMOLOL MALEATE 0.50% SOL-GEL Miotics/Other Intraocular Pressure Reducers

TINDAL ACETOPHENAZINE MALEATE 20MG TABLET Anti-Psychotics, Phenothiazines

TOBI TOBRAMYCIN/0.25 NORMAL SA 300MG/5ML AMPUL-NEB. Aminoglycosides

TOBRADEX TOBRAMYCIN SULFATE/DEXAME 0.3-0.1% OINT.(GM) Eye Antibiotic-Corticoid Combinations

TOBRADEX TOBRAMYCIN SULFATE/DEXAME 0.3-0.1% DROPS SUSP Eye Antibiotic-Corticoid Combinations

TOBREX TOBRAMYCIN SULFATE 0.30% OINT.(GM) Eye Antibiotics

TOBREX TOBRAMYCIN SULFATE 0.30% DROPS Eye Antibiotics

TOFRANIL IMIPRAMINE HCL 10MG TABLET Antidepressants

TOFRANIL IMIPRAMINE HCL 10MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

TOFRANIL IMIPRAMINE HCL 25MG TABLET Antidepressants

TOFRANIL IMIPRAMINE HCL 25MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

TOFRANIL IMIPRAMINE HCL 50MG TABLET Antidepressants

TOFRANIL IMIPRAMINE HCL 50MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

TOLINASE TOLAZAMIDE 100MG TABLET Oral Hypoglycemics, Sulfonylureas

TOLINASE TOLAZAMIDE 250MG TABLET Oral Hypoglycemics, Sulfonylureas

TOLINASE TOLAZAMIDE 500MG TABLET Oral Hypoglycemics, Sulfonylureas

TONOCARD TOCAINIDE HCL 400MG TABLET Antiarrhythmics

TONOCARD TOCAINIDE HCL 600MG TABLET Antiarrhythmics

TOPAMAX TOPIRAMATE 100MG TABLET Anticonvulsants

TOPAMAX TOPIRAMATE 15MG CAP SPRINK Anticonvulsants

TOPAMAX TOPIRAMATE 200MG TABLET Anticonvulsants

TOPAMAX TOPIRAMATE 25MG TABLET Anticonvulsants

TOPAMAX TOPIRAMATE 25MG CAP SPRINK Anticonvulsants

TOPAMAX TOPIRAMATE 50MG TABLET Anticonvulsants

TOPICORT DESOXIMETASONE 0.05% GEL Topical Antiinflammatory Preparations

TOPICORT DESOXIMETASONE 0.25% OINT.(GM) Topical Antiinflammatory Preparations

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

TOPICORT DESOXIMETASONE 0.25% CREAM(GM) Topical Antiinflammatory Preparations

TOPICORT LP DESOXIMETASONE 0.05% CREAM(GM) Topical Antiinflammatory Preparations

TOPROL XL METOPROLOL SUCCINATE 100MG TAB.SR 24H Beta-Adrenergic Blocking Agents

TOPROL XL METOPROLOL SUCCINATE 200MG TAB.SR 24H Beta-Adrenergic Blocking Agents

TOPROL XL METOPROLOL SUCCINATE 25MG TAB.SR 24H Beta-Adrenergic Blocking Agents

TOPROL XL METOPROLOL SUCCINATE 50MG TAB.SR 24H Beta-Adrenergic Blocking Agents

TORADOL KETOROLAC TROMETHAMINE 10MG TABLET Anti-inflammatory Agents

TORECAN THIETHYLPERAZINE MALEATE 10MG TABLET Anti-Emetics

TRAC 2X MTH/ME BLUE/BA/SALICY/ATP 120MG TABLET Chemotherapeutics, Antibacterial, Misc.

TRACLEER BOSENTAN 125MG TABLET Pulmonary Anti-HTN, Endo Receptor Antagonist

TRACLEER BOSENTAN 62.5MG TABLET Pulmonary Anti-HTN, Endo Receptor Antagonist

TRANDATE LABETALOL HCL 100MG TABLET Adrenergic Inhibitors

TRANDATE LABETALOL HCL 200MG TABLET Adrenergic Inhibitors

TRANDATE LABETALOL HCL 300MG TABLET Adrenergic Inhibitors

TRANXENE CLORAZEPATE DIPOTASSIUM 15MG CAPSULE Anti-Anxiety Drugs

TRANXENE CLORAZEPATE DIPOTASSIUM 3.75MG CAPSULE Anti-Anxiety Drugs

TRANXENE CLORAZEPATE DIPOTASSIUM 7.5MG CAPSULE Anti-Anxiety Drugs

TRANXENE SD CLORAZEPATE DIPOTASSIUM 11.25MG TABLET SA Anti-Anxiety Drugs

TRANXENE SD CLORAZEPATE DIPOTASSIUM 22.5MG TABLET SA Anti-Anxiety Drugs

TRANXENE T-TAB CLORAZEPATE DIPOTASSIUM 15MG TABLET Anti-Anxiety Drugs

TRANXENE T-TAB CLORAZEPATE DIPOTASSIUM 3.75MG TABLET Anti-Anxiety Drugs

TRANXENE T-TAB CLORAZEPATE DIPOTASSIUM 7.5MG TABLET Anti-Anxiety Drugs

TRAVATAN TRAVOPROST 0.004% DROPS Miotics/Other Intraocular Pressure Reducers

TRAVATAN Z TRAVOPROST 0.004% DROPS Miotics/Other Intraocular Pressure Reducers

TRAVATAN Z TRAVAPROST 0.004% DROPS Miotics/Other Intraocular Pressure Reducers

TRAZODONE HCL TRAZODONE HCL 100MG TABLET Antidepressants

TRENTAL PENTOXIFYLLINE 400MG TABLET SA Hemorrheologic Agents

TREXALL METHOTREXATE SODIUM 10MG TABLET Antimetabolites

TREXALL METHOTREXATE SODIUM 15MG TABLET Antimetabolites

TREXALL METHOTREXATE SODIUM 5MG TABLET Antimetabolites

TREXALL METHOTREXATE SODIUM 7.5MG TABLET Antimetabolites

TRIAMCINOLONE ACETONIDE TRIAMCINOLONE ACETONIDE 0.05% OINT.(GM) Topical Antiinflammatory Preparations

TRIAVIL 10-2 AMITRIPTYLINE HCL/PERPHEN 10-2MG TABLET Tricyclic Antidepressant/Phenothiazine Combinatns

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

TRIAVIL 2-10 AMITRIPTYLINE HCL/PERPHEN 10-2MG TABLET Antidepressant Combinations

TRIAVIL 2-25 AMITRIPTYLINE HCL/PERPHEN 25-2MG TABLET Antidepressant Combinations

TRIAVIL 25-2 AMITRIPTYLINE HCL/PERPHEN 25-2MG TABLET Tricyclic Antidepressant/Phenothiazine Combinatns

TRIAVIL 25-4 AMITRIPTYLINE HCL/PERPHEN 25-4MG TABLET Tricyclic Antidepressant/Phenothiazine Combinatns

TRIAVIL 4-10 AMITRIPTYLINE HCL/PERPHEN 10-4MG TABLET Antidepressant Combinations

TRIAVIL 4-25 AMITRIPTYLINE HCL/PERPHEN 25-4MG TABLET Antidepressant Combinations

TRIAVIL 4-50 AMITRIPTYLINE HCL/PERPHEN 50-4MG TABLET Antidepressant Combinations

TRIAZ BENZOYL PEROXIDE 3% GEL Keratolytics

TRIAZ BENZOYL PEROXIDE 3% MED. PAD Keratolytics

TRIAZ BENZOYL PEROXIDE 3% LOTION Keratolytics

TRIAZ BENZOYL PEROXIDE 6% MED. PAD Keratolytics

TRIAZ BENZOYL PEROXIDE 6% GEL Keratolytics

TRIAZ BENZOYL PEROXIDE 6% LOTION Keratolytics

TRIAZ BENZOYL PEROXIDE 9% GEL Keratolytics

TRIAZ BENZOYL PEROXIDE 9% CLEANSER Keratolytics

TRIAZ BENZOYL PEROXIDE 9% MED. PAD Keratolytics

TRIAZ BENZOYL PEROXIDE 10% LOTION Keratolytics

TRICOR FENOFIBRATE,MICRONIZED 145MG TABLET Lipotropics

TRICOR FENOFIBRATE,MICRONIZED 160MG TABLET Lipotropics

TRICOR FENOFIBRATE,MICRONIZED 48MG TABLET Lipotropics

TRICOR FENOFIBRATE,MICRONIZED 54MG TABLET Lipotropics

TRIDESILON DESONIDE 0.05% OINT.(GM) Topical Antiinflammatory Preparations

TRIDIONE TRIMETHADIONE 150MG TAB CHEW Anticonvulsants

TRIDIONE TRIMETHADIONE 300MG CAPSULE Anticonvulsants

TRIGESIC ASPIRIN/ACETAMINOPHEN/CAF TABLET Analgesics, Salicylates

TRILAFON PERPHENAZINE 16MG TABLET Anti-Psychotics, Phenothiazines

TRILAFON PERPHENAZINE 16MG/5ML ORAL CONC. Anti-Psychotics, Phenothiazines

TRILAFON PERPHENAZINE 2MG TABLET Anti-Psychotics, Phenothiazines

TRILAFON PERPHENAZINE 4MG TABLET Anti-Psychotics, Phenothiazines

TRILAFON PERPHENAZINE 8MG TABLET Anti-Psychotics, Phenothiazines

TRILEPTAL OXCARBAZEPINE 150MG TABLET Anticonvulsants

TRILEPTAL OXCARBAZEPINE 300MG TABLET Anticonvulsants

TRILEPTAL OXCARBAZEPINE 300MG/5ML ORAL SUSP Anticonvulsants

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

TRILEPTAL OXCARBAZEPINE 600MG TABLET Anticonvulsants

TRILISATE CHOL SAL/MAGNESIUM SALICY 500MG/5ML LIQUID Analgesics, Salicylates

TRIMIPRAMINE MALEATE TRIMIPRAMINE MALEATE 100MG CAPSULE Antidepressants

TRIMPEX TRIMETHOPRIM 100MG TABLET Chemotherapeutics, Antibacterial, Misc.

TRINALIN PSEUDOEPHEDRINE SULFATE/A 120-1MG TABLET SA Antihistamines

TRI-NASAL TRIAMCINOLONE ACETONIDE 50MCG SPRAY Nose Preparations, Antiinflammatory

TRI-NORINYL NORETHINDRONE-ETHINYL EST 7/9/2005 TABLET Contraceptives, Oral

TRIPHASIL-28 LEVONORGESTREL-ETH ESTRA 6/5/2010 TABLET Contraceptives, Oral

TRISORALEN TRIOXSALEN 5MG TABLET Hyperpigmentation Agents, Systemic

TRITEC RANITIDINE BISMUTH CITRAT 400MG TABLET Anti-Ulcer Preps-E.pylori agents

TRITUSS-A D-METHORPHAN HB/PE/CARBIN 2-2-1MG/ML DROPS Cough and Cold Preparations

TRI-VI-FLOR FLUORIDE ION/VIT A,C&D 0.5MG/ML DROPS Pediatric Vitamin Preparations

TRI-VI-FLOR FLUORIDE ION/VIT A,C&D 1MG TAB CHEW Pediatric Vitamin Preparations

TRIZIVIR ABACAVIR/LAMIVUDINE/ZIDOV 150-300MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI Comb

TROVAN TROVAFLOXACIN MESYLATE 100MG TABLET Quinolones

TROVAN TROVAFLOXACIN MESYLATE 200MG TABLET Quinolones

TROVAN I.V. ALATROFLOXACIN MESYLATE 5MG/ML VIAL Quinolones

TRUSOPT DORZOLAMIDE HCL 2% DROPS Miotics/Other Intraocular Pressure Reducers

TRUVADA EMTRICITABINE/TENOFOVIR 200-300MG TABLET Antivirals, HIV-Spec, Nucleoside-Nucleotide Analog

TRYSUL SULFATHIAZ/SULFACET/SULFA CREAM/APPL Vaginal Sulfonamides

TUSSAFED DM HB/P-EPHED HCL/CARBINO 15-60-4/5 SYRUP Cough and Cold Preparations

TUSSAFED-HCG GUAIFENESIN/PHENYLEPHRINE 150-6-2.5 SYRUP Narcotic Antituss-decongestant-Expectorant Comb

TUSSID DM GUAIFENESIN/D-METHORPHAN 100-10/5ML SYRUP Expectorants

TUSSIN PEDIATRIC GUAIFENESIN 100MG/5ML SYRUP Expectorants

TUSSIONEX HYDROCOD PSX/CHLOR-POLI SUS.12H SR Cough and Cold Preparations

TUSSIONEX HYDROCODONE/CHLORPHEN POL 10-8MG/5ML SUS.12H SR Cough and Cold Preparations

TUSSI-ORGANIDIN DM D-METHORPHAN HB/IOD GLYCE LIQUID Antitussives, Non-Narcotic

TUSSI-ORGANIDIN DM NR GUAIFENESIN/D-METHORPHAN HB 300-10MG/5 LIQUID Non-Narcotic Antitussive & Expectorant Comb

TUSSI-ORGANIDIN NR GUAIFENESIN/D-CODEINE PHOS 300-10MG/5 LIQUID Narcotic Antitussive & Expectorant Comb

TUSSI-ORGANIDIN-S CODEINE/IODINATED GLYCERO LIQUID Cough and Cold Preparations

TUSSI-ORGANIDIN-S NR GUAIFENESIN/CODEINE PHOS 100-10MG/5 LIQUID Expectorants

TUSSOGEST CARAMIPHEN/PPA HCL CAPSULE SA Antitussives, Non-Narcotic

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

TUSS-ORNADE CARAMIPHEN/PPA HCL LIQUID Antitussives, Non-Narcotic

TYKERB LAPATINIB DITOSYLATE 250mg. TABLET Antineoplastic Systemic Enzyme Inhibitors

TYLENOL W/CODEINE CODEINE PHOS/ACETAMINOPHE 12-120MG/5 ELIXIR Analgesics, Narcotics

TYLENOL W/CODEINE CODEINE PHOSPHATE/APAP ELIXIR Analgesics, Narcotics

TYLENOL W/CODEINE NO.2 CODEINE PHOS/ACETAMINOPHE 15-300MG TABLET Analgesics, Narcotics

TYLENOL W/CODEINE NO.3 CODEINE PHOS/ACETAMINOPHE 30-300MG TABLET Analgesics, Narcotics

TYLENOL W/CODEINE NO.4 CODEINE PHOS/ACETAMINOPHE 60-300MG TABLET Analgesics, Narcotics

TYLOX OXYCODONE HCL/ACETAMINOPH 5-500MG CAPSULE Analgesics, Narcotics

TYZEKA TELBIVUDINE 600MG TABLET Hepatitis B Treatment Agents

ULTRAM TRAMADOL HCL 50MG TABLET Analgesics, Narcotics (cont 1)

ULTRASE AMYLASE/LIPASE/PROTEASE 250MG TABLET Pancreatic Enzymes

ULTRASE MT 12 AMYLASE/LIPASE/PROTEASE 39-12-39 CAPSULE DR Pancreatic Enzymes

ULTRASE MT 18 AMYLASE/LIPASE/PROTEASE 59-18-59 CAPSULE DR Pancreatic Enzymes

ULTRASE MT 20 AMYLASE/LIPASE/PROTEASE 65-20-65 CAPSULE DR Pancreatic Enzymes

ULTRASE MT 6 AMYLASE/LIPASE/PROTEASE 20K-6K-20K CAPSULE DR Pancreatic Enzymes

ULTRAVATE HALOBETASOL PROPRIONATE 0.05% CREAM(GM) Topical Antiinflammatory Preparations

ULTRAVATE HALOBETASOL PROPRIONATE 0.05% OINT.(GM) Topical Antiinflammatory Preparations

UNI-DUR THEOPHYLLINE ANHYDROUS 400MG TAB.SR 24H Xanthines

UNI-DUR THEOPHYLLINE ANHYDROUS 600MG TAB.SR 24H Xanthines

UNIPHYL THEOPHYLLINE ANHYDROUS 400MG TABLET SA Xanthines

UNIPHYL THEOPHYLLINE ANHYDROUS 600MG TABLET SA Xanthines

UNIRETIC MOEXIPRIL/HYDROCHLOROTHIA 15-12.5MG TABLET Hypotensives, ACE Blocking Agents

UNIRETIC MOEXIPRIL/HYDROCHLOROTHIA 15-25MG TABLET Hypotensives, ACE Blocking Agents

UNIRETIC MOEXIPRIL/HYDROCHLOROTHIA 7.5-12.5MG TABLET Hypotensives, ACE Blocking Agents

UNIVASC MOEXIPRIL HCL 15MG TABLET Hypotensives, ACE Blocking Agents

UNIVASC MOEXIPRIL HCL 7.5MG TABLET Hypotensives, ACE Blocking Agents

URACIL MUSTARD URACIL MUSTARD 1MG CAPSULE Alkylating Agents

URECHOLINE BETHANECHOL CHLORIDE 10MG TABLET Parasympathetic Agents

URECHOLINE BETHANECHOL CHLORIDE 25MG TABLET Parasympathetic Agents

URECHOLINE BETHANECHOL CHLORIDE 50MG TABLET Parasympathetic Agents

URECHOLINE BETHANECHOL CHLORIDE 5MG TABLET Parasympathetic Agents

URISED MTH/ME BLUE/BA/SALICY/ATP TABLET Chemotherapeutics, Antibacterial, Misc.

URISPAS FLAVOXATE HCL 100MG TABLET Urinary Tract Antispasmodic Agents

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

URSO URSODIOL 250MG TABLET Bile Salts

URSO FORTE URSODIOL 500MG TABLET Bile Salts

VAGISTAT-1 TIOCONAZOLE 6.50% OIN/PF APP Vaginal Antifungals

VALISONE BETAMETHASONE VALERATE 0.01% CREAM(GM) Topical Antiinflammatory Preparations

VALISONE BETAMETHASONE VALERATE 0.10% CREAM(GM) Topical Antiinflammatory Preparations

VALIUM DIAZEPAM 10MG TABLET Anti-Anxiety Drugs

VALIUM DIAZEPAM 2MG TABLET Anti-Anxiety Drugs

VALIUM DIAZEPAM 5MG TABLET Anti-Anxiety Drugs

VALIUM DIAZEPAM 5MG/ML AMPUL Anti-Anxiety Drugs

VALIUM DIAZEPAM 5MG/ML DISP SYRIN Anti-Anxiety Drugs

VALTREX VALACYCLOVIR HCL 1000MG TABLET Antivirals, General

VALTREX VALACYCLOVIR HCL 500MG TABLET Antivirals, General

VANCENASE AQ BECLOMETHASONE DIPROPIONA 84MCG SPRAY Nose Preparations, Antiinflammatory

VANCERIL BECLOMETHASONE DIPROPIONA 42MCG AER W/ADAP Glucocorticoids, Topical

VANCERIL DOUBLE STRENGTH BECLOMETHASONE DIPROPIONA 84MCG AER W/ADAP Glucocorticoids, Topical

VANCOCIN HCL VANCOMYCIN HCL 125MG CAPSULE Vancomycin and Derivatives

VANCOCIN HCL VANCOMYCIN HCL 1G VIAL Vancomycin and Derivatives

VANCOCIN HCL VANCOMYCIN HCL 250MG CAPSULE Vancomycin and Derivatives

VANCOCIN HCL VANCOMYCIN HCL 250MG/5ML SOLN RECON Vancomycin and Derivatives

VANCOCIN HCL VANCOMYCIN HCL 500MG/6ML SOLN RECON Vancomycin and Derivatives

VANCOCIN HCL VANCOMYCIN HCL/D5W 1G/200ML FROZ.PIGGY Vancomycin and Derivatives

VANCOCIN HCL VANCOMYCIN HCL/D5W 500MG/0.1L FROZ.PIGGY Vancomycin and Derivatives

VANCOMYCIN HCL VANCOMYCIN HCL 10G VIAL Vancomycin and Derivatives

VANCOMYCIN HCL VANCOMYCIN HCL 500MG VIAL Vancomycin and Derivatives

VANEX GUAIFENESIN/P-EPHED HCL/H 100-30-2.5 EXPECT. Expectorants

VANEX HD PHENYLEPHRINE/HYDROCODONE 5-1.67-2 SYRUP Cough and Cold Preparations

VANSPAR BUSPIRONE HCL 7.5MG TABLET Anti-Anxiety Drugs

VASERETIC ENALAPRIL/HYDROCHLOROTHIA 10-25MG TABLET Hypotensives, ACE Blocking Agents

VASERETIC ENALAPRIL/HYDROCHLOROTHIA 5-12.5MG TABLET Hypotensives, ACE Blocking Agents

VASOCIDIN NA SULFACETM/PREDNIS SP 10-0.25% DROPS Eye Sulfonamides

VASODILAN ISOXSUPRINE HCL 10MG TABLET Vasodilator, Peripheral

VASODILAN ISOXSUPRINE HCL 20MG TABLET Vasodilator, Peripheral

VASOTEC ENALAPRIL MALEATE 10MG TABLET Hypotensives, ACE Blocking Agents

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

VASOTEC ENALAPRIL MALEATE 2.5MG TABLET Hypotensives, ACE Blocking Agents

VASOTEC ENALAPRIL MALEATE 20MG TABLET Hypotensives, ACE Blocking Agents

VASOTEC ENALAPRIL MALEATE 5MG TABLET Hypotensives, ACE Blocking Agents

V-CILLIN K PENICILLIN V POTASSIUM 125MG/5ML SUSP RECON Penicillins

V-CILLIN K PENICILLIN V POTASSIUM 250MG/5ML SUSP RECON Penicillins

V-CILLIN K PENICILLIN V POTASSIUM 500MG TABLET Penicillins

VELOSULIN HUMAN BR INSULIN REG, HUM S-S BUFF 100U/ML VIAL Insulins

VELOSULIN HUMAN BR INSULIN REG,HUM REC BUFF 100 U/ML VIAL Insulins

VELOSULIN HUMAN R INSULIN REG, HUM S-S BUFF 100U/ML VIAL Insulins

VENTOLIN ALBUTEROL 90MCG AEROSOL Beta-Adrenergic Agents

VENTOLIN ALBUTEROL SULFATE 2MG/5ML SYRUP Beta-Adrenergic Agents

VEPESID ETOPOSIDE 50MG CAPSULE Antineoplastics, Misc

VERAMYST FLUTICASONE FUROATE 27.5MCG NASAL SPRAY Nose Preparations, Antiinflammatory

VERELAN VERAPAMIL HCL 120MG CAP24H PEL Calcium Channel Blocking Agents

VERELAN VERAPAMIL HCL 180MG CAP24H PEL Calcium Channel Blocking Agents

VERELAN VERAPAMIL HCL 240MG CAP24H PEL Calcium Channel Blocking Agents

VERELAN VERAPAMIL HCL 360MG CAP24H PEL Calcium Channel Blocking Agents

VERELAN PM VERAPAMIL HCL 100MG CAP24H PEL Calcium Channel Blocking Agents

VERELAN PM VERAPAMIL HCL 200MG CAP24H PEL Calcium Channel Blocking Agents

VERELAN PM VERAPAMIL HCL 300MG CAP24H PEL Calcium Channel Blocking Agents

VERMOX MEBENDAZOLE 100MG TAB CHEW Anthelmintics

VERSACAPS GUAIFENESIN/P-EPHED HCL 300-60MG CAPSULE SA Expectorants

VESANOID

PA

Required

>age 30 TRETINOIN10MG

CAPSULE Antineoplastics, Misc

VIBRAMYCIN DOXYCYCLINE CALCIUM 50MG/5ML SYRUP Tetracyclines

VIBRAMYCIN DOXYCYCLINE HYCLATE 100MG CAPSULE Tetracyclines

VIBRAMYCIN DOXYCYCLINE HYCLATE 50MG CAPSULE Tetracyclines

VIBRAMYCIN DOXYCYCLINE MONOHYDRATE 25MG/5ML SUSP RECON Tetracyclines

VIBRA-TABS DOXYCYCLINE HYCLATE 100MG TABLET Tetracyclines

VICODIN HYDROCODONE BIT/ACETAMINO 5-500MG TABLET Analgesics, Narcotics

VICODIN ES HYDROCODONE BIT/ACETAMINO 7.5-750MG TABLET Analgesics, Narcotics

VICON FORTE FOLIC ACID/MU-VITS-MIN TH CAPSULE Folic Acid Preparations

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

VI-DAYLIN F ADC FLUORIDE ION/VIT A,C&D 0.25MG/ML DROPS Pediatric Vitamin Preparations

VI-DAYLIN/F + IRON FLUORIDE ION/MULTIVITS W- 1MG TAB CHEW Pediatric Vitamin Preparations

VI-DAYLIN/F ADC PLUS IRON FLUORIDE ION/IRON/VIT A,C 0.25MG/ML DROPS Pediatric Vitamin Preparations

VIDEX DIDAN/MAG SALT/AL NACB/SO 100MG TAB CHEW Antivirals, HIV-Specific

VIDEX DIDAN/MAG SALT/AL NACB/SO 150MG TAB CHEW Antivirals, HIV-Specific

VIDEX DIDAN/MAG SALT/AL NACB/SO 25MG TAB CHEW Antivirals, HIV-Specific

VIDEX DIDAN/MAG SALT/AL NACB/SO 50MG TAB CHEW Antivirals, HIV-Specific

VIDEX DIDANOSINE FNL10MG/ML SOLN RECON Antivirals, HIV-Specific, Nucleoside Analog, RTI

VIDEX DIDANOSINE/CALCIUM CARB/M 100MG TAB CHEW Antivirals, HIV-Specific, Nucleoside Analog, RTI

VIDEX DIDANOSINE/CALCIUM CARB/M 150MG TAB CHEW Antivirals, HIV-Specific, Nucleoside Analog, RTI

VIDEX DIDANOSINE/CALCIUM CARB/M 200MG TAB CHEW Antivirals, HIV-Specific, Nucleoside Analog, RTI

VIDEX DIDANOSINE/CALCIUM CARB/M 25MG TAB CHEW Antivirals, HIV-Specific, Nucleoside Analog, RTI

VIDEX DIDANOSINE/CALCIUM CARB/M 50MG TAB CHEW Antivirals, HIV-Specific, Nucleoside Analog, RTI

VIDEX DIDANOSINE/SODIUM CITRATE 100MG PACKET Antivirals, HIV-Specific, Nucleoside Analog, RTI

VIDEX DIDANOSINE/SODIUM CITRATE 167MG PACKET Antivirals, HIV-Specific, Nucleoside Analog, RTI

VIDEX DIDANOSINE/SODIUM CITRATE 250MG PACKET Antivirals, HIV-Specific, Nucleoside Analog, RTI

VIDEX EC DIDANOSINE 125MG CAPSULE DR Antivirals, HIV-Specific, Nucleoside Analog, RTI

VIDEX EC DIDANOSINE 200MG CAPSULE DR Antivirals, HIV-Specific, Nucleoside Analog, RTI

VIDEX EC DIDANOSINE 250MG CAPSULE DR Antivirals, HIV-Specific, Nucleoside Analog, RTI

VIDEX EC DIDANOSINE 400MG CAPSULE DR Antivirals, HIV-Specific, Nucleoside Analog, RTI

VIGAMOX MOXIFLOXACIN HCL 0.50% DROPS Eye Antibiotics

VIOKASE AMYLASE/LIPASE/PROTEASE 30K-8K-30K TABLET Pancreatic Enzymes

VIOKASE AMYLASE/LIPASE/PROTEASE 60-16-60 TABLET Pancreatic Enzymes

VIOKASE AMYLASE/LIPASE/PROTEASE 70-16.8-70 POWDER Pancreatic Enzymes

VIOKASE AMYLASE/LIPASE/PROTEASE 468MG TABLET Pancreatic Enzymes

VIOKASE AMYLASE/LIPASE/PROTEASE 935MG TABLET Pancreatic Enzymes

VIQUIN FORTE OXYBENZONE/PDO/HYDROQUINO 4% CREAM(GM) Antimelamin Agents

VIRA-A VIDARABINE 3% OINT.(GM) Eye Antivirals

VIRACEPT NELFINAVIR MESYLATE 250MG TABLET Antivirals, HIV-Specific, Protease Inhibitors

VIRACEPT NELFINAVIR MESYLATE 50MG/G POWDER Antivirals, HIV-Specific, Protease Inhibitors

VIRACEPT NELFINAVIR MESYLATE 625MG TABLET Antivirals, HIV-Specific, Protease Inhibitors

VIRAMUNE NEVIRAPINE 200MG TABLET Antivirals, HIV-Specific, Non-Nucleoside, RTI

VIRAMUNE NEVIRAPINE 50MG/5ML ORAL SUSP Antivirals, HIV-Specific, Non-Nucleoside, RTI

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

VIRAVAN DM D-METHORP TAN/PE/PYRIL 25-12.5-30 ORAL SUSP Cough and Cold Preparations

VIRAZOLE RIBAVIRIN 6G VIAL Antivirals, General

VIREAD TENOFOVIR DISOPROXIL FUMA 300MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI

VIROPTIC TRIFLURIDINE 1% DROPS Eye Antivirals

VISKEN PINDOLOL 10MG TABLET Beta-Adrenergic Blocking Agents

VISKEN PINDOLOL 5MG TABLET Beta-Adrenergic Blocking Agents

VISTARIL HYDROXYZINE PAMOATE 100MG CAPSULE Antihistamines, Cont 13

VISTARIL HYDROXYZINE PAMOATE 25MG CAPSULE Antihistamines, Cont 14

VISTARIL HYDROXYZINE PAMOATE 25MG/5ML ORAL SUSP Antihistamines, Cont 16

VISTARIL HYDROXYZINE PAMOATE 50MG CAPSULE Antihistamines, Cont 15

VITAFOL-PN PRENATAL VIT/FE FUMARATE/ 65-1MG TABLET Prenatal Vitamin Preparations

VITAMIN A VITAMIN A 25000 UNIT CAPSULE Vitamin A Preparations

VITAMIN B12 CYANOCOBALAMIN 1000MCG TABLET SA Vitamin B-12 Preparations

VITAMIN B-12 CYANOCOBALAMIN 100MCG TABLET Vitamin B-12 Preparations

VITAMIN B-12 CYANOCOBALAMIN 2000MCG TABLET SA Vitamin B-12 Preparations

VITAMIN B-12 CYANOCOBALAMIN 250MCG TABLET Vitamin B-12 Preparations

VITAMIN B-12 CYANOCOBALAMIN 25MCG TABLET Vitamin B-12 Preparations

VITAMIN B-12 CYANOCOBALAMIN 500MCG TABLET Vitamin B-12 Preparations

VITAMIN B-12 CYANOCOBALAMIN 500MCG TABLET SA Vitamin B-12 Preparations

VITAMIN B-12 CYANOCOBALAMIN 50MCG TABLET Vitamin B-12 Preparations

VIVACTIL PROTRIPTYLINE HCL 10MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

VIVACTIL PROTRIPTYLINE HCL 5MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib

VIVELLE ESTRADIOL 0.1MG/24HR PATCH TDBW Estrogenic Agents

VIVELLE-DOT ESTRADIOL .025MG/24H PATCH TDBW Estrogenic Agents

VOLTAREN DICLOFENAC SODIUM 0.10% DROPS Eye Antiinflammatory Agents

VOLTAREN DICLOFENAC SODIUM 25MG TABLET DR Anti-inflammatory Agents

VOLTAREN DICLOFENAC SODIUM 50MG TABLET DR Anti-inflammatory Agents

VOLTAREN DICLOFENAC SODIUM 75MG TABLET DR Anti-inflammatory Agents

VOLTAREN-XR DICLOFENAC SODIUM 100MG TAB.SR 24H Anti-inflammatory Agents

VOSOL ACETIC ACID 2% SOLUTION Ear Preparations, Misc. Anti-infectives

VOSOL HC ACETIC ACID/HYDROCORTISON 2-1% DROPS Ear Preparations, Misc. Anti-infectives

VOSPIRE ER ALBUTEROL SULFATE 4MG TAB.SR 12H Beta-Adrenergic Agents

VOSPIRE ER ALBUTEROL SULFATE 8MG TAB.SR 12H Beta-Adrenergic Agents

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

VYTORIN EZETIMIBE/SIMVASTATIN 10MG/10MG TABLET Lipotropics, cont

VYTORIN EZETIMIBE/SIMVASTATIN 10MG/20MG TABLET Lipotropics, cont

VYTORIN EZETIMIBE/SIMVASTATIN 10MG/40MG TABLET Lipotropics, cont

VYTORIN EZETIMIBE/SIMVASTATIN 10MG/80MG TABLET Lipotropics, cont

VYVANSE

Quantity

Limit 1/d,

Age 6-12 LISEDEXAMFETAMINE30MG

CAPSULE Adrenergic Agents, Aromatic, Non-Catecholamine

VYVANSE

Quantity

Limit 1/d,

Age 6-12 LISEDEXAMFETAMINE50MG

CAPSULE Adrenergic Agents, Aromatic, Non-Catecholamine

VYVANSE

Quantity

Limit 1/d,

Age 6-12 LISEDEXAMFETAMINE70MG

CAPSULE Adrenergic Agents, Aromatic, Non-Catecholamine

Vyvanse

Qty Limit

1/d, Age 6-

12 Lisdexamfetamine Dimesylate20mg

Capsule Adrenergic Agents, Aromatic, Non-Catecholamine

Vyvanse

Qty Limit

1/d, Age 6-

12 Lisdexamfetamine Dimesylate40mg

Capsule Adrenergic Agents, Aromatic, Non-Catecholamine

Vyvanse

Qty Limit

1/d, Age 6-

12 Lisdexamfetamine Dimesylate60mg

Capsule Adrenergic Agents, Aromatic, Non-Catecholamine

WELCHOL COLESEVELAM HCL 625MG TABLET Bile Salt Sequestrants

WELLBUTRIN BUPROPION HCL 100MG TABLET Norepinephrine and Dopamine Reuptake Inhib

WELLBUTRIN BUPROPION HCL 75MG TABLET Norepinephrine and Dopamine Reuptake Inhib

WELLBUTRIN BUPROPION HYDROCHLORIDE 100MG TABLET Antidepressants

WELLBUTRIN BUPROPION HYDROCHLORIDE 75MG TABLET Antidepressants

WELLBUTRIN SR BUPROPION HCL 100MG TABLET SA Norepinephrine and Dopamine Reuptake Inhib

WELLBUTRIN SR BUPROPION HCL 150MG TABLET SA Norepinephrine and Dopamine Reuptake Inhib

WELLBUTRIN SR BUPROPION HCL 200MG TABLET SA Norepinephrine and Dopamine Reuptake Inhib

WESTCORT HYDROCORTISONE VALERATE 0.20% OINT.(GM) Topical Antiinflammatory Preparations

WESTCORT HYDROCORTISONE VALERATE 0.20% CREAM(GM) Topical Antiinflammatory Preparations

WYAMYCIN E ERYTHROMYCIN ETHYLSUCCINA 200MG/5ML ORAL SUSP Macrolides

WYGESIC PROPOXYPHENE HCL/ACETAMIN 65-650MG TABLET Analgesics, Narcotics

XALATAN LATANOPROST 0.01% DROPS Miotics/Other Intraocular Pressure Reducers

XANAX ALPRAZOLAM 0.25MG TABLET Anti-Anxiety Drugs

XANAX ALPRAZOLAM 0.5MG TABLET Anti-Anxiety Drugs

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

XANAX ALPRAZOLAM 1MG TABLET Anti-Anxiety Drugs

XANAX ALPRAZOLAM 2MG TABLET Anti-Anxiety Drugs

XELODA CAPECITABINE 150MG TABLET Antimetabolites

XELODA CAPECITABINE 500MG TABLET Antimetabolites

XOLAIR

PA

Required OMALIZUMAB 150MG VIAL Monoclonal Antibodies to Imunoglobulin E(IGE)

XOLAIR

PA

Required OMALIZUMAB 75MG VIAL Monoclonal Antibodies to Imunoglobulin E(IGE)

XYLOCAINE LIDOCAINE HCL 2% JEL Local Anesthetics

XYLOCAINE LIDOCAINE HCL 2.50% OINT.(GM) Topical Local Anesthetics

XYLOCAINE LIDOCAINE HCL 5% OINT.(GM) Local Anesthetics

XYLOCAINE LIDOCAINE HCL 5% OINT.(GM) Topical Local Anesthetics

XYLOCAINE LIDOCAINE HCL 10% SPRAY Local Anesthetics

XYLOCAINE LIDOCAINE HCL 40MG/ML SOLUTION Local Anesthetics

XYLOCAINE LIDOCAINE HCL 50MG/ML SOLUTION Local Anesthetics

XYLOCAINE VISCOUS LIDOCAINE HCL 20MG/ML SOLUTION Local Anesthetics

YASMIN 28 ETHINYL ESTRADIOL/DROSPIR 0.03-3MG TABLET Contraceptives, Oral

YAZ ETHINYL ESTRADIOL/DROSPIR 0.02-3MG(24) TABLET Contraceptives, Oral

YOCON YOHIMBINE HCL 5.4MG TABLET Drugs to treat Impotency

YODOXIN IODOQUINOL 210MG TABLET Amebacides

YODOXIN IODOQUINOL 650MG TABLET Amebacides

YUTOPAR RITODRINE HCL 10MG TABLET Beta-Adrenergic Agents

YUTOPAR RITODRINE HCL 10MG/ML AMPUL Beta-Adrenergic Agents

YUTOPAR RITODRINE HCL 15MG/ML DISP SYRIN Beta-Adrenergic Agents

ZADITOR KETOTIFEN FUMARATE 0.03% DROPS Eye Antihistamines

ZANAFLEX TIZANIDINE HCL 2MG TABLET Skeletal Muscle Relaxants

ZANAFLEX TIZANIDINE HCL 4MG TABLET Skeletal Muscle Relaxants

ZANTAC RANITIDINE HCL 150MG TABLET Gastric Acid Secretion Reducers

ZANTAC RANITIDINE HCL 15MG/ML SYRUP Gastric Acid Secretion Reducers

ZANTAC RANITIDINE HCL 25MG/ML VIAL Gastric Acid Secretion Reducers

ZANTAC RANITIDINE HCL 300MG TABLET Gastric Acid Secretion Reducers

ZARONTIN ETHOSUXIMIDE 250MG CAPSULE Anticonvulsants

ZARONTIN ETHOSUXIMIDE 250MG/5ML SYRUP Anticonvulsants

ZAROXOLYN METOLAZONE 10MG TABLET Thiazide Diuretics and Related Agents

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

ZAROXOLYN METOLAZONE 2.5MG TABLET Thiazide Diuretics and Related Agents

ZAROXOLYN METOLAZONE 5MG TABLET Thiazide Diuretics and Related Agents

ZEBETA BISOPROLOL FUMARATE 10MG TABLET Beta-Adrenergic Blocking Agents

ZEBETA BISOPROLOL FUMARATE 5MG TABLET Beta-Adrenergic Blocking Agents

ZELNORM TEGASEROD HYDROGEN MALEAT 2MG TABLET Irritable Bowel Synd Agent, 5HT-4 Partial Agonist

ZELNORM TEGASEROD HYDROGEN MALEAT 6MG TABLET Irritable Bowel Synd Agent, 5HT-4 Partial Agonist

ZERIT STAVUDINE 15MG CAPSULE Antivirals, HIV-Specific, Nucleoside Analog, RTI

ZERIT STAVUDINE 1MG/ML SOLN RECON Antivirals, HIV-Specific, Nucleoside Analog, RTI

ZERIT STAVUDINE 20MG CAPSULE Antivirals, HIV-Specific, Nucleoside Analog, RTI

ZERIT STAVUDINE 30MG CAPSULE Antivirals, HIV-Specific, Nucleoside Analog, RTI

ZERIT STAVUDINE 40MG CAPSULE Antivirals, HIV-Specific, Nucleoside Analog, RTI

ZESTRIL LISINOPRIL 2.5MG TABLET Hypotensives, ACE Blocking Agents

ZESTRIL LISINOPRIL 20MG TABLET Hypotensives, ACE Blocking Agents

ZESTRIL LISINOPRIL 30MG TABLET Hypotensives, ACE Blocking Agents

ZESTRIL LISINOPRIL 40MG TABLET Hypotensives, ACE Blocking Agents

ZETIA EZETIMIBE 10MG TABLET Lipotropics, cont

ZIAC BISOPROL/HYDROCHLOROTHIAZ 10-6.25MG TABLET Hypotensives, Misc

ZIAC BISOPROL/HYDROCHLOROTHIAZ 2.5-6.25MG TABLET Hypotensives, Misc

ZIAC BISOPROL/HYDROCHLOROTHIAZ 5-6.25MG TABLET Hypotensives, Misc

ZIAGEN ABACAVIR SULFATE 20MG/ML SOLUTION Antivirals, HIV-Specific, Nucleoside Analog, RTI

ZIAGEN ABACAVIR SULFATE 300MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI

ZITHROMAX AZITHROMYCIN 100MG/5ML SUSP RECON Macrolides

ZITHROMAX AZITHROMYCIN 1G PACKET Macrolides

ZITHROMAX AZITHROMYCIN 200MG/5ML SUSP RECON Macrolides

ZITHROMAX AZITHROMYCIN 250MG CAPSULE Macrolides

ZITHROMAX AZITHROMYCIN 250MG TABLET Macrolides

ZITHROMAX AZITHROMYCIN 500MG TABLET Macrolides

ZITHROMAX AZITHROMYCIN 600MG TABLET Macrolides

ZOCOR SIMVASTATIN 10MG TABLET Lipotropics

ZOCOR SIMVASTATIN 20MG TABLET Lipotropics

ZOCOR SIMVASTATIN 40MG TABLET Lipotropics

ZOCOR SIMVASTATIN 5MG TABLET Lipotropics

ZOCOR SIMVASTATIN 80MG TABLET Lipotropics

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

ZOFRAN ONDANSETRON HCL 24MG TABLET Anti-Emetics

ZOFRAN ONDANSETRON HCL 2MG/ML VIAL Anti-Emetics

ZOFRAN ONDANSETRON HCL 4MG TABLET Anti-Emetics

ZOFRAN ONDANSETRON HCL 4MG/5ML SOLUTION Anti-Emetics

ZOFRAN ONDANSETRON HCL 8MG TABLET Anti-Emetics

ZOFRAN ODT ONDANSETRON 4MG TAB RAPDIS Anti-Emetics

ZOFRAN ODT ONDANSETRON 8MG TAB RAPDIS Anti-Emetics

ZOLADEX

PA

Required GOSERELIN ACETATE 10.8MG IMPLANT Antineoplastic LHRH Agonist, Pituitary Suppressant

ZOLADEX

PA

Required GOSERELIN ACETATE 3.6MG IMPLANT

LHRH (GNRH) Agnst Pit. Sup-Central Precocious

Puberty

ZOLADEX

PA

Required GOSERELIN ACETATE 3.6MG IMPLANT Antineoplastic LHRH Agonist, Pituitary Suppressant

ZOLOFT SERTRALINE HCL 100MG TABLET Antidepressants I.e. Prozac Weekly

ZOLOFT

PA

Required SERTRALINE HCL 20MG/ML ORAL CONC. Antidepressants I.e. Prozac Weekly

ZOLOFT

PA

Required SERTRALINE HCL 25MG TABLET Antidepressants I.e. Prozac Weekly

ZOLOFT

PA

Required SERTRALINE HCL 50MG TABLET Antidepressants I.e. Prozac Weekly

ZOMIG ZOLMITRIPTAN 2.5MG TABLET Imitrex Oral Drugs

ZOMIG ZOLMITRIPTAN 5MG SPRAY Antimigraine Preparations

ZOMIG ZOLMITRIPTAN 5MG TABLET Antimigraine Preparations

ZOMIG ZMT ZOLMITRIPTAN 2.5 TAB RAPDIS Antimigraine Preparations

ZOMIG ZMT ZOLMITRIPTAN 5 TAB RAPDIS Antimigraine Preparations

ZONEGRAN ZONISAMIDE 100MG CAPSULE Anticonvulsants, cont

ZONEGRAN ZONISAMIDE 25MG CAPSULE Anticonvulsants, cont

ZONEGRAN ZONISAMIDE 50MG CAPSULE Anticonvulsants, cont

ZORBTIVE

PA

Required SOMATROPIN 8.8MG VIAL Growth Hormones

ZORPRIN ASPIRIN 800MG TABLET SA Analgesics, Salicylates

ZOVIRAX ACYCLOVIR 5% OINTMENT Topical Antivirals

ZOVIRAX ACYCLOVIR 5% CREAM(GM) Topical Antivirals

ZOVIRAX ACYCLOVIR 200MG CAPSULE Antivirals, General

ZOVIRAX ACYCLOVIR 200MG/5ML ORAL SUSP Antivirals, General

ZOVIRAX ACYCLOVIR 400MG TABLET Antivirals, General

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Brand Name PA Status Generic Name Strength Form Therapeutic Class

ZOVIRAX ACYCLOVIR 800MG TABLET Antivirals, General

ZTUSS GUAIFENESIN/P-EPHED HCL/H 300-30-5 TABLET Expectorants

Z-TUSS 2 GUAIFEN/P-EPHED HCL/HCOD/CP 30-2.5-2/5 LIQUID Narcotic Antituss-1st Gen Antihist-Decondst-Expect

ZYBAN BUPROPION HCL 150MG TABLET SA Smoking Deterrents, other

ZYDONE HYDROCODONE BIT/ACETAMINO 10-400MG TABLET Analgesics, Narcotics

ZYDONE HYDROCODONE BIT/ACETAMINO 5-400MG TABLET Analgesics, Narcotics

ZYDONE HYDROCODONE BIT/ACETAMINO 7.5-400MG TABLET Analgesics, Narcotics

Zylet Tobramycin sulfate/lotepred etab 0.3/0.5% Drops Eye Antibiotic-Corticoid Combinations

ZYLOPRIM ALLOPURINOL 100MG TABLET Purine Inhibitors

ZYLOPRIM ALLOPURINOL 300MG TABLET Purine Inhibitors

ZYMAR GATIFLOXACIN 0.30% DROPS Eye Antibiotics

ZYPREXA OLANZAPINE 10MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

ZYPREXA OLANZAPINE 15MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

ZYPREXA OLANZAPINE 2.5MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

ZYPREXA OLANZAPINE 20MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

ZYPREXA OLANZAPINE 5MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

ZYPREXA OLANZAPINE 7.5MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

ZYRTEC CETIRIZINE HCL 10MG TAB CHEW Antihistamines, Cont

ZYRTEC CETIRIZINE HCL 10MG TABLET Antihistamines, Cont

ZYRTEC CETIRIZINE HCL 1MG/ML SYRUP Antihistamines, Cont

ZYRTEC CETIRIZINE HCL 5MG TAB CHEW Antihistamines, Cont

ZYRTEC CETIRIZINE HCL 5MG TABLET Antihistamines, Cont

ZYRTEC-D P-EPHED HCL/CETIRIZINE HC 120-5MG TAB.SR 12H Antihistamines

ZYVOX LINEZOLID 100MG/5ML SUSP RECON Oxazolidinones

ZYVOX LINEZOLID 600MG TABLET Oxazolidinones

6/10/2008