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TRANSCRIPT
Select Formulary Reference Guide
Your formulary utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically sound and that it supports patient health. This committee reviews and evaluates medications on the formulary based on safety and efficacy to help maintain clinical integrity in all therapeutic categories.
FORMULARY DESIGN
Your formulary has a formulary structure which includes most prescription drugs. The formulary structure features medications generics (with the lowest co-payments), preferred and non-preferred brand-name drugs.
• Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under “GENERIC” have the same active ingredient as the brand-name versions but at a lower cost.
• Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs that will generally have lower co-payments than non-preferred brand name drugs.
• Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have higher co-payments than preferred brand name drugs.
USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS
Many health plans use the formulary to help manage the overall cost of providing prescription drug benefits. This formulary offers a wide range of medications from which to choose. We realize that this formulary reference guide may not include every drug from every manufacturer. However, choosing a generic or preferred drug when it is appropriate can provide access to the necessary medications to stay healthy, at a cost that is more affordable.
Select Formulary Reference Guide
*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design determines what is
covered and the applicable co‐payment. The medications listed on this formulary are subject to change pursuant to the formulary management
activities of Optum. The presence of a medication on this formulary list does not guarantee coverage. To determine the most up‐to‐date formulary
status of your medication, please visit your member website or call member services at the number listed on your ID card.
SAVING ON OUT-OF-POCKET COSTS
Your health plan sets the co-payments for each formulary drug status which include generic, preferred brand-name, and non-preferred brand-name medications. Health plans often design prescription drug plans to encourage the use of generic and preferred brand-name drugs. Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients may also pay less for generic drugs, or they may be asked to pay the cost difference between brand-name drugs and their generic alternatives.
PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic version becomes available.
CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE
When employers and other health plans design their prescription drug plans, they may choose to provide coverage only for certain medications, time periods, doses, quantities, or for a specific indications (e.g. they may exclude coverage for medications for unapproved, unproven, or cosmetic indications). When coverage for medications is provided based on use or quantity, your pharmacy benefit may contact your prescriber’s office for additional information to determine whether coverage is available under your plan. Patients who are unsure whether these coverage rules apply for a particular medication can consult their prescription drug benefit manual or contact a Member Services representative to determine specific coverage requirements.
KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED
The following formulary reference guide is designed so that generic products are listed first in each drug category. The preferred brand name products are listed next, and non-preferred brand products are listed last.
OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — a leading provider of integrated health services. Learn more at optum.com.
All OptumTM
trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or
registered marks of their respective owners. © 2015 Optum, Inc. All rights reserved.
Table of Contents
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIHISTAMINES-TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
cefprozil
cefuroxime axetil
cefuroxime sodium
PREFERRED
July 2016 Cefaclor
NON PREFERRED
ANTI-INFECTIVES Cefaclor ER
Cefotan
PENICILLINS
Cefotetan
GENERIC
Cefotetan/Dextrose
amoxicillin
Cefoxitin Sodium
amoxicillin/clavulanate potassium
Ceftin
amoxicillin/clavulanate potassium ER
Cefuroxime Sodium
ampicillin
Cefuroxime/Dextrose
ampicillin sodium
Zinacef
ampicillin-sulbactam
THIRD GENERATION
dicloxacillin sodium
GENERIC
nafcillin sodium
cefdinir
oxacillin sodium
cefixime
penicillin v potassium
cefotaxime sodium
penicillin G potassium
cefpodoxime proxetil
piperacillin sodium/ tazobactam sodium
ceftazidime
piperacillin sodium/tazobactam sodium
ceftriaxone sodium
piperacillin/tazobactam
Ceftriaxone IN Iso-osmotic Dextrose
Amoxicillin/Clavulanate Potassium
NON PREFERRED
PREFERRED
Cedax
Amoxicillin
Cefditoren Pivoxil
Ampicillin
Ceftazidime/Dextrose
NON PREFERRED
Ceftibuten
Amoxicillin ER
Ceftriaxone Sodium
Ampicillin Sodium
Ceftriaxone/Dextrose
Ampicillin-sulbactam
Claforan
Augmentin
Claforan/D5W
Augmentin ES-600
Fortaz
Augmentin XR
Rocephin
Bactocill IN Dextrose
Spectracef
Bicillin C-R
Suprax
Bicillin L-a
Tazicef
Moxatag
Nafcillin
FOURTH GENERATION
Nafcillin Sodium
GENERIC
Penicillin G Potassium IN Iso-osmotic Dextrose
cefepime
Penicillin G Procaine
NON PREFERRED
Penicillin G Sodium
Cefepime
Pfizerpen-G
Maxipime
Timentin
Unasyn
MACROLIDES
Unasyn Bulk Pack
GENERIC
Zosyn
azithromycin
clarithromycin
CEPHALOSPORIN
clarithromycin ER
FIRST GENERATION
erythromycin
GENERIC
PREFERRED
cefadroxil
Azithromycin
cefazolin sodium
E.e.s. 400
cephalexin
Erythromycin Base
PREFERRED
Erythromycin Ethylsuccinate
Cephalexin
NON PREFERRED
NON PREFERRED
Biaxin
Ancef
Biaxin XL
Cefazolin
Biaxin XL PAC
Cefazolin Sodium
Dificid
Cefazolin Sodium/Dextrose
E.e.s. Granules
Keflex
Ery-TAB
SECOND GENERATION
Eryped 200
GENERIC
Eryped 400
cefaclor
Erythrocin Lactobionate
cefotetan
Erythrocin Stearate
cefoxitin sodium
PCE
Effective July 1, 2016 v.4 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2016 Optum, Inc. All rights reserved.
1
Zithromax gentamicin sulfate pediatric
Zithromax Tri-PAK gentamicin sulfate/0.9% sodium chloride
Zithromax Z-PAK isotonic gentamicin
Zmax neomycin sulfate
paromomycin sulfate
TETRACYCLINES tobramycin
tobramycin sulfate
GENERIC
Tobramycin Sulfate
demeclocycline HCL
PREFERRED
doxycycline
Bethkis
doxycycline hyclate
NON PREFERRED
doxycycline hyclate DR
Gentamicin Sulfate/0.9% Sodium Chloride
doxycycline monohydrate
Kitabis PAK
minocycline HCL
Streptomycin Sulfate
minocycline HCL ER
Tobi
tetracycline hydrochloride
Tobi Podhaler
Tetracycline HCL
NON PREFERRED
SULFONAMIDES
Acticlate
Adoxa PREFERRED
Adoxa PAK 1/100 Sulfadiazine
Adoxa PAK 1/150
Adoxa PAK 2/100 ANTIMYCOBACTERIAL AGENTS
Alodox Convenience Kit
GENERIC
Avidoxy DK
ethambutol HCL
Benzodox 30 Kit
isoniazid
Benzodox 60 Kit
pyrazinamide
Doryx
rifabutin
Doryx Mpc
rifampin
Minocin
NON PREFERRED
Minocin Kit
Capastat Sulfate
Monodox
Cycloserine
Morgidox 1X100MG
Isoniazid
Morgidox 2X100MG
Myambutol
Nicazeldoxy 30 Kit
Mycobutin
Nicazeldoxy 60 Kit
Paser
Nutridox
Priftin
Ocudox
Rifadin
Solodyn
Rifamate
Vibramycin
Rifater
Sirturo
Trecator
QUINOLONES
GENERIC ANTIFUNGALS
ciprofloxacin
GENERIC
ciprofloxacin ER
fluconazole
ciprofloxacin HCL
fluconazole IN dextrose
ciprofloxacin I.V.-IN D5W
fluconazole IN NACL
levofloxacin
flucytosine
levofloxacin IN D5W
griseofulvin microsize
moxifloxacin HCL
griseofulvin ultramicrosize
ofloxacin
itraconazole
Ciprofloxacin
ketoconazole
Ciprofloxacin HCL
nystatin
Ofloxacin
terbinafine HCL
NON PREFERRED
voriconazole
Avelox
NON PREFERRED
Avelox Abc Pack
Abelcet
Cipro
Ambisome
Cipro I.V.-IN D5W
Amphotec
Cipro XR
Amphotericin B
Factive
Ancobon
Levaquin
Cancidas
Moxifloxacin HCL
Cresemba
Noroxin
Diflucan
Eraxis
AMINOGLYCOSIDES
Fluconazole IN NACL
GENERIC Grifulvin V
amikacin sulfate Gris-peg
gentamicin sulfate Lamisil
Effective July 1, 2016
2
Mycamine Viracept
Noxafil Viread
Onmel Vitekta
Sporanox Zepatier
Sporanox Pulsepak NON PREFERRED
Vfend Acyclovir Sodium
Vfend IV Baraclude
Combivir
ANTIVIRALS Copegus
Cytovene
GENERIC
Epclusa
abacavir
Epivir
abacavir sulfate/lamivudine/zidovudine
Epivir HBV
acyclovir
Famvir
acyclovir sodium
Flumadine
adefovir dipivoxil
Foscavir
cidofovir
Hepsera
didanosine
Moderiba
entecavir
Moderiba 1200 Dose Pack
famciclovir
Moderiba 800 Dose Pack
ganciclovir
Olysio
lamivudine
Peg-intron
lamivudine/zidovudine
Peg-intron Redipen
nevirapine
Peg-intron Redipen PAK 4
nevirapine ER
Pegintron
ribavirin
Rapivab
rimantadine HCL
Rebetol
stavudine
Relenza Diskhaler
valacyclovir HCL
Retrovir
valganciclovir
Ribasphere
zidovudine
Ribasphere Ribapak
PREFERRED
Rimantalist
Aptivus
Sitavig
Atripla
Tamiflu
Complera
Technivie
Crixivan
Trizivir
Daklinza
Tyzeka
Descovy
Valcyte
Edurant
Valtrex
Emtriva
Victrelis
Epzicom
Videx EC
Evotaz
Viekira PAK
Fuzeon
Viekira XR
Genvoya
Viramune
Harvoni
Viramune XR
Intelence
Virazole
Invirase
Vistide
Isentress
Zerit
Kaletra
Ziagen
Lexiva
Zovirax
Nevirapine
Norvir
ANTIMALARIALS
Odefsey
Pegasys GENERIC
Pegasys Proclick atovaquone/proguanil HCL
Prezcobix chloroquine phosphate
Prezista hydroxychloroquine sulfate
Rescriptor mefloquine HCL
Retrovir IV Infusion quinine sulfate
Reyataz Primaquine Phosphate
Ribatab PREFERRED
Selzentry Daraprim
Sovaldi NON PREFERRED
Stribild Aralen
Sustiva Coartem
Tivicay Malarone
Triumeq Plaquenil
Truvada Qualaquin
Tybost
Videx Pediatric
Effective July 1, 2016
3
AMEBICIDES Invanz
Ketek
PREFERRED
Lincocin
Yodoxin
Lincomycin/Lidocaine
Mepron
ANTHELMINTICS
Meropenem/Sodium Chloride
GENERIC
Merrem
ivermectin
Metro IV
PREFERRED
Neutrexin
Biltricide
Orbactiv
Emverm
Pentam 300
NON PREFERRED
Primaxin IV
Albenza
Primaxin IV Add-vantage
Stromectol
Primsol
Sivextro
MISC. ANTI-INFECTIVES
Sulfamethoxazole/Trimethoprim
GENERIC
Synercid
atovaquone
Tindamax
aztreonam
Tygacil
bacitracin
Vancocin HCL
clindamycin
Vancomycin
clindamycin palmitate HCL
Vancomycin HCL
clindamycin phosphate
Vancomycin HCL + Syrspendsf PH4
clindamycin phosphate add-vantage
Vancomycin HCL IN Dextrose
clindamycin phosphate pharmacy bulk package
Vibativ
clindamycin phosphate IN D5W
Xifaxan
clindamycin HCL
Zerbaxa
colistimethate sodium
Zyvox
dapsone
imipenem/cilastatin
ANTINEOPLASTICS, ETC
lincomycin HCL
ALKYLATING AGENTS
linezolid
meropenem GENERIC
metronidazole carboplatin
metronidazole IN NACL 0.79% cisplatin
polymyxin b sulfate cyclophosphamide
sulfamethoxazole/trimethoprim ifosfamide
sulfamethoxazole/trimethoprim DS melphalan hydrochloride
tinidazole oxaliplatin
trimethoprim temozolomide
vancomycin HCL Lomustine
Linezolid PREFERRED
PREFERRED Alkeran
Alinia Bicnu
Nebupent Busulfex
NON PREFERRED Hexalen
Avycaz Leukeran
Azactam Mustargen
Azactam IN Iso-osmotic Dextrose Myleran
Bactrim Treanda
Bactrim DS Zanosar
Cayston NON PREFERRED
Chloramphenicol Sodium Succinate Bendeka
Cleocin Cisplatin
Cleocin IN D5W Cyclophosphamide
Cleocin Pediatric Granules Eloxatin
Cleocin Phosphate Evomela
Clin Single Use Kit Gleostine
Clin-lido Gliadel Wafer
Clindamycin Phosphate Ifex
Coly-mycin M Ifosfamide
Cubicin Temodar
Cubicin RF Thiotepa
Dalvance Valchlor
Doribax Yondelis
First-vancomycin 25
First-vancomycin 50
Flagyl ANTIBIOTICS
Flagyl ER
GENERIC
Impavido
bleomycin sulfate
Effective July 1, 2016
4
daunorubicin HCL ANTIBODIES
doxorubicin HCL
PREFERRED
doxorubicin HCL liposome
Adcetris
epirubicin HCL
Arzerra
idarubicin HCL
Erbitux
mitomycin
Herceptin
mitoxantrone HCL
Perjeta
Doxorubicin HCL
Yervoy
Mitomycin
NON PREFERRED
PREFERRED
Blincyto
Daunoxome
Darzalex
NON PREFERRED
Empliciti
Adriamycin
Gazyva
Bleo 15k
Kadcyla
Cosmegen
Keytruda
Doxil
Opdivo
Ellence
Portrazza
Epirubicin HCL
Rituxan
Idamycin PFS
Tecentriq
Unituxin
ANTINEOPLASTIC ENZYMES
Vectibix
PREFERRED Zevalin Y-90
Oncaspar
NON PREFERRED HORMONAL AGENTS
Erwinaze
GENERIC
anastrozole
ANTIMETABOLITES
bicalutamide
GENERIC exemestane
azacitidine flutamide
capecitabine letrozole
cladribine leuprolide acetate
cytarabine megestrol acetate
cytarabine aqueous nilutamide
decitabine tamoxifen citrate
floxuridine Hydroxyprogesterone Caproate
fludarabine phosphate PREFERRED
fluorouracil Eligard
gemcitabine Emcyt
gemcitabine HCL Fareston
mercaptopurine Faslodex
methotrexate Lupron Depot
methotrexate sodium Lysodren
Floxuridine Zoladex
Methotrexate Sodium NON PREFERRED
Arimidex
PREFERRED Aromasin
Alimta Casodex
Arranon Depo-provera
Clolar Femara
Folotyn Firmagon
Tabloid Megace Oral
NON PREFERRED Nilandron
Cytarabine Soltamox
Dacogen Trelstar
Fludara Trelstar Mixject
Gemzar Vantas
Purinethol Xtandi
Purixan Zytiga
Trexall
Vidaza IMMUNOMODULATORS
Xeloda
GENERIC
azathioprine
ANGIOGENESIS INHIBITORS
cyclosporine
PREFERRED cyclosporine modified
Avastin mycophenolate mofetil
Zaltrap mycophenolic acid DR
NON PREFERRED sirolimus
Cyramza tacrolimus
Azathioprine
Effective July 1, 2016
5
PREFERRED Beleodaq
Atgam Bosulif
Cellcept Intravenous Cabometyx
Thalomid Cometriq
NON PREFERRED Cotellic
Astagraf XL Farydak
Azasan Gilotrif
Cellcept Gleevec
Cyclosporine Modified Ibrance
Envarsus XR Iclusig
Imuran Imbruvica
Myfortic Inlyta
Neoral Iressa
Nulojix Lenvima 10 MG Daily Dose
Pomalyst Lenvima 14 MG Daily Dose
Prograf Lenvima 18 MG Daily Dose
Rapamune Lenvima 20 MG Daily Dose
Revlimid Lenvima 24 MG Daily Dose
Sandimmune Lenvima 8 MG Daily Dose
Simulect Lynparza
Thymoglobulin Ninlaro
Zortress Sprycel
Stivarga
MITOTIC INHIBITORS Sutent
Tagrisso
GENERIC
Tarceva
docetaxel
Votrient
etoposide
Zelboraf
paclitaxel
Zydelig
vincristine sulfate
Zykadia
vinorelbine tartrate
PREFERRED
TOPOISOMERASE I INHIBITOR
Abraxane
Etoposide GENERIC
Halaven irinotecan
Ixempra Kit irinotecan HCL
Jevtana topotecan HCL
NON PREFERRED NON PREFERRED
Docefrez Camptosar
Docetaxel Hycamtin
Docetaxel (non-alcohol Formula) Irinotecan
Etopophos Onivyde
Marqibo Topotecan HCL
Navelbine
Paclitaxel RADIOPHARMACEUTICALS
Taxotere
PREFERRED
Teniposide
Xofigo
Vinblastine Sulfate
NON PREFERRED
Metastron
ENZYME INHIBITORS
Quadramet
GENERIC
imatinib mesylate CELLULAR IMMUNOTHERAPY
PREFERRED
PREFERRED
Afinitor
Provenge
Caprelsa
Istodax
ANTINEOPLASTICS MISC.
Jakafi
GENERIC
Kyprolis
bexarotene
Mekinist
dacarbazine
Nexavar
hydroxyurea
Tafinlar
tretinoin
Tasigna
PREFERRED
Torisel
Actimmune
Tykerb
Alferon N
Velcade
Matulane
Xalkori
Proleukin
Zolinza
Theracys
NON PREFERRED
Tice Bcg
Afinitor Disperz
Trisenox
Alecensa
Effective July 1, 2016
6
NON PREFERRED PREFERRED
Dacarbazine Dilatrate SR
Hydrea Isosorbide Dinitrate ER
Intron A Nitro-bid
Intron A W/Diluent Nitro-dur
Nipent Nitrostat
Photofrin Ranexa
Sylatron NON PREFERRED
Synribo Imdur
Targretin Isordil Titradose
Uvadex Nitroglycerin
Nitroglycerin IN Dextrose 5%
CHEMOTHERAPY RESCUE Nitrolingual Pumpspray
Nitromist
GENERIC
Nitronal
amifostine
dexrazoxane
BETA BLOCKERS
leucovorin calcium
levoleucovorin GENERIC
levoleucovorin calcium acebutolol HCL
mesna atenolol
PREFERRED betaxolol HCL
Leucovorin Calcium bisoprolol fumarate
NON PREFERRED carvedilol
Ethyol esmolol HCL
Fusilev labetalol HCL
Levoleucovorin metoprolol succinate ER
Mesnex metoprolol tartrate
Totect nadolol
Voraxaze pindolol
Zinecard propranolol HCL
propranolol HCL ER
CHEMOTHERAPY ADJUNCTS sotalol HCL
sotalol HCL (AF)
PREFERRED
Metoprolol Tartrate
Kepivance
NON PREFERRED
PREFERRED
Elitek
Bystolic
Propranolol HCL
ANTINEOPLASTIC COMBO
Timolol Maleate
NON PREFERRED
NON PREFERRED
Lonsurf
Betapace
Betapace AF
CARDIOVASCULAR DRUGS
Brevibloc
PHOSPHODIESTERASE INHBTR
Coreg
GENERIC
Coreg CR
milrinone lactate
Corgard
milrinone IN dextrose
Esmolol HCL
Hemangeol
CARDIAC GLYCOSIDES
Hypertenevide-12.5
GENERIC
Inderal LA
digoxin
Inderal XL
PREFERRED
Innopran XL
Lanoxin
Kerlone
NON PREFERRED
Levatol
Digoxin
Lopressor
Lanoxin Pediatric
Sectral
Sotalol Hydrochloride
ANTIANGINAL AGENTS
Sotylize
GENERIC
Tenormin
isosorbide dinitrate
Toprol XL
isosorbide mononitrate
Trandate
isosorbide mononitrate ER
Zebeta
nitroglycerin lingual
nitroglycerin transdermal
CALCIUM CHANNEL BLOCKERS
nitroglycerin ER
GENERIC
nitroglycerin IN dextrose 5%
amlodipine besylate
nitroglycerin IN 5% dextrose
diltiazem CD
Isosorbide Dinitrate
diltiazem HCL
Nitroglycerin Lingual
diltiazem HCL CD
Effective July 1, 2016
7
diltiazem HCL ER Tikosyn
felodipine ER Xylocaine
isradipine
nicardipine HCL ACE INHIBITORS
nifedipine
GENERIC
nifedipine ER
benazepril HCL
nimodipine
captopril
nisoldipine
enalapril maleate
verapamil HCL
enalaprilat
verapamil HCL ER
fosinopril sodium
verapamil HCL SR
lisinopril
NON PREFERRED
moexipril HCL
Adalat CC
perindopril erbumine
Calan
quinapril HCL
Calan SR
ramipril
Cardene IV
trandolapril
Cardizem
Cardizem CD
NON PREFERRED
Cardizem LA
Accupril
Cleviprex
Aceon
Diltiazem HCL
Altace
Hypertenipine-2.5
Epaned
Nisoldipine
Lotensin
Nisoldipine ER
Mavik
Norvasc
Prinivil
Nymalize
Univasc
Procardia
Vasotec
Procardia XL
Zestril
Sular
Tiazac
ANGIOTENSIN RCPTR BLOCKER
Verelan
GENERIC
Verelan PM
candesartan cilexetil
irbesartan
losartan potassium
ANTIARRHYTHMICS
telmisartan
GENERIC
valsartan
adenosine
Eprosartan Mesylate
amiodarone hydrochloride
amiodarone HCL
PREFERRED
disopyramide phosphate
Benicar
dofetilide
NON PREFERRED
flecainide acetate
Atacand
ibutilide fumarate
Avapro
lidocaine HCL
Cozaar
lidocaine HCL IN D5W
Diovan
lidocaine HCL/dextrose
Edarbi
mexiletine HCL
Micardis
propafenone HCL
Teveten
propafenone HCL ER
quinidine gluconate CR
DIRECT RENIN INHIBITORS
quinidine gluconate ER
PREFERRED
quinidine sulfate
Tekturna
Quinidine Sulfate ER
PREFERRED
ANTIHYPERTENSIVES MISC.
Norpace CR
GENERIC
Quinidine Sulfate
clonidine HCL
NON PREFERRED
doxazosin
Adenocard
doxazosin mesylate
Amiodarone HCL
eplerenone
Cordarone
fenoldopam mesylate
Corvert
guanfacine HCL
Lidocaine HCL
hydralazine HCL
Multaq
methyldopa
Nexterone
minoxidil
Norpace
phenoxybenzamine hydrochloride
Procainamide HCL
prazosin HCL
Quinidine Gluconate
terazosin HCL
Rythmol
PREFERRED
Rythmol SR
Reserpine
Effective July 1, 2016
8
NON PREFERRED Prestalia
Cardura Tarka
Catapres Tekamlo
Catapres-tts-1 Tenoretic 100
Catapres-tts-2 Tenoretic 50
Catapres-tts-3 Teveten HCT
Corlopam Twynsta
Demser Uniretic
Dibenzyline Vaseretic
Inspra Zestoretic
Methyldopate HCL Ziac
Minipress
Nitropress DIURETICS
Phentolamine Mesylate
GENERIC
Tenex
acetazolamide
Vecamyl
acetazolamide sodium
acetazolamide ER
ANTIHYPERTENSIVE COMBO
amiloride HCL
GENERIC amiloride/hydrochlorothiazide
amlodipine besylate/benazepril hydrochloride bumetanide
amlodipine besylate/benazepril HCL chlorothiazide
amlodipine besylate/valsartan chlorothiazide sodium
amlodipine/valsartan/hctz chlorthalidone
atenolol/chlorthalidone ethacrynate sodium
benazepril HCL/hydrochlorothiazide ethacrynic acid
bisoprolol fumarate/hydrochlorothiazide furosemide
candesartan cilexetil/hydrochlorothiazide hydrochlorothiazide
enalapril maleate/hydrochlorothiazide indapamide
fosinopril sodium/hydrochlorothiazide mannitol
irbesartan/hydrochlorothiazide methazolamide
lisinopril/hydrochlorothiazide metolazone
losartan potassium/hydrochlorothiazide spironolactone
metoprolol/hydrochlorothiazide spironolactone/hydrochlorothiazide
moexipril/hydrochlorothiazide torsemide
nadolol/bendroflumethiazide triamterene/hydrochlorothiazide
quinapril/hydrochlorothiazide Acetazolamide
telmisartan/amlodipine Chlorothiazide
telmisartan/hydrochlorothiazide Chlorthalidone
trandolapril/verapamil HCL Triamterene/Hydrochlorothiazide
trandolapril/verapamil HCL ER PREFERRED
valsartan/hydrochlorothiazide Furosemide
PREFERRED Methyclothiazide
Azor NON PREFERRED
Benicar HCT Aldactazide
Captopril/Hydrochlorothiazide Aldactone
Dutoprol Bumex
Methyldopa/Hydrochlorothiazide Demadex
Propranolol/Hydrochlorothiazide Diamox
Tekturna HCT Diuril
Tribenzor Dyazide
NON PREFERRED Dyrenium
Accuretic Edecrin
Amturnide Keveyis
Atacand HCT Lasix
Avalide Maxzide
Clorpres Maxzide-25
Corzide Microzide
Diovan HCT Neptazane
Edarbyclor Sodium Diuril
Exforge Sodium Edecrin
Exforge HCT Torsemide
Hypertensolol Zaroxolyn
Hyzaar
Lopressor HCT VASOPRESSORS
Lotensin HCT
GENERIC
Lotrel
dobutamine HCL
Lytensopril Kit
dobutamine HCL/D5W
Lytensopril-90 Kit
dobutamine/dextrose 5%
Micardis HCT
dopamine HCL
Effective July 1, 2016
9
dopamine HCL-dextrose 5% Lipitor
dopamine HCL/dextrose 5% Livalo
dopamine/D5W Lofibra
ephedrine sulfate Lopid
midodrine HCL Lovaza
norepinephrine bitartrate Mevacor
phenylephrine HCL Niaspan
PREFERRED Omega-3/D-3 Wellness Pack
Epipen 2-PAK Pravachol
Epipen-JR 2-PAK Questran
NON PREFERRED Questran Light
Adrenaclick Repatha
Adrenalin Repatha Pushtronex System
Akovaz Repatha Sureclick
Auvi-q Tricor
Dopamine HCL Triglide
Ephedrine Sulfate Trilipix
Ephedrine Sulfate/Sodium Chloride Zetia
Epinephrine Zocor
Epinephrine HCL
Episnap CARDIOVASCULAR - MISC.
Levophed
GENERIC
Northera
amlodipine besylate/atorvastatin calcium
Phenylephrine HCL
epoprostenol sodium
Phenylephrine HCL/Sodium Chloride
papaverine HCL
Vazculep
sildenafil
sildenafil citrate
ANTIHYPERLIPIDEMICS
PREFERRED
GENERIC Adempas
atorvastatin calcium Cialis
cholestyramine Letairis
cholestyramine light Opsumit
colestipol HCL Remodulin
fenofibrate Stendra
fenofibrate micronized Tracleer
fenofibric acid DR Veletri
fluvastatin NON PREFERRED
fluvastatin sodium ER Adcirca
gemfibrozil Bidil
lovastatin Caduet
niacin ER Corlanor
omega-3-acid ethyl esters Entresto
pravastatin sodium Flolan
rosuvastatin calcium Levitra
simvastatin Muse
Fenofibrate Natrecor
Fenofibric Acid Orenitram
Revatio
PREFERRED Staxyn
Fibricor Tyvaso
Lipofen Tyvaso Refill
Niacor Tyvaso Starter
Praluent Uptravi
Simcor Ventavis
Vascepa Viagra
Vytorin
Welchol DERMATOLOGICALS
NON PREFERRED
ACNE PRODUCTS
Advicor
GENERIC
Altoprev
adapalene
Antara
adapalene P.M.
Colestid
benzoyl peroxide
Colestid Flavored
benzoyl peroxide SHORT contact
Crestor
clindamycin phosphate
Fenoglide
clindamycin phosphate/tretinoin
Juxtapid
clindamycin/benzoyl peroxide
Kynamro
erythromycin
Lescol
erythromycin/benzoyl peroxide
Lescol XL
sodium sulfacetamide
Effective July 1, 2016
10
sodium sulfacetamide/sulfur Rosanil
sodium sulfacetamide/sulfur cleanser Rosula
sodium sulfacetamide/sulfur cleansing cloths Sodium Sulfacetamide/Sulfur
sodium sulfacetamide/sulfur green Sodium Sulfacetamide/Sulfur Cleanser IN Urea
sodium sulfacetamide/sulfur w/sunscreen Sodium Sulfacetamide/Sulfur IN Urea
sodium sulfacetamide/sulfur wash Sulfoam
sulfacetamide sodium Sumadan Kit
sulfacetamide sodium/sulfur Sumadan Wash
sulfacetamide sodium/sulfur cleanser Sumadan XLT
tretinoin Sumaxin
tretinoin microsphere Sumaxin CP Kit
tretinoin microsphere P.M. Sumaxin Ts
PREFERRED Sumaxin Wash
Benzamycinpak Tretin-x
Clindagel Triseon
Retinoic Acid Vanoxide-HC
Retinoic Acid-all Trans Veltin
Tretinoin Zacare 4% Kit
Tretinoin (all-trans Retinoic Acid) Zacare 8% Kit
NON PREFERRED Ziana
Absorica
Acanya ROSACEA AGENTS
Aczone
GENERIC
Adapalene
metronidazole
Akne-mycin
Doxycycline
Atralin
PREFERRED
Avar
Finacea
Avar LS
NON PREFERRED
Avar LS Cleanser
Metrocream
Avar-e LS
Metrogel
Azelex
Metrolotion
Benzac Ac Wash
Mirvaso
Benzac W Wash
Noritate
Benzaclin
Oracea
Benzaclin With P.M.
Rosadan Kit
Benzamycin
Soolantra
Benzefoam
Benzefoam Ultra
ANALGESICS - TOPICAL
Benzefoamultra
NON PREFERRED
Benziq
A.a.g.c. Kit IN Teroderm
Benziq LS
Baclofen
Clarifoam EF
Equipto-baclofen
Cleocin-t
Clindacin Etz
ANTIBIOTICS - TOPICAL
Clindacin PAC
GENERIC
Clindap-t
mupirocin
Clinoin
mupirocin calcium
Dermapak Plus
PREFERRED
Differin
Centany
Duac
Gentamicin Sulfate
Epiduo
NON PREFERRED
Epiduo Forte
Altabax
Erygel
Bactroban
Evoclin
Centany AT
Fabior
Cortisporin
Inova
Neo-synalar
Inova 4/1 Acne Control Therapy
Neo-synalar Kit
Inova 8/2 Acne Control Therapy
Klaron
ANTIFUNGALS - TOPICAL
Neuac Kit
GENERIC
Nuox
ciclopirox
Onexton
ciclopirox nail lacquer
Plexion
ciclopirox olamine
Plexion Cleanser
clotrimazole
Plexion Cleansing Cloths
clotrimazole/betamethasone dipropionate
Prascion Ra With Sunscreens
econazole nitrate
Retin-a
ketoconazole
Retin-a Micro
naftifine hydrochloride
Retin-a Micro P.M.
nystatin
Riax
Effective July 1, 2016
11
nystatin/triamcinolone Lidoprofen
nystatin/triamcinolone acetonide Novoclair
oxiconazole nitrate Nuvya
PREFERRED Pennsaid
Ala-quin Voltaren
Exoderm Vopac
NON PREFERRED Vopac GB
Ciclodan Cream Kit Vopac Kt
Ciclodan Solution Kit Xrylix
Ciclopirox Topical Solution Kit Zyvodol
Cnl8 Nail Kit
Ecoza ANTIPRURITICS
Ertaczo
GENERIC
Exelderm
Doxepin Hydrochloride
Extina
NON PREFERRED
Halotin
Prudoxin
Jublia
Zonalon
Kerydin
Ketodan Kit
ANTIPSORIATICS
Lamisil Spray
GENERIC
Loprox
acitretin
Loprox Shampoo
calcipotriene
Lotrisone
methoxsalen
Luzu
Calcitriol
Mentax
PREFERRED
Naftifine HCL
Anthralin
Naftin
Dritho-creme HP
Nizoral
Stelara
Nyata
Vectical
Oxistat
NON PREFERRED
Pediaderm AF Complete Kit
Cosentyx
Pedipirox-4 Nail
Cosentyx Sensoready Pen
Penlac Nail Lacquer
Dovonex
Recura
Oxsoralen Ultra
Vusion
Soriatane
Xolegel
Sorilux
Xolegel Corepak
Taltz
Xolegel Duo/Head & Shoulders
Tazorac
Xolegel Duo/Xolex
Zithranol
Zithranol-rr
ANTIVIRALS - TOPICAL
8-mop
GENERIC
acyclovir
ANTISEBORRHEIC AGENTS
NON PREFERRED
GENERIC
Denavir
selenium sulfide
Lidovir
sodium sulfacetamide
Xerese
sodium sulfacetamide wash
Zovirax
NON PREFERRED
Glycolic Acid
ANTIHISTAMINES-TOPICAL
Glycolic Acid 70% High Purity
NON PREFERRED
Ovace Plus
Allo-pax
Ovace Plus Wash
Nazirex
Ovace Wash
Promiseb
ANTI-INFLAMMATORY AGENTS
Promiseb Complete
GENERIC Selrx
diclofenac sodium Tersi Foam
NON PREFERRED TL Triseb
Dermacinrx Lexitral Pharmapak
Diclofenac Sodium CORTICOSTEROIDS - TOPICAL
Dipentocaine
GENERIC
Dsg PAK
alclometasone dipropionate
Emvoren
augmented betamethasone dipropionate
Equipto-naproxen
betamethasone dipropionate
Extardol
betamethasone valerate
Flector
calcipotriene/betamethasone dipropionate
Innoprax-5
clobetasol propionate
K.b.g.l. IN Teroderm Cream
clobetasol propionate emollient
Ketorolac 2% Gel
desonide
Effective July 1, 2016
12
desoximetasone Synalar
fluocinolone acetonide Synalar Cream Kit
fluocinonide Synalar Ointment Kit
fluocinonide-e Synalar Ts
flurandrenolide Taclonex
fluticasone propionate Temovate
halobetasol propionate Temovate E
hydrocortisone Texacort
hydrocortisone acetate/aloe Topicort
hydrocortisone butyrate Tri-sila
hydrocortisone butyrate (lipid) Triamsil Combipak
hydrocortisone butyrate (lipophilic) Trianex
hydrocortisone valerate Triderma Forte
hydrocortisone IN absorbase Ultravate
mometasone furoate Ultravate X
prednicarbate Validerm
triamcinolone acetonide Vanos
Amcinonide Verdeso
Desoximetasone Westcort
Diflorasone Diacetate Xilapak
PREFERRED
Pramosone IMMUNOMODULATING AGENTS
Triamcinolone Acetonide
GENERIC
NON PREFERRED
imiquimod
Aclovate
tacrolimus
Advanced Allergy Collection Kit
PREFERRED
Ala Scalp
Elidel
Capex
NON PREFERRED
Clobex
Aldara
Clocortolone Pivalate
Protopic
Clocortolone Pivalate P.M.
Zyclara
Clodan Kit
Zyclara P.M.
Cloderm
Cloderm P.M.
DERMATOLOGICALS - MISC.
Cordran
GENERIC
Cordran Tape
ammonium lactate
Cutivate
episone CRE
Derma Silkrx Sds PAK
lactic acid
Derma-smoothe/FS Body
lactic acid e
Derma-smoothe/FS Scalp
lactic acid w/vitamin e
Dermasorb HC
lidocaine
Dermasorb Ta
lidocaine HCL
Dermatop
lidocaine HCL jelly
Dermawerx Sds PAK
lidocaine-prilocaine-cream base
Dermazone
lidocaine/prilocaine
Desonate
lindane
Desowen
malathion
Diprolene
permethrin
Diprolene AF
podofilox
Elocon
salicylic acid
Enstilar
salicylic acid cream
Epifoam
salicylic acid lotion
First-hydrocortisone
salicylic acid ER
Halog
sodium hyaluronate
Kenalog
urea
Locoid
urea topical
Locoid Lipocream
urea IN zinc undecylenate/lactic acid vehicle
Luxiq
urea 40% nail film
Noxipak
PREFERRED
Nucort
Drysol
Nuzon
Eurax
Olux
Lindane
Olux-e
NON PREFERRED
Pandel
Accucaine
Pediaderm HC
Acuicyn Daily Eyelid & Eyelash Cleanser
Pediaderm Ta
Alevicyn Antipruritic SG
Scalacort DK
Aluvea
Sernivo
Anacaine
Silazone Pharmapak
Arnica Flower
Silazone-II
Effective July 1, 2016
13
Astero Neosalus CP
Atopiclair Neuvaxin
Aurstat Anti-itch Hydrogel Nivatopic Plus
Aurstat Anti-itch Hydrogel Kit Nuvail
Avenova Ovide
Avenova/Neutrox Oxsoralen
Benzoin Compound Tincture Pliaglis
Benzoin Tincture Pr Cream
Boric Acid Presera
Ceracade Pruclair
Coal TAR Prumyx
Cocaine HCL Pyrogallic Acid
Condylox Qutenza
Copasil Relyyks
Dermacinrx Duopatch Pharmapak Relyyt
Dermacinrx Neurotral Pharmapak Salex
Dermacinrx Phn PAK Salex Cream
Dermacinrx Surgical Pharmapak Salex Lotion
Dermacinrx Zrm PAK Salicylic Acid
Dermasorb XM Salicylic Acid IN Ammonium Lactate Vehicle
Dermawerx Surgical Plus PAK Salkera
Eletone Salvax
Eletone Twinpack Salvax Duo Plus
Elimite Scar Patch
Emla Sinelee
Emulsion SB Sklice
Entty Spray Emulsion Solaice
Epiceram Soothee
Ethyl Chloride Spinosad
Ethyl Chloride/Fine Pinpoint Sulfurated Lime
Ethyl Chloride/Fine Stream Supracil
Ethyl Chloride/Medium Jet Stream Synera
Ethyl Chloride/Medium Stream Tetrix
Ethyl Chloride/Mist Tropazone
Gebauers Pain Ease Ulesfia
Gebauers Spray And Stretch Ultrasal-ER
Genadur Umecta
Genadur Kit Umecta Nail Film
Gordofilm Umecta PD
Gordons Urea Uramaxin
Hydro 35 Uramaxin GT
Hydro 40 Foam Uramaxin GT Kit
Hylatopic Utopic
Hylatopic Plus Venipuncture Cpi
Hylira Veregen
HPR Verrunex
HPR Plus Vexa
HPR Plus Hydrogel Kit Virasal
HPR Plus/Mb Hydrogel Xerac Ac
IV Infusion Cpi Xylocaine
Kerafoam
Kerafoam 42
Keralac ENDOCRINE AND METABOLIC
Keralyt
CORTICOSTEROIDS
Keralyt Scalp
GENERIC
Lac-hydrin
betamethasone sodium phosphate/betamethasone acetate
Latrix XM
Ldo Plus
budesonide
Lido-RX 4.1
dexamethasone
Lidocaine And Tetracaine Cream
dexamethasone sodium phosphate
Lidocaine HCL
fludrocortisone acetate
Lidoderm
hydrocortisone
Lidothol
methylprednisolone
Lidotral
methylprednisolone acetate
Lycelle
methylprednisolone dose pack
Mb Hydrogel
methylprednisolone sodiumsuccinate
Medi-derm/L-RX
prednisolone
Megrix
prednisolone sodium phosphate
Natroba
prednisolone sodium phosphate odt
Neosalus
Effective July 1, 2016
14
prednisone GENERIC
Dexamethasone Sodium Phosphate danazol
PREFERRED methyltestosterone
Cortisone Acetate oxandrolone
Dexamethasone testosterone
Medrol testosterone cypionate
Millipred testosterone enanthate
Prednisone testosterone P.M.
Prednisone Intensol Testosterone
NON PREFERRED Testosterone P.M.
Aristospan Intra-articular PREFERRED
Betalido Androderm
Betaloan Suik Androgel P.M.
Betamethasone SP Androxy
Celestone-soluspan NON PREFERRED
Cortef Anadrol-50
Depo-medrol Androgel
Dermacinrx Cinlone-i Cpi Android
Dexamethasone Intensol Aveed
Dexlido Axiron
Dexlido-m Depo-testosterone
Dexpak 10 Day First-testosterone
Dexpak 13 Day First-testosterone Mc Compounding Kit
Dexpak 6 Day Fortesta
Doubledex Natesto
Dyural-l Oxandrin
Dyural-lm Striant
Dyural-40 Testim
Dyural-80 Testone Cik
Entocort EC Testopel
Interarticular Joint Kit Testred
Kenalog-10 Vogelxo
Kenalog-40 Vogelxo P.M.
K10-lido
K40-lido ESTROGENS
LT Injection Kit
GENERIC
Marbeta-l
estradiol
Marbeta-25
estradiol valerate
Mardex-25
estradiol/norethindrone acetate
Medrol Dosepak
norethindrone acetate/ethinyl estradiol
Medroloan II Suik
Estropipate
Medroloan Suik
PREFERRED
Methylprednisolone
Alora
Methylprednisolone PF
Climara Pro
Methylprednisolone/Lidocaine
Duavee
Millipred DP
Menest
Mlk F4 Kit
Premphase
Orapred Odt
Prempro
Pediapred
NON PREFERRED
Prednisolone Sodium Phosphate
Activella
Pro-c-dure 5 Kit
Angeliq
Pro-c-dure 6 Kit
Biest/Progesterone
Rayos
Cenestin
Readysharp-k
Climara
Readysharp-p40
Combipatch
Readysharp-p80
Delestrogen
Solu-cortef
Depo-estradiol
Solu-medrol
Divigel
Triamcinolone
Elestrin
Triamcinolone PF
Enjuvia
Triamcinolone/Lidocaine
Estrace
Triloan II Suik
Estradiol
Triloan Suik
Estrogel
Uceris
Evamist
Veripred 20
Femhrt Low Dose
Menostar
Minivelle
ANDROGENS-ANABOLIC
Prefest
Premarin
Effective July 1, 2016
15
Vivelle-dot Megace ES
Progesterone 10% Kit
CONTRACEPTIVES Prometrium
Provera
GENERIC
desogestrel/ethinyl estradiol
ANTIDIABETIC AGENTS
drospirenone/ethinyl estradiol
levonorgestrel INSULIN
levonorgestrel and ethinyl estradiol PREFERRED
levonorgestrel/ethinyl estradiol Humalog
norethindrone Humalog Kwikpen
norethindrone & ethinyl estradiol ferrous fumarate Humalog Mix 50/50
norethindrone acetate/ethinyl estradiol Humalog Mix 50/50 Kwikpen
norethindrone acetate/ethinyl estradiol/ferrous fumarate Humalog Mix 75/25
norgestimate/ethinyl estradiol Humalog Mix 75/25 Kwikpen
Levonorgestrel Humulin N
PREFERRED Humulin N Kwikpen
Natazia Humulin R
Necon 1/50-28 Humulin R U-500 (concentrated)
Necon 10/11-28 Humulin R U-500 Kwikpen
Norinyl 1+50 Humulin 70/30
Nuvaring Humulin 70/30 Kwikpen
Zovia 1/50e Lantus
NON PREFERRED Lantus Solostar
Beyaz Levemir
Brevicon-28 Levemir Flexpen
Cyclessa Levemir Flextouch
Desogen Novolin N
Ella Novolin N Relion
Estrostep FE Novolin R
Falessa Novolin R Relion
Femcon FE Novolin 70/30
Generess FE Novolin 70/30 Relion
Loestrin FE 1.5/30 Novolog
Loestrin FE 1/20 Novolog Flexpen
Loestrin 1.5/30-21 Novolog Mix 70/30
Loestrin 1/20-21 Novolog Mix 70/30 Prefilled Flexpen
Loseasonique Novolog Penfill
LO Loestrin FE NON PREFERRED
Minastrin 24 FE Afrezza
Mircette Apidra
Modicon Apidra Solostar
Nor-QD Toujeo Solostar
Norinyl 1+35 Tresiba Flextouch
Ortho Micronor AMYLIN ANALOGS
Ortho Tri-cyclen NON PREFERRED
Ortho Tri-cyclen LO Symlinpen 120
Ortho-cept Symlinpen 60
Ortho-cyclen INCRETIN MIMETIC AGENTS
Ortho-novum 1/35 PREFERRED
Ortho-novum 7/7/7 Bydureon
Ovcon-35 Byetta
Quartette Trulicity
Safyral Victoza
Seasonique NON PREFERRED
Tri-norinyl 28 Tanzeum
Yasmin 28 SULFONYLUREAS
Yaz GENERIC
glimepiride
PROGESTINS glipizide
glipizide ER
GENERIC
glyburide
medroxyprogesterone acetate
glyburide micronized
megestrol acetate
tolazamide
norethindrone acetate
Glyburide
progesterone
Tolazamide
PREFERRED
PREFERRED
Makena
Chlorpropamide
NON PREFERRED
Diabeta
Aygestin
Tolbutamide
Medroxyprogesterone/Lidocaine
Effective July 1, 2016
16
NON PREFERRED NON PREFERRED
Amaryl Actoplus Met
Glucotrol Actoplus Met XR
Glucotrol XL Appformin
Glynase Appformin-d
BIGUANIDES Avandamet
GENERIC Avandaryl
metformin HCL Duetact
metformin HCL ER Glucovance
NON PREFERRED Glyxambi
Fortamet Jentadueto
Glucophage Jentadueto XR
Glucophage XR Kazano
Glumetza Oseni
Riomet Prandimet
MEGLITINIDE ANALOGUES Xigduo XR
GENERIC
nateglinide BISPHOSPHONATES
repaglinide
GENERIC
NON PREFERRED
alendronate sodium
Prandin
ibandronate sodium
Starlix
pamidronate disodium
DIABETIC OTHER
risedronate sodium
PREFERRED
risedronate sodium DR
Glucagen Hypokit
zoledronic acid
Glucagon Emergency Kit
PREFERRED
Invokana
Alendronate Sodium
Jardiance
NON PREFERRED
Proglycem
Actonel
NON PREFERRED
Atelvia
Farxiga
Binosto
Korlym
Boniva
ALPHA-GLUCOSIDASE INHIBIT
Etidronate Disodium
GENERIC
Fosamax
acarbose
Fosamax Plus D
miglitol
Pamidronate Disodium
NON PREFERRED
Reclast
Glyset
Zoledronic Acid
Precose
Zometa
DPP-4 INHIBITORS
GENERIC
CALCITONINS
Alogliptin
GENERIC
PREFERRED
calcitonin salmon
Januvia
calcitonin-salmon
Onglyza
NON PREFERRED
NON PREFERRED
Fortical
Nesina
Miacalcin
Tradjenta
INSULIN SENSITIZING AGENT
PARATHYROID HORMONE
GENERIC
PREFERRED
pioglitazone HCL
Forteo
NON PREFERRED
NON PREFERRED
Actos
Natpara
Avandia
ANTIDIABETIC COMBINATIONS
RANK LIGAND INHIBITORS
GENERIC
PREFERRED
glipizide/metformin HCL
Prolia
glyburide/metformin HCL
Xgeva
pioglitazone HCL-glimepiride
pioglitazone HCL/metformin HCL
HORMONE RECEPTOR MDLTR
Alogliptin/Metformin HCL
GENERIC
Alogliptin/Pioglitazone
raloxifene hydrochloride
Repaglinide/Metformin Hydrochloride
NON PREFERRED
PREFERRED
Evista
Invokamet
Osphena
Janumet
Janumet XR
FERTILITY REGULATORS
Kombiglyze XR
GENERIC
Synjardy
chorionic gonadotropin
Effective July 1, 2016
17
clomiphene citrate POSTERIOR PITUITARY
PREFERRED
GENERIC
Follistim AQ
desmopressin acetate
Gonal-f
vasopressin
Gonal-f RFF
NON PREFERRED
Gonal-f RFF Rediject
Ddavp
NON PREFERRED
Pitressin Synthetic
Bravelle
Stimate
Menopur
Vasostrict
Ovidrel
CORTICOTROPIN
LHRH/GNRH AGONIST
NON PREFERRED
PREFERRED
H.p. Acthar
Lupron Depot-PED
Supprelin LA
PROLACTIN INHIBITORS
Synarel
GENERIC
NON PREFERRED
cabergoline
Lupaneta Pack
GNRH/LHRH ANTAGONISTS
VASOPRESSIN ANTAGONISTS
PREFERRED
PREFERRED
Cetrotide
Samsca
NON PREFERRED
NON PREFERRED
Ganirelix Acetate
Vaprisol
GROWTH HORMONES
PROGESTERONE ANTAGONISTS
PREFERRED
NON PREFERRED
Norditropin Cartridge
Mifeprex
Norditropin Flexpro
Norditropin Nordiflex Pen
METABOLIC MODIFIERS
Nutropin AQ Nuspin 10
GENERIC
Nutropin AQ Nuspin 20
calcitriol
Nutropin AQ Nuspin 5
doxercalciferol
Nutropin AQ Pen
levocarnitine
Saizen
paricalcitol
Saizen Click.easy
sodium phenylacetate/sodium benzoate
Serostim
sodium phenylbutyrate
NON PREFERRED
PREFERRED
Genotropin
Aldurazyme
Genotropin Miniquick
Carbaglu
Humatrope
Elaprase
Humatrope Combo Pack
Fabrazyme
Omnitrope
Kuvan
Tev-tropin
Lumizyme
Zomacton
Myozyme
Zorbtive
Naglazyme
NON PREFERRED
GHRH
Ammonul
NON PREFERRED
Buphenyl
Egrifta
Carnitor
Carnitor SF
SOMATOMEDINS
Cystadane
PREFERRED
Hectorol
Increlex
Kanuma
Myalept
SOMATOSTATIC AGENTS
Orfadin
GENERIC Ravicti
octreotide acetate Rocaltrol
NON PREFERRED Sensipar
Sandostatin Strensiq
Sandostatin Lar Depot Vimizim
Signifor Xuriden
Signifor Lar Zemplar
Somatuline Depot
THYROID AGENTS
GH RECEPTOR ANTAGONISTS
GENERIC
NON PREFERRED levothyroxine sodium
Somavert liothyronine sodium
methimazole
Effective July 1, 2016
18
propylthiouracil chlordiazepoxide HCL/clidinium bromide
NON PREFERRED cimetidine
Armour Thyroid cimetidine HCL
Cytomel dicyclomine HCL
Levothyroxine Sodium esomeprazole magnesium
Nature-throid esomeprazole sodium
Nature-throid Nt-2.5 famotidine
Synthroid glycopyrrolate
Tapazole hyoscyamine sulfate
Thyrolar-1 hyoscyamine sulfate odt
Thyrolar-1/2 hyoscyamine sulfate ER
Thyrolar-1/4 hyoscyamine sulfate SR
Thyrolar-2 lansoprazole
Thyrolar-3 lansoprazole/amoxicillin/clarithromycin
Tirosint methscopolamine bromide
Triostat misoprostol
Westhroid nizatidine
Wp Thyroid omeprazole
omeprazole/sodium bicarbonate
GASTROINTESTINAL pantoprazole sodium
rabeprazole sodium
LAXATIVES
ranitidine HCL
GENERIC
sucralfate
lactulose
Esomeprazole Sodium
peg 3350/electrolytes
Famotidine
peg-3350/electrolytes
Nizatidine
peg-3350/NACL/NA bicarbonate/KCL
polyethylene glycol 3350
PREFERRED
NON PREFERRED
Carafate
Cascara Sagrada
Dexilant
Colyte-flavor Packs
Omeclamox-PAK
Gialax
Propantheline Bromide
Golytely
Pylera
Kristalose
Symax Duotab
Mineral Oil Heavy
NON PREFERRED
Moviprep
Aciphex
Nulytely/Flavor Packs
Aciphex Sprinkle
Osmoprep
Anaspaz
Pcp 100
Atropen
Prepopik
Atropine Sulfate
Suclear
Belladonna & Opium
Suprep Bowel Prep
Belladonna Alkaloids & Opium
Bentyl
Cantil
ANTIDIARRHEALS
Cuvposa
GENERIC
Cytotec
diphenoxylate/atropine
Deprizine Fusepaq
loperamide HCL
Esomeprazole Strontium
opium
Famotidine Premixed
opium tincture
First-lansoprazole
PREFERRED
First-omeprazole
Diphenoxylate/Atropine
Gabitidine
Paregoric
Gastrinex NF
NON PREFERRED
Glycopyrrolate
Fulyzaq
Levbid
Lomotil
Levsin
Motofen
Levsin/SL
Restora RX
Librax
Restora Sprinkles
Nexium
Rezyst IM
Nexium I.v.
Rezyst SB
Omeprazole + Syrspend SF Alka
Vsl#3 DS
Pamine
Pamine Forte
ANTACIDS
Pamine FQ
NON PREFERRED
Pepcid
Sodium Bicarbonate
Prevacid
Prevacid Solutab
ULCER DRUGS
Prevpac
GENERIC
Prilosec
atropine sulfate
Protonix
Effective July 1, 2016
19
Robinul Linzess
Robinul Forte Movantik
Scopolamine Hydrobromide Proctofoam HC
Sentradine Relistor
Zantac Remicade
Zegerid Renvela
Sevelamer Carbonate
ANTIEMETICS Sfrowasa
NON PREFERRED
GENERIC
Actigall
dronabinol
Analpram Advanced
granisetron HCL
Analpram-HC
meclizine HCL
Analpram-HC Singles
ondansetron odt
Anusol-HC
ondansetron HCL
Apriso
trimethobenzamide HCL
Asacol HD
PREFERRED
Auryxia
Aloxi
Azulfidine
NON PREFERRED
Azulfidine EN-TABS
Akynzeo
Chenodal
Anzemet
Cholbam
Cesamet
Colazal
Diclegis
Cortenema
Dimenhydrinate
Cortifoam
Emend
Delzicol
Granisol
Dexpanthenol
Marinol
Dipentum
Sancuso
Eliphos
Tigan
Entereg
Transderm-scop
Entyvio
Varubi
Fosrenol
Zofran
Gastrocrom
Zofran Odt
Gattex
Zuplenz
Giazo
Lidocaine HCL-hydrocortisone Acetate With Aloe
DIGESTIVE AIDS
Lotronex
PREFERRED
Metoclopramide Odt
Creon
Metozolv Odt
Pancrelipase
Ocaliva
Zenpep
Pentasa
NON PREFERRED
Phoslo
Pancreaze
Phoslyra
Pertzye
Procort
Sucraid
Proctocort
Ultresa
Rectiv
Viokace
Reglan
Renagel
GASTROINTESTINAL - MISC.
Rowasa
GENERIC
Uceris
alosetron hydrochloride
Urso Forte
balsalazide disodium
Urso 250
calcium acetate
Velphoro
cromolyn sodium
Viberzi
hydrocort ene 100MG
hydrocortisone
GENITOURINARY
hydrocortisone acetate/lidocaine HCL
URINARY ANTI-INFECTIVES
hydrocortisone acetate/pramoxine
lactulose GENERIC
lidocaine HCL/hydrocortisone acetate methenamine hippurate
mesalamine methenamine mandelate
metoclopramide odt nitrofurantoin
metoclopramide HCL nitrofurantoin macrocrystals
sulfasalazine nitrofurantoin monohydrate
ursodiol nitrofurantoin monohydrate/macrocrystals
PREFERRED PREFERRED
Amitiza Methenamine Mandelate
Canasa NON PREFERRED
Cimzia Furadantin
Cimzia Starter Kit Hiprex
Lialda Macrobid
Effective July 1, 2016
20
Macrodantin finasteride
Monurol phenazopyridine HCL
Uretron D/S potassium citrate ER
Urimar-t potassium citrate-citric acid crystals
Urogesic-blue potassium citrate/citric acid
potassium citrate/sodium citrate/citric acid
URINARY ANTISPASMODICS sodium citrate/citric acid
tamsulosin HCL
GENERIC
tricitrates
bethanechol chloride
PREFERRED
darifenacin hydrobromide ER
Cytra-3
darifenacin ER
Elmiron
flavoxate HCL
Rapaflo
oxybutynin chloride
NON PREFERRED
oxybutynin chloride ER
Avodart
tolterodine tartrate
Cardura XL
tolterodine tartrate ER
Cystagon
trospium chloride
Flomax
trospium chloride ER
Jalyn
PREFERRED
K-phos NO 2
Gelnique
Lithostat
Vesicare
Oracit
NON PREFERRED
Procysbi
Detrol
Proscar
Detrol LA
Pyridium
Ditropan XL
Shohls Solution Modified
Enablex
Thiola
Myrbetriq
Urocit-k 10
Oxytrol
Urocit-k 15
Sanctura
Urocit-k 5
Toviaz
Uroxatral
Urecholine
HEMATOLOGICAL
VAGINAL PRODUCTS
GENERIC HEMATOPOIETIC AGENTS
clindamycin phosphate
GENERIC
metronidazole vaginal
cyanocobalamin
terconazole
folic acid
PREFERRED
folic acid/vitamin b-6/vitamin b-12
Premarin
sodium ferric gluconate complex/sucrose
NON PREFERRED
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc
Avc
PREFERRED
Cleocin
Aranesp Albumin Free
Clindesse
Cerezyme
Crinone
Folitab 500
Endometrin
Granix
Estrace
Mozobil
Estring
Neumega
Fem PH
Neupogen
Femring
Nplate
First-progesterone VGS 100 Compounding Kit
Procrit
First-progesterone VGS 200 Compounding Kit
NON PREFERRED
First-progesterone VGS 25 Compounding Kit
Abaneu-SL
First-progesterone VGS 400 Compounding Kit
Albafort
First-progesterone VGS 50 Compounding Kit
Animi-3
Gynazole-1
Animi-3/Vitamin D
Metrogel-vaginal
B-12 Kit
Nuvessa
B-6 Folic Acid
Relagard
Biferarx
Terazol 3
Cenfol
Terazol 7
Centratex
Vagifem
Cerdelga
Ciferex
GENITOURINARY - MISC.
Corvite 150
GENERIC
Dermacinrx Purefolix
alfuzosin HCL ER
Divista
citric acid/sodium citrate
Droxia
dutasteride
Ed Cyte F
dutasteride/tamsulosin hydrochloride
Elelyso
dutasteride/tamsulosin HCL
Effective July 1, 2016
21
Epogen heparin lock flush
Feraheme heparin lock flush for flushing vascular access devices
Feriva heparin lock flush/NACL for flushing vascular access devices
Feriva 21/7
heparin sodium
Ferivafa
heparin sodium dcu
Ferralet 90
heparin sodium lock flush
Ferrex 150 Forte Plus
heparin sodium/sodium chloride 0.9% premix
Ferrex 28
heparin sodium/D5W
Ferrlecit
heparin sodium/NACL 0.9%
Ferro-plex Hematinic
warfarin sodium
Ferrotrin
PREFERRED
Focalgin Dss
Pradaxa
Folgard RX
Xarelto
Folic Acid
Xarelto Starter Pack
Folivane-f
NON PREFERRED
Folivane-plus
Angiomax
Folixapure
Argatroban
Foltrate
Arixtra
Fusion Plus
Coumadin
Fusion Sprinkles
Defitelio
Hematogen Fa
Eliquis
Hematron-AF
Fragmin
Hemocyte Plus
Heparin Lock Flush
Hemocyte-f
Heparin Sodium
Hydroxocobalamin
Heparin Sodium/D5W
Icar-c Plus
Heparin Sodium/NACL 0.45%
Infed
Heparin Sodium/Sodium Chloride 0.9%
Injectafer
Iprivask
Integra F
Lovenox
Integra Plus
Savaysa
Irospan 24/6
Is 24/6
HEMOSTATICS
Leukine
GENERIC
Maxaron Forte
aminocaproic acid
Maxfe
tranexamic acid
Mircera
NON PREFERRED
Multigen
Amicar
Multigen Folic
Aminocaproic Acid
Multigen Plus
Artiss
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa
Astringyn
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac
Cyklokapron
Evicel
Nascobal
Evithrom
Natalvirt Flt
Lysteda
Nephron Fa
Recothrom
Neulasta
Recothrom Spray Kit
Neulasta Onpro Kit
Thrombin-jmi Diluent
Novaferrum
Thrombin-jmi Epistaxis
Nufera
Thrombin-jmi Syringe Spray Kit
Omontys
Thrombin-jmi W/Dil Spray P.M. Actuator
Pre-folic
Thrombogen
Proferrin-forte
Tisseel
Promacta
Tisseel VH
Protectiron
Tandem F
HEMATOLOGICAL - MISC.
Tandem Plus
GENERIC
Triferic
anagrelide hydrochloride
Venofer
cilostazol
Vpriv
clopidogrel
Zarxio
dipyridamole
Zavesca
eptifibatide
hetastarch 6%/NACL
ANTICOAGULANTS
pentoxifylline ER
GENERIC
ticlopidine HCL
argatroban
Aspirin/Dipyridamole
bivalirudin
PREFERRED
enoxaparin sodium
Advate
fondaparinux sodium
Alphanate/Von Willebrand Factor Complex/Human
heparin lock
Effective July 1, 2016
22
Alphanine SD pilocarpine HCL
Bebulin stannous fluoride oral rinse
Benefix triamcinolone acetonide
Berinert triamcinolone IN orabase
Brilinta NON PREFERRED
Cinryze Aquoral
Corifact Caphosol
Effient Debacterol
Feiba Evoxac
Feiba NF First-bxn Mouthwash
Firazyr First-dukes Mouthwash
Hemofil M First-marys Mouthwash
Humate-p First-mouthwash Blm
Koate-dvi Gel-kam Oral Care Rinse
Monoclate-p Gelclair
Mononine Lidocaine HCL
Novoseven Nafrinse Daily/Acidulated
Novoseven Rt Nafrinse Daily/Neutral
Profilnine Nafrinse Weekly
Profilnine SD Neutrasal
Recombinate Numoisyn
Riastap Orafate
Soliris Oravig
Ticlopidine HCL Peridex
Wilate Prevident
NON PREFERRED Prothelial
Activase Salagen
Aggrastat Salivamax
Aggrenox Salivate RX
Agrylin
Cathflo Activase NEUROLOGY, CNS, PSYCH
Durlaza
ANTIANXIETY AGENTS
Helixate FS
GENERIC
Hespan
alprazolam
Hextend
alprazolam odt
Integrilin
alprazolam ER
Ixinity
buspirone HCL
Kalbitor
chlordiazepoxide HCL
Kengreal
clorazepate dipotassium
Kinlytic
diazepam
Kogenate FS
droperidol
Kogenate FS Bio-set
gene-xene TAB 15MG
Kovaltry
gene-xene TAB 3.75MG
LMD 10% Dextrose 5%
gene-xene TAB 7.5MG
LMD 10% Sodium Chloride 0.9%
hydroxyzine pamoate
Novoeight
hydroxyzine HCL
Nuwiq
lorazepam
Persantine
meprobamate
Plavix
oxazepam
Pletal
Diazepam
Protamine Sulfate
Hydroxyzine Pamoate
Reopro
Tnkase
NON PREFERRED
Voluven
Alprazolam Intensol
Xyntha
Ativan
Xyntha Solofuse
Gabavale-5
Zontivity
Gabazolamine
Gabazolamine-0.5
MOUTH/THROAT/DENTAL AGENT
Hydroxyzine HCL
Lorazepam
GENERIC
Niravam
cevimeline HCL
Sentrazolam AM 0.25
chlorhexidine gluconate
Tranxene T
chlorhexidine gluconate oral rinse
Valium
clotrimazole
Vistaril
lidocaine viscous
Xanax
lidocaine HCL viscous
Xanax XR
nystatin
pilocarpine hydrochloride
Effective July 1, 2016
23
ANTIDEPRESSANTS Paxil CR
Pexeva
GENERIC
Prozac
amitriptyline HCL
Prozac Weekly
bupropion HCL
Remeron
bupropion HCL ER
Remeron Soltab
bupropion HCL SR
Sentraflox AM-10
bupropion HCL XL
Sentralopram AM-10
citalopram hydrobromide
Sentravil PM-25
clomipramine HCL
Sentroxatine
desipramine HCL
Surmontil
doxepin HCL
Tofranil
duloxetine HCL
Tofranil-PM
escitalopram oxalate
Trazamine
fluoxetine DR
Trintellix
fluoxetine HCL
Viibryd
fluvoxamine maleate
Viibryd Starter Pack
fluvoxamine maleate ER
Vivactil
imipramine pamoate
Wellbutrin
imipramine HCL
Wellbutrin SR
mirtazapine
Wellbutrin XL
mirtazapine odt
Zoloft
nefazodone HCL
nortriptyline HCL
ANTIPSYCHOTICS
paroxetine HCL
paroxetine HCL ER GENERIC
phenelzine sulfate aripiprazole
protriptyline HCL aripiprazole odt
sertraline HCL chlorpromazine HCL
tranylcypromine sulfate clozapine
trazodone HCL clozapine odt
trimipramine maleate fluphenazine decanoate
venlafaxine HCL fluphenazine HCL
venlafaxine HCL ER haloperidol
Amoxapine haloperidol decanoate
Doxepin HCL haloperidol lactate
Nefazodone HCL lithium carbonate
Nortriptyline HCL lithium carbonate ER
Venlafaxine HCL ER loxapine
PREFERRED loxapine succinate
Fluoxetine HCL olanzapine
Forfivo XL olanzapine odt
Maprotiline HCL paliperidone ER
Paxil perphenazine
Pristiq prochlorperazine
NON PREFERRED prochlorperazine edisylate
Anafranil prochlorperazine maleate
Aplenzin quetiapine fumarate
Appbutamone risperidone
Brintellix risperidone odt
Celexa thioridazine HCL
Cymbalta thiothixene
Desvenlafaxine ER trifluoperazine HCL
Duloxetine HCL ziprasidone HCL
Effexor XR Clozapine Odt
Elavil PREFERRED
Emsam Abilify Discmelt
Fetzima Fluphenazine HCL
Fetzima Titration Pack Saphris
Gaboxetine Seroquel XR
Irenka NON PREFERRED
Khedezla Abilify
Lexapro Abilify Maintena
Luvox CR Adasuve
Marplan Aristada
Nardil Chlorpromazine HCL
Norpramin Clozaril
Oleptro Compazine
Pamelor Equetro
Parnate Fanapt
Effective July 1, 2016
24
Fanapt Titration Pack ADHD, NARCOLEPSY, ETC.
Fazaclo
GENERIC
Geodon
amphetamine/dextroamphetamine
Haldol
armodafinil
Haldol Decanoate 100
caffeine citrate
Haldol Decanoate 50
clonidine HCL ER
Invega
dexmethylphenidate HCL
Invega Sustenna
dexmethylphenidate HCL ER
Invega Trinza
dextroamphetamine sulfate
Latuda
dextroamphetamine sulfate ER
Lithium
doxapram HCL
Lithium Carbonate
guanfacine ER
Lithobid
methamphetamine HCL
Molindone Hydrochloride
methylphenidate hydrochloride
Nuplazid
methylphenidate HCL
Rexulti
methylphenidate HCL CD
Risperdal
methylphenidate HCL ER
Risperdal Consta
methylphenidate HCL SR
Risperdal M-TAB
modafinil
Seroquel
Armodafinil
Versacloz
Methylphenidate HCL ER
Vraylar
PREFERRED
Zyprexa
Strattera
Zyprexa Relprevv
Vyvanse
Zyprexa Zydis
NON PREFERRED
Adderall
Adderall XR
HYPNOTICS
Adzenys XR-odt
GENERIC Aptensio XR
dexmedetomidine HCL Cafcit
estazolam Caffeine/Sodium Benzoate
eszopiclone Concerta
flurazepam HCL Daytrana
phenobarbital Desoxyn
temazepam Dexedrine
triazolam Dopram
zaleplon Dyanavel XR
zolpidem tartrate Evekeo
zolpidem tartrate ER Focalin
Flurazepam HCL Focalin XR
Phenobarbital Intuniv
Quazepam Kapvay
Triazolam Metadate CD
Methylin
NON PREFERRED Nuvigil
Ambien Procentra
Ambien CR Provigil
Amytal Sodium Quillichew ER
Belsomra Quillivant XR
Butisol Sodium Ritalin
Doral Ritalin LA
Edluar Ritalin SR
Gabazolpidem-5 Sentramodafin AM-100
Halcion Zenzedi
Hetlioz
Intermezzo ANTICONVULSANTS
Lunesta
GENERIC
Nembutal Sodium
carbamazepine
Phenobarbital Sodium
carbamazepine ER
Precedex
clonazepam
Restoril
clonazepam odt
Rozerem
divalproex sodium
Seconal
divalproex sodium DR
Seconal Sodium
divalproex sodium ER
Sentrazolpidem PM-5
ethosuximide
Silenor
felbamate
Sonata
fosphenytoin sodium
Strazepam
gabapentin
Zolpimist
lamotrigine
Effective July 1, 2016
25
lamotrigine odt Trokendi XR
lamotrigine titration Vimpat
lamotrigine ER Zarontin
levetiracetam Zonegran
levetiracetam ER
oxcarbazepine ANTIPARKINSON AGENTS
phenytoin
GENERIC
phenytoin sodium
amantadine HCL
phenytoin sodium extended
benztropine mesylate
primidone
bromocriptine mesylate
tiagabine hydrochloride
carbidopa
topiramate
carbidopa/levodopa
valproate sodium
carbidopa/levodopa odt
valproic acid
carbidopa/levodopa ER
zonisamide
entacapone
pramipexole dihydrochloride
PREFERRED
pramipexole dihydrochloride ER
Diastat Acudial
ropinirole ER
Diastat Pediatric
ropinirole HCL
Diazepam
selegiline HCL
Lamictal
tolcapone
Lamictal Chewable Dispersible
trihexyphenidyl HCL
Lamictal Starter/Not Taking Carbamazepine
Carbidopa/Levodopa/Entacapone
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate
PREFERRED
Apokyn
Lamictal Starter/Taking Valproate
NON PREFERRED
Lyrica
Amantadine HCL
NON PREFERRED
Azilect
Aptiom
Cogentin
Banzel
Comtan
Briviact
Duopa
Carbatrol
Eldepryl
Celontin
Lodosyn
Cerebyx
Mirapex
Depacon
Mirapex ER
Depakene
Neupro
Depakote
Parlodel
Depakote ER
Requip
Depakote Sprinkles
Requip XL
Dilantin
Rytary
Dilantin Infatabs
Sinemet
Dilantin-125
Sinemet CR
Fanatrex Fusepaq
Stalevo 100
Felbatol
Stalevo 125
Fycompa
Stalevo 150
Gabitril
Stalevo 200
Keppra
Stalevo 50
Keppra XR
Stalevo 75
Klonopin
Tasmar
Lamictal Odt
Zelapar
Lamictal XR
Levetiracetam
NEUROLOGY, PSYCH - MISC.
Mysoline
GENERIC
Neurontin
acamprosate calcium DR
Onfi
disulfiram
Oxtellar XR
donepezil hydrochloride
Peganone
donepezil HCL
Phenytek
ergoloid mesylates
Potiga
galantamine hydrobromide
Qudexy XR
glatopa
Sabril
memantine hydrochloride
Spritam
memantine HCL
Stavzor
memantine HCL titration PAK
Tegretol
olanzapine/fluoxetine
Tegretol-XR
pimozide
Therapentin-60
rivastigmine tartrate
Therapentin-90
rivastigmine transdermal system
Topamax
tetrabenazine
Topamax Sprinkle
Ergoloid Mesylates
Topiramate ER
Trileptal
Effective July 1, 2016
26
Galantamine Hydrobromide Nimbex
Quelicin
PREFERRED Quelicin 1000
Ampyra Rilutek
Avonex Succinylcholine Chloride
Avonex Pen Vecuronium Bromide
Chlordiazepoxide/Amitriptyline Xeomin
Copaxone Zemuron
Namenda XR
Namenda XR Titration Pack MUSCULOSKELETAL AGENTS
Perphenazine/Amitriptyline
GENERIC
Plegridy
baclofen
Plegridy Starter Pack
carisoprodol
Tecfidera
carisoprodol/aspirin
Tecfidera Starter Pack
carisoprodol/aspirin/codeine
NON PREFERRED
chlorzoxazone
Addyi
cyclobenzaprine HCL
Antabuse
dantrolene sodium
Aricept
metaxalone
Aricept Odt
methocarbamol
Aubagio
orphenadrine citrate
Betaseron
orphenadrine citrate ER
Brisdelle
tizanidine HCL
Campral
Metaxalone
Convenience PAK
Orphenadrine/Asa/Caffeine
Exelon
PREFERRED
Extavia
Euflexxa
Fluoxetine
Gablofen
Gilenya
Lioresal Intrathecal
Gralise
Synvisc
Gralise Starter
Synvisc One
Horizant
NON PREFERRED
Lemtrada
Amrix
Namenda
Cyclobenzaprine Comfort PAC
Namenda Titration PAK
Dantrium
Namzaric
Dantrium IV
Nuedexta
Fexmid
Orap
Flexepax
Razadyne
Gel-one
Razadyne ER
Gelsyn-3
Rebif
Genvisc 850
Rebif Rebidose
Hyalgan
Rebif Rebidose Titration Pack
Hymovis
Rebif Titration Pack
Lorvatus Pharmapak
Sarafem
Lorzone
Savella
Monovisc
Savella Titration Pack
Norflex
Smartrx Gaba Kit
Orthovisc
Smartrx Gaba-v Kit
Parafon Forte DSC
Symbyax
Prazolamine
Tysabri
Robaxin
Xenazine
Robaxin-750
Xyrem
Ryanodex
Zinbryta
Skelaxin
Soma
NEUROMUSCULAR AGENTS
Supartz
GENERIC Supartz Fx
atracurium besylate Tabradol Fusepaq
cisatracurium besylate Therabenzaprine-60
pancuronium bromide Therabenzaprine-90
riluzole Therabenzaprine-90-5
rocuronium bromide Tizanidine Comfort PAC
vecuronium bromide Zanaflex
PREFERRED
Botox ANTIMYASTHENIC AGENTS
NON PREFERRED
GENERIC
Anectine
neostigmine methylsulfate
Dysport
pyridostigmine bromide
Myobloc
Effective July 1, 2016
27
PREFERRED Timoptic Ocudose
Guanidine HCL NON PREFERRED
NON PREFERRED Betagan
Bloxiverz Betimol
Enlon Cosopt
Enlon-plus Cosopt PF
Mestinon Istalol
Mestinon Timespan Timoptic
Neostigmine Methylsulfate Timoptic-xe
Regonol
OPHTHALMIC STEROIDS
OPHTHALMOLOGY AND OTIC
GENERIC
dexamethasone sodium phosphate
ANTI-INFECTIVES
fluorometholone
GENERIC
neomycin/polymyxin/bacitracin/hydrocortisone
bacitracin/polymyxin b
neomycin/polymyxin/dexamethasone
ciprofloxacin HCL
prednisolone acetate
erythromycin
sulfacetamide sodium/prednisolone sodium phosphate
gatifloxacin
tobramycin/dexamethasone
gentamicin sulfate
PREFERRED
levofloxacin
Dexamethasone Sodium Phosphate
neomycin/bacitracin/polymyxin
FML
neomycin/polymyxin/bacitracin zinc
FML Forte
neomycin/polymyxin/gramicidin
Pred Mild
ofloxacin
Prednisolone Sodium Phosphate
polymyxin b sulfate/trimethoprim sulfate
NON PREFERRED
sodium sulfacetamide
Alrex
sulfacetamide sodium
Blephamide
tobramycin sulfate
Blephamide S.o.p.
trifluridine
Durezol
trimethoprim sulfate/polymyxin b sulfate
Flarex
PREFERRED
FML Liquifilm
Bacitracin
Lotemax
Moxeza
Maxidex
Natacyn
Maxitrol
Sulfacetamide Sodium
Neomycin/Polymyxin/Hydrocortisone
Vigamox
Omnipred
Pred Forte
NON PREFERRED
Pred-G
Azasite
Pred-G S.o.p.
Besivance
Prednisolone/Moxifloxacin
Betadine Ophthalmic Prep
Tobradex
Bleph-10
Tobradex ST
Ciloxan
Vexol
Garamycin
Zylet
Mitosol
Neosporin
PROSTAGLANDINS
Ocuflox
GENERIC
Polytrim
latanoprost
Tobrex
Bimatoprost
Viroptic
PREFERRED
Zirgan
Lumigan
Zymaxid
Travatan Z
Travoprost
ARTIFICIAL TEAR/LUBRICANT
NON PREFERRED
NON PREFERRED
Rescula
Lacrisert
Xalatan
Zioptan
BETA-BLOCKERS
GENERIC
CYCLOPLEGIC MYDRIATICS
betaxolol HCL
GENERIC
carteolol HCL
atropine sulfate
dorzolamide HCL/timolol maleate
cyclopentolate hydrochloride
levobunolol HCL
cyclopentolate HCL
timolol maleate
homatropine HBR
timolol maleate ophthalmic gel forming
PREFERRED
Metipranolol
Atropine Sulfate
PREFERRED
Isopto Homatropine
Betoptic-s
Combigan
Effective July 1, 2016
28
NON PREFERRED Lastacaft
Cyclogyl Nevanac
Cyclomydril Ocufen
Isopto Atropine Optivar
Isopto Hyoscine Patanol
Pazeo
DECONGESTANTS Prolensa
Trusopt
GENERIC
phenylephrine HCL
OTIC AGENTS
PREFERRED
Naphazoline HCL GENERIC
acetic acid
MIOTICS antipyrine/benzocaine
fluocinolone acetonide
GENERIC
fluocinolone acetonide ear drops
pilocarpine HCL
hydrocortisone/acetic acid
PREFERRED
neomycin/polymyxin/hydrocortisone
Isopto Carbachol
neomycin/polymyxin/HC
Phospholine Iodide
ofloxacin
NON PREFERRED
PREFERRED
Isopto Carpine
Acetic Acid/Aluminum Acetate
Pramotic
ADRENERGIC AGENTS
NON PREFERRED
GENERIC
Antipyrine/Benzocaine
apraclonidine
Cetraxal
brimonidine tartrate
Cipro HC
PREFERRED
Ciprodex
Alphagan P
Ciprofloxacin
NON PREFERRED
Coly-mycin S
Iopidine
Cortisporin-tc
Simbrinza
Dermotic
Floxin Otic
IMMUNOMODULATORS
Otiprio
NON PREFERRED
Otozin
Restasis
Vosol HC
LOCAL ANESTHETICS
OXYTOCICS
GENERIC
proparacaine HCL
GENERIC
tetracaine HCL
methylergonovine maleate
NON PREFERRED
oxytocin
Akten
Alcaine
NON PREFERRED
Cervidil
OPHTHALMICS - MISC.
Hemabate
GENERIC
Oxytocin
azelastine HCL
Oxytocin/Lactated Ringers
bromfenac
Pitocin
cromolyn sodium
Prepidil
diclofenac sodium
Prostin E2
dorzolamide HCL
epinastine HCL
PAIN MANAGEMENT
flurbiprofen sodium
ANALGESICS - NONNARCOTIC
ketorolac tromethamine
olopatadine HCL GENERIC
PREFERRED butalbital/acetaminophen
Azopt butalbital/acetaminophen/caffeine
Pataday butalbital/aspirin/caffeine
NON PREFERRED choline magnesium trisalicylate
Acular diflunisal
Acular LS salsalate
Acuvail PREFERRED
Alocril Choline Magnesium Trisalicylate
Alomide Dologesic
Bepreve Prialt
Bromfenac NON PREFERRED
Cystaran Allzital
Elestat Bupap
Emadine Disalcid
Ilevro Equagesic
Effective July 1, 2016
29
Esgic Bunavail
Fioricet Buprenex
Fiorinal Butrans
Levacet Capital/Codeine
Ofirmev Codeine Sulfate
Vanatol LQ Conzip
Demerol
ANALGESICS - OPIOID Dilaudid
Dilaudid-HP
GENERIC
Dolophine
acetaminophen/caffeine/dihydrocodeine
Duragesic
acetaminophen/codeine
Exalgo
acetaminophen/codeine #2
Fentanyl Citrate
acetaminophen/codeine #3
Fentanyl Citrate/Sodium Chloride
acetaminophen/codeine #4
Fentora
acetaminophen/codeine phosphate
Fioricet/Codeine
alfentanil
Fiorinal/Codeine #3
buprenorphine HCL
Hycet
buprenorphine HCL/naloxone HCL
Hydromorphone HCL/NACL
butalbital/acetaminophen/caffeine/codeine
Hysingla ER
butalbital/aspirin/caffeine/codeine
Ibudone
butorphanol tartrate
Infumorph 200
codeine sulfate
Infumorph 500
fentanyl
Ionsys
fentanyl citrate oral transmucosal
Kadian
hydrocodone bitartrate/acetaminophen
Lazanda
hydrocodone/acetaminophen
Levorphanol Tartrate
hydrocodone/ibuprofen
Lortab
hydromorphone HCL
Meperidine HCL
hydromorphone HCL dosette
Methadone HCL
hydromorphone HCL ER
Methadose
meperidine HCL
Methadose Sugar-free
methadone HCL
Morphine Sulfate Add-vantage
morphine sulfate
Morphine Sulfate/Sodium Chloride
morphine sulfate ER
MS Contin
nalbuphine HCL
Norco
oxycodone hydrochloride
Nucynta
oxycodone HCL
Nucynta ER
oxycodone/acetaminophen
Opana
oxycodone/aspirin
Oxaydo
oxycodone/ibuprofen
Percocet
oxymorphone hydrochloride
Percodan
oxymorphone hydrochloride ER
Primlev
pentazocine/naloxone HCL
Probuphine Implant Kit
tramadol hydrochloride/acetaminophen
Remifentanil HCL
tramadol HCL
Reprexain
tramadol HCL ER
Roxicet
Aspirin-caffeine-dihydrocodeine
Roxicodone
Fentanyl
Subsys
Hydrocodone/Acetaminophen
Synalgos-dc
Hydromorphone HCL ER
Synapryn Fusepaq
Hydromorphone HCL/Sodium Chloride
Talwin
Morphine Sulfate
Theracodeine-300
Morphine Sulfate ER
Theracodophen-325
Oxycodone HCL ER
Theratramadol-60
Theratramadol-90
PREFERRED
Tramadol HCL ER
Embeda
Trezix
Hydromorphone HCL
Tylenol/Codeine #3
Opana ER (crush Resistant)
Tylenol/Codeine #4
Oxycodone/Ibuprofen
Ultiva
Oxycontin
Ultracet
Suboxone
Ultram
Zubsolv
Ultram ER
NON PREFERRED
Vicoprofen
Abstral
Xartemis XR
Actiq
Xodol
Alfenta
Xtampza ER
Avinza
Zamicet
Belbuca
Zohydro ER
Effective July 1, 2016
30
Indocin
ANTI-INFLAMMATORY Indomethacin
Indomethacin Sodium
GENERIC
IC 400
celecoxib
IC 800
diclofenac potassium
Ketorocaine-l
diclofenac sodium DR
Ketorocaine-lm
diclofenac sodium ER
Ketorolac Tromethamine
diclofenac sodium/misoprostol
Kineret
etodolac
Meloxicam Comfort PAC
etodolac ER
Mobic
flurbiprofen
Nalfon
ibuprofen
Naprelan
ibuprofen lysine
Naprosyn
indomethacin
Naproxen Comfort PAC
indomethacin ER
Neoprofen
ketoprofen
Orencia
ketorolac tromethamine
Orencia Clickjet
leflunomide
Otezla
mefenamic acid
Otrexup
meloxicam
Ponstel
nabumetone
Prastera
naproxen
Previdolrx Analgesic PAK
naproxen sodium
Rheumatrex
naproxen sodium CR
Ridaura
naproxen sodium ER
Sprix
oxaprozin
Therafeldamine
piroxicam
Theraprofen-60
sulindac
Theraprofen-800
tolmetin sodium
Theraprofen-90
Meclofenamate Sodium
Theraproxen-500
Naproxen
Theraproxen-60
Tolmetin Sodium
Theraproxen-90
PREFERRED
Tivorbex
Fenoprofen Calcium
Toronova II Suik
Humira
Toronova Suik
Humira Pediatric Crohns Disease Starter Pack
Trepadiclofen-25
Humira Pen
Trepoxicam-7.5
Humira Pen-crohns Diseasestarter
Vimovo
Humira Pen-psoriasis Starter
Vivlodex
Ilaris
Voltaren-XR
Ketoprofen ER
Xeljanz
Meloxicam
Xeljanz XR
Rasuvo
Zipsor
Simponi
Zorvolex
Simponi Aria
NON PREFERRED
MIGRAINE PRODUCTS
Actemra
Anaprox DS GENERIC
Arava almotriptan
Arcalyst almotriptan malate
Arthrotec 50 dihydroergotamine mesylate
Arthrotec 75 frovatriptan succinate
Caldolor naratriptan HCL
Capxib Kit rizatriptan benzoate
Cataflam rizatriptan benzoate odt
Celebrex sumatriptan succinate
Daypro sumatriptan succinate refill
Derma Silkrx Anodynexa PAK zolmitriptan
Derma Silkrx Diclopak zolmitriptan odt
Dermacinrx Inflammatral PAK Dihydroergotamine Mesylate
Duexis Sumatriptan
Dyloject Sumatriptan Succinate
Enbrel PREFERRED
Enbrel Sureclick Zomig Nasal Spray
EC-naprosyn NON PREFERRED
Feldene Alsuma
Fenortho Amerge
Flanax Pain Relief Kit Axert
Ibuprofen Comfort PAC Cafergot
Effective July 1, 2016
31
Cambia Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"
D.h.e. 45
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"
Ergomar
Frova
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G
Imitrex
Imitrex Statdose Refill
Naropin
Imitrex Statdose System
Nesacaine
Maxalt
Nesacaine-mpf
Maxalt-MLT
Readysharp-a
Migergot
Sensorcaine-mpf/Epinephrine
Migral
Turkel Paracentesis Procedure Tray/8french
Migranal
Xylocaine
Migranow
Xylocaine-mpf
Onzetra Xsail
Xylocaine-mpf/Epinephrine
Relpax
Xylocaine/Epinephrine
Sumavel Dosepro
Treximet
RESPIRATORY, ALLERGY, ETC
Zecuity
ANTIHISTAMINES
Zembrace Symtouch
GENERIC
Zomig
carbinoxamine maleate
Zomig ZMT
cetirizine HCL
clemastine fumarate
GOUT AGENTS
cyproheptadine HCL
GENERIC
desloratadine
allopurinol
diphenhydramine HCL
probenecid
levocetirizine dihydrochloride
probenecid/colchicine
promethazine HCL
PREFERRED
promethazine HCL plain
Colcrys
Clemastine Fumarate
Uloric
Desloratadine Odt
NON PREFERRED
PREFERRED
Aloprim
Allegra Allergy Childrens
Colchicine
Dexchlorpheniramine Maleate
Krystexxa
NON PREFERRED
Mitigare
Brompheniramine
Zyloprim
Brompheniramine Tannate
Clarinex
LOCAL ANESTHETICS-INJ
Dicopanol Fusepaq
GENERIC
Karbinal ER
bupivacaine HCL
Phenergan
bupivacaine/epinephrine
Respa-BR
chloroprocaine HCL
Xyzal
lidocaine HCL
lidocaine/epinephrine
NASAL AGENTS
ropivacaine
GENERIC
ropivacaine HCL
azelastine HCL
Tetracaine HCL
budesonide
NON PREFERRED
flunisolide
Articadent Dental
fluticasone propionate
BD Pudendal/Local Block Tray 1% Lidocaine
ipratropium bromide
Carbocaine
mometasone furoate
Citanest Forte Dental
olopatadine HCL
Citanest Plain Dental
triamcinolone acetonide
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH
PREFERRED
Dymista
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH
NON PREFERRED
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH
Adrenalin
Astepro
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH
Atrovent
Bactroban Nasal
Exparel
Beconase AQ
Lidocaine HCL
Dermacinrx Azenase PAK
Lidocaine HCL/Dextrose
Dermacinrx Ticanase PAK
Marcaine
Flonase
Marcaine/Epinephrine
Nasonex
Marlido-25
Omnaris
Marnova Suik
Patanase
Mld Kit
Qnasl
Monoject Bone Marrow Biopsy Prepping Tray
Qnasl Childrens
Effective July 1, 2016
32
Rhinocort Aqua albuterol sulfate
Ticaspray albuterol sulfate ER
Tyzine albuterol TAB 4MG
Tyzine Pediatric Nasal Drops aminophylline
Veramyst budesonide
Zetonna epinephrine HCL
ipratropium bromide
COUGH/COLD/ALLERGY ipratropium bromide/albuterol sulfate
levalbuterol
GENERIC
levalbuterol HCL
acetylcysteine
montelukast sodium
benzonatate
terbutaline sulfate
bromphen/pseudoephedrine HCL/dextromethorphan HBR
theophylline
hydrocodone bitartrate/chlorpheniramine maleate/PSE
theophylline CR
hydrocodone bitartrate/homatropine methylbromide
theophylline ER
hydrocodone polistirex/chlorpheniramine polistirex
zafirlukast
hydrocodone/homatropine
Cromolyn Sodium
phenylephrine/guaifenesin
PREFERRED
promethazine-DM
Advair Diskus
promethazine/codeine
Advair HFA
promethazine/dextromethorphan
Anoro Ellipta
promethazine/phenylephrine
Arnuity Ellipta
promethazine/phenylephrine/codeine
Breo Ellipta
sodium chloride
Combivent Respimat
Benzonatate
Elixophyllin
PREFERRED
Flovent Diskus
Dallergy
Flovent HFA
J-max
Foradil Aerolizer
Mucinex Maximum Strength
Incruse Ellipta
Promethazine/Phenylephrine
Metaproterenol Sulfate
NON PREFERRED
Proair HFA
Carbaphen 12
Proair Respiclick
Carbaphen 12 PED
Pulmicort Flexhaler
Clarinex-d 12 HOUR
Qvar
Codar AR
Serevent Diskus
Cpb Wc
Spiriva Handihaler
Decon-a
Spiriva Respimat
Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL
Stiolto Respimat
Exactuss
Symbicort
Flowtuss
Tudorza Pressair
Gilphex TR
Ventolin HFA
Giltuss
Xolair
Giltuss PED-c
NON PREFERRED
Giltuss TR
Accolate
Hycofenix
Aerospan
Hyper-sal
Alvesco
Hypersal
Arcapta Neohaler
Nebusal
Asmanex HFA
Neotuss Plus
Asmanex Twisthaler 120 Metered Doses
Obredon
Asmanex Twisthaler 14 Metered Doses
Panatuss Dxp
Asmanex Twisthaler 30 Metered Doses
Pediatex TD
Asmanex Twisthaler 60 Metered Doses
Relhist
Asmanex Twisthaler 7 Metered Doses
Rescon-JR
Atrovent HFA
Rezira
Bevespi Aerosphere
Semprex-d
Brovana
Suttar-SF
Cinqair
Suttar-2
Daliresp
Tessalon Perles
Dulera
Tussicaps
Isuprel
Tussionex Pennkinetic Extended Release
Lufyllin
Tuzistra XR
Nucala
Vituz
Perforomist
Zonatuss
Proventil HFA
Zutripro
Pulmicort
Pulmophylline
ANTIASTHMATIC/COPD AGENTS
Singulair
GENERIC Striverdi Respimat
albuterol Theo-24
Theophylline/D5W
Effective July 1, 2016
33
Utibron Neohaler Flucelvax 2015-2016
Vospire ER Flulaval Quadrivalent 2014-2015
Xopenex Flulaval Quadrivalent 2015-2016
Xopenex Concentrate Flulaval Quadrivalent 2016-2017
Xopenex HFA Flulaval 2014-2015
Zyflo Flumist Quadrivalent
Zyflo CR Fluvirin PF 2014-2015
Fluvirin PF 2016-2017
RESPIRATORY AGENTS - MISC Fluvirin 2014-2015
Fluvirin 2015-2016
PREFERRED
Fluvirin 2016-2017
Pulmozyme
Fluzone High-dose PF 2014-2015
NON PREFERRED
Fluzone High-dose PF 2015-2016
Aralast NP
Fluzone High-dose PF 2016-2017
Curosurf
Fluzone PF 2014-2015
Esbriet
Fluzone Quadrivalent 2014-2015
Glassia
Fluzone Quadrivalent 2015-2016
Infasurf
Fluzone Quadrivalent 2016-2017
Kalydeco
Fluzone Split 2014-2015
Ofev
Fluzone Split 2015-2016
Orkambi
Gardasil
Prolastin-c
Gardasil 9
Surfaxin
Havrix
Survanta Intratracheal
Hiberix
Zemaira
Imovax Rabies (h.d.c.v.)
Ipol Inactivated IPV
TOXOIDS
Ixiaro
M-m-r II
NON PREFERRED
Medical Provider EZ Flu Shot 2014-2015
Adacel
Medical Provider EZ Flu Shot 2015-2016
Boostrix
Medical Provider Single Use EZ Flu Shot
Daptacel
Menactra
Diphtheria/Tetanus Toxoids Adsorbed Pediatric
Menhibrix
Infanrix
Menomune-a/C/Y/W-135
Kinrix
Menveo
Pediarix
Pedvax HIB
Pentacel
Pneumovax 23
Quadracel
Pneumovax 23/1 Dose
Tenivac
Pneumovax 23/5 Dose
Tetanus Toxoid Adsorbed
Prevnar 13
Tetanus/Diphtheria Toxoids-adsorbed
Proquad
Tetanus/Diphtheria Toxoids-adsorbed Adult
Rabavert
Recombivax HB
VACCINES
Rotarix
Rotateq
NON PREFERRED
Trumenba
Acthib
Twinrix
Afluria PF 2014-2015
Typhim VI
Afluria PF 2015-2016
Vaqta
Afluria 2014-2015
Varivax
Afluria 2015-2016
Vivotif
Afluria 2016-2017
Yf-vax
Bcg Vaccine
Zostavax
Bexsero
Biothrax
Cervarix
VITAMINS
Comvax
VITAMINS
Engerix-b
GENERIC
Fluad 2016-2017
ascorbic acid
Fluarix Quadrivalent 2014-2015
ergocalciferol
Fluarix Quadrivalent 2015-2016
phytonadione
Fluarix Quadrivalent 2016-2017
thiamine HCL
Fluarix 2013-2014
vitamin c 222MG
Fluarix 2014-2015
vitamin d
Flublok 2013-2014
vitamin k1
Flublok 2014-2015
PREFERRED
Flublok 2015-2016
Mephyton
Flublok 2016-2017
Vitamin A
Flucelvax Quadrivalent 2016-2017
Flucelvax 2014-2015
Effective July 1, 2016
34
NON PREFERRED Prenate Essential
Aquasol A Parenteral Prenate Star
Drisdol Provida OB
Niacin Right Step Prenatal
Pyridoxine HCL Select-OB
Vitamin K1 Stuart Prenatal
Wheat Germ Taron-bc
Taron-c DHA
MULTIVITAMINS Theranatal Core Nutrition
Tri-VI-flor
GENERIC
Tricare Prenatal Compleat
b-complex 100
Tricare Prenatal DHA One
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper
Vinacal B
PREFERRED
Vinate AZ Extra
Atabex EC
Vinate Calcium
Atabex Prenatal
Vinate DHA RF
Bal-care DHA
Vita-pren
Citranatal B-calm
Vitafol Gummies
Citranatal RX
Vitafol-nano
Clinical Nutrients Prenatal Formula
Vitamedmd Redichew RX
Concept DHA
Vitapearl
Concept OB
Viva DHA
Duet DHA Balanced
Your Life Multi Prenatal
Duet DHA 400
Zatean-pn
Duet DHA 400EC
Zatean-pn Plus
Duet DHA 430
Duet DHA 430EC
NON PREFERRED
Enbrace HR
Adrenal C Formula
Escavite
Albafort
Escavite D
Bacmin
Folcaps Omega 3
Citranatal Assure
Folivane-OB
Citranatal DHA
Healthy Mama Be Well Rounded
Citranatal Harmony
Marnatal-f
Citranatal 90 DHA
Mission Prenatal
Cod Liver Oil
Mteryti
Corvite
Mteryti Folic 5
Crnatal
Mykidz Iron Fl
Dialyvite Supreme D
Mynatal
Dialyvite 3000
Natachew
Dialyvite 5000
Natalvit
Dialyvite/Zinc
Natelle One
Diatx ZN
Neevo DHA
Floriva
Nestabs
Focalgin CA
Nestabs DHA
Focalgin 90 DHA
Newgen
Folet DHA
Niva-plus
Folet One
O-CAL Fa
Folgard OS
O-CAL Prenatal
Folivane-prx DHA NF
Obstetrix DHA
Fortavit
Obtrex
Gesticare DHA
Obtrex DHA
M.v.i. Adult
One A Day Womens Prenatal/DHA
M.v.i. Pediatric
One A Day Womens Prenatal1
M.v.i.-12 Without Vitamin K
One-a-day Womens Prenatal
Natalvirt CA
OB Complete
Natalvirt 90 DHA
OB Complete One
Nephplex RX
OB Complete Petite
Nephro-vite RX
OB Complete Premier
Nephrocaps
OB Complete/DHA
Nephrocaps QT
Poly-VI-flor
Nestabs Abc
Poly-VI-flor FS
Nexa Plus
Poly-VI-flor/Iron
Nicadan
Prefera OB
Nicazel
Prefera OB + DHA
Nicazel Forte
Prenata
Nicomide
Prenatal Vitamin
Nutricap
Prenatal Vitamins
Nutrivit
Prenate AM
Ocuvel
Prenate Elite
OB Complete Gold
Effective July 1, 2016
35
Paire OB Accutrend Glucose
Preferaob +dha Active 1ST Blood Lancets 30G/Easy Twist CAP
Preferaob One Advocate Insulin Pen Needles 29GX12.7MM
Prefol-DHA Advocate Insulin Pen Needles 31GX5MM
Prenate Advocate Insulin Pen Needles 31GX8MM
Prenate DHA Advocate Insulin Syringe/U-100/0.3ML/29GX1/2"
Prenate Enhance Advocate Insulin Syringe/U-100/0.3ML/30GX5/16"
Prenate Mini Advocate Insulin Syringe/U-100/0.3ML/31GX5/16"
Prenate Pixie Advocate Insulin Syringe/U-100/0.5ML/29GX1/2"
Prenate Restore Advocate Insulin Syringe/U-100/0.5ML/30GX5/16"
Preque 10 Advocate Insulin Syringe/U-100/0.5ML/31GX5/16"
Protect Plus Advocate Insulin Syringe/U-100/1ML/29GX1/2"
Provida DHA Advocate Insulin Syringe/U-100/1ML/30GX5/16"
R-natal OB Advocate Insulin Syringe/U-100/1ML/31GX5/16"
Renatabs Advocate Lancets
Renatabs With Iron Advocate Lancets 30G
Req 49+ Advocate Safety Lancets
Select-ob+dha Advocate Safety Lancets 26G
Siderol Agamatrix Ultra-thin Lancets 33G
Strovite Forte Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2"
Strovite One Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2"
Supervite Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2"
Supervite EC Assure Haemolance Plus High Flow 18G
Support-500 Assure Haemolance Plus Low Flow 25G
Synagex Assure Haemolance Plus Micro Flow 28G
Synatek Assure Haemolance Plus Normal Flow 21G
Texavite LQ Assure Haemolance Plus Pediatric Blade
Tricare Prenatal Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2"
Triveen-duo DHA Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2"
Triveen-prx RNF Assure Lance Lancets
TL G-FOL OS Assure Lance Lancets 21G
Udamin SP Assure Lance Plus Safety Lancets 25G
Vemavite-prx 2 Assure Lance Plus Safety Lancets 30G
Vitafol Assure Lancets
Vitafol Fe+ Aurora Lancet Super Thin 30G
Vitafol Ultra Aurora Lancet Thin 23G
Vitafol-ob+dha Aurora Pen Needles 29GX12MM
Vitafol-one Aurora Pen Needles 31G X 6MM
Vital-d RX Aurora Pen Needles 31G X 8MM
Vitamedmd One RX/Quatrefolic Autolet Platforms
Vitamedmd Plus RX/Quatre Folic AF Lancets Super Thin
Vitaroca Plus AT Last Lancets
Vitatrue B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16"
Zatean-pn DHA B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16"
Zatean-CH B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16"
B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
MEDICAL DEVICES B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2"
B-d Insulin Syringe Ultrafine/1ML/30G X 1/2"
DIABETIC SUPPLIES
Bayer Microlet Lancets
PREFERRED
Bullseye Safety Lancets
Accu-chek Active Strips
BD Autoshield Duo 30G X 3/16"
Accu-chek Aviva
BD Autoshield 29G X 3/16"
Accu-chek Aviva Connect
BD Autoshield 29G X 5/16"
Accu-chek Aviva Plus
BD Insulin Syringe LUER-LOK/U-100/1ML
Accu-chek Comfort Curve Test Strips
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2"
Accu-chek Compact Plus
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"
Accu-chek Compact Plus Care Kit
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"
Accu-chek Compact Test Drum
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"
Accu-chek Fastclix Lancetdevice Kit
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"
Accu-chek Fastclix Lancets
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"
Accu-chek Multiclix Lanc Et Device Kit
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"
Accu-chek Multiclix Lancets
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2"
Accu-chek Nano Smartview
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"
Accu-chek Safe-t-pro Lancets
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"
Accu-chek Safe-t-pro Pluslancets
BD Insulin Syringe Safetyglide/1ML/29G X 1/2"
Accu-chek Smartview Strips
BD Insulin Syringe Slip Tip/U-100/1ML
Accu-chek Soft Touch Lancets
BD Insulin Syringe U-40/1ML/25G X 5/8"
Accu-chek Softclix Lancetdevice Kit
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"
Accu-chek Softclix Lancets
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"
Accu-chek Voicemate
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"
Effective July 1, 2016
36
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2" Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16"
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 15/64"
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16"
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64"
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2"
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2"
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16"
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64"
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16" Clever Choice Comfort EZ Pen Needles 29GX12MM
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2" Clever Choice Comfort EZ Pen Needles 31GX5MM
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16" Clever Choice Comfort EZ Pen Needles 31GX6MM
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2" Clever Choice Comfort EZ Pen Needles 31GX8MM
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16" Clever Choice Comfort EZ Pen Needles 32GX4MM
BD Insulin Syringe Ultrafine/1ML/30G X 1/2" Clever Choice Comfort EZ Pen Needles 32GX8MM
BD Insulin Syringe Ultrafine/1ML/31G X 5/16" Clever Choice Comfort EZ Pen Needles 33GX4MM
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"
Clever Choice Comfort EZ Pen Needles 33GX5MM
Clever Choice Comfort EZ Pen Needles 33GX6MM
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"
Clever Choice Comfort EZ Pen Needles 33GX8MM
Coaguchek Lancets
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"
Comfort Assist Insulin Syringe 0.3ML/29G X 1/2"
Comfort Assist Insulin Syringe/0.3ML/30G X 5/16"
BD Insulin Syringe/U-100/0.5ML/30G X 1/2"
Comfort Assist Insulin Syringe/0.3ML/31G X 5/16"
BD Insulin Syringe/U-100/1ML/27G X 1/2"
Comfort Assist Insulin Syringe/0.5ML/29G X 1/2"
BD Insulin Syringe/U-100/1ML/28G X 1/2"
Comfort Assist Insulin Syringe/0.5ML/30G X 5/16"
BD Insulin Syringe/U-100/2ML/27.5G X 5/8"
Comfort Assist Insulin Syringe/0.5ML/31G X 5/16"
BD Insulin Syringe/U-100/2ML/29G X 1/2"
Comfort Assist Insulin Syringe/1ML/29G X 1/2"
BD Integra Insulin Syringe/U-100/1ML/29G X 1/2"
Comfort Assist Insulin Syringe/1ML/30G X 5/16"
BD Integra Syringe/Retracting Needle/1ML/25G X 1"
Comfort Assist Insulin Syringe/1ML/31G X 5/16"
BD Lancet Ultrafine 30G
Comfort Lancets
BD Lancet Ultrafine 33G
Diastar Easy Test II Lancets 30G
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"
Diastar Easy Test Lancets30G
Droplet Lancets Ultra Thin 30G
BD Microtainer Lancets
Droplet Pen Needles 29GX12MM
BD Pen Needle/Mini/Ultrafine/31G X 3/16"
Droplet Pen Needles 31GX5MM
BD Pen Needle/Nano/Ultra Fine/32G X 4MM
Droplet Pen Needles 31GX6MM
BD Pen Needle/SHORT/Ultrafine/31G X 5/16"
Droplet Pen Needles 31GX8MM
BD Pen Needle/Ultrafine/29G X 12.7MM
Droplet Pen Needles 32GX4MM
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM
Droplet Pen Needles 32GX8MM
BD Pen Needles SHORT/Ultrafine/31G X 5/16"
Drug Mart On-the-go Lancets Gentle 30G
BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2"
Drug Mart Unilet Lancets Super Thin 30G
BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2"
Drug Mart Unilet Lancets Ultra Thin 28G
BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16" Duane Reade Unifine Pentips 29G X 12MM
BD-insul SYR Mis LO Dose Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT
Carefine Pen Needle 32GX4MM Duane Reade Unifine Pentips 31G X 8MM SHORT
Carefine Pen Needles 29GX1/2" E-z Ject Lancets
Carefine Pen Needles 30GX5/16" E-z Ject Lancets Color
Carefine Pen Needles 31GX6MM E-z Ject Lancets Super Thin
Carefine Pen Needles 31GX8MM E-z Ject Lancets Super Thin 30G
Careone Lancet Thin E-z Ject Lancets Thin 26G
Careone Lancet Ultra Thin E-z Ject Lancets 21G
Cleanlet Lancets 28G E-ZJECT Lancets Micro-thin 33G
Clever Chek Lancets Ultrathin Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2"
Clever Chek Lancets Ultrathin 30G Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX1/2"
Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX5/16"
Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16"
Easy Touch Fliplock Safety Insulin Syringe 1ML/31GX5/16"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2"
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2"
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16"
Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16"
Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2"
Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2"
Easy Touch Insulin Syringe/U-100/0.5ML/27G X 1/2"
Easy Touch Insulin Syringe/U-100/0.5ML/28G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2"
Easy Touch Insulin Syringe/U-100/0.5ML/30G X 1/2"
Easy Touch Insulin Syringe/U-100/0.5ML/31G X 5/16"
Effective July 1, 2016
37
Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2" Fifty50 Pen Needles/31GX8MM
Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2" Fifty50 Pen Needles/32GX4MM
Easy Touch Insulin Syringe/U-100/1ML/29G X 1/2" Fifty50 Safety Seal Lancets 30G
Easy Touch Insulin Syringe/U-100/1ML/30G X 1/2" Fifty50 Safety Seal Lancets 32G
Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16" Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16"
Easy Touch Insulin Syringe/0.3ML/30G X 5/16"
Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16"
Easy Touch Insulin Syringe/0.3ML/31G X 5/16"
Easy Touch Insulin Syringe/0.5ML/29G X 1/2"
Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16"
Easy Touch Insulin Syringe/0.5ML/30G X 5/16"
Fifty50 Unilet Lancets 33G
Easy Touch Insulin Syringe/1ML/30G X 5/16"
Fine 30
Easy Touch Lancets 21G/Pressure Activated
Fingerstix Lancets
Easy Touch Lancets 23G/Pressure Activated
Fora Lancets
Easy Touch Lancets 26G/Pressure Activated
Freestyle Lancets
Easy Touch Lancets 26G/Pull-top
Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16"
Easy Touch Lancets 26G/Twist
Easy Touch Lancets 28G/Pressure Activated
Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16"
Easy Touch Lancets 28G/Pull-top
Easy Touch Lancets 28G/Twist
Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16"
Easy Touch Lancets 30G/Button-activated
Easy Touch Lancets 30G/Pressure Activated Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16"
Easy Touch Lancets 30G/Pull-top
Freestyle Unistick II Lancets
Easy Touch Lancets 30G/Twist
Gentle-let GP Lancets
Easy Touch Lancets 32G/Pressure Activated
Gentle-let Lancets General Purpose Style/Fine Point
Easy Touch Lancets 32G/Pull-top
Gentle-let Lancets General Purpose Style/Medium Point
Easy Touch Lancets 32G/Twist
Gentle-let Lancets Safety Style/Fine Point
Easy Touch Lancets 33G/Twist
Gentle-let Lancets Safety Style/Medium Point
Easy Touch Pen Needles 29GX1/2"
Gentle-let Platforms 2.4MM
Easy Touch Pen Needles 31GX1/4"
Gentle-let Platforms 3.0MM
Easy Touch Pen Needles 31GX5/16"
Glucocom Lancets 28G
Easy Touch Pen Needles 32GX5/32"
Glucocom Lancets 30G
Easy Touch Pen Needles/31G X 3/16"
Glucocom Lancets 33G
Easy Touch Safety Lancets21G/Pressure Activated
Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2"
Easy Touch Safety Lancets23G/Pressure Activated
Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16"
Easy Touch Safety Lancets26G/Button Activated
Glucopro Insulin Syringe/U-100/0.3ML/31G X 5/16"
Easy Touch Safety Lancets26G/Pressure Activated
Glucopro Insulin Syringe/U-100/0.5ML/30G X 1/2"
Easy Touch Safety Lancets28G/Button Activated
Glucopro Insulin Syringe/U-100/0.5ML/30G X 5/16"
Easy Touch Safety Lancets28G/Pressure Activated
Glucopro Insulin Syringe/U-100/0.5ML/31G X 5/16"
Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2"
Glucopro Insulin Syringe/U-100/1ML/30G X 1/2"
Easy Touch Sheathlock Safety Insulin Syringe 1ML/30GX5/16"
Glucopro Insulin Syringe/U-100/1ML/30G X 5/16"
Glucopro Insulin Syringe/U-100/1ML/31G X 5/16"
Easy Touch Sheathlock Safety Insulin Syringe 1ML/31GX5/16"
Glucosource Lancets
Gmate Lancets 30G
Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2"
H&h Thinlet Lancets 26G
Easy Twist & CAP Lancets
H&h Thinlet Super Thin Lancets 30G
Easytest II Lancets
H-e-b Incontrol Pen Needles 29GX12MM
Easytest Lancets
H-e-b IN Control Pen Needles 31GX6MM
Embrace Lancets Ultra Thin 30G
H-e-b IN Control Pen Needles 31GX8MM
Eql SHORT Pen Needles 31G X 8MM
H-e-b IN Control Unifine Pentips Plus 32GX4MM
Eql Ultra SHORT Pen Needles 31G X 6MM
Haemolance
Excel Comfort Point Insulin Pen Needles 31G X 4MM
Haemolance Low Flow Lancets
Exel Comfort Point Insulin Pen Needles 29G X 12MM
Haemolance Plus
Exel Comfort Point Insulin Pen Needles 31G X 6MM
Haemolance Plus High Flow
Exel Comfort Point Insulin Pen Needles 31G X 8MM
Haemolance Plus Low Flow
Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2"
Haemolance Plus Max Flow
Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16"
Haemolance Plus Pediatric Flow
Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2"
Healthwise Mini Pen Needles 31GX6MM
Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2"
Healthwise Pen Needles 29GX12MM
Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16"
Healthwise SHORT Pen Needles 31GX8MM
Exel Comfort Point Insulin Syringe/1ML/28G X 1/2"
Hy-vee Lancets
Exel Comfort Point Insulin Syringe/1ML/29G X 1/2"
Insulin Syringe/U-100/0.3ML/29G X 1/2"
Exel Comfort Point Insulin Syringe/1ML/30G X 5/16"
Insulin Syringe/U-100/0.5ML/28G X 1/2"
EZ Smart Blood Glucose Lancets
Insulin Syringe/U-100/0.5ML/29G X 1/2"
EZ-lets Lancets 21G
Insulin Syringe/U-100/1ML/28G X 1/2"
EZ-lets Lancets 23G
Insulin Syringe/U-100/1ML/29G X 1/2"
EZ-lets Lancets 26G Super-soft
Insulin Syringe/U-100/1ML/30G X 5/16"
EZ-lets Lancets 28G Ultra-soft
Insulin Syringe/U-100/1ML/31G X 5/16"
EZ-lets Lancets 30G
Insulin Syringe/0.3ML/29G X 1/2"
Fifty50 Pen Needles 31G X3/16" (5MM)
Insulin Syringe/0.3ML/29G X 1"
Fifty50 Pen Needles 31G X5/16" (8MM)
Insulin Syringe/0.3ML/30G X 5/16"
Fifty50 Pen Needles 31GX5MM
Insulin Syringe/0.3ML/31G X 5/16"
Effective July 1, 2016
38
Insulin Syringe/0.5ML/27G X 1/2" Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2"
Insulin Syringe/0.5ML/28G X 1/2" Medisense Thin Lancets
Insulin Syringe/0.5ML/29G X 1/2" Medlance Plus Extra Lancets 21G
Insulin Syringe/0.5ML/30G X 1/2" Medlance Plus Lancets
Insulin Syringe/0.5ML/30G X 5/16" Medlance Plus Lancets Lite 25G
Insulin Syringe/0.5ML/31G X 5/16" Medlance Plus Lite Lancets 25G
Insulin Syringe/1ML/28G X 1/2" Medlance Plus Special Lancets 0.8MM
Insulin Syringe/1ML/29G X 1/2" Medlance Plus Superlite 30G
Insulin Syringe/1ML/30G X 5/16" Medlance Plus Superlite 30G/Comfort Max
Insulin Syringe/1ML/31G X 5/16" Medlance Plus Universal Lancets 21G
Insupen Sensitive 32GX8MM Medlance Plus/Lite 25G
Insupen Ultrafin 29GX12MM Medlance/Extra
Insupen Ultrafin 30GX8MM Medlance/Lite
Insupen Ultrafin 31GX6MM Medlance/Universal
Insupen Ultrafin 31GX8MM Meijer Lancets Universal 30G
IN Touch Sterile Lancets 30G Meijer Super Thin Lancets
Lancet Transporter Case Microlet Lancets
Lancets Microtainer Safety Flow Lancet/Sterile/Single-use
Lancets Bullseye Safety Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML
Lancets Safety Seal 21G Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8"
Lancets Safety Seal 26G Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2"
Lancets Safety Seal 28G Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2"
Lancets Safety Seal 30G
Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2"
Lancets Thin
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2"
Lancets Twist Top
Lancets Ultra Fine
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2"
Lancets Ultra Thin
Lancets 26G Twist Top
Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2"
Lancets 28G
Lancets 30G
Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2"
Lancets 30G Twist Top
Lancets 30G/Twist Top Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2"
Lancets 31G Twist Top
Monoject Insulin Syringe/Softpack/1ML/27G X 1/2"
Lancets 33G Universal Design
Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16"
Leader Unifine Pentips Plus/Mini/31GX3/16"
Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Leader Unifine Pentips Plus/SHORT/31GX5/16"
Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16"
Leader Unifine Pentips/Mini/31GX3/16"
Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Leader Unifine Pentips/Nano/32GX5/32"
Monoject Insulin Syringe/U-100/1ML/30G X 5/16"
Leader Unifine Pentips/Plus/32GX5/32"
Monoject Insulin Syringe/1ML
Liberty Medical Lancets 30G
Monoject Insulin Syringe/1ML/31G X 5/16"
Lifescan Unistik II Lancets
Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2"
Lifescan Unistik 2 Deep Penetration
Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16"
Lite Touch Pen Needles/31G X 3/16"
Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16"
Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2"
Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2"
Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2"
Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2"
Litetouch Insulin Syringe/U-100/1ML/28G X 1/2"
Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16"
Litetouch Insulin Syringe/U-100/1ML/29G X 1/2"
Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16"
Litetouch Insulin Syringe/U-100/1ML/31G X 5/16"
Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2"
Litetouch Insulin Syringe/0.3ML/29G X 1/2"
Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2"
Litetouch Insulin Syringe/0.3ML/30G X 5/16"
Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16"
Litetouch Insulin Syringe/0.3ML/31G X 5/16"
Monojector End CAPS
Litetouch Insulin Syringe/0.5ML/30G X 5/16"
Monojector Opd End CAPS
Litetouch Insulin Syringe/0.5ML/31G X 5/16"
Monolet Lancets
Litetouch Insulin Syringe/1ML/30G X 5/16"
Monolet Opd Lancets
Litetouch Lancets Micro Thin 33G
Monolettor Safety Lancets
Litetouch Pen Needles 29GX12.7MM
Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Litetouch Pen Needles 31G X 6MM
Litetouch Pen Needles 31GX8MM SHORT
Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Live Better Lancet Super Thin 30G
Live Better Lancet Ultra Thin 28G
Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Live Better Pen Needles 29G X 12MM
Live Better Pen Needles 31G X 12MM
Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2"
Live Better Pen Needles 31G X 6MM
Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2" Myglucohealth Mgh Softlance Lancets 30G
Magellan Insulin Safety Syringe/U-100/0.3ML/30G X 5/16" Netgroup Lancets
Magellan Insulin Safety Syringe/U-100/0.5ML/29G X 1/2" Nova Safety Lancets 23G
Magellan Insulin Safety Syringe/U-100/0.5ML/30G X 5/16" Nova Safety Lancets 28G
Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2" Nova Sureflex Lancets
Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16" Novofine Plus 32GX4MM
Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2" On Call Lancets
Effective July 1, 2016
39
On Call Plus Lancets Pss Select GP Lancets
Onetouch Club Lancets Fine Point Pss Select Platforms
Onetouch Combo Pack Pss Select Safety Lancets
Onetouch Delica Lancets Extra Fine 33G Px Lancets Ultra Thin
Onetouch Delica Lancets Fine 30G PC Unifine Pentips 29G X 1/2"
Onetouch Finepoint Lancets PC Unifine Pentips 31G X 6MM Ultra SHORT
Onetouch Lancets PC Unifine Pentips 31G X 8MM SHORT
Onetouch Suresoft Lancing Device/18G Qc Lancets Super Thin
Onetouch Suresoft Lancing Device/21G Qc Lancets Ultra Thin
Onetouch Suresoft Lancing Device/28G Qc Pen Needles 29G X 12MM
Onetouch Ultra Blue Qc Pen Needles 31G X 6MM
Onetouch Ultra Mini Qc Pen Needles 31G X 8MM
Onetouch Ultra 2 Relion Insulin Syringe/U -100/0.5ML/29G
Onetouch Ultralink System (hex) Relion Insulin Syringe/U-00/1ML/29G X 1/2"
Onetouch Ultralink System (DEC) Relion Insulin Syringe/U-100/0.3ML/29G
Onetouch Ultrasoft Lancets Relion Insulin Syringe/U-100/0.3ML/29G X 1/2"
Onetouch Verio Relion Insulin Syringe/U-100/0.3ML/30G
Onetouch Verio IQ Blood Glucose Monitoring System Relion Insulin Syringe/U-100/0.3ML/30G X 5/16"
Onetouch Verio Sync Bloodglucose Monitoring System Relion Insulin Syringe/U-100/0.3ML/31G X 5/16"
Onetouch Verio Test Strips Relion Insulin Syringe/U-100/0.5ML/29G X 1/2"
Pen Needles 29G X 12MM Relion Insulin Syringe/U-100/0.5ML/30G
Pen Needles 29GX1/2" Relion Insulin Syringe/U-100/0.5ML/30G X 5/16"
Pen Needles 30GX5/16" Relion Insulin Syringe/U-100/0.5ML/31G X 5/16"
Pen Needles 31G X 1/4" SHORT Relion Insulin Syringe/U-100/1ML/30G
Pen Needles 31G X 3/16" Relion Insulin Syringe/U-100/1ML/30G X 5/16"
Pen Needles 31G X 5MM Relion Insulin Syringe/U-100/1ML/31G X 5/16"
Pen Needles 31G X 6MM Relion Lancets Micro-thin33G
Pen Needles 31GX5/16" Relion Lancets Standard 21G
Pen Needles 31GX6MM (1/4") Relion Lancets Thin 26G
Pen Needles 31GX8MM Relion Lancets Ultra-thin30G
Pen Needles 31GX8MM (5/16") Relion Mini Pen Needles 31GX6MM
Pen Needles 32GX4MM Relion Pen Needles 29GX12MM
Penlet II Replacement CAPS Relion Pen Needles 31GX6MM
Penlet II Replacement CAPS-deep Relion Pen Needles 31GX8MM
Penlet II Replacement CAPS-regular Relion Pen Needles 32GX4MM
Pentips 29GX12MM Relion SHORT Pen Needles 31GX8MM
Pentips 31GX5MM Relion Thin Lancets
Pentips 31GX6MM Relion Ultra Thin Lancets
Pentips 31GX8MM Relion Ultra Thin Lancets30G
Pentips 32GX4MM Relion Ultra Thin Plus Lancets 32G
Perfect Lancets 30G Relion Ultra Thin Plus Lancets 33G
Perfect Pressure Activated Safety Lancets 28G Renew Advanced Lancing Cartridge Refills
Pharmacist Choice Ultra Thin Lancets Rexall Lancets Ultra Thin
Pharmacist Choice Ultra Thin Lancets 28G Rightest Gl300 Lancets
Pharmacist Choice Ultra Thin Lancets 30G Rightest GD-L500 Alternate Site Adapter
Pharmacist Choice Ultra Thin Lancets 31G Safe-t-lance Low Flow 25G
Pharmacist Choice Ultra Thin Lancets 33G Safe-t-lance Normal Flow 21G
Pharmacy Counter Lancets Safe-t-lance Plus Safety Lancet High Flow
Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16" Safe-t-lance Plus Safety Lancet Low Flow
Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2" Safe-t-lance Plus Safety Lancet Normal Flow
Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2" Safesnap Insulin Syringe/0.3ML/30G X 5/16"
Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8" Safesnap Insulin Syringe/0.5ML/29G X 1/2"
Precision Sure-dose Insulin Syringe/1ML/28G X 1/2" Safesnap Insulin Syringe/0.5ML/30G X 5/16"
Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2"
Safesnap Insulin Syringe/1ML/28G X 1/2"
Safesnap Insulin Syringe/1ML/29G X 1/2"
Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2"
Safety Lancet 21G/Pressure Activated
Precision Thin Lancets
Safety Lancet 28G/Pressure Activated
Precision Thins GP Lancet
Safety Lancets
Precision Ultra Lancet
Safety Lancets 21G
Preferred Plus Unifine Pentips 29G X 12MM
Safety Lancets 28G
Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT
Safety Let Lancets
Preferred Plus Unifine Pentips 31G X 8MM SHORT
Safety Seal Lancets 28G
Prodigy Insulin Mini Pen Needles/31G X 3/16"
Safety Seal Lancets 30G
Prodigy Insulin Pen Needles/29G X 1/2"
Safety-glide Insulin Syringe/0.3ML/29G X 1/2"
Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16"
Shopko On-the-go Comfort Lancets 30G
Prodigy Insulin Syringe/1/2ML/31G X 5/16"
Shopko Unifine Pentips Pen Needles/Micro/32GX4MM
Prodigy Insulin Syringe/1ML/28G X 1/2"
Shopko Unifine Pentips Pen Needles/Mini/31GX5MM
Prodigy Insulin SHORT Penneedles/31G X 5/16"
Shopko Unifine Pentips Pen Needles/Original/29GX12MM
Prodigy Pressure Activated Safety Lancets
Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM
Prodigy Safety Lancets
Prodigy Twist Top Lancets
Effective July 1, 2016
40
Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM
Thinpro Insulin Syringe/0.5ML/30G X 3/8"
Thinpro Insulin Syringe/0.5ML/31G X 3/8"
Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM
Thinpro Insulin Syringe/1ML/28G X 1/2"
Thinpro Insulin Syringe/1ML/29G X 1/2"
Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM
Thinpro Insulin Syringe/1ML/30G X 3/8"
Thinpro Insulin Syringe/1ML/31G X 3/8"
Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM
Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2"
Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16"
Shopko Unilet Lancets Super Thin 30G
Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16"
Shopko Unilet Lancets Ultra Thin 28G
Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2"
Single-let
Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2"
Smart Diabetes Vantage Universal Lancets 30G
Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16"
Smart Sense Color Lancets Universal 33G
Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16"
Smart Sense Standard Lancets Universal 21G
Trueplus Insulin Syringe/U-100/1ML/28G X 1/2"
Smart Sense Super Thin Lancets Universal 30G
Trueplus Insulin Syringe/U-100/1ML/29G X 1/2"
Smart Sense Thin Lancets Universal 26G
Trueplus Insulin Syringe/U-100/1ML/30G X 5/16"
Smartest Lancets 28G
Trueplus Insulin Syringe/U-100/1ML/31G X 5/16"
Solus V2 Pressure Activated Safety Lancets 28G
Trueplus Lancets 26G
Solus V2 Twist Lancets 30G
Trueplus Lancets 28G
Sterilance PA
Trueplus Lancets 28G Super Thin
Sterilance TL
Trueplus Lancets 30G
Sure-fine Pen Needles 29GX1/2" 12.7MM
Trueplus Lancets 30G Ultra Thin
Sure-fine Pen Needles 31GX3/16" 5MM
Trueplus Lancets 33G
Sure-fine Pen Needles 31GX5/16" 8MM
Trueplus Lancets 33G Micro Thin
Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2"
Trueplus Safety Lancets 28G
Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16"
Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2"
Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16"
Ulticare Insulin Safety Syringe/1ML/29G X 1/2"
Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16"
Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16"
Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16"
Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16"
Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16"
Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16"
Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2"
Ulticare Insulin Syringe/SHORT/0.3ML/31G X 5/16"
Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2"
Ulticare Insulin Syringe/SHORT/0.5ML/30G X 5/16"
Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16"
Ulticare Insulin Syringe/SHORT/0.5ML/31G X 5/16"
Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16"
Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16"
Sure-lance Flat Lancets
Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16"
Sure-lance Lancets 26G
Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2"
Sure-lance Thin Lancets 28G
Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2"
Sure-lance Ultra Thin Lancets
Ulticare Insulin Syringe/U-100/0.3ML/30G X 5/16"
Sure-touch Lancets Universal
Ulticare Insulin Syringe/U-100/0.3ML/31G X 5/16"
Surelite Lancets
Ulticare Insulin Syringe/U-100/0.5ML/29G X 1/2"
Techlite AST Lancets
Ulticare Insulin Syringe/U-100/0.5ML/30G X 1/2"
Techlite Lancets
Ulticare Insulin Syringe/U-100/0.5ML/30G X 5/16"
Techlite Lancets 30G
Ulticare Insulin Syringe/U-100/0.5ML/31G X 5/16"
Techlite Pen Needles/31G X 5MM
Ulticare Insulin Syringe/U-100/1ML/29G X 1/2"
Techlite Pen Needles/31G X 6 MM
Ulticare Insulin Syringe/U-100/1ML/30G X 1/2"
Techlite Pen Needles/31G X 8MM
Ulticare Insulin Syringe/U-100/1ML/30G X 5/16"
Techlite Pen Needles/32G X 4MM
Ulticare Insulin Syringe/U-100/1ML/31G X 5/16"
Techlite Pen Needles/32G X 8MM
Ulticare Insulin Syringe/0.3ML/29G X 1/2"
Terumo Insulin Syringe/U-100/0.3ML/29G X 1/2"
Ulticare Insulin Syringe/0.3ML/30G X 1/2"
Terumo Insulin Syringe/U-100/0.5ML/27G X 1/2"
Ulticare Insulin Syringe/0.3ML/30G X 5/16"
Terumo Insulin Syringe/U-100/0.5ML/28G X 1/2"
Ulticare Insulin Syringe/0.5ML/28G X 1/2"
Terumo Insulin Syringe/U-100/1ML/28G X 1/2"
Ulticare Insulin Syringe/0.5ML/29G X 1/2"
Terumo Insulin Syringe/0.3ML/30G X 3/8"
Ulticare Insulin Syringe/0.5ML/30G X 1/2"
Terumo Insulin Syringe/0.5ML/29G X 1/2"
Ulticare Insulin Syringe/0.5ML/30G X 5/16"
Terumo Insulin Syringe/0.5ML/30G X 3/8"
Ulticare Insulin Syringe/1ML/28G X 1/2"
Terumo Insulin Syringe/1ML/27G X 1/2"
Ulticare Insulin Syringe/1ML/29G X 1/2"
Terumo Insulin Syringe/1ML/29G X 1/2"
Ulticare Insulin Syringe/1ML/30G X 1/2"
Terumo Insulin Syringe/1ML/30G X 3/8"
Ulticare Insulin Syringe/1ML/30G X 5/16"
Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2"
Ulticare Micro Pen Needles 31G X 8MM
Terumo Surguard Insulin Syringe/0.5ML/28G X 1/2"
Ulticare Micro Pen Needles 32G X 4MM
Terumo Surguard Insulin Syringe/0.5ML/29G X 1/2"
Ulticare Micro Pen Needles/31G X 8MM
Terumo Surguard Insulin Syringe/1ML/28G X 1/2"
Ulticare Micro Pen Needles/32G X 4MM
Terumo Surguard Insulin Syringe/1ML/29G X 1/2"
Ulticare Mini Pen Needles Ulti-fine IV
Thinlets GP Lancets
Ulticare Mini Pen Needles 31GX6MM
Thinlets Lancet
Ulticare Mini Pen Needles/31G X 6MM
Thinpro Insulin Syringe/0.3ML/29G X 1/2"
Ulticare Mini Pen Needles31GX6MM
Thinpro Insulin Syringe/0.3ML/30G X 3/8"
Ulticare Original Pen Needles Ulti-fine
Thinpro Insulin Syringe/0.3ML/31G X 3/8"
Ulticare Pen Needles/29G X 12.7MM
Thinpro Insulin Syringe/0.5ML/28G X 1/2"
Ulticare SHORT Pen Needles Ulti-fine IV
Thinpro Insulin Syringe/0.5ML/29G X 1/2"
Effective July 1, 2016
41
Ulticare SHORT Pen Needles 31GX8MM Unistik Touch Safety Lancets 23G
Ulticare SHORT Pen Needles/31G X 8MM Unistik Touch Safety Lancets 28G
Ulticare Thin Lancets 30G Unistik Touch Safety Lancets 30G
Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4" Unistik 1
Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4" Unistik 2
Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4" Unistik 2 Comfort
Ulticare U-100 Insulin Syringes/1ML/31G X 1/4" Unistik 2 Extra
Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16" Unistik 2 Neonatal
Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16" Unistik 2 Normal
Ultilet Classic Lancets Unistik 2 Super
Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16" Unistik 3
Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16" Unistik 3 Comfort
Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16" Unistik 3 Extra
Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16" Unistik 3 Extra Single Use Safety Lancets/21G
Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16" Unistik 3 Gentle
Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16" Unistik 3 Neonatal
Ultilet Lancets Unistik 3 Normal
Ultilet Lancets 33G Universal 1 Lancets Thin 26G
Ultilet Pen Needle 32GX4MM/SHORT Universal 1 Lancets Ultra Thin 30G
Ultilet Safety Lancets 23G V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2"
Ultilet SHORT Pen Needles 31GX5/16" V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Ultilet SHORT Pen Needles31GX3/16" V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Ultra-thin II Auto Lancet V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16"
V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2"
Valumark Lancet Super Thin 30G
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/31GX5/16"
Valumark Lancet Ultra Thin 28G
Valumark Pen Needles 29GX12MM
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/30GX5/16"
Valumark Pen Needles 31G X 6MM
Valumark Pen Needles 31G X 8MM
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/31GX5/16"
Vanishpoint Insulin Syringe/0.5ML/30G X 1/2"
Vanishpoint Insulin Syringe/1ML/29G X 1/2"
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16"
Vida Mia Unifine Pentips Mini 31GX6MM
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16"
Vida Mia Unifine Pentips Original 29GX12MM
Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2"
Vida Mia Unifine Pentips 32GX4MM
Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2"
Vida Mia Unilet Lancets Super Thin 30G
Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2"
Vida Mia Unilet Lancets Ultra Thin 28G
Ultra-thin II Lancets 28G
Vida Mia Unipfine Pentipsshort 31GX8MM
Ultra-thin II Lancets 30G
Vitalet Pro Lancets
Ultra-thin II Mini Pen Neeedles/31GX3/16"
Vitalet Pro Plus Lancets
Ultra-thin II Pen Needles 29GX1/2"
W&f Lancets Colored 21G
Ultra-thin II Pen Needles/SHORT/31GX5/16"
W&f Lancets 26G
Ultra-thin II Safety Autolancets 26G
Walgreens Lancets
Ultralance
Walgreens Thin Lancets
Unifine Pentips Plus 29GX12MM
Walgreens Ultra Thin Lancets
Unifine Pentips Plus 31GX5MM
1ST Choice Lancets Super Thin
Unifine Pentips Plus 31GX6MM
1ST Choice Lancets Thin
Unifine Pentips Plus 31GX8MM
1ST Choice Lancets Ultra Thin
Unifine Pentips 29GX12MM
1ST Tier Unifine Pentips 29GX12MM
Unifine Pentips 31G X 3/16"
1ST Tier Unifine Pentips 31GX6MM
Unifine Pentips 31G X 6MM
1ST Tier Unifine Pentips 31GX8MM
Unifine Pentips 31G X 8MM
Unifine Pentips 31GX5MM
MEDICAL DEVICES - MISC
Unifine Pentips 31GX6MM
PREFERRED
Unifine Pentips 31GX8MM
Aerochamber Mini Aerosol Chamber
Unifine Pentips 32GX4MM
Aerochamber MV
Unilet Comfortouch Lancet
Aerochamber Plus Flow VU
Unilet Excelite
Aerochamber Plus Flow-VU
Unilet Excelite II
Aerochamber Plus Flow-VU/Large Mask
Unilet G.p. Lancet
Aerochamber Plus Flow-VU/Mask
Unilet G.p. Superlite Lancet
Aerochamber Plus Flow-VU/Medium Mask
Unilet GP 28 Ultra Thin
Aerochamber Plus Flow-VU/Small Mask
Unilet Lancet
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU
Unilet Lancets Micro-thin33G
Unilet Lancets Super-thin30G
Aerochamber Z-stat Plus/Flowsignal
Unilet Lancets Ultra-thin 28G
Aerochamber Z-stat Plus/Large Mask
Unilet Superlite Lancet
Aerochamber Z-stat Plus/Medium Mask
Unistik CZT Comfort
Aerochamber Z-stat Plus/Small Mask
Unistik CZT Normal
Aerochamber/Flowsignal
Unistik Safety Lancets 28G
Aerovent Plus Holding Chamber/Collapsible
Unistik Safety Lancets 30G
Unistik Touch Safety Lancets 21G
Effective July 1, 2016
42
Arial Chamber NON PREFERRED
Breatherite Chemet
Breatherite Collapsible Adult Spacer W/Mask Exjade
Breatherite Collapsible Child Spacer W/Mask Ferriprox
Breatherite Collapsible Infant Spacer W/Mask Jadenu
Breatherite Collapsible Small Child Spacer W/Mask Pentetate Calcium Trisodium
Breatherite Collapsible Spacer W/ Neonate Mask Pentetate Zinc Trisodium
Breatherite Rigid Spacer W/Mask
Breatherite W/Large Mask
Breatherite W/Medium Mask
Breatherite W/Small Mask
Compact Space Chamber/Anti-static
Compact Space Chamber/Anti-static/Large Mask
Compact Space Chamber/Anti-static/Medium Mask
Compact Space Chamber/Anti-static/Small Mask
E-z Spacer
E-z Spacer The Body Guards Pack
Easivent
Easivent/Mask-large
Easivent/Mask-medium
Easivent/Mask-small
Flexichamber
Flexichamber Adult Mask/Small
Flexichamber Child Mask/Large
Flexichamber Child Mask/Small
Inspirachamber/Anti-static Valved/Mouthpiece
Inspirachamber/Large
Inspirachamber/Soothermask/Inspiramask/Medium
Inspirachamber/Soothermask/Inspiramask/Small
Inspirease Bags
Inspirease Drug Delivery System
Inspirease Mouthpiece
Inspirease Reservoir Bags
Liteaire
Mask Vortex/Baby Whirl Duckling
Mask Vortex/Child/Frog
Mask Vortex/Spinner The Duck
Mask Vortex/Toddler/Lady Bug
Microchamber
Microspacer
Nessi Spacer/Large Mask
Nessi Spacer/Mouthpiece
Nessi Spacer/Small/MED Mask
Optichamber Advantage
Optichamber Advantage/Large Mask
Optichamber Advantage/Medium Face Mask
Optichamber Advantage/Small Face Mask
Optichamber Diamond
Optichamber Diamond/Largeface Mask
Optichamber Diamond/Medium Face Mask
Optichamber Diamond/Smallface Mask
Optichamber Face Mask/Large
Optichamber Face Mask/Medium
Optichamber Face Mask/Small
Optihaler
Optihaler MDI Drug Delivery System
Panda Mask Large
Panda Mask Medium
Panda Mask Small
Pediatric Panda Mask
Pocket Chamber
Pocket Spacer
Riteflo
Vortex Valved Holding Chamber
Watchhaler
MISCELLANEOUS
Effective July 1, 2016 v.4 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2016 Optum, Inc. All rights reserved.
43
Index
A
Actimmune, 6 Advocate Insulin Syringe/U-100/1ML/29GX1/2", 36
Actiq, 30
A.a.g.c. Kit IN Teroderm, 11
Activase, 23 Advocate Insulin Syringe/U-100/1ML/30GX5/16", 36
abacavir, 3
Active 1ST Blood Lancets 30G/Easy Twist CAP, 36
abacavir sulfate/lamivudine/zidovudine, 3
Advocate Insulin Syringe/U-100/1ML/31GX5/16", 36
Abaneu-SL, 21
Activella, 15
Abelcet, 2
Actonel, 17 Advocate Lancets, 36
Abilify, 24
Actoplus Met, 17 Advocate Lancets 30G, 36
Abilify Discmelt, 24
Actoplus Met XR, 17 Advocate Safety Lancets, 36
Abilify Maintena, 24
Actos, 17 Advocate Safety Lancets 26G, 36
Abraxane, 6
Acuicyn Daily Eyelid & Eyelash Cleanser, 13
Adzenys XR-odt, 25
Absorica, 11
Aerochamber Mini Aerosol Chamber, 42
Abstral, 30
Acular, 29 Aerochamber MV, 42
acamprosate calcium DR, 26
Acular LS, 29 Aerochamber Plus Flow VU, 42
Acanya, 11
Acuvail, 29 Aerochamber Plus Flow-VU, 42
acarbose, 17
acyclovir, 3, 12 Aerochamber Plus Flow-VU/Large Mask, 42
Accolate, 33
acyclovir sodium, 3
Accu-chek Active Strips, 36
Acyclovir Sodium, 3 Aerochamber Plus Flow-VU/Mask, 42
Accu-chek Aviva, 36
Aczone, 11 Aerochamber Plus Flow-VU/Medium Mask, 42
Accu-chek Aviva Connect, 36
Adacel, 34
Accu-chek Aviva Plus, 36
Adalat CC, 8 Aerochamber Plus Flow-VU/Small Mask, 42
Accu-chek Comfort Curve Test Strips, 36
adapalene, 10
Accu-chek Compact Plus, 36
Adapalene, 11 Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 42
Accu-chek Compact Plus Care Kit, 36
adapalene P.M., 10
Accu-chek Compact Test Drum, 36
Adasuve, 24 Aerochamber Z-stat Plus/Flowsignal, 42
Accu-chek Fastclix Lancetdevice Kit, 36
Adcetris, 5 Aerochamber Z-stat Plus/Large Mask, 42
Accu-chek Fastclix Lancets, 36
Adcirca, 10 Aerochamber Z-stat Plus/Medium Mask, 42
Accu-chek Multiclix Lanc Et Device Kit, 36
Adderall, 25
Adderall XR, 25 Aerochamber Z-stat Plus/Small Mask, 42
Accu-chek Multiclix Lancets, 36
Addyi, 27 Aerochamber/Flowsignal, 42
Accu-chek Nano Smartview, 36
adefovir dipivoxil, 3 Aerospan, 33
Accu-chek Safe-t-pro Lancets, 36
Adempas, 10 Aerovent Plus Holding Chamber/Collapsible, 42
Accu-chek Safe-t-pro Pluslancets, 36
Adenocard, 8
Accu-chek Smartview Strips, 36
adenosine, 8 AF Lancets Super Thin, 36
Accu-chek Soft Touch Lancets, 36
Adoxa, 2 Afinitor, 6
Accu-chek Softclix Lancetdevice Kit, 36
Adoxa PAK 1/100, 2 Afinitor Disperz, 6
Accu-chek Softclix Lancets, 36
Adoxa PAK 1/150, 2 Afluria 2014-2015, 34
Accu-chek Voicemate, 36
Adoxa PAK 2/100, 2 Afluria 2015-2016, 34
Accucaine, 13
Adrenaclick, 10 Afluria 2016-2017, 34
Accupril, 8
Adrenal C Formula, 35 Afluria PF 2014-2015, 34
Accuretic, 9
Adrenalin, 10, 32 Afluria PF 2015-2016, 34
Accutrend Glucose, 36
Adriamycin, 5 Afrezza, 16
acebutolol HCL, 7
Advair Diskus, 33 Agamatrix Ultra-thin Lancets 33G, 36
Aceon, 8
Advair HFA, 33 Aggrastat, 23
acetaminophen/caffeine/dihydrocodeine, 30
Advanced Allergy Collection Kit, 13 Aggrenox, 23
Advate, 22 Agrylin, 23
acetaminophen/codeine, 30
Advicor, 10 Akne-mycin, 11
acetaminophen/codeine #2, 30
Advocate Insulin Pen Needles 29GX12.7MM, 36
Akovaz, 10
acetaminophen/codeine #3, 30
Akten, 29
acetaminophen/codeine #4, 30
Advocate Insulin Pen Needles 31GX5MM, 36
Akynzeo, 20
acetaminophen/codeine phosphate, 30
Ala Scalp, 13
acetazolamide, 9
Advocate Insulin Pen Needles 31GX8MM, 36
Ala-quin, 12
Acetazolamide, 9
Albafort, 21, 35
acetazolamide ER, 9
Advocate Insulin Syringe/U-100/0.3ML/29GX1/2", 36
Albenza, 4
acetazolamide sodium, 9
albuterol, 33
acetic acid, 29
Advocate Insulin Syringe/U-100/0.3ML/30GX5/16", 36
albuterol sulfate, 33
Acetic Acid/Aluminum Acetate, 29
albuterol sulfate ER, 33
acetylcysteine, 33
Advocate Insulin Syringe/U-100/0.3ML/31GX5/16", 36
albuterol TAB 4MG, 33
Aciphex, 19
Alcaine, 29
Aciphex Sprinkle, 19
Advocate Insulin Syringe/U-100/0.5ML/29GX1/2", 36
alclometasone dipropionate, 12
acitretin, 12
Aldactazide, 9
Aclovate, 13
Advocate Insulin Syringe/U-100/0.5ML/30GX5/16", 36
Aldactone, 9
Actemra, 31
Aldara, 13
Acthib, 34
Advocate Insulin Syringe/U-100/0.5ML/31GX5/16", 36
Aldurazyme, 18
Acticlate, 2
Alecensa, 6
Actigall, 20
alendronate sodium, 17
amlodipine besylate/valsartan, 9 Apriso, 20
Alendronate Sodium, 17
amlodipine/valsartan/hctz, 9 Aptensio XR, 25
Alevicyn Antipruritic SG, 13
ammonium lactate, 13 Aptiom, 26
Alfenta, 30
Ammonul, 18 Aptivus, 3
alfentanil, 30
Amoxapine, 24 Aquasol A Parenteral, 35
Alferon N, 6
amoxicillin, 1 Aquoral, 23
alfuzosin HCL ER, 21
Amoxicillin, 1 Aralast NP, 34
Alimta, 5
Amoxicillin ER, 1 Aralen, 3
Alinia, 4
amoxicillin/clavulanate potassium, 1 Aranesp Albumin Free, 21
Alkeran, 4
Amoxicillin/Clavulanate Potassium, 1 Arava, 31
Allegra Allergy Childrens, 32
amoxicillin/clavulanate potassium ER, 1 Arcalyst, 31
Allo-pax, 12
amphetamine/dextroamphetamine, 25 Arcapta Neohaler, 33
allopurinol, 32
Amphotec, 2 argatroban, 22
Allzital, 29
Amphotericin B, 2 Argatroban, 22
almotriptan, 31
ampicillin, 1 Arial Chamber, 43
almotriptan malate, 31
Ampicillin, 1 Aricept, 27
Alocril, 29
ampicillin sodium, 1 Aricept Odt, 27
Alodox Convenience Kit, 2
Ampicillin Sodium, 1 Arimidex, 5
Alogliptin, 17
ampicillin-sulbactam, 1 aripiprazole, 24
Alogliptin/Metformin HCL, 17
Ampicillin-sulbactam, 1 aripiprazole odt, 24
Alogliptin/Pioglitazone, 17
Ampyra, 27 Aristada, 24
Alomide, 29
Amrix, 27 Aristospan Intra-articular, 15
Aloprim, 32
Amturnide, 9 Arixtra, 22
Alora, 15
Amytal Sodium, 25 armodafinil, 25
alosetron hydrochloride, 20
Anacaine, 13 Armodafinil, 25
Aloxi, 20
Anadrol-50, 15 Armour Thyroid, 19
Alphagan P, 29
Anafranil, 24 Arnica Flower, 13
Alphanate/Von Willebrand Factor Complex/Human, 22
anagrelide hydrochloride, 22 Arnuity Ellipta, 33
Analpram Advanced, 20 Aromasin, 5
Alphanine SD, 23
Analpram-HC, 20 Arranon, 5
alprazolam, 23
Analpram-HC Singles, 20 Arthrotec 50, 31
alprazolam ER, 23
Anaprox DS, 31 Arthrotec 75, 31
Alprazolam Intensol, 23
Anaspaz, 19 Articadent Dental, 32
alprazolam odt, 23
anastrozole, 5 Artiss, 22
Alrex, 28
Ancef, 1 Arzerra, 5
Alsuma, 31
Ancobon, 2 Asacol HD, 20
Altabax, 11
Androderm, 15 ascorbic acid, 34
Altace, 8
Androgel, 15 Asmanex HFA, 33
Altoprev, 10
Androgel P.M., 15 Asmanex Twisthaler 120 Metered Doses, 33
Aluvea, 13
Android, 15
Alvesco, 33
Androxy, 15 Asmanex Twisthaler 14 Metered Doses, 33
amantadine HCL, 26
Anectine, 27
Amantadine HCL, 26
Angeliq, 15 Asmanex Twisthaler 30 Metered Doses, 33
Amaryl, 17
Angiomax, 22
Ambien, 25
Animi-3, 21 Asmanex Twisthaler 60 Metered Doses, 33
Ambien CR, 25
Animi-3/Vitamin D, 21
Ambisome, 2
Anoro Ellipta, 33 Asmanex Twisthaler 7 Metered Doses, 33
Amcinonide, 13
Antabuse, 27
Amerge, 31
Antara, 10 Aspirin-caffeine-dihydrocodeine, 30
Amicar, 22
Anthralin, 12 Aspirin/Dipyridamole, 22
amifostine, 7
Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2", 36
Assure Haemolance Plus High Flow 18G, 36
amikacin sulfate, 2
amiloride HCL, 9
Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2", 36
Assure Haemolance Plus Low Flow 25G, 36
amiloride/hydrochlorothiazide, 9
aminocaproic acid, 22
Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2", 36
Assure Haemolance Plus Micro Flow 28G, 36
Aminocaproic Acid, 22
aminophylline, 33
antipyrine/benzocaine, 29 Assure Haemolance Plus Normal Flow 21G, 36
amiodarone HCL, 8
Antipyrine/Benzocaine, 29
Amiodarone HCL, 8
Anusol-HC, 20 Assure Haemolance Plus Pediatric Blade, 36
amiodarone hydrochloride, 8
Anzemet, 20
Amitiza, 20
Apidra, 16 Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 36
amitriptyline HCL, 24
Apidra Solostar, 16
amlodipine besylate, 7
Aplenzin, 24 Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2", 36
amlodipine besylate/atorvastatin calcium, 10
Apokyn, 26
Appbutamone, 24 Assure Lance Lancets, 36
amlodipine besylate/benazepril HCL, 9
Appformin, 17 Assure Lance Lancets 21G, 36
amlodipine besylate/benazepril hydrochloride, 9
Appformin-d, 17 Assure Lance Plus Safety Lancets 25G, 36
apraclonidine, 29
Assure Lance Plus Safety Lancets 30G, 36
Axiron, 15 5ML/28G X 1/2", 36
Aygestin, 16 BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 36
Assure Lancets, 36
azacitidine, 5
Astagraf XL, 6
Azactam, 4 BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 36
Astepro, 32
Azactam IN Iso-osmotic Dextrose, 4
Astero, 14
Azasan, 6 BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 36
Astringyn, 22
Azasite, 28
AT Last Lancets, 36
azathioprine, 5 BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 36
Atabex EC, 35
Azathioprine, 5
Atabex Prenatal, 35
azelastine HCL, 29, 32 BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 36
Atacand, 8
Azelex, 11
Atacand HCT, 9
Azilect, 26 BD Insulin Syringe Slip Tip/U-100/1ML, 36
Atelvia, 17
azithromycin, 1
atenolol, 7
Azithromycin, 1 BD Insulin Syringe U-40/1ML/25G X 5/8", 36
atenolol/chlorthalidone, 9
Azopt, 29
Atgam, 6
Azor, 9 BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 36
Ativan, 23
aztreonam, 4
Atopiclair, 14
Azulfidine, 20 BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 36
atorvastatin calcium, 10
Azulfidine EN-TABS, 20
atovaquone, 4
B BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 36
atovaquone/proguanil HCL, 3
B-12 Kit, 21
atracurium besylate, 27
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 37
B-6 Folic Acid, 21
Atralin, 11
b-complex 100, 35
Atripla, 3
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16", 37
B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 36
Atropen, 19
atropine sulfate, 19, 28
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 37
B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16", 36
Atropine Sulfate, 19, 28
Atrovent, 32
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16", 37
B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 36
Atrovent HFA, 33
Aubagio, 27
BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 37
B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 36
augmented betamethasone dipropionate, 12
BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 37
B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 36
Augmentin, 1
Augmentin ES-600, 1
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 37
B-d Insulin Syringe Ultrafine/1ML/30G X 1/2", 36
Augmentin XR, 1
Aurora Lancet Super Thin 30G, 36
BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2", 37
bacitracin, 4
Aurora Lancet Thin 23G, 36
Bacitracin, 28
Aurora Pen Needles 29GX12MM, 36
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 15/64", 37
bacitracin/polymyxin b, 28
Aurora Pen Needles 31G X 6MM, 36
Baclofen, 11
Aurora Pen Needles 31G X 8MM, 36
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 5/16", 37
baclofen, 27
Aurstat Anti-itch Hydrogel, 14
Bacmin, 35
Aurstat Anti-itch Hydrogel Kit, 14
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 37
Bactocill IN Dextrose, 1
Auryxia, 20
Bactrim, 4
Autolet Platforms, 36
BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2", 37
Bactrim DS, 4
Auvi-q, 10
Bactroban, 11
Avalide, 9
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64", 37
Bactroban Nasal, 32
Avandamet, 17
Bal-care DHA, 35
Avandaryl, 17
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16", 37
balsalazide disodium, 20
Avandia, 17
Banzel, 26
Avapro, 8
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 37
Baraclude, 3
Avar, 11
Bayer Microlet Lancets, 36
Avar LS, 11
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 37
Bcg Vaccine, 34
Avar LS Cleanser, 11
BD Autoshield 29G X 3/16", 36
Avar-e LS, 11
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64", 37
BD Autoshield 29G X 5/16", 36
Avastin, 5
BD Autoshield Duo 30G X 3/16", 36
Avc, 21
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16", 37
BD Insulin Syringe LUER-LOK/U-100/1ML, 36
Aveed, 15
Avelox, 2
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 37
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 36
Avelox Abc Pack, 2
Avenova, 14
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 37
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 36
Avenova/Neutrox, 14
Avidoxy DK, 2
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 37
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 36
Avinza, 30
Avodart, 21
BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 37
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 36
Avonex, 27
Avonex Pen, 27
BD Insulin Syringe/U-100/1ML/27G X 1/2", 37
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 36
Avycaz, 4
Axert, 31
BD Insulin Syringe/U-100/1ML/28G X
BD Insulin Syringe Microfine/U-100/0.
1/2", 37
benztropine mesylate, 26 Breatherite W/Large Mask, 43
BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 37
Bepreve, 29 Breatherite W/Medium Mask, 43
Berinert, 23 Breatherite W/Small Mask, 43
BD Insulin Syringe/U-100/2ML/29G X 1/2", 37
Besivance, 28 Breo Ellipta, 33
Betadine Ophthalmic Prep, 28 Brevibloc, 7
BD Integra Insulin Syringe/U-100/1ML/29G X 1/2", 37
Betagan, 28 Brevicon-28, 16
Betalido, 15 Brilinta, 23
BD Integra Syringe/Retracting Needle/1ML/25G X 1", 37
Betaloan Suik, 15 brimonidine tartrate, 29
betamethasone dipropionate, 12 Brintellix, 24
BD Lancet Ultrafine 30G, 37
betamethasone sodium phosphate/betamethasone acetate, 14
Brisdelle, 27
BD Lancet Ultrafine 33G, 37
Briviact, 26
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 37
Betamethasone SP, 15 bromfenac, 29
betamethasone valerate, 12 Bromfenac, 29
BD Microtainer Lancets, 37
Betapace, 7 bromocriptine mesylate, 26
BD Pen Needle/Mini/Ultrafine/31G X 3/16", 37
Betapace AF, 7 bromphen/pseudoephedrine HCL/dextromethorphan HBR, 33
Betaseron, 27
BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 37
betaxolol HCL, 7, 28 Brompheniramine, 32
bethanechol chloride, 21 Brompheniramine Tannate, 32
BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 37
Bethkis, 2 Brovana, 33
Betimol, 28 budesonide, 14, 32, 33
BD Pen Needle/Ultrafine/29G X 12.7MM, 37
Betoptic-s, 28 Bullseye Safety Lancets, 36
Bevespi Aerosphere, 33 bumetanide, 9
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 37
bexarotene, 6 Bumex, 9
Bexsero, 34 Bunavail, 30
BD Pen Needles SHORT/Ultrafine/31G X 5/16", 37
Beyaz, 16 Bupap, 29
Biaxin, 1 Buphenyl, 18
BD Pudendal/Local Block Tray 1% Lidocaine, 32
Biaxin XL, 1 bupivacaine HCL, 32
Biaxin XL PAC, 1 bupivacaine/epinephrine, 32
BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2", 37
bicalutamide, 5 Buprenex, 30
Bicillin C-R, 1 buprenorphine HCL, 30
BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 37
Bicillin L-a, 1 buprenorphine HCL/naloxone HCL, 30
Bicnu, 4 bupropion HCL, 24
BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 37
Bidil, 10 bupropion HCL ER, 24
Biest/Progesterone, 15 bupropion HCL SR, 24
BD-insul SYR Mis LO Dose, 37
Biferarx, 21 bupropion HCL XL, 24
Bebulin, 23
Biltricide, 4 buspirone HCL, 23
Beconase AQ, 32
Bimatoprost, 28 Busulfex, 4
Belbuca, 30
Binosto, 17 butalbital/acetaminophen, 29
Beleodaq, 6
Biothrax, 34 butalbital/acetaminophen/caffeine, 29
Belladonna & Opium, 19
bisoprolol fumarate, 7 butalbital/acetaminophen/caffeine/codeine, 30
Belladonna Alkaloids & Opium, 19
bisoprolol fumarate/hydrochlorothiazide, 9
Belsomra, 25
butalbital/aspirin/caffeine, 29
benazepril HCL, 8
bivalirudin, 22 butalbital/aspirin/caffeine/codeine, 30
benazepril HCL/hydrochlorothiazide, 9
Bleo 15k, 5 Butisol Sodium, 25
Bendeka, 4
bleomycin sulfate, 4 butorphanol tartrate, 30
Benefix, 23
Bleph-10, 28 Butrans, 30
Benicar, 8
Blephamide, 28 Bydureon, 16
Benicar HCT, 9
Blephamide S.o.p., 28 Byetta, 16
Bentyl, 19
Blincyto, 5 Bystolic, 7
Benzac Ac Wash, 11
Bloxiverz, 28 C
Benzac W Wash, 11
Boniva, 17
cabergoline, 18
Benzaclin, 11
Boostrix, 34
Cabometyx, 6
Benzaclin With P.M., 11
Boric Acid, 14
Caduet, 10
Benzamycin, 11
Bosulif, 6
Cafcit, 25
Benzamycinpak, 11
Botox, 27
Cafergot, 31
Benzefoam, 11
Bravelle, 18
caffeine citrate, 25
Benzefoam Ultra, 11
Breatherite, 43
Caffeine/Sodium Benzoate, 25
Benzefoamultra, 11
Breatherite Collapsible Adult Spacer W/Mask, 43
Calan, 8
Benziq, 11
Calan SR, 8
Benziq LS, 11
Breatherite Collapsible Child Spacer W/Mask, 43
calcipotriene, 12
Benzodox 30 Kit, 2
calcipotriene/betamethasone dipropionate, 12
Benzodox 60 Kit, 2
Breatherite Collapsible Infant Spacer W/Mask, 43
Benzoin Compound Tincture, 14
calcitonin salmon, 17
Benzoin Tincture, 14
Breatherite Collapsible Small Child Spacer W/Mask, 43
calcitonin-salmon, 17
benzonatate, 33
Calcitriol, 12
Benzonatate, 33
Breatherite Collapsible Spacer W/ Neonate Mask, 43
calcitriol, 18
benzoyl peroxide, 10
calcium acetate, 20
benzoyl peroxide SHORT contact, 10
Breatherite Rigid Spacer W/Mask, 43
Caldolor, 31
Cambia, 32
cefazolin sodium, 1 chlorpromazine HCL, 24
Campral, 27
Cefazolin Sodium, 1 Chlorpromazine HCL, 24
Camptosar, 6
Cefazolin Sodium/Dextrose, 1 Chlorpropamide, 16
Canasa, 20
cefdinir, 1 chlorthalidone, 9
Cancidas, 2
Cefditoren Pivoxil, 1 Chlorthalidone, 9
candesartan cilexetil, 8
cefepime, 1 chlorzoxazone, 27
candesartan cilexetil/hydrochlorothiazide, 9
Cefepime, 1 Cholbam, 20
cefixime, 1 cholestyramine, 10
Cantil, 19
Cefotan, 1 cholestyramine light, 10
Capastat Sulfate, 2
cefotaxime sodium, 1 choline magnesium trisalicylate, 29
capecitabine, 5
cefotetan, 1 Choline Magnesium Trisalicylate, 29
Capex, 13
Cefotetan, 1 chorionic gonadotropin, 17
Caphosol, 23
Cefotetan/Dextrose, 1 Cialis, 10
Capital/Codeine, 30
cefoxitin sodium, 1 Ciclodan Cream Kit, 12
Caprelsa, 6
Cefoxitin Sodium, 1 Ciclodan Solution Kit, 12
captopril, 8
cefpodoxime proxetil, 1 ciclopirox, 11
Captopril/Hydrochlorothiazide, 9
cefprozil, 1 ciclopirox nail lacquer, 11
Capxib Kit, 31
ceftazidime, 1 ciclopirox olamine, 11
Carafate, 19
Ceftazidime/Dextrose, 1 Ciclopirox Topical Solution Kit, 12
Carbaglu, 18
Ceftibuten, 1 cidofovir, 3
carbamazepine, 25
Ceftin, 1 Ciferex, 21
carbamazepine ER, 25
Ceftriaxone IN Iso-osmotic Dextrose, 1 cilostazol, 22
Carbaphen 12, 33
ceftriaxone sodium, 1 Ciloxan, 28
Carbaphen 12 PED, 33
Ceftriaxone Sodium, 1 cimetidine, 19
Carbatrol, 26
Ceftriaxone/Dextrose, 1 cimetidine HCL, 19
carbidopa, 26
cefuroxime axetil, 1 Cimzia, 20
carbidopa/levodopa, 26
cefuroxime sodium, 1 Cimzia Starter Kit, 20
carbidopa/levodopa ER, 26
Cefuroxime Sodium, 1 Cinqair, 33
carbidopa/levodopa odt, 26
Cefuroxime/Dextrose, 1 Cinryze, 23
Carbidopa/Levodopa/Entacapone, 26
Celebrex, 31 Cipro, 2
carbinoxamine maleate, 32
celecoxib, 31 Cipro HC, 29
Carbocaine, 32
Celestone-soluspan, 15 Cipro I.V.-IN D5W, 2
carboplatin, 4
Celexa, 24 Cipro XR, 2
Cardene IV, 8
Cellcept, 6 Ciprodex, 29
Cardizem, 8
Cellcept Intravenous, 6 ciprofloxacin, 2
Cardizem CD, 8
Celontin, 26 Ciprofloxacin, 2, 29
Cardizem LA, 8
Cenestin, 15 ciprofloxacin ER, 2
Cardura, 9
Cenfol, 21 ciprofloxacin HCL, 2, 28
Cardura XL, 21
Centany, 11 Ciprofloxacin HCL, 2
Carefine Pen Needle 32GX4MM, 37
Centany AT, 11 ciprofloxacin I.V.-IN D5W, 2
Carefine Pen Needles 29GX1/2", 37
Centratex, 21 cisatracurium besylate, 27
Carefine Pen Needles 30GX5/16", 37
cephalexin, 1 cisplatin, 4
Carefine Pen Needles 31GX6MM, 37
Cephalexin, 1 Cisplatin, 4
Carefine Pen Needles 31GX8MM, 37
Ceracade, 14 citalopram hydrobromide, 24
Careone Lancet Thin, 37
Cerdelga, 21 Citanest Forte Dental, 32
Careone Lancet Ultra Thin, 37
Cerebyx, 26 Citanest Plain Dental, 32
carisoprodol, 27
Cerezyme, 21 Citranatal 90 DHA, 35
carisoprodol/aspirin, 27
Cervarix, 34 Citranatal Assure, 35
carisoprodol/aspirin/codeine, 27
Cervidil, 29 Citranatal B-calm, 35
Carnitor, 18
Cesamet, 20 Citranatal DHA, 35
Carnitor SF, 18
cetirizine HCL, 32 Citranatal Harmony, 35
carteolol HCL, 28
Cetraxal, 29 Citranatal RX, 35
carvedilol, 7
Cetrotide, 18 citric acid/sodium citrate, 21
Cascara Sagrada, 19
cevimeline HCL, 23 cladribine, 5
Casodex, 5
Chemet, 43 Claforan, 1
Cataflam, 31
Chenodal, 20 Claforan/D5W, 1
Catapres, 9
Chloramphenicol Sodium Succinate, 4 Clarifoam EF, 11
Catapres-tts-1, 9
chlordiazepoxide HCL, 23 Clarinex, 32
Catapres-tts-2, 9
chlordiazepoxide HCL/clidinium bromide, 19
Clarinex-d 12 HOUR, 33
Catapres-tts-3, 9
clarithromycin, 1
Cathflo Activase, 23
Chlordiazepoxide/Amitriptyline, 27 clarithromycin ER, 1
Cayston, 4
chlorhexidine gluconate, 23 Cleanlet Lancets 28G, 37
Cedax, 1
chlorhexidine gluconate oral rinse, 23 clemastine fumarate, 32
cefaclor, 1
chloroprocaine HCL, 32 Clemastine Fumarate, 32
Cefaclor, 1
chloroquine phosphate, 3 Cleocin, 4, 21
Cefaclor ER, 1
chlorothiazide, 9 Cleocin IN D5W, 4
cefadroxil, 1
Chlorothiazide, 9 Cleocin Pediatric Granules, 4
Cefazolin, 1
chlorothiazide sodium, 9 Cleocin Phosphate, 4
Cleocin-t, 11
clindamycin phosphate pharmacy bulk package, 4
Comfort Assist Insulin Syringe/0.5ML/31G X 5/16", 37
Clever Chek Lancets Ultrathin, 37
Clever Chek Lancets Ultrathin 30G, 37
clindamycin phosphate/tretinoin, 10 Comfort Assist Insulin Syringe/1ML/29G X 1/2", 37
Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 37
clindamycin/benzoyl peroxide, 10
Clindap-t, 11 Comfort Assist Insulin Syringe/1ML/30G X 5/16", 37
Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 37
Clindesse, 21
Clinical Nutrients Prenatal Formula, 35 Comfort Assist Insulin Syringe/1ML/31G X 5/16", 37
Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2", 37
Clinoin, 11
clobetasol propionate, 12 Comfort Lancets, 37
Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16", 37
clobetasol propionate emollient, 12 Compact Space Chamber/Anti-static, 43
Clobex, 13 Compact Space Chamber/Anti-static/Large Mask, 43
Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16", 37
Clocortolone Pivalate, 13
Clocortolone Pivalate P.M., 13 Compact Space Chamber/Anti-static/Medium Mask, 43
Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2", 37
Clodan Kit, 13
Cloderm, 13 Compact Space Chamber/Anti-static/Small Mask, 43
Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2", 37
Cloderm P.M., 13
Clolar, 5 Compazine, 24
Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2", 37
clomiphene citrate, 18 Complera, 3
clomipramine HCL, 24 Comtan, 26
Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16", 37
clonazepam, 25 Comvax, 34
clonazepam odt, 25 Concept DHA, 35
Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16", 37
clonidine HCL, 8 Concept OB, 35
clonidine HCL ER, 25 Concerta, 25
Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2", 37
clopidogrel, 22 Condylox, 14
clorazepate dipotassium, 23 Convenience PAK, 27
Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 37
Clorpres, 9 Conzip, 30
clotrimazole, 11, 23 Copasil, 14
Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2", 37
clotrimazole/betamethasone dipropionate, 11
Copaxone, 27
Copegus, 3
Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16", 37
clozapine, 24 Cordarone, 8
clozapine odt, 24 Cordran, 13
Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 37
Clozapine Odt, 24 Cordran Tape, 13
Clozaril, 24 Coreg, 7
Clever Choice Comfort EZ Pen Needles 29GX12MM, 37
Cnl8 Nail Kit, 12 Coreg CR, 7
Coaguchek Lancets, 37 Corgard, 7
Clever Choice Comfort EZ Pen Needles 31GX5MM, 37
Coal TAR, 14 Corifact, 23
Coartem, 3 Corlanor, 10
Clever Choice Comfort EZ Pen Needles 31GX6MM, 37
Cocaine HCL, 14 Corlopam, 9
Cod Liver Oil, 35 Cortef, 15
Clever Choice Comfort EZ Pen Needles 31GX8MM, 37
Codar AR, 33 Cortenema, 20
codeine sulfate, 30 Cortifoam, 20
Clever Choice Comfort EZ Pen Needles 32GX4MM, 37
Codeine Sulfate, 30 Cortisone Acetate, 15
Cogentin, 26 Cortisporin, 11
Clever Choice Comfort EZ Pen Needles 32GX8MM, 37
Colazal, 20 Cortisporin-tc, 29
Colchicine, 32 Corvert, 8
Clever Choice Comfort EZ Pen Needles 33GX4MM, 37
Colcrys, 32 Corvite, 35
Colestid, 10 Corvite 150, 21
Clever Choice Comfort EZ Pen Needles 33GX5MM, 37
Colestid Flavored, 10 Corzide, 9
colestipol HCL, 10 Cosentyx, 12
Clever Choice Comfort EZ Pen Needles 33GX6MM, 37
colistimethate sodium, 4 Cosentyx Sensoready Pen, 12
Coly-mycin M, 4 Cosmegen, 5
Clever Choice Comfort EZ Pen Needles 33GX8MM, 37
Coly-mycin S, 29 Cosopt, 28
Colyte-flavor Packs, 19 Cosopt PF, 28
Cleviprex, 8
Combigan, 28 Cotellic, 6
Climara, 15
Combipatch, 15 Coumadin, 22
Climara Pro, 15
Combivent Respimat, 33 Cozaar, 8
Clin Single Use Kit, 4
Combivir, 3 Cpb Wc, 33
Clin-lido, 4
Cometriq, 6 Creon, 20
Clindacin Etz, 11
Comfort Assist Insulin Syringe 0.3ML/29G X 1/2", 37
Cresemba, 2
Clindacin PAC, 11
Crestor, 10
Clindagel, 11
Comfort Assist Insulin Syringe/0.3ML/30G X 5/16", 37
Crinone, 21
clindamycin, 4
Crixivan, 3
clindamycin HCL, 4
Comfort Assist Insulin Syringe/0.3ML/31G X 5/16", 37
Crnatal, 35
clindamycin palmitate HCL, 4
cromolyn sodium, 20, 29
clindamycin phosphate, 4, 10, 21
Comfort Assist Insulin Syringe/0.5ML/29G X 1/2", 37
Cromolyn Sodium, 33
Clindamycin Phosphate, 4
Cubicin, 4
clindamycin phosphate add-vantage, 4
Comfort Assist Insulin Syringe/0.5ML/30G X 5/16", 37
Cubicin RF, 4
clindamycin phosphate IN D5W, 4
Curosurf, 34
Cutivate, 13
Depakote ER, 26 dextroamphetamine sulfate, 25
Cuvposa, 19
Depakote Sprinkles, 26 dextroamphetamine sulfate ER, 25
cyanocobalamin, 21
Depo-estradiol, 15 Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 33
Cyclessa, 16
Depo-medrol, 15
Cyclobenzaprine Comfort PAC, 27
Depo-provera, 5
cyclobenzaprine HCL, 27
Depo-testosterone, 15
Diabeta, 16
Cyclogyl, 29
Deprizine Fusepaq, 19
Dialyvite 3000, 35
Cyclomydril, 29
Derma Silkrx Anodynexa PAK, 31
Dialyvite 5000, 35
cyclopentolate HCL, 28
Derma Silkrx Diclopak, 31
Dialyvite Supreme D, 35
cyclopentolate hydrochloride, 28
Derma Silkrx Sds PAK, 13
Dialyvite/Zinc, 35
cyclophosphamide, 4
Derma-smoothe/FS Body, 13
Diamox, 9
Cyclophosphamide, 4
Derma-smoothe/FS Scalp, 13
Diastar Easy Test II Lancets 30G, 37
Cycloserine, 2
Dermacinrx Azenase PAK, 32
Diastar Easy Test Lancets30G, 37
cyclosporine, 5
Dermacinrx Cinlone-i Cpi, 15
Diastat Acudial, 26
cyclosporine modified, 5
Dermacinrx Duopatch Pharmapak, 14
Diastat Pediatric, 26
Cyclosporine Modified, 6
Dermacinrx Inflammatral PAK, 31
Diatx ZN, 35
Cyklokapron, 22
Dermacinrx Lexitral Pharmapak, 12
diazepam, 23
Cymbalta, 24
Dermacinrx Neurotral Pharmapak, 14
Diazepam, 23, 26
cyproheptadine HCL, 32
Dermacinrx Phn PAK, 14
Dibenzyline, 9
Cyramza, 5
Dermacinrx Purefolix, 21
Diclegis, 20
Cystadane, 18
Dermacinrx Surgical Pharmapak, 14
diclofenac potassium, 31
Cystagon, 21
Dermacinrx Ticanase PAK, 32
diclofenac sodium, 12, 29
Cystaran, 29
Dermacinrx Zrm PAK, 14
Diclofenac Sodium, 12
cytarabine, 5
Dermapak Plus, 11
diclofenac sodium DR, 31
Cytarabine, 5
Dermasorb HC, 13
diclofenac sodium ER, 31
cytarabine aqueous, 5
Dermasorb Ta, 13
diclofenac sodium/misoprostol, 31
Cytomel, 19
Dermasorb XM, 14
dicloxacillin sodium, 1
Cytotec, 19
Dermatop, 13
Dicopanol Fusepaq, 32
Cytovene, 3
Dermawerx Sds PAK, 13
dicyclomine HCL, 19
Cytra-3, 21
Dermawerx Surgical Plus PAK, 14
didanosine, 3
D
Dermazone, 13
Differin, 11
Dermotic, 29
Dificid, 1
D.h.e. 45, 32
Descovy, 3
Diflorasone Diacetate, 13
dacarbazine, 6
desipramine HCL, 24
Diflucan, 2
Dacarbazine, 7
desloratadine, 32
diflunisal, 29
Dacogen, 5
Desloratadine Odt, 32
digoxin, 7
Daklinza, 3
desmopressin acetate, 18
Digoxin, 7
Daliresp, 33
Desogen, 16
dihydroergotamine mesylate, 31
Dallergy, 33
desogestrel/ethinyl estradiol, 16
Dihydroergotamine Mesylate, 31
Dalvance, 4
Desonate, 13
Dilantin, 26
danazol, 15
desonide, 12
Dilantin Infatabs, 26
Dantrium, 27
Desowen, 13
Dilantin-125, 26
Dantrium IV, 27
desoximetasone, 13
Dilatrate SR, 7
dantrolene sodium, 27
Desoximetasone, 13
Dilaudid, 30
dapsone, 4
Desoxyn, 25
Dilaudid-HP, 30
Daptacel, 34
Desvenlafaxine ER, 24
diltiazem CD, 7
Daraprim, 3
Detrol, 21
diltiazem HCL, 7
darifenacin ER, 21
Detrol LA, 21
Diltiazem HCL, 8
darifenacin hydrobromide ER, 21
dexamethasone, 14
diltiazem HCL CD, 7
Darzalex, 5
Dexamethasone, 15
diltiazem HCL ER, 8
daunorubicin HCL, 5
Dexamethasone Intensol, 15
Dimenhydrinate, 20
Daunoxome, 5
dexamethasone sodium phosphate, 14, 28
Diovan, 8
Daypro, 31
Diovan HCT, 9
Daytrana, 25
Dexamethasone Sodium Phosphate, 15, 28
Dipentocaine, 12
Ddavp, 18
Dipentum, 20
Debacterol, 23
Dexchlorpheniramine Maleate, 32
diphenhydramine HCL, 32
decitabine, 5
Dexedrine, 25
diphenoxylate/atropine, 19
Decon-a, 33
Dexilant, 19
Diphenoxylate/Atropine, 19
Defitelio, 22
Dexlido, 15
Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 34
Delestrogen, 15
Dexlido-m, 15
Delzicol, 20
dexmedetomidine HCL, 25
Diprolene, 13
Demadex, 9
dexmethylphenidate HCL, 25
Diprolene AF, 13
demeclocycline HCL, 2
dexmethylphenidate HCL ER, 25
dipyridamole, 22
Demerol, 30
Dexpak 10 Day, 15
Disalcid, 29
Demser, 9
Dexpak 13 Day, 15
disopyramide phosphate, 8
Denavir, 12
Dexpak 6 Day, 15
disulfiram, 26
Depacon, 26
Dexpanthenol, 20
Ditropan XL, 21
Depakene, 26
dexrazoxane, 7
Diuril, 9
Depakote, 26
divalproex sodium, 25
Duac, 11 Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 38
divalproex sodium DR, 25
Duane Reade Unifine Pentips 29G X 12MM, 37
divalproex sodium ER, 25
Easy Touch Insulin Syringe/0.3ML/31G X 5/16", 38
Divigel, 15
Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 37
Divista, 21
Easy Touch Insulin Syringe/0.5ML/29G X 1/2", 38
dobutamine HCL, 9
Duane Reade Unifine Pentips 31G X 8MM SHORT, 37
dobutamine HCL/D5W, 9
Easy Touch Insulin Syringe/0.5ML/30G X 5/16", 38
dobutamine/dextrose 5%, 9
Duavee, 15
Docefrez, 6
Duet DHA 400, 35 Easy Touch Insulin Syringe/1ML/30G X 5/16", 38
docetaxel, 6
Duet DHA 400EC, 35
Docetaxel, 6
Duet DHA 430, 35 Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2", 37
Docetaxel (non-alcohol Formula), 6
Duet DHA 430EC, 35
dofetilide, 8
Duet DHA Balanced, 35 Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16", 37
Dologesic, 29
Duetact, 17
Dolophine, 30
Duexis, 31 Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2", 37
donepezil HCL, 26
Dulera, 33
donepezil hydrochloride, 26
duloxetine HCL, 24 Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2", 37
dopamine HCL, 9
Duloxetine HCL, 24
Dopamine HCL, 10
Duopa, 26 Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2", 37
dopamine HCL-dextrose 5%, 10
Duragesic, 30
dopamine HCL/dextrose 5%, 10
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 32
Easy Touch Insulin Syringe/U-100/0.5ML/27G X 1/2", 37
dopamine/D5W, 10
Dopram, 25
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 32
Easy Touch Insulin Syringe/U-100/0.5ML/28G X 1/2", 37
Doral, 25
Doribax, 4
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 32
Easy Touch Insulin Syringe/U-100/0.5ML/30G X 1/2", 37
Doryx, 2
Doryx Mpc, 2
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 32
Easy Touch Insulin Syringe/U-100/0.5ML/31G X 5/16", 37
dorzolamide HCL, 29
dorzolamide HCL/timolol maleate, 28
Durezol, 28 Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2", 38
Doubledex, 15
Durlaza, 23
Dovonex, 12
dutasteride, 21 Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2", 38
doxapram HCL, 25
dutasteride/tamsulosin HCL, 21
doxazosin, 8
dutasteride/tamsulosin hydrochloride, 21 Easy Touch Insulin Syringe/U-100/1ML/29G X 1/2", 38
doxazosin mesylate, 8
Dutoprol, 9
doxepin HCL, 24
Dyanavel XR, 25 Easy Touch Insulin Syringe/U-100/1ML/30G X 1/2", 38
Doxepin HCL, 24
Dyazide, 9
Doxepin Hydrochloride, 12
Dyloject, 31 Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16", 38
doxercalciferol, 18
Dymista, 32
Doxil, 5
Dyrenium, 9 Easy Touch Lancets 21G/Pressure Activated, 38
doxorubicin HCL, 5
Dysport, 27
Doxorubicin HCL, 5
Dyural-40, 15 Easy Touch Lancets 23G/Pressure Activated, 38
doxorubicin HCL liposome, 5
Dyural-80, 15
doxycycline, 2
Dyural-l, 15 Easy Touch Lancets 26G/Pressure Activated, 38
Doxycycline, 11
Dyural-lm, 15
doxycycline hyclate, 2
E Easy Touch Lancets 26G/Pull-top, 38
doxycycline hyclate DR, 2
Easy Touch Lancets 26G/Twist, 38
E-z Ject Lancets, 37
doxycycline monohydrate, 2
Easy Touch Lancets 28G/Pressure Activated, 38
E-z Ject Lancets 21G, 37
Drisdol, 35
E-z Ject Lancets Color, 37
Dritho-creme HP, 12
Easy Touch Lancets 28G/Pull-top, 38
E-z Ject Lancets Super Thin, 37
dronabinol, 20
Easy Touch Lancets 28G/Twist, 38
E-z Ject Lancets Super Thin 30G, 37
droperidol, 23
Easy Touch Lancets 30G/Button-activated, 38
E-z Ject Lancets Thin 26G, 37
Droplet Lancets Ultra Thin 30G, 37
E-z Spacer, 43
Droplet Pen Needles 29GX12MM, 37
Easy Touch Lancets 30G/Pressure Activated, 38
E-z Spacer The Body Guards Pack, 43
Droplet Pen Needles 31GX5MM, 37
E-ZJECT Lancets Micro-thin 33G, 37
Droplet Pen Needles 31GX6MM, 37
Easy Touch Lancets 30G/Pull-top, 38
E.e.s. 400, 1
Droplet Pen Needles 31GX8MM, 37
Easy Touch Lancets 30G/Twist, 38
E.e.s. Granules, 1
Droplet Pen Needles 32GX4MM, 37
Easy Touch Lancets 32G/Pressure Activated, 38
Easivent, 43
Droplet Pen Needles 32GX8MM, 37
Easivent/Mask-large, 43
drospirenone/ethinyl estradiol, 16
Easy Touch Lancets 32G/Pull-top, 38
Easivent/Mask-medium, 43
Droxia, 21
Easy Touch Lancets 32G/Twist, 38
Easivent/Mask-small, 43
Drug Mart On-the-go Lancets Gentle 30G, 37
Easy Touch Lancets 33G/Twist, 38
Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2", 37
Easy Touch Pen Needles 29GX1/2", 38
Drug Mart Unilet Lancets Super Thin 30G, 37
Easy Touch Pen Needles 31GX1/4", 38
Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX1/2", 37
Easy Touch Pen Needles 31GX5/16", 38
Drug Mart Unilet Lancets Ultra Thin 28G, 37
Easy Touch Pen Needles 32GX5/32", 38
Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX5/16", 37
Easy Touch Pen Needles/31G X 3/16", 38
Drysol, 13
Easy Touch Fliplock Safety Insulin Syringe 1ML/31GX5/16", 37
Dsg PAK, 12
Easy Touch Safety Lancets21G/Pressure
Activated, 38
enalapril maleate/hydrochlorothiazide, 9 Erythrocin Stearate, 1
Easy Touch Safety Lancets23G/Pressure Activated, 38
enalaprilat, 8 erythromycin, 1, 10, 28
Enbrace HR, 35 Erythromycin Base, 1
Easy Touch Safety Lancets26G/Button Activated, 38
Enbrel, 31 Erythromycin Ethylsuccinate, 1
Enbrel Sureclick, 31 erythromycin/benzoyl peroxide, 10
Easy Touch Safety Lancets26G/Pressure Activated, 38
Endometrin, 21 Esbriet, 34
Engerix-b, 34 Escavite, 35
Easy Touch Safety Lancets28G/Button Activated, 38
Enjuvia, 15 Escavite D, 35
Enlon, 28 escitalopram oxalate, 24
Easy Touch Safety Lancets28G/Pressure Activated, 38
Enlon-plus, 28 Esgic, 30
enoxaparin sodium, 22 esmolol HCL, 7
Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2", 38
Enstilar, 13 Esmolol HCL, 7
entacapone, 26 esomeprazole magnesium, 19
Easy Touch Sheathlock Safety Insulin Syringe 1ML/30GX5/16", 38
entecavir, 3 esomeprazole sodium, 19
Entereg, 20 Esomeprazole Sodium, 19
Easy Touch Sheathlock Safety Insulin Syringe 1ML/31GX5/16", 38
Entocort EC, 15 Esomeprazole Strontium, 19
Entresto, 10 estazolam, 25
Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2", 38
Entty Spray Emulsion, 14 Estrace, 15, 21
Entyvio, 20 estradiol, 15
Easy Twist & CAP Lancets, 38
Envarsus XR, 6 Estradiol, 15
Easytest II Lancets, 38
Epaned, 8 estradiol valerate, 15
Easytest Lancets, 38
Epclusa, 3 estradiol/norethindrone acetate, 15
EC-naprosyn, 31
ephedrine sulfate, 10 Estring, 21
econazole nitrate, 11
Ephedrine Sulfate, 10 Estrogel, 15
Ecoza, 12
Ephedrine Sulfate/Sodium Chloride, 10 Estropipate, 15
Ed Cyte F, 21
Epiceram, 14 Estrostep FE, 16
Edarbi, 8
Epiduo, 11 eszopiclone, 25
Edarbyclor, 9
Epiduo Forte, 11 ethacrynate sodium, 9
Edecrin, 9
Epifoam, 13 ethacrynic acid, 9
Edluar, 25
epinastine HCL, 29 ethambutol HCL, 2
Edurant, 3
Epinephrine, 10 ethosuximide, 25
Effexor XR, 24
Epinephrine HCL, 10 Ethyl Chloride, 14
Effient, 23
epinephrine HCL, 33 Ethyl Chloride/Fine Pinpoint, 14
Egrifta, 18
Epipen 2-PAK, 10 Ethyl Chloride/Fine Stream, 14
Elaprase, 18
Epipen-JR 2-PAK, 10 Ethyl Chloride/Medium Jet Stream, 14
Elavil, 24
epirubicin HCL, 5 Ethyl Chloride/Medium Stream, 14
Eldepryl, 26
Epirubicin HCL, 5 Ethyl Chloride/Mist, 14
Elelyso, 21
Episnap, 10 Ethyol, 7
Elestat, 29
episone CRE, 13 Etidronate Disodium, 17
Elestrin, 15
Epivir, 3 etodolac, 31
Eletone, 14
Epivir HBV, 3 etodolac ER, 31
Eletone Twinpack, 14
eplerenone, 8 Etopophos, 6
Elidel, 13
Epogen, 22 etoposide, 6
Eligard, 5
epoprostenol sodium, 10 Etoposide, 6
Elimite, 14
Eprosartan Mesylate, 8 Euflexxa, 27
Eliphos, 20
eptifibatide, 22 Eurax, 13
Eliquis, 22
Epzicom, 3 Evamist, 15
Elitek, 7
Eql SHORT Pen Needles 31G X 8MM, 38
Evekeo, 25
Elixophyllin, 33
Evicel, 22
Ella, 16
Eql Ultra SHORT Pen Needles 31G X 6MM, 38
Evista, 17
Ellence, 5
Evithrom, 22
Elmiron, 21
Equagesic, 29 Evoclin, 11
Elocon, 13
Equetro, 24 Evomela, 4
Eloxatin, 4
Equipto-baclofen, 11 Evotaz, 3
Emadine, 29
Equipto-naproxen, 12 Evoxac, 23
Embeda, 30
Eraxis, 2 Exactuss, 33
Embrace Lancets Ultra Thin 30G, 38
Erbitux, 5 Exalgo, 30
Emcyt, 5
ergocalciferol, 34 Excel Comfort Point Insulin Pen Needles 31G X 4MM, 38
Emend, 20
ergoloid mesylates, 26
Emla, 14
Ergoloid Mesylates, 26 Exel Comfort Point Insulin Pen Needles 29G X 12MM, 38
Empliciti, 5
Ergomar, 32
Emsam, 24
Ertaczo, 12 Exel Comfort Point Insulin Pen Needles 31G X 6MM, 38
Emtriva, 3
Erwinaze, 5
Emulsion SB, 14
Ery-TAB, 1 Exel Comfort Point Insulin Pen Needles 31G X 8MM, 38
Emverm, 4
Erygel, 11
Emvoren, 12
Eryped 200, 1 Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 38
Enablex, 21
Eryped 400, 1
enalapril maleate, 8
Erythrocin Lactobionate, 1 Exel Comfort Point Insulin Syringe/0.
3ML/30G X 5/16", 38
fentanyl, 30 First-vancomycin 50, 4
Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2", 38
Fentanyl, 30 Flagyl, 4
Fentanyl Citrate, 30 Flagyl ER, 4
Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2", 38
fentanyl citrate oral transmucosal, 30 Flanax Pain Relief Kit, 31
Fentanyl Citrate/Sodium Chloride, 30 Flarex, 28
Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16", 38
Fentora, 30 flavoxate HCL, 21
Feraheme, 22 flecainide acetate, 8
Exel Comfort Point Insulin Syringe/1ML/28G X 1/2", 38
Feriva, 22 Flector, 12
Feriva 21/7, 22 Flexepax, 27
Exel Comfort Point Insulin Syringe/1ML/29G X 1/2", 38
Ferivafa, 22 Flexichamber, 43
Ferralet 90, 22 Flexichamber Adult Mask/Small, 43
Exel Comfort Point Insulin Syringe/1ML/30G X 5/16", 38
Ferrex 150 Forte Plus, 22 Flexichamber Child Mask/Large, 43
Ferrex 28, 22 Flexichamber Child Mask/Small, 43
Exelderm, 12
Ferriprox, 43 Flolan, 10
Exelon, 27
Ferrlecit, 22 Flomax, 21
exemestane, 5
Ferro-plex Hematinic, 22 Flonase, 32
Exforge, 9
Ferrotrin, 22 Floriva, 35
Exforge HCT, 9
Fetzima, 24 Flovent Diskus, 33
Exjade, 43
Fetzima Titration Pack, 24 Flovent HFA, 33
Exoderm, 12
Fexmid, 27 Flowtuss, 33
Exparel, 32
Fibricor, 10 Floxin Otic, 29
Extardol, 12
Fifty50 Pen Needles 31G X3/16" (5MM), 38
floxuridine, 5
Extavia, 27
Floxuridine, 5
Extina, 12
Fifty50 Pen Needles 31G X5/16" (8MM), 38
Fluad 2016-2017, 34
EZ Smart Blood Glucose Lancets, 38
Fluarix 2013-2014, 34
EZ-lets Lancets 21G, 38
Fifty50 Pen Needles 31GX5MM, 38 Fluarix 2014-2015, 34
EZ-lets Lancets 23G, 38
Fifty50 Pen Needles/31GX8MM, 38 Fluarix Quadrivalent 2014-2015, 34
EZ-lets Lancets 26G Super-soft, 38
Fifty50 Pen Needles/32GX4MM, 38 Fluarix Quadrivalent 2015-2016, 34
EZ-lets Lancets 28G Ultra-soft, 38
Fifty50 Safety Seal Lancets 30G, 38 Fluarix Quadrivalent 2016-2017, 34
EZ-lets Lancets 30G, 38
Fifty50 Safety Seal Lancets 32G, 38 Flublok 2013-2014, 34
F
Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16", 38
Flublok 2014-2015, 34
Flublok 2015-2016, 34
Fabior, 11
Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 38
Flublok 2016-2017, 34
Fabrazyme, 18
Flucelvax 2014-2015, 34
Factive, 2
Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 38
Flucelvax 2015-2016, 34
Falessa, 16
Flucelvax Quadrivalent 2016-2017, 34
famciclovir, 3
Fifty50 Unilet Lancets 33G, 38 fluconazole, 2
famotidine, 19
Finacea, 11 fluconazole IN dextrose, 2
Famotidine, 19
finasteride, 21 fluconazole IN NACL, 2
Famotidine Premixed, 19
Fine 30, 38 Fluconazole IN NACL, 2
Famvir, 3
Fingerstix Lancets, 38 flucytosine, 2
Fanapt, 24
Fioricet, 30 Fludara, 5
Fanapt Titration Pack, 25
Fioricet/Codeine, 30 fludarabine phosphate, 5
Fanatrex Fusepaq, 26
Fiorinal, 30 fludrocortisone acetate, 14
Fareston, 5
Fiorinal/Codeine #3, 30 Flulaval 2014-2015, 34
Farxiga, 17
Firazyr, 23 Flulaval Quadrivalent 2014-2015, 34
Farydak, 6
Firmagon, 5 Flulaval Quadrivalent 2015-2016, 34
Faslodex, 5
First-bxn Mouthwash, 23 Flulaval Quadrivalent 2016-2017, 34
Fazaclo, 25
First-dukes Mouthwash, 23 Flumadine, 3
Feiba, 23
First-hydrocortisone, 13 Flumist Quadrivalent, 34
Feiba NF, 23
First-lansoprazole, 19 flunisolide, 32
felbamate, 25
First-marys Mouthwash, 23 fluocinolone acetonide, 13, 29
Felbatol, 26
First-mouthwash Blm, 23 fluocinolone acetonide ear drops, 29
Feldene, 31
First-omeprazole, 19 fluocinonide, 13
felodipine ER, 8
First-progesterone VGS 100 Compounding Kit, 21
fluocinonide-e, 13
Fem PH, 21
fluorometholone, 28
Femara, 5
First-progesterone VGS 200 Compounding Kit, 21
fluorouracil, 5
Femcon FE, 16
Fluoxetine, 27
Femhrt Low Dose, 15
First-progesterone VGS 25 Compounding Kit, 21
fluoxetine DR, 24
Femring, 21
fluoxetine HCL, 24
fenofibrate, 10
First-progesterone VGS 400 Compounding Kit, 21
Fluoxetine HCL, 24
Fenofibrate, 10
fluphenazine decanoate, 24
fenofibrate micronized, 10
First-progesterone VGS 50 Compounding Kit, 21
fluphenazine HCL, 24
Fenofibric Acid, 10
Fluphenazine HCL, 24
fenofibric acid DR, 10
First-testosterone, 15 flurandrenolide, 13
Fenoglide, 10
First-testosterone Mc Compounding Kit, 15
flurazepam HCL, 25
fenoldopam mesylate, 8
Flurazepam HCL, 25
Fenoprofen Calcium, 31
First-vancomycin 25, 4 flurbiprofen, 31
Fenortho, 31
flurbiprofen sodium, 29
100/0.5ML/31G X 5/16", 38 Gentle-let Lancets General Purpose Style/Medium Point, 38
flutamide, 5
Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16", 38
fluticasone propionate, 13, 32
Gentle-let Lancets Safety Style/Fine Point, 38
fluvastatin, 10
Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16", 38
fluvastatin sodium ER, 10
Gentle-let Lancets Safety Style/Medium Point, 38
Fluvirin 2014-2015, 34
Freestyle Unistick II Lancets, 38
Fluvirin 2015-2016, 34
Frova, 32 Gentle-let Platforms 2.4MM, 38
Fluvirin 2016-2017, 34
frovatriptan succinate, 31 Gentle-let Platforms 3.0MM, 38
Fluvirin PF 2014-2015, 34
Fulyzaq, 19 Genvisc 850, 27
Fluvirin PF 2016-2017, 34
Furadantin, 20 Genvoya, 3
fluvoxamine maleate, 24
furosemide, 9 Geodon, 25
fluvoxamine maleate ER, 24
Furosemide, 9 Gesticare DHA, 35
Fluzone High-dose PF 2014-2015, 34
Fusilev, 7 Gialax, 19
Fluzone High-dose PF 2015-2016, 34
Fusion Plus, 22 Giazo, 20
Fluzone High-dose PF 2016-2017, 34
Fusion Sprinkles, 22 Gilenya, 27
Fluzone PF 2014-2015, 34
Fuzeon, 3 Gilotrif, 6
Fluzone Quadrivalent 2014-2015, 34
Fycompa, 26 Gilphex TR, 33
Fluzone Quadrivalent 2015-2016, 34
G Giltuss, 33
Fluzone Quadrivalent 2016-2017, 34
Giltuss PED-c, 33
gabapentin, 25
Fluzone Split 2014-2015, 34
Giltuss TR, 33
Gabavale-5, 23
Fluzone Split 2015-2016, 34
Glassia, 34
Gabazolamine, 23
FML, 28
glatopa, 26
Gabazolamine-0.5, 23
FML Forte, 28
Gleevec, 6
Gabazolpidem-5, 25
FML Liquifilm, 28
Gleostine, 4
Gabitidine, 19
Focalgin 90 DHA, 35
Gliadel Wafer, 4
Gabitril, 26
Focalgin CA, 35
glimepiride, 16
Gablofen, 27
Focalgin Dss, 22
glipizide, 16
Gaboxetine, 24
Focalin, 25
glipizide ER, 16
galantamine hydrobromide, 26
Focalin XR, 25
glipizide/metformin HCL, 17
Galantamine Hydrobromide, 27
Folcaps Omega 3, 35
Glucagen Hypokit, 17
ganciclovir, 3
Folet DHA, 35
Glucagon Emergency Kit, 17
Ganirelix Acetate, 18
Folet One, 35
Glucocom Lancets 28G, 38
Garamycin, 28
Folgard OS, 35
Glucocom Lancets 30G, 38
Gardasil, 34
Folgard RX, 22
Glucocom Lancets 33G, 38
Gardasil 9, 34
folic acid, 21
Glucophage, 17
Gastrinex NF, 19
Folic Acid, 22
Glucophage XR, 17
Gastrocrom, 20
folic acid/vitamin b-6/vitamin b-12, 21
Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2", 38
gatifloxacin, 28
Folitab 500, 21
Gattex, 20
Folivane-f, 22
Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16", 38
Gazyva, 5
Folivane-OB, 35
Gebauers Pain Ease, 14
Folivane-plus, 22
Glucopro Insulin Syringe/U-100/0.3ML/31G X 5/16", 38
Gebauers Spray And Stretch, 14
Folivane-prx DHA NF, 35
Gel-kam Oral Care Rinse, 23
Folixapure, 22
Glucopro Insulin Syringe/U-100/0.5ML/30G X 1/2", 38
Gel-one, 27
Follistim AQ, 18
Gelclair, 23
Folotyn, 5
Glucopro Insulin Syringe/U-100/0.5ML/30G X 5/16", 38
Gelnique, 21
Foltrate, 22
Gelsyn-3, 27
fondaparinux sodium, 22
Glucopro Insulin Syringe/U-100/0.5ML/31G X 5/16", 38
gemcitabine, 5
Fora Lancets, 38
gemcitabine HCL, 5
Foradil Aerolizer, 33
Glucopro Insulin Syringe/U-100/1ML/30G X 1/2", 38
gemfibrozil, 10
Forfivo XL, 24
Gemzar, 5
Fortamet, 17
Glucopro Insulin Syringe/U-100/1ML/30G X 5/16", 38
Genadur, 14
Fortavit, 35
Genadur Kit, 14
Fortaz, 1
Glucopro Insulin Syringe/U-100/1ML/31G X 5/16", 38
gene-xene TAB 15MG, 23
Forteo, 17
gene-xene TAB 3.75MG, 23
Fortesta, 15
Glucosource Lancets, 38
gene-xene TAB 7.5MG, 23
Fortical, 17
Glucotrol, 17
Generess FE, 16
Fosamax, 17
Glucotrol XL, 17
Genotropin, 18
Fosamax Plus D, 17
Glucovance, 17
Genotropin Miniquick, 18
Foscavir, 3
Glumetza, 17
gentamicin sulfate, 2, 28
fosinopril sodium, 8
glyburide, 16
Gentamicin Sulfate, 11
fosinopril sodium/hydrochlorothiazide, 9
Glyburide, 16
gentamicin sulfate pediatric, 2
fosphenytoin sodium, 25
glyburide micronized, 16
gentamicin sulfate/0.9% sodium chloride, 2
Fosrenol, 20
glyburide/metformin HCL, 17
Fragmin, 22
Glycolic Acid, 12
Gentamicin Sulfate/0.9% Sodium Chloride, 2
Freestyle Lancets, 38
Glycolic Acid 70% High Purity, 12
Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16", 38
glycopyrrolate, 19
Gentle-let GP Lancets, 38
Glycopyrrolate, 19
Gentle-let Lancets General Purpose Style/Fine Point, 38
Freestyle Precision Insulin Syringe/U-
Glynase, 17
Glyset, 17
Hemofil M, 23 30
Glyxambi, 17
heparin lock, 22 hydrocodone bitartrate/chlorpheniramine maleate/PSE, 33
Gmate Lancets 30G, 38
heparin lock flush, 22
Golytely, 19
Heparin Lock Flush, 22 hydrocodone bitartrate/homatropine methylbromide, 33
Gonal-f, 18
heparin lock flush for flushing vascular access devices, 22
Gonal-f RFF, 18
hydrocodone polistirex/chlorpheniramine polistirex, 33
Gonal-f RFF Rediject, 18
heparin lock flush/NACL for flushing vascular access devices, 22
Gordofilm, 14
hydrocodone/acetaminophen, 30
Gordons Urea, 14
heparin sodium, 22 Hydrocodone/Acetaminophen, 30
Gralise, 27
Heparin Sodium, 22 hydrocodone/homatropine, 33
Gralise Starter, 27
heparin sodium dcu, 22 hydrocodone/ibuprofen, 30
granisetron HCL, 20
heparin sodium lock flush, 22 hydrocort ene 100MG, 20
Granisol, 20
heparin sodium/D5W, 22 hydrocortisone, 13, 14, 20
Granix, 21
Heparin Sodium/D5W, 22 hydrocortisone acetate/aloe, 13
Grifulvin V, 2
Heparin Sodium/NACL 0.45%, 22 hydrocortisone acetate/lidocaine HCL, 20
Gris-peg, 2
heparin sodium/NACL 0.9%, 22 hydrocortisone acetate/pramoxine, 20
griseofulvin microsize, 2
Heparin Sodium/Sodium Chloride 0.9%, 22
hydrocortisone butyrate, 13
griseofulvin ultramicrosize, 2
hydrocortisone butyrate (lipid), 13
guanfacine ER, 25
heparin sodium/sodium chloride 0.9% premix, 22
hydrocortisone butyrate (lipophilic), 13
guanfacine HCL, 8
hydrocortisone IN absorbase, 13
Guanidine HCL, 28
Hepsera, 3 hydrocortisone valerate, 13
Gynazole-1, 21
Herceptin, 5 hydrocortisone/acetic acid, 29
H
Hespan, 23 hydromorphone HCL, 30
hetastarch 6%/NACL, 22 Hydromorphone HCL, 30
H&h Thinlet Lancets 26G, 38
Hetlioz, 25 hydromorphone HCL dosette, 30
H&h Thinlet Super Thin Lancets 30G, 38
Hexalen, 4 hydromorphone HCL ER, 30
H-e-b IN Control Pen Needles 31GX6MM, 38
Hextend, 23 Hydromorphone HCL ER, 30
Hiberix, 34 Hydromorphone HCL/NACL, 30
H-e-b IN Control Pen Needles 31GX8MM, 38
Hiprex, 20 Hydromorphone HCL/Sodium Chloride, 30
homatropine HBR, 28
H-e-b IN Control Unifine Pentips Plus 32GX4MM, 38
Horizant, 27 Hydroxocobalamin, 22
HPR, 14 hydroxychloroquine sulfate, 3
H-e-b Incontrol Pen Needles 29GX12MM, 38
HPR Plus, 14 Hydroxyprogesterone Caproate, 5
HPR Plus Hydrogel Kit, 14 hydroxyurea, 6
H.p. Acthar, 18
HPR Plus/Mb Hydrogel, 14 hydroxyzine HCL, 23
Haemolance, 38
Humalog, 16 Hydroxyzine HCL, 23
Haemolance Low Flow Lancets, 38
Humalog Kwikpen, 16 hydroxyzine pamoate, 23
Haemolance Plus, 38
Humalog Mix 50/50, 16 Hydroxyzine Pamoate, 23
Haemolance Plus High Flow, 38
Humalog Mix 50/50 Kwikpen, 16 Hylatopic, 14
Haemolance Plus Low Flow, 38
Humalog Mix 75/25, 16 Hylatopic Plus, 14
Haemolance Plus Max Flow, 38
Humalog Mix 75/25 Kwikpen, 16 Hylira, 14
Haemolance Plus Pediatric Flow, 38
Humate-p, 23 Hymovis, 27
Halaven, 6
Humatrope, 18 hyoscyamine sulfate, 19
Halcion, 25
Humatrope Combo Pack, 18 hyoscyamine sulfate ER, 19
Haldol, 25
Humira, 31 hyoscyamine sulfate odt, 19
Haldol Decanoate 100, 25
Humira Pediatric Crohns Disease Starter Pack, 31
hyoscyamine sulfate SR, 19
Haldol Decanoate 50, 25
Hyper-sal, 33
halobetasol propionate, 13
Humira Pen, 31 Hypersal, 33
Halog, 13
Humira Pen-crohns Diseasestarter, 31 Hypertenevide-12.5, 7
haloperidol, 24
Humira Pen-psoriasis Starter, 31 Hypertenipine-2.5, 8
haloperidol decanoate, 24
Humulin 70/30, 16 Hypertensolol, 9
haloperidol lactate, 24
Humulin 70/30 Kwikpen, 16 Hysingla ER, 30
Halotin, 12
Humulin N, 16 Hyzaar, 9
Harvoni, 3
Humulin N Kwikpen, 16 I
Havrix, 34
Humulin R, 16
Healthwise Mini Pen Needles 31GX6MM, 38
ibandronate sodium, 17
Humulin R U-500 (concentrated), 16
Ibrance, 6
Humulin R U-500 Kwikpen, 16
Healthwise Pen Needles 29GX12MM, 38
Ibudone, 30
Hy-vee Lancets, 38
Healthwise SHORT Pen Needles 31GX8MM, 38
ibuprofen, 31
Hyalgan, 27
Ibuprofen Comfort PAC, 31
Hycamtin, 6
Healthy Mama Be Well Rounded, 35
ibuprofen lysine, 31
Hycet, 30
Hectorol, 18
ibutilide fumarate, 8
Hycofenix, 33
Helixate FS, 23
IC 400, 31
hydralazine HCL, 8
Hemabate, 29
IC 800, 31
Hydrea, 7
Hemangeol, 7
Icar-c Plus, 22
Hydro 35, 14
Hematogen Fa, 22
Iclusig, 6
Hydro 40 Foam, 14
Hematron-AF, 22
Idamycin PFS, 5
hydrochlorothiazide, 9
Hemocyte Plus, 22
idarubicin HCL, 5
hydrocodone bitartrate/acetaminophen,
Hemocyte-f, 22
Ifex, 4
ifosfamide, 4
Insulin Syringe/U-100/0.5ML/28G X 1/2", 38
Isuprel, 33
Ifosfamide, 4
itraconazole, 2
Ilaris, 31
Insulin Syringe/U-100/0.5ML/29G X 1/2", 38
IV Infusion Cpi, 14
Ilevro, 29
ivermectin, 4
imatinib mesylate, 6
Insulin Syringe/U-100/1ML/28G X 1/2", 38
Ixempra Kit, 6
Imbruvica, 6
Ixiaro, 34
Imdur, 7
Insulin Syringe/U-100/1ML/29G X 1/2", 38
Ixinity, 23
imipenem/cilastatin, 4
J
imipramine HCL, 24
Insulin Syringe/U-100/1ML/30G X 5/16", 38
J-max, 33
imipramine pamoate, 24
Jadenu, 43
imiquimod, 13
Insulin Syringe/U-100/1ML/31G X 5/16", 38
Jakafi, 6
Imitrex, 32
Jalyn, 21
Imitrex Statdose Refill, 32
Insupen Sensitive 32GX8MM, 39
Janumet, 17
Imitrex Statdose System, 32
Insupen Ultrafin 29GX12MM, 39
Janumet XR, 17
Imovax Rabies (h.d.c.v.), 34
Insupen Ultrafin 30GX8MM, 39
Januvia, 17
Impavido, 4
Insupen Ultrafin 31GX6MM, 39
Jardiance, 17
Imuran, 6
Insupen Ultrafin 31GX8MM, 39
Jentadueto, 17
IN Touch Sterile Lancets 30G, 39
Integra F, 22
Jentadueto XR, 17
Increlex, 18
Integra Plus, 22
Jevtana, 6
Incruse Ellipta, 33
Integrilin, 23
Jublia, 12
indapamide, 9
Intelence, 3
Juxtapid, 10
Inderal LA, 7
Interarticular Joint Kit, 15
K
Inderal XL, 7
Intermezzo, 25
Indocin, 31
Intron A, 7
K-phos NO 2, 21
indomethacin, 31
Intron A W/Diluent, 7
K.b.g.l. IN Teroderm Cream, 12
Indomethacin, 31
Intuniv, 25
K10-lido, 15
indomethacin ER, 31
Invanz, 4
K40-lido, 15
Indomethacin Sodium, 31
Invega, 25
Kadcyla, 5
Infanrix, 34
Invega Sustenna, 25
Kadian, 30
Infasurf, 34
Invega Trinza, 25
Kalbitor, 23
Infed, 22
Invirase, 3
Kaletra, 3
Infumorph 200, 30
Invokamet, 17
Kalydeco, 34
Infumorph 500, 30
Invokana, 17
Kanuma, 18
Injectafer, 22
Ionsys, 30
Kapvay, 25
Inlyta, 6
Iopidine, 29
Karbinal ER, 32
Innopran XL, 7
Ipol Inactivated IPV, 34
Kazano, 17
Innoprax-5, 12
ipratropium bromide, 32, 33
Keflex, 1
Inova, 11
ipratropium bromide/albuterol sulfate, 33
Kenalog, 13
Inova 4/1 Acne Control Therapy, 11
Iprivask, 22
Kenalog-10, 15
Inova 8/2 Acne Control Therapy, 11
irbesartan, 8
Kenalog-40, 15
Inspirachamber/Anti-static Valved/Mouthpiece, 43
irbesartan/hydrochlorothiazide, 9
Kengreal, 23
Irenka, 24
Kepivance, 7
Inspirachamber/Large, 43
Iressa, 6
Keppra, 26
Inspirachamber/Soothermask/Inspiramask/Medium, 43
irinotecan, 6
Keppra XR, 26
Irinotecan, 6
Kerafoam, 14
Inspirachamber/Soothermask/Inspiramask/Small, 43
irinotecan HCL, 6
Kerafoam 42, 14
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 21
Keralac, 14
Inspirease Bags, 43
Keralyt, 14
Inspirease Drug Delivery System, 43
Irospan 24/6, 22
Keralyt Scalp, 14
Inspirease Mouthpiece, 43
Is 24/6, 22
Kerlone, 7
Inspirease Reservoir Bags, 43
Isentress, 3
Kerydin, 12
Inspra, 9
isoniazid, 2
Ketek, 4
Insulin Syringe/0.3ML/29G X 1", 38
Isoniazid, 2
ketoconazole, 2, 11
Insulin Syringe/0.3ML/29G X 1/2", 38
Isopto Atropine, 29
Ketodan Kit, 12
Insulin Syringe/0.3ML/30G X 5/16", 38
Isopto Carbachol, 29
ketoprofen, 31
Insulin Syringe/0.3ML/31G X 5/16", 38
Isopto Carpine, 29
Ketoprofen ER, 31
Insulin Syringe/0.5ML/27G X 1/2", 39
Isopto Homatropine, 28
Ketorocaine-l, 31
Insulin Syringe/0.5ML/28G X 1/2", 39
Isopto Hyoscine, 29
Ketorocaine-lm, 31
Insulin Syringe/0.5ML/29G X 1/2", 39
Isordil Titradose, 7
Ketorolac 2% Gel, 12
Insulin Syringe/0.5ML/30G X 1/2", 39
isosorbide dinitrate, 7
ketorolac tromethamine, 29, 31
Insulin Syringe/0.5ML/30G X 5/16", 39
Isosorbide Dinitrate, 7
Ketorolac Tromethamine, 31
Insulin Syringe/0.5ML/31G X 5/16", 39
Isosorbide Dinitrate ER, 7
Keveyis, 9
Insulin Syringe/1ML/28G X 1/2", 39
isosorbide mononitrate, 7
Keytruda, 5
Insulin Syringe/1ML/29G X 1/2", 39
isosorbide mononitrate ER, 7
Khedezla, 24
Insulin Syringe/1ML/30G X 5/16", 39
isotonic gentamicin, 2
Kineret, 31
Insulin Syringe/1ML/31G X 5/16", 39
isradipine, 8
Kinlytic, 23
Insulin Syringe/U-100/0.3ML/29G X 1/2", 38
Istalol, 28
Kinrix, 34
Istodax, 6
Kitabis PAK, 2
Klaron, 11
Latuda, 25 Lidocaine And Tetracaine Cream, 14
Klonopin, 26
Lazanda, 30 lidocaine HCL, 8, 13, 32
Koate-dvi, 23
Ldo Plus, 14 Lidocaine HCL, 8, 14, 23, 32
Kogenate FS, 23
Leader Unifine Pentips Plus/Mini/31GX3/16", 39
lidocaine HCL IN D5W, 8
Kogenate FS Bio-set, 23
lidocaine HCL jelly, 13
Kombiglyze XR, 17
Leader Unifine Pentips Plus/SHORT/31GX5/16", 39
lidocaine HCL viscous, 23
Korlym, 17
Lidocaine HCL-hydrocortisone Acetate With Aloe, 20
Kovaltry, 23
Leader Unifine Pentips/Mini/31GX3/16", 39
Kristalose, 19
lidocaine HCL/dextrose, 8
Krystexxa, 32
Leader Unifine Pentips/Nano/32GX5/32", 39
Lidocaine HCL/Dextrose, 32
Kuvan, 18
lidocaine HCL/hydrocortisone acetate, 20
Kynamro, 10
Leader Unifine Pentips/Plus/32GX5/32", 39
lidocaine viscous, 23
Kyprolis, 6
lidocaine-prilocaine-cream base, 13
L
leflunomide, 31 lidocaine/epinephrine, 32
Lemtrada, 27 lidocaine/prilocaine, 13
labetalol HCL, 7
Lenvima 10 MG Daily Dose, 6 Lidoderm, 14
Lac-hydrin, 14
Lenvima 14 MG Daily Dose, 6 Lidoprofen, 12
Lacrisert, 28
Lenvima 18 MG Daily Dose, 6 Lidothol, 14
lactic acid, 13
Lenvima 20 MG Daily Dose, 6 Lidotral, 14
lactic acid e, 13
Lenvima 24 MG Daily Dose, 6 Lidovir, 12
lactic acid w/vitamin e, 13
Lenvima 8 MG Daily Dose, 6 Lifescan Unistik 2 Deep Penetration, 39
lactulose, 19, 20
Lescol, 10 Lifescan Unistik II Lancets, 39
Lamictal, 26
Lescol XL, 10 Lincocin, 4
Lamictal Chewable Dispersible, 26
Letairis, 10 lincomycin HCL, 4
Lamictal Odt, 26
letrozole, 5 Lincomycin/Lidocaine, 4
Lamictal Starter/Not Taking Carbamazepine, 26
leucovorin calcium, 7 lindane, 13
Leucovorin Calcium, 7 Lindane, 13
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 26
Leukeran, 4 linezolid, 4
Leukine, 22 Linezolid, 4
leuprolide acetate, 5 Linzess, 20
Lamictal Starter/Taking Valproate, 26
Levacet, 30 Lioresal Intrathecal, 27
Lamictal XR, 26
levalbuterol, 33 liothyronine sodium, 18
Lamisil, 2
levalbuterol HCL, 33 Lipitor, 10
Lamisil Spray, 12
Levaquin, 2 Lipofen, 10
lamivudine, 3
Levatol, 7 lisinopril, 8
lamivudine/zidovudine, 3
Levbid, 19 lisinopril/hydrochlorothiazide, 9
lamotrigine, 25
Levemir, 16 Lite Touch Pen Needles/31G X 3/16", 39
lamotrigine ER, 26
Levemir Flexpen, 16 Liteaire, 43
lamotrigine odt, 26
Levemir Flextouch, 16 Litetouch Insulin Syringe/0.3ML/29G X 1/2", 39
lamotrigine titration, 26
levetiracetam, 26
Lancet Transporter Case, 39
Levetiracetam, 26 Litetouch Insulin Syringe/0.3ML/30G X 5/16", 39
Lancets, 39
levetiracetam ER, 26
Lancets 26G Twist Top, 39
Levitra, 10 Litetouch Insulin Syringe/0.3ML/31G X 5/16", 39
Lancets 28G, 39
levobunolol HCL, 28
Lancets 30G, 39
levocarnitine, 18 Litetouch Insulin Syringe/0.5ML/30G X 5/16", 39
Lancets 30G Twist Top, 39
levocetirizine dihydrochloride, 32
Lancets 30G/Twist Top, 39
levofloxacin, 2, 28 Litetouch Insulin Syringe/0.5ML/31G X 5/16", 39
Lancets 31G Twist Top, 39
levofloxacin IN D5W, 2
Lancets 33G Universal Design, 39
levoleucovorin, 7 Litetouch Insulin Syringe/1ML/30G X 5/16", 39
Lancets Bullseye Safety, 39
Levoleucovorin, 7
Lancets Safety Seal 21G, 39
levoleucovorin calcium, 7 Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2", 39
Lancets Safety Seal 26G, 39
levonorgestrel, 16
Lancets Safety Seal 28G, 39
Levonorgestrel, 16 Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2", 39
Lancets Safety Seal 30G, 39
levonorgestrel and ethinyl estradiol, 16
Lancets Thin, 39
levonorgestrel/ethinyl estradiol, 16 Litetouch Insulin Syringe/U-100/1ML/28G X 1/2", 39
Lancets Twist Top, 39
Levophed, 10
Lancets Ultra Fine, 39
Levorphanol Tartrate, 30 Litetouch Insulin Syringe/U-100/1ML/29G X 1/2", 39
Lancets Ultra Thin, 39
levothyroxine sodium, 18
Lanoxin, 7
Levothyroxine Sodium, 19 Litetouch Insulin Syringe/U-100/1ML/31G X 5/16", 39
Lanoxin Pediatric, 7
Levsin, 19
lansoprazole, 19
Levsin/SL, 19 Litetouch Lancets Micro Thin 33G, 39
lansoprazole/amoxicillin/clarithromycin, 19
Lexapro, 24 Litetouch Pen Needles 29GX12.7MM, 39
Lexiva, 3 Litetouch Pen Needles 31G X 6MM, 39
Lantus, 16
Lialda, 20 Litetouch Pen Needles 31GX8MM SHORT, 39
Lantus Solostar, 16
Liberty Medical Lancets 30G, 39
Lasix, 9
Librax, 19 Lithium, 25
Lastacaft, 29
Lido-RX 4.1, 14 lithium carbonate, 24
latanoprost, 28
lidocaine, 13 Lithium Carbonate, 25
Latrix XM, 14
lithium carbonate ER, 24
Lytensopril-90 Kit, 9 Medlance Plus Lancets, 39
Lithobid, 25
Medlance Plus Lancets Lite 25G, 39
M
Lithostat, 21
Medlance Plus Lite Lancets 25G, 39
M-m-r II, 34
Livalo, 10
Medlance Plus Special Lancets 0.8MM, 39
M.v.i. Adult, 35
Live Better Lancet Super Thin 30G, 39
M.v.i. Pediatric, 35
Live Better Lancet Ultra Thin 28G, 39
Medlance Plus Superlite 30G, 39
M.v.i.-12 Without Vitamin K, 35
Live Better Pen Needles 29G X 12MM, 39
Medlance Plus Superlite 30G/Comfort Max, 39
Macrobid, 20
Macrodantin, 21
Live Better Pen Needles 31G X 12MM, 39
Medlance Plus Universal Lancets 21G, 39
Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2", 39
Live Better Pen Needles 31G X 6MM, 39
Medlance Plus/Lite 25G, 39
Magellan Insulin Safety Syringe/U-100/0.3ML/30G X 5/16", 39
LMD 10% Dextrose 5%, 23
Medlance/Extra, 39
LMD 10% Sodium Chloride 0.9%, 23
Medlance/Lite, 39
Magellan Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 39
LO Loestrin FE, 16
Medlance/Universal, 39
Locoid, 13
Medrol, 15
Magellan Insulin Safety Syringe/U-100/0.5ML/30G X 5/16", 39
Locoid Lipocream, 13
Medrol Dosepak, 15
Lodosyn, 26
Medroloan II Suik, 15
Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2", 39
Loestrin 1.5/30-21, 16
Medroloan Suik, 15
Loestrin 1/20-21, 16
medroxyprogesterone acetate, 16
Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16", 39
Loestrin FE 1.5/30, 16
Medroxyprogesterone/Lidocaine, 16
Loestrin FE 1/20, 16
mefenamic acid, 31
Makena, 16
Lofibra, 10
mefloquine HCL, 3
Malarone, 3
Lomotil, 19
Megace ES, 16
malathion, 13
Lomustine, 4
Megace Oral, 5
mannitol, 9
Lonsurf, 7
megestrol acetate, 5, 16
Maprotiline HCL, 24
loperamide HCL, 19
Megrix, 14
Marbeta-25, 15
Lopid, 10
Meijer Lancets Universal 30G, 39
Marbeta-l, 15
Lopressor, 7
Meijer Super Thin Lancets, 39
Marcaine, 32
Lopressor HCT, 9
Mekinist, 6
Marcaine/Epinephrine, 32
Loprox, 12
meloxicam, 31
Mardex-25, 15
Loprox Shampoo, 12
Meloxicam, 31
Marinol, 20
lorazepam, 23
Meloxicam Comfort PAC, 31
Marlido-25, 32
Lorazepam, 23
melphalan hydrochloride, 4
Marnatal-f, 35
Lortab, 30
memantine HCL, 26
Marnova Suik, 32
Lorvatus Pharmapak, 27
memantine HCL titration PAK, 26
Marplan, 24
Lorzone, 27
memantine hydrochloride, 26
Marqibo, 6
losartan potassium, 8
Menactra, 34
Mask Vortex/Baby Whirl Duckling, 43
losartan potassium/hydrochlorothiazide, 9
Menest, 15
Mask Vortex/Child/Frog, 43
Menhibrix, 34
Mask Vortex/Spinner The Duck, 43
Loseasonique, 16
Menomune-a/C/Y/W-135, 34
Mask Vortex/Toddler/Lady Bug, 43
Lotemax, 28
Menopur, 18
Matulane, 6
Lotensin, 8
Menostar, 15
Mavik, 8
Lotensin HCT, 9
Mentax, 12
Maxalt, 32
Lotrel, 9
Menveo, 34
Maxalt-MLT, 32
Lotrisone, 12
meperidine HCL, 30
Maxaron Forte, 22
Lotronex, 20
Meperidine HCL, 30
Maxfe, 22
lovastatin, 10
Mephyton, 34
Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2", 39
Lovaza, 10
meprobamate, 23
Lovenox, 22
Mepron, 4
Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2", 39
loxapine, 24
mercaptopurine, 5
loxapine succinate, 24
meropenem, 4
Maxidex, 28
LT Injection Kit, 15
Meropenem/Sodium Chloride, 4
Maxipime, 1
Lufyllin, 33
Merrem, 4
Maxitrol, 28
Lumigan, 28
mesalamine, 20
Maxzide, 9
Lumizyme, 18
mesna, 7
Maxzide-25, 9
Lunesta, 25
Mesnex, 7
Mb Hydrogel, 14
Lupaneta Pack, 18
Mestinon, 28
meclizine HCL, 20
Lupron Depot, 5
Mestinon Timespan, 28
Meclofenamate Sodium, 31
Lupron Depot-PED, 18
Metadate CD, 25
Medi-derm/L-RX, 14
Luvox CR, 24
Metaproterenol Sulfate, 33
Medical Provider EZ Flu Shot 2014-2015, 34
Luxiq, 13
Metastron, 6
Luzu, 12
metaxalone, 27
Medical Provider EZ Flu Shot 2015-2016, 34
Lycelle, 14
Metaxalone, 27
Lynparza, 6
metformin HCL, 17
Medical Provider Single Use EZ Flu Shot, 34
Lyrica, 26
metformin HCL ER, 17
Lysodren, 5
methadone HCL, 30
Medisense Thin Lancets, 39
Lysteda, 22
Methadone HCL, 30
Medlance Plus Extra Lancets 21G, 39
Lytensopril Kit, 9
Methadose, 30
Methadose Sugar-free, 30
Migranow, 32 Needle/0.5ML/29G X 1/2", 39
methamphetamine HCL, 25
Millipred, 15 Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2", 39
methazolamide, 9
Millipred DP, 15
methenamine hippurate, 20
milrinone IN dextrose, 7 Monoject Insulin Syringe/Softpack/1ML/27G X 1/2", 39
methenamine mandelate, 20
milrinone lactate, 7
Methenamine Mandelate, 20
Minastrin 24 FE, 16 Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2", 39
methimazole, 18
Mineral Oil Heavy, 19
methocarbamol, 27
Minipress, 9 Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16", 39
methotrexate, 5
Minivelle, 15
methotrexate sodium, 5
Minocin, 2 Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 39
Methotrexate Sodium, 5
Minocin Kit, 2
methoxsalen, 12
minocycline HCL, 2 Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16", 39
methscopolamine bromide, 19
minocycline HCL ER, 2
Methyclothiazide, 9
minoxidil, 8 Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 39
methyldopa, 8
Mirapex, 26
Methyldopa/Hydrochlorothiazide, 9
Mirapex ER, 26 Monoject Insulin Syringe/U-100/1ML/30G X 5/16", 39
Methyldopate HCL, 9
Mircera, 22
methylergonovine maleate, 29
Mircette, 16 Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 39
Methylin, 25
mirtazapine, 24
methylphenidate HCL, 25
mirtazapine odt, 24 Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 39
methylphenidate HCL CD, 25
Mirvaso, 11
methylphenidate HCL ER, 25
misoprostol, 19 Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16", 39
Methylphenidate HCL ER, 25
Mission Prenatal, 35
methylphenidate HCL SR, 25
Mitigare, 32 Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2", 39
methylphenidate hydrochloride, 25
mitomycin, 5
methylprednisolone, 14
Mitomycin, 5 Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2", 39
Methylprednisolone, 15
Mitosol, 28
methylprednisolone acetate, 14
mitoxantrone HCL, 5 Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16", 39
methylprednisolone dose pack, 14
Mld Kit, 32
Methylprednisolone PF, 15
Mlk F4 Kit, 15 Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16", 39
methylprednisolone sodiumsuccinate, 14
Mobic, 31
Methylprednisolone/Lidocaine, 15
modafinil, 25 Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 39
methyltestosterone, 15
Moderiba, 3
Metipranolol, 28
Moderiba 1200 Dose Pack, 3 Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2", 39
metoclopramide HCL, 20
Moderiba 800 Dose Pack, 3
metoclopramide odt, 20
Modicon, 16 Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 39
Metoclopramide Odt, 20
moexipril HCL, 8
metolazone, 9
moexipril/hydrochlorothiazide, 9 Monojector End CAPS, 39
metoprolol succinate ER, 7
Molindone Hydrochloride, 25 Monojector Opd End CAPS, 39
metoprolol tartrate, 7
mometasone furoate, 13, 32 Monolet Lancets, 39
Metoprolol Tartrate, 7
Monoclate-p, 23 Monolet Opd Lancets, 39
metoprolol/hydrochlorothiazide, 9
Monodox, 2 Monolettor Safety Lancets, 39
Metozolv Odt, 20
Monoject Bone Marrow Biopsy Prepping Tray, 32
Mononine, 23
Metro IV, 4
Monovisc, 27
Metrocream, 11
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 32
montelukast sodium, 33
Metrogel, 11
Monurol, 21
Metrogel-vaginal, 21
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 32
Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 39
Metrolotion, 11
metronidazole, 4, 11
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 32
Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 39
metronidazole IN NACL 0.79%, 4
metronidazole vaginal, 21
Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML, 39
Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 39
Mevacor, 10
mexiletine HCL, 8
Monoject Insulin Syringe/1ML, 39 Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 39
Miacalcin, 17
Monoject Insulin Syringe/1ML/31G X 5/16", 39
Micardis, 8
Morgidox 1X100MG, 2
Micardis HCT, 9
Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8", 39
Morgidox 2X100MG, 2
Microchamber, 43
morphine sulfate, 30
Microlet Lancets, 39
Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2", 39
Morphine Sulfate, 30
Microspacer, 43
Morphine Sulfate Add-vantage, 30
Microtainer Safety Flow Lancet/Sterile/Single-use, 39
Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2", 39
morphine sulfate ER, 30
Morphine Sulfate ER, 30
Microzide, 9
Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2", 39
Morphine Sulfate/Sodium Chloride, 30
midodrine HCL, 10
Motofen, 19
Mifeprex, 18
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2", 39
Movantik, 20
Migergot, 32
Moviprep, 19
miglitol, 17
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2", 39
Moxatag, 1
Migral, 32
Moxeza, 28
Migranal, 32
Monoject Insulin Syringe/Safety/Perm moxifloxacin HCL, 2
Moxifloxacin HCL, 2
Nasonex, 32 Neurontin, 26
Mozobil, 21
Natachew, 35 Neutrasal, 23
MS Contin, 30
Natacyn, 28 Neutrexin, 4
Mteryti, 35
Natalvirt 90 DHA, 35 Neuvaxin, 14
Mteryti Folic 5, 35
Natalvirt CA, 35 Nevanac, 29
Mucinex Maximum Strength, 33
Natalvirt Flt, 22 nevirapine, 3
Multaq, 8
Natalvit, 35 Nevirapine, 3
Multigen, 22
Natazia, 16 nevirapine ER, 3
Multigen Folic, 22
nateglinide, 17 Newgen, 35
Multigen Plus, 22
Natelle One, 35 Nexa Plus, 35
mupirocin, 11
Natesto, 15 Nexavar, 6
mupirocin calcium, 11
Natpara, 17 Nexium, 19
Muse, 10
Natrecor, 10 Nexium I.v., 19
Mustargen, 4
Natroba, 14 Nexterone, 8
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 22
Nature-throid, 19 Niacin, 35
Nature-throid Nt-2.5, 19 niacin ER, 10
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 22
Navelbine, 6 niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 35
Nazirex, 12
Myalept, 18
Nebupent, 4 Niacor, 10
Myambutol, 2
Nebusal, 33 Niaspan, 10
Mycamine, 3
Necon 1/50-28, 16 Nicadan, 35
Mycobutin, 2
Necon 10/11-28, 16 nicardipine HCL, 8
mycophenolate mofetil, 5
Neevo DHA, 35 Nicazel, 35
mycophenolic acid DR, 5
nefazodone HCL, 24 Nicazel Forte, 35
Myfortic, 6
Nefazodone HCL, 24 Nicazeldoxy 30 Kit, 2
Myglucohealth Mgh Softlance Lancets 30G, 39
Nembutal Sodium, 25 Nicazeldoxy 60 Kit, 2
Neo-synalar, 11 Nicomide, 35
Mykidz Iron Fl, 35
Neo-synalar Kit, 11 nifedipine, 8
Myleran, 4
neomycin sulfate, 2 nifedipine ER, 8
Mynatal, 35
neomycin/bacitracin/polymyxin, 28 Nilandron, 5
Myobloc, 27
neomycin/polymyxin/bacitracin zinc, 28 nilutamide, 5
Myozyme, 18
neomycin/polymyxin/bacitracin/hydrocortisone, 28
Nimbex, 27
Myrbetriq, 21
nimodipine, 8
Mysoline, 26
neomycin/polymyxin/dexamethasone, 28 Ninlaro, 6
N
neomycin/polymyxin/gramicidin, 28 Nipent, 7
neomycin/polymyxin/HC, 29 Niravam, 23
nabumetone, 31
Neomycin/Polymyxin/Hydrocortisone, 28 nisoldipine, 8
nadolol, 7
neomycin/polymyxin/hydrocortisone, 29 Nisoldipine, 8
nadolol/bendroflumethiazide, 9
Neoprofen, 31 Nisoldipine ER, 8
Nafcillin, 1
Neoral, 6 Nitro-bid, 7
nafcillin sodium, 1
Neosalus, 14 Nitro-dur, 7
Nafcillin Sodium, 1
Neosalus CP, 14 nitrofurantoin, 20
Nafrinse Daily/Acidulated, 23
Neosporin, 28 nitrofurantoin macrocrystals, 20
Nafrinse Daily/Neutral, 23
neostigmine methylsulfate, 27 nitrofurantoin monohydrate, 20
Nafrinse Weekly, 23
Neostigmine Methylsulfate, 28 nitrofurantoin monohydrate/macrocrystals, 20
Naftifine HCL, 12
Neotuss Plus, 33
naftifine hydrochloride, 11
Nephplex RX, 35 Nitroglycerin, 7
Naftin, 12
Nephro-vite RX, 35 nitroglycerin ER, 7
Naglazyme, 18
Nephrocaps, 35 nitroglycerin IN 5% dextrose, 7
nalbuphine HCL, 30
Nephrocaps QT, 35 nitroglycerin IN dextrose 5%, 7
Nalfon, 31
Nephron Fa, 22 Nitroglycerin IN Dextrose 5%, 7
Namenda, 27
Neptazane, 9 nitroglycerin lingual, 7
Namenda Titration PAK, 27
Nesacaine, 32 Nitroglycerin Lingual, 7
Namenda XR, 27
Nesacaine-mpf, 32 nitroglycerin transdermal, 7
Namenda XR Titration Pack, 27
Nesina, 17 Nitrolingual Pumpspray, 7
Namzaric, 27
Nessi Spacer/Large Mask, 43 Nitromist, 7
Naphazoline HCL, 29
Nessi Spacer/Mouthpiece, 43 Nitronal, 7
Naprelan, 31
Nessi Spacer/Small/MED Mask, 43 Nitropress, 9
Naprosyn, 31
Nestabs, 35 Nitrostat, 7
naproxen, 31
Nestabs Abc, 35 Niva-plus, 35
Naproxen, 31
Nestabs DHA, 35 Nivatopic Plus, 14
Naproxen Comfort PAC, 31
Netgroup Lancets, 39 nizatidine, 19
naproxen sodium, 31
Neuac Kit, 11 Nizatidine, 19
naproxen sodium CR, 31
Neulasta, 22 Nizoral, 12
naproxen sodium ER, 31
Neulasta Onpro Kit, 22 Nor-QD, 16
naratriptan HCL, 31
Neumega, 21 Norco, 30
Nardil, 24
Neupogen, 21 Norditropin Cartridge, 18
Naropin, 32
Neupro, 26 Norditropin Flexpro, 18
Nascobal, 22
Norditropin Nordiflex Pen, 18
Nuvigil, 25 Onetouch Suresoft Lancing Device/21G, 40
norepinephrine bitartrate, 10
Nuvya, 12
norethindrone, 16
Nuwiq, 23 Onetouch Suresoft Lancing Device/28G, 40
norethindrone & ethinyl estradiol ferrous fumarate, 16
Nuzon, 13
Nyata, 12 Onetouch Ultra 2, 40
norethindrone acetate, 16
Nymalize, 8 Onetouch Ultra Blue, 40
norethindrone acetate/ethinyl estradiol, 15, 16
nystatin, 2, 11, 23 Onetouch Ultra Mini, 40
nystatin/triamcinolone, 12 Onetouch Ultralink System (DEC), 40
norethindrone acetate/ethinyl estradiol/ferrous fumarate, 16
nystatin/triamcinolone acetonide, 12 Onetouch Ultralink System (hex), 40
O Onetouch Ultrasoft Lancets, 40
Norflex, 27
Onetouch Verio, 40
O-CAL Fa, 35
norgestimate/ethinyl estradiol, 16
Onetouch Verio IQ Blood Glucose Monitoring System, 40
O-CAL Prenatal, 35
Norinyl 1+35, 16
OB Complete, 35
Norinyl 1+50, 16
Onetouch Verio Sync Bloodglucose Monitoring System, 40
OB Complete Gold, 35
Noritate, 11
OB Complete One, 35
Noroxin, 2
Onetouch Verio Test Strips, 40
OB Complete Petite, 35
Norpace, 8
Onexton, 11
OB Complete Premier, 35
Norpace CR, 8
Onfi, 26
OB Complete/DHA, 35
Norpramin, 24
Onglyza, 17
Obredon, 33
Northera, 10
Onivyde, 6
Obstetrix DHA, 35
nortriptyline HCL, 24
Onmel, 3
Obtrex, 35
Nortriptyline HCL, 24
Onzetra Xsail, 32
Obtrex DHA, 35
Norvasc, 8
Opana, 30
Ocaliva, 20
Norvir, 3
Opana ER (crush Resistant), 30
octreotide acetate, 18
Nova Safety Lancets 23G, 39
Opdivo, 5
Ocudox, 2
Nova Safety Lancets 28G, 39
opium, 19
Ocufen, 29
Nova Sureflex Lancets, 39
opium tincture, 19
Ocuflox, 28
Novaferrum, 22
Opsumit, 10
Ocuvel, 35
Novoclair, 12
Optichamber Advantage, 43
Odefsey, 3
Novoeight, 23
Optichamber Advantage/Large Mask, 43
Ofev, 34
Novofine Plus 32GX4MM, 39
Optichamber Advantage/Medium Face Mask, 43
Ofirmev, 30
Novolin 70/30, 16
ofloxacin, 2, 28, 29
Novolin 70/30 Relion, 16
Optichamber Advantage/Small Face Mask, 43
Ofloxacin, 2
Novolin N, 16
olanzapine, 24
Novolin N Relion, 16
Optichamber Diamond, 43
olanzapine odt, 24
Novolin R, 16
Optichamber Diamond/Largeface Mask, 43
olanzapine/fluoxetine, 26
Novolin R Relion, 16
Oleptro, 24
Novolog, 16
Optichamber Diamond/Medium Face Mask, 43
olopatadine HCL, 29, 32
Novolog Flexpen, 16
Olux, 13
Novolog Mix 70/30, 16
Optichamber Diamond/Smallface Mask, 43
Olux-e, 13
Novolog Mix 70/30 Prefilled Flexpen, 16
Olysio, 3
Novolog Penfill, 16
Optichamber Face Mask/Large, 43
Omeclamox-PAK, 19
Novoseven, 23
Optichamber Face Mask/Medium, 43
omega-3-acid ethyl esters, 10
Novoseven Rt, 23
Optichamber Face Mask/Small, 43
Omega-3/D-3 Wellness Pack, 10
Noxafil, 3
Optihaler, 43
omeprazole, 19
Noxipak, 13
Optihaler MDI Drug Delivery System, 43
Omeprazole + Syrspend SF Alka, 19
Nplate, 21
Optivar, 29
omeprazole/sodium bicarbonate, 19
Nucala, 33
Oracea, 11
Omnaris, 32
Nucort, 13
Oracit, 21
Omnipred, 28
Nucynta, 30
Orafate, 23
Omnitrope, 18
Nucynta ER, 30
Orap, 27
Omontys, 22
Nuedexta, 27
Orapred Odt, 15
On Call Lancets, 39
Nufera, 22
Oravig, 23
On Call Plus Lancets, 40
Nulojix, 6
Orbactiv, 4
Oncaspar, 5
Nulytely/Flavor Packs, 19
Orencia, 31
ondansetron HCL, 20
Numoisyn, 23
Orencia Clickjet, 31
ondansetron odt, 20
Nuox, 11
Orenitram, 10
One A Day Womens Prenatal/DHA, 35
Nuplazid, 25
Orfadin, 18
One A Day Womens Prenatal1, 35
Nutricap, 35
Orkambi, 34
One-a-day Womens Prenatal, 35
Nutridox, 2
orphenadrine citrate, 27
Onetouch Club Lancets Fine Point, 40
Nutrivit, 35
orphenadrine citrate ER, 27
Onetouch Combo Pack, 40
Nutropin AQ Nuspin 10, 18
Orphenadrine/Asa/Caffeine, 27
Onetouch Delica Lancets Extra Fine 33G, 40
Nutropin AQ Nuspin 20, 18
Ortho Micronor, 16
Nutropin AQ Nuspin 5, 18
Ortho Tri-cyclen, 16
Onetouch Delica Lancets Fine 30G, 40
Nutropin AQ Pen, 18
Ortho Tri-cyclen LO, 16
Onetouch Finepoint Lancets, 40
Nuvail, 14
Ortho-cept, 16
Onetouch Lancets, 40
Nuvaring, 16
Ortho-cyclen, 16
Onetouch Suresoft Lancing Device/18G, 40
Nuvessa, 21
Ortho-novum 1/35, 16
Ortho-novum 7/7/7, 16
Parlodel, 26 Pentips 31GX5MM, 40
Orthovisc, 27
Parnate, 24 Pentips 31GX6MM, 40
Oseni, 17
paromomycin sulfate, 2 Pentips 31GX8MM, 40
Osmoprep, 19
paroxetine HCL, 24 Pentips 32GX4MM, 40
Osphena, 17
paroxetine HCL ER, 24 pentoxifylline ER, 22
Otezla, 31
Paser, 2 Pepcid, 19
Otiprio, 29
Pataday, 29 Percocet, 30
Otozin, 29
Patanase, 32 Percodan, 30
Otrexup, 31
Patanol, 29 Perfect Lancets 30G, 40
Ovace Plus, 12
Paxil, 24 Perfect Pressure Activated Safety Lancets 28G, 40
Ovace Plus Wash, 12
Paxil CR, 24
Ovace Wash, 12
Pazeo, 29 Perforomist, 33
Ovcon-35, 16
PC Unifine Pentips 29G X 1/2", 40 Peridex, 23
Ovide, 14
PC Unifine Pentips 31G X 6MM Ultra SHORT, 40
perindopril erbumine, 8
Ovidrel, 18
Perjeta, 5
oxacillin sodium, 1
PC Unifine Pentips 31G X 8MM SHORT, 40
permethrin, 13
oxaliplatin, 4
perphenazine, 24
Oxandrin, 15
PCE, 1 Perphenazine/Amitriptyline, 27
oxandrolone, 15
Pcp 100, 19 Persantine, 23
oxaprozin, 31
Pediaderm AF Complete Kit, 12 Pertzye, 20
Oxaydo, 30
Pediaderm HC, 13 Pexeva, 24
oxazepam, 23
Pediaderm Ta, 13 Pfizerpen-G, 1
oxcarbazepine, 26
Pediapred, 15 Pharmacist Choice Ultra Thin Lancets, 40
oxiconazole nitrate, 12
Pediarix, 34
Oxistat, 12
Pediatex TD, 33 Pharmacist Choice Ultra Thin Lancets 28G, 40
Oxsoralen, 14
Pediatric Panda Mask, 43
Oxsoralen Ultra, 12
Pedipirox-4 Nail, 12 Pharmacist Choice Ultra Thin Lancets 30G, 40
Oxtellar XR, 26
Pedvax HIB, 34
oxybutynin chloride, 21
peg 3350/electrolytes, 19 Pharmacist Choice Ultra Thin Lancets 31G, 40
oxybutynin chloride ER, 21
peg-3350/electrolytes, 19
oxycodone HCL, 30
peg-3350/NACL/NA bicarbonate/KCL, 19 Pharmacist Choice Ultra Thin Lancets 33G, 40
Oxycodone HCL ER, 30
Peg-intron, 3
oxycodone hydrochloride, 30
Peg-intron Redipen, 3 Pharmacy Counter Lancets, 40
oxycodone/acetaminophen, 30
Peg-intron Redipen PAK 4, 3 phenazopyridine HCL, 21
oxycodone/aspirin, 30
Peganone, 26 phenelzine sulfate, 24
oxycodone/ibuprofen, 30
Pegasys, 3 Phenergan, 32
Oxycodone/Ibuprofen, 30
Pegasys Proclick, 3 phenobarbital, 25
Oxycontin, 30
Pegintron, 3 Phenobarbital, 25
oxymorphone hydrochloride, 30
Pen Needles 29G X 12MM, 40 Phenobarbital Sodium, 25
oxymorphone hydrochloride ER, 30
Pen Needles 29GX1/2", 40 phenoxybenzamine hydrochloride, 8
oxytocin, 29
Pen Needles 30GX5/16", 40 Phentolamine Mesylate, 9
Oxytocin, 29
Pen Needles 31G X 1/4" SHORT, 40 phenylephrine HCL, 10, 29
Oxytocin/Lactated Ringers, 29
Pen Needles 31G X 3/16", 40 Phenylephrine HCL, 10
Oxytrol, 21
Pen Needles 31G X 5MM, 40 Phenylephrine HCL/Sodium Chloride, 10
P
Pen Needles 31G X 6MM, 40 phenylephrine/guaifenesin, 33
Pen Needles 31GX5/16", 40 Phenytek, 26
paclitaxel, 6
Pen Needles 31GX6MM (1/4"), 40 phenytoin, 26
Paclitaxel, 6
Pen Needles 31GX8MM, 40 phenytoin sodium, 26
Paire OB, 36
Pen Needles 31GX8MM (5/16"), 40 phenytoin sodium extended, 26
paliperidone ER, 24
Pen Needles 32GX4MM, 40 Phoslo, 20
Pamelor, 24
penicillin G potassium, 1 Phoslyra, 20
pamidronate disodium, 17
Penicillin G Potassium IN Iso-osmotic Dextrose, 1
Phospholine Iodide, 29
Pamidronate Disodium, 17
Photofrin, 7
Pamine, 19
Penicillin G Procaine, 1 phytonadione, 34
Pamine Forte, 19
Penicillin G Sodium, 1 pilocarpine HCL, 23, 29
Pamine FQ, 19
penicillin v potassium, 1 pilocarpine hydrochloride, 23
Panatuss Dxp, 33
Penlac Nail Lacquer, 12 pimozide, 26
Pancreaze, 20
Penlet II Replacement CAPS, 40 pindolol, 7
Pancrelipase, 20
Penlet II Replacement CAPS-deep, 40 pioglitazone HCL, 17
pancuronium bromide, 27
Penlet II Replacement CAPS-regular, 40 pioglitazone HCL-glimepiride, 17
Panda Mask Large, 43
Pennsaid, 12 pioglitazone HCL/metformin HCL, 17
Panda Mask Medium, 43
Pentacel, 34 piperacillin sodium/ tazobactam sodium, 1
Panda Mask Small, 43
Pentam 300, 4
Pandel, 13
Pentasa, 20 piperacillin sodium/tazobactam sodium, 1
pantoprazole sodium, 19
pentazocine/naloxone HCL, 30 piperacillin/tazobactam, 1
papaverine HCL, 10
Pentetate Calcium Trisodium, 43 piroxicam, 31
Parafon Forte DSC, 27
Pentetate Zinc Trisodium, 43 Pitocin, 29
Paregoric, 19
Pentips 29GX12MM, 40 Pitressin Synthetic, 18
paricalcitol, 18
Plaquenil, 3
Pred Mild, 28 Proair Respiclick, 33
Plavix, 23
Pred-G, 28 probenecid, 32
Plegridy, 27
Pred-G S.o.p., 28 probenecid/colchicine, 32
Plegridy Starter Pack, 27
prednicarbate, 13 Probuphine Implant Kit, 30
Pletal, 23
prednisolone, 14 Procainamide HCL, 8
Plexion, 11
prednisolone acetate, 28 Procardia, 8
Plexion Cleanser, 11
prednisolone sodium phosphate, 14 Procardia XL, 8
Plexion Cleansing Cloths, 11
Prednisolone Sodium Phosphate, 15, 28 Procentra, 25
Pliaglis, 14
prednisolone sodium phosphate odt, 14 prochlorperazine, 24
Pneumovax 23, 34
Prednisolone/Moxifloxacin, 28 prochlorperazine edisylate, 24
Pneumovax 23/1 Dose, 34
prednisone, 15 prochlorperazine maleate, 24
Pneumovax 23/5 Dose, 34
Prednisone, 15 Procort, 20
Pocket Chamber, 43
Prednisone Intensol, 15 Procrit, 21
Pocket Spacer, 43
Prefera OB, 35 Proctocort, 20
podofilox, 13
Prefera OB + DHA, 35 Proctofoam HC, 20
Poly-VI-flor, 35
Preferaob +dha, 36 Procysbi, 21
Poly-VI-flor FS, 35
Preferaob One, 36 Prodigy Insulin Mini Pen Needles/31G X 3/16", 40
Poly-VI-flor/Iron, 35
Preferred Plus Unifine Pentips 29G X 12MM, 40
polyethylene glycol 3350, 19
Prodigy Insulin Pen Needles/29G X 1/2", 40
polymyxin b sulfate, 4
Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT, 40
polymyxin b sulfate/trimethoprim sulfate, 28
Prodigy Insulin SHORT Penneedles/31G X 5/16", 40
Preferred Plus Unifine Pentips 31G X 8MM SHORT, 40
Polytrim, 28
Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16", 40
Pomalyst, 6
Prefest, 15
Ponstel, 31
Prefol-DHA, 36 Prodigy Insulin Syringe/1/2ML/31G X 5/16", 40
Portrazza, 5
Premarin, 15, 21
potassium citrate ER, 21
Premphase, 15 Prodigy Insulin Syringe/1ML/28G X 1/2", 40
potassium citrate-citric acid crystals, 21
Prempro, 15
potassium citrate/citric acid, 21
Prenata, 35 Prodigy Pressure Activated Safety Lancets, 40
potassium citrate/sodium citrate/citric acid, 21
Prenatal Vitamin, 35
Prenatal Vitamins, 35 Prodigy Safety Lancets, 40
Potiga, 26
Prenate, 36 Prodigy Twist Top Lancets, 40
Pr Cream, 14
Prenate AM, 35 Proferrin-forte, 22
Pradaxa, 22
Prenate DHA, 36 Profilnine, 23
Praluent, 10
Prenate Elite, 35 Profilnine SD, 23
pramipexole dihydrochloride, 26
Prenate Enhance, 36 progesterone, 16
pramipexole dihydrochloride ER, 26
Prenate Essential, 35 Progesterone 10% Kit, 16
Pramosone, 13
Prenate Mini, 36 Proglycem, 17
Pramotic, 29
Prenate Pixie, 36 Prograf, 6
Prandimet, 17
Prenate Restore, 36 Prolastin-c, 34
Prandin, 17
Prenate Star, 35 Prolensa, 29
Prascion Ra With Sunscreens, 11
Prepidil, 29 Proleukin, 6
Prastera, 31
Prepopik, 19 Prolia, 17
Pravachol, 10
Preque 10, 36 Promacta, 22
pravastatin sodium, 10
Presera, 14 promethazine HCL, 32
Prazolamine, 27
Prestalia, 9 promethazine HCL plain, 32
prazosin HCL, 8
Prevacid, 19 promethazine-DM, 33
Pre-folic, 22
Prevacid Solutab, 19 promethazine/codeine, 33
Precedex, 25
Prevident, 23 promethazine/dextromethorphan, 33
Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 40
Previdolrx Analgesic PAK, 31 promethazine/phenylephrine, 33
Prevnar 13, 34 Promethazine/Phenylephrine, 33
Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2", 40
Prevpac, 19 promethazine/phenylephrine/codeine, 33
Prezcobix, 3 Prometrium, 16
Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2", 40
Prezista, 3 Promiseb, 12
Prialt, 29 Promiseb Complete, 12
Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8", 40
Priftin, 2 propafenone HCL, 8
Prilosec, 19 propafenone HCL ER, 8
Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 40
Primaquine Phosphate, 3 Propantheline Bromide, 19
Primaxin IV, 4 proparacaine HCL, 29
Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 40
Primaxin IV Add-vantage, 4 propranolol HCL, 7
primidone, 26 Propranolol HCL, 7
Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2", 40
Primlev, 30 propranolol HCL ER, 7
Primsol, 4 Propranolol/Hydrochlorothiazide, 9
Precision Thin Lancets, 40
Prinivil, 8 propylthiouracil, 19
Precision Thins GP Lancet, 40
Pristiq, 24 Proquad, 34
Precision Ultra Lancet, 40
Pro-c-dure 5 Kit, 15 Proscar, 21
Precose, 17
Pro-c-dure 6 Kit, 15 Prostin E2, 29
Pred Forte, 28
Proair HFA, 33 Protamine Sulfate, 23
Protect Plus, 36
Rabavert, 34 Relion Pen Needles 29GX12MM, 40
Protectiron, 22
rabeprazole sodium, 19 Relion Pen Needles 31GX6MM, 40
Prothelial, 23
raloxifene hydrochloride, 17 Relion Pen Needles 31GX8MM, 40
Protonix, 19
ramipril, 8 Relion Pen Needles 32GX4MM, 40
Protopic, 13
Ranexa, 7 Relion SHORT Pen Needles 31GX8MM, 40
protriptyline HCL, 24
ranitidine HCL, 19
Provenge, 6
Rapaflo, 21 Relion Thin Lancets, 40
Proventil HFA, 33
Rapamune, 6 Relion Ultra Thin Lancets, 40
Provera, 16
Rapivab, 3 Relion Ultra Thin Lancets30G, 40
Provida DHA, 36
Rasuvo, 31 Relion Ultra Thin Plus Lancets 32G, 40
Provida OB, 35
Ravicti, 18 Relion Ultra Thin Plus Lancets 33G, 40
Provigil, 25
Rayos, 15 Relistor, 20
Prozac, 24
Razadyne, 27 Relpax, 32
Prozac Weekly, 24
Razadyne ER, 27 Relyyks, 14
Pruclair, 14
Readysharp-a, 32 Relyyt, 14
Prudoxin, 12
Readysharp-k, 15 Remeron, 24
Prumyx, 14
Readysharp-p40, 15 Remeron Soltab, 24
Pss Select GP Lancets, 40
Readysharp-p80, 15 Remicade, 20
Pss Select Platforms, 40
Rebetol, 3 Remifentanil HCL, 30
Pss Select Safety Lancets, 40
Rebif, 27 Remodulin, 10
Pulmicort, 33
Rebif Rebidose, 27 Renagel, 20
Pulmicort Flexhaler, 33
Rebif Rebidose Titration Pack, 27 Renatabs, 36
Pulmophylline, 33
Rebif Titration Pack, 27 Renatabs With Iron, 36
Pulmozyme, 34
Reclast, 17 Renew Advanced Lancing Cartridge Refills, 40
Purinethol, 5
Recombinate, 23
Purixan, 5
Recombivax HB, 34 Renvela, 20
Px Lancets Ultra Thin, 40
Recothrom, 22 Reopro, 23
Pylera, 19
Recothrom Spray Kit, 22 repaglinide, 17
pyrazinamide, 2
Rectiv, 20 Repaglinide/Metformin Hydrochloride, 17
Pyridium, 21
Recura, 12 Repatha, 10
pyridostigmine bromide, 27
Reglan, 20 Repatha Pushtronex System, 10
Pyridoxine HCL, 35
Regonol, 28 Repatha Sureclick, 10
Pyrogallic Acid, 14
Relagard, 21 Reprexain, 30
Q
Relenza Diskhaler, 3 Req 49+, 36
Relhist, 33 Requip, 26
Qc Lancets Super Thin, 40
Relion Insulin Syringe/U -100/0.5ML/29G, 40
Requip XL, 26
Qc Lancets Ultra Thin, 40
Rescon-JR, 33
Qc Pen Needles 29G X 12MM, 40
Relion Insulin Syringe/U-00/1ML/29G X 1/2", 40
Rescriptor, 3
Qc Pen Needles 31G X 6MM, 40
Rescula, 28
Qc Pen Needles 31G X 8MM, 40
Relion Insulin Syringe/U-100/0.3ML/29G, 40
Reserpine, 8
Qnasl, 32
Respa-BR, 32
Qnasl Childrens, 32
Relion Insulin Syringe/U-100/0.3ML/29G X 1/2", 40
Restasis, 29
Quadracel, 34
Restora RX, 19
Quadramet, 6
Relion Insulin Syringe/U-100/0.3ML/30G, 40
Restora Sprinkles, 19
Qualaquin, 3
Restoril, 25
Quartette, 16
Relion Insulin Syringe/U-100/0.3ML/30G X 5/16", 40
Retin-a, 11
Quazepam, 25
Retin-a Micro, 11
Qudexy XR, 26
Relion Insulin Syringe/U-100/0.3ML/31G X 5/16", 40
Retin-a Micro P.M., 11
Quelicin, 27
Retinoic Acid, 11
Quelicin 1000, 27
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 40
Retinoic Acid-all Trans, 11
Questran, 10
Retrovir, 3
Questran Light, 10
Relion Insulin Syringe/U-100/0.5ML/30G, 40
Retrovir IV Infusion, 3
quetiapine fumarate, 24
Revatio, 10
Quillichew ER, 25
Relion Insulin Syringe/U-100/0.5ML/30G X 5/16", 40
Revlimid, 6
Quillivant XR, 25
Rexall Lancets Ultra Thin, 40
quinapril HCL, 8
Relion Insulin Syringe/U-100/0.5ML/31G X 5/16", 40
Rexulti, 25
quinapril/hydrochlorothiazide, 9
Reyataz, 3
Quinidine Gluconate, 8
Relion Insulin Syringe/U-100/1ML/30G, 40
Rezira, 33
quinidine gluconate CR, 8
Rezyst IM, 19
quinidine gluconate ER, 8
Relion Insulin Syringe/U-100/1ML/30G X 5/16", 40
Rezyst SB, 19
quinidine sulfate, 8
Rheumatrex, 31
Quinidine Sulfate, 8
Relion Insulin Syringe/U-100/1ML/31G X 5/16", 40
Rhinocort Aqua, 33
Quinidine Sulfate ER, 8
Riastap, 23
quinine sulfate, 3
Relion Lancets Micro-thin33G, 40 Riax, 11
Qutenza, 14
Relion Lancets Standard 21G, 40 Ribasphere, 3
Qvar, 33
Relion Lancets Thin 26G, 40 Ribasphere Ribapak, 3
R
Relion Lancets Ultra-thin30G, 40 Ribatab, 3
Relion Mini Pen Needles 31GX6MM, 40 ribavirin, 3
R-natal OB, 36
Ridaura, 31
Safesnap Insulin Syringe/0.5ML/29G X 1/2", 40
Sentraflox AM-10, 24
rifabutin, 2
Sentralopram AM-10, 24
Rifadin, 2
Safesnap Insulin Syringe/0.5ML/30G X 5/16", 40
Sentramodafin AM-100, 25
Rifamate, 2
Sentravil PM-25, 24
rifampin, 2
Safesnap Insulin Syringe/1ML/28G X 1/2", 40
Sentrazolam AM 0.25, 23
Rifater, 2
Sentrazolpidem PM-5, 25
Right Step Prenatal, 35
Safesnap Insulin Syringe/1ML/29G X 1/2", 40
Sentroxatine, 24
Rightest GD-L500 Alternate Site Adapter, 40
Serevent Diskus, 33
Safety Lancet 21G/Pressure Activated, 40
Sernivo, 13
Rightest Gl300 Lancets, 40
Seroquel, 25
Rilutek, 27
Safety Lancet 28G/Pressure Activated, 40
Seroquel XR, 24
riluzole, 27
Serostim, 18
rimantadine HCL, 3
Safety Lancets, 40 sertraline HCL, 24
Rimantalist, 3
Safety Lancets 21G, 40 Sevelamer Carbonate, 20
Riomet, 17
Safety Lancets 28G, 40 Sfrowasa, 20
risedronate sodium, 17
Safety Let Lancets, 40 Shohls Solution Modified, 21
risedronate sodium DR, 17
Safety Seal Lancets 28G, 40 Shopko On-the-go Comfort Lancets 30G, 40
Risperdal, 25
Safety Seal Lancets 30G, 40
Risperdal Consta, 25
Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 40
Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 40
Risperdal M-TAB, 25
risperidone, 24
Safyral, 16 Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 40
risperidone odt, 24
Saizen, 18
Ritalin, 25
Saizen Click.easy, 18 Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 40
Ritalin LA, 25
Salagen, 23
Ritalin SR, 25
Salex, 14 Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 40
Riteflo, 43
Salex Cream, 14
Rituxan, 5
Salex Lotion, 14 Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM, 40
rivastigmine tartrate, 26
salicylic acid, 13
rivastigmine transdermal system, 26
Salicylic Acid, 14 Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM, 41
rizatriptan benzoate, 31
salicylic acid cream, 13
rizatriptan benzoate odt, 31
salicylic acid ER, 13 Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM, 41
Robaxin, 27
Salicylic Acid IN Ammonium Lactate Vehicle, 14
Robaxin-750, 27
Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM, 41
Robinul, 20
salicylic acid lotion, 13
Robinul Forte, 20
Salivamax, 23 Shopko Unilet Lancets Super Thin 30G, 41
Rocaltrol, 18
Salivate RX, 23
Rocephin, 1
Salkera, 14 Shopko Unilet Lancets Ultra Thin 28G, 41
rocuronium bromide, 27
salsalate, 29
ropinirole ER, 26
Salvax, 14 Siderol, 36
ropinirole HCL, 26
Salvax Duo Plus, 14 Signifor, 18
ropivacaine, 32
Samsca, 18 Signifor Lar, 18
ropivacaine HCL, 32
Sanctura, 21 Silazone Pharmapak, 13
Rosadan Kit, 11
Sancuso, 20 Silazone-II, 13
Rosanil, 11
Sandimmune, 6 sildenafil, 10
Rosula, 11
Sandostatin, 18 sildenafil citrate, 10
rosuvastatin calcium, 10
Sandostatin Lar Depot, 18 Silenor, 25
Rotarix, 34
Saphris, 24 Simbrinza, 29
Rotateq, 34
Sarafem, 27 Simcor, 10
Rowasa, 20
Savaysa, 22 Simponi, 31
Roxicet, 30
Savella, 27 Simponi Aria, 31
Roxicodone, 30
Savella Titration Pack, 27 Simulect, 6
Rozerem, 25
Scalacort DK, 13 simvastatin, 10
Ryanodex, 27
Scar Patch, 14 Sinelee, 14
Rytary, 26
Scopolamine Hydrobromide, 20 Sinemet, 26
Rythmol, 8
Seasonique, 16 Sinemet CR, 26
Rythmol SR, 8
Seconal, 25 Single-let, 41
S
Seconal Sodium, 25 Singulair, 33
Sectral, 7 sirolimus, 5
Sabril, 26
Select-OB, 35 Sirturo, 2
Safe-t-lance Low Flow 25G, 40
Select-ob+dha, 36 Sitavig, 3
Safe-t-lance Normal Flow 21G, 40
selegiline HCL, 26 Sivextro, 4
Safe-t-lance Plus Safety Lancet High Flow, 40
selenium sulfide, 12 Skelaxin, 27
Selrx, 12 Sklice, 14
Safe-t-lance Plus Safety Lancet Low Flow, 40
Selzentry, 3 Smart Diabetes Vantage Universal Lancets 30G, 41
Semprex-d, 33
Safe-t-lance Plus Safety Lancet Normal Flow, 40
Sensipar, 18 Smart Sense Color Lancets Universal 33G, 41
Sensorcaine-mpf/Epinephrine, 32
Safesnap Insulin Syringe/0.3ML/30G X 5/16", 40
Sentradine, 20 Smart Sense Standard Lancets Universal
21G, 41
Stalevo 150, 26 Suprep Bowel Prep, 19
Smart Sense Super Thin Lancets Universal 30G, 41
Stalevo 200, 26 Sure-fine Pen Needles 29GX1/2" 12.7MM, 41
Stalevo 50, 26
Smart Sense Thin Lancets Universal 26G, 41
Stalevo 75, 26 Sure-fine Pen Needles 31GX3/16" 5MM, 41
stannous fluoride oral rinse, 23
Smartest Lancets 28G, 41
Starlix, 17 Sure-fine Pen Needles 31GX5/16" 8MM, 41
Smartrx Gaba Kit, 27
stavudine, 3
Smartrx Gaba-v Kit, 27
Stavzor, 26 Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2", 41
Sodium Bicarbonate, 19
Staxyn, 10
sodium chloride, 33
Stelara, 12 Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16", 41
sodium citrate/citric acid, 21
Stendra, 10
Sodium Diuril, 9
Sterilance PA, 41 Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16", 41
Sodium Edecrin, 9
Sterilance TL, 41
sodium ferric gluconate complex/sucrose, 21
Stimate, 18 Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2", 41
Stiolto Respimat, 33
sodium hyaluronate, 13
Stivarga, 6 Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2", 41
sodium phenylacetate/sodium benzoate, 18
Strattera, 25
Strazepam, 25 Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16", 41
sodium phenylbutyrate, 18
Strensiq, 18
sodium sulfacetamide, 10, 12, 28
Streptomycin Sulfate, 2 Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16", 41
sodium sulfacetamide wash, 12
Striant, 15
sodium sulfacetamide/sulfur, 11
Stribild, 3 Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2", 41
Sodium Sulfacetamide/Sulfur, 11
Striverdi Respimat, 33
sodium sulfacetamide/sulfur cleanser, 11
Stromectol, 4 Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2", 41
Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 11
Strovite Forte, 36
Strovite One, 36 Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16", 41
sodium sulfacetamide/sulfur cleansing cloths, 11
Stuart Prenatal, 35
Suboxone, 30 Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16", 41
sodium sulfacetamide/sulfur green, 11
Subsys, 30
Sodium Sulfacetamide/Sulfur IN Urea, 11
Succinylcholine Chloride, 27 Sure-lance Flat Lancets, 41
sodium sulfacetamide/sulfur w/sunscreen, 11
Suclear, 19 Sure-lance Lancets 26G, 41
Sucraid, 20 Sure-lance Thin Lancets 28G, 41
sodium sulfacetamide/sulfur wash, 11
sucralfate, 19 Sure-lance Ultra Thin Lancets, 41
Solaice, 14
Sular, 8 Sure-touch Lancets Universal, 41
Soliris, 23
sulfacetamide sodium, 11, 28 Surelite Lancets, 41
Solodyn, 2
Sulfacetamide Sodium, 28 Surfaxin, 34
Soltamox, 5
sulfacetamide sodium/prednisolone sodium phosphate, 28
Surmontil, 24
Solu-cortef, 15
Survanta Intratracheal, 34
Solu-medrol, 15
sulfacetamide sodium/sulfur, 11 Sustiva, 3
Solus V2 Pressure Activated Safety Lancets 28G, 41
sulfacetamide sodium/sulfur cleanser, 11 Sutent, 6
Sulfadiazine, 2 Suttar-2, 33
Solus V2 Twist Lancets 30G, 41
sulfamethoxazole/trimethoprim, 4 Suttar-SF, 33
Soma, 27
Sulfamethoxazole/Trimethoprim, 4 Sylatron, 7
Somatuline Depot, 18
sulfamethoxazole/trimethoprim DS, 4 Symax Duotab, 19
Somavert, 18
sulfasalazine, 20 Symbicort, 33
Sonata, 25
Sulfoam, 11 Symbyax, 27
Soolantra, 11
Sulfurated Lime, 14 Symlinpen 120, 16
Soothee, 14
sulindac, 31 Symlinpen 60, 16
Soriatane, 12
Sumadan Kit, 11 Synagex, 36
Sorilux, 12
Sumadan Wash, 11 Synalar, 13
sotalol HCL, 7
Sumadan XLT, 11 Synalar Cream Kit, 13
sotalol HCL (AF), 7
Sumatriptan, 31 Synalar Ointment Kit, 13
Sotalol Hydrochloride, 7
sumatriptan succinate, 31 Synalar Ts, 13
Sotylize, 7
Sumatriptan Succinate, 31 Synalgos-dc, 30
Sovaldi, 3
sumatriptan succinate refill, 31 Synapryn Fusepaq, 30
Spectracef, 1
Sumavel Dosepro, 32 Synarel, 18
Spinosad, 14
Sumaxin, 11 Synatek, 36
Spiriva Handihaler, 33
Sumaxin CP Kit, 11 Synera, 14
Spiriva Respimat, 33
Sumaxin Ts, 11 Synercid, 4
spironolactone, 9
Sumaxin Wash, 11 Synjardy, 17
spironolactone/hydrochlorothiazide, 9
Supartz, 27 Synribo, 7
Sporanox, 3
Supartz Fx, 27 Synthroid, 19
Sporanox Pulsepak, 3
Supervite, 36 Synvisc, 27
Spritam, 26
Supervite EC, 36 Synvisc One, 27
Sprix, 31
Support-500, 36 T
Sprycel, 6
Supprelin LA, 18
Tabloid, 5
Stalevo 100, 26
Supracil, 14
Tabradol Fusepaq, 27
Stalevo 125, 26
Suprax, 1
Taclonex, 13
tacrolimus, 5, 13
Terumo Insulin Syringe/1ML/29G X 1/2", 41
Theraproxen-500, 31
Tafinlar, 6
Theraproxen-60, 31
Tagrisso, 6
Terumo Insulin Syringe/1ML/30G X 3/8", 41
Theraproxen-90, 31
Taltz, 12
Theratramadol-60, 30
Talwin, 30
Terumo Insulin Syringe/U-100/0.3ML/29G X 1/2", 41
Theratramadol-90, 30
Tamiflu, 3
thiamine HCL, 34
tamoxifen citrate, 5
Terumo Insulin Syringe/U-100/0.5ML/27G X 1/2", 41
Thinlets GP Lancets, 41
tamsulosin HCL, 21
Thinlets Lancet, 41
Tandem F, 22
Terumo Insulin Syringe/U-100/0.5ML/28G X 1/2", 41
Thinpro Insulin Syringe/0.3ML/29G X 1/2", 41
Tandem Plus, 22
Tanzeum, 16
Terumo Insulin Syringe/U-100/1ML/28G X 1/2", 41
Thinpro Insulin Syringe/0.3ML/30G X 3/8", 41
Tapazole, 19
Tarceva, 6
Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2", 41
Thinpro Insulin Syringe/0.3ML/31G X 3/8", 41
Targretin, 7
Tarka, 9
Terumo Surguard Insulin Syringe/0.5ML/28G X 1/2", 41
Thinpro Insulin Syringe/0.5ML/28G X 1/2", 41
Taron-bc, 35
Taron-c DHA, 35
Terumo Surguard Insulin Syringe/0.5ML/29G X 1/2", 41
Thinpro Insulin Syringe/0.5ML/29G X 1/2", 41
Tasigna, 6
Tasmar, 26
Terumo Surguard Insulin Syringe/1ML/28G X 1/2", 41
Thinpro Insulin Syringe/0.5ML/30G X 3/8", 41
Taxotere, 6
Tazicef, 1
Terumo Surguard Insulin Syringe/1ML/29G X 1/2", 41
Thinpro Insulin Syringe/0.5ML/31G X 3/8", 41
Tazorac, 12
Tecentriq, 5
Tessalon Perles, 33 Thinpro Insulin Syringe/1ML/28G X 1/2", 41
Tecfidera, 27
Testim, 15
Tecfidera Starter Pack, 27
Testone Cik, 15 Thinpro Insulin Syringe/1ML/29G X 1/2", 41
Techlite AST Lancets, 41
Testopel, 15
Techlite Lancets, 41
testosterone, 15 Thinpro Insulin Syringe/1ML/30G X 3/8", 41
Techlite Lancets 30G, 41
Testosterone, 15
Techlite Pen Needles/31G X 5MM, 41
testosterone cypionate, 15 Thinpro Insulin Syringe/1ML/31G X 3/8", 41
Techlite Pen Needles/31G X 6 MM, 41
testosterone enanthate, 15
Techlite Pen Needles/31G X 8MM, 41
testosterone P.M., 15 Thiola, 21
Techlite Pen Needles/32G X 4MM, 41
Testosterone P.M., 15 thioridazine HCL, 24
Techlite Pen Needles/32G X 8MM, 41
Testred, 15 Thiotepa, 4
Technivie, 3
Tetanus Toxoid Adsorbed, 34 thiothixene, 24
Tegretol, 26
Tetanus/Diphtheria Toxoids-adsorbed, 34
Thrombin-jmi Diluent, 22
Tegretol-XR, 26
Thrombin-jmi Epistaxis, 22
Tekamlo, 9
Tetanus/Diphtheria Toxoids-adsorbed Adult, 34
Thrombin-jmi Syringe Spray Kit, 22
Tekturna, 8
Thrombin-jmi W/Dil Spray P.M. Actuator, 22
Tekturna HCT, 9
tetrabenazine, 26
telmisartan, 8
tetracaine HCL, 29 Thrombogen, 22
telmisartan/amlodipine, 9
Tetracaine HCL, 32 Thymoglobulin, 6
telmisartan/hydrochlorothiazide, 9
Tetracycline HCL, 2 Thyrolar-1, 19
temazepam, 25
tetracycline hydrochloride, 2 Thyrolar-1/2, 19
Temodar, 4
Tetrix, 14 Thyrolar-1/4, 19
Temovate, 13
Tev-tropin, 18 Thyrolar-2, 19
Temovate E, 13
Teveten, 8 Thyrolar-3, 19
temozolomide, 4
Teveten HCT, 9 tiagabine hydrochloride, 26
Tenex, 9
Texacort, 13 Tiazac, 8
Teniposide, 6
Texavite LQ, 36 Ticaspray, 33
Tenivac, 34
Thalomid, 6 Tice Bcg, 6
Tenoretic 100, 9
Theo-24, 33 ticlopidine HCL, 22
Tenoretic 50, 9
theophylline, 33 Ticlopidine HCL, 23
Tenormin, 7
theophylline CR, 33 Tigan, 20
Terazol 3, 21
theophylline ER, 33 Tikosyn, 8
Terazol 7, 21
Theophylline/D5W, 33 Timentin, 1
terazosin HCL, 8
Therabenzaprine-60, 27 Timolol Maleate, 7
terbinafine HCL, 2
Therabenzaprine-90, 27 timolol maleate, 28
terbutaline sulfate, 33
Therabenzaprine-90-5, 27 timolol maleate ophthalmic gel forming, 28
terconazole, 21
Theracodeine-300, 30
Tersi Foam, 12
Theracodophen-325, 30 Timoptic, 28
Terumo Insulin Syringe/0.3ML/30G X 3/8", 41
Theracys, 6 Timoptic Ocudose, 28
Therafeldamine, 31 Timoptic-xe, 28
Terumo Insulin Syringe/0.5ML/29G X 1/2", 41
Theranatal Core Nutrition, 35 Tindamax, 4
Therapentin-60, 26 tinidazole, 4
Terumo Insulin Syringe/0.5ML/30G X 3/8", 41
Therapentin-90, 26 Tirosint, 19
Theraprofen-60, 31 Tisseel, 22
Terumo Insulin Syringe/1ML/27G X 1/2", 41
Theraprofen-800, 31 Tisseel VH, 22
Theraprofen-90, 31 Tivicay, 3
Tivorbex, 31
tretinoin, 6, 11 Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16", 41
Tizanidine Comfort PAC, 27
Tretinoin, 11
tizanidine HCL, 27
Tretinoin (all-trans Retinoic Acid), 11 Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 41
TL G-FOL OS, 36
tretinoin microsphere, 11
TL Triseb, 12
tretinoin microsphere P.M., 11 Trueplus Insulin Syringe/U-100/1ML/29G X 1/2", 41
Tnkase, 23
Trexall, 5
Tobi, 2
Treximet, 32 Trueplus Insulin Syringe/U-100/1ML/30G X 5/16", 41
Tobi Podhaler, 2
Trezix, 30
Tobradex, 28
Tri-norinyl 28, 16 Trueplus Insulin Syringe/U-100/1ML/31G X 5/16", 41
Tobradex ST, 28
Tri-sila, 13
tobramycin, 2
Tri-VI-flor, 35 Trueplus Lancets 26G, 41
tobramycin sulfate, 2, 28
Triamcinolone, 15 Trueplus Lancets 28G, 41
Tobramycin Sulfate, 2
triamcinolone acetonide, 13, 23, 32 Trueplus Lancets 28G Super Thin, 41
tobramycin/dexamethasone, 28
Triamcinolone Acetonide, 13 Trueplus Lancets 30G, 41
Tobrex, 28
triamcinolone IN orabase, 23 Trueplus Lancets 30G Ultra Thin, 41
Tofranil, 24
Triamcinolone PF, 15 Trueplus Lancets 33G, 41
Tofranil-PM, 24
Triamcinolone/Lidocaine, 15 Trueplus Lancets 33G Micro Thin, 41
tolazamide, 16
Triamsil Combipak, 13 Trueplus Safety Lancets 28G, 41
Tolazamide, 16
triamterene/hydrochlorothiazide, 9 Trulicity, 16
Tolbutamide, 16
Triamterene/Hydrochlorothiazide, 9 Trumenba, 34
tolcapone, 26
Trianex, 13 Trusopt, 29
tolmetin sodium, 31
triazolam, 25 Truvada, 3
Tolmetin Sodium, 31
Triazolam, 25 Tudorza Pressair, 33
tolterodine tartrate, 21
Tribenzor, 9 Turkel Paracentesis Procedure Tray/8french, 32
tolterodine tartrate ER, 21
Tricare Prenatal, 36
Topamax, 26
Tricare Prenatal Compleat, 35 Tussicaps, 33
Topamax Sprinkle, 26
Tricare Prenatal DHA One, 35 Tussionex Pennkinetic Extended Release, 33
Topicort, 13
tricitrates, 21
topiramate, 26
Tricor, 10 Tuzistra XR, 33
Topiramate ER, 26
Triderma Forte, 13 Twinrix, 34
topotecan HCL, 6
Triferic, 22 Twynsta, 9
Topotecan HCL, 6
trifluoperazine HCL, 24 Tybost, 3
Toprol XL, 7
trifluridine, 28 Tygacil, 4
Torisel, 6
Triglide, 10 Tykerb, 6
Toronova II Suik, 31
trihexyphenidyl HCL, 26 Tylenol/Codeine #3, 30
Toronova Suik, 31
Trileptal, 26 Tylenol/Codeine #4, 30
torsemide, 9
Trilipix, 10 Typhim VI, 34
Torsemide, 9
Triloan II Suik, 15 Tysabri, 27
Totect, 7
Triloan Suik, 15 Tyvaso, 10
Toujeo Solostar, 16
trimethobenzamide HCL, 20 Tyvaso Refill, 10
Toviaz, 21
trimethoprim, 4 Tyvaso Starter, 10
Tracleer, 10
trimethoprim sulfate/polymyxin b sulfate, 28
Tyzeka, 3
Tradjenta, 17
Tyzine, 33
tramadol HCL, 30
trimipramine maleate, 24 Tyzine Pediatric Nasal Drops, 33
tramadol HCL ER, 30
Trintellix, 24 U
Tramadol HCL ER, 30
Triostat, 19
Uceris, 15, 20
tramadol hydrochloride/acetaminophen, 30
Trisenox, 6
Udamin SP, 36
Triseon, 11
Ulesfia, 14
Trandate, 7
Triumeq, 3
Uloric, 32
trandolapril, 8
Triveen-duo DHA, 36
Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 41
trandolapril/verapamil HCL, 9
Triveen-prx RNF, 36
trandolapril/verapamil HCL ER, 9
Trizivir, 3
Ulticare Insulin Safety Syringe/1ML/29G X 1/2", 41
tranexamic acid, 22
Trokendi XR, 26
Transderm-scop, 20
Tropazone, 14
Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16", 41
Tranxene T, 23
trospium chloride, 21
tranylcypromine sulfate, 24
trospium chloride ER, 21
Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 41
Travatan Z, 28
Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2", 41
Travoprost, 28
Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 41
Trazamine, 24
Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16", 41
trazodone HCL, 24
Ulticare Insulin Syringe/0.3ML/29G X 1/2", 41
Treanda, 4
Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16", 41
Trecator, 2
Ulticare Insulin Syringe/0.3ML/30G X 1/2", 41
Trelstar, 5
Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2", 41
Trelstar Mixject, 5
Ulticare Insulin Syringe/0.3ML/30G X 5/16", 41
Trepadiclofen-25, 31
Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2", 41
Trepoxicam-7.5, 31
Ulticare Insulin Syringe/0.5ML/28G X 1/2", 41
Tresiba Flextouch, 16
Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16", 41
Tretin-x, 11
Ulticare Insulin Syringe/0.5ML/29G X
1/2", 41
41 Ultram, 30
Ulticare Insulin Syringe/0.5ML/30G X 1/2", 41
Ulticare SHORT Pen Needles/31G X 8MM, 42
Ultram ER, 30
Ultrasal-ER, 14
Ulticare Insulin Syringe/0.5ML/30G X 5/16", 41
Ulticare Thin Lancets 30G, 42 Ultravate, 13
Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4", 42
Ultravate X, 13
Ulticare Insulin Syringe/1ML/28G X 1/2", 41
Ultresa, 20
Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4", 42
Umecta, 14
Ulticare Insulin Syringe/1ML/29G X 1/2", 41
Umecta Nail Film, 14
Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4", 42
Umecta PD, 14
Ulticare Insulin Syringe/1ML/30G X 1/2", 41
Unasyn, 1
Ulticare U-100 Insulin Syringes/1ML/31G X 1/4", 42
Unasyn Bulk Pack, 1
Ulticare Insulin Syringe/1ML/30G X 5/16", 41
Unifine Pentips 29GX12MM, 42
Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16", 42
Unifine Pentips 31G X 3/16", 42
Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16", 41
Unifine Pentips 31G X 6MM, 42
Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16", 42
Unifine Pentips 31G X 8MM, 42
Ulticare Insulin Syringe/SHORT/0.3ML/31G X 5/16", 41
Unifine Pentips 31GX5MM, 42
Ultilet Classic Lancets, 42 Unifine Pentips 31GX6MM, 42
Ulticare Insulin Syringe/SHORT/0.5ML/30G X 5/16", 41
Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16", 42
Unifine Pentips 31GX8MM, 42
Unifine Pentips 32GX4MM, 42
Ulticare Insulin Syringe/SHORT/0.5ML/31G X 5/16", 41
Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16", 42
Unifine Pentips Plus 29GX12MM, 42
Unifine Pentips Plus 31GX5MM, 42
Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16", 41
Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16", 42
Unifine Pentips Plus 31GX6MM, 42
Unifine Pentips Plus 31GX8MM, 42
Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16", 41
Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16", 42
Unilet Comfortouch Lancet, 42
Unilet Excelite, 42
Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2", 41
Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 42
Unilet Excelite II, 42
Unilet G.p. Lancet, 42
Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2", 41
Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 42
Unilet G.p. Superlite Lancet, 42
Unilet GP 28 Ultra Thin, 42
Ulticare Insulin Syringe/U-100/0.3ML/30G X 5/16", 41
Ultilet Lancets, 42 Unilet Lancet, 42
Ultilet Lancets 33G, 42 Unilet Lancets Micro-thin33G, 42
Ulticare Insulin Syringe/U-100/0.3ML/31G X 5/16", 41
Ultilet Pen Needle 32GX4MM/SHORT, 42
Unilet Lancets Super-thin30G, 42
Unilet Lancets Ultra-thin 28G, 42
Ulticare Insulin Syringe/U-100/0.5ML/29G X 1/2", 41
Ultilet Safety Lancets 23G, 42 Unilet Superlite Lancet, 42
Ultilet SHORT Pen Needles 31GX5/16", 42
Uniretic, 9
Ulticare Insulin Syringe/U-100/0.5ML/30G X 1/2", 41
Unistik 1, 42
Ultilet SHORT Pen Needles31GX3/16", 42
Unistik 2, 42
Ulticare Insulin Syringe/U-100/0.5ML/30G X 5/16", 41
Unistik 2 Comfort, 42
Ultiva, 30 Unistik 2 Extra, 42
Ulticare Insulin Syringe/U-100/0.5ML/31G X 5/16", 41
Ultra-thin II Auto Lancet, 42 Unistik 2 Neonatal, 42
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 42
Unistik 2 Normal, 42
Ulticare Insulin Syringe/U-100/1ML/29G X 1/2", 41
Unistik 2 Super, 42
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/31GX5/16", 42
Unistik 3, 42
Ulticare Insulin Syringe/U-100/1ML/30G X 1/2", 41
Unistik 3 Comfort, 42
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/30GX5/16", 42
Unistik 3 Extra, 42
Ulticare Insulin Syringe/U-100/1ML/30G X 5/16", 41
Unistik 3 Extra Single Use Safety Lancets/21G, 42
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/31GX5/16", 42
Ulticare Insulin Syringe/U-100/1ML/31G X 5/16", 41
Unistik 3 Gentle, 42
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 42
Unistik 3 Neonatal, 42
Ulticare Micro Pen Needles 31G X 8MM, 41
Unistik 3 Normal, 42
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16", 42
Unistik CZT Comfort, 42
Ulticare Micro Pen Needles 32G X 4MM, 41
Unistik CZT Normal, 42
Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 42
Unistik Safety Lancets 28G, 42
Ulticare Micro Pen Needles/31G X 8MM, 41
Unistik Safety Lancets 30G, 42
Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 42
Unistik Touch Safety Lancets 21G, 42
Ulticare Micro Pen Needles/32G X 4MM, 41
Unistik Touch Safety Lancets 23G, 42
Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 42
Unistik Touch Safety Lancets 28G, 42
Ulticare Mini Pen Needles 31GX6MM, 41
Unistik Touch Safety Lancets 30G, 42
Ulticare Mini Pen Needles Ulti-fine IV, 41
Ultra-thin II Lancets 28G, 42 Unituxin, 5
Ulticare Mini Pen Needles/31G X 6MM, 41
Ultra-thin II Lancets 30G, 42 Univasc, 8
Ultra-thin II Mini Pen Neeedles/31GX3/16", 42
Universal 1 Lancets Thin 26G, 42
Ulticare Mini Pen Needles31GX6MM, 41
Universal 1 Lancets Ultra Thin 30G, 42
Ulticare Original Pen Needles Ulti-fine, 41
Ultra-thin II Pen Needles 29GX1/2", 42 Uptravi, 10
Ultra-thin II Pen Needles/SHORT/31GX5/16", 42
Uramaxin, 14
Ulticare Pen Needles/29G X 12.7MM, 41
Uramaxin GT, 14
Ulticare SHORT Pen Needles 31GX8MM, 42
Ultra-thin II Safety Autolancets 26G, 42 Uramaxin GT Kit, 14
Ultracet, 30 urea, 13
Ulticare SHORT Pen Needles Ulti-fine IV,
Ultralance, 42 urea 40% nail film, 13
urea IN zinc undecylenate/lactic acid vehicle, 13
Vazculep, 10 vincristine sulfate, 6
Vecamyl, 9 vinorelbine tartrate, 6
urea topical, 13
Vectibix, 5 Viokace, 20
Urecholine, 21
Vectical, 12 Viracept, 3
Uretron D/S, 21
vecuronium bromide, 27 Viramune, 3
Urimar-t, 21
Vecuronium Bromide, 27 Viramune XR, 3
Urocit-k 10, 21
Velcade, 6 Virasal, 14
Urocit-k 15, 21
Veletri, 10 Virazole, 3
Urocit-k 5, 21
Velphoro, 20 Viread, 3
Urogesic-blue, 21
Veltin, 11 Viroptic, 28
Uroxatral, 21
Vemavite-prx 2, 36 Vistaril, 23
Urso 250, 20
Venipuncture Cpi, 14 Vistide, 3
Urso Forte, 20
venlafaxine HCL, 24 Vita-pren, 35
ursodiol, 20
venlafaxine HCL ER, 24 Vitafol, 36
Utibron Neohaler, 34
Venlafaxine HCL ER, 24 Vitafol Fe+, 36
Utopic, 14
Venofer, 22 Vitafol Gummies, 35
Uvadex, 7
Ventavis, 10 Vitafol Ultra, 36
V
Ventolin HFA, 33 Vitafol-nano, 35
Veramyst, 33 Vitafol-ob+dha, 36
V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2", 42
verapamil HCL, 8 Vitafol-one, 36
verapamil HCL ER, 8 Vital-d RX, 36
V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 42
verapamil HCL SR, 8 Vitalet Pro Lancets, 42
Verdeso, 13 Vitalet Pro Plus Lancets, 42
V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 42
Veregen, 14 Vitamedmd One RX/Quatrefolic, 36
Verelan, 8 Vitamedmd Plus RX/Quatre Folic, 36
V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 42
Verelan PM, 8 Vitamedmd Redichew RX, 35
Veripred 20, 15 Vitamin A, 34
V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 42
Verrunex, 14 vitamin c 222MG, 34
Versacloz, 25 vitamin d, 34
Vagifem, 21
Vesicare, 21 vitamin k1, 34
valacyclovir HCL, 3
Vexa, 14 Vitamin K1, 35
Valchlor, 4
Vexol, 28 Vitapearl, 35
Valcyte, 3
Vfend, 3 Vitaroca Plus, 36
valganciclovir, 3
Vfend IV, 3 Vitatrue, 36
Validerm, 13
Viagra, 10 Vitekta, 3
Valium, 23
Vibativ, 4 Vituz, 33
valproate sodium, 26
Viberzi, 20 Viva DHA, 35
valproic acid, 26
Vibramycin, 2 Vivactil, 24
valsartan, 8
Vicoprofen, 30 Vivelle-dot, 16
valsartan/hydrochlorothiazide, 9
Victoza, 16 Vivlodex, 31
Valtrex, 3
Victrelis, 3 Vivotif, 34
Valumark Lancet Super Thin 30G, 42
Vida Mia Unifine Pentips 32GX4MM, 42 Vogelxo, 15
Valumark Lancet Ultra Thin 28G, 42
Vida Mia Unifine Pentips Mini 31GX6MM, 42
Vogelxo P.M., 15
Valumark Pen Needles 29GX12MM, 42
Voltaren, 12
Valumark Pen Needles 31G X 6MM, 42
Vida Mia Unifine Pentips Original 29GX12MM, 42
Voltaren-XR, 31
Valumark Pen Needles 31G X 8MM, 42
Voluven, 23
Vanatol LQ, 30
Vida Mia Unilet Lancets Super Thin 30G, 42
Vopac, 12
Vancocin HCL, 4
Vopac GB, 12
Vancomycin, 4
Vida Mia Unilet Lancets Ultra Thin 28G, 42
Vopac Kt, 12
vancomycin HCL, 4
Voraxaze, 7
Vancomycin HCL, 4
Vida Mia Unipfine Pentipsshort 31GX8MM, 42
voriconazole, 2
Vancomycin HCL + Syrspendsf PH4, 4
Vortex Valved Holding Chamber, 43
Vancomycin HCL IN Dextrose, 4
Vidaza, 5 Vosol HC, 29
Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 42
Videx EC, 3 Vospire ER, 34
Videx Pediatric, 3 Votrient, 6
Vanishpoint Insulin Syringe/1ML/29G X 1/2", 42
Viekira PAK, 3 Vpriv, 22
Viekira XR, 3 Vraylar, 25
Vanos, 13
Vigamox, 28 Vsl#3 DS, 19
Vanoxide-HC, 11
Viibryd, 24 Vusion, 12
Vantas, 5
Viibryd Starter Pack, 24 Vytorin, 10
Vaprisol, 18
Vimizim, 18 Vyvanse, 25
Vaqta, 34
Vimovo, 31 W
Varivax, 34
Vimpat, 26
Varubi, 20
W&f Lancets 26G, 42
Vinacal B, 35
Vascepa, 10
W&f Lancets Colored 21G, 42
Vinate AZ Extra, 35
Vaseretic, 9
Walgreens Lancets, 42
Vinate Calcium, 35
vasopressin, 18
Walgreens Thin Lancets, 42
Vinate DHA RF, 35
Vasostrict, 18
Walgreens Ultra Thin Lancets, 42
Vinblastine Sulfate, 6
Vasotec, 8
warfarin sodium, 22
Watchhaler, 43
Zanosar, 4 zonisamide, 26
Welchol, 10
Zantac, 20 Zontivity, 23
Wellbutrin, 24
Zarontin, 26 Zorbtive, 18
Wellbutrin SR, 24
Zaroxolyn, 9 Zortress, 6
Wellbutrin XL, 24
Zarxio, 22 Zorvolex, 31
Westcort, 13
Zatean-CH, 36 Zostavax, 34
Westhroid, 19
Zatean-pn, 35 Zosyn, 1
Wheat Germ, 35
Zatean-pn DHA, 36 Zovia 1/50e, 16
Wilate, 23
Zatean-pn Plus, 35 Zovirax, 3, 12
Wp Thyroid, 19
Zavesca, 22 Zubsolv, 30
X
Zebeta, 7 Zuplenz, 20
Zecuity, 32 Zutripro, 33
Xalatan, 28
Zegerid, 20 Zyclara, 13
Xalkori, 6
Zelapar, 26 Zyclara P.M., 13
Xanax, 23
Zelboraf, 6 Zydelig, 6
Xanax XR, 23
Zemaira, 34 Zyflo, 34
Xarelto, 22
Zembrace Symtouch, 32 Zyflo CR, 34
Xarelto Starter Pack, 22
Zemplar, 18 Zykadia, 6
Xartemis XR, 30
Zemuron, 27 Zylet, 28
Xeljanz, 31
Zenpep, 20 Zyloprim, 32
Xeljanz XR, 31
Zenzedi, 25 Zymaxid, 28
Xeloda, 5
Zepatier, 3 Zyprexa, 25
Xenazine, 27
Zerbaxa, 4 Zyprexa Relprevv, 25
Xeomin, 27
Zerit, 3 Zyprexa Zydis, 25
Xerac Ac, 14
Zestoretic, 9 Zytiga, 5
Xerese, 12
Zestril, 8 Zyvodol, 12
Xgeva, 17
Zetia, 10 Zyvox, 4
Xifaxan, 4
Zetonna, 33 1
Xigduo XR, 17
Zevalin Y-90, 5
Xilapak, 13
1ST Choice Lancets Super Thin, 42
Ziac, 9
Xodol, 30
1ST Choice Lancets Thin, 42
Ziagen, 3
Xofigo, 6
1ST Choice Lancets Ultra Thin, 42
Ziana, 11
Xolair, 33
1ST Tier Unifine Pentips 29GX12MM, 42
zidovudine, 3
Xolegel, 12
1ST Tier Unifine Pentips 31GX6MM, 42
Zinacef, 1
Xolegel Corepak, 12
1ST Tier Unifine Pentips 31GX8MM, 42
Zinbryta, 27
Xolegel Duo/Head & Shoulders, 12
8
Zinecard, 7
Xolegel Duo/Xolex, 12
Zioptan, 28
8-mop, 12
Xopenex, 34
ziprasidone HCL, 24
Xopenex Concentrate, 34
Zipsor, 31
Xopenex HFA, 34
Zirgan, 28
Xrylix, 12
Zithranol, 12
Xtampza ER, 30
Zithranol-rr, 12
Xtandi, 5
Zithromax, 2
Xuriden, 18
Zithromax Tri-PAK, 2
Xylocaine, 8, 14, 32
Zithromax Z-PAK, 2
Xylocaine-mpf, 32
Zmax, 2
Xylocaine-mpf/Epinephrine, 32
Zocor, 10
Xylocaine/Epinephrine, 32
Zofran, 20
Xyntha, 23
Zofran Odt, 20
Xyntha Solofuse, 23
Zohydro ER, 30
Xyrem, 27
Zoladex, 5
Xyzal, 32
zoledronic acid, 17
Y
Zoledronic Acid, 17
Zolinza, 6
Yasmin 28, 16
zolmitriptan, 31
Yaz, 16
zolmitriptan odt, 31
Yervoy, 5
Zoloft, 24
Yf-vax, 34
zolpidem tartrate, 25
Yodoxin, 4
zolpidem tartrate ER, 25
Yondelis, 4
Zolpimist, 25
Your Life Multi Prenatal, 35
Zomacton, 18
Z
Zometa, 17
Zacare 4% Kit, 11
Zomig, 32
Zacare 8% Kit, 11
Zomig Nasal Spray, 31
zafirlukast, 33
Zomig ZMT, 32
zaleplon, 25
Zonalon, 12
Zaltrap, 5
Zonatuss, 33
Zamicet, 30
Zonegran, 26
Zanaflex, 27