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TRANSCRIPT
National Formulary Reference Guide
Your formulary utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically sound and that it supports patient health. This committee reviews and evaluates medications on the formulary based on safety and efficacy to help maintain clinical integrity in all therapeutic categories.
FORMULARY DESIGN
Your formulary has a formulary structure which includes most prescription drugs. The formulary structure features medications generics (with the lowest co-payments), preferred and non-preferred brand-name drugs.
• Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under “GENERIC” have the same active ingredient as the brand-name versions but at a lower cost.
• Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs that will generally have lower co-payments than non-preferred brand name drugs.
• Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have higher co-payments than preferred brand name drugs.
USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS
Many health plans use the formulary to help manage the overall cost of providing prescription drug benefits. This formulary offers a wide range of medications from which to choose. We realize that this formulary reference guide may not include every drug from every manufacturer. However, choosing a generic or preferred drug when it is appropriate can provide access to the necessary medications to stay healthy, at a cost that is more affordable.
Select‐National‐Advantage Formulary Reference Guide
*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design determines what is
covered and the applicable co‐payment. The medications listed on this formulary are subject to change pursuant to the formulary management
activities of Optum. The presence of a medication on this formulary list does not guarantee coverage. To determine the most up‐to‐date formulary
status of your medication, please visit your member website or call member services at the number listed on your ID card.
SAVING ON OUT-OF-POCKET COSTS
Your health plan sets the co-payments for each formulary drug status which include generic, preferred brand-name, and non-preferred brand-name medications. Health plans often design prescription drug plans to encourage the use of generic and preferred brand-name drugs. Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients may also pay less for generic drugs, or they may be asked to pay the cost difference between brand-name drugs and their generic alternatives.
PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic version becomes available.
CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE
When employers and other health plans design their prescription drug plans, they may choose to provide coverage only for certain medications, time periods, doses, quantities, or for a specific indications (e.g. they may exclude coverage for medications for unapproved, unproven, or cosmetic indications). When coverage for medications is provided based on use or quantity, your pharmacy benefit may contact your prescriber’s office for additional information to determine whether coverage is available under your plan. Patients who are unsure whether these coverage rules apply for a particular medication can consult their prescription drug benefit manual or contact a Member Services representative to determine specific coverage requirements.
KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED
The following formulary reference guide is designed so that generic products are listed first in each drug category. The preferred brand name products are listed next, and non-preferred brand products are listed last.
OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — a leading provider of integrated health services. Learn more at optum.com.
All OptumTM
trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or
registered marks of their respective owners. © 2015 Optum, Inc. All rights reserved.
Table of Contents
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIHISTAMINES-TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
cefprozil
cefuroxime axetil
cefuroxime sodium
NON PREFERRED
January 2017 Cefaclor
Cefaclor ER
ANTI-INFECTIVES Cefotan
Cefotetan
PENICILLINS
Cefotetan/Dextrose
GENERIC
Cefoxitin Sodium
amoxicillin
Ceftin
amoxicillin/clavulanate potassium
Cefuroxime Sodium
amoxicillin/clavulanate potassium ER
Zinacef
ampicillin
THIRD GENERATION
ampicillin sodium
GENERIC
ampicillin-sulbactam
cefdinir
dicloxacillin sodium
cefixime
nafcillin sodium
cefotaxime sodium
oxacillin sodium
cefpodoxime proxetil
penicillin v potassium
ceftazidime
penicillin G potassium
ceftriaxone sodium
piperacillin sodium/ tazobactam sodium
Cefotaxime Sodium
piperacillin sodium/tazobactam sodium
Ceftriaxone IN Iso-osmotic Dextrose
piperacillin/tazobactam
NON PREFERRED
Amoxicillin/Clavulanate Potassium
Cedax
NON PREFERRED
Cefditoren Pivoxil
Amoxicillin
Ceftazidime/Dextrose
Amoxicillin ER
Ceftibuten
Ampicillin
Ceftriaxone Sodium
Ampicillin Sodium
Ceftriaxone/Dextrose
Augmentin
Claforan
Augmentin ES-600
Claforan/D5W
Augmentin XR
Fortaz
Bactocill IN Dextrose
Rocephin
Bicillin C-R
Spectracef
Bicillin L-a
Suprax
Moxatag
Tazicef
Nafcillin
FOURTH GENERATION
Nafcillin Sodium
GENERIC
Penicillin G Potassium IN Iso-osmotic Dextrose
cefepime
Penicillin G Procaine
NON PREFERRED
Penicillin G Sodium
Cefepime
Pfizerpen-G
Cefepime/Dextrose
Timentin
Maxipime
Unasyn
Unasyn Bulk Pack
MACROLIDES
Zosyn
GENERIC
azithromycin
CEPHALOSPORIN
clarithromycin
FIRST GENERATION
clarithromycin ER
GENERIC
erythromycin
cefadroxil
erythromycin ethylsuccinate
cefazolin sodium
Azithromycin
cephalexin
NON PREFERRED
NON PREFERRED
Biaxin
Ancef
Dificid
Cefazolin
E.e.s. Granules
Cefazolin Sodium
E.e.s. 400
Cefazolin Sodium/Dextrose
Ery-TAB
Cefazolin/Dextrose
Eryped 200
Cefazolin/D5W
Eryped 400
Cefazolin/Sodium Chloride
Erythrocin Lactobionate
Cephalexin
Erythrocin Stearate
Keflex
Erythromycin Base
SECOND GENERATION
Erythromycin Ethylsuccinate
GENERIC
PCE
cefaclor
Zithromax
cefotetan
Zithromax Tri-PAK
cefoxitin sodium
Zithromax Z-PAK
Effective January 1, 2017 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2017 Optum, Inc. All rights reserved.
1
Zmax isotonic gentamicin
neomycin sulfate
TETRACYCLINES paromomycin sulfate
tobramycin
GENERIC
tobramycin sulfate
demeclocycline HCL
Tobramycin
doxycycline
PREFERRED
doxycycline hyclate
Tobi Podhaler
doxycycline hyclate DR
NON PREFERRED
doxycycline monohydrate
Bethkis
minocycline HCL
Gentamicin Sulfate/0.9% Sodium Chloride
minocycline HCL ER
Kitabis PAK
tetracycline hydrochloride
Streptomycin Sulfate
Tetracycline HCL
Tobi
NON PREFERRED
Tobramycin Sulfate
Acticlate
Adoxa
SULFONAMIDES
Adoxa PAK 1/100
Adoxa PAK 1/150 PREFERRED
Adoxa PAK 2/100 Sulfisoxizole
Alodox Convenience Kit NON PREFERRED
Avidoxy DK Sulfadiazine
Benzodox 30 Kit
Benzodox 60 Kit ANTIMYCOBACTERIAL AGENTS
Doryx
GENERIC
Doryx Mpc
ethambutol HCL
Minocin
isoniazid
Minocin Kit
pyrazinamide
Monodox
rifabutin
Morgidox 1X100MG
rifampin
Morgidox 1X50MG Kit
PREFERRED
Morgidox 2X100MG
Priftin
Nicazeldoxy 30 Kit
Sirturo
Nicazeldoxy 60 Kit
NON PREFERRED
Nutridox
Capastat Sulfate
Ocudox
Cycloserine
Solodyn
Isoniazid
Targadox
Myambutol
Vibramycin
Mycobutin
Paser
QUINOLONES
Rifadin
GENERIC Rifamate
ciprofloxacin Rifater
ciprofloxacin ER Trecator
ciprofloxacin HCL
ciprofloxacin I.V.-IN D5W ANTIFUNGALS
levofloxacin
GENERIC
levofloxacin IN D5W
fluconazole
levofloxacin IN 5% dextrose
fluconazole IN dextrose
moxifloxacin HCL
fluconazole IN NACL
Ciprofloxacin HCL
flucytosine
Ofloxacin
griseofulvin microsize
NON PREFERRED
griseofulvin ultramicrosize
Avelox
itraconazole
Avelox Abc Pack
ketoconazole
Cipro
nystatin
Cipro I.V.-IN D5W
terbinafine HCL
Cipro XR
voriconazole
Ciprofloxacin
PREFERRED
Factive
Cancidas
Levaquin
Cresemba
Moxifloxacin HCL
Mycamine
Noroxin
Noxafil
NON PREFERRED
AMINOGLYCOSIDES
Abelcet
GENERIC Ambisome
amikacin sulfate Amphotec
gentamicin sulfate Amphotericin B
gentamicin sulfate pediatric Ancobon
gentamicin sulfate/0.9% sodium chloride Diflucan
Effective January 1, 2017
2
Eraxis Ribatab
Fluconazole IN NACL Selzentry
Grifulvin V Sovaldi
Gris-peg Stribild
Lamisil Sustiva
Onmel Tamiflu
Sporanox Tivicay
Sporanox Pulsepak Triumeq
Vfend Truvada
Vfend IV Tybost
Videx Pediatric
ANTIVIRALS Viracept
Viread
GENERIC
Zepatier
abacavir
NON PREFERRED
abacavir sulfate/lamivudine/zidovudine
Acyclovir Sodium
abacavir/lamivudine
Baraclude
acyclovir
Combivir
acyclovir sodium
Copegus
adefovir dipivoxil
Cytovene
cidofovir
Daklinza
didanosine
Descovy
entecavir
Epivir
famciclovir
Epivir HBV
ganciclovir
Epzicom
lamivudine
Evotaz
lamivudine/zidovudine
Famvir
nevirapine
Flumadine
nevirapine ER
Foscavir
ribavirin
Genvoya
rimantadine HCL
Hepsera
stavudine
Odefsey
valacyclovir HCL
Olysio
valganciclovir
Prezcobix
valganciclovir hydrochlorde
Rebetol
zidovudine
Retrovir
Nevirapine
Rimantalist
PREFERRED
Sitavig
Aptivus
Technivie
Atripla
Trizivir
Complera
Tyzeka
Crixivan
Valcyte
Edurant
Valtrex
Emtriva
Victrelis
Epclusa
Videx EC
Fuzeon
Viekira PAK
Harvoni
Viekira XR
Intelence
Viramune
Invirase
Viramune XR
Isentress
Virazole
Kaletra
Vistide
Lexiva
Vitekta
Moderiba
Zerit
Moderiba 1200 Dose Pack
Ziagen
Moderiba 800 Dose Pack
Zovirax
Norvir
Peg-intron
ANTIMALARIALS
Peg-intron Redipen
Peg-intron Redipen PAK 4 GENERIC
Pegasys atovaquone/proguanil HCL
Pegasys Proclick chloroquine phosphate
Pegintron hydroxychloroquine sulfate
Prezista mefloquine HCL
Rapivab quinine sulfate
Relenza Diskhaler Primaquine Phosphate
Rescriptor PREFERRED
Retrovir IV Infusion Coartem
Reyataz Daraprim
Ribasphere NON PREFERRED
Ribasphere Ribapak Aralen
Effective January 1, 2017
3
Malarone Coly-mycin M
Plaquenil Cubicin
Qualaquin Cubicin RF
Doribax
AMEBICIDES First-metronidazole 100
First-metronidazole 50
NON PREFERRED
First-vancomycin 25
Yodoxin
First-vancomycin 50
Flagyl
ANTHELMINTICS
Flagyl ER
GENERIC
Impavido
ivermectin
Invanz
PREFERRED
Ketek
Albenza
Lincocin
NON PREFERRED
Lincomycin/Lidocaine
Biltricide
Mepron
Emverm
Meropenem/Sodium Chloride
Stromectol
Merrem
Metro IV
MISC. ANTI-INFECTIVES
Neutrexin
GENERIC
Pentam 300
atovaquone
Primaxin IV
aztreonam
Primaxin IV Add-vantage
bacitracin
Primsol
clindamycin
Sulfamethoxazole/Trimethoprim
clindamycin palmitate HCL
Synercid
clindamycin phosphate
Tindamax
clindamycin phosphate add-vantage
Vancocin HCL
clindamycin phosphate pharmacy bulk package
Vancomycin
clindamycin phosphate IN D5W
Vancomycin Hydrochloride
clindamycin HCL
Vancomycin Hydrochloride/Dextrose
colistimethate sodium
Vancomycin Hydrochloride/NACL
dapsone
Vancomycin Hydrochloride/Sodium Chloride
daptomycin
Vancomycin HCL
imipenem/cilastatin
Vancomycin HCL + Syrspendsf PH4
lincomycin HCL
Vancomycin HCL IN Dextrose
linezolid
Vibativ
meropenem
Zyvox
metronidazole
metronidazole IN NACL 0.79%
ANTINEOPLASTICS, ETC
polymyxin b sulfate
ALKYLATING AGENTS
sulfamethoxazole/trimethoprim
sulfamethoxazole/trimethoprim DS GENERIC
tinidazole carboplatin
trimethoprim cisplatin
vancomycin HCL cyclophosphamide
Linezolid ifosfamide
PREFERRED melphalan hydrochloride
Alinia oxaliplatin
Avycaz temozolomide
Cayston Lomustine
Dalvance PREFERRED
Nebupent Alkeran
Orbactiv Bicnu
Sivextro Busulfex
Tygacil Gleostine
Xifaxan Gliadel Wafer
Zerbaxa Hexalen
NON PREFERRED Ifosfamide
Azactam Leukeran
Azactam IN Iso-osmotic Dextrose Mustargen
Bactrim Myleran
Bactrim DS Treanda
Chloramphenicol Sodium Succinate Valchlor
Cleocin Zanosar
Cleocin IN D5W NON PREFERRED
Cleocin Pediatric Granules Bendeka
Cleocin Phosphate Cisplatin
Clin Single Use Kit Cyclophosphamide
Clindamycin Phosphate Eloxatin
Effective January 1, 2017
4
Evomela ANGIOGENESIS INHIBITORS
Ifex
PREFERRED
Temodar
Avastin
Thiotepa
Cyramza
Yondelis
Zaltrap
ANTIBIOTICS
ANTIBODIES
GENERIC
PREFERRED
bleomycin sulfate
Adcetris
daunorubicin HCL
Arzerra
doxorubicin HCL
Erbitux
doxorubicin HCL liposome
Gazyva
epirubicin HCL
Herceptin
idarubicin HCL
Kadcyla
mitomycin
Keytruda
mitoxantrone HCL
Perjeta
Doxorubicin HCL
Rituxan
Mitomycin
Vectibix
PREFERRED
Yervoy
Daunoxome
Zevalin Y-90
Valstar
NON PREFERRED
NON PREFERRED
Blincyto
Bleo 15k
Darzalex
Cosmegen
Empliciti
Doxil
Opdivo
Ellence
Portrazza
Idamycin PFS
Tecentriq
Unituxin
ANTINEOPLASTIC ENZYMES
PREFERRED HORMONAL AGENTS
Erwinaze
GENERIC
Oncaspar
anastrozole
bicalutamide
ANTIMETABOLITES
exemestane
GENERIC flutamide
azacitidine letrozole
capecitabine leuprolide acetate
cladribine megestrol acetate
cytarabine nilutamide
cytarabine aqueous tamoxifen citrate
decitabine Hydroxyprogesterone Caproate
fludarabine phosphate PREFERRED
fluorouracil Depo-provera
gemcitabine Eligard
gemcitabine HCL Emcyt
mercaptopurine Fareston
methotrexate Faslodex
methotrexate sodium Firmagon
Floxuridine Lupron Depot
Methotrexate Sodium Lysodren
PREFERRED Megestrol Acetate
Alimta Soltamox
Arranon Trelstar
Clolar Trelstar Mixject
Depocyt Vantas
Folotyn Xtandi
Purixan Zoladex
Tabloid Zytiga
Trexall NON PREFERRED
NON PREFERRED Arimidex
Cytarabine Aqueous Aromasin
Dacogen Casodex
Fludara Femara
Gemzar Megace Oral
Purinethol Nilandron
Vidaza
Xeloda IMMUNOMODULATORS
GENERIC
azathioprine
Effective January 1, 2017
5
cyclosporine Iressa
cyclosporine modified Istodax
mycophenolate mofetil Istodax (overfill)
mycophenolic acid DR Jakafi
sirolimus Kyprolis
tacrolimus Mekinist
Azathioprine Nexavar
PREFERRED Sprycel
Azasan Stivarga
Pomalyst Sutent
Rapamune Tafinlar
Revlimid Tarceva
Thalomid Tasigna
NON PREFERRED Torisel
Astagraf XL Tykerb
Atgam Velcade
Cellcept Votrient
Cellcept Intravenous Xalkori
Cyclosporine Modified Zelboraf
Envarsus XR Zolinza
Imuran Zydelig
Myfortic Zykadia
Neoral NON PREFERRED
Nulojix Alecensa
Prograf Beleodaq
Sandimmune Cabometyx
Simulect Cotellic
Thymoglobulin Farydak
Zortress Gleevec
Lenvima 10 MG Daily Dose
MITOTIC INHIBITORS Lenvima 14 MG Daily Dose
Lenvima 18 MG Daily Dose
GENERIC
Lenvima 20 MG Daily Dose
docetaxel
Lenvima 24 MG Daily Dose
etoposide
Lenvima 8 MG Daily Dose
paclitaxel
Lynparza
vincristine sulfate
Ninlaro
vinorelbine tartrate
Tagrisso
PREFERRED
Abraxane
TOPOISOMERASE I INHIBITOR
Docefrez
Etopophos GENERIC
Halaven irinotecan
Ixempra Kit irinotecan HCL
Jevtana topotecan HCL
Marqibo NON PREFERRED
Teniposide Camptosar
NON PREFERRED Hycamtin
Docetaxel Irinotecan
Docetaxel (non-alcohol Formula) Onivyde
Etoposide Topotecan HCL
Navelbine
Paclitaxel RADIOPHARMACEUTICALS
Taxotere
PREFERRED
Vinblastine Sulfate
Metastron
Quadramet
ENZYME INHIBITORS
NON PREFERRED
GENERIC Xofigo
imatinib mesylate
PREFERRED CELLULAR IMMUNOTHERAPY
Afinitor
PREFERRED
Afinitor Disperz
Provenge
Bosulif
Caprelsa
ANTINEOPLASTICS MISC.
Cometriq
GENERIC
Gilotrif
bexarotene
Ibrance
dacarbazine
Iclusig
hydroxyurea
Imbruvica
tretinoin
Inlyta
Effective January 1, 2017
6
PREFERRED nitroglycerin transdermal
Actimmune nitroglycerin ER
Alferon N nitroglycerin IN dextrose 5%
Intron A nitroglycerin IN 5% dextrose
Intron A W/Diluent Nitroglycerin Lingual
Matulane PREFERRED
Photofrin Dilatrate SR
Proleukin Nitro-bid
Sylatron Ranexa
Synribo NON PREFERRED
Theracys Gonitro
Tice Bcg Imdur
Trisenox Isordil Titradose
Uvadex Isosorbide Dinitrate ER
NON PREFERRED Nitro-dur
Dacarbazine Nitroglycerin
Hydrea Nitroglycerin IN Dextrose 5%
Nipent Nitrolingual Pumpspray
Targretin Nitromist
Nitronal
CHEMOTHERAPY RESCUE Nitrostat
GENERIC
BETA BLOCKERS
amifostine
dexrazoxane GENERIC
leucovorin calcium acebutolol HCL
levoleucovorin atenolol
levoleucovorin calcium betaxolol HCL
mesna bisoprolol fumarate
PREFERRED carvedilol
Levoleucovorin esmolol HCL
Totect labetalol HCL
Voraxaze metoprolol succinate ER
NON PREFERRED metoprolol tartrate
Ethyol nadolol
Fusilev pindolol
Leucovorin Calcium propranolol HCL
Mesnex propranolol HCL ER
Zinecard sotalol HCL
sotalol HCL (AF)
CHEMOTHERAPY ADJUNCTS Metoprolol Tartrate
PREFERRED
PREFERRED
Bystolic
Elitek
Coreg CR
Kepivance
NON PREFERRED
Betapace
ANTINEOPLASTIC COMBO
Betapace AF
NON PREFERRED
Brevibloc
Lonsurf
Coreg
Corgard
CARDIOVASCULAR DRUGS
Esmolol HCL
PHOSPHODIESTERASE INHBTR
Hemangeol
GENERIC
Hypertenevide-12.5
milrinone lactate
Inderal LA
milrinone IN dextrose
Inderal XL
Innopran XL
CARDIAC GLYCOSIDES
Kerlone
GENERIC
Levatol
digoxin
Lopressor
NON PREFERRED
Propranolol HCL
Digoxin
Sectral
Lanoxin
Sotalol Hydrochloride
Lanoxin Pediatric
Sotylize
Tenormin
ANTIANGINAL AGENTS
Timolol Maleate
GENERIC
Toprol XL
isosorbide dinitrate
Trandate
isosorbide mononitrate
Zebeta
isosorbide mononitrate ER
nitroglycerin
nitroglycerin lingual
Effective January 1, 2017
7
CALCIUM CHANNEL BLOCKERS Quinidine Gluconate
Quinidine Sulfate
GENERIC
Rythmol
amlodipine besylate
Rythmol SR
diltiazem CD
Tikosyn
diltiazem HCL
Xylocaine
diltiazem HCL CD
diltiazem HCL ER
ACE INHIBITORS
felodipine ER
isradipine GENERIC
nicardipine HCL benazepril HCL
nifedipine captopril
nifedipine ER enalapril maleate
nimodipine enalaprilat
nisoldipine fosinopril sodium
verapamil HCL lisinopril
verapamil HCL ER moexipril HCL
verapamil HCL SR perindopril erbumine
NON PREFERRED quinapril HCL
Adalat CC ramipril
Calan trandolapril
Calan SR NON PREFERRED
Cardene IV Accupril
Cardizem Aceon
Cardizem CD Altace
Cardizem LA Epaned
Cleviprex Lotensin
Diltiazem Hydrochloride/Sodium Chloride Mavik
Diltiazem HCL Prinivil
Hypertenipine-2.5 Qbrelis
Nisoldipine Univasc
Nisoldipine ER Vasotec
Norvasc Zestril
Nymalize
Procardia ANGIOTENSIN RCPTR BLOCKER
Procardia XL
GENERIC
Sular
candesartan cilexetil
Tiazac
irbesartan
Verelan
losartan potassium
Verelan PM
telmisartan
valsartan
ANTIARRHYTHMICS
Eprosartan Mesylate
GENERIC PREFERRED
adenosine Benicar
amiodarone HCL NON PREFERRED
disopyramide phosphate Atacand
dofetilide Avapro
flecainide acetate Cozaar
ibutilide fumarate Diovan
lidocaine HCL Edarbi
lidocaine HCL IN D5W Micardis
lidocaine HCL/dextrose Olmesartan Medoxomil
mexiletine HCL Teveten
propafenone HCL
propafenone HCL ER DIRECT RENIN INHIBITORS
quinidine gluconate CR
PREFERRED
quinidine gluconate ER
Tekturna
quinidine sulfate
Amiodarone HCL
ANTIHYPERTENSIVES MISC.
Quinidine Sulfate ER
GENERIC
NON PREFERRED
clonidine HCL
Adenocard
doxazosin
Cordarone
doxazosin mesylate
Corvert
eplerenone
Lidocaine HCL
fenoldopam mesylate
Multaq
guanfacine HCL
Nexterone
hydralazine HCL
Norpace
methyldopa
Norpace CR
minoxidil
Procainamide HCL
phenoxybenzamine hydrochloride
Effective January 1, 2017
8
prazosin HCL Lotensin HCT
terazosin HCL Lotrel
PREFERRED Lytensopril Kit
Demser Lytensopril-90 Kit
NON PREFERRED Methyldopa/Hydrochlorothiazide
Cardura Metoprolol Succinate ER/Hydrochlorothiazide
Catapres Micardis HCT
Catapres-tts-1 Olmesartan Medoxomil/Amlodipine/Hydrochlorothiazide
Catapres-tts-2 Olmesartan Medoxomil/Hydrochlorothiazide
Catapres-tts-3 Prestalia
Corlopam Propranolol/Hydrochlorothiazide
Dibenzyline Tarka
Inspra Tenoretic 100
Methyldopate HCL Tenoretic 50
Minipress Teveten HCT
Nitropress Twynsta
Phentolamine Mesylate Vaseretic
Reserpine Zestoretic
Tenex Ziac
Vecamyl
DIURETICS
ANTIHYPERTENSIVE COMBO
GENERIC
GENERIC acetazolamide
amlodipine besylate/benazepril hydrochloride acetazolamide sodium
amlodipine besylate/benazepril HCL acetazolamide ER
amlodipine besylate/valsartan amiloride HCL
amlodipine/valsartan/hctz amiloride/hydrochlorothiazide
atenolol/chlorthalidone bumetanide
benazepril HCL/hydrochlorothiazide chlorothiazide
bisoprolol fumarate/hydrochlorothiazide chlorothiazide sodium
candesartan cilexetil/hydrochlorothiazide chlorthalidone
enalapril maleate/hydrochlorothiazide ethacrynate sodium
fosinopril sodium/hydrochlorothiazide ethacrynic acid
irbesartan/hydrochlorothiazide furosemide
lisinopril/hydrochlorothiazide hydrochlorothiazide
losartan potassium/hydrochlorothiazide indapamide
metoprolol/hydrochlorothiazide mannitol
moexipril/hydrochlorothiazide methazolamide
nadolol/bendroflumethiazide metolazone
quinapril/hydrochlorothiazide spironolactone
telmisartan/amlodipine spironolactone/hydrochlorothiazide
telmisartan/hydrochlorothiazide torsemide
trandolapril/verapamil HCL triamterene/hydrochlorothiazide
trandolapril/verapamil HCL ER Acetazolamide
valsartan/hydrochlorothiazide Chlorothiazide
PREFERRED Chlorthalidone
Amlodipine/Olmesartan Medoxomil Triamterene/Hydrochlorothiazide
Amturnide NON PREFERRED
Azor Aldactazide
Benicar HCT Aldactone
Tekamlo Bumex
Tekturna HCT Demadex
Tribenzor Diamox
NON PREFERRED Diuril
Accuretic Dyazide
Atacand HCT Dyrenium
Avalide Edecrin
Byvalson Furosemide
Captopril/Hydrochlorothiazide Keveyis
Clorpres Lasix
Corzide Maxzide
Diovan HCT Maxzide-25
Dutoprol Methyclothiazide
Edarbyclor Microzide
Exforge Neptazane
Exforge HCT Sodium Diuril
Hypertensolol Sodium Edecrin
Hyzaar Torsemide
Lopressor HCT Zaroxolyn
Effective January 1, 2017
9
VASOPRESSORS Zetia
NON PREFERRED
GENERIC
Advicor
dobutamine HCL
Altoprev
dobutamine HCL/D5W
Antara
dobutamine/dextrose 5%
Colestid
dopamine HCL
Colestid Flavored
dopamine HCL-dextrose 5%
Crestor
dopamine HCL/dextrose 5%
Fenoglide
dopamine/D5W
Fibricor
ephedrine sulfate
Kynamro
midodrine HCL
Lescol
norepinephrine bitartrate
Lescol XL
phenylephrine HCL
Lipitor
PREFERRED
Livalo
Auvi-q
Lofibra
Epipen 2-PAK
Lopid
Epipen-JR 2-PAK
Lovaza
NON PREFERRED
Mevacor
Adrenaclick
Niacor
Adrenalin
Niaspan
Adyphren II
Omega-3/D-3 Wellness Pack
Adyphren Kit
Praluent
Akovaz
Pravachol
Dopamine HCL
Questran
Ephedrine Sulfate
Questran Light
Ephedrine Sulfate/Sodium Chloride
Repatha
Epinephrine
Repatha Pushtronex System
Epinephrine HCL
Repatha Sureclick
Episnap
Tricor
Epy II Kit
Triglide
Epy Kit
Trilipix
Levophed
Zocor
Norepinephrine Bitartrate/Dextrose
Norepinephrine Bitartrate/Sodium Chloride
CARDIOVASCULAR - MISC.
Norepinephrine/Sodium Chloride
Northera GENERIC
Phenylephrine Hydrochloride/Dextrose amlodipine besylate/atorvastatin calcium
Phenylephrine HCL epoprostenol sodium
Phenylephrine HCL/Sodium Chloride papaverine HCL
Phenylephrine/Sodium Chloride sildenafil
Vazculep sildenafil citrate
Isoxsuprine HCL
ANTIHYPERLIPIDEMICS Papaverine-alprostadil
Papaverine-phentolamine Mes/Alprostadil
GENERIC
Papaverine-phentolamine Mesylate
atorvastatin calcium
Papaverine/Phentolamine Mes/Alprostadil
cholestyramine
Phentolamine Mesylate-alprostadil
cholestyramine light
PREFERRED
colestipol HCL
Adcirca
fenofibrate
Adempas
fenofibrate micronized
Caverject
fenofibric acid DR
Caverject Impulse
fluvastatin
Cialis
fluvastatin sodium ER
Corlanor
gemfibrozil
Letairis
lovastatin
Muse
niacin ER
Opsumit
omega-3-acid ethyl esters
Remodulin
pravastatin sodium
Tracleer
rosuvastatin calcium
Tyvaso
simvastatin
Tyvaso Refill
Fenofibrate
Tyvaso Starter
Fenofibric Acid
Veletri
PREFERRED
Ventavis
Juxtapid
Viagra
Lipofen
NON PREFERRED
Simcor
Bidil
Vascepa
Caduet
Vytorin
Entresto
Welchol
Effective January 1, 2017
10
Flolan Erygel
Levitra Evoclin
Natrecor Fabior
Orenitram Inova
Revatio Inova 4/1 Acne Control Therapy
Staxyn Inova 8/2 Acne Control Therapy
Stendra Klaron
Uptravi Neuac Kit
Nuox
DERMATOLOGICALS Onexton
Plexion
ACNE PRODUCTS
Plexion Cleanser
GENERIC
Plexion Cleansing Cloths
adapalene
Prascion Ra With Sunscreens
adapalene P.M.
Retin-a
benzoyl peroxide
Retin-a Micro
benzoyl peroxide SHORT contact
Retin-a Micro P.M.
clindamycin phosphate
Riax
clindamycin phosphate/tretinoin
Rosula
clindamycin/benzoyl peroxide
Sodium Sulfacetamide/Sulfur
erythromycin
Sodium Sulfacetamide/Sulfur Cleanser IN Urea
erythromycin/benzoyl peroxide
Sodium Sulfacetamide/Sulfur IN Urea
sodium sulfacetamide
Sulfoam
sodium sulfacetamide/sulfur
Sumadan Kit
sodium sulfacetamide/sulfur cleanser
Sumadan Wash
sodium sulfacetamide/sulfur cleansing cloths
Sumadan XLT
sodium sulfacetamide/sulfur green
Sumaxin
sodium sulfacetamide/sulfur w/sunscreen
Sumaxin CP Kit
sodium sulfacetamide/sulfur wash
Sumaxin Ts
sulfacetamide sodium
Sumaxin Wash
sulfacetamide sodium/sulfur
Tretin-x
sulfacetamide sodium/sulfur cleanser
Triseon
tretinoin
Vanoxide-HC
tretinoin microsphere
Veltin
tretinoin microsphere P.M.
Zacare 4% Kit
PREFERRED
Zacare 8% Kit
Acanya
Ziana
Adapalene
Epiduo
ROSACEA AGENTS
Epiduo Forte
GENERIC
NON PREFERRED
metronidazole
Absorica
Doxycycline
Aczone
PREFERRED
Akne-mycin
Finacea
Atralin
Mirvaso
Avar
Oracea
Avar LS
Soolantra
Avar LS Cleanser
NON PREFERRED
Avar-e LS
Metrocream
Azelex
Metrogel
Benzac Ac Wash
Metrolotion
Benzaclin
Noritate
Benzaclin With P.M.
Rosadan Kit
Benzamycin
Benzamycinpak
ANALGESICS - TOPICAL
Benzefoam
NON PREFERRED
Benzefoam Ultra
A.a.g.c. Kit IN Teroderm
Benzefoamultra
Baclofen
Benziq
Equipto-baclofen
Benziq LS
Clarifoam EF
ANTIBIOTICS - TOPICAL
Cleocin-t
Clindacin Etz GENERIC
Clindacin PAC mupirocin
Clindagel mupirocin calcium
Clindap-t Centany
Clinoin NON PREFERRED
Dermapak Plus Altabax
Differin Bactroban
Duac Centany AT
Effective January 1, 2017
11
Cortisporin ANTI-INFLAMMATORY AGENTS
Gentamicin Sulfate
GENERIC
Neo-synalar
diclofenac sodium
Neo-synalar Kit
NON PREFERRED
Dermacinrx Lexitral Pharmapak
ANTIFUNGALS - TOPICAL
Diclofenac Sodium
GENERIC Dipentocaine
ciclopirox Dsg PAK
ciclopirox nail lacquer Emvoren
ciclopirox olamine Equipto-naproxen
clotrimazole Extardol
clotrimazole/betamethasone dipropionate Flector
econazole nitrate Innoprax-5
ketoconazole K.b.g.l. IN Teroderm Cream
naftifine hydrochloride Ketophene Rapidpaq
nystatin Ketorolac 2% Gel
nystatin/triamcinolone Lidoprofen
oxiconazole nitrate Novoclair
PREFERRED Nuvya
Nystatin Pennsaid
Nystatin Foreign Voltaren
NON PREFERRED Vopac
Ciclodan Cream Kit Vopac GB
Ciclodan Solution Kit Vopac Kt
Cnl8 Nail Kit Xrylix
Dermacinrx Therazole PAK Zyvodol
Ecoza
Ertaczo ANTIPRURITICS
Exelderm
GENERIC
Exoderm
Doxepin Hydrochloride
Extina
NON PREFERRED
Halotin
Prudoxin
Jublia
Zonalon
Kerydin
Ketodan Kit
ANTIPSORIATICS
Loprox
GENERIC
Loprox Shampoo
acitretin
Lotrisone
calcipotriene
Luzu
methoxsalen
Mentax
Calcitriol
Naftifine HCL
PREFERRED
Naftin
Tazorac
Nizoral
8-mop
Nyata
NON PREFERRED
Oxistat
Cosentyx
Pediaderm AF Complete Kit
Cosentyx Sensoready Pen
Penlac Nail Lacquer
Dovonex
Recura
Dritho-creme HP
Vusion
Oxsoralen Ultra
Xolegel
Soriatane
Xolegel Corepak
Sorilux
Xolegel Duo/Head & Shoulders
Stelara
Xolegel Duo/Xolex
Taltz
Vectical
ANTIVIRALS - TOPICAL
Zithranol
GENERIC
Zithranol-rr
acyclovir
PREFERRED
ANTISEBORRHEIC AGENTS
Denavir
GENERIC
NON PREFERRED
selenium sulfide
Lidovir
sodium sulfacetamide
Xerese
sodium sulfacetamide wash
Zovirax
NON PREFERRED
Glycolic Acid
ANTIHISTAMINES-TOPICAL
Glycolic Acid 70% High Purity
NON PREFERRED
Ovace Plus
Allo-pax
Ovace Plus Wash
Nazirex
Ovace Wash
Promiseb
Effective January 1, 2017
12
Promiseb Complete Luxiq
Selrx Micort-HC
Tersi Foam Noxipak
TL Triseb Nucort
Nuzon
CORTICOSTEROIDS - TOPICAL Olux
Olux-e
GENERIC
Pandel
alclometasone dipropionate
Pediaderm HC
augmented betamethasone dipropionate
Pediaderm Ta
betamethasone dipropionate
Rrb PAK
betamethasone valerate
Scalacort DK
calcipotriene/betamethasone dipropionate
Sernivo
clobetasol propionate
Silazone Pharmapak
clobetasol propionate emollient
Silazone-II
desonide
Synalar
desoximetasone
Synalar Cream Kit
fluocinolone acetonide
Synalar Ointment Kit
fluocinonide
Synalar Ts
fluocinonide-e
Taclonex
flurandrenolide
Temovate
fluticasone propionate
Temovate E
halobetasol propionate
Texacort
hydrocortisone
Topicort
hydrocortisone butyrate
Triamsil Combipak
hydrocortisone butyrate (lipid)
Trianex
hydrocortisone butyrate (lipophilic)
Triderma Forte
hydrocortisone valerate
Ultravate
hydrocortisone IN absorbase
Ultravate X
mometasone furoate
Validerm
prednicarbate
Vanos
triamcinolone acetonide
Verdeso
Amcinonide
Westcort
Desoximetasone
Xilapak
Diflorasone Diacetate
PREFERRED
IMMUNOMODULATING AGENTS
Enstilar
Pramosone GENERIC
Pramosone E imiquimod
NON PREFERRED tacrolimus
Aclovate PREFERRED
Advanced Allergy Collection Kit Elidel
Ala Scalp NON PREFERRED
Capex Aldara
Clobex Protopic
Clocortolone Pivalate Zyclara
Clocortolone Pivalate P.M. Zyclara P.M.
Clodan Kit
Cloderm DERMATOLOGICALS - MISC.
Cloderm P.M.
GENERIC
Cordran
ammonium lactate
Cordran Tape
episone CRE
Cutivate
lactic acid
Derma-smoothe/FS Body
lactic acid e
Derma-smoothe/FS Scalp
lactic acid w/vitamin e
Dermasorb HC
lidocaine
Dermasorb Ta
lidocaine HCL
Dermatop
lidocaine HCL jelly
Dermazone
lidocaine-prilocaine-cream base
Desonate
lidocaine/prilocaine
Desowen
lindane
Diprolene
malathion
Diprolene AF
permethrin
Elocon
podofilox
Epifoam
salicylic acid
First-hydrocortisone
salicylic acid cream
Halog
salicylic acid lotion
Kenalog
salicylic acid ER
Locoid
sodium hyaluronate
Locoid Lipocream
urea
Effective January 1, 2017
13
urea topical Latrix XM
urea IN zinc undecylenate/lactic acid vehicle Ldo Plus
urea 40% nail film Lido-RX 4.1
PREFERRED Lidocaine And Tetracaine Cream
Condylox Lidocaine HCL
Oxsoralen Lidoderm
NON PREFERRED Lidothol
Accucaine Lidotral
Acuicyn Daily Eyelid & Eyelash Cleanser Lindane
Alevicyn Antipruritic SG Lycelle
Aluvea Mb Hydrogel
Anacaine Medi-derm/L-RX
Arnica Flower Megrix
Astero Natroba
Atopiclair Neosalus
Aurstat Anti-itch Hydrogel Neosalus CP
Aurstat Anti-itch Hydrogel Kit Neuvaxin
Avenova Nivatopic Plus
Avenova/Neutrox Nusrugepak Surgical Prep/Carepak
Benzoin Compound Tincture Nuvail
Benzoin Tincture Ovide
Boric Acid Pliaglis
Ceracade Pr Cream
Coal TAR Presera
Cocaine HCL Pruclair
Copasil Prumyx
Dermacinrx Clorhexacin Pyrogallic Acid
Dermacinrx Duopatch Pharmapak Qutenza
Dermacinrx Neurotral Pharmapak Relyyks
Dermacinrx Phn PAK Relyyt
Dermacinrx Surgical Pharmapak Salex
Dermacinrx Zrm PAK Salex Cream
Dermasorb XM Salex Lotion
Dermawerx Surgical Plus PAK Salicylic Acid
Dermazyl Salicylic Acid IN Ammonium Lactate Vehicle
Drysol Salvax
Eletone Salvax Duo Plus
Eletone Twinpack Scar Patch
Elimite Sebuderm
Emla Sinelee
Emulsion SB Sklice
Entty Spray Emulsion Solaice
Epiceram Soothee
Ethyl Chloride Spinosad
Ethyl Chloride/Fine Pinpoint Sulfurated Lime
Ethyl Chloride/Fine Stream Supracil
Ethyl Chloride/Medium Jet Stream Synera
Ethyl Chloride/Medium Stream Tetrix
Ethyl Chloride/Mist Tropazone
Eurax Ulesfia
Gebauers Pain Ease Ultrasal-ER
Gebauers Spray And Stretch Umecta
Genadur Umecta Nail Film
Genadur Kit Umecta PD
Gordofilm Uramaxin
Gordons Urea Uramaxin GT
Hydro 35 Uramaxin GT Kit
Hydro 40 Foam Utopic
Hylatopic Veinpuncture Px1 Phlebotomy System
Hylatopic Plus Venipuncture Cpi
Hylira Veregen
HPR Verrunex
HPR Plus Vexa
HPR Plus Hydrogel Kit Virasal
HPR Plus/Mb Hydrogel Xerac Ac
IV Infusion Cpi Xeralux
Keralac Xylocaine
Keralyt
Keralyt Scalp ENDOCRINE AND METABOLIC
Lac-hydrin
Effective January 1, 2017
14
CORTICOSTEROIDS Readysharp-k
Readysharp-p40
GENERIC
Readysharp-p80
betamethasone sodium phosphate/betamethasone acetate
Solu-cortef
budesonide
Solu-medrol
dexamethasone
Triamcinolone
dexamethasone sodium phosphate
Triamcinolone Acetonide PF
fludrocortisone acetate
Triamcinolone PF
hydrocortisone
Triamcinolone/Lidocaine
methylprednisolone
Triloan II Suik
methylprednisolone acetate
Triloan Suik
methylprednisolone dose pack
Veripred 20
methylprednisolone sodiumsuccinate
prednisolone
ANDROGENS-ANABOLIC
prednisolone sodium phosphate
GENERIC
prednisolone sodium phosphate odt
danazol
prednisone
methyltestosterone
Dexamethasone Sodium Phosphate
oxandrolone
PREFERRED
testosterone
Uceris
testosterone cypionate
NON PREFERRED
testosterone enanthate
Aristospan Intra-articular
testosterone P.M.
Betalido
Testosterone
Betaloan Suik
Testosterone P.M.
Betamethasone SP
PREFERRED
Celestone-soluspan
Androgel P.M.
Cortef
Androxy
Cortisone Acetate
Axiron
Depo-medrol
NON PREFERRED
Dermacinrx Cinlone-i Cpi
Anadrol-50
Dexamethasone
Androderm
Dexamethasone Intensol
Androgel
Dexlido
Android
Dexlido-m
Aveed
Dexpak 10 Day
Depo-testosterone
Dexpak 13 Day
First-testosterone
Dexpak 6 Day
First-testosterone Mc Compounding Kit
Doubledex
Fortesta
Dyural-l
Natesto
Dyural-lm
Oxandrin
Dyural-40
Striant
Dyural-80
Testim
Entocort EC
Testone Cik
Interarticular Joint Kit
Testopel
Kenalog-10
Testred
Kenalog-40
Vogelxo
LT Injection Kit
Vogelxo P.M.
Marbeta-l
Marbeta-25
ESTROGENS
Mardex-25
GENERIC
Medrol
estradiol
Medrol Dosepak
estradiol valerate
Medroloan II Suik
estradiol/norethindrone acetate
Medroloan Suik
norethindrone acetate/ethinyl estradiol
Methylprednisolone
Estropipate
Methylprednisolone PF
PREFERRED
Methylprednisolone/Lidocaine
Alora
Millipred
Combipatch
Millipred DP
Duavee
Mlk F4 Kit
Enjuvia
Mlp A-2
Evamist
Orapred Odt
Minivelle
Pediapred
Premphase
Prednisolone Sodium Phosphate
Prempro
Prednisone
NON PREFERRED
Prednisone Intensol
Activella
Pro-c-dure 5 Kit
Angeliq
Pro-c-dure 6 Kit
Biest/Progesterone
Rayos
Climara
Effective January 1, 2017
15
Climara Pro Yasmin 28
Delestrogen Yaz
Depo-estradiol Zovia 1/50e
Divigel
Elestrin PROGESTINS
Estrace
GENERIC
Estradiol
medroxyprogesterone acetate
Estrogel
megestrol acetate
Femhrt Low Dose
norethindrone acetate
Menest
progesterone
Menostar
PREFERRED
Prefest
Makena
Premarin
NON PREFERRED
Vivelle-dot
Aygestin
Medroxyprogesterone/Lidocaine
CONTRACEPTIVES
Megace ES
GENERIC Progesterone 10% Kit
desogestrel/ethinyl estradiol Prometrium
drospirenone/ethinyl estradiol Provera
drospirenone/ethinyl estradiol/levomefolate calcium
levonorgestrel ANTIDIABETIC AGENTS
levonorgestrel and ethinyl estradiol
INSULIN
levonorgestrel/ethinyl estradiol
PREFERRED
norethindrone
Humalog
norethindrone & ethinyl estradiol ferrous fumarate
Humalog Kwikpen
norethindrone acetate/ethinyl estradiol
Humalog Mix 50/50
norethindrone acetate/ethinyl estradiol/ferrous fumarate
Humalog Mix 50/50 Kwikpen
norgestimate/ethinyl estradiol
Humalog Mix 75/25
Levonorgestrel
Humalog Mix 75/25 Kwikpen
PREFERRED
Humulin N
LO Loestrin FE
Humulin N Kwikpen
Minastrin 24 FE
Humulin R
Natazia
Humulin R U-500 (concentrated)
Safyral
Humulin 70/30
NON PREFERRED
Humulin 70/30 Kwikpen
Beyaz
Lantus
Brevicon-28
Lantus Solostar
Cyclessa
Levemir
Desogen
Levemir Flextouch
Ella
Novolin N
Estrostep FE
Novolin N Relion
Falessa
Novolin R
Femcon FE
Novolin R Relion
Generess FE
Novolin 70/30
Loestrin FE 1.5/30
Novolin 70/30 Relion
Loestrin FE 1/20
Novolog
Loestrin 1.5/30-21
Novolog Flexpen
Loestrin 1/20-21
Novolog Mix 70/30
Loseasonique
Novolog Mix 70/30 Prefilled Flexpen
Mircette
Novolog Penfill
Modicon
Toujeo Solostar
Necon 1/50-28
NON PREFERRED
Necon 10/11-28
Afrezza
Nor-QD
Apidra
Norinyl 1+35
Apidra Solostar
Norinyl 1+50
Humulin R U-500 Kwikpen
Nuvaring
Relion R
Ortho Micronor
Tresiba Flextouch
Ortho Tri-cyclen
AMYLIN ANALOGS
Ortho Tri-cyclen LO
PREFERRED
Ortho-cept
Symlinpen 120
Ortho-cyclen
Symlinpen 60
Ortho-novum 1/35
INCRETIN MIMETIC AGENTS
Ortho-novum 7/7/7
PREFERRED
Ovcon-35
Bydureon
Quartette
Bydureon Pen
Seasonique
Byetta
Taytulla
Trulicity
Tri-norinyl 28
Victoza
Effective January 1, 2017
16
NON PREFERRED ANTIDIABETIC COMBINATIONS
Tanzeum GENERIC
SULFONYLUREAS glipizide/metformin HCL
GENERIC glyburide/metformin HCL
glimepiride pioglitazone HCL-glimepiride
glipizide pioglitazone HCL/metformin HCL
glipizide ER Alogliptin/Metformin HCL
glyburide Alogliptin/Pioglitazone
glyburide micronized Repaglinide/Metformin Hydrochloride
tolazamide PREFERRED
Glyburide Actoplus Met XR
Tolazamide Invokamet
NON PREFERRED Invokamet XR
Amaryl Janumet
Chlorpropamide Janumet XR
Diabeta Jentadueto
Glucotrol Jentadueto XR
Glucotrol XL Kombiglyze XR
Glynase Synjardy
Tolbutamide Xigduo XR
BIGUANIDES NON PREFERRED
GENERIC Actoplus Met
metformin HCL Appformin
metformin HCL ER Appformin-d
NON PREFERRED Avandamet
Fortamet Avandaryl
Glucophage Duetact
Glucophage XR Glucovance
Glumetza Glyxambi
Riomet Kazano
MEGLITINIDE ANALOGUES Oseni
GENERIC Prandimet
nateglinide
repaglinide BISPHOSPHONATES
NON PREFERRED
GENERIC
Prandin
alendronate sodium
Starlix
ibandronate sodium
DIABETIC OTHER
pamidronate disodium
PREFERRED
risedronate sodium
Farxiga
risedronate sodium DR
Glucagen Hypokit
zoledronic acid
Glucagon Emergency Kit
PREFERRED
Invokana
Fosamax Plus D
Jardiance
NON PREFERRED
Proglycem
Actonel
NON PREFERRED
Alendronate Sodium
Cycloset
Atelvia
Korlym
Binosto
ALPHA-GLUCOSIDASE INHIBIT
Boniva
GENERIC
Etidronate Disodium
acarbose
Fosamax
miglitol
Pamidronate Disodium
NON PREFERRED
Reclast
Glyset
Zoledronic Acid
Precose
Zometa
DPP-4 INHIBITORS
GENERIC
CALCITONINS
Alogliptin
GENERIC
PREFERRED
calcitonin salmon
Januvia
calcitonin-salmon
Tradjenta
NON PREFERRED
NON PREFERRED
Fortical
Nesina
Miacalcin
Onglyza
INSULIN SENSITIZING AGENT
PARATHYROID HORMONE
GENERIC
PREFERRED
pioglitazone HCL
Forteo
NON PREFERRED
Natpara
Actos
Avandia
Effective January 1, 2017
17
RANK LIGAND INHIBITORS NON PREFERRED
Increlex
PREFERRED
Xgeva
SOMATOSTATIC AGENTS
NON PREFERRED
Prolia GENERIC
octreotide acetate
HORMONE RECEPTOR MDLTR PREFERRED
Sandostatin Lar Depot
GENERIC
Signifor
raloxifene hydrochloride
Somatuline Depot
NON PREFERRED
NON PREFERRED
Evista
Sandostatin
Osphena
Signifor Lar
FERTILITY REGULATORS
GH RECEPTOR ANTAGONISTS
GENERIC
PREFERRED
chorionic gonadotropin
Somavert
clomiphene citrate
PREFERRED
POSTERIOR PITUITARY
Bravelle
Follistim AQ GENERIC
NON PREFERRED desmopressin acetate
Gonal-f vasopressin
Gonal-f RFF PREFERRED
Gonal-f RFF Rediject Stimate
Menopur NON PREFERRED
Ovidrel Ddavp
Pitressin Synthetic
LHRH/GNRH AGONIST Vasopressin/Sodium Chloride
Vasostrict
PREFERRED
Lupron Depot-PED
CORTICOTROPIN
Supprelin LA
Synarel PREFERRED
NON PREFERRED H.p. Acthar
Lupaneta Pack
PROLACTIN INHIBITORS
GNRH/LHRH ANTAGONISTS
GENERIC
PREFERRED cabergoline
Cetrotide
NON PREFERRED VASOPRESSIN ANTAGONISTS
Ganirelix Acetate
PREFERRED
Samsca
GROWTH HORMONES
NON PREFERRED
PREFERRED Vaprisol
Norditropin Cartridge
Norditropin Flexpro PROGESTERONE ANTAGONISTS
Norditropin Nordiflex Pen
NON PREFERRED
Nutropin AQ Nuspin 10
Mifeprex
Nutropin AQ Nuspin 20
Nutropin AQ Nuspin 5
METABOLIC MODIFIERS
Nutropin AQ Pen
GENERIC
NON PREFERRED
calcitriol
Genotropin
doxercalciferol
Genotropin Miniquick
levocarnitine
Humatrope
paricalcitol
Humatrope Combo Pack
sodium phenylacetate/sodium benzoate
Omnitrope
sodium phenylbutyrate
Saizen
PREFERRED
Saizen Click.easy
Aldurazyme
Serostim
Carbaglu
Tev-tropin
Cystadane
Zomacton
Elaprase
Zorbtive
Fabrazyme
Kuvan
GHRH
Lumizyme
NON PREFERRED
Myalept
Egrifta
Myozyme
Naglazyme
SOMATOMEDINS
Orfadin
Ravicti
Effective January 1, 2017
18
Sensipar NON PREFERRED
Vimizim Diphenoxylate/Atropine
NON PREFERRED Fulyzaq
Ammonul Lomotil
Buphenyl Motofen
Carnitor Mytesi
Carnitor SF Paregoric
Hectorol Restora RX
Kanuma Restora Sprinkles
Rocaltrol Rezyst IM
Strensiq Vsl#3 DS
Xuriden
Zemplar ANTACIDS
NON PREFERRED
THYROID AGENTS
Sodium Bicarbonate
GENERIC
levothyroxine sodium ULCER DRUGS
liothyronine sodium
GENERIC
methimazole
atropine sulfate
propylthiouracil
chlordiazepoxide HCL/clidinium bromide
NON PREFERRED
cimetidine
Armour Thyroid
cimetidine HCL
Cytomel
dicyclomine HCL
Levothyroxine Sodium
esomeprazole magnesium
Nature-throid
esomeprazole sodium
Nature-throid Nt-2.5
famotidine
Synthroid
glycopyrrolate
Tapazole
hyoscyamine sulfate
Thyrolar-1
hyoscyamine sulfate odt
Thyrolar-1/2
hyoscyamine sulfate ER
Thyrolar-1/4
hyoscyamine sulfate SR
Thyrolar-2
lansoprazole
Thyrolar-3
lansoprazole/amoxicillin/clarithromycin
Tirosint
methscopolamine bromide
Triostat
misoprostol
Westhroid
nizatidine
Wp Thyroid
omeprazole
omeprazole/sodium bicarbonate
GASTROINTESTINAL
pantoprazole sodium
rabeprazole sodium
LAXATIVES
ranitidine HCL
GENERIC
sucralfate
lactulose
Esomeprazole Sodium
mineral oil heavy
Famotidine
peg 3350/electrolytes
Nizatidine
peg-3350/electrolytes
PREFERRED
peg-3350/NACL/NA bicarbonate/KCL
Carafate
polyethylene glycol 3350
Pylera
Reliable-1 Psyllium
NON PREFERRED
PREFERRED
Aciphex
Moviprep
Aciphex Sprinkle
Suclear
Anaspaz
Suprep Bowel Prep
Atropen
NON PREFERRED
Atropine Sulfate
Cascara Sagrada
Belladonna & Opium
Colyte-flavor Packs
Belladonna Alkaloids & Opium
Gialax
Bentyl
Golytely
Cantil
Kristalose
Cuvposa
Nulytely/Flavor Packs
Cytotec
Osmoprep
Deprizine Fusepaq
Pcp 100
Deprizine Rapidpaq
Prepopik
Dexilant
Esomeprazole Strontium
ANTIDIARRHEALS
Famotidine Premixed
GENERIC
First-lansoprazole
diphenoxylate/atropine
First-omeprazole
loperamide HCL
Gabitidine
opium
Gastrinex NF
opium tincture
Effective January 1, 2017
19
Glycopyrrolate GASTROINTESTINAL - MISC.
Levbid
GENERIC
Levsin
alosetron hydrochloride
Levsin/SL
balsalazide disodium
Librax
calcium acetate
Nexium
cromolyn sodium
Nexium I.v.
hydrocort ene 100MG
Omeclamox-PAK
hydrocortisone
Omeprazole + Syrspend SF Alka
hydrocortisone acetate/pramoxine
Pamine
lactulose
Pamine Forte
lidocaine HCL/hydrocortisone acetate
Pamine FQ
mesalamine
Pepcid
metoclopramide odt
Prevacid
metoclopramide HCL
Prevacid Solutab
sulfasalazine
Prevpac
ursodiol
Prilosec
Mesalamine DR
Propantheline Bromide
PREFERRED
Protonix
Amitiza
Robinul
Asacol HD
Robinul Forte
Canasa
Scopolamine Hydrobromide
Chenodal
Sentradine
Cholbam
Symax Duotab
Cimzia
Zantac
Cimzia Starter Kit
Zegerid
Cortifoam
Delzicol
ANTIEMETICS
Fosrenol
GENERIC Lialda
dronabinol Linzess
granisetron HCL Movantik
meclizine HCL Pentasa
ondansetron odt Proctofoam HC
ondansetron HCL Rectiv
trimethobenzamide HCL Renvela
PREFERRED Sevelamer Carbonate
Aloxi Stelara
Emend NON PREFERRED
Sancuso Actigall
Transderm-scop Analpram Advanced
NON PREFERRED Analpram-HC
Akynzeo Analpram-HC Singles
Anzemet Anusol-HC
Cesamet Apriso
Diclegis Auryxia
Dimenhydrinate Azulfidine
Granisol Azulfidine EN-TABS
Marinol Colazal
Ondansetron Hydrochloride/Sodium Chloride Cortenema
Sustol Dexpanthenol
Tigan Dipentum
Varubi Eliphos
Zofran Entereg
Zofran Odt Entyvio
Zuplenz Gastrocrom
Gattex
DIGESTIVE AIDS Giazo
Inflectra
PREFERRED
Lidocaine HCL-hydrocortisone Acetate With Aloe
Creon
Lotronex
Pancrelipase
Metoclopramide Odt
Sucraid
Metozolv Odt
Viokace
Ocaliva
NON PREFERRED
Phoslo
Pancreaze
Phoslyra
Pertzye
Procort
Ultresa
Proctocort
Zenpep
Reglan
Relistor
Effective January 1, 2017
20
Remicade Fem PH
Renagel Femring
Rowasa First-progesterone VGS 100 Compounding Kit
Sfrowasa First-progesterone VGS 200 Compounding Kit
Uceris First-progesterone VGS 25 Compounding Kit
Urso Forte First-progesterone VGS 400 Compounding Kit
Urso 250 First-progesterone VGS 50 Compounding Kit
Velphoro Gynazole-1
Viberzi Metrogel-vaginal
Nuvessa
GENITOURINARY Premarin
Relagard
URINARY ANTI-INFECTIVES
Terazol 3
GENERIC
Terazol 7
methenamine hippurate
Vagifem
methenamine mandelate
nitrofurantoin
GENITOURINARY - MISC.
nitrofurantoin macrocrystals
GENERIC
nitrofurantoin monohydrate
alfuzosin HCL ER
nitrofurantoin monohydrate/macrocrystals
citric acid/sodium citrate
NON PREFERRED
dutasteride
Furadantin
dutasteride/tamsulosin hydrochloride
Hiprex
dutasteride/tamsulosin HCL
Macrobid
finasteride
Macrodantin
phenazopyridine HCL
Methenamine Mandelate
potassium citrate ER
Monurol
potassium citrate-citric acid crystals
Uretron D/S
potassium citrate/citric acid
Urimar-t
potassium citrate/sodium citrate/citric acid
Urogesic-blue
sodium citrate/citric acid
tamsulosin HCL
URINARY ANTISPASMODICS
tricitrates
GENERIC
PREFERRED
bethanechol chloride
Cystagon
darifenacin hydrobromide ER
Elmiron
flavoxate HCL
Procysbi
oxybutynin chloride
Rapaflo
oxybutynin chloride ER
Renacidin
tolterodine tartrate
NON PREFERRED
tolterodine tartrate ER
Avodart
trospium chloride
Cardura XL
trospium chloride ER
Cytra-3
PREFERRED
Flomax
Gelnique
Jalyn
Myrbetriq
K-phos NO 2
Oxytrol
Lithostat
Oxytrol For Women
Oracit
Toviaz
Proscar
Vesicare
Pyridium
NON PREFERRED
Shohls Solution Modified
Detrol
Thiola
Detrol LA
Urocit-k 10
Ditropan XL
Urocit-k 15
Enablex
Urocit-k 5
Urecholine
Uroxatral
VAGINAL PRODUCTS
HEMATOLOGICAL
GENERIC
HEMATOPOIETIC AGENTS
clindamycin phosphate
GENERIC
metronidazole vaginal
cyanocobalamin
terconazole
folic acid
PREFERRED
folic acid/vitamin b-6/vitamin b-12
Clindesse
sodium ferric gluconate complex/sucrose
Crinone
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc
Endometrin
Estrace
PREFERRED
Estring
Cerdelga
NON PREFERRED
Cerezyme
Avc
Cyanocobalamin
Cleocin
Effective January 1, 2017
21
Droxia Multigen Plus
Elelyso MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa
Feraheme
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac
Ferrex 150 Forte Plus
Ferrex 28
Natalvirt Flt
Granix
Nephron Fa
Leukine
Novaferrum
Mozobil
Nufera
Nascobal
Omontys
Neulasta
Pre-folic
Neulasta Onpro Kit
Proferrin-forte
Neumega
Protectiron
Neupogen
Tandem F
Nplate
Tandem Plus
Procrit
Triferic
Promacta
Zarxio
Venofer
Zavesca
Vpriv
Zolate
NON PREFERRED
Abaneu-SL
ANTICOAGULANTS
Albafort
GENERIC
Animi-3
argatroban
Animi-3/Vitamin D
bivalirudin
Aranesp Albumin Free
enoxaparin sodium
B-12 Kit
fondaparinux sodium
B-6 Folic Acid
heparin lock
Biferarx
heparin lock flush
Cenfol
heparin lock flush for flushing vascular access devices
Centratex
heparin lock flush/NACL for flushing vascular access devices
Ciferex
Corvite 150
heparin sodium
Dermacinrx Purefolix
heparin sodium dcu
Divista
heparin sodium lock flush
Ed Cyte F
heparin sodium/sodium chloride 0.9% premix
Epogen
heparin sodium/D5W
Feriva
heparin sodium/NACL 0.9%
Feriva 21/7
warfarin sodium
Ferivafa
PREFERRED
Ferralet 90
Eliquis
Ferrlecit
Pradaxa
Ferro-plex Hematinic
Xarelto
Ferrotrin
Xarelto Starter Pack
Focalgin Dss
NON PREFERRED
Folene
Angiomax
Folgard RX
Argatroban
Folic Acid
Arixtra
Folivane-f
Coumadin
Folivane-plus
Defitelio
Folixapure
Fragmin
Foltrate
Heparin Lock Flush
Fusion Plus
Heparin Sodium
Fusion Sprinkles
Heparin Sodium/D5W
Hematogen Fa
Heparin Sodium/NACL
Hematron-AF
Heparin Sodium/NACL 0.45%
Hemocyte Plus
Heparin Sodium/Sodium Chloride
Hemocyte-f
Heparin Sodium/Sodium Chloride PF
Hydroxocobalamin
Heparin Sodium/Sodium Chloride 0.9%
Icar-c Plus
Heparin Sodium/Sodium CH Loride
Infed
Iprivask
Injectafer
Lovenox
Integra F
Savaysa
Integra Plus
Sodium Citrate
Irospan 24/6
Is 24/6
HEMOSTATICS
Maxaron Forte
GENERIC
Maxfe
aminocaproic acid
Methionine/Inositol/Choline/Cyanocobalamin
tranexamic acid
Mircera
NON PREFERRED
Multigen
Amicar
Multigen Folic
Effective January 1, 2017
22
Aminocaproic Acid Hextend
Artiss Integrilin
Astringyn Kalbitor
Cyklokapron Kengreal
Evicel Kinlytic
Evithrom Kovaltry
Lysteda LMD 10% Dextrose 5%
Recothrom LMD 10% Sodium Chloride 0.9%
Recothrom Spray Kit Novoeight
Thrombin-jmi Diluent Nuwiq
Thrombin-jmi Epistaxis Persantine
Thrombin-jmi Syringe Spray Kit Plavix
Thrombin-jmi W/Dil Spray P.M. Actuator Pletal
Thrombogen Protamine Sulfate
Tisseel Reopro
Tisseel VH Ticlopidine HCL
Tnkase
HEMATOLOGICAL - MISC. Voluven
Yosprala
GENERIC
anagrelide hydrochloride
MOUTH/THROAT/DENTAL AGENT
cilostazol
clopidogrel
dipyridamole
GENERIC
eptifibatide
cevimeline HCL
hetastarch 6%/NACL
chlorhexidine gluconate
pentoxifylline ER
chlorhexidine gluconate oral rinse
ticlopidine HCL
clotrimazole
Aspirin/Dipyridamole
lidocaine viscous
PREFERRED
lidocaine HCL viscous
Advate
nystatin
Aggrenox
pilocarpine hydrochloride
Alphanate/Von Willebrand Factor Complex/Human
pilocarpine HCL
Alphanine SD
stannous fluoride oral rinse
Alprolix
triamcinolone acetonide
Benefix
triamcinolone IN orabase
Berinert
Lidocaine HCL
Brilinta
NON PREFERRED
Corifact
Aquoral
Effient
Caphosol
Eloctate
Debacterol
Feiba
Evoxac
Feiba NF
First-bxn Mouthwash
Helixate FS
First-dukes Mouthwash
Hemofil M
First-marys Mouthwash
Humate-p
First-mouthwash Blm
Ixinity
Gel-kam Oral Care Rinse
Koate-dvi
Gelclair
Kogenate FS
Nafrinse Daily/Acidulated
Kogenate FS Bio-set
Nafrinse Daily/Neutral
Monoclate-p
Nafrinse Weekly
Mononine
Neutrasal
Novoseven
Numoisyn
Novoseven Rt
Orafate
Recombinate
Oravig
Riastap
Peridex
Soliris
Prevident
Tretten
Prothelial
Wilate
Salagen
Xyntha
Salivamax
Xyntha Solofuse
Salivate RX
Zontivity
NON PREFERRED
NEUROLOGY, CNS, PSYCH
Activase
ANTIANXIETY AGENTS
Aggrastat
GENERIC
Agrylin
alprazolam
Cathflo Activase
alprazolam odt
Durlaza
alprazolam ER
Firazyr
buspirone HCL
Hespan
chlordiazepoxide HCL
Effective January 1, 2017
23
clorazepate dipotassium Viibryd Starter Pack
diazepam NON PREFERRED
droperidol Anafranil
gene-xene TAB 15MG Aplenzin
gene-xene TAB 3.75MG Appbutamone
gene-xene TAB 7.5MG Brintellix
hydroxyzine pamoate Celexa
hydroxyzine HCL Cymbalta
lorazepam Desvenlafaxine ER
meprobamate Duloxetine HCL
oxazepam Effexor XR
Diazepam Elavil
Hydroxyzine Pamoate Emsam
NON PREFERRED Fetzima
Alprazolam Intensol Fetzima Titration Pack
Ativan Fluoxetine HCL
Gabavale-5 Forfivo XL
Gabazolamine Gaboxetine
Gabazolamine-0.5 Irenka
Hydroxyzine HCL Khedezla
Lorazepam Lexapro
Sentrazolam AM 0.25 Luvox CR
Tranxene T Maprotiline HCL
Valium Marplan
Vistaril Nardil
Xanax Norpramin
Xanax XR Oleptro
Pamelor
ANTIDEPRESSANTS Parnate
Paxil
GENERIC
Paxil CR
amitriptyline HCL
Pexeva
bupropion HCL
Prozac
bupropion HCL ER
Prozac Weekly
bupropion HCL SR
Remeron
bupropion HCL XL
Remeron Soltab
citalopram hydrobromide
Sentraflox AM-10
clomipramine HCL
Sentralopram AM-10
desipramine HCL
Sentravil PM-25
doxepin HCL
Sentroxatine
duloxetine HCL
Surmontil
escitalopram oxalate
Tofranil
fluoxetine DR
Tofranil-PM
fluoxetine HCL
Trazamine
fluvoxamine maleate
Trintellix
fluvoxamine maleate ER
Vivactil
imipramine pamoate
Wellbutrin
imipramine HCL
Wellbutrin SR
mirtazapine
Wellbutrin XL
mirtazapine odt
Zoloft
nefazodone HCL
nortriptyline HCL
ANTIPSYCHOTICS
paroxetine HCL
paroxetine HCL ER GENERIC
phenelzine sulfate aripiprazole
protriptyline HCL aripiprazole odt
sertraline HCL chlorpromazine HCL
tranylcypromine sulfate clozapine
trazodone HCL clozapine odt
trimipramine maleate fluphenazine decanoate
venlafaxine HCL fluphenazine HCL
venlafaxine HCL ER haloperidol
Amoxapine haloperidol decanoate
Doxepin HCL haloperidol lactate
Nefazodone HCL lithium carbonate
Nortriptyline HCL lithium carbonate ER
Venlafaxine HCL ER loxapine
PREFERRED loxapine succinate
Pristiq olanzapine
Viibryd olanzapine odt
Effective January 1, 2017
24
paliperidone ER PREFERRED
perphenazine Chloral Hydrate
prochlorperazine Hetlioz
prochlorperazine edisylate Rozerem
prochlorperazine maleate NON PREFERRED
quetiapine fumarate Ambien
risperidone Ambien CR
risperidone odt Amytal Sodium
thioridazine HCL Belsomra
thiothixene Butisol Sodium
trifluoperazine HCL Dexmedetomidine HCL
ziprasidone HCL Doral
Clozapine Odt Edluar
PREFERRED Gabazolpidem-5
Abilify Discmelt Halcion
Abilify Maintena Intermezzo
Latuda Lunesta
Molindone Hydrochloride Nembutal Sodium
Risperdal Consta Phenobarbital Sodium
Seroquel XR Precedex
NON PREFERRED Restoril
Abilify Seconal
Adasuve Seconal Sodium
Aristada Sentrazolpidem PM-5
Chlorpromazine HCL Silenor
Clozaril Sonata
Equetro Strazepam
Fanapt Zolpimist
Fanapt Titration Pack
Fazaclo ADHD, NARCOLEPSY, ETC.
Fluphenazine HCL
GENERIC
Geodon
amphetamine/dextroamphetamine
Haldol
armodafinil
Haldol Decanoate 100
caffeine citrate
Haldol Decanoate 50
clonidine HCL ER
Invega
dexmethylphenidate HCL
Invega Sustenna
dexmethylphenidate HCL ER
Invega Trinza
dextroamphetamine sulfate
Lithium
dextroamphetamine sulfate ER
Lithium Carbonate
doxapram HCL
Lithobid
guanfacine ER
Nuplazid
methamphetamine HCL
Rexulti
methylphenidate hydrochloride
Risperdal
methylphenidate HCL
Risperdal M-TAB
methylphenidate HCL CD
Saphris
methylphenidate HCL ER
Seroquel
methylphenidate HCL SR
Versacloz
modafinil
Vraylar
Armodafinil
Zyprexa
Methylphenidate HCL ER
Zyprexa Relprevv
PREFERRED
Zyprexa Zydis
Daytrana
Quillivant XR
HYPNOTICS
Strattera
GENERIC Vyvanse
dexmedetomidine HCL NON PREFERRED
estazolam Adderall
eszopiclone Adderall XR
phenobarbital Adzenys XR-odt
temazepam Aptensio XR
triazolam Cafcit
zaleplon Caffeine/Sodium Benzoate
zolpidem tartrate Concerta
zolpidem tartrate ER Desoxyn
Flurazepam HCL Dexedrine
Phenobarbital Dopram
Quazepam Dyanavel XR
Triazolam Evekeo
Focalin
Effective January 1, 2017
25
Focalin XR Felbatol
Intuniv Gabitril
Kapvay Keppra
Metadate CD Keppra XR
Methylin Klonopin
Nuvigil Lamictal
Procentra Lamictal Chewable Dispersible
Provigil Lamictal Odt
Quillichew ER Lamictal Starter/Not Taking Carbamazepine
Ritalin Lamictal Starter/Taking Carbamazepine/Not Taking Valproate
Ritalin LA
Lamictal Starter/Taking Valproate
Sentramodafin AM-100
Lamictal XR
Zenzedi
Levetiracetam
Mysoline
ANTICONVULSANTS
Neurontin
GENERIC
Oxtellar XR
carbamazepine
Phenytek
carbamazepine ER
Sabril
clonazepam
Spritam
clonazepam odt
Stavzor
divalproex sodium
Tegretol
divalproex sodium DR
Tegretol-XR
divalproex sodium ER
Therapentin-60
ethosuximide
Therapentin-90
felbamate
Topamax
fosphenytoin sodium
Topamax Sprinkle
gabapentin
Topiramate ER
lamotrigine
Trileptal
lamotrigine odt
Trokendi XR
lamotrigine titration
Vimpat
lamotrigine ER
Zarontin
levetiracetam
Zonegran
levetiracetam ER
oxcarbazepine
ANTIPARKINSON AGENTS
phenytoin
GENERIC
phenytoin sodium
amantadine HCL
phenytoin sodium extended
benztropine mesylate
primidone
bromocriptine mesylate
tiagabine hydrochloride
carbidopa
topiramate
carbidopa/levodopa
valproate sodium
carbidopa/levodopa odt
valproic acid
carbidopa/levodopa ER
zonisamide
entacapone
Diazepam
pramipexole dihydrochloride
PREFERRED
pramipexole dihydrochloride ER
Banzel
ropinirole ER
Celontin
ropinirole HCL
Fycompa
selegiline HCL
Lyrica
tolcapone
Onfi
trihexyphenidyl HCL
Peganone
Carbidopa/Levodopa/Entacapone
Potiga
PREFERRED
Qudexy XR
Apokyn
NON PREFERRED
Azilect
Aptiom
NON PREFERRED
Briviact
Amantadine HCL
Carbatrol
Cogentin
Cerebyx
Comtan
Depacon
Duopa
Depakene
Eldepryl
Depakote
Lodosyn
Depakote ER
Mirapex
Depakote Sprinkles
Mirapex ER
Diastat Acudial
Neupro
Diastat Pediatric
Parlodel
Dilantin
Requip
Dilantin Infatabs
Requip XL
Dilantin-125
Rytary
Fanatrex Fusepaq
Effective January 1, 2017
26
Sinemet Orap
Sinemet CR Perphenazine/Amitriptyline
Stalevo 100 Plegridy
Stalevo 125 Plegridy Starter Pack
Stalevo 150 Razadyne
Stalevo 200 Razadyne ER
Stalevo 50 Sarafem
Stalevo 75 Savella Titration Pack
Tasmar Smartrx Gaba Kit
Zelapar Smartrx Gaba-v Kit
Symbyax
NEUROLOGY, PSYCH - MISC. Xenazine
Zinbryta
GENERIC
acamprosate calcium DR
NEUROMUSCULAR AGENTS
disulfiram
donepezil HCL GENERIC
ergoloid mesylates atracurium besylate
galantamine hydrobromide cisatracurium besylate
glatopa pancuronium bromide
memantine hydrochloride riluzole
memantine HCL rocuronium bromide
memantine HCL titration PAK vecuronium bromide
olanzapine/fluoxetine NON PREFERRED
pimozide Anectine
rivastigmine tartrate Botox
rivastigmine transdermal system Dysport
tetrabenazine Exondys 51
Ergoloid Mesylates Myobloc
Galantamine Hydrobromide Nimbex
PREFERRED Quelicin
Ampyra Quelicin 1000
Aubagio Rilutek
Avonex Rocuronium Bromide
Avonex Pen Succinylcholine Chloride
Betaseron Vecuronium Bromide
Brisdelle Vecuronium Bromide/Sodiumchloride
Gilenya Xeomin
Gralise Zemuron
Gralise Starter
Namenda XR MUSCULOSKELETAL AGENTS
Namenda XR Titration Pack
GENERIC
Nuedexta
baclofen
Rebif
carisoprodol
Rebif Rebidose
carisoprodol/aspirin
Rebif Rebidose Titration Pack
carisoprodol/aspirin/codeine
Rebif Titration Pack
chlorzoxazone
Savella
cyclobenzaprine HCL
Tecfidera
dantrolene sodium
Tecfidera Starter Pack
metaxalone
Tysabri
methocarbamol
Xyrem
orphenadrine citrate
NON PREFERRED
orphenadrine citrate ER
Addyi
tizanidine HCL
Antabuse
Metaxalone
Aricept
PREFERRED
Aricept Odt
Gablofen
Campral
Hymovis
Chlordiazepoxide/Amitriptyline
Lioresal Intrathecal
Convenience PAK
Monovisc
Copaxone
Orthovisc
Dermacinrx Dpn PAK
Synvisc
Exelon
Synvisc One
Extavia
NON PREFERRED
Fluoxetine
Amrix
Horizant
Cyclobenzaprine Comfort PAC
Lemtrada
Cyclophene Rapidpaq
Namenda
Dantrium
Namenda Titration PAK
Dantrium IV
Namzaric
Euflexxa
Effective January 1, 2017
27
Fexmid NON PREFERRED
First-baclofen 1 Azasite
First-baclofen 5 Bacitracin
Flexepax Betadine Ophthalmic Prep
Gel-one Bleph-10
Gelsyn-3 Ciloxan
Genvisc 850 Garamycin
Hyalgan Mitosol
Lorvatus Pharmapak Neosporin
Lorzone Ocuflox
Metaxall CP Polytrim
Norflex Sulfacetamide Sodium
Parafon Forte DSC Tobrex
Prazolamine Viroptic
Robaxin Zirgan
Robaxin-750 Zymaxid
Ryanodex
Skelaxin ARTIFICIAL TEAR/LUBRICANT
Soma
NON PREFERRED
Supartz
Lacrisert
Supartz Fx
Tabradol Fusepaq
BETA-BLOCKERS
Tabradol Rapidpaq
GENERIC
Therabenzaprine-60
betaxolol HCL
Therabenzaprine-90
carteolol HCL
Therabenzaprine-90-5
dorzolamide HCL/timolol maleate
Tizanidine Comfort PAC
levobunolol HCL
Zanaflex
timolol maleate
timolol maleate ophthalmic gel forming
ANTIMYASTHENIC AGENTS
Metipranolol
GENERIC
PREFERRED
neostigmine methylsulfate
Combigan
pyridostigmine bromide
NON PREFERRED
pyridostigmine bromide ER
Betagan
NON PREFERRED
Betimol
Bloxiverz
Betoptic-s
Enlon
Cosopt
Enlon-plus
Cosopt PF
Guanidine HCL
Istalol
Mestinon
Timoptic
Mestinon Timespan
Timoptic Ocudose
Neostigmine Methylsulfate
Timoptic-xe
Regonol
OPHTHALMIC STEROIDS
OPHTHALMOLOGY AND OTIC
GENERIC
ANTI-INFECTIVES dexamethasone sodium phosphate
fluorometholone
GENERIC
neomycin/polymyxin/bacitracin/hydrocortisone
bacitracin/polymyxin b
neomycin/polymyxin/dexamethasone
ciprofloxacin HCL
prednisolone acetate
erythromycin
sulfacetamide sodium/prednisolone sodium phosphate
gatifloxacin
tobramycin/dexamethasone
gentamicin sulfate
PREFERRED
levofloxacin
Alrex
neomycin/bacitracin/polymyxin
FML
neomycin/polymyxin/bacitracin zinc
Lotemax
neomycin/polymyxin/gramicidin
Ozurdex
ofloxacin
Pred Mild
polymyxin b sulfate/trimethoprim sulfate
Retisert
sodium sulfacetamide
Tobradex ST
sulfacetamide sodium
Zylet
tobramycin sulfate
NON PREFERRED
trifluridine
Blephamide
trimethoprim sulfate/polymyxin b sulfate
Blephamide S.o.p.
PREFERRED
Dexamethasone Sodium Phosphate
Besivance
Durezol
Moxeza
Flarex
Natacyn
FML Forte
Vigamox
FML Liquifilm
Effective January 1, 2017
28
Maxidex NON PREFERRED
Maxitrol Akten
Neomycin/Polymyxin/Hydrocortisone Alcaine
Omnipred
Pred Forte OPHTHALMICS - MISC.
Pred-G
GENERIC
Pred-G S.o.p.
azelastine HCL
Prednisolone Sodium Phosphate
bromfenac
Prednisolone/Moxifloxacin
cromolyn sodium
Prednisolone/Moxifloxacin/Bromfenac
diclofenac sodium
Tobradex
dorzolamide HCL
Vexol
epinastine HCL
flurbiprofen sodium
PROSTAGLANDINS
ketorolac tromethamine
GENERIC olopatadine HCL
latanoprost PREFERRED
Bimatoprost Bepreve
Travoprost Bromfenac
PREFERRED Cystaran
Lumigan Ilevro
Travatan Z Jetrea
NON PREFERRED Nevanac
Rescula Pataday
Xalatan Pazeo
Zioptan Prolensa
NON PREFERRED
CYCLOPLEGIC MYDRIATICS Acular
Acular LS
GENERIC
Acuvail
atropine sulfate
Alocril
cyclopentolate hydrochloride
Alomide
cyclopentolate HCL
Azopt
homatropine HBR
Bromsite
Atropine Sulfate
Elestat
NON PREFERRED
Emadine
Cyclogyl
Lastacaft
Cyclomydril
Ocufen
Isopto Atropine
Optivar
Patanol
DECONGESTANTS
Trusopt
GENERIC
phenylephrine HCL
OTIC AGENTS
NON PREFERRED
GENERIC
Naphazoline HCL
acetic acid
antipyrine/benzocaine
MIOTICS
fluocinolone acetonide
GENERIC
fluocinolone acetonide ear drops
pilocarpine HCL
hydrocortisone/acetic acid
PREFERRED
neomycin/polymyxin/hydrocortisone
Phospholine Iodide
neomycin/polymyxin/HC
NON PREFERRED
ofloxacin
Isopto Carpine
PREFERRED
Ciprodex
ADRENERGIC AGENTS
NON PREFERRED
GENERIC
Acetic Acid/Aluminum Acetate
apraclonidine
Antipyrine/Benzocaine
brimonidine tartrate
Cetraxal
NON PREFERRED
Cipro HC
Alphagan P
Ciprofloxacin
Iopidine
Coly-mycin S
Simbrinza
Cortisporin-tc
Dermotic
IMMUNOMODULATORS
Floxin Otic
PREFERRED
Otiprio
Restasis
Otovel
Otozin
LOCAL ANESTHETICS
Pramotic
GENERIC
Vosol HC
proparacaine HCL
tetracaine HCL
Effective January 1, 2017
29
OXYTOCICS pentazocine/naloxone HCL
tramadol hydrochloride/acetaminophen
tramadol HCL
GENERIC
tramadol HCL ER
methylergonovine maleate
Aspirin-caffeine-dihydrocodeine
oxytocin
Fentanyl
NON PREFERRED
Fentanyl Citrate
Cervidil
Hydrocodone/Acetaminophen
Hemabate
Hydromorphone HCL/Sodium Chloride
Oxytocin
Meperidine Hydrochloride/Sodium Chloride
Oxytocin/Lactated Ringers
Morphine Sulfate
Pitocin
Morphine Sulfate ER
Prepidil
Oxycodone HCL ER
Prostin E2
PREFERRED
Butrans
PAIN MANAGEMENT
Hysingla ER
ANALGESICS - NONNARCOTIC
Lazanda
GENERIC
Nucynta
butalbital/acetaminophen
Nucynta ER
butalbital/acetaminophen/caffeine
Opana ER (crush Resistant)
butalbital/aspirin/caffeine
Oxycontin
choline magnesium trisalicylate
Suboxone
diflunisal
Zubsolv
salsalate
NON PREFERRED
NON PREFERRED
Abstral
Allzital
Actiq
Bupap
Alfenta
Choline Magnesium Trisalicylate
Avinza
Disalcid
Belbuca
Esgic
Bunavail
Fioricet
Buprenex
Fiorinal
Capital/Codeine
Levacet
Codeine Sulfate
Ofirmev
Conzip
Vanatol LQ
Demerol
Dilaudid
ANALGESICS - OPIOID
Dilaudid-HP
GENERIC
Dolophine
acetaminophen/caffeine/dihydrocodeine
Duragesic
acetaminophen/codeine
Embeda
acetaminophen/codeine #2
Exalgo
acetaminophen/codeine #3
Fentanyl Citrate/NACL
acetaminophen/codeine #4
Fentanyl Citrate/Sodium Chloride
acetaminophen/codeine phosphate
Fentora
alfentanil
Fioricet/Codeine
buprenorphine HCL
Fiorinal/Codeine #3
buprenorphine HCL/naloxone HCL
Hycet
butalbital/acetaminophen/caffeine/codeine
Hydromorphone Hydrochloride/ NACL
butalbital/aspirin/caffeine/codeine
Hydromorphone Hydrochloride/NACL
butorphanol tartrate
Hydromorphone Hydrochloride/Sodium Chloride
codeine sulfate
Hydromorphone HCL
fentanyl
Hydromorphone HCL/NACL
fentanyl citrate oral transmucosal
Ibudone
hydrocodone bitartrate/acetaminophen
Infumorph 200
hydrocodone/acetaminophen
Infumorph 500
hydrocodone/ibuprofen
Ionsys
hydromorphone hydrochloride
Kadian
hydromorphone HCL
Levorphanol Tartrate
hydromorphone HCL dosette
Lortab
hydromorphone HCL ER
Meperidine HCL
meperidine HCL
Methadone HCL
methadone HCL
Methadose
morphine sulfate
Methadose Sugar-free
morphine sulfate ER
Morphine Sulfate Add-vantage
nalbuphine HCL
Morphine Sulfate/NACL
oxycodone HCL
Morphine Sulfate/Sodium Chloride
oxycodone/acetaminophen
MS Contin
oxycodone/aspirin
Norco
oxymorphone hydrochloride
Opana
oxymorphone hydrochloride ER
Oxaydo
Effective January 1, 2017
30
Oxycodone/Acetaminophen Humira Pen-crohns Diseasestarter
Oxycodone/Ibuprofen Humira Pen-psoriasis Starter
Percocet Rasuvo
Percodan Ridaura
Primlev Zorvolex
Probuphine Implant Kit NON PREFERRED
Remifentanil HCL Actemra
Reprexain Anaprox DS
Roxicet Arava
Roxicodone Arthrotec 50
Subsys Arthrotec 75
Synalgos-dc Caldolor
Synapryn Fusepaq Capxib Kit
Talwin Cataflam
Theracodeine-300 Celebrex
Theracodophen-325 Daypro
Theratramadol-60 Derma Silkrx Anodynexa PAK
Theratramadol-90 Derma Silkrx Diclopak
Tramadol HCL ER Dermacinrx Inflammatral PAK
Trezix Duexis
Tylenol/Codeine #3 Dyloject
Tylenol/Codeine #4 Enbrel
Ultiva Enbrel Sureclick
Ultracet EC-naprosyn
Ultram Feldene
Ultram ER Fenoprofen Calcium
Vicoprofen Fenortho
Xartemis XR Flanax Pain Relief Kit
Xodol Ibuprofen Comfort PAC
Xtampza ER Ilaris
Zamicet Indocin
Zohydro ER Indomethacin
IC 400
ANTI-INFLAMMATORY IC 800
Ketoprofen ER
GENERIC
Ketorocaine-l
celecoxib
Ketorocaine-lm
diclofenac potassium
Ketorolac Tromethamine
diclofenac sodium DR
Kineret
diclofenac sodium ER
Lodine
diclofenac sodium/misoprostol
Meloxicam
etodolac
Meloxicam Comfort PAC
etodolac ER
Mobic
flurbiprofen
Nalfon
ibuprofen
Naprelan
ibuprofen lysine
Naprosyn
indomethacin
Naproxen Comfort PAC
indomethacin ER
Neoprofen
ketoprofen
Orencia
ketorolac tromethamine
Orencia Clickject
leflunomide
Otezla
mefenamic acid
Otrexup
meloxicam
Ponstel
nabumetone
Prastera
naproxen
Previdolrx Analgesic PAK
naproxen sodium
Rheumatrex
naproxen sodium CR
Simponi
naproxen sodium ER
Simponi Aria
oxaprozin
Sprix
piroxicam
Therafeldamine
sulindac
Theraprofen-60
tolmetin sodium
Theraprofen-800
Meclofenamate Sodium
Theraprofen-90
Naproxen
Theraproxen-500
Tolmetin Sodium
Theraproxen-60
PREFERRED
Theraproxen-90
Arcalyst
Tivorbex
Humira
Toronova II Suik
Humira Pediatric Crohns Disease Starter Pack
Toronova Suik
Humira Pen
Trepadiclofen-25
Effective January 1, 2017
31
Trepoxicam-7.5 LOCAL ANESTHETICS-INJ
Vimovo
GENERIC
Vivlodex
bupivacaine HCL
Voltaren-XR
bupivacaine/epinephrine
Xeljanz
lidocaine HCL
Xeljanz XR
lidocaine/epinephrine
Zipsor
ropivacaine
ropivacaine HCL
MIGRAINE PRODUCTS
Tetracaine HCL
GENERIC NON PREFERRED
almotriptan Articadent Dental
almotriptan malate Bupivacaine Hydrochloride/Sodium Chloride
dihydroergotamine mesylate BD Pudendal/Local Block Tray 1% Lidocaine
frovatriptan succinate Carbocaine
naratriptan HCL Citanest Forte Dental
rizatriptan benzoate Citanest Plain Dental
rizatriptan benzoate odt Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH
sumatriptan
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH
sumatriptan succinate
sumatriptan succinate refill
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH
zolmitriptan
zolmitriptan odt
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH
Dihydroergotamine Mesylate
Sumatriptan Succinate
Exparel
PREFERRED
Lidocaine HCL
Relpax
Lidocaine HCL/Dextrose
Sumavel Dosepro
Marcaine
Treximet
Marcaine/Epinephrine
Zomig Nasal Spray
Marlido-25
NON PREFERRED
Marvona Suik
Alsuma
Mld Kit
Amerge
Monoject Bone Marrow Biopsy Prepping Tray
Axert
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"
Cafergot
Cambia Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"
D.h.e. 45
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G
Ergomar
Frova
Naropin
Imitrex
Nesacaine
Imitrex Statdose Refill
Nesacaine-mpf
Imitrex Statdose System
Readysharp-a
Maxalt
Ropivacaine
Maxalt-MLT
Ropivacaine Hydrochloride/Sodium Chloride
Migergot
Sensorcaine-mpf/Epinephrine
Migral
Turkel Paracentesis Procedure Tray/8french
Migranal
Xylocaine
Migranow
Xylocaine-mpf
Onzetra Xsail
Xylocaine-mpf/Epinephrine
Zecuity
Xylocaine/Epinephrine
Zembrace Symtouch
Zomig
RESPIRATORY, ALLERGY, ETC
Zomig ZMT
ANTIHISTAMINES
GENERIC
GOUT AGENTS
carbinoxamine maleate
GENERIC
cetirizine HCL
allopurinol
clemastine fumarate
probenecid
cyproheptadine HCL
probenecid/colchicine
desloratadine
PREFERRED
diphenhydramine HCL
Colcrys
levocetirizine dihydrochloride
Krystexxa
promethazine HCL
Uloric
promethazine HCL plain
NON PREFERRED
Clemastine Fumarate
Aloprim
Desloratadine Odt
Colchicine
NON PREFERRED
Mitigare
Brompheniramine
Zurampic
Brompheniramine Tannate
Zyloprim
Clarinex
Effective January 1, 2017
32
Dexchlorpheniramine Maleate Exactuss
Dicopanol Fusepaq Flowtuss
Dicopanol Rapidpaq Gilphex TR
Karbinal ER Giltuss
Phenergan Giltuss TR
Respa-BR Hycofenix
Xyzal Hyper-sal
Hypersal
NASAL AGENTS Nebusal
Neotuss Plus
GENERIC
Obredon
azelastine HCL
Panatuss Dxp
budesonide
Promethazine/Phenylephrine
flunisolide
Relhist
fluticasone propionate
Rescon-JR
ipratropium bromide
Rezira
mometasone furoate
Semprex-d
olopatadine HCL
Tessalon Perles
triamcinolone acetonide
Tussionex Pennkinetic Extended Release
PREFERRED
Vituz
Dymista
Zonatuss
Phenylephrine HCL
Zutripro
Qnasl
Qnasl Childrens
ANTIASTHMATIC/COPD AGENTS
NON PREFERRED
Adrenalin GENERIC
Astepro albuterol
Atrovent albuterol sulfate
Bactroban Nasal albuterol sulfate ER
Beconase AQ albuterol TAB 4MG
Dermacinrx Azenase PAK aminophylline
Dermacinrx Ticanase PAK budesonide
Flonase epinephrine HCL
Nasonex ipratropium bromide
Omnaris ipratropium bromide/albuterol sulfate
Patanase levalbuterol
Rhinocort Aqua levalbuterol HCL
Ticaspray montelukast sodium
Tyzine terbutaline sulfate
Tyzine Pediatric Nasal Drops theophylline
Veramyst theophylline CR
Zetonna theophylline ER
zafirlukast
COUGH/COLD/ALLERGY Cromolyn Sodium
PREFERRED
GENERIC
Advair Diskus
acetylcysteine
Advair HFA
benzonatate
Anoro Ellipta
bromphen/pseudoephedrine HCL/dextromethorphan HBR
Arcapta Neohaler
hydrocodone bitartrate/chlorpheniramine maleate/PSE
Arnuity Ellipta
hydrocodone bitartrate/homatropine methylbromide
Asmanex HFA
hydrocodone polistirex/chlorpheniramine polistirex
Asmanex Twisthaler 120 Metered Doses
hydrocodone/homatropine
Asmanex Twisthaler 14 Metered Doses
phenylephrine/guaifenesin
Asmanex Twisthaler 30 Metered Doses
promethazine-DM
Asmanex Twisthaler 60 Metered Doses
promethazine/codeine
Asmanex Twisthaler 7 Metered Doses
promethazine/dextromethorphan
Atrovent HFA
promethazine/phenylephrine
Breo Ellipta
promethazine/phenylephrine/codeine
Combivent Respimat
sodium chloride
Daliresp
Benzonatate
Dulera
PREFERRED
Flovent Diskus
Tussicaps
Flovent HFA
Tuzistra XR
Perforomist
NON PREFERRED
Proair HFA
Carbaphen 12
Proair Respiclick
Carbaphen 12 PED
Pulmicort Flexhaler
Clarinex-d 12 HOUR
Qvar
Codar AR
Serevent Diskus
Cpb Wc
Spiriva Handihaler
Decon-a
Effective January 1, 2017
33
Spiriva Respimat
Stiolto Respimat PREFERRED
Striverdi Respimat Acthib
Symbicort Afluria PF 2014-2015
Tudorza Pressair Afluria PF 2015-2016
Ventolin HFA Afluria PF 2016-2017
NON PREFERRED Afluria Quadrivalent 2016-2017
Accolate Afluria 2014-2015
Aerospan Afluria 2015-2016
Alvesco Afluria 2016-2017
Bevespi Aerosphere Bcg Vaccine
Brovana Bexsero
Cinqair Biothrax
Elixophyllin Cervarix
Foradil Aerolizer Comvax
Incruse Ellipta Engerix-b
Isuprel Fluad 2016-2017
Lufyllin Fluarix Quadrivalent 2014-2015
Metaproterenol Sulfate Fluarix Quadrivalent 2015-2016
Nucala Fluarix Quadrivalent 2016-2017
Proventil HFA Fluarix 2014-2015
Pulmicort Flublok 2014-2015
Pulmophylline Flublok 2015-2016
Singulair Flublok 2016-2017
Theo-24 Flucelvax Quadrivalent 2016-2017
Theophylline/D5W Flucelvax 2014-2015
Utibron Neohaler Flucelvax 2015-2016
Vospire ER Flulaval Quadrivalent 2014-2015
Xolair Flulaval Quadrivalent 2015-2016
Xopenex Flulaval Quadrivalent 2016-2017
Xopenex Concentrate Flulaval 2014-2015
Xopenex HFA Flumist Quadrivalent
Zyflo Fluvirin PF 2014-2015
Zyflo CR Fluvirin 2014-2015
Fluvirin 2015-2016
RESPIRATORY AGENTS - MISC Fluvirin 2016-2017
Fluzone High-dose PF 2014-2015
PREFERRED
Fluzone High-dose PF 2015-2016
Aralast NP
Fluzone High-dose PF 2016-2017
Esbriet
Fluzone Intradermal
Kalydeco
Fluzone Intradermal Quadrivalent 2015-2016
Orkambi
Fluzone Intradermal Quadrivalent 2016-2017
Prolastin-c
Fluzone PF 2014-2015
Pulmozyme
Fluzone Quadrivalent 2014-2015
Zemaira
Fluzone Quadrivalent 2015-2016
NON PREFERRED
Fluzone Quadrivalent 2016-2017
Curosurf
Fluzone Split 2014-2015
Glassia
Fluzone Split 2015-2016
Infasurf
Gardasil
Ofev
Gardasil 9
Surfaxin
Havrix
Survanta Intratracheal
Hiberix
Imovax Rabies (h.d.c.v.)
TOXOIDS
Ipol Inactivated IPV
Ixiaro
PREFERRED
M-m-r II
Adacel
Medical Provider EZ Flu Shot 2014-2015
Boostrix
Medical Provider EZ Flu Shot 2015-2016
Daptacel
Medical Provider Single Use EZ Flu Shot
Diphtheria/Tetanus Toxoids Adsorbed Pediatric
Menactra
Infanrix
Menhibrix
Kinrix
Menomune-a/C/Y/W-135
Pediarix
Menveo
Pentacel
Pedvax HIB
Quadracel
Pneumovax 23
Tenivac
Pneumovax 23/1 Dose
Tetanus/Diphtheria Toxoids-adsorbed
Pneumovax 23/5 Dose
Tetanus/Diphtheria Toxoids-adsorbed Adult
Prevnar 13
Proquad
VACCINES
Effective January 1, 2017
34
Rabavert Focalgin CA
Recombivax HB Focalgin 90 DHA
Rotarix Folbee Plus Cz
Rotateq Folcaps Omega 3
Trumenba Folet DHA
Twinrix Folet One
Typhim VI Folgard OS
Vaqta Folivane-prx DHA NF
Varivax Folivane-OB
Vaxchora Fortavit
Vivotif Gesticare DHA
Yf-vax Infuvite
Zostavax Infuvite Adult
Infuvite Pediatric
VITAMINS M.v.i. Adult
M.v.i. Pediatric
VITAMINS
M.v.i.-12 Without Vitamin K
GENERIC
Marnatal-f
ascorbic acid
Mykidz Iron Fl
ergocalciferol
Mynatal
phytonadione
Natachew
pyridoxine HCL
Natalvirt CA
thiamine HCL
Natalvirt 90 DHA
vitamin c 222MG
Natalvit
vitamin d
Natelle One
vitamin k1
Neevo DHA
PREFERRED
Nephplex RX
Mephyton
Nephro-vite RX
NON PREFERRED
Nephrocaps
Aquasol A Parenteral
Nephrocaps QT
Drisdol
Nestabs
Niacin
Nestabs Abc
Vitamin K1
Nestabs DHA
Wheat Germ
Newgen
Nexa Plus
MULTIVITAMINS
Nicadan
GENERIC
Nicadan ZX
b-complex 100
Nicazel
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper
Nicazel Forte
Prenatal Vitamins
Nicomide
NON PREFERRED
Niva-plus
Adrenal C Formula
Nutricap
Albafort
Nutrivit
Atabex EC
O-CAL Fa
Bacmin
O-CAL Prenatal
Bal-care DHA
Obstetrix DHA
Citranatal Assure
Obstetrix One
Citranatal B-calm
Ocuvel
Citranatal DHA
OB Complete
Citranatal Harmony
OB Complete Gold
Citranatal RX
OB Complete One
Citranatal 90 DHA
OB Complete Petite
Cod Liver Oil
OB Complete Premier
Concept DHA
OB Complete/DHA
Concept OB
Paire OB
Corvite
Poly-VI-flor
Crnatal
Poly-VI-flor FS
Dialyvite Supreme D
Poly-VI-flor/Iron
Dialyvite 3000
Prefera OB
Dialyvite 5000
Prefera OB + DHA
Dialyvite/Zinc
Preferaob +dha
Duet DHA Balanced
Preferaob One
Duet DHA 400
Prefol-DHA
Duet DHA 400EC
Prenata
Duet DHA 430
Prenate
Duet DHA 430EC
Prenate AM
Enbrace HR
Prenate DHA
Escavite
Prenate Elite
Escavite D
Prenate Enhance
Floriva
Prenate Essential
Effective January 1, 2017
35
Prenate Mini Accu-chek Softclix Lancets
Prenate Pixie Active 1ST Blood Lancets 30G/Easy Twist CAP
Prenate Restore Advocate Lancets
Prenate Star Advocate Lancets 30G
Preque 10 Advocate Safety Lancets
Protect Plus Advocate Safety Lancets 26G
Provida DHA Agamatrix Ultra-thin Lancets 33G
Provida OB Assure Haemolance Plus High Flow 18G
Quflora FE Assure Haemolance Plus Low Flow 25G
R-natal OB Assure Haemolance Plus Micro Flow 28G
Renatabs Assure Haemolance Plus Normal Flow 21G
Renatabs With Iron Assure Haemolance Plus Pediatric Blade
Req 49+ Assure Lance Lancets
Select-ob+dha Assure Lance Lancets 21G
Select-OB Assure Lance Plus Safety Lancets 25G
Siderol Assure Lance Plus Safety Lancets 30G
Strovite Forte Assure Lancets
Strovite One Aurora Lancet Super Thin 30G
Supervite Aurora Lancet Thin 23G
Supervite EC AF Lancets Super Thin
Support-500 AT Last Lancets
Synagex B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16"
Synatek Bayer Microlet Lancets
Taron-bc Bullseye Safety Lancets
Taron-c DHA BD Insulin Syringe LUER-LOK/U-100/1ML
Texavite LQ BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2"
Tri-VI-flor BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"
Tricare Prenatal BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"
Tricare Prenatal Compleat BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"
Tricare Prenatal DHA One BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"
Tricare Prenatal 1 BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"
Triveen-duo DHA BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"
Triveen-prx RNF BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2"
TL G-FOL OS BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"
Udamin SP BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"
Vemavite-prx 2 BD Insulin Syringe Safetyglide/1ML/29G X 1/2"
Vinacal B BD Insulin Syringe Slip Tip/U-100/1ML
Vinate AZ Extra BD Insulin Syringe U-40/1ML/25G X 5/8"
Vinate Calcium BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"
Vinate DHA RF BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"
Vita-pren BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"
Vitafol BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"
Vitafol Fe+ BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2"
Vitafol Gummies BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"
Vitafol Ultra BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2"
Vitafol-nano BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
Vitafol-ob+dha BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16"
Vitafol-one BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2"
Vital-d RX BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16"
Vitamedmd One RX/Quatrefolic BD Insulin Syringe Ultrafine/1ML/30G X 1/2"
Vitamedmd Plus RX/Quatre Folic BD Insulin Syringe Ultrafine/1ML/31G X 5/16"
Vitamedmd Redichew RX BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"
Vitapearl
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"
Vitaroca Plus
Vitatrue
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"
Viva DHA
Zatean-pn
BD Insulin Syringe/U-100/0.5ML/30G X 1/2"
Zatean-pn DHA
BD Insulin Syringe/U-100/1ML/27G X 1/2"
Zatean-pn Plus
BD Insulin Syringe/U-100/1ML/28G X 1/2"
Zatean-CH
BD Insulin Syringe/U-100/2ML/27.5G X 5/8"
BD Insulin Syringe/U-100/2ML/29G X 1/2"
MEDICAL DEVICES
BD Lancet Ultrafine 30G
DIABETIC SUPPLIES
BD Lancet Ultrafine 33G
PREFERRED
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"
Accu-chek Fastclix Lancets
BD Microtainer Lancets
Accu-chek Multiclix Lancets
BD Pen Needle/Mini/Ultrafine/31G X 3/16"
Accu-chek Safe-t-pro Lancets
BD Pen Needle/Nano/Ultra Fine/32G X 4MM
Accu-chek Safe-t-pro Pluslancets
BD Pen Needle/SHORT/Ultrafine/31G X 5/16"
Accu-chek Soft Touch Lancets
BD Pen Needle/Ultrafine/29G X 12.7MM
Effective January 1, 2017
36
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM Glucose Control Normal
BD Pen Needles SHORT/Ultrafine/31G X 5/16" Glucose Control Solution
Careone Lancet Thin Glucosource Lancets
Careone Lancet Ultra Thin Gmate Lancets 30G
Cleanlet Lancets 28G Haemolance
Clever Chek Lancets Ultrathin Haemolance Low Flow Lancets
Clever Chek Lancets Ultrathin 30G Haemolance Plus
Coaguchek Lancets Haemolance Plus High Flow
Comfort Lancets Haemolance Plus Low Flow
Diastar Easy Test II Lancets 30G Haemolance Plus Max Flow
Diastar Easy Test Lancets30G Haemolance Plus Pediatric Flow
Droplet Lancets Ultra Thin 30G Hy-vee Lancets
Drug Mart On-the-go Lancets Gentle 30G IN Touch Sterile Lancets 30G
Drug Mart Unilet Lancets Super Thin 30G Lancets
Drug Mart Unilet Lancets Ultra Thin 28G Lancets Bullseye Safety
E-z Ject Lancets Lancets Safety Seal 21G
E-z Ject Lancets Color Lancets Safety Seal 26G
E-z Ject Lancets Super Thin Lancets Safety Seal 28G
E-z Ject Lancets Super Thin 30G Lancets Safety Seal 30G
E-z Ject Lancets Thin 26G Lancets Thin
E-z Ject Lancets 21G Lancets Twist Top
E-ZJECT Lancets Micro-thin 33G Lancets Ultra Fine
Easy Touch Lancets 21G/Pressure Activated Lancets Ultra Thin
Easy Touch Lancets 23G/Pressure Activated Lancets 26G Twist Top
Easy Touch Lancets 26G/Pressure Activated Lancets 28G
Easy Touch Lancets 26G/Pull-top Lancets 30G
Easy Touch Lancets 26G/Twist Lancets 30G Twist Top
Easy Touch Lancets 28G/Pressure Activated Lancets 30G/Twist Top
Easy Touch Lancets 28G/Pull-top Lancets 31G Twist Top
Easy Touch Lancets 28G/Twist Lancets 33G Universal Design
Easy Touch Lancets 30G/Button-activated Liberty Glucose Control Mid
Easy Touch Lancets 30G/Pressure Activated Liberty Glucose Control Normal
Easy Touch Lancets 30G/Pull-top Liberty Medical Lancets 30G
Easy Touch Lancets 30G/Twist Lifescan Unistik II Lancets
Easy Touch Lancets 32G/Pressure Activated Lifescan Unistik 2 Deep Penetration
Easy Touch Lancets 32G/Pull-top Litetouch Lancets Micro Thin 33G
Easy Touch Lancets 32G/Twist Live Better Lancet Super Thin 30G
Easy Touch Lancets 33G/Twist Live Better Lancet Ultra Thin 28G
Easy Touch Safety Lancets21G/Pressure Activated Medisense Thin Lancets
Easy Touch Safety Lancets23G/Pressure Activated Medlance Plus Extra Lancets 21G
Easy Touch Safety Lancets26G/Button Activated Medlance Plus Lancets
Easy Touch Safety Lancets26G/Pressure Activated Medlance Plus Lancets Lite 25G
Easy Touch Safety Lancets28G/Button Activated Medlance Plus Lite Lancets 25G
Easy Touch Safety Lancets28G/Pressure Activated Medlance Plus Special Lancets 0.8MM
Easy Twist & CAP Lancets Medlance Plus Superlite 30G
Easytest II Lancets Medlance Plus Superlite 30G/Comfort Max
Easytest Lancets Medlance Plus Universal Lancets 21G
Embrace Lancets Ultra Thin 30G Medlance Plus/Lite 25G
EZ Smart Blood Glucose Lancets Medlance/Extra
EZ-lets Lancets 21G Medlance/Lite
EZ-lets Lancets 23G Medlance/Universal
EZ-lets Lancets 26G Super-soft Meijer Lancets Universal 30G
EZ-lets Lancets 28G Ultra-soft Meijer Super Thin Lancets
EZ-lets Lancets 30G Microlet Lancets
Fifty50 Safety Seal Lancets 30G Microtainer Safety Flow Lancet/Sterile/Single-use
Fifty50 Safety Seal Lancets 32G Monolet Lancets
Fifty50 Unilet Lancets 33G Monolet Opd Lancets
Fine 30 Monolettor Safety Lancets
Fingerstix Lancets Myglucohealth Mgh Softlance Lancets 30G
Fora Lancets Netgroup Lancets
Freestyle Lancets Nova Safety Lancets 23G
Freestyle Unistick II Lancets Nova Safety Lancets 28G
Gentle-let GP Lancets Nova Sureflex Lancets
Gentle-let Lancets General Purpose Style/Fine Point Novofine Autocover 30GX8MM
Gentle-let Lancets General Purpose Style/Medium Point Novofine 30GX8MM
Gentle-let Lancets Safety Style/Fine Point Novofine 32GX6MM
Gentle-let Lancets Safety Style/Medium Point Novotwist 30GX8MM
Glucocom Lancets 28G Novotwist 32GX5MM
Glucocom Lancets 30G On Call Lancets
Glucocom Lancets 33G On Call Plus Lancets
Effective January 1, 2017
37
Onetouch Club Lancets Fine Point Shopko On-the-go Comfort Lancets 30G
Onetouch Combo Pack Shopko Unilet Lancets Super Thin 30G
Onetouch Delica Lancets Extra Fine 33G Shopko Unilet Lancets Ultra Thin 28G
Onetouch Delica Lancets Fine 30G Single-let
Onetouch Finepoint Lancets Smart Diabetes Vantage Universal Lancets 30G
Onetouch Lancets Smart Sense Color Lancets Universal 33G
Onetouch Ping Meter Remote Smart Sense Standard Lancets Universal 21G
Onetouch Ultra Blue Smart Sense Super Thin Lancets Universal 30G
Onetouch Ultra Control Smart Sense Thin Lancets Universal 26G
Onetouch Ultra Mini Smartest Lancets 28G
Onetouch Ultra 2 Solus V2 Pressure Activated Safety Lancets 28G
Onetouch Ultralink System (hex) Solus V2 Twist Lancets 30G
Onetouch Ultralink System (DEC) Sterilance TL
Onetouch Ultrasoft Lancets Sure-lance Flat Lancets
Onetouch Verio Sure-lance Lancets 26G
Onetouch Verio Control Solution High Sure-lance Thin Lancets 28G
Onetouch Verio IQ Blood Glucose Monitoring System Sure-lance Ultra Thin Lancets
Onetouch Verio Mid Control Solution Sure-touch Lancets Universal
Onetouch Verio Sync Bloodglucose Monitoring System Surelite Lancets
Onetouch Verio Test Strips Surestep Glucose Control
Pen Needles 29G X 12MM Surestep Glucose Control Solution
Pen Needles 29GX1/2" Surestep Pro High Glucosecontrol
Pen Needles 30GX5/16" Surestep Pro Low Glucose Control
Pen Needles 31G X 1/4" SHORT Surestep Pro Normal Glucose Control
Pen Needles 31G X 3/16" Techlite AST Lancets
Pen Needles 31G X 6MM Techlite Lancets
Pen Needles 31GX5/16" Techlite Lancets 30G
Perfect Lancets 30G Thinlets GP Lancets
Perfect Pressure Activated Safety Lancets 28G Thinlets Lancet
Pharmacist Choice Ultra Thin Lancets Trueplus Lancets 26G
Pharmacist Choice Ultra Thin Lancets 28G Trueplus Lancets 28G
Pharmacist Choice Ultra Thin Lancets 30G Trueplus Lancets 28G Super Thin
Pharmacist Choice Ultra Thin Lancets 31G Trueplus Lancets 30G
Pharmacist Choice Ultra Thin Lancets 33G Trueplus Lancets 30G Ultra Thin
Pharmacy Counter Lancets Trueplus Lancets 33G
Precision Thin Lancets Trueplus Lancets 33G Micro Thin
Precision Thins GP Lancet Trueplus Safety Lancets 28G
Precision Ultra Lancet Ulticare Thin Lancets 30G
Prodigy Pressure Activated Safety Lancets Ultilet Classic Lancets
Prodigy Safety Lancets Ultilet Lancets
Prodigy Twist Top Lancets Ultilet Lancets 33G
Pss Select GP Lancets Ultilet Safety Lancets 23G
Pss Select Safety Lancets Ultra-thin II Auto Lancet
Px Lancets Ultra Thin Ultra-thin II Lancets 28G
Qc Lancets Super Thin Ultra-thin II Lancets 30G
Qc Lancets Ultra Thin Ultra-thin II Safety Autolancets 26G
Relion Lancets Micro-thin33G Unilet Comfortouch Lancet
Relion Lancets Standard 21G Unilet Excelite
Relion Lancets Thin 26G Unilet Excelite II
Relion Lancets Ultra-thin30G Unilet G.p. Lancet
Relion Thin Lancets Unilet G.p. Superlite Lancet
Relion Ultra Thin Lancets Unilet GP 28 Ultra Thin
Relion Ultra Thin Lancets30G Unilet Lancet
Relion Ultra Thin Plus Lancets 32G Unilet Lancets Micro-thin33G
Relion Ultra Thin Plus Lancets 33G Unilet Lancets Super-thin30G
Rexall Lancets Ultra Thin Unilet Lancets Ultra-thin 28G
Rightest Gl300 Lancets Unilet Superlite Lancet
Safe-t-lance Low Flow 25G Unistik Safety Lancets 28G
Safe-t-lance Normal Flow 21G Unistik Safety Lancets 30G
Safe-t-lance Plus Safety Lancet High Flow Unistik Touch Safety Lancets 21G
Safe-t-lance Plus Safety Lancet Low Flow Unistik Touch Safety Lancets 23G
Safe-t-lance Plus Safety Lancet Normal Flow Unistik Touch Safety Lancets 28G
Safety Lancet 21G/Pressure Activated Unistik Touch Safety Lancets 30G
Safety Lancet 28G/Pressure Activated Unistik 3 Gentle
Safety Lancets Universal 1 Lancets Thin 26G
Safety Lancets 21G Universal 1 Lancets Ultra Thin 30G
Safety Lancets 28G Valumark Lancet Super Thin 30G
Safety Let Lancets Valumark Lancet Ultra Thin 28G
Safety Seal Lancets 28G Vida Mia Unilet Lancets Super Thin 30G
Safety Seal Lancets 30G Vida Mia Unilet Lancets Ultra Thin 28G
Effective January 1, 2017
38
Vitalet Pro Lancets Embrace Evo Blood Glucosetest Strips
Vitalet Pro Plus Lancets Embrace Pro Blood Glucosetest Strips
W&f Lancets Colored 21G Eql Truetrack Test
W&f Lancets 26G Evencare + Blood Glucose Test Strip
Walgreens Lancets Evencare Blood Glucose Test Strip
Walgreens Thin Lancets Evencare G2 Test Strips
Walgreens Ultra Thin Lancets Evencare G3 Test Strips
1ST Choice Lancets Super Thin Evencare Mini Blood Glucose Test Strips
1ST Choice Lancets Thin Evolution Autocode
1ST Choice Lancets Ultra Thin Exactech R-s-G Test Strips
NON PREFERRED Exactech Test Strips
Accu-chek Active Strips EZ Smart Blood Glucose Test Strips
Accu-chek Aviva EZ Smart Plus Blood Glucose Test Strips
Accu-chek Aviva Plus Fifty50 Glucose Test Strip 2.0
Accu-chek Comfort Curve Test Strips Fora D10 Blood Glucose Test Strips
Accu-chek Compact Plus Fora D15G Blood Glucose Test Strips
Accu-chek Compact Test Drum Fora D20 Blood Glucose Test Strips
Accu-chek Smartview Strips Fora D40/G31 Blood Glucose Test Strips
Accutrend Glucose Fora GD20 Test Strips
Acura Blood Glucose Test Strips Fora GD50 Blood Glucose Test Strips
Advance Intuition Test Strips Fora G20 Blood Glucose Test Strips
Advance Micro-draw Test Strips Fora G30a Blood Glucose Test Strips
Advocate Redi-code Fora Tn'g/Tn'g Voice Blood Glucose Test Strips
Advocate Redi-code+ Test Strips Fora V10 Blood Glucose Test Strips
Advocate Test Strips Fora V12 Blood Glucose Test Strips
Agamatrix Amp NO Code Test Strips Fora V20 Blood Glucose Test Strips
Agamatrix Jazz Test Strips Fora V30a Blood Glucose Test Strips
Agamatrix Keynote Test Strips Foracare GD40
Agamatrix Presto Test Strips Foracare Premium V10 Teststrips
Ascensia Autodisc Test Strips Foracare Test N Go Test Strips
Assure II Fortiscare Blood Glucose Test Strip
Assure II Check Strip Freestyle Insulinx Blood Glucose Test
Assure II Test Strips Freestyle Insulinx Blood Glucose Test Strips
Assure Platinum Test Strips Freestyle Lite Test Strips
Assure Prism Multi Test Strips Freestyle Precision Neo Blood Glucose Test Strips
Assure Pro Test Strips Freestyle Test Strips
Assure 3 Test Strips Genstrip 50
Assure 4 Test Strips Gluco Perfect 3 Test Strips
AT Last Test Strips Glucocard Expression Blood Glucose Test Strips
Bayer Breeze 2 Test Disc Glucocard Shine Test Strips
Bayer Contour Blood Glucose Test Strips Glucocard Vital Test Strips
Bayer Contour Next Blood Glucose Test Glucocard X-sensor
Bg Star Blood Glucose Test Glucocard 01 Sensor Plus
Bioscanner Glucose Test Strips Glucocard 01 Sensor Plus Test Strips
Blood Glucose Test Strips Glucocom Test Strips
Blood Glucose Test Strips Premium Gluconavii Blood Glucose Test Strips
Careone Blood Glucose Test Strips/Premium Gmate Blood Glucose Test Strips
Careone Blood Glucose Test Strips/Value Infinity Blood Glucose Test Strips
Caresens N Blood Glucose Test Strips IN Touch Blood Glucose Test Strips
Clever Chek Auto-code Test Strips Liberty Next Generation Blood Glucose Test Strips
Clever Chek Auto-code Voice Test Strips Maxima Blood Glucose Teststrips
Clever Chek Test Strips Microdot Test Strips
Clever Choice Auto-code Pro Test Strips Myglucohealth Blood Glucose Test
Clever Choice Micro Test Strips Neutek 2tek Test Strips
Control AST Nexgen Test Strips
Control Test Strips Nova Max Glucose Test Strips
Cool Blood Glucose Test Strips On Call Express Blood Glucose Test Strips
CVS Advanced Glucose Meter Test Strips On Call Plus Blood Glucose Test
Duo-care Test Strips On Call Vivid Blood Glucose Test
Easy Step Test Strips On Call Vivid Blood Glucose Test Strips
Easy Touch Glucose Test Strips Optium Test Strips
Easy Touch Healthpro Glucose Test Strips Optiumez Test Strips
Easygluco Optumrx Blood Glucose Test
Easygluco Plus Pharmacist Choice Autocode Blood Glucose Test Strips
Easymax Test Strips Pocketchem EZ Blood Glucose Test Strips
Easymax 15 Test Strips Precision Point Of Care Test Strips
Easypro Blood Glucose Test Strips Precision PCX
Easypro Plus Precision PCX Plus Test Strips
Element Test Strips Precision QID Test Strips
Embrace Blood Glucose Test Strips Precision Sof-tact Test Strips
Effective January 1, 2017
39
Precision XTRA Blood Glucose Test Strips Breatherite W/Large Mask
Prestige Test Strips Breatherite W/Medium Mask
Prodigy NO Coding Blood Glucose Test Strips Breatherite W/Small Mask
Pts Panels Glucose Test Clever Choice Anti-staticvalved Holding Chamber/Adult Large
Quicktek Test Strips
Clever Choice Anti-staticvalved Holding Chamber/Medium
Quintet Ac Blood Glucose Test Strips
Clever Choice Anti-staticvalved Holding Chamber/Small
Quintet Blood Glucose Test Strips
Compact Space Chamber/Anti-static
Refuah Plus Blood Glucosetest Strips
Compact Space Chamber/Anti-static/Large Mask
Relion Blood Glucose Teststrips
Compact Space Chamber/Anti-static/Medium Mask
Relion Confirm/Micro Test Strips
Compact Space Chamber/Anti-static/Small Mask
Relion Prime Blood Glucose Test Strips
E-z Spacer
Relion Ultima Blood Glucose Test Strips
E-z Spacer The Body Guards Pack
Relion Ultima Test Strips
Easivent
Reveal Blood Glucose Test
Easivent/Mask-large
Rexall Blood Glucose Test Strips
Easivent/Mask-medium
Rightest GS100 Blood Glucose Test Strips
Easivent/Mask-small
Rightest GS300 Blood Glucose Test Strips
Flexichamber
Rightest GS550 Blood Glucose Test Strips
Flexichamber Adult Mask/Small
Smart Diabetes Xpres Blood Glucose Test Strips
Flexichamber Child Mask/Large
Smart Sense Premium Bloodglucose Strips
Flexichamber Child Mask/Small
Smart Sense Value Blood Glucose Strips
Inspirachamber/Anti-static Valved/Mouthpiece
Smartest Blood Glucose Test Strips
Inspirachamber/Large
Solus V2 Audible Test
Inspirachamber/Soothermask/Inspiramask/Medium
Supreme Test Strips
Inspirachamber/Soothermask/Inspiramask/Small
Sure Edge Blood Glucose Test Strips
Inspirease Bags
Sure-test Easyplus Mini Blood Glucose Test Strips
Inspirease Drug Delivery System
Surechek Blood Glucose Test Strips
Inspirease Mouthpiece
Telcare Blood Glucose Test Strips
Inspirease Reservoir Bags
True Metrix Blood Glucosetest Strips
Liteaire
True Metrix Self Monitoring Blood Glucose Strips
Mask Vortex/Baby Whirl Duckling
Truetest Blood Glucose T Est
Mask Vortex/Child/Frog
Truetest Blood Glucose T Est Strips
Mask Vortex/Spinner The Duck
Truetest Strips
Mask Vortex/Toddler/Lady Bug
Truetrack Blood Glucose Test
Microchamber
Truetrack Test
Microspacer
Ultima Test Strips
Nessi Spacer/Large Mask
Ultratrak Pro Test Strips
Nessi Spacer/Mouthpiece
Ultratrak Ultimate Test Strips
Nessi Spacer/Small/MED Mask
Unistrip1 Generic
Optichamber Advantage
Victory Agm-4000 Test Strips
Optichamber Advantage/Large Mask
Vocal Point Blood Glucose Test Strips
Optichamber Advantage/Medium Face Mask
Wavesense Presto Test Strips
Optichamber Advantage/Small Face Mask
Optichamber Diamond
MEDICAL DEVICES - MISC
Optichamber Diamond/Largeface Mask
PREFERRED
Optichamber Diamond/Medium Face Mask
Aerochamber Mini Aerosol Chamber
Optichamber Diamond/Smallface Mask
Aerochamber MV
Optichamber Face Mask/Large
Aerochamber Plus Flow VU
Optichamber Face Mask/Medium
Aerochamber Plus Flow-VU
Optichamber Face Mask/Small
Aerochamber Plus Flow-VU/Large Mask
Optihaler
Aerochamber Plus Flow-VU/Mask
Optihaler MDI Drug Delivery System
Aerochamber Plus Flow-VU/Medium Mask
Panda Mask Large
Aerochamber Plus Flow-VU/Small Mask
Panda Mask Medium
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU
Panda Mask Small
Pediatric Panda Mask
Aerochamber Z-stat Plus/Flowsignal
Pocket Chamber
Aerochamber Z-stat Plus/Large Mask
Pocket Spacer
Aerochamber Z-stat Plus/Medium Mask
Riteflo
Aerochamber Z-stat Plus/Small Mask
Vortex Valved Holding Chamber
Aerochamber/Flowsignal
Watchhaler
Aerovent Plus Holding Chamber/Collapsible
Arial Chamber
MISCELLANEOUS
Breatherite
Breatherite Collapsible Adult Spacer W/Mask
Breatherite Collapsible Child Spacer W/Mask
PREFERRED
Breatherite Collapsible Infant Spacer W/Mask
Chemet
Breatherite Collapsible Small Child Spacer W/Mask
Exjade
Breatherite Collapsible Spacer W/ Neonate Mask
Jadenu
Breatherite Rigid Spacer W/Mask
Effective January 1, 2017
40
NON PREFERRED
Ferriprox
Pentetate Calcium Trisodium
Pentetate Zinc Trisodium
Effective January 1, 2017 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2017 Optum, Inc. All rights reserved.
41
Index
A
Actoplus Met, 17 Aerochamber Z-stat Plus/Flowsignal, 40
Actoplus Met XR, 17 Aerochamber Z-stat Plus/Large Mask, 40
A.a.g.c. Kit IN Teroderm, 11
Actos, 17 Aerochamber Z-stat Plus/Medium Mask, 40
abacavir, 3
Acuicyn Daily Eyelid & Eyelash Cleanser, 14
abacavir sulfate/lamivudine/zidovudine, 3
Aerochamber Z-stat Plus/Small Mask, 40
abacavir/lamivudine, 3
Acular, 29 Aerochamber/Flowsignal, 40
Abaneu-SL, 22
Acular LS, 29 Aerospan, 34
Abelcet, 2
Acura Blood Glucose Test Strips, 39 Aerovent Plus Holding Chamber/Collapsible, 40
Abilify, 25
Acuvail, 29
Abilify Discmelt, 25
acyclovir, 3, 12 AF Lancets Super Thin, 36
Abilify Maintena, 25
acyclovir sodium, 3 Afinitor, 6
Abraxane, 6
Acyclovir Sodium, 3 Afinitor Disperz, 6
Absorica, 11
Aczone, 11 Afluria 2014-2015, 34
Abstral, 30
Adacel, 34 Afluria 2015-2016, 34
acamprosate calcium DR, 27
Adalat CC, 8 Afluria 2016-2017, 34
Acanya, 11
adapalene, 11 Afluria PF 2014-2015, 34
acarbose, 17
Adapalene, 11 Afluria PF 2015-2016, 34
Accolate, 34
adapalene P.M., 11 Afluria PF 2016-2017, 34
Accu-chek Active Strips, 39
Adasuve, 25 Afluria Quadrivalent 2016-2017, 34
Accu-chek Aviva, 39
Adcetris, 5 Afrezza, 16
Accu-chek Aviva Plus, 39
Adcirca, 10 Agamatrix Amp NO Code Test Strips, 39
Accu-chek Comfort Curve Test Strips, 39
Adderall, 25 Agamatrix Jazz Test Strips, 39
Accu-chek Compact Plus, 39
Adderall XR, 25 Agamatrix Keynote Test Strips, 39
Accu-chek Compact Test Drum, 39
Addyi, 27 Agamatrix Presto Test Strips, 39
Accu-chek Fastclix Lancets, 36
adefovir dipivoxil, 3 Agamatrix Ultra-thin Lancets 33G, 36
Accu-chek Multiclix Lancets, 36
Adempas, 10 Aggrastat, 23
Accu-chek Safe-t-pro Lancets, 36
Adenocard, 8 Aggrenox, 23
Accu-chek Safe-t-pro Pluslancets, 36
adenosine, 8 Agrylin, 23
Accu-chek Smartview Strips, 39
Adoxa, 2 Akne-mycin, 11
Accu-chek Soft Touch Lancets, 36
Adoxa PAK 1/100, 2 Akovaz, 10
Accu-chek Softclix Lancets, 36
Adoxa PAK 1/150, 2 Akten, 29
Accucaine, 14
Adoxa PAK 2/100, 2 Akynzeo, 20
Accupril, 8
Adrenaclick, 10 Ala Scalp, 13
Accuretic, 9
Adrenal C Formula, 35 Albafort, 22, 35
Accutrend Glucose, 39
Adrenalin, 10, 33 Albenza, 4
acebutolol HCL, 7
Advair Diskus, 33 albuterol, 33
Aceon, 8
Advair HFA, 33 albuterol sulfate, 33
acetaminophen/caffeine/dihydrocodeine, 30
Advance Intuition Test Strips, 39 albuterol sulfate ER, 33
Advance Micro-draw Test Strips, 39 albuterol TAB 4MG, 33
acetaminophen/codeine, 30
Advanced Allergy Collection Kit, 13 Alcaine, 29
acetaminophen/codeine #2, 30
Advate, 23 alclometasone dipropionate, 13
acetaminophen/codeine #3, 30
Advicor, 10 Aldactazide, 9
acetaminophen/codeine #4, 30
Advocate Lancets, 36 Aldactone, 9
acetaminophen/codeine phosphate, 30
Advocate Lancets 30G, 36 Aldara, 13
acetazolamide, 9
Advocate Redi-code, 39 Aldurazyme, 18
Acetazolamide, 9
Advocate Redi-code+ Test Strips, 39 Alecensa, 6
acetazolamide ER, 9
Advocate Safety Lancets, 36 alendronate sodium, 17
acetazolamide sodium, 9
Advocate Safety Lancets 26G, 36 Alendronate Sodium, 17
acetic acid, 29
Advocate Test Strips, 39 Alevicyn Antipruritic SG, 14
Acetic Acid/Aluminum Acetate, 29
Adyphren II, 10 Alfenta, 30
acetylcysteine, 33
Adyphren Kit, 10 alfentanil, 30
Aciphex, 19
Adzenys XR-odt, 25 Alferon N, 7
Aciphex Sprinkle, 19
Aerochamber Mini Aerosol Chamber, 40 alfuzosin HCL ER, 21
acitretin, 12
Aerochamber MV, 40 Alimta, 5
Aclovate, 13
Aerochamber Plus Flow VU, 40 Alinia, 4
Actemra, 31
Aerochamber Plus Flow-VU, 40 Alkeran, 4
Acthib, 34
Aerochamber Plus Flow-VU/Large Mask, 40
Allo-pax, 12
Acticlate, 2
allopurinol, 32
Actigall, 20
Aerochamber Plus Flow-VU/Mask, 40 Allzital, 30
Actimmune, 7
Aerochamber Plus Flow-VU/Medium Mask, 40
almotriptan, 32
Actiq, 30
almotriptan malate, 32
Activase, 23
Aerochamber Plus Flow-VU/Small Mask, 40
Alocril, 29
Active 1ST Blood Lancets 30G/Easy Twist CAP, 36
Alodox Convenience Kit, 2
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 40
Alogliptin, 17
Activella, 15
Alogliptin/Metformin HCL, 17
Actonel, 17
Alogliptin/Pioglitazone, 17
Ampyra, 27 Arnuity Ellipta, 33
Alomide, 29
Amrix, 27 Aromasin, 5
Aloprim, 32
Amturnide, 9 Arranon, 5
Alora, 15
Amytal Sodium, 25 Arthrotec 50, 31
alosetron hydrochloride, 20
Anacaine, 14 Arthrotec 75, 31
Aloxi, 20
Anadrol-50, 15 Articadent Dental, 32
Alphagan P, 29
Anafranil, 24 Artiss, 23
Alphanate/Von Willebrand Factor Complex/Human, 23
anagrelide hydrochloride, 23 Arzerra, 5
Analpram Advanced, 20 Asacol HD, 20
Alphanine SD, 23
Analpram-HC, 20 Ascensia Autodisc Test Strips, 39
alprazolam, 23
Analpram-HC Singles, 20 ascorbic acid, 35
alprazolam ER, 23
Anaprox DS, 31 Asmanex HFA, 33
Alprazolam Intensol, 24
Anaspaz, 19 Asmanex Twisthaler 120 Metered Doses, 33
alprazolam odt, 23
anastrozole, 5
Alprolix, 23
Ancef, 1 Asmanex Twisthaler 14 Metered Doses, 33
Alrex, 28
Ancobon, 2
Alsuma, 32
Androderm, 15 Asmanex Twisthaler 30 Metered Doses, 33
Altabax, 11
Androgel, 15
Altace, 8
Androgel P.M., 15 Asmanex Twisthaler 60 Metered Doses, 33
Altoprev, 10
Android, 15
Aluvea, 14
Androxy, 15 Asmanex Twisthaler 7 Metered Doses, 33
Alvesco, 34
Anectine, 27
amantadine HCL, 26
Angeliq, 15 Aspirin-caffeine-dihydrocodeine, 30
Amantadine HCL, 26
Angiomax, 22 Aspirin/Dipyridamole, 23
Amaryl, 17
Animi-3, 22 Assure 3 Test Strips, 39
Ambien, 25
Animi-3/Vitamin D, 22 Assure 4 Test Strips, 39
Ambien CR, 25
Anoro Ellipta, 33 Assure Haemolance Plus High Flow 18G, 36
Ambisome, 2
Antabuse, 27
Amcinonide, 13
Antara, 10 Assure Haemolance Plus Low Flow 25G, 36
Amerge, 32
antipyrine/benzocaine, 29
Amicar, 22
Antipyrine/Benzocaine, 29 Assure Haemolance Plus Micro Flow 28G, 36
amifostine, 7
Anusol-HC, 20
amikacin sulfate, 2
Anzemet, 20 Assure Haemolance Plus Normal Flow 21G, 36
amiloride HCL, 9
Apidra, 16
amiloride/hydrochlorothiazide, 9
Apidra Solostar, 16 Assure Haemolance Plus Pediatric Blade, 36
aminocaproic acid, 22
Aplenzin, 24
Aminocaproic Acid, 23
Apokyn, 26 Assure II, 39
aminophylline, 33
Appbutamone, 24 Assure II Check Strip, 39
amiodarone HCL, 8
Appformin, 17 Assure II Test Strips, 39
Amiodarone HCL, 8
Appformin-d, 17 Assure Lance Lancets, 36
Amitiza, 20
apraclonidine, 29 Assure Lance Lancets 21G, 36
amitriptyline HCL, 24
Apriso, 20 Assure Lance Plus Safety Lancets 25G, 36
amlodipine besylate, 8
Aptensio XR, 25
amlodipine besylate/atorvastatin calcium, 10
Aptiom, 26 Assure Lance Plus Safety Lancets 30G, 36
Aptivus, 3
amlodipine besylate/benazepril HCL, 9
Aquasol A Parenteral, 35 Assure Lancets, 36
amlodipine besylate/benazepril hydrochloride, 9
Aquoral, 23 Assure Platinum Test Strips, 39
Aralast NP, 34 Assure Prism Multi Test Strips, 39
amlodipine besylate/valsartan, 9
Aralen, 3 Assure Pro Test Strips, 39
Amlodipine/Olmesartan Medoxomil, 9
Aranesp Albumin Free, 22 Astagraf XL, 6
amlodipine/valsartan/hctz, 9
Arava, 31 Astepro, 33
ammonium lactate, 13
Arcalyst, 31 Astero, 14
Ammonul, 19
Arcapta Neohaler, 33 Astringyn, 23
Amoxapine, 24
argatroban, 22 AT Last Lancets, 36
amoxicillin, 1
Argatroban, 22 AT Last Test Strips, 39
Amoxicillin, 1
Arial Chamber, 40 Atabex EC, 35
Amoxicillin ER, 1
Aricept, 27 Atacand, 8
amoxicillin/clavulanate potassium, 1
Aricept Odt, 27 Atacand HCT, 9
Amoxicillin/Clavulanate Potassium, 1
Arimidex, 5 Atelvia, 17
amoxicillin/clavulanate potassium ER, 1
aripiprazole, 24 atenolol, 7
amphetamine/dextroamphetamine, 25
aripiprazole odt, 24 atenolol/chlorthalidone, 9
Amphotec, 2
Aristada, 25 Atgam, 6
Amphotericin B, 2
Aristospan Intra-articular, 15 Ativan, 24
ampicillin, 1
Arixtra, 22 Atopiclair, 14
Ampicillin, 1
armodafinil, 25 atorvastatin calcium, 10
ampicillin sodium, 1
Armodafinil, 25 atovaquone, 4
Ampicillin Sodium, 1
Armour Thyroid, 19 atovaquone/proguanil HCL, 3
ampicillin-sulbactam, 1
Arnica Flower, 14 atracurium besylate, 27
Atralin, 11
Bacitracin, 28 3ML/29G X 1/2", 36
Atripla, 3
bacitracin/polymyxin b, 28 BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 36
Atropen, 19
Baclofen, 11
atropine sulfate, 19, 29
baclofen, 27 BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 36
Atropine Sulfate, 19, 29
Bacmin, 35
Atrovent, 33
Bactocill IN Dextrose, 1 BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 36
Atrovent HFA, 33
Bactrim, 4
Aubagio, 27
Bactrim DS, 4 BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 36
augmented betamethasone dipropionate, 13
Bactroban, 11
Bactroban Nasal, 33 BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 36
Augmentin, 1
Bal-care DHA, 35
Augmentin ES-600, 1
balsalazide disodium, 20 BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 36
Augmentin XR, 1
Banzel, 26
Aurora Lancet Super Thin 30G, 36
Baraclude, 3 BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 36
Aurora Lancet Thin 23G, 36
Bayer Breeze 2 Test Disc, 39
Aurstat Anti-itch Hydrogel, 14
Bayer Contour Blood Glucose Test Strips, 39
BD Insulin Syringe/U-100/1ML/27G X 1/2", 36
Aurstat Anti-itch Hydrogel Kit, 14
Auryxia, 20
Bayer Contour Next Blood Glucose Test, 39
BD Insulin Syringe/U-100/1ML/28G X 1/2", 36
Auvi-q, 10
Avalide, 9
Bayer Microlet Lancets, 36 BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 36
Avandamet, 17
Bcg Vaccine, 34
Avandaryl, 17
BD Insulin Syringe LUER-LOK/U-100/1ML, 36
BD Insulin Syringe/U-100/2ML/29G X 1/2", 36
Avandia, 17
Avapro, 8
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 36
BD Lancet Ultrafine 30G, 36
Avar, 11
BD Lancet Ultrafine 33G, 36
Avar LS, 11
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 36
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 36
Avar LS Cleanser, 11
Avar-e LS, 11
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 36
BD Microtainer Lancets, 36
Avastin, 5
BD Pen Needle/Mini/Ultrafine/31G X 3/16", 36
Avc, 21
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 36
Aveed, 15
BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 36
Avelox, 2
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 36
Avelox Abc Pack, 2
BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 36
Avenova, 14
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 36
Avenova/Neutrox, 14
BD Pen Needle/Ultrafine/29G X 12.7MM, 36
Avidoxy DK, 2
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 36
Avinza, 30
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 37
Avodart, 21
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 36
Avonex, 27
BD Pen Needles SHORT/Ultrafine/31G X 5/16", 37
Avonex Pen, 27
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 36
Avycaz, 4
BD Pudendal/Local Block Tray 1% Lidocaine, 32
Axert, 32
BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 36
Axiron, 15
Beconase AQ, 33
Aygestin, 16
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 36
Belbuca, 30
azacitidine, 5
Beleodaq, 6
Azactam, 4
BD Insulin Syringe Slip Tip/U-100/1ML, 36
Belladonna & Opium, 19
Azactam IN Iso-osmotic Dextrose, 4
Belladonna Alkaloids & Opium, 19
Azasan, 6
BD Insulin Syringe U-40/1ML/25G X 5/8", 36
Belsomra, 25
Azasite, 28
benazepril HCL, 8
azathioprine, 5
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 36
benazepril HCL/hydrochlorothiazide, 9
Azathioprine, 6
Bendeka, 4
azelastine HCL, 29, 33
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 36
Benefix, 23
Azelex, 11
Benicar, 8
Azilect, 26
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 36
Benicar HCT, 9
azithromycin, 1
Bentyl, 19
Azithromycin, 1
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 36
Benzac Ac Wash, 11
Azopt, 29
Benzaclin, 11
Azor, 9
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16", 36
Benzaclin With P.M., 11
aztreonam, 4
Benzamycin, 11
Azulfidine, 20
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 36
Benzamycinpak, 11
Azulfidine EN-TABS, 20
Benzefoam, 11
B
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16", 36
Benzefoam Ultra, 11
Benzefoamultra, 11
B-12 Kit, 22
BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 36
Benziq, 11
B-6 Folic Acid, 22
Benziq LS, 11
b-complex 100, 35
BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 36
Benzodox 30 Kit, 2
B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 36
Benzodox 60 Kit, 2
BD Insulin Syringe Ultrafine/U-100/0. Benzoin Compound Tincture, 14
bacitracin, 4
Benzoin Tincture, 14
Breatherite Collapsible Infant Spacer W/Mask, 40
Caffeine/Sodium Benzoate, 25
benzonatate, 33
Calan, 8
Benzonatate, 33
Breatherite Collapsible Small Child Spacer W/Mask, 40
Calan SR, 8
benzoyl peroxide, 11
calcipotriene, 12
benzoyl peroxide SHORT contact, 11
Breatherite Collapsible Spacer W/ Neonate Mask, 40
calcipotriene/betamethasone dipropionate, 13
benztropine mesylate, 26
Bepreve, 29
Breatherite Rigid Spacer W/Mask, 40 calcitonin salmon, 17
Berinert, 23
Breatherite W/Large Mask, 40 calcitonin-salmon, 17
Besivance, 28
Breatherite W/Medium Mask, 40 Calcitriol, 12
Betadine Ophthalmic Prep, 28
Breatherite W/Small Mask, 40 calcitriol, 18
Betagan, 28
Breo Ellipta, 33 calcium acetate, 20
Betalido, 15
Brevibloc, 7 Caldolor, 31
Betaloan Suik, 15
Brevicon-28, 16 Cambia, 32
betamethasone dipropionate, 13
Brilinta, 23 Campral, 27
betamethasone sodium phosphate/betamethasone acetate, 15
brimonidine tartrate, 29 Camptosar, 6
Brintellix, 24 Canasa, 20
Betamethasone SP, 15
Brisdelle, 27 Cancidas, 2
betamethasone valerate, 13
Briviact, 26 candesartan cilexetil, 8
Betapace, 7
bromfenac, 29 candesartan cilexetil/hydrochlorothiazide, 9
Betapace AF, 7
Bromfenac, 29
Betaseron, 27
bromocriptine mesylate, 26 Cantil, 19
betaxolol HCL, 7, 28
bromphen/pseudoephedrine HCL/dextromethorphan HBR, 33
Capastat Sulfate, 2
bethanechol chloride, 21
capecitabine, 5
Bethkis, 2
Brompheniramine, 32 Capex, 13
Betimol, 28
Brompheniramine Tannate, 32 Caphosol, 23
Betoptic-s, 28
Bromsite, 29 Capital/Codeine, 30
Bevespi Aerosphere, 34
Brovana, 34 Caprelsa, 6
bexarotene, 6
budesonide, 15, 33(2) captopril, 8
Bexsero, 34
Bullseye Safety Lancets, 36 Captopril/Hydrochlorothiazide, 9
Beyaz, 16
bumetanide, 9 Capxib Kit, 31
Bg Star Blood Glucose Test, 39
Bumex, 9 Carafate, 19
Biaxin, 1
Bunavail, 30 Carbaglu, 18
bicalutamide, 5
Bupap, 30 carbamazepine, 26
Bicillin C-R, 1
Buphenyl, 19 carbamazepine ER, 26
Bicillin L-a, 1
bupivacaine HCL, 32 Carbaphen 12, 33
Bicnu, 4
Bupivacaine Hydrochloride/Sodium Chloride, 32
Carbaphen 12 PED, 33
Bidil, 10
Carbatrol, 26
Biest/Progesterone, 15
bupivacaine/epinephrine, 32 carbidopa, 26
Biferarx, 22
Buprenex, 30 carbidopa/levodopa, 26
Biltricide, 4
buprenorphine HCL, 30 carbidopa/levodopa ER, 26
Bimatoprost, 29
buprenorphine HCL/naloxone HCL, 30 carbidopa/levodopa odt, 26
Binosto, 17
bupropion HCL, 24 Carbidopa/Levodopa/Entacapone, 26
Bioscanner Glucose Test Strips, 39
bupropion HCL ER, 24 carbinoxamine maleate, 32
Biothrax, 34
bupropion HCL SR, 24 Carbocaine, 32
bisoprolol fumarate, 7
bupropion HCL XL, 24 carboplatin, 4
bisoprolol fumarate/hydrochlorothiazide, 9
buspirone HCL, 23 Cardene IV, 8
Busulfex, 4 Cardizem, 8
bivalirudin, 22
butalbital/acetaminophen, 30 Cardizem CD, 8
Bleo 15k, 5
butalbital/acetaminophen/caffeine, 30 Cardizem LA, 8
bleomycin sulfate, 5
butalbital/acetaminophen/caffeine/codeine, 30
Cardura, 9
Bleph-10, 28
Cardura XL, 21
Blephamide, 28
butalbital/aspirin/caffeine, 30 Careone Blood Glucose Test Strips/Premium, 39
Blephamide S.o.p., 28
butalbital/aspirin/caffeine/codeine, 30
Blincyto, 5
Butisol Sodium, 25 Careone Blood Glucose Test Strips/Value, 39
Blood Glucose Test Strips, 39
butorphanol tartrate, 30
Blood Glucose Test Strips Premium, 39
Butrans, 30 Careone Lancet Thin, 37
Bloxiverz, 28
Bydureon, 16 Careone Lancet Ultra Thin, 37
Boniva, 17
Bydureon Pen, 16 Caresens N Blood Glucose Test Strips, 39
Boostrix, 34
Byetta, 16
Boric Acid, 14
Bystolic, 7 carisoprodol, 27
Bosulif, 6
Byvalson, 9 carisoprodol/aspirin, 27
Botox, 27
C carisoprodol/aspirin/codeine, 27
Bravelle, 18
Carnitor, 19
cabergoline, 18
Breatherite, 40
Carnitor SF, 19
Cabometyx, 6
Breatherite Collapsible Adult Spacer W/Mask, 40
carteolol HCL, 28
Caduet, 10
carvedilol, 7
Cafcit, 25
Breatherite Collapsible Child Spacer W/Mask, 40
Cascara Sagrada, 19
Cafergot, 32
Casodex, 5
caffeine citrate, 25
Cataflam, 31
cetirizine HCL, 32 citric acid/sodium citrate, 21
Catapres, 9
Cetraxal, 29 cladribine, 5
Catapres-tts-1, 9
Cetrotide, 18 Claforan, 1
Catapres-tts-2, 9
cevimeline HCL, 23 Claforan/D5W, 1
Catapres-tts-3, 9
Chemet, 40 Clarifoam EF, 11
Cathflo Activase, 23
Chenodal, 20 Clarinex, 32
Caverject, 10
Chloral Hydrate, 25 Clarinex-d 12 HOUR, 33
Caverject Impulse, 10
Chloramphenicol Sodium Succinate, 4 clarithromycin, 1
Cayston, 4
chlordiazepoxide HCL, 23 clarithromycin ER, 1
Cedax, 1
chlordiazepoxide HCL/clidinium bromide, 19
Cleanlet Lancets 28G, 37
cefaclor, 1
clemastine fumarate, 32
Cefaclor, 1
Chlordiazepoxide/Amitriptyline, 27 Clemastine Fumarate, 32
Cefaclor ER, 1
chlorhexidine gluconate, 23 Cleocin, 4, 21
cefadroxil, 1
chlorhexidine gluconate oral rinse, 23 Cleocin IN D5W, 4
Cefazolin, 1
chloroquine phosphate, 3 Cleocin Pediatric Granules, 4
cefazolin sodium, 1
chlorothiazide, 9 Cleocin Phosphate, 4
Cefazolin Sodium, 1
Chlorothiazide, 9 Cleocin-t, 11
Cefazolin Sodium/Dextrose, 1
chlorothiazide sodium, 9 Clever Chek Auto-code Test Strips, 39
Cefazolin/D5W, 1
chlorpromazine HCL, 24 Clever Chek Auto-code Voice Test Strips, 39
Cefazolin/Dextrose, 1
Chlorpromazine HCL, 25
Cefazolin/Sodium Chloride, 1
Chlorpropamide, 17 Clever Chek Lancets Ultrathin, 37
cefdinir, 1
chlorthalidone, 9 Clever Chek Lancets Ultrathin 30G, 37
Cefditoren Pivoxil, 1
Chlorthalidone, 9 Clever Chek Test Strips, 39
cefepime, 1
chlorzoxazone, 27 Clever Choice Anti-staticvalved Holding Chamber/Adult Large, 40
Cefepime, 1
Cholbam, 20
Cefepime/Dextrose, 1
cholestyramine, 10 Clever Choice Anti-staticvalved Holding Chamber/Medium, 40
cefixime, 1
cholestyramine light, 10
Cefotan, 1
choline magnesium trisalicylate, 30 Clever Choice Anti-staticvalved Holding Chamber/Small, 40
cefotaxime sodium, 1
Choline Magnesium Trisalicylate, 30
Cefotaxime Sodium, 1
chorionic gonadotropin, 18 Clever Choice Auto-code Pro Test Strips, 39
cefotetan, 1
Cialis, 10
Cefotetan, 1
Ciclodan Cream Kit, 12 Clever Choice Micro Test Strips, 39
Cefotetan/Dextrose, 1
Ciclodan Solution Kit, 12 Cleviprex, 8
cefoxitin sodium, 1
ciclopirox, 12 Climara, 15
Cefoxitin Sodium, 1
ciclopirox nail lacquer, 12 Climara Pro, 16
cefpodoxime proxetil, 1
ciclopirox olamine, 12 Clin Single Use Kit, 4
cefprozil, 1
cidofovir, 3 Clindacin Etz, 11
ceftazidime, 1
Ciferex, 22 Clindacin PAC, 11
Ceftazidime/Dextrose, 1
cilostazol, 23 Clindagel, 11
Ceftibuten, 1
Ciloxan, 28 clindamycin, 4
Ceftin, 1
cimetidine, 19 clindamycin HCL, 4
Ceftriaxone IN Iso-osmotic Dextrose, 1
cimetidine HCL, 19 clindamycin palmitate HCL, 4
ceftriaxone sodium, 1
Cimzia, 20 clindamycin phosphate, 4, 11, 21
Ceftriaxone Sodium, 1
Cimzia Starter Kit, 20 Clindamycin Phosphate, 4
Ceftriaxone/Dextrose, 1
Cinqair, 34 clindamycin phosphate add-vantage, 4
cefuroxime axetil, 1
Cipro, 2 clindamycin phosphate IN D5W, 4
cefuroxime sodium, 1
Cipro HC, 29 clindamycin phosphate pharmacy bulk package, 4
Cefuroxime Sodium, 1
Cipro I.V.-IN D5W, 2
Celebrex, 31
Cipro XR, 2 clindamycin phosphate/tretinoin, 11
celecoxib, 31
Ciprodex, 29 clindamycin/benzoyl peroxide, 11
Celestone-soluspan, 15
ciprofloxacin, 2 Clindap-t, 11
Celexa, 24
Ciprofloxacin, 2, 29 Clindesse, 21
Cellcept, 6
ciprofloxacin ER, 2 Clinoin, 11
Cellcept Intravenous, 6
ciprofloxacin HCL, 2, 28 clobetasol propionate, 13
Celontin, 26
Ciprofloxacin HCL, 2 clobetasol propionate emollient, 13
Cenfol, 22
ciprofloxacin I.V.-IN D5W, 2 Clobex, 13
Centany, 11
cisatracurium besylate, 27 Clocortolone Pivalate, 13
Centany AT, 11
cisplatin, 4 Clocortolone Pivalate P.M., 13
Centratex, 22
Cisplatin, 4 Clodan Kit, 13
cephalexin, 1
citalopram hydrobromide, 24 Cloderm, 13
Cephalexin, 1
Citanest Forte Dental, 32 Cloderm P.M., 13
Ceracade, 14
Citanest Plain Dental, 32 Clolar, 5
Cerdelga, 21
Citranatal 90 DHA, 35 clomiphene citrate, 18
Cerebyx, 26
Citranatal Assure, 35 clomipramine HCL, 24
Cerezyme, 21
Citranatal B-calm, 35 clonazepam, 26
Cervarix, 34
Citranatal DHA, 35 clonazepam odt, 26
Cervidil, 30
Citranatal Harmony, 35 clonidine HCL, 8
Cesamet, 20
Citranatal RX, 35 clonidine HCL ER, 25
clopidogrel, 23
Cortenema, 20 Dacogen, 5
clorazepate dipotassium, 24
Cortifoam, 20 Daklinza, 3
Clorpres, 9
Cortisone Acetate, 15 Daliresp, 33
clotrimazole, 12, 23
Cortisporin, 12 Dalvance, 4
clotrimazole/betamethasone dipropionate, 12
Cortisporin-tc, 29 danazol, 15
Corvert, 8 Dantrium, 27
clozapine, 24
Corvite, 35 Dantrium IV, 27
clozapine odt, 24
Corvite 150, 22 dantrolene sodium, 27
Clozapine Odt, 25
Corzide, 9 dapsone, 4
Clozaril, 25
Cosentyx, 12 Daptacel, 34
Cnl8 Nail Kit, 12
Cosentyx Sensoready Pen, 12 daptomycin, 4
Coaguchek Lancets, 37
Cosmegen, 5 Daraprim, 3
Coal TAR, 14
Cosopt, 28 darifenacin hydrobromide ER, 21
Coartem, 3
Cosopt PF, 28 Darzalex, 5
Cocaine HCL, 14
Cotellic, 6 daunorubicin HCL, 5
Cod Liver Oil, 35
Coumadin, 22 Daunoxome, 5
Codar AR, 33
Cozaar, 8 Daypro, 31
codeine sulfate, 30
Cpb Wc, 33 Daytrana, 25
Codeine Sulfate, 30
Creon, 20 Ddavp, 18
Cogentin, 26
Cresemba, 2 Debacterol, 23
Colazal, 20
Crestor, 10 decitabine, 5
Colchicine, 32
Crinone, 21 Decon-a, 33
Colcrys, 32
Crixivan, 3 Defitelio, 22
Colestid, 10
Crnatal, 35 Delestrogen, 16
Colestid Flavored, 10
cromolyn sodium, 20, 29 Delzicol, 20
colestipol HCL, 10
Cromolyn Sodium, 33 Demadex, 9
colistimethate sodium, 4
Cubicin, 4 demeclocycline HCL, 2
Coly-mycin M, 4
Cubicin RF, 4 Demerol, 30
Coly-mycin S, 29
Curosurf, 34 Demser, 9
Colyte-flavor Packs, 19
Cutivate, 13 Denavir, 12
Combigan, 28
Cuvposa, 19 Depacon, 26
Combipatch, 15
CVS Advanced Glucose Meter Test Strips, 39
Depakene, 26
Combivent Respimat, 33
Depakote, 26
Combivir, 3
cyanocobalamin, 21 Depakote ER, 26
Cometriq, 6
Cyanocobalamin, 21 Depakote Sprinkles, 26
Comfort Lancets, 37
Cyclessa, 16 Depo-estradiol, 16
Compact Space Chamber/Anti-static, 40
Cyclobenzaprine Comfort PAC, 27 Depo-medrol, 15
Compact Space Chamber/Anti-static/Large Mask, 40
cyclobenzaprine HCL, 27 Depo-provera, 5
Cyclogyl, 29 Depo-testosterone, 15
Compact Space Chamber/Anti-static/Medium Mask, 40
Cyclomydril, 29 Depocyt, 5
cyclopentolate HCL, 29 Deprizine Fusepaq, 19
Compact Space Chamber/Anti-static/Small Mask, 40
cyclopentolate hydrochloride, 29 Deprizine Rapidpaq, 19
Cyclophene Rapidpaq, 27 Derma Silkrx Anodynexa PAK, 31
Complera, 3
cyclophosphamide, 4 Derma Silkrx Diclopak, 31
Comtan, 26
Cyclophosphamide, 4 Derma-smoothe/FS Body, 13
Comvax, 34
Cycloserine, 2 Derma-smoothe/FS Scalp, 13
Concept DHA, 35
Cycloset, 17 Dermacinrx Azenase PAK, 33
Concept OB, 35
cyclosporine, 6 Dermacinrx Cinlone-i Cpi, 15
Concerta, 25
cyclosporine modified, 6 Dermacinrx Clorhexacin, 14
Condylox, 14
Cyclosporine Modified, 6 Dermacinrx Dpn PAK, 27
Control AST, 39
Cyklokapron, 23 Dermacinrx Duopatch Pharmapak, 14
Control Test Strips, 39
Cymbalta, 24 Dermacinrx Inflammatral PAK, 31
Convenience PAK, 27
cyproheptadine HCL, 32 Dermacinrx Lexitral Pharmapak, 12
Conzip, 30
Cyramza, 5 Dermacinrx Neurotral Pharmapak, 14
Cool Blood Glucose Test Strips, 39
Cystadane, 18 Dermacinrx Phn PAK, 14
Copasil, 14
Cystagon, 21 Dermacinrx Purefolix, 22
Copaxone, 27
Cystaran, 29 Dermacinrx Surgical Pharmapak, 14
Copegus, 3
cytarabine, 5 Dermacinrx Therazole PAK, 12
Cordarone, 8
cytarabine aqueous, 5 Dermacinrx Ticanase PAK, 33
Cordran, 13
Cytarabine Aqueous, 5 Dermacinrx Zrm PAK, 14
Cordran Tape, 13
Cytomel, 19 Dermapak Plus, 11
Coreg, 7
Cytotec, 19 Dermasorb HC, 13
Coreg CR, 7
Cytovene, 3 Dermasorb Ta, 13
Corgard, 7
Cytra-3, 21 Dermasorb XM, 14
Corifact, 23
D Dermatop, 13
Corlanor, 10
Dermawerx Surgical Plus PAK, 14
D.h.e. 45, 32
Corlopam, 9
Dermazone, 13
dacarbazine, 6
Cortef, 15
Dermazyl, 14
Dacarbazine, 7
Dermotic, 29
Diflucan, 2 doxazosin mesylate, 8
Descovy, 3
diflunisal, 30 doxepin HCL, 24
desipramine HCL, 24
digoxin, 7 Doxepin HCL, 24
desloratadine, 32
Digoxin, 7 Doxepin Hydrochloride, 12
Desloratadine Odt, 32
dihydroergotamine mesylate, 32 doxercalciferol, 18
desmopressin acetate, 18
Dihydroergotamine Mesylate, 32 Doxil, 5
Desogen, 16
Dilantin, 26 doxorubicin HCL, 5
desogestrel/ethinyl estradiol, 16
Dilantin Infatabs, 26 Doxorubicin HCL, 5
Desonate, 13
Dilantin-125, 26 doxorubicin HCL liposome, 5
desonide, 13
Dilatrate SR, 7 doxycycline, 2
Desowen, 13
Dilaudid, 30 Doxycycline, 11
desoximetasone, 13
Dilaudid-HP, 30 doxycycline hyclate, 2
Desoximetasone, 13
diltiazem CD, 8 doxycycline hyclate DR, 2
Desoxyn, 25
diltiazem HCL, 8 doxycycline monohydrate, 2
Desvenlafaxine ER, 24
Diltiazem HCL, 8 Drisdol, 35
Detrol, 21
diltiazem HCL CD, 8 Dritho-creme HP, 12
Detrol LA, 21
diltiazem HCL ER, 8 dronabinol, 20
dexamethasone, 15
Diltiazem Hydrochloride/Sodium Chloride, 8
droperidol, 24
Dexamethasone, 15
Droplet Lancets Ultra Thin 30G, 37
Dexamethasone Intensol, 15
Dimenhydrinate, 20 drospirenone/ethinyl estradiol, 16
dexamethasone sodium phosphate, 15, 28
Diovan, 8 drospirenone/ethinyl estradiol/levomefolate calcium, 16
Diovan HCT, 9
Dexamethasone Sodium Phosphate, 15, 28
Dipentocaine, 12 Droxia, 22
Dipentum, 20 Drug Mart On-the-go Lancets Gentle 30G, 37
Dexchlorpheniramine Maleate, 33
diphenhydramine HCL, 32
Dexedrine, 25
diphenoxylate/atropine, 19 Drug Mart Unilet Lancets Super Thin 30G, 37
Dexilant, 19
Diphenoxylate/Atropine, 19
Dexlido, 15
Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 34
Drug Mart Unilet Lancets Ultra Thin 28G, 37
Dexlido-m, 15
dexmedetomidine HCL, 25
Diprolene, 13 Drysol, 14
Dexmedetomidine HCL, 25
Diprolene AF, 13 Dsg PAK, 12
dexmethylphenidate HCL, 25
dipyridamole, 23 Duac, 11
dexmethylphenidate HCL ER, 25
Disalcid, 30 Duavee, 15
Dexpak 10 Day, 15
disopyramide phosphate, 8 Duet DHA 400, 35
Dexpak 13 Day, 15
disulfiram, 27 Duet DHA 400EC, 35
Dexpak 6 Day, 15
Ditropan XL, 21 Duet DHA 430, 35
Dexpanthenol, 20
Diuril, 9 Duet DHA 430EC, 35
dexrazoxane, 7
divalproex sodium, 26 Duet DHA Balanced, 35
dextroamphetamine sulfate, 25
divalproex sodium DR, 26 Duetact, 17
dextroamphetamine sulfate ER, 25
divalproex sodium ER, 26 Duexis, 31
Diabeta, 17
Divigel, 16 Dulera, 33
Dialyvite 3000, 35
Divista, 22 duloxetine HCL, 24
Dialyvite 5000, 35
dobutamine HCL, 10 Duloxetine HCL, 24
Dialyvite Supreme D, 35
dobutamine HCL/D5W, 10 Duo-care Test Strips, 39
Dialyvite/Zinc, 35
dobutamine/dextrose 5%, 10 Duopa, 26
Diamox, 9
Docefrez, 6 Duragesic, 30
Diastar Easy Test II Lancets 30G, 37
docetaxel, 6 Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 32
Diastar Easy Test Lancets30G, 37
Docetaxel, 6
Diastat Acudial, 26
Docetaxel (non-alcohol Formula), 6 Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 32
Diastat Pediatric, 26
dofetilide, 8
diazepam, 24
Dolophine, 30 Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 32
Diazepam, 24, 26
donepezil HCL, 27
Dibenzyline, 9
dopamine HCL, 10 Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 32
Diclegis, 20
Dopamine HCL, 10
diclofenac potassium, 31
dopamine HCL-dextrose 5%, 10 Durezol, 28
diclofenac sodium, 12, 29
dopamine HCL/dextrose 5%, 10 Durlaza, 23
Diclofenac Sodium, 12
dopamine/D5W, 10 dutasteride, 21
diclofenac sodium DR, 31
Dopram, 25 dutasteride/tamsulosin HCL, 21
diclofenac sodium ER, 31
Doral, 25 dutasteride/tamsulosin hydrochloride, 21
diclofenac sodium/misoprostol, 31
Doribax, 4 Dutoprol, 9
dicloxacillin sodium, 1
Doryx, 2 Dyanavel XR, 25
Dicopanol Fusepaq, 33
Doryx Mpc, 2 Dyazide, 9
Dicopanol Rapidpaq, 33
dorzolamide HCL, 29 Dyloject, 31
dicyclomine HCL, 19
dorzolamide HCL/timolol maleate, 28 Dymista, 33
didanosine, 3
Doubledex, 15 Dyrenium, 9
Differin, 11
Dovonex, 12 Dysport, 27
Dificid, 1
doxapram HCL, 25 Dyural-40, 15
Diflorasone Diacetate, 13
doxazosin, 8 Dyural-80, 15
Dyural-l, 15
Ecoza, 12 Entty Spray Emulsion, 14
Dyural-lm, 15
Ed Cyte F, 22 Entyvio, 20
E
Edarbi, 8 Envarsus XR, 6
Edarbyclor, 9 Epaned, 8
E-z Ject Lancets, 37
Edecrin, 9 Epclusa, 3
E-z Ject Lancets 21G, 37
Edluar, 25 ephedrine sulfate, 10
E-z Ject Lancets Color, 37
Edurant, 3 Ephedrine Sulfate, 10
E-z Ject Lancets Super Thin, 37
Effexor XR, 24 Ephedrine Sulfate/Sodium Chloride, 10
E-z Ject Lancets Super Thin 30G, 37
Effient, 23 Epiceram, 14
E-z Ject Lancets Thin 26G, 37
Egrifta, 18 Epiduo, 11
E-z Spacer, 40
Elaprase, 18 Epiduo Forte, 11
E-z Spacer The Body Guards Pack, 40
Elavil, 24 Epifoam, 13
E-ZJECT Lancets Micro-thin 33G, 37
Eldepryl, 26 epinastine HCL, 29
E.e.s. 400, 1
Elelyso, 22 Epinephrine, 10
E.e.s. Granules, 1
Element Test Strips, 39 Epinephrine HCL, 10
Easivent, 40
Elestat, 29 epinephrine HCL, 33
Easivent/Mask-large, 40
Elestrin, 16 Epipen 2-PAK, 10
Easivent/Mask-medium, 40
Eletone, 14 Epipen-JR 2-PAK, 10
Easivent/Mask-small, 40
Eletone Twinpack, 14 epirubicin HCL, 5
Easy Step Test Strips, 39
Elidel, 13 Episnap, 10
Easy Touch Glucose Test Strips, 39
Eligard, 5 episone CRE, 13
Easy Touch Healthpro Glucose Test Strips, 39
Elimite, 14 Epivir, 3
Eliphos, 20 Epivir HBV, 3
Easy Touch Lancets 21G/Pressure Activated, 37
Eliquis, 22 eplerenone, 8
Elitek, 7 Epogen, 22
Easy Touch Lancets 23G/Pressure Activated, 37
Elixophyllin, 34 epoprostenol sodium, 10
Ella, 16 Eprosartan Mesylate, 8
Easy Touch Lancets 26G/Pressure Activated, 37
Ellence, 5 eptifibatide, 23
Elmiron, 21 Epy II Kit, 10
Easy Touch Lancets 26G/Pull-top, 37
Elocon, 13 Epy Kit, 10
Easy Touch Lancets 26G/Twist, 37
Eloctate, 23 Epzicom, 3
Easy Touch Lancets 28G/Pressure Activated, 37
Eloxatin, 4 Eql Truetrack Test, 39
Emadine, 29 Equetro, 25
Easy Touch Lancets 28G/Pull-top, 37
Embeda, 30 Equipto-baclofen, 11
Easy Touch Lancets 28G/Twist, 37
Embrace Blood Glucose Test Strips, 39 Equipto-naproxen, 12
Easy Touch Lancets 30G/Button-activated, 37
Embrace Evo Blood Glucosetest Strips, 39
Eraxis, 3
Erbitux, 5
Easy Touch Lancets 30G/Pressure Activated, 37
Embrace Lancets Ultra Thin 30G, 37 ergocalciferol, 35
Embrace Pro Blood Glucosetest Strips, 39
ergoloid mesylates, 27
Easy Touch Lancets 30G/Pull-top, 37
Ergoloid Mesylates, 27
Easy Touch Lancets 30G/Twist, 37
Emcyt, 5 Ergomar, 32
Easy Touch Lancets 32G/Pressure Activated, 37
Emend, 20 Ertaczo, 12
Emla, 14 Erwinaze, 5
Easy Touch Lancets 32G/Pull-top, 37
Empliciti, 5 Ery-TAB, 1
Easy Touch Lancets 32G/Twist, 37
Emsam, 24 Erygel, 11
Easy Touch Lancets 33G/Twist, 37
Emtriva, 3 Eryped 200, 1
Easy Touch Safety Lancets21G/Pressure Activated, 37
Emulsion SB, 14 Eryped 400, 1
Emverm, 4 Erythrocin Lactobionate, 1
Easy Touch Safety Lancets23G/Pressure Activated, 37
Emvoren, 12 Erythrocin Stearate, 1
Enablex, 21 erythromycin, 1, 11, 28
Easy Touch Safety Lancets26G/Button Activated, 37
enalapril maleate, 8 Erythromycin Base, 1
enalapril maleate/hydrochlorothiazide, 9 erythromycin ethylsuccinate, 1
Easy Touch Safety Lancets26G/Pressure Activated, 37
enalaprilat, 8 Erythromycin Ethylsuccinate, 1
Enbrace HR, 35 erythromycin/benzoyl peroxide, 11
Easy Touch Safety Lancets28G/Button Activated, 37
Enbrel, 31 Esbriet, 34
Enbrel Sureclick, 31 Escavite, 35
Easy Touch Safety Lancets28G/Pressure Activated, 37
Endometrin, 21 Escavite D, 35
Engerix-b, 34 escitalopram oxalate, 24
Easy Twist & CAP Lancets, 37
Enjuvia, 15 Esgic, 30
Easygluco, 39
Enlon, 28 esmolol HCL, 7
Easygluco Plus, 39
Enlon-plus, 28 Esmolol HCL, 7
Easymax 15 Test Strips, 39
enoxaparin sodium, 22 esomeprazole magnesium, 19
Easymax Test Strips, 39
Enstilar, 13 esomeprazole sodium, 19
Easypro Blood Glucose Test Strips, 39
entacapone, 26 Esomeprazole Sodium, 19
Easypro Plus, 39
entecavir, 3 Esomeprazole Strontium, 19
Easytest II Lancets, 37
Entereg, 20 estazolam, 25
Easytest Lancets, 37
Entocort EC, 15 Estrace, 16, 21
EC-naprosyn, 31
Entresto, 10 estradiol, 15
econazole nitrate, 12
Estradiol, 16
F Fioricet, 30
estradiol valerate, 15
Fioricet/Codeine, 30
Fabior, 11
estradiol/norethindrone acetate, 15
Fiorinal, 30
Fabrazyme, 18
Estring, 21
Fiorinal/Codeine #3, 30
Factive, 2
Estrogel, 16
Firazyr, 23
Falessa, 16
Estropipate, 15
Firmagon, 5
famciclovir, 3
Estrostep FE, 16
First-baclofen 1, 28
famotidine, 19
eszopiclone, 25
First-baclofen 5, 28
Famotidine, 19
ethacrynate sodium, 9
First-bxn Mouthwash, 23
Famotidine Premixed, 19
ethacrynic acid, 9
First-dukes Mouthwash, 23
Famvir, 3
ethambutol HCL, 2
First-hydrocortisone, 13
Fanapt, 25
ethosuximide, 26
First-lansoprazole, 19
Fanapt Titration Pack, 25
Ethyl Chloride, 14
First-marys Mouthwash, 23
Fanatrex Fusepaq, 26
Ethyl Chloride/Fine Pinpoint, 14
First-metronidazole 100, 4
Fareston, 5
Ethyl Chloride/Fine Stream, 14
First-metronidazole 50, 4
Farxiga, 17
Ethyl Chloride/Medium Jet Stream, 14
First-mouthwash Blm, 23
Farydak, 6
Ethyl Chloride/Medium Stream, 14
First-omeprazole, 19
Faslodex, 5
Ethyl Chloride/Mist, 14
First-progesterone VGS 100 Compounding Kit, 21
Fazaclo, 25
Ethyol, 7
Feiba, 23
Etidronate Disodium, 17
First-progesterone VGS 200 Compounding Kit, 21
Feiba NF, 23
etodolac, 31
felbamate, 26
etodolac ER, 31
First-progesterone VGS 25 Compounding Kit, 21
Felbatol, 26
Etopophos, 6
Feldene, 31
etoposide, 6
First-progesterone VGS 400 Compounding Kit, 21
felodipine ER, 8
Etoposide, 6
Fem PH, 21
Euflexxa, 27
First-progesterone VGS 50 Compounding Kit, 21
Femara, 5
Eurax, 14
Femcon FE, 16
Evamist, 15
First-testosterone, 15
Femhrt Low Dose, 16
Evekeo, 25
First-testosterone Mc Compounding Kit, 15
Femring, 21
Evencare + Blood Glucose Test Strip, 39
fenofibrate, 10
Evencare Blood Glucose Test Strip, 39
First-vancomycin 25, 4
Fenofibrate, 10
Evencare G2 Test Strips, 39
First-vancomycin 50, 4
fenofibrate micronized, 10
Evencare G3 Test Strips, 39
Flagyl, 4
Fenofibric Acid, 10
Evencare Mini Blood Glucose Test Strips, 39
Flagyl ER, 4
fenofibric acid DR, 10
Flanax Pain Relief Kit, 31
Fenoglide, 10
Evicel, 23
Flarex, 28
fenoldopam mesylate, 8
Evista, 18
flavoxate HCL, 21
Fenoprofen Calcium, 31
Evithrom, 23
flecainide acetate, 8
Fenortho, 31
Evoclin, 11
Flector, 12
fentanyl, 30
Evolution Autocode, 39
Flexepax, 28
Fentanyl, 30
Evomela, 5
Flexichamber, 40
Fentanyl Citrate, 30
Evotaz, 3
Flexichamber Adult Mask/Small, 40
fentanyl citrate oral transmucosal, 30
Evoxac, 23
Flexichamber Child Mask/Large, 40
Fentanyl Citrate/NACL, 30
Exactech R-s-G Test Strips, 39
Flexichamber Child Mask/Small, 40
Fentanyl Citrate/Sodium Chloride, 30
Exactech Test Strips, 39
Flolan, 11
Fentora, 30
Exactuss, 33
Flomax, 21
Feraheme, 22
Exalgo, 30
Flonase, 33
Feriva, 22
Exelderm, 12
Floriva, 35
Feriva 21/7, 22
Exelon, 27
Flovent Diskus, 33
Ferivafa, 22
exemestane, 5
Flovent HFA, 33
Ferralet 90, 22
Exforge, 9
Flowtuss, 33
Ferrex 150 Forte Plus, 22
Exforge HCT, 9
Floxin Otic, 29
Ferrex 28, 22
Exjade, 40
Floxuridine, 5
Ferriprox, 41
Exoderm, 12
Fluad 2016-2017, 34
Ferrlecit, 22
Exondys 51, 27
Fluarix 2014-2015, 34
Ferro-plex Hematinic, 22
Exparel, 32
Fluarix Quadrivalent 2014-2015, 34
Ferrotrin, 22
Extardol, 12
Fluarix Quadrivalent 2015-2016, 34
Fetzima, 24
Extavia, 27
Fluarix Quadrivalent 2016-2017, 34
Fetzima Titration Pack, 24
Extina, 12
Flublok 2014-2015, 34
Fexmid, 28
EZ Smart Blood Glucose Lancets, 37
Flublok 2015-2016, 34
Fibricor, 10
EZ Smart Blood Glucose Test Strips, 39
Flublok 2016-2017, 34
Fifty50 Glucose Test Strip 2.0, 39
EZ Smart Plus Blood Glucose Test Strips, 39
Flucelvax 2014-2015, 34
Fifty50 Safety Seal Lancets 30G, 37
Flucelvax 2015-2016, 34
Fifty50 Safety Seal Lancets 32G, 37
EZ-lets Lancets 21G, 37
Flucelvax Quadrivalent 2016-2017, 34
Fifty50 Unilet Lancets 33G, 37
EZ-lets Lancets 23G, 37
fluconazole, 2
Finacea, 11
EZ-lets Lancets 26G Super-soft, 37
fluconazole IN dextrose, 2
finasteride, 21
EZ-lets Lancets 28G Ultra-soft, 37
fluconazole IN NACL, 2
Fine 30, 37
EZ-lets Lancets 30G, 37
Fluconazole IN NACL, 3
Fingerstix Lancets, 37
flucytosine, 2
Folic Acid, 22 Fuzeon, 3
Fludara, 5
folic acid/vitamin b-6/vitamin b-12, 21 Fycompa, 26
fludarabine phosphate, 5
Folivane-f, 22 G
fludrocortisone acetate, 15
Folivane-OB, 35
gabapentin, 26
Flulaval 2014-2015, 34
Folivane-plus, 22
Gabavale-5, 24
Flulaval Quadrivalent 2014-2015, 34
Folivane-prx DHA NF, 35
Gabazolamine, 24
Flulaval Quadrivalent 2015-2016, 34
Folixapure, 22
Gabazolamine-0.5, 24
Flulaval Quadrivalent 2016-2017, 34
Follistim AQ, 18
Gabazolpidem-5, 25
Flumadine, 3
Folotyn, 5
Gabitidine, 19
Flumist Quadrivalent, 34
Foltrate, 22
Gabitril, 26
flunisolide, 33
fondaparinux sodium, 22
Gablofen, 27
fluocinolone acetonide, 13, 29
Fora D10 Blood Glucose Test Strips, 39
Gaboxetine, 24
fluocinolone acetonide ear drops, 29
Fora D15G Blood Glucose Test Strips, 39
galantamine hydrobromide, 27
fluocinonide, 13
Galantamine Hydrobromide, 27
fluocinonide-e, 13
Fora D20 Blood Glucose Test Strips, 39
ganciclovir, 3
fluorometholone, 28
Fora D40/G31 Blood Glucose Test Strips, 39
Ganirelix Acetate, 18
fluorouracil, 5
Garamycin, 28
Fluoxetine, 27
Fora G20 Blood Glucose Test Strips, 39
Gardasil, 34
fluoxetine DR, 24
Fora G30a Blood Glucose Test Strips, 39
Gardasil 9, 34
fluoxetine HCL, 24
Fora GD20 Test Strips, 39
Gastrinex NF, 19
Fluoxetine HCL, 24
Fora GD50 Blood Glucose Test Strips, 39
Gastrocrom, 20
fluphenazine decanoate, 24
gatifloxacin, 28
fluphenazine HCL, 24
Fora Lancets, 37
Gattex, 20
Fluphenazine HCL, 25
Fora Tn'g/Tn'g Voice Blood Glucose Test Strips, 39
Gazyva, 5
flurandrenolide, 13
Gebauers Pain Ease, 14
Flurazepam HCL, 25
Fora V10 Blood Glucose Test Strips, 39
Gebauers Spray And Stretch, 14
flurbiprofen, 31
Fora V12 Blood Glucose Test Strips, 39
Gel-kam Oral Care Rinse, 23
flurbiprofen sodium, 29
Fora V20 Blood Glucose Test Strips, 39
Gel-one, 28
flutamide, 5
Fora V30a Blood Glucose Test Strips, 39
Gelclair, 23
fluticasone propionate, 13, 33
Foracare GD40, 39
Gelnique, 21
fluvastatin, 10
Foracare Premium V10 Teststrips, 39
Gelsyn-3, 28
fluvastatin sodium ER, 10
Foracare Test N Go Test Strips, 39
gemcitabine, 5
Fluvirin 2014-2015, 34
Foradil Aerolizer, 34
gemcitabine HCL, 5
Fluvirin 2015-2016, 34
Forfivo XL, 24
gemfibrozil, 10
Fluvirin 2016-2017, 34
Fortamet, 17
Gemzar, 5
Fluvirin PF 2014-2015, 34
Fortavit, 35
Genadur, 14
fluvoxamine maleate, 24
Fortaz, 1
Genadur Kit, 14
fluvoxamine maleate ER, 24
Forteo, 17
gene-xene TAB 15MG, 24
Fluzone High-dose PF 2014-2015, 34
Fortesta, 15
gene-xene TAB 3.75MG, 24
Fluzone High-dose PF 2015-2016, 34
Fortical, 17
gene-xene TAB 7.5MG, 24
Fluzone High-dose PF 2016-2017, 34
Fortiscare Blood Glucose Test Strip, 39
Generess FE, 16
Fluzone Intradermal, 34
Fosamax, 17
Genotropin, 18
Fluzone Intradermal Quadrivalent 2015-2016, 34
Fosamax Plus D, 17
Genotropin Miniquick, 18
Foscavir, 3
Genstrip 50, 39
Fluzone Intradermal Quadrivalent 2016-2017, 34
fosinopril sodium, 8
gentamicin sulfate, 2, 28
fosinopril sodium/hydrochlorothiazide, 9
Gentamicin Sulfate, 12
Fluzone PF 2014-2015, 34
fosphenytoin sodium, 26
gentamicin sulfate pediatric, 2
Fluzone Quadrivalent 2014-2015, 34
Fosrenol, 20
gentamicin sulfate/0.9% sodium chloride, 2
Fluzone Quadrivalent 2015-2016, 34
Fragmin, 22
Fluzone Quadrivalent 2016-2017, 34
Freestyle Insulinx Blood Glucose Test, 39
Gentamicin Sulfate/0.9% Sodium Chloride, 2
Fluzone Split 2014-2015, 34
Fluzone Split 2015-2016, 34
Freestyle Insulinx Blood Glucose Test Strips, 39
Gentle-let GP Lancets, 37
FML, 28
Gentle-let Lancets General Purpose Style/Fine Point, 37
FML Forte, 28
Freestyle Lancets, 37
FML Liquifilm, 28
Freestyle Lite Test Strips, 39
Gentle-let Lancets General Purpose Style/Medium Point, 37
Focalgin 90 DHA, 35
Freestyle Precision Neo Blood Glucose Test Strips, 39
Focalgin CA, 35
Gentle-let Lancets Safety Style/Fine Point, 37
Focalgin Dss, 22
Freestyle Test Strips, 39
Focalin, 25
Freestyle Unistick II Lancets, 37
Gentle-let Lancets Safety Style/Medium Point, 37
Focalin XR, 26
Frova, 32
Folbee Plus Cz, 35
frovatriptan succinate, 32
Genvisc 850, 28
Folcaps Omega 3, 35
Fulyzaq, 19
Genvoya, 3
Folene, 22
Furadantin, 21
Geodon, 25
Folet DHA, 35
furosemide, 9
Gesticare DHA, 35
Folet One, 35
Furosemide, 9
Gialax, 19
Folgard OS, 35
Fusilev, 7
Giazo, 20
Folgard RX, 22
Fusion Plus, 22
Gilenya, 27
folic acid, 21
Fusion Sprinkles, 22
Gilotrif, 6
Gilphex TR, 33
Guanidine HCL, 28 HPR Plus, 14
Giltuss, 33
Gynazole-1, 21 HPR Plus Hydrogel Kit, 14
Giltuss TR, 33
H HPR Plus/Mb Hydrogel, 14
Glassia, 34
Humalog, 16
H.p. Acthar, 18
glatopa, 27
Humalog Kwikpen, 16
Haemolance, 37
Gleevec, 6
Humalog Mix 50/50, 16
Haemolance Low Flow Lancets, 37
Gleostine, 4
Humalog Mix 50/50 Kwikpen, 16
Haemolance Plus, 37
Gliadel Wafer, 4
Humalog Mix 75/25, 16
Haemolance Plus High Flow, 37
glimepiride, 17
Humalog Mix 75/25 Kwikpen, 16
Haemolance Plus Low Flow, 37
glipizide, 17
Humate-p, 23
Haemolance Plus Max Flow, 37
glipizide ER, 17
Humatrope, 18
Haemolance Plus Pediatric Flow, 37
glipizide/metformin HCL, 17
Humatrope Combo Pack, 18
Halaven, 6
Glucagen Hypokit, 17
Humira, 31
Halcion, 25
Glucagon Emergency Kit, 17
Humira Pediatric Crohns Disease Starter Pack, 31
Haldol, 25
Gluco Perfect 3 Test Strips, 39
Haldol Decanoate 100, 25
Glucocard 01 Sensor Plus, 39
Humira Pen, 31
Haldol Decanoate 50, 25
Glucocard 01 Sensor Plus Test Strips, 39
Humira Pen-crohns Diseasestarter, 31
halobetasol propionate, 13
Humira Pen-psoriasis Starter, 31
Halog, 13
Glucocard Expression Blood Glucose Test Strips, 39
Humulin 70/30, 16
haloperidol, 24
Humulin 70/30 Kwikpen, 16
haloperidol decanoate, 24
Glucocard Shine Test Strips, 39
Humulin N, 16
haloperidol lactate, 24
Glucocard Vital Test Strips, 39
Humulin N Kwikpen, 16
Halotin, 12
Glucocard X-sensor, 39
Humulin R, 16
Harvoni, 3
Glucocom Lancets 28G, 37
Humulin R U-500 (concentrated), 16
Havrix, 34
Glucocom Lancets 30G, 37
Humulin R U-500 Kwikpen, 16
Hectorol, 19
Glucocom Lancets 33G, 37
Hy-vee Lancets, 37
Helixate FS, 23
Glucocom Test Strips, 39
Hyalgan, 28
Hemabate, 30
Gluconavii Blood Glucose Test Strips, 39
Hycamtin, 6
Hemangeol, 7
Glucophage, 17
Hycet, 30
Hematogen Fa, 22
Glucophage XR, 17
Hycofenix, 33
Hematron-AF, 22
Glucose Control Normal, 37
hydralazine HCL, 8
Hemocyte Plus, 22
Glucose Control Solution, 37
Hydrea, 7
Hemocyte-f, 22
Glucosource Lancets, 37
Hydro 35, 14
Hemofil M, 23
Glucotrol, 17
Hydro 40 Foam, 14
heparin lock, 22
Glucotrol XL, 17
hydrochlorothiazide, 9
heparin lock flush, 22
Glucovance, 17
hydrocodone bitartrate/acetaminophen, 30
Heparin Lock Flush, 22
Glumetza, 17
heparin lock flush for flushing vascular access devices, 22
glyburide, 17
hydrocodone bitartrate/chlorpheniramine maleate/PSE, 33
Glyburide, 17
heparin lock flush/NACL for flushing vascular access devices, 22
glyburide micronized, 17
hydrocodone bitartrate/homatropine methylbromide, 33
glyburide/metformin HCL, 17
heparin sodium, 22
Glycolic Acid, 12
hydrocodone polistirex/chlorpheniramine polistirex, 33
Heparin Sodium, 22
Glycolic Acid 70% High Purity, 12
heparin sodium dcu, 22
glycopyrrolate, 19
hydrocodone/acetaminophen, 30
heparin sodium lock flush, 22
Glycopyrrolate, 20
Hydrocodone/Acetaminophen, 30
heparin sodium/D5W, 22
Glynase, 17
hydrocodone/homatropine, 33
Heparin Sodium/D5W, 22
Glyset, 17
hydrocodone/ibuprofen, 30
Heparin Sodium/NACL, 22
Glyxambi, 17
hydrocort ene 100MG, 20
Heparin Sodium/NACL 0.45%, 22
Gmate Blood Glucose Test Strips, 39
hydrocortisone, 13, 15, 20
heparin sodium/NACL 0.9%, 22
Gmate Lancets 30G, 37
hydrocortisone acetate/pramoxine, 20
Heparin Sodium/Sodium CH Loride, 22
Golytely, 19
hydrocortisone butyrate, 13
Heparin Sodium/Sodium Chloride, 22
Gonal-f, 18
hydrocortisone butyrate (lipid), 13
Heparin Sodium/Sodium Chloride 0.9%, 22
Gonal-f RFF, 18
hydrocortisone butyrate (lipophilic), 13
Gonal-f RFF Rediject, 18
hydrocortisone IN absorbase, 13
heparin sodium/sodium chloride 0.9% premix, 22
Gonitro, 7
hydrocortisone valerate, 13
Gordofilm, 14
hydrocortisone/acetic acid, 29
Heparin Sodium/Sodium Chloride PF, 22
Gordons Urea, 14
hydromorphone HCL, 30
Hepsera, 3
Gralise, 27
Hydromorphone HCL, 30
Herceptin, 5
Gralise Starter, 27
hydromorphone HCL dosette, 30
Hespan, 23
granisetron HCL, 20
hydromorphone HCL ER, 30
hetastarch 6%/NACL, 23
Granisol, 20
Hydromorphone HCL/NACL, 30
Hetlioz, 25
Granix, 22
Hydromorphone HCL/Sodium Chloride, 30
Hexalen, 4
Grifulvin V, 3
Hextend, 23
Gris-peg, 3
hydromorphone hydrochloride, 30
Hiberix, 34
griseofulvin microsize, 2
Hydromorphone Hydrochloride/ NACL, 30
Hiprex, 21
griseofulvin ultramicrosize, 2
homatropine HBR, 29
guanfacine ER, 25
Hydromorphone Hydrochloride/NACL, 30
Horizant, 27
guanfacine HCL, 8
Hydromorphone Hydrochloride/Sodium
HPR, 14
Chloride, 30
Infasurf, 34 isosorbide dinitrate, 7
Hydroxocobalamin, 22
Infed, 22 Isosorbide Dinitrate ER, 7
hydroxychloroquine sulfate, 3
Infinity Blood Glucose Test Strips, 39 isosorbide mononitrate, 7
Hydroxyprogesterone Caproate, 5
Inflectra, 20 isosorbide mononitrate ER, 7
hydroxyurea, 6
Infumorph 200, 30 isotonic gentamicin, 2
hydroxyzine HCL, 24
Infumorph 500, 30 Isoxsuprine HCL, 10
Hydroxyzine HCL, 24
Infuvite, 35 isradipine, 8
hydroxyzine pamoate, 24
Infuvite Adult, 35 Istalol, 28
Hydroxyzine Pamoate, 24
Infuvite Pediatric, 35 Istodax, 6
Hylatopic, 14
Injectafer, 22 Istodax (overfill), 6
Hylatopic Plus, 14
Inlyta, 6 Isuprel, 34
Hylira, 14
Innopran XL, 7 itraconazole, 2
Hymovis, 27
Innoprax-5, 12 IV Infusion Cpi, 14
hyoscyamine sulfate, 19
Inova, 11 ivermectin, 4
hyoscyamine sulfate ER, 19
Inova 4/1 Acne Control Therapy, 11 Ixempra Kit, 6
hyoscyamine sulfate odt, 19
Inova 8/2 Acne Control Therapy, 11 Ixiaro, 34
hyoscyamine sulfate SR, 19
Inspirachamber/Anti-static Valved/Mouthpiece, 40
Ixinity, 23
Hyper-sal, 33
J
Hypersal, 33
Inspirachamber/Large, 40
Jadenu, 40
Hypertenevide-12.5, 7
Inspirachamber/Soothermask/Inspiramask/Medium, 40
Jakafi, 6
Hypertenipine-2.5, 8
Jalyn, 21
Hypertensolol, 9
Inspirachamber/Soothermask/Inspiramask/Small, 40
Janumet, 17
Hysingla ER, 30
Janumet XR, 17
Hyzaar, 9
Inspirease Bags, 40
Januvia, 17
I
Inspirease Drug Delivery System, 40
Jardiance, 17
Inspirease Mouthpiece, 40
ibandronate sodium, 17
Jentadueto, 17
Inspirease Reservoir Bags, 40
Ibrance, 6
Jentadueto XR, 17
Inspra, 9
Ibudone, 30
Jetrea, 29
Integra F, 22
ibuprofen, 31
Jevtana, 6
Integra Plus, 22
Ibuprofen Comfort PAC, 31
Jublia, 12
Integrilin, 23
ibuprofen lysine, 31
Juxtapid, 10
Intelence, 3
ibutilide fumarate, 8
K
Interarticular Joint Kit, 15
IC 400, 31
Intermezzo, 25
K-phos NO 2, 21
IC 800, 31
Intron A, 7
K.b.g.l. IN Teroderm Cream, 12
Icar-c Plus, 22
Intron A W/Diluent, 7
Kadcyla, 5
Iclusig, 6
Intuniv, 26
Kadian, 30
Idamycin PFS, 5
Invanz, 4
Kalbitor, 23
idarubicin HCL, 5
Invega, 25
Kaletra, 3
Ifex, 5
Invega Sustenna, 25
Kalydeco, 34
ifosfamide, 4
Invega Trinza, 25
Kanuma, 19
Ifosfamide, 4
Invirase, 3
Kapvay, 26
Ilaris, 31
Invokamet, 17
Karbinal ER, 33
Ilevro, 29
Invokamet XR, 17
Kazano, 17
imatinib mesylate, 6
Invokana, 17
Keflex, 1
Imbruvica, 6
Ionsys, 30
Kenalog, 13
Imdur, 7
Iopidine, 29
Kenalog-10, 15
imipenem/cilastatin, 4
Ipol Inactivated IPV, 34
Kenalog-40, 15
imipramine HCL, 24
ipratropium bromide, 33(2)
Kengreal, 23
imipramine pamoate, 24
ipratropium bromide/albuterol sulfate, 33
Kepivance, 7
imiquimod, 13
Iprivask, 22
Keppra, 26
Imitrex, 32
irbesartan, 8
Keppra XR, 26
Imitrex Statdose Refill, 32
irbesartan/hydrochlorothiazide, 9
Keralac, 14
Imitrex Statdose System, 32
Irenka, 24
Keralyt, 14
Imovax Rabies (h.d.c.v.), 34
Iressa, 6
Keralyt Scalp, 14
Impavido, 4
irinotecan, 6
Kerlone, 7
Imuran, 6
Irinotecan, 6
Kerydin, 12
IN Touch Blood Glucose Test Strips, 39
irinotecan HCL, 6
Ketek, 4
IN Touch Sterile Lancets 30G, 37
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 21
ketoconazole, 2, 12
Increlex, 18
Ketodan Kit, 12
Incruse Ellipta, 34
Irospan 24/6, 22
Ketophene Rapidpaq, 12
indapamide, 9
Is 24/6, 22
ketoprofen, 31
Inderal LA, 7
Isentress, 3
Ketoprofen ER, 31
Inderal XL, 7
isoniazid, 2
Ketorocaine-l, 31
Indocin, 31
Isoniazid, 2
Ketorocaine-lm, 31
indomethacin, 31
Isopto Atropine, 29
Ketorolac 2% Gel, 12
Indomethacin, 31
Isopto Carpine, 29
ketorolac tromethamine, 29, 31
indomethacin ER, 31
Isordil Titradose, 7
Ketorolac Tromethamine, 31
Infanrix, 34
Keveyis, 9
Lantus Solostar, 16 lidocaine HCL, 8, 13, 32
Keytruda, 5
Lasix, 9 Lidocaine HCL, 8, 14, 23, 32
Khedezla, 24
Lastacaft, 29 lidocaine HCL IN D5W, 8
Kineret, 31
latanoprost, 29 lidocaine HCL jelly, 13
Kinlytic, 23
Latrix XM, 14 lidocaine HCL viscous, 23
Kinrix, 34
Latuda, 25 Lidocaine HCL-hydrocortisone Acetate With Aloe, 20
Kitabis PAK, 2
Lazanda, 30
Klaron, 11
Ldo Plus, 14 lidocaine HCL/dextrose, 8
Klonopin, 26
leflunomide, 31 Lidocaine HCL/Dextrose, 32
Koate-dvi, 23
Lemtrada, 27 lidocaine HCL/hydrocortisone acetate, 20
Kogenate FS, 23
Lenvima 10 MG Daily Dose, 6 lidocaine viscous, 23
Kogenate FS Bio-set, 23
Lenvima 14 MG Daily Dose, 6 lidocaine-prilocaine-cream base, 13
Kombiglyze XR, 17
Lenvima 18 MG Daily Dose, 6 lidocaine/epinephrine, 32
Korlym, 17
Lenvima 20 MG Daily Dose, 6 lidocaine/prilocaine, 13
Kovaltry, 23
Lenvima 24 MG Daily Dose, 6 Lidoderm, 14
Kristalose, 19
Lenvima 8 MG Daily Dose, 6 Lidoprofen, 12
Krystexxa, 32
Lescol, 10 Lidothol, 14
Kuvan, 18
Lescol XL, 10 Lidotral, 14
Kynamro, 10
Letairis, 10 Lidovir, 12
Kyprolis, 6
letrozole, 5 Lifescan Unistik 2 Deep Penetration, 37
L
leucovorin calcium, 7 Lifescan Unistik II Lancets, 37
Leucovorin Calcium, 7 Lincocin, 4
labetalol HCL, 7
Leukeran, 4 lincomycin HCL, 4
Lac-hydrin, 14
Leukine, 22 Lincomycin/Lidocaine, 4
Lacrisert, 28
leuprolide acetate, 5 lindane, 13
lactic acid, 13
Levacet, 30 Lindane, 14
lactic acid e, 13
levalbuterol, 33 linezolid, 4
lactic acid w/vitamin e, 13
levalbuterol HCL, 33 Linezolid, 4
lactulose, 19, 20
Levaquin, 2 Linzess, 20
Lamictal, 26
Levatol, 7 Lioresal Intrathecal, 27
Lamictal Chewable Dispersible, 26
Levbid, 20 liothyronine sodium, 19
Lamictal Odt, 26
Levemir, 16 Lipitor, 10
Lamictal Starter/Not Taking Carbamazepine, 26
Levemir Flextouch, 16 Lipofen, 10
levetiracetam, 26 lisinopril, 8
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 26
Levetiracetam, 26 lisinopril/hydrochlorothiazide, 9
levetiracetam ER, 26 Liteaire, 40
Levitra, 11 Litetouch Lancets Micro Thin 33G, 37
Lamictal Starter/Taking Valproate, 26
levobunolol HCL, 28 Lithium, 25
Lamictal XR, 26
levocarnitine, 18 lithium carbonate, 24
Lamisil, 3
levocetirizine dihydrochloride, 32 Lithium Carbonate, 25
lamivudine, 3
levofloxacin, 2, 28 lithium carbonate ER, 24
lamivudine/zidovudine, 3
levofloxacin IN 5% dextrose, 2 Lithobid, 25
lamotrigine, 26
levofloxacin IN D5W, 2 Lithostat, 21
lamotrigine ER, 26
levoleucovorin, 7 Livalo, 10
lamotrigine odt, 26
Levoleucovorin, 7 Live Better Lancet Super Thin 30G, 37
lamotrigine titration, 26
levoleucovorin calcium, 7 Live Better Lancet Ultra Thin 28G, 37
Lancets, 37
levonorgestrel, 16 LMD 10% Dextrose 5%, 23
Lancets 26G Twist Top, 37
Levonorgestrel, 16 LMD 10% Sodium Chloride 0.9%, 23
Lancets 28G, 37
levonorgestrel and ethinyl estradiol, 16 LO Loestrin FE, 16
Lancets 30G, 37
levonorgestrel/ethinyl estradiol, 16 Locoid, 13
Lancets 30G Twist Top, 37
Levophed, 10 Locoid Lipocream, 13
Lancets 30G/Twist Top, 37
Levorphanol Tartrate, 30 Lodine, 31
Lancets 31G Twist Top, 37
levothyroxine sodium, 19 Lodosyn, 26
Lancets 33G Universal Design, 37
Levothyroxine Sodium, 19 Loestrin 1.5/30-21, 16
Lancets Bullseye Safety, 37
Levsin, 20 Loestrin 1/20-21, 16
Lancets Safety Seal 21G, 37
Levsin/SL, 20 Loestrin FE 1.5/30, 16
Lancets Safety Seal 26G, 37
Lexapro, 24 Loestrin FE 1/20, 16
Lancets Safety Seal 28G, 37
Lexiva, 3 Lofibra, 10
Lancets Safety Seal 30G, 37
Lialda, 20 Lomotil, 19
Lancets Thin, 37
Liberty Glucose Control Mid, 37 Lomustine, 4
Lancets Twist Top, 37
Liberty Glucose Control Normal, 37 Lonsurf, 7
Lancets Ultra Fine, 37
Liberty Medical Lancets 30G, 37 loperamide HCL, 19
Lancets Ultra Thin, 37
Liberty Next Generation Blood Glucose Test Strips, 39
Lopid, 10
Lanoxin, 7
Lopressor, 7
Lanoxin Pediatric, 7
Librax, 20 Lopressor HCT, 9
lansoprazole, 19
Lido-RX 4.1, 14 Loprox, 12
lansoprazole/amoxicillin/clarithromycin, 19
lidocaine, 13 Loprox Shampoo, 12
Lidocaine And Tetracaine Cream, 14 lorazepam, 24
Lantus, 16
Lorazepam, 24
Maxaron Forte, 22 Chloride, 30
Lortab, 30
Maxfe, 22 Mephyton, 35
Lorvatus Pharmapak, 28
Maxidex, 29 meprobamate, 24
Lorzone, 28
Maxima Blood Glucose Teststrips, 39 Mepron, 4
losartan potassium, 8
Maxipime, 1 mercaptopurine, 5
losartan potassium/hydrochlorothiazide, 9
Maxitrol, 29 meropenem, 4
Maxzide, 9 Meropenem/Sodium Chloride, 4
Loseasonique, 16
Maxzide-25, 9 Merrem, 4
Lotemax, 28
Mb Hydrogel, 14 mesalamine, 20
Lotensin, 8
meclizine HCL, 20 Mesalamine DR, 20
Lotensin HCT, 9
Meclofenamate Sodium, 31 mesna, 7
Lotrel, 9
Medi-derm/L-RX, 14 Mesnex, 7
Lotrisone, 12
Medical Provider EZ Flu Shot 2014-2015, 34
Mestinon, 28
Lotronex, 20
Mestinon Timespan, 28
lovastatin, 10
Medical Provider EZ Flu Shot 2015-2016, 34
Metadate CD, 26
Lovaza, 10
Metaproterenol Sulfate, 34
Lovenox, 22
Medical Provider Single Use EZ Flu Shot, 34
Metastron, 6
loxapine, 24
Metaxall CP, 28
loxapine succinate, 24
Medisense Thin Lancets, 37 metaxalone, 27
LT Injection Kit, 15
Medlance Plus Extra Lancets 21G, 37 Metaxalone, 27
Lufyllin, 34
Medlance Plus Lancets, 37 metformin HCL, 17
Lumigan, 29
Medlance Plus Lancets Lite 25G, 37 metformin HCL ER, 17
Lumizyme, 18
Medlance Plus Lite Lancets 25G, 37 methadone HCL, 30
Lunesta, 25
Medlance Plus Special Lancets 0.8MM, 37
Methadone HCL, 30
Lupaneta Pack, 18
Methadose, 30
Lupron Depot, 5
Medlance Plus Superlite 30G, 37 Methadose Sugar-free, 30
Lupron Depot-PED, 18
Medlance Plus Superlite 30G/Comfort Max, 37
methamphetamine HCL, 25
Luvox CR, 24
methazolamide, 9
Luxiq, 13
Medlance Plus Universal Lancets 21G, 37
methenamine hippurate, 21
Luzu, 12
methenamine mandelate, 21
Lycelle, 14
Medlance Plus/Lite 25G, 37 Methenamine Mandelate, 21
Lynparza, 6
Medlance/Extra, 37 methimazole, 19
Lyrica, 26
Medlance/Lite, 37 Methionine/Inositol/Choline/Cyanocobalamin, 22
Lysodren, 5
Medlance/Universal, 37
Lysteda, 23
Medrol, 15 methocarbamol, 27
Lytensopril Kit, 9
Medrol Dosepak, 15 methotrexate, 5
Lytensopril-90 Kit, 9
Medroloan II Suik, 15 methotrexate sodium, 5
M
Medroloan Suik, 15 Methotrexate Sodium, 5
medroxyprogesterone acetate, 16 methoxsalen, 12
M-m-r II, 34
Medroxyprogesterone/Lidocaine, 16 methscopolamine bromide, 19
M.v.i. Adult, 35
mefenamic acid, 31 Methyclothiazide, 9
M.v.i. Pediatric, 35
mefloquine HCL, 3 methyldopa, 8
M.v.i.-12 Without Vitamin K, 35
Megace ES, 16 Methyldopa/Hydrochlorothiazide, 9
Macrobid, 21
Megace Oral, 5 Methyldopate HCL, 9
Macrodantin, 21
megestrol acetate, 5, 16 methylergonovine maleate, 30
Makena, 16
Megestrol Acetate, 5 Methylin, 26
Malarone, 4
Megrix, 14 methylphenidate HCL, 25
malathion, 13
Meijer Lancets Universal 30G, 37 methylphenidate HCL CD, 25
mannitol, 9
Meijer Super Thin Lancets, 37 methylphenidate HCL ER, 25
Maprotiline HCL, 24
Mekinist, 6 Methylphenidate HCL ER, 25
Marbeta-25, 15
meloxicam, 31 methylphenidate HCL SR, 25
Marbeta-l, 15
Meloxicam, 31 methylphenidate hydrochloride, 25
Marcaine, 32
Meloxicam Comfort PAC, 31 methylprednisolone, 15
Marcaine/Epinephrine, 32
melphalan hydrochloride, 4 Methylprednisolone, 15
Mardex-25, 15
memantine HCL, 27 methylprednisolone acetate, 15
Marinol, 20
memantine HCL titration PAK, 27 methylprednisolone dose pack, 15
Marlido-25, 32
memantine hydrochloride, 27 Methylprednisolone PF, 15
Marnatal-f, 35
Menactra, 34 methylprednisolone sodiumsuccinate, 15
Marplan, 24
Menest, 16 Methylprednisolone/Lidocaine, 15
Marqibo, 6
Menhibrix, 34 methyltestosterone, 15
Marvona Suik, 32
Menomune-a/C/Y/W-135, 34 Metipranolol, 28
Mask Vortex/Baby Whirl Duckling, 40
Menopur, 18 metoclopramide HCL, 20
Mask Vortex/Child/Frog, 40
Menostar, 16 metoclopramide odt, 20
Mask Vortex/Spinner The Duck, 40
Mentax, 12 Metoclopramide Odt, 20
Mask Vortex/Toddler/Lady Bug, 40
Menveo, 34 metolazone, 9
Matulane, 7
meperidine HCL, 30 metoprolol succinate ER, 7
Mavik, 8
Meperidine HCL, 30 Metoprolol Succinate ER/Hydrochlorothiazide, 9
Maxalt, 32
Meperidine Hydrochloride/Sodium
Maxalt-MLT, 32
metoprolol tartrate, 7
moexipril/hydrochlorothiazide, 9 Mytesi, 19
Metoprolol Tartrate, 7
Molindone Hydrochloride, 25
N
metoprolol/hydrochlorothiazide, 9
mometasone furoate, 13, 33
nabumetone, 31
Metozolv Odt, 20
Monoclate-p, 23
nadolol, 7
Metro IV, 4
Monodox, 2
nadolol/bendroflumethiazide, 9
Metrocream, 11
Monoject Bone Marrow Biopsy Prepping Tray, 32
Nafcillin, 1
Metrogel, 11
nafcillin sodium, 1
Metrogel-vaginal, 21
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 32
Nafcillin Sodium, 1
Metrolotion, 11
Nafrinse Daily/Acidulated, 23
metronidazole, 4, 11
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 32
Nafrinse Daily/Neutral, 23
metronidazole IN NACL 0.79%, 4
Nafrinse Weekly, 23
metronidazole vaginal, 21
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 32
Naftifine HCL, 12
Mevacor, 10
naftifine hydrochloride, 12
mexiletine HCL, 8
Monolet Lancets, 37
Naftin, 12
Miacalcin, 17
Monolet Opd Lancets, 37
Naglazyme, 18
Micardis, 8
Monolettor Safety Lancets, 37
nalbuphine HCL, 30
Micardis HCT, 9
Mononine, 23
Nalfon, 31
Micort-HC, 13
Monovisc, 27
Namenda, 27
Microchamber, 40
montelukast sodium, 33
Namenda Titration PAK, 27
Microdot Test Strips, 39
Monurol, 21
Namenda XR, 27
Microlet Lancets, 37
Morgidox 1X100MG, 2
Namenda XR Titration Pack, 27
Microspacer, 40
Morgidox 1X50MG Kit, 2
Namzaric, 27
Microtainer Safety Flow Lancet/Sterile/Single-use, 37
Morgidox 2X100MG, 2
Naphazoline HCL, 29
morphine sulfate, 30
Naprelan, 31
Microzide, 9
Morphine Sulfate, 30
Naprosyn, 31
midodrine HCL, 10
Morphine Sulfate Add-vantage, 30
naproxen, 31
Mifeprex, 18
morphine sulfate ER, 30
Naproxen, 31
Migergot, 32
Morphine Sulfate ER, 30
Naproxen Comfort PAC, 31
miglitol, 17
Morphine Sulfate/NACL, 30
naproxen sodium, 31
Migral, 32
Morphine Sulfate/Sodium Chloride, 30
naproxen sodium CR, 31
Migranal, 32
Motofen, 19
naproxen sodium ER, 31
Migranow, 32
Movantik, 20
naratriptan HCL, 32
Millipred, 15
Moviprep, 19
Nardil, 24
Millipred DP, 15
Moxatag, 1
Naropin, 32
milrinone IN dextrose, 7
Moxeza, 28
Nascobal, 22
milrinone lactate, 7
moxifloxacin HCL, 2
Nasonex, 33
Minastrin 24 FE, 16
Moxifloxacin HCL, 2
Natachew, 35
mineral oil heavy, 19
Mozobil, 22
Natacyn, 28
Minipress, 9
MS Contin, 30
Natalvirt 90 DHA, 35
Minivelle, 15
Multaq, 8
Natalvirt CA, 35
Minocin, 2
Multigen, 22
Natalvirt Flt, 22
Minocin Kit, 2
Multigen Folic, 22
Natalvit, 35
minocycline HCL, 2
Multigen Plus, 22
Natazia, 16
minocycline HCL ER, 2
mupirocin, 11
nateglinide, 17
minoxidil, 8
mupirocin calcium, 11
Natelle One, 35
Mirapex, 26
Muse, 10
Natesto, 15
Mirapex ER, 26
Mustargen, 4
Natpara, 17
Mircera, 22
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 22
Natrecor, 11
Mircette, 16
Natroba, 14
mirtazapine, 24
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 22
Nature-throid, 19
mirtazapine odt, 24
Nature-throid Nt-2.5, 19
Mirvaso, 11
Myalept, 18
Navelbine, 6
misoprostol, 19
Myambutol, 2
Nazirex, 12
Mitigare, 32
Mycamine, 2
Nebupent, 4
mitomycin, 5
Mycobutin, 2
Nebusal, 33
Mitomycin, 5
mycophenolate mofetil, 6
Necon 1/50-28, 16
Mitosol, 28
mycophenolic acid DR, 6
Necon 10/11-28, 16
mitoxantrone HCL, 5
Myfortic, 6
Neevo DHA, 35
Mld Kit, 32
Myglucohealth Blood Glucose Test, 39
nefazodone HCL, 24
Mlk F4 Kit, 15
Myglucohealth Mgh Softlance Lancets 30G, 37
Nefazodone HCL, 24
Mlp A-2, 15
Nembutal Sodium, 25
Mobic, 31
Mykidz Iron Fl, 35
Neo-synalar, 12
modafinil, 25
Myleran, 4
Neo-synalar Kit, 12
Moderiba, 3
Mynatal, 35
neomycin sulfate, 2
Moderiba 1200 Dose Pack, 3
Myobloc, 27
neomycin/bacitracin/polymyxin, 28
Moderiba 800 Dose Pack, 3
Myozyme, 18
neomycin/polymyxin/bacitracin zinc, 28
Modicon, 16
Myrbetriq, 21
neomycin/polymyxin/bacitracin/hydrocorti
moexipril HCL, 8
Mysoline, 26
sone, 28
Nilandron, 5 Nova Safety Lancets 23G, 37
neomycin/polymyxin/dexamethasone, 28
nilutamide, 5 Nova Safety Lancets 28G, 37
neomycin/polymyxin/gramicidin, 28
Nimbex, 27 Nova Sureflex Lancets, 37
neomycin/polymyxin/HC, 29
nimodipine, 8 Novaferrum, 22
Neomycin/Polymyxin/Hydrocortisone, 29
Ninlaro, 6 Novoclair, 12
neomycin/polymyxin/hydrocortisone, 29
Nipent, 7 Novoeight, 23
Neoprofen, 31
nisoldipine, 8 Novofine 30GX8MM, 37
Neoral, 6
Nisoldipine, 8 Novofine 32GX6MM, 37
Neosalus, 14
Nisoldipine ER, 8 Novofine Autocover 30GX8MM, 37
Neosalus CP, 14
Nitro-bid, 7 Novolin 70/30, 16
Neosporin, 28
Nitro-dur, 7 Novolin 70/30 Relion, 16
neostigmine methylsulfate, 28
nitrofurantoin, 21 Novolin N, 16
Neostigmine Methylsulfate, 28
nitrofurantoin macrocrystals, 21 Novolin N Relion, 16
Neotuss Plus, 33
nitrofurantoin monohydrate, 21 Novolin R, 16
Nephplex RX, 35
nitrofurantoin monohydrate/macrocrystals, 21
Novolin R Relion, 16
Nephro-vite RX, 35
Novolog, 16
Nephrocaps, 35
nitroglycerin, 7 Novolog Flexpen, 16
Nephrocaps QT, 35
Nitroglycerin, 7 Novolog Mix 70/30, 16
Nephron Fa, 22
nitroglycerin ER, 7 Novolog Mix 70/30 Prefilled Flexpen, 16
Neptazane, 9
nitroglycerin IN 5% dextrose, 7 Novolog Penfill, 16
Nesacaine, 32
nitroglycerin IN dextrose 5%, 7 Novoseven, 23
Nesacaine-mpf, 32
Nitroglycerin IN Dextrose 5%, 7 Novoseven Rt, 23
Nesina, 17
nitroglycerin lingual, 7 Novotwist 30GX8MM, 37
Nessi Spacer/Large Mask, 40
Nitroglycerin Lingual, 7 Novotwist 32GX5MM, 37
Nessi Spacer/Mouthpiece, 40
nitroglycerin transdermal, 7 Noxafil, 2
Nessi Spacer/Small/MED Mask, 40
Nitrolingual Pumpspray, 7 Noxipak, 13
Nestabs, 35
Nitromist, 7 Nplate, 22
Nestabs Abc, 35
Nitronal, 7 Nucala, 34
Nestabs DHA, 35
Nitropress, 9 Nucort, 13
Netgroup Lancets, 37
Nitrostat, 7 Nucynta, 30
Neuac Kit, 11
Niva-plus, 35 Nucynta ER, 30
Neulasta, 22
Nivatopic Plus, 14 Nuedexta, 27
Neulasta Onpro Kit, 22
nizatidine, 19 Nufera, 22
Neumega, 22
Nizatidine, 19 Nulojix, 6
Neupogen, 22
Nizoral, 12 Nulytely/Flavor Packs, 19
Neupro, 26
Nor-QD, 16 Numoisyn, 23
Neurontin, 26
Norco, 30 Nuox, 11
Neutek 2tek Test Strips, 39
Norditropin Cartridge, 18 Nuplazid, 25
Neutrasal, 23
Norditropin Flexpro, 18 Nusrugepak Surgical Prep/Carepak, 14
Neutrexin, 4
Norditropin Nordiflex Pen, 18 Nutricap, 35
Neuvaxin, 14
norepinephrine bitartrate, 10 Nutridox, 2
Nevanac, 29
Norepinephrine Bitartrate/Dextrose, 10 Nutrivit, 35
nevirapine, 3
Norepinephrine Bitartrate/Sodium Chloride, 10
Nutropin AQ Nuspin 10, 18
Nevirapine, 3
Nutropin AQ Nuspin 20, 18
nevirapine ER, 3
Norepinephrine/Sodium Chloride, 10 Nutropin AQ Nuspin 5, 18
Newgen, 35
norethindrone, 16 Nutropin AQ Pen, 18
Nexa Plus, 35
norethindrone & ethinyl estradiol ferrous fumarate, 16
Nuvail, 14
Nexavar, 6
Nuvaring, 16
Nexgen Test Strips, 39
norethindrone acetate, 16 Nuvessa, 21
Nexium, 20
norethindrone acetate/ethinyl estradiol, 15, 16
Nuvigil, 26
Nexium I.v., 20
Nuvya, 12
Nexterone, 8
norethindrone acetate/ethinyl estradiol/ferrous fumarate, 16
Nuwiq, 23
Niacin, 35
Nuzon, 13
niacin ER, 10
Norflex, 28 Nyata, 12
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 35
norgestimate/ethinyl estradiol, 16 Nymalize, 8
Norinyl 1+35, 16 nystatin, 2, 12, 23
Niacor, 10
Norinyl 1+50, 16 Nystatin, 12
Niaspan, 10
Noritate, 11 Nystatin Foreign, 12
Nicadan, 35
Noroxin, 2 nystatin/triamcinolone, 12
Nicadan ZX, 35
Norpace, 8 O
nicardipine HCL, 8
Norpace CR, 8
O-CAL Fa, 35
Nicazel, 35
Norpramin, 24
O-CAL Prenatal, 35
Nicazel Forte, 35
Northera, 10
OB Complete, 35
Nicazeldoxy 30 Kit, 2
nortriptyline HCL, 24
OB Complete Gold, 35
Nicazeldoxy 60 Kit, 2
Nortriptyline HCL, 24
OB Complete One, 35
Nicomide, 35
Norvasc, 8
OB Complete Petite, 35
nifedipine, 8
Norvir, 3
OB Complete Premier, 35
nifedipine ER, 8
Nova Max Glucose Test Strips, 39
OB Complete/DHA, 35
Obredon, 33
38 Otovel, 29
Obstetrix DHA, 35
Onetouch Verio IQ Blood Glucose Monitoring System, 38
Otozin, 29
Obstetrix One, 35
Otrexup, 31
Ocaliva, 20
Onetouch Verio Mid Control Solution, 38 Ovace Plus, 12
octreotide acetate, 18
Onetouch Verio Sync Bloodglucose Monitoring System, 38
Ovace Plus Wash, 12
Ocudox, 2
Ovace Wash, 12
Ocufen, 29
Onetouch Verio Test Strips, 38 Ovcon-35, 16
Ocuflox, 28
Onexton, 11 Ovide, 14
Ocuvel, 35
Onfi, 26 Ovidrel, 18
Odefsey, 3
Onglyza, 17 oxacillin sodium, 1
Ofev, 34
Onivyde, 6 oxaliplatin, 4
Ofirmev, 30
Onmel, 3 Oxandrin, 15
Ofloxacin, 2
Onzetra Xsail, 32 oxandrolone, 15
ofloxacin, 28, 29
Opana, 30 oxaprozin, 31
olanzapine, 24
Opana ER (crush Resistant), 30 Oxaydo, 30
olanzapine odt, 24
Opdivo, 5 oxazepam, 24
olanzapine/fluoxetine, 27
opium, 19 oxcarbazepine, 26
Oleptro, 24
opium tincture, 19 oxiconazole nitrate, 12
Olmesartan Medoxomil, 8
Opsumit, 10 Oxistat, 12
Olmesartan Medoxomil/Amlodipine/Hydrochlorothiazide, 9
Optichamber Advantage, 40 Oxsoralen, 14
Optichamber Advantage/Large Mask, 40 Oxsoralen Ultra, 12
Optichamber Advantage/Medium Face Mask, 40
Oxtellar XR, 26
oxybutynin chloride, 21
Olmesartan Medoxomil/Hydrochlorothiazide, 9
Optichamber Advantage/Small Face Mask, 40
oxybutynin chloride ER, 21
oxycodone HCL, 30
olopatadine HCL, 29, 33
Optichamber Diamond, 40 Oxycodone HCL ER, 30
Olux, 13
Optichamber Diamond/Largeface Mask, 40
oxycodone/acetaminophen, 30
Olux-e, 13
Oxycodone/Acetaminophen, 31
Olysio, 3
Optichamber Diamond/Medium Face Mask, 40
oxycodone/aspirin, 30
Omeclamox-PAK, 20
Oxycodone/Ibuprofen, 31
omega-3-acid ethyl esters, 10
Optichamber Diamond/Smallface Mask, 40
Oxycontin, 30
Omega-3/D-3 Wellness Pack, 10
oxymorphone hydrochloride, 30
omeprazole, 19
Optichamber Face Mask/Large, 40 oxymorphone hydrochloride ER, 30
Omeprazole + Syrspend SF Alka, 20
Optichamber Face Mask/Medium, 40 oxytocin, 30
omeprazole/sodium bicarbonate, 19
Optichamber Face Mask/Small, 40 Oxytocin, 30
Omnaris, 33
Optihaler, 40 Oxytocin/Lactated Ringers, 30
Omnipred, 29
Optihaler MDI Drug Delivery System, 40 Oxytrol, 21
Omnitrope, 18
Optium Test Strips, 39 Oxytrol For Women, 21
Omontys, 22
Optiumez Test Strips, 39 Ozurdex, 28
On Call Express Blood Glucose Test Strips, 39
Optivar, 29 P
Optumrx Blood Glucose Test, 39
On Call Lancets, 37
paclitaxel, 6
Oracea, 11
On Call Plus Blood Glucose Test, 39
Paclitaxel, 6
Oracit, 21
On Call Plus Lancets, 37
Paire OB, 35
Orafate, 23
On Call Vivid Blood Glucose Test, 39
paliperidone ER, 25
Orap, 27
On Call Vivid Blood Glucose Test Strips, 39
Pamelor, 24
Orapred Odt, 15
pamidronate disodium, 17
Oravig, 23
Oncaspar, 5
Pamidronate Disodium, 17
Orbactiv, 4
ondansetron HCL, 20
Pamine, 20
Orencia, 31
Ondansetron Hydrochloride/Sodium Chloride, 20
Pamine Forte, 20
Orencia Clickject, 31
Pamine FQ, 20
Orenitram, 11
ondansetron odt, 20
Panatuss Dxp, 33
Orfadin, 18
Onetouch Club Lancets Fine Point, 38
Pancreaze, 20
Orkambi, 34
Onetouch Combo Pack, 38
Pancrelipase, 20
orphenadrine citrate, 27
Onetouch Delica Lancets Extra Fine 33G, 38
pancuronium bromide, 27
orphenadrine citrate ER, 27
Panda Mask Large, 40
Ortho Micronor, 16
Onetouch Delica Lancets Fine 30G, 38
Panda Mask Medium, 40
Ortho Tri-cyclen, 16
Onetouch Finepoint Lancets, 38
Panda Mask Small, 40
Ortho Tri-cyclen LO, 16
Onetouch Lancets, 38
Pandel, 13
Ortho-cept, 16
Onetouch Ping Meter Remote, 38
pantoprazole sodium, 19
Ortho-cyclen, 16
Onetouch Ultra 2, 38
papaverine HCL, 10
Ortho-novum 1/35, 16
Onetouch Ultra Blue, 38
Papaverine-alprostadil, 10
Ortho-novum 7/7/7, 16
Onetouch Ultra Control, 38
Papaverine-phentolamine Mes/Alprostadil, 10
Orthovisc, 27
Onetouch Ultra Mini, 38
Oseni, 17
Onetouch Ultralink System (DEC), 38
Papaverine-phentolamine Mesylate, 10
Osmoprep, 19
Onetouch Ultralink System (hex), 38
Papaverine/Phentolamine Mes/Alprostadil, 10
Osphena, 18
Onetouch Ultrasoft Lancets, 38
Otezla, 31
Onetouch Verio, 38
Parafon Forte DSC, 28
Otiprio, 29
Onetouch Verio Control Solution High,
Paregoric, 19
paricalcitol, 18
Pertzye, 20 Pocket Spacer, 40
Parlodel, 26
Pexeva, 24 Pocketchem EZ Blood Glucose Test Strips, 39
Parnate, 24
Pfizerpen-G, 1
paromomycin sulfate, 2
Pharmacist Choice Autocode Blood Glucose Test Strips, 39
podofilox, 13
paroxetine HCL, 24
Poly-VI-flor, 35
paroxetine HCL ER, 24
Pharmacist Choice Ultra Thin Lancets, 38
Poly-VI-flor FS, 35
Paser, 2
Poly-VI-flor/Iron, 35
Pataday, 29
Pharmacist Choice Ultra Thin Lancets 28G, 38
polyethylene glycol 3350, 19
Patanase, 33
polymyxin b sulfate, 4
Patanol, 29
Pharmacist Choice Ultra Thin Lancets 30G, 38
polymyxin b sulfate/trimethoprim sulfate, 28
Paxil, 24
Paxil CR, 24
Pharmacist Choice Ultra Thin Lancets 31G, 38
Polytrim, 28
Pazeo, 29
Pomalyst, 6
PCE, 1
Pharmacist Choice Ultra Thin Lancets 33G, 38
Ponstel, 31
Pcp 100, 19
Portrazza, 5
Pediaderm AF Complete Kit, 12
Pharmacy Counter Lancets, 38 potassium citrate ER, 21
Pediaderm HC, 13
phenazopyridine HCL, 21 potassium citrate-citric acid crystals, 21
Pediaderm Ta, 13
phenelzine sulfate, 24 potassium citrate/citric acid, 21
Pediapred, 15
Phenergan, 33 potassium citrate/sodium citrate/citric acid, 21
Pediarix, 34
phenobarbital, 25
Pediatric Panda Mask, 40
Phenobarbital, 25 Potiga, 26
Pedvax HIB, 34
Phenobarbital Sodium, 25 Pr Cream, 14
peg 3350/electrolytes, 19
phenoxybenzamine hydrochloride, 8 Pradaxa, 22
peg-3350/electrolytes, 19
Phentolamine Mesylate, 9 Praluent, 10
peg-3350/NACL/NA bicarbonate/KCL, 19
Phentolamine Mesylate-alprostadil, 10 pramipexole dihydrochloride, 26
Peg-intron, 3
phenylephrine HCL, 10, 29 pramipexole dihydrochloride ER, 26
Peg-intron Redipen, 3
Phenylephrine HCL, 10, 33 Pramosone, 13
Peg-intron Redipen PAK 4, 3
Phenylephrine HCL/Sodium Chloride, 10 Pramosone E, 13
Peganone, 26
Phenylephrine Hydrochloride/Dextrose, 10
Pramotic, 29
Pegasys, 3
Prandimet, 17
Pegasys Proclick, 3
phenylephrine/guaifenesin, 33 Prandin, 17
Pegintron, 3
Phenylephrine/Sodium Chloride, 10 Prascion Ra With Sunscreens, 11
Pen Needles 29G X 12MM, 38
Phenytek, 26 Prastera, 31
Pen Needles 29GX1/2", 38
phenytoin, 26 Pravachol, 10
Pen Needles 30GX5/16", 38
phenytoin sodium, 26 pravastatin sodium, 10
Pen Needles 31G X 1/4" SHORT, 38
phenytoin sodium extended, 26 Prazolamine, 28
Pen Needles 31G X 3/16", 38
Phoslo, 20 prazosin HCL, 9
Pen Needles 31G X 6MM, 38
Phoslyra, 20 Pre-folic, 22
Pen Needles 31GX5/16", 38
Phospholine Iodide, 29 Precedex, 25
penicillin G potassium, 1
Photofrin, 7 Precision PCX, 39
Penicillin G Potassium IN Iso-osmotic Dextrose, 1
phytonadione, 35 Precision PCX Plus Test Strips, 39
pilocarpine HCL, 23, 29 Precision Point Of Care Test Strips, 39
Penicillin G Procaine, 1
pilocarpine hydrochloride, 23 Precision QID Test Strips, 39
Penicillin G Sodium, 1
pimozide, 27 Precision Sof-tact Test Strips, 39
penicillin v potassium, 1
pindolol, 7 Precision Thin Lancets, 38
Penlac Nail Lacquer, 12
pioglitazone HCL, 17 Precision Thins GP Lancet, 38
Pennsaid, 12
pioglitazone HCL-glimepiride, 17 Precision Ultra Lancet, 38
Pentacel, 34
pioglitazone HCL/metformin HCL, 17 Precision XTRA Blood Glucose Test Strips, 40
Pentam 300, 4
piperacillin sodium/ tazobactam sodium, 1
Pentasa, 20
Precose, 17
pentazocine/naloxone HCL, 30
piperacillin sodium/tazobactam sodium, 1 Pred Forte, 29
Pentetate Calcium Trisodium, 41
piperacillin/tazobactam, 1 Pred Mild, 28
Pentetate Zinc Trisodium, 41
piroxicam, 31 Pred-G, 29
pentoxifylline ER, 23
Pitocin, 30 Pred-G S.o.p., 29
Pepcid, 20
Pitressin Synthetic, 18 prednicarbate, 13
Percocet, 31
Plaquenil, 4 prednisolone, 15
Percodan, 31
Plavix, 23 prednisolone acetate, 28
Perfect Lancets 30G, 38
Plegridy, 27 prednisolone sodium phosphate, 15
Perfect Pressure Activated Safety Lancets 28G, 38
Plegridy Starter Pack, 27 Prednisolone Sodium Phosphate, 15, 29
Pletal, 23 prednisolone sodium phosphate odt, 15
Perforomist, 33
Plexion, 11 Prednisolone/Moxifloxacin, 29
Peridex, 23
Plexion Cleanser, 11 Prednisolone/Moxifloxacin/Bromfenac, 29
perindopril erbumine, 8
Plexion Cleansing Cloths, 11
Perjeta, 5
Pliaglis, 14 prednisone, 15
permethrin, 13
Pneumovax 23, 34 Prednisone, 15
perphenazine, 25
Pneumovax 23/1 Dose, 34 Prednisone Intensol, 15
Perphenazine/Amitriptyline, 27
Pneumovax 23/5 Dose, 34 Prefera OB, 35
Persantine, 23
Pocket Chamber, 40 Prefera OB + DHA, 35
Preferaob +dha, 35
Proferrin-forte, 22 Q
Preferaob One, 35
progesterone, 16
Qbrelis, 8
Prefest, 16
Progesterone 10% Kit, 16
Qc Lancets Super Thin, 38
Prefol-DHA, 35
Proglycem, 17
Qc Lancets Ultra Thin, 38
Premarin, 16, 21
Prograf, 6
Qnasl, 33
Premphase, 15
Prolastin-c, 34
Qnasl Childrens, 33
Prempro, 15
Prolensa, 29
Quadracel, 34
Prenata, 35
Proleukin, 7
Quadramet, 6
Prenatal Vitamins, 35
Prolia, 18
Qualaquin, 4
Prenate, 35
Promacta, 22
Quartette, 16
Prenate AM, 35
promethazine HCL, 32
Quazepam, 25
Prenate DHA, 35
promethazine HCL plain, 32
Qudexy XR, 26
Prenate Elite, 35
promethazine-DM, 33
Quelicin, 27
Prenate Enhance, 35
promethazine/codeine, 33
Quelicin 1000, 27
Prenate Essential, 35
promethazine/dextromethorphan, 33
Questran, 10
Prenate Mini, 36
promethazine/phenylephrine, 33
Questran Light, 10
Prenate Pixie, 36
Promethazine/Phenylephrine, 33
quetiapine fumarate, 25
Prenate Restore, 36
promethazine/phenylephrine/codeine, 33
Quflora FE, 36
Prenate Star, 36
Prometrium, 16
Quicktek Test Strips, 40
Prepidil, 30
Promiseb, 12
Quillichew ER, 26
Prepopik, 19
Promiseb Complete, 13
Quillivant XR, 25
Preque 10, 36
propafenone HCL, 8
quinapril HCL, 8
Presera, 14
propafenone HCL ER, 8
quinapril/hydrochlorothiazide, 9
Prestalia, 9
Propantheline Bromide, 20
Quinidine Gluconate, 8
Prestige Test Strips, 40
proparacaine HCL, 29
quinidine gluconate CR, 8
Prevacid, 20
propranolol HCL, 7
quinidine gluconate ER, 8
Prevacid Solutab, 20
Propranolol HCL, 7
quinidine sulfate, 8
Prevident, 23
propranolol HCL ER, 7
Quinidine Sulfate, 8
Previdolrx Analgesic PAK, 31
Propranolol/Hydrochlorothiazide, 9
Quinidine Sulfate ER, 8
Prevnar 13, 34
propylthiouracil, 19
quinine sulfate, 3
Prevpac, 20
Proquad, 34
Quintet Ac Blood Glucose Test Strips, 40
Prezcobix, 3
Proscar, 21
Quintet Blood Glucose Test Strips, 40
Prezista, 3
Prostin E2, 30
Qutenza, 14
Priftin, 2
Protamine Sulfate, 23
Qvar, 33
Prilosec, 20
Protect Plus, 36
R
Primaquine Phosphate, 3
Protectiron, 22
Primaxin IV, 4
Prothelial, 23
R-natal OB, 36
Primaxin IV Add-vantage, 4
Protonix, 20
Rabavert, 35
primidone, 26
Protopic, 13
rabeprazole sodium, 19
Primlev, 31
protriptyline HCL, 24
raloxifene hydrochloride, 18
Primsol, 4
Provenge, 6
ramipril, 8
Prinivil, 8
Proventil HFA, 34
Ranexa, 7
Pristiq, 24
Provera, 16
ranitidine HCL, 19
Pro-c-dure 5 Kit, 15
Provida DHA, 36
Rapaflo, 21
Pro-c-dure 6 Kit, 15
Provida OB, 36
Rapamune, 6
Proair HFA, 33
Provigil, 26
Rapivab, 3
Proair Respiclick, 33
Prozac, 24
Rasuvo, 31
probenecid, 32
Prozac Weekly, 24
Ravicti, 18
probenecid/colchicine, 32
Pruclair, 14
Rayos, 15
Probuphine Implant Kit, 31
Prudoxin, 12
Razadyne, 27
Procainamide HCL, 8
Prumyx, 14
Razadyne ER, 27
Procardia, 8
Pss Select GP Lancets, 38
Readysharp-a, 32
Procardia XL, 8
Pss Select Safety Lancets, 38
Readysharp-k, 15
Procentra, 26
Pts Panels Glucose Test, 40
Readysharp-p40, 15
prochlorperazine, 25
Pulmicort, 34
Readysharp-p80, 15
prochlorperazine edisylate, 25
Pulmicort Flexhaler, 33
Rebetol, 3
prochlorperazine maleate, 25
Pulmophylline, 34
Rebif, 27
Procort, 20
Pulmozyme, 34
Rebif Rebidose, 27
Procrit, 22
Purinethol, 5
Rebif Rebidose Titration Pack, 27
Proctocort, 20
Purixan, 5
Rebif Titration Pack, 27
Proctofoam HC, 20
Px Lancets Ultra Thin, 38
Reclast, 17
Procysbi, 21
Pylera, 19
Recombinate, 23
Prodigy NO Coding Blood Glucose Test Strips, 40
pyrazinamide, 2
Recombivax HB, 35
Pyridium, 21
Recothrom, 23
Prodigy Pressure Activated Safety Lancets, 38
pyridostigmine bromide, 28
Recothrom Spray Kit, 23
pyridostigmine bromide ER, 28
Rectiv, 20
Prodigy Safety Lancets, 38
pyridoxine HCL, 35
Recura, 12
Prodigy Twist Top Lancets, 38
Pyrogallic Acid, 14
Refuah Plus Blood Glucosetest Strips,
40
Rexulti, 25 Rozerem, 25
Reglan, 20
Reyataz, 3 Rrb PAK, 13
Regonol, 28
Rezira, 33 Ryanodex, 28
Relagard, 21
Rezyst IM, 19 Rytary, 26
Relenza Diskhaler, 3
Rheumatrex, 31 Rythmol, 8
Relhist, 33
Rhinocort Aqua, 33 Rythmol SR, 8
Reliable-1 Psyllium, 19
Riastap, 23 S
Relion Blood Glucose Teststrips, 40
Riax, 11
Sabril, 26
Relion Confirm/Micro Test Strips, 40
Ribasphere, 3
Safe-t-lance Low Flow 25G, 38
Relion Lancets Micro-thin33G, 38
Ribasphere Ribapak, 3
Safe-t-lance Normal Flow 21G, 38
Relion Lancets Standard 21G, 38
Ribatab, 3
Safe-t-lance Plus Safety Lancet High Flow, 38
Relion Lancets Thin 26G, 38
ribavirin, 3
Relion Lancets Ultra-thin30G, 38
Ridaura, 31
Safe-t-lance Plus Safety Lancet Low Flow, 38
Relion Prime Blood Glucose Test Strips, 40
rifabutin, 2
Rifadin, 2
Safe-t-lance Plus Safety Lancet Normal Flow, 38
Relion R, 16
Rifamate, 2
Relion Thin Lancets, 38
rifampin, 2
Safety Lancet 21G/Pressure Activated, 38
Relion Ultima Blood Glucose Test Strips, 40
Rifater, 2
Rightest Gl300 Lancets, 38
Safety Lancet 28G/Pressure Activated, 38
Relion Ultima Test Strips, 40
Rightest GS100 Blood Glucose Test Strips, 40
Relion Ultra Thin Lancets, 38
Safety Lancets, 38
Relion Ultra Thin Lancets30G, 38
Rightest GS300 Blood Glucose Test Strips, 40
Safety Lancets 21G, 38
Relion Ultra Thin Plus Lancets 32G, 38
Safety Lancets 28G, 38
Relion Ultra Thin Plus Lancets 33G, 38
Rightest GS550 Blood Glucose Test Strips, 40
Safety Let Lancets, 38
Relistor, 20
Safety Seal Lancets 28G, 38
Relpax, 32
Rilutek, 27
Safety Seal Lancets 30G, 38
Relyyks, 14
riluzole, 27
Safyral, 16
Relyyt, 14
rimantadine HCL, 3
Saizen, 18
Remeron, 24
Rimantalist, 3
Saizen Click.easy, 18
Remeron Soltab, 24
Riomet, 17
Salagen, 23
Remicade, 21
risedronate sodium, 17
Salex, 14
Remifentanil HCL, 31
risedronate sodium DR, 17
Salex Cream, 14
Remodulin, 10
Risperdal, 25
Salex Lotion, 14
Renacidin, 21
Risperdal Consta, 25
salicylic acid, 13
Renagel, 21
Risperdal M-TAB, 25
Salicylic Acid, 14
Renatabs, 36
risperidone, 25
salicylic acid cream, 13
Renatabs With Iron, 36
risperidone odt, 25
salicylic acid ER, 13
Renvela, 20
Ritalin, 26
Salicylic Acid IN Ammonium Lactate Vehicle, 14
Reopro, 23
Ritalin LA, 26
repaglinide, 17
Riteflo, 40
salicylic acid lotion, 13
Repaglinide/Metformin Hydrochloride, 17
Rituxan, 5
Salivamax, 23
Repatha, 10
rivastigmine tartrate, 27
Salivate RX, 23
Repatha Pushtronex System, 10
rivastigmine transdermal system, 27
salsalate, 30
Repatha Sureclick, 10
rizatriptan benzoate, 32
Salvax, 14
Reprexain, 31
rizatriptan benzoate odt, 32
Salvax Duo Plus, 14
Req 49+, 36
Robaxin, 28
Samsca, 18
Requip, 26
Robaxin-750, 28
Sancuso, 20
Requip XL, 26
Robinul, 20
Sandimmune, 6
Rescon-JR, 33
Robinul Forte, 20
Sandostatin, 18
Rescriptor, 3
Rocaltrol, 19
Sandostatin Lar Depot, 18
Rescula, 29
Rocephin, 1
Saphris, 25
Reserpine, 9
rocuronium bromide, 27
Sarafem, 27
Respa-BR, 33
Rocuronium Bromide, 27
Savaysa, 22
Restasis, 29
ropinirole ER, 26
Savella, 27
Restora RX, 19
ropinirole HCL, 26
Savella Titration Pack, 27
Restora Sprinkles, 19
ropivacaine, 32
Scalacort DK, 13
Restoril, 25
Ropivacaine, 32
Scar Patch, 14
Retin-a, 11
ropivacaine HCL, 32
Scopolamine Hydrobromide, 20
Retin-a Micro, 11
Ropivacaine Hydrochloride/Sodium Chloride, 32
Seasonique, 16
Retin-a Micro P.M., 11
Sebuderm, 14
Retisert, 28
Rosadan Kit, 11
Seconal, 25
Retrovir, 3
Rosula, 11
Seconal Sodium, 25
Retrovir IV Infusion, 3
rosuvastatin calcium, 10
Sectral, 7
Revatio, 11
Rotarix, 35
Select-OB, 36
Reveal Blood Glucose Test, 40
Rotateq, 35
Select-ob+dha, 36
Revlimid, 6
Rowasa, 21
selegiline HCL, 26
Rexall Blood Glucose Test Strips, 40
Roxicet, 31
selenium sulfide, 12
Rexall Lancets Ultra Thin, 38
Roxicodone, 31
Selrx, 13
Selzentry, 3
Smartest Blood Glucose Test Strips, 40 Stalevo 50, 27
Semprex-d, 33
Smartest Lancets 28G, 38 Stalevo 75, 27
Sensipar, 19
Smartrx Gaba Kit, 27 stannous fluoride oral rinse, 23
Sensorcaine-mpf/Epinephrine, 32
Smartrx Gaba-v Kit, 27 Starlix, 17
Sentradine, 20
Sodium Bicarbonate, 19 stavudine, 3
Sentraflox AM-10, 24
sodium chloride, 33 Stavzor, 26
Sentralopram AM-10, 24
Sodium Citrate, 22 Staxyn, 11
Sentramodafin AM-100, 26
sodium citrate/citric acid, 21 Stelara, 12, 20
Sentravil PM-25, 24
Sodium Diuril, 9 Stendra, 11
Sentrazolam AM 0.25, 24
Sodium Edecrin, 9 Sterilance TL, 38
Sentrazolpidem PM-5, 25
sodium ferric gluconate complex/sucrose, 21
Stimate, 18
Sentroxatine, 24
Stiolto Respimat, 34
Serevent Diskus, 33
sodium hyaluronate, 13 Stivarga, 6
Sernivo, 13
sodium phenylacetate/sodium benzoate, 18
Strattera, 25
Seroquel, 25
Strazepam, 25
Seroquel XR, 25
sodium phenylbutyrate, 18 Strensiq, 19
Serostim, 18
sodium sulfacetamide, 11, 12, 28 Streptomycin Sulfate, 2
sertraline HCL, 24
sodium sulfacetamide wash, 12 Striant, 15
Sevelamer Carbonate, 20
sodium sulfacetamide/sulfur, 11 Stribild, 3
Sfrowasa, 21
Sodium Sulfacetamide/Sulfur, 11 Striverdi Respimat, 34
Shohls Solution Modified, 21
sodium sulfacetamide/sulfur cleanser, 11 Stromectol, 4
Shopko On-the-go Comfort Lancets 30G, 38
Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 11
Strovite Forte, 36
Strovite One, 36
Shopko Unilet Lancets Super Thin 30G, 38
sodium sulfacetamide/sulfur cleansing cloths, 11
Suboxone, 30
Subsys, 31
Shopko Unilet Lancets Ultra Thin 28G, 38
sodium sulfacetamide/sulfur green, 11 Succinylcholine Chloride, 27
Sodium Sulfacetamide/Sulfur IN Urea, 11 Suclear, 19
Siderol, 36
sodium sulfacetamide/sulfur w/sunscreen, 11
Sucraid, 20
Signifor, 18
sucralfate, 19
Signifor Lar, 18
sodium sulfacetamide/sulfur wash, 11 Sular, 8
Silazone Pharmapak, 13
Solaice, 14 sulfacetamide sodium, 11, 28
Silazone-II, 13
Soliris, 23 Sulfacetamide Sodium, 28
sildenafil, 10
Solodyn, 2 sulfacetamide sodium/prednisolone sodium phosphate, 28
sildenafil citrate, 10
Soltamox, 5
Silenor, 25
Solu-cortef, 15 sulfacetamide sodium/sulfur, 11
Simbrinza, 29
Solu-medrol, 15 sulfacetamide sodium/sulfur cleanser, 11
Simcor, 10
Solus V2 Audible Test, 40 Sulfadiazine, 2
Simponi, 31
Solus V2 Pressure Activated Safety Lancets 28G, 38
sulfamethoxazole/trimethoprim, 4
Simponi Aria, 31
Sulfamethoxazole/Trimethoprim, 4
Simulect, 6
Solus V2 Twist Lancets 30G, 38 sulfamethoxazole/trimethoprim DS, 4
simvastatin, 10
Soma, 28 sulfasalazine, 20
Sinelee, 14
Somatuline Depot, 18 Sulfisoxizole, 2
Sinemet, 27
Somavert, 18 Sulfoam, 11
Sinemet CR, 27
Sonata, 25 Sulfurated Lime, 14
Single-let, 38
Soolantra, 11 sulindac, 31
Singulair, 34
Soothee, 14 Sumadan Kit, 11
sirolimus, 6
Soriatane, 12 Sumadan Wash, 11
Sirturo, 2
Sorilux, 12 Sumadan XLT, 11
Sitavig, 3
sotalol HCL, 7 sumatriptan, 32
Sivextro, 4
sotalol HCL (AF), 7 sumatriptan succinate, 32
Skelaxin, 28
Sotalol Hydrochloride, 7 Sumatriptan Succinate, 32
Sklice, 14
Sotylize, 7 sumatriptan succinate refill, 32
Smart Diabetes Vantage Universal Lancets 30G, 38
Sovaldi, 3 Sumavel Dosepro, 32
Spectracef, 1 Sumaxin, 11
Smart Diabetes Xpres Blood Glucose Test Strips, 40
Spinosad, 14 Sumaxin CP Kit, 11
Spiriva Handihaler, 33 Sumaxin Ts, 11
Smart Sense Color Lancets Universal 33G, 38
Spiriva Respimat, 34 Sumaxin Wash, 11
spironolactone, 9 Supartz, 28
Smart Sense Premium Bloodglucose Strips, 40
spironolactone/hydrochlorothiazide, 9 Supartz Fx, 28
Sporanox, 3 Supervite, 36
Smart Sense Standard Lancets Universal 21G, 38
Sporanox Pulsepak, 3 Supervite EC, 36
Spritam, 26 Support-500, 36
Smart Sense Super Thin Lancets Universal 30G, 38
Sprix, 31 Supprelin LA, 18
Sprycel, 6 Supracil, 14
Smart Sense Thin Lancets Universal 26G, 38
Stalevo 100, 27 Suprax, 1
Stalevo 125, 27 Supreme Test Strips, 40
Smart Sense Value Blood Glucose Strips, 40
Stalevo 150, 27 Suprep Bowel Prep, 19
Stalevo 200, 27 Sure Edge Blood Glucose Test Strips, 40
Sure-lance Flat Lancets, 38
Taxotere, 6 theophylline ER, 33
Sure-lance Lancets 26G, 38
Taytulla, 16 Theophylline/D5W, 34
Sure-lance Thin Lancets 28G, 38
Tazicef, 1 Therabenzaprine-60, 28
Sure-lance Ultra Thin Lancets, 38
Tazorac, 12 Therabenzaprine-90, 28
Sure-test Easyplus Mini Blood Glucose Test Strips, 40
Tecentriq, 5 Therabenzaprine-90-5, 28
Tecfidera, 27 Theracodeine-300, 31
Sure-touch Lancets Universal, 38
Tecfidera Starter Pack, 27 Theracodophen-325, 31
Surechek Blood Glucose Test Strips, 40
Techlite AST Lancets, 38 Theracys, 7
Surelite Lancets, 38
Techlite Lancets, 38 Therafeldamine, 31
Surestep Glucose Control, 38
Techlite Lancets 30G, 38 Therapentin-60, 26
Surestep Glucose Control Solution, 38
Technivie, 3 Therapentin-90, 26
Surestep Pro High Glucosecontrol, 38
Tegretol, 26 Theraprofen-60, 31
Surestep Pro Low Glucose Control, 38
Tegretol-XR, 26 Theraprofen-800, 31
Surestep Pro Normal Glucose Control, 38
Tekamlo, 9 Theraprofen-90, 31
Tekturna, 8 Theraproxen-500, 31
Surfaxin, 34
Tekturna HCT, 9 Theraproxen-60, 31
Surmontil, 24
Telcare Blood Glucose Test Strips, 40 Theraproxen-90, 31
Survanta Intratracheal, 34
telmisartan, 8 Theratramadol-60, 31
Sustiva, 3
telmisartan/amlodipine, 9 Theratramadol-90, 31
Sustol, 20
telmisartan/hydrochlorothiazide, 9 thiamine HCL, 35
Sutent, 6
temazepam, 25 Thinlets GP Lancets, 38
Sylatron, 7
Temodar, 5 Thinlets Lancet, 38
Symax Duotab, 20
Temovate, 13 Thiola, 21
Symbicort, 34
Temovate E, 13 thioridazine HCL, 25
Symbyax, 27
temozolomide, 4 Thiotepa, 5
Symlinpen 120, 16
Tenex, 9 thiothixene, 25
Symlinpen 60, 16
Teniposide, 6 Thrombin-jmi Diluent, 23
Synagex, 36
Tenivac, 34 Thrombin-jmi Epistaxis, 23
Synalar, 13
Tenoretic 100, 9 Thrombin-jmi Syringe Spray Kit, 23
Synalar Cream Kit, 13
Tenoretic 50, 9 Thrombin-jmi W/Dil Spray P.M. Actuator, 23
Synalar Ointment Kit, 13
Tenormin, 7
Synalar Ts, 13
Terazol 3, 21 Thrombogen, 23
Synalgos-dc, 31
Terazol 7, 21 Thymoglobulin, 6
Synapryn Fusepaq, 31
terazosin HCL, 9 Thyrolar-1, 19
Synarel, 18
terbinafine HCL, 2 Thyrolar-1/2, 19
Synatek, 36
terbutaline sulfate, 33 Thyrolar-1/4, 19
Synera, 14
terconazole, 21 Thyrolar-2, 19
Synercid, 4
Tersi Foam, 13 Thyrolar-3, 19
Synjardy, 17
Tessalon Perles, 33 tiagabine hydrochloride, 26
Synribo, 7
Testim, 15 Tiazac, 8
Synthroid, 19
Testone Cik, 15 Ticaspray, 33
Synvisc, 27
Testopel, 15 Tice Bcg, 7
Synvisc One, 27
testosterone, 15 ticlopidine HCL, 23
T
Testosterone, 15 Ticlopidine HCL, 23
testosterone cypionate, 15 Tigan, 20
Tabloid, 5
testosterone enanthate, 15 Tikosyn, 8
Tabradol Fusepaq, 28
testosterone P.M., 15 Timentin, 1
Tabradol Rapidpaq, 28
Testosterone P.M., 15 Timolol Maleate, 7
Taclonex, 13
Testred, 15 timolol maleate, 28
tacrolimus, 6, 13
Tetanus/Diphtheria Toxoids-adsorbed, 34
timolol maleate ophthalmic gel forming, 28
Tafinlar, 6
Tagrisso, 6
Tetanus/Diphtheria Toxoids-adsorbed Adult, 34
Timoptic, 28
Taltz, 12
Timoptic Ocudose, 28
Talwin, 31
tetrabenazine, 27 Timoptic-xe, 28
Tamiflu, 3
tetracaine HCL, 29 Tindamax, 4
tamoxifen citrate, 5
Tetracaine HCL, 32 tinidazole, 4
tamsulosin HCL, 21
Tetracycline HCL, 2 Tirosint, 19
Tandem F, 22
tetracycline hydrochloride, 2 Tisseel, 23
Tandem Plus, 22
Tetrix, 14 Tisseel VH, 23
Tanzeum, 17
Tev-tropin, 18 Tivicay, 3
Tapazole, 19
Teveten, 8 Tivorbex, 31
Tarceva, 6
Teveten HCT, 9 Tizanidine Comfort PAC, 28
Targadox, 2
Texacort, 13 tizanidine HCL, 27
Targretin, 7
Texavite LQ, 36 TL G-FOL OS, 36
Tarka, 9
Thalomid, 6 TL Triseb, 13
Taron-bc, 36
Theo-24, 34 Tnkase, 23
Taron-c DHA, 36
theophylline, 33 Tobi, 2
Tasigna, 6
theophylline CR, 33 Tobi Podhaler, 2
Tasmar, 27
Tobradex, 29
Tri-norinyl 28, 16 Tudorza Pressair, 34
Tobradex ST, 28
Tri-VI-flor, 36 Turkel Paracentesis Procedure Tray/8french, 32
tobramycin, 2
Triamcinolone, 15
Tobramycin, 2
triamcinolone acetonide, 13, 23, 33 Tussicaps, 33
tobramycin sulfate, 2, 28
Triamcinolone Acetonide PF, 15 Tussionex Pennkinetic Extended Release, 33
Tobramycin Sulfate, 2
triamcinolone IN orabase, 23
tobramycin/dexamethasone, 28
Triamcinolone PF, 15 Tuzistra XR, 33
Tobrex, 28
Triamcinolone/Lidocaine, 15 Twinrix, 35
Tofranil, 24
Triamsil Combipak, 13 Twynsta, 9
Tofranil-PM, 24
triamterene/hydrochlorothiazide, 9 Tybost, 3
tolazamide, 17
Triamterene/Hydrochlorothiazide, 9 Tygacil, 4
Tolazamide, 17
Trianex, 13 Tykerb, 6
Tolbutamide, 17
triazolam, 25 Tylenol/Codeine #3, 31
tolcapone, 26
Triazolam, 25 Tylenol/Codeine #4, 31
tolmetin sodium, 31
Tribenzor, 9 Typhim VI, 35
Tolmetin Sodium, 31
Tricare Prenatal, 36 Tysabri, 27
tolterodine tartrate, 21
Tricare Prenatal 1, 36 Tyvaso, 10
tolterodine tartrate ER, 21
Tricare Prenatal Compleat, 36 Tyvaso Refill, 10
Topamax, 26
Tricare Prenatal DHA One, 36 Tyvaso Starter, 10
Topamax Sprinkle, 26
tricitrates, 21 Tyzeka, 3
Topicort, 13
Tricor, 10 Tyzine, 33
topiramate, 26
Triderma Forte, 13 Tyzine Pediatric Nasal Drops, 33
Topiramate ER, 26
Triferic, 22 U
topotecan HCL, 6
trifluoperazine HCL, 25
Uceris, 15, 21
Topotecan HCL, 6
trifluridine, 28
Udamin SP, 36
Toprol XL, 7
Triglide, 10
Ulesfia, 14
Torisel, 6
trihexyphenidyl HCL, 26
Uloric, 32
Toronova II Suik, 31
Trileptal, 26
Ulticare Thin Lancets 30G, 38
Toronova Suik, 31
Trilipix, 10
Ultilet Classic Lancets, 38
torsemide, 9
Triloan II Suik, 15
Ultilet Lancets, 38
Torsemide, 9
Triloan Suik, 15
Ultilet Lancets 33G, 38
Totect, 7
trimethobenzamide HCL, 20
Ultilet Safety Lancets 23G, 38
Toujeo Solostar, 16
trimethoprim, 4
Ultima Test Strips, 40
Toviaz, 21
trimethoprim sulfate/polymyxin b sulfate, 28
Ultiva, 31
Tracleer, 10
Ultra-thin II Auto Lancet, 38
Tradjenta, 17
trimipramine maleate, 24
Ultra-thin II Lancets 28G, 38
tramadol HCL, 30
Trintellix, 24
Ultra-thin II Lancets 30G, 38
tramadol HCL ER, 30
Triostat, 19
Ultra-thin II Safety Autolancets 26G, 38
Tramadol HCL ER, 31
Trisenox, 7
Ultracet, 31
tramadol hydrochloride/acetaminophen, 30
Triseon, 11
Ultram, 31
Triumeq, 3
Ultram ER, 31
Trandate, 7
Triveen-duo DHA, 36
Ultrasal-ER, 14
trandolapril, 8
Triveen-prx RNF, 36
Ultratrak Pro Test Strips, 40
trandolapril/verapamil HCL, 9
Trizivir, 3
Ultratrak Ultimate Test Strips, 40
trandolapril/verapamil HCL ER, 9
Trokendi XR, 26
Ultravate, 13
tranexamic acid, 22
Tropazone, 14
Ultravate X, 13
Transderm-scop, 20
trospium chloride, 21
Ultresa, 20
Tranxene T, 24
trospium chloride ER, 21
Umecta, 14
tranylcypromine sulfate, 24
True Metrix Blood Glucosetest Strips, 40
Umecta Nail Film, 14
Travatan Z, 29
True Metrix Self Monitoring Blood Glucose Strips, 40
Umecta PD, 14
Travoprost, 29
Unasyn, 1
Trazamine, 24
Trueplus Lancets 26G, 38
Unasyn Bulk Pack, 1
trazodone HCL, 24
Trueplus Lancets 28G, 38
Unilet Comfortouch Lancet, 38
Treanda, 4
Trueplus Lancets 28G Super Thin, 38
Unilet Excelite, 38
Trecator, 2
Trueplus Lancets 30G, 38
Unilet Excelite II, 38
Trelstar, 5
Trueplus Lancets 30G Ultra Thin, 38
Unilet G.p. Lancet, 38
Trelstar Mixject, 5
Trueplus Lancets 33G, 38
Unilet G.p. Superlite Lancet, 38
Trepadiclofen-25, 31
Trueplus Lancets 33G Micro Thin, 38
Unilet GP 28 Ultra Thin, 38
Trepoxicam-7.5, 32
Trueplus Safety Lancets 28G, 38
Unilet Lancet, 38
Tresiba Flextouch, 16
Truetest Blood Glucose T Est, 40
Unilet Lancets Micro-thin33G, 38
Tretin-x, 11
Truetest Blood Glucose T Est Strips, 40
Unilet Lancets Super-thin30G, 38
tretinoin, 6, 11
Truetest Strips, 40
Unilet Lancets Ultra-thin 28G, 38
tretinoin microsphere, 11
Truetrack Blood Glucose Test, 40
Unilet Superlite Lancet, 38
tretinoin microsphere P.M., 11
Truetrack Test, 40
Unistik 3 Gentle, 38
Tretten, 23
Trulicity, 16
Unistik Safety Lancets 28G, 38
Trexall, 5
Trumenba, 35
Unistik Safety Lancets 30G, 38
Treximet, 32
Trusopt, 29
Unistik Touch Safety Lancets 21G, 38
Trezix, 31
Truvada, 3
Unistik Touch Safety Lancets 23G, 38
Unistik Touch Safety Lancets 28G, 38
vasopressin, 18 Vinate DHA RF, 36
Unistik Touch Safety Lancets 30G, 38
Vasopressin/Sodium Chloride, 18 Vinblastine Sulfate, 6
Unistrip1 Generic, 40
Vasostrict, 18 vincristine sulfate, 6
Unituxin, 5
Vasotec, 8 vinorelbine tartrate, 6
Univasc, 8
Vaxchora, 35 Viokace, 20
Universal 1 Lancets Thin 26G, 38
Vazculep, 10 Viracept, 3
Universal 1 Lancets Ultra Thin 30G, 38
Vecamyl, 9 Viramune, 3
Uptravi, 11
Vectibix, 5 Viramune XR, 3
Uramaxin, 14
Vectical, 12 Virasal, 14
Uramaxin GT, 14
vecuronium bromide, 27 Virazole, 3
Uramaxin GT Kit, 14
Vecuronium Bromide, 27 Viread, 3
urea, 13
Vecuronium Bromide/Sodiumchloride, 27 Viroptic, 28
urea 40% nail film, 14
Veinpuncture Px1 Phlebotomy System, 14
Vistaril, 24
urea IN zinc undecylenate/lactic acid vehicle, 14
Vistide, 3
Velcade, 6 Vita-pren, 36
urea topical, 14
Veletri, 10 Vitafol, 36
Urecholine, 21
Velphoro, 21 Vitafol Fe+, 36
Uretron D/S, 21
Veltin, 11 Vitafol Gummies, 36
Urimar-t, 21
Vemavite-prx 2, 36 Vitafol Ultra, 36
Urocit-k 10, 21
Venipuncture Cpi, 14 Vitafol-nano, 36
Urocit-k 15, 21
venlafaxine HCL, 24 Vitafol-ob+dha, 36
Urocit-k 5, 21
venlafaxine HCL ER, 24 Vitafol-one, 36
Urogesic-blue, 21
Venlafaxine HCL ER, 24 Vital-d RX, 36
Uroxatral, 21
Venofer, 22 Vitalet Pro Lancets, 39
Urso 250, 21
Ventavis, 10 Vitalet Pro Plus Lancets, 39
Urso Forte, 21
Ventolin HFA, 34 Vitamedmd One RX/Quatrefolic, 36
ursodiol, 20
Veramyst, 33 Vitamedmd Plus RX/Quatre Folic, 36
Utibron Neohaler, 34
verapamil HCL, 8 Vitamedmd Redichew RX, 36
Utopic, 14
verapamil HCL ER, 8 vitamin c 222MG, 35
Uvadex, 7
verapamil HCL SR, 8 vitamin d, 35
V
Verdeso, 13 vitamin k1, 35
Veregen, 14 Vitamin K1, 35
Vagifem, 21
Verelan, 8 Vitapearl, 36
valacyclovir HCL, 3
Verelan PM, 8 Vitaroca Plus, 36
Valchlor, 4
Veripred 20, 15 Vitatrue, 36
Valcyte, 3
Verrunex, 14 Vitekta, 3
valganciclovir, 3
Versacloz, 25 Vituz, 33
valganciclovir hydrochlorde, 3
Vesicare, 21 Viva DHA, 36
Validerm, 13
Vexa, 14 Vivactil, 24
Valium, 24
Vexol, 29 Vivelle-dot, 16
valproate sodium, 26
Vfend, 3 Vivlodex, 32
valproic acid, 26
Vfend IV, 3 Vivotif, 35
valsartan, 8
Viagra, 10 Vocal Point Blood Glucose Test Strips, 40
valsartan/hydrochlorothiazide, 9
Vibativ, 4
Valstar, 5
Viberzi, 21 Vogelxo, 15
Valtrex, 3
Vibramycin, 2 Vogelxo P.M., 15
Valumark Lancet Super Thin 30G, 38
Vicoprofen, 31 Voltaren, 12
Valumark Lancet Ultra Thin 28G, 38
Victory Agm-4000 Test Strips, 40 Voltaren-XR, 32
Vanatol LQ, 30
Victoza, 16 Voluven, 23
Vancocin HCL, 4
Victrelis, 3 Vopac, 12
Vancomycin, 4
Vida Mia Unilet Lancets Super Thin 30G, 38
Vopac GB, 12
vancomycin HCL, 4
Vopac Kt, 12
Vancomycin HCL, 4
Vida Mia Unilet Lancets Ultra Thin 28G, 38
Voraxaze, 7
Vancomycin HCL + Syrspendsf PH4, 4
voriconazole, 2
Vancomycin HCL IN Dextrose, 4
Vidaza, 5 Vortex Valved Holding Chamber, 40
Vancomycin Hydrochloride, 4
Videx EC, 3 Vosol HC, 29
Vancomycin Hydrochloride/Dextrose, 4
Videx Pediatric, 3 Vospire ER, 34
Vancomycin Hydrochloride/NACL, 4
Viekira PAK, 3 Votrient, 6
Vancomycin Hydrochloride/Sodium Chloride, 4
Viekira XR, 3 Vpriv, 22
Vigamox, 28 Vraylar, 25
Vanos, 13
Viibryd, 24 Vsl#3 DS, 19
Vanoxide-HC, 11
Viibryd Starter Pack, 24 Vusion, 12
Vantas, 5
Vimizim, 19 Vytorin, 10
Vaprisol, 18
Vimovo, 32 Vyvanse, 25
Vaqta, 35
Vimpat, 26 W
Varivax, 35
Vinacal B, 36
Varubi, 20
W&f Lancets 26G, 39
Vinate AZ Extra, 36
Vascepa, 10
W&f Lancets Colored 21G, 39
Vinate Calcium, 36
Vaseretic, 9
Walgreens Lancets, 39
Walgreens Thin Lancets, 39
zafirlukast, 33 Zomig, 32
Walgreens Ultra Thin Lancets, 39
zaleplon, 25 Zomig Nasal Spray, 32
warfarin sodium, 22
Zaltrap, 5 Zomig ZMT, 32
Watchhaler, 40
Zamicet, 31 Zonalon, 12
Wavesense Presto Test Strips, 40
Zanaflex, 28 Zonatuss, 33
Welchol, 10
Zanosar, 4 Zonegran, 26
Wellbutrin, 24
Zantac, 20 zonisamide, 26
Wellbutrin SR, 24
Zarontin, 26 Zontivity, 23
Wellbutrin XL, 24
Zaroxolyn, 9 Zorbtive, 18
Westcort, 13
Zarxio, 22 Zortress, 6
Westhroid, 19
Zatean-CH, 36 Zorvolex, 31
Wheat Germ, 35
Zatean-pn, 36 Zostavax, 35
Wilate, 23
Zatean-pn DHA, 36 Zosyn, 1
Wp Thyroid, 19
Zatean-pn Plus, 36 Zovia 1/50e, 16
X
Zavesca, 22 Zovirax, 3, 12
Zebeta, 7 Zubsolv, 30
Xalatan, 29
Zecuity, 32 Zuplenz, 20
Xalkori, 6
Zegerid, 20 Zurampic, 32
Xanax, 24
Zelapar, 27 Zutripro, 33
Xanax XR, 24
Zelboraf, 6 Zyclara, 13
Xarelto, 22
Zemaira, 34 Zyclara P.M., 13
Xarelto Starter Pack, 22
Zembrace Symtouch, 32 Zydelig, 6
Xartemis XR, 31
Zemplar, 19 Zyflo, 34
Xeljanz, 32
Zemuron, 27 Zyflo CR, 34
Xeljanz XR, 32
Zenpep, 20 Zykadia, 6
Xeloda, 5
Zenzedi, 26 Zylet, 28
Xenazine, 27
Zepatier, 3 Zyloprim, 32
Xeomin, 27
Zerbaxa, 4 Zymaxid, 28
Xerac Ac, 14
Zerit, 3 Zyprexa, 25
Xeralux, 14
Zestoretic, 9 Zyprexa Relprevv, 25
Xerese, 12
Zestril, 8 Zyprexa Zydis, 25
Xgeva, 18
Zetia, 10 Zytiga, 5
Xifaxan, 4
Zetonna, 33 Zyvodol, 12
Xigduo XR, 17
Zevalin Y-90, 5 Zyvox, 4
Xilapak, 13
Ziac, 9 1
Xodol, 31
Ziagen, 3
Xofigo, 6
1ST Choice Lancets Super Thin, 39
Ziana, 11
Xolair, 34
1ST Choice Lancets Thin, 39
zidovudine, 3
Xolegel, 12
1ST Choice Lancets Ultra Thin, 39
Zinacef, 1
Xolegel Corepak, 12
8
Zinbryta, 27
Xolegel Duo/Head & Shoulders, 12
Zinecard, 7
8-mop, 12
Xolegel Duo/Xolex, 12
Zioptan, 29
Xopenex, 34
ziprasidone HCL, 25
Xopenex Concentrate, 34
Zipsor, 32
Xopenex HFA, 34
Zirgan, 28
Xrylix, 12
Zithranol, 12
Xtampza ER, 31
Zithranol-rr, 12
Xtandi, 5
Zithromax, 1
Xuriden, 19
Zithromax Tri-PAK, 1
Xylocaine, 8, 14, 32
Zithromax Z-PAK, 1
Xylocaine-mpf, 32
Zmax, 2
Xylocaine-mpf/Epinephrine, 32
Zocor, 10
Xylocaine/Epinephrine, 32
Zofran, 20
Xyntha, 23
Zofran Odt, 20
Xyntha Solofuse, 23
Zohydro ER, 31
Xyrem, 27
Zoladex, 5
Xyzal, 33
Zolate, 22
Y
zoledronic acid, 17
Zoledronic Acid, 17
Yasmin 28, 16
Zolinza, 6
Yaz, 16
zolmitriptan, 32
Yervoy, 5
zolmitriptan odt, 32
Yf-vax, 35
Zoloft, 24
Yodoxin, 4
zolpidem tartrate, 25
Yondelis, 5
zolpidem tartrate ER, 25
Yosprala, 23
Zolpimist, 25
Z
Zomacton, 18
Zacare 4% Kit, 11
Zometa, 17
Zacare 8% Kit, 11