OptumRx Vigilant Drug Program

Non-essential drug strategy Effective January 1, 2021

Thousands of medications are available today with even more entering the market — sometimes at a higher cost without additional value. OptumRx can help ensure that your pharmacy benefit dollars cover only the most clinically appropriate and affordable medications.

Non-essential drug strategy* — Excludes select products that are available in the market but may not be approved by the U.S. Food and Drug Administration (FDA) or are deemed non-essential by the OptumRx Pharmacy & Therapeutics (P&T) Committee. These high-dollar products offer little clinical value versus other well-tested, FDA-approved agents.

*Programs are also available for clients who prefer prior authorization rather than an exclusion strategy.

Drug Name

1ST MEDX-PATCH/ LIDOCAINE EXTERNAL PATCH 4-0.0375-5-20 %

7T GUMMY ES

7T LIDO

ACACIA SUBCUTANEOUS

ACCUCAINE

ACESO AG

ACREMONIUM

ACTICOAT 7

ACTICOAT ABSORBENT

ACTICOAT ANTIMICROBIAL

ACTICOAT EXTERNAL SHEET 16"X16" , 4"X48" , 4"X8" , 5"X5" , 8"X16"

ACTICOAT FLEX 3

ACTICOAT FLEX 3 4"X4"

ACTICOAT FLEX 7

ACTICOAT MOISTURE CONTROL EXTERNAL PAD 4"X4" , 4"X8"

ACTICOAT SITE

ACTIVASE

ACTIVE INJECTION BLM-1

ACTIVE INJECTION BM

ACTIVE INJECTION D

ACTIVE INJECTION DL

ACTIVE INJECTION DLM

ACTIVE INJECTION KET-L

ACTIVE INJECTION KETMARC-L

ACTIVE INJECTION KIT L

ACTIVE INJECTION KL-3

ACTIVE INJECTION KM

ACTIVE INJECTION LM-2

ACTIVE INJECTION LM-DEP-1

ACTIVE INJECTION LM-DEP-2

ACTIVE INJECTION M-1

ACTIVE-PAC/GABAPENTIN

ACTIVITE

ACUICYN EXTERNAL SOLUTION

ACUNOL

ADAPALENE-BENZOYL PER-CLINDAMY

ADAPALENE-BENZOYL PER-NIACINAM

Drug Name

adenosine (diagnostic)

ADRENALIN NASAL

ADVANCED ALLERGY COLLECTION

ADVANCED BASE PLUS

ADYPHREN

ADYPHREN AMP

ADYPHREN AMP II

ADYPHREN II

AGONEAZE

AKOVAZ

ALA-QUIN

ALBA-DERM

ALBUTEROL SULFATE INHALATION NEBULIZATION SOLUTION (5 MG/ML) 0.5%

alcohol injection

ALCORTIN A

ALDER

ALEVAMAX

ALEVICYN ANTIPRURITIC

ALEVICYN ANTIPRURITIC SG EXTERNAL GEL

ALEVICYN DERMAL SPRAY

ALLEVYN AG NON-ADHESIVE EXTERNAL PAD 8"X8"

ALMOND (DIAGNOSTIC)

ALPAWASH

ALTADERM

ALTAFLUOR

ALTERNARIA

ALZAIR ALLERGY NASAL SPRAY

AMELUZ

AMERICAN BEECH

AMERICAN COCKROACH

AMERICAN ELM

AMERICAN SYCAMORE

aminoamrms

aminobenzoate potassium oral packet

aminoreliefrms

AMMONIA N 13

AMYTAL SODIUM

2

Drug Name

ANACAINE

ana-lex

ANALPRAM HC EXTERNAL

ANALPRAM HC SINGLES EXTERNAL

ANASTIA

ANDEXXA

ANIMI-3

ANIMI-3/VITAMIN D

ANJESO

ANODYNE LPT

anucort-hc

ANUSOL-HC RECTAL SUPPOSITORY

APOTHESAR 2

APOTHESAR PLUS

APOTHESIL

APPLE (DIAGNOSTIC)

APRIZIO PAK

APRIZIO PAK II

AQUORAL MOUTH/THROAT SOLUTION

ARESTIN

argatroban in sodium chloride intravenous solution 125-0.9 mg/125ml-%, 50-0.9 mg/50ml-%

ARIDA

ARIDOL

ARIZONA CYPRESS

ARZOL SILVER NIT APPLICATORS

ASCOR

ASCORBIC ACID INTRAVENOUS

ASCORBIC ACID SOLUTION 500 MG/ML INJECTION

ascorbic acid solution 500 mg/ml injection

ASPERGILLUS FUMIGATUS INJECTION

ASPERGILLUS FUMIGATUS INTRADERMAL SOLUTION 1:20

ASTERO

ASTRINGYN

ATOPADERM

ATOPAVO

ATOPICLAIR

Drug Name

ATRAPRO CP

ATRAPRO HYDROGEL

atropine sulfate injection solution 0.4 mg/ml, 1 mg/ml, 8 mg/20ml

atropine sulfate injection solution prefilled syringe 0.5 mg/5ml, 1 mg/10ml

ATROPINE SULFATE OPHTHALMIC SOLUTION 0.01 %

AUREOBASIDIUM

AUREOBASIDIUM PULLULANS

AUSTRALIAN PINE

AUXIPRO VANISHING

AVAR CLEANSER

AVAR EXTERNAL FOAM

AVAR EXTERNAL PAD

AVAR LS

AVAR LS CLEANSER

AVAR-E EMOLLIENT

AVAR-E GREEN

AVAR-E LS

AVENOVA

AVIDOXY DK

AVOCADO (DIAGNOSTIC)

AXIFOL

AZALGIA

AZEDRA DOSIMETRIC

AZEDRA THERAPEUTIC

AZELAIC ACID-NIACINAMIDE

AZESCHEW PRENATAL/POSTNATAL

AZESCO

B-12 COMPLIANCE INJECTION

BACTERIOSTATIC WATER(PARABENS)

BAFIERTAM

BAHIA

BAL-CARE DHA

BALD CYPRESS

BANANA (DIAGNOSTIC)

BASADROX

BASE W301

BAYBERRY (WAX MYRTLE)

3

Drug Name

B-COMPLEX INJECTION

BEAU RX

BEEF (DIAGNOSTIC)

belladonna alkaloids-opium

BENSAL HP

BENZ PER-CLIND-NIACIN-TRETIN

BENZAC AC WASH EXTERNAL LIQUID

BENZEFOAM

BENZEFOAMULTRA

BENZEPRO CREAMY WASH

BENZEPRO EXTERNAL

BENZEPRO EXTERNAL FOAM 5.2 %, 9.7 %

benzepro external foam 5.3 %

BENZEPRO EXTERNAL LIQUID

BENZEPRO FOAMING CLOTHS

BENZEPRO SHORT CONTACT

BENZODOX

benzoin compound

benzoin external tincture

BENZO-LIDOCAINE-TETRACAINE

BENZOYL PEROX-HYDROCORTISONE

benzoyl peroxide external foam 9.8 %

BENZOYL PEROXIDE EXTERNAL GEL 6.5 %, 8 %

BENZOYL PEROXIDE FORTE- HC

BERMUDA GRASS

BESER EXTERNAL KIT

BETA 1 KIT

BETALIDO

BETALOAN SUIK

BETAMETHASONE COMBO

BETAMETHASONE DIPROP-MINOXIDIL

BETAMETHASONE SOD PHOS & ACET

BETAMETHASONE SODIUM PHOSPHATE INJECTION

BEVACIZUMAB

BHI URI-CONTROL

BIIFENAC 1000

BIIFENAC 500

Drug Name

BIO GLO

BIOFREQUENCY INSOLES

BIONECT EXTERNAL CREAM

BIONECT EXTERNAL GEL

bio-statin oral powder

BIOSTEP

BIVALIRUDIN RTU

BIVALIRUDIN-SODIUM CHLORIDE

BLACK WALNUT POLLEN

BLACK WILLOW

BOCASAL

BOTRYTIS

BOTRYTIS CINEREA

BOX ELDER

bp 10-1

BP CLEANSING WASH

bp foam

bp wash external liquid 2.5 %, 7 %

bpo

BRETYLIUM TOSYLATE INJECTION

BRIDION

BRIMONIDINE-DORZOLAMIDE

BROME

BROMPHENIRAMINE MALEATE INTRAMUSCULAR

BT INJECTION

BUPIVACAINE HCL INJECTION SOLUTION 0.125 %, 312.5 MG/10ML

BUPIVACAINE HCL INJECTION SOLUTION PREFILLED SYRINGE 0.125 % (50 ML), 125 MG/4ML, 250 MG/8ML, 312.5 MG/10ML, 625 MG/20ML

BUPIVILOG

CADIRAMD

CAFFEINE-SODIUM BENZOATE

CALCIPOTRIENE-CLOBETASOL PROP

calcium chloride

CALCIUM GLUCONATE SOLUTION 10 % INTRAVENOUS

calcium gluconate solution 10 % intravenous

4

Drug Name

CALCIUM GLUCONATE-NACL INTRAVENOUS SOLUTION 2-0.675 GM/100ML-%

CALCIUM-FOLIC ACID PLUS D

CALIFORNIA PEPPER TREE

CANDIDA ALBICANS EXTRACT

CANTALOUPE (DIAGNOSTIC)

CANTHARIDIN EXTERNAL

CAPHOSOL MOUTH/THROAT SOLUTION

CAPSFENAC PAK

CAPSINAC

CARDIOPLEGIA DEL NIDO FORMULA

CARDIOPLEGIA IND PLASMA HIGH K

CARDIOPLEGIA IND PLASMA-TROMET

CARDIOPLEGIA INDUCTION HIGH K

CARDIOPLEGIA INDUCTION LOW DEX

CARDIOPLEGIA INDUCTION NON-ENR

CARDIOPLEGIA MAIN LOW DEXTROSE

CARDIOPLEGIA MAIN LOW TROMETHA

CARDIOPLEGIA MAIN PLASMA-TROME

CARDIOPLEGIA MAINTENANCE

CARDIOPLEGIA REPERFUSATE 4:1

CARDIOVID PLUS

CARRASYN HYDROGEL WOUND DRESS

CASEIN (DIAGNOSTIC)

CAT HAIR EXTRACT

CATHFLO ACTIVASE

CATTLE EPITHELIUM

CEDAR ELM

CEFTRI-IM

CEFTRISOL PLUS

CEFUROXIME SODIUM-NACL

CELA BASE

CELACYN

CELLPAD

CEM-UREA

CENTANY AT

CERACADE

CERAMAX

Drug Name

CERIANNA

cerovel external lotion

cervical specimen collection

CETACAINE EXTERNAL AEROSOL

CETACAINE EXTERNAL LIQUID

CHEW-HESIVE

CHICKEN MEAT (DIAGNOSTIC)

CHOLECAL DF

CHONDROITIN SULFATE OPHTHALMIC

CHRYSADERM DAY

CHRYSADERM NIGHT

CICASIL

CICATRACE PAD

ciclopirox treatment

CICLOPIROX-CLOBETASOL

CICLOPIROX-CLOBETASOL-SAL ACID

CICLOPIROX-SALICYLIC ACID

CIFEREX

CIFRAZOL

CIMETIDINE-LIDO-SALICYLIC ACID

cisatracurium besylate (pf) intravenous solution 10 mg/5ml

cisatracurium besylate intravenous solution 20 mg/10ml, 200 mg/20ml

CITRANATAL 90 DHA ORAL 90-1 & 300 MG

CITRANATAL ASSURE ORAL 35-1 & 300 MG

CITRANATAL B-CALM

CITRANATAL BLOOM

CITRANATAL BLOOM DHA

CITRANATAL DHA

CITRANATAL ESSENCE

CITRANATAL HARMONY ORAL CAPSULE 27-1-260 MG

CITRANATAL MEDLEY

CITRANATAL RX

CLADOSPORIUM CLADOSPORIOIDES

CLADOSPORIUM SPHAEROSPERMUM

clariscan

CLIN SINGLE USE

CLINDACIN ETZ EXTERNAL KIT

5

Drug Name

CLINDACIN PAC

CLINDAMY-BENZOYL PER-NIACINAM

CLINDAMYCIN PHOS-NIACINAMIDE

CLINDAMYCIN-NIACIN-TRETINOIN

CLIND-NIACIN-SPIRONOLAC-TRETIN

CLINIMIX N9G20E

CLOBETASOL PROP-LEVOCETIRIZINE

CLOBETASOL PROP-NIACINAMIDE

CLODAN EXTERNAL KIT

CLOPIDOGREL & ASPIRIN

COATAMAX PATCH

COCAINE HCL NASAL

COCKLEBUR

COCOA BEAN (DIAGNOSTIC)

COLCIGEL

COLLATYL

CONTRAST ALLERGY PREMED PACK

CONVENIENCE PAK

COPASIL EXTERNAL

CORN POLLEN

CORTANE-B EXTERNAL

COVARYX

COVARYX HS

CO-VERATROL

CRAB (DIAGNOSTIC)

CREAM BASE

CREAM BASE NIOSOMES

CREAM CONCENTRATE

CREAM-HEAVY BASE NIOSOMES

C-TOPICAL

CURVULARIA

CUSHING SYNDROME DIAGNOSTIC

CUTIS PLUS

cyclobenzaprine hcl oral tablet 10 mg

CYCLOSPORINE IN KLARITY

CYSTADANE

cytra k crystals

DANDELION

DAPSONE-NIACINAMIDE

Drug Name

DAPSONE-NIACINAMIDE-SPIRONOLAC

DAVITE

DEBACTEROL

DEFITELIO

dehydrated alcohol injection

DELUO

DERMACINRX ANALGESIC COMBOPAK

DERMACINRX AZENASE PAK

DERMACINRX CINLONE-I CPI

DERMACINRX CLORHEXACIN

DERMACINRX DUOPATCH PHARMAPAK

DERMACINRX EMPRICAINE

DERMACINRX LEXITRAL PHARMAPAK

DERMACINRX NEUROTRAL PHARMAPAK

DERMACINRX PHN

DERMACINRX PRIZOPAK

DERMACINRX PUREFOLIX

DERMACINRX SURGICAL COMBOPAK

DERMACINRX SURGICAL PHARMAPAK

DERMACINRX THERAZOLE PAK

DERMACINRX TICANASE PAK

DERMACINRX TOPICAL BASE

DERMACINRX ZRM

DERMASORB HC

DERMASORB TA

DERMASORB XM

DERMAZENE

DERMAZYL

DEXAMETHASONE ACE & SOD PHOS

DEXAMETHASONE SOD PHOS-BUPIV

DEXAMETHASONE-MOXIFLOXACIN

DEXAMETH-MOXIFLOX-KETOROLAC

DEXERYL

DEXIFOL

DEXLIDO

DEXLIDO-M

dexmedetomidine hcl in nacl intravenous solution 200 mcg/50ml, 400 mcg/100ml

DEXOPIN

6

Drug Name

DEXTENZA

DFS DR/MS/MENTH/CAP PAK

DFS/MS/MENTH/CAP PAK

DIAB EXTERNAL GEL

DIAB F.D.G. FREEZE-DRIED

DICLO GEL

DICLO GEL WITH XRYLIX SHEETS TRANSDERMAL

diclofenac sodium transdermal gel 3 %

DICLOFENAC-NA HYALURON-NIACIN

diclofex dc

DICLOFONO

diclopak

DICLOPR

diclosaicin

DICLOSTREAM

DICLOTREX

DICLOVIX

DICLOVIX M

DICLOZOR

DILTIAZEM HCL-DEXTROSE INTRAVENOUS SOLUTION 125-5 MG/125ML-%

DIMENTHO

DIMERCAPTOPROPANE-SULFONATE

DITHOL

DIVISTA

DMSA

DMT SUIK

DOG EPITHELIUM

DOG FENNEL

DONNATAL

DOTAREM

DOTATOC GA 68

DOUBLEDEX

DRECHSLERA

DRITHO-CREME HP

DS PREP PAK

DST PLUS PAK

DSUVIA

Drug Name

DUET DHA 400

DUET DHA BALANCED ORAL 25-1 & 267 MG

DURACHOL

DURYSTA

DUST MITE MIXED ALLERGEN EXT

DYNABAC 5.0

DYURAL-40

DYURAL-80

DYURAL-L

DYURAL-LM

EASTERN COTTONWOOD

ECONASIL

ECONAZOLE NITRATE-NIACINAMIDE

ECZEMOL

EEMT

EEMT HS

effervescent pot chloride

EGG WHITE (DIAGNOSTIC)

EHA

ELCYS

ELETONE

ELETONE TWINPACK

ELLZIA PAK

EMERPHED

EMOLIVAN

EMOLLIENT BASE

EMPRICAINE-II

EMULSION SB

ENBRACE HR

ENGLISH PLANTAIN

ENGYSTOL INJECTION

ENLYTE

ENTERO VU ORAL SUSPENSION 24 %

ENTTY SPRAY EMULSION

ENZADYNE

ENZOCLEAR

ephedrine sulfate injection

7

Drug Name

EPHEDRINE SULFATE-NACL INTRAVENOUS SOLUTION PREFILLED SYRINGE 50-0.9 MG/5ML-%

EPICERAM

EPICOCCUM

EPICOCCUM NIGRUM

EPICYN

epinephrine hcl (nasal)

epinephrine injection solution 30 mg/30ml

epinephrine injection solution prefilled syringe 1 mg/10ml

epinephrine pf injection solution

EPINEPHRINE PROFESSIONAL

EPINEPHRINE-NACL INTRAVENOUS SOLUTION 5-0.9 MG/250ML-%

EPINEPHRINESNAP-EMS

EPINEPHRINESNAP-V

EPISNAP

EQUAPAX/ATORVASTATIN/COQ10

EQUAPAX/IBUPROFEN/MINREX

ERGOCAL

ESCAVITE D

ESCAVITE LQ ORAL LIQUID

ESKATA

ESOMEP-EZS

est estrogens-methyltest

est estrogens-methyltest ds

est estrogens-methyltest hs

EXYDERM

E-Z-CAT DRY

E-Z-DISK

E-Z-HD

E-Z-PAQUE

E-Z-PASTE

FAGRON LS PLUS

FAGRON NATURAL

FAGRON SUPREME

FALESSA ORAL KIT 20-1-0.1 MCG-MG

FEM PH

Drug Name

FENTANYL CITRATE INTRAVENOUS SOLUTION PREFILLED SYRINGE 100 MCG/2ML, 1500 MCG/30ML, 2500 MCG/50ML

FENTANYL CITRATE-NACL EPIDURAL

FENTANYL CITRATE-NACL INJECTION

FENTANYL CITRATE-NACL INTRAVENOUS SOLUTION 1-0.9 MG/100ML-%, 250-0.9 MCG/50ML-%, 5-0.9 MG/250ML-%

FENTANYL CITRATE-NACL INTRAVENOUS SOLUTION PREFILLED SYRINGE 15-0.9 MCG/3ML-%

FENTANYL CIT-ROPIVACAINE-NACL EPIDURAL SOLUTION 0.2-0.15-0.9 MG/100ML-%, 0.2-0.2-0.9 MG/100ML-%, 0.4-0.1-0.9 MG/200ML-%, 0.4-0.2-0.9 MG/200ML-%, 0.625-0.2-0.9 MG/250ML-%, 1.25-0.2-0.9 MG/250ML-%

FENTANYL-BUPIVACAINE-NACL EPIDURAL SOLUTION 0.25-0.08-0.9 MG/125ML-%, 0.4-0.15-0.9 MG/200ML-%, 0.5-0.0625-0.9 MG/250ML-%, 0.5-0.125-0.9 MG/250ML-%, 0.6-0.125-0.9 MG/200ML-%, 0.75-0.1-0.9 MG/150ML-%, 0.75-0.125-0.9 MG/250ML-%, 1.25-0.075-0.9 MG/250ML-%

FENTANYL-BUPIVACAINE-NACL INJECTION

FERIVA 21/7

FERIVAFA

FINASTERIDE-MINOXIDIL

FIRE ANT

FITALITE

FLEXIN

FLEXIPAK

FLORIVA

FLORIVA PLUS

FLUCAINE

FLUCON-IBUPROF-ITRACON-TERBINA

FLUOCINOLONE ACET-NIACINAMIDE

FLUOPAR

FLUOVIX

FLUOVIX PLUS

FOLET DHA

FOLET ONE

8

Drug Name

FOLIC D3

FOLICA-V

FOLIC-K

FOLI-D

FOLIKA-D

FOLIKA-T

FOLIKA-V

FOLITE

FOLIXAPURE

FOLVIK-D

FOLVITE-D

FOLVITE-FE

FORAXA

formaldehyde

FORMA-RAY

FORTADERM

FORTADERM ANTIMICROBIAL PHMB

FOSTEUM PLUS

FOVEX

FREEDOM ADAPTADERM EXTERNAL

FREEDOM DERMA SERUM

FREEDOM DERMA-D

FREEDOM DERMA-N

FRESENIUS PROPOVEN INTRAVENOUS EMULSION 2000 MG/100ML

FUL-GLO

FUNGIMEZ

FUSARIUM

GABACAINE

GABAPAL COMBINATION THERAPY PACK 100 & 3.88 MG & %

GATIFLOXACIN-DEXAMETHASONE

GELCLAIR

GELFILM OPHTHALMIC

GEL-FLOW

GELFOAM-JMI POWDER

GELFOAM-JMI SPONGE

GEN7T

GEN7T PLUS

Drug Name

GENADUR

GENICIN VITA-D

GENICIN VITA-Q

GENICIN VITA-S

GERMAN COCKROACH

GHRP2-GHRP6-SERMORELIN

GHRP2-SERMORELIN

GIAPREZA

GLUTATHIONE INJECTION SOLUTION 6 GM/30ML

glycolic acid solution

GLYTACTIN BURST

GLYTACTIN RESTORE LITE 10

GLYTACTIN RTD 10

GLYTACTIN RTD 15

GLYTACTIN RTD LITE 15

GOLDENROD

GOPRELTO

GORDONS UREA EXTERNAL OINTMENT 40 %

GPL PAK

grafco silver nit applicator

GRAFIX CORE 1.5CM X 2CM

GRAFIX CORE 16MM

GRAFIX CORE 2CM X 3CM

GRAFIX CORE 3CM X 4CM

GRAFIX CORE 5CM X 5CM

GRAFIX PRIME 1.5CM X 2CM

GRAFIX PRIME 16MM

GRAFIX PRIME 2CM X 3CM

GRAFIX PRIME 3CM X 4CM

GRAFIX PRIME 5CM X 5CM

GRAFIX XC 7.5CM X 15CM

GREEN GLO LISSAMINE GREEN

HACKBERRY

HALUCORT

HEALON PRO

HEALON5 PRO

hemenatal ob + dha

9

Drug Name

HEMETAB

HEMMOREX-HC RECTAL SUPPOSITORY 25 MG

HEPMED

HONEY BEE VENOM PROTEIN

HONEY BEE VENOM SUBCUTANEOUS

HORMONE CR HEAVY BASE NIOSOMES

HORMONE CREAM BASE NIOSOMES

HORSE EPITHELIUM

HPR

HPR PLUS

HPR PLUS HYDROGEL

HPR PLUS-MB HYDROGEL

HYALURONATE-NIACINAM-TRETINOIN

HYALURONATE-NIACIN-TACROLIMUS

HYALURONIC ACID-HYDROQUINONE

HYCLODEX

HYDRO 35

HYDRO 40

hydrocortisone ace-pramoxine external cream 2.5-1 %

hydrocortisone acetate rectal

hydrocortisone-iodoquinol external cream 1-1 %

hydrocort-pramoxine (perianal)

HYDROGEL

HYDROMORPHONE HCL INJECTION SOLUTION 1 MG/ML

hydromorphone hcl injection solution 2 mg/ml

hydromorphone hcl rectal

HYDROMORPHONE HCL-NACL INTRAVENOUS SOLUTION 10-0.9 MG/100ML-%, 18-0.9 MG/30ML-%, 25-0.9 MG/50ML-%, 5-0.9 MG/50ML-%, 50-0.9 MG/50ML-%, 6-0.9 MG/30ML-%

HYDROMORPHONE-BUPIVACAINE-NACL EPIDURAL SOLUTION 2.5-0.1-0.9 MG/250ML-%

HYDROMORPHONE-ROPIVACAINE-NACL EPIDURAL SOLUTION 2-0.1-0.9 MG/200ML-%

HYDROQUINONE EXTERNAL EMULSION

Drug Name

HYDROQUINONE-HC-TRETINOIN

HYDROQUINONE-HYDROCORTISONE

HYGEL EXTERNAL GEL 2.5 %

HYLAGUARD

HYLAMIX

HYLATOPIC PLUS

HYLAVITE

HYLINATE

HYOPHEN

hyoscyamine sulfate er oral tablet extended release 12 hour

hyoscyamine sulfate injection

hyoscyamine sulfate oral solution

hyoscyamine sulfate sublingual

HYPERLYTE-CR INTRAVENOUS CONCENTRATE

HYPERRAB

HYPERRAB S/D INJECTION

HYPERTENSA

HYPOCYN EXTERNAL SOLUTION

IBU 600-EZS

IFE-PG20

ILIDERM

ILUVIEN INTRAVITREAL

IMIQUIMOD-LEVOCETIRIZIN-NIACIN

IMIQUIMOD-LEVOCET-TRETINOIN

IMOGAM RABIES-HT INJECTION

inavix

INFLAMMACIN

INFLAMMA-K

INFLATHERM COMBINATION THERAPY PACK

INOVA

INOVA 4/1 ACNE CONTROL THERAPY

INOVA 8/2 ACNE CONTROL THERAPY

IODOFLEX

IODOQUIMEZ-HC

iodoquinol-hc-aloe polysacch

IODOQUINOL-HC-KETOCONAZOLE

iodoquinol-hydrocortisone-aloe

10

Drug Name

IODOSORB

IONSYS

IPAMORELIN ACETATE

IROSPAN 24/6

ISOVUE-300

isoxsuprine hcl oral

IVERMECTIN-METRONIDAZOL-NIACIN

JELMYTO

JOHNSON GRASS

JTT PHYSICIANS

JUNE GRASS POLLEN STANDARDIZED

KAMDOY

KAPOK

KCL (IN NACL 0.9%) INTRAVENOUS SOLUTION 40 MEQ/500ML

KEDRAB INJECTION

k-effervescent

KELARX

KELOTOP

KENDALL AMORPHOUS WOUND

KENGREAL

KERAGEL

KERAGELT

KERALAC EXTERNAL CREAM 47 %

KERALYT EXTERNAL GEL 6 %

KERALYT SCALP

KETOCONAZOLE-HYDROCORTISONE

KETODAN EXTERNAL KIT

KETOROCAINE-L

KETOROCAINE-LM

KETOROLAC-BUPIV-KETAMINE

KETOROLAC-ROPIV-KETAMINE

KETOVIE

KIVIK

KLARITY-A

KLARITY-B

KLARITY-L

KOCHIA

kosher prenatal plus iron

Drug Name

K-PHOS

K-PHOS NO 2

KYBELLA

LACTIC ACID-NIACINAMIDE

LACTOJEN

LAMBS QUARTERS

LATANOPROST-TIMOLOL MALEATE

LATRIX XM

LAVARE WOUND WASH

l-cysteine hcl intravenous

LDO PLUS

lecithin oral granules

LENSCALE

LEU TECHNELITE

LEVATIO

LEVBID

LEVICYN

LEVICYN DERMAL SPRAY

LEVSIN INJECTION

LEVSIN ORAL TABLET

LEVSIN/SL

LEXIXRYL

LIDO BDK

LIDO GB-300

lidocaine external ointment

lidocaine hcl external cream 3 %, 3.88 %

LIDOCAINE HCL EXTERNAL CREAM 4.12 %

lidocaine hcl external lotion

LIDOCAINE-EPINEPHRINE INTRAOCULAR

lidocaine-hydrocort (perianal)

LIDOCAINE-HYDROCORTISONE ACE EXTERNAL CREAM 1-1 %

lidocaine-hydrocortisone ace rectal cream

LIDOCAINE-HYDROCORTISONE ACE RECTAL GEL

lidocaine-hydrocortisone ace rectal kit

LIDOCAINE-PHENYLEPHRINE

LIDOCAINE-PHENYLEPHRINE-BSS

lidocaine-prilocaine external kit

11

Drug Name

LIDOCAINE-TETRACAINE EXTERNAL CREAM 23-7 %

LIDOCANNA

LIDOCIDEX I

LIDO-EPINEPHRINE-TETRACAINE

LIDO-K

lidolog

LIDOMAR

LIDOPAC

lidopin external cream 3 %

LIDOPIN EXTERNAL CREAM 3.25 %

LIDOPRIL EXTERNAL KIT

LIDOPRIL XR

LIDO-PRILO CAINE PACK

LIDOPURE PATCH

LIDORX

LIDOSOL-HC

LIDO-SORB

LIDOSTREAM

LIDOTHOL

LIDOTIN

LIDOTRAL

LIDOTRANS 5 PAK

LIDOTREX GEL 2 % EXTERNAL

LIDOVIX

LIDOZION

LIOPEN ABSORPTION ENHANCING

LIPO CREAM BASE

LIPOFOAM RX

LIPOPEN ULTRA BASE

LIPOSOMAL HEAVY

LIPOSOMAL REGULAR

LIPOZYME

LIPRITIN

LIPRITIN II COMBINATION THERAPY PACK 100 MG

LIPROZONEPAK

LIQUID E-Z-PAQUE

LIQUID POLIBAR PLUS

Drug Name

LIQUIVIDA HYDRATION

LIVIXIL PAK

LMR PLUS

loperamide hcl oral solution

LOPROX EXTERNAL KIT

LORAZEPAM-DEXTROSE

LORAZEPAM-SODIUM CHLORIDE INTRAVENOUS SOLUTION 100-0.9 MG/100ML-%

LORID

LORMATE

LOYON

LT INJECTION KIT

LUMASON

LUTATHERA

LUXAMEND

LYDEXA

LYMPHOMYOSOT X

MACI

MACRILEN

manganese sulfate intravenous

MARBETA-25

MARBETA-L

MARDEX-25

marlido

MARLIDO-25

MARNATAL-F

MARVONA SUIK

MAS CARE-PAK

MB HYDROGEL

me/naphos/mb/hyo1

MEADOW FESCUE GRASS POLLEN

MEDIDERM

MEDI-DERM/L-RX

MEDI-DERM-RX

MEDIHONEY CA ALGINATE 2"X2"

MEDIHONEY CA ALGINATE 4"X5"

MEDIHONEY WOUND/BURN DRESSING

MEDI-PATCH RX

12

Drug Name

MEDOLOR PAK

MEDROLOAN II SUIK

MEDROLOAN SUIK

MELALEUCA

MENTHO-CAINE

MESQUITE

METAXALL CP

METHAVER

METHAZEL

methenamine mandelate oral

methyl salicylate external liquid

METHYLCOBALAMIN INJECTION SOLUTION

methylene blue injection

METHYLPREDNISOLONE ACE-LIDO

METOPIC

METOPIRONE

MIC-L-CARNITINE

MICROCYN EXTERNAL GEL

MICROCYN SKIN AND WOUND

MICROPLEGIA MSA-MSG

MICROVIX LP

MIDAZOLAM HCL INTRAVENOUS SOLUTION 150 MG/30ML

MIDAZOLAM HCL-NACL

MIDAZOLAM HCL-SODIUM CHLORIDE INTRAVENOUS SOLUTION 100-0.9 MG/100ML-%, 25-0.9 MG/100ML-%

MIDAZOLAM-KETAMINE-ONDANSETRON

MIGRAINE PACK

MIGRANOW

MIMYX

MINOXIDIL-PROGEST-TRETINOIN

MIRODERM BIOLOGIC MATRIX FENES

MIRODERM BIOLOGIC WOUND MATRIX

MITE (D. FARINAE)

MITE (D. PTERONYSSINUS)

MITOMYCIN INTRAVESICAL

MIXED ASPERGILLUS

MIXED FEATHERS

Drug Name

MIXED RAGWEED

MIXED VESPID VENOM PROTEIN INJECTION SOLUTION RECONSTITUTED

mixed vespid venom protein subcutaneous solution reconstituted 1100-1100-1100 mcg

MIXED VESPID VENOM PROTEIN SUBCUTANEOUS SOLUTION RECONSTITUTED 120-120-120 MCG

MKO MELT DOSE PACK

mlk f1

mlk f2

mlk f3

MLK F4

MONSELS FERRIC SUBSULFATE EXTERNAL

MORCIN

MORGIDOX COMBINATION

morphine sulfate intravenous solution 1 mg/ml, 25 mg/ml, 50 mg/ml

morphine sulfate rectal

MOSQUITO (DIAGNOSTIC)

MOUNTAIN CEDAR

MOUSE EPITHELIUM

MOXIFLOXACIN HCL INTRAOCULAR

MOXIFLOXACIN HCL-BSS

MUCOR

MUCOSITISRX

MUGARD

MUGWORT

MULTIBASE

MULTIPRO

MULTI-SPECIALTY

multitrace-4

multitrace-4 concentrate

multitrace-4 neonatal

MULTITRACE-4 PEDIATRIC

multitrace-5

multitrace-5 concentrate

multivitamin/fluoride oral solution

MY MDI FINGER PULSE OXIMETER

13

Drug Name

MY MDI PORTABLE NEBULISER

mynephrocaps

NALTREXONE SUBCUTANEOUS

NANDROLONE-TESTOSTERONE CYP

NATACHEW ORAL TABLET CHEWABLE 28-1 MG

NATELLE ONE ORAL CAPSULE 28-1-250 MG

NEEVO DHA ORAL CAPSULE 27-1.13 MG

NEOCERA

NEONATAL COMPLETE ORAL TABLET 27-1 MG

NEOSALUS

NEOSALUS CP

NEOSTIGMINE METHYLSULFATE INTRAVENOUS SOLUTION PREFILLED SYRINGE 5 MG/5ML

NEO-SYNALAR EXTERNAL KIT

NESTABS ABC

NESTABS DHA

NESTABS ONE

NETSPOT

NEUAC EXTERNAL KIT

NEURALGO-RHEUM

NEURCAINE

NEUT

NEUTRASAL

NIACIN

NIACINAMIDE-SPIRONOLACTONE

NIACINAMIDE-SULFACETAMIDE

NIACINAMIDE-TACROLIMUS

NIACINAMIDE-TAZAROTENE

NIACINAMIDE-TRETINOIN

NIACINAMIDE-TRIAMCINOLONE ACET

NIACIN-SPIRONOLACTON-TRETINOIN

NICADAN

NICAZEL

NICAZEL FORTE

NIPRIDE RTU

nitroglycerin er

Drug Name

nitroprusside sodium

NITRO-TIME ORAL CAPSULE EXTENDED RELEASE 6.5 MG, 9 MG

NIVATOPIC PLUS

NOPIOID-TC KIT

NOREPINEPHRINE-SODIUM CHLORIDE INTRAVENOUS SOLUTION 16-0.9 MG/250ML-%, 4-0.9 MG/250ML-%, 8-0.9 MG/250ML-%

NORMOSOL-R PH 7.4

NOURILITE

NOURIVAN ANTIOX BASE

NOVACORT EXTERNAL GEL 1-2 %

NOXIFOL-D

NOXI-K

NOXIPAK

NUCARACLINPAK

NUCARARXPAK

NUCORT

NUDERMRXPAK 120

NUDERMRXPAK 60

NUDICLO SOLUPAK

NUDICLO TABPAK

NUDROXIPAK

NUDROXIPAK DSDR-50

NUDROXIPAK DSDR-75

NUDROXIPAK E-400

NUDROXIPAK I-800

NUDROXIPAK M-15

NUDROXIPAK N-500

NUMBONEX

NUMBRINO

NUMOISYN

NUSURGEPAK SURGICAL PREP/CARE

NUTRASEB

NUTRIARX CREAMPAK

NUTRIDOX

NUVAIL

NUVAKAAN

NUVAKAAN-II

14

Drug Name

NUVAZIL

OASIS ULTRA MATRIX FENESTRATED

OASIS ULTRA TRI-LAYER MATRIX

OASIS WOUND MATRIX FENESTRATED EXTERNAL SHEET 3X3.5CM , 3X7CM

OAT GRAIN (DIAGNOSTIC)

OB COMPLETE ONE

OB COMPLETE PETITE

OB COMPLETE PREMIER

OCUVEL ORAL CAPSULE 0.5 MG

OLIVE TREE

OMEGA-3 RX COMPLETE

OMEGA-3/D-3 WELLNESS PACK

OMEGAVEN

ONEVITE

ONYCHO-MED

opium

ORACIT

ORAFATE

ORANGE (DIAGNOSTIC)

ORCHARD GRASS POLLEN

ORMECA

ORTHO DF

oscimin sr

OTIPRIO

OVACE PLUS

OVACE PLUS WASH

OVACE WASH

OVEEZA

OXYTOCIN-SODIUM CHLORIDE INTRAVENOUS SOLUTION 30-0.9 UT/500ML-%

PAINGO KFT

papaverine hcl injection

PAPAVERINE-PHENTOLAMINE

PAPAV-PHENTOLAMINE-ALPROSTADIL

paregoric

pb-hyoscy-atropine-scopolamine

P-CARE 100MX

P-CARE D40

Drug Name

P-CARE D40G

P-CARE D40MX

P-CARE D80

P-CARE D80G COMBINATION

P-CARE D80MX

P-CARE K40

P-CARE K40G

P-CARE K40MX

P-CARE K80

P-CARE K80G

P-CARE K80MX

P-CARE M

P-CARE MG

P-CARE X

PCCA ALADERM BASE

PCCA ANHYDROUS LIPODERM BASE

PCCA BIOPEPTIDE BASE

PCCA LIPODERM BASE

PCCA MVC BASE

PCCA NATACREAM

PCCA POLYPEG BASE

PCCA VANISHING CREAM BASE

PCCA VANISHING CREAM LIGHT

PCCA VANPEN BASE

PCP 100

PEANUT (DIAGNOSTIC)

PECAN NUT (DIAGNOSTIC)

PECAN POLLEN

PEDIZOLPAK

PENCREAM

PENDERM

PENICILLIUM NOTATUM

PENLEN

PENTAPHENE BASE

PENTICAN

PENTOSAN POLYSULFATE SODIUM ORAL

PERCURA

PERENNIAL RYE GRASS POLLEN

PHARMABASE COSMETIC

15

Drug Name

PHARMABASE HEAVY

phenobarbital-belladonna alk oral elixir

PHENOHYTRO

PHENOL INJECTION

PHENYLBUTAZONE

PHENYLEPHRINE HCL-NACL INTRAVENOUS SOLUTION 10-0.9 MG/250ML-%, 25-0.9 MG/250ML-%, 50-0.9 MG/500ML-%

PHLAG SPRAY

PHOMA EXIGUA

PHOSPHASAL

PHOXILLUM B22K4/0

PHOXILLUM BK4/2.5

PHYSICIANS EZ USE B-12

PHYSICIANS EZ USE JOINT/TUNNEL

PHYSICIANS EZ USE M-PRED

PHYSOSTIGMINE SALICYLATE INJECTION

PHYTOBASE

PICO WOUND THERAPY SYSTEM

PISTACHIO NUT (DIAGNOSTIC)

PLEXION

PLEXION CLEANSER EXTERNAL LIQUID

PLEXION CLEANSING CLOTH EXTERNAL PAD

pnv folic acid + iron

pnv ob+dha

POD-CARE 100C

POD-CARE 100CG

POD-CARE 100CMX

POD-CARE 100K

POD-CARE 100KG

POD-CARE 100KMX

podocon

POINT OF CARE KM

POINT OF CARE L.2

POINT OF CARE L.5

POINT OF CARE LM DEP 2

POINT OF CARE LM-2.2

POINT OF CARE LM-2.5

Drug Name

POLIDOCANOL

POLYOXYL 40 STEARATE PELLET

POLY-PREP

POLYTOZA PATCH

POLY-VI-FLOR ORAL TABLET CHEWABLE

POLY-VI-FLOR/IRON ORAL TABLET CHEWABLE

PORK (DIAGNOSTIC)

PORT-PREP

POTABA ORAL CAPSULE

POTASSIUM CHLORIDE IN D5W INTRAVENOUS SOLUTION 20 MEQ/250ML

potassium citrate-citric acid oral solution

potassium phosphates

potassium phosphates(66 meq k)

POTASSIUM PHOSPHATES-NACL INTRAVENOUS SOLUTION 10 MMOL/100ML, 15 MMOL/150ML

PR BENZOYL PEROXIDE

PR BENZOYL PEROXIDE WASH

PR CREAM

PR NATAL 400

PR NATAL 400 EC

PR NATAL 430

PRAMOSONE E

PRAMOSONE EXTERNAL CREAM 1-2.5 %

PRAMOSONE EXTERNAL OINTMENT

pramox

PRASTERA

PRAXBIND

PRE & POST SX POUCH

PRECEDEX INTRAVENOUS SOLUTION 1000 MCG/250ML, 200 MCG/50ML, 400 MCG/100ML, 80 MCG/20ML

PREDNISOL ACE-MOXIFLOX-BROMFEN

prednisolone acetate p-f

PREDNISOLONE ACETATE-NEPAFENAC

PREDNISOLONE ACET-MOXIFLOXACIN

PREDNISOLONE-BROMFENAC

PREDNISOLONE-GATIFLOXACIN

16

Drug Name

PREDNISOLONE-MOXIFLOXACIN

PREDNISOLON-GATIFLOX-BROMFENAC

PREDNISOLON-MOXIFLOX-BROMFENAC OPHTHALMIC SOLUTION 1-0.5-0.075 %

PREDNISOLON-MOXIFLOX-NEPAFENAC

PREGENNA

PREMESISRX

premium lidocaine

PREMIUM SCAR

PRENAISSANCE

PRENARA

prenatal oral tablet 27-1 mg

PRENATE

PRENATE AM

PRENATE DHA ORAL CAPSULE 18-0.6-0.4-300 MG

PRENATE ELITE ORAL TABLET 20-0.6-0.4 MG

PRENATE ENHANCE

PRENATE ESSENTIAL ORAL CAPSULE 18-0.6-0.4-300 MG

PRENATE MINI ORAL CAPSULE 18-0.6-0.4-350 MG

PRENATE PIXIE

PRENATE RESTORE

PRENATRIX

PRENATVITE COMPLETE

PRESERA

PREVELEAK SURGICAL SEALANT

PREVIDOLRX ANALGESIC

previdolrx plus analgesic

PRIKAAN

PRIKAAN LITE

PRILO PATCH

PRILOLID

PRILOPENTIN

PRILOVIX

PRILOVIX LITE

PRILOVIX LITE PLUS

PRILOVIX PLUS

Drug Name

PRILOVIX ULTRALITE

PRILOVIX ULTRALITE PLUS

PRILOVIXIL

PRILOXX LP

PRIMACARE ORAL CAPSULE

PRIVET

PRIZOPAK II

PRIZOTRAL

PRIZOTRAL-II

PROBICHEW

PROBUPHINE IMPLANT KIT

PRO-C-DURE 5

PRO-C-DURE 6

PROCORT EXTERNAL

PRO-CRITIC

PROCTOCORT RECTAL SUPPOSITORY

PRODIGEN

PROGESTERONE-MINOXIDIL

PROMACTIN AA PLUS 20PE

PROMELLA IN PREBIOTIC

PROMISEB

PROMISEB COMPLETE

PROPEL

PROPEL MINI

PROSILK

PROTEXA

PROTHELIAL

PROTYL AG

PROVAD

PRUCLAIR

PRUMYX

PRUTECT

P-SILOXAN DS

PSORIZIDE FORTE

PSORIZIDE ULTRA

PURAPLY

PURAPLY 1.6CM

PURAPLY ANTIMICROBIAL 2X2CM

PURAPLY ANTIMICROBIAL 2X4CM

17

Drug Name

PURAPLY ANTIMICROBIAL 5X5CM

PURAPLY ANTIMICROBIAL 6X9CM

PURAPLY ANTIMICROBIAL 8X16CM

PURAPLY XT ANTIMICROBIAL 5X5CM

PURAPLY XT ANTIMICROBIAL 6X9CM

PUREFE OB PLUS

PUREFE PLUS

PYRIDIUM

PYRIDOXAL-5 PHOSPHATE INJECTION

QUEEN PALM

QUFLORA FE PEDIATRIC

QUFLORA GUMMIES

QUFLORA PEDIATRIC

QUINIXIL

QUINJA

QUTENZA

QUTENZA (2 PATCH)

QUZYTTIR

RABBIT EPITHELIUM

RADIAGEL

RADIAPLEXRX

RAPID GEL RX

READYSHARP ANESTH + BETAMETH

READYSHARP ANESTH + DEXAMETH

READYSHARP ANESTH + KETOROLAC

READYSHARP ANESTH + METHYLPRED

READYSHARP BETAMETHASONE

READYSHARP DEXAMETHASONE

READYSHARP KETOROLAC

READYSHARP LIDOCAINE

READYSHARP-A

READYSHARP-K

RECEDO

RECK

RECURA

RED BIRCH

RED CEDAR

RED MAPLE

RED MULBERRY

Drug Name

RED TOP GRASS POLLEN

REJUVACARE PLUS

RELADOR PAK EXTERNAL KIT

RELADOR PAK PLUS

RELAGARD

RELIZORB

REMIFENTANIL HCL-NACL

REMIGEN

RENOVO

RESET FOR ANDROID APP

RESET FOR IOS APP

RESET FOR IOS OR ANDROID APP

RESET-O FOR ANDROID APP

RESET-O FOR IOS APP

RESET-O FOR IOS OR ANDROID APP

RESORCINOL-SULFUR

RESTORA SPRINKLES

RETISERT INTRAVITREAL

REVESTA

REXAPHENAC

REXASIL PATCH & VITAMIN E LIQ

REZESOL

RHEUMATE

RHIZOPUS

RIBOZEL

RICE (DIAGNOSTIC)

ROPIDEX

ROPIVACAINE HCL INJECTION SOLUTION 2 MG/ML

ROPIVACAINE HCL INJECTION SOLUTION 33.4 MG/ML

ROPIVACAINE HCL INJECTION SOLUTION PREFILLED SYRINGE

ROPIVACAINE HCL-NACL INJECTION SOLUTION 0.2-0.9 %

ROPIV-CLONIDINE-KETOROLAC

ROSADAN EXTERNAL KIT

ROSANIL CLEANSER

ROUGH MARSH ELDER

ROUGH PIGWEED

18

Drug Name

ROXIFOL-D

RRB PAK

RUSSIAN THISTLE

RYNODERM

SA3 DERM

SACCHAROMYCES CEREVISIAE

SAGEBRUSH

SALEX EXTERNAL KIT 6 % (CREAM), 6 % (LOTION)

SALEX EXTERNAL SHAMPOO

salicylic acid er

salicylic acid external cream

salicylic acid external foam

salicylic acid external gel

salicylic acid external liquid 27.5 %

salicylic acid external lotion

salicylic acid external shampoo

salicylic acid external solution 26 %

salicylic acid wart remover

salicylic acid-cleanser

SALICYLIC ACID-SULFACETAMIDE

salimez

SALIMEZ FORTE

saline bacteriostatic

SALISOL

salisol forte

SALITECH

salitech forte

SALIVAMAX

SALRIX

salsalate oral

SALT DURABLE CREAM

SALT STABLE LS ADVANCED

SALTSTABLE LO

SALVAX

SALVAX DUO PLUS

SANADERMRX SKIN REPAIR

SANARE SCAR THERAPY

SCALACORT DK

Drug Name

SCARCARE GEL-PAD KIT/LARGE

SCARCIN EXTERNAL GEL

SCARCIN EXTERNAL LIQUID

SCARCINPAD

SCARSILK

SCARZEN SKIN REPAIR

SEBUDERM

SEDANARE

SELECT-OB

SELECT-OB+DHA

SELENIOUS ACID INTRAVENOUS

SELENIUM INTRAVENOUS

selenium sulfide external shampoo

SELRX

SENTRA AM

SENTRA PM

SERAQUA

SESAME SEED (DIAGNOSTIC)

SHAGBARK HICKORY

SHEEP SORREL

SHORT RAGWEED POLLEN EXT

SHRIMP (DIAGNOSTIC)

SILA III

SILALITE PAK

SILIPAC

SILIVEX

SIL-K PAD LARGE

SIL-K PAD MEDIUM

SIL-K PAD SMALL

SILPROTEX PLUS

SILTREX

silver nitrate external solution

SITZMARKS

SITZMARKS COMBO PACKAGE

sod citrate-citric acid

sodium acetate intravenous solution 4 meq/ml

sodium bicarbonate intravenous solution 4.2 %, 8.4 %

19

Drug Name

SODIUM BICARBONATE-DEXTROSE INTRAVENOUS SOLUTION 150-5 MEQ/L-%

sodium chloride (pf)

sodium chloride intravenous solution 4 meq/ml

SODIUM CITRATE-GENTAMICIN SULF

sodium hyaluronate external gel

sodium phosphates intravenous solution 45 mmole/15ml

sodium sulfacetamide external shampoo

sodium sulfacetamide wash liquid 10 % external

SODIUM SULFACETAMIDE WASH LIQUID 10 % EXTERNAL

sodium tetradecyl sulfate intravenous

SOLARAVIX

SOLOX

SOLU-K

SOLULINE

SOLUPAK

SOLUPICC

SOLU-PREF

SOLYDRA

SOOTHEE EXTERNAL PATCH 0.5-0.0375-5-2 %

SORREL/DOCK MIX

SOTRADECOL

SOYBEAN (DIAGNOSTIC)

SPASCUPREEL INJECTION

SPECIMEN COLLECTION

SPEEDGEL RX

SPINY PIGWEED

SSKI

sss 10-5 external cream

SSS 10-5 EXTERNAL FOAM

STEMPHYLIUM

sterile water for injection injection

STRATA CTX

STRATA GRT

STRATA MARK

STRATA TRIZ

Drug Name

STRATA XRT

STRAWBERRY (DIAGNOSTIC)

STRONTIUM CHLORIDE SR-89

STROVITE FORTE ORAL TABLET

STROVITE ONE

SUCCINYLCHOLINE CHLORIDE INTRAVENOUS SOLUTION PREFILLED SYRINGE 100 MG/5ML

sulfacetamide sodium external gel

sulfacetamide sodium external liquid

sulfacetamide sodium-sulfur external cream

sulfacetamide sodium-sulfur external emulsion

sulfacetamide sodium-sulfur external liquid

sulfacetamide sodium-sulfur external lotion

sulfacetamide sodium-sulfur external pad 10-4 %

sulfacetamide sodium-sulfur external suspension

sulfacetamide sod-sulfur wash external kit

sulfacetamide-sulfur in urea external emulsion

sulfacetamide-sulfur-sunscreen

SULFACLEANSE 8/4

sulfamez wash

SUMADAN

SUMADAN WASH

SUMADAN XLT

SUMAXIN

SUMAXIN CP

SUMAXIN WASH

SUPER TRI-MIX

sure result dss premium pack

SURE RESULT O3D3 SYSTEM

SUVICORT

SWEET CORN (DIAGNOSTIC)

SWEET GUM

SWEET VERNAL GRASS POLLEN

SX1 MEDICATED POST-OPERATIVE

SYMAX DUOTAB

SYMAX-SL

SYMAX-SR

20

Drug Name

SYNALAR (CREAM)

SYNALAR (OINTMENT)

SYNALAR TS

SYNERDERM

SYNTHAMIN 17

SYNVEXIA TC

SZOSIL 15 DAY SUPPLY

SZOSIL 8 DAY SUPPLY

TACROLIMUS EXTERNAL CREAM

TALIVA

TALL RAGWEED

TANDEM F

taron-crystals

TASOPROL

TECHNELITE

TESTONE CIK

TESTOSTERONE CYPIONATE & PROP

TESTOSTERONE CYPIONATE INJECTION

TESTOSTERONE ENANTHATE INJECTION

TESTOSTERONE IMPLANT PELLET 100 MG, 200 MG, 25 MG, 50 MG

TESTOSTERONE PROPIONATE INJECTION

tetracaine hcl injection

TETRIX EXTERNAL CREAM

THERAHONEY EXTERNAL GEL

THERAMINE

THRIVACIN 30

THRIVACIN DETOX

TICALAST

TICASPRAY

TIGHTENING BASE

TIMOLOL-BRIMON-DORZOL-LATANOPR

TIMOLOL-BRIMONIDINE-DORZOLAMID

TIMOLOL-DORZOLAMID-LATANOPROST

TIMOTHY GRASS POLLEN ALLERGEN

TISSUEBLUE

TOBAKIENT

TOMATO (DIAGNOSTIC)

TOPIDEX

Drug Name

TORONOVA II SUIK

TORONOVA SUIK

TOVET EXTERNAL KIT

TRACE ELEMENTS 4/PEDIATRIC

TRANSCYTE

TRANZGEL

TRAUMEEL EXTERNAL OINTMENT

TRAUMEEL INJECTION

TRAUMEEL ORAL TABLET

TREPADONE

TRIAMCINOLONE ACETONIDE INJECTION SUSPENSION 40 MG/ML

TRIAMCINOLONE ACETONIDE INJECTION SUSPENSION 50 MG/ML

TRIAMCINOLONE DIACETATE INJECTION SUSPENSION 40 MG/ML

TRIAMCINOLONE DIACETATE PF INJECTION SUSPENSION 80 MG/2ML

TRIAMCINOLONE-MOXIFLOXACIN

TRIAMSIL COMBIPAK EXTERNAL THERAPY PACK

TRIAMSIL MULTIPAK

TRICHOPHYTON SUBCUTANEOUS

tricitrates

TRILOAN II SUIK

TRILOAN SUIK

TRI-MIX

TRINAZ

TRISTART DHA

TRISTART ONE

TRIVIX

TRIXYLITRAL

TRONVITE

TROPICAMIDE-CYCLOPENTOLATE-PE

TROPICAMIDE-PHENYLEPHRINE

TROPIC-PROPARACA-PE-KETOROLAC

TRUSKIN

tryptophan oral

T-SUPPORT MAX

turpentine external

21

Drug Name

TYLACTIN RESTORE 10

TYLACTIN RTD 15

ULTRADERM

ULTRASAL-ER

UMECTA MOUSSE

URALISS

URAMAXIN EXTERNAL GEL

urea external cream 39 %, 40 %, 41 %, 45 %, 47 %

UREA EXTERNAL FOAM

urea external lotion 40 %

urea external suspension 40 %

urea hydrating

urea nail external gel 45 %

urea-c40

uredeb

ure-k

URELLE

UREMEZ-40

URESOL

URIBEL

URIMAR-T

URO-458

UROGESIC-BLUE

uro-mp

URYL

USTELL

UTA

UTICAP

UTIRA-C

UTOPIC

VANCOSOL PACK

VANISHING

VANISHING CREAM BOTANICAL BASE

VANISH-PEN

VANOXIDE-HC

VARIBAR HONEY

VARIBAR NECTAR

VARIBAR PUDDING

Drug Name

VARIBAR THIN HONEY

VARIBAR THIN LIQUID

VAROPHEN

VASCUDERM HYDROGEL

VENIPUNCTURE CPI

VENOMIL HONEY BEE VENOM

VENOMIL MIXED VESPID VENOM

VENOMIL WASP VENOM

VENOMIL WHITE FACED HORNET

VENOMIL YELLOW HORNET VENOM

VENOMIL YELLOW JACKET VENOM

VERSAJET EXACT 14MM

VERSAJET EXACT 8MM

VERSAJET II EXACT 14MM

VERSAJET II EXACT 8MM

VERSAJET II PLUS 14MM

VERSAJET II PLUS 8MM

VERSAJET PLUS 14MM

VERSAJET PLUS 8MM

VERSAPRO EXTERNAL CREAM

VEXASYN

VEXATROL

VILAMIT MB

VILEVEV MB

VINATE DHA RF

VIRASAL

VIRGINIA LIVE OAK

VISBIOME

VITAFOL FE+

VITAFOL GUMMIES

VITAFOL ORAL TABLET

VITAFOL ULTRA

VITAFOL-NANO

VITAFOL-OB

VITAFOL-OB+DHA

VITAFOL-ONE

VITAMEDMD ONE RX/QUATREFOLIC

VITAMEDMD REDICHEW RX ORAL TABLET CHEWABLE 1.4 MG

22

Drug Name

VITAMEZ

vitamin b complex 100

VITAMIN B COMPLEX-HYDROXOCOBAL

vitamin b-complex 100

VITAMIN DEFICIENCY SYSTEM-B12

VITAPEARL

VITA-RX DIABETIC VITAMIN

VITASURE

VITATHELY WITH GINGER

VITATRUE

VITAXYME

VITREXYL

VITREXYL + IRON

VIZAMYL

VOLUMEN

VP DERMABASE

VSL#3 DS

VYTONE

WASP VENOM PROTEIN INJECTION SOLUTION RECONSTITUTED 1300 MCG, 550 MCG

WASP VENOM PROTEIN SUBCUTANEOUS

WESTERN JUNIPER

wheat germ oil oral oil

WHITE ASH

WHITE BIRCH

WHITE FACED HORNET VENOM

WHITE MULBERRY

WHITE OAK

WHITE PINE

WHITE-FACED HORNET VENOM

WHOLE EGG (DIAGNOSTIC)

WPR PLUS WOUND HEALING SYSTEM

xelitral

XEMATOP BASE

xenaflamm

XERALUX

XEROSTOMIA RELIEF SPRAY

XILAPAK

Drug Name

XOLEGEL COREPAK

XOLEGEL DUO/HEAD & SHOULDERS

XOLEGEL DUO/XOLEX

XRYLIDERM

XRYLIX

xurea

XVITE

XYZMUNE

YBUPHEN

YELLOW DOCK

YELLOW HORNET VENOM PROTEIN INJECTION SOLUTION RECONSTITUTED 550 MCG

YELLOW HORNET VENOM PROTEIN SUBCUTANEOUS

YELLOW JACKET VENOM PROTEIN INJECTION SOLUTION RECONSTITUTED 1300 MCG, 550 MCG

YELLOW JACKET VENOM PROTEIN SUBCUTANEOUS

YUTIQ

ZACARE

ZACLIR CLEANSING EXTERNAL LOTION 8 %

ZALVIT

ZANABIN HYDROGEL

ZAVARA

ZEEL INJECTION

ZELAC

ZENEVIX

ZERUVIA

ZEYOCAINE

ZILACAINE PATCH

ZINC SULFATE INTRAVENOUS

ZIONODIL

ZIONODIL 100

ZITHRANOL

ZOE SCRIPTS IDEALBASE

ZOLPAK

23

About OptumRx

OptumRx is a pharmacy care services company helping clients and more than 65 million members achieve better health outcomes and lower overall costs through innovative prescription drug benefit services, including network claims processing, clinical programs, formulary management and specialty pharmacy care. OptumRx is part of Optum®, a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. For more information, visit optum.com/optumrx.

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