A list of medications that may lower your patients

Transcription

A list of medications that may lower your patients
A list of medications that may lower your patients’ costs
INTRODUCTION
Catamaran utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of
practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically
sound and that it supports patient health. This committee reviews and evaluates medications
on the formulary based on safety and efficacy to help maintain clinical integrity in all
therapeutic categories.
FORMULARY DESIGN
There are numerous formulary designs that can be used by a pharmacy benefits administrator.
Catamaran has chosen a formulary structure which is open and incentive based.
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Open Formulary: features uniform co-payments for medications that are preferred
and non-preferred brands, plus lower co-payments for generic drugs.
Incentive Based: features different co-payments for medications that are on or off the
formulary. In this type of formulary, the patient cost structure may be either a two-tier
or three-tier design.
USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS
Many benefit sponsors use the Catamaran formulary to help manage the overall cost of
providing prescription drug benefits. This formulary offers a wide range of medications from
which to choose. We realize that this formulary reference guide may not include every drug
from every manufacturer. However, choosing a preferred drug when it is appropriate can
provide access to the necessary medications to stay healthy, at a cost that is more affordable.
KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED
The following formulary reference guide is designed so that generic products are listed first in
each drug category. The preferred brand name products are listed next, and non-preferred
brand products are listed last.
PLEASE NOTE: If a generic product is listed in the “generics” section and its corresponding
brand-name product is not listed in the “preferred brand-name” section, then only the
generic product is on the formulary. If a brand name product is listed in the “preferred brandname” section and its corresponding generic product is not listed in the “generics” section,
then a generic version of the medication is not available.
CONSIDERING PREFERRED ALTERNATIVES
Catamaran realizes that the medications on the formulary may not always be appropriate for all
patients. However, by referring to this formulary reference guide, one can help ensure the full
advantage of the coverage provided by the prescription drug plan. Possible preferred
alternatives are listed for commonly prescribed non-preferred medications.
Pharmacies cannot substitute a preferred brand-name drug without the prescriber’s approval.
Therefore, a pharmacist may contact the prescriber to obtain authorization to dispense an
alternative preferred product when a non-preferred product is prescribed.
SAVING ON OUT-OF-POCKET COSTS
The prescription drug plan determines the cost for generic, preferred brand-name, and onpreferred brand-name medications. Benefit providers often design prescription drug plans to
encourage the use of generic and preferred brand-name drugs. Choosing non-preferred drugs
may mean paying higher out-of-pocket expenses (such as coinsurance, co-payments, and
deductible amounts) or not receiving coverage at all. Patients may also pay less for generic
drugs, or they may be asked to pay the cost difference between brand-name drugs and their
generic alternatives, which are preferred by the plan.
CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE
When employers and other benefit sponsors design their prescription drug plans, they may
choose to provide coverage only for certain medications or for particular uses, time periods,
doses, or quantities (e.g. they may exclude coverage for medications for unapproved,
unproven, or cosmetic indications, as well as over-the-counter medications). When coverage
for medications is provided based on use or quantity, Catamaran may contact your prescriber’s
office for additional information to determine whether coverage is available under your plan.
Patients who are unsure whether these coverage rules apply for a particular medication can
consult their prescription drug benefit manual or contact a Catamaran Member Services
representative to determine specific coverage requirements.
*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design
determines what is covered and the applicable co-payment. The medications listed on this formulary are subject to change
pursuant to the formulary management activities of catamaran. The presence of a medication on this formulary list does not
guarantee coverage.
Table of Contents
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
ANTINEOPLASTICS, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
HEMATOLOGICAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24
OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24
PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24
ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24
ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25
ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26
MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26
GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26
LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26
RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27
ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27
NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27
COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27
ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
29
RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30
TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30
VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
31
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
31
MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
31
MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
33
DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
33
MISCELLANEOUS AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
36
Rocephin
Spectracef
Suprax
FOURTH GENERATION
GENERIC
cefepime
January 2013
ANTI-INFECTIVES
PENICILLINS
GENERIC
amoxicillin
amoxicillin/clavulanate potassium
amoxicillin/clavulanate potassium er
amoxicillin/potassium clavulanate
ampicillin
ampicillin sodium
ampicillin-sulbactam
dicloxacillin sodium
nafcillin sodium
oxacillin sodium
penicillin g potassium
penicillin g procaine
penicillin g sodium
penicillin v potassium
pfizerpen-g
PREFERRED BRAND
Augmentin
NON PREFERRED
Augmentin Es-600
Augmentin Xr
Bicillin C-r
Bicillin L-a
Moxatag
Unasyn
Unasyn Bulk Pack
MACROLIDES
GENERIC
azithromycin
clarithromycin
clarithromycin er
e.e.s. 400
erythrocin stearate
erythromycin
erythromycin base
erythromycin ethylsuccinate
PREFERRED BRAND
Dificid
NON PREFERRED
Biaxin
Biaxin Xl
Biaxin Xl Pac
E.e.s. Granules
Ery-tab
Eryped 200
Eryped 400
Pce
Zithromax
Zithromax Tri-pak
Zithromax Z-pak
Zmax
TETRACYCLINES
GENERIC
avidoxy
demeclocycline hcl
doxycycline
doxycycline hyclate
doxycycline monohydrate
minocycline hcl
minocycline hcl er
morgidox 1x100mg
morgidox 2x100mg
tetracycline hcl
NON PREFERRED
Adoxa
Adoxa Pak 1/100
Adoxa Pak 1/150
Adoxa Pak 2/100
Alodox Convenience Kit
Avidoxy Dk
Doryx
Dynacin
Minocin
Minocin Kit
Monodox
Nutridox
Ocudox
Oraxyl
Solodyn
Vibramycin
CEPHALOSPORIN
FIRST GENERATION
GENERIC
cefadroxil
cefazolin sodium
cephalexin
NON PREFERRED
Keflex
SECOND GENERATION
GENERIC
cefaclor
cefaclor er
cefotetan
cefoxitin sodium
cefprozil
cefuroxime axetil
cefuroxime sodium
NON PREFERRED
Ceftin
Zinacef
THIRD GENERATION
GENERIC
cefdinir
Cefditoren Pivoxil
cefotaxime sodium
cefpodoxime proxetil
ceftazidime
ceftriaxone sodium
tazicef
NON PREFERRED
Cedax
Claforan
Fortaz
QUINOLONES
GENERIC
ciprofloxacin er
ciprofloxacin hcl
levofloxacin
ofloxacin
Effective January 1, 2013
1
PREFERRED BRAND
Avelox
Avelox Abc Pack
NON PREFERRED
Cipro
Cipro Xr
Factive
Levaquin
Noroxin
AMINOGLYCOSIDES
GENERIC
amikacin sulfate
gentamicin sulfate
kanamycin sulfate
neomycin sulfate
paromomycin sulfate
streptomycin sulfate
tobramycin sulfate
PREFERRED BRAND
Tobi
NON PREFERRED
Neo-fradin
SULFONAMIDES
GENERIC
sulfadiazine
ANTIMYCOBACTERIAL AGENTS
GENERIC
cycloserine
ethambutol hcl
isonarif
isoniazid
pyrazinamide
rifampin
PREFERRED BRAND
Mycobutin
seromycin
NON PREFERRED
Capastat Sulfate
Myambutol
Paser
Priftin
Rifadin
Rifamate
Rifater
Trecator
ANTIFUNGALS
GENERIC
amphotericin b
fluconazole
flucytosine
griseofulvin microsize
griseofulvin ultramicrosize
itraconazole
ketoconazole
nystatin
terbinafine hcl
voriconazole
PREFERRED BRAND
Noxafil
NON PREFERRED
Ancobon
Bio-statin
Diflucan
Grifulvin V
Gris-peg
Lamisil
Onmel
Sporanox
Sporanox Pulsepak
Terbinex
Vfend
ANTIVIRALS
GENERIC
abacavir
acyclovir
didanosine
famciclovir
lamivudine
lamivudine/zidovudine
Nevirapine
ribapak
ribasphere
ribatab
ribavirin
rimantadine hcl
stavudine
valacyclovir hcl
zidovudine
PREFERRED BRAND
Aptivus
Atripla
Baraclude
Complera
Crixivan
Edurant
Emtriva
Epivir Hbv
Epzicom
Fuzeon
Hepsera
Incivek
Intelence
Invirase
Isentress
Kaletra
Lexiva
Norvir
Peg-intron
Peg-intron Redipen
Peg-intron Redipen Pak 4
Pegasys
Pegasys Proclick
Prezista
Relenza Diskhaler
Rescriptor
Reyataz
Selzentry
Stribild
Sustiva
Tamiflu
Trizivir
Truvada
Valcyte
Victrelis
Videx Pediatric
Viracept
Viramune Xr
Viread
NON PREFERRED
Combivir
Copegus
Epivir
Famvir
Effective January 1, 2013
2
Flumadine
Infergen
Rebetol
Retrovir
Rimantalist
Tyzeka
Valtrex
Videx Ec
Viramune
Virazole
Zerit
Ziagen
Zovirax
Zyvox
NON PREFERRED
Azactam
Bactrim
Bactrim Ds
Cleocin
Cleocin Pediatric Granules
Cleocin Phosphate
Coly-mycin M
Flagyl
Flagyl Er
Invanz
Ketek
Lincocin
Pentam 300
Primsol
Septra Ds
Tindamax
Vancocin Hcl
Xifaxan
ANTIMALARIALS
GENERIC
Atovaquone/proguanil Hcl
chloroquine phosphate
hydroxychloroquine sulfate
mefloquine hcl
Primaquine Phosphate
Qualaquin
quinine sulfate
PREFERRED BRAND
Coartem
Daraprim
NON PREFERRED
Aralen
Malarone
Plaquenil
ANTINEOPLASTICS, ETC.
ALKYLATING AGENTS
GENERIC
cyclophosphamide
thiotepa
PREFERRED BRAND
Alkeran
Ceenu
Hexalen
Leukeran
Myleran
Temodar
NON PREFERRED
Gliadel Wafer
Mustargen
AMEBICIDES
PREFERRED BRAND
Yodoxin
ANTHELMINTICS
GENERIC
mebendazole
PREFERRED BRAND
Albenza
Biltricide
Stromectol
MISC. ANTI-INFECTIVES
GENERIC
aztreonam
baciim
bacitracin
clindamycin hcl
clindamycin palmitate hcl
clindamycin phosphate
clindamycin phosphate pharmacy bulk package
colistimethate sodium
dapsone
e.s.p.
erythromycin/sulfisoxazole
metronidazole
polymyxin b sulfate
sulfamethoxazole/trimethoprim
Sulfamethoxazole/trimethoprim Ds
tinidazole
Trimethoprim
vancomycin
vancomycin hcl
PREFERRED BRAND
Alinia
Cayston
Mepron
Nebupent
ANTIBIOTICS
GENERIC
bleomycin sulfate
ANTINEOPLASTIC ENZYMES
NON PREFERRED
Elspar
Erwinaze
Oncaspar
ANTIMETABOLITES
GENERIC
cytarabine
cytarabine aqueous
floxuridine
mercaptopurine
methotrexate
methotrexate sodium
PREFERRED BRAND
Oforta
Tabloid
Trexall
Vidaza
Xeloda
NON PREFERRED
Purinethol
HORMONAL AGENTS
GENERIC
anastrozole
bicalutamide
exemestane
Effective January 1, 2013
3
Firmagon
flutamide
letrozole
leuprolide acetate
megestrol acetate
tamoxifen citrate
PREFERRED BRAND
Depo-provera
Emcyt
Lupron Depot
Lysodren
Vantas
Xtandi
Zoladex
Zytiga
NON PREFERRED
Arimidex
Aromasin
Casodex
Eligard
Fareston
Faslodex
Femara
Megace Oral
Nilandron
Soltamox
Trelstar Depot
Trelstar Depot Mixject
Trelstar La
Trelstar La Mixject
Trelstar Mixject
IMMUNOMODULATORS
GENERIC
azathioprine
azathioprine sodium
cyclosporine
cyclosporine modified
gengraf
hecoria
mycophenolate mofetil
tacrolimus
PREFERRED BRAND
Azasan
Rapamune
Revlimid
Sandimmune
Thalomid
NON PREFERRED
Cellcept
Imuran
Myfortic
Neoral
Prograf
Zortress
MITOTIC INHIBITORS
GENERIC
etoposide
ENZYME INHIBITORS
GENERIC
Vandetanib
PREFERRED BRAND
Afinitor
Bosulif
Caprelsa
Gleevec
Jakafi
Nexavar
Sprycel
Sutent
Tarceva
Tasigna
Tykerb
Votrient
Xalkori
Zelboraf
NON PREFERRED
Inlyta
Iressa
Stivarga
Zolinza
TOPOISOMERASE I INHIBITOR
PREFERRED BRAND
Hycamtin
ANTINEOPLASTICS MISC.
GENERIC
hydroxyurea
tretinoin
PREFERRED BRAND
Actimmune
Intron-a
Intron-a W/diluent
Matulane
NON PREFERRED
Alferon N
Hydrea
Sylatron
Synribo
Targretin
Uvadex
CHEMOTHERAPY RESCUE
GENERIC
calcium folinate
leucovorin calcium
PREFERRED BRAND
Mesnex
CARDIOVASCULAR DRUGS
CARDIAC GLYCOSIDES
GENERIC
Digoxin
NON PREFERRED
Lanoxin
ANTIANGINAL AGENTS
GENERIC
amyl nitrite
isochron
isoditrate er
isosorbide dinitrate
isosorbide dinitrate er
isosorbide mononitrate
isosorbide mononitrate er
minitran
nitroglycerin
Nitroglycerin Lingual
nitroglycerin transdermal
PREFERRED BRAND
Dilatrate Sr
Nitro-bid
Nitro-dur
Nitrolingual Pumpspray
Nitrostat
Effective January 1, 2013
4
Ranexa
NON PREFERRED
Imdur
Isordil Titradose
Monoket
Nitromist
BETA BLOCKERS
GENERIC
acebutolol hcl
atenolol
betaxolol hcl
bisoprolol fumarate
carvedilol
labetalol hcl
metoprolol succinate er
metoprolol tartrate
nadolol
pindolol
propranolol hcl
propranolol hcl er
sorine
sotalol hcl
sotalol hcl (af)
timolol maleate
PREFERRED BRAND
Bystolic
Coreg Cr
NON PREFERRED
Betapace
Betapace Af
Coreg
Corgard
Hypertenevide-12.5
Inderal La
Innopran Xl
Kerlone
Levatol
Lopressor
Metoprolol
Sectral
Tenormin
Toprol Xl
Trandate
Zebeta
CALCIUM CHANNEL BLOCKERS
GENERIC
afeditab cr
amlodipine besylate
cartia xt
dilt-cd
dilt-xr
diltiazem cd
diltiazem hcl
Diltiazem Hcl Cd
diltiazem hcl er
diltzac
felodipine er
isradipine
matzim la
nicardipine hcl
nifediac cc
nifedical xl
nifedipine
nifedipine er
nimodipine
nisoldipine
nisoldipine er
taztia xt
verapamil hcl
verapamil hcl er
Verapamil Hcl Sr
PREFERRED BRAND
Cardizem La
NON PREFERRED
Adalat Cc
Calan
Calan Sr
Cardene Sr
Cardizem
Cardizem Cd
Covera-hs
Dilacor Xr
Dynacirc Cr
Hypertenipine-2.5
Isoptin Sr
Nimotop
Norvasc
Procardia
Procardia Xl
Sular
Tiazac
Verelan
Verelan Pm
ANTIARRHYTHMICS
GENERIC
amiodarone hcl
disopyramide phosphate
flecainide acetate
mexiletine hcl
procainamide hcl
propafenone hcl
propafenone hcl er
Quinidine Gluconate
quinidine gluconate cr
quinidine gluconate er
quinidine sulfate
quinidine sulfate er
PREFERRED BRAND
Pacerone
Tikosyn
NON PREFERRED
Cordarone
Multaq
Norpace
Norpace Cr
Rythmol
Rythmol Sr
Tambocor
ACE INHIBITORS
GENERIC
benazepril hcl
captopril
enalapril maleate
fosinopril sodium
lisinopril
moexipril hcl
perindopril erbumine
quinapril hcl
ramipril
trandolapril
NON PREFERRED
Accupril
Aceon
Altace
Effective January 1, 2013
5
Lotensin
Mavik
Prinivil
Univasc
Vasotec
Zestril
methyldopa/hydrochlorothiazide
metoprolol/hydrochlorothiazide
moexipril/hydrochlorothiazide
nadolol/bendroflumethiazide
propranolol/hydrochlorothiazide
quinapril/hydrochlorothiazide
valsartan/hydrochlorothiazide
PREFERRED BRAND
Amturnide
Azor
Benicar Hct
Exforge
Exforge Hct
Micardis Hct
Tarka
Tekamlo
Tekturna Hct
Tribenzor
Twynsta
Valturna
NON PREFERRED
Accuretic
Atacand Hct
Avalide
Clorpres
Corzide
Diovan Hct
Dutoprol
Edarbyclor
Hypertensolol
Hyzaar
Lopressor Hct
Lotensin Hct
Lotrel
Lytensopril
Lytensopril-90
Prinzide
Tenoretic 100
Tenoretic 50
Teveten Hct
Uniretic
Vaseretic
Zestoretic
Ziac
ANGIOTENSIN RCPTR BLOCKER
GENERIC
eprosartan mesylate
irbesartan
losartan potassium
PREFERRED BRAND
Atacand
Benicar
Diovan
Micardis
NON PREFERRED
Avapro
Cozaar
Edarbi
Teveten
DIRECT RENIN INHIBITORS
PREFERRED BRAND
Tekturna
ANTIHYPERTENSIVES MISC.
GENERIC
clonidine hcl
doxazosin mesylate
eplerenone
guanabenz acetate
guanfacine hcl
hydralazine hcl
methyldopa
minoxidil
phentolamine mesylate
prazosin hcl
Reserpine
terazosin hcl
PREFERRED BRAND
Demser
Dibenzyline
NON PREFERRED
Cardura
Catapres
Catapres-tts-1
Catapres-tts-2
Catapres-tts-3
Inspra
Minipress
Nexiclon Xr
Tenex
ANTIHYPERTENSIVE COMBO
GENERIC
amlodipine besylate/benazepril hcl
amlodipine besylate/benazepril hydrochloride
atenolol/chlorthalidone
benazepril hcl/hydrochlorothiazide
bisoprolol fumarate/hydrochlorothiazide
candesartan cilexetil/hydrochlorothiazide
captopril/hydrochlorothiazide
enalapril maleate/hydrochlorothiazide
fosinopril sodium/hydrochlorothiazide
irbesartan/hydrochlorothiazide
lisinopril/hydrochlorothiazide
losartan potassium/hydrochlorothiazide
DIURETICS
GENERIC
acetazolamide
Acetazolamide Er
acetazolamide sodium
Amiloride Hcl
amiloride/hydrochlorothiazide
bumetanide
chlorothiazide
chlorthalidone
furosemide
hydrochlorothiazide
indapamide
methazolamide
methyclothiazide
metolazone
spironolactone
spironolactone/hydrochlorothiazide
torsemide
Triamterene/hydrochlorothiazide
NON PREFERRED
Aldactazide
Aldactone
Demadex
Effective January 1, 2013
6
Diamox
Diuril
Dyazide
Dyrenium
Edecrin
Introl
Lasix
Maxzide
Maxzide-25
Microzide
Midamor
Neptazane
Thalitone
Zaroxolyn
VASOPRESSORS
GENERIC
ephedrine sulfate
Epinephrine
midodrine hcl
norepinephrine bitartrate
phenylephrine hcl
PREFERRED BRAND
Epipen
Epipen 2-pak
Epipen-jr
Epipen-jr 2-pak
NON PREFERRED
Levophed
Neo-synephrine
Twinject
ANTIHYPERLIPIDEMICS
GENERIC
atorvastatin calcium
cholestyramine
cholestyramine light
colestipol hcl
colestipol hcl for oral suspension
Fenofibrate
fenofibrate micronized
Fenofibric Acid
fluvastatin
gemfibrozil
lovastatin
Micronized Colestipol Hcl
pravastatin sodium
prevalite
simvastatin
PREFERRED BRAND
Altoprev
Antara
Crestor
Fenoglide
Lipofen
Lovaza
Niaspan
Simcor
Triglide
Trilipix
Vytorin
Welchol
Zetia
NON PREFERRED
Advicor
Colestid
Colestid Flavored
Fibricor
Lescol
Lescol Xl
Lipitor
Livalo
Lofibra
Lopid
Mevacor
Pravachol
Questran
Questran Light
Tricor
Vascepa
Zocor
CARDIOVASCULAR - MISC.
GENERIC
Amlodipine Besylate/atorvastatin Calcium
papaverine hcl
sildenafil citrate
PREFERRED BRAND
Adcirca
Bidil
Letairis
Remodulin
Tracleer
Tyvaso
Tyvaso Refill
Tyvaso Starter
Ventavis
NON PREFERRED
Caduet
Revatio
DERMATOLOGICALS
ACNE PRODUCTS
GENERIC
adapalene
amnesteem
avar cleanser
avar-e emollient
avar-e green
Avita
benzepro
benzepro short contact
benziq wash
benzoyl peroxide
benzoyl peroxide cleanser
benzoyl peroxide cleansing
benzoyl peroxide short contact
benzoyl peroxide wash
benzoyl peroxide wash acne treatment pack
bp cleanser
bp cleansing wash
bp wash
bp 10-1
bpo
bpo creamy wash complete pack
bpo 3% foaming cloths
bpo 6% foaming cloths
bpo 9% foaming cloths
cerisa wash
claravis
claris clarifying wash
clearplex x
clenia
clenia foaming wash
clindacin-p
clindamax
clindamycin phosphate
clindamycin/benzoyl peroxide
Effective January 1, 2013
7
clindareach
ery
erythromycin
erythromycin/benzoyl peroxide
lavoclen-4 acne wash kit
lavoclen-4 creamy wash
lavoclen-8 acne wash kit
lavoclen-8 creamy wash
myorisan
oscion cleanser
pacnex wash
pr benzoyl peroxide wash
prascion
prascion fc
prascion ra with sunscreens
ra renewal medicated acne treatment maximum strength
rosanil cleanser
se bpo wash
se bpo 3% foaming cloths
se bpo 6% foaming cloths
se bpo 7-5.5 wash kit
se bpo 9% foaming cloths
se 10-5 ss
Sodium Sulfacetamide
sodium sulfacetamide/sulfur
sodium sulfacetamide/sulfur cleanser
sodium sulfacetamide/sulfur cleanser in urea
sodium sulfacetamide/sulfur cleansing cloths
sodium sulfacetamide/sulfur green
sodium sulfacetamide/sulfur in urea
sodium sulfacetamide/sulfur wash
sotret
sulfacetamide sodium
sulfacetamide sodium/sulfur cleanser
sulfacleanse 8/4
suphera
tl bpo mx cleanser
Tretinoin
virti-sulf
zaclir cleansing
zencia
PREFERRED BRAND
Acanya
Aczone
Atralin
Azelex
Epiduo
Veltin
NON PREFERRED
Absorica
Akne-mycin
Avar Ls Cleanser
Avar-e Ls
Benzac Ac Wash
Benzac W Wash
Benzaclin
Benzaclin With Pump
Benzamycin
Benzamycinpak
Benzefoam
Benzefoamultra
Benziq
Benziq Ls
Clarifoam Ef
Cleocin-t
Clindacin Pac
Clindagel
Delos
Desquam-x Wash
Differin
Duac
Evoclin
Inova
Inova 4/1 Acne Control Therapy
Inova 8/2 Acne Control Therapy
Klaron
Neobenz Micro
Neobenz Micro Plus Pack
Neobenz Micro Sd
Neobenz Micro Wash
Neobenz Micro Wash Plus Pack
Nuox
Pacnex Hp
Pacnex Lp
Pacnex Mx
Plexion Cleanser
Plexion Cleansing Cloth
Plexion Sct
Retin-a
Retin-a Micro
Retin-a Micro Pump
Rosanil
Sss 10-4
Sulfoam
Sumadan Kit
Sumadan Wash
Sumaxin
Sumaxin Cp Kit
Sumaxin Ts
Sumaxin Wash
Tretin-x
Triaz
Triaz Cleanser
Triaz Foaming Cloths
Vanoxide Hc
Vanoxide-hc
Zacare 4% Kit
Zacare 8% Kit
Ziana
ROSACEA AGENTS
GENERIC
metronidazole
rosadan
vitazol
PREFERRED BRAND
Finacea
Metrogel
Oracea
NON PREFERRED
Finacea Plus
Metrocream
Metrolotion
Noritate
Rosadan Kit
ANTIBIOTICS - TOPICAL
GENERIC
Centany
gentamicin sulfate
mupirocin
NON PREFERRED
Altabax
Bactroban
Centany At
Cortisporin
ANTIFUNGALS - TOPICAL
Effective January 1, 2013
8
GENERIC
ciclodan
ciclopirox
ciclopirox nail lacquer
ciclopirox olamine
ciclopirox topical solution kit
ciclopirox treatment
clotrimazole
clotrimazole/betamethasone dipropionate
econazole nitrate
exoderm
ketoconazole
ketodan
nuzole
nyamyc
nystatin
nystatin/triamcinolone
nystop
pedi-dri
versiclear
PREFERRED BRAND
Exelderm
Mentax
NON PREFERRED
Aloquin
Ciclodan Cream Kit
Ciclodan Solution Kit
Cnl8 Nail Kit
Ertaczo
Extina
Halotin
Ketocon
Ketodan Kit
Lamisil
Loprox
Loprox Shampoo
Lotrisone
Naftin
Nizoral
Oxistat
Pediaderm Af Complete Kit
Pedipirox-4 Nail
Penlac Nail Lacquer
Vusion
Xolegel
Xolegel Corepak
Xolegel Duo/head & Shoulders
Xolegel Duo/xolex
ANTIVIRALS - TOPICAL
PREFERRED BRAND
Zovirax
NON PREFERRED
Denavir
Lidovir
Xerese
ANTI-INFLAMMATORY AGENTS
PREFERRED BRAND
Flector
Voltaren
NON PREFERRED
Napro 15% Compounding Kit
Naproderm Compounding Kit
Pennsaid
ANTIPRURITICS
GENERIC
Prudoxin
NON PREFERRED
Zonalon
ANTIPSORIATICS
GENERIC
calcipotriene
Calcitriol
dritho-creme hp
PREFERRED BRAND
Dritho-scalp
Oxsoralen Ultra
Soriatane
Tazorac
Vectical
NON PREFERRED
Amevive
Calcitrene
Dovonex
Dovonex Scalp
Sorilux
Stelara
Zithranol
Zithranol-rr
8-mop
ANTISEBORRHEIC AGENTS
GENERIC
glycolic acid
glycolic acid 70% high purity
mexar wash
seb-prev
seb-prev wash
selenium sulfide
sodium sulfacetamide wash
sodium sulfacetamide/urea
PREFERRED BRAND
Ovace Plus
NON PREFERRED
Ovace Plus Wash
Ovace Wash
Promiseb
Promiseb Complete
Selsun Shampoo
Tersi Foam
CORTICOSTEROIDS - TOPICAL
GENERIC
ala cort
alclometasone dipropionate
alphatrex
amcinonide
apexicon
apexicon e
augmented betamethasone dipropionate
betamethasone dipropionate
betamethasone valerate
clobetasol propionate
clobetasol propionate e
clobetasol propionate emollient
cormax
cormax scalp application
cortalo
desonide
desoximetasone
diflorasone diacetate
fluocinolone acetonide
fluocinolone acetonide body
fluocinolone acetonide scalp
fluocinonide
Effective January 1, 2013
9
fluocinonide emollient base
fluocinonide-e
fluticasone propionate
halac
halobetasol propionate
halonate pac
hydrocortisone
hydrocortisone acetate/aloe
hydrocortisone butyrate
hydrocortisone in absorbase
hydrocortisone valerate
Lokara
mometasone furoate
pramcort
prednicarbate
scalacort
synalar
triamcinolone acetonide
triamcinolone acetonide in absorbase
trianex
triderm
u-cort
PREFERRED BRAND
Capex
Cordran Tape
Halog
Kenalog
Locoid Lipocream
Taclonex
NON PREFERRED
Aclovate
Ala Scalp
Aqua Glycolic Hc Scalp & Body
Carmol-hc
Clobeta Cream
Clobeta Ointment
Clobex
Cloderm
Cloderm Pump
Cordran
Cordran Sp
Cutivate
Derma-smoothe/fs Body Oil
Derma-smoothe/fs Scalp Oil
Dermatop
Desonate
Desonil
Desowen
Desowen Cream/cetaphil Lotion
Desowen Lotion/cetaphil Cream
Desowen Ointment/cetaphil Lotion
Diprolene
Diprolene Af
Elocon
Epifoam
First-hydrocortisone
Halonate
Lidamantle Hc
Locoid
Luxiq
Momexin
Nucort
Nuzon
Olux
Olux-e
Pandel
Pediaderm Hc
Pediaderm Ta
Pramosone
Scalacort Dk
Synalar Cream Kit
Synalar Ointment Kit
Synalar Ts
Temovate
Temovate E
Texacort
Topicort
Ultravate
Ultravate Pac
Ultravate X
Vanos
Verdeso
Westcort
IMMUNOMODULATING AGENTS
GENERIC
imiquimod
PREFERRED BRAND
Elidel
Protopic
NON PREFERRED
Aldara
Zyclara
Zyclara Pump
DERMATOLOGICALS - MISC.
GENERIC
acticin
aliclen
aluminum acetate
ammonium lactate
arnica flower
benzoin compound tincture
benzoin tincture
boric acid
capsaicin
cem-urea
cerovel
coal tar
coal tar base
cocaine hcl
durasal
ethyl chloride
ethyl chloride/fine pinpoint
ethyl chloride/fine stream
ethyl chloride/medium jet stream
ethyl chloride/medium stream
ethyl chloride/mist
green soap
hygel
hypercare
laclotion
lactic acid
lactic acid e
lactic acid w/vitamin e
latrix
latrix xm
lidocaine
lidocaine hcl
lidocaine hcl jelly
lidocaine/prilocaine
lindane
malathion
permethrin
podocon 25 in benzoin tincture
podofilox
pramox gel
pyrogallic acid
remeven
Effective January 1, 2013
10
salacyn
salicylic acid
salicylic acid cream
salicylic acid in ammonium lactate vehicle
salicylic acid lotion
salicylic acid wart remover
sodium hyaluronate
Spinosad
sulfurated lime
tl urea
u-kera e
umecta mousse
urea
urea hydrating
urea in zinc undecylenate/lactic acid vehicle
urea nail
urea nail kit
urea topical
urea 40% nail film
urea-c40
witch hazel
x-viate
xclair
PREFERRED BRAND
Condylox
Eurax
Lidoderm
Ulesfia
NON PREFERRED
Aluvea
Anacaine
Atopiclair
Aurstat
Bensal Hp
Drysol
Eletone
Elimite
Emla
Emulsion Sb
Epiceram
Gebauers Pain Ease
Gebauers Spray And Stretch
Genadur
Gordofilm
Gordons Urea
Hpr
Hpr Plus
Hpr Plus/mb Hydrogel
Hydro 35
Hydro 40 Foam
Hylatopic
Hylatopic Plus
Hylatopic Plus/aurstat
Hylira
Kerafoam
Kerafoam 42
Keralyt
Keralyt Scalp
Kerol
Kerol Ad
Lac-hydrin
Lamb Gel
Lycelle
Mb Hydrogel
Mimyx
Natroba
Neosalus
Neosalus 180 Pack
Nuvail
Ovide
Pliaglis
Pontocaine
Pr Cream
Pruclair
Prumyx
Qutenza
Radigel
Rinnovi Nail System
Salex
Salex Cream
Salex Lotion
salkera
Salvax
Salvax Duo Plus
Sklice
Synera
Tetrix
Tl-cermide
Tropazone
Umecta
Umecta Nail Film
Umecta Pd
Uramaxin
Uramaxin Gt
Uramaxin Gt Kit
Veregen
Virasal
Xerac Ac
Xylocaine
Xylocaine Jelly
Zenieva
ENDOCRINE AND METABOLIC
CORTICOSTEROIDS
GENERIC
a-hydrocort
a-methapred
asmalpred
asmalpred plus
baycadron
betamethasone sodium phosphate/betamethasone
acetate
budesonide
cortisone acetate
dexamethasone
dexamethasone sodium phosphate
fludrocortisone acetate
hydrocortisone
methylprednisolone
methylprednisolone acetate
methylprednisolone dose pack
methylprednisolone sodiumsuccinate
prednisolone
prednisolone sodium phosphate
prednisone
zema-pak 10 day
zema-pak 13 day
zema-pak 6 day
NON PREFERRED
Aristospan Intra-articular
Aristospan Intralesional
Celestone
Celestone-soluspan
Cortef
Depo-medrol
Dexamethasone Intensol
Dexpak 10 Day
Dexpak 13 Day
Effective January 1, 2013
11
Dexpak 6 Day
Entocort Ec
Flo-pred
Kenalog-10
Kenalog-40
Medrol
Medrol Dosepak
Millipred
Millipred Dp
Orapred
Orapred Odt
Pediapred
Prednisone Intensol
Prelone
Rayos
Solu-cortef
Solu-medrol
Veripred 20
Climara Pro
Delestrogen
Depo-estradiol
Divigel
Elestrin
Estrace
Estraderm
Estrasorb
Estrogel
Femhrt Low Dose
Femhrt 1/5
Femtrace
Menest
Menostar
Minivelle
Prefest
Premarin
PROGESTINS
ANDROGENS-ANABOLIC
GENERIC
danazol
oxandrolone
testosterone cypionate
testosterone enanthate
PREFERRED BRAND
Androderm
Androgel
Androgel Pump
Androxy
Axiron
Fortesta
Methitest
NON PREFERRED
Anadrol-50
android
Delatestryl
Depo-testosterone
First-testosterone
First-testosterone Mc Compounding Kit
Oxandrin
Striant
Testim
Testopel
testred
ESTROGENS
GENERIC
estradiol
estradiol valerate
estradiol/norethindrone acetate
estropipate
Jevantique
jinteli
mimvey
ortho-est
PREFERRED BRAND
Cenestin
Combipatch
Enjuvia
Evamist
Premphase
Prempro
Vivelle-dot
NON PREFERRED
Activella
Alora
Angeliq
Climara
GENERIC
medroxyprogesterone acetate
norethindrone acetate
progesterone
PREFERRED BRAND
Makena
NON PREFERRED
Aygestin
Megace Es
Prometrium
Provera
ANTIDIABETIC AGENTS
INSULIN
PREFERRED BRAND
Apidra
Apidra Solostar
Humalog
Humalog Kwikpen
Humalog Mix 50/50
Humalog Mix 50/50 Kwikpen
Humalog Mix 75/25
Humalog Mix 75/25 Kwikpen
Humulin R U-500 (concentrated)
Lantus
Lantus Solostar
Levemir
Levemir Flexpen
Novolog
Novolog Flexpen
Novolog Mix 70/30
Novolog Mix 70/30 Prefilled Flexpen
Novolog Penfill
AMYLIN ANALOGS
PREFERRED BRAND
Symlin
Symlinpen 120
Symlinpen 60
INCRETIN MIMETIC AGENTS
PREFERRED BRAND
Bydureon
Byetta
Victoza
SULFONYLUREAS
GENERIC
chlorpropamide
glimepiride
glipizide
glipizide er
Glipizide Xl
glyburide
Effective January 1, 2013
12
glyburide micronized
tolazamide
tolbutamide
NON PREFERRED
Amaryl
Diabeta
Glucotrol
Glucotrol Xl
Glynase
Avandamet
Avandaryl
Glucovance
Metaglip
BISPHOSPHONATES
GENERIC
alendronate sodium
etidronate disodium
ibandronate sodium
PREFERRED BRAND
Actonel
Atelvia
NON PREFERRED
Binosto
Boniva
Didronel
Fosamax
Fosamax Plus D
Skelid
BIGUANIDES
GENERIC
metformin hcl
metformin hcl er
PREFERRED BRAND
Riomet
NON PREFERRED
Fortamet
Glucophage
Glucophage Xr
Glumetza
MEGLITINIDE ANALOGUES
GENERIC
nateglinide
PREFERRED BRAND
Prandin
NON PREFERRED
Starlix
CALCITONINS
GENERIC
Calcitonin-salmon
Fortical
NON PREFERRED
Miacalcin
DIABETIC OTHER
PREFERRED BRAND
Glucagon Emergency Kit
NON PREFERRED
Glucagen
Glucagen Hypokit
Korlym
Proglycem
ALPHA-GLUCOSIDASE INHIBIT
GENERIC
acarbose
NON PREFERRED
Glyset
Precose
DPP-4 INHIBITORS
PREFERRED BRAND
Januvia
Onglyza
Tradjenta
INSULIN SENSITIZING AGENT
GENERIC
Pioglitazone Hcl
NON PREFERRED
Actos
Avandia
ANTIDIABETIC COMBINATIONS
GENERIC
glipizide/metformin hcl
glyburide/metformin hcl
Pioglitazone Hcl/metformin Hcl
PREFERRED BRAND
Actoplus Met Xr
Duetact
Janumet
Janumet Xr
Jentadueto
Juvisync
Kombiglyze Xr
Prandimet
NON PREFERRED
Actoplus Met
Appformin
Appformin-d
PARATHYROID HORMONE
PREFERRED BRAND
Forteo
RANK LIGAND INHIBITORS
PREFERRED BRAND
Xgeva
NON PREFERRED
Prolia
HORMONE RECEPTOR MDLTR
PREFERRED BRAND
Evista
FERTILITY REGULATORS
GENERIC
Chorionic Gonadotropin
Novarel
Pregnyl W/diluent Benzyl Alcohol/nacl
LHRH/GNRH AGONIST
PREFERRED BRAND
Lupron Depot-ped
Supprelin La
Synarel
GROWTH HORMONES
PREFERRED BRAND
Norditropin Cartridge
Norditropin Flexpro
Norditropin Nordiflex Pen
Nutropin
Nutropin Aq
Nutropin Aq Nuspin 10
Nutropin Aq Nuspin 20
Nutropin Aq Nuspin 5
Nutropin Aq Pen
NON PREFERRED
Genotropin
Genotropin Miniquick
Humatrope
Effective January 1, 2013
13
Humatrope Combo Pack
Omnitrope
Saizen
Saizen Click.easy
Serostim
Tev-tropin
Zorbtive
Zemplar
NON PREFERRED
Carnitor
Carnitor Sf
Rocaltrol
THYROID AGENTS
GENERIC
Levothroid
levothyroxine sodium
levothyroxine sodium tab 0.075mg
Levoxyl
liothyronine sodium
methimazole
nature-throid
np thyroid 30
np thyroid 60
np thyroid 90
propylthiouracil
Unithroid
unithroid direct
NON PREFERRED
Armour Thyroid
Cytomel
Nature-throid Nt-2.5
Synthroid
Tapazole
Thyrolar-1
Thyrolar-1/2
Thyrolar-1/4
Thyrolar-2
Thyrolar-3
Tirosint
Westhroid
GHRH
NON PREFERRED
Egrifta
SOMATOMEDINS
NON PREFERRED
Increlex
SOMATOSTATIC AGENTS
GENERIC
octreotide acetate
PREFERRED BRAND
Sandostatin Lar Depot
Somatuline Depot
NON PREFERRED
Sandostatin
GH RECEPTOR ANTAGONISTS
PREFERRED BRAND
Somavert
POSTERIOR PITUITARY
GENERIC
desmopressin acetate
minirin
vasopressin
PREFERRED BRAND
Stimate
NON PREFERRED
Ddavp
Pitressin Synthetic
CORTICOTROPIN
PREFERRED BRAND
Acthar Hp
PROLACTIN INHIBITORS
GENERIC
cabergoline
VASOPRESSIN ANTAGONISTS
PREFERRED BRAND
Samsca
PROGESTERONE ANTAGONISTS
NON PREFERRED
Mifeprex
METABOLIC MODIFIERS
GENERIC
calcitriol
levocarnitine
PREFERRED BRAND
Buphenyl
Carbaglu
Cystadane
Hectorol
Kuvan
Orfadin
Sensipar
GASTROINTESTINAL
LAXATIVES
GENERIC
cascara sagrada
cascara sagrada aromatic
constulose
gavilyte-c
gavilyte-g
gavilyte-n/flavor pack
lactulose
mineral oil heavy
Peg 3350/electrolytes
peg-3350/electrolytes
peg-3350/nacl/na bicarbonate/kcl
polyethylene glycol 3350
senna
senna leaves
senna plus
trilyte
PREFERRED BRAND
Halflytely Bowel Prep/flavor Packs
Kristalose
Suprep Bowel Prep
NON PREFERRED
Colyte-flavor Packs
Golytely
Moviprep
Nulytely/flavor Packs
Osmoprep
Prepopik
Visicol
ANTIDIARRHEALS
Effective January 1, 2013
14
GENERIC
diphenoxylate/atropine
lofene
lonox
loperamide hcl
opium
opium tincture
paregoric
PREFERRED BRAND
Motofen
NON PREFERRED
Lomotil
Rezyst Im
Rezyst Sb
Vsl#3 Ds
Bentyl
Cantil
Cuvposa
Cytotec
Dexilant
Digex Nf
First-lansoprazole
First-omeprazole
Gabitidine
Glycopyrroate
Helidac
Levbid
Levsin
Levsin/sl
Omeclamox-pak
Pamine
Pamine Forte
Pamine Fq
Pepcid
Prevacid
Prevacid Solutab
Prevpac
Prilosec
Protonix
Robinul
Robinul Forte
Sentradine
Symax Duotab
Zantac
Zegerid
ANTACIDS
GENERIC
sodium bicarbonate
ULCER DRUGS
GENERIC
Atropine Sulfate
belladonna & opium
belladonna alkaloids
belladonna alkaloids & opium
cimetidine
cimetidine hcl
colidrops pediatric
dicyclomine hcl
ed-spaz
famotidine
gastrinex nf
glycopyrrolate
hyomax -dt
hyomax-sl
hyomax-sr
hyoscyamine sulfate
hyoscyamine sulfate er
hyoscyamine sulfate odt
hyoscyamine sulfate sr
hyosyne
lansoprazole
Lansoprazole Odt
Methscopolamine Bromide
misoprostol
nizatidine
nulev
omeprazole
omeprazole/sodium bicarbonate
oscimin
oscimin sr
Pantoprazole Sodium
propantheline bromide
ranitidine hcl
scopolamine hydrobromide
sucralfate
symax fastabs
symax-sl
symax-sr
PREFERRED BRAND
Carafate
Nexium
Pylera
NON PREFERRED
Aciphex
Anaspaz
Atropen
Axid
ANTIEMETICS
GENERIC
dimenhydrinate
dronabinol
granisetron hcl
meclizine hcl
ondansetron hcl
ondansetron odt
trimethobenzamide hcl
univert
PREFERRED BRAND
Anzemet
Emend
Sancuso
Transderm-scop
NON PREFERRED
Antivert
Cesamet
Coca Cola Syurp
Granisol
Marinol
Tigan
Zofran
Zofran Odt
Zuplenz
DIGESTIVE AIDS
GENERIC
Pancrelipase
PREFERRED BRAND
Creon
Zenpep
NON PREFERRED
Pancreaze
Pertzye
Sucraid
Ultresa
Viokace
Effective January 1, 2013
15
GASTROINTESTINAL - MISC.
GENERIC
balsalazide disodium
calcium acetate
colocort
cromolyn sodium
dexpanthenol
enulose
generlac
Hydrocortisone
hydrocortisone acetate/pramoxine
lactulose
lidazone hc
lidocaine hcl-hydrocortisone acetate with aloe
lidocaine hcl/hydrocortisone acetate
mesalamine
metoclopramide hcl
pram-hca
procto-pak
proctocream hc
proctosol hc
proctozone-hc
sulfasalazine
sulfazine
sulfazine ec
ursodiol
z-pram
PREFERRED BRAND
Amitiza
Analpram Advanced
Apriso
Asacol
Asacol Hd
Canasa
Cortifoam
Fosrenol
Lotronex
Pentasa
Proctofoam Hc
Relistor
Renvela
NON PREFERRED
Actigall
Analpram-hc
Analpram-hc Singles
Anamantle Hc
Anusol-hc
Azulfidine
Azulfidine En-tabs
Chenodal
Cimzia
Cimzia Starter Kit
Colazal
Cortenema
Dipentum
Eliphos
Entereg
Gastrocrom
Lialda
Linzess
Metozolv Odt
Phoslo
Phoslyra
Procort
Proctocort
Rectiv
Reglan
Renagel
Rowasa
Sfrowasa
Urso Forte
Urso 250
Zypram
GENITOURINARY
URINARY ANTI-INFECTIVES
GENERIC
hyophen
Methenamine Hippurate
methenamine mandelate
nitrofurantoin
Nitrofurantoin Macrocrystal
nitrofurantoin macrocrystalline
nitrofurantoin monohydrate
Nitrofurantoin Monohydrate/macrocrystals
phosphasal
ur n-c
urin d/s
uryl
ustell
uta
uticap
utira-c
utrona-c
NON PREFERRED
Furadantin
Hiprex
Macrobid
Macrodantin
Monurol
Prosed/ds
Urelle
Uretron D/s
Urex
Uribel
Urogesic-blue
Uroqid #2
URINARY ANTISPASMODICS
GENERIC
bethanechol chloride
flavoxate hcl
oxybutynin chloride
oxybutynin chloride er
Tolterodine Tartrate
trospium chloride
trospium chloride er
PREFERRED BRAND
Detrol La
Enablex
Gelnique
Oxytrol
Toviaz
Vesicare
NON PREFERRED
Detrol
Ditropan Xl
Myrbetriq
Sanctura
Sanctura Xr
Urecholine
VAGINAL PRODUCTS
GENERIC
acid jelly
clindamycin phosphate
metronidazole vaginal
miconazole 3
Effective January 1, 2013
16
miconazole 3 combo pack
nystatin vaginal
terconazole
Vandazole
zazole
PREFERRED BRAND
Avc
Crinone
Estrace
Estring
Gynazole-1
Vagifem
NON PREFERRED
Cleocin
fem ph
Femring
First-progesterone Vgs 100 Compounding Kit
First-progesterone Vgs 200 Compounding Kit
First-progesterone Vgs 25 Compounding Kit
First-progesterone Vgs 400 Compounding Kit
First-progesterone Vgs 50 Compounding Kit
Metrogel-vaginal
Premarin
relagard
Terazol 3
Terazol 7
GENITOURINARY - MISC.
GENERIC
alfuzosin hcl er
citric acid/sodium citrate
cytra k crystals
cytra-k
cytra-2
cytra-3
finasteride
phenazo
phenazopyridine hcl
Potassium Citrate
potassium citrate/citric acid
sodium citrate
tamsulosin hcl
taron-crystals
tricitrates
PREFERRED BRAND
Cystagon
Elmiron
Rapaflo
Urocit-k 15
NON PREFERRED
Avodart
Cardura Xl
Citrolith
Flomax
Jalyn
K-phos Mf
K-phos No 2
Lithostat
Oracit
Polycitra-k Crystals
Proscar
Pyridium
Shohls Solution Modified
Thiola
Urocit-k 10
Urocit-k 5
Uroxatral
HEMATOLOGICAL AGENTS
HEMATOPOIETIC AGENTS
GENERIC
airavite
b-6 folic acid
bp vit 3
corvita 150
cyanocobalamin
Dexferrum
ed cyte f
fabb
fe c plus
ferocon
ferotrin
ferotrinsic
ferraplus 90
ferrex 150 forte
ferrex 150 forte plus
ferrex 28
ferrogels forte
folbee
folcaps
folic acid
folic acid/vitamin b-6/vitamin b-12
folitab
folplex 2.2
foltrin
hematinic/folic acid
hematogen
hematogen fa
hematogen forte
hemocyte-f
hydroxocobalamin
iferex 150 forte
Infed
martinic
mi-omega nf
multigen
multigen folic
multigen plus
myferon 150 forte
nufol
poly-iron 150 forte
polysaccharide iron forte
purevit dualfe plus
se-tan plus
senilezol
tandem f
tl gard rx
tl icon
tl-fol 500
tl-hem 150
tricon
trigels-f forte
PREFERRED BRAND
Aranesp Albumin Free
Droxia
Foltrate
Leukine
Mozobil
Neulasta
Neumega
Neupogen
Nplate
procrit
Promacta
NON PREFERRED
Albafort
Animi-3
Animi-3/vitamin D
Effective January 1, 2013
17
Biferarx
Cardiotek-rx
Cenfol
Centratex
Corvite Fe
Corvite 150
Divista
epogen
Feriva
Ferralet 90
Ferro-plex Hematinic
Ferrotrin
Fetrin
Folbee Ar
Folgard Rx
Folivane-f
Folivane-plus
Folpace Rx
Fumatinic
Hematron-af
Hemetab
Icar-c Plus
Integra F
Integra Plus
Irospan 24/6
Maxaron Forte
Nascobal
Nephron Fa
Neurin-sl
Niron Komplete
Novaferrum
Omontys
Pre-folic
Proferrin-forte
Purefe Plus
Tandem Plus
Taron Forte
Zavesca
ANTICOAGULANTS
GENERIC
enoxaparin sodium
fondaparinux sodium
Heparin Sodium
Heparin Sodium Dcu
Heparin Sodium/nacl 0.45%
Heparin Sodium/nacl 0.9%
Heparin Sodium/sodium Chloride 0.9%
Heparin Sodium/sodium Chloride 0.9% Premix
jantoven
warfarin sodium
PREFERRED BRAND
Pradaxa
Xarelto
NON PREFERRED
Arixtra
Coumadin
Fragmin
Iprivask
Lovenox
HEMOSTATICS
GENERIC
aminocaproic acid
PREFERRED BRAND
Lysteda
NON PREFERRED
Amicar
Artiss
Astringyn
Evicel
Evithrom
Recothrom
Recothrom Spray Kit
Thrombin-jmi Diluent
Thrombin-jmi Epistaxis
Thrombin-jmi Syringe Spray Kit
Thrombin-jmi W/dil Spray Pump Actuator
Thrombogen
Tisseel
HEMATOLOGICAL - MISC.
GENERIC
anagrelide hydrochloride
cilostazol
clopidogrel
dextran hm
dextran 70
Dipyridamole
pentoxifylline er
ticlopidine hcl
PREFERRED BRAND
Aggrenox
Brilinta
Effient
NON PREFERRED
Agrylin
Cathflo Activase
Firazyr
Kalbitor
Kinlytic
Persantine
Plavix
Pletal
Trental
MOUTH/THROAT/DENTAL AGENT
GENERIC
aquoral
cavirinse
cevimeline hcl
chlorhexadine gluconate oral rinse
chlorhexidine gluconate
chlorhexidine gluconate oral rinse
clotrimazole
dobells solution
easygel
lidocaine hcl
lidocaine viscous
neutral sodium fluoride
numoisyn
nystatin
oralone
perio med
periogard
pilocarpine hcl
pilocarpine hydrochloride
stannous fluoride oral rinse
topex topical anesthetic
triamcinolone acetonide
triamcinolone in orabase
NON PREFERRED
Aphthasol
Caphosol
Debacterol
Evoxac
First-bxn Mouthwash
Effective January 1, 2013
18
First-dukes Mouthwash
First-marys Mouthwash
First-mouthwash Blm
Gel-kam Oral Care Rinse
Gelclair
Lta 360 Kit
Miracle Mouthwash
Mucotrol
Nafrinse Daily/acidulated
Nafrinse Daily/neutral
Nafrinse Weekly
Neutrasal
Oramagicrx
Oravig
Peridex
Prevident
Salagen
Salicept
NEUROLOGY, CNS, PSYCH
ANTIANXIETY AGENTS
GENERIC
alprazolam
alprazolam er
alprazolam odt
Alprazolam Xr
buspirone hcl
chlordiazepoxide hcl
clorazepate dipotassium
diazepam
droperidol
hydroxyzine hcl
hydroxyzine pamoate
lorazepam
meprobamate
oxazepam
NON PREFERRED
Alprazolam Intensol
Ativan
Diazepam Intensol
Gabavale-5
Gabazolamine
Gabazolamine-0.5
Lorazepam Intensol
Niravam
Sentrazolam Am 0.25
Tranxene T
Valium
Vistaril
Xanax
Xanax Xr
ANTIDEPRESSANTS
GENERIC
amitriptyline hcl
amoxapine
budeprion sr
budeprion xl
bupropion hcl
bupropion hcl er
bupropion hcl sr
bupropion hcl xl
citalopram hydrobromide
clomipramine hcl
desipramine hcl
doxepin hcl
escitalopram oxalate
fluoxetine dr
fluoxetine hcl
fluvoxamine maleate
imipramine hcl
imipramine pamoate
maprotiline hcl
mirtazapine
mirtazapine odt
nefazodone hcl
nortriptyline hcl
paroxetine hcl
paroxetine hcl er
phenelzine sulfate
protriptyline hcl
sertraline hcl
tranylcypromine sulfate
trazodone hcl
trimipramine maleate
venlafaxine hcl
venlafaxine hcl er
PREFERRED BRAND
Cymbalta
Paxil
Pristiq
Viibryd
NON PREFERRED
Amitriptyline
Anafranil
Aplenzin
Appbutamone
Appbutamone-d
Celexa
Effexor Xr
Emsam
Forfivo Xl
Gaboxetine
Lexapro
Luvox Cr
Marplan
Nardil
Norpramin
Oleptro
Pamelor
Parnate
Paxil Cr
Pexeva
Prozac
Prozac Weekly
Remeron
Remeron Soltab
Sentraflox Am-10
Sentralopram Am-10
Sentravil Pm-25
Sentroxatine
Surmontil
Tofranil
Tofranil-pm
Trazamine
Trazodone
Vivactil
Wellbutrin
Wellbutrin Sr
Wellbutrin Xl
Zoloft
ANTIPSYCHOTICS
GENERIC
chlorpromazine hcl
clozapine
Clozapine Odt
compro
Effective January 1, 2013
19
fluphenazine decanoate
fluphenazine hcl
haloperidol
haloperidol decanoate
haloperidol lactate
Lithium Carbonate
lithium carbonate er
Lithium Citrate
loxapine
loxapine succinate
olanzapine
olanzapine odt
perphenazine
prochlorperazine
prochlorperazine edisylate
prochlorperazine maleate
quetiapine fumarate
risperidone
Risperidone M-tab
risperidone odt
thioridazine hcl
thiothixene
trifluoperazine hcl
ziprasidone hcl
PREFERRED BRAND
Abilify
Abilify Discmelt
Latuda
Seroquel Xr
NON PREFERRED
Clozaril
Equetro
Fanapt
Fanapt Titration Pack
Fazaclo
Geodon
Haldol
Haldol Decanoate 100
Haldol Decanoate 50
Invega
Invega Sustenna
Lithobid
Loxitane
Navane
Risperdal
Risperdal Consta
Risperdal M-tab
Saphris
Seroquel
Zyprexa
Zyprexa Relprevv
Zyprexa Zydis
HYPNOTICS
GENERIC
chloral hydrate
estazolam
flurazepam hcl
phenobarbital
phenobarbital sodium
temazepam
triazolam
zaleplon
zolpidem tartrate
zolpidem tartrate er
PREFERRED BRAND
Lunesta
Silenor
NON PREFERRED
Ambien
Ambien Cr
Amytal Sodium
Butisol Sodium
Doral
Edluar
Gabazolpidem-5
Halcion
Intermezzo
Luminal
Nembutal
Nembutal Sodium
Restoril
Rozerem
Seconal
Sentrazolpidem Pm-5
Somnote
Sonata
Strazepam
Zolpimist
ADHD, NARCOLEPSY, ETC.
GENERIC
Amphetamine/dextroamphetamine
caffeine citrate
caffeine/sodium benzoate
dexmethylphenidate hcl
dextroamphetamine sulfate
dextroamphetamine sulfate er
metadate er
methamphetamine hcl
methylin
methylin er
methylphenidate hcl
methylphenidate hcl cd
methylphenidate hcl er
Methylphenidate Hcl Sr
methylphenidate hydrochloride
modafinil
PREFERRED BRAND
Daytrana
Intuniv
Strattera
Vyvanse
NON PREFERRED
Adderall
Adderall Xr
Cafcit
Concerta
Desoxyn
Dexedrine
Focalin
Focalin Xr
Kapvay
Kapvay Dose Pack
Metadate Cd
Nuvigil
Procentra
Provigil
Quillivant Xr
Ritalin
Ritalin La
Ritalin Sr
Sentramodafin Am-100
ANTICONVULSANTS
GENERIC
carbamazepine
Effective January 1, 2013
20
Carbamazepine Er
clonazepam
clonazepam odt
Diazepam
divalproex sodium
divalproex sodium dr
divalproex sodium er
epitol
ethosuximide
Felbamate
fosphenytoin sodium
gabapentin
lamotrigine
levetiracetam
levetiracetam er
oxcarbazepine
phenytoin
phenytoin sodium
phenytoin sodium extended
primidone
tiagabine hydrochloride
topiragen
topiramate
valproic acid
zonisamide
PREFERRED BRAND
Banzel
Celontin
diastat pediatric
Dilantin Infatabs
Lamictal Odt
Lamictal Xr
Lyrica
Peganone
Potiga
Tegretol-xr
Vimpat
NON PREFERRED
Carbatrol
Depakene
Depakote
Depakote Er
Depakote Sprinkles
diastat acudial
Dilantin
Felbatol
Gabitril
Keppra
Keppra Xr
Klonopin
Lamictal
Lamictal Chewable Dispersible
Lamictal Starter/not Taking Carbamazepine
Lamictal Starter/taking Carbamazepine/not Taking
Valproate
Lamictal Starter/taking Valproate
Mysoline
Neurontin
Onfi
Phenytek
Sabril
Stavzor
Tegretol
Therapentin-60
Therapentin-90
Topamax
Topamax Sprinkle
Trileptal
Zarontin
Zonegran
ANTIPARKINSON AGENTS
GENERIC
amantadine hcl
benztropine mesylate
bromocriptine mesylate
carbidopa/levodopa
carbidopa/levodopa cr
carbidopa/levodopa er
carbidopa/levodopa odt
carbidopa/levodopa sr
Carbidopa/levodopa/entacapone
Entacapone
pramipexole dihydrochloride
ropinirole er
ropinirole hcl
selegiline hcl
trihexyphenidyl hcl
PREFERRED BRAND
Apokyn
Azilect
Lodosyn
Mirapex Er
NON PREFERRED
Cogentin
Comtan
Eldepryl
Mirapex
Neupro
Parcopa
Parlodel
Requip
Requip Xl
Sinemet
Sinemet Cr
Stalevo 100
Stalevo 125
Stalevo 150
Stalevo 200
Stalevo 50
Stalevo 75
Tasmar
Zelapar
NEUROLOGY, PSYCH - MISC.
GENERIC
chlordiazepoxide/amitriptyline
disulfiram
donepezil hcl
ergoloid mesylates
fluoxetine
galantamine
galantamine hydrobromide
olanzapine/fluoxetine
perphenazine/amitriptyline
rivastigmine tartrate
PREFERRED BRAND
Ampyra
Avonex
Avonex Pen
Copaxone
Namenda
Namenda Titration Pak
Nuedexta
Orap
Rebif
Rebif Titration Pack
Savella
Xenazine
Xyrem
Effective January 1, 2013
21
NON PREFERRED
Antabuse
Aricept
Aricept Odt
Aubagio
Betaseron
Campral
Exelon
Extavia
Gilenya
Gralise
Gralise Starter
Horizant
Razadyne
Razadyne Er
Sarafem
Savella Titration Pack
Symbyax
NEUROMUSCULAR AGENTS
PREFERRED BRAND
Rilutek
NON PREFERRED
Anectine
Botox
Dysport
Myobloc
Quelicin
Quelicin 1000
Xeomin
MUSCULOSKELETAL AGENTS
GENERIC
baclofen
carisoprodol
carisoprodol/aspirin
carisoprodol/aspirin/codeine
chlorzoxazone
cyclobenzaprine hcl
cyclobenzaprine hcl er
dantrolene sodium
ed baclofen
Metaxalone
methocarbamol
orphenadrine citrate
orphenadrine citrate er
orphenadrine compound ds
orphenadrine/asa/caffeine
tizanidine hcl
NON PREFERRED
Amrix
Cyclobenzaprine Comfort Pac
Dantrium
Fexmid
Flexeril
Lorzone
Norflex
Parafon Forte Dsc
Prazolamine
Robaxin
Robaxin-750
Skelaxin
Soma
Therabenzaprine-60
Therabenzaprine-90
Therabenzaprine-90-5
Tizanidine Comfort Pac
Zanaflex
ANTIMYASTHENIC AGENTS
GENERIC
Guanidine Hcl
neostigmine methylsulfate
pyridostigmine bromide
PREFERRED BRAND
Mestinon Timespan
Prostigmin
NON PREFERRED
Enlon
Mestinon
Mytelase
Regonol
OPHTHALMOLOGY AND OTIC
ANTI-INFECTIVES
GENERIC
ak-poly-bac
bacitracin
bacitracin/polymyxin b
ciprofloxacin hcl
erythromycin
garamycin
gentak
gentamicin sulfate
ilotycin
levofloxacin
neo-polycin
neomycin/bacitracin/polymyxin
neomycin/polymyxin/bacitracin zinc
neomycin/polymyxin/gramicidin
ofloxacin
polycin b
Polymyxin B Sulfate/trimethoprim Sulfate
romycin
sodium sulfacetamide
sulfacetamide sodium
tobramycin sulfate
tobrasol
Trifluridine
trimethoprim sulfate/polymyxin b sulfate
PREFERRED BRAND
Besivance
Ciloxan
Moxeza
Natacyn
Vigamox
Zymaxid
NON PREFERRED
Azasite
Betadine Ophthalmic Prep
Bleph-10
Iquix
Mitosol
Neosporin
Ocuflox
Polytrim
Quixin
Tobrex
Viroptic
Zirgan
ARTIFICIAL TEAR/LUBRICANT
PREFERRED BRAND
Lacrisert
BETA-BLOCKERS
GENERIC
betaxolol hcl
Effective January 1, 2013
22
carteolol hcl
dorzolamide hcl/timolol maleate
levobunolol hcl
Metipranolol
timolol maleate
Timolol Maleate Ophthalmic Gel Forming
PREFERRED BRAND
Betoptic-s
Combigan
NON PREFERRED
Betagan
Betimol
Cosopt
Cosopt Pf
Istalol
Optipranolol
Timoptic
Timoptic Ocudose
Timoptic-xe
GENERIC
ak-pentolate
atropine sulfate
atropine-care
cyclopentolate hcl
cylate
homatropaire
homatropine hbr
mydral
tropicamide
NON PREFERRED
Cyclogyl
Cyclomydril
Isopto Atropine
Isopto Homatropine
Isopto Hyoscine
Mydriacyl
DECONGESTANTS
GENERIC
ak-con
altafrin
neofrin
phenylephrine hcl
NON PREFERRED
Mydfrin
OPHTHALMIC STEROIDS
GENERIC
dexamethasone sodium phosphate
fluor-op
Fluorometholone
neomycin/polymyxin/bacitracin/hydrocortisone
neomycin/polymyxin/dexamethasone
neomycin/polymyxin/hydrocortisone
poly-dex
Prednisolone Acetate
prednisolone sodium phosphate
sulfacetamide sodium/prednisolone sodium phosphate
tobramycin/dexamethasone
PREFERRED BRAND
Alrex
Blephamide S.o.p.
Durezol
Fml
Lotemax
Pred Mild
Tobradex St
Zylet
NON PREFERRED
Blephamide
Flarex
Fml Forte
Fml Liquifilm
Maxidex
Maxitrol
Omnipred
Poly-pred
Pred Forte
Pred-g
Pred-g S.o.p.
Tobradex
Vexol
PROSTAGLANDINS
GENERIC
latanoprost
PREFERRED BRAND
Lumigan
Travatan Z
NON PREFERRED
Xalatan
Zioptan
CYCLOPLEGIC MYDRIATICS
MIOTICS
GENERIC
pilocarpine hcl
PREFERRED BRAND
Isopto Carbachol
Phospholine Iodide
Pilopine Hs
NON PREFERRED
Isopto Carpine
ADRENERGIC AGENTS
GENERIC
apraclonidine
brimonidine tartrate
NON PREFERRED
Alphagan P
Iopidine
IMMUNOMODULATORS
PREFERRED BRAND
Restasis
LOCAL ANESTHETICS
GENERIC
altacaine
parcaine
proparacaine hcl
tetcaine
tetracaine hcl
tetravisc
tetravisc forte
NON PREFERRED
Akten
Alcaine
OPHTHALMICS - MISC.
GENERIC
akorn balanced salt solution
azelastine hcl
balanced salt solution
bromfenac
cromolyn sodium
Effective January 1, 2013
23
diclofenac sodium
dorzolamide hcl
epinastine hcl
flurbiprofen sodium
ketorolac tromethamine
PREFERRED BRAND
Acuvail
Azopt
Bromday
Nevanac
Pataday
Patanol
NON PREFERRED
Acular
Acular Ls
Alamast
Alocril
Alomide
Bepreve
Elestat
Emadine
Ilevro
Lastacaft
Ocufen
Optivar
Trusopt
Voltaren
OTIC AGENTS
GENERIC
acetasol hc
acetic acid
acetic acid/aluminum acetate
antipyrine/benzocaine
aurax
aurodex
Ciprofloxacin
fluocinolone acetonide
hydrocortisone/acetic acid
myoxin
neomycin/polymyxin/hc
neomycin/polymyxin/hydrocortisone
ofloxacin
otic care
oticin
otozin
PREFERRED BRAND
Ciprodex
NON PREFERRED
Auralgan
cetraxal
Cipro Hc
Coly-mycin S
Cortisporin
Cortisporin-tc
Cresylate
Dermotic
Neotic
Pinnacaine Otic
Pramotic
Treagan Otic
Trioxin
Vosol
Vosol Hc
Zinotic
Zinotic Es
OXYTOCICS
GENERIC
methylergonovine maleate
Oxytocin
NON PREFERRED
Cervidil
Hemabate
Methergine
Pitocin
Prepidil
Prostin E2
PAIN MANAGEMENT
ANALGESICS - NONNARCOTIC
GENERIC
ali-flex
alpain
anabar
anolor 300
biogesic
bp poly-650
bupap
butal/asa/caff
butalbital compound
butalbital/acetaminophen
butalbital/acetaminophen/caffeine
Butalbital/asa/caffeine
butalbital/aspirin/caffeine
cafgesic forte
capacet
cephadyn
choline magnesium trisalicylate
diflunisal
dologesic
dolorex
duraxin
ed-flex
frenadol
margesic
marten-tab
mst 600
novagesic
promacet
repan
rhinoflex
rhinoflex-650
salsalate
tencon
zebutal
zflex
zgesic
NON PREFERRED
Acuflex
Alagesic Lq
Bioregesic
Dolgic Plus
Durabac
Durabac Forte
Equagesic
Esgic
Esgic-plus
Fioricet
Fiorinal
Flextra
Flextra Ds
Flextra-650
Lagesic
Levacet
Orbivan
Effective January 1, 2013
24
Orbivan Cf
Phrenilin Forte
Relagesic
Sedapap
Staflex
ANALGESICS - OPIOID
GENERIC
acetaminophen/caffeine/dihydrocodeine bitartrate
acetaminophen/codeine
acetaminophen/codeine #2
acetaminophen/codeine #3
acetaminophen/codeine #4
acetaminophen/codeine phosphate
alfentanil
ascomp/codeine
astramorph
buprenorphine hcl
butalbital/acetaminophen/caffeine/codeine
butalbital/aspirn/caffeine/codeine
butorphanol tartrate
co-gesic
codeine phosphate
Codeine Sulfate
Duramorph
endocet
Endodan
fentanyl
fentanyl citrate oral transmucosal
hydrocodone bitartrate/acetaminophen
hydrocodone/acetaminophen
hydrocodone/ibuprofen
hydrogesic
hydromorphone hcl
hydromorphone hcl dosette
ibudone
levorphanol tartrate
meperidine hcl
meperitab
methadone hcl
Methadose
Methadose Sugar-free
Morphine Sulfate
Morphine Sulfate Er
nalbuphine hcl
oxycodone hcl
oxycodone/acetaminophen
oxycodone/aspirin
oxycodone/ibuprofen
oxymorphone hydrochloride
oxymorphone hydrochloride er
pentazocine/acetaminophen
pentazocine/naloxone hcl
stagesic
tramadol hcl
Tramadol Hcl Er
Tramadol Hydrochloride/acetaminophen
trezix
vicodin hp
PREFERRED BRAND
Abstral
Avinza
Butrans
Fentora
Nucynta
Nucynta Er
Opana Er
Opana Er (crush Resistant)
Oxycontin
Suboxone
NON PREFERRED
Actiq
Alfenta
Buprenex
Capital/codeine
Cocet
Cocet Plus
Conzip
Demerol
Dilaudid
Dilaudid-hp
Dilaudid-5
Dolophine
Dolophine Hcl
Duragesic
Exalgo
Fioricet/codeine
Fiorinal/codeine #3
Hycet
hydrocodone-acetaminophen tab 7.5-750 mg
Hydromorphone
Infumorph 200
Infumorph 500
Kadian
Lazanda
Liquicet
Lorcet Plus
Lorcet 10/650
Lortab
Magnacet
Maxidone
Methadone Hcl Intensol
Morphine
morphine sulfate powder
Morphine/saline
Ms Contin
Ms/hydrogel
Norco
Onsolis
Opana
Oramorph Sr
Oxecta
oxycodone
Percocet
Percodan
Primlev
Reprexain
Roxicet
Roxicodone
Rybix Odt
Ryzolt
Subsys
Subutex
Synalgos-dc
Talwin
Theracodeine-300
Theracodophen-low-90
Theracodophen-325
Theracodophen-650
Theracodophen-750
Theratramadol-60
Theratramadol-90
Tylenol/codeine #3
Tylenol/codeine #4
Tylox
Ultracet
Ultram
Ultram Er
Vicodin
Effective January 1, 2013
25
Vicodin Es
Vicoprofen
Xodol
Xolox
Zamicet
Zolvit
Zydone
ANTI-INFLAMMATORY
GENERIC
diclofenac potassium
diclofenac sodium dr
diclofenac sodium er
Diclofenac Sodium Xr
diclofenac sodium/misoprostol
etodolac
etodolac er
fenoprofen calcium
flurbiprofen
ibuprofen
indomethacin
indomethacin er
ketoprofen
ketoprofen er
ketorolac tromethamine
leflunomide
meclofenamate sodium
mefenamic acid
Meloxicam
nabumetone
naproxen
naproxen dr
naproxen sodium
oxaprozin
piroxicam
sulindac
tolmetin sodium
PREFERRED BRAND
Arcalyst
Celebrex
Enbrel
Enbrel Sureclick
Humira
Humira Pen
Humira Pen-crohns Diseasestarter
Humira Pen-psoriasis Starter
Ridaura
Vimovo
NON PREFERRED
Anaprox
Anaprox Ds
Arava
Arthrotec 50
Arthrotec 75
Cataflam
Clinoril
Daypro
Duexis
Ec-naprosyn
Feldene
Ibuprofen Comfort Pac
Ic 400
Ic 800
Ilaris
Indocin
Kineret
Meloxicam Comfort Pac
Mobic
Myochrysine
Nalfon
Naprelan
Naprosyn
Naproxen Comfort Pac
Orencia
Ponstel
Rheumatrex
Simponi
Sprix
Therafeldamine
Theraprofen-60
Theraprofen-800
Theraprofen-90
Theraproxen
Theraproxen-500
Theraproxen-60
Theraproxen-90
Trepadiclofen-25
Trepoxen-250
Trepoxicam-7.5
Voltaren-xr
Wound Gel
Xeljanz
Zipsor
MIGRAINE PRODUCTS
GENERIC
dihydroergotamine mesylate
naratriptan hcl
Sumatriptan
sumatriptan succinate
Sumatriptan Succinate Refill
PREFERRED BRAND
Cafergot
Ergomar
Maxalt
Maxalt-mlt
Relpax
Treximet
Zomig
Zomig Zmt
NON PREFERRED
Alsuma
Amerge
Axert
Cambia
D.h.e. 45
Frova
Imitrex
Imitrex Statdose Refill
Imitrex Statdose System
Migergot
Migral
Migranal
Sumavel Dosepro
GOUT AGENTS
GENERIC
Allopurinol
probenecid
probenecid/colchicine
PREFERRED BRAND
Colcrys
Uloric
NON PREFERRED
Zyloprim
LOCAL ANESTHETICS-INJ
Effective January 1, 2013
26
GENERIC
bd pudendal/local block tray 1% lidocaine
bupivacaine hcl
Bupivacaine/epinephrine
chloroprocaine hcl
lidocaine hcl
lidocaine/epinephrine
mepivacaine hcl
polocaine
polocaine-mpf
sensorcaine
sensorcaine-mpf
sensorcaine/epinephrine
tetracaine hcl
NON PREFERRED
Argyle Pneumothorax Procedure Tray/8fr
Carbocaine
Duocaine
Durasafe Spinal/epidural Tray/1% Xylocaine/19gx36"close
Cath
Durasafe Spinal/epidural Tray/1% Xylocaine/19gx36"open
Cath
Durasafe Spinal/epidural Tray/1% Xylocaine/20gx36"close
Cath
Durasafe Spinal/epidural Tray/1% Xylocaine/20gx36"open
Cath
Exparel
Lets Kit
Marcaine
Marcaine W/o Epi
Marcaine/epinephrine
Monoject Basic Biopsy Tray Without Biopsy Needle 20gx 11/2"
Monoject Bone Marrow Aspiration Tray/iliac Needle 16g
Monoject Bone Marrow Aspiration Tray/rosenthal Needle
16gx2"
Monoject Bone Marrow Biopsy Tray/biop Aspir Needle
11gx4"
Monoject Bone Marrow Biopsy Tray/biop Aspir Needle
8gx4"
Monoject Bone Marrow Biopsy Tray/biop Aspir/iliac Aspir
Ndle
Naropin
Nesacaine
Nesacaine-mpf
Pontocaine
Pontocaine Niphanoid
Sensorcaine-mpf/epinephrine
Xylocaine
Xylocaine-mpf
Xylocaine-mpf/epinephrine
Xylocaine/epinephrine
RESPIRATORY, ALLERGY, ETC
ANTIHISTAMINES
GENERIC
arbinoxa
bpm
bromax
brompheniramine tannate
bromspiro
carbinoxamine maleate
cetirizine hcl
clemastine fumarate
cyproheptadine hcl
desloratadine
dexchlorpheniramine maleate
dexchlorpheniramine maleate cr
diphenhydramine hcl
dytuss
fexofenadine hcl
levocetirizine dihydrochloride
lohist-12
phenadoz
promethazine hcl
promethazine hcl plain
promethegan
respa-br
respivent df
respivent df 30
PREFERRED BRAND
Clarinex Reditabs
NON PREFERRED
Aerohist
Ahist
Ala-hist
Allerx Df
Allerx Df 30
Clarinex
Doxytex
Ed Chlorped
Ed-chlor-tan
Lodrane 24
Palgic
Phenergan
Phenergan Fortis
Ryneze
Vazol
Xyzal
NASAL AGENTS
GENERIC
azelastine hcl
flunisolide
fluticasone propionate
ipratropium bromide
triamcinolone acetonide
PREFERRED BRAND
Astepro
Nasonex
Qnasl
Rhinocort Aqua
Veramyst
NON PREFERRED
Adrenalin
Astelin
Atrovent
Bactroban Nasal
Beconase Aq
Dymista
Flonase
Lusonal
Nasacort Aq
Omnaris
Patanase
Tyzine
Tyzine Pediatric Nasal Drops
Zetonna
COUGH/COLD/ALLERGY
GENERIC
acetylcysteine
airacof
albatussin nn
alenaze-d
alenaze-d nr
balacall dm
benzonatate
bidhist-d
biotuss
Effective January 1, 2013
27
biotuss pediatric
bpm pseudo
bromatan plus
bromfed dm
centergy
centergy dm
ceron-dm
chlor-mes d
chlor-mes jr
coldec dm
dacex-dm
de-chlor dm
de-chlor dr
dehistine
despec-exp
dex-tuss
dextromethorphan hbr/chlorpheniramine/phenylephrine hcl
dextromethorphan hbr/phenylephrine hcl/chlorpheniramine
dihydro-cp
dihydro-pe
dm-pe-chlor
ed-a-hist dm
entre-b
exefen-ir
expectuss
g/p
gani-tuss dm nr
gani-tuss nr
ganidin-nr
genexa la
gentex lq
gfn 1200/dm 60
gfn 550/pse 60
guaifenesin/phenylephrinehcl
hdc dm
hydrocodone bitartrate/homatropine methylbromide
hydrocodone polistirex and chlorpheniramine polistirex
hydrocodone/homatropine
hydromet
indamix dm
kgs-pe
lohist-12d
myci-gc
myhist-pd
mytussin ac
nasohist
neutrahist
nohist
nohist dmx
nortuss-de
nortuss-ex
p chlor dm
pe-guai
phenylephrine/guaifenesin
promethazine vc
promethazine vc plain
promethazine vc/codeine
promethazine-dm
promethazine/codeine
promethazine/dextromethorphan
protid
pulmari-gp
r-tanna
r-tanna pediatric
relacon-dm nr
relasin dm
relcof pse
relera
resperal-dm
respivent-d
rinate pediatric
robafen ac
romilar ac
ru-hist forte
ru-tuss
simuc-gp
sodium chloride
sudahist
sudatex-dm
sutan-dm
tannihist-12 rf
tgq 15dm/5peh/2cpm
tgq 30pse/150gfn/15dm
tgq 30pse/3brm/15dm
tgq 50pse/3brm/30dm
tgq 7.5peh/4brm/15dm
tl-dex dm
tl-hist cd
tl-hist cm
trexbrom
tussafed ex
tussigon
v-cof
v-hist
vazotab
z-dex
z-dex 12d
z-tuss dm
zotex-pe
zotex-12d
PREFERRED BRAND
Clarinex-d 12 Hour
Clarinex-d 24 Hour
Rezira
Tussicaps
Zutripro
NON PREFERRED
Aerokid
Ala-hist D
Alahist Ac
Alahist Dhc
Allerscript
Allerx Dose Pack
Allerx Pe
Allerx-d
Allfen Cd
Allfen Cdx
Ambifed Cd
Ambifed Cdx
Ambifed-g Cd
Ambifed-g Cdx
Atuss Ds
C-tan D Plus
Carba-xp
Carbaphen 12
Carbaphen 12 Ped
Carbatuss
Carbatuss-cl
Carbatuss-12
Cenhist
Cgu Wc
Corzall
Corzall Plus
Corzall-pe
Cotab A
Cotab Ax
Cotabflu
Cpb Wc
Dallergy
Dallergy Dm
Effective January 1, 2013
28
Dallergy Jr
Dallergy Pe
Dallergy Pse
Dallergy-jr
Decon-a
Deltuss Dmx
Despec-pdc
Donatuss Dc
Donatuss Xp
Donatussin Dm
Drymax
Duraflu
Ed Chlorped D
Ed Dm
Exactuss
Exall
Exall-d
Gentex 30
Gilphex Tr
Giltuss
Giltuss Ped-c
Giltuss Pediatric
Giltuss Tr
Hydroc/apap
hydrocodone 10mg
Hyper-sal
Hypersal
J-cof Dhc
J-max Dhc
J-tan D
J-tan D Sr
Lodrane 12d
Lodrane 24d
Maxifed Cd
Maxifed Cdx
Maxifed-g Cd
Maxifed-g Cdx
Maxiflu Cd
Maxiflu Cdx
Maxiphen Cd
Maxiphen Cdx
Nariz
Nasohist Dm
Nasotuss
Nebusal
Neo Dm
Neotuss Plus
Norel Sr
Notuss-ac
Panatuss Dxp
Pediatex Td
Pediatex Tdm
Phena-plus
Phena-s
Phenflu Cd
Phenflu Cdx
Poly Hist Dhc
Poly Hist Nc
Poly Hist Pd
Poly-tussin Dhc
Poly-tussin Ex
Pro-clear
Prohist Cd
Prohist Cf
Prohist Lq
Relhist
Rescon
Rescon-jr
Rescon-mx
Respa-a.r.
Ru-tuss Dm
Semprex-d
Seradex
Stahist
Suttar-sf
Suttar-2
Tekral
Tessalon
Tessalon Perles
Trispec Dmx
Trispec Dmx Pediatric
Trispec Pse
Trispec Pse Pediatric
Trituss
Tusnel Ped-c
Tussionex Pennkinetic Extended Release
Tusso-c
Tusso-dmr
Tusso-zmr
Vazobid
Vazotan
Z-cof I
Zonatuss
Zotex
Zotex -gp
Zotex Pe
Zotex Pediatric
Zotex-c
Zotex-d
Zotex-dm
Zotex-ex
Zotex-g
ANTIASTHMATIC/COPD AGENTS
GENERIC
albuterol sulfate
albuterol sulfate er
aminophylline
budesonide
copd
cromolyn sodium
dg 200
difil-g forte
difil-g 400
dy-g
dyflex-g
dylix
dyphylline gg
dyphylline-gg
epinephrine hcl
ipratropium bromide
ipratropium bromide/albuterol sulfate
jay-phyl
levalbuterol
Levalbuterol Hcl
metaproterenol sulfate
montelukast sodium
terbutaline sulfate
theochron
theophylline
theophylline cr
theophylline er
Zafirlukast
PREFERRED BRAND
Advair Diskus
Advair Hfa
Alvesco
Asmanex 120 Metered Doses
Asmanex 14 Metered Doses
Effective January 1, 2013
29
Asmanex 30 Metered Doses
Asmanex 60 Metered Doses
Asmanex 7 Metered Doses
Atrovent Hfa
Combivent
Combivent Respimat
Daliresp
Dulera
Elixophyllin
Foradil Aerolizer
Perforomist
Proair Hfa
Pulmicort Flexhaler
Qvar
Serevent Diskus
Spiriva Handihaler
Symbicort
Tudorza Pressair
Ventolin Hfa
NON PREFERRED
Accolate
Accuneb
Adrenalin
Arcapta Neohaler
Broncomar-1
Brondil
Brovana
Dilex-g 200
Dilex-g 400
Duoneb
Ed-bron G
Flovent Diskus
Flovent Hfa
Isuprel
Lufyllin
Maxair Autohaler
Proventil Hfa
Pulmicort
Pulmophylline
Senophylline
Singulair
Theo-24
Vospire Er
Xolair
Xopenex
Xopenex Concentrate
Xopenex Hfa
Zyflo
Zyflo Cr
RESPIRATORY AGENTS - MISC
PREFERRED BRAND
Kalydeco
Pulmozyme
NON PREFERRED
Curosurf
Infasurf
Survanta Intratracheal
TOXOIDS
GENERIC
decavac
diphtheria/tetanus toxoid pediatric
diphtheria/tetanus toxoids adsorbed pediatric
tetanus toxoid adsorbed
tetanus/diphtheria toxoids-adsorbed adult
PREFERRED BRAND
Adacel
Boostrix
Daptacel
Infanrix
Kinrix
Pediarix
Pentacel
Tenivac
Trihibit
Tripedia
VACCINES
GENERIC
influenza a (h1n1) monovalent 2009
influenza a (h1n1) monovalent 2009 pf
pneumovax 23/1 dose
pneumovax 23/5 dose
yf-vax
PREFERRED BRAND
Acthib
Afluria Pf 2010-2011
Afluria Pf 2011-2012
Afluria Pf 2012-2013
Afluria 2009-2010
Afluria 2011-2012
Afluria 2012-2013
Agriflu 2010-2011
Biothrax
Cervarix
Comvax
Engerix-b
Fluarix 2010-2011
Fluarix 2011-2012
Fluarix 2012-2013
Flucelvax 2012-2013
Flulaval 2010-2011
Flulaval 2011-2012
Flulaval 2012-2013
Flumist Nasal Vaccine 2010-2011
Flumist Nasal Vaccine 2011-2012
Flumist Nasal Vaccine 2012-2013
Fluvirin Pf 2011-2012
Fluvirin Pf 2012-2013
Fluvirin 2010-2011
Fluvirin 2011-2012
Fluvirin 2012-2013
Fluzone High-dose Pf 2010-2011
Fluzone High-dose Pf 2011-2012
Fluzone High-dose Pf 2012-2013
Fluzone Pediatric Pf 2010-2011
Fluzone Pediatric Pf 2011-2012
Fluzone Pediatric Pf 2012-2013
Fluzone Pf 2010-2011
Fluzone Pf 2011-2012
Fluzone Pf 2012-2013
Fluzone Split 2010-2011
Fluzone Split 2011-2012
Fluzone Split 2012-2013
Gardasil
Havrix
Hiberix
Imovax Rabies (h.d.c.v.)
Influenza Vaccine For Safeway Dependants
Ipol Inactivated Ipv
Ixiaro
Je-vax
M-m-r Ii W/diluent 10 Dose
Menactra
Menhibrix
Effective January 1, 2013
30
Menomune-a/c/y/w-135
Menveo
Pedvax Hib
Prevnar 13
Proquad
Rabavert
Recombivax Hb
Rotarix
Rotateq
Twinrix
Typhim Vi
Vaqta
Varivax
Vivotif Berna
Zostavax
VITAMINS
VITAMINS
GENERIC
ascor l nc
ascor l 500
ascorbic acid
cenolate
Ergocalciferol
mega-c/a plus
niacin
niacor
ortho-cs 250
phytonadione
pyridoxine hcl
thiamine hcl
vitamin c 222mg
vitamin d
vitamin k1
wheat germ
PREFERRED BRAND
Mephyton
NON PREFERRED
Aquasol A Parenteral
Decara
Drisdol
MULTIVITAMINS
GENERIC
b-complex
b-complex 100
b-plex
b-plex plus
biocel
bp folinatal plus b
bp multinatal plus
cavan one omega
cavan prenatal/ec calcium
cavan-ec sod dha
co-natal fa
cod liver oil
complete natal dha
completenate
corvita
corvite free
dialyvite
elite ob with dha
elite-ob
ferrocite plus
folbecal
folbee plus
folbee plus cz
gentex ade
hematinic plus vitamins/minerals
hemocyte-plus
inatal advance
inatal gt
inatal ultra
lysiplex plus
m-vit
macnatal cn dha
mult-vitamin/fluoride
multi vitamin/fluoride
multi-vit/fluoride
multi-vit/iron/fluoride
multi-vitamin/fluoride
multi-vitamin/fluoride/iron
multivitamin with fluoride
multivitamin/fluoride
multivitamins/fluoride
mvc-fluoride
mynatal advance
mynatal plus
mynatal ultracaplet
mynatal-z
mynate 90 plus
mynephrocaps
nephronex
neurodep
nicotinamide w/zinc oxide/cupric oxide/folic acid
nicotinamide/zinc oxide/cupric oxide/folic acid
nicotinamide/zinc/copper/fa
nutricap
nutrifac zx
ob-natal one
obstetrix ec
pnv-dha
pnv-select
poly-vitamin/fluoride
poly-vitamin/iron/fluoride
polyvitamin/fluoride
pr natal 400
pr natal 400 ec
pr natal 430
pr natal 430 ec
prenafirst
prenaissance plus
prenaplus
prenatabs fa
prenatabs obn
prenatabs rx
prenatal ad
prenatal low iron
prenatal plus/iron
prenatal 19
prenatal-u
rena-vite rx
renal
renalpren
reno caps
se-care
se-care conceive
se-natal one
se-natal 19
se-natal 90
se-plete dha
se-tan dha
seton et-ec
setonet
siderol
strovite plus
taron ec calcium
taron-ec cal
taron-prex
Effective January 1, 2013
31
therobec
tl nicotinamide
tri rx
tri-vit/fluoride
tri-vit/fluoride/iron
tri-vitamin/fluoride
tri-vitamin/iron/fluoride
triadvance
tricare
trimesis rx
trinatal rx 1
trinate
triphrocaps
triple-vitamin/fluoride
trust natal dha
ultimatecare one
ultimatecare one nf
ultra tabs
urosex
v-c forte
vic-forte
vinate az
vinate c
vinate care
vinate gt
vinate ic
vinate ii
vinate m
vinate one
vinate pn care
vinate ultra
vita s forte
vita-min
vitacel
vitafol-ob
vitamin b-complex 100
vitamin forte
vitamins a/c/d/fluoride
vitaspire
vol-care rx
vp-zel
PREFERRED BRAND
Neevo
Neevo Dha
Prefera Ob
Prefera Ob + Dha
Preferaob One
NON PREFERRED
Adrenal C Formula
Advanced Am/pm
Albafort
Ap-zel
Atabex Ec
Atabex Prenatal
B-nexa
Bacmin
Bal-care Dha
Bal-care Dha Essential
Caromega
Cavan-alpha Kit
Cavan-folate Dha
Cavan-folate Ob
Citranatal Assure
Citranatal B-calm
Citranatal Dha
Citranatal Harmony
Citranatal Rx
Citranatal 90 Dha
Complete-rf Prenatal
Concept Dha
Concept Ob
Corenate-dha
Corvite
Crnatal
Dialyvite Supreme D
Dialyvite 3000
Dialyvite 5000
Dialyvite/zinc
Diatx Zn
Duet Dha
Duet Dha Balanced
Duet Dha Ec
Elite-ob 400
Escavite
Folcal Dha
Folcaps Omega 3
Folgard Os
Folivane-ec Calcium Dha Nf
Folivane-ob
Folivane-prx Dha Nf
Fortavit
Gesticare Dha
Hemenatal Ob
Hemenatal Ob + Dha
Hemocyte Plus
L-methylfolate Pnv Dha
Lactocal-f
Levomefolate Dha
Levomefolate Pnv
Marnatal-f
Marnatal-f Plus Duo Pack
Maxinate
Multichew
Mykidz Iron Fl
Mynatal
Nata Komplete
Natachew
Natafort
Natalvit
Natelle One
Natelle-ez
Nephplex Rx
Nephro-vite Rx
Nephrocaps
Nephrocaps Qt
Nestabs
Nestabs Dha
Nexa Plus
Nexa Select
Nicazel
Nicomide
Nutri-tab Ob
Nutri-tab Ob + Dha
Nutrivit
O-cal Fa
O-cal Prenatal
Ob Complete
Ob Complete One
Ob Complete Petite
Ob Complete Premier
Ob Complete With Dha
Ob Complete 400
Ob Complete/dha
Obstetrix Dha
Paire Ob
Pnv Ob+dha
Pnv-dha+docusate
Pnv-omega
Pnv-total
Poly-vi-flor
Effective January 1, 2013
32
Poly-vi-flor/iron
Prenaissance
Prenaissance Balance
Prenaissance Harmony Dha
Prenaissance Next
Prenata
Prenatal Mv & Min/fe-fa-dha
Prenatal Plus
Prenatal Plus Iron
Prenatal Vitamins Plus
Prenate Dha
Prenate Elite
Prenate Essential
Prenate Mini
Prena1 Chew/quatrefolic
Prena1 Plus/quatrefolic
Prena1/quatrefolic
Prenexa
Preque 10
Promar
Protect Cardio
Protect Plus
Protect Plus Nr
Protectbone
Protectiron
Protectnatal
Purefe Ob Plus
Reaphirm
Relnate Dha
Renatabs
Renatabs With Iron
Renax
Renax 5.5
Req 49+
Select-ob
Select-ob+dha
Senetonic
Strovite
Strovite Advance
Strovite Forte
Strovite One
Supervite
Supervite Ec
Support
Support-500
Synagex
Synatek
Tandem Dha
Tandem Ob
Taron-bc
Taron-c Dha
Taron-duo Ec
Tl G-fol Os
Tl-assure One
Tl-assure+dha
Tl-fluorivite
Tl-select
Tl-select Dha
Tri-vi-flor
Tri-vi-floro
Tri-zel
Tricare Dha 301
Tricare Prenatal Dha One
Trinatal Gt
Trinatal Ultra
Triveen-duo Dha
Triveen-one
Triveen-prx Rnf
Triveen-ten
Triveen-u
Udamin
Udamin Sp
Ultimate Ob Dha
Ultimatecare Advantage
Ultimatecare Combo
V-natal
V-natal Dha
Vemavite-prx 2
Vena-bal Dha
Venatal Complete Dha
Venatal-fa
Vinacal
Vinate Az Extra
Vinate Calcium
Vinate Dha
Virt-bal Dha
Virt-bal Dha Plus
Virt-pn
Virt-pn Dha
Virt-select
Vita-pren
Vitafol
Vitafol-ob+dha
Vitafol-one
Vitafol-plus
Vitafol-pn
Vitaject
Vital-d Rx
Vitamax Pediatric
Vitamedmd One Rx/quatrefolic
Vitamedmd Plus Rx/quatre Folic
Vitamedmd Redichew Rx/quatrefolic
Vitaroca Plus
Viva Ct Prenatal
Viva Dha
Vol-nate
Vol-plus
Vol-tab Rx
Vp-ch-pnv
Vp-era Ob Plus
Vp-ggr-b6 Prenatal
Vp-pnv-dha
Zatean-ch
Zatean-pn
Zatean-pn Dha
Zatean-pn Plus
Zingiber
MEDICAL DEVICES
DIABETIC SUPPLIES
PREFERRED BRAND
Accu-chek Active Strips
Accu-chek Advantage Diabetes Care Kit
Accu-chek Aviva
Accu-chek Aviva Plus
Accu-chek Comfort Curve Test Strips
Accu-chek Compact Plus Care Kit
Accu-chek Compact Strips
Accu-chek Compact Test Drum
Accu-chek Fastclix Lancets
Accu-chek Multiclix Lancets
Accu-chek Nano Smartview
Accu-chek Safe-t-pro Lancets
Accu-chek Safe-t-pro Pluslancets
Accu-chek Smartview Strips
Accu-chek Soft Touch Lancets
Accu-chek Softclix Lancets
Acti-lance Lancets 28g
Acti-lance Lite Safety Lancets 28g
Effective January 1, 2013
33
Acti-lance Special Safety Lancets 17g
Acti-lance Special Safetylancets 17g
Acti-lance Universal Safety Lancets 23g
Advocate Lancets
Advocate Safety Lancets
Af Lancets Super Thin
Agamatrix Ultra-thin Lancets 33g
Assure Haemolance Plus High Flow 18g
Assure Haemolance Plus Low Flow 25g
Assure Haemolance Plus Micro Flow 28g
Assure Haemolance Plus Normal Flow 21g
Assure Haemolance Plus Pediatric Blade
Assure Lance Lancets
Assure Lancets
At Last Lancets
Aurora Healthcare Lancets
Aurora Lancet Super Thin 30g
Aurora Lancet Thin 23g
Bayer Microlet Lancets
Bd Insulin Syringe Luer-lok/u-100/1ml
Bd Insulin Syringe Microfine Iv/u-100/0.3ml/28g X 1/2"
Bd Insulin Syringe Microfine Iv/u-100/0.5ml/28g X 1/2"
Bd Insulin Syringe Microfine Iv/u-100/1ml/27g X 5/8"
Bd Insulin Syringe Microfine Iv/u-100/1ml/28g X 1/2"
Bd Insulin Syringe Microfine/u-100/0.3ml/28g X 1/2"
Bd Insulin Syringe Microfine/u-100/0.5ml/28g X 1/2"
Bd Insulin Syringe Microfine/u-100/1ml/27g X 5/8"
Bd Insulin Syringe Microfine/u-100/1ml/28g X 1/2"
Bd Insulin Syringe Safetyglide/u-100/0.3ml/31g X 5/16"
Bd Insulin Syringe Safetyglide/0.5ml/29g X 1/2"
Bd Insulin Syringe Safetyglide/1ml/29g X 1/2"
Bd Insulin Syringe Slip Tip/u-100/1ml
Bd Insulin Syringe U-40/1ml/25g X 5/8"
Bd Insulin Syringe Ultrafine Half-unit/0.3ml/31g X 5/16"
Bd Insulin Syringe Ultrafine Ii/short/0.5ml/31g X 5/16"
Bd Insulin Syringe Ultrafine Ii/short/1ml/31g X 5/16"
Bd Insulin Syringe Ultrafine/u-100/0.3ml/29g X 1/2"
Bd Insulin Syringe Ultrafine/u-100/0.5ml/29g X 1/2"
Bd Insulin Syringe Ultrafine/u-100/1ml/29g X 1/2"
Bd Insulin Syringe Ultrafine/u-100/1ml/30g X 1/2"
Bd Insulin Syringe Ultrafine/0.3ml/30g X 1/2"
Bd Insulin Syringe Ultrafine/0.3ml/31g X 5/16"
Bd Insulin Syringe Ultrafine/0.5ml/30g X 1/2"
Bd Insulin Syringe Ultrafine/0.5ml/31g X 5/16"
Bd Insulin Syringe Ultrafine/1ml/30g X 1/2"
Bd Insulin Syringe Ultrafine/1ml/31g X 5/16"
Bd Insulin Syringe/detachable Needle/u-100/1ml/25g X 1"
Bd Insulin Syringe/detachable Needle/u-100/1ml/25g X
5/8"
Bd Insulin Syringe/detachable Needle/u-100/1ml/26g X
1/2"
Bd Insulin Syringe/u-100/0.5ml/30g X 1/2"
Bd Insulin Syringe/u-100/1ml/27g X 1/2"
Bd Insulin Syringe/u-100/1ml/28g X 1/2"
Bd Insulin Syringe/u-100/2ml/27.5g X 5/8"
Bd Insulin Syringe/u-100/2ml/29g X 1/2"
Bd Lancet Ultrafine 30g
Bd Lancet Ultrafine 33g
Bd Microtainer Lancets
Bullseye Mini Safety Lancets
Bullseye Safety Lancets
Careone Lancet Thin
Careone Lancet Ultra Thin
Cleanlet Lancets 28g
Clever Chek Lancets Ultrathin
Clever Chek Lancets Ultrathin 30g
Coaguchek Lancets
Comfort Assured Lancets Micro Thin 33g
Comfort Assured Lancets Super Thin 28g
Comfort Lancets
Cvs Lancets Micro Thin 33g
Cvs Lancets Original
Cvs Lancets Thin
Cvs Lancets Thin 26g
Cvs Lancets Ultra Thin 30g
Cvs Lancets 21g
Cvs Ultra Thin Lancets
Diastar Easy Test Ii Lancets 30g
Diastar Easy Test Lancets30g
Droplet Lancets Ultra Thin 30g
Drug Mart Lancets Thin
Drug Mart Lancets Ultra Thin
Drug Mart Unilet Lancets Super Thin 30g
Drug Mart Unilet Lancets Ultra Thin 28g
Duane Reade Lancet Alternate Site 26g
Duane Reade Lancet Super Thin 30g
Duane Reade Lancet Ultra Thin 28g
E-z Ject Lancets
E-z Ject Lancets Color
E-z Ject Lancets Super Thin
E-z Ject Lancets Super Thin 30g
E-z Ject Lancets Thin 26g
E-z Ject Lancets 21g
E-zject Lancets Micro-thin 33g
Easy Comfort Lancets
Easy Touch Lancets
Easytest Ii Lancets
Easytest Lancets
Eql Color Lancets 21g
Eql Super Thin Lancets 30g
Eql Thin Lancets 26g
Ez Smart Blood Glucose Lancets
Ez-lets Lancets 21g
Ez-lets Lancets 23g
Ez-lets Lancets 26g Super-soft
Ez-lets Lancets 28g Ultra-soft
Ez-lets Lancets 30g
Fasttake Test Strips
Fifty50 Safety Seal Lancets 30g
Fifty50 Safety Seal Lancets 32g
Fine 30
Fingerstix Lancets
Fora Lancets
Freestyle Lancets
Freestyle Unistick Ii Lancets
Gentle-let Gp Lancets
Gentle-let Lancets General Purpose Style/fine Point
Gentle-let Lancets General Purpose Style/medium Point
Gentle-let Lancets Safety Style/fine Point
Gentle-let Lancets Safety Style/medium Point
Global Inject Ease Lancets 28g
Global Inject Ease Lancets 30g
Glucocom Lancets 28g
Glucocom Lancets 30g
Glucocom Lancets 33g
Glucosource Lancets
Gnp Lancets
Gnp Lancets Micro Thin 33g
Gnp Lancets Super Thin 30g
Gnp Lancets Thin
Gnp Lancets Thin 26g
Gnp Lancets 21g
Gnp Micro Thin Lancets 33g
Gnp Super Thin Lancets/30g
H&h Thinlet Lancets 26g
H&h Thinlet Super Thin Lancets 30g
H-e-b Incontrol Lancets Super Thin 30g
H-e-b Incontrol Lancets Ultra Thin 28g
Haemolance
Haemolance Low Flow Lancets
Haemolance Plus
Effective January 1, 2013
34
Haemolance Plus High Flow
Haemolance Plus Low Flow
Haemolance Plus Max Flow
Haemolance Plus Pediatric Flow
Healthwise Lancets 30g
Healthy Accents Unilet Lancets Super Thin 30g
Hm Lancets Micro Thin 33g
Hm Lancets Ultra Thin 30g
Hy-vee Lancets
Hy-vee Thin Lancets
Keep Fit Lancets 28g/twist
Keep Fit Lancets 30g/twist
Keep Fit Lancets 32g/twist
Keep Fit Lancets 33g/twist
Keep Fit Safety Lancets 21g/pressure Activated
Keep Fit Safety Lancets 23g/pressure Activated
Keep Fit Safety Lancets 26g/button Activated
Keep Fit Safety Lancets 26g/pressure Activated
Keep Fit Safety Lancets 28g/button Activated
Keep Fit Safety Lancets 28g/pressure Activated
Kinney Lancets
Kinney Thin Lancets
Kroger Lancets
Kroger Lancets Micro Thin33g
Kroger Lancets Super Thin
Kroger Lancets Thin
Kroger Lancets Thin 26g
Kroger Lancets Ultrathin 30g
Kroger Lancets 21g
Lady Lite Lancets
Lancets Thin
Lancets Ultra Thin
Lancets Ultra Thin 30g
Leader Lancets Colored
Leader Super Thin Lancet
Leader Thin Lancets
Lifescan Unistik Ii Lancets
Lifescan Unistik 2 Deep Penetration
Lite Touch Lancets
Live Better Lancet Super Thin 30g
Live Better Lancet Ultra Thin 28g
Longs Lancets Standard
Longs Lancets Thin
Longs Lancets Ultra Thin
Major Comfort Lancets
Medi-lance Lancets
Medichoice Pre-set Safety Lancet Dual Use
Medichoice Pre-set Safety Lancet Low Flow
Medichoice Pre-set Safety Lancet Medium Flow
Medichoice Pre-set Safety Lancet Moderate Flow
Medichoice Safety Lancet Extra
Medichoice Safety Lancet Normal
Medicine Shoppe Lancets
Medicine Shoppe Lancets Thin
Medisense Thin Lancets
Medlance Plus Lancets
Medlance Plus Lancets Lite 25g
Medlance Plus Superlite 30g
Medlance Plus Universal Lancets 21g
Medlance Plus/lite 25g
Medlance/extra
Medlance/lite
Medlance/universal
Meijer Color Lancets Universal 33g
Meijer Lancets
Meijer Lancets Thin
Meijer Lancets Universal 33g
Meijer Super Thin Lancets
Microlet Lancets
Microtainer Safety Flow Lancet/sterile/single-use
Monolet Lancets
Monolet Opd Lancets
Monolettor Safety Lancets
Myglucohealth Mgh Softlance Lancets 30g
Netgroup Lancets
Nova Safety Lancets 23g
Nova Safety Lancets 28g
Nova Sureflex Lancets
Novofine Autocover 30gx8mm
Novofine 30gx8mm
Novofine 32gx6mm
Novotwist 30gx8mm
Novotwist 32gx5mm
On Call Lancets
On Call Plus Lancets
Onetouch Basic System
Onetouch Basic/profile Test Strips
Onetouch Basic/profile/one Touch Ii Test Strips
Onetouch Club Lancets Fine Point
Onetouch Combo Pack
Onetouch Delica Lancets
Onetouch Delica Lancets Fine 30g
Onetouch Finepoint Lancets
Onetouch Lancets
Onetouch Profile System
Onetouch Ultra Blue
Onetouch Ultra Mini
Onetouch Ultra System Kit
Onetouch Ultra Test Strips
Onetouch Ultra 2
Onetouch Ultrasoft Lancets
Onetouch Verio Control Solution High
Onetouch Verio Iq Blood Glucose Monitoring System
Onetouch Verio Iq Test Strips
Onetouch Verio Mid Control Solution
Onetouch Verio Test Strips
Perfect Lancets 30g
Perfect Pressure Activated Safety Lancets 28g
Pharmacist Choice Ultra Thin Lancets
Pharmacist Choice Ultra Thin Lancets 28g
Pharmacist Choice Ultra Thin Lancets 30g
Pharmacist Choice Ultra Thin Lancets 31g
Pharmacy Counter Lancets
Precision Thin Lancets
Precision Thins Gp Lancet
Precision Ultra Lancet
Preferred Plus Lancets Colored 21g
Preferred Plus Lancets Super Thin 30g
Preferred Plus Lancets Thin 26g
Prodigy Pressure Activated Safety Lancets
Prodigy Safety Lancets
Prodigy Twist Top Lancets
Pss Select Gp Lancets
Pss Select Safety Lancets
Px Lancets
Px Lancets Ultra Thin
Qc Lancets Super Thin
Qc Lancets Ultra Thin
Ra E-zject Color Lancets Micro-thin 33g
Ra E-zject Lancets Thin 26g
Ra E-zject Lancets Thin 28g
Ra E-zject Lancets Ultra Thin 30g
Ra E-zject Lancets 28g
Reality Lancets
Reality Trigger Lancets
Relion Lancets
Relion Lancets Standard 21g
Relion Lancets Thin 26g
Relion Lancets Ultra-thin30g
Relion Thin Lancets
Effective January 1, 2013
35
Relion Ultra Thin Lancets
Relion Ultra Thin Lancets30g
Relion Ultra Thin Plus Lancets 32g
Relion Ultra Thin Plus Lancets 33g
Renew Advanced Lancing Cartridge Refills
Rightest Gl300 Lancets
Safe-t-lance Low Flow 25g
Safe-t-lance Normal Flow 21g
Safe-t-lance Plus Safety Lancet High Flow
Safe-t-lance Plus Safety Lancet Low Flow
Safe-t-lance Plus Safety Lancet Normal Flow
Safety Lancet 2mm
Safety Lancets
Safety Lancets 21g
Safety Let Lancets
Safety Seal Lancets 28g
Safety Seal Lancets 30g
Sb Lancets Thin
Sb Lancets Ultra Thin
Single-let
Sm Lancets 21g
Sm Micro Thin Lancets 33g
Sm Super Thin Lancets 30g
Sm Thin Lancets 26g
Smart Diabetes Vantage Universal Lancets 30g
Smart Sense Color Lancets Universal 33g
Smart Sense Standard Lancets Universal 21g
Smart Sense Super Thin Lancets Universal 30g
Smart Sense Thin Lancets Universal 26g
Smartest Lancets 28g
Solo V2 Twist Lancets
Sterilance Tl
Sure Comfort Lancets 28g
Sure Comfort Lancets 30g
Sure-lance Flat Lancets
Sure-lance Lancets 26g
Sure-lance Thin Lancets 28g
Sure-lance Ultra Thin Lancets
Sure-touch Lancets Universal
Surelite Lancets
Surestep Pro Test Strips
Surestep Test Strips
Techlite Ast Lancets
Techlite Lancets
Tgt Lancet Alternate Site
Tgt Lancet Super Thin 30g
Tgt Lancet Thin 23g
Tgt Lancet Ultra Thin 28g
Thinlets Gp Lancets
Thinlets Lancet
Todays Health Super Thin Lancets 30g
Todays Health Ultra Thin Lancets 28g
Trueplus Lancets 28g
Trueplus Lancets 28g Super Thin
Trueplus Lancets 30g
Trueplus Lancets 30g Ultra Thin
Trueplus Lancets 33g
Trueplus Lancets 33g Micro Thin
Trueplus Safety Lancets 28g
Ulticare Thin Lancets 30g
Ultilet Basic Lancets 30g
Ultilet Classic Lancets
Ultilet Lancets
Ultilet Safety Lancets 23g
Ultra Thin Lancets 28g
Ultra Thin Lancets 30g
Ultra-thin Ii Auto Lancet
Ultra-thin Ii Lancets 28g
Ultra-thin Ii Lancets 30g
Ultra-thin Ii Lancets/28g X 1/8"
Ultra-thin Ii Lancets/30g X 1/8"
Ultra-thin Ii Safety Autolancets 26g
Unilet Comfortouch Lancet
Unilet Excelite
Unilet Excelite Ii
Unilet G.p. Lancet
Unilet G.p. Superlite Lancet
Unilet Gp 28 Ultra Thin
Unilet Lancet
Unilet Superlite Lancet
Universal 1 Lancets Thin 26g
Universal 1 Lancets Ultra Thin 30g
Value Plus Lancets Standard 21g
Value Plus Lancets Super Thin 30g
Value Plus Lancets Thin 26g
Valumark Lancet Super Thin 30g
Valumark Lancet Ultra Thin 28g
Vida Mia Unilet Lancets Super Thin 30g
Vida Mia Unilet Lancets Ultra Thin 28g
Vitalet Pro Lancets
Vitalet Pro Plus Lancets
W&f Lancets Colored 21g
W&f Lancets 26g
Walgreens Advanced Travellancets 28g
Walgreens Comfort Assuredlancets Micro Thin/33g
Walgreens Comfort Assuredlancets Super Thin/28g
Walgreens Lancets
Walgreens Thin Lancets
Walgreens Ultra Thin Lancets
1st Choice Lancets Super Thin
1st Choice Lancets Thin
1st Choice Lancets Ultra Thin
1st Tier Unilet Comfortouch Lancets 28g
1st Tier Unilet Comfortouch Lancets 30g
MISCELLANEOUS AGENTS
GENERIC
pentetate calcium trisodium
pentetate zinc trisodium
PREFERRED BRAND
Chemet
Exjade
NON PREFERRED
Ferriprox
Effective January 1, 2013
36
Index
A
a-hydrocort, 11
a-methapred, 11
abacavir, 2
Abilify, 20
Abilify Discmelt, 20
Absorica, 8
Abstral, 25
Acanya, 8
acarbose, 13
Accolate, 30
Accu-chek Active Strips, 33
Accu-chek Advantage Diabetes Care Kit,
33
Accu-chek Aviva, 33
Accu-chek Aviva Plus, 33
Accu-chek Comfort Curve Test Strips, 33
Accu-chek Compact Plus Care Kit, 33
Accu-chek Compact Strips, 33
Accu-chek Compact Test Drum, 33
Accu-chek Fastclix Lancets, 33
Accu-chek Multiclix Lancets, 33
Accu-chek Nano Smartview, 33
Accu-chek Safe-t-pro Lancets, 33
Accu-chek Safe-t-pro Pluslancets, 33
Accu-chek Smartview Strips, 33
Accu-chek Soft Touch Lancets, 33
Accu-chek Softclix Lancets, 33
Accuneb, 30
Accupril, 5
Accuretic, 6
acebutolol hcl, 5
Aceon, 5
acetaminophen/caffeine/dihydrocodeine
bitartrate, 25
acetaminophen/codeine, 25
acetaminophen/codeine #2, 25
acetaminophen/codeine #3, 25
acetaminophen/codeine #4, 25
acetaminophen/codeine phosphate, 25
acetasol hc, 24
acetazolamide, 6
Acetazolamide Er, 6
acetazolamide sodium, 6
acetic acid, 24
acetic acid/aluminum acetate, 24
acetylcysteine, 27
acid jelly, 16
Aciphex, 15
Aclovate, 10
Acthar Hp, 14
Acthib, 30
Acti-lance Lancets 28g, 33
Acti-lance Lite Safety Lancets 28g, 33
Acti-lance Special Safety Lancets 17g,
34
Acti-lance Special Safetylancets 17g, 34
Acti-lance Universal Safety Lancets 23g,
34
acticin, 10
Actigall, 16
Actimmune, 4
Actiq, 25
Activella, 12
Actonel, 13
Actoplus Met, 13
Actoplus Met Xr, 13
Actos, 13
Acuflex, 24
Acular, 24
Acular Ls, 24
Acuvail, 24
acyclovir, 2
Aczone, 8
Adacel, 30
Adalat Cc, 5
adapalene, 7
Adcirca, 7
Adderall, 20
Adderall Xr, 20
Adoxa, 1
Adoxa Pak 1/100, 1
Adoxa Pak 1/150, 1
Adoxa Pak 2/100, 1
Adrenal C Formula, 32
Adrenalin, 27, 30
Advair Diskus, 29
Advair Hfa, 29
Advanced Am/pm, 32
Advicor, 7
Advocate Lancets, 34
Advocate Safety Lancets, 34
Aerohist, 27
Aerokid, 28
Af Lancets Super Thin, 34
afeditab cr, 5
Afinitor, 4
Afluria 2009-2010, 30
Afluria 2011-2012, 30
Afluria 2012-2013, 30
Afluria Pf 2010-2011, 30
Afluria Pf 2011-2012, 30
Afluria Pf 2012-2013, 30
Agamatrix Ultra-thin Lancets 33g, 34
Aggrenox, 18
Agriflu 2010-2011, 30
Agrylin, 18
Ahist, 27
airacof, 27
airavite, 17
ak-con, 23
ak-pentolate, 23
ak-poly-bac, 22
Akne-mycin, 8
akorn balanced salt solution, 23
Akten, 23
ala cort, 9
Ala Scalp, 10
Ala-hist, 27
Ala-hist D, 28
Alagesic Lq, 24
Alahist Ac, 28
Alahist Dhc, 28
Alamast, 24
Albafort, 17, 32
albatussin nn, 27
Albenza, 3
albuterol sulfate, 29
albuterol sulfate er, 29
Alcaine, 23
alclometasone dipropionate, 9
Aldactazide, 6
Aldactone, 6
Aldara, 10
alenaze-d, 27
alenaze-d nr, 27
alendronate sodium, 13
Alfenta, 25
alfentanil, 25
Alferon N, 4
alfuzosin hcl er, 17
ali-flex, 24
aliclen, 10
Alinia, 3
Alkeran, 3
Allerscript, 28
Allerx Df, 27
Allerx Df 30, 27
Allerx Dose Pack, 28
Allerx Pe, 28
Allerx-d, 28
Allfen Cd, 28
Allfen Cdx, 28
Allopurinol, 26
Alocril, 24
Alodox Convenience Kit, 1
Alomide, 24
Aloquin, 9
Alora, 12
alpain, 24
Alphagan P, 23
alphatrex, 9
alprazolam, 19
alprazolam er, 19
Alprazolam Intensol, 19
alprazolam odt, 19
Alprazolam Xr, 19
Alrex, 23
Alsuma, 26
Altabax, 8
altacaine, 23
Altace, 5
altafrin, 23
Altoprev, 7
aluminum acetate, 10
Aluvea, 11
Alvesco, 29
amantadine hcl, 21
Amaryl, 13
Ambien, 20
Ambien Cr, 20
Ambifed Cd, 28
Ambifed Cdx, 28
Ambifed-g Cd, 28
Ambifed-g Cdx, 28
amcinonide, 9
Amerge, 26
Amevive, 9
Amicar, 18
amikacin sulfate, 2
Amiloride Hcl, 6
amiloride/hydrochlorothiazide, 6
aminocaproic acid, 18
aminophylline, 29
amiodarone hcl, 5
Amitiza, 16
Amitriptyline, 19
amitriptyline hcl, 19
amlodipine besylate, 5
Amlodipine Besylate/atorvastatin
Calcium, 7
amlodipine besylate/benazepril hcl, 6
amlodipine besylate/benazepril
hydrochloride, 6
ammonium lactate, 10
amnesteem, 7
amoxapine, 19
amoxicillin, 1
amoxicillin/clavulanate potassium, 1
amoxicillin/clavulanate potassium er, 1
amoxicillin/potassium clavulanate, 1
Amphetamine/dextroamphetamine, 20
amphotericin b, 2
ampicillin, 1
ampicillin sodium, 1
ampicillin-sulbactam, 1
Ampyra, 21
Amrix, 22
Amturnide, 6
amyl nitrite, 4
Amytal Sodium, 20
anabar, 24
Anacaine, 11
Anadrol-50, 12
Anafranil, 19
anagrelide hydrochloride, 18
Analpram Advanced, 16
Analpram-hc, 16
Analpram-hc Singles, 16
Anamantle Hc, 16
Anaprox, 26
Anaprox Ds, 26
Anaspaz, 15
anastrozole, 3
Ancobon, 2
Androderm, 12
Androgel, 12
Androgel Pump, 12
android, 12
Androxy, 12
Anectine, 22
Angeliq, 12
Animi-3, 17
Animi-3/vitamin D, 17
anolor 300, 24
Antabuse, 22
Antara, 7
antipyrine/benzocaine, 24
Antivert, 15
Anusol-hc, 16
Anzemet, 15
Ap-zel, 32
apexicon, 9
apexicon e, 9
Aphthasol, 18
Apidra, 12
Apidra Solostar, 12
Aplenzin, 19
Apokyn, 21
Appbutamone, 19
Appbutamone-d, 19
Appformin, 13
Appformin-d, 13
apraclonidine, 23
Apriso, 16
Aptivus, 2
Aqua Glycolic Hc Scalp & Body, 10
Aquasol A Parenteral, 31
aquoral, 18
Aralen, 3
Aranesp Albumin Free, 17
Arava, 26
arbinoxa, 27
Arcalyst, 26
Arcapta Neohaler, 30
Argyle Pneumothorax Procedure Tray/8fr,
27
Aricept, 22
Aricept Odt, 22
Arimidex, 4
Aristospan Intra-articular, 11
Aristospan Intralesional, 11
Arixtra, 18
Armour Thyroid, 14
arnica flower, 10
Aromasin, 4
Arthrotec 50, 26
Arthrotec 75, 26
Artiss, 18
Asacol, 16
Asacol Hd, 16
ascomp/codeine, 25
ascor l 500, 31
ascor l nc, 31
ascorbic acid, 31
asmalpred, 11
asmalpred plus, 11
Asmanex 120 Metered Doses, 29
Asmanex 14 Metered Doses, 29
Asmanex 30 Metered Doses, 30
Asmanex 60 Metered Doses, 30
Asmanex 7 Metered Doses, 30
Assure Haemolance Plus High Flow 18g,
34
Assure Haemolance Plus Low Flow 25g,
34
Assure Haemolance Plus Micro Flow 28g,
34
Assure Haemolance Plus Normal Flow
21g, 34
Assure Haemolance Plus Pediatric Blade,
34
Assure Lance Lancets, 34
Assure Lancets, 34
Astelin, 27
Astepro, 27
astramorph, 25
Astringyn, 18
At Last Lancets, 34
Atabex Ec, 32
Atabex Prenatal, 32
Atacand, 6
Atacand Hct, 6
Atelvia, 13
atenolol, 5
atenolol/chlorthalidone, 6
Ativan, 19
Atopiclair, 11
atorvastatin calcium, 7
Atovaquone/proguanil Hcl, 3
Atralin, 8
Atripla, 2
Atropen, 15
Atropine Sulfate, 15
atropine sulfate, 23
atropine-care, 23
Atrovent, 27
Atrovent Hfa, 30
Atuss Ds, 28
Aubagio, 22
augmented betamethasone dipropionate,
9
Augmentin, 1
Augmentin Es-600, 1
Augmentin Xr, 1
Auralgan, 24
aurax, 24
aurodex, 24
Aurora Healthcare Lancets, 34
Aurora Lancet Super Thin 30g, 34
Aurora Lancet Thin 23g, 34
Aurstat, 11
Avalide, 6
Avandamet, 13
Avandaryl, 13
Avandia, 13
Avapro, 6
avar cleanser, 7
Avar Ls Cleanser, 8
avar-e emollient, 7
avar-e green, 7
Avar-e Ls, 8
Avc, 17
Avelox, 2
Avelox Abc Pack, 2
avidoxy, 1
Avidoxy Dk, 1
Avinza, 25
Avita, 7
Avodart, 17
Avonex, 21
Avonex Pen, 21
Axert, 26
Axid, 15
Axiron, 12
Aygestin, 12
Azactam, 3
Azasan, 4
Azasite, 22
azathioprine, 4
azathioprine sodium, 4
azelastine hcl, 23, 27
Azelex, 8
Azilect, 21
azithromycin, 1
Azopt, 24
Azor, 6
aztreonam, 3
Azulfidine, 16
Azulfidine En-tabs, 16
B
b-6 folic acid, 17
b-complex, 31
b-complex 100, 31
B-nexa, 32
b-plex, 31
b-plex plus, 31
baciim, 3
bacitracin, 3, 22
bacitracin/polymyxin b, 22
baclofen, 22
Bacmin, 32
Bactrim, 3
Bactrim Ds, 3
Bactroban, 8
Bactroban Nasal, 27
Bal-care Dha, 32
Bal-care Dha Essential, 32
balacall dm, 27
balanced salt solution, 23
balsalazide disodium, 16
Banzel, 21
Baraclude, 2
baycadron, 11
Bayer Microlet Lancets, 34
Bd Insulin Syringe Luer-lok/u-100/1ml,
34
Bd Insulin Syringe Microfine Iv/u100/0.3ml/28g X 1/2", 34
Bd Insulin Syringe Microfine Iv/u100/0.5ml/28g X 1/2", 34
Bd Insulin Syringe Microfine Iv/u100/1ml/27g X 5/8", 34
Bd Insulin Syringe Microfine Iv/u100/1ml/28g X 1/2", 34
Bd Insulin Syringe Microfine/u100/0.3ml/28g X 1/2", 34
Bd Insulin Syringe Microfine/u100/0.5ml/28g X 1/2", 34
Bd Insulin Syringe Microfine/u100/1ml/27g X 5/8", 34
Bd Insulin Syringe Microfine/u100/1ml/28g X 1/2", 34
Bd Insulin Syringe Safetyglide/0.5ml/29g
X 1/2", 34
Bd Insulin Syringe Safetyglide/1ml/29g X
1/2", 34
Bd Insulin Syringe Safetyglide/u100/0.3ml/31g X 5/16", 34
Bd Insulin Syringe Slip Tip/u-100/1ml, 34
Bd Insulin Syringe U-40/1ml/25g X 5/8",
34
Bd Insulin Syringe Ultrafine Halfunit/0.3ml/31g X 5/16", 34
Bd Insulin Syringe Ultrafine
Ii/short/0.5ml/31g X 5/16", 34
Bd Insulin Syringe Ultrafine
Ii/short/1ml/31g X 5/16", 34
Bd Insulin Syringe Ultrafine/0.3ml/30g X
1/2", 34
Bd Insulin Syringe Ultrafine/0.3ml/31g X
5/16", 34
Bd Insulin Syringe Ultrafine/0.5ml/30g X
1/2", 34
Bd Insulin Syringe Ultrafine/0.5ml/31g X
5/16", 34
Bd Insulin Syringe Ultrafine/1ml/30g X
1/2", 34
Bd Insulin Syringe Ultrafine/1ml/31g X
5/16", 34
Bd Insulin Syringe Ultrafine/u100/0.3ml/29g X 1/2", 34
Bd Insulin Syringe Ultrafine/u100/0.5ml/29g X 1/2", 34
Bd Insulin Syringe Ultrafine/u100/1ml/29g X 1/2", 34
Bd Insulin Syringe Ultrafine/u-
100/1ml/30g X 1/2", 34
Bd Insulin Syringe/detachable Needle/u100/1ml/25g X 1", 34
Bd Insulin Syringe/detachable Needle/u100/1ml/25g X 5/8", 34
Bd Insulin Syringe/detachable Needle/u100/1ml/26g X 1/2", 34
Bd Insulin Syringe/u-100/0.5ml/30g X
1/2", 34
Bd Insulin Syringe/u-100/1ml/27g X 1/2",
34
Bd Insulin Syringe/u-100/1ml/28g X 1/2",
34
Bd Insulin Syringe/u-100/2ml/27.5g X
5/8", 34
Bd Insulin Syringe/u-100/2ml/29g X 1/2",
34
Bd Lancet Ultrafine 30g, 34
Bd Lancet Ultrafine 33g, 34
Bd Microtainer Lancets, 34
bd pudendal/local block tray 1%
lidocaine, 27
Beconase Aq, 27
belladonna & opium, 15
belladonna alkaloids, 15
belladonna alkaloids & opium, 15
benazepril hcl, 5
benazepril hcl/hydrochlorothiazide, 6
Benicar, 6
Benicar Hct, 6
Bensal Hp, 11
Bentyl, 15
Benzac Ac Wash, 8
Benzac W Wash, 8
Benzaclin, 8
Benzaclin With Pump, 8
Benzamycin, 8
Benzamycinpak, 8
Benzefoam, 8
Benzefoamultra, 8
benzepro, 7
benzepro short contact, 7
Benziq, 8
Benziq Ls, 8
benziq wash, 7
benzoin compound tincture, 10
benzoin tincture, 10
benzonatate, 27
benzoyl peroxide, 7
benzoyl peroxide cleanser, 7
benzoyl peroxide cleansing, 7
benzoyl peroxide short contact, 7
benzoyl peroxide wash, 7
benzoyl peroxide wash acne treatment
pack, 7
benztropine mesylate, 21
Bepreve, 24
Besivance, 22
Betadine Ophthalmic Prep, 22
Betagan, 23
betamethasone dipropionate, 9
betamethasone sodium
phosphate/betamethasone acetate, 11
betamethasone valerate, 9
Betapace, 5
Betapace Af, 5
Betaseron, 22
betaxolol hcl, 5, 22
bethanechol chloride, 16
Betimol, 23
Betoptic-s, 23
Biaxin, 1
Biaxin Xl, 1
Biaxin Xl Pac, 1
bicalutamide, 3
Bicillin C-r, 1
Bicillin L-a, 1
bidhist-d, 27
Bidil, 7
Biferarx, 18
Biltricide, 3
Binosto, 13
Bio-statin, 2
biocel, 31
biogesic, 24
Bioregesic, 24
Biothrax, 30
biotuss, 27
biotuss pediatric, 28
bisoprolol fumarate, 5
bisoprolol fumarate/hydrochlorothiazide,
6
bleomycin sulfate, 3
Bleph-10, 22
Blephamide, 23
Blephamide S.o.p., 23
Boniva, 13
Boostrix, 30
boric acid, 10
Bosulif, 4
Botox, 22
bp 10-1, 7
bp cleanser, 7
bp cleansing wash, 7
bp folinatal plus b, 31
bp multinatal plus, 31
bp poly-650, 24
bp vit 3, 17
bp wash, 7
bpm, 27
bpm pseudo, 28
bpo, 7
bpo 3% foaming cloths, 7
bpo 6% foaming cloths, 7
bpo 9% foaming cloths, 7
bpo creamy wash complete pack, 7
Brilinta, 18
brimonidine tartrate, 23
bromatan plus, 28
bromax, 27
Bromday, 24
bromfed dm, 28
bromfenac, 23
bromocriptine mesylate, 21
brompheniramine tannate, 27
bromspiro, 27
Broncomar-1, 30
Brondil, 30
Brovana, 30
budeprion sr, 19
budeprion xl, 19
budesonide, 11, 29
Bullseye Mini Safety Lancets, 34
Bullseye Safety Lancets, 34
bumetanide, 6
bupap, 24
Buphenyl, 14
bupivacaine hcl, 27
Bupivacaine/epinephrine, 27
Buprenex, 25
buprenorphine hcl, 25
bupropion hcl, 19
bupropion hcl er, 19
bupropion hcl sr, 19
bupropion hcl xl, 19
buspirone hcl, 19
butal/asa/caff, 24
butalbital compound, 24
butalbital/acetaminophen, 24
butalbital/acetaminophen/caffeine, 24
butalbital/acetaminophen/caffeine/codein
e, 25
Butalbital/asa/caffeine, 24
butalbital/aspirin/caffeine, 24
butalbital/aspirn/caffeine/codeine, 25
Butisol Sodium, 20
butorphanol tartrate, 25
Butrans, 25
Bydureon, 12
Byetta, 12
Bystolic, 5
C
C-tan D Plus, 28
cabergoline, 14
Caduet, 7
Cafcit, 20
Cafergot, 26
caffeine citrate, 20
caffeine/sodium benzoate, 20
cafgesic forte, 24
Calan, 5
Calan Sr, 5
calcipotriene, 9
Calcitonin-salmon, 13
Calcitrene, 9
Calcitriol, 9
calcitriol, 14
calcium acetate, 16
calcium folinate, 4
Cambia, 26
Campral, 22
Canasa, 16
candesartan cilexetil/hydrochlorothiazide,
6
Cantil, 15
capacet, 24
Capastat Sulfate, 2
Capex, 10
Caphosol, 18
Capital/codeine, 25
Caprelsa, 4
capsaicin, 10
captopril, 5
captopril/hydrochlorothiazide, 6
Carafate, 15
Carba-xp, 28
Carbaglu, 14
carbamazepine, 20
Carbamazepine Er, 21
Carbaphen 12, 28
Carbaphen 12 Ped, 28
Carbatrol, 21
Carbatuss, 28
Carbatuss-12, 28
Carbatuss-cl, 28
carbidopa/levodopa, 21
carbidopa/levodopa cr, 21
carbidopa/levodopa er, 21
carbidopa/levodopa odt, 21
carbidopa/levodopa sr, 21
Carbidopa/levodopa/entacapone, 21
carbinoxamine maleate, 27
Carbocaine, 27
Cardene Sr, 5
Cardiotek-rx, 18
Cardizem, 5
Cardizem Cd, 5
Cardizem La, 5
Cardura, 6
Cardura Xl, 17
Careone Lancet Thin, 34
Careone Lancet Ultra Thin, 34
carisoprodol, 22
carisoprodol/aspirin, 22
carisoprodol/aspirin/codeine, 22
Carmol-hc, 10
Carnitor, 14
Carnitor Sf, 14
Caromega, 32
carteolol hcl, 23
cartia xt, 5
carvedilol, 5
cascara sagrada, 14
cascara sagrada aromatic, 14
Casodex, 4
Cataflam, 26
Catapres, 6
Catapres-tts-1, 6
Catapres-tts-2, 6
Catapres-tts-3, 6
Cathflo Activase, 18
cavan one omega, 31
cavan prenatal/ec calcium, 31
Cavan-alpha Kit, 32
cavan-ec sod dha, 31
Cavan-folate Dha, 32
Cavan-folate Ob, 32
cavirinse, 18
Cayston, 3
Cedax, 1
Ceenu, 3
cefaclor, 1
cefaclor er, 1
cefadroxil, 1
cefazolin sodium, 1
cefdinir, 1
Cefditoren Pivoxil, 1
cefepime, 1
cefotaxime sodium, 1
cefotetan, 1
cefoxitin sodium, 1
cefpodoxime proxetil, 1
cefprozil, 1
ceftazidime, 1
Ceftin, 1
ceftriaxone sodium, 1
cefuroxime axetil, 1
cefuroxime sodium, 1
Celebrex, 26
Celestone, 11
Celestone-soluspan, 11
Celexa, 19
Cellcept, 4
Celontin, 21
cem-urea, 10
Cenestin, 12
Cenfol, 18
Cenhist, 28
cenolate, 31
Centany, 8
Centany At, 8
centergy, 28
centergy dm, 28
Centratex, 18
cephadyn, 24
cephalexin, 1
cerisa wash, 7
ceron-dm, 28
cerovel, 10
Cervarix, 30
Cervidil, 24
Cesamet, 15
cetirizine hcl, 27
cetraxal, 24
cevimeline hcl, 18
Cgu Wc, 28
Chemet, 36
Chenodal, 16
chlor-mes d, 28
chlor-mes jr, 28
chloral hydrate, 20
chlordiazepoxide hcl, 19
chlordiazepoxide/amitriptyline, 21
chlorhexadine gluconate oral rinse, 18
chlorhexidine gluconate, 18
chlorhexidine gluconate oral rinse, 18
chloroprocaine hcl, 27
chloroquine phosphate, 3
chlorothiazide, 6
chlorpromazine hcl, 19
chlorpropamide, 12
chlorthalidone, 6
chlorzoxazone, 22
cholestyramine, 7
cholestyramine light, 7
choline magnesium trisalicylate, 24
Chorionic Gonadotropin, 13
ciclodan, 9
Ciclodan Cream Kit, 9
Ciclodan Solution Kit, 9
ciclopirox, 9
ciclopirox nail lacquer, 9
ciclopirox olamine, 9
ciclopirox topical solution kit, 9
ciclopirox treatment, 9
cilostazol, 18
Ciloxan, 22
cimetidine, 15
cimetidine hcl, 15
Cimzia, 16
Cimzia Starter Kit, 16
Cipro, 2
Cipro Hc, 24
Cipro Xr, 2
Ciprodex, 24
Ciprofloxacin, 24
ciprofloxacin er, 1
ciprofloxacin hcl, 1, 22
citalopram hydrobromide, 19
Citranatal 90 Dha, 32
Citranatal Assure, 32
Citranatal B-calm, 32
Citranatal Dha, 32
Citranatal Harmony, 32
Citranatal Rx, 32
citric acid/sodium citrate, 17
Citrolith, 17
Claforan, 1
claravis, 7
Clarifoam Ef, 8
Clarinex, 27
Clarinex Reditabs, 27
Clarinex-d 12 Hour, 28
Clarinex-d 24 Hour, 28
claris clarifying wash, 7
clarithromycin, 1
clarithromycin er, 1
Cleanlet Lancets 28g, 34
clearplex x, 7
clemastine fumarate, 27
clenia, 7
clenia foaming wash, 7
Cleocin, 3, 17
Cleocin Pediatric Granules, 3
Cleocin Phosphate, 3
Cleocin-t, 8
Clever Chek Lancets Ultrathin, 34
Clever Chek Lancets Ultrathin 30g, 34
Climara, 12
Climara Pro, 12
Clindacin Pac, 8
clindacin-p, 7
Clindagel, 8
clindamax, 7
clindamycin hcl, 3
clindamycin palmitate hcl, 3
clindamycin phosphate, 3, 7, 16
clindamycin phosphate pharmacy bulk
package, 3
clindamycin/benzoyl peroxide, 7
clindareach, 8
Clinoril, 26
Clobeta Cream, 10
Clobeta Ointment, 10
clobetasol propionate, 9
clobetasol propionate e, 9
clobetasol propionate emollient, 9
Clobex, 10
Cloderm, 10
Cloderm Pump, 10
clomipramine hcl, 19
clonazepam, 21
clonazepam odt, 21
clonidine hcl, 6
clopidogrel, 18
clorazepate dipotassium, 19
Clorpres, 6
clotrimazole, 9, 18
clotrimazole/betamethasone dipropionate,
9
clozapine, 19
Clozapine Odt, 19
Clozaril, 20
Cnl8 Nail Kit, 9
co-gesic, 25
co-natal fa, 31
Coaguchek Lancets, 34
coal tar, 10
coal tar base, 10
Coartem, 3
Coca Cola Syurp, 15
cocaine hcl, 10
Cocet, 25
Cocet Plus, 25
cod liver oil, 31
codeine phosphate, 25
Codeine Sulfate, 25
Cogentin, 21
Colazal, 16
Colcrys, 26
coldec dm, 28
Colestid, 7
Colestid Flavored, 7
colestipol hcl, 7
colestipol hcl for oral suspension, 7
colidrops
pediatric, 15
colistimethate sodium, 3
colocort, 16
Coly-mycin M, 3
Coly-mycin S, 24
Colyte-flavor Packs, 14
Combigan, 23
Combipatch, 12
Combivent, 30
Combivent Respimat, 30
Combivir, 2
Comfort Assured Lancets Micro Thin 33g,
34
Comfort Assured Lancets Super Thin
28g, 34
Comfort Lancets, 34
Complera, 2
complete natal dha, 31
Complete-rf Prenatal, 32
completenate, 31
compro, 19
Comtan, 21
Comvax, 30
Concept Dha, 32
Concept Ob, 32
Concerta, 20
Condylox, 11
constulose, 14
Conzip, 25
Copaxone, 21
copd, 29
Copegus, 2
Cordarone, 5
Cordran, 10
Cordran Sp, 10
Cordran Tape, 10
Coreg, 5
Coreg Cr, 5
Corenate-dha, 32
Corgard, 5
cormax, 9
cormax scalp application, 9
cortalo, 9
Cortef, 11
Cortenema, 16
Cortifoam, 16
cortisone acetate, 11
Cortisporin, 8, 24
Cortisporin-tc, 24
corvita, 31
corvita 150, 17
Corvite, 32
Corvite 150, 18
Corvite Fe, 18
corvite free, 31
Corzall, 28
Corzall Plus, 28
Corzall-pe, 28
Corzide, 6
Cosopt, 23
Cosopt Pf, 23
Cotab A, 28
Cotab Ax, 28
Cotabflu, 28
Coumadin, 18
Covera-hs, 5
Cozaar, 6
Cpb Wc, 28
Creon, 15
Crestor, 7
Cresylate, 24
Crinone, 17
Crixivan, 2
Crnatal, 32
cromolyn sodium, 16, 23, 29
Curosurf, 30
Cutivate, 10
Cuvposa, 15
Cvs Lancets 21g, 34
Cvs Lancets Micro Thin 33g, 34
Cvs Lancets Original, 34
Cvs Lancets Thin, 34
Cvs Lancets Thin 26g, 34
Cvs Lancets Ultra Thin 30g, 34
Cvs Ultra Thin Lancets, 34
cyanocobalamin, 17
Cyclobenzaprine Comfort Pac, 22
cyclobenzaprine hcl, 22
cyclobenzaprine hcl er, 22
Cyclogyl, 23
Cyclomydril, 23
cyclopentolate hcl, 23
cyclophosphamide, 3
cycloserine, 2
cyclosporine, 4
cyclosporine modified, 4
cylate, 23
Cymbalta, 19
cyproheptadine hcl, 27
Cystadane, 14
Cystagon, 17
cytarabine, 3
cytarabine
aqueous, 3
Cytomel, 14
Cytotec, 15
cytra k crystals, 17
cytra-2, 17
cytra-3, 17
cytra-k, 17
D
D.h.e. 45, 26
dacex-dm, 28
Daliresp, 30
Dallergy, 28
Dallergy Dm, 28
Dallergy Jr, 29
Dallergy Pe, 29
Dallergy Pse, 29
Dallergy-jr, 29
danazol, 12
Dantrium, 22
dantrolene sodium, 22
dapsone, 3
Daptacel, 30
Daraprim, 3
Daypro, 26
Daytrana, 20
Ddavp, 14
de-chlor dm, 28
de-chlor dr, 28
Debacterol, 18
Decara, 31
decavac, 30
Decon-a, 29
dehistine, 28
Delatestryl, 12
Delestrogen, 12
Delos, 8
Deltuss Dmx, 29
Demadex, 6
demeclocycline hcl, 1
Demerol, 25
Demser, 6
Denavir, 9
Depakene, 21
Depakote, 21
Depakote Er, 21
Depakote Sprinkles, 21
Depo-estradiol, 12
Depo-medrol, 11
Depo-provera, 4
Depo-testosterone, 12
Derma-smoothe/fs Body Oil, 10
Derma-smoothe/fs Scalp Oil, 10
Dermatop, 10
Dermotic, 24
desipramine hcl, 19
desloratadine, 27
desmopressin acetate, 14
Desonate, 10
desonide, 9
Desonil, 10
Desowen, 10
Desowen Cream/cetaphil Lotion, 10
Desowen Lotion/cetaphil Cream, 10
Desowen Ointment/cetaphil Lotion, 10
desoximetasone, 9
Desoxyn, 20
despec-exp, 28
Despec-pdc, 29
Desquam-x Wash, 8
Detrol, 16
Detrol La, 16
dex-tuss, 28
dexamethasone, 11
Dexamethasone Intensol, 11
dexamethasone sodium phosphate, 11,
23
dexchlorpheniramine maleate, 27
dexchlorpheniramine maleate cr, 27
Dexedrine, 20
Dexferrum, 17
Dexilant, 15
dexmethylphenidate hcl, 20
Dexpak 10 Day, 11
Dexpak 13 Day, 11
Dexpak 6 Day, 12
dexpanthenol, 16
dextran 70, 18
dextran hm, 18
dextroamphetamine sulfate, 20
dextroamphetamine sulfate er, 20
dextromethorphan
hbr/chlorpheniramine/phenylephrine hcl,
28
dextromethorphan hbr/phenylephrine
hcl/chlorpheniramine, 28
dg 200, 29
Diabeta, 13
dialyvite, 31
Dialyvite 3000, 32
Dialyvite 5000, 32
Dialyvite Supreme D, 32
Dialyvite/zinc, 32
Diamox, 7
Diastar Easy Test Ii Lancets 30g, 34
Diastar Easy Test Lancets30g, 34
diastat acudial, 21
diastat pediatric, 21
Diatx Zn, 32
diazepam, 19
Diazepam, 21
Diazepam Intensol, 19
Dibenzyline, 6
diclofenac potassium, 26
diclofenac sodium, 24
diclofenac sodium dr, 26
diclofenac sodium er, 26
Diclofenac Sodium Xr, 26
diclofenac sodium/misoprostol, 26
dicloxacillin sodium, 1
dicyclomine hcl, 15
didanosine, 2
Didronel, 13
Differin, 8
Dificid, 1
difil-g 400, 29
difil-g forte, 29
diflorasone diacetate, 9
Diflucan, 2
diflunisal, 24
Digex Nf, 15
Digoxin, 4
dihydro-cp, 28
dihydro-pe, 28
dihydroergotamine mesylate, 26
Dilacor Xr, 5
Dilantin, 21
Dilantin Infatabs, 21
Dilatrate Sr, 4
Dilaudid, 25
Dilaudid-5, 25
Dilaudid-hp, 25
Dilex-g 200, 30
Dilex-g 400, 30
dilt-cd, 5
dilt-xr, 5
diltiazem cd, 5
diltiazem hcl, 5
Diltiazem Hcl Cd, 5
diltiazem hcl er, 5
diltzac, 5
dimenhydrinate, 15
Diovan, 6
Diovan Hct, 6
Dipentum, 16
diphenhydramine hcl, 27
diphenoxylate/atropine, 15
diphtheria/tetanus toxoid pediatric, 30
diphtheria/tetanus toxoids adsorbed
pediatric, 30
Diprolene, 10
Diprolene Af, 10
Dipyridamole, 18
disopyramide phosphate, 5
disulfiram, 21
Ditropan Xl, 16
Diuril, 7
divalproex sodium, 21
divalproex sodium dr, 21
divalproex sodium er, 21
Divigel, 12
Divista, 18
dm-pe-chlor, 28
dobells solution, 18
Dolgic Plus, 24
dologesic, 24
Dolophine, 25
Dolophine Hcl, 25
dolorex, 24
Donatuss Dc, 29
Donatuss Xp, 29
Donatussin Dm, 29
donepezil hcl, 21
Doral, 20
Doryx, 1
dorzolamide hcl, 24
dorzolamide hcl/timolol maleate, 23
Dovonex, 9
Dovonex Scalp, 9
doxazosin mesylate, 6
doxepin hcl, 19
doxycycline, 1
doxycycline hyclate, 1
doxycycline monohydrate, 1
Doxytex, 27
Drisdol, 31
dritho-creme hp, 9
Dritho-scalp, 9
dronabinol, 15
droperidol, 19
Droplet Lancets Ultra Thin 30g, 34
Droxia, 17
Drug Mart Lancets Thin, 34
Drug Mart Lancets Ultra Thin, 34
Drug Mart Unilet Lancets Super Thin 30g,
34
Drug Mart Unilet Lancets Ultra Thin 28g,
34
Drymax, 29
Drysol, 11
Duac, 8
Duane Reade Lancet Alternate Site 26g,
34
Duane Reade Lancet Super Thin 30g, 34
Duane Reade Lancet Ultra Thin 28g, 34
Duet Dha, 32
Duet Dha Balanced, 32
Duet Dha Ec, 32
Duetact, 13
Duexis, 26
Dulera, 30
Duocaine, 27
Duoneb, 30
Durabac, 24
Durabac Forte, 24
Duraflu, 29
Duragesic, 25
Duramorph, 25
Durasafe Spinal/epidural Tray/1%
Xylocaine/19gx36"close Cath, 27
Durasafe Spinal/epidural Tray/1%
Xylocaine/19gx36"open Cath, 27
Durasafe Spinal/epidural Tray/1%
Xylocaine/20gx36"close Cath, 27
Durasafe Spinal/epidural Tray/1%
Xylocaine/20gx36"open Cath, 27
durasal, 10
duraxin, 24
Durezol, 23
Dutoprol, 6
dy-g, 29
Dyazide, 7
dyflex-g, 29
dylix, 29
Dymista, 27
Dynacin, 1
Dynacirc Cr, 5
dyphylline gg, 29
dyphylline-gg, 29
Dyrenium, 7
Dysport, 22
dytuss, 27
E
E-z Ject Lancets, 34
E-z Ject Lancets 21g, 34
E-z Ject Lancets Color, 34
E-z Ject Lancets Super Thin, 34
E-z Ject Lancets Super Thin 30g, 34
E-z Ject Lancets Thin 26g, 34
E-zject Lancets Micro-thin 33g, 34
e.e.s. 400, 1
E.e.s. Granules, 1
e.s.p., 3
Easy Comfort Lancets, 34
Easy Touch Lancets, 34
easygel, 18
Easytest Ii Lancets, 34
Easytest Lancets, 34
Ec-naprosyn, 26
econazole nitrate, 9
ed baclofen, 22
Ed Chlorped, 27
Ed Chlorped D, 29
ed cyte f, 17
Ed Dm, 29
ed-a-hist dm, 28
Ed-bron G, 30
Ed-chlor-tan, 27
ed-flex, 24
ed-spaz, 15
Edarbi, 6
Edarbyclor, 6
Edecrin, 7
Edluar, 20
Edurant, 2
Effexor Xr, 19
Effient, 18
Egrifta, 14
Eldepryl, 21
Elestat, 24
Elestrin, 12
Eletone, 11
Elidel, 10
Eligard, 4
Elimite, 11
Eliphos, 16
elite ob with dha, 31
elite-ob, 31
Elite-ob 400, 32
Elixophyllin, 30
Elmiron, 17
Elocon, 10
Elspar, 3
Emadine, 24
Emcyt, 4
Emend, 15
Emla, 11
Emsam, 19
Emtriva, 2
Emulsion Sb, 11
Enablex, 16
enalapril maleate, 5
enalapril maleate/hydrochlorothiazide, 6
Enbrel, 26
Enbrel Sureclick, 26
endocet, 25
Endodan, 25
Engerix-b, 30
Enjuvia, 12
Enlon, 22
enoxaparin sodium, 18
Entacapone, 21
Entereg, 16
Entocort Ec, 12
entre-b, 28
enulose, 16
ephedrine sulfate, 7
Epiceram, 11
Epiduo, 8
Epifoam, 10
epinastine hcl, 24
Epinephrine, 7
epinephrine hcl, 29
Epipen, 7
Epipen 2-pak, 7
Epipen-jr, 7
Epipen-jr 2-pak, 7
epitol, 21
Epivir, 2
Epivir Hbv, 2
eplerenone, 6
epogen, 18
eprosartan mesylate, 6
Epzicom, 2
Eql Color Lancets 21g, 34
Eql Super Thin Lancets 30g, 34
Eql Thin Lancets 26g, 34
Equagesic, 24
Equetro, 20
Ergocalciferol, 31
ergoloid mesylates, 21
Ergomar, 26
Ertaczo, 9
Erwinaze, 3
ery, 8
Ery-tab, 1
Eryped 200, 1
Eryped 400, 1
erythrocin stearate, 1
erythromycin, 1, 8, 22
erythromycin base, 1
erythromycin ethylsuccinate, 1
erythromycin/benzoyl peroxide, 8
erythromycin/sulfisoxazole, 3
Escavite, 32
escitalopram oxalate, 19
Esgic, 24
Esgic-plus, 24
estazolam, 20
Estrace, 12, 17
Estraderm, 12
estradiol, 12
estradiol valerate, 12
estradiol/norethindrone acetate, 12
Estrasorb, 12
Estring, 17
Estrogel, 12
estropipate, 12
ethambutol hcl, 2
ethosuximide, 21
ethyl chloride, 10
ethyl chloride/fine pinpoint, 10
ethyl chloride/fine stream, 10
ethyl chloride/medium jet stream, 10
ethyl chloride/medium stream, 10
ethyl chloride/mist, 10
etidronate disodium, 13
etodolac, 26
etodolac er, 26
etoposide, 4
Eurax, 11
Evamist, 12
Evicel, 18
Evista, 13
Evithrom, 18
Evoclin, 8
Evoxac, 18
Exactuss, 29
Exalgo, 25
Exall, 29
Exall-d, 29
exefen-ir, 28
Exelderm, 9
Exelon, 22
exemestane, 3
Exforge, 6
Exforge Hct, 6
Exjade, 36
exoderm, 9
Exparel, 27
expectuss, 28
Extavia, 22
Extina, 9
Ez Smart Blood Glucose Lancets, 34
Ez-lets Lancets 21g, 34
Ez-lets Lancets 23g, 34
Ez-lets Lancets 26g Super-soft, 34
Ez-lets Lancets 28g Ultra-soft, 34
Ez-lets Lancets 30g, 34
F
fabb, 17
Factive, 2
famciclovir, 2
famotidine, 15
Famvir, 2
Fanapt, 20
Fanapt Titration Pack, 20
Fareston, 4
Faslodex, 4
Fasttake Test Strips, 34
Fazaclo, 20
fe c plus, 17
Felbamate, 21
Felbatol, 21
Feldene, 26
felodipine er, 5
fem ph, 17
Femara, 4
Femhrt 1/5, 12
Femhrt Low Dose, 12
Femring, 17
Femtrace, 12
Fenofibrate, 7
fenofibrate micronized, 7
Fenofibric Acid, 7
Fenoglide, 7
fenoprofen calcium, 26
fentanyl, 25
fentanyl citrate oral transmucosal, 25
Fentora, 25
Feriva, 18
ferocon, 17
ferotrin, 17
ferotrinsic, 17
Ferralet 90, 18
ferraplus 90, 17
ferrex 150 forte, 17
ferrex 150 forte plus, 17
ferrex 28, 17
Ferriprox, 36
Ferro-plex Hematinic, 18
ferrocite plus, 31
ferrogels forte, 17
Ferrotrin, 18
Fetrin, 18
Fexmid, 22
fexofenadine hcl, 27
Fibricor, 7
Fifty50 Safety Seal Lancets 30g, 34
Fifty50 Safety Seal Lancets 32g, 34
Finacea, 8
Finacea Plus, 8
finasteride, 17
Fine 30, 34
Fingerstix Lancets, 34
Fioricet, 24
Fioricet/codeine, 25
Fiorinal, 24
Fiorinal/codeine #3, 25
Firazyr, 18
Firmagon, 4
First-bxn Mouthwash, 18
First-dukes Mouthwash, 19
First-hydrocortisone, 10
First-lansoprazole, 15
First-marys Mouthwash, 19
First-mouthwash Blm, 19
First-omeprazole, 15
First-progesterone Vgs 100
Compounding Kit, 17
First-progesterone Vgs 200
Compounding Kit, 17
First-progesterone Vgs 25 Compounding
Kit, 17
First-progesterone Vgs 400
Compounding Kit, 17
First-progesterone Vgs 50 Compounding
Kit, 17
First-testosterone, 12
First-testosterone Mc Compounding Kit,
12
Flagyl, 3
Flagyl Er, 3
Flarex, 23
flavoxate hcl, 16
flecainide acetate, 5
Flector, 9
Flexeril, 22
Flextra, 24
Flextra Ds, 24
Flextra-650, 24
Flo-pred, 12
Flomax, 17
Flonase, 27
Flovent Diskus, 30
Flovent Hfa, 30
floxuridine, 3
Fluarix 2010-2011, 30
Fluarix 2011-2012, 30
Fluarix 2012-2013, 30
Flucelvax 2012-2013, 30
fluconazole, 2
flucytosine, 2
fludrocortisone acetate, 11
Flulaval 2010-2011, 30
Flulaval 2011-2012, 30
Flulaval 2012-2013, 30
Flumadine, 3
Flumist Nasal Vaccine 2010-2011, 30
Flumist Nasal Vaccine 2011-2012, 30
Flumist Nasal Vaccine 2012-2013, 30
flunisolide, 27
fluocinolone acetonide, 9, 24
fluocinolone acetonide body, 9
fluocinolone acetonide scalp, 9
fluocinonide, 9
fluocinonide emollient base, 10
fluocinonide-e, 10
fluor-op, 23
Fluorometholone, 23
fluoxetine, 21
fluoxetine dr, 19
fluoxetine hcl, 19
fluphenazine decanoate, 20
fluphenazine hcl, 20
flurazepam hcl, 20
flurbiprofen, 26
flurbiprofen sodium, 24
flutamide, 4
fluticasone propionate, 10, 27
fluvastatin, 7
Fluvirin 2010-2011, 30
Fluvirin 2011-2012, 30
Fluvirin 2012-2013, 30
Fluvirin Pf 2011-2012, 30
Fluvirin Pf 2012-2013, 30
fluvoxamine maleate, 19
Fluzone High-dose Pf 2010-2011, 30
Fluzone High-dose Pf 2011-2012, 30
Fluzone High-dose Pf 2012-2013, 30
Fluzone Pediatric Pf 2010-2011, 30
Fluzone Pediatric Pf 2011-2012, 30
Fluzone Pediatric Pf 2012-2013, 30
Fluzone Pf 2010-2011, 30
Fluzone Pf 2011-2012, 30
Fluzone Pf 2012-2013, 30
Fluzone Split 2010-2011, 30
Fluzone Split 2011-2012, 30
Fluzone Split 2012-2013, 30
Fml, 23
Fml Forte, 23
Fml Liquifilm, 23
Focalin, 20
Focalin Xr, 20
folbecal, 31
folbee, 17
Folbee Ar, 18
folbee plus, 31
folbee plus cz, 31
Folcal Dha, 32
folcaps, 17
Folcaps Omega 3, 32
Folgard Os, 32
Folgard Rx, 18
folic acid, 17
folic acid/vitamin b-6/vitamin b-12, 17
folitab, 17
Folivane-ec Calcium Dha Nf, 32
Folivane-f, 18
Folivane-ob, 32
Folivane-plus, 18
Folivane-prx Dha Nf, 32
Folpace Rx, 18
folplex 2.2, 17
Foltrate, 17
foltrin, 17
fondaparinux sodium, 18
Fora Lancets, 34
Foradil Aerolizer, 30
Forfivo Xl, 19
Fortamet, 13
Fortavit, 32
Fortaz, 1
Forteo, 13
Fortesta, 12
Fortical, 13
Fosamax, 13
Fosamax Plus D, 13
fosinopril sodium, 5
fosinopril sodium/hydrochlorothiazide, 6
fosphenytoin sodium, 21
Fosrenol, 16
Fragmin, 18
Freestyle Lancets, 34
Freestyle Unistick Ii Lancets, 34
frenadol, 24
Frova, 26
Fumatinic, 18
Furadantin, 16
furosemide, 6
Fuzeon, 2
G
g/p, 28
gabapentin, 21
Gabavale-5, 19
Gabazolamine, 19
Gabazolamine-0.5, 19
Gabazolpidem-5, 20
Gabitidine, 15
Gabitril, 21
Gaboxetine, 19
galantamine, 21
galantamine hydrobromide, 21
gani-tuss dm nr, 28
gani-tuss nr, 28
ganidin-nr, 28
garamycin, 22
Gardasil, 30
gastrinex nf, 15
Gastrocrom, 16
gavilyte-c, 14
gavilyte-g, 14
gavilyte-n/flavor pack, 14
Gebauers Pain Ease, 11
Gebauers Spray And Stretch, 11
Gel-kam Oral Care Rinse, 19
Gelclair, 19
Gelnique, 16
gemfibrozil, 7
Genadur, 11
generlac, 16
genexa la, 28
gengraf, 4
Genotropin, 13
Genotropin Miniquick, 13
gentak, 22
gentamicin sulfate, 2, 8, 22
Gentex 30, 29
gentex ade, 31
gentex lq, 28
Gentle-let Gp Lancets, 34
Gentle-let Lancets General Purpose
Style/fine Point, 34
Gentle-let Lancets General Purpose
Style/medium Point, 34
Gentle-let Lancets Safety Style/fine Point,
34
Gentle-let Lancets Safety Style/medium
Point, 34
Geodon, 20
Gesticare Dha, 32
gfn 1200/dm 60, 28
gfn 550/pse 60, 28
Gilenya, 22
Gilphex Tr, 29
Giltuss, 29
Giltuss Ped-c, 29
Giltuss Pediatric, 29
Giltuss Tr, 29
Gleevec, 4
Gliadel Wafer, 3
glimepiride, 12
glipizide, 12
glipizide er, 12
Glipizide Xl, 12
glipizide/metformin hcl, 13
Global Inject Ease Lancets 28g, 34
Global Inject Ease Lancets 30g, 34
Glucagen, 13
Glucagen Hypokit, 13
Glucagon Emergency Kit, 13
Glucocom Lancets 28g, 34
Glucocom Lancets 30g, 34
Glucocom Lancets 33g, 34
Glucophage, 13
Glucophage Xr, 13
Glucosource Lancets, 34
Glucotrol, 13
Glucotrol Xl, 13
Glucovance, 13
Glumetza, 13
glyburide, 12
glyburide micronized, 13
glyburide/metformin hcl, 13
glycolic acid, 9
glycolic acid 70% high purity, 9
Glycopyrroate, 15
glycopyrrolate, 15
Glynase, 13
Glyset, 13
Gnp Lancets, 34
Gnp Lancets 21g, 34
Gnp Lancets Micro Thin 33g, 34
Gnp Lancets Super Thin 30g, 34
Gnp Lancets Thin, 34
Gnp Lancets Thin 26g, 34
Gnp Micro Thin Lancets 33g, 34
Gnp Super Thin Lancets/30g, 34
Golytely, 14
Gordofilm, 11
Gordons Urea, 11
Gralise, 22
Gralise Starter, 22
granisetron hcl, 15
Granisol, 15
green soap, 10
Grifulvin V, 2
Gris-peg, 2
griseofulvin microsize, 2
griseofulvin ultramicrosize, 2
guaifenesin/phenylephrinehcl, 28
guanabenz acetate, 6
guanfacine hcl, 6
Guanidine Hcl, 22
Gynazole-1, 17
H
H&h Thinlet Lancets 26g, 34
H&h Thinlet Super Thin Lancets 30g, 34
H-e-b Incontrol Lancets Super Thin 30g,
34
H-e-b Incontrol Lancets Ultra Thin 28g,
34
Haemolance, 34
Haemolance Low Flow Lancets, 34
Haemolance Plus, 34
Haemolance Plus High Flow, 35
Haemolance Plus Low Flow, 35
Haemolance Plus Max Flow, 35
Haemolance Plus Pediatric Flow, 35
halac, 10
Halcion, 20
Haldol, 20
Haldol Decanoate 100, 20
Haldol Decanoate 50, 20
Halflytely Bowel Prep/flavor Packs, 14
halobetasol propionate, 10
Halog, 10
Halonate, 10
halonate pac, 10
haloperidol, 20
haloperidol decanoate, 20
haloperidol lactate, 20
Halotin, 9
Havrix, 30
hdc dm, 28
Healthwise Lancets 30g, 35
Healthy Accents Unilet Lancets Super
Thin 30g, 35
hecoria, 4
Hectorol, 14
Helidac, 15
Hemabate, 24
hematinic plus vitamins/minerals, 31
hematinic/folic acid, 17
hematogen, 17
hematogen fa, 17
hematogen forte, 17
Hematron-af, 18
Hemenatal Ob, 32
Hemenatal Ob + Dha, 32
Hemetab, 18
Hemocyte Plus, 32
hemocyte-f, 17
hemocyte-plus, 31
Heparin Sodium, 18
Heparin Sodium Dcu, 18
Heparin Sodium/nacl 0.45%, 18
Heparin Sodium/nacl 0.9%, 18
Heparin Sodium/sodium Chloride 0.9%,
18
Heparin Sodium/sodium Chloride 0.9%
Premix, 18
Hepsera, 2
Hexalen, 3
Hiberix, 30
Hiprex, 16
Hm Lancets Micro Thin 33g, 35
Hm Lancets Ultra Thin 30g, 35
homatropaire, 23
homatropine hbr, 23
Horizant, 22
Hpr, 11
Hpr Plus, 11
Hpr Plus/mb Hydrogel, 11
Humalog, 12
Humalog Kwikpen, 12
Humalog Mix 50/50, 12
Humalog Mix 50/50 Kwikpen, 12
Humalog Mix 75/25, 12
Humalog Mix 75/25 Kwikpen, 12
Humatrope, 13
Humatrope Combo Pack, 14
Humira, 26
Humira Pen, 26
Humira Pen-crohns Diseasestarter, 26
Humira Pen-psoriasis Starter, 26
Humulin R U-500 (concentrated), 12
Hy-vee Lancets, 35
Hy-vee Thin Lancets, 35
Hycamtin, 4
Hycet, 25
hydralazine hcl, 6
Hydrea, 4
Hydro 35, 11
Hydro 40 Foam, 11
Hydroc/apap, 29
hydrochlorothiazide, 6
hydrocodone 10mg, 29
hydrocodone bitartrate/acetaminophen,
25
hydrocodone bitartrate/homatropine
methylbromide, 28
hydrocodone polistirex and
chlorpheniramine polistirex, 28
hydrocodone-acetaminophen tab 7.5-750
mg, 25
hydrocodone/acetaminophen, 25
hydrocodone/homatropine, 28
hydrocodone/ibuprofen, 25
hydrocortisone, 10, 11
Hydrocortisone, 16
hydrocortisone acetate/aloe, 10
hydrocortisone acetate/pramoxine, 16
hydrocortisone butyrate, 10
hydrocortisone in absorbase, 10
hydrocortisone valerate, 10
hydrocortisone/acetic acid, 24
hydrogesic, 25
hydromet, 28
Hydromorphone, 25
hydromorphone hcl, 25
hydromorphone hcl dosette, 25
hydroxocobalamin, 17
hydroxychloroquine sulfate, 3
hydroxyurea, 4
hydroxyzine hcl, 19
hydroxyzine pamoate, 19
hygel, 10
Hylatopic, 11
Hylatopic Plus, 11
Hylatopic Plus/aurstat, 11
Hylira, 11
hyomax -dt, 15
hyomax-sl, 15
hyomax-sr, 15
hyophen, 16
hyoscyamine sulfate, 15
hyoscyamine sulfate er, 15
hyoscyamine sulfate odt, 15
hyoscyamine sulfate sr, 15
hyosyne, 15
Hyper-sal, 29
hypercare, 10
Hypersal, 29
Hypertenevide-12.5, 5
Hypertenipine-2.5, 5
Hypertensolol, 6
Hyzaar, 6
I
ibandronate sodium, 13
ibudone, 25
ibuprofen, 26
Ibuprofen Comfort Pac, 26
Ic 400, 26
Ic 800, 26
Icar-c Plus, 18
iferex 150 forte, 17
Ilaris, 26
Ilevro, 24
ilotycin, 22
Imdur, 5
imipramine hcl, 19
imipramine pamoate, 19
imiquimod, 10
Imitrex, 26
Imitrex Statdose Refill, 26
Imitrex Statdose System, 26
Imovax Rabies (h.d.c.v.), 30
Imuran, 4
inatal advance, 31
inatal gt, 31
inatal ultra, 31
Incivek, 2
Increlex, 14
indamix dm, 28
indapamide, 6
Inderal La, 5
Indocin, 26
indomethacin, 26
indomethacin er, 26
Infanrix, 30
Infasurf, 30
Infed, 17
Infergen, 3
influenza a (h1n1) monovalent 2009, 30
influenza a (h1n1) monovalent 2009 pf,
30
Influenza Vaccine For Safeway
Dependants, 30
Infumorph 200, 25
Infumorph 500, 25
Inlyta, 4
Innopran Xl, 5
Inova, 8
Inova 4/1 Acne Control Therapy, 8
Inova 8/2 Acne Control Therapy, 8
Inspra, 6
Integra F, 18
Integra Plus, 18
Intelence, 2
Intermezzo, 20
Introl, 7
Intron-a, 4
Intron-a W/diluent, 4
Intuniv, 20
Invanz, 3
Invega, 20
Invega Sustenna, 20
Invirase, 2
Iopidine, 23
Ipol Inactivated Ipv, 30
ipratropium bromide, 27, 29
ipratropium bromide/albuterol sulfate, 29
Iprivask, 18
Iquix, 22
irbesartan, 6
irbesartan/hydrochlorothiazide, 6
Iressa, 4
Irospan 24/6, 18
Isentress, 2
isochron, 4
isoditrate er, 4
isonarif, 2
isoniazid, 2
Isoptin Sr, 5
Isopto Atropine, 23
Isopto Carbachol, 23
Isopto Carpine, 23
Isopto Homatropine, 23
Isopto Hyoscine, 23
Isordil Titradose, 5
isosorbide dinitrate, 4
isosorbide dinitrate er, 4
isosorbide mononitrate, 4
isosorbide mononitrate er, 4
isradipine, 5
Istalol, 23
Isuprel, 30
itraconazole, 2
Ixiaro, 30
J
J-cof Dhc, 29
J-max Dhc, 29
J-tan D, 29
J-tan D Sr, 29
Jakafi, 4
Jalyn, 17
jantoven, 18
Janumet, 13
Janumet Xr, 13
Januvia, 13
jay-phyl, 29
Je-vax, 30
Jentadueto, 13
Jevantique, 12
jinteli, 12
Juvisync, 13
K
K-phos Mf, 17
K-phos No 2, 17
Kadian, 25
Kalbitor, 18
Kaletra, 2
Kalydeco, 30
kanamycin sulfate, 2
Kapvay, 20
Kapvay Dose Pack, 20
Keep Fit Lancets 28g/twist, 35
Keep Fit Lancets 30g/twist, 35
Keep Fit Lancets 32g/twist, 35
Keep Fit Lancets 33g/twist, 35
Keep Fit Safety Lancets 21g/pressure
Activated, 35
Keep Fit Safety Lancets 23g/pressure
Activated, 35
Keep Fit Safety Lancets 26g/button
Activated, 35
Keep Fit Safety Lancets 26g/pressure
Activated, 35
Keep Fit Safety Lancets 28g/button
Activated, 35
Keep Fit Safety Lancets 28g/pressure
Activated, 35
Keflex, 1
Kenalog, 10
Kenalog-10, 12
Kenalog-40, 12
Keppra, 21
Keppra Xr, 21
Kerafoam, 11
Kerafoam 42, 11
Keralyt, 11
Keralyt Scalp, 11
Kerlone, 5
Kerol, 11
Kerol Ad, 11
Ketek, 3
Ketocon, 9
ketoconazole, 2, 9
ketodan, 9
Ketodan Kit, 9
ketoprofen, 26
ketoprofen er, 26
ketorolac tromethamine, 24, 26
kgs-pe, 28
Kineret, 26
Kinlytic, 18
Kinney Lancets, 35
Kinney Thin Lancets, 35
Kinrix, 30
Klaron, 8
Klonopin, 21
Kombiglyze Xr, 13
Korlym, 13
Kristalose, 14
Kroger Lancets, 35
Kroger Lancets 21g, 35
Kroger Lancets Micro Thin33g, 35
Kroger Lancets Super Thin, 35
Kroger Lancets Thin, 35
Kroger Lancets Thin 26g, 35
Kroger Lancets Ultrathin 30g, 35
Kuvan, 14
L
L-methylfolate Pnv Dha, 32
labetalol hcl, 5
Lac-hydrin, 11
laclotion, 10
Lacrisert, 22
lactic acid, 10
lactic acid e, 10
lactic acid w/vitamin e, 10
Lactocal-f, 32
lactulose, 14, 16
Lady Lite Lancets, 35
Lagesic, 24
Lamb Gel, 11
Lamictal, 21
Lamictal Chewable Dispersible, 21
Lamictal Odt, 21
Lamictal Starter/not Taking
Carbamazepine, 21
Lamictal Starter/taking
Carbamazepine/not Taking Valproate, 21
Lamictal Starter/taking Valproate, 21
Lamictal Xr, 21
Lamisil, 2, 9
lamivudine, 2
lamivudine/zidovudine, 2
lamotrigine, 21
Lancets Thin, 35
Lancets Ultra Thin, 35
Lancets Ultra Thin 30g, 35
Lanoxin, 4
lansoprazole, 15
Lansoprazole Odt, 15
Lantus, 12
Lantus Solostar, 12
Lasix, 7
Lastacaft, 24
latanoprost, 23
latrix, 10
latrix xm, 10
Latuda, 20
lavoclen-4 acne wash kit, 8
lavoclen-4 creamy wash, 8
lavoclen-8 acne wash kit, 8
lavoclen-8 creamy wash, 8
Lazanda, 25
Leader Lancets Colored, 35
Leader Super Thin Lancet, 35
Leader Thin Lancets, 35
leflunomide, 26
Lescol, 7
Lescol Xl, 7
Letairis, 7
letrozole, 4
Lets Kit, 27
leucovorin calcium, 4
Leukeran, 3
Leukine, 17
leuprolide acetate, 4
Levacet, 24
levalbuterol, 29
Levalbuterol Hcl, 29
Levaquin, 2
Levatol, 5
Levbid, 15
Levemir, 12
Levemir Flexpen, 12
levetiracetam, 21
levetiracetam er, 21
levobunolol hcl, 23
levocarnitine, 14
levocetirizine dihydrochloride, 27
levofloxacin, 1, 22
Levomefolate Dha, 32
Levomefolate Pnv, 32
Levophed, 7
levorphanol tartrate, 25
Levothroid, 14
levothyroxine sodium, 14
levothyroxine sodium tab 0.075mg, 14
Levoxyl, 14
Levsin, 15
Levsin/sl, 15
Lexapro, 19
Lexiva, 2
Lialda, 16
Lidamantle Hc, 10
lidazone hc, 16
lidocaine, 10
lidocaine hcl, 10, 18, 27
lidocaine hcl jelly, 10
lidocaine hcl-hydrocortisone acetate with
aloe, 16
lidocaine hcl/hydrocortisone acetate, 16
lidocaine viscous, 18
lidocaine/epinephrine, 27
lidocaine/prilocaine, 10
Lidoderm, 11
Lidovir, 9
Lifescan Unistik 2 Deep Penetration, 35
Lifescan Unistik Ii Lancets, 35
Lincocin, 3
lindane, 10
Linzess, 16
liothyronine sodium, 14
Lipitor, 7
Lipofen, 7
Liquicet, 25
lisinopril, 5
lisinopril/hydrochlorothiazide, 6
Lite Touch Lancets, 35
Lithium Carbonate, 20
lithium carbonate er, 20
Lithium Citrate, 20
Lithobid, 20
Lithostat, 17
Livalo, 7
Live Better Lancet Super Thin 30g, 35
Live Better Lancet Ultra Thin 28g, 35
Locoid, 10
Locoid Lipocream, 10
Lodosyn, 21
Lodrane 12d, 29
Lodrane 24, 27
Lodrane 24d, 29
lofene, 15
Lofibra, 7
lohist-12, 27
lohist-12d, 28
Lokara, 10
Lomotil, 15
Longs Lancets Standard, 35
Longs Lancets Thin, 35
Longs Lancets Ultra Thin, 35
lonox, 15
loperamide hcl, 15
Lopid, 7
Lopressor, 5
Lopressor Hct, 6
Loprox, 9
Loprox Shampoo, 9
lorazepam, 19
Lorazepam Intensol, 19
Lorcet 10/650, 25
Lorcet Plus, 25
Lortab, 25
Lorzone, 22
losartan potassium, 6
losartan potassium/hydrochlorothiazide,
6
Lotemax, 23
Lotensin, 6
Lotensin Hct, 6
Lotrel, 6
Lotrisone, 9
Lotronex, 16
lovastatin, 7
Lovaza, 7
Lovenox, 18
loxapine, 20
loxapine succinate, 20
Loxitane, 20
Lta 360 Kit, 19
Lufyllin, 30
Lumigan, 23
Luminal, 20
Lunesta, 20
Lupron Depot, 4
Lupron Depot-ped, 13
Lusonal, 27
Luvox Cr, 19
Luxiq, 10
Lycelle, 11
Lyrica, 21
lysiplex plus, 31
Lysodren, 4
Lysteda, 18
Lytensopril, 6
Lytensopril-90, 6
M
M-m-r Ii W/diluent 10 Dose, 30
m-vit, 31
macnatal cn dha, 31
Macrobid, 16
Macrodantin, 16
Magnacet, 25
Major Comfort Lancets, 35
Makena, 12
Malarone, 3
malathion, 10
maprotiline hcl, 19
Marcaine, 27
Marcaine W/o Epi, 27
Marcaine/epinephrine, 27
margesic, 24
Marinol, 15
Marnatal-f, 32
Marnatal-f Plus Duo Pack, 32
Marplan, 19
marten-tab, 24
martinic, 17
Matulane, 4
matzim la, 5
Mavik, 6
Maxair Autohaler, 30
Maxalt, 26
Maxalt-mlt, 26
Maxaron Forte, 18
Maxidex, 23
Maxidone, 25
Maxifed Cd, 29
Maxifed Cdx, 29
Maxifed-g Cd, 29
Maxifed-g Cdx, 29
Maxiflu Cd, 29
Maxiflu Cdx, 29
Maxinate, 32
Maxiphen Cd, 29
Maxiphen Cdx, 29
Maxitrol, 23
Maxzide, 7
Maxzide-25, 7
Mb Hydrogel, 11
mebendazole, 3
meclizine hcl, 15
meclofenamate sodium, 26
Medi-lance Lancets, 35
Medichoice Pre-set Safety Lancet Dual
Use, 35
Medichoice Pre-set Safety Lancet Low
Flow, 35
Medichoice Pre-set Safety Lancet
Medium Flow, 35
Medichoice Pre-set Safety Lancet
Moderate Flow, 35
Medichoice Safety Lancet Extra, 35
Medichoice Safety Lancet Normal, 35
Medicine Shoppe Lancets, 35
Medicine Shoppe Lancets Thin, 35
Medisense Thin Lancets, 35
Medlance Plus Lancets, 35
Medlance Plus Lancets Lite 25g, 35
Medlance Plus Superlite 30g, 35
Medlance Plus Universal Lancets 21g,
35
Medlance Plus/lite 25g, 35
Medlance/extra, 35
Medlance/lite, 35
Medlance/universal, 35
Medrol, 12
Medrol Dosepak, 12
medroxyprogesterone acetate, 12
mefenamic acid, 26
mefloquine hcl, 3
mega-c/a plus, 31
Megace Es, 12
Megace Oral, 4
megestrol acetate, 4
Meijer Color Lancets Universal 33g, 35
Meijer Lancets, 35
Meijer Lancets Thin, 35
Meijer Lancets Universal 33g, 35
Meijer Super Thin Lancets, 35
Meloxicam, 26
Meloxicam Comfort Pac, 26
Menactra, 30
Menest, 12
Menhibrix, 30
Menomune-a/c/y/w-135, 31
Menostar, 12
Mentax, 9
Menveo, 31
meperidine hcl, 25
meperitab, 25
Mephyton, 31
mepivacaine hcl, 27
meprobamate, 19
Mepron, 3
mercaptopurine, 3
mesalamine, 16
Mesnex, 4
Mestinon, 22
Mestinon Timespan, 22
Metadate Cd, 20
metadate er, 20
Metaglip, 13
metaproterenol sulfate, 29
Metaxalone, 22
metformin hcl, 13
metformin hcl er, 13
methadone hcl, 25
Methadone Hcl Intensol, 25
Methadose, 25
Methadose Sugar-free, 25
methamphetamine hcl, 20
methazolamide, 6
Methenamine Hippurate, 16
methenamine mandelate, 16
Methergine, 24
methimazole, 14
Methitest, 12
methocarbamol, 22
methotrexate, 3
methotrexate sodium, 3
Methscopolamine Bromide, 15
methyclothiazide, 6
methyldopa, 6
methyldopa/hydrochlorothiazide, 6
methylergonovine maleate, 24
methylin, 20
methylin er, 20
methylphenidate hcl, 20
methylphenidate hcl cd, 20
methylphenidate hcl er, 20
Methylphenidate Hcl Sr, 20
methylphenidate hydrochloride, 20
methylprednisolone, 11
methylprednisolone acetate, 11
methylprednisolone dose pack, 11
methylprednisolone sodiumsuccinate, 11
Metipranolol, 23
metoclopramide hcl, 16
metolazone, 6
Metoprolol, 5
metoprolol succinate er, 5
metoprolol tartrate, 5
metoprolol/hydrochlorothiazide, 6
Metozolv Odt, 16
Metrocream, 8
Metrogel, 8
Metrogel-vaginal, 17
Metrolotion, 8
metronidazole, 3, 8
metronidazole vaginal, 16
Mevacor, 7
mexar wash, 9
mexiletine hcl, 5
mi-omega nf, 17
Miacalcin, 13
Micardis, 6
Micardis Hct, 6
miconazole 3, 16
miconazole 3 combo pack, 17
Microlet Lancets, 35
Micronized Colestipol Hcl, 7
Microtainer Safety Flow
Lancet/sterile/single-use, 35
Microzide, 7
Midamor, 7
midodrine hcl, 7
Mifeprex, 14
Migergot, 26
Migral, 26
Migranal, 26
Millipred, 12
Millipred Dp, 12
mimvey, 12
Mimyx, 11
mineral oil heavy, 14
Minipress, 6
minirin, 14
minitran, 4
Minivelle, 12
Minocin, 1
Minocin Kit, 1
minocycline hcl, 1
minocycline hcl er, 1
minoxidil, 6
Miracle Mouthwash, 19
Mirapex, 21
Mirapex Er, 21
mirtazapine, 19
mirtazapine odt, 19
misoprostol, 15
Mitosol, 22
Mobic, 26
modafinil, 20
moexipril hcl, 5
moexipril/hydrochlorothiazide, 6
mometasone furoate, 10
Momexin, 10
Monodox, 1
Monoject Basic Biopsy Tray Without
Biopsy Needle 20gx 1-1/2", 27
Monoject Bone Marrow Aspiration
Tray/iliac Needle 16g, 27
Monoject Bone Marrow Aspiration
Tray/rosenthal Needle 16gx2", 27
Monoject Bone Marrow Biopsy Tray/biop
Aspir Needle 11gx4", 27
Monoject Bone Marrow Biopsy Tray/biop
Aspir Needle 8gx4", 27
Monoject Bone Marrow Biopsy Tray/biop
Aspir/iliac Aspir Ndle, 27
Monoket, 5
Monolet Lancets, 35
Monolet Opd Lancets, 35
Monolettor Safety Lancets, 35
montelukast sodium, 29
Monurol, 16
morgidox 1x100mg, 1
morgidox 2x100mg, 1
Morphine, 25
Morphine Sulfate, 25
Morphine Sulfate Er, 25
morphine sulfate powder, 25
Morphine/saline, 25
Motofen, 15
Moviprep, 14
Moxatag, 1
Moxeza, 22
Mozobil, 17
Ms Contin, 25
Ms/hydrogel, 25
mst 600, 24
Mucotrol, 19
mult-vitamin/fluoride, 31
Multaq, 5
multi vitamin/fluoride, 31
multi-vit/fluoride, 31
multi-vit/iron/fluoride, 31
multi-vitamin/fluoride, 31
multi-vitamin/fluoride/iron, 31
Multichew, 32
multigen, 17
multigen folic, 17
multigen plus, 17
multivitamin with fluoride, 31
multivitamin/fluoride, 31
multivitamins/fluoride, 31
mupirocin, 8
Mustargen, 3
mvc-fluoride, 31
Myambutol, 2
myci-gc, 28
Mycobutin, 2
mycophenolate mofetil, 4
Mydfrin, 23
mydral, 23
Mydriacyl, 23
myferon 150 forte, 17
Myfortic, 4
Myglucohealth Mgh Softlance Lancets
30g, 35
myhist-pd, 28
Mykidz Iron Fl, 32
Myleran, 3
Mynatal, 32
mynatal advance, 31
mynatal plus, 31
mynatal ultracaplet, 31
mynatal-z, 31
mynate 90 plus, 31
mynephrocaps, 31
Myobloc, 22
Myochrysine, 26
myorisan, 8
myoxin, 24
Myrbetriq, 16
Mysoline, 21
Mytelase, 22
mytussin ac, 28
N
nabumetone, 26
nadolol, 5
nadolol/bendroflumethiazide, 6
nafcillin sodium, 1
Nafrinse Daily/acidulated, 19
Nafrinse Daily/neutral, 19
Nafrinse Weekly, 19
Naftin, 9
nalbuphine hcl, 25
Nalfon, 26
Namenda, 21
Namenda Titration Pak, 21
Naprelan, 26
Napro 15% Compounding Kit, 9
Naproderm Compounding Kit, 9
Naprosyn, 26
naproxen, 26
Naproxen Comfort Pac, 26
naproxen dr, 26
naproxen sodium, 26
naratriptan hcl, 26
Nardil, 19
Nariz, 29
Naropin, 27
Nasacort Aq, 27
Nascobal, 18
nasohist, 28
Nasohist Dm, 29
Nasonex, 27
Nasotuss, 29
Nata Komplete, 32
Natachew, 32
Natacyn, 22
Natafort, 32
Natalvit, 32
nateglinide, 13
Natelle One, 32
Natelle-ez, 32
Natroba, 11
nature-throid, 14
Nature-throid Nt-2.5, 14
Navane, 20
Nebupent, 3
Nebusal, 29
Neevo, 32
Neevo Dha, 32
nefazodone hcl, 19
Nembutal, 20
Nembutal Sodium, 20
Neo Dm, 29
Neo-fradin, 2
neo-polycin, 22
Neo-synephrine, 7
Neobenz Micro, 8
Neobenz Micro Plus Pack, 8
Neobenz Micro Sd, 8
Neobenz Micro Wash, 8
Neobenz Micro Wash Plus Pack, 8
neofrin, 23
neomycin sulfate, 2
neomycin/bacitracin/polymyxin, 22
neomycin/polymyxin/bacitracin zinc, 22
neomycin/polymyxin/bacitracin/hydrocorti
sone, 23
neomycin/polymyxin/dexamethasone, 23
neomycin/polymyxin/gramicidin, 22
neomycin/polymyxin/hc, 24
neomycin/polymyxin/hydrocortisone, 23,
24
Neoral, 4
Neosalus, 11
Neosalus 180 Pack, 11
Neosporin, 22
neostigmine methylsulfate, 22
Neotic, 24
Neotuss Plus, 29
Nephplex Rx, 32
Nephro-vite Rx, 32
Nephrocaps, 32
Nephrocaps Qt, 32
Nephron Fa, 18
nephronex, 31
Neptazane, 7
Nesacaine, 27
Nesacaine-mpf, 27
Nestabs, 32
Nestabs Dha, 32
Netgroup Lancets, 35
Neulasta, 17
Neumega, 17
Neupogen, 17
Neupro, 21
Neurin-sl, 18
neurodep, 31
Neurontin, 21
neutrahist, 28
neutral sodium fluoride, 18
Neutrasal, 19
Nevanac, 24
Nevirapine, 2
Nexa Plus, 32
Nexa Select, 32
Nexavar, 4
Nexiclon Xr, 6
Nexium, 15
niacin, 31
niacor, 31
Niaspan, 7
nicardipine hcl, 5
Nicazel, 32
Nicomide, 32
nicotinamide w/zinc oxide/cupric
oxide/folic acid, 31
nicotinamide/zinc oxide/cupric oxide/folic
acid, 31
nicotinamide/zinc/copper/fa, 31
nifediac cc, 5
nifedical xl, 5
nifedipine, 5
nifedipine er, 5
Nilandron, 4
nimodipine, 5
Nimotop, 5
Niravam, 19
Niron Komplete, 18
nisoldipine, 5
nisoldipine er, 5
Nitro-bid, 4
Nitro-dur, 4
nitrofurantoin, 16
Nitrofurantoin Macrocrystal, 16
nitrofurantoin macrocrystalline, 16
nitrofurantoin monohydrate, 16
Nitrofurantoin
Monohydrate/macrocrystals, 16
nitroglycerin, 4
Nitroglycerin Lingual, 4
nitroglycerin transdermal, 4
Nitrolingual Pumpspray, 4
Nitromist, 5
Nitrostat, 4
nizatidine, 15
Nizoral, 9
nohist, 28
nohist dmx, 28
Norco, 25
Norditropin Cartridge, 13
Norditropin Flexpro, 13
Norditropin Nordiflex Pen, 13
Norel Sr, 29
norepinephrine bitartrate, 7
norethindrone acetate, 12
Norflex, 22
Noritate, 8
Noroxin, 2
Norpace, 5
Norpace Cr, 5
Norpramin, 19
nortriptyline hcl, 19
nortuss-de, 28
nortuss-ex, 28
Norvasc, 5
Norvir, 2
Notuss-ac, 29
Nova Safety Lancets 23g, 35
Nova Safety Lancets 28g, 35
Nova Sureflex Lancets, 35
Novaferrum, 18
novagesic, 24
Novarel, 13
Novofine 30gx8mm, 35
Novofine 32gx6mm, 35
Novofine Autocover 30gx8mm, 35
Novolog, 12
Novolog Flexpen, 12
Novolog Mix 70/30, 12
Novolog Mix 70/30 Prefilled Flexpen, 12
Novolog Penfill, 12
Novotwist 30gx8mm, 35
Novotwist 32gx5mm, 35
Noxafil, 2
np thyroid 30, 14
np thyroid 60, 14
np thyroid 90, 14
Nplate, 17
Nucort, 10
Nucynta, 25
Nucynta Er, 25
Nuedexta, 21
nufol, 17
nulev, 15
Nulytely/flavor Packs, 14
numoisyn, 18
Nuox, 8
Nutri-tab Ob, 32
Nutri-tab Ob + Dha, 32
nutricap, 31
Nutridox, 1
nutrifac zx, 31
Nutrivit, 32
Nutropin, 13
Nutropin Aq, 13
Nutropin Aq Nuspin 10, 13
Nutropin Aq Nuspin 20, 13
Nutropin Aq Nuspin 5, 13
Nutropin Aq Pen, 13
Nuvail, 11
Nuvigil, 20
nuzole, 9
Nuzon, 10
nyamyc, 9
nystatin, 2, 9, 18
nystatin vaginal, 17
nystatin/triamcinolone, 9
nystop, 9
O
O-cal Fa, 32
O-cal Prenatal, 32
Ob Complete, 32
Ob Complete 400, 32
Ob Complete One, 32
Ob Complete Petite, 32
Ob Complete Premier, 32
Ob Complete With Dha, 32
Ob Complete/dha, 32
ob-natal one, 31
Obstetrix Dha, 32
obstetrix ec, 31
octreotide acetate, 14
Ocudox, 1
Ocufen, 24
Ocuflox, 22
ofloxacin, 1, 22, 24
Oforta, 3
olanzapine, 20
olanzapine odt, 20
olanzapine/fluoxetine, 21
Oleptro, 19
Olux, 10
Olux-e, 10
Omeclamox-pak, 15
omeprazole, 15
omeprazole/sodium bicarbonate, 15
Omnaris, 27
Omnipred, 23
Omnitrope, 14
Omontys, 18
On Call Lancets, 35
On Call Plus Lancets, 35
Oncaspar, 3
ondansetron hcl, 15
ondansetron odt, 15
Onetouch Basic System, 35
Onetouch Basic/profile Test Strips, 35
Onetouch Basic/profile/one Touch Ii Test
Strips, 35
Onetouch Club Lancets Fine Point, 35
Onetouch Combo Pack, 35
Onetouch Delica Lancets, 35
Onetouch Delica Lancets Fine 30g, 35
Onetouch Finepoint Lancets, 35
Onetouch Lancets, 35
Onetouch Profile System, 35
Onetouch Ultra 2, 35
Onetouch Ultra Blue, 35
Onetouch Ultra Mini, 35
Onetouch Ultra System Kit, 35
Onetouch Ultra Test Strips, 35
Onetouch Ultrasoft Lancets, 35
Onetouch Verio Control Solution High,
35
Onetouch Verio Iq Blood Glucose
Monitoring System, 35
Onetouch Verio Iq Test Strips, 35
Onetouch Verio Mid Control Solution, 35
Onetouch Verio Test Strips, 35
Onfi, 21
Onglyza, 13
Onmel, 2
Onsolis, 25
Opana, 25
Opana Er, 25
Opana Er (crush Resistant), 25
opium, 15
opium tincture, 15
Optipranolol, 23
Optivar, 24
Oracea, 8
Oracit, 17
oralone, 18
Oramagicrx, 19
Oramorph Sr, 25
Orap, 21
Orapred, 12
Orapred Odt, 12
Oravig, 19
Oraxyl, 1
Orbivan, 24
Orbivan Cf, 25
Orencia, 26
Orfadin, 14
orphenadrine citrate, 22
orphenadrine citrate er, 22
orphenadrine compound ds, 22
orphenadrine/asa/caffeine, 22
ortho-cs 250, 31
ortho-est, 12
oscimin, 15
oscimin sr, 15
oscion cleanser, 8
Osmoprep, 14
otic care, 24
oticin, 24
otozin, 24
Ovace Plus, 9
Ovace Plus Wash, 9
Ovace Wash, 9
Ovide, 11
oxacillin sodium, 1
Oxandrin, 12
oxandrolone, 12
oxaprozin, 26
oxazepam, 19
oxcarbazepine, 21
Oxecta, 25
Oxistat, 9
Oxsoralen Ultra, 9
oxybutynin chloride, 16
oxybutynin chloride er, 16
oxycodone, 25
oxycodone hcl, 25
oxycodone/acetaminophen, 25
oxycodone/aspirin, 25
oxycodone/ibuprofen, 25
Oxycontin, 25
oxymorphone hydrochloride, 25
oxymorphone hydrochloride er, 25
Oxytocin, 24
Oxytrol, 16
P
p chlor dm, 28
Pacerone, 5
Pacnex Hp, 8
Pacnex Lp, 8
Pacnex Mx, 8
pacnex wash, 8
Paire Ob, 32
Palgic, 27
Pamelor, 19
Pamine, 15
Pamine Forte, 15
Pamine Fq, 15
Panatuss Dxp, 29
Pancreaze, 15
Pancrelipase, 15
Pandel, 10
Pantoprazole Sodium, 15
papaverine hcl, 7
Parafon Forte Dsc, 22
parcaine, 23
Parcopa, 21
paregoric, 15
Parlodel, 21
Parnate, 19
paromomycin sulfate, 2
paroxetine hcl, 19
paroxetine hcl er, 19
Paser, 2
Pataday, 24
Patanase, 27
Patanol, 24
Paxil, 19
Paxil Cr, 19
Pce, 1
pe-guai, 28
pedi-dri, 9
Pediaderm Af Complete Kit, 9
Pediaderm Hc, 10
Pediaderm Ta, 10
Pediapred, 12
Pediarix, 30
Pediatex Td, 29
Pediatex Tdm, 29
Pedipirox-4 Nail, 9
Pedvax Hib, 31
Peg 3350/electrolytes, 14
peg-3350/electrolytes, 14
peg-3350/nacl/na bicarbonate/kcl, 14
Peg-intron, 2
Peg-intron Redipen, 2
Peg-intron Redipen Pak 4, 2
Peganone, 21
Pegasys, 2
Pegasys Proclick, 2
penicillin g potassium, 1
penicillin g procaine, 1
penicillin g sodium, 1
penicillin v potassium, 1
Penlac Nail Lacquer, 9
Pennsaid, 9
Pentacel, 30
Pentam 300, 3
Pentasa, 16
pentazocine/acetaminophen, 25
pentazocine/naloxone hcl, 25
pentetate calcium trisodium, 36
pentetate zinc trisodium, 36
pentoxifylline er, 18
Pepcid, 15
Percocet, 25
Percodan, 25
Perfect Lancets 30g, 35
Perfect Pressure Activated Safety
Lancets 28g, 35
Perforomist, 30
Peridex, 19
perindopril erbumine, 5
perio med, 18
periogard, 18
permethrin, 10
perphenazine, 20
perphenazine/amitriptyline, 21
Persantine, 18
Pertzye, 15
Pexeva, 19
pfizerpen-g, 1
Pharmacist Choice Ultra Thin Lancets,
35
Pharmacist Choice Ultra Thin Lancets
28g, 35
Pharmacist Choice Ultra Thin Lancets
30g, 35
Pharmacist Choice Ultra Thin Lancets
31g, 35
Pharmacy Counter Lancets, 35
Phena-plus, 29
Phena-s, 29
phenadoz, 27
phenazo, 17
phenazopyridine hcl, 17
phenelzine sulfate, 19
Phenergan, 27
Phenergan Fortis, 27
Phenflu Cd, 29
Phenflu Cdx, 29
phenobarbital, 20
phenobarbital sodium, 20
phentolamine mesylate, 6
phenylephrine hcl, 7, 23
phenylephrine/guaifenesin, 28
Phenytek, 21
phenytoin, 21
phenytoin sodium, 21
phenytoin sodium extended, 21
Phoslo, 16
Phoslyra, 16
phosphasal, 16
Phospholine Iodide, 23
Phrenilin Forte, 25
phytonadione, 31
pilocarpine hcl, 18, 23
pilocarpine hydrochloride, 18
Pilopine Hs, 23
pindolol, 5
Pinnacaine Otic, 24
Pioglitazone Hcl, 13
Pioglitazone Hcl/metformin Hcl, 13
piroxicam, 26
Pitocin, 24
Pitressin Synthetic, 14
Plaquenil, 3
Plavix, 18
Pletal, 18
Plexion Cleanser, 8
Plexion Cleansing Cloth, 8
Plexion Sct, 8
Pliaglis, 11
pneumovax 23/1 dose, 30
pneumovax 23/5 dose, 30
Pnv Ob+dha, 32
pnv-dha, 31
Pnv-dha+docusate, 32
Pnv-omega, 32
pnv-select, 31
Pnv-total, 32
podocon 25 in benzoin tincture, 10
podofilox, 10
polocaine, 27
polocaine-mpf, 27
Poly Hist Dhc, 29
Poly Hist Nc, 29
Poly Hist Pd, 29
poly-dex, 23
poly-iron 150 forte, 17
Poly-pred, 23
Poly-tussin Dhc, 29
Poly-tussin Ex, 29
Poly-vi-flor, 32
Poly-vi-flor/iron, 33
poly-vitamin/fluoride, 31
poly-vitamin/iron/fluoride, 31
polycin b, 22
Polycitra-k Crystals, 17
polyethylene glycol 3350, 14
polymyxin b sulfate, 3
Polymyxin B Sulfate/trimethoprim Sulfate,
22
polysaccharide iron forte, 17
Polytrim, 22
polyvitamin/fluoride, 31
Ponstel, 26
Pontocaine, 11, 27
Pontocaine Niphanoid, 27
Potassium Citrate, 17
potassium citrate/citric acid, 17
Potiga, 21
pr benzoyl peroxide wash, 8
Pr Cream, 11
pr natal 400, 31
pr natal 400 ec, 31
pr natal 430, 31
pr natal 430 ec, 31
Pradaxa, 18
pram-hca, 16
pramcort, 10
pramipexole dihydrochloride, 21
Pramosone, 10
Pramotic, 24
pramox gel, 10
Prandimet, 13
Prandin, 13
prascion, 8
prascion fc, 8
prascion ra with sunscreens, 8
Pravachol, 7
pravastatin sodium, 7
Prazolamine, 22
prazosin hcl, 6
Pre-folic, 18
Precision Thin Lancets, 35
Precision Thins Gp Lancet, 35
Precision Ultra Lancet, 35
Precose, 13
Pred Forte, 23
Pred Mild, 23
Pred-g, 23
Pred-g S.o.p., 23
prednicarbate, 10
prednisolone, 11
Prednisolone Acetate, 23
prednisolone sodium phosphate, 11, 23
prednisone, 11
Prednisone Intensol, 12
Prefera Ob, 32
Prefera Ob + Dha, 32
Preferaob One, 32
Preferred Plus Lancets Colored 21g, 35
Preferred Plus Lancets Super Thin 30g,
35
Preferred Plus Lancets Thin 26g, 35
Prefest, 12
Pregnyl W/diluent Benzyl Alcohol/nacl,
13
Prelone, 12
Premarin, 12, 17
Premphase, 12
Prempro, 12
Prena1 Chew/quatrefolic, 33
Prena1 Plus/quatrefolic, 33
Prena1/quatrefolic, 33
prenafirst, 31
Prenaissance, 33
Prenaissance Balance, 33
Prenaissance Harmony Dha, 33
Prenaissance Next, 33
prenaissance plus, 31
prenaplus, 31
Prenata, 33
prenatabs fa, 31
prenatabs obn, 31
prenatabs rx, 31
prenatal 19, 31
prenatal ad, 31
prenatal low iron, 31
Prenatal Mv & Min/fe-fa-dha, 33
Prenatal Plus, 33
Prenatal Plus Iron, 33
prenatal plus/iron, 31
Prenatal Vitamins Plus, 33
prenatal-u, 31
Prenate Dha, 33
Prenate Elite, 33
Prenate Essential, 33
Prenate Mini, 33
Prenexa, 33
Prepidil, 24
Prepopik, 14
Preque 10, 33
Prevacid, 15
Prevacid Solutab, 15
prevalite, 7
Prevident, 19
Prevnar 13, 31
Prevpac, 15
Prezista, 2
Priftin, 2
Prilosec, 15
Primaquine Phosphate, 3
primidone, 21
Primlev, 25
Primsol, 3
Prinivil, 6
Prinzide, 6
Pristiq, 19
Pro-clear, 29
Proair Hfa, 30
probenecid, 26
probenecid/colchicine, 26
procainamide hcl, 5
Procardia, 5
Procardia Xl, 5
Procentra, 20
prochlorperazine, 20
prochlorperazine edisylate, 20
prochlorperazine maleate, 20
Procort, 16
procrit, 17
procto-pak, 16
Proctocort, 16
proctocream hc, 16
Proctofoam Hc, 16
proctosol hc, 16
proctozone-hc, 16
Prodigy Pressure Activated Safety
Lancets, 35
Prodigy Safety Lancets, 35
Prodigy Twist Top Lancets, 35
Proferrin-forte, 18
progesterone, 12
Proglycem, 13
Prograf, 4
Prohist Cd, 29
Prohist Cf, 29
Prohist Lq, 29
Prolia, 13
promacet, 24
Promacta, 17
Promar, 33
promethazine hcl, 27
promethazine hcl plain, 27
promethazine vc, 28
promethazine vc plain, 28
promethazine vc/codeine, 28
promethazine-dm, 28
promethazine/codeine, 28
promethazine/dextromethorphan, 28
promethegan, 27
Prometrium, 12
Promiseb, 9
Promiseb Complete, 9
propafenone hcl, 5
propafenone hcl er, 5
propantheline bromide, 15
proparacaine hcl, 23
propranolol hcl, 5
propranolol hcl er, 5
propranolol/hydrochlorothiazide, 6
propylthiouracil, 14
Proquad, 31
Proscar, 17
Prosed/ds, 16
Prostigmin, 22
Prostin E2, 24
Protect Cardio, 33
Protect Plus, 33
Protect Plus Nr, 33
Protectbone, 33
Protectiron, 33
Protectnatal, 33
protid, 28
Protonix, 15
Protopic, 10
protriptyline hcl, 19
Proventil Hfa, 30
Provera, 12
Provigil, 20
Prozac, 19
Prozac Weekly, 19
Pruclair, 11
Prudoxin, 9
Prumyx, 11
Pss Select Gp Lancets, 35
Pss Select Safety Lancets, 35
pulmari-gp, 28
Pulmicort, 30
Pulmicort Flexhaler, 30
Pulmophylline, 30
Pulmozyme, 30
Purefe Ob Plus, 33
Purefe Plus, 18
purevit dualfe plus, 17
Purinethol, 3
Px Lancets, 35
Px Lancets Ultra Thin, 35
Pylera, 15
pyrazinamide, 2
Pyridium, 17
pyridostigmine bromide, 22
pyridoxine hcl, 31
pyrogallic acid, 10
Q
Qc Lancets Super Thin, 35
Qc Lancets Ultra Thin, 35
Qnasl, 27
Qualaquin, 3
Quelicin, 22
Quelicin 1000, 22
Questran, 7
Questran Light, 7
quetiapine fumarate, 20
Quillivant Xr, 20
quinapril hcl, 5
quinapril/hydrochlorothiazide, 6
Quinidine Gluconate, 5
quinidine gluconate cr, 5
quinidine gluconate er, 5
quinidine sulfate, 5
quinidine sulfate er, 5
quinine sulfate, 3
Quixin, 22
Qutenza, 11
Qvar, 30
R
r-tanna, 28
r-tanna pediatric, 28
Ra E-zject Color Lancets Micro-thin 33g,
35
Ra E-zject Lancets 28g, 35
Ra E-zject Lancets Thin 26g, 35
Ra E-zject Lancets Thin 28g, 35
Ra E-zject Lancets Ultra Thin 30g, 35
ra renewal medicated acne treatment
maximum strength, 8
Rabavert, 31
Radigel, 11
ramipril, 5
Ranexa, 5
ranitidine hcl, 15
Rapaflo, 17
Rapamune, 4
Rayos, 12
Razadyne, 22
Razadyne Er, 22
Reality Lancets, 35
Reality Trigger Lancets, 35
Reaphirm, 33
Rebetol, 3
Rebif, 21
Rebif Titration Pack, 21
Recombivax Hb, 31
Recothrom, 18
Recothrom Spray Kit, 18
Rectiv, 16
Reglan, 16
Regonol, 22
relacon-dm nr, 28
relagard, 17
Relagesic, 25
relasin dm, 28
relcof pse, 28
Relenza Diskhaler, 2
relera, 28
Relhist, 29
Relion Lancets, 35
Relion Lancets Standard 21g, 35
Relion Lancets Thin 26g, 35
Relion Lancets Ultra-thin30g, 35
Relion Thin Lancets, 35
Relion Ultra Thin Lancets, 36
Relion Ultra Thin Lancets30g, 36
Relion Ultra Thin Plus Lancets 32g, 36
Relion Ultra Thin Plus Lancets 33g, 36
Relistor, 16
Relnate Dha, 33
Relpax, 26
Remeron, 19
Remeron Soltab, 19
remeven, 10
Remodulin, 7
rena-vite rx, 31
Renagel, 16
renal, 31
renalpren, 31
Renatabs, 33
Renatabs With Iron, 33
Renax, 33
Renax 5.5, 33
Renew Advanced Lancing Cartridge
Refills, 36
reno caps, 31
Renvela, 16
repan, 24
Reprexain, 25
Req 49+, 33
Requip, 21
Requip Xl, 21
Rescon, 29
Rescon-jr, 29
Rescon-mx, 29
Rescriptor, 2
Reserpine, 6
Respa-a.r., 29
respa-br, 27
resperal-dm, 28
respivent df, 27
respivent df 30, 27
respivent-d, 28
Restasis, 23
Restoril, 20
Retin-a, 8
Retin-a Micro, 8
Retin-a Micro Pump, 8
Retrovir, 3
Revatio, 7
Revlimid, 4
Reyataz, 2
Rezira, 28
Rezyst Im, 15
Rezyst Sb, 15
Rheumatrex, 26
Rhinocort Aqua, 27
rhinoflex, 24
rhinoflex-650, 24
ribapak, 2
ribasphere, 2
ribatab, 2
ribavirin, 2
Ridaura, 26
Rifadin, 2
Rifamate, 2
rifampin, 2
Rifater, 2
Rightest Gl300 Lancets, 36
Rilutek, 22
rimantadine hcl, 2
Rimantalist, 3
rinate pediatric, 28
Rinnovi Nail System, 11
Riomet, 13
Risperdal, 20
Risperdal Consta, 20
Risperdal M-tab, 20
risperidone, 20
Risperidone M-tab, 20
risperidone odt, 20
Ritalin, 20
Ritalin La, 20
Ritalin Sr, 20
rivastigmine tartrate, 21
robafen ac, 28
Robaxin, 22
Robaxin-750, 22
Robinul, 15
Robinul Forte, 15
Rocaltrol, 14
Rocephin, 1
romilar ac, 28
romycin, 22
ropinirole er, 21
ropinirole hcl, 21
rosadan, 8
Rosadan Kit, 8
Rosanil, 8
rosanil cleanser, 8
Rotarix, 31
Rotateq, 31
Rowasa, 16
Roxicet, 25
Roxicodone, 25
Rozerem, 20
ru-hist forte, 28
ru-tuss, 28
Ru-tuss Dm, 29
Rybix Odt, 25
Ryneze, 27
Rythmol, 5
Rythmol Sr, 5
Ryzolt, 25
S
Sabril, 21
Safe-t-lance Low Flow 25g, 36
Safe-t-lance Normal Flow 21g, 36
Safe-t-lance Plus Safety Lancet High
Flow, 36
Safe-t-lance Plus Safety Lancet Low
Flow, 36
Safe-t-lance Plus Safety Lancet Normal
Flow, 36
Safety Lancet 2mm, 36
Safety Lancets, 36
Safety Lancets 21g, 36
Safety Let Lancets, 36
Safety Seal Lancets 28g, 36
Safety Seal Lancets 30g, 36
Saizen, 14
Saizen Click.easy, 14
salacyn, 11
Salagen, 19
Salex, 11
Salex Cream, 11
Salex Lotion, 11
Salicept, 19
salicylic acid, 11
salicylic acid cream, 11
salicylic acid in ammonium lactate
vehicle, 11
salicylic acid lotion, 11
salicylic acid wart remover, 11
salkera, 11
salsalate, 24
Salvax, 11
Salvax Duo Plus, 11
Samsca, 14
Sanctura, 16
Sanctura Xr, 16
Sancuso, 15
Sandimmune, 4
Sandostatin, 14
Sandostatin Lar Depot, 14
Saphris, 20
Sarafem, 22
Savella, 21
Savella Titration Pack, 22
Sb Lancets Thin, 36
Sb Lancets Ultra Thin, 36
scalacort, 10
Scalacort Dk, 10
scopolamine hydrobromide, 15
se 10-5 ss, 8
se bpo 3% foaming cloths, 8
se bpo 6% foaming cloths, 8
se bpo 7-5.5 wash kit, 8
se bpo 9% foaming cloths, 8
se bpo wash, 8
se-care, 31
se-care conceive, 31
se-natal 19, 31
se-natal 90, 31
se-natal one, 31
se-plete dha, 31
se-tan dha, 31
se-tan plus, 17
seb-prev, 9
seb-prev wash, 9
Seconal, 20
Sectral, 5
Sedapap, 25
Select-ob, 33
Select-ob+dha, 33
selegiline hcl, 21
selenium sulfide, 9
Selsun Shampoo, 9
Selzentry, 2
Semprex-d, 29
Senetonic, 33
senilezol, 17
senna, 14
senna leaves, 14
senna plus, 14
Senophylline, 30
Sensipar, 14
sensorcaine, 27
sensorcaine-mpf, 27
Sensorcaine-mpf/epinephrine, 27
sensorcaine/epinephrine, 27
Sentradine, 15
Sentraflox Am-10, 19
Sentralopram Am-10, 19
Sentramodafin Am-100, 20
Sentravil Pm-25, 19
Sentrazolam Am 0.25, 19
Sentrazolpidem Pm-5, 20
Sentroxatine, 19
Septra Ds, 3
Seradex, 29
Serevent Diskus, 30
seromycin, 2
Seroquel, 20
Seroquel Xr, 20
Serostim, 14
sertraline hcl, 19
seton et-ec, 31
setonet, 31
Sfrowasa, 16
Shohls Solution Modified, 17
siderol, 31
sildenafil citrate, 7
Silenor, 20
Simcor, 7
Simponi, 26
simuc-gp, 28
simvastatin, 7
Sinemet, 21
Sinemet Cr, 21
Single-let, 36
Singulair, 30
Skelaxin, 22
Skelid, 13
Sklice, 11
Sm Lancets 21g, 36
Sm Micro Thin Lancets 33g, 36
Sm Super Thin Lancets 30g, 36
Sm Thin Lancets 26g, 36
Smart Diabetes Vantage Universal
Lancets 30g, 36
Smart Sense Color Lancets Universal
33g, 36
Smart Sense Standard Lancets Universal
21g, 36
Smart Sense Super Thin Lancets
Universal 30g, 36
Smart Sense Thin Lancets Universal 26g,
36
Smartest Lancets 28g, 36
sodium bicarbonate, 15
sodium chloride, 28
sodium citrate, 17
sodium hyaluronate, 11
Sodium Sulfacetamide, 8
sodium sulfacetamide, 22
sodium sulfacetamide wash, 9
sodium sulfacetamide/sulfur, 8
sodium sulfacetamide/sulfur cleanser, 8
sodium sulfacetamide/sulfur cleanser in
urea, 8
sodium sulfacetamide/sulfur cleansing
cloths, 8
sodium sulfacetamide/sulfur green, 8
sodium sulfacetamide/sulfur in urea, 8
sodium sulfacetamide/sulfur wash, 8
sodium sulfacetamide/urea, 9
Solo V2 Twist Lancets, 36
Solodyn, 1
Soltamox, 4
Solu-cortef, 12
Solu-medrol, 12
Soma, 22
Somatuline Depot, 14
Somavert, 14
Somnote, 20
Sonata, 20
Soriatane, 9
Sorilux, 9
sorine, 5
sotalol hcl, 5
sotalol hcl (af), 5
sotret, 8
Spectracef, 1
Spinosad, 11
Spiriva Handihaler, 30
spironolactone, 6
spironolactone/hydrochlorothiazide, 6
Sporanox, 2
Sporanox Pulsepak, 2
Sprix, 26
Sprycel, 4
Sss 10-4, 8
Staflex, 25
stagesic, 25
Stahist, 29
Stalevo 100, 21
Stalevo 125, 21
Stalevo 150, 21
Stalevo 200, 21
Stalevo 50, 21
Stalevo 75, 21
stannous fluoride oral rinse, 18
Starlix, 13
stavudine, 2
Stavzor, 21
Stelara, 9
Sterilance Tl, 36
Stimate, 14
Stivarga, 4
Strattera, 20
Strazepam, 20
streptomycin sulfate, 2
Striant, 12
Stribild, 2
Stromectol, 3
Strovite, 33
Strovite Advance, 33
Strovite Forte, 33
Strovite One, 33
strovite plus, 31
Suboxone, 25
Subsys, 25
Subutex, 25
Sucraid, 15
sucralfate, 15
sudahist, 28
sudatex-dm, 28
Sular, 5
sulfacetamide sodium, 8, 22
sulfacetamide sodium/prednisolone
sodium phosphate, 23
sulfacetamide sodium/sulfur cleanser, 8
sulfacleanse 8/4, 8
sulfadiazine, 2
sulfamethoxazole/trimethoprim, 3
Sulfamethoxazole/trimethoprim Ds, 3
sulfasalazine, 16
sulfazine, 16
sulfazine ec, 16
Sulfoam, 8
sulfurated lime, 11
sulindac, 26
Sumadan Kit, 8
Sumadan Wash, 8
Sumatriptan, 26
sumatriptan succinate, 26
Sumatriptan Succinate Refill, 26
Sumavel Dosepro, 26
Sumaxin, 8
Sumaxin Cp Kit, 8
Sumaxin Ts, 8
Sumaxin Wash, 8
Supervite, 33
Supervite Ec, 33
suphera, 8
Support, 33
Support-500, 33
Supprelin La, 13
Suprax, 1
Suprep Bowel Prep, 14
Sure Comfort Lancets 28g, 36
Sure Comfort Lancets 30g, 36
Sure-lance Flat Lancets, 36
Sure-lance Lancets 26g, 36
Sure-lance Thin Lancets 28g, 36
Sure-lance Ultra Thin Lancets, 36
Sure-touch Lancets Universal, 36
Surelite Lancets, 36
Surestep Pro Test Strips, 36
Surestep Test Strips, 36
Surmontil, 19
Survanta Intratracheal, 30
Sustiva, 2
sutan-dm, 28
Sutent, 4
Suttar-2, 29
Suttar-sf, 29
Sylatron, 4
Symax Duotab, 15
symax fastabs, 15
symax-sl, 15
symax-sr, 15
Symbicort, 30
Symbyax, 22
Symlin, 12
Symlinpen 120, 12
Symlinpen 60, 12
Synagex, 33
synalar, 10
Synalar Cream Kit, 10
Synalar Ointment Kit, 10
Synalar Ts, 10
Synalgos-dc, 25
Synarel, 13
Synatek, 33
Synera, 11
Synribo, 4
Synthroid, 14
T
Tabloid, 3
Taclonex, 10
tacrolimus, 4
Talwin, 25
Tambocor, 5
Tamiflu, 2
tamoxifen citrate, 4
tamsulosin hcl, 17
Tandem Dha, 33
tandem f, 17
Tandem Ob, 33
Tandem Plus, 18
tannihist-12 rf, 28
Tapazole, 14
Tarceva, 4
Targretin, 4
Tarka, 6
taron ec calcium, 31
Taron Forte, 18
Taron-bc, 33
Taron-c Dha, 33
taron-crystals, 17
Taron-duo Ec, 33
taron-ec cal, 31
taron-prex, 31
Tasigna, 4
Tasmar, 21
tazicef, 1
Tazorac, 9
taztia xt, 5
Techlite Ast Lancets, 36
Techlite Lancets, 36
Tegretol, 21
Tegretol-xr, 21
Tekamlo, 6
Tekral, 29
Tekturna, 6
Tekturna Hct, 6
temazepam, 20
Temodar, 3
Temovate, 10
Temovate E, 10
tencon, 24
Tenex, 6
Tenivac, 30
Tenoretic 100, 6
Tenoretic 50, 6
Tenormin, 5
Terazol 3, 17
Terazol 7, 17
terazosin hcl, 6
terbinafine hcl, 2
Terbinex, 2
terbutaline sulfate, 29
terconazole, 17
Tersi Foam, 9
Tessalon, 29
Tessalon Perles, 29
Testim, 12
Testopel, 12
testosterone cypionate, 12
testosterone enanthate, 12
testred, 12
tetanus toxoid adsorbed, 30
tetanus/diphtheria toxoids-adsorbed
adult, 30
tetcaine, 23
tetracaine hcl, 23, 27
tetracycline hcl, 1
tetravisc, 23
tetravisc forte, 23
Tetrix, 11
Tev-tropin, 14
Teveten, 6
Teveten Hct, 6
Texacort, 10
tgq 15dm/5peh/2cpm, 28
tgq 30pse/150gfn/15dm, 28
tgq 30pse/3brm/15dm, 28
tgq 50pse/3brm/30dm, 28
tgq 7.5peh/4brm/15dm, 28
Tgt Lancet Alternate Site, 36
Tgt Lancet Super Thin 30g, 36
Tgt Lancet Thin 23g, 36
Tgt Lancet Ultra Thin 28g, 36
Thalitone, 7
Thalomid, 4
Theo-24, 30
theochron, 29
theophylline, 29
theophylline cr, 29
theophylline er, 29
Therabenzaprine-60, 22
Therabenzaprine-90, 22
Therabenzaprine-90-5, 22
Theracodeine-300, 25
Theracodophen-325, 25
Theracodophen-650, 25
Theracodophen-750, 25
Theracodophen-low-90, 25
Therafeldamine, 26
Therapentin-60, 21
Therapentin-90, 21
Theraprofen-60, 26
Theraprofen-800, 26
Theraprofen-90, 26
Theraproxen, 26
Theraproxen-500, 26
Theraproxen-60, 26
Theraproxen-90, 26
Theratramadol-60, 25
Theratramadol-90, 25
therobec, 32
thiamine hcl, 31
Thinlets Gp Lancets, 36
Thinlets Lancet, 36
Thiola, 17
thioridazine hcl, 20
thiotepa, 3
thiothixene, 20
Thrombin-jmi Diluent, 18
Thrombin-jmi Epistaxis, 18
Thrombin-jmi Syringe Spray Kit, 18
Thrombin-jmi W/dil Spray Pump Actuator,
18
Thrombogen, 18
Thyrolar-1, 14
Thyrolar-1/2, 14
Thyrolar-1/4, 14
Thyrolar-2, 14
Thyrolar-3, 14
tiagabine hydrochloride, 21
Tiazac, 5
ticlopidine hcl, 18
Tigan, 15
Tikosyn, 5
timolol maleate, 5, 23
Timolol Maleate Ophthalmic Gel Forming,
23
Timoptic, 23
Timoptic Ocudose, 23
Timoptic-xe, 23
Tindamax, 3
tinidazole, 3
Tirosint, 14
Tisseel, 18
Tizanidine Comfort Pac, 22
tizanidine hcl, 22
tl bpo mx cleanser, 8
Tl G-fol Os, 33
tl gard rx, 17
tl icon, 17
tl nicotinamide, 32
tl urea, 11
Tl-assure One, 33
Tl-assure+dha, 33
Tl-cermide, 11
tl-dex dm, 28
Tl-fluorivite, 33
tl-fol 500, 17
tl-hem 150, 17
tl-hist cd, 28
tl-hist cm, 28
Tl-select, 33
Tl-select Dha, 33
Tobi, 2
Tobradex, 23
Tobradex St, 23
tobramycin sulfate, 2, 22
tobramycin/dexamethasone, 23
tobrasol, 22
Tobrex, 22
Todays Health Super Thin Lancets 30g,
36
Todays Health Ultra Thin Lancets 28g,
36
Tofranil, 19
Tofranil-pm, 19
tolazamide, 13
tolbutamide, 13
tolmetin sodium, 26
Tolterodine Tartrate, 16
Topamax, 21
Topamax Sprinkle, 21
topex topical anesthetic, 18
Topicort, 10
topiragen, 21
topiramate, 21
Toprol Xl, 5
torsemide, 6
Toviaz, 16
Tracleer, 7
Tradjenta, 13
tramadol hcl, 25
Tramadol Hcl Er, 25
Tramadol Hydrochloride/acetaminophen,
25
Trandate, 5
trandolapril, 5
Transderm-scop, 15
Tranxene T, 19
tranylcypromine sulfate, 19
Travatan Z, 23
Trazamine, 19
Trazodone, 19
trazodone hcl, 19
Treagan Otic, 24
Trecator, 2
Trelstar Depot, 4
Trelstar Depot Mixject, 4
Trelstar La, 4
Trelstar La Mixject, 4
Trelstar Mixject, 4
Trental, 18
Trepadiclofen-25, 26
Trepoxen-250, 26
Trepoxicam-7.5, 26
Tretin-x, 8
tretinoin, 4
Tretinoin, 8
Trexall, 3
trexbrom, 28
Treximet, 26
trezix, 25
tri rx, 32
Tri-vi-flor, 33
Tri-vi-floro, 33
tri-vit/fluoride, 32
tri-vit/fluoride/iron, 32
tri-vitamin/fluoride, 32
tri-vitamin/iron/fluoride, 32
Tri-zel, 33
triadvance, 32
triamcinolone acetonide, 10, 18, 27
triamcinolone acetonide in absorbase, 10
triamcinolone in orabase, 18
Triamterene/hydrochlorothiazide, 6
trianex, 10
Triaz, 8
Triaz Cleanser, 8
Triaz Foaming Cloths, 8
triazolam, 20
Tribenzor, 6
tricare, 32
Tricare Dha 301, 33
Tricare Prenatal Dha One, 33
tricitrates, 17
tricon, 17
Tricor, 7
triderm, 10
trifluoperazine hcl, 20
Trifluridine, 22
trigels-f forte, 17
Triglide, 7
trihexyphenidyl hcl, 21
Trihibit, 30
Trileptal, 21
Trilipix, 7
trilyte, 14
trimesis rx, 32
trimethobenzamide hcl, 15
Trimethoprim, 3
trimethoprim sulfate/polymyxin b sulfate,
22
trimipramine maleate, 19
Trinatal Gt, 33
trinatal rx 1, 32
Trinatal Ultra, 33
trinate, 32
Trioxin, 24
Tripedia, 30
triphrocaps, 32
triple-vitamin/fluoride, 32
Trispec Dmx, 29
Trispec Dmx Pediatric, 29
Trispec Pse, 29
Trispec Pse Pediatric, 29
Trituss, 29
Triveen-duo Dha, 33
Triveen-one, 33
Triveen-prx Rnf, 33
Triveen-ten, 33
Triveen-u, 33
Trizivir, 2
Tropazone, 11
tropicamide, 23
trospium chloride, 16
trospium chloride er, 16
Trueplus Lancets 28g, 36
Trueplus Lancets 28g Super Thin, 36
Trueplus Lancets 30g, 36
Trueplus Lancets 30g Ultra Thin, 36
Trueplus Lancets 33g, 36
Trueplus Lancets 33g Micro Thin, 36
Trueplus Safety Lancets 28g, 36
Trusopt, 24
trust natal dha, 32
Truvada, 2
Tudorza Pressair, 30
Tusnel Ped-c, 29
tussafed ex, 28
Tussicaps, 28
tussigon, 28
Tussionex Pennkinetic Extended
Release, 29
Tusso-c, 29
Tusso-dmr, 29
Tusso-zmr, 29
Twinject, 7
Twinrix, 31
Twynsta, 6
Tykerb, 4
Tylenol/codeine #3, 25
Tylenol/codeine #4, 25
Tylox, 25
Typhim Vi, 31
Tyvaso, 7
Tyvaso Refill, 7
Tyvaso Starter, 7
Tyzeka, 3
Tyzine, 27
Tyzine Pediatric Nasal Drops, 27
U
u-cort, 10
u-kera e, 11
Udamin, 33
Udamin Sp, 33
Ulesfia, 11
Uloric, 26
Ulticare Thin Lancets 30g, 36
Ultilet Basic Lancets 30g, 36
Ultilet Classic Lancets, 36
Ultilet Lancets, 36
Ultilet Safety Lancets 23g, 36
Ultimate Ob Dha, 33
Ultimatecare Advantage, 33
Ultimatecare Combo, 33
ultimatecare one, 32
ultimatecare one nf, 32
ultra tabs, 32
Ultra Thin Lancets 28g, 36
Ultra Thin Lancets 30g, 36
Ultra-thin Ii Auto Lancet, 36
Ultra-thin Ii Lancets 28g, 36
Ultra-thin Ii Lancets 30g, 36
Ultra-thin Ii Lancets/28g X 1/8", 36
Ultra-thin Ii Lancets/30g X 1/8", 36
Ultra-thin Ii Safety Autolancets 26g, 36
Ultracet, 25
Ultram, 25
Ultram Er, 25
Ultravate, 10
Ultravate Pac, 10
Ultravate X, 10
Ultresa, 15
Umecta, 11
umecta mousse, 11
Umecta Nail Film, 11
Umecta Pd, 11
Unasyn, 1
Unasyn Bulk Pack, 1
Unilet Comfortouch Lancet, 36
Unilet Excelite, 36
Unilet Excelite Ii, 36
Unilet G.p. Lancet, 36
Unilet G.p. Superlite Lancet, 36
Unilet Gp 28 Ultra Thin, 36
Unilet Lancet, 36
Unilet Superlite Lancet, 36
Uniretic, 6
Unithroid, 14
unithroid direct, 14
Univasc, 6
Universal 1 Lancets Thin 26g, 36
Universal 1 Lancets Ultra Thin 30g, 36
univert, 15
ur n-c, 16
Uramaxin, 11
Uramaxin Gt, 11
Uramaxin Gt Kit, 11
urea, 11
urea 40% nail film, 11
urea hydrating, 11
urea in zinc undecylenate/lactic acid
vehicle, 11
urea nail, 11
urea nail kit, 11
urea topical, 11
urea-c40, 11
Urecholine, 16
Urelle, 16
Uretron D/s, 16
Urex, 16
Uribel, 16
urin d/s, 16
Urocit-k 10, 17
Urocit-k 15, 17
Urocit-k 5, 17
Urogesic-blue, 16
Uroqid #2, 16
urosex, 32
Uroxatral, 17
Urso 250, 16
Urso Forte, 16
ursodiol, 16
uryl, 16
ustell, 16
uta, 16
uticap, 16
utira-c, 16
utrona-c, 16
Uvadex, 4
V
v-c forte, 32
v-cof, 28
v-hist, 28
V-natal, 33
V-natal Dha, 33
Vagifem, 17
valacyclovir hcl, 2
Valcyte, 2
Valium, 19
valproic acid, 21
valsartan/hydrochlorothiazide, 6
Valtrex, 3
Valturna, 6
Value Plus Lancets Standard 21g, 36
Value Plus Lancets Super Thin 30g, 36
Value Plus Lancets Thin 26g, 36
Valumark Lancet Super Thin 30g, 36
Valumark Lancet Ultra Thin 28g, 36
Vancocin Hcl, 3
vancomycin, 3
vancomycin hcl, 3
Vandazole, 17
Vandetanib, 4
Vanos, 10
Vanoxide Hc, 8
Vanoxide-hc, 8
Vantas, 4
Vaqta, 31
Varivax, 31
Vascepa, 7
Vaseretic, 6
vasopressin, 14
Vasotec, 6
Vazobid, 29
Vazol, 27
vazotab, 28
Vazotan, 29
Vectical, 9
Veltin, 8
Vemavite-prx 2, 33
Vena-bal Dha, 33
Venatal Complete Dha, 33
Venatal-fa, 33
venlafaxine hcl, 19
venlafaxine hcl er, 19
Ventavis, 7
Ventolin Hfa, 30
Veramyst, 27
verapamil hcl, 5
verapamil hcl er, 5
Verapamil Hcl Sr, 5
Verdeso, 10
Veregen, 11
Verelan, 5
Verelan Pm, 5
Veripred 20, 12
versiclear, 9
Vesicare, 16
Vexol, 23
Vfend, 2
Vibramycin, 1
vic-forte, 32
Vicodin, 25
Vicodin Es, 26
vicodin hp, 25
Vicoprofen, 26
Victoza, 12
Victrelis, 2
Vida Mia Unilet Lancets Super Thin 30g,
36
Vida Mia Unilet Lancets Ultra Thin 28g,
36
Vidaza, 3
Videx
Pediatric, 2
Videx Ec, 3
Vigamox, 22
Viibryd, 19
Vimovo, 26
Vimpat, 21
Vinacal, 33
vinate az, 32
Vinate Az Extra, 33
vinate c, 32
Vinate Calcium, 33
vinate care, 32
Vinate Dha, 33
vinate gt, 32
vinate ic, 32
vinate ii, 32
vinate m, 32
vinate one, 32
vinate pn care, 32
vinate ultra, 32
Viokace, 15
Viracept, 2
Viramune, 3
Viramune Xr, 2
Virasal, 11
Virazole, 3
Viread, 2
Viroptic, 22
Virt-bal Dha, 33
Virt-bal Dha Plus, 33
Virt-pn, 33
Virt-pn Dha, 33
Virt-select, 33
virti-sulf, 8
Visicol, 14
Vistaril, 19
vita s forte, 32
vita-min, 32
Vita-pren, 33
vitacel, 32
Vitafol, 33
vitafol-ob, 32
Vitafol-ob+dha, 33
Vitafol-one, 33
Vitafol-plus, 33
Vitafol-pn, 33
Vitaject, 33
Vital-d Rx, 33
Vitalet Pro Lancets, 36
Vitalet Pro Plus Lancets, 36
Vitamax Pediatric, 33
Vitamedmd One Rx/quatrefolic, 33
Vitamedmd Plus Rx/quatre Folic, 33
Vitamedmd Redichew Rx/quatrefolic, 33
vitamin b-complex 100, 32
vitamin c 222mg, 31
vitamin d, 31
vitamin forte, 32
vitamin k1, 31
vitamins a/c/d/fluoride, 32
Vitaroca Plus, 33
vitaspire, 32
vitazol, 8
Viva Ct Prenatal, 33
Viva Dha, 33
Vivactil, 19
Vivelle-dot, 12
Vivotif Berna, 31
vol-care rx, 32
Vol-nate, 33
Vol-plus, 33
Vol-tab Rx, 33
Voltaren, 9, 24
Voltaren-xr, 26
voriconazole, 2
Vosol, 24
Vosol Hc, 24
Vospire Er, 30
Votrient, 4
Vp-ch-pnv, 33
Vp-era Ob Plus, 33
Vp-ggr-b6 Prenatal, 33
Vp-pnv-dha, 33
vp-zel, 32
Vsl#3 Ds, 15
Vusion, 9
Vytorin, 7
Vyvanse, 20
W
W&f Lancets 26g, 36
W&f Lancets Colored 21g, 36
Walgreens Advanced Travellancets 28g,
36
Walgreens Comfort Assuredlancets Micro
Thin/33g, 36
Walgreens Comfort Assuredlancets
Super Thin/28g, 36
Walgreens Lancets, 36
Walgreens Thin Lancets, 36
Walgreens Ultra Thin Lancets, 36
warfarin sodium, 18
Welchol, 7
Wellbutrin, 19
Wellbutrin Sr, 19
Wellbutrin Xl, 19
Westcort, 10
Westhroid, 14
wheat germ, 31
witch hazel, 11
Wound Gel, 26
X
x-viate, 11
Xalatan, 23
Xalkori, 4
Xanax, 19
Xanax Xr, 19
Xarelto, 18
xclair, 11
Xeljanz, 26
Xeloda, 3
Xenazine, 21
Xeomin, 22
Xerac Ac, 11
Xerese, 9
Xgeva, 13
Xifaxan, 3
Xodol, 26
Xolair, 30
Xolegel, 9
Xolegel Corepak, 9
Xolegel Duo/head & Shoulders, 9
Xolegel Duo/xolex, 9
Xolox, 26
Xopenex, 30
Xopenex Concentrate, 30
Xopenex Hfa, 30
Xtandi, 4
Xylocaine, 11, 27
Xylocaine Jelly, 11
Xylocaine-mpf, 27
Xylocaine-mpf/epinephrine, 27
Xylocaine/epinephrine, 27
Xyrem, 21
Xyzal, 27
Y
yf-vax, 30
Yodoxin, 3
Z
Z-cof I, 29
z-dex, 28
z-dex 12d, 28
z-pram, 16
z-tuss dm, 28
Zacare 4% Kit, 8
Zacare 8% Kit, 8
zaclir cleansing, 8
Zafirlukast, 29
zaleplon, 20
Zamicet, 26
Zanaflex, 22
Zantac, 15
Zarontin, 21
Zaroxolyn, 7
Zatean-ch, 33
Zatean-pn, 33
Zatean-pn Dha, 33
Zatean-pn Plus, 33
Zavesca, 18
zazole, 17
Zebeta, 5
zebutal, 24
Zegerid, 15
Zelapar, 21
Zelboraf, 4
zema-pak 10 day, 11
zema-pak 13 day, 11
zema-pak 6 day, 11
Zemplar, 14
zencia, 8
Zenieva, 11
Zenpep, 15
Zerit, 3
Zestoretic, 6
Zestril, 6
Zetia, 7
Zetonna, 27
zflex, 24
zgesic, 24
Ziac, 6
Ziagen, 3
Ziana, 8
zidovudine, 2
Zinacef, 1
Zingiber, 33
Zinotic, 24
Zinotic Es, 24
Zioptan, 23
ziprasidone hcl, 20
Zipsor, 26
Zirgan, 22
Zithranol, 9
Zithranol-rr, 9
Zithromax, 1
Zithromax Tri-pak, 1
Zithromax Z-pak, 1
Zmax, 1
Zocor, 7
Zofran, 15
Zofran Odt, 15
Zoladex, 4
Zolinza, 4
Zoloft, 19
zolpidem tartrate, 20
zolpidem tartrate er, 20
Zolpimist, 20
Zolvit, 26
Zomig, 26
Zomig Zmt, 26
Zonalon, 9
Zonatuss, 29
Zonegran, 21
zonisamide, 21
Zorbtive, 14
Zortress, 4
Zostavax, 31
Zotex, 29
Zotex -gp, 29
Zotex Pe, 29
Zotex Pediatric, 29
zotex-12d, 28
Zotex-c, 29
Zotex-d, 29
Zotex-dm, 29
Zotex-ex, 29
Zotex-g, 29
zotex-pe, 28
Zovirax, 3, 9
Zuplenz, 15
Zutripro, 28
Zyclara, 10
Zyclara Pump, 10
Zydone, 26
Zyflo, 30
Zyflo Cr, 30
Zylet, 23
Zyloprim, 26
Zymaxid, 22
Zypram, 16
Zyprexa, 20
Zyprexa Relprevv, 20
Zyprexa Zydis, 20
Zytiga, 4
Zyvox, 3
1
1st Choice Lancets Super Thin, 36
1st Choice Lancets Thin, 36
1st Choice Lancets Ultra Thin, 36
1st Tier Unilet Comfortouch Lancets 28g,
36
1st Tier Unilet Comfortouch Lancets 30g,
36
8
8-mop, 9