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brand name generic comparison
BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# A & D OINTMENT VITAMIN A & D OINTMENT 2OZ/TB OTC 52471-0100-04 1100611 A & D OINTMENT VITAMIN A & D OINTMENT 4OZ/TB OTC 52471-0100-04 5164667 A & D OINTMENT VITAMIN A & D OINTMENT FOIL 144x5GM OTC A&D OINTMENT VITAMIN A&D OINTMENT 13OZ/JR OTC 52471-0100-13 7096246 A/T/S 2%, T-STAT SOLUTION ERYTHROMYCIN TOPICAL SOLUTION 2% 60ML/BT RX 00168-0215-60 2378131 ACCUNEB LIQUID ALBUTEROL SULFATE INHAL SOLN 0.63MG/3ML 25x3ML RX 00591-3467-53 1093443 ACCUPRIL TABS QUINAPRIL HCL TABLETS 10MG 90/BT RX 55111-0622-90 1141120 ACCUPRIL TABS QUINAPRIL HCL TABLETS 20MG 90/BT RX 68180-0558-09 1146796 ACCUPRIL TABS QUINAPRIL HCL TABLETS 40MG 90/BT RX 68180-0559-09 1141292 ACETONE LIQUID ACETONE HZ LIQUID 1GAL OTC 00395-0019-28 1029799 ACETONE LIQUID ACETONE OD LIQUID 16OZ/BT OTC 00395-0019-16 1029716 ACHROMYCIN CAPS TETRACYCLINE CAPSULES 250MG 100/BT RX 00172-2416-60 1023888 ACHROMYCIN CAPS TETRACYCLINE CAPSULES 250MG 1000/BT RX 00172-2416-80 1101353 ACHROMYCIN CAPS TETRACYCLINE CAPSULES 500MG 100/BT RX 00172-2407-60 1101352 ACHROMYCIN CAPS TETRACYCLINE CAPSULES 500MG 1000/BT RX 00172-2407-80 1049940 ACLOVATE CREAM ALCLOMETASONE DIPROPIONATE CREAM 0.05% 60GM/TB RX 51672-1306-03 1118878 ACLOVATE CREAM ALCLOMETASONE DIPROPIONATE CREAM 0.05% 45GM/TB RX 51672-1306-06 1118879 ACLOVATE CREAM ALCLOMETASONE DIPROPIONATE CREAM 0.05% 15GM/TB RX 68462-0300-17 1158070 ACLOVATE OINT ALCLOMETASONE DIPROPIONATE OINTMENT 0.05% 15GM/TB RX 51672-1316-01 1118881 ACTIFED LIQUID TRIPROLIDINE HCL/PSEUDOEPHEDRINE HCL SYRUP 1.25/30MG 4OZ/BT OTC 54838-0101-40 4739177 ACTIFED TABLETS PSEUDOEPHEDRINE/TRIPROLIDINE TABS 60/2.5MG 100 OTC 00904-0250-59 1135326 ACTIGALL CAPS URSODIOL CAPSULES 300MG 100/BT RX 00591-3159-01 1048376 ACTIQ TRANSMUCOSAL FENTANYL CITRATE ORAL TRANSMUCOSAL 400MCG 30/BX RX 00555-1081-01 1101065 ACTIVELLA TABS ESTRADIOL/NORETHINDRONE ACE TABS 1.0/0.5MG 1X28/BX RX 51991-0474-28 1147274 ACULAR OPHTHALMIC SOLUTION KETOROLAC OPHTHALMIC SOLUTION 0.5% 3ML/BT RX 41616-0219-90 1144422 ACULAR OPHTHALMIC SOLUTION KETOROLAC OPHTHALMIC SOLUTION 0.5% 5ML/BT RX 41616-0220-90 1144423 ACULAR OPHTHALMIC SOLUTION KETOROLAC OPHTHALMIC SOLUTION 0.5% 10ML/BT RX 41616-0221-90 1144421 ADALAT CC TABS NIFEDIPINE ER TABLETS (ADALAT CC) 30MG 100/BT RX 67767-0153-01 1086965 ADALAT CC TABS NIFEDIPINE ER TABLETS (ADALAT CC) 60MG 100/BT RX 67767-0151-01 1086964 ADDERALL TABS DEXTROAMPHETAMINE COMBO TABS 10MG 100/BT C2 RX 00555-0972-02 1152866 ADDERALL TABS DEXTROAMPHETAMINE COMBO TABS 20MG 100/BT C2 RX 00555-0973-02 1147826 ADDERALL TABS DEXTROAMPHETAMINE COMBO TABS 30MG 100/BT C2 RX 00555-0974-02 1147827 ADDERALL TABS DEXTROAMPHETAMINE COMBO TABS 5MG 100/BT C2 RX 63304-0908-01 1085583 ADENOCARD INJ ADENOSINE INJ SDV 2ML 3MG/ML EACH INJ 55390-0067-10 2489255 ADENOCARD INJ ADENOSINE INJ SDV 2ML 3MG/ML 10/BX INJ 55390-0067-10 7482727 ADENOCARD INJ ADENOSINE INJ SDV 4ML 3MG/ML EACH INJ 55390-0068-01 1046577 ADENOCARD INJ ADENOSINE INJ SYRINGE 2ML 3MG/ML EACH INJ 25021-0301-72 1123813 ADENOCARD INJ ADENOSINE INJ SYRINGE 2ML 3MG/ML 10/BX INJ 64679-0630-07 1147085 ADENOCARD INJ ADENOSINE INJ SYRINGE 4ML 3MG/ML EACH INJ 25021-0301-76 1127804 ADIPEX-P CAPS PHENTERMINE HCL CAPSULES WHITE/BLUE 37.5MG 100/BT C4 RX 10702-0029-01 1147328 ADIPEX-P TABS PHENTERMINE HCL TABLETS WHT/BLUE SPECK 37.5MG 100/BT C4 RX 00603-5192-21 1075934 ADIPEX-P TABS PHENTERMINE HCL TABLETS WHT/BLUE SPECK 37.5MG 1000/BT C4 RX 00603-5192-32 1074034 ADRENACLICK INJ EPINEPHRINE AUTO INJECTOR ADULT 0.3MG 1/PK INJ 59762-0171-01 1155207 ADRENACLICK INJ EPINEPHRINE AUTO INJECTOR ADULT 0.3MG 2/PK INJ 59762-0171-02 1155208 ADRENACLICK INJ EPINEPHRINE AUTO INJECTOR JR 0.15MG 1/PK INJ 59762-0172-01 1155210 ADRENACLICK INJ EPINEPHRINE AUTO INJECTOR JR 0.15MG 2/PK INJ 59762-0172-02 1155211 ADRENALIN INJ EPINEPHRINE INJ AMPULE 1ML 1:1000 25/BX INJ 00409-7241-01 1047057 ADRENALIN INJ EPINEPHRINE INJ AMPULE 1ML 1:1000 5/BX INJ 00409-7241-01 2589483 ADRENALIN INJ EPINEPHRINE INJ AMPULE 1ML SULFITE FREE 1:1000 25/BX INJ 00517-1071-25 6010109 ADRENALIN INJ EPINEPHRINE INJ MDV 30ML 1MG/ML 5/BX INJ 00517-1130-05 1030990 ADRENALIN INJ EPINEPHRINE INJ MDV 30ML 1MG/ML EACH INJ 00548-9061-00 1099438 ADRENALIN INJ EPINEPHRINE INJ SYRINGE (ABBJCT) 10ML 18Gx3.5" 1:10M 10/BX INJ 00409-4901-18 1046900 ADRENALIN INJ EPINEPHRINE INJ SYRINGE (ABBJCT) 10ML 18Gx3.5" 1:10M EACH INJ 52584-0001-18 2488166 ADRENALIN INJ EPINEPHRINE INJ SYRINGE (ABBOJECT LFS) 10ML 1:10M 10/BX INJ 00409-4921-34 1046844 ADRENALIN INJ EPINEPHRINE INJ SYRINGE (ABBOJECT LFS) 10ML 1:10M EACH INJ 52584-0004-34 2488175 ADRENALIN INJ EPINEPHRINE INJ SYRINGE 10ML 1:10M 10/BX INJ 00548-3316-00 1157839 ADRIAMYCIN INJ DOXORUBICIN HCL INJ LYOPH SDV 5ML 10MG/VL 10/BX INJ 00703-5043-03 1104524 ADRIAMYCIN INJ DOXORUBICIN HCL INJ LYOPH SDV 5ML 10MG/VL EACH INJ 63323-0883-05 1104912 ADRIAMYCIN INJ DOXORUBICIN HCL INJ LYOPH SDV 10ML 20MG/VL EACH INJ 63323-0883-10 1106350 ADRIAMYCIN INJ DOXORUBICIN HCL INJ LYOPH SDV 25ML 50MG/VL EACH INJ 63323-0883-30 2580109 Page 1 of 46 C2 9004790 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# ADRIAMYCIN INJ DOXORUBICIN HCL INJ LYOPH SDV 100ML 200MG/VL EACH INJ 00703-5040-01 1108725 ADRUCIL INJ FLUOROURACIL INJ SDV 10ML 50MG/ML 10/BX INJ 66758-0044-03 1146392 ADRUCIL INJ FLUOROURACIL INJ SDV 20ML 50MG/ML 10/BX INJ 10139-0063-12 1114990 ADVIL SUSP IBUPROFEN ORAL SUSPENSION CHERRY 100MG/5ML 120ML/BT OTC 00472-1255-94 1105812 ADVIL SUSP IBUPROFEN ORAL SUSPENSION ORANGE 100MG/5ML 120ML/BT OTC 45802-0952-26 1086771 ADVIL TABS IBUPROFEN TABLETS 200MG 50/BT OTC 57896-0941-05 1044368 ADVIL TABS IBUPROFEN TABLETS 200MG 100/BT OTC 57896-0941-01 1136960 ADVIL TABS IBUPROFEN TABLETS 200MG 500/BT OTC 00113-0604-90 1136961 ADVIL TABS IBUPROFEN TABLETS 200MG 1000/BT OTC 00113-0604-93 1136962 ADVIL TABS IBUPROFEN TABLETS MEDI-FIRST 200MG 250x2/BX OTC ADVIL TABS I-PRIN TABLETS INDUSTRIAL 200MG 100x2/BX OTC 47682-0100-47 1516958 ADVIL TABS I-PRIN TABLETS INDUSTRIAL 200MG 250x2/BX OTC 47682-0100-13 1003380 AFRIN SPRAY OXYMETAZOLINE HCL NASAL SPRAY 0.05% 0.5OZ/BT OTC 00904-5711-35 1077098 AFRIN SPRAY OXYMETAZOLINE HCL NASAL SPRAY 0.05% 1OZ/BT OTC 45802-0410-59 1100650 AGRYLIN CAPS ANAGRELIDE HCL CAPSULES 0.5MG 100/BT RX 00172-5241-60 1047747 ALCOHOL, DEHYDRATED DEHYDRATED ALCOHOL INJ AMPULE 1ML 98% 10/BX INJ 00517-8571-10 3753870 ALCOHOL, DEHYDRATED DEHYDRATED ALCOHOL INJ AMPULE 5ML 98% 10/BX INJ 00517-8575-10 6758111 ALDACTAZIDE TABS SPIRONOLACTONE/HCTZ TABS 25/25MG 100/BT RX 53489-0144-01 1146492 ALDACTAZIDE TABS SPIRONOLACTONE/HCTZ TABS 25/25MG 1000/BT RX 53489-0144-10 4051302 ALDACTONE TABS SPIRONOLACTONE TABLETS 100MG 100/BT RX 00603-5765-21 1101504 ALDACTONE TABS SPIRONOLACTONE TABLETS 25MG 100/BT RX 00603-5763-21 4080182 ALDACTONE TABS SPIRONOLACTONE TABLETS 25MG 1000/BT RX 00603-5763-32 4080183 ALDACTONE TABS SPIRONOLACTONE TABLETS 25MG 500/BT RX 00603-5763-28 1084055 ALDACTONE TABS SPIRONOLACTONE TABLETS 50MG 100/BT RX 00603-5764-21 4080184 ALDACTONE TABS SPIRONOLACTONE TABLETS 50MG 500/BT RX 00603-5764-28 4080185 ALDOMET INJ METHYLDOPATE HCL INJ SDV 5ML 50MG/ML 10/BX INJ 00517-8905-10 1146459 ALDOMET TABS METHYLDOPA TABLETS 250MG 100/BT RX 00093-2931-01 1124501 ALDORIL TABS METHYLDOPA W/HCTZ TABLETS 250/25MG 100/BT RX 00378-0711-01 1021556 ALESSE TABS LEVONORGESTREL/ETHINYL ESTRADIOL OC TABLETS 0.1/0.02MG 6x28 RX 00555-9045-58 1102269 ALEVE TABS MEDIPROXEN TABLETS 220MG 100x1/BX OTC 47682-0237-33 1519200 ALEVE TABS MEDIPROXEN TABLETS 220MG 50/BX OTC 47682-0237-50 9930948 ALEVE TABS NAPROXEN SODIUM TABLETS 220MG 100/BT OTC 00113-9490-78 1136964 ALEVE TABS NAPROXEN SODIUM TABLETS 220MG 50/BT OTC 00113-9490-71 1161793 ALLEGRA TABS FEXOFENADINE TABLETS 30MG 100/BT RX 00093-7251-01 1100724 ALLEGRA TABS FEXOFENADINE TABLETS 60MG 100/BT RX 00093-7252-01 1088799 ALLEGRA TABS FEXOFENADINE TABLETS 180MG 100/BT RX 00093-7253-01 1100725 ALPHA REDISOL INJ HYDROXOCOBALAMIN INJ MDV 30ML 1000MCG EACH INJ 00591-2888-30 1047194 ALPHAGAN P OPHTHALMIC SOLN BRIMONIDINE TARTRATE OPHTHALMIC SOLUTION 0.15% 5ML/BT RX 61314-0144-05 1148520 ALPHAGAN SOLUTION BRIMONIDINE TARTRATE OPHTHALMIC SOLUTION 2% 5ML/BT RX 17478-0715-10 1142027 ALTACE CAPS RAMIPRIL CAPSULES 1.25MG 100/BT RX 31722-0271-01 1109128 ALTACE CAPS RAMIPRIL CAPSULES 10MG 100/BT RX 00093-7438-01 1160678 ALTACE CAPS RAMIPRIL CAPSULES 2.5MG 100/BT RX 00054-0107-25 1147034 ALTACE CAPS RAMIPRIL CAPSULES 5MG 100/BT RX 31722-0273-01 1109131 ALUPENT LIQUID METAPROTERENOL SULFATE ORAL SYRUP 10MG/5ML 480ML/BT RX 54838-0507-80 4080017 AMARYL TABS GLIMEPIRIDE TABLETS 2MG 100/BT RX 45802-0822-78 1101028 AMARYL TABS GLIMEPIRIDE TABLETS 4MG 100/BT RX 45802-0947-78 1118693 AMBIEN CR TABS ZOLPIDEM TARTRATE CR TABLETS 6.25MG 100/BT C4 RX 00228-2481-11 1158445 AMBIEN CR TABS ZOLPIDEM TARTRATE CR TABLETS 12.5MG 100/BT C4 RX 10370-0116-10 1158446 AMBIEN TABS ZOLPIDEM TARTRATE TABLETS 5MG 100/BT C4 RX 00603-6468-21 1153103 AMBIEN TABS ZOLPIDEM TARTRATE TABLETS 5MG 500/BT C4 RX 64679-0714-04 1101337 AMBIEN TABS ZOLPIDEM TARTRATE TABLETS 10MG 100/BT C4 RX 00603-6469-21 1153107 AMBIEN TABS ZOLPIDEM TARTRATE TABLETS 10MG 500/BT C4 RX 00603-6469-28 1153108 AMERGE TABLETS NARATRIPTAN TABLETS 1 MG 9/BT RX 00574-0214-09 1156815 AMERGE TABLETS NARATRIPTAN TABLETS 2.5 MG 9/BT RX 00574-0215-09 1156818 AMICAR INJ AMINOCAPROIC ACID MDV 20ML 250MG/ML 25/BX INJ 00409-4346-73 2588632 AMIDATE INJ ETOMIDATE INJ SDV 10ML 2MG/ML 10/BX INJ 55390-0762-10 8709984 AMIDATE INJ ETOMIDATE INJ SDV 20ML 2MG/ML 10/BX INJ 55390-0763-20 1042444 AMINOPHYLLINE INJ AMINOPHYLLINE INJ AMPULE 20ML 25MG/ML 25/BX INJ 00409-7386-01 1047003 AMINOPHYLLINE INJ AMINOPHYLLINE INJ SDV 10ML 25MG/ML 25/BX INJ 00409-5921-01 1049495 AMINOPHYLLINE INJ AMINOPHYLLINE INJ SDV 10ML 25MG/ML EACH INJ 00409-5921-01 2482037 Page 2 of 46 9004691 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# AMINOPHYLLINE INJ AMINOPHYLLINE INJ SDV 20ML 25MG/ML 25/BX INJ 00409-5922-01 2582664 AMINOPHYLLINE TABS AMINOPHYLLINE TABLETS 100MG 100/BT RX 00143-1020-01 4000401 AMINOPHYLLINE TABS AMINOPHYLLINE TABLETS 100MG 1000/BT RX 00143-1020-10 4000402 AMINOPHYLLINE TABS AMINOPHYLLINE TABLETS 200MG 100/BT RX 00143-1025-01 4000501 AMINOPHYLLINE TABS AMINOPHYLLINE TABLETS 200MG 1000/BT RX 00143-1025-10 4000502 AM-LACTIN LOTION AMMONIUM LACTATE TOPICAL LOTION OTC 12% 225GM/BT OTC 45802-0525-55 1089878 AM-LACTIN LOTION AMMONIUM LACTATE TOPICAL LOTION OTC 12% 400GM/BT OTC 45802-0525-26 1027725 AMMONIUM MOLY INJ AMMONIUM MOLYBDATE INJ SDV 10ML 25MCG/ML 25/BX INJ 00517-6610-25 1100476 AMOXIL BID LIQUID AMOXICILLIN ORAL SUSPENSION BID 200MG/5ML 50ML/BT RX 59762-1022-02 1146524 AMOXIL BID LIQUID AMOXICILLIN ORAL SUSPENSION BID 200MG/5ML 100ML/BT RX 59762-1022-07 1146591 AMOXIL BID LIQUID AMOXICILLIN ORAL SUSPENSION BID 400MG/5ML 50ML/BT RX 59762-1023-04 1146431 AMOXIL BID LIQUID AMOXICILLIN ORAL SUSPENSION BID 400MG/5ML 75ML/BT RX 65862-0071-75 1146764 AMOXIL BID LIQUID AMOXICILLIN ORAL SUSPENSION BID 400MG/5ML 100ML/BT RX 59762-1023-06 1146040 AMOXIL BID TABS AMOXICILLIN BID TABLETS 500MG 20/BT RX 00781-5060-20 1115486 AMOXIL BID TABS AMOXICILLIN BID TABLETS 875MG 100/BT RX 00143-9951-01 1085908 AMOXIL BID TABS AMOXICILLIN BID TABLETS 875MG 20/BT RX 00143-9951-20 4080042 AMOXIL CAPS AMOXICILLIN CAPSULES 250MG 100/BT RX 00143-9938-01 1114719 AMOXIL CAPS AMOXICILLIN CAPSULES 250MG 500/BT RX 65862-0016-05 1100708 AMOXIL CAPS AMOXICILLIN CAPSULES 500MG 50/BT RX 00093-3109-53 4204150 AMOXIL CAPS AMOXICILLIN CAPSULES 500MG 100/BT RX 59762-1021-07 1145373 AMOXIL CAPS AMOXICILLIN CAPSULES 500MG 500/BT RX 00143-9939-05 1106497 AMOXIL CAPS AMOXICILLIN CAPSULES UD 500MG 100/BX RX 00093-3109-93 1148894 AMOXIL CHEW TABS AMOXICILLIN CHEW TABLETS 125MG 100/BT RX 00093-2267-01 1088094 AMOXIL CHEW TABS AMOXICILLIN CHEW TABLETS 250MG 100/BT RX 00093-2268-01 1119480 AMOXIL LIQUID AMOXICILLIN ORAL SUSPENSION 250MG/5ML 80ML/BT RX 00143-9889-80 1083198 AMOXIL LIQUID AMOXICILLIN ORAL SUSPENSION 250MG/5ML 150ML/BT RX 67253-0143-15 1049470 AMOXIL LIQUID AMOXICILLIN ORAL SUSPENSION DYE-FREE 125MG/5ML 100ML/BT RX 00143-9888-01 1082315 AMOXIL LIQUID AMOXICILLIN ORAL SUSPENSION DYE-FREE 125MG/5ML 150ML/BT RX 00143-9888-15 1145877 AMOXIL LIQUID AMOXICILLIN ORAL SUSPENSION DYE-FREE 125MG/5ML 80ML/BT RX 00143-9888-80 1082068 AMOXIL LIQUID AMOXICILLIN ORAL SUSPENSION DYE-FREE 250MG/5ML 100ML/BT RX 00143-9889-01 1089886 AMPHOJEL LIQUID ALUMINUM HYDROXIDE SUSPENSION 320/5ML 355ML/BT OTC 00121-0733-12 1108161 AMPHOJEL LIQUID ALUMINUM HYDROXIDE SUSPENSION 320/5ML 480ML/BT OTC 00121-0733-16 1048937 ANAFRANIL CAPS CLOMIPRAMINE HCL CAPSULES 25MG 30/BT RX 51672-4011-06 1048037 ANAFRANIL CAPS CLOMIPRAMINE HCL CAPSULES 25MG 100/BT RX 00093-0956-01 1096792 ANAFRANIL CAPS CLOMIPRAMINE HCL CAPSULES 50MG 30/BT RX 51672-4012-06 1047044 ANAFRANIL CAPS CLOMIPRAMINE HCL CAPSULES 50MG 100/BT RX 00093-0958-01 1094686 ANAFRANIL CAPS CLOMIPRAMINE HCL CAPSULES 75MG 30/BT RX 51672-4013-06 1047766 ANAFRANIL CAPS CLOMIPRAMINE HCL CAPSULES 75MG 100/BT RX 00093-0960-01 1097895 ANAPROX TABS NAPROXEN SODIUM TABLETS 275MG 100/BT RX 53746-0193-01 1048966 ANAPROX TABS NAPROXEN SODIUM TABLETS 550MG 100/BT RX 53746-0194-01 1145672 ANAPROX TABS NAPROXEN SODIUM TABLETS 550MG 500/BT RX 53746-0194-05 1141589 ANBESOL,ORA-JEL GEL ORAL GEL ANESTETIC 0.5OZ/BT OTC 83152-7004-90 1156980 ANBESOL,ORA-JEL GEL ORAL GEL ANESTHETIC 29GM OTC 54162-0926-29 1086369 ANCEF INJ CEFAZOLIN SODIUM INJ STER PWD SDV 10ML 500MG/VL 10/BX INJ 00781-3450-95 1088846 ANCEF INJ CEFAZOLIN SODIUM INJ STER PWD SDV 10ML 500MG/VL 25/BX INJ 00069-0310-20 1153272 ANCEF INJ CEFAZOLIN SODIUM INJ STER PWD SDV 10ML 500MG/VL EACH INJ 10019-0610-01 2584481 ANCEF INJ CEFAZOLIN SODIUM INJ STER PWD SDV 10ML 1GM/VL 25/BX INJ 00409-0805-01 1145603 ANCEF INJ CEFAZOLIN SODIUM INJ STER PWD SDV 10ML 1GM/VL EACH INJ 25021-0101-10 2584716 ANCEF INJ CEFAZOLIN SODIUM INJ STER PWD SDV 100ML 10GM/VL 10/BX INJ 00143-9983-03 1075837 ANSAID TABS FLURBIPROFEN TABLETS 100MG 100/BT RX 00093-0711-01 1101109 ANSAID TABS FLURBIPROFEN TABLETS 50MG 100/BT RX 57664-0164-08 1034167 ANSAID TABS FLURBIPROFEN TABLETS 100MG 500/BT RX 00093-0711-05 1026969 ANTIOXIDANT PLUS CAPS ANTIOXIDANT PLUS SOFTGEL CAPSULES 60/BT OTC ANTISEPTIC SPRAY ANTISEPTIC PUMP SPRAY 3OZ/BT OTC 47682-0244-17 1514814 ANTIVERT TABS MECLIZINE HCL MULTI LAYERED TABLETS 12.5MG 100/BT RX 49884-0034-01 2487227 ANTIVERT TABS MECLIZINE HCL MULTI LAYERED TABLETS 12.5MG 1000/BT RX 49884-0034-10 1049997 ANTIVERT TABS MECLIZINE HCL MULTI LAYERED TABLETS 25MG 100/BT RX 49884-0035-01 1118868 ANTIVERT TABS MECLIZINE HCL MULTI LAYERED TABLETS 25MG 1000/BT RX 49884-0035-10 1108920 ANUSOL HC CREAM HYDROCORTISONE RECTAL CREAM 2.5% 30GM/TB RX 64980-0301-30 6758572 ANUSOL-HC SUPP HYDROCORTISONE ACETATE SUPPOSITORIES 25MG 12/BX RX 00713-0503-12 1046008 Page 3 of 46 1025551 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# ANUSOL-HC SUPP HYDROCORTISONE ACETATE SUPPOSITORIES 25MG 24/BX RX 00713-0503-24 1046009 APRESOLINE TABS HYDRALAZINE HCL TABLETS 10MG 100/BT RX 31722-0519-01 1118836 APRESOLINE TABS HYDRALAZINE HCL TABLETS 25MG 100/BT RX 23155-0002-01 1119226 APRESOLINE TABS HYDRALAZINE HCL TABLETS 25MG 1000/BT RX 50111-0327-03 1026042 APRESOLINE TABS HYDRALAZINE HCL TABLETS 50MG 100/BT RX 31722-0521-01 1118837 APRESOLINE TABS HYDRALAZINE HCL TABLETS 100MG 100/BT RX 50111-0397-01 4069601 ARALEN TABS CHLOROQUINE PHOSPHATE TABLETS 500MG 25/BT RX 00143-2125-22 1047757 AREDIA INJ PAMIDRONATE DISODIUM INJ LYOPH 10ML 30MG/VL EACH INJ 55390-0127-01 1034798 AREDIA INJ PAMIDRONATE DISODIUM INJ LYOPH 20ML 90MG/VL EACH INJ 55390-0129-01 1030904 AREDIA INJ PAMIDRONATE DISODIUM INJ SDV 10ML 9MG/ML EACH INJ 61703-0326-18 1094500 ARICEPT TABS DONEPEZIL HCL TABLETS 5MG 30/BT RX 63304-0128-30 1162461 ARICEPT TABS DONEPEZIL HCL TABLETS 5MG 90/BT RX 63304-0128-09 1162458 ARICEPT TABS DONEPEZIL HCL TABLETS 10MG 30/BT RX 63304-0129-30 1162507 ARICEPT TABS DONEPEZIL HCL TABLETS 10MG 90/BT RX 63304-0129-90 1162462 ARIMIDEX TABLETS ANASTROZOLE TABLETS 1MG 30/BT RX 68382-0209-06 1157646 ARISTICORT CREAM TRIAMCINOLONE ACETONIDE CREAM 0.025% 15GM/TB RX 00603-7861-74 1158071 ARISTICORT CREAM TRIAMCINOLONE ACETONIDE CREAM 0.025% 80GM/TB RX 00168-0003-80 4721160 ARISTICORT CREAM TRIAMCINOLONE ACETONIDE CREAM 0.025% LB RX 45802-0063-05 1088210 ARISTICORT CREAM TRIAMCINOLONE ACETONIDE CREAM 0.1% 15GM/TB RX 00168-0004-15 4721272 ARISTICORT CREAM TRIAMCINOLONE ACETONIDE CREAM 0.1% 80GM/TB RX 00603-7862-90 1148598 ARISTICORT CREAM TRIAMCINOLONE ACETONIDE CREAM 0.1% LB RX 45802-0064-05 1145928 ARISTICORT CREAM TRIAMCINOLONE ACETONIDE CREAM 0.5% 15GM/TB RX 00168-0002-15 4721372 ARISTICORT OINT TRIAMCINOLONE ACETONIDE OINTMENT 0.025% 15GM/TB RX 45802-0054-35 1029150 ARISTICORT OINT TRIAMCINOLONE ACETONIDE OINTMENT 0.025% 80GM/TB RX 00168-0005-80 1026907 ARISTICORT OINT TRIAMCINOLONE ACETONIDE OINTMENT 0.1% 15GM/TB RX 00168-0006-15 4736072 ARISTICORT OINT TRIAMCINOLONE ACETONIDE OINTMENT 0.1% 80GM/TB RX 45802-0055-36 1147330 ARISTICORT OINT TRIAMCINOLONE ACETONIDE OINTMENT 0.1% LB RX 00168-0006-16 1047112 ARISTICORT OINT TRIAMCINOLONE ACETONIDE OINTMENT 0.5% 15GM/TB RX 45802-0049-35 1024574 ARTANE TABS TRIHEXYPHENIDYL HCL TABLETS 2MG 100/BT RX 00143-1764-01 4040801 ARTANE TABS TRIHEXYPHENIDYL HCL TABLETS 5MG 100/BT RX 00603-6241-21 1161278 ASENDIN TABS AMOXAPINE TABLETS 100MG 100/BT RX 05254-4381-01 7293932 ATARAX INJ HYDROXYZINE HCL INJ SDV 1ML 25MG/ML 25/BX INJ 00517-4201-25 2485627 ATARAX INJ HYDROXYZINE HCL INJ SDV 1ML 25MG/ML EACH INJ 52584-4201-25 2480232 ATARAX INJ HYDROXYZINE HCL INJ SDV 1ML 50MG/ML 25/BX INJ 00517-5601-25 1049928 ATARAX INJ HYDROXYZINE HCL INJ SDV 1ML 50MG/ML EACH INJ 00517-5601-25 2480233 ATARAX INJ HYDROXYZINE HCL INJ SDV 2ML 50MG/ML 25/BX INJ 00517-5602-25 1049591 ATARAX INJ HYDROXYZINE HCL INJ SDV 2ML 50MG/ML EACH INJ 00517-5602-25 2480231 ATARAX INJ HYDROXYZINE HCL INJ MDV 10ML 50MG/ML 25/BX INJ 00517-5610-25 1049331 ATARAX INJ HYDROXYZINE HCL INJ MDV 10ML 50MG/ML EACH INJ 00517-5610-25 2588101 ATARAX LIQUID HYDROXYZINE HCL ORAL SYRUP 10MG/5ML 120ML/BT RX 60432-0150-04 1104746 ATARAX LIQUID HYDROXYZINE HCL ORAL SYRUP 10MG/5ML 480ML/BT RX 10702-0052-16 1118720 ATARAX TABS HYDROXYZINE HCL TABLETS 10MG 100/BT RX 23155-0105-01 1146198 ATARAX TABS HYDROXYZINE HCL TABLETS 10MG 500/BT RX 67405-0575-50 1130859 ATARAX TABS HYDROXYZINE HCL TABLETS 25MG 100/BT RX 23155-0106-01 1145590 ATARAX TABS HYDROXYZINE HCL TABLETS 25MG 500/BT RX 10702-0011-50 1100900 ATARAX TABS HYDROXYZINE HCL TABLETS 25MG 1000/BT RX 00591-5523-10 4049502 ATARAX TABS HYDROXYZINE HCL TABLETS 50MG 100/BT RX 23155-0107-01 1146643 ATARAX TABS HYDROXYZINE HCL TABLETS 50MG 500/BT RX 67405-0577-50 1158340 ATIVAN INJ LORAZEPAM INJ MDV 10ML 2MG/ML 10/BX C4 INJ 10019-0102-10 1138784 ATIVAN INJ LORAZEPAM INJ MDV GLASS 1ML 2MG 10/PK C4 INJ 00409-6778-02 1133167 ATIVAN INJ LORAZEPAM INJ MDV GLASS 1ML 4MG 10/PK C4 INJ 00409-6779-02 1133166 ATIVAN INJ LORAZEPAM INJ SDV 1ML 2MG/ML 25/BX C4 INJ 10019-0102-01 1132934 ATIVAN TABS LORAZEPAM TABLETS 0.5MG 100/BT C4 RX 00228-2057-10 1025710 ATIVAN TABS LORAZEPAM TABLETS 1MG 100/BT C4 RX 00228-2059-10 1025910 ATIVAN TABS LORAZEPAM TABLETS 1MG 10x10UD C4 RX 00904-5981-61 1156311 ATIVAN TABS LORAZEPAM TABLETS 1MG 500/BT C4 RX 63304-0773-05 1045823 ATIVAN TABS LORAZEPAM TABLETS 2MG 100/BT C4 RX 00228-2063-10 1026310 ATIVAN TABS LORAZEPAM TABLETS 2MG 500/BT C4 RX 63304-0774-05 1045817 ATROPEN INJ ATROPINE SULFATE INJ SYRINGE 5ML 0.05MG/ML EACH INJ 00409-9630-05 2487959 ATROPEN INJ ATROPINE SULFATE INJ AMPULE 0.5ML 0.4MG/0.5ML 25/BX INJ 00517-0805-25 1135314 Page 4 of 46 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# ATROPEN INJ ATROPINE SULFATE INJ AMPULE 0.5ML 0.4MG/0.5ML EACH INJ 00517-0805-25 2480295 ATROPEN INJ ATROPINE SULFATE INJ ANSYR SYRINGE 10ML 0.1MG/ML 5/BX INJ 00409-1630-10 2580091 ATROPEN INJ ATROPINE SULFATE SYRINGE ABBOJ LFS 5ML 0.1MG/ML 10/BX INJ 00409-4910-34 1047053 ATROPEN INJ ATROPINE SULFATE SYRINGE ABBOJ LFS 5ML 0.1MG/ML EACH INJ 00409-4910-34 2487960 ATROPEN INJ ATROPINE SULFATE SYRINGE ABBOJ LFS 10ML 0.1MG/ML 10/BX INJ 00409-4911-34 1046860 ATROPEN INJ ATROPINE SULFATE SYRINGE ABBOJ LFS 10ML 0.1MG/ML EACH INJ 52584-0002-34 2484141 ATROPEN INJ ATROPINE SULFATE INJ PF SYRINGE 10ML 0.1MG/ML 10/BX INJ 00548-3339-00 1158219 ATROPEN INJ ATROPINE SULFATE INJ MDV 20ML 0.4MG/ML 10/BX INJ 10019-0250-20 2484260 ATROPEN INJ ATROPINE SULFATE INJ MDV 20ML 0.4MG/ML EACH INJ 10019-0250-20 2580067 ATROPEN INJ ATROPINE SULFATE INJ SDV 1ML 0.4MG/ML 25/BX INJ 00517-0401-25 6047216 ATROPEN INJ ATROPINE SULFATE INJ SDV 1ML 0.4MG/ML EACH INJ 00517-0401-25 2580069 ATROPEN INJ ATROPINE SULFATE INJ AMPULE 1ML 1MG/ML 25/BX INJ 00517-0101-25 1049652 ATROPEN INJ ATROPINE SULFATE INJ AMPULE 1ML 1MG/ML EACH INJ 00517-0101-25 2586261 ATROPEN INJ ATROPINE SULFATE INJ SDV 1ML 1MG/ML 25/BX INJ 00517-1010-25 1023626 ATROVENT SOLUTION IPRATROPIUM BROMIDE INHAL SOLUTION 0.02% 25x2.5ML RX 16252-0098-22 1146769 ATROVENT SOLUTION IPRATROPIUM BROMIDE INHAL SOLUTION 0.02% 30x2.5ML RX 16252-0098-33 4250002 ATROVENT SOLUTION IPRATROPIUM BROMIDE INHAL SOLUTION 0.02% 60x2.5ML RX 16252-0098-66 1146770 ATROVENT SPRAY IPRATROPIUM BROMIDE NASAL SPRAY 0.3% 30ML/BT RX 24208-0398-30 1105863 ATROVENT SPRAY IPRATROPIUM BROMIDE NASAL SPRAY 0.6% 15ML/BT RX 24208-0399-15 1100609 AUGMENTIN CHEW TABS AMOXICILLIN/CLAVUL CHEW TABLETS 200/28.5MG 20/BT RX 00093-2270-34 1100719 AUGMENTIN CHEW TABS AMOXICILLIN/CLAVUL CHEW TABLETS 400/57MG 20/BT RX 00093-2272-34 1100720 AUGMENTIN ES LIQUID AMOXICILLIN/CLAVUL ORAL SUSPENSION 600/42.9MG 200ML/BT RX 00093-8675-74 1145961 AUGMENTIN LIQUID AMOXICILLIN/CLAVUL ORAL SUSP DYE-FREE 200/28.5MG 100ML/BT RX 00143-9981-01 1115155 AUGMENTIN LIQUID AMOXICILLIN/CLAVUL ORAL SUSP DYE-FREE 200/28.5MG 50ML/BT RX 00143-9981-50 1100624 AUGMENTIN LIQUID AMOXICILLIN/CLAVUL ORAL SUSP DYE-FREE 200/28.5MG 75ML/BT RX 00143-9981-75 1115160 AUGMENTIN LIQUID AMOXICILLIN/CLAVUL ORAL SUSP DYE-FREE 400/57MG 100ML/BT RX 00143-9982-01 1146104 AUGMENTIN LIQUID AMOXICILLIN/CLAVUL ORAL SUSP DYE-FREE 400/57MG 50ML/BT RX 00143-9982-50 1141424 AUGMENTIN LIQUID AMOXICILLIN/CLAVUL ORAL SUSP DYE-FREE 600/42.9MG 75ML/BT RX 00143-9853-75 1146593 AUGMENTIN LIQUID AMOXICILLIN/CLAVUL ORAL SUSPENSION 400/57MG 75ML/BT RX 00143-9982-75 1154709 AUGMENTIN TABS AMOXICILLIN/CLAVUL TABLETS 500/125MG 20/BT RX 00093-2274-34 1119187 AUGMENTIN TABS AMOXICILLIN/CLAVUL TABLETS 875/125MG 20/BT RX 00093-2275-34 1119260 AUGMENTIN TABS AMOXICILLIN/CLAVUL TABLETS 875/125MG 100/BT RX 66685-1001-01 1148895 AURALGAN SOLUTION ANTIPYRENE/BENZOCAINE OTIC SOLUTION 15ML/BT RX 64376-0438-15 1145507 AZULFIDINE EN TABS SULFASALAZINE DELAYED RELEASE TABLETS 500MG 100/BT RX 00603-5803-21 1087243 AZULFIDINE EN TABS SULFASALAZINE DELAYED RELEASE TABLETS 500MG 300/BT RX 00603-5803-25 1157426 AZULFIDINE TABS SULFASALAZINE TABLETS 500MG 100/BT RX 00603-5801-21 1101505 AZULFIDINE TABS SULFASALAZINE TABLETS 500MG 500/BT RX 00603-5801-28 1101506 B COMPLEX W/C TABS B-COMPLEX W/VIT C TR TABLETS 100/BT OTC BACIGUENT OINT BACITRACIN W/O ZINC OINTMENT 500U/GM 0.5OZ/TB OTC 831527-00496-3 1086909 BACIGUENT OINT BACITRACIN W/O ZINC OINTMENT 500U/GM 1OZ/TB OTC 00713-0280-31 1083028 BACIGUENT OINT BACITRACIN W/O ZINC OINTMENT FOIL PK 0.9GM 144/BX 12BX/CA OTC 52471-0114-09 1140960 BACIGUENT OINT BACITRACIN W/O ZINC OINTMENT TUBE 500U/GM 144x0.5OZ OTC 45802-0060-01 8401111 BACIGUENT OINT BACITRACIN ZINC OINTMENT 500U/GM 0.5OZ/TB OTC 14428-0088-08 1089692 BACIGUENT OINT BACITRACIN ZINC OINTMENT 500U/GM 1OZ/TB OTC 00472-1105-56 1082912 BACIGUENT OINT BACITRACIN ZINC OINTMENT 500U/GM LB OTC 00168-0011-16 4729120 BACIGUENT OINT BACITRACIN ZINC OINTMENT FOIL PK 500U/GM 144X0.9GM OTC 59898-0720-01 1045669 BACIGUENT OINT BACITRACIN ZINC OINTMENT FOIL PK 500U/GM 25x0.9GM OTC 59898-0721-03 1049124 BACIGUENT OINT BACITRACIN ZINC OINTMENT TUBE 500U/GM 4OZ/TB OTC 00168-0011-04 4709924 BACITRACIN INJ BACITRACIN POWDER FOR INJ 50MU/VL 10/BX INJ 00009-0233-03 9080016 BACITRACIN INJ BACITRACIN POWDER FOR INJ 50MU/VL EACH INJ 00009-0233-01 9088136 BACITRACIN OINT BACITRACIN OPHTH OINTMENT 500U/GM 3.5GM/TB RX 48102-0007-35 1144195 BACK PAIN-OFF TABS BACK PAIN-OFF TABLETS 290/250/50 250x2/BX OTC 47682-0073-13 1516410 BACTOCILL INJ OXACILLIN SODIUM INJ STER PWD SDV 20ML 2GM/VL 10/BX INJ 00781-3101-95 1112201 BACTRIM DS TABS SMZ-TMP DS TABLETS 800/160MG 100/BT RX 00603-5781-21 1145508 BACTRIM DS TABS SMZ-TMP DS TABLETS 800/160MG 500/BT RX 00603-5781-28 1145878 BACTRIM PED SUSP SMZ-TMP PEDIATRIC ORAL SUSPENSION CHERRY 200/40MG/5ML 480ML/BT RX 50383-0823-16 1024704 BACTRIM PED SUSP SMZ-TMP PEDIATRIC ORAL SUSPENSION GRAPE 200/40MG/5ML 480ML/BT RX 50383-0824-16 4207716 BACTRIM SS TABS SMZ-TMP TABLETS 400/80MG 100/BT RX 00603-5780-21 1145510 BACTRIM SS TABS SMZ-TMP TABLETS 400/80MG 500/BT RX 53746-0271-05 1088407 BACTROBAN OINT MUPIROCIN OINTMENT 2% 22GM/TB RX 45802-0112-22 1118857 Page 5 of 46 1047915 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# BAYER ASPIRIN ASPIRIN TABLETS 325MG 2/PK OTC 04768-2116-13 2950031 BAYER CHILD TABS ASPIRIN CHILD'S CHEW TABLETS 1 1/4GR 36/BT OTC 57896-0911-36 1022336 BAYER SUPP ASPIRIN SUPPOSITORY UD 300MG 12/PKG OTC 00574-7034-12 2484411 BAYER TABS ASPIRIN TABLETS 325MG 100/BT OTC 57896-0901-01 4080253 BAYER TABS ASPIRIN TABLETS 325MG 500/BT OTC 00904-2009-40 1087443 BAYER TABS ASPIRIN TABLETS 325MG 1000/BT OTC 49483-0011-10 1146092 BAYER TABS ASPIRIN TABLETS 325MG 100x2/BX OTC 47682-0116-47 9193573 BAYER TABS ASPIRIN TABLETS 325MG 250x2/BX OTC 47682-0805-13 1518336 BAYER TABS ASPIRIN TABLETS 325MG 250x2/BX OTC B-COMPLEX INJ B COMPLEX 100 INJ MDV 30ML EACH INJ B-COMPLEX TABS B- 50 COMPLEX TABLETS 100/BT OTC B-COMPLEX TABS B-100 COMPLEX TABLETS 50/BT OTC BENADRYL CAPS DIPHENHYDRAMINE HCL CAPSULES RX 25MG 100/BT RX 00182-2092-01 2488658 BENADRYL CREAM DIPHENHYDRAMINE HCL CREAM OTC 1% 1OZ/TB OTC 83152-0704-95 1145929 BENADRYL CREAM DIPHENHYDRAMINE HCL CREAM OTC 2% 1OZ/TB OTC 00713-0295-31 1026999 BENADRYL INJ DIPHENHYDRAMINE HCL INJ MDV 10ML 50MG/ML EACH INJ 67457-0124-10 1084899 BENADRYL INJ DIPHENHYDRAMINE HCL INJ SDV 1ML 50MG/ML 25/BX INJ 00641-0376-25 3759452 BENADRYL INJ DIPHENHYDRAMINE HCL INJ SDV 1ML 50MG/ML EACH INJ 00641-0376-25 2585924 BENADRYL INJ DIPHENHYDRAMINE HCL INJ SYRINGE (CARPJCT) 1ML 50MG/ML 10/BX INJ 00409-2290-31 9212678 BENADRYL INJ DIPHENHYDRAMINE HCL INJ SYRINGE (CARPJCT) 1ML 50MG/ML EACH RX 00409-2290-31 2489358 BENADRYL LIQUID DIPHENHYDRAMINE HCL ORAL ELIXIR 12.5MG/5ML 4OZ/BT OTC 00603-0823-94 1100859 BENADRYL LIQUID DIPHENHYDRAMINE HCL ORAL ELIXIR 12.5MG/5ML 8OZ/BT OTC 00603-0823-81 1089331 BENADRYL LIQUID DIPHENHYDRAMINE HCL ORAL ELIXIR 12.5MG/5ML 16OZ/BT OTC 00603-0823-58 4080019 BENADRYL OTC CAPS DIPHENHYDRAMINE HCL CAPSULES OTC 25MG 100/BT OTC 00603-3339-21 1147332 BENADRYL OTC CAPS DIPHENHYDRAMINE HCL CAPSULES OTC 25MG 1000/BT OTC 00603-3339-32 1136108 BENADRYL OTC CAPS DIPHENHYDRAMINE HCL CAPSULES OTC 25MG 200x1/BX OTC 47682-0182-47 1517628 BENADRYL OTC CAPS DIPHENHYDRAMINE HCL CAPSULES OTC 50MG 100/BT OTC 00603-3340-21 1147070 BENADRYL OTC CAPS DIPHENHYDRAMINE HCL CAPSULES OTC 50MG 1000/BT OTC 00603-3340-32 1147853 BENADRYL SPRAY DIPHENHYDRAMINE HCL SPRAY 2% 2OZ/BT OTC 59898-0810-13 1047215 BENADRYL TABS DIPHENHYDRAMINE HCL TABLETS 25MG 24/BT OTC 00904-2035-24 1086319 BENADRYL TABS DIPHENHYDRAMINE HCL TABLETS 25MG 100/BT OTC 49483-0061-01 1145436 BENADRYL TABS DIPHENHYDRAMINE HCL TABLETS 25MG 1000/BT OTC 49483-0061-10 1146341 BENEMID TABS PROBENECID TABLETS 500MG 100/BT RX 00527-1367-01 4080168 BEN-GAY ANALGESIC BALM GREASELESS 3OZ/TB OTC 45802-0174-53 4235209 BEN-GAY ANALGESIC BALM GREASELESS ULTRA STRENGTH 4OZ/TB OTC 00713-0625-04 1100462 BEN-GAY ORIGINAL ANALGESIC BALM 1OZ/TB OTC 54162-0555-01 1085429 BEN-GAY ORIGINAL ANALGESIC BALM LB OTC 54162-0555-14 1084439 BENTYL CAPS DICYCLOMINE HCL CAPSULES 10MG 100/BT RX 00527-0586-01 4029201 BENTYL TABS DICYCLOMINE HCL TABLETS 20MG 100/BT RX 00527-1282-01 2481464 BENTYL TABS DICYCLOMINE HCL TABLETS 20MG 1000/BT RX 00527-1282-10 1088142 BENYLIN SYRUP OLD FORM DIPHENHYDRAMINE HCL ORAL SYRUP 12.5MG/5ML 4OZ/BT OTC 54838-0154-40 1089223 BENYLIN SYRUP OLD FORM DIPHENHYDRAMINE HCL ORAL SYRUP 12.5MG/5ML 16OZ/BT OTC 54838-0154-80 1083038 BENZAC AC GEL BENZOYL PEROXIDE AQUEOUS BASE GEL 5% 90GM/TB RX 45802-0910-01 1140570 BENZAC AC GEL BENZOYL PEROXIDE AQUEOUS BASE GEL 10% 90GM/TB RX 45802-0915-01 1141108 BENZAC AC WASH BENZOYL PEROXIDE WASH 5% 8OZ/BT RX 67405-0425-08 1118851 BENZAMYCIN GEL ERYTHROMYCIN/BENZOYL PEROX TOPICAL GEL 3%/5% 46.6GM/JR RX 45802-0083-86 1087069 BENZOIN COMP TINCTURE BENZOIN COMPOUND TINCTURE 60ML/BT OTC 54162-0100-02 1086500 BENZOIN COMP TINCTURE BENZOIN COMPOUND TINCTURE 118ML/BT OTC 54162-0100-04 1085926 BENZOIN TINCTURE BENZOIN TINCTURE 2OZ 72/CS OTC 00395-0247-92 8297778 BEROCCA PLUS TABS B-COMPLEX PLUS C TABLETS 100/BT RX 00603-5970-21 1118922 BEROCCA TABS B-COMPLEX TABLETS 100/BT RX 00603-5969-21 1118921 BETA CAROTENE SG CAPS BETA CAROTENE SOFTGELS 25M IU 100/BT OTC 66386049020 1141581 BETADINE OINT POVIDONE-IODINE OINTMENT 10% 30GM/TB OTC 00904-1102-31 1088496 BETADINE SCRUB POVIDONE-IODINE SURGICAL SCRUB 7.5% 1GAL OTC 50730-8328-06 1020399 BETADINE SCRUB POVIDONE-IODINE SURGICAL SCRUB 7.5% 4OZ/BT OTC 50730-8304-02 6114253 BETADINE SOLUTION POVIDONE-IODINE SOLUTION USP 10% 16OZ/BT OTC 50730-8216-06 3733818 BETADINE SOLUTION POVIDONE-IODINE SOLUTION USP 10% 1GAL OTC 50730-8228-08 1020299 BETADINE SOLUTION POVIDONE-IODINE SOLUTION USP 10% 4OZ/BT OTC 50730-8204-04 3737885 BETADINE SOLUTION POVIDONE-IODINE SOLUTION USP 10% 8OZ/BT OTC 80730-8208-08 1027204 BETAGAN SOLUTION LEVOBUNOLOL HCL OPHTH SOLUTION 0.5% 10ML/BT RX 24208-0505-10 4306969 Page 6 of 46 9004688 67457-0146-30 1047089 1118924 1042700 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# BETAPACE TABS SOTALOL HCL TABLETS 120MG 100/BT RX 00603-5770-21 1087575 BETAPACE TABS SOTALOL HCL TABLETS 80MG 100/BT RX 00603-5769-21 1078712 BIAXIN TABS CLARITHROMYCIN TABLETS 250MG 60/BT RX 00781-1961-60 1142098 BIAXIN TABS CLARITHROMYCIN TABLETS 500MG 60/BT RX 68774-0122-60 4080245 BIAXIN XL TABS CLARITHROMYCIN ER TABLETS 500MG 60/BT RX 62037-0777-60 1117171 BICITRA LIQUID CITRIC ACID/SODIUM CITRATE SOLUTION 480ML/BT RX 00121-0595-16 1048957 BIOTIN TABS BIOTIN TABLETS 300MCG 100/BT OTC 00536-6659-01 1134740 BLOCADREN TABS TIMOLOL MALEATE TABLETS 5MG 100/BT RX 00378-0055-01 3852895 BONINE TABS MECLIZINE HCL CHEWABLE TABLETS OTC 25MG 100/BT OTC 00536-3990-01 1109646 BONINE TABS MECLIZINE HCL CHEWABLE TABLETS OTC 25MG 1000/BT OTC 00536-3990-10 1109285 BRETHINE TERBUTALINE INJ AMPULE 1ML 1MG/ML EACH RX 05539-1010-10 2950044 BRETHINE INJ TERBUTALINE SULFATE INJ VIALS 1ML 1MG/ML 10/BX INJ 17478-0933-01 1153674 BRETHINE INJ TERBUTALINE SULFATE INJ VIALS 2ML 1MG/ML 10/BX INJ 55390-0101-10 1046164 BRETHINE TABS TERBUTALINE SULFATE TABLETS 2.5MG 100/BT RX 00527-1318-01 4080166 BRETHINE TABS TERBUTALINE SULFATE TABLETS 5MG 100/BT RX 00527-1311-01 1085867 BREVIBLOC INJ ESMOLOL HCL ISOTONIC INJ SDV 10ML 10MG/ML 10/BX INJ 55390-0062-10 1049493 BREVIBLOC INJ ESMOLOL HCL ISOTONIC INJ SDV 10ML 10MG/ML EACH INJ 00641-2965-45 2580065 BSS, ENDOSOL LIQUID BALANCED SALT SOLUTION STERILE 18ML/BT RX 17478-0920-19 2452282 BUFFERIN TABS ASPIRIN BUFFERED TABLETS 325MG 100/BT OTC 57896-0931-01 4615964 BUFFERIN TABS ASPIRIN TRI-BUFFERED TABLETS 325MG 125x2/BX OTC 47682-0119-48 9209512 BUFFERIN TABS ASPIRIN TRI-BUFFERED TABLETS 325MG 250x2/BX OTC 47682-0119-13 1518608 BUMEX BUMETANIDE INJ MDV 4ML 0.25MG/ML EACH INJ 05539-0500-05 2950045 BUMEX BUMETANIDE INJ MDV 10ML 0.25MG/ML EACH INJ 05539-0500-10 2950033 BUMEX INJ BUMETANIDE INJ SDV 2ML 0.25MG/ML 10/BX INJ 55390-0500-02 1023280 BUMEX INJ BUMETANIDE INJ SDV 4ML 0.25MG/ML 10/BX INJ 00409-1412-04 1118848 BUMEX INJ BUMETANIDE INJ MDV 10ML 0.25MG/ML 10/BX INJ 10019-0506-10 1106867 BUMEX TABS BUMETANIDE TABLETS 0.5MG 100/BT RX 00093-4232-01 1137466 BUMEX TABS BUMETANIDE TABLETS 2MG 100/BT RX 00093-4234-01 1146963 BUPRENEX INJ BUPRENORPHINE HCL INJ SDV 1ML 0.3MG/ML 10/BX C3 INJ 55390-0100-10 1048721 BUPRENEX INJ BUPRENORPHINE HCL INJ SYRINGE (CRPJCT) 1ML 0.3MG/ML 10/BX C3 INJ 00409-2012-32 1084825 BURN SPRAY BURN PUMP SPRAY 3OZ/BT OTC 47682-0225-17 1514680 BUSPAR TABS BUSPIRONE HCL TABLETS 5MG 100/BT RX 00591-0657-01 1027955 BUSPAR TABS BUSPIRONE HCL TABLETS 7.5MG 100/BT RX 49884-0725-01 1023404 BUSPAR TABS BUSPIRONE HCL TABLETS 10MG 100/BT RX 00591-0658-01 1026074 BUSPAR TABS BUSPIRONE HCL TABLETS 15MG 100/BT RX 00093-1003-01 1100826 CAFCIT ORAL SOLUTION CAFFEINE CITRATE ORAL SOLUTION 3ML 20MG/ML 10x3ML/BX INJ 00574-0152-10 1100853 CAFFEINE INJ CAFFEINE/SODIUM BENZOATE INJ SDV 2ML 250MG/ML 10/BX INJ 00517-2502-10 8600615 CALADRYL CLEAR LOTION PRAMOXINE ZINC LOTION CLEAR 6OZ/BT OTC 00395-0400-96 1145737 CALADRYL LOTION CALAMINE LOTION MEDICATED 6OZ/BT OTC 00395-0420-96 1100647 CALAMINE PLAIN CALAMINE LOTION PLAIN 4OZ/BT OTC 00904-2533-00 1118728 CALAN SR TABS VERAPAMIL ER TABLETS 180MG 100/BT RX 00172-4286-60 1021343 CALAN SR TABS VERAPAMIL ER TABLETS 240MG 100/BT RX 00172-4280-60 4256701 CALAN SR TABS VERAPAMIL ER TABLETS 240MG 500/BT RX 63304-0490-05 1118941 CALAN TABS VERAPAMIL HCL TABLETS 120MG 100/BT RX 00591-0345-01 1045546 CALAN TABS VERAPAMIL HCL TABLETS 120MG 500/BT RX 00591-0345-05 1146797 CALAN TABS VERAPAMIL HCL TABLETS 80MG 100/BT RX 00591-0343-01 1042571 CALAN TABS VERAPAMIL HCL TABLETS 80MG 500/BT RX 00591-0343-05 1047736 CALCIJEX INJ CALCITRIOL INJ AMPULE 1ML 1MCG/ML 25/BX INJ 00517-0132-25 1100842 CALCIONATE LIQUID CALCIONATE ORAL SYRUP 16OZ/BT OTC 00536-2770-85 1043210 CALCIUM ACETATE CAPS CALCIUM ACETATE CAPSULES 667MG 200/BT RX 00054-0088-26 1117793 CALCIUM CARB TABS CALCIUM CARBONATE TABLETS 10GR 1000/BT OTC 00536-3414-10 1146879 CALCIUM CARB TABS CALCIUM CARBONATE TABLETS 600MG 60/BT OTC CALCIUM CARB W/ D TABS CALCIUM CARB W/VIT D TABLETS 600MG 60/BT OTC CALCIUM CHLORIDE INJ CALCIUM CHLORIDE INJ SDV 10ML 10% 25/BX INJ 00517-2710-25 3758441 CALCIUM CHLORIDE INJ CALCIUM CHLORIDE INJ SDV 10ML 10% EACH INJ 00517-2710-25 2482310 CALCIUM CHLORIDE INJ CALCIUM CHLORIDE INJ SYRINGE (ABBJ LFS) 10ML 10% 10/BX INJ 00409-4928-34 1106869 CALCIUM CHLORIDE INJ CALCIUM CHLORIDE INJ SYRINGE (ABBJ LFS) 10ML 10% EACH INJ 00409-4928-34 2480241 CALCIUM CHLORIDE INJ CALCIUM CHLORIDE INJ SYRINGE (ANSYR) 10ML 10% 10/BX INJ 00409-1631-10 1046889 CALCIUM CHLORIDE INJ CALCIUM CHLORIDE INJ SYRINGE (ANSYR) 10ML 10% EACH INJ 00409-1631-10 2487214 CALCIUM CHLORIDE INJ CALCIUM CHLORIDE INJ SYRINGE (LUER LOCK) 10ML 10% 10/BX INJ 00548-3304-00 1157834 Page 7 of 46 1027406 4564148 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# CALCIUM GLUCONATE INJ CALCIUM GLUCONATE INJ SDV 10ML 10% 25/BX INJ 63323-0311-10 1106014 CALCIUM GLUCONATE INJ CALCIUM GLUCONATE INJ SDV 10ML 10% EACH INJ 63323-0311-10 2489765 CALCIUM GLUCONATE INJ CALCIUM GLUCONATE INJ SDV 50ML 10% 25/BX INJ 00517-3950-25 9031010 CALCIUM GLUCONATE INJ CALCIUM GLUCONATE INJ SDV 50ML 10% EACH INJ 00517-3950-25 1147374 CALCIUM GLUCONATE INJ CALCIUM GLUCONATE INJ PBP 100ML 10% 25/BX INJ 00517-3900-25 3757176 CALCIUM LACTATE TABS CALCIUM LACTATE TABLETS 10GR 100/BT OTC 00536-3422-01 1100850 CAPOTEN TABS CAPTOPRIL TABLETS 12.5MG 100/BT RX 64679-0902-01 4080224 CAPOTEN TABS CAPTOPRIL TABLETS 25MG 100/BT RX 64679-0903-01 4080224 CAPOTEN TABS CAPTOPRIL TABLETS 25MG 1000/BT RX 64679-0903-02 4080226 CAPOTEN TABS CAPTOPRIL TABLETS 50MG 100/BT RX 64679-0904-01 4080227 CAPOTEN TABS CAPTOPRIL TABLETS 50MG 1000/BT RX 64679-0904-02 4080228 CAPOTEN TABS CAPTOPRIL TABLETS 100MG 100/BT RX 00143-1174-01 1135318 CARAFATE TABS SUCRALFATE TABLETS 1GM 100/BT RX 00093-2210-01 4080267 CARAFATE TABS SUCRALFATE TABLETS 1GM 500/BT RX 29033-0003-05 1134485 CARDIZEM DILTIAZEM HCL INJ SDV 5ML 5MG/ML EACH RX 00409-1171-01 2950036 CARDIZEM CD CAPS DILTIAZEM HCL ER CAPSULES (CCD) 120MG 30/BT RX 00228-2588-73 1089089 CARDIZEM CD CAPS DILTIAZEM HCL ER CAPSULES (CCD) 120MG 90/BT RX 00228-2588-09 1089765 CARDIZEM CD CAPS DILTIAZEM HCL ER CAPSULES (CCD) 180MG 30/BT RX 00228-2577-73 1089090 CARDIZEM CD CAPS DILTIAZEM HCL ER CAPSULES (CCD) 180MG 90/BT RX 00228-2577-09 1026533 CARDIZEM CD CAPS DILTIAZEM HCL ER CAPSULES (CCD) 240MG 30/BT RX 00228-2578-03 1134489 CARDIZEM CD CAPS DILTIAZEM HCL ER CAPSULES (CCD) 240MG 90/BT RX 00228-2578-09 1160356 CARDIZEM CD CAPS DILTIAZEM HCL ER CAPSULES (CCD) 300MG 90/BT RX 00228-2579-09 1088781 CARDIZEM INJ DILTIAZEM HCL INJ SDV 5ML 5MG/ML 10/BX INJ 10019-0510-01 1022339 CARDIZEM INJ DILTIAZEM HCL INJ SDV 10ML 5MG/ML 10/BX INJ 10019-0510-02 1025250 CARDIZEM INJ DILTIAZEM HCL INJ SDV 25ML 5MG/ML 10/BX INJ 10019-0510-04 1115538 CARDIZEM INJ DILTIAZEM HCL INJ STER PWD 15ML ADD VIAL 100MG/VL 10/BX INJ 00409-4350-03 1088625 CARDIZEM LA TABS DILTIAZEM HCL LA TABLETS 180MG 30/BT RX 62037-0691-30 1148107 CARDIZEM LA TABS DILTIAZEM HCL LA TABLETS 240MG 30/BT RX 62037-0692-30 1148108 CARDIZEM LA TABS DILTIAZEM HCL LA TABLETS 300MG 30/BT RX 62037-0693-30 1148109 CARDIZEM LA TABS DILTIAZEM HCL LA TABLETS 360MG 30/BT RX 62037-0694-30 1148110 CARDIZEM SR CAPS DILTIAZEM HCL SR CAPSULES 90MG 100/BT RX 00378-6090-01 1028408 CARDIZEM SR CAPS DILTIAZEM HCL SR CAPSULES 120MG 100/BT RX 00378-6120-01 1028960 CARDIZEM TABS DILTIAZEM HCL TABLETS 30MG 100/BT RX 00093-0318-01 1048321 CARDIZEM TABS DILTIAZEM HCL TABLETS 60MG 100/BT RX 00093-0319-01 1048352 CARDIZEM TABS DILTIAZEM HCL TABLETS 60MG 500/BT RX 00093-0319-05 1119182 CARDIZEM TABS DILTIAZEM HCL TABLETS 90MG 100/BT RX 00093-0320-01 1100885 CARDIZEM TABS DILTIAZEM HCL TABLETS 120MG 100/BT RX 00093-0321-01 1100886 CARDURA TABS DOXAZOSIN MESYLATE TABLETS 2MG 100/BT RX 00093-8121-01 4000004 CARDURA TABS DOXAZOSIN MESYLATE TABLETS 4MG 100/BT RX 00093-8122-01 1147331 CARDURA TABS DOXAZOSIN MESYLATE TABLETS 8MG 100/BT RX 00093-8123-01 1147066 CARMOL 40 CREAM UREA CREAM 40% 1OZ/TB RX 50383-0664-30 1101500 CARMOL 40 CREAM UREA CREAM 40% 3OZ/TB RX 45802-0170-53 4080119 CARNITOR INJ LEVOCARNITINE ACETATE INJ SDV 12.5ML 200MG/ML 25/BX INJ 00517-1045-25 1154038 CASODEX TABS BICALUTAMIDE TABLETS 50MG 30/BT RX 41616-0485-83 1136149 CASODEX TABS BICALUTAMIDE TABLETS 50MG 100/BT RX 41616-0485-88 1136152 CATAFLAM TABS DICLOFENAC POTASSIUM TABLETS 50MG 100/BT RX 00093-0948-01 1100888 CATAPRES TABS CLONIDINE HCL TABLETS 0.1MG 100/BT RX 00603-2957-21 1118823 CATAPRES TABS CLONIDINE HCL TABLETS 0.1MG 10x10UD RX 00904-5656-61 1047920 CATAPRES TABS CLONIDINE HCL TABLETS 0.1MG 500/BT RX 00603-2957-28 1118824 CATAPRES TABS CLONIDINE HCL TABLETS 0.1MG EACH RX 00904-5656-61 2487968 CATAPRES TABS CLONIDINE HCL TABLETS 0.2MG 100/BT RX 00603-2958-21 1118825 CATAPRES TABS CLONIDINE HCL TABLETS 0.2MG 500/BT RX 00603-2958-28 1118826 CATAPRES TABS CLONIDINE HCL TABLETS 0.3MG 100/BT RX 00603-2959-21 1118827 CCP CAFFEINE FREE TABS CCP CAFFEINE FREE TABLETS 325/200/10 250x2/BX OTC 47682-0105-13 1518754 CECLOR CAPS CEFACLOR CAPSULES 500MG 100/BT RX 00143-9986-01 1047928 CEFOTAN INJ CEFOTETAN DISODIUM INJ STER PWD SDV 10ML 1GM/VL 10/BX INJ 63323-0385-10 1096944 CEFTIN SUSP CEFUROXIME AXETIL ORAL SUSPENSION 125MG/5ML 100ML/BT RX 63304-0963-04 1102961 CEFTIN SUSP CEFUROXIME AXETIL ORAL SUSPENSION 250MG/5ML 100ML/BT RX 63304-0964-04 1104788 CEFTIN SUSP CEFUROXIME AXETIL ORAL SUSPENSION 250MG/5ML 50ML/BT RX 63304-0964-03 1108937 CEFTIN TABS CEFUROXIME AXETIL TABLETS 250MG 20/BT RX 59762-1081-01 1146091 Page 8 of 46 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# CEFTIN TABS CEFUROXIME AXETIL TABLETS 500MG 20/BT RX 65862-0035-20 1085830 CEFZIL TABS CEFPROZIL TABLETS 250MG 100/BT RX 64679-0712-03 1100869 CEFZIL TABS CEFPROZIL TABLETS 500MG 50/BT RX 64679-0713-01 1138317 CELESTONE SOLUSPAN BETAMETHASONE COMBO INJ MDV 5ML 6MG/ML EACH INJ 00517-0720-01 1148668 CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 10MG 30/BT RX 55111-0342-30 1118896 CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 10MG 100/BT RX 31722-0206-01 1156625 CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 10MG 500/BT RX 13668-0009-05 1104608 CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 20MG 30/BT RX 55111-0343-30 1118897 CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 20MG 100/BT RX 31722-0207-01 1153986 CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 20MG 500/BT RX 13668-0010-05 1104604 CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 40MG 30/BT RX 55111-0344-30 1118899 CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 40MG 100/BT RX 31722-0208-01 1146156 CELEXA TABS CITALOPRAM HYDROBROMIDE TABLETS 40MG 500/BT RX 13668-0011-05 1109594 CELLCEPT TABLETS MYCOPHENOLATE MOFETIL TABS 250MG 100/BT RX 68382-0131-01 1138694 CELLCEPT TABLETS MYCOPHENOLATE MOFETIL TABS 500MG 100/BT RX 68382-0130-01 1138696 CEPACOL LOZENGES SEPASOOTHE LOZENGES CHERRY 125x2/BX OTC 47682-0180-48 1519620 CEPACOL LOZENGES SEPASOOTHE LOZENGES CHERRY 250x2/BX OTC 47682-0180-13 1518630 CEPHULAC LIQUID LACTULOSE ORAL SYRUP 10GM/15ML 480ML/BT RX 00603-1378-58 4080034 CEPHULAC LIQUID LACTULOSE ORAL SYRUP 10GM/15ML 1920ML/BT RX 00603-1378-65 4080035 CETAPHIL SOAP NU SOAP HYPOALLERGENIC SOAP SUB 240ML/BT OTC 54162-0750-01 1086807 CEVALIN INJ ASCORBIC ACID PRES FREE VIAL 50ML EACH INJ 67457-0118-50 1049052 CHILDS CHEW VITS TABS CHILDS VITAMINS CHEWABLE TABLETS 100/BT OTC CHILDS CHEW VITS/IRON TABS CHILDS VITAMINS/IRON CHEWABLE TABLETS 100/BT OTC CHLOROMYCETIN INJ CHLORAMPHENICOL SUCC INJ LYOPH SDV 15ML 1GM/VL 10/BX INJ 63323-0011-15 1043340 CHLORTRIMETON TABS CHLORPHENIRAMINE TABLETS 4MG 100/BT OTC 57896-0784-01 1026401 CHLORTRIMETON TABS CHLORPHENIRAMINE TABLETS 4MG 1000/BT OTC 57896-0784-10 8405686 CHLORTRIMETON TABS CHLORPHENIRAMINE TABLETS 4MG 250x1/BX OTC 47682-0241-48 1518148 CHROMIUM CHLORIDE INJ CHROMIUM TRACE METAL ADDITIVE 10ML FTV 4MCG/ML 25/BX INJ 00409-4093-01 2589152 CHROMIUM PICOLINATE CHROMIUM PICOLINATE TABLETS 200MCG 100/BT OTC CHRONULAC LIQUID LACTULOSE ORAL SYRUP 10GM/15ML 240ML/BT RX 00121-0577-08 4080025 CHRONULAC LIQUID LACTULOSE ORAL SYRUP 10GM/15ML 960ML/BT RX 00603-1378-59 1119220 CILOXAN SOLUTION CIPROFLOXACIN HCL OPHTH SOLUTION 0.3% 2.5ML/BT RX 50383-0282-02 1048628 CILOXAN SOLUTION CIPROFLOXACIN HCL OPHTH SOLUTION 0.3% 5ML/BT RX 17478-0714-10 1045884 CILOXAN SOLUTION CIPROFLOXACIN HCL OPHTH SOLUTION 0.3% 10ML/BT RX 50383-0282-10 1048632 CIPRO IV CIPROFLOXACIN INJ SDV 20ML 200MG 10/BX INJ 00703-0956-03 1087063 CIPRO IV CIPROFLOXACIN INJ SDV 20ML 200MG EACH INJ 36000-0010-01 1153101 CIPRO IV CIPROFLOXACIN INJ SDV 20ML 200MG EACH INJ 00069-3241-15 1153273 CIPRO IV CIPROFLOXACIN INJ SDV 40ML 400MG 10/BX INJ 00703-0958-03 1087236 CIPRO IV CIPROFLOXACIN INJ SDV 40ML 400MG EACH INJ 36000-0011-01 1153102 CIPRO TABS CIPROFLOXACIN HCL TABLETS 250MG 100/BT RX 00143-9927-01 1048343 CIPRO TABS CIPROFLOXACIN HCL TABLETS 500MG 100/BT RX 55111-0127-01 1118894 CIPRO TABS CIPROFLOXACIN HCL TABLETS 500MG 10X14/BT RX 66336-0903-14 2583727 CIPRO TABS CIPROFLOXACIN HCL TABLETS 750MG 50/BT RX 00143-9929-50 1048719 CITROMA LIQUID CITRATE OF MAGNESIA LIQUID LEMMON 10OZ/BT OTC 80869-2605-08 7618434 CLAFORAN INJ CEFOTAXIME SODIUM INJ STER PWD SDV 10ML 500MG/VL 10/BX INJ 00143-9930-03 1100819 CLAFORAN INJ CEFOTAXIME SODIUM INJ STER PWD SDV 10ML 1GM/VL 10/BX INJ 64679-0986-02 1084572 CLAFORAN INJ CEFOTAXIME SODIUM INJ STER PWD SDV 10ML 1GM/VL 25/BX INJ 64679-0986-03 1082732 CLAFORAN INJ CEFOTAXIME SODIUM INJ STER PWD SDV 10ML 2GM/VL 10/BX INJ 00069-0037-21 1154453 CLAFORAN INJ CEFOTAXIME SODIUM INJ STER PWD SDV 10ML 2GM/VL 25/BX INJ 00143-9933-22 1100820 CLARITIN D 24 TABS OTC LORATADINE W/PSEUDOEPHEDRINE TABLETS 10/240MG 10UD OTC 51660-0724-69 1162401 CLARITIN LIQUID LORATADINE CHILDREN'S SYRUP OTC 5MG/ML 4OZ/BT OTC 00904-5727-20 1158093 CLARITIN TABS OTC LORATADINE TABLETS OTC 10MG 10UD OTC 00904-5728-15 1075466 CLARITIN TABS OTC LORATADINE TABLETS OTC 10MG 3x10UD OTC 00904-5728-87 1075427 CLARITIN TABS OTC LORATADINE TABLETS OTC 10MG 500/BT OTC 51660-0526-05 1138244 CLARITIN TABS OTC LORATADINE TABLETS OTC 10MG 90/BT OTC 00904-5728-89 1047735 CLEOCIN CAPS CLINDAMYCIN HCL CAPSULES 150MG 100/BT RX 63304-0692-01 1082533 CLEOCIN CAPS CLINDAMYCIN HCL CAPSULES 300MG 16/BT RX 63304-0693-16 1067035 CLEOCIN CAPS CLINDAMYCIN HCL CAPSULES 300MG 100/BT RX 63304-0693-01 1089896 CLEOCIN INJ CLINDAMYCIN PHOS INJ 2ML ADDVAN VIAL 150MG/ML 25/BX INJ 00409-4053-03 1049622 CLEOCIN INJ CLINDAMYCIN PHOS INJ PBP 60ML 150MG/ML EACH INJ 63323-0282-60 1141684 500MG/ML Page 9 of 46 4565489 4561597 1161340 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# CLEOCIN INJ CLINDAMYCIN PHOS INJ SDV 2ML 150MG/ML 25/BX INJ 00409-4050-01 1046899 CLEOCIN INJ CLINDAMYCIN PHOS INJ SDV 4ML 150MG/ML 25/BX INJ 00409-4051-01 1046972 CLEOCIN INJ CLINDAMYCIN PHOS INJ SDV 4ML 150MG/ML EACH INJ 00409-4051-01 2484843 CLEOCIN INJ CLINDAMYCIN PHOS INJ SDV 6ML 150MG/ML 25/BX INJ 00409-4052-01 1085614 CLEOCIN ORAL SOLUTION CLINDAMYCIN PALMITATE HCL ORAL SOLUTION 75MG/5ML 100ML/BT RX 00574-0129-01 1155695 CLEOCIN T GEL CLINDAMYCIN TOPICAL GEL 1% 30GM/TB RX 00168-0202-30 1135319 CLEOCIN T GEL CLINDAMYCIN TOPICAL GEL 1% 60GM/TB RX 00168-0202-60 1082500 CLEOCIN VAGINAL CREAM CLINDAMYCIN VAGINAL CREAM 2% 40GM/TB RX 00168-0277-40 1133247 CLEOCIN-T LOTION CLINDAMYCIN TOPICAL LOTION 1% 60ML/BT RX 00168-0203-60 1026382 CLEOCIN-T PLEDGETS CLINDAMYCIN PHOSPHATE PLEDGETS 1% 60/BX RX 59762-3728-03 1139817 CLEOCIN-T SOLUTION CLINDAMYCIN TOPICAL SOLUTION 1% 30ML/BT RX 59762-3728-01 1158890 CLEOCIN-T SOLUTION CLINDAMYCIN TOPICAL SOLUTION 1% 60ML/BT RX 59762-3728-02 1158891 CLINORIL TABS SULINDAC TABLETS 150MG 100/BT RX 53489-0478-01 4055091 CLINORIL TABS SULINDAC TABLETS 200MG 100/BT RX 23155-0006-01 1119248 CLOMID TABS CLOMIPHENE CITRATE TABLETS 50MG 10/BT RX 49884-0701-54 1118869 COCAINE TOPICAL COCAINE HCL TOPICAL SOLUTION 10% 4ML/BT C2 RX 00527-1729-74 1117891 COCAINE TOPICAL COCAINE HCL TOPICAL SOLUTION 4% 4ML/BT C2 RX 00527-1728-74 1117892 COD LIVER CAPS COD LIVER OIL CAPSULES 10MIN 100/BT OTC 00904-4225-60 1025601 COENZYME Q10 CAPS COENZYME-Q10 SOFTGELS 30MG 30/BT OTC COENZYME Q10 CAPS COENZYME-Q10 SOFTGELS 30MG 50/BT OTC COGENTIN TABS BENZTROPINE TABLETS 0.5MG 100/BT RX 00603-2433-21 1118777 COGENTIN TABS BENZTROPINE TABLETS 1MG 100/BT RX 00603-2434-21 1118778 COGENTIN TABS BENZTROPINE TABLETS 2MG 100/BT RX 00603-2435-21 1118779 COLACE CAPS DOCUSATE SODIUM CAPSULES 100MG 100/BT OTC 57896-0401-01 1135901 COLACE CAPS DOCUSATE SODIUM CAPSULES 100MG 1000/BT OTC 57896-0401-10 1026566 COLACE CAPS DOCUSATE SODIUM CAPSULES 250MG 100/BT OTC 57896-0425-01 4080116 COLACE LIQUID DOCUSATE SODIUM ORAL LIQUID 150MG/15ML 16OZ/BT OTC 50383-0771-16 1119199 COLACE SYRUP DOCUSATE SODIUM ORAL SYRUP 60MG/15ML 16OZ/BT OTC 00121-0743-16 1145950 COLACE TABS DOCUSATE SODIUM TABLETS 100MG 100/BT OTC 57896-0421-01 1047706 COLACE TABS DOCUSATE SODIUM TABLETS 100MG 1000/BT OTC 57896-0421-10 1046915 COLD RELIEF TABS NON-PSEUDO COLD RELIEF TABLETS 325MG 125x2/BX OTC 47682-0822-48 8380004 COLD RELIEF TABS NON-PSEUDO COLD RELIEF TABLETS 325MG 250x2/BX OTC 47682-0822-13 8380003 COLD RELIEF TABS NON-PSEUDO COLD RELIEF TABLETS 325MG 50x2/BX OTC 47682-0822-33 8380005 COLD SPRAY TOPICAL COLD SPRAY TOPICAL MEDI-FIRST 4OZ/BT OTC 47682-0230-17 1517396 COLYTE GAVILYTE-C FOR ORAL SOLUTION 236GM/BT RX 43386-0060-19 1148171 COMPAZINE INJ PROCHLORPERAZINE EDISYLATE INJ MDV 10ML 5MG/ML EACH INJ 55390-0077-01 1042844 COMPAZINE INJ PROCHLORPERAZINE EDISYLATE INJ SDV 2ML 5MG/ML 10/BX INJ 55390-0077-10 1043836 COMPAZINE INJ PROCHLORPERAZINE EDISYLATE INJ SDV 2ML 5MG/ML EACH INJ 55390-0077-10 2481878 COMPAZINE SUPP PROCHLORPERAZINE SUPPOSITORIES 25MG 12/BX RX 00713-0135-12 1047642 COMPAZINE TABS PROCHLORPERAZINE MALEATE TABLETS 10MG 100/BT RX 59746-0113-06 1146027 COMPAZINE TABS PROCHLORPERAZINE MALEATE TABLETS 5MG 100/BT RX 59746-0115-06 1146501 CORDARONE IV AMIODARONE HCL INJ AMPULE 3ML 50MG/ML 10/BX INJ 00409-4348-35 1047056 CORDARONE IV AMIODARONE HCL INJ AMPULE 3ML 50MG/ML EACH INJ 00409-4348-35 2485924 CORDARONE IV AMIODARONE HCL INJ LL SYRINGE 3ML 50MG/ML EACH INJ 25021-0302-73 1148597 CORDARONE IV AMIODARONE HCL INJ SDV 3ML 50MG/ML 10/BX INJ 00143-9875-10 1118748 CORDARONE IV AMIODARONE HCL INJ SDV 9ML 50MG/ML 10/BX INJ 67457-0153-09 1047693 CORDARONE IV AMIODARONE HCL INJ SDV 18ML 50MG/ML EACH INJ 67457-0153-18 1049860 CORDARONE TABS AMIODARONE HCL TABLETS 200MG 60/BT RX 51672-4025-04 1146103 CORDARONE TABS AMIODARONE HCL TABLETS 400MG 30/BT RX 51672-4057-06 1142117 COREG TABS CARVEDILOL TABLETS 12.5MG 100/BT RX 65862-0144-01 1146603 COREG TABS CARVEDILOL TABLETS 3.125MG 100/BT RX 65862-0142-01 1119144 COREG TABS CARVEDILOL TABLETS 6.25MG 100/BT RX 65862-0143-01 1146025 COREG TABS CARVEDILOL TABLETS 25MG 100/BT RX 65862-0145-01 1146023 CORGARD TABS NADOLOL TABLETS 20MG 100/BT RX 00378-0028-01 1118789 CORGARD TABS NADOLOL TABLETS 40MG 100/BT RX 00093-4236-01 1147242 CORGARD TABS NADOLOL TABLETS 80MG 100/BT RX 00378-1132-01 1089023 CORLOPAM INJ FENOLDOPAM MESYLATE INJ AMP 1ML 10MG/ML EACH INJ 00781-3005-71 1078943 CORTAID CREAM OTC HYDROCORTISONE CREAM FL PK 1/32 OZ OTC 1% 144/CS OTC 59898-0800-03 4843522 CORTAID CREAM OTC HYDROCORTISONE CREAM FL PK 1/32 OZ OTC 1% 25/BX OTC 59898-0800-01 3265489 CORTAID CREAM OTC HYDROCORTISONE CREAM OTC 0.5% 1OZ/TB OTC 00168-0014-31 4080053 Page 10 of 46 1118723 1029151 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# CORTAID CREAM OTC HYDROCORTISONE CREAM OTC 1% 1OZ/TB OTC 51672-2069-02 1028756 CORTAID CREAM OTC HYDROCORTISONE CREAM OTC 1OZ 1% 6/PK OTC 01680-1254-31 1161994 CORTAID CREAM OTC HYDROCORTISONE CREAM OTC FOIL 1% 48x1.5GM OTC 01500-370-34 1146022 CORTAID INTENSIVE CREAM HYDROCORTISONE CREAM RX 1% 30GM/TB RX 00168-0015-31 1026420 CORTAID LOTION OTC HYDROCORTISONE LOTION OTC 1% 4OZ/BT OTC 45802-0283-06 1101025 CORTAID LOTION RX HYDROCORTISONE LOTION RX 2.5% 60ML/BT RX 00603-7785-52 1087617 CORTAID OINT OTC HYDROCORTISONE OINTMENT OTC 0.5% 1OZ/TB OTC 00168-0016-31 1025955 CORTAID OINT OTC HYDROCORTISONE OINTMENT OTC 1% 1OZ/TB OTC 51672-2018-02 4078556 CORTAID W/ALOE CREAM HYDROCORTISONE CREAM W/ALOE OTC 0.5% 1OZ/TB OTC 51672-2010-02 1025061 CORTEF TABS HYDROCORTISONE TABLETS 20MG 100/BT RX 00143-1254-01 2481865 CORTISPORIN OPHTH OINT BACITRACIN ZINC/POLY/NEO/HC OPHTH OINT 3.5GM/TB RX 24208-0785-55 1140621 CORTISPORIN OPHTH SUSP NEOMYCIN/POLY/HC OPHTH SUSPENSION 7.5ML/BT RX 61314-0641-75 1043444 CORTISPORIN OTIC SOLN NEOMYCIN/POLY/HC OTIC SOLUTION 10ML/BT RX 61314-0646-10 1148418 CORTISPORIN OTIC SUSP NEOMYCIN/POLY/HC OTIC SUSPENSION 10ML/BT RX 61314-0645-11 1148419 CORTIZONE CREAM OTC HYDROCORTISONE CREAM W/ALOE OTC 1% 1OZ/TB OTC 45802-0438-03 1119206 CORTIZONE CREAM OTC HYDROCORTISONE CREAM W/ALOE OTC 1% LB OTC 45802-0438-05 1101026 CORTONE YABS CORTISONE ACETATE TABLETS 25MG 100/BT RX 00143-1202-01 1082672 COSOPT DORZOLAMIDE HCL/TIMOLOL MAL OPHTH SOL 10ML/BT RX 50383-0233-10 1117003 COUMADIN TABS WARFARIN SODIUM TABLETS 10MG 100/BT RX 51672-4035-01 1133464 COUMADIN TABS WARFARIN SODIUM TABLETS 1MG 100/BT RX 51672-4027-01 1133473 COUMADIN TABS WARFARIN SODIUM TABLETS 2.5MG 100/BT RX 51672-4029-01 4063901 COUMADIN TABS WARFARIN SODIUM TABLETS 2MG 100/BT RX 51672-4028-01 2485507 COUMADIN TABS WARFARIN SODIUM TABLETS 3MG 100/BT RX 51672-4030-01 1133475 COUMADIN TABS WARFARIN SODIUM TABLETS 4MG 100/BT RX 51672-4031-01 1133476 COUMADIN TABS WARFARIN SODIUM TABLETS 5MG 100/BT RX 51672-4032-01 4064001 COUMADIN TABS WARFARIN SODIUM TABLETS 6MG 100/BT RX 51672-4033-01 1133477 COUMADIN TABS WARFARIN SODIUM TABLETS 7.5MG 100/BT RX 51672-4034-01 1133478 COZAAR TABLETS LOSARTAN POTASSIUM TABLETS 25MG 90/BT RX 68382-0135-16 1162729 COZAAR TABLETS LOSARTAN POTASSIUM TABLETS 50MG 30/BT RX 68382-0136-06 1162731 COZAAR TABLETS LOSARTAN POTASSIUM TABLETS 50MG 90/BT RX 68382-0136-16 1162732 COZAAR TABLETS LOSARTAN POTASSIUM TABLETS 100MG 30/BT RX 68382-0137-06 1167527 COZAAR TABLETS LOSARTAN POTASSIUM TABLETS 100MG 90/BT RX 68382-0137-16 1162720 CRAMP TABLETS CRAMP TABS MEDI-FIRST 125x2/BX OTC 47682-0810-48 8390255 CROLOM SOLUTION CROMOLYN SODIUM OPHTH SOLUTION 4% 10ML/BT RX 61314-0237-10 1102615 CUPRIC ACID INJ CUPRIC SULFATE INJ SDV 10ML 0.4MG/ML 25/BX INJ 00517-6210-25 2580830 CUTIVATE OINT FLUTICASONE PROPIONATE OINTMENT 0.005% 15GM/TB RX 45802-0221-35 1101023 CYANIDE ANTIDOTE CYANIDE ANTIDOTE KIT EACH RX 11098-0507-01 1044157 CYANOCOBALAMIN INJ CYANOCOBALAMIN INJ (B-12) SDV 1ML 1000MCG/ML 25/BX INJ 00517-0031-25 2441902 CYANOCOBALAMIN INJ CYANOCOBALAMIN INJ (B-12) MDV 10ML 1000MCG/ML 25/BX INJ 00517-0032-25 8709048 CYANOCOBALAMIN INJ CYANOCOBALAMIN INJ (B-12) MDV 10ML 1000MCG/ML EACH INJ 00517-0032-25 2484301 CYANOCOBALAMIN INJ CYANOCOBALAMIN INJ (B-12) MDV 30ML 1000MCG/ML 5/BX INJ 00517-0130-05 1039497 CYANOCOBALAMIN INJ CYANOCOBALAMIN INJ (B-12) MDV 30ML 1000MCG/ML EACH INJ 00517-0130-05 1116120 CYCLOGYL SOLUTION CYCLOPENTOLATE HCL OPHTH SOLUTION 1% 2ML/BT RX 61314-0396-01 1100864 CYCLOGYL SOLUTION CYCLOPENTOLATE HCL OPHTH SOLUTION 1% 2ML/BT RX 24208-0735-01 6295439 CYCLOGYL SOLUTION CYCLOPENTOLATE HCL OPHTH SOLUTION 1% 15ML/BT RX 17478-0100-12 1161960 CYTOMEL TABLETS LIOTHYRONINE SODIUM TABLETS 25MCG 100/BT RX 00574-0222-01 1134538 CYTOMEL TABLETS LIOTHYRONINE SODIUM TABLETS 5MCG 100/BT RX 00574-0220-01 1134536 CYTOSAR-U INJ CYTARABINE INJ MDV 50ML AQUEOUS PBP 20MG/ML EACH INJ 61703-0303-46 1042888 CYTOSAR-U INJ CYTARABINE INJ SDV 5ML LYOPH PRESERV FREE 100MG/VL 10/BX INJ 55390-0131-10 1024578 CYTOTEC TABS MISOPROSTOL TABLETS 100MCG 60/BT RX 00172-4430-49 1025129 CYTOTEC TABS MISOPROSTOL TABLETS 200MCG 60/BT RX 00172-4431-49 1029527 CYTOVENE CAPS GANCICLOVIR CAPSULES 250MG 180/BT RX 63304-0636-28 1045879 CYTOXAN INJ CYCLOPHOSPHAMIDE INJ LYOPH SDV 50ML 500MG/VL EACH RX 10019-0955-01 1045491 CYTOXAN INJ CYCLOPHOSPHAMIDE INJ LYOPH SDV 75ML 1GM/VL EACH RX 10019-0956-01 1047861 CYTOXAN INJ CYCLOPHOSPHAMIDE INJ LYOPH SDV 100ML 2GM/VL EACH RX 10019-0957-01 1108939 CYTOXAN TABS CYCLOPHOSPHAMIDE TABLETS 25MG 100/BT RX 00054-4129-25 1028664 CYTOXAN TABS CYCLOPHOSPHAMIDE TABLETS 50MG 100/BT RX 00054-4130-25 1027148 D.H.E. 45 INJ DIHYDROERGOTAMINE MES INJ AMPULE 1ML 1MG/ML 5/BX INJ 00574-0850-05 1100854 D.H.E. 45 INJ DIHYDROERGOTAMINE MES INJ AMPULE 1ML 1MG/ML 10/BX INJ 00574-0850-10 1100855 D.H.E. 45 INJ DIHYDROERGOTAMINE MES INJ SDV 1ML 1MG/ML 10/BX INJ 55390-0013-10 1042246 Page 11 of 46 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# DACRIOSE SOLUTION EYE WASH SOLUTION 0.5OZ/BT OTC 59390-0175-13 1044374 DACRIOSE SOLUTION EYE WASH SOLUTION 1OZ/BT OTC 59390-0175-18 1044375 DACRIOSE SOLUTION EYE WASH SOLUTION 4OZ/BT OTC 59390-0175-35 1101011 DACRIOSE SOLUTION EYE WASH SOLUTION 16OZ/BT OTC 59390-0175-46 1049586 DACRIOSE, COLLYRIUM MEDI-WASH EYE IRRIGANT MEDI-FIRST 4OZ/BT OTC 47682-0198-19 1514399 DACRIOSE, COLLYRIUM MEDI-WASH EYE IRRIGANT TWIST CAP MEDI-FIRST NON- RESEAL 1OZ/BT OTC 47682-0198-28 1107545 DALMANE CAPS FLURAZEPAM HCL CAPSULES 15MG 100/BT C4 RX 00143-3367-01 1023213 DALMANE CAPS FLURAZEPAM HCL CAPSULES 30MG 100/BT C4 RX 00143-3370-01 1027598 DALMANE CAPS FLURAZEPAM HCL CAPSULES 30MG 500/BT C4 RX 00143-3370-05 1023212 DANOCRINE CAPS DANAZOL CAPSULES 100MG 100/BT RX 00527-1368-01 1119746 DANOCRINE CAPS DANAZOL CAPSULES 200MG 60/BT RX 00527-1369-06 1142025 DANTRIUM CAPS DANTROLENE SODIUM CAPSULES 25MG 100/BT RX 00115-4411-01 1100619 DANTRIUM INJ DANTROLENE INJ LYOPH SDV 20MG/VL 6/BX INJ 27505-0001-65 1155107 DAYQUIL LIQUICAPS DAY TIME LIQUID CAPS 12/BX OTC 00904-5763-12 1140417 DDAVP INJ DESMOPRESSIN ACETATE INJ MDV 10ML 4MCG/ML EACH INJ 00703-5054-01 2585847 DDAVP INJ DESMOPRESSIN ACETATE INJ W/PRES 1ML 4MCG/ML 10/BX INJ 00703-5051-03 2581694 DDAVP NASAL SPRAY DESMOPRESSIN ACETATE NASAL SPRAY 0.01% 5ML/BT RX 60505-0815-00 1100862 DEBROX LIQUID CARBAMIDE EAR WAX DROPS 6.5% 15ML/BT OTC 00536-3000-94 1100849 DECADRON INJ DEXAMETHASONE SOD PHO INJ SDV 1ML 4MG/ML 25/BX INJ 00517-4901-25 8700288 DECADRON INJ DEXAMETHASONE SOD PHO INJ MDV 5ML 4MG/ML 25/BX INJ 00517-4905-25 8703329 DECADRON INJ DEXAMETHASONE SOD PHO INJ MDV 5ML 4MG/ML EACH INJ 00517-4905-25 1113174 DECADRON INJ DEXAMETHASONE SOD PHO INJ MDV 30ML 4MG/ML 25/BX INJ 00517-4930-25 8708528 DECADRON INJ DEXAMETHASONE SOD PHO INJ MDV 30ML 4MG/ML EACH INJ 00517-4930-25 2581970 DECADRON INJ DEXAMETHASONE SOD PHO INJ SDV 1ML 10MG/ML 25/BX INJ 00641-0367-25 1386758 DECADRON INJ DEXAMETHASONE SOD PHO INJ SDV 1ML PF 10MG/ML 25/BX INJ 63323-0506-01 4067616 DECADRON INJ DEXAMETHASONE SOD PHO INJ MDV 10ML 10MG/ML 10/BX INJ 63323-0516-10 1123411 DECADRON INJ DEXAMETHASONE SOD PHO INJ MDV 10ML 10MG/ML EACH RX 63323-0516-10 2489101 DECADRON LIQUID DEXAMETHASONE ORAL CONCENTRATE 1MG/ML 30ML/BT RX 00054-3176-44 2487057 DECADRON LIQUID DEXAMETHASONE ORAL ELIXIR 0.5MG/5ML 500ML/BT RX 00054-3177-63 1089735 DECADRON SOLUTION DEXAMETHASONE SOD PHOS OPHTH SOLUTION 0.1% 5ML/BT RX 61314-0294-05 1153319 DECADRON TABS DEXAMETHASONE TABLETS 0.5MG 100/BT RX 00054-4179-25 1026392 DECADRON TABS DEXAMETHASONE TABLETS 0.75MG 100/BT RX 49884-0085-01 1024017 DECADRON TABS DEXAMETHASONE TABLETS 1MG 100/BT RX 00054-4181-25 1089451 DECADRON TABS DEXAMETHASONE TABLETS 1.5MG 100/BT RX 00054-4182-25 1031077 DECADRON TABS DEXAMETHASONE TABLETS 2MG 100/BT RX 00054-4183-25 1084329 DECADRON TABS DEXAMETHASONE TABLETS 4MG 100/BT RX 00054-4184-25 1030810 DECADRON TABS DEXAMETHASONE TABLETS 6MG 100/BT RX 00054-4186-25 1086280 DECLOMYCIN TABS DEMECLOCYCLINE HCL TABLETS 150MG 100/BT RX 65162-0554-10 1107457 DECLOMYCIN TABS DEMECLOCYCLINE HCL TABLETS 300MG 48/BT RX 65162-0555-48 1107456 DECOREL FORTE TABS DECOREL FORTE PLUS TABLETS W EXPECTORANT 250x2/BX OTC 47682-0425-13 1045615 DELATESTRYL INJ TESTOSTERONE ENANTHATE INJ MDV 5ML 200MG/ML EACH INJ 00591-3221-26 1045565 DELESTROGEN INJ ESTRADIOL VALERATE MDV INJ 20MG/ML EACH INJ 00574-0870-05 1148090 DELTASONE LIQUID PREDNISONE ORAL CONCENTRATE 5MG/ML 30ML/BT RX 00054-3721-44 1085489 DELTASONE LIQUID PREDNISONE ORAL SOLUTION 5MG/5ML 500ML/BT RX 00054-3722-63 2381336 DELTASONE TABS PREDNISONE TABLETS 1MG 100/BT RX 59746-0171-06 1118923 DELTASONE TABS PREDNISONE TABLETS 2.5MG 100/BT RX 00054-4742-25 1101325 DELTASONE TABS PREDNISONE TABLETS 5MG 100/BT RX 00603-5337-21 1145438 DELTASONE TABS PREDNISONE TABLETS 5MG 1000/BT RX 00143-1475-10 1145511 DELTASONE TABS PREDNISONE TABLETS 10MG 100/BT RX 00603-5338-21 1049401 DELTASONE TABS PREDNISONE TABLETS 10MG 500/BT RX 00603-5338-28 1086147 DELTASONE TABS PREDNISONE TABLETS 10MG 1000/BT RX 00603-5338-32 4080169 DELTASONE TABS PREDNISONE TABLETS 10MG 10x10UD RX 00054-0017-20 1101324 DELTASONE TABS PREDNISONE TABLETS 20MG 100/BT RX 00603-5339-21 1145442 DELTASONE TABS PREDNISONE TABLETS 20MG 500/BT RX 00603-5339-28 1119237 DELTASONE TABS PREDNISONE TABLETS 20MG 1000/BT RX 00603-5339-32 1146195 DELTASONE TABS PREDNISONE TABLETS 20MG 10x10UD RX 00054-0018-20 2483138 DELTASONE TABS PREDNISONE TABLETS 50MG 100/BT RX 00054-0019-25 1049482 DEMADEX INJ TORSEMIDE INJ SDV 2ML 10MG/ML EACH INJ 00517-0770-10 2580090 DEMADEX INJ TORSEMIDE INJ SDV 5ML 10MG/ML EACH INJ 00517-0771-10 2580089 DEMADEX TABS TORSEMIDE TABLETS 20MG 100/BT RX 00054-0077-25 1082711 Page 12 of 46 3N BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# DEMEROL 50MG MEPERIDINE HCL TABLETS UD 50MG 25/PK C2 RX 00054-8595-11 1115925 DEMEROL INJ MEPERIDINE HCL INJ SDV 1ML 100MG/ML 25/BX C2 INJ 10019-0162-01 1042956 DEMEROL INJ MEPERIDINE HCL INJ SDV 1ML 25MG/ML 25/BX C2 INJ 10019-0159-01 1042954 DEMEROL INJ MEPERIDINE HCL INJ SDV 1ML 50MG/ML 25/BX C2 INJ 10019-0160-01 1045990 DEMEROL LIQUID MEPERIDINE HCL ORAL SYRUP 50MG/5ML 500ML/BT C2 RX 00054-3545-63 1098414 DEMEROL TABS MEPERIDINE HCL TABLETS 100MG 100/BT C2 RX 00603-4416-21 1101076 DEMEROL TABS MEPERIDINE HCL TABLETS 50MG 100/BT C2 RX 00603-4415-21 1101075 DENTURE CLEANSING TABS DENTURE CLEANSING TABLETS 42/BX OTC 80707-0437-01 1144205 DEPACON INJ VALPROATE SODIUM INJ SDV 5ML 100MG/ML 10/BX INJ 55390-0007-10 1044056 DEPAKENE CAPS VALPROIC ACID CAPSULES 250MG 100/BT RX 00591-4012-01 4082201 DEPAKENE LIQUID VALPROIC ACID ORAL SYRUP 250MG/5ML 480ML/BT RX 50383-0792-16 1048625 DEPAKOTE ER TABLETS DIVALPROEX SODIUM DR TABLETS 250MG 100/BT RX 62756-0797-88 1146807 DEPAKOTE ER TABLETS DIVALPROEX SODIUM DR TABLETS 500MG 100/BT RX 62756-0798-88 1134632 DEPO-MEDROL INJ METHYLPREDNISOLONE ACETATE INJ SDV 1ML 40MG/ML 10/BX INJ 00781-3131-95 1140807 DEPO-MEDROL INJ METHYLPREDNISOLONE ACETATE INJ SDV 1ML 40MG/ML EACH INJ 00703-0031-01 1044687 DEPO-MEDROL INJ METHYLPREDNISOLONE ACETATE INJ MDV 10ML 40MG/ML EACH INJ 00781-3136-70 1147427 DEPO-MEDROL INJ METHYLPREDNISOLONE ACETATE INJ SDV 1ML 80MG/ML 10/BX INJ 00781-3132-95 1145059 DEPO-MEDROL INJ METHYLPREDNISOLONE ACETATE INJ SDV 1ML 80MG/ML EACH INJ 00703-0051-01 1048514 DEPO-MEDROL INJ METHYLPREDNISOLONE ACETATE INJ MDV 5ML 80MG/ML EACH INJ 00781-3137-75 1140808 DEPO-PROVERA INJ MEDROXYPROGESTERONE ACETATE INJ SDV 1ML 150MG/ML 25/BX INJ 59762-4537-02 1082357 DEPO-PROVERA INJ MEDROXYPROGESTERONE ACETATE INJ SDV 1ML 150MG/ML EACH INJ 59762-4537-01 1083517 DEPO-PROVERA INJ MEDROXYPROGESTERONE ACETATE INJ SYRINGE PF 1ML 150MG/ML EACH INJ 59762-4538-01 1087694 DEPO-TESTOSTERONE INJ TESTOSTERONE CYPIONATE INJ MDV 10ML 200MG/ML EACH 3N INJ 00591-3223-79 1045953 DEPO-TESTOSTERONE INJ TESTOSTERONE CYPIONATE INJ MDV 10ML 200MG/ML EACH 3N INJ 00574-0820-10 1105416 DEPO-TESTOSTERONE INJ TESTOSTERONE CYPIONATE INJ SDV 1ML 200MG/ML EACH 3N INJ 00574-0820-01 6020010 DEPO-TESTOSTERONE INJ TESTOSTERONE CYPIONATE INJ SDV 10ML 100MG/ML EACH 3N INJ 00781-3073-70 1086949 DESFERAL INJ DEFEROXAMINE MESYLATE INJ SDV 500MG/VL 4/BX INJ 00591-3974-04 1157189 DESFERAL INJ DEFEROXAMINE MESYLATE INJ SDV 30ML 2GM/VL EACH INJ 00591-3975-30 1157188 DESITIN OINT DIAPER RASH OINTMENT 4OZ/TB OTC 00713-0258-04 1153574 DESOGEN; ORTHO-CEPT TABS DESOGESTREL/ETHINYL ESTRADIOL OC TABLETS 0.15/0.03MG 6x28 RX 52544-0954-28 1100848 DESOWEN LOTION DESONIDE TOPICAL LOTION 0.05% 118ML/BT RX 00472-0803-04 1146795 DESYREL TABS TRAZODONE HCL TABLETS 100MG 100/BT RX 00603-6161-21 1154445 DESYREL TABS TRAZODONE HCL TABLETS 150MG 100/BT RX 50111-0441-01 1085521 DESYREL TABS TRAZODONE HCL TABLETS 50MG 100/BT RX 00603-6160-21 1154452 DESYREL TABS TRAZODONE HCL TABLETS 50MG 1000/BT RX 00603-6160-32 1154444 DEXEDRINE SPANSULES DEXTROAMPHETAMINE SULFATE TABLETS 10MG 100/BT C2 RX 00555-0953-02 1119245 DEXEDRINE SPANSULES DEXTROAMPHETAMINE SULFATE TABLETS 5MG 100/BT C2 RX 00555-0952-02 1119244 DEXTRAN DEXTROSE INJ DEXTRAN 40 10% IN 5% DEXTROSE 500ML 12BG/CA INJ 00409-7418-03 1113914 DEXTRAN SOD INJ DEXTRAN 10% IN 0.9 NACL 500ML 12BG/CA INJ 00409-7419-03 1109540 DEXTROSE IN WATER DEXTROSE 5% IN WATER 250ML 1/BT RX 00409-1522-02 2950035 DEXTROSE INJ DEXTROSE INJ FTV 50ML (ADDITIVE) 50% 25/BX INJ 00409-6648-02 1046864 DEXTROSE INJ DEXTROSE INJ FTV 50ML (ADDITIVE) 50% EACH INJ 00409-6648-02 2486614 DEXTROSE INJ DEXTROSE INJ SYRINGE (ABBOJ) 50ML 18Gx1.5" 50% 10/BX INJ 00409-4902-34 2583728 DEXTROSE INJ DEXTROSE INJ SYRINGE (ABBOJ) 50ML 18Gx1.5" 50% EACH INJ 00409-4902-34 2480297 DEXTROSE INJ DEXTROSE INJ SYRINGE (ANSYR 2) 50ML 50% 10/BX INJ 00409-7517-16 1046862 DEXTROSE INJ DEXTROSE INJ SYRINGE (ANSYR 2) 50ML 50% EACH INJ 00409-7517-16 2480724 DEXTROSE INJ DEXTROSE INJ SYRINGE (ANSYR) 10ML 25% 10/BX INJ 00409-1775-10 1140577 DEXTROSE INJ DEXTROSE INJ SYRINGE (ANSYR) 10ML 25% EACH INJ 00409-1775-10 2486407 DIABETA TABS GLYBURIDE TABLETS (D) 1.25MG 50/BT RX 00093-9477-53 1025075 DIABETA TABS GLYBURIDE TABLETS (D) 2.5MG 100/BT RX 00093-9433-01 1027496 DIABETA TABS GLYBURIDE TABLETS (D) 5MG 100/BT RX 00093-9364-01 1024450 DIABETA TABS GLYBURIDE TABLETS (D) 5MG 500/BT RX 00093-9364-05 1026326 DIAMOX INJ ACETAZOLAMIDE SODIUM INJ STER PWD SDV 10ML 500MG/VL EACH INJ 39822-0190-01 1161041 DIAMOX SEQUELS ACETAZOLAMIDE ER CAPSULES UD BLISTERPACK 500MG 30/BX RX 68084-0401-21 1162441 DIAMOX TABS ACETAZOLAMIDE TABLETS 125MG 100/BT RX 51672-4022-01 1088488 DIAMOX TABS ACETAZOLAMIDE TABLETS 250MG 100/BT RX 00527-1050-01 1020001 DICKINSONS LIQUID WITCH HAZEL LIQUID 16OZ/BT OTC 01033-1000-16 1010955 DIDREX TABS BENZPHETAMINE HCL TABLETS RX 64376-0650-01 1089856 DIFLUCAN INJ DIFLUCAN SUSP 50MG 100/BT FLUCONAZOLE W/NACL INJ FLEX BAGS 100ML 2MG/ML 6/BX INJ 00409-4688-23 1099304 FLUCONAZOLE FOR ORAL SUSPENSION 10MG/ML 35ML/BT RX 59762-5029-01 1147451 Page 13 of 46 C3 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# DIFLUCAN SUSP FLUCONAZOLE FOR ORAL SUSPENSION 40MG/ML 35ML/BT RX 00054-0003-85 1148379 DIFLUCAN TABS FLUCONAZOLE TABLETS 50MG 30/BT RX 00172-5410-46 1114781 DIFLUCAN TABS FLUCONAZOLE TABLETS 100MG 30/BT RX 00172-5411-46 1047945 DIFLUCAN TABS FLUCONAZOLE TABLETS 100MG 100/BT RX 00172-5411-60 1147410 DIFLUCAN TABS FLUCONAZOLE TABLETS 150MG 12/BL PK RX 00172-5412-11 1118691 DIFLUCAN TABS FLUCONAZOLE TABLETS 200MG 30/BT RX 00172-5413-46 1047946 DILANTIN EX CAPS PHENYTOIN SODIUM ER CAPSULES 100MG 100/BT RX 62756-0402-01 1100696 DILANTIN EX CAPS PHENYTOIN SODIUM ER CAPSULES 100MG 1000/BT RX 51672-4111-03 1088004 DILANTIN INJ PHENYTOIN SODIUM INJ AMPULE 2ML 50MG/ML 25/BX INJ 00409-1317-01 1046993 DILANTIN INJ PHENYTOIN SODIUM INJ SDV 5ML 50MG/ML 25/BX INJ 00143-9881-25 1100623 DILANTIN INJ PHENYTOIN SODIUM INJ SDV 5ML 50MG/ML EACH INJ 00143-9881-25 6023288 DILANTIN INJ PHENYTOIN SODIUM INJ SDV 2ML 50MG/ML 25/BX INJ 00143-9882-25 1104047 DILANTIN INJ PHENYTOIN SODIUM INJ SDV 2ML 50MG/ML EACH INJ 00641-0493-21 2482309 DILANTIN SUSP PHENYTOIN ORAL SUSPENSION 125MG/5ML 240ML/BT RX 51672-4069-01 1131016 DILAUDID INJ HYDROMORPHONE HCL INJ MDV 20ML 2MG/ML EACH C2 INJ 00641-2341-41 1087957 DILAUDID INJ HYDROMORPHONE HCL INJ SYR (CARPJT LL SLMPK) 1ML 1MG/ML 10/BX C2 INJ 00409-1283-31 1046409 DILAUDID INJ HYDROMORPHONE HCL INJ SYR (CARPJT LL SLMPK) 1ML 2MG/ML 10/BX C2 INJ 00409-1312-30 1046543 DILAUDID TABS HYDROMORPHONE HCL TABLETS 2MG 100/BT C2 RX 00406-3243-01 1046691 DILAUDID TABS HYDROMORPHONE HCL TABLETS 4MG 100/BT C2 RX 00527-1354-01 1049609 DILAUDID TABS HYDROMORPHONE HCL TABLETS 4MG 4X25/PK C2 RX 00054-0264-24 1155070 DIMETAPP DM ELIXIR BROMPHENIRAMINE/PSEUDO/DEXTRO ORAL ELIXIR 4OZ/BT OTC 00603-0852-94 1081958 DIMETAPP DM ELIXIR BROMPHENIRAMINE/PSEUDO/DEXTRO ORAL ELIXIR 8OZ/BT OTC 54838-0136-70 1029107 DIMETAPP ELIXIR NF BROMPHENIRAMINE/PSEUDO ORAL ELIXIR 16OZ/BT OTC 54838-0125-80 1028995 DIMETAPP ELIXIR NF BROMPHENIRAMINE/PSEUDO ORAL ELIXIR 4OZ/BT OTC 00603-0851-94 1087017 DIMETAPP ELIXIR NF BROMPHENIRAMINE/PSEUDO ORAL ELIXIR 8OZ/BT OTC 54838-0125-70 1027039 DIPRIVAN INJ PROPOFOL INJ EMULSION SDV 100ML 10MG/ML 10/BX INJ 63323-0270-65 1146134 DIPRIVAN INJ PROPOFOL INJ EMULSION SDV 20ML 10MG/ML 5/BX INJ 63323-0270-20 1142569 DIPRIVAN INJ PROPOFOL INJ EMULSION SDV 50ML 10MG/ML 20/BX INJ 63323-0270-50 1146133 DIPROLENE AF CREAM BETAMETHASONE DIP CREAM AUGMNTD 0.05% 15GM/TB RX 45802-0376-35 1089009 DIPROLENE OINT BETAMETHASONE DIP OINTMENT AUGMNTD 0.05% 45GM/TB RX 00472-0382-45 1158119 DIPROSONE CREAM BETAMETHASONE DIP CREAM 0.05% 15GM/TB RX 00168-0055-15 1026809 DIPROSONE CREAM BETAMETHASONE DIP CREAM 0.05% 45GM/TB RX 00168-0055-46 1029509 DIPROSONE LOTION BETAMETHASONE DIP LOTION 0.05% 60ML/BT RX 00168-0057-60 4210258 DIPROSONE OINT BETAMETHASONE DIP OINTMENT 0.05% 15GM/TB RX 00472-0381-15 1022436 DIPROSONE OINT BETAMETHASONE DIP OINTMENT 0.05% 45GM/TB RX 00472-0381-45 1028125 DISALCID TABS SALSALATE TABLETS 750MG 100/BT RX 65162-0513-10 1141753 DITROPAN LIQUID OXYBUTYNIN CHLORIDE ORAL SYRUP 5MG/5ML 480ML/BT RX 54838-0507-80 4080017 DITROPAN TABS OXYBUTYNIN CHLORIDE TABLETS 5MG 100/BT RX 00603-4975-21 1085203 DIURIL TABS CHLOROTHIAZIDE TABLETS 250MG 100/BT RX 00143-1209-01 1027167 DIURIL TABS CHLOROTHIAZIDE TABLETS 500MG 100/BT RX 00143-1210-01 1118738 DOBUTREX INJ DOBUTAMINE HCL INJ SDV 20ML 12.5MG/ML 10/BX INJ 55390-0560-90 1023139 DOBUTREX INJ DOBUTAMINE HCL INJ SDV 20ML 12.5MG/ML EACH INJ 55390-0560-90 2487964 DOBUTREX INJ DOBUTAMINE IN 5% DEXTROSE INJ 250ML 250MG 12/BX INJ 00409-2346-32 9285998 DOBUTREX INJ DOBUTAMINE IN 5% DEXTROSE INJ 250ML 500MG 12/BX INJ 00409-2347-32 1049507 DOBUTREX INJ DOBUTAMINE INJ FVT SDV 20ML 12.5MG/ML EACH INJ 00409-2344-01 1078342 DOLOBID TABS DIFLUNISAL TABLETS 500MG 60/BT RX 00093-0755-06 4253706 DOLOPHINE TABS METHADONE HCL TABLETS 10MG 100/BT RX 00406-5771-01 4080114 DOMEBORO LIQUID ACETIC ACID/ALUM OTIC SOLUTION 2% 60ML/BT RX 24208-0615-77 1137241 DONNATAL TABS BELLADONNA ALK/PHENO TABLETS 1000/BT RX 00143-1140-10 4002002 DOPRAM INJ DOXAPRAM HCL MDV INJ 20ML 20MG/ML EACH INJ 55390-0035-01 1111500 DOSTINEX TABS CABERGOLINE TABLETS 0.5MG 8/BT RX 49884-0673-14 1118793 DRAMAMINE INJ DIMENHYDRINATE INJ SDV 1 ML 50MG/ML 25/BX INJ 63323-0366-01 1044189 DRAMAMINE TABS DIMENHYDRINATE TABLETS 50MG 100/BT OTC 00904-2051-59 1146112 DRAMAMINE TABS DIMENHYDRINATE TABLETS 50MG 1000/BT OTC 00603-3327-32 1088727 DRAMAMINE TABS DIMENHYDRINATE TABLETS 50MG 12UD OTC 00904-2051-12 1087666 DRISDOL CAPSULES VITAMIN D CAPSULES 50M IU 100/BT RX 50111-0990-01 1119817 DULCOLAX SUPP BISACODYL SUPPOSITORIES 10MG 12/BX OTC 57896-0444-12 1048640 DULCOLAX SUPP BISACODYL SUPPOSITORIES 10MG 100/BX OTC 00713-0109-01 1100615 DULCOLAX TABS BISACODYL EC TABLETS 5MG 100/BT OTC 00904-7927-60 1024176 DULCOLAX TABS BISACODYL EC TABLETS 5MG 1000/BT OTC 49483-0003-10 1118737 Page 14 of 46 C2 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# DULCOLAX TABS BISACODYL EC TABLETS 5MG 10X10UD OTC 00904-7927-61 1082754 DUONEB INH SOLUTION IPRATROPIUM/ALBUTEROL INHAL SOLUTION 0.5/3MG 30x3ML RX 00591-3433-30 1118918 DUONEB INH SOLUTION IPRATROPIUM/ALBUTEROL INHAL SOLUTION 0.5/3MG 60x3ML RX 16252-0547-66 4250003 DURACLON INJ CLONIDINE HCL INJ SDV 10ML 100MCG/ML EACH INJ 00517-0730-01 1148416 DURAGESIC PATCH FENTANYL TRANSDERMAL RES PATCH 25MCG/HR 5/BX C2 RX 67767-0120-18 1047359 DURAGESIC PATCH FENTANYL TRANSDERMAL RES PATCH 50MCG/HR 5/BX C2 RX 67767-0121-18 1049868 DURAGESIC PATCH FENTANYL TRANSDERMAL RES PATCH 75MCG/HR 5/BX C2 RX 67767-0122-18 1047362 DURAGESIC PATCH FENTANYL TRANSDERMAL RES PATCH 100MCG/HR 5/BX C2 RX 67767-0123-18 1047327 DURICEF CAPS CEFADROXIL CAPSULES 500MG 50/BT RX 59762-2000-01 1146982 DURICEF CAPS CEFADROXIL CAPSULES 500MG 100/BT RX 65862-0085-01 1157494 DURICEF SUSP CEFADROXIL ORAL SUSPENSION 250MG/5ML 100ML/BT RX 68180-0181-02 1118773 DURICEF SUSP CEFADROXIL ORAL SUSPENSION 500MG/5ML 100ML/BT RX 68180-0182-03 1118774 DURICEF SUSP CEFADROXIL ORAL SUSPENSION 500MG/5ML 75ML/BT RX 68180-0182-02 1137054 DYAZIDE NF CAPS TRIAMTERENE/HCTZ CAPSULES 37.5MG/25MG 100/BT RX 00781-2074-01 1119176 DYNACIN TABS MINOCYCLINE TABLETS 75MG 100/BT RX 63304-0695-01 1046474 DYNAPEN CAPS DICLOXACILLIN CAPSULES 250MG 100/BT RX 00781-2248-01 1147166 DYNAPEN CAPS DICLOXACILLIN CAPSULES 500MG 100/BT RX 00781-2258-01 1146629 E.E.S. TABS ERYTHROMYCIN ETHYLSUCC TABLETS 400MG 100/BT RX 00074-2589-13 2990026 EC NAPROSYN TABS NAPROXEN EC TABLETS 375MG 100/BT RX 00093-1005-01 1119184 EC NAPROSYN TABS NAPROXEN EC TABLETS 500MG 100/BT RX 00093-1006-01 1119185 ECHINACEA CAPS ECHINACEA CAPSULES 400MG 100/BT OTC ECOTRIN LOW DOSE TABS ASPIRIN EC TABLETS 81MG 120/BT OTC 00603-0026-22 1118781 ECOTRIN LOW DOSE TABS ASPIRIN EC TABLETS 81MG 1000/BT OTC 49483-0054-10 1118772 ECOTRIN TABS ASPIRIN EC TABLETS 325MG 100/BT OTC 49483-0052-01 1145881 ECOTRIN TABS ASPIRIN EC TABLETS 325MG 1000/BT OTC 49483-0052-10 1146032 EFFEXOR TABS VENLAFAXINE HCL TABLETS 37.5MG 100/BT RX 68382-0019-01 1118815 EFFEXOR XR VENLAFAXINE HCL ER CAPS 150MG 30/BT RX 00093-7386-56 1155580 EFFEXOR XR VENLAFAXINE HCL ER CAPS 150MG 90/BT RX 00093-7386-98 1155581 EFFEXOR XR VENLAFAXINE HCL ER CAPS 37.5MG 30/BT RX 00093-7384-56 1155577 EFFEXOR XR VENLAFAXINE HCL ER CAPS 75MG 30/BT RX 00093-7385-56 1155578 EFFEXOR XR VENLAFAXINE HCL ER CAPS 75MG 90/BT RX 00093-7385-98 1155579 ELAVIL TABS AMITRIPTYLINE TABLETS 10MG 100/BT RX 00603-2212-21 1049144 ELAVIL TABS AMITRIPTYLINE TABLETS 10MG 1000/BT RX 00603-2212-32 1049916 ELAVIL TABS AMITRIPTYLINE TABLETS 25MG 100/BT RX 00603-2213-21 1049146 ELAVIL TABS AMITRIPTYLINE TABLETS 25MG 1000/BT RX 00603-2213-32 1049917 ELAVIL TABS AMITRIPTYLINE TABLETS 50MG 100/BT RX 00603-2214-21 1049147 ELAVIL TABS AMITRIPTYLINE TABLETS 50MG 1000/BT RX 00603-2214-32 1049921 ELAVIL TABS AMITRIPTYLINE TABLETS 75MG 100/BT RX 00603-2215-21 1049153 ELAVIL TABS AMITRIPTYLINE TABLETS 100MG 100/BT RX 00603-2216-21 1049148 ELAVIL TABS AMITRIPTYLINE TABLETS 150MG 100/BT RX 00603-2217-21 1049149 ELDEPRYL CAPS SELEGILINE HCL CAPSULES 5MG 60/BT RX 67253-0700-06 1082865 ELDOQUIN FORTE CREAM HYDROQUINONE CREAM 4% 30GM/TB RX 45802-0980-64 1118863 ELIMITE CREAM PERMETHRIN CREAM 5% 60GM/TB RX 45802-0269-37 1041033 ELOCON CREAM MOMETASONE FUROATE CREAM 0.1% 15GM/TB RX 45802-0257-35 1155219 ELOCON CREAM MOMETASONE FUROATE CREAM 45GM 0.1% 6/PK RX 00168-0270-46 1114823 ELOCON OINT MOMETASONE FUROATE OINTMENT 0.1% 15GM/TB RX 45802-0119-37 1101022 ELOCON OINT MOMETASONE FUROATE OINTMENT 0.1% 45GM/TB RX 00713-0635-37 1146733 EMLA CREAM LIDOCAINE W/PRILOCAINE CREAM 2.5%/2.5% 30GM/TB RX 00168-0357-30 4706229 EMLA CREAM LIDOCAINE W/PRILOCAINE CREAM 5GM TUBE 2.5%/2.5% 5/BX RX 00168-0357-55 1100902 EMLA CREAM WITH DRESSINGS LIDOCAINE/PRILOCAINE CREAM WITH DRESSING 2.5%/2.5% 5X10/CA RX 00168-0357-56 1161317 ENDURON TABS METHYCLOTHIAZIDE TABLETS 5MG 100/BT RX 00378-0160-01 1088076 EPHEDRINE SULFATE INJ EPHEDRINE SULFATE INJ SDV 1ML 25MG/ML 25/BX INJ 66758-0008-02 1089109 EPHEDRINE SULFATE INJ EPHEDRINE SULFATE INJ AMPULES 1ML 50MG/ML 10/BX INJ 17478-0515-00 1147033 EPHEDRINE SULFATE INJ EPHEDRINE SULFATE INJ AMPULES 1ML 50MG/ML 50/BX INJ 00409-3073-31 1046891 EPSOM SALT EPSOM SALTS CARTON 16OZ OTC 1086779 EPSOM SALT EPSOM SALTS CARTON 2LB OTC 1086785 EPSOM SALT EPSOM SALTS CARTON 4LB OTC EQUANIL TABS MEPROBAMATE TABLETS 200MG 100/BT C4 RX 00591-5239-01 1028279 EQUANIL TABS MEPROBAMATE TABLETS 400MG 100/BT C4 RX 23155-0129-01 1146627 ERYC CAPS ERYTHROMYCIN DR CAPSULES 250MG 100/BT RX 00074-6301-13 2990025 Page 15 of 46 1118730 1086790 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# ERYGEL 2%, EMGEL ERYTHROMYCIN TOPICAL GEL 2% 30GM/TB RX 00168-0216-30 1134576 ERYTHROCIN INJ ERYTHROMYCIN LACTOB INJ 10ML 500MG 10/BX INJ 00409-6482-01 1047000 ERYTHROCIN TABS ERYTHROMYCIN STEARATE TABLETS 250MG 100/BT RX 00074-6346-20 2990038 ERYTHROMYCIN TABS ERYTHROMYCIN BASE FILMTABS 250MG 100/BT RX 00074-6326-13 2586136 ERYTHROMYCIN TABS ERYTHROMYCIN BASE FILMTABS 500MG 100/BT RX 00074-6227-13 2990037 ESGIC CAPS BUTALBITAL/APAP/CAFFEINE CAPSULES 50/325/40MG 100/BT RX 00603-2546-21 1081995 ESGIC PLUS TABS BUTALBITAL/APAP/CAFFEINE TABLETS 50/500/40MG 100/BT RX 00603-2545-21 1081994 ESKALITH CAPS LITHIUM CARBONATE CAPSULES 150MG 100/BT RX 00054-2526-25 1101048 ESKALITH CAPS LITHIUM CARBONATE CAPSULES 300MG 100/BT RX 00143-3189-01 1087234 ESKALITH CAPS LITHIUM CARBONATE CAPSULES 300MG 1000/BT RX 00143-3189-10 1081346 ESKALITH CAPS LITHIUM CARBONATE CAPSULES 600MG 100/BT RX 00054-2531-25 1087291 ESKALITH CR TABS LITHIUM CARBONATE ER TABLETS 450MG 100/BT RX 00143-1277-01 4080036 ESTRACE TABS ESTRADIOL TABLETS 0.5MG 100/BT RX 00555-0899-02 1101060 ESTRACE TABS ESTRADIOL TABLETS 1MG 100/BT RX 00555-0886-02 1101058 ESTRACE TABS ESTRADIOL TABLETS 2MG 100/BT RX 00555-0887-02 1101059 ETHRANE INH SOLUTION ENFLURANE INH COMPOUND 250ML 6/CASE RX 66794-0010-25 1137831 ETHYL ALCOHOL ALCOHOL ETHYL 70% 16OZ/BT OTC 30869-1056-10 1088152 EXCEDRIN TABS ASPIRIN-CAFFEINE ADULT STR TABLETS 100/BT OTC 00182-1455-01 1100466 EXCEDRIN TABS PAIN-OFF TABLETS 250/250/65 100x2/BX OTC 47682-0228-47 1519333 EXELON CAPSULES RIVASTIGMINE TARTRATE CAPSULES 1.5MG 60/BT RX 62756-0146-86 1155582 EXELON CAPSULES RIVASTIGMINE TARTRATE CAPSULES 3MG 60/BT RX 62756-0145-87 1155583 EXELON CAPSULES RIVASTIGMINE TARTRATE CAPSULES 4.5MG 60/BT RX 62756-0147-86 1155584 EXELON CAPSULES RIVASTIGMINE TARTRATE CAPSULES 6MG 60/BT RX 62756-0148-86 1155585 FASTIN CAPS PHENTERMINE HCL CAPSULES BLUE/CLEAR 30MG 100/BT C4 RX 10702-0028-01 1107400 FASTIN CAPS PHENTERMINE HCL CAPSULES BLUE/CLEAR 30MG 1000/BT C4 RX 10702-0028-10 1107403 FELDENE CAPS PIROXICAM CAPSULES 10MG 100/BT RX 29033-0012-01 1153921 FELDENE CAPS PIROXICAM CAPSULES 20MG 100/BT RX 00093-0757-01 1101346 FEOSOL LIQUID FERROUS SULFATE ORAL ELIXIR 220MG/5ML 16OZ/BT OTC 50383-0778-16 1119235 FER-IN-SOL LIQUID FERROUS SULFATE ORAL DROPS 125MG/ML 50ML/BT OTC 54838-0002-50 1147164 FERROUS GLUC TABS FERROUS GLUCONATE TABLETS 27MG 100/BT OTC 57896-0724-01 1146031 FERROUS SULF TABS FERROUS SULFATE TABLETS GREEN 5GR 100/BT OTC 49483-0063-01 1118734 FERROUS SULF TABS FERROUS SULFATE TABLETS GREEN 5GR 1000/BT OTC 49483-0063-10 1146074 FIBERCON TABS POLYCARBOPHIL-CALC LAXATIVE TABLETS 90/BT OTC 00113-0477-75 1136958 FIORICET TABS BUTALBITAL/APAP/CAFFEINE TABLETS 50/325/40MG 100/BT RX 00603-2544-21 4080071 FIORICET TABS BUTALBITAL/APAP/CAFFEINE TABLETS 50/325/40MG 500/BT RX 00603-2544-28 4080072 FIORICET/CODEINE CAPS BUTALBITAL/APAP/CAFFEINE/CODEINE CAPSULES 50/325/40/30MG 100/BT C3 RX 00603-2553-21 4080073 FIORINAL CAPS BUTALBITAL/ASPIRINA/CAFFEINE CAPSULES 50/325/40MG 100/BT C3N RX 00591-3219-01 1146884 FIORINAL TABS BUTALBITAL/ASPIRIN/CAFFEINE TABLETS 50/325/40MG 100/BT C3N RX 00143-1785-01 1021941 FIORINAL TABS BUTALBITAL/ASPIRIN/CAFFEINE TABLETS 50/325/40MG 1000/BT C3N RX 00143-1785-10 1024249 FIORINAL/COD #3 CAPS BUTALBITAL/ASPIRIN/CAFFEINE/CODEINE CAPSULES 50/325/40/30MG 100/BT C3 RX 00527-1312-01 1024582 FIRST AID CREAM FIRST AID CREAM W/ ALOE FOIL PK 0.9GM 144/BX OTC 59898-0901-03 4501204 FIRST AID CREAM FIRST AID CREAM W/ ALOE FOIL PK 0.9GM 25/BX OTC 59898-0901-01 3260880 FLAGYL INJ METRONIDAZOLE INJ BAG 100ML 500MG 24/BX INJ 00409-7811-24 1046971 FLAGYL TABS METRONIDAZOLE TABLETS 250MG 100/BT RX 50111-0333-01 1048586 FLAGYL TABS METRONIDAZOLE TABLETS 250MG 250/BT RX 50111-0333-06 1043644 FLAGYL TABS METRONIDAZOLE TABLETS 250MG 500/BT RX 50111-0333-02 4210613 FLAGYL TABS METRONIDAZOLE TABLETS 500MG 100/BT RX 50111-0334-01 4041401 FLAGYL TABS METRONIDAZOLE TABLETS 500MG 50/BT RX 00591-3970-50 1133726 FLAGYL TABS METRONIDAZOLE TABLETS 500MG 500/BT RX 50111-0334-02 1101034 FLEET ENEMA PHOSPHATE ENEMAS 4.5OZ EACH OTC 00536-7415-51 1106344 FLEXERIL TABS CYCLOBENZAPRINE TABLETS 5MG 100/BT RX 00603-3078-21 1118830 FLEXERIL TABS CYCLOBENZAPRINE TABLETS 10MG 100/BT RX 00603-3079-21 1145518 FLEXERIL TABS CYCLOBENZAPRINE TABLETS 10MG 500/BT RX 65162-0541-50 1106544 FLEXERIL TABS CYCLOBENZAPRINE TABLETS 10MG 1000/BT RX 00603-3079-32 1146749 FLOMAX CAPSULES TAMSULOSIN HCL CAPSULES 0.4MG 100/BT RX 00228-2996-11 4210001 FLONASE SPRAY FLUTICASONE PROPIONATE NASAL SPRAY 50MCG 16GM RX 00054-3270-99 1049096 FLORINEF TABS FLUDROCORTISONE ACETATE TABLETS 0.1MG 100/BT RX 00555-0997-02 1101064 FLUMADINE TABS RIMANTADINE HCL TABLETS 100MG 100/BT RX 00115-1911-01 1145146 FLUORESCITE INJ FLUORESCEIN SOD INJ OPHTH SOL SDV 5ML 10% 12/BX INJ 17478-0253-10 2452955 FLUORETS STRIPS FLUORESCEIN SOD OPHTH STRIPS 1MG 100/BX RX 17478-0404-01 1043735 Page 16 of 46 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# FLUORETS STRIPS FLUORESCEIN SOD OPHTH STRIPS 1MG 100/BX RX 24208-0391-82 1103506 FLUORETS STRIPS FLUORESCEIN SOD OPHTH STRIPS 1MG 300/BX RX 17478-0403-03 2451894 FLURACAINE SOLUTION FLUORESCEIN/PROPARACAINE OPHTH SOLUTION 0.25%/0.5% 5ML/BT RX 59390-0205-05 1045670 FLURESS SOLUTION FLUORESCEIN/BENOXINATE OPHTH SOLUTION 0.25%/0.4% 5ML/BT RX 24208-0732-05 1027149 FML SUSP FLUOROMETHOLONE OPHTH SUSPENSION 0.1% 5ML/BT RX 60758-0880-05 1107070 FML SUSP FLUOROMETHOLONE OPHTH SUSPENSION 0.1% 15ML/BT RX 60758-0880-15 1107067 FOLVITE INJ FOLIC ACID INJ MDV 10ML 5MG/ML EACH INJ 63323-0184-10 1049941 FOLVITE OTC TABS FOLIC ACID TABLETS OTC 400MCG 100/BT OTC 00536-3844-01 1106679 FOLVITE OTC TABS FOLIC ACID TABLETS OTC 800MCG 1000/BT OTC FOLVITE TABS FOLIC ACID TABLETS 1MG 100/BT RX 64125-0127-10 1154912 FOLVITE TABS FOLIC ACID TABLETS 1MG 1000/BT RX 64125-0127-10 1154913 FORANE LIQUID ISOFLURANE LIQUID INHAL 100ML 99.9% EACH INJ 66794-0011-10 1084258 FORANE LIQUID ISOFLURANE LIQUID INHAL 250ML 99.9% EACH INJ 66794-0011-25 1084262 FORTAZ, TAZICEF INJ CEFTAZIDIME INJ STER PWD PBP 6GM 6/BX INJ 10019-0693-04 1105639 FORTAZ, TAZICEF INJ CEFTAZIDIME INJ STER PWD SDV 1GM/VL 25/BX INJ 10019-0691-02 1108251 FORTAZ, TAZICEF INJ CEFTAZIDIME INJ STER PWD SDV 2GM/VL 10/BX INJ 00409-5084-11 1154188 FOSAMAX TABS ALENDRONATE SODIUM TABLETS 35MG 4/PK RX 00093-5172-44 1145931 FOSAMAX TABS ALENDRONATE SODIUM TABLETS 70MG 4/PK RX 00591-3173-04 1145824 FUDR INJ FLOXURIDINE INJ LYOPH STER PWD 5ML 500MG/VL EACH INJ 55390-0135-01 1043249 GARAMYCIN CREAM GENTAMICIN SULFATE CREAM 0.1% 15GM/TB RX 00168-0071-15 1020572 GARAMYCIN CREAM GENTAMICIN SULFATE CREAM 0.1% 30GM/TB RX 45802-0056-11 1087056 GARAMYCIN INJ GENTAMICIN SULFATE 0.9% BAG 80MG/50ML 24/CA INJ 00264-5816-31 1118187 GARAMYCIN INJ GENTAMICIN SULFATE INJ 0.9% NACL 100ML 0.8MG/ML 24/PK INJ 00409-7884-23 1117945 GARAMYCIN INJ GENTAMICIN SULFATE INJ PED MDV 2ML 10MG/ML 25/BX INJ 63323-0513-02 1048366 GARAMYCIN INJ GENTAMICIN SULFATE INJ PED SDV 2ML 10MG/ML 25/BX INJ 63323-0173-02 1135797 GARAMYCIN INJ GENTAMICIN SULFATE INJ SDV 2ML 40MG/ML 25/BX INJ 00409-1207-03 1049944 GARAMYCIN INJ GENTAMICIN SULFATE INJ SDV 2ML 40MG/ML EACH INJ 00409-1207-03 2489959 GARAMYCIN INJ GENTAMICIN SULFATE INJ MDV 20ML 40MG/ML 25/BX INJ 63323-0010-20 1131602 GARAMYCIN OINT GENTAMICIN SULFATE OINTMENT 0.1% 15GM/TB RX 00168-0078-15 4733872 GARAMYCIN OINT GENTAMICIN SULFATE OINTMENT 0.1% 30GM/TB RX 45802-0046-11 1026373 GARAMYCIN OINT GENTAMICIN SULFATE OPHTH OINTMENT 0.3% 3.5GM/TB RX 17478-0284-35 2455255 GARAMYCIN SOLUTION GENTAMICIN SULFATE OPHTH SOLUTION 0.3% 15ML/BT RX 24208-0580-64 1142773 GARAMYCIN SOLUTION GENTAMICIN SULFATE OPHTH SOLUTION 0.3% 5ML/BT RX 61314-0633-05 1023752 GARLIC OIL SG CAPS GARLIC OIL SOFTGELS 1000MG 100/BT OTC GEMZAR INJ GEMCITABINE HCL INJ 200ML 200MG EACH INJ 00781-3282-75 1162882 GEMZAR INJ GEMCITABINE HCL INJ 50ML 1GM EACH INJ 00781-3283-79 1162883 GENTAMYCIN SULFATE ISOTONIC GENTAMYCIN SULFATE ISOTONIC IV BAG 100MG/BAG 24X50ML/CA INJ 00338-0511-41 1140708 GINKGOBILOBA CAPS GINKGOBILOBA CAPSULES 60MG 60/BT OTC GLUCAGON INJ GLUCAGON DIAGNOSTIC KIT 2ML 1MG EACH INJ 55390-0004-01 1042145 GLUCOPHAGE TABS METFORMIN HCL TABLETS 500MG 100/BT RX 57664-0397-51 1116257 GLUCOPHAGE TABS METFORMIN HCL TABLETS 500MG 1000/BT RX 57664-0397-58 1155001 GLUCOPHAGE TABS METFORMIN HCL TABLETS 500MG 500/BT RX 57664-0397-53 1139723 GLUCOPHAGE TABS METFORMIN HCL TABLETS 850MG 100/BT RX 57664-0435-51 1119146 GLUCOPHAGE TABS METFORMIN HCL TABLETS 850MG 1000/BT RX 57664-0435-58 1109359 GLUCOPHAGE TABS METFORMIN HCL TABLETS 850MG 500/BT RX 57664-0435-53 1117884 GLUCOPHAGE TABS METFORMIN HCL TABLETS 1000MG 100/BT RX 57664-0474-51 1116320 GLUCOPHAGE TABS METFORMIN HCL TABLETS 1000MG 1000/BT RX 57664-0474-58 1146594 GLUCOPHAGE TABS METFORMIN HCL TABLETS 1000MG 500/BT RX 57664-0474-53 1116252 GLUCOPHAGE XR TABS METFORMIN HCL ER TABLETS 500MG 100/BT RX 53746-0178-01 1119208 GLUCOPHAGE XR TABS METFORMIN HCL ER TABLETS 500MG 500/BT RX 53746-0178-05 1118889 GLUCOSAMINE CAPS GLUCOSAMINE SULFATE CAPSULES 500MG 60/BT OTC GLUCOSAMINE TABS GLUCOSAMINE/CHONDROITIN/MSM TABLETS 60/BT OTC GLUCOTROL TABS GLIPIZIDE TABLETS 5MG 100/BT RX 00172-3649-60 1044897 GLUCOTROL TABS GLIPIZIDE TABLETS 5MG 500/BT RX 00591-0460-05 1139826 GLUCOTROL TABS GLIPIZIDE TABLETS 5MG 1000/BT RX 00591-0460-10 1089101 GLUCOTROL TABS GLIPIZIDE TABLETS 10MG 100/BT RX 00591-0461-01 1021689 GLUCOTROL TABS GLIPIZIDE TABLETS 10MG 500/BT RX 00591-0461-05 1021982 GLUCOTROL XL TABS GLIPIZIDE ER TABLETS 2.5MG 30/BT RX 00591-0900-30 1155537 GLUCOTROL XL TABS GLIPIZIDE ER TABLETS 5MG 100/BT RX 00228-2899-10 1114994 GLUCOTROL XL TABS GLIPIZIDE ER TABLETS 10MG 100/BT RX 00228-2990-10 1109333 Page 17 of 46 1082196 1025300 4013475 4568623 4563748 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# GLUCOVANCE TABS GLYBURIDE/METFORMIN TABLETS 1.25/250MG 100/BT RX 00093-5710-01 1105028 GLUCOVANCE TABS GLYBURIDE/METFORMIN TABLETS 2.5/500MG 100/BT RX 65862-0081-01 1146798 GLUCOVANCE TABS GLYBURIDE/METFORMIN TABLETS 5/500MG 100/BT RX 65862-0082-01 1146090 GLYCERIN SUPP GLYCERIN ADULT SUPPOSITORIES 50/JR OTC 00713-0101-51 4712250 GLYCERIN SUPP GLYCERIN ADULT SUPPOSITORIES 100/JR OTC 00713-0101-02 1023010 GLYCERIN SUPP GLYCERIN PEDIATRIC SUPPOSITORIES 12/JR OTC 00713-0102-13 6474393 GLYCERIN SUPP GLYCERIN PEDIATRIC SUPPOSITORIES 25/JR OTC 00713-0102-26 4712325 GLYNASE TABS GLYBURIDE MICRO TABLETS 1.5MG 100/BT RX 67253-0460-10 1084182 GLYNASE TABS GLYBURIDE MICRO TABLETS 3MG 100/BT RX 67253-0461-10 1082824 GLYNASE TABS GLYBURIDE MICRO TABLETS 6MG 100/BT RX 67253-0462-10 4080243 GOLYTELY GAVILYTE-G FOR ORAL SOLUTION 236GM/BT RX 43383-0090-19 1148170 GONIOSOL SOLUTION HYDROXYPROPYLENE METHYL OPHTH SOLUTION 2.5% 15ML/BT RX 59390-0182-13 1049229 GONIOSOL SOLUTION HYDROXYPROPYLENE METHYL OPHTH SOLUTION 2.5% 15ML/BT RX 17478-0064-12 2453090 GREEN SOAP TINCT GREEN SOAP TINCTURE OD 16OZ/BT OTC GREEN SOAP TINCT GREEN SOAP TINCTURE OD 1GAL OTC GRIFULVIN SUSP GRISEOFULVIN ORAL SUSPENSION 125MG/5ML 4OZ/BT RX 45802-0968-26 1118862 Guaifenesin DM IR Tablets GUAIFENESIN DM IR TABLETS 400/20MG 60/BT OTC 49488-0280-06 1155383 Guaifenesin IR Tablets GUAIFENESIN IR TABLERS 400MG 60/BT OTC 49488-0272-06 1155384 GYNE-LOTRIMIN- 3 CREAM CLOTRIMAZOLE VAGINAL CREAM 3DAY 2% 0.74OZ/TB OTC 51672-6708-00 1106356 GYNE-LOTRIMIN- 7 CREAM CLOTRIMAZOLE VAGINAL CREAM 7DAY 1% 1.5OZ/TB OTC 00472-0220-41 1100838 HABITROL PATCH NICOTINE TRANSDERMAL PATCH 21MG/24HR 7/BX OTC 00067-5126-07 2485580 HALCION TABS TRIAZOLAM TABLETS 0.125MG 10x10UD C4 RX 59762-3717-04 1146768 HALCION TABS TRIAZOLAM TABLETS 0.25MG 10x10UD C4 RX 59762-3718-04 1157463 HALCION TABS TRIAZOLAM TABLETS 0.25MG 500/BT C4 RX 59762-3718-03 1145815 HALDOL DECONATE INJ HALOPERIDOL DEC INJ SDV 1ML 50MG/ML 10/BX INJ 00703-7011-03 1119174 HALDOL DECONATE INJ HALOPERIDOL DEC INJ SDV 1ML 50MG/ML EACH INJ 63323-0469-01 3752605 HALDOL DECONATE INJ HALOPERIDOL DEC INJ MDV 5ML 50MG/ML EACH INJ 63323-0469-05 3759847 HALDOL DECONATE INJ HALOPERIDOL DEC INJ MDV 5ML 100MG/ML EACH INJ 63323-0471-05 3753918 HALDOL INJ HALOPERIDOL LACTATE INJ 1ML SDV 5MG/ML 10/BX INJ 55390-0147-10 1155150 HALDOL LIQUID HALOPERIDOL ORAL CONCENTRATE 2MG/ML 120ML/BT RX 00121-0581-04 4080027 HALDOL TABS HALOPERIDOL TABLETS 0.5MG 100/BT RX 00378-0351-01 6015457 HALDOL TABS HALOPERIDOL TABLETS 10MG 100/BT RX 00781-1397-01 1080199 HALDOL TABS HALOPERIDOL TABLETS 2MG 100/BT RX 00781-1393-01 1118736 HALDOL TABS HALOPERIDOL TABLETS 5MG 100/BT RX 00781-1396-01 1138079 HALLS MEDIKOFF DROPS CLEAR CHERRY 75/PK OTC 47682-0050-22 1515867 HALLS MEDIKOFF DROPS REFILL IND CHERRY 600BULK OTC 47682-0506-01 1514400 HALLS MEDIKOFF DROPS W/APOTHECARY JAR CHERRY 600/JAR OTC 47682-0050-60 1511036 HALLS MEDIKOFF DROPS-SUGAR FREE CHERRY 300/BX OTC 47682-0109-03 1518400 HEPARIN INJ HEPARIN LK/FL SOLUTION SDV 1ML PF 10U/ML 25/BX INJ 63323-0547-01 1158045 HEPARIN INJ HEPARIN LK/FL SOLUTION MDV 1ML 10U/ML 25/BX INJ 63323-0544-01 1046598 HEPARIN INJ HEPARIN LK/FL SOLUTION MDV 10ML 10U/ML 25/BX INJ 00409-1151-70 1133457 HEPARIN INJ HEPARIN LK/FL SOLUTION SYRINGE (CRPJT LL) 1ML 10U/ML 50/BX INJ 00409-1280-31 1049623 HEPARIN INJ HEPARIN LK/FL SOLUTION MDV 1ML 100U/ML 25/BX INJ 63323-0545-01 1069252 HEPARIN INJ HEPARIN LK/FL SOLUTION MDV 5ML 100U/ML 25/PK INJ 63323-0545-05 3787903 HEPARIN INJ HEPARIN LK/FL SOLUTION SDV 2ML 100U/ML 25/BX INJ 63323-0549-01 1158035 HEPARIN INJ HEPARIN LK/FL SOLUTION SYRINGE 10ML 100U/ML 30X8/CA INJ 63807-0600-31 1155547 HEPARIN INJ HEPARIN LK/FL SOLUTION SYRINGE 5ML 100U/ML 100/BX INJ 63807-0100-51 2311295 HEPARIN INJ HEPARIN LK/FL SOLUTION SYRINGE 5ML 100U/ML 1000/CA INJ 63807-0600-51 1136496 HEPARIN INJ HEPARIN LK/FL SOLUTION SYRINGE (CRPJT LL) 3ML 100U/ML 25/BX INJ 00409-1281-33 1103695 HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 1ML 1MU/ML 25/BX INJ 63323-0540-01 3758394 HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 1ML 1MU/ML EACH INJ 63323-0540-01 2480992 HEPARIN INJ HEPARIN SODIUM (PORK) INJ SDV 1ML 1MU/ML 25/BX INJ 00409-2720-01 1162402 HEPARIN INJ HEPARIN SODIUM (PORK) INJ SDV 2ML 1MU/ML 25/BX INJ 63323-0276-02 1046025 HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 10ML 1MU/ML 25/BX INJ 00409-2720-02 2580105 HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 30ML 1MU/ML 25/BX INJ 00409-2720-03 1162406 HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 1ML 5MU/ML 25/BX INJ 63323-0262-01 3753086 HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 1ML 5MU/ML EACH INJ 63323-0262-01 2485236 HEPARIN INJ HEPARIN SODIUM (PORK) INJ SDV 1ML 5MU/ML 25/BX INJ 00409-2723-01 1162408 HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 10ML 5MU/ML 25/BX INJ 00409-2723-02 1162409 HEPARIN INJ HEPARIN SODIUM (PORK) INJ SYR (CRPJ LL SLMPK) 1ML 5MU 10/BX INJ 00409-1402-31 1103696 Page 18 of 46 1029916 1029999 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# HEPARIN INJ HEPARIN SODIUM (PORK) INJ SYRINGE (CRPJT LL) 0.5ML 5MU 50/BX INJ 00409-1316-32 1108697 HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 1ML 10MU/ML 25/BX INJ 63323-0542-01 4548971 HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 5ML 10MU/ML 25/BX INJ 63323-0542-07 3756848 HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 1ML 10MU/ML EACH INJ 63323-0542-01 2488148 HEPARIN INJ HEPARIN SODIUM (PORK) INJ SDV 1ML 10MU/ML 25/BX INJ 00409-2721-01 1162411 HEPARIN INJ HEPARIN SODIUM (PORK) INJ MDV 1ML 20MU/ML 25/BX INJ 63323-0915-01 2728768 HEPARIN INJ HEPARIN SODIUM (PORK) SYRINGE (ISECURE) 2ML 5MU/0.5ML 10/BX INJ 00409-1316-25 1106787 HESPAN INJ HETASTARCH SOD CHLOR INJ 6% 500ML/BAG INJ 00409-7248-03 2586013 HYCAMTIN INJ TOPTECAN HCL INJ VIAL 4MG/VL 5/BX INJ 63323-0762-10 1163019 HYCAMTIN INJ TOPTECAN HCL INJ VIAL 4MG/VL EACH INJ 63323-0762-17 1163018 HYCODAN LIQUID HYDROCODONE/HOMATROPINE ORAL SYRUP 5/1.5MG/5ML 480ML/BT RX 50383-0043-16 1145926 HYDRALAZINE INJ HYDRALAZINE HCL INJ SDV 1ML 20MG/ML 25/BX INJ 00517-0901-25 8811045 HYDRALAZINE INJ HYDRALAZINE HCL INJ SDV 1ML 20MG/ML EACH INJ 00517-0901-25 1104258 HYDREA CAPS HYDROXYUREA CAPSULES 500MG 100/BT RX 00555-0882-02 1048006 HYDRODIURIL TABS HYDROCHLOROTHIAZIDE TABS 12.5MG 100/BT RX 00228-2820-11 1088449 HYDRODIURIL TABS HYDROCHLOROTHIAZIDE TABS 25MG 100/BT RX 00603-3856-21 1049381 HYDRODIURIL TABS HYDROCHLOROTHIAZIDE TABS 25MG 1000/BT RX 00603-3856-32 1049383 HYDRODIURIL TABS HYDROCHLOROTHIAZIDE TABS 50MG 100/BT RX 00603-3857-21 1049384 HYDRODIURIL TABS HYDROCHLOROTHIAZIDE TABS 50MG 1000/BT RX 29300-0129-10 1146349 HYDROGEN PEROXIDE HYDROGEN PEROXIDE 8OZ/BT OTC 30869-4704-10 4718454 HYDROGEN PEROXIDE HYDROGEN PEROXIDE PUMP SPRAY 2OZ/BT OTC 59898-0403-13 3262414 HYDROGEN PEROXIDE HYDROGEN PEROXIDE PUMP SPRAY 4OZ/BT OTC 47682-0257-06 1512773 HYGROTON TABS CHLORTHALIDONE TABLETS 25MG 100/BT RX 00378-0222-01 1115701 HYGROTON TABS CHLORTHALIDONE TABLETS 50MG 100/BT RX 00378-0213-01 1109295 HYTONE CREAM RX HYDROCORTISONE CREAM RX 2.5% 20GM/TB RX 00472-0337-20 1101029 HYTONE CREAM RX HYDROCORTISONE CREAM RX 2.5% 30GM/TB RX 00603-7781-78 1145434 HYTONE CREAM RX HYDROCORTISONE CREAM RX 2.5% LB RX 00168-0080-16 6879243 HYTONE OINT RX HYDROCORTISONE OINTMENT RX 1% 30GM/TB RX 00168-0020-31 1022031 HYTONE OINT RX HYDROCORTISONE OINTMENT RX 1% LB RX 00168-0020-16 4725533 HYTONE OINT RX HYDROCORTISONE OINTMENT RX 2.5% 20GM/TB RX 45802-0014-02 1080813 HYTONE OINT RX HYDROCORTISONE OINTMENT RX 2.5% 30GM/TB RX 00168-0146-30 1024630 HYTONE POWDER RX HYDROCORTISONE TOPICAL POWDER USP 25GM/BT RX 00574-0420-25 1099825 HYTRIN CAPS TERAZOSIN HCL CAPSULES 10MG 100/BT RX 59746-0386-06 1145803 HYTRIN CAPS TERAZOSIN HCL CAPSULES 1MG 100/BT RX 59746-0383-06 1135920 HYTRIN CAPS TERAZOSIN HCL CAPSULES 1MG 10x10UD RX 51079-0936-20 2484154 HYTRIN CAPS TERAZOSIN HCL CAPSULES 2MG 100/BT RX 59746-0384-06 1146500 HYTRIN CAPS TERAZOSIN HCL CAPSULES 5MG 100/BT RX 59746-0385-06 1145802 HYZAAR TABLETS LOSARTAN POTASSIUM/HCTZ TABLETS 100/12.5MG 30/BT RX 00093-7369-56 1148765 HYZAAR TABLETS LOSARTAN POTASSIUM/HCTZ TABLETS 100/12.5MG 90/BT RX 00093-7369-98 1148790 HYZAAR TABLETS LOSARTAN POTASSIUM/HCTZ TABLETS 100/25MG 30/BT RX 00093-7368-56 1148766 HYZAAR TABLETS LOSARTAN POTASSIUM/HCTZ TABLETS 100/25MG 90/BT RX 00093-7368-98 1148896 HYZAAR TABLETS LOSARTAN POTASSIUM/HCTZ TABLETS 50/12.5MG 30/BT RX 00093-7367-56 1148764 HYZAAR TABLETS LOSARTAN POTASSIUM/HCTZ TABLETS 50/12.5MG 90/BT RX 00093-7367-98 1148789 IDAMYCIN PFS INJ IDARUBICIN HCL INJ SDV 10ML 1MG/ML EACH INJ 00703-4155-11 7226691 IDAMYCIN PFS INJ IDARUBICIN HCL INJ SDV 20ML 1MG/ML EACH INJ 00703-4156-11 9101093 IDAMYCIN PFS INJ IDARUBICIN HCL INJ SDV 5ML 1MG/ML EACH INJ 55390-0215-01 1155163 IFEX INJ IFOSFAMIDE INJ STER PWD SDV 30ML 1GM/VL EACH INJ 10019-0925-01 1162042 ILOPAN INJ DEXPANTHENOL INJ SDV 2ML 250MG/ML 25/BX INJ 00517-0131-25 4217948 ILOTYCIN OINT ERYTHROMYCIN OPHTH OINTMENT 0.5% 3.5GM/TB RX 17478-0070-35 1152741 ILOTYCIN OINT ERYTHROMYCIN OPHTH OINTMENT 0.5% 50x1GM/BX RX 48102-0008-11 1156508 IMDUR TABS ISOSORBIDE MONONITRATE ER TABLETS 30MG 100/BT RX 00143-2230-01 1086885 IMDUR TABS ISOSORBIDE MONONITRATE ER TABLETS 60MG 100/BT RX 00143-2260-01 4080040 IMITREX INJ SUMATRIPTAN INJ REFILL 6MG EACH INJ 49884-0483-52 1117765 IMITREX INJ SUMATRIPTAN INJ SDV 6MG 5/PK INJ 42023-0121-05 8905241 IMITREX TABLETS SUMATRIPTAN TABLETS 100MG 9/BT RX 62756-0522-69 1137997 IMITREX TABLETS SUMATRIPTAN TABLETS 25MG 9/BT RX 62756-0520-69 1145336 IMITREX TABLETS SUMATRIPTAN TABLETS 50MG 9/BT RX 62756-0521-69 1137993 IMODIUM AD CAPLETS LOPERAMIDE HCL CAPLETS 2MG 12/BX OTC 51660-0123-12 1119201 IMODIUM AD CAPLETS LOPERAMIDE HCL CAPLETS 2MG 24/BX OTC 57896-0381-24 1107075 IMODIUM AD TABS DIAMODE ANTIDIARRHEAL TABLETS 2MG 100x1/BX OTC 47682-0200-33 1519780 Page 19 of 46 RX C3 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# IMODIUM CAPS LOPERAMIDE HCL CAPSULES 2MG 100/BT RX 00093-0311-01 1101108 IMODIUM CAPS LOPERAMIDE HCL CAPSULES 2MG 500/BT RX 00093-0311-05 1082577 IMODIUM SOLUTION LOPERAMIDE HCL ORAL SOLUTION 1MG/5ML 120ML/BT OTC 50383-0618-04 1025535 IMURAN INJ AZATHIOPRINE SODIUM LYOPH VIAL 20ML 100MG/VL EACH INJ 55390-0600-20 1025174 IMURAN TABS AZATHIOPRINE TABLETS 50MG 100/BT RX 00054-4084-25 9031003 INAPSINE INJ DROPERIDOL INJ AMPULE 2ML 2.5MG/ML 10/BX INJ 00409-1187-01 1046881 INAPSINE INJ DROPERIDOL INJ SDV 2ML 2.5MG/ML 25/BX INJ 00517-9702-25 1093092 INDERAL INJ PROPRANOLOL HCL INJ SDV 1ML 1MG/ML 10/BX INJ 00143-9872-01 1118747 INDERAL INJ PROPRANOLOL HCL INJ SDV 1ML 1MG/ML EACH INJ 55390-0003-10 2484690 INDERAL LA CAPS PROPRANOLOL HCL ER CAPSULES 60 MG 100/BT RX 00228-2778-11 1118802 INDERAL LA CAPS PROPRANOLOL HCL ER CAPSULES 80 MG 100/BT RX 00228-2779-11 1092504 INDERAL LA CAPS PROPRANOLOL HCL ER CAPSULES 120 MG 100/BT RX 00228-2780-11 1092397 INDERAL LA CAPS PROPRANOLOL HCL ER CAPSULES 160 MG 100/BT RX 00228-2781-11 1106988 INDERAL LIQUID PROPRANOLOL HCL ORAL SOLUTION 20MG/5ML 500ML/BT RX 00054-3727-63 1085117 INDERAL LIQUID PROPRANOLOL HCL ORAL SOLUTION 40MG/5ML 500ML/BT RX 00054-3730-63 1085328 INDERAL TABS PROPRANOLOL HCL TABLETS 10MG 100/BT RX 23155-0110-01 1146685 INDERAL TABS PROPRANOLOL HCL TABLETS 10MG 1000/BT RX 23155-0110-10 1147186 INDERAL TABS PROPRANOLOL HCL TABLETS 20MG 100/BT RX 23155-0111-01 1146683 INDERAL TABS PROPRANOLOL HCL TABLETS 20MG 1000/BT RX 23155-0111-10 1141456 INDERAL TABS PROPRANOLOL HCL TABLETS 40MG 100/BT RX 23155-0112-01 1146037 INDERAL TABS PROPRANOLOL HCL TABLETS 40MG 1000/BT RX 23155-0112-10 1118724 INDERAL TABS PROPRANOLOL HCL TABLETS 60MG 100/BT RX 23155-0113-01 1118726 INDERAL TABS PROPRANOLOL HCL TABLETS 80MG 100/BT RX 23155-0114-01 1146717 INDERAL TABS PROPRANOLOL HCL TABLETS 80MG 500/BT RX 23155-0114-05 1146343 INDOCIN CAPS INDOMETHACIN CAPSULES 25MG 100/BT RX 00093-4029-01 1103301 INDOCIN CAPS INDOMETHACIN CAPSULES 25MG 1000/BT RX 00093-4029-10 1104705 INDOCIN CAPS INDOMETHACIN CAPSULES 50MG 100/BT RX 00093-4030-01 1107408 INDOCIN CAPS INDOMETHACIN CAPSULES 50MG 500/BT RX 00093-4030-05 1106488 INFLAMASE FORTE SOLN PREDNISOLONE SODIUM PHOSPHATE OPHTH SOLN 1% 10ML/BT RX 24208-0715-10 4300000 INGIGO CARMINE INJ INDIGOTINDISULFONATE SOD INJ AMP 0.8% 8MG/ML 10/BX INJ 17478-0508-01 1142663 INTAL SOLUTION CROMOLYN SODIUM NEBULIZER 20MG/2ML 120x2ML/BT RX 00172-6406-59 1134997 INTROPINE INJ DOPAMINE HCL INJ SDV 5ML 40MG/ML 25/BX INJ 00409-5820-01 1047076 INTROPINE INJ DOPAMINE HCL INJ SDV 5ML 40MG/ML EACH INJ 00517-1805-25 2584556 INTROPINE INJ DOPAMINE HCL INJ FTV 10ML 40MG/ML 25/BX INJ 00409-9104-20 1106692 INTROPINE INJ DOPAMINE HCL INJ FTV 10ML 40MG/ML EACH INJ 00409-9104-20 2480993 INTROPINE INJ DOPAMINE HCL INJ SDV 5ML 80MG/ML 25/BX INJ 00517-1905-25 4740285 INTROPINE INJ DOPAMINE HCL INJ SDV 5ML 80MG/ML EACH INJ 00517-1905-25 1147375 INTROPINE INJ DOPAMINE HCL INJ SDV 5ML 160MG/ML 25/BX INJ 00517-1305-25 1047180 IOPIDINE OPHTH SOLUTION APRACLONIDINE OPHTHALMIC SOLUTION 0.5% 5ML/BT RX 17478-0716-10 1138159 ISONIAZID TABS ISONIAZID TABLETS 100MG 100/BT RX 00143-1260-01 1100621 ISONIAZID TABS ISONIAZID TABLETS 300MG 100/BT RX 00143-1261-01 1101002 ISOPROPYL ALCOHOL ALCOHOL ISOPROPYL 50% 16OZ/BT OTC 70068-0003-10 1100613 ISOPROPYL ALCOHOL ALCOHOL ISOPROPYL 70% 16OZ/BT OTC 30869-1156-10 1028806 ISOPROPYL ALCOHOL ALCOHOL ISOPROPYL 99% 16OZ/BT OTC 30869-1156-10 1100614 ISOPROPYL ALCOHOL ALCOHOL ISOPROPYL WINTERGREEN 70% 12x16OZ/BT OTC 30869-1306-10 2480000 ISOPTIN INJ VERAPAMIL HCL INJ AMPULES 2ML 2.5MG/ML 5/BX INJ 00409-4011-01 1047052 ISOPTIN INJ VERAPAMIL HCL INJ SDV 2ML 2.5MG/ML 5/BX INJ 00409-1144-01 1046863 ISOPTIN INJ VERAPAMIL HCL INJ SDV 2ML 2.5MG/ML EACH INJ 00409-1144-01 2485836 ISOPTIN INJ VERAPAMIL HCL INJ SDV 4ML 2.5MG/ML 5/BX INJ 00409-1144-02 2484912 ISOPTIN INJ VERAPAMIL HCL INJ SDV 4ML 2.5MG/ML EACH INJ 00409-1144-02 2488365 ISOPTIN INJ VERAPAMIL HCL INJ SYRINGE (ANSYR) 4ML 2.5MG/ML EACH RX 00409-9633-05 2489359 ISOPTIN INJ VERAPAMIL HCL INJ SYRINGE (ANSYR) 4ML 2.5MG/ML 10/BX INJ 00409-9633-05 1105477 ISOPTO ATROPINE LIQUID ATROPINE SULFATE OPHTH SOLUTION 1% 5ML/BT RX 24208-0750-60 1100461 ISOPTO ATROPINE LIQUID ATROPINE SULFATE OPHTH SOLUTION 1% 15ML/BT RX 24208-0750-06 1027783 ISOPTO ATROPINE OINT ATROPINE SULFATE OPHTH OINTMENT 0.1% 3.5GM/TB RX 24208-0825-55 1024270 ISOPTOCARPINE SOLUTION PILOCARPINE OPHTH SOLUTION 1% 15ML/BT RX 61314-0203-15 1118933 ISOPTOCARPINE SOLUTION PILOCARPINE OPHTH SOLUTION 2% 15ML/BT RX 24208-0681-15 1119214 ISOPTOCARPINE SOLUTION PILOCARPINE OPHTH SOLUTION 4% 15ML/BT RX 24208-0686-15 1101117 ISORDIL CR TABS ISOSORBIDE DINITRATE CR TABLETS 40MG 100/BT RX 00258-3613-01 1020101 ISORDIL TABS ISOSORBIDE DINITRATE TABLETS 5MG 100/BT RX 00143-1769-01 4034001 Page 20 of 46 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# ISORDIL TABS ISOSORBIDE DINITRATE TABLETS 10MG 100/BT RX 00143-1771-01 4034101 ISORDIL TABS ISOSORBIDE DINITRATE TABLETS 10MG 1000/BT RX 00143-1771-10 1089987 ISORDIL TABS ISOSORBIDE DINITRATE TABLETS 20MG 100/BT RX 00143-1772-01 4050901 ISORDIL TABS ISOSORBIDE DINITRATE TABLETS 20MG 1000/BT RX 00143-1772-10 4050902 J&J BABY OIL BABY OIL 16OZ/BT OTC 30869-8394-10 1161805 J&J BABY POWDER BABY POWDER 4OZ/BT OTC KANTREX INJ KANAMYCIN SULFATE INJ SDV 3ML 10/BX INJ 63323-0359-03 3104908 KAOPECTATE LIQUID KAOPECTOLIN ORAL SYRUP 12OZ/BT OTC 57896-0391-12 1082733 KAY CIEL LIQUID POTASSIUM CHLORIDE SF ORAL LIQUID 10% 480ML/BT RX 00603-1534-58 1084333 KAY CIEL LIQUID POTASSIUM CHLORIDE SF ORAL LIQUID 20% 480ML/BT RX 00121-0466-16 1145875 K-DUR TABS POTASSIUM CHLORIDE ER TABS (K-DUR) 10MEQ 100/BT RX 00781-5710-01 1136098 K-DUR TABS POTASSIUM CHLORIDE ER TABS (K-DUR) 20MEQ 100/BT RX 62037-0999-01 1101334 K-DUR TABS POTASSIUM CHLORIDE ER TABS (K-DUR) 20MEQ 500/BT RX 62037-0999-05 1101335 KEFLET TABS CEPHALEXIN TABLETS 250MG 100/BT RX 00093-2238-01 1029203 KEFLET TABS CEPHALEXIN TABLETS 500MG 100/BT RX 00093-2240-01 1029301 KEFLEX CAPS CEPHALEXIN CAPSULES 250MG 100/BT RX 00143-9898-01 1155332 KEFLEX CAPS CEPHALEXIN CAPSULES 250MG 500/BT RX 00143-9898-05 1155331 KEFLEX CAPS CEPHALEXIN CAPSULES 500MG 100/BT RX 42043-0141-01 1116624 KEFLEX CAPS CEPHALEXIN CAPSULES 500MG 500/BT RX 00143-9897-05 4080041 KEFLEX SUSP CEPHALEXIN ORAL SUSPENSION 125MG/5ML 100ML/BT RX 42043-0142-38 1118433 KEFLEX SUSP CEPHALEXIN ORAL SUSPENSION 125MG/5ML 200ML/BT RX 42043-0142-58 1117977 KEFLEX SUSP CEPHALEXIN ORAL SUSPENSION 250MG/5ML 100ML/BT RX 42043-0143-38 1117978 KEFLEX SUSP CEPHALEXIN ORAL SUSPENSION 250MG/5ML 200ML/BT RX 42043-0143-58 1117969 KENALOG IN ORABASE TRIAMCINALONE ACETONIDE DENTAL PASTE 0.1% 5GM/TB RX 51672-1267-05 4221853 KERI LOTION MOISTURIZING LOTION 8OZ/BT OTC 92771-0769-08 1086380 KETALAR INJ KETAMINE HCL INJ MDV 5ML 100MG/ML 10/BX C3N INJ 00409-2051-05 1044102 KETALAR INJ KETAMINE HCL INJ MDV 10ML 100MG/ML 10/BX C3N INJ 67457-0108-10 1049007 KETALAR INJ KETAMINE HCL INJ MDV 10ML 50MG/ML 10/BX C3N INJ 67457-0001-10 1049006 KETALAR INJ KETAMINE HCL INJ MDV 20ML 10MG/ML 10/BX INJ 67457-0181-20 1129300 KLONOPIN TABS CLONAZEPAM ORAL DISINTIGRATING TABLETS UD 0.125MG 10X6/PK C4 RX 00555-0094-96 1119533 KLONOPIN TABS CLONAZEPAM ORAL DISINTIGRATING TABLETS UD 0.25MG 10X6/PK C4 RX 49884-0307-02 1156661 KLONOPIN TABS CLONAZEPAM TABLETS 0.5MG 100/BT C4 RX 00603-2948-21 4080076 KLONOPIN TABS CLONAZEPAM TABLETS 0.5MG 500/BT C4 RX 00603-2948-28 1083430 KLONOPIN TABS CLONAZEPAM TABLETS 1MG 100/BT C4 RX 00603-2949-21 4080077 KLONOPIN TABS CLONAZEPAM TABLETS 1MG 500/BT C4 RX 00603-2949-28 1088293 KLONOPIN TABS CLONAZEPAM TABLETS 2MG 100/BT C4 RX 00603-2950-21 4080078 KLONOPIN TABS CLONAZEPAM TABLETS 2MG 500/BT C4 RX 00603-2950-28 1081979 K-LYTE TABS POTASSIUM BICARB EFFERVES TABLETS ORANGE 25MEQ 30/BT RX 50201-2400-02 1146868 KYTRIL INJ GRANISETRON HCL INJ SDV 1ML 0.1MG/ML 5/BX INJ 66758-0035-01 1153718 KYTRIL INJ GRANISETRON HCL INJ SDV 1ML 1MG/ML EACH INJ 64679-0661-03 1109871 KYTRIL INJ GRANISETRON HCL INJ MDV 4ML 1MG/ML EACH INJ 64679-0661-02 1109872 LAC-HYDRIN CREAM AMMONIUM LACTATE CREAM PUMP BOTTLE RX 12% 385GM/BT RX 45802-0493-26 1089066 LAC-HYDRIN CREAM AMMONIUM LACTATE CREAM RX 12% 2x140GM RX 45802-0493-83 1026194 LAC-HYDRIN LOTION AMMONIUM LACTATE TOPICAL LOTION RX 12% 400GM/BT RX 45802-0419-26 1083104 LACTASE ENZYME CAPLET LACTASE ENZYME CAPLETS 60/BT OTC 00904-5224-52 1082946 LACTATED RINGERS LACTATED RINGERS 250ML EACH INJ 00409-7953-02 2587100 LACTATED RINGERS LACTATED RINGERS 500ML EACH INJ 00409-7953-03 2588050 LACTATED RINGERS LACTATED RINGERS 1000ML EACH INJ 00409-7953-09 1048833 LAMICTAL TABS LAMOTRIGINE TABLETS 25MG 100/BT RX 13668-0045-01 1134212 LAMICTAL TABS LAMOTRIGINE TABLETS 100MG 100/BT RX 51672-4131-01 1146773 LAMICTAL TABS LAMOTRIGINE TABLETS 200MG 60/BT RX 13668-0049-60 1134213 LAMISIL AT CREAM TERBINAFINE HCL CREAM 1% 0.5OZ/TB RX 51672-2080-01 1117954 LAMISIL AT CREAM TERBINAFINE HCL CREAM 1% 1OZ/TB RX 51672-2080-02 1117956 LAMISIL TABS TERBINAFINE HCL TABLETS 250MG 100/BT RX 31722-0209-01 1138825 LAMISIL TABS TERBINAFINE HCL TABLETS 250MG 30/BT RX 67405-0543-03 1145816 LANOLIN OINT LANOLIN HYDROUS 1OZ/TB OTC 54162-0595-01 1118715 LANOXIN INJ DIGOXIN INJ AMPULE 2ML 0.25MG/ML 25/BX INJ 00641-1410-35 3751035 LANOXIN INJ DIGOXIN INJ AMPULE 2ML 0.25MG/ML EACH INJ 00641-1410-31 2481659 LANOXIN INJ DIGOXIN INJ SYRINGE 1ML 0.25MG/ML 10/BX INJ 00781-3059-95 1100880 LANOXIN LIQUID DIGOXIN ORAL SOLUTION USP 0.05MG/ML 60ML/BT RX 00054-0057-46 1047349 333MG/ML Page 21 of 46 1026441 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# LANOXIN TABS DIGOXIN TABLETS 0.125MG 100/BT RX 00527-1324-01 2795706 LANOXIN TABS DIGOXIN TABLETS 0.125MG 1000/BT RX 00527-1324-10 1153751 LANOXIN TABS DIGOXIN TABLETS 0.25MG 100/BT RX 00527-1325-01 1027664 LANOXIN TABS DIGOXIN TABLETS 0.25MG 1000/BT RX 00527-1325-10 4011102 LARIAM TABS MEFLOQUINE HCL TABLETS 250MG 25/BT RX 00555-0171-78 1101053 LASIX INJ FUROSEMIDE INJ SDV 2ML 10MG/ML 25/BX INJ 00409-6102-02 1135927 LASIX INJ FUROSEMIDE INJ SDV 2ML 10MG/ML EACH INJ 00409-6102-02 1813332 LASIX INJ FUROSEMIDE INJ SDV 4ML 10MG/ML 25/BX INJ 00409-6102-04 1139733 LASIX INJ FUROSEMIDE INJ SDV 4ML 10MG/ML EACH INJ 00409-6102-04 1819898 LASIX INJ FUROSEMIDE INJ SDV 10ML 10MG/ML 25/BX INJ 00409-6102-10 1046898 LASIX INJ FUROSEMIDE INJ SDV 10ML 10MG/ML EACH INJ 00409-6102-10 2481014 LASIX INJ FUROSEMIDE INJ SYRINGE (ANSYR) 4ML 10MG/ML 10/BX INJ 00409-9631-04 1047055 LASIX INJ FUROSEMIDE INJ SYRINGE (ANSYR) 10ML 10MG/ML 10/BX INJ 00409-1639-10 1047077 LASIX INJ FUROSEMIDE INJ SYRINGE (ANSYR) 10ML 10MG/ML EACH INJ 00409-1639-10 2489356 LASIX SOLUTION FUROSEMIDE ORAL SOLUTION 10MG/ML 60ML/BT RX 60432-0613-60 1021496 LASIX SOLUTION FUROSEMIDE ORAL SOLUTION 10MG/ML 120ML/BT RX 60432-0613-04 1029882 LASIX SOLUTION FUROSEMIDE SOLUTION 5ML U.D. 40MG/5ML 40/BX RX 00054-8298-16 1049705 LASIX TABS FUROSEMIDE TABLETS 20MG 100/BT RX 63304-0624-01 1154207 LASIX TABS FUROSEMIDE TABLETS 20MG 1000/BT RX 63304-0624-10 1154208 LASIX TABS FUROSEMIDE TABLETS 40MG 100/BT RX 63304-0625-01 1154209 LASIX TABS FUROSEMIDE TABLETS 40MG 1000/BT RX 63304-0625-10 1154217 LASIX TABS FUROSEMIDE TABLETS 80MG 100/BT RX 00603-3741-21 1049528 LASIX TABS FUROSEMIDE TABLETS 80MG 500/BT RX 63304-0626-05 1154218 LECITHIN SG CAPS LECITHIN SOFTGELS 1200MG 100/BT OTC 66386-0134-20 4562796 LEUSTATIN INJ CLADRIBINE INJ SDV 10ML 1MG/ML EACH INJ 55390-0124-01 1102175 LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.025MG 100/BT RX 00527-1341-01 1027117 LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.05MG 100/BT RX 00527-1342-01 1027122 LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.05MG 1000/BT RX 00527-1342-10 1152822 LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.075MG 100/BT RX 00527-1343-01 1084007 LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.088MG 100/BT RX 00527-1344-01 1089329 LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.1MG 100/BT RX 00527-1345-01 1027124 LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.1MG 1000/BT RX 00527-1345-10 1101044 LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.112MG 100/BT RX 00527-1346-01 1085306 LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.15MG 100/BT RX 00527-1349-01 1027130 LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.125MG 100/BT RX 00527-1347-01 1027127 LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.175MG 100/BT RX 00527-1350-01 1085124 LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.2MG 100/BT RX 00527-1351-01 1027886 LEVOXYL, SYNTHROID TABS LEVOTHYROXINE SODIUM TABLETS 0.3MG 100/BT RX 00527-1352-01 1028141 LEVSIN LIQUID HYOSCYAMINE ORAL DROPS 0.125MG/ML 15ML/BT RX 54838-0506-15 1047244 LEVSIN LIQUID HYOSCYAMINE ORAL ELIXIR .125MG/5ML 480ML/BT RX 54838-0511-80 1045370 LEVSIN OD TABS HYOSCYAMINE SULF OD TABLETS 0.125MG 100/BT RX 00574-0247-01 1138502 LEVSIN S/L TABS HYOSCYAMINE SUBLINGUAL TABLETS 0.125MG 100/BT RX 00574-0250-01 1138504 LEVSIN TABS HYOSCYAMINE ORAL TABLETS 0.125MG 100/BT RX 00574-0246-01 1138499 LIBRAX CAPS CHLORDIAZEPOXIDE/CLIDINIUM CAPSULES 5/2.5MG 100/BT RX 64376-0808-01 1146433 LIBRAX CAPS CHLORDIAZEPOXIDE/CLIDINIUM CAPSULES 5/2.5MG 1000/BT RX 64376-0808-10 1146442 LIBRIUM CAPS CHLORDIAZEPOXIDE CAPSULES 5MG 100/BT C4 RX 00555-0158-02 1022013 LIBRIUM CAPS CHLORDIAZEPOXIDE CAPSULES 10MG 100/BT C4 RX 00555-0033-02 1021651 LIBRIUM CAPS CHLORDIAZEPOXIDE CAPSULES 10MG 1000/BT C4 RX 00555-0033-05 1155106 LIBRIUM CAPS CHLORDIAZEPOXIDE CAPSULES 25MG 100/BT C4 RX 00555-0159-02 1113877 LIDEX CREAM FLUOCINONIDE CREAM 0.05% 15GM/TB RX 51672-1253-01 4085772 LIDEX CREAM FLUOCINONIDE CREAM 0.05% 30GM/TB RX 51672-1253-02 4085756 LIDEX CREAM FLUOCINONIDE CREAM 0.05% 60GM/TB RX 51672-1253-03 4085758 LIDEX CREAM FLUOCINONIDE CREAM 0.05% 120GM/TB RX 51672-1253-04 1083962 LIDEX GEL FLUOCINONIDE TOPICAL GEL 0.05% 15GM/TB RX 00168-0135-15 1089108 LIDEX OINT FLUOCINONIDE OINTMENT 0.05% 15GM/TB RX 00093-0264-15 1133424 LIDEX OINT FLUOCINONIDE OINTMENT 0.05% 30GM/TB RX 00093-0264-30 1139606 LIDEX OINT FLUOCINONIDE OINTMENT 0.05% 60GM/TB RX 00093-0264-92 1139608 LIDEX SOLUTION FLUOCINONIDE TOPICAL SOLUTION 0.05% 60ML/BT RX 00168-0134-60 1026362 LIORESAL TABS BACLOFEN TABLETS 10MG 100/BT RX 00603-2406-21 4080069 LIORESAL TABS BACLOFEN TABLETS 20MG 100/BT RX 00603-2407-21 4080070 Page 22 of 46 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# LIQUIFILM SOLUTION ARTIFICIAL TEARS OPHTH SOLUTION 15ML/BT OTC 00536-1970-72 1137835 LISTERINE LIQUID MOUTHWASH ANTISEPTIC AMBER 1.5 LITER/BT OTC 30869-9000-94 1021384 LISTERINE LIQUID MOUTHWASH ANTISEPTIC BL/MINT 1.5 LITER/BT OTC 30869-9000-99 1026821 LITHIUM CARB TAB LITHIUM CARBONATE TABLETS 300MG 100/BT RX 00054-4527-25 1146845 LITHOBID SR TABS LITHIUM CARBONATE ER TABLETS 300MG 100/BT RX 00054-0021-25 1139648 LOCOID CREAM HYDROCORTISONE BUTYRATE CREAM 0.1% 15GM/TB RX 43478-0270-15 1155287 LOCOID CREAM HYDROCORTISONE BUTYRATE CREAM 0.1% 45GM/TB RX 51672-4074-06 2480324 LODINE CAPS ETODOLAC CAPSULES 200MG 100/BT RX 51672-4016-01 1085505 LODINE CAPS ETODOLAC CAPSULES 300MG 100/BT RX 00093-8397-01 1089402 LODINE TABS ETODOLAC TABLETS 400MG 100/BT RX 00093-0892-01 1087242 LODINE TABS ETODOLAC TABLETS 400MG 500/BT RX 00228-2599-50 1026639 LODINE TABS ETODOLAC TABLETS 500MG 100/BT RX 51672-4036-01 1101038 LODINE XL TABS ETODOLAC ER TABLETS 500MG 60/BT RX 51672-4052-04 1158728 LODRANE 12D TABS BROMPHENIRAMINE/PSEUDOEPHEDRINE TABS 6/45MG 100/BT OTC 64376-0544-01 1170365 LOMOTIL LIQUID DIPHENOXYLATE/ATROPINE ORAL SOLUTION 2MG/ML 60ML/BT C5 RX 00054-3194-46 1089277 LOMOTIL TABS DIPHENOXYLATE/ATROPINE TABLETS 2.5MG 100/BT C5 RX 00378-0415-01 1118915 LOMOTIL TABS DIPHENOXYLATE/ATROPINE TABLETS 2.5MG 1000/BT C5 RX 00378-0415-10 1134430 LONITEN TABS MINOXIDIL TABLETS 10MG 100/BT RX 00591-5643-01 1118920 LONITEN TABS MINOXIDIL TABLETS 10MG 500/BT RX 00591-5643-05 4080208 LONITEN TABS MINOXIDIL TABLETS 2.5MG 100/BT RX 53489-0386-01 1138697 LO-OVERAL 28 DAY TABS NORGESTREL/ ETHINYL ESTRADIOL OC TABLETS 0.3/0.03MG 6x28 RX 52544-0847-28 1101043 LOPID TABS GEMFIBROZIL TABLETS 600MG 60/BT RX 31722-0225-60 1118833 LOPID TABS GEMFIBROZIL TABLETS 600MG 500/BT RX 31722-0225-05 1145151 LOPRESSOR INJ METOPROLOL TARTRATE INJ AMPULE 5ML 1MG/ML 12/BX INJ 00409-2285-05 1109730 LOPRESSOR INJ METOPROLOL TARTRATE INJ AMPULE 5ML 1MG/ML EACH INJ 00409-2285-05 2488794 LOPRESSOR INJ METOPROLOL TARTRATE INJ SDV 5ML 1MG/ML 10/BX INJ 00143-9873-10 1100622 LOPRESSOR TABS METOPROLOL TARTRATE TABLETS 25MG 100/BT RX 65862-0062-01 1119140 LOPRESSOR TABS METOPROLOL TARTRATE TABLETS 50MG 100/BT RX 00093-0733-01 1119183 LOPRESSOR TABS METOPROLOL TARTRATE TABLETS 50MG 1000/BT RX 57664-0477-58 1146775 LOPRESSOR TABS METOPROLOL TARTRATE TABLETS 100MG 100/BT RX 00591-0463-01 6290922 LOPROX CREAM CICLOPIROX CREAM 0.77% 15GM/TB RX 45802-0138-35 4080118 LOPROX CREAM CICLOPIROX CREAM 0.77% 90GM/TB RX 00168-0313-90 1109567 LOPROX LOTION CICLOPIROX TOPICAL SUSPENSION 0.77% 30ML/BT RX 00168-0314-30 1048929 LORCET 10 TABS HYDROCODONE/APAP TABLETS 10/650MG 100/BT C3 RX 53746-0114-01 4080008 LORCET 10 TABS HYDROCODONE/APAP TABLETS 10/650MG 500/BT C3 RX 00603-3885-28 1119557 LORCET PLUS TABS HYDROCODONE/APAP TABLETS 7.5/650MG 100/BT C3 RX 00603-3884-21 1049387 LORTAB 2.5 TABS HYDROCODONE/APAP TABLETS 2.5/500MG 100/BT C3 RX 00603-3880-21 4080088 LORTAB 7 TABS HYDROCODONE/APAP TABLETS 7.5/500MG 100/BT C3 RX 00603-3882-21 1080255 LORTAB 7 TABS HYDROCODONE/APAP TABLETS 7.5/500MG 10x10UD C3 RX 00406-0358-62 1049157 LORTAB 7 TABS HYDROCODONE/APAP TABLETS 7.5/500MG 500/BT C3 RX 00603-3882-28 1145593 LORTAB 10 TABS HYDROCODONE/APAP TABLETS 10/500MG 100/BT C3 RX 00603-3888-21 1049392 LORTAB 10 TABS HYDROCODONE/APAP TABLETS 10/500MG 500/BT C3 RX 00603-3888-28 1049393 LORTAB LIQUID HYDROCODONE/APAP ORAL ELIXIR 7.5/500MG 480ML/BT C3 RX 00603-1295-58 1101074 LOTENSIN HCTZ TABS BENAZEPRIL HCL/ HCTZ TABLETS 20/12.5MG 100/BT RX 00378-4745-01 1049866 LOTENSIN HCTZ TABS BENAZEPRIL HCL/ HCTZ TABLETS 20/25MG 100/BT RX 00185-0277-01 1087019 LOTENSIN TABS BENAZEPRIL HCL TABLETS 5MG 100/BT RX 00093-5124-01 1123555 LOTENSIN TABS BENAZEPRIL HCL TABLETS 10MG 100/BT RX 00093-5125-01 1129272 LOTENSIN TABS BENAZEPRIL HCL TABLETS 20MG 100/BT RX 00093-5126-01 1123365 LOTENSIN TABS BENAZEPRIL HCL TABLETS 40MG 100/BT RX 65862-0118-01 1146093 LOTREL CAPS AMLODIPINE BESYLATE/BENAZEPRIL CAPSULES 5/10MG 100/BT RX 00591-3758-01 1161821 LOTREL CAPS AMLODIPINE BESYLATE/BENAZEPRIL CAPSULES 5/20MG 100/BT RX 00781-2273-01 1157490 LOTREL CAPS AMLODIPINE BESYLATE/BENAZEPRIL CAPSULES 10/20MG 100/BT RX 00093-7373-01 1100493 LOTRIMIN AF CREAM CLOTRIMAZOLE TOPICAL CREAM OTC 1% 1OZ/TB OTC 83152-7005-05 1146113 LOTRIMIN CREAM CLOTRIMAZOLE TOPICAL CREAM 1% 15GM/TB RX 00168-0133-15 1145674 LOTRIMIN CREAM CLOTRIMAZOLE TOPICAL CREAM 1% 30GM/TB RX 00168-0133-30 1145953 LOTRIMIN CREAM CLOTRIMAZOLE TOPICAL CREAM 1% 45GM/TB RX 00168-0133-46 1146628 LOTRIMIN SOLUTION CLOTRIMAZOLE TOPICAL SOLUTION 1% 10ML/BT OTC 00093-0248-43 1100884 LOTRIMIN SOLUTION CLOTRIMAZOLE TOPICAL SOLUTION 1% 30ML/BT RX 00093-0248-31 1100883 LOTRISONE CREAM CLOTRIMAZOLE/BETAMETHASONE DIPROP CREAM 1%/0.05% 15GM/TB RX 00472-0379-15 1118864 LOTRISONE CREAM CLOTRIMAZOLE/BETAMETHASONE DIPROP CREAM 1%/0.05% 45GM/TB RX 00472-0379-45 1118865 Page 23 of 46 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# LOTRISONE LOTION CLOTRIMAZOLE/BETAMETHASONE DIPROP LOTION 1%/0.05% 30ML/BT RX 51672-1308-03 1064020 LOZOL TABS INDAPAMIDE TABLETS 1.25MG 100/BT RX 00228-2597-11 1049560 LOZOL TABS INDAPAMIDE TABLETS 2.5MG 100/BT RX 00228-2571-11 1049561 LUFYLLIN GG LIQUID DYPHYLLIN/GUIAFENESIN ORAL ELIXIR 100/100MG 480ML/BT RX 54838-0513-80 1101049 LUPRON INJ LEUPROLIDE ACETATE INJ MDV 2.8ML 1MG/0.2ML 6/BX INJ 41616-0936-40 1163192 LUVOX TABS FLUVOXAMINE MALEATE TABLETS 50MG 100/BT RX 42769-1225-00 1144770 LYSINE TABS LYSINE TABLETS 500MG 100/BT OTC MAALOX LIQUID ANTACID ORAL LIQUID 12OZ/BT OTC 57896-0639-12 1044798 MAALOX PLUS LIQUID ANTACID PLUS ORAL LIQUID 12OZ/BT OTC 00113-0588-40 1145963 MAALOX PLUS TABS ALAMAG PLUS TABLETS 200/200/25 100x2/BX OTC 47682-0247-47 1511849 MAALOX PLUS TABS ALAMAG PLUS TABLETS 200/200/25 250x2/BX OTC 47682-0247-13 1510721 MAALOX TABS ALAMAG TABLETS 300/150MG 50x2/BX OTC 47682-0103-33 1518760 MAALOX TABS ALAMAG TABLETS 300/150MG 250x2/BX OTC 47682-0103-13 1517242 MACROBID CAPS NITROFURANTOIN MONOHY MACRO CAPS 100MG 100/BT RX 00185-0122-01 1136859 MACRODANTIN CAPS NITROFURANTOIN MACRO CAPSULES 100MG 100/BT RX 00093-2131-01 1134486 MACRODANTIN CAPS NITROFURANTOIN MACRO CAPSULES 50MG 100/BT RX 00093-2130-01 1118809 MAGNESIUM CHL INJ MAGNESIUM CHLORIDE INJ MDV 50ML 200MG/ML 25/PK INJ 67157-0102-50 1117033 MAGNESIUM CHL INJ MAGNESIUM CHLORIDE INJ MDV 50ML 200MG/ML EACH INJ 67457-0134-50 1047560 MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SDV 2ML 50% 25/BX INJ 00517-2602-25 2583331 MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SDV 2ML 50% EACH INJ 00517-2602-25 2582820 MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SDV 10ML 50% 25/BX INJ 00517-2610-25 2583624 MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SDV 20ML 50% 25/BX INJ 00409-2168-02 2588049 MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SDV 20ML 50% EACH INJ 00409-2168-02 2580220 MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SDV 50ML 50% 25/BX INJ 00517-2650-25 2580020 MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SYRINGE 10ML 50% 10/BX INJ 00074-1754-10 2587918 MAGNESIUM SUL INJ MAGNESIUM SULFATE INJ SYRINGE 10ML 50% EACH INJ 00409-1754-10 2488793 MAGNESIUM SUL INJ MAGNESIUM SULFATE PREMIX 100ML 40MG/ML 24/BX INJ 00409-6729-23 1049567 MAGNESIUM SUL INJ MANGANESE SULFATE INJ SDV 10ML 0.1MG/ML 25/BX INJ 00517-6410-25 2582002 MAGOX 400 TABS MAGNESIUM OXIDE TABLETS 400MG 120/BT OTC 37864-0002-93 1087241 MANNITOL INJ MANNITOL INJ SDV 50ML 25% 25/BX INJ 00409-4031-01 1045397 MANNITOL INJ MANNITOL INJ SDV 50ML 25% EACH INJ 00409-4031-01 2480312 MARCAINE INJ BUPIVACAINE HCL INJ SDV 10ML 0.25% 25/BX INJ 00409-1159-01 1046897 MARCAINE INJ BUPIVACAINE HCL AMPULE 20ML STERILE PK 0.25% 5X5/BX INJ 00409-4272-01 1153436 MARCAINE INJ BUPIVACAINE HCL INJ SDV 30ML 0.25% 25/BX INJ 00409-1159-02 1046982 MARCAINE INJ BUPIVACAINE HCL INJ MDV 50ML 0.25% 25/BX INJ 00409-1160-01 1046963 MARCAINE INJ BUPIVACAINE HCL INJ MDV 50ML 0.25% EACH INJ 00409-1160-01 6023287 MARCAINE INJ BUPIVACAINE HCL INJ SDV 10ML 0.5% 25/BX INJ 00409-1162-01 1107661 MARCAINE INJ BUPIVACAINE HCL INJ AMPULE 30ML 0.5% 5/BX INJ 00409-1161-01 1049839 MARCAINE INJ BUPIVACAINE HCL INJ SDV 30ML 0.5% 25/BX INJ 00409-1162-02 1147523 MARCAINE INJ BUPIVACAINE HCL INJ MDV 50ML 0.5% 25/BX INJ 00409-1163-01 1046883 MARCAINE INJ BUPIVACAINE HCL INJ MDV 50ML 0.5% EACH INJ 00409-1163-01 2488072 MARCAINE INJ BUPIVACAINE HCL INJ SDV 10ML 0.75% 25/BX INJ 00409-1165-01 1100834 MARCAINE INJ BUPIVACAINE HCL INJ SDV 30ML 0.75% 25/BX INJ 00409-1165-02 1046990 MARCAINE W/DEXTROSE INJ BUPIVACAINE/DEXTROSE INJ AMPULE 2ML 0.75% 10/BX INJ 00409-3613-01 1106845 MARCAINE W/EPI INJ BUPIVACAINE/EPI INJ SDV 10ML 0.25%/1:200M 10/BX INJ 00409-9042-01 1089063 MARCAINE W/EPI INJ BUPIVACAINE/EPI INJ SDV 30ML 0.25%/1:200M 10/BX INJ 00409-9042-02 1086286 MARCAINE W/EPI INJ BUPIVACAINE/EPI INJ SDV 30ML 0.25%/1:200M EACH INJ 00409-9042-02 6023286 MARCAINE W/EPI INJ BUPIVACAINE/EPI INJ MDV 50ML 0.25%/1:200M 25/BX INJ 00409-9043-01 1047069 MARCAINE W/EPI INJ BUPIVACAINE/EPI INJ SDV 10ML 0.5%/1:200M 10/BX INJ 00409-9045-01 1081933 MARCAINE W/EPI INJ BUPIVACAINE/EPI INJ SDV 30ML 0.5%/1:200M 10/BX INJ 00409-9045-02 1046896 MARCAINE W/EPI INJ BUPIVACAINE/EPI INJ MDV 50ML 0.5%/1:200M 25/BX INJ 00409-9046-01 1106507 MAXIDONE TABS HYDROCODONE/APAP TABLETS 10/750MG 100/BT RX 00591-3228-01 1048681 MAXIPIME INJ CEFEPIME HCL INJ STER SDV 20ML 1GM/VL 10/BX INJ 25021-0121-20 1145255 MAXIPIME INJ CEFEPIME HCL INJ STER SDV 50ML 2GM/VL 10/BX INJ 25021-0122-50 1144826 MAXITROL OPHTH OINT NEOMYCIN/POLY/DEX OPHTH OINTMENT 0.1% 3.5GM/TB RX 61314-0631-36 1027770 MAXITROL OPHTH SUSP NEOMYCIN/POLY/DEX OPHTH SUSPENSION 0.1% 5ML/BT RX 61314-0630-06 1022697 MAXZIDE TABS TRIAMTERENE/HCTZ TABLETS 37.5MG/25MG 100/BT RX 00591-0424-01 1042428 MAXZIDE TABS TRIAMTERENE/HCTZ TABLETS 75MG/50MG 100/BT RX 60505-2657-01 1101513 MAXZIDE TABS TRIAMTERENE/HCTZ TABLETS 75MG/50MG 500/BT RX 00591-0348-05 1087747 MECLOMEN CAPS MECLOFENAMATE SODIUM CAPSULES 100MG 100/BT RX 00378-3000-01 1027514 Page 24 of 46 C3 1101003 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# MEDICIDIN-D TABLETS MEDICIDIN-D TABLETS 325/2/5 250x2/BX OTC 47682-0120-13 1513101 MEDICIDIN-D TABLETS MEDICIDIN-D TABLETS 325/2/5 50x2/BX OTC 47682-0120-33 1510717 MEDI-LYTE TABLETS MEDI-LYTE TABLETS 40/18/9 250x2/BX OTC 47682-0030-13 1511327 MEDROL DOSEPACK METHYLPREDNISOLONE TABLETS 4MG 21/DS-PK RX 00603-4593-15 1085694 MEDROL TABS METHYLPREDNISOLONE TABLETS 4MG 100/BT RX 00603-4593-21 4080133 MEFOXIN INJ CEFOXITIN SODIUM INJ STER PWD SDV 10ML 1GM/VL 25/BX INJ 63323-0341-20 3758574 MEFOXIN INJ CEFOXITIN SODIUM INJ STER PWD SDV 20ML 2GM/VL 25/BX INJ 63323-0342-20 3754474 MEFOXIN INJ CEFOXITIN SODIUM INJ STER PWD SDV 100ML 10GM PBP 10/BX INJ 63323-0343-61 1088952 MEGA 80 VITAMIN TAS MEGA 80 VITAMIN TABLETS 60/BT OTC MEGACE SUSPENSION MEGESTROL ACETATE ORAL SUSPENSION 40MG/ML 240ML/BT RX 00054-3542-58 1082749 MEGACE TABS MEGESTROL ACETATE TABLETS 20MG 100/BT RX 00054-4603-25 4080175 MEGACE TABS MEGESTROL ACETATE TABLETS 40MG 100/BT RX 00054-4604-25 4080176 MELATONIN TABS MELATONIN TABLETS 3MG 60/BT OTC 00904-5182-52 1084576 MELLARIL TABS THIORIDAZINE TABLETS 10MG 100/BT RX 53489-0148-01 4231701 MELLARIL TABS THIORIDAZINE TABLETS 25MG 100/BT RX 53489-0149-01 1026201 MELLARIL TABS THIORIDAZINE TABLETS 50MG 100/BT RX 53489-0150-01 4231801 MELLARIL TABS THIORIDAZINE TABLETS 100MG 100/BT RX 53489-0500-01 1133517 MEPHYTON PHYTONADIONE INJ (VIT K) 1MG EACH INJ 00548-1140-00 2580068 MESNEX INJ MESNA INJ MDV 10ML 100MG/ML EACH INJ 10019-0953-01 1081263 METAMUCIL POWDER PSYLLIUM POWDER NATURAL 19OZ/BT OTC 00904-5199-66 4738014 METAMUCIL POWDER PSYLLIUM POWDER ORANGE 13OZ/BT OTC 57896-0471-01 1044262 METHADONE LIQUID METHADONE HCL ORAL CONCENTRATE 10MG/ML 30ML/BT C2 RX 00054-3553-44 1087594 METHADONE LIQUID METHADONE HCL ORAL SOLUTION 10MG/5ML 500ML/BT C2 RX 00054-3556-63 1084973 METHADONE LIQUID METHADONE HCL ORAL SOLUTION 5MG/5ML 500ML/BT C2 RX 00054-3555-63 1089555 METHERGINE INJ METHYLERGONOVINE MALEATE INJ SDV 1ML 0.2MG/ML 20/BX INJ 00517-0740-20 1154735 METHOTREXATE SOD INJ METHOTREXATE SODIUM INJ PRES-FREE SDV 2ML 25MG/ML 10/BX INJ 55390-0031-10 1046188 METHOTREXATE SOD INJ METHOTREXATE SODIUM INJ PRES-FREE SDV 2ML 25MG/ML EACH INJ 10139-0062-02 1101526 METHOTREXATE SOD INJ METHOTREXATE SODIUM INJ PRES-FREE SDV 4ML 25MG/ML 10/BX INJ 55390-0032-10 7277730 METHOTREXATE SOD INJ METHOTREXATE SODIUM INJ PRES-FREE SDV 8ML 25MG/ML 10/BX INJ 55390-0033-10 1046185 METHOTREXATE SOD INJ METHOTREXATE SODIUM INJ PRES-FREE SDV 10ML 25MG/ML 10/BX INJ 55390-0034-10 1014815 METHOTREXATE SOD INJ METHOTREXATE SODIUM INJ W/PRES MDV 2ML 25MG/ML 5/BX INJ 61703-0350-38 1047026 METHOTREXATE SOD INJ METHOTREXATE SODIUM INJ W/PRES SDV 10ML 25MG/ML EACH INJ 63323-0123-10 1026487 METHYLENE BLUE INJ METHYLENE BLUE AMPULE 10ML 1% 25/BX INJ 00517-0373-70 1023783 METHYLENE BLUE INJ METHYLENE BLUE AMPULE 1ML 1% 25/BX INJ 00517-0372-71 1028253 METHYLENE BLUE INJ METHYLENE BLUE SDV 10ML 1% 10/BX INJ 00517-0310-10 1067434 METHYLENE BLUE INJ METHYLENE BLUE SDV 1ML 1% 10/BX INJ 00517-0301-10 1117913 METROCREAM METRONIDAZOLE CREAM 0.75% 45GM/TB RX 67405-0110-45 1118722 METROGEL METRONIDAZOLE TOPICAL GEL 0.75% 45GM/TB RX 51672-4116-06 1084259 METROLOTION METRONIDAZOLE TOPICAL LOTION 0.75% 59ML/BT RX 00168-0383-60 1146837 MEVACOR TABS LOVASTATIN TABLETS 10MG 60/BT RX 00228-2633-06 1024462 MEVACOR TABS LOVASTATIN TABLETS 10MG 500/BT RX 00228-2633-50 1109105 MEVACOR TABS LOVASTATIN TABLETS 20MG 60/BT RX 00228-2634-06 1029189 MEVACOR TABS LOVASTATIN TABLETS 40MG 60/BT RX 00228-2635-06 1024463 MEXITIL CAPS MEXILETINE HCL CAPSULES 150MG 100/BT RX 00093-8739-01 3214273 MEXITIL CAPS MEXILETINE HCL CAPSULES 200MG 100/BT RX 00093-8740-01 1103781 MICATIN CREAM MICONAZOLE NITRATE CREAM 2% 0.5OZ/TB OTC 51672-2001-01 1026381 MICATIN CREAM MICONAZOLE NITRATE CREAM 2% 1.5OZ/TB OTC 00472-0735-42 1023283 MICATIN CREAM MICONAZOLE NITRATE CREAM 2% 1OZ/TB OTC 00603-7805-50 1101078 MICRO-K CAPS POTASSIUM CHLORIDE ER CAPSULES 10MEQ 100/BT RX 62037-0560-01 1125684 MICRO-K CAPS POTASSIUM CHLORIDE ER CAPSULES 10MEQ 500/BT RX 62037-0560-05 1126597 MICRONASE TABS GLYBURIDE TABLETS (M) 1.25MG 100/BT RX 00093-8342-01 1026538 MICRONASE TABS GLYBURIDE TABLETS (M) 2.5MG 100/BT RX 00093-8343-01 1025770 MICRONASE TABS GLYBURIDE TABLETS (M) 5MG 100/BT RX 00093-8344-01 1029615 MICRONASE TABS GLYBURIDE TABLETS (M) 5MG 500/BT RX 00093-8344-05 1027619 MICROZIDE CAPS HYDROCHLOROTHIAZIDE CAPSULES 12.5MG 100/BT RX 00603-3855-21 1049286 MINERAL ICE BLUE GEL ICE CHIRO FORMULA 8OZ/JR OTC 66467-0230-38 1048865 MINERAL OIL MINERAL OIL HEAVY 16OZ/BT OTC 30869-0206-10 1118716 MINERAL OIL MINERAL OIL LIGHT 16OZ/BT OTC 54162-0185-16 1084443 MINIPRESS CAPS PRAZOSIN HCL CAPSULES 1MG 100/BT RX 00093-4067-01 1088775 MINIPRESS CAPS PRAZOSIN HCL CAPSULES 2MG 100/BT RX 00093-4068-01 1088773 Page 25 of 46 1045315 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# MINIPRESS CAPS PRAZOSIN HCL CAPSULES 5MG 100/BT RX 00093-4069-01 1156234 MINOCIN CAPS MINOCYCLINE HCL CAPSULES 100MG 50/BT RX 00115-7018-06 1026878 MINOCIN CAPS MINOCYCLINE HCL CAPSULES 100MG 500/BT RX 63304-0696-05 1142121 MINOCIN CAPS MINOCYCLINE HCL CAPSULES 50MG 100/BT RX 00115-7017-01 1026877 MINOCIN CAPS MINOCYCLINE HCL CAPSULES 75MG 100/BT RX 63304-0695-01 1101087 MIRALAX POWDER POLYETHYLENE GLYCOL 3350 POWDER 17GM/DOSE 255GM/BT RX 51991-0457-58 1146405 MIRAPEX TABLETS PRAMIPEXOLE TABLETS 1.5MG 90/BT RX 00555-0615-14 1157546 MOBIC SUSPENSION MELOXICAM ORAL SUSPENSION 7.5MG/5ML 100ML/BT RX 00054-0228-49 1086245 MOBIC TABS MELOXICAM TABLETS 7.5MG 100/BT RX 68180-0501-01 1100711 MOBIC TABS MELOXICAM TABLETS 15MG 100/BT RX 29300-0125-01 1147185 MODURETIC TABS AMILORIDE HCL/HCTZ TABLETS 5MG/50MG 100/BT RX 00555-0483-02 1026374 MONISTAT 7 CREAM MICONAZOLE NITRATE VAGINAL CREAM 2% 45GM/7APP OTC 51672-2035-06 1023230 MONISTAT 7 SUPP MICONAZOLE NITRATE VAGINAL SUPPOSITORIES 100MG 7/BX OTC 00713-0197-57 1100991 MONODOX CAPS DOXYCYCLINE MONOHYDRATE CAPSULES 50MG 100/BT RX 49884-0726-01 1028247 MONOKET TABS ISOSORBIDE MONONITRATE ER TABLETS 10MG 100/BT RX 00228-2631-11 1101020 MONOPRIL TABS FOSINOPRIL SODIUM TABLETS 20MG 90/BT RX 00093-7223-98 1119285 MORPHINE INJ MORPHINE SULFATE INJ AMPULE 1ML 10MG/ML 25/BX C2 INJ 10019-0178-68 1049335 MORPHINE INJ MORPHINE SULFATE INJ FTV 50ML 50MG/ML EACH C2 RX 00409-1134-05 1099591 MORPHINE INJ MORPHINE SULFATE INJ MDV 20ML 15MG/ML EACH C2 INJ 10019-0179-63 1047338 MORPHINE INJ MORPHINE SULFATE INJ SDV 1ML 10MG/ML 25/BX C2 INJ 10019-0178-44 1046646 MORPHINE INJ MORPHINE SULFATE INJ SDV 1ML 5MG/ML 25/BX C2 INJ 10019-0176-44 1104293 MORPHINE INJ MORPHINE SULFATE INJ SYRINGE 10ML 1MG/ML 10/BX C2 INJ 00548-3391-10 1158222 MORPHINE INJ MORPHINE SULFATE INJ SYRINGE 1ML 15MG/ML 10/BX C2 INJ 00409-1264-31 1046551 MORPHINE INJ MORPHINE SULFATE INJ SYRINGE 1ML 2MG/ML 10/BX C2 INJ 00409-1762-30 1046544 MORPHINE INJ MORPHINE SULFATE INJ SYRINGE 1ML 4MG/ML 10/BX C2 INJ 00409-1258-30 1048914 MORPHINE INJ MORPHINE SULFATE INJ SYRINGE 1ML 8MG/ML 10/BX C2 INJ 00409-1260-69 1048469 MORPHINE INJ MORPHINE SULFATE INJ SYRINGE 1ML 10MG/ML 10/BX C2 INJ 00409-1261-30 1046550 MOTRIN CHILDREN'S CHEWABLE TABS IBUPROFEN JR CHEWABLE TABLETS 100MG 24/BT OTC 00113-0461-62 1139843 MOTRIN SUSP IBUPROFEN ORAL SUSPENSION BERRY 100MG/5ML 120ML/BT OTC 00904-5309-20 1158286 MOTRIN SUSP IBUPROFEN ORAL SUSPENSION ORANGE 100MG/5ML 480ML/BT RX 45802-0952-43 1088440 MOTRIN TABS IBUPROFEN TABLETS 400MG 100/BT RX 53746-0464-01 1124221 MOTRIN TABS IBUPROFEN TABLETS 400MG 100UD/BX RX 00904-5853-61 1117792 MOTRIN TABS IBUPROFEN TABLETS 400MG 500/BT RX 67877-0119-05 1145411 MOTRIN TABS IBUPROFEN TABLETS 600MG 100/BT RX 53746-0465-01 1119238 MOTRIN TABS IBUPROFEN TABLETS 600MG 500/BT RX 67877-0120-05 1145414 MOTRIN TABS IBUPROFEN TABLETS 800MG 100/BT RX 53746-0466-01 1119240 MOTRIN TABS IBUPROFEN TABLETS 800MG 500/BT RX 67877-0121-05 1145408 MS CONTIN TABS MORPHINE SULFATE ER TABLETS 15MG 100/BT C2 RX 00406-8315-01 1049965 MS CONTIN TABS MORPHINE SULFATE ER TABLETS 30MG 100/BT C2 RX 00591-3741-01 1158047 MUCOMYST LIQUID ACETYLCYSTEINE SOLUTION 4ML 10% 25/BX RX 00517-7504-25 1100477 MUCOMYST LIQUID ACETYLCYSTEINE SOLUTION 10ML 10% 3/BX RX 00054-3027-02 1029094 MUCOMYST LIQUID ACETYLCYSTEINE SOLUTION 30ML 10% 3/BX RX 00054-3025-02 1084224 MUCOMYST LIQUID ACETYLCYSTEINE SOLUTION 4ML 20% 25/BX RX 00517-7604-25 1100478 MUCOSIL LIQUID ACETYLCYSTEINE SOLUTION 10ML 20% 3/BX RX 00054-3028-02 1026655 MUCOSIL LIQUID ACETYLCYSTEINE SOLUTION 30ML 20% 3/BX RX 00409-3308-03 1077346 MULTITRACE INJ MULTITRACE-4 INJ REG MDV 10ML 25/BX INJ 00517-7410-25 9926748 MULTITRACE INJ MULTITRACE-5 INJ CONCENTRATE 10ML 25/PK INJ 00517-8210-25 1230662 MULTITRACE INJ MULTITRACE-5 INJ CONCENTRATE SDV 1ML 25/PK INJ 00517-8201-25 1084875 MULTITRACE INJ MULTITRACE-5 INJ REG MDV 10ML 25/BX INJ 00517-8510-25 1067914 MURO 128 OINT SODIUM CHLORIDE HYPERTONICITY OINTMENT 5% 3.5GM/TB OTC 59390-0184-50 1048609 MURO 128 SOLUTION SODIUM CHLORIDE HYPERTONICITY SOLUTION 5% 15ML/BT OTC 59390-0183-13 4080066 MUTIMYCIN INJ MITOMYCIN INJ LYOPH SDV 15ML 5MG/VL EACH INJ 16729-0115-05 1133958 MUTIMYCIN INJ MITOMYCIN INJ LYOPH SDV 50ML 20MG/VL EACH INJ 16729-0108-11 1133233 MUTIMYCIN INJ MITOMYCIN INJ LYOPH SDV 100ML 40MG/VL EACH INJ 55390-0253-01 1444123 MVI INJ MVI INJ (MULTI-VITAMIN) SDV 2X5ML ADULT 10/BX INJ 61703-0422-82 1049852 MVI INJ MVI INJ (MULTI-VITAMIN) SDV 5ML PED 10/BX INJ 61703-0421-53 1089653 MYCELEX TROUCHE CLOTRIMAZOLE ORAL TROCHES 10MG 70/PK RX 00054-4146-22 1086234 MYCOLOG II CREAM NYSTATIN/TRIAMCINOLONE ACETONIDE CREAM 100MU/GM;0.1% 15GM/TB RX 51672-1263-01 1119134 MYCOLOG II CREAM NYSTATIN/TRIAMCINOLONE ACETONIDE CREAM 100MU/GM;0.1% 30GM/TB RX 51672-1263-02 1029639 MYCOLOG II CREAM NYSTATIN/TRIAMCINOLONE ACETONIDE CREAM 100MU/GM;0.1% 60GM/TB RX 51672-1263-03 1027258 Page 26 of 46 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# MYCOLOG II OINT NYSTATIN/TRIAMCINOLONE ACETONIDE OINTMENT 100MU/GM;0.1% 15GM/TB RX 00168-0089-15 1119222 MYCOLOG II OINT NYSTATIN/TRIAMCINOLONE ACETONIDE OINTMENT 100MU/GM;0.1% 30GM/TB RX 51672-1272-02 1028456 MYCOLOG II OINT NYSTATIN/TRIAMCINOLONE ACETONIDE OINTMENT 100MU/GM;0.1% 60GM/TB RX 51672-1272-03 1100640 MYCOSTATIN CREAM NYSTATIN CREAM 100MU 15GM/TB RX 51672-1289-01 1021072 MYCOSTATIN CREAM NYSTATIN CREAM 100MU 30GM/TB RX 51672-1289-02 1021056 MYCOSTATIN OINT NYSTATIN OINTMENT 100MU 15GM/TB RX 00168-0007-15 1027972 MYCOSTATIN OINT NYSTATIN OINTMENT 100MU 30GM/TB RX 00168-0007-30 1119149 MYCOSTATIN POWDER FOR SUSP NYSTATIN POWDER FOR ORAL SUSPENSION 150MU/GM 30GM/BT RX 00574-0404-15 4536221 MYCOSTATIN POWDER FOR SUSP NYSTATIN POWDER FOR ORAL SUSPENSION 50MU/GM 10GM/BT RX 00574-4040-05 7295924 MYCOSTATIN SUSP NYSTATIN ORAL SUSPENSION 100MU 480ML/BT RX 00603-1481-58 4080048 MYCOSTATIN SUSP NYSTATIN ORAL SUSPENSION 100MU 60ML/BT RX 00603-1481-49 4080047 MYCOSTATIN TABS NYSTATIN TABLETS 500MU 100/BT RX 53489-0400-01 1141399 MYCOSTATIN TOP PWD NYSTATIN TOPICAL POWDER 100MU/GM 15GM RX 00574-2008-15 1156624 MYDRIACYL SOLUTION TROPICAMIDE OPHTH DROPS 1% 3ML RX 61314-0355-01 1131368 MYDRIACYL SOLUTION TROPICAMIDE OPHTH SOLUTION 0.5% 15ML/BT RX 24208-0590-64 3244748 MYDRIACYL SOLUTION TROPICAMIDE OPHTH SOLUTION 1% 12x2ML/BT RX 24208-0585-59 1027737 MYDRIACYL SOLUTION TROPICAMIDE OPHTH SOLUTION 1% 15ML/BT RX 24208-0585-64 1024663 MYLANTA DS LIQUID SIMETHICONE II ORAL LIQUID 12OZ/BT OTC 57896-0619-12 1162306 MYLANTA GAS RELIEF TABS SIMETHICONE TABLETS 100/BT OTC 00603-0210-21 1119227 MYLANTA ULIMATE LIQUID STRENGTH CHEW MYLANTA TABS MYLANTA ULIMATE STRENGTH CHEW SIMETHICONE ORAL LIQUID 12OZ/BT OTC 57896-0629-12 1044373 CALCIUM CARBONATE MAGNESIUM CHEW TABS CHERRY 700/300MG 70/BT OTC 49488-0278-70 1155387 TABS CALCIUM CARBONATE MAGNESIUM CHEW TABS MINT 700/300MG 70/BT OTC 49488-0279-70 1155389 MYLICON DROPS GAS RELIEF ORAL DROPS 40/0.6ML 1OZ/BT OTC 00603-0894-50 1101073 MYSOLINE TABS PRIMIDONE TABLETS 250MG 100/BT RX 00603-5372-21 4080171 MYSOLINE TABS PRIMIDONE TABLETS 50MG 100/BT RX 65162-0544-10 1119138 NAPHCON FORTE SOLUTION NAPHAZOLINE HCL OPHTH SOLUTION 0.1% 15ML/BT RX 17478-0216-12 1044422 NAPROSYN TABS NAPROXEN TABLETS 250MG 100/BT RX 53746-0188-01 1029602 NAPROSYN TABS NAPROXEN TABLETS 250MG 500/BT RX 53746-0188-05 4080009 NAPROSYN TABS NAPROXEN TABLETS 375MG 100/BT RX 53746-0189-01 1029702 NAPROSYN TABS NAPROXEN TABLETS 375MG 500/BT RX 53746-0189-05 4080010 NAPROSYN TABS NAPROXEN TABLETS 500MG 100/BT RX 53746-0190-01 1029802 NAPROSYN TABS NAPROXEN TABLETS 500MG 500/BT RX 53746-0190-05 1029805 NARCAN INJ NALOXONE HCL INJ MDV 10ML 0.4MG/ML EACH INJ 00409-1219-01 2587295 NARCAN INJ NALOXONE HCL INJ SDV 1ML 0.4MG/ML 10/BX INJ 00409-1215-01 1046876 NARCAN INJ NALOXONE HCL INJ SDV 1ML 0.4MG/ML EACH INJ 00409-1215-01 2489568 NARCAN INJ NALOXONE HCL INJ SYRINGE 1ML 1MG/ML 10/BX INJ 00409-1782-69 1049657 NARCAN INJ NALOXONE HCL INJ SYRINGE 1ML 1MG/ML EACH INJ 00409-1782-69 2489357 NARCAN INJ NALOXONE HCL INJ SYRINGE 21Gx1.5" 2ML 1MG/ML 25/BX INJ 00548-1469-00 1161803 NARCAN INJ NALOXONE HCL INJ SYRINGE 21Gx1.5" 2ML 1MG/ML EACH INJ 00548-1469-00 5415211 NARCAN INJ NALOXONE HCL INJ SYRINGE NEEDLELESS 2ML 1MG/ML 10/BX INJ 00548-3369-00 9298759 NASAL DECONGEST TABS MEDI-PHENYL DECONGESTANT TABLETS 5MG 50x2/BX OTC 47682-0205-33 1518254 NASAL DECONGEST TABS MEDI-PHENYL DECONGESTANT TABS 5MG 250x2/BX OTC 47682-0205-13 1515513 NASALCROM SOLUTION CROMOLYN SODIUM NASAL SOLUTION 26ML/BT RX 57782-0397-26 1100856 NASALIDE, NASAREL FLUNISOLIDE NASAL SOLUTION 0.025% 25ML/BT RX 64980-0506-25 1148435 NATURAL VEGETABLE LAXATIVE NATURAL VEGETABLE LAXATIVE POWDER REG FLV 13OZ/BT OTC 57896-0461-01 1115328 NAVELBINE INJ VINORELBINE TARTRATE INJ SDV 5ML 10MG/ML EACH INJ 61703-0341-09 2580058 NEBCIN INJ TOBRAMYCIN SULFATE INJ MDV 2ML 40MG/ML 25/BX INJ 23360-0014-02 1156317 NEOMYCIN TABS NEOMYCIN SULFATE TABLETS 500MG 100/BT RX 00093-1177-01 4200601 NEORAL CAPS CYCLOSPORINE SG CAPSULES 100MG 30/BT RX 00172-7312-46 1048740 NEORAL CAPS CYCLOSPORINE SG CAPSULES 25MG 30/BT RX 00591-2222-15 4259631 NEOSPORIN OINT TRIPLE ANTIBIOTIC OINTMENT 0.5OZ/TB OTC 51672-2016-01 1023589 NEOSPORIN OINT TRIPLE ANTIBIOTIC OINTMENT 1/32 OZ FLPK 144/CS OTC NEOSPORIN OINT TRIPLE ANTIBIOTIC OINTMENT 1/32 OZ FLPK 25/BX OTC 59898-0740-03 3261327 NEOSPORIN OPHTH OINT TRIPLE ANTIBIOTIC OPHTH OINTMENT 3.5GM/TB RX 24208-0780-55 1025170 NEOSPORIN OPHTH OINT TRIPLE ANTIBIOTIC OPHTH SOLUTION 10ML/BT RX 24208-0790-62 1148431 NEOSPORIN PLUS OINT TRIPLE ANTIBIOTIC PLUS OINTMENT 1OZ/TB OTC 00713-0622-31 1101351 NEO-SYNEPHRINE INJ PHENYLEPHRINE HCL INJ PBP 10ML 1% EACH INJ 66758-0017-01 1048653 NEO-SYNEPHRINE INJ PHENYLEPHRINE HCL INJ SDV 1ML 1% 25/BX INJ 10019-0163-12 1047605 NEO-SYNEPHRINE INJ PHENYLEPHRINE HCL INJ SDV 1ML 1% EACH INJ 10019-0163-39 2485768 NEO-SYNEPHRINE SOLUTION PHENYLEPHRINE HCL OPHTH SOLUTION 10% 5ML/BT RX 17478-0205-10 7076894 80MG Page 27 of 46 9004788 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# NEO-SYNEPHRINE, MYDFRIN PHENYLEPHRINE HCL OPHTH SOLUTION 2.5% 15ML/BT RX 17478-0200-12 1546151 NEO-SYNEPHRINE, MYDFRIN PHENYLEPHRINE HCL OPHTH SOLUTION 2.5% 2ML/BT RX 17478-0200-20 1162492 NEO-SYNEPHRINE, MYDFRIN PHENYLEPHRINE HCL OPHTH SOLUTION 2.5% 5ML/BT RX 61314-0342-02 1146036 NEPTAZANE TABS METHAZOLAMIDE TABLETS 25MG 100/BT RX 00781-1072-01 1162728 NEPTAZANE TABS METHAZOLAMIDE TABLETS 50MG 100/BT RX 00781-1071-01 1144204 NESACAINE INJ CHLOROPROCAINE HCL INJ SDV 20ML 2% EACH INJ 55390-0403-20 1045383 NESACAINE INJ CHLOROPROCAINE HCL INJ SDV 30ML 2% 25/BX INJ 55390-0403-20 1045383 NESACAINE INJ CHLOROPROCAINE HCL INJ SDV 20ML 3% EACH INJ 55390-0404-20 1045381 NEURONTIN CAPS GABAPENTIN CAPSULES 100MG 100/BT RX 53746-0101-01 1145893 NEURONTIN CAPS GABAPENTIN CAPSULES 300MG 100/BT RX 53746-0102-01 1124826 NEURONTIN CAPS GABAPENTIN CAPSULES 400MG 100/BT RX 53746-0103-01 1157746 NEURONTIN TABS GABAPENTIN TABLETS 600MG 100/BT RX 00228-2636-11 1098515 NEURONTIN TABS GABAPENTIN TABLETS 800MG 100/BT RX 00228-2637-11 1098615 NIACIN TABS NIACIN TABLETS 100MG 100/BT OTC 00536-4076-01 1147380 NIACIN TABS NIACIN TABLETS 500MG 1000/BT OTC 00536-4078-10 1100661 NIACIN VEGIECAPS NIACIN NO FLUSH CAPSULES 500MG 60/BT OTC NICOBID CAPS NIACIN CR CAPSULES 250MG 100/BT OTC 00182-0811-01 1100633 NICOBID CAPS NIACIN CR CAPSULES 500MG 100/BT OTC 49483-0018-01 1119172 NICOBID ER TABS NIACIN ER TABLETS 500MG 100/BT OTC 00536-7030-01 1146584 NICOBID ER TABS NIACIN ER TABLETS 750MG 100/BT OTC 00536-7033-01 1100662 NIPENT INJ PENTOSTATIN INJ LYOPH SDV 5ML 10MG/VL EACH INJ 55390-0244-01 1109616 NITRO-BID CAPS NITROGLYCERIN ER CAPULES 2.5MG 60/BT RX 49483-0221-06 1146876 NITRO-BID CAPS NITROGLYCERIN ER CAPULES 6.5MG 100/BT RX 49483-0222-10 1146983 NITRO-BID INJ NITROGLYCERIN INJ SDV 10ML 5MG/ML 25/BX INJ 00517-4810-25 1048257 NITRO-BID INJ NITROGLYCERIN INJ SDV 10ML 5MG/ML EACH INJ 00517-4810-25 2485055 NIX LICE TREATMENT PERMETHRIN TOPICAL LOTION 1% 2OZ/BT OTC 00472-5242-67 1087275 NIX LICE TREATMENT PERMETHRIN TOPICAL LOTION 1% 2x2OZ/BT OTC 00472-5242-69 1089714 NIZORAL CREAM KETOCONAZOLE CREAM 2% 15GM/TB RX 00168-0099-15 1113098 NIZORAL CREAM KETOCONAZOLE CREAM 2% 30GM/TB RX 51672-1298-02 1026763 NIZORAL CREAM KETOCONAZOLE CREAM 2% 60GM/TB RX 51672-1298-03 1026768 NIZORAL SHAMPOO KETOCONAZOLE SHAMPOO 2% 4OZ/BT RX 45802-0465-64 1084003 NIZORAL TABS KETOCONAZOLE TABLETS 200MG 100/BT RX 00093-0900-01 4080262 NOCTEC SG CAPS CHLORAL HYDRATE SG CAPSULES 500MG 50/BT RX 51991-0080-52 1109287 NOLVADEX TABS TAMOXIFEN CITRATE TABLETS 10MG 60/BT RX 00591-2232-60 1141455 NOLVADEX TABS TAMOXIFEN CITRATE TABLETS 20MG 30/BT RX 00591-2233-30 1146350 NORCO 5 TABS HYDROCODONE/APAP TABLETS 5/325MG 100/BT C3 RX 00603-3890-21 4080090 NORCO 7.5 TABS HYDROCODONE/APAP TABLETS 7.5/325MG 100/BT C3 RX 00603-3891-21 1080440 NORCO 10 TABS HYDROCODONE/APAP TABLETS 10/325MG 100/BT C3 RX 00603-3887-21 1049391 NORCO 10 TABS HYDROCODONE/APAP TABLETS 10/325MG 500/BT C3 RX 00603-3887-28 4080089 NORCURON INJ VECURONIUM BROMIDE INJ STER PWD SDV 10ML 10MG/VL 10/BX INJ 41616-0931-44 1140420 NORCURON INJ VECURONIUM BROMIDE INJ STER PWD SDV 20ML 20MG/VL 10/BX INJ 41616-0932-44 1156235 NORFLEX INJ ORPHENADRINE CITRATE INJ AMP 2ML 30MG/ML 10/BX INJ 00591-3222-47 1047066 NORFLEX INJ ORPHENADRINE CITRATE INJ SDV 2ML 30MG/ML 10/BX INJ 55390-0059-10 1027177 NORMODYNE TABS LABETALOL TABLETS 100MG 100/BT RX 00172-4364-60 1049352 NORMODYNE TABS LABETALOL TABLETS 200MG 100/BT RX 00591-0606-01 4080195 NORMODYNE/TRANDATE LABETALOL HCL INJ MDV 20ML 5MG/ML EACH INJ 55390-0130-20 9856594 NORMODYNE/TRANDATE LABETALOL HCL INJ MDV 40ML 5MG/ML EACH INJ 55390-0130-40 1047914 NORMODYNE/TRANDATE LABETALOL HCL INJ SYRINGE 4ML 5MG/ML 10/BX INJ 00409-2339-34 1049653 NORPRAMIN TABS DESIPRAMINE HCL TABLETS 25MG 100/BT RX 52152-0342-02 1049237 NORPRAMIN TABS DESIPRAMINE HCL TABLETS 100MG 100/BT RX 52152-0345-02 1155051 NORPRAMIN TABS DESIPRAMINE HCL TABLETS 150MG 50/BT RX 52152-0346-50 1155052 NORVASC TABS AMLODIPINE BESYLATE TABLETS 10MG 10x10UD RX 59762-1540-04 1083796 NORVASC TABS AMLODIPINE BESYLATE TABLETS 10MG 90/BT RX 31722-0239-90 1118835 NORVASC TABS AMLODIPINE BESYLATE TABLETS 2.5MG 90/BT RX 64679-0421-01 1106909 NORVASC TABS AMLODIPINE BESYLATE TABLETS 5MG 10x10UD RX 59762-1530-05 1083819 NORVASC TABS AMLODIPINE BESYLATE TABLETS 5MG 90/BT RX 64679-0422-01 1104218 NUBAIN INJ NALBUPHINE INJ AMPULE 1ML 10MG/ML 10/BX INJ 00409-1463-01 1046858 NUBAIN INJ NALBUPHINE INJ AMPULE 1ML 10MG/ML EACH INJ 00409-1463-01 2480314 NUBAIN INJ NALBUPHINE INJ AMPULE 1ML 20MG/ML 10/BX INJ 00409-1465-01 1047310 NUBAIN INJ NALBUPHINE INJ MDV 10ML 10MG/ML EACH INJ 00409-1464-01 1098957 Page 28 of 46 C4 1157320 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON NUBAIN INJ NALBUPHINE INJ MDV 10ML NULYTELY GAVILYTE-N FOR ORAL SOLUTION NUPERCAINAL OINT DIBUCAINE OINTMENT NYQUIL LIQUICAPS NIGHT TIME LIQUID CAPS NYQUIL LIQUID NYTE-TIME COUGH ORAL SYRUP NYQUIL LIQUID NYTE-TIME COUGH ORAL SYRUP OCEAN SPRAY STRENGTH 20MG/ML SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# EACH INJ 00409-1467-01 1098962 236GM/BT RX 43386-0050-19 1148169 1OZ/TB OTC 45802-0050-03 1100837 12/BX OTC 00904-5764-12 1140418 CHERRY 6OZ/BT OTC 00904-5776-21 1087279 MINT 6OZ/BT OTC 00904-5777-21 1085280 SALINE NASAL SPRAY 44ML/BT OTC 00904-3865-75 1107468 OCEAN SPRAY SALINE NASAL SPRAY 45ML/BT OTC 57896-0501-01 4233982 OCUFEN SOLUTION FLURBIPROFEN SODIUM OPHTH SOLUTION 0.03% 2.5ML/BT RX 24208-0314-25 6298620 OCUFLOX SOLUTION OFLOXACIN OPHTHALMIC SOLUTION 0.3% 10ML/BT RX 40042-0012-10 1118841 OCUFLOX SOLUTION OFLOXACIN OPHTHALMIC SOLUTION 0.3% 5ML/BT RX 00517-0760-01 2580096 OFLOXIN OTIC SOLUTION OFLOXACIN OTIC SOLUTION 0.3% 10ML/BT RX 61314-0015-10 1106533 OFLOXIN OTIC SOLUTION OFLOXACIN OTIC SOLUTION 0.3% 5ML/BT RX 61314-0015-05 1106531 OGEN TABS ESTROPIPATE TABLETS 0.75MG 100/BT RX 00591-0414-01 2480900 OGEN TABS ESTROPIPATE TABLETS 1.5MG 100/BT RX 00555-0728-02 1101055 OGEN TABS ESTROPIPATE TABLETS 3MG 100/BT RX 00591-0416-01 1101068 OMEGA-3 EPA SG CAPS OMEGA-3 EPA SOFTGELS 1000MG 100/BT OTC OMEGA-3 EPA SG CAPS OMEGA-3 EPA SOFTGELS 1000MG 250/BT OTC OMNICEF CAPS CEFDINIR CAPSULES 300MG 60/BT RX 65862-0177-60 1136306 OMNICEF SUSP CEFDINIR PWD FOR ORAL SUSPENSION 250MG/5ML 60ML/BT RX 65862-0219-60 1157532 OMNICEF SUSP CEFDINIR PWD FOR ORAL SUSPENSION 250MG/5ML 100ML/BT RX 65862-0219-01 1147777 OMNIPEN-N INJ AMPICILLIN INJ STER PWD SDV 3ML 125MG/VL 10/BX INJ 00781-3400-95 1100468 OMNIPEN-N INJ AMPICILLIN INJ STER PWD SDV 10ML 250MG/VL 10/BX INJ 03600-0070-10 1154350 OMNIPEN-N INJ AMPICILLIN INJ STER PWD SDV 10ML 500MG/VL 10/BX INJ 03600-0071-10 1154351 OMNIPEN-N INJ AMPICILLIN INJ STER PWD SDV 10ML 1GM/VL 10/BX INJ 00463-1118-11 1158200 OMNIPEN-N INJ AMPICILLIN INJ STER PWD SDV 10ML 1GM/VL EACH INJ 63323-0389-10 2580059 OMNIPEN-N INJ AMPICILLIN INJ STER PWD SDV 20ML 2GM/VL 10/BX INJ 03600-0073-10 1154353 ONCOVIN INJ VINCRISTINE SULFATE INJ PF SDV 1ML 1MG/ML EACH INJ 61703-0309-06 1025145 ONCOVIN INJ VINCRISTINE SULFATE INJ PF SDV 2ML 1MG/ML EACH INJ 00703-4412-11 1081836 ONE-A-DAY TABS DAILY MULTI VITAMIN TABLETS 100/BT OTC 57896-0501-01 4233982 ONE-A-DAY TABS DAILY MULTI VITAMIN TABLETS 1000/BT OTC 57896-0501-10 1048458 ONE-A-DAY/IRON TABS DAILY MULTI VITAMIN/IRON TABLETS 100/BT OTC ONE-A-DAY/IRON TABS DAILY MULTI VITAMIN/IRON TABLETS 1000/BT OTC ONE-A-DAY/MINERALS DAILY MULTI VITAMIN/MINERAL TABLETS 12/CS OTC OPHTHAINE SOLUTION PROPARACAINE HCL OPHTH SOLUTION 0.5% 15ML/BT RX 24208-0730-06 6291871 ORAPRED LIQUID PREDNISOLONE SODIUM PHOSPHATE ORAL SOLN 15MG/5ML 237ML/BT RX 60432-0212-08 1147128 ORASEPTIC LIQUID THROAT SPRAY - CHERRY 6OZ/BT OTC 00113-0328-30 1146526 ORASEPTIC LIQUID THROAT SPRAY - MENTHOL 6OZ/BT OTC 00113-0343-30 1146527 ORGANIDIN NR TABS GUAIFENESIN NR TABLETS 200MG 100/BT RX 00603-4886-21 1081261 ORINASE TABS TOLBUTAMIDE TABLETS 500MG 100/BT RX 00378-0215-01 1027701 ORTHO TRI-CYCLEN TABS NORGESTIMATE/ETHINYL ESTRADIOL OC TABLETS 6x28 RX 00555-9018-58 1101066 ORUDIS CAPS KETOPROFEN CAPSULES 50MG 100/BT RX 00093-3193-01 4257101 ORUDIS CAPS KETOPROFEN CAPSULES 75MG 100/BT RX 00093-3195-01 4257201 OSCAL TABS OYSTER SHELL CALCIUM TABLETS 500MG 60/BT OTC OVRAL 28 DAY TABS NORGESTREL/ ETHINYL ESTRADIOL OC TABLETS 500/50MCG 3X28 RX 52544-0848-28 6006229 OXY- 5 GEL BENZOYL PEROXIDE GEL 5% 1.5OZ/TB OTC 00536-4089-56 1142899 OXY-10 GEL BENZOYL PEROXIDE GEL 10% 1.5OZ/TB OTC 59390-0030-22 1046320 OXY-10 LOTION BENZOYL PEROXIDE LOTION 10% 1OZ/BT OTC 00536-0815-95 1100480 PAMELOR CAPS NORTRIPTYLINE HCL CAPSULES 10MG 100/BT RX 00093-0810-01 4250801 PAMELOR CAPS NORTRIPTYLINE HCL CAPSULES 25MG 100/BT RX 00093-0811-01 4250901 PAMELOR CAPS NORTRIPTYLINE HCL CAPSULES 50MG 100/BT RX 00093-0812-01 4251001 PAMELOR CAPS NORTRIPTYLINE HCL CAPSULES 75MG 100/BT RX 00093-0813-01 4251101 PAMELOR LIQUID NORTRIPTYLINE HCL ORAL SOLUTION 10MG/5ML 480ML/BT RX 63304-0202-01 1084075 PANLOR SS TABS APAP/CAFF/DIHYDROCODEINE TABLETS 712.8/60/32MG 30/BT RX 64376-0611-31 1087249 PAPAVERINE INJ PAPAVERINE HCL INJ MDV 10ML 30MG/ML EACH INJ 00517-4010-01 2580070 PARAFON DSC TABS CHLORZOXAZONE TABLETS 500MG 100/BT RX 00555-0585-02 1157001 PARAFON DSC TABS CHLORZOXAZONE TABLETS 500MG 500/BT RX 00591-3968-05 1146604 PARAPLATIN INJ CARBOPLATIN INJ SDV 5ML 10MG/ML EACH INJ 61703-0339-18 1049134 PARAPLATIN INJ CARBOPLATIN INJ MDV 15ML 10MG/ML EACH INJ 66758-0047-02 1119150 PARAPLATIN INJ CARBOPLATIN INJ MDV 45ML 10MG/ML EACH INJ 61703-0339-50 1044541 1% Page 29 of 46 C3 4569753 1047952 1088705 57896-0521-10 1045728 9949071 1048075 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# STRENGTH SIZE 10MG/ML EACH INJ 61703-0339-56 1075005 2.5MG 30/BT RX 00781-5325-31 1153575 1MG/ML 25/BX INJ 00409-4646-01 1047058 PARAPLATIN INJ CARBOPLATIN INJ MDV 60ML PARLODEL TABS BROMOCRIPTINE TABLETS PAVULON INJ PANCURONIUM BROMIDE INJ MDV 10ML PAXIL TABS PAROXETINE HCL TABLETS 10MG 30/BT RX 65862-0154-30 1142662 PAXIL TABS PAROXETINE HCL TABLETS 20MG 30/BT RX 13107-0155-30 1145148 PAXIL TABS PAROXETINE HCL TABLETS 40MG 30/BT RX 65862-0157-30 1142660 PEDIACARE COUGH-COLD CHLORPHENIRAMINE/DM/PSEUDO LIQUID 1/5/15MG/5ML 118ML/BT OTC 54838-0115-40 1086580 PEDIAPRED LIQUID PREDNISOLONE SODIUM PHOSPHATE ORAL SOLN 5MG/5ML 4OZ/BT RX 50383-0040-04 1108170 PEDIAZOLE SUSP EES/SULFISOX ORAL SUSPENSION 200/600/5ML 100ML/BT RX 52185-0445-22 1098512 PENLAC TOPICAL SOLUT CICLOPIROX TOPICAL SOLUTION 8% 6.6ML/BT RX 50383-0419-06 1118770 PEN-VK SOLUTION PENICILLN VK ORAL SOLUTION 125MG/5ML 100ML/BT RX 00093-4125-73 1088296 PEN-VK SOLUTION PENICILLN VK ORAL SOLUTION 125MG/5ML 200ML/BT RX 00093-4125-74 1138232 PEN-VK SOLUTION PENICILLN VK ORAL SOLUTION 250MG/5ML 100ML/BT RX 00093-4127-73 1089668 PEN-VK SOLUTION PENICILLN VK ORAL SOLUTION 250MG/5ML 200ML/BT RX 00093-4127-74 1080953 PEN-VK TABS PENICILLN VK TABLETS 250MG 100/BT RX 59762-1534-01 1136884 PEN-VK TABS PENICILLN VK TABLETS 250MG 1000/BT RX 59762-1534-02 1136900 PEN-VK TABS PENICILLN VK TABLETS 500MG 100/BT RX 59762-1537-01 1136877 PEN-VK TABS PENICILLN VK TABLETS 500MG 1000/BT RX 59762-1537-03 1136879 PEN-VK TABS PENICILLN VK TABLETS 500MG 500/BT RX 59762-1537-02 1136897 PEPCID AC TABS FAMOTIDINE TABLETS 10MG 30/BT OTC 00172-2662-46 1154223 PEPCID AC TABS FAMOTIDINE TABLETS 10MG 70/BT OTC 00182-2662-22 1146180 PEPCID INJ FAMOTIDINE INJ MDV 4ML 10MG/ML 10/BX INJ 55390-0028-10 1027274 PEPCID INJ FAMOTIDINE INJ MDV 20ML 10MG/ML EACH INJ 55390-0027-01 1023911 PEPCID INJ FAMOTIDINE INJ MDV 50ML 10MG/ML EACH INJ 55390-0026-01 1023913 PEPCID INJ FAMOTIDINE INJ SDV 2ML 10MG/ML 10/BX INJ 55390-0029-10 1025021 PEPCID ORAL SUSPENSION FAMOTIDINE FOR ORAL SUSPENSION 40MG/5ML 50ML/BT RX 00574-0147-04 1154221 PEPCID TABS FAMOTIDINE TABLETS 20MG 100/BT RX 64679-0936-02 4080233 PEPCID TABS FAMOTIDINE TABLETS 20MG 1000/BT RX 64679-0936-03 1101096 PEPCID TABS FAMOTIDINE TABLETS 40MG 30/BT RX 64679-0937-01 1082680 PEPCID TABS FAMOTIDINE TABLETS 40MG 100/BT RX 64679-0937-02 4080234 PEPTO BISMOL CHEW TABS DIOTAME TABLETS 262MG 50x2/BX OTC 47682-0220-33 1515172 PEPTO BISMOL CHEW TABS DIOTAME TABLETS 262MG 250x2/BX OTC 47682-0220-13 1511593 PEPTO BISMOL LIQUID PINK BISMUTH ORAL LIQUID MAX STR 8OZ/BT OTC 00904-1314-09 1083107 PEPTO BISMOL LIQUID PINK BISMUTH ORAL LIQUID REGULAR 8OZ/BT OTC 00904-1313-09 2487173 PEPTO BISMOL TABS PINK BISMUTH CHEW TABLETS 30/BT OTC 57896-0262-03 1118913 PERCOCET TABS OXYCODONE HCL/APAP TABLETS 10/325MG 100/BT C2 RX 53746-0204-01 1118891 PERCOCET TABS OXYCODONE HCL/APAP TABLETS 5/325MG 100/BT C2 RX 00603-4998-21 1145678 PERCOCET TABS OXYCODONE HCL/APAP TABLETS 5/325MG 10x10UD C2 RX 00406-0512-62 1046601 PERCOCET TABS OXYCODONE HCL/APAP TABLETS 5/325MG 500/BT C2 RX 00603-4998-28 1087869 PERCOCET TABS OXYCODONE HCL/APAP TABLETS 7.5/325MG 100/BT C2 RX 00406-0522-01 1049330 PERCODAN TABS OXYCODONE HCL/ASPIRIN TABLETS 4.5/325MG 100/BT C2 RX 00591-0820-01 1048030 PERIACTIN TABS CYPROHEPTADINE TABLETS 4MG 100/BT RX 64980-0123-01 4080238 PERIACTIN TABS CYPROHEPTADINE TABLETS 4MG 1000/BT RX 64980-0123-10 4080239 PERI-COLACE NF TABS DOCUSATE SODIUM/SENNA TABLETS 50/8.6MG 100/BT OTC 00603-0149-21 1088701 PERIDEX LIQUID CHLORHEXIDINE GLUCONATE ORAL SOLUTION 0.12% 480ML/BT RX 50383-0720-16 1046634 PERIOSTAT TABS DOXYCYCLINE HYCLATE TABLETS 20MG 100/BT RX 00527-1336-01 4080167 PERSANTINE INJ DIPYRIDAMOLE INJ SDV 10ML 5MG/ML 5/BX INJ 00641-2569-44 1088193 PERSANTINE INJ DIPYRIDAMOLE INJ SDV 10ML 5MG/ML EACH INJ 00641-2569-41 2587057 PERSANTINE TABS DIPYRIDAMOLE TABLETS 25MG 100/BT RX 64980-0133-01 1147271 PERSANTINE TABS DIPYRIDAMOLE TABLETS 50MG 100/BT RX 64980-0134-01 1147273 PERSANTINE TABS DIPYRIDAMOLE TABLETS 75MG 100/BT RX 64980-0135-01 1147272 PFIZERPEN G INJ PENICILLIN G POT INJECTION 20MMU EACH INJ 00781-6136-94 7952108 PFIZERPEN G INJ PENICILLIN G POT INJECTION 30ML/VL 5MU 10/BX INJ 00781-6135-95 1162776 PFIZERPEN G INJ PENICILLIN G SOD INJECTION 50ML 5MU 10/BX INJ 00781-6153-95 7953516 PHENERGAN DM LIQUID PROMETHAZINE HCL ORAL SYRUP DM 120ML/BT RX 00603-1586-54 1084313 PHENERGAN DM LIQUID PROMETHAZINE HCL ORAL SYRUP DM 480ML/BT RX 00603-1586-58 4080052 PHENERGAN INJ PROMETHAZINE HCL INJ AMPULES 1ML 25MG/ML 25/BX INJ 00143-9869-22 1118746 PHENERGAN INJ PROMETHAZINE HCL INJ AMPULES 1ML 25MG/ML EACH INJ 00641-1495-31 2584249 PHENERGAN INJ PROMETHAZINE HCL INJ AMPULES 1ML 50MG/ML 25/BX INJ 00143-9868-22 1118743 PHENERGAN INJ PROMETHAZINE HCL INJ AMPULES 1ML 50MG/ML EACH INJ 00641-1496-35 2484638 Page 30 of 46 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# PHENERGAN INJ PROMETHAZINE HCL INJ SDV 1ML 25MG/ML 25/BX INJ 00641-0928-25 1027248 PHENERGAN INJ PROMETHAZINE HCL INJ SDV 1ML 50MG/ML 25/BX INJ 00641-0929-25 1028895 PHENERGAN LIQUID PROMETHAZINE HCL ORAL SYRUP 6.25MG/5ML 120ML/BT RX 00603-1584-54 1082155 PHENERGAN LIQUID PROMETHAZINE HCL ORAL SYRUP 6.25MG/5ML 480ML/BT RX 50383-0801-16 1043341 PHENERGAN SUPP PROMETHAZINE HCL SUPPOSITORIES 12.5MG 12/BX RX 45802-0758-30 1049744 PHENERGAN SUPP PROMETHAZINE HCL SUPPOSITORIES 25MG 12/BX RX 45802-0759-30 1049745 PHENERGAN SUPP PROMETHAZINE HCL SUPPOSITORIES 50MG 12/BX RX 00713-0132-12 1153513 PHENERGAN TABS PROMETHAZINE HCL TABLETS 25MG 100/BT RX 00603-5438-21 4080173 PHENERGAN TABS PROMETHAZINE HCL TABLETS 50MG 100/BT RX 00115-1042-01 1118727 PHENERGAN VC LIQUID PROMETHAZINE HCL VC ORAL SYRUP 6.25/5MG/5ML 120ML/BT RX 00603-1587-54 1083963 PHENERGAN VC LIQUID PROMETHAZINE HCL VC ORAL SYRUP 6.25/5MG/5ML 480ML/BT RX 00603-1587-58 1082089 PHENERGAN VC/COD LIQUID PROMETHAZINE HCL VC W/CODEINE ORAL SYRUP PHENERGAN/COD LIQUID PROMETHAZINE HCL/CODEINE ORAL SYRUP PHENERGAN/COD LIQUID PROMETHAZINE HCL/CODEINE ORAL SYRUP PHENOBARBITAL INJ 480ML/BT C5 RX 00603-1588-58 1101332 6.25/10MG/5ML 120ML/BT C5 RX 00603-1585-54 4080050 6.25/10MG/5ML 480ML/BT C5 RX 00472-1627-16 1024231 PHENOBARBITAL SODIUM INJ SDV 1ML 130MG/ML 25/BX C4 INJ 00641-0477-25 3752725 PHENOBARBITAL LIQUID PHENOBARBITAL ORAL ELIXIR 20MG/5ML 480ML/BT C4 RX 00603-1508-58 1086712 PHENOBARBITAL TABS PHENOBARBITAL TABLETS 15MG 1000/BT C4 RX 00143-1445-10 1024510 PHENOBARBITAL TABS PHENOBARBITAL TABLETS 32.4MG 1000/BT C4 RX 00603-5166-32 1086358 PHENOBARBITAL TABS PHENOBARBITAL TABLETS 64.8MG 1000/BT C4 RX 00603-5167-32 1075320 PHENOBARBITAL TABS PHENOBARBITAL TABLETS 97.2MG 100/BT C4 RX 00603-5168-21 1147165 PHENOBARBITAL TABS PHENOBARBITAL TABLETS 97.2MG 1000/BT C4 RX 00603-5168-32 1077161 PHENTERMINE CAPS PHENTERMINE HCL CAPSULES GREY/YELLOW 15MG 100/BT C4 RX 10702-0026-01 1107404 PHENTERMINE CAPS PHENTERMINE HCL CAPSULES GREY/YELLOW 15MG 1000/BT C4 RX 10702-0026-10 1146847 PHENTERMINE CAPS PHENTERMINE HCL CAPSULES YELLOW 30MG 100/BT C4 RX 10702-0027-01 1146496 PHENTERMINE CAPS PHENTERMINE HCL CAPSULES YELLOW 30MG 1000/BT C4 RX 00527-1310-10 1155408 PHILLIPS LIQUID MILK OF MAGNESIA ORAL LIQUID MINT 12OZ/BT OTC 00904-0789-14 1080905 PHILLIPS LIQUID MILK OF MAGNESIA ORAL LIQUID REGULAR 12OZ/BT OTC 00904-0788-14 1089095 PHILLIPS LIQUID MILK OF MAGNESIA ORAL LIQUID REGULAR 16OZ/BT OTC 00904-0788-16 1119228 PHRENILIN TABS BUTALBITAL/APAP TABLETS 50/325MG 100/BT RX 00603-2540-21 1082644 PHYSOSTIGMINE INJ PHYSOSTIGMINE SALICYLATE INJ AMPULE 2ML 1MG/ML 10/BX INJ 17478-0510-02 2450002 PITOCIN INJ OXYTOCIN INJ MDV 10ML 10U/ML 25/BX INJ 10019-0291-04 1153533 PITOCIN INJ OXYTOCIN INJ SDV 1ML 10U/ML 25/BX INJ 10019-0291-02 1153532 PITRESSIN INJ VASOPRESSIN INJ MDV 0.5ML 10 U/ML 25/BX INJ 00517-0510-25 8374313 PITRESSIN INJ VASOPRESSIN INJ MDV 10ML 20 U/ML 10/BX INJ 00517-0410-10 1048822 PITRESSIN INJ VASOPRESSIN INJ MDV 10ML 20 U/ML EACH INJ 00517-0410-10 2487969 PITRESSIN INJ VASOPRESSIN INJ MDV 1ML 20 U/ML 25/BX INJ 00517-1020-25 1026767 PLAN-B TABLETS RX/OTC LEVONORGESTREL TABLETS RX/OTC 0.75MG 1X2/BX RX 52544-0275-36 1138471 PLAQUENIL TABS HYDROXYCHLOROQUINE TABLETS 200MG 100/BT RX 00143-2128-01 1118742 PLATINOL AQ INJ CISPLATIN AQ INJ MDV 50ML 1MG/ML EACH INJ 63323-0103-51 1161958 PLATINOL AQ INJ CISPLATIN AQ INJ MDV 200ML 1MG/ML EACH INJ 63323-0103-64 3752175 PLEGINE TABS PHENDIMETRAZINE TABLETS BLUE 35MG 1000/BT C3N RX 10702-0078-10 1160250 PLEGINE TABS PHENDIMETRAZINE TABLETS WHITE 35MG 1000/BT C3N RX 10702-0045-10 1160251 PLEGINE TABS PHENDIMETRAZINE TABLETS YELLOW 35MG 1000/BT C3N RX 10702-0077-10 1160249 PLENDIL TABS FELODIPINE ER TABLETS 5MG 100/BT RX 53489-0369-01 1148234 PLETAL TABS CILOSTAZOL TABLETS 50MG 60/BT RX 64720-0158-06 1157158 PLETAL TABS CILOSTAZOL TABLETS 100MG 60/BT RX 64720-0159-06 1118805 PODOCON 25, PODOFIN PODOPHYLLIN BENZOIN TINCTURE 25% 15ML/BT RX 00574-0601-15 1105643 POLYCILLIN CAPS AMPICILLIN CAPSULES 250MG 100/BT RX 00781-2144-01 1137003 POLYCILLIN CAPS AMPICILLIN CAPSULES 250MG 500/BT RX 00781-2144-05 1137006 POLYCILLIN CAPS AMPICILLIN CAPSULES 500MG 100/BT RX 67253-0181-10 1100710 POLYCILLIN CAPS AMPICILLIN CAPSULES 500MG 500/BT RX 67253-0181-50 1049216 POLYCILLIN LIQUID AMPICILLIN ORAL SUSPENSION 125MG/5ML 100ML/BT RX 67253-0182-10 1049795 POLYCILLIN LIQUID AMPICILLIN ORAL SUSPENSION 125MG/5ML 200ML/BT RX 67253-0182-20 1100489 POLYCILLIN LIQUID AMPICILLIN ORAL SUSPENSION 250MG/5ML 100ML/BT RX 67253-0183-10 1049514 POLYCILLIN LIQUID AMPICILLIN ORAL SUSPENSION 250MG/5ML 200ML/BT RX 67253-0183-20 1060599 POLYMYXIN INJ POLYMYXIN-B SULFATE INJ LYOPH SDV 10ML 500MU/VL 10/BX INJ 55390-0139-10 1029338 POLYSPORIN OINT BACITRACIN ZINC /POLYMYXIN B TOPICAL OINT 500U/10MU/GM 144x3.5GM OTC 00168-0021-09 1146589 POLYSPORIN OINT BACITRACIN ZINC /POLYMYXIN B TOPICAL OINT 500U/10MU/GM 0.5OZ/TB OTC 00168-0021-35 1082598 POLYSPORIN OINT BACITRACIN ZINC /POLYMYXIN B TOPICAL OINT 500U/10MU/GM 1OZ/TB OTC 00168-0021-31 1026564 POLYSPORIN OPHTH OINT BACITRACIN ZINC /POLYMYXIN B OPHTH OINT 500U/10MU/GM 3.5GM/TB RX 24208-0555-55 6290058 Page 31 of 46 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# STRENGTH SIZE 1MG/10MU/ML 10ML/BT RX 61314-0628-10 1028748 0.25MG/ML 50ML/BT RX 00603-1452-47 2480319 POLYTRIM OPHTH SOLN TRIMETHOPRIM SULF/POLYMYXN B OPHTH SOLN POLY-VI-FLOR & IRON DROPS MULTI-VIT/FL & IRON ORAL DROPS POLY-VI-FLOR CHEW TABS MULTI-VIT/FL CHEW TABLETS 0.25MG 100/BT RX 00603-4381-21 1139972 POLY-VI-FLOR CHEW TABS MULTI-VIT/FL CHEW TABLETS 0.5MG 100/BT RX 64376-0814-01 1157621 POLY-VI-FLOR CHEW TABS MULTI-VIT/FL CHEW TABLETS 1MG 100/BT RX 64376-0815-01 1157622 POLY-VI-FLOR DROPS MULTI-VIT/FL ORAL DROPS 0.25MG/ML 50ML/BT RX 00603-1449-47 2480320 POLY-VI-FLOR DROPS MULTI-VIT/FL ORAL DROPS 0.5MG/ML 50ML/BT RX 50383-0641-50 4717057 PONTOCAINE HCL INJ TETRACAINE HCL INJ AMPULES 2ML 1% 25/BX INJ 17478-0045-32 1156385 PONTOCAINE HCL SOLN TETRACAINE HCL OPHTH SOLUTION 0.5% 15ML/BT RX 24208-0920-64 1029069 POTASSIUM ACETATE INJ POTASSIUM ACETATE INJ FTV 20ML 40MEQ 4x25/BX INJ 00409-8183-01 1105390 POTASSIUM CHL INJ POTASSIUM CHLORIDE INJ SDV 5ML 2MEQ/ML EACH INJ 63323-0965-05 2487119 POTASSIUM CHL INJ POTASSIUM CHLORIDE INJ SDV 10ML 2MEQ/ML 25/BX INJ 00409-6651-06 1046852 POTASSIUM CHL INJ POTASSIUM CHLORIDE INJ SDV 10ML 2MEQ/ML EACH INJ 63323-0965-10 2480240 POTASSIUM CHL INJ POTASSIUM CHLORIDE INJ SDV 20ML 2MEQ/ML 25/BX INJ 00409-6653-05 1046859 POTASSIUM CHL INJ POTASSIUM CHLORIDE INJ SDV 20ML 2MEQ/ML EACH INJ 00409-6653-05 2485307 POTASSIUM CHL INJ POTASSIUM CHLORIDE INJ SDV 5ML 2MEQ/ML 25/BX INJ 63323-0965-05 1097969 POTASSIUM CHL INJ POTASSIUM CHLORIDE/DEXTROSE/NACL INJ 1000ML 5%/0.9% 12/BX INJ 00409-7107-09 1049650 POTASSIUM GLUC TABS POTASSIUM GLUCONATE TABLETS 500MG 100/BT OTC POTASSIUM GLUC TABS POTASSIUM GLUCONATE TABLETS 500MG 1000/BT OTC POTASSIUM PHOS INJ POTASSIUM PHOSPHATE INJ SDV 15ML 3MG/ML 25/BX INJ 00517-2315-25 1100659 PRAVACHOL TABS PRAVASTATIN SODIUM TABLETS 10MG 90/BT RX 68462-0195-90 1141575 PRAVACHOL TABS PRAVASTATIN SODIUM TABLETS 20MG 90/BT RX 68462-0196-90 1141576 PRAVACHOL TABS PRAVASTATIN SODIUM TABLETS 40MG 90/BT RX 68462-0197-90 1142591 PRED FORTE SUSP PREDNISOLONE ACETATE OPHTH SUSPENSION 1% 10ML/BT RX 61314-0637-10 1119211 PRED FORTE SUSP PREDNISOLONE ACETATE OPHTH SUSPENSION 1% 5ML/BT RX 61314-0637-05 1119210 PREGNYL, A.P.L. INJ CHORIONIC GONADATROPIN INJ MDV 10ML 10MU EACH INJ 63323-0025-10 2486963 PRELONE LIQUID PREDNISOLONE ORAL SOLUTION 15MG/5ML 240ML/BT RX 50383-0042-24 1138135 PRELONE LIQUID PREDNISOLONE ORAL SOLUTION 15MG/5ML 480ML/BT RX 50383-0042-48 1048618 PRELU-2 CAPS PHENDIMETRAZINE CAPSULES BLUE 105MG 1000/BT RX 00185-5254-10 1099526 PREPARATION H OINT HEMORRHOIDAL OINTMENT TUBE 2OZ/TB OTC 00713-0298-32 1156626 PREVACID DR CAPSULES LANSOPRAZOLE DR CAPSULES 15MG 30/BT RX 00093-7350-56 1146087 PREVACID DR CAPSULES LANSOPRAZOLE DR CAPSULES 30MG 30/BT RX 00093-7351-56 1146088 PRILOSEC CAPS OMEPRAZOLE ER CAPSULES 20MG 100/BT RX 00781-2233-01 1145354 PRILOSEC CAPS OMEPRAZOLE ER CAPSULES 20MG 30/BT RX 00781-2233-31 1049473 PRILOSEC TABS OTC OMEPRAZOLE TABLETS OTC 20MG 28/BX OTC 45802-0888-30 1118861 PRIMACOR INJ MILRINONE LACTATE INJ SDV 10ML 1MG/ML 10/BX INJ 55390-0019-10 1086473 PRIMACOR INJ MILRINONE LACTATE INJ SDV 20ML 1MG/ML 10/BX INJ 10019-0070-02 2480249 PRINZIDE, ZESTORETIC TABS LISINOPRIL/HCTZ TABLETS 10/12.5MG 100/BT RX 68180-0518-01 1101102 PRINZIDE, ZESTORETIC TABS LISINOPRIL/HCTZ TABLETS 20/12.5MG 100/BT RX 68180-0519-01 1101103 PRINZIDE, ZESTORETIC TABS LISINOPRIL/HCTZ TABLETS 20/25MG 100/BT RX 68180-0520-01 1101104 PRO BANTHINE TABS PROPANTHELINE BROMIDE TABLETS 15MG 100/BT RX 00054-4721-25 4030401 PROAMTINE TABS MIDODRINE HCL TABLETS 2.5MG 100/BT RX 00115-4211-01 1100836 PROAMTINE TABS MIDODRINE HCL TABLETS 10MG 100/BT RX 00115-4233-01 1158181 PROCARDIA CAPS NIFEDIPINE CAPSULES 10MG 100/BT RX 43386-0440-24 1146587 PROCARDIA CAPS NIFEDIPINE CAPSULES 20MG 100/BT RX 00228-2530-10 4237701 PROCARDIA-XL TABS NIFEDIPINE ER TABLETS (PROCARDIA XL) 30MG 100/BT RX 62175-0260-37 1119816 PROCARDIA-XL TABS NIFEDIPINE ER TABLETS (PROCARDIA XL) 90MG 100/BT RX 62175-0262-37 1162591 PROGESTERONE INJ PROGESTERONE OIL INJ MDV 10ML 50MG/ML EACH INJ 00591-3128-79 1048230 PROGRAF CAPSULES TACROLIMUS CAPSULES 0.5MG 100/BT RX 00781-2102-01 1138002 PROGRAF CAPSULES TACROLIMUS CAPSULES 1MG 100/BT RX 00781-2103-01 1138004 PROGRAF CAPSULES TACROLIMUS CAPSULES 5MG 100/BT RX 00781-2104-01 1138013 PROLIXIN DECONATE INJ FLUPHENAZINE DECAN INJ MDV 5ML 25MG/ML EACH INJ 63323-0272-05 8708834 PROLIXIN TABS FLUPHENAZINE HCL TABLETS 10MG 100/BT RX 00781-1439-01 1144858 PRONESTYL INJ PROCAINAMIDE HCL INJ MDV 10ML 100MG/ML EACH INJ 00409-1902-01 2587296 PRONESTYL INJ PROCAINAMIDE HCL INJ SDV 2ML 500MG/ML EACH INJ 00409-1903-01 1132836 PROSCAR TABS FINASTERIDE TABLETS 5MG 30/BT RX 65862-0149-30 1119147 PROSCAR TABS FINASTERIDE TABLETS 5MG 100/BT RX 65862-0149-01 1119145 PROSOM TABS ESTAZOLAM TABLETS 2MG 100/BT RX 00093-0130-01 1158118 PROSTIGMIN INJ NEOSTIGMINE METHYLSULFATE INJ MDV 10ML 0.5MG/ML 10/BX INJ 10019-0271-10 1100998 PROSTIGMIN INJ NEOSTIGMINE METHYLSULFATE INJ MDV 10ML 0.5MG/ML 25/BX INJ 00517-0034-25 1029784 Page 32 of 46 C3N C4 4560980 4563049 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# PROSTIGMIN INJ NEOSTIGMINE METHYLSULFATE INJ MDV 10ML 1MG/ML 10/BX INJ 10019-0270-10 1100618 PROSTIGMIN INJ NEOSTIGMINE METHYLSULFATE INJ MDV 10ML 1MG/ML 25/BX INJ 00517-0033-25 1025584 PROSTIGMIN INJ NEOSTIGMINE METHYLSULFATE INJ MDV 10ML 1MG/ML EACH INJ 00517-0033-25 2589609 PROTAMINE INJ PROTAMINE SULFATE INJ SDV 25ML 10MG/ML EACH INJ 63323-0229-30 6037674 PROVENTIL/VENTOLIN LIQU ALBUTEROL NEBULIZED SOLN STERILE 0.083% 25x3ML RX 00487-9501-25 1161818 PROVENTIL/VENTOLIN LIQU ALBUTEROL NEBULIZED SOLN STERILE INDIV WRAP 0.083% 30x3ML RX 00487-9501-01 1161820 PROVENTIL/VENTOLIN LIQU ALBUTEROL NEBULIZED SOLN STERILE 0.083% 60x3ML RX 00487-9501-60 1161819 PROVENTIL/VENTOLIN LIQU ALBUTEROL SULFATE INHAL SOLN 0.5% 20ML/BT RX 24208-0347-20 1154206 PROVENTIL/VENTOLIN LIQU ALBUTEROL SULFATE ORAL SYRUP 2MG/5ML 480ML/BT RX 00603-1008-58 1100688 PROVENTIL/VENTOLIN TABS ALBUTEROL SULFATE TABLETS 2MG 100/BT RX 53489-0176-01 1026364 PROVENTIL/VENTOLIN TABS ALBUTEROL SULFATE TABLETS 4MG 100/BT RX 53489-0177-01 1029444 PROVENTIL/VENTOLIN TABS ALBUTEROL SULFATE TABLETS 4MG 500/BT RX 53489-0177-05 1049449 PROVERA TABS MEDROXYPROGESTERONE ACETATE TABLETS 10MG 100/BT RX 00555-0779-02 3624532 PROVERA TABS MEDROXYPROGESTERONE ACETATE TABLETS 2.5MG 100/BT RX 00555-0872-02 1101057 PROVERA TABS MEDROXYPROGESTERONE ACETATE TABLETS 5MG 100/BT RX 59762-3741-01 1049947 PROZAC CAPS FLUOXETINE HCL CAPSULES 10MG 100/BT RX 65862-0192-01 1145879 PROZAC CAPS FLUOXETINE HCL CAPSULES 20MG 100/BT RX 65862-0193-01 1145517 PROZAC CAPS FLUOXETINE HCL CAPSULES 20MG 500/BT RX 65862-0193-05 1145611 PROZAC CAPS FLUOXETINE HCL CAPSULES 40MG 100/BT RX 65862-0194-01 1140945 PROZAC SOLUTION FLUOXETINE HCL ORAL SOLUTION 20MG/5ML 120ML/BT RX 54838-0523-40 1101050 PROZAC TABS FLUOXETINE HCL TABLETS 10MG 100/BT RX 49884-0734-01 1086982 PROZAC TABS FLUOXETINE HCL TABLETS 10MG 30/BT RX 00093-7188-56 1119195 PROZAC TABS FLUOXETINE HCL TABLETS 20MG 100/BT RX 49884-0735-01 1080939 PSORCON OINT DIFLORASONE OINTMENT 0.05% 15GM/TB RX 00168-0243-15 1088059 PTU TABS PROPYLTHIOURACIL TABLETS 50MG 100/BT RX 00143-1480-01 2485949 PULMICORT SUSPENSION BUDESONIDE INHALATION SUSPENSION 2ML 0.25MG 30/BX RX 00093-6815-73 1162235 PULMICORT SUSPENSION BUDESONIDE INHALATION SUSPENSION 2ML 0.5MG 30/BX RX 00093-6816-73 1142937 PURALUBE OINT PURALUBE PETROLEUM OPHTH OINT 1/8OZ/TB OTC 59390-0198-50 6050059 PYRAZINAMIDE TABS PYRAZINAMIDE TABLETS 500MG 100/BT RX 67253-0660-10 1044048 PYRIDIUM TABS PHENAZOPYRIDINE TABLETS 100MG 100/BT RX 64376-0811-01 1157623 PYRIDIUM TABS PHENAZOPYRIDINE TABLETS 200MG 100/BT RX 64376-0812-01 1157644 QUELICIN SUCCINYLCHOLINE INJ MDV 10ML 20MG/ML EACH RX 00409-6629-02 2950043 QUELICIN INJ SUCCINYLCHOLINE INJ MDV 10ML 20MG/ML 25/BX INJ 00409-6629-02 1046965 QUESTRAN POWDER CHOLESTYRAMINE POWDER CAN 4GM 378GM RX 49884-0465-66 1116263 QUESTRAN POWDER CHOLESTYRAMINE POWDER PACKETS 4GM 60/BX RX 49884-0465-65 4080151 QUINAGLUTE TABS QUINIDINE GLUONATE ER TABLETS 324MG 100/BT RX 00591-5538-01 4080204 QUINIDINE TABS QUINIDINE SULFATE TABLETS 200MG 100/BT RX 00591-5438-01 1101503 QUINIDINE TABS QUINIDINE SULFATE TABLETS 1000/BT RX 00185-4346-10 1154166 REFRESH PM OINT ARTIFICIAL TEARS OINTMENT 200MG PET WHITE, LIGHT MIN OIL 3.5GM/TB OTC 00536-6550-91 1147474 REGITINE INJ PHENTOLAMINE MESYLATE INJ LYOPH SDV 2ML 5MG/VL EACH INJ 55390-0113-01 1025231 REGLAN INJ METOCLOPRAMIDE HCL INJ SDV 2ML 5MG/ML 25/BX INJ 00409-3414-01 1146842 REGLAN INJ METOCLOPRAMIDE HCL INJ SDV 2ML 5MG/ML EACH INJ 00409-3414-01 1148940 REGLAN LIQUID METOCLOPRAMIDE HCL ORAL SYRUP 5MG/5ML 480ML/BT RX 54838-0508-80 1136638 REGLAN TABS METOCLOPRAMIDE HCL TABLETS 10MG 100/BT RX 00603-4615-21 4080136 REGLAN TABS METOCLOPRAMIDE HCL TABLETS 10MG 500/BT RX 00603-4615-28 4080137 REGLAN TABS METOCLOPRAMIDE HCL TABLETS 5MG 100/BT RX 00603-4614-21 4080134 RELAFEN TABS NABUMETONE TABLETS 500MG 100/BT RX 00093-1015-01 1024331 RELAFEN TABS NABUMETONE TABLETS 750MG 100/BT RX 68462-0359-01 1146910 REMERON TABS MIRTAZAPINE TABLETS 15MG 30/BT RX 65862-0031-30 1118817 REMERON TABS MIRTAZAPINE TABLETS 30MG 30/BT RX 13107-0003-30 1153576 REMERON TABS MIRTAZAPINE TABLETS 45MG 30/BT RX 13107-0032-30 1154298 RENOVA CREAM TRETINOIN EMOLLIENT CREAM 0.05% 60GM/TB RX 66530-0411-60 1157212 RENOVA GEL TRETINOIN GEL 0.025% 15GM/TB RX 45802-0363-35 1085060 REQUIP TABLETS ROPINIROLE HCL TABLETS 0.5MG 100/BT RX 23155-0122-01 1162101 REQUIP TABLETS ROPINIROLE HCL TABLETS 1MG 100/BT RX 23155-0123-01 1162102 REQUIP TABLETS ROPINIROLE HCL TABLETS 5MG 100/BT RX 23155-0127-01 1162875 RESTORIL CAPS TEMAZEPAM CAPSULES 15MG 100/BT C4 RX 67877-0146-01 1146684 RESTORIL CAPS TEMAZEPAM CAPSULES 15MG 500/BT C4 RX 67877-0146-05 1146632 RESTORIL CAPS TEMAZEPAM CAPSULES 30MG 100/BT C4 RX 67877-0147-01 1146089 RESTORIL CAPS TEMAZEPAM CAPSULES 30MG 500/BT C4 RX 67877-0147-05 1146352 Page 33 of 46 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# RETIN-A TRETIN X TRETINOIN 0.1% 35GM/TB RX 14290-0350-97 1147107 RETIN-A CREAM TRETINOIN CREAM 0.025% 20GM/TB RX 45802-0182-02 1088828 RETIN-A CREAM TRETINOIN CREAM 0.025% 45GM/TB RX 45802-0182-42 1083524 RETIN-A CREAM TRETINOIN CREAM 0.05% 20GM/TB RX 45802-0361-02 1083339 RETIN-A CREAM TRETINOIN CREAM 0.05% 45GM/TB RX 45802-0361-42 1080441 RETIN-A CREAM TRETINOIN CREAM 0.1% 20GM/TB RX 45802-0183-02 1088889 RETIN-A CREAM TRETINOIN CREAM 0.1% 45GM/TB RX 45802-0183-42 1116710 REVIA TABS NALTREXONE HCL TABLETS 50MG 30/BT RX 00406-1170-03 1107681 RIFADIN CAPS RIFAMPIN CAPSULES 300MG 30/BT RX 00527-1315-30 4089418 RIFADIN INJ RIFAMPIN INJ LYOPH SDV 30ML 600MG/VL EACH INJ 23360-0051-42 1119751 RIFADIN INJ RIFAMPIN INJ LYOPH SDV 30ML 600MG/VL EACH INJ 55390-0123-01 1155166 RISPERDAL M-TABS RISPERDONE ORALLY DISINTIGRATING TABS 3MG 28/BT RX 49884-0402-91 1135970 RISPERDAL M-TABS RISPERDONE ORALLY DISINTIGRATING TABS 4MG 28/BT RX 49884-0403-91 1135972 RISPERDAL TABLETS RISPERIDONE TABLETS 1MG 60/BT RX 00603-5685-20 1145839 RISPERDAL TABLETS RISPERIDONE TABLETS 2MG 60/BT RX 00603-5686-20 1157468 RITALIN TABS METHYLPHENIDATE TABLETS 10MG 100/BT C2 RX 00406-1122-01 1024647 RITALIN TABS METHYLPHENIDATE TABLETS 20MG 100/BT C2 RX 00406-1124-01 1026137 ROBAXIN TABS METHOCARBAMOL TABLETS 500MG 100/BT RX 00603-4485-21 1118852 ROBAXIN TABS METHOCARBAMOL TABLETS 500MG 500/BT RX 00603-4485-28 1118853 ROBAXIN TABS METHOCARBAMOL TABLETS 750MG 100/BT RX 00603-4486-21 1118854 ROBAXIN TABS METHOCARBAMOL TABLETS 750MG 500/BT RX 00603-4486-28 1118855 ROBINUL INJ GLYCOPYRROLATE INJ SDV 1ML 0.2MG/ML 25/BX INJ 10019-0016-81 1100993 ROBINUL INJ GLYCOPYRROLATE INJ SDV 1ML 0.2MG/ML 25/BX INJ 00517-4601-25 1606703 ROBINUL INJ GLYCOPYRROLATE INJ SDV 2ML 0.2MG/ML 25/BX INJ 10019-0016-17 1084264 ROBINUL INJ GLYCOPYRROLATE INJ MDV 5ML 0.2MG/ML 25/BX INJ 00517-4605-25 1106895 ROBINUL INJ GLYCOPYRROLATE INJ MDV 5ML 0.2MG/ML EACH INJ 00641-0016-36 2480234 ROBINUL INJ GLYCOPYRROLATE INJ MDV 20ML 0.2MG/ML 25/BX INJ 00517-4620-25 1028623 ROBITUSSIN AC LIQUID GUIATUSS AC ORAL SYRUP 10-100/5ML 120ML/BT C5 RX 00603-1075-54 1118721 ROBITUSSIN AC LIQUID GUIATUSS AC ORAL SYRUP 10-100/5ML 480ML/BT C5 RX 00603-1075-58 1089621 ROBITUSSIN CF LIQUID GUAIFENESIN CF ORAL SYRUP OTC 00113-0516-26 1146528 ROBITUSSIN DAC LIQUID GUIATUSS DAC ORAL SYRUP 100/30/10/5ML 480ML/BT RX 16571-0301-16 1147244 ROBITUSSIN DM LIQUID GUAIFENESIN DM ORAL SYRUP 100/10MG/5ML 4OZ/BT OTC 00603-0855-94 4080021 ROBITUSSIN DM LIQUID GUAIFENESIN DM ORAL SYRUP 100/10MG/5ML 16OZ/BT OTC 00121-0638-16 1138230 ROBITUSSIN DM LIQUID GUAIFENESIN DM ORAL SYRUP 100/10MG/5ML 1GAL OTC 00904-0053-28 1133394 ROBITUSSIN DM SYRUP UD CUPS GUAIFENESIN DM SYRUP UD CUPS 5ML 100/CA OTC 00121-0638-05 1101544 ROBITUSSIN LIQUID GUAIFENESIN ORAL SYRUP 100MG/5ML 4OZ/BT OTC 00603-0857-94 4080022 ROBITUSSIN LIQUID GUAIFENESIN ORAL SYRUP 100MG/5ML 8OZ/BT OTC 00121-0744-08 1118732 ROBITUSSIN LIQUID GUAIFENESIN ORAL SYRUP 100MG/5ML 16OZ/BT OTC 00121-0744-16 1118733 ROCALTROL CAPS CALCITRIOL CAPSULES 0.25MCG 30/BT RX 00054-0007-13 1088286 ROCALTROL CAPS CALCITRIOL CAPSULES 0.25MCG 100/BT RX 00054-0007-25 1082689 ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 250MG/VL 10/BX INJ 68180-0611-10 7840052 ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 250MG/VL EACH INJ 68180-0611-01 7864282 ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 500MG/VL 10/BX INJ 68180-0622-10 7848231 ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 500MG/VL EACH INJ 68180-0622-01 7862424 ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 1GM/VL 10/BX INJ 00409-4282-01 7846100 ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 1GM/VL EACH INJ 68180-0633-01 7847810 ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 2GM/VL 10/BX INJ 68180-0644-10 7848917 ROCEPHIN INJ CEFTRIAXONE SODIUM INJ STER PWD SDV 2GM/VL EACH INJ 68180-0644-01 7848917 ROGAINE EX STR SOLUTION MINOXIDIL TOPICAL SOLUTION 5% 2x60ML OTC 00472-0094-75 1023678 ROGAINE EX STR SOLUTION MINOXIDIL TOPICAL SOLUTION 5% 60ML/BT OTC 00472-0094-73 1028437 ROGAINE SOLUTION MINOXIDIL TOPICAL SOLUTION MENS 2% 2x60ML OTC 00472-0066-75 1021396 ROGAINE SOLUTION MINOXIDIL TOPICAL SOLUTION MENS 2% 60ML/BT OTC 00472-0066-73 1027613 ROMAZICON INJ FLUMAZENIL INJ MDV 5ML 0.1MG/ML 10/BX INJ 10019-0321-01 1049072 ROMAZICON INJ FLUMAZENIL INJ MDV 5ML 0.1MG/ML EACH INJ 10019-0321-01 2480244 ROMAZICON INJ FLUMAZENIL INJ MDV 10ML 0.1MG/ML 10/BX INJ 55390-0093-10 1155089 ROMAZICON INJ FLUMAZENIL INJ MDV 10ML 0.1MG/ML EACH INJ 10019-0321-62 2583737 ROWASA RECTAL SUSP MESALAMINE RECTAL SUSPENSION 4GM/60ML 7x60ML/BT RX 45802-0098-51 1086657 ROXICODONE TABS OXYCODONE HCL TABLETS 10MG 100/BT C2 RX 10702-0056-01 1148791 ROXICODONE TABS OXYCODONE HCL TABLETS 15MG 100/BT C2 RX 00603-4991-21 1118872 ROXICODONE TABS OXYCODONE HCL TABLETS 20MG 100/BT C2 RX 10702-0057-01 1148792 120ML/BT Page 34 of 46 C5 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# ROXICODONE TABS OXYCODONE HCL TABLETS 30MG 100/BT C2 RX 00603-4992-21 1118873 ROXICODONE TABS OXYCODONE HCL TABLETS 5MG 100/BT C2 RX 00603-4990-21 1146808 RYTHMOL TABS PROPAFENONE HCL TABLETS 150MG 100/BT RX 00603-5448-21 1161566 RYTHMOL TABS PROPAFENONE HCL TABLETS 225MG 100/BT RX 00603-5449-21 1084464 SALAGEN TABS PILOCARPINE HCL TABLETS 5MG 100/BT RX 00115-5922-01 1156232 SALINE FLUSH SYRINGE SALINE FLUSH SYRINGE 10ML 0.9% 100/BX INJ 63807-0100-11 2318865 SALINE FLUSH SYRINGE SALINE FLUSH SYRINGE 3ML 0.9% 1000/CA INJ 63807-0100-33 1109342 SALINE INJ NORMAL SALINE INJ PLASTIC BAG 1000ML 0.9% EACH INJ 00409-7983-09 1046816 SANCTURA TABS TROSPIUM HCL TABLETS 20MG 60/BT RX 68462-0461-60 2480327 SANDIMMUNE INJ CYCLOSPORINE INJ SDV 5ML 50MG/ML 10/BX INJ 55390-0122-10 1100667 SANDOSTATIN INJ OCTREOTIDE ACETATE INJ SDV 1ML 100MCG/ML 10/BX INJ 55390-0161-10 1155151 SARNA LOTION CAMPHOR W/ MENTHOL ANTI ITCH LOTION 7.5OZ/BT OTC 54162-0550-07 1100814 SAW PALMETTO CAPS SAW PALMETTO CAPSULES 450MG 100/BT OTC SCLEROMATE INJ MORRHUATE SODIUM INJ MDV 30ML 50MG/ML EACH INJ 00517-3065-01 2486829 SCOPE LIQUID MOUTHWASH & GARGLE GREEN 1 LITER/BT OTC 30869-4002-06 1027960 SCOPOLAMINE INJ SCOPOLAMINE HYDROBR INJ MDV 1ML 0.4MG/ML 25/BX INJ 63323-0268-01 8704341 SECTRAL CAPS ACEBUTOLOL HCL CAPSULES 200MG 100/BT RX 65162-0669-10 1131751 SECTRAL CAPS ACEBUTOLOL HCL CAPSULES 400MG 100/BT RX 65162-0670-10 1144556 SELENIUM INJ SELENIUM INJ SDV 10ML 40MCG/ML 25/BX INJ 00517-6510-25 1028088 SELSUN LOTION SELENIUM SULFIDE LOTION/SHAMPOO 2.5% 120ML/BT RX 45802-0040-64 1086274 SENOKOT LIQUID LAXATIVE NATURAL SENNA SYRUP 8OZ/BT OTC 00121-0722-08 1135980 SENOKOT TABS LAXATIVE NATURAL SENNA TABLETS 100/BT OTC 49483-0080-01 1145625 SENOKOT TABS LAXATIVE NATURAL SENNA TABLETS 1000/BT OTC 49483-0080-10 1146094 SERAX CAPS OXAZEPAM CAPSULES 10MG 100/BT C4 RX 00228-2067-10 1101122 SERAX CAPS OXAZEPAM CAPSULES 15MG 100/BT C4 RX 00172-4805-60 1023517 SERAX CAPS OXAZEPAM CAPSULES 30MG 100/BT C4 RX 00228-2073-10 1101123 SERZONE TABS NEFAZODONE HCL TABLETS 200MG 60/BT RX 00093-1025-06 1112948 SERZONE TABS NEFAZODONE HCL TABLETS 250MG 60/BT RX 00093-1026-06 1118501 SILVADENE CREAM SILVER SULFADIAZENE CREAM JAR 1% 400GM/JR RX 67877-0124-40 1107801 SILVADENE CREAM SILVER SULFADIAZENE CREAM JAR 1% 50GM/JR RX 49884-0600-36 2322405 SILVADENE CREAM SILVER SULFADIAZENE CREAM JAR 1% 85GM/JR RX 00591-0810-85 1088492 SILVADENE CREAM SILVER SULFADIAZENE CREAM TUBE 1% 25GM/TB RX 00591-0810-83 4250006 SILVADENE CREAM SILVER SULFADIAZENE CREAM TUBE 1% 85GM/TB RX 49884-0600-85 1126440 SINEMET TABS CARBIDOPA/LEVODOPA TABLETS 10/100MG 100/BT RX 00228-2538-10 4080002 SINEMET TABS CARBIDOPA/LEVODOPA TABLETS 25/100MG 100/BT RX 62756-0518-88 1141956 SINEMET TABS CARBIDOPA/LEVODOPA TABLETS 25/250MG 100/BT RX 62756-0519-88 1146844 SINEMET-CR TABS CARBIDOPA/LEVODOPA ER TABLETS 50/200MG 100/BT RX 00115-3911-01 1155026 SINEQUAN CAPS DOXEPIN HCL CAPSULES 10MG 100/BT RX 00378-1049-01 2480248 SINEQUAN CAPS DOXEPIN HCL CAPSULES 25MG 100/BT RX 00378-3125-01 2480250 SINEQUAN CAPS DOXEPIN HCL CAPSULES 50MG 100/BT RX 00378-4250-01 1145355 SINEQUAN CAPS DOXEPIN HCL CAPSULES 100MG 100/BT RX 00378-6410-01 1152828 SINEQUAN LIQUID DOXEPIN HCL ORAL CONCENTRATE 10MG/ML 120ML/BT RX 00093-9612-12 1119198 SINUS DECON TABS NON-PSEUDO SINUS DEC PHEN HCL TABLETS 100MG 250x1/BX OTC 47682-0809-48 8380008 SINUS DECON TABS NON-PSEUDO SINUS DEC PHEN HCL TABS 100MG 100x1/BX OTC 47682-0809-33 8380009 SINUS DECON TABS NON-PSEUDO SINUS DEC PHEN HCL TABS 100MG 500x1/BX OTC 47682-0809-13 8380007 SINUS PAIN TABS NON-PSEUDO SINUS PAIN & PRESSURE 500MG 125x2/BX OTC 47682-0819-48 8380001 SINUS PAIN TABS NON-PSEUDO SINUS PAIN & PRESSURE 500MG 250x2/BX OTC 47682-0819-13 8380000 SINUS PAIN TABS NON-PSEUDO SINUS PAIN & PRESSURE TABLETS 500MG 50x2/BX OTC 47682-0819-33 8380002 SODIUM ACETATE INJ SODIUM ACETATE INJ SDV 20ML 2MEQ/ML 25/BX INJ 00517-2096-25 1107239 SODIUM BICARB INJ SODIUM BICARB INJ LUER LOK SYRINGE 50ML 7.5% 10/BX INJ 00548-3352-00 1157838 SODIUM BICARB INJ SODIUM BICARB INJ PEDIATRIC SYRINGE 10ML 8.4% 10/BX INJ 00409-4900-34 1047072 SODIUM BICARB INJ SODIUM BICARB INJ PEDIATRIC SYRINGE 10ML 8.4% EACH INJ 00409-4900-34 2488473 SODIUM BICARB INJ SODIUM BICARB INJ SDV 5ML 4% 25/BX INJ 00409-6609-02 2586163 SODIUM BICARB INJ SODIUM BICARB INJ SDV 5ML 4.2% 25/BX INJ 63323-0026-05 1101516 SODIUM BICARB INJ SODIUM BICARB INJ SDV 50ML 7.5% 25/BX INJ 00517-0639-25 2581809 SODIUM BICARB INJ SODIUM BICARB INJ SDV 50ML 8.4% 25/BX INJ 00409-6625-02 1046823 SODIUM BICARB INJ SODIUM BICARB INJ SDV 50ML 8.4% EACH INJ 00409-6625-02 2488109 SODIUM BICARB INJ SODIUM BICARB INJ SYRINGE (ABBOJ LFS) 50ML 8.4% 10/BX INJ 00409-6637-34 1046895 SODIUM BICARB INJ SODIUM BICARB INJ SYRINGE (ABBOJ LFS) 50ML 8.4% EACH INJ 00409-6637-34 2481288 SODIUM BICARB INJ SODIUM BICARB INJ SYRINGE 10ML 4.2% 10/BX INJ 00409-5534-34 1046988 Page 35 of 46 1043108 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# SODIUM BICARB INJ SODIUM BICARB INJ SYRINGE 10ML 4.2% EACH INJ 00409-5534-34 2487957 SODIUM BICARB INJ SODIUM BICARB INJ SYRINGE 50ML 7.5% 10/BX INJ 00409-4916-34 1047060 SODIUM CHLORIDE INHAL SODIUM CHLORIDE INHALATION NEBULIZER 0.9% 100x3ML RX 00487-9301-03 1161826 SODIUM CHLORIDE INHAL SODIUM CHLORIDE INHALATION NEBULIZER 0.9% 30x3ML RX 00487-9301-33 1161827 SODIUM CHLORIDE INJ SODIUM CHLORIDE FOR IRRIG BOTTLE 500ML 0.9% 24/BX INJ 00409-6138-03 1049665 SODIUM CHLORIDE INJ SODIUM CHLORIDE FOR IRRIGATION 0.9% 12/BX RX 00409-7138-09 1093041 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ 100ML 0.45% 80/CS INJ 00409-7730-37 1117147 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ ADD-VAN 50ML 0.9% 5/BX INJ 00409-7101-66 1047073 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ ADD-VAN 100ML 0.9% 50/BX INJ 00409-7101-67 1049663 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ ADD-VAN 250ML 0.9% 24/BX INJ 00409-7101-02 2586377 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ BACTERIO LF MDV 10ML 0.9% EACH INJ 00409-1966-12 1162590 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ BACTERIO LF MDV 10ML 0.9% 25/BX INJ 00409-1966-12 1046851 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ BACTERIO MDV 10ML 0.9% EACH INJ 00409-1966-04 2480246 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ BACTERIO MDV 30ML 0.9% 25/BX INJ 00409-1966-07 1048583 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ BACTERIO MDV 30ML 0.9% EACH INJ 00409-1966-07 2580040 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ GLASS BOTTLE 250ML 0.9% 12/BX INJ 00409-1583-02 1047047 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ LIFECARE BAG 250ML 0.9% 24/BX INJ 00409-7983-02 1049523 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 2ML 0.9% 25/BX INJ 00409-2102-02 1100637 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 5ML 0.9% 25/BX INJ 00409-2102-05 2486689 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 100ML 0.9% 16x25/BX INJ 63323-0186-00 1093359 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 10ML 0.9% 25/BX INJ 00409-4888-10 1049943 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 10ML 0.9% EACH INJ 00409-4888-10 2484457 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 10ML GLASS 0.9% 25/BX INJ 00517-2810-25 1146695 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 20ML 0.9% 25/BX INJ 00409-4888-20 1048688 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 20ML 0.9% EACH INJ 00409-4888-20 1816472 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 30ML 23.4% 25/BX INJ 00517-2930-25 1025956 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 30ML 23.4% EACH INJ 63323-0187-30 3238156 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 50ML 0.9% 25/BX INJ 00409-4888-50 1046989 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV 50ML 0.9% EACH INJ 00409-4888-50 2482785 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SDV PF 20ML 14.6% 25/BX INJ 00409-6657-73 1047065 SODIUM CHLORIDE INJ SODIUM CHLORIDE INJ SYRINGE 5ML 0.9% 25/BX INJ 00409-1918-35 2582959 SODIUM CHLORIDE/PHENOL INJ SODIUM CHLORIDE W/PHENOL INJ 30ML 0.9% 25/BX INJ 5457500101 7867217 SODIUM CLORIDE INJ SODIUM CHLORIDE FOR IRRIG BAG 250ML 0.9% 1/BG RX 00409-7983-02 2950041 SODIUM CLORIDE IRRIG SODIUM CHLORIDE FOR IRRIG BOTTLE 1000ML 0.9% 1/BT RX 00409-7138-09 2950042 SODIUM SULAMYD SOLN SULFACETAMIDE SODIUM OPHTH SOLUTION 10% 15ML/BT RX 24208-0670-04 1148423 SODIUM THIOSULFATE INJ SODIUM THIOSULFATE INJ SDV 10ML 10% 5/BX INJ 00517-1019-05 1074040 SODIUM THIOSULFATE INJ SODIUM THIOSULFATE INJ SDV 50ML 25% EACH INJ 00517-5019-01 6596968 SODIUMCHLORIDE INJ SODIUM CHLORIDE INJ SYRINGE PF 10ML 0.9% 400/CS INJ 00409-1078-20 1144594 SOLAQUIN FORTE HYDROQUINONE CREAM W/SUNSCREEN JAR 4%/SPF15 1OZX12/BX RX 45802-0984-64 1124386 SOLAQUIN FORTE HYDROQUINONE WITH SUNSCREENS 4% 30GM/TB RX 45802-0975-64 1126895 SOLU-MEDROL ACTIVIAL METHYLPREDNISOLONE SOD SUCC INJ UNIVIAL 1ML 40MG/ML 10/BX INJ 00409-5684-23 1137827 SOMA TABS CARISOPRODOL TABLETS 350MG 100/BT RX 00603-2582-21 1078393 SOMA TABS CARISOPRODOL TABLETS 350MG 500/BT RX 00603-2582-28 1078989 SOMA TABS CARISOPRODOL TABLETS 350MG 1000/BT RX 00603-2582-32 1133188 SONATA CAPSULES ZALEPLON CAPSULES 5MG 100/BT C4 RX 29300-0131-01 1154592 SONATA CAPSULES ZALEPLON CAPSULES 10MG 100/BT C4 RX 29300-0132-01 1158673 SPECTAZOLE CREAM ECONAZOLE NITRATE CREAM 1% 15GM/TB RX 45802-0466-35 1081903 SPECTAZOLE CREAM ECONAZOLE NITRATE CREAM 1% 30GM/TB RX 45802-0466-11 1083163 SPECTAZOLE CREAM ECONAZOLE NITRATE CREAM 1% 85GM/TB RX 45802-0466-53 1101027 SPORANOX CAPS ITRACONAZOLE CAPSULES 100MG 30/BT RX 10147-1700-03 1161650 STADOL BUTORPHANOL TARTRATE INJ SDV 1ML 2MG/ML EACH C4 INJ 05539-0184-01 2950034 STADOL INJ BUTORPHANOL TARTRATE INJ SDV 1ML 1MG/ML 10/BX C4 INJ 00409-1623-01 1118849 STADOL INJ BUTORPHANOL TARTRATE INJ SDV 1ML 2MG/ML 10/BX C4 INJ 00409-1626-01 1139785 STADOL INJ BUTORPHANOL TARTRATE INJ SDV 2ML 2MG/ML 10/BX C4 INJ 00409-1626-02 1146345 STADOL INJ BUTORPHANOL TARTRATE INJ MDV 10ML 2MG/ML EACH C4 INJ 55390-0185-10 1049796 STADOL INJ BUTORPHANOL TARTRATE NASAL SPRAY 10MG/ML 2.5ML/BT C4 RX 00054-3090-36 1025662 STERILE, WATER INJ WATER FOR INJ SDV STERILE 100ML STERILE EACH INJ 00409-4887-99 2584971 STRESS TABS STRESS FORMULA TABLETS 60/BT OTC 1043165 STRESS TABS W/IRON STRESS FORMULA W/IRON TABLETS 60/BT OTC 1081634 STRESS TABS W/ZINC STRESS FORMULA 500 W/ZINC TABLETS 60/BT OTC 1046754 Page 36 of 46 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE LOWER DOSE CONTR DRUG CLASS RX, OTC, INJ NDC STUART NATAL OLD FORM TABS PRENATAL TABLETS OLD FORMULA 100/BT OTC STUART PRENATAL TABS PRENATAL TABLETS 100/BT OTC STUARTNATAL PLUS TABS PRENATAL PLUS TABLETS 100/BT OTC 65162-0668-10 1119254 SUBLIMAZE INJ FENTANYL CITRATE INJ AMPULES 2ML 50MCG/ML 10/BX C2 INJ 00409-9093-32 1046530 SUBLIMAZE INJ FENTANYL CITRATE INJ AMPULES 5ML 50MCG/ML 10/BX C2 INJ 00409-9093-35 1046535 SUBLIMAZE INJ FENTANYL CITRATE INJ AMPULES 20ML 50MCG/ML 5/BX C2 INJ 10019-0035-74 1101435 SUBLIMAZE INJ FENTANYL CITRATE INJ SDV 2ML 50MCG/ML 25/BX C2 INJ 00409-9094-22 1046538 SUBLIMAZE INJ FENTANYL CITRATE INJ SDV 5ML 50MCG/ML 25/BX C2 INJ 00409-9094-25 1046541 SUBLIMAZE INJ FENTANYL CITRATE INJ SDV 10ML 50MCG/ML 25/BX C2 INJ 00409-9094-28 1046542 SUBLIMAZE INJ FENTANYL CITRATE INJ SDV 20ML 50MCG/ML 25/BX C2 INJ 00409-9094-31 1106559 SUBLIMAZE INJ FENTANYL CITRATE INJ SDV 50ML 50MCG/ML EACH C2 INJ 10019-0037-83 1042322 SUBLIMAZE INJ FENTANYL CITRATE INJ SYRINGE (CARPJCT) 2ML 50MCG/ML 10/BX C2 INJ 00409-1276-32 1047851 SUDAFED PED LIQUID PSEUDOEPHEDRINE HCL ORAL LIQUID 30MG/5ML 4OZ/BT OTC 00121-0421-04 1313421 SUDAFED TABS PSEUDOEPHEDRINE HCL TABLETS 30MG 24/BX OTC 45802-0432-62 1147086 SUN TAN LOTION SPF15 SUN TAN LOTION SPF15 4OZ/BT OTC 79608-0030-42 1155549 SUN TAN LOTION SPF30 SUN TAN LOTION SPF30 4OZ/BT OTC 79608-0030-41 1155401 SURFAK CAPS DOCUSATE CALCIUM CAPSULES 240MG 100/BT OTC 57896-0424-01 1082393 SURGEONS SKIN SECRET SURGEONS SKIN SECRET 4OZ 4OZ/BT OTC SWIM-EAR DROPS SWIM-EAR OTIC DROPS 1OZ/BT OTC 00168-0126-91 1136949 SYMMETREL CAPS AMANTADINE HCL CAPSULES 100MG 100/BT RX 00527-1704-01 1118883 SYMMETREL LIQUID AMANTADINE HCL ORAL SYRUP 50MG/5ML 480ML/BT RX 00121-0646-16 4080028 SYNALAR CREAM FLUOCINOLONE ACETONIDE CREAM 0.01% 15GM/TB RX 00168-0058-15 1028968 SYNALAR CREAM FLUOCINOLONE ACETONIDE CREAM 0.01% 60GM/TB RX 00168-0058-60 4726258 SYNALAR CREAM FLUOCINOLONE ACETONIDE CREAM 0.025% 15GM/TB RX 00168-0060-15 4726372 SYNALAR CREAM FLUOCINOLONE ACETONIDE CREAM 0.025% 60GM/TB RX 00168-0060-60 1026358 SYNALAR OINT FLUOCINOLONE ACETONIDE OINTMENT 0.025% 15GM/TB RX 00168-0064-15 1087055 SYNALAR OINT FLUOCINOLONE ACETONIDE OINTMENT 0.025% 60GM/TB RX 00168-0064-60 1026963 SYNALAR SOLUTION FLUOCINOLONE ACETONIDE SOLUTION 0.01% 60ML/BT RX 00168-0059-60 1024358 TAGAMET SOL CIMETIDINE ORAL SOLUTION 300MG/5ML 240ML/BT RX 00121-0649-08 4080029 TAGAMET SOL CIMETIDINE ORAL SOLUTION 300MG/5ML 480ML/BT RX 00121-0649-16 1048956 TAGAMET TABS CIMETIDINE TABLETS 300MG 100/BT RX 00172-7117-60 1011834 TAGAMET TABS CIMETIDINE TABLETS 300MG 500/BT RX 00093-8192-05 1162710 TAGAMET TABS CIMETIDINE TABLETS 400MG 100/BT RX 00172-7171-60 1047269 TAGAMET TABS CIMETIDINE TABLETS 400MG 500/BT RX 00093-8204-05 3210051 TAGAMET TABS CIMETIDINE TABLETS 800MG 100/BT RX 00172-7711-60 1042638 TAMBOCOR TABS FLECAINIDE ACETATE TABLETS 100MG 100/BT RX 63304-0795-01 1147871 TAPAZOLE TABS METHIMAZOLE TABLETS 10MG 100/BT RX 49884-0641-01 1138371 TAPAZOLE TABS METHIMAZOLE TABLETS 5MG 100/BT RX 49884-0640-01 1138372 TAVIST TABS CLEMASTINE TABLETS 1.34MG 100/BT OTC 00781-1358-01 4252001 TAVIST TABS CLEMASTINE TABLETS 2.68MG 100/BT RX 00781-1359-01 4252101 TAXOL INJ PACLITAXEL INJ MDV 100MG/16.7ML 6MG/ML EACH INJ 61703-0342-22 1045481 TAXOL INJ PACLITAXEL INJ MDV 300MG/50ML 6MG/ML EACH INJ 61703-0342-50 1047809 TAXOL INJ PACLITAXEL INJ MDV 30MG/5ML 6MG/ML EACH INJ 61703-0342-09 1046379 TEARS NATURALE ARTIFICIAL TEARS ISOTONIC LIQUID (BOXED) 0.5OZ/BT OTC 00904-5018-35 1026515 TEGRETOL LIQUID CARBAMAZEPINE ORAL SUSPENSION 100MG/5ML 450ML/BT RX 51672-4047-09 1085512 TEGRETOL TABS CARBAMAZEPINE TABLETS 200MG 100/BT RX 00093-0109-01 1100882 TEGRETOL TABS CARBAMAZEPINE TABLETS 200MG 500/BT RX 51672-4005-02 1137164 TEGRETOL TABS CARBAMAZEPINE TABLETS 200MG 1000/BT RX 00093-0109-10 1118807 TEGRETOL XR TABS CARBAMAZEPINE XR TABLETS 200MG 100/BT RX 00781-5087-01 1138780 TEGRETOL XR TABS CARBAMAZEPINE XR TABLETS 400MG 100/BT RX 00781-5088-01 1138781 TEMOVATE CREAM CLOBETASOL PROPIONATE CREAM 0.05% 15GM/TB RX 00168-0163-15 1020039 TEMOVATE CREAM CLOBETASOL PROPIONATE CREAM 0.05% 30GM/TB RX 00168-0163-30 1133798 TEMOVATE CREAM CLOBETASOL PROPIONATE CREAM 0.05% 45GM/TB RX 00168-0163-46 1026525 TEMOVATE E CREAM CLOBETASOL PROPIONATE CREAM(EMOLLIENT) 0.05% 15GM/TB RX 00168-0301-15 1084565 TEMOVATE GEL CLOBETASOL PROPIONATE GEL 0.05% 15GM/TB RX 45802-0925-14 1106617 TEMOVATE OINT CLOBETASOL PROPIONATE OINTMENT 0.05% 30GM/TB RX 00168-0162-30 1024518 TEMOVATE OINT CLOBETASOL PROPIONATE OINTMENT 0.05% 45GM/TB RX 00168-0162-46 1025133 TEMOVATE OINT CLOBETASOL PROPIONATE OINTMENT 0.05% 60GM/TB RX 00168-0162-60 1107642 TEMOVATE SOLUTION CLOBETASOL PROPIONATE TOPICAL SOLUTION 0.05% 25ML/BT RX 60432-0133-25 1100881 TEMOVATE SOLUTION CLOBETASOL PROPIONATE TOPICAL SOLUTION 0.05% 50ML/BT RX 60432-0133-50 1147543 Page 37 of 46 00904-5313-60 Generic HSI ITEM# 1158742 4568856 1021185 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# TENEX TABS GUANFACINE TABLETS 2MG 100/BT RX 00591-0453-01 4080194 TENORETIC TABS ATENOLOL/CHLORTHALIDONE TABLETS 50/25MG 100/BT RX 00591-5782-01 1078976 TENORETIC TABS ATENOLOL/CHLORTHALIDONE TABLETS 100/25MG 100/BT RX 00591-5783-01 1074931 TENORMIN TABS ATENOLOL TABLETS 25MG 100/BT RX 63304-0621-01 1118945 TENORMIN TABS ATENOLOL TABLETS 25MG 1000/BT RX 63304-0621-10 1118949 TENORMIN TABS ATENOLOL TABLETS 50MG 100/BT RX 63304-0622-01 1118950 TENORMIN TABS ATENOLOL TABLETS 50MG 1000/BT RX 63304-0622-10 1118953 TENORMIN TABS ATENOLOL TABLETS 100MG 100/BT RX 63304-0623-01 1118957 TENUATE TABS DIETHYLPROPRION TABLETS 25MG 100/BT RX 00591-0783-01 1028684 TERAZOL CREAM TERCONAZOLE VAGINAL CREAM 0.4% 45GM/TB RX 51672-1304-06 1131863 TERAZOL CREAM TERCONAZOLE VAGINAL CREAM 0.8% 20GM/TB RX 51672-1302-00 1131866 TESSALON PERLES CAPS BENZONATATE CAPSULES 100MG 100/BT RX 67877-0105-01 1145223 TESSALON PERLES CAPS BENZONATATE CAPSULES 200MG 100/BT RX 67877-0106-01 1142722 THEO-DUR TABS THEOPHYLLINE CR TABLETS 100MG 100/BT RX 50111-0483-01 1118347 THEO-DUR TABS THEOPHYLLINE CR TABLETS 100MG 500/BT RX 50111-0483-02 1117338 THEO-DUR TABS THEOPHYLLINE CR TABLETS 200MG 100/BT RX 50111-0482-01 1116854 THEO-DUR TABS THEOPHYLLINE CR TABLETS 200MG 500/BT RX 50111-0482-02 1116274 THEO-DUR TABS THEOPHYLLINE CR TABLETS 300MG 100/BT RX 50111-0459-01 1101497 THEO-DUR TABS THEOPHYLLINE CR TABLETS 300MG 1000/BT RX 50111-0459-03 1117260 THEO-DUR TABS THEOPHYLLINE CR TABLETS 300MG 500/BT RX 50111-0459-02 1115965 THEO-DUR TABS THEOPHYLLINE CR TABLETS 450MG 100/BT RX 50111-0518-01 1101499 THERAGRAN M TABS THERAVITE M DIETARY TABLETS 1000/BT OTC THERAGRAN M TABS THERAVITE M PLUS TABLETS 130/BT OTC THIOPLEX INJ THIOTEPA INJ LYOPH SDV 2ML 15MG/VL EACH INJ 55390-0030-10 2486309 THORAZINE INJ CHLORPROMAZINE HCL INJ AMP 1ML 50MG/2ML 25/BX INJ 00641-1397-35 1045726 THORAZINE INJ CHLORPROMAZINE HCL INJ AMP 2ML 50MG/2ML 25/BX INJ 00641-1398-35 4218042 THORAZINE TABS CHLORPROMAZINE HCL TABLETS 10MG 100/BT RX 00781-1715-01 1118755 THORAZINE TABS CHLORPROMAZINE HCL TABLETS 25MG 100/BT RX 00781-1716-01 1109953 THORAZINE TABS CHLORPROMAZINE HCL TABLETS 50MG 100/BT RX 00781-1717-01 1118756 THORAZINE TABS CHLORPROMAZINE HCL TABLETS 100MG 100/BT RX 00781-1718-01 1118757 THORAZINE TABS CHLORPROMAZINE HCL TABLETS 200MG 100/BT RX 00781-1719-01 4038401 TIGAN CAPS TRIMETHOBENZAMIDE HCL CAPSULES 300MG 100/BT RX 53489-0376-01 4080170 TIGAN INJ TRIMETHOBENZAMIDE HCL INJ SYRINGE 2ML 100MG/ML 10/BX INJ 00409-1952-02 1085629 TIGAN INJ TRIMETHOBENZAMIDE HCL INJ SYRINGE 2ML 100MG/ML EACH INJ 00409-1952-32 2487958 TIMOPTIC SOLUTION TIMOLOL MALEATE OPHTH SOLUTION 0.25% 10ML/BT RX 61314-0226-10 1139879 TIMOPTIC SOLUTION TIMOLOL MALEATE OPHTH SOLUTION 0.25% 15ML/BT RX 60758-0802-15 1157568 TIMOPTIC SOLUTION TIMOLOL MALEATE OPHTH SOLUTION 0.25% 5ML/BT RX 60505-0552-02 1101511 TIMOPTIC SOLUTION TIMOLOL MALEATE OPHTH SOLUTION 0.5% 10ML/BT RX 61314-0227-10 1028115 TIMOPTIC SOLUTION TIMOLOL MALEATE OPHTH SOLUTION 0.5% 15ML/BT RX 61314-0227-15 1029018 TIMOPTIC SOLUTION TIMOLOL MALEATE OPHTH SOLUTION 0.5% 5ML/BT RX 61314-0227-05 1027357 TIMOPTIC XE GEL TIMOLOL MALEATE OPHTH GEL 0.5% 5ML/BT RX 61314-0225-05 1147926 TINACTIN CREAM TOLNAFTATE CREAM 1% 0.5OZ/TB OTC 51672-2020-01 7406717 TINACTIN CREAM TOLNAFTATE CREAM 1% 1OZ/TB OTC 00713-0292-31 1119734 TINACTIN POWDER TOLNAFTATE DUSTING POWDER 1% 45GM/BT OTC 45802-0034-86 4740880 TINACTIN SOLUTION TOLNAFTATE TOPICAL SOLUTION USP 1% 10ML/BT OTC 45802-0033-85 1081137 TOBRADEX SUSPENSION TOBRAMYCIN/DEXAMETHASONE OPHTH SOLUTION 0.3/0.1% 2.5ML/BT RX 24208-0295-25 1119814 TOBRADEX SUSPENSION TOBRAMYCIN/DEXAMETHASONE OPHTH SOLUTION 0.3/0.1% 5ML/BT RX 24208-0295-05 1119806 TOBREX SOLUTION TOBRAMYCIN OPHTH SOLUTION 0.3% 5ML/BT RX 61314-0643-05 1020707 TOFRANIL TABS IMIPRAMINE HCL TABLETS 10MG 100/BT RX 53489-0330-01 1139087 TOFRANIL TABS IMIPRAMINE HCL TABLETS 25MG 100/BT RX 53489-0331-01 1139861 TOFRANIL TABS IMIPRAMINE HCL TABLETS 50MG 100/BT RX 53489-0332-01 1131684 TOPAMAX TABLETS TOPIRAMATE TABLETS 100MG 60/BT RX 62756-0711-86 1146351 TOPAMAX TABLETS TOPIRAMATE TABLETS 200MG 60/BT RX 13668-0034-60 1147220 TOPAMAX TABLETS TOPIRAMATE TABLETS 25MG 60/BT RX 62756-0707-86 1146494 TOPAMAX TABLETS TOPIRAMATE TABLETS 50MG 1000/BT RX 31722-0279-10 1132768 TOPAMAX TABLETS TOPIRAMATE TABLETS 50MG 60/BT RX 62756-0710-86 1146498 TOPICORT CREAM DESOXIMETASONE CREAM 0.25% 15GM/TB RX 45802-0495-35 4080128 TOPICORT CREAM DESOXIMETASONE CREAM 0.25% 60GM/TB RX 45802-0495-37 4080129 TOPICORT GEL DESOXIMETASONE GEL 0.05% 15GM/TB RX 51672-1261-01 1088471 TOPICORT LP CREAM DESOXIMETASONE CREAM 0.05% 15GM/TB RX 51672-1271-01 1047711 Page 38 of 46 C4 1080613 1089536 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# TOPROL XL TABS METOPROLOL SUCCINATE ER TABLETS 100MG 100/BT RX 49884-0406-01 1129501 TOPROL XL TABS METOPROLOL SUCCINATE ER TABLETS 25MG 100/BT RX 49884-0404-01 1140980 TOPROL XL TABS METOPROLOL SUCCINATE ER TABLETS 50MG 100/BT RX 49884-0405-01 1105387 TORADOL INJ KETOROLAC INJ MDV 10ML 30MG/ML 10/BX INJ 55390-0481-10 1049399 TORADOL INJ KETOROLAC INJ SDV 1ML 15MG/ML 25/BX INJ 00409-3793-01 1049907 TORADOL INJ KETOROLAC INJ SDV 1ML 30MG/ML 10/BX INJ 64679-0758-04 1145675 TORADOL INJ KETOROLAC INJ SDV 1ML 30MG/ML 25/BX INJ 00409-3795-01 1049908 TORADOL INJ KETOROLAC INJ SDV 1ML 30MG/ML EACH INJ 00409-3795-01 2589639 TORADOL INJ KETOROLAC INJ SDV 2ML 30MG/ML 10/BX INJ 64679-0758-06 1157574 TORADOL INJ KETOROLAC INJ SDV 2ML 30MG/ML 25/BX INJ 00409-3796-01 1049909 TORADOL INJ KETOROLAC INJ SYRINGE (ISECURE) 1ML 15MG/ML 10/BX INJ 00409-2288-21 1108304 TORADOL INJ KETOROLAC INJ SYRINGE (CRPJT) 1ML 30MG/ML 10/BX INJ 00409-2287-31 1046866 TORADOL INJ KETOROLAC INJ SYRINGE (CRPJT) 2ML 30MG/ML 10/BX INJ 00409-2287-61 1049156 TORADOL INJ KETOROLAC INJ SYRINGE (ISECURE) 1ML 30MG/ML 10/BX INJ 00409-2287-21 1101875 TORADOL INJ KETOROLAC INJ SYRINGE (ISECURE) 2ML 30MG/ML 10/BX INJ 00409-2287-22 1109389 TORADOL TABS KETOROLAC TABLETS 10MG 100/BT RX 00093-0314-01 3210045 TRACRIUM INJ ATRACURIUM BESYLATE INJ MDV 10ML 10MG/ML 10/BX INJ 55390-0103-10 1077375 TRACRIUM INJ ATRACURIUM BESYLATE INJ SDV 5ML 10MG/ML 10/BX INJ 55390-0102-05 1077389 TRANSDERM-NITRO NITROGLYCERIN TRANSDERMAL PATCH 0.2MG 30/BX RX 49730-0111-30 1118775 TRANSDERM-NITRO NITROGLYCERIN TRANSDERMAL PATCH 0.4MG 30/BX RX 00904-5496-46 1046578 TRANSDERM-NITRO NITROGLYCERIN TRANSDERMAL PATCH 0.6MG 30/BX RX 00904-5497-46 1045191 TRANXENE TABS CLORAZEPATE DIPOTASSIUM TABLETS 3.75MG 100/BT C4 RX 63304-0552-01 1089498 TRANXENE TABS CLORAZEPATE DIPOTASSIUM TABLETS 7.5MG 100/BT C4 RX 63304-0553-01 1049272 TRANXENE TABS CLORAZEPATE DIPOTASSIUM TABLETS 15MG 100/BT C4 RX 63304-0554-01 4080215 TRENTAL TABS PENTOXIFYLLINE ER TABLETS 400MG 100/BT RX 00093-5116-01 1021162 TREXALL TABS METHOTREXATE SODIUM TABLETS 2.5MG 100/BT RX 67253-0320-10 1148669 TRICOR TABS FENOFIBRATE TABLETS 54MG 90/BT RX 00115-5511-10 1155057 TRICOR TABS FENOFIBRATE TABLETS 160MG 90/BT RX 00115-5522-10 1156230 TRIDESILON CREAM DESONIDE CREAM 0.05% 15GM/TB RX 45802-0422-35 4080121 TRIDESILON CREAM DESONIDE CREAM 0.05% 60GM/TB RX 45802-0422-37 4080122 TRIDESILON OINT DESONIDE OINTMENT 0.05% 15GM/TB RX 00168-0309-15 1082682 TRILEPTAL TABS OXCARBAZEPINE TABLETS 300MG 100/BT RX 62756-0184-88 1085681 TRILISATE LIQUID CHOLINE/ MAGNESIUM TRISAL ORAL LIQUID 500 MG 240ML/BT RX 54838-0522-70 1162022 TRIMPEX TABS TRIMETHOPRIM TABLETS 100MG 100/BT RX 00591-5571-01 4064901 TRIPHASIL 28 DAY TABS LEVONORGESTREL/ETHINYL ESTRADIOL OC TABLETS 6x28 RX 00555-9047-58 1146915 TRI-VI-FLOR DROPS TRI-VITAMIN/FLUORIDE ORAL DROPS 50ML/BT RX 50383-0637-50 1117842 TRI-VI-SOL DROPS TRI-VITAMIN ORAL DROPS 50ML/BT OTC 50383-0635-50 4704057 TRUSOPT DORZOLAMIDE HCL OPHTH SOLUTION 10ML/BT RX 50383-0232-10 1119320 TUCKS PADS HYGIENIC CLEANSING PADS 100/BX OTC 00713-0308-98 1147201 TUMS ORIGINIAL TABS CALCIUM CARB CHEW TABLETS (WINTERGR FLAV) 500MG 150/BT OTC 00904-1257-92 4241862 TUMS TABS ALCALAK ANTACID TABLETS 420MG 50x2/BX OTC 47682-0101-33 1512857 TUMS TABS ALCALAK ANTACID TABLETS 420MG 250x2/BX OTC TUMS TABS ALCALAK ANTACID TABLETS 420MG 250x2/BX OTC 47682-0101-13 1518093 TUMS TABS ALCALAK ANTACID TABLETS 420MG 100x2/BX OTC 47682-0101-47 8310564 TUMS TABS CALCIUM CARB CHEW TABLETS (ASST FLAV) 500MG 150/BT OTC 57896-0763-15 1106336 TUMS TABS CALCIUM CARB CHEW TABLETS (CHERRY FLAV) 500MG 150/BT OTC 57896-0763-15 1106336 TUSSI-ORGANIDIN NR LIQU GUAIFENESIN W/CODEINE ORAL LIQUID AF/SF RX 00603-1329-58 1082751 TYLENOL CAPLETS ACETAMINOPHEN CAPLETS 500MG 1000/BT OTC 00904-1983-80 1135759 TYLENOL CAPLETS ACETAMINOPHEN CAPLETS 500MG 100/BT OTC 00904-1983-59 1145435 TYLENOL CHILDRENS ACETAMINOPHEN CHEW TABLETS FRUIT 80MG 30/BT OTC 00536-3233-07 1162317 TYLENOL DROPS ACETAMINOPHEN ORAL DROPS INFANT 15ML/BT OTC 54838-0145-15 1023072 TYLENOL ELIXIR ACETAMINOPHEN ORAL ELIXIR 160MG/5ML 4OZ/BT OTC 00603-0839-94 1100687 TYLENOL ELIXIR ACETAMINOPHEN ORAL ELIXIR 160MG/5ML 16OZ/BT OTC 57896-0109-16 1158484 TYLENOL PED LIQUID ACETAMINOPHEN ORAL SUSPENSION PEDIATRIC 80MG/2.5ML 120ML/BT OTC 00603-0841-54 1089026 TYLENOL PM CAPLETS XS ACETAMINOPHEN PM CAPLETS 500MG 50/BT OTC 57896-0224-05 1100638 TYLENOL SUPP ACETAMINOPHEN SUPPOSITORIES ADULT 650MG 50/BX OTC 00713-0165-50 1146880 TYLENOL SUPP ACETAMINOPHEN SUPPOSITORIES ADULT 325MG 50/BX OTC 00713-0164-50 1153500 TYLENOL SUPP ACETAMINOPHEN SUPPOSITORIES ADULT 325MG 12/BX OTC 00713-0164-12 4215698 TYLENOL SUPP ACETAMINOPHEN SUPPOSITORIES ADULT 650MG 12/BX OTC 45802-0730-30 4724812 TYLENOL SUPP ACETAMINOPHEN SUPPOSITORIES PEDIATRIC 120MG 100/BX OTC 45802-0732-33 1088998 0.25MG 2% Page 39 of 46 480ML/BT C5 1517218 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# TYLENOL SUPP ACETAMINOPHEN SUPPOSITORIES PEDIATRIC 120MG 12/BX OTC 00713-0118-12 1161379 TYLENOL TABS ACETAMINOPHEN TABLETS EXTRA STRENGTH 500MG 100/BT OTC 57896-0201-01 1025307 TYLENOL TABS ACETAMINOPHEN TABLETS EXTRA STRENGTH 500MG 1000/BT OTC 57896-0201-10 1025308 TYLENOL TABS ACETAMINOPHEN TABLETS REG STRENGTH 325MG 100/BT OTC 57896-0101-01 1137869 TYLENOL TABS ACETAMINOPHEN TABLETS REG STRENGTH 325MG 1000/BT OTC 00603-0263-32 1146196 TYLENOL TABS ACETAMINOPHEN TABLETS REG STRENGTH 325MG 125x2/BX OTC TYLENOL TABS ACETAMINOPHEN TABLETS REG STRENGTH 325MG 250x2/BX OTC 47682-0145-13 1006861 TYLENOL TABS NON-ASPIRIN TABLETS MEDI-FIRST 325MG 250x2/BX OTC 47682-0803-13 1511929 TYLENOL W/COD LIQUID APAP/CODEINE ORAL ELIXIR 120/12MG/5ML 120ML/BT C5 RX 00121-0504-04 1048935 TYLENOL W/COD LIQUID APAP/CODEINE ORAL ELIXIR 120/12MG/5ML 480ML/BT C5 RX 50383-0079-16 1118485 TYLENOL XS GELCAPS ACETAMINOPHEN GELCAPS 500MG 100/BT OTC 57896-0251-01 1108964 TYLENOL XS TABS ACETAMINOPHEN TABLETS EXTRA STRENGTH 500MG 250x2/BX OTC TYLENOL XS TABS NON-ASPIRIN X-STR TABS MEDI-FIRST 500MG 250x2/BX OTC 47682-0804-13 1512564 TYLENOL/CODEINE #2 TABS APAP/CODEINE TABLETS 300/15MG 100/BT C3 RX 00093-0050-01 1119178 TYLENOL/CODEINE #3 TABS APAP/CODEINE TABLETS 300/30MG 100/BT C3 RX 00603-2338-21 1100689 TYLENOL/CODEINE #3 TABS APAP/CODEINE TABLETS 300/30MG 1000/BT C3 RX 00603-2338-32 1100690 TYLENOL/CODEINE #3 TABS APAP/CODEINE TABLETS 300/30MG 10x10UD C3 RX 00406-0484-62 1729459 TYLENOL/CODEINE #3 TABS APAP/CODEINE TABLETS 300/30MG 50/BT C3 RX 00406-0484-50 1100471 TYLENOL/CODEINE #4 TABS APAP/CODEINE TABLETS 300/60MG 100/BT C3 RX 00603-2339-21 1145801 TYLENOL/CODEINE #4 TABS APAP/CODEINE TABLETS 300/60MG 500/BT C3 RX 00603-2339-28 1145800 TYLOX CAPS OXYCODONE HCL/APAP CAPSULES 5/500MG 100/BT C2 RX 00406-0532-01 1107680 ULTANE GAS SEVOFLURANE INHALATION BOTTLE 250ML 100% 6/BX INJ 10019-0651-64 1049687 ULTANE GAS SEVOFLURANE INHALATION BOTTLE 250ML 100% EACH RX 66794-0012-25 1089522 ULTRACET TABS TRAMADOL HCL/APAP TABLETS 37.5/325MG 100/BT RX 00172-6359-60 4080063 ULTRACET TABS TRAMADOL HCL/APAP TABLETS 37.5/325MG 500/BT RX 49884-0946-05 1089848 ULTRAM TABLETS TRAMADOL HCL TABLETS 50MG 10X10/UD RX 00904-6119-61 1154780 ULTRAM TABS TRAMADOL HCL TABLETS 50MG 100/BT RX 65162-0627-10 1100705 ULTRAM TABS TRAMADOL HCL TABLETS 50MG 1000/BT RX 65162-0627-11 1104615 ULTRAM TABS TRAMADOL HCL TABLETS 50MG 500/BT RX 65162-0627-50 1088436 ULTRAVATE CREAM HALOBETASOL PROPIONATE CREAM 0.05% 15GM/TB RX 00713-0640-15 1113970 UNASYN INJ AMPICILLIN/SULBACTAM INJ LYOPH VIAL 10ML 1.5GM/VL 10/BX INJ 10019-0631-01 1049183 UNASYN INJ AMPICILLIN/SULBACTAM INJ LYOPH VIAL 10ML 3GM/VL 10/BX INJ 10139-0071-10 1104521 UNASYN INJ AMPICILLIN/SULBACTAM INJ LYOPH VIAL 100ML 15GM/VL EACH INJ 10019-0632-03 1047853 UNIPEN INJ NAFCILLIN SODIUM INJ STER PWD SDV 20ML 1GM/VL 10/BX INJ 00781-3124-95 8450806 URECHOLINE TABS BETHANECHOL CHLORIDE TABLETS 10MG 100/BT RX 65162-0572-10 1100641 URECHOLINE TABS BETHANECHOL CHLORIDE TABLETS 50MG 100/BT RX 65162-0574-10 1100639 URECHOLINE TABS BETHANECHOL CHLORIDE TABLETS 5MG 100/BT RX 65162-0571-10 1100651 VALISONE CREAM BETAMETHASONE VALERATE CREAM 0.1% 15GM/TB RX 51672-1269-01 1145887 VALISONE CREAM BETAMETHASONE VALERATE CREAM 0.1% 45GM/TB RX 51672-1269-06 1148595 VALISONE LOTION BETAMETHASONE VALERATE LOTION 0.1% 60ML/BT RX 00168-0041-60 4077858 VALISONE OINT BETAMETHASONE VALERATE OINTMENT 0.1% 15GM/TB RX 00472-0371-15 1119207 VALISONE OINT BETAMETHASONE VALERATE OINTMENT 0.1% 45GM/TB RX 00472-0371-45 1156229 VALIUM INJ DIAZEPAM INJ MDV 2ML 5MG/ML EACH C4 INJ 00409-1273-32 2480273 VALIUM INJ DIAZEPAM INJ MDV 10ML 5MG/ML 10/BX C4 INJ 00409-3213-12 1097361 VALIUM INJ DIAZEPAM INJ MDV 10ML 5MG/ML EACH C4 INJ 00409-3213-12 2480274 VALIUM INJ DIAZEPAM INJ SYRINGE (CARPUJECT) 2ML 5MG/ML 10/BX C4 INJ 00409-1273-32 1046560 VALIUM LIQUID DIAZEPAM ORAL CONCENTRATE 5MG/ML 30ML/BT C4 RX 00054-3185-44 1043911 VALIUM TABS DIAZEPAM TABLETS 2MG 100/BT C4 RX 00603-3213-21 4080081 VALIUM TABS DIAZEPAM TABLETS 2MG 500/BT C4 RX 00603-3213-28 4080082 VALIUM TABS DIAZEPAM TABLETS 2MG 1000/BT C4 RX 00591-5621-10 1118919 VALIUM TABS DIAZEPAM TABLETS 5MG 100/BT C4 RX 00603-3214-21 4080083 VALIUM TABS DIAZEPAM TABLETS 5MG 500/BT C4 RX 00603-3214-28 4080084 VALIUM TABS DIAZEPAM TABLETS 5MG 1000/BT C4 RX 00603-3214-32 4080085 VALIUM TABS DIAZEPAM TABLETS 5MG 10x10UD C4 RX 51079-0285-20 1048140 VALIUM TABS DIAZEPAM TABLETS 10MG 100/BT C4 RX 00603-3215-21 4080086 VALIUM TABS DIAZEPAM TABLETS 10MG 500/BT C4 RX 00603-3215-28 1100860 VALIUM TABS DIAZEPAM TABLETS 10MG 1000/BT C4 RX 00603-3215-32 4080087 VALTREX TABLETS VALACYCLOVIR HCL TABLETS 1GM 30/BT RX 63304-0905-30 1142198 VALTREX TABLETS VALACYCLOVIR HCL TABLETS 500MG 30/BT RX 63304-0904-30 1142197 VANCOCIN INJ VANCOMYCIN HCL BULK FTV 5GM/VL EACH INJ 00409-6509-01 1047054 Page 40 of 46 9004689 9004690 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# VANCOCIN INJ VANCOMYCIN HCL INJ ADDVANTAGE VIAL 1GM/VL 10/BX INJ 00409-6535-01 1049621 VANCOCIN INJ VANCOMYCIN HCL INJ FTV LYOPH PWD 30ML 1GM/VL 10/BX INJ 00409-6533-01 1046847 VANCOCIN INJ VANCOMYCIN HCL INJ PBP 100ML 10GM/VL EACH INJ 00409-6510-01 1134820 VANCOCIN INJ VANCOMYCIN HCL INJ SDV LYOPH PWD 10ML 500MG/VL 10/BX INJ 00409-4332-01 1046842 VANCOCIN INJ VANCOMYCIN HCL INJ SDV LYOPH PWD 10ML 500MG/VL EACH INJ 00409-4332-01 2585707 VANCOCIN INJ VANCOMYCIN HCL INJ SDV LYOPH PWD 25ML 750MG/VL 10/BX INJ 00409-6531-02 1134745 VASELINE IC LOTION PETROLATUM IC LOTION 8OZ/BT OTC VASELINE IC LOTION PETROLATUM IC TOPICAL LOTION 1GAL OTC VASELINE OINT PETROLATUM WHITE 13OZ/TB OTC 52471-0110-13 7091192 VASELINE OINT PETROLATUM WHITE 1OZ/TB OTC 01500-042-28 1145798 VASELINE OINT PETROLATUM WHITE FOILPK 144x5GM OTC VASELINE OINT PETROLATUM WHITE JAR 3.75OZ OTC VASELINE OINT PETROLATUM WHITE TUBE 4OZ/TB OTC VASERETIC TABS ENALAPRIL MALEATE/HCTZ TABLETS 5MG/12.5MG 100/BT RX 60505-0208-01 1107073 VASERETIC TABS ENALAPRIL MALEATE/HCTZ TABLETS 10MG/25MG 100/BT RX 60505-0209-01 1146763 VASOCIDIN SOLUTION SULFACETAMIDE SOD/PREDNISOLONE OPHTH SOLN 10%/0.23% 10ML/BT RX 61314-0297-10 1101515 VASOCIDIN SOLUTION SULFACETAMIDE SOD/PREDNISOLONE OPHTH SOLN 10%/0.23% 5ML/BT RX 24208-0317-05 1027182 VASOTEC INJ ENALAPRILAT INJ SDV 1ML 1.25MG/ML EACH INJ 00409-2122-01 1077160 VASOTEC INJ ENALAPRILAT INJ SDV 2ML 1.25MG/ML 25/PK INJ 00703-8411-04 1142493 VASOTEC TABS ENALAPRIL MALEATE TABLETS 2.5MG 100/BT RX 64679-0923-02 1082676 VASOTEC TABS ENALAPRIL MALEATE TABLETS 2.5MG 1000/BT RX 64679-0923-03 1082677 VASOTEC TABS ENALAPRIL MALEATE TABLETS 5MG 100/BT RX 64679-0924-02 1100702 VASOTEC TABS ENALAPRIL MALEATE TABLETS 5MG 1000/BT RX 64679-0924-03 4080230 VASOTEC TABS ENALAPRIL MALEATE TABLETS 10MG 100/BT RX 64679-0925-02 1100703 VASOTEC TABS ENALAPRIL MALEATE TABLETS 10MG 1000/BT RX 64679-0925-03 4080231 VASOTEC TABS ENALAPRIL MALEATE TABLETS 20MG 100/BT RX 64679-0926-02 1100704 VASOTEC TABS ENALAPRIL MALEATE TABLETS 20MG 1000/BT RX 64679-0926-03 4080232 VELBAN INJ VINBLASTINE SULFATE INJ MDV 10ML 1MG/ML EACH INJ 63323-0278-10 1043182 VEPESID INJ ETOPOSIDE INJ MDV 5ML 20MG/ML EACH INJ 55390-0291-01 1100668 VEPESID INJ ETOPOSIDE INJ MDV 25ML 20MG/ML EACH INJ 55390-0292-01 2480272 VEPESID INJ ETOPOSIDE INJ MDV 50ML 20MG/ML EACH INJ 55390-0293-01 1155164 VERMOX TABS MEBENDAZOLE CHEWABLE TABLETS 100MG 2x6/PK RX 00093-9107-29 1101116 VERSED MIDAZOLAM HCL INJ SDV 2ML 5MG/ML 1/VL C4 00409-2308-02 2950039 VERSED MIDAZOLAM HCL INJ SYRINGE (CRPJCT LL) 2ML 1MG/ML EACH C4 00409-2306-62 2950038 VERSED INJ MIDAZOLAM HCL INJ MDV 10ML 1MG/ML 10/BX C4 INJ 00409-2587-05 1046569 VERSED INJ MIDAZOLAM HCL INJ MDV 10ML 5MG/ML 10/BX C4 INJ 10019-0027-10 2090004 VERSED INJ MIDAZOLAM HCL INJ MDV 2ML 1MG/ML 25/BX C4 INJ 63323-0411-12 1045801 VERSED INJ MIDAZOLAM HCL INJ MDV 2ML 5MG/ML 10/BX C4 INJ 63323-0412-02 1045700 VERSED INJ MIDAZOLAM HCL INJ MDV 5ML 1MG/ML 10/BX C4 INJ 10019-0028-05 1028343 VERSED INJ MIDAZOLAM HCL INJ MDV 5ML 5MG/ML 10/BX C4 INJ 00409-2596-03 1046571 VERSED INJ MIDAZOLAM HCL INJ SDV 1ML 5MG/ML 10/BX C4 INJ 10019-0027-06 1148264 VERSED INJ MIDAZOLAM HCL INJ SDV 1ML 5MG/ML EACH INJ 00409-2308-01 2480299 VERSED INJ MIDAZOLAM HCL INJ SDV 2ML 1MG/ML 10/BX C4 INJ 10019-0028-01 1148265 VERSED INJ MIDAZOLAM HCL INJ SDV 2ML 1MG/ML 25/BX C4 INJ 00409-2305-17 2580101 VERSED INJ MIDAZOLAM HCL INJ SDV 2ML 5MG/ML 10/BX C4 INJ 00409-2308-02 1046570 VERSED INJ MIDAZOLAM HCL INJ SDV 5ML 1MG/ML 10/BX C4 INJ 00409-2305-05 1048901 VERSED INJ MIDAZOLAM HCL INJ SYRINGE (CRPJCT LL) 1ML 5MG/ML 10/BX C4 INJ 00409-2307-60 1105110 VERSED INJ MIDAZOLAM HCL INJ SYRINGE (ISCURE) 1ML 5MG/ML 10/BX C4 INJ 00409-2307-21 1105947 VERSED LIQUID MIDAZOLAM HCL ORAL SYRUP 2MG/ML 118ML/BT C4 RX 63304-0205-18 4080210 VIBRAMYCIN CAPS DOXYCYCLINE HYCLATE CAPSULES 50MG 50/BT RX 53489-0118-02 1023250 VIBRAMYCIN CAPS DOXYCYCLINE HYCLATE CAPSULES 100MG 50/BT RX 00143-3142-50 1137413 VIBRAMYCIN CAPS DOXYCYCLINE HYCLATE CAPSULES 100MG 500/BT RX 00143-3142-05 1048979 VIBRAMYCIN INJ DOXYCYCLINE HYCLATE INJ LYOPH SDV 100MG/VL 10/BX INJ 63323-0130-11 3750002 VIBRA-TAB 100MG DOXYCYCLINE HYCLATE TABLETS 100MG 50/BT RX 53489-0120-02 4206350 VIBRA-TAB 100MG DOXYCYCLINE HYCLATE TABLETS 100MG 500/BT RX 00143-2112-05 1046364 VICODIN ES TABS HYDROCODONE/APAP TABLETS 7.5/750MG 100/BT C3 RX 00406-0360-01 1023724 VICODIN ES TABS HYDROCODONE/APAP TABLETS 7.5/750MG 500/BT C3 RX 00406-0360-05 1023093 VICODIN HP TABS HYDROCODONE/APAP TABLETS 10/660MG 100/BT C3 RX 00603-3886-21 1049394 VICODIN TABS HYDROCODONE/APAP TABLETS 5/500MG 100/BT C3 RX 00603-3881-21 1083491 VICODIN TABS HYDROCODONE/APAP TABLETS 5/500MG 10x10UD C3 RX 00406-0357-62 1046484 Page 41 of 46 1303323 1309407 9004791 30869-0620-10 1131489 1308307 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON VICODIN TABS HYDROCODONE/APAP TABLETS VICON FORTE CAPS THERAPEUTIC VITAMIN/MINERAL CAPSULES VICOPROFEN TABS HYDROCODONE/IBUPROFEN TABLETS VI-DAYLIN LIQUID STRENGTH SIZE CONTR DRUG CLASS 5/500MG 500/BT C3 100/BT RX 00603-3881-28 1118839 RX 00603-6381-21 1118962 RX 00603-3897-21 4080092 NDC Generic HSI ITEM# 7.5/200MG 100/BT DAILYVITE LIQUID 8OZ 24/CA OTC 54838-0008-70 1084246 VISINE DROPS TETRAHYDROZOLINE HCL DROPS 5% 15ML/BT OTC 00536-0940-94 1148624 VISKEN TABS PINDOLOL TABLETS 10MG 100/BT RX 00378-0127-01 1087238 VISKEN TABS PINDOLOL TABLETS 5MG 100/BT RX 00378-0052-01 1089958 VISTARIL CAPS HYDROXYZINE PAMOATE CAPSULES 25MG 100/BT RX 00591-0800-01 1100681 VISTARIL CAPS HYDROXYZINE PAMOATE CAPSULES 25MG 500/BT RX 00591-0800-05 4080197 VISTARIL CAPS HYDROXYZINE PAMOATE CAPSULES 50MG 100/BT RX 00591-0801-01 1100682 VISTARIL CAPS HYDROXYZINE PAMOATE CAPSULES 50MG 500/BT RX 00591-0801-05 1027195 VISTARIL CAPS HYDROXYZINE PAMOATE CAPSULES 100MG 100/BT RX 00555-0324-02 1105651 VITAMIN A CAPS VITAMIN A NATURAL CAPSULES 10M IU 100/BT OTC 66386-0115-50 1141752 VITAMIN B1 INJ THIAMINE HCL INJ MDV 2ML 100MG/ML 25/BX INJ 63323-0013-02 1029045 VITAMIN B-1 TABLETS VITAMIN B-1 TABLETS 100MG 100/BT OTC 1047268 VITAMIN B1 TABS THIAMINE HCL TABLETS 100MG 100/BT OTC 1047268 VITAMIN B12 TABS CYANOCOBALAMIN TABLETS 250MCG 100/BT OTC 1044342 VITAMIN B12 TABS CYANOCOBALAMIN TABLETS 500MCG 100/BT OTC VITAMIN B6 INJ PYRIDOXINE HCL INJ (VITB6) IML VIAL 100MG/M 25/BX INJ VITAMIN B6 TABS PYRIDOXINE HCL TABLETS 100MG 100/BT OTC 4561503 VITAMIN B6 TABS PYRIDOXINE HCL TABLETS 50MG 100/BT OTC 1021501 VITAMIN B6 TABS PYRIDOXINE HCL TABLETS 50MG 1000/BT OTC VITAMIN C CHEWABLE TABS VITAMIN C CHEWABLE TABLETS 250MG 100 OTC 66360-3287-16 4560001 VITAMIN C TABS ASCORBIC ACID TABLETS 250MG 100/BT OTC 57896-0831-01 1141751 VITAMIN C TABS ASCORBIC ACID TABLETS 500MG 100/BT OTC 57896-0841-01 1146346 VITAMIN C TABS ASCORBIC ACID TABLETS 500MG 1000/BT OTC 57896-0841-10 8405692 VITAMIN C TABS ASCORBIC ACID TABLETS 500MG 250/BT OTC 4567436 VITAMIN C TABS ASCORBIC ACID TABLETS 1000MG 100/BT OTC 1049058 VITAMIN C TABS ASCORBIC ACID TR W/ROSE HIPS TABLETS 500MG 100/BT OTC 1044282 VITAMIN C TABS ASCORBIC ACID TR W/ROSE HIPS TABLETS 1000MG 60/BT OTC 1045986 VITAMIN C TABS ASCORBIC ACID W/ROSE HIPS TABLETS 500MG 100/BT OTC VITAMIN D CAPSULES VITAMIN D CAPSULES 1000IU 100/BT OTC VITAMIN E SG CAPS VITAMIN E D/DL ALPHA BLEND SOFT GELS 400IU 100/BT OTC 4562933 VITAMIN E SG CAPS VITAMIN E D/DL ALPHA SOFTGELS 1000IU 50/BT OTC 1026128 VITAMIN E SG CAPS VITAMIN E D-ALPHA (NATURAL) SOFT GELS 200IU 100/BT OTC VITAMIN E SG CAPS VITAMIN E D-ALPHA (NATURAL) SOFT GELS 400IU 100/BT OTC VITAMIN E SG CAPS VITAMIN E DL-ALPHA SOFTGELS 1000IU 50/BT OTC VITAMIN E SG CAPS VITAMIN E DL-ALPHA SOFTGELS 400 IU 100/BT OTC VITAMIN K INJ VITAMIN K INJ AMPULE 0.5ML 2MG/ML 25/BX INJ 00409-9157-01 1046979 VITAMIN K INJ VITAMIN K INJ AMPULE 1ML 10MG/ML 25/BX INJ 00409-9158-01 1046973 VITAMINS/NUTRITIONALS ABC PLUS MULTI W/LUTEIN TABLETS 100/BT OTC 06386-0344-50 1109523 VITAMINS/NUTRITIONALS ABC PLUS SENIOR TABLETS 60/BT OTC VOLTAREN OPHTH SOLN DICLOFENAC SODIUM OPHTH SOLUTION 0.1% 2.5ML/BT RX 16571-0101-25 1130851 VOLTAREN OPHTH SOLN DICLOFENAC SODIUM OPHTH SOLUTION 0.1% 5ML/BT RX 16571-0101-50 1137320 VOLTAREN TABS DICLOFENAC SODIUM DR TABLETS 50MG 100/BT RX 00228-2550-11 1077341 VOLTAREN TABS DICLOFENAC SODIUM DR TABLETS 75MG 100/BT RX 16571-0201-10 1137381 VOLTAREN XR TABS DICLOFENAC SODIUM ER TABLETS 100MG 100/BT RX 00591-0676-01 1047855 VOSOL HC LIQUID ACETIC ACID W/HC OTIC SOLUTION 2%/1% 10ML/BT RX 50383-0901-10 1135612 VOSOL LIQUID ACETIC ACID OTIC SOLUTION 2% 15ML/BT RX 00603-7038-41 1100691 VOSPIRE ER TABS ALBUTEROL SULFATE ER TABLETS 8MG 100/BT RX 68774-0401-01 1148625 VYTONE CREAM HYDROCORTISONE/IODOQUINOL CREAM 30GM/TB RX 45802-0930-64 1123443 WATER, BACTERIOST INJ WATER FOR INJ BACTERIOSTATIC MDV 30ML BACTERIOST 25/BX INJ 00409-3977-03 1047765 WATER, BACTERIOST INJ WATER FOR INJ BACTERIOSTATIC MDV 30ML BACTERIOST EACH INJ 00409-3977-03 2587428 WATER, STERILE INJ WATER FOR INJ GLASS AMPULES 5ML STERILE 25/BX INJ 00409-4027-02 1087723 WATER, STERILE INJ WATER FOR INJ GLASS AMPULES 5ML STERILE EACH INJ 00409-4027-02 2484577 WATER, STERILE INJ WATER FOR INJ SDV STERILE 5ML STERILE 25/BX INJ 63323-0185-05 3756392 WATER, STERILE INJ WATER FOR INJ SDV STERILE 10ML STERILE 25/BX INJ 00409-4887-10 1047823 WATER, STERILE INJ WATER FOR INJ SDV STERILE 10ML STERILE EACH INJ 00409-4887-10 2580622 WATER, STERILE INJ WATER FOR INJ SDV STERILE 20ML STERILE 25/BX INJ 00409-4887-20 1046849 WATER, STERILE INJ WATER FOR INJ SDV STERILE 20ML STERILE EACH INJ 00409-4887-20 2585070 Page 42 of 46 C3 RX, OTC, INJ 4561510 63323-0180-01 8703928 4565107 1048193 00904-5824-60 1146135 1101496 57896-0752-01 1146596 1025082 1093442 1047956 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# WATER, STERILE INJ WATER FOR INJ SDV STERILE 50ML STERILE 25/BX INJ 00409-4887-50 1048779 WATER, STERILE INJ WATER FOR INJ SDV STERILE 50ML STERILE EACH INJ 00409-4887-50 1819911 WATER, STERILE INJ WATER FOR INJ SDV STERILE 100ML STERILE 25/BX INJ 00409-4887-99 1144279 WATER, STERILE INJ WATER FOR INJ STERILE 250ML/GLASS BT STERILE EACH INJ 00409-1590-02 1047728 WATER, STERILE INJ WATER FOR IRRIGATION 1000ML/GLASS BT STERILE 12/BX INJ 00409-7139-09 1047051 WATER, STERILE INJ WATER FOR IRRIGATION 1000ML/GLASS BT LIFECARE STERILE EACH INJ 00409-7990-09 2583354 WELLBUTRIN SR TABS BUPROPION HCL ER TABLETS 100MG 60/BT RX 00591-3540-60 1135899 WELLBUTRIN SR TABS BUPROPION HCL ER TABLETS 150MG 60/BT RX 67767-0133-60 1104649 WELLBUTRIN SR TABS BUPROPION HCL ER TABLETS 150MG 250/BT RX 00591-3541-25 1161235 WELLBUTRIN SR TABS BUPROPION HCL ER TABLETS 200MG 60/BT RX 00591-3542-60 1139583 WELLBUTRIN SR TABS BUPROPION HCL ER TABLETS 300MG 90/BT RX 67767-0142-90 1153146 WELLBUTRIN TABS BUPROPION HCL TABLETS 75MG 100/BT RX 00781-1053-01 4202697 WELLBUTRIN TABS BUPROPION HCL TABLETS 100MG 100/BT RX 00781-1064-01 4206895 WELLBUTRIN XL TABS BUPROPION HCL XL TABLETS 150MG 30/BT RX 67767-0141-30 1146585 WELLBUTRIN XL TABS BUPROPION HCL XL TABLETS 300MG 30/BT RX 00591-3332-30 1118916 WELLCOVORIN INJ LEUCOVORIN CALCIUM PF INJ 10ML (LYOPHILIZED) 50MG 10/BX INJ 55390-0051-10 4306735 WELLCOVORIN INJ LEUCOVORIN CALCIUM PF INJ 100ML (LYOPHILIZED) 500MG EACH INJ 55390-0009-01 1157422 WELLCOVORIN TABS LEUCOVORIN CALCIUM TABLETS 10MG 12/BT RX 00054-4497-05 1082709 WESTCORT CREAM HYDROCORTISONE VALERATE CREAM 0.2% 15GM/TB RX 45802-0455-35 4080124 WESTCORT CREAM HYDROCORTISONE VALERATE CREAM 0.2% 60GM/TB RX 45802-0455-37 4080126 WESTCORT OINT HYDROCORTISONE VALERATE OINTMENT 0.2% 45GM/TB RX 51672-1292-06 1044064 WESTCORT OINT HYDROCORTISONE VALERATE OINTMENT 0.2% 60GM/TB RX 51672-1292-03 1041081 XANAX LIQUID ALPRAZOLAM ORAL SOLUTION 1MG/ML 30ML/BT C4 RX 00054-3068-44 1085047 XANAX TABS ALPRAZOLAM TABLETS 0.25MG 100/BT C4 RX 00603-2127-21 1146039 XANAX TABS ALPRAZOLAM TABLETS 0.25MG 500/BT C4 RX 67253-0900-50 1119163 XANAX TABS ALPRAZOLAM TABLETS 0.5MG 100/BT C4 RX 00603-2128-21 1145409 XANAX TABS ALPRAZOLAM TABLETS 0.5MG 500/BT C4 RX 00603-2128-28 1145609 XANAX TABS ALPRAZOLAM TABLETS 1MG 100/BT C4 RX 00603-2129-21 1146098 XANAX TABS ALPRAZOLAM TABLETS 1MG 500/BT C4 RX 00603-2129-28 1145535 XANAX TABS ALPRAZOLAM TABLETS 2MG 100/BT C4 RX 00603-2130-21 1146636 XANAX TABS ALPRAZOLAM TABLETS 2MG 500/BT C4 RX 00603-2130-28 1146101 XANAX XR TABS ALPRAZOLAM ER TABLETS 0.5MG 60/BT C4 RX 64980-0140-06 1146771 XANAX XR TABS ALPRAZOLAM ER TABLETS 1MG 60/BT C4 RX 64980-0141-06 1146911 XANAX XR TABS ALPRAZOLAM ER TABLETS 2MG 60/BT C4 RX 64980-0142-06 1146961 XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 2ML 1% 50/BX INJ 00409-4713-32 1085747 XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 2ML 1% EACH INJ 00409-4713-32 2586460 XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 2ML 2% 25/BX INJ 00409-4282-01 1046887 XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 2ML 2% EACH INJ 00409-4282-01 2489249 XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 5ML 1% 25/BX INJ 00409-4713-02 1085735 XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 5ML 4% 25/BX INJ 00409-4283-01 1087250 XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 10ML 2% 25/BX INJ 00409-4282-02 1047061 XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE 10ML 2% EACH INJ 00409-4282-02 1147376 XYLOCAINE INJ LIDOCAINE HCL INJ AMPULE STERIPAK 20ML 1.5% 25/BX INJ 00409-4056-01 1093582 XYLOCAINE INJ LIDOCAINE HCL INJ MDV 10ML 1% 25/BX INJ 63323-0201-10 1300550 XYLOCAINE INJ LIDOCAINE HCL INJ MDV 20ML 1% 25/BX INJ 00409-4276-01 1047771 XYLOCAINE INJ LIDOCAINE HCL INJ MDV 20ML 1% EACH INJ 00409-4276-01 2587008 XYLOCAINE INJ LIDOCAINE HCL INJ MDV 20ML 2% 25/BX INJ 00409-4277-01 1046880 XYLOCAINE INJ LIDOCAINE HCL INJ MDV 20ML 2% EACH INJ 00409-4277-01 2580603 XYLOCAINE INJ LIDOCAINE HCL INJ MDV 50ML 0.5% 25/BX INJ 00409-4275-01 1046978 XYLOCAINE INJ LIDOCAINE HCL INJ MDV 50ML 0.5% EACH INJ 00409-4275-01 2489085 XYLOCAINE INJ LIDOCAINE HCL INJ MDV 50ML 1% 25/BX INJ 00409-4276-02 1046817 XYLOCAINE INJ LIDOCAINE HCL INJ MDV 50ML 1% EACH INJ 00409-4276-02 2480644 XYLOCAINE INJ LIDOCAINE HCL INJ MDV 50ML 2% 25/BX INJ 00409-4277-02 1049843 XYLOCAINE INJ LIDOCAINE HCL INJ MDV 50ML 2% EACH INJ 00409-4277-02 2483041 XYLOCAINE INJ LIDOCAINE HCL INJ SDV 2ML 2% 25/BX INJ 63323-0202-02 3031642 XYLOCAINE INJ LIDOCAINE HCL INJ SDV 5ML 2% 10/BX INJ 00409-2066-05 1049565 XYLOCAINE INJ LIDOCAINE HCL INJ SDV 5ML 2% 25/BX INJ 63323-0208-05 3232446 XYLOCAINE INJ LIDOCAINE HCL INJ SDV 5ML 2% EACH INJ 00409-2066-05 2480235 XYLOCAINE INJ LIDOCAINE HCL INJ SDV 30ML 1% 25/BX INJ 00409-4279-02 1103839 XYLOCAINE INJ LIDOCAINE HCL INJ SDV 30ML STER PK 1% 25/BX INJ 00409-4270-01 1046968 Page 43 of 46 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# XYLOCAINE INJ LIDOCAINE HCL INJ SDV 50ML 0.5% 25/BX INJ 00409-4278-01 1046981 XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ABBOJECT LFS) 5ML 1% EACH INJ 00409-4904-34 2480238 XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ABBOJECT LFS) 5ML 2% 10/BX INJ 00409-4903-34 1046992 XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ABBOJECT LFS) 5ML 2% EACH INJ 00409-4903-34 2483812 XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ANSYR) 5ML 1% 10/BX INJ 00409-9137-05 1047004 XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ANSYR) 5ML 1% EACH INJ 00409-9137-05 2481305 XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ANSYR) 5ML 2% 10/BX INJ 00409-1323-05 1046865 XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ANSYR) 5ML 2% 10/BX INJ 00548-3390-00 1157836 XYLOCAINE INJ LIDOCAINE HCL INJ SYRINGE (ANSYR) 5ML 2% EACH INJ 00409-1323-05 2488012 XYLOCAINE JELLY LIDOCAINE HCL JELLY INJ UROJET 5ML 2% 25/BX INJ 00548-3012-00 1082029 XYLOCAINE JELLY LIDOCAINE HCL JELLY INJ UROJET 5ML 2% EACH INJ 00548-3012-00 2481224 XYLOCAINE JELLY LIDOCAINE HCL JELLY INJ UROJET 10ML 2% 25/BX INJ 00548-3013-00 1084108 XYLOCAINE JELLY LIDOCAINE HCL JELLY INJ UROJET 10ML 2% EACH INJ 00548-3013-00 2487607 XYLOCAINE JELLY LIDOCAINE HCL JELLY INJ UROJET 20ML 2% 25/BX INJ 00548-3015-00 1084874 XYLOCAINE JELLY LIDOCAINE HCL JELLY INJ UROJET 20ML 2% EACH INJ 00548-3015-00 2483280 XYLOCAINE JELLY LIDOCAINE HCL JELLY TUBE 2% 30ML RX 17478-0711-30 1043378 XYLOCAINE JELLY LIDOCAINE HCL JELLY TUBE 5ML 2% 10/BX RX 17478-0711-10 1043377 XYLOCAINE JELLY LIDOCAINE HCL JELLY TUBE 5ML 2% 25/BX RX 00548-3011-00 4679709 XYLOCAINE OINT LIDOCAINE OINTMENT JAR 5% 50GM/JR RX 51672-3008-03 1047592 XYLOCAINE OINT LIDOCAINE OINTMENT TUBE 5% 37.5GM/TB RX 00168-0204-37 2013928 XYLOCAINE SOLUTION LIDOCAINE HCL ORAL (TOPICAL) SOLUTION 4% 50ML/BT RX 00603-1394-47 1145405 XYLOCAINE SOLUTION LIDOCAINE HCL ORAL (TOPICAL) SOLUTION VISC 2% 100ML/BT RX 00603-1393-64 1093666 XYLOCAINE SOLUTION LIDOCAINE HCL ORAL (TOPICAL) SOLUTION VISC 2% 10x100ML RX 00054-3500-49 1108431 XYLOCAINE SOLUTION LIDOCAINE HCL ORAL (TOPICAL) SOLUTION VISC 2% 40x20ML RX 00054-8500-16 7618197 XYLOCAINE W/DEX INJ LIDOCAINE HCL/DEXTROSE AMPULE 2ML 5/7.5% 25/BX INJ 00409-4712-01 2486281 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 20ML 1% 25/BX INJ 00409-3178-01 1049659 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 20ML 1% EACH INJ 00074-3178-01 2580672 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 20ML 2% 25/BX INJ 00409-3182-01 1049654 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 20ML 2% EACH INJ 00409-3182-01 2480237 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 30ML 1% 25/BX INJ 00409-3178-02 1046822 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 30ML 1% EACH INJ 00409-3178-02 2483556 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 30ML 2% 25/BX INJ 00409-3182-02 1046855 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 30ML 2% EACH INJ 00409-3182-02 2485394 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 50ML 1% 25/BX INJ 00409-3178-03 1047099 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 50ML 1% EACH INJ 00409-3178-03 2487453 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 50ML 2% 25/BX INJ 00409-3182-03 1046867 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:100M MDV 50ML 2% EACH INJ 00409-3182-03 2481961 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:200M MDV 20ML 2% 5/BX INJ 00409-3183-01 1046964 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:200M MDV 50ML 0.5% 25/BX INJ 00409-3177-01 1046882 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:200M MDV 50ML 0.5% EACH INJ 00409-3177-01 2488978 XYLOCAINE W/EPI INJ LIDOCAINE HCL W/EPI INJ 1:200M SDV 30ML 1.5% 5/BX INJ 00409-3181-01 2588524 YOUR LIFE PRENATAL VITAMIN PRENATAL SOFTGELS WITH DHA 60/BT OTC ZADITOR SOLUTION KETOTIFEN FUMARATE OPHTHALMIC SOLUTION 0.025% 5ML/BT OTC 17478-0717-10 1119750 ZANAFLEX TABS TIZANIDINE HCL TABLETS 4MG 150/BT RX 00185-4400-51 1156233 ZANTAC 75 TABS RANITIDINE HCL TABLETS OTC 75MG 30/BT OTC 00904-5818-46 1145311 ZANTAC INJ RANITIDINE HCL INJ SDV 2ML 25MG/ML 10/BX INJ 55390-0616-10 1045214 ZANTAC INJ RANITIDINE HCL INJ SDV 6ML 25MG/ML EACH INJ 55390-0616-01 1044494 ZANTAC LIQUID RANITIDINE HCL ORAL SYRUP 15MG/ML 16OZ/BT RX 00472-0383-16 1083260 ZANTAC TABS RANITIDINE HCL TABLETS 150MG 60/BT RX 53746-0253-60 1085061 ZANTAC TABS RANITIDINE HCL TABLETS 150MG 100/BT RX 53746-0253-01 1118892 ZANTAC TABS RANITIDINE HCL TABLETS 150MG 500/BT RX 64679-0906-03 1145534 ZANTAC TABS RANITIDINE HCL TABLETS 300MG 30/BT RX 53746-0254-30 1118893 ZANTAC TABS RANITIDINE HCL TABLETS 300MG 100/BT RX 53746-0254-01 1086202 ZANTAC TABS RANITIDINE HCL TABLETS 300MG 250/BT RX 53746-0254-02 1101502 ZAROXOLYN TABS METOLAZONE TABLETS 2.5MG 100/BT RX 00378-6172-01 1116736 ZAROXOLYN TABS METOLAZONE TABLETS 5MG 100/BT RX 00378-6173-01 1116739 ZEBETA TABS BISOPROLOL FUMARATE TABLETS 5MG 30/BT RX 00185-0771-30 1137999 ZEBETA TABS BISOPROLOL FUMARATE TABLETS 10MG 30/BT RX 29300-0127-13 1156724 ZEGERID CAPSULES OMEPRAZOLE/SODIUM BICARB CAPSULES 20/1100MG 30/BT RX 49884-0397-11 1157655 ZEGERID CAPSULES OMEPRAZOLE/SODIUM BICARB CAPSULES 40/1100MG 30/BT RX 49884-0455-11 1157656 Page 44 of 46 1154184 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# ZEMURON INJ ROCURONIUM BROMIDE INJ MDV 10ML 10MG/ML 10/PK INJ 10139-0235-11 1145813 ZEMURON INJ ROCURONIUM BROMIDE INJ MDV 5ML 10MG/ML 10/PK INJ 10139-0235-15 1145882 ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 10MG 100/BT RX 64679-0929-01 1101095 ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 10MG 1000/BT RX 64679-0929-06 1146716 ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 2.5MG 100/BT RX 64679-0927-01 1101093 ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 20MG 100/BT RX 00591-0408-01 1088123 ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 20MG 1000/BT RX 00591-0408-10 4080192 ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 30MG 100/BT RX 64679-0953-01 1101100 ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 40MG 100/BT RX 64679-0942-01 1101099 ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 40MG 500/BT RX 00591-0409-05 4080193 ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 5MG 100/BT RX 64679-0928-01 1101094 ZESTRIL, PRINIVIL TABS LISINOPRIL TABLETS 5MG 1000/BT RX 64679-0928-06 1147147 ZIAC TABS BISOPROLOL FUMARATE/HCTZ TABLETS 2.5/6.25MG 100/BT RX 00185-0701-01 1142116 ZIAC TABS BISOPROLOL FUMARATE/HCTZ TABLETS 5/6.25MG 100/BT RX 00185-0704-01 1107829 ZIAC TABS BISOPROLOL FUMARATE/HCTZ TABLETS 10/6.25MG 30/BT RX 00185-0707-30 1118771 ZIAC TABS BISOPROLOL FUMARATE/HCTZ TABLETS 10/6.25MG 100/BT RX 00185-0707-01 1108678 ZINACEF INJ CEFUROXIME SODIUM INJ STER PWD 10ML 750MG 25/BX INJ 25021-0118-10 1146063 ZINACEF INJ CEFUROXIME SODIUM INJ STER PWD 20ML 1.5GM 25/BX INJ 00143-9977-22 1100821 ZINC CHLORIDE INJ ZINC CHLORIDE INJ SDV 10ML 1MG/ML 25/BX INJ 00409-4090-01 1049668 ZINC OXIDE OINT ZINC OXIDE OINTMENT 2OZ/TB OTC 01500-365-56 1149050 ZINC OXIDE OINT ZINC OXIDE OINTMENT LB OTC 00536-5700-98 1101501 ZINC SULFATE CAPS ZINC SULFATE CAPSULES 220MG 100/BT OTC 57896-0865-01 1101524 ZINC SULFATE INJ ZINC SULFATE INJ PF SDV 5ML 5MG/ML 25/BX INJ 00517-8105-25 7676177 ZINC SULFATE INJ ZINC SULFATE INJ PF SDV 10ML 1MG/ML 25/BX INJ 00517-6110-25 2580638 ZINC TABLETS ZINC GLUCONATE TABLETS 25MG 100/BT OTC ZITHROMAX INJ AZITHROMYCIN INJ STER PWD SDV 500MG/VL 10/BX INJ 25021-0112-10 1145337 ZITHROMAX LIQUID AZITHROMYCIN ORAL SUSPENSION 100MG/5ML 15ML/BT RX 00093-2027-23 4220021 ZITHROMAX LIQUID AZITHROMYCIN ORAL SUSPENSION 200MG/5ML 15ML/BT RX 00093-7149-23 1119192 ZITHROMAX LIQUID AZITHROMYCIN ORAL SUSPENSION 200MG/5ML 22.5ML/BT RX 00093-2026-94 3210057 ZITHROMAX LIQUID AZITHROMYCIN ORAL SUSPENSION 200MG/5ML 30ML/BT RX 00093-2026-31 3210054 ZITHROMAX TABS AZITHROMYCIN TABLETS 250MG 30/BT RX 64679-0961-01 1145437 ZITHROMAX TABS AZITHROMYCIN TABLETS 500MG 30/BT RX 64679-0964-01 1146165 ZITHROMAX TABS AZITHROMYCIN TABLETS 600MG 30/BT RX 64679-0962-01 1146162 ZITHROMAX Z-PACK TABS AZITHROMYCIN DOSE PACK TABLETS 250MG 1x6UD RX 00093-7146-18 1100721 ZITHROMAX Z-PACK TABS AZITHROMYCIN DOSE PACK TABLETS 250MG 3x6UD RX 64679-0961-05 1119131 ZITHROMAX Z-PACK TABS AZITHROMYCIN DOSE PACK TABLETS 250MG 5x10UD RX 59762-3060-03 1100486 ZITHROMAX Z-PACK TABS AZITHROMYCIN DOSE PACK TABLETS 500MG 1x3UD RX 00093-7169-33 1100723 ZITHROMAX Z-PACK TABS AZITHROMYCIN DOSE PACK TABLETS 500MG 3x3UD RX 64679-0964-05 1119132 ZITHROMAX Z-PACK TABS AZITHROMYCIN DOSE PACK TABLETS 1GM 10UD/BX RX 59762-3051-01 1075468 ZITHROMAX Z-PACK TABS AZITHROMYCIN DOSE PACK TABLETS 1GM 3x1GM RX 59762-3051-02 1078918 ZOCOR TABS SIMVASTATIN TABLETS 5MG 30/BT RX 65862-0050-30 1155359 ZOCOR TABS SIMVASTATIN TABLETS 5MG 90/BT RX 16252-0505-90 1083969 ZOCOR TABS SIMVASTATIN TABLETS 10MG 90/BT RX 63304-0790-90 1145808 ZOCOR TABS SIMVASTATIN TABLETS 10MG 1000/BT RX 63304-0790-10 1146750 ZOCOR TABS SIMVASTATIN TABLETS 20MG 30/BT RX 65862-0052-30 1101341 ZOCOR TABS SIMVASTATIN TABLETS 20MG 90/BT RX 55111-0199-90 1116023 ZOCOR TABS SIMVASTATIN TABLETS 20MG 1000/BT RX 16729-0005-17 1148153 ZOCOR TABS SIMVASTATIN TABLETS 40MG 30/BT RX 65862-0053-30 1106812 ZOCOR TABS SIMVASTATIN TABLETS 40MG 90/BT RX 16729-0006-15 1148154 ZOCOR TABS SIMVASTATIN TABLETS 80MG 30/BT RX 65862-0054-30 1101342 ZOCOR TABS SIMVASTATIN TABLETS 80MG 1000/BT RX 65862-0054-99 1160722 ZOFRAN INJ ONDANSETRON HCL INJ MDV 20ML 2MG/ML EACH INJ 00143-9890-01 1145412 ZOFRAN INJ ONDANSETRON HCL INJ SDV 2ML 2MG/ML 5/BX INJ 00143-9891-05 1145357 ZOFRAN INJ ONDANSETRON HCL INJ SYRINGE (ISCURE) 2ML 2MG/ML 10/BX INJ 00409-1120-62 1100335 ZOFRAN LIQUID ONDANSETRON HCL ORAL SOLUTION 4MG/5ML 50ML/BT RX 50111-0819-42 1101323 ZOFRAN OD TABS ONDANSETRON ORAL DISINTEGRATING TABS UD 4MG 3x10UD RX 62756-0240-64 1118936 ZOFRAN OD TABS ONDANSETRON ORAL DISINTEGRATING TABS UD 8MG 1x10UD RX 00093-7302-03 1119197 ZOFRAN OD TABS ONDANSETRON ORAL DISINTEGRATING TABS UD 8MG 3x10UD RX 62756-0356-64 1118937 ZOFRAN TABS ONDANSETRON HCL TABLETS 4MG 3/PK RX 55111-0153-13 1100664 ZOFRAN TABS ONDANSETRON HCL TABLETS 4MG 30/BT RX 52152-0538-30 1089449 Page 45 of 46 4014515 BRAND TO GENERIC BRAND NAME GENERIC COMPARISON STRENGTH SIZE CONTR DRUG CLASS RX, OTC, INJ NDC Generic HSI ITEM# ZOFRAN TABS ONDANSETRON HCL TABLETS 8MG 3/PK RX 55111-0154-13 1100665 ZOFRAN TABS ONDANSETRON HCL TABLETS 8MG 30/BT RX 67877-0170-30 1145677 ZOLOFT TABS SERTRALINE HCL TABLETS 100MG 30/BT RX 31722-0214-30 1145695 ZOLOFT TABS SERTRALINE HCL TABLETS 100MG 90/BT RX 68180-0353-09 1119256 ZOLOFT TABS SERTRALINE HCL TABLETS 25MG 30/BT RX 31722-0212-30 1141230 ZOLOFT TABS SERTRALINE HCL TABLETS 25MG 90/BT RX 68180-0351-09 1101520 ZOLOFT TABS SERTRALINE HCL TABLETS 50MG 30/BT RX 31722-0213-30 1118832 ZOLOFT TABS SERTRALINE HCL TABLETS 50MG 90/BT RX 00143-9581-09 1084289 ZONEGRAN CAPS ZONISAMIDE CAPSULES 25 MG 100/BT RX 64679-0945-01 1085895 ZONEGRAN CAPS ZONISAMIDE CAPSULES 50 MG 100/BT RX 64679-0946-01 1135315 ZONEGRAN CAPS ZONISAMIDE CAPSULES 100MG 100/BT RX 64679-0990-01 1083215 ZOSTRIX CREAM CAPSAICIN CREAM 0.025% 2OZ/TB OTC 00603-0648-88 1160547 ZOSYN INJ PIPERACILLIN SODIUM INJ STER PWD SDV 20ML 2GM/VL 10/BX INJ 63323-0380-20 1103782 ZOVIRAX CAPS ACYCLOVIR CAPSULES 200MG 100/BT RX 23155-0146-01 1155023 ZOVIRAX INJ ACYCLOVIR SODIUM INJ LYPHO SDV 10ML 500MG 10/BX INJ 55390-0612-10 7484941 ZOVIRAX INJ ACYCLOVIR SODIUM INJ LYPHO SDV 20ML 1GM 10/BX INJ 55390-0613-20 1020310 ZOVIRAX LIQUID ACYCLOVIR ORAL SUPENSION 200MG/5ML 480ML/BT RX 50383-0810-16 1145183 ZOVIRAX TABS ACYCLOVIR TABLETS 400MG 500/BT RX 00093-8943-05 1100494 ZOVIRAX TABS ACYCLOVIR TABLETS 800MG 100/BT RX 00093-8947-01 1138134 ZOVIRAX TABS ACYCLOVIR TABLETS 400MG 100/BT RX 67253-0101-10 1153577 ZYLOPRIM TABS ALLOPURINOL TABLETS 100MG 100/BT RX 00603-2115-21 1049120 ZYLOPRIM TABS ALLOPURINOL TABLETS 100MG 1000/BT RX 00603-2115-32 1049123 ZYLOPRIM TABS ALLOPURINOL TABLETS 300MG 100/BT RX 00603-2116-21 1049125 ZYLOPRIM TABS ALLOPURINOL TABLETS 300MG 500/BT RX 00603-2116-28 1049130 ZYRTEC CHILDREN'S SOLN CETIRIZINE HCL CHILDREN'S ORAL SOLUTION 1MG/ML 4OZ/BT OTC 51672-2088-08 1147129 ZYRTEC TABS CETIRIZINE HCL TABLETS 5MG 100/BT OTC 16571-0401-10 1156843 ZYRTEC TABS ZYRTEC-D TABS CETIRIZINE HCL TABLETS CETIRIZINE HCL/PSEUDO ER TABLETS 10MG 5/120MG 100/BT 30/BT OTC OTC 16571-0402-10 45802-0721-62 1156844 1109563 Page 46 of 46
