OHP Formulary

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OHP Formulary
Oregon Health Plan (OHP) Medicaid Formulary
Effective 7/1/2016
Key
Medications that are new to the market are not included within your pharmacy benefit until reviewed by the Pharmacy and Therapeutics Committee. Please contact PA - Prior authorization requirement
Moda Health Customer Service if you are taking a medication that is new to the market. Please note that this list is subject to change at any time.
Step - Step therapy requirement
Questions? Call Pharmacy Customer Service at 888-474-8539.
QLL - Quantity level limit
Age - Age restriction
General Therapeutic Category
ALLERGY
Brand Name
Generic Name
ALAVERT
ALL DAY ALLERGY
LORATADINE
CETIRIZINE HCL
ALL DAY ALLERGY RELIEF
ALLER-CHLOR
CETIRIZINE HCL
CHLORPHENIRAMINE MALEATE
ALLERCLEAR
ALLER-G-TIME
ALLERGY
LORATADINE
DIPHENHYDRAMINE HCL
CETIRIZINE HCL
CHLORPHENIRAMINE MALEATE
DIPHENHYDRAMINE HCL
ALLERGY 4-HOUR
ALLERGY MEDICATION
LORATADINE
CHLORPHENIRAMINE MALEATE
DIPHENHYDRAMINE HCL
ALLERGY MEDICINE
DIPHENHYDRAMINE HCL
ALLERGY RELIEF
CETIRIZINE HCL
CHLORPHENIRAMINE MALEATE
DIPHENHYDRAMINE HCL
LORATADINE
ALLERGY-TIME
ALLER-TEC
ANTIHIST
ANTIHISTAMINE
CHLORPHENIRAMINE MALEATE
CETIRIZINE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
Dose
TAB RAPDIS
SOLUTION
TABLET
TABLET
SYRUP
TABLET
TABLET
TABLET
TABLET
TABLET
CAPSULE
LIQUID
TABLET
TABLET
TABLET
CAPSULE
LIQUID
TABLET
CAPSULE
LIQUID
TABLET
SOLUTION
TABLET
TABLET
CAPSULE
LIQUID
TABLET
SOLUTION
TAB RAPDIS
TABLET
TABLET
TABLET
ELIXIR
CAPSULE
TABLET
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
ARBINOXA
Generic Name
CARBINOXAMINE MALEATE
BANOPHEN
DIPHENHYDRAMINE HCL
BENADRYL ALLERGY
CARBINOXAMINE MALEATE
DIPHENHYDRAMINE HCL
CARBINOXAMINE MALEATE
CETIRIZINE HCL
CETIRIZINE HCL
CHILDREN'S ALL DAY ALLERGY
CHILDREN'S ALLERGY
CETIRIZINE HCL
CETIRIZINE HCL
DIPHENHYDRAMINE HCL
CHILDREN'S ALLERGY COMPLETE
CHILDREN'S ALLERGY RELIEF
CETIRIZINE HCL
CETIRIZINE HCL
DIPHENHYDRAMINE HCL
CHILDREN'S ALLER-TEC
CHILDREN'S CETIRIZINE HCL
CHILDREN'S COMPLETE ALLERGY
CHILDREN'S LORATADINE
CHILDREN'S WAL-DRYL ALLERGY
LORATADINE
CETIRIZINE HCL
CETIRIZINE HCL
DIPHENHYDRAMINE HCL
LORATADINE
DIPHENHYDRAMINE HCL
CHILDREN'S WAL-ZYR
CHLORPHENIRAMINE MALEATE
CHLORTABS
CLARITIN
CLEMASTINE FUMARATE
CETIRIZINE HCL
CHLORPHENIRAMINE MALEATE
CHLORPHENIRAMINE MALEATE
LORATADINE
CLEMASTINE FUMARATE
COMPLETE ALLERGY
DIPHENHYDRAMINE HCL
CYPROHEPTADINE HCL
CYPROHEPTADINE HCL
DESLORATADINE
DIPHEDRYL
DESLORATADINE
DIPHENHYDRAMINE HCL
DIPHEDRYL ALLERGY
DIPHENHIST
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
Dose
LIQUID
TABLET
CAPSULE
LIQUID
TABLET
TABLET
LIQUID
TABLET
SOLUTION
TABLET
SOLUTION
SOLUTION
ELIXIR
LIQUID
TAB RAPDIS
SOLUTION
SOLUTION
LIQUID
TAB RAPDIS
SOLUTION
SOLUTION
SOLUTION
TAB RAPDIS
SOLUTION
LIQUID
TAB RAPDIS
SOLUTION
TABLET
TABLET
TABLET
SYRUP
TABLET
CAPSULE
LIQUID
TABLET
SYRUP
TABLET
TABLET
CAPSULE
LIQUID
TABLET
LIQUID
CAPSULE
LIQUID
TABLET
CAPSULE
ELIXIR
LIQUID
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
Generic Name
ED CHLORPED JR
ED-CHLORTAN
FEXOFENADINE HCL
FLUTICASONE PROPIONATE
GERI-DRYL
CHLORPHENIRAMINE MALEATE
CHLORPHENIRAMINE MALEATE
FEXOFENADINE HCL
FLUTICASONE PROPIONATE
DIPHENHYDRAMINE HCL
HYDROXYZINE HCL
HYDROXYZINE HCL
HYDROXYZINE PAMOATE
LEVOCETIRIZINE DIHYDROCHLORIDE
LORADAMED
LORATADINE
HYDROXYZINE PAMOATE
LEVOCETIRIZINE DIHYDROCHLORIDE
LORATADINE
LORATADINE
LORATADINE ALLERGY
LORATADINE HIVES RELIEF
MEDI-PHEDRYL
LORATADINE
LORATADINE
DIPHENHYDRAMINE HCL
NIGHTTIME ALLERGY RELIEF
NON-DROWSY ALLERGY
PHARBECHLOR
PHARBEDRYL
PROMETHAZINE HCL
DIPHENHYDRAMINE HCL
LORATADINE
CHLORPHENIRAMINE MALEATE
DIPHENHYDRAMINE HCL
PROMETHAZINE HCL
Q-DRYL
DIPHENHYDRAMINE HCL
QUENALIN
SILADRYL
SILPHEN
TOTAL ALLERGY
VALU-DRYL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
VALU-DRYL ALLERGY MEDICINE
VICKS QLEARQUIL ALLERGY
VICKS QLEARQUIL NIGHTTIME
WAL-DRYL
DIPHENHYDRAMINE HCL
LORATADINE
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
WAL-DRYL ALLERGY
DIPHENHYDRAMINE HCL
WAL-FINATE
WAL-ITIN
CHLORPHENIRAMINE MALEATE
LORATADINE
WAL-ZYR
CETIRIZINE HCL
TAVIST ND
LORATADINE
Dose
SYRUP
TABLET
SYRUP
TABLET
TABLET
SPRAY SUSP
CAPSULE
TABLET
SOLUTION
TABLET
CAPSULE
SOLUTION
TABLET
SOLUTION
TAB RAPDIS
TABLET
SOLUTION
SOLUTION
CAPSULE
LIQUID
TABLET
TABLET
TABLET
CAPSULE
SYRUP
TABLET
CAPSULE
LIQUID
SYRUP
LIQUID
SYRUP
TABLET
ELIXIR
TAB CHEW
TABLET
TABLET
TABLET
CAPSULE
TABLET
LIQUID
TABLET
TABLET
SOLUTION
TAB RAPDIS
TABLET
SOLUTION
TABLET
TABLET
PA
Step
QLL
X
X
X
Age
General Therapeutic Category
ANTIEMESIS/ANTIVERTIGO
ASTHMA AND COPD
Brand Name
ED-CHLOR-TAN
ED CHLORPED
PALGIC
BROMSPIRO
DOXYTEX
CHILDREN'S ALLERGY RAPID MELTS
ALER-TAB
DIPHEN
Generic Name
CHLORPHENIRAMINE TANNATE
CHLORPHENIRAMINE TANNATE
CARBINOXAMINE MALEATE
BROMPHENIRAMINE MALEATE
DOXYLAMINE SUCCINATE
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DEXCHLORPHENIRAMINE MALEATE
RESPA-BR
LOHIST 12HR
CHLORHIST
ALER-CAPS
ANZEMET
CESAMET
COMPRO
DRONABINOL
EMEND
DEXCHLORPHENIRAMINE MALEATE
BROMPHENIRAMINE MALEATE
BROMPHENIRAMINE MALEATE
CHLORPHENIRAMINE MALEATE
DIPHENHYDRAMINE HCL
DOLASETRON MESYLATE
NABILONE
PROCHLORPERAZINE
DRONABINOL
APREPITANT
GRANISETRON HCL
GRANISETRON HCL
MECLIZINE HCL
ONDANSETRON HCL
GRANISETRON HCL/PF
MECLIZINE HCL
ONDANSETRON HCL
ONDANSETRON ODT
PHENADOZ
PROCHLORPERAZINE
PROCHLORPERAZINE MALEATE
PROMETHAZINE HCL
PROMETHEGAN
TRANSDERM-SCOP
TRIMETHOBENZAMIDE HCL
ANTIVERT
GRANISOL
ADVAIR DISKUS
ADVAIR HFA
ALBUTEROL SULFATE
ONDANSETRON HCL/PF
ONDANSETRON
PROMETHAZINE HCL
PROCHLORPERAZINE
PROCHLORPERAZINE MALEATE
PROMETHAZINE HCL
PROMETHAZINE HCL
SCOPOLAMINE
TRIMETHOBENZAMIDE HCL
MECLIZINE HCL
GRANISETRON HCL
FLUTICASONE/SALMETEROL
FLUTICASONE/SALMETEROL
ALBUTEROL SULFATE
ARNUITY ELLIPTA
ATROVENT HFA
BUDESONIDE
FLUTICASONE FUROATE
IPRATROPIUM BROMIDE
BUDESONIDE
Dose
TABLET
DROPS
LIQUID
LIQUID
LIQUID
TAB CHEW
TABLET
CAPSULE
TABLET
SYRUP
TAB ER 12H
TAB ER 12H
TABLET
CAPSULE
TABLET
CAPSULE
SUPP.RECT
CAPSULE
CAP DS PK
CAPSULE
TABLET
VIAL
VIAL
TABLET
SOLUTION
TABLET
VIAL
VIAL
TAB RAPDIS
SUPP.RECT
SUPP.RECT
TABLET
SUPP.RECT
SUPP.RECT
PATCH TD 3
CAPSULE
TABLET
SOLUTION
BLST W/DEV
HFA AER AD
SOLUTION
SYRUP
TAB ER 12H
TABLET
VIAL-NEB
BLST W/DEV
HFA AER AD
AMPUL-NEB
PA
Step
X
QLL
Age
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
General Therapeutic Category
AUTONOMIC NERVOUS SYSTEM DISORDERS
Brand Name
CAFFEINE CITRATE
COMBIVENT RESPIMAT
CROMOLYN SODIUM
DULERA
ELIXOPHYLLIN
FLOVENT DISKUS
FLOVENT HFA
INCRUSE ELLIPTA
IPRATROPIUM BROMIDE
IPRATROPIUM-ALBUTEROL
LEVALBUTEROL CONCENTRATE
LEVALBUTEROL HCL
METAPROTERENOL SULFATE
MONTELUKAST SODIUM
Generic Name
CAFFEINE CITRATED
IPRATROPIUM/ALBUTEROL SULFATE
CROMOLYN SODIUM
MOMETASONE/FORMOTEROL
THEOPHYLLINE ANHYDROUS
FLUTICASONE PROPIONATE
FLUTICASONE PROPIONATE
UMECLIDINIUM BROMIDE
IPRATROPIUM BROMIDE
IPRATROPIUM/ALBUTEROL SULFATE
LEVALBUTEROL HCL
LEVALBUTEROL HCL
METAPROTERENOL SULFATE
MONTELUKAST SODIUM
PULMICORT FLEXHALER
QVAR
SEREVENT DISKUS
SPIRIVA
SPIRIVA RESPIMAT
SYMBICORT
TERBUTALINE SULFATE
THEO-24
THEOCHRON
THEOPHYLLINE
BUDESONIDE
BECLOMETHASONE DIPROPIONATE
SALMETEROL XINAFOATE
TIOTROPIUM BROMIDE
TIOTROPIUM BROMIDE
BUDESONIDE/FORMOTEROL FUMARATE
TERBUTALINE SULFATE
THEOPHYLLINE ANHYDROUS
THEOPHYLLINE ANHYDROUS
THEOPHYLLINE ANHYDROUS
THEOPHYLLINE ANHYDROUS
TUDORZA PRESSAIR
VENTOLIN HFA
XOLAIR
XOPENEX HFA
LUFYLLIN
AMINOPHYLLINE
COMBIVENT
COPD
DIFIL-G 400
MAXAIR AUTOHALER
DILEX-G 200
DYPHYLLINE GG
THEOPHYLLINE ANHYDROUS
ACLIDINIUM BROMIDE
ALBUTEROL SULFATE
OMALIZUMAB
LEVALBUTEROL TARTRATE
DYPHYLLINE
AMINOPHYLLINE
IPRATROPIUM/ALBUTEROL SULFATE
GUAIFENESIN/DYPHYLLINE
GUAIFENESIN/DYPHYLLINE
PIRBUTEROL ACETATE
GUAIFENESIN/DYPHYLLINE
GUAIFENESIN/DYPHYLLINE
DY-G LIQUID
JAY-PHYL
NUCALA
SEEBRI NEOHALER
UTIBRON NEOHALER
DONEPEZIL HCL
DONEPEZIL HCL ODT
GUAIFENESIN/DYPHYLLINE
GUAIFENESIN/DYPHYLLINE
MEPOLIZUMAB
GLYCOPYRROLATE
INDACATEROL/GLYCOPYRROLATE
DONEPEZIL HCL
DONEPEZIL HCL
Dose
SOLUTION
MIST INHAL
AMPUL-NEB
HFA AER AD
ELIXIR
BLST W/DEV
AER W/ADAP
BLST W/DEV
SOLUTION
AMPUL-NEB
VIAL-NEB
VIAL-NEB
SYRUP
GRAN PACK
TAB CHEW
TABLET
AER POW BA
AER W/ADAP
BLST W/DEV
CAP W/DEV
MIST INHAL
HFA AER AD
TABLET
CAP ER 24H
TAB ER 12H
SOLUTION
TABLET ER
TAB ER 12H
AER POW BA
HFA AER AD
VIAL
HFA AER AD
TABLET
TABLET
AER W/ADAP
TABLET
TABLET
AER BR.ACT
SYRUP
ELIXIR
TABLET
LIQUID
SYRUP
VIAL
CAP W/DEV
CAP W/DEV
TABLET
TAB RAPDIS
PA
Step
QLL
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
BEHAVIORAL HEALTH - OTHER
Brand Name
Generic Name
GALANTAMINE HBR
GALANTAMINE HBR
GALANTAMINE HYDROBROMIDE
PYRIDOSTIGMINE BROMIDE
PYRIDOSTIGMINE BROMIDE ER
RIVASTIGMINE
MYTELASE
EXELON
PROSTIGMIN
MEMANTINE HCL
ALKA-SELTZER PLUS ALLERGY
COMPOZ
DEXMETHYLPHENIDATE HCL
DEXTROAMPHETAMINE SULFATE
GALANTAMINE HBR
PYRIDOSTIGMINE BROMIDE
PYRIDOSTIGMINE BROMIDE
RIVASTIGMINE
RIVASTIGMINE TARTRATE
AMBENONIUM CHLORIDE
RIVASTIGMINE TARTRATE
NEOSTIGMINE BROMIDE
MEMANTINE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DEXMETHYLPHENIDATE HCL
DEXTROAMPHETAMINE SULFATE
DEXTROAMPHETAMINE SULFATE ER
DEXTROAMPHETAMINE-AMPHET ER
DIPHENHYDRAMINE HCL
DISULFIRAM
EZ NITE SLEEP
MELATIN
MELATONIN
DEXTROAMPHETAMINE SULFATE
DEXTROAMPHETAMINE/AMPHETAMINE
DIPHENHYDRAMINE HCL
DISULFIRAM
DIPHENHYDRAMINE HCL
MELATONIN
MELATONIN
METADATE ER
METHYLPHENIDATE ER
MELATONIN/CHAMOMILE FLOWER
MELATONIN/PYRIDOXINE HCL (B6)
METHYLPHENIDATE HCL
METHYLPHENIDATE HCL
METHYLPHENIDATE HCL
METHYLPHENIDATE HCL
METHYLPHENIDATE HCL CD
METHYLPHENIDATE LA
NALOXONE HCL
METHYLPHENIDATE HCL
METHYLPHENIDATE HCL
NALOXONE HCL
NIGHTTIME SLEEP AID
DIPHENHYDRAMINE HCL
NIGHTTIME SLEEP GEL
NYTOL QUICKCAPS
NYT-TIME SLEEP
ORMIR
PHENOBARBITAL
QUILLIVANT XR
REST SIMPLY
RESTFULLY SLEEP
RITALIN LA
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
PHENOBARBITAL
METHYLPHENIDATE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
METHYLPHENIDATE HCL
Dose
CAP24H PEL
TABLET
SOLUTION
TABLET
TABLET ER
PATCH TD24
CAPSULE
TABLET
SOLUTION
TABLET
SOLUTION
TABLET
TABLET
TABLET
SOLUTION
TABLET
CAPSULE ER
CAP ER 24H
TABLET
TABLET
CAPSULE
TABLET
TAB RAPDIS
TABLET
TABLET
TABLET
TABLET ER
CPBP 50-50
TAB ER 24
TABLET ER
SOLUTION
TAB CHEW
TABLET
CPBP 30-70
CPBP 50-50
SYRINGE
VIAL
CAPSULE
TABLET
CAPSULE
TABLET
TABLET
CAPSULE
TABLET
SU ER RC24
TABLET
TABLET
CPBP 50-50
PA
X
X
X
Step
QLL
Age
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
General Therapeutic Category
CARDIOVASCULAR DISEASE - ARRHYTHMIA
CARDIOVASCULAR DISEASE - CARDIAC STIMULANT
Brand Name
SIMPLY SLEEP
SLEEP AID
Generic Name
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
SLEEP II
SLEEP TABLET
SLEEP TABS
SLEEP-AID
SLEEPGELS
SLEEPING
TEMAZEPAM
UNISOM
VIVITROL
VYVANSE
WAL-SLEEP Z
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
TEMAZEPAM
DIPHENHYDRAMINE HCL
NALTREXONE MICROSPHERES
LISDEXAMFETAMINE DIMESYLATE
DIPHENHYDRAMINE HCL
WAL-SOM
DIPHENHYDRAMINE HCL
XYREM
ZALEPLON
ZOLPIDEM
ZOLPIDEM TARTRATE
ZOLPIDEM TARTRATE ER
Z-SLEEP
SOMINEX
SOMINEX MAX STRENGTH
DEXTROAMPHETAMINE-AMPHETAMINE
SLEEP-EZE 3
METHYLPHENIDATE SR
NYTOL
QUILLICHEW ER
NARCAN
AMIODARONE HCL
DISOPYRAMIDE PHOSPHATE
FLECAINIDE ACETATE
MEXILETINE HCL
NORPACE CR
PACERONE
PROPAFENONE HCL
PROPAFENONE HCL ER
QUINIDINE GLUCONATE
QUINIDINE SULFATE
SODIUM OXYBATE
ZALEPLON
ZOLPIDEM TARTRATE
ZOLPIDEM TARTRATE
ZOLPIDEM TARTRATE
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DIPHENHYDRAMINE HCL
DEXTROAMPHETAMINE/AMPHETAMINE
DIPHENHYDRAMINE HCL
METHYLPHENIDATE HCL
DIPHENHYDRAMINE HCL
METHYLPHENIDATE HCL
NALOXONE HCL
AMIODARONE HCL
DISOPYRAMIDE PHOSPHATE
FLECAINIDE ACETATE
MEXILETINE HCL
DISOPYRAMIDE PHOSPHATE
AMIODARONE HCL
PROPAFENONE HCL
PROPAFENONE HCL
QUINIDINE GLUCONATE
QUINIDINE SULFATE
DOFETILIDE
DIGITEK
DIGOX
DIGOXIN
DOFETILIDE
DIGOXIN
DIGOXIN
DIGOXIN
LANOXIN
DIGOXIN
Dose
TABLET
CAPSULE
TABLET
TABLET
TABLET
TABLET
CAPSULE
CAPSULE
CAPSULE
CAPSULE
CAPSULE
SUS ER REC
CAPSULE
CAPSULE
TAB RAPDIS
CAPSULE
TAB RAPDIS
SOLUTION
CAPSULE
TABLET
TABLET
TAB MPHASE
CAPSULE
TABLET
TABLET
TABLET
TABLET
TABLET ER
TABLET
TAB CBP24H
SPRAY
TABLET
CAPSULE
TABLET
CAPSULE
CAPSULE ER
TABLET
TABLET
CAP ER 12H
TABLET ER
TABLET
TABLET ER
CAPSULE
TABLET
TABLET
SOLUTION
TABLET
TABLET
PA
Step
X
X
QLL
Age
X
X
X
X
X
X
X
X
X
X
X
General Therapeutic Category
CARDIOVASCULAR DISEASE - HYPERTENSION
Brand Name
ACEBUTOLOL HCL
AFEDITAB CR
AMILORIDE HCL
AMILORIDE-HYDROCHLOROTHIAZIDE
AMLODIPINE BESYLATE
AMLODIPINE BESYLATE-BENAZEPRIL
ATENOLOL
ATENOLOL-CHLORTHALIDONE
BENAZEPRIL HCL
BENAZEPRIL-HYDROCHLOROTHIAZIDE
BETAXOLOL HCL
BISOPROLOL FUMARATE
BISOPROLOL-HYDROCHLOROTHIAZIDE
BUMETANIDE
BYSTOLIC
CANDESARTAN CILEXETIL
CANDESARTAN-HYDROCHLOROTHIAZID
CAPTOPRIL
CAPTOPRIL-HYDROCHLOROTHIAZIDE
CARDENE SR
CARDURA XL
CARTIA XT
CARVEDILOL
CHLOROTHIAZIDE
CHLORTHALIDONE
CLONIDINE
CLONIDINE HCL
CLORPRES
DEMSER
DILTIAZEM 12HR ER
DILTIAZEM 24HR CD
DILTIAZEM 24HR ER
DILTIAZEM ER
Generic Name
ACEBUTOLOL HCL
NIFEDIPINE
AMILORIDE HCL
AMILORIDE/HYDROCHLOROTHIAZIDE
AMLODIPINE BESYLATE
AMLODIPINE BESYLATE/BENAZEPRIL
ATENOLOL
ATENOLOL/CHLORTHALIDONE
BENAZEPRIL HCL
BENAZEPRIL/HYDROCHLOROTHIAZIDE
BETAXOLOL HCL
BISOPROLOL FUMARATE
BISOPROLOL FUMARATE/HCTZ
BUMETANIDE
NEBIVOLOL HCL
CANDESARTAN CILEXETIL
CANDESARTAN/HYDROCHLOROTHIAZID
CAPTOPRIL
CAPTOPRIL/HYDROCHLOROTHIAZIDE
NICARDIPINE HCL
DOXAZOSIN MESYLATE
DILTIAZEM HCL
CARVEDILOL
CHLOROTHIAZIDE
CHLORTHALIDONE
CLONIDINE
CLONIDINE HCL
CLONIDINE HCL/CHLORTHALIDONE
METYROSINE
DILTIAZEM HCL
DILTIAZEM HCL
DILTIAZEM HCL
DILTIAZEM HCL
DILTIAZEM HCL
DILT-XR
DIURIL
DOXAZOSIN MESYLATE
DYRENIUM
EDECRIN
ENALAPRIL MALEATE
ENALAPRIL-HYDROCHLOROTHIAZIDE
EPLERENONE
EPROSARTAN MESYLATE
FELODIPINE ER
FOSINOPRIL SODIUM
FOSINOPRIL-HYDROCHLOROTHIAZIDE
DILTIAZEM HCL
DILTIAZEM HCL
CHLOROTHIAZIDE
DOXAZOSIN MESYLATE
TRIAMTERENE
ETHACRYNIC ACID
ENALAPRIL MALEATE
ENALAPRIL/HYDROCHLOROTHIAZIDE
EPLERENONE
EPROSARTAN MESYLATE
FELODIPINE
FOSINOPRIL SODIUM
FOSINOPRIL/HYDROCHLOROTHIAZIDE
Dose
CAPSULE
TABLET ER
TABLET
TABLET
TABLET
CAPSULE
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
CAPSULE ER
TAB ER 24
CAP ER 24H
TABLET
TABLET
TABLET
PATCH TDWK
TABLET
TABLET
CAPSULE
CAP ER 12H
CAP ER 24H
CAP ER 24H
CAP ER DEG
CAPSULE ER
TAB ER 24H
TABLET
CAP ER DEG
ORAL SUSP
TABLET
CAPSULE
TABLET
TABLET
TABLET
TABLET
TABLET
TAB ER 24H
TABLET
TABLET
PA
Step
QLL
X
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
Generic Name
FUROSEMIDE
FUROSEMIDE
GUANFACINE HCL
HYDRALAZINE HCL
HYDROCHLOROTHIAZIDE
GUANFACINE HCL
HYDRALAZINE HCL
HYDROCHLOROTHIAZIDE
INDAPAMIDE
INNOPRAN XL
IRBESARTAN
IRBESARTAN-HYDROCHLOROTHIAZIDE
ISRADIPINE
LABETALOL HCL
LETAIRIS
LEVATOL
LISINOPRIL
LISINOPRIL-HYDROCHLOROTHIAZIDE
LOSARTAN POTASSIUM
LOSARTAN-HYDROCHLOROTHIAZIDE
MATZIM LA
METHYCLOTHIAZIDE
METHYLDOPA
METHYLDOPA-HYDROCHLOROTHIAZIDE
METOLAZONE
METOPROLOL SUCCINATE
METOPROLOL TARTRATE
METOPROLOL-HYDROCHLOROTHIAZIDE
MINOXIDIL
MOEXIPRIL HCL
MOEXIPRIL-HYDROCHLOROTHIAZIDE
NADOLOL
NADOLOL-BENDROFLUMETHIAZIDE
NICARDIPINE HCL
NIFEDICAL XL
NIFEDIPINE
NIFEDIPINE ER
INDAPAMIDE
PROPRANOLOL HCL
IRBESARTAN
IRBESARTAN/HYDROCHLOROTHIAZIDE
ISRADIPINE
LABETALOL HCL
AMBRISENTAN
PENBUTOLOL SULFATE
LISINOPRIL
LISINOPRIL/HYDROCHLOROTHIAZIDE
LOSARTAN POTASSIUM
LOSARTAN/HYDROCHLOROTHIAZIDE
DILTIAZEM HCL
METHYCLOTHIAZIDE
METHYLDOPA
METHYLDOPA/HYDROCHLOROTHIAZIDE
METOLAZONE
METOPROLOL SUCCINATE
METOPROLOL TARTRATE
METOPROLOL/HYDROCHLOROTHIAZIDE
MINOXIDIL
MOEXIPRIL HCL
MOEXIPRIL/HYDROCHLOROTHIAZIDE
NADOLOL
NADOLOL/BENDROFLUMETHIAZIDE
NICARDIPINE HCL
NIFEDIPINE
NIFEDIPINE
NIFEDIPINE
NIMODIPINE
NISOLDIPINE
OPSUMIT
ORENITRAM ER
PINDOLOL
PRAZOSIN HCL
PROPRANOLOL HCL
NIMODIPINE
NISOLDIPINE
MACITENTAN
TREPROSTINIL DIOLAMINE
PINDOLOL
PRAZOSIN HCL
PROPRANOLOL HCL
PROPRANOLOL HCL ER
PROPRANOLOL-HYDROCHLOROTHIAZID
QUINAPRIL HCL
QUINAPRIL-HYDROCHLOROTHIAZIDE
PROPRANOLOL HCL
PROPRANOLOL/HYDROCHLOROTHIAZID
QUINAPRIL HCL
QUINAPRIL/HYDROCHLOROTHIAZIDE
Dose
SOLUTION
TABLET
TABLET
TABLET
CAPSULE
TABLET
TABLET
CAP ER 24H
TABLET
TABLET
CAPSULE
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TAB ER 24H
TABLET
TABLET
TABLET
TABLET
TAB ER 24H
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
CAPSULE
TAB ER 24
CAPSULE
TAB ER 24
TABLET ER
CAPSULE
TAB ER 24H
TABLET
TABLET ER
TABLET
CAPSULE
SOLUTION
TABLET
CAP SA 24H
TABLET
TABLET
TABLET
PA
Step
QLL
X
X
X
Age
General Therapeutic Category
CARDIOVASCULAR DISEASE - LIPID IRREGULARITY
Brand Name
RAMIPRIL
REMODULIN
RESERPINE
SORINE
SOTALOL
SOTALOL AF
SPIRONOLACTONE
SPIRONOLACTONE-HCTZ
TAZTIA XT
TERAZOSIN HCL
TIMOLOL MALEATE
TORSEMIDE
TRACLEER
TRANDOLAPRIL
TRANDOLAPRIL-VERAPAMIL ER
TRIAMTERENE-HYDROCHLOROTHIAZID
Generic Name
RAMIPRIL
TREPROSTINIL SODIUM
RESERPINE
SOTALOL HCL
SOTALOL HCL
SOTALOL HCL
SPIRONOLACTONE
SPIRONOLACT/HYDROCHLOROTHIAZID
DILTIAZEM HCL
TERAZOSIN HCL
TIMOLOL MALEATE
TORSEMIDE
BOSENTAN
TRANDOLAPRIL
TRANDOLAPRIL/VERAPAMIL HCL
TRIAMTERENE/HYDROCHLOROTHIAZID
VALSARTAN
VALSARTAN-HYDROCHLOROTHIAZIDE
VENTAVIS
VERAPAMIL ER
VALSARTAN
VALSARTAN/HYDROCHLOROTHIAZIDE
ILOPROST TROMETHAMINE
VERAPAMIL HCL
VERAPAMIL ER PM
VERAPAMIL HCL
VERAPAMIL HCL
VERAPAMIL HCL
VERAPAMIL SR
COVERA-HS
NIFEDIAC CC
GUANABENZ ACETATE
DYNACIRC CR
DILT-CD
DILTZAC ER
THALITONE
DILTIA XT
ALGAL OMEGA-3 DHA
ATORVASTATIN CALCIUM
CHOLESTYRAMINE
VERAPAMIL HCL
VERAPAMIL HCL
NIFEDIPINE
GUANABENZ ACETATE
ISRADIPINE
DILTIAZEM HCL
DILTIAZEM HCL
CHLORTHALIDONE
DILTIAZEM HCL
DOCOSAHEXANOIC ACID
ATORVASTATIN CALCIUM
CHOLESTYRAMINE (WITH SUGAR)
CHOLESTYRAMINE LIGHT
CHOLESTYRAMINE/ASPARTAME
COLESTIPOL HCL
COLESTIPOL HCL
ENDUR-ACIN
FENOFIBRATE
NIACIN
FENOFIBRATE
FENOFIBRATE NANOCRYSTALLIZED
FENOFIBRATE,MICRONIZED
Dose
CAPSULE
VIAL
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
CAPSULE ER
CAPSULE
TABLET
TABLET
TABLET
TABLET
TAB BP 24H
CAPSULE
TABLET
TABLET
TABLET
AMPUL-NEB
CAP24H PEL
TABLET ER
CAP24H PCT
CAP24H PEL
TABLET
CAP24H PEL
TAB ER 24
TABLET ER
TABLET
TAB ER 24
CAP ER 24H
CAPSULE ER
TABLET
CAP ER DEG
CAPSULE
TABLET
POWD PACK
POWDER
POWD PACK
POWDER
GRANULES
PACKET
TABLET
TABLET ER
CAPSULE
TABLET
TABLET
CAPSULE
PA
X
X
Step
QLL
Age
General Therapeutic Category
Brand Name
FENOFIBRIC ACID
FISH OIL
FISH OIL OMEGA-3
GEMFIBROZIL
KYNAMRO
LOVASTATIN
MAXEPA
NIACIN
NIACOR
PRAVASTATIN SODIUM
PRENATAL DHA
PREVALITE
OMEGA-3 FATTY ACIDS/FISH OIL
OMEGA-3/DHA/EPA/FISH OIL
SALMON OIL/OMEGA-3 FATTY ACIDS
OMEGA-3 FATTY ACIDS
OMEGA-3 FATTY ACIDS/FISH OIL
OMEGA-3 FATTY ACIDS/FISH OIL
GEMFIBROZIL
MIPOMERSEN SODIUM
LOVASTATIN
OMEGA-3 FATTY ACIDS
NIACIN
NIACIN
PRAVASTATIN SODIUM
DOCOSAHEXANOIC ACID
CHOLESTYRAMINE/ASPARTAME
SALMON OIL-1000
SEA-OMEGA 30
SEA-OMEGA 50
SIMVASTATIN
DHA COMPLETE
FISH OIL ULTRA
DHA PRENATAL
OMEGA 3
PRALUENT PEN
PRALUENT SYRINGE
REPATHA SYRINGE
REPATHA SURECLICK
JUVISYNC
ENTRESTO
ISORDIL
ISOSORBIDE DINITRATE
SALMON OIL/OMEGA-3 FATTY ACIDS
OMEGA-3 FATTY ACIDS/FISH OIL
OMEGA-3/DHA/EPA/FISH OIL
SIMVASTATIN
DOCOSAHEXANOIC ACID
OMEGA-3/DHA/EPA/FISH OIL
DOCOSAHEXANOIC ACID
OMEGA-3/DHA/EPA/FISH OIL
ALIROCUMAB
ALIROCUMAB
EVOLOCUMAB
EVOLOCUMAB
SITAGLIPTIN/SIMVASTATIN
SACUBITRIL/VALSARTAN
ISOSORBIDE DINITRATE
ISOSORBIDE DINITRATE
ISOSORBIDE MONONITRATE
ISOSORBIDE MONONITRATE ER
MINITRAN
NITRO-BID
NITROGLYCERIN
NITROGLYCERIN PATCH
NITROSTAT
AMYL NITRITE
ISODITRATE
ALTAVERA
ALYACEN
ISOSORBIDE MONONITRATE
ISOSORBIDE MONONITRATE
NITROGLYCERIN
NITROGLYCERIN
NITROGLYCERIN
NITROGLYCERIN
NITROGLYCERIN
AMYL NITRITE
ISOSORBIDE DINITRATE
LEVONORGESTREL-ETHIN ESTRADIOL
NORETHINDRONE-ETHINYL ESTRAD
FISH OIL CONCENTRATE
CARDIOVASCULAR DISEASE - MISCELLANEOUS AGENTS
CARDIOVASCULAR DISEASE - VASODILATION
CONTRACEPTION/OXYTOCICS
Generic Name
FENOFIBRIC ACID
OMEGA-3 FATTY ACIDS
Dose
TABLET
CAPSULE
CAPSULE DR
CAPSULE
CAPSULE
CAPSULE
CAPSULE
CAPSULE
CAPSULE
TABLET
SYRINGE
TABLET
CAPSULE
TABLET ER
TABLET
TABLET
CAPSULE
POWD PACK
POWDER
CAPSULE
CAPSULE
CAPSULE
TABLET
CAPSULE
CAPSULE
CAPSULE
CAPSULE
PEN INJCTR
SYRINGE
SYRINGE
PEN INJCTR
TABLET
TABLET
TABLET
TAB SUBL
TABLET
TABLET ER
TABLET
TAB ER 24H
PATCH TD24
OINT. (G)
CAPSULE ER
PATCH TD24
TAB SUBL
AMPUL
TABLET ER
TABLET
TABLET
PA
Step
QLL
X
X
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
AMETHIA
AMETHIA LO
APRI
ARANELLE
ASHLYNA
AUBRA
AVIANE
AZURETTE
BALZIVA
BREVICON
BRIELLYN
CAMILA
CAMRESE
CAMRESE LO
CAYA CONTOURED
CAZIANT
CHATEAL
CRYSELLE
CYCLAFEM
CYRED
DASETTA
DAYSEE
DEBLITANE
DELYLA
DEPO-SUBQ PROVERA 104
DESOGESTREL-ETHINYL ESTRADIOL
DESOGESTR-ETH ESTRAD ETH ESTRA
DROSPIRENONE-ETHINYL ESTRADIOL
ECONTRA EZ
ELINEST
ELLA
EMOQUETTE
ENPRESSE
ENSKYCE
ERRIN
ESTARYLLA
FALLBACK SOLO
FALMINA
FEMCAP
GIANVI
GILDAGIA
GILDESS
GILDESS 24 FE
GILDESS FE
HEATHER
INTROVALE
JENCYCLA
JOLESSA
Generic Name
L-NORGEST/E.ESTRADIOL-E.ESTRAD
L-NORGEST/E.ESTRADIOL-E.ESTRAD
DESOGESTREL-ETHINYL ESTRADIOL
NORETHINDRONE-ETHINYL ESTRAD
L-NORGEST/E.ESTRADIOL-E.ESTRAD
LEVONORGESTREL-ETHIN ESTRADIOL
LEVONORGESTREL-ETHIN ESTRADIOL
DESOG-E.ESTRADIOL/E.ESTRADIOL
NORETHINDRONE-ETHINYL ESTRAD
NORETHINDRONE-ETHINYL ESTRAD
NORETHINDRONE-ETHINYL ESTRAD
NORETHINDRONE
L-NORGEST/E.ESTRADIOL-E.ESTRAD
L-NORGEST/E.ESTRADIOL-E.ESTRAD
DIAPHRAGMS, CONTOURED
DESOGESTREL-ETHINYL ESTRADIOL
LEVONORGESTREL-ETHIN ESTRADIOL
NORGESTREL-ETHINYL ESTRADIOL
NORETHINDRONE-ETHINYL ESTRAD
DESOGESTREL-ETHINYL ESTRADIOL
NORETHINDRONE-ETHINYL ESTRAD
L-NORGEST/E.ESTRADIOL-E.ESTRAD
NORETHINDRONE
LEVONORGESTREL-ETHIN ESTRADIOL
MEDROXYPROGESTERONE ACETATE
DESOGESTREL-ETHINYL ESTRADIOL
DESOG-E.ESTRADIOL/E.ESTRADIOL
ETHINYL ESTRADIOL/DROSPIRENONE
LEVONORGESTREL
NORGESTREL-ETHINYL ESTRADIOL
ULIPRISTAL ACETATE
DESOGESTREL-ETHINYL ESTRADIOL
LEVONORGESTREL-ETHIN ESTRADIOL
DESOGESTREL-ETHINYL ESTRADIOL
NORETHINDRONE
NORGESTIMATE-ETHINYL ESTRADIOL
LEVONORGESTREL
LEVONORGESTREL-ETHIN ESTRADIOL
CERVICAL CAP
ETHINYL ESTRADIOL/DROSPIRENONE
NORETHINDRONE-ETHINYL ESTRAD
NORETHINDRONE AC-ETH ESTRADIOL
NORETHINDRONE-E.ESTRADIOL-IRON
NORETHINDRONE-E.ESTRADIOL-IRON
NORETHINDRONE
LEVONORGESTREL-ETHIN ESTRADIOL
NORETHINDRONE
LEVONORGESTREL-ETHIN ESTRADIOL
Dose
TBDSPK 3MO
TBDSPK 3MO
TABLET
TABLET
TBDSPK 3MO
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TBDSPK 3MO
TBDSPK 3MO
DIAPHRAGM
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TBDSPK 3MO
TABLET
TABLET
SYRINGE
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
EACH
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TBDSPK 3MO
TABLET
TBDSPK 3MO
PA
Step
QLL
X
X
X
Age
General Therapeutic Category
Brand Name
JOLIVETTE
JUNEL
JUNEL FE
JUNEL FE 24
KARIVA
KELNOR 1-35
KIMIDESS
KURVELO
LARIN
LARIN 24 FE
LARIN FE
LEENA
LESSINA
LEVONEST
LEVONORGESTREL
LEVONORGESTREL-ETH ESTRADIOL
Generic Name
NORETHINDRONE
NORETHINDRONE AC-ETH ESTRADIOL
NORETHINDRONE-E.ESTRADIOL-IRON
NORETHINDRONE-E.ESTRADIOL-IRON
DESOG-E.ESTRADIOL/E.ESTRADIOL
ETHYNODIOL D-ETHINYL ESTRADIOL
DESOG-E.ESTRADIOL/E.ESTRADIOL
LEVONORGESTREL-ETHIN ESTRADIOL
NORETHINDRONE AC-ETH ESTRADIOL
NORETHINDRONE-E.ESTRADIOL-IRON
NORETHINDRONE-E.ESTRADIOL-IRON
NORETHINDRONE-ETHINYL ESTRAD
LEVONORGESTREL-ETHIN ESTRADIOL
LEVONORGESTREL-ETHIN ESTRADIOL
LEVONORGESTREL
LEVONORGESTREL-ETHIN ESTRADIOL
LEVONORG-ETH ESTRAD ETH ESTRAD
LEVORA-28
LOMEDIA 24 FE
LORYNA
LOW-OGESTREL
LUTERA
LYZA
MARLISSA
MEDROXYPROGESTERONE ACETATE
L-NORGEST/E.ESTRADIOL-E.ESTRAD
LEVONORGESTREL-ETHIN ESTRADIOL
NORETHINDRONE-E.ESTRADIOL-IRON
ETHINYL ESTRADIOL/DROSPIRENONE
NORGESTREL-ETHINYL ESTRADIOL
LEVONORGESTREL-ETHIN ESTRADIOL
NORETHINDRONE
LEVONORGESTREL-ETHIN ESTRADIOL
MEDROXYPROGESTERONE ACETATE
MICROGESTIN
MICROGESTIN FE
MONO-LINYAH
MONONESSA
MY WAY
MYZILRA
NECON
NORETHINDRONE AC-ETH ESTRADIOL
NORETHINDRONE-E.ESTRADIOL-IRON
NORGESTIMATE-ETHINYL ESTRADIOL
NORGESTIMATE-ETHINYL ESTRADIOL
LEVONORGESTREL
LEVONORGESTREL-ETHIN ESTRADIOL
NORETHINDRONE-ETHINYL ESTRAD
NORETHINDRONE-MESTRANOL
ETONOGESTREL
LEVONORGESTREL
ETHINYL ESTRADIOL/DROSPIRENONE
NORETHINDRONE
NORETHINDRONE
NORETHINDRONE AC-ETH ESTRADIOL
NORGESTIMATE-ETHINYL ESTRADIOL
NORETHINDRONE-ETHINYL ESTRAD
NORETHINDRONE
NORETHINDRONE-ETHINYL ESTRAD
ETONOGESTREL/ETHINYL ESTRADIOL
ETHINYL ESTRADIOL/DROSPIRENONE
NORGESTREL-ETHINYL ESTRADIOL
NEXPLANON
NEXT CHOICE ONE DOSE
NIKKI
NORA-BE
NORETHINDRONE
NORETHINDRON-ETHINYL ESTRADIOL
NORGESTIMATE-ETHINYL ESTRADIOL
NORINYL 1+35
NORLYROC
NORTREL
NUVARING
OCELLA
OGESTREL
Dose
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TBDSPK 3MO
TBDSPK 3MO
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
SYRINGE
VIAL
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
IMPLANT
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
VAG RING
TABLET
TABLET
PA
Step
QLL
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
OPCICON ONE-STEP
ORSYTHIA
PHILITH
PIMTREA
PIRMELLA
PORTIA
PREVIFEM
QUASENSE
RECLIPSEN
SHAROBEL
SPRINTEC
SRONYX
SYEDA
TARINA FE
TILIA FE
TRI-ESTARYLLA
TRI-LEGEST FE
TRI-LINYAH
TRINESSA
TRI-PREVIFEM
TRI-SPRINTEC
TRIVORA-28
VELIVET
VESTURA
VIORELE
VYFEMLA
WERA
WIDE SEAL DIAPHRAGM
XULANE
ZARAH
ZENCHENT
ZOVIA 1-35E
ZOVIA 1-50E
ORTHO ALL-FLEX
SETLAKIN
JULEBER
NORGESTREL-ETHINY ESTRA
NEXT CHOICE
SOLIA
IMPLANON
TRI-LO-SPRINTEC
TRI-LO-ESTARYLLA
VIENVA
TRINESSA LO
TRI-LO-MARZIA
BLISOVI 24 FE
BLISOVI FE
Generic Name
LEVONORGESTREL
LEVONORGESTREL-ETHIN ESTRADIOL
NORETHINDRONE-ETHINYL ESTRAD
DESOG-E.ESTRADIOL/E.ESTRADIOL
NORETHINDRONE-ETHINYL ESTRAD
LEVONORGESTREL-ETHIN ESTRADIOL
NORGESTIMATE-ETHINYL ESTRADIOL
LEVONORGESTREL-ETHIN ESTRADIOL
DESOGESTREL-ETHINYL ESTRADIOL
NORETHINDRONE
NORGESTIMATE-ETHINYL ESTRADIOL
LEVONORGESTREL-ETHIN ESTRADIOL
ETHINYL ESTRADIOL/DROSPIRENONE
NORETHINDRONE-E.ESTRADIOL-IRON
NORETHINDRONE-E.ESTRADIOL-IRON
NORGESTIMATE-ETHINYL ESTRADIOL
NORETHINDRONE-E.ESTRADIOL-IRON
NORGESTIMATE-ETHINYL ESTRADIOL
NORGESTIMATE-ETHINYL ESTRADIOL
NORGESTIMATE-ETHINYL ESTRADIOL
NORGESTIMATE-ETHINYL ESTRADIOL
LEVONORGESTREL-ETHIN ESTRADIOL
DESOGESTREL-ETHINYL ESTRADIOL
ETHINYL ESTRADIOL/DROSPIRENONE
DESOG-E.ESTRADIOL/E.ESTRADIOL
NORETHINDRONE-ETHINYL ESTRAD
NORETHINDRONE-ETHINYL ESTRAD
DIAPHRAGMS, WIDE SEAL
NORELGESTROMIN/ETHIN.ESTRADIOL
ETHINYL ESTRADIOL/DROSPIRENONE
NORETHINDRONE-ETHINYL ESTRAD
ETHYNODIOL D-ETHINYL ESTRADIOL
ETHYNODIOL D-ETHINYL ESTRADIOL
DIAPHRAGMS, ARC-SPRING
DIAPHRAGM FITTING SET,ARCSPRNG
LEVONORGESTREL-ETHIN ESTRADIOL
DESOGESTREL-ETHINYL ESTRADIOL
NORGESTREL-ETHINYL ESTRADIOL
LEVONORGESTREL
DESOGESTREL-ETHINYL ESTRADIOL
ETONOGESTREL
NORGESTIMATE-ETHINYL ESTRADIOL
NORGESTIMATE-ETHINYL ESTRADIOL
LEVONORGESTREL-ETHIN ESTRADIOL
NORGESTIMATE-ETHINYL ESTRADIOL
NORGESTIMATE-ETHINYL ESTRADIOL
NORETHINDRONE-E.ESTRADIOL-IRON
NORETHINDRONE-E.ESTRADIOL-IRON
Dose
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TBDSPK 3MO
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
DIAPHRAGM
PATCH TDWK
TABLET
TABLET
TABLET
TABLET
KIT
EACH
TBDSPK 3MO
TABLET
TABLET
TABLET
TABLET
IMPLANT
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
PA
X
Step
QLL
Age
General Therapeutic Category
COUGH AND COLD
Brand Name
BEKYREE
NORETHIN-ETH ESTRA-FERROUS FUM
REACT
12 HOUR COLD RELIEF
12 HOUR DECONGESTANT
ACETADRYL
ACETAMINOPHEN PM
ACETAMINOPHEN PM XTRA STRENGTH
ACETAMINOPHEN-DIPHENHYDRAMINE
ADULT ROBITUSSIN PEAK COLD
ADULT TUSSIN DM
ADULT WAL-TUSSIN DM
ANTITUSSIVE DM
BENZONATATE
COUGH
COUGH CONTROL DM
Generic Name
DESOG-E.ESTRADIOL/E.ESTRADIOL
NORETHINDRONE-E.ESTRADIOL-IRON
LEVONORGESTREL
PSEUDOEPHEDRINE HCL
PSEUDOEPHEDRINE HCL
ACETAMINOPHEN/DIPHENHYDRAMINE
ACETAMINOPHEN/DIPHENHYDRAMINE
ACETAMINOPHEN/DIPHENHYDRAMINE
ACETAMINOPHEN/DIPHENHYDRAMINE
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
BENZONATATE
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
COUGH SYRUP DM
EXPECTORANT DM
EXTRA ACTION COUGH
GERI-TUSSIN DM
GUAIFENESIN-DEXTROMETHORPHAN
HEADACHE PM
HEADACHE PM FORMULA
LONG ACTING NASAL DECONGESTANT
MAPAP PM
MEDI-PHEDRINE
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
ACETAMINOPHEN/DIPHENHYDRAMINE
ACETAMINOPHEN/DIPHENHYDRAMINE
PSEUDOEPHEDRINE HCL
ACETAMINOPHEN/DIPHENHYDRAMINE
PSEUDOEPHEDRINE HCL
MEDI-TABS
MEDI-TABS PM
MEDI-TUSSIN DM
NASAL & SINUS DECONGESTANT
NASAL DECON (PSEUDOEPHEDRINE)
NASAL DECONGESTANT
ACETAMINOPHEN/DIPHENHYDRAMINE
ACETAMINOPHEN/DIPHENHYDRAMINE
GUAIFENESIN/DEXTROMETHORPHAN
PSEUDOEPHEDRINE HCL
PSEUDOEPHEDRINE HCL
PSEUDOEPHEDRINE HCL
NIGHT TIME PAIN MEDICINE
NON-ASPIRIN PM
NON-ASPIRIN PM EX-STRENGTH
NON-ASPIRIN SLEEP AID
PAIN & SLEEP
PAIN RELIEF PM
PAIN RELIEVER PM
PSEUDOEPHEDRINE ER
PSEUDOEPHEDRINE HCL
ACETAMINOPHEN/DIPHENHYDRAMINE
ACETAMINOPHEN/DIPHENHYDRAMINE
ACETAMINOPHEN/DIPHENHYDRAMINE
ACETAMINOPHEN/DIPHENHYDRAMINE
ACETAMINOPHEN/DIPHENHYDRAMINE
ACETAMINOPHEN/DIPHENHYDRAMINE
ACETAMINOPHEN/DIPHENHYDRAMINE
PSEUDOEPHEDRINE HCL
PSEUDOEPHEDRINE HCL
Q-TUSSIN DM
RI-TUSSIN DM
ROBAFEN-DM
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
Dose
TABLET
TABLET
TABLET
TABLET ER
TABLET ER
TABLET
TABLET
TABLET
TABLET
LIQUID
SYRUP
SYRUP
SYRUP
CAPSULE
SYRUP
LIQUID
SYRUP
SYRUP
SYRUP
SYRUP
SYRUP
SYRUP
TABLET
TABLET
TABLET ER
TABLET
TABLET
TABLET ER
TABLET
TABLET
SYRUP
TABLET
LIQUID
TABLET
TABLET ER
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET ER
LIQUID
TABLET
SYRUP
SYRUP
SYRUP
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
SILTUSSIN DM
SINUS & ALLERGY
SINUS 12-HOUR
SUDAFED 12-HOUR
SUDOGEST
Generic Name
GUAIFENESIN/DEXTROMETHORPHAN
PSEUDOEPHEDRINE HCL
PSEUDOEPHEDRINE HCL
PSEUDOEPHEDRINE HCL
PSEUDOEPHEDRINE HCL
SUPHEDRIN
PSEUDOEPHEDRINE HCL
SUPHEDRIN 12-HOUR
SUPHEDRINE
SUPHEDRINE 12-HOUR
SUPHEDRINE SINUS CONGESTION
TUSSIN DM
PSEUDOEPHEDRINE HCL
PSEUDOEPHEDRINE HCL
PSEUDOEPHEDRINE HCL
PSEUDOEPHEDRINE HCL
GUAIFENESIN/DEXTROMETHORPHAN
TUSSIN DM CLEAR
GUAIFENESIN/DEXTROMETHORPHAN
TUSSIN DM COUGH
TUSSIN DM COUGH & CHEST
TUSSIN DM COUGH-CHEST CONGEST
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
ULTRA TUSS
WAL-NADOL PM
WAL-PHED
WAL-PHED 12 HOUR
WAL-TUSSIN DM
ZEPHREX-D
WAL-PHED D
SUDAFED
ROBAFEN-DM CLEAR
EAZZZE THE PAIN
SINUS 12 HOUR
COUGH FORMULA DM
TYLENOL PM EXTRA STRENGTH
IOPHEN DM-NR
ROBAFEN DM COUGH-CHEST CONGEST
ROBAFEN DM COUGH
BRONCOTRON
ULTRA DM FREE & CLEAR
TUSSIN COUGH
NEO-TUSS
CHERACOL D
TUSSIN COUGH DM
TUSSIN DM MAX
TUSSIN COUGH-CHEST CONGESTION
BIOCOTRON
MEDI-TUSSIN DM DIABETIC
G-TRON
SORBUGEN NR
GUAIFENESIN/DEXTROMETHORPHAN
ACETAMINOPHEN/DIPHENHYDRAMINE
PSEUDOEPHEDRINE HCL
PSEUDOEPHEDRINE HCL
GUAIFENESIN/DEXTROMETHORPHAN
PSEUDOEPHEDRINE HCL
PSEUDOEPHEDRINE HCL
PSEUDOEPHEDRINE HCL
GUAIFENESIN/DEXTROMETHORPHAN
ACETAMINOPHEN/DIPHENHYDRAMINE
PSEUDOEPHEDRINE HCL
GUAIFENESIN/DEXTROMETHORPHAN
ACETAMINOPHEN/DIPHENHYDRAMINE
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
Dose
SYRUP
TABLET ER
TABLET ER
TABLET ER
TABLET
TABLET ER
LIQUID
TABLET
TABLET ER
TABLET
TABLET ER
TABLET
LIQUID
SYRUP
LIQUID
SYRUP
SYRUP
SYRUP
LIQUID
SYRUP
SYRUP
TABLET
TABLET
TABLET ER
SYRUP
TABLET
TABLET ER
TABLET
SYRUP
TABLET
TABLET ER
SYRUP
TABLET
LIQUID
SYRUP
LIQUID
LIQUID
LIQUID
LIQUID
LIQUID
LIQUID
LIQUID
LIQUID
LIQUID
LIQUID
LIQUID
LIQUID
LIQUID
PA
Step
QLL
Age
General Therapeutic Category
DERMATOLOGY - ANTIINFECTIVE
Brand Name
ADULT TUSSIN COUGH CONGEST DM
SAFETUSSIN DM
GUAIFENESIN DM NR
SILTUSSIN DM DAS COUGH FORMULA
DIABETIC SILTUSSIN-DM
TUSNEL DIABETIC
GUAIASORB DM
GANI-TUSS-DM NR
DIABETIC TUSSIN DM
ACYCLOVIR
ALTABAX
ANTIBIOTIC
ANTIFUNGAL CREAM
ANTI-FUNGAL CREAM
ATHLETE'S FOOT CREAM
BACITRACIN
BACITRACIN ZINC
BACITRAYCIN PLUS
BAZA ANTIFUNGAL
CICLOPIROX
Generic Name
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
GUAIFENESIN/DEXTROMETHORPHAN
ACYCLOVIR
RETAPAMULIN
BACITRACIN ZINC
NEOMYCIN SU/BACITRAC ZN/POLY
MICONAZOLE NITRATE
TOLNAFTATE
MICONAZOLE NITRATE
TOLNAFTATE
BACITRACIN
BACITRACIN ZINC
BACITRACIN
MICONAZOLE NITRATE
CICLOPIROX
CICLOPIROX OLAMINE
CLINDAMYCIN PHOSPHATE
CICLOPIROX/VITE/NAIL LACQ REMO
CLINDAMYCIN PHOSPHATE
CLOTRIMAZOLE
CLOTRIMAZOLE
CLOTRIMAZOLE-BETAMETHASONE
CLOTRIMAZOLE/BETAMETHASONE DIP
ECONAZOLE NITRATE
ERY
ERYTHROMYCIN
ECONAZOLE NITRATE
ERYTHROMYCIN BASE/ETHANOL
ERYTHROMYCIN BASE/ETHANOL
EURAX
EXODERM
FUNGOID-D
GENTAMICIN SULFATE
CROTAMITON
SODIUM THIOSULFATE/SAL ACID
TOLNAFTATE
GENTAMICIN SULFATE
INZO ANTIFUNGAL
KETOCONAZOLE
MICONAZOLE NITRATE
KETOCONAZOLE
LICE CREAM RINSE
PERMETHRIN
Dose
LIQUID
LIQUID
LIQUID
LIQUID
LIQUID
LIQUID
LIQUID
LIQUID
LIQUID
OINT. (G)
OINT. (G)
OINT. (G)
OINT. (G)
CREAM (G)
CREAM (G)
CREAM (G)
CREAM (G)
OINT. (G)
OINT. (G)
OINT. (G)
CREAM (G)
GEL (GRAM)
SOLUTION
CREAM (G)
SUSPENSION
KIT
GEL (GRAM)
LOTION
MED. SWAB
SOLUTION
CREAM (G)
SOLUTION
CREAM (G)
LOTION
CREAM (G)
MED. SWAB
GEL (GRAM)
MED. SWAB
SOLUTION
CREAM (G)
LOTION
CREAM (G)
CREAM (G)
OINT. (G)
CREAM (G)
CREAM (G)
SHAMPOO
LIQUID
PA
Step
QLL
Age
General Therapeutic Category
DERMATOLOGY - ANTIINFLAMMATORY
Brand Name
Generic Name
LICE KILLING
LICE TREATMENT
LINDANE
PERMETHRIN
PERMETHRIN
LINDANE
MALATHION
MICATIN
MICONAZOLE NITRATE
MUPIROCIN
NEOSPORIN
NYAMYC
NYSTATIN
MALATHION
MICONAZOLE NITRATE
MICONAZOLE NITRATE
MUPIROCIN
MUPIROCIN CALCIUM
NEOMYCIN SU/BACITRAC ZN/POLY
NYSTATIN
NYSTATIN
NYSTATIN-TRIAMCINOLONE
NYSTATIN/TRIAMCIN
NYSTOP
PERMETHRIN
NYSTATIN
PERMETHRIN
REMEDY ANTIFUNGAL
SECURA ANTIFUNGAL
SILVER SULFADIAZINE
SPINOSAD
SSD
TOLNAFTATE
TRIPLE ANTIBIOTIC
MICONAZOLE NITRATE
MICONAZOLE NITRATE
SILVER SULFADIAZINE
SPINOSAD
SILVER SULFADIAZINE
TOLNAFTATE
NEOMYCIN SU/BACITRAC ZN/POLY
TRIPLE ANTIBIOTIC PLUS
TRIPLE DYE
VEREGEN
LAMISIL AF DEFENSE
MIRANEL AF
CLINDA-DERM
PEDI-DRI
ATHLETE'S FOOT
SSD AF
MAFENIDE ACETATE
FUNGI-GUARD
MICADERM
VERSICLEAR
FIRST AID ANTIBIOTIC
ALA-CORT
ALA-SCALP
ALCLOMETASONE DIPROPIONATE
NEOMYCN/BACI ZN/PMYX BS/PRAMOX
GENTIAN VIOL/BRLNT GRN/PROFLAV
SINECATECHINS
TOLNAFTATE
MICONAZOLE NITRATE
CLINDAMYCIN PHOSPHATE
NYSTATIN
TOLNAFTATE
SILVER SULFADIAZINE
MAFENIDE ACETATE
TOLNAFTATE
MICONAZOLE NITRATE
SODIUM THIOSULFATE/SAL ACID
NEOMYCIN SU/BACITRAC ZN/POLY
HYDROCORTISONE
HYDROCORTISONE
ALCLOMETASONE DIPROPIONATE
AMCINONIDE
AMCINONIDE
Dose
LIQUID
LIQUID
LOTION
SHAMPOO
LOTION
CREAM (G)
CREAM (G)
OINT. (G)
CREAM (G)
OINT. (G)
POWDER
CREAM (G)
OINT. (G)
POWDER
CREAM (G)
OINT. (G)
POWDER
CREAM (G)
LIQUID
CREAM(ML)
CREAM (G)
CREAM (G)
SUSPENSION
CREAM (G)
CREAM (G)
OINT PACK
OINT. (G)
OINT. (G)
MED. SWAB
OINT. (G)
CREAM (G)
CREAM (G)
SOLUTION
POWDER
CREAM (G)
CREAM (G)
PACKET
CREAM (G)
CREAM (G)
LOTION
OINT. (G)
CREAM (G)
LOTION
CREAM (G)
OINT. (G)
CREAM (G)
LOTION
OINT. (G)
PA
Step
QLL
X
Age
General Therapeutic Category
Brand Name
ANTI-ITCH
BETAMETHASONE DIPROPIONATE
Generic Name
HYDROCORTISONE
BETAMETHASONE DIPROPIONATE
BETAMETHASONE/PROPYLENE GLYC
BETAMETHASONE VALERATE
BETAMETHASONE VALERATE
CAPEX SHAMPOO
CLOBETASOL EMOLLIENT
FLUOCINOLONE ACETONIDE
CLOBETASOL PROPIONATE/EMOLL
CLOBETASOL PROPIONATE
CLOBETASOL PROPIONATE
CLOCORTOLONE PIVALATE
CORDRAN
CLOCORTOLONE PIVALATE
FLURANDRENOLIDE
CORMAX
CLOBETASOL PROPIONATE
CORTAID
CORTISONE
CORTISPORIN
CORTIZONE-10
CORTIZONE-10 PLUS
DESONATE
DESONIDE
HYDROCORTISONE
HYDROCORTISONE
NEOMYCIN/BACITRA/POLYMYXIN/HC
NEOMYCIN/POLYMYXIN B SULF/HC
HYDROCORTISONE
HYDROCORTISONE
DESONIDE
DESONIDE
DESOXIMETASONE
DESOXIMETASONE
DICLOFENAC SODIUM
DIFLORASONE DIACETATE
DICLOFENAC SODIUM
DIFLORASONE DIACETATE
ECZEMA ANTI-ITCH
FLUOCINOLONE ACETONIDE
HYDROCORTISONE
FLUOCINOLONE ACETONIDE
Dose
CREAM (G)
CREAM (G)
GEL (GRAM)
LOTION
OINT. (G)
CREAM (G)
LOTION
OINT. (G)
CREAM (G)
LOTION
OINT. (G)
SHAMPOO
CREAM (G)
FOAM
CREAM (G)
FOAM
GEL (GRAM)
LOTION
OINT. (G)
SHAMPOO
SOLUTION
SPRAY
CREAM (G)
LOTION
MED. TAPE
OINT. (G)
OINT. (G)
SOLUTION
CREAM (G)
CREAM (G)
OINT. (G)
CREAM (G)
CREAM (G)
CREAM (G)
GEL (GRAM)
CREAM (G)
LOTION
OINT. (G)
CREAM (G)
GEL (GRAM)
OINT. (G)
GEL (GRAM)
CREAM (G)
OINT. (G)
CREAM (G)
CREAM (G)
OINT. (G)
SOLUTION
PA
Step
X
QLL
Age
General Therapeutic Category
Brand Name
Generic Name
FLUOCINONIDE
FLUOCINONIDE
FLUOCINONIDE-E
FLUTICASONE PROPIONATE
FLUOCINONIDE/EMOLLIENT BASE
FLUTICASONE PROPIONATE
HALOBETASOL PROPIONATE
HALOBETASOL PROPIONATE
HALOG
HALCINONIDE
HYDROCORTISONE
HC/MINERAL OIL/PETROLAT,WHT
HYDROCORTISONE
HYDROCORTISONE BUTYRATE
HYDROCORTISONE BUTYRATE
HYDROCORTISONE VALERATE
HYDROCORTISONE BUTYRATE/EMOLL
HYDROCORTISONE VALERATE
HYDROCREAM
HYDROSKIN
LOCOID
MOMETASONE FUROATE
HYDROCORTISONE
HYDROCORTISONE
HYDROCORTISONE BUTYRATE
MOMETASONE FUROATE
NEOSPORIN
NOBLE FORMULA HC
PANDEL
PREDNICARBATE
HYDROCORTISONE
HYDROCORTISONE
HYDROCORTISONE PROBUTATE
PREDNICARBATE
PREPARATION H
RECORT PLUS
SOOTHING CARE
TEXACORT
TRIAMCINOLONE ACETONIDE
HYDROCORTISONE
HYDROCORTISONE
HYDROCORTISONE
HYDROCORTISONE
TRIAMCINOLONE ACETONIDE
TRIANEX
TRIDERM
U-CORT
VERDESO
FLUOCINONIDE EMOLLIENT
DESOWEN
TRIAMCINOLONE ACETONIDE
TRIAMCINOLONE ACETONIDE
HYDROCORTISONE ACETATE/UREA
DESONIDE
FLUOCINONIDE/EMOLLIENT BASE
DESONIDE
DESONIDE/EMOLLIENT COMBO.NO 28
Dose
CREAM (G)
GEL (GRAM)
OINT. (G)
SOLUTION
CREAM (G)
CREAM (G)
LOTION
OINT. (G)
CREAM (G)
OINT. (G)
CREAM (G)
OINT. (G)
OINT. (G)
CREAM (G)
LOTION
OINT. (G)
CREAM (G)
OINT. (G)
SOLUTION
CREAM (G)
CREAM (G)
OINT. (G)
CREAM (G)
CREAM (G)
LOTION
CREAM (G)
OINT. (G)
SOLUTION
CREAM (G)
CREAM (G)
CREAM (G)
CREAM (G)
OINT. (G)
CREAM (G)
CREAM (G)
CREAM (G)
SOLUTION
AEROSOL
CREAM (G)
LOTION
OINT. (G)
OINT. (G)
CREAM (G)
CREAM (G)
FOAM
CREAM (G)
OINT. (G)
KT LOTN CE
PA
Step
QLL
Age
General Therapeutic Category
DERMATOLOGY - MISCELLANEOUS
DERMATOLOGY - PSORIASIS/ECZEMA
Brand Name
Generic Name
DESONIDE/EMOLLIENT COMBO.NO 30
HYDROCORTISONE PLUS 12
HYDROCORTISONE PLUS
HYDROCORTISONE ACETATE
FIRST-HYDROCORTISONE
AMMONIUM LACTATE
ANACAINE
ANALPRAM HC
CAPSAICIN
CAPZASIN-P
CETACAINE ANESTHETIC
COCAINE HCL
EPIFOAM
FLUOROPLEX
FLUOROURACIL
HYDROCORTISONE
HYDROCORTISONE
HYDROCORTISONE ACETATE/ALOE V
HYDROCORTISONE
AMMONIUM LACTATE
BENZOCAINE
HYDROCORTISONE/PRAMOXINE
CAPSAICIN
CAPSAICIN
TETRACAINE/BENZOCAINE/BUTAMBEN
COCAINE HCL
HYDROCORTISONE/PRAMOXINE
FLUOROURACIL
FLUOROURACIL
GERI-HYDROLAC
LIDOCAINE-HYDROCORTISONE
LIDOCAINE-PRILOCAINE
AMMONIUM LACTATE
LIDOCAINE/HYDROCORTISONE AC
LIDOCAINE/PRILOCAINE
PAIN EASE
PANRETIN
PRAMOSONE
NORFLURANE/PENTAFLUOROPROPANE
ALITRETINOIN
HYDROCORTISONE/PRAMOXINE
SPRAY AND STRETCH
SYNERA
TARGRETIN
NORFLURANE/PENTAFLUOROPROPANE
LIDOCAINE/TETRACAINE
BEXAROTENE
TRIXAICIN
VALCHLOR
ZINC OXIDE
ZOSTRIX
AMLACTIN
AMERICAINE
8-MOP
ACITRETIN
CALCIPOTRIENE
CAPSAICIN
MECHLORETHAMINE HCL
ZINC OXIDE
CAPSAICIN
AMMONIUM LACTATE
BENZOCAINE
METHOXSALEN
ACITRETIN
CALCIPOTRIENE
CALCITRENE
DRITHOCREME HP
METHOXSALEN
TAZORAC
CALCIPOTRIENE
ANTHRALIN
METHOXSALEN, RAPID
TAZAROTENE
DRITHO-SCALP
AMEVIVE
TALTZ AUTOINJECTOR
ANTHRALIN
ALEFACEPT
IXEKIZUMAB
Dose
KT CRM LE
KT OINT LE
CREAM (G)
CREAM (G)
GEL (GRAM)
GEL (GRAM)
CREAM (G)
OINT. (G)
LOTION
CREAM (G)
CREAM (G)
LIQUID
SOLUTION
FOAM
CREAM (G)
CREAM (G)
SOLUTION
CREAM (G)
CREAM (G)
CREAM (G)
KIT
SPRAY
GEL (GRAM)
LOTION
OINT. (G)
SPRAY
M.HT PATCH
GEL (GRAM)
CREAM (G)
GEL (GRAM)
OINT. (G)
CREAM (G)
CREAM (G)
LUBRICANT
CAPSULE
CAPSULE
CREAM (G)
OINT. (G)
SOLUTION
OINT. (G)
CREAM (G)
CAPSULE
CREAM (G)
GEL (GRAM)
CREAM/APPL
VIAL
AUTO INJCT
PA
X
X
X
X
X
X
Step
QLL
Age
General Therapeutic Category
DIABETES
Brand Name
TALTZ AUTOINJECTOR (3 PACK)
TALTZ AUTOINJECTOR (2 PACK)
TALTZ SYRINGE
TALTZ SYRINGE (3 PACK)
TALTZ SYRINGE (2 PACK)
ACARBOSE
ACCU-CHEK
ACCU-CHEK FASTCLIX
ACCU-CHEK SOFTCLIX
ACTOPLUS MET XR
ADJUSTABLE LANCING DEVICE
ADVANCED LANCING DEVICE
ADVOCATE RAPID-SAFE
ALTERNATE SITE LANCING DEVICE
APIDRA
APIDRA SOLOSTAR
AQUA LANCE LANCING DEVICE
AUTOJECT 2
AUTO-LANCET MINI
AUTOLET IMPRESSION
AUTOLET LANCING DEVICE
AUTOPEN
CAREONE
CHLORPROPAMIDE
DEX4 GLUCOSE
DROPLET LANCING DEVICE
EASY CLICK
EASY TOUCH
EASY TOUCH LANCING DEVICE
FORA LANCING DEVICE
FREESTYLE FREEDOM LITE
FREESTYLE INSULINX
FREESTYLE INSULINX TEST STRIPS
FREESTYLE LITE METER
FREESTYLE LITE STRIPS
FREESTYLE TEST STRIPS
GLIMEPIRIDE
GLIPIZIDE
GLIPIZIDE ER
GLIPIZIDE XL
GLIPIZIDE-METFORMIN
GLUCAGON EMERGENCY KIT
GLUCO BURST
GLUCOLET 2
Generic Name
IXEKIZUMAB
IXEKIZUMAB
IXEKIZUMAB
IXEKIZUMAB
IXEKIZUMAB
ACARBOSE
LANCING DEVICE/LANCETS
BLOOD-GLUCOSE CALIB. CONTROL
BLOOD GLUCOSE CONTROL HIGH&LOW
LANCING DEVICE/LANCETS
LANCING DEVICE/LANCETS
PIOGLITAZONE HCL/METFORMIN HCL
LANCING DEVICE
LANCING DEVICE/LANCETS
LANCING DEVICE
LANCING DEVICE
INSULIN GLULISINE
INSULIN GLULISINE
LANCING DEVICE
INSULIN ADMIN. SUPPLIES
LANCING DEVICE
LANCING DEVICE/LANCETS
LANCING DEVICE
INSULIN ADMIN. SUPPLIES
LANCING DEVICE
CHLORPROPAMIDE
DEXTROSE
LANCING DEVICE
LANCING DEVICE
BLOOD GLUCOSE CONTROL HIGH&LOW
LANCING DEVICE
LANCING DEVICE
BLOOD-GLUCOSE METER
BLOOD SUGAR DIAGNOSTIC
BLOOD-GLUCOSE METER
BLOOD SUGAR DIAGNOSTIC
BLOOD-GLUCOSE METER
BLOOD SUGAR DIAGNOSTIC
BLOOD SUGAR DIAGNOSTIC
GLIMEPIRIDE
GLIPIZIDE
GLIPIZIDE
GLIPIZIDE
GLIPIZIDE/METFORMIN HCL
GLUCAGON,HUMAN RECOMBINANT
DEXTROSE
LANCING DEVICE
LANCING DEVICE/LANCETS
Dose
AUTO INJCT
AUTO INJCT
SYRINGE
SYRINGE
SYRINGE
TABLET
KIT
COMBO. PKG
EACH
KIT
KIT
TBMP 24HR
EACH
KIT
EACH
EACH
VIAL
INSULN PEN
EACH
INSULN PEN
EACH
KIT
EACH
INSULN PEN
EACH
TABLET
GEL (GRAM)
EACH
EACH
EACH
EACH
EACH
KIT
STRIP
EACH
STRIP
KIT
STRIP
STRIP
TABLET
TABLET
TAB ER 24
TAB ER 24
TABLET
KIT
GEL (GRAM)
EACH
KIT
PA
Step
QLL
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
GLUCOSE GEL
GLUCOSOURCE
GLUTOSE 15
GLUTOSE 45
GLYBURIDE
GLYBURIDE MICRONIZED
GLYBURIDE-METFORMIN HCL
GMATE LANCING DEVICE
HEALTHY ACCENTS AUTOLET
HUMALOG
Generic Name
DEXTROSE
LANCING DEVICE
DEXTROSE
DEXTROSE
GLYBURIDE
GLYBURIDE,MICRONIZED
GLYBURIDE/METFORMIN HCL
LANCING DEVICE
LANCING DEVICE
INSULIN LISPRO
HUMALOG MIX 50-50
HUMALOG MIX 50-50 KWIKPEN
HUMALOG MIX 75-25
HUMALOG MIX 75-25 KWIKPEN
HUMAPEN LUXURA HD
HUMULIN 70/30 KWIKPEN
HUMULIN 70-30
INSULIN LISPRO PROTAMIN/LISPRO
INSULIN LISPRO PROTAMIN/LISPRO
INSULIN LISPRO PROTAMIN/LISPRO
INSULIN LISPRO PROTAMIN/LISPRO
INSULIN ADMIN. SUPPLIES
INSULIN NPH HUM/REG INSULIN HM
INSULIN NPH HUM/REG INSULIN HM
HUMULIN N
INSULIN NPH HUMAN ISOPHANE
HUMULIN N KWIKPEN
HUMULIN R
HUMULIN R U-500
HYPOLANCE
INCONTROL LANCING DEVICE
INSTA-GLUCOSE
JANUMET
JANUMET XR
JANUVIA
KOMBIGLYZE XR
KORLYM
LANCET DEVICE
LANCING DEVICE
LANCING SYSTEM
LANTUS
LANTUS SOLOSTAR
LEVEMIR
LEVEMIR FLEXTOUCH
LITE TOUCH
METFORMIN HCL
METFORMIN HCL ER
INSULIN NPH HUMAN ISOPHANE
INSULIN REGULAR, HUMAN
INSULIN REGULAR, HUMAN
LANCING DEVICE/LANCETS
LANCING DEVICE
DEXTROSE/DEXTRIN/MALTOSE
SITAGLIPTIN PHOS/METFORMIN HCL
SITAGLIPTIN PHOS/METFORMIN HCL
SITAGLIPTIN PHOSPHATE
SAXAGLIPTIN HCL/METFORMIN HCL
MIFEPRISTONE
LANCING DEVICE
LANCING DEVICE
LANCING DEVICE/LANCETS
LANCING DEVICE
INSULIN GLARGINE,HUM.REC.ANLOG
INSULIN GLARGINE,HUM.REC.ANLOG
INSULIN DETEMIR
INSULIN DETEMIR
LANCING DEVICE
METFORMIN HCL
METFORMIN HCL
MICROLET 2
MINI LANCING DEVICE
NATEGLINIDE
NOVOLIN 70-30
LANCING DEVICE/LANCETS
LANCING DEVICE
NATEGLINIDE
INSULIN NPH HUM/REG INSULIN HM
Dose
GEL (GRAM)
EACH
GEL (GRAM)
GEL (GRAM)
TABLET
TABLET
TABLET
EACH
EACH
CARTRIDGE
VIAL
VIAL
INSULN PEN
VIAL
INSULN PEN
INSULN PEN
INSULN PEN
INSULN PEN
VIAL
INSULN PEN
VIAL
INSULN PEN
VIAL
VIAL
KIT
EACH
GEL (GRAM)
TABLET
TBMP 24HR
TABLET
TBMP 24HR
TABLET
EACH
EACH
KIT
EACH
VIAL
INSULN PEN
VIAL
INSULN PEN
EACH
TABLET
TAB ER 24
TAB ER 24H
KIT
EACH
TABLET
VIAL
PA
Step
X
QLL
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
NOVOLIN N
NOVOLIN R
NOVOLOG
NOVOLOG FLEXPEN
NOVOLOG MIX 70-30
NOVOLOG MIX 70-30 FLEXPEN
NOVOPEN ECHO
ON CALL LANCING DEVICE
ON CALL PLUS LANCING DEVICE
ONETOUCH DELICA
ONETOUCH SURESOFT
PENLET PLUS BLOOD SAMPLER
PIOGLITAZONE HCL
PIOGLITAZONE-GLIMEPIRIDE
PIOGLITAZONE-METFORMIN
PRECISION XTRA
PRODIGY LANCING DEVICE
PROGLYCEM
RELIAMED MINI LANCING DEVICE
REPAGLINIDE
RIGHTEST GD500
SMARTDIABETES VANTAGE
SOFTCLIX
SOLUS V2 LANCING DEVICE
SURE COMFORT LANCING PEN
SUREFLEX
SURE-PEN
SYMLINPEN 120
SYMLINPEN 60
TANZEUM
TOLAZAMIDE
TOLBUTAMIDE
TRADJENTA
TRUEDRAW
ULTI-LANCE
UNISTIK 2
UNISTIK 2 EXTRA
UNISTIK 2 NORMAL
UNISTIK 3
UNISTIK 3 COMFORT
UNISTIK 3 NEONATAL
VICTOZA 2-PAK
VICTOZA 3-PAK
HUMALOG KWIKPEN U-200
Generic Name
INSULIN NPH HUMAN ISOPHANE
INSULIN REGULAR, HUMAN
INSULIN ASPART
INSULIN ASPART
INSULIN ASPART PROTAM & ASPART
INSULIN ASPART PROTAM & ASPART
INSULIN ADMIN. SUPPLIES
LANCING DEVICE
LANCING DEVICE
LANCING DEVICE/LANCETS
LANCING DEVICE/LANCETS
LANCING DEVICE/LANCETS
PIOGLITAZONE HCL
PIOGLITAZONE HCL/GLIMEPIRIDE
PIOGLITAZONE HCL/METFORMIN HCL
BLOOD SUGAR DIAGNOSTIC
BLOOD-GLUCOSE METER
LANCING DEVICE
DIAZOXIDE
LANCING DEVICE
REPAGLINIDE
LANCING DEVICE
LANCING DEVICE
LANCING DEVICE
LANCING DEVICE/LANCETS
LANCING DEVICE
LANCING DEVICE
LANCING DEVICE/LANCETS
LANCING DEVICE
PRAMLINTIDE ACETATE
PRAMLINTIDE ACETATE
ALBIGLUTIDE
TOLAZAMIDE
TOLBUTAMIDE
LINAGLIPTIN
LANCING DEVICE
LANCING DEVICE
LANCING DEVICE/LANCETS
LANCING DEVICE/LANCETS
LANCING DEVICE/LANCETS
LANCING DEVICE/LANCETS
LANCING DEVICE/LANCETS
LANCING DEVICE/LANCETS
LANCING DEVICE/LANCETS
LIRAGLUTIDE
LIRAGLUTIDE
INSULIN LISPRO
Dose
VIAL
VIAL
CARTRIDGE
VIAL
INSULN PEN
VIAL
INSULN PEN
INSULN PEN
EACH
EACH
KIT
KIT
KIT
TABLET
TABLET
TABLET
STRIP
EACH
EACH
ORAL SUSP
EACH
TABLET
EACH
EACH
EACH
KIT
EACH
EACH
KIT
EACH
PEN INJCTR
PEN INJCTR
PEN INJCTR
TABLET
TABLET
TABLET
EACH
EACH
KIT
KIT
KIT
KIT
KIT
KIT
KIT
PEN INJCTR
PEN INJCTR
INSULN PEN
PA
Step
QLL
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
HUMALOG KWIKPEN U-100
LEVEMIR FLEXPEN
BREEZE 2
CONTOUR
CONTOUR NEXT CONTROL SOLUTION
AUTOLET MINI
AUTOLET LITE CLINISAFE
UNISTIK
AUTOLET MKII CLINISAFE
ADVANCE INTUITION
ASSURE DOSE
ASSURE PRISM
GLUCOCARD SHINE
ASSURE 4
GLUCOCARD EXPRESSION
MULTI-LANCET DEVICE
GLUCOCARD 01 CONTROL
GLUCOCARD X-METER CONTROL
EVENCARE G2
EVENCARE
EVENCARE G3
CONTROL SOLUTION
INFINITY CONTROL SOLUTION
ACURA CONTROL SOLUTION NORMAL
ACURA CONTROL SOLUTION
ACURA CONTROL SOLUTION LOW
EASYGLUCO PLUS CONTROL NORMAL
PRODIGY CONTROL SOLUTION
HEALTHPRO GLUCOSE CONTROL SOLN
ECLIPSE
ECLIPSE CONTROL SOLUTION
ENVISION
EVOLUTION CONTROL SOLUTION
ELEMENT CONTROL SOLUTION
Generic Name
INSULIN LISPRO
INSULIN DETEMIR
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
LANCING DEVICE/LANCETS
LANCING DEVICE
LANCING DEVICE/LANCETS
LANCING DEVICE
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD GLUCOSE CNTL HI & NORMAL
BLOOD GLUCOSE CNTL HI & NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CALIB. CONTROL
BLOOD-GLUCOSE CONTROL, NORMAL
LANCING DEVICE
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD GLUCOSE CNTL HI & NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD GLUCOSE CONTROL HIGH&LOW
BLOOD GLUCOSE CONTROL HIGH&LOW
BLOOD GLUCOSE CONTROL HIGH&LOW
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD GLUCOSE CONTROL HIGH&LOW
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
Dose
INSULN PEN
INSULN PEN
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
KIT
EACH
KIT
EACH
EACH
EACH
EACH
EACH
EACH
COMBO. PKG
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
PA
X
X
Step
QLL
X
X
Age
General Therapeutic Category
Brand Name
XPRES
ELEMENT PLUS CONTROL SOLUTION
ELEMENT COMPACT CONTROL SOLN
GLUCOLAB CONTROL
SMARTEST
GLUCOCOM CONTROL SOLUTION
GLUCOSE CONTROL SOLUTION
GLUCOSE CONTROL
BLOOD-GLUCOSE CONTROL
RIGHTEST CONTROL SOLUTION
RIGHTEST GC250S CONTROL SOLN
GE100 CONTROL SOLUTION NORMAL
NOVA MAX GLUCOSE CONTROL SOLN
NOVAMAX PLUS GLU-KET
WAVESENSE CONTROL SOLUTION
AGAMATRIX CONTROL
LIBERTY CONTROL SOLUTION
ULTRATRAK
ULTRATRAK ULTIMATE
SOLUS V2 CONTROL SOLUTION
CARESENS
FORA CONTROL SOLUTION
TRUE METRIX
REFUAH PLUS GLUCOSE CONTROL
RENEW ADVANCED LANCING SYSTEM
SMS GLUCOSE CONTROL
SURECHEK GLUCOSE CONTROL
SURE EDGE GLUCOSE CONTROL SOLN
VOCALPOINT GLUCOSE CONTROL
VOCAL POINT GLUCOSE CONTROL
Generic Name
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE & KETONE CTL NML
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD GLUCOSE CNTL HI & NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD GLUCOSE CONTROL HIGH&LOW
BLOOD GLUCOSE CONTROL HIGH&LOW
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD GLUCOSE CNTL HI & NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, HIGH
LANCING DEVICE/LANCETS
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
Dose
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
KIT
EACH
EACH
EACH
EACH
EACH
EACH
EACH
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
EASYMAX
EASYMAX 15
FORTISCARE
TD GOLD LEVEL 1 CONTROL SOL
TD GOLD LEVEL 2 CONTROL SOL
TD GOLD LEVEL 3 CONTROL SOL
MYGLUCOHEALTH CONTROL SOLUTION
MICRODOT
METER-CHECK
EZ SMART
ONETOUCH ULTRA CONTROL SOLN
ONE TOUCH DELICA
ONE TOUCH VERIO
ONE TOUCH GLUCOSE CONTROL SOLN
ONETOUCH VERIO
SURESTEP CONTROL SOLUTION
SURESTEP PRO
TRUETRACK
TRUECONTROL
TRUETEST GLUCOSE CONTROL
LIBERTY LEV 1 GLUCOSE CONTROL
LIBERTY LEV 2 GLUCOSE CONTROL
MEDISENSE GLUCOSE KETONE
MEDISENSE GLUCOSE KETONE CONTR
MEDISENSE
2TEK
TELCARE CONTROL SOLUTION
SURE-TEST EASYPLUS MINI
ACCUTREND GLUCOSE
ACCU-CHEK COMPACT BLUE CONTROL
Generic Name
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD GLUCOSE CTL HIGH,NML&LOW
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD GLUCOSE CONTROL HIGH&LOW
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
LANCING DEVICE/LANCETS
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD GLUCOSE CONTROL HIGH&LOW
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CALIB. CONTROL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CALIB. CONTROL
BLOOD GLUCOSE CNTL HI & NORMAL
BLOOD GLUCOSE CONTROL HIGH&LOW
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD GLUCOSE CONTROL HIGH&LOW
BLOOD GLUCOSE CNTL HI & NORMAL
Dose
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
KIT
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
COMBO. PKG
EACH
EACH
COMBO. PKG
EACH
EACH
EACH
EACH
EACH
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
ACCU-CHEK COMPACT PLUS CONTROL
ACCU-CHEK SMARTVIEW
REPAGLINIDE-METFORMIN HCL
ON CALL PLUS CONTROL
OPTUMRX
ON CALL VIVID CONTROL
ON CALL EXPRESS CONTROL SOLN
GMATE CONTROL SOLUTION
CHOICEDM CLARUS CONTROL SOLN
BLOOD GLUCOSE CONTROL
EASY STEP
EASY TRAK
EASY TALK
EASY PLUS II
UNISTRIP
DIATRUE
MEDISENSE CONTROL
PRECISION GLUCOSE CONTROL
PRECISION
EMBRACE
EMBRACE GLUCOSE CONTROL SOLN
VICTORY
EMBRACE EVO
EMBRACE PRO
ADVOCATE CONTROL SOLUTION
ADVOCATE LANCING DEVICE
ADVOCATE REDI-CODE+ CTRL SOLN
CLEVER CHOICE CONTROL SOLUTION
FORACARE GDH
FREESTYLE CONTROL SOLUTION
Generic Name
BLOOD GLUCOSE CONTROL HIGH&LOW
BLOOD-GLUCOSE CONTROL, NORMAL
REPAGLINIDE/METFORMIN HCL
BLOOD GLUCOSE CNTL HI & NORMAL
BLOOD GLUCOSE CNTL HI & NORMAL
BLOOD GLUCOSE CNTL HI & NORMAL
BLOOD GLUCOSE CTL HIGH,NML&LOW
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD GLUCOSE CNTL HI & NORMAL
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CALIB. CONTROL
BLOOD-GLUCOSE CALIB. CONTROL
BLOOD-GLUCOSE CALIB. CONTROL
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, LOW
BLOOD GLUCOSE CONTROL HIGH&LOW
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD GLUCOSE CNTL HI & NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
LANCING DEVICE
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, LOW
BLOOD-GLUCOSE CONTROL, HIGH
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD GLUCOSE CONTROL HIGH&LOW
Dose
EACH
EACH
TABLET
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
COMBO. PKG
COMBO. PKG
COMBO. PKG
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
PA
Step
X
QLL
Age
General Therapeutic Category
EAR - GENERAL DISORDERS
ELECTROLYTE REGULATION
Brand Name
HUMULIN R U-500 KWIKPEN
AUTOLET PLUS
COOL CONTROL SOLUTION
GLUCOSE
MIGLITOL
EVENCARE MINI GLUCOSE CONTROL
ACETASOL HC
ACETIC ACID
ACETIC ACID-ALUMINUM
AURO
CARBAMOXIDE
CIPRO HC
CIPRODEX
CIPROFLOXACIN HCL
DEBROX
EAR DROPS
EAR SYSTEM
EAR WAX REMOVAL
EARWAX TREATMENT
HYDROCORTISONE-ACETIC ACID
MURINE EAR WAX REMOVAL SYSTEM
NEOMYCIN-POLYMYXIN-HC
NEOMYCIN-POLYMYXIN-HYDROCORT
OFLOXACIN
AURODEX
CRESYLATE
AURAPHENE-B
OTOMAX-HC
EXOTIC-HC
TREAGAN OTIC
ANTIPYRINE-BENZOCAINE
ZINOTIC
AUROGUARD
PRAMOXINE-HC
PINNACAINE
OTICIN
MURINE EAR DROPS
CALCIUM ACETATE
Generic Name
INSULIN REGULAR, HUMAN
LANCING DEVICE
BLOOD-GLUCOSE CONTROL, NORMAL
BLOOD-GLUCOSE CONTROL, HIGH
DEXTROSE
MIGLITOL
BLOOD-GLUCOSE CONTROL, NORMAL
ACETIC ACID/HYDROCORTISONE
ACETIC ACID
ACETIC ACID/ALUMINUM ACETATE
CARBAMIDE PEROXIDE
CARBAMIDE PEROXIDE
CIPROFLOXACIN/HYDROCORTISONE
CIPROFLOXACIN HCL/DEXAMETH
CIPROFLOXACIN HCL
CARBAMIDE PEROXIDE
CARBAMIDE PEROXIDE
CARBAMIDE PEROXIDE
CARBAMIDE PEROXIDE
CARBAMIDE PEROXIDE
ACETIC ACID/HYDROCORTISONE
CARBAMIDE PEROXIDE
NEOMYCIN/POLYMYXIN B SULF/HC
NEOMYCIN/POLYMYXIN B SULF/HC
OFLOXACIN
ANTIPYRINE/BENZOCAINE
CRESYL ACETATE
CARBAMIDE PEROXIDE
HC/PRAMOXINE HCL/CHLOROXYLENOL
HC/PRAMOXINE HCL/CHLOROXYLENOL
AA/ANTIPYRN/BCAINE/POLICO#1/AL
ANTIPYRINE/BENZOCAINE
CHLOROXYLENOL/GLYC/PRAMOX/ZINC
ANTIPYRINE/BENZOCAINE
HC/PRAMOXINE HCL/CHLOROXYLENOL
BENZOCAINE
CHLOROXYLENOL/PRAMOXINE HCL
CARBAMIDE PEROXIDE
CALCIUM ACETATE
EFFER-K
ELIPHOS
FOSRENOL
POTASSIUM BICARBONATE/CIT AC
CALCIUM ACETATE
LANTHANUM CARBONATE
K EFFERVESCENT
KIONEX
POTASSIUM BICARBONATE/CIT AC
SODIUM POLYSTYRENE SULFONATE
KLOR-CON
POTASSIUM CHLORIDE
Dose
INSULN PEN
EACH
EACH
EACH
TAB CHEW
TABLET
EACH
DROPS
SOLUTION
DROPS
DROPS
DROPS
DROPS SUSP
DROPS SUSP
DROPERETTE
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS SUSP
SOLUTION
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
CAPSULE
TABLET
TABLET EFF
TABLET
POWD PACK
TAB CHEW
TABLET EFF
ORAL SUSP
POWDER
PACKET
PA
Step
X
QLL
X
X
X
Age
General Therapeutic Category
ENDOCRINE DISORDER - OTHER
Brand Name
KLOR-CON M10
KLOR-CON M15
KLOR-CON M20
KLOR-CON SPRINKLE
ORALYTE
PEDIATRIC ELECTROLYTE
PEDIATRIC FREEZER POPS
POTASSIUM BICARBONATE
POTASSIUM CHLORIDE
Generic Name
POTASSIUM CHLORIDE
POTASSIUM CHLORIDE
POTASSIUM CHLORIDE
POTASSIUM CHLORIDE
ELECTROLYTES
ELECTROLYTES
ELECTROLYTES
POTASSIUM BICARBONATE/CIT AC
POT CHLORIDE/POT BICARB/CIT AC
POTASSIUM CHLORIDE
RENAGEL
SODIUM POLYSTYRENE SULFONATE
SEVELAMER HCL
SODIUM POLYSTYRENE SULFONATE
SPS
VELPHORO
KAOCHLOR-EFF
ENFALYTE
SEVELAMER CARBONATE
EPIKLOR
VELTASSA
ALENDRONATE SODIUM
SODIUM POLYSTYRENE SULFONATE
SUCROFERRIC OXYHYDROXIDE
POTASSIUM CHLORIDE/POT BICARB
ELECTROLYTES
SEVELAMER CARBONATE
POTASSIUM CHLORIDE
PATIROMER CALCIUM SORBITEX
ALENDRONATE SODIUM
CABERGOLINE
CALCITONIN-SALMON
DANAZOL
DESMOPRESSIN ACETATE
CABERGOLINE
CALCITONIN,SALMON,SYNTHETIC
DANAZOL
DESMOPRESSIN (NONREFRIGERATED)
DESMOPRESSIN ACETATE
ETIDRONATE DISODIUM
FORTEO
GENOTROPIN
ETIDRONATE DISODIUM
TERIPARATIDE
SOMATROPIN
H.P. ACTHAR
HUMATROPE
CORTICOTROPIN
SOMATROPIN
INCRELEX
LEUPROLIDE ACETATE
MECASERMIN
LEUPROLIDE ACETATE
LUPRON DEPOT
LUPRON DEPOT-PED
LEUPROLIDE ACETATE
LEUPROLIDE ACETATE
Dose
TAB ER PRT
TAB ER PRT
TAB ER PRT
CAPSULE ER
SOLUTION
SOLUTION
SOLUTION
TABLET EFF
TABLET EFF
CAPSULE ER
LIQUID
PACKET
TAB ER PRT
TABLET ER
TABLET
ENEMA
ORAL SUSP
POWDER
ORAL SUSP
TAB CHEW
TABLET EFF
SOLUTION
TABLET
PACKET
POWD PACK
SOLUTION
TABLET
TABLET
SPRAY/PUMP
CAPSULE
SPRAY/PUMP
AMPUL
SOLUTION
SPRAY/PUMP
TABLET
VIAL
TABLET
PEN INJCTR
CARTRIDGE
SYRINGE
VIAL
CARTRIDGE
VIAL
VIAL
KIT
VIAL
SYRINGEKIT
KIT
PA
Step
QLL
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
ENDOCRINE DISORDER - THYROID
EYE - GENERAL DISORDERS
Brand Name
NATPARA
NORDITROPIN FLEXPRO
NUTROPIN AQ
Generic Name
PARATHYROID HORMONE
SOMATROPIN
SOMATROPIN
NUTROPIN AQ NUSPIN
OMNITROPE
SOMATROPIN
SOMATROPIN
PARICALCITOL
RALOXIFENE HCL
SAIZEN
PARICALCITOL
RALOXIFENE HCL
SOMATROPIN
SEROSTIM
SOMAVERT
STIMATE
SUPPRELIN LA
SOMATROPIN
PEGVISOMANT
DESMOPRESSIN ACETATE
HISTRELIN AC
Dose
CARTRIDGE
PEN INJCTR
CARTRIDGE
VIAL
PEN INJCTR
CARTRIDGE
VIAL
CAPSULE
TABLET
CARTRIDGE
VIAL
VIAL
VIAL
SPRAY/PUMP
KIT
SYNAREL
NAFARELIN ACETATE
SPRAY
X
THYROGEN
VANTAS
THYROTROPIN ALFA
HISTRELIN AC
VIAL
KIT
X
X
ZOLADEX
ZOMACTON
ZORBTIVE
NORDITROPIN NORDIFLEX
NUTROPIN
TEV-TROPIN
LEVOTHYROXINE SODIUM
LIOTHYRONINE SODIUM
METHIMAZOLE
PROPYLTHIOURACIL
SSKI
STRONG IODINE
THYROLAR-1
THYROLAR-1/2
THYROLAR-1/4
THYROLAR-2
THYROLAR-3
AK-POLY-BAC
ALREX
ALTACHLORE
GOSERELIN ACETATE
SOMATROPIN
SOMATROPIN
SOMATROPIN
SOMATROPIN
SOMATROPIN
LEVOTHYROXINE SODIUM
LIOTHYRONINE SODIUM
METHIMAZOLE
PROPYLTHIOURACIL
POTASSIUM IODIDE
POTASSIUM IODIDE/IODINE
LIOTRIX
LIOTRIX
LIOTRIX
LIOTRIX
LIOTRIX
BACITRACIN/POLYMYXIN B SULFATE
LOTEPREDNOL ETABONATE
SODIUM CHLORIDE
X
X
X
X
X
X
AZASITE
AZELASTINE HCL
BACITRACIN
BACITRACIN-POLYMYXIN
BLEPH-10
BLEPHAMIDE
AZITHROMYCIN
AZELASTINE HCL
BACITRACIN
BACITRACIN/POLYMYXIN B SULFATE
SULFACETAMIDE SODIUM
SULFACETM NA/PREDNISOL AC
IMPLANT
VIAL
VIAL
PEN INJCTR
VIAL
VIAL
TABLET
TABLET
TABLET
TABLET
SOLUTION
SOLUTION
TABLET
TABLET
TABLET
TABLET
TABLET
OINT. (G)
DROPS SUSP
DROPS
OINT. (G)
DROPS
DROPS
OINT. (G)
OINT. (G)
DROPS
DROPS SUSP
PA
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Step
QLL
X
Age
General Therapeutic Category
Brand Name
BLEPHAMIDE S.O.P.
CILOXAN
CIPROFLOXACIN HCL
DEXAMETHASONE SODIUM PHOSPHATE
DICLOFENAC SODIUM
DUREZOL
ERYTHROMYCIN
FLAREX
FLUOROMETHOLONE
FLURBIPROFEN SODIUM
FML FORTE
FML S.O.P.
GATIFLOXACIN
GENTAK
GENTAMICIN SULFATE
Generic Name
SULFACETM NA/PREDNISOL AC
CIPROFLOXACIN HCL
CIPROFLOXACIN HCL
DEXAMETHASONE SOD PHOSPHATE
DICLOFENAC SODIUM
DIFLUPREDNATE
ERYTHROMYCIN BASE
FLUOROMETHOLONE ACETATE
FLUOROMETHOLONE
FLURBIPROFEN SODIUM
FLUOROMETHOLONE
FLUOROMETHOLONE
GATIFLOXACIN
GENTAMICIN SULFATE
GENTAMICIN SULFATE
KETOROLAC TROMETHAMINE
LEVOFLOXACIN
LOTEMAX
KETOROLAC TROMETHAMINE
LEVOFLOXACIN
LOTEPREDNOL ETABONATE
MAXIDEX
MOXEZA
MURO-128
DEXAMETHASONE
MOXIFLOXACIN HCL
SODIUM CHLORIDE
NAPHAZOLINE HCL
NATACYN
NEOMYCIN-BACITRACIN-POLY-HC
NEOMYCIN-BACITRACIN-POLYMYXIN
NEOMYCIN-POLYMYXIN-DEXAMETH
NAPHAZOLINE HCL
NATAMYCIN
NEOMYCIN SU/BACI ZN/POLY/HC
NEOMYCIN SU/BACITRA/POLYMYXIN
NEO/POLYMYX B SULF/DEXAMETH
NEOMYCIN-POLYMYXIN-GRAMICIDIN
NEOMYCIN-POLYMYXIN-HC
NEO-POLYCIN
NEO-POLYCIN HC
NEVANAC
OFLOXACIN
PHENYLEPHRINE HCL
POLYCIN
POLYMYXIN B SUL-TRIMETHOPRIM
PRED MILD
PRED-G
NEOMYCIN/POLYMYXN B/GRAMICIDIN
NEOMYCIN/POLYMYXIN B SULF/HC
NEOMYCIN SU/BACITRA/POLYMYXIN
NEOMYCIN SU/BACI ZN/POLY/HC
NEPAFENAC
OFLOXACIN
PHENYLEPHRINE HCL
BACITRACIN/POLYMYXIN B SULFATE
POLYMYXIN B SULF/TRIMETHOPRIM
PREDNISOLONE ACETATE
GENTAMICIN/PREDNISOL AC
PREDNISOLONE ACETATE
PREDNISOLONE SODIUM PHOSPHATE
SOCHLOR
PREDNISOLONE ACETATE
PREDNISOLONE SOD PHOSPHATE
SODIUM CHLORIDE
SODIUM CHLORIDE
SODIUM CHLORIDE
Dose
OINT. (G)
OINT. (G)
DROPS
DROPS
DROPS
DROPS
OINT. (G)
DROPS SUSP
DROPS SUSP
DROPS
DROPS SUSP
OINT. (G)
DROPS
OINT. (G)
DROPS
OINT. (G)
DROPS
DROPS
DROPS GEL
DROPS SUSP
DROPS SUSP
DROPS VISC
DROPS
OINT. (G)
DROPS
DROPS SUSP
OINT. (G)
OINT. (G)
DROPS SUSP
OINT. (G)
DROPS
DROPS SUSP
OINT. (G)
OINT. (G)
DROPS SUSP
DROPS
DROPS
OINT. (G)
DROPS
DROPS SUSP
DROPS SUSP
OINT. (G)
DROPS SUSP
DROPS
DROPS
OINT. (G)
DROPS
OINT. (G)
PA
Step
QLL
Age
General Therapeutic Category
EYE - GLAUCOMA
Brand Name
SULFACETAMIDE SODIUM
Generic Name
SULFACETAMIDE SODIUM
SULFACETAMIDE-PREDNISOLONE
TOBRADEX
TOBRAMYCIN
TOBRAMYCIN-DEXAMETHASONE
TOBREX
TRIFLURIDINE
VEXOL
VIGAMOX
ZYLET
POLY-PRED
SULFAMIDE
TOBRASOL
NEOFRIN
ROMYCIN
ALTAFRIN
IQUIX
VITRASERT
ACETAZOLAMIDE
SULFACETAMIDE/PREDNISOLONE SP
TOBRAMYCIN/DEXAMETHASONE
TOBRAMYCIN
TOBRAMYCIN/DEXAMETHASONE
TOBRAMYCIN
TRIFLURIDINE
RIMEXOLONE
MOXIFLOXACIN HCL
TOBRAMYCIN/LOTEPRED ETAB
NEOMYCIN SU/PLYMX B SU/PRED
SULFACETAMIDE SODIUM
TOBRAMYCIN
PHENYLEPHRINE HCL
ERYTHROMYCIN BASE
PHENYLEPHRINE HCL
LEVOFLOXACIN
GANCICLOVIR
ACETAZOLAMIDE
ALPHAGAN P
APRACLONIDINE HCL
ATROPINE SULFATE
BRIMONIDINE TARTRATE
APRACLONIDINE HCL
ATROPINE SULFATE
AZOPT
BETAXOLOL HCL
BETIMOL
BETOPTIC S
BIMATOPROST
BRIMONIDINE TARTRATE
CARTEOLOL HCL
COMBIGAN
CYCLOMYDRIL
CYCLOPENTOLATE HCL
DORZOLAMIDE HCL
DORZOLAMIDE-TIMOLOL
HOMATROPAIRE
HOMATROPINE HYDROBROMIDE
IOPIDINE
ISTALOL
LATANOPROST
LEVOBUNOLOL HCL
LUMIGAN
METHAZOLAMIDE
METIPRANOLOL
PAREMYD
ATROPINE SULFATE/PF
BRINZOLAMIDE
BETAXOLOL HCL
TIMOLOL
BETAXOLOL HCL
BIMATOPROST
BRIMONIDINE TARTRATE
CARTEOLOL HCL
BRIMONIDINE TARTRATE/TIMOLOL
CYCLOPENTOLATE/PHENYLEPHRINE
CYCLOPENTOLATE HCL
DORZOLAMIDE HCL
DORZOLAMIDE HCL/TIMOLOL MALEAT
HOMATROPINE HBR
HOMATROPINE HBR
APRACLONIDINE HCL
TIMOLOL MALEATE
LATANOPROST
LEVOBUNOLOL HCL
BIMATOPROST
METHAZOLAMIDE
METIPRANOLOL
HYDROXYAMPHETAMINE/TROPICAMIDE
Dose
DROPS
OINT. (G)
DROPS
OINT. (G)
DROPS
DROPS SUSP
OINT. (G)
DROPS
DROPS SUSP
DROPS
DROPS SUSP
DROPS SUSP
DROPS
DROPS
DROPS
OINT. (G)
DROPS
DROPS
IMPLANT
CAPSULE ER
TABLET
DROPS
DROPS
DROPS
OINT. (G)
DROPS
DROPS SUSP
DROPS
DROPS
DROPS SUSP
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPERETTE
DROP DAILY
DROPS
DROPS
DROPS
TABLET
DROPS
DROPS
PA
X
Step
QLL
Age
General Therapeutic Category
Brand Name
PHOSPHOLINE IODIDE
PILOCARPINE HCL
TIMOLOL MALEATE
EYE - MISCELLANEOUS
TIMOPTIC OCUDOSE
TRAVOPROST
TROPICAMIDE
PILOPINE HS
ISOPTO CARBACHOL
ISOPTO HOMATROPINE
ISOPTO HYOSCINE
AK-PENTOLATE
ATROPINE CARE
AKWA TEARS
ARTIFICIAL TEARS
POLYVINYL ALCOHOL
REFRESH CLASSIC
REFRESH LACRI-LUBE
REFRESH LIQUIGEL
TEARS AGAIN
TEARS PURE
VISUDYNE
AKWA TEARS RENEWED
TEARS AGAIN MC
NATURAL BALANCE TEARS
GENTEAL TEARS
ALLOPURINOL
COLCHICINE
TIMOLOL MALEATE/PF
TRAVOPROST (BENZALKONIUM)
TROPICAMIDE
PILOCARPINE HCL
CARBACHOL
HOMATROPINE HBR
SCOPOLAMINE HYDROBROMIDE
CYCLOPENTOLATE HCL
ATROPINE SULFATE
POLYVINYL ALCOHOL
DEXTRAN 70/HYPROMELLOSE
GLYCERIN/PROPYLENE GLYCOL
POLYVINYL ALCOHOL
POLYVINYL ALCOHOL/POVIDONE
CYSTEAMINE HCL
POLYVINYL ALCOHOL
POLYVINYL ALCOHOL
RANIBIZUMAB
PEGAPTANIB SODIUM
DEXTRAN 70/HYPROMELLOSE
HYPROMELLOSE
POLYVINYL ALCOHOL
POLYVINYL ALCOHOL/POVIDONE/PF
MINERAL OIL/PETROLATUM,WHITE
CARBOXYMETHYLCELLULOSE SODIUM
POLYVINYL ALCOHOL
DEXTRAN 70/HYPROMELLOSE
VERTEPORFIN
DEXTRAN 70/HYPROMELLOSE
DEXTRAN 70/HYPROMELLOSE
DEXTRAN 70/HYPROMELLOSE
DEXTRAN 70/HYPROMELLOSE
ALLOPURINOL
COLCHICINE
ELITEK
PROBENECID
PROBENECID-COLCHICINE
ADVATE
ADVATE H
ADVATE L
ADVATE M
ADVATE SH
AMICAR
RASBURICASE
PROBENECID
COLCHICINE/PROBENECID
ANTIHEMOPH.FVIII,FULL LENGTH
ANTIHEMOPH.FVIII,FULL LENGTH
ANTIHEMOPH.FVIII,FULL LENGTH
ANTIHEMOPH.FVIII,FULL LENGTH
ANTIHEMOPH.FVIII,FULL LENGTH
AMINOCAPROIC ACID
CYSTARAN
LIQUITEARS
LUBRICANT EYE
LUCENTIS
MACUGEN
NATURE'S TEARS
GOUT AND RELATED DISEASES
HEMATOLOGICAL DISORDERS
Generic Name
ECHOTHIOPHATE IODIDE
PILOCARPINE HCL
TIMOLOL MALEATE
Dose
DROPS
DROPS
DROPS
SOL-GEL
DROPERETTE
DROPS
DROPS
GEL (GRAM)
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
VIAL
SYRINGE
DROPS
DROPS
DROPS
DROPERETTE
OINT. (G)
DRP LQ GEL
DROPS
DROPS
VIAL
DROPS
DROPS
DROPS
DROPS
TABLET
CAPSULE
TABLET
VIAL
TABLET
TABLET
VIAL
VIAL
VIAL
VIAL
VIAL
SOLUTION
PA
Step
X
X
X
X
X
X
X
X
X
X
QLL
Age
General Therapeutic Category
Brand Name
AMINOCAPROIC ACID
Dose
Generic Name
AMINOCAPROIC ACID
ARANESP
DARBEPOETIN ALFA IN POLYSORBAT
ASPIRIN-DIPYRIDAMOLE ER
CILOSTAZOL
CLOPIDOGREL
DIPYRIDAMOLE
DROXIA
ELIQUIS
ENOXAPARIN SODIUM
ASPIRIN/DIPYRIDAMOLE
CILOSTAZOL
CLOPIDOGREL BISULFATE
DIPYRIDAMOLE
HYDROXYUREA
APIXABAN
ENOXAPARIN SODIUM
PA
TABLET
X
SOLUTION
X
TABLET
X
VIAL
SYRINGE
X
X
VIAL
CPMP 12HR
TABLET
TABLET
TABLET
CAPSULE
TABLET
SYRINGE
VIAL
X
Step
QLL
X
EPOGEN
FEIBA NF
FONDAPARINUX SODIUM
HELIXATE FS
JANTOVEN
KOGENATE FS
LEUKINE
MEPHYTON
MIRCERA
EPOETIN ALFA
ANTI-INHIBITOR COAGULANT COMP.
FONDAPARINUX SODIUM
ANTIHEMOPH.FVIII,FULL LENGTH
WARFARIN SODIUM
ANTIHEMOPH.FVIII,FULL LENGTH
SARGRAMOSTIM
PHYTONADIONE
METHOXY PEG-EPOETIN BETA
VIAL
VIAL
SYRINGE
VIAL
TABLET
VIAL
VIAL
TABLET
SYRINGE
X
X
NEULASTA
PEGFILGRASTIM
SYR W/ INJ
X
NEUPOGEN
FILGRASTIM
X
X
X
PENTOXIFYLLINE
PRADAXA
PROCRIT
RECOMBINATE
SAVAYSA
SOLIRIS
THROMBATE III
TICLOPIDINE HCL
TRANEXAMIC ACID
WARFARIN SODIUM
XARELTO
PENTOXIFYLLINE
DABIGATRAN ETEXILATE MESYLATE
EPOETIN ALFA
ANTIHEMOPHILIC FACTOR, HUM REC
EDOXABAN TOSYLATE
ECULIZUMAB
ANTITHROMBIN III (HUM PLAS)
TICLOPIDINE HCL
TRANEXAMIC ACID
WARFARIN SODIUM
RIVAROXABAN
ZARXIO
ZONTIVITY
FILGRASTIM-SNDZ
VORAPAXAR SULFATE
SYRINGE
SYRINGE
VIAL
TABLET ER
CAPSULE
VIAL
VIAL
TABLET
VIAL
VIAL
TABLET
TABLET
TABLET
TAB DS PK
TABLET
SYRINGE
TABLET
X
X
X
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
HORMONAL DEFICIENCY
Brand Name
NEUMEGA
FEIBA VH IMMUNO
ADYNOVATE
WILATE
KOVALTRY
NUWIQ
IDELVION
ANADROL-50
ANDROXY
CLIMARA PRO
COMBIPATCH
CRINONE
DEPO-PROVERA
DIVIGEL
ELESTRIN
ENJUVIA
ESTRADIOL
Generic Name
OPRELVEKIN
ANTI-INHIBITOR COAGULANT COMP.
ANTIHEMO.FVIII,FULL LENGTH PEG
ANTIHEMOPHILIC FACTOR/VWF
ANTIHEMOPH.FVIII,FULL LENGTH
ANTIHEMOPH.FVIII,HEK B-DELETE
FACTOR IX RECOM,ALBUMIN FUSION
OXYMETHOLONE
FLUOXYMESTERONE
ESTRADIOL/LEVONORGESTREL
ESTRADIOL/NORETHINDRONE ACET
PROGESTERONE,MICRONIZED
MEDROXYPROGESTERONE ACETATE
ESTRADIOL
ESTRADIOL
ESTROGENS,CONJ.,SYNTHETIC B
ESTRADIOL
ESTRADIOL-NORETHINDRONE ACETAT
ESTROGEL
ESTROPIPATE
EVAMIST
JINTELI
LOPREEZA
LUPANETA PACK
MEDROXYPROGESTERONE ACETATE
MENEST
MENOSTAR
METHITEST
MIMVEY
MIMVEY LO
NORETHINDRONE ACETATE
NORETHINDRON-ETHINYL ESTRADIOL
OXANDROLONE
PREFEST
PREMARIN
PREMPHASE
PREMPRO
PROGESTERONE
TESTOSTERONE CYPIONATE
TESTOSTERONE ENANTHATE
METHYLTESTOSTERONE
FEMTRACE
ESTRASORB
CENESTIN
FYAVOLV
HYDROXYPROGESTERONE CAPROATE
ESTRADIOL/NORETHINDRONE ACET
ESTRADIOL
ESTROPIPATE
ESTRADIOL
NORETHINDRONE AC-ETH ESTRADIOL
ESTRADIOL/NORETHINDRONE ACET
LEUPROLIDE/NORETHINDRONE ACET
MEDROXYPROGESTERONE ACETATE
ESTROGENS,ESTERIFIED
ESTRADIOL
METHYLTESTOSTERONE
ESTRADIOL/NORETHINDRONE ACET
ESTRADIOL/NORETHINDRONE ACET
NORETHINDRONE ACETATE
NORETHINDRONE AC-ETH ESTRADIOL
OXANDROLONE
ESTRADIOL/NORGESTIMATE
ESTROGENS, CONJUGATED
ESTROGEN,CON/M-PROGEST ACET
ESTROGEN,CON/M-PROGEST ACET
PROGESTERONE,MICRONIZED
TESTOSTERONE CYPIONATE
TESTOSTERONE ENANTHATE
METHYLTESTOSTERONE
ESTRADIOL ACETATE
ESTRADIOL
ESTROGENS,CONJ.,SYNTHETIC A
NORETHINDRONE AC-ETH ESTRADIOL
HYDROXYPROGESTERONE CAPROATE
Dose
VIAL
VIAL
VIAL
VIAL
VIAL
VIAL
VIAL
TABLET
TABLET
PATCH TDWK
PATCH TDSW
GEL/PF APP
VIAL
GEL PACKET
GEL MD PMP
TABLET
PATCH TDSW
PATCH TDWK
TABLET
TABLET
GEL MD PMP
TABLET
SPRAY
TABLET
TABLET
KT SYR TAB
TABLET
TABLET
PATCH TDWK
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
CAPSULE
VIAL
VIAL
CAPSULE
TABLET
EMUL PACKT
TABLET
TABLET
VIAL
PA
Step
QLL
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
IMMUNIZATION
Brand Name
Generic Name
ADACEL TDAP
DIPH,PERTUSS(ACELL),TET VAC/PF
AFLURIA 2015-2016
ATGAM
BEXSERO
BIVIGAM
BOOSTRIX TDAP
FLU VACCINE TS2015-16(5YR+)/PF
FLU VACCINE TS2015-16(5 YR UP)
LYMPHOCYTE IG, ANTITHYMOCYTE
MENINGOCOCCAL B VACC,4-COMP/PF
IMMUN GLOB G (IGG)/GLY/IGA 50+
DIPHTH,PERTUSS(ACELL),TET VAC
CERVARIX
HUMAN PAPILLOMAV VACC BIVAL/PF
DIPHTHERIA-TETANUS TOXOIDS-PED
ENGERIX-B ADULT
TETANUS,DIPHTHERIA TOXD PED/PF
HEPATITIS B VIRUS VACCINE/PF
ENGERIX-B PEDIATRIC-ADOLESCENT
HEPATITIS B VIRUS VACCINE/PF
FLUARIX QUAD 2015-2016
FLUBLOK 2015-2016
FLUCELVAX 2015-2016
FLULAVAL QUAD 2015-2016
FLUMIST QUAD 2015-2016
FLUVIRIN 2015-2016
FLUZONE 2015-2016
FLUZONE HIGH-DOSE 2015-2016
FLUZONE INTRADERM QUAD 2015-16
FLUZONE QUAD 2015-2016
FLU VACC QS 2015-16(36MOS+)/PF
FLU VAC TV 2015(18 YR+)RCM/PF
FLU VACC TS 15-16 (18+)CELL/PF
FLU VACCINE QS 2015-16(36MOS+)
FLU VACC QV LIVE 2015(2-49YRS)
FLU VACCINE TS 2015-2016(4YR+)
FLU VACCINE TS2015-16(4YR+)/PF
FLU VACCINE TS 2015-16(6 MOS+)
FLU VACC TS 2015-16 (65YR+)/PF
FLU VACC QS 2015 (18-64YRS)/PF
FLU VACC QS 2015-16(36MOS+)/PF
FLUZONE QUAD PEDI 2015-2016
GAMASTAN S-D
GARDASIL
FLU VACCINE QS 2015-16 (6MOS+)
FLU VACC QS 2015 (6-35MOS)/PF
IMMUNE GLOBUL G (IGG)/GLYCINE
HUMAN PAPILOMVIRUS VAC,QVAL/PF
GARDASIL 9
HPV VACCINE 9-VALENT/PF
HAVRIX
HEPATITIS A VIRUS VACCINE/PF
IPOL
POLIOMYELITIS VACCINE, KILLED
MENACTRA
MENOMUNE-A-C-Y-W-135
MENING VAC A,C,Y,W-135 DIP/PF
MENINGOCOC VAC A,C,Y,W-135/PF
MENINGOCOCCAL VAC A,C,Y,W-135
MENING VAC A,C,Y,W-135 DIP/PF
MEASLES,MUMPS&RUBELLA VACC/PF
DIPH,PERTUS(ACEL),TET,POLIO/PF
PNEUMOCOCCAL 23-VAL P-SAC VAC
MENVEO A-C-Y-W-135-DIP
M-M-R II VACCINE
PENTACEL DTAP-IPV COMPONENT
PNEUMOVAX 23
Dose
SYRINGE
VIAL
SYRINGE
VIAL
AMPUL
SYRINGE
VIAL
SYRINGE
VIAL
SYRINGE
VIAL
VIAL
SYRINGE
VIAL
SYRINGE
VIAL
SYRINGE
VIAL
SYRINGE
VIAL
NAS SP SYR
VIAL
SYRINGE
VIAL
SYRINGE
SYRINGE
SYRINGE
VIAL
VIAL
SYRINGE
VIAL
SYRINGE
VIAL
SYRINGE
VIAL
SYRINGE
VIAL
SYRINGE
VIAL
VIAL
VIAL
VIAL
KIT
VIAL
VIAL
SYRINGE
VIAL
PA
Step
QLL
Age
X
X
X
X
X
X
X
X
X
General Therapeutic Category
IMMUNOSUPPRESSION/MODULATION
INFECTIOUS DISEASE - BACTERIAL
Brand Name
PREVNAR 13
PROQUAD
QUADRACEL DTAP-IPV
RECOMBIVAX HB
Generic Name
PNEUMOC 13-VAL CONJ-DIP CRM/PF
MEASLES,MUMPS,RUB,VARICELLA/PF
DIPH,PERTUS(ACEL),TET,POLIO/PF
HEPATITIS B VIRUS VACCINE/PF
TENIVAC
TETANUS AND DIPHTHERIA TOX/PF
TETANUS DIPHTHERIA TOXOIDS
TRUMENBA
TWINRIX
TETANUS, DIPHTHERIA TOX,ADULT
N.MENINGITIDIS B,LIPID FHBP RC
HEPATITIS A & B VACCINE/PF
VAQTA
HEPATITIS A VIRUS VACCINE/PF
VARIVAX VACCINE
ZOSTAVAX
TETANUS-DIPHTERIA-DECAVAC
DECAVAC
FLUZONE QUAD PEDI 2013-2014
EZ FLU 2015-2016 (FLUVIRIN)
EZ FLU 2015-2016 (FLUCELVAX)
FLUAD 2015-2016
ACTIMMUNE
ALFERON N
AZASAN
AZATHIOPRINE
CYCLOSPORINE
CYCLOSPORINE MODIFIED
GENGRAF
VARICELLA VACCINE LIVE/PF
ZOSTER VACCINE LIVE/PF
TETANUS AND DIPHTHERIA TOX/PF
TETANUS AND DIPHTHERIA TOX/PF
FLU VACCINE 2013(6-35MOS)/PF
FLU VACCINE TS2015-16(4YR+)/PF
FLU VACC TS 15-16 (18+)CELL/PF
FLU VACC TS 2015(65+)/MF59C/PF
INTERFERON GAMMA-1B,RECOMB.
INTERFERON ALFA-N3
AZATHIOPRINE
AZATHIOPRINE
CYCLOSPORINE
CYCLOSPORINE, MODIFIED
CYCLOSPORINE, MODIFIED
CYCLOSPORINE, MODIFIED
IMIQUIMOD
INTRON A
MYCOPHENOLATE MOFETIL
IMIQUIMOD
INTERFERON ALFA-2B,RECOMB.
MYCOPHENOLATE MOFETIL
MYCOPHENOLIC ACID
PROLEUKIN
RAPAMUNE
SIMULECT
SIROLIMUS
TACROLIMUS
ORTHOCLONE OKT-3
AMOX TR-POTASSIUM CLAVULANATE
AMOXICILLIN
MYCOPHENOLATE SODIUM
ALDESLEUKIN
SIROLIMUS
BASILIXIMAB
SIROLIMUS
TACROLIMUS
MUROMONAB-CD3
AMOXICILLIN/POTASSIUM CLAV
AMOXICILLIN
AMOXICILLIN ER
AMOXICILLIN
Dose
SYRINGE
VIAL
VIAL
SYRINGE
VIAL
SYRINGE
VIAL
VIAL
SYRINGE
SYRINGE
VIAL
SYRINGE
VIAL
VIAL
VIAL
SYRINGE
VIAL
SYRINGE
SYRINGEKIT
SYRINGEKIT
SYRINGE
VIAL
VIAL
TABLET
TABLET
CAPSULE
SOLUTION
CAPSULE
CAPSULE
SOLUTION
CREAM PACK
VIAL
CAPSULE
SUSP RECON
TABLET
TABLET DR
VIAL
SOLUTION
VIAL
TABLET
CAPSULE
AMPUL
TABLET
CAPSULE
SUSP RECON
TAB CHEW
TABLET
TBMP 24HR
PA
Step
QLL
Age
X
X
X
X
X
X
X
X
X
General Therapeutic Category
Brand Name
AMPICILLIN TRIHYDRATE
Generic Name
AMPICILLIN TRIHYDRATE
AUGMENTIN
AZITHROMYCIN
AMOXICILLIN/POTASSIUM CLAV
AZITHROMYCIN
CEFACLOR
CEFACLOR
CEFACLOR ER
CEFADROXIL
CEFACLOR
CEFADROXIL
CEFDINIR
CEFDINIR
CEFDITOREN PIVOXIL
CEFIXIME
CEFPODOXIME PROXETIL
CEFDITOREN PIVOXIL
CEFIXIME
CEFPODOXIME PROXETIL
CEFPROZIL
CEFPROZIL
CEFTIBUTEN
CEFTIBUTEN
CEFTIN
CEFUROXIME
CEPHALEXIN
CEFUROXIME AXETIL
CEFUROXIME AXETIL
CEPHALEXIN
CIPROFLOXACIN
CIPROFLOXACIN ER
CIPROFLOXACIN HCL
CLARITHROMYCIN
CIPROFLOXACIN
CIPROFLOXACIN/CIPROFLOXA HCL
CIPROFLOXACIN HCL
CLARITHROMYCIN
CLARITHROMYCIN ER
DEMECLOCYCLINE HCL
DICLOXACILLIN SODIUM
DOXYCYCLINE MONOHYDRATE
CLARITHROMYCIN
DEMECLOCYCLINE HCL
DICLOXACILLIN SODIUM
DOXYCYCLINE MONOHYDRATE
E.E.S. 200
E.E.S. 400
ERYPED 400
ERY-TAB
ERYTHROCIN STEARATE
ERYTHROMYCIN
ERYTHROMYCIN ETHYLSUCCINATE
ERYTHROMYCIN ETHYLSUCCINATE
ERYTHROMYCIN ETHYLSUCCINATE
ERYTHROMYCIN BASE
ERYTHROMYCIN STEARATE
ERYTHROMYCIN BASE
ERYTHROMYCIN ETHYLSUCCINATE
FACTIVE
KETEK
ERYTHROMYCIN ETHYLSUCCINATE
GEMIFLOXACIN MESYLATE
TELITHROMYCIN
Dose
CAPSULE
SUSP RECON
SUSP RECON
PACKET
SUSP RECON
TABLET
CAPSULE
SUSP RECON
TAB ER 12H
CAPSULE
SUSP RECON
TABLET
CAPSULE
SUSP RECON
TABLET
SUSP RECON
SUSP RECON
TABLET
SUSP RECON
TABLET
CAPSULE
SUSP RECON
SUSP RECON
TABLET
CAPSULE
SUSP RECON
TABLET
SUS MC REC
TBMP 24HR
TABLET
SUSP RECON
TABLET
TAB ER 24H
TABLET
CAPSULE
CAPSULE
SUSP RECON
TABLET
SUSP RECON
TABLET
SUSP RECON
TABLET DR
TABLET
CAPSULE DR
TABLET
TABLET
TABLET
TABLET
PA
Step
QLL
X
Age
General Therapeutic Category
INFECTIOUS DISEASE - FUNGAL
INFECTIOUS DISEASE - MISCELLANEOUS
Brand Name
Generic Name
LEVOFLOXACIN
LEVOFLOXACIN
MINOCYCLINE HCL
MINOCYCLINE HCL
MINOCYCLINE HCL ER
MOXIFLOXACIN HCL
NITROFURANTOIN
NITROFURANTOIN MONO-MACRO
OFLOXACIN
PCE
PENICILLIN V POTASSIUM
MINOCYCLINE HCL
MOXIFLOXACIN HCL
NITROFURANTOIN
NITROFURANTOIN MACROCRYSTAL
NITROFURANTOIN MONOHYD/M-CRYST
OFLOXACIN
ERYTHROMYCIN BASE
PENICILLIN V POTASSIUM
SUPRAX
CEFIXIME
TETRACYCLINE HCL
VIBRAMYCIN
ZMAX
NOROXIN
AMOXICILLIN-CLAVULANATE POTASS
TETRACYCLINE HCL
DOXYCYCLINE CALCIUM
AZITHROMYCIN
NORFLOXACIN
AMOXICILLIN/POTASSIUM CLAV
AMOXICILLIN-CLAVULANATE POT ER
ERYTHROMYCIN-SULFISOXAZOLE
CEDAX
CLOTRIMAZOLE
CRESEMBA
FLUCONAZOLE
AMOXICILLIN/POTASSIUM CLAV
ERY E-SUCC/SULFISOXAZOLE
CEFTIBUTEN
CLOTRIMAZOLE
ISAVUCONAZONIUM SULFATE
FLUCONAZOLE
FLUCYTOSINE
GRISEOFULVIN
ITRACONAZOLE
KETOCONAZOLE
LAMISIL
NOXAFIL
FLUCYTOSINE
GRISEOFULVIN, MICROSIZE
ITRACONAZOLE
KETOCONAZOLE
TERBINAFINE HCL
POSACONAZOLE
NYSTATIN
NYSTATIN
SPORANOX
TERBINAFINE HCL
VORICONAZOLE
ITRACONAZOLE
TERBINAFINE HCL
VORICONAZOLE
BETHKIS
TOBRAMYCIN
Dose
SOLUTION
TABLET
CAPSULE
TAB ER 24H
TABLET
TAB ER 24H
TABLET
ORAL SUSP
CAPSULE
CAPSULE
TABLET
TAB PART
SOLN RECON
TABLET
CAPSULE
SUSP RECON
TAB CHEW
TABLET
CAPSULE
SYRUP
SUS ER REC
TABLET
SUSP RECON
TAB CHEW
TABLET
TAB ER 12H
SUSP RECON
SUSP RECON
TROCHE
CAPSULE
SUSP RECON
TABLET
CAPSULE
ORAL SUSP
CAPSULE
TABLET
GRAN PACK
ORAL SUSP
TABLET DR
ORAL SUSP
POWDER(EA)
TABLET
SOLUTION
TABLET
SUSP RECON
TABLET
AMPUL-NEB
PA
Step
QLL
Age
X
X
X
X
X
X
X
X
X
X
General Therapeutic Category
Brand Name
CLINDAMYCIN HCL
CLINDAMYCIN PALMITATE HCL
CLINDAMYCIN PEDIATRIC
CYCLOSERINE
DAPSONE
ETHAMBUTOL HCL
ISONIAZID
Generic Name
CLINDAMYCIN HCL
CLINDAMYCIN PALMITATE HCL
CLINDAMYCIN PALMITATE HCL
CYCLOSERINE
DAPSONE
ETHAMBUTOL HCL
ISONIAZID
NEOMYCIN SULFATE
AMINOSALICYLIC ACID
RIFAPENTINE
PYRAZINAMIDE
RIFABUTIN
RIFAMPIN
RIFAMP/ISONIAZID/PYRAZINAMIDE
THALIDOMIDE
Dose
CAPSULE
SOLN RECON
SOLN RECON
CAPSULE
TABLET
TABLET
SOLUTION
TABLET
TABLET
GRANPKT DR
TABLET
TABLET
CAPSULE
CAPSULE
TABLET
CAPSULE
NEOMYCIN SULFATE
PASER
PRIFTIN
PYRAZINAMIDE
RIFABUTIN
RIFAMPIN
RIFATER
THALOMID
X
TOBI PODHALER
TOBRAMYCIN
CAP W/DEV
X
CAPSULE
X
TOBRAMYCIN IN 0.225% NACL
AMPUL-NEB
X
TOBRAMYCIN/NEBULIZER
AMPUL-NEB
X
TRECATOR
VANCOMYCIN HCL
ETHIONAMIDE
VANCOMYCIN HCL
XIFAXAN
ISONARIF
KITABIS PAK
RIFAXIMIN
RIFAMPIN/ISONIAZID
TOBRAMYCIN/NEBULIZER
TABLET
CAPSULE
VIAL
VIAL PORT
TABLET
CAPSULE
AMPUL-NEB
ALBENZA
ATOVAQUONE
ATOVAQUONE-PROGUANIL HCL
BILTRICIDE
CHLOROQUINE PHOSPHATE
DARAPRIM
FLAGYL ER
HYDROXYCHLOROQUINE SULFATE
IVERMECTIN
MEFLOQUINE HCL
METRONIDAZOLE
ALBENDAZOLE
ATOVAQUONE
ATOVAQUONE/PROGUANIL HCL
PRAZIQUANTEL
CHLOROQUINE PHOSPHATE
PYRIMETHAMINE
METRONIDAZOLE
HYDROXYCHLOROQUINE SULFATE
IVERMECTIN
MEFLOQUINE HCL
METRONIDAZOLE
NEBUPENT
PAROMOMYCIN SULFATE
PRIMAQUINE
PENTAMIDINE ISETHIONATE
PAROMOMYCIN SULFATE
PRIMAQUINE PHOSPHATE
TOBRAMYCIN
INFECTIOUS DISEASE - PARASITIC
TABLET
ORAL SUSP
TABLET
TABLET
TABLET
TABLET
TABLET ER
TABLET
TABLET
TABLET
CAPSULE
TABLET
VIAL-NEB
CAPSULE
TABLET
PA
Step
QLL
X
X
X
X
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
INFECTIOUS DISEASE - VIRAL
Brand Name
QUININE SULFATE
TINIDAZOLE
MEBENDAZOLE
YODOXIN
ABACAVIR
ABACAVIR-LAMIVUDINE-ZIDOVUDINE
ACYCLOVIR
Generic Name
QUININE SULFATE
TINIDAZOLE
MEBENDAZOLE
IODOQUINOL
ABACAVIR SULFATE
ABACAVIR/LAMIVUDINE/ZIDOVUDINE
ACYCLOVIR
ADEFOVIR DIPIVOXIL
Dose
CAPSULE
TABLET
TAB CHEW
TABLET
TABLET
TABLET
CAPSULE
ORAL SUSP
TABLET
TABLET
ADEFOVIR DIPIVOXIL
X
APTIVUS
ATRIPLA
BARACLUDE
TIPRANAVIR
TIPRANAVIR/VITAMIN E TPGS
EFAVIRENZ/EMTRICITAB/TENOFOVIR
ENTECAVIR
CAPSULE
SOLUTION
TABLET
SOLUTION
X
COMPLERA
CRIXIVAN
DIDANOSINE
EDURANT
EMTRIVA
EMTRICITAB/RILPIVIRINE/TENOFOV
INDINAVIR SULFATE
DIDANOSINE
RILPIVIRINE HCL
EMTRICITABINE
ENTECAVIR
ENTECAVIR
TABLET
CAPSULE
CAPSULE DR
TABLET
CAPSULE
SOLUTION
TABLET
X
EPIVIR HBV
LAMIVUDINE
SOLUTION
X
EPZICOM
EVOTAZ
FAMCICLOVIR
HARVONI
INTELENCE
INVIRASE
ABACAVIR SULFATE/LAMIVUDINE
ATAZANAVIR SULFATE/COBICISTAT
FAMCICLOVIR
LEDIPASVIR/SOFOSBUVIR
ETRAVIRINE
SAQUINAVIR MESYLATE
ISENTRESS
RALTEGRAVIR POTASSIUM
KALETRA
LOPINAVIR/RITONAVIR
LAMIVUDINE
LAMIVUDINE
TABLET
TABLET
TABLET
TABLET
TABLET
CAPSULE
TABLET
POWD PACK
TAB CHEW
TABLET
SOLUTION
TABLET
SOLUTION
TABLET
LAMIVUDINE HBV
LAMIVUDINE
TABLET
LAMIVUDINE-ZIDOVUDINE
LEXIVA
LAMIVUDINE/ZIDOVUDINE
FOSAMPRENAVIR CALCIUM
NEVIRAPINE
NEVIRAPINE
TABLET
ORAL SUSP
TABLET
ORAL SUSP
TABLET
PA
Step
QLL
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
Generic Name
NEVIRAPINE ER
NORVIR
NEVIRAPINE
RITONAVIR
OLYSIO
PEGASYS
SIMEPREVIR SODIUM
PEGINTERFERON ALFA-2A
Dose
TAB ER 24H
CAPSULE
SOLUTION
TABLET
CAPSULE
KIT
X
SYRINGE
X
VIAL
X
KIT
PEN IJ KIT
TABLET
ORAL SUSP
TABLET
X
X
X
PA
Step
QLL
X
X
PEGINTRON
PEGINTRON REDIPEN
PREZCOBIX
PREZISTA
PEGINTERFERON ALFA-2B
PEGINTERFERON ALFA-2B
DARUNAVIR/COBICISTAT
DARUNAVIR ETHANOLATE
X
REBETOL
RIBAVIRIN
SOLUTION
RELENZA
RESCRIPTOR
ZANAMIVIR
DELAVIRDINE MESYLATE
REYATAZ
ATAZANAVIR SULFATE
RIBASPHERE
RIBAVIRIN
BLST W/DEV
TAB DISPER
TABLET
CAPSULE
POWD PACK
CAPSULE
X
TABLET
X
X
RIBASPHERE RIBAPAK
RIBAVIRIN
TAB DS PK
X
RIBAVIRIN
RIBAVIRIN
CAPSULE
X
TABLET
X
RIMANTADINE HCL
SELZENTRY
SOVALDI
STAVUDINE
RIMANTADINE HCL
MARAVIROC
SOFOSBUVIR
STAVUDINE
STRIBILD
SUSTIVA
ELVITEGR/COBICIST/EMTRIC/TENOF
EFAVIRENZ
SYNAGIS
TAMIFLU
PALIVIZUMAB
OSELTAMIVIR PHOSPHATE
TIVICAY
TRIUMEQ
TRUVADA
DOLUTEGRAVIR SODIUM
ABACAVIR/DOLUTEGRAVIR/LAMIVUDI
EMTRICITABINE/TENOFOVIR
TABLET
TABLET
TABLET
CAPSULE
SOLN RECON
TABLET
CAPSULE
TABLET
VIAL
CAPSULE
SUSP RECON
TABLET
TABLET
TABLET
X
X
X
X
X
X
Age
General Therapeutic Category
INFLAMMATORY DISEASE
Brand Name
Dose
TABLET
TABLET
TABLET
TABLET
SOLN RECON
POWDER
TABLET
VIAL-NEB
X
BOCEPREVIR
POWDER
TABLET
TABLET
SOLUTION
CAPSULE
SYRUP
TABLET
CAPSULE
X
RIBAPAK
INCIVEK
RIBAVIRIN
TELAPREVIR
TAB DS PK
TABLET
X
X
INFERGEN
GENVOYA
DAKLINZA
INTERFERON ALFACON-1
ELVITEG/COBI/EMTRIC/TENOFO ALA
DACLATASVIR DIHYDROCHLORIDE
VIAL
TABLET
TABLET
X
ZEPATIER
DESCOVY
ODEFSEY
ALEVE
ALL DAY PAIN RELIEF
ALL DAY RELIEF
ARCALYST
BUDESONIDE EC
CELECOXIB
CHILD IBUPROFEN
CHILDREN'S IBUPROFEN
CHILDREN'S MEDI-PROFEN
CHILDREN'S PROFEN IB
CHILDREN'S PROFENIB
CORTISONE ACETATE
DELTASONE
DEPEN
DEXAMETHASONE
ELBASVIR/GRAZOPREVIR
EMTRICITABINE/TENOFOV ALAFENAM
EMTRICITAB/RILPIVIRI/TENOF ALA
NAPROXEN SODIUM
NAPROXEN SODIUM
NAPROXEN SODIUM
RILONACEPT
BUDESONIDE
CELECOXIB
IBUPROFEN
IBUPROFEN
IBUPROFEN
IBUPROFEN
IBUPROFEN
CORTISONE ACETATE
PREDNISONE
PENICILLAMINE
DEXAMETHASONE
X
DEXAMETHASONE INTENSOL
DICLOFENAC POTASSIUM
DICLOFENAC SODIUM
DEXAMETHASONE
DICLOFENAC POTASSIUM
DICLOFENAC SODIUM
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
VIAL
CAPDR - ER
CAPSULE
ORAL SUSP
ORAL SUSP
ORAL SUSP
ORAL SUSP
ORAL SUSP
TABLET
TABLET
TABLET
ELIXIR
SOLUTION
TABLET
DROPS
TABLET
TABLET DR
Generic Name
TYBOST
TYZEKA
VALACYCLOVIR
VALGANCICLOVIR HCL
VIDEX
VIRACEPT
COBICISTAT
TELBIVUDINE
VALACYCLOVIR HCL
VALGANCICLOVIR HCL
DIDANOSINE
NELFINAVIR MESYLATE
VIRAZOLE
RIBAVIRIN
VIREAD
TENOFOVIR DISOPROXIL FUMARATE
VITEKTA
ZIAGEN
ZIDOVUDINE
ELVITEGRAVIR
ABACAVIR SULFATE
ZIDOVUDINE
VICTRELIS
PA
X
Step
QLL
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
DICLOFENAC SODIUM ER
ENBREL
DICLOFENAC SODIUM
ETANERCEPT
ETODOLAC
ETODOLAC
ETODOLAC ER
FENOPROFEN CALCIUM
ETODOLAC
FENOPROFEN CALCIUM
FLANAX
FLUDROCORTISONE ACETATE
FLURBIPROFEN
HUMIRA
NAPROXEN SODIUM
FLUDROCORTISONE ACETATE
FLURBIPROFEN
ADALIMUMAB
HUMIRA PEDIATRIC CROHN'S
HYALGAN
HYDROCORTISONE
IBUPROFEN
ADALIMUMAB
HYALURONATE SODIUM
HYDROCORTISONE
IBUPROFEN
IBUPROFEN IB
INDOCIN
IBUPROFEN
INDOMETHACIN
INDOMETHACIN
INDOMETHACIN
I-PRIN
KETOPROFEN
IBUPROFEN
KETOPROFEN
KETOROLAC TROMETHAMINE
KINERET
LEFLUNOMIDE
MECLOFENAMATE SODIUM
MEDI-PROFEN
MEDIPROXEN
MEDROL
MEFENAMIC ACID
MELOXICAM
KETOROLAC TROMETHAMINE
ANAKINRA
LEFLUNOMIDE
MECLOFENAMATE SODIUM
IBUPROFEN
NAPROXEN SODIUM
METHYLPREDNISOLONE
MEFENAMIC ACID
MELOXICAM
METHYLPREDNISOLONE
METHYLPREDNISOLONE
MILLIPRED
MILLIPRED DP
NABUMETONE
NAPRELAN
NAPROXEN
PREDNISOLONE
PREDNISOLONE SOD PHOSPHATE
PREDNISOLONE
NABUMETONE
NAPROXEN SODIUM
NAPROXEN
NAPROXEN SODIUM
NAPROXEN SODIUM
Generic Name
Dose
TAB ER 24H
PEN INJCTR
SYRINGE
VIAL
CAPSULE
TABLET
TAB ER 24H
CAPSULE
TABLET
TABLET
TABLET
TABLET
SYRINGEKIT
SYRINGEKIT
VIAL
TABLET
ORAL SUSP
TABLET
TABLET
ORAL SUSP
SUPP.RECT
CAPSULE
CAPSULE ER
TABLET
CAP24H PEL
CAPSULE
TABLET
SYRINGE
TABLET
CAPSULE
TABLET
TABLET
TABLET
CAPSULE
ORAL SUSP
TABLET
TAB DS PK
TABLET
TABLET
SOLUTION
TAB DS PK
TABLET
TBMP 24HR
ORAL SUSP
TABLET
TABLET DR
TABLET
PA
Step
QLL
X
X
X
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
Generic Name
ORENCIA
OTEZLA
ABATACEPT/MALTOSE
APREMILAST
OXAPROZIN
PIROXICAM
PREDNISOLONE
PREDNISOLONE SODIUM PHOSPHATE
PREDNISONE
OXAPROZIN
PIROXICAM
PREDNISOLONE
PREDNISOLONE SOD PHOSPHATE
PREDNISONE
PREDNISONE INTENSOL
PROVIL
RIDAURA
SIMPONI
PREDNISONE
IBUPROFEN
AURANOFIN
GOLIMUMAB
Dose
VIAL
TAB DS PK
TABLET
TABLET
CAPSULE
SOLUTION
SOLUTION
SOLUTION
TAB DS PK
TABLET
ORAL CONC
TABLET
CAPSULE
PEN INJCTR
SYRINGE
PA
Step
QLL
X
X
X
X
X
X
X
X
LOCAL ANESTHESIA
LOWER GASTROINTESTINAL DISORDERS - BOWEL
INFLAMMAT
STELARA
SULINDAC
TOLMETIN SODIUM
USTEKINUMAB
SULINDAC
TOLMETIN SODIUM
VERIPRED 20
WAL-PROFEN
WAL-PROXEN
XELJANZ
PREDNISOLONE SOD PHOSPHATE
IBUPROFEN
NAPROXEN SODIUM
TOFACITINIB CITRATE
CELESTONE
PREDNISOLONE SODIUM PHOS ODT
PRELONE
HUMIRA PEN
HUMIRA PEN CROHN'S-UC-HS
HUMIRA PEN PSORIASIS
XELJANZ XR
LIDOCAINE HCL
BETAMETHASONE
PREDNISOLONE SOD PHOSPHATE
PREDNISOLONE
ADALIMUMAB
ADALIMUMAB
ADALIMUMAB
TOFACITINIB CITRATE
LIDOCAINE HCL
ANUCORT-HC
APRISO
ASACOL HD
BALSALAZIDE DISODIUM
CANASA
CIMZIA
COLOCORT
CORTIFOAM
DELZICOL
DIPENTUM
GRX HICORT 25
HYDROCORTISONE
HYDROCORTISONE ACETATE
MESALAMINE
MESALAMINE
BALSALAZIDE DISODIUM
MESALAMINE
CERTOLIZUMAB PEGOL
HYDROCORTISONE
HYDROCORTISONE ACETATE
MESALAMINE
OLSALAZINE SODIUM
HYDROCORTISONE ACETATE
HYDROCORTISONE
SYRINGE
TABLET
CAPSULE
TABLET
SOLUTION
TABLET
TABLET
TABLET
SOLUTION
TAB RAPDIS
SOLUTION
PEN IJ KIT
PEN IJ KIT
PEN IJ KIT
TAB ER 24H
SOLUTION
JEL (ML)
SUPP.RECT
CAP ER 24H
TABLET DR
CAPSULE
SUPP.RECT
KIT
ENEMA
FOAM/APPL
CAPSULE DR
CAPSULE
SUPP.RECT
CREAM (G)
X
X
X
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
Generic Name
LIALDA
LINZESS
MESALAMINE
PENTASA
PROCTOFOAM-HC
PROCTO-PAK
PROCTOSOL-HC
PROCTOZONE-HC
REMICADE
MESALAMINE
LINACLOTIDE
MESALAMINE
MESALAMINE
HYDROCORTISONE/PRAMOXINE
HYDROCORTISONE
HYDROCORTISONE
HYDROCORTISONE
INFLIXIMAB
SULFADIAZINE
SULFAMETHOXAZOLE-TRIMETHOPRIM
SULFADIAZINE
SULFAMETHOXAZOLE/TRIMETHOPRIM
SULFASALAZINE
SULFASALAZINE DR
SULFATRIM
ASACOL
HYDROCORTISONE ACETATE
VIBERZI
PROCTO-MED HC
ALOPHEN PILLS
ALOSETRON HCL
AMITIZA
ANTI-DIARRHEAL
BISAC-EVAC
BISACODYL
SULFASALAZINE
SULFASALAZINE
SULFAMETHOXAZOLE/TRIMETHOPRIM
MESALAMINE
HYDROCORTISONE ACETATE
ELUXADOLINE
HYDROCORTISONE
BISACODYL
ALOSETRON HCL
LUBIPROSTONE
BISMUTH SUBSALICYLATE
LOPERAMIDE HCL
BISACODYL
BISACODYL
BISA-LAX
BISCOLAX
BISMATROL
BISACODYL
BISACODYL
BISMUTH SUBSALICYLATE
BISMUTH
BISMUTH SUBSALICYLATE
BUPHENYL
SODIUM PHENYLBUTYRATE
CHILD SUPPOSITORY
CHOLBAM
CITRATE OF MAGNESIA
CITROMA
COL-RITE
CONSTULOSE
DIARRHEA RELIEF
DIOCTO
GLYCERIN
CHOLIC ACID
MAGNESIUM CITRATE
MAGNESIUM CITRATE
DOCUSATE SODIUM
LACTULOSE
BISMUTH SUBSALICYLATE
DOCUSATE SODIUM
DIOCTYL
DOCUSATE SODIUM
Dose
CREAM/APPL
ENEMA
TABLET DR
CAPSULE
ENEMA
CAPSULE ER
FOAM
CREAM (G)
CREAM/APPL
CREAM/APPL
VIAL
PA
Step
QLL
X
X
X
LOWER GASTROINTESTINAL DISORDERS - OTHER
TABLET
ORAL SUSP
TABLET
TABLET
TABLET DR
ORAL SUSP
TABLET DR
SUPP.RECT
TABLET
CREAM/APPL
TABLET DR
TABLET
CAPSULE
ORAL SUSP
LIQUID
SUPP.RECT
SUPP.RECT
TABLET DR
TABLET DR
SUPP.RECT
ORAL SUSP
TAB CHEW
ORAL SUSP
TAB CHEW
TABLET
SUPP.RECT
CAPSULE
SOLUTION
SOLUTION
CAPSULE
SOLUTION
ORAL SUSP
LIQUID
SYRUP
SYRUP
X
X
Age
General Therapeutic Category
Brand Name
DIOTAME
DIPHENOXYLATE-ATROPINE
Generic Name
BISMUTH SUBSALICYLATE
DIPHENOXYLATE HCL/ATROPINE
DOC-Q-LACE
DOCUSATE SODIUM
DOC-Q-LAX
DOCU LIQUID
DOCUSATE CALCIUM
DOCUSATE SODIUM
SENNOSIDES/DOCUSATE SODIUM
DOCUSATE SODIUM
DOCUSATE CALCIUM
DOCUSATE SODIUM
DOCUSATE SODIUM-SENNA
DOCUSIL
DOK
DOK PLUS
DUCODYL
DULCOLAX STOOL SOFTENER
ENEMA
ENEMA DISPOSABLE
ENULOSE
EVAC-U-GEN
FAST RELIEF LAXATIVE
FIBER
SENNOSIDES/DOCUSATE SODIUM
DOCUSATE SODIUM
DOCUSATE SODIUM
SENNOSIDES/DOCUSATE SODIUM
BISACODYL
DOCUSATE SODIUM
NA PHOS,M-B/NA PHOS,DI-BA
NA PHOS,M-B/NA PHOS,DI-BA
LACTULOSE
SENNOSIDES
BISACODYL
CALCIUM POLYCARBOPHIL
PSYLLIUM HUSK
PSYLLIUM HUSK (WITH SUGAR)
PSYLLIUM HUSK/ASPARTAME
CALCIUM POLYCARBOPHIL
CALCIUM POLYCARBOPHIL
PSYLLIUM HUSK
PSYLLIUM SEED
PSYLLIUM SEED (WITH SUGAR)
PSYLLIUM SEED
PSYLLIUM SEED (WITH SUGAR)
CALCIUM POLYCARBOPHIL
CALCIUM POLYCARBOPHIL
PSYLLIUM HUSK
PSYLLIUM HUSK (WITH SUGAR)
PSYLLIUM SEED
PSYLLIUM SEED (WITH SUGAR)
CALCIUM POLYCARBOPHIL
CALCIUM POLYCARBOPHIL
CROFELEMER
PEG 3350/NA SULF,BICARB,CL/KCL
PEG 3350/NA SULF,BICARB,CL/KCL
SODIUM CHLORIDE/NAHCO3/KCL/PEG
LACTULOSE
BISACODYL
FIBER LAX
FIBER LAXATIVE
FIBER SMOOTH
FIBER TABS
FIBER THERAPY
FIBER-LAX
FIBER-TABS
FULYZAQ
GAVILYTE-C
GAVILYTE-G
GAVILYTE-N
GENERLAC
GENTLE LAXATIVE
Dose
TAB CHEW
LIQUID
TABLET
CAPSULE
LIQUID
SYRUP
TABLET
LIQUID
CAPSULE
CAPSULE
LIQUID
SYRUP
TABLET
CAPSULE
CAPSULE
TABLET
TABLET DR
CAPSULE
ENEMA
ENEMA
SOLUTION
TABLET
SUPP.RECT
TABLET
CAPSULE
POWDER
POWDER
TABLET
TABLET
CAPSULE
POWDER
POWDER
POWDER
POWDER
TABLET
TABLET
CAPSULE
POWDER
POWDER
POWDER
TABLET
TABLET
TABLET DR
SOLN RECON
SOLN RECON
SOLN RECON
SOLUTION
SUPP.RECT
PA
X
Step
QLL
X
Age
General Therapeutic Category
Brand Name
GERI-KOT
GERI-PECTATE
GLYCERIN
GOLYTELY
HYDROCIL INSTANT
KAOPECTATE
KAO-TIN
KONSYL
KONSYL FIBER
K-PEC
KRISTALOSE
LACTULOSE
LAX STOOL SOFTENER WITH SENNA
LAXACIN
LAXATIVE
LAXATIVE SUPPOSITORY
LITHOSTAT
LOPERAMIDE
MAGIC BULLET
MAGNESIUM CITRATE
MEDI-BISMUTH
MEDI-LAXX
MEDI-MUCIL
MEDI-NATURAL
MEDI-NATURAL SENNA STOOL SOFT
MILK OF MAGNESIA
MOTOFEN
MOVIPREP
NATURAL FIBER
NATURAL FIBER POWDER
NATURAL SENNA LAXATIVE
NATURAL VEGETABLE LAXATIVE
NATURAL VEGETABLE POWDER
OPIUM TINCTURE
OSMOPREP
PAREGORIC
P-COL RITE
PEDIA-LAX
PEDIATRIC ENEMA
Generic Name
SENNOSIDES
BISMUTH SUBSALICYLATE
GLYCERIN
PEG 3350/NA SULF,BICARB,CL/KCL
PSYLLIUM SEED
BISMUTH SUBSALICYLATE
BISMUTH SUBSALICYLATE
DOCUSATE CALCIUM
PSYLLIUM HUSK
PSYLLIUM HUSK (WITH SUGAR)
CALCIUM POLYCARBOPHIL
BISMUTH SUBSALICYLATE
LACTULOSE
LACTULOSE
SENNOSIDES/DOCUSATE SODIUM
SENNOSIDES/DOCUSATE SODIUM
BISACODYL
BISACODYL
GLYCERIN
ACETOHYDROXAMIC ACID
LOPERAMIDE HCL
BISACODYL
MAGNESIUM CITRATE
BISMUTH SUBSALICYLATE
SENNOSIDES/DOCUSATE SODIUM
PSYLLIUM HUSK
SENNOSIDES
SENNOSIDES/DOCUSATE SODIUM
MAGNESIUM HYDROXIDE
DIFENOXIN HCL/ATROPINE SULFATE
PEG3350/SOD SUL/NACL/ASB/C/KCL
PSYLLIUM HUSK
PSYLLIUM SEED (WITH SUGAR)
PSYLLIUM SEED (WITH SUGAR)
SENNOSIDES
SENNOSIDES
PSYLLIUM HUSK (WITH SUGAR)
PSYLLIUM SEED
PSYLLIUM SEED (WITH SUGAR)
OPIUM TINCTURE
NAPHOS M-B M-H/NA PHOS,DI-BA
PAREGORIC
SENNOSIDES/DOCUSATE SODIUM
GLYCERIN
NA PHOS,M-B/NA PHOS,DI-BA
Dose
TABLET DR
TABLET
ORAL SUSP
SUPP.RECT
POWD PACK
POWDER
ORAL SUSP
ORAL SUSP
CAPSULE
CAPSULE
POWDER
POWDER
TABLET
ORAL SUSP
PACKET
SOLUTION
TABLET
TABLET
TABLET DR
SUPP.RECT
SUPP.RECT
TABLET
CAPSULE
LIQUID
SUPP.RECT
SOLUTION
TAB CHEW
TABLET
CAPSULE
TABLET
TABLET
ORAL SUSP
TABLET
POWD PACK
CAPSULE
POWDER
POWDER
TABLET
TABLET
POWDER
POWDER
POWDER
TINCTURE
TABLET
LIQUID
TABLET
SUPP.RECT
ENEMA
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
PEG 3350-ELECTROLYTE
PEG-3350 AND ELECTROLYTES
PEG-3350 WITH FLAVOR PACKS
PEPTIC RELIEF
Generic Name
PEG 3350/NA SULF,BICARB,CL/KCL
SODIUM CHLORIDE/NAHCO3/KCL/PEG
PEG 3350/NA SULF,BICARB,CL/KCL
SODIUM CHLORIDE/NAHCO3/KCL/PEG
BISMUTH SUBSALICYLATE
PEP-T-MED
PERI-COLACE
PHILLIPS' LAXATIVE
PHOSPHATE ENEMA
PINK BISMUTH
BISMUTH SUBSALICYLATE
SENNOSIDES/DOCUSATE SODIUM
DOCUSATE SODIUM
NA PHOS,M-B/NA PHOS,DI-BA
BISMUTH SUBSALICYLATE
POLYETHYLENE GLYCOL 3350
POLYETHYLENE GLYCOL 3350
PSYLLIUM FIBER
PURE & GENTLE SALINE ENEMA
REGULOID
SENNA PLUS
SENNA S
SENNALAX-S
SENNA-S
SENNA-TIME S
SENNO
SENNOSIDES-DOCUSATE SODIUM
SENOKOT-S
SEN-O-TAB
SILACE
PSYLLIUM HUSK
NA PHOS,M-B/NA PHOS,DI-BA
PSYLLIUM HUSK
PSYLLIUM SEED
PSYLLIUM SEED (WITH SUGAR)
NA PHOS,M-B/NA PHOS,DI-BA
GLYCERIN
SENNOSIDES
SENNOSIDES/DOCUSATE SODIUM
SENNOSIDES
SENNOSIDES
SENNOSIDES
SENNOSIDES/DOCUSATE SODIUM
SENNOSIDES/DOCUSATE SODIUM
SENNOSIDES/DOCUSATE SODIUM
SENNOSIDES/DOCUSATE SODIUM
SENNOSIDES/DOCUSATE SODIUM
SENNOSIDES/DOCUSATE SODIUM
SENNOSIDES
SENNOSIDES/DOCUSATE SODIUM
SENNOSIDES/DOCUSATE SODIUM
SENNOSIDES
DOCUSATE SODIUM
SOOTHE
BISMUTH SUBSALICYLATE
STIMULANT LAXATIVE PLUS
STOMACH RELIEF
SENNOSIDES/DOCUSATE SODIUM
BISMUTH SUBSALICYLATE
STOMACH RELIEF ORIGINAL
STOOL SOFTENER
BISMUTH SUBSALICYLATE
DOCUSATE CALCIUM
DOCUSATE SODIUM
SALINE ENEMA
SANI-SUPP
SENEXON
SENEXON-S
SENNA
SENNA LAX
SENNA LAXATIVE
Dose
SOLN RECON
SOLN RECON
SOLN RECON
SOLN RECON
ORAL SUSP
TAB CHEW
TAB CHEW
TABLET
CAPSULE
ENEMA
ORAL SUSP
TAB CHEW
POWD PACK
POWDER
CAPSULE
ENEMA
CAPSULE
POWDER
POWDER
ENEMA
SUPP.RECT
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
LIQUID
SYRUP
ORAL SUSP
TAB CHEW
TABLET
ORAL SUSP
TAB CHEW
ORAL SUSP
CAPSULE
CAPSULE
LIQUID
SYRUP
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
STOOL SOFTENER-LAXATIVE
STOOL SOFTENER-STIMULANT LAX
TRILYTE WITH FLAVOR PACKETS
URSODIOL
VEGETABLE LAXATIVE
WAL-MUCIL
WOMAN'S LAXATIVE
WOMEN'S GENTLE LAXATIVE
WOMEN'S LAXATIVE
WOMENS STOOL SOFTENER
EX-LAX MILK OF MAGNESIA
PERDIEM
OCL
SENNA-GEN
FIBERTAB
DOCUSOFT S
DOCU SOFT
FIBER SUPPLEMENT
CALCIUM STOOL SOFTENER
INFANT GLYCERIN
SENNA-DOCUSATE SODIUM
METAMUCIL
DSS
NATURAL FIBER LAXATIVE
NATURAL DAILY FIBER
DISPOSABLE ENEMA
NATURAL FIBER SUPPLEMENT
CURAD ENEMA
GERI-MUCIL
METAFIBER
NATURAL PSYLLIUM FIBER
DAILY FIBER
CALCIUM POLYCARBOPHIL
DIGESTIVE RELIEF
MEDICAL SUPPLIES
ACCU-CHEK
ACCU-CHEK FASTCLIX
ACCU-CHEK SOFTCLIX
ADVOCATE SYRINGES
ASSURE ID INSULIN SAFETY
Generic Name
SENNOSIDES/DOCUSATE SODIUM
SENNOSIDES/DOCUSATE SODIUM
SENNOSIDES/DOCUSATE SODIUM
SODIUM CHLORIDE/NAHCO3/KCL/PEG
URSODIOL
PSYLLIUM SEED
SENNOSIDES
PSYLLIUM HUSK
PSYLLIUM HUSK/ASPARTAME
BISACODYL
BISACODYL
BISACODYL
DOCUSATE SODIUM
MAGNESIUM HYDROXIDE
CALCIUM POLYCARBOPHIL
SOD SULF/SODIUM/NAHCO3/KCL/PEG
SENNOSIDES
CALCIUM POLYCARBOPHIL
DOCUSATE SODIUM
DOCUSATE SODIUM
PSYLLIUM SEED (WITH SUGAR)
DOCUSATE CALCIUM
GLYCERIN
SENNOSIDES/DOCUSATE SODIUM
PSYLLIUM HUSK/ASPARTAME
DOCUSATE SODIUM
PSYLLIUM HUSK/ASPARTAME
PSYLLIUM HUSK/ASPARTAME
NA PHOS,M-B/NA PHOS,DI-BA
PSYLLIUM HUSK/ASPARTAME
NA PHOS,M-B/NA PHOS,DI-BA
PSYLLIUM HUSK/ASPARTAME
PSYLLIUM SEED
PSYLLIUM SEED (WITH SUGAR)
PSYLLIUM HUSK/ASPARTAME
PSYLLIUM HUSK
CALCIUM POLYCARBOPHIL
BISMUTH SUBSALICYLATE
LANCETS
LANCETS
LANCETS
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYRINGE,NEEDLE,INSULN,SAFE,1ML
SYRINGE,NEEDLE,INSULN,SF 0.5ML
Dose
TABLET
TABLET
TABLET
SOLN RECON
CAPSULE
TABLET
POWDER
TABLET
CAPSULE
POWDER
TABLET DR
TABLET DR
TABLET DR
CAPSULE
ORAL SUSP
TABLET
SOLUTION
TABLET
TABLET
CAPSULE
CAPSULE
POWDER
CAPSULE
SUPP.RECT
TABLET
POWDER
CAPSULE
POWDER
POWDER
ENEMA
POWDER
ENEMA
POWDER
POWDER
POWDER
POWDER
CAPSULE
TABLET
ORAL SUSP
TAB CHEW
EACH
EACH
EACH
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
CAREONE
COMFORT EZ
EASY COMFORT INSULIN SYRINGE
EASY TOUCH
EASY TOUCH INSULIN SAFETY
EASY TOUCH INSULIN SYRINGE
EASY-TOUCH INSULIN SYRINGE
ECLIPSE SYRINGE
FREESTYLE PRECISION
GLUCOSOURCE
INSULIN SYRINGE
INTEGRA SYRINGE
LITE TOUCH
LUER-LOK SYRINGE
MAGELLAN INSULIN SAFETY SYRNG
MAGELLAN INSULIN SYRINGE
MAXI-COMFORT
MONOJECT
MONOJECT INSULIN SAFETY SYRNG
MONOJECT INSULIN SYRINGE
ONE-PIECE SHARPS COLLECTORS
ONETOUCH DELICA
Generic Name
LANCETS
SYR,NDL,INSULIN,1ML-SHARPS BIN
LANCETS
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
LANCETS
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYRINGE,NEEDLE,INSULN,SAFE,1ML
SYRINGE,NEEDLE,INSULN,SF 0.5ML
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
LANCETS
SYRINGE W-O NEEDL,INSULIN,1 ML
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYRGE-NDL,INS 0.3 ML HALF MARK
SYRINGE AND NEEDLE,INSULIN,1ML
LANCETS
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYRINGE W-O NEEDL,INSULIN,1 ML
SYRINGE,NEEDLE,INSULN,SAFE,1ML
SYRINGE,NEEDLE,INSULN,SF 0.5ML
SYRINGE,NEEDLE,INSULN,SF,0.3ML
SYRINGE,NEEDLE,INSULN,SF 0.5ML
SYRINGE,NEEDLE,INSULN,SF,0.3ML
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRINGE W-NDL, DISP., INSULIN
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
CONTAINER,EMPTY
LANCETS
Dose
EACH
SYRINGE
EACH
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
EACH
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
EACH
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
EACH
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
EACH
EACH
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
ONETOUCH SURESOFT
PRODIGY INSULIN SYRINGE
SAFESNAP INSULIN SYRINGE
SAFETYGLIDE INSULIN SYRINGE
SAFETYGLIDE SYRINGE
SHARPS COLLECTOR
SHARPS CONTAINER
SMARTDIABETES VANTAGE
SOFTCLIX
SURE COMFORT
SURE-JECT INSULIN SYRINGE
TERUMO INSULIN SYRINGE
THINPRO INSULIN SYRINGE
TOPCARE ULTRA COMFORT
TRUEPLUS INSULIN SYRINGE
ULTICARE
ULTILET INSULIN SYRINGE
ULTRA COMFORT
ULTRA-THIN II
Generic Name
LANCETS
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYR,NDL 0.3 ML,INS,SAFE,D.UNIT
SYR,NDL,INS,SAFE 0.5ML,DISP UN
SYR,NDL 1 ML,INS,SAFE,DISP UNT
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYRINGE AND NEEDLE,INSULIN,1ML
CONTAINER,EMPTY
CONTAINER,EMPTY
MISCELLANEOUS MEDICAL SUPPLY
LANCETS
LANCETS
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
LANCETS
SYRINGE AND NEEDLE,INSULIN,1ML
SYR,NDL,INSULIN,1ML-SHARPS BIN
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYRINGE W-NDL, DISP., INSULIN
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
SYRGE-NDL,INS 0.3 ML HALF MARK
LANCETS
SYRINGE AND NEEDLE,INSULIN,1ML
Dose
EACH
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
EACH
EACH
EACH
EACH
EACH
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
EACH
DISP SYRIN
SYRINGE
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
DISP SYRIN
EACH
DISP SYRIN
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
UNISTIK 3
VANISHPOINT
FINGERSTIX
MICROLET
SINGLE-LET
ULTRA THIN LANCETS
MICRO THIN LANCETS
SUPER THIN LANCETS
E-Z JECT LANCETS
MAJOR COMFORT
LANCETS
KINNEY BRAND LANCETS
THIN LANCETS
INCONTROL ULTRA THIN LANCETS
UNILET LANCETS
ADVANCED TRAVEL LANCETS
ON-THE-GO
UNILET LANCET
UNILET GP LANCET
ALTERNATE SITE LANCETS
UNILET COMFORTOUCH
UNILET EXCELITE
UNILET EXCELITE II
COMFORT LANCETS
AURORA SUPER THIN LANCETS
INCONTROL SUPER THIN LANCETS
HEALTHY ACCENTS UNILET LANCET
LANCETS THIN
LANCETS ULTRA THIN
FINE 30 UNIVERSAL LANCETS
MEDLANCE PLUS
EXEL INSULIN SYRINGE
BD ULTRA-FINE
BD ULTRA-FINE II
BD MICROTAINER LANCETS
MICROTAINER LANCETS
HAEMOLANCE, RETRACTABLE
TECHLITE LANCETS
TECHLITE BLOOD LANCET
TECHLITE
HAEMOLANCE
ASSURE HAEMOLANCE PLUS
ASSURE LANCE PLUS
ASSURE LANCE
Generic Name
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
LANCETS
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
SYRINGE-NEEDLE,INSULIN,0.5 ML
LANCETS
LANCETS
LANCETS
BLADE LANCET, SAFETY
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
BLADE LANCET, SAFETY
LANCETS
LANCETS
Dose
DISP SYRIN
DISP SYRIN
EACH
DISP SYRIN
DISP SYRIN
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
DISP SYRIN
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
HAEMOLANCE PLUS
ULTILET SAFETY
ULTILET CLASSIC
ULTILET LANCETS
ULTILET BASIC
SAFETY LANCETS
PRESSURE ACTIVATED LANCETS
UNISTIK CZT
UNISTIK 3 EXTRA
UNISTIK SAFETY
ULTRACOMFORT
ORSINI INSULIN SYRINGE
PRODIGY TWIST TOP LANCET
PRODIGY LANCETS
MEDLANCE PLUS SPECIAL BLADE
ACTI-LANCE
DROPLET LANCETS
1ST CHOICE LANCETS
1ST TIER UNILET COMFORTOUCH
FIFTY50 SAFETY SEAL LANCETS
SMARTEST LANCET
GLUCOCOM LANCETS
GLUCOCOM
RIGHTEST GL300 LANCETS
NOVA SUREFLEX
NOVA SAFETY LANCETS
STERILANCE TL
ULTRALANCE
SOLUS V2 LANCETS
SOLUS V2
CARESENS
INVACARE LANCETS
MONOLET LANCETS
MONOLET THIN LANCETS
COLOR LANCETS
UNIVERSAL 1
E-ZJECT LANCETS
TRUEPLUS LANCETS
MEDI-LANCE
RELION THIN
SMART SENSE LANCETS
TOPCARE UNIVERSAL1 THIN LANCET
ULTRA THIN PLUS
SMART SENSE
ULTRA THIN PLUS LANCETS
Generic Name
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
SYRINGE AND NEEDLE,INSULIN,1ML
SYR,NDL,INSULIN,1ML-SHARPS BIN
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
LANCETS
LANCETS
BLADE LANCET, SAFETY
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
Dose
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
DISP SYRIN
SYRINGE
DISP SYRIN
DISP SYRIN
DISP SYRIN
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
PA
Step
QLL
Age
General Therapeutic Category
MISCELLANEOUS AGENTS
Brand Name
RENEW ADVANCED MICRO-LANCETS
BULLSEYE MINI SAFETY LANCETS
SAFETY-LET
SAFETY SEAL LANCETS
EASY TWIST & CAP LANCETS
GLUCOPRO
RELIAMED
RELIAMED SAFETY SEAL LANCETS
MYGLUCOHEALTH LANCETS
COAGUCHEK
ACCU-CHEK SAFE-T-PRO PLUS
SOFT TOUCH
ACCU-CHEK SAFE-T-PRO
ULTRA THIN II
ULTRA-THIN II LANCETS
EZ SMART LANCETS
ONE TOUCH DELICA
ONETOUCH FINEPOINT LANCETS
ONETOUCH LANCETS
MEDISENSE THIN LANCETS
TELCARE
SURE-LANCE
SURE-TOUCH
ON CALL PLUS LANCET
ON CALL LANCET
SURE COMFORT LANCETS
GMATE
PUSH BUTTON SAFETY LANCETS
INJECT EASE LANCETS
EASY COMFORT
EASY TOUCH LANCETS
ULTRATLC LANCETS
EMBRACE
ADVOCATE LANCET
ADVOCATE LANCETS
CLEVER CHEK LANCETS
FORACARE LANCETS
FREESTYLE LANCETS
FREESTYLE UNISTIK 2
FORA LANCETS
TOPCARE UNIVERSAL1 LANCET
BLOOD LANCETS
UNISTIK TOUCH
ARALAST NP
AUVI-Q
BETHANECHOL CHLORIDE
Generic Name
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
SYRINGE AND NEEDLE,INSULIN,1ML
SYRINGE-NEEDLE,INSULIN,0.5 ML
SYRING-NEEDL,DISP,INSUL,0.3 ML
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
LANCETS
ALPHA-1-PROTEINASE INHIBITOR
EPINEPHRINE
BETHANECHOL CHLORIDE
Dose
EACH
EACH
EACH
EACH
EACH
DISP SYRIN
DISP SYRIN
DISP SYRIN
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
EACH
VIAL
AUTO INJCT
TABLET
PA
Step
QLL
X
X
Age
General Therapeutic Category
NEOPLASTIC DISEASE
CEVIMELINE HCL
EPINEPHRINE
EPIPEN 2-PAK
EPIPEN JR 2-PAK
GUANIDINE HCL
PILOCARPINE HCL
PROLASTIN C
ZEMAIRA
EPIPEN
EPIPEN JR
TWINJECT
PROLASTIN
AFINITOR
AFINITOR DISPERZ
ALIMTA
ALKERAN
Brand Name
Generic Name
CEVIMELINE HCL
EPINEPHRINE
EPINEPHRINE
EPINEPHRINE
GUANIDINE HCL
PILOCARPINE HCL
ALPHA-1-PROTEINASE INHIBITOR
ALPHA-1-PROTEINASE INHIBITOR
EPINEPHRINE
EPINEPHRINE
EPINEPHRINE
ALPHA-1-PROTEINASE INHIBITOR
EVEROLIMUS
EVEROLIMUS
PEMETREXED DISODIUM
MELPHALAN
Dose
CAPSULE
AUTO INJCT
AUTO INJCT
AUTO INJCT
TABLET
TABLET
VIAL
VIAL
AUTO INJCT
AUTO INJCT
COMBO. PKG
VIAL
TABLET
TAB SUSP
VIAL
TABLET
AMIFOSTINE
ANASTROZOLE
AVASTIN
BICALUTAMIDE
BOSULIF
AMIFOSTINE CRYSTALLINE
ANASTROZOLE
BEVACIZUMAB
BICALUTAMIDE
BOSUTINIB
VIAL
TABLET
VIAL
TABLET
TABLET
X
CAPECITABINE
CAPECITABINE
TABLET
X
CAPRELSA
CLADRIBINE
CYCLOPHOSPHAMIDE
VANDETANIB
CLADRIBINE
CYCLOPHOSPHAMIDE
CYTARABINE
DEXRAZOXANE
DOCETAXEL
EMCYT
CYTARABINE
CYTARABINE/PF
DEXRAZOXANE HCL
DOCETAXEL
ESTRAMUSTINE PHOSPHATE SODIUM
TABLET
VIAL
CAPSULE
TABLET
VIAL
VIAL
VIAL
VIAL
VIAL
CAPSULE
EPIRUBICIN HCL
ERBITUX
ETOPOSIDE
EPIRUBICIN HCL
CETUXIMAB
ETOPOSIDE
VIAL
VIAL
CAPSULE
X
X
X
EXEMESTANE
FARESTON
EXEMESTANE
TOREMIFENE CITRATE
TABLET
TABLET
X
FARYDAK
FASLODEX
FLUDARABINE PHOSPHATE
FLUTAMIDE
GILOTRIF
PANOBINOSTAT LACTATE
FULVESTRANT
FLUDARABINE PHOSPHATE
FLUTAMIDE
AFATINIB DIMALEATE
CAPSULE
SYRINGE
VIAL
CAPSULE
TABLET
PA
Step
QLL
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
GLEOSTINE
Brand Name
LOMUSTINE
Dose
CAPSULE
X
GLIADEL
CARMUSTINE IN POLIFEPROSAN 20
WAFER
X
HERCEPTIN
HEXALEN
TRASTUZUMAB
ALTRETAMINE
VIAL
CAPSULE
X
X
HYCAMTIN
HYDROXYUREA
IBRANCE
IDARUBICIN HCL
IFOSFAMIDE
IMBRUVICA
INLYTA
IRESSA
TOPOTECAN HCL
HYDROXYUREA
PALBOCICLIB
IDARUBICIN HCL
IFOSFAMIDE
IBRUTINIB
AXITINIB
GEFITINIB
CAPSULE
CAPSULE
CAPSULE
VIAL
VIAL
CAPSULE
TABLET
TABLET
IXEMPRA
LENVIMA
LETROZOLE
LEUCOVORIN CALCIUM
LEUKERAN
IXABEPILONE
LENVATINIB MESYLATE
LETROZOLE
LEUCOVORIN CALCIUM
CHLORAMBUCIL
VIAL
CAPSULE
TABLET
TABLET
TABLET
LEVULAN
LIPODOX
LIPODOX 50
LYSODREN
MATULANE
AMINOLEVULINIC ACID HCL
DOXORUBICIN HCL PEG-LIPOSOMAL
DOXORUBICIN HCL PEG-LIPOSOMAL
MITOTANE
PROCARBAZINE HCL
SOL W/APPL
VIAL
VIAL
TABLET
CAPSULE
MEGESTROL ACETATE
MEKINIST
MELPHALAN HCL
MEGESTROL ACETATE
TRAMETINIB DIMETHYL SULFOXIDE
MELPHALAN HCL
TABLET
TABLET
VIAL
X
MERCAPTOPURINE
MESNA
MESNEX
MERCAPTOPURINE
MESNA
MESNA
TABLET
VIAL
TABLET
X
X
METHOTREXATE
MUSTARGEN
MYLERAN
METHOTREXATE SODIUM
MECHLORETHAMINE HCL
BUSULFAN
TABLET
VIAL
TABLET
X
X
NEXAVAR
SORAFENIB TOSYLATE
TABLET
X
NILANDRON
NILUTAMIDE
TABLET
X
OXALIPLATIN
PHOTOFRIN
POMALYST
OXALIPLATIN
PORFIMER SODIUM
POMALIDOMIDE
VIAL
VIAL
CAPSULE
X
X
X
Generic Name
PA
X
X
X
Step
QLL
X
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
PURIXAN
REVLIMID
Brand Name
MERCAPTOPURINE
LENALIDOMIDE
Dose
ORAL SUSP
CAPSULE
RITUXAN
SOLTAMOX
SPRYCEL
RITUXIMAB
TAMOXIFEN CITRATE
DASATINIB
VIAL
SOLUTION
TABLET
X
STIVARGA
REGORAFENIB
TABLET
X
SUTENT
SUNITINIB MALATE
CAPSULE
X
SYLATRON
SYNRIBO
TABLOID
PEGINTERFERON ALFA-2B
OMACETAXINE MEPESUCCINATE
THIOGUANINE
KIT
VIAL
TABLET
X
X
X
TAFINLAR
TAMOXIFEN CITRATE
TARCEVA
DABRAFENIB MESYLATE
TAMOXIFEN CITRATE
ERLOTINIB HCL
CAPSULE
TABLET
TABLET
X
TASIGNA
NILOTINIB HCL
CAPSULE
X
TEMOZOLOMIDE
TEMOZOLOMIDE
CAPSULE
X
THIOTEPA
TOPOTECAN HCL
TORISEL
TRETINOIN
TREXALL
TYKERB
THIOTEPA
TOPOTECAN HCL
TEMSIROLIMUS
TRETINOIN
METHOTREXATE SODIUM
LAPATINIB DITOSYLATE
VIAL
VIAL
VIAL
CAPSULE
TABLET
TABLET
X
X
X
VECTIBIX
VELCADE
VINBLASTINE SULFATE
VINORELBINE TARTRATE
XTANDI
PANITUMUMAB
BORTEZOMIB
VINBLASTINE SULFATE
VINORELBINE TARTRATE
ENZALUTAMIDE
VIAL
VIAL
VIAL
VIAL
CAPSULE
X
X
X
X
X
ZANOSAR
ZOLINZA
ZYKADIA
STREPTOZOCIN
VORINOSTAT
CERITINIB
VIAL
CAPSULE
CAPSULE
X
CEENU
LOMUSTINE
CAPSULE
X
VANDETANIB
ELOXATIN
SYLATRON 4-PACK
BUSULFEX
ELSPAR
IMATINIB MESYLATE
VANDETANIB
OXALIPLATIN
PEGINTERFERON ALFA-2B
BUSULFAN
ASPARAGINASE
IMATINIB MESYLATE
TABLET
VIAL
KIT
VIAL
VIAL
TABLET
X
X
X
X
X
Generic Name
PA
Step
QLL
X
X
X
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
Dose
Generic Name
PA
LONSURF
EVOMELA
VENCLEXTA
VENCLEXTA STARTING PACK
AUBAGIO
TRIFLURIDINE/TIPIRACIL HCL
MELPHALAN HCL
VENETOCLAX
VENETOCLAX
TERIFLUNOMIDE
TABLET
VIAL
TABLET
TAB DS PK
TABLET
X
AVONEX
INTERFERON BETA-1A
SYRINGE
X
SYRINGEKIT
X
X
X
X
NEUROLOGICAL DISEASE - MISCELLANEOUS
AVONEX ADMINISTRATION PACK
INTERFERON BETA-1A/ALBUMIN
KIT
X
AVONEX PEN
INTERFERON BETA-1A
PEN IJ KIT
X
PEN INJCTR
X
COPAXONE
GLATOPA
GLATIRAMER ACETATE
GLATIRAMER ACETATE
SYRINGE
SYRINGE
X
X
REBIF
REBIF REBIDOSE
RILUZOLE
INTERFERON BETA-1A/ALBUMIN
INTERFERON BETA-1A/ALBUMIN
RILUZOLE
SYRINGE
PEN INJCTR
TABLET
X
X
X
TECFIDERA
DIMETHYL FUMARATE
CAPSULE DR
X
TYSABRI
CHLORHEXIDINE GLUCONATE
KEPIVANCE
ORALONE
PAROEX
PERIOGARD
TRIAMCINOLONE ACETONIDE
1ST TIER UNIFINE PENTIPS
1ST TIER UNIFINE PENTIPS PLUS
ADVOCATE PEN NEEDLES
ALTAMIST
AUTOSHIELD DUO PEN NEEDLE
AUTOSHIELD PEN NEEDLE
AYR SALINE
BD ULTRA-FINE PEN NEEDLE
CEREZYME
CHILDREN'S SALINE NASAL SPRAY
CLICKFINE
COMFORT EZ
CYSTADANE
NATALIZUMAB
CHLORHEXIDINE GLUCONATE
PALIFERMIN
TRIAMCINOLONE ACETONIDE
CHLORHEXIDINE GLUCONATE
CHLORHEXIDINE GLUCONATE
TRIAMCINOLONE ACETONIDE
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
SODIUM CHLORIDE
PEN NEEDLE,DUAL SAFETY,DIABETC
PEN NEEDLE, DIABETIC, SAFETY
SODIUM CHLORIDE
PEN NEEDLE, DIABETIC
IMIGLUCERASE
SODIUM CHLORIDE
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
BETAINE
VIAL
MOUTHWASH
VIAL
PASTE (G)
MOUTHWASH
MOUTHWASH
PASTE (G)
DIS NEEDLE
DIS NEEDLE
DIS NEEDLE
SPRAY
DIS NEEDLE
DIS NEEDLE
SPRAY
DIS NEEDLE
VIAL
SPRAY
DIS NEEDLE
DIS NEEDLE
POWDER
X
DEEP SEA
SODIUM CHLORIDE
SPRAY
Step
QLL
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
ORAL/PHARYNGEAL DISORDERS
OTHER DRUGS
X
X
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
EASY COMFORT PEN NEEDLES
EASY TOUCH PEN NEEDLE
ELAPRASE
EXJADE
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
IDURSULFASE
DEFERASIROX
Dose
DIS NEEDLE
DIS NEEDLE
VIAL
TAB DISPER
VIAL
DIS NEEDLE
DIS NEEDLE
DIS NEEDLE
DIS NEEDLE
DIS NEEDLE
TABLET
X
INCONTROL PEN NEEDLE
INSULIN PEN NEEDLE
INSUPEN
JADENU
AGALSIDASE BETA
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC, SAFETY
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
DEFERASIROX
KUVAN
SAPROPTERIN DIHYDROCHLORIDE
POWD PACK
X
TABLET SOL
X
LILETTA
LEVOCARNITINE
LEVOCARNITINE (WITH SUGAR)
LEVONORGESTREL
TABLET
SOLUTION
IUD
X
LITE TOUCH
LITTLE REMEDIES STUFFY NOSE
MEGESTROL ACETATE
MINI ULTRA-THIN II
MIRENA
PEN NEEDLE, DIABETIC
SODIUM CHLORIDE
MEGESTROL ACETATE
PEN NEEDLE, DIABETIC
LEVONORGESTREL
DIS NEEDLE
SPRAY
ORAL SUSP
DIS NEEDLE
IUD
X
NAGLAZYME
NASAL MOISTURIZING
NASAL SPRAY
NEEDLES
NOVOFINE
NOVOFINE 32
NOVOFINE AUTOCOVER
NOVOTWIST
OCEAN
OCTREOTIDE ACETATE
GALSULFASE
SODIUM CHLORIDE
SODIUM CHLORIDE
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC, SAFETY
PEN NEEDLE, DIABETIC
SODIUM CHLORIDE
OCTREOTIDE ACETATE
PARAGARD T 380-A
COPPER
VIAL
SPRAY
SPRAY
DIS NEEDLE
DIS NEEDLE
DIS NEEDLE
DIS NEEDLE
DIS NEEDLE
SPRAY
AMPUL
SYRINGE
VIAL
IUD
PEN NEEDLE
PEN NEEDLES
PRECISION XTRA
RELION PEN NEEDLES
SALINE MIST
SALINE NASAL SPRAY
SALINE NOSE SPRAY
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
BLOOD KETONE TEST,STRIPS
PEN NEEDLE, DIABETIC
SODIUM CHLORIDE
SODIUM CHLORIDE
SODIUM CHLORIDE
DIS NEEDLE
DIS NEEDLE
STRIP
DIS NEEDLE
SPRAY
SPRAY
SPRAY
FABRAZYME
HEALTHY ACCENTS UNIFINE PENTIP
LEVOCARNITINE
Generic Name
PA
Step
QLL
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
OTHER RESPIRATORY DISORDERS
PAIN MANAGEMENT - ANALGESICS
Brand Name
Dose
Generic Name
SEA SOFT
SKYLA
SODIUM CHLORIDE
LEVONORGESTREL
SPRAY
IUD
SODIUM CHLORIDE
SOMATULINE DEPOT
SURE COMFORT
SURE-FINE PEN NEEDLES
TOPCARE CLICKFINE
ULTILET PEN NEEDLE
ULTRA SALINE
ULTRA-THIN II
UNIFINE PENTIPS
UNIFINE PENTIPS PLUS
ZAVESCA
SODIUM CHLORIDE FOR INHALATION
LANREOTIDE ACETATE
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
SODIUM CHLORIDE
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
MIGLUSTAT
VIAL-NEB
SYRINGE
DIS NEEDLE
DIS NEEDLE
DIS NEEDLE
DIS NEEDLE
SPRAY
DIS NEEDLE
DIS NEEDLE
DIS NEEDLE
CAPSULE
FC CONDOM, FEMALE
ULTRACOMFORT
PRODIGY PEN NEEDLE
POLYMYXIN B SULFATE
UNDECYLENIC ACID
AIMSCO ULTRA THIN II
AIMSCO MINI ULTRA-THIN II
CEREDASE
ULTICARE PEN NEEDLE
HAIR, SKIN AND NAILS
STRENSIQ
ACETYLCYSTEINE
ORKAMBI
PULMOZYME
8 HOUR
8 HOUR PAIN RELIEF
8 HOUR PAIN RELIEVER
ACEPHEN
ACETAMINOPHEN
CONDOMS, FEMALE
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC, SAFETY
POLYMYXIN B SULFATE,MICRONIZED
UNDECYLENIC ACID
PEN NEEDLE, DIABETIC
PEN NEEDLE, DIABETIC
ALGLUCERASE
PEN NEEDLE, DIABETIC
MULTIVITS MIN/IRON/FA/HERB#186
ASFOTASE ALFA
ACETYLCYSTEINE
LUMACAFTOR/IVACAFTOR
DORNASE ALFA
ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN 8 HOUR
ACETAMINOPHEN ER
ACETAMINOPHEN EXTRA STRENGTH
ACETAMINOPHEN-CODEINE
ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN WITH CODEINE
ADDED STRENGTH HEADACHE
ASPIRIN/ACETAMINOPHEN/CAFFEINE
EACH
DIS NEEDLE
DIS NEEDLE
DIS NEEDLE
POWDER(EA)
LIQUID
DIS NEEDLE
DIS NEEDLE
VIAL
DIS NEEDLE
TABLET
VIAL
VIAL
TABLET
SOLUTION
TABLET ER
TABLET ER
TABLET ER
SUPP.RECT
DROPS SUSP
ELIXIR
LIQUID
ORAL SUSP
SOLUTION
SUPP.RECT
TAB CHEW
TABLET
TABLET ER
TABLET ER
TABLET
SOLUTION
TABLET
TABLET
PA
Step
QLL
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
ADDED STRENGTH PAIN RELIEVER
ADULT LOW DOSE ASPIRIN EC
ARTHRITIS PAIN
ARTHRITIS PAIN RELIEF
ARTHRITIS PAIN RELIEVER
ASCOMP WITH CODEINE
ASPIR 81
ASPIRIN
Generic Name
ASPIRIN/ACETAMINOPHEN/CAFFEINE
ASPIRIN
ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN
CODEINE/BUTALBITAL/ASA/CAFFEIN
ASPIRIN
ASPIRIN
ASPIRIN BUFFERED
ASPIRIN EC
ASPIRIN-CAFFEINE-DIHYDROCODEIN
ASPIR-LOW
ASPIR-TRIN
ATHENOL
BAYER MIGRAINE
BELLADONNA-OPIUM
BETATEMP
BUFFERED ASPIRIN
BUFFERIN
BUNAVAIL
BUPRENORPHINE HCL
BUPRENORPHINE-NALOXONE
BUTALB-ACETAMINOPH-CAFF-CODEIN
BUTALB-CAFF-ACETAMINOPH-CODEIN
BUTALBITAL COMPOUND-CODEINE
BUTALBITAL-ACETAMINOPHEN
BUTALBITAL-ACETAMINOPHEN-CAFFE
ASPIRIN/CALCIUM CARBONATE/MAG
ASPIRIN
DIHYDROCODEINE/ASPIRIN/CAFFEIN
ASPIRIN
ASPIRIN
ACETAMINOPHEN
ASPIRIN/ACETAMINOPHEN/CAFFEINE
OPIUM/BELLADONNA ALKALOIDS
ACETAMINOPHEN
ASPIRIN/CALCIUM CARBONATE/MAG
ASPIRIN/CALCIUM CARBONATE/MAG
BUPRENORPHINE HCL/NALOXONE HCL
BUPRENORPHINE HCL
BUPRENORPHINE HCL/NALOXONE HCL
BUTALBIT/ACETAMIN/CAFF/CODEINE
BUTALBIT/ACETAMIN/CAFF/CODEINE
CODEINE/BUTALBITAL/ASA/CAFFEIN
BUTALBITAL/ACETAMINOPHEN
BUTALB/ACETAMINOPHEN/CAFFEINE
BUTALBITAL-ASPIRIN-CAFFEINE
BUTALBITAL/ASPIRIN/CAFFEINE
CAPACET
CAPITAL W-CODEINE
CARISOPRODOL COMPOUND-CODEINE
CARISOPRODOL-ASPIRIN-CODEINE
CHILDREN'S ACETAMINOPHEN
BUTALB/ACETAMINOPHEN/CAFFEINE
ACETAMINOPHEN WITH CODEINE
CODEINE/CARISOPRODOL/ASPIRIN
CODEINE/CARISOPRODOL/ASPIRIN
ACETAMINOPHEN
CHILDREN'S ASPIRIN
CHILDREN'S MEDI-TABS
CHILDREN'S NON-ASPIRIN
ASPIRIN
ACETAMINOPHEN
ACETAMINOPHEN
CHILDREN'S PAIN & FEVER
ACETAMINOPHEN
Dose
TABLET
TABLET DR
TABLET ER
TABLET ER
TABLET ER
CAPSULE
TABLET DR
TAB CHEW
TABLET
TABLET
TABLET DR
CAPSULE
TABLET DR
TABLET DR
TABLET
TABLET
SUPP.RECT
ORAL SUSP
TABLET
TABLET
FILM
TAB SUBL
TAB SUBL
CAPSULE
CAPSULE
CAPSULE
TABLET
CAPSULE
TABLET
CAPSULE
TABLET
CAPSULE
ORAL SUSP
TABLET
TABLET
ELIXIR
ORAL SUSP
TAB CHEW
TAB CHEW
ORAL SUSP
DROPS
ELIXIR
LIQUID
ORAL SUSP
TAB CHEW
ORAL SUSP
TAB CHEW
PA
Step
QLL
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
CHILDREN'S PAIN RELIEF
ACETAMINOPHEN
CHILDREN'S PAIN RELIEVER
ACETAMINOPHEN
CHILDREN'S Q-PAP
CHILDREN'S SILAPAP
CHILDREN'S TACTINAL
CHOLINE MAG TRISALICYLATE
ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN
CHOLINE SAL/MAG SALICYLATE
CODEINE SULFATE
DIFLUNISAL
ECOTRIN
ECPIRIN
ED-APAP
ENDOCET
ENDODAN
EXCEDRIN MIGRAINE
EXTRA STRENGTH NON-ASPIRIN
FENTANYL
FEVER REDUCER & PAIN RELIEVER
FEVERALL
GOODY'S EXTRA STRENGTH
GOODY'S MIGRAINE RELIEF
HEADACHE FORMULA
HEADACHE PAIN
HEADACHE RELIEF
HYDROCODONE-ACETAMINOPHEN
CODEINE SULFATE
DIFLUNISAL
ASPIRIN
ASPIRIN
ACETAMINOPHEN
OXYCODONE HCL/ACETAMINOPHEN
OXYCODONE HCL/ASPIRIN
ASPIRIN/ACETAMINOPHEN/CAFFEINE
ACETAMINOPHEN
FENTANYL
ACETAMINOPHEN
ACETAMINOPHEN
ASPIRIN/ACETAMINOPHEN/CAFFEINE
ASPIRIN/ACETAMINOPHEN/CAFFEINE
ASPIRIN/ACETAMINOPHEN/CAFFEINE
ASPIRIN/ACETAMINOPHEN/CAFFEINE
ASPIRIN/ACETAMINOPHEN/CAFFEINE
HYDROCODONE/ACETAMINOPHEN
HYDROCODONE-IBUPROFEN
HYDROMORPHONE HCL
HYDROCODONE/IBUPROFEN
HYDROMORPHONE HCL
INFANT FEVER-PAIN RELIEVER
INFANT PAIN & FEVER
INFANT PAIN RELIEF
INFANT'S NON-ASPIRIN
ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN
INFANTS' PAIN & FEVER
INFANTS' PAIN RELIEF
INFANT'S PAIN RELIEF
ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN
INFANTS PAIN RELIEVER
INFANTS' PAIN RELIEVER
INFANT'S PAIN RELIEVER
ISOMETHEPT-DICHLORALP-ACETAMIN
KADIAN
LEVACET
ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN
ISOMETHEPT/DICHLPHN/ACETAMINOP
MORPHINE SULFATE
ASA/SALICYLAM/ACETAMINOPH/CAFF
Generic Name
Dose
LIQUID
ORAL SUSP
ORAL SUSP
TAB CHEW
ORAL SUSP
LIQUID
TAB CHEW
LIQUID
TABLET
TABLET
TABLET
TABLET DR
TABLET DR
LIQUID
TABLET
TABLET
TABLET
TABLET
PATCH TD72
ORAL SUSP
SUPP.RECT
TABLET
TABLET
TABLET
TABLET
TABLET
CAPSULE
SOLUTION
TABLET
TABLET
LIQUID
SUPP.RECT
TABLET
ORAL SUSP
ORAL SUSP
ORAL SUSP
DROPS
DROPS SUSP
ORAL SUSP
ORAL SUSP
DROPS SUSP
ORAL SUSP
DROPS
ORAL SUSP
DROPS
CAPSULE
CAP ER PEL
TABLET
PA
Step
QLL
X
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
LEVORPHANOL TARTRATE
LITE COAT ASPIRIN
LITTLE REMEDIES FEVER & PAIN
LO-DOSE ASPIRIN EC
LORCET
LORCET HD
LORCET PLUS
LOW DOSE ASPIRIN EC
MAPAP
Generic Name
LEVORPHANOL TARTRATE
ASPIRIN
ACETAMINOPHEN
ASPIRIN
HYDROCODONE/ACETAMINOPHEN
HYDROCODONE/ACETAMINOPHEN
HYDROCODONE/ACETAMINOPHEN
ASPIRIN
ACETAMINOPHEN
MAPAP ARTHRITIS PAIN
MARGESIC
MARTEN-TAB
MASOPHEN
MEDI-TABS
MEDI-TABS EXTRA STRENGTH
MEPERIDINE HCL
ACETAMINOPHEN
BUTALB/ACETAMINOPHEN/CAFFEINE
BUTALBITAL/ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN
MEPERIDINE HCL
METHADONE HCL
METHADONE HCL
METHADONE INTENSOL
METHADOSE
MIGERGOT
MIGRAGESIC IDA
MIGRAINE FORMULA
MIGRAINE PAIN-RELIEVER
MIGRAINE RELIEF
MORPHINE SULFATE
METHADONE HCL
METHADONE HCL
ERGOTAMINE TARTRATE/CAFFEINE
ISOMETHEPT/DICHLPHN/ACETAMINOP
ASPIRIN/ACETAMINOPHEN/CAFFEINE
ASPIRIN/ACETAMINOPHEN/CAFFEINE
ASPIRIN/ACETAMINOPHEN/CAFFEINE
MORPHINE SULFATE
MORPHINE SULFATE ER
MORPHINE SULFATE
NARATRIPTAN
NARATRIPTAN HCL
NODOLOR
NON-ASPIRIN
NARATRIPTAN HCL
NARATRIPTAN HCL
ISOMETHEPT/DICHLPHN/ACETAMINOP
ACETAMINOPHEN
NON-ASPIRIN 8 HOUR
NON-ASPIRIN EXTRA STRENGTH
NON-ASPIRIN PAIN RELIEF
ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN
Dose
TABLET
TABLET
ORAL SUSP
TABLET DR
TABLET
TABLET
TABLET
TABLET DR
LIQUID
ORAL SUSP
TAB CHEW
TABLET
TABLET ER
CAPSULE
TABLET
TABLET
TABLET
TABLET
SOLUTION
TABLET
ORAL CONC
SOLUTION
TABLET
TABLET SOL
ORAL CONC
TABLET SOL
SUPP.RECT
CAPSULE
TABLET
TABLET
TABLET
SOLUTION
SUPP.RECT
TABLET
CAP ER PEL
CPMP 24HR
TABLET ER
TABLET
TABLET
CAPSULE
DROPS
ELIXIR
ORAL SUSP
TAB CHEW
TABLET
TABLET ER
TABLET
TABLET
PA
Step
QLL
X
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
NORTEMP
OXYCODONE HCL
Generic Name
ACETAMINOPHEN
OXYCODONE HCL
OXYCODONE HCL ER
OXYCODONE HCL
OXYCODONE HCL-ASPIRIN
OXYCODONE HCL-IBUPROFEN
OXYCODONE-ACETAMINOPHEN
OXYCODONE HCL/ASPIRIN
IBUPROFEN/OXYCODONE HCL
OXYCODONE HCL/ACETAMINOPHEN
OXYCONTIN
OXYMORPHONE HCL
OXYMORPHONE HCL ER
PAIN & FEVER
PAIN RELIEF
OXYCODONE HCL
OXYMORPHONE HCL
OXYMORPHONE HCL
ACETAMINOPHEN
ACETAMINOPHEN
PAIN RELIEF EXTRA STRENGTH
PAIN RELIEVER PLUS
PAIN-OFF
PAMPRIN MAX
PEDIACARE FEVER REDUCER
PENTAZOCINE-NALOXONE HCL
PHARBETOL
PRIALT
ACETAMINOPHEN
ASPIRIN/ACETAMINOPHEN/CAFFEINE
ACETAMINOPHEN
ASPIRIN/ACETAMINOPHEN/CAFFEINE
ASPIRIN/ACETAMINOPHEN/CAFFEINE
ASPIRIN/ACETAMINOPHEN/CAFFEINE
ASPIRIN/ACETAMINOPHEN/CAFFEINE
ACETAMINOPHEN
PENTAZOCINE HCL/NALOXONE HCL
ACETAMINOPHEN
ZICONOTIDE ACETATE
PRIMLEV
Q-PAP
OXYCODONE HCL/ACETAMINOPHEN
ACETAMINOPHEN
Q-PAP EXTRA STRENGTH
REPREXAIN
RIZATRIPTAN
ACETAMINOPHEN
HYDROCODONE/IBUPROFEN
RIZATRIPTAN BENZOATE
SALSALATE
SILAPAP
ST. JOSEPH ASPIRIN
SALSALATE
ACETAMINOPHEN
ASPIRIN
SUBOXONE
SUMATRIPTAN
SUMATRIPTAN SUCCINATE
TACTINAL
TENCON
BUPRENORPHINE HCL/NALOXONE HCL
SUMATRIPTAN
SUMATRIPTAN SUCCINATE
ACETAMINOPHEN
BUTALBITAL/ACETAMINOPHEN
PAIN RELIEVER
Dose
ORAL SUSP
CAPSULE
ORAL CONC
SOLUTION
TABLET
TAB ER 12H
TABLET
TABLET
CAPSULE
SOLUTION
TABLET
TAB ER 12H
TABLET
TAB ER 12H
TABLET
LIQUID
TABLET
TABLET ER
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
ORAL SUSP
TABLET
TABLET
VIAL
TABLET
DROPS
LIQUID
TABLET
TABLET
TABLET
TAB RAPDIS
TABLET
TABLET
DROPS
TAB CHEW
TABLET DR
FILM
SPRAY
TABLET
TABLET
TABLET
PA
Step
QLL
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
Brand Name
Generic Name
TRAMADOL HCL
TRAMADOL HCL ER
TRAMADOL HCL
TRAMADOL HCL
TRAMADOL HCL-ACETAMINOPHEN
TRI-BUFFERED ASPIRIN
VICODIN
VICODIN ES
VICODIN HP
XYLON 10
ZEBUTAL
ZOLMITRIPTAN
ZOLMITRIPTAN ODT
CHILD TRIAMINIC FEVER REDUCER
ROXICET
TRAMADOL HCL/ACETAMINOPHEN
ASPIRIN/CALCIUM CARBONATE/MAG
HYDROCODONE/ACETAMINOPHEN
HYDROCODONE/ACETAMINOPHEN
HYDROCODONE/ACETAMINOPHEN
HYDROCODONE/IBUPROFEN
BUTALB/ACETAMINOPHEN/CAFFEINE
ZOLMITRIPTAN
ZOLMITRIPTAN
ACETAMINOPHEN
OXYCODONE HCL/ACETAMINOPHEN
INFANT TRIAMINIC FEVER REDUCER
BUPAP
CO-GESIC
ERGOTAMINE-CAFFEINE
PHRENILIN FORTE
BUTALBITAL COMPOUND
ESGIC-PLUS
ED-FLEX
PENTAZOCINE-ACETAMINOPHEN
OXYCODONE-ASPIRIN
REPAN
INFANTS' MAPAP
SHAKE THAT ACHE
CHILD'S ACCUDIAL ACETAMINOPHEN
MINIPRIN
COCET
FLEXTRA PLUS
ALAGESIC LQ
HALFPRIN
STAGESIC
PROMACET
INFANTAIRE
DOLGIC PLUS
MAGNACET
MST 600
ZYDONE
ACETAMINOPH-CAFF-DIHYDROCODEIN
TREZIX
APHEN
EXTRAPRIN
ASPIRIN-ACETAMINPHEN-CAFFEINE
ASA-BUTALB-CAFFEINE-CODEINE
CHILDREN'S PAIN-FEVER
ACETAMINOPHEN
BUTALBITAL/ACETAMINOPHEN
HYDROCODONE/ACETAMINOPHEN
ERGOTAMINE TARTRATE/CAFFEINE
BUTALBITAL/ACETAMINOPHEN
BUTALBITAL/ASPIRIN/CAFFEINE
BUTALB/ACETAMINOPHEN/CAFFEINE
SAL-AMIDE/ACETAMINOPHN/P-TLOX
PENTAZOCINE HCL/ACETAMINOPHEN
OXYCODONE HCL/OXYCODON TER/ASA
BUTALB/ACETAMINOPHEN/CAFFEINE
ACETAMINOPHEN
ACETAMINOPHEN
ACETAMINOPHEN
ASPIRIN
ACETAMINOPHEN WITH CODEINE
ACETAMINOPHEN/PHENYLTOLOX/CAFF
BUTALB/ACETAMINOPHEN/CAFFEINE
ASPIRIN
HYDROCODONE/ACETAMINOPHEN
BUTALBITAL/ACETAMINOPHEN
ACETAMINOPHEN
BUTALB/ACETAMINOPHEN/CAFFEINE
OXYCODONE HCL/ACETAMINOPHEN
MAGNESIUM SALICYLATE
HYDROCODONE/ACETAMINOPHEN
DHCODEINE BT/ACETAMINOPHN/CAFF
DHCODEINE BT/ACETAMINOPHN/CAFF
ACETAMINOPHEN
ASPIRIN/ACETAMINOPHEN/CAFFEINE
ASPIRIN/ACETAMINOPHEN/CAFFEINE
CODEINE/BUTALBITAL/ASA/CAFFEIN
ACETAMINOPHEN
Dose
TABLET
TAB ER 24H
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
CAPSULE
TABLET
TAB RAPDIS
LIQUID
SOLUTION
TABLET
LIQUID
TABLET
TABLET
TABLET
CAPSULE
TABLET
CAPSULE
CAPSULE
TABLET
TABLET
TABLET
ORAL SUSP
TABLET
ORAL SUSP
TABLET DR
TABLET
CAPSULE
SOLUTION
TABLET DR
CAPSULE
TABLET
DROPS
TABLET
TABLET
TABLET
TABLET
TABLET
CAPSULE
TABLET
TABLET
TABLET
CAPSULE
ORAL SUSP
PA
X
Step
QLL
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
PARKINSONS DISEASE
SEIZURE DISORDER
Brand Name
CHILDREN'S PAIN AND FEVER
INFANTS' ACETAMINOPHEN
SUPER PAIN RELIEF
AMANTADINE
Generic Name
ACETAMINOPHEN
ACETAMINOPHEN
ASPIRIN/ACETAMINOPHEN/CAFFEINE
AMANTADINE HCL
APOKYN
AZILECT
BENZTROPINE MESYLATE
BROMOCRIPTINE MESYLATE
APOMORPHINE HCL
RASAGILINE MESYLATE
BENZTROPINE MESYLATE
BROMOCRIPTINE MESYLATE
CARBIDOPA
CARBIDOPA-LEVODOPA
CARBIDOPA
CARBIDOPA/LEVODOPA
CARBIDOPA-LEVODOPA ER
CARBIDOPA-LEVODOPA-ENTACAPONE
ENTACAPONE
NEUPRO
PRAMIPEXOLE DIHYDROCHLORIDE
ROPINIROLE HCL
SELEGILINE HCL
CARBIDOPA/LEVODOPA
CARBIDOPA/LEVODOPA/ENTACAPONE
ENTACAPONE
ROTIGOTINE
PRAMIPEXOLE DI-HCL
ROPINIROLE HCL
SELEGILINE HCL
TOLCAPONE
TRIHEXYPHENIDYL HCL
TOLCAPONE
TRIHEXYPHENIDYL HCL
ZELAPAR
ROPINIROLE ER
CARBAMAZEPINE
SELEGILINE HCL
ROPINIROLE HCL
CARBAMAZEPINE
CARBAMAZEPINE ER
CARBAMAZEPINE
CARBAMAZEPINE XR
CELONTIN
CLONAZEPAM
CARBAMAZEPINE
METHSUXIMIDE
CLONAZEPAM
DIAZEPAM
DILANTIN
EPITOL
ETHOSUXIMIDE
DIAZEPAM
PHENYTOIN SODIUM EXTENDED
CARBAMAZEPINE
ETHOSUXIMIDE
FELBAMATE
FELBAMATE
GABAPENTIN
GABAPENTIN
GABITRIL
LEVETIRACETAM
TIAGABINE HCL
LEVETIRACETAM
Dose
LIQUID
ORAL SUSP
TABLET
CAPSULE
SOLUTION
TABLET
CARTRIDGE
TABLET
TABLET
CAPSULE
TABLET
TABLET
TAB RAPDIS
TABLET
TABLET ER
TABLET
TABLET
PATCH TD24
TABLET
TABLET
CAPSULE
TABLET
TABLET
ELIXIR
TABLET
TAB RAPDIS
TAB ER 24H
ORAL SUSP
TAB CHEW
TABLET
CPMP 12HR
TAB ER 12H
TAB ER 12H
CAPSULE
TAB RAPDIS
TABLET
KIT
CAPSULE
TABLET
CAPSULE
SOLUTION
ORAL SUSP
TABLET
CAPSULE
SOLUTION
TABLET
TABLET
SOLUTION
PA
Step
QLL
X
X
Age
General Therapeutic Category
SKELETAL MUSCLE DISORDER
SMOKING CESSATION
Brand Name
Generic Name
LEVETIRACETAM ER
LYRICA
LEVETIRACETAM
PREGABALIN
OXCARBAZEPINE
OXCARBAZEPINE
OXTELLAR XR
PEGANONE
PHENYTOIN
OXCARBAZEPINE
ETHOTOIN
PHENYTOIN
PHENYTOIN SODIUM EXTENDED
PRIMIDONE
TIAGABINE HCL
TOPIRAMATE
PHENYTOIN SODIUM EXTENDED
PRIMIDONE
TIAGABINE HCL
TOPIRAMATE
ZONISAMIDE
TOPIRAGEN
BACLOFEN
CARISOPRODOL
CARISOPRODOL COMPOUND
CARISOPRODOL-ASPIRIN
CHLORZOXAZONE
CYCLOBENZAPRINE HCL
DANTROLENE SODIUM
METHOCARBAMOL
ORPHENADRINE CITRATE
TIZANIDINE HCL
ORPHENADRINE COMPOUND FORTE
BUPROBAN
BUPROPION HCL SR
CHANTIX
ZONISAMIDE
TOPIRAMATE
BACLOFEN
CARISOPRODOL
CARISOPRODOL/ASPIRIN
CARISOPRODOL/ASPIRIN
CHLORZOXAZONE
CYCLOBENZAPRINE HCL
DANTROLENE SODIUM
METHOCARBAMOL
ORPHENADRINE CITRATE
TIZANIDINE HCL
ORPHENADRINE/ASPIRIN/CAFFEINE
BUPROPION HCL
BUPROPION HCL
VARENICLINE TARTRATE
NICODERM CQ
NICORELIEF
NICOTINE
NICOTINE POLACRILEX
NICORETTE
NICOTINE GUM
NICOTINE LOZENGE
NICOTINE PATCH
NTS
QUIT 2
NICOTINE POLACRILEX
NICOTINE POLACRILEX
NICOTINE POLACRILEX
NICOTINE
NICOTINE
NICOTINE POLACRILEX
QUIT 4
NICOTINE POLACRILEX
STOP SMOKING AID
NICOTINE POLACRILEX
THRIVE NICOTINE
NICOTROL
NICOTINE POLACRILEX
NICOTINE
Dose
TABLET
TAB ER 24H
CAPSULE
SOLUTION
ORAL SUSP
TABLET
TAB ER 24H
TABLET
ORAL SUSP
TAB CHEW
CAPSULE
TABLET
TABLET
CAP SPRINK
TABLET
CAPSULE
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
CAPSULE
TABLET
TABLET ER
TABLET
TABLET
TABLET ER
TABLET ER
TAB DS PK
TABLET
PATCH TD24
GUM
LOZENGE
GUM
GUM
LOZENGE
PATCH TD24
PATCH TD24
GUM
LOZENGE
GUM
LOZENGE
GUM
LOZENGE
GUM
CARTRIDGE
PA
X
X
Step
QLL
X
X
X
X
X
X
X
X
Age
General Therapeutic Category
UPPER GASTROINTESTINAL DISORDERS - DIGESTIVE
Brand Name
NICOTROL NS
CREON
GAS RELIEF
Generic Name
NICOTINE
LIPASE/PROTEASE/AMYLASE
SIMETHICONE
GAS RELIEF 80
INFANT GAS RELIEF
INFANTS' GAS RELIEF
MI-ACID
MYTAB GAS
MYTAB GAS MAXIMUM STRENGTH
PANCRELIPASE 5,000
SIMETHICONE
SIMETHICONE
SIMETHICONE
SIMETHICONE
SIMETHICONE
SIMETHICONE
SIMETHICONE
LIPASE/PROTEASE/AMYLASE
SIMETHICONE
ZENPEP
MYLANTA GAS MAXIMUM STRENGTH
EQUALIZER GAS RELIEF
VIOKASE
DICYCLOMINE HCL
LIPASE/PROTEASE/AMYLASE
SIMETHICONE
SIMETHICONE
LIPASE/PROTEASE/AMYLASE
DICYCLOMINE HCL
ED-SPAZ
HYOSCYAMINE SULFATE
HYOSCYAMINE SULFATE
HYOSCYAMINE SULFATE
HYOSCYAMINE SULFATE ER
HYOSCYAMINE SULFATE SR
HYOSYNE
HYOSCYAMINE SULFATE
HYOSCYAMINE SULFATE
HYOSCYAMINE SULFATE
METHSCOPOLAMINE BROMIDE
OSCIMIN
METHSCOPOLAMINE BROMIDE
HYOSCYAMINE SULFATE
OSCIMIN SL
OSCIMIN SR
GASTRINEX NF
HYOMAX-SL
QUADRAPAX
ME-PB-HYOS
HYOSCYAMINE SULFATE
HYOSCYAMINE SULFATE
HYOSCYAMINE SULFATE/PHENYLTOLX
HYOSCYAMINE SULFATE
PHENOBARB/HYOSCY/ATROPINE/SCOP
PHENOBARB/HYOSCY/ATROPINE/SCOP
SAL-TROPINE
DIGEX NF
BELLADONNA-PHENOBARBITAL
ACID CONTROLLER
ACID REDUCER
ATROPINE SULFATE
HYOSCYAMINE SULFATE/PHENYLTOLX
PHENOBARB/HYOSCY/ATROPINE/SCOP
FAMOTIDINE
FAMOTIDINE
RANITIDINE HCL
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
UPPER GASTROINTESTINAL DISORDERS - SPASTIC DISEASE
UPPER GASTROINTESTINAL DISORDERS - ULCER DISEASE
ADVANCED ANTACID
ADVANCED ANTACID-ANTIGAS
Dose
SPRAY
CAPSULE DR
DROPS SUSP
TAB CHEW
TAB CHEW
DROPS SUSP
DROPS SUSP
TAB CHEW
TAB CHEW
TAB CHEW
CAPSULE DR
DROPS SUSP
TAB CHEW
CAPSULE DR
TAB CHEW
DROPS SUSP
TABLET
CAPSULE
SOLUTION
TABLET
TAB RAPDIS
DROPS
ELIXIR
TAB RAPDIS
TAB SUBL
TABLET
TAB ER 12H
TAB ER 12H
DROPS
ELIXIR
TABLET
TAB RAPDIS
TABLET
TAB SUBL
TAB ER 12H
CAPSULE
TAB SUBL
ELIXIR
ELIXIR
TABLET
TABLET
CAPSULE
TABLET
TABLET
TABLET
TABLET
ORAL SUSP
ORAL SUSP
PA
X
X
Step
QLL
X
Age
General Therapeutic Category
Brand Name
ALMACONE
ALMACONE-2
ANTACID
ANTACID & ANTIGAS
ANTACID & GAS RELIEF
ANTACID ANTI-GAS DOUBLE STR
ANTACID EXTRA STRENGTH
ANTACID II PLUS SIMETHICONE
ANTACID M
ANTACID MAXIMUM STRENGTH
ANTACID PLUS ANTI-GAS
ANTACID ULTRA STRENGTH
ANTACID WITH SIMETHICONE
ANTACID-ANTIGAS
BAN-ACID
CALCIUM ANTACID
CALCIUM CARBONATE
CAL-GEST
CANTIL
CARAFATE
CHLORDIAZEPOXIDE-CLIDINIUM
CIMETIDINE
COMFORT GEL
FAMOTIDINE
FLANAX
FLAVOR CHEWS ANTACID
GELUSIL
GERI-LANTA
GERI-MOX
GLYCOPYRROLATE
HEARTBURN PREVENTION
HEARTBURN RELIEF
Generic Name
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
CALCIUM CARBONATE
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
CALCIUM CARBONATE
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
CALCIUM CARBONATE
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
CALCIUM CARBONATE
CALCIUM CARBONATE
CALCIUM CARBONATE
CALCIUM CARBONATE
MEPENZOLATE BROMIDE
SUCRALFATE
CHLORDIAZEPOXIDE/CLIDINIUM BR
CIMETIDINE
CIMETIDINE HCL
MAG HYDROX/AL HYDROX/SIMETH
FAMOTIDINE
LANSOPRAZOL-AMOXICIL-CLARITHRO
LIQUID ANTACID
MAALOX ADVANCED
MAG-AL PLUS
MAG-AL PLUS XS
MAGLOX
MASANTI
METOCLOPRAMIDE HCL
MAG HYDROX/AL HYDROX/SIMETH
CALCIUM CARBONATE
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
GLYCOPYRROLATE
FAMOTIDINE
FAMOTIDINE
RANITIDINE HCL
LANSOPRAZOLE/AMOXICILN/CLARITH
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
METOCLOPRAMIDE HCL
MI ACID
MAG HYDROX/AL HYDROX/SIMETH
Dose
ORAL SUSP
ORAL SUSP
TAB CHEW
ORAL SUSP
ORAL SUSP
ORAL SUSP
ORAL SUSP
TAB CHEW
ORAL SUSP
ORAL SUSP
ORAL SUSP
ORAL SUSP
ORAL SUSP
TAB CHEW
ORAL SUSP
ORAL SUSP
TAB CHEW
TAB CHEW
TAB CHEW
TABLET
TAB CHEW
TABLET
ORAL SUSP
CAPSULE
TABLET
SOLUTION
ORAL SUSP
ORAL SUSP
TABLET
ORAL SUSP
TAB CHEW
ORAL SUSP
ORAL SUSP
ORAL SUSP
TABLET
TABLET
TABLET
TABLET
COMBO. PKG
ORAL SUSP
ORAL SUSP
ORAL SUSP
ORAL SUSP
ORAL SUSP
ORAL SUSP
SOLUTION
TABLET
ORAL SUSP
PA
Step
QLL
Age
General Therapeutic Category
URINARY TRACT - FUNCTIONAL DISORDERS
Brand Name
MI-ACID
MINTOX
MINTOX MAXIMUM STRENGTH
MISOPROSTOL
NIZATIDINE
Generic Name
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
MISOPROSTOL
NIZATIDINE
OMEPRAZOLE
OMEPRAZOLE
OMEPRAZOLE MAGNESIUM
OMEPRAZOLE-SODIUM BICARBONATE
PANTOPRAZOLE SODIUM
PRILOSEC
PRILOSEC OTC
PROPANTHELINE BROMIDE
RANITIDINE HCL
OMEPRAZOLE MAGNESIUM
OMEPRAZOLE/SODIUM BICARBONATE
PANTOPRAZOLE SODIUM
OMEPRAZOLE MAGNESIUM
OMEPRAZOLE MAGNESIUM
PROPANTHELINE BROMIDE
RANITIDINE HCL
RI-GEL
RI-GEL II
SMOOTH ANTACID
SODIUM BICARBONATE
SUCRALFATE
ULTRA STRENGTH ANTACID
WAL-ZAN 75
ZANTAC 75
MAALOX MAXIMUM STRENGTH
ZANTAC 25
MYLANTA
ACID CONTROL
HEARTBURN RELIEF 75
OMEPRAZOLE+SYRSPEND SF ALKA
MILANTEX
MYLANTEX DOUBLE-STRENGTH
SUPREME ANTACID
SMOOTH DISSOLVING ANTACID
ANTACID CALCIUM
ALFUZOSIN HCL ER
CYSTAGON
CYTRA-2
CYTRA-3
CYTRA-K
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
CALCIUM CARBONATE
SODIUM BICARBONATE
SUCRALFATE
CALCIUM CARBONATE
RANITIDINE HCL
RANITIDINE HCL
MAG HYDROX/AL HYDROX/SIMETH
RANITIDINE HCL
MAG HYDROX/AL HYDROX/SIMETH
RANITIDINE HCL
RANITIDINE HCL
OMEPRAZOLE
MAG HYDROX/AL HYDROX/SIMETH
MAG HYDROX/AL HYDROX/SIMETH
CALCIUM CARB/MAGNESIUM HYDROX
CALCIUM CARBONATE
CALCIUM CARBONATE
ALFUZOSIN HCL
CYSTEAMINE BITARTRATE
CITRIC ACID/SODIUM CITRATE
SOD/POT/K CIT/SOD CIT/CIT ACID
POTASSIUM CITRATE/CITRIC ACID
ELMIRON
FINASTERIDE
FLAVOXATE HCL
K-PHOS NO.2
K-PHOS ORIGINAL
PENTOSAN POLYSULFATE SODIUM
FINASTERIDE
FLAVOXATE HCL
NA PHOS,M-B/K PHOS,MONOB
POTASSIUM PHOSPHATE,MONOBASIC
Dose
ORAL SUSP
ORAL SUSP
ORAL SUSP
TABLET
CAPSULE
SOLUTION
CAPSULE DR
TABLET DR
CAPSULE DR
CAPSULE
TABLET DR
SUSPDR PKT
TABLET DR
TABLET
CAPSULE
SYRUP
TABLET
ORAL SUSP
ORAL SUSP
TAB CHEW
TABLET
TABLET
TAB CHEW
TABLET
TABLET
ORAL SUSP
TABLET EFF
ORAL SUSP
TABLET
TABLET
SUSP RECON
ORAL SUSP
ORAL SUSP
ORAL SUSP
TAB CHEW
TAB CHEW
TAB ER 24H
CAPSULE
SOLUTION
SOLUTION
PACKET
SOLUTION
CAPSULE
TABLET
TABLET
TABLET
TABLET SOL
PA
Step
QLL
Age
X
X
X
X
X
X
X
X
X
X
X
General Therapeutic Category
VAGINAL DISORDERS
Brand Name
ORACIT
OXYBUTYNIN CHLORIDE
Generic Name
CITRIC ACID/SODIUM CITRATE
OXYBUTYNIN CHLORIDE
OXYBUTYNIN CHLORIDE ER
OXYTROL
PHENAZOPYRIDINE HCL
PHOSPHA 250 NEUTRAL
POTASS CIT-SOD CIT-CITRIC ACID
POTASSIUM CITRATE ER
POTASSIUM CITRATE-CITRIC ACID
PROCYSBI
SHOHL'S MODIFIED
SODIUM CITRATE & CITRIC ACID
TAMSULOSIN HCL
THIOLA
TOLTERODINE TARTRATE
TRICITRATES
TROSPIUM CHLORIDE
TROSPIUM CHLORIDE ER
UROQID-ACID NO.2
VIRT-PHOS 250 NEUTRAL
VIRTRATE-2
VIRTRATE-3
VIRTRATE-K
DUTASTERIDE
K-PHOS M.F.
AVC
CLEOCIN
CLINDAMYCIN PHOSPHATE
CLINDESSE
CLOTRIMAZOLE
CLOTRIMAZOLE 3
CLOTRIMAZOLE-7
ESTRACE
METRONIDAZOLE
MICONAZOLE 3
OXYBUTYNIN CHLORIDE
OXYBUTYNIN
PHENAZOPYRIDINE HCL
PHOSPHORUS #1
SOD/POT/K CIT/SOD CIT/CIT ACID
POTASSIUM CITRATE
POTASSIUM CITRATE/CITRIC ACID
CYSTEAMINE BITARTRATE
CITRIC ACID/SODIUM CITRATE
CITRIC ACID/SODIUM CITRATE
TAMSULOSIN HCL
TIOPRONIN
TOLTERODINE TARTRATE
SOD/POT/K CIT/SOD CIT/CIT ACID
TROSPIUM CHLORIDE
TROSPIUM CHLORIDE
METHEN MAND/NAPHOS M-B M-H
PHOSPHORUS #1
CITRIC ACID/SODIUM CITRATE
SOD/POT/K CIT/SOD CIT/CIT ACID
POTASSIUM CITRATE/CITRIC ACID
DUTASTERIDE
NA PHOS,M-B/K PHOS,MONOB
SULFANILAMIDE
CLINDAMYCIN PHOSPHATE
CLINDAMYCIN PHOSPHATE
CLINDAMYCIN PHOSPHATE
CLOTRIMAZOLE
CLOTRIMAZOLE
CLOTRIMAZOLE
ESTRADIOL
METRONIDAZOLE
MICONAZOLE NITRATE
MICONAZOLE 7
MICONAZOLE NITRATE
MICONAZOLE NITRATE
MICONAZOLE NITRATE
MONISTAT 7
NYSTATIN
TERCONAZOLE
MICONAZOLE NITRATE
NYSTATIN
TERCONAZOLE
VAGISTAT-3
MONISTAT 3
MICONAZOLE NITRATE
MICONAZOLE NITRATE
Dose
SOLUTION
SYRUP
TABLET
TAB ER 24
PATCH TDSW
TABLET
TABLET
SOLUTION
TABLET ER
SOLUTION
CAP DR SPR
SOLUTION
SOLUTION
CAP ER 24H
TABLET
TABLET
SOLUTION
TABLET
CAP ER 24H
TABLET
TABLET
SOLUTION
SOLUTION
SOLUTION
CAPSULE
TABLET
CREAM/APPL
SUPP.VAG
CREAM/APPL
CRM ER (G)
CREAM/APPL
CREAM/APPL
CREAM/APPL
CREAM/APPL
GEL W/APPL
CMB PF CRM
KIT
SUPP.VAG
CREAM/APPL
SUPP.VAG
CREAM/APPL
SUPP.VAG
CREAM/APPL
TABLET
CREAM/APPL
SUPP.VAG
KIT
CMB PF CRM
PA
Step
QLL
X
X
X
X
X
X
Age
General Therapeutic Category
VITAMIN AND/OR MINERAL DEFICIENCY
Brand Name
GYNAZOLE-1
ACEROLA C
Generic Name
ANTIOXIDANT VITAMIN
ASCORBIC ACID
ASCORBIC ACID WITH RH
B-12
B-12 DOTS
BEE-ZEE
C-500
BUTOCONAZOLE NITRATE
ASCORBIC ACID
ASCORBIC ACID/ASCORBATE SODIUM
MULTIVITAMIN WITH MINERALS
ASCORBIC ACID
ASCORBIC ACID
CYANOCOBALAMIN (VITAMIN B-12)
CYANOCOBALAMIN (VITAMIN B-12)
MULTIVITAMIN WITH MINERALS
ASCORBIC ACID
CALCITRIOL
CALCIUM
CALCIUM CARBONATE
CALCIUM CITRATE
CALCIUM CITRATE - VITAMIN D
CALCIUM CITRATE - VITAMIN D3
CALCIUM CITRATE PLUS
CALCIUM CITRATE+D
CALCIUM CITRATE-VIT D
CALCIUM CITRATE-VITAMIN D
CALCIUM CITRATE-VITAMIN D3
CALCIUM WITH VITAMIN D
CENTAMIN
CENTRAL VITE FOR SENIORS
CENTRAVITES 50 PLUS
CEROVITE
CEROVITE ADVANCED FORMULA
CEROVITE SENIOR
CERTAVITE-ANTIOXIDANT
CHILDREN'S FERROUS SULFATE
CHILDREN'S IRON
CITRACAL + D MAXIMUM
CITRUS CALCIUM + D
C-NATE DHA
COMPLETE FORMULATION MULTIVIT
COMPLETE NATAL DHA
COMPLETE SENIOR
COMPLETENATE
DAILY MULTIPLE VITAMIN
DAILY MULTIVITAMIN WITH IRON
DAILY VALUE
DAILY VITAMIN + IRON
DAILY VITAMIN FORMULA
DAILY VITAMIN FORMULA-MINERALS
DAILY VITE
DAILY VITE WITH IRON
CALCITRIOL
CALCIUM CARBONATE
CALCIUM CARBONATE
CALCIUM CITRATE
CALCIUM CITRATE/VITAMIN D3
CALCIUM CITRATE/VITAMIN D3
CALCIUM CITRATE/VITAMIN D3
CALCIUM CITRATE/VITAMIN D3
CALCIUM CITRATE/VITAMIN D3
CALCIUM CITRATE/VITAMIN D3
CALCIUM CITRATE/VITAMIN D3
CALCIUM CARBONATE/VITAMIN D2
MULTIVIT-MINERALS/FERROUS GLUC
MULTIVIT WITH IRON-MINERALS
MULTIVIT WITH IRON-MINERALS
MULTIVIT-MINERALS/FERROUS GLUC
MULTIVITAMIN/IRON/FOLIC ACID
MULTIVITAMIN WITH MINERALS/LUT
MULTIVIT-MINERALS/FERROUS GLUC
FERROUS SULFATE
FERROUS SULFATE
CALCIUM CITRATE/VITAMIN D3
CALCIUM CITRATE/VITAMIN D3
PNV 11-IRON FUM-FOLIC ACID-OM3
PEDI MULTIVIT #61/VIT D3/VIT K
PNV2/IRON B-G SUC-P/FA/OMEGA-3
MULTIVIT WITH IRON-MINERALS
PNV #14/FERROUS FUM/FOLIC ACID
MULTIVITAMIN
MULTIVITAMIN WITH IRON
MULTIVITAMIN
MULTIVITAMIN WITH IRON
MULTIVITAMIN
MULTIVITAMIN WITH MINERALS
MULTIVITAMIN
MULTIVITAMIN WITH IRON
Dose
KIT
CRM ER (G)
TAB CHEW
WAFER
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TAB CHEW
TABLET
CAPSULE
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
LIQUID
TABLET
TABLET
LIQUID
TABLET
TABLET
LIQUID
DROPS
DROPS
TABLET
TABLET
CAPSULE
CAPSULE
COMBO. PKG
TABLET
TAB CHEW
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
DENTA 5000 PLUS
DENTAGEL
ELITE OB DHA
FE C PLUS
FEOSOL
FER-IRON
FEROSUL
Generic Name
SODIUM FLUORIDE
SODIUM FLUORIDE
PN VIT.W-O CA #7, IRON,FA,DHA
IRON,CARBONYL/VIT C/VIT B12/FA
FERROUS SULFATE
FERROUS SULFATE
FERROUS SULFATE
FERREX 150
FERRO-TIME
FERROUS SULFATE
IRON POLYSACCHARIDE COMPLEX
FERROUS SULFATE
FERROUS SULFATE
FERROUSUL
FLUORABON
FLUOR-A-DAY
FLUORIDE
FLUORIDEX DAILY DEFENSE
FLUORIDEX SENSITIVITY RELIEF
FLURA-DROPS
FOLBECAL
FOLIC ACID
FOLINATAL PLUS B
FRUIT C-500
HAIR VITAMIN
HAIR, SKIN & NAILS
HIGH POTENCY CALCIUM
ICAPS PLUS
ICAR-C PLUS
IFEREX 150
INATAL ADVANCE
INATAL ULTRA
IRON
FERROUS SULFATE
SODIUM FLUORIDE
SODIUM FLUORIDE
SODIUM FLUORIDE
SODIUM FLUORIDE
SODIUM FLUORIDE/POTASSIUM NIT
SODIUM FLUORIDE
PNV W-O IRON/FA/CALCIUM/B6/B12
FOLIC ACID
PNV W-O IRON/FA/CALCIUM/B6/B12
ASCORBIC ACID
MULTIVITAMIN WITH IRON
MULTIVITAMIN WITH MINERALS
CALCIUM CARBONATE
MULTIVITAMIN WITH MINERALS
IRON,CARBONYL/VIT C/VIT B12/FA
IRON POLYSACCHARIDE COMPLEX
PRENATAL VIT 15/IRON CB/FA/DSS
PRENATAL VIT 18/IRON CB/FA/DSS
FERROUS SULFATE
IRON SUPPLEMENT
I-VITE
MAG DELAY
MAG64
MAGNESIUM
MAGNESIUM OXIDE
MAXINATE
MEGA MULTI W-CHELATED MINERALS
MEGA MULTIVITAMIN WITH MINERAL
MEN'S MULTI-VITAMIN
MEN'S ONE DAILY
MGO
MULTI-DAY PLUS IRON
MULTIPLE VITAMIN
FERROUS SULFATE
VIT A,C & E/LUTEIN/MINERALS
MAGNESIUM CHLORIDE
MAGNESIUM CHLORIDE
MAGNESIUM OXIDE
MAGNESIUM OXIDE
PNV COMB NO.3/IRON FUM&GLUC/FA
MULTIVITAMIN WITH MINERALS
MULTIVITAMIN WITH MINERALS
MULTIVITAMIN
MULTIVITAMIN WITH MINERALS
MAGNESIUM OXIDE
MULTIVITAMIN/IRON/FOLIC ACID
MULTIVITAMIN WITH MINERALS
Dose
CREAM (G)
GEL (GRAM)
CAPSULE
TABLET
TABLET
DROPS
SOLUTION
TABLET
CAPSULE
TABLET
DROPS
SOLUTION
TABLET
TABLET
DROPS
DROPS
TAB CHEW
GEL (GRAM)
GEL (GRAM)
DROPS
TBMP 24HR
TABLET
TBMP 24HR
TAB CHEW
TABLET
TABLET
TABLET
TABLET
TABLET
CAPSULE
TABLET
TABLET
DROPS
TABLET
TABLET
TABLET
TABLET DR
TABLET DR
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
MULTIPLE VITAMINS
MULTIVITAMIN AND FLUORIDE
MULTI-VITAMIN DAILY
MULTI-VITAMIN W-FLUORIDE
MULTI-VITAMIN W-FLUORIDE-IRON
MULTIVITAMIN WITH FLUORIDE
MULTI-VITAMIN WITH FLUORIDE
MULTI-VITAMIN-FLUOR-IRON
MULTIVITAMINS
MULTIVITAMINS W-FLUORIDE-IRON
MULTIVITAMINS WITH FLUORIDE
MULTIVITAMINS WITH IRON
MULTIVITAMINS WITH MINERALS
MULTIVITAMINS-A,B,D,E,K,ZN
MVC-FLUORIDE
M-VIT
MYFERON 150
MYKIDZ IRON FL
MYNATAL
MYNATAL ADVANCE
MYNATAL PLUS
MYNATAL-Z
MYNATE 90 PLUS
NATALVIT
NU-IRON 150
OBSTETRIX DHA
OBSTETRIX EC
O-CAL FA
O-CAL PRENATAL
ONCE DAILY
ONCOVITE
ONE DAILY
ONE DAILY COMPLETE
ONE DAILY ENERGY
ONE DAILY ESSENTIAL
ONE DAILY MULTIVITAMIN
Generic Name
MULTIVITAMIN
PEDI MULTIVIT NO.2 W-FLUORIDE
MULTIVITAMIN
PEDI MULTIVIT NO.2 W-FLUORIDE
PEDI MV #45/FLUORIDE/IRON
PEDI M.VIT NO.17 WITH FLUORIDE
PEDI MVI NO.12/SODIUM FLUORIDE
PEDI M.VIT NO.17 WITH FLUORIDE
PEDI MV #45/FLUORIDE/IRON
MULTIVITAMIN
PEDI MV #45/FLUORIDE/IRON
PEDI MV #75/FLUORIDE/IRON
PEDI M.VIT NO.17 WITH FLUORIDE
PEDI MULTIVIT NO.2 W-FLUORIDE
PEDI MVI NO.16 WITH FLUORIDE
PEDI MVI NO.82 WITH FLUORIDE
MULTIVITAMIN WITH IRON
MULTIVITAMIN WITH MINERALS
MULTIVITAMIN NO.44/VIT D3/K
PEDI MULTIVIT #22/VIT D3/VIT K
PEDI MULTIVIT #65/VIT D3/VIT K
PEDI MVI NO.12/SODIUM FLUORIDE
PV W-O CAL/FERROUS FUMARATE/FA
IRON POLYSACCHARIDE COMPLEX
IRON/FLUORIDE/VITS A, C, & D3
PNV/IRON,CARBONYL/DOCUSATE/FA
PRENATAL VIT/IRON FUMARATE/FA
PRENATAL VIT 15/IRON CB/FA/DSS
PRENATAL VIT/IRON FUMARATE/FA
PRENATAL VIT/IRON FUMARATE/FA
PNV/FERROUS FUMARATE/DOSS/FA
PRENATAL VIT/IRON FUMARATE/FA
IRON POLYSACCHARIDE COMPLEX
PNV NO12/IRON,CARB/FA/DSS/OM-3
PV W-O CAL/FE,CARBONYL/DOSS/FA
PRENATAL VIT/IRON FUMARATE/FA
PRENATAL VIT NO.127/IRON/FA
MULTIVITAMIN
MULTIVITAMIN,THERAPEUTIC
MULTIVITAMIN
MULTIVITAMIN WITH MINERALS
MULTIVITAMIN WITH MINERALS
FOLIC ACID/MV,FE,MIN
MULTIVITAMIN WITH MINERALS
MULTIVITAMIN
MULTIVITAMIN
Dose
TABLET
DROPS
TABLET
DROPS
DROPS
TAB CHEW
TAB CHEW
TAB CHEW
DROPS
DROPS
TABLET
DROPS
DROPS
TAB CHEW
DROPS
TAB CHEW
DROPS
DROPS
TABLET
TABLET
CAPSULE
TAB CHEW
DROPS
TAB CHEW
TABLET
CAPSULE
ORAL SUSP
TABLET
CAPSULE
TABLET
TABLET
TABLET
TABLET ER
TABLET
CAPSULE
CMBPKGDRCP
TABLET DR
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
SENTRY
SE-TAN DHA
SF
SF 5000 PLUS
SODIUM FLUORIDE
Generic Name
MULTIVITAMIN WITH IRON
MULTIVITAMIN WITH IRON
MULTIVITAMIN WITH MINERALS
MULTIVITAMIN WITH IRON
MULTIVITAMIN
MULTIVITAMIN WITH MINERALS
MULTIVIT-MINERALS/FA/LYCOPENE
MULTIVITS,CA,MINERALS/IRON/FA
VIT A,C & E/LUTEIN/MINERALS
IRON,CARBONYL/FA/MULTIVIT-MIN
MULTIVITAMIN
PNV W-O CA NO5/FE FUMARATE/FA
IRON POLYSACCHARIDE COMPLEX
PEDIATRIC MULTIVITAMIN NO.20
PED MULTIVIT #46/IRON SULFATE
MULTIVITAMIN
PEDIATRIC MULTIVITAMIN NO.20
PED MULTIVIT #46/IRON SULFATE
MULTIVITAMIN WITH IRON
PNV53/IRON B-G HCL-P/FA/OMEGA3
PNV19/IRON BG HC&SUCC-P/FA/OM3
PNV54/IRON B-G HCL-P/FA/OMEGA3
PNV55/IRON BG HC,SUCC-P/FA/OM3
PRENATAL VIT #76/IRON,CARB/FA
PNV WITH CA,NO.72/IRON,CARB/FA
PNV WITH CA,NO.72/IRON/FA
PNV W-O CA NO5/FE FUMARATE/FA
VIT A/VIT C/VIT E/ZINC/COPPER
SODIUM FLUORIDE
SODIUM FLUORIDE
SODIUM FLUORIDE/POTASSIUM NIT
SODIUM FLUORIDE/POTASSIUM NIT
A/C/E/ZINC/SOD SELENATE/COPPER
PYRIDOXINE HCL
PNV 11-IRON FUM-FOLIC ACID-OM3
PV W-O CAL/IRON PS CPLX/FA
PNV NO.118/IRON FUMARATE/FA
PNV119/IRON FUMARATE/FA/DSS
MULTIVITAMIN/IRON/FOLIC ACID
PNV NO10/IRON FUM&P/FA/OMEGA-3
SODIUM FLUORIDE
SODIUM FLUORIDE
SODIUM FLUORIDE
SOOTHING PUREWAY-C
SPECTRAVITE ADULT 50+
ASCORBIC ACID
MULTIVIT-MIN/FA/LYCOPEN/LUTEIN
ONE DAILY PLUS IRON
ONE DAILY PLUS MINERALS
ONE DAILY WITH IRON
ONE-A-DAY ESSENTIAL
ONE-A-DAY MAXIMUM FORMULA
ONE-A-DAY MEN'S
ONE-A-DAY TEEN ADVANTAGE
OPTI-VITAMIN
OPURITY MULTIVITAMIN
PHARMACIST FAVORITE MULTI-VITE
PNV-VP-U
POLY-IRON
POLY-VITA
POLY-VITA WITH IRON
POLY-VITAMIN
POLYVITAMIN WITH IRON
PR NATAL 400
PR NATAL 400 EC
PR NATAL 430
PR NATAL 430 EC
PRENATABS RX
PRENATAL PLUS
PRENATAL-U
PRESERVISION AREDS
PREVIDENT
PREVIDENT 5000
PREVIDENT 5000 ENAMEL PROTECT
PREVIDENT 5000 SENSITIVE
PROSIGHT
PYRIDOXINE HCL
RELNATE DHA
SELECT-OB
SE-NATAL 19
Dose
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TAB CHEW
TABLET
CAPSULE
CAPSULE
DROPS
DROPS
DROPS
DROPS
DROPS
DROPS
COMBO. PKG
CMBPKGDRCP
COMBO. PKG
CMBPKGDRCP
TABLET
TABLET
TABLET
CAPSULE
CAPSULE
PASTE (ML)
GEL (ML)
PASTE (ML)
PASTE (ML)
TABLET
TABLET
CAPSULE
TAB CHEW
TAB CHEW
TABLET
TABLET
CAPSULE
GEL (GRAM)
CREAM (G)
DROPS
SOLUTION
TAB CHEW
TABLET
TABLET
TABLET
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
SPECTRAVITE ADVANCED FORMULA
SPECTRAVITE SENIOR
SUPER B-50 COMPLEX
SUPER CALCIUM
SUPER MULTIVITAMIN
TAB-A-VITE
TAB-A-VITE WITH IRON
TAB-A-VITE-MINERALS
TARON-PREX PRENATAL
THERA
THERA M PLUS
THERADEX M
THERA-M
THERAPEUTIC M
THERA-TABS
THERA-TABS M
THERATRUM COMPLETE 50 PLUS
THEREMS
THEREMS-M
THRIVITE 19
TRIADVANCE
TRINATAL GT
TRIPLE-VITAMIN W-FLUORIDE
TRIVEEN-DUO DHA
TRIVEEN-U
TRI-VI-SOL
TRI-VIT WITH FLUORIDE-IRON
TRI-VITAMIN
TRI-VITAMIN WITH FLUORIDE
TRUST NATAL DHA
ULTIMATECARE ONE
ULTIMATECARE ONE NF
V-C FORTE
VIC-FORTE
VINACAL
VINATE CARE
VINATE GT
VINATE II
VINATE ONE
VINATE PN CARE
VINATE ULTRA
VINATE-M
VIRT-ADVANCE
VIRT-CARE ONE
VIRT-VITE GT
VITAFOL-OB+DHA
Generic Name
MULTIVITAMIN/IRON/FOLIC ACID
MULTIVIT WITH IRON-MINERALS
VITAMIN B COMPLEX
CALCIUM CARBONATE
MULTIVITAMIN
MULTIVITAMIN
MULTIVITAMIN WITH IRON
MULTIVITAMIN WITH MINERALS
PNV39/IRON FUMARATE/FA/DSS/DHA
MULTIVITAMIN,THERAPEUTIC
MULTIVITS,CA,MINERALS/IRON/FA
MULTIVIT,TX,IRON/CALCM/FA/MINS
MULTIVITS,CA,MINERALS/IRON/FA
MULTIVIT,TX,IRON/CALCM/FA/MINS
MULTIVIT,TX,IRON/CALCM/FA/MINS
MULTIVITAMIN,THERAPEUTIC
MULTIVITS,CA,MINERALS/IRON/FA
MULTIVITAMIN WITH MINERALS/LUT
MULTIVIT WITH IRON-MINERALS
MULTIVITAMIN,THERAPEUTIC
MULTIVIT,TH IRON,OTHER MIN
PNV119/IRON FUMARATE/FA/DSS
PRENATAL VIT 15/IRON CB/FA/DSS
PRENATAL VIT 16/IRON CB/FA/DSS
PED MV A,C,D3 #21 W-FLUORIDE
PNV53/IRON B-G HCL-P/FA/OMEGA3
PNV W-O CA NO5/FE FUMARATE/FA
VIT A PALMITATE/VIT C/VIT D3
FLUORIDE/IRON/VITAMINS A,C,D
PEDI MULTIVITS A,C,&D3 NO.21
PED MV A,C,D3 #21 W-FLUORIDE
PNV2/IRON B-G SUC-P/FA/OMEGA-3
PNV W-CA NO.37/IRON/FA/OMEGA-3
PNV,CA,NO.35/IRON/FA/DS/OMEG-3
MULTIVITAMIN-MINERALS NO.7/FA
MULTIVITAMIN-MINERALS NO.7/FA
PNV NO.22/IRON CBN&GLUC/FA/DSS
PRENATAL VIT NO.109/IRON/FA
PRENATAL VIT 16/IRON CB/FA/DSS
PRENATAL VIT/IRON BISGLYCIN/FA
PRENATAL VIT27,CALCIUM/IRON/FA
PNV7/FE ASP GLY/DOCUSATE/FA
PRENATAL VIT 18/IRON CB/FA/DSS
PNV/FERROUS FUMARATE/FA/SE
PRENATAL VIT 15/IRON CB/FA/DSS
PNV W-CA NO.37/IRON/FA/OMEGA-3
PRENATAL VIT 16/IRON CB/FA/DSS
PRENAT VIT COMB.10/IRON/FA/DHA
Dose
TABLET
TABLET
CAPSULE
TABLET
TABLET
TABLET
TABLET
TABLET
CAPSULE
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
DROPS
COMBO. PKG
CAPSULE
DROPS
DROPS
DROPS
DROPS
COMBO. PKG
CAPSULE
CAPSULE
CAPSULE
CAPSULE
TABLET
TAB CHEW
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
TABLET
CAPSULE
TABLET
COMBO. PKG
PA
Step
QLL
Age
General Therapeutic Category
Brand Name
VITAMIN B COMPLEX
VITAMIN B-12
Generic Name
VITAMIN B COMPLEX
CYANOCOBALAMIN (VITAMIN B-12)
VITAMIN B-6
VITAMIN C
PYRIDOXINE HCL
ASCORBIC ACID
VITAMIN C WITH ROSE HIPS
VITAMIN D2
VITAMIN E
ASCORBIC ACID
ERGOCALCIFEROL (VITAMIN D2)
VITAMIN E
VITAMIN E ACETATE
VITAMIN E MIXED
PED MV A,C,D3 #21 W-FLUORIDE
MULTIVITAMIN
PNV 11-IRON FUM-FOLIC ACID-OM3
ZINC SULFATE
ZINC SULFATE
PNV22/IRON CBN&GLUC/FA/DSS/DHA
CALCIUM CARBONATE/VITAMIN D3
PNV W-CA NO.37/IRON/FA/OMEGA-3
ZINC SULFATE
VITAMIN B COMP AND VIT C NO.6
MULTIVIT, IRON, MIN #6, FA
ERGOCALCIFEROL (VITAMIN D2)
MULTIVITAMIN
IRON POLYSACCHARIDE COMPLEX
PNV/IRON PS CPLX/FOLIC ACID
PNV/IRON PS CPLX/FOLIC ACID
SODIUM FLUORIDE
MULTIVITAMIN
CALCIUM CARB/VIT D3/MINERALS
IRON POLYSACCHARIDE COMPLEX
MULTIVITAMIN WITH MINERALS
PNV W-O IRON/FA/CALCIUM/B6/B12
PNV NO.22/IRON CBN&GLUC/FA/DSS
PNV19/IRON BG HC&SUCC#2/FA/OM3
PRENATAL VIT 18/IRON CB/FA/DSS
PNV W-CA NO.37/IRON/FA/OMEGA-3
PNV54/IRON B-G HCL-P/FA/OMEGA3
PNV55/IRON BISGL,SUCC#2/FA/OM3
PNV/FERROUS FUMARATE/DOSS/FA
PRENATAL VIT27,CALCIUM/IRON/FA
PV W-O VIT A/FE FUMARATE/FA
PV W-O VIT A/FECBN-FEFM/FA
PNV WITH CALCIUM,NO.34/IRON/FA
PN VIT.W-O CA #7, IRON,FA,DHA
PRENAT VIT COMB.10/IRON/FA/DHA
VITAMIN E
MULTIVITAMIN
VITAMINS A,C,D & FLUORIDE
VITAMINS FOR HAIR
VIVA DHA
ZINC SULFATE
ZINC-220
CITRANATAL DHA
CALCARB 600 WITH VITAMIN D
OB-NATAL ONE
ZINCATE
STROVITE
STROVITE PLUS
ERGOCALCIFEROL (VITAMIN D2)
DAILY VITAMIN
POLYSACCHARIDE IRON
POLY IRON PN FORTE
POLY IRON PN
NAFRINSE DAILY-NEUTRAL
CENTRAL-VITE HP
CALCIUM 600+D PLUS MINERALS
FERUS
VIGOMAR FORTE
TRIMESIS RX
TRI RX
TARON-DUO EC
TRINATAL ULTRA
CAVAN ONE OMEGA
SETONET
SETONET-EC
SE-NATAL 90
SE-NATAL ONE
SE-CARE
SE-CARE CONCEIVE
SE-CARE GESTURE
SE-PLETE DHA
CAVAN-FOLATE DHA
FORMULA E
ESSENTIAL ONE DAILY
Dose
CAPSULE
TABLET
TABLET ER
TABLET
TAB CHEW
TABLET
TABLET
CAPSULE
CAPSULE
CAPSULE
CAPSULE
DROPS
TABLET
CAPSULE
CAPSULE
CAPSULE
COMBO. PKG
TABLET
CAPSULE
CAPSULE
TABLET
TABLET
CAPSULE
TABLET
CAPSULE
TABLET
TABLET
SOLUTION
TABLET
TABLET
CAPSULE
TABLET
TBMP 24HR
TABLET
CMBPKGDRCP
TABLET
CAPSULE
COMBO. PKG
CMBPKGDRCP
TABLET ER
TABLET
TAB CHEW
TABLET
TBMP 24HR
CAPSULE
COMBO. PKG
CAPSULE
TABLET
PA
Step
QLL
Age
General Therapeutic Category
FLUID REPLACEMENT
Brand Name
ONE DAILY MAXIMUM
THERAPEUTIC-M
DAILY DIET SUPPORT
CALCIUM CITRATE- VITAMIN D
MULTINATAL PLUS
PNV-OB WITH DHA
PRENAISSANCE DHA
EPIFLUR
TRI-VITAMIN WITH IRON-FLUORIDE
POLYVITAMIN WITH IRON-FLUORIDE
POLYVITAMINS-FLUORIDE
GOLDEN AGE
SPECTRAVITE
VINATE AZ
VINATE CALCIUM
VINATE AZ EXTRA
VINATE IC
OYSTER SHELL CALCIUM W-VIT D
STANNOUS FLUORIDE
MAG-SR
MAG-SR PLUS CALCIUM
PRENAFIRST
PRENATAL AD
INATAL GT
ICAR-C PLUS SR
OBTREX
FOLCAPS OMEGA-3
PREPLUS
VP-ERA OB PLUS
PRENATAL VITAMIN PLUS LOW IRON
VIRT-NATE DHA
CALCIUM 600-VIT D3
HAIR, SKIN AND NAILS
NU-MAG
XURIDEN
Generic Name
FOLIC ACID/MV,FE,MIN
MULTIVIT,TX,IRON/CALCM/FA/MINS
MULTIVITAMIN
CALCIUM CITRATE/VITAMIN D3
PV W-O VIT A/FE FUMARATE/FA
PRENAT VIT COMB.10/IRON/FA/DHA
PNV22/IRON CBN&GLUC/FA/DSS/DHA
SODIUM FLUORIDE
FLUORIDE/IRON/VITAMINS A,C,D
MULTIVITS WITH IRON & FLUORIDE
MULTIVITAMINS WITH FLUORIDE
MULTIVIT WITH IRON-MINERALS
MULTIVIT WITH IRON-MINERALS
PRENATAL VIT/IRON BISGLYCIN/FA
PNV NO.4/IRON CBN&GLUC/FA/DOSS
PV W-O CAL/FE BISGLY/FA
PRENATAL VITS CMB W-O CA NO.2
CALCIUM CARBONATE/VITAMIN D3
STANNOUS FLUORIDE
MAGNESIUM CHLORIDE
MAGNESIUM CHLORIDE
PRENATAL VIT/IRON FUMARATE/FA
PRENATAL VIT 15/IRON CB/FA/DSS
PNV/IRON,CARBONYL/DOCUSATE/FA
IRON,CARBONYL/VIT C/VIT B12/FA
PV W-O CAL/FE,CARBONYL/DOSS/FA
PNV W-CA NO.37/IRON/FA/OMEGA-3
PNV WITH CA,NO.72/IRON/FA
PNV #8/IRON PS & HEME POLYP/FA
PNV WITH CA,NO.72/IRON/FA
PNV 11-IRON FUM-FOLIC ACID-OM3
CALCIUM CARBONATE/VITAMIN D3
MULTIVITAMIN WITH MINERALS
MAGNESIUM CHLORIDE
URIDINE TRIACETATE
Dose
TABLET
TABLET
TABLET
TABLET
TAB CHEW
COMBO. PKG
COMBO. PKG
TAB CHEW
DROPS
DROPS
DROPS
LIQUID
LIQUID
TABLET
TABLET
TABLET
CAPSULE
TABLET
SOLN(GRAM)
TABLET ER
TABLET ER
TABLET
TABLET
TABLET
CAP MPHASE
TABLET
CAPSULE
TABLET
TABLET
TABLET
CAPSULE
TABLET
TABLET
TABLET DR
GRAN PACK
PA
X
Step
QLL
Age
EOCCO nondiscrimination notice
EOCCO complies with applicable federal civil rights
laws. We do not discriminate on the basis of race,
color, national origin, age, disability or sex.
EOCCO provides free, timely aids and services to people with disabilities to
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If you need any of the services
listed above, contact:
EOCCO Customer Service,
888-788-9821 (TDD/TTY 711)
If you believe that EOCCO has
failed to provide these services or
discriminated in another way on the
basis of race, color, national origin, age,
disability or sex, you can file a written
grievance by mailing or faxing it to:
EOCCO
Attention: Appeal Unit
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Fax: 503-412-4003
EOCCO efforts to assure
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601 SW Second Ave.
Portland, OR 97204
855-232-9111
[email protected]
If you need assistance filing a
grievance, please call Customer Service.
You can also file a civil rights complaint
with the U.S. Department of Health and
Human Services Office for Civil Rights at
ocrportal.hhs.gov/ocr/portal/lobby.jsf,
or by mail or phone to:
U.S. Department of Health
and Human Services
200 Independence Ave. SW, Room 509F
HHH Building, Washington, DC 20201
800-868-1019, 800-537-7697 (TDD).
Office for Civil Rights complaint
forms are available at
hhs.gov/ocr/office/file/index.html.
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