kaiser permanente...xb0001338-50-17 effective february 2019 2019 drug formulary for members covered...

XB0001338-50-17

Effective February 2019

2019 Drug FormularyFor members covered through large employer groups with a 3-tier in-network

pharmacy benefit or members with an out-of-network pharmacy benefit

Access PPO

Alliance

Alliant Plus

Core

Elect PPO

Omni PPO

Options PPO

All plans offered and underwritten by Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.

Drug Formulary INTRODUCTION

What is a formulary? A formulary is a list of generic, brand, and specialty drugs. It is used by practitioners to identify drugs that offer the best overall value, considering effectiveness, safety, and cost.

How is the drug formulary developed? The formulary is developed by the Kaiser Permanente Pharmacy and Therapeutics (P&T) Committee. The P&T Committee is composed of physicians from various medical specialties, pharmacists, and a consumer member. The P&T Committee reviews and selects the most appropriate drugs in each class for the formulary based on safety, effectiveness, and cost. The P&T Committee meets quarterly to review new and existing drugs to ensure that the formulary remains responsive to the needs of members and providers.

How do I search the formulary? Drugs on the formulary are listed by therapeutic class. An alphabetical index is included at the end of this document to assist in locating specific drugs.

Drugs are listed by generic name if a generic is available. If there is no generic available, drugs are listed by the brand name. Drugs are organized by class and drug formulary tier. Drugs administered in a provider’s office or in a clinic (e.g., drugs given intravenously) may not be listed on the formulary. For coverage of these drugs, refer to your Benefit Booklet.

How do I use the formulary to understand my drug coverage? Drug coverage is based on an individual’s contracted benefit. Coverage for a specific drug is subject to each member’s medical coverage agreement. Please consult your Benefit Booklet or call Member Service if you have questions about your drug coverage.

Kaiser Permanente will only cover FDA-approved drugs used for non-experimental therapies. Most plans exclude experimental and investigational drugs, over-the-counter drugs, drugs used in the treatment of sexual dysfunction disorders, drugs for anticipated illnesses while traveling, or drugs used for cosmetic purposes. Please consult your Benefit Booklet for limitations and exclusions.

Medications not listed in this document are not on the formulary at the time of publication. The most current information is online at www.kp.org/wa/formulary. Non-formulary drugs are not covered unless approved by the health plan as a coverage exception. The prescriber must contact Kaiser Permanente to determine the medical necessity of the non-formulary medication. An alternative formulary medication will be recommended when clinically appropriate. If a coverage exception is not approved, the patient is responsible for the full price of the drug.

Generic drugs are substituted when available and allowed by your prescriber. When a generic is available, the brand-name drug is generally considered non-formulary and subject to a higher cost share.

The drug formulary is updated periodically and is subject to change. If a drug will be removed from the formulary, members who filled the drug in the prior three months will be notified by letter of

http://www.ghc.org/

the upcoming change. A formulary change notice will also be posted on the member website at least 45 days prior to the effective date.

What are the methods that Kaiser Permanente uses to ensure appropriate and safe use of formulary drugs?

Prior Authorization (PA) The P&T Committee determines that certain drugs should require prior authorization before they will be covered. These drugs most often have alternatives on the formulary, safety concerns, or a high potential for inappropriate use. To request coverage for prior authorization drugs, you or your prescriber must contact Kaiser Permanente. Drugs requiring prior authorization are indicated with a “PA” superscript next to the drug name.

Step Therapy (ST) Step therapy requires you to try certain preferred drugs before receiving coverage for the drug you were prescribed. Step therapy is added by the P&T Committee. Step therapy automatically looks at your prescription history when you fill the drug you were prescribed. If you have tried the preferred drugs required by step therapy, the drug you were prescribed will automatically be covered. To request step therapy exceptions, you or your prescriber must contact Kaiser Permanente. Drugs requiring step therapy are indicated with a “ST” superscript next to the drug name.

Quantity Limit (QL) A quantity limit defines how much of a particular drug you can get during a specific time period or the maximum days supply that you can get at once. The P&T Committee determines if a drug should have a quantity limit. To request exceptions to quantity limits, your prescriber must contact Kaiser Permanente. Drugs with quantity limits are indicated with “QL” superscript next to the drug name.

High Dose Pain Medicine Prescriber Review Members on high doses of certain pain medicines will need their prescriber to confirm safety standards are in place annually to continue coverage of therapy.

Drugs Limited to Select Pharmacies Some drugs are required to be dispensed from a preferred specialty pharmacy vendor. Members with an out-of-network benefit may use other pharmacies; however, they may pay a higher cost share. Please consult your Benefit Booklet for limitations and exclusions. Drugs limited to select pharmacies are listed on the www.kp.org/wa/formulary webpage.

Covered Diabetic Supplies Some diabetic supplies may be covered at a Tier 1 cost share if they are filled as a prescription. These items are:

• Preferred blood glucose strips:

o One Touch Verio o One Touch Ultra o Prodigy – prior authorization required o Contour Next – prior authorization required

o Freestyle – prior authorization required • Disposable insulin syringes and needles

• Lancing devices and lancets

Preferred blood glucose meters are covered only when filled through mail order pharmacy.

Mail Order Pharmacy Service Mail order is convenient and efficiently utilizes Kaiser Permanente’s resources. This service works best for drugs that must be taken on regular basis, such as birth control pills and drugs for high blood pressure, high cholesterol, or other chronic conditions.

To begin using mail order, ask your prescriber to send your prescription directly to the Mail Order Pharmacy. To transfer an existing prescription from a retail pharmacy, contact the Mail Order Pharmacy.

Address: Kaiser Permanente Mail Order Pharmacy PO Box 34383 Seattle, WA 98124-1383

Phone: 800-245-RXRX (1-800-245-7979)

Fax: 206-630-7950, or toll-free 1-800-350-1683

Over-the-Counter (OTC) Drugs A few plans offer coverage for OTC drugs. For these plans, a list of covered OTC drugs can be found in Appendix A. You may contact Member Service at 1-888-630-4636 to find if you have OTC drug coverage.

Preventative Medications and Preferred Contraceptives In accordance with the Affordable Care Act (ACA) requirements for preventive services, most plans cover preventative care medicines and contraceptives in full. If your plan offers ACA benefits, all prescribed FDA approved contraceptive methods from the Kaiser Permanente formulary list will be covered in full when obtained in-network. For plans with out-of-network (OON) benefits, contraceptives will be subject to the OON cost-share. The list of the preventative medications covered in full is available on the www.kp.org/wa/formulary webpage.

Please consult your Benefit Booklet under “Preventive Services” or call Member Service if you have questions about your coverage for these drugs.

If you request coverage for a non-preferred contraceptive, we will contact your provider to recommend a preferred generic or therapeutically equivalent product. If you and your provider determine that the preferred contraceptive(s) would be medically inappropriate, your provider must request a contraceptive waiver. If waiver is completed, the requested non-preferred contraceptive will be covered in full. Excluded Prescription Products for Medications that have Over-The-Counter (OTC) Alternatives There are certain prescription products that have the same or similar products available over-the- counter (OTC) without a prescription. In certain cases, Kaiser Permanente

will not cover the prescription product. The following prescription drug products are excluded from coverage: esomeprazole magnesium (Nexium), omeprazole/sodium bicarbonate (Zegerid), budesonide nasal spray (Rhinocort Aqua), and fluticasone propionate nasal spray (Flonase). Medical Benefit Injectable Drugs Some drugs are given in a non-hospital setting such as home infusion, a medical office, a physician's office, or an infusion suite. These drugs are covered under the medical benefit but may require prior authorization or a non-hospital setting. The list of medical benefit injectable drugs is available on the www.kp.org/wa/formulary webpage.

How do I get additional information? Please contact Member Service at 1-888-630-4636 with any questions or concerns

regarding the information contained in this document.

The most current drug formulary is available at www.kp.org/wa/formulary.

Table of Contents

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTINEOPLASTICS, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

HEMATOLOGICAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

OPIOID ANTAGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

IMMUNOGLOBULINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

MISCELLANEOUS AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

cephalexin sus 125/5ML

cephalexin sus 250/5ML

cephalexin CAP 250MG


February 2019

TIER 03 NON-PREFERRED


ANTI-INFECTIVES

Cephalexin TAB 250MG

Cephalexin TAB 500MG

PENICILLINS

Daxbia CAP 333MG

TIER 01 GENERIC

Keflex CAP 250MG

amox/k clav sus 200/5ML

Keflex CAP 500MG


Keflex CAP 750MG


SECOND GENERATION


TIER 01 GENERIC

amox/k clav TAB 250-125

cefprozil sus 125/5ML


cefprozil sus 250/5ML


cefprozil TAB 250MG

amoxicillin sus 125/5ML

cefprozil TAB 500MG


cefuroxime TAB 250MG


cefuroxime TAB 500MG

amoxicillin sus 250MG/5m

TIER 02 PREFERRED


Ceftin Sus 125/5ML

amoxicillin CAP 250MG

Ceftin Sus 250/5ML

amoxicillin CAP 500MG


amoxicillin TAB 500MG

cefaclor CAP 250MG

amoxicillin TAB 875MG

cefaclor CAP 500MG

ampicillin inj 1gm

Cefaclor ER TAB 500MG

ampicillin inj 250MG

Cefaclor Sus 125/5ML

ampicillin inj 500MG


ampicillin CAP 250MG


ampicillin CAP 500MG

THIRD GENERATION

dicloxacill CAP 250MG

TIER 01 GENERIC

dicloxacill CAP 500MG

cefdinir sus 125/5ML

penicilln vk sol 125/5ML

cefdinir sus 250/5ML

penicilln vk sol 250/5ML

cefdinir CAP 300MG

penicilln vk TAB 250MG

cefixime sus 100/5ML

penicilln vk TAB 500MG

cefixime sus 200/5ML

Amox/K Clav Chw 200MG

ceftazidime inj 1gm

Amox/K Clav Chw 400MG

ceftriaxone inj 1gm

Amoxicillin Chw 125MG

ceftriaxone inj 2gm

Amoxicillin Chw 250MG

ceftriaxone inj 250MG

Ampicillin CAP 500MG

ceftriaxone inj 500MG

Ampicillin Inj 125MG

tazicef inj 1gm

Ampicillin Sus 125/5ML

TIER 02 PREFERRED

Ampicillin Sus 250/5ML

Suprax CAP 400MG

Penicilln Vk Sol 125/5ML

Suprax Sus 500/5ML

Penicilln Vk Sol 250/5ML


TIER 02 PREFERRED

cefpodo prox sus 100/5ML

Bicillin L-a Inj 1200000

cefpodo prox sus 50MG/5ML


cefpodoxime TAB 100MG


cefpodoxime TAB 200MG


Cedax CAP 400MG

amox-pot cla TAB ER

Cedax Sus 180/5ML

Augmentin Sus ES-600

Cefditoren TAB 200MG

Augmentin Sus 125/5ML

Cefditoren TAB 400MG

Augmentin Sus 250/5ML

Ceftibuten CAP 400MG

Augmentin TAB 500MG

Ceftibuten Sus 180/5ML

Augmentin TAB 875MG

Fortaz Inj 1gm

Augmentin XR TAB 12HR

Spectracef TAB 400MG

Moxatag TAB 775MG

Suprax Chw 100MG

Suprax Chw 200MG

CEPHALOSPORIN

Suprax Sus 100/5ML

FIRST GENERATION

Suprax Sus 200/5ML

TIER 01 GENERIC

FOURTH GENERATION

cefadroxil sus 250/5ML


cefadroxil sus 500/5ML

cefepime inj 1gm

cefadroxil CAP 500MG

Maxipime Inj 1gm

cefadroxil TAB 1gm

cefazolin inj 1gm

Effective February 1, 2019

PA=Prior Auth Required; ST=Step Therapy; QL=Quantity Limits; 1

MACROLIDES

demeclocycl TAB 150MG

demeclocycl TAB 300MG

TIER 01 GENERIC

doxycycl HYC CAP 100MG

azithromycin sus 100/5ML

doxycycl HYC CAP 50MG

azithromycin sus 200/5ML

doxycycl HYC TAB 100MG

azithromycin TAB 250MG

doxycycl HYC TAB 100MG DR





clarithromyc sus 125/5ML


clarithromyc sus 250/5ML


clarithromyc TAB 250MG

doxycycline sus 25MG/5ML

clarithromyc TAB 500MG

doxycycline TAB 150MG

Azithromycin Pow 1gm PAK


Clarithromyc Sus 125/5ML

minocycline TAB 100MG

Clarithromyc Sus 250/5ML

minocycline TAB 115MG ERPA



clarithromyc TAB 500MG ER


erythrom ETH sus 200/5ML


erythromycin CAP 250MG EC


erythromycin TAB 250MG bs


erythromycin TAB 500MG bs


Biaxin TAB 250MG

morgidox CAP 1X100MG

Biaxin TAB 500MG

morgidox CAP 1X50MG

Dificid TAB 200MGQL,PA

morgidox CAP 2X100MG

E.e.s. Gran Sus 200/5ML

soloxide TAB 150MG DR

E.e.s. 400 TAB 400MG

tetracycline CAP 250MG

Ery-TAB Tab 250MG EC

tetracycline CAP 500MG


Acticlate TAB 150MG


Acticlate TAB 75MG

Eryped Sus 200/5ML

Adoxa PAK 1/ TAB 100MG

Eryped Sus 400/5ML


Erythrocin TAB 250MG


Erythrom ETH TAB 400MG

Adoxa TAB 100MG

PCE TAB 333MG EC

Adoxa TAB 50MG

PCE TAB 500MG EC

Adoxa TAB 75MG

Zithromax Pow 1gm PAK

Doryx Mpc TAB 120MG

Zithromax Sus 100/5ML

Doryx TAB 200MG

Zithromax Sus 200/5ML

Doryx TAB 50MG

Zithromax TAB Tri-PAK

Doxycycl HYC TAB 50MG

Zithromax TAB Z-PAK

Minocin CAP 100MG

Zithromax TAB 250MG

Minocin CAP 50MG

Zithromax TAB 500MG

Minocin CAP 75MG

Zithromax TAB 600MG

Minocycline TAB 55MG ERPA

Zmax Sus 2gm

Minolira TAB 105MGPA

Minolira TAB 135MGPA

TETRACYCLINES

Monodox CAP 100MG

TIER 01 GENERIC

Monodox CAP 75MG

avidoxy TAB 100MG

Nuzyra TAB 150MGQL,PA

doxycyc mono CAP 100MG

Seysara TAB 100MGQL,PA






Solodyn TAB 105MGPA

doxycyc mono TAB 100MG

Solodyn TAB 115MGPA


Solodyn TAB 55MGPA


Solodyn TAB 65MGPA


Solodyn TAB 80MGPA


Targadox TAB 50MG


Tetracycline CAP 250MG

minocycline CAP 100MG

Tetracycline CAP 500MG


Vibramycin CAP 100MG


Vibramycin Sus 25MG/5ML

mondoxyne nl CAP 100MG

Vibramycin Syp 50MG/5ML


Ximino CAP 135MG ERPA



okebo CAP 100MG


okebo CAP 75MG


QUINOLONES

coremino TAB 135MGPA

TIER 01 GENERIC

coremino TAB 45MGPA

ciprofloxacn sus 250MG/5

coremino TAB 90MGPA



ciprofloxacn sus 500MG/5

Rifater TAB

ciprofloxacn TAB 250MG

Sirturo TAB 100MGQL,PA


Trecator TAB 250MG


levofloxacin sol 25MG/ML

ANTIFUNGALS

levofloxacin TAB 250MG

TIER 01 GENERIC


fluconazole sus 10MG/ML


fluconazole sus 40MG/ML

moxifloxacin TAB 400MG

fluconazole TAB 100MG

Ciprofloxacn TAB 100MG


TIER 02 PREFERRED


Cipro (5%) Sus 250MG/5



griseofulvin sus 125/5ML

ofloxacin TAB 400MG

griseofulvin TAB micr 500

Avelox Abc TAB 400MG

griseofulvin TAB ultr 125

Avelox TAB 400MG

griseofulvin TAB ultr 250

Baxdela TAB 450MGQL,PA

itraconazole sol 10MG/MLPA

Cipro (10%) Sus 500MG/5

itraconazole CAP 100MGPA

Cipro TAB 250MG

ketoconazole TAB 200MG

Cipro TAB 500MG

nystatin TAB 500000

Ciprofloxacn TAB 1000MG

terbinafine TAB 250MG

Ciprofloxacn TAB 500MG ER

voriconazole sus 40MG/MLPA

Factive TAB 320MG

voriconazole TAB 200MGPA

Levaquin TAB 250MG

voriconazole TAB 50MGPA

Levaquin TAB 500MG

Amphotericin Inj 50MG

Levaquin TAB 750MG

Ofloxacin TAB 300MG

TIER 02 PREFERRED

flucytosine CAP 250MGQL

AMINOGLYCOSIDES

flucytosine CAP 500MGQL

TIER 01 GENERIC

Cresemba CAP 186 MGQL,PA

gentamicin inj 40MG/ML

Sporanox Sol 10MG/MLPA

neomycin TAB 500MG


tobramycin neb 300/5MLQL,PA

bio-statin pow


Ancobon CAP 250MGQL

paromomycin CAP 250MG

Ancobon CAP 500MGQL

Arikayce Sus

Bio-statin CAP 1000000

Bethkis Neb 300/4MLQL,PA

Bio-statin CAP 500000

Kitabis PAK Neb 300/5MLQL,PA

Diflucan Sus 10MG/ML

Streptomycin Inj 1gm

Diflucan Sus 40MG/ML

Tobi Neb 300/5MLQL,PA

Diflucan TAB 100MG

Tobi Podhalr CAP 28MGQL,PA

Diflucan TAB 150MG

Tobramycin Neb 300/5MLQL,PA

Diflucan TAB 200MG

Diflucan TAB 50MG

SULFONAMIDES

Gris-peg TAB 125MG

Gris-peg TAB 250MG


Lamisil TAB 250MG

Sulfadiazine TAB 500MG

Noxafil Sus 40MG/MLQL,PA

Noxafil TAB 100MGPA

ANTIMYCOBACTERIAL AGENTS

Onmel TAB 200MGPA

TIER 01 GENERIC

Sporanox CAP PulsepakPA

ethambutol TAB 100MG

Sporanox CAP 100MGPA

ethambutol TAB 400MG

Tolsura CAP 65MGPA

isoniazid TAB 100MG

Vfend Sus 40MG/MLPA

isoniazid TAB 300MG

Vfend TAB 200MGPA

pyrazinamide TAB 500MG

Vfend TAB 50MGPA

rifabutin CAP 150MG

rifampin CAP 150MG

ANTIVIRALS

rifampin CAP 300MG

TIER 01 GENERIC

Isoniazid Syp 50MG/5ML

abaca/lamivu TAB 600-300QL

TIER 02 PREFERRED

abacav/lamiv TAB /zidovudQL

Priftin TAB 150MG

abacavir sol 20MG/ML


abacavir TAB 300MG

cycloserine CAP 250MG

acyclovir sus 200/5ML

Myambutol TAB 100MG

acyclovir CAP 200MG

Myambutol TAB 400MG

acyclovir TAB 400MG

Mycobutin CAP 150MG

acyclovir TAB 800MG

Paser Gra 4gm

adefov dipiv TAB 10MGQL

Rifadin CAP 150MG

atazanavir CAP 150MGQL

Rifadin CAP 300MG


Rifamate CAP




Juluca TAB 50-25MGQL

didanosine CAP 200MG

Kaletra TAB 100-25MG


Kaletra TAB 200-50MG


Ledip-sofosb TAB 90-400MGQL,PA

efavirenz CAP 200MG

Lexiva Sus 50MG/MLQL

efavirenz CAP 50MG

Norvir CAP 100MG

efavirenz TAB 600MG

Norvir Pow 100MG

entecavir TAB 0.5MGQL

Norvir Sol 80MG/ML

entecavir TAB 1MGQL

Odefsey TABQL

fosamprenavi TAB 700MGQL

Peg-intron Kit 120 RpQL

lamivud/zido TAB 150-300

Pegasys InjQL

lamivudine sol 10MG/ML

Pegasys Inj ProclickQL

lamivudine TAB 100MG

Pegasys Inj 180mcg/MQL


Pegintron Kit 50mcgQL


Prezcobix TAB 800-150QL

lopin/riton sol 80-20/ML

Prezista Sus 100MG/ML

moderiba TAB 200MGQL

Prezista TAB 150MG

nevirapine TAB 100MG

Prezista TAB 600MG

nevirapine TAB 200MG

Prezista TAB 75MG

nevirapine TAB 400MG ER

Prezista TAB 800MG

oseltamivir sus 6MG/ML

Rebetol Sol 40MG/MLQL

oseltamivir CAP 30MG

Relenza Mis Diskhale


Rescriptor TAB 100 MG


Rescriptor TAB 200MG

ribasphere CAP 200MGQL

Reyataz Pow 50MG

ribasphere TAB 200MGQL

Selzentry Sol 20MG/MLQL

ribavirin CAP 200MGQL

Selzentry TAB 150MGQL

ribavirin TAB 200MGQL

Selzentry TAB 25MG

rimantadine TAB 100MG

Selzentry TAB 300MGQL

ritonavir TAB 100MG

Selzentry TAB 75MG

stavudine CAP 15MG

Sofos/Velpat TAB 400-100QL,PA

stavudine CAP 20MG

Stribild TABQL,ST

stavudine CAP 30MG

Tamiflu CAP 30MG

stavudine CAP 40MG

Tamiflu CAP 45MG

tenofovir TAB 300MG

Tamiflu CAP 75MG

valacyclovir TAB 1gm

Tamiflu Sus 6MG/ML

valacyclovir TAB 500MG

Tivicay TAB 10MG

valganciclov sol 50MG/MLQL

Tivicay TAB 25MG

valganciclov TAB 450MGQL

Tivicay TAB 50MG

zidovudine syp 50MG/5ML

Triumeq TABQL

zidovudine CAP 100MG

Truvada TAB 100-150QL

zidovudine TAB 300MG


Symfi LO TAB


Symfi TAB


TIER 02 PREFERRED

Tybost TAB 150MGPA

Aptivus CAP 250MGQL

Videx Sol 2gm

Atripla TABQL

Videx Sol 4gm

Baraclude Sol .05MG/MLQL

Viracept TAB 250MG

Biktarvy TABQL

Viracept TAB 625MG

Cimduo TAB 300-300QL

Viread Pow 40MG/Gm

Complera TABQL,ST

Viread TAB 150MG

Crixivan CAP 200MG

Viread TAB 200MG

Crixivan CAP 400MG

Viread TAB 250MG

Descovy TAB 200/25QL

Vosevi TABQL,PA

Edurant TAB 25MG


Emtriva CAP 200MG

famciclovir TAB 125MG

Emtriva Sol 10MG/ML


Epclusa TAB 400-100QL,PA


Epivir HBV Sol 5MG/ML

nevirapine sus 50MG/5ML

Genvoya TAB

ribavirin inh 6gm

Harvoni TAB 90-400MGQL,PA

Aptivus SolQL

Intelence TAB 100MG

Baraclude TAB 0.5MGQL

Intelence TAB 200MG

Baraclude TAB 1MGQL

Intelence TAB 25MG

Combivir TAB 150-300

Invirase CAP 200MG

Copegus TAB 200MGQL

Invirase TAB 500MG

Daklinza TAB 30MGPA

Isentress Chw 100MG

Daklinza TAB 60MGPA

Isentress Chw 25MG

Daklinza TAB 90MGPA

Isentress HD TAB 600MG

Delstrigo TABQL,PA

Isentress TAB 400MG

Epivir HBV TAB 100MG



Epivir Sol 10MG/ML

Zovirax TAB 400MG

Epivir TAB 150MG

Zovirax TAB 800MG

Epivir TAB 300MG

QL,PA

Epzicom TAB 600-300QL

Evotaz TAB 300-150QL

ANTIMALARIALS

Flumadine TAB 100MG

TIER 01 GENERIC

Fuzeon Inj 90MGQL

chloroquine TAB 500MG

Hepsera TAB 10MGQL

hydroxychlor TAB 200MG

Isentress Pow 100MG

Chloroquine TAB 250MG

Kaletra Sol

Primaquine TAB 26.3MG

Lexiva TAB 700MGQL

TIER 02 PREFERRED

Mavyret TAB 100-40MGQL,PA

Daraprim TAB 25MGQL

Moderiba PAK 1200/DayQL


Moderiba PAK 800/Day

quinine sulf CAP 324MG

Moderiba TAB 1000/DayQL

Coartem TAB 20-120MG

Moderiba TAB 600/DayQL

Krintafel TAB 150MG

Norvir TAB 100MG

Plaquenil TAB 200MG

Olysio CAP 150MGQL,PA

Qualaquin CAP 324MG

Pifeltro TAB 100MGQL,PA

Prevymis TAB 240MGQL,PA

AMEBICIDES

Prevymis TAB 480MGQL,PA


Rebetol CAP 200MGQL

Solosec Gra 2gmPA

Retrovir CAP 100MG

Retrovir Syp 50MG/5ML

ANTHELMINTICS

Reyataz CAP 150MGQL

TIER 01 GENERIC

Reyataz CAP 200MGQL

albendazole TAB 200MG

Reyataz CAP 300MGQL

praziquantel TAB 600MG

Ribapak PAK 1200/DayQL

TIER 02 PREFERRED

Ribapak PAK 800/Day

Albenza TAB 200MG

Ribapak TAB 1000/DayQL


Ribapak TAB 600/DayQL

ivermectin TAB 3MG

Ribasphere TAB 400MG

Benznidazole TAB 100MGQL,PA

Ribasphere TAB 600MGQL

Benznidazole TAB 12.5MGQL,PA

Sitavig TAB 50MG

Biltricide TAB 600MG

Sovaldi TAB 400MGQL,PA

Emverm Chw 100MG

Sustiva CAP 200MG

Stromectol TAB 3MG

Sustiva CAP 50MG

Sustiva TAB 600MG

MISC. ANTI-INFECTIVES

Symtuza TABQL,PA

TIER 01 GENERIC

Technivie TABQL,PA

atovaquone sus 750/5ML

Trizivir TABQL

clindamycin inj 300/2ML

Valcyte Sol 50MG/MLQL

clindamycin sol 75MG/5ML

Valcyte TAB 450MGQL

clindamycin CAP 150MG

Valtrex TAB 1gm


Valtrex TAB 500MG


Vemlidy TAB 25MGQL,PA

colistimeth inj 150MG

Videx EC CAP 125MG

dapsone TAB 100MG

Videx EC CAP 200MG

dapsone TAB 25MG

Videx EC CAP 250MG

linezolid sus 100/5MLQL

Videx EC CAP 400MG

linezolid TAB 600MG

Viekira PAK TABQL,PA

metronidazol TAB 250MG

Viekira XR TABQL,PA

metronidazol TAB 500MG

Viramune Sus 50MG/5ML

smz-tmp sus 200-40/5

Viramune TAB 200MG

smz-tmp DS TAB 800-160

Viramune XR TAB 100MG

smz-tmp TAB 400-80MG

Viramune XR TAB 400MG

smz/tmp DS TAB 800-160

Virazole Inh 6gm

sulfatrim PD sus 200-40/5

Viread TAB 300MG

trimethoprim TAB 100MG

Xofluza TAB 20MGPA

vancomycin CAP 125MGQL

Xofluza TAB 40MGPA

vancomycin CAP 250MGQL

Zepatier TAB 50-100MGQL,PA

vancomycin 250/5ML

Zerit CAP 15MG

TIER 02 PREFERRED

Zerit CAP 20MG

Alinia Sus 100/5ML

Zerit CAP 30MG

Alinia TAB 500MG

Zerit CAP 40MG

Firvanq Sol 25MG/ML

Zerit Sol 1MG/ML

Firvanq Sol 50MG/ML

Ziagen Sol 20MG/ML

Primsol Sol 50MG/5ML

Ziagen TAB 300MG

Sivextro TAB 200MGQL

Zovirax CAP 200MG

Trimpex Sol 50MG/5ML

Zovirax Sus 200/5ML




fluorouracil CRE 5%

lincomycin inj 300MG/ML

mercaptopur TAB 50MG

metronidazol CAP 375MG

methotrexate inj 1gm

tinidazole TAB 250MG

methotrexate inj 1gm/40ML

tinidazole TAB 500MG

methotrexate inj 25MG/ML

Aemcolo TAB 194MGPA

methotrexate inj 250/10ML

Bactrim DS TAB 800-160

methotrexate inj 50MG/2ML

Bactrim TAB 400-80MG

methotrexate TAB 2.5MG

Cayston Inh 75MGQL,PA

Fluorouracil Sol 2%

Cleocin CAP 150MG

Fluorouracil Sol 5%

Cleocin CAP 300MG

Methotrexate Inj 25MG/ML

Cleocin CAP 75MG

TIER 02 PREFERRED

Cleocin Phos Inj 300/2ML

Carac CRE 0.5%

Cleocin PED Sol 75MG/5ML

Fluoroplex CRE 1%

Coly-mycin M Inj 150MG

Fluorouracil CRE 0.5%

First-vanc Sol 25MG/ML

Tabloid TAB 40MG

First-vanc Sol 50MG/ML


Flagyl CAP 375MG

Efudex CRE 5%

Flagyl TAB 250MG

Purixan Sus 20MG/MLPA

Flagyl TAB 500MG

Tolak CRE 4%

Impavido CAP 50MGQL,PA

Trexall TAB 10MG

Lincocin Inj 300MG/ML

Trexall TAB 15MG

Mepron Sus

Trexall TAB 5MG

Nebupent Inh 300MG

Trexall TAB 7.5MG

Pentam 300 Inj 300MG

Xatmep Sol 2.5MG/MLQL

Tindamax TAB 500MG

Xeloda TAB 150MGQL,PA

Vancocin HCL CAP 125MGQL

Xeloda TAB 500MGQL,PA

Vancocin HCL CAP 250MGQL

Xifaxan TAB 200MGQL,PA

HORMONAL AGENTS

Xifaxan TAB 550MGQL,PA

TIER 01 GENERIC

Zyvox Sus 100MG/5mQL

abiraterone TAB 250MGQL,PA

Zyvox TAB 600MG

anastrozole TAB 1MG

bicalutamide TAB 50MG

ANTINEOPLASTICS, ETC.

flutamide CAP 125MG

letrozole TAB 2.5MG

ALKYLATING AGENTS

leuprolide inj 1MG/0.2

TIER 01 GENERIC

megestrol ac sus 40MG/ML

cyclophosph CAP 25MG

megestrol ac sus 400MG/10

cyclophosph CAP 50MG

megestrol ac TAB 20MG

melphalan TAB 2MGQL

megestrol ac TAB 40MG

temozolomide CAP 100MGQL

tamoxifen TAB 10MG


tamoxifen TAB 20MG


TIER 02 PREFERRED


Lupron Depot Inj 11.25MG





Cyclophosph CAP 25MG

Lupron Depot Inj 30MG

Cyclophosph CAP 50MG

Lupron Depot Inj 45MG

TIER 02 PREFERRED


Gleostine CAP 10MG

Xtandi CAP 40MGQL,PA

Gleostine CAP 100MG

Zytiga TAB 250MGQL,PA

Gleostine CAP 40MG

Zytiga TAB 500MGQL,PA

Gleostine CAP 5MG


Leukeran TAB 2MG

exemestane TAB 25MG

Myleran TAB 2MGQL

nilutamide TAB 150MGPA


toremifene TAB 60MGPA

Alkeran TAB 2MGQL

Arimidex TAB 1MG

Hexalen CAP 50MGQL

Aromasin TAB 25MG

Temodar CAP 100MGQL

Casodex TAB 50MG

Temodar CAP 140MGQL

Depo-provera Inj 400/ML

Temodar CAP 180MGQL

Eligard Inj 22.5MG

Temodar CAP 20MGQL

Eligard Inj 30MG

Temodar CAP 250MGQL

Eligard Inj 45MG

Temodar CAP 5MGQL

Eligard Inj 7.5MG

Valchlor Gel 0.016%QL,PA

Emcyt CAP 140MGQL

Erleada TAB 60MGQL,PA

ANTIMETABOLITES

Fareston TAB 60MGPA

TIER 01 GENERIC

Femara TAB 2.5MG

capecitabine TAB 150MGQL,PA

Lysodren TAB 500MGPA

capecitabine TAB 500MGQL,PA



Nilandron TAB 150MGPA

Sandimmune CAP 100MG

Soltamox Sol 10MG/5ML

Sandimmune CAP 25MG

Yonsa TAB 125MGQL,PA

Sandimmune Sol 100MG/ML

Zortress TAB 0.25MGQL

IMMUNOMODULATORS



TIER 01 GENERIC

Zortress TAB 1MGQL

azathioprine TAB 50MG

cyclosporine sol modified

MITOTIC INHIBITORS

cyclosporine CAP 100MG

cyclosporine CAP 100MG MD

TIER 01 GENERIC

cyclosporine CAP 25MG

Etoposide CAP 50MGQL

cyclosporine CAP 25MG mod

gengraf sol 100MG/ML

ENZYME INHIBITORS

gengraf CAP 100MG

TIER 01 GENERIC

gengraf CAP 25MG

imatinib mes TAB 100MGQL,PA

gengraf CAP 50MG

imatinib mes TAB 400MGQL,PA

mycophenolat sus 200MG/ML

TIER 02 PREFERRED

mycophenolat CAP 250MG

Afinitor Dis TAB 2MGQL,PA

mycophenolat TAB 500MG


mycophenolic TAB 180MG DR


mycophenolic TAB 360MG DR

Afinitor TAB 10MGQL,PA

sirolimus TAB 0.5MG

Afinitor TAB 2.5MGQL,PA

sirolimus TAB 1MG

Afinitor TAB 5MGQL,PA

sirolimus TAB 2MG

Afinitor TAB 7.5MGQL,PA

tacrolimus CAP 0.5MG

Gilotrif TAB 20MGQL,PA

tacrolimus CAP 1MG


tacrolimus CAP 5MG


Cyclosporine CAP 50MG Mod

Imbruvica CAP 140MGQL,PA

TIER 02 PREFERRED

Imbruvica CAP 70MGQL,PA

sirolimus sol 1MG/ML

Imbruvica TAB 140MGQL,PA

Rapamune Sol 1MG/ML


Revlimid CAP 10MGQL,PA




Revlimid CAP 2.5MGQL,PA

Iressa TAB 250MGQL,PA


Mekinist TAB 0.5MGQL,PA


Mekinist TAB 2MGQL,PA


Nexavar TAB 200MGPA

Thalomid CAP 100MGQL,PA

Rydapt CAP 25MGQL,PA


Sprycel TAB 100MGQL,PA







Astagraf XL CAP 0.5MG


Astagraf XL CAP 1MG


Astagraf XL CAP 5MG

Stivarga TAB 40MGPA

Azasan TAB 100MG

Sutent CAP 12.5MGQL,PA

Azasan TAB 75 MG

Sutent CAP 25MGQL,PA

Cellcept CAP 250MG

Sutent CAP 37.5MGQL,PA

Cellcept Sus 200MG/ML

Sutent CAP 50MGQL,PA

Cellcept TAB 500MG

Tafinlar CAP 50MGQL,PA

Envarsus XR TAB 0.75MG

Tafinlar CAP 75MGQL,PA

Envarsus XR TAB 1MG

Tagrisso TAB 40MGQL,PA

Envarsus XR TAB 4MG

Tagrisso TAB 80MGQL,PA

Imuran TAB 50MG

Tarceva TAB 100MGPA

Myfortic TAB 180MG

Tarceva TAB 150MGPA

Myfortic TAB 360MG

Tarceva TAB 25MGPA

Neoral CAP 100MG

Tykerb TAB 250MGQL,PA

Neoral CAP 25MG

Votrient TAB 200MGQL,PA

Neoral Sol 100MG/ML

Zydelig TAB 100MGQL,PA

Pomalyst CAP 1MGQL,PA

Zydelig TAB 150MGQL,PA




Alecensa CAP 150MGQL,PA


Alunbrig PAKQL,PA

Prograf CAP 0.5MG

Alunbrig TAB 180MGQL,PA

Prograf CAP 1MG


Prograf CAP 5MG


Rapamune TAB 0.5MG

Bosulif TAB 100MGQL,PA

Rapamune TAB 1MG


Rapamune TAB 2MG




Braftovi CAP 50MGQL,PA

Vizimpro TAB 15MGQL,PA

Braftovi CAP 75MGQL,PA


Cabometyx TAB 20MGPA



Xalkori CAP 200MGQL,PA


Xalkori CAP 250MGQL,PA

Calquence CAP 100MGQL,PA

Xospata TAB 40MGQL,PA

Caprelsa TAB 100MGQL,PA

Zejula CAP 100MGQL,PA

Caprelsa TAB 300MGQL,PA

Zelboraf TAB 240MGPA

Cometriq Kit 100MGQL,PA

Zolinza CAP 100MGQL,PA


Zykadia CAP 150MGQL,PA


Copiktra CAP 15MGQL,PA

TOPOISOMERASE I INHIBITOR

Copiktra CAP 25MGQL,PA


Cotellic TAB 20MGQL,PA

Hycamtin CAP 0.25MGQL

Farydak CAP 10MGQL,PA

Hycamtin CAP 1MGQL



ANTINEOPLASTICS MISC.

Gleevec TAB 100MGQL,PA

TIER 01 GENERIC

Gleevec TAB 400MGQL,PA

hydroxyurea CAP 500MG

Ibrance CAP 100MGQL,PA

tretinoin CAP 10MGQL


TIER 02 PREFERRED


Intron A Inj 10muQL

Iclusig TAB 15MGQL,PA

Intron A Inj 18muQL

Iclusig TAB 45MGQL,PA

Intron A Inj 25muQL

Idhifa TAB 100MGQL,PA

Intron A Inj 50muQL

Idhifa TAB 50MGQL,PA

Matulane CAP 50MGQL

Inlyta TAB 1MGQL,PA

Picato Gel 0.015%QL

Inlyta TAB 5MGQL,PA

Picato Gel 0.05%QL

Jakafi TAB 10MGPA


Jakafi TAB 15MGPA

bexarotene CAP 75MGQL,PA

Jakafi TAB 20MGPA

Actimmune Inj 2mu/0.5QL

Jakafi TAB 25MGPA

Alferon N Inj 5mu/ML

Jakafi TAB 5MGPA

Hydrea CAP 500MG

Kisqali TAB 200doseQL,PA

Sylatron Kit 200mcgQL





Lenvima CAP 10 MGQL,PA

Targretin CAP 75MGQL,PA

Lenvima CAP 12MGQL,PA


CHEMOTHERAPY RESCUE

Lenvima CAP 18 MGPA

TIER 01 GENERIC


leucovor CA TAB 25MG


leucovor CA TAB 5MG

Lenvima CAP 4MGQL,PA

mesna inj 1gm

Lenvima CAP 8 MGPA

Leucovor CA TAB 10MG

Lorbrena TAB 100MGQL,PA

Leucovor CA TAB 15MG

Lorbrena TAB 25MGQL,PA

TIER 02 PREFERRED

Lynparza CAP 50MGQL,PA

Mesnex TAB 400MG

Lynparza TAB 100MGQL,PA


Lynparza TAB 150MGQL,PA

Leucovorin Inj 100/10ML

Mektovi TAB 15MGQL,PA

Nerlynx TAB 40MGQL,PA

ANTINEOPLASTIC COMBO

Ninlaro CAP 2.3MGQL,PA


Ninlaro CAP 3MGQL,PA

Kisqali 200 PAK FemaraQL,PA

Ninlaro CAP 4MGQL,PA


Rubraca TAB 200MGQL,PA



Lonsurf TAB 15-6.14QL,PA


Lonsurf TAB 20-8.19QL,PA

Talzenna CAP 0.25MGQL,PA

Talzenna CAP 1MGQL,PA

CARDIOVASCULAR DRUGS

Tasigna CAP 150MGQL,PA

CARDIAC GLYCOSIDES


TIER 01 GENERIC


digitek TAB 0.125MG

Tibsovo TAB 250MGQL,PA

digitek TAB 0.25MG

Verzenio TAB 100MGQL,PA

digox TAB 0.125MG


digox TAB 0.25MG


digoxin inj 0.25MG/1


digoxin TAB 0.125MG

Vitrakvi CAP 100MGQL,PA

digoxin TAB 0.25MG

Vitrakvi CAP 25MGQL,PA

Digoxin Sol 50mcg/ML

Vitrakvi Sol 20MG/MLQL,PA




carvedilol TAB 3.125MG

Lanoxin Inj 0.25MG/1


Lanoxin PED Inj 0.1MG/ML

labetalol TAB 100MG

Lanoxin TAB 0.0625MG

labetalol TAB 200MG

Lanoxin TAB 0.125MG

labetalol TAB 300MG

Lanoxin TAB 0.1875MG

metoprol suc TAB 100MG ER

Lanoxin TAB 0.25MG



ANTIANGINAL AGENTS


metoprol TAR TAB 100MG

TIER 01 GENERIC


isosorb din TAB 10MG



metoprolol TAB 100MG ER



isosorb din TAB 5MG


isosorb mono TAB 10MG


isosorb mono TAB 120MG ER

nadolol TAB 20MG

isosorb mono TAB 20MG

nadolol TAB 40MG


nadolol TAB 80MG


pindolol TAB 10MG

minitran dis 0.1MG/HR

pindolol TAB 5MG


propranolol CAP 120MG ER





nitro-time CAP 9MG CR


nitroglycer dis 0.1MG/HR

propranolol TAB 10MG







nitroglycer CAP 9MG ER


nitroglyceri sub 0.6MG

sorine TAB 120MG

nitroglycern sub 0.3MG

sorine TAB 160MG

nitroglycern sub 0.4MG

sorine TAB 240MG

TIER 02 PREFERRED

sorine TAB 80MG

Isordil TAB 40MG

sotalol AF TAB 120MG

Nitro-bid Oin 2%

sotalol AF TAB 160MG

Nitro-dur Dis 0.3MG/HR

sotalol AF TAB 80MG


sotalol HCL TAB 120MG



nitroglycrn spr 0.4MG


Dilatrate SR CAP 40MG


Gonitro Pow 400mcg

Metoprolol TAB 37.5MG

Isordil TAB 5MG

Metoprolol TAB 75MG

Isosorb Din TAB 40MG ER

Propranolol Sol 20MG/5ML


Propranolol Sol 40MG/5ML


Timolol Mal TAB 10MG


Timolol Mal TAB 20MG


Timolol Mal TAB 5MG

Nitroglycer Aer 400mcg


Nitrolingual Spr Pumpspra

carvedilol CAP 10MG ER

Nitromist Aer 400mcg


Nitrostat Sub 0.3MG


Nitrostat Sub 0.4MG


Nitrostat Sub 0.6MG

Betapace AF TAB 120MG

Ranexa TAB 1000MGPA


Ranexa TAB 500MGPA


Betapace TAB 120MG

BETA BLOCKERS

Betapace TAB 160MG

TIER 01 GENERIC

Betapace TAB 80MG

acebutolol CAP 200MG

Bystolic TAB 10MG

acebutolol CAP 400MG

Bystolic TAB 2.5MG

atenolol TAB 100MG

Bystolic TAB 20MG

atenolol TAB 25MG

Bystolic TAB 5MG

atenolol TAB 50MG

Coreg CR CAP 10MG

betaxolol TAB 10MG

Coreg CR CAP 20MG

betaxolol TAB 20MG

Coreg CR CAP 40MG

bisoprol fum TAB 10MG

Coreg CR CAP 80MG

bisoprol fum TAB 5MG

Coreg TAB 12.5MG


Coreg TAB 25MG

carvedilol TAB 25MG

Coreg TAB 3.125MG



Coreg TAB 6.25MG

nifedipine CAP 20MG

Corgard TAB 20MG

nifedipine TAB 30MG ER

Corgard TAB 40MG


Corgard TAB 80MG


First - Meto Sol 10MG/ML

nimodipine CAP 30MG

Hemangeol Sol 4.28/MLPA

verapamil CAP 120MG ER

Inderal LA CAP 120MG

verapamil CAP 120MG SR

Inderal LA CAP 160MG


Inderal LA CAP 60MG


Inderal LA CAP 80MG


Inderal XL CAP 120MG


Inderal XL CAP 80MG

verapamil TAB 120MG

Innopran XL CAP 120MG

verapamil TAB 120MG ER

Innopran XL CAP 80MG


Kapspargo CAP 100MG


Kapspargo CAP 200MG

verapamil TAB 40MG

Kapspargo CAP 25MG

verapamil TAB 80MG

Kapspargo CAP 50MG

Verapamil CAP 360MG SR

Lopressor TAB 100MG


Lopressor TAB 50MG

diltiazem CAP 120MG/24

Sotylize Sol 5MG/ML


Tenormin TAB 100MG


Tenormin TAB 25MG


Tenormin TAB 50MG


Toprol XL TAB 100MG


Toprol XL TAB 200MG

diltiazem ER TAB 180MG

Toprol XL TAB 25MG


Toprol XL TAB 50MG


Zebeta TAB 10MG



CALCIUM CHANNEL BLOCKERS

matzim LA TAB 180MG/24


TIER 01 GENERIC


afeditab TAB 30MG CR


afeditab TAB 60MG CR


amlodipine TAB 10MG

nisoldipine TAB 17MG ER

amlodipine TAB 2.5MG

nisoldipine TAB 34MG ER

amlodipine TAB 5MG

nisoldipine TAB 8.5MG ER

cartia XT CAP 120/24HR

taztia XT CAP 120MG/24







dilt-XR CAP 120MG


dilt-XR CAP 180MG


dilt-XR CAP 240MG


diltiazem CAP 120MG CD


diltiazem CAP 120MG ER

Adalat CC TAB 30MG ER






Calan SR TAB 120MG


Calan SR TAB 180MG


Calan SR TAB 240MG


Calan TAB 120MG


Calan TAB 80MG


Cardizem CD CAP 120MG/24





diltiazem ER CAP 360MG


diltiazem TAB 120MG


diltiazem TAB 30MG

Cardizem LA TAB 120MG

diltiazem TAB 60MG


diltiazem TAB 90MG


felodipine TAB 10MG ER

Cardizem LA TAB 300MG/24

felodipine TAB 2.5MG ER


felodipine TAB 5MG ER

Cardizem LA TAB 420MG/24

isradipine CAP 2.5MG

Cardizem TAB 120MG

isradipine CAP 5MG

Cardizem TAB 30MG

nicardipine CAP 20MG

Cardizem TAB 60MG

nicardipine CAP 30MG

Nisoldipine TAB 20MG ER

nifedipine CAP 10MG

Nisoldipine TAB 25.5MG




Rythmol SR CAP 225MG



Norvasc TAB 10MG


Norvasc TAB 2.5MG

Tikosyn CAP 125mcgPA

Norvasc TAB 5MG


Nymalize Sol 30/10MLQL


Nymalize Sol 60/20MLQL

Procardia CAP 10MG

ACE INHIBITORS

Procardia XL TAB 30MG CR

TIER 01 GENERIC


benazepril TAB 10MG


benazepril TAB 20MG

Sular TAB 17MG

benazepril TAB 40MG

Sular TAB 34MG

benazepril TAB 5MG

Sular TAB 8.5MG

captopril TAB 100MG

Tiazac CAP 120MG/24

captopril TAB 12.5MG

Tiazac CAP 180MG/24

captopril TAB 25MG

Tiazac CAP 240MG/24

captopril TAB 50MG

Tiazac CAP 300MG/24

enalapril TAB 10MG

Tiazac CAP 360MG/24

enalapril TAB 2.5MG

Tiazac CAP 420MG/24

enalapril TAB 20MG

Verelan CAP 120MG SR

enalapril TAB 5MG


fosinopril TAB 10MG


fosinopril TAB 20MG


fosinopril TAB 40MG

Verelan PM CAP 100MG ER

lisinopril TAB 10MG


lisinopril TAB 2.5MG


lisinopril TAB 20MG

lisinopril TAB 30MG

ANTIARRHYTHMICS

lisinopril TAB 40MG

TIER 01 GENERIC

lisinopril TAB 5MG

amiodarone TAB 200MG

moexipril TAB 15MG

disopyramide CAP 100MG

moexipril TAB 7.5MG

disopyramide CAP 150MG

perindopril TAB 2MG

flecainide TAB 100MG

perindopril TAB 4MG

flecainide TAB 150MG

perindopril TAB 8MG

flecainide TAB 50MG

quinapril TAB 10MG

mexiletine CAP 150MG

quinapril TAB 20MG


quinapril TAB 40MG


quinapril TAB 5MG

pacerone TAB 200MG

ramipril CAP 1.25MG

procainamide inj 100MG/ML

ramipril CAP 10MG

procainamide inj 1000/10

ramipril CAP 2.5MG

procainamide inj 500MG/ML

ramipril CAP 5MG

propafenone TAB 150MG

trandolapril TAB 1MG





quinidine gl TAB 324MG CR


quinidine gl TAB 324MG ER

Accupril TAB 10MG

Quinidine SU TAB 200MG

Accupril TAB 20MG

Quinidine SU TAB 300MG

Accupril TAB 40MG

TIER 02 PREFERRED

Accupril TAB 5MG

Norpace CAP 100MG CR

Aceon TAB 4MG

Norpace CAP 150MG CR

Aceon TAB 8MG


Altace CAP 1.25MG


Altace CAP 10MG


Altace CAP 2.5MG

dofetilide CAP 125mcgPA

Altace CAP 5MG


Epaned Sol 1MG/ML


Lotensin TAB 10MG

pacerone TAB 100MG

Lotensin TAB 20MG

pacerone TAB 400MG

Lotensin TAB 40MG

propafenone CAP 225MG ER

Prinivil TAB 10MG


Prinivil TAB 20MG


Prinivil TAB 5MG

propafenone CAP 425MG SR

Qbrelis Sol 1MG/ML

Multaq TAB 400MG

Vasotec TAB 10MG

Norpace CAP 100MG

Vasotec TAB 2.5MG

Norpace CAP 150MG

Vasotec TAB 20MG

Quinidine Gl Inj 80MG/ML

Vasotec TAB 5MG



Zestril TAB 10MG

doxazosin TAB 2MG

Zestril TAB 2.5MG

doxazosin TAB 4MG

Zestril TAB 20MG

doxazosin TAB 8MG

Zestril TAB 30MG

eplerenone TAB 25MG

Zestril TAB 40MG

eplerenone TAB 50MG

Zestril TAB 5MG

guanfacine TAB 1MG

guanfacine TAB 2MG

hydralazine TAB 10MG

ANGIOTENSIN RCPTR BLOCKER



TIER 01 GENERIC


irbesartan TAB 150MG

methyldopa TAB 250MG

irbesartan TAB 300MG

methyldopa TAB 500MG

irbesartan TAB 75MG

minoxidil TAB 10MG

losartan pot TAB 100MG

minoxidil TAB 2.5MG


phenoxybenza CAP 10MG


phentolamine inj 5MG

valsartan TAB 160MG

prazosin HCL CAP 1MG

valsartan TAB 320MG


valsartan TAB 40MG


valsartan TAB 80MG

terazosin CAP 1MG


terazosin CAP 10MG

candesartan TAB 16MG

terazosin CAP 2MG

candesartan TAB 32MG

terazosin CAP 5MG

candesartan TAB 4MG


candesartan TAB 8MG

Cardura TAB 1MG

olmesa medox TAB 20MGST

Cardura TAB 2MG


Cardura TAB 4MG


Cardura TAB 8MG

telmisartan TAB 20MG

Catapres TAB 0.1MG


Catapres TAB 0.2MG


Catapres TAB 0.3MG

Atacand TAB 16MG

Catapres-tts Dis 0.1/24HR

Atacand TAB 32MG


Atacand TAB 4MG


Atacand TAB 8MG

Demser CAP 250MG

Avapro TAB 150MG

Dibenzyline CAP 10MG

Avapro TAB 300MG

Inspra TAB 25MG

Avapro TAB 75MG

Inspra TAB 50MG

Benicar TAB 20MGST

Minipress CAP 1MG

Benicar TAB 40MGST

Minipress CAP 2MG

Benicar TAB 5MGST

Minipress CAP 5MG

Cozaar TAB 100MG

Vecamyl TAB 2.5MG

Cozaar TAB 25MG

Cozaar TAB 50MG

ANTIHYPERTENSIVE COMBO

Diovan TAB 160MG

Diovan TAB 320MG

TIER 01 GENERIC

Diovan TAB 40MG

amlod/benazp CAP 10-20MG

Diovan TAB 80MG


Edarbi TAB 40MGST

amlod/benazp CAP 2.5-10MG

Edarbi TAB 80MGST


Eprosart Mes TAB 600MGST


Micardis TAB 20MG


Micardis TAB 40MG

atenol/chlor TAB 100-25MG

Micardis TAB 80MG

atenol/chlor TAB 50-25MG

benazep/hctz TAB 10-12.5

DIRECT RENIN INHIBITORS


benazep/hctz TAB 20-25MG



Tekturna TAB 150MGST

bisoprl/hctz TAB 10/6.25

Tekturna TAB 300MGST

bisoprl/hctz TAB 2.5/6.25

bisoprl/hctz TAB 5-6.25MG

ANTIHYPERTENSIVES MISC.

enalapr/hctz TAB 10-25MG

TIER 01 GENERIC

enalapr/hctz TAB 5-12.5MG

clonidine dis 0.1/24HR

fosinop/hctz TAB 10/12.5


fosinop/hctz TAB 20/12.5


irbesar/hctz TAB 150-12.5

clonidine TAB 0.1MG

irbesar/hctz TAB 300-12.5

clonidine TAB 0.2MG

lisinop/hctz TAB 10-12.5

clonidine TAB 0.3MG

lisinop/hctz TAB 20-12.5

doxazosin TAB 1MG



lisinop/hctz TAB 20-25MG

Azor TAB 5-40MGST

losartan/HCT TAB 100-12.5

Benicar HCT TAB 20-12.5ST

losartan/HCT TAB 100-25

Benicar HCT TAB 40-12.5ST

losartan/HCT TAB 50-12.5

Benicar HCT TAB 40-25MGST

metoprl/hctz TAB 100-25MG

Byvalson TAB 5-80MG


Clorpres TAB 0.1-15MG



moexipr/hctz TAB 15-12.5


moexipr/hctz TAB 15-25MG

Corzide TAB 40-5MG

moexipr/hctz TAB 7.5-12.5

Corzide TAB 80-5MG

qnapril/hctz TAB 10-12.5

Diovan HCT TAB 160-12.5

qnapril/hctz TAB 20-12.5

Diovan HCT TAB 160-25MG

qnapril/hctz TAB 20-25MG

Diovan HCT TAB 320-12.5

valsart/hctz TAB 160-12.5

Diovan HCT TAB 320-25MG

valsart/hctz TAB 160-25MG

Diovan HCT TAB 80/12.5


Dutoprol TAB 100-12.5

valsart/hctz TAB 320-25MG




Captopr/Hctz TAB 25-15MG

Edarbyclor TAB 40-12.5ST


Edarbyclor TAB 40-25MGST


Exforge TAB 10-160MGST



Metoprl/Hctz TAB 100-50MG


Moexipr/Hctz TAB 15-12.5


Moexipr/Hctz TAB 15-25MG

Exforgeh/10- TAB 160-12.5

Moexipr/Hctz TAB 7.5-12.5

Exforgeh/10- TAB 160-25

Propran/Hctz TAB 40/25


Propran/Hctz TAB 80/25

Exforgeh/5- TAB 160-12.5



Hyzaar TAB 100-12.5

amlod/olmesa TAB 10-20MGST

Hyzaar TAB 100-25


Hyzaar TAB 50-12.5


Lopress HCT TAB 50-25MG


Lotensin HCT TAB 10-12.5

amlod/valsar TAB /hctz

Lotensin HCT TAB 20-12.5

amlod/valsar TAB 10-160MGST

Lotensin HCT TAB 20-25MG


Lotrel CAP 10-20MG


Lotrel CAP 10-40MG


Lotrel CAP 5-10MG

candesa/hctz TAB 16-12.5

Lotrel CAP 5-20MG

candesa/hctz TAB 32-12.5

Methyld/Hctz TAB 250/15

candesa/hctz TAB 32-25MG

Methyld/Hctz TAB 250/25

nadolol/bend TAB 40-5MG

Metopro/Hctz TAB 100-12.5

nadolol/bend TAB 80-5MG


olm MED/amlo TAB /hctzST


olm MED/hctz TAB 20-12.5ST

Micardis HCT TAB 40/12.5

olm MED/hctz TAB 40-12.5ST

Micardis HCT TAB 80-25MG

olm MED/hctz TAB 40-25MGST

Micardis HCT TAB 80/12.5

telmis/amlod TAB 40-10MG

Prestalia TAB 14-10MG


Prestalia TAB 3.5-2.5


Prestalia TAB 7-5MG


Tarka TAB 1-240 CR

telmisa/hctz TAB 40-12.5

Tarka TAB 2-180 CR

telmisa/hctz TAB 80-12.5

Tarka TAB 2-240 CR

telmisa/hctz TAB 80-25MG

Tarka TAB 4-240 CR

trando/verap TAB 1-240 ER

Tekturna HCT TAB 150-12.5ST


Tekturna HCT TAB 150-25MGST


Tekturna HCT TAB 300-12.5ST


Tekturna HCT TAB 300-25MGST

Accuretic TAB 10-12.5

Tenoretic TAB 100

Accuretic TAB 20-12.5

Tenoretic TAB 50

Accuretic TAB 20-25MG

Trando/Verap TAB 1-240 ER

Atacand HCT TAB 16-12.5

Tribenzor20- TAB 5-12.5MGST

Atacand HCT TAB 32-12.5

Tribenzor40- TAB 10-12.5ST

Atacand HCT TAB 32-25MG

Tribenzor40- TAB 10-25MGST

Avalide TAB 150-12.5

Tribenzor40- TAB 5-12.5MGST

Avalide TAB 300-12.5

Tribenzor40- TAB 5-25MGST

Azor TAB 10-20MGST

Twynsta TAB 40-10MG

Azor TAB 10-40MGST

Twynsta TAB 40-5MG

Azor TAB 5-20MGST

Twynsta TAB 80-10MG



Twynsta TAB 80-5MG

Bumex TAB 1MG

Vaseretic TAB 10-25MG

Bumex TAB 2MG

Zestoretic TAB 10-12.5

Carospir Sus 25MG/5ML

Zestoretic TAB 20-12.5

Demadex TAB 10MG

Zestoretic TAB 20-25MG

Demadex TAB 20MG

Ziac TAB 10/6.25

Diamox Seque CAP 500MG CR

Ziac TAB 2.5/6.25

Dyazide CAP 37.5-25

Ziac TAB 5-6.25MG

Edecrin TAB 25MGPA

Keveyis TAB 50MGQL,PA

DIURETICS

Lasix TAB 20MG

Lasix TAB 40MG

TIER 01 GENERIC

Lasix TAB 80MG

acetazolamid CAP 500MG ER

Maxzide TAB 75-50

acetazolamid TAB 125MG

Maxzide-25 TAB

acetazolamid TAB 250MG

Microzide CAP 12.5MG

amilor/hctz TAB 5-50

Neptazane TAB 25MG

amiloride TAB 5MG

Neptazane TAB 50MG

bumetanide TAB 0.5MG

bumetanide TAB 1MG

VASOPRESSORS

bumetanide TAB 2MG

chlorothiaz TAB 500MG

TIER 01 GENERIC

chlorthalid TAB 25MG

epinephrine inj 0.1MG/ML

chlorthalid TAB 50MG

epinephrine inj 0.3MG

ethacrynic TAB acd 25MGPA

epinephrine inj 1MG/ML

furosemide inj 10MG/ML

midodrine TAB 10MG

furosemide inj 100/10ML

midodrine TAB 2.5MG

furosemide inj 20MG/2ML

midodrine TAB 5MG

furosemide inj 40MG/4ML

Epinephrine Inj 0.15MG (generic for Adrenaclick)

furosemide sol 10MG/ML

Epinephrine Inj 0.3MG (generic for Adrenaclick)

furosemide TAB 20MG

Epinephrine Inj 1MG/ML

furosemide TAB 40MG

TIER 02 PREFERRED

furosemide TAB 80MG

Epipen 2-PAK Inj 0.3MG (and authorized generic)

hydrochlorot CAP 12.5MG

Epipen-JR Inj 0.15MG (and authorized generic)

hydrochlorot TAB 12.5MG


hydrochlorot TAB 25MG

Adrenaclick Inj 0.15MG

hydrochlorot TAB 50MG

Adrenaclick Inj 0.3MG

indapamide TAB 1.25MG

Adyphren Amp Kit 1MG/ML

indapamide TAB 2.5MG

Adyphren II Kit

methazolamid TAB 25MG

Adyphren Kit

methazolamid TAB 50MG

Auvi-q Inj 0.1MG

metolazone TAB 10MG

Auvi-q Inj 0.15MG

metolazone TAB 2.5MG

Auvi-q Inj 0.3MG

metolazone TAB 5MG

Epinephrine Kit 1MG/ML

spirono/hctz TAB 25/25

Epinphephrin Kit Snap-v

spironolact TAB 100MG

Episnap Kit


Northera CAP 100MGQL,PA



torsemide TAB 10MG


torsemide TAB 100MG

Symjepi Inj 0.3MG

torsemide TAB 20MG

torsemide TAB 5MG

ANTIHYPERLIPIDEMICS

triamt/hctz CAP 37.5-25

TIER 01 GENERIC

triamt/hctz TAB 37.5-25

atorvastatin TAB 10MG

triamt/hctz TAB 75-50MG


Chlorothiaz TAB 250MG


Furosemide Sol 8MG/ML


Methyclothia TAB 5MG

cholestyram pow 4gm packets

Triamt/Hctz CAP 50-25MG

cholestyram pow 4gm lite packets

TIER 02 PREFERRED

colestipol gra 5gm

Aldactazide TAB 50/50

colestipol TAB 1gm

Diuril Sus 250/5ML

ezetim/simva TAB 10-10MGPA

Dyrenium CAP 100MG


Dyrenium CAP 50MG




acetazolamid inj 500MG

ezetimibe TAB 10MGPA

Aldactazide TAB 25/25

fenofibrate CAP 130MG

Aldactone TAB 100MG


Aldactone TAB 25MG


Aldactone TAB 50MG


Bumex TAB 0.5MG




fenofibrate TAB 160

Juxtapid CAP 60MGQL,PA

fenofibrate TAB 160MG

Kynamro Inj 200MG/MLQL,PA


Lescol XL TAB 80MG

gemfibrozil TAB 600MG

Lipitor TAB 10MG

lovastatin TAB 10MG

Lipitor TAB 20MG

lovastatin TAB 20MG

Lipitor TAB 40MG

lovastatin TAB 40MG

Lipitor TAB 80MG

pravastatin TAB 10MG

Lipofen CAP 150MG


Lipofen CAP 50MG


Livalo TAB 1MG


Livalo TAB 2MG

prevalite pow 4gm

Livalo TAB 4MG

prevalite pow 4gm pk

Lofibra CAP 200MG

rosuvastatin TAB 10MG

Lopid TAB 600MG


Lovaza CAP 1gm


Mevacor TAB 40MG


Niacor TAB 500MG

simvastatin TAB 10MG

Niaspan TAB 1000 ER


Niaspan TAB 500MG ER


Niaspan TAB 750MG ER

simvastatin TAB 5MG

Praluent Inj 150MG/MLQL,PA


Praluent Inj 75MG/MLQL,PA

Fenofibric TAB 105MG

Pravachol TAB 20MG

Fenofibric TAB 35MG

Pravachol TAB 40MG


Pravachol TAB 80MG

colesevelam PAK 3.75

Questran Pow 4gm

colesevelam TAB 625MG

Questran Pow 4gm Lite


Repatha Inj 140MG/MLPA


Repatha Push Inj 420/3.5PA


Repatha Sure Inj 140MG/MLPA


Tricor TAB 145MG

fenofibric CAP 135MG DR

Tricor TAB 48MG

fenofibric CAP 45MG DR

Triglide TAB 160MG

fluvastatin CAP 20MG

Trilipix CAP 135MG

fluvastatin CAP 40MG

Trilipix CAP 45MG

fluvastatin TAB 80MG ER

Vascepa CAP 0.5gmPA

niacin ER TAB 1000MG

Vascepa CAP 1gm

niacin ER TAB 500MG

Vytorin TAB 10-10MGPA

niacin ER TAB 500MG ER


niacin ER TAB 750MG


niacin TAB 500MG ER


omega-3-acid CAP 1gm

Welchol PAK 3.75gm

triklo CAP 1gm

Welchol TAB 625MG

Altoprev TAB 20MG ER

Zetia TAB 10MGPA


Zocor TAB 10MG


Zocor TAB 20MG

Antara CAP 30MG

Zocor TAB 40MG

Antara CAP 90MG

Zocor TAB 5MG

Colestid FLA Gra 5/7.5gm

Zocor TAB 80MG

Colestid FLA Gra 5gm

Zypitamag TAB 1MG

Colestid Gra 5gm

Zypitamag TAB 2MG

Colestid Pow 5gm

Zypitamag TAB 4MG

Colestid TAB 1gm

QL,PA

Crestor TAB 10MG

Crestor TAB 20MG

CARDIOVASCULAR - MISC.

Crestor TAB 40MG

TIER 01 GENERIC

Crestor TAB 5MG

papaverine inj 30MG/ML

Fenofibrate CAP 150MG

sildenafil TAB 20MGPA

Fenofibrate CAP 50MG

Papaverine Sol 30MG/ML

Fenoglide TAB 120MG

TIER 02 PREFERRED

Fenoglide TAB 40MG

Entresto TAB 24-26MGPA

Fibricor TAB 105MG


Fibricor TAB 35MG


Flolipid Sus 20MG/5ML

Letairis TAB 10MGQL,PA

Flolipid Sus 40MG/5ML

Letairis TAB 5MGQL,PA


Opsumit TAB 10MGQL,PA


Tracleer TAB 125MGQL,PA


Tracleer TAB 32MGQL,PA


Tracleer TAB 62.5MGQL,PA




Tyvaso Refil Sol 0.6MG/MLQL,PA

clindacin mis etz 1%

Tyvaso Sol 0.6MG/MLQL,PA

clindacin-p pad 1%

Tyvaso Start Sol 0.6MG/MLQL,PA

clindamy/ben gel 1-5%

Uptravi TAB 1000mcgQL,PA

clindamycin gel 1%


clindamycin lot 1%


clindamycin lot 10MG/ML


clindamycin mis 1%

Uptravi TAB 200/800QL,PA

clindamycin pad 1%


clindamycin sol 1%


ery/benzoyl gel 5-3%


erythromycin gel 2%


erythromycin sol 2%

Ventavis Sol 10mcg/MLQL,PA

isotretinoin CAP 10MG

Ventavis Sol 20mcg/MLQL,PA




amlod/atorva TAB 10-10MG



myorisan CAP 10MG


myorisan CAP 20MG


myorisan CAP 30MG

amlod/atorva TAB 2.5-10MG

myorisan CAP 40MG


rosanil emu cleanser


sod SUL/sulf emu 10-5%


sulfacetamid lot 10%


tretinoin gel 0.01%


tretinoin gel 0.025%


tretinoin gel 0.04%

tadalafil TAB 20MGQL,PA

tretinoin gel 0.04%pmp

Adcirca TAB 20MGQL,PA

tretinoin gel 0.1%

Adempas TAB 0.5MGQL,PA

tretinoin gel 0.1%P.M.


tretinoin CRE 0.025%

Adempas TAB 1MGQL,PA

tretinoin CRE 0.05%


tretinoin CRE 0.1%

Adempas TAB 2MGQL,PA

zenatane CAP 10MG

Bidil TAB

zenatane CAP 20MG

Caduet TAB 10-10MG

zenatane CAP 30MG

Caduet TAB 10-20MG

zenatane CAP 40MG

Caduet TAB 10-40MG

Differin CRE 0.1%

Caduet TAB 10-80MG

Retin-a CRE 0.025%

Caduet TAB 5-10MG

Retin-a CRE 0.05%

Caduet TAB 5-20MG

Retin-a CRE 0.1%

Caduet TAB 5-40MG

Retin-a Gel 0.01%

Caduet TAB 5-80MG

Retin-a Gel 0.025%

Corlanor TAB 5MGPA

Retin-a Micr Gel 0.04%

Corlanor TAB 7.5MGPA

Retin-a Micr Gel 0.04%pmp

Orenitram TAB 0.125MGQL,PA



Retin-a Micr Gel 0.1%P.M.

Orenitram TAB 1MGQL,PA

Sod SUL/Sulf Emu 10-5%


Sod SUL/Sulf Lot 10-5%

Orenitram TAB 5MGQL,PA

TIER 02 PREFERRED

Revatio Sus 10MG/MLQL,PA

Adapalene Lot 0.1%

Revatio TAB 20MGPA

Azelex CRE 20%

Differin Lot 0.1%

DERMATOLOGICALS


adapal/ben p gel 0.1-2.5%

ACNE PRODUCTS

avar-e emoll CRE 10-5%

TIER 01 GENERIC

avar-e green CRE 10-5%

adapalene gel pmp 0.3%

benz per- HC lot 5-0.5%

adapalene gel 0.1%

benzepro mis 6%

adapalene gel 0.3%

bp 10-1 emu

adapalene CRE 0.1%

bpo cloths mis 6%

amnesteem CAP 10MG

cerisa wash emu 10-1%

amnesteem CAP 20MG

clearplex X gel 10%

amnesteem CAP 40MG

clindamy/ben gel 1.2-5%

avar cleanse emu 10-5%

clindamycin aer 1%

avita gel 0.025%

clindamycin gel tretinoi

avita CRE 0.025%

dapsone gel 5%

claravis CAP 10MG

ery pad 2%

claravis CAP 20MG

erythromycin pad 2%

claravis CAP 30MG

neuac gel 1.2-5%

claravis CAP 40MG

sod SUL/sulf liq wash



sod SUL/sulf liq 10-2%

Sod SUL/Sulf Sus 10-5%

sod SUL/sulf liq 9.8-4.8%

Sss 10-5 Aer 10-5%

sod SUL/sulf liq 9-4.5%

Sumadan Wash Liq 9-4.5%

sod SUL/sulf lot 9.8-4.8%

Sumaxin Pad 10-4%

sod SUL/sulf pad 10-4%

Sumaxin Ts Sus 8-4%

sod SUL/sulf sus 8-4%

Sumaxin Wash Liq 9-4%

sod SUL/sulf CRE 10-2%

SUL sod/sulf pad 10-4%

sod SUL/sulf CRE 10-5%

Tretin-x CRE 0.075%

sod SUL/sulf CRE 9.8-4.8%

Veltin Gel

sss CRE 10%-5%

Zaclir Lot 8%

sulfacleanse sus 8-4%

Ziana Gel

sulfamez emu 10-1%

sulfur/resor lot 5-2%

ROSACEA AGENTS

tretinoin gel 0.05%

TIER 01 GENERIC

vanoxide-HC lot 5-0.5%

azelaic acid gel 15%

zencia liq 9-4%

metronidazol gel 0.75%

Absorica CAP 10MG

metronidazol CRE 0.75%

Absorica CAP 20MG

rosadan gel 0.75%

Absorica CAP 25MG

rosadan CRE 0.75%

Absorica CAP 30MG

TIER 02 PREFERRED

Absorica CAP 35MG

Finacea Aer 15%

Absorica CAP 40MG

Finacea Gel 15%

Acanya Gel 1.2-2.5%


Aczone Gel 5%

metronidazol gel 1%

Aczone Gel 7.5%

metronidazol lot 0.75%

Adapalene Sol 0.1%

Doxycycline CAP 40MG

Altreno Lot 0.05%

Metrocream CRE 0.75%

Atralin Gel 0.05%

Metrogel Gel 1%

Avar Aer 9.5-5%

Metrolotion Lot 0.75%

Avar LS Aer 10-2%

Metronidazole 0.75% Jelly

Avar LS Liq 10-2%

Mirvaso Gel 0.33%

Avar-e LS CRE 10-2%

Noritate CRE 1%

Benz Per For Lot HC 7.5-1

Oracea CAP 40MGPA

Benz Peroxid Gel 6.5%

Rhofade CRE 1%PA

Benzaclin Gel 1-5%

Rosadan Kit 0.75%

Benzaclin Gel 1-5%P.M.

Soolantra CRE 1%

Benzamycin Gel 5-3%

Benziq Gel 5.25%

ANTIBIOTICS - TOPICAL

Benziq LS Gel 2.75%

TIER 01 GENERIC

Benzoyl Pero Gel 8%

gentamicin oin 0.1%

Bp Cleansing Emu 10-4%

gentamicin CRE 0.1%

Bpo Gel 4%

mupirocin oin 2%

Bpo Gel 8%

mupirocin CRE 2%

Cleocin-t Gel 1%

TIER 02 PREFERRED

Cleocin-t Lot 1%

Cortisporin Oin 1%

Cleocin-t Pad 1%


Cleocin-t Sol 1%

Altabax Oin 1%

Clindagel Gel 1%

Bactroban CRE 2%

Clindam/Benz Gel 1.2-2.5%

Centany Oin 2%

Clindamycin Gel 1%

Cortisporin CRE 0.5%

Differin Gel 0.1%

Neo-synalar CRE

Differin Gel 0.3%

Xepi CRE 1%PA

Duac Gel 1.2-5%

Epiduo Forte Gel 0.3-2.5%

ANTIFUNGALS - TOPICAL

Epiduo Gel 0.1-2.5%

TIER 01 GENERIC

Erygel Gel 2%

ciclodan sol 8%

Evoclin Aer 1%

ciclodan CRE 0.77%

Fabior Aer 0.1%

ciclopirox gel 0.77%

Klaron Lot 10%

ciclopirox sol 8%

Onexton Gel 1.2-3.75

ciclopirox sus 0.77%

Plexion Clth Pad 9.8-4.8%

ciclopirox CRE 0.77%

Plexion CRE 9.8-4.8%

clotrim/beta lot diprop

Plexion Liq 9.8-4.8%

clotrim/beta CRE diprop

Plexion Lot 9.8-4.8%

clotrim/beta CRE 1-0.05%

Plixda Pad 0.1%swab

ketoconazole sha 2%


ketoconazole CRE 2%


nyamyc pow 100000

Rosula Liq 10-4.5%

nyata pow 100000

Rosula Pad 10-5%

nystat/triam oin

Sod SUL/Sulf Gel 10-5%



nystat/triam CRE

ANTIPSORIATICS

nystatin oin 100000

TIER 01 GENERIC

nystatin pow 100000

acitretin CAP 10MGQL

nystatin CRE 100000

acitretin CAP 17.5MGQL

nystop pow 100000

acitretin CAP 25MGQL


calcipotrien oin 0.005%

ciclopirox sha 1%

calcipotrien sol 0.005%

clotrimazole sol 1%

calcipotrien CRE 0.005%

clotrimazole CRE 1%

calcitrene oin 0.005%

econazole CRE 1%

methoxsalen CAP 10MGQL

ketoconazole aer 2%

tazarotene CRE 0.1%

naftifine CRE HCL 1%

Dritho-creme CRE HP 1%

naftifine CRE HCL 2%

Tazorac CRE 0.1%

oxiconazole CRE nitrate

Vectical Oin 3mcg/Gm

Ecoza Aer 1%

TIER 02 PREFERRED

Ertaczo CRE 2%

Cosentyx Inj 150MG/MLQL,PA

Exelderm CRE 1%

Cosentyx Inj 300doseQL,PA

Exelderm Sol 1%

Cosentyx Pen Inj 150MG/MLQL,PA

Exoderm Lot 25-1%

Cosentyx Pen Inj 300doseQL,PA

Extina Aer 2%

Stelara Inj 45MG/0.5QL,PA

Halotin CRE 1%

Stelara Inj 90MG/MLQL,PA

Jublia Sol 10%PA

Tazorac CRE 0.05%

Kerydin Sol 5%PA

Tazorac Gel 0.05%

Loprox CRE 0.77%

Tazorac Gel 0.1%

Loprox Kit 0.77%


Loprox Sha 1%

Calcitriol Oin 3mcg/Gm

Loprox Sus 0.77%

Dovonex CRE 0.005%

Lotrisone CRE

Oxsoralen-ul CAP 10MGQL

Luliconazole CRE 1%

Siliq Inj 210/1.5QL,PA

Luzu CRE 1%

Soriatane CAP 10MGQL

Mico-ZN-petr Oin

Soriatane CAP 17.5MGQL

Naftin CRE 2%

Soriatane CAP 25MGQL

Naftin Gel 1%

Sorilux Aer 0.005%

Naftin Gel 2%

Taltz Inj 80MG/MLQL,PA

Nizoral Sha 2%

Tremfya Inj 100MG/MLQL,PA

Oxistat CRE 1%

Zithranol Sha 1%

Oxistat Lot 1%

Zithranol-rr CRE 1.2%

Penlac Sol 8%

Vusion Oin

ANTISEBORRHEIC AGENTS

Xolegel Gel 2%

TIER 01 GENERIC

selenium SUL lot 2.5%

ANTIVIRALS - TOPICAL

sod sulfacet sha 10%



acyclovir oin 5%

seb-prev liq wash

Denavir CRE 1%

selenium SUL sha 2.25%

Xerese CRE 5-1%

sod sulfacet gel 10%

Zovirax CRE 5%

sodium SULFA liq 10% wash

Zovirax Oin 5%

Ovace Plus Aer 9.8%

Ovace Plus CRE 10%

ANTI-INFLAMMATORY AGENTS

Ovace Plus Gel 10% Wash


Ovace Plus Liq 10% Wash

diclofenac gel 1%

Ovace Plus Sha 10%

diclofenac sol 1.5%

Ovace Wash Liq 10%

klofensaid sol II

Sodium SULFA Liq 10% Wash

Diclofenac CRE Sodium

Diclofono Gel 1.6%

CORTICOSTEROIDS - TOPICAL

Eucrisa Oin 2%QL,PA

TIER 01 GENERIC

Flector Dis 1.3%

ala-cort CRE 2.5%

Pennsaid Sol 2%

alclometason oin 0.05%

Rexaphenac CRE 1%

alclometason CRE 0.05%

Voltaren Gel 1%

alphatrex gel 0.05%

aug betamet lot 0.05%

ANTIPRURITICS

aug betamet oin 0.05%


aug betamet CRE 0.05%

Doxepin HCL CRE 5%

betameth dip lot 0.05%

Prudoxin CRE 5%

betameth dip oin 0.05%

Zonalon CRE 5%

betameth dip CRE 0.05%

betameth val aer 0.12%

betameth val lot 0.1%



betameth val oin 0.1%

clobetasol sha 0.05%

betameth val CRE 0.1%

clobetasol spr 0.05%

clobetasol gel 0.05%

clobetasol CRE 0.05%ST

clobetasol lot 0.05%

clodan sha 0.05%

clobetasol oin 0.05%

desoximetaso spr 0.25%

clobetasol sol 0.05%

diflorasone oin 0.05%

cormax scalp sol 0.05%

fluocinonide CRE 0.1%

desonide lot 0.05%

flurandrenol lot 0.05%

desonide oin 0.05%

flurandrenol oin 0.05%

desonide CRE 0.05%

flurandrenol CRE 0.05%

desoximetas gel 0.05%

fluticasone lot 0.05%

desoximetas oin 0.05%

fluticasone oin 0.005%

desoximetas oin 0.25%

hydrocort CRE 1%

desoximetas CRE 0.05%

hydrocortiso lot 0.1%

desoximetas CRE 0.25%

nolix lot 0.05%

fluocin acet oil body

nolix CRE 0.05%

fluocin acet oil scalp

prednicarbat CRE 0.1%

fluocin acet oil 0.01% sc

triamcinolon aer spray

fluocin acet oil 0.01%bdy

Aclovate CRE 0.05%

fluocin acet oin 0.025%

Adv Allergy Kit Collecti

fluocin acet sol 0.01%

Ala Scalp Lot 2%

fluocin acet CRE 0.01%

Amcinonide CRE 0.1%

fluocin acet CRE 0.025%

Amcinonide Lot 0.1%

fluocinonide gel 0.05%

Amcinonide Oin 0.1%

fluocinonide oin 0.05%

Apexicon E CRE 0.05%

fluocinonide sol 0.05%

Bryhali Lot 0.01%

fluocinonide CRE e 0.05%

Clobex Lot 0.05%

fluocinonide CRE 0.05%

Clobex Sha 0.05%

fluticasone CRE 0.05%

Clobex Spr 0.05%

halobetasol oin 0.05%

Clocortolone CRE Piv 0.1%

halobetasol CRE 0.05%

Cloderm CRE 0.1%

hydrocort lot 2.5%

Cloderm CRE 0.1% Pmp

hydrocort oin 1%

Cordran CRE 0.025%

hydrocort oin 2.5%

Cordran CRE 0.05%

hydrocort CRE 2.5%

Cordran Lot 0.05%

hydrocort/ab oin 1%

Cordran Oin 0.05%

hydrocortiso oin absorbas

Cutivate Lot 0.05%

lokara lot 0.05%

Derma-smooth Oil /FS Body

mometasone oin 0.1%

Derma-smooth Oil /FS Sclp

mometasone sol 0.1%

Dermasorb HC Kit 2%

mometasone CRE 0.1%

Dermatop CRE 0.1%

triamcinolon lot 0.025%

Dermatop Oin 0.1%

triamcinolon lot 0.1%

Desonate Gel 0.05%

triamcinolon oin 0.025%

Desowen CRE 0.05%


Desowen Lot 0.05%


Diflorasone CRE 0.05%

triamcinolon CRE 0.025%

Diprolene AF CRE 0.05%


Diprolene Oin 0.05%


Elocon CRE 0.1%

triderm CRE 0.1%

Elocon Oin 0.1%

triderm CRE 0.5%

Enstilar Aer

Aug Betamet Gel 0.05%

Epifoam Aer 1%

HC butyrate oin 0.1%

Halobetasol Aer 0.05%

HC butyrate sol 0.1%

Halog CRE 0.1%

HC pramoxine CRE 2.5-1% (topical)

Halog Oin 0.1%

HC valerate oin 0.2%

HC butyrate CRE 0.1%

HC valerate CRE 0.2%

HC-lidocaine CRE 1-1%

Synalar CRE 0.025%

Impoyz CRE 0.025%ST

Synalar Oin 0.025%

Kenalog Aer Spray

TIER 02 PREFERRED

Lexette Aer 0.05%

Capex Sha 0.01%

Lidosol-HC CRE 3-0.5%

Cordran 80X3 Tap 4mcg/CM

Locoid CRE 0.1%

Pramosone CRE 1-1%

Locoid Lipo CRE 0.1%

Pramosone Lot 1%

Locoid Lot 0.1%

Pramosone Lot 2.5%

Locoid Oin 0.1%


Locoid Sol 0.1%

ala-cort CRE 1%

Luxiq Aer 0.12%

calcipotrien oin betameth

Micort-HC CRE 2.5%

clobetasol aer 0.05%

Novacort Gel

clobetasol e CRE 0.05%ST

Nucort Lot 2%



Olux Aer 0.05%

podofilox sol 0.5%

Olux-e Aer 0.05%

port-prep kit 2.5-2.5%

Pandel CRE 0.1%

prikaan kit 2.5-2.5%

Pramosone CRE 1-2.5%

prikaan lite kit 2.5-2.5%

Prednicarbat CRE 0.1%

prilolid kit 2.5-2.5%

Prednicarbat Oin 0.1%

prilovix kit 2.5-2.5%

Psorcon CRE 0.05%

priloxx LP kit 2.5-2.5%

Sernivo Spr

rea LO 40 CRE 40%

Synalar Sol 0.01%

relador PAK kit plus

Taclonex Oin

relador PAK kit 2.5-2.5%

Taclonex Sus

soluline kit 2.5-2.5%

Temovate CRE 0.05%ST

solupicc kit 2.5-2.5%

Temovate E CRE 0.05%emlST

urea CRE 40%

Temovate Oin 0.05%

uremez-40 CRE 40%

Texacort Sol 2.5%

vexatrol kit 2.5-2.5%

Topicort CRE 0.05%

LP lite PAK kit 2.5-2.5%

Topicort CRE 0.25%

TIER 02 PREFERRED

Topicort Gel 0.05%

crotan lot 10%

Topicort Oin 0.05%

Condylox Gel 0.5%

Topicort Oin 0.25%

Drysol Sol 20%

Topicort Spr 0.25%

Eurax CRE 10%

Trianex Oin 0.05%

Eurax Lot 10%

Tridesilon CRE 0.05%

Ulesfia Lot 5%

Ultravate CRE 0.05%


Ultravate Lot 0.05%

ammonium lac lot 12%

Ultravate Oin 0.05%

ammonium lac CRE 12%

Vanos CRE 0.1%

ceramax CRE

Verdeso Aer 0.05%

cidaleaze CRE 3%

Westcort Oin 0.2%

ethyl chlor aer spray

hyaluronate gel 0.2%

IMMUNOMODULATING AGENTS

lactic acid lot 10%

lactic acid CRE /vit e

TIER 01 GENERIC

lactic acid CRE e

imiquimod CRE 5%

lidenza pad 4-1%

pimecrolimus CRE 1%

lido-k lot 3%

tacrolimus oin 0.03%

lidocaine lot 3%

tacrolimus oin 0.1%

lidocaine oin PAK 5%

Elidel CRE 1%

lidocaine oin 5%


lidocaine sol 4%

Aldara CRE 5%

lidocaine CRE 3.88%

Dupixent Inj 300/2MLQL,PA

lidocaine CRE 3%

Imiquimod CRE 3.75%pmp

lidopin CRE 3%

Protopic Oin 0.03%

lidozion lot 3%

Protopic Oin 0.1%

lorenza pad 4-1%

Zyclara CRE 3.75%

malathion lot 0.5%

Zyclara P.M. CRE 2.5%

metopic CRE 41%

Zyclara P.M. CRE 3.75%

pramox gel 1%

rea LO 39 CRE 39%

DERMATOLOGICALS - MISC.

releevia ML pad 4-1%

TIER 01 GENERIC

remeven CRE 50%

agoneaze kit 2.5-2.5%

salacyn lot 6%

anodyne lpt kit 2.5-2.5%

salacyn CRE 6%

dermacinrx kit prizopak

salicylic ac gel 6%

empricaine kit 2.5-2.5%

salicylic ac liq 26%

glydo gel 2%

salicylic ac liq 27.5%

leva set kit 2.5-2.5%

salicylic ac lot 6%

lido bdk kit

salicylic ac sha 6%

lido-prilo kit 2.5-2.5%

salicylic ac sol 26%

lido/prilocn kit 2.5-2.5%

salicylic ac CRE 6%

lido/prilocn CRE 2.5-2.5%

salicylic aer 6%

lidocaine gel 2%

salimez CRE 6%

lidocaine gel 2% jelly

salisol fort sol 26%

lidocaine pad 5%

salitech lot forte

lidocaine-pr CRE

synvexia pad 4-1%

lidopril kit 2.5-2.5%

umecta mouss aer 40%

lidopril XR kit 2.5-2.5%

ure-39 CRE 39%

liprozonepak kit 2.5-2.5%

urea gel 40%

livixil PAK kit 2.5-2.5%

urea hydrati aer 35%

medolor PAK kit 2.5-2.5%

urea nail gel 45%

permethrin CRE 5%

urea CRE 39%



urea CRE 41%

Ovide Lot 0.5%

urea CRE 47%

Pain Ease Aer Mist

urea CRE 50%

Pain Ease Aer MD Strm

urea 40% sus nail

Penlen Emu Spray

uredeb CRE 39%

Permavan Pad

zeruvia pad 4-1%

Phlag Spr

Acuicyn Liq

Podocon Sol 25%

Adazin CRE

Presera Aer

Anacaine Oin

Pruclair CRE

Anastia Lot 2.75%

Prumyx CRE

Astero Gel 4%

Pyrogall Acd Oin

Atopaderm CRE

Qbrexza Pad 2.4%PA

Atopiclair CRE

Releevia Mc Pad .0375-5%

Avenova Sol Neutrox

Releevia Pad .0375-5%

Avenova Sol 0.01%

Remaxazon Pad

Bensal HP Oin

Renovo Pad 0.0375-5

Cem-urea Sol 45%

Rynoderm CRE 37.5%

Ceracade Emu

Salex Sha 6%

Condylox Sol 0.5%

Salimez Fort CRE 10%

Dexeryl CRE

Salitech Lot 5%

Eha Lot 4%

Salvax Aer 6%

Eletone CRE

Sklice Lot 0.5%

Eletone CRE Twinpack

Soothee Pad

Elimite CRE 5%

Spinosad Sus 0.9%

Emulsion SB Emu

Suvicort Emu

Entty Emu Spray

Synera Dis 70-70MG

Epiceram Emu

Synerderm Emu

Ethyl Chlor Aer Fine Pin

Tetravex Gel 2%

Ethyl Chlor Aer Fn Strm

Tetrix CRE

Ethyl Chlor Aer Mist

Tranzarel Gel 4%

Ethyl Chlor Aer MED Jet

Umecta Emu

Ethyl Chlor Aer MED Strm

Umecta Nail Sus Film

Ethyl Chlor Aer Spray

Uraliss CRE 35%

Flexin Pad .0375-5%

Uramaxin CRE 45%

Gebauers Spr Aer /Stretch

Uramaxin Gel 45%

Hydro 35 Aer

Uramaxin GT Gel 45%

Hydro 40 Aer Foam

Ure-k CRE 50%

Hylatopic Aer Plus

Urea Aer 35%

Hylatopic CRE Plus

Urea CRE 45%

Hylira Gel 0.2%

Urea Topical Sus 40%

Hylira Lot 0.1%

Uresol CRE 42.5%

Hypocyn Spr

Urevaz CRE 44%

HPR Aer

Utopic CRE 41%

HPR Plus Aer

Veregen Oin 15%

HPR Plus CRE

Virasal Liq 27.5%

Kamdoy Emu

Xalix Sol 28%

Keralac CRE 47%

Xeralux CRE

Keralyt Gel 6%

Ztlido Pad 1.8%

Lac-hydrin CRE 12%

1ST Medx-ptc Pad Lidocain

Lac-hydrin Lot 12%

7t lido gel 2%

Ldo Plus Gel 4%

7topic Emu

Levatio Pad 0.3-5%

Lidocaine HC CRE 4.12%

ENDOCRINE AND METABOLIC

Lidoderm Dis 5%

CORTICOSTEROIDS

Lidorx Gel 3%

TIER 01 GENERIC

Lidothol Pad 4.5-5%

deltasone TAB 20MG

Lidotral CRE 3.88%

dexameth PHO inj 10MG/ML

Lidotrex Gel 2%

dexameth PHO inj 120MG/30

Lidovin CRE 3.95%

dexameth PHO inj 20MG/5ML

Lidozol CRE 3.75%

dexameth PHO inj 4MG/ML

Lindane Sha 1%

dexamethason elx 0.5/5ML

Medi-patch Pad RX

dexamethason TAB 0.5MG

Mimyx CRE


Natroba Sus 0.9%


Neocera CRE

dexamethason TAB 4MG

Neosalus Aer

dexamethason TAB 6MG

Neosalus CP CRE

fludrocort TAB 0.1MG

Neosalus CRE

hydrocort TAB 10MG

Nivatopic CRE Plus

hydrocort TAB 20MG

Numbonex Lot 2.75%



hydrocort TAB 5MG

Entocort EC CAP 3MG DRPA

methylpr ss inj 125MG

Kenalog-10 Inj 10MG/ML

methylpred TAB 16MG

Kenalog-40 Inj 40MG/ML

methylpred TAB 32MG

Locort PAK 11-day

methylpred TAB 4MG

Locort PAK 7-day

methylpred TAB 8MG

Medrol TAB 16MG

pred sod PHO sol 5MG/5ML

Medrol TAB 32MG

prednisolone sol 15MG/5ML

Medrol TAB 4MG

prednisolone syp 15MG/5ML

Medrol TAB 8MG

prednisone TAB 1MG

Methylp/Lido Inj 40-10/ML

prednisone TAB 10MG

Methylp/Lido Inj 80-10/ML

prednisone TAB 2.5MG

Methylpr Ace Inj 40MG/ML

prednisone TAB 20MG

Methylpr Ace Inj 80MG/ML

prednisone TAB 5MG

Millipred DP PAK 5MG

Cortisone Ac TAB 25MG

Millipred Sol 10MG/5ML

Dexameth PHO Inj 10MG/ML

Millipred TAB 5MG

Dexamethason Sol 0.5/5ML

Orapred Odt TAB 10MG

Dexamethason TAB 1MG


Dexamethason TAB 2MG


Prednisolone Sol 15MG/5ML

Pediapred Sol 6.7/5ML

Prednisolone Sol 25MG/5ML

Prednisone CON 5MG/ML

Prednisone PAK 10MG

Rayos TAB 1MGPA

Prednisone PAK 5MG

Rayos TAB 2MGPA

Prednisone Sol 5MG/5ML

Rayos TAB 5MGPA

Prednisone TAB 50MG

Solu-medrol Inj 125MG

TIER 02 PREFERRED

Taperdex PAK 12-day

Depo-medrol Inj 20MG/ML

Taperdex PAK 6 Day

Dexamethason CON 1MG/ML

Triamcin Ace Inj 40MG/ML

Medrol TAB 2MG

Triamcinolon Inj 100/2ML

Solu-cortef Inj 100MG

Triamcinolon Inj 40MG/ML


Triamcinolon Inj 80MG/ML


Triamcinolon Inj 80MG/2ML


Uceris TAB 9MGQL,PA


Veripred 20 Sol 20MG/5ML

budesonide CAP 3MGPA

Zodex PAK 12-day

budesonide CAP 3MG DRPA

Zodex PAK 6 Day

budesonide TAB ER 9MGQL,PA

Zonacort PAK 11 Day

decadron elx 0.5/5ML

Zonacort PAK 7 Day

decadron TAB 0.5MG

decadron TAB 0.75MG

ANDROGENS-ANABOLIC

decadron TAB 4MG

TIER 01 GENERIC

decadron TAB 6MG

danazol CAP 100MG

dexamethason TAB 10-day

danazol CAP 200MG


danazol CAP 50MG


testost cyp inj 100MG/MLPA


testost cyp inj 200MG/MLPA


testost enan inj 200MG/MLPA

prednisolone TAB 10MG odt

testosterone gel P.M. 1%QL,PA


testosterone gel 1%(25MG)QL,PA


testosterone gel 1%(50MG)QL,PA

triamcin ace inj 40MG/ML

Depo-testost Inj 100MG/MLPA

Betameth Sod Inj 12MG/2ML

Depo-testost Inj 200MG/MLPA

Betameth Sod Inj 6MG/ML

Testost Cyp Inj 200MG/MLPA

Cortef TAB 10MG

Testosterone Gel P.M. 1%QL,PA

Cortef TAB 20MG

Testosterone Gel 1%(25MG)QL,PA

Cortef TAB 5MG

Testosterone Gel 1%(50MG)QL,PA




oxandrolone TAB 10MG

Dex LA 16 Inj 16MG/ML

oxandrolone TAB 2.5MG

Dexameth LA Inj 16MG/ML

testosterone gel 1.62%QL,PA

Dexamethason Sus 8MG/ML

testosterone gel 10MG/actQL,PA

Dexonto 0.4% Sol 20MG/5ML

testosterone sol 30MG/actQL,PA

Dexpak PAK 10 Day

Anadrol-50 TAB 50MGQL

Dexpak PAK 13 Day

Androderm Dis 2MG/24HRQL,PA

Dexpak PAK 6 Day

Androderm Dis 4MG/24HRQL,PA

Emflaza Sus 22.75/MLQL,PA

Androgel Gel 1.62%QL,PA

Emflaza TAB 18MGQL,PA

Androgel Gel 1%(25MG)QL,PA


Androgel Gel 1%(50MG)QL,PA


Android CAP 10MGPA




Androxy TAB 10MG

Alora Dis 0.025MGPA

Axiron Sol 30MG/ActQL,PA

Alora Dis 0.05MGPA

Fortesta Gel 10MG/ActQL,PA

Alora Dis 0.075MGPA

Methitest TAB 10MGPA

Alora Dis 0.1MGPA

Methyltestos CAP 10MGPA

Angeliq TAB 0.25-0.5PA

Natesto Gel 5.5MGQL,PA

Angeliq TAB 0.5-1MGPA

Oxandrin TAB 10MG

Climara Pro Dis WeeklyPA

Oxandrin TAB 2.5MG

Combipatch Dis .05/.14PA

Striant Mis 30MGQL,PA

Combipatch Dis .05/.25PA

Testim Gel 1%(50MG)QL,PA

Divigel Gel 0.25MGPA

Testone Cik Kit 200MG/ML

Divigel Gel 0.5MGPA

Testred CAP 10MGPA

Divigel Gel 0.75MGPA

Vogelxo Gel P.M. 1%QL,PA

Divigel Gel 1MG/GmPA

Vogelxo Gel 1%(50MG)QL,PA

Duavee TAB 0.45-20PA

Xyosted Inj 100/0.5PA

Elestrin Gel 0.06%PA


Estrace TAB 0.5MGPA


Estrace TAB 1MGPA

Estrace TAB 2MGPA

ESTROGENS

Estrogel Gel

Evamist Spr 1.53MGPA

TIER 01 GENERIC

Femhrt TAB 0.5-2.5PA

estrad val inj 20MG/MLPA

Menest TAB 0.3MGPA

estrad val inj 200MG/5PA

Menest TAB 0.625MGPA

estradiol dis 0.025MG weeklyPA

Menest TAB 1.25MGPA


Menest TAB 2.5MGPA


Menostar Dis 14mcgPA


Minivelle Dis 0.025MGPA





estradiol TAB 0.5MGPA


estradiol TAB 1MGPA


estradiol TAB 2MGPA

Prefest TABPA

Climara Dis 0.025MGPA

Premarin TAB 0.3MGPA









Climara Dis 0.1MGPA

Premphase TABPA

Estropipate TAB 0.75MGPA

Prempro TAB .625-2.5PA

Estropipate TAB 1.5MGPA

Prempro TAB 0.3-1.5PA

Estropipate TAB 3MGPA

Prempro TAB 0.45-1.5PA

TIER 02 PREFERRED

Prempro TAB 0.625-5PA

Delestrogen Inj 10MG/MLPA

Vivelle-dot Dis 0.025MGPA





Depo-estradi Inj 5MG/MLPA




amabelz TAB 0.5-0.1PA

amabelz TAB 1-0.5MGPA

CONTRACEPTIVES

covaryx HS TAB

covaryx TAB 1.25-2.5

TIER 01 GENERIC

eemt HS TAB

aftera TAB 1.5MG

eemt TAB 1.25-2.5

altavera TAB

est estrogen TAB mtest

alyacen TAB 1/35

est estrogen TAB mtest HS

alyacen TAB 7/7/7

estra/noreth TAB 0.5-0.1PA

apri TAB

estra/noreth TAB 1-0.5MGPA

aranelle TAB

estrog/mtest TAB 1.25-2.5

aubra eq TAB 0.1-0.02

fyavolv TAB 0.5-2.5PA

aubra TAB 0.1-0.02

fyavolv TAB 1-5PA

aviane TAB

jevantique l TAB 0.5-2.5PA

balziva TAB

jinteli TAB 1MG-5mcgPA

blisovi FE TAB 1.5/30

lopreeza TAB 0.5-0.1PA

blisovi FE TAB 1/20

lopreeza TAB 1-0.5MGPA

briellyn TAB

mimvey LO TAB 0.5-0.1PA

camila TAB 0.35MG

mimvey TAB 1-0.5MGPA

caziant PAK

noreth/ethin TAB 0.5-2.5PA

chateal eq TAB 0.15/30

noreth/ethin TAB 1MG-5mcgPA

chateal TAB 0.15/30

Activella TAB 0.5-0.1PA

cryselle-28 TAB 28 TABS

Activella TAB 1-0.5MGPA

cyclafem TAB 1/35



cyclafem TAB 7/7/7

next choice TAB 1.5MG

cyred eq TAB

nora-be TAB 0.35MG

cyred TAB

noreth/ethin TAB FE 1/20

dasetta TAB 1/35

noreth/ethin TAB 1/20

dasetta TAB 7/7/7

norethindron TAB 0.35MG

deblitane TAB 0.35MG

norgest/ethi TAB estradio

delyla TAB 0.1-0.02

norgest/ethi TAB 0.25/35

deso/ethinyl TAB estradio

norlyda TAB 0.35MG

drospir/ethi TAB 3-0.03MG

norlyroc TAB 0.35MG

econtra EZ TAB 1.5MG

nortrel TAB 0.5/35

econtra OS TAB 1.5MG

nortrel TAB 1/35

elinest TAB

nortrel TAB 7/7/7

emoquette TAB

ocella TAB 3-0.03MG

enpresse-28 TAB

opcicon TAB 1.5MG

enskyce TAB

option 2 TAB 1.5MG

errin TAB 0.35MG

orsythia TAB

estarylla TAB 0.25-35

philith TAB 0.4-35

ethy ETH est TAB 1-35

pirmella TAB 1/35

ethynodiol TAB 1-50

pirmella TAB 7/7/7

fallback TAB 1.5MG

portia-28 TAB

falmina TAB

preventeza TAB 1.5MG

femynor TAB 0.25-35

previfem TAB

gildagia TAB 0.4-35

react TAB 1.5MG

heather TAB 0.35MG

reclipsen TAB

incassia TAB 0.35MG

sharobel TAB 0.35MG

isibloom TAB

sprintec 28 TAB 28 day

isibloom TAB 0.15-30

sronyx TAB

jencycla TAB 0.35MG

syeda TAB 3-0.03MG

jolivette TAB 0.35MG

take action TAB 1.5MG

juleber TAB

tarina FE TAB 1/20

junel FE TAB 1.5/30

tarina FE TAB 1/20 eq

junel FE TAB 1/20

tri femynor TAB

junel 1.5/30 TAB

tri-estaryll TAB

junel 1/20 TAB

tri-linyah TAB

kelnor TAB 1/35

tri-mili TAB

kelnor 1/50 TAB

tri-previfem TAB

kurvelo TAB 0.15/30

tri-sprintec TAB

larin FE TAB 1.5/30

tri-vylibra TAB

larin FE TAB 1/20

tri-vylibra TAB LO

larin TAB 1.5/30

tri-LO TAB estaryll

larin TAB 1/20

tri-LO- TAB marzia

larissia TAB

tri-LO- TAB sprintec

leena TAB

trinessa LO TAB

lessina TAB

trinessa TAB

levonest TAB

trivora-28 TAB

levonor/ethi TAB

tulana TAB 0.35MG

levonor/ethi TAB estradio

velivet PAK

levonor/ethi TAB 0.1-0.02

vienva TAB 0.1-20

levonorgestr TAB 1.5MG

vyfemla TAB 0.4-35

levora-28 TAB 0.15/30

vylibra TAB 0.25-35

lillow TAB 0.15/30

wera TAB 0.5/35

low-ogestrel TAB

zarah TAB 3-0.03MG

lutera TAB

zenchent TAB

lyza TAB 0.35MG

zovia 1/35e TAB

marlissa TAB 0.15/30

zovia 1/50e TAB

medroxypr ac inj 150MG/ML

Necon TAB 1/50-28

microgestin TAB FE 1/20

Ogestrel TAB

microgestin TAB FE1.5/30

Xulane Dis 150-35

microgestin TAB 1.5/30

TIER 02 PREFERRED

microgestin TAB 1/20

Ella TAB 30MG

mili TAB 0.25/35

Mirena Iud System

mono-linyah TAB 0.25-35

Nuvaring Mis

mononessa TAB

Paragard Iud T380a

my choice TAB 1.5MG

Skyla Iud 13.5MG

my way TAB 1.5MG


myzilra TAB

amethia LO TAB

necon TAB 0.5/35

amethia TAB

necon TAB 10/11-28

amethyst TAB 90-20mcg

necon TAB 7/7/7

ashlyna TAB

new day TAB 1.5MG

azurette TAB 28 day



bekyree TAB

Plan B TAB 1.5MG

blisovi 24 TAB FE 1/20

Quartette TAB

camrese LO TAB

Safyral TAB

camrese TAB

Seasonique TAB

daysee TAB

Taytulla CAP 1MG/20mc

dros/ETH est TAB levomefo

Tri-norinyl TAB 28

drospir/ethi TAB 3-0.02MG

Yasmin 28 TAB 3-0.03MG

drospire/ETH TAB estr/lev

Yaz TAB 3-0.02MG

drospirenone TAB ethy est

fayosim TAB

PROGESTINS

gianvi TAB 3-0.02MG

TIER 01 GENERIC

hailey 24 TAB FE

hydroxyprog inj 250MG/MLPA

introvale TAB

medroxypr ac TAB 10MG

jolessa TAB

medroxypr ac TAB 2.5MG

junel FE 24 TAB 1/20

medroxypr ac TAB 5MG

kaitlib FE chw

norethin ace TAB 5MG

kariva TAB 28 day

progesterone inj 50MG/ML

kimidess TAB

progesterone CAP 100MG

larin 24 TAB FE 1/20

progesterone CAP 200MG

layolis FE chw

TIER 02 PREFERRED

levo-ETH est TAB 90-20mcg

Makena Inj 275MGQL,PA

lomedia 24 TAB FE


loryna TAB 3-0.02MG

megestrol sus 625MG/5m

melodetta chw 24 FE

Aygestin TAB 5MG

mibelas 24 chw FE

Makena Inj 250MG/MLPA

micrgstin 24 TAB FE 1/20

Megace ES Sus 625/5ML

nikki TAB 3-0.02MG

Prometrium CAP 100MG

nore/ETH/fer chw 0.4MG-35

Prometrium CAP 200MG

noreth/ethin chw FE

Provera TAB 10MG

noreth/ethin chw FE 1/20

Provera TAB 2.5MG

pimtrea TAB

Provera TAB 5MG

quasense TAB

rajani TAB

ANTIDIABETIC AGENTS

rivelsa TAB

INSULIN

setlakin TAB

TIER 01 GENERIC

tilia FE TAB

Humulin Inj 70/30

tri-legest TAB FE

Humulin Inj 70/30kwp

tydemy TAB

Humulin N Inj U-100

vestura TAB 3-0.02MG

Humulin N Inj U-100kwp

viorele TAB

Humulin R Inj U-100

wymzya FE chw 0.4MG-35

Humulin R Inj U-500

zenchent FE chw 0.4MG-35

TIER 02 PREFERRED

Balcoltra TAB 0.1-20

Humalog Inj 100/ML

Beyaz TAB

Humalog JR Inj 100/ML

Brevicon TAB 0.5/35

Humalog Kwik Inj 100/ML

Cyclessa PAK

Humalog Kwik Inj 200/ML

Depo-provera Inj 150MG/ML

Lantus Inj 100/MLPA

Depo-sq Prov Inj 104

Lantus Solos Inj 100/MLPA

Desogen-28 TAB

Levemir InjPA

Estrostep FE TAB

Levemir Inj FlextoucPA

Femcon FE Chw


Generess FE Chw

Admelog Inj 100u/MLPA

Liletta Iud 52MG

Admelog Solo Inj 100u/MLPA

Loestrin FE TAB 1.5/30

Afrezza Pow 12 UnitPA

Loestrin FE TAB 1/20

Afrezza Pow 4&8 UnitPA

Loestrin TAB 1/20-21

Afrezza Pow 4/8/12unPA

Loestrin 21 TAB 1.5/30

Afrezza Pow 4unitPA

Loseasonique TAB

Afrezza Pow 8 UnitPA

LO Loestrin TAB 1-10-10

Afrezza Pow 8&12unitPA

Minastrin 24 Chw FE

Apidra Inj Solostar

Mircette TAB 28 Day

Apidra Inj U-100

Natazia TAB

Basaglar Inj 100unitPA

Norinyl TAB 1/35

Fiasp Flex Inj TouchPA

Ortho Micron TAB 0.35MG

Fiasp Inj 100/MLPA

Ortho Tri- TAB Cyclen

Humalog Mix Inj 50/50

Ortho Tri- TAB Cycln LO

Humalog Mix Inj 50/50kwp

Ortho-cyclen TAB 0.25/35

Humalog Mix Inj 75/25kwp

Ortho-novum TAB 1/35

Humalog Mix Sus 75/25

Ortho-novum TAB 7/7/7

Novolin Inj 70/30ST

Ovcon-35 TAB

Novolin N Inj RelionST



Novolin N Inj U-100ST

BIGUANIDES

Novolin R Inj RelionST

TIER 01 GENERIC

Novolin R Inj U-100ST

metformin TAB 1000MG

Novolin70/30 Inj RelionST

metformin TAB 500MG

Novolog Inj Flexpen

metformin TAB 500MG ER

Novolog Inj Penfill

metformin TAB 750MG ER

Novolog Inj 100/ML

metformin TAB 850MG

Novolog Mix Inj Flexpen

TIER 02 PREFERRED

Novolog Mix Inj 70/30

Metformin Sol 500/5ML

Toujeo Max Inj 300iu/MLPA

Riomet Sol

Toujeo Solo Inj 300iu/MLPA

Riomet Sol 500/5ML

Tresiba Flex Inj 100unitPA


Tresiba Flex Inj 200unitPA

metformin ER TAB 1000MGPA

Tresiba Inj 100unitPA

metformin TAB 1000 ERPA

AMYLIN ANALOGS

Fortamet TAB 1000MGPA


Fortamet TAB 500MG

Symlinpen 60 Inj 1000mcg

Glucophage TAB 1000MG

Symlnpen 120 Inj 1000mcg


INCRETIN MIMETIC AGENTS

Glucophage TAB 500MG XR


Glucophage TAB 750MG XR

Adlyxin Inj 10/20mcgPA


Adlyxin Inj 20mcgPA

Glumetza TAB 1000MGPA

Bydureon Bc Inj 2/0.85MLQL,PA

Glumetza TAB 500MGPA

Bydureon Inj 2MGQL,ST

MEGLITINIDE ANALOGUES

Bydureon Pen Inj 2MGQL,ST


Byetta Inj 10mcgQL,ST

nateglinide TAB 120MG

Byetta Inj 5mcgQL,ST

nateglinide TAB 60MG

Ozempic Inj 2/1.5MLQL,PA

repaglinide TAB 0.5MG

Tanzeum Inj 30MGST

repaglinide TAB 1MG

Tanzeum Inj 50MGST

repaglinide TAB 2MG

Trulicity Inj 0.75/0.5QL,ST

Prandin TAB 0.5MG

Trulicity Inj 1.5/0.5QL,ST

Prandin TAB 1MG

Victoza Inj 18MG/3MLQL,ST

Prandin TAB 2MG

SULFONYLUREAS

Starlix TAB 120MG

TIER 01 GENERIC

Starlix TAB 60MG

glimepiride TAB 1MG

DIABETIC OTHER

glimepiride TAB 2MG

TIER 02 PREFERRED

glimepiride TAB 4MG

Glucagen Inj Hypokit

glipizide ER TAB 10MG

Glucagon Kit 1MG

glipizide ER TAB 2.5MG

Jardiance TAB 10MGQL,PA

glipizide ER TAB 5MG

Jardiance TAB 25MGQL,PA

glipizide TAB 10MG

Proglycem Sus 50MG/ML

glipizide TAB 5MG


glipizide XL TAB 10MG

Cycloset TAB 0.8MGST

glipizide XL TAB 2.5MG

Farxiga TAB 10MGPA

glipizide XL TAB 5MG

Farxiga TAB 5MGPA

glyburide TAB 1.25MG

Invokana TAB 100MGPA

glyburide TAB 2.5MG

Invokana TAB 300MGPA

glyburide TAB 5MG

Korlym TAB 300MGQL,PA

Tolazamide TAB 250MG

Steglatro TAB 15MGPA

Tolazamide TAB 500MG

Steglatro TAB 5MGPA

Tolbutamide TAB 500MG

ALPHA-GLUCOSIDASE INHIBIT


TIER 01 GENERIC

glyburid mcr TAB 1.5MG

acarbose TAB 100MG

glyburid mcr TAB 3MG

acarbose TAB 25MG

glyburid mcr TAB 6MG

acarbose TAB 50MG

Amaryl TAB 1MG


Amaryl TAB 2MG

miglitol TAB 100MG

Amaryl TAB 4MG

miglitol TAB 25MG

Chlorpropam TAB 100MG

miglitol TAB 50MG

Chlorpropam TAB 250MG

Glyset TAB 100MG

Glucotrol TAB 10MG

Glyset TAB 25MG

Glucotrol TAB 5MG

Glyset TAB 50MG

Glucotrol XL TAB 10MG

Precose TAB 100MG

Glucotrol XL TAB 2.5MG

Precose TAB 25MG

Glucotrol XL TAB 5MG

Precose TAB 50MG

Glynase TAB 1.5MG

DPP-4 INHIBITORS

Glynase TAB 3MG


Glynase TAB 6MG

Alogliptin TAB 12.5MGPA

Alogliptin TAB 25MGPA



Alogliptin TAB 6.25MGPA

Oseni TAB 12.5-15PA

Januvia TAB 100MGPA

Oseni TAB 12.5-30PA

Januvia TAB 25MGPA

Oseni TAB 12.5-45PA

Januvia TAB 50MGPA

Oseni TAB 25-15MGPA

Nesina TAB 12.5MGPA

Oseni TAB 25-30MGPA

Nesina TAB 25MGPA

Oseni TAB 25-45MGPA

Nesina TAB 6.25MGPA

Qtern TAB 10MG/5MGQL,PA

Onglyza TAB 2.5MGPA

Repaglinide TAB 1-500MG

Onglyza TAB 5MGPA

Repaglinide TAB 2-500MG

Tradjenta TAB 5MGST

Segluromet TAB 2.5-1000PA

INSULIN SENSITIZING AGENT




pioglitazone TAB 15MG



Soliqua Inj 100/33PA


Steglujan TAB 15-100MGPA

Actos TAB 15MG

Steglujan TAB 5-100MGPA

Actos TAB 30MG

Synjardy TABQL,PA

Actos TAB 45MG

Synjardy TAB 12.5-500QL,PA

Avandia TAB 2MG

Synjardy TAB 5-1000MGQL,PA

Avandia TAB 4MG

Synjardy TAB 5-500MGQL,PA

ANTIDIABETIC COMBINATIONS

Synjardy XR TABQL,PA


Synjardy XR TAB 10-1000QL,PA

glip/metform TAB 2.5-250m

Synjardy XR TAB 25-1000QL,PA

glip/metform TAB 2.5-500m

Synjardy XR TAB 5-1000MGQL,PA

glip/metform TAB 5-500MG

Xigduo XR TAB 10-1000PA

glyb/metform TAB 1.25-250

Xigduo XR TAB 10-500MGPA

glyb/metform TAB 2.5-500

Xigduo XR TAB 2.5-1000PA

glyb/metform TAB 5-500MG


pioglit/glim TAB 30-2MG


pioglit/glim TAB 30-4MG

Xultophy Inj 100/3.6PA

pioglita/met TAB 15-500MG

pioglita/met TAB 15-850MG

BISPHOSPHONATES

Actoplus Met TAB XR

TIER 01 GENERIC

Actoplus Met TAB 15-500MG

alendronate TAB 10MG

Actoplus Met TAB 15-850MG


Alog/Pioglit TAB 12.5-15PA

alendronate TAB 5MG




risedronate TAB 150MGST

Alog/Pioglit TAB 25-15MGPA






Alogliptin/ TAB MetformPA

Alendronate Sol 70/75ML

Duetact TAB 30-2MG

Alendronate TAB 40MG

Duetact TAB 30-4MG

Etidron Disd TAB 200MG

Glucovance TAB 2.5-500

Etidron Disd TAB 400MG

Glucovance TAB 5-500MG


Glyxambi TAB 10-5 MGST

ibandronate TAB 150MG

Glyxambi TAB 25-5 MGST

risedron sod TAB 35MG DRST

Invokamet TAB 150-1000PA

Actonel TAB 150MGST


Actonel TAB 30MGST


Actonel TAB 35MGST

Invokamet TAB 50-500MGPA

Actonel TAB 5MGST

Invokamet XR TAB 150-1000PA

Atelvia TABST


Binosto TAB 70MG


Boniva TAB 150MG

Invokamet XR TAB 50-500MGPA

Fosamax + D TAB 70-2800

Janumet TAB 50-1000PA

Fosamax + D TAB 70-5600

Janumet TAB 50-500MGPA

Fosamax TAB 70MG

Janumet XR TAB 100-1000PA

Janumet XR TAB 50-1000PA

CALCITONINS

Janumet XR TAB 50-500MGPA


Jentadueto TAB XRST

calcitonin spr 200/act

Jentadueto TAB 2.5-1000ST

Miacalcin Inj 200/ML


Miacalcin Spr 200/Act


Kazano 12.5- TAB 1000MGPA

PARATHYROID HORMONE

Kazano 12.5- TAB 500MGPA


Kombiglyz XR TAB 2.5-1000PA

Forteo Sol 600/2.4QL,PA

Kombiglyz XR TAB 5-1000MGPA

Natpara Inj 100mcgQL,PA

Kombiglyz XR TAB 5-500MGPA




SOMATOMEDINS




Increlex Inj 40MG/4MLQL,PA

Tymlos InjPA

SOMATOSTATIC AGENTS

HORMONE RECEPTOR MDLTR

TIER 01 GENERIC

TIER 01 GENERIC

octreotide inj 100mcg

raloxifene TAB 60MGPA




Evista TAB 60MGPA

octreotide inj 50mcg/ML

Osphena TAB 60MGPA


TIER 02 PREFERRED

LHRH/GNRH AGONIST

Sandostatin Kit Lar 10MGQL

TIER 02 PREFERRED


Lupr Dep-PED Inj 11.25MG


Lupr Dep-PED Inj 15MG


Lupr Dep-PED Inj 3m 30MG

Sandostatin Inj 100mcg

Lupr Dep-PED Inj 7.5MG




Synarel Sol 2MG/MLQL

Sandostatin Inj 50mcg/ML


GNRH/LHRH ANTAGONISTS

Signifor Inj 0.3MG/MLQL,PA




Orilissa TAB 150MGQL,PA

Somatuline Inj 120/.5MLPA

Orilissa TAB 200MGQL,PA

Somatuline Inj 60/0.2MLPA

Somatuline Inj 90/0.3MLPA

GROWTH HORMONES

TIER 02 PREFERRED

GH RECEPTOR ANTAGONISTS

Omnitrope Inj 10/1.5MLQL,PA


Omnitrope Inj 5.8MGQL,PA

Somavert Inj 10MGQL,PA

Omnitrope Inj 5/1.5MLQL,PA




Genotropin Inj 0.2MGQL,PA






POSTERIOR PITUITARY



TIER 01 GENERIC


desmopressin inj 4mcg/ML


desmopressin spr 0.01%

Genotropin Inj 1MGQL,PA

desmopressin TAB 0.1MG


desmopressin TAB 0.2MG


TIER 02 PREFERRED


Noctiva Emu 0.83/0.1

Humatrope Inj 12MGQL,PA

Noctiva Spr 1.66/0.1


Stimate Sol 1.5MG/ML




Ddavp Inj 4mcg/ML

Norditropin Inj 10/1.5MLQL,PA

Ddavp Sol 0.01%


Ddavp Spr 0.01%

Norditropin Inj 30/3MLQL,PA

Ddavp TAB 0.1MG


Ddavp TAB 0.2MG

Nutropin AQ Inj Nuspin 5QL,PA

Nocdurna Sub 27.7mcgPA

Nutropin AQ Inj 10MG/2MLQL,PA

Nocdurna Sub 55.3mcgPA

Nutropin AQ Inj 20MG/2MLQL,PA

Saizen Inj 5MGQL,PA

CORTICOTROPIN

Saizen Inj 8.8MGQL,PA

TIER 02 PREFERRED

Saizenprep Inj 8.8MGQL,PA

H.p. Acthar Inj 80unitQL,PA

Serostim Inj 4MGQL,PA


PROLACTIN INHIBITORS


TIER 01 GENERIC

Zomacton Inj 10MGQL,PA

cabergoline TAB 0.5MG

Zomacton Inj 5MGQL,PA

Zorbtive Inj 8.8MGQL,PA

VASOPRESSIN ANTAGONISTS


GHRH

Jynarque PAK 45-15MGQL,PA



Egrifta Sol 1MGQL


Samsca TAB 15MGQL,PA



Samsca TAB 30MGQL,PA

levothyroxin TAB 112mcg


PROGESTERONE ANTAGONISTS





Mifeprex TAB 200MG



METABOLIC MODIFIERS


TIER 01 GENERIC


calcitriol sol 1mcg/ML


calcitriol CAP 0.25mcg


calcitriol CAP 0.5mcg

levothyroxine TAB 0.075MG

levocarnitin sol 1gm/10ML

liothyronine TAB 25mcg

levocarnitin TAB 330MG


Carnitor Sol 1gm/10ML


Carnitor SF Sol 1gm/10ML

methimazole TAB 10MG

Carnitor TAB 330MG

methimazole TAB 5MG


propylthiour TAB 50MG

cinacalcet TAB 30MGPA



euthyrox TAB 100mcg


euthyrox TAB 112mcg

doxercalcif CAP 0.5mcg

euthyrox TAB 125mcg

doxercalcif CAP 1mcg

euthyrox TAB 137mcg

doxercalcif CAP 2.5mcg

euthyrox TAB 150mcg

paricalcitol CAP 1 mcg

euthyrox TAB 175mcg


euthyrox TAB 200mcg


euthyrox TAB 25mcg

phenylbutyra pow sodiumQL

euthyrox TAB 50mcg

sodium pheny TAB 500MGQL

euthyrox TAB 75mcg

Buphenyl PowQL

euthyrox TAB 88mcg

Buphenyl TAB 500MGQL

levo-t TAB 100mcg

Carbaglu TAB 200MGQL,PA

levo-t TAB 112mcg

Crysvita Inj 10MG/MLQL,PA

levo-t TAB 125mcg


levo-t TAB 137mcg


levo-t TAB 150mcg

Cystadane Pow

levo-t TAB 175mcg

Galafold CAP 123MGQL,PA

levo-t TAB 200 mcg

Hectorol CAP 0.5mcg

levo-t TAB 25mcg

Hectorol CAP 1mcg

levo-t TAB 300 mcg

Hectorol CAP 2.5mcg

levo-t TAB 50mcg

Kuvan Pow 100MGQL,PA

levo-t TAB 75mcg

Kuvan Pow 500MGQL,PA

levo-t TAB 88mcg

Kuvan TAB 100MGQL,PA

levo/liothyr TAB 120MG

Myalept Inj 11.3MGQL,PA


Nityr TAB 10MGQL,PA


Nityr TAB 2MGQL,PA


Nityr TAB 5MGQL,PA


Orfadin CAP 10MGQL

levoxyl TAB 100mcg

Orfadin CAP 2MGQL

levoxyl TAB 112mcg

Orfadin CAP 20MG

levoxyl TAB 125mcg

Orfadin CAP 5MGQL

levoxyl TAB 137mcg

Orfadin Sus 4MG/MLQL,PA

levoxyl TAB 150mcg

Ravicti Liq 1.1gm/MLQL,PA

levoxyl TAB 175mcg

Rayaldee CAP 30mcgPA

levoxyl TAB 200mcg

Rocaltrol CAP 0.25mcg

levoxyl TAB 25mcg

Rocaltrol CAP 0.5mcg

levoxyl TAB 50mcg

Rocaltrol Sol 1mcg/ML

levoxyl TAB 75mcg

Sensipar TAB 30MGPA

levoxyl TAB 88mcg

Sensipar TAB 60MGPA

unith direct TAB 100mcg

Sensipar TAB 90MGPA


Strensiq Inj 18/0.45QL,PA


Strensiq Inj 28/0.7MLQL,PA


Strensiq Inj 40MG/MLQL,PA


Strensiq Inj 80/0.8MLQL,PA


Zemplar CAP 1mcg


Zemplar CAP 2mcg



THYROID AGENTS


TIER 01 GENERIC



unithroid TAB 100mcg




Tirosint CAP 88mcg


Westhroid TAB 130MG


Westhroid TAB 195MG


Westhroid TAB 32.5MG


Westhroid TAB 65MG


Westhroid TAB 97.5MG

unithroid TAB 25mcg

Wp Thyroid TAB 113.75MG


Wp Thyroid TAB 130MG

unithroid TAB 50mcg


unithroid TAB 75mcg


unithroid TAB 88mcg


Armour Thyro TAB 120MG

Wp Thyroid TAB 65MG







GASTROINTESTINAL


LAXATIVES


TIER 01 GENERIC


constulose sol 10gm/15

Cytomel TAB 25mcg

gavilyte-c sol

Cytomel TAB 5mcg

gavilyte-n sol flav pk

Cytomel TAB 50mcg

gavilyte-G sol

Nature Throi TAB 162.5MG

lactulose sol 10gm/15

Nature-throi TAB 113.75MG


Nature-throi TAB 130MG

peg 3350 sol electrol


peg-3350 sol electrol


peg-3350/KCL sol /sodium


polyeth GLYC pow 3350 NF


trilyte sol




gavilyte-h kit


lactulose PAK 10gm


peg-prep kit


pegylax pow


Clenpiq Sol

NP thyroid TAB 120MG

Colyte/Flavr Sol Packs

NP thyroid TAB 15MG

Golytely Sol

NP thyroid TAB 30MG

Golytely Sol Pineappl

NP thyroid TAB 60MG

Kristalose PAK 10gm

NP thyroid TAB 90MG

Kristalose PAK 20gm

Synthroid TAB 100mcg

Moviprep Sol


Nulytely Sol Flav Pks


Osmoprep TAB 1.5gm


Plenvu Sol


Prepopik PAK


Suprep Bowel Sol Prep Kit


Synthroid TAB 25mcg

ANTIDIARRHEALS


TIER 01 GENERIC

Synthroid TAB 50mcg

diphen/atrop TAB

Synthroid TAB 75mcg

diphen/atrop TAB 2.5MG

Synthroid TAB 88mcg

loperamide CAP 2MG

Tapazole TAB 10MG

opium tin 10MG/ML

Tapazole TAB 5MG

Diphen/Atrop Liq 2.5/5

Thyrolar-1 TAB 60MG


Thyrolar-1/2 TAB 30MG

Lomotil TAB 2.5MG

Thyrolar-1/4 TAB 15MG

Motofen TAB 1-0.025

Thyrolar-2 TAB 120MG

Mytesi TAB 125MG

Thyrolar-3 TAB 180MG

Paregoric Tin 2MG/5ML

Tirosint CAP 100mcg

Tirosint CAP 112mcg

ULCER DRUGS

Tirosint CAP 125mcg

TIER 01 GENERIC

Tirosint CAP 13mcg

chlord/clidi CAP 5-2.5MG

Tirosint CAP 137mcg

cimetidine TAB 200MG

Tirosint CAP 150mcg


Tirosint CAP 175mcg


Tirosint CAP 200


Tirosint CAP 25mcg

dicyclomine sol 10MG/5ML

Tirosint CAP 50mcg

dicyclomine CAP 10MG

Tirosint CAP 75mcg



dicyclomine TAB 20MG

Bentyl CAP 10MG

famotidine sus 40MG/5ML

Bentyl Inj 10MG/ML

famotidine TAB 20MG

Carafate TAB 1gm

famotidine TAB 40MG

Cuvposa Sol 1MG/5ML

glycopyrrol inj 0.2MG/ML

Cytotec TAB 100mcg

glycopyrrol inj 0.4/2ML

Cytotec TAB 200mcg

glycopyrrol inj 1MG/5ML

Dexilant CAP 30MG DRPA

glycopyrrol inj 4MG/20ML

Dexilant CAP 60MG DRPA

glycopyrrol TAB 1MG

Esomeprazole CAP 24.65MGPA

glycopyrrol TAB 2MG

Esomeprazole CAP 49.3MGPA

lansoprazole CAP 15MG DRST

First-omepra Sus 2MG/ML

lansoprazole CAP 30MG DRST

Glycate TAB 1.5MG

misoprostol TAB 100mcg

Glycopyrrola TAB 1.5MG

misoprostol TAB 200mcg

Lansoprazole Sus 3MG/ML

omeprazole CAP 10MG

Levbid TAB 0.375 ER

omeprazole CAP 20MG

Levsin Inj 0.5MG/ML

omeprazole CAP 40MG

Levsin TAB 0.125MG

pantoprazole TAB 20MG

Levsin/SL Sub 0.125MG

pantoprazole TAB 20MG DR

Librax CAP 5-2.5MG

pantoprazole TAB 40MG

Nexium Gra 10MG DRPA

pantoprazole TAB 40MG DR

Nexium Gra 2.5MG DRPA

rabeprazole TAB 20MGST


ranitidine syp 15MG/ML


ranitidine syp 150/10ML

Nexium Gra 5MG DRPA

ranitidine syp 75MG/5ML

Nizatidine Sol 15MG/ML

ranitidine TAB 150MG

Omeclamox- Mis PAK

ranitidine TAB 300MG

Omeprazole + Sus Syrspend

sucralfate TAB 1gm

Pepcid Sus 40MG/5ML

Bella/Opium Sup 16.2-30

Pepcid TAB 20MG

Bella/Opium Sup 16.2-60

Pepcid TAB 40MG

Cimetidine Sol 300/5ML

Prevacid CAP 15MG DRST

Propanthelin TAB 15MG

Prevacid CAP 30MG DRST

TIER 02 PREFERRED

Prevacid TAB 15MG StbPA

Carafate Sus 1gm/10ML

Prevacid TAB 30MG StbPA

Pylera CAP

Prevpac Mis


Prilosec Pow 10MG

dicyclomine inj 10MG/ML

Prilosec Pow 2.5MG

ed-spaz TAB 0.125MG

Protonix PAK

hyoscyamine dro 0.125/ML

Protonix TAB 20MG

hyoscyamine elx 0.125/5

Protonix TAB 40MG

hyoscyamine sub 0.125MG

Robinul Fort TAB 2MG

hyoscyamine TAB 0.125MG

Robinul Inj 0.2MG/ML

hyoscyamine TAB 0.375 ER

Robinul TAB 1MG

hyoscyamine TAB 0.375 SR

Symax Duotab TAB

hyosyne dro 0.125/ML

Zantac TAB 150MG

hyosyne elx 0.125/5

Zantac TAB 300MG

lansopr/amox mis /clarith

Zegerid Pow 20-1680PA

lansoprazole TAB 15MGPA

Zegerid Pow 40-1680PA

lansoprazole TAB 15MG odtPA

lansoprazole TAB 30MGPA

ANTIEMETICS

lansoprazole TAB 30MG odtPA

TIER 01 GENERIC

methscopolam TAB 2.5MG

aprepitant CAP 125MG

methscopolam TAB 5MG

aprepitant CAP 80MG

nizatidine CAP 150MG

aprepitant PAK 80 & 125

nizatidine CAP 300MG

dronabinol CAP 10MG

nulev TAB 0.125MG

dronabinol CAP 2.5MG

omepra/bicar pow 20-1680PA

dronabinol CAP 5MG

omepra/bicar pow 40-1680PA

ondansetron inj 4MG/2ML

oscimin sub 0.125MG

ondansetron inj 40/20ML

oscimin SR TAB 0.375MG

ondansetron sol 4MG/5ML

oscimin TAB 0.125MG

ondansetron TAB 24MG

ranitidine CAP 150MG

ondansetron TAB 4MG

ranitidine CAP 300MG

ondansetron TAB 4MG odt

symax-SL sub 0.125MG

ondansetron TAB 8MG

symax-SR TAB 0.375MG

ondansetron TAB 8MG odt

Aciphex Spr CAP 10MGPA

Dimenhydrin Inj 50MG/ML

Aciphex Spr CAP 5MGPA


Aciphex TAB 20MGST

aprepitant CAP 40MG

Anaspaz TAB 0.125MG

granisetron TAB 1MGPA

Atropine SUL Inj 1MG/ML



meclizine TAB 12.5MG

enulose sol 10gm/15

meclizine TAB 25MG

generlac sol 10gm/15

scopolamine dis 1MG/3day

hydrocort ene 100MG

trimethobenz CAP 300MG

hydrocortiso CRE 2.5%

Akynzeo CAP 300-0.5


Anzemet TAB 100MG

mesalamine ene 4gm

Anzemet TAB 50MG

mesalamine sup 1000MG

Bonjesta TAB 20-20MGPA

mesalamine TAB 1.2gmST

Cesamet CAP 1MG

mesalamine TAB 800MG DRST

Diclegis TAB 10-10MGPA

metoclopram inj 10MG/2ML

Emend CAP 125MG

metoclopram inj 5MG/ML

Emend CAP 40MG

metoclopram sol 10/10ML

Emend CAP 80MG

metoclopram sol 5MG/5ML

Emend Sus 125MG

metoclopram TAB 10MG

Emend Tripac PAK 80 & 125

metoclopram TAB 5MG

Marinol CAP 10MG

procto-MED CRE HC 2.5%

Marinol CAP 2.5MG

proctosol HC CRE 2.5%

Marinol CAP 5MG

proctozone CRE -HC 2.5%

Ondansetron Inj 4MG/2ML

sevelamer pow 0.8gm

Sancuso Dis 3.1MGPA

sevelamer pow 2.4gm

Syndros Sol 5MG/ML

sevelamer TAB 800MG

Tigan CAP 300MG

sulfasalazin TAB 500MG

Tigan Inj 100MG/ML

sulfasalazin TAB 500MG DR

Transderm-sc Dis 1.5MG

ursodiol CAP 300MG

Varubi TAB 90MGPA

ursodiol TAB 250MG

Zofran Sol 4MG/5ML

ursodiol TAB 500MG

Zofran TAB 4MG

Lialda TAB 1.2gmST

Zofran TAB 4MG Odt

TIER 02 PREFERRED

Zofran TAB 8MG

Asacol HD TAB 800MGST

Zofran TAB 8MG Odt

Canasa Sup 1000MG

Zuplenz Mis 4MG

Cortifoam Aer 90MG

Zuplenz Mis 8MG

Pentasa CAP 250MG CRST

Pentasa CAP 500MG CRST

DIGESTIVE AIDS

Proctofoam Aer HC 1%

Rectiv Oin 0.4%

TIER 02 PREFERRED

Relistor Inj 12/0.6ML

Creon CAP 12000unt

Relistor Inj 8/0.4ML

Creon CAP 24000unt

Renagel TAB 400MG

Creon CAP 3000unit

Renagel TAB 800MG

Creon CAP 36000unt


Creon CAP 6000unit

alosetron TAB 0.5MGQL

Zenpep CAP 10000unt

alosetron TAB 1MGQL

Zenpep CAP 15000unt

anucort-HC sup 25MG

Zenpep CAP 20000unt

anusol-HC sup 25MG

Zenpep CAP 25000

cromolyn sod CON 100/5ML

Zenpep CAP 25000unt

hemmorex-HC sup 25MG

Zenpep CAP 3000unit

hemmorex-HC sup 30MG

Zenpep CAP 40000

hydrocort ac sup 25MG

Zenpep CAP 40000unt

hydrocort ac sup 30MG

Zenpep CAP 5000unit

hydrocort CRE 1%


lanthanum chw 1000MGQL

Pancreaze CAP


Pancreaze CAP 10500unt



lidocaine/HC kit 3%-0.5%


lidocaine/HC kit 3%-1%

Pancreaze CAP 4200unit

lidocaine/HC CRE 3%-0.5%

Pertzye CAP 16000u

mesalamine kit 4gm

Pertzye CAP 24000u

pramcort CRE 1-1%

Pertzye CAP 4000unit

procto-PAK CRE 1%

Pertzye CAP 8000unit

Actigall CAP 300MG

Sucraid Sol 8500/MLPA

Amitiza CAP 24mcgQL,PA

Viokace TAB 10440

Amitiza CAP 8mcgQL,PA

Viokace TAB 20880

Analpram-HC CRE 1-1%

Analpram-HC Lot 2.5%

GASTROINTESTINAL - MISC.

Anusol-HC CRE 2.5%

TIER 01 GENERIC

Apriso CAP 0.375gmST

balsalazide CAP 750MG

Auryxia TAB 210MGQL,PA

calc acetate CAP 667MG

Azulfidine TAB 500MG

calc acetate TAB 667MG

Azulfidine TAB 500MG En

colocort ene 100MG

Chenodal TAB 250MG



Cholbam CAP 250MGQL,PA

methenam man TAB 1000MG

Cholbam CAP 50MGQL,PA

methenam man TAB 500MG

Cimzia KitQL,PA

phosphasal TAB

Cimzia Kit StarterQL,PA

ur n-c TAB

Cimzia Prefl Kit 200MG/MLQL,PA

uramit mb CAP 118MG

Colazal CAP 750MG

urelle TAB

Cortenema Ene 100MG

uretron d/s TAB

Delzicol CAP 400MGST

uribel CAP 118MG

Dipentum CAP 250MGQL,ST

urin d/s TAB

Eliphos TAB 667MG

uro-mp CAP 118MG

Entereg CAP 12MG

uro-458 TAB

Fosrenol Chw 1000MGQL

uroav-b CAP


uroav-81 TAB


urophen mb TAB 81.6MG

Fosrenol Pow 1000MG

uryl TAB

Fosrenol Pow 750MG

ustell CAP

Gastrocrom CON 100/5ML

uticap CAP

Gattex Kit 5MGQL,PA

utira-c TAB

Giazo TAB 1.1gm

utrona-c TAB

HC pramoxine CRE 1-1%

vilamit mb CAP 118MG

Lido-hydro Gel 2.8-0.55

vilevev mb TAB 81MG

Linzess CAP 145mcgQL,PA

Furadantin Sus 25MG/5ML

Linzess CAP 290mcgQL,PA

Hiprex TAB 1gm

Linzess CAP 72mcgPA

Hyophen TAB

Lotronex TAB 0.5MGQL

Macrobid CAP 100MG

Lotronex TAB 1MGQL

Macrodantin CAP 100MG

Metoclopram TAB 5MG Odt


Metocloprami TAB 10MG Odt


Movantik TAB 12.5MGQL,PA

Methenam Man TAB 500MG

Movantik TAB 25MGQL,PA

Monurol PAK Granules

Ocaliva TAB 10MGQL,PA

Urimar-t TAB

Ocaliva TAB 5MGQL,PA

Urogesic- TAB Blue

Phoslyra Sol

Uta CAP 120MG

Procort CRE

Proctocort CRE 1%

URINARY ANTISPASMODICS

Proctocort Sup 30MG

TIER 01 GENERIC

Reglan TAB 10MG

bethanechol TAB 10MG

Reglan TAB 5MG


Relistor TAB 150MGPA

bethanechol TAB 5MG

Renvela Pow 0.8gm


Renvela Pow 2.4gm

flavoxate TAB 100MG

Renvela TAB 800MG

oxybutynin syp 5MG/5ML

Rowasa Kit 4gm

oxybutynin TAB 10MG ER

Sfrowasa Ene 4gm


Symproic TAB 0.2MGPA

oxybutynin TAB 5MG

Trulance TAB 3MGPA


Uceris Aer 2MG/Act

tolterodine CAP 2MG ER

Urso Forte TAB 500MG

tolterodine CAP 4MG ER

Urso 250 TAB 250MG

tolterodine TAB 1MG

Velphoro Chw 500MGQL,PA

tolterodine TAB 2MG

Viberzi TAB 100MGPA

trospium chl CAP 60MG ER

Viberzi TAB 75MGPA

trospium CL TAB 20MG

Xermelo TAB 250MGQL,PA


darifenacin TAB 15MGST

GENITOURINARY

darifenacin TAB 7.5MGST

Detrol LA CAP 2MG

URINARY ANTI-INFECTIVES

Detrol LA CAP 4MG

TIER 01 GENERIC

Detrol TAB 1MG

methenam hip TAB 1gm

Detrol TAB 2MG

nitrofur mac CAP 100MG

Ditropan XL TAB 10MG


Ditropan XL TAB 15MG


Ditropan XL TAB 5MG

nitrofurantn sus 25MG/5ML

Enablex TAB 15MGST

nitrofurantn CAP 100MG

Enablex TAB 7.5MGST


Gelnique Gel 10%ST

azuphen mb CAP 120MG

Gelnique Gel 10% P.M.ST

hyolev mb TAB 81MG

Myrbetriq TAB 25MGST

indiomin mb CAP 120MG

Myrbetriq TAB 50MGST

me/naphos/mb TAB hyo 1

Oxytrol Dis 3.9MG/24ST

methenam man TAB 1gm



Toviaz TAB 4MGST

pot citrate TAB 540MG ER

Toviaz TAB 8MGST

pot citrate- PAK CIT acid

Urecholine TAB 10MG

sod citrate sol citr acd

Urecholine TAB 25MG

sodium chlor sol 0.9% irr

Urecholine TAB 5MG

tamsulosin CAP 0.4MG

Urecholine TAB 50MG

taron gra crystals

Vesicare TAB 10MGST

virtrate-k sol 1100-334

Vesicare TAB 5MGST

virtrate-2 sol

virtrate-2 sol 500-334

VAGINAL PRODUCTS

virtrate-3 sol

K/NA Citrate Sol Citr Acd

TIER 01 GENERIC

Tricitrates Sol

clindamycin CRE 2% vag

TIER 02 PREFERRED

estradiol CRE 0.01%

Cystagon CAP 150MGPA

estradiol TAB 10mcg

Cystagon CAP 50MGPA

metronidazol gel 0.75%vag

Elmiron CAP 100MG

vandazole gel 0.75%

Oracit Sol

yuvafem TAB 10mcg


TIER 02 PREFERRED

dutast/tamsu CAP 0.5-0.4

Estring Mis 2MG

dutasteride CAP 0.5MG

Femring Mis 0.05/24h

neo/poly GU sol 40/ML IR

Femring Mis 0.1MG/24

silodosin CAP 4MG

Premarin Vag CRE 0.625MG

silodosin CAP 8MG


Avodart CAP 0.5MG

terconazole sup 80MG

Cardura XL TAB 4MG

terconazole CRE 0.4%

Cardura XL TAB 8MG

terconazole CRE 0.8%

Flomax CAP 0.4MG

zazole sup 80MG

Jalyn CAP

zazole CRE 0.8%

K-phos TAB NO 2

Avc CRE 15%

Lithostat TAB 250MG

Cleocin CRE 2% Vag

Neosporin GU Sol 40/ML IR

Cleocin Sup 100MG

Procysbi CAP 25MGQL,PA

Clindesse CRE 2%

Procysbi CAP 75MGQL,PA

Crinone Gel 4% Vag

Proscar TAB 5MG

Crinone Gel 8% Vag

Pyridium TAB 100MG

Endometrin Sup 100MG

Pyridium TAB 200MG

Estrace Vag CRE 0.01%

Rapaflo CAP 4MG

Fem PH Gel

Rapaflo CAP 8MG

Gynazole-1 CRE 2%

Renacidin Sol

Imvexxy Main Sup 10mcgPA

Rimso-50 Sol 50%

Imvexxy Main Sup 4mcgPA

Shohls Sol Modified

Imvexxy Strt Sup 10mcgPA

Thiola TAB 100MG

Imvexxy Strt Sup 4mcgPA

Urocit-k 10 TAB

Intrarosa Sup 6.5MGPA

Urocit-k 15 TAB

Metrogel-vag Gel 0.75%

Urocit-k 5 TAB

Miconazole 3 Sup 200MG

Uroxatral TAB 10MG

Nuvessa Gel 1.3%

Progesterone Sup VGS 100

HEMATOLOGICAL AGENTS



HEMATOPOIETIC AGENTS

Relagard Gel

TIER 01 GENERIC

Terazol 7 CRE 0.4%

cyanocobalam inj 1000mcg

Terconazole CRE 0.8%

folic acid TAB 1MG

Trimo-san Gel

folic acid TAB 1000mcg

Vagifem TAB 10mcg

Folic Acid Inj 5MG/ML

TIER 02 PREFERRED

GENITOURINARY - MISC.

Cerdelga CAP 84MGQL,PA

TIER 01 GENERIC

Droxia CAP 200MG

acetic acid sol 0.25%irr

Droxia CAP 300MG

alfuzosin TAB 10MG ER

Droxia CAP 400MG

argyl saline sol 0.9%

Epogen Inj 10000/MLPA

curity salin sol 0.9% irr


cytra k gra crystals


finasteride TAB 5MG


k citrate sol citr acd


phenazo TAB 200MG

Neupogen Inj 300/0.5QL

phenazopyrid TAB 100MG

Neupogen Inj 300mcgQL

phenazopyrid TAB 200MG

Neupogen Inj 480/0.8QL

pot citrate TAB 1080MG

Neupogen Inj 480mcgQL

pot citrate TAB 1620MG

Procrit Inj 10000/MLPA




heparin sod inj 5000/0.5


jantoven TAB 1MG


jantoven TAB 10MG


jantoven TAB 2.5MG


jantoven TAB 2MG

Zarxio Inj 300/0.5QL

jantoven TAB 3MG

Zarxio Inj 480/0.8QL

jantoven TAB 4MG


jantoven TAB 5MG

miglustat CAP 100MGQL,PA

jantoven TAB 6MG

Aranesp Inj 10mcgPA

jantoven TAB 7.5MG

Aranesp Inj 100mcgPA

warfarin TAB 1MG


warfarin TAB 10MG


warfarin TAB 2.5MG

Aranesp Inj 25mcgPA

warfarin TAB 2MG


warfarin TAB 3MG

Aranesp Inj 40mcgPA

warfarin TAB 4MG


warfarin TAB 5MG

Aranesp Inj 60mcgPA

warfarin TAB 6MG

Doptelet TAB 20MGQL,PA

warfarin TAB 7.5MG

Endari Pow 5gmQL,PA

Lovenox Inj 100MG/MLQL

Fulphila Inj 6/0.6MLQL,PA

Lovenox Inj 120/0.8QL

Genicin TAB Vita-d

Lovenox Inj 150MG/MLQL

Granix Inj 300/0.5QL

Lovenox Inj 30/0.3MLQL

Granix Inj 300/1MLQL

Lovenox Inj 300/3MLQL





Mircera Inj 100mcgPA


Mircera Inj 200mcgPA

QL

Mircera Inj 50mcgPA

TIER 02 PREFERRED

Mircera Inj 75mcgPA

Pradaxa CAP 110MG

Mircera Sol 150/0.3PA

Pradaxa CAP 150MG

Mircera Sol 30/0.3MLPA

Pradaxa CAP 75MG

Mulpleta TAB 3MGQL,PA

Xarelto Star TAB 15/20MGPA

Neulasta Inj 6MG/0.6mQL,PA

Xarelto TAB 10MGPA

Neulasta Kit 6MG/0.6mQL,PA

Xarelto TAB 15MGPA

Nivestym Inj 300/0.5QL,PA

Xarelto TAB 2.5MGPA

Nivestym Inj 480/0.8QL,PA

Xarelto TAB 20MGPA

Promacta Pow 12.5MGQL,PA


Promacta TAB 12.5MGQL,PA

Arixtra Inj 10/0.8MLQL

Promacta TAB 25MGQL,PA

Arixtra Inj 2.5/0.5QL


Arixtra Inj 5/0.4MLQL


Arixtra Inj 7.5/0.6QL

Retacrit Inj 10000untPA

Coumadin TAB 1MG

Retacrit Inj 2000unitPA

Coumadin TAB 10MG


Coumadin TAB 2.5MG


Coumadin TAB 2MG

Retacrit Inj 40000untPA

Coumadin TAB 3MG

Siklos TAB 100MGQL,PA

Coumadin TAB 4MG

Siklos TAB 1000MGQL,PA

Coumadin TAB 5MG

Udenyca Inj 6MG/.6MLQL,PA

Coumadin TAB 6MG

Zavesca CAP 100MGQL,PA

Coumadin TAB 7.5MG

Eliquis ST P TAB 5MGPA

ANTICOAGULANTS

Eliquis TAB 2.5MGPA

Eliquis TAB 5MGPA

TIER 01 GENERIC

Fragmin Inj 10000/ML

enoxaparin inj 100MG/MLQL

Fragmin Inj 12500unt

enoxaparin inj 120/0.8QL


enoxaparin inj 150MG/MLQL


enoxaparin inj 30/0.3MLQL

Fragmin Inj 2500/0.2

enoxaparin inj 300/3MLQL





Fragmin Inj 95000untPA


Hep Sod/NACL Inj 1000unit

fondaparinux inj 10/0.8MLQL

Hep Sod/NACL Inj 2000unit

fondaparinux inj 2.5/0.5QL

Savaysa TAB 15MGPA

fondaparinux inj 5/0.4MLQL

Savaysa TAB 30MGPA

fondaparinux inj 7.5/0.6QL

Savaysa TAB 60MGPA

heparin sod inj 1000/ML





HEMOSTATICS

pilocarpine TAB 7.5MG

Aquoral Spr

TIER 01 GENERIC

Bocasal Pow

tranex acid TAB 650MGQL

Caphosol Sol


Debacterol Sol 30-50%

aminocapr ac TAB 1000MG

Evoxac CAP 30MG

aminocapr ac TAB 500MG

First-mouthw Sus Blm

Amicar Sol 0.25/ML

Lidocaine Sol 4%

Amicar TAB 1000MG

Neutrasal Pow

Amicar TAB 500MG

Numoisyn Liq

Lysteda TAB 650MGQL

Numoisyn Loz

Oravig TAB 50MG

HEMATOLOGICAL - MISC.

Salagen TAB 5MG

TIER 01 GENERIC

Salagen TAB 7.5MG

anagrelide CAP 0.5MG

Salivamax Pow

anagrelide CAP 1MG

Salivate RX Pow

asa/dipyrida CAP 25-200MG

Xerostomia Sol Relief

cilostazol TAB 100MG

cilostazol TAB 50MG

NEUROLOGY, CNS, PSYCH

clopidogrel TAB 300MG

clopidogrel TAB 75MG

ANTIANXIETY AGENTS

dipyridamole TAB 25MG

TIER 01 GENERIC


alprazolam TAB 0.25MG


alprazolam TAB 0.5MG

pentoxifylli TAB 400MG ER

alprazolam TAB 0.5MG ER

prasugrel TAB 10MGPA

alprazolam TAB 0.5MG XR

prasugrel TAB 5MGPA

alprazolam TAB 1MG

Aggrenox CAP 25-200MG

alprazolam TAB 1MG ER

TIER 02 PREFERRED

alprazolam TAB 1MG XR

Berinert Inj 500unitQL,PA

alprazolam TAB 2MG

Brilinta TAB 60MGPA


Brilinta TAB 90MGPA


Firazyr Inj 30MG/3MLQL,PA


Hemlibra Inj 105/0.7QL,PA


Hemlibra Inj 150/MLQL,PA

buspirone TAB 10MG

Hemlibra Inj 30MG/MLQL,PA

buspirone TAB 15MG

Hemlibra Inj 60/0.4QL,PA

buspirone TAB 30MG


buspirone TAB 5MG

Agrylin CAP 0.5MG

buspirone TAB 7.5MG

Cinryze Sol 500 UnitQL,PA

chlordiazep CAP 10MG

Durlaza CAP 162.5MG

chlordiazep CAP 25MG

Effient TAB 10MGPA

chlordiazep CAP 5MG

Effient TAB 5MGPA

cloraz dipot TAB 15MG

Haegarda Inj 2000unitQL,PA

cloraz dipot TAB 3.75MG

Haegarda Inj 3000unitQL,PA

cloraz dipot TAB 7.5MG

Plavix TAB 300MG

diazepam TAB 10MG

Plavix TAB 75MG

diazepam TAB 2MG

Ruconest Inj 2100unitQL,PA

diazepam TAB 5MG

Takhzyro Inj 300/2MLQL,PA

hydroxyz pam CAP 25MG

Tavalisse TAB 100MGQL,PA

hydroxyz pam CAP 50MG

Tavalisse TAB 150MGQL,PA

hydroxyz HCL syp 10MG/5ML

Yosprala TAB 325-40MG

hydroxyz HCL TAB 10MG

Yosprala TAB 81-40MG


Zontivity TAB 2.08MG


lorazepam inj 2MG/ML

MOUTH/THROAT/DENTAL AGENT

lorazepam CON 2MG/ML

lorazepam TAB 0.5MG

lorazepam TAB 1MG

TIER 01 GENERIC

lorazepam TAB 2MG

chlorhex glu sol 0.12%

oxazepam CAP 10MG

clotrimazole loz 10MG

oxazepam CAP 15MG

clotrimazole tro 10MG

oxazepam CAP 30MG

lidocaine sol 2% visc

Diazepam Inj 10MG/2ML

nystatin sus 100000

Diazepam Inj 5MG/ML

oralone dent pst 0.1%

Diazepam Sol 5MG/5ML

paroex sol 0.12%

Hydroxyz Pam CAP 100MG

periogard sol 0.12%

Oxazepam CAP 30MG

pilocarpine TAB 5MG


triamcinolon pst den 0.1%

alprazolam TAB 0.25 odt


alprazolam TAB 0.5MG od

cevimeline CAP 30MG



alprazolam TAB 1MG odt

escitalopram sol 5MG/5ML

alprazolam TAB 2MG odt

escitalopram TAB 10MG

diazepam CON 5MG/ML


meprobamate TAB 200MG


meprobamate TAB 400MG

fluoxetine sol 20MG/5ML

Alprazolam CON 1 MG/ML

fluoxetine CAP 10MG

Ativan Inj 2MG/ML

fluoxetine CAP 20MG

Ativan TAB 0.5MG

fluoxetine CAP 40MG

Ativan TAB 1MG

fluoxetine TAB 10MG

Ativan TAB 2MG

fluoxetine TAB 20MG

Tranxene T TAB 7.5MG

fluoxetine TAB 60MG

Valium TAB 10MG

fluvoxamine TAB 100MG

Valium TAB 2MG


Valium TAB 5MG


Vistaril CAP 25MG

imipram HCL TAB 10MG

Vistaril CAP 50MG


Xanax TAB 0.25MG


Xanax TAB 0.5MG

mirtazapine TAB 15MG

Xanax TAB 1MG

mirtazapine TAB 15MG odt

Xanax TAB 2MG


Xanax XR TAB 0.5MG


Xanax XR TAB 1MG


Xanax XR TAB 2MG


Xanax XR TAB 3MG

mirtazapine TAB 7.5MG

nortriptylin sol 10MG/5ML

ANTIDEPRESSANTS

nortriptylin CAP 10MG


TIER 01 GENERIC


amitriptylin TAB 10MG



paroxetine TAB 10MG


paroxetine TAB 20MG


paroxetine TAB 30MG


paroxetine TAB 40MG


phenelzine TAB 15MG

bupropion TAB 100MG

protriptylin TAB 10MG

bupropion TAB 100MG ER

protriptylin TAB 5MG

bupropion TAB 100MG SR

sertraline CON 20MG/ML


sertraline TAB 100MG


sertraline TAB 25MG


sertraline TAB 50MG


tranylcyprom TAB 10MG

bupropion TAB 75MG

trazodone TAB 100MG

bupropn HCL TAB 150MG XL

trazodone TAB 150MG

bupropn HCL TAB 300MG ER

trazodone TAB 300MG

bupropn HCL TAB 300MG XL

trazodone TAB 50MG

citalopram sol 10MG/5ML

venlafaxine CAP 150MG ER

citalopram TAB 10MG

venlafaxine CAP 37.5 ER

citalopram TAB 20MG

venlafaxine CAP 75MG ER

citalopram TAB 40MG

venlafaxine TAB 100MG

clomipramine CAP 25MG



venlafaxine TAB 37.5MG



desipramine TAB 10MG



Amoxapine TAB 100MG


Amoxapine TAB 150MG


Amoxapine TAB 25MG


Amoxapine TAB 50MG


Fluoxetine TAB 60MG

doxepin HCL CAP 10MG

Maprotiline TAB 25MG






Nortriptylin Sol 10MG/5ML



TIER 02 PREFERRED

doxepin HCL CON 10MG/ML

Paxil Sus 10MG/5ML

duloxetine CAP 20MG


duloxetine CAP 30MG

desvenlafax TAB 100MG ERPA

duloxetine CAP 40MG


duloxetine CAP 60MG


escitalop ox sol 10/10ML

fluvoxamine CAP 100MG ER



fluvoxamine CAP 150MG ER

Paxil TAB 20MG

imipram pam CAP 100MG

Paxil TAB 30MG


Paxil TAB 40MG


Pexeva TAB 10MG


Pexeva TAB 20MG

nefazodone TAB 250MG

Pexeva TAB 30MG

nefazodone TAB 50MG

Pexeva TAB 40MG

paroxetin ER TAB 12.5MG

Pristiq TAB 100MGPA

paroxetin ER TAB 37.5MG

Pristiq TAB 25MGPA

paroxetine TAB 25MG ER

Pristiq TAB 50MGPA

trimipramine CAP 100MG

Prozac CAP 10MG


Prozac CAP 20MG


Prozac CAP 40MG

venlafaxine TAB 150MG ER

Prozac Weekl CAP 90MG


Remeron Sltb TAB 15MG

venlafaxine TAB 37.5 ER




Anafranil CAP 25MG

Remeron TAB 15MG

Anafranil CAP 50MG

Remeron TAB 30MG

Anafranil CAP 75MG

Remeron TAB 45MG

Aplenzin TAB 174MG

Surmontil CAP 100MG

Aplenzin TAB 348MG

Surmontil CAP 25MG

Aplenzin TAB 522MG

Surmontil CAP 50MG

Bupropion TAB 450MG ERST

Tofranil TAB 10MG

Celexa TAB 10MG

Tofranil TAB 25MG

Celexa TAB 20MG

Tofranil TAB 50MG

Celexa TAB 40MG

Trintellix TAB 10MGST

Cymbalta CAP 20MG


Cymbalta CAP 30MG


Cymbalta CAP 60MG

Viibryd Kit StarterST

Desvenlafax TAB 100MG ERPA

Viibryd TAB 10MGST

Desvenlafax TAB 50MG ERPA

Viibryd TAB 20MGST

Effexor XR CAP 150MG

Viibryd TAB 40MGST

Effexor XR CAP 37.5MG

Wellbutrin TAB XL 150MG

Effexor XR CAP 75MG

Wellbutrin TAB XL 300MG

Elavil TAB 25MG

Wellbutrin TAB 100MG SR

Emsam Dis 12MG/24h


Emsam Dis 6MG/24HR


Emsam Dis 9MG/24HR

Zoloft CON 20MG/ML

Fetzima CAP TitratioPA

Zoloft TAB 100MG

Fetzima CAP 120MGST

Zoloft TAB 25MG

Fetzima CAP 20MGST

Zoloft TAB 50MG

Fetzima CAP 40MGST

Fetzima CAP 80MGST

ANTIPSYCHOTICS

Fluoxetine CAP 90MG DR

TIER 01 GENERIC

Forfivo XL TAB 450MGST

aripiprazole sol 1MG/ML

Khedezla TAB 100MG ERPA

aripiprazole TAB 10MG

Khedezla TAB 50MG ERPA


Lexapro Sol 5MG/5ML


Lexapro TAB 10MG


Lexapro TAB 20MG


Lexapro TAB 5MG


Marplan TAB 10MG

chlorpromaz TAB 10MG

Nardil TAB 15MG


Nefazodone TAB 100MG







clozapine TAB 100MG

Nefazodone TAB 50MG

clozapine TAB 200MG

Norpramin TAB 10MG

clozapine TAB 25MG

Norpramin TAB 25MG

clozapine TAB 50MG

Pamelor CAP 10MG

compro sup 25MG

Pamelor CAP 25MG

fluphenaz DE inj 25MG/ML

Pamelor CAP 50MG

fluphenazine TAB 1MG

Pamelor CAP 75MG


Parnate TAB 10MG

fluphenazine TAB 2.5MG

Paxil CR TAB 12.5MG


Paxil CR TAB 25MG

haloper lac inj 5MG/ML

Paxil CR TAB 37.5MG

haloper DEC inj 100MG/ML

Paxil TAB 10MG



haloper DEC inj 50MG/ML

haloper DEC inj 500/5ML

TIER 02 PREFERRED

haloperidol inj 5MG/ML

Abilify Main Inj 300MGQL

haloperidol inj 50/10ML

Abilify Main Inj 400MGQL

haloperidol CON 2MG/ML

Aristada Inj 1064MGQL

haloperidol TAB 0.5MG

Aristada Inj 441MG/1.QL

haloperidol TAB 1MG

Aristada Inj 662MG/2QL

haloperidol TAB 10MG

Aristada Inj 882MG/3QL

haloperidol TAB 2MG

Invega Sust Inj 117/0.75

haloperidol TAB 20MG

Invega Sust Inj 156MG/ML

haloperidol TAB 5MG


lithium CARB CAP 150MG



Invega Sust Inj 78/0.5ML


Invega Trinz Inj 273MGQL

lithium CARB TAB 300MG


lithium CARB TAB 300MG ER


lithium CARB TAB 450MG ER


loxapine CAP 10MG

Perseris Inj 120MG

loxapine CAP 25MG

Perseris Inj 90MG

loxapine CAP 5MG

Risperdal Inj 12.5MG

loxapine CAP 50MG

Risperdal Inj 25MG

olanzapine inj 10MG

Risperdal Inj 37.5MG

olanzapine TAB 10MG

Risperdal Inj 50MG

olanzapine TAB 15MG

Zyprexa Relp Inj 210MG

olanzapine TAB 2.5MG


olanzapine TAB 20MG


olanzapine TAB 5MG


olanzapine TAB 7.5MG

aripiprazole TAB 10MG odt

perphenazine TAB 16MG

aripiprazole TAB 15MG odt


clozapine TAB 100/odt


clozapine TAB 12.5/odt


clozapine TAB 25MG odt

prochlorper inj 10MG/2ML

olanzapine TAB 10MG odt

prochlorper inj 5MG/ML


prochlorper sup 25MG


prochlorper TAB 10MG


prochlorper TAB 5MG

paliperidone TAB ER 1.5MGST

quetiapine TAB 100MG

paliperidone TAB ER 3MGST



quetiapine TAB 25MG



quetiapine TAB 150MG ERST



quetiapine TAB 50MG


risperidone sol 1MG/ML


risperidone TAB 0.25MG


risperidone TAB 0.5MG

risperidone TAB 0.25 odt

risperidone TAB 1MG

risperidone TAB 0.5MG od

risperidone TAB 2MG

risperidone TAB 1MG odt

risperidone TAB 3MG


risperidone TAB 4MG


thiothixene CAP 1MG


thiothixene CAP 10MG

thioridazine TAB 10MG

thiothixene CAP 2MG


thiothixene CAP 5MG


trifluoperaz TAB 1MG



Abilify Myci TAB 10MG





ziprasidone CAP 20MG







Abilify TAB 10MG

Chlorpromaz Inj 25MG/ML

Abilify TAB 15MG

Chlorpromaz Inj 50MG/2ML

Abilify TAB 2MG

Fluphenazine CON 5MG/ML

Abilify TAB 20MG

Fluphenazine Elx 2.5/5ML

Abilify TAB 30MG

Fluphenazine Inj 2.5MG/ML

Abilify TAB 5MG

Lithium CARB CAP 150MG

Aristada Inj InitioQL,ST

Lithium CARB CAP 600MG

Clozapine TAB 12.5/Odt

Lithium Sol 8meq/5ML

Clozapine TAB 150/Odt



Clozapine TAB 200/Odt

Seroquel TAB 50MG

Clozaril TAB 100MG

Seroquel XR TAB 150MGST

Clozaril TAB 25MG


Equetro CAP 100MG


Equetro CAP 200MG


Equetro CAP 300MG


Fanapt PAKST

Versacloz Sus 50MG/ML

Fanapt TAB 1MGST

Vraylar CAP 1.5-3MGQL,PA

Fanapt TAB 10MGST

Vraylar CAP 1.5MGQL,PA

Fanapt TAB 12MGST

Vraylar CAP 3MGQL,PA

Fanapt TAB 2MGST

Vraylar CAP 4.5MGQL,PA

Fanapt TAB 4MGST

Vraylar CAP 6MGQL,PA

Fanapt TAB 6MGST

Zyprexa Inj 10MG

Fanapt TAB 8MGST

Zyprexa TAB 10MG

Fazaclo TAB 100 Odt

Zyprexa TAB 15MG

Fazaclo TAB 12.5 Odt

Zyprexa TAB 2.5MG

Fazaclo TAB 150 Odt

Zyprexa TAB 20MG

Fazaclo TAB 200 Odt

Zyprexa TAB 5MG

Fazaclo TAB 25MG Odt

Zyprexa TAB 7.5MG

Geodon CAP 20MG

Zyprexa Zydi TAB 10MG

Geodon CAP 40MG


Geodon CAP 60MG


Geodon CAP 80MG


Geodon Inj 20MG

Haldol Decan Inj 100MG/ML

HYPNOTICS

Haldol Decan Inj 50MG/ML

TIER 01 GENERIC

Haldol Inj 5MG/ML

eszopiclone TAB 1MG

Invega TAB 1.5MGST

eszopiclone TAB 2MG

Invega TAB 3MGST

eszopiclone TAB 3MG

Invega TAB 6MGST

midazolam inj 10MG/2ML

Invega TAB 9MGST

midazolam inj 5MG/ML

Latuda TAB 120MGPA

phenobarb elx 20MG/5ML

Latuda TAB 20MGPA

phenobarb sol 20MG/5ML

Latuda TAB 40MGPA

phenobarb TAB 100MG

Latuda TAB 60MGPA

phenobarb TAB 15MG

Latuda TAB 80MGPA

phenobarb TAB 16.2MG

Lithobid TAB 300MG CR

phenobarb TAB 30MG

Molindone TAB HCL 10MG



phenobarb TAB 60MG



Nuplazid CAP 34MGQL,PA


Nuplazid TAB 10MGQL,PA

temazepam CAP 15MG

Nuplazid TAB 17MGQL,PA

temazepam CAP 30MG

Rexulti TAB 0.25MGPA

temazepam CAP 7.5MG

Rexulti TAB 0.5MGPA

triazolam TAB 0.125MG

Rexulti TAB 1MGPA

triazolam TAB 0.25MG

Rexulti TAB 2MGPA

zaleplon CAP 10MG

Rexulti TAB 3MGPA

zaleplon CAP 5MG

Rexulti TAB 4MGPA

zolpidem TAB 10MG

Risperdal M TAB 0.5MG

zolpidem TAB 5MG

Risperdal M TAB 1MG

Flurazepam CAP 15MG

Risperdal M TAB 2MG

Flurazepam CAP 30MG

Risperdal M TAB 3MG

Phenobarb Inj 130MG/ML

Risperdal M TAB 4MG

TIER 02 PREFERRED

Risperdal Sol 1MG/ML

Seconal Sod CAP 100MG

Risperdal TAB 0.25MG


Risperdal TAB 0.5MG

estazolam TAB 1MG

Risperdal TAB 1MG

estazolam TAB 2MG

Risperdal TAB 2MG

midazolam syp 2MG/ML

Risperdal TAB 3MG

pentobarb inj 50MG/ML

Risperdal TAB 4MG

temazepam CAP 22.5MG

Risperidone TAB 0.25 Odt

zolpidem ER TAB 12.5MG

Saphris Sub 10MGST

zolpidem ER TAB 6.25MG

Saphris Sub 2.5MGST

zolpidem TAR sub 1.75MG

Saphris Sub 5MGST

zolpidem TAR sub 3.5MG

Seroquel TAB 100MG

Ambien CR TAB 12.5MG

Seroquel TAB 200MG

Ambien CR TAB 6.25MG

Seroquel TAB 25MG

Ambien TAB 10MG

Seroquel TAB 300MG

Ambien TAB 5MG

Seroquel TAB 400MG



Amytal Sod Inj 500MG

guanfacine TAB 4MG ER

Belsomra TAB 10MGPA

metadate TAB 20MG ERQL

Belsomra TAB 15MGPA

methylphenid CAP 10MGQL

Belsomra TAB 20MGPA


Belsomra TAB 5MGPA

methylphenid CAP 20MG ERQL,ST

Butisol Sod TAB 30MG


Doral TAB 15MG


Edluar Sub 10MG


Edluar Sub 5MG


Halcion TAB 0.25MG


Hetlioz CAP 20MGQL,PA


Intermezzo Sub 1.75MG

methylphenid TAB 10MG

Intermezzo Sub 3.5MG

methylphenid TAB 10MG ERQL

Lunesta TAB 1MG


Lunesta TAB 2MG


Lunesta TAB 3MG


Nembutal Sod Inj 50MG/ML


Quazepam TAB 15MG


Restoril CAP 15MG


Restoril CAP 22.5MG


Restoril CAP 30MG


Restoril CAP 7.5MG

modafinil TAB 100MG

Rozerem TAB 8MG

modafinil TAB 200MG

Silenor TAB 3MG

relexxii TAB 72MGQL

Silenor TAB 6MG

zenzedi TAB 10MG

Sonata CAP 10MG

zenzedi TAB 5MG

Sonata CAP 5MG

Adderall XR CAP 10MGQL

Temazepam 7.5MG CAPS


Zolpimist Spr 5MG



ADHD, NARCOLEPSY, ETC.



TIER 01 GENERIC

Concerta TAB 18MGQL

amphet/dextr CAP 10MG ERQL

Concerta TAB 27MGQL


Concerta TAB 36MGQL


Concerta TAB 54MGQL


Methylphenid CAP 60MG LAQL,ST


Methylphenid TAB 18MG ERQL



amphet/dextr TAB 10MG


amphet/dextr TAB 12.5MG





amphetamine TAB 10MGPA


armodafinil TAB 150MGPA



amphet/dextr TAB 7.5MG


amphetamine TAB 5MG


amphetamine TAB 7.5MG

clonidine TAB 0.1MG ER

atomoxetine CAP 10MGST

dexmethylph CAP 15MG ERQL,ST






dexmethylphe CAP ER 25MGQL,ST


dexmethylphe CAP ER 35MGQL,ST


dexmethylphe CAP 10MG ERQL,ST



caffeine CIT sol 20MG/ML


caffeine CIT sol 60MG/3ML

dextroamphet sol 5MG/5ML

dexedrine TAB 10MG

methamphetam TAB 5MG

dexedrine TAB 5MG

methlphenida chw 2.5MG

dexmethylph TAB 10MG

methylphenid chw 10MG

dexmethylph TAB 2.5MG

methylphenid chw 5MG

dexmethylph TAB 5MG

methylphenid sol 10MG/5ML

dextroamphet CAP 10MG ERQL

methylphenid sol 5MG/5ML


methyphenid CAP 10MG ERQL,ST


Adderall TAB 10MG

dextroamphet TAB 10MG

Adderall TAB 12.5MG

dextroamphet TAB 5MG

Adderall TAB 15MG


Adderall TAB 20MG


Adderall TAB 30MG


Adderall TAB 5MG



Adderall TAB 7.5MG

Quillichew Chw 40MG ERPA

Adzenys ER Sus 1.25MGPA

Quillivant Sus 25MG/5MLQL,ST

Adzenys XR TAB 12.5MGPA

Ritalin LA CAP 10MGQL,ST

Adzenys XR TAB 15.7 MGPA







Ritalin TAB 10MG


Ritalin TAB 20MG

Aptensio XR CAP 10MGQL,ST

Ritalin TAB 5MG


Strattera CAP 10MGST











Caffeine/Sod Inj Benzoate


Cotempla TAB 17.3MGQL,PA

Vyvanse Chw 10MGQL,PA





Daytrana Dis 10MG/9HRQL,ST







Vyvanse CAP 10MGQL,PA

Desoxyn TAB 5MG


Dexedrine CAP 10MG CRQL






Dyanavel XR Sus 2.5MG/MLST


Evekeo TAB 10MGPA


Evekeo TAB 5MGPA

Zenzedi TAB 15MG

Focalin TAB 10MG

Zenzedi TAB 2.5MG

Focalin TAB 2.5MG

Zenzedi TAB 20MG

Focalin TAB 5MG

Zenzedi TAB 30MG

Focalin XR CAP 10MGQL,ST

Zenzedi TAB 7.5MG



ANTICONVULSANTS


TIER 01 GENERIC


carbamazepin chw 100MG


carbamazepin sus 100/5ML


carbamazepin CAP 100MG ER



Intuniv TAB 1MG


Intuniv TAB 2MG

carbamazepin TAB 100mger

Intuniv TAB 3MG

carbamazepin TAB 200MG

Intuniv TAB 4MG

carbamazepin TAB 200MG ER

Kapvay TAB 0.1 MG

carbamazepin TAB 400MG ER

Metadate CD CAP 10MGQL

clonazep odt TAB 0.125MG






clonazep odt TAB 1MG


clonazep odt TAB 2MG


clonazepam TAB 0.5MG

Methylin Chw 10MG

clonazepam TAB 1MG

Methylin Chw 2.5MG

clonazepam TAB 2MG

Methylin Chw 5MG

divalproex CAP 125MG

Methylin Sol 10MG/5ML

divalproex TAB 125MG DR

Methylin Sol 5MG/5ML


Mydayis CAP 12.5MGQL,PA

divalproex TAB 250MG ER

Mydayis CAP 25MGQL,PA


Mydayis CAP 37.5MGQL,PA

divalproex TAB 500MG ER

Mydayis CAP 50MGQL,PA

epitol TAB 200MG

Nuvigil TAB 150MGPA

ethosuximide sol 250/5ML

Nuvigil TAB 200MGPA

ethosuximide CAP 250MG

Nuvigil TAB 250MGPA

gabapentin sol 250/5ML

Nuvigil TAB 50MGPA

gabapentin sol 300/6ML

Procentra Sol 5MG/5ML

gabapentin CAP 100MG

Provigil TAB 100MG


Provigil TAB 200MG



gabapentin TAB 600MG




gabapentin TAB 800MG

lamotrigine TAB 25MG ER

lamotrigine chw 25MG


lamotrigine chw 5MG


lamotrigine TAB 100MG

lamotrigine TAB 50MG odt




phenytoin EX CAP 200MG



levetiraceta sol 100MG/ML

subvenite kit start 35

levetiraceta sol 500/5ML


levetiraceta TAB 1000MG



tiagabine TAB 12MG


tiagabine TAB 16MG

levetiraceta TAB 500MG ER

tiagabine TAB 2MG


tiagabine TAB 4MG

levetiraceta TAB 750MG ER

vigabatrin PAK 500MG

oxcarbazepin sus 300MG/5m

vigabatrin TAB 500MGPA

oxcarbazepin TAB 150MG

vigadrone pow 500MG


Aptiom TAB 200MGQL,PA



phenytoin chw 50MG


phenytoin inj 50MG/ML


phenytoin sus 125/5ML

Banzel Sus 40MG/MLQL


Banzel TAB 200MGQL

primidone TAB 250MGQL

Banzel TAB 400MGQL

primidone TAB 50MGQL

Briviact Sol 10MG/MLPA

roweepra TAB 1000MG

Briviact TAB 10MGPA

roweepra TAB 500MG

Briviact TAB 100MGPA

roweepra TAB 750MG

Briviact TAB 25MGPA

roweepra XR TAB 500MG XR

Briviact TAB 50MGPA

roweepra XR TAB 750MG XR

Briviact TAB 75MGPA

subvenite TAB 100MG

Carbatrol CAP 100MG

subvenite TAB 150MG

Carbatrol CAP 200MG

subvenite TAB 200MG

Carbatrol CAP 300MG

subvenite TAB 25MG

Depakene CAP 250MG

topiramate CAP 15MG

Depakene Sol 250/5ML

topiramate CAP 25MG

Depakote ER TAB 250MG

topiramate TAB 100MG

Depakote ER TAB 500MG

topiramate TAB 200MG

Depakote Spr CAP 125MG

topiramate TAB 25MG

Depakote TAB 125MG DR

topiramate TAB 50MG


valproic acd sol 250/5ML


valproic acd CAP 250MG

Diastat Acdl Gel 12.5-20

zonisamide CAP 100MG

Diastat Acdl Gel 5-10MG

zonisamide CAP 25MG

Dilantin Chw 50MG

zonisamide CAP 50MG

Dilantin CAP 100MG

Diastat PED Gel 2.5m Gel

Dilantin-125 Sus 125/5ML

Diazepam Gel 10MG

Epidiolex Sol 100MG/MLQL,PA

Diazepam Gel 2.5MG

Felbatol Sus 600/5ML

Diazepam Gel 20MG

Felbatol TAB 400MGQL

Felbatol TAB 600MGQL

TIER 02 PREFERRED

Fycompa Sus 0.5MG/MLQL,ST

Celontin CAP 300MG

Fycompa TAB 10MGQL,ST

Dilantin CAP 30MG




clobazam sus 2.5MG/ML


clobazam TAB 10MG


clobazam TAB 20MG


felbamate sus 600/5ML

Gabitril TAB 12MG

felbamate TAB 400MGQL

Gabitril TAB 16MG

felbamate TAB 600MGQL

Gabitril TAB 2MG

lamotrig odt kit 25/50MG

Gabitril TAB 4MG

lamotrig odt kit 50/100MG

Keppra Sol 100MG/ML

lamotrig odt TAB 100MG

Keppra TAB 1000MG

lamotrigine kit odt

Keppra TAB 250MG

lamotrigine kit start 35

Keppra TAB 500MG


Keppra TAB 750MG


Keppra XR TAB 500MG


Keppra XR TAB 750MG


Klonopin TAB 0.5MG

lamotrigine TAB 25MG odt

Klonopin TAB 1MG



Klonopin TAB 2MG

Tegretol-XR TAB 400MG

Lamictal Chw 25MG

Topamax Spr CAP 15MG

Lamictal Chw 5MG

Topamax Spr CAP 25MG

Lamictal Kit Start 35

Topamax TAB 100MG


Topamax TAB 200MG


Topamax TAB 25MG

Lamictal Odt Kit

Topamax TAB 50MG

Lamictal Odt TAB 100MG

Topiramate CAP ER 100MG







Lamictal TAB 100MG


Lamictal TAB 150MG

Trileptal Sus 300MG/5m

Lamictal TAB 200MG

Trileptal TAB 150MG

Lamictal TAB 25MG

Trileptal TAB 300MG

Lamictal XR Kit

Trileptal TAB 600MG

Lamictal XR TAB 100MG

Trokendi XR CAP 100MGPA








Vimpat Sol 10MG/ML


Vimpat TAB 100MG

Lyrica CAP 100MGQL,PA

Vimpat TAB 150MG


Vimpat TAB 200MG


Vimpat TAB 50MG


Zarontin CAP 250MG


Zarontin Sol 250/5ML


Zonegran CAP 100MG


Zonegran CAP 25MG


Lyrica Sol 20MG/MLQL,PA

ANTIPARKINSON AGENTS

Mysoline TAB 250MGQL

TIER 01 GENERIC

Mysoline TAB 50MGQL

amantadine syp 50MG/5ML

Neurontin CAP 100MG

amantadine CAP 100MG

Neurontin CAP 300MG

amantadine TAB 100MG

Neurontin CAP 400MG

benztropine inj 1MG/ML

Neurontin Sol 250/5ML

benztropine TAB 0.5MG

Neurontin TAB 600MG

benztropine TAB 1MG

Neurontin TAB 800MG

benztropine TAB 2MG

Onfi Sus 2.5MG/ML

bromocriptin CAP 5MG

Onfi TAB 10MG

bromocriptin TAB 2.5MG

Onfi TAB 20MG

carbidopa TAB 25MG

Oxtellar XR TAB 150MG

entacapone TAB 200MG


pramipexole TAB 0.125MG



Peganone TAB 250MG


Phenytek CAP 200MG


Phenytek CAP 300MG


Potiga TAB 200MG

pramipexole TAB 1MG

Potiga TAB 300MG

rasagiline TAB 0.5MGPA

Potiga TAB 400MG

rasagiline TAB 1MGPA

Potiga TAB 50MG

ropinirole TAB 0.25MG

Qudexy XR CAP 100/24HRPA

ropinirole TAB 0.5MG


ropinirole TAB 1MG


ropinirole TAB 2MG


ropinirole TAB 3MG


ropinirole TAB 4MG

Sabril Pow 500MG

ropinirole TAB 5MG

Sabril TAB 500MGPA

selegiline CAP 5MG

Spritam TAB 1000MG

selegiline TAB 5MG

Spritam TAB 250MG

trihexyphen elx 0.4MG/ML

Spritam TAB 500MG

trihexyphen TAB 2MG

Spritam TAB 750MG

trihexyphen TAB 5MG

Sympazan Mis 10MG

CARB/levo ER TAB 25-100MG

Sympazan Mis 20MG

CARB/levo ER TAB 50-200MG

Sympazan Mis 5MG

CARB/levo TAB 10-100MG

Tegretol Sus 100/5ML


Tegretol TAB 200MG



CARB/Levo 50 TAB /Entacap




CARB/Levo 75 TAB /Entacap

Sinemet CR TAB 25-100MG

CARB/Levo100 TAB /Entacap

Sinemet CR TAB 50-200MG


Sinemet TAB 10-100MG





TIER 02 PREFERRED

Stalevo 100 TAB

Duopa Sus 4.63-20PA

Stalevo 125 TAB


Stalevo 150 TAB

pramipexole TAB 0.375 ER

Stalevo 200 TAB


Stalevo 50 TAB

pramipexole TAB 1.5MG ER

Stalevo 75 TAB


Tasmar TAB 100MGQL


Xadago TAB 100MGPA

pramipexole TAB 3MG ER

Xadago TAB 50MGPA

pramipexole TAB 4.5MG ER

Zelapar TAB 1.25MGQL

ropinirole TAB 12MG ER


NEUROLOGY, PSYCH - MISC.


TIER 01 GENERIC


acampro CAL TAB 333MG


bupropion TAB 150MG

tolcapone TAB 100MGQL

disulfiram TAB 250MG

Apokyn Inj 10MG/MLQL

disulfiram TAB 500MG

Azilect TAB 0.5MGPA

donepezil TAB 10MG

Azilect TAB 1MGPA

donepezil TAB 5MG

Cogentin Inj 1MG/ML

eq nicotine dis 14MG/24hPA

Comtan TAB 200MG

eq nicotine dis 21MG/24hPA

Eldepryl CAP 5MG

eq nicotine dis 7MG/24HRPA

Gocovri CAP 137MGQL,PA

galantamine CAP 16MG ER

Gocovri CAP 68.5MGQL,PA


Lodosyn TAB 25MG


Mirapex ER TAB 0.375MG

galantamine TAB 12MG


galantamine TAB 4MG


galantamine TAB 8MG


glatiramer inj 20MG/MLQL


glatopa inj 20MG/MLQL

Mirapex ER TAB 3MG

gnp nicotine dis 14MG/24hPA


gnp nicotine dis 21MG/24hPA

Mirapex TAB 0.125MG

gnp nicotine dis 7MG/24HRPA

Mirapex TAB 0.25MG

memantine TAB HCL 10MG

Mirapex TAB 0.5MG

memantine TAB HCL 5MG

Mirapex TAB 0.75MG

nicotine dis step 1PA

Mirapex TAB 1.5MG


Mirapex TAB 1MG


Neupro Dis 1MG/24HR

nicotine dis 14MG/24hPA

Neupro Dis 2MG/24HR

nicotine dis 21MG/24hPA

Neupro Dis 3MG/24HR

nicotine dis 7MG/24HRPA

Neupro Dis 4MG/24HR

nicotine TD dis 14MG/24hPA

Neupro Dis 6MG/24HR

nicotine TD dis 21MG/24hPA

Neupro Dis 8MG/24HR

nicotine TD dis 7MG/24HRPA

Osmolex ER TAB 129MGPA

ra nicotine dis 14MG/24hPA


ra nicotine dis 21MG/24hPA


ra nicotine dis 7MG/24HRPA

Parlodel CAP 5MG

rivastigmine CAP 1.5MG

Parlodel TAB 2.5MG

rivastigmine CAP 3MG

Requip TAB 0.25MG

rivastigmine CAP 4.5MG

Requip TAB 0.5MG

rivastigmine CAP 6MG

Requip TAB 1MG

sm nicotine dis 14MG/24hPA

Requip TAB 2MG

sm nicotine dis 21MGPA

Requip TAB 3MG

sm nicotine dis 21MG/24hPA

Requip TAB 4MG

sm nicotine dis 7MG/24HRPA

Requip TAB 5MG

tgt nicotine dis 14MG/24hPA

Requip XL TAB 12MG

tgt nicotine dis 21MG/24hPA

Requip XL TAB 2MG

tgt nicotine dis 7MG/24HRPA

Requip XL TAB 4MG

CVS nicotine dis 14MG/24hPA

Requip XL TAB 6MG

CVS nicotine dis 21MG/24hPA

Requip XL TAB 8MG

CVS nicotine dis 7MG/24HRPA

Rytary CAP 145MGPA

CVS nts dis step 1PA

Rytary CAP 195MGPA

Extavia Inj 0.3MGQL

Rytary CAP 245MGPA

Fluoxetine CAP 10MG

Rytary CAP 95MGPA



Fluoxetine CAP 20MG

nicotine pol gum 4MG mintPA

Galantamine Sol 4MG/ML

nicotine pol gum 4MG origPA

HM nicotine dis 14MG/24hPA

nicotine pol gum 4MG refPA

HM nicotine dis 21MG/24hPA

nicotine pol gum 4MG strtPA

HM nicotine dis 7MG/24HRPA

nicotine pol loz 2MG chryPA

Nicotine SYS Kit TransderPA

nicotine pol loz 2MG cinnPA

Perphen/Amit TAB 2-10MG

nicotine pol loz 2MG mintPA


nicotine pol loz 4MG chryPA


nicotine pol loz 4MG cinnPA


nicotine pol loz 4MG mintPA


qc nicotine gum 4MGPA

Pimozide TAB 1MG

ra nicotine gum 2mgfruitPA

Pimozide TAB 2MG

ra nicotine gum 2MGPA

TIER 02 PREFERRED

ra nicotine gum 2MG cinnPA

eq nicotine gum 2mgfruitPA

ra nicotine gum 2MG mintPA

eq nicotine gum 2MG cinnPA

ra nicotine gum 4MGPA

eq nicotine gum 2MG mintPA

ra nicotine gum 4MG frutPA

eq nicotine gum 2MG origPA

ra nicotine gum 4MG mintPA

eq nicotine gum 4mgfruitPA

ra nicotine loz 2MG mintPA

eq nicotine gum 4MG cinnPA

ra nicotine loz 4MG mintPA

eq nicotine gum 4MG mintPA

sm nicotine gum 2MGPA

eq nicotine gum 4MG origPA

sm nicotine gum 2MG mintPA

eq nicotine gum 4MG refPA

sm nicotine gum 4MGPA

eq nicotine gum 4MG strtPA

sm nicotine gum 4MG mintPA

eq nicotine loz 2MG cherPA

sm nicotine loz 2MG mintPA

eq nicotine loz 2MG cinnPA

sm nicotine loz 4MG mintPA

eq nicotine loz 2MG mintPA

stop smoking gum 2MG mintPA

eq nicotine loz 4MG chryPA

stop smoking gum 2MG origPA

eq nicotine loz 4MG cinnPA

stop smoking gum 4MGPA

eq nicotine loz 4MG mintPA

stop smoking loz 2MGPA

eql nicotine gum 2MGPA

stop smoking loz 2MG mintPA

eql nicotine gum 4MGPA

stop smoking loz 4MG mintPA

eql nicotine loz 2MGPA

sw nicotine gum 2MG mintPA

eql nicotine loz 2MG mintPA

sw nicotine gum 4MGPA

eql nicotine loz 4MG chryPA

sw nicotine loz 2MG mintPA

eql nicotine loz 4MG mintPA

sw nicotine loz 4MG mintPA

gnp nicotine gum 2MG mintPA

tgt nicotine gum 2mgfruitPA

gnp nicotine gum 2MG origPA

tgt nicotine gum 2MG mintPA

gnp nicotine gum 4MG mintPA

tgt nicotine gum 2MG origPA

gnp nicotine gum 4MG origPA

tgt nicotine gum 4MGPA

gnp nicotine loz mini 2MGPA

tgt nicotine gum 4MG mintPA

gnp nicotine loz 2MG mintPA

tgt nicotine gum 4MG origPA

gnp nicotine loz 4MG mintPA

tgt nicotine loz 2MG chryPA

kls quit2 gum 2MGPA

tgt nicotine loz 2MG mintPA

kls quit2 loz 2MGPA

tgt nicotine loz 4MG chryPA

kls quit4 gum 4MGPA

tgt nicotine loz 4MG mintPA

kls quit4 loz 4MGPA

thrive gum 2MG mintPA

nicorelief gum 2MG mintPA

Avonex Kit 30mcgQL,PA

nicorelief gum 2MG origPA

Avonex Pen Kit 30mcgQL,PA

nicorelief gum 4MG mintPA

Avonex Prefl Kit 30mcgQL,PA

nicorelief gum 4MG origPA

Chantix PAK 0.5& 1MG

nicotine gum 2mgfruitPA

Chantix PAK 1MG

nicotine gum 2MGPA

Chantix TAB 0.5MG

nicotine gum 4MGPA

Chantix TAB 1MG

nicotine loz mini 2MGPA

Commit Loz 2MGPA

nicotine loz 2MG chryPA

Commit Loz 4MGPA

nicotine loz 2MG mintPA

Commit Loz 4MG ChryPA

nicotine loz 4MG chryPA

CVS nicotine gum 2mgfruitPA

nicotine loz 4MG cinnPA

CVS nicotine gum 2MG cinnPA

nicotine loz 4MG mintPA

CVS nicotine gum 2MG mintPA

nicotine pol gum 2mgfruitPA

CVS nicotine gum 2MG origPA

nicotine pol gum 2MGPA

CVS nicotine gum 4mgfruitPA

nicotine pol gum 2MG cinnPA

CVS nicotine gum 4MG cinnPA

nicotine pol gum 2MG mintPA

CVS nicotine gum 4MG mintPA

nicotine pol gum 2MG origPA

CVS nicotine gum 4MG origPA

nicotine pol gum 2MG refPA

CVS nicotine loz 2MGPA

nicotine pol gum 2MG strtPA

CVS nicotine loz 2MG mintPA

nicotine pol gum 4mgfruitPA

CVS nicotine loz 4MG cinnPA

nicotine pol gum 4MGPA

CVS nicotine loz 4MG mintPA

nicotine pol gum 4MG cinnPA

Gilenya CAP 0.25MGQL,PA



Gilenya CAP 0.5MGQL,PA

Aricept TAB 5MG

HM nicotine gum 2MG mintPA

Aubagio TAB 14MGQL,PA

HM nicotine gum 4MG mintPA

Aubagio TAB 7MGQL,PA

HM nicotine loz 2MG mintPA

Austedo TAB 12MGQL,PA

HM nicotine loz 4MG mintPA


Nicoderm CQ Dis 14MG/24hPA


Nicoderm CQ Dis 21MG/24hPA

Betaseron Inj 0.3MGQL,PA

Nicoderm CQ Dis 7MG/24HRPA

Brisdelle CAP 7.5MG

Nicorette Gum 2mgfruitPA

Cdp/Amitrip TAB 10-25MG

Nicorette Gum 2MGPA

Cdp/Amitrip TAB 5-12.5MG

Nicorette Gum 2MG CinnPA

Copaxone Inj 20MG/MLQL,PA

Nicorette Gum 2MG MintPA

Copaxone Inj 40MG/MLQL,PA

Nicorette Gum 2MG OrigPA

Ergoloid Mes TAB 1MG Oral

Nicorette Gum 4mgfruitPA

Exelon Dis 13.3/24

Nicorette Gum 4MGPA

Exelon Dis 4.6MG/24

Nicorette Gum 4MG CinnPA

Exelon Dis 9.5MG/24

Nicorette Gum 4MG MintPA

Gralise Star Mis 300/600

Nicorette Gum 4MG OrigPA

Gralise TAB 300MG

Nicorette Loz 2MG ChryPA

Gralise TAB 600MG

Nicorette Loz 2MG MintPA

Horizant TAB 300MG ER

Nicorette Loz 2MG OrigPA

Horizant TAB 600MG ER

Nicorette Loz 4MG ChryPA

Ingrezza CAP 40MGQL,PA

Nicorette Loz 4MG MintPA

Ingrezza CAP 80MGQL,PA

Nicorette Loz 4MG OrigPA

Lucemyra TAB 0.18MGQL,PA

Nicorette ST Gum 2MGPA

Lyrica CR TAB 165MGPA

Nicorette ST Gum 2MG MintPA

Lyrica CR TAB 330MGPA

Nicorette ST Gum 2MG OrigPA

Lyrica CR TAB 82.5MGPA

Nicorette ST Gum 4MG MintPA

Namenda Sol 10MG/5ML

Nicorette ST Gum 4MG OrigPA

Namenda TAB 10MG

Rebif Inj 22/0.5QL,PA

Namenda TAB 5-10MG

Rebif Inj 44/0.5QL,PA

Namenda TAB 5MG

Rebif Rebido Inj TitratnQL,PA

Namenda XR CAP TitratioPA

Rebif Rebido Inj 22/0.5QL,PA

Namenda XR CAP 14MGPA

Rebif Rebido Inj 44/0.5QL,PA


Rebif Titrtn Inj PackQL,PA


SR nicotine gum 2MGPA



Namzaric CAP

dalfampridin TAB 10MG ERQL,PA

Namzaric CAP 14-10MG

donepezil TAB odt 10MG


donepezil TAB odt 5MG


donepezil TAB HCL 23MG

Namzaric CAP 7-10MG

donepezil TAB 10MG odt

Nuedexta CAP 20-10MGPA

donepezil TAB 5MG odt

Orap TAB 1MG

fluoxetine TAB 10MG

Orap TAB 2MG

fluoxetine TAB 20MG

Plegridy InjQL,PA

glatiramer inj 40MG/MLQL

Plegridy Inj PenQL,PA

glatopa inj 40MG/MLQL

Plegridy Inj StarterQL,PA

memant titra PAK 5-10MG

Plegridy Pen Inj StarterQL,PA

memantine sol 2MG/ML

Razadyne ER CAP 16MG

memantine HC sol 2MG/ML

Razadyne ER CAP 24MG

memantine HC CAP 14MG ERPA

Razadyne ER CAP 8MG


Razadyne TAB 12MG


Razadyne TAB 4MG


Razadyne TAB 8MG

olanza/fluox CAP 12-25MG

Sarafem TAB 10MG


Sarafem TAB 20MG


Savella Mis Titr PAKST


Savella TAB 100MGST


Savella TAB 12.5MGST

paroxetine CAP 7.5MG

Savella TAB 25MGST

rivastigmine dis 13.3/24

Savella TAB 50MGST

rivastigmine dis 4.6MG/24

Symbyax CAP 12-25MG

rivastigmine dis 9.5MG/24

Symbyax CAP 12-50MG

tetrabenazin TAB 12.5MGQL,PA

Symbyax CAP 3-25MG

tetrabenazin TAB 25MGQL,PA

Symbyax CAP 6-25MG

Ampyra TAB 10MGQL,PA

Symbyax CAP 6-50MG

Antabuse TAB 250MG

Tecfidera CAP 120MGQL,PA

Antabuse TAB 500MG

Tecfidera CAP 240MGQL,PA

Aricept TAB 10MG

Tecfidera Mis StarterQL,PA

Aricept TAB 23MG

Tegsedi Inj 284/1.5QL,PA



Xenazine TAB 12.5MGQL,PA

pyridostigmi TAB ER 180MG

Xenazine TAB 25MGQL,PA

TIER 02 PREFERRED

Xyrem Sol 500MG/MLQL,PA

Mestinon Syp 60MG/5ML

Zinbryta Inj 150MG/MLQL,PA


Zyban TAB 150MG SR

Enlon Inj 150/15ML

Firdapse TAB 10MGQL,PA

NEUROMUSCULAR AGENTS

Guanidine TAB 125MG

Mestinon TAB Timespan

TIER 01 GENERIC

Mestinon TAB 60MG

riluzole TAB 50MGQL


OPHTHALMOLOGY AND OTIC

Rilutek TAB 50MGQL

Tiglutik Sus 50/10MLQL

ANTI-INFECTIVES

TIER 01 GENERIC

MUSCULOSKELETAL AGENTS

ak-poly-bac oin op

TIER 01 GENERIC

bacit/polymy oin op

baclofen TAB 10MG

ciprofloxacn sol 0.3% op

baclofen TAB 20MG

erythromycin oin op

cyclobenzapr TAB 10MGQL

erythromycin oin 5MG/gm

cyclobenzapr TAB 5MGQL

gatifloxacin sol 0.5%

dantrolene CAP 100MG

gentamicin oin 0.3% op

dantrolene CAP 25MG

gentamicin sol 0.3% op

dantrolene CAP 50MG

moxifloxacin sol HCL 0.5%

methocarbam inj 100MG/ML

ofloxacin dro 0.3% op

methocarbam inj 1000MG

polycin oin op

methocarbam TAB 500MGQL

polymyxin b/ sol trimethp

methocarbam TAB 750MGQL

sod sulfacet sol 10% op

orphenadrine TAB 100MG ERQL

sulfacet sod sol 10% op

tizanidine TAB 2MG

tobramycin sol 0.3% op

tizanidine TAB 4MG

trifluridine sol 1% op

Baclofen TAB 5MG

trimethoprim sol polymyxn


Bacitracin Oin Op

carisopr/asa TAB 200-325PA

Gentak Oin 0.3% Op

carisoprodol TAB asa/codPA

Neo/Poly/Gra Sol Op

carisoprodol TAB 250MGQL,PA

Sulfacet Sod Oin 10% Op

carisoprodol TAB 350MGQL,PA

TIER 02 PREFERRED

cyclobenzapr TAB 7.5MGQL

Ciloxan Oin 0.3% Op

metaxall TAB 800MGQL

Moxeza Sol 0.5%

metaxalone TAB 800MGQL

Natacyn Sus 5% Op

orphenadrine inj 30MG/ML

Tobrex Oin 0.3% Op

tizanidine CAP 2MG

Vigamox Dro 0.5%

tizanidine CAP 4MG


tizanidine CAP 6MG

levofloxacin sol 0.5%

Amrix CAP 15MGQL,PA

neo-polycin oin op

Amrix CAP 30MGQL,PA

neo/bac/poly oin op

Chlorzoxazon TAB 250MG

neo/poly/bac oin op

Chlorzoxazon TAB 500MGQL

Azasite Sol 1%

Dantrium CAP 25MG

Besivance Sus 0.6%

Dantrium CAP 50MG

Betadine Sol 5% Op

Fexmid TAB 7.5MGQL

Bleph-10 Sol 10% Op

First-baclof Sus 1

Ciloxan Sol 0.3% Op

First-baclof Sus 5 Kit

Neosporin Sol Op

Lorzone TAB 375MGQL

Ocuflox Dro 0.3% Op

Lorzone TAB 750MGQL

Polytrim Sol Op

Metaxalone TAB 400MGQL

Tobrex Sol 0.3% Op

Parafon Fort TAB 500MGQL

Viroptic Sol 1% Op

Robaxin Inj 100MG/ML

Zirgan Gel 0.15%

Robaxin TAB 500MGQL

Zymaxid Sol 0.5%

Robaxin-750 TAB 750MGQL

Skelaxin TAB 800MGQL

ARTIFICIAL TEAR/LUBRICANT

Soma TAB 250MGQL,PA

TIER 02 PREFERRED

Soma TAB 350MGQL,PA

Lacrisert Mis 5MG Op

Zanaflex CAP 2MG

Zanaflex CAP 4MG

BETA-BLOCKERS

Zanaflex CAP 6MG

TIER 01 GENERIC

Zanaflex TAB 4MG

betaxolol sol 0.5% op

carteolol sol 1% op

ANTIMYASTHENIC AGENTS

dorzol/timol sol 22.3-6.8

TIER 01 GENERIC

levobunolol sol 0.5% op

pyridostigm TAB 60MG

timolol gel sol 0.25% op



timolol gel sol 0.5% op

Pred-gat-bro Inj

timolol mal sol 0.25% op

Pred-gati Sus 1-0.5%

timolol mal sol 0.5% op

Pred-gatifl- Sus Bromfena

Carteolol Sol 1% Op

Predn Gati Sol 1-0.5%

Metipranolol Sol 0.3% Oph

Predni/Moxi/ Sol Bromfena

Timolol Gel Sol 0.25% Op

Predni/Moxi/ Sol Ketorola

Timolol Gel Sol 0.5% Op

Prednis/Brom Sus 1-0.075%

TIER 02 PREFERRED

Prednisolone Sol Moxiflox

Betoptic-s Sus 0.25% Op

Prenis-bromf Sol 1-0.075%


Tobradex Sus 0.3-0.1%

timolol male sol 0.5%

Tobradex ST Sus 0.3-0.05

Betagan Sol 0.5% Op

Zylet Sus 0.5-0.3%

Betimol Sol 0.25%

Betimol Sol 0.5%

PROSTAGLANDINS

Combigan Sol 0.2/0.5%

TIER 01 GENERIC

Cosopt PF Sol

bimatoprost sol 0.03%

Cosopt Sol 22.3-6.8

latanoprost sol 0.005%

Dorzol/Timol Sol 22.3-6.8

TIER 02 PREFERRED

Istalol Sol 0.5% Op

Lumigan Sol 0.01%

Tim/Brim/Dor Sol

Travatan Z Dro 0.004%

Tim/Dorz/Lat Sol


Timol/Brim Sol Dorz/Lat

Latanoprost Sol 0.005%

Timol/Latan Sol

Rescula Sol 0.15%

Timoptic Ocu Sol 0.25% Op

Vyzulta Sol 0.024%PA

Timoptic Ocu Sol 0.5% Op

Xalatan Sol 0.005%

Timoptic Sol 0.25% Op

Xelpros Emu 0.005%

Timoptic Sol 0.5% Op

Zioptan Dro 0.0015%

Timoptic-xe Sol 0.25% Op

Timoptic-xe Sol 0.5% Op

CYCLOPLEGIC MYDRIATICS

TIER 01 GENERIC

OPHTHALMIC STEROIDS

cyclopentol sol 1% op

TIER 01 GENERIC

cyclopentol sol 2% op

fluoromethol sus 0.1% op

cyclopentola sol 0.5%

neo-polycin oin HC 1%op

homatropaire sol 5% op

neo/poly/bac oin /HC 1%op

homatropine sol 5% op

neo/poly/dex oin 0.1% op

Atropine SUL Oin 1% Op

neo/poly/dex sus 0.1% op

Atropine SUL Sol 1% Op

prednisolone sus 1% op

TIER 02 PREFERRED

sulf/pred NA sol op

Atropine Sol 0.01%

tobra/dexame sus 0.3-0.1%


Dexameth PHO Sol 0.1% Op

Cyclogyl Sol 0.5% Op

Prednisolone Sus 1%

Cyclogyl Sol 1% Op

Sulf/Pred NA Sol Op

Cyclogyl Sol 2% Op

TIER 02 PREFERRED

Cyclomydril Sol Op

Blephamide Oin S.o.p.

Trop-cyc-PE Dro 1-1-2.5

Blephamide Sus Op

Trop-prop-PE Dro Keto

Durezol Emu 0.05%

FML Forte Sus 0.25% Op

DECONGESTANTS

FML Oin 0.1% Op

TIER 01 GENERIC

Pred Mild Sus 0.12% Op

altafrin sol 10% op

Pred-G S.o.p Oin Op

altafrin sol 2.5% op

Pred-G Sus Op

phenylephrin sol 10% op

Tobradex Oin 0.3-0.1%

phenylephrin sol 2.5% op


Alrex Sus 0.2%

MIOTICS

Flarex Sus 0.1% Op

TIER 01 GENERIC

FML Liquiflm Sus 0.1% Op

pilocarpine sol 1% op

Gatifl-dexam Sol 0.5-0.1%


Inveltys Sus 1%


Lotemax Gel 0.5%


Lotemax Oin 0.5%

Isopto Carp Sol 1% Op

Lotemax Sus 0.5%


Maxidex Sus 0.1% Op


Maxitrol Oin 0.1% Op

Phospholine Sol 0.125%op

Maxitrol Sus 0.1% Op

Neo/Poly/HC Sus Op

ADRENERGIC AGENTS

Omnipred Sus 1% Op

TIER 01 GENERIC

Pred Forte Sus 1% Op

brimonidine sol 0.2% op

Pred Sod PHO Sol 1% Op

TIER 03



NON-PREFERRED

GENERIC

apraclonidin sol 0.5% op

acetic acid sol 2% otic

brimonidine sol 0.15%

neo/poly/HC sol 1% otic

Alphagan P Sol 0.1%

neo/poly/HC sus 1% otic

Alphagan P Sol 0.15%

ofloxacin dro 0.3%otic

Brimo/Dorzo Sol 0.15-2%

TIER 02 PREFERRED

Iopidine Sol 0.5% Op

Cipro HC Sus Otic

Iopidine Sol 1% Op

Ciprodex Sus 0.3-0.1%

Simbrinza Sus 1-0.2%


acetasol HC sol otic

IMMUNOMODULATORS

flac oil 0.01%

fluocin acet oil ear0.01%

TIER 02 PREFERRED

fluocin acet oil 0.01%

Cyclosporine Emu 0.1%PA

Ace Acd/Alum Sol 2% Otic

Restasis Emu 0.05%PA

Cetraxal Sol 0.2%

Restasis Mul Emu 0.05%PA

Ciprofloxacn Sol 0.2%


Coly-mycin S Sus Otic

Cequa Sol 0.09%PA

Dermotic Oil 0.01%

Floxin Sol 0.3%

LOCAL ANESTHETICS

HC/acet acid sol otic


Otovel Dro

altacaine sol 0.5% op

Pramotic Dro 1-0.1%

proparacaine sol 0.5% op

tetcaine sol 0.5% op

OXYTOCICS

tetracaine sol 0.5% op

tetravisc sol forte

tetravisc sol 0.5% op

TIER 01 GENERIC

Akten Gel 3.5%

methergine TAB 0.2MG

methylergon inj 0.2MG/ML

OPHTHALMICS - MISC.

methylergon TAB 0.2MG

TIER 02 PREFERRED

TIER 01 GENERIC

Cervidil Vag Mis 10MG INS

azelastine dro 0.05%

Prepidil Gel 0.5MG/3G

cromolyn sod sol 4% op

Prostin E2 Sup 20MG

diclofenac sol 0.1% op

dorzolamide sol 2% op

PAIN MANAGEMENT

flurbiprofen sol 0.03% op

ketorolac sol 0.4%

ANALGESICS - NONNARCOTIC

ketorolac sol 0.5%

TIER 01 GENERIC

olopatadine dro 0.1%

but/apap/caf TAB

TIER 02 PREFERRED

but/asa/caff CAP

Alomide Sol 0.1% Op

cho MAG tris liq 500/5ML

Azopt Sus 1% Op

diflunisal TAB 500MG

Xiidra Dro 5%PA

salsalate TAB 500MG


salsalate TAB 750MG

bromfenac sol 0.09% op

But/Asa/Caf TAB

epinastine dro 0.05%


olopatadine sol 0.2%

bupap TAB 50-300MG

Acular LS Sol 0.4%

but/apap/caf CAP

Acular Sol 0.5% Op

butal/apap TAB 50-325MG

Acuvail Sol 0.45%

butalb/aceta TAB 50-300MG

Alocril Sol 2%

capacet CAP

Bepreve Dro 1.5%

esgic CAP

Bromfenac Sol 0.09% Op

marten-TAB tab 50-325MG

Bromsite Dro 0.075%

phrenilin CAP forte

Cystaran Sol 0.44%

zebutal CAP

Dorzolamide Sol 2%

Allzital TAB 25-325MG

Elestat Dro 0.05%

Butal/Apap CAP 50-300MG

Emadine Sol 0.05% Op

Disalcid TAB 500MG

Ilevro Dro 0.3% Op

Disalcid TAB 750MG

Lastacaft Sol 0.25%

Duraxin CAP

Nevanac Sus 0.1%

Esgic TAB

Ocufen Sol 0.03% Op

Fioricet CAP

Pataday Sol 0.2%

Fiorinal CAP

Patanol Sol 0.1% Op

Tencon TAB 50-325MG

Pazeo Dro 0.7%

Vanatol LQ Sol

Prolensa Sol 0.07%

Vanatol S Sol

Trusopt Sol 2% Op

ANALGESICS - OPIOID

OTIC AGENTS

TIER 01 GENERIC

TIER 01

apap/codeine sol 120-12/5QL



apap/codeine TAB 300-15MGQL

Butorphanol Inj 1MG/ML


Codeine Sulf TAB 15MGQL



bupren/nalox sub 2-0.5MG


bupren/nalox sub 8-2MG

Hydromorphon Inj 1MG/ML

buprenorphin inj 0.3MG/ML


buprenorphin sub 2MGQL

Hydromorphon Sup 3MG

buprenorphin sub 8MGQL

Levorphanol TAB 3MG

butorphanol inj 2MG/ML

Methadone Sol 10MG/5MLQL,ST

codeine sulf TAB 15MGQL

Methadone Sol 5MG/5MLQL,ST


Morphine SUL Inj 10/0.7ML


Morphine SUL Inj 10MG/ML

endocet TAB 10-325MGQL


endocet TAB 2.5-325QL


endocet TAB 5-325MGQL


endocet TAB 7.5-325QL


fentanyl dis 100mcg/hQL,PA

Morphine SUL Sup 10MG

fentanyl dis 12mcg/HRQL,PA







Morphine SUL TAB 15MGQL

hydroco/apap sol 7.5-325QL

Morphine SUL TAB 30MGQL

hydroco/apap TAB 10-325MGQL

TIER 02 PREFERRED


Oxycodone TAB 10MG ERQL,ST

hydroco/apap TAB 7.5-325QL


hydromorphon inj 1MG/ML


hydromorphon inj 2MG/ML


hydromorphon liq 1MG/MLQL


hydromorphon TAB 2MGQL





Oxycontin TAB 10MG CRQL,ST

levorphanol TAB 2MGQL


lorcet plus TAB 7.5-325QL


lorcet HD TAB 10-325MGQL


lorcet TAB 5-325MGQL


meperidine inj 100MG/ML


methadone inj 10MG/MLST


methadone sol 10MG/5MLQL,ST


methadone sol 5MG/5MLQL,ST

ascomp/cod CAP 30MGQL

methadone CON 10MG/MLQL,ST

bupren/nalox mis 8-2MG

methadone TAB 10MGQL,ST

buprenorphin dis 10mcg/HRQL,PA





methadose TAB 40MGQL,ST


morphine SUL sol 10MG/5MLQL

but/apap/caf CAP codeineQL

morphine SUL sol 100/5MLQL

but/asa/caf/ CAP cod 30MGQL

morphine SUL sol 20MG/MLQL

butorphanol sol 10MG/ML

morphine SUL sol 20MG/5MLQL

fentanyl dis 37.5mcgQL,PA

morphine SUL TAB 100MG ERQL,ST





fentanyl ot loz 1200mcgQL,PA





oxycod/apap TAB 10-325MGQL


oxycod/apap TAB 2.5-325QL


oxycod/apap TAB 5-325MGQL


oxycod/apap TAB 7.5-325QL


oxycod/asa TABQL


oxycodone sol 5MG/5MLQL


oxycodone CON 10/0.5MLQL


oxycodone CON 100/5MLQL

hydrocod/ibu TAB 10-200MGQL

oxycodone CON 20MG/MLQL

hydrocod/ibu TAB 5-200MGQL

oxycodone TAB HCL 30MGQL

hydrocod/ibu TAB 7.5-200QL

oxycodone TAB 10MGQL

hydrocodone sol 10-325MGQL


hydromorphon TAB 12MG ERQL,ST





oxycodone TAB 5MGQL


tramadl/apap TAB 37.5-325QL

ibudone TAB 5-200MGQL

tramadol HCL TAB 50MGQL

meperidine TAB 100MGQL



meperidine TAB 50MGQL

Dilaudid Inj 4MG/ML

morphine SUL CAP 10MG ERQL,PA

Dilaudid Liq 1MG/MLQL


Dilaudid TAB 2MGQL


Dilaudid TAB 4MGQL


Dilaudid TAB 8MGQL


Dolophine TAB 10MGQL,ST


Dolophine TAB 5MGQL,ST


Dsuvia Sub 30mcg


Duragesic Dis 100mcg/HQL,PA

oxycodone CAP HCL 5MGQL

Duragesic Dis 12mcg/HRQL,PA

oxycodone CAP 5MGQL


oxymorphone TAB HCL 10MGQL


oxymorphone TAB HCL 5MGQL


panlor TAB 325-30QL

Dvorah TABQL

pentaz/nalox TAB 50-0.5MG

Embeda CAP 100-4MGPA

reprexain TAB 10-200MGQL

Embeda CAP 20-0.8MGPA

tramadol HCL TAB 100MG ERQL,ST



Embeda CAP 50-2MGPA



vicodin ES TAB 7.5-300QL


vicodin HP TAB 10-300MGQL

Exalgo TAB 12MGQL,ST

vicodin TAB 5-300MGQL


xylon TAB 10-200MGQL


Abstral Sub 100mcgQL,PA

Exalgo TAB 8MGQL,ST


Fentora TAB 100mcgQL,PA









Actiq Loz 1200mcgQL,PA

Fioricet CAP CodeineQL


Fiorinal/Cod CAP 30MGQL


Hydro/Aceta Sol 10-325MGQL




Hysingla ER TAB 100 MGQL,PA



Apap-caffein CAP DihydrocQL


Apap/Caffein TAB DihydrocQL


Arymo ER TAB 15MGQL,ST






Belbuca Mis 150mcgQL,PA

Ibudone TAB 10-200MGQL


Ionsys Pad 40mcg/Ac


Kadian CAP 10MG ERQL,PA









Bunavail Mis 2.1-0.3


Bunavail Mis 4.2-0.7


Bunavail Mis 6.3-1MG


Buprenex Inj 0.3MG/ML


Buprenorphin Dis 10mcg/HRQL,PA

Lazanda Spr 100mcgQL,PA






Lortab Elx 10-300MGQL

Buprenorphin Dis 7.5/HRQL,PA

Methadone Inj 10MG/MLST

Butrans Dis 10mcg/HRQL,PA

Methadose CON 10MG/MLQL,ST


Methadose SF CON 10MG/MLQL,ST


Morphabond TAB 100MG ERQL,ST



Butrans Dis 7.5/HRQL,PA


Capital/Cod Sus 120-12/5QL


Conzip CAP 100MGQL,ST

Morphine SUL CAP 120MG ERQL,ST





Demerol Inj 100MG/ML


Demerol TAB 100MGQL


Dihydrocod/ CAP Asa/CaffQL


Dilaudid Inj 1MG/ML

MS Contin TAB 100MG ERQL,ST

Dilaudid Inj 2MG/ML





Xodol TAB 7.5-300QL


Xtampza ER CAP 13.5MGQL,ST


Xtampza ER CAP 18MGQL,ST

Nalocet TAB 2.5-300QL


Norco TAB 10-325MGQL


Norco TAB 5-325MGQL


Norco TAB 7.5-325QL

Zamicet Sol 10-325MGQL

Nucynta ER TAB 100MGQL,ST

Zohydro ER CAP 10MGQL,PA









Nucynta TAB 100MGQL


Nucynta TAB 50MGQL

Zubsolv Sub 0.7-0.18

Nucynta TAB 75MGQL


Opana ER TAB 10MGQL,ST





Zubsolv Sub 5.7-1.4


Zubsolv Sub 8.6-2.1


QL


Opana ER TAB 7.5MGQL,ST

OPIOID ANTAGONIST

Opana TAB 10MGQL

TIER 01 GENERIC

Opana TAB 5MGQL

naloxone inj 0.4MG/ML

Oxaydo TAB 7.5MGQL

naltrexone TAB 50MG

Oxycod/Ibu TAB 5-400MGQL

Naloxone Inj 0.4MG/ML

Oxycodone/ Sol ApapQL

Naloxone Inj 1MG/ML

Oxymorphone TAB 10MG ERQL,ST

Narcan Spr


TIER 02 PREFERRED


Vivitrol Inj 380MGQL




Evzio Inj


Evzio Inj 2/0.4ML

Oxymorphone TAB 7.5MG ERQL,ST

Percocet TAB 10-325MGQL

ANTI-INFLAMMATORY

Percocet TAB 2.5-325QL

TIER 01 GENERIC

Percocet TAB 5-325MGQL

celecoxib CAP 100MG

Percocet TAB 7.5-325QL

celecoxib CAP 200MG

Primlev TAB 10-300MGQL

celecoxib CAP 400MG

Primlev TAB 5-300MGQL

celecoxib CAP 50MG

Primlev TAB 7.5-300QL

diclofen pot TAB 50MG

Reprexain TAB 5-200MGQL

diclofenac TAB 100MG ER

Roxicodone TAB 15MGQL

diclofenac TAB 25MG DR





Suboxone Mis 12-3MG

etodolac CAP 200MG

Suboxone Mis 2-0.5MG

etodolac CAP 300MG

Suboxone Mis 4-1MG

etodolac TAB 400MG

Suboxone Mis 8-2MG

etodolac TAB 500MG

Subsys Spr 100mcgQL,PA

flurbiprofen TAB 100MG


flurbiprofen TAB 50MG


ibu TAB 400MG


ibu TAB 600MG


ibu TAB 800MG


ibuprofen TAB 400MG


ibuprofen TAB 600MG

Synalgos-dc CAPQL

ibuprofen TAB 800MG

Tramadol HCL CAP ER 100MGQL,ST

indomethacin CAP 25MG


indomethacin CAP 50MG


indomethacin CAP 75MG ER

Tramadol HCL CAP 150MG ERQL,ST

ketorolac inj 15MG/ML

Trezix CAPQL

ketorolac inj 30MG/ML

Tylenol/Cod TAB #3QL

ketorolac inj 60MG/2ML

Tylenol/Cod TAB #4QL

leflunomide TAB 10MG

Ultracet TAB 37.5-325QL

leflunomide TAB 20MG

Ultram TAB 50MGQL

meloxicam TAB 15MG

Verdrocet TAB 2.5-325QL

meloxicam TAB 7.5MG

Xartemis XR TAB 7.5-325QL,ST

nabumetone TAB 500MG

Xodol TAB 10-300MGQL

nabumetone TAB 750MG

Xodol TAB 5-300MGQL



naproxen sod TAB 275MG

oxaprozin TAB 600MG


profeno TAB 600MG

naproxen sus 125/5ML

Actemra Inj ActpenQL,PA

naproxen TAB 250MG

Actemra Inj 162/0.9QL,PA

naproxen TAB 375MG

Anaprox DS TAB 550MG

naproxen TAB 500MG

Arava TAB 10MG

piroxicam CAP 10MG

Arava TAB 20MG

piroxicam CAP 20MG

Arcalyst Inj 220MGQL,PA

sulindac TAB 150MG

Arthrotec 50 TAB

sulindac TAB 200MG

Arthrotec 75 TAB

Meclofen Sod CAP 100MG

Celebrex CAP 100MG

Meclofen Sod CAP 50MG

Celebrex CAP 200MG

Tolmetin Sod CAP 400MG

Celebrex CAP 400MG

Tolmetin Sod TAB 200MG

Celebrex CAP 50MG

TIER 02 PREFERRED

Daypro TAB 600MG

Enbrel Inj 25/0.5MLQL,PA

Duexis TAB 800-26.6QL,PA

Enbrel Inj 25MGQL,PA

EC-naprosyn TAB 375MG

Enbrel Inj 50MG/MLQL,PA

EC-naprosyn TAB 500MG

Enbrel Mini Inj 50MG/MLQL,PA

Feldene CAP 10MG

Enbrel Srclk Inj 50MG/MLQL,PA

Feldene CAP 20MG

Humira Inj 10/0.1MLQL,PA

Fenoprofen CAP 200MG

Humira Inj 10MG/0.2QL,PA

Fenoprofen CAP 400MG


Fenortho CAP 200MG


Fenortho CAP 400MG

Humira Kit 20MG/0.4QL,PA

Indocin Sup 50MG

Humira Kit 40MG/0.8QL,PA

Indocin Sus 25MG/5ML

Humira Pedia Inj CrohnsQL,PA

Ketoprofen CAP 200MG ER

Humira Pen Inj CD/Uc/HSQL,PA

Ketoprofen CAP 25MG

Humira Pen Inj PS/UVQL,PA

Ketoprofen CAP 50MG

Humira Pen Inj 40/0.4MLQL,PA

Ketoprofen CAP 75MG

Humira Pen Inj 40MG/0.8QL,PA

Kevzara Inj 150/1.14QL,PA

Humira Pen Kit CD/Uc/HSQL,PA

Kevzara Inj 200/1.14QL,PA

Humira Pen Kit PS/UVQL,PA

Kineret InjQL,PA

Orencia Clck Inj 125MG/MLQL,PA

Lodine TAB 400MG

Orencia Inj 125MG/MLQL,PA

Mobic TAB 15MG

Orencia Inj 50/0.4QL,PA

Mobic TAB 7.5MG

Orencia Inj 87.5/0.7QL,PA

Nalfon CAP 400MG

Otezla TAB 10/20/30QL,PA

Nalfon TAB 600MG

Otezla TAB 30MGQL,PA

Naprelan TAB 375MG CR

Rasuvo Inj 10MG


Rasuvo Inj 12.5MG


Rasuvo Inj 15MG

Naprosyn Sus 125/5ML

Rasuvo Inj 17.5MG

Naprosyn TAB 500MG

Rasuvo Inj 20MG

Olumiant TAB 2MGQL,PA

Rasuvo Inj 22.5MG

Otrexup Inj 10MGPA

Rasuvo Inj 25MG

Otrexup Inj 12.5/0.4PA

Rasuvo Inj 27.5MG

Otrexup Inj 15MGPA

Rasuvo Inj 30MG


Rasuvo Inj 7.5MG

Otrexup Inj 20MG

Ridaura CAP 3MGQL


Xeljanz TAB 10MGQL,PA

Otrexup Inj 25MGPA

Xeljanz TAB 5MGQL,PA


Xeljanz XR TAB 11MGQL,PA

Ponstel CAP 250MG


Simponi Inj 100MG/MLQL,PA

diclo/misopr TAB 50-0.2MG

Simponi Inj 50/0.5MLQL,PA

diclo/misopr TAB 75-0.2MG

Sprix Spr 15.75MG

etodolac ER TAB 400MG

Tivorbex CAP 20MG


Tivorbex CAP 40MG


Tolmetin Sod TAB 600MG

fenoprofen TAB 600MG

Vimovo TAB 375-20MGQL,PA

ibuprofen sus 100/5ML

Vimovo TAB 500-20MGQL,PA

ketoprofen CAP 50MG

Vivlodex CAP 10MG

ketoprofen CAP 75MG

Vivlodex CAP 5MG

ketorolac TAB 10MG

Zipsor CAP 25MGPA

mefenam acid CAP 250MG

Zorvolex CAP 18MGPA


Zorvolex CAP 35MGPA

naproxen sod TAB 375MG CR

naproxen sod TAB 500MG CR

naproxen DR TAB 375MG

naproxen DR TAB 500MG



MIGRAINE PRODUCTS

Zomig TAB 5MG

Zomig ZMT TAB 2.5 MG

TIER 01 GENERIC

Zomig ZMT TAB 5MG Odt

dihydroergot inj 1MG/MLQL

ergot/caffen TAB 1-100MG

GOUT AGENTS

naratriptan TAB 1MG

naratriptan TAB 2.5MG

TIER 01 GENERIC

rizatriptan TAB 10MG

allopurinol TAB 100MG

rizatriptan TAB 10MG odt

allopurinol TAB 300MG

rizatriptan TAB 5MG

proben/colch TAB 500-0.5

rizatriptan TAB 5MG odt

probenecid TAB 500MG

sumatriptan inj 4MG/0.5

TIER 02 PREFERRED

sumatriptan inj 6MG/0.5

Colchicine CAP 0.6MG

sumatriptan spr 20MG/act

Colchicine TAB 0.6MG

sumatriptan spr 5MG/act

Colcrys TAB 0.6MG

sumatriptan TAB 100MG



Duzallo TAB 200-200PA


Duzallo TAB 200-300PA

zolmitriptan TAB 2.5 MG

Mitigare CAP 0.6MG

zolmitriptan TAB 2.5MG odt

Uloric TAB 40MGQL,PA

zolmitriptan TAB 5MG

Uloric TAB 80MGPA

zolmitriptan TAB 5MG odt

Zurampic TAB 200MGPA

Dihydroergot Spr 4MG/ML

Zyloprim TAB 100MG

Sumatriptan Inj 6MG/0.5

Zyloprim TAB 300MG

TIER 02 PREFERRED

Ergomar Sub 2MG

LOCAL ANESTHETICS-INJ

Migergot Sup 2/100

TIER 01 GENERIC


lidocaine inj 0.5%

almotrip mal TAB 12.5MGST

lidocaine inj 1%

almotrip mal TAB 6.25MGST

lidocaine inj 2%

almotriptan TAB 12.5MGST


almotriptan TAB 6.25MGST

lido/epi 1%- inj 1:100000

eletriptan TAB 20MGST

lidocaine inj 1.5%

eletriptan TAB 40MGST

Bupiva/NACL Inj 0.1-0.9%

frovatriptan TAB 2.5MGST

Bupivac/NACL Inj 0.03-0.9

sumat-naprox TAB 85-500MGST

Bupivac/NACL Inj 0.2-0.9%

Aimovig Inj 140dosePA

Bupivacaine Inj NACL

Aimovig Inj 70MG/MLPA

Lidocain HCL Inj 10MG/ML

Ajovy Inj 225/1.5PA

Lidocain HCL Inj 40MG/2ML

Amerge TAB 1MG

Lidocain HCL Inj 60MG/3ML

Amerge TAB 2.5MG

Lidocaine HC Inj 200/10ML

Axert TAB 12.5MGST

Lidocaine Inj 10MG/ML

Axert TAB 6.25MGST

Lidocaine Inj 100/5ML

Cafergot TAB 1-100MG

Lidocaine Inj 400/20ML

Cambia Pow 50MGPA

Ropivacaine Inj 5MG/ML

D.h.e. 45 Inj 1MG/MLQL

Xylo/Epi 1%- Inj 1:100000

Emgality Inj 120MG/MLPA

Xylocaine Inj -mpf 1%

Frova TAB 2.5MGST

Xylocaine Inj -mpf 2%

Imitrex Inj 4MG/0.5

Xylocaine Inj Mpf 0.5%

Imitrex Inj 6MG/0.5

Xylocaine Inj Mpf 1.5%

Imitrex Spr 20MG/Act

Xylocaine Inj 0.5%

Imitrex Spr 5MG/Act

Xylocaine Inj 1%

Imitrex TAB 100MG

Xylocaine Inj 2%

Imitrex TAB 25MG

Imitrex TAB 50MG

RESPIRATORY, ALLERGY, ETC

Maxalt TAB 10MG

ANTIHISTAMINES

Maxalt TAB 5MG

TIER 01 GENERIC

Maxalt-MLT TAB 10MG

arbinoxa TAB 4MG

Maxalt-MLT TAB 5MG

carbinoxamin sol 4MG/5ML

Migranal Spr 4MG/ML

carbinoxamin TAB 4MG

Relpax TAB 20MGST

carbinoxamin TAB 6MG

Relpax TAB 40MGST

cyproheptad syp 2MG/5ML

Sumavel Dose Inj 4MG/0.5

cyproheptad syp 4MG/10ML

Sumavel Dose Inj 6MG/0.5

cyproheptad TAB 4MG

Treximet TAB 10-60MGPA

desloratadin TAB 5MG

Treximet TAB 85-500MGST

diphenhydram inj 50MG/ML

Zembrace Sym Inj 3/0.5ML

levocetirizi sol 2.5/5ML

Zomig Spr 2.5MG

levocetirizi TAB 5MG

Zomig Spr 5MG

pharbedryl CAP 50MG

Zomig TAB 2.5MG

phenadoz sup 12.5MG



phenadoz sup 25MG

COUGH/COLD/ALLERGY

phenergan sup 12.5MG

TIER 01 GENERIC

phenergan sup 25MG

acetylcyst sol 10%

phenergan sup 50MG

acetylcyst sol 20%

promethazine sol 6.25/5ML

benzonatate CAP 100MG

promethazine sup 12.5MG


promethazine sup 25MG

hydroc/homat TAB 5-1.5MG

promethazine sup 50MG

hydrocod/hom syp 5-1.5/5

promethazine syp 6.25/5ML

hydromet syp 5-1.5/5

promethazine TAB 12.5MG

nebusal neb 3%

promethazine TAB 25MG

prometh VC sol plain

promethazine TAB 50MG

promethazine syp DM

promethegan sup 12.5MG

pulmosal neb 7%

promethegan sup 25MG

sod chloride neb 0.9%

promethegan sup 50MG

sodium chlor neb 3%

ryvent TAB 6MG

sodium chlor neb 7%

Clemastine TAB 2.68MG

tussigon TAB 5-1.5MG

Desloratadin TAB 2.5 Odt

Prometh/PE Syp 6.25-5/5

Desloratadin TAB 5MG Odt

TIER 02 PREFERRED


Sski Sol 1gm/ML

bpm TAB 6MG


cetirizine sol 1MG/ML


diphenhydram elx 12.5/5ML

biotuss liq

promethazine inj 25MG/ML

bpm pseudo TAB 6-45MG

promethazine inj 50MG/ML

brom/PSE/DM syp

Brompheniram Chw 12MG

bromfed DM syp

Brompheniram Inj 10MG/ML

hydro/chlor/ liq 5-4-60MG

Clarinex Syp 0.5MG/ML

prometh VC/ syp codeinePA

Clarinex TAB 5MG

prometh/cod sol 6.25-10PA

Dexchlorphen Syp 2MG/5ML

prometh/cod syp 6.25-10PA

Karbinal ER Sus 4MG/5ML

prometh/PE/ syp codeinePA

Phener Fort Syp 25MG/5ML

sodium chlor neb 10%

Phenergan Inj 25MG/ML

Carbaphen 12 Liq

Phenergan Inj 50MG/ML

Carbaphen 12 Sus PED

Ryclora Syp 2MG/5ML

Clarinex-d TAB 2.5-120

Xyzal Sol 2.5/5ML

Flowtuss Sol 2.5-200

Xyzal TAB 5MG

Hycofenix Sol

Hydr/CPM/PSE Liq 5-4-60MG

NASAL AGENTS

Hydroc/Guaif Sol 2.5-200

TIER 01 GENERIC

Hyper-sal Neb 7%

azelastine spr 0.1%

Hypersal Neb 3.5%

azelastine spr 0.15%

Hypersal Neb 7%

ipratropium spr 0.03%

HYD pol/CPM sus 10-8/5ML

ipratropium spr 0.06%

Lexuss 210 Liq 2-10/5ML

Flunisolide Spr 0.025%

Nebusal Neb 6%


Nortuss-EX Liq 200-20/5

budesonide sus 32mcgPA

Obredon Sol 2.5-200

mometasone spr 50mcgPA

Panatuss Dxp Liq

olopatadine spr 0.6%

Prometh/PE/ Syp CodeinePA

triamcinolon aer 55mcg/ac

PE/Guaifenes Dro 1.5-20MG

Adrenalin Sol 1:1000

Rezira Sol 60-5/5ML

Astepro Spr 0.15%

Semprex-d CAP 8-60MG

Azenase PAK Mis 137-50

Tessalon Per CAP 100MG

Bactroban Oin Nasal 2%

Tussicaps CAP 10-8MG

Beconase AQ Sus 0.042%PA

Tussicaps CAP 5-4MG

Cocaine HCL Sol 40MG/ML

Tussionex Sus 10-8/5ML

Dymista Spr 137-50

Tuxarin ER TAB 54.3-8MG

Goprelto Sol 40MG/ML

Tuzistra XR SusPA

Nasonex Spr 50mcg/AcPA

Vituz Sol 5-4MG

Omnaris SprPA

Zutripro Liq 60-4-5MG

Patanase Spr 0.6%

Qnasl Aer 80mcgPA

ANTIASTHMATIC/COPD AGENTS

Qnasl Child Spr 40mcgPA

TIER 01 GENERIC

Rhinocort Sus AquaPA

albuterol neb 0.083%

Ticalast Kit 137/50

albuterol neb 0.5%

Tyzine PED Dro 0.05%

albuterol neb 0.63MG/3

Xhance Mis 93mcgPA

albuterol neb 1.25MG/3

Zetonna Aer 37mcgPA

albuterol syp 2MG/5ML

albuterol TAB 2MG



albuterol TAB 4MG

levalbuterol neb 0.31MG

budesonide sus 0.25MG/2


budesonide sus 0.5MG/2

levalbuterol neb 1.25/0.5

budesonide sus 1MG/2ML


cromolyn sod neb 20MG/2ML

terbutaline inj 1MG/ML

ipratropium sol 0.02%inh

zafirlukast TAB 10MG

ipratropium/ sol albuter

zafirlukast TAB 20MG

montelukast chw 4MG

zileuton ER TAB 600MGQL,PA

montelukast chw 5MG

Accolate TAB 10MG

montelukast gra 4MG

Accolate TAB 20MG

montelukast TAB 10MG

Aerospan Aer 80mcg

terbutaline TAB 2.5MG

Airduo Respi Inh 113-14PA

terbutaline TAB 5MG


theochron TAB 100MG CR



Albuterol TAB 4MG ER


Albuterol TAB 8MG ER

theophylline sol 80/15ML

Anoro Ellipt Aer 62.5-25PA

theophylline TAB 100MG CR

Arcapta CAP 75mcg

theophylline TAB 100MG ER

Armonair Aer 113/ActPA

theophylline TAB 200MG CR





Arnuity Elpt Inh 100mcgPA






Bevespi Aer 9-4.8mcgPA

Metaproteren Syp 10MG/5ML

Breo Ellipta Inh 100-25PA

Metaproteren TAB 10MG

Breo Ellipta Inh 200-25PA

Metaproteren TAB 20MG

Brovana Neb 15mcgPA

TIER 02 PREFERRED

Daliresp TAB 250mcg

Advair Disku Aer 100/50ST

Daliresp TAB 500mcg


Dulera Aer 100-5mcgPA


Dulera Aer 200-5mcgPA

Advair HFA Aer 115/21ST

Dupixent Inj 200/1.14QL,PA


Elixophyllin Elx 80/15ML


Fluticasone Inh SalmeterPA

Alvesco Aer 160mcg

Incruse Elpt Inh 62.5mcgPA

Alvesco Aer 80mcg

Isuprel Inj 0.2MG/ML

Asmanex HFA Aer 100 McgST

Levalbuterol Aer 45/ActQL

Asmanex HFA Aer 200 McgST

Lonhala Magn Sol 25mcgPA

Asmanex 120 Aer 220mcgST

Perforomist Neb 20mcg


Proair HFA AerQL


Proair Respi AerQL


Proventil Aer HFAQL


Pulmicort Inh 180mcgPA


Pulmicort Inh 90mcgPA

Atrovent HFA Aer 17mcg

Pulmicort Sus 0.25MG/2

Combivent Aer 20-100

Pulmicort Sus 0.5MG/2

Flovent Disk Aer 100mcgPA

Pulmicort Sus 1MG/2ML


Seebri Neoha CAP 15.6mcgPA


Singulair Chw 4MG

Flovent HFA Aer 110mcgPA

Singulair Chw 5MG

Flovent HFA Aer 220mcgPA

Singulair Gra 4MG

Flovent HFA Aer 44mcg

Singulair TAB 10MG

Qvar Aer 40mcg

Symbicort Aer 160-4.5PA

Qvar Aer 80mcg

Symbicort Aer 80-4.5PA

Qvar Rediha Aer 80mcg

Theo-24 CAP 100MG CR

Qvar Redihal Aer 40mcg


Serevent Dis Aer 50mcgST


Spiriva Aer 1.25mcgST

Theo-24 CAP 400MG ER

Spiriva CAP Handihlr

Trelegy Aer ElliptaPA

Spiriva Spr 2.5mcg

Tudorza Pres Aer 400/Act

Stiolto Aer 2.5-2.5

Utibron CAP NeohalerPA

Striverdi Aer 2.5mcgPA

Vospire ER TAB 4MG

Ventolin HFA AerQL

Vospire ER TAB 8MG


Xopenex CONC Neb 1.25/0.5

albuterol TAB 4MG ER

Xopenex HFA AerQL

albuterol TAB 8MG ER

Xopenex Neb 0.31MG

difil-G fort liq 100-100

Xopenex Neb 0.63MG

isoproteren inj 0.2MG/ML

Xopenex Neb 1.25/3ML

isoproteren inj 1MG/5ML

Yupelri SolPA



Zyflo CR TAB 600MGQL,PA

Fluarix Quad Inj 2018-19

Zyflo TAB 600MGQL,PA

Flublok Quad Inj 2017-18

Flublok Quad Inj 2018-19

RESPIRATORY AGENTS - MISC

Flublok Sol 2015-16

Flublok Sol 2016-17

TIER 02 PREFERRED

Flublok Sol 2017-18

Esbriet CAP 267MGQL,PA

Flucelvax Inj 2015-16

Esbriet TAB 267MGQL,PA

Fluclvx Quad Inj 2016-17

Esbriet TAB 801MGQL,PA


Ofev CAP 100MGQL,PA


Ofev CAP 150MGQL,PA

Flulaval Qua Inj 2016-17

Pulmozyme Sol 1MG/ML


Survanta Inh



Flumist Quad Sus 2016-17

Curosurf Sus 120/1.5


Curosurf Sus 240/3ML


Infasurf Sus 35MG/ML

Fluvirin Inj 2015-16

Kalydeco PAK 50MGQL,PA


Kalydeco PAK 75MGQL,PA


Kalydeco TAB 150MGQL,PA

Fluzone HD Inj PF 16-17

Orkambi Gra 100-125QL,PA


Orkambi Gra 150-188QL,PA


Orkambi TAB 100-125QL,PA

Fluzone Quad Inj 2016-17

Orkambi TAB 200-125QL,PA


Symdeko TAB 100-150QL,PA


Influenza Firus Vaccine

TOXOIDS

TIER 02 PREFERRED

TOXOIDS

Acthib Inj

TIER 02 PREFERRED

Bexsero Inj

Adacel Inj

Engerix-b Inj 10/0.5ML

Boostrix Inj

Engerix-b Inj 20mcg/ML

Daptacel Inj

Gardasil Inj

Dip/Tet PED Inj 25-5lfu

Gardasil 9 Inj

Infanrix Inj

Havrix Inj 1440unit

Kinrix Inj

Havrix Inj 720unit

Pediarix Inj 0.5ML

Heplisav-b Inj 20/0.5ML

Pentacel Inj

Heplisav-b Inj 20mcg

Quadracel Inj

Hiberix Sol 10mcg

Tdvax Inj 2-2 LF

Ipol Inj Inactive

Tenivac Inj 5-2LF

M-m-r II Inj

Menactra Inj

IMMUNOGLOBULINS

Menhibrix Inj

TIER 02 PREFERRED

Menomune Inj A/C/Y/W

Hizentra Inj 1gm/5MLQL,PA

Menveo Inj

Hizentra Inj 10/50MLQL,PA

Pedvax HIB Inj


Pneumovax 23 Inj 25/0.5


Prevnar 13 Inj

Proquad Inj

VACCINES

Recombiva HB Inj 10mcg/ML

Recombiva HB Inj 5mcg/0.5

TIER 01 GENERIC

Recombiva-HB Inj 40mcg/ML

Afluria Inj PF 16-17

Rotarix Sus


Rotateq Sol


Shingrix Inj 50mcg

Afluria Inj 2016-17

Trumenba Inj

Afluria Inj 2017-18

Twinrix Inj

Afluria Inj 2018-19

Vaqta Inj 50unt/ML

Afluria Quad Inj PF 16-17

Varivax Inj


Zostavax Inj



Afluria Quad Inj 2017-18

Biothrax Inj

Afluria Quad Inj 2018-19

EZ Flu Shot Inj PF 14-15

VITAMINS

EZ Flu Shot Inj 2018-19

VITAMINS

EZ Flu Shot Kit 2016-17

TIER 01 GENERIC

Fluad Inj 2016-17

phytonadione inj 1MG/0.5

Fluad Inj 2017-18

phytonadione TAB 5MG

Fluad Inj 2018-19

vitamin d CAP 50000


vitamin d CAP 50000unt




vitamin k1 inj 1MG/0.5

Aurora Lance Mis 30G

Mephyton TAB 5MG

Auto Lancet Mis

Vitamin K1 Inj 10MG/ML

Auto-lancet Mis


Auto-lancet Mis Mini

Drisdol CAP 50000unt

Autolet Impr Mis Lanc Dev

Autolet II Kit Clinisaf

MEDICAL DEVICES

Autolet Lanc Mis Device

Autolet Lite Kit

DIABETIC SUPPLIES

Autolet Lite Kit Clinisaf

TIER 01 GENERIC

Autolet Lite Kit Starter

lancet carry mis case

Autolet Mini Mis

lancets mis 23G

Autolet Plat Mis 1.8MM

Accu-chek Kit Fastclix


Accu-chek Kit Mlticlix


Accu-chek Kit Softclix

Autolet Plus Mis

Accu-chek Liq Guide

Autolet Plus Mis Lanc Dev

Accu-chek Liq Smart

Autoshield Mis 29X3/16"

Accu-chek Mis Mlticlix

Autoshield Mis 29X5/16"

Accu-chek Sol

Autoshield Mis 30GX5MM

Accu-chek Sol Compact

AF Lancets Mis Thin

Accutrend Sol Glucose

AT Last Mis Lancets

Acti-lance Mis Lite 28G

AT Last Sol Control

Acti-lance Mis Spec 17G

Bayer Breeze Liq High Cnt

Acti-lance Mis Univ 23G

Bayer Breeze Liq Low Cntl

Acti-lance Mis 28G

Bayer Breeze Liq Norm Cnt

Active 1ST Mis Lanc 30G

Bayer Breeze Mis 2 TestQL,PA

Adj Lancing Mis Device

Bayer Micrlt Mis Lanc Dvc

Adv Lancing Mis Device

Bayer Micrlt Mis Lancets

Adv Travel Mis Lanc 28G

Bullseye Mis Lancets

Advance Liq Control

Bullseye Mis Mini Lnc

Advance Liq Intuitio

BD Lancet UF Mis 30G

Advance Norm Liq Control

BD Lancet UF Mis 33G

Advcate Safe Mis Lanc 26G

BD Microtain Mis Lancets

Advocate Liq High

BD Pen Needl Mis 29GX12.7

Advocate Liq Low

BD Pen Needl Mis 31GX5MM

Advocate Mis Lanc Dev


Advocate Mis Lanc 30G


Advocate Mis Lancets


Advocate+ Sol Redi-cod

BD U-500 Mis 31GX6MM

Agamatrix Mis 33G

Cardiocom Mis Lancing

Agamatrix Sol High

Carefine Mis 31GX8MM

Agamatrix Sol Norm/Hgh


Agamatrix Sol Normal


Altrnate Sit Mis Device


Aqua Lance Mis Lanc Dev

Careone Adv Mis Lancing

Aqualance Mis 30G

Careone Lanc Mis Thin 23G

Assure Cmfrt Mis 28G

Careone Lanc Mis 28G

Assure Dose Sol Norm/Hgh

Caresens Sol Control

Assure Dose Sol Normal

Caretouch Mis Ejector

Assure ID Mis 30GX3/16

Caretouch Mis Twist 28





Assure II Liq Level 1

Caretouch Mis 31GX5MM

Assure II Liq Level1/2


Assure Lance Mis Low Flow


Assure Lance Mis Micro


Assure Lance Mis Safe 25G


Assure Lance Mis Safe 30G

Cleanlet 28G Mis Lancets

Assure Lance Mis 21G

Clever Check Mis

Assure Mis Lancets

Clever Check Mis 30G

Assure Plus Mis High 18G

Clevr Choice Liq High

Assure Plus Mis Low 25G

Clevr Choice Liq Low

Assure Plus Mis Mcro 28G

Clickfine Mis 31GX1/4"

Assure Plus Mis Norm 21G

Clickfine Mis 31GX5/16

Assure Plus Mis Pediatri

Clickfine Mis 31GX8MM

Assure Prism Sol Level1/2

Clickfine Mis 32GX5/32

Assure Pro Liq Level1/2

Closercare Mis

Assure 3 Liq Control

Coaguchek Mis Lancets

Assure 4 Liq Level1/2

Comfort Assu Mis Lanc 28G

Aurora Lance Mis Thin 23G

Comfort Assu Mis Lanc 33G



Comfort EZ Mis 21G

Easy Touch Mis Lanc/21G

Comfort EZ Mis 23G


Comfort EZ Mis 28G


Comfort EZ Mis 29GX12MM









Easy Touch Mis 29GX1/2"


Easy Touch Mis 29GX5MM






Easy Touch Mis 31GX3/16







Comfort Mis Lancets


Comfortouch Mis Lancet


Contour Liq High Cnt


Contour Liq Low Cntl

Easy Touch Sol Control

Contour Liq Norm Cnt

Easy Touch Sol High/Low

Contour Next Sol Level 1

Easy Trak Sol High

Contour Next Sol Level 2

Easy Trak Sol Low

Contour Tes NextQL,PA

Easy Trak Sol Normal

Control High Sol Unistrip

Easygluco Sol High

Control Low Sol Unistrip

Easygluco Sol Low

Control Norm Sol Easy Stp

Easygluco Sol Normal

Control Sol Liq High/Low

Easygluco Sol Plus

Control Sol Liq HI/Mid/L

Easymax Sol High

Control Sol Liq Mid

Easymax Sol Low

Control Sol Normal

Easymax Sol Norm/Low

Cool Control Sol A

Easymax Sol Normal

Cool Control Sol B

Easymax 15 Sol Level 1

CVS Lancets Mis Original

Easymax 15 Sol Level 2

CVS Lancets Mis Thin 26G

Easymax 15 Sol Level1-2


Easystep Hgh Sol Control


Easystep Low Sol Control

CVS Lancets Mis 21G

Easytest II Mis Lancets

CVS Lancets Mis 30G

Easytest Mis Lancets

CVS Lancets Mis 33G

Element Cont Liq Normal

CVS Lancing Mis Device

Element Liq High

Diathrive Liq Control

Element Liq Low

Diatrue Cont Sol Level 1

Elemnt Compa Sol Level 2


Elemnt Compa Sol Level 3


Embrace Cntr Liq High

Droplet Lanc Mis Device

Embrace Evo Liq Level 1

Droplet Lanc Mis 30G

Embrace Evo Liq Level 2

Duo-care Liq Level1/2

Embrace Lanc Mis Thin 30G

E-z Ject Mis Lanc 21G

Embrace Pro Liq Glucose

E-z Ject Mis Lancets

Embrace Sol Low

E-z Ject Mis Thin 26G

Embrace Talk Sol High/L2

E-z Ject Mis 21G

Embrace Talk Sol Low/L1

E-z Ject Mis 21G Colr

Eql Lancets Mis Thin 26G

E-z Ject Mis 30G

Eql Lancets Mis Thin 30G

E-z Ject Mis 32G Colr

Eql Lancets Mis 21G Colr

E-ZJECT Lanc Mis 33G

Eql Lancets Mis 33G Colr

Easy Comfort Mis Lanc/30G

Evencar Mini Sol Normal

Easy Comfort Mis Twist

Evencare G2 Sol Low/High

Easy Comfort Mis 30G

Evencare G3 Sol Low/High

Easy Comfort Mis 31GX1/4"

Evencare Sol Liq Low/High

Easy Comfort Mis 31GX3/16

Evolution Sol Normal


EZ Smart Mis Lancets


EZ-lets 21G Mis Lancets

Easy Mini Mis


Easy Mini Mis Eject


Easy Plus II Sol High


Easy Plus II Sol Low


Easy Talk Sol High

Fastclix Mis Lancets

Easy Talk Sol Low

Fifty50 Mis Lanc Dev

Easy Talk Sol Normal

Fifty50 Mis 31GX3/16

Easy Touch Mis

Fifty50 Mis 31GX5/16



Fifty50 Mis 31GX5MM

Glucosource Mis Lancets

Fifty50 Pen Mis 31GX8MM

Gnp Lancets Mis


Gnp Lancets Mis Micro


Gnp Lancets Mis Sup Thin

Fifty50 Safe Mis Lancets

Gnp Lancets Mis Thin

Fifty50 Sol 2.0

Gnp Lancets Mis Thin 26G

Fine 30 Mis

Gnp Lancets Mis 21G

Fingerstix Mis Lancets

Goodsense Mis Lanc Dvc

Fora Control Sol High

Goodsense Mis Lanc 26G

Fora Control Sol Low


Fora Control Sol Normal


Fora Lancets Mis 30G

Haemolance Mis High FLO

Fora Mis Lancets

Haemolance Mis Low Flow

Fora Mis Lancing

Haemolance Mis Plus

Foracare Gdh Sol High

Haemolance Mis Plus Low

Foracare Gdh Sol Low

Haemolance Mis Plus Max

Foracare Gdh Sol Normal

Haemolance Mis Plus PED

Fortiscare Sol Cntl HI

Haemolance Mis Retract

Fortiscare Sol Cntl Low

Healthpro Sol High/Low

Fortiscare Sol Cntl Nml

Hlthy Accnts Mis Lanc 30G

Freestyle Liq Control

Hypolance Kit Lancing

Freestyle Mis Lancets

HC Lancing Mis Device

Freestyle Mis Unistick

HM Insulin S Mis 0.3/31G

Freestyle TesQL,PA

HM Insulin S Mis 1ML/30G

Genteel Lanc Mis Black

HM Ulticare Mis 31GX8MM

Genteel Lanc Mis Blue

Incontrol Mis Lanc Dev

Genteel Lanc Mis Gold

Incontrol Mis Lanc 28G

Genteel Lanc Mis Pink


Genteel Lanc Mis Platinum


Genteel Lanc Mis Purple

Incontrol Mis 29GX12MM

Genteel Lanc Mis Silver

Infinity Sol High CON

Genteel Lanc Mis White

Infinity Sol Low CON

Genteel Mis Lancets

Infinity Sol Norm CON

Genteel Mis Nozzles

Infnty Voice Liq Level 2

Genteel Tips Mis Blue

Insulin Pen Mis 29GX12MM

Genteel Tips Mis Clear


Genteel Tips Mis Green


Genteel Tips Mis Orange

Insulin Syrg Mis 0.3/28G

Genteel Tips Mis Rainbow


Genteel Tips Mis Violet


Genteel Tips Mis Yellow


Gentle-let Mis Lancets

Insulin Syrg Mis 0.3ML/30

Gentle-let Mis Platform

Insulin Syrg Mis 0.3ML/31

Gentle-let Mis 26G


Gentle-let Mis 28G


Ge100 Contrl Sol Normal


Global Lanc Mis Device


Global 28G Mis Lancets


Global 30G Mis Lancets

Insulin Syrg Mis 1/2ML/30

Gluc Control Liq Normal

Insulin Syrg Mis 1/2ML/31

Gluc Control Sol

Insulin Syrg Mis 1ML

Gluc Control Sol Level 1

Insulin Syrg Mis 1ML/25G

Gluc Control Sol Level 2


Gluc Control Sol Mid


Gluc Control Sol Normal


Glucocard Liq Level 1


Glucocard Sol Normal


Glucocard Sol Shine


Glucocard 01 Liq Norm/Hgh

Insulin Syrg Mis 1MLX30G

Glucocard 01 Sol Normal

Insulin Syrg Mis 2/27.5G

Glucocom Mis 28G

Insulin Syrg Mis 27GX1/2"

Glucocom Mis 30G


Glucocom Mis 33G


Glucocom Tes High CON


Glucocom Tes Norm CON

Insulin Syrg Mis 30GX5/16

Glucose Cont Liq High/Low

Insulin Syrg Mis 30GX8MM

Glucose Cont Sol High

Insulin Syrg Mis 31GX5/16

Glucose Cont Sol Normal


Glucose Cont Sol Precisio


Glucosource Mis Lanc Dev

Insupen Mis 29GX12MM



Insupen Mis 31GX5MM

Longs Lancet Mis Standard

Insupen Mis 31GX8MM

Longs Lancet Mis Thin

Insupen Mis 32GX4MM

Longs Lancet Mis Ultra Th

Insupen Mis 33GX4MM

Medichoice Mis Lancet

Insupen Sens Mis 32GX6MM

Medisense Liq Gluc-ket

Insupen Sens Mis 32GX8MM

Medisense Liq Gluc/Ket

Insupen Ultr Mis 29GX12MM

Medlance Mis Extr 21G


Medlance Mis Lite 25G


Medlance Mis Plus


Medlance Mis Plus 30G

IN Control Mis 31GX5MM

Medlance Mis Unv 21G


Medlance Mis 30G Plus


Medlance Pls Mis Extr 21G

IN Touch Lan Mis Device

Medlance Pls Mis Lite 25G

IN Touch Lan Mis 30G

Medlance Pls Mis Univ 21G

IN Touch Sol Glucose

Medlance Pls Mis 0.8MM

Kinney Mis Lancets

Meijer Lance Mis Color

Kinney Thin Mis Lancets

Meijer Lance Mis Univ 21G

Kroger Lance Mis

Meijer Lance Mis Univ 30G

Kroger Lance Mis Thin

Meijer Lance Mis Universa

Kroger Lance Mis Thin 30G

Meijer Mis Lancets

Lancet Alter Mis Site 26G

Micro Thin Mis Lanc 33G

Lancet Auto Mis Injector

Microdot CON Sol High/Low

Lancet Carry Mis Case

Microlet Mis Lancets

Lancet Devic Mis Adjust

Microlet Mis Next

Lancet Micro Mis Thin 33G

Microtainer Mis Lancet

Lancet Stand Mis 21G

Mini Lancing Mis Device

Lancet Super Mis Thin 30G

Mobile Lance Mis 30G

Lancet Ultra Mis Fine

Monojector Mis End CAPS

Lancet Ultra Mis Thin 28G

Monolet Mis Lancets

Lancet Ultra Mis Thin 30G

Monolet Opd Mis Lancets

Lancet Ultra Mis 28G

Monolettor Mis Lancets

Lancet With Mis Ejector

Mpd Sfty Lan Mis 21G

Lancets Micr Mis Thin 33G


Lancets Mis


Lancets Mis Colored


Lancets Mis Orange

Multi-lancet Kit Device

Lancets Mis Original

Multi-lancet Mis Device

Lancets Mis Thin

Myglucohealt Mis Lanc 30G

Lancets Mis Thin 26G

Myglucohealt Sol LO/Nl/HI

Lancets Mis Thin 30G

MM Lancing Mis Device

Lancets Mis 21G

MM Pentips Mis 29GX12MM

Lancets Mis 21G Colr


Lancets Mis 26G


Lancets Mis 28G


Lancets Mis 30G

MM Twist Mis Lancets

Lancets Mis 31G

Neutek 2tek Sol Control

Lancets Mis 33G

Nexgen Tes Norm CON

Lancets Supr Mis Thin 28G

Nova Max Glu Liq /Ket CON

Lancets Thin Mis

Nova Safety Mis Lanc 23G

Lancets Thin Mis 26G

Nova Safety Mis Lanc 28G

Lancets Thin Mis 30G

Nova Sure Mis Lancets

Lancets Ultr Mis Thin

Nova Sureflx Mis Lanc Dev

Lancets Ultr Mis Thin 28G

Novofine Aut Mis 30GX8MM

Lancets Ultr Mis Thin 30G

Novofine Mis 30GX8MM

Lancing Devi Mis

Novofine Mis 32GX6MM

Lancing Devi Mis Adjust

Novofine Pls Mis 32GX4MM

Lancing Devi Mis 25G

Novotwist Mis 32GX5MM

Lancing Devi Mis 30G

On Call Expr Sol Glucose

Lancing Mis Device

On Call Lanc Mis Device

Lancing Pen Mis

On Call Mis Lancets

Lanzo Mis Lancing

On Call Plus Mis Lanc Dev

Lb Lancet Mis 28G

On Call Plus Mis Lancets

Lb Lancing Mis Device

On Call Plus Sol Control

Lifescan Mis Unistik2

On Call Vivd Sol Control

Lite Touch Mis Lanc Pen

On-the-go Mis Lanc 30G

Lite Touch Mis Lancets

Onetouch Fp Mis Lancets

Litetouch Mis Lancets

Onetouch Mis Combo

Litetouch Mis 29GX12.7

Onetouch Mis Lanc Dev

Litetouch Mis 31GX8MM

Onetouch Mis Lancets



Onetouch Mis 30G

Pss Sel Lanc Mis

Onetouch Sol Ult Cont

Pss Sel Plat Mis

Onetouch Sol Verio

Px Lancets Mis Ult Thin

Onetouch Sol Verio-HI

Px Lancets Mis 28G

Onetouch Tes UltraQL

PC Lancets Mis 30G

Onetouch Tes Ultra BLQL

Qc Lancets Mis 28G

Onetouch Tes VerioQL

Qc Lancets Mis 30G

Onetouch Us Mis Lancets

Qc Lancing Mis Device

Optumrx Cont Sol Level1/2

Quicktek Liq Solution

Pen Needle Mis 29GX1/2"

Quintet Cont Sol Hgh/Norm

Pen Needle Mis 32GX4MM

Ra E-ZJECT Mis Thin 26G

Pen Needles Mis 29GX1/2"

Ra E-ZJECT Mis Thin 28G

Pen Needles Mis 29GX10MM

Ra E-ZJECT Mis Ult Thin

Pen Needles Mis 29GX12.7

Ra E-ZJECT Mis 28G


Ra E-ZJECT Mis 33G

Pen Needles Mis 30GX5/16

Ra Pen Needl Mis 31GX3/16


Rapid-safe Mis Lancing


Readylance Mis 21G


Readylance Mis 23G


Readylance Mis 26G


Readylance Mis 28G


Readylance Mis 30G


Reality Mis Lancets


Reality Trig Mis Lancets


Refuah Plus Sol Control


Relion Kit Lancing


Relion Lance Mis Stnd 21G


Relion Lance Mis Thin 26G


Relion Lance Mis Thin 30G


Relion Lanci Mis Device


Relion Micro Mis Thin 33G


Relion Pen Mis 29GX12MM







Penlet II Kit Blood

Relion Thin Mis Lancets

Penlet II Mis Repl CAP

Relion Ultra Mis Thin

Pentips Mis 29GX12MM

Relion Ultra Mis Thin Pls

Pentips Mis 31GX5MM

Relion Ultra Mis Thin 32G

Pentips Mis 31GX6MM

Rightest Alt Mis Adaptor

Pentips Mis 31GX8MM

Rightest Liq High CON

Pentips Mis 32GX4MM

Rightest Liq Norm CON

Perfect 28G Mis Lancets

Rightest Mis Gl300

Perfect 30G Mis Lancets

Rightest Mis GD500

Pharmacy Cou Mis Lancets

Safe-t-lance Mis HI Flow

Pocketchem Sol EZ

Safe-t-lance Mis Low Flow

Precision Liq Control

Safe-t-lance Mis Nor Flow

Precision Liq Gluc/Ket

Safe-t-lance Mis 21G

Precision Liq Nrml/Mid

Safe-t-lance Mis 25G

Precision Mis 28g(t)

Safe-t-pro Mis Lancets

Precision Mis 28G

Safe-t-pro Mis Plus

Pressure Act Mis Lancet

Safety Let Mis Lancets

Pressure Act Mis Lancets

Safety Mis Lancets

Pro Comfort Mis Lancets

Safety Seal Mis 28G

Pro Comfort Mis 0.5/30G

Safety Seal Mis 30G

Pro Comfort Mis 0.5/31G

Safety 21G Mis Lancets

Pro Comfort Mis 1ML/30G

Safety 28G Mis Lancets

Pro Comfort Mis 1ML/31G

Saps Health Mis Twist

Pro Comfort Mis 31G

Sapscare Mis Twist

Pro Comfort Mis 31GX8MM

Select-lite Kit Dev/Lanc


Select-lite Mis Lanc Dev


Shopko Lanc Mis Device


Side Button Mis Safety

Prodigy Mis Lanc Dev

Simple Diag Mis Lancing

Prodigy Mis 26G

Single-let Mis 23G

Prodigy Mis 28G

Sm Lancets Mis Thin 26G

Prodigy NO Tes CodingQL,PA

Sm Lancets Mis Thin 30G

Prodigy Sol High

Sm Lancets Mis 21G

Prodigy Sol Low

Sm Lancets Mis 33G

Pss Safe Lan Mis

Sm Truedraw Mis Lanc Dev



Smart Sense Mis Lanc 21G

Thinlets Mis 28g(t)


Tier Uni Pls Mis 31GX8MM


Topcare Mis Lanc 33G


Travel Lance Mis Adv 28G

Smartest Mis Lancets

Travel Lance Mis 30G

Smartest Sol Control

True Comfort Mis Lanc 30G

Soft Touch Mis Lancets

True Metrix Sol Level 1

Softclix Mis Lancets


Solus V2 Mis Lanc Dev


Solus V2 Mis Lanc 28G

Truecontrol Liq Level 0

Solus V2 Mis Lanc 30G

Truecontrol Liq Level 1

Solus V2 Sol High

Truedraw Mis Lanc Dev

Solus V2 Sol Low

Truetest Liq Level 1

Sterilance Mis TL 28G





Truplus Lanc Mis 26G

Sterilance Mis 1.8MM


Super Thin Mis Lanc 28G


Super Thin Mis Lancet


Super Thin Mis Lancets

Ulti-lance Mis CLR Tip

Supreme II Liq High/Low

Ulticare Mic Mis 32GX4MM

Sure Comfort Mis Lanc Pen

Ulticare Pen Mis 31GX5MM

Sure Comfort Mis Lanc 18G





Ultilet Insu Mis 30X12.7


Ultilet Insu Mis 31GX6MM

Sure Comfort Mis Lancets

Ultilet Mis Lancets

Sure Comfort Mis 0.5/31G

Ultilet Mis Safety

Sure Comfort Mis 29GX1/2"

Ultilet Mis 26G

Sure Comfort Mis 30GX5/16

Ultilet Mis 28G


Ultilet Mis 30G


Ultilet Mis 33G

Sure Comfort Mis 31GX6MM

Ultilet Pen Mis 29GX12.7


Ultilet Pen Mis 31GX5MM

Sure Comfort Mis 32GX6MM


Sure-fine Mis 29GX1/2"


Sure-fine Mis 31GX3/16

Ultilet Safe Mis 21G

Sure-fine Mis 31GX5/16

Ultra Thin Mis Lan 31G

Sure-lance Mis Lancets

Ultra Thin Mis Lanc 26G

Sure-lance Mis 26G


Sure-pen Mis


Sure-touch Mis Unv Lanc

Ultra Thin Mis Lancets

Sureflex Mis Lancets

Ultra Thin Mis 28G

Surelite Mis Lancets

Ultra Thin Mis 30G

Surestep Glu Sol

Ultra Thin Mis 31G

Surestep Glu Sol High/Low

Ultra Thin Mis 33G

Surestep Pro Tes High CON

Ultralance Mis 1.8MM

Surestep Pro Tes Low CON

Ultratrk Pro Sol

Surestep Pro Tes Norm CON

Ultratrk Pro Sol High/Low

Surestep Sol Control

Ultratrk Ult Sol High/Low

Syringe Mis 0.5/30G

Unfine Pntp Mis 32GX4MM

SB Lancets Mis Thin

Unifine Pntp Mis 29GX1/2"

SB Lancets Mis Ultr Thn

Unifine Pntp Mis 29GX12MM

Tai Doc Sol Norm CON

Unifine Pntp Mis 31GX3/16

Techlite AST Mis Lancets


Techlite Mis Lanc 30G


Techlite Mis Lancets


Telcare Sol Level1/2


Tgt Lancet Mis Alternat


Tgt Lancet Mis 23G


Tgt Lancet Mis 26G


Tgt Lancet Mis 28G


Tgt Lancet Mis 30G

Unilet Cmfr Mis Tch 28G

Tgt Lancet Mis 33G

Unilet Cmfr Mis Tch 30G

Tgt Lancing Mis Adv Dev

Unilet Excel Mis 23G

Tgt Lancing Mis Device

Unilet EX II Mis 28G

Thin Lancets Mis

Unilet G.p Mis Supr 23G

Thin Lancets Mis 26G

Unilet G.p. Mis 21G

Thin Lancets Mis 30G

Unilet GP 28 Mis Ult Thin

Thinlets GP Mis 26G

Unilet Lanc Mis 33G



Unilet Lance Mis 21G

Aerovent Mis Plus


Arial Mis Chamber


Breathe Ease Mis LG Mask

Unilet Lanct Mis 28G

Breathe Ease Mis MED Mask


Breathe Ease Mis Sm Mask


Breatherite Mis

Unilet Micro Mis 33G

Breatherite Mis LG Mask

Unilet Mis 21G

Breatherite Mis MED Mask

Unilet Super Mis G.p. 23G

Breatherite Mis Sm Mask

Unilet Super Mis 23G

Breatherite Mis Spacer

Unistik CZT Mis Comfort

Breatherite Mis W/Mask

Unistik CZT Mis Normal

Compact Spac Mis Chamber

Unistik II Mis Lancets

Compact Spac Mis LG Mask

Unistik Pro Mis Lanc 21G

Compact Spac Mis MD Mask

Unistik Pro Mis Lanc 28G

Compact Spac Mis Sm Mask

Unistik Safe Mis Lanc 28G

E-z Spacer Mis

Unistik Safe Mis Lanc 30G

E-z Spacer Mis Body Grd

Unistik Touc Mis Lanc 21G

Easivent Mis


Easivent Mis Mask LG


Easivent Mis Mask MED


Easivent Mis Mask Sm

Unistik 1 Mis 2.4MM

Flexichamber Mis

Unistik 1 Mis 3.0MM

Flexichamber Mis Mask Lrg

Unistik 2 Mis

Flexichamber Mis Mask Sm

Unistik 2 Mis Comfort

Hold Chamber Mis Adlt LG

Unistik 2 Mis Extra

Hold Chamber Mis Medium

Unistik 2 Mis Neonatal

Hold Chamber Mis Small

Unistik 2 Mis Normal

Inspirachamb Mis Large

Unistik 2 Mis Super

Inspirachamb Mis Medium

Unistik 2 Mis 1.8MM

Inspirachamb Mis Mouthpce

Unistik 2 Mis 2.4MM

Inspirachamb Mis Small

Unistik 3 Mis Comfort

Inspirease Mis Dd Syst

Unistik 3 Mis Extra

Liteaire Mis

Unistik 3 Mis Gent 30G

Mask Vortex/ Mis Baby Duc

Unistik 3 Mis Neonatal

Mask Vortex/ Mis Duck

Unistik 3 Mis Normal

Mask Vortex/ Mis Frog

Unistik 3 Mis Xtr 21G

Mask Vortex/ Mis Lady Bug

Unistik 3 Mis 1.8MM

Microchamber Mis

Unitstik Pro Mis Lanc 25G

Microspacer Mis

Universal 1 Mis Lanc 26G

Optichamber Mis Adv Lrg

Universal 1 Mis Lanc 30G

Optichamber Mis Adv MED

Universal 1 Mis 33G

Optichamber Mis Adv Sm

Vantage Lanc Mis Device

Optichamber Mis Dia LG

Verasens Liq Level 1

Optichamber Mis Dia MD

Victory Sol Control

Optichamber Mis Dia Sm

Vitalet Pro Mis

Optichamber Mis Diamond

Vitalet Pro Mis Plus

Optichamber Mis Face Mas

W&f Lancets Mis 21G

Optihaler Mis

W&f Lancets Mis 26G

Panda Mask Mis Large

1ML Syringe Mis 29G

Panda Mask Mis Medium

1ML Syringe Mis 30G

Panda Mask Mis Pediatri

1ST Choice Mis Lancets

Panda Mask Mis Small

1ST Tier Uni Mis 29GX12MM

Pocket Chamb Mis


Pocket Space Mis


Riteflo Mis


Spacer Chamb Mis Adult


Spacer Chamb Mis Child

Valvd Holdng Mis Chamber

MEDICAL DEVICES - MISC

Vortex Valve Mis Chamber

Watchhaler Mis

TIER 02 PREFERRED

Aerchmbr Pls Mis Flow-VU

MISCELLANEOUS AGENTS

Aerchmbr Pls Mis Lrg Mask

Aerchmbr Pls Mis MED Mask

Aerchmbr Pls Mis Sm Mask

TIER 01 GENERIC

Aerchmbr Z- Mis Stat Pls

klor-CON pow 20meq

Aerochamber Mis Chamber

klor-CON spr CAP 10meq

Aerochamber Mis Flosigna

klor-CON spr CAP 8meq

Aerochamber Mis MV

klor-CON PAK 20meq

Aerochamber Mis Plus

klor-CON 10 TAB 10meq ER



klor-CON 8 TAB 8meq ER

pot chloride pow 20meq

pot chloride sol 10%

pot chloride sol 20%

pot chloride CAP 10meq ER

pot chloride CAP 8meq ER

pot chloride TAB 10meq CR

pot chloride TAB 10meq ER

pot chloride TAB 8meq ER

pot chloride TAB 8meq SR

K-TAB Tab 10meq CR

Pot Chloride TAB 20meq ER

Pot Chloride TAB 8meq ER

TIER 02 PREFERRED

Cuprimine CAP 250MGQL,PA

Depen Titra TAB 250MGQL,PA

K-TAB Tab 20meq

K-TAB Tab 8meq CR


Chemet CAP 100MG

Exjade TAB 125MGQL,PA



Ferriprox Sol 100MG/MLPA

Ferriprox TAB 500MGQL,PA

Jadenu Sprkl Gra 180MGQL,PA



Jadenu TAB 180MGQL,PA



Klor-CON/25 Pow 25meq



Index

A

acetic acid sol 0.25%irr, 34

Adderall TAB 10MG, 41

acetic acid sol 2% otic, 50

Adderall TAB 12.5MG, 41

abaca/lamivu TAB 600-300, 3

acetylcyst sol 10%, 56


abacav/lamiv TAB /zidovud, 3

acetylcyst sol 20%, 56


abacavir sol 20MG/ML, 3

Aciphex Spr CAP 10MG, 31


abacavir TAB 300MG, 3

Aciphex Spr CAP 5MG, 31


Abilify Main Inj 300MG, 39

Aciphex TAB 20MG, 31

Adderall TAB 7.5MG, 42

Abilify Main Inj 400MG, 39

acitretin CAP 10MG, 18

Adderall XR CAP 10MG, 41

Abilify Myci TAB 10MG, 39

acitretin CAP 17.5MG, 18



acitretin CAP 25MG, 18



Aclovate CRE 0.05%, 19



Actemra Inj 162/0.9, 54



Actemra Inj Actpen, 54



Acthib Inj, 58

adefov dipiv TAB 10MG, 3

Abilify TAB 10MG, 39

Acti-lance Mis 28G, 59

Adempas TAB 0.5MG, 16


Acti-lance Mis Lite 28G, 59



Acti-lance Mis Spec 17G, 59

Adempas TAB 1MG, 16

Abilify TAB 2MG, 39

Acti-lance Mis Univ 23G, 59



Acticlate TAB 150MG, 2

Adempas TAB 2MG, 16

Abilify TAB 5MG, 39

Acticlate TAB 75MG, 2

Adj Lancing Mis Device, 59

abiraterone TAB 250MG, 6

Actigall CAP 300MG, 32

Adlyxin Inj 10/20mcg, 26

Absorica CAP 10MG, 17

Actimmune Inj 2mu/0.5, 8

Adlyxin Inj 20mcg, 26


Actiq Loz 1200mcg, 52

Admelog Inj 100u/ML, 25



Admelog Solo Inj 100u/ML, 25



Adoxa PAK 1/ TAB 100MG, 2







Abstral Sub 100mcg, 52


Adoxa TAB 100MG, 2


Active 1ST Mis Lanc 30G, 59

Adoxa TAB 50MG, 2


Activella TAB 0.5-0.1, 23

Adoxa TAB 75MG, 2


Activella TAB 1-0.5MG, 23

Adrenaclick Inj 0.15MG, 14


Actonel TAB 150MG, 27

Adrenaclick Inj 0.3MG, 14



Adrenalin Sol 1:1000, 56

acampro CAL TAB 333MG, 45


Adv Allergy Kit Collecti, 19

Acanya Gel 1.2-2.5%, 17

Actonel TAB 5MG, 27

Adv Lancing Mis Device, 59

acarbose TAB 100MG, 26

Actoplus Met TAB 15-500MG, 27

Adv Travel Mis Lanc 28G, 59


Actoplus Met TAB 15-850MG, 27

Advair Disku Aer 100/50, 57


Actoplus Met TAB XR, 27


Accolate TAB 10MG, 57

Actos TAB 15MG, 27


Accolate TAB 20MG, 57

Actos TAB 30MG, 27

Advair HFA Aer 115/21, 57

Accu-chek Kit Fastclix, 59

Actos TAB 45MG, 27


Accu-chek Kit Mlticlix, 59

Acuicyn Liq, 21


Accu-chek Kit Softclix, 59

Acular LS Sol 0.4%, 50

Advance Liq Control, 59

Accu-chek Liq Guide, 59

Acular Sol 0.5% Op, 50

Advance Liq Intuitio, 59

Accu-chek Liq Smart, 59

Acuvail Sol 0.45%, 50

Advance Norm Liq Control, 59

Accu-chek Mis Mlticlix, 59

acyclovir CAP 200MG, 3

Advcate Safe Mis Lanc 26G, 59

Accu-chek Sol, 59

acyclovir oin 5%, 18

Advocate Liq High, 59

Accu-chek Sol Compact, 59

acyclovir sus 200/5ML, 3

Advocate Liq Low, 59

Accupril TAB 10MG, 11

acyclovir TAB 400MG, 3

Advocate Mis Lanc 30G, 59


acyclovir TAB 800MG, 3

Advocate Mis Lanc Dev, 59


Aczone Gel 5%, 17

Advocate Mis Lancets, 59


Aczone Gel 7.5%, 17

Advocate+ Sol Redi-cod, 59

Accuretic TAB 10-12.5, 13

Adacel Inj, 58

Adyphren Amp Kit 1MG/ML, 14

Accuretic TAB 20-12.5, 13

Adalat CC TAB 30MG ER, 10

Adyphren II Kit, 14

Accuretic TAB 20-25MG, 13


Adyphren Kit, 14

Accutrend Sol Glucose, 59


Adzenys ER Sus 1.25MG, 42

Ace Acd/Alum Sol 2% Otic, 50

adapal/ben p gel 0.1-2.5%, 16

Adzenys XR TAB 12.5MG, 42

acebutolol CAP 200MG, 9

adapalene CRE 0.1%, 16

Adzenys XR TAB 15.7 MG, 42

acebutolol CAP 400MG, 9

adapalene gel 0.1%, 16


Aceon TAB 4MG, 11

adapalene gel 0.3%, 16


Aceon TAB 8MG, 11

adapalene gel pmp 0.3%, 16


acetasol HC sol otic, 50

Adapalene Lot 0.1%, 16


acetazolamid CAP 500MG ER, 14

Adapalene Sol 0.1%, 17

Aemcolo TAB 194MG, 6

acetazolamid inj 500MG, 14

Adazin CRE, 21

Aerchmbr Pls Mis Flow-VU, 65

acetazolamid TAB 125MG, 14

Adcirca TAB 20MG, 16

Aerchmbr Pls Mis Lrg Mask, 65

acetazolamid TAB 250MG, 14

Aerchmbr Pls Mis MED Mask, 65

Albuterol TAB 8MG ER, 57

altacaine sol 0.5% op, 50

Aerchmbr Pls Mis Sm Mask, 65

alclometason CRE 0.05%, 18

Altace CAP 1.25MG, 11

Aerchmbr Z- Mis Stat Pls, 65

alclometason oin 0.05%, 18

Altace CAP 10MG, 11

Aerochamber Mis Chamber, 65

Aldactazide TAB 25/25, 14

Altace CAP 2.5MG, 11

Aerochamber Mis Flosigna, 65

Aldactazide TAB 50/50, 14

Altace CAP 5MG, 11

Aerochamber Mis MV, 65

Aldactone TAB 100MG, 14

altafrin sol 10% op, 49

Aerochamber Mis Plus, 65


altafrin sol 2.5% op, 49

Aerospan Aer 80mcg, 57


altavera TAB, 23

Aerovent Mis Plus, 65

Aldara CRE 5%, 20

Altoprev TAB 20MG ER, 15

AF Lancets Mis Thin, 59

Alecensa CAP 150MG, 7


afeditab TAB 30MG CR, 10

Alendronate Sol 70/75ML, 27


afeditab TAB 60MG CR, 10

alendronate TAB 10MG, 27

Altreno Lot 0.05%, 17

Afinitor Dis TAB 2MG, 7


Altrnate Sit Mis Device, 59


Alendronate TAB 40MG, 27

Alunbrig PAK, 7



Alunbrig TAB 180MG, 7

Afinitor TAB 10MG, 7



Afinitor TAB 2.5MG, 7

Alferon N Inj 5mu/ML, 8


Afinitor TAB 5MG, 7

alfuzosin TAB 10MG ER, 34

Alvesco Aer 160mcg, 57

Afinitor TAB 7.5MG, 7

Alinia Sus 100/5ML, 5

Alvesco Aer 80mcg, 57

Afluria Inj 2016-17, 58

Alinia TAB 500MG, 5

alyacen TAB 1/35, 23


Alkeran TAB 2MG, 6

alyacen TAB 7/7/7, 23


allopurinol TAB 100MG, 55

amabelz TAB 0.5-0.1, 23

Afluria Inj PF 16-17, 58

allopurinol TAB 300MG, 55

amabelz TAB 1-0.5MG, 23


Allzital TAB 25-325MG, 50

amantadine CAP 100MG, 44


almotrip mal TAB 12.5MG, 55

amantadine syp 50MG/5ML, 44

Afluria Quad Inj 2017-18, 58

almotrip mal TAB 6.25MG, 55

amantadine TAB 100MG, 44

Afluria Quad Inj 2018-19, 58

almotriptan TAB 12.5MG, 55

Amaryl TAB 1MG, 26

Afluria Quad Inj PF 16-17, 58

almotriptan TAB 6.25MG, 55

Amaryl TAB 2MG, 26


Alocril Sol 2%, 50

Amaryl TAB 4MG, 26


Alog/Pioglit TAB 12.5-15, 27

Ambien CR TAB 12.5MG, 40

Afrezza Pow 12 Unit, 25


Ambien CR TAB 6.25MG, 40

Afrezza Pow 4&8 Unit, 25


Ambien TAB 10MG, 40

Afrezza Pow 4/8/12un, 25

Alog/Pioglit TAB 25-15MG, 27

Ambien TAB 5MG, 40

Afrezza Pow 4unit, 25


Amcinonide CRE 0.1%, 19

Afrezza Pow 8 Unit, 25


Amcinonide Lot 0.1%, 19

Afrezza Pow 8&12unit, 25

Alogliptin TAB 12.5MG, 26

Amcinonide Oin 0.1%, 19

aftera TAB 1.5MG, 23

Alogliptin TAB 25MG, 26

Amerge TAB 1MG, 55

Agamatrix Mis 33G, 59

Alogliptin TAB 6.25MG, 27

Amerge TAB 2.5MG, 55

Agamatrix Sol High, 59

Alogliptin/ TAB Metform, 27

amethia LO TAB, 24

Agamatrix Sol Norm/Hgh, 59

Alomide Sol 0.1% Op, 50

amethia TAB, 24

Agamatrix Sol Normal, 59

Alora Dis 0.025MG, 23

amethyst TAB 90-20mcg, 24

Aggrenox CAP 25-200MG, 36


Amicar Sol 0.25/ML, 36

agoneaze kit 2.5-2.5%, 20


Amicar TAB 1000MG, 36

Agrylin CAP 0.5MG, 36

Alora Dis 0.1MG, 23

Amicar TAB 500MG, 36

Aimovig Inj 140dose, 55

alosetron TAB 0.5MG, 32

amilor/hctz TAB 5-50, 14

Aimovig Inj 70MG/ML, 55

alosetron TAB 1MG, 32

amiloride TAB 5MG, 14

Airduo Respi Inh 113-14, 57

Alphagan P Sol 0.1%, 50

aminocapr ac TAB 1000MG, 36


Alphagan P Sol 0.15%, 50

aminocapr ac TAB 500MG, 36


alphatrex gel 0.05%, 18

amiodarone TAB 100MG, 11

Ajovy Inj 225/1.5, 55

Alprazolam CON 1 MG/ML, 37


ak-poly-bac oin op, 48

alprazolam TAB 0.25 odt, 36


Akten Gel 3.5%, 50

alprazolam TAB 0.25MG, 36

Amitiza CAP 24mcg, 32

Akynzeo CAP 300-0.5, 32

alprazolam TAB 0.5MG, 36

Amitiza CAP 8mcg, 32

Ala Scalp Lot 2%, 19

alprazolam TAB 0.5MG ER, 36

amitriptylin TAB 100MG, 37

ala-cort CRE 1%, 19

alprazolam TAB 0.5MG od, 36


ala-cort CRE 2.5%, 18

alprazolam TAB 0.5MG XR, 36


albendazole TAB 200MG, 5

alprazolam TAB 1MG, 36


Albenza TAB 200MG, 5

alprazolam TAB 1MG ER, 36


albuterol neb 0.083%, 56

alprazolam TAB 1MG odt, 37


albuterol neb 0.5%, 56

alprazolam TAB 1MG XR, 36

amlod/atorva TAB 10-10MG, 16

albuterol neb 0.63MG/3, 56

alprazolam TAB 2MG, 36


albuterol neb 1.25MG/3, 56



albuterol syp 2MG/5ML, 56

alprazolam TAB 2MG odt, 37


albuterol TAB 2MG, 56


amlod/atorva TAB 2.5-10MG, 16

albuterol TAB 4MG, 57



albuterol TAB 4MG ER, 57



Albuterol TAB 4MG ER, 57

Alrex Sus 0.2%, 49


albuterol TAB 8MG ER, 57

Altabax Oin 1%, 17



ampicillin CAP 500MG, 1

Aptensio XR CAP 15MG, 42


Ampicillin CAP 500MG, 1


amlod/benazp CAP 10-20MG, 12

Ampicillin Inj 125MG, 1



ampicillin inj 1gm, 1


amlod/benazp CAP 2.5-10MG, 12

ampicillin inj 250MG, 1



ampicillin inj 500MG, 1



Ampicillin Sus 125/5ML, 1

Aptiom TAB 200MG, 43


Ampicillin Sus 250/5ML, 1


amlod/olmesa TAB 10-20MG, 13

Ampyra TAB 10MG, 47



Amrix CAP 15MG, 48



Amrix CAP 30MG, 48

Aptivus CAP 250MG, 4


Amytal Sod Inj 500MG, 41

Aptivus Sol, 4

amlod/valsar TAB /hctz, 13

Anacaine Oin, 21

Aqua Lance Mis Lanc Dev, 59

amlod/valsar TAB 10-160MG, 13

Anadrol-50 TAB 50MG, 22

Aqualance Mis 30G, 59


Anafranil CAP 25MG, 38

Aquoral Spr, 36



aranelle TAB, 23



Aranesp Inj 100mcg, 35

amlodipine TAB 10MG, 10

anagrelide CAP 0.5MG, 36


amlodipine TAB 2.5MG, 10

anagrelide CAP 1MG, 36


amlodipine TAB 5MG, 10

Analpram-HC CRE 1-1%, 32


ammonium lac CRE 12%, 20

Analpram-HC Lot 2.5%, 32


ammonium lac lot 12%, 20

Anaprox DS TAB 550MG, 54


amnesteem CAP 10MG, 16

Anaspaz TAB 0.125MG, 31



Anastia Lot 2.75%, 21



anastrozole TAB 1MG, 6


amox-pot cla TAB ER, 1

Ancobon CAP 250MG, 3

Arava TAB 10MG, 54

Amox/K Clav Chw 200MG, 1

Ancobon CAP 500MG, 3

Arava TAB 20MG, 54

Amox/K Clav Chw 400MG, 1

Androderm Dis 2MG/24HR, 22

arbinoxa TAB 4MG, 55

amox/k clav sus 200/5ML, 1

Androderm Dis 4MG/24HR, 22

Arcalyst Inj 220MG, 54


Androgel Gel 1%(25MG), 22

Arcapta CAP 75mcg, 57


Androgel Gel 1%(50MG), 22

argyl saline sol 0.9%, 34


Androgel Gel 1.62%, 22

Arial Mis Chamber, 65

amox/k clav TAB 250-125, 1

Android CAP 10MG, 22

Aricept TAB 10MG, 47


Androxy TAB 10MG, 23

Aricept TAB 23MG, 47


Angeliq TAB 0.25-0.5, 23

Aricept TAB 5MG, 47

Amoxapine TAB 100MG, 37

Angeliq TAB 0.5-1MG, 23

Arikayce Sus, 3


anodyne lpt kit 2.5-2.5%, 20

Arimidex TAB 1MG, 6


Anoro Ellipt Aer 62.5-25, 57

aripiprazole sol 1MG/ML, 38


Antabuse TAB 250MG, 47

aripiprazole TAB 10MG, 38

amoxicillin CAP 250MG, 1

Antabuse TAB 500MG, 47

aripiprazole TAB 10MG odt, 39

amoxicillin CAP 500MG, 1

Antara CAP 30MG, 15


Amoxicillin Chw 125MG, 1

Antara CAP 90MG, 15

aripiprazole TAB 15MG odt, 39

Amoxicillin Chw 250MG, 1

anucort-HC sup 25MG, 32


amoxicillin sus 125/5ML, 1

Anusol-HC CRE 2.5%, 32



anusol-HC sup 25MG, 32



Anzemet TAB 100MG, 32


amoxicillin sus 250MG/5m, 1

Anzemet TAB 50MG, 32

Aristada Inj 1064MG, 39


Apap-caffein CAP Dihydroc, 52

Aristada Inj 441MG/1., 39

amoxicillin TAB 500MG, 1

Apap/Caffein TAB Dihydroc, 52

Aristada Inj 662MG/2, 39

amoxicillin TAB 875MG, 1

apap/codeine sol 120-12/5, 50

Aristada Inj 882MG/3, 39

amphet/dextr CAP 10MG ER, 41

apap/codeine TAB 300-15MG, 51

Aristada Inj Initio, 39



Arixtra Inj 10/0.8ML, 35



Arixtra Inj 2.5/0.5, 35


Apexicon E CRE 0.05%, 19

Arixtra Inj 5/0.4ML, 35


Apidra Inj Solostar, 25

Arixtra Inj 7.5/0.6, 35


Apidra Inj U-100, 25

armodafinil TAB 150MG, 41

amphet/dextr TAB 10MG, 41

Aplenzin TAB 174MG, 38


amphet/dextr TAB 12.5MG, 41







Apokyn Inj 10MG/ML, 45

Armonair Aer 113/Act, 57


apraclonidin sol 0.5% op, 50



aprepitant CAP 125MG, 31


amphet/dextr TAB 7.5MG, 41


Armour Thyro TAB 120MG, 30

amphetamine TAB 10MG, 41



amphetamine TAB 5MG, 41

aprepitant PAK 80 & 125, 31


amphetamine TAB 7.5MG, 41

apri TAB, 23


Amphotericin Inj 50MG, 3

Apriso CAP 0.375gm, 32


ampicillin CAP 250MG, 1




atenolol TAB 50MG, 9

Avalide TAB 300-12.5, 13


Ativan Inj 2MG/ML, 37

Avandia TAB 2MG, 27

Arnuity Elpt Inh 100mcg, 57

Ativan TAB 0.5MG, 37

Avandia TAB 4MG, 27


Ativan TAB 1MG, 37

Avapro TAB 150MG, 12


Ativan TAB 2MG, 37

Avapro TAB 300MG, 12

Aromasin TAB 25MG, 6

atomoxetine CAP 100MG, 41

Avapro TAB 75MG, 12

Arthrotec 50 TAB, 54


Avar Aer 9.5-5%, 17

Arthrotec 75 TAB, 54


avar cleanse emu 10-5%, 16

Arymo ER TAB 15MG, 52


Avar LS Aer 10-2%, 17



Avar LS Liq 10-2%, 17



avar-e emoll CRE 10-5%, 16

asa/dipyrida CAP 25-200MG, 36


avar-e green CRE 10-5%, 16

Asacol HD TAB 800MG, 32

Atopaderm CRE, 21

Avar-e LS CRE 10-2%, 17

ascomp/cod CAP 30MG, 51

Atopiclair CRE, 21

Avc CRE 15%, 34

ashlyna TAB, 24

atorvastatin TAB 10MG, 14

Avelox Abc TAB 400MG, 3

Asmanex 120 Aer 220mcg, 57


Avelox TAB 400MG, 3



Avenova Sol 0.01%, 21



Avenova Sol Neutrox, 21


atovaquone sus 750/5ML, 5

aviane TAB, 23


Atralin Gel 0.05%, 17

avidoxy TAB 100MG, 2


Atripla TAB, 4

avita CRE 0.025%, 16

Asmanex HFA Aer 100 Mcg, 57

Atropine Sol 0.01%, 49

avita gel 0.025%, 16

Asmanex HFA Aer 200 Mcg, 57

Atropine SUL Inj 1MG/ML, 31

Avodart CAP 0.5MG, 34

Assure 3 Liq Control, 59

Atropine SUL Oin 1% Op, 49

Avonex Kit 30mcg, 46

Assure 4 Liq Level1/2, 59

Atropine SUL Sol 1% Op, 49

Avonex Pen Kit 30mcg, 46

Assure Cmfrt Mis 28G, 59

Atrovent HFA Aer 17mcg, 57

Avonex Prefl Kit 30mcg, 46

Assure Dose Sol Norm/Hgh, 59

Aubagio TAB 14MG, 47

Axert TAB 12.5MG, 55

Assure Dose Sol Normal, 59

Aubagio TAB 7MG, 47

Axert TAB 6.25MG, 55

Assure ID Mis 30GX3/16, 59

aubra eq TAB 0.1-0.02, 23

Axiron Sol 30MG/Act, 23


aubra TAB 0.1-0.02, 23

Aygestin TAB 5MG, 25


aug betamet CRE 0.05%, 18

Azasan TAB 100MG, 7

Assure II Liq Level 1, 59

Aug Betamet Gel 0.05%, 19

Azasan TAB 75 MG, 7

Assure II Liq Level1/2, 59

aug betamet lot 0.05%, 18

Azasite Sol 1%, 48

Assure Lance Mis 21G, 59

aug betamet oin 0.05%, 18

azathioprine TAB 50MG, 7

Assure Lance Mis Low Flow, 59

Augmentin Sus 125/5ML, 1

azelaic acid gel 15%, 17

Assure Lance Mis Micro, 59

Augmentin Sus 250/5ML, 1

azelastine dro 0.05%, 50

Assure Lance Mis Safe 25G, 59

Augmentin Sus ES-600, 1

azelastine spr 0.1%, 56

Assure Lance Mis Safe 30G, 59

Augmentin TAB 500MG, 1

azelastine spr 0.15%, 56

Assure Mis Lancets, 59

Augmentin TAB 875MG, 1

Azelex CRE 20%, 16

Assure Plus Mis High 18G, 59

Augmentin XR TAB 12HR, 1

Azenase PAK Mis 137-50, 56

Assure Plus Mis Low 25G, 59

Aurora Lance Mis 30G, 59

Azilect TAB 0.5MG, 45

Assure Plus Mis Mcro 28G, 59

Aurora Lance Mis Thin 23G, 59

Azilect TAB 1MG, 45

Assure Plus Mis Norm 21G, 59

Auryxia TAB 210MG, 32

Azithromycin Pow 1gm PAK, 2

Assure Plus Mis Pediatri, 59

Austedo TAB 12MG, 47

azithromycin sus 100/5ML, 2

Assure Prism Sol Level1/2, 59

Austedo TAB 6MG, 47

azithromycin sus 200/5ML, 2

Assure Pro Liq Level1/2, 59

Austedo TAB 9MG, 47

azithromycin TAB 250MG, 2

Astagraf XL CAP 0.5MG, 7

Auto Lancet Mis, 59


Astagraf XL CAP 1MG, 7

Auto-lancet Mis, 59


Astagraf XL CAP 5MG, 7

Auto-lancet Mis Mini, 59

Azopt Sus 1% Op, 50

Astepro Spr 0.15%, 56

Autolet II Kit Clinisaf, 59

Azor TAB 10-20MG, 13

Astero Gel 4%, 21

Autolet Impr Mis Lanc Dev, 59

Azor TAB 10-40MG, 13

AT Last Mis Lancets, 59

Autolet Lanc Mis Device, 59

Azor TAB 5-20MG, 13

AT Last Sol Control, 59

Autolet Lite Kit, 59

Azor TAB 5-40MG, 13

Atacand HCT TAB 16-12.5, 13

Autolet Lite Kit Clinisaf, 59

Azulfidine TAB 500MG, 32

Atacand HCT TAB 32-12.5, 13

Autolet Lite Kit Starter, 59

Azulfidine TAB 500MG En, 32

Atacand HCT TAB 32-25MG, 13

Autolet Mini Mis, 59

azuphen mb CAP 120MG, 33

Atacand TAB 16MG, 12

Autolet Plat Mis 1.8MM, 59

azurette TAB 28 day, 24

Atacand TAB 32MG, 12


B

Atacand TAB 4MG, 12


bacit/polymy oin op, 48

Atacand TAB 8MG, 12

Autolet Plus Mis, 59

Bacitracin Oin Op, 48

atazanavir CAP 150MG, 3

Autolet Plus Mis Lanc Dev, 59

baclofen TAB 10MG, 48


Autoshield Mis 29X3/16", 59

baclofen TAB 20MG, 48


Autoshield Mis 29X5/16", 59

Baclofen TAB 5MG, 48

Atelvia TAB, 27

Autoshield Mis 30GX5MM, 59

Bactrim DS TAB 800-160, 6

atenol/chlor TAB 100-25MG, 12

Auvi-q Inj 0.15MG, 14

Bactrim TAB 400-80MG, 6

atenol/chlor TAB 50-25MG, 12


Bactroban CRE 2%, 17



Bactroban Oin Nasal 2%, 56


Avalide TAB 150-12.5, 13

Balcoltra TAB 0.1-20, 25

balsalazide CAP 750MG, 32

benzonatate CAP 100MG, 56

blisovi 24 TAB FE 1/20, 25

balziva TAB, 23


blisovi FE TAB 1.5/30, 23

Banzel Sus 40MG/ML, 43


blisovi FE TAB 1/20, 23

Banzel TAB 200MG, 43

Benzoyl Pero Gel 8%, 17

Bocasal Pow, 36

Banzel TAB 400MG, 43

benztropine inj 1MG/ML, 44

Boniva TAB 150MG, 27

Baraclude Sol .05MG/ML, 4

benztropine TAB 0.5MG, 44

Bonjesta TAB 20-20MG, 32

Baraclude TAB 0.5MG, 4

benztropine TAB 1MG, 44

Boostrix Inj, 58

Baraclude TAB 1MG, 4

benztropine TAB 2MG, 44

Bosulif TAB 100MG, 7

Basaglar Inj 100unit, 25

Bepreve Dro 1.5%, 50


Baxdela TAB 450MG, 3

Berinert Inj 500unit, 36


Bayer Breeze Liq High Cnt, 59

Besivance Sus 0.6%, 48

bp 10-1 emu, 16

Bayer Breeze Liq Low Cntl, 59

Betadine Sol 5% Op, 48

Bp Cleansing Emu 10-4%, 17

Bayer Breeze Liq Norm Cnt, 59

Betagan Sol 0.5% Op, 49

bpm pseudo TAB 6-45MG, 56

Bayer Breeze Mis 2 Test, 59

betameth dip CRE 0.05%, 18

bpm TAB 6MG, 56

Bayer Micrlt Mis Lanc Dvc, 59

betameth dip lot 0.05%, 18

bpo cloths mis 6%, 16

Bayer Micrlt Mis Lancets, 59

betameth dip oin 0.05%, 18

Bpo Gel 4%, 17

BD Lancet UF Mis 30G, 59

Betameth Sod Inj 12MG/2ML, 22

Bpo Gel 8%, 17

BD Lancet UF Mis 33G, 59

Betameth Sod Inj 6MG/ML, 22

Braftovi CAP 50MG, 8

BD Microtain Mis Lancets, 59

betameth val aer 0.12%, 18

Braftovi CAP 75MG, 8

BD Pen Needl Mis 29GX12.7, 59

betameth val CRE 0.1%, 19

Breathe Ease Mis LG Mask, 65

BD Pen Needl Mis 31GX5MM, 59

betameth val lot 0.1%, 18

Breathe Ease Mis MED Mask, 65


betameth val oin 0.1%, 19

Breathe Ease Mis Sm Mask, 65


Betapace AF TAB 120MG, 9

Breatherite Mis, 65



Breatherite Mis LG Mask, 65

BD U-500 Mis 31GX6MM, 59


Breatherite Mis MED Mask, 65

Beconase AQ Sus 0.042%, 56

Betapace TAB 120MG, 9

Breatherite Mis Sm Mask, 65

bekyree TAB, 25


Breatherite Mis Spacer, 65

Belbuca Mis 150mcg, 52


Breatherite Mis W/Mask, 65


Betaseron Inj 0.3MG, 47

Breo Ellipta Inh 100-25, 57


betaxolol sol 0.5% op, 48

Breo Ellipta Inh 200-25, 57


betaxolol TAB 10MG, 9

Brevicon TAB 0.5/35, 25


betaxolol TAB 20MG, 9

briellyn TAB, 23


bethanechol TAB 10MG, 33

Brilinta TAB 60MG, 36



Brilinta TAB 90MG, 36

Bella/Opium Sup 16.2-30, 31


Brimo/Dorzo Sol 0.15-2%, 50

Bella/Opium Sup 16.2-60, 31


brimonidine sol 0.15%, 50

Belsomra TAB 10MG, 41

Bethkis Neb 300/4ML, 3

brimonidine sol 0.2% op, 49


Betimol Sol 0.25%, 49

Brisdelle CAP 7.5MG, 47


Betimol Sol 0.5%, 49

Briviact Sol 10MG/ML, 43


Betoptic-s Sus 0.25% Op, 49

Briviact TAB 100MG, 43

benazep/hctz TAB 10-12.5, 12

Bevespi Aer 9-4.8mcg, 57



bexarotene CAP 75MG, 8


benazep/hctz TAB 20-25MG, 12

Bexsero Inj, 58



Beyaz TAB, 25


benazepril TAB 10MG, 11

Biaxin TAB 250MG, 2

brom/PSE/DM syp, 56


Biaxin TAB 500MG, 2

bromfed DM syp, 56


bicalutamide TAB 50MG, 6

bromfenac sol 0.09% op, 50


Bicillin L-a Inj 1200000, 1

Bromfenac Sol 0.09% Op, 50

Benicar HCT TAB 20-12.5, 13


bromocriptin CAP 5MG, 44

Benicar HCT TAB 40-12.5, 13


bromocriptin TAB 2.5MG, 44

Benicar HCT TAB 40-25MG, 13

Bidil TAB, 16

Brompheniram Chw 12MG, 56

Benicar TAB 20MG, 12

Biktarvy TAB, 4

Brompheniram Inj 10MG/ML, 56

Benicar TAB 40MG, 12

Biltricide TAB 600MG, 5

Bromsite Dro 0.075%, 50

Benicar TAB 5MG, 12

bimatoprost sol 0.03%, 49

Brovana Neb 15mcg, 57

Bensal HP Oin, 21

Binosto TAB 70MG, 27

Bryhali Lot 0.01%, 19

Bentyl CAP 10MG, 31

Bio-statin CAP 1000000, 3

budesonide CAP 3MG, 22

Bentyl Inj 10MG/ML, 31

Bio-statin CAP 500000, 3

budesonide CAP 3MG DR, 22

Benz Per For Lot HC 7.5-1, 17

bio-statin pow, 3

budesonide sus 0.25MG/2, 57

benz per- HC lot 5-0.5%, 16

Biothrax Inj, 58

budesonide sus 0.5MG/2, 57

Benz Peroxid Gel 6.5%, 17

biotuss liq, 56

budesonide sus 1MG/2ML, 57

Benzaclin Gel 1-5%, 17

bisoprl/hctz TAB 10/6.25, 12

budesonide sus 32mcg, 56

Benzaclin Gel 1-5%P.M., 17

bisoprl/hctz TAB 2.5/6.25, 12

budesonide TAB ER 9MG, 22

Benzamycin Gel 5-3%, 17

bisoprl/hctz TAB 5-6.25MG, 12

Bullseye Mis Lancets, 59

benzepro mis 6%, 16

bisoprol fum TAB 10MG, 9

Bullseye Mis Mini Lnc, 59

Benziq Gel 5.25%, 17

bisoprol fum TAB 5MG, 9

bumetanide TAB 0.5MG, 14

Benziq LS Gel 2.75%, 17

Bleph-10 Sol 10% Op, 48

bumetanide TAB 1MG, 14

Benznidazole TAB 100MG, 5

Blephamide Oin S.o.p., 49

bumetanide TAB 2MG, 14

Benznidazole TAB 12.5MG, 5

Blephamide Sus Op, 49

Bumex TAB 0.5MG, 14

Bumex TAB 1MG, 14

Byetta Inj 5mcg, 26

captopril TAB 50MG, 11

Bumex TAB 2MG, 14

Bystolic TAB 10MG, 9

Carac CRE 0.5%, 6

Bunavail Mis 2.1-0.3, 52

Bystolic TAB 2.5MG, 9

Carafate Sus 1gm/10ML, 31

Bunavail Mis 4.2-0.7, 52

Bystolic TAB 20MG, 9

Carafate TAB 1gm, 31

Bunavail Mis 6.3-1MG, 52

Bystolic TAB 5MG, 9

CARB/Levo 50 TAB /Entacap, 44

bupap TAB 50-300MG, 50

Byvalson TAB 5-80MG, 13

CARB/Levo 75 TAB /Entacap, 45

Buphenyl Pow, 29

C

CARB/levo ER TAB 25-100MG, 44

Buphenyl TAB 500MG, 29

CARB/levo ER TAB 50-200MG, 44

cabergoline TAB 0.5MG, 28

Bupiva/NACL Inj 0.1-0.9%, 55

CARB/levo TAB 10-100MG, 44

Cabometyx TAB 20MG, 8

Bupivac/NACL Inj 0.03-0.9, 55



Bupivac/NACL Inj 0.2-0.9%, 55



Bupivacaine Inj NACL, 55

CARB/Levo100 TAB /Entacap, 45

Caduet TAB 10-10MG, 16

bupren/nalox mis 8-2MG, 51



bupren/nalox sub 2-0.5MG, 51



bupren/nalox sub 8-2MG, 51



Buprenex Inj 0.3MG/ML, 52

Carbaglu TAB 200MG, 29


buprenorphin dis 10mcg/HR, 51

carbamazepin CAP 100MG ER, 42


Buprenorphin Dis 10mcg/HR, 52







carbamazepin chw 100MG, 42

Cafergot TAB 1-100MG, 55


carbamazepin sus 100/5ML, 42

caffeine CIT sol 20MG/ML, 41


carbamazepin TAB 100mger, 42

caffeine CIT sol 60MG/3ML, 41


carbamazepin TAB 200MG, 42

Caffeine/Sod Inj Benzoate, 42


carbamazepin TAB 200MG ER, 42

Calan SR TAB 120MG, 10

Buprenorphin Dis 7.5/HR, 52

carbamazepin TAB 400MG ER, 42


buprenorphin inj 0.3MG/ML, 51

Carbaphen 12 Liq, 56


buprenorphin sub 2MG, 51

Carbaphen 12 Sus PED, 56

Calan TAB 120MG, 10

buprenorphin sub 8MG, 51

Carbatrol CAP 100MG, 43

Calan TAB 80MG, 10

bupropion TAB 100MG, 37


calc acetate CAP 667MG, 32

bupropion TAB 100MG ER, 37


calc acetate TAB 667MG, 32

bupropion TAB 100MG SR, 37

carbidopa TAB 25MG, 44

calcipotrien CRE 0.005%, 18


carbinoxamin sol 4MG/5ML, 55

calcipotrien oin 0.005%, 18


carbinoxamin TAB 4MG, 55

calcipotrien oin betameth, 19


carbinoxamin TAB 6MG, 55

calcipotrien sol 0.005%, 18


Cardiocom Mis Lancing, 59

calcitonin spr 200/act, 27


Cardizem CD CAP 120MG/24, 10

calcitrene oin 0.005%, 18

Bupropion TAB 450MG ER, 38


calcitriol CAP 0.25mcg, 29



calcitriol CAP 0.5mcg, 29

bupropn HCL TAB 150MG XL, 37


Calcitriol Oin 3mcg/Gm, 18

bupropn HCL TAB 300MG ER, 37


calcitriol sol 1mcg/ML, 29

bupropn HCL TAB 300MG XL, 37

Cardizem LA TAB 120MG, 10

Calquence CAP 100MG, 8

buspirone TAB 10MG, 36


Cambia Pow 50MG, 55



camila TAB 0.35MG, 23


Cardizem LA TAB 300MG/24, 10

camrese LO TAB, 25



camrese TAB, 25

buspirone TAB 7.5MG, 36

Cardizem LA TAB 420MG/24, 10

Canasa Sup 1000MG, 32

but/apap/caf CAP, 50

Cardizem TAB 120MG, 10

candesa/hctz TAB 16-12.5, 13

but/apap/caf CAP codeine, 51


candesa/hctz TAB 32-12.5, 13

but/apap/caf TAB, 50


candesa/hctz TAB 32-25MG, 13

But/Asa/Caf TAB, 50

Cardura TAB 1MG, 12

candesartan TAB 16MG, 12

but/asa/caf/ CAP cod 30MG, 51

Cardura TAB 2MG, 12


but/asa/caff CAP, 50

Cardura TAB 4MG, 12


Butal/Apap CAP 50-300MG, 50

Cardura TAB 8MG, 12


butal/apap TAB 50-325MG, 50

Cardura XL TAB 4MG, 34

capacet CAP, 50

butalb/aceta TAB 50-300MG, 50

Cardura XL TAB 8MG, 34

capecitabine TAB 150MG, 6

Butisol Sod TAB 30MG, 41

Carefine Mis 31GX8MM, 59

capecitabine TAB 500MG, 6

Butorphanol Inj 1MG/ML, 51


Capex Sha 0.01%, 19

butorphanol inj 2MG/ML, 51


Caphosol Sol, 36

butorphanol sol 10MG/ML, 51


Capital/Cod Sus 120-12/5, 52

Butrans Dis 10mcg/HR, 52

Careone Adv Mis Lancing, 59

Caprelsa TAB 100MG, 8


Careone Lanc Mis 28G, 59

Caprelsa TAB 300MG, 8


Careone Lanc Mis Thin 23G, 59

Captopr/Hctz TAB 25-15MG, 13


Caresens Sol Control, 59


Butrans Dis 7.5/HR, 52

Caretouch Mis 31GX5MM, 59


Bydureon Bc Inj 2/0.85ML, 26



Bydureon Inj 2MG, 26



Bydureon Pen Inj 2MG, 26


captopril TAB 12.5MG, 11

Byetta Inj 10mcg, 26



Caretouch Mis Ejector, 59

Ceftibuten Sus 180/5ML, 1

Chlorpropam TAB 250MG, 26

Caretouch Mis Twist 28, 59

Ceftin Sus 125/5ML, 1

chlorthalid TAB 25MG, 14


Ceftin Sus 250/5ML, 1

chlorthalid TAB 50MG, 14


ceftriaxone inj 1gm, 1

Chlorzoxazon TAB 250MG, 48

carisopr/asa TAB 200-325, 48

ceftriaxone inj 250MG, 1

Chlorzoxazon TAB 500MG, 48

carisoprodol TAB 250MG, 48

ceftriaxone inj 2gm, 1

cho MAG tris liq 500/5ML, 50

carisoprodol TAB 350MG, 48

ceftriaxone inj 500MG, 1

Cholbam CAP 250MG, 33

carisoprodol TAB asa/cod, 48

cefuroxime TAB 250MG, 1

Cholbam CAP 50MG, 33

Carnitor SF Sol 1gm/10ML, 29

cefuroxime TAB 500MG, 1

cholestyram pow 4gm, 14

Carnitor Sol 1gm/10ML, 29

Celebrex CAP 100MG, 54

cholestyram pow 4gm lite, 14

Carnitor TAB 330MG, 29


ciclodan CRE 0.77%, 17

Carospir Sus 25MG/5ML, 14


ciclodan sol 8%, 17

carteolol sol 1% op, 48


ciclopirox CRE 0.77%, 17

Carteolol Sol 1% Op, 49

celecoxib CAP 100MG, 53

ciclopirox gel 0.77%, 17

cartia XT CAP 120/24HR, 10


ciclopirox sha 1%, 18



ciclopirox sol 8%, 17



ciclopirox sus 0.77%, 17


Celexa TAB 10MG, 38

cidaleaze CRE 3%, 20

carvedilol CAP 10MG ER, 9

Celexa TAB 20MG, 38

cilostazol TAB 100MG, 36


Celexa TAB 40MG, 38

cilostazol TAB 50MG, 36


Cellcept CAP 250MG, 7

Ciloxan Oin 0.3% Op, 48


Cellcept Sus 200MG/ML, 7

Ciloxan Sol 0.3% Op, 48

carvedilol TAB 12.5MG, 9

Cellcept TAB 500MG, 7

Cimduo TAB 300-300, 4

carvedilol TAB 25MG, 9

Celontin CAP 300MG, 43

Cimetidine Sol 300/5ML, 31


Cem-urea Sol 45%, 21

cimetidine TAB 200MG, 30


Centany Oin 2%, 17


Casodex TAB 50MG, 6

cephalexin CAP 250MG, 1


Catapres TAB 0.1MG, 12





Cimzia Kit, 33


cephalexin sus 125/5ML, 1

Cimzia Kit Starter, 33

Catapres-tts Dis 0.1/24HR, 12

cephalexin sus 250/5ML, 1

Cimzia Prefl Kit 200MG/ML, 33


Cephalexin TAB 250MG, 1

cinacalcet TAB 30MG, 29


Cephalexin TAB 500MG, 1


Cayston Inh 75MG, 6

Cequa Sol 0.09%, 50


caziant PAK, 23

Ceracade Emu, 21

Cinryze Sol 500 Unit, 36

Cdp/Amitrip TAB 10-25MG, 47

ceramax CRE, 20

Cipro (10%) Sus 500MG/5, 3

Cdp/Amitrip TAB 5-12.5MG, 47

Cerdelga CAP 84MG, 34

Cipro (5%) Sus 250MG/5, 3

Cedax CAP 400MG, 1

cerisa wash emu 10-1%, 16

Cipro HC Sus Otic, 50

Cedax Sus 180/5ML, 1

Cervidil Vag Mis 10MG INS, 50

Cipro TAB 250MG, 3

cefaclor CAP 250MG, 1

Cesamet CAP 1MG, 32

Cipro TAB 500MG, 3

cefaclor CAP 500MG, 1

cetirizine sol 1MG/ML, 56

Ciprodex Sus 0.3-0.1%, 50

Cefaclor ER TAB 500MG, 1

Cetraxal Sol 0.2%, 50

Ciprofloxacn Sol 0.2%, 50

Cefaclor Sus 125/5ML, 1

cevimeline CAP 30MG, 36

ciprofloxacn sol 0.3% op, 48


Chantix PAK 0.5& 1MG, 46

ciprofloxacn sus 250MG/5, 2


Chantix PAK 1MG, 46

ciprofloxacn sus 500MG/5, 3

cefadroxil CAP 500MG, 1

Chantix TAB 0.5MG, 46

Ciprofloxacn TAB 1000MG, 3

cefadroxil sus 250/5ML, 1

Chantix TAB 1MG, 46

Ciprofloxacn TAB 100MG, 3

cefadroxil sus 500/5ML, 1

chateal eq TAB 0.15/30, 23

ciprofloxacn TAB 250MG, 3

cefadroxil TAB 1gm, 1

chateal TAB 0.15/30, 23


cefazolin inj 1gm, 1

Chemet CAP 100MG, 66

Ciprofloxacn TAB 500MG ER, 3

cefdinir CAP 300MG, 1

Chenodal TAB 250MG, 32


cefdinir sus 125/5ML, 1

chlord/clidi CAP 5-2.5MG, 30

citalopram sol 10MG/5ML, 37

cefdinir sus 250/5ML, 1

chlordiazep CAP 10MG, 36

citalopram TAB 10MG, 37

Cefditoren TAB 200MG, 1



Cefditoren TAB 400MG, 1



cefepime inj 1gm, 1

chlorhex glu sol 0.12%, 36

claravis CAP 10MG, 16

cefixime sus 100/5ML, 1

Chloroquine TAB 250MG, 5


cefixime sus 200/5ML, 1

chloroquine TAB 500MG, 5


cefpodo prox sus 100/5ML, 1

Chlorothiaz TAB 250MG, 14


cefpodo prox sus 50MG/5ML, 1

chlorothiaz TAB 500MG, 14

Clarinex Syp 0.5MG/ML, 56

cefpodoxime TAB 100MG, 1

Chlorpromaz Inj 25MG/ML, 39

Clarinex TAB 5MG, 56

cefpodoxime TAB 200MG, 1

Chlorpromaz Inj 50MG/2ML, 39

Clarinex-d TAB 2.5-120, 56

cefprozil sus 125/5ML, 1

chlorpromaz TAB 100MG, 38

clarithromyc sus 125/5ML, 2

cefprozil sus 250/5ML, 1


Clarithromyc Sus 125/5ML, 2

cefprozil TAB 250MG, 1


clarithromyc sus 250/5ML, 2

cefprozil TAB 500MG, 1


Clarithromyc Sus 250/5ML, 2

ceftazidime inj 1gm, 1


clarithromyc TAB 250MG, 2

Ceftibuten CAP 400MG, 1

Chlorpropam TAB 100MG, 26

clarithromyc TAB 500MG, 2

clarithromyc TAB 500MG ER, 2

Clocortolone CRE Piv 0.1%, 19

Colestid Gra 5gm, 15

Cleanlet 28G Mis Lancets, 59

clodan sha 0.05%, 19

Colestid Pow 5gm, 15

clearplex X gel 10%, 16

Cloderm CRE 0.1%, 19

Colestid TAB 1gm, 15

Clemastine TAB 2.68MG, 56

Cloderm CRE 0.1% Pmp, 19

colestipol gra 5gm, 14

Clenpiq Sol, 30

clomipramine CAP 25MG, 37

colestipol TAB 1gm, 14

Cleocin CAP 150MG, 6


colistimeth inj 150MG, 5

Cleocin CAP 300MG, 6


colocort ene 100MG, 32

Cleocin CAP 75MG, 6

clonazep odt TAB 0.125MG, 42

Coly-mycin M Inj 150MG, 6

Cleocin CRE 2% Vag, 34


Coly-mycin S Sus Otic, 50

Cleocin PED Sol 75MG/5ML, 6


Colyte/Flavr Sol Packs, 30

Cleocin Phos Inj 300/2ML, 6

clonazep odt TAB 1MG, 42

Combigan Sol 0.2/0.5%, 49

Cleocin Sup 100MG, 34

clonazep odt TAB 2MG, 42

Combipatch Dis .05/.14, 23

Cleocin-t Gel 1%, 17

clonazepam TAB 0.5MG, 42

Combipatch Dis .05/.25, 23

Cleocin-t Lot 1%, 17

clonazepam TAB 1MG, 42

Combivent Aer 20-100, 57

Cleocin-t Pad 1%, 17

clonazepam TAB 2MG, 42

Combivir TAB 150-300, 4

Cleocin-t Sol 1%, 17

clonidine dis 0.1/24HR, 12

Cometriq Kit 100MG, 8

Clever Check Mis, 59



Clever Check Mis 30G, 59



Clevr Choice Liq High, 59

clonidine TAB 0.1MG, 12

Comfort Assu Mis Lanc 28G, 59

Clevr Choice Liq Low, 59

clonidine TAB 0.1MG ER, 41

Comfort Assu Mis Lanc 33G, 59

Clickfine Mis 31GX1/4", 59


Comfort EZ Mis 21G, 60

Clickfine Mis 31GX5/16, 59



Clickfine Mis 31GX8MM, 59

clopidogrel TAB 300MG, 36


Clickfine Mis 32GX5/32, 59

clopidogrel TAB 75MG, 36

Comfort EZ Mis 29GX12MM, 60

Climara Dis 0.025MG, 23

cloraz dipot TAB 15MG, 36



cloraz dipot TAB 3.75MG, 36



cloraz dipot TAB 7.5MG, 36



Clorpres TAB 0.1-15MG, 13








Climara Pro Dis Weekly, 23

Closercare Mis, 59


clindacin mis etz 1%, 16

clotrim/beta CRE 1-0.05%, 17


clindacin-p pad 1%, 16

clotrim/beta CRE diprop, 17


Clindagel Gel 1%, 17

clotrim/beta lot diprop, 17


Clindam/Benz Gel 1.2-2.5%, 17

clotrimazole CRE 1%, 18


clindamy/ben gel 1-5%, 16

clotrimazole loz 10MG, 36

Comfort Mis Lancets, 60

clindamy/ben gel 1.2-5%, 16

clotrimazole sol 1%, 18

Comfortouch Mis Lancet, 60

clindamycin aer 1%, 16

clotrimazole tro 10MG, 36

Commit Loz 2MG, 46

clindamycin CAP 150MG, 5

clozapine TAB 100/odt, 39

Commit Loz 4MG, 46


clozapine TAB 100MG, 38

Commit Loz 4MG Chry, 46


clozapine TAB 12.5/odt, 39

Compact Spac Mis Chamber, 65

clindamycin CRE 2% vag, 34

Clozapine TAB 12.5/Odt, 39

Compact Spac Mis LG Mask, 65

clindamycin gel 1%, 16

Clozapine TAB 150/Odt, 39

Compact Spac Mis MD Mask, 65

Clindamycin Gel 1%, 17

Clozapine TAB 200/Odt, 40

Compact Spac Mis Sm Mask, 65

clindamycin gel tretinoi, 16


Complera TAB, 4

clindamycin inj 300/2ML, 5


compro sup 25MG, 38

clindamycin lot 1%, 16

clozapine TAB 25MG odt, 39

Comtan TAB 200MG, 45

clindamycin lot 10MG/ML, 16


Concerta TAB 18MG, 41

clindamycin mis 1%, 16

Clozaril TAB 100MG, 40


clindamycin pad 1%, 16

Clozaril TAB 25MG, 40


clindamycin sol 1%, 16

Coaguchek Mis Lancets, 59


clindamycin sol 75MG/5ML, 5

Coartem TAB 20-120MG, 5

Condylox Gel 0.5%, 20

Clindesse CRE 2%, 34

Cocaine HCL Sol 40MG/ML, 56

Condylox Sol 0.5%, 21

clobazam sus 2.5MG/ML, 43

codeine sulf TAB 15MG, 51

constulose sol 10gm/15, 30

clobazam TAB 10MG, 43

Codeine Sulf TAB 15MG, 51

Contour Liq High Cnt, 60

clobazam TAB 20MG, 43


Contour Liq Low Cntl, 60

clobetasol aer 0.05%, 19


Contour Liq Norm Cnt, 60

clobetasol CRE 0.05%, 19


Contour Next Sol Level 1, 60

clobetasol e CRE 0.05%, 19


Contour Next Sol Level 2, 60

clobetasol gel 0.05%, 19

Cogentin Inj 1MG/ML, 45

Contour Tes Next, 60

clobetasol lot 0.05%, 19

Colazal CAP 750MG, 33

Control High Sol Unistrip, 60

clobetasol oin 0.05%, 19

Colchicine CAP 0.6MG, 55

Control Low Sol Unistrip, 60

clobetasol sha 0.05%, 19

Colchicine TAB 0.6MG, 55

Control Norm Sol Easy Stp, 60

clobetasol sol 0.05%, 19

Colcrys TAB 0.6MG, 55

Control Sol Liq HI/Mid/L, 60

clobetasol spr 0.05%, 19

colesevelam PAK 3.75, 15

Control Sol Liq High/Low, 60

Clobex Lot 0.05%, 19

colesevelam TAB 625MG, 15

Control Sol Liq Mid, 60

Clobex Sha 0.05%, 19

Colestid FLA Gra 5/7.5gm, 15

Control Sol Normal, 60

Clobex Spr 0.05%, 19

Colestid FLA Gra 5gm, 15

Conzip CAP 100MG, 52


Creon CAP 36000unt, 32

Cycloset TAB 0.8MG, 26


Creon CAP 6000unit, 32

cyclosporine CAP 100MG, 7

Cool Control Sol A, 60

Cresemba CAP 186 MG, 3

cyclosporine CAP 100MG MD, 7

Cool Control Sol B, 60

Crestor TAB 10MG, 15

cyclosporine CAP 25MG, 7

Copaxone Inj 20MG/ML, 47


cyclosporine CAP 25MG mod, 7

Copaxone Inj 40MG/ML, 47


Cyclosporine CAP 50MG Mod, 7

Copegus TAB 200MG, 4

Crestor TAB 5MG, 15

Cyclosporine Emu 0.1%, 50

Copiktra CAP 15MG, 8

Crinone Gel 4% Vag, 34

cyclosporine sol modified, 7

Copiktra CAP 25MG, 8

Crinone Gel 8% Vag, 34

Cymbalta CAP 20MG, 38

Cordran 80X3 Tap 4mcg/CM, 19

Crixivan CAP 200MG, 4


Cordran CRE 0.025%, 19

Crixivan CAP 400MG, 4


Cordran CRE 0.05%, 19

cromolyn sod CON 100/5ML, 32

cyproheptad syp 2MG/5ML, 55

Cordran Lot 0.05%, 19

cromolyn sod neb 20MG/2ML, 57

cyproheptad syp 4MG/10ML, 55

Cordran Oin 0.05%, 19

cromolyn sod sol 4% op, 50

cyproheptad TAB 4MG, 55

Coreg CR CAP 10MG, 9

crotan lot 10%, 20

cyred eq TAB, 24


cryselle-28 TAB 28 TABS, 23

cyred TAB, 24


Crysvita Inj 10MG/ML, 29

Cystadane Pow, 29



Cystagon CAP 150MG, 34

Coreg TAB 12.5MG, 9


Cystagon CAP 50MG, 34

Coreg TAB 25MG, 9

Cuprimine CAP 250MG, 66

Cystaran Sol 0.44%, 50

Coreg TAB 3.125MG, 9

curity salin sol 0.9% irr, 34

Cytomel TAB 25mcg, 30

Coreg TAB 6.25MG, 10

Curosurf Sus 120/1.5, 58


coremino TAB 135MG, 2

Curosurf Sus 240/3ML, 58



Cutivate Lot 0.05%, 19

Cytotec TAB 100mcg, 31


Cuvposa Sol 1MG/5ML, 31

Cytotec TAB 200mcg, 31

Corgard TAB 20MG, 10

CVS Lancets Mis 21G, 60

cytra k gra crystals, 34



D



D.h.e. 45 Inj 1MG/ML, 55

Corlanor TAB 5MG, 16

CVS Lancets Mis Original, 60

Daklinza TAB 30MG, 4

Corlanor TAB 7.5MG, 16

CVS Lancets Mis Thin 26G, 60


cormax scalp sol 0.05%, 19



Cortef TAB 10MG, 22


dalfampridin TAB 10MG ER, 47

Cortef TAB 20MG, 22

CVS Lancing Mis Device, 60

Daliresp TAB 250mcg, 57

Cortef TAB 5MG, 22

CVS nicotine dis 14MG/24h, 45

Daliresp TAB 500mcg, 57

Cortenema Ene 100MG, 33

CVS nicotine dis 21MG/24h, 45

danazol CAP 100MG, 22

Cortifoam Aer 90MG, 32

CVS nicotine dis 7MG/24HR, 45


Cortisone Ac TAB 25MG, 22

CVS nicotine gum 2MG cinn, 46


Cortisporin CRE 0.5%, 17

CVS nicotine gum 2MG mint, 46

Dantrium CAP 25MG, 48

Cortisporin Oin 1%, 17

CVS nicotine gum 2MG orig, 46

Dantrium CAP 50MG, 48

Corzide TAB 40-5MG, 13

CVS nicotine gum 2mgfruit, 46

dantrolene CAP 100MG, 48

Corzide TAB 80-5MG, 13

CVS nicotine gum 4MG cinn, 46


Cosentyx Inj 150MG/ML, 18

CVS nicotine gum 4MG mint, 46


Cosentyx Inj 300dose, 18

CVS nicotine gum 4MG orig, 46

dapsone gel 5%, 16

Cosentyx Pen Inj 150MG/ML, 18

CVS nicotine gum 4mgfruit, 46

dapsone TAB 100MG, 5

Cosentyx Pen Inj 300dose, 18

CVS nicotine loz 2MG, 46

dapsone TAB 25MG, 5

Cosopt PF Sol, 49

CVS nicotine loz 2MG mint, 46

Daptacel Inj, 58

Cosopt Sol 22.3-6.8, 49

CVS nicotine loz 4MG cinn, 46

Daraprim TAB 25MG, 5

Cotellic TAB 20MG, 8

CVS nicotine loz 4MG mint, 46

darifenacin TAB 15MG, 33

Cotempla TAB 17.3MG, 42

CVS nts dis step 1, 45

darifenacin TAB 7.5MG, 33


cyanocobalam inj 1000mcg, 34

dasetta TAB 1/35, 24


cyclafem TAB 1/35, 23

dasetta TAB 7/7/7, 24

Coumadin TAB 10MG, 35

cyclafem TAB 7/7/7, 24

Daxbia CAP 333MG, 1


Cyclessa PAK, 25

Daypro TAB 600MG, 54

Coumadin TAB 2.5MG, 35

cyclobenzapr TAB 10MG, 48

daysee TAB, 25


cyclobenzapr TAB 5MG, 48

Daytrana Dis 10MG/9HR, 42


cyclobenzapr TAB 7.5MG, 48



Cyclogyl Sol 0.5% Op, 49



Cyclogyl Sol 1% Op, 49



Cyclogyl Sol 2% Op, 49

Ddavp Inj 4mcg/ML, 28

Coumadin TAB 7.5MG, 35

Cyclomydril Sol Op, 49

Ddavp Sol 0.01%, 28

covaryx HS TAB, 23

cyclopentol sol 1% op, 49

Ddavp Spr 0.01%, 28

covaryx TAB 1.25-2.5, 23

cyclopentol sol 2% op, 49

Ddavp TAB 0.1MG, 28

Cozaar TAB 100MG, 12

cyclopentola sol 0.5%, 49

Ddavp TAB 0.2MG, 28

Cozaar TAB 25MG, 12

cyclophosph CAP 25MG, 6

Debacterol Sol 30-50%, 36

Cozaar TAB 50MG, 12

Cyclophosph CAP 25MG, 6

deblitane TAB 0.35MG, 24


cyclophosph CAP 50MG, 6

decadron elx 0.5/5ML, 22


Cyclophosph CAP 50MG, 6

decadron TAB 0.5MG, 22

Creon CAP 3000unit, 32

cycloserine CAP 250MG, 3

decadron TAB 0.75MG, 22

decadron TAB 4MG, 22

desoximetas oin 0.25%, 19

Diathrive Liq Control, 60

decadron TAB 6MG, 22

desoximetaso spr 0.25%, 19

Diatrue Cont Sol Level 1, 60

Delestrogen Inj 10MG/ML, 23

Desoxyn TAB 5MG, 42



desvenlafax TAB 100MG ER, 37



Desvenlafax TAB 100MG ER, 38

diazepam CON 5MG/ML, 37

Delstrigo TAB, 4


Diazepam Gel 10MG, 43

deltasone TAB 20MG, 21


Diazepam Gel 2.5MG, 43

delyla TAB 0.1-0.02, 24

Desvenlafax TAB 50MG ER, 38

Diazepam Gel 20MG, 43

Delzicol CAP 400MG, 33

Detrol LA CAP 2MG, 33

Diazepam Inj 10MG/2ML, 36

Demadex TAB 10MG, 14

Detrol LA CAP 4MG, 33

Diazepam Inj 5MG/ML, 36

Demadex TAB 20MG, 14

Detrol TAB 1MG, 33

Diazepam Sol 5MG/5ML, 36

demeclocycl TAB 150MG, 2

Detrol TAB 2MG, 33

diazepam TAB 10MG, 36

demeclocycl TAB 300MG, 2

Dex LA 16 Inj 16MG/ML, 22


Demerol Inj 100MG/ML, 52

Dexameth LA Inj 16MG/ML, 22


Demerol TAB 100MG, 52

dexameth PHO inj 10MG/ML, 21

Dibenzyline CAP 10MG, 12

Demser CAP 250MG, 12

Dexameth PHO Inj 10MG/ML, 22

Diclegis TAB 10-10MG, 32

Denavir CRE 1%, 18

dexameth PHO inj 120MG/30, 21

diclo/misopr TAB 50-0.2MG, 54

Depakene CAP 250MG, 43

dexameth PHO inj 20MG/5ML, 21

diclo/misopr TAB 75-0.2MG, 54

Depakene Sol 250/5ML, 43

dexameth PHO inj 4MG/ML, 21

diclofen pot TAB 50MG, 53

Depakote ER TAB 250MG, 43

Dexameth PHO Sol 0.1% Op, 49

Diclofenac CRE Sodium, 18

Depakote ER TAB 500MG, 43

Dexamethason CON 1MG/ML, 22

diclofenac gel 1%, 18

Depakote Spr CAP 125MG, 43

dexamethason elx 0.5/5ML, 21

diclofenac sol 0.1% op, 50

Depakote TAB 125MG DR, 43

Dexamethason Sol 0.5/5ML, 22

diclofenac sol 1.5%, 18


Dexamethason Sus 8MG/ML, 22

diclofenac TAB 100MG ER, 53


dexamethason TAB 0.5MG, 21

diclofenac TAB 25MG DR, 53

Depen Titra TAB 250MG, 66



Depo-estradi Inj 5MG/ML, 23



Depo-medrol Inj 20MG/ML, 22

dexamethason TAB 10-day, 22

Diclofono Gel 1.6%, 18



dicloxacill CAP 250MG, 1


Dexamethason TAB 1MG, 22

dicloxacill CAP 500MG, 1

Depo-provera Inj 150MG/ML, 25

Dexamethason TAB 2MG, 22

dicyclomine CAP 10MG, 30

Depo-provera Inj 400/ML, 6

dexamethason TAB 4MG, 21

dicyclomine inj 10MG/ML, 31

Depo-sq Prov Inj 104, 25


dicyclomine sol 10MG/5ML, 30

Depo-testost Inj 100MG/ML, 22

dexamethason TAB 6MG, 21

dicyclomine TAB 20MG, 31

Depo-testost Inj 200MG/ML, 22

Dexchlorphen Syp 2MG/5ML, 56

didanosine CAP 200MG, 4

Derma-smooth Oil /FS Body, 19

Dexedrine CAP 10MG CR, 42


Derma-smooth Oil /FS Sclp, 19



dermacinrx kit prizopak, 20


Differin CRE 0.1%, 16

Dermasorb HC Kit 2%, 19

dexedrine TAB 10MG, 41

Differin Gel 0.1%, 17

Dermatop CRE 0.1%, 19

dexedrine TAB 5MG, 41

Differin Gel 0.3%, 17

Dermatop Oin 0.1%, 19

Dexeryl CRE, 21

Differin Lot 0.1%, 16

Dermotic Oil 0.01%, 50

Dexilant CAP 30MG DR, 31

Dificid TAB 200MG, 2

Descovy TAB 200/25, 4

Dexilant CAP 60MG DR, 31

difil-G fort liq 100-100, 57

desipramine TAB 100MG, 37

dexmethylph CAP 15MG ER, 41

Diflorasone CRE 0.05%, 19



diflorasone oin 0.05%, 19



Diflucan Sus 10MG/ML, 3


dexmethylph TAB 10MG, 41

Diflucan Sus 40MG/ML, 3


dexmethylph TAB 2.5MG, 41

Diflucan TAB 100MG, 3


dexmethylph TAB 5MG, 41


Desloratadin TAB 2.5 Odt, 56

dexmethylphe CAP 10MG ER, 41


desloratadin TAB 5MG, 55



Desloratadin TAB 5MG Odt, 56


diflunisal TAB 500MG, 50

desmopressin inj 4mcg/ML, 28

dexmethylphe CAP ER 25MG, 41

digitek TAB 0.125MG, 8

desmopressin spr 0.01%, 28

dexmethylphe CAP ER 35MG, 41

digitek TAB 0.25MG, 8

desmopressin TAB 0.1MG, 28

Dexonto 0.4% Sol 20MG/5ML, 22

digox TAB 0.125MG, 8

desmopressin TAB 0.2MG, 28

Dexpak PAK 10 Day, 22

digox TAB 0.25MG, 8

deso/ethinyl TAB estradio, 24


digoxin inj 0.25MG/1, 8

Desogen-28 TAB, 25


Digoxin Sol 50mcg/ML, 8

Desonate Gel 0.05%, 19

dextroamphet CAP 10MG ER, 41

digoxin TAB 0.125MG, 8

desonide CRE 0.05%, 19


digoxin TAB 0.25MG, 8

desonide lot 0.05%, 19


Dihydrocod/ CAP Asa/Caff, 52

desonide oin 0.05%, 19

dextroamphet sol 5MG/5ML, 41

dihydroergot inj 1MG/ML, 55

Desowen CRE 0.05%, 19

dextroamphet TAB 10MG, 41

Dihydroergot Spr 4MG/ML, 55

Desowen Lot 0.05%, 19

dextroamphet TAB 5MG, 41

Dilantin CAP 100MG, 43

desoximetas CRE 0.05%, 19

Diamox Seque CAP 500MG CR, 14

Dilantin CAP 30MG, 43

desoximetas CRE 0.25%, 19

Diastat Acdl Gel 12.5-20, 43

Dilantin Chw 50MG, 43

desoximetas gel 0.05%, 19

Diastat Acdl Gel 5-10MG, 43

Dilantin-125 Sus 125/5ML, 43

desoximetas oin 0.05%, 19

Diastat PED Gel 2.5m Gel, 43

Dilatrate SR CAP 40MG, 9

Dilaudid Inj 1MG/ML, 52

Ditropan XL TAB 5MG, 33

doxycycline TAB 100MG, 2


Diuril Sus 250/5ML, 14



divalproex CAP 125MG, 42


Dilaudid Liq 1MG/ML, 52

divalproex TAB 125MG DR, 42


Dilaudid TAB 2MG, 52


Drisdol CAP 50000unt, 59


divalproex TAB 250MG ER, 42

Dritho-creme CRE HP 1%, 18



dronabinol CAP 10MG, 31

dilt-XR CAP 120MG, 10

divalproex TAB 500MG ER, 42

dronabinol CAP 2.5MG, 31


Divigel Gel 0.25MG, 23

dronabinol CAP 5MG, 31



Droplet Lanc Mis 30G, 60

diltiazem CAP 120MG CD, 10


Droplet Lanc Mis Device, 60

diltiazem CAP 120MG ER, 10

Divigel Gel 1MG/Gm, 23

dros/ETH est TAB levomefo, 25

diltiazem CAP 120MG/24, 10

dofetilide CAP 125mcg, 11

drospir/ethi TAB 3-0.02MG, 25



drospir/ethi TAB 3-0.03MG, 24



drospire/ETH TAB estr/lev, 25


Dolophine TAB 10MG, 52

drospirenone TAB ethy est, 25


Dolophine TAB 5MG, 52

Droxia CAP 200MG, 34


donepezil TAB 10MG, 45



donepezil TAB 10MG odt, 47



donepezil TAB 5MG, 45

Drysol Sol 20%, 20


donepezil TAB 5MG odt, 47

Dsuvia Sub 30mcg, 52


donepezil TAB HCL 23MG, 47

Duac Gel 1.2-5%, 17


donepezil TAB odt 10MG, 47

Duavee TAB 0.45-20, 23


donepezil TAB odt 5MG, 47

Duetact TAB 30-2MG, 27


Doptelet TAB 20MG, 35

Duetact TAB 30-4MG, 27


Doral TAB 15MG, 41

Duexis TAB 800-26.6, 54


Doryx Mpc TAB 120MG, 2

Dulera Aer 100-5mcg, 57


Doryx TAB 200MG, 2

Dulera Aer 200-5mcg, 57

diltiazem ER CAP 360MG, 10

Doryx TAB 50MG, 2

duloxetine CAP 20MG, 37

diltiazem ER TAB 180MG, 10

dorzol/timol sol 22.3-6.8, 48



Dorzol/Timol Sol 22.3-6.8, 49



Dorzolamide Sol 2%, 50



dorzolamide sol 2% op, 50

Duo-care Liq Level1/2, 60


Dovonex CRE 0.005%, 18

Duopa Sus 4.63-20, 45

diltiazem TAB 120MG, 10

doxazosin TAB 1MG, 12

Dupixent Inj 200/1.14, 57



Dupixent Inj 300/2ML, 20



Duragesic Dis 100mcg/H, 52



Duragesic Dis 12mcg/HR, 52

Dimenhydrin Inj 50MG/ML, 31

doxepin HCL CAP 100MG, 37


Diovan HCT TAB 160-12.5, 13



Diovan HCT TAB 160-25MG, 13



Diovan HCT TAB 320-12.5, 13


Duraxin CAP, 50

Diovan HCT TAB 320-25MG, 13


Durezol Emu 0.05%, 49

Diovan HCT TAB 80/12.5, 13


Durlaza CAP 162.5MG, 36

Diovan TAB 160MG, 12

doxepin HCL CON 10MG/ML, 37

dutast/tamsu CAP 0.5-0.4, 34

Diovan TAB 320MG, 12

Doxepin HCL CRE 5%, 18

dutasteride CAP 0.5MG, 34

Diovan TAB 40MG, 12

doxercalcif CAP 0.5mcg, 29

Dutoprol TAB 100-12.5, 13

Diovan TAB 80MG, 12

doxercalcif CAP 1mcg, 29


Dip/Tet PED Inj 25-5lfu, 58

doxercalcif CAP 2.5mcg, 29


Dipentum CAP 250MG, 33

doxycyc mono CAP 100MG, 2

Duzallo TAB 200-200, 55

Diphen/Atrop Liq 2.5/5, 30


Duzallo TAB 200-300, 55

diphen/atrop TAB, 30


Dvorah TAB, 52

diphen/atrop TAB 2.5MG, 30


Dyanavel XR Sus 2.5MG/ML, 42

diphenhydram elx 12.5/5ML, 56

doxycyc mono TAB 100MG, 2

Dyazide CAP 37.5-25, 14

diphenhydram inj 50MG/ML, 55


Dymista Spr 137-50, 56

Diprolene AF CRE 0.05%, 19


Dyrenium CAP 100MG, 14

Diprolene Oin 0.05%, 19


Dyrenium CAP 50MG, 14

dipyridamole TAB 25MG, 36

doxycycl HYC CAP 100MG, 2

E


doxycycl HYC CAP 50MG, 2

E-z Ject Mis 21G, 60


doxycycl HYC TAB 100MG, 2

E-z Ject Mis 21G Colr, 60

Disalcid TAB 500MG, 50

doxycycl HYC TAB 100MG DR, 2

E-z Ject Mis 30G, 60

Disalcid TAB 750MG, 50


E-z Ject Mis 32G Colr, 60

disopyramide CAP 100MG, 11


E-z Ject Mis Lanc 21G, 60

disopyramide CAP 150MG, 11

Doxycycl HYC TAB 50MG, 2

E-z Ject Mis Lancets, 60

disulfiram TAB 250MG, 45


E-z Ject Mis Thin 26G, 60

disulfiram TAB 500MG, 45


E-z Spacer Mis, 65


Doxycycline CAP 40MG, 17

E-z Spacer Mis Body Grd, 65


doxycycline sus 25MG/5ML, 2

E-ZJECT Lanc Mis 33G, 60

E.e.s. 400 TAB 400MG, 2

Edarbyclor TAB 40-12.5, 13

Emend Tripac PAK 80 & 125, 32

E.e.s. Gran Sus 200/5ML, 2

Edarbyclor TAB 40-25MG, 13

Emflaza Sus 22.75/ML, 22

Easivent Mis, 65

Edecrin TAB 25MG, 14

Emflaza TAB 18MG, 22

Easivent Mis Mask LG, 65

Edluar Sub 10MG, 41


Easivent Mis Mask MED, 65

Edluar Sub 5MG, 41


Easivent Mis Mask Sm, 65

Edurant TAB 25MG, 4

Emflaza TAB 6MG, 22

Easy Comfort Mis 30G, 60

eemt HS TAB, 23

Emgality Inj 120MG/ML, 55

Easy Comfort Mis 31GX1/4", 60

eemt TAB 1.25-2.5, 23

emoquette TAB, 24

Easy Comfort Mis 31GX3/16, 60

efavirenz CAP 200MG, 4

empricaine kit 2.5-2.5%, 20


efavirenz CAP 50MG, 4

Emsam Dis 12MG/24h, 38


efavirenz TAB 600MG, 4

Emsam Dis 6MG/24HR, 38

Easy Comfort Mis Lanc/30G, 60

Effexor XR CAP 150MG, 38

Emsam Dis 9MG/24HR, 38

Easy Comfort Mis Twist, 60

Effexor XR CAP 37.5MG, 38

Emtriva CAP 200MG, 4

Easy Mini Mis, 60

Effexor XR CAP 75MG, 38

Emtriva Sol 10MG/ML, 4

Easy Mini Mis Eject, 60

Effient TAB 10MG, 36

Emulsion SB Emu, 21

Easy Plus II Sol High, 60

Effient TAB 5MG, 36

Emverm Chw 100MG, 5

Easy Plus II Sol Low, 60

Efudex CRE 5%, 6

Enablex TAB 15MG, 33

Easy Talk Sol High, 60

Egrifta Sol 1MG, 28

Enablex TAB 7.5MG, 33

Easy Talk Sol Low, 60

Eha Lot 4%, 21

enalapr/hctz TAB 10-25MG, 12

Easy Talk Sol Normal, 60

Elavil TAB 25MG, 38

enalapr/hctz TAB 5-12.5MG, 12

Easy Touch Mis, 60

Eldepryl CAP 5MG, 45

enalapril TAB 10MG, 11

Easy Touch Mis 29GX1/2", 60

Element Cont Liq Normal, 60

enalapril TAB 2.5MG, 11

Easy Touch Mis 29GX5MM, 60

Element Liq High, 60



Element Liq Low, 60



Elemnt Compa Sol Level 2, 60

Enbrel Inj 25/0.5ML, 54

Easy Touch Mis 31GX3/16, 60

Elemnt Compa Sol Level 3, 60

Enbrel Inj 25MG, 54


Elestat Dro 0.05%, 50

Enbrel Inj 50MG/ML, 54


Elestrin Gel 0.06%, 23

Enbrel Mini Inj 50MG/ML, 54


Eletone CRE, 21

Enbrel Srclk Inj 50MG/ML, 54


Eletone CRE Twinpack, 21

Endari Pow 5gm, 35


eletriptan TAB 20MG, 55

endocet TAB 10-325MG, 51


eletriptan TAB 40MG, 55

endocet TAB 2.5-325, 51

Easy Touch Mis Lanc/21G, 60

Elidel CRE 1%, 20

endocet TAB 5-325MG, 51


Eligard Inj 22.5MG, 6

endocet TAB 7.5-325, 51


Eligard Inj 30MG, 6

Endometrin Sup 100MG, 34


Eligard Inj 45MG, 6

Engerix-b Inj 10/0.5ML, 58


Eligard Inj 7.5MG, 6

Engerix-b Inj 20mcg/ML, 58


Elimite CRE 5%, 21

Enlon Inj 150/15ML, 48


elinest TAB, 24

enoxaparin inj 100MG/ML, 35

Easy Touch Sol Control, 60

Eliphos TAB 667MG, 33

enoxaparin inj 120/0.8, 35

Easy Touch Sol High/Low, 60

Eliquis ST P TAB 5MG, 35

enoxaparin inj 150MG/ML, 35

Easy Trak Sol High, 60

Eliquis TAB 2.5MG, 35

enoxaparin inj 30/0.3ML, 35

Easy Trak Sol Low, 60

Eliquis TAB 5MG, 35

enoxaparin inj 300/3ML, 35

Easy Trak Sol Normal, 60

Elixophyllin Elx 80/15ML, 57


Easygluco Sol High, 60

Ella TAB 30MG, 24


Easygluco Sol Low, 60

Elmiron CAP 100MG, 34


Easygluco Sol Normal, 60

Elocon CRE 0.1%, 19

enpresse-28 TAB, 24

Easygluco Sol Plus, 60

Elocon Oin 0.1%, 19

enskyce TAB, 24

Easymax 15 Sol Level 1, 60

Emadine Sol 0.05% Op, 50

Enstilar Aer, 19

Easymax 15 Sol Level 2, 60

Embeda CAP 100-4MG, 52

entacapone TAB 200MG, 44

Easymax 15 Sol Level1-2, 60

Embeda CAP 20-0.8MG, 52

entecavir TAB 0.5MG, 4

Easymax Sol High, 60


entecavir TAB 1MG, 4

Easymax Sol Low, 60

Embeda CAP 50-2MG, 52

Entereg CAP 12MG, 33

Easymax Sol Norm/Low, 60


Entocort EC CAP 3MG DR, 22

Easymax Sol Normal, 60


Entresto TAB 24-26MG, 15

Easystep Hgh Sol Control, 60

Embrace Cntr Liq High, 60


Easystep Low Sol Control, 60

Embrace Evo Liq Level 1, 60


Easytest II Mis Lancets, 60

Embrace Evo Liq Level 2, 60

Entty Emu Spray, 21

Easytest Mis Lancets, 60

Embrace Lanc Mis Thin 30G, 60

enulose sol 10gm/15, 32

EC-naprosyn TAB 375MG, 54

Embrace Pro Liq Glucose, 60

Envarsus XR TAB 0.75MG, 7

EC-naprosyn TAB 500MG, 54

Embrace Sol Low, 60

Envarsus XR TAB 1MG, 7

econazole CRE 1%, 18

Embrace Talk Sol High/L2, 60

Envarsus XR TAB 4MG, 7

econtra EZ TAB 1.5MG, 24

Embrace Talk Sol Low/L1, 60

Epaned Sol 1MG/ML, 11

econtra OS TAB 1.5MG, 24

Emcyt CAP 140MG, 6

Epclusa TAB 400-100, 4

Ecoza Aer 1%, 18

Emend CAP 125MG, 32

Epiceram Emu, 21

ed-spaz TAB 0.125MG, 31

Emend CAP 40MG, 32

Epidiolex Sol 100MG/ML, 43

Edarbi TAB 40MG, 12

Emend CAP 80MG, 32

Epiduo Forte Gel 0.3-2.5%, 17

Edarbi TAB 80MG, 12

Emend Sus 125MG, 32

Epiduo Gel 0.1-2.5%, 17

Epifoam Aer 1%, 19

Ery-TAB Tab 333MG EC, 2

ethy ETH est TAB 1-35, 24

epinastine dro 0.05%, 50


Ethyl Chlor Aer Fine Pin, 21

Epinephrine Inj 0.15MG, 14

ery/benzoyl gel 5-3%, 16

Ethyl Chlor Aer Fn Strm, 21

epinephrine inj 0.1MG/ML, 14

Erygel Gel 2%, 17

Ethyl Chlor Aer MED Jet, 21

epinephrine inj 0.3MG, 14

Eryped Sus 200/5ML, 2

Ethyl Chlor Aer MED Strm, 21

Epinephrine Inj 0.3MG, 14

Eryped Sus 400/5ML, 2

Ethyl Chlor Aer Mist, 21

epinephrine inj 1MG/ML, 14

Erythrocin TAB 250MG, 2

ethyl chlor aer spray, 20

Epinephrine Inj 1MG/ML, 14

erythrom ETH sus 200/5ML, 2

Ethyl Chlor Aer Spray, 21

Epinephrine Kit 1MG/ML, 14

Erythrom ETH TAB 400MG, 2

ethynodiol TAB 1-50, 24

Epinphephrin Kit Snap-v, 14

erythromycin CAP 250MG EC, 2

Etidron Disd TAB 200MG, 27

Epipen 2-PAK Inj 0.3MG, 14

erythromycin gel 2%, 16

Etidron Disd TAB 400MG, 27

Epipen-JR Inj 0.15MG, 14

erythromycin oin 5MG/gm, 48

etodolac CAP 200MG, 53

Episnap Kit, 14

erythromycin oin op, 48

etodolac CAP 300MG, 53

epitol TAB 200MG, 42

erythromycin pad 2%, 16

etodolac ER TAB 400MG, 54

Epivir HBV Sol 5MG/ML, 4

erythromycin sol 2%, 16


Epivir HBV TAB 100MG, 4

erythromycin TAB 250MG bs, 2


Epivir Sol 10MG/ML, 5

erythromycin TAB 500MG bs, 2

etodolac TAB 400MG, 53

Epivir TAB 150MG, 5

Esbriet CAP 267MG, 58

etodolac TAB 500MG, 53

Epivir TAB 300MG, 5

Esbriet TAB 267MG, 58

Etoposide CAP 50MG, 7

eplerenone TAB 25MG, 12

Esbriet TAB 801MG, 58

Eucrisa Oin 2%, 18

eplerenone TAB 50MG, 12

escitalop ox sol 10/10ML, 37

Eurax CRE 10%, 20

Epogen Inj 10000/ML, 34

escitalopram sol 5MG/5ML, 37

Eurax Lot 10%, 20


escitalopram TAB 10MG, 37

euthyrox TAB 100mcg, 29








esgic CAP, 50


Eprosart Mes TAB 600MG, 12

Esgic TAB, 50


Epzicom TAB 600-300, 5

Esomeprazole CAP 24.65MG, 31


eq nicotine dis 14MG/24h, 45

Esomeprazole CAP 49.3MG, 31


eq nicotine dis 21MG/24h, 45

est estrogen TAB mtest, 23


eq nicotine dis 7MG/24HR, 45

est estrogen TAB mtest HS, 23


eq nicotine gum 2MG cinn, 46

estarylla TAB 0.25-35, 24


eq nicotine gum 2MG mint, 46

estazolam TAB 1MG, 40


eq nicotine gum 2MG orig, 46

estazolam TAB 2MG, 40

Evamist Spr 1.53MG, 23

eq nicotine gum 2mgfruit, 46

estra/noreth TAB 0.5-0.1, 23

Evekeo TAB 10MG, 42

eq nicotine gum 4MG cinn, 46

estra/noreth TAB 1-0.5MG, 23

Evekeo TAB 5MG, 42

eq nicotine gum 4MG mint, 46

Estrace TAB 0.5MG, 23

Evencar Mini Sol Normal, 60

eq nicotine gum 4MG orig, 46

Estrace TAB 1MG, 23

Evencare G2 Sol Low/High, 60

eq nicotine gum 4MG ref, 46

Estrace TAB 2MG, 23

Evencare G3 Sol Low/High, 60

eq nicotine gum 4MG strt, 46

Estrace Vag CRE 0.01%, 34

Evencare Sol Liq Low/High, 60

eq nicotine gum 4mgfruit, 46

estrad val inj 200MG/5, 23

Evista TAB 60MG, 28

eq nicotine loz 2MG cher, 46

estrad val inj 20MG/ML, 23

Evoclin Aer 1%, 17

eq nicotine loz 2MG cinn, 46

estradiol CRE 0.01%, 34

Evolution Sol Normal, 60

eq nicotine loz 2MG mint, 46

estradiol dis 0.025MG, 23

Evotaz TAB 300-150, 5

eq nicotine loz 4MG chry, 46


Evoxac CAP 30MG, 36

eq nicotine loz 4MG cinn, 46


Evzio Inj, 53

eq nicotine loz 4MG mint, 46


Evzio Inj 2/0.4ML, 53

Eql Lancets Mis 21G Colr, 60


Exalgo TAB 12MG, 52

Eql Lancets Mis 33G Colr, 60


Exalgo TAB 16MG, 52

Eql Lancets Mis Thin 26G, 60

estradiol TAB 0.5MG, 23

Exalgo TAB 32MG, 52

Eql Lancets Mis Thin 30G, 60

estradiol TAB 10mcg, 34

Exalgo TAB 8MG, 52

eql nicotine gum 2MG, 46

estradiol TAB 1MG, 23

Exelderm CRE 1%, 18

eql nicotine gum 4MG, 46

estradiol TAB 2MG, 23

Exelderm Sol 1%, 18

eql nicotine loz 2MG, 46

Estring Mis 2MG, 34

Exelon Dis 13.3/24, 47

eql nicotine loz 2MG mint, 46

estrog/mtest TAB 1.25-2.5, 23

Exelon Dis 4.6MG/24, 47

eql nicotine loz 4MG chry, 46

Estrogel Gel, 23

Exelon Dis 9.5MG/24, 47

eql nicotine loz 4MG mint, 46

Estropipate TAB 0.75MG, 23

exemestane TAB 25MG, 6

Equetro CAP 100MG, 40

Estropipate TAB 1.5MG, 23

Exforge TAB 10-160MG, 13


Estropipate TAB 3MG, 23



Estrostep FE TAB, 25


Ergoloid Mes TAB 1MG Oral, 47

eszopiclone TAB 1MG, 40


Ergomar Sub 2MG, 55


Exforgeh/10- TAB 160-12.5, 13

ergot/caffen TAB 1-100MG, 55


Exforgeh/10- TAB 160-25, 13

Erleada TAB 60MG, 6

ethacrynic TAB acd 25MG, 14


errin TAB 0.35MG, 24

ethambutol TAB 100MG, 3

Exforgeh/5- TAB 160-12.5, 13

Ertaczo CRE 2%, 18

ethambutol TAB 400MG, 3


ery pad 2%, 16

ethosuximide CAP 250MG, 42

Exjade TAB 125MG, 66


ethosuximide sol 250/5ML, 42



fenofibrate CAP 130MG, 14

Fine 30 Mis, 61

Exoderm Lot 25-1%, 18


Fingerstix Mis Lancets, 61

Extavia Inj 0.3MG, 45

Fenofibrate CAP 150MG, 15

Fioricet CAP, 50

Extina Aer 2%, 18


Fioricet CAP Codeine, 52

EZ Flu Shot Inj 2018-19, 58


Fiorinal CAP, 50

EZ Flu Shot Inj PF 14-15, 58

Fenofibrate CAP 50MG, 15

Fiorinal/Cod CAP 30MG, 52

EZ Flu Shot Kit 2016-17, 58


Firazyr Inj 30MG/3ML, 36

EZ Smart Mis Lancets, 60

fenofibrate TAB 120MG, 15

Firdapse TAB 10MG, 48

EZ-lets 21G Mis Lancets, 60


First - Meto Sol 10MG/ML, 10


fenofibrate TAB 160, 15

First-baclof Sus 1, 48



First-baclof Sus 5 Kit, 48



First-mouthw Sus Blm, 36



First-omepra Sus 2MG/ML, 31

ezetim/simva TAB 10-10MG, 14


First-vanc Sol 25MG/ML, 6


fenofibric CAP 135MG DR, 15

First-vanc Sol 50MG/ML, 6


fenofibric CAP 45MG DR, 15

Firvanq Sol 25MG/ML, 5


Fenofibric TAB 105MG, 15

Firvanq Sol 50MG/ML, 5

ezetimibe TAB 10MG, 14

Fenofibric TAB 35MG, 15

flac oil 0.01%, 50

F

Fenoglide TAB 120MG, 15

Flagyl CAP 375MG, 6

Fenoglide TAB 40MG, 15

Flagyl TAB 250MG, 6

Fabior Aer 0.1%, 17

Fenoprofen CAP 200MG, 54

Flagyl TAB 500MG, 6

Factive TAB 320MG, 3

Fenoprofen CAP 400MG, 54

Flarex Sus 0.1% Op, 49

fallback TAB 1.5MG, 24

fenoprofen TAB 600MG, 54

flavoxate TAB 100MG, 33

falmina TAB, 24

Fenortho CAP 200MG, 54

flecainide TAB 100MG, 11

famciclovir TAB 125MG, 4

Fenortho CAP 400MG, 54



fentanyl dis 100mcg/h, 51



fentanyl dis 12mcg/HR, 51

Flector Dis 1.3%, 18

famotidine sus 40MG/5ML, 31


Flexichamber Mis, 65

famotidine TAB 20MG, 31

fentanyl dis 37.5mcg, 51

Flexichamber Mis Mask Lrg, 65

famotidine TAB 40MG, 31


Flexichamber Mis Mask Sm, 65

Fanapt PAK, 40


Flexin Pad .0375-5%, 21

Fanapt TAB 10MG, 40


Flolipid Sus 20MG/5ML, 15

Fanapt TAB 12MG, 40


Flolipid Sus 40MG/5ML, 15

Fanapt TAB 1MG, 40

fentanyl ot loz 1200mcg, 51

Flomax CAP 0.4MG, 34

Fanapt TAB 2MG, 40


Flovent Disk Aer 100mcg, 57

Fanapt TAB 4MG, 40



Fanapt TAB 6MG, 40



Fanapt TAB 8MG, 40


Flovent HFA Aer 110mcg, 57

Fareston TAB 60MG, 6



Farxiga TAB 10MG, 26

Fentora TAB 100mcg, 52


Farxiga TAB 5MG, 26


Flowtuss Sol 2.5-200, 56

Farydak CAP 10MG, 8


Floxin Sol 0.3%, 50

Farydak CAP 15MG, 8


Fluad Inj 2016-17, 58

Farydak CAP 20MG, 8


Fluad Inj 2017-18, 58

Fastclix Mis Lancets, 60

Ferriprox Sol 100MG/ML, 66

Fluad Inj 2018-19, 58

fayosim TAB, 25

Ferriprox TAB 500MG, 66

Fluarix Quad Inj 2016-17, 58

Fazaclo TAB 100 Odt, 40

Fetzima CAP 120MG, 38


Fazaclo TAB 12.5 Odt, 40





Flublok Quad Inj 2017-18, 58



Flublok Quad Inj 2018-19, 58

Fazaclo TAB 25MG Odt, 40

Fetzima CAP Titratio, 38

Flublok Sol 2015-16, 58

felbamate sus 600/5ML, 43

Fexmid TAB 7.5MG, 48


felbamate TAB 400MG, 43

Fiasp Flex Inj Touch, 25


felbamate TAB 600MG, 43

Fiasp Inj 100/ML, 25

Flucelvax Inj 2015-16, 58

Felbatol Sus 600/5ML, 43

Fibricor TAB 105MG, 15

Fluclvx Quad Inj 2016-17, 58

Felbatol TAB 400MG, 43

Fibricor TAB 35MG, 15


Felbatol TAB 600MG, 43

Fifty50 Mis 31GX3/16, 60


Feldene CAP 10MG, 54

Fifty50 Mis 31GX5/16, 60

fluconazole sus 10MG/ML, 3

Feldene CAP 20MG, 54

Fifty50 Mis 31GX5MM, 61

fluconazole sus 40MG/ML, 3

felodipine TAB 10MG ER, 10

Fifty50 Mis Lanc Dev, 60

fluconazole TAB 100MG, 3

felodipine TAB 2.5MG ER, 10

Fifty50 Pen Mis 31GX8MM, 61


felodipine TAB 5MG ER, 10



Fem PH Gel, 34



Femara TAB 2.5MG, 6

Fifty50 Safe Mis Lancets, 61

flucytosine CAP 250MG, 3

Femcon FE Chw, 25

Fifty50 Sol 2.0, 61

flucytosine CAP 500MG, 3

Femhrt TAB 0.5-2.5, 23

Finacea Aer 15%, 17

fludrocort TAB 0.1MG, 21

Femring Mis 0.05/24h, 34

Finacea Gel 15%, 17

Flulaval Qua Inj 2016-17, 58

Femring Mis 0.1MG/24, 34

finasteride TAB 5MG, 34


femynor TAB 0.25-35, 24


fluvoxamine TAB 100MG, 37

Fragmin Inj 7500/0.3, 35

Flumadine TAB 100MG, 5


Fragmin Inj 95000unt, 35

Flumist Quad Sus 2016-17, 58


Freestyle Liq Control, 61


Fluzone HD Inj PF 16-17, 58

Freestyle Mis Lancets, 61



Freestyle Mis Unistick, 61

Flunisolide Spr 0.025%, 56


Freestyle Tes, 61

fluocin acet CRE 0.01%, 19

Fluzone Quad Inj 2016-17, 58

Frova TAB 2.5MG, 55

fluocin acet CRE 0.025%, 19


frovatriptan TAB 2.5MG, 55

fluocin acet oil 0.01%, 50


Fulphila Inj 6/0.6ML, 35

fluocin acet oil 0.01% sc, 19

FML Forte Sus 0.25% Op, 49

Furadantin Sus 25MG/5ML, 33

fluocin acet oil 0.01%bdy, 19

FML Liquiflm Sus 0.1% Op, 49

furosemide inj 100/10ML, 14

fluocin acet oil body, 19

FML Oin 0.1% Op, 49

furosemide inj 10MG/ML, 14

fluocin acet oil ear0.01%, 50

Focalin TAB 10MG, 42

furosemide inj 20MG/2ML, 14

fluocin acet oil scalp, 19

Focalin TAB 2.5MG, 42

furosemide inj 40MG/4ML, 14

fluocin acet oin 0.025%, 19

Focalin TAB 5MG, 42

furosemide sol 10MG/ML, 14

fluocin acet sol 0.01%, 19

Focalin XR CAP 10MG, 42

Furosemide Sol 8MG/ML, 14

fluocinonide CRE 0.05%, 19


furosemide TAB 20MG, 14

fluocinonide CRE 0.1%, 19



fluocinonide CRE e 0.05%, 19



fluocinonide gel 0.05%, 19


Fuzeon Inj 90MG, 5

fluocinonide oin 0.05%, 19


fyavolv TAB 0.5-2.5, 23

fluocinonide sol 0.05%, 19


fyavolv TAB 1-5, 23

fluoromethol sus 0.1% op, 49


Fycompa Sus 0.5MG/ML, 43

Fluoroplex CRE 1%, 6

Folic Acid Inj 5MG/ML, 34

Fycompa TAB 10MG, 43

Fluorouracil CRE 0.5%, 6

folic acid TAB 1000mcg, 34

Fycompa TAB 12MG, 43

fluorouracil CRE 5%, 6

folic acid TAB 1MG, 34

Fycompa TAB 2MG, 43

Fluorouracil Sol 2%, 6

fondaparinux inj 10/0.8ML, 35

Fycompa TAB 4MG, 43

Fluorouracil Sol 5%, 6

fondaparinux inj 2.5/0.5, 35

Fycompa TAB 6MG, 43

fluoxetine CAP 10MG, 37

fondaparinux inj 5/0.4ML, 35

Fycompa TAB 8MG, 43

Fluoxetine CAP 10MG, 45

fondaparinux inj 7.5/0.6, 35

G


Fora Control Sol High, 61

gabapentin CAP 100MG, 42

Fluoxetine CAP 20MG, 46

Fora Control Sol Low, 61



Fora Control Sol Normal, 61


Fluoxetine CAP 90MG DR, 38

Fora Lancets Mis 30G, 61

gabapentin sol 250/5ML, 42

fluoxetine sol 20MG/5ML, 37

Fora Mis Lancets, 61

gabapentin sol 300/6ML, 42

fluoxetine TAB 10MG, 37, 47

Fora Mis Lancing, 61

gabapentin TAB 600MG, 42

fluoxetine TAB 20MG, 37, 47

Foracare Gdh Sol High, 61

gabapentin TAB 800MG, 43

fluoxetine TAB 60MG, 37

Foracare Gdh Sol Low, 61

Gabitril TAB 12MG, 43

Fluoxetine TAB 60MG, 37

Foracare Gdh Sol Normal, 61


fluphenaz DE inj 25MG/ML, 38

Forfivo XL TAB 450MG, 38


Fluphenazine CON 5MG/ML, 39

Fortamet TAB 1000MG, 26


Fluphenazine Elx 2.5/5ML, 39

Fortamet TAB 500MG, 26

Galafold CAP 123MG, 29

Fluphenazine Inj 2.5MG/ML, 39

Fortaz Inj 1gm, 1

galantamine CAP 16MG ER, 45

fluphenazine TAB 10MG, 38

Forteo Sol 600/2.4, 27



Fortesta Gel 10MG/Act, 23


fluphenazine TAB 2.5MG, 38

Fortiscare Sol Cntl HI, 61

Galantamine Sol 4MG/ML, 46


Fortiscare Sol Cntl Low, 61

galantamine TAB 12MG, 45

flurandrenol CRE 0.05%, 19

Fortiscare Sol Cntl Nml, 61


flurandrenol lot 0.05%, 19

Fosamax + D TAB 70-2800, 27


flurandrenol oin 0.05%, 19

Fosamax + D TAB 70-5600, 27

Gardasil 9 Inj, 58

Flurazepam CAP 15MG, 40

Fosamax TAB 70MG, 27

Gardasil Inj, 58

Flurazepam CAP 30MG, 40

fosamprenavi TAB 700MG, 4

Gastrocrom CON 100/5ML, 33

flurbiprofen sol 0.03% op, 50

fosinop/hctz TAB 10/12.5, 12

Gatifl-dexam Sol 0.5-0.1%, 49

flurbiprofen TAB 100MG, 53

fosinop/hctz TAB 20/12.5, 12

gatifloxacin sol 0.5%, 48

flurbiprofen TAB 50MG, 53

fosinopril TAB 10MG, 11

Gattex Kit 5MG, 33

flutamide CAP 125MG, 6


gavilyte-c sol, 30

fluticasone CRE 0.05%, 19


gavilyte-G sol, 30

Fluticasone Inh Salmeter, 57

Fosrenol Chw 1000MG, 33

gavilyte-h kit, 30

fluticasone lot 0.05%, 19


gavilyte-n sol flav pk, 30

fluticasone oin 0.005%, 19


Ge100 Contrl Sol Normal, 61

fluvastatin CAP 20MG, 15

Fosrenol Pow 1000MG, 33

Gebauers Spr Aer /Stretch, 21

fluvastatin CAP 40MG, 15

Fosrenol Pow 750MG, 33

Gelnique Gel 10%, 33

fluvastatin TAB 80MG ER, 15

Fragmin Inj 10000/ML, 35

Gelnique Gel 10% P.M., 33

Fluvirin Inj 2015-16, 58


gemfibrozil TAB 600MG, 15



Generess FE Chw, 25



generlac sol 10gm/15, 32

fluvoxamine CAP 100MG ER, 37


gengraf CAP 100MG, 7

fluvoxamine CAP 150MG ER, 38


gengraf CAP 25MG, 7

gengraf CAP 50MG, 7

glimepiride TAB 4MG, 26

glycopyrrol TAB 2MG, 31

gengraf sol 100MG/ML, 7

glip/metform TAB 2.5-250m, 27

Glycopyrrola TAB 1.5MG, 31

Genicin TAB Vita-d, 35

glip/metform TAB 2.5-500m, 27

glydo gel 2%, 20

Genotropin Inj 0.2MG, 28

glip/metform TAB 5-500MG, 27

Glynase TAB 1.5MG, 26


glipizide ER TAB 10MG, 26

Glynase TAB 3MG, 26


glipizide ER TAB 2.5MG, 26

Glynase TAB 6MG, 26


glipizide ER TAB 5MG, 26

Glyset TAB 100MG, 26


glipizide TAB 10MG, 26

Glyset TAB 25MG, 26


glipizide TAB 5MG, 26

Glyset TAB 50MG, 26


glipizide XL TAB 10MG, 26

Glyxambi TAB 10-5 MG, 27


glipizide XL TAB 2.5MG, 26

Glyxambi TAB 25-5 MG, 27

Genotropin Inj 12MG, 28

glipizide XL TAB 5MG, 26

Gnp Lancets Mis, 61


Global 28G Mis Lancets, 61

Gnp Lancets Mis 21G, 61


Global 30G Mis Lancets, 61

Gnp Lancets Mis Micro, 61


Global Lanc Mis Device, 61

Gnp Lancets Mis Sup Thin, 61

Gentak Oin 0.3% Op, 48

Gluc Control Liq Normal, 61

Gnp Lancets Mis Thin, 61

gentamicin CRE 0.1%, 17

Gluc Control Sol, 61

Gnp Lancets Mis Thin 26G, 61

gentamicin inj 40MG/ML, 3

Gluc Control Sol Level 1, 61

gnp nicotine dis 14MG/24h, 45

gentamicin oin 0.1%, 17

Gluc Control Sol Level 2, 61

gnp nicotine dis 21MG/24h, 45

gentamicin oin 0.3% op, 48

Gluc Control Sol Mid, 61

gnp nicotine dis 7MG/24HR, 45

gentamicin sol 0.3% op, 48

Gluc Control Sol Normal, 61

gnp nicotine gum 2MG mint, 46

Genteel Lanc Mis Black, 61

Glucagen Inj Hypokit, 26

gnp nicotine gum 2MG orig, 46

Genteel Lanc Mis Blue, 61

Glucagon Kit 1MG, 26

gnp nicotine gum 4MG mint, 46

Genteel Lanc Mis Gold, 61

Glucocard 01 Liq Norm/Hgh, 61

gnp nicotine gum 4MG orig, 46

Genteel Lanc Mis Pink, 61

Glucocard 01 Sol Normal, 61

gnp nicotine loz 2MG mint, 46

Genteel Lanc Mis Platinum, 61

Glucocard Liq Level 1, 61

gnp nicotine loz 4MG mint, 46

Genteel Lanc Mis Purple, 61

Glucocard Sol Normal, 61

gnp nicotine loz mini 2MG, 46

Genteel Lanc Mis Silver, 61

Glucocard Sol Shine, 61

Gocovri CAP 137MG, 45

Genteel Lanc Mis White, 61

Glucocom Mis 28G, 61

Gocovri CAP 68.5MG, 45

Genteel Mis Lancets, 61


Golytely Sol, 30

Genteel Mis Nozzles, 61


Golytely Sol Pineappl, 30

Genteel Tips Mis Blue, 61

Glucocom Tes High CON, 61

Gonitro Pow 400mcg, 9

Genteel Tips Mis Clear, 61

Glucocom Tes Norm CON, 61

Goodsense Mis Lanc 26G, 61

Genteel Tips Mis Green, 61

Glucophage TAB 1000MG, 26


Genteel Tips Mis Orange, 61



Genteel Tips Mis Rainbow, 61

Glucophage TAB 500MG XR, 26

Goodsense Mis Lanc Dvc, 61

Genteel Tips Mis Violet, 61

Glucophage TAB 750MG XR, 26

Goprelto Sol 40MG/ML, 56

Genteel Tips Mis Yellow, 61


Gralise Star Mis 300/600, 47

Gentle-let Mis 26G, 61

Glucose Cont Liq High/Low, 61

Gralise TAB 300MG, 47

Gentle-let Mis 28G, 61

Glucose Cont Sol High, 61

Gralise TAB 600MG, 47

Gentle-let Mis Lancets, 61

Glucose Cont Sol Normal, 61

granisetron TAB 1MG, 31

Gentle-let Mis Platform, 61

Glucose Cont Sol Precisio, 61

Granix Inj 300/0.5, 35

Genvoya TAB, 4

Glucosource Mis Lanc Dev, 61

Granix Inj 300/1ML, 35

Geodon CAP 20MG, 40

Glucosource Mis Lancets, 61


Geodon CAP 40MG, 40

Glucotrol TAB 10MG, 26


Geodon CAP 60MG, 40

Glucotrol TAB 5MG, 26

Gris-peg TAB 125MG, 3

Geodon CAP 80MG, 40

Glucotrol XL TAB 10MG, 26

Gris-peg TAB 250MG, 3

Geodon Inj 20MG, 40

Glucotrol XL TAB 2.5MG, 26

griseofulvin sus 125/5ML, 3

gianvi TAB 3-0.02MG, 25

Glucotrol XL TAB 5MG, 26

griseofulvin TAB micr 500, 3

Giazo TAB 1.1gm, 33

Glucovance TAB 2.5-500, 27

griseofulvin TAB ultr 125, 3

gildagia TAB 0.4-35, 24

Glucovance TAB 5-500MG, 27

griseofulvin TAB ultr 250, 3

Gilenya CAP 0.25MG, 46

Glumetza TAB 1000MG, 26

guanfacine TAB 1MG, 12

Gilenya CAP 0.5MG, 47

Glumetza TAB 500MG, 26

guanfacine TAB 1MG ER, 41

Gilotrif TAB 20MG, 7

glyb/metform TAB 1.25-250, 27

guanfacine TAB 2MG, 12


glyb/metform TAB 2.5-500, 27



glyb/metform TAB 5-500MG, 27


glatiramer inj 20MG/ML, 45

glyburid mcr TAB 1.5MG, 26


glatiramer inj 40MG/ML, 47

glyburid mcr TAB 3MG, 26

Guanidine TAB 125MG, 48

glatopa inj 20MG/ML, 45

glyburid mcr TAB 6MG, 26

Gynazole-1 CRE 2%, 34

glatopa inj 40MG/ML, 47

glyburide TAB 1.25MG, 26

H

Gleevec TAB 100MG, 8

glyburide TAB 2.5MG, 26

H.p. Acthar Inj 80unit, 28

Gleevec TAB 400MG, 8

glyburide TAB 5MG, 26

Haegarda Inj 2000unit, 36

Gleostine CAP 100MG, 6

Glycate TAB 1.5MG, 31

Haegarda Inj 3000unit, 36


glycopyrrol inj 0.2MG/ML, 31

Haemolance Mis High FLO, 61


glycopyrrol inj 0.4/2ML, 31

Haemolance Mis Low Flow, 61


glycopyrrol inj 1MG/5ML, 31

Haemolance Mis Plus, 61


glycopyrrol inj 4MG/20ML, 31

Haemolance Mis Plus Low, 61


glycopyrrol TAB 1MG, 31

Haemolance Mis Plus Max, 61

Haemolance Mis Plus PED, 61

Hlthy Accnts Mis Lanc 30G, 61

hydroc/homat TAB 5-1.5MG, 56

Haemolance Mis Retract, 61

HM Insulin S Mis 0.3/31G, 61

hydrochlorot CAP 12.5MG, 14

hailey 24 TAB FE, 25

HM Insulin S Mis 1ML/30G, 61

hydrochlorot TAB 12.5MG, 14

Halcion TAB 0.25MG, 41

HM nicotine dis 14MG/24h, 46

hydrochlorot TAB 25MG, 14

Haldol Decan Inj 100MG/ML, 40

HM nicotine dis 21MG/24h, 46

hydrochlorot TAB 50MG, 14

Haldol Decan Inj 50MG/ML, 40

HM nicotine dis 7MG/24HR, 46

hydroco/apap sol 7.5-325, 51

Haldol Inj 5MG/ML, 40

HM nicotine gum 2MG mint, 47

hydroco/apap TAB 10-300MG, 51

Halobetasol Aer 0.05%, 19

HM nicotine gum 4MG mint, 47


halobetasol CRE 0.05%, 19

HM nicotine loz 2MG mint, 47

hydroco/apap TAB 2.5-325, 51

halobetasol oin 0.05%, 19

HM nicotine loz 4MG mint, 47


Halog CRE 0.1%, 19

HM Ulticare Mis 31GX8MM, 61


Halog Oin 0.1%, 19

Hold Chamber Mis Adlt LG, 65


haloper DEC inj 100MG/ML, 38

Hold Chamber Mis Medium, 65


haloper DEC inj 500/5ML, 39

Hold Chamber Mis Small, 65

hydrocod/hom syp 5-1.5/5, 56

haloper DEC inj 50MG/ML, 39

homatropaire sol 5% op, 49

hydrocod/ibu TAB 10-200MG, 51

haloper lac inj 5MG/ML, 38

homatropine sol 5% op, 49

hydrocod/ibu TAB 5-200MG, 51

haloperidol CON 2MG/ML, 39

Horizant TAB 300MG ER, 47

hydrocod/ibu TAB 7.5-200, 51

haloperidol inj 50/10ML, 39

Horizant TAB 600MG ER, 47

hydrocodone sol 10-325MG, 51

haloperidol inj 5MG/ML, 39

HPR Aer, 21

hydrocort ac sup 25MG, 32

haloperidol TAB 0.5MG, 39

HPR Plus Aer, 21

hydrocort ac sup 30MG, 32

haloperidol TAB 10MG, 39

HPR Plus CRE, 21

hydrocort CRE 1%, 19, 32


Humalog Inj 100/ML, 25

hydrocort CRE 2.5%, 19


Humalog JR Inj 100/ML, 25

hydrocort ene 100MG, 32


Humalog Kwik Inj 100/ML, 25

hydrocort lot 2.5%, 19


Humalog Kwik Inj 200/ML, 25

hydrocort oin 1%, 19

Halotin CRE 1%, 18

Humalog Mix Inj 50/50, 25

hydrocort oin 2.5%, 19

Harvoni TAB 90-400MG, 4

Humalog Mix Inj 50/50kwp, 25

hydrocort TAB 10MG, 21

Havrix Inj 1440unit, 58

Humalog Mix Inj 75/25kwp, 25


Havrix Inj 720unit, 58

Humalog Mix Sus 75/25, 25


HC butyrate CRE 0.1%, 19

Humatrope Inj 12MG, 28

hydrocort/ab oin 1%, 19

HC butyrate oin 0.1%, 19


hydrocortiso CRE 2.5%, 32

HC butyrate sol 0.1%, 19


hydrocortiso lot 0.1%, 19

HC Lancing Mis Device, 61


hydrocortiso oin absorbas, 19

HC pramoxine CRE 1-1%, 33

Humira Inj 10/0.1ML, 54

hydromet syp 5-1.5/5, 56

HC pramoxine CRE 2.5-1%, 19

Humira Inj 10MG/0.2, 54

hydromorphon inj 1MG/ML, 51

HC valerate CRE 0.2%, 19


Hydromorphon Inj 1MG/ML, 51

HC valerate oin 0.2%, 19


hydromorphon inj 2MG/ML, 51

HC-lidocaine CRE 1-1%, 19

Humira Kit 20MG/0.4, 54


HC/acet acid sol otic, 50

Humira Kit 40MG/0.8, 54


Healthpro Sol High/Low, 61

Humira Pedia Inj Crohns, 54

hydromorphon liq 1MG/ML, 51

heather TAB 0.35MG, 24

Humira Pen Inj 40/0.4ML, 54

Hydromorphon Sup 3MG, 51

Hectorol CAP 0.5mcg, 29

Humira Pen Inj 40MG/0.8, 54

hydromorphon TAB 12MG ER, 51

Hectorol CAP 1mcg, 29

Humira Pen Inj CD/Uc/HS, 54


Hectorol CAP 2.5mcg, 29

Humira Pen Inj PS/UV, 54

hydromorphon TAB 2MG, 51

Hemangeol Sol 4.28/ML, 10

Humira Pen Kit CD/Uc/HS, 54


Hemlibra Inj 105/0.7, 36

Humira Pen Kit PS/UV, 54


Hemlibra Inj 150/ML, 36

Humulin Inj 70/30, 25


Hemlibra Inj 30MG/ML, 36

Humulin Inj 70/30kwp, 25


Hemlibra Inj 60/0.4, 36

Humulin N Inj U-100, 25

hydroxychlor TAB 200MG, 5

hemmorex-HC sup 25MG, 32

Humulin N Inj U-100kwp, 25

hydroxyprog inj 250MG/ML, 25

hemmorex-HC sup 30MG, 32

Humulin R Inj U-100, 25

hydroxyurea CAP 500MG, 8

Hep Sod/NACL Inj 1000unit, 35

Humulin R Inj U-500, 25

hydroxyz HCL syp 10MG/5ML, 36

Hep Sod/NACL Inj 2000unit, 35

hyaluronate gel 0.2%, 20

hydroxyz HCL TAB 10MG, 36

heparin sod inj 1000/ML, 35

Hycamtin CAP 0.25MG, 8



Hycamtin CAP 1MG, 8


heparin sod inj 5000/0.5, 35

Hycofenix Sol, 56

Hydroxyz Pam CAP 100MG, 36


HYD pol/CPM sus 10-8/5ML, 56

hydroxyz pam CAP 25MG, 36

Heplisav-b Inj 20/0.5ML, 58

Hydr/CPM/PSE Liq 5-4-60MG, 56

hydroxyz pam CAP 50MG, 36

Heplisav-b Inj 20mcg, 58

hydralazine TAB 100MG, 12

Hylatopic Aer Plus, 21

Hepsera TAB 10MG, 5


Hylatopic CRE Plus, 21

Hetlioz CAP 20MG, 41


Hylira Gel 0.2%, 21

Hexalen CAP 50MG, 6


Hylira Lot 0.1%, 21

Hiberix Sol 10mcg, 58

Hydrea CAP 500MG, 8

hyolev mb TAB 81MG, 33

Hiprex TAB 1gm, 33

Hydro 35 Aer, 21

Hyophen TAB, 33

Hizentra Inj 10/50ML, 58

Hydro 40 Aer Foam, 21

hyoscyamine dro 0.125/ML, 31

Hizentra Inj 1gm/5ML, 58

Hydro/Aceta Sol 10-325MG, 52

hyoscyamine elx 0.125/5, 31


hydro/chlor/ liq 5-4-60MG, 56

hyoscyamine sub 0.125MG, 31


Hydroc/Guaif Sol 2.5-200, 56

hyoscyamine TAB 0.125MG, 31

hyoscyamine TAB 0.375 ER, 31

Imvexxy Strt Sup 4mcg, 34

Insulin Syrg Mis 1ML/27G, 61

hyoscyamine TAB 0.375 SR, 31

IN Control Mis 31GX5MM, 62


hyosyne dro 0.125/ML, 31



hyosyne elx 0.125/5, 31



Hyper-sal Neb 7%, 56

IN Touch Lan Mis 30G, 62


Hypersal Neb 3.5%, 56

IN Touch Lan Mis Device, 62

Insulin Syrg Mis 1MLX30G, 61

Hypersal Neb 7%, 56

IN Touch Sol Glucose, 62

Insulin Syrg Mis 2/27.5G, 61

Hypocyn Spr, 21

incassia TAB 0.35MG, 24

Insulin Syrg Mis 27GX1/2", 61

Hypolance Kit Lancing, 61

Incontrol Mis 29GX12MM, 61


Hysingla ER TAB 100 MG, 52

Incontrol Mis Lanc 28G, 61







Insulin Syrg Mis 30GX5/16, 61


Incontrol Mis Lanc Dev, 61

Insulin Syrg Mis 30GX8MM, 61


Increlex Inj 40MG/4ML, 28

Insulin Syrg Mis 31GX5/16, 61


Incruse Elpt Inh 62.5mcg, 57



indapamide TAB 1.25MG, 14


Hyzaar TAB 100-12.5, 13

indapamide TAB 2.5MG, 14

Insupen Mis 29GX12MM, 61

Hyzaar TAB 100-25, 13

Inderal LA CAP 120MG, 10


Hyzaar TAB 50-12.5, 13



I





ibandronate TAB 150MG, 27

Inderal XL CAP 120MG, 10

Insupen Sens Mis 32GX6MM, 62

Ibrance CAP 100MG, 8

Inderal XL CAP 80MG, 10

Insupen Sens Mis 32GX8MM, 62

Ibrance CAP 125MG, 8

indiomin mb CAP 120MG, 33

Insupen Ultr Mis 29GX12MM, 62

Ibrance CAP 75MG, 8

Indocin Sup 50MG, 54


ibu TAB 400MG, 53

Indocin Sus 25MG/5ML, 54


ibu TAB 600MG, 53

indomethacin CAP 25MG, 53


ibu TAB 800MG, 53

indomethacin CAP 50MG, 53

Intelence TAB 100MG, 4

Ibudone TAB 10-200MG, 52

indomethacin CAP 75MG ER, 53


ibudone TAB 5-200MG, 51

Infanrix Inj, 58


ibuprofen sus 100/5ML, 54

Infasurf Sus 35MG/ML, 58

Intermezzo Sub 1.75MG, 41

ibuprofen TAB 400MG, 53

Infinity Sol High CON, 61

Intermezzo Sub 3.5MG, 41


Infinity Sol Low CON, 61

Intrarosa Sup 6.5MG, 34


Infinity Sol Norm CON, 61

Intron A Inj 10mu, 8

Iclusig TAB 15MG, 8

Influenza Firus Vaccine, 58


Iclusig TAB 45MG, 8

Infnty Voice Liq Level 2, 61


Idhifa TAB 100MG, 8

Ingrezza CAP 40MG, 47


Idhifa TAB 50MG, 8

Ingrezza CAP 80MG, 47

introvale TAB, 25

Ilevro Dro 0.3% Op, 50

Inlyta TAB 1MG, 8

Intuniv TAB 1MG, 42

imatinib mes TAB 100MG, 7

Inlyta TAB 5MG, 8

Intuniv TAB 2MG, 42

imatinib mes TAB 400MG, 7

Innopran XL CAP 120MG, 10

Intuniv TAB 3MG, 42

Imbruvica CAP 140MG, 7

Innopran XL CAP 80MG, 10

Intuniv TAB 4MG, 42

Imbruvica CAP 70MG, 7

Inspirachamb Mis Large, 65

Invega Sust Inj 117/0.75, 39

Imbruvica TAB 140MG, 7

Inspirachamb Mis Medium, 65

Invega Sust Inj 156MG/ML, 39


Inspirachamb Mis Mouthpce, 65



Inspirachamb Mis Small, 65



Inspirease Mis Dd Syst, 65

Invega Sust Inj 78/0.5ML, 39

imipram HCL TAB 10MG, 37

Inspra TAB 25MG, 12

Invega TAB 1.5MG, 40


Inspra TAB 50MG, 12

Invega TAB 3MG, 40


Insulin Pen Mis 29GX12MM, 61

Invega TAB 6MG, 40

imipram pam CAP 100MG, 38


Invega TAB 9MG, 40



Invega Trinz Inj 273MG, 39


Insulin Syrg Mis 0.3/28G, 61





Imiquimod CRE 3.75%pmp, 20



imiquimod CRE 5%, 20


Inveltys Sus 1%, 49

Imitrex Inj 4MG/0.5, 55

Insulin Syrg Mis 0.3ML/30, 61

Invirase CAP 200MG, 4

Imitrex Inj 6MG/0.5, 55

Insulin Syrg Mis 0.3ML/31, 61

Invirase TAB 500MG, 4

Imitrex Spr 20MG/Act, 55


Invokamet TAB 150-1000, 27

Imitrex Spr 5MG/Act, 55



Imitrex TAB 100MG, 55





Invokamet TAB 50-500MG, 27



Invokamet XR TAB 150-1000, 27

Impavido CAP 50MG, 6

Insulin Syrg Mis 1/2ML/30, 61


Impoyz CRE 0.025%, 19

Insulin Syrg Mis 1/2ML/31, 61


Imuran TAB 50MG, 7

Insulin Syrg Mis 1ML, 61

Invokamet XR TAB 50-500MG, 27

Imvexxy Main Sup 10mcg, 34


Invokana TAB 100MG, 26

Imvexxy Main Sup 4mcg, 34


Invokana TAB 300MG, 26

Imvexxy Strt Sup 10mcg, 34

Ionsys Pad 40mcg/Ac, 52

jantoven TAB 2MG, 35

Kapspargo CAP 25MG, 10

Iopidine Sol 0.5% Op, 50



Iopidine Sol 1% Op, 50


Kapvay TAB 0.1 MG, 42

Ipol Inj Inactive, 58


Karbinal ER Sus 4MG/5ML, 56

ipratropium sol 0.02%inh, 57


kariva TAB 28 day, 25

ipratropium spr 0.03%, 56

jantoven TAB 7.5MG, 35

Kazano 12.5- TAB 1000MG, 27

ipratropium spr 0.06%, 56

Janumet TAB 50-1000, 27

Kazano 12.5- TAB 500MG, 27

ipratropium/ sol albuter, 57

Janumet TAB 50-500MG, 27

Keflex CAP 250MG, 1

irbesar/hctz TAB 150-12.5, 12

Janumet XR TAB 100-1000, 27

Keflex CAP 500MG, 1

irbesar/hctz TAB 300-12.5, 12

Janumet XR TAB 50-1000, 27

Keflex CAP 750MG, 1

irbesartan TAB 150MG, 12

Janumet XR TAB 50-500MG, 27

kelnor 1/50 TAB, 24


Januvia TAB 100MG, 27

kelnor TAB 1/35, 24



Kenalog Aer Spray, 19

Iressa TAB 250MG, 7


Kenalog-10 Inj 10MG/ML, 22

Isentress Chw 100MG, 4

Jardiance TAB 10MG, 26

Kenalog-40 Inj 40MG/ML, 22

Isentress Chw 25MG, 4

Jardiance TAB 25MG, 26

Keppra Sol 100MG/ML, 43

Isentress HD TAB 600MG, 4

jencycla TAB 0.35MG, 24

Keppra TAB 1000MG, 43

Isentress Pow 100MG, 5

Jentadueto TAB 2.5-1000, 27


Isentress TAB 400MG, 4



isibloom TAB, 24



isibloom TAB 0.15-30, 24

Jentadueto TAB XR, 27

Keppra XR TAB 500MG, 43

Isoniazid Syp 50MG/5ML, 3

jevantique l TAB 0.5-2.5, 23

Keppra XR TAB 750MG, 43

isoniazid TAB 100MG, 3

jinteli TAB 1MG-5mcg, 23

Keralac CRE 47%, 21

isoniazid TAB 300MG, 3

jolessa TAB, 25

Keralyt Gel 6%, 21

isoproteren inj 0.2MG/ML, 57

jolivette TAB 0.35MG, 24

Kerydin Sol 5%, 18

isoproteren inj 1MG/5ML, 57

Jublia Sol 10%, 18

ketoconazole aer 2%, 18

Isopto Carp Sol 1% Op, 49

juleber TAB, 24

ketoconazole CRE 2%, 17


Juluca TAB 50-25MG, 4

ketoconazole sha 2%, 17


junel 1.5/30 TAB, 24

ketoconazole TAB 200MG, 3

Isordil TAB 40MG, 9

junel 1/20 TAB, 24

Ketoprofen CAP 200MG ER, 54

Isordil TAB 5MG, 9

junel FE 24 TAB 1/20, 25

Ketoprofen CAP 25MG, 54

isosorb din TAB 10MG, 9

junel FE TAB 1.5/30, 24

ketoprofen CAP 50MG, 54


junel FE TAB 1/20, 24



Juxtapid CAP 10MG, 15

ketoprofen CAP 75MG, 54

Isosorb Din TAB 40MG ER, 9





ketorolac inj 15MG/ML, 53

isosorb mono TAB 10MG, 9


ketorolac inj 30MG/ML, 53

isosorb mono TAB 120MG ER, 9


ketorolac inj 60MG/2ML, 53

isosorb mono TAB 20MG, 9


ketorolac sol 0.4%, 50


Jynarque PAK 45-15MG, 28

ketorolac sol 0.5%, 50



ketorolac TAB 10MG, 54

isotretinoin CAP 10MG, 16


Keveyis TAB 50MG, 14


K

Kevzara Inj 150/1.14, 54


Kevzara Inj 200/1.14, 54

k citrate sol citr acd, 34


Khedezla TAB 100MG ER, 38

K-phos TAB NO 2, 34

isradipine CAP 2.5MG, 10

Khedezla TAB 50MG ER, 38

K-TAB Tab 10meq CR, 66

isradipine CAP 5MG, 10

kimidess TAB, 25

K-TAB Tab 20meq, 66

Istalol Sol 0.5% Op, 49

Kineret Inj, 54

K-TAB Tab 8meq CR, 66

Isuprel Inj 0.2MG/ML, 57

Kinney Mis Lancets, 62

K/NA Citrate Sol Citr Acd, 34

itraconazole CAP 100MG, 3

Kinney Thin Mis Lancets, 62

Kadian CAP 100MG ER, 52

itraconazole sol 10MG/ML, 3

Kinrix Inj, 58


ivermectin TAB 3MG, 5

Kisqali 200 PAK Femara, 8


J




Jadenu Sprkl Gra 180MG, 66


Kisqali TAB 200dose, 8







Jadenu TAB 180MG, 66


Kitabis PAK Neb 300/5ML, 3

Jadenu TAB 360MG, 66


Klaron Lot 10%, 17

Jadenu TAB 90MG, 66

kaitlib FE chw, 25

klofensaid sol II, 18

Jakafi TAB 10MG, 8

Kaletra Sol, 5

Klonopin TAB 0.5MG, 43

Jakafi TAB 15MG, 8

Kaletra TAB 100-25MG, 4

Klonopin TAB 1MG, 43

Jakafi TAB 20MG, 8

Kaletra TAB 200-50MG, 4

Klonopin TAB 2MG, 44

Jakafi TAB 25MG, 8

Kalydeco PAK 50MG, 58

klor-CON 10 TAB 10meq ER, 65

Jakafi TAB 5MG, 8

Kalydeco PAK 75MG, 58

klor-CON 8 TAB 8meq ER, 66

Jalyn CAP, 34

Kalydeco TAB 150MG, 58

klor-CON PAK 20meq, 65


Kamdoy Emu, 21

klor-CON pow 20meq, 65



klor-CON spr CAP 10meq, 65

jantoven TAB 2.5MG, 35


klor-CON spr CAP 8meq, 65

lamotrigine kit start 49, 43

lansoprazole TAB 30MG, 31

Klor-CON/25 Pow 25meq, 66


lansoprazole TAB 30MG odt, 31

kls quit2 gum 2MG, 46

lamotrigine TAB 100MG, 43

lanthanum chw 1000MG, 32

kls quit2 loz 2MG, 46

lamotrigine TAB 100MG ER, 43


kls quit4 gum 4MG, 46



kls quit4 loz 4MG, 46


Lantus Inj 100/ML, 25

Kombiglyz XR TAB 2.5-1000, 27


Lantus Solos Inj 100/ML, 25

Kombiglyz XR TAB 5-1000MG, 27


Lanzo Mis Lancing, 62

Kombiglyz XR TAB 5-500MG, 27


larin 24 TAB FE 1/20, 25

Korlym TAB 300MG, 26


larin FE TAB 1.5/30, 24

Krintafel TAB 150MG, 5

lamotrigine TAB 25MG odt, 43

larin FE TAB 1/20, 24

Kristalose PAK 10gm, 30


larin TAB 1.5/30, 24

Kristalose PAK 20gm, 30


larin TAB 1/20, 24

Kroger Lance Mis, 62

lamotrigine TAB 50MG odt, 43

larissia TAB, 24

Kroger Lance Mis Thin, 62

Lancet Alter Mis Site 26G, 62

Lasix TAB 20MG, 14

Kroger Lance Mis Thin 30G, 62

Lancet Auto Mis Injector, 62

Lasix TAB 40MG, 14

kurvelo TAB 0.15/30, 24

lancet carry mis case, 59

Lasix TAB 80MG, 14

Kuvan Pow 100MG, 29

Lancet Carry Mis Case, 62

Lastacaft Sol 0.25%, 50

Kuvan Pow 500MG, 29

Lancet Devic Mis Adjust, 62

latanoprost sol 0.005%, 49

Kuvan TAB 100MG, 29

Lancet Micro Mis Thin 33G, 62

Latanoprost Sol 0.005%, 49

Kynamro Inj 200MG/ML, 15

Lancet Stand Mis 21G, 62

Latuda TAB 120MG, 40

L

Lancet Super Mis Thin 30G, 62

Latuda TAB 20MG, 40

Lancet Ultra Mis 28G, 62

Latuda TAB 40MG, 40

labetalol TAB 100MG, 9

Lancet Ultra Mis Fine, 62

Latuda TAB 60MG, 40


Lancet Ultra Mis Thin 28G, 62

Latuda TAB 80MG, 40


Lancet Ultra Mis Thin 30G, 62

layolis FE chw, 25

Lac-hydrin CRE 12%, 21

Lancet With Mis Ejector, 62

Lazanda Spr 100mcg, 52

Lac-hydrin Lot 12%, 21

Lancets Micr Mis Thin 33G, 62


Lacrisert Mis 5MG Op, 48

Lancets Mis, 62


lactic acid CRE /vit e, 20

Lancets Mis 21G, 62

Lb Lancet Mis 28G, 62

lactic acid CRE e, 20

Lancets Mis 21G Colr, 62

Lb Lancing Mis Device, 62

lactic acid lot 10%, 20

lancets mis 23G, 59

Ldo Plus Gel 4%, 21

lactulose PAK 10gm, 30

Lancets Mis 26G, 62

Ledip-sofosb TAB 90-400MG, 4

lactulose sol 10gm/15, 30, 32

Lancets Mis 28G, 62

leena TAB, 24

lactulose sol 20gm/30, 30

Lancets Mis 30G, 62

leflunomide TAB 10MG, 53

Lamictal Chw 25MG, 44

Lancets Mis 31G, 62

leflunomide TAB 20MG, 53

Lamictal Chw 5MG, 44

Lancets Mis 33G, 62

Lenvima CAP 10 MG, 8

Lamictal Kit Start 35, 44

Lancets Mis Colored, 62

Lenvima CAP 12MG, 8


Lancets Mis Orange, 62



Lancets Mis Original, 62


Lamictal Odt Kit, 44

Lancets Mis Thin, 62


Lamictal Odt TAB 100MG, 44

Lancets Mis Thin 26G, 62



Lancets Mis Thin 30G, 62

Lenvima CAP 4MG, 8


Lancets Supr Mis Thin 28G, 62

Lenvima CAP 8 MG, 8


Lancets Thin Mis, 62

Lescol XL TAB 80MG, 15

Lamictal TAB 100MG, 44

Lancets Thin Mis 26G, 62

lessina TAB, 24


Lancets Thin Mis 30G, 62

Letairis TAB 10MG, 15


Lancets Ultr Mis Thin, 62

Letairis TAB 5MG, 15


Lancets Ultr Mis Thin 28G, 62

letrozole TAB 2.5MG, 6

Lamictal XR Kit, 44

Lancets Ultr Mis Thin 30G, 62

Leucovor CA TAB 10MG, 8

Lamictal XR TAB 100MG, 44

Lancing Devi Mis, 62

Leucovor CA TAB 15MG, 8


Lancing Devi Mis 25G, 62

leucovor CA TAB 25MG, 8


Lancing Devi Mis 30G, 62

leucovor CA TAB 5MG, 8


Lancing Devi Mis Adjust, 62

Leucovorin Inj 100/10ML, 8


Lancing Mis Device, 62

Leukeran TAB 2MG, 6


Lancing Pen Mis, 62

leuprolide inj 1MG/0.2, 6

Lamisil TAB 250MG, 3

Lanoxin Inj 0.25MG/1, 9

leva set kit 2.5-2.5%, 20

lamivud/zido TAB 150-300, 4

Lanoxin PED Inj 0.1MG/ML, 9

Levalbuterol Aer 45/Act, 57

lamivudine sol 10MG/ML, 4

Lanoxin TAB 0.0625MG, 9

levalbuterol neb 0.31MG, 57

lamivudine TAB 100MG, 4





levalbuterol neb 1.25/0.5, 57




lamotrig odt kit 25/50MG, 43

lansopr/amox mis /clarith, 31

Levaquin TAB 250MG, 3

lamotrig odt kit 50/100MG, 43

lansoprazole CAP 15MG DR, 31


lamotrig odt TAB 100MG, 43

lansoprazole CAP 30MG DR, 31


lamotrigine chw 25MG, 43

Lansoprazole Sus 3MG/ML, 31

Levatio Pad 0.3-5%, 21

lamotrigine chw 5MG, 43

lansoprazole TAB 15MG, 31

Levbid TAB 0.375 ER, 31

lamotrigine kit odt, 43

lansoprazole TAB 15MG odt, 31

Levemir Inj, 25


Levemir Inj Flextouc, 25

levoxyl TAB 88mcg, 29

linezolid TAB 600MG, 5

levetiraceta sol 100MG/ML, 43

Levsin Inj 0.5MG/ML, 31

Linzess CAP 145mcg, 33

levetiraceta sol 500/5ML, 43

Levsin TAB 0.125MG, 31


levetiraceta TAB 1000MG, 43

Levsin/SL Sub 0.125MG, 31



Lexapro Sol 5MG/5ML, 38

liothyronine TAB 25mcg, 29


Lexapro TAB 10MG, 38


levetiraceta TAB 500MG ER, 43

Lexapro TAB 20MG, 38



Lexapro TAB 5MG, 38

Lipitor TAB 10MG, 15

levetiraceta TAB 750MG ER, 43

Lexette Aer 0.05%, 19


levo-ETH est TAB 90-20mcg, 25

Lexiva Sus 50MG/ML, 4


levo-t TAB 100mcg, 29

Lexiva TAB 700MG, 5



Lexuss 210 Liq 2-10/5ML, 56

Lipofen CAP 150MG, 15


Lialda TAB 1.2gm, 32

Lipofen CAP 50MG, 15


Librax CAP 5-2.5MG, 31

liprozonepak kit 2.5-2.5%, 20


lidenza pad 4-1%, 20

lisinop/hctz TAB 10-12.5, 12


lido bdk kit, 20

lisinop/hctz TAB 20-12.5, 12

levo-t TAB 200 mcg, 29

Lido-hydro Gel 2.8-0.55, 33

lisinop/hctz TAB 20-25MG, 13


lido-k lot 3%, 20

lisinopril TAB 10MG, 11

levo-t TAB 300 mcg, 29

lido-prilo kit 2.5-2.5%, 20

lisinopril TAB 2.5MG, 11


lido/epi 1%- inj 1:100000, 55



lido/prilocn CRE 2.5-2.5%, 20



lido/prilocn kit 2.5-2.5%, 20


levo/liothyr TAB 120MG, 29

Lidocain HCL Inj 10MG/ML, 55



Lidocain HCL Inj 40MG/2ML, 55

Lite Touch Mis Lanc Pen, 62


Lidocain HCL Inj 60MG/3ML, 55

Lite Touch Mis Lancets, 62


lidocaine CRE 3%, 20

Liteaire Mis, 65


lidocaine CRE 3.88%, 20

Litetouch Mis 29GX12.7, 62

levobunolol sol 0.5% op, 48

lidocaine gel 2%, 20

Litetouch Mis 31GX8MM, 62

levocarnitin sol 1gm/10ML, 29

lidocaine gel 2% jelly, 20

Litetouch Mis Lancets, 62

levocarnitin TAB 330MG, 29

Lidocaine HC CRE 4.12%, 21

lithium CARB CAP 150MG, 39

levocetirizi sol 2.5/5ML, 55

Lidocaine HC Inj 200/10ML, 55

Lithium CARB CAP 150MG, 39

levocetirizi TAB 5MG, 55

lidocaine inj 0.5%, 55


levofloxacin sol 0.5%, 48

lidocaine inj 1%, 55


levofloxacin sol 25MG/ML, 3

lidocaine inj 1.5%, 55

Lithium CARB CAP 600MG, 39

levofloxacin TAB 250MG, 3

Lidocaine Inj 100/5ML, 55

lithium CARB TAB 300MG, 39


Lidocaine Inj 10MG/ML, 55

lithium CARB TAB 300MG ER, 39


lidocaine inj 2%, 55

lithium CARB TAB 450MG ER, 39

levonest TAB, 24

Lidocaine Inj 400/20ML, 55

Lithium Sol 8meq/5ML, 39

levonor/ethi TAB, 24

lidocaine lot 3%, 20

Lithobid TAB 300MG CR, 40

levonor/ethi TAB 0.1-0.02, 24

lidocaine oin 5%, 20

Lithostat TAB 250MG, 34

levonor/ethi TAB estradio, 24

lidocaine oin PAK 5%, 20

Livalo TAB 1MG, 15

levonorgestr TAB 1.5MG, 24

lidocaine pad 5%, 20

Livalo TAB 2MG, 15

levora-28 TAB 0.15/30, 24

lidocaine sol 2% visc, 36

Livalo TAB 4MG, 15

levorphanol TAB 2MG, 51

lidocaine sol 4%, 20

livixil PAK kit 2.5-2.5%, 20

Levorphanol TAB 3MG, 51

Lidocaine Sol 4%, 36

LO Loestrin TAB 1-10-10, 25

levothyroxin TAB 100mcg, 29

lidocaine-pr CRE, 20

Locoid CRE 0.1%, 19


lidocaine/HC CRE 3%-0.5%, 32

Locoid Lipo CRE 0.1%, 19


lidocaine/HC kit 3%-0.5%, 32

Locoid Lot 0.1%, 19


lidocaine/HC kit 3%-1%, 32

Locoid Oin 0.1%, 19


Lidoderm Dis 5%, 21

Locoid Sol 0.1%, 19


lidopin CRE 3%, 20

Locort PAK 11-day, 22


lidopril kit 2.5-2.5%, 20

Locort PAK 7-day, 22


lidopril XR kit 2.5-2.5%, 20

Lodine TAB 400MG, 54


Lidorx Gel 3%, 21

Lodosyn TAB 25MG, 45


Lidosol-HC CRE 3-0.5%, 19

Loestrin 21 TAB 1.5/30, 25


Lidothol Pad 4.5-5%, 21

Loestrin FE TAB 1.5/30, 25


Lidotral CRE 3.88%, 21

Loestrin FE TAB 1/20, 25

levothyroxine TAB 0.075MG, 29

Lidotrex Gel 2%, 21

Loestrin TAB 1/20-21, 25


Lidovin CRE 3.95%, 21

Lofibra CAP 200MG, 15


lidozion lot 3%, 20

lokara lot 0.05%, 19


Lidozol CRE 3.75%, 21

lomedia 24 TAB FE, 25


Lifescan Mis Unistik2, 62

Lomotil TAB 2.5MG, 30


Liletta Iud 52MG, 25

Longs Lancet Mis Standard, 62


lillow TAB 0.15/30, 24

Longs Lancet Mis Thin, 62


Lincocin Inj 300MG/ML, 6

Longs Lancet Mis Ultra Th, 62


lincomycin inj 300MG/ML, 6

Lonhala Magn Sol 25mcg, 57


Lindane Sha 1%, 21

Lonsurf TAB 15-6.14, 8


linezolid sus 100/5ML, 5

Lonsurf TAB 20-8.19, 8

loperamide CAP 2MG, 30

Lucemyra TAB 0.18MG, 47

Maxalt-MLT TAB 10MG, 55

Lopid TAB 600MG, 15

Luliconazole CRE 1%, 18

Maxalt-MLT TAB 5MG, 55

lopin/riton sol 80-20/ML, 4

Lumigan Sol 0.01%, 49

Maxidex Sus 0.1% Op, 49

lopreeza TAB 0.5-0.1, 23

Lunesta TAB 1MG, 41

Maxipime Inj 1gm, 1

lopreeza TAB 1-0.5MG, 23

Lunesta TAB 2MG, 41

Maxitrol Oin 0.1% Op, 49

Lopress HCT TAB 50-25MG, 13

Lunesta TAB 3MG, 41

Maxitrol Sus 0.1% Op, 49

Lopressor TAB 100MG, 10

Lupr Dep-PED Inj 11.25MG, 28

Maxzide TAB 75-50, 14

Lopressor TAB 50MG, 10

Lupr Dep-PED Inj 15MG, 28

Maxzide-25 TAB, 14

Loprox CRE 0.77%, 18

Lupr Dep-PED Inj 3m 30MG, 28

me/naphos/mb TAB hyo 1, 33

Loprox Kit 0.77%, 18

Lupr Dep-PED Inj 7.5MG, 28

meclizine TAB 12.5MG, 32

Loprox Sha 1%, 18

Lupron Depot Inj 11.25MG, 6

meclizine TAB 25MG, 32

Loprox Sus 0.77%, 18


Meclofen Sod CAP 100MG, 54

lorazepam CON 2MG/ML, 36


Meclofen Sod CAP 50MG, 54

lorazepam inj 2MG/ML, 36

Lupron Depot Inj 30MG, 6

Medi-patch Pad RX, 21

lorazepam TAB 0.5MG, 36

Lupron Depot Inj 45MG, 6

Medichoice Mis Lancet, 62

lorazepam TAB 1MG, 36


Medisense Liq Gluc-ket, 62

lorazepam TAB 2MG, 36

lutera TAB, 24

Medisense Liq Gluc/Ket, 62

Lorbrena TAB 100MG, 8

Luxiq Aer 0.12%, 19

Medlance Mis 30G Plus, 62

Lorbrena TAB 25MG, 8

Luzu CRE 1%, 18

Medlance Mis Extr 21G, 62

lorcet HD TAB 10-325MG, 51

Lynparza CAP 50MG, 8

Medlance Mis Lite 25G, 62

lorcet plus TAB 7.5-325, 51

Lynparza TAB 100MG, 8

Medlance Mis Plus, 62

lorcet TAB 5-325MG, 51

Lynparza TAB 150MG, 8

Medlance Mis Plus 30G, 62

lorenza pad 4-1%, 20

Lyrica CAP 100MG, 44

Medlance Mis Unv 21G, 62

Lortab Elx 10-300MG, 52


Medlance Pls Mis 0.8MM, 62

loryna TAB 3-0.02MG, 25


Medlance Pls Mis Extr 21G, 62

Lorzone TAB 375MG, 48


Medlance Pls Mis Lite 25G, 62

Lorzone TAB 750MG, 48

Lyrica CAP 25MG, 44

Medlance Pls Mis Univ 21G, 62

losartan pot TAB 100MG, 12


medolor PAK kit 2.5-2.5%, 20


Lyrica CAP 50MG, 44

Medrol TAB 16MG, 22


Lyrica CAP 75MG, 44

Medrol TAB 2MG, 22

losartan/HCT TAB 100-12.5, 13

Lyrica CR TAB 165MG, 47

Medrol TAB 32MG, 22

losartan/HCT TAB 100-25, 13

Lyrica CR TAB 330MG, 47

Medrol TAB 4MG, 22

losartan/HCT TAB 50-12.5, 13

Lyrica CR TAB 82.5MG, 47

Medrol TAB 8MG, 22

Loseasonique TAB, 25

Lyrica Sol 20MG/ML, 44

medroxypr ac inj 150MG/ML, 24

Lotemax Gel 0.5%, 49

Lysodren TAB 500MG, 6

medroxypr ac TAB 10MG, 25

Lotemax Oin 0.5%, 49

Lysteda TAB 650MG, 36

medroxypr ac TAB 2.5MG, 25

Lotemax Sus 0.5%, 49

lyza TAB 0.35MG, 24

medroxypr ac TAB 5MG, 25

Lotensin HCT TAB 10-12.5, 13

M

mefenam acid CAP 250MG, 54

Lotensin HCT TAB 20-12.5, 13

Megace ES Sus 625/5ML, 25

M-m-r II Inj, 58

Lotensin HCT TAB 20-25MG, 13

megestrol ac sus 400MG/10, 6

Macrobid CAP 100MG, 33

Lotensin TAB 10MG, 11

megestrol ac sus 40MG/ML, 6

Macrodantin CAP 100MG, 33


megestrol ac TAB 20MG, 6



megestrol ac TAB 40MG, 6


Lotrel CAP 10-20MG, 13

megestrol sus 625MG/5m, 25

Makena Inj 250MG/ML, 25


Meijer Lance Mis Color, 62

Makena Inj 275MG, 25


Meijer Lance Mis Univ 21G, 62

malathion lot 0.5%, 20


Meijer Lance Mis Univ 30G, 62

Maprotiline TAB 25MG, 37

Lotrisone CRE, 18

Meijer Lance Mis Universa, 62


Lotronex TAB 0.5MG, 33

Meijer Mis Lancets, 62


Lotronex TAB 1MG, 33

Mekinist TAB 0.5MG, 7

Marinol CAP 10MG, 32

lovastatin TAB 10MG, 15

Mekinist TAB 2MG, 7

Marinol CAP 2.5MG, 32


Mektovi TAB 15MG, 8

Marinol CAP 5MG, 32


melodetta chw 24 FE, 25

marlissa TAB 0.15/30, 24

Lovaza CAP 1gm, 15

meloxicam TAB 15MG, 53

Marplan TAB 10MG, 38

Lovenox Inj 100MG/ML, 35

meloxicam TAB 7.5MG, 53

marten-TAB tab 50-325MG, 50

Lovenox Inj 120/0.8, 35

melphalan TAB 2MG, 6

Mask Vortex/ Mis Baby Duc, 65

Lovenox Inj 150MG/ML, 35

memant titra PAK 5-10MG, 47

Mask Vortex/ Mis Duck, 65

Lovenox Inj 30/0.3ML, 35

memantine HC CAP 14MG ER, 47

Mask Vortex/ Mis Frog, 65

Lovenox Inj 300/3ML, 35


Mask Vortex/ Mis Lady Bug, 65



Matulane CAP 50MG, 8



matzim LA TAB 180MG/24, 10


memantine HC sol 2MG/ML, 47


low-ogestrel TAB, 24

memantine sol 2MG/ML, 47


loxapine CAP 10MG, 39

memantine TAB HCL 10MG, 45



memantine TAB HCL 5MG, 45



Menactra Inj, 58

Mavyret TAB 100-40MG, 5


Menest TAB 0.3MG, 23

Maxalt TAB 10MG, 55

LP lite PAK kit 2.5-2.5%, 20


Maxalt TAB 5MG, 55


methimazole TAB 5MG, 29

Metipranolol Sol 0.3% Oph, 49


Methitest TAB 10MG, 23

metoclopram inj 10MG/2ML, 32

Menhibrix Inj, 58

methlphenida chw 2.5MG, 41

metoclopram inj 5MG/ML, 32

Menomune Inj A/C/Y/W, 58

methocarbam inj 1000MG, 48

metoclopram sol 10/10ML, 32

Menostar Dis 14mcg, 23

methocarbam inj 100MG/ML, 48

metoclopram sol 5MG/5ML, 32

Menveo Inj, 58

methocarbam TAB 500MG, 48

metoclopram TAB 10MG, 32

meperidine inj 100MG/ML, 51

methocarbam TAB 750MG, 48

metoclopram TAB 5MG, 32

meperidine TAB 100MG, 51

methotrexate inj 1gm, 6

Metoclopram TAB 5MG Odt, 33

meperidine TAB 50MG, 52

methotrexate inj 1gm/40ML, 6

Metocloprami TAB 10MG Odt, 33

Mephyton TAB 5MG, 59

methotrexate inj 250/10ML, 6

metolazone TAB 10MG, 14

meprobamate TAB 200MG, 37

methotrexate inj 25MG/ML, 6

metolazone TAB 2.5MG, 14

meprobamate TAB 400MG, 37

Methotrexate Inj 25MG/ML, 6

metolazone TAB 5MG, 14

Mepron Sus, 6

methotrexate inj 50MG/2ML, 6

metopic CRE 41%, 20

mercaptopur TAB 50MG, 6

methotrexate TAB 2.5MG, 6

metoprl/hctz TAB 100-25MG, 13

mesalamine ene 4gm, 32

methoxsalen CAP 10MG, 18


mesalamine kit 4gm, 32

methscopolam TAB 2.5MG, 31

Metoprl/Hctz TAB 100-50MG, 13

mesalamine sup 1000MG, 32

methscopolam TAB 5MG, 31


mesalamine TAB 1.2gm, 32

Methyclothia TAB 5MG, 14

Metopro/Hctz TAB 100-12.5, 13

mesalamine TAB 800MG DR, 32

Methyld/Hctz TAB 250/15, 13


mesna inj 1gm, 8

Methyld/Hctz TAB 250/25, 13


Mesnex TAB 400MG, 8

methyldopa TAB 250MG, 12

metoprol suc TAB 100MG ER, 9

Mestinon Syp 60MG/5ML, 48

methyldopa TAB 500MG, 12


Mestinon TAB 60MG, 48

methylergon inj 0.2MG/ML, 50


Mestinon TAB Timespan, 48

methylergon TAB 0.2MG, 50


Metadate CD CAP 10MG, 42

Methylin Chw 10MG, 42

metoprol TAR TAB 100MG, 9


Methylin Chw 2.5MG, 42



Methylin Chw 5MG, 42



Methylin Sol 10MG/5ML, 42

metoprolol TAB 100MG ER, 9


Methylin Sol 5MG/5ML, 42



Methylp/Lido Inj 40-10/ML, 22


metadate TAB 20MG ER, 41

Methylp/Lido Inj 80-10/ML, 22

Metoprolol TAB 37.5MG, 9

Metaproteren Syp 10MG/5ML, 57

methylphenid CAP 10MG, 41


Metaproteren TAB 10MG, 57


Metoprolol TAB 75MG, 9

Metaproteren TAB 20MG, 57

methylphenid CAP 20MG ER, 41

Metrocream CRE 0.75%, 17

metaxall TAB 800MG, 48


Metrogel Gel 1%, 17

Metaxalone TAB 400MG, 48


Metrogel-vag Gel 0.75%, 34

metaxalone TAB 800MG, 48


Metrolotion Lot 0.75%, 17

metformin ER TAB 1000MG, 26


metronidazol CAP 375MG, 6

Metformin Sol 500/5ML, 26


metronidazol CRE 0.75%, 17

metformin TAB 1000 ER, 26


metronidazol gel 0.75%, 17

metformin TAB 1000MG, 26

Methylphenid CAP 60MG LA, 41

metronidazol gel 0.75%vag, 34


methylphenid chw 10MG, 41

metronidazol gel 1%, 17

metformin TAB 500MG ER, 26

methylphenid chw 5MG, 41

metronidazol lot 0.75%, 17

metformin TAB 750MG ER, 26

methylphenid sol 10MG/5ML, 41

metronidazol TAB 250MG, 5


methylphenid sol 5MG/5ML, 41

metronidazol TAB 500MG, 5

methadone CON 10MG/ML, 51

methylphenid TAB 10MG, 41

Metronidazole 0.75% Jelly, 17

methadone inj 10MG/ML, 51

methylphenid TAB 10MG ER, 41

Mevacor TAB 40MG, 15

Methadone Inj 10MG/ML, 52


mexiletine CAP 150MG, 11

methadone sol 10MG/5ML, 51

Methylphenid TAB 18MG ER, 41


Methadone Sol 10MG/5ML, 51



methadone sol 5MG/5ML, 51


Miacalcin Inj 200/ML, 27

Methadone Sol 5MG/5ML, 51


Miacalcin Spr 200/Act, 27

methadone TAB 10MG, 51


mibelas 24 chw FE, 25



Micardis HCT TAB 40/12.5, 13



Micardis HCT TAB 80-25MG, 13

Methadose CON 10MG/ML, 52


Micardis HCT TAB 80/12.5, 13

Methadose SF CON 10MG/ML, 52


Micardis TAB 20MG, 12

methadose TAB 40MG, 51



methamphetam TAB 5MG, 41



methazolamid TAB 25MG, 14

Methylpr Ace Inj 40MG/ML, 22

Mico-ZN-petr Oin, 18

methazolamid TAB 50MG, 14

Methylpr Ace Inj 80MG/ML, 22

Miconazole 3 Sup 200MG, 34

methenam hip TAB 1gm, 33

methylpr ss inj 125MG, 22

Micort-HC CRE 2.5%, 19

methenam man TAB 1000MG, 33

methylpred TAB 16MG, 22

micrgstin 24 TAB FE 1/20, 25

methenam man TAB 1gm, 33


Micro Thin Mis Lanc 33G, 62

methenam man TAB 500MG, 33


Microchamber Mis, 65

Methenam Man TAB 500MG, 33


Microdot CON Sol High/Low, 62

methergine TAB 0.2MG, 50

Methyltestos CAP 10MG, 23

microgestin TAB 1.5/30, 24

methimazole TAB 10MG, 29

methyphenid CAP 10MG ER, 41

microgestin TAB 1/20, 24

microgestin TAB FE 1/20, 24

Mirapex TAB 0.25MG, 45

montelukast gra 4MG, 57

microgestin TAB FE1.5/30, 24


montelukast TAB 10MG, 57

Microlet Mis Lancets, 62


Monurol PAK Granules, 33

Microlet Mis Next, 62


morgidox CAP 1X100MG, 2

Microspacer Mis, 65

Mirapex TAB 1MG, 45


Microtainer Mis Lancet, 62

Mircera Inj 100mcg, 35


Microzide CAP 12.5MG, 14


Morphabond TAB 100MG ER, 52

midazolam inj 10MG/2ML, 40



midazolam inj 5MG/ML, 40



midazolam syp 2MG/ML, 40

Mircera Sol 150/0.3, 35


midodrine TAB 10MG, 14

Mircera Sol 30/0.3ML, 35

morphine SUL CAP 100MG ER, 52

midodrine TAB 2.5MG, 14

Mircette TAB 28 Day, 25


midodrine TAB 5MG, 14

Mirena Iud System, 24

Morphine SUL CAP 120MG ER, 52

Mifeprex TAB 200MG, 29

mirtazapine TAB 15MG, 37


Migergot Sup 2/100, 55

mirtazapine TAB 15MG odt, 37


miglitol TAB 100MG, 26









miglustat CAP 100MG, 35



Migranal Spr 4MG/ML, 55

mirtazapine TAB 7.5MG, 37


mili TAB 0.25/35, 24

Mirvaso Gel 0.33%, 17


Millipred DP PAK 5MG, 22

misoprostol TAB 100mcg, 31


Millipred Sol 10MG/5ML, 22

misoprostol TAB 200mcg, 31


Millipred TAB 5MG, 22

Mitigare CAP 0.6MG, 55


mimvey LO TAB 0.5-0.1, 23

MM Lancing Mis Device, 62

Morphine SUL Inj 10/0.7ML, 51

mimvey TAB 1-0.5MG, 23

MM Pentips Mis 29GX12MM, 62

Morphine SUL Inj 10MG/ML, 51

Mimyx CRE, 21



Minastrin 24 Chw FE, 25



Mini Lancing Mis Device, 62



Minipress CAP 1MG, 12

MM Twist Mis Lancets, 62



Mobic TAB 15MG, 54

morphine SUL sol 100/5ML, 51


Mobic TAB 7.5MG, 54

morphine SUL sol 10MG/5ML, 51

minitran dis 0.1MG/HR, 9

Mobile Lance Mis 30G, 62

morphine SUL sol 20MG/5ML, 51


modafinil TAB 100MG, 41

morphine SUL sol 20MG/ML, 51


modafinil TAB 200MG, 41

Morphine SUL Sup 10MG, 51


Moderiba PAK 1200/Day, 5


Minivelle Dis 0.025MG, 23

Moderiba PAK 800/Day, 5



Moderiba TAB 1000/Day, 5



moderiba TAB 200MG, 4

morphine SUL TAB 100MG ER, 51


Moderiba TAB 600/Day, 5

Morphine SUL TAB 15MG, 51


moexipr/hctz TAB 15-12.5, 13


Minocin CAP 100MG, 2

Moexipr/Hctz TAB 15-12.5, 13


Minocin CAP 50MG, 2

moexipr/hctz TAB 15-25MG, 13

Morphine SUL TAB 30MG, 51

Minocin CAP 75MG, 2

Moexipr/Hctz TAB 15-25MG, 13


minocycline CAP 100MG, 2

moexipr/hctz TAB 7.5-12.5, 13



Moexipr/Hctz TAB 7.5-12.5, 13

Motofen TAB 1-0.025, 30


moexipril TAB 15MG, 11

Movantik TAB 12.5MG, 33

minocycline TAB 100MG, 2

moexipril TAB 7.5MG, 11

Movantik TAB 25MG, 33

minocycline TAB 115MG ER, 2

Molindone TAB HCL 10MG, 40

Moviprep Sol, 30



Moxatag TAB 775MG, 1



Moxeza Sol 0.5%, 48


mometasone CRE 0.1%, 19

moxifloxacin sol HCL 0.5%, 48

Minocycline TAB 55MG ER, 2

mometasone oin 0.1%, 19

moxifloxacin TAB 400MG, 3


mometasone sol 0.1%, 19

Mpd Sfty Lan Mis 21G, 62


mometasone spr 50mcg, 56



mondoxyne nl CAP 100MG, 2


Minolira TAB 105MG, 2



Minolira TAB 135MG, 2


MS Contin TAB 100MG ER, 52

minoxidil TAB 10MG, 12

mono-linyah TAB 0.25-35, 24


minoxidil TAB 2.5MG, 12

Monodox CAP 100MG, 2


Mirapex ER TAB 0.375MG, 45

Monodox CAP 75MG, 2



Monojector Mis End CAPS, 62



Monolet Mis Lancets, 62

Mulpleta TAB 3MG, 35


Monolet Opd Mis Lancets, 62

Multaq TAB 400MG, 11


Monolettor Mis Lancets, 62

Multi-lancet Kit Device, 62

Mirapex ER TAB 3MG, 45

mononessa TAB, 24

Multi-lancet Mis Device, 62


montelukast chw 4MG, 57

mupirocin CRE 2%, 17


montelukast chw 5MG, 57

mupirocin oin 2%, 17

my choice TAB 1.5MG, 24

Naprosyn TAB 500MG, 54

Neocera CRE, 21

my way TAB 1.5MG, 24

naproxen DR TAB 375MG, 54

neomycin TAB 500MG, 3

Myalept Inj 11.3MG, 29

naproxen DR TAB 500MG, 54

Neoral CAP 100MG, 7

Myambutol TAB 100MG, 3

naproxen sod TAB 275MG, 54

Neoral CAP 25MG, 7

Myambutol TAB 400MG, 3


Neoral Sol 100MG/ML, 7

Mycobutin CAP 150MG, 3

naproxen sod TAB 375MG CR, 54

Neosalus Aer, 21

mycophenolat CAP 250MG, 7

naproxen sod TAB 500MG CR, 54

Neosalus CP CRE, 21

mycophenolat sus 200MG/ML, 7


Neosalus CRE, 21

mycophenolat TAB 500MG, 7

naproxen sus 125/5ML, 54

Neosporin GU Sol 40/ML IR, 34

mycophenolic TAB 180MG DR, 7

naproxen TAB 250MG, 54

Neosporin Sol Op, 48

mycophenolic TAB 360MG DR, 7


Neptazane TAB 25MG, 14

Mydayis CAP 12.5MG, 42


Neptazane TAB 50MG, 14

Mydayis CAP 25MG, 42

naratriptan TAB 1MG, 55

Nerlynx TAB 40MG, 8

Mydayis CAP 37.5MG, 42

naratriptan TAB 2.5MG, 55

Nesina TAB 12.5MG, 27

Mydayis CAP 50MG, 42

Narcan Spr, 53

Nesina TAB 25MG, 27

Myfortic TAB 180MG, 7

Nardil TAB 15MG, 38

Nesina TAB 6.25MG, 27

Myfortic TAB 360MG, 7

Nasonex Spr 50mcg/Ac, 56

neuac gel 1.2-5%, 16

Myglucohealt Mis Lanc 30G, 62

Natacyn Sus 5% Op, 48

Neulasta Inj 6MG/0.6m, 35

Myglucohealt Sol LO/Nl/HI, 62

Natazia TAB, 25

Neulasta Kit 6MG/0.6m, 35

Myleran TAB 2MG, 6

nateglinide TAB 120MG, 26

Neupogen Inj 300/0.5, 34

myorisan CAP 10MG, 16

nateglinide TAB 60MG, 26

Neupogen Inj 300mcg, 34


Natesto Gel 5.5MG, 23

Neupogen Inj 480/0.8, 34


Natpara Inj 100mcg, 27

Neupogen Inj 480mcg, 34



Neupro Dis 1MG/24HR, 45

Myrbetriq TAB 25MG, 33



Myrbetriq TAB 50MG, 33



Mysoline TAB 250MG, 44

Natroba Sus 0.9%, 21


Mysoline TAB 50MG, 44

Nature Throi TAB 162.5MG, 30


Mytesi TAB 125MG, 30

Nature-throi TAB 113.75MG, 30


myzilra TAB, 24

Nature-throi TAB 130MG, 30

Neurontin CAP 100MG, 44

N





nabumetone TAB 500MG, 53


Neurontin Sol 250/5ML, 44

nabumetone TAB 750MG, 53


Neurontin TAB 600MG, 44

nadolol TAB 20MG, 9


Neurontin TAB 800MG, 44

nadolol TAB 40MG, 9


Neutek 2tek Sol Control, 62

nadolol TAB 80MG, 9


Neutrasal Pow, 36

nadolol/bend TAB 40-5MG, 13


Nevanac Sus 0.1%, 50

nadolol/bend TAB 80-5MG, 13


nevirapine sus 50MG/5ML, 4

naftifine CRE HCL 1%, 18


nevirapine TAB 100MG, 4

naftifine CRE HCL 2%, 18

Nebupent Inh 300MG, 6

nevirapine TAB 200MG, 4

Naftin CRE 2%, 18

nebusal neb 3%, 56

nevirapine TAB 400MG ER, 4

Naftin Gel 1%, 18

Nebusal Neb 6%, 56

new day TAB 1.5MG, 24

Naftin Gel 2%, 18

necon TAB 0.5/35, 24

Nexavar TAB 200MG, 7

Nalfon CAP 400MG, 54

Necon TAB 1/50-28, 24

Nexgen Tes Norm CON, 62

Nalfon TAB 600MG, 54

necon TAB 10/11-28, 24

Nexium Gra 10MG DR, 31

Nalocet TAB 2.5-300, 53

necon TAB 7/7/7, 24

Nexium Gra 2.5MG DR, 31

naloxone inj 0.4MG/ML, 53

Nefazodone TAB 100MG, 38


Naloxone Inj 0.4MG/ML, 53



Naloxone Inj 1MG/ML, 53



naltrexone TAB 50MG, 53

nefazodone TAB 250MG, 38

next choice TAB 1.5MG, 24

Namenda Sol 10MG/5ML, 47


niacin ER TAB 1000MG, 15

Namenda TAB 10MG, 47

nefazodone TAB 50MG, 38


Namenda TAB 5-10MG, 47


niacin ER TAB 500MG ER, 15

Namenda TAB 5MG, 47

Nembutal Sod Inj 50MG/ML, 41


Namenda XR CAP 14MG, 47

neo-polycin oin HC 1%op, 49

niacin TAB 500MG ER, 15


neo-polycin oin op, 48

Niacor TAB 500MG, 15


Neo-synalar CRE, 17

Niaspan TAB 1000 ER, 15


neo/bac/poly oin op, 48

Niaspan TAB 500MG ER, 15

Namenda XR CAP Titratio, 47

neo/poly GU sol 40/ML IR, 34

Niaspan TAB 750MG ER, 15

Namzaric CAP, 47

neo/poly/bac oin /HC 1%op, 49

nicardipine CAP 20MG, 10

Namzaric CAP 14-10MG, 47

neo/poly/bac oin op, 48

nicardipine CAP 30MG, 10


neo/poly/dex oin 0.1% op, 49

Nicoderm CQ Dis 14MG/24h, 47


neo/poly/dex sus 0.1% op, 49

Nicoderm CQ Dis 21MG/24h, 47


Neo/Poly/Gra Sol Op, 48

Nicoderm CQ Dis 7MG/24HR, 47

Naprelan TAB 375MG CR, 54

neo/poly/HC sol 1% otic, 50

nicorelief gum 2MG mint, 46


neo/poly/HC sus 1% otic, 50

nicorelief gum 2MG orig, 46


Neo/Poly/HC Sus Op, 49

nicorelief gum 4MG mint, 46

Naprosyn Sus 125/5ML, 54

nicorelief gum 4MG orig, 46

nilutamide TAB 150MG, 6

noreth/ethin TAB 1/20, 24

Nicorette Gum 2MG, 47

nimodipine CAP 30MG, 10

noreth/ethin TAB 1MG-5mcg, 23

Nicorette Gum 2MG Cinn, 47

Ninlaro CAP 2.3MG, 8

noreth/ethin TAB FE 1/20, 24

Nicorette Gum 2MG Mint, 47

Ninlaro CAP 3MG, 8

norethin ace TAB 5MG, 25

Nicorette Gum 2MG Orig, 47

Ninlaro CAP 4MG, 8

norethindron TAB 0.35MG, 24

Nicorette Gum 2mgfruit, 47

nisoldipine TAB 17MG ER, 10

norgest/ethi TAB 0.25/35, 24

Nicorette Gum 4MG, 47

Nisoldipine TAB 20MG ER, 10

norgest/ethi TAB estradio, 24

Nicorette Gum 4MG Cinn, 47

Nisoldipine TAB 25.5MG, 10

Norinyl TAB 1/35, 25

Nicorette Gum 4MG Mint, 47


Noritate CRE 1%, 17

Nicorette Gum 4MG Orig, 47

nisoldipine TAB 34MG ER, 10

norlyda TAB 0.35MG, 24

Nicorette Gum 4mgfruit, 47


norlyroc TAB 0.35MG, 24

Nicorette Loz 2MG Chry, 47

nisoldipine TAB 8.5MG ER, 10

Norpace CAP 100MG, 11

Nicorette Loz 2MG Mint, 47

Nitro-bid Oin 2%, 9

Norpace CAP 100MG CR, 11

Nicorette Loz 2MG Orig, 47

Nitro-dur Dis 0.1MG/HR, 9

Norpace CAP 150MG, 11

Nicorette Loz 4MG Chry, 47


Norpace CAP 150MG CR, 11

Nicorette Loz 4MG Mint, 47


Norpramin TAB 10MG, 38

Nicorette Loz 4MG Orig, 47


Norpramin TAB 25MG, 38

Nicorette ST Gum 2MG, 47


Northera CAP 100MG, 14

Nicorette ST Gum 2MG Mint, 47



Nicorette ST Gum 2MG Orig, 47

nitro-time CAP 9MG CR, 9


Nicorette ST Gum 4MG Mint, 47

nitrofur mac CAP 100MG, 33

nortrel TAB 0.5/35, 24

Nicorette ST Gum 4MG Orig, 47


nortrel TAB 1/35, 24

nicotine dis 14MG/24h, 45


nortrel TAB 7/7/7, 24

nicotine dis 21MG/24h, 45

nitrofurantn CAP 100MG, 33

nortriptylin CAP 10MG, 37

nicotine dis 7MG/24HR, 45

nitrofurantn sus 25MG/5ML, 33


nicotine dis step 1, 45

Nitroglycer Aer 400mcg, 9



nitroglycer CAP 9MG ER, 9



nitroglycer dis 0.1MG/HR, 9

nortriptylin sol 10MG/5ML, 37

nicotine gum 2MG, 46


Nortriptylin Sol 10MG/5ML, 37

nicotine gum 2mgfruit, 46


Nortuss-EX Liq 200-20/5, 56

nicotine gum 4MG, 46


Norvasc TAB 10MG, 11

nicotine loz 2MG chry, 46

nitroglyceri sub 0.6MG, 9

Norvasc TAB 2.5MG, 11

nicotine loz 2MG mint, 46

nitroglycern sub 0.3MG, 9

Norvasc TAB 5MG, 11

nicotine loz 4MG chry, 46

nitroglycern sub 0.4MG, 9

Norvir CAP 100MG, 4

nicotine loz 4MG cinn, 46

nitroglycrn spr 0.4MG, 9

Norvir Pow 100MG, 4

nicotine loz 4MG mint, 46

Nitrolingual Spr Pumpspra, 9

Norvir Sol 80MG/ML, 4

nicotine loz mini 2MG, 46

Nitromist Aer 400mcg, 9

Norvir TAB 100MG, 5

nicotine pol gum 2MG, 46

Nitrostat Sub 0.3MG, 9

Nova Max Glu Liq /Ket CON, 62

nicotine pol gum 2MG cinn, 46


Nova Safety Mis Lanc 23G, 62

nicotine pol gum 2MG mint, 46


Nova Safety Mis Lanc 28G, 62

nicotine pol gum 2MG orig, 46

Nityr TAB 10MG, 29

Nova Sure Mis Lancets, 62

nicotine pol gum 2MG ref, 46

Nityr TAB 2MG, 29

Nova Sureflx Mis Lanc Dev, 62

nicotine pol gum 2MG strt, 46

Nityr TAB 5MG, 29

Novacort Gel, 19

nicotine pol gum 2mgfruit, 46

Nivatopic CRE Plus, 21

Novofine Aut Mis 30GX8MM, 62

nicotine pol gum 4MG, 46

Nivestym Inj 300/0.5, 35

Novofine Mis 30GX8MM, 62

nicotine pol gum 4MG cinn, 46

Nivestym Inj 480/0.8, 35

Novofine Mis 32GX6MM, 62

nicotine pol gum 4MG mint, 46

nizatidine CAP 150MG, 31

Novofine Pls Mis 32GX4MM, 62

nicotine pol gum 4MG orig, 46

nizatidine CAP 300MG, 31

Novolin Inj 70/30, 25

nicotine pol gum 4MG ref, 46

Nizatidine Sol 15MG/ML, 31

Novolin N Inj Relion, 25

nicotine pol gum 4MG strt, 46

Nizoral Sha 2%, 18

Novolin N Inj U-100, 26

nicotine pol gum 4mgfruit, 46

Nocdurna Sub 27.7mcg, 28

Novolin R Inj Relion, 26

nicotine pol loz 2MG chry, 46

Nocdurna Sub 55.3mcg, 28

Novolin R Inj U-100, 26

nicotine pol loz 2MG cinn, 46

Noctiva Emu 0.83/0.1, 28

Novolin70/30 Inj Relion, 26

nicotine pol loz 2MG mint, 46

Noctiva Spr 1.66/0.1, 28

Novolog Inj 100/ML, 26

nicotine pol loz 4MG chry, 46

nolix CRE 0.05%, 19

Novolog Inj Flexpen, 26

nicotine pol loz 4MG cinn, 46

nolix lot 0.05%, 19

Novolog Inj Penfill, 26

nicotine pol loz 4MG mint, 46

nora-be TAB 0.35MG, 24

Novolog Mix Inj 70/30, 26

Nicotine SYS Kit Transder, 46

Norco TAB 10-325MG, 53

Novolog Mix Inj Flexpen, 26

nicotine TD dis 14MG/24h, 45

Norco TAB 5-325MG, 53

Novotwist Mis 32GX5MM, 62

nicotine TD dis 21MG/24h, 45

Norco TAB 7.5-325, 53

Noxafil Sus 40MG/ML, 3

nicotine TD dis 7MG/24HR, 45

Norditropin Inj 10/1.5ML, 28

Noxafil TAB 100MG, 3

nifedipine CAP 10MG, 10


NP thyroid TAB 120MG, 30

nifedipine CAP 20MG, 10

Norditropin Inj 30/3ML, 28


nifedipine TAB 30MG ER, 10




nore/ETH/fer chw 0.4MG-35, 25



noreth/ethin chw FE, 25


nikki TAB 3-0.02MG, 25

noreth/ethin chw FE 1/20, 25

Nucort Lot 2%, 19

Nilandron TAB 150MG, 7

noreth/ethin TAB 0.5-2.5, 23

Nucynta ER TAB 100MG, 53


olanzapine TAB 15MG, 39

Onglyza TAB 2.5MG, 27


olanzapine TAB 15MG odt, 39

Onglyza TAB 5MG, 27


olanzapine TAB 2.5MG, 39

Onmel TAB 200MG, 3



Opana ER TAB 10MG, 53

Nucynta TAB 100MG, 53









Nuedexta CAP 20-10MG, 47

olanzapine TAB 7.5MG, 39


nulev TAB 0.125MG, 31

olm MED/amlo TAB /hctz, 13


Nulytely Sol Flav Pks, 30

olm MED/hctz TAB 20-12.5, 13

Opana ER TAB 7.5MG, 53

Numbonex Lot 2.75%, 21

olm MED/hctz TAB 40-12.5, 13

Opana TAB 10MG, 53

Numoisyn Liq, 36

olm MED/hctz TAB 40-25MG, 13

Opana TAB 5MG, 53

Numoisyn Loz, 36

olmesa medox TAB 20MG, 12

opcicon TAB 1.5MG, 24

Nuplazid CAP 34MG, 40


opium tin 10MG/ML, 30

Nuplazid TAB 10MG, 40


Opsumit TAB 10MG, 15

Nuplazid TAB 17MG, 40

olopatadine dro 0.1%, 50

Optichamber Mis Adv Lrg, 65

Nutropin AQ Inj 10MG/2ML, 28

olopatadine sol 0.2%, 50

Optichamber Mis Adv MED, 65

Nutropin AQ Inj 20MG/2ML, 28

olopatadine spr 0.6%, 56

Optichamber Mis Adv Sm, 65

Nutropin AQ Inj Nuspin 5, 28

Olumiant TAB 2MG, 54

Optichamber Mis Dia LG, 65

Nuvaring Mis, 24

Olux Aer 0.05%, 20

Optichamber Mis Dia MD, 65

Nuvessa Gel 1.3%, 34

Olux-e Aer 0.05%, 20

Optichamber Mis Dia Sm, 65

Nuvigil TAB 150MG, 42

Olysio CAP 150MG, 5

Optichamber Mis Diamond, 65


Omeclamox- Mis PAK, 31

Optichamber Mis Face Mas, 65


omega-3-acid CAP 1gm, 15

Optihaler Mis, 65


omepra/bicar pow 20-1680, 31

option 2 TAB 1.5MG, 24

Nuzyra TAB 150MG, 2

omepra/bicar pow 40-1680, 31

Optumrx Cont Sol Level1/2, 63

nyamyc pow 100000, 17

Omeprazole + Sus Syrspend, 31

Oracea CAP 40MG, 17

nyata pow 100000, 17

omeprazole CAP 10MG, 31

Oracit Sol, 34

Nymalize Sol 30/10ML, 11


oralone dent pst 0.1%, 36

Nymalize Sol 60/20ML, 11


Orap TAB 1MG, 47

nystat/triam CRE, 18

Omnaris Spr, 56

Orap TAB 2MG, 47

nystat/triam oin, 17

Omnipred Sus 1% Op, 49

Orapred Odt TAB 10MG, 22

nystatin CRE 100000, 18

Omnitrope Inj 10/1.5ML, 28


nystatin oin 100000, 18

Omnitrope Inj 5.8MG, 28


nystatin pow 100000, 18

Omnitrope Inj 5/1.5ML, 28

Oravig TAB 50MG, 36

nystatin sus 100000, 36

On Call Expr Sol Glucose, 62

Orencia Clck Inj 125MG/ML, 54

nystatin TAB 500000, 3

On Call Lanc Mis Device, 62

Orencia Inj 125MG/ML, 54

nystop pow 100000, 18

On Call Mis Lancets, 62

Orencia Inj 50/0.4, 54

O

On Call Plus Mis Lanc Dev, 62

Orencia Inj 87.5/0.7, 54

On Call Plus Mis Lancets, 62

Orenitram TAB 0.125MG, 16

Obredon Sol 2.5-200, 56

On Call Plus Sol Control, 62


Ocaliva TAB 10MG, 33

On Call Vivd Sol Control, 62

Orenitram TAB 1MG, 16

Ocaliva TAB 5MG, 33

On-the-go Mis Lanc 30G, 62


ocella TAB 3-0.03MG, 24

ondansetron inj 40/20ML, 31

Orenitram TAB 5MG, 16

octreotide inj 1000mcg, 28

ondansetron inj 4MG/2ML, 31

Orfadin CAP 10MG, 29


Ondansetron Inj 4MG/2ML, 32

Orfadin CAP 20MG, 29


ondansetron sol 4MG/5ML, 31

Orfadin CAP 2MG, 29


ondansetron TAB 24MG, 31

Orfadin CAP 5MG, 29

octreotide inj 50mcg/ML, 28


Orfadin Sus 4MG/ML, 29

Ocufen Sol 0.03% Op, 50

ondansetron TAB 4MG odt, 31

Orilissa TAB 150MG, 28

Ocuflox Dro 0.3% Op, 48


Orilissa TAB 200MG, 28

Odefsey TAB, 4

ondansetron TAB 8MG odt, 31

Orkambi Gra 100-125, 58

Ofev CAP 100MG, 58

Onetouch Fp Mis Lancets, 62

Orkambi Gra 150-188, 58

Ofev CAP 150MG, 58

Onetouch Mis 30G, 63

Orkambi TAB 100-125, 58

ofloxacin dro 0.3% op, 48

Onetouch Mis Combo, 62

Orkambi TAB 200-125, 58

ofloxacin dro 0.3%otic, 50

Onetouch Mis Lanc Dev, 62

orphenadrine inj 30MG/ML, 48

Ofloxacin TAB 300MG, 3

Onetouch Mis Lancets, 62

orphenadrine TAB 100MG ER, 48

ofloxacin TAB 400MG, 3

Onetouch Sol Ult Cont, 63

orsythia TAB, 24

Ogestrel TAB, 24

Onetouch Sol Verio, 63

Ortho Micron TAB 0.35MG, 25

okebo CAP 100MG, 2

Onetouch Sol Verio-HI, 63

Ortho Tri- TAB Cyclen, 25

okebo CAP 75MG, 2

Onetouch Tes Ultra, 63

Ortho Tri- TAB Cycln LO, 25

olanza/fluox CAP 12-25MG, 47

Onetouch Tes Ultra BL, 63

Ortho-cyclen TAB 0.25/35, 25


Onetouch Tes Verio, 63

Ortho-novum TAB 1/35, 25


Onetouch Us Mis Lancets, 63

Ortho-novum TAB 7/7/7, 25


Onexton Gel 1.2-3.75, 17

oscimin SR TAB 0.375MG, 31


Onfi Sus 2.5MG/ML, 44

oscimin sub 0.125MG, 31

olanzapine inj 10MG, 39

Onfi TAB 10MG, 44

oscimin TAB 0.125MG, 31


Onfi TAB 20MG, 44

oseltamivir CAP 30MG, 4



oxycodone CON 100/5ML, 51

Paragard Iud T380a, 24


oxycodone CON 20MG/ML, 51

Paregoric Tin 2MG/5ML, 30

oseltamivir sus 6MG/ML, 4

oxycodone sol 5MG/5ML, 51

paricalcitol CAP 1 mcg, 29

Oseni TAB 12.5-15, 27

oxycodone TAB 10MG, 51


Oseni TAB 12.5-30, 27

Oxycodone TAB 10MG ER, 51


Oseni TAB 12.5-45, 27


Parlodel CAP 5MG, 45

Oseni TAB 25-15MG, 27


Parlodel TAB 2.5MG, 45



Parnate TAB 10MG, 38



paroex sol 0.12%, 36

Osmolex ER TAB 129MG, 45


paromomycin CAP 250MG, 3



paroxetin ER TAB 12.5MG, 38



paroxetin ER TAB 37.5MG, 38

Osmoprep TAB 1.5gm, 30


paroxetine CAP 7.5MG, 47

Osphena TAB 60MG, 28


paroxetine TAB 10MG, 37

Otezla TAB 10/20/30, 54



Otezla TAB 30MG, 54

oxycodone TAB HCL 30MG, 51

paroxetine TAB 25MG ER, 38

Otovel Dro, 50

Oxycodone/ Sol Apap, 53


Otrexup Inj 10MG, 54

Oxycontin TAB 10MG CR, 51


Otrexup Inj 12.5/0.4, 54


Paser Gra 4gm, 3



Pataday Sol 0.2%, 50



Patanase Spr 0.6%, 56



Patanol Sol 0.1% Op, 50



Paxil CR TAB 12.5MG, 38



Paxil CR TAB 25MG, 38


Oxymorphone TAB 10MG ER, 53

Paxil CR TAB 37.5MG, 38

Ovace Plus Aer 9.8%, 18


Paxil Sus 10MG/5ML, 37

Ovace Plus CRE 10%, 18


Paxil TAB 10MG, 38

Ovace Plus Gel 10% Wash, 18


Paxil TAB 20MG, 38

Ovace Plus Liq 10% Wash, 18


Paxil TAB 30MG, 38

Ovace Plus Sha 10%, 18


Paxil TAB 40MG, 38

Ovace Wash Liq 10%, 18

Oxymorphone TAB 7.5MG ER, 53

Pazeo Dro 0.7%, 50

Ovcon-35 TAB, 25

oxymorphone TAB HCL 10MG, 52

PC Lancets Mis 30G, 63

Ovide Lot 0.5%, 21

oxymorphone TAB HCL 5MG, 52

PCE TAB 333MG EC, 2

Oxandrin TAB 10MG, 23

Oxytrol Dis 3.9MG/24, 33

PCE TAB 500MG EC, 2

Oxandrin TAB 2.5MG, 23

Ozempic Inj 2/1.5ML, 26

PE/Guaifenes Dro 1.5-20MG, 56

oxandrolone TAB 10MG, 22

P

Pediapred Sol 6.7/5ML, 22

oxandrolone TAB 2.5MG, 22

Pediarix Inj 0.5ML, 58

pacerone TAB 100MG, 11

oxaprozin TAB 600MG, 54

Pedvax HIB Inj, 58


Oxaydo TAB 7.5MG, 53

peg 3350 sol electrol, 30


oxazepam CAP 10MG, 36

peg-3350 sol electrol, 30

Pain Ease Aer MD Strm, 21


peg-3350/KCL sol /sodium, 30

Pain Ease Aer Mist, 21


Peg-intron Kit 120 Rp, 4

paliperidone TAB ER 1.5MG, 39

Oxazepam CAP 30MG, 36

peg-prep kit, 30

paliperidone TAB ER 3MG, 39

oxcarbazepin sus 300MG/5m, 43

Peganone TAB 250MG, 44


oxcarbazepin TAB 150MG, 43

Pegasys Inj, 4



Pegasys Inj 180mcg/M, 4

Pamelor CAP 10MG, 38


Pegasys Inj Proclick, 4


oxiconazole CRE nitrate, 18

Pegintron Kit 50mcg, 4


Oxistat CRE 1%, 18

pegylax pow, 30


Oxistat Lot 1%, 18

Pen Needle Mis 29GX1/2", 63

Panatuss Dxp Liq, 56

Oxsoralen-ul CAP 10MG, 18

Pen Needle Mis 32GX4MM, 63

Pancreaze CAP, 32

Oxtellar XR TAB 150MG, 44

Pen Needles Mis 29GX1/2", 63

Pancreaze CAP 10500unt, 32


Pen Needles Mis 29GX10MM, 63



Pen Needles Mis 29GX12.7, 63


oxybutynin syp 5MG/5ML, 33


Pancreaze CAP 4200unit, 32

oxybutynin TAB 10MG ER, 33

Pen Needles Mis 30GX5/16, 63

Panda Mask Mis Large, 65



Panda Mask Mis Medium, 65

oxybutynin TAB 5MG, 33


Panda Mask Mis Pediatri, 65



Panda Mask Mis Small, 65

oxycod/apap TAB 10-325MG, 51


Pandel CRE 0.1%, 20

oxycod/apap TAB 2.5-325, 51


panlor TAB 325-30, 52

oxycod/apap TAB 5-325MG, 51


pantoprazole TAB 20MG, 31

oxycod/apap TAB 7.5-325, 51


pantoprazole TAB 20MG DR, 31

oxycod/asa TAB, 51


pantoprazole TAB 40MG, 31

Oxycod/Ibu TAB 5-400MG, 53


pantoprazole TAB 40MG DR, 31

oxycodone CAP 5MG, 52


papaverine inj 30MG/ML, 15

oxycodone CAP HCL 5MG, 52


Papaverine Sol 30MG/ML, 15

oxycodone CON 10/0.5ML, 51


Parafon Fort TAB 500MG, 48


phenadoz sup 25MG, 56

Plan B TAB 1.5MG, 25


phenazo TAB 200MG, 34

Plaquenil TAB 200MG, 5


phenazopyrid TAB 100MG, 34

Plavix TAB 300MG, 36


phenazopyrid TAB 200MG, 34

Plavix TAB 75MG, 36


phenelzine TAB 15MG, 37

Plegridy Inj, 47


Phener Fort Syp 25MG/5ML, 56

Plegridy Inj Pen, 47


Phenergan Inj 25MG/ML, 56

Plegridy Inj Starter, 47

penicilln vk sol 125/5ML, 1

Phenergan Inj 50MG/ML, 56

Plegridy Pen Inj Starter, 47

Penicilln Vk Sol 125/5ML, 1

phenergan sup 12.5MG, 56

Plenvu Sol, 30

penicilln vk sol 250/5ML, 1

phenergan sup 25MG, 56

Plexion Clth Pad 9.8-4.8%, 17

Penicilln Vk Sol 250/5ML, 1

phenergan sup 50MG, 56

Plexion CRE 9.8-4.8%, 17

penicilln vk TAB 250MG, 1

phenobarb elx 20MG/5ML, 40

Plexion Liq 9.8-4.8%, 17

penicilln vk TAB 500MG, 1

Phenobarb Inj 130MG/ML, 40

Plexion Lot 9.8-4.8%, 17

Penlac Sol 8%, 18

phenobarb sol 20MG/5ML, 40

Plixda Pad 0.1%swab, 17

Penlen Emu Spray, 21

phenobarb TAB 100MG, 40

Pneumovax 23 Inj 25/0.5, 58

Penlet II Kit Blood, 63


Pocket Chamb Mis, 65

Penlet II Mis Repl CAP, 63

phenobarb TAB 16.2MG, 40

Pocket Space Mis, 65

Pennsaid Sol 2%, 18


Pocketchem Sol EZ, 63

Pentacel Inj, 58


Podocon Sol 25%, 21

Pentam 300 Inj 300MG, 6


podofilox sol 0.5%, 20

Pentasa CAP 250MG CR, 32


polycin oin op, 48

Pentasa CAP 500MG CR, 32


polyeth GLYC pow 3350 NF, 30

pentaz/nalox TAB 50-0.5MG, 52

phenoxybenza CAP 10MG, 12

polymyxin b/ sol trimethp, 48

Pentips Mis 29GX12MM, 63

phentolamine inj 5MG, 12

Polytrim Sol Op, 48


phenylbutyra pow sodium, 29

Pomalyst CAP 1MG, 7


phenylephrin sol 10% op, 49

Pomalyst CAP 2MG, 7


phenylephrin sol 2.5% op, 49

Pomalyst CAP 3MG, 7


Phenytek CAP 200MG, 44

Pomalyst CAP 4MG, 7

pentobarb inj 50MG/ML, 40

Phenytek CAP 300MG, 44

Ponstel CAP 250MG, 54

pentoxifylli TAB 400MG ER, 36

phenytoin chw 50MG, 43

port-prep kit 2.5-2.5%, 20

Pepcid Sus 40MG/5ML, 31

phenytoin EX CAP 100MG, 43

portia-28 TAB, 24

Pepcid TAB 20MG, 31


pot chloride CAP 10meq ER, 66

Pepcid TAB 40MG, 31


pot chloride CAP 8meq ER, 66

Percocet TAB 10-325MG, 53

phenytoin inj 50MG/ML, 43

pot chloride pow 20meq, 66

Percocet TAB 2.5-325, 53

phenytoin sus 125/5ML, 43

pot chloride sol 10%, 66

Percocet TAB 5-325MG, 53

philith TAB 0.4-35, 24

pot chloride sol 20%, 66

Percocet TAB 7.5-325, 53

Phlag Spr, 21

pot chloride TAB 10meq CR, 66

Perfect 28G Mis Lancets, 63

Phoslyra Sol, 33

pot chloride TAB 10meq ER, 66

Perfect 30G Mis Lancets, 63

phosphasal TAB, 33

Pot Chloride TAB 20meq ER, 66

Perforomist Neb 20mcg, 57

Phospholine Sol 0.125%op, 49

pot chloride TAB 8meq ER, 66

perindopril TAB 2MG, 11

phrenilin CAP forte, 50

Pot Chloride TAB 8meq ER, 66


phytonadione inj 1MG/0.5, 58

pot chloride TAB 8meq SR, 66


phytonadione TAB 5MG, 58

pot citrate TAB 1080MG, 34

periogard sol 0.12%, 36

Picato Gel 0.015%, 8

pot citrate TAB 1620MG, 34

Permavan Pad, 21

Picato Gel 0.05%, 8

pot citrate TAB 540MG ER, 34

permethrin CRE 5%, 20

Pifeltro TAB 100MG, 5

pot citrate- PAK CIT acid, 34

Perphen/Amit TAB 2-10MG, 46

pilocarpine sol 1% op, 49

Potiga TAB 200MG, 44








pilocarpine TAB 5MG, 36

Potiga TAB 50MG, 44


pilocarpine TAB 7.5MG, 36

Pradaxa CAP 110MG, 35

perphenazine TAB 16MG, 39

pimecrolimus CRE 1%, 20



Pimozide TAB 1MG, 46



Pimozide TAB 2MG, 46

Praluent Inj 150MG/ML, 15


pimtrea TAB, 25

Praluent Inj 75MG/ML, 15

Perseris Inj 120MG, 39

pindolol TAB 10MG, 9

pramcort CRE 1-1%, 32

Perseris Inj 90MG, 39

pindolol TAB 5MG, 9

pramipexole TAB 0.125MG, 44

Pertzye CAP 16000u, 32

pioglit/glim TAB 30-2MG, 27


Pertzye CAP 24000u, 32

pioglit/glim TAB 30-4MG, 27

pramipexole TAB 0.375 ER, 45

Pertzye CAP 4000unit, 32

pioglita/met TAB 15-500MG, 27


Pertzye CAP 8000unit, 32

pioglita/met TAB 15-850MG, 27


Pexeva TAB 10MG, 38

pioglitazone TAB 15MG, 27


Pexeva TAB 20MG, 38



Pexeva TAB 30MG, 38


pramipexole TAB 1.5MG ER, 45

Pexeva TAB 40MG, 38

pirmella TAB 1/35, 24

pramipexole TAB 1MG, 44

pharbedryl CAP 50MG, 55

pirmella TAB 7/7/7, 24


Pharmacy Cou Mis Lancets, 63

piroxicam CAP 10MG, 54


phenadoz sup 12.5MG, 55

piroxicam CAP 20MG, 54

pramipexole TAB 3MG ER, 45

pramipexole TAB 4.5MG ER, 45

prednisone TAB 5MG, 22

Pro Comfort Mis 32GX5MM, 63

Pramosone CRE 1-1%, 19

Prefest TAB, 23


Pramosone CRE 1-2.5%, 20

Premarin TAB 0.3MG, 23

Pro Comfort Mis Lancets, 63

Pramosone Lot 1%, 19


Proair HFA Aer, 57

Pramosone Lot 2.5%, 19


Proair Respi Aer, 57

Pramotic Dro 1-0.1%, 50


proben/colch TAB 500-0.5, 55

pramox gel 1%, 20


probenecid TAB 500MG, 55

Prandin TAB 0.5MG, 26

Premarin Vag CRE 0.625MG, 34

procainamide inj 1000/10, 11

Prandin TAB 1MG, 26

Premphase TAB, 23

procainamide inj 100MG/ML, 11

Prandin TAB 2MG, 26

Prempro TAB .625-2.5, 23

procainamide inj 500MG/ML, 11

prasugrel TAB 10MG, 36

Prempro TAB 0.3-1.5, 23

Procardia CAP 10MG, 11

prasugrel TAB 5MG, 36

Prempro TAB 0.45-1.5, 23

Procardia XL TAB 30MG CR, 11

Pravachol TAB 20MG, 15

Prempro TAB 0.625-5, 23



Prenis-bromf Sol 1-0.075%, 49



Prepidil Gel 0.5MG/3G, 50

Procentra Sol 5MG/5ML, 42

pravastatin TAB 10MG, 15

Prepopik PAK, 30

prochlorper inj 10MG/2ML, 39


Presera Aer, 21

prochlorper inj 5MG/ML, 39


Pressure Act Mis Lancet, 63

prochlorper sup 25MG, 39


Pressure Act Mis Lancets, 63

prochlorper TAB 10MG, 39

praziquantel TAB 600MG, 5

Prestalia TAB 14-10MG, 13

prochlorper TAB 5MG, 39

prazosin HCL CAP 1MG, 12

Prestalia TAB 3.5-2.5, 13

Procort CRE, 33


Prestalia TAB 7-5MG, 13

Procrit Inj 10000/ML, 34


Prevacid CAP 15MG DR, 31


Precision Liq Control, 63

Prevacid CAP 30MG DR, 31


Precision Liq Gluc/Ket, 63

Prevacid TAB 15MG Stb, 31


Precision Liq Nrml/Mid, 63

Prevacid TAB 30MG Stb, 31


Precision Mis 28G, 63

prevalite pow 4gm, 15


Precision Mis 28g(t), 63

prevalite pow 4gm pk, 15

procto-MED CRE HC 2.5%, 32

Precose TAB 100MG, 26

preventeza TAB 1.5MG, 24

procto-PAK CRE 1%, 32


previfem TAB, 24

Proctocort CRE 1%, 33


Prevnar 13 Inj, 58

Proctocort Sup 30MG, 33

Pred Forte Sus 1% Op, 49

Prevpac Mis, 31

Proctofoam Aer HC 1%, 32

Pred Mild Sus 0.12% Op, 49

Prevymis TAB 240MG, 5

proctosol HC CRE 2.5%, 32

Pred Sod PHO Sol 1% Op, 49

Prevymis TAB 480MG, 5

proctozone CRE -HC 2.5%, 32

pred sod PHO sol 5MG/5ML, 22

Prezcobix TAB 800-150, 4

Procysbi CAP 25MG, 34

Pred-G S.o.p Oin Op, 49

Prezista Sus 100MG/ML, 4

Procysbi CAP 75MG, 34

Pred-G Sus Op, 49

Prezista TAB 150MG, 4

Prodigy Mis 26G, 63

Pred-gat-bro Inj, 49


Prodigy Mis 28G, 63

Pred-gati Sus 1-0.5%, 49


Prodigy Mis Lanc Dev, 63

Pred-gatifl- Sus Bromfena, 49


Prodigy NO Tes Coding, 63

Predn Gati Sol 1-0.5%, 49

Priftin TAB 150MG, 3

Prodigy Sol High, 63

Predni/Moxi/ Sol Bromfena, 49

prikaan kit 2.5-2.5%, 20

Prodigy Sol Low, 63

Predni/Moxi/ Sol Ketorola, 49

prikaan lite kit 2.5-2.5%, 20

profeno TAB 600MG, 54

prednicarbat CRE 0.1%, 19

prilolid kit 2.5-2.5%, 20

progesterone CAP 100MG, 25

Prednicarbat CRE 0.1%, 20

Prilosec Pow 10MG, 31

progesterone CAP 200MG, 25

Prednicarbat Oin 0.1%, 20

Prilosec Pow 2.5MG, 31

progesterone inj 50MG/ML, 25

Prednis/Brom Sus 1-0.075%, 49

prilovix kit 2.5-2.5%, 20

Progesterone Sup VGS 100, 34

prednisolone sol 10MG/5ML, 22

priloxx LP kit 2.5-2.5%, 20



Primaquine TAB 26.3MG, 5


Prednisolone Sol 15MG/5ML, 22

primidone TAB 250MG, 43

Proglycem Sus 50MG/ML, 26


primidone TAB 50MG, 43

Prograf CAP 0.5MG, 7

Prednisolone Sol 25MG/5ML, 22

Primlev TAB 10-300MG, 53

Prograf CAP 1MG, 7

Prednisolone Sol Moxiflox, 49

Primlev TAB 5-300MG, 53

Prograf CAP 5MG, 7

Prednisolone Sus 1%, 49

Primlev TAB 7.5-300, 53

Prolensa Sol 0.07%, 50

prednisolone sus 1% op, 49

Primsol Sol 50MG/5ML, 5

Promacta Pow 12.5MG, 35

prednisolone syp 15MG/5ML, 22

Prinivil TAB 10MG, 11

Promacta TAB 12.5MG, 35

prednisolone TAB 10MG odt, 22


Promacta TAB 25MG, 35





Pristiq TAB 100MG, 38


Prednisone CON 5MG/ML, 22


prometh VC sol plain, 56

Prednisone PAK 10MG, 22


prometh VC/ syp codeine, 56

Prednisone PAK 5MG, 22

Pro Comfort Mis 0.5/30G, 63

prometh/cod sol 6.25-10, 56

Prednisone Sol 5MG/5ML, 22

Pro Comfort Mis 0.5/31G, 63

prometh/cod syp 6.25-10, 56


Pro Comfort Mis 1ML/30G, 63

Prometh/PE Syp 6.25-5/5, 56


Pro Comfort Mis 1ML/31G, 63

prometh/PE/ syp codeine, 56

prednisone TAB 2.5MG, 22

Pro Comfort Mis 31G, 63

Prometh/PE/ Syp Codeine, 56



promethazine inj 25MG/ML, 56

Prednisone TAB 50MG, 22


promethazine inj 50MG/ML, 56

promethazine sol 6.25/5ML, 56

Pulmicort Sus 1MG/2ML, 57

Qvar Redihal Aer 40mcg, 57

promethazine sup 12.5MG, 56

pulmosal neb 7%, 56

R

promethazine sup 25MG, 56

Pulmozyme Sol 1MG/ML, 58

Ra E-ZJECT Mis 28G, 63

promethazine sup 50MG, 56

Purixan Sus 20MG/ML, 6

Ra E-ZJECT Mis 33G, 63

promethazine syp 6.25/5ML, 56

Px Lancets Mis 28G, 63

Ra E-ZJECT Mis Thin 26G, 63

promethazine syp DM, 56

Px Lancets Mis Ult Thin, 63

Ra E-ZJECT Mis Thin 28G, 63

promethazine TAB 12.5MG, 56

Pylera CAP, 31

Ra E-ZJECT Mis Ult Thin, 63

promethazine TAB 25MG, 56

pyrazinamide TAB 500MG, 3

ra nicotine dis 14MG/24h, 45

promethazine TAB 50MG, 56

Pyridium TAB 100MG, 34

ra nicotine dis 21MG/24h, 45

promethegan sup 12.5MG, 56

Pyridium TAB 200MG, 34

ra nicotine dis 7MG/24HR, 45

promethegan sup 25MG, 56

pyridostigm TAB 60MG, 48

ra nicotine gum 2MG, 46

promethegan sup 50MG, 56

pyridostigmi TAB ER 180MG, 48

ra nicotine gum 2MG cinn, 46

Prometrium CAP 100MG, 25

Pyrogall Acd Oin, 21

ra nicotine gum 2MG mint, 46

Prometrium CAP 200MG, 25

Q

ra nicotine gum 2mgfruit, 46

propafenone CAP 225MG ER, 11

Qbrelis Sol 1MG/ML, 11

ra nicotine gum 4MG, 46


Qbrexza Pad 2.4%, 21

ra nicotine gum 4MG frut, 46


Qc Lancets Mis 28G, 63

ra nicotine gum 4MG mint, 46

propafenone CAP 425MG SR, 11

Qc Lancets Mis 30G, 63

ra nicotine loz 2MG mint, 46

propafenone TAB 150MG, 11

Qc Lancing Mis Device, 63

ra nicotine loz 4MG mint, 46


qc nicotine gum 4MG, 46

Ra Pen Needl Mis 31GX3/16, 63


qnapril/hctz TAB 10-12.5, 13

rabeprazole TAB 20MG, 31

Propanthelin TAB 15MG, 31

qnapril/hctz TAB 20-12.5, 13

rajani TAB, 25

proparacaine sol 0.5% op, 50

qnapril/hctz TAB 20-25MG, 13

raloxifene TAB 60MG, 28

Propran/Hctz TAB 40/25, 13

Qnasl Aer 80mcg, 56

ramipril CAP 1.25MG, 11

Propran/Hctz TAB 80/25, 13

Qnasl Child Spr 40mcg, 56

ramipril CAP 10MG, 11

propranolol CAP 120MG ER, 9

Qtern TAB 10MG/5MG, 27

ramipril CAP 2.5MG, 11


Quadracel Inj, 58

ramipril CAP 5MG, 11


Qualaquin CAP 324MG, 5

Ranexa TAB 1000MG, 9


Quartette TAB, 25

Ranexa TAB 500MG, 9

Propranolol Sol 20MG/5ML, 9

quasense TAB, 25

ranitidine CAP 150MG, 31

Propranolol Sol 40MG/5ML, 9

Quazepam TAB 15MG, 41

ranitidine CAP 300MG, 31

propranolol TAB 10MG, 9

Qudexy XR CAP 100/24HR, 44

ranitidine syp 150/10ML, 31



ranitidine syp 15MG/ML, 31



ranitidine syp 75MG/5ML, 31



ranitidine TAB 150MG, 31



ranitidine TAB 300MG, 31

propylthiour TAB 50MG, 29

Questran Pow 4gm, 15

Rapaflo CAP 4MG, 34

Proquad Inj, 58

Questran Pow 4gm Lite, 15

Rapaflo CAP 8MG, 34

Proscar TAB 5MG, 34

quetiapine TAB 100MG, 39

Rapamune Sol 1MG/ML, 7

Prostin E2 Sup 20MG, 50

quetiapine TAB 150MG ER, 39

Rapamune TAB 0.5MG, 7

Protonix PAK, 31


Rapamune TAB 1MG, 7

Protonix TAB 20MG, 31


Rapamune TAB 2MG, 7

Protonix TAB 40MG, 31


Rapid-safe Mis Lancing, 63

Protopic Oin 0.03%, 20


rasagiline TAB 0.5MG, 44

Protopic Oin 0.1%, 20


rasagiline TAB 1MG, 44

protriptylin TAB 10MG, 37


Rasuvo Inj 10MG, 54

protriptylin TAB 5MG, 37


Rasuvo Inj 12.5MG, 54

Proventil Aer HFA, 57


Rasuvo Inj 15MG, 54

Provera TAB 10MG, 25



Provera TAB 2.5MG, 25

Quicktek Liq Solution, 63

Rasuvo Inj 20MG, 54

Provera TAB 5MG, 25

Quillichew Chw 20MG ER, 42


Provigil TAB 100MG, 42


Rasuvo Inj 25MG, 54

Provigil TAB 200MG, 42



Prozac CAP 10MG, 38

Quillivant Sus 25MG/5ML, 42

Rasuvo Inj 30MG, 54

Prozac CAP 20MG, 38

quinapril TAB 10MG, 11


Prozac CAP 40MG, 38


Ravicti Liq 1.1gm/ML, 29

Prozac Weekl CAP 90MG, 38


Rayaldee CAP 30mcg, 29

Pruclair CRE, 21


Rayos TAB 1MG, 22

Prudoxin CRE 5%, 18

Quinidine Gl Inj 80MG/ML, 11

Rayos TAB 2MG, 22

Prumyx CRE, 21

quinidine gl TAB 324MG CR, 11

Rayos TAB 5MG, 22

Psorcon CRE 0.05%, 20

quinidine gl TAB 324MG ER, 11

Razadyne ER CAP 16MG, 47

Pss Safe Lan Mis, 63

Quinidine SU TAB 200MG, 11


Pss Sel Lanc Mis, 63

Quinidine SU TAB 300MG, 11


Pss Sel Plat Mis, 63

quinine sulf CAP 324MG, 5

Razadyne TAB 12MG, 47

Pulmicort Inh 180mcg, 57

Quintet Cont Sol Hgh/Norm, 63


Pulmicort Inh 90mcg, 57

Qvar Aer 40mcg, 57


Pulmicort Sus 0.25MG/2, 57

Qvar Aer 80mcg, 57

rea LO 39 CRE 39%, 20

Pulmicort Sus 0.5MG/2, 57

Qvar Rediha Aer 80mcg, 57

rea LO 40 CRE 40%, 20

Repaglinide TAB 1-500MG, 27

Rhinocort Sus Aqua, 56

react TAB 1.5MG, 24

repaglinide TAB 1MG, 26

Rhofade CRE 1%, 17

Readylance Mis 21G, 63

Repaglinide TAB 2-500MG, 27

Ribapak PAK 1200/Day, 5


repaglinide TAB 2MG, 26

Ribapak PAK 800/Day, 5


Repatha Inj 140MG/ML, 15

Ribapak TAB 1000/Day, 5


Repatha Push Inj 420/3.5, 15

Ribapak TAB 600/Day, 5


Repatha Sure Inj 140MG/ML, 15

ribasphere CAP 200MG, 4

Reality Mis Lancets, 63

reprexain TAB 10-200MG, 52

ribasphere TAB 200MG, 4

Reality Trig Mis Lancets, 63

Reprexain TAB 5-200MG, 53

Ribasphere TAB 400MG, 5

Rebetol CAP 200MG, 5

Requip TAB 0.25MG, 45

Ribasphere TAB 600MG, 5

Rebetol Sol 40MG/ML, 4

Requip TAB 0.5MG, 45

ribavirin CAP 200MG, 4

Rebif Inj 22/0.5, 47

Requip TAB 1MG, 45

ribavirin inh 6gm, 4

Rebif Inj 44/0.5, 47

Requip TAB 2MG, 45

ribavirin TAB 200MG, 4

Rebif Rebido Inj 22/0.5, 47

Requip TAB 3MG, 45

Ridaura CAP 3MG, 54

Rebif Rebido Inj 44/0.5, 47

Requip TAB 4MG, 45

rifabutin CAP 150MG, 3

Rebif Rebido Inj Titratn, 47

Requip TAB 5MG, 45

Rifadin CAP 150MG, 3

Rebif Titrtn Inj Pack, 47

Requip XL TAB 12MG, 45

Rifadin CAP 300MG, 3

reclipsen TAB, 24


Rifamate CAP, 3

Recombiva HB Inj 10mcg/ML, 58


rifampin CAP 150MG, 3

Recombiva HB Inj 5mcg/0.5, 58


rifampin CAP 300MG, 3

Recombiva-HB Inj 40mcg/ML, 58


Rifater TAB, 3

Rectiv Oin 0.4%, 32

Rescriptor TAB 100 MG, 4

Rightest Alt Mis Adaptor, 63

Refuah Plus Sol Control, 63

Rescriptor TAB 200MG, 4

Rightest Liq High CON, 63

Reglan TAB 10MG, 33

Rescula Sol 0.15%, 49

Rightest Liq Norm CON, 63

Reglan TAB 5MG, 33

Restasis Emu 0.05%, 50

Rightest Mis GD500, 63

relador PAK kit 2.5-2.5%, 20

Restasis Mul Emu 0.05%, 50

Rightest Mis Gl300, 63

relador PAK kit plus, 20

Restoril CAP 15MG, 41

Rilutek TAB 50MG, 48

Relagard Gel, 34

Restoril CAP 22.5MG, 41

riluzole TAB 50MG, 48

Releevia Mc Pad .0375-5%, 21

Restoril CAP 30MG, 41

rimantadine TAB 100MG, 4

releevia ML pad 4-1%, 20

Restoril CAP 7.5MG, 41

Rimso-50 Sol 50%, 34

Releevia Pad .0375-5%, 21

Retacrit Inj 10000unt, 35

Riomet Sol, 26

Relenza Mis Diskhale, 4

Retacrit Inj 2000unit, 35

Riomet Sol 500/5ML, 26

relexxii TAB 72MG, 41


risedron sod TAB 35MG DR, 27

Relion Kit Lancing, 63

Retacrit Inj 40000unt, 35

risedronate TAB 150MG, 27

Relion Lance Mis Stnd 21G, 63



Relion Lance Mis Thin 26G, 63

Retin-a CRE 0.025%, 16


Relion Lance Mis Thin 30G, 63



Relion Lanci Mis Device, 63


Risperdal Inj 12.5MG, 39

Relion Micro Mis Thin 33G, 63

Retin-a Gel 0.01%, 16

Risperdal Inj 25MG, 39

Relion Pen Mis 29GX12MM, 63

Retin-a Gel 0.025%, 16

Risperdal Inj 37.5MG, 39


Retin-a Micr Gel 0.04%, 16

Risperdal Inj 50MG, 39


Retin-a Micr Gel 0.04%pmp, 16

Risperdal M TAB 0.5MG, 40



Risperdal M TAB 1MG, 40

Relion Thin Mis Lancets, 63



Relion Ultra Mis Thin, 63



Relion Ultra Mis Thin 32G, 63

Retin-a Micr Gel 0.1%P.M., 16


Relion Ultra Mis Thin Pls, 63

Retrovir CAP 100MG, 5

Risperdal Sol 1MG/ML, 40

Relistor Inj 12/0.6ML, 32

Retrovir Syp 50MG/5ML, 5

Risperdal TAB 0.25MG, 40

Relistor Inj 8/0.4ML, 32

Revatio Sus 10MG/ML, 16

Risperdal TAB 0.5MG, 40

Relistor TAB 150MG, 33

Revatio TAB 20MG, 16

Risperdal TAB 1MG, 40

Relpax TAB 20MG, 55

Revlimid CAP 10MG, 7


Relpax TAB 40MG, 55



Remaxazon Pad, 21

Revlimid CAP 2.5MG, 7


Remeron Sltb TAB 15MG, 38


risperidone sol 1MG/ML, 39



risperidone TAB 0.25 odt, 39


Revlimid CAP 5MG, 7

Risperidone TAB 0.25 Odt, 40

Remeron TAB 15MG, 38

Rexaphenac CRE 1%, 18

risperidone TAB 0.25MG, 39


Rexulti TAB 0.25MG, 40

risperidone TAB 0.5MG, 39


Rexulti TAB 0.5MG, 40

risperidone TAB 0.5MG od, 39

remeven CRE 50%, 20

Rexulti TAB 1MG, 40

risperidone TAB 1MG, 39

Renacidin Sol, 34

Rexulti TAB 2MG, 40

risperidone TAB 1MG odt, 39

Renagel TAB 400MG, 32

Rexulti TAB 3MG, 40


Renagel TAB 800MG, 32

Rexulti TAB 4MG, 40


Renovo Pad 0.0375-5, 21

Reyataz CAP 150MG, 5


Renvela Pow 0.8gm, 33



Renvela Pow 2.4gm, 33



Renvela TAB 800MG, 33

Reyataz Pow 50MG, 4


repaglinide TAB 0.5MG, 26

Rezira Sol 60-5/5ML, 56

Ritalin LA CAP 10MG, 42


Ryclora Syp 2MG/5ML, 56

Saphris Sub 10MG, 40


Rydapt CAP 25MG, 7

Saphris Sub 2.5MG, 40


Rynoderm CRE 37.5%, 21

Saphris Sub 5MG, 40

Ritalin TAB 10MG, 42

Rytary CAP 145MG, 45

Saps Health Mis Twist, 63

Ritalin TAB 20MG, 42


Sapscare Mis Twist, 63

Ritalin TAB 5MG, 42


Sarafem TAB 10MG, 47

Riteflo Mis, 65

Rytary CAP 95MG, 45

Sarafem TAB 20MG, 47

ritonavir TAB 100MG, 4

Rythmol SR CAP 225MG, 11

Savaysa TAB 15MG, 35

rivastigmine CAP 1.5MG, 45



rivastigmine CAP 3MG, 45



rivastigmine CAP 4.5MG, 45

ryvent TAB 6MG, 56

Savella Mis Titr PAK, 47

rivastigmine CAP 6MG, 45

S

Savella TAB 100MG, 47

rivastigmine dis 13.3/24, 47

Savella TAB 12.5MG, 47

Sabril Pow 500MG, 44

rivastigmine dis 4.6MG/24, 47


Sabril TAB 500MG, 44

rivastigmine dis 9.5MG/24, 47


Safe-t-lance Mis 21G, 63

rivelsa TAB, 25

SB Lancets Mis Thin, 64

Safe-t-lance Mis 25G, 63

rizatriptan TAB 10MG, 55

SB Lancets Mis Ultr Thn, 64

Safe-t-lance Mis HI Flow, 63

rizatriptan TAB 10MG odt, 55

scopolamine dis 1MG/3day, 32

Safe-t-lance Mis Low Flow, 63

rizatriptan TAB 5MG, 55

Seasonique TAB, 25

Safe-t-lance Mis Nor Flow, 63

rizatriptan TAB 5MG odt, 55

seb-prev liq wash, 18

Safe-t-pro Mis Lancets, 63

Robaxin Inj 100MG/ML, 48

Seconal Sod CAP 100MG, 40

Safe-t-pro Mis Plus, 63

Robaxin TAB 500MG, 48

Seebri Neoha CAP 15.6mcg, 57

Safety 21G Mis Lancets, 63

Robaxin-750 TAB 750MG, 48

Segluromet TAB 2.5-1000, 27

Safety 28G Mis Lancets, 63

Robinul Fort TAB 2MG, 31


Safety Let Mis Lancets, 63

Robinul Inj 0.2MG/ML, 31


Safety Mis Lancets, 63

Robinul TAB 1MG, 31


Safety Seal Mis 28G, 63

Rocaltrol CAP 0.25mcg, 29

Select-lite Kit Dev/Lanc, 63

Safety Seal Mis 30G, 63

Rocaltrol CAP 0.5mcg, 29

Select-lite Mis Lanc Dev, 63

Safyral TAB, 25

Rocaltrol Sol 1mcg/ML, 29

selegiline CAP 5MG, 44

Saizen Inj 5MG, 28

ropinirole TAB 0.25MG, 44

selegiline TAB 5MG, 44

Saizen Inj 8.8MG, 28

ropinirole TAB 0.5MG, 44

selenium SUL lot 2.5%, 18

Saizenprep Inj 8.8MG, 28

ropinirole TAB 12MG ER, 45

selenium SUL sha 2.25%, 18

salacyn CRE 6%, 20

ropinirole TAB 1MG, 44

Selzentry Sol 20MG/ML, 4

salacyn lot 6%, 20


Selzentry TAB 150MG, 4

Salagen TAB 5MG, 36



Salagen TAB 7.5MG, 36



Salex Sha 6%, 21



salicylic ac CRE 6%, 20


Semprex-d CAP 8-60MG, 56

salicylic ac gel 6%, 20


Sensipar TAB 30MG, 29

salicylic ac liq 26%, 20



salicylic ac liq 27.5%, 20



salicylic ac lot 6%, 20

Ropivacaine Inj 5MG/ML, 55

Serevent Dis Aer 50mcg, 57

salicylic ac sha 6%, 20

rosadan CRE 0.75%, 17

Sernivo Spr, 20

salicylic ac sol 26%, 20

rosadan gel 0.75%, 17

Seroquel TAB 100MG, 40

salicylic aer 6%, 20

Rosadan Kit 0.75%, 17


salimez CRE 6%, 20

rosanil emu cleanser, 16


Salimez Fort CRE 10%, 21

Rosula Liq 10-4.5%, 17


salisol fort sol 26%, 20

Rosula Pad 10-5%, 17


Salitech Lot 5%, 21

rosuvastatin TAB 10MG, 15


salitech lot forte, 20


Seroquel XR TAB 150MG, 40

Salivamax Pow, 36



Salivate RX Pow, 36



salsalate TAB 500MG, 50

Rotarix Sus, 58


salsalate TAB 750MG, 50

Rotateq Sol, 58


Salvax Aer 6%, 21

Rowasa Kit 4gm, 33

Serostim Inj 4MG, 28

Samsca TAB 15MG, 28

roweepra TAB 1000MG, 43


Samsca TAB 30MG, 29



Sancuso Dis 3.1MG, 32


sertraline CON 20MG/ML, 37

Sandimmune CAP 100MG, 7

roweepra XR TAB 500MG XR, 43

sertraline TAB 100MG, 37

Sandimmune CAP 25MG, 7

roweepra XR TAB 750MG XR, 43


Sandimmune Sol 100MG/ML, 7

Roxicodone TAB 15MG, 53


Sandostatin Inj 1000mcg, 28


setlakin TAB, 25



sevelamer pow 0.8gm, 32


Rozerem TAB 8MG, 41

sevelamer pow 2.4gm, 32


Rubraca TAB 200MG, 8

sevelamer TAB 800MG, 32

Sandostatin Inj 50mcg/ML, 28


Seysara TAB 100MG, 2

Sandostatin Kit Lar 10MG, 28


Seysara TAB 150MG, 2


Ruconest Inj 2100unit, 36

Seysara TAB 60MG, 2


Sfrowasa Ene 4gm, 33

smz-tmp sus 200-40/5, 5

Soriatane CAP 10MG, 18

sharobel TAB 0.35MG, 24

smz-tmp TAB 400-80MG, 5

Soriatane CAP 17.5MG, 18

Shingrix Inj 50mcg, 58

smz/tmp DS TAB 800-160, 5

Soriatane CAP 25MG, 18

Shohls Sol Modified, 34

sod chloride neb 0.9%, 56

Sorilux Aer 0.005%, 18

Shopko Lanc Mis Device, 63

sod citrate sol citr acd, 34

sorine TAB 120MG, 9

Side Button Mis Safety, 63

sod SUL/sulf CRE 10-2%, 17

sorine TAB 160MG, 9

Signifor Inj 0.3MG/ML, 28

sod SUL/sulf CRE 10-5%, 17

sorine TAB 240MG, 9


sod SUL/sulf CRE 9.8-4.8%, 17

sorine TAB 80MG, 9


sod SUL/sulf emu 10-5%, 16

sotalol AF TAB 120MG, 9

Siklos TAB 1000MG, 35

Sod SUL/Sulf Emu 10-5%, 16


Siklos TAB 100MG, 35

Sod SUL/Sulf Gel 10-5%, 17


sildenafil TAB 20MG, 15

sod SUL/sulf liq 10-2%, 17

sotalol HCL TAB 120MG, 9

Silenor TAB 3MG, 41

sod SUL/sulf liq 9-4.5%, 17


Silenor TAB 6MG, 41

sod SUL/sulf liq 9.8-4.8%, 17


Siliq Inj 210/1.5, 18

sod SUL/sulf liq wash, 16


silodosin CAP 4MG, 34

Sod SUL/Sulf Lot 10-5%, 16

Sotylize Sol 5MG/ML, 10

silodosin CAP 8MG, 34

sod SUL/sulf lot 9.8-4.8%, 17

Sovaldi TAB 400MG, 5

Simbrinza Sus 1-0.2%, 50

sod SUL/sulf pad 10-4%, 17

Spacer Chamb Mis Adult, 65

Simple Diag Mis Lancing, 63

Sod SUL/Sulf Sus 10-5%, 17

Spacer Chamb Mis Child, 65

Simponi Inj 100MG/ML, 54

sod SUL/sulf sus 8-4%, 17

Spectracef TAB 400MG, 1

Simponi Inj 50/0.5ML, 54

sod sulfacet gel 10%, 18

Spinosad Sus 0.9%, 21

simvastatin TAB 10MG, 15

sod sulfacet sha 10%, 18

Spiriva Aer 1.25mcg, 57


sod sulfacet sol 10% op, 48

Spiriva CAP Handihlr, 57


sodium chlor neb 10%, 56

Spiriva Spr 2.5mcg, 57



spirono/hctz TAB 25/25, 14



spironolact TAB 100MG, 14

Sinemet CR TAB 25-100MG, 45

sodium chlor sol 0.9% irr, 34


Sinemet CR TAB 50-200MG, 45

sodium pheny TAB 500MG, 29


Sinemet TAB 10-100MG, 45

sodium SULFA liq 10% wash, 18

Sporanox CAP 100MG, 3


Sodium SULFA Liq 10% Wash, 18

Sporanox CAP Pulsepak, 3


Sofos/Velpat TAB 400-100, 4

Sporanox Sol 10MG/ML, 3

Single-let Mis 23G, 63

Soft Touch Mis Lancets, 64

sprintec 28 TAB 28 day, 24

Singulair Chw 4MG, 57

Softclix Mis Lancets, 64

Spritam TAB 1000MG, 44

Singulair Chw 5MG, 57

Soliqua Inj 100/33, 27


Singulair Gra 4MG, 57

Solodyn TAB 105MG, 2


Singulair TAB 10MG, 57

Solodyn TAB 115MG, 2


sirolimus sol 1MG/ML, 7

Solodyn TAB 55MG, 2

Sprix Spr 15.75MG, 54

sirolimus TAB 0.5MG, 7

Solodyn TAB 65MG, 2

Sprycel TAB 100MG, 7

sirolimus TAB 1MG, 7

Solodyn TAB 80MG, 2

Sprycel TAB 140MG, 7

sirolimus TAB 2MG, 7

Solosec Gra 2gm, 5

Sprycel TAB 20MG, 7

Sirturo TAB 100MG, 3

soloxide TAB 150MG DR, 2

Sprycel TAB 50MG, 7

Sitavig TAB 50MG, 5

Soltamox Sol 10MG/5ML, 7

Sprycel TAB 70MG, 7

Sivextro TAB 200MG, 5

Solu-cortef Inj 1000MG, 22

Sprycel TAB 80MG, 7

Skelaxin TAB 800MG, 48


SR nicotine gum 2MG, 47

Sklice Lot 0.5%, 21


sronyx TAB, 24

Skyla Iud 13.5MG, 24


Sski Sol 1gm/ML, 56

Sm Lancets Mis 21G, 63

Solu-medrol Inj 125MG, 22

Sss 10-5 Aer 10-5%, 17

Sm Lancets Mis 33G, 63

soluline kit 2.5-2.5%, 20

sss CRE 10%-5%, 17

Sm Lancets Mis Thin 26G, 63

solupicc kit 2.5-2.5%, 20

Stalevo 100 TAB, 45

Sm Lancets Mis Thin 30G, 63

Solus V2 Mis Lanc 28G, 64

Stalevo 125 TAB, 45

sm nicotine dis 14MG/24h, 45

Solus V2 Mis Lanc 30G, 64

Stalevo 150 TAB, 45

sm nicotine dis 21MG, 45

Solus V2 Mis Lanc Dev, 64

Stalevo 200 TAB, 45

sm nicotine dis 21MG/24h, 45

Solus V2 Sol High, 64

Stalevo 50 TAB, 45

sm nicotine dis 7MG/24HR, 45

Solus V2 Sol Low, 64

Stalevo 75 TAB, 45

sm nicotine gum 2MG, 46

Soma TAB 250MG, 48

Starlix TAB 120MG, 26

sm nicotine gum 2MG mint, 46

Soma TAB 350MG, 48

Starlix TAB 60MG, 26

sm nicotine gum 4MG, 46

Somatuline Inj 120/.5ML, 28

stavudine CAP 15MG, 4

sm nicotine gum 4MG mint, 46

Somatuline Inj 60/0.2ML, 28


sm nicotine loz 2MG mint, 46

Somatuline Inj 90/0.3ML, 28


sm nicotine loz 4MG mint, 46

Somavert Inj 10MG, 28


Sm Truedraw Mis Lanc Dev, 63


Steglatro TAB 15MG, 26

Smart Sense Mis Lanc 21G, 64


Steglatro TAB 5MG, 26



Steglujan TAB 15-100MG, 27



Steglujan TAB 5-100MG, 27


Sonata CAP 10MG, 41

Stelara Inj 45MG/0.5, 18

Smartest Mis Lancets, 64

Sonata CAP 5MG, 41

Stelara Inj 90MG/ML, 18

Smartest Sol Control, 64

Soolantra CRE 1%, 17

Sterilance Mis 1.8MM, 64

smz-tmp DS TAB 800-160, 5

Soothee Pad, 21

Sterilance Mis TL 28G, 64


sumatriptan inj 6MG/0.5, 55

syeda TAB 3-0.03MG, 24


Sumatriptan Inj 6MG/0.5, 55

Sylatron Kit 200mcg, 8

Stimate Sol 1.5MG/ML, 28

sumatriptan spr 20MG/act, 55


Stiolto Aer 2.5-2.5, 57

sumatriptan spr 5MG/act, 55


Stivarga TAB 40MG, 7

sumatriptan TAB 100MG, 55

Symax Duotab TAB, 31

stop smoking gum 2MG mint, 46


symax-SL sub 0.125MG, 31

stop smoking gum 2MG orig, 46


symax-SR TAB 0.375MG, 31

stop smoking gum 4MG, 46

Sumavel Dose Inj 4MG/0.5, 55

Symbicort Aer 160-4.5, 57

stop smoking loz 2MG, 46

Sumavel Dose Inj 6MG/0.5, 55

Symbicort Aer 80-4.5, 57

stop smoking loz 2MG mint, 46

Sumaxin Pad 10-4%, 17

Symbyax CAP 12-25MG, 47

stop smoking loz 4MG mint, 46

Sumaxin Ts Sus 8-4%, 17


Strattera CAP 100MG, 42

Sumaxin Wash Liq 9-4%, 17



Super Thin Mis Lanc 28G, 64



Super Thin Mis Lancet, 64



Super Thin Mis Lancets, 64

Symdeko TAB 100-150, 58


Suprax CAP 400MG, 1

Symfi LO TAB, 4


Suprax Chw 100MG, 1

Symfi TAB, 4


Suprax Chw 200MG, 1

Symjepi Inj 0.3MG, 14

Strensiq Inj 18/0.45, 29

Suprax Sus 100/5ML, 1

Symlinpen 60 Inj 1000mcg, 26

Strensiq Inj 28/0.7ML, 29


Symlnpen 120 Inj 1000mcg, 26

Strensiq Inj 40MG/ML, 29


Sympazan Mis 10MG, 44

Strensiq Inj 80/0.8ML, 29

Supreme II Liq High/Low, 64


Streptomycin Inj 1gm, 3

Suprep Bowel Sol Prep Kit, 30


Striant Mis 30MG, 23

Sure Comfort Mis 0.5/31G, 64

Symproic TAB 0.2MG, 33

Stribild TAB, 4

Sure Comfort Mis 29GX1/2", 64

Symtuza TAB, 5

Striverdi Aer 2.5mcg, 57

Sure Comfort Mis 30GX5/16, 64

Synalar CRE 0.025%, 19

Stromectol TAB 3MG, 5


Synalar Oin 0.025%, 19

Suboxone Mis 12-3MG, 53


Synalar Sol 0.01%, 20

Suboxone Mis 2-0.5MG, 53

Sure Comfort Mis 31GX6MM, 64

Synalgos-dc CAP, 53



Synarel Sol 2MG/ML, 28


Sure Comfort Mis 32GX6MM, 64

Syndros Sol 5MG/ML, 32

Subsys Spr 100mcg, 53

Sure Comfort Mis Lanc 18G, 64

Synera Dis 70-70MG, 21



Synerderm Emu, 21



Synjardy TAB, 27



Synjardy TAB 12.5-500, 27


Sure Comfort Mis Lanc Pen, 64

Synjardy TAB 5-1000MG, 27


Sure Comfort Mis Lancets, 64

Synjardy TAB 5-500MG, 27


Sure-fine Mis 29GX1/2", 64

Synjardy XR TAB, 27

subvenite kit start 35, 43

Sure-fine Mis 31GX3/16, 64

Synjardy XR TAB 10-1000, 27


Sure-fine Mis 31GX5/16, 64

Synjardy XR TAB 25-1000, 27


Sure-lance Mis 26G, 64

Synjardy XR TAB 5-1000MG, 27

subvenite TAB 100MG, 43

Sure-lance Mis Lancets, 64

Synthroid TAB 100mcg, 30


Sure-pen Mis, 64



Sure-touch Mis Unv Lanc, 64



Sureflex Mis Lancets, 64


Sucraid Sol 8500/ML, 32

Surelite Mis Lancets, 64


sucralfate TAB 1gm, 31

Surestep Glu Sol, 64


SUL sod/sulf pad 10-4%, 17

Surestep Glu Sol High/Low, 64


Sular TAB 17MG, 11

Surestep Pro Tes High CON, 64


Sular TAB 34MG, 11

Surestep Pro Tes Low CON, 64


Sular TAB 8.5MG, 11

Surestep Pro Tes Norm CON, 64


sulf/pred NA sol op, 49

Surestep Sol Control, 64


Sulf/Pred NA Sol Op, 49

Surmontil CAP 100MG, 38


Sulfacet Sod Oin 10% Op, 48


synvexia pad 4-1%, 20

sulfacet sod sol 10% op, 48


Syringe Mis 0.5/30G, 64

sulfacetamid lot 10%, 16

Survanta Inh, 58

T

sulfacleanse sus 8-4%, 17

Sustiva CAP 200MG, 5

Tabloid TAB 40MG, 6

Sulfadiazine TAB 500MG, 3

Sustiva CAP 50MG, 5

Taclonex Oin, 20

sulfamez emu 10-1%, 17

Sustiva TAB 600MG, 5

Taclonex Sus, 20

sulfasalazin TAB 500MG, 32

Sutent CAP 12.5MG, 7

tacrolimus CAP 0.5MG, 7

sulfasalazin TAB 500MG DR, 32

Sutent CAP 25MG, 7

tacrolimus CAP 1MG, 7

sulfatrim PD sus 200-40/5, 5

Sutent CAP 37.5MG, 7

tacrolimus CAP 5MG, 7

sulfur/resor lot 5-2%, 17

Sutent CAP 50MG, 7

tacrolimus oin 0.03%, 20

sulindac TAB 150MG, 54

Suvicort Emu, 21

tacrolimus oin 0.1%, 20

sulindac TAB 200MG, 54

sw nicotine gum 2MG mint, 46

tadalafil TAB 20MG, 16

Sumadan Wash Liq 9-4.5%, 17

sw nicotine gum 4MG, 46

Tafinlar CAP 50MG, 7

sumat-naprox TAB 85-500MG, 55

sw nicotine loz 2MG mint, 46

Tafinlar CAP 75MG, 7

sumatriptan inj 4MG/0.5, 55

sw nicotine loz 4MG mint, 46

Tagrisso TAB 40MG, 7

Tagrisso TAB 80MG, 7

Tekturna TAB 150MG, 12

Testosterone Gel P.M. 1%, 22

Tai Doc Sol Norm CON, 64

Tekturna TAB 300MG, 12

testosterone sol 30MG/act, 22

take action TAB 1.5MG, 24

Telcare Sol Level1/2, 64

Testred CAP 10MG, 23

Takhzyro Inj 300/2ML, 36

telmis/amlod TAB 40-10MG, 13

tetcaine sol 0.5% op, 50

Taltz Inj 80MG/ML, 18


tetrabenazin TAB 12.5MG, 47

Talzenna CAP 0.25MG, 8


tetrabenazin TAB 25MG, 47

Talzenna CAP 1MG, 8


tetracaine sol 0.5% op, 50

Tamiflu CAP 30MG, 4

telmisa/hctz TAB 40-12.5, 13

tetracycline CAP 250MG, 2

Tamiflu CAP 45MG, 4

telmisa/hctz TAB 80-12.5, 13

Tetracycline CAP 250MG, 2

Tamiflu CAP 75MG, 4

telmisa/hctz TAB 80-25MG, 13

tetracycline CAP 500MG, 2

Tamiflu Sus 6MG/ML, 4

telmisartan TAB 20MG, 12

Tetracycline CAP 500MG, 2

tamoxifen TAB 10MG, 6


Tetravex Gel 2%, 21

tamoxifen TAB 20MG, 6


tetravisc sol 0.5% op, 50

tamsulosin CAP 0.4MG, 34

Temazepam 7.5MG CAPS, 41

tetravisc sol forte, 50

Tanzeum Inj 30MG, 26

temazepam CAP 15MG, 40

Tetrix CRE, 21

Tanzeum Inj 50MG, 26

temazepam CAP 22.5MG, 40

Texacort Sol 2.5%, 20

Tapazole TAB 10MG, 30

temazepam CAP 30MG, 40

Tgt Lancet Mis 23G, 64

Tapazole TAB 5MG, 30

temazepam CAP 7.5MG, 40


Taperdex PAK 12-day, 22

Temodar CAP 100MG, 6


Taperdex PAK 6 Day, 22



Tarceva TAB 100MG, 7



Tarceva TAB 150MG, 7

Temodar CAP 20MG, 6

Tgt Lancet Mis Alternat, 64

Tarceva TAB 25MG, 7


Tgt Lancing Mis Adv Dev, 64

Targadox TAB 50MG, 2

Temodar CAP 5MG, 6

Tgt Lancing Mis Device, 64

Targretin CAP 75MG, 8

Temovate CRE 0.05%, 20

tgt nicotine dis 14MG/24h, 45

tarina FE TAB 1/20, 24

Temovate E CRE 0.05%eml, 20

tgt nicotine dis 21MG/24h, 45

tarina FE TAB 1/20 eq, 24

Temovate Oin 0.05%, 20

tgt nicotine dis 7MG/24HR, 45

Tarka TAB 1-240 CR, 13

temozolomide CAP 100MG, 6

tgt nicotine gum 2MG mint, 46



tgt nicotine gum 2MG orig, 46



tgt nicotine gum 2mgfruit, 46



tgt nicotine gum 4MG, 46

taron gra crystals, 34


tgt nicotine gum 4MG mint, 46

Tasigna CAP 150MG, 8


tgt nicotine gum 4MG orig, 46

Tasigna CAP 200MG, 8

Tencon TAB 50-325MG, 50

tgt nicotine loz 2MG chry, 46

Tasigna CAP 50MG, 8

Tenivac Inj 5-2LF, 58

tgt nicotine loz 2MG mint, 46

Tasmar TAB 100MG, 45

tenofovir TAB 300MG, 4

tgt nicotine loz 4MG chry, 46

Tavalisse TAB 100MG, 36

Tenoretic TAB 100, 13

tgt nicotine loz 4MG mint, 46

Tavalisse TAB 150MG, 36

Tenoretic TAB 50, 13

Thalomid CAP 100MG, 7

Taytulla CAP 1MG/20mc, 25

Tenormin TAB 100MG, 10


tazarotene CRE 0.1%, 18



tazicef inj 1gm, 1



Tazorac CRE 0.05%, 18

Terazol 7 CRE 0.4%, 34

Theo-24 CAP 100MG CR, 57

Tazorac CRE 0.1%, 18

terazosin CAP 10MG, 12


Tazorac Gel 0.05%, 18



Tazorac Gel 0.1%, 18


Theo-24 CAP 400MG ER, 57

taztia XT CAP 120MG/24, 10


theochron TAB 100MG CR, 57


terbinafine TAB 250MG, 3



terbutaline inj 1MG/ML, 57



terbutaline TAB 2.5MG, 57

theophylline sol 80/15ML, 57


terbutaline TAB 5MG, 57

theophylline TAB 100MG CR, 57

Tdvax Inj 2-2 LF, 58

terconazole CRE 0.4%, 34

theophylline TAB 100MG ER, 57

Tecfidera CAP 120MG, 47

terconazole CRE 0.8%, 34

theophylline TAB 200MG CR, 57

Tecfidera CAP 240MG, 47

Terconazole CRE 0.8%, 34


Tecfidera Mis Starter, 47

terconazole sup 80MG, 34


Techlite AST Mis Lancets, 64

Tessalon Per CAP 100MG, 56


Techlite Mis Lanc 30G, 64

Testim Gel 1%(50MG), 23


Techlite Mis Lancets, 64

Testone Cik Kit 200MG/ML, 23


Technivie TAB, 5

testost cyp inj 100MG/ML, 22

Thin Lancets Mis, 64

Tegretol Sus 100/5ML, 44

testost cyp inj 200MG/ML, 22

Thin Lancets Mis 26G, 64

Tegretol TAB 200MG, 44

Testost Cyp Inj 200MG/ML, 22

Thin Lancets Mis 30G, 64

Tegretol-XR TAB 100MG, 44

testost enan inj 200MG/ML, 22

Thinlets GP Mis 26G, 64


testosterone gel 1%(25MG), 22

Thinlets Mis 28g(t), 64


Testosterone Gel 1%(25MG), 22

Thiola TAB 100MG, 34

Tegsedi Inj 284/1.5, 47

testosterone gel 1%(50MG), 22

thioridazine TAB 100MG, 39

Tekturna HCT TAB 150-12.5, 13

Testosterone Gel 1%(50MG), 22


Tekturna HCT TAB 150-25MG, 13

testosterone gel 1.62%, 22


Tekturna HCT TAB 300-12.5, 13

testosterone gel 10MG/act, 22


Tekturna HCT TAB 300-25MG, 13

testosterone gel P.M. 1%, 22

thiothixene CAP 10MG, 39


Tivorbex CAP 40MG, 54

Toviaz TAB 4MG, 34


tizanidine CAP 2MG, 48

Toviaz TAB 8MG, 34



Tracleer TAB 125MG, 15

thrive gum 2MG mint, 46


Tracleer TAB 32MG, 15

Thyrolar-1 TAB 60MG, 30

tizanidine TAB 2MG, 48

Tracleer TAB 62.5MG, 15

Thyrolar-1/2 TAB 30MG, 30

tizanidine TAB 4MG, 48

Tradjenta TAB 5MG, 27

Thyrolar-1/4 TAB 15MG, 30

Tobi Neb 300/5ML, 3

tramadl/apap TAB 37.5-325, 51


Tobi Podhalr CAP 28MG, 3

Tramadol HCL CAP 150MG ER, 53


tobra/dexame sus 0.3-0.1%, 49

Tramadol HCL CAP ER 100MG, 53

tiagabine TAB 12MG, 43

Tobradex Oin 0.3-0.1%, 49



Tobradex ST Sus 0.3-0.05, 49



Tobradex Sus 0.3-0.1%, 49

tramadol HCL TAB 100MG ER, 52


tobramycin neb 300/5ML, 3


Tiazac CAP 120MG/24, 11

Tobramycin Neb 300/5ML, 3



tobramycin sol 0.3% op, 48

tramadol HCL TAB 50MG, 51


Tobrex Oin 0.3% Op, 48

trando/verap TAB 1-240 ER, 13


Tobrex Sol 0.3% Op, 48

Trando/Verap TAB 1-240 ER, 13


Tofranil TAB 10MG, 38





Tibsovo TAB 250MG, 8



Ticalast Kit 137/50, 56

Tolak CRE 4%, 6

trandolapril TAB 1MG, 11

Tier Uni Pls Mis 31GX8MM, 64

Tolazamide TAB 250MG, 26


Tigan CAP 300MG, 32

Tolazamide TAB 500MG, 26


Tigan Inj 100MG/ML, 32

Tolbutamide TAB 500MG, 26

tranex acid TAB 650MG, 36

Tiglutik Sus 50/10ML, 48

tolcapone TAB 100MG, 45

Transderm-sc Dis 1.5MG, 32

Tikosyn CAP 125mcg, 11

Tolmetin Sod CAP 400MG, 54

Tranxene T TAB 7.5MG, 37


Tolmetin Sod TAB 200MG, 54

tranylcyprom TAB 10MG, 37


Tolmetin Sod TAB 600MG, 54

Tranzarel Gel 4%, 21

tilia FE TAB, 25

Tolsura CAP 65MG, 3

Travatan Z Dro 0.004%, 49

Tim/Brim/Dor Sol, 49

tolterodine CAP 2MG ER, 33

Travel Lance Mis 30G, 64

Tim/Dorz/Lat Sol, 49

tolterodine CAP 4MG ER, 33

Travel Lance Mis Adv 28G, 64

Timol/Brim Sol Dorz/Lat, 49

tolterodine TAB 1MG, 33

trazodone TAB 100MG, 37

Timol/Latan Sol, 49

tolterodine TAB 2MG, 33


timolol gel sol 0.25% op, 48

Topamax Spr CAP 15MG, 44


Timolol Gel Sol 0.25% Op, 49

Topamax Spr CAP 25MG, 44


timolol gel sol 0.5% op, 49

Topamax TAB 100MG, 44

Trecator TAB 250MG, 3

Timolol Gel Sol 0.5% Op, 49


Trelegy Aer Ellipta, 57

timolol mal sol 0.25% op, 49


Tremfya Inj 100MG/ML, 18

timolol mal sol 0.5% op, 49


Tresiba Flex Inj 100unit, 26

Timolol Mal TAB 10MG, 9

Topcare Mis Lanc 33G, 64

Tresiba Flex Inj 200unit, 26


Topicort CRE 0.05%, 20

Tresiba Inj 100unit, 26


Topicort CRE 0.25%, 20

Tretin-x CRE 0.075%, 17

timolol male sol 0.5%, 49

Topicort Gel 0.05%, 20

tretinoin CAP 10MG, 8

Timoptic Ocu Sol 0.25% Op, 49

Topicort Oin 0.05%, 20

tretinoin CRE 0.025%, 16

Timoptic Ocu Sol 0.5% Op, 49

Topicort Oin 0.25%, 20


Timoptic Sol 0.25% Op, 49

Topicort Spr 0.25%, 20


Timoptic Sol 0.5% Op, 49

topiramate CAP 15MG, 43

tretinoin gel 0.01%, 16

Timoptic-xe Sol 0.25% Op, 49

topiramate CAP 25MG, 43


Timoptic-xe Sol 0.5% Op, 49

Topiramate CAP ER 100MG, 44


Tindamax TAB 500MG, 6


tretinoin gel 0.04%pmp, 16

tinidazole TAB 250MG, 6



tinidazole TAB 500MG, 6



Tirosint CAP 100mcg, 30


tretinoin gel 0.1%P.M., 16


topiramate TAB 100MG, 43

Trexall TAB 10MG, 6



Trexall TAB 15MG, 6



Trexall TAB 5MG, 6



Trexall TAB 7.5MG, 6


Toprol XL TAB 100MG, 10

Treximet TAB 10-60MG, 55



Treximet TAB 85-500MG, 55

Tirosint CAP 200, 30


Trezix CAP, 53



tri femynor TAB, 24


toremifene TAB 60MG, 6

tri-estaryll TAB, 24


torsemide TAB 100MG, 14

tri-legest TAB FE, 25



tri-linyah TAB, 24

Tivicay TAB 10MG, 4


tri-LO TAB estaryll, 24

Tivicay TAB 25MG, 4


tri-LO- TAB marzia, 24

Tivicay TAB 50MG, 4

Toujeo Max Inj 300iu/ML, 26

tri-LO- TAB sprintec, 24

Tivorbex CAP 20MG, 54

Toujeo Solo Inj 300iu/ML, 26

tri-mili TAB, 24

Tri-norinyl TAB 28, 25

Trintellix TAB 20MG, 38

Ulticare Pen Mis 31GX5MM, 64

tri-previfem TAB, 24



tri-sprintec TAB, 24

Triumeq TAB, 4


tri-vylibra TAB, 24

trivora-28 TAB, 24

Ultilet Insu Mis 30X12.7, 64

tri-vylibra TAB LO, 24

Trizivir TAB, 5

Ultilet Insu Mis 31GX6MM, 64

triamcin ace inj 40MG/ML, 22

Trokendi XR CAP 100MG, 44

Ultilet Mis 26G, 64

Triamcin Ace Inj 40MG/ML, 22


Ultilet Mis 28G, 64

triamcinolon aer 55mcg/ac, 56


Ultilet Mis 30G, 64

triamcinolon aer spray, 19


Ultilet Mis 33G, 64

triamcinolon CRE 0.025%, 19

Trop-cyc-PE Dro 1-1-2.5, 49

Ultilet Mis Lancets, 64


Trop-prop-PE Dro Keto, 49

Ultilet Mis Safety, 64


trospium chl CAP 60MG ER, 33

Ultilet Pen Mis 29GX12.7, 64

Triamcinolon Inj 100/2ML, 22

trospium CL TAB 20MG, 33

Ultilet Pen Mis 31GX5MM, 64

Triamcinolon Inj 40MG/ML, 22

True Comfort Mis Lanc 30G, 64


Triamcinolon Inj 80MG/2ML, 22

True Metrix Sol Level 1, 64


Triamcinolon Inj 80MG/ML, 22


Ultilet Safe Mis 21G, 64

triamcinolon lot 0.025%, 19


Ultra Thin Mis 28G, 64

triamcinolon lot 0.1%, 19

Truecontrol Liq Level 0, 64


triamcinolon oin 0.025%, 19

Truecontrol Liq Level 1, 64



Truedraw Mis Lanc Dev, 64



Truetest Liq Level 1, 64

Ultra Thin Mis Lan 31G, 64

triamcinolon pst den 0.1%, 36


Ultra Thin Mis Lanc 26G, 64

triamt/hctz CAP 37.5-25, 14



Triamt/Hctz CAP 50-25MG, 14

Trulance TAB 3MG, 33


triamt/hctz TAB 37.5-25, 14

Trulicity Inj 0.75/0.5, 26

Ultra Thin Mis Lancets, 64

triamt/hctz TAB 75-50MG, 14

Trulicity Inj 1.5/0.5, 26

Ultracet TAB 37.5-325, 53

Trianex Oin 0.05%, 20

Trumenba Inj, 58

Ultralance Mis 1.8MM, 64

triazolam TAB 0.125MG, 40

Truplus Lanc Mis 26G, 64

Ultram TAB 50MG, 53

triazolam TAB 0.25MG, 40


Ultratrk Pro Sol, 64

Tribenzor20- TAB 5-12.5MG, 13


Ultratrk Pro Sol High/Low, 64

Tribenzor40- TAB 10-12.5, 13


Ultratrk Ult Sol High/Low, 64

Tribenzor40- TAB 10-25MG, 13

Trusopt Sol 2% Op, 50

Ultravate CRE 0.05%, 20

Tribenzor40- TAB 5-12.5MG, 13

Truvada TAB 100-150, 4

Ultravate Lot 0.05%, 20

Tribenzor40- TAB 5-25MG, 13


Ultravate Oin 0.05%, 20

Tricitrates Sol, 34


Umecta Emu, 21

Tricor TAB 145MG, 15


umecta mouss aer 40%, 20

Tricor TAB 48MG, 15

Tudorza Pres Aer 400/Act, 57

Umecta Nail Sus Film, 21

triderm CRE 0.1%, 19

tulana TAB 0.35MG, 24

Unfine Pntp Mis 32GX4MM, 64

triderm CRE 0.5%, 19

Tussicaps CAP 10-8MG, 56

Unifine Pntp Mis 29GX1/2", 64

Tridesilon CRE 0.05%, 20

Tussicaps CAP 5-4MG, 56

Unifine Pntp Mis 29GX12MM, 64

trifluoperaz TAB 10MG, 39

tussigon TAB 5-1.5MG, 56

Unifine Pntp Mis 31GX3/16, 64


Tussionex Sus 10-8/5ML, 56



Tuxarin ER TAB 54.3-8MG, 56



Tuzistra XR Sus, 56


trifluridine sol 1% op, 48

Twinrix Inj, 58


Triglide TAB 160MG, 15

Twynsta TAB 40-10MG, 13


trihexyphen elx 0.4MG/ML, 44



trihexyphen TAB 2MG, 44



trihexyphen TAB 5MG, 44



triklo CAP 1gm, 15

Tybost TAB 150MG, 4

Unilet Cmfr Mis Tch 28G, 64

Trileptal Sus 300MG/5m, 44

tydemy TAB, 25

Unilet Cmfr Mis Tch 30G, 64

Trileptal TAB 150MG, 44

Tykerb TAB 250MG, 7

Unilet EX II Mis 28G, 64


Tylenol/Cod TAB #3, 53

Unilet Excel Mis 23G, 64


Tylenol/Cod TAB #4, 53

Unilet G.p Mis Supr 23G, 64

Trilipix CAP 135MG, 15

Tymlos Inj, 28

Unilet G.p. Mis 21G, 64

Trilipix CAP 45MG, 15

Tyvaso Refil Sol 0.6MG/ML, 16

Unilet GP 28 Mis Ult Thin, 64

trilyte sol, 30

Tyvaso Sol 0.6MG/ML, 16

Unilet Lanc Mis 33G, 64

trimethobenz CAP 300MG, 32

Tyvaso Start Sol 0.6MG/ML, 16

Unilet Lance Mis 21G, 65

trimethoprim sol polymyxn, 48

Tyzine PED Dro 0.05%, 56


trimethoprim TAB 100MG, 5

U


trimipramine CAP 100MG, 38

Unilet Lanct Mis 28G, 65

Uceris Aer 2MG/Act, 33



Uceris TAB 9MG, 22



Udenyca Inj 6MG/.6ML, 35

Trimo-san Gel, 34

Unilet Micro Mis 33G, 65

Ulesfia Lot 5%, 20

Trimpex Sol 50MG/5ML, 5

Unilet Mis 21G, 65

Uloric TAB 40MG, 55

trinessa LO TAB, 24

Unilet Super Mis 23G, 65

Uloric TAB 80MG, 55

trinessa TAB, 24

Unilet Super Mis G.p. 23G, 65

Ulti-lance Mis CLR Tip, 64


Unistik 1 Mis 2.4MM, 65

Ulticare Mic Mis 32GX4MM, 64


uramit mb CAP 118MG, 33

valsart/hctz TAB 320-25MG, 13

Unistik 2 Mis, 65

ure-39 CRE 39%, 20

valsart/hctz TAB 80-12.5, 13


Ure-k CRE 50%, 21

valsartan TAB 160MG, 12


urea 40% sus nail, 21


Unistik 2 Mis Comfort, 65

Urea Aer 35%, 21


Unistik 2 Mis Extra, 65

urea CRE 39%, 20


Unistik 2 Mis Neonatal, 65

urea CRE 40%, 20

Valtrex TAB 1gm, 5

Unistik 2 Mis Normal, 65

urea CRE 41%, 21

Valtrex TAB 500MG, 5

Unistik 2 Mis Super, 65

Urea CRE 45%, 21

Valvd Holdng Mis Chamber, 65


urea CRE 47%, 21

Vanatol LQ Sol, 50

Unistik 3 Mis Comfort, 65

urea CRE 50%, 21

Vanatol S Sol, 50

Unistik 3 Mis Extra, 65

urea gel 40%, 20

Vancocin HCL CAP 125MG, 6

Unistik 3 Mis Gent 30G, 65

urea hydrati aer 35%, 20

Vancocin HCL CAP 250MG, 6

Unistik 3 Mis Neonatal, 65

urea nail gel 45%, 20

vancomycin 250/5ML, 5

Unistik 3 Mis Normal, 65

Urea Topical Sus 40%, 21

vancomycin CAP 125MG, 5

Unistik 3 Mis Xtr 21G, 65

Urecholine TAB 10MG, 34

vancomycin CAP 250MG, 5

Unistik CZT Mis Comfort, 65


vandazole gel 0.75%, 34

Unistik CZT Mis Normal, 65


Vanos CRE 0.1%, 20

Unistik II Mis Lancets, 65


vanoxide-HC lot 5-0.5%, 17

Unistik Pro Mis Lanc 21G, 65

uredeb CRE 39%, 21

Vantage Lanc Mis Device, 65

Unistik Pro Mis Lanc 28G, 65

urelle TAB, 33

Vaqta Inj 50unt/ML, 58

Unistik Safe Mis Lanc 28G, 65

uremez-40 CRE 40%, 20

Varivax Inj, 58

Unistik Safe Mis Lanc 30G, 65

Uresol CRE 42.5%, 21

Varubi TAB 90MG, 32

Unistik Touc Mis Lanc 21G, 65

uretron d/s TAB, 33

Vascepa CAP 0.5gm, 15


Urevaz CRE 44%, 21

Vascepa CAP 1gm, 15


uribel CAP 118MG, 33

Vaseretic TAB 10-25MG, 14


Urimar-t TAB, 33

Vasotec TAB 10MG, 11

unith direct TAB 100mcg, 29

urin d/s TAB, 33

Vasotec TAB 2.5MG, 11


uro-458 TAB, 33

Vasotec TAB 20MG, 11


uro-mp CAP 118MG, 33

Vasotec TAB 5MG, 11


uroav-81 TAB, 33

Vecamyl TAB 2.5MG, 12


uroav-b CAP, 33

Vectical Oin 3mcg/Gm, 18


Urocit-k 10 TAB, 34

velivet PAK, 24


Urocit-k 15 TAB, 34

Velphoro Chw 500MG, 33


Urocit-k 5 TAB, 34

Veltin Gel, 17


Urogesic- TAB Blue, 33

Vemlidy TAB 25MG, 5


urophen mb TAB 81.6MG, 33

venlafaxine CAP 150MG ER, 37


Uroxatral TAB 10MG, 34

venlafaxine CAP 37.5 ER, 37

unithroid TAB 100mcg, 29

Urso 250 TAB 250MG, 33

venlafaxine CAP 75MG ER, 37


Urso Forte TAB 500MG, 33

venlafaxine TAB 100MG, 37


ursodiol CAP 300MG, 32

venlafaxine TAB 150MG ER, 38


ursodiol TAB 250MG, 32



ursodiol TAB 500MG, 32



uryl TAB, 33

venlafaxine TAB 37.5 ER, 38


ustell CAP, 33

venlafaxine TAB 37.5MG, 37


Uta CAP 120MG, 33



Utibron CAP Neohaler, 57



uticap CAP, 33



utira-c TAB, 33

Ventavis Sol 10mcg/ML, 16


Utopic CRE 41%, 21

Ventavis Sol 20mcg/ML, 16

Unitstik Pro Mis Lanc 25G, 65

utrona-c TAB, 33

Ventolin HFA Aer, 57

Universal 1 Mis 33G, 65

V

verapamil CAP 100MG ER, 10

Universal 1 Mis Lanc 26G, 65


Vagifem TAB 10mcg, 34

Universal 1 Mis Lanc 30G, 65

verapamil CAP 120MG SR, 10

valacyclovir TAB 1gm, 4

Uptravi TAB 1000mcg, 16


valacyclovir TAB 500MG, 4



Valchlor Gel 0.016%, 6



Valcyte Sol 50MG/ML, 5



Valcyte TAB 450MG, 5

Uptravi TAB 200/800, 16


valganciclov sol 50MG/ML, 4



valganciclov TAB 450MG, 4


Verapamil CAP 360MG SR, 10

Valium TAB 10MG, 37


verapamil TAB 120MG, 10

Valium TAB 2MG, 37


verapamil TAB 120MG ER, 10

Valium TAB 5MG, 37

ur n-c TAB, 33


valproic acd CAP 250MG, 43

Uraliss CRE 35%, 21


valproic acd sol 250/5ML, 43

Uramaxin CRE 45%, 21



Uramaxin Gel 45%, 21


valsart/hctz TAB 160-25MG, 13

Uramaxin GT Gel 45%, 21

Verasens Liq Level 1, 65


Verdeso Aer 0.05%, 20

Virasal Liq 27.5%, 21

Vyvanse Chw 40MG, 42

Verdrocet TAB 2.5-325, 53

Virazole Inh 6gm, 5


Veregen Oin 15%, 21

Viread Pow 40MG/Gm, 4


Verelan CAP 120MG SR, 11

Viread TAB 150MG, 4

Vyzulta Sol 0.024%, 49


Viread TAB 200MG, 4

W


Viread TAB 250MG, 4

W&f Lancets Mis 21G, 65


Viread TAB 300MG, 5

W&f Lancets Mis 26G, 65

Verelan PM CAP 100MG ER, 11

Viroptic Sol 1% Op, 48

warfarin TAB 10MG, 35


virtrate-2 sol, 34



virtrate-2 sol 500-334, 34

warfarin TAB 2.5MG, 35

Veripred 20 Sol 20MG/5ML, 22

virtrate-3 sol, 34


Versacloz Sus 50MG/ML, 40

virtrate-k sol 1100-334, 34


Verzenio TAB 100MG, 8

Vistaril CAP 25MG, 37



Vistaril CAP 50MG, 37



Vitalet Pro Mis, 65



Vitalet Pro Mis Plus, 65

warfarin TAB 7.5MG, 35

Vesicare TAB 10MG, 34

vitamin d CAP 50000, 58

Watchhaler Mis, 65

Vesicare TAB 5MG, 34

vitamin d CAP 50000unt, 58

Welchol PAK 3.75gm, 15

vestura TAB 3-0.02MG, 25

Vitamin K1 Inj 10MG/ML, 59

Welchol TAB 625MG, 15

vexatrol kit 2.5-2.5%, 20

vitamin k1 inj 1MG/0.5, 59

Wellbutrin TAB 100MG SR, 38

Vfend Sus 40MG/ML, 3

Vitrakvi CAP 100MG, 8


Vfend TAB 200MG, 3

Vitrakvi CAP 25MG, 8


Vfend TAB 50MG, 3

Vitrakvi Sol 20MG/ML, 8

Wellbutrin TAB XL 150MG, 38

Viberzi TAB 100MG, 33

Vituz Sol 5-4MG, 56

Wellbutrin TAB XL 300MG, 38

Viberzi TAB 75MG, 33

Vivelle-dot Dis 0.025MG, 23

wera TAB 0.5/35, 24

Vibramycin CAP 100MG, 2


Westcort Oin 0.2%, 20

Vibramycin Sus 25MG/5ML, 2


Westhroid TAB 130MG, 30

Vibramycin Syp 50MG/5ML, 2



vicodin ES TAB 7.5-300, 52


Westhroid TAB 32.5MG, 30

vicodin HP TAB 10-300MG, 52

Vivitrol Inj 380MG, 53


vicodin TAB 5-300MG, 52

Vivlodex CAP 10MG, 54

Westhroid TAB 97.5MG, 30

Victory Sol Control, 65

Vivlodex CAP 5MG, 54

Wp Thyroid TAB 113.75MG, 30

Victoza Inj 18MG/3ML, 26

Vizimpro TAB 15MG, 8

Wp Thyroid TAB 130MG, 30

Videx EC CAP 125MG, 5







Vogelxo Gel 1%(50MG), 23



Vogelxo Gel P.M. 1%, 23

Wp Thyroid TAB 65MG, 30

Videx Sol 2gm, 4

Voltaren Gel 1%, 18


Videx Sol 4gm, 4

voriconazole sus 40MG/ML, 3


Viekira PAK TAB, 5

voriconazole TAB 200MG, 3

wymzya FE chw 0.4MG-35, 25

Viekira XR TAB, 5

voriconazole TAB 50MG, 3

X

vienva TAB 0.1-20, 24

Vortex Valve Mis Chamber, 65

vigabatrin PAK 500MG, 43

Vosevi TAB, 4

Xadago TAB 100MG, 45

vigabatrin TAB 500MG, 43

Vospire ER TAB 4MG, 57

Xadago TAB 50MG, 45

vigadrone pow 500MG, 43

Vospire ER TAB 8MG, 57

Xalatan Sol 0.005%, 49

Vigamox Dro 0.5%, 48

Votrient TAB 200MG, 7

Xalix Sol 28%, 21

Viibryd Kit Starter, 38

Vraylar CAP 1.5-3MG, 40

Xalkori CAP 200MG, 8

Viibryd TAB 10MG, 38

Vraylar CAP 1.5MG, 40

Xalkori CAP 250MG, 8


Vraylar CAP 3MG, 40

Xanax TAB 0.25MG, 37


Vraylar CAP 4.5MG, 40

Xanax TAB 0.5MG, 37

vilamit mb CAP 118MG, 33

Vraylar CAP 6MG, 40

Xanax TAB 1MG, 37

vilevev mb TAB 81MG, 33

Vusion Oin, 18

Xanax TAB 2MG, 37

Vimovo TAB 375-20MG, 54

vyfemla TAB 0.4-35, 24

Xanax XR TAB 0.5MG, 37

Vimovo TAB 500-20MG, 54

vylibra TAB 0.25-35, 24

Xanax XR TAB 1MG, 37

Vimpat Sol 10MG/ML, 44

Vytorin TAB 10-10MG, 15


Vimpat TAB 100MG, 44





Xarelto Star TAB 15/20MG, 35



Xarelto TAB 10MG, 35

Vimpat TAB 50MG, 44

Vyvanse CAP 10MG, 42


Viokace TAB 10440, 32


Xarelto TAB 2.5MG, 35

Viokace TAB 20880, 32



viorele TAB, 25


Xartemis XR TAB 7.5-325, 53

Viracept TAB 250MG, 4


Xatmep Sol 2.5MG/ML, 6

Viracept TAB 625MG, 4


Xeljanz TAB 10MG, 54

Viramune Sus 50MG/5ML, 5


Xeljanz TAB 5MG, 54

Viramune TAB 200MG, 5


Xeljanz XR TAB 11MG, 54

Viramune XR TAB 100MG, 5


Xeloda TAB 150MG, 6

Viramune XR TAB 400MG, 5


Xeloda TAB 500MG, 6

Xelpros Emu 0.005%, 49

zaleplon CAP 10MG, 40

Ziac TAB 10/6.25, 14

Xenazine TAB 12.5MG, 48

zaleplon CAP 5MG, 40

Ziac TAB 2.5/6.25, 14

Xenazine TAB 25MG, 48

Zamicet Sol 10-325MG, 53

Ziac TAB 5-6.25MG, 14

Xepi CRE 1%, 17

Zanaflex CAP 2MG, 48

Ziagen Sol 20MG/ML, 5

Xeralux CRE, 21


Ziagen TAB 300MG, 5

Xerese CRE 5-1%, 18


Ziana Gel, 17

Xermelo TAB 250MG, 33

Zanaflex TAB 4MG, 48

zidovudine CAP 100MG, 4

Xerostomia Sol Relief, 36

Zantac TAB 150MG, 31

zidovudine syp 50MG/5ML, 4

Xhance Mis 93mcg, 56

Zantac TAB 300MG, 31

zidovudine TAB 300MG, 4

Xifaxan TAB 200MG, 6

zarah TAB 3-0.03MG, 24

zileuton ER TAB 600MG, 57

Xifaxan TAB 550MG, 6

Zarontin CAP 250MG, 44

Zinbryta Inj 150MG/ML, 48

Xigduo XR TAB 10-1000, 27

Zarontin Sol 250/5ML, 44

Zioptan Dro 0.0015%, 49

Xigduo XR TAB 10-500MG, 27

Zarxio Inj 300/0.5, 35

ziprasidone CAP 20MG, 39

Xigduo XR TAB 2.5-1000, 27

Zarxio Inj 480/0.8, 35



Zavesca CAP 100MG, 35



zazole CRE 0.8%, 34


Xiidra Dro 5%, 50

zazole sup 80MG, 34

Zipsor CAP 25MG, 54

Ximino CAP 135MG ER, 2

Zebeta TAB 10MG, 10

Zirgan Gel 0.15%, 48


zebutal CAP, 50

Zithranol Sha 1%, 18


Zegerid Pow 20-1680, 31

Zithranol-rr CRE 1.2%, 18

Xodol TAB 10-300MG, 53

Zegerid Pow 40-1680, 31

Zithromax Pow 1gm PAK, 2

Xodol TAB 5-300MG, 53

Zejula CAP 100MG, 8

Zithromax Sus 100/5ML, 2

Xodol TAB 7.5-300, 53

Zelapar TAB 1.25MG, 45

Zithromax Sus 200/5ML, 2

Xofluza TAB 20MG, 5

Zelboraf TAB 240MG, 8

Zithromax TAB 250MG, 2

Xofluza TAB 40MG, 5

Zembrace Sym Inj 3/0.5ML, 55


Xolegel Gel 2%, 18

Zemplar CAP 1mcg, 29


Xopenex CONC Neb 1.25/0.5, 57

Zemplar CAP 2mcg, 29

Zithromax TAB Tri-PAK, 2

Xopenex HFA Aer, 57

zenatane CAP 10MG, 16

Zithromax TAB Z-PAK, 2

Xopenex Neb 0.31MG, 57


Zmax Sus 2gm, 2

Xopenex Neb 0.63MG, 57


Zocor TAB 10MG, 15

Xopenex Neb 1.25/3ML, 57


Zocor TAB 20MG, 15

Xospata TAB 40MG, 8

zenchent FE chw 0.4MG-35, 25

Zocor TAB 40MG, 15

Xtampza ER CAP 13.5MG, 53

zenchent TAB, 24

Zocor TAB 5MG, 15

Xtampza ER CAP 18MG, 53

zencia liq 9-4%, 17

Zocor TAB 80MG, 15


Zenpep CAP 10000unt, 32

Zodex PAK 12-day, 22



Zodex PAK 6 Day, 22



Zofran Sol 4MG/5ML, 32

Xtandi CAP 40MG, 6

Zenpep CAP 25000, 32

Zofran TAB 4MG, 32

Xulane Dis 150-35, 24


Zofran TAB 4MG Odt, 32

Xultophy Inj 100/3.6, 27

Zenpep CAP 3000unit, 32

Zofran TAB 8MG, 32

Xylo/Epi 1%- Inj 1:100000, 55

Zenpep CAP 40000, 32

Zofran TAB 8MG Odt, 32

Xylocaine Inj -mpf 1%, 55


Zohydro ER CAP 10MG, 53

Xylocaine Inj -mpf 2%, 55

Zenpep CAP 5000unit, 32


Xylocaine Inj 0.5%, 55

zenzedi TAB 10MG, 41


Xylocaine Inj 1%, 55

Zenzedi TAB 15MG, 42


Xylocaine Inj 2%, 55

Zenzedi TAB 2.5MG, 42


Xylocaine Inj Mpf 0.5%, 55



Xylocaine Inj Mpf 1.5%, 55


Zolinza CAP 100MG, 8

xylon TAB 10-200MG, 52

zenzedi TAB 5MG, 41

zolmitriptan TAB 2.5 MG, 55

Xyosted Inj 100/0.5, 23

Zenzedi TAB 7.5MG, 42

zolmitriptan TAB 2.5MG, 55


Zepatier TAB 50-100MG, 5

zolmitriptan TAB 5MG, 55


Zerit CAP 15MG, 5

zolmitriptan TAB 5MG odt, 55

Xyrem Sol 500MG/ML, 48

Zerit CAP 20MG, 5

Zoloft CON 20MG/ML, 38

Xyzal Sol 2.5/5ML, 56

Zerit CAP 30MG, 5

Zoloft TAB 100MG, 38

Xyzal TAB 5MG, 56

Zerit CAP 40MG, 5

Zoloft TAB 25MG, 38

Y

Zerit Sol 1MG/ML, 5

Zoloft TAB 50MG, 38

zeruvia pad 4-1%, 21

zolpidem ER TAB 12.5MG, 40

Yasmin 28 TAB 3-0.03MG, 25

Zestoretic TAB 10-12.5, 14

zolpidem ER TAB 6.25MG, 40

Yaz TAB 3-0.02MG, 25

Zestoretic TAB 20-12.5, 14

zolpidem TAB 10MG, 40

Yonsa TAB 125MG, 7

Zestoretic TAB 20-25MG, 14

zolpidem TAB 5MG, 40

Yosprala TAB 325-40MG, 36

Zestril TAB 10MG, 12

zolpidem TAR sub 1.75MG, 40

Yosprala TAB 81-40MG, 36

Zestril TAB 2.5MG, 12

zolpidem TAR sub 3.5MG, 40

Yupelri Sol, 57


Zolpimist Spr 5MG, 41

yuvafem TAB 10mcg, 34


Zomacton Inj 10MG, 28

Z


Zomacton Inj 5MG, 28

Zestril TAB 5MG, 12

Zomig Spr 2.5MG, 55

Zaclir Lot 8%, 17

Zetia TAB 10MG, 15

Zomig Spr 5MG, 55

zafirlukast TAB 10MG, 57

Zetonna Aer 37mcg, 56

Zomig TAB 2.5MG, 55

zafirlukast TAB 20MG, 57

Zomig TAB 5MG, 55

Zyprexa Zydi TAB 5MG, 40

Zomig ZMT TAB 2.5 MG, 55

Zytiga TAB 250MG, 6

Zomig ZMT TAB 5MG Odt, 55

Zytiga TAB 500MG, 6

Zonacort PAK 11 Day, 22

Zyvox Sus 100MG/5m, 6

Zonacort PAK 7 Day, 22

Zyvox TAB 600MG, 6

Zonalon CRE 5%, 18

1

Zonegran CAP 100MG, 44

1ML Syringe Mis 29G, 65

Zonegran CAP 25MG, 44

1ML Syringe Mis 30G, 65

zonisamide CAP 100MG, 43

1ST Choice Mis Lancets, 65


1ST Medx-ptc Pad Lidocain, 21


1ST Tier Uni Mis 29GX12MM, 65

Zontivity TAB 2.08MG, 36


Zorbtive Inj 8.8MG, 28


Zortress TAB 0.25MG, 7





7

Zortress TAB 1MG, 7

Zorvolex CAP 18MG, 54

7t lido gel 2%, 21

Zorvolex CAP 35MG, 54

7topic Emu, 21

Zostavax Inj, 58

zovia 1/35e TAB, 24

zovia 1/50e TAB, 24

Zovirax CAP 200MG, 5

Zovirax CRE 5%, 18

Zovirax Oin 5%, 18

Zovirax Sus 200/5ML, 5

Zovirax TAB 400MG, 5

Zovirax TAB 800MG, 5

Ztlido Pad 1.8%, 21

Zubsolv Sub 0.7-0.18, 53






Zuplenz Mis 4MG, 32

Zuplenz Mis 8MG, 32

Zurampic TAB 200MG, 55

Zutripro Liq 60-4-5MG, 56

Zyban TAB 150MG SR, 48

Zyclara CRE 3.75%, 20

Zyclara P.M. CRE 2.5%, 20

Zyclara P.M. CRE 3.75%, 20

Zydelig TAB 100MG, 7

Zydelig TAB 150MG, 7

Zyflo CR TAB 600MG, 58

Zyflo TAB 600MG, 58

Zykadia CAP 150MG, 8

Zylet Sus 0.5-0.3%, 49

Zyloprim TAB 100MG, 55

Zyloprim TAB 300MG, 55

Zymaxid Sol 0.5%, 48

Zypitamag TAB 1MG, 15



Zyprexa Inj 10MG, 40

Zyprexa Relp Inj 210MG, 39



Zyprexa TAB 10MG, 40


Zyprexa TAB 2.5MG, 40


Zyprexa TAB 5MG, 40

Zyprexa TAB 7.5MG, 40




Appendix A: OVER-THE-COUNTER (OTC) MEDICATION

BENEFIT LIST

The medications listed below are covered only for members who have purchased a special benefit offered through Kaiser Permanente

Washington called the Over-the-Counter Pharmacy Benefit.

***Typically, if a generic product is available for a drug, the Brand Name product may not be covered.***

Generic Product Name ***Brand Name*** Forms

ALLERGY COUGH AND COLD

Antihistamines CHLORPHENIRAMINE CHLOR-TRIMETON® Tab, Liquid

CLEMASTINE TAVIST® Tab, Liquid

DIPHENHYDRAMINE BENADRYL® Cap, Liquid

LORATADINE CLARITIN® Tab, Liquid

Decongestants OXYMETAZOLINE NASAL SPRAY AFRIN® Spray

PHENYLEPHRINE NASAL SPRAY NEO-SYNEPHRINE® Spray

PSEUDOEPHEDRINE SUDAFED® Tablet

Antihistamine/Decongestant Combinations TRIPROLIDINE/PSEUDOEPHEDRINE ACTIFED® Tablet

BROMPHENIRAMINE/PSEUDOEPHEDRINE DIMETAPP® Liquid

Expectorants/Cough Agents GUAIFENESIN ROBITUSSIN® Liquid

GUAIFENESIN/DEXTROMETHORPHAN ROBITUSSIN-DM® Liquid

DEXTROMETHORPHAN ROBITUSSIN COUGH® Liquid

DEXTROMETHORPHAN EXTEND RELEASE DELSYM® Liquid

AUTONOMICS AND CNS

Analgesics, Miscellaneous ACETAMINOPHEN TYLENOL® Tab, Chew, Supp,

Liquid

Non-Steroidal Anti-Inflammatories IBUPROFEN MOTRIN®, ADVIL® Tab, Liquid

Salicylates ASPIRIN BAYER®, ASCRIPTIN® Tab, Supp

DERMATOLOGICAL/ TOPICAL AGENTS

Acne/Psoriasis, Topical BENZOYL PEROXIDE 5%, 10% BENZAC® Gel, Wash, Lotion

COAL TAR Solution

Anesthetic Agents, Topical BENZOCAINE HURRICAINE® Gel

PRAMOXINE ANUSOL® Ointment

Antifungals, Topical

CLOTRIMAZOLE 1% LOTRIMIN® Cream, Solution

MICONAZOLE 2% MICATIN®, DESENEX® Cream, Powder

Anti-Infectives, Topical BACITRACIN BACIGUENT® Ointment

BACITRACIN, POLYMIXIN B POLYSPORIN® Ointment

BACITRACIN, NEOMYCIN, POLYMYXIN B NEOSPORIN® Ointment

OATMEAL, COLLOIDAL AVEENO® BATH POWDER Powder

Anti-Itch, Topical CALAMINE CALAMINE Lotion

CAMPHOR/ MENTHOL SARNA® Lotion

CAPSAICIN ZOSTRIX®, ZOSTRIX-HP® Cream

Anti-Virals, Topical DOCOSANOL 10% ABREVA® Cream

Corticosteroids, Topical, Low Potency HYDROCORTISONE 0.5%, 1% CORTIZONE® Cream, Oint,

Lotion

Keratolytics SALICYLIC ACID 17% DUOFILM® Liquid

SALICYLIC ACID 40% MEDIPLAST® Plaster

UREA 10%, 20% UREACIN®, CARMOL® 20 Cream, Lotion

Dermatologics, Miscellaneous ALUMINUM ACETATE BUROWS® Liquid

AMMONIUM LACTATE 12% AMLACTIN® Cream, Lotion

HYDROGEN PEROXIDE HYDROGEN PEROXIDE Liquid

VITAMIN A&D A AND D® OINTMENT Ointment

WITCH HAZEL TUCKS® Solution, Pads

ZINC OXIDE, COD LIVER OIL & LANOLIN DESITIN® Oint, Paste

ZINC OXIDE 20% BALMEX® Ointment

Scabicides PERMETHRIN NIX® Rinse

PYRETHRINS, PIPERONYL BUTOXIDE RID®, R & C® Shampoo

Skin Protectants LANOLIN, HYDROUS LANOLIN Ointment

PETROLATUM, GLYCERIN,BENZYL ALC MOISTUREL® Lotion

PETROLATUM, MINERAL OIL/WAX, ETC. AQUAPHOR®, EUCERIN® Ointment

EYE, EAR, NOSE AND THROAT

Otics CARBAMIDE DEBROX® Solution

Nasal Agents CROMOLYN NASALCROM® Spray

Ophthalmics ARTIFICIAL TEARS HYOPTEARS®, PURALUBE® Drops, Ointment

CARBOXYMETHYLCELLULOSE CELLUVISC®, REFRESH PLUS® Drops

HYDROXYPROPYL METHYLCELLULOSE TEARS NATURALE II® Drops

KETOTIFEN FUMARATE 0.025% ZADITOR® Drops

NAPHAZOLINE/ PHENIRAMINE OPCON-A® Drops

POLYVINYL ALCOHOL, POVIDONE REFRESH® PF Drops

SODIUM CHLORIDE 5% MURO®-128 Drops, Ointment

Throat and Mouth Agents

CETYLPYRIDINIUM CL, BENZYL ALCOHOL CEPACOL® Lozenge

GASTROINTESTINAL AGENTS

Antacids/Adsorbents CHARCOAL, ACTIVATED W/O SORBITOL ACTIDOSE Liquid

ALUMINUM/ MAGNESIUM MAALOX® Tablet, Liquid

ALUMINUM/ MAGNESIUM/ SIMETHICONE MINTOX® PLUS, MI-ACID Tablet, Liquid

ALUM/ MAGN/TRISILIS/ALG AC/SOD BICAR GAVISCON®, GENATON Tablet

ALUMINUM HYDROXIDE ALTERNAGEL®, AMPHOGEL® Liquid

MAGNESIUM OXIDE MAG-OX® Tablet

Antidiarrheals BISMUTH SUBSALICYLATE PEPTO BISMOL® Tablet, Liquid

LOPERAMIDE IMMODIUM® Tablet, Liquid

Antinauseants DIMENHYDRINATE DRAMAMINE® Tablet, Liquid

MECLIZINE BONINE®, ANTIVERT® Tablet

Laxatives/Cathartics BISACODYL DULCOLAX® Tablet, Supp

DOCUSATE SODIUM COLACE® Tablet, Liquid

GLYCERIN GLYCERIN Liquid, Supp

MAGNESIUM CITRATE CITRO-MAG® Liquid

MILK OF MAGNESIA MILK OF MAGNESIA Liquid

MINERAL OIL FLEET® MINERAL OIL Liquid

PSYLLIUM METAMUCIL® Powder

POLYETHYLENE GLYCOL MIRALAX® Powder

SENNA SENOKOT® Tablet, Liquid

Histamine H2 Blockers RANITIDINE ZANTAC® Tablet

Gastrointestinal, Miscellaneous SIMETHICONE MYLICON® Tablet

LACTOBACILLUS BACID® Capsule

SHARK LIVER OIL, COCOA BUTTER, PHENYLEPHRINE

HEMORRHOIDAL SUPPOSITORIES

Supp

Proton Pump Inhibitors OMEPRAZOLE PRILOSEC OTC Tablet

GENITOURINARY

Overactive bladder treatment OXYBUTYNIN OXYTROL® PATCH Patch

HORMONES

Contraceptive LEVONORGESTROL PLAN B ONE STEP Tablet

LIPID LOWERING AGENTS

Non-Prescription Agents NIACIN NIACIN Tablet

NIACIN EXTENDED-RELEASE SLO-NIACIN® Tablet

FISH OILS SEA-OMEGA®-50 Capsule

NUTRITIONALS AND SUPPLEMENTS

Vitamins/Dietary Supplements ACETYLCYSTEINE NAC® Capsule

ASCORBIC ACID (VIT C) Tablet

CYANOCOBALAMIN (VIT B12) Tablet

CHOLECALCIFEROL (VIT D) Tablet

FOLIC ACID Tablet

NIACINAMIDE (VIT B3) Tablet

PRENATAL VITAMINS W/ FOLIC ACID Tablet

PYRIDOXINE (VIT B6) Tablet

THIAMINE (VIT B1) Tablet

VITAMIN A Capsule

VITAMIN B COMPLEX Tablet

VITAMIN B COMPLEX W/C Tablet

VITAMIN E Capsule

Electrolytes, Iron, & Minerals CALCIUM CARBONATE TUMS® Chew tabs, Liquid

CALCIUM CITRATE CAL-CITRATE® Tablet

CALCIUM CITRATE w/VITAMIN D CITRACAL® Tablet

ELECTROLYTE ORAL PEDIALYTE® Liquid

FERROUS GLUCONATE FERGON® Tablet

FERROUS SULFATE FER-IN-SOL® Tablet, Liquid

MAGNESIUM OXIDE URO-MAG® Capsule

SODIUM BICARBONATE Tablet

ZINC SULFATE ZINCATE® Capsule

VAGINAL PREPARATIONS

Vaginal Anti-Infectives POVIDONE-IODINE BETADINE® Douche

Vaginal Antifungals CLOTRIMAZOLE MYCELEX®-7, GYNE-LOTRIMIN®-

3 Cream, Vag tabs

MICONAZOLE MONISTAT® Cream

Miscellaneous LUBRICATING JELLY K-Y JELLY® JELLY

Kaiser Permanente Nondiscrimination Notice and Language Access Services

KAISER PERMANENTE NONDISCRIMINATION NOTICE

Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options, Inc. (“Kaiser Permanente”) comply with applicable federal civil rights laws and do not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or any other basis protected by applicable federal, state, or local law. We also:

Provide free aids and services to people with disabilities to help ensure effective communication, such as:

• Qualified sign language interpreters• Written information in other formats (large print, audio, and accessible electronic formats)• Assistive devices (magnifiers, Pocket Talkers, and other aids)

Provide free language services to people whose primary language is not English, such as:

• Qualified interpreters• Information written in other languages

If you need these services, contact Kaiser Permanente.

If you believe that Kaiser Permanente has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, sex, sexual orientation, or gender identity, you can file a grievance. Please call us if you need help submitting a grievance. The Civil Rights Coordinator will be notified of all grievances related to discrimination.

Kaiser Permanente Phone: 206-630-4636 Toll-free: 1-888-901-4636

TTY Washington Relay Service: 1-800-833-6388 or 711 TTY Idaho Relay Service: 1-800-377-3529 or 711

Electronically: kp.org/wa/feedback

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services 200 Independence Avenue SW., Room 509F HHH Building Washington, DC 20201 1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html

For Medicare Advantage Plans Only: Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal.

© 2018 Kaiser Foundation Health Plan of Washington H5050_XB0001444_56_18 accepted2018-XB-7_ACA_Notice_Taglines

http://www.hhs.gov/ocr/office/file/index.html

LANGUAGE ACCESS SERVICES

English: ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Call 1-888-901-4636 (TTY: 1-800-833-6388 or 711).

Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-901-4636 (TTY: 1-800-833-6388 / 711).

中文 (Chinese)：注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-888-901-4636 (TTY: 1-800-833-6388 / 711)。

Tiếng Việt (Vietnamese): CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-901-4636 (TTY: 1-800-833-6388 / 711).

한국어(Korean): 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-888-901-4636 (TTY: 1-800-833-6388 / 711) 번으로 전화해 주십시오.

Русский (Russian): ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-901-4636 (телетайп: 1-800-833-6388 / 711).

Filipino (Tagalog): PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-901-4636 (TTY: 1-800-833-6388 / 711).

Українська (Ukrainian): УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-888-901-4636 (телетайп: 1-800-833-6388 / 711).

ភាសាខ្មែរ (Khmer)៖ របយ័ត៖ េ េបើសិនអកនិខ្យមរ, េ សជំនួខ្យផក េ យមិនគិតល គឺចនសំប់បំេ រអក។ ចូរទូ រស័ព 1-888-901-4636 (TTY: 1-800-833-6388 / 711)។日本語 (Japanese): 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-888-901-4636 (TTY: 1-800-833-6388 / 711) まで、お電話にてご連絡ください。

አማርኛ (Amharic) ፥ ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-888-901-4636 (መስማት ለተሳናቸው: 1-800-833-6388 / 711).

Oromiffa (Oromo): XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-888-901-4636 (TTY: 1-800-833-6388 / 711).

ਪੰਜਾਬੀ (Punjabi) ਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਿ ੇਹੋ, ਤਾਂ ਭਾਸਾ ਧ ਿੱ ਚ ਸਹਾਇਤਾ ਸੇ ਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਿ ਹੈ।1-888-901-4636 (TTY: 1-800-833-6388 / 711) ‘ਤੇ ਕਾਲ ਕਰੋ।

تتوافر اللغوية المساعدة خدمات فإن اللغة، اذكر تتحدث كنت إذا :ملحوظة في ومعلومات مساعدة على الحصول حق لديكم :(Arabic) العربية: (6388-833-800-1 / 711) .والبكم الصم هاتف رقم 4636-901-888-1 برقم اتصل .بالمجان لك

Deutsch (German): ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-888-901-4636 (TTY: 1-800-833-6388 / 711).

ພາສາລາວ (Lao): ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວ ້ າພາສາລາວ, ການບໍ ລິ ການຊ່ວຍເຫ ຼື ອດ້ານພາສາ, ໂດຍບໍ່ ເສັຽຄ່າ,ແມ່ນມີ ພ້ອມ ໃຫ້ທ່ານ. ໂທຣ 1-888-901-4636 (TTY: 1-800-833-6388 / 711).

Srpsko-hrvatski (Serbo-Croatian): OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-888-901-4636 (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 1-800-833-6388 / 711).

Français (French): ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-888-901-4636 (ATS: 1-800-833-6388 / 711).

Română (Romanian): ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la 1-888-901-4636 (TTY: 1-800-833-6388 / 711).

Adamawa (Fulfulde): MAANDO: To a waawi Adamawa, e woodi ballooji-ma to ekkitaaki wolde caahu. Noddu 1-888-901-4636 (TTY: 1-800-833-6388 / 711).

می فراهم شما برای رايگان بصورت زبانی تسهيالت کنيد، می گفتگو فارسی زبان به اگر :توجه :(Farsi) فارسی.بگيريد تماس (TTY: 1-800-833-6388 / 711) 4636-901-888-1 با .باشد

XB0001444-56-18

kaiser permanente...xb0001338-50-17 effective february 2019 2019 drug formulary for members covered...

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