Arizona Complete Health-Complete Care Plan Lista completa ... · Puede ver la lista de . ......

Arizona Complete Health-Complete Care Plan Lista completa de medicamentos preferentes: La lista completa de medicamentos de Arizona Complete Health-Complete Care Plan incluye medicamentos que han sido revisados y aprobados por un comité de médicos y farmacéuticos. No es una lista completa de todos los medicamentos cubiertos. Si necesita un medicamento que no figura en la lista, llame a los servicios para afiliados de Arizona Complete Health-Complete Care Plan y pregunte si está cubierto. Si el medicamento no está cubierto, su médico puede solicitar autorización previa para cubrir el medicamento.

La lista de medicamentos se actualiza con frecuencia y puede cambiar. Puede ver la lista de medicamentos más reciente en www.azcompletehealth.com/providers/pharmacy.html

www.azcompletehealth.com/providers/pharmacy.html

Programa de farmacia Arizona Complete Health-Complete Care Plan proporciona farmacoterapia adecuada, de alta calidad y rentable a todos los afiliados de Arizona Complete Health-Complete Care Plan. Arizona Complete Health-Complete Care Plan cubre medicamentos recetados y ciertos medicamentos de venta libre (OTC) cuando son indicados por un médico. Algunos medicamentos requieren autorización previa (PA) o tienen límites para la edad, dosis y cantidades máximas.

Los medicamentos genéricos tienen el mismo principio activo que sus equivalentes con nombre de marca y deben usarse como primera línea de tratamiento. Esto se aplica a menos que se indique concretamente que se prefiere una marca. Si no hay un medicamento genérico disponible, puede haber más de un medicamento de nombre de marca que se pueda usar en su tratamiento. La PDL completa de Arizona Complete Health-Complete Care se revisa con frecuencia por nuestro Comité de Farmacia y Tratamientos (P&T) de Arizona Complete Health. Esto ayuda a promover el uso apropiado y rentable de los medicamentos.

Límites de dosis Puede obtener hasta un suministro máximo de treinta (30) días o cien (100) dosis unitarias por cada nueva receta médica o reabastecimiento de medicamentos. Debe haber transcurrido un total del 85 % del suministro de 30 días antes de que se pueda reabastecer la receta médica para la mayoría de los medicamentos.

Autorización previa y otros límites Algunos medicamentos que figuran en la PDL completa de Arizona Complete Health-Complete Care Plan pueden requerir autorización previa (PA). Su médico o farmacéutico solicitará una PA para usted. Puede encontrar este documento en el sitio web de Arizona Complete Health-Complete Care Plan en https://www.azcompletehealth.com/providers/pharmacy.html Su proveedor puede enviar una solicitud de PA electrónicamente a https://www.covermymeds.com/epa/envolverx/ También pueden enviar por fax el formulario de PA a: 1-855-554-5233

Arizona Complete Health-Complete Care Plan cubrirá el medicamento si:

1. Existe un motivo médico de salud mental que requiera el medicamento específico 2. Dependiendo del medicamento, otros medicamentos en la PDL no han funcionado

Si la solicitud es aprobada, Arizona Complete Health-Complete Care Plan informa al médico por fax. Si la información clínica provista no cumple con los criterios de cobertura para el medicamento solicitado, Arizona Complete Health-Complete Care

https://www.azcompletehealth.com/providers/pharmacy.html

https://www.covermymeds.com/epa/envolverx/

Plan realizará lo siguiente: • Revisará la solicitud y les informará a usted y su médico sobre nuestra decisión

• Le informará sobre medicamentos alternativos, si estuviesen disponibles • Proporcionará información sobre lo que puede hacer para apelar nuestra decisión si no está de acuerdo con ella.

Abreviación Significado Cómo funciona

AL Límite de edad Algunos medicamentos solo están cubiertos para ciertas edades.

F Formulario Estos medicamentos están cubiertos por Arizona Complete Health-Complete Care Plan.

MP Mantenimiento Producto

Estos medicamentos se utilizan para el tratamiento de afecciones o enfermedades a largo plazo.

NF Fuera del formulario

Estos medicamentos requieren autorización para estar cubiertos por Arizona Complete Health-Complete Care Plan.

PA Autorización previa

Su médico debe solicitar la aprobación de Arizona Complete Health-Complete Care Plan antes de cubrir algunos medicamentos.

QL Límite de cantidad

Algunos medicamentos solo están cubiertos para una cantidad determinada.

SP Medicamentos especiales

Se utilizan para el tratamiento de afecciones complejas o raras como hepatitis C o artritis reumatoide.

ST Terapia escalonada

En algunos casos, primero debe probar ciertos medicamentos antes de que Arizona Complete Health-Complete Care Plan cubra otro medicamento para su afección médica.

Por ejemplo, si el Medicamento A y el Medicamento B tratan su afección médica, el plan puede no cubrir el Medicamento B a menos que pruebe primero el Medicamento A.

Solicitudes por necesidad médica Si necesita un medicamento para tratar una afección que no figura en la PDL, su médico puede presentar una solicitud de necesidad médica (MN) para el medicamento.

Política de suministro de emergencia Las leyes estatales y federales exigen que una farmacia dispense un suministro de hasta 4 días a cualquier afiliado que espera una determinación de PA. El propósito es evitar la interrupción del tratamiento o retrasos en el inicio del

tratamiento. Las farmacias de la red están autorizadas a proporcionar un suministro de hasta 4 días de medicamentos tradicionales (no especiales). Solicite a su farmacia que llame al Servicio de Asistencia a Farmacias al 1-888-624-1131 para obtener ayuda para reabastecer el suministro de emergencia de 4 días.

Exclusiones La lista de medicamentos de Arizona Complete Health-Complete Care Plan no incluye ciertos medicamentos. Los siguientes tipos de medicamentos están excluidos de la cobertura. Tampoco están disponibles como suministro de emergencia de 4 días.

• Medicamentos que se consideran experimentales o de investigación • Medicamentos de estudios de eficacia e implementación de medicamentos (DESI) • Prótesis, aparatos y dispositivos • Medicamentos recetados para esterilidad • Medicamentos recetados para disfunción eréctil. • Medicamentos recetados con fines estéticos o para el crecimiento del cabello • Vitaminas y minerales orales o medicamentos OTC (con excepción de los que figuran en la PDL)

• Suplementos nutricionales • Marihuana médica • Medicamentos cubiertos por Medicare Parte D (para afiliados elegibles de Medicare) con excepción de medicamentos en la lista de medicamentos de salud mental para afiliados de SMI.

Productos recién aprobados Arizona Complete Health-Complete Care Plan revisa los nuevos medicamentos para determinar su seguridad y efectividad antes de agregarlos a la PDL. Durante este período, el acceso a estos medicamentos se considerará mediante el proceso de revisión de PA.

Cómo reabastecer una receta médica

Puede reabastecer su receta médica en una farmacia de la red de Arizona Complete Health-Complete Care Plan. Para encontrar una farmacia dentro de la red, visite el sitio web de Arizona Complete Health-Complete Care Plan https://providersearch.azcompletehealth.com. También puede llamar a los servicios para afiliados para obtener ayuda para encontrar una farmacia de la red cerca suyo. Cuando seleccione una farmacia, traiga con usted su tarjeta de identificación de Arizona Complete Health-Complete Care Plan. La farmacia necesitará la información que figura en la tarjeta para reabastecer su receta médica.

https://providersearch.azcompletehealth.com/

Para obtener más información sobre sus beneficios de farmacia, consulte su Guía para afiliados o llame a los servicios para afiliados al 888-788-4408 (TTY/TDY 711).

Nombre del medicamento

Nivel del

medi came nto

Requisitos/Lími tes

ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS - Drugs to TreatADHD, Sleep and Eating Disorders

Amphetamines ADDERALL TABS (Amphetamine-Dextroamphetamine)

F QL(2 ea daily);AL(At least 6yrs old)

ADDERALL XR CP24 2.5MG-2.5MG-2.5MG-2.5MG, 7.5MG-7.5MG-7.5MG-7.5MG, 1.25MG-1.25MG-1.25MG-1.25MG, 3.75MG-3.75MG-3.75MG-3.75MG, 6.25MG-6.25MG-6.25MG-6.25MG (Amphetamine-Dextroamphetamine)

F

QL(1 ea daily);AL(At least 6yrs old)

ADDERALL XR CP24 5MG-5MG-5MG-5MG (Amphetamine-Dextroamphetamine)

F


amphetamine-dextroamphetamine tabs5mg-5mg-5mg-5mg,2.5mg-2.5mg-2.5mg-2.5mg, 7.5mg-7.5mg-7.5mg-7.5mg, 1.25mg-1.25mg-1.25mg-1.25mg,3.75mg-3.75mg-3.75mg-3.75mg, 1.875mg-1.875mg-1.875mg-1.875mg, 3.125mg-3.125mg-3.125mg-3.125mg,

F


dextroamphetamine sulfatetabs 5 mg, 10 mg F


DYANAVEL XR SUER 2.5 MG/ML F

QL(5 ml daily);AL(At least 6yrs old)

VYVANSE CAPS F QL(1 ea daily);AL(At least 6yrs old)

VYVANSE CHEW F QL(1 ea daily);AL(At least 6yrs old)


Nivel del

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Attention-Deficit/Hyperactivity Disorder (ADHD)

atomoxetine hcl caps F QL(1 ea daily);AL(At least 6yrs old)

clonidine hcl (adhd) tb12 F QL(4 ea daily);AL(At least 6yrs old)

guanfacine hcl (adhd) tb24 F QL(1 ea daily);AL(At least 6yrs old)

INTUNIV TB24 (Guanfacine HCl (ADHD)) NF


STRATTERA CAPS (Atomoxetine HCl) NF


Stimulants - Misc.

APTENSIO XR CP24 F QL(1 ea daily);AL(At least 6yrs old)

CONCERTA TBCR (Methylphenidate HCl) F


DAYTRANA PTCH F QL(1 ea daily);AL(At least 6yrs old)

dexmethylphenidate hcltabs 5 mg, 10 mg, 2.5 mg F


FOCALIN TABS (Dexmethylphenidate HCl) NF


FOCALIN XR CP24 (Dexmethylphenidate HCl) F


METHYLIN SOLN (Methylphenidate HCl) F

QL(10 mldaily); AL(Atleast 6 yrs old)

methylphenidate hcl cp24or 10 mg, 20 mg, 30 mg, 40mg, 60 mg


methylphenidate hcl cpcr or10 mg, 20 mg, 30 mg, 40mg, 50 mg, 60 mg


Arizona Complete Health-Complete Care Plan Actualizada 11/2019

1


Nivel del

medi came nto


methylphenidate hcl tabs or5 mg, 10 mg, 20 mg F


QUILLICHEW ER CHER F QL(1 ea daily);AL(At least 6yrs old)

QUILLIVANT XR SUSR F QL(5 ml daily);AL(At least 6yrs old)

RITALIN LA CP24 10 MG (Methylphenidate HCl) F


RITALIN LA CP24 20 MG, 30 MG, 40 MG (Methylphenidate HCl)

NF QL(2 ea daily);AL(At least 6yrs old)

RITALIN TABS (Methylphenidate HCl) NF


AMINOGLYCOSIDES - Drugs to Treat BacterialInfections

Aminoglycosides

BETHKIS NEBU F PA; SP

KITABIS PAK NEBU F PA; SP

neomycin sulfate tabs or F

TOBI NEBU (Tobramycin) NF SP

ANALGESICS - ANTI-INFLAMMATORY - Drugsto Treat Pain, Swelling, Muscle and JointConditions

Anti-TNF-alpha - Monoclonal Antibodies HUMIRA PEDIATRIC CROHNS DISEASE STARTER PACK PSKT

F PA; SP

HUMIRA PEN PNKT F PA; SP

HUMIRA PEN-CD/UC/HSSTARTER PNKT F PA; SP

HUMIRA PEN-PS/UVSTARTER PNKT F PA; SP

HUMIRA PSKT F PA; SP


Nivel del

medi came nto


Antirheumatic - Enzyme Inhibitors

XELJANZ TABS F PA; SP

Nonsteroidal Anti-inflammatory Agents (NSAIDs) ADVIL CAPS (Ibuprofen) NF

ADVIL MIGRAINE CAPS (Ibuprofen) NF

ADVIL TABS (Ibuprofen) NF

ALEVE ARTHRITIS TABS (Naproxen Sodium) NF

ALEVE CAPS (NaproxenSodium) NF

ALEVE TABS (NaproxenSodium) NF

ANAPROX DS TABS (Naproxen Sodium) NF

ARTHROTEC 50 TBEC (Diclofenac w/ Misoprostol) NF

ARTHROTEC 75 TBEC (Diclofenac w/ Misoprostol) NF

CELEBREX CAPS (Celecoxib) NF PA; QL(2 ea

daily) celecoxib caps or 50 mg,100 mg, 200 mg, 400 mg F PA; QL(2 ea

daily) CHILDRENS ADVIL SUSP (Ibuprofen) NF RX/OTC

CHILDRENS MOTRIN SUSP (Ibuprofen) NF RX/OTC

DAYPRO TABS (Oxaprozin) NF

diclofenac potassium tabs50 mg F

diclofenac sodium tb24 or 100 mg F

diclofenac sodium tbec or 25 mg, 50 mg, 75 mg F

diclofenac w/ misoprostoltbec F

EC-NAPROSYN TBEC (Naproxen) NF


2


Nivel del

medi came nto


EC-NAPROXEN TBEC (Naproxen) NF

etodolac caps F

etodolac tabs F

etodolac tb24 F

FELDENE CAPS (Piroxicam) NF

FENOPROFEN CALCIUM CAPS OR 400 MG F

fenoprofen calcium tabs or600 mg F

flurbiprofen tabs or 50 mg,100 mg F

ibuprofen caps or 200 mg F

ibuprofen chew or 100 mg F

ibuprofen susp or 100mg/5ml F RX/OTC

ibuprofen susp or 40mg/ml, 50 mg/1.25ml F

ibuprofen tabs or 200 mg,400 mg, 600 mg, 800 mg F

INDOCIN SUPP F

INDOCIN SUSP F

indomethacin caps or 25mg, 50 mg F

indomethacin cpcr or 75 mg F

INFANTS ADVIL SUSP (Ibuprofen) NF

ketoprofen caps or 50 mg,75 mg F

KETOPROFEN CAPS OR 75 MG F

KETOPROFEN ER CP24 F

ketorolac tromethamine tabs or 10 mg F QL(20 ea per

30 days retail)


Nivel del

medi came nto


LODINE TABS (Etodolac) NF

MECLOFENAMATE SODIUM CAPS OR 50 MG, 100 MG

F

mefenamic acid caps or250 mg F

meloxicam tabs or 15 mg,7.5 mg F

MOBIC TABS (Meloxicam) NF

MOTRIN CHILDRENS CHEW (Ibuprofen) NF

MOTRIN INFANTS DROPS SUSP (Ibuprofen) NF

nabumetone tabs or 500 mg, 750 mg F

NALFON CAPS 400 MG F

NALFON TABS 600 MG (Fenoprofen Calcium) NF

NAPROSYN SUSP (Naproxen) NF

NAPROSYN TABS (Naproxen) NF

naproxen sodium caps or220 mg F

naproxen sodium tabs or220 mg, 275 mg, 550 mg F

naproxen susp or 125mg/5ml F

naproxen tabs or 250 mg,375 mg, 500 mg F

naproxen tbec or 375 mg,500 mg F

oxaprozin tabs 600 mg F

piroxicam caps or 10 mg,20 mg F

PONSTEL CAPS (Mefenamic Acid) NF

sulindac tabs or 150 mg,200 mg F


3


Nivel del

medi came nto


TOLMETIN SODIUM CAPS F

TOLMETIN SODIUM TABS F

Phosphodiesterase 4 (PDE4) Inhibitors

OTEZLA TABS F PA; SP

OTEZLA TBPK F PA; SP

Pyrimidine Synthesis Inhibitors ARAVA TABS (Leflunomide) NF

leflunomide tabs or 10 mg,20 mg F

Soluble Tumor Necrosis Factor Receptor Agents

ENBREL MINI SOCT F PA; SP

ENBREL SOLR F PA; SP

ENBREL SOSY F PA; SP

ENBREL SURECLICK SOAJ F PA; SP

ANALGESICS - NonNarcotic - Drugs to TreatPain, Muscle and Joint Conditions

Analgesic Combinations butalbital-acetaminophen-caffeine tabs 325mg-50mg-40mg

F QL(4 ea daily)

butalbital-aspirin-caffeinecaps 50mg-40mg-325mg F QL(6 ea daily)

BUTALBITAL/ASPIRIN/CAFFEINE TABS 50MG-40MG-325MG

F QL(6 ea daily)

ESGIC TABS (Butalbital-Acetaminophen-Caffeine) NF QL(4 ea daily)

FIORINAL CAPS (Butalbital-Aspirin-Caffeine) NF QL(6 ea daily)

Analgesics Other acetaminophen caps or500 mg F


Nivel del

medi came nto


acetaminophen chew or 80 mg F

acetaminophen elix or 160mg/5ml, 80 mg/2.5ml F

acetaminophen liqd or 160mg/5ml F

acetaminophen soln or 160mg/5ml, 650 mg/20.3ml,325 mg/10.15ml

F

acetaminophen supp re120 mg, 325 mg, 650 mg F

acetaminophen susp or160 mg/5ml, 80 mg/2.5ml,650 mg/20.3ml

F

acetaminophen tabs or 325mg, 500 mg F

FEVERALL JUNIOR STRENGTH SUPP F

TYLENOL CHILDRENS SUSP (Acetaminophen) NF

TYLENOL EXTRA STRENGTH TABS (Acetaminophen)

NF

TYLENOL INFANTS PAIN+FEVER SUSP (Acetaminophen)

NF

TYLENOL INFANTS SUSP (Acetaminophen) NF

TYLENOL TABS (Acetaminophen) NF

Salicylates aspirin buffered (cal carb-mag carb-mag oxide) tabs F

aspirin chew or 81 mg F

ASPIRIN SUPP RE 120 MG, 200 MG, 300 MG, 600 MG

F

aspirin supp re 300 mg,600 mg F

aspirin tabs or 325 mg F

aspirin tbec or 81 mg, 324mg, 325 mg, 500 mg F


4


Nivel del

medi came nto


BUFFERIN TABS (AspirinBuffered (Cal Carb-MagCarb-Mag Oxide))

NF

choline & mag salicylateliqd F

diflunisal tabs F

ECOTRIN MAXIMUM STRENGTH TBEC (Aspirin)

NF

ECOTRIN REGULAR STRENGTH TBEC (Aspirin)

NF

salsalate tabs or 500 mg,750 mg F

ANALGESICS - OPIOID - Drugs to Treat Pain,Muscle and Joint Conditions

Opioid Agonists DEMEROL TABS OR 100 MG (Meperidine HCl) NF

DILAUDID LIQD OR 1 MG/ML (HydromorphoneHCl)

NF QL(16 ml daily)

DILAUDID TABS OR 2 MG, 4 MG, 8 MG (Hydromorphone HCl)

NF QL(6 ea daily)

DURAGESIC PT72 (Fentanyl) NF PA

EMBEDA CPCR F PA

fentanyl pt72 12 mcg/hr, 25mcg/hr, 50 mcg/hr, 75mcg/hr, 100 mcg/hr

F PA

hydromorphone hcl liqd or1 mg/ml F QL(16 ml daily)

HYDROMORPHONE HCL SUPP RE 3 MG F

12 permonth;QL(0.4ea daily,12 eaper fill retail)

hydromorphone hcl tabs or2 mg, 4 mg, 8 mg F QL(6 ea daily)

MEPERIDINE HCL TABS OR 50 MG, 100 MG F


Nivel del

medi came nto


meperidine hcl tabs or 50mg, 100 mg F

morphine sulfate soln or 10mg/5ml, 20 mg/5ml F

500 permonth;QL(16.67 ml daily)

morphine sulfate soln or 20mg/ml, 100 mg/5ml F

MORPHINE SULFATE SUPP RE 5 MG, 10 MG, 20 MG, 30 MG

F QL(6 ea daily)

morphine sulfate tabs or 15mg, 30 mg F QL(6 ea daily)

MORPHINE SULFATE TABS OR 15 MG, 30 MG (Morphine Sulfate)

NF QL(6 ea daily)

morphine sulfate tbcr or 15mg, 30 mg, 60 mg, 100 mg,200 mg

F PA

MS CONTIN TBCR (Morphine Sulfate) NF PA

oxycodone hcl caps or 5 mg F QL(6 ea daily)

oxycodone hcl conc or 100mg/5ml F QL(6 ml daily)

oxycodone hcl soln or 5mg/5ml F QL(6 ml daily)

oxycodone hcl tabs or 5mg, 10 mg, 15 mg, 20 mg,30 mg

F QL(6 ea daily)

ROXICODONE TABS (Oxycodone HCl) NF QL(6 ea daily)

tramadol hcl tabs or 50 mg F QL(6 ea daily)

tramadol hcl tb24 or 100 mg, 200 mg, 300 mg F PA

ULTRAM TABS (Tramadol HCl) NF QL(6 ea daily)

XTAMPZA ER C12A F PA

Opioid Combinations acetaminophen w/ codeinesoln 120mg/5ml-12mg/5ml F QL(16 ml daily)


5


Nivel del

medi came nto


acetaminophen w/ codeinetabs 300mg-15mg, 300mg-30mg, 300mg-60mg

F QL(6 ea daily)

butalbital-acetaminophen-caffeine w/ codeine caps F QL(6 ea daily)

butalbital-aspirin-caffeinew/cod caps 50mg-40mg-30mg-325mg

F QL(6 ea daily)

FIORICET/CODEINECAPS (Butalbital-Acetaminophen-Caffeinew/ Codeine)

NF

QL(6 ea daily)

FIORINAL/CODEINE #3CAPS (Butalbital-Aspirin-Caffeine w/Cod)

NF QL(6 ea daily)

hydrocodone-acetaminophen soln2.5mg/5ml-108mg/5ml,5mg/10ml-217mg/10ml,7.5mg/15ml-325mg/15ml

F

QL(16 ml daily)

hydrocodone-acetaminophen tabs 5mg-300mg, 5mg-325mg,10mg-300mg, 10mg-325mg, 2.5mg-325mg,7.5mg-300mg, 7.5mg-325mg

F

QL(6 ea daily)

hydrocodone-ibuprofentabs F QL(6 ea daily)

IBUDONE TABS (Hydrocodone-Ibuprofen) NF QL(6 ea daily)

NORCO TABS (Hydrocodone-Acetaminophen)

NF QL(6 ea daily)

oxycodone w/acetaminophen tabs F QL(6 ea daily)

oxycodone-aspirin tabs F QL(6 ea daily)

OXYCODONE/ACETAMINOPHEN SOLN F

200 permonth;QL(6.67ml daily)

OXYCODONE/ASPIRINTABS F QL(6 ea daily)


Nivel del

medi came nto


PERCOCET TABS (Oxycodone w/Acetaminophen)

NF QL(6 ea daily)

PRIMLEV TABS 5MG-300MG, 10MG-300MG F QL(6 ea daily)

tramadol-acetaminophentabs 37.5mg-325mg F QL(3 ea daily)

TYLENOL/CODEINE #3TABS (Acetaminophen w/Codeine)

NF QL(6 ea daily)

TYLENOL/CODEINE #4TABS (Acetaminophen w/Codeine)

NF QL(6 ea daily)

ULTRACET TABS (Tramadol-Acetaminophen) NF QL(3 ea daily)

XODOL TABS (Hydrocodone-Acetaminophen)

NF QL(6 ea daily)

Opioid Partial Agonists

buprenorphine hcl subl sl 2 mg F

Smart PA Required;QL(12 ea daily)

buprenorphine hcl subl sl 8 mg F

Smart PA Required;QL(3ea daily)

buprenorphine hcl-naloxone hcl dihydrate subl2mg-0.5mg

F QL(12 ea daily)

buprenorphine hcl-naloxone hcl dihydrate subl8mg-2mg

F QL(3 ea daily)

BUTRANS PTWK (Buprenorphine) F PA

SUBLOCADE SOSY F PA; SP

SUBOXONE FILM 12MG-3MG (Buprenorphine HCl-Naloxone HCl Dihydrate)


SUBOXONE FILM 2MG-0.5MG (BuprenorphineHCl-Naloxone HCl Dihydrate)

F

QL(12 eadaily); AL(Atleast 6 yrs old)


6


Nivel del

medi came nto






ANDROGENS-ANABOLIC - Drugs to RegulateHormones

Androgens

ANDRODERM PT24 F PA

ANDROGEL GEL 25 MG/2.5GM, 40.5MG/2.5GM, 20.25MG/1.25GM (Testosterone)

NF

PA

ANDROGEL PUMP GEL (Testosterone) NF PA

danazol caps or 50 mg,100 mg, 200 mg F

DEPO-TESTOSTERONE SOLN (Testosterone Cypionate)

NF PA

testosterone cypionate solnim 100 mg/ml, 200 mg/ml F PA

testosterone enanthate soln im 200 mg/ml F PA

testosterone gel td 1.62 %,25 mg/2.5gm, 40.5mg/2.5gm, 20.25mg/1.25gm

F

PA

TESTOSTERONE GEL TD 25 MG/2.5GM F PA

testosterone soln td 30 mg/act F PA

ANORECTAL AGENTS - Rectal Drugs to TreatPain, Swelling and Itching

Intrarectal Steroids CORTENEMA ENEM (Hydrocortisone(Intrarectal))

NF

CORTIFOAM FOAM F


Nivel del

medi came nto


hydrocortisone (intrarectal)enem 100 mg/60ml F

Rectal Combinations ANALPRAM HC CREA (Hydrocortisone Acetate w/Pramoxine)

NF

ANALPRAM HC SINGLES CREA (HydrocortisoneAcetate w/ Pramoxine)

NF

ANALPRAM-HC CREA 1%-1% (HydrocortisoneAcetate w/ Pramoxine)

NF

hydrocortisone acetate w/pramoxine crea F

PROCORT CREA F

Rectal Steroids ANUSOL-HC CREA (Hydrocortisone (Rectal)) NF

hydrocortisone (rectal) crea F

PROCTOCORT CREA 1 % (Hydrocortisone (Rectal)) NF

ANTACIDS

Antacid Combinations alum & mag hydrox-simethicone liqd200mg/5ml-20mg/5ml-200mg/5ml, 400mg/5ml-40mg/5ml-400mg/5ml

F


7


Nivel del

medi came nto


alum & mag hydrox-simethicone susp200mg/5ml-20mg/5ml-200mg/5ml, 400mg/5ml-40mg/5ml-400mg/5ml,40mg/5ml-400mg/5ml-400mg/5ml, 400mg/10ml-40mg/10ml-400mg/10ml-0.2%, 200mg/5ml-200mg/5ml-20mg/5ml-20mg/5ml-200mg/5ml-200mg/5ml, 400mg/5ml-400mg/5ml-40mg/5ml-40mg/5ml-400mg/5ml-400mg/5ml

F

HYVEE ADVANCED ANTACID MAXIMUM STRENGTH SUSP (Alum & Mag Hydrox-Simethicone)

NF

Antacids - Aluminum Salts ALUMINUM HYDROXIDE SUSP OR F

Antacids - Calcium Salts

ANTACID CHEW F

ANTACID SOFT CHEWS CHEW F

calcium carbonate (antacid) chew 400 mg,420 mg, 500 mg, 750 mg,1000 mg

F

CALCIUM CARBONATE TABS OR 648 MG F

MAALOX CHEW F

TUMS CHEW (Calcium Carbonate (Antacid)) NF

TUMS CHEWY BITES CHEW (Calcium Carbonate (Antacid))

NF

TUMS CHEWY DELIGHTS CHEW F


Nivel del

medi came nto


TUMS E-X 750 CHEW (Calcium Carbonate (Antacid))

NF

TUMS EXTRA STRENGTH 750 CHEW (Calcium Carbonate (Antacid))

NF

TUMS KIDS CHEW (Calcium Carbonate (Antacid))

NF

TUMS LASTING EFFECTS CHEW (Calcium Carbonate (Antacid))

NF

TUMS SMOOTHIES CHEW (Calcium Carbonate (Antacid))

NF

TUMS ULTRA 1000 CHEW (Calcium Carbonate (Antacid))

NF

Antacids - Magnesium Salts magnesium oxide tabs 400 mg F

ANTHELMINTICS - Drugs to Treat WormInfections

Anthelmintics albendazole tabs or 200 mg F PA

ALBENZA TABS (Albendazole) NF PA

BILTRICIDE TABS (Praziquantel) NF

ivermectin tabs or 3 mg F PA

praziquantel tabs or 600 mg F

pyrantel pamoate susp or F

REESES PINWORM MEDICINE TABS F

STROMECTOL TABS (Ivermectin) NF PA

ANTI-INFECTIVE AGENTS - MISC. - Drugs toTreat Bacterial Infections

Anti-infective Agents - Misc.


8


Nivel del

medi came nto


FLAGYL CAPS (Metronidazole) NF

FLAGYL TABS (Metronidazole) NF

metronidazole caps or 375 mg F

metronidazole tabs or 250 mg, 500 mg F

trimethoprim tabs or 100 mg F

Anti-infective Misc. - Combinations BACTRIM DS TABS (Sulfamethoxazole-Trimethoprim)

NF

BACTRIM TABS (Sulfamethoxazole-Trimethoprim)

NF

sulfamethoxazole-trimethoprim susp or40mg/5ml-200mg/5ml

F

sulfamethoxazole-trimethoprim tabs or 80mg-400mg, 160mg-800mg

F

Glycopeptides FIRST-VANCOMYCIN 25 SOLN F PA

FIRST-VANCOMYCIN 50 SOLN F PA

VANCOCIN CAPS (Vancomycin HCl) NF PA

VANCOCIN HCL CAPS (Vancomycin HCl) NF PA

VANCOMYCIN HCL + SYRSPENDSF PH4 SUSP F PA

vancomycin hcl caps or125 mg, 250 mg F PA

vancomycin hcl solr iv 1gm, 5 gm, 10 gm, 500 mg,750 mg, 1000 mg

F

VANCOMYCIN HYDROCHLORIDE SOLR 750 MG

F

Leprostatics


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dapsone tabs or 25 mg,100 mg F

Lincosamides CLEOCIN CAPS OR 75 MG, 150 MG, 300 MG (Clindamycin HCl)

NF

CLEOCIN PEDIATRIC GRANULES SOLR (Clindamycin PalmitateHydrochloride)

NF

clindamycin hcl caps or 75mg, 150 mg, 300 mg F

clindamycin palmitatehydrochloride solr 75mg/5ml

F

Oxazolidinones linezolid susr or 100 mg/5ml F PA

linezolid tabs or 600 mg F PA

ZYVOX SUSR OR 100 MG/5ML (Linezolid) NF PA

ZYVOX TABS OR 600 MG (Linezolid) NF PA

ANTIANGINAL AGENTS - Drugs to Treat ChestPain

Antianginals-Other RANEXA TB12 (Ranolazine) NF PA

ranolazine tb12 F PA

Nitrates

DILATRATE SR CPCR F

ISORDIL TITRADOSE TABS 5 MG (Isosorbide Dinitrate)

NF MP

ISOSORBIDE DINITRATE ER TBCR F MP

ISOSORBIDE DINITRATE TABS 30 MG F MP

isosorbide dinitrate tabs 5 mg, 10 mg, 20 mg F MP


9


Nivel del

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isosorbide mononitrate tabs F MP

isosorbide mononitrate tb24 F MP

NITRO-BID OINT F

NITRO-DUR PT24 0.1 MG/HR, 0.2 MG/HR, 0.4MG/HR, 0.6 MG/HR(Nitroglycerin)

NF

MP

NITRO-DUR PT24 0.3 MG/HR, 0.8 MG/HR F

NITRO-TIME CPCR F MP

nitroglycerin cpcr or 9 mg,2.5 mg, 6.5 mg F MP

nitroglycerin pt24 td 0.1mg/hr, 0.2 mg/hr, 0.4mg/hr, 0.6 mg/hr

F MP

nitroglycerin subl sl 0.3 mg,0.4 mg, 0.6 mg F MP

NITROSTAT SUBL (Nitroglycerin) NF MP

ANTIANXIETY AGENTS - Drugs to Treat Anxiety

Antianxiety Agents - Misc.

buspirone hcl tabs or 30 mg F


buspirone hcl tabs or 5 mg,10 mg, 15 mg, 7.5 mg F


hydroxyzine hcl syrp or 10mg/5ml F QL(10 ml daily)

hydroxyzine hcl tabs or 10mg, 25 mg, 50 mg F QL(8 ea daily)

HYDROXYZINE PAMOATE CAPS OR 100 MG

F QL(4 ea daily)

hydroxyzine pamoate capsor 25 mg, 50 mg F QL(4 ea daily)

VISTARIL CAPS (Hydroxyzine Pamoate) NF QL(4 ea daily)

Benzodiazepines


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ALPRAZOLAM INTENSOL CONC F

Limit 1 anxiolytic per30 days;QL(60ml per 15 daysretail); AL(Atleast 6 yrs old)

alprazolam tabs or 0.25mg, 0.5 mg, 1 mg F

Limit 1 anxiolytic per30 days;QL(4ea daily); AL(Atleast 6 yrs old)

alprazolam tabs or 2 mg F


alprazolam tb24 or 0.5 mg,1 mg, 2 mg, 3 mg F


alprazolam tbdp or 0.25mg, 0.5 mg, 1 mg F


alprazolam tbdp or 2 mg F


ATIVAN TABS OR 0.5 MG, 1 MG (Lorazepam) NF


ATIVAN TABS OR 2 MG (Lorazepam) NF


chlordiazepoxide hcl caps F QL(2 ea daily);AL(At least 6yrs old)

clorazepate dipotassiumtabs 15 mg F



10


Nivel del

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clorazepate dipotassiumtabs 7.5 mg, 3.75 mg F


diazepam conc or 5 mg/ml F QL(2 ml daily)

DIAZEPAM SOLN OR 5 MG/5ML F QL(10 ml daily)

diazepam tabs or 2 mg, 5mg, 10 mg F


lorazepam conc or 2 mg/ml F QL(2 ml daily);AL(At least 6yrs old)

lorazepam tabs or 0.5 mg,1 mg F


lorazepam tabs or 2 mg F


OXAZEPAM CAPS 10 MG, 15 MG, 30 MG F


oxazepam caps 10 mg, 15mg, 30 mg F


TRANXENE T TABS (Clorazepate Dipotassium) NF


VALIUM TABS (Diazepam) NF QL(4 ea daily);AL(At least 6yrs old)

XANAX TABS 0.25 MG, 0.5 MG, 1 MG (Alprazolam) NF


XANAX TABS 2 MG (Alprazolam) NF



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medi came nto


XANAX XR TB24 (Alprazolam) NF


ANTIARRHYTHMICS - Drugs to treat abnormalheart rhythms

Antiarrhythmics Type I-A disopyramide phosphate caps F

NORPACE CAPS (Disopyramide Phosphate) NF

NORPACE CR CP12 F

quinidine gluconate tbcr or324 mg F

QUINIDINE SULFATE TABS OR 200 MG, 300 MG

F

Antiarrhythmics Type I-B MEXILETINE HCL CAPS 150 MG, 200 MG, 250 MG F

mexiletine hcl caps 200mg, 250 mg F

Antiarrhythmics Type I-C

flecainide acetate tabs F

propafenone hcl cp12 F

propafenone hcl tabs F

RYTHMOL SR CP12 (Propafenone HCl) NF

Antiarrhythmics Type III amiodarone hcl tabs or 100 mg, 200 mg F

dofetilide caps F PA

MULTAQ TABS F PA

TIKOSYN CAPS (Dofetilide) NF PA


11


Nivel del

medi came nto


ANTIASTHMATIC AND BRONCHODILATOR AGENTS - Drugs to Treat Lung Conditions

Anti-Inflammatory Agents cromolyn sodium nebu in20 mg/2ml F

Bronchodilators - Anticholinergics

ATROVENT HFA AERS F

ipratropium bromide soln in0.02 % F

SPIRIVA HANDIHALER CAPS 18 MCG F

TUDORZA PRESSAIR AEPB F

Leukotriene Modulators ACCOLATE TABS (Zafirlukast) NF

montelukast sodium chew or 4 mg, 5 mg F QL(1 ea daily)

montelukast sodium packor 4 mg F

QL(1 ea daily);AL(Up to 3 yrsold )

montelukast sodium tabs or 10 mg F QL(1 ea daily)

SINGULAIR CHEW 4 MG, 5 MG (Montelukast Sodium)

NF QL(1 ea daily)

SINGULAIR PACK 4 MG (Montelukast Sodium) NF

QL(1 ea daily);AL(Up to 3 yrsold )

SINGULAIR TABS 10 MG (Montelukast Sodium) NF QL(1 ea daily)

zafirlukast tabs F

Steroid Inhalants ASMANEX TWISTHALER 120 METERED DOSES AEPB

F

ASMANEX TWISTHALER 14 METERED DOSES AEPB

F


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F


F


F

budesonide (inhalation)susp 1 mg/2ml F AL(Up to 4 yrs

old )

FLOVENT HFA AERO F

PULMICORT FLEXHALER AEPB F

PULMICORT SUSP 0.25 MG/2ML, 0.5 MG/2ML(Budesonide (Inhalation))

F AL(Up to 4 yrsold )

PULMICORT SUSP 1 MG/2ML (Budesonide (Inhalation))

NF AL(Up to 4 yrsold )

Sympathomimetics

ADVAIR HFA AERO F

ST; TryBudesonide, Fluticasone, or Mometasone inhaler first

albuterol sulfate nebu in 0.63 mg/3ml, 0.083 %, 0.5%, 1.25 mg/3ml

F

albuterol sulfate syrp or 2mg/5ml F

albuterol sulfate tabs or 2 mg, 4 mg F

BEVESPI AEROSPHERE AERO F PA

COMBIVENT RESPIMAT AERS F

DULERA AERO F


ipratropium-albuterol soln F


12


Nivel del

medi came nto


levalbuterol hcl nebu in 0.31 mg/3ml, 0.63 mg/3ml,1.25 mg/3ml, 1.25mg/0.5ml

F

AL(Up to 3 yrsold )

PROAIR HFA AERS F

SEREVENT DISKUS AEPB F PA

STIOLTO RESPIMAT AERS F PA

SYMBICORT AERO F


XOPENEX CONCENTRATE NEBU (Levalbuterol HCl)


XOPENEX NEBU (Levalbuterol HCl) NF AL(Up to 3 yrs

old ) Xanthines

THEOCHRON TB12 F

THEOPHYLLINE ER TB12 F

theophylline soln F

theophylline tb12 F

theophylline tb24 F

ANTICOAGULANTS - Blood Thinners

Coumarin Anticoagulants COUMADIN TABS (Warfarin Sodium) NF

warfarin sodium tabs F

Direct Factor Xa Inhibitors ELIQUIS STARTER PACK TABS F QL(74 ea per

30 days retail)

ELIQUIS TABS 2.5 MG F QL(2 ea daily)


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medi came nto


ELIQUIS TABS 5 MG F QL(74 ea per30 days retail)

XARELTO STARTER PACK TBPK F

51 per monthQL(1.7 eadaily)

XARELTO TABS F QL(2 ea daily)

Heparins And Heparinoid-Like Agents

enoxaparin sodium soln ij300 mg/3ml F

QL(180 ml per30 days retail);SP

enoxaparin sodium soln sc100 mg/ml, 150 mg/ml F


enoxaparin sodium soln sc30 mg/0.3ml F






enoxaparin sodium soln sc80 mg/0.8ml, 120 mg/0.8ml F


heparin (porcine) in sodiumchloride soln F

HEPARIN LOCK FLUSH SOLN F

heparin sodium (porcine)lock flush soln F

heparin sodium (porcine)soln F

HEPARIN SODIUM/D5WSOLN F

HEPARIN SODIUM/DEXTROSESOLN 25000UNIT/250ML-5%, 5%-25000UNIT/500ML

F

HEPARIN SODIUM/NACL0.45% SOLN 12500UNIT/250ML-0.45%

F


13


Nivel del

medi came nto


HEPARIN SODIUM/SODIUMCHLORIDE 0.9% SOLN (Heparin (Porcine) in Sodium Chloride)

NF

HEPARIN SODIUM/SODIUMCHLORIDE SOLN 2000UNIT/L-0.9%,1000UNIT/500ML-0.9%

F

LOVENOX SOLN IJ 300 MG/3ML (EnoxaparinSodium)

NF QL(180 ml per30 days retail);SP

LOVENOX SOLN SC 100 MG/ML, 150 MG/ML(Enoxaparin Sodium)


LOVENOX SOLN SC 30 MG/0.3ML (EnoxaparinSodium)






LOVENOX SOLN SC 80 MG/0.8ML, 120 MG/0.8ML(Enoxaparin Sodium)


Thrombin Inhibitors

PRADAXA CAPS F QL(2 ea daily)

ANTICONVULSANTS - Drugs to Treat Seizures

Anticonvulsants - Benzodiazepines

clobazam susp F PA

clobazam tabs F PA

clonazepam tabs or 0.5mg, 1 mg F


clonazepam tabs or 2 mg F QL(2 ea daily);AL(At least 6yrs old)


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medi came nto


clonazepam tbdp or 0.125mg, 0.25 mg, 0.5 mg, 1 mg F


clonazepam tbdp or 2 mg F QL(2 ea daily);AL(At least 6yrs old)

DIASTAT ACUDIAL GEL F QL(2 ea per 30days retail)

DIASTAT PEDIATRIC GEL F QL(2 ea per 30days retail)

diazepam (anticonvulsant)gel F QL(2 ea per 30

days retail) DIAZEPAM RECTAL GEL GEL F QL(2 ea per 30

days retail)

KLONOPIN TABS 0.5 MG, 1 MG (Clonazepam) NF


KLONOPIN TABS 2 MG (Clonazepam) NF


ONFI SUSP (Clobazam) NF PA

ONFI TABS (Clobazam) NF PA

Anticonvulsants - Misc. BANZEL SUSP F PA; SP

BANZEL TABS F PA; SP

carbamazepine chew or100 mg F

carbamazepine cp12 or100 mg, 200 mg, 300 mg F

carbamazepine susp or100 mg/5ml F

carbamazepine tabs or 200 mg F

carbamazepine tb12 or 100mg, 200 mg, 400 mg F

CARBATROL CP12 (Carbamazepine) NF

gabapentin caps or 100mg, 300 mg, 400 mg F


14


Nivel del

medi came nto


gabapentin soln or 250mg/5ml, 300 mg/6ml F

gabapentin tabs or 600 mg,800 mg F

KEPPRA SOLN OR 100 MG/ML (Levetiracetam) NF

KEPPRA TABS OR 250 MG, 500 MG, 750 MG, 1000 MG (Levetiracetam)

NF

KEPPRA XR TB24 (Levetiracetam) NF

LAMICTAL CHEWABLE DISPERSIBLE CHEW (Lamotrigine)

NF

LAMICTAL ODT TBDP 25 MG, 50 MG, 100 MG, 200 MG (Lamotrigine)

NF

LAMICTAL TABS (Lamotrigine) NF

LAMICTAL XR TB24 25 MG, 50 MG, 100 MG, 200 MG, 250 MG, 300 MG (Lamotrigine)

NF

lamotrigine chew or 5 mg,25 mg F

lamotrigine tabs or 25 mg,100 mg, 150 mg, 200 mg F

lamotrigine tb24 or 25 mg,50 mg, 100 mg, 200 mg,250 mg, 300 mg

F

lamotrigine tbdp or 25 mg,50 mg, 100 mg, 200 mg F

levetiracetam soln or 100 mg/ml, 500 mg/5ml F

levetiracetam tabs or 250 mg, 500 mg, 750 mg, 1000 mg

F

levetiracetam tb24 or 500 mg, 750 mg F

LYRICA CAPS (Pregabalin) NF PA

LYRICA SOLN (Pregabalin) NF PA


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medi came nto


MYSOLINE TABS (Primidone) NF

NEURONTIN CAPS (Gabapentin) NF

NEURONTIN SOLN (Gabapentin) NF

NEURONTIN TABS (Gabapentin) NF

oxcarbazepine susp F

oxcarbazepine tabs F

OXTELLAR XR TB24 F ST

pregabalin caps or 25 mg,50 mg, 75 mg, 100 mg, 150mg, 200 mg, 225 mg, 300 mg

F

PA

pregabalin soln or 20mg/ml F PA

primidone tabs or 50 mg,250 mg F

TEGRETOL SUSP (Carbamazepine) NF

TEGRETOL TABS (Carbamazepine) NF

TEGRETOL-XR TB12 (Carbamazepine) NF

TOPAMAX SPRINKLE CPSP (Topiramate) NF

TOPAMAX TABS (Topiramate) NF

topiramate cpsp or 15 mg,25 mg F

topiramate tabs or 25 mg,50 mg, 100 mg, 200 mg F

TRILEPTAL SUSP (Oxcarbazepine) NF

TRILEPTAL TABS (Oxcarbazepine) NF

VIMPAT SOLN OR 10 MG/ML F PA

VIMPAT TABS OR 50 MG, 100 MG, 150 MG, 200 MG F PA


15


Nivel del

medi came nto


ZONEGRAN CAPS (Zonisamide) NF

zonisamide caps or 25 mg,50 mg, 100 mg F

Carbamates felbamate susp 600mg/5ml F

felbamate tabs 400 mg F QL(9 ea daily)

felbamate tabs 600 mg F QL(6 ea daily)

FELBATOL SUSP 600 MG/5ML (Felbamate) NF

FELBATOL TABS 400 MG (Felbamate) NF QL(9 ea daily)

FELBATOL TABS 600 MG (Felbamate) NF QL(6 ea daily)

GABA Modulators GABITRIL TABS (Tiagabine HCl) NF PA

tiagabine hcl tabs F PA

Hydantoins DILANTIN CAPS 100 MG (Phenytoin SodiumExtended)

NF

DILANTIN CAPS 30 MG F

DILANTIN INFATABS CHEW (Phenytoin) NF

DILANTIN-125 SUSP (Phenytoin) NF

PHENYTEK CAPS (Phenytoin SodiumExtended)

NF

phenytoin chew or 50 mg F

phenytoin sodium extended caps F

phenytoin susp or 125mg/5ml F

Succinimides


Nivel del

medi came nto


ethosuximide caps or 250 mg F

ethosuximide soln or 250 mg/5ml F

ZARONTIN CAPS (Ethosuximide) NF

ZARONTIN SOLN (Ethosuximide) NF

Valproic Acid DEPAKENE CAPS (Valproic Acid) NF

DEPAKENE SOLN (Valproate Sodium) NF

DEPAKOTE ER TB24 (Divalproex Sodium) NF

DEPAKOTE SPRINKLES CSDR (Divalproex Sodium) NF

DEPAKOTE TBEC 125 MG, 250 MG (DivalproexSodium)

NF QL(16 ea daily)

DEPAKOTE TBEC 500 MG (Divalproex Sodium) NF QL(8 ea daily)

divalproex sodium csdr or125 mg F

divalproex sodium tb24 or250 mg, 500 mg F

divalproex sodium tbec or125 mg, 250 mg F QL(16 ea daily)

divalproex sodium tbec or500 mg F QL(8 ea daily)

valproate sodium soln or250 mg/5ml F

valproic acid caps or 250 mg F

ANTIDEPRESSANTS - Drugs to TreatDepression

Alpha-2 Receptor Antagonists (Tetracyclics)

mirtazapine tabs or 15 mg,30 mg, 45 mg F


mirtazapine tabs or 7.5 mg F QL(1 ea daily)


16


Nivel del

medi came nto


mirtazapine tbdp or 15 mg,30 mg, 45 mg F


REMERON SOLTAB TBDP (Mirtazapine) NF


REMERON TABS (Mirtazapine) NF


Antidepressants - Misc.

bupropion hcl tabs or 75mg, 100 mg F


bupropion hcl tb12 or 100mg, 150 mg, 200 mg F


bupropion hcl tb24 or 150mg, 300 mg F


MAPROTILINE HCL TABS F AL(At least 6yrs old)

WELLBUTRIN SR TB12 (Bupropion HCl) NF


WELLBUTRIN XL TB24 (Bupropion HCl) NF


Selective Serotonin Reuptake Inhibitors (SSRIs)

CELEXA TABS 10 MG (Citalopram Hydrobromide) NF


CELEXA TABS 20 MG, 40 MG (CitalopramHydrobromide)


citalopram hydrobromidesoln 10 mg/5ml F

QL(20 mldaily); AL(Atleast 6 yrs old -Up to 12 yrsold)

citalopram hydrobromidetabs 10 mg F



Nivel del

medi came nto


citalopram hydrobromidetabs 20 mg, 40 mg F


escitalopram oxalate tabs10 mg F

45 permonth;QL(1.5ea daily); AL(Atleast 6 yrs old)

escitalopram oxalate tabs20 mg F


escitalopram oxalate tabs 5 mg F


fluoxetine hcl caps or 10mg, 40 mg F


fluoxetine hcl caps or 20 mg F


fluoxetine hcl soln or 20 mg/5ml F


fluvoxamine maleate tabs 100 mg F






LEXAPRO TABS 10 MG (Escitalopram Oxalate) NF







17


Nivel del

medi came nto


paroxetine hcl tabs 10 mg,20 mg, 30 mg F


paroxetine hcl tabs 40 mg F


PAXIL TABS 10 MG, 20 MG, 30 MG (Paroxetine HCl)


PAXIL TABS 40 MG (Paroxetine HCl) NF


PROZAC CAPS 10 MG, 40 MG (Fluoxetine HCl) NF


PROZAC CAPS 20 MG (Fluoxetine HCl) NF


sertraline hcl conc or 20 mg/ml F


sertraline hcl tabs or 100 mg F


sertraline hcl tabs or 25 mg F QL(3 ea daily);AL(At least 6yrs old)

sertraline hcl tabs or 50 mg F QL(4 ea daily);AL(At least 6yrs old)

ZOLOFT CONC 20 MG/ML(Sertraline HCl) NF


ZOLOFT TABS 100 MG (Sertraline HCl) NF





Nivel del

medi came nto




Serotonin Modulators

trazodone hcl tabs or 100 mg F








Serotonin-Norepinephrine Reuptake Inhibitors

CYMBALTA CPEP 20 MG, 30 MG (Duloxetine HCl) NF


CYMBALTA CPEP 60 MG (Duloxetine HCl) NF


duloxetine hcl cpep or 20mg, 30 mg F


duloxetine hcl cpep or 60 mg F


EFFEXOR XR CP24 150 MG (Venlafaxine HCl) NF


EFFEXOR XR CP24 75 MG, 37.5 MG (Venlafaxine HCl)


venlafaxine hcl cp24 150 mg F


venlafaxine hcl cp24 75mg, 37.5 mg F


venlafaxine hcl tabs 25 mg F QL(4 ea daily);AL(At least 6yrs old)


18


Nivel del

medi came nto


venlafaxine hcl tabs 50 mg,100 mg, 37.5 mg F


venlafaxine hcl tabs 75 mg F QL(5 ea daily);AL(At least 6yrs old)

Tricyclic Agents amitriptyline hcl tabs or 10mg, 25 mg, 50 mg, 75 mg,100 mg, 150 mg

F AL(At least 6yrs old)

AMOXAPINE TABS F AL(At least 6yrs old)

ANAFRANIL CAPS (Clomipramine HCl) NF AL(At least 6

yrs old) clomipramine hcl caps or25 mg, 50 mg, 75 mg F AL(At least 6

yrs old) desipramine hcl tabs or 10mg, 25 mg, 50 mg, 75 mg,100 mg, 150 mg


doxepin hcl caps or 10 mg,25 mg, 50 mg, 75 mg, 100mg, 150 mg


DOXEPIN HCL CAPS OR 150 MG F


doxepin hcl conc or 10mg/ml F

QL(6 ml daily);AL(At least 6yrs old)

ELAVIL TABS (Amitriptyline HCl) NF AL(At least 6

yrs old) imipramine hcl tabs or 10mg, 25 mg, 50 mg F AL(At least 6

yrs old)

imipramine pamoate caps F AL(At least 6yrs old)

NORPRAMIN TABS (Desipramine HCl) NF AL(At least 6

yrs old) nortriptyline hcl caps or 10mg, 25 mg, 50 mg, 75 mg F AL(At least 6

yrs old) nortriptyline hcl soln or 10mg/5ml F AL(At least 6

yrs old) NORTRIPTYLINE HCL SOLN OR 10 MG/5ML F AL(At least 6

yrs old) PAMELOR CAPS (Nortriptyline HCl) NF AL(At least 6

yrs old)


Nivel del

medi came nto


protriptyline hcl tabs F AL(At least 6yrs old)

SURMONTIL CAPS (Trimipramine Maleate) NF AL(At least 6

yrs old) TOFRANIL TABS (Imipramine HCl) NF AL(At least 6

yrs old) trimipramine maleate capsor 25 mg, 50 mg, 100 mg F AL(At least 6

yrs old) ANTIDIABETICS - Drugs to Regulate BloodSugar Alpha-Glucosidase Inhibitors

acarbose tabs F

PRECOSE TABS (Acarbose) NF

Antidiabetic - Amylin Analogs

SYMLINPEN 120 SOPN F PA

SYMLINPEN 60 SOPN F PA

Antidiabetic Combinations ACTOPLUS MET TABS (Pioglitazone HCl-Metformin HCl)

NF MP

ACTOPLUS MET XR TB24 F

GLUCOVANCE TABS (Glyburide-Metformin) NF MP

glyburide-metformin tabs F MP

GLYXAMBI TABS F PA

JANUMET TABS F PA

JANUMET XR TB24 F PA

JENTADUETO TABS F PA

KOMBIGLYZE XR TB24 F PA

pioglitazone hcl-metforminhcl tabs F MP

Biguanides


19


Nivel del

medi came nto


GLUCOPHAGE TABS (Metformin HCl) NF MP

GLUCOPHAGE XR TB24 (Metformin HCl) NF MP

metformin hcl tabs or 500 mg, 850 mg, 1000 mg F MP

metformin hcl tb24 or 500 mg, 750 mg F MP

Diabetic Other CVS GLUCOSE BITS CHEW F

CVS GLUCOSE CHEW 4 GM F

DEX4 FAST ACTING GLUCOSEGO-POUCH GEL

F

DEX4 QUICK DISSOLVE GLUCOSE CHEW F

dextrose (diabetic use) gel40 %, 15 gm/38gm F

GLUCAGON EMERGENCY KIT KIT F

1 permonth;QL(0.034 ea daily)

GLUCOSE CHEW 4 GM F

GLUCOSE GEL 15 GM/33GM F

GNP GLUCOSE CHEW 4 GM F

GNP QUICK DISSOLVE GLUCOSE CHEW F

INSTA-GLUCOSE GEL F

LEADER QUICK DISSOLVE GLUCOSE CHEW

F

SM GLUCOSE CHEW 4 GM F

WALGREENS GLUCOSE CHEW 4 GM F

Dipeptidyl Peptidase-4 (DPP-4) Inhibitors

JANUVIA TABS F PA


Nivel del

medi came nto


ONGLYZA TABS F PA

TRADJENTA TABS F PA

Incretin Mimetic Agents (GLP-1 Receptor BYDUREON PEN PEN F PA

BYDUREON SRER F PA

BYETTA SOPN F PA

VICTOZA SOPN F PA

Insulin Sensitizing Agents ACTOS TABS (Pioglitazone HCl) NF MP

pioglitazone hcl tabs F MP

Insulin

HUMALOG KWIKPEN SOPN 100 UNIT/ML F

Limit 1.0 ml perday;QL(1 mldaily)

HUMALOG MIX 50/50KWIKPEN SUPN F


HUMALOG MIX 50/50SUSP F


HUMALOG MIX 75/25KWIKPEN SUPN F


HUMALOG MIX 75/25SUSP F


HUMALOG SOLN 100 UNIT/ML F


HUMULIN 70/30 SUSP70UNIT/ML-30UNIT/ML F


HUMULIN N SUSP 100 UNIT/ML F



20


Nivel del

medi came nto


HUMULIN R SOLN F Limit 1.0 ml perday;QL(1 mldaily)

HUMULIN R U-500 (CONCENTRATED) SOLN F PA

HUMULIN R U-500 KWIKPEN SOPN F PA

LANTUS SOLN 100 UNIT/ML F


LANTUS SOLOSTAR SOPN 100 UNIT/ML F


LEVEMIR FLEXTOUCH SOPN F


LEVEMIR SOLN F Limit 1.0 ml perday;QL(1 mldaily)

NOVOLIN 70/30 SUSP70UNIT/ML-30UNIT/ML F


NOVOLIN N SUSP 100 UNIT/ML F


NOVOLIN R SOLN F Limit 1.0 ml perday;QL(1 mldaily)

NOVOLOG FLEXPEN SOPN F


NOVOLOG MIX 70/30PREFILLED FLEXPEN SUPN

F Limit 1.0 ml perday;QL(1 mldaily)

NOVOLOG MIX 70/30SUSP F


NOVOLOG PENFILL SOCT F


NOVOLOG SOLN F Limit 1.0 ml perday;QL(1 mldaily)

Meglitinide Analogues


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nateglinide tabs F MP

PRANDIN TABS (Repaglinide) NF

repaglinide tabs F

STARLIX TABS (Nateglinide) NF MP

Sodium-Glucose Co-Transporter 2 (SGLT2) FARXIGA TABS F PA

INVOKANA TABS F PA

JARDIANCE TABS F PA

Sulfonylureas AMARYL TABS (Glimepiride) NF MP

glimepiride tabs F MP

glipizide tabs or 5 mg, 10 mg F MP

glipizide tb24 or 5 mg, 10mg, 2.5 mg F MP

GLUCOTROL TABS (Glipizide) NF MP

GLUCOTROL XL TB24 (Glipizide) NF MP

glyburide micronized tabs F MP

glyburide tabs or 5 mg, 2.5mg, 1.25 mg F MP

GLYNASE TABS (Glyburide Micronized) NF MP

TOLAZAMIDE TABS F

TOLBUTAMIDE TABS F

ANTIDIARRHEAL/PROBIOTIC AGENTS - Drugsto Treat Diarrhea

Antidiarrheal/Probiotic Agents - Misc. bismuth subsalicylate chewor 262 mg F


21


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bismuth subsalicylate suspor 262 mg/15ml, 525mg/15ml, 525 mg/30ml,527 mg/30ml, 1050mg/30ml

F

bismuth subsalicylate tabsor 262 mg F

FORTIFY PROBIOTIC WOMENSEXTRA STRENGTH CPDR

F

MVW COMPLETE PROBIOTIC FORMULATION CPDR

F

NEXABIOTIC CPDR F

PEPTO BISMOL TABS (Bismuth Subsalicylate) NF

PEPTO-BISMOL CHEW (Bismuth Subsalicylate) NF

PEPTO-BISMOL INSTACOOL CHEW (Bismuth Subsalicylate)

NF

PEPTO-BISMOL MAX STRENGTH SUSP (Bismuth Subsalicylate)

NF

PEPTO-BISMOL SUSP (Bismuth Subsalicylate) NF

PEPTO-BISMOL TO-GO CHEW (Bismuth Subsalicylate)

NF

Antiperistaltic Agents diphenoxylate w/ atropinetabs F

DIPHENOXYLATE/ATROPINE LIQD F

IMODIUM A-D CAPS 2 MG (Loperamide HCl) NF RX/OTC

IMODIUM A-D LIQD 1 MG/7.5ML (LoperamideHCl)

NF

IMODIUM A-D TABS 2 MG (Loperamide HCl) NF


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LOMOTIL TABS (Diphenoxylate w/ Atropine) NF

loperamide hcl caps or 2 mg F RX/OTC

loperamide hcl liqd or 1mg/5ml, 1 mg/7.5ml F

loperamide hcl susp or 1mg/7.5ml F

loperamide hcl tabs or 2 mg F

ANTIDOTES AND SPECIFIC ANTAGONISTS

Opioid Antagonists NALOXONE HCL SOCT IJ 0.4 MG/ML F

naloxone hcl soln ij 0.4mg/ml, 4 mg/10ml F

NALOXONE HCL SOSY IJ 2 MG/2ML F

naltrexone hcl tabs or F

NARCAN LIQD F

VIVITROL SUSR F SP

ANTIEMETICS - Drugs to Treat Nausea andVomiting

5-HT3 Receptor Antagonists

ANZEMET TABS F PA

granisetron hcl tabs or 1 mg F PA

ondansetron hcl soln or 4 mg/5ml F

ondansetron hcl tabs or 4 mg, 8 mg F QL(3 ea daily)

ondansetron tbdp F QL(1 ea daily)

ZOFRAN ODT TBDP (Ondansetron) NF QL(1 ea daily)

ZOFRAN SOLN 4 MG/5ML(Ondansetron HCl) NF


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ZOFRAN TABS 4 MG, 8 MG (Ondansetron HCl) NF QL(3 ea daily)

Antiemetics - Anticholinergic dimenhydrinate tabs or 50 mg F

DRAMAMINE CHEW 50 MG F

DRAMAMINE TABS (Dimenhydrinate) NF

meclizine hcl chew or 25 mg F

meclizine hcl tabs or 25 mg, 12.5 mg F RX/OTC

TIGAN CAPS OR 300 MG (Trimethobenzamide HCl) NF

trimethobenzamide hcl caps or 300 mg F

Substance P/Neurokinin 1 (NK1) Receptor aprepitant caps 40 mg, 80 mg, F QL(6 ea per 21

days retail) EMEND CAPS OR 40 MG, 80 MG (Aprepitant) NF QL(6 ea per 21

days retail) EMEND TRIPACK CAPS (Aprepitant) NF QL(6 ea per 21

days retail)

ANTIFUNGALS - Drugs to Treat Fungal Infections

Antifungals

griseofulvin microsize susp F

griseofulvin microsize tabs F

LAMISIL TABS (Terbinafine HCl) NF QL(90 ea per

365 days retail) nystatin tabs or 500000unit F

terbinafine hcl tabs or 250 mg F QL(90 ea per

365 days retail) Imidazole-Related Antifungals DIFLUCAN SUSR 10 MG/ML (Fluconazole) NF QL(20 ml daily)

DIFLUCAN SUSR 40 MG/ML (Fluconazole) NF


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DIFLUCAN TABS 50 MG, 100 MG, 150 MG, 200 MG (Fluconazole)

NF QL(2 ea daily)

fluconazole susr or 10 mg/ml F QL(20 ml daily)

fluconazole susr or 40 mg/ml F

fluconazole tabs or 50 mg,100 mg, 150 mg, 200 mg F QL(2 ea daily)

ANTIHISTAMINES - Drugs to Treat Allergies

Antihistamines - Alkylamines CHLOR-TRIMETON SYRP (ChlorpheniramineMaleate)

NF

CHLOR-TRIMETON TABS (ChlorpheniramineMaleate)

NF

chlorpheniramine maleatesyrp or 2 mg/5ml F

chlorpheniramine maleatetabs or 4 mg F

Antihistamines - Ethanolamines

ALER-DRYL TABS F

BENADRYL ALLERGY CAPS (DiphenhydramineHCl)

NF

BENADRYL ALLERGY CHILDRENS CHEW (Diphenhydramine HCl)

NF

BENADRYL ALLERGY CHILDRENS LIQD (Diphenhydramine HCl)

NF

BENADRYL ALLERGY TABS (DiphenhydramineHCl)

NF

clemastine fumarate tabs or 1.34 mg F

CLEMASTINE FUMARATE TABS OR 2.68 MG F

diphenhydramine hcl capsor 25 mg, 50 mg F


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diphenhydramine hcl chewor 12.5 mg F

diphenhydramine hcl elix or12.5 mg/5ml F RX/OTC

diphenhydramine hcl liqd or25 mg/10ml, 50 mg/20ml,12.5 mg/5ml

F

diphenhydramine hcl tabsor 25 mg F

SILPHEN COUGH SYRP F

TAVIST ALLERGY TABS (Clemastine Fumarate) NF

Antihistamines - Non-Sedating ALLEGRA ALLERGY CHILDRENS SUSP 30 MG/5ML (Fexofenadine HCl)

NF

QL(5 ml daily)

ALLEGRA ALLERGY CHILDRENS TBDP 30 MG F QL(1 ea daily)

ALLEGRA ALLERGY TABS (Fexofenadine HCl) NF QL(1 ea daily)

cetirizine hcl caps 10 mg F QL(1 ea daily)

cetirizine hcl chew 5 mg,10 mg F QL(1 ea daily)

cetirizine hcl soln 1 mg/ml,5 mg/5ml F QL(5 ml daily);

RX/OTC cetirizine hcl syrp 1 mg/ml,5 mg/5ml F QL(5 ml daily);

RX/OTC cetirizine hcl tabs 5 mg, 10 mg F QL(1 ea daily)

CLARITIN ALLERGY CHILDRENS SYRP (Loratadine)

NF QL(5 ml daily)

CLARITIN CAPS 10 MG (Loratadine) NF QL(1 ea daily)

CLARITIN CHEW 5 MG (Loratadine) NF QL(1 ea daily)

CLARITIN CHILDRENS CHEW (Loratadine) NF QL(1 ea daily)

CLARITIN REDITABS TBDP 10 MG (Loratadine) NF QL(1 ea daily)


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CLARITIN REDITABS TBDP 5 MG F QL(1 ea daily)

CLARITIN SYRP 5 MG/5ML (Loratadine) NF QL(5 ml daily)

CLARITIN TABS 10 MG (Loratadine) NF QL(1 ea daily)

fexofenadine hcl susp or 30mg/5ml F QL(5 ml daily)

fexofenadine hcl tabs or 60 mg, 180 mg F QL(1 ea daily)

loratadine caps or 10 mg F QL(1 ea daily)

loratadine chew or 5 mg F QL(1 ea daily)

loratadine soln or 5 mg/5ml F QL(5 ml daily)

loratadine syrp or 5 mg/5ml F QL(5 ml daily)

loratadine tabs or 10 mg F QL(1 ea daily)

loratadine tbdp or 10 mg F QL(1 ea daily)

ZYRTEC ALLERGY CAPS (Cetirizine HCl) NF QL(1 ea daily)

ZYRTEC ALLERGY CHILDRENS TBDP F QL(1 ea daily)

ZYRTEC ALLERGY TABS (Cetirizine HCl) NF QL(1 ea daily)

ZYRTEC ALLERGY TBDP F QL(1 ea daily)

ZYRTEC CHILDRENS ALLERGY SOLN (Cetirizine HCl)

NF QL(5 ml daily);RX/OTC

Antihistamines - Phenothiazines promethazine hcl soln or6.25 mg/5ml F

promethazine hcl supp re25 mg, 50 mg, 12.5 mg F

promethazine hcl syrp or6.25 mg/5ml F

promethazine hcl tabs or25 mg, 50 mg, 12.5 mg F

Antihistamines - Piperidines


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cyproheptadine hcl syrp or2 mg/5ml F

cyproheptadine hcl tabs or4 mg F

ANTIHYPERLIPIDEMICS - Drugs to Treat HighCholesterol Bile Acid Sequestrants

cholestyramine light pack F MP

cholestyramine light powd F MP

cholestyramine pack or 4 gm F MP

cholestyramine powd or 4gm/dose F MP

COLESTID FLAVORED GRAN (Colestipol HCl) NF MP

COLESTID FLAVORED PACK (Colestipol HCl) NF MP

COLESTID GRAN (Colestipol HCl) NF MP

COLESTID PACK (Colestipol HCl) NF MP

COLESTID TABS (Colestipol HCl) NF MP

colestipol hcl gran F MP

colestipol hcl pack F MP

colestipol hcl tabs F MP

QUESTRAN LIGHT POWD (Cholestyramine Light) NF MP

QUESTRAN PACK (Cholestyramine) NF MP

QUESTRAN POWD (Cholestyramine) NF MP

Fibric Acid Derivatives fenofibrate micronized caps134 mg, 200 mg F MP

fenofibrate micronized caps67 mg F


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FENOFIBRATE TABS OR 160 MG F MP

fenofibrate tabs or 48 mg,145 mg, 160 mg F MP

fenofibrate tabs or 54 mg F

FENOFIBRIC ACID TABS F

FIBRICOR TABS 35 MG, 105 MG F

gemfibrozil tabs or 600 mg F MP

LOFIBRA CAPS (Fenofibrate Micronized) NF MP

LOPID TABS (Gemfibrozil) NF MP

TRICOR TABS (Fenofibrate) NF MP

TRIGLIDE TABS F MP

HMG CoA Reductase Inhibitors atorvastatin calcium tabs or 10 mg, 20 mg, 40 mg, 80 mg

F QL(1 ea daily);MP

LIPITOR TABS (Atorvastatin Calcium) NF QL(1 ea daily);

MP

lovastatin tabs F MP

PRAVACHOL TABS (Pravastatin Sodium) NF MP

pravastatin sodium tabs F MP

simvastatin tabs or 5 mg,10 mg, 20 mg, 40 mg, 80 mg

F MP

ZOCOR TABS (Simvastatin) NF MP

Intestinal Cholesterol Absorption Inhibitors

ezetimibe tabs 10 mg F PA

ZETIA TABS (Ezetimibe) NF PA

ANTIHYPERTENSIVES - Drugs to Treat HighBlood Pressure


25


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ACE Inhibitors ACCUPRIL TABS (Quinapril HCl) NF MP

ACEON TABS (PerindoprilErbumine) NF

ALTACE CAPS (Ramipril) NF MP

benazepril hcl tabs or 5mg, 10 mg, 20 mg, 40 mg F MP

captopril tabs or 25 mg, 50mg, 100 mg, 12.5 mg F MP

enalapril maleate tabs or 5mg, 10 mg, 20 mg, 2.5 mg F MP

EPANED SOLN F

fosinopril sodium tabs F MP

lisinopril tabs or 5 mg, 10mg, 20 mg, 30 mg, 40 mg,2.5 mg

F MP

LOTENSIN TABS (Benazepril HCl) NF MP

moexipril hcl tabs F

perindopril erbumine tabs F

PRINIVIL TABS (Lisinopril) NF MP

quinapril hcl tabs F MP

ramipril caps F MP

trandolapril tabs F MP

VASOTEC TABS (EnalaprilMaleate) NF MP

ZESTRIL TABS (Lisinopril) NF MP

Angiotensin II Receptor Antagonists AVAPRO TABS (Irbesartan) NF MP

BENICAR TABS (Olmesartan Medoxomil) NF

ST; Trylosartan and irbesartan first


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COZAAR TABS (Losartan Potassium) NF MP

DIOVAN TABS (Valsartan) NF MP

irbesartan tabs F MP

losartan potassium tabs F MP

olmesartan medoxomil tabs or 5 mg, 20 mg, 40 mg F

ST; Trylosartan and irbesartan first

valsartan tabs F MP

Antiadrenergic Antihypertensives CARDURA TABS (Doxazosin Mesylate) NF MP

CATAPRES TABS (Clonidine HCl) NF MP

CATAPRES-TTS-1 PTWK (Clonidine) NF

QL(0.15 eadaily); AL(Atleast 6 yrs old);MP





clonidine hcl tabs or 0.1 mg, 0.2 mg, 0.3 mg F MP

clonidine ptwk F


doxazosin mesylate tabs or1 mg, 2 mg, 4 mg, 8 mg F MP

guanfacine hcl tabs F MP

methyldopa tabs F MP

MINIPRESS CAPS (Prazosin HCl) NF MP


26


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prazosin hcl caps F MP

terazosin hcl caps F MP

Antihypertensive Combinations ACCURETIC TABS (Quinapril-Hydrochlorothiazide)

NF

amlodipine besylate-benazepril hcl caps F MP

atenolol & chlorthalidone tabs F MP

AVALIDE TABS (Irbesartan-Hydrochlorothiazide)

NF MP

benazepril &hydrochlorothiazide tabs F MP

BENICAR HCT TABS (Olmesartan Medoxomil-Hydrochlorothiazide)

NF

ST; Trylosartan hctz and irbesartan hctz first

bisoprolol &hydrochlorothiazide tabs F MP

CAPTOPRIL/HYDROCHLOROTHIAZIDE TABS F MP

CORZIDE TABS 40MG-5MG NF

CORZIDE TABS 80MG-5MG F

DIOVAN HCT TABS (Valsartan-Hydrochlorothiazide)

NF MP

enalapril maleate &hydrochlorothiazide tabs F MP

fosinopril sodium &hydrochlorothiazide tabs F MP

HYZAAR TABS (Losartan Potassium & Hydrochlorothiazide)

NF MP

irbesartan-hydrochlorothiazide tabs F MP

lisinopril &hydrochlorothiazide tabs F MP


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LOPRESSOR HCT TABS (Metoprolol &Hydrochlorothiazide)

NF MP

losartan potassium &hydrochlorothiazide tabs F MP

LOTENSIN HCT TABS (Benazepril &Hydrochlorothiazide)

NF MP

LOTREL CAPS (Amlodipine Besylate-Benazepril HCl)

NF MP

metoprolol &hydrochlorothiazide tabs F MP

METOPROLOL/HYDROCHLOROTHIAZIDE TABS F MP

moexipril-hydrochlorothiazide tabs F

NADOLOL/BENDROFLUMETHIAZIDE TABS F

olmesartan medoxomil-hydrochlorothiazide tabs F

ST; Trylosartan hctz and irbesartan hctz first

PROPRANOLOL/HYDROCHLOROTHIAZIDE TABS F

quinapril-hydrochlorothiazide tabs F

TENORETIC 100 TABS (Atenolol & Chlorthalidone) NF MP

TENORETIC 50 TABS (Atenolol & Chlorthalidone) NF MP

valsartan-hydrochlorothiazide tabs F MP

VASERETIC TABS (Enalapril Maleate &Hydrochlorothiazide)

NF MP

ZESTORETIC TABS (Lisinopril &Hydrochlorothiazide)

NF MP

ZIAC TABS (Bisoprolol &Hydrochlorothiazide) NF MP

Selective Aldosterone Receptor Antagonists

eplerenone tabs F PA


27


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INSPRA TABS (Eplerenone) NF PA

Vasodilators hydralazine hcl tabs or 10mg, 25 mg, 50 mg, 100 mg F MP

minoxidil tabs or 10 mg, 2.5 mg F MP

ANTIMALARIALS - Drugs to Treat Malaria(Parasitic Infections) Antimalarial Combinations atovaquone-proguanil hcltabs F

COARTEM TABS F

MALARONE TABS (Atovaquone-ProguanilHCl)

NF

Antimalarials CHLOROQUINE PHOSPHATE TABS OR 250 MG

F

chloroquine phosphatetabs or 500 mg F

hydroxychloroquine sulfatetabs or 200 mg F

PLAQUENIL TABS (HydroxychloroquineSulfate)

NF

PRIMAQUINE PHOSPHATE TABS (Primaquine Phosphate)

NF

primaquine phosphate tabs26.3 mg F

QUALAQUIN CAPS (Quinine Sulfate) NF

quinine sulfate caps or 324 mg F

ANTIMYASTHENIC/CHOLINERGIC AGENTS

Antimyasthenic/Cholinergic Agents MESTINON SOLN (Pyridostigmine Bromide) NF


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MESTINON TABS (Pyridostigmine Bromide) NF

MESTINON TIMESPAN TBCR (PyridostigmineBromide)

NF

pyridostigmine bromidesoln or 60 mg/5ml F

pyridostigmine bromidetabs or 60 mg F

pyridostigmine bromide tbcror 180 mg F

ANTIMYCOBACTERIAL AGENTS - Drugs toTreat Tuberculosis (Bacterial Infections) Antimycobacterial Agents ethambutol hcl tabs or 100 mg, 400 mg F

ISONIAZID SYRP OR 50 MG/5ML F

isoniazid tabs or 100 mg,300 mg F

MYAMBUTOL TABS (Ethambutol HCl) NF

pyrazinamide tabs or F

RIFADIN CAPS OR 150 MG, 300 MG (Rifampin) NF

rifampin caps or 150 mg,300 mg F

ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES - Drugs to Treat Cancer Antimetabolites

mercaptopurine tabs or F

methotrexate sodium tabs or 2.5 mg F

Antineoplastic - Hormonal and Related Agents

anastrozole tabs or 1 mg F PA

ARIMIDEX TABS (Anastrozole) NF PA

ELIGARD KIT F PA; SP


28


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FARESTON TABS (Toremifene Citrate) NF PA

FEMARA TABS (Letrozole) NF

flutamide caps F

letrozole tabs or 2.5 mg F

leuprolide acetate kit ij F PA; SP

LUPRON DEPOT (1-MONTH) KIT F PA; SP




megestrol acetate susp or40 mg/ml, 400 mg/10ml F

megestrol acetate tabs or20 mg, 40 mg F

tamoxifen citrate tabs or 10 mg, 20 mg F

toremifene citrate tabs 60 mg F PA

Antineoplastic Enzyme Inhibitors

AFINITOR DISPERZ TBSO F PA; SP

AFINITOR TABS F PA; SP

ALECENSA CAPS F PA; SP

BELEODAQ SOLR F PA; SP

CAPRELSA TABS F PA; SP

COTELLIC TABS F PA; SP

erlotinib hcl tabs F PA; SP

GLEEVEC TABS (Imatinib Mesylate) F PA; SP

ICLUSIG TABS F PA; SP


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IMBRUVICA CAPS F PA; SP

INLYTA TABS F PA; SP

IRESSA TABS F PA; SP

JAKAFI TABS F PA; SP

NEXAVAR TABS F PA; SP

NINLARO CAPS F PA; SP

SPRYCEL TABS F PA; SP

SUTENT CAPS F PA; SP

TARCEVA TABS (Erlotinib HCl) NF PA; SP

TASIGNA CAPS F PA; SP

TYKERB TABS F PA; SP

VOTRIENT TABS F PA; SP

XALKORI CAPS F PA; SP

ZOLINZA CAPS F PA; SP

Antineoplastics Misc. ACTIMMUNE SOLN F PA; SP

ALFERON N SOLN F PA; SP

bexarotene caps 75 mg F PA; SP

HYDREA CAPS (Hydroxyurea) NF

hydroxyurea caps or 500 mg F

INTRON A SOLN F PA; SP

INTRON A SOLR F PA; SP

INTRON A W/DILUENTSOLR F PA; SP


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MATULANE CAPS F SP

SYLATRON KIT F PA; SP

TARGRETIN CAPS (Bexarotene) NF PA; SP

tretinoin (chemotherapy) caps F SP

Chemotherapy Rescue/Antidote Agents LEUCOVORIN CALCIUM TABS OR 10 MG, 15 MG F PA

leucovorin calcium tabs or 5 mg, 25 mg F PA

Mitotic Inhibitors

ETOPOSIDE CAPS OR F PA; SP

ANTIPARKINSON AND RELATED THERAPY AGENTS - Drugs to Treat Parkinson's Disease

Antiparkinson Anticholinergics benztropine mesylate tabsor 0.5 mg, 1 mg, 2 mg F

trihexyphenidyl hcl soln F

trihexyphenidyl hcl tabs F

Antiparkinson COMT Inhibitors COMTAN TABS (Entacapone) NF

entacapone tabs 200 mg F

Antiparkinson Dopaminergics amantadine hcl caps or100 mg F

amantadine hcl syrp or 50mg/5ml F

amantadine hcl tabs or 100 mg F

bromocriptine mesylatecaps or 5 mg F

bromocriptine mesylatetabs or 2.5 mg F


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carbidopa-levodopa tabs F

carbidopa-levodopa tbcr F

carbidopa-levodopa tbdp F

MIRAPEX ER TB24 0.375 MG, 0.75 MG, 3 MG, 1.5 MG, 4.5 MG, 3.75 MG (PramipexoleDihydrochloride)

NF

MIRAPEX TABS (PramipexoleDihydrochloride)

NF

PARLODEL CAPS (Bromocriptine Mesylate) NF

PARLODEL TABS (Bromocriptine Mesylate) NF

pramipexoledihydrochloride tabs 0.125mg, 0.25 mg, 0.75 mg, 0.5mg, 1 mg, 1.5 mg

F

pramipexoledihydrochloride tb24 0.375mg, 0.75 mg, 3 mg, 1.5 mg,4.5 mg, 3.75 mg

F

REQUIP TABS (RopiniroleHydrochloride) NF

REQUIP XL TB24 (Ropinirole Hydrochloride) NF

ropinirole hydrochloridetabs F

ropinirole hydrochloridetb24 F

SINEMET CR TBCR (Carbidopa-Levodopa) NF

SINEMET TABS (Carbidopa-Levodopa) NF

ANTIPSYCHOTICS/ANTIMANIC AGENTS -Drugs to Treat Mood Disorders

Antimanic Agents lithium carbonate caps or150 mg, 300 mg, 600 mg F AL(At least 6

yrs old)


30


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lithium carbonate tabs or 300 mg F AL(At least 6

yrs old) lithium carbonate tbcr or 300 mg, 450 mg F AL(At least 6

yrs old)

LITHIUM SOLN F AL(At least 6yrs old)

LITHOBID TBCR (Lithium Carbonate) NF AL(At least 6

yrs old) Antipsychotics - Misc. GEODON CAPS OR 20 MG, 40 MG, 60 MG (Ziprasidone HCl)


GEODON CAPS OR 80 MG (Ziprasidone HCl) NF


LATUDA TABS F QL(1 ea daily);AL(At least 6yrs old)

ziprasidone hcl caps 20mg, 40 mg, 60 mg F


ziprasidone hcl caps 80 mg F QL(2 ea daily);AL(At least 6yrs old)

Benzisoxazoles

INVEGA SUSTENNA SUSY F

1 rtl pack lmtamt,28 rtl packlmt day(s),;AL(At least 18yrs old); SP

INVEGA TRINZA SUSY F

Try InvegaSustenna first; Limit 1 per 3months;1 rtl pack lmtamt,90 rtl packlmt day(s),;AL(At least 18yrs old); SP

RISPERDAL CONSTA SRER F

Limit 2 per 4weeks 2 rtl MAX fill,28 rtl day(s) supply,;AL(At least 18yrs old); SP


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RISPERDAL M-TAB TBDP 0.5 MG (Risperidone) NF


RISPERDAL M-TAB TBDP 1 MG, 2 MG (Risperidone) NF


RISPERDAL M-TAB TBDP 3 MG, 4 MG (Risperidone) NF


RISPERDAL SOLN 1 MG/ML (Risperidone) NF

QL(8 mldaily,240 mlper 30 daysretail); AL(Atleast 6 yrs old)

RISPERDAL TABS 0.25 MG, 0.5 MG (Risperidone) NF


RISPERDAL TABS 1 MG, 2 MG (Risperidone) NF


RISPERDAL TABS 3 MG, 4 MG (Risperidone) NF


RISPERIDONE ODT TBDP F QL(4 ea daily);AL(At least 6yrs old)

risperidone soln 1 mg/ml F

QL(8 mldaily,240 mlper 30 daysretail); AL(Atleast 6 yrs old)

risperidone tabs 0.25 mg,0.5 mg F


risperidone tabs 1 mg, 2 mg F


risperidone tabs 3 mg, 4 mg F


risperidone tbdp 0.25 mg,0.5 mg F



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risperidone tbdp 1 mg, 2 mg F


risperidone tbdp 3 mg, 4 mg F


Butyrophenones HALDOL DECANOATE 100 SOLN (HaloperidolDecanoate)

NF AL(At least 18yrs old); SP

HALDOL DECANOATE 50 SOLN (HaloperidolDecanoate)

NF AL(At least 18yrs old); SP

HALDOL SOLN (Haloperidol Lactate) NF AL(At least 6

yrs old); SP haloperidol decanoate solnim 50 mg/ml, 100 mg/ml F AL(At least 18

yrs old); SP haloperidol lactate conc or2 mg/ml F AL(At least 6

yrs old) haloperidol lactate soln ij 5mg/ml F AL(At least 6

yrs old); SP haloperidol tabs or 0.5 mg,1 mg, 2 mg, 5 mg, 10 mg,20 mg


Dibenzapines

CLOZAPINE ODT TBDP F QL(5 ea daily);AL(At least 18yrs old)

clozapine tabs 25 mg, 50mg, 100 mg, 200 mg F


CLOZAPINE TABS 50 MG, 200 MG (Clozapine) NF


clozapine tbdp 25 mg, 100mg, 12.5 mg F


CLOZARIL TABS (Clozapine) NF


FAZACLO TBDP 150 MG, 200 MG F



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FAZACLO TBDP 25 MG, 100 MG, 12.5 MG (Clozapine)


loxapine succinate caps F AL(At least 6yrs old)

olanzapine tabs or 15 mg,20 mg, 2.5 mg, 7.5 mg F


olanzapine tabs or 5 mg,10 mg F


olanzapine tbdp or 15 mg,20 mg F


olanzapine tbdp or 5 mg,10 mg F


quetiapine fumarate tabs25 mg, 50 mg, 100 mg, 200 mg


quetiapine fumarate tabs300 mg, 400 mg F


SEROQUEL TABS 25 MG, 50 MG, 100 MG, 200 MG (Quetiapine Fumarate)


SEROQUEL TABS 300 MG, 400 MG (QuetiapineFumarate)


ZYPREXA TABS OR 15 MG, 20 MG, 2.5 MG, 7.5 MG (Olanzapine)


ZYPREXA TABS OR 5 MG, 10 MG (Olanzapine) NF


ZYPREXA ZYDIS TBDP 15 MG, 20 MG (Olanzapine) NF


ZYPREXA ZYDIS TBDP 5 MG, 10 MG (Olanzapine) NF


Phenothiazines


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chlorpromazine hcl tabs or10 mg, 25 mg, 50 mg, 100mg, 200 mg


fluphenazine decanoatesoln ij F AL(At least 18

yrs old); SP FLUPHENAZINE HCL CONC OR 5 MG/ML F AL(At least 6

yrs old) fluphenazine hcl tabs or 1mg, 5 mg, 10 mg, 2.5 mg F AL(At least 6

yrs old) FLUPHENAZINE HCL TABS OR 1 MG, 5 MG, 10 MG, 2.5 MG


FLUPHENAZINE HYDROCHLORIDE ELIX F AL(At least 6

yrs old) perphenazine tabs or 2 mg,4 mg, 8 mg, 16 mg F AL(At least 6

yrs old) prochlorperazine maleatetabs or 5 mg, 10 mg F AL(At least 6

yrs old)

prochlorperazine supp F AL(At least 6yrs old)

thioridazine hcl tabs or 10 mg, 25 mg, 50 mg, 100 mg F AL(At least 6

yrs old)

trifluoperazine hcl tabs F AL(At least 6yrs old)

Quinolinone Derivatives

ABILIFY MAINTENA PRSY F


ABILIFY MAINTENA SRER F


ABILIFY TABS (Aripiprazole) NF


aripiprazole tabs F QL(1 ea daily);AL(At least 6yrs old)


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ARISTADA INITIO PRSY F

Limit 2 doses per 365 Days;2rtl MAX fill,365 rtl day(s)supply,; AL(Atleast 18 yrsold); SP

ARISTADA PRSY 1064 MG/3.9ML F

Limit 1 per 8weeks;1 rtl pack lmtamt,56 rtl packlmt day(s),;AL(At least 18yrs old); SP

ARISTADA PRSY 441 MG/1.6ML, 662 MG/2.4ML,882 MG/3.2ML

F


Thioxanthenes

thiothixene caps F AL(At least 6yrs old)

ANTISEPTICS & DISINFECTANTS

Antiseptics & Disinfectants hydrogen peroxide soln ex3 % F

HYDROGEN PEROXIDE SOLN EX 3 % F

ANTIVIRALS - Drugs to Treat Viral Infections

Antiretrovirals

abacavir sulfate soln F

abacavir sulfate tabs F

abacavir sulfate-lamivudine tabs 600mg-300mg F

abacavir sulfate-lamivudine-zidovudine tabs 300mg-150mg-300mg

F

APTIVUS CAPS F

APTIVUS SOLN F


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atazanavir sulfate caps F

ATRIPLA TABS F

BIKTARVY TABS F QL(1 ea daily)

COMBIVIR TABS (Lamivudine-Zidovudine) NF

COMPLERA TABS F

CRIXIVAN CAPS F

DESCOVY TABS F

didanosine cpdr 200 mg,400 mg F

DIDANOSINE CPDR 400 MG F

EDURANT TABS F

efavirenz caps F

efavirenz tabs F

EMTRIVA CAPS F

EMTRIVA SOLN F

EPIVIR SOLN (Lamivudine) NF

EPIVIR TABS (Lamivudine) NF

EPZICOM TABS (Abacavir Sulfate-Lamivudine) NF

EVOTAZ TABS F

fosamprenavir calcium tabs F

FUZEON SOLR F

PA; 1 rtl packlmt amt,30 rtl pack lmtday(s),; SP

GENVOYA TABS F

INTELENCE TABS F


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INVIRASE CAPS F

INVIRASE TABS F

ISENTRESS CHEW F

ISENTRESS PACK F

ISENTRESS TABS F

KALETRA SOLN 400MG/5ML-100MG/5ML(Lopinavir-Ritonavir)

NF

KALETRA TABS 100MG-25MG, 200MG-50MG F

lamivudine soln F

lamivudine tabs F

lamivudine-zidovudine tabs 150mg-300mg F

LEXIVA SUSP 50 MG/ML F

LEXIVA TABS 700 MG (Fosamprenavir Calcium) NF

lopinavir-ritonavir soln F

nevirapine susp 50 mg/5ml F

nevirapine tabs 200 mg F

nevirapine tb24 400 mg F

NORVIR CAPS 100 MG F

NORVIR SOLN 80 MG/ML F

NORVIR TABS 100 MG (Ritonavir) NF

ODEFSEY TABS F

PIFELTRO TABS F

PREZCOBIX TABS F


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PREZISTA SUSP 100 MG/ML F

PREZISTA TABS 75 MG, 600 MG, 800 MG F

RESCRIPTOR TABS F

RETROVIR CAPS (Zidovudine) NF

RETROVIR SYRP (Zidovudine) NF

REYATAZ CAPS 150 MG, 200 MG, 300 MG (Atazanavir Sulfate)

NF

REYATAZ PACK 50 MG F

ritonavir tabs F

SELZENTRY SOLN F PA

SELZENTRY TABS F PA

stavudine caps F

STRIBILD TABS F

SUSTIVA CAPS (Efavirenz) NF

SUSTIVA TABS (Efavirenz) NF

tenofovir disoproxilfumarate tabs F

TIVICAY TABS 50 MG F

TRIUMEQ TABS F

TRIZIVIR TABS (Abacavir Sulfate-Lamivudine-Zidovudine)

NF

TRUVADA TABS F

TYBOST TABS F QL(1 ea daily)

VIDEX EC CPDR 125 MG F


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VIDEX EC CPDR 200 MG, 400 MG (Didanosine) NF

VIDEXPEDIATRIC SOLR 4 GM F

VIRACEPT TABS F

VIRAMUNE SUSP (Nevirapine) NF

VIRAMUNE TABS (Nevirapine) NF

VIRAMUNE XR TB24 400 MG (Nevirapine) NF

VIREAD POWD 40 MG/GM F

VIREAD TABS 300 MG (Tenofovir DisoproxilFumarate)

NF

ZERIT CAPS 15 MG, 20 MG, 30 MG, 40 MG (Stavudine)

NF

ZERIT SOLR 1 MG/ML F

ZIAGEN SOLN (Abacavir Sulfate) NF

ZIAGEN TABS (Abacavir Sulfate) NF

zidovudine caps F

zidovudine syrp F

zidovudine tabs F

CMV Agents

cidofovir soln F PA

CYTOVENE SOLR (Ganciclovir Sodium) NF PA

FOSCAVIR SOLN F PA

ganciclovir sodium solr 500 mg F PA

VALCYTE SOLR (Valganciclovir HCl) NF PA


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VALCYTE TABS (Valganciclovir HCl) NF PA

valganciclovir hcl solr F PA

valganciclovir hcl tabs F PA

Hepatitis Agents adefovir dipivoxil tabs 10 mg F PA

BARACLUDE SOLN 0.05 MG/ML F PA

BARACLUDE TABS 0.5 MG, 1 MG (Entecavir) NF PA

COPEGUS TABS (Ribavirin (Hepatitis C)) NF PA; SP

entecavir tabs F PA

EPIVIR HBV SOLN 5 MG/ML F

EPIVIR HBV TABS 100 MG (Lamivudine (HBV)) NF

HEPSERA TABS (Adefovir Dipivoxil) NF PA

lamivudine (hbv) tabs F

MAVYRET TABS F PA; SP

MODERIBA 1200 DOSE PACK TBPK F PA; SP

MODERIBA 800 DOSE PACK TBPK F PA; SP

PEGASYS PROCLICK SOLN F PA; SP

PEGASYS SOLN F PA; SP

PEGINTRON KIT F PA; SP

REBETOL CAPS 200 MG (Ribavirin (Hepatitis C)) NF PA; SP

REBETOL SOLN 40 MG/ML F PA; SP

RIBASPHERE RIBAPAK TBPK F PA; SP


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RIBASPHERE TABS F PA; SP

ribavirin (hepatitis c) caps F PA; SP

ribavirin (hepatitis c) tabs F PA; SP

SOFOSBUVIR/VELPATASVIR TABS F PA; SP

VEMLIDY TABS F PA; SP

Herpes Agents

acyclovir caps or 200 mg F

acyclovir susp or 200mg/5ml F

acyclovir tabs or 400 mg,800 mg F

famciclovir tabs or 125 mg,250 mg, 500 mg F PA

valacyclovir hcl tabs or 1gm, 500 mg, 1000 mg F

VALTREX TABS (Valacyclovir HCl) NF

ZOVIRAX CAPS OR 200 MG (Acyclovir) NF

ZOVIRAX SUSP OR 200 MG/5ML (Acyclovir) NF

ZOVIRAX TABS OR 400 MG, 800 MG (Acyclovir) NF

Influenza Agents FLUMADINE TABS (Rimantadine Hydrochloride)

NF

oseltamivir phosphate capsor 30 mg, 45 mg, 75 mg F QL(20 ea per

270 days retail) oseltamivir phosphate susror 6 mg/ml F

RELENZA DISKHALER AEPB F

rimantadine hydrochloridetabs 100 mg F


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TAMIFLU CAPS 30 MG, 45 MG, 75 MG (Oseltamivir Phosphate)

NF QL(20 ea per270 days retail)

TAMIFLU SUSR 6 MG/ML(Oseltamivir Phosphate) NF

BETA BLOCKERS - Drugs to Treat High BloodPressure

Alpha-Beta Blockers

carvedilol tabs F MP

COREG TABS (Carvedilol) NF MP

labetalol hcl tabs or 100 mg, 200 mg, 300 mg F MP

Beta Blockers Cardio-Selective atenolol tabs or 25 mg, 50mg, 100 mg F MP

bisoprolol fumarate tabs F MP

LOPRESSOR TABS (Metoprolol Tartrate) NF MP

metoprolol succinate tb24 F MP

metoprolol tartrate tabs or25 mg, 50 mg, 100 mg F MP

metoprolol tartrate tabs or75 mg, 37.5 mg F

TENORMIN TABS (Atenolol) NF MP

TOPROL XL TB24 (Metoprolol Succinate) NF MP

Beta Blockers Non-Selective BETAPACE AF TABS (Sotalol HCl (AFIB/AFL)) NF MP

BETAPACE TABS (Sotalol HCl) NF MP

CORGARD TABS (Nadolol) NF MP

INDERAL LA CP24 (Propranolol HCl) NF MP

nadolol tabs or 20 mg, 40mg, 80 mg F MP


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propranolol hcl cp24 or 60mg, 80 mg, 120 mg, 160 mg

F MP

PROPRANOLOL HCL SOLN OR 20 MG/5ML F

PROPRANOLOL HCL SOLN OR 40 MG/5ML F MP

propranolol hcl tabs or 10mg, 20 mg, 40 mg, 80 mg F MP

propranolol hcl tabs or 60 mg F

sotalol hcl (afib/afl) tabs F MP

sotalol hcl tabs F MP

CALCIUM CHANNEL BLOCKERS - Drugs toTreat High Blood Pressure

Calcium Channel Blockers ADALAT CC TB24 (Nifedipine) NF QL(2 ea daily);

MP amlodipine besylate tabs or5 mg, 10 mg, 2.5 mg F QL(1 ea daily);

MP CALAN SR TBCR (Verapamil HCl) NF MP

CALAN TABS (VerapamilHCl) NF MP

CARDIZEM CD CP24 (Diltiazem HCl Coated Beads)

NF QL(1 ea daily);MP

CARDIZEM TABS (Diltiazem HCl) NF MP

DILT-XR CP24 F QL(2 ea daily);MP

diltiazem hcl coated beads cp24 120 mg, 180 mg, 240mg, 300 mg, 360 mg

F QL(1 ea daily);MP

diltiazem hcl cp12 or 120 mg F

diltiazem hcl cp12 or 60mg, 90 mg F QL(2 ea daily);

MP diltiazem hcl cp24 or 120 mg F QL(2 ea daily);

MP


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diltiazem hcl cp24 or 180mg, 240 mg F QL(1 ea daily);

MP diltiazem hcl extended release beads cp24 F QL(1 ea daily);

MP diltiazem hcl tabs or 30 mg,60 mg, 90 mg, 120 mg F MP

felodipine tb24 F MP

nifedipine caps or 10 mg,20 mg F MP

nifedipine tb24 or 30 mg,60 mg, 90 mg F QL(2 ea daily);

MP nifedipine tb24 or 30 mg,60 mg, 90 mg F MP

NORVASC TABS (Amlodipine Besylate) NF QL(1 ea daily);

MP PROCARDIA CAPS (Nifedipine) NF MP

PROCARDIA XL TB24 (Nifedipine) NF MP

TIAZAC CP24 (Diltiazem HCl Extended Release Beads)

NF QL(1 ea daily);MP

verapamil hcl cp24 or 100mg, 120 mg, 180 mg, 200mg, 300 mg

F MP

verapamil hcl cp24 or 240 mg F

VERAPAMIL HCL ER CP24 F MP

VERAPAMIL HCL SR CP24 F MP

verapamil hcl tabs or 40mg, 80 mg, 120 mg F MP

verapamil hcl tbcr or 120mg, 180 mg, 240 mg F MP

VERELAN CP24 120 MG, 180 MG (Verapamil HCl) NF MP

VERELAN CP24 240 MG (Verapamil HCl) NF

VERELAN CP24 360 MG F MP

VERELAN PM CP24 100 MG, 300 MG F MP


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VERELAN PM CP24 200 MG (Verapamil HCl) NF MP

CARDIOTONICS - Drugs to Treat Heart Failureand Abnormal Heart Rhythm

Cardiac Glycosides

digoxin soln or 0.05 mg/ml F MP

DIGOXIN SOLN OR 0.05 MG/ML (Digoxin) NF MP

digoxin tabs or 0.125 mg,125 mcg F MP

digoxin tabs or 0.25 mg,250 mcg F

LANOXIN TABS OR 125 MCG (Digoxin) NF MP

LANOXIN TABS OR 250 MCG (Digoxin) NF

LANOXIN TABS OR 62.5 MCG F

CARDIOVASCULAR AGENTS - MISC. - Drugs toTreat Heart and Circulation Conditions

Pulmonary Hypertension - Endothelin Receptor LETAIRIS TABS (Ambrisentan) F PA; SP

TRACLEER TABS 125 MG, 62.5 MG (Bosentan) F PA; SP

TRACLEER TBSO 32 MG F PA; SP

Pulmonary Hypertension - Phosphodiesterase ADCIRCA TABS 20 MG (Tadalafil (PulmonaryHypertension))

F PA; SP

REVATIO SUSR 10 MG/ML (Sildenafil Citrate (Pulmonary Hypertension))

F AL(Up to 11 yrsold ); SP

REVATIO TABS 20 MG (Sildenafil Citrate (Pulmonary Hypertension))

NF PA; SP

sildenafil citrate (pulmonaryhypertension) tabs 20 mg F PA; SP

CEPHALOSPORINS - Drugs to Treat BacterialInfections


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Cephalosporins - 1st Generation

cefadroxil caps F

cefadroxil susr F

cefadroxil tabs F

cefazolin sodium solr ij 1 gm F

CEFAZOLIN SODIUM SOLR IV 1 GM F

CEFAZOLIN SODIUM SOSY IV 1 GM/10ML, 2GM/20ML, 3 GM/20ML

F

CEFAZOLIN SODIUM/DEXTROSESOLN 2GM/50ML-5%

F

CEFAZOLIN SODIUM/DEXTROSESOLR 1GM-4%, 2GM-3%

F

CEFAZOLIN SODIUM/SODIUMCHLORIDE SOSY 1GM/10ML-0.9%,2GM/10ML-0.9%

F

CEFAZOLIN SOLN F

cephalexin caps 250 mg,500 mg, 750 mg F

cephalexin susr 125mg/5ml, 250 mg/5ml F

CEPHALEXIN TABS 250 MG, 500 MG F

KEFLEX CAPS (Cephalexin) NF

Cephalosporins - 2nd Generation cefaclor caps 250 mg, 500 mg F

CEFACLOR ER TB12 F

CEFACLOR SUSR 125 MG/5ML, 250 MG/5ML,375 MG/5ML

F


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cefprozil susr F

cefprozil tabs F

CEFTIN SUSR F

cefuroxime axetil tabs F

Cephalosporins - 3rd Generation

cefdinir caps F

cefdinir susr F

cefixime caps 400 mg F

cefixime susr 100 mg/5ml F 50ml permonth;QL(1.67ml daily)

cefixime susr 200 mg/5ml F

cefpodoxime proxetil susr F

cefpodoxime proxetil tabs F

CEFTRIAXONE IN ISO-OSMOTIC DEXTROSE SOLN

F

ceftriaxone sodium solr ij 1gm, 2 gm, 250 mg, 500 mg F

CEFTRIAXONE SODIUM SOLR IJ 100 GM F

ceftriaxone sodium solr iv 1 gm, 2 gm, 10 gm F

CEFTRIAXONE/DEXTROSE SOLR F

SUPRAX CAPS 400 MG (Cefixime) NF

SUPRAX CHEW 100 MG, 200 MG F

SUPRAX SUSR 100 MG/5ML (Cefixime) NF

50ml permonth;QL(1.67ml daily)

SUPRAX SUSR 200 MG/5ML (Cefixime) NF


39


Nivel del

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Cephalosporins - 4th Generation

cefepime hcl solr F

CEFEPIME SOLN F

MAXIPIME SOLR IJ 1 GM, 2 GM (Cefepime HCl) NF

CONTRACEPTIVES - Drugs to PreventPregnancy

Combination Contraceptives - Oral BREVICON-28 TABS (Norethindrone & Eth Estradiol)

NF

CYCLESSA TABS (Desogestrel-EthinylEstradiol (Triphasic))

NF

DESOGEN TABS (Desogestrel & EthinylEstradiol)

NF

desogestrel & ethinylestradiol tabs F

desogestrel-ethinylestradiol (biphasic) tabs F

desogestrel-ethinylestradiol (triphasic) tabs F

drospirenone-ethinylestradiol tabs F

ESTROSTEP FE TABS (Norethindrone Acetate-Ethinyl Estradiol-Fe)

NF

ethynodiol diacet & ethestrad tabs F

levonorgestrel & ethestradiol tabs F

levonorgestrel-eth estradiol(triphasic) tabs F

levonorgestrel-ethinylestradiol (91-day) tabs F

levonorgestrel-ethinylestradiol (continuous) tabs F

LOESTRIN 1.5/30-21TABS (Norethindrone Acet & Eth Estra)

NF


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LOESTRIN 1/20-21 TABS(Norethindrone Acet & Eth Estra)

NF

LOESTRIN FE 1.5/30TABS (Norethin Acet & Estrad-Fe)

NF

LOESTRIN FE 1/20 TABS(Norethin Acet & Estrad-Fe)

NF QL(1 ea daily)

LOSEASONIQUE TABS (Levonorgestrel-EthinylEstradiol (91-Day))

NF

MIRCETTE TABS (Desogestrel-EthinylEstradiol (Biphasic))

NF

NECON 1/50-28 TABS F

norethin acet & estrad-fe tabs 75mg-20mcg-1mg F QL(1 ea daily)

norethin acet & estrad-fe tabs 75mg-30mcg-1.5mg F

norethindrone & eth estradiol tabs F

norethindrone acet & eth estra tabs F

norethindrone acetate-ethinyl estradiol-fe tabs75mg-1mg

F

norethindrone-eth estradiol (triphasic) tabs F

norgestimate-ethinylestradiol (triphasic) tabs F

norgestimate-ethinylestradiol tabs 0.25mg-35mcg

F

norgestrel & ethinylestradiol tabs F

OGESTREL TABS F

ORTHO TRI-CYCLEN LO TABS (Norgestimate-Ethinyl Estradiol(Triphasic))

NF


40


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ORTHO TRI-CYCLEN TABS (Norgestimate-Ethinyl Estradiol(Triphasic))

NF

ORTHO-CYCLEN TABS (Norgestimate-EthinylEstradiol)

NF

ORTHO-NOVUM 1/35TABS (Norethindrone & Eth Estradiol)

NF

ORTHO-NOVUM 7/7/7TABS (Norethindrone-Eth Estradiol (Triphasic))

NF

SEASONIQUE TABS (Levonorgestrel-EthinylEstradiol (91-Day))

NF

TRI-NORINYL 28 TABS (Norethindrone-Eth Estradiol (Triphasic))

NF

YASMIN 28 TABS (Drospirenone-EthinylEstradiol)

NF

YAZ TABS (Drospirenone-Ethinyl Estradiol) NF

Combination Contraceptives - Vaginal NUVARING RING F

Emergency Contraceptives levonorgestrel (emergencyoc) tabs 1.5 mg F

PLAN B ONE-STEP TABS (Levonorgestrel(Emergency OC))

NF

Progestin Contraceptives - Injectable DEPO-PROVERA CONTRACEPTIVE SUSP (MedroxyprogesteroneAcetate (Contraceptive))

NF

DEPO-PROVERA CONTRACEPTIVE SUSY (MedroxyprogesteroneAcetate (Contraceptive))

NF

DEPO-SUBQ PROVERA 104 SUSY F


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medroxyprogesteroneacetate (contraceptive) susp

F

medroxyprogesteroneacetate (contraceptive) susy

F

Progestin Contraceptives - Oral norethindrone (contraceptive) tabs 0.35 mg

F

ORTHO MICRONOR TABS (Norethindrone (Contraceptive))

NF

CORTICOSTEROIDS - Steroid Hormone Drugs toTreat Systemic Swelling Conditions

Glucocorticosteroids

budesonide cpep or 3 mg F

CORTEF TABS (Hydrocortisone) NF

dexamethasone elix or 0.5 mg/5ml F

DEXAMETHASONE INTENSOL CONC F

DEXAMETHASONE SOLN OR 0.5 MG/5ML F

dexamethasone tabs or 0.75 mg, 0.5 mg, 4 mg, 6mg, 1.5 mg

F

DEXAMETHASONE TABS OR 1 MG, 2 MG F

dexamethasone tbpk or 1.5 mg F

ENTOCORT EC CPEP (Budesonide) NF

hydrocortisone tabs or 5mg, 10 mg, 20 mg F

KENALOG-10 SUSP F PA

MEDROL DOSEPAK TBPK (Methylprednisolone) NF

MEDROL TABS 2 MG F


41


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MEDROL TABS 4 MG, 8 MG, 16 MG, 32 MG (Methylprednisolone)

NF

methylprednisolone sodsucc solr F PA

methylprednisolone tabs or4 mg, 8 mg, 16 mg, 32 mg F

methylprednisolone tbpk or4 mg F

MILLIPRED TABS 5 MG F

ORAPRED ODT TBDP (Prednisolone Sodium Phosphate)

NF

PEDIAPRED SOLN (Prednisolone Sodium Phosphate)

NF

prednisolone sodiumphosphate soln or 5mg/5ml, 15 mg/5ml

F

prednisolone sodiumphosphate tbdp or 10 mg,15 mg, 30 mg

F

prednisolone soln or F

PREDNISOLONE SOLN OR F

prednisolone syrp or F

PREDNISONE INTENSOL CONC F

PREDNISONE SOLN OR 5 MG/5ML F

prednisone tabs or 1 mg, 5mg, 10 mg, 20 mg, 50 mg,2.5 mg

F

prednisone tbpk or 5 mg,10 mg F

SOLU-CORTEF SOLR F PA

SOLU-MEDROL SOLR 2 GM F PA


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SOLU-MEDROL SOLR 40 MG, 125 MG, 500 MG, 1000 MG (Methylprednisolone SodSucc)

NF

PA

TRIAMCINOLONE ACETONIDE PF SUSP F PA

TRIAMCINOLONE ACETONIDE SUSP IJ 50 MG/ML

F PA

Mineralocorticoids fludrocortisone acetate tabs or 0.1 mg F

COUGH/COLD/ALLERGY - Drugs to TreatCough, Cold and Allergy Symptoms

Antitussives

benzonatate caps F

DELSYM COUGH CHILDRENS SUER (DextromethorphanPolistirex)

NF

DELSYM SUER (DextromethorphanPolistirex)

NF

dextromethorphan hbr capsor 15 mg F

dextromethorphan hbr syrpor 15 mg/5ml F

dextromethorphanpolistirex suer 30 mg/5ml F

hydrocodone w/homatropine syrp 5mg/5ml-1.5mg/5ml

F

QL(240 ml per12 days retail);AL(At least 18yrs old)

hydrocodone w/homatropine tabs 5mg-1.5mg


ROBITUSSIN LINGERING COLDLONG-ACTING COUGHGELS CAPS (Dextromethorphan HBr)

NF

TESSALON PERLES CAPS (Benzonatate) NF


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Cough/Cold/Allergy Combinations

ACTIDOM DMX LIQD F QL(16 ml daily)

ACTINEL DM LIQD F QL(16 ml daily)

ALLEGRA-D 12 HOUR ALLERGY & CONGESTION TB12 (Fexofenadine-Pseudoephedrine)

NF

QL(2 ea daily)

ALLEGRA-D 24 HOUR ALLERGY & CONGESTION TB24 (Fexofenadine-Pseudoephedrine)

NF

QL(1 ea daily)

BALAMINE DM SYRP F

BIOBRON SF SYRP F QL(16 ml daily)

BIODESP DM SYRP F QL(16 ml daily)

brompheniramine &phenyleph elix 1mg/5ml-2.5mg/5ml, 1mg/5ml-1mg/5ml-2.5mg/5ml-2.5mg/5ml

F

brompheniramine &pseudoeph elix 1mg/5ml-15mg/5ml

F QL(8 ml daily)

brompheniramine &pseudoeph liqd 1mg/5ml-15mg/5ml

F QL(8 ml daily)

BRONKIDS LIQD F

BRONTUSS DX LIQD F QL(16 ml daily)

BROTAPP DM LIQD F

cetirizine-pseudoephedrinetb12 F QL(2 ea daily)

CHERACOL PLUS LIQD (Dextromethorphan-Guaifenesin)

NF QL(16 ml daily)

CHERACOL-D COUGH LIQD (Dextromethorphan-Guaifenesin)

NF QL(16 ml daily)


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chlorpheniramine &pseudoeph tabs F

CLARITIN-D 12 HOUR TB12 (Loratadine & Pseudoephedrine)

NF QL(2 ea daily)

CLARITIN-D 24 HOUR TB24 (Loratadine & Pseudoephedrine)

NF QL(1 ea daily)

DESGEN DM SYRP 15MG/5ML-100MG/5ML-5MG/5ML

F QL(16 ml daily)

dextromethorphan-guaifenesin liqd 10mg/5ml-100mg/5ml, 10mg/5ml-200mg/5ml, 20mg/10ml-200mg/10ml, 20mg/10ml-400mg/10ml, 15mg/7.5ml-150mg/7.5ml, 10mg/5ml-10mg/5ml-100mg/5ml-100mg/5ml

F

QL(16 ml daily)

dextromethorphan-guaifenesin liqd 5mg/5ml-100mg/5ml, 20mg/20ml-400mg/20ml

F

dextromethorphan-guaifenesin syrp 10mg/5ml-100mg/5ml, 10mg/5ml-10mg/5ml-100mg/5ml-100mg/5ml

F

dextromethorphan-guaifenesin tabs 20mg-400mg, 20mg-20mg-400mg-400mg

F

QL(2 ea daily)

dextromethorphan-guaifenesin tb12 30mg-600mg

F QL(2 ea daily)

DIMETAPP COLD & ALLERGY ELIX (Brompheniramine &Phenyleph)

NF

DOMETUSS-DMX LIQD F QL(16 ml daily)

ED BRON GP LIQD F

EXACTUSS LIQD (Phenylephrine w/ DM-GG) NF QL(16 ml

daily); RX/OTC


43


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EXACTUSS TR TABS F RX/OTC

FATHER JOHNS MEDICINE PLUS SOLN F

fexofenadine-pseudoephedrine tb1260mg-120mg

F QL(2 ea daily)

fexofenadine-pseudoephedrine tb24180mg-240mg

F QL(1 ea daily)

G-TUSICOF LIQD F QL(16 ml daily)

G-ZYNCOF SYRP F

GILTUSS COUGH & COLD LIQD 29MG/5ML-390MG/5ML-10MG/5ML

F QL(16 ml daily)

GILTUSS COUGH & COLD TABS 28MG-388MG-10MG

F RX/OTC

GILTUSS LIQD (Phenylephrine w/ DM-GG) NF QL(16 ml

daily); RX/OTC

GILTUSS TR TABS F RX/OTC

guaifenesin-codeine soln100mg/5ml-10mg/5ml F


guaifenesin-codeine syrp100mg/5ml-10mg/5ml F


LOHIST-D LIQD F QL(16 ml daily)

LOHIST-DM SYRP F QL(16 ml daily)

loratadine & pseudoephedrine tb125mg-120mg

F QL(2 ea daily)

loratadine & pseudoephedrine tb2410mg-240mg, 10mg-10mg-240mg-240mg

F

QL(1 ea daily)


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MUCINEX CHILDRENS MULTI-SYMPTOM COLD LIQD (Phenylephrine w/DM-GG)

NF

QL(16 ml daily)

MUCINEX CONGESTION & COUGH CHILDRENS LIQD (Phenylephrine w/DM-GG)

NF

QL(16 ml daily)

MUCINEX D TB12 (Pseudoephedrine-Guaifenesin)

NF

MUCINEX DM TB12 (Dextromethorphan-Guaifenesin)

NF QL(2 ea daily)

MUCINEX FAST-MAX SEVERE CONGESTION & COUGH CLEAR & COOL LIQD (Phenylephrine w/DM-GG)

NF

QL(16 ml daily)

MUCINEX FAST-MAX SEVERE CONGESTION & COUGH LIQD 5MG/5ML-100MG/5ML-2.5MG/5ML,20MG/20ML-400MG/20ML-10MG/20ML(Phenylephrine w/ DM-GG)

NF

QL(16 ml daily)

MUCINEX STUFFY NOSE & COLD CHILDRENS LIQD (Phenylephrine-Guaifenesin)

NF

NEOTUSS PLUS LIQD F

NEOTUSS-D LIQD F QL(16 ml daily)

NIVANEX DMX TABS F


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phenylephrine w/ dm-ggliqd 5mg/ml-100mg/ml-2.5mg/ml, 10mg/5ml-100mg/5ml-5mg/5ml,10mg/5ml-200mg/5ml-5mg/5ml, 5mg/5ml-75mg/5ml-2.5mg/5ml,15mg/5ml-350mg/5ml-10mg/5ml, 5mg/5ml-100mg/5ml-2.5mg/5ml,20mg/20ml-400mg/20ml-10mg/20ml, 10mg/5ml-10mg/5ml-100mg/5ml-100mg/5ml-5mg/5ml-5mg/5ml

F

QL(16 ml daily)

phenylephrine w/ dm-ggliqd 5mg/ml-50mg/ml-2.5mg/ml, 7.5mg/ml-88mg/ml-2.5mg/ml,15mg/5ml-300mg/5ml-10mg/5ml, 28mg/5ml-388mg/5ml-10mg/5ml,7.5mg/2.5ml-150mg/2.5ml-5mg/2.5ml

F

QL(16 mldaily); RX/OTC

phenylephrine w/ dm-ggsyrp 10mg/5ml-100mg/5ml-5mg/5ml

F QL(16 ml daily)

phenylephrine w/ dm-ggtabs 15mg-380mg-10mg,20mg-400mg-10mg

F

phenylephrine-brompheniramine-dm elix1mg/5ml-5mg/5ml-2.5mg/5ml, 1mg/5ml-1mg/5ml-5mg/5ml-5mg/5ml-2.5mg/5ml-2.5mg/5ml

F

QL(16 ml daily)

phenylephrine-chlorphen-dm liqd F

phenylephrine-guaifenesinliqd 100mg/5ml-2.5mg/5ml F

phenylephrine-guaifenesintabs 400mg-10mg, 400mg-400mg-10mg-10mg

F

promethazine &phenylephrine soln F QL(16 ml daily)


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promethazine w/codeinesoln F


promethazine w/codeine syrp F


PROMETHAZINE/DEXTROMETHORPHAN SOLN F QL(16 ml daily)

PROMETHAZINE/DEXTROMETHORPHAN SYRP F QL(16 ml daily)

PROMETHAZINE/PHENYLEPHRINE SYRP F QL(16 ml daily)

pseudoephed-bromphen-dm syrp F

pseudoephedrine w/codeine-gg soln F


pseudoephedrine w/ dm-ggliqd 10mg/5ml-30mg/5ml-100mg/5ml

F

pseudoephedrine-guaifenesin tb12 60mg-600mg

F

QC MEDIFIN PE TABS (Phenylephrine-Guaifenesin)

NF

ROBITUSSIN CHILDRENS COUGH & COLD CF LIQD F QL(16 ml daily)

ROBITUSSIN PEAK COLD COUGH+ CHEST CONGESTION DM MAX STRENGTH LIQD (Dextromethorphan-Guaifenesin)

NF

QL(16 ml daily)

ROBITUSSIN PEAK COLD DM SYRP (Dextromethorphan-Guaifenesin)

NF

ROBITUSSIN PEAK COLD MULTI-SYMPTOM COLD LIQD (Phenylephrine w/DM-GG)

NF

QL(16 ml daily)


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ROBITUSSIN TO GO COUGH &COLD CF LIQD (Phenylephrine w/ DM-GG)

NF QL(16 ml daily)

RYCONTUSS LIQD (Phenylephrine-Chlorphen-DM)

NF

SUPRESS-PE PEDIATRIC LIQD F

TUSICOF LIQD F QL(16 ml daily)

TUSNEL C SYRP F


TUSNEL DM LIQD F QL(16 ml daily)

TUSSI-PRES PEDIATRIC LIQD (Phenylephrine w/DM-GG)

NF QL(16 ml daily)

TUSSLIN LIQD F QL(16 mldaily); RX/OTC

TUSSLIN PEDIATRIC LIQD F QL(16 ml

daily); RX/OTC

ZYNCOF SYRP F

ZYRTEC-D ALLERGY/CONGESTIONTB12 (Cetirizine-Pseudoephedrine)

NF

QL(2 ea daily)

Expectorants guaifenesin liqd or 100mg/5ml, 200 mg/10ml, 400mg/20ml

F QL(16 ml daily)

guaifenesin soln or 100mg/5ml, 200 mg/10ml, 300mg/15ml

F QL(16 ml daily)

guaifenesin syrp or 100mg/5ml, 200 mg/10ml F QL(16 ml daily)

guaifenesin tabs or 200mg, 400 mg F

guaifenesin tb12 or 600mg, 1200 mg F

HERBAL EXPEC LIQD F QL(16 ml daily)


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MUCINEX MAXIMUM STRENGTH TB12 (Guaifenesin)

NF

MUCINEX TB12 (Guaifenesin) NF

YODEFAN-NF CHEST CONGESTION LIQD F QL(16 ml daily)

Misc. Respiratory Inhalants HYPER-SAL NEBU (Sodium Chloride (Inhalant))

NF

HYPERSAL NEBU 7 % (Sodium Chloride (Inhalant))

NF

sodium chloride (inhalant)nebu 0.9 %, 3 %, 7 % F

Mucolytics acetylcysteine soln in 10 %,20 % F

DERMATOLOGICALS - Drugs to Treat SkinConditions

Acne Products

ABSORICA CAPS F PA

ACNE MEDICATION 10 LOTN F

ACNE MEDICATION 5 LOTN F

BENZAC AC WASH LIQD (Benzoyl Peroxide) NF RX/OTC

BENZEFOAM FOAM (Benzoyl Peroxide) NF RX/OTC

BENZEFOAM ULTRA FOAM (Benzoyl Peroxide) NF

BENZIQ GEL F

BENZIQ LS GEL F

BENZIQ WASH LIQD F

benzoyl peroxide bar ex 10% F


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BENZOYL PEROXIDE CLEANSER LIQD F

BENZOYL PEROXIDE CLEANSER LOTN F

benzoyl peroxide crea ex10 %, 2.5 % F

benzoyl peroxide foam ex5.3 % F RX/OTC

benzoyl peroxide foam ex9.8 % F

BENZOYL PEROXIDE GEL EX 2.5 % F

benzoyl peroxide gel ex 5%, 10 % F

benzoyl peroxide liqd ex 4%, 6 %, 7 % F

benzoyl peroxide liqd ex 5%, 10 %, 2.5 % F RX/OTC

BP GEL GEL F

CLEAN & CLEAR ADVANTAGE 3-IN-1 EXFOLIATING CLEANSER LOTN

F

CLEOCIN-T GEL (Clindamycin Phosphate(Topical))

NF

CLEOCIN-T LOTN (Clindamycin Phosphate(Topical))

NF

CLEOCIN-T SOLN (Clindamycin Phosphate(Topical))

NF

CLINDAGEL GEL 1 % F

clindamycin phosphate(topical) gel 1 % F

clindamycin phosphate(topical) lotn 1 % F

clindamycin phosphate(topical) soln 1 % F

CLINDAMYCIN PHOSPHATE GEL EX 1 % F


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DESQUAM-X WASH LIQD (Benzoyl Peroxide) NF RX/OTC

ERYGEL GEL (Erythromycin (Acne Aid)) NF

erythromycin (acne aid) gel2 % F

erythromycin (acne aid)pads 2 % F

erythromycin (acne aid)soln 2 % F

isotretinoin caps or 10 mg,20 mg, 30 mg, 40 mg F PA

KLARON LOTN (Sulfacetamide Sodium (Acne))

NF

NEUTROGENA ON-THE-SPOT ACNE TREATMENT CREA (Benzoyl Peroxide)

NF

OC8 GEL F

PANOXYL LIQD (BenzoylPeroxide) NF RX/OTC

PANOXYL-4 CREAMY WASH LIQD (BenzoylPeroxide)

NF

RETIN-A CREA (Tretinoin) NF AL(Up to 26 yrsold )

RETIN-A GEL (Tretinoin) NF AL(Up to 26 yrsold )

RETIN-A MICRO GEL (Tretinoin Microsphere) NF AL(Up to 26 yrs

old ) RETIN-A MICRO PUMP GEL 0.04 %, 0.1 % (Tretinoin Microsphere)


RETIN-A MICRO PUMP GEL 0.08 % F AL(Up to 26 yrs

old )

RIAX FOAM F

sulfacetamide sodium (acne) lotn 10 % F

TRETIN-X CREA F AL(Up to 26 yrsold )

tretinoin crea ex 0.025 %,0.05 %, 0.1 % F AL(Up to 26 yrs

old )


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tretinoin gel ex 0.025 %,0.01 % F AL(Up to 26 yrs

old )

tretinoin microsphere gel F AL(Up to 26 yrsold )

ZACLIR CLEANSING LOTN F

Anti-inflammatory Agents - Topical diclofenac sodium (topical)gel 1 % F QL(200 gm per

30 days retail) VOLTAREN GEL (Diclofenac Sodium (Topical))

NF QL(200 gm per30 days retail)

Antibiotics - Topical BACIGUENT OINT (Bacitracin (Topical)) NF

bacitracin (topical) oint 500unit/gm F

bacitracin zinc oint ex 500 unit/gm F

bacitracin-polymyxin b oint F

BACTROBAN CREA (Mupirocin Calcium(Topical))

NF

CENTANY OINT 2 % F

gentamicin sulfate (topical)crea 0.1 % F

gentamicin sulfate (topical)oint 0.1 % F

mupirocin calcium (topical)crea 2 % F

MUPIROCIN CREA EX 2 % F

mupirocin oint ex 2 % F

neomycin-bacitracin-polymyxin oint F

neomycin-bacitracin-polymyxin-pramoxine oint F

NEOSPORIN ORIGINAL OINT (Neomycin-Bacitracin-Polymyxin)

NF


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POLYSPORIN OINT (Bacitracin-Polymyxin B) NF

Antifungals - Topical ALOE VESTA ANTIFUNGAL OINT (Miconazole Nitrate (Topical))

NF

ALOE VESTA CLEAR ANTIFUNGAL OINT (Miconazole Nitrate (Topical))

NF

butenafine hcl crea 1 % F RX/OTC

ciclopirox olamine crea ex0.77 % F

ciclopirox olamine susp ex0.77 % F

ciclopirox soln 8 % F

clotrimazole (topical) crea 1% F RX/OTC

clotrimazole (topical) soln 1% F RX/OTC

clotrimazole w/betamethasone crea 1%-0.05%

F

ketoconazole (topical) crea2 % F

ketoconazole (topical)sham 2 % F

LAMISIL AT CREA (Terbinafine HCl (Topical)) NF

LAMISIL AT JOCK ITCH CREA (Terbinafine HCl (Topical))

NF

LOPROX CREA 0.77 % (Ciclopirox Olamine) NF

LOPROX SUSP 0.77 % (Ciclopirox Olamine) NF

LOTRIMIN AF AERO 2 % F

LOTRIMIN AF CREA 1 % (Clotrimazole (Topical)) NF RX/OTC


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LOTRIMIN AF FOR HER CREA (Clotrimazole (Topical))

NF RX/OTC

LOTRIMIN AF JOCK ITCH CREA (Clotrimazole (Topical))

NF RX/OTC

LOTRIMIN ULTRA CREA (Butenafine HCl) NF RX/OTC

LOTRISONE CREA (Clotrimazole w/Betamethasone)

NF

MENTAX CREA 1 % F RX/OTC

MICATIN CREA (Miconazole Nitrate (Topical))

NF

miconazole nitrate (topical) aerp F

miconazole nitrate (topical) crea F

miconazole nitrate (topical)oint F

miconazole nitrate (topical)powd F

MICONAZOLE NITRATE POWD F

NIZORAL SHAM (Ketoconazole (Topical)) NF

nystatin (topical) crea F

nystatin (topical) oint F

nystatin (topical) powd F

PENLAC NAIL LACQUER SOLN (Ciclopirox) NF

terbinafine hcl (topical)crea 1 % F

TINACTIN AERO (Tolnaftate) NF

TINACTIN AERP (Tolnaftate) NF

TINACTIN CREA (Tolnaftate) NF


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TINACTIN DEODORANT AERP (Tolnaftate) NF

TINACTIN JOCK ITCH AERP (Tolnaftate) NF

tolnaftate aero ex 1 % F

tolnaftate aerp ex 1 % F

tolnaftate crea ex 1 % F

tolnaftate liqd ex 1 % F

tolnaftate soln ex 1 % F

XOLEGEL GEL 2 % F

Antihistamines-Topical diphenhydramine hcl(topical) gel F

diphenhydramine hcl(topical) soln F

ITCH RELIEF CREA F

Antineoplastic or Premalignant Lesion Agents -EFUDEX CREA (Fluorouracil (Topical)) NF

fluorouracil (topical) crea 5% F

Antiseborrheic Products OVACE PLUS WASH LIQD (Sulfacetamide Sodium) NF

OVACE WASH LIQD (Sulfacetamide Sodium) NF

selenium sulfide lotn ex 1 %, 2.5 % F

selenium sulfide sham ex 1 % F

SELSUN BLUE DAILY LOTN (Selenium Sulfide) NF

SELSUN BLUE LOTN (Selenium Sulfide) NF


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SELSUN BLUE MEDICATED LOTN (Selenium Sulfide)

NF

SELSUN BLUE MOISTURIZING LOTN (Selenium Sulfide)

NF

sulfacetamide sodium liqdex 10 % F

Antivirals - Topical

ABREVA CREA (Docosanol) NF

Limit 2 permonth;QL(0.067 gm daily)

acyclovir topical oint 5 % F

docosanol crea ex 10 % F Limit 2 permonth;QL(0.067 gm daily)

ZOVIRAX OINT EX 5 % (Acyclovir Topical) NF

Burn Products SILVADENE CREA (Silver Sulfadiazine) NF

silver sulfadiazine crea ex 1 % F

Corticosteroids - Topical betamethasone dipropionate (topical) lotn0.05 %

F

betamethasone dipropionate augmentedcrea 0.05 %

F

betamethasone valerate crea ex 0.1 % F

betamethasone valerate lotn ex 0.1 % F

betamethasone valerate oint ex 0.1 % F

CAPEX SHAM 0.01 % F

clobetasol propionate creaex 0.05 % F QL(60 gm per

fill retail) clobetasol propionateemollient base crea F


Nivel del

medi came nto


clobetasol propionate gelex 0.05 % F QL(118 gm per

fill retail) clobetasol propionate ointex 0.05 % F QL(60 gm per

fill retail) clobetasol propionate solnex 0.05 % F

DERMA-SMOOTHE/FSBODY OIL (Fluocinolone Acetonide)

NF

DERMA-SMOOTHE/FSSCALP OIL (Fluocinolone Acetonide)

NF

DIPROLENE AF CREA (Betamethasone Dipropionate Augmented)

NF

ELOCON CREA (Mometasone Furoate) NF

ELOCON OINT (Mometasone Furoate) NF

fluocinolone acetonide oil ex 0.01 % F

fluocinonide crea ex 0.05 % F

fluocinonide oint ex 0.05 % F QL(60 gm perfill retail)

fluocinonide soln ex 0.05 % F

fluticasone propionate creaex 0.05 % F

fluticasone propionate ointex 0.005 % F

halobetasol propionatecrea 0.05 % F QL(2 gm daily)

halobetasol propionate oint0.05 % F QL(2 gm daily)

hydrocortisone (topical)crea 0.5 %, 2.5 % F

hydrocortisone (topical)crea 1 % F RX/OTC

hydrocortisone (topical) gel1 % F

hydrocortisone (topical) lotn1 %, 2.5 % F


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hydrocortisone (topical)oint 0.5 %, 2.5 % F

hydrocortisone (topical)oint 1 % F RX/OTC

hydrocortisone acetate(topical) crea 1 % F

hydrocortisone-aloe veracrea 1% F

mometasone furoate crea ex 0.1 % F

mometasone furoate oint ex 0.1 % F

mometasone furoate soln ex 0.1 % F

MONISTAT SOOTHING CARE ITCH RELIEF CREA (Hydrocortisone (Topical))

NF RX/OTC

TEMOVATE CREA (Clobetasol Propionate) NF QL(60 gm per

fill retail) TEMOVATE OINT (Clobetasol Propionate) NF QL(60 gm per

fill retail) triamcinolone acetonide (topical) crea 0.025 %, 0.1%, 0.5 %

F

triamcinolone acetonide (topical) lotn 0.025 %, 0.1%

F

triamcinolone acetonide (topical) oint 0.025 %, 0.1%, 0.5 %

F

ULTRAVATE CREA (Halobetasol Propionate) NF QL(2 gm daily)

ULTRAVATE OINT (Halobetasol Propionate) NF QL(2 gm daily)

Emollient/Keratolytic Agents ATRAC-TAIN CREA 10 % (Urea) NF

REA-LO CREA F

URE-K CREA F

urea crea ex 10 %, 20 %,50 % F


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urea crea ex 40 % F RX/OTC

urea lotn ex 40 % F

Emollients LAC-HYDRIN CREA (Lactic Acid (AmmoniumLactate))

NF RX/OTC

LAC-HYDRIN LOTN (Lactic Acid (Ammonium Lactate)) NF RX/OTC

LAC-HYDRIN TWELVE LOTN (Lactic Acid (Ammonium Lactate))

NF RX/OTC

lactic acid (ammoniumlactate) crea 12 % F RX/OTC

lactic acid (ammoniumlactate) lotn 10 % F

lactic acid (ammoniumlactate) lotn 12 % F RX/OTC

NOBLE MYSTIQUE EMU-LAC CREA F

Immunomodulating Agents - Topical ALDARA CREA (Imiquimod) NF

imiquimod crea ex 5 % F

Keratolytic/Antimitotic Agents AMBI EVEN & CLEAR EXFOLIATING WASH LIQD

F

AMBI EVEN & CLEAR FOAMINGCLEANSER LIQD

F

BETASAL SHAM F

CLEAN & CLEAR ACNE TRIPLECLEAR BUBBLE FOAM CLEANSER FOAM

F

CLEAN & CLEAR ADVANTAGE OIL ABSORBING CLEANSER CREA

F


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CLEAN & CLEAR BLACKHEAD ERASER SCRUB CREA (SalicylicAcid)

NF

CLEAN & CLEAR DEEP CLEANING ASTRINGENT SENSITIVE SKIN LIQD

F

CLN ACNE CLEANSER LIQD F

COMPOUND W LIQD (Salicylic Acid) NF

COMPOUND W MAXIMUM STRENGTH GEL (SalicylicAcid)

NF

CORN & CALLUS REMOVER SOLN F

CVS PSORIASIS MEDICATED SHAMPOO PLUS CONDITIONER SHAM

F

CVS THERAPEUTIC DANDRUFFMAXIMUM STRENGTH SHAM

F

DENOREX EXTRA STRENGTH 2-IN-1 SHAM F

DERMAREST PSORIASIS GEL 3 % F

DERMAREST PSORIASIS MEDICATED SHAMPOO PLUS CONDITIONER SHAM

F

FREEZONE LIQD F

GOLD BOND PSORIASIS RELIEF MULTI-SYMPTOM CREA

F

KERALYT GEL 3 % F

KERALYT GEL 6 % (Salicylic Acid) NF

MG217 PSORIASIS MULTI-SYMPTOM CREA 3 %

F

MOSCO CALLUS/CORNREMOVER SOLN F


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NEUTROGENA T/SALSHAM F

P & S SHAM F

podofilox soln ex 0.5 % F

SALAC FOAM F

SALEX SHAM (SalicylicAcid) NF

salicylic acid crea ex 2 %, 6% F

salicylic acid foam ex 6 % F PA

salicylic acid gel ex 2 %, 6%, 17 % F

salicylic acid liqd ex 2 %, 3%, 17 %, 26 % F

salicylic acid lotn ex 0.5 %,6 % F

SALICYLIC ACID LOTN EX 6 % F

salicylic acid sham ex 6 % F

salicylic acid soln ex 17 %,26 % F

SALICYLIC ACID SOLN EX 26 % F

SALVAX FOAM (SalicylicAcid) NF PA

SELSUN BLUE DEEP CLEANSING SHAM F

SELSUN BLUE NATURALS DRYSCALP SHAM

F

THERAPEUTIC T+PLUS MAXIMUM STRENGTH SHAM

F

Local Anesthetics - Topical lidocaine hcl crea ex 4 % F


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lidocaine hcl crea ex 4 % F

Max 2 tubes per 30days;QL(266gm per 30 daysretail)

lidocaine hcl crea ex 4 % F

Max 3 tubes per 30days;QL(230gm per 30 daysretail)

lidocaine hcl gel ex 2 % F

lidocaine hcl gel ex 2 % F QL(60 ml per30 days retail);RX/OTC

lidocaine hcl prsy ex 2 % F

lidocaine hcl soln ex 4 % F

lidocaine oint ex 5 % F PA; QL(50 gmper fill retail)

lidocaine ptch ex 5 % F PA; QL(3 eadaily)

lidocaine-prilocaine crea2.5%-2.5% F QL(30 gm per

30 days retail) LIDODERM PTCH (Lidocaine) NF PA; QL(3 ea

daily)

LMX 4 CREA (Lidocaine) NF

PREDATOR CREA (Lidocaine HCl) NF

XOLIDO CREA F

Misc. Topical CALAMINE LOTN EX F

DRYSOL SOLN 20 % F

GNP CALAMINE LOTN F

HM CALAMINE LOTN F

MEIJER CALAMINE LOTN F


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medi came nto


PX CALAMINE LOTN F

QC CALAMINE LOTN F

RA CALAMINE LOTN 6.971%-6.971% F

SM CALAMINE LOTN F

zinc oxide (topical) crea 13% F

zinc oxide (topical) oint 20%, 40 % F

Rosacea Agents METROCREAM CREA (Metronidazole (Topical)) NF

METROLOTION LOTN (Metronidazole (Topical)) NF

metronidazole (topical)crea 0.75 % F

metronidazole (topical) gel0.75 % F

metronidazole (topical) lotn0.75 % F

Scabicides & Pediculicides

crotamiton lotn ex 10 % F PA

ELIMITE CREA (Permethrin) NF

EURAX CREA 10 % F PA

EURAX LOTN (Crotamiton) NF PA

LICEMD GEL F

LINDANE SHAM F

LYCELLE GEL F

NATROBA SUSP F PA

nit remover gel F

NIX CREME RINSE LIQD (Permethrin) NF


53


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permethrin crea ex 5 % F

permethrin liqd ex 1 % F

permethrin lotn ex 1 % F

pyrethrins-piperonylbutoxide sham 0.3%-0.33%-4%, 0.33%-4%

F

pyrethrins-piperonylbutoxide-permethrin-nitremover kit 0.5%-0.33%-4%

F

RA LICE SOLUTION KIT KIT F

RID COMPLETE LICE ELIMINATION KIT (Pyrethrins-PiperonylButoxide-Permethrin-Nit Remover)

NF

SCHOOLTIME SHAMPOO SHAM F

SKLICE LOTN F PA

SPINOSAD SUSP F PA

DIAGNOSTIC PRODUCTS

Diagnostic Tests

ALBUSTIX STRP F

CHEK-STIX COMBO PAK URINALYSIS CONTROL STRP

F

CHEK-STIX CONTROL STRP F

CHEMSTRIP-K STRP F

CHEMSTRIP-MICRAL STRP F

KETONE STRP F

KETONE TEST STRIPS STRP F


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KETOSTIX STRP F

RELION KETONE STRP F

RELION KETONE TEST STRIPS STRP F

TRUE METRIX BLOOD GLUCOSETEST STRIPS STRP

F

INSULIN USERS LIMITED TO 150 PER 30 DAYS, NON-INSULIN USERS LIMITED TO 100 PER 90 DAYS;RX/OTC

TRUE METRIX SELF MONITORING BLOOD GLUCOSE STRIPS STRP

F


TRUETRACK BLOOD GLUCOSE TEST STRP F


TRUETRACK TEST STRP F



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DIGESTIVE AIDS - Drugs to Treat Low DigestiveEnzymes

Digestive Enzymes

CREON CPEP F 500 permonth;QL(16.67 ea daily)

SUCRAID SOLN F PA; SP

ZENPEP CPEP 10000UNIT-3000UNIT-14000UNIT, 32000UNIT-10000UNIT-42000UNIT, 63000UNIT-20000UNIT-84000UNIT, 126000UNIT-40000UNIT-168000UNIT

F

500 permonth;;QL(16.67 ea daily)

ZENPEP CPEP 17000UNIT-5000UNIT-24000UNIT, 47000UNIT-15000UNIT-63000UNIT, 79000UNIT-25000UNIT-105000UNIT

F

500 permonth;QL(16.67 ea daily)

DIURETICS - Drugs to Treat Heart, CirculationConditions and Blood Pressure

Carbonic Anhydrase Inhibitors acetazolamide cp12 or 500 mg F

acetazolamide tabs or 125 mg, 250 mg F

DIAMOX CP12 (Acetazolamide) NF

methazolamide tabs or 25 mg, 50 mg F

NEPTAZANE TABS (Methazolamide) NF

Diuretic Combinations ALDACTAZIDE TABS 25MG-25MG (Spironolactone &Hydrochlorothiazide)

NF

MP

ALDACTAZIDE TABS 50MG-50MG F

amiloride & hydrochlorothiazide tabs F


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DYAZIDE CAPS (Triamterene & Hydrochlorothiazide)

NF MP

MAXZIDE TABS (Triamterene & Hydrochlorothiazide)

NF MP

MAXZIDE-25 TABS (Triamterene & Hydrochlorothiazide)

NF MP

spironolactone &hydrochlorothiazide tabs F MP

triamterene & hydrochlorothiazide caps F MP

triamterene & hydrochlorothiazide tabs F MP

Loop Diuretics bumetanide tabs or 0.5 mg,1 mg, 2 mg F MP

BUMEX TABS (Bumetanide) NF MP

DEMADEX TABS (Torsemide) NF MP

furosemide soln or 10 mg/ml F MP

FUROSEMIDE SOLN OR 8 MG/ML F MP

furosemide tabs or 20 mg,40 mg, 80 mg F MP

LASIX TABS (Furosemide) NF MP

torsemide tabs F MP

Potassium Sparing Diuretics ALDACTONE TABS (Spironolactone) NF MP

amiloride hcl tabs or 5 mg F

DYRENIUM CAPS (Triamterene) NF

spironolactone tabs or 25mg, 50 mg, 100 mg F MP

triamterene caps or 50 mg,100 mg F


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Thiazides and Thiazide-Like Diuretics CHLOROTHIAZIDE TABS 250 MG, 500 MG F MP

chlorothiazide tabs 500 mg F MP

chlorthalidone tabs F MP

DIURIL SUSP F

hydrochlorothiazide caps or12.5 mg F MP

hydrochlorothiazide tabs or25 mg, 50 mg F MP

indapamide tabs F MP

METHYCLOTHIAZIDE TABS F

metolazone tabs F MP

MICROZIDE CAPS (Hydrochlorothiazide) NF MP

ENDOCRINE AND METABOLIC AGENTS -MISC. - Drugs to Treat Bone Disease andRegulate Hormones

Bone Density Regulators ALENDRONATE SODIUM SOLN 70 MG/75ML F

alendronate sodium tabs 5 mg, 10 mg, 35 mg, 70 mg F

ALENDRONATE SODIUM TABS 5 MG, 40 MG F

calcitonin (salmon) soln F

FOSAMAX TABS (Alendronate Sodium) NF

Growth Hormones GENOTROPIN MINIQUICK SOLR F PA; SP

GENOTROPIN SOLR F PA; SP

NORDITROPIN FLEXPRO SOLN F PA; SP

Hormone Receptor Modulators


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EVISTA TABS (Raloxifene HCl) NF

raloxifene hcl tabs 60 mg F

Insulin-Like Growth Factors (Somatomedins) INCRELEX SOLN F PA; SP

Metabolic Modifiers calcitriol caps or 0.25 mcg,0.5 mcg F

calcitriol soln or 1 mcg/ml F

CARNITOR SF SOLN (Levocarnitine (MetabolicModifiers))

NF

CARNITOR SOLN OR 1 GM/10ML (Levocarnitine (Metabolic Modifiers))

NF

cinacalcet hcl tabs F PA; SP

ELAPRASE SOLN F PA; SP

levocarnitine (metabolicmodifiers) soln 1 gm/10ml F

paricalcitol caps 1 mcg F

ROCALTROL CAPS (Calcitriol) NF

ROCALTROL SOLN (Calcitriol) NF

SENSIPAR TABS (Cinacalcet HCl) NF PA; SP

ZEMPLAR CAPS 1 MCG (Paricalcitol) NF

Posterior Pituitary Hormones

DDAVP SOLN NA 0.01 % F

DDAVP SOLN NA 0.01 % (Desmopressin AcetateSpray)

NF

DDAVP TABS OR 0.1 MG, 0.2 MG (DesmopressinAcetate)

NF PA


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desmopressin acetatespray refrigerated soln F

desmopressin acetatespray soln 0.01 % F

desmopressin acetate tabsor 0.1 mg, 0.2 mg F PA

STIMATE SOLN F SP

ESTROGENS - Hormone Replacement/ModifyingDrugs

Estrogen Combinations

CLIMARA PRO PTWK F

PREMPRO TABS F QL(1 ea daily)

Estrogens

ALORA PTTW F

CLIMARA PTWK (Estradiol) NF

ESTRACE TABS (Estradiol) NF

estradiol pttw td 0.0375mg/24hr, 0.025 mg/24hr,0.075 mg/24hr, 0.05mg/24hr, 0.1 mg/24hr

F

estradiol ptwk td 0.025mg/24hr, 0.075 mg/24hr,0.05 mg/24hr, 0.06mg/24hr, 0.1 mg/24hr, 37.5mcg/24hr

F

estradiol tabs or 0.5 mg, 1mg, 2 mg F

ESTROPIPATE TABS F

MENEST TABS F

MENOSTAR PTWK F

MINIVELLE PTTW (Estradiol) NF

PREMARIN TABS OR 0.625 MG, 0.45 MG, 0.3 MG, 0.9 MG, 1.25 MG

F


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VIVELLE-DOT PTTW (Estradiol) NF

FLUOROQUINOLONES - Drugs to Treat BacterialInfections

Fluoroquinolones CIPRO TABS 250 MG, 500 MG (Ciprofloxacin HCl) NF

CIPROFLOXACIN HCL TABS OR 100 MG F

ciprofloxacin hcl tabs or250 mg, 500 mg, 750 mg F

LEVAQUIN TABS (Levofloxacin) NF

levofloxacin soln or 25 mg/ml F

levofloxacin tabs or 250 mg, 500 mg, 750 mg F

ofloxacin tabs 400 mg F

GASTROINTESTINAL AGENTS - MISC. -Miscellaneous Gastrointestinal Drugs

Antiflatulents GAS-X CHEW (Simethicone) NF

GAS-X EXTRA STRENGTH CHEW 125 MG (Simethicone)

NF

MYLICON INFANTS GAS RELIEF DYE FREE SUSP (Simethicone)

NF

MYLICON INFANTS GAS RELIEF SUSP (Simethicone)

NF

PHAZYME CAPS (Simethicone) NF

PHAZYME ULTRA STRENGTH CAPS (Simethicone)

NF

simethicone caps or 125mg, 180 mg F

simethicone chew or 80 mg, 125 mg F


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simethicone susp or 20mg/0.3ml, 40 mg/0.6ml F

Gallstone Solubilizing Agents ACTIGALL CAPS (Ursodiol) NF

URSO 250 TABS (Ursodiol) NF

URSO FORTE TABS (Ursodiol) NF

ursodiol caps or 300 mg F

ursodiol tabs or 250 mg,500 mg F

Gastrointestinal Chloride Channel Activators

AMITIZA CAPS F PA

Gastrointestinal Stimulants metoclopramide hcl soln or5 mg/5ml, 10 mg/10ml F

metoclopramide hcl tabs or5 mg, 10 mg F

METOCLOPRAMIDE ODT TBDP F

REGLAN TABS (Metoclopramide HCl) NF

Inflammatory Bowel Agents ASACOL HD TBEC (Mesalamine) NF QL(9 ea daily)

AZULFIDINE EN-TABS TBEC (Sulfasalazine) NF QL(8 ea daily)

AZULFIDINE TABS (Sulfasalazine) NF QL(8 ea daily)

balsalazide disodium caps F QL(9 ea daily)

COLAZAL CAPS (Balsalazide Disodium) NF QL(9 ea daily)

DIPENTUM CAPS F QL(4 ea daily)

GIAZO TABS F QL(9 ea daily)

mesalamine enem re 4 gm F QL(60 ml daily)


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mesalamine tbec or 800 mg F QL(9 ea daily)

PENTASA CPCR F QL(9 ea daily)

SFROWASA ENEM F QL(60 ml daily)

sulfasalazine tabs or 500 mg F QL(8 ea daily)

sulfasalazine tbec or 500 mg F QL(8 ea daily)

Intestinal Acidifiers lactulose (encephalopathy)soln F

Irritable Bowel Syndrome (IBS) Agents

LINZESS CAPS F PA

Phosphate Binder Agents calcium acetate (phosphatebinder) caps 667 mg F

calcium acetate (phosphatebinder) tabs 667 mg F RX/OTC

FOSRENOL CHEW 500 MG, 750 MG, 1000 MG (Lanthanum Carbonate)

NF PA

FOSRENOL PACK 750 MG, 1000 MG F PA

lanthanum carbonate chew F PA

RENAGEL TABS 400 MG F

RENAGEL TABS 800 MG (Sevelamer HCl) F

RENVELA PACK (Sevelamer Carbonate) F

RENVELA TABS (Sevelamer Carbonate) F

SEVELAMER HYDROCHLORIDE TABS F

GENITOURINARY AGENTS - MISCELLANEOUS - Miscellaneous Drugs to Treat ReproductiveOrgans and Urinary System

Alkalinizers


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potassium citrate(alkalinizer) tbcr F

potassium citrate-citric acidsoln 1100mg/5ml-334mg/5ml, 1100mg/5ml-1100mg/5ml-334mg/5ml-334mg/5ml

F

RX/OTC

sodium citrate & citric acid soln F RX/OTC

UROCIT-K 10 TBCR (Potassium Citrate (Alkalinizer))

NF


NF


NF

Interstitial Cystitis Agents

ELMIRON CAPS F PA

Prostatic Hypertrophy Agents

alfuzosin hcl tb24 10 mg F

AVODART CAPS (Dutasteride) NF

dutasteride caps or 0.5 mg F

finasteride tabs or 5 mg F

FLOMAX CAPS (Tamsulosin HCl) NF

PROSCAR TABS (Finasteride) NF

tamsulosin hcl caps 0.4 mg F

UROXATRAL TB24 (Alfuzosin HCl) NF

Urinary Analgesics phenazopyridine hcl tabs or100 mg, 200 mg F

PYRIDIUM TABS (Phenazopyridine HCl) NF


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GOUT AGENTS - Drugs to Treat Gout

Gout Agents allopurinol tabs or 100 mg,300 mg F

COLCHICINE TABS OR 0.6 MG F PA

COLCRYS TABS 0.6 MG F PA

febuxostat tabs F PA

ULORIC TABS (Febuxostat) NF PA

ZYLOPRIM TABS (Allopurinol) NF

Uricosurics

probenecid tabs F

HEMATOLOGICAL AGENTS - MISC. - Drugs toTreat Blood Disorders

Hematorheologic Agents

pentoxifylline tbcr or F

Platelet Aggregation Inhibitors

BRILINTA TABS F PA

cilostazol tabs F

clopidogrel bisulfate tabs or75 mg, 300 mg F

dipyridamole tabs or 25mg, 50 mg, 75 mg F

PLAVIX TABS (ClopidogrelBisulfate) NF

HEMATOPOIETIC AGENTS - Drugs to TreatBlood Disorders

Agents for Gaucher Disease

CERDELGA CAPS F PA; SP

CEREZYME SOLR F PA; SP

ELELYSO SOLR F PA; SP


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miglustat caps F PA; SP

VPRIV SOLR F PA; SP

Cobalamins

B-12 TABS F

cyanocobalamin soln ij1000 mcg/ml F

cyanocobalamin tabs or 50mcg, 100 mcg, 250 mcg,500 mcg, 1000 mcg, 2000 mcg

F

Folic Acid/Folates

folic acid tabs 1 mg F RX/OTC

folic acid tabs 400 mcg,800 mcg F

Hematopoietic Growth Factors

FULPHILA SOSY F PA; SP

NEUPOGEN SOLN F PA; SP

NEUPOGEN SOSY F PA; SP

NPLATE SOLR F PA; SP

PROMACTA TABS F PA; SP

RETACRIT SOLN 2000 UNIT/ML, 3000 UNIT/ML,4000 UNIT/ML, 10000UNIT/ML, 40000 UNIT/ML

F

PA; SP

UDENYCA SOSY F PA; SP

Iron

FEMIRON TABS F

FER-IN-SOL SOLN (Ferrous Sulfate) NF

FERRETTS TABS F

FERRIMIN 150 TABS F


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FERROUS FUMARATE TABS OR 29 MG F

ferrous fumarate tabs or 324 mg F

ferrous gluconate tabs or27 mg, 240 mg, 324 mg F

FERROUS GLUCONATE TABS OR 324 MG F

FERROUS SULFATE LIQD 220 MG/5ML F

ferrous sulfate soln 15 mg/ml F

ferrous sulfate tabs 27 mg,65 mg, 134 mg, 325 mg F

ferrous sulfate tbec 325 mg F

HEMOCYTE TABS (Ferrous Fumarate) NF

HEMOSTATICS - Drugs to Stop Bleeding/TreatBlood Disorders

Hemostatics - Systemic AMICAR SOLN (Aminocaproic Acid) NF SP

AMICAR TABS (Aminocaproic Acid) NF SP

aminocaproic acid soln or0.25 gm/ml F SP

aminocaproic acid tabs or500 mg F SP

HYPNOTICS/SEDATIVES/SLEEP DISORDERAGENTS

Antihistamine Hypnotics diphenhydramine hcl(sleep) caps 25 mg F QL(2 ea daily)

diphenhydramine hcl(sleep) caps 50 mg F QL(1 ea daily)

diphenhydramine hcl(sleep) liqd 50 mg/30ml F QL(30 ml daily)

diphenhydramine hcl(sleep) tabs 25 mg F QL(2 ea daily)

diphenhydramine hcl(sleep) tabs 50 mg F QL(1 ea daily)


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diphenhydramine hcl(sleep) tbdp 25 mg F QL(2 ea daily)

doxylamine succinate(sleep) tabs 25 mg F

NYTOL MAXIMUM STRENGTH TABS (Diphenhydramine HCl(Sleep))

NF

QL(1 ea daily)

UNISOM SLEEPGELS CAPS (DiphenhydramineHCl (Sleep))

NF QL(1 ea daily)

UNISOM SLEEPMELTS TBDP (DiphenhydramineHCl (Sleep))

NF QL(2 ea daily)

UNISOM SLEEPTABS TABS (DoxylamineSuccinate (Sleep))

NF

WAL-SLEEP Z LIQUID SHOTS LIQD F QL(50 ml daily)

ZZZQUIL CAPS 25 MG (Diphenhydramine HCl(Sleep))

NF QL(2 ea daily)

ZZZQUIL LIQD 50 MG/30ML(Diphenhydramine HCl(Sleep))

NF

QL(30 ml daily)

Barbiturate Hypnotics phenobarbital elix or 20mg/5ml F

phenobarbital soln or 20mg/5ml F

phenobarbital tabs or 15mg, 30 mg, 60 mg, 100 mg,16.2 mg, 32.4 mg, 64.8 mg,97.2 mg

F

Non-Barbiturate Hypnotics

AMBIEN TABS 10 MG (Zolpidem Tartrate) NF


AMBIEN TABS 5 MG (Zolpidem Tartrate) NF



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RESTORIL CAPS 15 MG, 30 MG (Temazepam) NF


temazepam caps 15 mg,30 mg F


zolpidem tartrate tabs or 10 mg F


zolpidem tartrate tabs or 5 mg F


Selective Melatonin Receptor Agonists

ROZEREM TABS 8 MG (Ramelteon) F

ST; Must tryTemazepamand Zolpidemfirst;QL(1 eadaily); AL(Atleast 6 yrs old)

LAXATIVES - Bowel Treatment Drugs

Bulk Laxatives

EVAC POWD (Psyllium) NF

KONSYL DAILY FIBER POWD 100 % (Psyllium) NF

KONSYL ORIGINAL FORMULADAILY FIBER POWD (Psyllium)

NF

METAMUCIL CAPS 0.52 GM (Psyllium) NF

METAMUCIL ORIGINAL TEXTURE POWD (Psyllium)

NF

METAMUCIL POWD 48.57 % (Psyllium) NF

psyllium caps 0.52 gm, 520 mg F

psyllium powd 30 %, 33 %,68 %, 100 %, 28.3 %, 30.9%, 58.6 %, 48.57 %,

F

Laxative Combinations


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COLYTE-FLAVOR PACKS SOLR (PEG 3350-KCl-Sod Bicarb-Sod Chloride-Sod Sulfate)

NF

GOLYTELY SOLR 236GM-22.74GM-5.86GM-2.97GM-6.74GM (PEG 3350-KCl-Sod Bicarb-Sod Chloride-Sod Sulfate)

NF

NULYTELY/FLAVORPACKS SOLR (PEG 3350-Potassium Chloride-Sod Bicarbonate-Sod Chloride)

NF

peg 3350-kcl-sod bicarb-sod chloride-sod sulfate solr

F

peg 3350-potassiumchloride-sod bicarbonate-sod chloride solr 420gm-11.2gm-1.48gm-5.72gm

F

sennosides-docusate sodium tabs F

SENOKOT S TABS (Sennosides-Docusate Sodium)

NF

Laxatives - Miscellaneous lactulose soln 10 gm/15ml,20 gm/30ml F

MIRALAX PACK (Polyethylene Glycol 3350) NF RX/OTC

MIRALAX POWD (Polyethylene Glycol 3350) NF RX/OTC

polyethylene glycol 3350pack or F RX/OTC

polyethylene glycol 3350powd or F RX/OTC

Saline Laxatives FLEET ENEMA ENEM (Sodium Phosphates) NF

FLEET ENEMA SIX PACK ENEM (Sodium Phosphates)

NF

FLEET PEDIATRIC ENEM (Sodium Phosphates) NF


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magnesium citrate soln or1.745gm/30ml, 1.745gm/30ml,

F

magnesium hydroxide suspor 7.75 %, 400 mg/5ml,1200 mg/15ml, 2400mg/10ml, 2400 mg/30ml,

F

ORAL SALINE LAXATIVE SOLN F

sodium phosphates enem F

Stimulant Laxatives

bisacodyl supp re 10 mg F

bisacodyl tbec or 5 mg F

DULCOLAX SUPP (Bisacodyl) NF

DULCOLAX TBEC (Bisacodyl) NF

EX-LAX MAXIMUM STRENGTH TABS (Sennosides)

NF

EX-LAX TABS (Sennosides) NF

sennosides syrp 8.8mg/5ml F

sennosides tabs 15 mg, 25mg, 8.6 mg, 17.2 mg F

SENOKOT TABS (Sennosides) NF

Surfactant Laxatives COLACE CAPS (Docusate Sodium) NF

COLACE CLEAR CAPS (Docusate Sodium) NF

docusate calcium caps F

docusate sodium caps or50 mg, 100 mg, 250 mg F

LOCAL ANESTHETICS-Parenteral - Drugs forNumbing

Local Anesthetics - Amides


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lidocaine hcl (local anesth.)soln 0.5 %, 1 %, 2 % F PA

LIDOCAINE HCL SOLN IJ 4 % F PA

XYLOCAINE SOLN (Lidocaine HCl (LocalAnesth.))

NF PA

XYLOCAINE-MPF SOLN 0.5 %, 1 %, 2 % (Lidocaine HCl (Local Anesth.))

NF PA

MACROLIDES - Drugs to Treat BacterialInfections

Azithromycin AZITHROMYCIN PACK OR 1 GM F

azithromycin susr or 100mg/5ml, 200 mg/5ml F

azithromycin tabs or 250mg, 500 mg, 600 mg F

ZITHROMAX PACK OR 1 GM F

ZITHROMAX SUSR OR 100 MG/5ML, 200 MG/5ML(Azithromycin)

NF

ZITHROMAX TABS OR 250 MG, 500 MG, 600 MG (Azithromycin)

NF

ZITHROMAX TRI-PAK TABS (Azithromycin) NF

ZITHROMAX Z-PAK TABS (Azithromycin) NF

ZMAX SUSR F

Clarithromycin CLARITHROMYCIN SUSR OR 125 MG/5ML, 250MG/5ML

F

clarithromycin tabs or 250mg, 500 mg F

clarithromycin tb24 or 500 mg F

MEDICAL DEVICES AND SUPPLIES


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Contraceptives OMNIFLEX DIAPHRAGM DPRH F

Diabetic Supplies TRUE METRIX CONTROL SOLUTION LEVEL 1 SOLN

F 1/ 90days;QL(0.012ea daily)

TRUE METRIX CONTROL SOLUTION LEVEL 2 SOLN


TRUE METRIX CONTROL SOLUTION LEVEL 3 SOLN


TRUECONTROL GLUCOSE CONTROL LEVEL 0 LIQD


TRUECONTROL GLUCOSE CONTROL LEVEL 1 LIQD


URIN-TEK KIT F

Parenteral Therapy Supplies 1ML TB SYRINGE/25G X5/8"/LUER SLIP TIP MISC F RX/OTC

1ML TB SYRINGE/27G X1/2"/LUER SLIP TIP MISC F RX/OTC

1ML TUBERCULIN SYRINGE DETACHABLE NEEDLE SLIP TIP 25GX5/8" MISC

F

RX/OTC

1ML VANISHPOINT TUBERCULIN SYRINGE 25GX5/8" MISC

F RX/OTC

1ML VANISHPOINT TUBERCULIN SYRINGE 27GX1/2" MISC

F RX/OTC

2-3ML SYRINGE/LUERLOCK TIP MISC F RX/OTC

2-3ML SYRINGE/LUERSLIP TIP MISC F RX/OTC

3ML LUER LOCK SAFETY SYRINGES 3ML/22G X 11/2" MISC

F RX/OTC


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3ML LUER LOCK SAFETY SYRINGES MISC F RX/OTC

3ML LUER LOCK SAFETY SYRINGES/3ML/21G X 11/2" MISC

F RX/OTC

3ML LUER LOCK SAFETY SYRINGES/3ML/22G X 1"MISC

F


F RX/OTC


F RX/OTC

3ML LUER LOCK SAFETY SYRINGES/3ML/25G X5/8" MISC

F RX/OTC

3ML LUER-LOK SYRINGE 22GX 1-1/2" MISC F RX/OTC

3ML LUER-LOK SYRINGE21G X 1-1/2"MISC

F RX/OTC

3ML LUER-LOK SYRINGE22G X 1" MISC F

3ML LUER-LOK SYRINGE25G X 5/8" MISC F RX/OTC

3ML LUER-LOK TIP SYRINGE25G X 1-1/2"MISC

F

3ML SYRINGE/18G X 1-1/2"/LUER LOCK TIPMISC

F

3ML SYRINGE/20G X1"/LUER LOCK TIP MISC F RX/OTC

3ML SYRINGE/20G X1"/LUER SLIP TIP MISC F RX/OTC

3ML SYRINGE/21G X 1-1/2"/LUER LOCK TIPMISC

F RX/OTC

3ML SYRINGE/22G 1-1/2"/LUER LOCK TIPMISC

F RX/OTC

3ML SYRINGE/22G X1"/LUER LOCK TIP MISC F


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3ML SYRINGE/25G X1"/LUER LOCK TIP MISC F RX/OTC

3ML SYRINGE/INTERLINKSYRINGE CANNULA MISC

F RX/OTC

3ML SYRINGE/INTERLINKVIAL ACCESS CANNULA MISC

F RX/OTC

3ML SYRINGE/LUERLOCK TIP MISC F RX/OTC

3ML SYRINGE/LUERLOCK TIP23GX1" MISC F RX/OTC

3ML SYRINGE/LUERLOCK TIP25G X 1-1/2"MISC

F

3ML SYRINGE/LUER SLIPTIP23GX1" MISC F RX/OTC

3ML SYRINGE/NEEDLEREGULAR WALL LUER-LOK 25GX5/8" SUB-QMISC

F

RX/OTC

ALLERGY SYRINGE/1ML/27G X 1/2"MISC

F RX/OTC

ANTI-STICK TUBERCULIN SYRDISPOSABLE 1ML 27GX1/2" MISC

F RX/OTC

ANTI-STICK TUBERCULIN SYRDISPOSABLE 1ML/25G X 5/8" MISC

F RX/OTC

AXILLARY BLOCK NEEDLE BLOCK BEVEL 25GX1" MISC

F RX/OTC

BD 1ML TUBERCULIN SYRINGE/SAFETYGLIDETB NEEDLE 27GX1/2"MISC

F

RX/OTC

BD 1ML TUBERCULIN SYRINGEDETACHABLE NEEDLE SLIP TIP 27GX1/2" MISC

F

RX/OTC

BD 1ML TUBERCULIN SYRINGESLIP-TIP MISC F RX/OTC


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BD 3ML LUER-LOCK SYRINGE18G X 1 1/2"MISC

F

BD 3ML LUER-LOK SYRINGE 18G X 1 1/2"MISC

F

BD 3ML LUER-LOK SYRINGE/20G X 1" MISC F RX/OTC

BD 3ML LUER-LOK SYRINGE/21G X 1-1/2"MISC

F RX/OTC


BD 3ML LUER-LOK SYRINGE/23G X 1-1/2"MISC

F


BD 3ML SYRINGE LUER-LOK TIP MISC F RX/OTC

BD 3ML SYRINGE SLIP TIP MISC F RX/OTC

BD 3ML SYRINGE/SAFETYGLIDESHIELDING IM NEEDLE 22GX1-1/2" MISC

F

RX/OTC

BD 3ML SYRINGE/SAFETYGLIDESHIELDING IM NEEDLE 23GX1" MISC

F

RX/OTC

BD 3ML SYRINGE/SAFETYGLIDESHIELDING NEEDLE 25GX5/8" MISC

F

RX/OTC

BD ALLERGY/SYRINGE/NEEDLE/1ML/28G X 1/2" MISC

F RX/OTC

BD BLUNT FILL NEEDLE MISC F RX/OTC

BD DISPOSABLE NEEDLE REGULAR BEVEL 25GX1" MISC

F RX/OTC

BD DISPOSABLE NEEDLE REGULAR BEVEL THIN WALL 18G X 1" MISC

F RX/OTC


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BD ECLIPSE 18G X 1-1/2"MISC F RX/OTC

BD ECLIPSE NEEDLE 25G X 1.5" MISC F RX/OTC

BD ECLIPSE NEEDLE 25GX1" MISC F RX/OTC

BD ECLIPSE NEEDLE 27G X 1/2" MISC F RX/OTC

BD ECLIPSE NEEDLE/22G X 1-1/2"MISC

F RX/OTC

BD ECLIPSE NEEDLE/25G X5/8" MISC F RX/OTC

BD ECLIPSE NEEDLE/27G X 1/2" MISC F RX/OTC

BD ECLIPSE SYRINGE LUER-LOK/3ML/22G X 1"MISC

F

BD ECLIPSE SYRINGE LUER-LOK/3ML/25G X 1"MISC

F RX/OTC

BD ECLIPSE SYRINGE/3ML/23G X 1"MISC

F RX/OTC

BD ECLIPSE SYRINGE/3ML/25GX5/8"MISC

F RX/OTC

BD ECLIPSE SYRINGE/LUER-LOK/3ML/22G X 1-1/2"MISC

F

RX/OTC

BD HYPODERMIC NEEDLE REGULAR BEVEL 18G X 1-1/2" MISC

F RX/OTC

BD HYPODERMIC NEEDLE REGULAR BEVEL 22GX1-1/2" MISC

F RX/OTC

BD HYPODERMIC NEEDLE REGULAR BEVEL 25GX1" MISC

F RX/OTC

BD HYPODERMIC NEEDLE REGULAR BEVEL 25GX5/8" MISC

F RX/OTC


65


Nivel del

medi came nto


BD HYPODERMIC NEEDLE REGULAR BEVEL THIN WALL 18G X 1-1/2" MISC

F

RX/OTC

BD HYPODERMIC NEEDLE SHORT BEVEL 18G X 1-1/2" MISC

F RX/OTC

BD HYPODERMIC NEEDLE SHORT BEVEL 22GX1-1/2" MISC

F RX/OTC

BD HYPODERMIC NEEDLES 18GX1" MISC F RX/OTC

BD HYPODERMIC NEEDLES 18GX1.5" MISC F RX/OTC

BD HYPODERMIC NEEDLES 19GX1" MISC F RX/OTC



BD INTEGRA 3ML SYRINGE W/RETRACTINGNEEDLE/21G X 1-1/2"MISC

F

RX/OTC

BD INTEGRA 3ML SYRINGE W/RETRACTINGNEEDLE/25G X 1" MISC

F

RX/OTC

BD INTEGRA NEEDLE/25G X5/8" MISC F RX/OTC

BD INTEGRA SYRINGE/3ML/22G X 1.5"MISC

F RX/OTC

BD INTEGRA SYRINGE/3ML/23G X 1"MISC

F RX/OTC

BD INTEGRA SYRINGE/3ML/25G X 5/8MISC

F RX/OTC

BD NEEDLE/18G 1-1/2"MISC F RX/OTC

BD NEEDLE/19G X 1"MISC F RX/OTC


Nivel del

medi came nto


BD NEEDLE/22G X 1-1/2"MISC F RX/OTC

BD NEEDLE/25G X 5/8"MISC F RX/OTC

BD NEEDLE/27G X 1/2"MISC F RX/OTC

BD PLASTIPAK SYRINGES ALLERGY 28GX1/2 MISC

F RX/OTC

BD SAFETYGLIDE 27G X 5/8"NEEDLE MISC F

BD SAFETYGLIDE ALLERGY SYRINGE/1ML/27GX1/2"MISC

F

RX/OTC

BD SAFETYGLIDE HYPODERMICNEEDLE 18G X 1-1/2" MISC

F RX/OTC

BD SAFETYGLIDE HYPODERMICNEEDLE 25GX5/8" MISC

F RX/OTC

BD SAFETYGLIDE INJECTIONNEEDLE 22GX1-1/2" MISC

F RX/OTC

BD SAFETYGLIDE INJECTIONNEEDLE 25GX1" MISC

F RX/OTC

BD SAFETYGLIDE SYRINGE 3ML/25GX1"MISC

F RX/OTC

BD SYRINGE LUER-LOK/1ML MISC F RX/OTC

BD SYRINGE SLIP TIP 1ML MISC F RX/OTC

DIALYSIS SAFETY SYRINGES/LOW DEADSPACE 3ML/22GX1-1/2"MISC

F

RX/OTC

EASY GLIDE LUER LOCK 1MLSYRINGE MISC F RX/OTC

EASY TOUCH ALLERGY TRAY SAFETY SYRINGE/1ML/27G X 1/2"MISC

F

RX/OTC


66


Nivel del

medi came nto


EASY TOUCH FLIPLOCK NEEDLES 18GX1" MISC F RX/OTC

EASY TOUCH FLIPLOCK NEEDLES 18GX1-1/2"MISC

F RX/OTC



F RX/OTC



F RX/OTC

EASY TOUCH FLIPLOCK NEEDLES 25GX5/8" MISC F RX/OTC

EASY TOUCH FLIPLOCK NEEDLES 27GX1/2" MISC F RX/OTC

EASY TOUCH FLIPLOCK SAFETTY SYRINGES 3ML/18GX1-1/2" MISC

F

EASY TOUCH FLIPLOCK SAFETY SYRINGE 3ML/22GX1" MISC

F

EASY TOUCH FLIPLOCK SAFETY SYRINGE 3ML/22GX1-1/2" MISC

F RX/OTC


F RX/OTC

EASY TOUCH FLIPLOCK SAFETY SYRINGE 3ML/23GX1-1/2" MISC

F


F RX/OTC

EASY TOUCH FLIPLOCK SAFETY SYRINGE 3ML/25GX5/8" MISC

F RX/OTC

EASY TOUCH FLIPLOCK SAFETY SYRINGES 3ML/20GX1" MISC

F RX/OTC


Nivel del

medi came nto


EASY TOUCH FLIPLOCK SAFETY SYRINGES 3ML/21GX1-1/2" MISC

F RX/OTC

EASY TOUCH HYPODERMIC NEEDLES 18GX1" MISC

F RX/OTC

EASY TOUCH HYPODERMIC NEEDLES 18GX1-1/2" MISC

F RX/OTC


F RX/OTC


F RX/OTC


F RX/OTC


F RX/OTC

EASY TOUCH HYPODERMIC NEEDLES 25GX5/8" MISC

F RX/OTC

EASY TOUCH HYPODERMIC NEEDLES 27GX1/2" MISC

F RX/OTC

EASY TOUCH SAFETY SYRINGE/3ML/20G X 1"MISC

F RX/OTC


F

EASY TOUCH SAFETY SYRINGE/3ML/22G X 1-1/2" MISC

F RX/OTC


F RX/OTC


F RX/OTC

EASY TOUCH SAFETY SYRINGE/3ML/25G X 5/8"MISC

F RX/OTC


67


Nivel del

medi came nto


EASY TOUCH SHEATHLOCK SAFETY SYRINGE 3ML/21GX1-1/2"MISC

F

RX/OTC

EASY TOUCH SHEATHLOCK SAFETY SYRINGE 3ML/22GX1"MISC

F

EASY TOUCH SHEATHLOCK SAFETY SYRINGE 3ML/22GX1-1/2"MISC

F

RX/OTC


F

RX/OTC


F

RX/OTC

EASY TOUCH SHEATHLOCK SAFETY SYRINGE 3ML/25GX5/8"MISC

F

RX/OTC

EASY TOUCH TUBERCULIN FLIPLOCK SAFETY SYRINGE 1ML/27GX1/2" MISC

F

RX/OTC

EASY TOUCH TUBERCULIN FLIPLOCK SAFETY SYRINGE 1ML/28GX1/2" MISC

F

RX/OTC

EASY TOUCH TUBERCULIN SHEATHLOCK SAFETY SYRINGE 1ML/25GX5/8"MISC

F

RX/OTC


F

RX/OTC


Nivel del

medi came nto



F

RX/OTC

EASYPOINT NEEDLE 25G X 1" MISC F RX/OTC

EASYPOINT NEEDLE 25G X 5/8" MISC F RX/OTC

EASYPOINT NEEDLE 25GX1-1/2" MISC F RX/OTC

HUBER NEEDLE/RIGHTANGLE19G X 1" MISC F RX/OTC

HUBER NEEDLE/RIGHTANGLE22G X 1-1/2" MISC F RX/OTC

HUBER NEEDLE/STRAIGHT22GX1-1/2" MISC

F RX/OTC

HYPODERMIC NEEDLE 18G X 1" MISC F RX/OTC

HYPODERMIC NEEDLE 18G X 1-1/2" MISC F RX/OTC

HYPODERMIC NEEDLE 19G X 1" MISC F RX/OTC

HYPODERMIC NEEDLE 22GX1-1/2" MISC F RX/OTC

HYPODERMIC NEEDLE 25GX1" MISC F RX/OTC

HYPODERMIC NEEDLE 25GX1-1/2" MISC F RX/OTC

HYPODERMIC NEEDLE 25GX5/8" MISC F RX/OTC

HYPODERMIC NEEDLE 27GX1/2" MISC F RX/OTC

HYPODERMIC NEEDLES 18GX1" MISC F RX/OTC

HYPODERMIC NEEDLES 18GX1-1/2" MISC F RX/OTC

HYPODERMIC NEEDLES 19GX1" MISC F RX/OTC




68


Nivel del

medi came nto


HYPODERMIC NEEDLES 25GX5/8" MISC F RX/OTC

HYPODERMIC NEEDLES 27GX1/2" MISC F RX/OTC

MAGELLAN TUBERCULIN SAFETY SYRINGE/1ML/27G X 1/2"MISC

F

RX/OTC

MAGELLAN TUBERCULIN SAFETY SYRINGE/1ML/28G X 1/2"MISC

F

RX/OTC

MONOJECT 1ML LUER LOCK TUBERCULIN SYRINGE/TIP CAP MISC

F RX/OTC

MONOJECT 3ML SYRINGE/STANDARDHYPODERMIC NEEDLE/21GX1-1/2" MISC

F

RX/OTC

MONOJECT BLUNTIP SYRINGE/3ML/CANNULA/IV ACCESS MISC

F RX/OTC

MONOJECT HYPO/ALUMHUB/18G X 1-1/2" MISC F RX/OTC

MONOJECT HYPO/ALUMHUB/LUER LOCK/INTMBEVEL/27G X 1/2" MISC

F RX/OTC

MONOJECT HYPO/ALUMHUB/LUER LOCK/REGBEVEL/18G X 1" MISC

F RX/OTC

MONOJECT HYPO/ALUMHUB/LUER LOCK/REGBEVEL/22G X 1-1/2" MISC

F RX/OTC

MONOJECT HYPO/ALUMHUB/LUER LOCK/REGBEVEL/25G X 5/8" MISC

F RX/OTC

MONOJECT HYPO/ALUMHUB/LUER LOCK/SHORTBEVEL/18G X 1" MISC

F RX/OTC

MONOJECT HYPO/ALUMHUB/LUER LOCK/SHORTBEVEL/18G X 1-1/2" MISC

F RX/OTC

MONOJECT HYPO/ALUMHUB/LUER LOCK/SPECBEVEL/19G TW X 1" MISC

F RX/OTC


Nivel del

medi came nto


MONOJECT HYPO/POLYPROPYLENEHUB/18G X 1" MISC

F RX/OTC

MONOJECT HYPO/POLYPROPYLENEHUB/18G X 1-1/2" MISC

F RX/OTC

MONOJECT HYPO/POLYPROPYLENEHUB/LL/BEVEL/25G X 1-1/2" MISC

F

RX/OTC

MONOJECT HYPO/POLYPROPYLENEHUB/LL/INTM BEVEL/25GX 5/8" MISC

F

RX/OTC

MONOJECT HYPO/POLYPROPYLENEHUB/LL/REG BEVEL/19GTW X 1" MISC

F

RX/OTC

MONOJECT HYPO/POLYPROPYLENEHUB/LL/REG BEVEL/25GX 1" MISC

F

RX/OTC

MONOJECT HYPO/POLYPROPYLENEHUB/LL/SHORTBEVEL/18G X 1" MISC

F

RX/OTC

MONOJECT HYPO/POLYPROPYLENEHUB/LL/SHORTBEVEL/18G X 1-1/2" MISC

F

RX/OTC

MONOJECT HYPO/POLYPROPYLENEHUB/LL/SHORTBEVEL/19G TW X 1" MISC

F

RX/OTC

MONOJECT HYPO/POLYPROPYLENEHUB/LL/SHORTBEVEL/22G X 1-1/2" MISC

F

RX/OTC

MONOJECT HYPO/POLYPROPYLENEHUB/REG BEVEL/27G X1/2" MISC

F

RX/OTC

MONOJECT HYPODERMIC NEEDL3 18G X 1" MISC

F RX/OTC


69


Nivel del

medi came nto


MONOJECT MAGELLAN SAFETYNEEDLE 18GX1" MISC

F RX/OTC

MONOJECT MAGELLAN SAFETYNEEDLE 18GX1-1/2" MISC

F RX/OTC


F RX/OTC

MONOJECT MAGELLAN SAFETYNEEDLE 22GX1-1/2" MISC

F RX/OTC


F RX/OTC

MONOJECT MAGELLAN SAFETYNEEDLE 25GX5/8" MISC

F RX/OTC

MONOJECT MAGELLAN SYRINGE/SAFETYNEEDLE/3ML/20G X 1"MISC

F

RX/OTC

MONOJECT MAGELLAN SYRINGE/SAFETYNEEDLE/3ML/21G X 1-1/2"MISC

F

RX/OTC


F

MONOJECT MAGELLAN SYRINGE/SAFETYNEEDLE/3ML/22G X 1-1/2"MISC

F

RX/OTC


F

RX/OTC


F

RX/OTC


Nivel del

medi came nto


MONOJECT MAGELLAN SYRINGE/SAFETYNEEDLE/3ML/25G X 5/8"MISC

F

RX/OTC

MONOJECT PHARMACY TRAY/LUER LOCK/3MLMISC

F RX/OTC

MONOJECT PHARMACY TRAY/REG LUER/1MLMISC

F RX/OTC

MONOJECT STANDARD HYPODERMIC NEEDLE/POLYPROPYLEN/22G X1-1/2" MISC

F

RX/OTC

MONOJECT STANDARD HYPODERMIC NEEDLE/POLYPROPYLENE HUB/18GX1" MISC

F

RX/OTC

MONOJECT STANDARD HYPODERMIC NEEDLE/POLYPROPYLENE HUB/19GX1" MISC

F

RX/OTC

MONOJECT STANDARD HYPODERMIC NEEDLE/POLYPROPYLENE/18GX1-1/2" MISC

F

RX/OTC


F

RX/OTC

MONOJECT STANDARD HYPODERMIC NEEDLE/POLYPROPYLENE/25GX1" MISC

F

RX/OTC


F

RX/OTC

MONOJECT STANDARD HYPODERMIC NEEDLE/POLYPROPYLENE/25GX5/8" MISC

F

RX/OTC

MONOJECT STANDARD HYPODERMIC NEEDLE/POLYPROPYLENE/27GX1/2" MISC

F

RX/OTC


70


Nivel del

medi came nto


MONOJECT SYRINGE PHARMACY TRAY/1MLLUER LOCK MISC

F RX/OTC

MONOJECT SYRINGE/LUERLOCK/3ML MISC

F RX/OTC

MONOJECT SYRINGE/LUERLOCK/3ML/20G X 1" MISC

F RX/OTC


F

MONOJECT SYRINGE/LUERLOCK/3ML/22G X 1-1/2"MISC

F

RX/OTC


F RX/OTC


F RX/OTC

MONOJECT SYRINGE/LUERLOCK/3ML/25G X 5/8"MISC

F

RX/OTC

MONOJECT SYRINGE/LUER-LOCKTIP/3ML MISC

F RX/OTC

MONOJECT SYRINGE/LUER-LOCK/3ML/21G X 1-1/2"MISC

F

RX/OTC

MONOJECT SYRINGE/REG LUER/3MLMISC

F RX/OTC

MONOJECT SYRINGE/REGULARTIP/3ML MISC

F RX/OTC

MONOJECT SYRINGE/STANDARDHYPODERMIC NEEDLE/3ML/20GX1"MISC

F

RX/OTC


Nivel del

medi came nto



F

MONOJECT SYRINGE/STANDARDHYPODERMIC NEEDLE/3ML/22GX1-1/2"MISC

F

RX/OTC


F

RX/OTC


F

RX/OTC

MONOJECT SYRINGE/STANDARDHYPODERMIC NEEDLE/3ML/25GX5/8"MISC

F

RX/OTC

MONOJECT TB SYRINGE-NDL 1ML 27GX1/2" MISC F RX/OTC

MONOJECT TUBERCULIN SAFETY SYRINGE/1ML/25G X 5/8"MISC

F

RX/OTC

MONOJECT TUBERCULIN SAFETY SYRINGE/1ML/28G X 1/2"MISC

F

RX/OTC

MONOJECT TUBERCULIN SYRINGE SOFTPACK 1ML REGULAR LUER TIP MISC

F

RX/OTC

MONOJECT TUBERCULIN SYRINGE/1ML/25GX5/8"MISC

F RX/OTC

MONOJECT TUBERCULIN SYRINGE/1ML/28G X 1/2"MISC

F RX/OTC


71


Nivel del

medi came nto


MONOJECT TUBERCULIN SYRINGE/DETACHNEEDLE/1ML/25G X 5/8"MISC

F

RX/OTC

MONOJECT TUBERCULIN SYRINGE/DETACHNEEDLE/1ML/27G X 1/2"MISC

F

RX/OTC

MONOJECT TUBERCULIN SYRINGE/PERMNEEDLE/1ML/28G X 1/2"MISC

F

RX/OTC

MONOJECT TUBERCULIN SYRINGE/WITHOUTNEEDLE/REG LUER/1MLMISC

F

RX/OTC

MULTI-DRAW NEEDLE 22GX1-1/2" MISC F RX/OTC

NOKOR ADMIX NEEDLE THIN WALL NON-CORING 18G X 1-1/2" MISC

F RX/OTC

NOKOR VENTED NEEDLE THINWALL NON-CORING 18G X 1" MISC

F RX/OTC

NOKOR VENTED NEEDLE THINWALL NON-CORING 18GX1-1/2" MISC

F RX/OTC

NORM-JECT TUBERKULIN 1MLLUER SLIP MISC

F RX/OTC

PATIENT SAFE SYRINGE 3ML MISC F RX/OTC

POLY HUB NEEDLE/18GX 1" MISC F RX/OTC

POLY HUB NEEDLE/18GX 1-1-1/2" MISC F RX/OTC

POLY HUB NEEDLE/22GX 1-1/2" MISC F RX/OTC

POLY HUB NEEDLE/25GX 1" MISC F RX/OTC

POLY HUB NEEDLE/25GX 1-1/2" MISC F RX/OTC

POLY HUB NEEDLE/25GX 5/8" MISC F RX/OTC


Nivel del

medi came nto


POLY HUB NEEDLE/27GX 1/2" MISC F RX/OTC

REGIONAL BLOCK NEEDLE SAFETY BEAD BLOCK BEVEL 22GX1-1/2" MISC

F

RX/OTC

RETROBULBAR NEEDLE 25G TWX 1-1/2" MISC F RX/OTC

SAFESNAP ALLERGY SYRINGE/1ML/27G X 1/2"MISC

F RX/OTC

SAFESNAP SYRINGE/3ML MISC F RX/OTC

SAFESNAP SYRINGE/NEEDLE/3ML/20G X 1" MISC

F RX/OTC

SAFESNAP SYRINGE/NEEDLE/3ML/21G X 1-1/2" MISC

F RX/OTC


F


F RX/OTC


F RX/OTC


F


F RX/OTC

SAFESNAP SYRINGE/NEEDLE/3ML/25G X 5/8" MISC

F RX/OTC

SAFESNAP TUBERCULIN SYRINGE/1ML/25G X 5/8"MISC

F RX/OTC

SAFESNAP TUBERCULIN SYRINGE/1ML/27G X 1/2"MISC

F RX/OTC


72


Nivel del

medi came nto


SAFETY SYRINGES/NEEDLE3ML/20GX1" MISC

F RX/OTC

SAFETY SYRINGES/NEEDLE3ML/21GX1-1/2" MISC

F RX/OTC


F

SAFETY SYRINGES/NEEDLE3ML/22GX1-1/2" MISC

F RX/OTC


F RX/OTC

SAFETY SYRINGES/NEEDLE3ML/25GX5/8" MISC

F RX/OTC

SAFETY-LOK SAFETY SYRINGE/1ML/25G X 5/8"MISC

F RX/OTC

SAFETY-LOK SYRINGE 3ML LUER-LOK MISC F RX/OTC

SAFETY-LOK SYRINGE/NEEDLE3MLLUER-LOK 21GX1-1/2"MISC

F

RX/OTC

SAFETY-LOK SYRINGE/NEEDLE3MLLUER-LOK 22GX1" MISC

F

SAFETY-LOK SYRINGE/NEEDLE3MLLUER-LOK 22GX1-1/2"MISC

F

RX/OTC

SAFETY-LOK SYRINGE/NEEDLE3MLLUER-LOK 23GX1" MISC

F RX/OTC

SAFETY-LOK SYRINGE/NEEDLE3MLLUER-LOK 25GX5/8"MISC

F

RX/OTC

SAFETY-LOK TB SYRINGE PERM NEEDLE 1ML 27GX1/2" MISC

F RX/OTC


Nivel del

medi came nto


SECURESAFE SAFETY HYPODERMIC NEEDLE/18G X 1" MISC

F RX/OTC

SECURESAFE SAFETY HYPODERMIC NEEDLE/18G X 1-1/2"MISC

F

RX/OTC

SECURESAFE SAFETY HYPODERMIC NEEDLE/19G X 1" MISC

F RX/OTC


F

RX/OTC


F

RX/OTC

SECURESAFE SAFETY HYPODERMIC NEEDLE/25G X 5/8" MISC

F RX/OTC

SECURESAFE SAFETY HYPODERMIC NEEDLE/27G X 1/2" MISC

F RX/OTC

SECURESAFE SYRINGE/NEEDLE/3ML/20G X 1" MISC

F RX/OTC

SECURESAFE SYRINGE/NEEDLE/3ML/21G X 1-1/2" MISC

F RX/OTC


F

SECURESAFE SYRINGE/NEEDLE/3ML/22G X 1-1/2" MISC

F RX/OTC


F RX/OTC

SECURESAFE SYRINGE/NEEDLE/3ML/25G X 5/8" MISC

F RX/OTC


73


Nivel del

medi came nto


SECURESAFE TUBERCULIN INSULIN SYRINGE/1ML/25G X 5/8"MISC

F

RX/OTC

SECURESAFE TUBERCULIN INSULIN SYRINGE/1ML/27G X 1/2"MISC

F

RX/OTC

STIMEX INSULATED NEEDLE TEFLON-COATED BLOCK BEVEL 22GX1-1/2" MISC

F

RX/OTC

SYRINGE/BLUNTPLASTIC CANNULA MISC F RX/OTC

SYRINGE/LUERLOCK/3ML MISC F RX/OTC

SYRINGE/LUERLOCK/3ML/20G X 1" MISC F RX/OTC

SYRINGE/LUERLOCK/3ML/21G X 1-1/2"MISC

F RX/OTC

SYRINGE/LUERLOCK/3ML/21GX1-1/2"MISC

F RX/OTC

SYRINGE/LUERLOCK/3ML/22G X 1" MISC F


F RX/OTC

SYRINGE/LUERLOCK/3ML/22GX1" MISC F

SYRINGE/LUERLOCK/3ML/22GX1-1/2"MISC

F RX/OTC



F

SYRINGE/LUERLOCK/3ML/23GX1" MISC F RX/OTC



Nivel del

medi came nto



F

SYRINGE/LUERLOCK/3ML/25G X 5/8"MISC

F RX/OTC

SYRINGE/LUERLOCK/3ML/25GX1" MISC F RX/OTC

SYRINGE/LUERLOCK/3ML/25GX5/8" MISC F RX/OTC

SYRINGE/LUER SLIP/1MLMISC F RX/OTC

SYRINGE/LUER SLIP/3MLMISC F RX/OTC

SYRINGES/LUERLOCK/1ML/20GX1" MISC F RX/OTC

SYRINGES/LUERLOCK/WITHOUTNEEDLE/3ML MISC

F RX/OTC

SYRINGES/LUERSLIP/WITHOUTNEEDLE/1ML MISC

F RX/OTC

ULTICARE SYRINGE/LOWDEADSPACE/3ML/22GX1-1/2" MISC

F RX/OTC

ULTICARE TUBERCULIN SAFETY SYRINGE/1ML/25G X 5/8"MISC

F

RX/OTC

VANISHPOINT SAFETY SYRINGE/3ML/20GX1"MISC

F RX/OTC

VANISHPOINT SAFETY SYRINGE/3ML/21GX1-1/2"MISC

F RX/OTC


F


F RX/OTC


F RX/OTC


74


Nivel del

medi came nto



F


F RX/OTC


F

VANISHPOINT SAFETY SYRINGE/3ML/25GX5/8"MISC

F RX/OTC

VANISHPOINT SYRINGE/3ML/20G X 1"MISC

F RX/OTC

VANISHPOINT SYRINGE/3ML/21G X 1-1/2" MISC

F RX/OTC


F


F RX/OTC


F RX/OTC


F


F RX/OTC


F

VANISHPOINT SYRINGE/3ML/25G X 5/8"MISC

F RX/OTC

VANISHPOINT TUBERCULIN SYRINGE 1ML/25G X 5/8" MISC

F RX/OTC

VANISHPOINT TUBERCULIN SYRINGE 1ML/27GX1/2" MISC

F RX/OTC


Nivel del

medi came nto


MIGRAINE PRODUCTS - Drugs to Treat MigraineHeadaches

Migraine Combinations

CAFERGOT TABS (Ergotamine w/ Caffeine) NF

10 permonth;QL(0.34ea daily)

ergotamine w/ caffeine tabs F 10 permonth;QL(0.34ea daily)

MIGERGOT SUPP F 12 per month

Migraine Products - Monoclonal Antibodies

AIMOVIG SOAJ F PA; SP

EMGALITY SOAJ F PA; SP

EMGALITY SOSY F PA; SP

Serotonin Agonists

AMERGE TABS (Naratriptan HCl) NF

9 permonth;;QL(0.3ea daily)

IMITREX SOLN NA 5 MG/ACT, 20 MG/ACT(Sumatriptan)

NF 6 permonth;QL(0.2ea daily)

IMITREX SOLN SC 6 MG/0.5ML (SumatriptanSuccinate)

NF

4 doses (2ml) permonth;QL(0.067 ml daily)

IMITREX STATDOSE REFILL SOCT (Sumatriptan Succinate)

NF


IMITREX STATDOSE SYSTEM SOAJ (Sumatriptan Succinate)

NF

Max 1 device per 90 days;Use refill cartridges;QL(1ml per 90 daysretail)

IMITREX TABS OR 25 MG, 50 MG, 100 MG (Sumatriptan Succinate)

NF 9 permonth;QL(0.3ea daily)


75


Nivel del

medi came nto


MAXALT TABS (RizatriptanBenzoate) NF


MAXALT-MLT TBDP (Rizatriptan Benzoate) NF


naratriptan hcl tabs F 9 permonth;;QL(0.3ea daily)

rizatriptan benzoate tabs F 18 permonth;QL(0.6ea daily)

rizatriptan benzoate tbdp F 18 permonth;QL(0.6ea daily)

sumatriptan soln na 5mg/act, 20 mg/act F


sumatriptan succinate soajsc 4 mg/0.5ml, 6 mg/0.5ml F

Max 1 device per 90 days;Use refill cartridges;QL(1ml per 90 daysretail)

sumatriptan succinate soctsc 4 mg/0.5ml, 6 mg/0.5ml F


sumatriptan succinate solnsc 6 mg/0.5ml F


SUMATRIPTAN SUCCINATE SOSY SC 6 MG/0.5ML

F


sumatriptan succinate tabsor 25 mg, 50 mg, 100 mg F


zolmitriptan tabs or 5 mg,2.5 mg F


zolmitriptan tbdp or 2.5 mg F 9 permonth;;QL(0.3ea daily)


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zolmitriptan tbdp or 5 mg F

9 permonth;;QL(0.3ea daily,9 eaper 30 daysretail)

ZOMIG TABS OR 5 MG, 2.5 MG (Zolmitriptan) NF


ZOMIG ZMT TBDP 2.5 MG (Zolmitriptan) NF


ZOMIG ZMT TBDP 5 MG (Zolmitriptan) NF

9 permonth;;QL(0.3ea daily,9 eaper 30 daysretail)

MINERALS & ELECTROLYTES

Calcium

CAL-CITRATE CAPS F

CAL-LAC CAPS F

CAL-MINT CHEW F

CALCI-CHEW CHEW F

CALCIUM ACETATE TABS OR F

CALCIUM ASPARTATE TABS F

CALCIUM CAPS 250 MG F

CALCIUM CARBONATE CHEW OR 260 MG, 500 MG

F

calcium carbonate tabs or 500 mg, 600 mg, 1250 mg,1500 mg

F

calcium carbonate-vitamin d caps F

calcium carbonate-vitamin d chew F

calcium carbonate-vitamin d tabs F


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CALCIUM CHEW 500 MG F

CALCIUM CITRATE TABS OR 200 MG, 250 MG, 1040 MG

F

calcium citrate tabs or 200 mg, 950 mg F

calcium citrate-vitamin d tabs 250mg-200unit F

CALCIUM GLUCONATE TABS OR 50 MG, 500 MG F

CALCIUM LACTATE TABS 100 MG, 750 MG F

CALCIUM PLUS VITAMIN D CAPS F

calcium tabs 600mg, 500mg, 600 mg F

CALCIUM TABS 600MG-200UNIT F

CHELATED CALCIUM TABS F

ELITE CALCIUM TABS F

oyster shell tabs F

RA CALCIUM HI-CAL/VITAMIND TABS500MG-125UNIT

F

Electrolyte Mixtures

CERASPORT EX1 SOLN F

CERASPORT SOLN 4MEQ/L-18MEQ/L-20MEQ/L-6MEQ/L

F

ENFAMIL ENFALYTE SOLN F

EQUALYTE SOLN (Oral Electrolytes) NF

HYDRALYTE FREEZER POPS SOLN F


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HYDRALYTE SOLN 270MG/250ML-210MG/250ML, 45MEQ/L-45MEQ/L-20MEQ/L-90MEQ/L-16GM/L

F

oral electrolytes soln F

PEDIALYTE ADVANCED CARE SOLN (Oral Electrolytes)

NF

PEDIALYTE FREEZER POPS SOLN (Oral Electrolytes)

NF

PEDIALYTE SINGLES SOLN (Oral Electrolytes) NF

PEDIALYTE SOLN 20MEQ/L-45MEQ/L-35MEQ/L-5GM/L-20GM/L,20MEQ/L-45MEQ/L-35MEQ/L-30MEQ/L-25GM/L, 35MEQ/L-45MEQ/L-7.8MG/L-20MEQ/L-25GM/L,4.7MEQ/237ML-10.6MEQ/237ML-8.3MEQ/237ML,2.1MEQ/59ML-2.7MEQ/59ML-0.5MG/59ML-1.2MEQ/59ML-1.5GM/59ML (Oral Electrolytes)

NF

Fluoride sodium fluoride chew or 0.25 mg, 0.5 mg, 1 mg, 2.2 mg

F

sodium fluoride soln or 0.5 mg/ml F

SODIUM FLUORIDE TABS OR 0.5 MG, 1 MG F

Magnesium MAG-200 TABS (Magnesium Oxide (MgSupplement))

NF


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MAGNESIUM CAPS 400 MG F

magnesium oxide (mgsupplement) caps F

magnesium oxide (mgsupplement) tabs F

MAGNESIUM OXIDE CAPS 400 MG F

MAGOX 400 TABS (Magnesium Oxide (MgSupplement))

NF

Mineral Combinations

BONE ESSENTIALS CAPS F

CAL-MAG-K CHELA MAX CAPS F

CALCIUM & VITAMIN D3 BONEHEALTH LIQD F

COLAMINE TABS F

CVS CALCIUM CHEWABLES 600PLUS CHEW

F

MULTI-MINERALS TABS F

multiple minerals tabs F

NF FORMULAS CALCIUM MAGNESIUM LIQD F

NUTRA-SUPPORT BONE CAPS F

Phosphate K-PHOS NEUTRAL TABS (Pot Phosphate Monobasicw/ Sod Phosphate Dibasic& Monobasic)

NF

pot phosphate monobasicw/ sod phosphate dibasic &monobasic tabs 130mg-155mg-852mg

F

Potassium CHELATED POTASSIUM TABS F


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K-TAB TBCR 10 MEQ (Potassium Chloride) NF

K-TAB TBCR 8 MEQ, 20 MEQ F

KLOR-CON M15 TBCR F

potassium chloride cpcr or8 meq, 10 meq F

POTASSIUM CHLORIDE ER TBCR F

POTASSIUM CHLORIDE GRAN XX F RX/OTC

potassium chloridemicroencapsulated crystalser tbcr

F

potassium chloride pack or20 meq F

potassium chloride soln or10 %, 20 % F

potassium chloride tbcr or 8meq, 10 meq F

potassium tabs 75 mg, 99 mg F

POTASSIUM TABS 99 MG F

Sodium SODIUM CHLORIDE SOLN IJ 0.9 % F

sodium chloride soln ij 0.9% F

SODIUM CHLORIDE SOLN IV 0.9 % F

sodium chloride soln iv 0.9 % F

MISCELLANEOUS THERAPEUTIC CLASSES

Chelating Agents CUPRIMINE CAPS (Penicillamine) NF

penicillamine caps or 250 mg F

Immunomodulators


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REVLIMID CAPS F PA; SP

THALOMID CAPS F PA; SP

Immunosuppressive Agents

ASTAGRAF XL CP24 F

azathioprine tabs or 50 mg F

CELLCEPT CAPS (Mycophenolate Mofetil) NF

CELLCEPT SUSR (Mycophenolate Mofetil) NF

CELLCEPT TABS (Mycophenolate Mofetil) NF

cyclosporine caps or 25mg, 100 mg F

cyclosporine modified (formicroemulsion) caps F

cyclosporine modified (formicroemulsion) soln F

CYCLOSPORINE MODIFIED CAPS F

IMURAN TABS (Azathioprine) NF

mycophenolate mofetil caps F

mycophenolate mofetil susr F

mycophenolate mofetil tabs F

NEORAL CAPS (Cyclosporine Modified(For Microemulsion))

NF

NEORAL SOLN (Cyclosporine Modified(For Microemulsion))

NF

PROGRAF CAPS (Tacrolimus) NF

RAPAMUNE SOLN 1 MG/ML (Sirolimus) NF

RAPAMUNE TABS 0.5 MG, 1 MG, 2 MG (Sirolimus)

NF QL(1 ea daily)


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SANDIMMUNE CAPS 25 MG, 100 MG (Cyclosporine)

NF

SANDIMMUNE SOLN 100 MG/ML F

sirolimus soln or 1 mg/ml F

sirolimus tabs or 0.5 mg, 1mg, 2 mg F QL(1 ea daily)

tacrolimus caps or 0.5 mg,1 mg, 5 mg F

ZORTRESS TABS F PA

Potassium Removing Agents sodium polystyrenesulfonate powd or F

sodium polystyrenesulfonate susp or 15gm/60ml

F

MOUTH/THROAT/DENTAL AGENTS

Anesthetics Topical Oral lidocaine hcl (mouth-throat)soln 2 % F QL(100 ml per

30 days retail) Anti-infectives - Throat clotrimazole lozg mt F

clotrimazole troc mt F

nystatin (mouth-throat) susp F

Antiseptics - Mouth/Throat chlorhexidine gluconate(mouth-throat) soln 0.12 % F

PERIDEX SOLN (Chlorhexidine Gluconate (Mouth-Throat))

NF

Steroids - Mouth/Throat/Dental triamcinolone acetonide (mouth) pste F

Throat Products - Misc.


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AQUORAL SOLN F RX/OTC

BIOTENE DRY MOUTH MOISTURIZING SPRAY SOLN

F RX/OTC

CAPHOSOL SOLN F RX/OTC

CVS DRY MOUTH SPRAY SOLN F RX/OTC

EQL DRY MOUTH ORAL RINSE SOLN F RX/OTC

MOI-STIR SOLN F RX/OTC

MOUTHKOTE SOLN F RX/OTC

NUMOISYN LIQD F RX/OTC

ORAL RELIEF SPRAY FOR DRYMOUTH & DISCOMFORT SOLN

F RX/OTC

RA DRY MOUTH SOLN F RX/OTC

XEROSTOMIA RELIEF SPRAY SOLN F RX/OTC

MULTIVITAMINS

B-Complex w/ Folic Acid b-complex w/ c & folic acid caps F RX/OTC

NEPHROCAPS CAPS (B-Complex w/ C & Folic Acid) NF RX/OTC

Ped MV w/ Iron pediatric multiple vitaminsw/ iron soln F

POLY-VI-SOL/IRON SOLN(Pediatric Multiple Vitaminsw/ Iron)

NF

Pediatric Multiple Vitamins pediatric multiple vitamin w/c soln 0.6mg/ml-5unit/ml-8mg/ml-1500unit/ml-2mcg/ml-400unit/ml-0.5mg/ml-0.4mg/ml-35mg/ml

F


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POLY-VI-SOL SOLN (Pediatric Multiple Vitaminw/ C)

NF

Prenatal Vitamins CLASSIC PRENATAL TABS F

CO-NATAL FA TABS F

COMPLETENATE CHEW F

CVS PRENATAL TABS F

EQL PRENATAL FORMULA TABS F

GNP DAILY PRENATAL MISC F

GNP PRENATAL TABS F

GOODSENSE PRENATAL VITAMINS TABS F

HM ONE DAILY PRENATAL COMBO MISC F

HM PRENATAL TABS F

INATAL GT TABS F

KP PRENATAL MULTIVITAMINS TABS F

KPN PRENATAL TABS F

M-NATAL PLUS TABS F RX/OTC

M-VIT TABS F RX/OTC

MULTI PRENATAL TABS F

MYNATAL ADVANCE TABS F

MYNATAL CAPS F

MYNATAL PLUS TABS F

MYNATAL ULTRACAPLET TABS F


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MYNATAL-Z TABS F

MYNATE 90 PLUS TBCR F

NATALVIT TABS F

NEONATAL COMPLETE TABS F RX/OTC

NEONATAL PLUS TABS F RX/OTC

NEONATAL VITAMIN TABS F

NIVA-PLUS TABS F RX/OTC

NUTRICION PORVIDA TABS F

O-CAL FA TABS F RX/OTC

O-CAL PRENATAL TABS F

ONE-A-DAY WOMENS PRENATAL MISC F

PERRY PRENATAL CAPS F

PNV FOLIC ACID + IRON MULTIVITAMIN TABS F RX/OTC

PNV PRENATAL PLUS MULTIVITAMIN TABS F RX/OTC

PNV TABS 29-1 TABS F

PNV-VP-U CAPS F

PRE-NATAL FORMULA TABS F

PRENATABS RX TABS F

PRENATAL 19 CHEW F

PRENATAL 19 TABS F

PRENATAL AND IRON TABS F

PRENATAL FORTE TABS F


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PRENATAL LOW IRON TABS F

PRENATAL MULTIVITAMIN TABS F

PRENATAL ONE DAILY TABS F

PRENATAL PLUS IRON TABS F

PRENATAL PLUS TABS F RX/OTC

PRENATAL TABS 11UNIT-263MG-25MG-1.5MG-27MG-4000UNIT-18MG-1.7MG-4MCG-400UNIT-0.8MG-2.6MG-100MG, 30UNIT-4000UNIT-25MG-1.8MG-200MG-28MG-20MG-1.7MG-8MCG-400UNIT-0.8MG-2.6MG-120MG, 30UNIT-25MG-1.8MG-200MG-28MG-20MG-1.7MG-4000UNIT-8MCG-400UNIT-800MCG-2.6MG-120MG, 30UNIT-4000UNIT-25MG-1.8MG-200MG-28MG-20MG-1.7MG-8MCG-400UNIT- F

800MCG-2.6MG-120MG, 4000UNIT-30UNIT-200MG-25MG-1.8MG-28MG-20MG-1.7MG-8MCG-400UNIT-800MCG-2.6MG-120MG, 4000UNIT-30UNIT-25MG-1.8MG-200MG-28MG-20MG-1.7MG-8MCG-400UNIT-800MCG-2.6MG-120MG, 160MG-11UNIT-200MG-25MG-1.84MG-27MG-4000UNIT-18MG-1.7MG-4MCG-400UNIT-800MCG-2.6MG-100MG


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PRENATAL TABS 22MG-2MG-25MG-1.84MG-200MG-27MG-4000UNIT-20MG-3MG-12MCG-400UNIT-1MG-10MG-120MG

F

RX/OTC

PRENATAL TABS 4000UNIT-200MG-11UNIT-27MG-25MG-1.84MG-18MG-1.7MG-4MCG-400UNIT-0.8MG-2.6MG-100MG

F

PRENATAL VITAMIN & MINERAL TABS F

PRENATAL VITAMIN TABS F

PRENATAL VITAMIN/IRON TABS F

PRENATAL VITAMINS PLUS LOW IRON TABS F RX/OTC

PRENATAL VITAMINS TABS F

PRENATAL-U CAPS F

PREPLUS TABS F RX/OTC

PRETAB TABS F

PX PRENATAL MULTIVITAMINS TABS F

QC PRENATAL TABS F

RA ONE DAILY MISC F

RA PRENATAL FORMULA/FOLICACIDTABS

F

RA PRENATAL TABS F

RIGHT STEP PRENATAL TABS F

SE-NATAL 19 CHEW F

SE-NATAL 19 TABS F


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SM ONE DAILY PRENATAL MISC F

SM PRENATAL VITAMINS TABS F

THERANATAL CORE NUTRITION TABS F RX/OTC

THRIVITE 19 TABS F

THRIVITE RX TABS F

TRICARE TABS F RX/OTC

TRINATAL RX 1 TABS F

TRINATE TABS F

VIL-RX TABS F

VINATE M TABS F

VINATE ONE TABS F

VIRT NATE TABS F

VIRT-ADVANCE TABS F

VIRT-VITE GT TABS F

VITAFOL-OB TABS F

VOL-NATE TABS F

VOL-PLUS TABS F RX/OTC

VOL-TAB RX TABS F

MUSCULOSKELETAL THERAPY AGENTS -Drugs to Treat Spasms

Central Muscle Relaxants baclofen tabs or 10 mg, 20 mg F

cyclobenzaprine hcl tabs or5 mg, 10 mg F

methocarbamol tabs or 500 mg, 750 mg F


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ROBAXIN TABS OR 500 MG (Methocarbamol) NF

ROBAXIN-750 TABS (Methocarbamol) NF

tizanidine hcl tabs or 2 mg,4 mg F

ZANAFLEX TABS 4 MG (Tizanidine HCl) NF

Direct Muscle Relaxants DANTRIUM CAPS 25 MG (Dantrolene Sodium) NF

dantrolene sodium caps or25 mg, 100 mg F

NASAL AGENTS - SYSTEMIC AND TOPICAL -Drugs to treat the Nose or Sinus

Nasal Agents - Misc. OCEAN NASAL SPRAY SOLN (Saline) NF

saline soln na 0.65%-0.002%, 0.65 % F

Nasal Antiallergy azelastine hcl soln na 0.1 %, 137 mcg/spray F

cromolyn sodium (nasal)aers 5.2 mg/act F

NASALCROM AERS (Cromolyn Sodium (Nasal)) NF

Nasal Anticholinergics ipratropium bromide (nasal)soln F

Nasal Steroids FLONASE ALLERGY RELIEF CHILDRENS SUSP (Fluticasone Propionate (Nasal))

NF

RX/OTC

FLONASE ALLERGY RELIEF SUSP (Fluticasone Propionate (Nasal))

NF RX/OTC

FLUNISOLIDE SOLN F

fluticasone propionate(nasal) susp 50 mcg/act F RX/OTC


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NASACORT ALLERGY 24HR AERO (Triamcinolone Acetonide (Nasal))

NF

RX/OTC

NASACORT ALLERGY 24HR AERO 55 MCG/ACT F RX/OTC

NASACORT ALLERGY 24HR CHILDRENS AERO (Triamcinolone Acetonide (Nasal))

NF

RX/OTC

triamcinolone acetonide (nasal) aero 55 mcg/act F RX/OTC

Sympathomimetic Decongestants NASAL DECONGESTANT LIQD F

NASAL DECONGESTANT SYRP F

pseudoephedrine hcl liqd or15 mg/5ml F

pseudoephedrine hcl tabsor 30 mg, 60 mg F

pseudoephedrine hcl tb12or 120 mg F

SUDAFED CHILDRENS LIQD (PseudoephedrineHCl)

NF

SUDAFED CONGESTION TABS (PseudoephedrineHCl)

NF

SUDAFED SINUS CONGESTION TABS (Pseudoephedrine HCl)

NF

SUDAFED SINUS CONGESTION24 HOUR TB24

F

NEUROMUSCULAR AGENTS - Drugs toRelax/Paralyze Muscles

ALS Agents

RILUTEK TABS (Riluzole) NF

riluzole tabs 50 mg F

NUTRIENTS


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Misc. Nutritional Substances

FISH OIL CAPS F

FISH OIL CHEW F

FISH OIL PEARLS CAPS F

FISH OIL TRIPLE STRENGTH CAPS F

FISH OIL ULTRA CAPS F

HM FISH OIL CAPS F

OMEGA POWER CAPS F

OMEGA-3 2100 CAPS F

OMEGA-3 CAPS F

OMEGA-3 EPA FISH OIL CAPS F

omega-3 fatty acids caps F

omega-3 fatty acids chew F

OMEGA-3 FISH OIL EXTRA STRENGTH CAPS F

RA FISH OIL EXTRA STRENGTH CAPS F

RA TRIPLE STRENGTH FISH OIL CAPS F

SALMON CAPS F

SALMON OIL CAPS F

SALMON OIL-1000 CAPS F

SM FISH OIL CAPS F

SUPER TWIN EPA/DHACAPS F

ULTRA OMEGA 3 CAPS F

ULTRA OMEGA-3 FISH OIL BURP-LESS CAPS F


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OPHTHALMIC AGENTS - Drugs to Treat the Eye

Artificial Tears and Lubricants

artificial tear ointment oint F

artificial tear solution soln F

carboxymethylcellulosesodium (ophth) gel 1 % F

carboxymethylcellulosesodium (ophth) soln 0.25%, 0.5 %

F

GENTEAL MILD SOLN F

GENTEAL MILD TO MODERATE SOLN (Hypromellose (Ophth))

NF

GENTEAL SEVERE GEL F

GONIOVISC SOLN F

hypromellose (ophth) soln F

ISOPTO TEARS SOLN F

polyethylene glycol-propylene glycol (ophth)soln 0.4%-0.3%

F

polyvinyl alcohol soln op1.4 % F

REFRESH LIQUIGEL GEL (CarboxymethylcelluloseSodium (Ophth))

NF

REFRESH TEARS SOLN (CarboxymethylcelluloseSodium (Ophth))

NF

SYSTANE OVERNIGHT THERAPY LUBRICANT EYE GEL

F

SYSTANE SOLN (Polyethylene Glycol-Propylene Glycol (Ophth))

NF


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SYSTANE ULTRA HOME & AWAY PACK SOLN (Polyethylene Glycol-Propylene Glycol (Ophth))

NF

SYSTANE ULTRA SOLN (Polyethylene Glycol-Propylene Glycol (Ophth))

NF

THERATEARS SOLN 0.25 % (CarboxymethylcelluloseSodium (Ophth))

NF

Beta-blockers - Ophthalmic BETAGAN SOLN (Levobunolol HCl) NF

betaxolol hcl (ophth) soln F

BETIMOL SOLN F

BETOPTIC-S SUSP F

carteolol hcl (ophth) soln F

CARTEOLOL HCL SOLN F

COSOPT SOLN (Dorzolamide HCl-Timolol Maleate)

NF

dorzolamide hcl-timolol maleate soln 2%-0.5%,22.3mg/ml-6.8mg/ml,

F

DORZOLAMIDE HCL/TIMOLOL MALEATESOLN

F

ISTALOL SOLN (Timolol Maleate (Ophth)) NF

levobunolol hcl soln 0.5 % F

METIPRANOLOL SOLN F

timolol maleate (ophth)soln F

TIMOLOL MALEATE OPHTHALMIC GEL FORMING SOLG

F

TIMOPTIC OCUDOSE SOLN F


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TIMOPTIC SOLN (Timolol Maleate (Ophth)) NF

TIMOPTIC-XE SOLG 0.25 % (Timolol Maleate (Ophth))

NF

TIMOPTIC-XE SOLG 0.25 %, 0.5 % F

Cycloplegic Mydriatics ATROPINE SULFATE OINT OP 1 % F

ATROPINE SULFATE SOLN OP 1 % F

CYCLOGYL SOLN 1 %, 2 % (Cyclopentolate HCl) NF

cyclopentolate hcl soln op 1%, 2 % F

homatropine hbr soln F

ISOPTO ATROPINE SOLN 1 % F

MYDRIACYL SOLN (Tropicamide) NF

phenylephrine hcl(mydriatic) soln 10 % F

phenylephrine hcl(mydriatic) soln 2.5 % F QL(16 ml daily)

tropicamide soln op 0.5 %,1 % F

Miotics ISOPTO CARPINE SOLN (Pilocarpine HCl) NF

pilocarpine hcl soln op 1 %,2 %, 4 % F

Ophthalmic Adrenergic Agents

ALPHAGAN P SOLN 0.1 % F

ALPHAGAN P SOLN 0.15 % (Brimonidine Tartrate) NF

apraclonidine hcl soln 0.5% F

brimonidine tartrate soln op0.15 %, 0.2 % F


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IOPIDINE SOLN 0.5 % (Apraclonidine HCl) NF

Ophthalmic Anti-infectives BACITRACIN OINT OP 500 UNIT/GM F QL(4 gm per 7

days retail) bacitracin-polymyxin b(ophth) oint F

BLEPH-10 SOLN (Sulfacetamide Sodium (Ophth))

NF

CILOXAN OINT 0.3 % F

CILOXAN SOLN (Ciprofloxacin HCl (Ophth)) NF

ciprofloxacin hcl (ophth)soln 0.3 % F

erythromycin (ophth) oint F

gatifloxacin (ophth) soln 0.5% F

GENTAK OINT F

gentamicin sulfate (ophth)soln F

levofloxacin (ophth) soln F

moxifloxacin hcl (ophth)soln 0.5 % F

NATACYN SUSP F

neomycin-bacitracin zn-polymyxin oint F

NEOMYCIN/POLYMYXIN/GRAMICIDIN SOLN 0.025MG/ML-10000UNIT/ML-1.75MG/ML

F

NEOSPORIN SOLN NF

OCUFLOX SOLN (Ofloxacin (Ophth)) NF

ofloxacin (ophth) soln 0.3% F


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polymyxin b-trimethoprimsoln 0.1%-10000unit/ml F

POLYTRIM SOLN (Polymyxin B-Trimethoprim)

NF

sulfacetamide sodium (ophth) soln 10 % F

SULFACETAMIDE SODIUM OINT OP 10 % F

tobramycin (ophth) soln 0.3% F

TOBREX OINT 0.3 % F

TOBREX SOLN (Tobramycin (Ophth)) NF

TRIFLURIDINE SOLN OP 1 % F

trifluridine soln op 1 % F

VIGAMOX SOLN (Moxifloxacin HCl (Ophth)) NF

VIROPTIC SOLN (Trifluridine) NF

ZYMAXID SOLN (Gatifloxacin (Ophth)) NF

Ophthalmic Decongestants naphazoline w/pheniramine soln F

NAPHCON-A SOLN (Naphazoline w/Pheniramine)

NF

OPCON-A SOLN (Naphazoline w/Pheniramine)

NF

Ophthalmic Immunomodulators

RESTASIS EMUL F PA

Ophthalmic Local Anesthetics

tetracaine hcl (ophth) soln F

Ophthalmic Steroids bacitracin-poly-neomycin-hc oint F


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BLEPHAMIDE S.O.P. OINT F

BLEPHAMIDE SUSP F

DEXAMETHASONE SODIUM PHOSPHATE SOLN OP 0.1 %

F

fluorometholone (ophth) susp F

FML FORTE SUSP F

FML LIQUIFILM SUSP (Fluorometholone (Ophth)) NF

FML OINT F

MAXIDEX SUSP F

MAXITROL OINT (Neomycin-Polymy-Dexameth)

NF

MAXITROL SUSP (Neomycin-Polymy-Dexameth)

NF

neomycin-polymy-dexameth oint F

neomycin-polymy-dexameth susp F

NEOMYCIN/POLYMYXIN/HYDROCORTISONE SUSP

F

OMNIPRED SUSP NF

PRED FORTE SUSP F

PRED MILD SUSP F

PRED-G S.O.P. OINT F

PRED-G SUSP F

PREDNISOLONE ACETATE P-F SUSP F

PREDNISOLONE ACETATE SUSP OP F


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PREDNISOLONE SODIUM PHOSPHATE SOLN OP 1 %

F

sulfacetamide sod-prednisolone soln F

SULFACETAMIDE SODIUM/PREDNISOLONESODIUM PHOSPHATE SOLN

F

TOBRADEX OINT F QL(4 gm per 7days retail)

TOBRADEX ST SUSP F

TOBRADEX SUSP (Tobramycin-Dexamethasone)

NF

tobramycin-dexamethasone susp F

Ophthalmics - Misc. ACULAR LS SOLN (Ketorolac Tromethamine (Ophth))

NF

ACULAR SOLN (Ketorolac Tromethamine (Ophth)) NF

azelastine hcl (ophth) soln F

AZOPT SUSP F PA

cromolyn sodium (ophth)soln F

diclofenac sodium (ophth)soln F

dorzolamide hcl soln 2 % F

DORZOLAMIDE HCL SOLN 2 % F

FLURBIPROFEN SODIUM SOLN F

flurbiprofen sodium soln F

ketorolac tromethamine (ophth) soln F

ketotifen fumarate (ophth)soln 0.025 % F


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TRUSOPT SOLN (Dorzolamide HCl) NF

ZADITOR SOLN (Ketotifen Fumarate (Ophth)) NF

Prostaglandins - Ophthalmic LATANOPROST SOLN OP 0.005 % F QL(2.5 ml per

fill retail) latanoprost soln op 0.005% F QL(2.5 ml per

fill retail)

TRAVATAN Z SOLN F PA

XALATAN SOLN (Latanoprost) NF QL(2.5 ml per

fill retail)

ZIOPTAN SOLN F PA

OTIC AGENTS - Drugs to Treat the Ear

Otic Agents - Miscellaneous

acetic acid (otic) soln F

carbamide peroxide (otic)soln 6.5 % F

DEBROX SOLN (Carbamide Peroxide (Otic))

NF

Otic Anti-infectives CIPROFLOXACIN SOLN OT 0.2 % F

Otic Combinations

CIPRODEX SUSP F

neomycin-polymyxin-hc(otic) soln F

neomycin-polymyxin-hc(otic) susp F

Otic Steroids hydrocortisone w/aceticacid soln F

OXYTOCICS - Drugs to Prevent/Control UterineBleeding

Oxytocics


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methylergonovine maleatetabs or 0.2 mg F

PASSIVE IMMUNIZING AND TREATMENT AGENTS - Antibody Drugs to Treat Low ImmuneSystem

Immune Serums

BIVIGAM SOLN F PA; SP

CARIMUNE NANOFILTERED SOLR F PA; SP

FLEBOGAMMA DIF SOLN F PA; SP

GAMASTAN INJ F PA; SP

GAMASTAN S/D INJ F PA; SP

GAMMAGARD LIQUID SOLN F PA; SP

GAMMAGARD S/D IGALESS THAN 1MCG/MLSOLR

F PA; SP

GAMMAKED SOLN F PA; SP

GAMMAPLEX SOLN F PA; SP

GAMUNEX-C SOLN F PA; SP

HIZENTRA SOLN F PA; SP

Monoclonal Antibodies

SYNAGIS SOLN F PA; SP

PENICILLINS - Drugs to Treat Bacterial Infections

Aminopenicillins amoxicillin caps 250 mg,500 mg F

AMOXICILLIN CHEW 125 MG, 250 MG F

amoxicillin susr 125 mg/5ml, 200 mg/5ml, 250mg/5ml, 400 mg/5ml

F

amoxicillin tabs 500 mg,875 mg F


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AMPICILLIN CAPS F

Natural Penicillins PENICILLIN V POTASSIUM SOLR 125 MG/5ML, 250 MG/5ML

F

penicillin v potassium tabs250 mg, 500 mg F

Penicillin Combinations amoxicillin & potclavulanate susr F

amoxicillin & potclavulanate tabs F

amoxicillin & potclavulanate tb12 F

AMOXICILLIN/CLAVULANATE POTASSIUM CHEW F

AMOXICILLIN/CLAVULANATE POTASSIUM ER TB12

F

ampicillin & sulbactamsodium solr ij 0.5gm-1gm,1gm-2gm

F

AUGMENTIN ES-600 SUSR (Amoxicillin & Pot Clavulanate)

NF

AUGMENTIN SUSR 125MG/5ML-31.25MG/5ML F

AUGMENTIN SUSR 250MG/5ML-62.5MG/5ML(Amoxicillin & Pot Clavulanate)

NF

AUGMENTIN TABS 500MG-125MG, 875MG-125MG (Amoxicillin & Pot Clavulanate)

NF

AUGMENTIN XR TB12 (Amoxicillin & Pot Clavulanate)

NF

UNASYN SOLR (Ampicillin& Sulbactam Sodium) NF

Penicillinase-Resistant Penicillins

dicloxacillin sodium caps F


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PROGESTINS - Hormone Replacement/ModifyingDrugs

Progestins AYGESTIN TABS (Norethindrone Acetate) NF

MAKENA OIL IM 250 MG/ML F PA; SP

MAKENA SOAJ SC 275 MG/1.1ML F PA; SP

medroxyprogesteroneacetate tabs or 5 mg, 10mg, 2.5 mg

F

MEGACE ES SUSP (Megestrol Acetate(Appetite))

NF

megestrol acetate(appetite) susp 625 mg/5ml F

norethindrone acetate tabs or 5 mg F

progesterone micronizedcaps or 100 mg, 200 mg F

PROMETRIUM CAPS (Progesterone Micronized) NF

PROVERA TABS (MedroxyprogesteroneAcetate)

NF

PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC. - Drugs to Treat Mental andEmotional Conditions

Agents for Chemical Dependency

acamprosate calcium tbec F

ANTABUSE TABS (Disulfiram) NF

disulfiram tabs or 250 mg,500 mg F

Antidementia Agents ARICEPT TABS (DonepezilHydrochloride) NF PA

donepezil hydrochloridetabs F PA


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donepezil hydrochloridetbdp F PA

EXELON PT24 (Rivastigmine) NF PA

galantamine hydrobromidecp24 8 mg, 16 mg, 24 mg F PA

GALANTAMINE HYDROBROMIDE SOLN 4 MG/ML

F PA

galantamine hydrobromidetabs 4 mg, 8 mg, 12 mg F PA

memantine hcl soln 2 mg/ml, 10 mg/5ml F PA

memantine hcl tabs 10 mg F QL(6 ea daily)

memantine hcl tabs 5 mg F PA; QL(6 eadaily)

NAMENDA TABS 10 MG (Memantine HCl) NF QL(6 ea daily)

NAMENDA TABS 5 MG (Memantine HCl) NF PA; QL(6 ea

daily) RAZADYNE ER CP24 (Galantamine Hydrobromide)

NF PA

RAZADYNE TABS (Galantamine Hydrobromide)

NF PA

rivastigmine pt24 F PA

rivastigmine tartrate caps F PA

Multiple Sclerosis Agents

AVONEX KIT F PA; SP

AVONEX PEN AJKT F PA; SP

AVONEX PSKT F PA; SP

BETASERON KIT F PA; SP

COPAXONE SOSY 20 MG/ML (Glatiramer Acetate)

F PA; SP


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COPAXONE SOSY 40 MG/ML (Glatiramer Acetate)

NF SP

EXTAVIA KIT F PA; SP

GILENYA CAPS F PA; SP

glatiramer acetate sosy 40mg/ml F PA; SP

REBIF REBIDOSE SOAJ F PA; SP

REBIF REBIDOSE TITRATIONPACK SOAJ F PA; SP

REBIF SOSY F PA; SP

REBIF TITRATION PACK SOSY F PA; SP

Postherpetic Neuralgia (PHN)/Neuropathic Pain

GRALISE TABS F PA

Psychotherapeutic and Neurological Agents -

ORAP TABS NF AL(At least 6yrs old)

PIMOZIDE TABS F AL(At least 6yrs old)

Restless Leg Syndrome (RLS) Agents

HORIZANT TBCR F PA

Smoking Deterrents

bupropion hcl (smokingdeterrent) tb12 150 mg F

QL(2 eadaily)84 rtlMAX day(s)supply,180 rtllmt day(s),

CHANTIX CONTINUING MONTHPAK TABS F


CHANTIX STARTING MONTH PAK TABS F



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CHANTIX TABS F


NICODERM CQ PT24 (Nicotine) NF


NICORETTE GUM 2 MG, 4 MG (Nicotine Polacrilex) NF


NICORETTE LOZG 2 MG, 4 MG (Nicotine Polacrilex) NF


NICORETTE MINI LOZG (Nicotine Polacrilex) NF


NICORETTE STARTER KIT GUM (Nicotine Polacrilex)

NF


nicotine polacrilex gum mt2 mg, 4 mg F


nicotine polacrilex lozg mt2 mg, 4 mg F


nicotine pt24 F



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NICOTINE TRANSDERMAL SYSTEM KIT

F


NICOTROL INHALER INHA F

QL(16.8 eadaily)84 rtlMAX day(s)supply,180 rtllmt day(s),

NICOTROL NS SOLN F

QL(4 mldaily)84 rtlMAX day(s)supply,180 rtllmt day(s),

ZYBAN TB12 (BupropionHCl (Smoking Deterrent)) NF


RESPIRATORY AGENTS - MISC. - Drugs toTreat Lung Conditions

Alpha-Proteinase Inhibitor (Human) ARALAST NP SOLR F PA; SP

GLASSIA SOLN F PA; SP

PROLASTIN-C SOLR F PA; SP

ZEMAIRA SOLR F PA; SP

Cystic Fibrosis Agents

PULMOZYME SOLN F PA; SP

SULFONAMIDES - Drugs to Treat BacterialInfections

Sulfonamides SULFADIAZINE TABS OR 500 MG F

TETRACYCLINES - Drugs to Treat BacterialInfections

Tetracyclines

demeclocycline hcl tabs F PA


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doxycycline (monohydrate)caps 50 mg, 100 mg F

doxycycline hyclate caps or50 mg, 100 mg F

doxycycline hyclate tabs or20 mg, 100 mg F

MINOCIN CAPS OR 50 MG, 100 MG (MinocyclineHCl)

NF

minocycline hcl caps or 50mg, 75 mg, 100 mg F

minocycline hcl tabs or 50mg, 75 mg, 100 mg F

MONODOX CAPS 100 MG (Doxycycline(Monohydrate))

NF

tetracycline hcl caps or 250mg, 500 mg F

VIBRAMYCIN CAPS 100 MG (Doxycycline Hyclate) NF

THYROID AGENTS - Drugs to Regulate ThyroidHormones

Antithyroid Agents methimazole tabs or 5 mg,10 mg F

propylthiouracil tabs or F

TAPAZOLE TABS (Methimazole) NF

Thyroid Hormones ARMOUR THYROID TABS 15 MG, 30 MG, 60 MG, 90 MG, 120 MG (Thyroid)

NF

ARMOUR THYROID TABS 180 MG, 240 MG F

CYTOMEL TABS (Liothyronine Sodium) NF

levothyroxine sodium tabsor 25 mcg, 50 mcg, 75mcg, 88 mcg, 100 mcg,112 mcg, 125 mcg, 137mcg, 150 mcg, 175 mcg,200 mcg, 300 mcg

F


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liothyronine sodium tabs or5 mcg, 25 mcg, 50 mcg F

NATURE-THROID NT-2.5 TABS F

NATURE-THROID TABS F

SYNTHROID TABS (Levothyroxine Sodium) NF

thyroid tabs or 15 mg, 30mg, 60 mg, 90 mg, 120 mg F

WESTHROID TABS F

WP THYROID TABS F

TOXOIDS

Toxoid Combinations

ADACEL SUSP F

Limit 1 dose per 10 years;1rtl MAX fill,999 rtl day(s)supply,; AL(Atleast 19 yrsold)

BOOSTRIX SUSP F


DAPTACEL SUSP F


TDVAX SUSP F



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TENIVAC INJ F


ULCER DRUGS - Drugs to Treat Bowel, Intestineand Stomach Conditions

Antispasmodics ANASPAZ TBDP (Hyoscyamine Sulfate) NF QL(4 ea daily)

BENTYL CAPS OR 10 MG (Dicyclomine HCl) NF

CUVPOSA SOLN F

dicyclomine hcl caps or 10 mg F

dicyclomine hcl soln or 10mg/5ml F

dicyclomine hcl tabs or 20 mg F

glycopyrrolate tabs or 1mg, 2 mg F

hyoscyamine sulfate elix or0.125 mg/5ml F

hyoscyamine sulfate solnor 0.125 mg/ml F QL(8 ml daily)

hyoscyamine sulfate subl sl0.125 mg F QL(4 ea daily)

hyoscyamine sulfate tabsor 0.125 mg F QL(4 ea daily)

hyoscyamine sulfate tb12or 0.375 mg F QL(2 ea daily)

hyoscyamine sulfate tbdpor 0.125 mg F QL(4 ea daily)

LEVBID TB12 (Hyoscyamine Sulfate) NF QL(2 ea daily)

LEVSIN TABS OR 0.125 MG (Hyoscyamine Sulfate) NF QL(4 ea daily)

LEVSIN/SL SUBL(Hyoscyamine Sulfate) NF QL(4 ea daily)


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methscopolamine bromidetabs or 5 mg, 2.5 mg F

PROPANTHELINE BROMIDE TABS OR 15 MG

F

ROBINUL FORTE TABS (Glycopyrrolate) NF

ROBINUL TABS OR 1 MG (Glycopyrrolate) NF

SYMAX DUOTAB TBCR F

H-2 Antagonists DEPRIZINE FUSEPAQ SUSR F

DEPRIZINE RAPIDPAQ SUSR F

famotidine susr or 40 mg/5ml F

famotidine tabs or 10 mg,40 mg F

famotidine tabs or 20 mg F RX/OTC

PEPCID AC MAXIMUM STRENGTH TABS (Famotidine)

NF RX/OTC

PEPCID AC TABS (Famotidine) NF

PEPCID SUSR 40 MG/5ML(Famotidine) NF

PEPCID TABS 20 MG (Famotidine) NF RX/OTC

PEPCID TABS 40 MG (Famotidine) NF

ranitidine hcl caps or 150mg, 300 mg F

ranitidine hcl syrp or 15mg/ml, 75 mg/5ml, 150mg/10ml

F

ranitidine hcl tabs or 150 mg F RX/OTC

ranitidine hcl tabs or 75 mg,300 mg F


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ZANTAC 150 MAXIMUM STRENGTH TABS (Ranitidine HCl)

NF RX/OTC

ZANTAC 75 TABS (Ranitidine HCl) NF

ZANTAC TABS OR 300 MG (Ranitidine HCl) NF

Misc. Anti-Ulcer CARAFATE TABS 1 GM (Sucralfate) NF

sucralfate tabs or 1 gm F

Proton Pump Inhibitors

lansoprazole cpdr or 15 mg F RX/OTC

lansoprazole cpdr or 30 mg F

omeprazole cpdr or 10 mg,40 mg F

omeprazole cpdr or 20 mg F RX/OTC

omeprazole magnesiumcpdr F

OMEPRAZOLE TBEC OR 20 MG F

omeprazole tbec or 20 mg F

pantoprazole sodium tbecor 20 mg, 40 mg F

PREVACID 24HR CPDR (Lansoprazole) NF RX/OTC

PREVACID CPDR 15 MG (Lansoprazole) NF RX/OTC

PREVACID CPDR 30 MG (Lansoprazole) NF

PROTONIX PACK OR 40 MG F

PROTONIX TBEC OR 20 MG, 40 MG (PantoprazoleSodium)

NF

SW OMEPRAZOLE TBEC F

Ulcer Drugs - Prostaglandins


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CYTOTEC TABS (Misoprostol) NF

misoprostol tabs or 100mcg, 200 mcg F

URINARY ANTI-INFECTIVES - Drugs to TreatBladder/Kidney Infections

Urinary Anti-infectives FURADANTIN SUSP (Nitrofurantoin) NF

MACROBID CAPS (Nitrofurantoin MonohydMacro)

NF

MACRODANTIN CAPS (Nitrofurantoin Macrocrystal)

NF

nitrofurantoin macrocrystalcaps or 25 mg, 50 mg, 100 mg

F

nitrofurantoin monohydmacro caps 100 mg F

nitrofurantoin susp or 25mg/5ml F

URINARY ANTISPASMODICS - Drugs to TreatMiscellaneous Bladder Spasms

Urinary Antispasmodic - Antimuscarinics

DETROL LA CP24 (Tolterodine Tartrate) NF

ST; Tryoxybutynin or tolterodine IR first

DETROL TABS (Tolterodine Tartrate) NF ST

DITROPAN XL TB24 (Oxybutynin Chloride) NF QL(1 ea daily)

oxybutynin chloride syrp or5 mg/5ml F

oxybutynin chloride tabs or5 mg F

oxybutynin chloride tb24 or5 mg, 10 mg, 15 mg F QL(1 ea daily)

tolterodine tartrate cp24 2mg, 4 mg F

ST; Tryoxybutynin or tolterodine IR first


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tolterodine tartrate tabs 1 mg, 2 mg F ST

trospium chloride tabs 20 mg F

Urinary Antispasmodics - Cholinergic Agonists bethanechol chloride tabs or 5 mg, 10 mg, 25 mg, 50 mg

F

URECHOLINE TABS (Bethanechol Chloride) NF

VACCINES

Bacterial Vaccines

BEXSERO SUSY F

Limit 2 doses per lifetime;2 rtlMAX fill,999 rtl day(s) supply,;AL(At least 19yrs old)

MENACTRA INJ F

Limit 1 dose per lifetime;1 rtlMAX fill,999 rtl day(s) supply,;AL(At least 19yrs old)

MENVEO SOLR F


PNEUMOVAX 23 INJ F


PNEUMOVAX 23/1 DOSEINJ F



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PREVNAR 13 SUSP F


TRUMENBA SUSY F


Viral Vaccines

AFLURIA 2017-2018 SUSP F

Limit 1 dose perseason;QL(0.5ml per fillretail); AL(Atleast 19 yrsold)

AFLURIA 2018-2019 SUSP F


AFLURIA PF 2017-2018 SUSY F


AFLURIA PF 2018-2019 SUSY F



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AFLURIA QUADRIVALENT 2017-2018 SUSP F


AFLURIA QUADRIVALENT 2017-2018 SUSY F











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ENGERIX-B INJ F


ENGERIX-B SUSP F


FLUAD 2017-2018 SUSY F






FLUARIX QUADRIVALENT 2017-2018 SUSY F





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FLUBLOK QUADRIVALENT 2017-2018 SOSY

F



F



F


FLUCELVAX QUADRIVALENT 2017-2018 SUSP

F


FLUCELVAX QUADRIVALENT 2017-2018 SUSY

F



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F



F



F



F


FLULAVAL QUADRIVALENT 2017-2018 SUSP

F


FLULAVAL QUADRIVALENT 2017-2018 SUSY

F



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F



F



F



F


FLUVIRIN 2015-2016 SUSP F


FLUVIRIN 2015-2016 SUSY F



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FLUVIRIN 2017-2018 SUSP F


FLUVIRIN 2017-2018 SUSY F


FLUZONE QUADRIVALENT 2017-2018 SUSP

F


FLUZONE QUADRIVALENT 2017-2018 SUSY

F



F



F



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F



F


GARDASIL 9 SUSP F


GARDASIL 9 SUSY F


HAVRIX SUSP F


HEPLISAV-B SOLN F


HEPLISAV-B SOSY F



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M-M-R II SOLR F


RECOMBIVAX HB SUSP F


SHINGRIX SUSR F

Limit 2 doses perlifetime;QL(1ea per fillretail); AL(Atleast 50 yrsold)

TWINRIX SUSP F


TWINRIX SUSY F


VAQTA SUSP F


VARIVAX INJ F


VAGINAL AND RELATED PRODUCTS

Vaginal Anti-infectives


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AVC CREA F

CLEOCIN CREA VA 2 % (Clindamycin PhosphateVaginal)

NF

CLEOCIN SUPP VA 100 MG F

clindamycin phosphatevaginal crea F

clotrimazole vaginal crea F

GYNE-LOTRIMIN 3 CREA (Clotrimazole Vaginal) NF

GYNE-LOTRIMIN CREA (Clotrimazole Vaginal) NF

METROGEL-VAGINAL GEL (Metronidazole Vaginal)

NF

metronidazole vaginal gel0.75 % F

MICONAZOLE 3 SUPP F

miconazole nitrate vaginal crea F

miconazole nitrate vaginalkit F

miconazole nitrate vaginal supp F

MONISTAT 1 COMBO PACK KIT (Miconazole Nitrate Vaginal)

NF

MONISTAT 1 DAY OR NIGHT COMBO PACK KIT (Miconazole Nitrate Vaginal)

NF

MONISTAT 3 COMBINATION PACK KIT (Miconazole Nitrate Vaginal)

NF

MONISTAT 3 CREA (Miconazole Nitrate Vaginal)

NF

MONISTAT 7 COMBINATION PACK KIT F


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MONISTAT 7 SIMPLY CURE CREA (Miconazole Nitrate Vaginal)

NF

TERAZOL 7 CREA (Terconazole Vaginal) NF

TERCONAZOLE CREA F

terconazole vaginal crea0.4 %, 0.8 % F

Vaginal Estrogens ESTRACE CREA (Estradiol Vaginal) NF

estradiol vaginal crea F

estradiol vaginal tabs F

ESTRING RING F

FEMRING RING 0.1 MG/24HR F PA

PREMARIN CREA VA 0.625 MG/GM F PA

VAGIFEM TABS (Estradiol Vaginal) NF

VASOPRESSORS - Drugs to Treat Heart andCirculation Conditions

Anaphylaxis Therapy Agents epinephrine (anaphylaxis)soaj 0.15 mg/0.3ml F QL(0.067 ea

daily) epinephrine (anaphylaxis)soaj 0.15 mg/0.3ml, 0.3mg/0.3ml

F QL(2 ea per 30days retail)

SYMJEPI SOSY 0.3 MG/0.3ML F QL(2 ea per 30

days retail) Vasopressors

midodrine hcl tabs F QL(3 ea daily)

VITAMINS

Oil Soluble Vitamins

BABY DDROPS LIQD F


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cholecalciferol caps or 50mcg, 400 unit, 1000 unit,2000 unit, 4000 unit, 5000unit, 10000 unit, 50000 unit

F

cholecalciferol liqd or 400unit/ml, 400 unt/0.03ml F

cholecalciferol tabs or 25 mcg, 400 unit, 1000 unit,2000 unit, 5000 unit, 50000unit

F

D-VI-SOL LIQD (Cholecalciferol) NF

DECARA CAPS F

DRISDOL CAPS (Ergocalciferol) NF

ergocalciferol caps F

KEY-E CHEW OR F AL(At least 6yrs old)

MAXIMUM D3 CAPS F

MEPHYTON TABS (Phytonadione) NF

NATURAL VITAMIN E TABS F

OPTIMAL D3 M CAPS F

phytonadione tabs or 5 mg F

THERA-D 4000 TABS F

VITAMIN D2 TABS F

VITAMIN D3 TABS OR 3000 UNIT, 10000 UNIT F

vitamin e caps or 100 unit,200 unit, 400 unit, 600 unit,1000 unit

F

VITAMIN E CHEW OR 400 UNIT F AL(At least 6

yrs old) VITAMIN E TABS OR 100 UNIT, 200 UNIT F

vitamin e tabs or 400 unit F


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Water Soluble Vitamins

B-1 TABS F

niacin cpcr 250 mg, 500 mg F

niacin tabs 50 mg, 100 mg,250 mg, 500 mg F

niacin tbcr 250 mg, 500mg, 750 mg F

niacinamide tabs F

niacinamide tbcr F

pyridoxine hcl tabs F

SLO-NIACIN TBCR (Niacin) NF

thiamine hcl tabs F


101

Index 1ML TB SYRINGE/25G X5/8"/LUER SLIP TIP 63 1ML TB SYRINGE/27G X1/2"/LUER SLIP TIP 63 1ML TUBERCULIN SYRINGE DETACHABLE NEEDLE SLIP TIP 25GX5/8" 63 1ML VANISHPOINT TUBERCULIN SYRINGE 25GX5/8" 63 1ML VANISHPOINT TUBERCULIN SYRINGE 27GX1/2" 63 2-3ML SYRINGE/LUER LOCKTIP 63 2-3ML SYRINGE/LUER SLIP TIP

63 3ML LUER LOCK SAFETY SYRINGES 64 3ML LUER LOCK SAFETY SYRINGES 3ML/22G X 1 1/2"

63 3ML LUER LOCK SAFETY SYRINGES/3ML/21G X 1 1/2"

64 3ML LUER LOCK SAFETY SYRINGES/3ML/22G X 1" 64 3ML LUER LOCK SAFETY SYRINGES/3ML/23G X 1" 64 3ML LUER LOCK SAFETY SYRINGES/3ML/25G X 1" 64 3ML LUER LOCK SAFETY SYRINGES/3ML/25G X 5/8" 64 3ML LUER-LOK SYRINGE 22GX 1-1/2" 64 3ML LUER-LOK SYRINGE21G X 1-1/2" 64 3ML LUER-LOK SYRINGE22G X 1" 64 3ML LUER-LOK SYRINGE25G X 5/8" 64 3ML LUER-LOK TIP

3ML SYRINGE/INTERLINKVIAL ACCESS CANNULA 64 3ML SYRINGE/LUER LOCKTIP 64 3ML SYRINGE/LUER LOCKTIP23GX1" 64 3ML SYRINGE/LUER LOCKTIP25G X 1-1/2" 64 3ML SYRINGE/LUER SLIPTIP23GX1" 64 3ML SYRINGE/NEEDLEREGULAR WALL LUER-LOK 25GX5/8" SUB-Q 64 abacavir sulfate 33 abacavir sulfate-lamivudine 33 abacavir sulfate-lamivudine-zidovudine 33 ABILIFY 33 ABILIFY MAINTENA 33 ABREVA 50 ABSORICA 46 acamprosate calcium 89 acarbose 19 ACCOLATE 12 ACCUPRIL 26 ACCURETIC 27 ACEON 26 acetaminophen 4 acetaminophen w/codeine 5,6 acetazolamide 55 acetic acid (otic) 88 acetylcysteine 46 ACNE MEDICATION 10 46 ACNE MEDICATION 5 46 ACTIDOM DMX 43

ADDERALL ADDERALL XR adefovir dipivoxil ADVAIR HFA ADVIL ADVIL MIGRAINE AFINITOR AFINITOR DISPERZ AFLURIA 2017-2018 AFLURIA 2018-2019 AFLURIA PF 2017-2018 AFLURIA PF 2018-2019 AFLURIA QUADRIVALENT 2017-2018 AFLURIA QUADRIVALENT 2018-2019 AFLURIA QUADRIVALENT 2019-2020 AIMOVIG albendazole ALBENZA ALBUSTIX albuterol sulfate ALDACTAZIDE ALDACTONE ALDARA ALECENSA ALENDRONATE SODIUM alendronate sodium ALENDRONATE SODIUM ALER-DRYL ALEVE ALEVE ARTHRITIS ALFERON N

1 1

36 12

2 2

29 29 95 95 95 95

96

96

96 75

8 8

54 12 55 55 51 29 56 56 56 23

2 2

29 SYRINGE25G X 1-1/2" 64 3ML SYRINGE/18G X 1-1/2"/LUER LOCK TIP 64 3ML SYRINGE/20G X 1"/LUERLOCK TIP 64 3ML SYRINGE/20G X 1"/LUERSLIP TIP 64 3ML SYRINGE/21G X 1-1/2"/LUER LOCK TIP 64 3ML SYRINGE/22G 1-1/2"/LUERLOCK TIP 64 3ML SYRINGE/22G X 1"/LUERLOCK TIP 64 3ML SYRINGE/25G X 1"/LUERLOCK TIP 64 3ML SYRINGE/INTERLINKSYRINGE CANNULA 64

ACTIGALL ACTIMMUNE ACTINEL DM ACTOPLUS MET ACTOPLUS MET XR ACTOS ACULAR ACULAR LS acyclovir acyclovir topical ADACEL ADALAT CC ADCIRCA

58 29 43 19 19 20 87 87 36 50 92 37 38

alfuzosin hcl 59 ALLEGRA ALLERGY 24 ALLEGRA ALLERGY CHILDRENS 24 ALLEGRA-D 12 HOUR ALLERGY & CONGESTION 43 ALLEGRA-D 24 HOUR ALLERGY & CONGESTION 43 ALLERGY SYRINGE/1ML/27G X1/2" 64 allopurinol 59 ALOE VESTA ANTIFUNGAL48 ALOE VESTA CLEAR ANTIFUNGAL 48 ALORA 57 ALPHAGAN P 85

Index 1

alprazolam 10 ANTACID 8 atovaquone-proguanil hcl 28 ALPRAZOLAM INTENSOL 10 ANTACID SOFT CHEWS 8 ATRAC-TAIN 51 ALTACE 26 ANTI-STICK TUBERCULIN ATRIPLA 34 alum & mag hydrox-simethicone 7,8 ALUMINUM HYDROXIDE 8 amantadine hcl 30 AMARYL 21 AMBI EVEN & CLEAR EXFOLIATING WASH 51 AMBI EVEN & CLEAR

SYRDISPOSABLE 1ML 27GX1/2" 64 ANTI-STICK TUBERCULIN SYRDISPOSABLE 1ML/25G X5/8" 64 ANUSOL-HC 7 ANZEMET 22 apraclonidine hcl 85

ATROPINE SULFATE 85 ATROVENT HFA 12 AUGMENTIN 89 AUGMENTIN ES-600 89 AUGMENTIN XR 89 AVALIDE 27 AVAPRO 26

FOAMINGCLEANSER 51 aprepitant 23 AVC 100 AMBIEN 61 APTENSIO XR 1 AVODART 59 AMERGE 75 APTIVUS 33 AVONEX 90 AMICAR 60 amiloride & hydrochlorothiazide 55 amiloride hcl 55 aminocaproic acid 60 amiodarone hcl 11 AMITIZA 58 amitriptyline hcl 19 amlodipine besylate 37 amlodipine besylate-benazeprilhcl 27

AQUORAL 80 ARALAST NP 91 ARAVA 4 ARICEPT 89 ARIMIDEX 28 aripiprazole 33 ARISTADA 33 ARISTADA INITIO 33 ARMOUR THYROID 92 ARTHROTEC 50 2

AVONEX PEN 90 AXILLARY BLOCK NEEDLE BLOCK BEVEL 25GX1" 64 AYGESTIN 89 azathioprine 79 azelastine hcl 83 azelastine hcl (ophth) 87 AZITHROMYCIN 63 azithromycin 63 AZOPT 87

AMOXAPINE 19 ARTHROTEC 75 2 AZULFIDINE 58

amoxicillin 88 artificial tear ointment 84 AZULFIDINE EN-TABS 58

AMOXICILLIN 88 artificial tear solution 84 B-1 101

amoxicillin 88 ASACOL HD 58 B-12 60

amoxicillin & pot clavulanate 89 AMOXICILLIN/CLAVULANATEPOTASSIUM 89 AMOXICILLIN/CLAVULANATEPOTASSIUM ER 89 amphetamine-dextroamphetamine 1 AMPICILLIN 89 ampicillin & sulbactamsodium 89 ANAFRANIL 19 ANALPRAM HC 7 ANALPRAM HC SINGLES 7 ANALPRAM-HC 7 ANAPROX DS 2

ASMANEX TWISTHALER 120 METERED DOSES 12 ASMANEX TWISTHALER 14 METERED DOSES 12 ASMANEX TWISTHALER 30 METERED DOSES 12 ASMANEX TWISTHALER 60 METERED DOSES 12 ASMANEX TWISTHALER 7 METERED DOSES 12 aspirin 4 ASPIRIN 4 aspirin 4 aspirin buffered (cal carb-magcarb-mag oxide) 4 ASTAGRAF XL 79

b-complex w/ c & folic acid 80 BABY DDROPS 100 BACIGUENT 48 BACITRACIN 86 bacitracin (topical) 48 bacitracin zinc 48 bacitracin-poly-neomycin-hc 86 bacitracin-polymyxin b 48 bacitracin-polymyxin b(ophth) 86 baclofen 82 BACTRIM 9 BACTRIM DS 9 BACTROBAN 48

ANASPAZ 93 atazanavir sulfate 34 BALAMINE DM 43 anastrozole 28 atenolol 37 balsalazide disodium 58 ANDRODERM 7 atenolol & chlorthalidone 27 BANZEL 14 ANDROGEL 7 ATIVAN 10 BARACLUDE 36 ANDROGEL PUMP 7 atomoxetine hcl 1 BD 1ML TUBERCULIN ANTABUSE 89 atorvastatin calcium 25 SYRINGE/SAFETYGLIDE TB

NEEDLE 27GX1/2" 64

Index 2

BD 1ML TUBERCULIN SYRINGEDETACHABLE NEEDLE SLIP TIP 27GX1/2"64 BD 1ML TUBERCULIN SYRINGESLIP-TIP 64 BD 3ML LUER-LOCK SYRINGE18G X 1 1/2" 65 BD 3ML LUER-LOK SYRINGE 18G X 1 1/2" 65 BD 3ML LUER-LOK SYRINGE/20G X 1" 65 BD 3ML LUER-LOK SYRINGE/21G X 1-1/2" 65 BD 3ML LUER-LOK SYRINGE/23G X 1" 65 BD 3ML LUER-LOK SYRINGE/23G X 1-1/2" 65 BD 3ML LUER-LOK SYRINGE/25G X 1" 65 BD 3ML SYRINGE LUER-LOK TIP 65 BD 3ML SYRINGE SLIP TIP 65 BD 3ML SYRINGE/SAFETYGLIDESHIELDING IM NEEDLE 22GX1-1/2" 65 BD 3ML SYRINGE/SAFETYGLIDESHIELDING IM NEEDLE 23GX1" 65 BD 3ML SYRINGE/SAFETYGLIDESHIELDING NEEDLE 25GX5/8" 65 BD ALLERGY/SYRINGE/NEEDLE/1ML/28G X 1/2" 65 BD BLUNT FILL NEEDLE 65 BD DISPOSABLE NEEDLE REGULAR BEVEL 25GX1" 65 BD DISPOSABLE NEEDLE REGULAR BEVEL THIN WALL 18G X 1" 65 BD ECLIPSE 18G X 1-1/2" 65 BD ECLIPSE NEEDLE 25G X 1.5" 65 BD ECLIPSE NEEDLE 25GX1" 65 BD ECLIPSE NEEDLE 27G X 1/2" 65 BD ECLIPSE NEEDLE/22G X 1-1/2" 65 BD ECLIPSE NEEDLE/25GX5/8" 65 BD ECLIPSE NEEDLE/27G X1/2" 65 BD ECLIPSE SYRINGE LUER-LOK/3ML/22G X 1" 65

BD ECLIPSE SYRINGE LUER-LOK/3ML/25G X 1" 65 BD ECLIPSE SYRINGE/3ML/23G X 1" 65 BD ECLIPSE SYRINGE/3ML/25GX5/8" 65 BD ECLIPSE SYRINGE/LUER-LOK/3ML/22G X 1-1/2" 65 BD HYPODERMIC NEEDLE REGULAR BEVEL 18G X 1-1/2" 65 BD HYPODERMIC NEEDLE REGULAR BEVEL 22GX1-1/2" 65 BD HYPODERMIC NEEDLE REGULAR BEVEL 25GX1" 65 BD HYPODERMIC NEEDLE REGULAR BEVEL 25GX5/8" 65 BD HYPODERMIC NEEDLE REGULAR BEVEL THIN WALL 18G X 1-1/2" 66 BD HYPODERMIC NEEDLE SHORT BEVEL 18G X 1-1/2" 66 BD HYPODERMIC NEEDLE SHORT BEVEL 22GX1-1/2" 66 BD HYPODERMIC NEEDLES 18GX1" 66 BD HYPODERMIC NEEDLES 18GX1.5" 66 BD HYPODERMIC NEEDLES 19GX1" 66 BD HYPODERMIC NEEDLES 22GX1.5" 66 BD HYPODERMIC NEEDLES 25GX1.5" 66 BD INTEGRA 3ML SYRINGE W/RETRACTING NEEDLE/21GX 1-1/2" 66 BD INTEGRA 3ML SYRINGE W/RETRACTING NEEDLE/25GX 1" 66 BD INTEGRA NEEDLE/25GX5/8" 66 BD INTEGRA SYRINGE/3ML/22G X 1.5" 66 BD INTEGRA SYRINGE/3ML/23G X 1" 66 BD INTEGRA SYRINGE/3ML/25G X 5/8 66 BD NEEDLE/18G 1-1/2" 66 BD NEEDLE/19G X 1" 66 BD NEEDLE/22G X 1-1/2" 66 BD NEEDLE/25G X 5/8" 66 BD NEEDLE/27G X 1/2" 66

BD PLASTIPAK SYRINGES ALLERGY 28GX1/2 66 BD SAFETYGLIDE 27G X 5/8"NEEDLE 66 BD SAFETYGLIDE ALLERGY SYRINGE/1ML/27GX1/2" 66 BD SAFETYGLIDE HYPODERMICNEEDLE 18G X 1-1/2"BD SAFETYGLIDE

66

HYPODERMICNEEDLE 25GX5/8"BD SAFETYGLIDE

66

INJECTIONNEEDLE 22GX1-1/2" 66 BD SAFETYGLIDE INJECTIONNEEDLE 25GX1" 66 BD SAFETYGLIDE SYRINGE 3ML/25GX1" 66 BD SYRINGE LUER-LOK/1ML 66 BD SYRINGE SLIP TIP 1ML 66 BELEODAQ 29 BENADRYL ALLERGY 23 BENADRYL ALLERGY CHILDRENS 23 benazepril &hydrochlorothiazide 27 benazepril hcl 26 BENICAR 26 BENICAR HCT 27 BENTYL 93 BENZAC AC WASH 46 BENZEFOAM 46 BENZEFOAM ULTRA 46 BENZIQ 46 BENZIQ LS 46 BENZIQ WASH 46 benzonatate 42 benzoyl peroxide 46,47 BENZOYL PEROXIDE 47 benzoyl peroxide 47 BENZOYL PEROXIDE CLEANSER 47 benztropine mesylate 30 BETAGAN 85 betamethasone dipropionate(topical) 50 betamethasone dipropionateaugmented 50 betamethasone valerate 50 BETAPACE 37

Index 3

BETAPACE AF 37 bupropion hcl 17 CAPEX 50 BETASAL 51 bupropion hcl (smoking CAPHOSOL 80

deterrent) 90BETASERON 90 CAPRELSA 29buspirone hcl 10betaxolol hcl (ophth) 85 captopril 26butalbital-acetaminophen-

bethanechol chloride 95 CAPTOPRIL/HYDROCHLOROTcaffeine 4 HIAZIDE 27BETHKIS 2 butalbital-acetaminophen-CARAFATE 94caffeine w/ codeine 6BETIMOL 85

butalbital-aspirin-caffeine 4 carbamazepine 14BETOPTIC-S 85 butalbital-aspirin-caffeine carbamide peroxide (otic) 88BEVESPI AEROSPHERE 12 w/cod 6 CARBATROL 14bexarotene 29 BUTALBITAL/ASPIRIN/CAFFEI carbidopa-levodopa 30BEXSERO 95 NE 4 carboxymethylcellulose sodiumbutenafine hcl 48BIKTARVY 34 (ophth) 84BUTRANS 6BILTRICIDE 8 CARDIZEM 37

BYDUREON 20BIOBRON SF 43 CARDIZEM CD 37 BYDUREON PEN 20BIODESP DM 43 CARDURA 26

BIOTENE DRY MOUTH BYETTA 20 CARIMUNE MOISTURIZING SPRAY 80 CAFERGOT 75 NANOFILTERED 88 bisacodyl 62 CAL-CITRATE 76 CARNITOR 56 bismuth subsalicylate 21,22 CAL-LAC 76 CARNITOR SF 56 bisoprolol & CAL-MAG-K CHELA MAX 78 CARTEOLOL HCL 85hydrochlorothiazide 27 CAL-MINT 76 carteolol hcl (ophth) 85bisoprolol fumarate 37

CALAMINE 53 carvedilol 37BIVIGAM 88 CALAN 37 CATAPRES 26BLEPH-10 86 CALAN SR 37 CATAPRES-TTS-1 26BLEPHAMIDE 87 CALCI-CHEW 76 CATAPRES-TTS-2 26BLEPHAMIDE S.O.P. 87 calcitonin (salmon) 56 CATAPRES-TTS-3 26BONE ESSENTIALS 78 calcitriol 56 cefaclor 39BOOSTRIX 92 CALCIUM 76,77 CEFACLOR 39BP GEL 47 calcium 77 CEFACLOR ER 39BREVICON-28 40 CALCIUM 77 cefadroxil 39BRILINTA 59 CALCIUM & VITAMIN D3 CEFAZOLIN 39brimonidine tartrate 85 BONEHEALTH 78 cefazolin sodium 39bromocriptine mesylate 30 CALCIUM ACETATE 76 CEFAZOLIN SODIUM 39brompheniramine & calcium acetate (phosphate

phenyleph 43 binder) 58 CEFAZOLIN brompheniramine & SODIUM/DEXTROSE 39CALCIUM ASPARTATE 76 CEFAZOLIN SODIUM/SODIUMpseudoeph 43 CALCIUM CARBONATE 8,76 CHLORIDE 39BRONKIDS 43

calcium carbonate 76 cefdinir 39BRONTUSS DX 43 calcium carbonate (antacid) 8 CEFEPIME 40BROTAPP DM 43 calcium carbonate-vitamin cefepime hcl 40budesonide 41 d 76 cefixime 39budesonide (inhalation) 12 CALCIUM CITRATE 77 cefpodoxime proxetil 39BUFFERIN 5 calcium citrate 77 cefprozil 39bumetanide 55 calcium citrate-vitamin d 77 CEFTIN 39BUMEX 55 CALCIUM GLUCONATE 77 CEFTRIAXONE IN ISO-

buprenorphine hcl 6 77 39CALCIUM LACTATE OSMOTIC DEXTROSE buprenorphine hcl-naloxone hcl CALCIUM PLUS VITAMIN ceftriaxone sodium 39dihydrate 6 D 77 CEFTRIAXONE SODIUM 39

Index 4

ceftriaxone sodium 39 CEFTRIAXONE/DEXTROSE

39 cefuroxime axetil 39 CELEBREX 2 celecoxib 2 CELEXA 17 CELLCEPT 79 CENTANY 48 cephalexin 39 CEPHALEXIN 39 CERASPORT 77 CERASPORT EX1 77 CERDELGA 59 CEREZYME 59 cetirizine hcl 24 cetirizine-pseudoephedrine 43 CHANTIX 91 CHANTIX CONTINUING MONTHPAK 90 CHANTIX STARTING MONTH PAK 90 CHEK-STIX COMBO PAK URINALYSIS CONTROL 54 CHEK-STIX CONTROL 54 CHELATED CALCIUM 77 CHELATED POTASSIUM 78 CHEMSTRIP-K 54 CHEMSTRIP-MICRAL 54 CHERACOL PLUS 43 CHERACOL-D COUGH 43 CHILDRENS ADVIL 2 CHILDRENS MOTRIN 2 CHLOR-TRIMETON 23 chlordiazepoxide hcl 10 chlorhexidine gluconate (mouth-throat) 79 CHLOROQUINE PHOSPHATE 28 chloroquine phosphate 28 CHLOROTHIAZIDE 56 chlorothiazide 56 chlorpheniramine &pseudoeph 43 chlorpheniramine maleate 23 chlorpromazine hcl 33 chlorthalidone 56 cholecalciferol 101 cholestyramine 25

cholestyramine light 25 choline & mag salicylate 5 ciclopirox 48 ciclopirox olamine 48 cidofovir 35 cilostazol 59 CILOXAN 86 cinacalcet hcl 56 CIPRO 57 CIPRODEX 88 CIPROFLOXACIN 88 CIPROFLOXACIN HCL 57 ciprofloxacin hcl 57 ciprofloxacin hcl (ophth) 86 citalopram hydrobromide 17 CLARITHROMYCIN 63 clarithromycin 63 CLARITIN 24 CLARITIN ALLERGY CHILDRENS 24 CLARITIN CHILDRENS 24 CLARITIN REDITABS 24 CLARITIN-D 12 HOUR 43 CLARITIN-D 24 HOUR 43 CLASSIC PRENATAL 80 CLEAN & CLEAR ACNE TRIPLECLEAR BUBBLE FOAM CLEANSER 51 CLEAN & CLEAR ADVANTAGE 3-IN-1 EXFOLIATING CLEANSER 47 CLEAN & CLEAR ADVANTAGE OIL ABSORBING CLEANSER 51 CLEAN & CLEAR BLACKHEAD ERASER SCRUB 52 CLEAN & CLEAR DEEP CLEANING ASTRINGENT SENSITIVE SKIN 52 clemastine fumarate 23 CLEMASTINE FUMARATE 23 CLEOCIN 9,100 CLEOCIN PEDIATRIC GRANULES 9 CLEOCIN-T 47 CLIMARA 57 CLIMARA PRO 57 CLINDAGEL 47

clindamycin hcl 9 clindamycin palmitatehydrochloride 9 CLINDAMYCIN PHOSPHATE 47 clindamycin phosphate(topical) 47 clindamycin phosphatevaginal 100 CLN ACNE CLEANSER 52 clobazam 14 clobetasol propionate 50 clobetasol propionate emollientbase 50 clomipramine hcl 19 clonazepam 14 clonidine 26 clonidine hcl 26 clonidine hcl (adhd) 1 clopidogrel bisulfate 59 clorazepate dipotassium 10,11 clotrimazole 79 clotrimazole (topical) 48 clotrimazole vaginal 100 clotrimazole w/betamethasone 48 clozapine 32 CLOZAPINE 32 clozapine 32 CLOZAPINE ODT 32 CLOZARIL 32 CO-NATAL FA 80 COARTEM 28 COLACE 62 COLACE CLEAR 62 COLAMINE 78 COLAZAL 58 COLCHICINE 59 COLCRYS 59 COLESTID 25 COLESTID FLAVORED 25 colestipol hcl 25 COLYTE-FLAVOR PACKS 62 COMBIVENT RESPIMAT 12 COMBIVIR 34 COMPLERA 34 COMPLETENATE 80 COMPOUND W 52

Index 5

COMPOUND W MAXIMUM CYTOMEL 92 desogestrel & ethinylSTRENGTH 52 estradiol 40CYTOTEC 94COMTAN 30 desogestrel-ethinyl estradiol

CYTOVENE 35 (biphasic) 40CONCERTA 1 D-VI-SOL 101 desogestrel-ethinyl estradiolCOPAXONE 90 (triphasic) 40danazol 7COPEGUS 36 DESQUAM-X WASH 47DANTRIUM 83COREG 37 DETROL 94dantrolene sodium 83CORGARD 37 DETROL LA 94dapsone 9CORN & CALLUS DEX4 FAST ACTINGDAPTACEL 92REMOVER 52 GLUCOSEGO-POUCH 20 CORTEF 41 DAYPRO 2 DEX4 QUICK DISSOLVE

GLUCOSE 20CORTENEMA 7 DAYTRANA 1 dexamethasone 41CORTIFOAM 7 DDAVP 56 DEXAMETHASONE 41CORZIDE 27 DEBROX 88 dexamethasone 41COSOPT 85 DECARA 101 DEXAMETHASONE 41COTELLIC 29 DELSYM 42

DELSYM COUGH dexamethasone 41COUMADIN 13 CHILDRENS 42 DEXAMETHASONECOZAAR 26 DEMADEX 55 INTENSOL 41

CREON 55 DEXAMETHASONE SODIUMdemeclocycline hcl 91CRIXIVAN 34 PHOSPHATE 87

DEMEROL 5 dexmethylphenidate hcl 1cromolyn sodium 12 DENOREX EXTRA dextroamphetamine sulfate 1cromolyn sodium (nasal) 83 STRENGTH 2-IN-1 52 dextromethorphan hbr 42cromolyn sodium (ophth) 87 DEPAKENE 16 dextromethorphan polistirex 42crotamiton 53 DEPAKOTE 16 dextromethorphan-guaifenesinCUPRIMINE 78 DEPAKOTE ER 16 43

CUVPOSA 93 DEPAKOTE SPRINKLES 16 dextrose (diabetic use) 20CVS CALCIUM CHEWABLES DEPO-PROVERA DIALYSIS SAFETY600PLUS 78 CONTRACEPTIVE 41 SYRINGES/LOW DEAD SPACECVS DRY MOUTH SPRAY 80 DEPO-SUBQ PROVERA 3ML/22GX1-1/2" 66104 41CVS GLUCOSE 20 DIAMOX 55DEPO-TESTOSTERONE 7CVS GLUCOSE BITS 20 DIASTAT ACUDIAL 14DEPRIZINE FUSEPAQ 93CVS PRENATAL 80 DIASTAT PEDIATRIC 14DEPRIZINE RAPIDPAQ 93CVS PSORIASIS MEDICATED diazepam 11DERMA-SMOOTHE/FSSHAMPOO PLUS

BODY 50 DIAZEPAM 11CONDITIONER 52 DERMA-SMOOTHE/FSCVS THERAPEUTIC diazepam 11 SCALP 50DANDRUFFMAXIMUM diazepam (anticonvulsant) 14DERMAREST PSORIASIS 52STRENGTH 52 DIAZEPAM RECTAL GEL 14

cyanocobalamin 60 DERMAREST PSORIASIS diclofenac potassium 2MEDICATED SHAMPOO PLUSCYCLESSA 40 CONDITIONER 52 diclofenac sodium 2

cyclobenzaprine hcl 82 DESCOVY 34 diclofenac sodium (ophth) 87CYCLOGYL 85 DESGEN DM 43 diclofenac sodium (topical) 48cyclopentolate hcl 85 desipramine hcl 19 diclofenac w/ misoprostol 2cyclosporine 79 desmopressin acetate 57 dicloxacillin sodium 89CYCLOSPORINE desmopressin acetate dicyclomine hcl 93MODIFIED 79 spray 57cyclosporine modified (for didanosine 34desmopressin acetate spraymicroemulsion) 79 refrigerated 57 DIDANOSINE 34 CYMBALTA 18 DESOGEN 40 DIFLUCAN 23 cyproheptadine hcl 25

Index 6

diflunisal digoxin DIGOXIN digoxin DILANTIN DILANTIN INFATABS DILANTIN-125 DILATRATE SR DILAUDID DILT-XR

5 38 38 38 16 16 16

9 5

37

doxepin hcl 19 doxycycline (monohydrate)92 doxycycline hyclate 92 doxylamine succinate(sleep) 61 DRAMAMINE 23 DRISDOL 101 drospirenone-ethinylestradiol 40 DRYSOL 53 DULCOLAX 62

EASY TOUCH FLIPLOCK SAFETY SYRINGE 3ML/25GX1" 67 EASY TOUCH FLIPLOCK SAFETY SYRINGE 3ML/25GX5/8" 67 EASY TOUCH FLIPLOCK SAFETY SYRINGES 3ML/20GX1" 67 EASY TOUCH FLIPLOCK SAFETY SYRINGES 3ML/21GX1-1/2" 67 EASY TOUCH HYPODERMIC

diltiazem hcl 37,38 DULERA 12 NEEDLES 18GX1" 67 diltiazem hcl coated beads 37 diltiazem hcl extended release beads 38 dimenhydrinate 23 DIMETAPP COLD & ALLERGY 43 DIOVAN 26

duloxetine hcl DURAGESIC dutasteride DYANAVEL XR DYAZIDE DYRENIUM

18 5

59 1

55 55

EASY TOUCH HYPODERMIC NEEDLES 18GX1-1/2" 67 EASY TOUCH HYPODERMIC NEEDLES 19GX1" 67 EASY TOUCH HYPODERMIC NEEDLES 22GX1-1/2" 67 EASY TOUCH HYPODERMIC NEEDLES 25GX1" 67

DIOVAN HCT 27 EASY GLIDE LUER LOCK EASY TOUCH HYPODERMIC DIPENTUM 58 diphenhydramine hcl 23,24 diphenhydramine hcl (sleep) 60 diphenhydramine hcl(topical) 49 diphenoxylate w/ atropine 22 DIPHENOXYLATE/ATROPINE

22 DIPROLENE AF 50 dipyridamole 59 disopyramide phosphate 11 disulfiram 89 DITROPAN XL 94 DIURIL 56 divalproex sodium 16 docosanol 50 docusate calcium 62

1MLSYRINGE 66 EASY TOUCH ALLERGY TRAY SAFETY SYRINGE/1ML/27G X 1/2" 66 EASY TOUCH FLIPLOCK NEEDLES 18GX1" 67 EASY TOUCH FLIPLOCK NEEDLES 18GX1-1/2" 67 EASY TOUCH FLIPLOCK NEEDLES 19GX1" 67 EASY TOUCH FLIPLOCK NEEDLES 22GX1-1/2" 67 EASY TOUCH FLIPLOCK NEEDLES 25GX1" 67 EASY TOUCH FLIPLOCK NEEDLES 25GX1-1/2" 67 EASY TOUCH FLIPLOCK NEEDLES 25GX5/8" 67 EASY TOUCH FLIPLOCK NEEDLES 27GX1/2" 67 EASY TOUCH FLIPLOCK

NEEDLES 25GX1-1/2" 67 EASY TOUCH HYPODERMIC NEEDLES 25GX5/8" 67 EASY TOUCH HYPODERMIC NEEDLES 27GX1/2" 67 EASY TOUCH SAFETY SYRINGE/3ML/20G X 1" 67 EASY TOUCH SAFETY SYRINGE/3ML/22G X 1" 67 EASY TOUCH SAFETY SYRINGE/3ML/22G X 1-1/2" 67 EASY TOUCH SAFETY SYRINGE/3ML/23G X 1" 67 EASY TOUCH SAFETY SYRINGE/3ML/25G X 1" 67 EASY TOUCH SAFETY SYRINGE/3ML/25G X 5/8" 67 EASY TOUCH SHEATHLOCK SAFETY SYRINGE 3ML/21GX1-1/2" 68 EASY TOUCH SHEATHLOCK

docusate sodium 62 SAFETTY SYRINGES SAFETY SYRINGE dofetilide 11 DOMETUSS-DMX 43 donepezil hydrochloride 89 dorzolamide hcl 87 DORZOLAMIDE HCL 87 dorzolamide hcl-timolol maleate 85 DORZOLAMIDE HCL/TIMOLOLMALEATE 85 doxazosin mesylate 26

3ML/18GX1-1/2" 67 EASY TOUCH FLIPLOCK SAFETY SYRINGE 3ML/22GX1" 67 EASY TOUCH FLIPLOCK SAFETY SYRINGE 3ML/22GX1-1/2" 67 EASY TOUCH FLIPLOCK SAFETY SYRINGE 3ML/23GX1" 67 EASY TOUCH FLIPLOCK SAFETY SYRINGE

3ML/22GX1" 68 EASY TOUCH SHEATHLOCK SAFETY SYRINGE 3ML/22GX1-1/2" 68 EASY TOUCH SHEATHLOCK SAFETY SYRINGE 3ML/23GX1" 68 EASY TOUCH SHEATHLOCK SAFETY SYRINGE 3ML/25GX1" 68 EASY TOUCH SHEATHLOCK SAFETY SYRINGE

doxepin hcl 19 3ML/23GX1-1/2" 67 3ML/25GX5/8" DOXEPIN HCL 19

Index 7

68

EASY TOUCH TUBERCULIN ENBREL SURECLICK 4 EXTAVIA 90 FLIPLOCK SAFETY SYRINGE ENFAMIL ENFALYTE 77 ezetimibe 251ML/27GX1/2" 68 ENGERIX-B 96 famciclovir 36EASY TOUCH TUBERCULIN FLIPLOCK SAFETY SYRINGE 1ML/28GX1/2" 68 EASY TOUCH TUBERCULIN SHEATHLOCK SAFETY SYRINGE 1ML/25GX5/8" 68 EASY TOUCH TUBERCULIN SHEATHLOCK SAFETY SYRINGE 1ML/27GX1/2" 68 EASY TOUCH TUBERCULIN SHEATHLOCK SAFETY SYRINGE 1ML/28GX1/2" 68 EASYPOINT NEEDLE 25G X 1" 68 EASYPOINT NEEDLE 25G X 5/8" 68 EASYPOINT NEEDLE 25GX1-1/2" 68 EC-NAPROSYN 2 EC-NAPROXEN 3 ECOTRIN MAXIMUM STRENGTH 5 ECOTRIN REGULAR STRENGTH 5 ED BRON GP 43 EDURANT 34 efavirenz 34 EFFEXOR XR 18 EFUDEX 49 ELAPRASE 56 ELAVIL 19 ELELYSO 59 ELIGARD 28 ELIMITE 53 ELIQUIS 13 ELIQUIS STARTER PACK 13 ELITE CALCIUM 77 ELMIRON 59 ELOCON 50

enoxaparin sodium 13 entacapone 30 entecavir 36 ENTOCORT EC 41 EPANED 26 epinephrine (anaphylaxis)100 EPIVIR 34 EPIVIR HBV 36 eplerenone 27 EPZICOM 34 EQL DRY MOUTH ORAL RINSE 80 EQL PRENATAL FORMULA 80 EQUALYTE 77 ergocalciferol 101 ergotamine w/ caffeine 75 erlotinib hcl 29 ERYGEL 47 erythromycin (acne aid) 47 erythromycin (ophth) 86 escitalopram oxalate 17 ESGIC 4 ESTRACE 57 estradiol 57 estradiol vaginal 100 ESTRING 100 ESTROPIPATE 57 ESTROSTEP FE 40 ethambutol hcl 28 ethosuximide 16 ethynodiol diacet & ethestrad 40 etodolac 3 ETOPOSIDE 30

famotidine 93 FARESTON 29 FARXIGA 21 FATHER JOHNS MEDICINE PLUS 44 FAZACLO 32 febuxostat 59 felbamate 16 FELBATOL 16 FELDENE 3 felodipine 38 FEMARA 29 FEMIRON 60 FEMRING 100 FENOFIBRATE 25 fenofibrate 25 fenofibrate micronized 25 FENOFIBRIC ACID 25 FENOPROFEN CALCIUM 3 fenoprofen calcium 3 fentanyl 5 FER-IN-SOL 60 FERRETTS 60 FERRIMIN 150 60 FERROUS FUMARATE 60 ferrous fumarate 60 ferrous gluconate 60 FERROUS GLUCONATE 60 FERROUS SULFATE 60 ferrous sulfate 60 FEVERALL JUNIOR STRENGTH 4 fexofenadine hcl 24 fexofenadine-pseudoephedrine

44 EMBEDA 5 EURAX 53 FIBRICOR 25 EMEND 23 EVAC 61 finasteride 59 EMEND TRIPACK EMGALITY

23 75

EVISTA EVOTAZ

56 34

FIORICET/CODEINE FIORINAL

6 4

EMTRIVA enalapril maleate enalapril maleate &hydrochlorothiazide ENBREL ENBREL MINI

34 26

27 4 4

EX-LAX EX-LAX MAXIMUM STRENGTH EXACTUSS EXACTUSS TR EXELON

62

62 43 44 90

FIORINAL/CODEINE #3 FIRST-VANCOMYCIN 25 FIRST-VANCOMYCIN 50 FISH OIL FISH OIL PEARLS

6 9 9

84 84

Index 8

FISH OIL TRIPLE STRENGTH FISH OIL ULTRA FLAGYL FLEBOGAMMA DIF flecainide acetate FLEET ENEMA

84 84

9 88 11 62

fluphenazine hcl 33 FLUPHENAZINE HCL 33 FLUPHENAZINE HYDROCHLORIDE 33 flurbiprofen 3 FLURBIPROFEN SODIUM87 flurbiprofen sodium 87

galantamine hydrobromide 90 GAMASTAN 88 GAMASTAN S/D 88 GAMMAGARD LIQUID 88 GAMMAGARD S/D IGA LESSTHAN 1MCG/ML 88 GAMMAKED 88

FLEET ENEMA SIX PACK 62 flutamide 29 GAMMAPLEX 88 FLEET PEDIATRIC 62 FLOMAX 59 FLONASE ALLERGY RELIEF 83 FLONASE ALLERGY RELIEF CHILDRENS 83 FLOVENT HFA 12 FLUAD 2017-2018 96

fluticasone propionate 50 fluticasone propionate(nasal) 83 FLUVIRIN 2015-2016 98 FLUVIRIN 2017-2018 98 fluvoxamine maleate 17 FLUZONE QUADRIVALENT 2017-2018 98

GAMUNEX-C 88 ganciclovir sodium 35 GARDASIL 9 99 GAS-X 57 GAS-X EXTRA STRENGTH 57 gatifloxacin (ophth) 86 gemfibrozil 25

FLUAD 2018-2019 FLUAD 2019-2020 FLUARIX QUADRIVALENT 2017-2018 FLUARIX QUADRIVALENT 2018-2019

96 96

96

96

FLUZONE QUADRIVALENT 2018-2019 98 FLUZONE QUADRIVALENT 2019-2020 99 FML 87 FML FORTE 87

GENOTROPIN GENOTROPIN MINIQUICK GENTAK gentamicin sulfate (ophth) gentamicin sulfate (topical)

56 56 86 86 48

FLUARIX QUADRIVALENT 2019-2020 97 FLUBLOK QUADRIVALENT 2017-2018 97 FLUBLOK QUADRIVALENT 2018-2019 97 FLUBLOK QUADRIVALENT 2019-2020 97 FLUCELVAX QUADRIVALENT 2017-2018 97 FLUCELVAX QUADRIVALENT 2018-2019 97

FML LIQUIFILM FOCALIN FOCALIN XR folic acid FORTIFY PROBIOTIC WOMENSEXTRA STRENGTH FOSAMAX fosamprenavir calcium FOSCAVIR

87 1 1

60

22 56 34 35

GENTEAL MILD GENTEAL MILD TO MODERATE GENTEAL SEVERE GENVOYA GEODON GIAZO GILENYA GILTUSS GILTUSS COUGH & COLD

84

84 84 34 31 58 90 44 44

FLUCELVAX QUADRIVALENT 2019-2020 97 fluconazole 23 fludrocortisone acetate 42 FLULAVAL QUADRIVALENT 2017-2018 97 FLULAVAL QUADRIVALENT 2018-2019 98 FLULAVAL QUADRIVALENT 2019-2020 98 FLUMADINE 36 FLUNISOLIDE 83 fluocinolone acetonide 50 fluocinonide 50 fluorometholone (ophth) 87 fluorouracil (topical) 49 fluoxetine hcl 17 fluphenazine decanoate 33 FLUPHENAZINE HCL 33

fosinopril sodium 26 fosinopril sodium &hydrochlorothiazide 27 FOSRENOL 58 FREEZONE 52 FULPHILA 60 FURADANTIN 94 furosemide 55 FUROSEMIDE 55 furosemide 55 FUZEON 34 G-TUSICOF 44 G-ZYNCOF 44 gabapentin 14,15 GABITRIL 16 galantamine hydrobromide 90 GALANTAMINE HYDROBROMIDE 90

GILTUSS TR 44 GLASSIA 91 glatiramer acetate 90 GLEEVEC 29 glimepiride 21 glipizide 21 GLUCAGON EMERGENCY KIT 20 GLUCOPHAGE 20 GLUCOPHAGE XR 20 GLUCOSE 20 GLUCOTROL 21 GLUCOTROL XL 21 GLUCOVANCE 19 glyburide 21 glyburide micronized 21 glyburide-metformin 19

Index 9

glycopyrrolate 93 HERBAL EXPEC 46 hydrocortisone (topical) 50 GLYNASE 21 HIZENTRA 88 hydrocortisone acetate

(topical) 51GLYXAMBI 19 HM CALAMINE 53 hydrocortisone acetate w/GNP CALAMINE 53 HM FISH OIL 84 pramoxine 7 GNP DAILY PRENATAL 80 HM ONE DAILY PRENATAL hydrocortisone w/acetic acid 88

COMBO 80GNP GLUCOSE 20 hydrocortisone-aloe vera 51HM PRENATAL 80GNP PRENATAL 80 hydrogen peroxide 33homatropine hbr 85GNP QUICK DISSOLVE HYDROGEN PEROXIDE 33GLUCOSE 20 HORIZANT 90

hydromorphone hcl 5GOLD BOND PSORIASIS HUBER NEEDLE/RIGHTRELIEF MULTI-SYMPTOM 52 ANGLE19G X 1" 68 HYDROMORPHONE HCL 5 GOLYTELY 62 HUBER NEEDLE/RIGHT hydromorphone hcl 5

ANGLE22G X 1-1/2" 68GONIOVISC 84 hydroxychloroquine sulfate 28HUBER NEEDLE/STRAIGHTGOODSENSE PRENATAL hydroxyurea 2922GX1-1/2" 68VITAMINS 80 HUMALOG 20 hydroxyzine hcl 10GRALISE 90

HUMALOG KWIKPEN 20 HYDROXYZINE PAMOATE 10granisetron hcl 22

HUMALOG MIX 50/50 20 hydroxyzine pamoate 10griseofulvin microsize 23 HUMALOG MIX 50/50 hyoscyamine sulfate 93guaifenesin 46 KWIKPEN 20 HYPER-SAL 46guaifenesin-codeine 44 HUMALOG MIX 75/25 20 HYPERSAL 46guanfacine hcl 26 HUMALOG MIX 75/25 HYPODERMIC NEEDLE 18G XKWIKPEN 20guanfacine hcl (adhd) 1 1" 68HUMIRA 2GYNE-LOTRIMIN 100 HYPODERMIC NEEDLE 18G X

HUMIRA PEDIATRIC CROHNS 1-1/2" 68GYNE-LOTRIMIN 3 100 DISEASE STARTER PACK 2 HYPODERMIC NEEDLE 19G XHALDOL 32 HUMIRA PEN 2 1" 68 HALDOL DECANOATE 100 32 HUMIRA PEN-CD/UC/HS HYPODERMIC NEEDLE 22GX1-

1/2" 68HALDOL DECANOATE 50 32 STARTER 2 HUMIRA PEN-PS/UV HYPODERMIC NEEDLEhalobetasol propionate 50 STARTER 2 25GX1" 68

haloperidol 32 HYPODERMIC NEEDLE 25GX1-HUMULIN 70/30 20 haloperidol decanoate 32 1/2" 68HUMULIN N 20 HYPODERMIC NEEDLEhaloperidol lactate 32 HUMULIN R 21 25GX5/8" 68HAVRIX 99 HUMULIN R U-500 HYPODERMIC NEEDLE HEMOCYTE 60 (CONCENTRATED) 21 27GX1/2" 68 heparin (porcine) in sodium HUMULIN R U-500 HYPODERMIC NEEDLES chloride 13 KWIKPEN 21 18GX1" 68

hydralazine hcl HYPODERMIC NEEDLESHEPARIN LOCK FLUSH 13 28 18GX1-1/2" 68heparin sodium (porcine) 13 HYDRALYTE 77 HYPODERMIC NEEDLES

heparin sodium (porcine) lock HYDRALYTE FREEZER 19GX1" 68flush 13 POPS 77 HYPODERMIC NEEDLES HEPARIN SODIUM/D5W 13 HYDREA 29 22GX1-1/2" 68 HEPARIN hydrochlorothiazide 56 HYPODERMIC NEEDLES SODIUM/DEXTROSE 13 hydrocodone w/ 25GX1-1/2" 68 HEPARIN SODIUM/NACL homatropine 42 HYPODERMIC NEEDLES 0.45% 13 hydrocodone- 25GX5/8" 69 HEPARIN SODIUM/SODIUM acetaminophen 6 HYPODERMIC NEEDLES CHLORIDE 14 hydrocodone-ibuprofen 6 27GX1/2" 69 HEPARIN SODIUM/SODIUM hypromellose (ophth) 84hydrocortisone 41CHLORIDE 0.9% 14 HYVEE ADVANCED ANTACIDhydrocortisone (intrarectal) 7HEPLISAV-B 99 MAXIMUM STRENGTH 8

hydrocortisone (rectal) 7HEPSERA 36 HYZAAR 27

Index 10

IBUDONE 6 ibuprofen 3 ICLUSIG 29 IMBRUVICA 29 imipramine hcl 19 imipramine pamoate 19 imiquimod 51 IMITREX 75 IMITREX STATDOSE REFILL 75 IMITREX STATDOSE SYSTEM 75 IMODIUM A-D 22 IMURAN 79 INATAL GT 80 INCRELEX 56 indapamide 56 INDERAL LA 37 INDOCIN 3 indomethacin 3 INFANTS ADVIL 3 INLYTA 29 INSPRA 28 INSTA-GLUCOSE 20 INTELENCE 34 INTRON A 29 INTRON A W/DILUENT 29 INTUNIV 1 INVEGA SUSTENNA 31 INVEGA TRINZA 31 INVIRASE 34 INVOKANA 21 IOPIDINE 86 ipratropium bromide 12 ipratropium bromide (nasal) 83 ipratropium-albuterol 12 irbesartan 26 irbesartan-hydrochlorothiazide

27 IRESSA 29 ISENTRESS 34 ISONIAZID 28 isoniazid 28 ISOPTO ATROPINE 85 ISOPTO CARPINE 85 ISOPTO TEARS 84 ISORDIL TITRADOSE 9

ISOSORBIDE DINITRATE 9 isosorbide dinitrate 9 ISOSORBIDE DINITRATE ER 9 isosorbide mononitrate 10 isotretinoin 47 ISTALOL 85 ITCH RELIEF 49 ivermectin 8 JAKAFI 29 JANUMET 19 JANUMET XR 19 JANUVIA 20 JARDIANCE 21 JENTADUETO 19 K-PHOS NEUTRAL 78 K-TAB 78 KALETRA 34 KEFLEX 39 KENALOG-10 41 KEPPRA 15 KEPPRA XR 15 KERALYT 52 ketoconazole (topical) 48 KETONE 54 KETONE TEST STRIPS 54 ketoprofen 3 KETOPROFEN 3 KETOPROFEN ER 3 ketorolac tromethamine 3 ketorolac tromethamine (ophth) 87 KETOSTIX 54 ketotifen fumarate (ophth) 87 KEY-E 101 KITABIS PAK 2 KLARON 47 KLONOPIN 14 KLOR-CON M15 78 KOMBIGLYZE XR 19 KONSYL DAILY FIBER 61 KONSYL ORIGINAL FORMULADAILY FIBER 61 KP PRENATAL MULTIVITAMINS 80 KPN PRENATAL 80 labetalol hcl 37 LAC-HYDRIN 51

LAC-HYDRIN TWELVE 51 lactic acid (ammoniumlactate) 51 lactulose 62 lactulose (encephalopathy) 58 LAMICTAL 15 LAMICTAL CHEWABLE DISPERSIBLE 15 LAMICTAL ODT 15 LAMICTAL XR 15 LAMISIL 23 LAMISIL AT 48 LAMISIL AT JOCK ITCH 48 lamivudine 34 lamivudine (hbv) 36 lamivudine-zidovudine 34 lamotrigine 15 LANOXIN 38 lansoprazole 94 lanthanum carbonate 58 LANTUS 21 LANTUS SOLOSTAR 21 LASIX 55 LATANOPROST 88 latanoprost 88 LATUDA 31 LEADER QUICK DISSOLVE GLUCOSE 20 leflunomide 4 LETAIRIS 38 letrozole 29 LEUCOVORIN CALCIUM 30 leucovorin calcium 30 leuprolide acetate 29 levalbuterol hcl 13 LEVAQUIN 57 LEVBID 93 LEVEMIR 21 LEVEMIR FLEXTOUCH 21 levetiracetam 15 levobunolol hcl 85 levocarnitine (metabolicmodifiers) 56 levofloxacin 57 levofloxacin (ophth) 86 levonorgestrel & ethestradiol 40 levonorgestrel (emergencyoc) 41

Index 11

levonorgestrel-eth estradiol loratadine & MALARONE 28 (triphasic) 40 pseudoephedrine 44 MAPROTILINE HCL 17levonorgestrel-ethinyl estradiol lorazepam 11 MATULANE 30(91-day) 40 losartan potassium 26levonorgestrel-ethinyl estradiol MAVYRET 36losartan potassium &(continuous) 40 MAXALT 76hydrochlorothiazide 27levothyroxine sodium 92 LOSEASONIQUE 40 MAXALT-MLT 76 LEVSIN 93 LOTENSIN 26 MAXIDEX 87 LEVSIN/SL 93 LOTENSIN HCT 27 MAXIMUM D3 101 LEXAPRO 17 LOTREL 27 MAXIPIME 40 LEXIVA 34 LOTRIMIN AF 48 MAXITROL 87 LICEMD 53 LOTRIMIN AF FOR HER 49 MAXZIDE 55 lidocaine 53 LOTRIMIN AF JOCK ITCH 49 MAXZIDE-25 55 lidocaine hcl 52,53 LOTRIMIN ULTRA 49 meclizine hcl 23 LIDOCAINE HCL 63 LOTRISONE 49 MECLOFENAMATE SODIUM 3 lidocaine hcl (local anesth.) 63 lovastatin 25 MEDROL 41,42lidocaine hcl (mouth-throat) 79 LOVENOX 14 MEDROL DOSEPAK 41 lidocaine-prilocaine 53 medroxyprogesteroneloxapine succinate 32LIDODERM 53 acetate 89LUPRON DEPOT (1- medroxyprogesterone acetateLINDANE 53 MONTH) 29 (contraceptive) 41linezolid 9 LUPRON DEPOT (3-

mefenamic acid 3MONTH) 29LINZESS 58 LUPRON DEPOT (4- MEGACE ES 89liothyronine sodium 92 MONTH) 29 megestrol acetate 29LIPITOR 25 LUPRON DEPOT (6- megestrol acetate (appetite) 89MONTH) 29lisinopril 26 MEIJER CALAMINE 53LYCELLE 53lisinopril &hydrochlorothiazide 27 LYRICA 15 meloxicam 3

memantine hcl 90LITHIUM 31 M-M-R II 99 lithium carbonate 30,31 M-NATAL PLUS 80 MENACTRA 95 LITHOBID 31 M-VIT 80 MENEST 57 LMX 4 53 MAALOX 8 MENOSTAR 57 LODINE 3 MACROBID 94 MENTAX 49 LOESTRIN 1.5/30-21 40 MACRODANTIN 94 MENVEO 95 LOESTRIN 1/20-21 40 MAG-200 77 MEPERIDINE HCL 5 LOESTRIN FE 1.5/30 40 MAGELLAN TUBERCULIN meperidine hcl 5 LOESTRIN FE 1/20 40 SAFETY SYRINGE/1ML/27G X MEPHYTON 101

1/2" 69LOFIBRA 25 mercaptopurine 28MAGELLAN TUBERCULIN LOHIST-D 44 SAFETY SYRINGE/1ML/28G X mesalamine 58 LOHIST-DM 44 1/2" 69 MESTINON 28 LOMOTIL 22 MAGNESIUM 78 MESTINON TIMESPAN 28 loperamide hcl 22 magnesium citrate 62 METAMUCIL 61 LOPID 25 magnesium hydroxide 62 METAMUCIL ORIGINAL

TEXTURE 61lopinavir-ritonavir 34 magnesium oxide 8 metformin hcl 20MAGNESIUM OXIDE 78LOPRESSOR 37 methazolamide 55magnesium oxide (mgLOPRESSOR HCT 27 supplement) 78 methimazole 92

LOPROX 48 MAGOX 400 78 methocarbamol 82loratadine 24 MAKENA 89 methotrexate sodium 28

Index 12

methscopolamine bromide 93 mirtazapine 16 MONOJECT HYPO/ALUMHUB/LUER LOCK/SPECMETHYCLOTHIAZIDE 56 misoprostol 94 BEVEL/19G TW X 1" 69methyldopa 26 MOBIC 3 MONOJECT

methylergonovine maleate 88 MODERIBA 1200 DOSE HYPO/POLYPROPYLENEMETHYLIN 1 PACK 36 HUB/18G X 1" 69

MODERIBA 800 DOSE MONOJECTmethylphenidate hcl 1,2 PACK 36 HYPO/POLYPROPYLENEmethylprednisolone 42 moexipril hcl 26 HUB/18G X 1-1/2" 69 methylprednisolone sod moexipril-hydrochlorothiazide MONOJECT succ 42 27 HYPO/POLYPROPYLENEMETIPRANOLOL 85 MOI-STIR 80 HUB/LL/BEVEL/25G X 1-

1/2" 69metoclopramide hcl 58 mometasone furoate 51 MONOJECTMETOCLOPRAMIDE ODT 58 MONISTAT 1 COMBO HYPO/POLYPROPYLENEPACK 100metolazone 56 HUB/LL/INTM BEVEL/25G XMONISTAT 1 DAY OR NIGHTmetoprolol & 5/8" 69COMBO PACK 100hydrochlorothiazide 27 MONOJECTMONISTAT 3 100metoprolol succinate 37 HYPO/POLYPROPYLENEMONISTAT 3 COMBINATION HUB/LL/REG BEVEL/19G TW Xmetoprolol tartrate 37 PACK 100 1" 69METOPROLOL/HYDROCHLOR MONISTAT 7 COMBINATION MONOJECTOTHIAZIDE 27 PACK 100 HYPO/POLYPROPYLENEMETROCREAM 53 MONISTAT 7 SIMPLY HUB/LL/REG BEVEL/25G X

METROGEL-VAGINAL 100 CURE 100 1" 69MONISTAT SOOTHING CAREMETROLOTION 53 MONOJECTITCH RELIEF 51 HYPO/POLYPROPYLENEmetronidazole 9 MONODOX 92 HUB/LL/SHORT BEVEL/18G Xmetronidazole (topical) 53 MONOJECT 1ML LUER LOCK 1" 69

metronidazole vaginal 100 TUBERCULIN SYRINGE/TIP MONOJECT MEXILETINE HCL 11 CAP 69 HYPO/POLYPROPYLENE

MONOJECT 3ML HUB/LL/SHORT BEVEL/18G Xmexiletine hcl 11 SYRINGE/STANDARD 1-1/2" 69MG217 PSORIASIS MULTI- HYPODERMIC MONOJECTSYMPTOM 52 NEEDLE/21GX1-1/2" 69 HYPO/POLYPROPYLENEMICATIN 49 MONOJECT BLUNTIP HUB/LL/SHORT BEVEL/19G TWMICONAZOLE 3 100 SYRINGE/3ML/CANNULA/IV X 1" 69

ACCESS 69 MONOJECTMICONAZOLE NITRATE 49 MONOJECT HYPO/ALUM HYPO/POLYPROPYLENEmiconazole nitrate (topical) 49 HUB/18G X 1-1/2" 69 HUB/LL/SHORT BEVEL/22G Xmiconazole nitrate vaginal 100 MONOJECT HYPO/ALUM 1-1/2" 69 MICROZIDE 56 HUB/LUER LOCK/INTM MONOJECT

BEVEL/27G X 1/2" 69 HYPO/POLYPROPYLENEmidodrine hcl 100 MONOJECT HYPO/ALUM HUB/REG BEVEL/27G XMIGERGOT 75 HUB/LUER LOCK/REG 1/2" 69 miglustat 60 BEVEL/18G X 1" 69 MONOJECT HYPODERMIC MILLIPRED 42 MONOJECT HYPO/ALUM NEEDL3 18G X 1" 69

HUB/LUER LOCK/REG MONOJECT MAGELLANMINIPRESS 26 BEVEL/22G X 1-1/2" 69 SAFETYNEEDLE 18GX1" 70MINIVELLE 57 MONOJECT HYPO/ALUM MONOJECT MAGELLAN MINOCIN 92 HUB/LUER LOCK/REG SAFETYNEEDLE 18GX1-

BEVEL/25G X 5/8" 69 1/2" 70minocycline hcl 92 MONOJECT HYPO/ALUM MONOJECT MAGELLANminoxidil 28 HUB/LUER LOCK/SHORT SAFETYNEEDLE 19GX1" 70 MIRALAX 62 BEVEL/18G X 1" 69 MONOJECT MAGELLAN MIRAPEX 30 MONOJECT HYPO/ALUM SAFETYNEEDLE 22GX1-

HUB/LUER LOCK/SHORT 1/2" 70MIRAPEX ER 30 BEVEL/18G X 1-1/2" 69 MONOJECT MAGELLANMIRCETTE 40 SAFETYNEEDLE 25GX1" 70

Index 13

MONOJECT MAGELLAN MONOJECT STANDARD MONOJECT TUBERCULIN SAFETYNEEDLE 25GX5/8" 70 HYPODERMIC SAFETY SYRINGE/1ML/28G XMONOJECT MAGELLAN NEEDLE/POLYPROPYLENE/2 1/2" 71 SYRINGE/SAFETY 7GX1/2" 70 MONOJECT TUBERCULIN NEEDLE/3ML/20G X 1" 70 MONOJECT SYRINGE SYRINGE SOFTPACK 1ML MONOJECT MAGELLAN PHARMACY TRAY/1ML LUER REGULAR LUER TIP 71 SYRINGE/SAFETY LOCK 71 MONOJECT TUBERCULIN NEEDLE/3ML/21G X 1-1/2" 70 MONOJECT SYRINGE/LUER SYRINGE/1ML/25GX5/8" 71 MONOJECT MAGELLAN LOCK/3ML 71 MONOJECT TUBERCULIN SYRINGE/SAFETY MONOJECT SYRINGE/LUER SYRINGE/1ML/28G X 1/2" 71 NEEDLE/3ML/22G X 1" 70 LOCK/3ML/20G X 1" 71 MONOJECT TUBERCULIN MONOJECT MAGELLAN MONOJECT SYRINGE/LUER SYRINGE/DETACHSYRINGE/SAFETY LOCK/3ML/22G X 1" 71 NEEDLE/1ML/25G X 5/8" 72 NEEDLE/3ML/22G X 1-1/2" 70 MONOJECT SYRINGE/LUER MONOJECT TUBERCULIN MONOJECT MAGELLAN LOCK/3ML/22G X 1-1/2" 71 SYRINGE/DETACHSYRINGE/SAFETY MONOJECT SYRINGE/LUER NEEDLE/1ML/27G X 1/2" 72 NEEDLE/3ML/23G X 1" 70 LOCK/3ML/23G X 1" 71 MONOJECT TUBERCULIN MONOJECT MAGELLAN MONOJECT SYRINGE/LUER SYRINGE/PERMSYRINGE/SAFETY LOCK/3ML/25G X 1" 71 NEEDLE/1ML/28G X 1/2" 72 NEEDLE/3ML/25G X 1" 70 MONOJECT SYRINGE/LUER MONOJECT TUBERCULIN MONOJECT MAGELLAN LOCK/3ML/25G X 5/8" 71 SYRINGE/WITHOUTSYRINGE/SAFETY MONOJECT SYRINGE/LUER- NEEDLE/REG LUER/1ML 72 NEEDLE/3ML/25G X 5/8" 70 LOCK TIP/3ML 71 montelukast sodium 12 MONOJECT PHARMACY MONOJECT SYRINGE/LUER- morphine sulfate 5TRAY/LUER LOCK/3ML 70 LOCK/3ML/21G X 1-1/2" 71 MONOJECT PHARMACY MONOJECT SYRINGE/REG MORPHINE SULFATE 5 TRAY/REG LUER/1ML 70 LUER/3ML 71 morphine sulfate 5 MONOJECT STANDARD MONOJECT MORPHINE SULFATE 5HYPODERMIC SYRINGE/REGULARTIP/3ML morphine sulfate 5NEEDLE/POLYPROPYLEN/22G 71

MONOJECT MOSCO CALLUS/CORNX1-1/2" 70 MONOJECT STANDARD SYRINGE/STANDARDHYPOD REMOVER 52 HYPODERMIC ERMIC MOTRIN CHILDRENS 3 NEEDLE/POLYPROPYLENE NEEDLE/3ML/20GX1" 71 MOTRIN INFANTS DROPS 3 HUB/18GX1" 70 MONOJECT MOUTHKOTE 80MONOJECT STANDARD SYRINGE/STANDARDHYPOD

moxifloxacin hcl (ophth) 86HYPODERMIC ERMIC NEEDLE/POLYPROPYLENE NEEDLE/3ML/22GX1" 71 MS CONTIN 5 HUB/19GX1" 70 MONOJECT MUCINEX 46 MONOJECT STANDARD SYRINGE/STANDARDHYPOD MUCINEX CHILDRENS MULTI-HYPODERMIC ERMIC NEEDLE/3ML/22GX1- SYMPTOM COLD 44NEEDLE/POLYPROPYLENE/18 1/2" 71 MUCINEX CONGESTION & GX1-1/2" 70 MONOJECT COUGH CHILDRENS 44MONOJECT STANDARD SYRINGE/STANDARDHYPOD MUCINEX D 44HYPODERMIC ERMIC

MUCINEX DM 44NEEDLE/POLYPROPYLENE/22 NEEDLE/3ML/23GX1" 71 GX1-1/2" 70 MONOJECT MUCINEX FAST-MAX SEVERE MONOJECT STANDARD SYRINGE/STANDARDHYPOD CONGESTION & COUGH 44

MUCINEX FAST-MAX SEVEREHYPODERMIC ERMIC NEEDLE/POLYPROPYLENE/25 NEEDLE/3ML/25GX1" 71 CONGESTION & COUGH

MONOJECT CLEAR & COOL 44GX1" 70 MONOJECT STANDARD SYRINGE/STANDARDHYPOD MUCINEX MAXIMUM

STRENGTH 46HYPODERMIC ERMIC NEEDLE/POLYPROPYLENE/25 NEEDLE/3ML/25GX5/8" 71 MUCINEX STUFFY NOSE &

COLD CHILDRENS 44GX1-1/2" 70 MONOJECT TB SYRINGE-MONOJECT STANDARD NDL 1ML 27GX1/2" 71 MULTAQ 11 HYPODERMIC MONOJECT TUBERCULIN MULTI PRENATAL 80 NEEDLE/POLYPROPYLENE/25 SAFETY SYRINGE/1ML/25G X MULTI-DRAW NEEDLE 22GX1-GX5/8" 70 5/8" 71 1/2" 72

Index 14

MULTI-MINERALS 78 NATURE-THROID 92 NICOTROL NS 91 multiple minerals 78 NATURE-THROID NT-2.5 92 nifedipine 38 MUPIROCIN 48 NECON 1/50-28 40 NINLARO 29 mupirocin 48 neomycin sulfate 2 nit remover 53 mupirocin calcium (topical) 48 neomycin-bacitracin zn- NITRO-BID 10 MVW COMPLETE PROBIOTIC polymyxin 86 NITRO-DUR 10neomycin-bacitracin-polymyxinFORMULATION 22 NITRO-TIME 1048MYAMBUTOL 28 neomycin-bacitracin-polymyxin- nitrofurantoin 94mycophenolate mofetil 79 pramoxine 48 nitrofurantoin macrocrystal 94MYDRIACYL 85 neomycin-polymy- nitrofurantoin monohydMYLICON INFANTS GAS dexameth 87 macro 94RELIEF 57 neomycin-polymyxin-hc nitroglycerin 10MYLICON INFANTS GAS (otic) 88 RELIEF DYE FREE 57 NEOMYCIN/POLYMYXIN/GRA NITROSTAT 10 MYNATAL 80 MICIDIN 86 NIVA-PLUS 81

NEOMYCIN/POLYMYXIN/HYDMYNATAL ADVANCE 80 NIVANEX DMX 44ROCORTISONE 87 MYNATAL PLUS 80 NIX CREME RINSE 53NEONATAL COMPLETE 81 MYNATAL ULTRACAPLET 80 NIZORAL 49NEONATAL PLUS 81

NOBLE MYSTIQUE EMU-MYNATAL-Z 81 NEONATAL VITAMIN 81 LAC 51MYNATE 90 PLUS 81 NEORAL 79 NOKOR ADMIX NEEDLE THIN MYSOLINE 15 NEOSPORIN 86 WALL NON-CORING 18G X 1-nabumetone 3 NEOSPORIN ORIGINAL 48 1/2" 72

NOKOR VENTED NEEDLEnadolol 37 NEOTUSS PLUS 44 THINWALL NON-CORING 18G XNADOLOL/BENDROFLUMETHIA NEOTUSS-D 44 1" 72ZIDE 27 NOKOR VENTED NEEDLENEPHROCAPS 80NALFON 3 THINWALL NON-CORINGNEPTAZANE 55NALOXONE HCL 22 18GX1-1/2" 72NEUPOGEN 60naloxone hcl 22 NORCO 6 NEURONTIN 15NALOXONE HCL 22 NORDITROPIN FLEXPRO 56NEUTROGENA ON-THE-naltrexone hcl 22 norethin acet & estrad-fe 40SPOT ACNE

NAMENDA 90 TREATMENT 47 norethindrone & eth estradiol40 naphazoline w/ pheniramine 86 NEUTROGENA T/SAL 52 norethindrone

(contraceptive) 41NAPHCON-A 86 nevirapine 34 norethindrone acet & ethNAPROSYN 3 NEXABIOTIC 22 estra 40 naproxen 3 NEXAVAR 29 norethindrone acetate 89 naproxen sodium 3 NF FORMULAS CALCIUM norethindrone acetate-ethinyl

MAGNESIUM 78 estradiol-fe 40naratriptan hcl 76 niacin 101 norethindrone-eth estradiolNARCAN 22 (triphasic) 40niacinamide 101NASACORT ALLERGY norgestimate-ethinyl

24HR 83 NICODERM CQ 91 estradiol 40NASACORT ALLERGY 24HR NICORETTE 91 norgestimate-ethinyl estradiolCHILDRENS 83 NICORETTE MINI 91 (triphasic) 40 NASAL DECONGESTANT 83 NICORETTE STARTER norgestrel & ethinyl estradiol 40 NASALCROM 83 KIT 91 NORM-JECT TUBERKULIN

1MLLUER SLIP 72NATACYN 86 nicotine 91 NORPACE 11NATALVIT 81 nicotine polacrilex 91 NORPACE CR 11nateglinide 21 NICOTINE TRANSDERMAL

SYSTEM 91 NORPRAMIN 19NATROBA 53 NICOTROL INHALER 91 nortriptyline hcl 19NATURAL VITAMIN E 101

Index 15

NORTRIPTYLINE HCL 19 OMNIPRED 87 paroxetine hcl 18 NORVASC 38 ondansetron 22 PATIENT SAFE SYRINGE

3ML 72NORVIR 34 ondansetron hcl 22 PAXIL 18NOVOLIN 70/30 21 ONE-A-DAY WOMENS

PRENATAL 81 PEDIALYTE 77NOVOLIN N 21 ONFI 14 PEDIALYTE ADVANCED

NOVOLIN R 21 CARE 77ONGLYZA 20NOVOLOG 21 PEDIALYTE FREEZEROPCON-A 86 POPS 77NOVOLOG FLEXPEN 21 OPTIMAL D3 M 101 PEDIALYTE SINGLES 77NOVOLOG MIX 70/30 21 oral electrolytes 77 PEDIAPRED 42NOVOLOG MIX 70/30

PREFILLED FLEXPEN 21 ORAL RELIEF SPRAY FOR pediatric multiple vitamin w/DRYMOUTH & c 80NOVOLOG PENFILL 21 DISCOMFORT 80 pediatric multiple vitamins w/NPLATE 60 ORAL SALINE LAXATIVE 62 iron 80

NULYTELY/FLAVOR peg 3350-kcl-sod bicarb-sodORAP 90PACKS 62 chloride-sod sulfate 62ORAPRED ODT 42NUMOISYN 80 peg 3350-potassium chloride-sodNUTRA-SUPPORT BONE 78 ORTHO MICRONOR 41 bicarbonate-sod chloride 62

ORTHO TRI-CYCLEN 41 PEGASYS 36NUTRICION PORVIDA 81 ORTHO TRI-CYCLEN LO 40 PEGASYS PROCLICK 36NUVARING 41

nystatin 23 ORTHO-CYCLEN 41 PEGINTRON 36

nystatin (mouth-throat) 79 ORTHO-NOVUM 1/35 41 penicillamine 78

nystatin (topical) 49 ORTHO-NOVUM 7/7/7 41 PENICILLIN V POTASSIUM 89 NYTOL MAXIMUM oseltamivir phosphate 36 penicillin v potassium 89 STRENGTH 61 OTEZLA 4 PENLAC NAIL LACQUER 49 O-CAL FA 81 OVACE PLUS WASH 49 PENTASA 58 O-CAL PRENATAL 81 OVACE WASH 49 pentoxifylline 59 OC8 47 oxaprozin 3 PEPCID 93 OCEAN NASAL SPRAY 83 OXAZEPAM 11 PEPCID AC 93 OCUFLOX 86 PEPCID AC MAXIMUMoxazepam 11 ODEFSEY 34 STRENGTH 93oxcarbazepine 15 PEPTO BISMOL 22ofloxacin 57 OXTELLAR XR 15 PEPTO-BISMOL 22ofloxacin (ophth) 86 oxybutynin chloride 94 PEPTO-BISMOLOGESTREL 40 oxycodone hcl 5 INSTACOOL 22olanzapine 32 oxycodone w/ PEPTO-BISMOL MAX olmesartan medoxomil 26 acetaminophen 6 STRENGTH 22 olmesartan medoxomil- oxycodone-aspirin 6 PEPTO-BISMOL TO-GO 22 hydrochlorothiazide 27 OXYCODONE/ACETAMINOPH PERCOCET 6 OMEGA POWER 84 EN 6 PERIDEX 79 OMEGA-3 84 OXYCODONE/ASPIRIN 6 perindopril erbumine 26 OMEGA-3 2100 84 oyster shell 77 permethrin 54P & S 52OMEGA-3 EPA FISH OIL 84 perphenazine 33 omega-3 fatty acids 84 PAMELOR 19 PERRY PRENATAL 81OMEGA-3 FISH OIL EXTRA PANOXYL 47 PHAZYME 57STRENGTH 84 PANOXYL-4 CREAMY PHAZYME ULTRAomeprazole 94 WASH 47 STRENGTH 57OMEPRAZOLE 94 pantoprazole sodium 94 phenazopyridine hcl 59 omeprazole magnesium 94 paricalcitol 56 phenobarbital 61PARLODEL 30OMNIFLEX DIAPHRAGM 63 phenylephrine hcl (mydriatic)85

Index 16

phenylephrine w/ dm-gg 45 PONSTEL 3 PRENATAL 19 81 phenylephrine-brompheniramine- pot phosphate monobasic w/ PRENATAL AND IRON 81 dm 45 sod phosphate dibasic & PRENATAL FORTE 81phenylephrine-chlorphen-dm monobasic 78 PRENATAL LOW IRON 8145 potassium 78 phenylephrine-guaifenesin 45 PRENATAL MULTIVITAMIN 81POTASSIUM 78 PHENYTEK 16 PRENATAL ONE DAILY 81potassium chloride 78 phenytoin 16 PRENATAL PLUS 81POTASSIUM CHLORIDE 78 phenytoin sodium extended 16 PRENATAL PLUS IRON 81potassium chloride 78 phytonadione 101 POTASSIUM CHLORIDE PRENATAL VITAMIN 82

ER PRENATAL VITAMIN &PIFELTRO 34 78 potassium chloride MINERAL 82pilocarpine hcl 85 microencapsulated crystals PRENATAL VITAMIN/IRON 82

PIMOZIDE 90 er 78 PRENATAL VITAMINS 82pioglitazone hcl 20 potassium citrate PRENATAL VITAMINS PLUSpioglitazone hcl-metformin (alkalinizer) 59 LOW IRON 82hcl 19 potassium citrate-citric acid59 PRENATAL-U 82piroxicam 3 PRADAXA 14 PREPLUS 82PLAN B ONE-STEP 41 pramipexole PRETAB 82PLAQUENIL 28 dihydrochloride 30

PREVACID 94PRANDIN 21PLAVIX 59 PREVACID 24HR 94PRAVACHOL 25PNEUMOVAX 23 95 PREVNAR 13 95pravastatin sodium 25PNEUMOVAX 23/1 DOSE 95 PREZCOBIX 34PNV FOLIC ACID + IRON praziquantel 8 MULTIVITAMIN 81 prazosin hcl 27 PREZISTA 35 PNV PRENATAL PLUS PRIMAQUINE PHOSPHATE 28PRE-NATAL FORMULA 81MULTIVITAMIN 81 primaquine phosphate 28PRECOSE 19PNV TABS 29-1 81 primidone 15PRED FORTE 87PNV-VP-U 81 PRIMLEV 6PRED MILD 87podofilox 52 PRINIVIL 26PRED-G 87POLY HUB NEEDLE/18G X PROAIR HFA 131" 72 PRED-G S.O.P. 87 POLY HUB NEEDLE/18G X 1-1- PREDATOR 53 probenecid 59 1/2" 72 PROCARDIA 38prednisolone 42POLY HUB NEEDLE/22G X 1-1/2" 72 PREDNISOLONE 42 PROCARDIA XL 38

POLY HUB NEEDLE/25G X PREDNISOLONE prochlorperazine 33 1" 72 ACETATE 87 prochlorperazine maleate 33 POLY HUB NEEDLE/25G X 1- PREDNISOLONE ACETATE P- PROCORT 71/2" 72 F 87 PROCTOCORT 7POLY HUB NEEDLE/25G X prednisolone sodium5/8" 72 phosphate 42 progesterone micronized 89 POLY HUB NEEDLE/27G X PREDNISOLONE SODIUM PROGRAF 79 1/2" 72 PHOSPHATE 87 PROLASTIN-C 91POLY-VI-SOL 80 PREDNISONE 42

PROMACTA 60POLY-VI-SOL/IRON 80 prednisone 42 promethazine &polyethylene glycol 3350 62 PREDNISONE INTENSOL 42 phenylephrine 45 polyethylene glycol-propylene pregabalin 15 promethazine hcl 24 glycol (ophth) 84 PREMARIN 57,100 promethazine w/codeine 45polymyxin b-trimethoprim 86 PREMPRO 57 PROMETHAZINE/DEXTROMETPOLYSPORIN 48 HORPHAN 45PRENATABS RX 81POLYTRIM 86 PROMETHAZINE/PHENYLEPHRPRENATAL 81,82 INE 45polyvinyl alcohol 84

Index 17

PROMETRIUM 89 quinidine gluconate 11 REQUIP XL 30 propafenone hcl 11 QUINIDINE SULFATE 11 RESCRIPTOR 35 PROPANTHELINE quinine sulfate 28 RESTASIS 86 BROMIDE 93 RA CALAMINE 53 RESTORIL 61propranolol hcl 37 RA CALCIUM HI- RETACRIT 60PROPRANOLOL HCL 37 CAL/VITAMIND 77 RETIN-A 47propranolol hcl 37 RA DRY MOUTH 80 RETIN-A MICRO 47PROPRANOLOL/HYDROCHLOR RA FISH OIL EXTRA

RETIN-A MICRO PUMP 47OTHIAZIDE 27 STRENGTH 84 RETROBULBAR NEEDLE 25Gpropylthiouracil 92 RA LICE SOLUTION KIT 54 TWX 1-1/2" 72PROSCAR 59 RA ONE DAILY 82 RETROVIR 35

PROTONIX 94 RA PRENATAL 82 REVATIO 38protriptyline hcl 19 RA PRENATAL

REVLIMID 79FORMULA/FOLICACID 82PROVERA 89 RA TRIPLE STRENGTH FISH REYATAZ 35PROZAC 18 OIL 84 RIAX 47pseudoephed-bromphen-dm 45 raloxifene hcl 56 RIBASPHERE 36pseudoephedrine hcl 83 ramipril 26 RIBASPHERE RIBAPAK 36pseudoephedrine w/ codeine- RANEXA 9 ribavirin (hepatitis c) 36gg 45 ranitidine hcl 93 RID COMPLETE LICEpseudoephedrine w/ dm-gg 45

ranolazine 9 ELIMINATION 54pseudoephedrine-guaifenesin45 RAPAMUNE 79 RIFADIN 28

psyllium 61 RAZADYNE 90 rifampin 28 PULMICORT 12 RAZADYNE ER 90 RIGHT STEP PRENATAL 82 PULMICORT FLEXHALER 12 REA-LO 51 RILUTEK 83 PULMOZYME 91 REBETOL 36 riluzole 83 PX CALAMINE 53 REBIF 90 rimantadine hydrochloride 36 PX PRENATAL REBIF REBIDOSE 90 RISPERDAL 31 MULTIVITAMINS 82 REBIF REBIDOSE RISPERDAL CONSTA 31 pyrantel pamoate 8 TITRATIONPACK 90 RISPERDAL M-TAB 31 pyrazinamide 28 REBIF TITRATION PACK 90 risperidone 31 pyrethrins-piperonyl butoxide54 RECOMBIVAX HB 99 RISPERIDONE ODT 31pyrethrins-piperonyl butoxide- REESES PINWORM RITALIN 2permethrin-nit remover 54 MEDICINE 8

RITALIN LA 2PYRIDIUM 59 REFRESH LIQUIGEL 84 pyridostigmine bromide 28 REFRESH TEARS 84 ritonavir 35

pyridoxine hcl 101 REGIONAL BLOCK NEEDLE rivastigmine 90

QC CALAMINE 53 SAFETY BEAD BLOCK BEVEL rivastigmine tartrate 90 22GX1-1/2" 72QC MEDIFIN PE 45 rizatriptan benzoate 76REGLAN 58 ROBAXIN 83QC PRENATAL 82 RELENZA DISKHALER 36 ROBAXIN-750 83QUALAQUIN 28 RELION KETONE 54 ROBINUL 93QUESTRAN 25 RELION KETONE TEST

ROBINUL FORTE 93QUESTRAN LIGHT 25 STRIPS 54 ROBITUSSIN CHILDRENSquetiapine fumarate 32 REMERON 17 COUGH & COLD CF 45QUILLICHEW ER 2 REMERON SOLTAB 17 ROBITUSSIN LINGERING

QUILLIVANT XR 2 RENAGEL 58 COLDLONG-ACTING quinapril hcl 26 RENVELA 58 COUGHGELS 42

ROBITUSSIN PEAK COLDquinapril-hydrochlorothiazide repaglinide 21 COUGH+ CHEST CONGESTION27 REQUIP 30 DM MAX STRENGTH 45

Index 18

ROBITUSSIN PEAK COLD SAFETY-LOK SYRINGE 3ML SECURESAFE SAFETY DM 45 LUER-LOK 73 HYPODERMIC NEEDLE/27G XROBITUSSIN PEAK COLD SAFETY-LOK 1/2" 73 MULTI-SYMPTOM COLD 45 SYRINGE/NEEDLE3ML LUER- SECURESAFE ROBITUSSIN TO GO COUGH LOK 21GX1-1/2" 73 SYRINGE/NEEDLE/3ML/20G X&COLD CF 46 SAFETY-LOK 1" 73 ROCALTROL 56 SYRINGE/NEEDLE3ML LUER- SECURESAFE ropinirole hydrochloride 30 LOK 22GX1" 73 SYRINGE/NEEDLE/3ML/21G X

SAFETY-LOK 1-1/2" 73ROXICODONE 5 SYRINGE/NEEDLE3ML LUER- SECURESAFE ROZEREM 61 LOK 22GX1-1/2" 73 SYRINGE/NEEDLE/3ML/22G X

SAFETY-LOK 1" 73RYCONTUSS 46 SYRINGE/NEEDLE3ML LUER- SECURESAFERYTHMOL SR 11 LOK 23GX1" 73 SYRINGE/NEEDLE/3ML/22G XSAFESNAP ALLERGY SAFETY-LOK 1-1/2" 73SYRINGE/1ML/27G X 1/2" 72 SYRINGE/NEEDLE3ML LUER- SECURESAFE

SAFESNAP SYRINGE/3ML 72 LOK 25GX5/8" 73 SYRINGE/NEEDLE/3ML/23G XSAFESNAP SAFETY-LOK TB SYRINGE 1" 73 SYRINGE/NEEDLE/3ML/20G X PERM NEEDLE 1ML SECURESAFE 1" 72 27GX1/2" 73 SYRINGE/NEEDLE/3ML/25G XSAFESNAP SALAC 52 5/8" 73 SYRINGE/NEEDLE/3ML/21G X SECURESAFE TUBERCULINSALEX 521-1/2" 72 INSULIN SYRINGE/1ML/25G XSAFESNAP salicylic acid 52 5/8" 74 SYRINGE/NEEDLE/3ML/22G X SALICYLIC ACID 52 SECURESAFE TUBERCULIN 1" 72 salicylic acid 52 INSULIN SYRINGE/1ML/27G XSAFESNAP 1/2" 74SALICYLIC ACID 52SYRINGE/NEEDLE/3ML/22G X selenium sulfide 491-1/2" 72 saline 83 SELSUN BLUE 49SAFESNAP SALMON 84 SYRINGE/NEEDLE/3ML/23G X SELSUN BLUE DAILY 49SALMON OIL 841" 72 SELSUN BLUE DEEP

SALMON OIL-1000 84SAFESNAP CLEANSING 52 SYRINGE/NEEDLE/3ML/23G X salsalate 5 SELSUN BLUE 1-1/2" 72 MEDICATED 50SALVAX 52SAFESNAP SELSUN BLUESANDIMMUNE 79SYRINGE/NEEDLE/3ML/25G X MOISTURIZING 50 1" 72 SCHOOLTIME SHAMPOO54 SELSUN BLUE NATURALS SAFESNAP SE-NATAL 19 82 DRYSCALP 52 SYRINGE/NEEDLE/3ML/25G X SELZENTRY 35SEASONIQUE 415/8" 72 sennosides 62SECURESAFE SAFETYSAFESNAP TUBERCULIN HYPODERMIC NEEDLE/18G X sennosides-docusateSYRINGE/1ML/25G X 5/8" 72 1" 73 sodium 62SAFESNAP TUBERCULIN SECURESAFE SAFETY SENOKOT 62SYRINGE/1ML/27G X 1/2" 72 HYPODERMIC NEEDLE/18G XSAFETY SYRINGES/NEEDLE SENOKOT S 62

1-1/2" 733ML/20GX1" 73 SENSIPAR 56SECURESAFE SAFETYSAFETY SYRINGES/NEEDLE HYPODERMIC NEEDLE/19G X SEREVENT DISKUS 133ML/21GX1-1/2" 73 SAFETY SYRINGES/NEEDLE 1" 73 SEROQUEL 32

SECURESAFE SAFETY3ML/22GX1" 73 sertraline hcl 18HYPODERMIC NEEDLE/22G XSAFETY SYRINGES/NEEDLE SEVELAMER1-1/2" 733ML/22GX1-1/2" 73 HYDROCHLORIDE 58SECURESAFE SAFETYSAFETY SYRINGES/NEEDLE SFROWASA 58HYPODERMIC NEEDLE/25G X3ML/23GX1" 73 73 SHINGRIXSAFETY SYRINGES/NEEDLE 1-1/2" 99

3ML/25GX5/8" 73 SECURESAFE SAFETY sildenafil citrate (pulmonarySAFETY-LOK SAFETY HYPODERMIC NEEDLE/25G X hypertension) 38 SYRINGE/1ML/25G X 5/8" 73 5/8" 73 SILPHEN COUGH 24

Index 19

SILVADENE 50 SUCRAID 55 SYRINGE/LUER LOCK/3ML/21GX 1-1/2" 74silver sulfadiazine 50 sucralfate 94 SYRINGE/LUER

simethicone 57,58 SUDAFED CHILDRENS 83 LOCK/3ML/21GX1-1/2" 74 simvastatin 25 SUDAFED CONGESTION 83 SYRINGE/LUER LOCK/3ML/22GSINEMET 30 SUDAFED SINUS X 1" 74

CONGESTION 83 SYRINGE/LUER LOCK/3ML/22GSINEMET CR 30 SUDAFED SINUS X 1-1/2" 74 SINGULAIR 12 CONGESTION24 HOUR 83 SYRINGE/LUERsirolimus 79 sulfacetamide sod- LOCK/3ML/22GX1" 74 SKLICE 54 prednisolone 87 SYRINGE/LUER

LOCK/3ML/22GX1-1/2" 74sulfacetamide sodium 50SLO-NIACIN 101 SYRINGE/LUER LOCK/3ML/23GSULFACETAMIDESM CALAMINE 53 X 1" 74SODIUM 86 SYRINGE/LUER LOCK/3ML/23GSM FISH OIL 84 sulfacetamide sodium X 1-1/2" 74SM GLUCOSE 20 (acne) 47 SYRINGE/LUERsulfacetamide sodiumSM ONE DAILY PRENATAL 82 LOCK/3ML/23GX1" 74(ophth) 86SM PRENATAL VITAMINS 82 SYRINGE/LUER LOCK/3ML/25GSULFACETAMIDE X 1" 74SODIUM CHLORIDE 78 SODIUM/PREDNISOLONE SYRINGE/LUER LOCK/3ML/25GSODIUM PHOSPHATE 87sodium chloride 78 X 1-1/2" 74SULFADIAZINE 91sodium chloride (inhalant) 46 SYRINGE/LUER LOCK/3ML/25G

sulfamethoxazole- X 5/8" 74sodium citrate & citric acid 59 trimethoprim 9 SYRINGE/LUERsodium fluoride 77 sulfasalazine 58 LOCK/3ML/25GX1" 74 SODIUM FLUORIDE 77 sulindac 3 SYRINGE/LUERsodium phosphates 62 sumatriptan 76 LOCK/3ML/25GX5/8" 74 sodium polystyrene SYRINGE/LUER SLIP/1ML 74sumatriptan succinate 76sulfonate 79 SYRINGE/LUER SLIP/3ML 74SUMATRIPTANSOFOSBUVIR/VELPATASVIR SYRINGES/LUERSUCCINATE 7636 LOCK/1ML/20GX1" 74sumatriptan succinate 76SOLU-CORTEF 42 SYRINGES/LUER

SUPER TWIN EPA/DHA 84SOLU-MEDROL 42 LOCK/WITHOUTSUPRAX 39 NEEDLE/3ML 74sotalol hcl 37 SYRINGES/LUERSUPRESS-PE PEDIATRIC46sotalol hcl (afib/afl) 37 SLIP/WITHOUTSURMONTIL 19SPINOSAD 54 NEEDLE/1ML 74 SUSTIVA 35SPIRIVA HANDIHALER 12 SYSTANE 84 SUTENT 29 SYSTANE OVERNIGHTspironolactone 55 SW OMEPRAZOLE 94 THERAPY LUBRICANTspironolactone & EYE 84hydrochlorothiazide 55 SYLATRON 30

SYSTANE ULTRA 85SPRYCEL 29 SYMAX DUOTAB 93 SYSTANE ULTRA HOME &STARLIX 21 SYMBICORT 13 AWAY PACK 85 stavudine 35 SYMJEPI 100 tacrolimus 79 STIMATE 57 SYMLINPEN 120 19 TAMIFLU 37 STIMEX INSULATED NEEDLE SYMLINPEN 60 19 tamoxifen citrate 29TEFLON-COATED BLOCK SYNAGIS 88 tamsulosin hcl 59BEVEL 22GX1-1/2" 74

SYNTHROID TAPAZOLESTIOLTO RESPIMAT 13 92 92 SYRINGE/BLUNT PLASTICSTRATTERA 1 TARCEVA 29CANNULA 74

STRIBILD 35 SYRINGE/LUER TARGRETIN 30 STROMECTOL 8 LOCK/3ML 74 TASIGNA 29 SUBLOCADE 6 SYRINGE/LUER TAVIST ALLERGY 24

LOCK/3ML/20G X 1" 74SUBOXONE 6,7 TDVAX 92

Index 20

TEGRETOL 15 TIMOPTIC OCUDOSE 85 triamterene 55 TEGRETOL-XR 15 TIMOPTIC-XE 85 triamterene &

temazepam 61 TEMOVATE 51 TENIVAC 93 tenofovir disoproxil fumarate 35 TENORETIC 100 27 TENORETIC 50 27 TENORMIN 37 TERAZOL 7 100 terazosin hcl 27 terbinafine hcl 23 terbinafine hcl (topical) 49 TERCONAZOLE 100 terconazole vaginal 100 TESSALON PERLES 42 testosterone 7 TESTOSTERONE 7 testosterone 7 testosterone cypionate 7 testosterone enanthate 7 tetracaine hcl (ophth) 86 tetracycline hcl 92 THALOMID 79 THEOCHRON 13 theophylline 13 THEOPHYLLINE ER 13 THERA-D 4000 101 THERANATAL CORE NUTRITION 82 THERAPEUTIC T+PLUS MAXIMUM STRENGTH 52 THERATEARS 85 thiamine hcl 101 thioridazine hcl 33 thiothixene 33 THRIVITE 19 82 THRIVITE RX 82 thyroid 92 tiagabine hcl 16 TIAZAC 38 TIGAN 23

TINACTIN 49 TINACTIN DEODORANT 49 TINACTIN JOCK ITCH 49 TIVICAY 35 tizanidine hcl 83 TOBI 2 TOBRADEX 87 TOBRADEX ST 87 tobramycin (ophth) 86 tobramycin-dexamethasone 87 TOBREX 86 TOFRANIL 19 TOLAZAMIDE 21 TOLBUTAMIDE 21 TOLMETIN SODIUM 4 tolnaftate 49 tolterodine tartrate 94,95 TOPAMAX 15 TOPAMAX SPRINKLE 15 topiramate 15 TOPROL XL 37 toremifene citrate 29 torsemide 55 TRACLEER 38 TRADJENTA 20 tramadol hcl 5 tramadol-acetaminophen 6 trandolapril 26 TRANXENE T 11 TRAVATAN Z 88 trazodone hcl 18 TRETIN-X 47 tretinoin 47,48 tretinoin (chemotherapy) 30 tretinoin microsphere 48 TRI-NORINYL 28 41 TRIAMCINOLONE ACETONIDE 42 triamcinolone acetonide

hydrochlorothiazide 55 TRICARE 82 TRICOR 25 trifluoperazine hcl 33 TRIFLURIDINE 86 trifluridine 86 TRIGLIDE 25 trihexyphenidyl hcl 30 TRILEPTAL 15 trimethobenzamide hcl 23 trimethoprim 9 trimipramine maleate 19 TRINATAL RX 1 82 TRINATE 82 TRIUMEQ 35 TRIZIVIR 35 tropicamide 85 trospium chloride 95 TRUE METRIX BLOOD GLUCOSETEST STRIPS 54 TRUE METRIX CONTROL SOLUTION LEVEL 1 63 TRUE METRIX CONTROL SOLUTION LEVEL 2 63 TRUE METRIX CONTROL SOLUTION LEVEL 3 63 TRUE METRIX SELF MONITORING BLOOD GLUCOSE STRIPS 54 TRUECONTROL GLUCOSE CONTROL LEVEL 0 63 TRUECONTROL GLUCOSE CONTROL LEVEL 1 63 TRUETRACK BLOOD GLUCOSE TEST 54 TRUETRACK TEST 54 TRUMENBA 95 TRUSOPT 88 TRUVADA 35 TUDORZA PRESSAIR 12 TUMS 8 TUMS CHEWY BITES 8 TUMS CHEWY DELIGHTS 8

TIKOSYN timolol maleate (ophth) TIMOLOL MALEATE OPHTHALMIC GEL FORMING

11 85

85

(mouth)triamcinolone acetonide (nasal)triamcinolone acetonide (topical)TRIAMCINOLONE

79

83

51

TUMS E-X 750 TUMS EXTRA STRENGTH 750 TUMS KIDS TUMS LASTING EFFECTS

8

8 8 8

TIMOPTIC 85 ACETONIDE PF 42 TUMS SMOOTHIES 8

Index 21

TUMS ULTRA 1000 8 valacyclovir hcl 36 VANISHPOINT SYRINGE/3ML/25G X 1-1/2" 75TUSICOF 46 VALCYTE 35 VANISHPOINT

TUSNEL C 46 valganciclovir hcl 36 SYRINGE/3ML/25G X 5/8" 75 TUSNEL DM 46 VALIUM 11 VANISHPOINT TUBERCULIN TUSSI-PRES PEDIATRIC 46 TUSSLIN 46 TUSSLIN PEDIATRIC 46 TWINRIX 99 TYBOST 35 TYKERB 29 TYLENOL 4 TYLENOL CHILDRENS 4 TYLENOL EXTRA STRENGTH 4 TYLENOL INFANTS 4 TYLENOL INFANTS PAIN+FEVER 4 TYLENOL/CODEINE #3 6 TYLENOL/CODEINE #4 6 UDENYCA 60 ULORIC 59 ULTICARE SYRINGE/LOWDEADSPACE/3ML/22G X1-1/2" 74 ULTICARE TUBERCULIN SAFETY SYRINGE/1ML/25G X5/8" 74 ULTRA OMEGA 3 84 ULTRA OMEGA-3 FISH OIL BURP-LESS 84 ULTRACET 6 ULTRAM 5 ULTRAVATE 51 UNASYN 89 UNISOM SLEEPGELS 61 UNISOM SLEEPMELTS 61 UNISOM SLEEPTABS 61 URE-K 51 urea 51 URECHOLINE 95 URIN-TEK 63 UROCIT-K 10 59 UROCIT-K 15 59 UROCIT-K 5 59 UROXATRAL 59 URSO 250 58 URSO FORTE 58 ursodiol 58 VAGIFEM 100

valproate sodium 16 valproic acid 16 valsartan 26 valsartan-hydrochlorothiazide

27 VALTREX 36 VANCOCIN 9 VANCOCIN HCL 9 vancomycin hcl 9 VANCOMYCIN HCL + SYRSPENDSF PH4 9 VANCOMYCIN HYDROCHLORIDE 9 VANISHPOINT SAFETY SYRINGE/3ML/20GX1" 74 VANISHPOINT SAFETY SYRINGE/3ML/21GX1-1/2"

74 VANISHPOINT SAFETY SYRINGE/3ML/22GX1" 74 VANISHPOINT SAFETY SYRINGE/3ML/22GX1-1/2"



75 VANISHPOINT SAFETY SYRINGE/3ML/25GX5/8" 75 VANISHPOINT SYRINGE/3ML/20G X 1" 75 VANISHPOINT SYRINGE/3ML/21G X 1-1/2" 75 VANISHPOINT SYRINGE/3ML/22G X 1" 75 VANISHPOINT SYRINGE/3ML/22G X 1-1/2" 75 VANISHPOINT SYRINGE/3ML/23G X 1" 75 VANISHPOINT SYRINGE/3ML/23G X 1-1/2" 75 VANISHPOINT SYRINGE/3ML/25G X 1" 75

SYRINGE 1ML/25G X 5/8" 75 VANISHPOINT TUBERCULIN SYRINGE 1ML/27GX1/2" 75 VAQTA 99 VARIVAX 99 VASERETIC 27 VASOTEC 26 VEMLIDY 36 venlafaxine hcl 18,19 verapamil hcl 38 VERAPAMIL HCL ER 38 VERAPAMIL HCL SR 38 VERELAN 38 VERELAN PM 38 VIBRAMYCIN 92 VICTOZA 20 VIDEX EC 35 VIDEXPEDIATRIC 35 VIGAMOX 86 VIL-RX 82 VIMPAT 15 VINATE M 82 VINATE ONE 82 VIRACEPT 35 VIRAMUNE 35 VIRAMUNE XR 35 VIREAD 35 VIROPTIC 86 VIRT NATE 82 VIRT-ADVANCE 82 VIRT-VITE GT 82 VISTARIL 10 VITAFOL-OB 82 VITAMIN D2 101 VITAMIN D3 101 vitamin e 101 VITAMIN E 101 vitamin e 101 VIVELLE-DOT 57 VIVITROL 22 VOL-NATE 82 VOL-PLUS 82 VOL-TAB RX 82

Index 22

VOLTAREN 48 VOTRIENT 29 VPRIV 60 VYVANSE 1 WAL-SLEEP Z LIQUID SHOTS 61 WALGREENS GLUCOSE 20 warfarin sodium 13 WELLBUTRIN SR 17 WELLBUTRIN XL 17 WESTHROID 92 WP THYROID 92 XALATAN 88 XALKORI 29 XANAX 11 XANAX XR 11 XARELTO 13 XARELTO STARTER PACK 13 XELJANZ 2 XEROSTOMIA RELIEF SPRAY 80 XODOL 6 XOLEGEL 49 XOLIDO 53 XOPENEX 13 XOPENEX CONCENTRATE 13 XTAMPZA ER 5 XYLOCAINE 63 XYLOCAINE-MPF 63 YASMIN 28 41 YAZ 41 YODEFAN-NF CHEST CONGESTION 46 ZACLIR CLEANSING 48 ZADITOR 88 zafirlukast 12 ZANAFLEX 83 ZANTAC 94 ZANTAC 150 MAXIMUM STRENGTH 94 ZANTAC 75 94 ZARONTIN 16 ZEMAIRA 91 ZEMPLAR 56 ZENPEP 55 ZERIT 35 ZESTORETIC 27 ZESTRIL 26

ZETIA 25 ZIAC 27 ZIAGEN 35 zidovudine 35 zinc oxide (topical) 53 ZIOPTAN 88 ziprasidone hcl 31 ZITHROMAX 63 ZITHROMAX TRI-PAK 63 ZITHROMAX Z-PAK 63 ZMAX 63 ZOCOR 25 ZOFRAN 22,23 ZOFRAN ODT 22 ZOLINZA 29 zolmitriptan 76 ZOLOFT 18 zolpidem tartrate 61 ZOMIG 76 ZOMIG ZMT 76 ZONEGRAN 16 zonisamide 16 ZORTRESS 79 ZOVIRAX 36,50 ZYBAN 91 ZYLOPRIM 59 ZYMAXID 86 ZYNCOF 46 ZYPREXA 32 ZYPREXA ZYDIS 32 ZYRTEC ALLERGY 24 ZYRTEC ALLERGY CHILDRENS 24 ZYRTEC CHILDRENS ALLERGY 24 ZYRTEC-D ALLERGY/CONGESTION 46 ZYVOX 9 ZZZQUIL 61

Index 23

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