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Preventive Medication Coverage

Humana is committed to meeting your unique healthcare needs. Listed below are medicines available to you at no cost.* This list may not apply to all healthcare plans and may change over time. To understand your plan’s prescription drug benefit, sign in to Humana.com. You can also call a Humana Customer Service representative at the phone number on the back of your Humana member ID card. Some restrictions may apply.

* You must have a prescription from your doctor for us to process a claim for preventive medicines or products under your pharmacy plan. This includes over-the-counter items.

Effective January 1, 2015

Category Drug NameAspirin Adult Low Dose Asa Ec 81 Mg TbAspirin Adult Low Str Asa 81 Mg TabAspirin Asperdrink 81 Mg Tablet EffAspirin Aspir Ec 81 Mg TabletAspirin Aspirin 325 Mg Coated TabletAspirin Aspirin 325 Mg Lite-coat TabAspirin Aspirin 325 Mg TabletAspirin Aspirin 325 Mg Tablet EcAspirin Aspirin 81 Mg Chewable TabletAspirin Aspirin 81 Mg Tablet ChewAspirin Aspirin Adult 81 Mg Chew TabAspirin Aspirin Adult 81 Mg Tab ChewAspirin Aspirin Child 81 Mg Tab ChewAspirin Aspirin Coated 325 Mg TabletAspirin Aspirin Ec 325 Mg TabletAspirin Aspirin Ec 81 Mg TabletAspirin Aspir-low Ec 81 Mg TabletAspirin Aspir-trin Ec 325 Mg TabletAspirin Baby Aspirin 81 Mg Chew TabAspirin Bayer Aspirin 325 Mg CapletAspirin Bayer Aspirin 325 Mg TabletAspirin Bayer Aspirin 81 Mg Chew TabAspirin Bayer Children's AspirinAspirin Child Aspirin 81 Mg Chew TabAspirin Child Aspirin 81 Mg Tab ChewAspirin Children's Aspirin 81 Mg Tab

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Category Drug NameAspirin Cvs Aspirin 325 Mg CapletAspirin Cvs Aspirin 325 Mg TabletAspirin Cvs Aspirin 81 Mg Chewable TabAspirin Cvs Aspirin Ec 325 Mg TabletAspirin Cvs Aspirin Ec 81 Mg TabletAspirin Cvs Child Aspirin 81 Mg Chw TbAspirin Cvs Child Aspirin Chew TabAspirin Ec Aspirin 325 Mg TabletAspirin Ecotrin Ec 325 Mg TabletAspirin Ecotrin Ec 81 Mg TabletAspirin Ecpirin Ec 325 Mg TabletAspirin Eq Aspirin 325 Mg TabletAspirin Eq Aspirin 81 Mg Chewable TabAspirin Eq Aspirin Ec 81 Mg TabletAspirin Eql Aspirin 325 Mg TabletAspirin Eql Aspirin 81 Mg Chewable TabAspirin Eql Aspirin Adt 81 Mg Tab ChewAspirin Eql Aspirin Ec 81 Mg TabletAspirin Genacote 325 Mg Tablet EcAspirin Gnp Aspirin 325 Mg TabletAspirin Gnp Aspirin 81 Mg Chewable TabAspirin Gnp Aspirin Ec 325 Mg TabletAspirin Gnp Aspirin Ec 81 Mg TabletAspirin Gnp Child Aspirin 81 Mg Chw TbAspirin Gnp Lite Coat Asa 325 Mg TabAspirin Halfprin Ec 162 Mg TabletAspirin Halfprin Ec 81 Mg TabletAspirin Hm Aspirin 325 Mg TabletAspirin Hm Aspirin 81 Mg Chewable TabAspirin Hm Aspirin Ec 325 Mg TabletAspirin Hm Aspirin Ec 81 Mg TabletAspirin Hm Low Dose Aspirin Ec 81 MgAspirin Lite Coat Aspirin 325 Mg TabAspirin Longs Adult Asa 81 Mg TabAspirin Low Dose Aspirin Ec 81 Mg TabAspirin Low Dose Aspirin Ec 81 Mg TbAspirin Miniprin Ec 81 Mg TabletAspirin Pub Aspirin 325 Mg TabletAspirin Pub Aspirin 81 Mg Chewable TabAspirin Pub Aspirin Ec 325 Mg TabletAspirin Pub Aspirin Ec 81 Mg TabletAspirin Pv Aspirin 325 Mg TabletAspirin Pv Aspirin 81 Mg Chewable TabAspirin Pv Aspirin Ec 325 Mg TabletAspirin Pv Aspirin Ec 81 Mg Tablet

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Category Drug NameAspirin Pv Child Aspirin 81 Mg Chw TabAspirin Qc Aspirin 325 Mg TabletAspirin Qc Aspirin Ec 325 Mg TabletAspirin Qc Child Aspirin 81 Mg Chw TabAspirin Qc Lo-dose Aspirin Ec 81 Mg TbAspirin Ra Aspirin 325 Mg TabletAspirin Ra Aspirin 81 Mg Chewable TabAspirin Ra Aspirin Ec 325 Mg TabletAspirin Ra Aspirin Ec 81 Mg TabletAspirin Ra Child Aspirin 81 Mg Chw TabAspirin Sb Aspirin 325 Mg TabletAspirin Sb Aspirin Ec 325 Mg TabletAspirin Sb Aspirin Ec 81 Mg TabletAspirin Sb Child Aspirin 81 Mg Chw TabAspirin Sm Aspirin 325 Mg TabletAspirin Sm Aspirin 81 Mg Chewable TabAspirin Sm Aspirin Ec 325 Mg TabletAspirin Sm Aspirin Ec 81 Mg TabletAspirin Sm Child Aspirin 81 Mg Chw TabAspirin Soba Aspirin 325 Mg TabletAspirin Soba Aspirin Ec 325 Mg TabletAspirin St Joseph Asa Ec 81 Mg TabletAspirin St. Joseph Asa 81 Mg Tb ChewAspirin St. Joseph Aspirin 81 Mg ChewAspirin St. Joseph Aspirin Ec 81 Mg TbAspirin V-r Aspirin Ec 325 Mg TabletAspirin V-r Aspirin Ec 81 Mg TabletBreast Cancer Risk Reduction Raloxifene Hcl 60 Mg TabletBreast Cancer Risk Reduction Tamoxifen 10 Mg TabletBreast Cancer Risk Reduction Tamoxifen 20 Mg TabletContraceptive Altavera (28) 0.15 mg-30 mcg tablet Contraceptive Alyacen 1/35 (28) 1 mg-35 mcg tablet Contraceptive Alyacen 7/7/7 (28) 0.5 mg/0.75 mg/1 mg-35 mcg tablet Contraceptive Amethia 0.15 mg-30 mcg (84)/10 mcg(7) tablets,3 month

dose pack Contraceptive Amethia Lo 0.10 mg-20 mcg (84)/10 mcg(7) tablets,3 month

dose pack Contraceptive Amethyst 90 mcg-20 mcg tablet Contraceptive Apri 0.15 mg-30 mcg tablet Contraceptive Aranelle (28) 0.5 mg/1 mg/0.5 mg-35 mcg tablet Contraceptive Aubra 0.1 mg-20 mcg tablet Contraceptive Aviane 0.1 mg-20 mcg tablet Contraceptive Azurette (28) 0.15 mg-0.02 mg(21)/0.01 mg(5) tablet Contraceptive Balziva (28) 0.4 mg-35 mcg tablet Contraceptive Beyaz 3 mg-0.02 mg-0.451 mg (24) tablet

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Category Drug NameContraceptive Briellyn 0.4 mg-35 mcg tablet Contraceptive Camila 0.35 mg tablet Contraceptive Camrese 0.15 mg-30 mcg (84)/10 mcg(7) tablets,3 month

dose pack Contraceptive Camrese Lo 0.10 mg-20 mcg (84)/10 mcg(7) tablets,3 month

dose pack Contraceptive Caziant (28) 0.1 mg/0.125 mg/0.15 mg-25 mcg tablet Contraceptive Chateal 0.15 mg-30 mcg tablet Contraceptive Cryselle (28) 0.3 mg-30 mcg tablet Contraceptive Cyclafem 1/35 (28) 1 mg-35 mcg tablet Contraceptive Cyclafem 7/7/7 (28) 0.5 mg/0.75 mg/1 mg-35 mcg tablet Contraceptive Dasetta 1/35 (28) 1 mg-35 mcg tablet Contraceptive Dasetta 7/7/7 (28) 0.5 mg(7)/0.75 mg(7)/1 mg(7)-35 mcg

tablet Contraceptive Daysee 0.15 mg-30 mcg (84)/10 mcg(7) tablets,3 month

dose pack Contraceptive Depo-SubQ provera 104 104 mg/0.65 mL subcutaneous

syringe Contraceptive DESOGESTREL-ETHINYL ESTRAD TABContraceptive DROSPIRENONE-ETH ESTRADIOL TABContraceptive Elinest 0.3 mg-30 mcg tablet Contraceptive Ella 30 mg tablet Contraceptive Emoquette 0.15 mg-30 mcg tablet Contraceptive Enpresse 50-30 (6)/75-40(5)/125-30(10) tablet Contraceptive Enskyce 0.15 mg-30 mcg tablet Contraceptive Errin 0.35 mg tablet Contraceptive Estarylla 0.25 mg-35 mcg tablet Contraceptive Falmina (28) 0.1 mg-20 mcg tablet Contraceptive FemCap 22 mm vaginal device Contraceptive FemCap 26 mm vaginal device Contraceptive FemCap 30 mm vaginal device Contraceptive Generess Fe 0.8 mg-25 mcg (24)/75 mg (4) chewable tablet Contraceptive Gianvi (28) 3 mg-20 mcg tablet Contraceptive Gildagia 0.4 mg-35 mcg tablet Contraceptive Gildess 1 mg-20 mcg tablet Contraceptive Gildess 1.5 mg-30 mcg tablet Contraceptive Gildess FE 1 mg-20 mcg tablet Contraceptive Gildess FE 1.5 mg-30 mcg tablet Contraceptive Heather 0.35 mg tablet Contraceptive IMPLANON 68 MG IMPLANT Contraceptive Introvale 0.15 mg-30 mcg tablets,3 month dose pack Contraceptive Jencycla 0.35 mg tablet Contraceptive Jolessa 0.15 mg-30 mcg tablets,3 month dose pack Contraceptive Jolivette 0.35 mg tablet Contraceptive Junel 1.5/30 (21) 1.5 mg-30 mcg tablet Contraceptive Junel 1/20 (21) 1 mg-20 mcg tablet

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Category Drug NameContraceptive Junel FE 1.5/30 (28) 1.5 mg-30 mcg tablet Contraceptive Junel FE 1/20 (28) 1 mg-20 mcg tablet Contraceptive Kariva (28) 0.15 mg-0.02 mg(21)/0.01 mg(5) tablet Contraceptive Kelnor 1/35 (28) 1 mg-35 mcg tablet Contraceptive Kurvelo 0.15 mg-30 mcg tablet Contraceptive Larin 1.5/30 (21) 1.5 mg-30 mcg tablet Contraceptive Larin 1/20 (21) 1 mg-20 mcg tablet Contraceptive Larin Fe 1 mg-20 mcg tablet Contraceptive Larin Fe 1.5 mg-30 mcg tablet Contraceptive Leena 28 0.5 mg/1 mg/0.5 mg-35 mcg tablet Contraceptive Lessina 0.1 mg-20 mcg tablet Contraceptive Levonest (28) 50-30 (6)/75-40(5)/125-30(10) tablet Contraceptive LEVONOR-ETH ESTRAD 0.1-0.02 MGContraceptive LEVONOR-ETH ESTRAD 0.15-0.03 Contraceptive LEVONORGESTREL 0.75 MG TABLET Contraceptive LEVONORGESTREL 1.5 MG TABLET Contraceptive LEVONORG-ETH ESTRAD ETH ESTRADContraceptive Levora-28 0.15 mg-30 mcg tablet Contraceptive Lo Loestrin Fe 1 mg-10 mcg (24)/10 mcg (2) tablet Contraceptive LO MINASTRIN FE TABLET CHEW Contraceptive LOESTRIN 24 FE TABLET Contraceptive Lomedia 24 Fe 1 mg-20 mcg (24)/75 mg (4) tablet Contraceptive Loryna (28) 3 mg-20 mcg tablet Contraceptive Low-Ogestrel (28) 0.3 mg-30 mcg tablet Contraceptive Lutera (28) 0.1 mg-20 mcg tablet Contraceptive Lyza 0.35 mg tablet Contraceptive Marlissa 0.15 mg-30 mcg tablet Contraceptive MEDROXYPROGESTERONE 150 MG/ML Contraceptive Microgestin 1.5/30 (21) 1.5 mg-30 mcg tablet Contraceptive Microgestin 1/20 (21) 1 mg-20 mcg tablet Contraceptive Microgestin Fe 1.5/30 (28) 1.5 mg-30 mcg tablet Contraceptive Microgestin FE 1/20 (28) 1 mg-20 mcg tablet Contraceptive Minastrin 24 Fe 1 mg-20 mcg (24)/75 mg (4) chewable tablet Contraceptive Mirena 20 mcg/24 hr (5 years) intrauterine device Contraceptive Mono-Linyah 0.25 mg-35 mcg tablet Contraceptive Mononessa (28) 0.25 mg-35 mcg tablet Contraceptive My Way 1.5 mg tablet Contraceptive Myzilra 50-30 (6)/75-40(5)/125-30(10) tablet Contraceptive Natazia 3 mg/2 mg-2 mg/2 mg-3 mg/1 mg tablet Contraceptive Necon 0.5/35 (28) 0.5 mg-35 mcg tablet Contraceptive Necon 1/35 (28) 1 mg-35 mcg tablet Contraceptive Necon 1/50 (28) 1 mg-50 mcg tablet Contraceptive Necon 10/11 (28) 0.5 mg-35 mcg(10)/1 mg-35 mcg(11) tablet Contraceptive Necon 7/7/7 (28) 0.5 mg/0.75 mg/1 mg-35 mcg tablet Contraceptive Nexplanon 68 mg subdermal implant

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Category Drug NameContraceptive NEXT CHOICE 0.75 MG TABLET Contraceptive Next Choice One Dose 1.5 mg tablet Contraceptive Nora-BE 0.35 mg tablet Contraceptive NORETHINDRONE 0.35 MG TABLET Contraceptive NORETHIN-ETHINYL ESTRAD CH TB Contraceptive NORGESTIMATE-ETH ESTRADIOL TABContraceptive NORG-ETHIN ESTR 0.3-0.03 MG TBContraceptive NORG-ETHIN ESTRA 0.25-0.035 MGContraceptive Norinyl 1+50 (28) 1 mg-50 mcg tablet Contraceptive Nortrel 0.5/35 (28) 0.5 mg-35 mcg tablet Contraceptive Nortrel 1/35 (21) 1 mg-35 mcg tablet Contraceptive Nortrel 1/35 (28) 1 mg-35 mcg tablet Contraceptive Nortrel 7/7/7 (28) 0.5 mg/0.75 mg/1 mg-35 mcg tablet Contraceptive NuvaRing 0.12 mg -0.015 mg/24 hr vaginal Contraceptive Ocella 3 mg-0.03 mg tablet Contraceptive Ogestrel (28) 0.5 mg-50 mcg tablet Contraceptive Orsythia 0.1 mg-20 mcg tablet Contraceptive ORTHO ALL-FLEX DIAPHRAGM 65MM Contraceptive ORTHO ALL-FLEX DIAPHRAGM 70MM Contraceptive ORTHO ALL-FLEX DIAPHRAGM 75MM Contraceptive ORTHO ALL-FLEX DIAPHRAGM 80MM Contraceptive ORTHO ALL-FLEX FITTING SET Contraceptive Ortho Evra 150 mcg-35 mcg/24 hr transdermal patch Contraceptive Ortho Tri-Cyclen Lo (28) 0.18 mg/0.215 mg/0.25 mg-25 mcg

tablet Contraceptive ParaGard T 380A 380 square mm intrauterine device Contraceptive Philith 0.4 mg-35 mcg tablet Contraceptive Pimtrea (28) 0.15 mg-0.02 mg(21)/0.01 mg(5) tablet Contraceptive Pirmella 0.5/0.75/1 mg-35 mcg tablet Contraceptive Pirmella 1 mg-35 mcg tablet Contraceptive Portia 0.15 mg-30 mcg tablet Contraceptive Previfem 0.25 mg-35 mcg tablet Contraceptive Quartette 0.15 mg-20 mcg/0.15 mg-25 mcg tablets,3 month

dose pack Contraceptive Quasense 0.15 mg-30 mcg tablets,3 month dose pack Contraceptive Reclipsen (28) 0.15 mg-30 mcg tablet Contraceptive Safyral 3 mg-0.03 mg-0.451 mg (21/7) tablet Contraceptive Skyla 14 mcg/24 hour (3 years) intrauterine device Contraceptive Sprintec (28) 0.25 mg-35 mcg tablet Contraceptive Sronyx 0.1 mg-20 mcg tablet Contraceptive Syeda 3 mg-0.03 mg tablet Contraceptive Tilia Fe 1-20 (5)/1-30(7)/1mg-35mcg(9) tablet Contraceptive Tri-Estarylla 0.18/0.215/0.25 mg-35 mcg(28) tablet Contraceptive Tri-Legest Fe 1-20 (5)/1-30(7)/1mg-35mcg(9) tablet Contraceptive Tri-Linyah (28) 0.18 mg(7)/0.215 mg(7)/0.25 mg(7)-35 mcg

tablet

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Category Drug NameContraceptive TriNessa (28) 0.18 mg(7)/0.215 mg(7)/0.25 mg(7)-35 mcg

tablet Contraceptive Tri-Previfem (28) 0.18 mg(7)/0.215 mg(7)/0.25 mg(7)-35 mcg

tablet Contraceptive Tri-Sprintec (28) 0.18 mg(7)/0.215 mg(7)/0.25 mg(7)-35 mcg

tablet Contraceptive Trivora (28) 50-30 (6)/75-40(5)/125-30(10) tablet Contraceptive Velivet Triphasic Regimen (28) 0.1 mg/0.125 mg/0.15 mg-25

mcg tablet Contraceptive Vestura (28) 3 mg-20 mcg tablet Contraceptive Viorele (28) 0.15 mg-0.02 mg(21)/0.01 mg(5) tablet Contraceptive Vyfemla (28) 0.4 mg-35 mcg tablet Contraceptive Wera (28) 0.5 mg-35 mcg tablet Contraceptive Wide-Seal Diaphragm 60 mm vaginal Contraceptive Wide-Seal Diaphragm 65 mm vaginal Contraceptive Wide-Seal Diaphragm 70 mm vaginal Contraceptive Wide-Seal Diaphragm 75 mm vaginal Contraceptive Wide-Seal Diaphragm 80 mm vaginal Contraceptive Wide-Seal Diaphragm 85 mm vaginal Contraceptive Wide-Seal Diaphragm 90 mm vaginal Contraceptive Wide-Seal Diaphragm 95 mm vaginal Contraceptive Wymzya Fe 0.4 mg-35 mcg (21)/75 mg (7) chewable tablet Contraceptive Xulane 150 mcg-35 mcg/24 hr transdermal patch Contraceptive Zarah 3 mg-0.03 mg tablet Contraceptive ZenChent (28) 0.4 mg-35 mcg tablet Contraceptive Zenchent Fe 0.4 mg-35 mcg (21)/75 mg (7) chewable tablet Contraceptive Zeosa 0.4 mg-35 mcg (21)/75 mg (7) chewable tablet Contraceptive Zovia 1/35E (28) 1 mg-35 mcg tablet Contraceptive Zovia 1/50E (28) 1 mg-50 mcg tablet Fluoride Cavirinse Oral RinseFluoride Epiflur 0.25 Mg Tablet ChewFluoride Epiflur 0.5 Mg Tablet ChewableFluoride Epiflur 1 Mg Tablet ChewableFluoride Fluorabon 0.25 Mg/0.6 Ml DropsFluoride Fluor-a-day 0.25 Mg Tab ChewFluoride Fluor-a-day 0.5 Mg Tab ChewFluoride Fluor-a-day 1 Mg Tablet ChewFluoride Fluor-a-day 2.5 Mg/Ml DropsFluoride Fluoride 0.25 Mg Tablet ChewFluoride Fluoride 0.5 Mg Chew TabletFluoride Fluoride 0.5 Mg Tablet ChewFluoride Fluoride 1 Mg Chew TabletFluoride Fluoride 1 Mg Tablet ChewableFluoride Fluoritab 0.125 Mg/Drp DropsFluoride Fluoritab 0.25 Mg/Drp DropsFluoride Fluoritab 0.5 Mg Tablet Chew

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Category Drug NameFluoride Fluoritab 1 Mg Tablet ChewFluoride Flura-drops 0.25 Mg/DropFluoride Lozi-flur 1 Mg LozengeFluoride Ludent Fluoride 0.25 Mg Tb ChwFluoride Ludent Fluoride 0.5 Mg Tb ChewFluoride Ludent Fluoride 1 Mg Tab ChewFluoride Neutral Sodium FluorideFluoride Prevident Dental RinseFluoride Renaf Fluoride 0.25 Mg Tb ChewFluoride Renaf Fluoride 0.5 Mg Tab ChewFluoride Renaf Fluoride 1 Mg Tab ChewFluoride Sodiphluor 0.5 Mg/Ml DropsFluoride Sodium Fluoride 0.25 (0.55) MgFluoride Sodium Fluoride 0.5 Mg(1.1 Mg)Fluoride Sodium Fluoride 0.5 Mg/Ml DropFluoride Sodium Fluoride 1 Mg (2.2 Mg)Folic Acid Classic Prenatal TabletFolic Acid Cvs Folic Acid 0.4 Mg TabletFolic Acid Cvs Folic Acid 800 Mcg TabletFolic Acid Cvs Prenatal Multi + Dha SftglFolic Acid Cvs Prenatal Vitamin TabletFolic Acid Cvs Prenatal Vitamins TabletFolic Acid Daily Prenatal Combo PackFolic Acid Eql Folic Acid 400 Mcg TabFolic Acid Eql Prenatal Formula TabletFolic Acid Eql Prenatal Vitamin TabletFolic Acid Folic Acid 0.4 Mg TabletFolic Acid Folic Acid 0.8 Mg TabletFolic Acid Folic Acid 1,000 Mcg TabletFolic Acid Folic Acid 20 Mg CapsuleFolic Acid Folic Acid 400 Mcg TabletFolic Acid Folic Acid 800 Mcg TabletFolic Acid Gnp Daily Prenatal Combo PackFolic Acid Gnp Folic Acid 400 Mcg TabletFolic Acid Gnp Prenatal Vitamins TabFolic Acid Gnp Prenatal Vitamins TabletFolic Acid Hm Folic Acid 400 Mcg TabletFolic Acid Hm One Daily Prenatal Combo PkFolic Acid Kpn Prenatal TabletFolic Acid Kpn TabletFolic Acid Mission Prenatal Fa TabletFolic Acid Mission Prenatal Hp TabletFolic Acid Mission Prenatal TabletFolic Acid Natelle-ez TabletFolic Acid One-a-day Prenatal Dha Pack

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Category Drug NameFolic Acid P-d Natal Plus TabletFolic Acid P-d Natal Plus-folic Acid TabFolic Acid Perry Prenatal CapsuleFolic Acid Prenatal Complete CapletFolic Acid Prenatal S TabletFolic Acid Prenatal TabletFolic Acid Prenatal Vitamin Formula TbFolic Acid Prenatal Vitamin TabletFolic Acid Prenatal Vitamins TabletFolic Acid Prenatal With Iron TabletFolic Acid Preque 10 TabletFolic Acid Pub Folic Acid 400 Mcg TabletFolic Acid Pub Prenatal Vitamins TabletFolic Acid Pv Folic Acid 400 Mcg TabletFolic Acid Pv Folic Acid 800 Mcg TabletFolic Acid Pv Prenatal Formula TabletFolic Acid Ra Folic Acid 0.4 Mg TabletFolic Acid Ra Folic Acid 400 Mcg TabletFolic Acid Ra Folic Acid 800 Mcg TabletFolic Acid Ra One Daily Prenatal Dha PackFolic Acid Ra Prenatal TabletFolic Acid Right Step Prenatal Vit TabFolic Acid Sm Folic Acid 0.4 Mg TabletFolic Acid Sm Folic Acid 400 Mcg TabletFolic Acid Sm Prenatal Vitamins TabletFolic Acid Stuart Prenatal + Dha Combo PkFolic Acid Stuart Prenatal TabletFolic Acid Sv Folic Acid 800 Mcg TabletFolic Acid Triveen-ten TabletsFolic Acid Urosex TabletIron Child Ferrous Sulfate 15 Mg/MlIron Children's Iron 15 Mg/Ml DropsIron Fer-in-sol 15 Mg/Ml DropsIron Fer-iron 15 Mg/1 Ml DropsIron Ferosul 220 Mg/5 Ml ElixirIron Ferretts Ips LiquidIron Ferretts Iron 18 Mg Tablet ChwIron Ferrous Sulf 15 Mg Iron/Ml DrpIron Ferrous Sulf 220 Mg/5 Ml ElixIron Icar 15 Mg Tablet ChewIron Icar 15 Mg/1.25 Ml SuspensionIron Iron Chews 15 Mg Tablet ChewIron Ironup 15 Mg/0.5 Ml DropsIron Mykidz Iron 10 SuspensionIron Novaferrum 15 Mg/Ml Drops

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Category Drug NameIron Wee Care 15 Mg/1.25 Ml SuspPrenatal CLASSIC PRENATAL TABLETPrenatal CVS FOLIC ACID 0.4 MG TABLETPrenatal CVS FOLIC ACID 800 MCG TABLETPrenatal CVS PRENATAL MULTI + DHA SFTGLPrenatal CVS PRENATAL VITAMIN TABLETPrenatal CVS PRENATAL VITAMINS TABLETPrenatal DAILY PRENATAL COMBO PACKPrenatal EQL FOLIC ACID 400 MCG TABPrenatal EQL PRENATAL FORMULA TABLETPrenatal EQL PRENATAL VITAMIN TABLETPrenatal FOLIC ACID 0.4 MG TABLETPrenatal FOLIC ACID 0.8 MG TABLETPrenatal FOLIC ACID 400 MCG TABLETPrenatal FOLIC ACID 800 MCG TABLETPrenatal GNP DAILY PRENATAL COMBO PACKPrenatal GNP FOLIC ACID 400 MCG TABLETPrenatal GNP PRENATAL VITAMINS TABPrenatal GNP PRENATAL VITAMINS TABLETPrenatal HM FOLIC ACID 400 MCG TABLETPrenatal HM ONE DAILY PRENATAL COMBO PKPrenatal KPN PRENATAL TABLETPrenatal KPN TABLETPrenatal MAXINATE TABLETPrenatal ONE-A-DAY PRENATAL DHA PACKPrenatal PERRY PRENATAL CAPSULEPrenatal PRENATAL COMPLETE CAPLETPrenatal PRENATAL TABLETPrenatal PRENATAL VITAMIN FORMULA TBPrenatal PRENATAL VITAMIN TABLETPrenatal PRENATAL VITAMINS TABLETPrenatal PRENATAL WITH IRON TABLETPrenatal PREQUE 10 TABLETPrenatal PUB FOLIC ACID 400 MCG TABLETPrenatal PUB PRENATAL VITAMINS TABLETPrenatal PV FOLIC ACID 400 MCG TABLETPrenatal PV FOLIC ACID 800 MCG TABLETPrenatal PV PRENATAL FORMULA TABLETPrenatal RA FOLIC ACID 0.4 MG TABLETPrenatal RA FOLIC ACID 400 MCG TABLETPrenatal RA FOLIC ACID 800 MCG TABLETPrenatal RA ONE DAILY PRENATAL DHA PACKPrenatal RA PRENATAL TABLETPrenatal RIGHT STEP PRENATAL VIT TABPrenatal SM FOLIC ACID 0.4 MG TABLET

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Category Drug NamePrenatal SM FOLIC ACID 400 MCG TABLETPrenatal SM PRENATAL VITAMINS TABLETPrenatal STUART PRENATAL + DHA COMBO PKPrenatal STUART PRENATAL TABLETPrenatal SV FOLIC ACID 800 MCG TABLETPrenatal TRIVEEN-TEN TABLETSPrenatal UROSEX TABLETSmoking Cessation Buproban 150 Mg TabletSmoking Cessation Bupropion Er 150 Mg TabletSmoking Cessation Bupropion Hcl Sr 150 Mg TabletSmoking Cessation Bupropion Sr 150 Mg TabletSmoking Cessation Chantix 0.5 Mg TabletSmoking Cessation Chantix 1 Mg Cont Month BoxSmoking Cessation Chantix 1 Mg Cont Month PakSmoking Cessation Chantix 1 Mg TabletSmoking Cessation Chantix Starting Month BoxSmoking Cessation Chantix Starting Month PakSmoking Cessation Commit 2 Mg LozengeSmoking Cessation Commit 4 Mg LozengeSmoking Cessation Cvs Nicotine 14 Mg/24 Hr PatchSmoking Cessation Cvs Nicotine 14 Mg/24hr PatchSmoking Cessation Cvs Nicotine 2 Mg Chewing GumSmoking Cessation Cvs Nicotine 2 Mg LozengeSmoking Cessation Cvs Nicotine 4 Mg Chewing GumSmoking Cessation Cvs Nicotine 4 Mg LozengeSmoking Cessation Cvs Nicotine 7 Mg/24hr PatchSmoking Cessation Cvs Nts 14 Mg/24hr PatchSmoking Cessation Cvs Nts 21 Mg/24hr PatchSmoking Cessation Eq Nicotine 14 Mg/24 Hr PatchSmoking Cessation Eq Nicotine 14 Mg/24hr PatchSmoking Cessation Eq Nicotine 2 Mg Chewing GumSmoking Cessation Eq Nicotine 2 Mg LozengeSmoking Cessation Eq Nicotine 21 Mg/24hr PatchSmoking Cessation Eq Nicotine 4 Mg Chewing GumSmoking Cessation Eq Nicotine 4 Mg LozengeSmoking Cessation Eq Nicotine 7 Mg/24hr PatchSmoking Cessation Eql Nicotine 2 Mg Chewing GumSmoking Cessation Eql Nicotine 21 Mg/24hr PatchSmoking Cessation Eql Nicotine 4 Mg Chewing GumSmoking Cessation Eql Nicotine 4 Mg LozengeSmoking Cessation Ferrous Sulf 300 Mg/5 Ml LiqSmoking Cessation Gnp Nicotine 2 Mg Chewing GumSmoking Cessation Gnp Nicotine 2 Mg LozengeSmoking Cessation Gnp Nicotine 4 Mg Chewing GumSmoking Cessation Gnp Nicotine 4 Mg Lozenge

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Category Drug NameSmoking Cessation Hm Nicotine 14 Mg/24hr PatchSmoking Cessation Hm Nicotine 2 Mg Chewing GumSmoking Cessation Hm Nicotine 2 Mg LozengeSmoking Cessation Hm Nicotine 21 Mg/24hr PatchSmoking Cessation Hm Nicotine 4 Mg Chewing GumSmoking Cessation Hm Nicotine 4 Mg LozengeSmoking Cessation Hm Nicotine 7 Mg/24hr PatchSmoking Cessation Kro Nicotine 14 Mg/24 Hr PatchSmoking Cessation Kro Nicotine 2 Mg Chewing GumSmoking Cessation Kro Nicotine 2 Mg LozengeSmoking Cessation Kro Nicotine 21 Mg/24hr PatchSmoking Cessation Kro Nicotine 4 Mg Chewing GumSmoking Cessation Kro Nicotine 4 Mg LozengeSmoking Cessation Kro Nicotine 7 Mg/24hr PatchSmoking Cessation Ldr Nicotine 2 Mg Chewing GumSmoking Cessation Ldr Nicotine 4 Mg Chewing GumSmoking Cessation Ms Nicotine 14 Mg/24hr PatchSmoking Cessation Ms Nicotine 21 Mg/24hr PatchSmoking Cessation Ms Nicotine 7 Mg/24hr PatchSmoking Cessation Nicoderm Cq 14 Mg/24hr PatchSmoking Cessation Nicoderm Cq 21 Mg/24hr PatchSmoking Cessation Nicoderm Cq 7 Mg/24hr PatchSmoking Cessation Nicorelief 2 Mg GumSmoking Cessation Nicorelief 2 Mg LozengeSmoking Cessation Nicorelief 4 Mg GumSmoking Cessation Nicorelief 4 Mg LozengeSmoking Cessation Nicorette 2 Mg Chewing GumSmoking Cessation Nicorette 2 Mg LozengeSmoking Cessation Nicorette 2 Mg Mini LozengeSmoking Cessation Nicorette 4 Mg Chewing GumSmoking Cessation Nicorette 4 Mg LozengeSmoking Cessation Nicorette 4 Mg Mini LozengeSmoking Cessation Nicotine 14 Mg/24 Hr PatchSmoking Cessation Nicotine 14 Mg/24hr PatchSmoking Cessation Nicotine 2 Mg Chewing GumSmoking Cessation Nicotine 2 Mg LozengeSmoking Cessation Nicotine 21 Mg/24hr PatchSmoking Cessation Nicotine 22 Mg/24hr PatchSmoking Cessation Nicotine 4 Mg Chewing GumSmoking Cessation Nicotine 4 Mg LozengeSmoking Cessation Nicotine 7 Mg/24hr PatchSmoking Cessation Nicotine Transdermal SystemSmoking Cessation Nicotrol Cartridge InhalerSmoking Cessation Nicotrol Ns 10 Mg/Ml SpraySmoking Cessation Pc Nicotine 2 Mg Chewing Gum

GNHHZFFEN 814 of 15

Category Drug NameSmoking Cessation Pub Stop Smoking Aid 2 Mg GumSmoking Cessation Pub Stop Smoking Aid 2 Mg LozgSmoking Cessation Pub Stop Smoking Aid 4 Mg GumSmoking Cessation Pub Stop Smoking Aid 4 Mg LozgSmoking Cessation Pv Nicotine 14 Mg/24 Hr PatchSmoking Cessation Pv Nicotine 2 Mg Chewing GumSmoking Cessation Pv Nicotine 21 Mg/24 Hr PatchSmoking Cessation Pv Nicotine 4 Mg Chewing GumSmoking Cessation Pv Nicotine 7 Mg/24 Hr PatchSmoking Cessation Quit 2 Mg Chewing GumSmoking Cessation Quit 4 Mg Chewing GumSmoking Cessation Ra Nicotine 14 Mg/24hr PatchSmoking Cessation Ra Nicotine 2 Mg Chewing GumSmoking Cessation Ra Nicotine 2 Mg LozengeSmoking Cessation Ra Nicotine 21 Mg/24hr PatchSmoking Cessation Ra Nicotine 4 Mg Chewing GumSmoking Cessation Ra Nicotine 4 Mg LozengeSmoking Cessation Ra Nicotine 7 Mg/24hr PatchSmoking Cessation Sm Nicotine 14 Mg/24hr PatchSmoking Cessation Sm Nicotine 2 Mg Chewing GumSmoking Cessation Sm Nicotine 2 Mg LozengeSmoking Cessation Sm Nicotine 21 Mg/24hr PatchSmoking Cessation Sm Nicotine 4 Mg Chewing GumSmoking Cessation Sm Nicotine 4 Mg LozengeSmoking Cessation Sm Nicotine 7 Mg/24hr PatchSmoking Cessation Soba Nicotine 11 Mg/24hr PatchSmoking Cessation Sw Nicotine 2 Mg Chewing GumSmoking Cessation Sw Nicotine 2 Mg LozengeSmoking Cessation Sw Nicotine 4 Mg Chewing GumSmoking Cessation Sw Nicotine 4 Mg LozengeSmoking Cessation Thrive Nicotine 2 Mg GumSmoking Cessation Thrive Nicotine 4 Mg GumSmoking Cessation Zyban Sr 150 Mg TabletVitamin D Calcidol DropsVitamin D Calciferol 8,000 Unit/Ml DropsVitamin D Cvs Children's Vit D 400 UnitVitamin D Cvs Vitamin D 1,000 Unit SftglVitamin D Cvs Vitamin D 1,000 Unit TabVitamin D Cvs Vitamin D 400 Unit SoftgelVitamin D Cvs Vitamin D 400 Unit/Ml DropVitamin D Cvs Vitamin D3 1,000 Unit SfglVitamin D D3 + K2 Dots 1,000 Units TabVitamin D Delta D3 400 Unit TabletVitamin D Drisdol 8,000 Units/Ml DropsVitamin D D-vi-sol 400 Units/Ml Drop

GNHHZFFEN 814 of 15

Category Drug NameVitamin D D-vita 400 Unit/Ml DropVitamin D Ergocalciferol Oral SolutionVitamin D Gnp Vit D3 400 Unit Tab ChewVitamin D Gnp Vitamin D 1,000 Unit TabVitamin D Gnp Vitamin D 400 Unit TabletVitamin D Hm Vitamin D 1,000 Unit TabletVitamin D Hm Vitamin D 400 Unit TabletVitamin D Just D 400 Units/Ml DropVitamin D Kids Vitamin D3 Tab ChewVitamin D Longs Vitamin D 400 Unit TabVitamin D Pv Vit D3 1,000 Unit Tab ChewVitamin D Pv Vit D3 400 Unit Tab ChewVitamin D Pv Vitamin D 1,000 Unit TabletVitamin D Pv Vitamin D 400 Unit TabletVitamin D Ra Vitamin D3 1,000 Unit TabVitamin D Sm Vitamin D 400 Unit TabletVitamin D Sm Vitamin D3 1,000 Unit TabVitamin D Sv Vitamin D3 1,000 Units SfglVitamin D Sv Vitamin D3 400 Unit SoftgelVitamin D Vitamin D 1,000 Unit TabletVitamin D Vitamin D 1,000 Units SoftgelVitamin D Vitamin D 400 Unit SoftgelVitamin D Vitamin D 400 Unit Tab ChewVitamin D Vitamin D 400 Unit TabletVitamin D Vitamin D 400 Unit/Ml DropVitamin D Vitamin D2 400 Unit TabletVitamin D Vitamin D3 1,000 Unit GummiesVitamin D Vitamin D3 1,000 Unit SoftgelVitamin D Vitamin D3 1,000 Unit Tab ChewVitamin D Vitamin D3 1,000 Unit TabletVitamin D Vitamin D3 1,000 Units CapsuleVitamin D Vitamin D3 1,000 Units SoftgelVitamin D Vitamin D3 400 Unit SoftgelVitamin D Vitamin D3 400 Unit Tab ChewVitamin D Vitamin D3 400 Unit TabletVitamin D Vitamin D3 400 Unit/5 Ml LiqVitamin D Vitamin D3 400 Unit/Ml DropVitamin D Vitamin D3 800 Unit GummyVitamin D Vitamin D-400 Tablet

GNHHZFFEN 814 of 15

Humana.com

Humana Plans are offered by the Family of Insurance and Health Plan Companies including Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plans of Michigan, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc. – A Health Maintenance Organization or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, Emphesys Insurance Company, or Humana Insurance of Puerto Rico, Inc. License # 00187-0009 or administered by Humana Insurance Company or Humana Health Plan, Inc.

For Arizona Residents: Offered by Humana Health Plan, Inc. or insured by Emphesys Insurance Company or insured or administered by Humana Insurance Company or Humana Health Plan, Inc.

Please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description) for more information on the company providing your benefits.

Our health benefit plans have limitations and exclusions.

GCHJ3XCEN 1014 Page 1 of 58

DRUG NAME CATEGORY1st Tier Unifine Pentips 29 x 1/2" needle NEEDLES/NEEDLELESS DEVICES1st Tier Unifine Pentips 31 X 1/4" needle NEEDLES/NEEDLELESS DEVICES1st Tier Unifine Pentips 31 x 3/16" needle NEEDLES/NEEDLELESS DEVICES1st Tier Unifine Pentips 31 X 5/16" needle NEEDLES/NEEDLELESS DEVICES1st Tier Unifine Pentips 32 x 5/32" needle NEEDLES/NEEDLELESS DEVICES1st Tier Unilet ComforTouch Lancet 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)1st Tier Unilet ComforTouch Lancet 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)2Tek Control (High-Normal) solution DIABETIC SUPPLIESACARBOSE 100 MG TABLET ANTIHYPERGLYCEMIC, ALPHA-GLUCOSIDASE INHIBITORSACARBOSE 25 MG TABLET ANTIHYPERGLYCEMIC, ALPHA-GLUCOSIDASE INHIBITORSACARBOSE 50 MG TABLET ANTIHYPERGLYCEMIC, ALPHA-GLUCOSIDASE INHIBITORSAccu-Chek Active Glucose Cont combo pack DIABETIC SUPPLIESAccu-Chek Active Test strips BLOOD SUGAR DIAGNOSTICSAccu-Chek Aviva Control Soln solution DIABETIC SUPPLIESAccu-Chek Aviva Plus Meter DIABETIC SUPPLIESAccu-Chek Aviva Plus test strips BLOOD SUGAR DIAGNOSTICSAccu-Chek Aviva strips BLOOD SUGAR DIAGNOSTICSAccu-Chek Comfort Curve combo pack DIABETIC SUPPLIESAccu-Chek Comfort Curve Linear combo pack DIABETIC SUPPLIESAccu-Chek Comfort Curve solution DIABETIC SUPPLIESAccu-Chek Comfort Curve Test strips BLOOD SUGAR DIAGNOSTICSAccu-Chek Compact Blue Control, Mid-High solution DIABETIC SUPPLIESAccu-Chek Compact Glucose Cont combo pack DIABETIC SUPPLIESAccu-Chek Compact Plus Care kit DIABETIC SUPPLIESAccu-Chek Compact Plus Control Solution DIABETIC SUPPLIES

Preventive Drug List

Welcome to HumanaOn the following pages, you will find a list of commonly prescribed drugs in alphabetical order. The list provides information about Humana’s Preventive Drug List. This is not a complete list and is subject to change. The Preventive Drug list : A subset of Humana’s current drug list. These drugs are preventive in nature, based upon the IRS definitions, and access to these drugs would be available before the member meets their deductible. Copayment amounts for each level vary by plan and are listed on your Humana member ID card

Effective January 1, 2015

Humana.com


DRUG NAME CATEGORYAccu-Chek Compact Plus Test Strips BLOOD SUGAR DIAGNOSTICSAccu-Chek Compact Test strips BLOOD SUGAR DIAGNOSTICSAccu-Chek FastClix DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Accu-Chek FastClix kit DIABETIC SUPPLIESAccu-Chek Multiclix Lancet DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Accu-Chek Multiclix Lancet kit DIABETIC SUPPLIESAccu-Chek Nano DIABETIC SUPPLIESAccu-Chek Safe-T-Pro 23 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Accu-Chek Safe-T-Pro Plus 23 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Accu-Chek SmartView Control Solution DIABETIC SUPPLIESAccu-Chek SmartView Test Strips BLOOD SUGAR DIAGNOSTICSAccu-Chek Softclix Lancet Dev DIABETIC SUPPLIESAccu-Chek Softclix Lancets DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Accu-Chek Softclix Lancing Device+Lancets kit DIABETIC SUPPLIESAccu-Chek Voicemate kit DIABETIC SUPPLIESAccutrend Glucose Control solution DIABETIC SUPPLIESAccutrend Glucose strips BLOOD SUGAR DIAGNOSTICSAce Aerosol Cloud Enhancer spacer RESPIRATORY AIDS,DEVICES,EQUIPMENTACEBUTOLOL 200 MG CAPSULE BETA-ADRENERGIC BLOCKING AGENTSACEBUTOLOL 400 MG CAPSULE BETA-ADRENERGIC BLOCKING AGENTSActi-Lance Lancets 17 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Acti-Lance Lancets 23 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Acti-Lance Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Actonel 150 mg tablet BONE RESORPTION INHIBITORSActonel 30 mg tablet BONE RESORPTION INHIBITORSActoplus Met XR 15 mg-1,000 mg tablet,extended release ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE & BIGUANIDEActoplus Met XR 30 mg-1,000 mg tablet,extended release ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE & BIGUANIDEACURA CONTROL SOLUTION HIGH DIABETIC SUPPLIESACURA CONTROL SOLUTION LOW DIABETIC SUPPLIESACURA CONTROL SOLUTION NORMAL DIABETIC SUPPLIESAdjustable Lancing Device DIABETIC SUPPLIESAdvair Diskus 100 mcg-50 mcg/dose powder for inhalation BETA-ADRENERGIC AND GLUCOCORTICOID COMBINATIONSAdvair Diskus 250 mcg-50 mcg/dose powder for inhalation BETA-ADRENERGIC AND GLUCOCORTICOID COMBINATIONSAdvair Diskus 500 mcg-50 mcg/dose powder for inhalation BETA-ADRENERGIC AND GLUCOCORTICOID COMBINATIONSAdvair HFA 115 mcg-21 mcg/actuation aerosol inhaler BETA-ADRENERGIC AND GLUCOCORTICOID COMBINATIONSAdvair HFA 230 mcg-21 mcg/actuation aerosol inhaler BETA-ADRENERGIC AND GLUCOCORTICOID COMBINATIONSAdvair HFA 45 mcg-21 mcg/actuation aerosol inhaler BETA-ADRENERGIC AND GLUCOCORTICOID COMBINATIONSAdvanced Lancing Device kit DIABETIC SUPPLIESAdvanced Travel Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Advocate Control Solution High DIABETIC SUPPLIESAdvocate Lancet 26 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Advocate Lancet 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)ADVOCATE LANCING DEVICE DIABETIC SUPPLIESAdvocate Low Control solution DIABETIC SUPPLIESAdvocate Pen Needles 29 x 1/2" NEEDLES/NEEDLELESS DEVICES


DRUG NAME CATEGORYAdvocate Pen Needles 31 x 3/16" NEEDLES/NEEDLELESS DEVICESAdvocate Pen Needles 31 X 5/16" NEEDLES/NEEDLELESS DEVICESAdvocate Rapid-Safe Lancing Device DIABETIC SUPPLIESAdvocate Syringes 0.3 mL 29 x 1/2" SYRINGES AND ACCESSORIESAdvocate Syringes 0.3 mL 30 x 5/16" SYRINGES AND ACCESSORIESAdvocate Syringes 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESAdvocate Syringes 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESAdvocate Syringes 1 mL 30 x 5/16" SYRINGES AND ACCESSORIESAdvocate Syringes 1 mL 31 x 5/16" SYRINGES AND ACCESSORIESAdvocate Syringes 1/2 mL 29 x 1/2" SYRINGES AND ACCESSORIESAdvocate Syringes 1/2 mL 30 x 5/16" SYRINGES AND ACCESSORIESAdvocate Syringes 1/2 mL 31 x 5/16" SYRINGES AND ACCESSORIESAerochamber Mini RESPIRATORY AIDS,DEVICES,EQUIPMENTAerochamber MV spacer RESPIRATORY AIDS,DEVICES,EQUIPMENTAerochamber Plus Flow-Vu RESPIRATORY AIDS,DEVICES,EQUIPMENTAerochamber Plus Flow-Vu,Large Mask RESPIRATORY AIDS,DEVICES,EQUIPMENTAerochamber Plus Flow-Vu,Medium Mask RESPIRATORY AIDS,DEVICES,EQUIPMENTAerochamber Plus Flow-Vu,Small Mask RESPIRATORY AIDS,DEVICES,EQUIPMENTAerochamber Plus Z Stat Large Mask RESPIRATORY AIDS,DEVICES,EQUIPMENTAeroChamber Plus Z Stat Medium Mask RESPIRATORY AIDS,DEVICES,EQUIPMENTAeroChamber Plus Z Stat Small Mask RESPIRATORY AIDS,DEVICES,EQUIPMENTAerochamber Plus Z Stat spacer RESPIRATORY AIDS,DEVICES,EQUIPMENTAerochamber with Flowsignal RESPIRATORY AIDS,DEVICES,EQUIPMENTAeroChamber Z-Stat Plus-Flow Signal RESPIRATORY AIDS,DEVICES,EQUIPMENTAerogear Action Asthma Kit RESPIRATORY AIDS,DEVICES,EQUIPMENTAeroTrach Plus spacer RESPIRATORY AIDS,DEVICES,EQUIPMENTAfeditab CR 30 mg tablet,extended release CALCIUM CHANNEL BLOCKING AGENTSAfeditab CR 60 mg tablet,extended release CALCIUM CHANNEL BLOCKING AGENTSAgaMatrix Control High solution DIABETIC SUPPLIESAgaMatrix Control Norm-Hi solution DIABETIC SUPPLIESAggrenox 25 mg-200 mg capsule, extended release PLATELET AGGREGATION INHIBITORSAIMSCO LANCET DEVICE DIABETIC SUPPLIESAIMSCO ULTR-THIN II 28G LANCET DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)ALBUTEROL 0.083% INHAL SOLN BETA-ADRENERGIC AGENTSALBUTEROL 2.5 MG/0.5 ML SOL BETA-ADRENERGIC AGENTSALBUTEROL 5 MG/ML SOLUTION BETA-ADRENERGIC AGENTSALBUTEROL SUL 0.63 MG/3 ML SOL BETA-ADRENERGIC AGENTSALBUTEROL SUL 1.25 MG/3 ML SOL BETA-ADRENERGIC AGENTSALBUTEROL SULF 2 MG/5 ML SYRUP BETA-ADRENERGIC AGENTSALBUTEROL SULFATE 2 MG TAB BETA-ADRENERGIC AGENTSALBUTEROL SULFATE 4 MG TAB BETA-ADRENERGIC AGENTSALBUTEROL SULFATE ER 4 MG TAB BETA-ADRENERGIC AGENTSALBUTEROL SULFATE ER 8 MG TAB BETA-ADRENERGIC AGENTSALENDRONATE SOD 70 MG/75 ML BONE RESORPTION INHIBITORSALENDRONATE SODIUM 10 MG TAB BONE RESORPTION INHIBITORS


DRUG NAME CATEGORYALENDRONATE SODIUM 35 MG TAB BONE RESORPTION INHIBITORSALENDRONATE SODIUM 40 MG TAB BONE RESORPTION INHIBITORSALENDRONATE SODIUM 5 MG TABLET BONE RESORPTION INHIBITORSALENDRONATE SODIUM 70 MG TAB BONE RESORPTION INHIBITORSAllergist Syringe 1 mL 26 x 1/2" SYRINGES AND ACCESSORIESAllergist Syringe 1 mL 26 x 3/8" SYRINGES AND ACCESSORIESAllergist Syringe 1 mL 27 x 1/2" SYRINGES AND ACCESSORIESAllergist Tray 1/2 mL 27Gx3/8" 1/2 mL 27 x 3/8" syringe SYRINGES AND ACCESSORIESAllergist Tray Intradermal Bevel 1 mL 26 x 1/2" syringe SYRINGES AND ACCESSORIESAllergist Tray Intradermal Bevel 1 mL 26 x 3/8" syringe SYRINGES AND ACCESSORIESAllergist Tray Intradermal Bevel 1 mL 27 x 3/8" syringe SYRINGES AND ACCESSORIESAllergist Tray Regular Bevel 1 mL 27 x 3/8" syringe SYRINGES AND ACCESSORIESAlternate Site Lancet 26 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Alternate Site Lancing Device DIABETIC SUPPLIESAltoprev 40 mg tablet,extended release ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSAlvesco 160 mcg/actuation aerosol inhaler GLUCOCORTICOIDS, ORALLY INHALEDAlvesco 80 mcg/actuation aerosol inhaler GLUCOCORTICOIDS, ORALLY INHALEDAMILORIDE HCL 5 MG TABLET POTASSIUM SPARING DIURETICSAMLODIPINE BESYLATE 10 MG TAB CALCIUM CHANNEL BLOCKING AGENTSAMLODIPINE BESYLATE 2.5 MG TAB CALCIUM CHANNEL BLOCKING AGENTSAMLODIPINE BESYLATE 5 MG TAB CALCIUM CHANNEL BLOCKING AGENTSAMLODIPINE-ATORVAST 10-10 MG ANTIHYPERLIP - HMG-COA&CALCIUM CHANNEL BLOCKER

CBAMLODIPINE-ATORVAST 10-20 MG ANTIHYPERLIP - HMG-COA&CALCIUM CHANNEL BLOCKER



CBAMLODIPINE-ATORVAST 2.5-10 MG ANTIHYPERLIP - HMG-COA&CALCIUM CHANNEL BLOCKER







CBAMLODIPINE-BENAZEPRIL 10-20 MG ACE INHIBITOR/CALCIUM CHANNEL BLOCKER

COMBINATIONAMLODIPINE-BENAZEPRIL 10-40 MG ACE INHIBITOR/CALCIUM CHANNEL BLOCKER

COMBINATION


DRUG NAME CATEGORYAMLODIPINE-BENAZEPRIL 2.5-10 ACE INHIBITOR/CALCIUM CHANNEL BLOCKER




COMBINATIONAMOXAPINE 100 MG TABLET TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBAMOXAPINE 150 MG TABLET TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBAMOXAPINE 25 MG TABLET TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBAMOXAPINE 50 MG TABLET TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBAmturnide 150 mg-5 mg-12.5 mg tablet RENIN INHIB, DIRECT& CALC.CHANNEL BLKR & THIAZIDEAmturnide 300 mg-10 mg-12.5 mg tablet RENIN INHIB, DIRECT& CALC.CHANNEL BLKR & THIAZIDEAmturnide 300 mg-10 mg-25 mg tablet RENIN INHIB, DIRECT& CALC.CHANNEL BLKR & THIAZIDEAmturnide 300 mg-5 mg-12.5 mg tablet RENIN INHIB, DIRECT& CALC.CHANNEL BLKR & THIAZIDEAmturnide 300 mg-5 mg-25 mg tablet RENIN INHIB, DIRECT& CALC.CHANNEL BLKR & THIAZIDEANAGRELIDE HCL 0.5 MG CAPSULE PLATELET REDUCING AGENTSANAGRELIDE HCL 1 MG CAPSULE PLATELET REDUCING AGENTSAnoro Ellipta 62.5 mcg-25 mcg/actuation powder for inhalation

BETA-ADRENERGIC AND ANTICHOLINERGIC COMBINATIONS

Aplenzin 174 mg tablet,extended release NOREPINEPHRINE AND DOPAMINE REUPTAKE INHIB (NDRIS)



Aqua Lance Lancing Device DIABETIC SUPPLIESArcapta Neohaler 75 mcg capsule with inhalation device BETA-ADRENERGIC AGENTSAsmanex Twisthaler 110 mcg (30 doses) breath activated GLUCOCORTICOIDS, ORALLY INHALEDAsmanex Twisthaler 110 mcg (7 doses) breath activated GLUCOCORTICOIDS, ORALLY INHALEDAsmanex Twisthaler 220 mcg (120 doses) breath activated GLUCOCORTICOIDS, ORALLY INHALEDAsmanex Twisthaler 220 mcg (14 doses) breath activated GLUCOCORTICOIDS, ORALLY INHALEDAsmanex Twisthaler 220 mcg (30 doses) breath activated GLUCOCORTICOIDS, ORALLY INHALEDAsmanex Twisthaler 220 mcg (60 doses) breath activated GLUCOCORTICOIDS, ORALLY INHALEDAssure 4 Control Solution combo pack DIABETIC SUPPLIESASSURE COMFORT 28G LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)ASSURE COMFORT 30G LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Assure Dose Normal Control solution DIABETIC SUPPLIESAssure Dose Normal-High Control solution DIABETIC SUPPLIESAssure Haemolance Plus 18 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Assure Haemolance Plus 21 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Assure Haemolance Plus 25 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Assure Haemolance Plus 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Assure ID Insulin Safety 0.5 mL 29 x 1/2" syringe SYRINGES AND ACCESSORIESAssure ID Insulin Safety 1 mL 29 x 1/2" syringe SYRINGES AND ACCESSORIESAssure Lance 25 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)


DRUG NAME CATEGORYAssure Lance 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Asthmapack Children's kit RESPIRATORY AIDS,DEVICES,EQUIPMENTASTHMAPACK I RESPIRATORY AIDS,DEVICES,EQUIPMENTASTHMAPACK II RESPIRATORY AIDS,DEVICES,EQUIPMENTAtabex EC 29 mg-1 mg-50 mg tablet,delayed release PRENATAL VITAMIN PREPARATIONSAtelvia 35 mg tablet,delayed release BONE RESORPTION INHIBITORSATENOLOL 100 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSATENOLOL 25 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSATENOLOL 50 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSATENOLOL-CHLORTHAL 50-25 TB BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE &

RELATEDATENOLOL-CHLORTHALIDONE 100-25 BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE &

RELATEDATORVASTATIN 10 MG TABLET ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSATORVASTATIN 20 MG TABLET ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSATORVASTATIN 40 MG TABLET ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSATORVASTATIN 80 MG TABLET ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSAtrovent HFA 17 mcg/actuation aerosol inhaler GENERAL BRONCHODILATOR AGENTSAURORA SUPER THIN 30G LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)AURORA THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Autoject 2 Injection Device subcutaneous insulin pen DIABETIC SUPPLIESAuto-Lancet Mini DIABETIC SUPPLIESAutolet Impression Lancing Device kit DIABETIC SUPPLIESAutolet Lancing Device DIABETIC SUPPLIESAUTOLET LITE CLINISAFE DEV DIABETIC SUPPLIESAUTOLET MINI LANCING DEVICE DIABETIC SUPPLIESAUTOLET MKII CLINISAFE DEVICE DIABETIC SUPPLIESAutopen 1 to 16 units subcutaneous DIABETIC SUPPLIESAutopen 1 to 21 units subcutaneous DIABETIC SUPPLIESAutopen 2 to 32 Units subcutaneous DIABETIC SUPPLIESAutopen 2 to 42 units subcutaneous DIABETIC SUPPLIESAvandamet 2 mg-1,000 mg tablet ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE & BIGUANIDEAvandamet 2 mg-500 mg tablet ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE & BIGUANIDEAVANDAMET 4 MG-1,000 MG TABLET ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE & BIGUANIDEAvandamet 4 mg-500 mg tablet ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE & BIGUANIDEAvandaryl 4 mg-1 mg tablet ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE &

SULFONYLUREAAvandaryl 4 mg-2 mg tablet ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE &


SULFONYLUREAAVANDARYL 8 MG-2 MG TABLET ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE &


SULFONYLUREAAvandia 2 mg tablet ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE(PPARG

AGONIST)


DRUG NAME CATEGORYAvandia 4 mg tablet ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE(PPARG

AGONIST)Avandia 8 mg tablet ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE(PPARG

AGONIST)Bal-Care DHA Essential 27 mg iron-1 mg-374 mg tablet&capsule,delay rel

PRENATAL VITAMIN PREPARATIONS

BD Allergist Tray Reg Bevel 1 mL 26 x 1/2" syringe SYRINGES AND ACCESSORIESBD Allergist Tray Reg Bevel 1 mL 27 x 1/2" syringe SYRINGES AND ACCESSORIESBD Allergist Tray Reg Bevel 1/2 mL 27 x 1/2" SYRINGES AND ACCESSORIESBD AutoShield Duo Pen Needle 30 x 3/16" NEEDLES/NEEDLELESS DEVICESBD Autoshield Pen Needle 29 x 3/16" NEEDLES/NEEDLELESS DEVICESBD Autoshield Pen Needle 29 x 5/16" NEEDLES/NEEDLELESS DEVICESBD BLUNT NEEDLE 18GX1-1/2" NEEDLES/NEEDLELESS DEVICESBD Eclipse Luer-Lok 1 mL 30 x 1/2" syringe SYRINGES AND ACCESSORIESBD ECLIPSE NEEDLE 18GX1 1/2" NEEDLES/NEEDLELESS DEVICESBD Filter Needle-5 Micron 19 x 1 1/2" NEEDLES/NEEDLELESS DEVICESBD Insulin Pen Needle UF Mini 31 x 3/16" NEEDLES/NEEDLELESS DEVICESBD Insulin Pen Needle UF Orig 29 x 1/2" NEEDLES/NEEDLELESS DEVICESBD Insulin Pen Needle UF Short 31 X 5/16" NEEDLES/NEEDLELESS DEVICESBD INSULIN SYR 1 ML 25GX5/8" SYRINGES AND ACCESSORIESBD INSULIN SYR 1 ML 28GX1/2" SYRINGES AND ACCESSORIESBD Insulin Syringe 1 mL 25 x 1" SYRINGES AND ACCESSORIESBD Insulin Syringe 1 mL 25 x 5/8" SYRINGES AND ACCESSORIESBD Insulin Syringe 1 mL 26 x 1/2" SYRINGES AND ACCESSORIESBD Insulin Syringe 1 mL 28 x 1/2" SYRINGES AND ACCESSORIESBD Insulin Syringe Half Unit 0.3 mL 31 x 15/64" SYRINGES AND ACCESSORIESBD Insulin Syringe Half Unit 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESBD Insulin Syringe Micro-Fine 0.3 mL 28 SYRINGES AND ACCESSORIESBD Insulin Syringe Micro-Fine 1 mL 28 x 1/2" SYRINGES AND ACCESSORIESBD Insulin Syringe Micro-Fine 1/2 mL 28 x 1/2" SYRINGES AND ACCESSORIESBD Insulin Syringe Safety-Lok 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESBD Insulin Syringe Slip Tip 1 mL SYRINGES AND ACCESSORIESBD Insulin Syringe Ult-Fine II 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESBD Insulin Syringe Ult-Fine II 1 mL 31 x 5/16" SYRINGES AND ACCESSORIESBD Insulin Syringe Ult-Fine II 1/2 mL 31 x 5/16" SYRINGES AND ACCESSORIESBD Insulin Syringe Ultra-Fine 0.3 mL 30 x 1/2" SYRINGES AND ACCESSORIESBD Insulin Syringe Ultra-Fine 0.3 mL 31 x 15/64" SYRINGES AND ACCESSORIESBD Insulin Syringe Ultra-Fine 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESBD Insulin Syringe Ultra-Fine 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESBD Insulin Syringe Ultra-Fine 1 mL 30 x 1/2" SYRINGES AND ACCESSORIESBD Insulin Syringe Ultra-Fine 1 mL 31 x 15/64" SYRINGES AND ACCESSORIESBD Insulin Syringe Ultra-Fine 1 mL 31 x 5/16" SYRINGES AND ACCESSORIESBD Insulin Syringe Ultra-Fine 1/2 mL 30 x 1/2" SYRINGES AND ACCESSORIESBD Insulin Syringe Ultra-Fine 1/2 mL 31 x 15/64" SYRINGES AND ACCESSORIESBD Insulin Syringe Ultra-Fine 1/2 mL 31 x 5/16" SYRINGES AND ACCESSORIESBD Integra Insulin Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIES


DRUG NAME CATEGORYBD Integra Syringe 3 mL 25 x 1" SYRINGES AND ACCESSORIESBD Lancet Device DIABETIC SUPPLIESBD LANCETS 33G DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)BD Lo-Dose Micro-Fine IV 0.3 mL 28 x 1/2" syringe SYRINGES AND ACCESSORIESBD Lo-Dose Micro-Fine IV 1/2 mL 28 x 1/2" syringe SYRINGES AND ACCESSORIESBD Lo-Dose Ultra-Fine 0.3 mL 29 x 1/2" syringe SYRINGES AND ACCESSORIESBD Lo-Dose Ultra-Fine 1/2 mL 29 x 1/2" syringe SYRINGES AND ACCESSORIESBD LUER-LOK SYRINGE 1 ML SYRINGES AND ACCESSORIESBD Microtainer Lancet 21 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)BD Microtainer Lancet 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)BD SafetyGlide Allergist Tray 1 mL 27 x 1/2" syringe SYRINGES AND ACCESSORIESBD SafetyGlide Insulin Syringe 0.3 mL 29 x 1/2" SYRINGES AND ACCESSORIESBD SafetyGlide Insulin Syringe 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESBD SafetyGlide Insulin Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESBD SafetyGlide Insulin Syringe 1/2 mL 29 x 1/2" SYRINGES AND ACCESSORIESBD SafetyGlide Insulin Syringe 1/2 mL 30 x 5/16" SYRINGES AND ACCESSORIESBD SafetyGlide Syringe 1 mL 27 x 5/8" SYRINGES AND ACCESSORIESBD Safety-Lok Tuberculin 1 mL 25 x 5/8" syringe SYRINGES AND ACCESSORIESBD Ultra Fine Lancets 33 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)BD Ultra-Fine II Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)BD Ultra-Fine Nano Pen Needles 32 x 5/32" NEEDLES/NEEDLELESS DEVICESBENAZEPRIL HCL 10 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSBENAZEPRIL HCL 20 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSBENAZEPRIL HCL 40 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSBENAZEPRIL HCL 5 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSBENAZEPRIL-HCTZ 10-12.5 MG TAB ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICBENAZEPRIL-HCTZ 20-12.5 MG TAB ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICBENAZEPRIL-HCTZ 20-25 MG TAB ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICBENAZEPRIL-HCTZ 5-6.25 MG TAB ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICBETAXOLOL 10 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSBETAXOLOL 20 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSBISOPROLOL FUMARATE 10 MG TAB BETA-ADRENERGIC BLOCKING AGENTSBISOPROLOL FUMARATE 5 MG TAB BETA-ADRENERGIC BLOCKING AGENTSBISOPROLOL-HCTZ 10-6.25 MG TAB BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE &

RELATEDBISOPROLOL-HCTZ 2.5-6.25 MG TB BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE &

RELATEDBISOPROLOL-HCTZ 5-6.25 MG TAB BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE &

RELATEDBLOOD GLUCOSE CONTROL SOLUTION DIABETIC SUPPLIESB-NEXA TABLET PRENATAL VITAMINS WITHOUT IRONBreatheRite MDI Spacer RESPIRATORY AIDS,DEVICES,EQUIPMENTBreatheRite Rigid Spacer & Mask RESPIRATORY AIDS,DEVICES,EQUIPMENTBreatheRite Rigid Spacer & Mask, Adult RESPIRATORY AIDS,DEVICES,EQUIPMENTBreatheRite Rigid Spacer & Mask, Child RESPIRATORY AIDS,DEVICES,EQUIPMENTBreatheRite Rigid Spacer & Mask, Infant RESPIRATORY AIDS,DEVICES,EQUIPMENT


DRUG NAME CATEGORYBreatheRite Rigid Spacer & Mask, Small Child RESPIRATORY AIDS,DEVICES,EQUIPMENTBreatheRite Valved MDI Chamber spacer RESPIRATORY AIDS,DEVICES,EQUIPMENTBreatheRite Valved MDI Spacer RESPIRATORY AIDS,DEVICES,EQUIPMENTBreatheRite with Mask, Large RESPIRATORY AIDS,DEVICES,EQUIPMENTBreatheRite with Mask, Medium RESPIRATORY AIDS,DEVICES,EQUIPMENTBreatheRite with Mask, Small RESPIRATORY AIDS,DEVICES,EQUIPMENTBreeze 2 Control Solution, High DIABETIC SUPPLIESBreeze 2 Control Solution, Low DIABETIC SUPPLIESBreeze 2 Control Solution, Normal DIABETIC SUPPLIESBrovana 15 mcg/2 mL solution for nebulization Bronchial DilatorsBUDEPRION SR 100 MG TABLET AnticoagulantsBUDEPRION SR 150 MG TABLET AnticoagulantsBUDESONIDE 0.25 MG/2 ML SUSP Diabetic TherapyBUDESONIDE 0.5 MG/2 ML SUSP Bronchial DilatorsBullseye Mini Safety Lancets 21 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Bullseye Mini Safety Lancets 25 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Bullseye Mini Safety Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)BUMETANIDE 0.5 MG TABLET LOOP DIURETICSBUMETANIDE 1 MG TABLET LOOP DIURETICSBUMETANIDE 2 MG TABLET LOOP DIURETICSBuproban 150 mg tablet,extended release SMOKING DETERRENTS, OTHERBUPROPION HCL 100 MG TABLET NOREPINEPHRINE AND DOPAMINE REUPTAKE INHIB

(NDRIS)BUPROPION HCL 75 MG TABLET NOREPINEPHRINE AND DOPAMINE REUPTAKE INHIB

(NDRIS)BUPROPION HCL SR 100 MG TABLET NOREPINEPHRINE AND DOPAMINE REUPTAKE INHIB

(NDRIS)BUPROPION HCL SR 150 MG TABLET SMOKING DETERRENTS, OTHERBUPROPION HCL SR 200 MG TAB NOREPINEPHRINE AND DOPAMINE REUPTAKE INHIB

(NDRIS)BUPROPION HCL XL 150 MG TABLET NOREPINEPHRINE AND DOPAMINE REUPTAKE INHIB

(NDRIS)BUPROPION HCL XL 300 MG TABLET NOREPINEPHRINE AND DOPAMINE REUPTAKE INHIB

(NDRIS)Byetta 10 mcg/dose(250 mcg/mL)2.4 mL subcutaneous pen injector

ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST)

Byetta 5 mcg/dose (250 mcg/mL)1.2 mL subcutaneous pen injector


CALCITONIN-SALMON 200 UNITS SP BONE RESORPTION INHIBITORSCalcium PNV 28 mg-1 mg-250 mg capsule PRENATAL VITAMIN PREPARATIONSCANDESARTAN CILEXETIL 16 MG TB ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONISTCANDESARTAN CILEXETIL 32 MG TB ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONISTCANDESARTAN CILEXETIL 4 MG TAB ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONISTCANDESARTAN CILEXETIL 8 MG TAB ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONIST


DRUG NAME CATEGORYCANDESARTAN-HCTZ 16-12.5 MG TB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBCANDESARTAN-HCTZ 32-12.5 MG TB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBCANDESARTAN-HCTZ 32-25 MG TAB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBCAPTOPRIL 100 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSCAPTOPRIL 12.5 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSCAPTOPRIL 25 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSCAPTOPRIL 50 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSCAPTOPRIL-HCTZ 25-15 MG TABLET ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICCAPTOPRIL-HCTZ 25-25 MG TABLET ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICCAPTOPRIL-HCTZ 50-15 MG TABLET ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICCAPTOPRIL-HCTZ 50-25 MG TABLET ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICCardene SR 30 mg capsule,extended release CALCIUM CHANNEL BLOCKING AGENTSCardene SR 45 mg capsule,extended release CALCIUM CHANNEL BLOCKING AGENTSCARDENE SR 60 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSCardizem LA 120 mg tablet,extended release CALCIUM CHANNEL BLOCKING AGENTSCareFine Pen Needle 29 x 1/2" NEEDLES/NEEDLELESS DEVICESCareFine Pen Needle 30 X 5/16" NEEDLES/NEEDLELESS DEVICESCareFine Pen Needle 31 X 1/4" NEEDLES/NEEDLELESS DEVICESCareLance Ultimate Comfort Lancing Device DIABETIC SUPPLIESCareone Lancing Device DIABETIC SUPPLIESCAREONE SYR 0.3 ML 29GX0.5" SYRINGES AND ACCESSORIESCAREONE SYR 0.3 ML 30GX5/16" SYRINGES AND ACCESSORIESCAREONE SYR 0.5 ML 29GX0.5" SYRINGES AND ACCESSORIESCAREONE SYR 0.5 ML 30GX5/16" SYRINGES AND ACCESSORIESCAREONE SYR 1 ML 29GX0.5" SYRINGES AND ACCESSORIESCAREONE SYR 1 ML 30GX5/16" SYRINGES AND ACCESSORIESCareone Thin Lancet DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Careone Ultra Thin Lancet DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)CareSens Control A & B solution DIABETIC SUPPLIESCareSens Control A Normal solution DIABETIC SUPPLIESCareSens Premium Comfort Lancing Device DIABETIC SUPPLIESCartia XT 120 mg capsule,extended release CALCIUM CHANNEL BLOCKING AGENTSCartia XT 180 mg capsule,extended release CALCIUM CHANNEL BLOCKING AGENTSCartia XT 240 mg capsule,extended release CALCIUM CHANNEL BLOCKING AGENTSCartia XT 300 mg capsule,extended release CALCIUM CHANNEL BLOCKING AGENTSCARVEDILOL 12.5 MG TABLET ALPHA/BETA-ADRENERGIC BLOCKING AGENTSCARVEDILOL 25 MG TABLET ALPHA/BETA-ADRENERGIC BLOCKING AGENTSCARVEDILOL 3.125 MG TABLET ALPHA/BETA-ADRENERGIC BLOCKING AGENTSCARVEDILOL 6.25 MG TABLET ALPHA/BETA-ADRENERGIC BLOCKING AGENTSCAVAN-ALPHA KIT COMBO PACK PRENATAL VITAMIN PREPARATIONSCAVAN-EC SOD DHA VITAMINS PRENATAL VITAMIN PREPARATIONSCHLORPROPAMIDE 100 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPECHLORPROPAMIDE 250 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPE


DRUG NAME CATEGORYCHLORTHALIDONE 25 MG TABLET THIAZIDE AND RELATED DIURETICSCHLORTHALIDONE 50 MG TABLET THIAZIDE AND RELATED DIURETICSChoice DM Clarus Normal Control solution DIABETIC SUPPLIESCHOICE-OB + DHA COMBO PACK PRENATAL VITAMIN PREPARATIONSCholestyramine Light 4 gram powder for susp in a packet BILE SALT SEQUESTRANTSCHOLESTYRAMINE PACKET BILE SALT SEQUESTRANTSCHOLESTYRAMINE POWDER BILE SALT SEQUESTRANTSCILOSTAZOL 100 MG TABLET PLATELET AGGREGATION INHIBITORSCILOSTAZOL 50 MG TABLET PLATELET AGGREGATION INHIBITORSCITALOPRAM HBR 10 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)CITALOPRAM HBR 10 MG/5 ML SOLN SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)CITALOPRAM HBR 20 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)CITALOPRAM HBR 40 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)CitraNatal 90 DHA (algal oil) 90 mg iron-1 mg-50 mg-300 mg oral pack


CitraNatal Assure 35 mg iron-1 mg-50 mg-300 mg oral pack


CitraNatal DHA (algal oil) 27 mg iron-1 mg-50 mg-250 mg oral pack


CitraNatal Harmony(iron carb-fum) 27 mg iron-1 mg-50 mg-260 mg capsule


Clever Chek Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Clever Choice Level 1 Control solution DIABETIC SUPPLIESClever Choice Level 2 Control solution DIABETIC SUPPLIESClever Choice Level 3 Control solution DIABETIC SUPPLIESClickfine 31 X 1/4" needle NEEDLES/NEEDLELESS DEVICESClickfine 31 X 5/16" needle NEEDLES/NEEDLELESS DEVICESClickfine 32 x 5/32" needle NEEDLES/NEEDLELESS DEVICESCLONIDINE HCL 0.1 MG TABLET ANTIHYPERTENSIVES, SYMPATHOLYTICCLONIDINE HCL 0.2 MG TABLET ANTIHYPERTENSIVES, SYMPATHOLYTICCLONIDINE HCL 0.3 MG TABLET ANTIHYPERTENSIVES, SYMPATHOLYTICCLOPIDOGREL 300 MG TABLET PLATELET AGGREGATION INHIBITORSCLOPIDOGREL 75 MG TABLET PLATELET AGGREGATION INHIBITORSC-Nate DHA 28 mg-1 mg-200 mg capsule PRENATAL VITAMIN PREPARATIONSCoaguchek Lancets DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Colestid Flavored 7.5 gram packet BILE SALT SEQUESTRANTSCOLESTIPOL HCL 1 GM TABLET BILE SALT SEQUESTRANTSCOLESTIPOL HCL GRANULES PACKET BILE SALT SEQUESTRANTSCOLESTIPOL MICRONIZED 1 GM TAB BILE SALT SEQUESTRANTSColor Lancets 21 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)COMBIVENT INHALER BETA-ADRENERGIC AND ANTICHOLINERGIC COMBINATIONSComfort EZ Lancets 21 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Comfort EZ Lancets 23 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Comfort EZ Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Comfort EZ Pen Needles 31 X 1/4" NEEDLES/NEEDLELESS DEVICESComfort EZ Pen Needles 31 x 3/16" NEEDLES/NEEDLELESS DEVICES


DRUG NAME CATEGORYComfort EZ Pen Needles 31 X 5/16" NEEDLES/NEEDLELESS DEVICESComfort EZ Pen Needles 32 gauge x 3/16" NEEDLES/NEEDLELESS DEVICESComfort EZ Pen Needles 32 x 1/4" NEEDLES/NEEDLELESS DEVICESComfort EZ Pen Needles 32 x 5/16" NEEDLES/NEEDLELESS DEVICESComfort EZ Pen Needles 32 x 5/32" NEEDLES/NEEDLELESS DEVICESComfort EZ Pen Needles 33 gauge x 1/4" NEEDLES/NEEDLELESS DEVICESComfort EZ Pen Needles 33 gauge x 3/16" NEEDLES/NEEDLELESS DEVICESComfort EZ Pen Needles 33 gauge x 5/16" NEEDLES/NEEDLELESS DEVICESComfort EZ Pen Needles 33 gauge x 5/32" NEEDLES/NEEDLELESS DEVICESComfort EZ Syringe 0.3 mL 29 x 1/2" SYRINGES AND ACCESSORIESComfort EZ Syringe 0.3 mL 30 x 1/2" SYRINGES AND ACCESSORIESComfort EZ Syringe 0.3 mL 30 x 5/16" SYRINGES AND ACCESSORIESComfort EZ Syringe 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESComfort EZ Syringe 1 mL 28 x 1/2" SYRINGES AND ACCESSORIESComfort EZ Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESComfort EZ Syringe 1 mL 30 x 1/2" SYRINGES AND ACCESSORIESComfort EZ Syringe 1 mL 30 x 5/16" SYRINGES AND ACCESSORIESComfort EZ Syringe 1 mL 31 x 5/16" SYRINGES AND ACCESSORIESComfort EZ Syringe 1/2 mL 28 x 1/2" SYRINGES AND ACCESSORIESComfort EZ Syringe 1/2 mL 29 x 1/2" SYRINGES AND ACCESSORIESComfort EZ Syringe 1/2 mL 30 x 1/2" SYRINGES AND ACCESSORIESComfort EZ Syringe 1/2 mL 30 x 5/16" SYRINGES AND ACCESSORIESComfort EZ Syringe 1/2 mL 31 x 5/16" SYRINGES AND ACCESSORIESComfort Lancets DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Compact Space Chamber Plus RESPIRATORY AIDS,DEVICES,EQUIPMENTComplete Formulation D3000 3,000 unit-800 mcg capsule PEDIATRIC VITAMIN PREPARATIONSComplete Formulation Pediatric 750 unit-500 mcg/0.5 mL oral drops

PEDIATRIC VITAMIN PREPARATIONS

COMPLETE-RF PRENATAL TABLET PRENATAL VITAMIN PREPARATIONSContour Control Solution, High DIABETIC SUPPLIESContour Control Solution, Low DIABETIC SUPPLIESContour Control Solution, Normal DIABETIC SUPPLIESContour Next Level 1 Control Solution DIABETIC SUPPLIESContour Next Level 2 Control Solution DIABETIC SUPPLIESControl G3 strips BLOOD SUGAR DIAGNOSTICSControl Monitoring System kit DIABETIC SUPPLIESControl Test strips BLOOD SUGAR DIAGNOSTICSCoreg CR 10 mg capsule, extended release ALPHA/BETA-ADRENERGIC BLOCKING AGENTSCoreg CR 20 mg capsule, extended release ALPHA/BETA-ADRENERGIC BLOCKING AGENTSCoreg CR 40 mg capsule, extended release ALPHA/BETA-ADRENERGIC BLOCKING AGENTSCoreg CR 80 mg capsule, extended release ALPHA/BETA-ADRENERGIC BLOCKING AGENTSCoumadin 1 mg tablet ANTICOAGULANTS,COUMARIN TYPECoumadin 10 mg tablet ANTICOAGULANTS,COUMARIN TYPECoumadin 2 mg tablet ANTICOAGULANTS,COUMARIN TYPECoumadin 2.5 mg tablet ANTICOAGULANTS,COUMARIN TYPE


DRUG NAME CATEGORYCoumadin 3 mg tablet ANTICOAGULANTS,COUMARIN TYPECoumadin 4 mg tablet ANTICOAGULANTS,COUMARIN TYPECoumadin 5 mg tablet ANTICOAGULANTS,COUMARIN TYPECoumadin 6 mg tablet ANTICOAGULANTS,COUMARIN TYPECoumadin 7.5 mg tablet ANTICOAGULANTS,COUMARIN TYPECrestor 10 mg tablet ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSCrestor 20 mg tablet ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSCrestor 40 mg tablet ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSCrestor 5 mg tablet ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSCVS GLUCOSE 4 GRAM TABLET CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)CVS INSULIN SYR 1 ML 29GX1/2" SYRINGES AND ACCESSORIESCVS LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)CVS LANCING DEVICE DIABETIC SUPPLIESCVS SYRINGE 1/2 ML SYRINGES AND ACCESSORIESCVS SYRINGE 3/10 ML SYRINGES AND ACCESSORIESCVS THIN 26G LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)CVS THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)CVS ULTRA THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Cycloset 0.8 mg tablet ANTIHYPERGLYCEMIC - DOPAMINE RECEPTOR AGONISTSDaliresp 500 mcg tablet PHOSPHODIESTERASE-4 (PDE4) INHIBITORSDESIPRAMINE 10 MG TABLET TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBDESIPRAMINE 100 MG TABLET TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBDESIPRAMINE 150 MG TABLET TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBDESIPRAMINE 25 MG TABLET TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBDESIPRAMINE 50 MG TABLET TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBDESIPRAMINE 75 MG TABLET TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBDESVENLAFAXINE ER 100 MG TAB SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)DESVENLAFAXINE ER 50 MG TAB SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)DESVENLAFAXINE ER 50 MG TABLET SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)Dex4 Glucose 4 gram chewable tablet AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)Dex4 Glucose Pouch Pack 4 gram chewable tablet AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)Dex4 Glucose Quick Dissolve 4 gram chewable tablet AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)Diatrue Control Solution High DIABETIC SUPPLIESDiatrue Control Solution Low DIABETIC SUPPLIESDiatrue Control Solution Normal DIABETIC SUPPLIESDiatrue Plus Blood Glucose Meter System DIABETIC SUPPLIESDiatrue Plus Test Strip BLOOD SUGAR DIAGNOSTICSDILT-CD 120 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSDILT-CD 180 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSDILT-CD 240 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSDILT-CD ER 300 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSDILTIA XT 120 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSDILTIA XT 180 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSDILTIA XT 240 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM 120 MG TABLET CALCIUM CHANNEL BLOCKING AGENTS


DRUG NAME CATEGORYDILTIAZEM 24HR CD 120 MG CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM 24HR CD 240 MG CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM 24HR CD 300 MG CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM 24HR CD 360 MG CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM 24HR ER 120 MG CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM 24HR ER 180 MG CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM 24HR ER 240 MG CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM 24HR ER 300 MG CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM 24HR ER 360 MG CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM 30 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM 60 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM 90 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM ER 120 MG 12-HR CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM ER 120 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM ER 180 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM ER 180 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM ER 240 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM ER 240 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM ER 300 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM ER 360 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM ER 420 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM ER 60 MG 12-HR CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM ER 90 MG 12-HR CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM HCL ER 120 MG CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM HCL ER 180 MG CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM HCL ER 240 MG CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM HCL ER 300 MG CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM HCL ER 360 MG CAP CALCIUM CHANNEL BLOCKING AGENTSDILTIAZEM HCL ER 420 MG CAP CALCIUM CHANNEL BLOCKING AGENTSDILT-XR 120 mg capsule, extended release CALCIUM CHANNEL BLOCKING AGENTSDILT-XR 180 mg capsule, extended release CALCIUM CHANNEL BLOCKING AGENTSDILT-XR 240 mg capsule, extended release CALCIUM CHANNEL BLOCKING AGENTSDILTZAC ER 120 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSDILTZAC ER 180 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSDILTZAC ER 240 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSDILTZAC ER 300 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSDILTZAC ER 360 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSDIPYRIDAMOLE 25 MG TABLET PLATELET AGGREGATION INHIBITORSDIPYRIDAMOLE 50 MG TABLET PLATELET AGGREGATION INHIBITORSDIPYRIDAMOLE 75 MG TABLET PLATELET AGGREGATION INHIBITORSDiuril 250 mg/5 mL oral suspension THIAZIDE AND RELATED DIURETICSDOXEPIN 10 MG CAPSULE TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBDOXEPIN 10 MG/ML ORAL CONC TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBDOXEPIN 100 MG CAPSULE TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBDOXEPIN 150 MG CAPSULE TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIB


DRUG NAME CATEGORYDOXEPIN 25 MG CAPSULE TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBDOXEPIN 50 MG CAPSULE TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBDOXEPIN 75 MG CAPSULE TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBDR LANCET DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)DR ULTRA THIN LANCET DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Droplet Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Droplet Lancing Device DIABETIC SUPPLIESDRUG MART GLUCOSE 4 GM TAB CHW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)DRUG MART THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)DRUG MART ULTRA THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)DUET DHA BALANCED (24 MG IRON) PRENATAL VITAMIN PREPARATIONSDUET DHA BALANCED (26 MG IRON) PRENATAL VITAMIN PREPARATIONSDuet DHA Balanced 25 mg iron-1 mg-267 mg-233 mg oral pack


Duet DHA ec-Om 3 25 mg iron-1 mg-400 mg tablet&capsule,delayed release


Duet DHA ec-Om 3 25 mg iron-1 mg-430 mg tablet&capsule,delayed release


Duet DHA With Omega-3 25 mg iron-1 mg-400 mg oral pack


Duet DHA With Omega-3 25 mg iron-1 mg-430 mg oral pack


Dulera 100 mcg-5 mcg/actuation HFA aerosol inhaler BETA-ADRENERGIC AND GLUCOCORTICOID COMBINATIONSDulera 200 mcg-5 mcg/actuation HFA aerosol inhaler BETA-ADRENERGIC AND GLUCOCORTICOID COMBINATIONSDULOXETINE HCL DR 30 MG CAP SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)DULOXETINE HCL DR 60 MG CAP SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)Dutoprol 100 mg-12.5 mg tablet,extended release BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE &

RELATEDDutoprol 25 mg-12.5 mg tablet,extended release BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE &

RELATEDDutoprol 50 mg-12.5 mg tablet,extended release BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE &

RELATEDDyrenium 100 mg capsule POTASSIUM SPARING DIURETICSDyrenium 50 mg capsule POTASSIUM SPARING DIURETICSEasiVent Holding Chamber RESPIRATORY AIDS,DEVICES,EQUIPMENTEasiVent Mask Large RESPIRATORY AIDS,DEVICES,EQUIPMENTEasiVent Mask Medium RESPIRATORY AIDS,DEVICES,EQUIPMENTEasiVent Mask Small RESPIRATORY AIDS,DEVICES,EQUIPMENTEasy Check High Control solution DIABETIC SUPPLIESEasy Check Low Control solution DIABETIC SUPPLIESEasy Check Normal Control solution DIABETIC SUPPLIESEasy Click Lancing Device DIABETIC SUPPLIESEasy Comfort Insulin Syringe 0.3 mL 30 x 5/16" SYRINGES AND ACCESSORIESEasy Comfort Insulin Syringe 1 mL 30 x 1/2" SYRINGES AND ACCESSORIESEasy Comfort Insulin Syringe 1 mL 30 x 5/16" SYRINGES AND ACCESSORIESEasy Comfort Insulin Syringe 1/2 mL 30 x 1/2" SYRINGES AND ACCESSORIESEasy Comfort Insulin Syringe 1/2 mL 30 x 5/16" SYRINGES AND ACCESSORIES


DRUG NAME CATEGORYEasy Comfort Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Easy Comfort Pen Needles 31 x 3/16" NEEDLES/NEEDLELESS DEVICESEasy Comfort Pen Needles 31 X 5/16" NEEDLES/NEEDLELESS DEVICESEasy Comfort Pen Needles 32 x 5/32" NEEDLES/NEEDLELESS DEVICESEasy Plus II High Control solution DIABETIC SUPPLIESEasy Plus II Low Control solution DIABETIC SUPPLIESEasy Step High Control Soln solution DIABETIC SUPPLIESEasy Step Low Control Solution DIABETIC SUPPLIESEasy Step Normal Control Soln solution DIABETIC SUPPLIESEasy Talk High Control solution DIABETIC SUPPLIESEasy Talk Low Control solution DIABETIC SUPPLIESEasy Touch 29 x 1/2" needle NEEDLES/NEEDLELESS DEVICESEasy Touch 31 X 1/4" needle NEEDLES/NEEDLELESS DEVICESEasy Touch 31 x 3/16" needle NEEDLES/NEEDLELESS DEVICESEasy Touch 31 X 5/16" needle NEEDLES/NEEDLELESS DEVICESEasy Touch 32 gauge x 3/16" needle NEEDLES/NEEDLELESS DEVICESEasy Touch 32 x 1/4" needle NEEDLES/NEEDLELESS DEVICESEasy Touch 32 x 5/32" needle NEEDLES/NEEDLELESS DEVICESEasy Touch Glucose Monitor DIABETIC SUPPLIESEasy Touch High-Low Control solution DIABETIC SUPPLIESEasy Touch Insulin Safety Syringe 0.5 mL 29 x 1/2" SYRINGES AND ACCESSORIESEasy Touch Insulin Safety Syringe 0.5 mL 30 x 5/16" SYRINGES AND ACCESSORIESEasy Touch Insulin Safety Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESEasy Touch Insulin Safety Syringe 1 mL 30 x 1/2" SYRINGES AND ACCESSORIESEasy Touch Insulin Syringe 0.3 mL 30 x 1/2" SYRINGES AND ACCESSORIESEasy Touch Insulin Syringe 0.3 mL 30 x 5/16" SYRINGES AND ACCESSORIESEasy Touch Insulin Syringe 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESEasy Touch Insulin Syringe 1 mL 27 x 1/2" SYRINGES AND ACCESSORIESEasy Touch Insulin Syringe 1 mL 28 x 1/2" SYRINGES AND ACCESSORIESEasy Touch Insulin Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESEasy Touch Insulin Syringe 1 mL 30 x 1/2" SYRINGES AND ACCESSORIESEasy Touch Insulin Syringe 1 mL 30 x 5/16" SYRINGES AND ACCESSORIESEasy Touch Insulin Syringe 1 mL 31 x 5/16" SYRINGES AND ACCESSORIESEasy Touch Insulin Syringe 1/2 mL 27 x 1/2" SYRINGES AND ACCESSORIESEasy Touch Insulin Syringe 1/2 mL 28 x 1/2" SYRINGES AND ACCESSORIESEasy Touch Insulin Syringe 1/2 mL 29 x 1/2" SYRINGES AND ACCESSORIESEasy Touch Insulin Syringe 1/2 mL 30 x 1/2" SYRINGES AND ACCESSORIESEasy Touch Insulin Syringe 1/2 mL 30 x 5/16" SYRINGES AND ACCESSORIESEasy Touch Insulin Syringe 1/2 mL 31 x 5/16" SYRINGES AND ACCESSORIESEasy Touch Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Easy Touch Lancing Device DIABETIC SUPPLIESEasy Touch Safety Lancets 21 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Easy Touch Safety Lancets 23 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Easy Touch Safety Lancets 26 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Easy Touch Safety Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)


DRUG NAME CATEGORYEasy Touch Safety Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Easy Touch Safety Lancets 32 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Easy Touch Twist Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Easy Touch Twist Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Easy Touch Twist Lancets 32 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Easy Touch Twist Lancets 33 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Easy Trak High Control solution DIABETIC SUPPLIESEasy Trak Low Control solution DIABETIC SUPPLIESEasy Trak Normal Control solution DIABETIC SUPPLIESEasy Twist & Cap Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)EasyGluco Plus Normal Control solution DIABETIC SUPPLIESEASYMAX HIGH CONTROL SOLN DIABETIC SUPPLIESEasyMax Low Control solution DIABETIC SUPPLIESEasyMax Normal Control solution DIABETIC SUPPLIESECLIPSE CONTROL SOLN NORMAL DIABETIC SUPPLIESECLIPSE CONTROL SOLUTION HIGH DIABETIC SUPPLIESECLIPSE CONTROL SOLUTION LOW DIABETIC SUPPLIESEclipse Needle 23 x 1" NEEDLES/NEEDLELESS DEVICESEclipse Needle 25 x 5/8" NEEDLES/NEEDLELESS DEVICESEclipse Needle 27 x 1/2" NEEDLES/NEEDLELESS DEVICESEclipse Syringe 3 mL 21 x 1" SYRINGES AND ACCESSORIESEclipse Syringe 3 mL 25 x 1" SYRINGES AND ACCESSORIESEdecrin 25 mg tablet LOOP DIURETICSEffient 10 mg tablet AnticoagulantsEffient 5 mg tablet AnticoagulantsElement Compact High Control solution DIABETIC SUPPLIESElement Compact Normal Control solution DIABETIC SUPPLIESElement High Control solution DIABETIC SUPPLIESElement Low Control solution DIABETIC SUPPLIESElement Normal Control solution DIABETIC SUPPLIESELEMENT PLUS CONTROL SOLUTION DIABETIC SUPPLIESEliquis 2.5 mg tablet DIRECT FACTOR XA INHIBITORSEliquis 5 mg tablet DIRECT FACTOR XA INHIBITORSElite-OB 400 35 mg-5 mg-1.2 mg-400 mg capsule PRENATAL VITAMIN PREPARATIONSElixophyllin 80 mg/15 mL oral elixir XANTHINESEmbrace EVO Level 1 solution DIABETIC SUPPLIESEmbrace EVO Level 2 solution DIABETIC SUPPLIESEmbrace Glucose Control High solution DIABETIC SUPPLIESEmbrace Glucose Control Low solution DIABETIC SUPPLIESEmbrace Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Embrace PRO solution DIABETIC SUPPLIESEmsam 12 mg/24 hr transdermal 24 hour patch MONOAMINE OXIDASE(MAO) INHIBITORSEmsam 6 mg/24 hr transdermal 24 hour patch MONOAMINE OXIDASE(MAO) INHIBITORSEmsam 9 mg/24 hr transdermal 24 hour patch MONOAMINE OXIDASE(MAO) INHIBITORSENALAPRIL MALEATE 10 MG TAB ANTIHYPERTENSIVES, ACE INHIBITORS


DRUG NAME CATEGORYENALAPRIL MALEATE 2.5 MG TAB ANTIHYPERTENSIVES, ACE INHIBITORSENALAPRIL MALEATE 20 MG TAB ANTIHYPERTENSIVES, ACE INHIBITORSENALAPRIL MALEATE 5 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSENALAPRIL-HCTZ 10-25 MG TABLET ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICENALAPRIL-HCTZ 5-12.5 MG TAB ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICENOXAPARIN 100 MG/ML SYRINGE HEPARIN AND RELATED PREPARATIONSENOXAPARIN 120 MG/0.8 ML SYR HEPARIN AND RELATED PREPARATIONSENOXAPARIN 150 MG/ML SYRINGE HEPARIN AND RELATED PREPARATIONSENOXAPARIN 30 MG/0.3 ML SYR HEPARIN AND RELATED PREPARATIONSENOXAPARIN 300 MG/3 ML VIAL HEPARIN AND RELATED PREPARATIONSENOXAPARIN 40 MG/0.4 ML SYR HEPARIN AND RELATED PREPARATIONSENOXAPARIN 60 MG/0.6 ML SYR HEPARIN AND RELATED PREPARATIONSENOXAPARIN 80 MG/0.8 ML SYR HEPARIN AND RELATED PREPARATIONSENVISION CONTROL SOLN HIGH DIABETIC SUPPLIESENVISION CONTROL SOLN LOW DIABETIC SUPPLIESENVISION CONTROL SOLN NORMAL DIABETIC SUPPLIESEPLERENONE 25 MG TABLET POTASSIUM SPARING DIURETICSEPLERENONE 50 MG TABLET POTASSIUM SPARING DIURETICSEPROSARTAN MESYLATE 600 MG TAB ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONISTEQL COLOR LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)EQL INS SYR 0.3 ML 29GX1/2" SYRINGES AND ACCESSORIESEQL INS SYR 0.3 ML 30GX5/16" SYRINGES AND ACCESSORIESEQL INS SYR 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIESEQL INS SYR 0.5 ML 30GX5/16" SYRINGES AND ACCESSORIESEQL INS SYR 1 ML 29GX1/2" SYRINGES AND ACCESSORIESEQL INSUL SYR 0.3 ML 31GX5/16" SYRINGES AND ACCESSORIESEQL INSUL SYR 0.5 ML 31GX5/16" SYRINGES AND ACCESSORIESEQL INSULIN 0.3 ML SYRINGE SYRINGES AND ACCESSORIESEQL INSULIN 0.5 ML SYRINGE SYRINGES AND ACCESSORIESEQL INSULIN 1 ML SYRINGE SYRINGES AND ACCESSORIESEQL INSULIN SYR 1 ML 29GX1/2" SYRINGES AND ACCESSORIESEQL INSULIN SYR 1 ML 30GX5/16" SYRINGES AND ACCESSORIESEQL INSULIN SYR 1 ML 31GX5/16" SYRINGES AND ACCESSORIESEQL LANCETS THIN DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)EQL SUPER THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)ESCITALOPRAM 10 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)ESCITALOPRAM 20 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)ESCITALOPRAM 5 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)ESCITALOPRAM OXALATE 5 MG/5 ML SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)ETIDRONATE DISODIUM 200 MG TAB BONE RESORPTION INHIBITORSETIDRONATE DISODIUM 400 MG TAB BONE RESORPTION INHIBITORSEvenCare G3 Control solution DIABETIC SUPPLIESEvolution Normal Control solution DIABETIC SUPPLIESEXEL INS SYR U100 1 ML 28GX1/2 SYRINGES AND ACCESSORIES


DRUG NAME CATEGORYEXEL INSUL SYR 0.5 ML 28GX1/2" SYRINGES AND ACCESSORIESExel Insulin 0.3 mL 29 x 1/2" syringe SYRINGES AND ACCESSORIESExel Insulin 1 mL 27 x 1/2" syringe SYRINGES AND ACCESSORIESExel Insulin 1 mL 30 x 5/16" syringe SYRINGES AND ACCESSORIESExel Insulin 1/2 mL 28 x 1/2" syringe SYRINGES AND ACCESSORIESExel Insulin 1/2 mL 30 x 5/16" syringe SYRINGES AND ACCESSORIESEXEL U100 0.3 ML 30GX5/16" SYRINGES AND ACCESSORIESEXEL U100 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIESEXEL U100 INS SYR 1 ML 29GX1/2 SYRINGES AND ACCESSORIESExtra-Virt Plus DHA 29 mg iron-1.25 mg-55 mg capsule PRENATAL VITAMIN PREPARATIONSE-Z Ject Lancets DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)E-Z Ject Lancets 26 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)E-Z Ject Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)E-Z Ject Lancets 32 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)E-Z Ject Lancets 33 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)E-Z Ject Thin Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)E-Z PULL & CLICK LANCING DEV DIABETIC SUPPLIESEz Smart Control solution DIABETIC SUPPLIESEz Smart Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)E-Z Spacer RESPIRATORY AIDS,DEVICES,EQUIPMENTE-ZJECT THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Falessa 1 mg tablet FOLIC ACID PREPARATIONSFarxiga 10 mg tablet ANTIHYPERGLYCEMC-SOD/GLUC COTRANSPORT2(SGLT2)

INHIBFarxiga 5 mg tablet ANTIHYPERGLYCEMC-SOD/GLUC COTRANSPORT2(SGLT2)

INHIBFELODIPINE ER 10 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSFELODIPINE ER 2.5 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSFELODIPINE ER 5 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSFemCap 22 mm vaginal device DIAPHRAGMS/CERVICAL CAPFemCap 26 mm vaginal device DIAPHRAGMS/CERVICAL CAPFemCap 30 mm vaginal device DIAPHRAGMS/CERVICAL CAPFENOFIBRATE 130 MG CAPSULE LIPOTROPICSFENOFIBRATE 134 MG CAPSULE LIPOTROPICSFENOFIBRATE 150 MG CAPSULE LIPOTROPICSFENOFIBRATE 160 MG TABLET LIPOTROPICSFENOFIBRATE 200 MG CAPSULE LIPOTROPICSFENOFIBRATE 43 MG CAPSULE LIPOTROPICSFENOFIBRATE 48 MG TABLET LIPOTROPICSFENOFIBRATE 50 MG CAPSULE LIPOTROPICSFENOFIBRATE 54 MG TABLET LIPOTROPICSFENOFIBRATE 67 MG CAPSULE LIPOTROPICSFENOFIBRIC ACID 105 MG TABLET LIPOTROPICSFENOFIBRIC ACID 35 MG TABLET LIPOTROPICSFENOFIBRIC ACID DR 135 MG CAP LIPOTROPICS


DRUG NAME CATEGORYFENOFIBRIC ACID DR 45 MG CAP LIPOTROPICSFenoglide 120 mg tablet LIPOTROPICSFenoglide 40 mg tablet LIPOTROPICSFetzima 120 mg capsule,extended release SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)Fetzima 20 mg (2)-40 mg (26) capsule,extended release,24 hr,dose pack

SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)

Fetzima 20 mg capsule,extended release SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)Fetzima 40 mg capsule,extended release SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)Fetzima 80 mg capsule,extended release SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)FIFTY50 GLUCOSE 4 GM TABLET AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)FIFTY50 GLUCOSE CONTROL SOLN DIABETIC SUPPLIESFIFTY50 INS SYR 1 ML 31GX5/16" SYRINGES AND ACCESSORIESFIFTY50 INSULIN SYRINGE 0.3 ML SYRINGES AND ACCESSORIESFIFTY50 INSULIN SYRINGE 0.5 ML SYRINGES AND ACCESSORIESFIFTY50 LANCING DEVICE DIABETIC SUPPLIESFifty50 Reservoir 1.8 mL misc SYRINGES AND ACCESSORIESFifty50 Reservoir 3 mL misc SYRINGES AND ACCESSORIESFifty50 Safety Seal Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Fifty50 Safety Seal Lancets 32 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)FILTER NEEDLE 5 MICRON NEEDLES/NEEDLELESS DEVICESFine 30 Universal Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Fingerstix Lancets DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)FIRST CHOICE COLORED LANCET DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)FIRST CHOICE GLUCOSE TABLET AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)First Choice Lancets Thin DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)FIRST CHOICE SYRINGE 0.3 ML SYRINGES AND ACCESSORIESFIRST CHOICE SYRINGE 0.5 ML SYRINGES AND ACCESSORIESFIRST CHOICE SYRINGE 1 ML SYRINGES AND ACCESSORIESFIRST CHOICE THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Flovent Diskus 100 mcg/actuation powder for inhalation GLUCOCORTICOIDS, ORALLY INHALEDFlovent Diskus 250 mcg/actuation powder for inhalation GLUCOCORTICOIDS, ORALLY INHALEDFlovent Diskus 50 mcg/actuation powder for inhalation GLUCOCORTICOIDS, ORALLY INHALEDFlovent HFA 110 mcg/actuation aerosol inhaler GLUCOCORTICOIDS, ORALLY INHALEDFlovent HFA 220 mcg/actuation aerosol inhaler GLUCOCORTICOIDS, ORALLY INHALEDFlovent HFA 44 mcg/actuation aerosol inhaler GLUCOCORTICOIDS, ORALLY INHALEDFLUOXETINE 20 MG/5 ML SOLUTION SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)FLUOXETINE DR 90 MG CAPSULE SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)FLUOXETINE HCL 10 MG CAPSULE SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)FLUOXETINE HCL 10 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)FLUOXETINE HCL 20 MG CAPSULE SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)FLUOXETINE HCL 20 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)FLUOXETINE HCL 40 MG CAPSULE SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)FLUOXETINE HCL 60 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)FLUVASTATIN SODIUM 20 MG CAP ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSFLUVASTATIN SODIUM 40 MG CAP ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORS


DRUG NAME CATEGORYFocalgin-B 1.22 mg-42 mg-124.23 mg tablet PRENATAL VITAMINS WITHOUT IRONFolcal DHA 27 mg-1.25 mg-55 mg-300 mg capsule PRENATAL VITAMIN PREPARATIONSFolcaps Omega-3 (asparto-gly) 27 mg-1 mg-330 mg capsule


Folivane-OB 85 mg-1 mg capsule PRENATAL VITAMIN PREPARATIONSFolivane-PRx DHA NF 30 mg-1.24 mg-55 mg-265 mg capsule


FONDAPARINUX 10 MG/0.8 ML SYR HEPARIN AND RELATED PREPARATIONSFONDAPARINUX 2.5 MG/0.5 ML SYR HEPARIN AND RELATED PREPARATIONSFONDAPARINUX 5 MG/0.4 ML SYR HEPARIN AND RELATED PREPARATIONSFONDAPARINUX 7.5 MG/0.6 ML SYR HEPARIN AND RELATED PREPARATIONSFora High Control solution DIABETIC SUPPLIESFora Lancing Device DIABETIC SUPPLIESFora Low Control solution DIABETIC SUPPLIESFora Normal Control solution DIABETIC SUPPLIESForacare GDH High Control solution DIABETIC SUPPLIESForacare GDH Low Control solution DIABETIC SUPPLIESForacare GDH Normal Control solution DIABETIC SUPPLIESForaCare Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Foradil Aerolizer 12 mcg capsule with inhalation device BETA-ADRENERGIC AGENTSForfivo XL 450 mg tablet,extended release NOREPINEPHRINE AND DOPAMINE REUPTAKE INHIB

(NDRIS)Fosamax Plus D 70 mg-2,800 unit tablet BONE RESORPTION INHIBITOR & VITAMIN D

COMBINATIONSFosamax Plus D 70 mg-5,600 unit tablet BONE RESORPTION INHIBITOR & VITAMIN D

COMBINATIONSFOSINOPRIL SODIUM 10 MG TAB ANTIHYPERTENSIVES, ACE INHIBITORSFOSINOPRIL SODIUM 20 MG TAB ANTIHYPERTENSIVES, ACE INHIBITORSFOSINOPRIL SODIUM 40 MG TAB ANTIHYPERTENSIVES, ACE INHIBITORSFOSINOPRIL-HCTZ 10-12.5 MG TAB ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICFOSINOPRIL-HCTZ 20-12.5 MG TAB ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICFP GLUCOSE 4 GRAM TABLET CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)FP INSULIN 0.5 ML SYRINGE SYRINGES AND ACCESSORIESFP INSULIN 1 ML SYRINGE SYRINGES AND ACCESSORIESFP LANCETS THIN DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Fragmin 10,000 unit/mL subcutaneous syringe HEPARIN AND RELATED PREPARATIONSFragmin 12,500 unit/0.5 mL subcutaneous syringe HEPARIN AND RELATED PREPARATIONSFragmin 15,000 unit/0.6 mL subcutaneous syringe HEPARIN AND RELATED PREPARATIONSFragmin 18,000 unit/0.72 mL subcutaneous syringe HEPARIN AND RELATED PREPARATIONSFragmin 2,500 unit/0.2 mL subcutaneous syringe HEPARIN AND RELATED PREPARATIONSFragmin 25,000 unit/mL subcutaneous solution HEPARIN AND RELATED PREPARATIONSFragmin 5,000 unit/0.2 mL subcutaneous syringe HEPARIN AND RELATED PREPARATIONSFragmin 7,500 unit/0.3 mL subcutaneous syringe HEPARIN AND RELATED PREPARATIONSFreeStyle Control solution DIABETIC SUPPLIESFreeStyle Precision 1 mL 30 x 5/16" syringe SYRINGES AND ACCESSORIESFreeStyle Precision 1 mL 31 x 5/16" syringe SYRINGES AND ACCESSORIES


DRUG NAME CATEGORYFreeStyle Precision 1/2 mL 30 x 5/16" syringe SYRINGES AND ACCESSORIESFreeStyle Precision 1/2 mL 31 x 5/16" syringe SYRINGES AND ACCESSORIESFreeStyle Unistik 2 misc DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)FUROSEMIDE 20 MG TABLET LOOP DIURETICSFUROSEMIDE 40 MG TABLET LOOP DIURETICSFUROSEMIDE 40 MG/5 ML SOLN LOOP DIURETICSFUROSEMIDE 80 MG TABLET LOOP DIURETICSGE LANCING DEVICE DIABETIC SUPPLIESGE100 Control Solution Normal DIABETIC SUPPLIESGEMFIBROZIL 600 MG TABLET LIPOTROPICSGenStrip Test Strip BLOOD SUGAR DIAGNOSTICSGentle Draw Lancing Device DIABETIC SUPPLIESGesticare DHA 27 mg-1 mg-250 mg tablet,extended release and capsule


GLIMEPIRIDE 1 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLIMEPIRIDE 2 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLIMEPIRIDE 4 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLIPIZIDE 10 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLIPIZIDE 5 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLIPIZIDE ER 10 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLIPIZIDE ER 2.5 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLIPIZIDE ER 5 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLIPIZIDE XL 10 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLIPIZIDE XL 2.5 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLIPIZIDE XL 5 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLIPIZIDE-METFORMIN 2.5-250 MG ANTIHYPERGLYCEMIC,INSULIN-REL STIM.& BIGUANIDE CMBGLIPIZIDE-METFORMIN 2.5-500 MG ANTIHYPERGLYCEMIC,INSULIN-REL STIM.& BIGUANIDE CMBGLIPIZIDE-METFORMIN 5-500 MG ANTIHYPERGLYCEMIC,INSULIN-REL STIM.& BIGUANIDE CMBGlucaGen 1 mg solution for injection AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)GlucaGen HypoKit 1 mg Injection AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)Glucagon Emergency Kit (human-recomb) 1 mg injection AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)Glucocard 01 High-Normal Control solution DIABETIC SUPPLIESGlucocard 01 Normal Control solution DIABETIC SUPPLIESGlucocom Control High solution DIABETIC SUPPLIESGlucocom Control Normal solution DIABETIC SUPPLIESGlucocom Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Glucocom Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Glucocom Lancets 33 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)GLUCOLAB CONTROL SOLN NORMAL DIABETIC SUPPLIESGLUCOLAB CONTROL SOLUTION HIGH DIABETIC SUPPLIESGLUCOLAB CONTROL SOLUTION LOW DIABETIC SUPPLIESGlucolet 2 Automatic Lancing kit DIABETIC SUPPLIESGlucolet 2 Automatic Lancing misc DIABETIC SUPPLIESGLUCOPRO INSUL SYR U100 0.3 ML SYRINGES AND ACCESSORIESGLUCOPRO INSUL SYR U100 0.5 ML SYRINGES AND ACCESSORIES


DRUG NAME CATEGORYGLUCOPRO INSULIN SYR 0.3 ML SYRINGES AND ACCESSORIESGLUCOPRO INSULIN SYR 0.5 ML SYRINGES AND ACCESSORIESGLUCOPRO INSULIN SYR 1 ML SYRINGES AND ACCESSORIESGLUCOPRO INSULIN SYR U100 1 ML SYRINGES AND ACCESSORIESGLUCOPRO SYRINGE U100 0.5 ML SYRINGES AND ACCESSORIESGLUCOPRO SYRINGE U100 1 ML SYRINGES AND ACCESSORIESGLUCOPRO U100 INSUL SYR 0.3 ML SYRINGES AND ACCESSORIESGLUCOPRO U100 INSULIN 1 ML SYR SYRINGES AND ACCESSORIESGLUCOSE 4 GRAM TABLET CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)GLUCOSE CONTROL SOLUTION DIABETIC SUPPLIESGlucose Control solution DIABETIC SUPPLIESGlucose Ketone Control Soln solution DIABETIC SUPPLIESGlumetza 1,000 mg tablet,extended release ANTIHYPERGLYCEMIC, BIGUANIDE TYPEGlumetza 500 mg tablet,extended release ANTIHYPERGLYCEMIC, BIGUANIDE TYPEGLYBURIDE 1.25 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLYBURIDE 2.5 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLYBURIDE 5 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLYBURIDE MICRO 1.5 MG TAB ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLYBURIDE MICRO 3 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLYBURIDE MICRO 6 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEGLYBURIDE-METFORMIN 2.5-500 MG ANTIHYPERGLYCEMIC,INSULIN-REL STIM.& BIGUANIDE CMBGLYBURIDE-METFORMIN 5-500 MG ANTIHYPERGLYCEMIC,INSULIN-REL STIM.& BIGUANIDE CMBGLYBURID-METFORMIN 1.25-250 MG ANTIHYPERGLYCEMIC,INSULIN-REL STIM.& BIGUANIDE CMBGlyset 100 mg tablet ANTIHYPERGLYCEMIC, ALPHA-GLUCOSIDASE INHIBITORSGlyset 25 mg tablet ANTIHYPERGLYCEMIC, ALPHA-GLUCOSIDASE INHIBITORSGlyset 50 mg tablet ANTIHYPERGLYCEMIC, ALPHA-GLUCOSIDASE INHIBITORSGmate Control Solution, High DIABETIC SUPPLIESGmate Control Solution, Normal DIABETIC SUPPLIESGmate Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Gmate Lancing Device DIABETIC SUPPLIESGmate Smart Meter DIABETIC SUPPLIESGmate Smart Starter kit DIABETIC SUPPLIESGNP GLUCOSE 4 GRAM TABLET CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)GNP INSUL SYR 0.3 ML 31GX5/16" SYRINGES AND ACCESSORIESGNP INSUL SYR 0.5 ML 31GX5/16" SYRINGES AND ACCESSORIESGNP INSULIN SYR 1 ML 31GX5/16" SYRINGES AND ACCESSORIESGNP QUICK DISSOLVE GLUCOSE TAB AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)GNP ULTRA COMFORT 3/10 ML SYR SYRINGES AND ACCESSORIESGUANFACINE 1 MG TABLET ANTIHYPERTENSIVES, SYMPATHOLYTICGUANFACINE 2 MG TABLET ANTIHYPERTENSIVES, SYMPATHOLYTICH&H THINLET LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)HealthPro Glucose Monitor DIABETIC SUPPLIESHealthPro High-Low Control Solution DIABETIC SUPPLIESHealthPro Test Strips BLOOD SUGAR DIAGNOSTICSHealthy Accents Autolet Impression Lancing Device DIABETIC SUPPLIES


DRUG NAME CATEGORYHealthy Accents Unifine Pentip 29 x 1/2" needle NEEDLES/NEEDLELESS DEVICESHealthy Accents Unifine Pentip 31 X 1/4" needle NEEDLES/NEEDLELESS DEVICESHealthy Accents Unifine Pentip 31 x 3/16" needle NEEDLES/NEEDLELESS DEVICESHealthy Accents Unifine Pentip 31 X 5/16" needle NEEDLES/NEEDLELESS DEVICESHealthy Accents Unifine Pentip 32 x 5/32" needle NEEDLES/NEEDLELESS DEVICESHealthy Accents Unilet Lancet 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)HemeNatal OB + DHA 28 mg-6 mg-1 mg oral pack PRENATAL VITAMIN PREPARATIONSHemeNatal OB 28 mg-6 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSHM GLUCOSE 4 GRAM TABLET CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)Humalog 100 unit/mL subcutaneous cartridge INSULINSHumalog 100 unit/mL subcutaneous solution INSULINSHumalog KwikPen 100 unit/mL subcutaneous INSULINSHumalog Mix 50-50 100 unit/mL subcutaneous suspension INSULINSHumalog Mix 50-50 KwikPen 100 unit/mL subcutaneous pen

INSULINS

Humalog Mix 75-25 100 unit/mL subcutaneous suspension INSULINSHumalog Mix 75-25 KwikPen 100 unit/mL subcutaneous insulin pen

INSULINS

Humulin 70/30 100 unit/mL subcutaneous suspension INSULINSHUMULIN 70-30 PEN INSULINSHumulin N 100 unit/mL subcutaneous suspension INSULINSHUMULIN N 100 UNITS/ML PEN INSULINSHumulin N KwikPen 100 unit/mL (3 mL) subcutaneous Diabetic TherapyHumulin R 100 unit/mL injection solution INSULINSHumulin R U-500 "Concentrated" Insulin 500 unit/mL subcutaneous soln

INSULINS

HYDRALAZINE 10 MG TABLET ANTIHYPERTENSIVES, VASODILATORSHYDRALAZINE 100 MG TABLET ANTIHYPERTENSIVES, VASODILATORSHYDRALAZINE 25 MG TABLET ANTIHYPERTENSIVES, VASODILATORSHYDRALAZINE 50 MG TABLET ANTIHYPERTENSIVES, VASODILATORSHYDROCHLOROTHIAZIDE 12.5 MG CP THIAZIDE AND RELATED DIURETICSHYDROCHLOROTHIAZIDE 12.5 MG TB THIAZIDE AND RELATED DIURETICSHYDROCHLOROTHIAZIDE 25 MG TAB THIAZIDE AND RELATED DIURETICSHYDROCHLOROTHIAZIDE 50 MG TAB THIAZIDE AND RELATED DIURETICSHypolance AST Lancing kit DIABETIC SUPPLIESIBANDRONATE SODIUM 150 MG TAB BONE RESORPTION INHIBITORSIMIPRAMINE HCL 10 MG TABLET TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBIMIPRAMINE HCL 25 MG TABLET TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBIMIPRAMINE HCL 50 MG TABLET TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBIMIPRAMINE PAMOATE 100 MG CAP TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBIMIPRAMINE PAMOATE 125 MG CAP TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBIMIPRAMINE PAMOATE 150 MG CAP TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBIMIPRAMINE PAMOATE 75 MG CAP TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBIn Control Pen Needle 29 x 1/2" NEEDLES/NEEDLELESS DEVICESIn Control Pen Needle 31 X 1/4" NEEDLES/NEEDLELESS DEVICESIn Control Pen Needle 31 X 5/16" NEEDLES/NEEDLELESS DEVICES


DRUG NAME CATEGORYiNatal Advance 90 mg-1 mg-50 mg tablet PRENATAL VITAMIN PREPARATIONSiNatal Ultra 90 mg-1 mg-50 mg tablet PRENATAL VITAMIN PREPARATIONSinControl 32 x 5/32" needle NEEDLES/NEEDLELESS DEVICESinControl Lancing Device DIABETIC SUPPLIESInControl Pen Needles 31 x 3/16" NEEDLES/NEEDLELESS DEVICESinControl Super Thin Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)inControl Ultra Thin Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)INDAPAMIDE 1.25 MG TABLET THIAZIDE AND RELATED DIURETICSINDAPAMIDE 2.5 MG TABLET THIAZIDE AND RELATED DIURETICSInderal XL 120 mg capsule,extended release BETA-ADRENERGIC BLOCKING AGENTSInderal XL 80 mg capsule,extended release BETA-ADRENERGIC BLOCKING AGENTSInfanate Balance 29 mg iron-1 mg-50 mg-265 mg capsule PRENATAL VITAMIN PREPARATIONSInfinity Control Solution High DIABETIC SUPPLIESInfinity Control Solution Low DIABETIC SUPPLIESInfinity Control Solution Normal DIABETIC SUPPLIESInject Ease Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Inject Ease Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Inject-Ease Automatic Injector misc DIABETIC SUPPLIESInnoPran XL 120 mg capsule,extended release BETA-ADRENERGIC BLOCKING AGENTSInnoPran XL 80 mg capsule,extended release BETA-ADRENERGIC BLOCKING AGENTSINS SYR U100 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIESINSULIN 1 ML SYRINGE SYRINGES AND ACCESSORIESINSULIN 1/2 ML SYRINGE SYRINGES AND ACCESSORIESINSULIN 3/10 ML SYRINGE SYRINGES AND ACCESSORIESInsulin Pen Needle 29 x 1/2" NEEDLES/NEEDLELESS DEVICESInsulin Pen Needle 31 NEEDLES/NEEDLELESS DEVICESInsulin Pen Needle 31 X 1/4" NEEDLES/NEEDLELESS DEVICESINSULIN SYR 0.3 ML 30GX5/16" SYRINGES AND ACCESSORIESINSULIN SYRIN 0.3 ML 29GX1/2" SYRINGES AND ACCESSORIESINSULIN SYRIN 0.3 ML 30GX1/2" SYRINGES AND ACCESSORIESINSULIN SYRIN 0.3 ML 30GX5/16" SYRINGES AND ACCESSORIESINSULIN SYRIN 0.3 ML 31GX5/16" SYRINGES AND ACCESSORIESINSULIN SYRIN 0.5 ML 28GX1/2" SYRINGES AND ACCESSORIESINSULIN SYRIN 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIESINSULIN SYRIN 0.5 ML 30GX1/2" SYRINGES AND ACCESSORIESINSULIN SYRIN 0.5 ML 30GX5/16" SYRINGES AND ACCESSORIESINSULIN SYRIN 0.5 ML 31GX5/16" SYRINGES AND ACCESSORIESINSULIN SYRING 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIESINSULIN SYRINGE 0.3 ML SYRINGES AND ACCESSORIESINSULIN SYRINGE 1 ML SYRINGES AND ACCESSORIESInsulin Syringe 1 mL 28 x 1/2" SYRINGES AND ACCESSORIESINSULIN SYRINGE 1 ML 28GX1/2" SYRINGES AND ACCESSORIESInsulin Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESINSULIN SYRINGE 1 ML 29GX1/2" SYRINGES AND ACCESSORIESInsulin Syringe 1 mL 30 x 5/16" SYRINGES AND ACCESSORIES


DRUG NAME CATEGORYINSULIN SYRINGE 1 ML 30GX1/2" SYRINGES AND ACCESSORIESINSULIN SYRINGE 1 ML 30GX5/16" SYRINGES AND ACCESSORIESINSULIN SYRINGE 1 ML 31GX5/16" SYRINGES AND ACCESSORIESInsulin Syringe 1/2 mL 28 x 1/2" SYRINGES AND ACCESSORIESInsulin Syringe 1/2 mL 29 x 1/2" SYRINGES AND ACCESSORIESInsulin Syringe 1/2 mL 30 x 5/16" SYRINGES AND ACCESSORIESInsulin Syringe MicroFine 0.3 mL 28 x 1/2" SYRINGES AND ACCESSORIESInsulin Syringe MicroFine 1 mL 27 x 5/8" SYRINGES AND ACCESSORIESInsulin Syringe MicroFine 1/2 mL 28 x 1/2" SYRINGES AND ACCESSORIESINSULIN SYRINGE U100 1 ML SYRINGES AND ACCESSORIESInsulin Syringe Ultrafine 1/2 mL 29 x 1/2" SYRINGES AND ACCESSORIESInsulin Syringe/Needle 0.5cc/27G 1/2 mL 27 x 1/2" SYRINGES AND ACCESSORIESInsupen 29 x 1/2" needle NEEDLES/NEEDLELESS DEVICESInsupen 30 X 5/16" needle NEEDLES/NEEDLELESS DEVICESInsupen 31 X 1/4" needle NEEDLES/NEEDLELESS DEVICESInsupen 31 X 5/16" needle NEEDLES/NEEDLELESS DEVICESInsupen 32 x 1/4" needle NEEDLES/NEEDLELESS DEVICESInsupen 32 x 5/16" needle NEEDLES/NEEDLELESS DEVICESInsupen 32 x 5/32" needle NEEDLES/NEEDLELESS DEVICESIntegra Syringe 3 mL 21 x 1" SYRINGES AND ACCESSORIESInterLink Syringe and Cannula 15 x 10 mL SYRINGES AND ACCESSORIESInvacare Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)INVACARE LANCING DEVICE DIABETIC SUPPLIESInvokana 100 mg tablet ANTIHYPERGLYCEMC-SOD/GLUC COTRANSPORT2(SGLT2)

INHIBInvokana 300 mg tablet ANTIHYPERGLYCEMC-SOD/GLUC COTRANSPORT2(SGLT2)

INHIBIPRAT-ALBUT 0.5-3(2.5) MG/3 ML BETA-ADRENERGIC AND ANTICHOLINERGIC COMBINATIONSIPRATROPIUM BR 0.02% SOLN GENERAL BRONCHODILATOR AGENTSIRBESARTAN 150 MG TABLET ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONISTIRBESARTAN 300 MG TABLET ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONISTIRBESARTAN 75 MG TABLET ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONISTIRBESARTAN-HCTZ 150-12.5 MG TB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBIRBESARTAN-HCTZ 300-12.5 MG TB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBISRADIPINE 2.5 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSISRADIPINE 5 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSJantoven 1 mg tablet ANTICOAGULANTS,COUMARIN TYPEJantoven 10 mg tablet ANTICOAGULANTS,COUMARIN TYPEJantoven 2 mg tablet ANTICOAGULANTS,COUMARIN TYPEJantoven 2.5 mg tablet ANTICOAGULANTS,COUMARIN TYPEJantoven 3 mg tablet ANTICOAGULANTS,COUMARIN TYPEJantoven 4 mg tablet ANTICOAGULANTS,COUMARIN TYPE


DRUG NAME CATEGORYJantoven 5 mg tablet ANTICOAGULANTS,COUMARIN TYPEJantoven 6 mg tablet ANTICOAGULANTS,COUMARIN TYPEJantoven 7.5 mg tablet ANTICOAGULANTS,COUMARIN TYPEJanumet 50 mg-1,000 mg tablet ANTIHYPERGLYCEMIC,DPP-4 INHIBITOR & BIGUANIDE COMBJanumet 50 mg-500 mg tablet ANTIHYPERGLYCEMIC,DPP-4 INHIBITOR & BIGUANIDE COMBJanumet XR 100 mg-1,000 mg tablet,extended release ANTIHYPERGLYCEMIC,DPP-4 INHIBITOR & BIGUANIDE COMBJanumet XR 50 mg-1,000 mg tablet,extended release ANTIHYPERGLYCEMIC,DPP-4 INHIBITOR & BIGUANIDE COMBJanumet XR 50 mg-500 mg tablet,extended release ANTIHYPERGLYCEMIC,DPP-4 INHIBITOR & BIGUANIDE COMBJanuvia 50 mg tablet ANTIHYPERGLYCEMIC, DPP-4 INHIBITORSJentadueto 2.5 mg-1,000 mg tablet ANTIHYPERGLYCEMIC,DPP-4 INHIBITOR & BIGUANIDE COMBJentadueto 2.5 mg-500 mg tablet ANTIHYPERGLYCEMIC,DPP-4 INHIBITOR & BIGUANIDE COMBJentadueto 2.5 mg-850 mg tablet ANTIHYPERGLYCEMIC,DPP-4 INHIBITOR & BIGUANIDE COMBJUVISYNC 100-10 MG TABLET ANTIHYPERGLY.DPP-4 INHIBITORS &HMG COA RI(STATINS)JUVISYNC 100-20 MG TABLET ANTIHYPERGLY.DPP-4 INHIBITORS &HMG COA RI(STATINS)JUVISYNC 100-40 MG TABLET ANTIHYPERGLY.DPP-4 INHIBITORS &HMG COA RI(STATINS)JUVISYNC 50-10 MG TABLET ANTIHYPERGLY.DPP-4 INHIBITORS &HMG COA RI(STATINS)JUVISYNC 50-20 MG TABLET ANTIHYPERGLY.DPP-4 INHIBITORS &HMG COA RI(STATINS)JUVISYNC 50-40 MG TABLET ANTIHYPERGLY.DPP-4 INHIBITORS &HMG COA RI(STATINS)Khedezla 100 mg tablet,extended release SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)Khedezla 50 mg tablet,extended release SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)Kinney Brand Lancets 23 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)KINRAY INS SYR 1 ML 31GX5/16" SYRINGES AND ACCESSORIESKINRAY SYRING 0.3 ML 31GX5/16" SYRINGES AND ACCESSORIESKINRAY SYRING 0.5 ML 31GX5/16" SYRINGES AND ACCESSORIESKMART VALU PLUS SYR 1/2 ML SYRINGES AND ACCESSORIESKMART VALU PLUS SYR 3/10 ML SYRINGES AND ACCESSORIESKMART VALU PLUS SYRINGE 1 ML SYRINGES AND ACCESSORIESKombiglyze XR 2.5 mg-1,000 mg tablet,extended release ANTIHYPERGLYCEMIC,DPP-4 INHIBITOR & BIGUANIDE COMBKombiglyze XR 5 mg-1,000 mg tablet,extended release ANTIHYPERGLYCEMIC,DPP-4 INHIBITOR & BIGUANIDE COMBKombiglyze XR 5 mg-500 mg tablet,extended release ANTIHYPERGLYCEMIC,DPP-4 INHIBITOR & BIGUANIDE COMBKRO GLUCOSE 4 GRAM TABLET CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)KRO LANCING DEVICE DIABETIC SUPPLIESKROGER GLUCOSE 4 GRAM TAB CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)KROGER INS SYR 0.3 ML 30GX5/16 SYRINGES AND ACCESSORIESKROGER INS SYR 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIESKROGER INS SYR 1 ML 29GX1/2" SYRINGES AND ACCESSORIESKROGER INS SYR 1 ML 31GX5/16" SYRINGES AND ACCESSORIESKROGER INS SYRINGE 3/10 ML SYRINGES AND ACCESSORIESKROGER INSULIN SYRINGE 1 ML SYRINGES AND ACCESSORIESKROGER LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)KROGER LANCING DEVICE DIABETIC SUPPLIESKROGER SYR 0.5 ML 30GX5/16" SYRINGES AND ACCESSORIESKROGER SYRING 0.3 ML 31GX5/16" SYRINGES AND ACCESSORIESKROGER SYRING 0.5 ML 31GX5/16" SYRINGES AND ACCESSORIESLABETALOL HCL 100 MG TABLET ALPHA/BETA-ADRENERGIC BLOCKING AGENTS


DRUG NAME CATEGORYLABETALOL HCL 200 MG TABLET ALPHA/BETA-ADRENERGIC BLOCKING AGENTSLABETALOL HCL 300 MG TABLET ALPHA/BETA-ADRENERGIC BLOCKING AGENTSLANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)LANCETS 26G DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)LANCETS 26G X 1.8MM DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)LANCETS 28G DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)LANCETS 28G X 1.8MM DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)LANCETS 30G DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)LANCETS ULTRA FINE 28G DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Lancets, Super Thin DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Lancets,Thin DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Lancets,Thin 23 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Lancets,Thin 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Lancets,Ultra Thin DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Lancets,Ultra Thin 26 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)LANCING DEVICE DIABETIC SUPPLIESlancing device with lancets DIABETIC SUPPLIESLancing System DIABETIC SUPPLIESLantus 100 unit/mL subcutaneous solution INSULINSLantus Solostar 100 unit/mL (3 mL) subcutaneous insulin pen

INSULINS

LEADER COLORED LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)LEADER GLUCOSE 4 GM TAB CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)LEADER INS SYR 0.3 ML 29GX1/2" SYRINGES AND ACCESSORIESLEADER INS SYR 0.5 ML 28GX1/2" SYRINGES AND ACCESSORIESLEADER INS SYR 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIESLEADER INS SYR 0.5 ML 30GX1/2" SYRINGES AND ACCESSORIESLEADER INS SYR 1 ML 28GX1/2" SYRINGES AND ACCESSORIESLEADER INS SYR 1 ML 29GX1/2" SYRINGES AND ACCESSORIESLEADER INS SYR 1 ML 30GX5/16" SYRINGES AND ACCESSORIESLEADER INS SYR 1 ML 31GX5/16" SYRINGES AND ACCESSORIESLEADER INSULIN SYRINGE 0.3 ML SYRINGES AND ACCESSORIESLEADER PEN NEEDLES 12MM 29G NEEDLES/NEEDLELESS DEVICESLEADER PEN NEEDLES 31G NEEDLES/NEEDLELESS DEVICESLEADER QUICK DISSOLVE GLUC TAB AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)LEADER SUPER THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)LEADER SYRING 0.3 ML 31GX5/16" SYRINGES AND ACCESSORIESLEADER SYRING 0.5 ML 31GX5/16" SYRINGES AND ACCESSORIESLEADER THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)LEVALBUTEROL 0.31 MG/3 ML SOL BETA-ADRENERGIC AGENTSLEVALBUTEROL 0.63 MG/3 ML SOL BETA-ADRENERGIC AGENTSLEVALBUTEROL 1.25 MG/3 ML SOL BETA-ADRENERGIC AGENTSLEVALBUTEROL CONC 1.25 MG/0.5 BETA-ADRENERGIC AGENTSLevatol 20 mg tablet BETA-ADRENERGIC BLOCKING AGENTSLevemir 100 unit/mL subcutaneous solution INSULINS


DRUG NAME CATEGORYLevemir Flexpen 100 unit/mL (3 mL) solution subcutaneous insulin pen

INSULINS

Levemir FlexTouch 100 unit/mL (3 mL) subcutaneous insulin pen

INSULINS

Levomefolate DHA 27 mg-400 mcg-1.13 mg-250 mg capsule


LEVOMEFOLATEPNV COMBO PACK PRENATAL VITAMIN PREPARATIONSLiberty Blood Glucose Monitor DIABETIC SUPPLIESLIBERTY CONTROL SOLN NORMAL DIABETIC SUPPLIESLIBERTY CONTROL SOLUTION HIGH DIABETIC SUPPLIESLiberty Level 1 Glucose Control Low solution DIABETIC SUPPLIESLiberty Level 2 Glucose Control Normal solution DIABETIC SUPPLIESLIPICHOL 540 CAPSULE LIPOTROPICSLipofen 150 mg capsule LIPOTROPICSLipofen 50 mg capsule LIPOTROPICSLISINOPRIL 10 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSLISINOPRIL 2.5 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSLISINOPRIL 20 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSLISINOPRIL 30 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSLISINOPRIL 40 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSLISINOPRIL 5 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSLISINOPRIL-HCTZ 10-12.5 MG TAB ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICLISINOPRIL-HCTZ 20-12.5 MG TAB ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICLISINOPRIL-HCTZ 20-25 MG TAB ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICLite Touch Insulin Pen Needles 29 x 1/2" NEEDLES/NEEDLELESS DEVICESLite Touch Insulin Pen Needles 31 X 1/4" NEEDLES/NEEDLELESS DEVICESLite Touch Insulin Pen Needles 31 x 3/16" NEEDLES/NEEDLELESS DEVICESLite Touch Insulin Pen Needles 31 X 5/16" NEEDLES/NEEDLELESS DEVICESLite Touch Insulin Syringe 0.3 mL 29 x 1/2" SYRINGES AND ACCESSORIESLite Touch Insulin Syringe 0.3 mL 30 x 5/16" SYRINGES AND ACCESSORIESLite Touch Insulin Syringe 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESLite Touch Insulin Syringe 1 mL 28 SYRINGES AND ACCESSORIESLite Touch Insulin Syringe 1 mL 29 SYRINGES AND ACCESSORIESLite Touch Insulin Syringe 1 mL 30 gauge x 7/16" SYRINGES AND ACCESSORIESLite Touch Insulin Syringe 1 mL 31 x 5/16" SYRINGES AND ACCESSORIESLite Touch Insulin Syringe 1/2 mL 28 SYRINGES AND ACCESSORIESLite Touch Insulin Syringe 1/2 mL 29 SYRINGES AND ACCESSORIESLite Touch Insulin Syringe 1/2 mL 30 SYRINGES AND ACCESSORIESLite Touch Insulin Syringe 1/2 mL 31 x 5/16" SYRINGES AND ACCESSORIESLite Touch Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Lite Touch Lancets 33 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Lite Touch Lancing Device DIABETIC SUPPLIESLite Touch-Medium Mask RESPIRATORY AIDS,DEVICES,EQUIPMENTLiteAire MDI Chamber RESPIRATORY AIDS,DEVICES,EQUIPMENTLiteTouch-Large Mask RESPIRATORY AIDS,DEVICES,EQUIPMENTLiteTouch-Small Mask RESPIRATORY AIDS,DEVICES,EQUIPMENT


DRUG NAME CATEGORYLIVE BETTER ADVANCED LANCING DIABETIC SUPPLIESL-METHYLFOLATE PNV DHA SOFTGEL PRENATAL VITAMIN PREPARATIONSLofibra 134 mg capsule LIPOTROPICSLofibra 160 mg tablet LIPOTROPICSLofibra 200 mg capsule LIPOTROPICSLofibra 54 mg tablet LIPOTROPICSLofibra 67 mg capsule LIPOTROPICSLONGS GLUCOSE 4 GRAM TAB CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)LONGS LANCETS 21G DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)LOSARTAN POTASSIUM 100 MG TAB ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONISTLOSARTAN POTASSIUM 25 MG TAB ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONISTLOSARTAN POTASSIUM 50 MG TAB ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONISTLOSARTAN-HCTZ 100-12.5 MG TAB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBLOSARTAN-HCTZ 100-25 MG TAB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBLOSARTAN-HCTZ 50-12.5 MG TAB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBLOVASTATIN 10 MG TABLET ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSLOVASTATIN 20 MG TABLET ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSLOVASTATIN 40 MG TABLET ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSMagellan Insulin Safety Syringe 0.3 mL 29 x 1/2" SYRINGES AND ACCESSORIESMagellan Insulin Safety Syringe 0.5 mL 29 x 1/2" SYRINGES AND ACCESSORIESMagellan Insulin Safety Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESMagellan Insulin Safety Syringe 1 mL 30 x 5/16" SYRINGES AND ACCESSORIESMagellan Syringe 0.3 mL 30 x 5/16" SYRINGES AND ACCESSORIESMagellan Syringe 0.5 mL 30 x 5/16" SYRINGES AND ACCESSORIESMagellan Syringe 1 mL 27 x 1/2" SYRINGES AND ACCESSORIESMAJOR COMFORT LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Marnatal-F 60 mg iron-1 mg capsule PRENATAL VITAMIN PREPARATIONSMarplan 10 mg tablet MAOIS - NON-SELECTIVE & IRREVERSIBLEMaternity 27 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSMatzim LA 180 mg tablet,extended release CALCIUM CHANNEL BLOCKING AGENTSMatzim LA 240 mg tablet,extended release CALCIUM CHANNEL BLOCKING AGENTSMatzim LA 300 mg tablet,extended release CALCIUM CHANNEL BLOCKING AGENTSMatzim LA 360 mg tablet,extended release CALCIUM CHANNEL BLOCKING AGENTSMatzim LA 420 mg tablet,extended release CALCIUM CHANNEL BLOCKING AGENTSMaxi-Comfort Insulin Syringe 1 mL 28 x 1/2" SYRINGES AND ACCESSORIESMaxi-Comfort Insulin Syringe 1/2 mL 28 x 1/2" SYRINGES AND ACCESSORIESMAXIMA CONTROL SOLUTION DIABETIC SUPPLIESMEDI-JECTOR NEEDLE-FREE SYR A NEEDLES/NEEDLELESS DEVICESMEDI-JECTOR NEEDLE-FREE SYR B NEEDLES/NEEDLELESS DEVICESMEDI-JECTOR NEEDLE-FREE SYR C NEEDLES/NEEDLELESS DEVICES


DRUG NAME CATEGORYMedi-Lance Lancets DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Medisense Controls 1-Hi 1-Lo combo pack DIABETIC SUPPLIESMedisense Mid Control solution DIABETIC SUPPLIESMEDISENSE THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Medisense Thin Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Medlance Plus Lancets 21 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Medlance Plus Lancets 25 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Medlance Plus Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)MedPoint Normal Control solution DIABETIC SUPPLIESMEIJER GLUCOSE 4 GRAM TAB CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)MEIJER LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)METAPROTERENOL 10 MG TABLET BETA-ADRENERGIC AGENTSMETAPROTERENOL 10 MG/5 ML SYR BETA-ADRENERGIC AGENTSMETAPROTERENOL 20 MG TABLET BETA-ADRENERGIC AGENTSMETFORMIN ER 1,000 MG OSM-TAB ANTIHYPERGLYCEMIC, BIGUANIDE TYPEMETFORMIN HCL 1,000 MG TABLET ANTIHYPERGLYCEMIC, BIGUANIDE TYPEMETFORMIN HCL 500 MG TABLET ANTIHYPERGLYCEMIC, BIGUANIDE TYPEMETFORMIN HCL 850 MG TABLET ANTIHYPERGLYCEMIC, BIGUANIDE TYPEMETFORMIN HCL ER 500 MG OSM-TB ANTIHYPERGLYCEMIC, BIGUANIDE TYPEMETFORMIN HCL ER 500 MG TABLET ANTIHYPERGLYCEMIC, BIGUANIDE TYPEMETFORMIN HCL ER 750 MG TABLET ANTIHYPERGLYCEMIC, BIGUANIDE TYPEMETHYLDOPA 250 MG TABLET ANTIHYPERTENSIVES, SYMPATHOLYTICMETHYLDOPA 500 MG TABLET ANTIHYPERTENSIVES, SYMPATHOLYTICMETHYLDOPA-HCTZ 250-15 MG TAB ANTIHYPERTENSIVES, SYMPATHOLYTICMETHYLDOPA-HCTZ 250-25 MG TAB ANTIHYPERTENSIVES, SYMPATHOLYTICMETOLAZONE 10 MG TABLET THIAZIDE AND RELATED DIURETICSMETOLAZONE 2.5 MG TABLET THIAZIDE AND RELATED DIURETICSMETOLAZONE 5 MG TABLET THIAZIDE AND RELATED DIURETICSMETOPROLOL SUCC ER 100 MG TAB BETA-ADRENERGIC BLOCKING AGENTSMETOPROLOL SUCC ER 200 MG TAB BETA-ADRENERGIC BLOCKING AGENTSMETOPROLOL SUCC ER 25 MG TAB BETA-ADRENERGIC BLOCKING AGENTSMETOPROLOL SUCC ER 50 MG TAB BETA-ADRENERGIC BLOCKING AGENTSMETOPROLOL TARTRATE 100 MG TAB BETA-ADRENERGIC BLOCKING AGENTSMETOPROLOL TARTRATE 25 MG TAB BETA-ADRENERGIC BLOCKING AGENTSMETOPROLOL TARTRATE 50 MG TAB BETA-ADRENERGIC BLOCKING AGENTSMETOPROLOL-HCTZ 100-25 MG TAB BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE &

RELATEDMETOPROLOL-HCTZ 100-50 MG TAB BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE &

RELATEDMETOPROLOL-HCTZ 50-25 MG TAB BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE &

RELATEDMiacalcin 200 unit/mL injection solution BONE RESORPTION INHIBITORSMicro Thin Lancets 33 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)


DRUG NAME CATEGORYMicrochamber spacer RESPIRATORY AIDS,DEVICES,EQUIPMENTMicrodot High-Low Control solution DIABETIC SUPPLIESMicrodot Normal Control solution DIABETIC SUPPLIESMicrolet 2 Lancing Device kit DIABETIC SUPPLIESMicrolet Lancet DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Microspacer RESPIRATORY AIDS,DEVICES,EQUIPMENTMini Lancing Device DIABETIC SUPPLIESMini Ultra-Thin II 31 x 3/16" needle NEEDLES/NEEDLELESS DEVICESMini Wright Peak Flow Meter RESPIRATORY AIDS,DEVICES,EQUIPMENTMiniMed Syringe Reservoir 3 mL SYRINGES AND ACCESSORIESMini-Wright Peak Flow Meter RESPIRATORY AIDS,DEVICES,EQUIPMENTMINOXIDIL 10 MG TABLET ANTIHYPERTENSIVES, VASODILATORSMINOXIDIL 2.5 MG TABLET ANTIHYPERTENSIVES, VASODILATORSMIRTAZAPINE 15 MG ODT ALPHA-2 RECEPTOR ANTAGONIST ANTIDEPRESSANTSMIRTAZAPINE 15 MG TABLET ALPHA-2 RECEPTOR ANTAGONIST ANTIDEPRESSANTSMIRTAZAPINE 30 MG TABLET ALPHA-2 RECEPTOR ANTAGONIST ANTIDEPRESSANTSMIRTAZAPINE 45 MG ODT ALPHA-2 RECEPTOR ANTAGONIST ANTIDEPRESSANTSMIRTAZAPINE 45 MG TABLET ALPHA-2 RECEPTOR ANTAGONIST ANTIDEPRESSANTSMIRTAZAPINE 7.5 MG TABLET ALPHA-2 RECEPTOR ANTAGONIST ANTIDEPRESSANTSMOEXIPRIL HCL 15 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSMOEXIPRIL HCL 7.5 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSMOEXIPRIL-HCTZ 15-12.5 MG TAB ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICMOEXIPRIL-HCTZ 15-25 MG TABLET ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICMOEXIPRIL-HCTZ 7.5-12.5 MG TAB ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICMonaghan Z Stat Anti-Static Valved Holding Chamber spacer

RESPIRATORY AIDS,DEVICES,EQUIPMENT

Monaghan Z Stat Chamber-Large Mask RESPIRATORY AIDS,DEVICES,EQUIPMENTMonaghan Z Stat Chamber-Medium Mask RESPIRATORY AIDS,DEVICES,EQUIPMENTMonaghan Z Stat Chamber-Small Mask RESPIRATORY AIDS,DEVICES,EQUIPMENTMonoject Blood Collection 20 x 1 1/2" needle NEEDLES/NEEDLELESS DEVICESMonoject Blood Collection 20 x 1" needle NEEDLES/NEEDLELESS DEVICESMonoject Blood Collection 21 x 1" needle NEEDLES/NEEDLELESS DEVICESMonoject Blood Collection 22 x 1" needle NEEDLES/NEEDLELESS DEVICESMonoject Control Syringe Luer Lock 12 mL SYRINGES AND ACCESSORIESMonoject Hypodermic Needles 22 x 1 1/2" NEEDLES/NEEDLELESS DEVICESMonoject Hypodermic Needles 22 x 1" NEEDLES/NEEDLELESS DEVICESMonoject Hypodermic Needles 23 x 1" NEEDLES/NEEDLELESS DEVICESMonoject Hypodermic Needles 23 X 1/2" NEEDLES/NEEDLELESS DEVICESMonoject Hypodermic Needles 25 x 1 1/2" NEEDLES/NEEDLELESS DEVICESMonoject Hypodermic Needles 25 x 1" NEEDLES/NEEDLELESS DEVICESMonoject Hypodermic Needles 25 x 5/8" NEEDLES/NEEDLELESS DEVICESMonoject Hypodermic Needles 26 x 1 1/2" NEEDLES/NEEDLELESS DEVICESMonoject Hypodermic Needles 27 x 1/2" NEEDLES/NEEDLELESS DEVICESMonoject Hypodermic Needles 30 x 3/4" NEEDLES/NEEDLELESS DEVICESMonoject Insulin Safety Syringe 0.3 mL 29 x 1/2" SYRINGES AND ACCESSORIES


DRUG NAME CATEGORYMonoject Insulin Safety Syringe 0.3 mL 30 x 5/16" SYRINGES AND ACCESSORIESMonoject Insulin Safety Syringe 1/2 mL 29 x 1/2" SYRINGES AND ACCESSORIESMonoject Insulin Safety Syringe 1/2 mL 30 x 5/16" SYRINGES AND ACCESSORIESMonoject Insulin Safety Syringe 29 x 1/2" SYRINGES AND ACCESSORIESMonoject Insulin Syringe 0.3 mL 29 x 1/2" SYRINGES AND ACCESSORIESMonoject Insulin Syringe 0.3 mL 30 x 5/16" SYRINGES AND ACCESSORIESMonoject Insulin Syringe 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESMonoject Insulin Syringe 1 mL SYRINGES AND ACCESSORIESMonoject Insulin Syringe 1 mL 25 x 5/8" SYRINGES AND ACCESSORIESMonoject Insulin Syringe 1 mL 27 x 1/2" SYRINGES AND ACCESSORIESMonoject Insulin Syringe 1 mL 28 x 1/2" SYRINGES AND ACCESSORIESMonoject Insulin Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESMonoject Insulin Syringe 1 mL 30 x 5/16" SYRINGES AND ACCESSORIESMonoject Insulin Syringe 1 mL 31 x 5/16" SYRINGES AND ACCESSORIESMonoject Insulin Syringe 1/2 mL 28 x 1/2" SYRINGES AND ACCESSORIESMonoject Insulin Syringe 1/2 mL 29 x 1/2" SYRINGES AND ACCESSORIESMonoject Insulin Syringe 1/2 mL 30 x 5/16" SYRINGES AND ACCESSORIESMonoject Insulin Syringe 1/2 mL 31 x 5/16" SYRINGES AND ACCESSORIESMonoject Magellan Syringe 1 mL 25 x 1" SYRINGES AND ACCESSORIESMonoject Magellan Syringe 1 mL 25 x 5/8" SYRINGES AND ACCESSORIESMonoject Magellan Syringe 3 mL 20 x 1" SYRINGES AND ACCESSORIESMonoject Pharmacy Tray Regular Tip 1 mL syringe SYRINGES AND ACCESSORIESMonoject Safety Syringes SYRINGES AND ACCESSORIESMonoject Safety Syringes 12 mL 21 x 1 1/2" SYRINGES AND ACCESSORIESMonoject Safety Syringes 3 mL 21 x 1" SYRINGES AND ACCESSORIESMonoject Safety Syringes 3 mL 22 x 1 1/2" SYRINGES AND ACCESSORIESMonoject Safety Syringes 6 mL SYRINGES AND ACCESSORIESMonoject Syringe 1/2 mL 28 SYRINGES AND ACCESSORIESMonoject Syringe 12 mL SYRINGES AND ACCESSORIESMonoject Syringe 3 mL SYRINGES AND ACCESSORIESMonoject Syringe 6 mL SYRINGES AND ACCESSORIESMonoject Syringe 6 mL 20 x 1 1/2" SYRINGES AND ACCESSORIESMonoject Syringe 6 mL 21 x 1 1/2" SYRINGES AND ACCESSORIESMonoject Syringe 6 mL 21 x 1" SYRINGES AND ACCESSORIESMonoject Syringe 6 mL 22 x 1 1/2" SYRINGES AND ACCESSORIESMonoject TB Luer Lok 1 mL syringe SYRINGES AND ACCESSORIESMonoject Tuberculin Syringe 1 mL SYRINGES AND ACCESSORIESMonoject Ultra Comfort Insulin 1/2 mL 28 syringe SYRINGES AND ACCESSORIESMonolet Lancets 21 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Monolet Thin Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)MONTELUKAST SOD 10 MG TABLET LEUKOTRIENE RECEPTOR ANTAGONISTSMONTELUKAST SOD 4 MG GRANULES Bronchial DilatorsMONTELUKAST SOD 4 MG TAB CHEW LEUKOTRIENE RECEPTOR ANTAGONISTSMONTELUKAST SOD 5 MG TAB CHEW LEUKOTRIENE RECEPTOR ANTAGONISTSMS GLUCOSE 4 GRAM TABLET CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)


DRUG NAME CATEGORYMS INS SYR 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIESMS INS SYR 1 ML 29GX1/2" SYRINGES AND ACCESSORIESMS INS SYRINGE 1 ML 30GX1/2" SYRINGES AND ACCESSORIESMS INSUL SYR 0.3 ML 31GX5/16" SYRINGES AND ACCESSORIESMS INSUL SYR 0.5 ML 30GX1/2" SYRINGES AND ACCESSORIESMS INSUL SYR 0.5 ML 31GX5/16" SYRINGES AND ACCESSORIESMS INSULIN SYR 0.3 ML 29GX1/2" SYRINGES AND ACCESSORIESMS INSULIN SYR 1 ML 31GX5/16" SYRINGES AND ACCESSORIESMS INSULIN SYRINGE 0.3 ML SYRINGES AND ACCESSORIESMS LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)MS QUICK DISSOLVE GLUCOSE TAB AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)MS SUPER THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)MS THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Multi-Lancet Device DIABETIC SUPPLIESMyglucohealth Control Solution DIABETIC SUPPLIESMyglucohealth Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Mynatal 90 mg-1 mg-50 mg tablet PRENATAL VITAMIN PREPARATIONSMynatal Advance 90 mg-1 mg-50 mg tablet PRENATAL VITAMIN PREPARATIONSMynatal Plus 65 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSMynatal-Z 65 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSMynate 90 Plus 90 mg iron-1 mg tablet,extended release PRENATAL VITAMIN PREPARATIONSNADOLOL 20 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSNADOLOL 40 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSNADOLOL 80 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSNADOLOL-BENDROFLU 40-5 MG TAB BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE &

RELATEDNADOLOL-BENDROFLU 80-5 MG TAB BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE &

RELATEDNataChew (Fe Bis-glycinate) 28 mg iron-1 mg tablet PRENATAL VITAMIN PREPARATIONSNATAFORT TABLET PRENATAL VITAMIN PREPARATIONSNATAL-V RX TABLET PRENATAL VITAMIN PREPARATIONSNatalVirt 90 DHA 90 mg iron-1 mg-50 mg-300 mg oral pack


NatalVirt CA 35 mg-1 mg-50 mg-300 mg oral pack PRENATAL VITAMIN PREPARATIONSNATEGLINIDE 120 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPENATEGLINIDE 60 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPENatelle One 28 mg-1 mg-250 mg capsule PRENATAL VITAMIN PREPARATIONSNEEDLE FREE SYRINGE KIT A NEEDLES/NEEDLELESS DEVICESNEEDLE FREE SYRINGE KIT B NEEDLES/NEEDLELESS DEVICESNEEDLE FREE SYRINGE KIT C NEEDLES/NEEDLELESS DEVICESNEEVO COMBO PACK PRENATAL VITAMIN PREPARATIONSNeevoDHA (with algal oil) 27 mg iron-1.13 mg-581.92 mg capsule


NEFAZODONE HCL 100 MG TABLET SEROTONIN-2 ANTAGONIST/REUPTAKE INHIBITORS (SARIS)NEFAZODONE HCL 150 MG TABLET SEROTONIN-2 ANTAGONIST/REUPTAKE INHIBITORS (SARIS)NEFAZODONE HCL 200 MG TABLET SEROTONIN-2 ANTAGONIST/REUPTAKE INHIBITORS (SARIS)


DRUG NAME CATEGORYNEFAZODONE HCL 250 MG TABLET SEROTONIN-2 ANTAGONIST/REUPTAKE INHIBITORS (SARIS)NEFAZODONE HCL 50 MG TABLET SEROTONIN-2 ANTAGONIST/REUPTAKE INHIBITORS (SARIS)Nesina 12.5 mg tablet ANTIHYPERGLYCEMIC, DPP-4 INHIBITORSNesina 6.25 mg tablet ANTIHYPERGLYCEMIC, DPP-4 INHIBITORSNestabs 32 mg-1,000 mcg tablet PRENATAL VITAMIN PREPARATIONSNestabs ABC 32 mg iron-1 mg-120 mg-180 mg oral pack PRENATAL VITAMIN PREPARATIONSNewGen 32 mg-1,000 mcg tablet PRENATAL VITAMIN PREPARATIONSNexa Plus 29 mg iron-1.25 mg-55 mg capsule PRENATAL VITAMIN PREPARATIONSNEXA SELECT SOFTGEL PRENATAL VITAMIN PREPARATIONSNIACIN ER 1,000 MG TABLET LIPOTROPICSNIACIN ER 500 MG TABLET LIPOTROPICSNIACIN ER 750 MG TABLET LIPOTROPICSNICARDIPINE 20 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSNICARDIPINE 30 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSNIFEDIAC CC 30 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSNIFEDIAC CC 60 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSNIFEDIAC CC 90 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSNifedical XL 30 mg tablet,extended release CALCIUM CHANNEL BLOCKING AGENTSNifedical XL 60 mg tablet,extended release CALCIUM CHANNEL BLOCKING AGENTSNIFEDIPINE 10 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSNIFEDIPINE 20 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSNIFEDIPINE ER 30 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSNIFEDIPINE ER 60 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSNIFEDIPINE ER 90 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSNIMODIPINE 30 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSNISOLDIPINE ER 17 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSNISOLDIPINE ER 20 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSNISOLDIPINE ER 25.5 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSNISOLDIPINE ER 30 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSNISOLDIPINE ER 34 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSNISOLDIPINE ER 40 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSNISOLDIPINE ER 8.5 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSNORTRIPTYLINE 10 MG/5 ML SOL TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBNORTRIPTYLINE HCL 10 MG CAP TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBNORTRIPTYLINE HCL 25 MG CAP TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBNORTRIPTYLINE HCL 50 MG CAP TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBNORTRIPTYLINE HCL 75 MG CAP TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBNova Max Glucose Control solution DIABETIC SUPPLIESNova Safety Lancets 23 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Nova Safety Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Nova Sureflex Lancets DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)NovoFine 30 30 x 1/3" needle NEEDLES/NEEDLELESS DEVICESNovofine 32 32 x 1/4" needle NEEDLES/NEEDLELESS DEVICESNovofine Autocover 30 x 1/3" needle NEEDLES/NEEDLELESS DEVICESNovoTwist 30 x 1/3" needle NEEDLES/NEEDLELESS DEVICES


DRUG NAME CATEGORYNovoTwist 32 x 1/5" needle NEEDLES/NEEDLELESS DEVICESNUTRI-TAB OB + DHA COMBO PACK PRENATAL VITAMIN PREPARATIONSNUTRI-TAB OB TABLET PRENATAL VITAMIN PREPARATIONSOB Complete 400 40 mg iron-10 mg iron capsule PRENATAL VITAMIN PREPARATIONSOB COMPLETE CHEWABLE TABLET PRENATAL VITAMIN PREPARATIONSOB Complete One 40 mg-10 mg-1 mg-300 mg capsule PRENATAL VITAMIN PREPARATIONSOB Complete Petite 35 mg iron-5 mg iron-1 mg capsule PRENATAL VITAMIN PREPARATIONSOB Complete Premier 30 mg-20 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSOB Complete With Dha 30 mg iron-10 mg iron-1 mg capsule


OB-NATAL ONE PRENATAL CAPSULE PRENATAL VITAMIN PREPARATIONSObstetrix DHA 29 mg iron-1 mg-50 mg tablet&capsule,delayed release


Oleptro ER 150 mg tablet,extended release SEROTONIN-2 ANTAGONIST/REUPTAKE INHIBITORS (SARIS)Oleptro ER 300 mg tablet,extended release SEROTONIN-2 ANTAGONIST/REUPTAKE INHIBITORS (SARIS)OMEGA-3 ETHYL ESTERS 1 GM CAP LIPOTROPICSOn Call Express Control solution DIABETIC SUPPLIESOn Call Lancet 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)On Call Plus Control solution DIABETIC SUPPLIESOn Call Plus Lancet 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)On Call Vivid Control solution DIABETIC SUPPLIESOne Touch Ultra Control solution DIABETIC SUPPLIESOne Touch Verio High Control solution DIABETIC SUPPLIESOne Touch Verio Mid Control solution DIABETIC SUPPLIESOneTouch FinePoint Lancets 25 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Onglyza 2.5 mg tablet ANTIHYPERGLYCEMIC, DPP-4 INHIBITORSOnglyza 5 mg tablet ANTIHYPERGLYCEMIC, DPP-4 INHIBITORSOn-The-Go Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Optichamber Adult Mask-Large RESPIRATORY AIDS,DEVICES,EQUIPMENTOPTICHAMBER ADVANTAGE RESPIRATORY AIDS,DEVICES,EQUIPMENTOPTICHAMBER ADV-LARGE MASK RESPIRATORY AIDS,DEVICES,EQUIPMENTOPTICHAMBER ADV-MEDIUM MASK RESPIRATORY AIDS,DEVICES,EQUIPMENTOPTICHAMBER ADV-SMALL MASK RESPIRATORY AIDS,DEVICES,EQUIPMENTOptiChamber Diamond device RESPIRATORY AIDS,DEVICES,EQUIPMENTOptichamber Diamond-Lg Msk device RESPIRATORY AIDS,DEVICES,EQUIPMENTOptiChamber Diamond-Med Msk device RESPIRATORY AIDS,DEVICES,EQUIPMENTOptiChamber Diamond-Sml Msk device RESPIRATORY AIDS,DEVICES,EQUIPMENTORSINI INSUL SYR U100 0.5 ML SYRINGES AND ACCESSORIESORSINI INSUL SYR U100 1 ML SYRINGES AND ACCESSORIESORTHO ALL-FLEX DIAPHRAGM 65MM DIAPHRAGMS/CERVICAL CAPORTHO ALL-FLEX DIAPHRAGM 70MM DIAPHRAGMS/CERVICAL CAPORTHO ALL-FLEX DIAPHRAGM 75MM DIAPHRAGMS/CERVICAL CAPORTHO ALL-FLEX DIAPHRAGM 80MM DIAPHRAGMS/CERVICAL CAPORTHO ALL-FLEX FITTING SET DIAPHRAGMS/CERVICAL CAPOseni 12.5 mg-30 mg tablet ANTIHYPERGLY,DPP-4 ENZYME INHIB &THIAZOLIDINEDIONE


DRUG NAME CATEGORYPaire OB Plus DHA 22 mg-6 mg-1 mg-200 mg oral pack PRENATAL VITAMIN PREPARATIONSParadigm Reservoir 1.8 mL SYRINGES AND ACCESSORIESParadigm Reservoir 3 mL SYRINGES AND ACCESSORIESParaGard T 380A 380 square mm intrauterine device INTRA-UTERINE DEVICES (IUDS)PAROXETINE CR 12.5 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)PAROXETINE CR 25 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)PAROXETINE CR 37.5 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)PAROXETINE ER 37.5 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)PAROXETINE HCL 10 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)PAROXETINE HCL 20 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)PAROXETINE HCL 30 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)PAROXETINE HCL 40 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)Paxil 10 mg/5 mL oral suspension SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)Pen Needle 29 gauge NEEDLES/NEEDLELESS DEVICESPen Needle 29 x 1/2" NEEDLES/NEEDLELESS DEVICESPen Needle 30 X 5/16" NEEDLES/NEEDLELESS DEVICESPen Needle 31 X 1/4" NEEDLES/NEEDLELESS DEVICESPen Needle 31 x 3/16" NEEDLES/NEEDLELESS DEVICESPen Needle 31 X 5/16" NEEDLES/NEEDLELESS DEVICESPen Needle 32 x 5/32" NEEDLES/NEEDLELESS DEVICESPEN NEEDLES 12MM 29G NEEDLES/NEEDLELESS DEVICESPEN NEEDLES 6MM 31G NEEDLES/NEEDLELESS DEVICESPEN NEEDLES 8MM 31G NEEDLES/NEEDLELESS DEVICESPerforomist 20 mcg/2 mL solution for nebulization BETA-ADRENERGIC AGENTSPERINDOPRIL ERBUMINE 2 MG TAB ANTIHYPERTENSIVES, ACE INHIBITORSPERINDOPRIL ERBUMINE 4 MG TAB ANTIHYPERTENSIVES, ACE INHIBITORSPERINDOPRIL ERBUMINE 8 MG TAB ANTIHYPERTENSIVES, ACE INHIBITORSPHARMACIST CHOICE 30G LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)PHARMACIST CHOICE 33G LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)PhaSeal Protector 13 mm device NEEDLES/NEEDLELESS DEVICESPhaSeal Protector 20 mm device NEEDLES/NEEDLELESS DEVICESPhaSeal Protector 28 mm device NEEDLES/NEEDLELESS DEVICESPHENELZINE SULFATE 15 MG TAB MAOIS - NON-SELECTIVE & IRREVERSIBLEPINDOLOL 10 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSPINDOLOL 5 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSPIOGLITAZ-GLIMEPIR 30-2 MG TAB ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE &

SULFONYLUREAPIOGLITAZ-GLIMEPIR 30-4 MG TAB ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE &

SULFONYLUREAPIOGLITAZONE HCL 15 MG TABLET ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE(PPARG

AGONIST)PIOGLITAZONE HCL 30 MG TABLET ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE(PPARG

AGONIST)PIOGLITAZONE HCL 45 MG TABLET ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE(PPARG

AGONIST)PIOGLITAZONE-METFORMIN 15-500 ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE & BIGUANIDE


DRUG NAME CATEGORYPIOGLITAZONE-METFORMIN 15-850 ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE & BIGUANIDEPNV 29-1 29 mg iron-1 mg tablet PRENATAL VITAMIN PREPARATIONSPNV Folic Acid + Iron 27 mg iron-1 mg tablet PRENATAL VITAMIN PREPARATIONSPNV OB+DHA 27 mg-1 mg-50 mg-250 mg oral pack PRENATAL VITAMIN PREPARATIONSPNV-DHA + Docusate 27 mg-1.25 mg-55 mg-300 mg capsule


PNV-DHA 27 mg-1 mg-300 mg capsule PRENATAL VITAMIN PREPARATIONSPNV-Ferrous Fumarate 29 mg-Docu 25 mg-FA 1 mg tablet PRENATAL VITAMIN PREPARATIONSPNV-FIRST SOFTGEL PRENATAL VITAMIN PREPARATIONSPNV-Omega 28 mg-1 mg-300 mg capsule PRENATAL VITAMIN PREPARATIONSPNV-Select 27 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSPNV-Total 35 mg-5 mg-1.2 mg-400 mg capsule PRENATAL VITAMIN PREPARATIONSPOCKET CHAMBER spacer RESPIRATORY AIDS,DEVICES,EQUIPMENTPR Natal 400 29 mg-1 mg-400 mg oral pack PRENATAL VITAMIN PREPARATIONSPR Natal 400 EC 29 mg-1 mg-400 mg tablet&capsule,delayed release


PR Natal 430 29 mg-1 mg-430 mg oral pack PRENATAL VITAMIN PREPARATIONSPR Natal 430 EC 29 mg-1 mg-430 mg tablet&capsule,delayed release


Pradaxa 150 mg capsule THROMBIN INHIBITORS,SELECTIVE,DIRECT, & REVERSIBLEPradaxa 75 mg capsule THROMBIN INHIBITORS,SELECTIVE,DIRECT, & REVERSIBLEPRAVASTATIN SODIUM 10 MG TAB ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSPRAVASTATIN SODIUM 20 MG TAB ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSPRAVASTATIN SODIUM 40 MG TAB ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSPRAVASTATIN SODIUM 80 MG TAB ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSPrecision Glucose Control Soln combo pack DIABETIC SUPPLIESPREF PLUS SYR 0.5 ML 30GX5/16" SYRINGES AND ACCESSORIESPREF PLUS SYRING 1 ML 29GX1/2" SYRINGES AND ACCESSORIESPREFERRED PLUS 0.3 ML 30GX5/16 SYRINGES AND ACCESSORIESPREFERRED PLUS 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIESPREFERRED PLUS COLORED LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)PREFERRED PLUS GLUCOSE TAB CHW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)PREFERRED PLUS LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)PREFERRED PLUS SYRINGE 0.3 ML SYRINGES AND ACCESSORIESPREFERRED PLUS SYRINGE 0.5 ML SYRINGES AND ACCESSORIESPREFERRED PLUS SYRINGE 1 ML SYRINGES AND ACCESSORIESPREFERRED PLUS THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)PreFol-DHA 26 mg-1.2 mg-55 mg-300 mg capsule PRENATAL VITAMIN PREPARATIONSPREFPLS INS SYR 1 ML 30GX5/16" SYRINGES AND ACCESSORIESPRENA1 CHEW TABLET PRENATAL VITAMIN PREPARATIONSPrena1 Pearl 30 mg-1.4 mg-200 mg capsule,immediate & delay release


PRENA1 PLUS COMBO PACK PRENATAL VITAMIN PREPARATIONSPRENA1 SOFTGEL PRENATAL VITAMIN PREPARATIONSPrenaissance 29 mg-1.25 mg-55 mg-325 mg capsule PRENATAL VITAMIN PREPARATIONS


DRUG NAME CATEGORYPrenaissance 90 DHA 90 mg iron-1 mg-50 mg-300 mg oral pack


Prenaissance Balance 30 mg iron-1 mg-50 mg-260 mg capsule


Prenaissance DHA 27 mg-1 mg-50 mg-250 mg oral pack PRENATAL VITAMIN PREPARATIONSPRENAISSANCE DHA HARMONY CMBPK PRENATAL VITAMIN PREPARATIONSPRENAISSANCE HARMONY DHA CMBPK PRENATAL VITAMIN PREPARATIONSPrenaissance Next-B 1.22 mg-42 mg-124.23 mg tablet PRENATAL VITAMINS WITHOUT IRONPrenaissance Promise 35 mg-1 mg-50 mg-300 mg oral pack


PrenaPlus 27 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSPreNata 29 mg iron-1 mg chewable tablet PRENATAL VITAMIN PREPARATIONSPrenatal 19 (with docusate) 29 mg iron-1 mg-25 mg tablet PRENATAL VITAMIN PREPARATIONSPrenatal 19 29 mg iron-1 mg chewable tablet PRENATAL VITAMIN PREPARATIONSPrenatal AD 90 mg-1 mg-50 mg tablet PRENATAL VITAMIN PREPARATIONSPrenatal Low Iron 27 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSPRENATAL MV & MIN CAPSULE PRENATAL VITAMIN PREPARATIONSPrenatal Plus (calcium carbonate) 27 mg iron-1 mg tablet PRENATAL VITAMIN PREPARATIONSPrenatal Plus 29 mg iron-1 mg tablet PRENATAL VITAMIN PREPARATIONSPRENATAL PLUS IRON TABLET PRENATAL VITAMIN PREPARATIONSPrenatal Vitamins with Low Iron 27 mg iron-1 mg tablet PRENATAL VITAMIN PREPARATIONSPrenatal-U 106.5 mg-1 mg capsule PRENATAL VITAMIN PREPARATIONSPrenate AM 1 mg-500 mg tablet PRENATAL VITAMIN PREPARATIONSPrenate Chewable 1 mg tablet PRENATAL VITAMIN PREPARATIONSPRENATE DHA SOFTGEL PRENATAL VITAMIN PREPARATIONSPrenate Elite 26 mg iron-1 mg tablet PRENATAL VITAMIN PREPARATIONSPrenate Enhance 28 mg iron-1 mg-400 mg capsule PRENATAL VITAMIN PREPARATIONSPrenate Essential 29 mg iron-1 mg-300 mg capsule PRENATAL VITAMIN PREPARATIONSPrenate Mini 29 mg iron-1 mg-350 mg capsule PRENATAL VITAMIN PREPARATIONSPrenate Restore 27 mg iron-1 mg-400 mg capsule PRENATAL VITAMIN PREPARATIONSPrePlus 27 mg iron-1 mg tablet PRENATAL VITAMIN PREPARATIONSPreQue 10 15 mg iron-0.5 mg-25 mg tablet PRENATAL VITAMIN PREPARATIONSPressure Activated Lancets 21 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Pressure Activated Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)PreTAB 29 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSPrevalite 4 gram powder for susp in a packet BILE SALT SEQUESTRANTSPrimeAire spacer RESPIRATORY AIDS,DEVICES,EQUIPMENTPristiq 100 mg tablet,extended release SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)Pristiq 50 mg tablet,extended release SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)ProAir HFA 90 mcg/actuation aerosol inhaler BETA-ADRENERGIC AGENTSProChamber RESPIRATORY AIDS,DEVICES,EQUIPMENTProdigy Autocode Meter kit DIABETIC SUPPLIESPRODIGY AUTOCODE PRO METER KIT DIABETIC SUPPLIESPRODIGY AUTOCODE TEST STRIPS BLOOD SUGAR DIAGNOSTICSProdigy Control Solution, Low DIABETIC SUPPLIESProdigy Control Solution,High DIABETIC SUPPLIES


DRUG NAME CATEGORYProdigy Insulin Syringe 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESProdigy Insulin Syringe 1 mL 28 x 1/2" SYRINGES AND ACCESSORIESProdigy Insulin Syringe 1/2 mL 31 x 5/16" SYRINGES AND ACCESSORIESProdigy Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Prodigy Lancing Device DIABETIC SUPPLIESPRODIGY MINI PEN NDL 31GX3/16" NEEDLES/NEEDLELESS DEVICESProdigy No Coding strips BLOOD SUGAR DIAGNOSTICSPRODIGY PEN NEEDLE 29GX1/2" NEEDLES/NEEDLELESS DEVICESPRODIGY PEN NEEDLE 31GX5/16" NEEDLES/NEEDLELESS DEVICESProdigy Pocket Meter kit DIABETIC SUPPLIESPRODIGY POCKET PRO METER KIT DIABETIC SUPPLIESPRODIGY SYRNG 1 ML 29GX1/2" SYRINGES AND ACCESSORIESProdigy Twist Top Lancet 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Prodigy Voice Glucose Meter kit DIABETIC SUPPLIESPRODIGY VOICE PRO METER KIT DIABETIC SUPPLIESProglycem 50 mg/mL oral suspension AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)PROPRANOLOL 10 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSPROPRANOLOL 20 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSPROPRANOLOL 20 MG/5 ML SOLN BETA-ADRENERGIC BLOCKING AGENTSPROPRANOLOL 40 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSPROPRANOLOL 40 MG/5 ML SOLN BETA-ADRENERGIC BLOCKING AGENTSPROPRANOLOL 60 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSPROPRANOLOL 80 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSPROPRANOLOL ER 120 MG CAPSULE BETA-ADRENERGIC BLOCKING AGENTSPROPRANOLOL ER 160 MG CAPSULE BETA-ADRENERGIC BLOCKING AGENTSPROPRANOLOL ER 60 MG CAPSULE BETA-ADRENERGIC BLOCKING AGENTSPROPRANOLOL ER 80 MG CAPSULE BETA-ADRENERGIC BLOCKING AGENTSPROPRANOLOL-HCTZ 40-25 MG TAB BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE &

RELATEDPROPRANOLOL-HCTZ 80-25 MG TAB BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE &

RELATEDPROTECT NATAL TABLET PRENATAL VITAMIN PREPARATIONSPROTRIPTYLINE HCL 10 MG TABLET TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBPROTRIPTYLINE HCL 5 MG TABLET TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBProventil HFA 90 mcg/actuation aerosol inhaler BETA-ADRENERGIC AGENTSProvida OB 40 mg iron-1.25 mg capsule PRENATAL VITAMIN PREPARATIONSPUB 28G LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)PUB GLUCOSE 4 GRAM TABLET CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)PUB INS SYRIN 0.3 ML 30GX1/2" SYRINGES AND ACCESSORIESPUB INS SYRINGE 1 ML 30GX1/2" SYRINGES AND ACCESSORIESPUB INSUL SYR 0.3 ML 31GX5/16" SYRINGES AND ACCESSORIESPUB INSUL SYR 0.5 ML 30GX1/2" SYRINGES AND ACCESSORIESPUB INSUL SYR 0.5 ML 31GX5/16" SYRINGES AND ACCESSORIESPUB INSULIN SYR 1 ML 31GX5/16" SYRINGES AND ACCESSORIESPulmicort Flexhaler 180 mcg/actuation breath activated GLUCOCORTICOIDS, ORALLY INHALED


DRUG NAME CATEGORYPulmicort Flexhaler 90 mcg/actuation breath activated GLUCOCORTICOIDS, ORALLY INHALEDPureFe OB Plus 106 mg iron-1 mg capsule PRENATAL VITAMIN PREPARATIONSPureFe Plus 106 mg iron-1 mg capsule PRENATAL VITAMIN PREPARATIONSPV GLUCOSE 4 GRAM TABLET CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)PV INSUL SYR 0.3 ML 31GX5/16" SYRINGES AND ACCESSORIESPV INSUL SYR 0.5 ML 31GX5/16" SYRINGES AND ACCESSORIESPV INSULIN SYR 1 ML 31GX5/16" SYRINGES AND ACCESSORIESPV LANCING DEVICE DIABETIC SUPPLIESPV PEN NEEDLES 12MM 29G NEEDLES/NEEDLELESS DEVICESPV PEN NEEDLES 6MM 31G NEEDLES/NEEDLELESS DEVICESPV PEN NEEDLES 8MM 31G NEEDLES/NEEDLELESS DEVICESQC AUTOLET LANCING DEVICE DIABETIC SUPPLIESQC INSUL SYR 0.5 ML 31GX5/16" SYRINGES AND ACCESSORIESQC INSULIN SYR 1 ML 31GX5/16" SYRINGES AND ACCESSORIESQC INSULIN SYRINGE 0.3 ML SYRINGES AND ACCESSORIESQC INSULIN SYRINGE 0.5 ML SYRINGES AND ACCESSORIESQC INSULIN SYRINGE 1 ML SYRINGES AND ACCESSORIESQC UNIFINE PENTIP 12MM 29G NEEDLES/NEEDLELESS DEVICESQC UNIFINE PENTIP 6MM 31G NEEDLES/NEEDLELESS DEVICESQC UNIFINE PENTIP 8MM 31G NEEDLES/NEEDLELESS DEVICESQ-TABS 1 MG TABLET FOLIC ACID PREPARATIONSQuestran 4 gram powder for susp in a packet BILE SALT SEQUESTRANTSQUESTRAN LIGHT PACKET BILE SALT SEQUESTRANTSQUINAPRIL 10 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSQUINAPRIL 20 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSQUINAPRIL 40 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSQUINAPRIL 5 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSQUINAPRIL-HCTZ 10-12.5 MG TAB ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICQUINAPRIL-HCTZ 20-12.5 MG TAB ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICQUINAPRIL-HCTZ 20-25 MG TAB ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKE DIURETICQvar 40 mcg/actuation Metered Aerosol oral inhaler GLUCOCORTICOIDS, ORALLY INHALEDQvar 80 mcg/actuation Metered Aerosol oral inhaler GLUCOCORTICOIDS, ORALLY INHALEDRA GLUCOSE 4 GRAM TABLET CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)RA HEALTH CARE LANCING DEVICE DIABETIC SUPPLIESRA INS SYR 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIESRA INS SYR 0.5 ML 30GX5/16" SYRINGES AND ACCESSORIESRA INS SYR 1 ML 29GX1/2" SYRINGES AND ACCESSORIESRA INS SYRINGE 1 ML 30GX5/16" SYRINGES AND ACCESSORIESRALOXIFENE HCL 60 MG TABLET BONE RESORPTION INHIBITORSRAMIPRIL 1.25 MG CAPSULE ANTIHYPERTENSIVES, ACE INHIBITORSRAMIPRIL 10 MG CAPSULE ANTIHYPERTENSIVES, ACE INHIBITORSRAMIPRIL 2.5 MG CAPSULE ANTIHYPERTENSIVES, ACE INHIBITORSRAMIPRIL 5 MG CAPSULE ANTIHYPERTENSIVES, ACE INHIBITORSREAPHIRM CAPSULE PRENATAL VITAMIN PREPARATIONSRefuah Plus Glucose Control solution DIABETIC SUPPLIES


DRUG NAME CATEGORYReliaMed Lancet 23 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)ReliaMed Lancet 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)ReliaMed Lancet 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)RELIAMED LANCING DEVICE DIABETIC SUPPLIESReliaMed Safety Seal Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)ReliaMed Safety Seal Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)ReliaMed Twist & Cap Lancet 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)RELI-ON GLUCOSE 4 GRAM TAB CHW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)RELION INS SYR 0.3 ML 29GX1/2" SYRINGES AND ACCESSORIESRELION INS SYR 0.3 ML 30GX5/16 SYRINGES AND ACCESSORIESRELION INS SYR 1 ML 29GX1/2" SYRINGES AND ACCESSORIESRELION INS SYR 1 ML 30GX5/16" SYRINGES AND ACCESSORIESRELION INS SYR 1 ML 31GX5/16" SYRINGES AND ACCESSORIESRELI-ON INSULIN 0.3 ML SYR SYRINGES AND ACCESSORIESRELI-ON INSULIN 0.5 ML SYR SYRINGES AND ACCESSORIESRELI-ON INSULIN 1 ML SYR SYRINGES AND ACCESSORIESRELION INSULIN SYR 0.3 ML SYRINGES AND ACCESSORIESRELION INSULIN SYR 0.5 ML SYRINGES AND ACCESSORIESRELION LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)RELION LANCING DEVICE DIABETIC SUPPLIESReliOn Needles 31 X 1/4" NEEDLES/NEEDLELESS DEVICESRELION PEN 31G X 5/16" NEEDLE NEEDLES/NEEDLELESS DEVICESReliOn Pen Needles 32 x 5/32" NEEDLES/NEEDLELESS DEVICESRELION SYR 0.5 ML 30GX5/16" SYRINGES AND ACCESSORIESRELION SYRING 0.3 ML 31GX5/16" SYRINGES AND ACCESSORIESRELION SYRING 0.5 ML 31GX5/16" SYRINGES AND ACCESSORIESRELION THIN 26G LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)RELION THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)ReliOn Thin Lancets 26 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)ReliOn Ultra Thin Plus Lancets DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Relnate DHA 28 mg-1 mg-200 mg capsule PRENATAL VITAMIN PREPARATIONSRENEW ADVANCED LANCING SYSTEM DIABETIC SUPPLIESRENEW ADVANCED MICRO-LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)REPAGLINIDE 0.5 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEREPAGLINIDE 1 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPEREPAGLINIDE 2 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPERightest Control Solution High DIABETIC SUPPLIESRightest Control Solution Normal DIABETIC SUPPLIESRightest GC250S Control Solution Normal DIABETIC SUPPLIESRightest GD500 Lancing Device DIABETIC SUPPLIESRightest GL300 Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)RightSource Blood Glucose Meter DIABETIC SUPPLIESRIOMET 500 mg/5 mL oral solution ANTIHYPERGLYCEMIC, BIGUANIDE TYPERISEDRONATE SODIUM 150 MG TAB BONE RESORPTION INHIBITORSRiteFlo Aerochamber RESPIRATORY AIDS,DEVICES,EQUIPMENT


DRUG NAME CATEGORYR-Natal OB 20 mg iron-1 mg-320 mg capsule PRENATAL VITAMIN PREPARATIONSSafeSnap Insulin Syringe 0.3 mL 30 x 5/16" SYRINGES AND ACCESSORIESSafeSnap Insulin Syringe 0.5 mL 29 x 1/2" SYRINGES AND ACCESSORIESSafeSnap Insulin Syringe 0.5 mL 30 x 5/16" SYRINGES AND ACCESSORIESSafeSnap Insulin Syringe 1 mL 28 x 1/2" SYRINGES AND ACCESSORIESSafeSnap Insulin Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESSafety Lancets 21 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Safety Lancets 26 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Safety Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Safety Seal Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Safety Seal Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Safety-Let Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)SAPS CARE 30G LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)SB INS SYR 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIESSB INS SYR 0.5 ML 30GX5/16" SYRINGES AND ACCESSORIESSB INS SYR 1 ML 29GX1/2" SYRINGES AND ACCESSORIESSB INS SYRINGE 1 ML 30GX5/16" SYRINGES AND ACCESSORIESSB INSULIN SYR 1 ML 31GX5/16" SYRINGES AND ACCESSORIESSB INSULN SYR 0.5 ML 30GX5/16" SYRINGES AND ACCESSORIESSCHNUCKS SYR 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIESSCHNUCKS SYR 0.5 ML 30GX5/16" SYRINGES AND ACCESSORIESSelect-OB 29 mg iron-1 mg chewable tablet PRENATAL VITAMIN PREPARATIONSSe-Natal 19 (with docusate) 29 mg iron-1 mg-25 mg tablet PRENATAL VITAMIN PREPARATIONSSe-Natal 19 29 mg iron-1 mg chewable tablet PRENATAL VITAMIN PREPARATIONSSerevent Diskus 50 mcg/dose powder for inhalation BETA-ADRENERGIC AGENTSSERTRALINE 20 MG/ML ORAL CONC SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)SERTRALINE HCL 100 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)SERTRALINE HCL 25 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)SERTRALINE HCL 50 MG TABLET SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)Se-Tan DHA 30 mg-1 mg-310.1 mg capsule PRENATAL VITAMIN PREPARATIONSSetonET 29 mg-1 mg-430 mg oral pack PRENATAL VITAMIN PREPARATIONSSetonet-EC 29 mg-1 mg-430 mg tablet&capsule,delayed release


Sidekick Blood Glucose System kit DIABETIC SUPPLIESSilicone Mask - Infant RESPIRATORY AIDS,DEVICES,EQUIPMENTSIMPLE DIAGNSTIC LANCET DEVICE DIABETIC SUPPLIESSIMVASTATIN 10 MG TABLET ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSSIMVASTATIN 20 MG TABLET ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSSIMVASTATIN 40 MG TABLET ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSSIMVASTATIN 5 MG TABLET ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSSIMVASTATIN 80 MG TABLET ANTIHYPERLIPIDEMIC - HMG COA REDUCTASE INHIBITORSSingle-Let misc DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)SM COLORED LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)SM GLUCOSE 4 GRAM TAB CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)SM INS SYR 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIES


DRUG NAME CATEGORYSM INS SYR 0.5 ML 30GX5/16" SYRINGES AND ACCESSORIESSM INS SYR 1 ML 29GX1/2" SYRINGES AND ACCESSORIESSM INS SYRING 0.3 ML 30GX5/16" SYRINGES AND ACCESSORIESSM INS SYRINGE 1 ML 28GX1/2" SYRINGES AND ACCESSORIESSM INS SYRINGE 1 ML 30GX5/16" SYRINGES AND ACCESSORIESSM INSUL SYR 0.3 ML 31GX5/16" SYRINGES AND ACCESSORIESSM INSUL SYR 0.5 ML 31GX5/16" SYRINGES AND ACCESSORIESSM INSULIN SYR 0.3 ML 29GX1/2" SYRINGES AND ACCESSORIESSM INSULIN SYR 0.5 ML 28GX1/2" SYRINGES AND ACCESSORIESSM INSULIN SYR 1 ML 31GX5/16" SYRINGES AND ACCESSORIESSM LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)SM LANCETS 21G DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)SM THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)SMART SENSE GLUCOSE 4 GRAM TAB AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)Smart Sense Lancets 21 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Smart Sense Lancets 26 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Smart Sense Lancets 33 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)SmartDiabetes Vantage 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Smartest Control solution DIABETIC SUPPLIESSmartest Lancet DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)SMS Glucose Control solution DIABETIC SUPPLIESSoft Touch Lancets DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Soltamox 10 mg/5 mL oral solution SELECTIVE ESTROGEN RECEPTOR MODULATORS (SERMS)Solus V2 Control Solution, Low DIABETIC SUPPLIESSolus V2 Control Solution,High DIABETIC SUPPLIESSolus V2 Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Solus V2 Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Solus V2 Lancing Device kit DIABETIC SUPPLIESSorine 120 mg tablet BETA-ADRENERGIC BLOCKING AGENTSSorine 160 mg tablet BETA-ADRENERGIC BLOCKING AGENTSSorine 240 mg tablet BETA-ADRENERGIC BLOCKING AGENTSSorine 80 mg tablet BETA-ADRENERGIC BLOCKING AGENTSSOTALOL 120 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSSOTALOL 160 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSSOTALOL 240 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSSOTALOL 80 MG TABLET BETA-ADRENERGIC BLOCKING AGENTSSotalol AF 120 mg tablet BETA-ADRENERGIC BLOCKING AGENTSSotalol AF 160 mg tablet BETA-ADRENERGIC BLOCKING AGENTSSotalol AF 80 mg tablet BETA-ADRENERGIC BLOCKING AGENTSSpace Chamber Plus RESPIRATORY AIDS,DEVICES,EQUIPMENTSpiriva with HandiHaler 18 mcg & inhalation capsules GENERAL BRONCHODILATOR AGENTSSPIRONOLACTONE 100 MG TABLET POTASSIUM SPARING DIURETICSSPIRONOLACTONE 25 MG TABLET POTASSIUM SPARING DIURETICSSPIRONOLACTONE 50 MG TABLET POTASSIUM SPARING DIURETICSSPIRONOLACTONE-HCTZ 25-25 TAB POTASSIUM SPARING DIURETICS IN COMBINATION


DRUG NAME CATEGORYSterilance TL 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Sterilance TL 32 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Super Thin Lancets DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Super Thin Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Super Thin Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Super Thin Lancets 33 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Sure Comfort Insulin Syringe 0.3 mL 29 x 1/2" SYRINGES AND ACCESSORIESSure Comfort Insulin Syringe 0.3 mL 30 x 1/2" SYRINGES AND ACCESSORIESSure Comfort Insulin Syringe 0.3 mL 30 x 5/16" SYRINGES AND ACCESSORIESSure Comfort Insulin Syringe 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESSure Comfort Insulin Syringe 1 mL 28 x 1/2" SYRINGES AND ACCESSORIESSure Comfort Insulin Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESSure Comfort Insulin Syringe 1 mL 30 x 1/2" SYRINGES AND ACCESSORIESSure Comfort Insulin Syringe 1 mL 30 x 5/16" SYRINGES AND ACCESSORIESSure Comfort Insulin Syringe 1 mL 31 x 5/16" SYRINGES AND ACCESSORIESSure Comfort Insulin Syringe 1/2 mL 28 x 1/2" SYRINGES AND ACCESSORIESSure Comfort Insulin Syringe 1/2 mL 30 x 1/2" SYRINGES AND ACCESSORIESSure Comfort Insulin Syringe 1/2 mL 30 x 5/16" SYRINGES AND ACCESSORIESSure Comfort Insulin Syringe 1/2 mL 31 x 5/16" SYRINGES AND ACCESSORIESSure Comfort Insulin Syringe U-100 1/2 mL 29 x 1/2" SYRINGES AND ACCESSORIESSure Comfort Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Sure Comfort Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Sure Comfort Lancing Pen DIABETIC SUPPLIESSure Comfort Pen Needle 29 x 1/2" NEEDLES/NEEDLELESS DEVICESSure Comfort Pen Needle 30 X 5/16" NEEDLES/NEEDLELESS DEVICESSure Comfort Pen Needle 31 x 3/16" NEEDLES/NEEDLELESS DEVICESSure Comfort Pen Needle 31 X 5/16" NEEDLES/NEEDLELESS DEVICESSure Comfort Pen Needle 32 x 5/32" NEEDLES/NEEDLELESS DEVICESSure Edge Control High solution DIABETIC SUPPLIESSure Edge Control Low solution DIABETIC SUPPLIESSure Edge Control Normal solution DIABETIC SUPPLIESSureChek Glucose Control solution DIABETIC SUPPLIESSure-Fine Pen Needles 29 x 1/2" NEEDLES/NEEDLELESS DEVICESSure-Fine Pen Needles 31 x 3/16" NEEDLES/NEEDLELESS DEVICESSure-Fine Pen Needles 31 X 5/16" NEEDLES/NEEDLELESS DEVICESSureflex Lancing Device DIABETIC SUPPLIESSureflex Lancing Device with Lancets kit DIABETIC SUPPLIESSure-Ject Insulin Syringe 0.3 mL 29 x 1/2" SYRINGES AND ACCESSORIESSure-Ject Insulin Syringe 0.3 mL 30 x 5/16" SYRINGES AND ACCESSORIESSure-Ject Insulin Syringe 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESSure-Ject Insulin Syringe 1 mL 28 x 1/2" SYRINGES AND ACCESSORIESSure-Ject Insulin Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESSure-Ject Insulin Syringe 1 mL 30 x 5/16" SYRINGES AND ACCESSORIESSure-Ject Insulin Syringe 1 mL 31 x 5/16" SYRINGES AND ACCESSORIESSure-Ject Insulin Syringe 1/2 mL 28 x 1/2" SYRINGES AND ACCESSORIES


DRUG NAME CATEGORYSure-Ject Insulin Syringe 1/2 mL 29 x 1/2" SYRINGES AND ACCESSORIESSure-Ject Insulin Syringe 1/2 mL 30 x 5/16" SYRINGES AND ACCESSORIESSure-Ject Insulin Syringe 1/2 mL 31 x 5/16" SYRINGES AND ACCESSORIESSure-Lance DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Sure-Lance 26 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Sure-Lance 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Sure-Lance Ultra Thin 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Sure-Pen Lancing Device DIABETIC SUPPLIESSureStep Glucose Control solution DIABETIC SUPPLIESSure-Touch Lancet DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)SurGuard2 Safety 1 mL 25 x 5/8" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 1 mL 26 x 3/8" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 1 mL 27 x 1/2" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 10 mL 20 x 1 1/2" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 10 mL 20 X 1" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 10 mL 21 x 1 1/2" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 18 x 1 1/2" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 18 X 1" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 19 x 1 1/2" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 19 X 1" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 20 x 1 1/2" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 20 X 1" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 21 x 1 1/2" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 21 x 1" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 22 x 1 1/2" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 22 x 1" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 23 x 1 1/2" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 23 x 1" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 25 x 1 1/2" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 25 X 1" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 25 x 5/8" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 26 x 1/2" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 27 x 1/2" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 3 mL 20 x 1 1/2" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 3 mL 20 x 1" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 3 mL 21 x 1 1/2" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 3 mL 21 x 1" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 3 mL 22 x 1 1/2" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 3 mL 22 x 1" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 3 mL 23 x 1" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 3 mL 25 x 1" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 3 mL 25 x 5/8" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 30 x 1 1/2" needle NEEDLES/NEEDLELESS DEVICESSurGuard2 Safety 5 mL 20 x 1 1/2" syringe SYRINGES AND ACCESSORIESSurGuard2 Safety 5 mL 20 X 1" syringe SYRINGES AND ACCESSORIES


DRUG NAME CATEGORYSurGuard2 Safety 5 mL 21 x 1 1/2" syringe SYRINGES AND ACCESSORIESSurmontil 100 mg capsule TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBSurmontil 25 mg capsule TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBSurmontil 50 mg capsule TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBSymlinPen 120 2,700 mcg/2.7 mL subcutaneous pen injector

ANTIHYPERGLYCEMIC, AMYLIN ANALOG-TYPE

SymlinPen 60 1,500 mcg/1.5 mL subcutaneous pen injector

ANTIHYPERGLYCEMIC, AMYLIN ANALOG-TYPE

TAMOXIFEN 10 MG TABLET SELECTIVE ESTROGEN RECEPTOR MODULATORS (SERMS)TAMOXIFEN 20 MG TABLET SELECTIVE ESTROGEN RECEPTOR MODULATORS (SERMS)Tarka 1 mg-240 mg tablet,extended release ACE INHIBITOR/CALCIUM CHANNEL BLOCKER

COMBINATIONTarka 2 mg-180 mg tablet,extended release ACE INHIBITOR/CALCIUM CHANNEL BLOCKER



COMBINATIONTaron-Bc 20 mg iron-1 mg-25 mg/25 mg tablets PRENATAL VITAMIN PREPARATIONSTaron-C DHA 35 mg-1 mg-200 mg capsule PRENATAL VITAMIN PREPARATIONSTARON-DUO EC COMB PACK PRENATAL VITAMIN PREPARATIONSTaron-Prex Prenatal-DHA 30 mg iron-1.2 mg-55 mg-265mg capsule


Taztia XT 120 mg capsule,extended release CALCIUM CHANNEL BLOCKING AGENTSTaztia XT 180 mg capsule,extended release CALCIUM CHANNEL BLOCKING AGENTSTaztia XT 240 mg capsule,extended release CALCIUM CHANNEL BLOCKING AGENTSTaztia XT 300 mg capsule,extended release CALCIUM CHANNEL BLOCKING AGENTSTaztia XT 360 mg capsule,extended release CALCIUM CHANNEL BLOCKING AGENTSTD Gold Level 1 Control solution DIABETIC SUPPLIESTd Gold Level 2 Control solution DIABETIC SUPPLIESTD Gold Level 3 Control solution DIABETIC SUPPLIESTechLITE Lancets 25 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)TechLITE Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)TechLITE Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Tekamlo 150 mg-10 mg tablet RENIN INHIBITOR, DIRECT & CALCIUM CHANNEL BLOCKERTekamlo 150 mg-5 mg tablet RENIN INHIBITOR, DIRECT & CALCIUM CHANNEL BLOCKERTekamlo 300 mg-10 mg tablet RENIN INHIBITOR, DIRECT & CALCIUM CHANNEL BLOCKERTekamlo 300 mg-5 mg tablet RENIN INHIBITOR, DIRECT & CALCIUM CHANNEL BLOCKERTekturna 150 mg tablet RENIN INHIBITOR, DIRECTTekturna 300 mg tablet RENIN INHIBITOR, DIRECTTekturna HCT 150 mg-12.5 mg tablet RENIN INHIBITOR,DIRECT AND THIAZIDE DIURETIC COMBTekturna HCT 150 mg-25 mg tablet RENIN INHIBITOR,DIRECT AND THIAZIDE DIURETIC COMBTekturna HCT 300 mg-12.5 mg tablet RENIN INHIBITOR,DIRECT AND THIAZIDE DIURETIC COMBTekturna HCT 300 mg-25 mg tablet RENIN INHIBITOR,DIRECT AND THIAZIDE DIURETIC COMBTelcare Control solution DIABETIC SUPPLIESTelcare Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)


DRUG NAME CATEGORYTELMISARTAN 20 MG TABLET ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONISTTELMISARTAN 40 MG TABLET ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONISTTELMISARTAN 80 MG TABLET ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONISTTELMISARTAN-AMLODIPINE 40-10 ANGIOTENSIN RECEPTOR ANTGNST & CALC.CHANNEL

BLOCKRTELMISARTAN-AMLODIPINE 40-5 MG ANGIOTENSIN RECEPTOR ANTGNST & CALC.CHANNEL

BLOCKRTELMISARTAN-AMLODIPINE 80-10 ANGIOTENSIN RECEPTOR ANTGNST & CALC.CHANNEL

BLOCKRTELMISARTAN-AMLODIPINE 80-5 MG ANGIOTENSIN RECEPTOR ANTGNST & CALC.CHANNEL

BLOCKRTELMISARTAN-HCTZ 40-12.5 MG TB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBTELMISARTAN-HCTZ 80-12.5 MG TB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBTELMISARTAN-HCTZ 80-25 MG TAB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBTERBUTALINE SULFATE 2.5 MG TAB BETA-ADRENERGIC AGENTSTERBUTALINE SULFATE 5 MG TAB BETA-ADRENERGIC AGENTSTERUMO INS SYR 0.3 ML 29GX1/2" SYRINGES AND ACCESSORIESTERUMO INS SYRINGE U100-1 ML SYRINGES AND ACCESSORIESTerumo Insulin Syringe 0.3 mL 30 x 3/8" SYRINGES AND ACCESSORIESTerumo Insulin Syringe 0.5cc/27G 1/2 mL 27 x 1/2" SYRINGES AND ACCESSORIESTerumo Insulin Syringe 1 mL 27 x 1/2" SYRINGES AND ACCESSORIESTerumo Insulin Syringe 1 mL 28 x 1/2" SYRINGES AND ACCESSORIESTerumo Insulin Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESTerumo Insulin Syringe 1/2 mL 28 x 1/2" SYRINGES AND ACCESSORIESTerumo Insulin Syringe 1/2 mL 29 x 1/2" SYRINGES AND ACCESSORIESTerumo Insulin Syringe 1/2 mL 30 x 3/8" SYRINGES AND ACCESSORIESTEVETEN 400 MG TABLET ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONISTTeveten HCT 600 mg-25 mg tablet ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBTheo-24 100 mg capsule,extended release XANTHINESTheo-24 200 mg capsule,extended release XANTHINESTheo-24 300 mg capsule,extended release XANTHINESTheo-24 400 mg capsule,extended release XANTHINESTheochron 100 mg tablet,extended release XANTHINESTheochron 200 mg tablet,extended release XANTHINESTheochron 300 mg tablet,extended release XANTHINESTHEOPHYLLINE ER 100 MG TABLET XANTHINESTHEOPHYLLINE ER 200 MG TABLET XANTHINESTHEOPHYLLINE ER 300 MG TAB XANTHINESTHEOPHYLLINE ER 400 MG TABLET XANTHINESTHEOPHYLLINE ER 450 MG TAB XANTHINES


DRUG NAME CATEGORYTHEOPHYLLINE ER 600 MG TABLET XANTHINESTHIN LANCET DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Thin Lancets 26 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Thinpro Insulin Syringe 0.3 mL 29 x 1/2" SYRINGES AND ACCESSORIESThinpro Insulin Syringe 0.3 mL 30 x 3/8" SYRINGES AND ACCESSORIESThinpro Insulin Syringe 0.3 mL 31 x 3/8" SYRINGES AND ACCESSORIESThinpro Insulin Syringe 0.5 mL 31 x 3/8" SYRINGES AND ACCESSORIESThinpro Insulin Syringe 1 mL 28 x 1/2" SYRINGES AND ACCESSORIESThinpro Insulin Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESThinpro Insulin Syringe 1 mL 30 x 3/8" SYRINGES AND ACCESSORIESThinpro Insulin Syringe 1 mL 31 x 3/8" SYRINGES AND ACCESSORIESThinpro Insulin Syringe 1/2 mL 28 x 1/2" SYRINGES AND ACCESSORIESThinpro Insulin Syringe 1/2 mL 29 x 1/2" SYRINGES AND ACCESSORIESThinpro Insulin Syringe 1/2 mL 30 x 3/8" SYRINGES AND ACCESSORIESThinset Reservoir 1.8 mL SYRINGES AND ACCESSORIESThinset Reservoir 3 mL SYRINGES AND ACCESSORIESThreshold IMT Trainer device RESPIRATORY AIDS,DEVICES,EQUIPMENTThreshold PEP Device RESPIRATORY AIDS,DEVICES,EQUIPMENTTICLOPIDINE 250 MG TABLET PLATELET AGGREGATION INHIBITORSTL-Care DHA 27 mg-1 mg-25 mg-500 mg capsule PRENATAL VITAMIN PREPARATIONSTL-Fluorivite 7.5 mg iron-0.25 mg fluor. chewable tablet PEDIATRIC VITAMIN PREPARATIONSTL-Select 29 mg-1.25 mg-55 mg-325 mg capsule PRENATAL VITAMIN PREPARATIONSTODAY'S HEALTH LANCING DEVICE DIABETIC SUPPLIESTOLAZAMIDE 250 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPETOLAZAMIDE 500 MG TABLET ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPETopcare Clickfine 31 X 1/4" needle NEEDLES/NEEDLELESS DEVICESTopcare Clickfine 31 X 5/16" needle NEEDLES/NEEDLELESS DEVICESTopcare Ultra Comfort 0.3 mL 29 x 1/2" syringe SYRINGES AND ACCESSORIESTopcare Ultra Comfort 0.3 mL 30 x 5/16" syringe SYRINGES AND ACCESSORIESTopcare Ultra Comfort 0.3 mL 31 x 5/16" syringe SYRINGES AND ACCESSORIESTopcare Ultra Comfort 1 mL 29 x 1/2" syringe SYRINGES AND ACCESSORIESTopcare Ultra Comfort 1 mL 30 x 5/16" syringe SYRINGES AND ACCESSORIESTopcare Ultra Comfort 1 mL 31 x 5/16" syringe SYRINGES AND ACCESSORIESTopcare Ultra Comfort 1/2 mL 29 x 1/2" syringe SYRINGES AND ACCESSORIESTopcare Ultra Comfort 1/2 mL 30 x 5/16" syringe SYRINGES AND ACCESSORIESTopcare Ultra Comfort 1/2 mL 31 x 5/16" syringe SYRINGES AND ACCESSORIESTopcare Universal1 Thin Lancet DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)TORSEMIDE 10 MG TABLET LOOP DIURETICSTORSEMIDE 100 MG TABLET LOOP DIURETICSTORSEMIDE 20 MG TABLET LOOP DIURETICSTORSEMIDE 5 MG TABLET LOOP DIURETICSTradjenta 5 mg tablet ANTIHYPERGLYCEMIC, DPP-4 INHIBITORSTRANDOLAPRIL 1 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSTRANDOLAPRIL 2 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORSTRANDOLAPRIL 4 MG TABLET ANTIHYPERTENSIVES, ACE INHIBITORS


DRUG NAME CATEGORYTRANYLCYPROMINE SULF 10 MG TAB MAOIS - NON-SELECTIVE & IRREVERSIBLETRAZODONE 100 MG TABLET SEROTONIN-2 ANTAGONIST/REUPTAKE INHIBITORS (SARIS)TRAZODONE 150 MG TABLET SEROTONIN-2 ANTAGONIST/REUPTAKE INHIBITORS (SARIS)TRAZODONE 300 MG TABLET SEROTONIN-2 ANTAGONIST/REUPTAKE INHIBITORS (SARIS)TRAZODONE 50 MG TABLET SEROTONIN-2 ANTAGONIST/REUPTAKE INHIBITORS (SARIS)TRI RX TABLET PRENATAL VITAMIN PREPARATIONSTriAdvance 90 mg-1 mg-50 mg tablet PRENATAL VITAMIN PREPARATIONSTRIAMTERENE-HCTZ 37.5-25 MG CP POTASSIUM SPARING DIURETICS IN COMBINATIONTRIAMTERENE-HCTZ 37.5-25 MG TB POTASSIUM SPARING DIURETICS IN COMBINATIONTRIAMTERENE-HCTZ 75-50 MG TAB POTASSIUM SPARING DIURETICS IN COMBINATIONTriCare 27 mg iron-1 mg tablet PRENATAL VITAMIN PREPARATIONSTriglide 160 mg tablet LIPOTROPICSTRIGLIDE 50 MG TABLET LIPOTROPICSTRIMIPRAMINE MALEATE 100 MG CP TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBTRIMIPRAMINE MALEATE 25 MG CAP TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBTRIMIPRAMINE MALEATE 50 MG CAP TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL. RU-INHIBTrinatal GT 90 mg-1 mg-50 mg tablet PRENATAL VITAMIN PREPARATIONSTrinatal Rx 1 60 mg iron-1 mg tablet PRENATAL VITAMIN PREPARATIONSTRINATAL ULTRA TABLET PRENATAL VITAMIN PREPARATIONSTri-Tabs DHA 32 mg-1,000 mcg-230 mg oral pack PRENATAL VITAMIN PREPARATIONSTriveen-Duo DHA 29 mg-1 mg-400 mg oral pack PRENATAL VITAMIN PREPARATIONSTriveen-PRx RNF 26 mg-1.2 mg-55 mg-300 mg capsule PRENATAL VITAMIN PREPARATIONSTRIVEEN-TEN TABLETS PRENATAL VITAMIN PREPARATIONSTriveen-U 106.5 mg-1 mg capsule PRENATAL VITAMIN PREPARATIONSTrue Metrix Glucose Meter DIABETIC SUPPLIESTrue Metrix Glucose Test Strip BLOOD SUGAR DIAGNOSTICSTrue Metrix Level 1 solution DIABETIC SUPPLIESTrue Metrix Level 2 solution DIABETIC SUPPLIESTrue Metrix Level 3 solution DIABETIC SUPPLIESTrueControl Level 0 solution DIABETIC SUPPLIESTrueControl Level 1 solution DIABETIC SUPPLIESTRUEplus Insulin 0.3 mL 29 x 1/2" syringe SYRINGES AND ACCESSORIESTRUEplus Insulin 0.3 mL 30 x 5/16" syringe SYRINGES AND ACCESSORIESTRUEplus Insulin 0.3 mL 31 x 5/16" syringe SYRINGES AND ACCESSORIESTRUEplus Insulin 1 mL 28 x 1/2" syringe SYRINGES AND ACCESSORIESTRUEplus Insulin 1 mL 29 x 1/2" syringe SYRINGES AND ACCESSORIESTRUEplus Insulin 1 mL 30 x 5/16" syringe SYRINGES AND ACCESSORIESTRUEplus Insulin 1 mL 31 x 5/16" syringe SYRINGES AND ACCESSORIESTRUEplus Insulin 1/2 mL 28 x 1/2" syringe SYRINGES AND ACCESSORIESTRUEplus Insulin 1/2 mL 29 x 1/2" syringe SYRINGES AND ACCESSORIESTRUEplus Insulin 1/2 mL 30 x 5/16" syringe SYRINGES AND ACCESSORIESTRUEplus Insulin 1/2 mL 31 x 5/16" syringe SYRINGES AND ACCESSORIESTRUEplus Lancets 26 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)TRUEplus Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)TRUEplus Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)


DRUG NAME CATEGORYTRUEplus Lancets 33 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Truetest High Glucose Control solution DIABETIC SUPPLIESTruetest Low Glucose Control solution DIABETIC SUPPLIESTruetest Normal Glucose Control solution DIABETIC SUPPLIESTRUETRACK GLUCOSE CONTROL DIABETIC SUPPLIESTruzone Peak Flow Meter RESPIRATORY AIDS,DEVICES,EQUIPMENTTudorza Pressair 400 mcg/actuation breath activated GENERAL BRONCHODILATOR AGENTSTWIST LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)ULTCARE INS SYR 1 ML 31GX5/16" SYRINGES AND ACCESSORIESUlticare 0.3 mL 29 x 1/2" syringe SYRINGES AND ACCESSORIESUlticare 0.3 mL 30 x 1/2" syringe SYRINGES AND ACCESSORIESUlticare 0.3 mL 30 x 5/16" syringe SYRINGES AND ACCESSORIESUlticare 0.3 mL 31 x 5/16" syringe SYRINGES AND ACCESSORIESUlticare 1 mL 25 x 5/8" syringe SYRINGES AND ACCESSORIESUlticare 1 mL 29 x 1/2" syringe SYRINGES AND ACCESSORIESUlticare 1 mL 30 x 1/2" syringe SYRINGES AND ACCESSORIESUlticare 1 mL 30 x 5/16" syringe SYRINGES AND ACCESSORIESUlticare 1 mL 31 x 5/16" syringe SYRINGES AND ACCESSORIESUlticare 1.5 mL 22 x 1 1/2" syringe SYRINGES AND ACCESSORIESUlticare 1/2 mL 29 X 1/2" syringe SYRINGES AND ACCESSORIESUlticare 1/2 mL 30 x 1/2" syringe SYRINGES AND ACCESSORIESUlticare 1/2 mL 30 x 5/16" syringe SYRINGES AND ACCESSORIESUlticare 1/2 mL 31 x 5/16" syringe SYRINGES AND ACCESSORIESUlticare 29 x 1/2" needle NEEDLES/NEEDLELESS DEVICESUlticare 31 X 1/4" needle NEEDLES/NEEDLELESS DEVICESUlticare 31 X 5/16" needle NEEDLES/NEEDLELESS DEVICESUlticare 32 x 5/32" needle NEEDLES/NEEDLELESS DEVICESULTICARE INS SAFETY 1ML 29X1/2 SYRINGES AND ACCESSORIESULTICARE INS SYR 1 ML 28GX1/2" SYRINGES AND ACCESSORIESULTICARE INS SYR 1 ML 29GX1/2" SYRINGES AND ACCESSORIESULTICARE SAFETY 0.5 ML 29GX1/2 SYRINGES AND ACCESSORIESULTICARE SYR 0.3 ML 30GX5/16" SYRINGES AND ACCESSORIESULTICARE SYR 0.3 ML 31GX5/16" SYRINGES AND ACCESSORIESULTICARE SYR 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIESULTICARE SYR 0.5 ML 30GX5/16" SYRINGES AND ACCESSORIESULTICARE SYR 0.5 ML 31GX5/16" SYRINGES AND ACCESSORIESULTICARE SYR 1 ML 30GX5/16" SYRINGES AND ACCESSORIESULTICARE SYRIN 0.3 ML 29GX1/2" SYRINGES AND ACCESSORIESULTICARE SYRIN 0.5 ML 28GX1/2" SYRINGES AND ACCESSORIESULTICARE THIN 28G LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)ULTICARE THIN 30G LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ulti-Lance kit DIABETIC SUPPLIESUltilet Basic Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultilet Classic Lancets DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultilet Classic Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)


DRUG NAME CATEGORYUltilet Classic Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultilet Insulin Syringe 0.3 mL 29 SYRINGES AND ACCESSORIESUltilet Insulin Syringe 0.3 mL 29 x 1/2" SYRINGES AND ACCESSORIESUltilet Insulin Syringe 0.3 mL 30 x 5/16" SYRINGES AND ACCESSORIESUltilet Insulin Syringe 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESUltilet Insulin Syringe 1 mL 29 SYRINGES AND ACCESSORIESUltilet Insulin Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESUltilet Insulin Syringe 1 mL 30 x 5/16" SYRINGES AND ACCESSORIESUltilet Insulin Syringe 1 mL 31 x 5/16" SYRINGES AND ACCESSORIESUltilet Insulin Syringe 1/2 mL 29 SYRINGES AND ACCESSORIESUltilet Insulin Syringe 1/2 mL 29 x 1/2" SYRINGES AND ACCESSORIESUltilet Insulin Syringe 1/2 mL 30 x 5/16" SYRINGES AND ACCESSORIESUltilet Insulin Syringe 1/2 mL 31 x 5/16" SYRINGES AND ACCESSORIESUltilet Lancets DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultilet Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultilet Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultilet Lancets 33 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultilet Pen Needle 29 gauge NEEDLES/NEEDLELESS DEVICESUltilet Pen Needle 32 x 5/32" NEEDLES/NEEDLELESS DEVICESULTIMATE OB DHA COMBO PACK PRENATAL VITAMIN PREPARATIONSUltimateCare One 27 mg-1 mg-330 mg capsule PRENATAL VITAMIN PREPARATIONSUltimateCare One NF 27 mg-1 mg-50 mg-500 mg capsule PRENATAL VITAMIN PREPARATIONSUltra Comfort Insulin Syringe SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 0.3 mL 29 x 1/2" SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 0.3 mL 30 SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 0.3 mL 30 x 5/16" SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 1 mL 28 SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 1 mL 28 x 1/2" SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 1 mL 29 SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 1 mL 30 gauge x 7/16" SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 1 mL 30 x 5/16" SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 1 mL 31 x 5/16" SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 1/2 mL 28 SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 1/2 mL 28 x 1/2" SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 1/2 mL 29 SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 1/2 mL 29 x 1/2" SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 1/2 mL 30 SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 1/2 mL 30 x 5/16" SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe 1/2 mL 31 x 5/16" SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe Half Unit 0.3 mL 29 x 1/2" SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe Half Unit 0.3 mL 30 x 5/16" SYRINGES AND ACCESSORIESUltra Comfort Insulin Syringe Half Unit 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESUltra Thin II Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)


DRUG NAME CATEGORYUltra Thin Lancets DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultra Thin Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultra Thin Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultra Thin Lancets 31 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultra Thin Lancets 33 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultra Thin Plus Lancets 33 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultra TLC Lancets DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)ULTRACOMFORT 29GX0.5 ML SYR SYRINGES AND ACCESSORIESULTRACOMFORT 29GX1 ML SYRINGE SYRINGES AND ACCESSORIESULTRACOMFORT 30GX0.5 ML SYR SYRINGES AND ACCESSORIESULTRACOMFORT 30GX1 ML SYRINGE SYRINGES AND ACCESSORIESULTRACOMFORT 31GX0.5 ML SYR SYRINGES AND ACCESSORIESULTRACOMFORT 31GX1 ML SYRINGE SYRINGES AND ACCESSORIESULTRACOMFORT INSUL SYR 0.5 ML SYRINGES AND ACCESSORIESULTRACOMFORT INSULIN SYR 1 ML SYRINGES AND ACCESSORIESULTRACOMFORT PEN NEEDLES 6MM NEEDLES/NEEDLELESS DEVICESULTRACOMFORT PEN NEEDLES 8MM NEEDLES/NEEDLELESS DEVICESUltraLANCE Lancets 26 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)UltraLANCE Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultra-Thin II (Short) Insulin syringe 0.3 mL 30 x 5/16" SYRINGES AND ACCESSORIESUltra-Thin II (Short) Insulin syringe 0.3 mL 31 x 5/16" SYRINGES AND ACCESSORIESUltra-Thin II (Short) Insulin syringe 1 mL 30 x 5/16" SYRINGES AND ACCESSORIESUltra-Thin II (Short) Insulin syringe 1/2 mL 30 x 5/16" SYRINGES AND ACCESSORIESUltra-Thin II (Short) Insulin syringe 1/2 mL 31 x 5/16" SYRINGES AND ACCESSORIESUltra-Thin II (Short) Pen NDL 31 X 5/16" needle NEEDLES/NEEDLELESS DEVICESUltra-Thin II Ins Pen Needles 29 x 1/2" NEEDLES/NEEDLELESS DEVICESUltra-Thin II Insulin Syringe 0.3 mL 29 x 1/2" SYRINGES AND ACCESSORIESUltra-Thin II Insulin Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESUltra-Thin II Insulin Syringe 1/2 mL 29 x 1/2" SYRINGES AND ACCESSORIESUltra-Thin II Lancets 26 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultra-Thin II Lancets 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Ultra-Thin II Short Needle 31 X 5/16" NEEDLES/NEEDLELESS DEVICESUltraTRAK High-Low Control solution DIABETIC SUPPLIESUltraTRAK Normal Control solution DIABETIC SUPPLIESUnifine Pentips 29 gauge needle NEEDLES/NEEDLELESS DEVICESUnifine Pentips 29 x 1/2" needle NEEDLES/NEEDLELESS DEVICESUnifine Pentips 29 x 5/16" needle NEEDLES/NEEDLELESS DEVICESUnifine Pentips 30 X 5/16" needle NEEDLES/NEEDLELESS DEVICESUnifine Pentips 31 needle NEEDLES/NEEDLELESS DEVICESUnifine Pentips 31 X 1/4" needle NEEDLES/NEEDLELESS DEVICESUnifine Pentips 31 x 3/16" needle NEEDLES/NEEDLELESS DEVICESUnifine Pentips 31 X 5/16" needle NEEDLES/NEEDLELESS DEVICESUnifine Pentips 32 x 5/32" needle NEEDLES/NEEDLELESS DEVICESUnifine Pentips Plus 31 X 1/4" needle NEEDLES/NEEDLELESS DEVICESUnifine Pentips Plus 31 x 3/16" needle NEEDLES/NEEDLELESS DEVICES


DRUG NAME CATEGORYUnifine Pentips Plus 31 X 5/16" needle NEEDLES/NEEDLELESS DEVICESUnilet ComforTouch Lancet DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Unilet ComforTouch Lancet 26 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Unilet Excelite II Lancet DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Unilet Excelite Lancet DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Unilet GP Lancet DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)UNILET GP LANCET SUPERLITE DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Unilet Lancet DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Unilet Lancet 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Unilet Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Unilet Super Thin Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Unistik 2 Normal Lancet&Device kit DIABETIC SUPPLIESUnistik 3 Comfort Lancet DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Unistik 3 Extra Lancet 21 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Unistik 3 Gentle 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Unistik 3 Lancets 21 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Unistik 3 Normal Lancet 23 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Unistik CZT Lancet 23 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Unistik CZT Lancet 28 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)UniStrip High Control solution DIABETIC SUPPLIESUniStrip Low Control solution DIABETIC SUPPLIESUniStrip1 Test Strip BLOOD SUGAR DIAGNOSTICSUniversal 1 Lancets 21 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Universal 1 Lancets 26 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Universal 1 Lancets 30 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)Universal 1 Lancets 33 gauge DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)UP&UP GLUCOSE 4 GRAM TAB CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)VALSARTAN 160 MG TABLET ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR

ANTAGONISTVALSARTAN 320 MG TABLET ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR



ANTAGONISTVALSARTAN-HCTZ 160-12.5 MG TAB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBVALSARTAN-HCTZ 160-25 MG TAB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBVALSARTAN-HCTZ 320-12.5 MG TAB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBVALSARTAN-HCTZ 320-25 MG TAB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBVALSARTAN-HCTZ 80-12.5 MG TAB ANGIOTENSIN RECEPTOR ANTAG./THIAZIDE DIURETIC

COMBVALUE DRUG LANCETS 21G DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)VALUE PLUS GLUCOSE TABLET CHEW AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS)


DRUG NAME CATEGORYVALUE PLUS STANDARD LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)VALUE PLUS SUPER THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)VALUE PLUS THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)VALUEPLUS SYR 0.3 ML 29GX1/2" SYRINGES AND ACCESSORIESVanishpoint Syringe 1 mL 29 x 1/2" SYRINGES AND ACCESSORIESVanishpoint Syringe 1/2 mL 30 x 1/2" SYRINGES AND ACCESSORIESVemaVite-PRx-2 27 mg-1.25 mg-55 mg-300 mg capsule PRENATAL VITAMIN PREPARATIONSVenatal Complete DHA 27 mg-1 mg-430 mg tablet &capsule,delayed release


Venatal-FA 29 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSVENLAFAXINE HCL 100 MG TABLET SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)VENLAFAXINE HCL 25 MG TABLET SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)VENLAFAXINE HCL 37.5 MG TABLET SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)VENLAFAXINE HCL 50 MG TABLET SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)VENLAFAXINE HCL 75 MG TABLET SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)VENLAFAXINE HCL ER 150 MG CAP SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)VENLAFAXINE HCL ER 150 MG TAB SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)VENLAFAXINE HCL ER 225 MG TAB SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)VENLAFAXINE HCL ER 37.5 MG CAP SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)VENLAFAXINE HCL ER 37.5 MG TAB SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)VENLAFAXINE HCL ER 75 MG CAP SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)VENLAFAXINE HCL ER 75 MG TAB SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS)Ventolin HFA 90 mcg/actuation aerosol inhaler BETA-ADRENERGIC AGENTSVERAPAMIL 120 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL 360 MG CAP PELLET CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL 40 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL 80 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL ER 120 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL ER 120 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL ER 180 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL ER 180 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL ER 240 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL ER 240 MG TABLET CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL ER PM 100 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL ER PM 200 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL ER PM 300 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL SR 120 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL SR 180 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL SR 240 MG CAPSULE CALCIUM CHANNEL BLOCKING AGENTSVH INS SYR 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIESVH INS SYR 1 ML 29GX1/2" SYRINGES AND ACCESSORIESVICTORY HIGH-LOW CONTROL SOLN DIABETIC SUPPLIESVictoza 2-Pak 0.6 mg/0.1 mL (18 mg/3 mL) subcutaneous pen injector


Victoza 3-Pak 0.6 mg/0.1 mL (18 mg/3 mL) subcutaneous pen injector



DRUG NAME CATEGORYVinacal 27 mg-1 mg-50 mg tablet PRENATAL VITAMIN PREPARATIONSVINATE AZ TABLET PRENATAL VITAMIN PREPARATIONSVinate DHA 27 mg-400 mcg-1.13 mg-250 mg capsule PRENATAL VITAMIN PREPARATIONSVinate DHA RF 27 mg iron-1.13 mg-581.28 mg capsule PRENATAL VITAMIN PREPARATIONSVinate GT 90 mg-1 mg-50 mg tablet PRENATAL VITAMIN PREPARATIONSVinate II 29 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSVinate M 27 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSVinate One 60 mg iron-1 mg tablet PRENATAL VITAMIN PREPARATIONSVinate Ultra 90 mg-1 mg-50 mg tablet PRENATAL VITAMIN PREPARATIONSVirt Nate 28 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSVirt-Advance 90 mg-1 mg-50 mg tablet PRENATAL VITAMIN PREPARATIONSVirt-Bal DHA 26 mg iron-1 mg-374 mg tablet&capsule,delayed release


Virt-Bal DHA Plus 26 mg iron-1 mg-374 mg tablet&capsule,delay release


Virt-PN 27 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSVirt-PN DHA 27 mg-1 mg-300 mg capsule PRENATAL VITAMIN PREPARATIONSVirt-PN Plus 28 mg-1 mg-300 mg capsule PRENATAL VITAMIN PREPARATIONSVirtPrex 26 mg-1.2 mg-55 mg-300 mg capsule PRENATAL VITAMIN PREPARATIONSVirt-Select 29 mg-1.25 mg-55 mg-325 mg capsule PRENATAL VITAMIN PREPARATIONSVirt-Vite GT 90 mg-1 mg-50 mg tablet PRENATAL VITAMIN PREPARATIONSVitafol Ultra 29 mg iron-1 mg-200 mg capsule PRENATAL VITAMIN PREPARATIONSVITAFOL-PLUS CAPSULE PRENATAL VITAMIN PREPARATIONSVitaSpire 29 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSVIVA CT PRENATAL CHEWABLE TAB PRENATAL VITAMIN PREPARATIONSV-NATAL DHA COMBO PACK PRENATAL VITAMIN PREPARATIONSV-NATAL TABLET PRENATAL VITAMIN PREPARATIONSVocal Point Glucose Control solution DIABETIC SUPPLIESVocalPoint Glucose Control solution DIABETIC SUPPLIESVol-Nate 28 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSVol-Plus 27 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSVol-Tab Rx 29 mg iron-1 mg tablet PRENATAL VITAMIN PREPARATIONSVortex Holding Chamber RESPIRATORY AIDS,DEVICES,EQUIPMENTVortex Holding Chamber with Child Mask RESPIRATORY AIDS,DEVICES,EQUIPMENTVortex Holding Chamber with Toddler Mask RESPIRATORY AIDS,DEVICES,EQUIPMENTVortex VHC Frog Mask-Child RESPIRATORY AIDS,DEVICES,EQUIPMENTVortex VHC Ladybug Mask-Toddler RESPIRATORY AIDS,DEVICES,EQUIPMENTVP CH Ultra 27 mg-1 mg-50 mg-260 mg capsule PRENATAL VITAMIN PREPARATIONSVP-CH Plus 29 mg iron-1 mg-50 mg-265 mg capsule PRENATAL VITAMIN PREPARATIONSVP-CH-PNV 30 mg iron-1 mg-50 mg-260 mg capsule PRENATAL VITAMIN PREPARATIONSVP-ERA OB Plus 22 mg-6 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSVP-Heme OB + DHA 28 mg-6 mg-1 mg oral pack PRENATAL VITAMIN PREPARATIONSVP-Heme OB 28 mg-6 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSVP-HEME One 22 mg-6 mg-1 mg-200 mg capsule PRENATAL VITAMIN PREPARATIONSVP-PNV-DHA 28 mg iron-1 mg-200 mg capsule PRENATAL VITAMIN PREPARATIONS


DRUG NAME CATEGORYVynatal FA 65 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSW&F 30G LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)W&F COLORED LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)W&F THIN LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)WALGREENS LANCETS DURABLE MEDICAL EQUIPMENT,MISC(GROUP 1)WARFARIN SODIUM 1 MG TABLET ANTICOAGULANTS,COUMARIN TYPEWARFARIN SODIUM 10 MG TABLET ANTICOAGULANTS,COUMARIN TYPEWARFARIN SODIUM 2 MG TABLET ANTICOAGULANTS,COUMARIN TYPEWARFARIN SODIUM 2.5 MG TABLET ANTICOAGULANTS,COUMARIN TYPEWARFARIN SODIUM 3 MG TABLET ANTICOAGULANTS,COUMARIN TYPEWARFARIN SODIUM 4 MG TABLET ANTICOAGULANTS,COUMARIN TYPEWARFARIN SODIUM 5 MG TABLET ANTICOAGULANTS,COUMARIN TYPEWARFARIN SODIUM 6 MG TABLET ANTICOAGULANTS,COUMARIN TYPEWARFARIN SODIUM 7.5 MG TABLET ANTICOAGULANTS,COUMARIN TYPEWatchhaler spacer RESPIRATORY AIDS,DEVICES,EQUIPMENTWavesense Control Solution DIABETIC SUPPLIESWD MEDIC SYR 0.3 ML 30GX5/16" SYRINGES AND ACCESSORIESWD MEDIC SYR 0.5 ML 29GX1/2" SYRINGES AND ACCESSORIESWD MEDIC SYR 0.5 ML 30GX5/16" SYRINGES AND ACCESSORIESWD MEDIC SYR 1 ML 29GX1/2" SYRINGES AND ACCESSORIESWDMEDIC INS SYR 1 ML 30GX5/16" SYRINGES AND ACCESSORIESWDMEDIC SYRING 0.3 ML 29GX1/2" SYRINGES AND ACCESSORIESWelChol 3.75 gram oral powder packet BILE SALT SEQUESTRANTSWelChol 625 mg tablet BILE SALT SEQUESTRANTSWide-Seal Diaphragm 60 mm vaginal DIAPHRAGMS/CERVICAL CAPWide-Seal Diaphragm 65 mm vaginal DIAPHRAGMS/CERVICAL CAPWide-Seal Diaphragm 70 mm vaginal DIAPHRAGMS/CERVICAL CAPWide-Seal Diaphragm 75 mm vaginal DIAPHRAGMS/CERVICAL CAPWide-Seal Diaphragm 80 mm vaginal DIAPHRAGMS/CERVICAL CAPWide-Seal Diaphragm 85 mm vaginal DIAPHRAGMS/CERVICAL CAPWide-Seal Diaphragm 90 mm vaginal DIAPHRAGMS/CERVICAL CAPWide-Seal Diaphragm 95 mm vaginal DIAPHRAGMS/CERVICAL CAPXarelto 10 mg tablet DIRECT FACTOR XA INHIBITORSXarelto 15 mg tablet DIRECT FACTOR XA INHIBITORSXarelto 20 mg tablet DIRECT FACTOR XA INHIBITORSXopenex HFA 45 mcg/actuation aerosol inhaler BETA-ADRENERGIC AGENTSXpres Normal Control solution DIABETIC SUPPLIESZAFIRLUKAST 10 MG TABLET LEUKOTRIENE RECEPTOR ANTAGONISTSZAFIRLUKAST 20 MG TABLET LEUKOTRIENE RECEPTOR ANTAGONISTSZatean-CH 27 mg-1 mg-50 mg-250 mg capsule PRENATAL VITAMIN PREPARATIONSZatean-Pn 27 mg-1 mg tablet PRENATAL VITAMIN PREPARATIONSZatean-Pn DHA 27 mg-1 mg-300 mg capsule PRENATAL VITAMIN PREPARATIONSZatean-Pn Plus 28 mg-1 mg-300 mg capsule PRENATAL VITAMIN PREPARATIONSZetia 10 mg tablet LIPOTROPICSZyban 150 mg tablet,sustained-release SMOKING DETERRENTS, OTHER


DRUG NAME CATEGORYZyflo 600 mg tablet 5-LIPOXYGENASE INHIBITORSZyflo CR 600 mg tablet,extended release 5-LIPOXYGENASE INHIBITORS

Please Note: All lists are subject to change. Benefits vary by plan. This Drug List may not apply to all plans. Please check your Summary of Benefits or Humana.com for your specific prescription drug benefit including copayments, limitations and exclusions. You may also call a Humana Customer Service representative at the phone number on the back of your Humana Member ID card.

Humana.com

Humana Plans are offered by the Family of Insurance and Health Plan Companies including Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plans of Michigan, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc. – A Health Maintenance Organization or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, Emphesys Insurance Company, or Humana Insurance of Puerto Rico, Inc. License # 00187-0009 or administered by Humana Insurance Company or Humana Health Plan, Inc. For Arizona Residents: Offered by Humana Health Plan, Inc. or insured by Emphesys Insurance Company or insured or administered by Humana Insurance Company or Humana Health Plan, Inc Please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description) for more information on the company providing your benefits.

Our health benefit plans have limitations and exclusions.

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