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mhccr Formulary

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MDwise HIP Formulary
2016
Contents
of
Table
Table of Contents
ANALGESIC AND ANTIHISTAMINE COMBINATION .................................................................................................................................................................................................. 3
ANALGESICS ........................................................................................................................................................................................................................................................................................................................... 3
ANESTHETICS .................................................................................................................................................................................................................................................................................................................... 12
ANTIARTHRITICS ......................................................................................................................................................................................................................................................................................................... 15
ANTIASTHMATICS ...................................................................................................................................................................................................................................................................................................... 17
ANTIBIOTICS ....................................................................................................................................................................................................................................................................................................................... 19
ANTICOAGULANTS .................................................................................................................................................................................................................................................................................................... 28
ANTIDOTES ............................................................................................................................................................................................................................................................................................................................ 29
ANTIFUNGALS ................................................................................................................................................................................................................................................................................................................... 30
ANTIHISTAMINE AND DECONGESTANT COMBINATION ............................................................................................................................................................................... 32
ANTIHISTAMINES ........................................................................................................................................................................................................................................................................................................ 34
ANTIHYPERGLYCEMICS .................................................................................................................................................................................................................................................................................. 37
ANTIINFECTIVES .......................................................................................................................................................................................................................................................................................................... 40
ANTIINFECTIVES/MISCELLANEOUS .............................................................................................................................................................................................................................................. 39
ANTINEOPLASTICS .................................................................................................................................................................................................................................................................................................... 40
ANTIPARKINSON DRUGS .................................................................................................................................................................................................................................................................................. 45
ANTIPLATELET DRUGS ...................................................................................................................................................................................................................................................................................... 46
ANTIVIRALS .......................................................................................................................................................................................................................................................................................................................... 46
AUTONOMIC DRUGS ................................................................................................................................................................................................................................................................................................ 50
BIOLOGICALS .................................................................................................................................................................................................................................................................................................................... 52
BLOOD ........................................................................................................................................................................................................................................................................................................................................... 57
CARDIAC DRUGS ........................................................................................................................................................................................................................................................................................................... 59
CARDIOVASCULAR ................................................................................................................................................................................................................................................................................................... 61
CNS DRUGS ............................................................................................................................................................................................................................................................................................................................. 67
COLONY STIMULATING FACTORS ................................................................................................................................................................................................................................................... 70
CONTRACEPTIVES ..................................................................................................................................................................................................................................................................................................... 71
COUGH/COLD PREPARATIONS ............................................................................................................................................................................................................................................................... 75
DIAGNOSTIC ......................................................................................................................................................................................................................................................................................................................... 85
DIURETICS .............................................................................................................................................................................................................................................................................................................................. 86
EENT PREPS ........................................................................................................................................................................................................................................................................................................................... 88
ELECT/CALORIC/H2O ............................................................................................................................................................................................................................................................................................ 93
GASTROINTESTINAL ........................................................................................................................................................................................................................................................................................... 101
HERBALS ................................................................................................................................................................................................................................................................................................................................ 113
HORMONES ......................................................................................................................................................................................................................................................................................................................... 116
IMMUNOSUPPRESANT ...................................................................................................................................................................................................................................................................................... 121
MISCELLANEOUS MEDICAL SUPPLIES, DEVICES, NON-DRUG ......................................................................................................................................................... 122
MUSCLE RELAXANTS ......................................................................................................................................................................................................................................................................................... 138
PRE-NATAL VITAMINS ...................................................................................................................................................................................................................................................................................... 139
PSYCHOTHERAPEUTIC DRUGS .......................................................................................................................................................................................................................................................... 143
SEDATIVE/HYPNOTICS ..................................................................................................................................................................................................................................................................................... 148
SKIN PREPS ......................................................................................................................................................................................................................................................................................................................... 150
SMOKING DETERRENTS ................................................................................................................................................................................................................................................................................ 162
THYROID PREPS .......................................................................................................................................................................................................................................................................................................... 162
UNCLASSIFIED DRUG PRODUCTS ................................................................................................................................................................................................................................................... 163
VITAMINS .............................................................................................................................................................................................................................................................................................................................. 172
1
2
MDwise HIP Formulary
2016
Drug Name
Tier
Notes
ANALGESIC AND ANTIHISTAMINE
COMBINATION
ACETA-GESIC
1
ACETAMINOPHEN PM
1
diphenhydramine-acetaminophen
1
DOLOGESIC ORAL LIQUID
2
DOLOGESIC ORAL TABLET
1
EXCEDRIN PM
2
HEADACHE PM
1
MAPAP PM
1
NON-ASA EX ST PAIN/SLEEP AID
1
NON-ASPIRIN NIGHTIME
1
NON-ASPIRIN PM
1
PAIN RELIEF PM
1
PAIN RELIEF PM RAPID RELEASE
1
PAIN RELIEVER AM/PM
1
PAIN RELIEVER PM EX ST
1
PAIN RELIEVER PM EX-STRENGTH
1
PAIN RELIEVER PM ORAL TABLET 25-500 MG
1
STAFLEX (BROMPHENIRA-ACETAMIN)
2
TYLENOL PM EXTRA STRENGTH
1
ZFLEX
1
ANALGESICS
8 HOUR PAIN RELIEVER
1
ABSTRAL
2
ACEPHEN
1
acetaminophen oral liquid 160 mg/5 ml
1
acetaminophen oral solution
1
acetaminophen oral tablet
1
acetaminophen oral tablet extended release
1
acetaminophen rectal
1
acetaminophen-codeine oral solution
1
acetaminophen-codeine oral tablet
1
ACTIQ
2
ADDED STRENGTH HEADACHE RELIEF
1
ALFENTA
2
PA; QL (4 EA per 1 day)
3
Drug Name
Tier
Notes
alfentanil
1
ALSUMA
2
QL (1 ML per 14 days)
AMERGE
2
QL (3 EA per 5 days)
ARTHRITIS PAIN RELIEF (ACETAM)
1
ARTHRITIS PAIN RELIEVER
1
ASCOMP WITH CODEINE
1
ASCRIPTIN
2
ASPIR-81
3
ASPIRIN LOW DOSE
3
ASPIRIN LOW-STRENGTH
3
aspirin oral tablet 325 mg
3
aspirin oral tablet,chewable
3
aspirin oral tablet,delayed release (dr/ec) 325 mg, 81 mg
3
aspirin rectal
1
ASPIR-LOW
3
AVINZA ORAL CAPSULE, ER MULTIPHASE 24 HR
120 MG
2
QL (2 EA per 1 day)
AVINZA ORAL CAPSULE, ER MULTIPHASE 24 HR 30
MG, 45 MG, 60 MG, 75 MG, 90 MG
2
QL (1 EA per 1 day)
AXERT
2
ST; QL (2 EA per 5 days)
BACKACHE RELIEF EXTRA STRENGTH
1
belladonna alkaloids-opium
1
BELLADONNA-OPIUM
1
BUFFERIN EXTRA STRENGTH
1
BUFFERIN ORAL TABLET 325 MG
1
BUFFERIN ORAL TABLET 81 MG
2
BUPAP ORAL TABLET 50-300 MG
2
buprenorphine hcl injection
1
BUTALBITAL COMPOUND
1
BUTALBITAL COMPOUND W/CODEINE
1
butalbital-acetaminop-caf-cod
1
butalbital-acetaminophen
1
butalbital-acetaminophen-caff
1
butalbital-aspirin-caffeine
1
butorphanol tartrate
1
BUTRANS
2
CAFERGOT
2
CAMBIA
2
CAPACET
1
CAPITAL WITH CODEINE
2
carisoprodol-asa-codeine
1
CATAFLAM
2
CHILDREN'S ACETAMINOPHEN ORAL SUSPENSION
160 MG/5 ML
1
CHILDREN'S ASPIRIN
3
4
Drug Name
Tier
Notes
CHILDREN'S MAPAP
1
CHILDREN'S PAIN & FEVER RELIEF
1
CHILDREN'S PAIN RELIEF ORAL SUSPENSION
1
CHILDREN'S PAIN RELIEVER ORAL SUSPENSION
1
CHILDREN'S PAIN RELIEVER ORAL
TABLET,DISINTEGRATING
1
CHILDREN'S Q-PAP
1
CHILDREN'S SILAPAP
1
CHILDREN'S TRIAMINIC FEVER
1
choline,magnesium salicylate
1
clonidine (pf)
1
codeine sulfate oral tablet
1
CONZIP ORAL CAPSULE,ER BIPHASE 24 HR 25-75
200 MG
2
ST; QL (1 EA per 1 day)
D.H.E.45
2
DEMEROL (PF)
2
DEMEROL INJECTION
2
DEMEROL ORAL
2
diclofenac potassium
1
diflunisal
1
dihydrocode-acetaminophen-caff oral capsule
1
dihydrocodeine-aspirin-caff
1
dihydroergotamine injection
1
dihydroergotamine nasal
1
DILAUDID
2
DILAUDID (PF)
2
DILAUDID-HP (PF)
2
DISKETS
2
DOAN'S EXTRA STRENGTH
1
DOAN'S PM BACK PAIN RELIEF
2
DOLOPHINE ORAL
2
DURACLON (PF)
2
DURAGESIC
2
DURAMORPH (PF)
2
E.C. PRIN
3
ED-APAP
1
EFFERVESCENT PAIN RELIEF
1
ELMIRON
2
EMBEDA ORAL CAPSULE,ORAL ONLY,EXT.REL
PELL 100-4 MG
2
QL (4 EA per 1 day)
EMBEDA ORAL CAPSULE,ORAL ONLY,EXT.REL
PELL 20-0.8 MG, 30-1.2 MG, 50-2 MG, 60-2.4 MG,
80-3.2 MG
2
QL (2 EA per 1 day)
ENDOCET ORAL TABLET 10-325 MG, 2.5-325 MG,
5-325 MG, 7.5-325 MG
1
QL (12 EA per 1 day)
ENDODAN
1
QL (6 EA per 1 day)
PA
PA
PA; QL (1 EA per 3 days)
5
Drug Name
Tier
Notes
ergotamine-caffeine
1
ESGIC
2
EXALGO ER ORAL TABLET EXTENDED RELEASE 24
HR 12 MG, 16 MG, 8 MG
2
EXALGO ER ORAL TABLET EXTENDED RELEASE 24
HR 32 MG
2
EXCEDRIN BACK & BODY
2
EXCEDRIN EXTRA STRENGTH
2
EXCEDRIN MENSTRUAL COMPLETE
2
EXCEDRIN TENSION HEADACHE
2
EXTENDED PAIN RELIEF
1
fentanyl
1
fentanyl citrate
1
fentanyl citrate (pf) injection
1
fentanyl citrate (pf) intravenous syringe 100 mcg/2 ml (50
mcg/ml)
1
FENTORA
2
FEVER REDUCER
1
FEVERALL RECTAL SUPPOSITORY 120 MG, 325 MG,
650 MG
1
FEVERALL RECTAL SUPPOSITORY 80 MG
2
FIORICET ORAL CAPSULE
2
FIORICET WITH CODEINE ORAL CAPSULE
50-300-40-30 MG
2
FIORINAL
2
FIORINAL-CODEINE #3
2
FROVA
2
GOODY'S HEADACHE POWDER
2
HEADACHE FORMULA ADDED STR
1
HEADACHE RELIEF
1
HEADACHE RELIEF (ASA-ACET-CAF)
1
HISTAFLEX
2
HYCET
2
QL (184 ML per 1 day)
hydrocodone-acetaminophen oral solution 10-325 mg/15
ml(15 ml), 5-163 mg/7.5ml(7.5ml)
1
hydrocodone-acetaminophen oral solution 2.5-167 mg/5 ml
1
hydrocodone-acetaminophen oral tablet 10-300 mg, 5-300
mg, 7.5-300 mg
1
mg, 7.5-325 mg
1
mg, 7.5-500 mg
1
QL (8 EA per 1 day)
mg, 7.5-650 mg
1
QL (6 EA per 1 day)
hydrocodone-acetaminophen oral tablet 2.5-325 mg
1
hydrocodone-acetaminophen oral tablet 7.5-750 mg
1
hydrocodone-ibuprofen
1
6
QL (5 EA per 1 day)
Drug Name
Tier
Notes
hydromorphone (pf)
1
hydromorphone in 0.9 % nacl intravenous pt controlled
analgesia syring 10 mg/50 ml (0.2 mg/ml)
1
hydromorphone in 0.9 % nacl intravenous solution 0.2
mg/ml
1
hydromorphone injection
1
hydromorphone oral liquid
1
hydromorphone oral tablet
1
hydromorphone oral tablet extended release 24 hr 12 mg, 16
mg, 8 mg
1
hydromorphone oral tablet extended release 24 hr 32 mg
1
hydromorphone rectal
1
HYSINGLA ER
2
IBUDONE
2
IBUPROFEN PM ORAL TABLET
1
ibuprofen-oxycodone
1
IMITREX NASAL
2
IMITREX ORAL
2
IMITREX STATDOSE KIT REFILL
2
IMITREX STATDOSE PEN
2
IMITREX SUBCUTANEOUS
2
INFANT PAIN RELIEVER
1
INFANTS MAPAP
1
INFANTS' PAIN & FEVER
1
INFANTS' PAIN RELIEF
1
INFANT'S PAIN RELIEF ORAL DROPS,SUSPENSION
80 MG/0.8 ML
1
INFANT'S PAIN RELIEVER
1
INFANTS' TRIAMINIC FEVER
1
INFUMORPH P/F
2
IONSYS
2
isometh-dichloral-acetaminophn
1
isomethepten-caf-acetaminophen
1
JR. STR NON-ASPIRIN PAIN
1
JUNIOR MAPAP
1
KADIAN ORAL CAPSULE,EXTEND.RELEASE
PELLETS 10 MG, 130 MG, 150 MG, 20 MG, 40 MG, 50
MG, 60 MG, 70 MG, 80 MG
2
QL (2 EA per 1 day)
KADIAN ORAL CAPSULE,EXTEND.RELEASE
PELLETS 200 MG
2
QL (4 EA per 1 day)
ketorolac injection cartridge
1
ketorolac injection solution 15 mg/ml, 30 mg/ml (1 ml)
1
ketorolac injection syringe 30 mg/ml
1
ketorolac intramuscular solution
1
ketorolac oral
1
LAZANDA
2
QL (1 EA per 1 day)
7
Drug Name
Tier
Notes
levorphanol tartrate
1
LITE COAT ASPIRIN
3
LORCET (HYDROCODONE)
1
LORCET HD
1
LORCET PLUS ORAL TABLET 7.5-325 MG
1
LORTAB 10-325
2
LORTAB 5-325
2
LORTAB 7.5-325
2
LORTAB ELIXIR ORAL SOLUTION 10-300 MG/15 ML
2
MAGNACET ORAL TABLET 2.5-400 MG
2
MAPAP (ACETAMINOPHEN) ORAL CAPSULE
1
MAPAP (ACETAMINOPHEN) ORAL
DROPS,SUSPENSION
1
MAPAP (ACETAMINOPHEN) ORAL ELIXIR
1
MAPAP (ACETAMINOPHEN) ORAL LIQUID
1
MAPAP (ACETAMINOPHEN) ORAL SUSPENSION
1
MAPAP (ACETAMINOPHEN) ORAL TABLET
1
MAPAP (ACETAMINOPHEN) ORAL
TABLET,CHEWABLE
1
MAPAP ARTHRITIS PAIN
1
MAPAP EXTRA STRENGTH
1
MAPAP INFANTS'
1
MARGESIC
1
MARTEN-TAB
1
MAXALT
2
MAXALT-MLT
2
MAXIDONE
2
QL (5 EA per 1 day)
mefenamic acid
1
MENSTRUAL RELIEF
1
meperidine (pf) injection solution 100 mg/ml, 25 mg/ml, 50
mg/ml
1
meperidine in 0.9 % nacl intravenous pt controlled
analgesia syring 250 mg/25 ml (10 mg/ml), 550 mg/55 ml
(10 mg/ml)
1
meperidine in 0.9 % nacl intravenous solution
1
meperidine injection cartridge
1
meperidine oral solution
1
meperidine oral tablet
1
QL (6 EA per 1 day)
MEPERITAB
1
QL (6 EA per 1 day)
methadone injection
1
PA
METHADONE INTENSOL
1
PA
methadone oral concentrate
1
PA
methadone oral solution
1
PA
methadone oral tablet
1
PA
methadone oral tablet,soluble
1
PA
8
Drug Name
Tier
Notes
METHADOSE ORAL CONCENTRATE
2
PA
METHADOSE ORAL TABLET,SOLUBLE
1
PA
MIGERGOT
2
MIGRAINE FORMULA
1
MIGRAINE RELIEF
1
MIGRANAL
2
MINIPRIN
3
morphine (pf) injection solution 0.5 mg/ml, 1 mg/ml
1
morphine (pf) intravenous
1
morphine concentrate oral solution
1
morphine in 0.9 % nacl intravenous solution 1 mg/ml
1
morphine injection solution 10 mg/ml, 15 mg/ml, 8 mg/ml
1
morphine injection syringe 10 mg/ml, 2 mg/ml, 4 mg/ml, 5
mg/ml, 8 mg/ml
1
morphine intravenous
1
morphine oral capsule, er multiphase 24 hr 120 mg
1
QL (2 EA per 1 day)
morphine oral capsule, er multiphase 24 hr 30 mg, 45 mg,
60 mg, 75 mg, 90 mg
1
QL (1 EA per 1 day)
morphine oral capsule,extend.release pellets 10 mg, 20 mg,
50 mg, 60 mg, 80 mg
1
QL (2 EA per 1 day)
morphine oral solution
1
morphine oral tablet
2
morphine oral tablet extended release
1
morphine rectal
1
MS CONTIN
2
nalbuphine
1
naratriptan
1
NODOLOR
1
NON-ASPIRIN EXTRA STRENGTH ORAL TABLET
1
NON-ASPIRIN ORAL TABLET
1
NON-ASPIRIN PAIN RELIEF ORAL TABLET 500 MG
1
NORCO
2
NUCYNTA
2
QL (6 EA per 1 day)
NUCYNTA ER
2
QL (2 EA per 1 day)
OPANA
2
OPANA ER ORAL TABLET,ORAL ONLY,EXT.REL.12
HR 10 MG, 15 MG, 20 MG, 5 MG, 7.5 MG
2
QL (2 EA per 1 day)
OPANA ER ORAL TABLET,ORAL ONLY,EXT.REL.12
HR 30 MG, 40 MG
2
QL (4 EA per 1 day)
OXECTA
2
oxycodone oral capsule
1
oxycodone oral concentrate
1
oxycodone oral solution
1
oxycodone oral tablet
1
oxycodone oral tablet extended release 12 hr
1
QL (3 EA per 1 day)
QL (3 EA per 1 day)
QL (2 EA per 1 day)
9
Drug Name
Tier
Notes
oxycodone oral tablet,oral only,ext.rel.12 hr 10 mg, 20 mg,
40 mg
1
QL (2 EA per 1 day)
oxycodone oral tablet,oral only,ext.rel.12 hr 80 mg
1
QL (4 EA per 1 day)
oxycodone-acetaminophen oral capsule
1
QL (8 EA per 1 day)
oxycodone-acetaminophen oral tablet 10-325 mg, 2.5-325
mg, 5-325 mg, 7.5-325 mg
1
oxycodone-acetaminophen oral tablet 10-650 mg
1
QL (6 EA per 1 day)
oxycodone-acetaminophen oral tablet 7.5-500 mg
1
QL (8 EA per 1 day)
oxycodone-aspirin
1
OXYCONTIN ORAL TABLET,ORAL
ONLY,EXT.REL.12 HR 10 MG, 15 MG, 20 MG, 30 MG,
40 MG, 60 MG
2
QL (2 EA per 1 day)
OXYCONTIN ORAL TABLET,ORAL
ONLY,EXT.REL.12 HR 80 MG
2
QL (4 EA per 1 day)
oxymorphone oral tablet
1
oxymorphone oral tablet extended release 12 hr 10 mg, 15
mg, 20 mg, 5 mg, 7.5 mg
1
QL (2 EA per 1 day)
oxymorphone oral tablet extended release 12 hr 30 mg, 40
mg
1
QL (4 EA per 1 day)
PAIN & FEVER
1
PAIN RELIEF EXTRA STRENGTH
1
PAIN RELIEF ORAL TABLET
1
PAIN RELIEF ORAL TABLET EXTENDED RELEASE
1
PAIN RELIEF REGULAR STRENGTH
1
PAIN RELIEVER
1
PAIN RELIEVER EXTRA STRENGTH
1
PAIN RELIEVER PLUS
1
pentazocine-acetaminophen
1
pentazocine-naloxone
1
PERCOCET ORAL TABLET 10-325 MG, 2.5-325 MG,
5-325 MG, 7.5-325 MG
2
PERCODAN
2
PHARBETOL
1
PHRENILIN FORTE
2
PONSTEL
2
PRE-MENSTRUAL RELIEF
1
PRIALT
2
PRIMLEV
2
propoxyphene
1
propoxyphene n-acetaminophen oral tablet 100-650 mg
1
propoxyphene-acetaminophen
1
Q-PAP
1
Q-PAP EXTRA STRENGTH
1
RELPAX ORAL TABLET 20 MG
2
REPREXAIN
1
RIMSO-50
2
10
QL (6 EA per 1 day)
Drug Name
Tier
Notes
rizatriptan
1
ROXICET ORAL SOLUTION
1
ROXICET ORAL TABLET 5-325 MG
1
ROXICET ORAL TABLET 5-500 MG
1
QL (8 EA per 1 day)
ROXICODONE
2
SILAPAP
1
SPRIX
2
SUBLIMAZE (PF)
2
SUBSYS
2
SUFENTA
2
sufentanil citrate
1
sumatriptan
1
sumatriptan succinate oral
1
sumatriptan succinate subcutaneous cartridge
1
sumatriptan succinate subcutaneous pen injector
1
sumatriptan succinate subcutaneous solution
1
sumatriptan succinate subcutaneous syringe 6 mg/0.5 ml
1
SUMAVEL DOSEPRO SUBCUTANEOUS
NEEDLE-FREE INJECTOR 4 MG/0.5 ML
2
ST; QL (4 ML per 28 days)
SUMAVEL DOSEPRO SUBCUTANEOUS
NEEDLE-FREE INJECTOR 6 MG/0.5 ML
2
SYNALGOS-DC
2
TACTINAL
1
TACTINAL EXTRA STRENGTH
1
TALWIN
2
TENSION HEADACHE
1
tramadol oral capsule,er biphase 24 hr 17-83
1
tramadol oral capsule,er biphase 24 hr 25-75 100 mg, 200
mg
1
tramadol oral tablet
1
tramadol oral tablet extended release 24 hr
1
tramadol oral tablet, er multiphase 24 hr
1
tramadol-acetaminophen
1
TRIAMINIC FEVER REDUCER
1
TRI-BUFFERED ASPIRIN
1
TYLENOL-CODEINE #3
2
TYLENOL-CODEINE #4
2
ULTIVA
2
ULTRACET
2
ULTRAM
2
ULTRAM ER
2
VANATOL LQ
2
VICODIN ES
1
VICODIN HP ORAL TABLET 10-300 MG
1
VICODIN ORAL TABLET 5-300 MG
1
11
Drug Name
Tier
VICOPROFEN
2
XARTEMIS XR
2
XODOL 10/300
2
XODOL 5/300
2
XODOL 7.5/300
2
XYLON 10
1
ZAMICET
2
ZEBUTAL ORAL CAPSULE 50-325-40 MG
1
ZEBUTAL ORAL CAPSULE 50-500-40 MG
2
ZECUITY
2
ZIPSOR
2
ZOHYDRO ER
2
QL (2 EA per 1 day)
ZOMIG NASAL SPRAY,NON-AEROSOL 2.5 MG
2
ZOMIG NASAL SPRAY,NON-AEROSOL 5 MG
2
ZOMIG ORAL TABLET 2.5 MG
2
ZOMIG ZMT
2
ANESTHETICS
AMIDATE
2
AZO
1
AZO-GESIC
1
BABY TEETHING GEL
1
BREVITAL INJECTION RECON SOLN 2.5 GRAM, 500
MG
2
BUFFERED LIDOCAINE INJECTION SYRINGE 1 % (1
ML)
2
bupivacaine
1
bupivacaine (pf) injection solution
1
bupivacaine in nacl(pf) epidural solution 0.125 % (1,250
mcg/ml)
1
bupivacaine-dextrose-water(pf)
1
bupivacaine-epinephrine
1
bupivacaine-epinephrine (pf)
1
bupivacaine-epinephrine bitart
1
BURN RELIEF
1
CARBOCAINE
2
CARBOCAINE (PF)
2
CEPACOL SENSATIONS COOLING
2
CEPACOL SENSATIONS HYDRA
2
CEPACOL SORE THROAT (BENZ-MEN)
2
CEPACOL ULTRA
1
chloroprocaine (pf)
1
cocaine
1
dibucaine
1
DIPRIVAN
2
EMLA
2
12
Notes
Drug Name
Tier
etomidate
1
FORANE
2
GLYDO
1
KETALAR
2
ketamine injection
1
LANACANE ANTI-ITCH
2
LANACANE FIRST AID
2
LDO PLUS
2
lidocaine
1
lidocaine (pf) in d7.5w
1
lidocaine (pf) injection solution
1
lidocaine hcl injection solution
1
lidocaine hcl laryngotracheal
1
lidocaine hcl mucous membrane
1
lidocaine hcl topical cream
1
LIDOCAINE VISCOUS
1
lidocaine-epinephrine
1
lidocaine-epinephrine (pf)
1
lidocaine-epinephrine bit injection cartridge 2 %-1:100,000
2
lidocaine-epinephrine bit injection cartridge 2 %-1:50,000
1
lidocaine-prilocaine
1
LIDODERM
2
LUSEDRA
2
MARCAINE
2
MARCAINE (PF)
2
MARCAINE SPINAL (PF)
2
MARCAINE-EPINEPHRINE
2
MARCAINE-EPINEPHRINE (PF)
2
mepivacaine (pf)
1
midazolam (pf) in 0.9 % nacl
1
midazolam (pf) injection
1
midazolam in 0.9 % nacl intravenous syringe 2 mg/2 ml (1
mg/ml)
1
midazolam injection
1
NAROPIN (PF) INJECTION SOLUTION 10 MG/ML (1
%), 2 MG/ML (0.2 %), 7.5 MG/ML (0.75 %)
2
NESACAINE
2
NESACAINE-MPF INJECTION SOLUTION 20 MG/ML
(2 %)
1
NESACAINE-MPF INJECTION SOLUTION 30 MG/ML
(3 %)
2
NUPERCAINAL
2
ORAL PAIN RELIEF MUCOUS MEMBRANE GEL
1
ORAL PAIN RELIEF MUCOUS MEMBRANE LIQUID
1
ORASEP
2
Notes
13
Drug Name
Tier
PAIN RELIEF ANESTHETIC
1
PHENASEPTIC
1
phenazopyridine oral tablet 100 mg, 200 mg
1
PLIAGLIS
2
POLOCAINE
1
POLOCAINE-MPF
1
PONTOCAINE (PF) INJECTION RECON SOLN
2
propofol intravenous emulsion
1
PYRIDIUM
2
ropivacaine (pf) in 0.9 % nacl local infiltration elastomeric
pump,hi var rate
1
ropivacaine (pf) injection
1
SARNA SENSITIVE
1
SENSORCAINE
2
SENSORCAINE/EPINEPHRINE
1
SENSORCAINE-MPF INJECTION SOLUTION 0.25 %
(2.5 MG/ML), 0.5 % (5 MG/ML)
2
SENSORCAINE-MPF INJECTION SOLUTION 0.75 %
(7.5 MG/ML)
1
SENSORCAINE-MPF SPINAL
1
SENSORCAINE-MPF/EPINEPHRINE INJECTION
SOLUTION 0.25 %-1:200,000, 0.75 %-1:200,000
1
SENSORCAINE-MPF/EPINEPHRINE INJECTION
SOLUTION 0.5 %-1:200,000
2
sevoflurane
1
SORE THROAT
1
SORE THROAT (BENZOCAINE-MENTH) MUCOUS
MEMBRANE LOZENGE 15-3.6 MG
1
SORE THROAT (PHENOL)
1
SUPRANE
2
SYNERA
2
tetracaine hcl (pf) injection
1
THROAT SPRAY
1
ULTANE
2
URINARY PAIN RELIEF
1
XYLOCAINE INJECTION
2
XYLOCAINE JELLY
2
XYLOCAINE MUCOUS MEMBRANE SOLUTION
2
XYLOCAINE-EPINEPHRINE
2
XYLOCAINE-MPF INJECTION SOLUTION 15 MG/ML
(1.5 %), 40 MG/ML (4 %)
2
XYLOCAINE-MPF INJECTION SOLUTION 5 MG/ML
(0.5 %)
1
XYLOCAINE-MPF/EPINEPHRINE INJECTION
SOLUTION 1 %-1:200,000, 2 %-1:200,000
2
ZINGO
2
14
Notes
Drug Name
Tier
Notes
ANTIARTHRITICS
ALL DAY PAIN RELIEF
1
ALL DAY RELIEF
1
allopurinol
1
ALOPRIM
2
ANAPROX
2
ANAPROX DS
2
ARAVA
2
ARTHROTEC 50
2
ARTHROTEC 75
2
CALDOLOR INTRAVENOUS RECON SOLN 800 MG/8
ML (100 MG/ML)
2
CELEBREX ORAL CAPSULE 100 MG, 200 MG, 50 MG
2
celecoxib oral capsule 100 mg, 200 mg, 50 mg
1
CHILD IBUPROFEN
1
CHILDREN'S IBUPROFEN
1
colchicine oral capsule
1
colchicine oral tablet
1
colchicine-probenecid
1
COLCRYS
2
CUPRIMINE
2
DAYPRO
2
DEPEN TITRATABS
2
diclofenac sodium oral
1
diclofenac-misoprostol
1
DISALCID
2
DUEXIS
2
DYLOJECT
2
EC-NAPROSYN
2
ELITEK
2
ENBREL
2
PA
ENBREL SURECLICK
2
PA
etodolac
1
FELDENE
2
fenoprofen oral capsule
2
fenoprofen oral tablet
1
flurbiprofen
1
glucosam su dip-chondroit-c-mn
1
glucosam-chondr msm#6-manganes
2
glucosamine sulfate oral capsule 500 mg
1
HUMIRA
2
PA
HUMIRA PEDIATRIC CROHN'S START
2
PA
HUMIRA PEN
2
PA
HUMIRA PEN CROHN'S-UC-HS START
2
PA
QL (2 EA per 1 day)
15
Drug Name
Tier
Notes
HUMIRA PEN PSORIASIS STARTER
2
IBU-DROPS
1
IBUPROFEN IB
1
IBUPROFEN JR STRENGTH
1
ibuprofen oral capsule
1
ibuprofen oral suspension
1
ibuprofen oral tablet 200 mg, 400 mg, 600 mg, 800 mg
1
INDOCIN
2
indomethacin oral
1
INFANTS IBU-DROPS
1
INFANT'S IBUPROFEN
1
ketoprofen oral capsule
1
ketoprofen oral capsule,ext rel. pellets 24 hr 200 mg
1
KINERET
2
leflunomide
1
meclofenamate oral
1
meloxicam
1
MITIGARE
2
MOBIC
2
MYOCHRYSINE
2
nabumetone
1
NALFON ORAL CAPSULE 400 MG
2
NAPRELAN CR
2
NAPRELAN CR DOSE CARD
2
NAPROSYN
2
naproxen
1
naproxen sodium oral capsule
1
naproxen sodium oral tablet
1
naproxen sodium oral tablet, er multiphase 24 hr
1
ORENCIA
2
ORENCIA (WITH MALTOSE)
2
OTEZLA
2
PA
OTEZLA STARTER
2
PA
oxaprozin
1
piroxicam
1
probenecid
1
PROVIL
1
RASUVO (PF) SUBCUTANEOUS AUTO-INJECTOR 15
MG/0.3 ML
2
RHEUMATREX
2
RIDAURA
2
salsalate
1
SIMPONI
2
SIMPONI ARIA
2
16
PA
PA
QL (2 EA per 1 day)
PA
ST; QL (1.2 ML per 28 days)
PA
Drug Name
Tier
Notes
sulindac oral
1
TIVORBEX
2
tolmetin
1
ULORIC
2
VIMOVO ORAL TABLET,IR & DELAY REL,BIPHASIC
375-20 MG
2
ST
VOLTAREN-XR
2
XELJANZ
2
PA
ZORVOLEX
2
ZYLOPRIM
2
ANTIASTHMATICS
ACCOLATE
2
acetylcysteine
1
ADVAIR DISKUS INHALATION BLISTER WITH
DEVICE 100-50 MCG/DOSE, 250-50 MCG/DOSE
2
ADVAIR DISKUS INHALATION BLISTER WITH
DEVICE 500-50 MCG/DOSE
2
ADVAIR HFA
2
QL (12 GM per 30 days)
AEROSPAN
2
QL (17.8 GM per 30 days)
albuterol sulfate inhalation solution for nebulization
1
albuterol sulfate oral
1
ALVESCO
2
aminophylline intravenous
1
aminophylline oral tablet
1
ANORO ELLIPTA
2
ARCAPTA NEOHALER
2
ARNUITY ELLIPTA
2
ASMANEX HFA
2
ASMANEX TWISTHALER INHALATION AEROSOL
POWDR BREATH ACTIVATED 110 MCG (30 DOSES),
220 MCG (120 DOSES), 220 MCG (14 DOSES), 220
MCG (30 DOSES), 220 MCG (60 DOSES)
2
ASTHMANEFRIN REFILL
2
ATROVENT HFA
2
QL (25.8 GM per 28 days)
BREO ELLIPTA
2
BROVANA
2
budesonide inhalation suspension for nebulization 0.25
mg/2 ml, 0.5 mg/2 ml
1
budesonide inhalation suspension for nebulization 1 mg/2
ml
1
COMBIVENT RESPIMAT
2
cromolyn inhalation
1
cromolyn nasal
1
cromolyn oral
1
DULERA
2
DUONEB
2
ST; QL (12.2 GM per 25 days)
17
Drug Name
Tier
Notes
ELIXOPHYLLIN ORAL ELIXIR 80 MG/15 ML
1
FLOVENT DISKUS INHALATION BLISTER WITH
DEVICE 100 MCG/ACTUATION, 50 MCG/ACTUATION
2
FLOVENT DISKUS INHALATION BLISTER WITH
DEVICE 250 MCG/ACTUATION
2
FLOVENT HFA INHALATION HFA AEROSOL
INHALER 110 MCG/ACTUATION
2
ST; QL (12 GM per 30 days)
2
2
FORADIL AEROLIZER
2
GASTROCROM
2
INCRUSE ELLIPTA
2
ipratropium bromide inhalation
1
ipratropium-albuterol
1
levalbuterol hcl
1
LUFYLLIN ORAL TABLET 200 MG
2
metaproterenol oral
1
montelukast
1
PERFOROMIST
2
PROAIR HFA
2
PROAIR RESPICLICK
2
PROVENTIL HFA
2
PULMICORT FLEXHALER
2
PULMICORT INHALATION SUSPENSION FOR
NEBULIZATION 0.25 MG/2 ML, 0.5 MG/2 ML
2
PULMICORT INHALATION SUSPENSION FOR
NEBULIZATION 1 MG/2 ML
2
QVAR
2
racepinephrine
2
S2 RACEPINEPHRINE
2
SEREVENT DISKUS
2
SINGULAIR
2
SPIRIVA RESPIMAT INHALATION MIST 1.25
MCG/ACTUATION
2
SPIRIVA RESPIMAT INHALATION MIST 2.5
MCG/ACTUATION
2
SPIRIVA WITH HANDIHALER
2
QL (1 EA per 1 day)
STIOLTO RESPIMAT
2
STRIVERDI RESPIMAT
2
SYMBICORT
2
terbutaline oral
1
terbutaline subcutaneous
1
THEO-24
2
theophylline in dextrose 5 %
1
18
Drug Name
Tier
theophylline oral solution
1
theophylline oral tablet extended release
1
theophylline oral tablet extended release 12 hr
1
VENTOLIN HFA
2
VOSPIRE ER
2
XOLAIR
2
XOPENEX
2
XOPENEX CONCENTRATE
2
XOPENEX HFA
2
zafirlukast
1
ZYFLO
2
ZYFLO CR
2
Notes
ANTIBIOTICS
ADOXA ORAL CAPSULE
2
AK-POLY-BAC
1
amikacin injection solution 1,000 mg/4 ml, 500 mg/2 ml
1
amoxicillin oral capsule
1
amoxicillin oral suspension for reconstitution
1
amoxicillin oral tablet
1
amoxicillin oral tablet, er multiphase 24 hr
1
amoxicillin oral tablet,chewable 125 mg, 250 mg
1
amoxicillin-pot clavulanate
1
ampicillin
1
ampicillin sodium
1
ampicillin-sulbactam
1
ANTIBIOTIC (BACITRACIN ZINC)
1
ANTIBIOTIC PLUS (PRAMOXINE)
1
AUGMENTIN ES-600
2
AUGMENTIN ORAL SUSPENSION FOR
RECONSTITUTION 125-31.25 MG/5 ML, 250-62.5 MG/5
ML
2
AUGMENTIN ORAL TABLET 500-125 MG, 875-125
MG
2
AUGMENTIN XR
2
AVAR
2
AVAR LS
2
AVAR-E
2
AVAR-E GREEN
2
AVAR-E LS
2
AVELOX
2
AVELOX ABC PACK
2
AVELOX IN NACL (ISO-OSMOTIC)
2
AVYCAZ
2
AZACTAM
2
AZACTAM IN DEXTROSE (ISO-OSM)
2
19
Drug Name
Tier
AZASITE
2
azithromycin
1
aztreonam
1
AZUPHEN MB
1
BACIIM
1
bacitracin
1
bacitracin zinc
1
bacitracin-polymyxin b
1
BACTRIM
2
BACTRIM DS
2
BACTROBAN
2
BACTROBAN NASAL
2
BENZAMYCIN
2
BESIVANCE
2
BETHKIS
2
BIAXIN ORAL SUSPENSION FOR RECONSTITUTION
250 MG/5 ML
2
BIAXIN ORAL TABLET
2
BICILLIN C-R
2
BICILLIN L-A
2
BLEPH-10
1
BLEPHAMIDE
2
BLEPHAMIDE S.O.P.
2
BP 10-1
1
CAPASTAT
2
CAYSTON
2
CEDAX
2
cefaclor oral capsule
1
cefaclor oral suspension for reconstitution 125 mg/5 ml, 250
mg/5 ml, 375 mg/5 ml
1
cefaclor oral tablet extended release 12 hr
1
cefadroxil oral capsule
1
cefadroxil oral suspension for reconstitution 250 mg/5 ml,
500 mg/5 ml
1
cefadroxil oral tablet
1
cefazolin in 0.9% sod chloride intravenous solution
1
cefazolin in dextrose (iso-os) intravenous piggyback 2
gram/50 ml
1
cefazolin in dextrose 5 %
1
cefazolin injection recon soln 1 gram, 10 gram, 20 gram,
500 mg
1
cefazolin intravenous
1
cefdinir
1
cefepime
1
cefepime in dextrose 5 %
2
20
Notes
PA
PA; QL (84 ML per 56 days)
Drug Name
Tier
cefepime in dextrose,iso-osm
2
cefixime
1
cefotaxime injection recon soln 1 gram, 2 gram, 500 mg
1
cefotetan
1
cefotetan in dextrose, iso-osm
1
cefoxitin
1
cefoxitin in dextrose, iso-osm
1
cefpodoxime
1
cefprozil
1
ceftazidime
1
ceftazidime in d5w
2
ceftibuten
1
CEFTIN ORAL SUSPENSION FOR RECONSTITUTION
2
CEFTIN ORAL TABLET 250 MG, 500 MG
2
ceftriaxone in dextrose,iso-os intravenous piggyback 2
gram/50 ml
2
ceftriaxone injection recon soln 1 gram, 10 gram, 2 gram,
250 mg, 500 mg
1
ceftriaxone intravenous recon soln
1
cefuroxime axetil oral tablet
1
cefuroxime sodium injection recon soln 1.5 gram, 750 mg
1
cefuroxime sodium injection recon soln 75 gram
2
cefuroxime sodium intravenous
1
CENTANY
2
CENTANY AT
2
cephalexin
1
chloramphenicol sod succinate
1
CILOXAN
2
CIPRO HC
2
CIPRO IN D5W INTRAVENOUS PIGGYBACK 400
MG/200 ML
2
CIPRO ORAL SUSPENSION,MICROCAPSULE RECON
2
CIPRO ORAL TABLET 250 MG, 500 MG
2
CIPRO XR
2
CIPRODEX
2
ciprofloxacin
1
ciprofloxacin (mixture)
1
ciprofloxacin hcl
1
ciprofloxacin in 5 % dextrose
1
ciprofloxacin lactate
1
CLAFORAN INJECTION
2
CLAFORAN INTRAVENOUS RECON SOLN
2
clarithromycin
1
CLEANSING WASH TOPICAL CLEANSER
1
CLENIA EMOLLIENT
1
Notes
21
Drug Name
Tier
Notes
CLENIA FOAMING WASH
1
CLEOCIN
2
CLEOCIN IN 5 % DEXTROSE
2
CLEOCIN T
2
CLINDACIN ETZ
2
CLINDACIN P
2
CLINDACIN PAC
2
clindamycin hcl
1
clindamycin in 5 % dextrose
1
clindamycin palmitate hcl
1
CLINDAMYCIN PEDIATRIC
1
clindamycin phosphate injection
1
clindamycin phosphate intravenous
1
clindamycin phosphate topical
1
clindamycin phosphate vaginal
1
CLINDESSE
2
colistin (colistimethate na)
1
COLY-MYCIN M PARENTERAL
2
COLY-MYCIN S
2
CORTISPORIN TOPICAL
2
CORTISPORIN-TC
2
CORTOMYCIN
1
CUBICIN
2
cycloserine
1
DALVANCE
2
dapsone
1
demeclocycline oral
1
dicloxacillin
1
DIFICID
2
DORIBAX
2
DORYX ORAL TABLET,DELAYED RELEASE (DR/EC)
150 MG, 50 MG
2
DORYX ORAL TABLET,DELAYED RELEASE (DR/EC)
200 MG
2
DOUBLE ANTIBIOTIC
1
DOUBLE ANTIBIOTIC (B.TRACN ZN)
1
DOXY-100
1
doxycycline hyclate intravenous
1
doxycycline hyclate oral capsule
1
doxycycline hyclate oral tablet 100 mg
1
doxycycline hyclate oral tablet,delayed release (dr/ec)
1
doxycycline monohydrate oral capsule
1
QL (2 EA per 1 day)
doxycycline monohydrate oral capsule,ir & delay
rel,biphase
1
doxycycline monohydrate oral suspension for reconstitution
1
22
Drug Name
Tier
doxycycline monohydrate oral tablet
1
DYNACIN ORAL TABLET 100 MG
2
E.E.S. 400 ORAL TABLET
1
E.E.S. GRANULES
1
ERY PADS
1
ERYGEL
2
ERYPED 200
2
ERYPED 400
2
ERY-TAB ORAL TABLET,DELAYED RELEASE
(DR/EC) 250 MG, 500 MG
1
ERY-TAB ORAL TABLET,DELAYED RELEASE
(DR/EC) 333 MG
2
ERYTHROCIN (AS STEARATE) ORAL TABLET 250
MG
1
ERYTHROCIN INTRAVENOUS RECON SOLN 500 MG
2
erythromycin ethylsuccinate oral tablet
1
erythromycin ophthalmic
1
erythromycin oral capsule,delayed release(dr/ec)
1
erythromycin oral tablet
1
erythromycin with ethanol
1
erythromycin-benzoyl peroxide
1
ethambutol
1
EVOCLIN
2
FLAGYL
2
FORTAZ
2
FORTAZ IN DEXTROSE 5 %
2
FURADANTIN
2
GARAMYCIN
2
gatifloxacin
1
GENTAK OPHTHALMIC OINTMENT
1
gentamicin
1
gentamicin in nacl (iso-osm) intravenous piggyback 100
mg/100 ml, 100 mg/50 ml, 120 mg/100 ml, 60 mg/50 ml, 70
mg/50 ml, 80 mg/100 ml, 80 mg/50 ml, 90 mg/100 ml
1
gentamicin sulfate (ped) (pf)
1
gentamicin sulfate (pf)
1
HIPREX
2
HYOLEV MB
1
ILOTYCIN
2
imipenem-cilastatin
1
INDIOMIN MB
1
INVANZ
2
IQUIX
2
ISONARIF
1
isoniazid
1
Notes
QL (2 EA per 1 day)
23
Drug Name
Tier
Notes
kanamycin
1
KEFLEX ORAL CAPSULE
2
KETEK
2
KITABIS PAK
2
LEVAQUIN IN 5 % DEXTROSE
2
LEVAQUIN ORAL
2
levofloxacin
1
levofloxacin in d5w
1
LINCOCIN
2
linezolid intravenous
1
linezolid oral tablet
1
linezolid-0.9% sodium chloride
1
MACROBID
2
MACRODANTIN
2
mafenide acetate
1
MAXIPIME
2
MAXITROL
2
MEFOXIN IN DEXTROSE (ISO-OSM)
2
meropenem
1
meropenem-0.9% sodium chloride
1
MERREM
2
methenamine hippurate
1
methenamine mandelate
1
METRO I.V.
2
METROGEL VAGINAL
2
metronidazole in nacl (iso-os)
1
metronidazole oral
1
metronidazole vaginal
1
MINOCIN INTRAVENOUS
2
minocycline oral capsule
1
minocycline oral tablet
1
minocycline oral tablet extended release 24 hr
1
MONUROL
2
MORGIDOX
2
MORGIDOX 1X100
2
MORGIDOX 2X100
2
MOXATAG
2
MOXEZA
2
moxifloxacin
1
moxifloxacin-sod.ace,sul-water
1
mupirocin
1
mupirocin calcium
1
MYAMBUTOL
2
MYCOBUTIN
2
24
PA
PA
Drug Name
Tier
Notes
nafcillin
1
nafcillin in dextrose iso-osm
1
NEO-FRADIN
1
neomycin
1
neomycin-bacitracin-poly-hc
1
neomycin-bacitracin-polymyxin
1
neomycin-polymyxin b-dexameth
1
neomycin-polymyxin-gramicidin
1
neomycin-polymyxin-hc
1
NEO-POLYCIN HC
1
NEOSPORIN (NEO-POLYM-GRAMICID)
2
NEO-SYNALAR
2
ST
NEO-SYNALAR KIT
2
ST
nitrofurantoin macrocrystal
1
nitrofurantoin monohyd/m-cryst
1
nitrofurantoin oral
1
NUVESSA
2
OCUFLOX
2
ofloxacin
1
ORACEA
2
ORBACTIV
2
oxacillin
1
oxacillin in dextrose(iso-osm)
1
PASER
2
PCE
2
penicillin g pot in dextrose
1
penicillin g potassium
1
penicillin g procaine
1
penicillin g sodium
1
penicillin v potassium
1
PFIZERPEN-G
1
piperacillin-tazobactam
1
POLYCIN
1
polymyxin b sulfate
1
polymyxin b sulf-trimethoprim
1
POLYTRIM
2
PRASCION
1
PRASCION FC
1
PRASCION RA
1
PRED-G
2
PRED-G S.O.P.
2
PRIFTIN
2
PRIMAXIN IV
2
PRIMSOL
2
25
Drug Name
Tier
PROQUIN XR
2
pyrazinamide
1
QUIXIN
2
rifabutin
1
RIFADIN
2
RIFAMATE
2
rifampin intravenous
1
rifampin oral
1
RIFATER
2
ROCEPHIN INJECTION RECON SOLN 1 GRAM
2
ROSANIL
2
ROSULA
2
ROSULA CLEANSING CLOTHS
2
SEROMYCIN
2
SILVADENE
2
silver sulfadiazine
1
SIRTURO
2
SIVEXTRO INTRAVENOUS
2
SIVEXTRO ORAL
2
PA
SOLODYN ORAL TABLET EXTENDED RELEASE 24
HR 105 MG, 115 MG, 55 MG, 65 MG, 80 MG
2
SSD
1
SSS 10-5 TOPICAL CREAM
1
streptomycin intramuscular
1
sulfacetamide sodium ophthalmic
1
sulfacetamide sodium-sulfur topical cleanser
1
sulfacetamide sodium-sulfur topical cream 10-2 %, 10-5 %
(w/w)
1
sulfacetamide sodium-sulfur topical lotion 10-5 % (w/v),
10-5 % (w/w)
1
sulfacetamide sodium-sulfur topical pads, medicated
1
sulfacetamide sodium-sulfur topical suspension
1
sulfacetamide sod-sulfur-urea topical cleanser
1
sulfacetamide-prednisolone
1
sulfacetamide-sulfur-cleansr23
1
SULFACLEANSE 8-4
1
sulfact na-sul-avobnz-otn-ocsa
1
sulfadiazine oral
1
sulfamethoxazole-trimethoprim
1
SULFAMIDE
1
SULFAMYLON
2
SULFATRIM
1
SUMADAN
2
SUMADAN XLT
2
SUMAXIN
2
26
Notes
PA
Drug Name
Tier
Notes
SUMAXIN CP
2
SUMAXIN TS
2
SUPRAX
2
SYNERCID
2
TAZICEF
1
TEFLARO
2
tetracycline
1
THALOMID
2
TOBI
2
PA; QL (5 ML per 1 day)
TOBI PODHALER
2
PA
TOBRADEX
2
TOBRADEX ST
2
tobramycin
1
tobramycin in 0.225 % nacl
1
tobramycin in 0.9 % nacl intravenous piggyback 80 mg/100
ml
1
tobramycin sulfate
1
tobramycin-dexamethasone
1
TOBREX
2
TRECATOR
2
trimethoprim
1
TRIOXIN
2
TRIPLE ANTIBIOTIC (PRAM) EXTRA
1
TRIPLE ANTIBIOTIC PLUS
1
TRIPLE ANTIBIOTIC TOPICAL OINTMENT
1
TRIPLE ANTIBIOTIC TOPICAL OINTMENT IN
PACKET
1
TYGACIL
2
UNASYN
2
UR N-C
1
URAMIT MB
1
URELLE
2
URIMAR-T
1
URIN DS
2
UROGESIC-BLUE
1
URO-L
1
UROLET MB
1
UROPHEN MB
1
UTIRA-C
2
VANCOCIN
2
vancomycin in 0.9% sodium cl intravenous solution 1.25
gram/250 ml, 1.5 gram/250 ml
1
vancomycin in d5w intravenous piggyback
1
vancomycin in d5w intravenous solution 1.5 gram/250 ml
1
vancomycin in dextrose iso-osm
1
27
Drug Name
Tier
vancomycin intravenous
1
vancomycin oral
1
VANDAZOLE
2
VIBATIV
2
VIBRAMYCIN ORAL CAPSULE 100 MG
2
VIBRAMYCIN ORAL SUSPENSION FOR
RECONSTITUTION
2
VIBRAMYCIN ORAL SYRUP
2
VIGAMOX
2
VIRTI-SULF
1
XIFAXAN ORAL TABLET 200 MG
2
XIFAXAN ORAL TABLET 550 MG
2
ZERBAXA
2
ZINACEF
2
ZINACEF IN STERILE WATER
2
ZITHROMAX
2
ZITHROMAX TRI-PAK
2
ZITHROMAX Z-PAK
2
ZMAX
2
ZOSYN
2
ZOSYN IN DEXTROSE (ISO-OSM)
2
ZYLET
2
ZYMAXID
2
ZYVOX INTRAVENOUS
2
ZYVOX ORAL SUSPENSION FOR RECONSTITUTION
2
ZYVOX ORAL TABLET
2
Notes
QL (2 EA per 1 day)
PA
ANTICOAGULANTS
ANGIOMAX
2
argatroban
2
argatroban in 0.9 % sod chlor
2
argatroban in nacl (iso-os)
2
ARIXTRA SUBCUTANEOUS SYRINGE 10 MG/0.8 ML
2
ARIXTRA SUBCUTANEOUS SYRINGE 2.5 MG/0.5 ML
2
ARIXTRA SUBCUTANEOUS SYRINGE 5 MG/0.4 ML
2
ARIXTRA SUBCUTANEOUS SYRINGE 7.5 MG/0.6 ML
2
bivalirudin
1
COUMADIN
2
ELIQUIS ORAL TABLET 2.5 MG
2
ELIQUIS ORAL TABLET 5 MG
2
enoxaparin subcutaneous solution
1
enoxaparin subcutaneous syringe 100 mg/ml, 150 mg/ml
1
enoxaparin subcutaneous syringe 120 mg/0.8 ml, 80 mg/0.8
ml
1
enoxaparin subcutaneous syringe 30 mg/0.3 ml
1
28
Drug Name
Tier
Notes
1
1
fondaparinux subcutaneous syringe 10 mg/0.8 ml
1
fondaparinux subcutaneous syringe 2.5 mg/0.5 ml
1
fondaparinux subcutaneous syringe 5 mg/0.4 ml
1
fondaparinux subcutaneous syringe 7.5 mg/0.6 ml
1
FRAGMIN SUBCUTANEOUS SOLUTION
2
QL (7.6 ML per 30 days)
FRAGMIN SUBCUTANEOUS SYRINGE 10,000
ANTI-XA UNIT/ML
2
ANTI-XA UNIT/0.5 ML
2
ANTI-XA UNIT/0.6 ML
2
ANTI-XA UNIT/0.72 ML
2
ANTI-XA UNIT/0.2 ML, 5,000 ANTI-XA UNIT/0.2 ML
2
ANTI-XA UNIT/0.3 ML
2
HEP FLUSH-10 (PF)
1
heparin (porcine) in 5 % dex
1
heparin (porcine) in nacl (pf) intravenous parenteral
solution 1,000 unit/500 ml, 2,000 unit/1,000 ml
1
heparin (porcine) injection cartridge
1
heparin (porcine) injection solution
1
heparin(porcine) in 0.45% nacl intravenous parenteral
solution 12,500 unit/250 ml, 25,000 unit/500 ml
2
heparin, porcine (pf) injection
1
heparin, porcine (pf) intravenous solution
1
INNOHEP
2
IPRIVASK
2
JANTOVEN
1
LOVENOX SUBCUTANEOUS SOLUTION
2
LOVENOX SUBCUTANEOUS SYRINGE 100 MG/ML,
150 MG/ML
2
LOVENOX SUBCUTANEOUS SYRINGE 120 MG/0.8
ML, 80 MG/0.8 ML
2
LOVENOX SUBCUTANEOUS SYRINGE 30 MG/0.3 ML
2
2
2
PRADAXA ORAL CAPSULE 75 MG
2
SAVAYSA ORAL TABLET 15 MG
2
warfarin
1
XARELTO ORAL TABLET 10 MG, 20 MG
2
QL (1 EA per 1 day)
XARELTO ORAL TABLETS,DOSE PACK
2
2
ANTIDOTES
EVZIO
29
Drug Name
Tier
MOVANTIK
2
naloxone
1
naltrexone oral
1
RELISTOR
2
ANTIFUNGALS
3 DAY VAGINAL
1
3-DAY VAGINAL
1
ABELCET
2
ALEVAZOL
2
ALOE VESTA ANTIFUNGAL (MICON)
1
AMBISOME
2
AMPHOTEC
2
amphotericin b
1
ANCOBON
2
ANTIFUNGAL (CLOTRIMAZOLE)
1
ANTIFUNGAL (TOLNAFTATE) TOPICAL CREAM
1
ANTIFUNGAL (TOLNAFTATE) TOPICAL POWDER
1
ANTIFUNGAL CREAM
1
ANTIFUNGAL SPRAY
1
ANTIFUNGAL TOPICAL SOLUTION
1
ATHLETE'S FOOT (CLOTRIMAZOLE)
1
ATHLETE'S FOOT (TERBINAFINE)
1
ATHLETE'S FOOT (TOLNAFTATE) TOPICAL
AEROSOL,SPRAY
1
ATHLETE'S FOOT AF
1
BAZA ANTIFUNGAL
1
BENSAL HP TOPICAL OINTMENT 3-6 %
2
CANCIDAS
2
CICLODAN
2
CICLODAN KIT
2
ciclopirox
1
ciclopirox-ure-camph-menth-euc
1
ciclopirox-vite-nail lacq remo
1
CLOTRIMAZOLE 3 DAY
1
clotrimazole mucous membrane
1
clotrimazole topical
1
clotrimazole vaginal cream
1
CLOTRIMAZOLE-3
1
clotrimazole-betamethasone
1
CNL 8 NAIL
2
CRESEMBA
2
CRITIC-AID CLEAR AF
1
CRUEX PRESCRIPTION STRENGTH
1
DERMAFUNGAL
1
30
Notes
QL (1 EA per 1 day)
PA
Drug Name
Tier
Notes
DESENEX TOPICAL POWDER
1
DIFLUCAN
2
econazole topical
1
ERAXIS(WATER DILUENT)
2
ERTACZO
2
EXELDERM
2
EXTINA
2
fluconazole
1
fluconazole in dextrose(iso-o)
1
fluconazole in nacl (iso-osm) intravenous piggyback 200
mg/100 ml, 400 mg/200 ml
1
flucytosine
1
FUNGOID TINCTURE
2
FUNGOID-D
1
griseofulvin microsize
1
griseofulvin ultramicrosize
1
GRIS-PEG (ULTRAMICROSIZE)
2
GYNAZOLE-1
2
INZO ANTIFUNGAL
1
itraconazole
1
JOCK ITCH
1
JUBLIA
2
PA
KERYDIN
2
PA
ketoconazole
1
KETODAN
1
KETODAN KIT
2
LAMISIL (AEROSOL)
2
LAMISIL AF DEFENSE
1
LAMISIL AF TOPICAL AEROSOL POWDER
1
LAMISIL AT
2
LAMISIL ORAL
2
LOPROX TOPICAL SHAMPOO
2
LOTRISONE TOPICAL CREAM
2
LUZU
2
MENTAX
2
MICONAZOLE 7
1
miconazole nitrate topical
1
miconazole nitrate vaginal
1
MICONAZOLE-3
1
MICONAZORB AF
1
MICRO-GUARD
1
MYCAMINE
2
naftifine
1
NAFTIN
2
31
Drug Name
Tier
NATACYN
2
NIZORAL TOPICAL SHAMPOO
2
NOXAFIL
2
NYAMYC
1
nystatin oral suspension
1
nystatin oral tablet
1
nystatin topical
1
nystatin-triamcinolone
1
NYSTOP
1
ONMEL
2
ORAVIG
2
OXISTAT
2
PEDIADERM AF
2
PENLAC
2
REMEDY ANTIFUNGAL
1
REMEDY PHYTOPLEX ANTIFUNGAL
1
SECURA ANTIFUNGAL
1
SECURA ANTIFUNGAL EXTRA THICK
1
SPORANOX
2
SPORANOX PULSEPAK
2
TERAZOL 3
2
TERAZOL 7
2
terbinafine hcl
1
terconazole
1
tioconazole
1
TIOCONAZOLE-1
1
tolnaftate topical cream
1
tolnaftate topical powder
1
tolnaftate topical solution
1
VAGISTAT-1
1
VAGISTAT-3
1
VFEND
2
VFEND IV
2
voriconazole
1
VUSION
2
ZEASORB (MICONAZOLE)
1
ANTIHISTAMINE AND DECONGESTANT
COMBINATION
ALA-HIST PE
2
ALL DAY ALLERGY-D
1
ALLEGRA-D 12 HOUR
2
ALLEGRA-D 24 HOUR
2
ALLERCLEAR D-12HR
1
ALLERCLEAR D-24HR
1
32
Notes
Drug Name
Tier
ALLERFED COLD & ALLERGY
1
ALLERGY & CONGESTION RELIEF
1
ALLERGY COMPLETE-D
1
ALLERGY D-12
1
ALLERGY RELIEF & NASAL DECONGE
1
ALLERGY RELIEF D-24
1
APRODINE
1
BROHIST D
1
BROTAPP
1
BROVEX PEB
2
BROVEX PSB ORAL LIQUID 4-20 MG/5 ML
2
cetirizine-pseudoephedrine
1
CHILD DELSYM NIGHTTIME C-C
1
CHILD TRIAMINIC COLD & ALLERGY
1
CHILDREN'S COLD-ALLERGY (PE)
1
CHILDS TRIACTING COLD & COUGH
1
CLARINEX-D 12 HOUR
2
COLD & ALLERGY ORAL SOLUTION
1
COLD & ALLERGY ORAL TABLET 4-10 MG
1
COLD & ALLERGY PE
1
CONEX ORAL SOLUTION
2
CONEX ORAL TABLET
1
DALLERGY (CHLORCYCLIZINE-PE) ORAL LIQUID
2
DALLERGY (CHLORCYCLIZINE-PE) ORAL
TABLET,CHEWABLE
2
DALLERGY (CHLORPHENIRAMINE-PE) ORAL
DROPS 1-2.5 MG/ML
1
DALLERGY (DEXBROMPHENIRAMN-PE)
2
DELSYM NIGHT TIME COUGH & COLD
1
DIMAPHEN (PE)
1
ED A-HIST
1
ED A-HIST PSE
1
ED CHLORPED D
2
fexofenadine-pseudoephedrine
1
HISTEX PE
1
J-TAN D PD
1
LODRANE D
2
LOHIST - D
1
LOHIST-PEB
1
LORATA-DINE D
1
LORATADINE-D
1
LORTUSS LQ
2
NASOPEN PE
2
NOHIST-LQ
1
Notes
33
Drug Name
Tier
POLY HIST FORTE (DOXYLAMINE)
2
POLY HIST PD
2
PROMETHAZINE VC
1
promethazine-phenylephrine
1
pyrilamine-phenylephrine
1
Q-TAPP
1
RESCON
2
RU-HIST D
1
RU-HIST-D (WITH PYRILAMINE) ORAL LIQUID
2
RU-HIST-D (WITH PYRILAMINE) ORAL TABLET
1
RYMED (DEXCHLORPHENIRAMINE-PE)
2
RYNEX PE
1
RYNEX PSE
1
SEMPREX-D
2
SILAFED
1
SINUS & ALLERGY PE
1
SINUS & ALLERGY(PHENYLEPHRINE)
1
STAHIST AD
2
SUDOGEST COLD & ALLERGY
1
SUDOGEST SINUS & ALLERGY
1
TRIAMINIC
2
TRIAMINIC COLD & COUGH NT (PE)
2
TRIAMINIC COLD- ALLERGY PE
2
Notes
ANTIHISTAMINES
AHIST (CHLORCYCLIZINE)
2
ALA-HIST IR
1
ALAWAY
1
ALL DAY ALLERGY (CETIRIZINE)
1
ALLEGRA ORAL SUSPENSION
2
ALLER-CHLOR
1
ALLER-EASE
1
ALLER-G-TIME
1
ALLERGY (CHLORPHENIRAMINE)
1
ALLERGY (DIPHENHYDRAMINE) ORAL CAPSULE
1
ALLERGY (DIPHENHYDRAMINE) ORAL TABLET
1
ALLERGY 4-HOUR
1
ALLERGY EYE (KETOTIFEN)
1
ALLERGY MEDICINE ORAL CAPSULE
1
ALLERGY MEDICINE ORAL TABLET
1
ALLERGY RELIEF (CETIRIZINE) ORAL TABLET
1
ALLERGY RELIEF (CLEMASTINE)
1
ALLERGY RELIEF (FEXOFENADINE) ORAL TABLET
180 MG
1
ALLERGY RELIEF (LORATADINE)
1
34
Drug Name
Tier
Notes
ALLERGY RELIEF(CHLORPHENIRAMN)
1
ALLERGY RELIEF(DIPHENHYDRAMIN) ORAL
LIQUID
1
ALLERGY RELIEF(DIPHENHYDRAMIN) ORAL
TABLET
1
ALLERGY-TIME
1
ALLERHIST-1
1
ARBINOXA
1
azelastine ophthalmic
1
BANOPHEN
1
BANOPHEN ALLERGY
1
BEPREVE
2
carbinoxamine maleate
1
cetirizine oral solution 1 mg/ml
1
cetirizine oral tablet
1
cetirizine oral tablet,chewable
1
CHILD ALLERGY RELF(CETIRIZINE) ORAL
SOLUTION
1
CHILDREN'S ALAWAY
1
CHILDREN'S ALLERGY (DIPHENHYD) ORAL LIQUID
1
CHILDREN'S ALLERGY COMPLETE
1
CHILDREN'S ALLERGY MEDICINE
1
CHILDREN'S CETIRIZINE
1
CHILD'S ALL DAY ALLERGY(CETIR)
1
chlorpheniramine maleate oral tablet
1
chlorpheniramine maleate oral tablet extended release
1
CLARINEX ORAL SYRUP
2
ST; QL (10 ML per 1 day)
CLARINEX ORAL TABLET
2
QL (1 EA per 1 day)
clemastine oral
1
COMPLETE ALLERGY MEDICINE
1
COMPLETE ALLERGY ORAL CAPSULE
1
COMPLETE ALLERGY ORAL LIQUID
1
cyproheptadine
1
DAYHIST ALLERGY
1
desloratadine oral tablet
1
QL (1 EA per 1 day)
desloratadine oral tablet,disintegrating
1
dexchlorpheniramine maleate
1
DIPHEDRYL
1
DIPHENHIST
1
diphenhydramine hcl injection solution 50 mg/ml
1
diphenhydramine hcl injection syringe
1
diphenhydramine hcl oral capsule
1
ED CHLORPED JR
1
ED-CHLORPED
1
ED-CHLORTAN
1
35
Drug Name
Tier
ELESTAT
2
EMADINE
2
epinastine
1
EYE ITCH RELIEF
1
fexofenadine oral suspension
1
fexofenadine oral tablet 180 mg, 60 mg
1
HISTEX (TRIPROLIDINE)
2
HISTEX PD
2
hydroxyzine hcl intramuscular
1
hydroxyzine hcl oral solution 10 mg/5 ml
1
hydroxyzine hcl oral tablet
1
hydroxyzine pamoate oral capsule 100 mg
1
ITCHY EYE DROPS
1
J-TAN PD
2
KARBINAL ER
2
ketotifen fumarate
1
LASTACAFT
2
levocetirizine oral solution
1
levocetirizine oral tablet
1
loratadine
1
MUCINEX ALLERGY
1
NON-DROWSY ALLERGY
1
OPTIVAR
2
PATADAY
2
PATANOL
2
PAZEO
2
PEDIAVENT
2
PHARBEDRYL
1
PHENERGAN INJECTION
2
promethazine injection
1
promethazine oral
1
Q-DRYL
1
QUENALIN
1
SILADRYL SA
1
SILPHEN COUGH
1
TRIAMINIC ALLERGY
2
TRIAMINIC COUGH/RUNNY NOSE
2
VALU-DRYL ALLERGY ORAL CAPSULE
1
VANAHIST PD
2
VICKS QLEARQUIL ALLERGY
1
VICKS QLEARQUIL NIGHTTIME RLF
1
VISTARIL
2
WAL-ITIN ORAL TABLET,DISINTEGRATING
1
XYZAL ORAL TABLET
2
36
Notes
ST; QL (10 ML per 1 day)
ST; QL (2.5 ML per 30 days)
Drug Name
ZADITOR
Tier
Notes
2
ANTIHYPERGLYCEMICS
acarbose
1
ACTOPLUS MET XR
2
ACTOS
2
AFREZZA INHALATION CARTRIDGE,
W/INHALATION DEVICE 4 UNIT
2
W/INHALATION DEVICE 4 UNIT (30)/ 8 UNIT (60), 4
UNIT (60)/ 8 UNIT (30)
2
W/INHALATION DEVICE 8 UNIT (60)/ 12 UNIT (30)
2
AMARYL
2
APIDRA
2
APIDRA SOLOSTAR
2
AVANDAMET
2
ST
AVANDARYL
2
ST
AVANDIA
2
ST
BYDUREON SUBCUTANEOUS PEN INJECTOR
2
chlorpropamide
1
CYCLOSET
2
DIABETA
2
DUETACT
2
ST
FARXIGA ORAL TABLET 5 MG
2
FORTAMET
2
ST
glimepiride
1
glipizide
1
glipizide-metformin
1
GLUCOPHAGE
2
GLUCOPHAGE XR
2
GLUCOTROL
2
GLUCOTROL XL
2
GLUCOVANCE
2
GLUMETZA
2
glyburide
1
glyburide micronized
1
glyburide-metformin
1
GLYNASE
2
GLYSET
2
GLYXAMBI
2
HUMALOG KWIKPEN SUBCUTANEOUS INSULIN
PEN 100 UNIT/ML
2
HUMALOG KWIKPEN SUBCUTANEOUS INSULIN
PEN 200 UNIT/ML (3 ML)
2
HUMALOG MIX 50-50
2
ST
ST
ST
37
Drug Name
Tier
Notes
HUMALOG MIX 50-50 KWIKPEN
2
HUMALOG MIX 75-25
2
HUMALOG MIX 75-25 KWIKPEN
2
HUMALOG SUBCUTANEOUS CARTRIDGE
2
HUMALOG SUBCUTANEOUS SOLUTION
2
HUMULIN 70/30
2
HUMULIN 70/30 KWIKPEN
2
HUMULIN 70/30 PEN
2
HUMULIN N
2
HUMULIN N KWIKPEN
2
HUMULIN N PEN
2
HUMULIN R
2
HUMULIN R U-500 (CONCENTRATED)
2
INVOKAMET
2
INVOKANA
2
JANUMET
2
QL (2 EA per 1 day)
JANUMET XR ORAL TABLET, ER MULTIPHASE 24
HR 100-1,000 MG
2
QL (1 EA per 1 day)
JANUMET XR ORAL TABLET, ER MULTIPHASE 24
HR 50-1,000 MG, 50-500 MG
2
QL (2 EA per 1 day)
JANUVIA
2
QL (1 EA per 1 day)
JENTADUETO
2
QL (2 EA per 1 day)
KAZANO
2
KOMBIGLYZE XR ORAL TABLET, ER MULTIPHASE
24 HR 2.5-1,000 MG
2
KOMBIGLYZE XR ORAL TABLET, ER MULTIPHASE
24 HR 5-1,000 MG, 5-500 MG
2
KORLYM
2
LANTUS
2
LANTUS SOLOSTAR
2
LEVEMIR
2
LEVEMIR FLEXPEN
2
LEVEMIR FLEXTOUCH
2
metformin oral tablet
1
metformin oral tablet extended release 24 hr
1
metformin oral tablet extended release 24hr
1
nateglinide
1
NESINA
2
NOVOLIN 70/30
2
NOVOLIN N
2
NOVOLIN R
2
NOVOLOG
2
NOVOLOG FLEXPEN
2
NOVOLOG MIX 70-30
2
NOVOLOG MIX 70-30 FLEXPEN
2
38
ST
Drug Name
Tier
Notes
NOVOLOG PENFILL
2
ONGLYZA
2
OSENI
2
pioglitazone
1
PRANDIMET
2
PRANDIN
2
PRECOSE
2
repaglinide
1
RIOMET
2
STARLIX
2
SYMLINPEN 120
2
SYMLINPEN 60
2
SYNJARDY
2
tolazamide
1
tolbutamide
1
TOUJEO SOLOSTAR
2
TRADJENTA
2
QL (1 EA per 1 day)
TRULICITY
2
VICTOZA 2-PAK
2
VICTOZA 3-PAK
2
XIGDUO XR
2
ANTIINFECTIVES/MISCELLANEOUS
ALBENZA
2
ALCOHOL-BENZOCAINE
1
ALINIA
2
atovaquone
1
atovaquone-proguanil
1
BILTRICIDE
2
chloroquine phosphate oral
1
COARTEM
2
COLD SORE TREATMENT TOPICAL SOLUTION
1
DARAPRIM
2
FEM PH
2
formaldehyde
1
GLYCINE UROLOGIC
2
hydroxychloroquine oral
1
isopropyl alcohol topical spray,non-aerosol
2
isopropyl alcohol-benzocaine
1
ivermectin oral
1
MALARONE
2
MALARONE PEDIATRIC
2
mefloquine
1
MEPRON
2
NEBUPENT
2
39
Drug Name
Tier
PAIN RELIEF ALCOHOL-BENZOCAINE
1
paromomycin
1
PENTAM
2
PLAQUENIL
2
primaquine
2
QUALAQUIN
2
quinine sulfate
1
STROMECTOL
2
sulfur
2
SUMMER'S EVE DOUCHE
2
TINDAMAX
2
tinidazole
1
Notes
ANTIINFECTIVES
AVC VAGINAL
2
ANTINEOPLASTICS
ABRAXANE
2
ACTIMMUNE
2
ADCETRIS
2
ADRUCIL
1
AFINITOR DISPERZ
2
PA
AFINITOR ORAL TABLET 10 MG, 2.5 MG, 5 MG
2
AFINITOR ORAL TABLET 7.5 MG
2
PA
ALIMTA
2
ALKERAN
2
anastrozole
1
ARIMIDEX
2
AROMASIN
2
ARRANON
2
ARZERRA
2
AVASTIN
2
azacitidine
1
BELEODAQ
2
bexarotene
1
bicalutamide
1
BICNU
2
bleomycin
1
BLINCYTO
2
BOSULIF ORAL TABLET 100 MG
2
BOSULIF ORAL TABLET 500 MG
2
BUSULFEX
2
CAMPATH
2
CAMPTOSAR
2
capecitabine oral tablet 150 mg
1
capecitabine oral tablet 500 mg
1
40
PA
PA
Drug Name
Tier
Notes
CAPRELSA ORAL TABLET 100 MG
2
CAPRELSA ORAL TABLET 300 MG
2
CARAC
2
carboplatin intravenous solution
1
CASODEX
2
CEENU ORAL CAPSULE 10 MG, 40 MG
2
cisplatin
1
cladribine
1
CLOLAR
2
COMETRIQ
2
COSMEGEN
2
cyclophosphamide intravenous
1
cyclophosphamide oral capsule
2
cyclophosphamide oral tablet
1
CYRAMZA
2
cytarabine
1
cytarabine (pf) injection solution
1
dacarbazine
1
DACOGEN
2
daunorubicin intravenous solution
1
DAUNOXOME
2
decitabine
1
DEPOCYT (PF)
2
diclofenac sodium topical gel
1
DOCEFREZ INTRAVENOUS RECON SOLN 20 MG
2
docetaxel intravenous solution 10 mg/ml
2
docetaxel intravenous solution 140 mg/7 ml (20 mg/ml),
160 mg/16 ml (10 mg/ml), 160 mg/8 ml (20 mg/ml), 20
mg/2 ml (10 mg/ml), 20 mg/2 ml (final), 20 mg/ml (1 ml),
80 mg/4 ml (20 mg/ml), 80 mg/8 ml (10 mg/ml), 80 mg/8
ml (final)
1
DOXIL
2
doxorubicin
1
doxorubicin, peg-liposomal
1
EFUDEX TOPICAL CREAM
2
ELIGARD
2
ELLENCE
2
ELOXATIN INTRAVENOUS SOLUTION 100 MG/20
ML, 50 MG/10 ML (5 MG/ML)
2
EMCYT
2
epirubicin intravenous solution
1
ERBITUX
2
ERIVEDGE
2
ERWINAZE
2
ETOPOPHOS
2
PA; QL (100 GM per 1 FILL)
PA
41
Drug Name
Tier
Notes
etoposide
1
exemestane
1
PA
FARESTON
2
PA
FARYDAK
2
PA
FASLODEX
2
FEMARA
2
FIRMAGON KIT W DILUENT SYRINGE
SUBCUTANEOUS RECON SOLN 120 MG
2
FIRMAGON KIT W DILUENT SYRINGE
SUBCUTANEOUS RECON SOLN 80 MG
2
floxuridine
1
fludarabine
1
fluorouracil
1
flutamide
1
FOLOTYN
2
GAZYVA
2
gemcitabine
1
GEMZAR
2
GILOTRIF
2
PA
GLEEVEC
2
GLEOSTINE ORAL CAPSULE 10 MG, 100 MG, 40 MG
2
GLIADEL WAFER
2
HALAVEN
2
HERCEPTIN
2
HEXALEN
2
HYCAMTIN
2
HYDREA
2
hydroxyurea
1
IBRANCE
2
PA
ICLUSIG ORAL TABLET 15 MG
2
ICLUSIG ORAL TABLET 45 MG
2
IDAMYCIN PFS
2
idarubicin
1
IFEX
2
ifosfamide
1
IMBRUVICA
2
PA
INLYTA ORAL TABLET 1 MG
2
INLYTA ORAL TABLET 5 MG
2
INTRON A INJECTION
2
PA
IRESSA
2
irinotecan
1
ISTODAX
2
IXEMPRA
2
JAKAFI
2
42
Drug Name
Tier
JEVTANA
2
KADCYLA
2
KEYTRUDA
2
KYPROLIS
2
LENVIMA
2
letrozole
1
LEUKERAN
2
leuprolide subcutaneous kit
1
LIPODOX
1
LIPODOX 50
1
lomustine
1
LUPRON DEPOT (3 MONTH) INTRAMUSCULAR
SYRINGE KIT 22.5 MG
2
LUPRON DEPOT (4 MONTH)
2
LUPRON DEPOT (6 MONTH)
2
LUPRON DEPOT INTRAMUSCULAR SYRINGE KIT
7.5 MG
2
LYNPARZA
2
LYSODREN
2
MARQIBO
2
MATULANE
2
megestrol oral tablet
1
MEKINIST
2
melphalan hcl
1
mercaptopurine
1
methotrexate sodium
1
methotrexate sodium (pf)
1
mitomycin
1
mitoxantrone
1
MUSTARGEN
2
MYLERAN
2
NAVELBINE
2
NEXAVAR
2
NILANDRON
2
NIPENT
2
ODOMZO
2
ONCASPAR
2
ONTAK
2
OPDIVO
2
oxaliplatin
1
paclitaxel
1
PANRETIN
2
PERJETA
2
PICATO TOPICAL GEL 0.015 %
2
Notes
PA
PA
43
Drug Name
Tier
Notes
PICATO TOPICAL GEL 0.05 %
2
POMALYST
2
PA
PROLEUKIN
2
PURIXAN
2
ST
REVLIMID
2
RITUXAN
2
SOLARAZE
2
SOLTAMOX
2
SPRYCEL ORAL TABLET 100 MG, 140 MG, 50 MG, 70
MG, 80 MG
2
SPRYCEL ORAL TABLET 20 MG
2
STIVARGA
2
SUTENT
2
SYLATRON
2
SYLATRON 4-PACK SUBCUTANEOUS KIT 200 MCG,
300 MCG
2
SYLVANT
2
SYNRIBO
2
TABLOID
2
TAFINLAR
2
tamoxifen
1
TARCEVA
2
TARGRETIN
2
PA
TASIGNA
2
TAXOTERE INTRAVENOUS SOLUTION 20 MG/ML (1
ML), 80 MG/4 ML (20 MG/ML)
2
TEMODAR INTRAVENOUS
2
TEMODAR ORAL
2
PA
temozolomide
1
PA
teniposide
1
thiotepa
1
TOLAK
2
TOPOSAR
1
topotecan
1
TORISEL
2
TREANDA
2
TRELSTAR
2
TRELSTAR DEPOT
2
TRELSTAR LA
2
tretinoin (chemotherapy)
1
TREXALL
2
TRISENOX
2
TYKERB
2
UNITUXIN
2
VALCHLOR
2
44
PA; QL (100 GM per 1 FILL)
PA
PA
PA
PA
Drug Name
Tier
Notes
VALSTAR
2
vandetanib oral tablet 100 mg
2
vandetanib oral tablet 300 mg
2
VANTAS
2
VECTIBIX
2
VELCADE
2
VIDAZA
2
vinblastine intravenous solution
1
VINCASAR PFS
1
vincristine
1
vinorelbine
1
VOTRIENT
2
XALKORI
2
XELODA ORAL TABLET 150 MG
2
XELODA ORAL TABLET 500 MG
2
XTANDI
2
YERVOY
2
ZALTRAP
2
ZANOSAR
2
ZELBORAF
2
ZEVALIN (Y-90)
2
ZOLADEX
2
ZOLINZA
2
ZYDELIG
2
PA
ZYKADIA
2
PA
ZYTIGA
2
ANTIPARKINSON DRUGS
amantadine hcl
1
APOKYN
2
AZILECT
2
QL (1 EA per 1 day)
benztropine
1
bromocriptine
1
carbidopa
1
carbidopa-levodopa
1
carbidopa-levodopa-entacapone
1
COMTAN
2
DUOPA
2
ELDEPRYL
2
entacapone
1
LODOSYN
2
MIRAPEX
2
MIRAPEX ER ORAL TABLET EXTENDED RELEASE
24 HR 1.5 MG, 2.25 MG, 3 MG, 3.75 MG, 4.5 MG
2
NEUPRO
2
PA
45
Drug Name
Tier
Notes
PARCOPA
2
pramipexole oral tablet
1
pramipexole oral tablet extended release 24 hr 1.5 mg, 3
mg, 4.5 mg
1
REQUIP
2
REQUIP XL
2
ropinirole oral tablet
1
RYTARY
2
selegiline hcl
1
SINEMET
2
SINEMET CR
2
STALEVO 100
2
STALEVO 125
2
STALEVO 150
2
STALEVO 200
2
STALEVO 50
2
STALEVO 75
2
TASMAR ORAL TABLET 100 MG
2
tolcapone
1
trihexyphenidyl
1
ZELAPAR
2
QL (2 EA per 1 day)
ANTIPLATELET DRUGS
AGGRASTAT IN SODIUM CHLORIDE
2
AGGRENOX
2
AGRYLIN
2
anagrelide
1
aspirin-dipyridamole
1
BRILINTA
2
cilostazol
1
clopidogrel oral tablet 300 mg
1
clopidogrel oral tablet 75 mg
1
dipyridamole oral
1
EFFIENT
2
INTEGRILIN
2
KENGREAL
2
PERSANTINE
2
PLAVIX ORAL TABLET 300 MG
2
PLAVIX ORAL TABLET 75 MG
2
PLETAL
2
REOPRO
2
ticlopidine
1
ZONTIVITY
2
QL (1 EA per 1 day)
1
QL (2 EA per 1 day)
QL (1 EA per 1 day)
ANTIVIRALS
abacavir
46
Drug Name
Tier
Notes
abacavir-lamivudine-zidovudine
1
ABREVA
2
acyclovir oral capsule
1
acyclovir oral suspension 200 mg/5 ml
1
acyclovir oral tablet
1
acyclovir sodium intravenous recon soln 500 mg
1
acyclovir sodium intravenous solution
1
acyclovir topical
1
adefovir
1
APTIVUS
2
ATRIPLA
2
BARACLUDE
2
cidofovir
1
COMBIVIR
2
COMPLERA
2
COPEGUS
2
CRIXIVAN ORAL CAPSULE 200 MG, 400 MG
2
CYTOVENE
2
DAKLINZA
2
DENAVIR
2
didanosine oral capsule,delayed release(dr/ec) 125 mg, 200
mg
1
didanosine oral capsule,delayed release(dr/ec) 250 mg, 400
mg
1
EDURANT
2
EMTRIVA ORAL CAPSULE
2
EMTRIVA ORAL SOLUTION
2
entecavir
1
EPIVIR HBV
2
EPIVIR ORAL SOLUTION
2
EPIVIR ORAL TABLET 150 MG
2
EPIVIR ORAL TABLET 300 MG
2
EPZICOM
2
EVOTAZ
2
QL (1 EA per 1 day)
famciclovir
1
FAMVIR
2
FLUMADINE ORAL TABLET
2
foscarnet
1
FUZEON SUBCUTANEOUS RECON SOLN
2
ganciclovir sodium
1
HARVONI
2
HEPSERA
2
INTELENCE
2
INVIRASE ORAL CAPSULE
2
PA
PA
47
Drug Name
Tier
Notes
INVIRASE ORAL TABLET
2
ISENTRESS
2
KALETRA ORAL SOLUTION
2
KALETRA ORAL TABLET 100-25 MG
2
KALETRA ORAL TABLET 200-50 MG
2
lamivudine oral solution
1
lamivudine oral tablet 100 mg
1
1
1
lamivudine-zidovudine
1
LEXIVA
2
MODERIBA
2
MODERIBA DOSE PACK
2
ST
nevirapine oral suspension
1
nevirapine oral tablet
1
nevirapine oral tablet extended release 24 hr 400 mg
1
NORVIR ORAL CAPSULE
2
NORVIR ORAL SOLUTION
2
NORVIR ORAL TABLET
2
OLYSIO
2
PA
PEGASYS
2
PA
PEGASYS PROCLICK
2
PA
PEGINTRON
2
PA
PEGINTRON REDIPEN
2
PA
PREZCOBIX
2
QL (1 EA per 1 day)
PREZISTA ORAL SUSPENSION
2
PREZISTA ORAL TABLET 150 MG
2
2
2
2
RAPIVAB
2
REBETOL
2
RELENZA DISKHALER
2
RESCRIPTOR
2
RETROVIR INTRAVENOUS
2
RETROVIR ORAL CAPSULE
2
RETROVIR ORAL SYRUP
2
REYATAZ ORAL CAPSULE 150 MG, 200 MG, 300 MG
2
REYATAZ ORAL POWDER IN PACKET
2
RIBASPHERE ORAL CAPSULE
1
RIBASPHERE ORAL TABLET 200 MG
1
RIBASPHERE ORAL TABLET 400 MG, 600 MG
1
ST
RIBASPHERE RIBAPAK
1
ST
ribavirin oral capsule
1
48
Drug Name
Tier
Notes
ribavirin oral tablet 200 mg
1
rimantadine
1
SELZENTRY
2
SITAVIG
2
SOVALDI
2
PA
stavudine oral capsule
1
stavudine oral recon soln
1
STRIBILD
2
SUSTIVA
2
SYNAGIS
2
TAMIFLU ORAL CAPSULE 30 MG
2
TAMIFLU ORAL CAPSULE 45 MG, 75 MG
2
TAMIFLU ORAL SUSPENSION FOR
RECONSTITUTION
2
TECHNIVIE
2
PA
TIVICAY
2
trifluridine
1
TRIUMEQ
2
TRIZIVIR
2
TRUVADA
2
TYZEKA
2
valacyclovir
1
VALCYTE
2
valganciclovir
1
VALTREX
2
VEREGEN
2
VICTRELIS
2
PA
VIDEX 2 GRAM PEDIATRIC
2
VIDEX 4 GRAM PEDIATRIC
2
VIDEX EC ORAL CAPSULE,DELAYED
RELEASE(DR/EC) 125 MG, 200 MG
2
VIDEX EC ORAL CAPSULE,DELAYED
RELEASE(DR/EC) 250 MG, 400 MG
2
VIEKIRA PAK
2
VIRACEPT
2
VIRAMUNE ORAL SUSPENSION
2
VIRAMUNE ORAL TABLET
2
VIRAMUNE XR
2
VIRAZOLE
2
VIREAD ORAL POWDER
2
VIREAD ORAL TABLET
2
VIROPTIC
2
VISTIDE
2
VITEKTA
2
QL (1 EA per 1 day)
XERESE
2
QL (1 EA per 1 day)
PA
49
Drug Name
Tier
Notes
ZERIT ORAL CAPSULE
2
ZERIT ORAL RECON SOLN
2
ZIAGEN ORAL SOLUTION
2
ZIAGEN ORAL TABLET
2
zidovudine oral capsule
1
zidovudine oral syrup
1
zidovudine oral tablet
1
ZIRGAN
2
ZOVIRAX
2
AUTONOMIC DRUGS
ADDERALL
2
QL (3 EA per 1 day)
ADDERALL XR ORAL CAPSULE,EXTENDED
RELEASE 24HR 10 MG, 15 MG, 5 MG
2
QL (1 EA per 1 day)
ADDERALL XR ORAL CAPSULE,EXTENDED
RELEASE 24HR 20 MG, 25 MG, 30 MG
2
QL (2 EA per 1 day)
ADRENACLICK
2
ADRENALIN INJECTION
2
AMPHETAMINE SALT COMBO
1
ANECTINE
2
ARICEPT
2
ARICEPT ODT
2
atracurium
1
AUVI-Q
2
bethanechol chloride
1
BOTOX
2
cevimeline
1
cisatracurium
1
DESOXYN
2
DEXEDRINE ORAL TABLET 10 MG
2
DEXEDRINE ORAL TABLET 5 MG
2
DEXEDRINE SPANSULE ORAL CAPSULE,
EXTENDED RELEASE 10 MG
2
2
2
dexpanthenol
1
dextroamphetamine oral capsule, extended release 10 mg
1
1
1
dextroamphetamine oral solution
1
dextroamphetamine oral tablet 10 mg
1
dextroamphetamine oral tablet 5 mg
1
dextroamphetamine-amphetamine oral capsule,extended
release 24hr 10 mg, 15 mg, 5 mg
1
QL (1 EA per 1 day)
50
QL (3 EA per 1 day)
ST
Drug Name
Tier
Notes
dextroamphetamine-amphetamine oral capsule,extended
release 24hr 20 mg, 25 mg, 30 mg
1
donepezil
1
dopamine in 5 % dextrose
1
dopamine intravenous solution
1
DYSPORT
2
ENLON
1
epinephrine hcl (pf)
1
epinephrine injection auto-injector
1
epinephrine injection solution
1
epinephrine injection syringe 0.1 mg/ml (1:10,000)
1
EPIPEN
2
EPIPEN 2-PAK
2
EPIPEN JR
2
EPIPEN JR 2-PAK
2
EPISNAP
2
EVEKEO
2
EVOXAC
2
EXELON ORAL CAPSULE
2
EXELON TRANSDERMAL
2
galantamine oral capsule,ext rel. pellets 24 hr
1
galantamine oral solution
1
galantamine oral tablet
1
guanidine
1
ISUPREL
2
LEVOPHED (BITARTRATE)
2
MESTINON ORAL
2
MESTINON TIMESPAN
2
methamphetamine
1
midodrine
1
MYOBLOC
2
neostigmine methylsulfate injection
1
neostigmine methylsulfate intravenous solution
2
NIMBEX
2
norepinephrine bitartrate
1
NORTHERA
2
pancuronium
1
phenoxybenzamine
1
physostigmine salicylate
1
pilocarpine hcl oral
1
PROCENTRA
2
pyridostigmine bromide
1
QUELICIN INJECTION SOLUTION 20 MG/ML
2
RAZADYNE ER
2
QL (2 EA per 1 day)
PA
PA
51
Drug Name
Tier
Notes
RAZADYNE ORAL SOLUTION
2
RAZADYNE ORAL TABLET
2
REGONOL
2
rivastigmine
1
rivastigmine tartrate
1
rocuronium
1
SALAGEN
2
URECHOLINE
2
vecuronium bromide
1
XEOMIN
2
ZEMURON
2
ZENZEDI ORAL TABLET 10 MG
1
2
QL (3 EA per 1 day)
ZENZEDI ORAL TABLET 2.5 MG, 7.5 MG
2
ZENZEDI ORAL TABLET 20 MG, 30 MG
2
QL (2 EA per 1 day)
1
BIOLOGICALS
ACTHIB (PF)
2
ADACEL(TDAP ADOLESN/ADULT)(PF)
3
adenovirus vac live type-4, 7
2
adenovirus vaccine live type-4
2
adenovirus vaccine live type-7
2
AFLURIA 2010-2011 (PF)
2
AFLURIA 2011-2012
2
2
AFLURIA 2012-2013
2
2
AFLURIA 2013-2014
2
2
AFLURIA 2014-2015
3
3
AFLURIA 2015-2016
3
3
AGRIFLU 2010-2011 (PF)
2
all xt-weed pol-russian thistl
2
aller ext-tree poll,black waln
2
aller ext-tree poll,red cedar
2
aller ext-tree pollen-bayberry
2
aller ext-tree pollen-mesquite
2
aller xt-tree poll,shagbk hick
2
aller xt-tree pollen-am.sycamo
2
aller xt-tree pollen-box elder
2
aller xt-tree pollen-red birch
2
aller xt-tree pollen-white ash
2
52
Drug Name
Tier
Notes
aller xt-weed pollen-sagebrush
2
allerg ext-tree pollen-pecan
2
allerg ext-weed pollen-mugwort
2
allerg ex-weed pol-rgh pigweed
2
allerg xt-sheep sor,yellw dock
2
allergen ext-candida albicans
2
allergen ext-english plantain
2
allergen ext-virginia live oak
2
allergen xt-grass pollen-bahia
2
allergenic ex-horse epithelium
2
allergen-weed-lambsquarters
2
ANASCORP
2
antivenin latrodectus mactans
2
antivenin micrurus fulvius
2
APLISOL
2
ATGAM
2
bcg vaccine, live (pf)
2
BEXSERO (PF)
2
BIOTHRAX
2
BIVIGAM
2
BOOSTRIX TDAP
3
CARIMUNE NF NANOFILTERED
2
CERVARIX VACCINE (PF) INTRAMUSCULAR
SUSPENSION
2
CERVARIX VACCINE (PF) INTRAMUSCULAR
SYRINGE
3
COMVAX (PF)
2
CYTOGAM INTRAVENOUS SOLUTION 50 MG/ML
2
DAPTACEL (DTAP PEDIATRIC) (PF)
2
DECAVAC (PF)
3
QL (0.5 EA per 365 days)
ENGERIX-B (PF)
3
ENGERIX-B PEDIATRIC (PF)
2
EZ FLU 2015-16(FLUCELVAX)(PF)
2
FLEBOGAMMA DIF
2
FLUARIX 2010-2011 (PF)
2
2
2
2
3
FLUARIX QUAD 2013-2014 (PF)
2
3
3
FLUBLOK 2012-2013 (PF)
2
2
53
Drug Name
Tier
Notes
3
3
FLUCELVAX (PF)
2
FLUCELVAX 2013-2014 (PF)
2
3
3
FLULAVAL 2010-2011
2
FLULAVAL 2011-2012
2
FLULAVAL 2012-2013
2
FLULAVAL 2013-2014
2
FLULAVAL 2014-2015
3
FLULAVAL 2014-2015 (PF)
3
FLULAVAL QUAD 2013-2014
2
3
FLULAVAL QUAD 2014-2015 (PF)
3
3
FLUMIST 2010-2011
2
FLUMIST 2011-2012
2
FLUMIST 2012-2013
2
FLUMIST 2013-2014
2
FLUMIST QUAD 2014-2015
3
FLUMIST QUAD 2015-2016
3
FLUVIRIN 2010-2011
2
FLUVIRIN 2010-2011 (PF)
2
FLUVIRIN 2011-2012
2
2
FLUVIRIN 2012-2013
2
2
FLUVIRIN 2013-2014
2
2
FLUVIRIN 2014-2015
3
3
FLUVIRIN 2015-2016
3
3
FLUZONE 2010-2011
2
FLUZONE 2010-2011 (PF)
2
FLUZONE 2011-2012
2
2
FLUZONE 2012-2013
2
2
FLUZONE 2013-2014
2
2
FLUZONE 2014-2015
3
3
54
Drug Name
Tier
Notes
FLUZONE 2015-2016
3
FLUZONE HIGH-DOSE 2010-11 (PF)
2
2
2
2
3
3
FLUZONE INTRADERM 2011-12 (PF)
2
2
2
3
FLUZONE INTRADERM QUAD 2015-16
3
FLUZONE PEDI 2012 -2013 (PF)
2
FLUZONE PEDI 2013-2014 (PF)
2
FLUZONE QUAD 2013-2014 (PF)
2
FLUZONE QUAD 2014-2015
3
3
FLUZONE QUAD 2015-2016
3
3
FLUZONE QUAD PEDI 2013-14 (PF)
2
2
2
GAMASTAN S/D
2
GAMMAGARD S/D
2
GAMMAGARD S-D (IGA &LT< 1 MCG/ML)
2
GAMMAKED
2
GAMMAPLEX
2
GAMUNEX
2
GAMUNEX-C INJECTION SOLUTION 1 GRAM/10 ML
(10 %), 10 GRAM/100 ML (10 %), 2.5 GRAM/25 ML (10
%), 20 GRAM/200 ML (10 %), 5 GRAM/50 ML (10 %)
2
GAMUNEX-C INJECTION SOLUTION 40 GRAM/400
ML (10 %)
2
GARDASIL (PF)
3
GARDASIL 9 (PF)
3
GRASTEK
2
PA
HAVRIX (PF)
2
HEPAGAM B
2
HIZENTRA
2
HYPERHEP B S/D
2
HYPERHEP B S-D NEONATAL
2
HYPERRAB S/D (PF)
2
HYPERRHO S/D
2
HYPERTET S/D (PF)
2
HYQVIA
2
PA
PA
PA
PA
55
Drug Name
Tier
Notes
IMOGAM RABIES-HT (PF)
2
IMOVAX RABIES VACCINE (PF)
2
INFANRIX (DTAP) (PF)
2
influenza a (h1n1) vac 09 (pf)
2
influenza a (h1n1) vac 2009
2
IPOL
2
IXIARO (PF)
2
JE-VAX
2
KINRIX (PF)
2
MENACTRA (PF)
2
MENHIBRIX (PF)
2
MENOMUNE - A/C/Y/W-135
2
MENOMUNE - A/C/Y/W-135 (PF)
2
MENVEO A-C-Y-W-135-DIP (PF)
2
MENVEO MENA COMPONENT (PF)
2
MENVEO MENCYW-135 COMPNT (PF)
2
MICRHOGAM ULTRA-FILTERED
2
MICRHOGAM ULTRA-FILTERED PLUS
2
NABI-HB
2
OCTAGAM
2
ORALAIR
2
PEDIARIX (PF)
2
PEDVAX HIB (PF)
2
PENTACEL (PF)
2
PENTACEL ACTHIB COMPONENT (PF)
2
PENTACEL DTAP-IPV COMPNT (PF)
2
PHYSICIANS EZ USE FLU 2012-13
2
PNEUMOVAX 23
3
PREVNAR 13 (PF)
3
PRIVIGEN
2
PROQUAD (PF)
3
QUADRACEL (PF)
2
RABAVERT (PF)
2
RAGWITEK
2
PA
RECOMBIVAX HB (PF) INTRAMUSCULAR
SUSPENSION 10 MCG/ML, 40 MCG/ML
3
RECOMBIVAX HB (PF) INTRAMUSCULAR
SUSPENSION 5 MCG/0.5 ML
2
RECOMBIVAX HB (PF) INTRAMUSCULAR SYRINGE
10 MCG/ML
3
RECOMBIVAX HB (PF) INTRAMUSCULAR SYRINGE
5 MCG/0.5 ML
2
RHOGAM ULTRA-FILTERED
2
RHOGAM ULTRA-FILTERED PLUS
2
RHOPHYLAC
2
56
PA
Drug Name
Tier
Notes
ROTARIX
2
ROTATEQ VACCINE
2
SINGLE USE EZ FLU 2012-13 (PF)
2
SINGLE USE EZ FLU 2013-14 (PF)
2
SINGLE USE EZ FLU 2014-15(PF)
3
QL (0.5 EA per 180 days)
TENIVAC (PF)
3
tetanus toxoid,adsorbed (pf)
2
tetanus,diphtheria tox ped(pf)
2
tetanus-diphtheria toxoids-td
3
THYMOGLOBULIN
2
TRIHIBIT (PF)
2
TRIPEDIA (PF)
2
TRUMENBA
2
TUBERSOL
2
TWINRIX (PF)
2
TYPHIM VI
2
VAQTA (PF)
2
VARIVAX (PF)
3
VARIZIG
2
VIVAGLOBIN
2
VIVOTIF BERNA VACCINE
2
WINRHO SDF
2
YF-VAX (PF)
2
ZOSTAVAX (PF)
3
BLOOD
ACTIVASE
2
ADVATE
2
ALBUKED-25
2
ALBUKED-5
2
albumin, human 25 %
2
albumin, human 5 %
2
ALBUMINAR 25 %
2
ALBUMINAR 5 %
2
ALBURX (HUMAN) 25 %
2
ALBURX (HUMAN) 5 %
2
ALBUTEIN 25 %
2
ALBUTEIN 5 %
2
ALPHANATE
2
ALPHANINE SD
2
ALPROLIX
2
AMICAR
2
aminocaproic acid
1
ATRYN INTRAVENOUS RECON SOLN 1,750 UNIT
2
BEBULIN
2
57
Drug Name
Tier
BEBULIN VH
2
BENEFIX
2
BUMINATE 25 %
2
BUMINATE 5 %
2
CATHFLO ACTIVASE
2
CEPROTIN (BLUE BAR)
2
CEPROTIN (GREEN BAR)
2
CORIFACT
2
CYKLOKAPRON
2
DROXIA
2
ELOCTATE
2
FEIBA NF
2
FLEXBUMIN 25 %
2
FLEXBUMIN 5 %
2
HELIXATE FS
2
HEMOFIL M HIGH
2
HEMOFIL M LOW
2
HEMOFIL M MID
2
HEMOFIL M SUPER HIGH
2
HESPAN 6 % IN NS
2
hetastarch 6 % in 0.9 % nacl
1
HEXTEND
2
HUMATE-P
2
IXINITY
2
KCENTRA INTRAVENOUS KIT
2
KEDBUMIN
2
KOATE-DVI INTRAVENOUS RECON SOLN
2
KOGENATE FS
2
LMD 10 % IN 0.9 % SODIUM CHLOR
2
LMD 10 % IN 5 % DEXTROSE
2
LYSTEDA
2
MONOCLATE-P
2
MONONINE
2
NOVOEIGHT
2
NOVOSEVEN RT
2
OBIZUR
2
pentoxifylline
1
PLASBUMIN 25 %
2
PLASBUMIN 5 %
2
PLASMANATE
2
PRAXBIND
2
PROFILNINE
2
protamine
1
RECOMBINATE
2
58
Notes
Drug Name
Tier
RECOTHROM
2
RECOTHROM SPRAY KIT
2
RETAVASE
2
RIASTAP
2
RIXUBIS
2
SOLIRIS
2
TACHOSIL
2
THROMBATE III INTRAVENOUS RECON SOLN 500
(+/-) UNIT
2
THROMBIN-JMI
1
TISSEEL VHSD
2
TNKASE
2
tranexamic acid
1
TRETTEN
2
ULTRAFOAM
2
VOLUVEN 6 %
2
WILATE INTRAVENOUS KIT 1,000-1,000 UNIT,
500-500 UNIT
2
XYNTHA
2
XYNTHA SOLOFUSE
2
Notes
CARDIAC DRUGS
ADALAT CC
2
ADENOCARD
2
adenosine
1
AFEDITAB CR
1
amiodarone
1
amiodarone in dextrose 5 % intravenous solution 150
mg/100 ml (1.5 mg/ml)
1
amlodipine
1
CALAN
2
CALAN SR
2
CARDENE IV
2
CARDENE IV IN DEXTROSE
2
CARDENE IV IN SODIUM CHLORIDE
2
cardioplegic soln
1
CARDIZEM CD
2
CARDIZEM LA
2
CARDIZEM ORAL TABLET 120 MG, 30 MG, 60 MG
2
CARTIA XT
1
CLEVIPREX
2
CORDARONE
2
CORLANOR
2
CORVERT
2
COVERA-HS
2
DIGITEK
1
59
Drug Name
Tier
DIGOX
1
digoxin injection solution
1
digoxin oral solution 50 mcg/ml
2
digoxin oral tablet
1
DILACOR XR ORAL CAPSULE,EXT RELEASE
DEGRADABLE 240 MG
2
DILATRATE-SR
2
DILT-CD
1
DILTIA XT
1
diltiazem hcl intravenous
1
diltiazem hcl oral
1
diltiazem in dextrose 5 % intravenous solution 125 mg/125
ml (1 mg/ml)
1
DILT-XR
1
DILTZAC ER
1
disopyramide phosphate oral capsule
1
dobutamine
1
dobutamine in d5w intravenous parenteral solution 1,000
mg/250 ml (4,000 mcg/ml), 250 mg/250 ml (1 mg/ml), 500
mg/250 ml (2,000 mcg/ml)
1
felodipine
1
flecainide
1
ibutilide fumarate
1
IMDUR
2
ISORDIL
2
ISORDIL TITRADOSE ORAL TABLET 5 MG
2
isosorbide dinitrate
1
isosorbide mononitrate
1
isradipine
1
LANOXIN
2
LANOXIN PEDIATRIC
2
lidocaine (pf) intravenous
1
lidocaine in 5 % dextrose (pf) intravenous parenteral
solution 4 mg/ml (0.4 %), 8 mg/ml (0.8 %)
1
MATZIM LA
1
mexiletine
1
milrinone
1
milrinone in 5 % dextrose
1
MINITRAN
1
MULTAQ
2
NEXTERONE
2
nicardipine
1
NIFEDICAL XL
1
nifedipine
1
nimodipine
1
60
Notes
Drug Name
Tier
Notes
nisoldipine
1
NITRO-BID
2
NITRO-DUR
2
nitroglycerin in 5 % dextrose
1
nitroglycerin intravenous
1
nitroglycerin oral
1
nitroglycerin transdermal patch 24 hour
1
nitroglycerin translingual
1
NITROLINGUAL
2
NITROMIST
2
NITROSTAT
2
NITRO-TIME
1
NORPACE
2
NORPACE CR
2
NORVASC
2
NYMALIZE
2
PACERONE ORAL TABLET 100 MG, 200 MG, 400 MG
1
PLEGISOL
2
procainamide injection
1
PROCARDIA
2
PROCARDIA XL
2
propafenone
1
quinidine gluconate
1
quinidine sulfate oral tablet
1
RANEXA ORAL TABLET EXTENDED RELEASE 12
HR 1,000 MG
2
RANEXA ORAL TABLET EXTENDED RELEASE 12
HR 500 MG
2
RYTHMOL ORAL TABLET 150 MG, 225 MG
2
RYTHMOL SR
2
SULAR ORAL TABLET EXTENDED RELEASE 24 HR
17 MG, 34 MG, 8.5 MG
2
TAZTIA XT
1
TIAZAC
2
TIKOSYN
2
verapamil
1
VERELAN
2
VERELAN PM
2
XYLOCAINE (CARDIAC) (PF)
1
PA
CARDIOVASCULAR
ACCUPRIL
2
ACCURETIC
2
acebutolol
1
ADCIRCA
2
PA
ADEMPAS
2
PA
61
Drug Name
Tier
Notes
ADVICOR ORAL TABLET, ER MULTIPHASE 24 HR
1,000-20 MG, 750-20 MG
2
ADVICOR ORAL TABLET, ER MULTIPHASE 24 HR
1,000-40 MG, 500-20 MG
2
alprostadil
1
ALTACE
2
ALTOPREV
2
amlodipine-atorvastatin
1
QL (1 EA per 1 day)
amlodipine-benazepril
1
AMTURNIDE ORAL TABLET 300-10-12.5 MG,
300-10-25 MG, 300-5-12.5 MG, 300-5-25 MG
2
PA
ANTARA ORAL CAPSULE 30 MG, 43 MG, 90 MG
2
ST
ASCLERA
2
ATACAND
2
ATACAND HCT
2
atenolol
1
atenolol-chlorthalidone
1
atorvastatin
1
AVALIDE
2
AVAPRO
2
benazepril
1
benazepril-hydrochlorothiazide
1
BENICAR ORAL TABLET 5 MG
2
BETAPACE AF
2
BETAPACE ORAL TABLET 120 MG, 160 MG, 80 MG
2
betaxolol oral
1
BIDIL
2
bisoprolol fumarate
1
bisoprolol-hydrochlorothiazide
1
BREVIBLOC IN NACL (ISO-OSM)
2
BREVIBLOC INTRAVENOUS SOLUTION 100 MG/10
ML (10 MG/ML)
2
BYSTOLIC
2
CADUET
2
candesartan
1
candesartan-hydrochlorothiazid
1
captopril
1
captopril-hydrochlorothiazide
1
CARDURA
2
CARDURA XL
2
carvedilol
1
CATAPRES
2
CATAPRES-TTS-1
2
CATAPRES-TTS-2
2
CATAPRES-TTS-3
2
62
ST
QL (1 EA per 1 day)
Drug Name
Tier
Notes
cholestyramine (with sugar)
1
CHOLESTYRAMINE LIGHT
1
clonidine
1
clonidine hcl oral tablet
1
CLORPRES
1
COLESTID
2
COLESTID FLAVORED
2
colestipol
1
COREG
2
COREG CR
2
CORGARD
2
CORLOPAM
2
CORZIDE
2
COZAAR
2
CRESTOR
2
DEMSER
2
DIOVAN
2
DIOVAN HCT
2
doxazosin
1
DUTOPROL
2
EDARBYCLOR ORAL TABLET 40-25 MG
2
enalapril maleate
1
enalaprilat intravenous solution
1
enalapril-hydrochlorothiazide
1
ENTRESTO
2
PA
EPANED
2
epoprostenol (glycine)
1
eprosartan
1
ergoloid
1
esmolol intravenous solution
1
EXFORGE
2
ST
EXFORGE HCT ORAL TABLET 10-160-25 MG
2
ST
fenofibrate
1
fenofibrate micronized
1
fenofibrate nanocrystallized
1
fenofibric acid
1
fenofibric acid (choline)
1
FENOGLIDE
2
FIBRICOR
2
FLOLAN
2
fosinopril
1
fosinopril-hydrochlorothiazide
1
gemfibrozil oral
1
guanfacine oral tablet
1
ST
ST
ST
63
Drug Name
Tier
HEMANGEOL
2
hydralazine
1
HYZAAR
2
INDERAL LA
2
INDERAL XL
2
indomethacin sodium
1
INNOPRAN XL
2
irbesartan
1
irbesartan-hydrochlorothiazide
1
JUXTAPID ORAL CAPSULE 10 MG, 5 MG
2
JUXTAPID ORAL CAPSULE 20 MG
2
JUXTAPID ORAL CAPSULE 30 MG, 40 MG, 60 MG
2
PA
KYNAMRO
2
PA
labetalol intravenous solution
1
labetalol intravenous syringe 20 mg/4 ml (5 mg/ml)
1
labetalol oral
1
LESCOL ORAL CAPSULE 40 MG
2
LETAIRIS
2
PA
LIPITOR
2
LIPOFEN
2
ST
LIPTRUZET ORAL TABLET 10-20 MG, 10-40 MG,
10-80 MG
2
lisinopril
1
lisinopril-hydrochlorothiazide
1
LOFIBRA
2
LOPID
2
LOPRESSOR
2
LOPRESSOR HCT
2
losartan
1
losartan-hydrochlorothiazide
1
LOTENSIN HCT
2
LOTENSIN ORAL TABLET 20 MG, 40 MG
2
LOTREL
2
lovastatin
1
MAVIK
2
methyldopa
1
methyldopa-hydrochlorothiazide
1
methyldopate
1
metoprolol succinate
1
metoprolol ta-hydrochlorothiaz
1
metoprolol tartrate
1
MEVACOR
2
MICARDIS
2
MICARDIS HCT
2
64
Notes
ST
ST
Drug Name
Tier
Notes
MINIPRESS
2
minoxidil oral
1
moexipril
1
moexipril-hydrochlorothiazide
1
morrhuate sodium
1
nadolol
1
nadolol-bendroflumethiazide
1
NATRECOR
2
NEOPROFEN (IBUPROFEN LYSN)(PF)
2
NIACOR
1
NIASPAN EXTENDED-RELEASE
2
NITROPRESS
2
OPSUMIT
2
PA
ORENITRAM
2
PA
papaverine injection solution
1
perindopril erbumine
1
phenylephrine hcl in 0.9% nacl intravenous solution 50
mg/250 ml (200 mcg/ml)
1
phenylephrine hcl injection
1
pindolol
1
PRALUENT PEN
2
PA
PRALUENT SYRINGE
2
PA
PRAVACHOL
2
pravastatin
1
prazosin oral
1
PREVALITE
1
PRINIVIL ORAL TABLET 10 MG, 20 MG, 5 MG
2
propranolol
1
propranolol-hydrochlorothiazid
1
PROSTIN VR PEDIATRIC
2
QUESTRAN
2
QUESTRAN LIGHT
2
quinapril
1
quinapril-hydrochlorothiazide
1
ramipril
1
REMODULIN
2
PA
REPATHA SURECLICK
2
PA
reserpine
1
REVATIO INTRAVENOUS
2
REVATIO ORAL SUSPENSION FOR
RECONSTITUTION
2
REVATIO ORAL TABLET
2
QL (3 EA per 1 day)
SECTRAL
2
sildenafil intravenous
1
ST
65
Drug Name
Tier
sildenafil oral
1
QL (3 EA per 1 day)
SIMCOR ORAL TABLET, ER MULTIPHASE 24 HR
1,000-20 MG, 750-20 MG
2
SIMCOR ORAL TABLET, ER MULTIPHASE 24 HR
1,000-40 MG, 500-20 MG, 500-40 MG
2
simvastatin oral tablet 10 mg, 20 mg, 40 mg, 5 mg
1
simvastatin oral tablet 80 mg
1
SORINE
1
SOTALOL AF
1
sotalol intravenous
2
sotalol oral
1
SOTRADECOL INTRAVENOUS SOLUTION 1 % (10
MG/ML)
2
SOTRADECOL INTRAVENOUS SOLUTION 3 % (30
MG/ML)
1
TARKA
2
TEKAMLO ORAL TABLET 150-10 MG, 150-5 MG,
300-10 MG
2
PA
TEKTURNA
2
PA
TEKTURNA HCT
2
PA
telmisartan
1
telmisartan-amlodipine
1
telmisartan-hydrochlorothiazid
1
TENEX
2
TENORETIC 100
2
TENORETIC 50
2
TENORMIN
2
terazosin
1
TEVETEN
2
ST
TEVETEN HCT
2
ST
timolol maleate oral
1
TOPROL XL
2
TRACLEER
2
TRANDATE ORAL
2
trandolapril
1
trandolapril-verapamil
1
TRICOR
2
TRIGLIDE ORAL TABLET 160 MG
2
TRILIPIX
2
TWYNSTA
2
TYVASO
2
PA
TYVASO INSTITUTIONAL START KIT
2
PA
TYVASO REFILL KIT
2
PA
TYVASO STARTER KIT
2
PA
UNIVASC
2
66
Notes
ST
PA
ST
Drug Name
Tier
Notes
valsartan
1
valsartan-hydrochlorothiazide
1
VASERETIC
2
VASOTEC
2
VECAMYL
2
VELETRI
2
VENTAVIS
2
PA
VYTORIN 10-20
2
VYTORIN 10-40
2
VYTORIN 10-80
2
WELCHOL
2
ZEBETA
2
ZESTORETIC
2
ZESTRIL
2
ZETIA
2
ZIAC
2
ZOCOR ORAL TABLET 10 MG, 20 MG, 40 MG, 5 MG
2
ZOCOR ORAL TABLET 80 MG
2
PA
QL (1 EA per 1 day)
ST
CNS DRUGS
ALERTNESS AID
1
ammonia aromatic inhalation solution
1
AMPYRA
2
PA
APTIOM ORAL TABLET 200 MG, 600 MG
2
APTIOM ORAL TABLET 400 MG
2
APTIOM ORAL TABLET 800 MG
2
AUBAGIO
2
PA
AVONEX
2
PA
AVONEX (WITH ALBUMIN)
2
PA
BANZEL
2
ST
BETASERON SUBCUTANEOUS KIT
2
PA
CAFCIT
2
caffeine citrated intravenous
1
caffeine citrated oral
1
caffeine-sodium benzoate
1
carbamazepine oral capsule, er multiphase 12 hr
1
carbamazepine oral suspension 100 mg/5 ml
1
carbamazepine oral tablet
1
carbamazepine oral tablet extended release 12 hr
1
carbamazepine oral tablet,chewable
1
CARBATROL
2
CELONTIN ORAL CAPSULE 300 MG
2
CEREBYX
2
clonazepam
1
COPAXONE SUBCUTANEOUS SYRINGE
2
PA
67
Drug Name
Tier
Notes
DEHYDRATED ALCOHOL
2
DEPACON
2
DEPAKENE
2
DEPAKOTE
2
DEPAKOTE ER
2
DEPAKOTE SPRINKLES
2
DIASTAT
2
QL (1 EA per 1 FILL)
DIASTAT ACUDIAL
2
diazepam rectal
1
DILANTIN
2
DILANTIN EXTENDED
2
DILANTIN INFATABS
2
DILANTIN-125
2
divalproex
1
DOPRAM
2
EPITOL
1
ethanol (ethyl alcohol)
1
ethosuximide
1
EXTAVIA
2
PA
FELBATOL ORAL TABLET
2
ST
fosphenytoin
1
FYCOMPA ORAL TABLET 10 MG, 12 MG, 8 MG
2
FYCOMPA ORAL TABLET 2 MG
2
FYCOMPA ORAL TABLET 4 MG, 6 MG
2
gabapentin oral capsule
1
gabapentin oral solution
1
gabapentin oral tablet 600 mg, 800 mg
1
GABITRIL ORAL TABLET 12 MG, 2 MG, 4 MG
2
GABITRIL ORAL TABLET 16 MG
2
GILENYA
2
PA
GLATOPA
1
PA
GRALISE
2
GRALISE 30-DAY STARTER PACK
2
HORIZANT ORAL TABLET EXTENDED RELEASE 300
MG
2
HORIZANT ORAL TABLET EXTENDED RELEASE 600
MG
2
KEPPRA
2
KEPPRA XR
2
KLONOPIN
2
LAMICTAL
2
LAMICTAL ODT
2
ST
LAMICTAL ODT STARTER (BLUE)
2
ST
LAMICTAL ODT STARTER (GREEN)
2
ST
68
Drug Name
Tier
Notes
LAMICTAL ODT STARTER (ORANGE)
2
ST
LAMICTAL STARTER (BLUE) KIT
2
LAMICTAL STARTER (GREEN) KIT
2
LAMICTAL STARTER (ORANGE) KIT
2
LAMICTAL XR
2
ST
LAMICTAL XR STARTER (BLUE)
2
ST
LAMICTAL XR STARTER (GREEN)
2
ST
LAMICTAL XR STARTER (ORANGE)
2
ST
lamotrigine oral tablet
1
lamotrigine oral tablet extended release 24hr 250 mg
1
lamotrigine oral tablet, chewable dispersible
1
lamotrigine oral tablets,dose pack 25 mg (35)
1
LEMTRADA
2
levetiracetam
1
levetiracetam in nacl (iso-os)
1
LYRICA
2
memantine oral solution
1
memantine oral tablet
1
memantine oral tablets,dose pack
1
QL (2 EA per 1 day)
MYSOLINE
2
NAMENDA ORAL SOLUTION
2
NAMENDA ORAL TABLET
2
NAMENDA TITRATION PAK
2
QL (2 EA per 1 day)
NAMENDA XR ORAL CAP,SPRINKLE,ER 24HR DOSE
PACK
2
NAMENDA XR ORAL CAPSULE,SPRINKLE,ER 24HR
2
NAMZARIC
2
NEURONTIN
2
NO DOZ
1
NUEDEXTA
2
PA
ONFI ORAL SUSPENSION
2
ONFI ORAL TABLET 5 MG
2
oxcarbazepine
1
OXTELLAR XR
2
PEGANONE
2
PHENYTEK
2
phenytoin oral suspension
1
phenytoin oral tablet,chewable
1
phenytoin sodium
1
phenytoin sodium extended
1
PLEGRIDY
2
PA
POTIGA ORAL TABLET 200 MG, 300 MG, 400 MG
2
POTIGA ORAL TABLET 50 MG
2
ST
primidone
1
ST
ST
69
Drug Name
Tier
Notes
QUDEXY XR
2
REBIF (WITH ALBUMIN)
2
PA
REBIF REBIDOSE
2
PA
REBIF TITRATION PACK
2
PA
RILUTEK
2
riluzole
1
SABRIL
2
STAY AWAKE
1
STAY AWAKE MAXIMUM STRENGTH
1
TECFIDERA
2
TEGRETOL ORAL SUSPENSION
2
TEGRETOL ORAL TABLET
2
TEGRETOL XR
2
tetrabenazine
1
TOPAMAX
2
topiramate oral capsule, sprinkle
1
topiramate oral capsule,sprinkle,er 24hr
1
topiramate oral tablet
1
TRILEPTAL
2
TROKENDI XR
2
valproate sodium
1
valproic acid
1
valproic acid (as sodium salt) oral solution
1
VIMPAT INTRAVENOUS
2
XENAZINE
2
ZARONTIN
2
ZONEGRAN ORAL CAPSULE 100 MG, 25 MG
2
zonisamide
1
QL (6 EA per 1 day)
PA
COLONY STIMULATING FACTORS
ARANESP (IN POLYSORBATE)
2
PA
EPOGEN INJECTION SOLUTION 10,000 UNIT/ML,
2,000 UNIT/ML, 20,000 UNIT/2 ML, 20,000 UNIT/ML,
3,000 UNIT/ML, 4,000 UNIT/ML
2
PA
GRANIX
2
PA
LEUKINE INJECTION RECON SOLN
2
PA
MIRCERA
2
PA
MOZOBIL
2
NEULASTA SUBCUTANEOUS SYRINGE
2
NEULASTA SUBCUTANEOUS SYRINGE, W/
WEARABLE INJECTOR
2
NEUMEGA
2
NEUPOGEN
2
NPLATE
2
PROCRIT
2
PA
PROMACTA
2
70
PA
PA
Drug Name
ZARXIO
Tier
Notes
2
CONTRACEPTIVES
AFTERA
3
ALTAVERA (28)
3
ALYACEN 1/35 (28)
3
ALYACEN 7/7/7 (28)
3
AMETHIA
3
AMETHIA LO
3
AMETHYST
2
ST
APRI
3
ARANELLE (28)
3
ASHLYNA
3
AUBRA
3
AVIANE
3
AZURETTE (28)
3
BALZIVA (28)
3
BREVICON (28)
3
BRIELLYN
3
CAMILA
3
CAMRESE
3
CAMRESE LO
3
CAYA CONTOURED
3
CAZIANT (28)
3
CHATEAL
3
CRYSELLE (28)
3
CYCLAFEM 1/35 (28)
3
CYCLAFEM 7/7/7 (28)
3
CYCLESSA (28)
2
CYRED
3
DASETTA 1/35 (28)
3
DASETTA 7/7/7 (28)
3
DAYSEE
3
DEBLITANE
3
DELYLA (28)
3
DEPO-PROVERA INTRAMUSCULAR SUSPENSION
2
DEPO-PROVERA INTRAMUSCULAR SYRINGE
2
DEPO-SUBQ PROVERA 104
2
desog-e.estradiol/e.estradiol
3
DESOGEN
2
desogestrel-ethinyl estradiol
3
ECONTRA EZ
3
ELINEST
3
ELLA
2
EMOQUETTE
3
ST
ST
71
Drug Name
Tier
ENPRESSE
3
ENSKYCE
3
ERRIN
3
ESTARYLLA
3
ESTROSTEP FE-28
2
FALLBACK SOLO
3
FALMINA (28)
3
FEMCON FE
2
GENERESS FE
2
GILDAGIA
3
GILDESS
3
GILDESS 24 FE
3
GILDESS FE
3
HEATHER
3
IMPLANON
2
INTROVALE
3
JENCYCLA
3
JOLESSA
3
JOLIVETTE
3
JULEBER
3
JUNEL 1.5/30 (21)
3
JUNEL 1/20 (21)
3
JUNEL FE 1.5/30 (28)
3
JUNEL FE 1/20 (28)
3
JUNEL FE 24
3
KARIVA (28)
3
KELNOR 1/35 (28)
3
KIMIDESS (28)
3
KURVELO
3
l norgest/e.estradiol-e.estrad
3
LARIN 1.5/30 (21)
3
LARIN 1/20 (21)
3
LARIN 24 FE
3
LARIN FE
3
LAYOLIS FE
1
LEENA 28
3
LESSINA
3
LEVONEST (28)
3
levonorgestrel
3
levonorgestrel-ethinyl estrad oral tablet 0.1-20 mg-mcg,
0.15-0.03 mg
3
levonorgestrel-ethinyl estrad oral tablet 90-20 mcg
1
levonorgestrel-ethinyl estrad oral tablets,dose pack,3 month
3
LEVORA-28
3
72
Notes
ST
ST
Drug Name
Tier
Notes
LO LOESTRIN FE
2
ST
LO MINASTRIN FE
2
LOESTRIN 1.5/30 (21)
2
ST
LOESTRIN 1/20 (21)
2
ST
LOESTRIN 24 FE
2
LOESTRIN FE 1.5/30 (28-DAY)
2
ST
LOESTRIN FE 1/20 (28-DAY)
2
ST
LOMEDIA 24 FE
3
LORYNA (28)
3
ST
LOSEASONIQUE
2
LOW-OGESTREL (28)
3
LUTERA (28)
3
LYZA
3
MARLISSA
3
medroxyprogesterone intramuscular
1
MICROGESTIN 1.5/30 (21)
3
MICROGESTIN 1/20 (21)
3
MICROGESTIN FE 1.5/30 (28)
3
MICROGESTIN FE 1/20 (28)
3
MINASTRIN 24 FE
2
MIRCETTE (28)
2
ST
MODICON (28)
2
ST
MONO-LINYAH
3
MONONESSA (28)
3
MY WAY
3
MYZILRA
3
NECON 0.5/35 (28)
3
NECON 1/35 (28)
3
NECON 1/50 (28)
3
NECON 10/11 (28)
3
NECON 7/7/7 (28)
3
NEXPLANON
2
NEXT CHOICE
3
NEXT CHOICE ONE DOSE
3
NORA-BE
3
noreth-ethinyl estradiol-iron oral tablet,chewable
0.4mg-35mcg(21) and 75 mg (7)
3
noreth-ethinyl estradiol-iron oral tablet,chewable
0.8mg-25mcg(24) and 75 mg (4)
1
norethindrone (contraceptive)
3
norethindrone ac-eth estradiol oral tablet 1-20 mg-mcg
3
norethindrone-e.estradiol-iron
3
norgestimate-ethinyl estradiol
3
NORINYL 1+35 (28)
3
73
Drug Name
Tier
Notes
NORINYL 1+50 (28)
2
NORLYROC
3
NOR-QD
2
NORTREL 0.5/35 (28)
3
NORTREL 1/35 (21)
3
NORTREL 1/35 (28)
3
NORTREL 7/7/7 (28)
3
NUVARING
2
OGESTREL (28)
3
OPCICON ONE-STEP
3
ORSYTHIA
3
ORTHO ALL-FLEX FITTING SET
3
ORTHO DIAPHRAGM ALL-FLEX 65
3
3
3
3
ORTHO EVRA
2
ORTHO MICRONOR
2
ST
ORTHO TRI-CYCLEN (28)
2
ST
ORTHO-CEPT (28)
2
ST
ORTHO-CYCLEN (28)
2
ST
ORTHO-NOVUM 1/35 (28)
2
ST
ORTHO-NOVUM 7/7/7 (28)
2
ST
OVCON-35 (28)
2
ST
PARAGARD T 380A
2
PHILITH
3
PIMTREA (28)
3
PIRMELLA
3
PORTIA
3
PREVIFEM
3
QUARTETTE
2
QUASENSE
3
RECLIPSEN (28)
3
SAFYRAL
2
ST
SEASONIQUE
2
SETLAKIN
3
SHAROBEL
3
SPRINTEC (28)
3
SRONYX
3
SYEDA
3
TAKE ACTION
3
TARINA FE
3
TILIA FE
3
TRI-ESTARYLLA
3
74
ST
ST
ST
Drug Name
Tier
Notes
TRI-LEGEST FE
3
TRI-LINYAH
3
TRINESSA (28)
3
TRI-NORINYL (28)
2
TRI-PREVIFEM (28)
3
TRI-SPRINTEC (28)
3
TRIVORA (28)
3
VELIVET TRIPHASIC REGIMEN (28)
3
VIORELE (28)
3
VYFEMLA (28)
3
WERA (28)
3
WIDE-SEAL DIAPHRAGM 60
3
3
3
3
3
3
3
3
WYMZYA FE
3
XULANE
1
YASMIN (28)
2
ST
YAZ (28)
2
ST
ZARAH
3
ST
ZENCHENT (28)
3
ZENCHENT FE
3
ZEOSA
3
ZOVIA 1/35E (28)
3
ZOVIA 1/50E (28)
3
ST
COUGH/COLD PREPARATIONS
ADULT TUSSIN CHEST CONGESTION
1
ADULT TUSSIN COUGH CONGEST DM
1
ADULT TUSSIN DM
1
ADULT TUSSIN MULTI-SYMP COLD
1
AIRACOF
1
ALA-HIST AC
2
ALA-HIST DM
2
ALLERGY & COLD PE
1
ALLERGY MULTI-SYMPTOM
1
ALLERGY SINUS HEADACHE (PE) ORAL TABLET
12.5-5-325 MG
1
ALLFEN DM
2
ALL-NITE COLD-FLU
1
AP-HIST DM
1
75
Drug Name
Tier
AQUANAZ
2
benzonatate
1
BICLORA
2
BROMFED DM
1
brompheniramine-pseudoeph-dm oral syrup
1
BROTAPP DM
1
BROVEX PEB DM
2
BROVEX PSB ORAL LIQUID 4-20-20 MG/5 ML
2
CAPCOF
2
CAPMIST DM
2
CAPRON DM
2
CENTUSSIN DHC
1
CEPACOL SORETHROAT-COUGH
2
CHERATUSSIN AC
1
CHERATUSSIN DAC
1
CHEST CONGESTION RELIEF
1
CHEST CONGESTION RELIEF + DM
1
CHEST CONGESTION RELIEF PE
1
CHEST CONGESTION-COUGH RELIEF
1
CHEST-SINUS CONGESTION RELIEF
1
CHILD COLD-COUGH DAY-NIGHT
1
CHILD DELSYM COUGH+CHEST DM
1
CHILD DELSYM COUGH+COLD
2
CHILD MUCINEX CHEST CONGESTION
1
CHILD MUCINEX CONGESTION-COUGH
2
CHILD MUCINEX M-S COLD DAY-NTE
2
CHILD MUCINEX STUFFY NOSE-COLD
2
CHILD MUCUS RELIEF COUGH
1
CHILD MUCUS RELIEF EXPECTORANT
1
CHILD PLUS COUGH & RUNNY NOSE
1
CHILD TRIAMINIC COUGH-CONGEST
1
CHILD TRIAMINIC COUGH-SORE THR
1
CHILD TRIAMINIC MS FEVER-COLD
1
CHILDREN'S COLD & COUGH
1
CHILDREN'S COLD & COUGH DM
1
CHILDREN'S MAPAP COUGH-SINUS
1
CHILDREN'S M-S COLD DAY-NIGHT
1
CHILDREN'S MUCINEX COLD-FEVER
2
CHILDREN'S MUCINEX COUGH
1
CHILDREN'S MUCINEX MULTI-SYMP
2
CHILDREN'S MUCINEX NIGHT TIME
2
CHILDRENS PLUS MULTI-SYMP COLD
1
CHILDREN'S SILFEDRINE
1
CHILDREN'S TRIAMINIC-D MS COLD
2
76
Notes
Drug Name
Tier
CHLO HIST
2
CHLO TUSS
2
CHLO TUSS EX
2
CLOFERA
2
codeine-guaifenesin
1
CODITUSS DM
1
COLD & COUGH DM
1
COLD & COUGH ELIXIR
1
COLD & COUGH ORAL LIQUID 2.5-5 MG/5 ML
1
COLD & FLU SEVERE
1
COLD HEAD CONGESTION DAY/NITE
1
COLD HEAD CONGESTION DAYTIME
1
COLD HEAD CONGESTION NIGHTTIME
1
COLD HEAD CONGESTION SEVER DAY
1
COLD MULTI-SYMPTOM
1
COLD MULTI-SYMPTOM (CHLORPHEN)
1
COLD MULTI-SYMPTOM DAY/NIGHT
1
COLD RELIEF ORAL TABLET, EFFERVESCENT
1
COLD RELIEF PLUS
1
COLD SEVERE CONGESTION
1
COLD-SINUS RELIEF
1
COMTREX COLD-COUGH
2
COMTREX DAY/NI SEV COLD-SINUS
2
COMTREX DAY/NIGHT COLD & COUGH
2
COMTREX DEEP CHEST COLD
1
COMTREX FLU THERAPY
2
COMTREX NIGHTTIME COLD & COUGH
2
CONGESTAC
1
CONGESTION RELIEF (IBUPROF-PE)
1
COUGH & COLD BP
1
COUGH & COLD ORAL TABLET
1
COUGH & SORE THROAT
1
COUGH CONTROL (DEXTROMETHORPH)
1
COUGH CONTROL (GUAIFENESIN)
1
COUGH CONTROL CF (PE)
1
COUGH CONTROL DM
1
COUGH CONTROL DM MAX
1
COUGH DM ER
1
COUGH DROPS MUCOUS MEMBRANE LOZENGE 5.4
MG, 5.8 MG
1
COUGH RELIEF ORAL LIQUID
1
COUGH SUPPRESSANT
1
COUGH SUPPRESSANT-EXPECTORANT
1
COUGH SYRUP
1
Notes
77
Drug Name
Tier
COUGH SYRUP DM
1
COUGH-SORE THROAT NIGHT
1
COUGHTAB
1
COUGHTAB 400
1
cpm-pseudoephed-hydrocodone
1
DAY TIME PE
1
DAYTIME COLD & FLU RELIEF (PE) ORAL LIQUID
1
DAYTIME COLD-FLU
1
DAY-TIME COUGH
1
DAYTIME MUCUS RELIEF DM
1
DAYTIME SINUS
1
DAYTIME SINUS RELIEF ORAL CAPSULE 5-325 MG
1
DAYTIME-NIGHTTIME
1
DE-CHLOR DM
1
DECONEX
2
DECONEX DM
2
DECONEX DMX
2
DECONEX IR
2
DELSYM 12 HOUR
2
DELSYM COUGH+CHEST CONGEST DM
1
DELSYM COUGH+COLD DAYTIME
2
DELSYM COUGH+COLD NIGHTTIME
2
DELSYM COUGH+SOOTHING ACTION
2
DELSYM NIGHTTIME MULTI-SYMPTOM
1
DESGEN DM (PSEUDOEPHEDRINE)
1
dextromethorphan polistirex
1
dextromethorphan-guaifenesin oral syrup
1
DIABETIC SILTUSSIN DAS-NA
1
DIABETIC SILTUSSIN-DM
1
DIABETIC SILTUSSIN-DM MAX STR
1
DICEL CD
2
DIMAPHEN DM
1
DIMETANE-DX
2
DIMETAPP DM COLD-COUGH (PE)
2
DONATUSS DC
2
DONATUSSIN
2
DONATUSSIN DM
2
DONATUSSIN PEDI (REFORMULATED)
2
DONATUSSIN PEDIATRIC
2
DRYMAX
1
DRYMAX AF
2
DURAFLU ORAL TABLET 60-20-200-500 MG
2
DURAVENT DM
2
DURAVENT PE
2
78
Notes
Drug Name
Tier
ED A-HIST DM
1
ED BRON GP
1
ENDACOF - DM
1
ENDACOF-C
1
ENTRE-COUGH
1
ENTRE-S
1
ephedrine sulfate in 0.9% nacl intravenous syringe 50 mg/5
ml (10 mg/ml)
1
ephedrine sulfate injection solution
1
ephedrine sulfate oral
1
EXCEDRIN SINUS HEADACHE
2
EXECLEAR-C
1
EXEFEN DMX
1
FLOWTUSS
2
FLU & SEVERE COLD-DAYTIME
1
FLU & SORE THROAT
1
FLU BP
1
FLU-SEVERE COLD-COUGH DAYTIME
1
FLU-SEVERE COLD-COUGH NIGHT
1
GUAIATUSSIN AC
1
guaifenesin
1
GUAIFENESIN AC
1
GUAIFENESIN DAC
1
GUAIFENESIN DM
1
HISTEX DM
2
HISTEX-AC
2
HYCOFENIX
2
hydrocodone-chlorpheniramine
1
hydrocodone-homatropine oral syrup 5-1.5 mg/5 ml
1
hydrocodone-homatropine oral tablet
1
HYDROMET
1
IBUPROFEN COLD
1
IBUPROFEN COLD-SINUS(WITH PSE)
1
INTENSE COUGH RELIEVER ORAL LIQUID 20-300
MG/5 ML
1
IOPHEN C-NR
1
IOPHEN DM-NR
1
IOPHEN-NR
1
J-COF DHC
1
J-MAX
1
J-MAX DHC
1
KIDKARE COUGH/COLD
1
LEXUSS 210
1
LOHIST PEB DM
1
Notes
79
Drug Name
Tier
LOHIST-DM
1
LORTUSS DM
2
LORTUSS EX ORAL SYRUP
1
LUSAIR
1
MAPAP COLD FORMULA
1
MAPAP SINUS MAX STRENGTH (PE)
1
MAR-COF BP
1
MAR-COF CG
1
MAXIPHEN
2
MAXIPHEN DM
2
M-CLEAR WC
2
M-END DMX
2
M-END MAX D
2
M-END PE
2
M-END WC
2
MUCAPHED
1
MUCINEX
2
MUCINEX COLD & SINUS
2
MUCINEX COLD-FLU & SORE THROAT
2
MUCINEX COUGH MINI-MELTS
2
MUCINEX D
2
MUCINEX D MAXIMUM STRENGTH
2
MUCINEX DM
2
MUCINEX FAST-MAX COLD-FLU-THRT ORAL
CAPSULE
2
POWDER IN PACKET
2
TABLET
1
MUCINEX FAST-MAX COLD-SINUS
1
MUCINEX FAST-MAX CONGEST-COUGH ORAL
LIQUID
2
MUCINEX FAST-MAX CONGEST-COUGH ORAL
TABLET
1
MUCINEX FAST-MAX DAY-NITE COLD
2
MUCINEX FAST-MAX DAY-NITE CONG
2
MUCINEX FAST-MAX DAY-NT(DOXYL)
2
MUCINEX FAST-MAX DM MAX
1
MUCINEX FAST-MAX NITE (DOXYL)
1
MUCINEX FAST-MAX NITE COLD-FLU ORAL
LIQUID
2
MUCINEX FAST-MAX NITE COLD-FLU ORAL
TABLET
1
MUCINEX FAST-MAX SEV CLD-SINUS
1
MUCINEX FAST-MAX SEVERE COLD ORAL LIQUID
2
MUCINEX FAST-MAX SEVERE COLD ORAL TABLET
1
80
Notes
Drug Name
Tier
MUCINEX FST-MX DY-NT CLD (DPH)
2
MUCINEX MINI-MELTS ORAL GRANULES IN
PACKET 100 MG
2
MUCINEX SINUS-MAX D-N (DIPHEN)
2
MUCINEX SINUS-MAX DY-NT (DXYL)
2
MUCINEX SINUS-MAX NITE CONGEST
2
MUCINEX SINUS-MAX PRESSUR-PAIN ORAL
LIQUID
2
MUCINEX SINUS-MAX PRESSUR-PAIN ORAL
TABLET
1
MUCINEX SINUS-MAX SEV CONG(DM)
2
MUCINEX SINUS-MAX SEV CONGESTN ORAL
LIQUID
2
MUCINEX SINUS-MAX SEV CONGESTN ORAL
TABLET
1
MUCOSA
1
MUCOSA DM
1
MUCUS RELIEF
1
MUCUS RELIEF COLD & SINUS ORAL TABLET
1
MUCUS RELIEF COLD-FLU-SORE THR ORAL
TABLET
1
MUCUS RELIEF COUGH
1
MUCUS RELIEF DM
1
MUCUS RELIEF ER ORAL TABLET EXTENDED
RELEASE 12HR
1
MUCUS RELIEF PE
1
MUCUS RELIEF SEV CONGEST-COLD
1
MUCUS RELIEF SINUS
1
MULTI-SYMPTOM COLD (PE)
1
MULTI-SYMPTOM COLD NIGHT TIME
1
NASAL DECONGESTANT (PE) ORAL TABLET 10 MG
1
NASAL DECONGESTANT (PSEUDOEPH)
1
NEO AC
2
NEO DM
2
NIGHT TIME (DOXY-DM-ACETAM)
1
NIGHT TIME COLD & FLU RELIEF
1
NIGHT TIME COLD ORAL LIQUID
1
NIGHT TIME COLD-FLU ORAL LIQUID
1
NIGHT TIME COLD-FLU RELIEF ORAL LIQUID
12.5-30-1,000 MG/30 ML
1
NIGHT-TIME
1
NIGHTTIME COLD-FLU
1
NIGHTTIME COLD-FLU RELIEF
1
NIGHTTIME COUGH
1
NIGHTTIME SINUS
1
NINJACOF
2
Notes
81
Drug Name
Tier
NINJACOF-A
2
NINJACOF-XG
1
NITE TIME
1
NITE TIME COLD-FLU RELIEF ORAL LIQUID
1
NITE TIME COUGH
1
NITE TIME-D COLD-FLU RELIEF
1
NITE-TIME COLD-FLU
1
NIVA-HIST DM
1
NIVANEX DMX
1
NOHIST-DM
1
NOREL AD
2
NOREL CS
2
NU-COPD
1
NYQUIL D
1
ORGAN-I NR
1
PAIN RELIEF ALLERGY SINUS
1
PAIN RELIEF COLD
1
PAIN RELIEF COLD & COUGH
1
PAIN RELIEF SINUS PE
1
PEDIA RELIEF COUGH-COLD
1
PEDIATRIC COUGH & COLD ORAL LIQUID 1-15-5
MG/5 ML
1
PHENYLHISTINE DH
1
PLURATUSS
1
POLY HIST DHC
2
POLY HIST NC
2
POLY HIST PD
2
POLY-HIST DM (THONZYLAMINE)
2
POLY-TUSSIN
1
POLY-TUSSIN AC ORAL LIQUID 4-10-10 MG/5 ML
2
POLY-TUSSIN D
1
POLY-TUSSIN EX
2
POLY-VENT DM ORAL TABLET 60-20-380 MG
2
POLY-VENT IR ORAL TABLET 60-380 MG
2
PRO-CHLO
2
PRO-CLEAR AC
2
PROMETHAZINE VC-CODEINE
1
promethazine-codeine
1
promethazine-dm
1
promethazine-phenyleph-codeine
1
PRO-RED AC (W/ DEXCHLORPHENIR)
2
pseudoephedrine hcl oral liquid
1
pseudoephedrine hcl oral tablet
1
Q-TAPP DM
1
82
Notes
Drug Name
Tier
Q-TUSSIN
1
Q-TUSSIN DM
1
RELCOF C
1
RESCON-DM
2
RESCON-GG
2
RESPAIRE-30
2
REZIRA
2
ROBAFEN
1
ROBAFEN AC
1
ROBAFEN CF ORAL LIQUID
1
ROBAFEN COUGH
1
ROBAFEN DM
1
ROBAFEN DM CLEAR
1
ROBAFEN DM COUGH
1
ROBAFEN DM MAX
1
RYDEX
1
RYNEX DM
1
SEVERE COLD & FLU (PE) ORAL TABLET
1
SEVERE COLD PE
1
SILPHEN DM COUGH
1
SILTUSSIN DAS
1
SILTUSSIN DM DAS
1
SILTUSSIN SA
1
SILTUSSIN-DM
1
SINUS & COLD-D
1
SINUS 12 HOUR
1
SINUS CONG & PAIN DAY-NIGHT
1
SINUS CONGESTION & PAIN
1
SINUS CONGESTION & PAIN(GUAIF)
1
SINUS CONGESTION&PAIN(CHLORPH)
1
SINUS PAIN RELIEF
1
SORE THROAT & COUGH
1
STATUSS GREEN (CODEINE)
2
SUDOGEST 12-HOUR
1
SUDOGEST CHILDRENS
1
SUDOGEST ORAL TABLET 60 MG
1
SUDOGEST PE
1
SUPHEDRIN 12 HOUR
1
SUPHEDRIN ORAL TABLET
1
SUPHEDRINE
1
SUPHEDRINE 12 HOUR
1
TAB TUSSIN
1
TAB TUSSIN DM
1
TESSALON PERLES
2
Notes
83
Drug Name
Tier
THERAFLU COLD-COUGH
2
THERAFLU COLD-SORE THROAT (PE)
2
THERAFLU FLU-SORE THROAT
2
THERAFLU MAX-D SEVERE COLD-FLU
2
THERAFLU MULTI-SYMPTOM COLD
2
THERAFLU NIGHT SEVERE COLD-CGH
2
THERAFLU NIGHTTIME SEVERE COLD
2
THERAFLU SINUS & COLD
2
THERAFLU WARMING RELIEF
2
TRIACTING COUGH & COLD
1
TRIAMINIC
2
TRIAMINIC CHEST &NASAL CONGEST
2
TRIAMINIC COLD & COUGH (PE) ORAL LIQUID
1
TRIAMINIC COLD & COUGH (PE) ORAL STRIP
2
TRIAMINIC COLD-STUFFY NOSE
2
TRIAMINIC COUGH
1
TRIAMINIC COUGH-SORE THROAT
2
TRIAMINIC FLU-COUGH-FEVER
2
TRIAMINIC SOFTCHEWS
2
TUSNEL C
2
TUSNEL NEW FORMULA ORAL TABLET
2
TUSNEL PEDIATRIC
2
TUSNEL-DM PEDIATRIC
2
TUSSICAPS
2
TUSSIGON
2
TUSSIN
1
TUSSIN CF COUGH-COLD
1
TUSSIN CF MAX
1
TUSSIN CF ORAL LIQUID
1
TUSSIN CHEST CONGESTION
1
TUSSIN COUGH (DM ONLY) ORAL LIQUID
1
TUSSIN DM CLEAR
1
TUSSIN DM COUGH & CHEST ORAL SYRUP
1
TUSSIN DM MAX ORAL LIQUID 10-200 MG/5 ML
1
TUSSIN DM ORAL LIQUID
1
TUSSIN DM ORAL SYRUP 10-100 MG/5 ML
1
TUSSIN DM ORAL TABLET
1
TUSSIN EXPECTORANT
1
TUSSIONEX PENNKINETIC ER
2
VANACOF
2
VANACOF DM
2
VANACOF-8
2
VICKS CHILDREN'S NYQUIL COLD
2
VICKS DAYQUIL COLD&FLU RELIEF
1
84
Notes
Drug Name
Tier
VICKS DAYQUIL COUGH
1
VICKS DAYQUIL MUCUS CONTROL DM
2
VICKS DAYQUIL SEVERE COLD-FLU
1
VICKS NYQUIL COLD/FLU (CPM)
2
VICKS NYQUIL COLD/FLU LIQUICAP
1
VICKS NYQUIL COUGH
2
VICKS NYQUIL NIGHTTIME RELIEF
2
VICKS NYQUIL SEVERE COLD-FLU ORAL LIQUID
1
VICKS NYQUIL SEVERE COLD-FLU ORAL TABLET
2
VICKS QLEARQUIL DAYTIME SINUS
2
VICKS QLEARQUIL NIGHTIME SINUS
2
VICKS VAPODROPS
2
VICKS VAPOSTEAM
2
VIRTUSSIN AC
1
VIRTUSSIN DAC
1
VITUZ
2
ZONATUSS
2
Z-TUSS AC
2
Z-TUSS E
2
ZUTRIPRO
2
Notes
DIAGNOSTIC
ABLAVAR
2
ACETEST
2
ADENOSCAN
2
adenosine (diagnostic)
1
AK-FLUOR
2
ALBUSTIX REAGENT
2
aminohippurate sodium
2
AZO TEST STRIPS
2
CARDIOLITE
2
CHEMSTRIP 2
2
CHEMSTRIP K
2
CHEMSTRIP MICRAL
2
CHEMSTRIP UGK
2
CLINISTIX
2
CLINITEST REAGENT
2
CYSVIEW
2
DEFINITY
2
DIASCREEN 10
2
DIASCREEN 1G REAGENT
2
DIASCREEN 1K REAGENT
2
DIASCREEN 2GK REAGENT
2
DIASCREEN 3 REAGENT
2
DIASCREEN 4OBL REAGENT
2
85
Drug Name
Tier
DIASCREEN 5 REAGENT
2
DIASCREEN 6 REAGENT
2
DIASCREEN 7 REAGENT
2
DIASCREEN 8 REAGENT
2
DIASCREEN 9 REAGENT
2
DIASTIX
2
dipyridamole intravenous
1
EOVIST
2
FUL-GLO
2
GADAVIST
2
GLUCAGEN DIAGNOSTIC KIT
2
glucagon hcl
2
IC GREEN
2
INDIGO CARMINE
1
isosulfan blue
1
KETO-DIASTIX
2
KETONE CARE
2
KETONE URINE TEST
2
KETOSTIX
2
LEXISCAN
2
MAGNEVIST
2
MICRO-BUMINTEST
2
NITRATEST PAPER
2
NITRATEST PAPER WITH DISPENSER
2
NO-STICK GLUCOSE
2
OMNIPAQUE 140
2
OMNIPAQUE 180
2
OMNIPAQUE 240
2
OMNIPAQUE 300 INTRAVENOUS
2
OMNIPAQUE 350
2
OMNISCAN
2
OMNISCAN PREFILL PLUS
2
OPTISON
2
PRO DNA COLLECTION
2
PROSTASCINT
2
REVEAL COLON DISEASE TEST
2
REVEAL UTI TEST STRIP
2
R-GENE 10
2
ULTRAVIST
2
URINARY TRACT INF.TEST (WBCS)
2
VISIPAQUE INTRAVENOUS
2
DIURETICS
acetazolamide
1
acetazolamide sodium
1
86
Notes
Drug Name
Tier
Notes
ALDACTAZIDE
2
ALDACTONE
2
amiloride oral
1
amiloride-hydrochlorothiazide
1
ammonium chloride
1
bumetanide
1
chlorothiazide
1
chlorothiazide sodium
1
chlorthalidone oral tablet 25 mg, 50 mg
1
DEMADEX
2
DIAMOX SEQUELS
2
DIURIL
2
DYAZIDE
2
EDECRIN
2
eplerenone
1
ethacrynate sodium
1
furosemide injection
1
furosemide oral solution 10 mg/ml, 40 mg/5 ml
1
furosemide oral tablet
1
hydrochlorothiazide
1
indapamide
1
INSPRA
2
LASIX
2
mannitol 10 %
1
mannitol 20 %
1
mannitol 25 % intravenous solution
1
mannitol 5 %
1
MAXZIDE
2
MAXZIDE-25MG
2
methazolamide oral
1
methyclothiazide
1
metolazone
1
MICROZIDE
2
NEPTAZANE
2
OSMITROL 10 %
2
OSMITROL 15 %
2
OSMITROL 20 %
2
OSMITROL 5 %
2
RESECTISOL
2
SAMSCA ORAL TABLET 15 MG
2
SAMSCA ORAL TABLET 30 MG
2
SODIUM EDECRIN
2
spironolactone
1
spironolacton-hydrochlorothiaz
1
87
Drug Name
Tier
THALITONE
2
torsemide
1
triamterene-hydrochlorothiazid
1
VAPRISOL
2
ZAROXOLYN ORAL TABLET 5 MG
2
Notes
EENT PREPS
12 HOUR NASAL SPRAY
1
4 WAY
1
ACETASOL HC
1
acetic acid otic
1
acetic acid-aluminum acetate
1
ACULAR
2
ACULAR LS
2
ACUVAIL (PF)
2
ADVANCED FORMULA EYE DROPS
1
AKORN BALANCED SALT
2
AKTEN (PF)
2
AKWA TEARS
1
AKWA TEARS (POLYVINYL ALCOHOL)
1
ALCAINE
1
ALOCRIL
2
ALOMIDE
2
ALPHAGAN P
2
ALREX
2
ANEFRIN NASAL SPRAY,NON-AEROSOL
1
antipyrine-benzocaine otic drops 5.4-1.4 %
1
ANTISEPTIC MOUTH RINSE
1
apraclonidine
1
ARTIFICIAL TEARS (PETRO/MIN)
1
ARTIFICIAL TEARS (POLYVIN ALC)
1
ARTIFICIAL TEARS OPHTHALMIC DROPS 0.5-0.6 %
1
ASTELIN
2
ASTEPRO NASAL SPRAY,NON-AEROSOL
2
atropine ophthalmic
1
ATROVENT
2
AURAX
1
AURODEX
1
AUROGUARD
1
azelastine nasal
1
AZOPT
2
BALANCED SALT
1
BECONASE AQ
2
BENZEDREX
2
BETADINE OPHTHALMIC PREP
2
88
Drug Name
Tier
BETAGAN OPHTHALMIC DROPS 0.5 %
2
betaxolol ophthalmic
1
BETIMOL
2
BETOPTIC S
2
bimatoprost
1
BION TEARS (PF)
1
brimonidine
1
bromfenac
1
BSS
2
BSS PLUS
2
carteolol
1
CLEANSING EYELID
2
COMBIGAN
2
COSOPT
2
COSOPT (PF)
2
cromolyn ophthalmic
1
CYCLOGYL
2
CYCLOMYDRIL
2
cyclopentolate
1
CYSTARAN
2
DERMOTIC OIL
2
dexamethasone sodium phosphate ophthalmic
1
diclofenac sodium ophthalmic
1
dorzolamide
1
dorzolamide-timolol
1
DRY EYES
1
DUREZOL
2
DYMISTA
2
EAR DROPS (CARBAMIDE PEROXIDE)
1
EAR WAX REMOVAL DROPS
1
EAR WAX REMOVAL KIT
1
EAR WAX REMOVAL SYSTEM OTIC DROPS
1
EAR WAX TREATMENT
1
ENTSOL NASAL SPRAY
2
EYE DROPS (TETRAHYDROZOLINE)
1
EYE DROPS ADVANCED RELIEF
1
EYE DROPS ALLERGY RELIEF
1
EYE IRRIGATING SOLUTION
1
EYE STREAM
1
EYE WASH OPHTHALMIC IRRIGATION SOLUTION
1
EYELID WIPES
2
EYLEA
2
FLAREX
2
FLONASE
2
Notes
PA
89
Drug Name
Tier
Notes
FLONASE ALLERGY RELIEF
2
flunisolide nasal spray,non-aerosol 25 mcg (0.025 %)
1
fluocinolone acetonide oil
1
fluorescein-benoxinate
2
fluorometholone
1
flurbiprofen sodium
1
FLURESS
2
fluticasone nasal
1
FML FORTE
2
FML LIQUIFILM
2
FML S.O.P.
2
FRESHKOTE
2
GENTEAL MILD TO MODERATE
2
GENTEAL GEL
2
GENTEAL MILD
2
GENTEAL PM
2
GENTEAL SEVERE
2
GONAK
1
hydrocortisone-acetic acid
1
HYPOTEARS
1
ILEVRO
2
ILUVIEN
2
IOPIDINE
2
ipratropium bromide nasal
1
ISOPTO CARPINE
2
ISOPTO TEARS
1
ISTALOL
2
JETREA (PF)
2
ketorolac ophthalmic
1
LACRISERT
2
latanoprost
1
levobunolol ophthalmic drops 0.5 %
1
LIQUITEARS
1
LOTEMAX
2
LUBRICANT EYE (CMC-GLYCERIN)
1
LUBRICANT EYE (PG-PEG 400)
1
LUBRICANT EYE DROPS OPHTHALMIC DROPS
1
LUBRICANT EYE OPHTHALMIC OINTMENT
57.3-42.5 %
1
LUBRICATING PLUS
1
LUBRIFRESH PM
1
LUCENTIS
2
LUMIGAN
2
MACUGEN
2
90
Drug Name
Tier
MAXIDEX
2
metipranolol
1
MIOCHOL-E
2
MIOSTAT
2
MOUTH RINSE
1
MUCINEX FULL FORCE
2
MUCINEX MOISTURE SMART
2
MUCINEX SINUS-MAX
1
MURO 128
1
MYDRIACYL
2
naphazoline
1
NAPHCON-A
2
NASACORT AQ
2
NASAL ALLERGY
1
NASAL DECONGESTANT (OXYMETAZL)
1
NASAL FOUR
1
NASAL SPRAY (OXYMETAZOLINE)
1
NASAL SPRAY 12 HOUR
1
NASAL SPRAY EXTRA MOISTURIZING
1
NASAL SPRAY LONG ACTING
1
NASAL SPRAY SINUS
1
NASAL SPRAY X-MOIST
1
NASONEX
2
NATURAL BALANCE
1
NATURE'S TEARS
1
NEVANAC
2
NO DRIP
1
NOSE DROPS
1
NOSE DROPS EXTRA STRENGTH
1
NRS NASAL RELIEF
1
OCUFEN
2
olopatadine
1
OMIDRIA
2
OMNARIS
2
OMNIPRED
2
OPTI-CLEAR
1
ORIGINAL NASAL SPRAY
1
OTIC CARE (ANTIPYRINE)
2
OTOZIN
2
OZURDEX
2
PAREMYD
2
PATANASE
2
phenylephrine hcl ophthalmic
1
PHOSPHOLINE IODIDE
2
Notes
91
Drug Name
Tier
Notes
pilocarpine hcl ophthalmic drops 1 %, 2 %, 4 %
1
PINNACAINE
1
PRAMOXINE-HC
1
PRED FORTE
2
PRED MILD
2
prednisolone acetate
1
prednisolone sodium phosphate ophthalmic
1
PROLENSA
2
proparacaine
1
PURALUBE
1
QNASL NASAL HFA AEROSOL INHALER 40
MCG/ACTUATION
2
QNASL NASAL HFA AEROSOL INHALER 80
MCG/ACTUATION
2
REDNESS RELIEF OPHTHALMIC DROPS 0.012-0.2 %
1
REFRESH CELLUVISC
2
REFRESH CLASSIC (PF)
2
REFRESH LACRI-LUBE
2
REFRESH LIQUIGEL
2
REFRESH OPTIVE ADVANCED
2
REFRESH OPTIVE ADVANCED (PF)
2
REFRESH OPTIVE OPHTHALMIC DROPS
2
REFRESH OPTIVE SENSITIVE (PF)
2
REFRESH P.M.
2
REFRESH PLUS
2
REFRESH TEARS
2
RESTASIS
2
RETISERT
2
RHINOCORT AQUA
2
SIMBRINZA
2
SINEX ULTRA FINE MIST 12-HOUR
1
SINUS NASAL SPRAY
1
SINUS RELIEF (OXYMETAZOLINE) NASAL MIST
1
SINUS WASH NASAL PACKET 700-2,300 MG
1
sodium chloride ophthalmic
1
STERILE EYE DROPS OPHTHALMIC DROPS 0.05 %
1
STERILUBE
1
SWIM EAR
2
SYSTANE
2
SYSTANE (PF)
2
SYSTANE BALANCE
2
SYSTANE GEL
2
SYSTANE NIGHTTIME
1
SYSTANE ULTRA
2
92
Drug Name
Tier
Notes
SYSTANE ULTRA (PF)
2
TEARS NATURALE FORTE
2
TEARS NATURALE FREE (PF)
1
TEARS NATURALE II
2
TEARS PURE
1
tetracaine hcl
1
tetracaine hcl (pf) ophthalmic
1
tetrahydrozoline ophthalmic
1
timolol maleate ophthalmic
1
TIMOPTIC
2
TIMOPTIC OCUDOSE (PF)
2
TIMOPTIC-XE
2
TRAVATAN Z
2
travoprost (benzalkonium)
1
triamcinolone acetonide nasal
1
TRIAMINIC (XYLOMETAZOLINE)
2
TRIESENCE (PF)
2
tropicamide ophthalmic
1
TRUSOPT
2
TYZINE NASAL DROPS 0.05 %
2
ULTRA LUBRICANT EYE
1
VERAMYST
2
VEXOL
2
VICKS QLEARQUIL(OXYMETAZOLINE)
1
VICKS SINEX 12-HOUR
1
VOLTAREN OPHTHALMIC
2
VOSOL
2
VOSOL-HC
2
XALATAN
2
ZETONNA
2
ZIOPTAN (PF)
2
ELECT/CALORIC/H2O
ACTIVE FE
2
ADDAMEL N
1
AMINO ACIDS 15 %
2
AMINOSYN 10 %
2
AMINOSYN 7 % WITH ELECTROLYTES
2
AMINOSYN 8.5 %
2
AMINOSYN 8.5 %-ELECTROLYTES
2
AMINOSYN II 10 %
2
AMINOSYN II 15 %
2
AMINOSYN II 7 %
2
AMINOSYN II 8.5 %
2
AMINOSYN II 8.5 %-ELECTROLYTES
2
93
Drug Name
Tier
AMINOSYN M 3.5 %
2
AMINOSYN-HBC 7%
2
AMINOSYN-PF 10 %
2
AMINOSYN-PF 7 % (SULFITE-FREE)
2
AMINOSYN-RF 5.2 %
2
ammonium molybdate
1
ANTICAVITY FLUORIDE RINSE
1
AURYXIA
2
BIFERA RX
2
BIOTENE
2
CALCARB 600 WITH VITAMIN D ORAL TABLET 600
MG(1,500MG) -400 UNIT
1
CALCIUM 600 WITH VITAMIN D3 ORAL CAPSULE
600 MG(1,500MG) -400 UNIT
1
calcium acetate oral capsule
1
calcium acetate oral tablet 667 mg
1
calcium carbonate oral suspension
1
calcium carbonate oral tablet 500 mg calcium (1,250 mg)
1
calcium carbonate-vitamin d3 oral tablet 500 mg(1,250mg)
-200 unit, 600 mg(1,500mg) -800 unit
1
calcium chloride intravenous
1
calcium gluconate in 0.9% nacl intravenous solution 1
gram/100 ml
1
calcium gluconate intravenous
1
calcium gluconate oral tablet 45 mg (500 mg)
1
CALCIUM MAGNESIUM
1
CALCIUM-FOLIC ACID-VITAMIN D
1
CALPHRON
1
CENTRATEX
2
chromium chloride
1
CLINIMIX 5%/D15W SULFITE FREE
2
CLINIMIX 5%/D25W SULFITE-FREE
2
CLINIMIX 2.75%/D5W SULFIT FREE
2
CLINIMIX 4.25%/D10W SULF FREE
2
2
CLINIMIX 4.25%-D20W SULF-FREE
2
2
CLINIMIX 5%-D20W(SULFITE-FREE)
2
CLINIMIX E 2.75%/D10W SUL FREE
2
CLINIMIX E 2.75%/D5W SULF FREE
2
2
2
2
CLINIMIX E 5%/D15W SULFIT FREE
2
2
94
Notes
Drug Name
Tier
2
CLINISOL SF 15 %
2
COPPER CHLORIDE
1
CORVITA 150
1
CORVITE 150 ORAL TABLET 150 MG IRON- 1 MG
2
CORVITE FE ORAL TABLET 150 MG IRON- 1 MG
2
cupric sulfate
1
cysteine (l-cysteine) intravenous solution
1
CYTRA K CRYSTALS
1
d10 % & 0.45 % sodium chloride
1
d2.5 %-0.45 % sodium chloride
1
d5 % and 0.9 % sodium chloride
1
d5 %-0.45 % sodium chloride
1
DELFLEX WITH 2.5 % DEXTROSE
2
DELFLEX-LC/1.5% DEXTROSE
2
2
2
DELFLEX-SM WITH 1.5% DEXTROSE
2
DENTA 5000 PLUS
1
DENTAGEL
1
DEX4 GLUCOSE ORAL TABLET,CHEWABLE
1
DEXFERRUM
1
dextrose 10 % and 0.2 % nacl
1
dextrose 10 % in water (d10w)
1
1
1
1
1
1
dextrose 5 %-lactated ringers
1
dextrose 5%-0.2 % sod chloride
1
dextrose 5%-0.3 % sod.chloride
1
1
1
dextrose oral gel in packet
1
dextrose oral liquid 15 gram/59 ml
1
DIABETISWEET
2
DIANEAL PD-2 WITH 2.5 % DEX
2
DIANEAL PD-2 WITH 4.25 % DEX
2
DIANEAL PD-2/1.5% DEXTROSE
2
DIANEAL WITH 1.5% DEXTROSE
2
DIANEAL WITH 4.25 % DEXTROSE
2
EFFER-K ORAL TABLET, EFFERVESCENT 10 MEQ,
20 MEQ
2
Notes
95
Drug Name
Tier
EFFER-K ORAL TABLET, EFFERVESCENT 25 MEQ
1
electrolyte-48 in d5w
1
ELIPHOS
1
EXTRANEAL 7.5 %
2
FE C
1
FE C PLUS
1
FERAHEME
2
FERIVA
2
FERIVA 21-7 TABLET
2
FERIVA FA (SUMALATE)
2
FERIVA FA (WITH QUATREFOLIC)
2
FERRALET 90 DUAL-IRON DELIVERY
2
FERRAPLUS 90
1
FERRETTS
1
FERRLECIT
2
ferrous gluconate oral tablet 256 mg (28 mg iron), 324 mg
(38 mg iron)
1
ferrous sulfate oral tablet 325 mg (65 mg iron)
1
ferrous sulfate oral tablet,delayed release (dr/ec) 324 mg (65
mg iron)
1
FLUOR-A-DAY
2
FLUOR-A-DAY (WITH XYLITOL)
2
fluoride toothpaste
2
FOCALGIN DSS
1
FOLIVANE-F
1
FOSRENOL
2
FOSTEUM
2
FREAMINE HBC 6.9 %
2
FREAMINE III 10 %
2
FUSION PLUS
2
FUSION SPRINKLES
2
GLUCAGEN
2
GLUCAGEN HYPOKIT
2
GLUCAGON EMERGENCY KIT (HUMAN)
2
glucose oral tablet,chewable 4 gram
1
GLUCOSE POWDER
1
GLYCOPHOS
1
GLYTACTIN 20PE BETTERMILK LITE
2
HEMATOGEN
1
HEMATOGEN FA
1
HEMATOGEN FORTE
1
HEMETAB
1
HEMOCYTE
1
HEMOCYTE-F
2
96
Notes
Drug Name
Tier
HEMOCYTE-PLUS
2
HEPATAMINE 8%
2
HYPERLYTE CR
2
IFEREX 150
1
IFEREX 150 FORTE
1
INFED
2
INJECTAFER
2
INSTA-GLUCOSE
1
INTEGRA
2
INTEGRA F
2
INTEGRA PLUS
2
IODOPEN
1
IONOSOL-B IN D5W
2
IONOSOL-MB IN D5W
2
iron aspgly&ps-c-b12-fa-ca-suc
1
iron aspgly-c-b12-ca-suc-stoma
1
iron fum & ag-c-b12-fa-ca-succ
1
IROSPAN 24/6
2
ISOLYTE S PH 7.4
2
ISOLYTE-P IN 5 % DEXTROSE
2
ISOLYTE-S
2
KABIVEN
2
KAYEXALATE
2
K-EFFERVESCENT
1
KIONEX
1
KLOR-CON
2
KLOR-CON 10
2
KLOR-CON 8
2
KLOR-CON M10
1
KLOR-CON M15
1
KLOR-CON M20
1
KLOR-CON SPRINKLE
1
KLOR-CON/25
2
KLOR-CON/EF
2
K-PHOS NO 2
2
K-PHOS ORIGINAL
2
K-PHOS-NEUTRAL
2
K-SOL
2
K-TAB
2
lactated ringers intravenous
2
LUDENT FLUORIDE
2
MAGNEBIND 300
2
MAGNEBIND 400
1
magnesium chloride injection
1
Notes
97
Drug Name
Tier
magnesium oxide oral tablet 400 mg, 420 mg
1
magnesium sulfate in d5w intravenous piggyback 1
gram/100 ml
1
magnesium sulfate in water
1
magnesium sulfate injection
1
manganese chloride
1
MAXARON FORTE
1
MAXFE
2
MICRO-K
2
MULTITRACE-4
1
MULTITRACE-4 CONCENTRATE
1
MULTITRACE-4 NEONATAL
1
MULTITRACE-4 PEDIATRIC
1
MULTITRACE-5
1
MULTITRACE-5 CONCENTRATE
1
NEPHRAMINE 5.4 %
2
NEPHRON FA
1
NEUT
2
NIRON KOMPLETE
2
NORMOSOL-M IN 5 % DEXTROSE
2
NORMOSOL-R
2
NORMOSOL-R IN 5 % DEXTROSE
2
NORMOSOL-R PH 7.4
2
NULECIT
1
NUTRESTORE
2
NUTRILYTE
2
NUTRILYTE II
2
NUTRITIONAL SHAKE
1
NUTRITIONAL SHAKE PLUS ORAL LIQUID 0.05-1.5
GRAM-KCAL/ML
1
ORACIT
2
OYSTERCAL-D
1
PEDIATRIC ELECTROLYTE ORAL SOLUTION
1
PEDITRACE
1
PERIKABIVEN
2
PHENACTIN AA PLUS 20 PE
2
PHOSLO
2
PHOSLYRA
2
PHOSPHA 250 NEUTRAL
1
PLASMA-LYTE 148
2
PLASMA-LYTE A
2
PLASMA-LYTE-56 IN 5 % DEXTROSE
2
POLYSACCHARIDE IRON
1
pot & sod citrate-citric acid
1
98
Notes
Drug Name
Tier
potassium acetate intravenous
1
potassium bicarb and chloride
1
potassium bicarb-citric acid
1
potassium chlorid-d5-0.45%nacl
1
potassium chloride
1
potassium chloride in 0.9%nacl intravenous parenteral
solution 20 meq/l, 40 meq/l
1
potassium chloride in 5 % dex intravenous parenteral
solution 20 meq/l, 30 meq/l, 40 meq/l
1
potassium chloride in lr-d5
1
potassium chloride-0.45 % nacl
1
potassium chloride-d5-0.2%nacl intravenous parenteral
solution 20 meq/l, 30 meq/l, 40 meq/l
1
potassium chloride-d5-0.3%nacl intravenous parenteral
solution 20 meq/l
1
potassium chloride-d5-0.9%nacl
1
potassium citrate
1
potassium citrate-citric acid
1
potassium gluconate oral tablet 595 mg (99 mg)
1
potassium phosphate m-/d-basic
1
PREMASOL 10 %
2
PREMASOL 6 %
2
PROCALAMINE 3%
2
PROGLYCEM
2
PROSOL 20 %
2
PUREVIT DUALFE PLUS
2
RENACIDIN
2
RENAGEL
2
RENVELA
2
ringers intravenous
1
saccharin
2
saccharin sodium
2
selenium intravenous
1
SE-TAN PLUS
1
sevelamer carbonate
1
SF
1
SF 5000 PLUS
1
SLOW RELEASE IRON ORAL TABLET EXTENDED
RELEASE 160 MG (50 MG IRON)
1
sodium acetate intravenous
1
sodium bicarbonate intravenous
1
sodium chloride 0.45 % intravenous
1
sodium chloride 0.9 % injection solution
1
sodium chloride 0.9 % injection syringe
1
sodium chloride 0.9 % intravenous
1
Notes
99
Drug Name
Tier
sodium chloride 3 %
1
sodium chloride 5 %
1
sodium chloride intravenous
1
sodium citrate-citric acid
1
sodium ferric gluconat-sucrose
1
sodium fluoride oral drops
3
sodium fluoride oral tablet,chewable
3
sodium lactate intravenous
1
sodium phosphate
1
SODIUM POLYSTYRENE (SORB FREE)
1
sodium polystyrene sulfonate
1
sorbitol powder
2
SPS ORAL
1
SPS RECTAL
2
SSKI
1
stannous fluoride
1
sucrose crystals
2
TANDEM DUAL ACTION
2
TANDEM PLUS
2
TARON FORTE
1
THAM
2
TL G-FOL OS
1
TL ICON
1
TL-FOL 500
1
TL-HEM 150
1
TPN ELECTROLYTES
2
TRACE ELEMENTS 4/PEDIATRIC
1
TRAVASOL 10 %
2
TRICITRATES
1
TRICON
1
TRIGELS-F FORTE
1
TROPHAMINE 10 %
2
TROPHAMINE 6%
2
ULTRABAG/DIANEAL PD-2/1.5% DEX
2
ULTRABAG/DIANEAL PD-2/2.5% DEX
2
ULTRABAG/DIANEAL PD-2/4.25%DEX
2
ULTRABAG/DIANEAL/2.5% DEXTROSE
2
UROCIT-K 10
2
UROCIT-K 15
2
UROCIT-K 5
2
VELPHORO
2
VENOFER
2
VILACTIN AA PLUS 20 PE
2
VIRT-PHOS 250 NEUTRAL
1
100
Notes
Drug Name
Tier
VIRTRATE-2
1
VIRTRATE-3
1
VIRTRATE-K
1
VITAFOL
1
VP-GSTN
1
WEE CARE
1
WHEY PROTEIN CONCENTRATE
2
zinc chloride
1
zinc sulfate intravenous
1
zinc sulfate oral capsule
1
Notes
GASTROINTESTINAL
ABATINEX
2
ACID CONTROL (RANITIDINE)
1
ACID CONTROLLER
1
ACID GONE ANTACID
1
ACID GONE ANTACID E.STRENGTH
1
ACID REDUCER (CIMETIDINE)
1
ACID REDUCER (FAMOTIDINE)
1
ACID REDUCER (RANITIDINE)
1
ACIPHEX SPRINKLE
2
ACTIGALL
2
ADVANCED ANTACID-ANTIGAS
1
AKYNZEO
2
ALMACONE MLT
1
ALMACONE ORAL SUSPENSION
1
ALMACONE ORAL TABLET,CHEWABLE
2
ALMACONE-2
1
alosetron
1
ALOXI
2
aluminum hydroxide gel oral suspension 320 mg/5 ml
1
AMITIZA
2
AMMONUL
2
amoxicil-clarithromy-lansopraz
1
ANA-LEX
2
ANA-LEX KIT
2
ANALPRAM E
2
ANALPRAM-HC RECTAL CREAM
2
ANALPRAM-HC SINGLES RECTAL CREAM 2.5-1 %
(4G)
2
ANASPAZ
2
ANTACID
1
ANTACID ANTI-GAS DOUBLE STR
1
ANTACID ANTI-GAS ORAL SUSPENSION
1
QL (2 EA per 1 day)
101
Drug Name
Tier
Notes
ANTACID CALCIUM ORAL TABLET,CHEWABLE 215
MG CALCIUM (500 MG)
1
ANTACID EXST (CA CARB-MAG HYD)
1
ANTACID EXST (MAG CARB-AL HYD)
1
ANTACID EXT STR (CALCIUM CARB)
1
ANTACID EXTRA-STRENGTH ORAL SUSPENSION
200-200-20 MG/5 ML
1
ANTACID EXTRA-STRENGTH ORAL
TABLET,CHEWABLE 200 MG CALCIUM (500 MG),
300 MG (750 MG)
1
ANTACID MAXIMUM STRENGTH ORAL
SUSPENSION
1
ANTACID PLUS ANTI-GAS
1
ANTACID ULTRA STRENGTH ORAL
TABLET,CHEWABLE 1,177 MG
1
ANTACID-ANTIGAS
1
ANTACID-SIMETHICONE
1
ANTI-DIARRHEA
1
ANTI-DIARRHEAL (LOPERAMIDE)
1
ANTI-NAUSEA
1
ANTIVERT
2
ANUCORT-HC
1
ANU-MED
1
ANUSOL-HC
2
ANZEMET INTRAVENOUS
2
ANZEMET ORAL TABLET 100 MG
2
ST; QL (4 EA per 1 FILL)
ANZEMET ORAL TABLET 50 MG
2
ST; QL (8 EA per 1 FILL)
APRISO
2
ASACOL
2
ASACOL HD
2
atropine in 0.9 % sod chloride intravenous syringe 0.8 mg/2
ml (0.4 mg/ml)
1
atropine injection
1
atropine injection syringe 0.05 mg/ml, 0.1 mg/ml
1
AZULFIDINE
2
AZULFIDINE EN-TABS
2
balsalazide
1
BENEFIBER SUGAR FREE (DEXTRIN) ORAL
POWDER 3 GRAM/4 GRAM
2
BENTYL INTRAMUSCULAR
2
BENTYL ORAL CAPSULE
2
BENTYL ORAL TABLET
2
BISAC-EVAC
1
bisacodyl oral
1
bisacodyl rectal
1
BISCOLAX
1
102
Drug Name
Tier
Notes
BISMATROL
1
BISMUTH MAXIMUM STRENGTH
1
BISMUTH ORAL SUSPENSION
1
BUPHENYL
2
CALCIUM ANTACID
1
CALCIUM ANTACID ULTRA MAX ST
1
calcium carbonate oral tablet 260 mg calcium (648 mg)
1
CAL-GEST ANTACID
1
CANASA
2
CANTIL
2
CARAFATE
2
castor oil oral oil , 100 %
1
CESAMET
2
CHENODAL
2
CHILDREN'S PEPTO
1
chlordiazepoxide-clidinium
1
CHOLBAM
2
cimetidine
1
cimetidine hcl oral
1
CIMZIA
2
PA
CIMZIA POWDER FOR RECONST
2
PA
CIMZIA STARTER KIT
2
PA
CITRUCEL
2
CITRUCEL SUGAR FREE
2
CLEARLAX ORAL POWDER
1
COLACE
1
COLACE CLEAR
2
COLAZAL
2
COLYTE WITH FLAVOR PACKS
2
COMPLETE ORAL TABLET,CHEWABLE
1
COMPRO
1
CONSTULOSE
1
CREON
2
CUVPOSA
2
CYCLIVERT
2
CYTOTEC
2
DELZICOL
2
DEWEE'S CARMINATIVE
2
DEXILANT ORAL CAPSULE,BIPHASE DELAYED
RELEAS 30 MG
2
DICLEGIS
2
QL (4 EA per 1 day)
dicyclomine oral capsule
1
dicyclomine oral solution
1
dicyclomine oral tablet
1
PA
103
Drug Name
Tier
Notes
dimenhydrinate injection solution
1
dimenhydrinate oral
1
DIOCTO
1
DIPENTUM
2
diphenoxylate-atropine
1
DISPOSABLE ENEMA
1
DOC-Q-LACE
1
DOC-Q-LAX
1
DOCU
1
docusate calcium
1
docusate sodium oral capsule
1
docusate sodium oral liquid
1
docusate sodium oral tablet
1
DOCUSIL
1
DOCUSOL
1
DOCUSOL KIDS
2
DOCUSOL PLUS
2
DOK
1
DOK PLUS
1
DONNATAL ORAL ELIXIR 16.2-0.1037 -0.0194 MG/5
ML
2
DONNATAL ORAL TABLET
2
DRIMINATE
1
DUCODYL
1
DULCOLAX (BISACODYL) ORAL
2
ED-SPAZ
1
EMEND INTRAVENOUS
2
EMEND ORAL CAPSULE 125 MG
2
2
2
EMEND ORAL CAPSULE,DOSE PACK
2
ENEMA DISPOSABLE
1
ENEMA RECTAL ENEMA 19-7 GRAM/118 ML
1
ENTEREG
2
ENTYVIO
2
ENULOSE
1
esomeprazole sodium
1
esomeprazole strontium oral capsule,delayed release(dr/ec)
24.65 mg
2
EX-LAX (SENNOSIDES) ORAL TABLET
1
EX-LAX MAXIMUM STRENGTH
2
EX-LAX MILK OF MAGNESIA
1
EX-LAX ULTRA
1
famotidine
1
104
Drug Name
Tier
Notes
famotidine (pf)
1
famotidine (pf)-nacl (iso-os)
1
FEMATROL LAXATIVE
1
FIBER (CALCIUM POLYCARBOPHIL)
1
FIBER (PSYLLIUM HUSK)
1
FIBER (PSYLLIUM HUSK/SUGAR)
1
FIBER (WITH ASPARTAME)
1
FIBER LAXATIVE (CA POLYCARBO)
1
FIBER LAXATIVE (METHYLCELLULO)
1
FIBER LAXATIVE (PSYLLIUM HUSK)
1
FIBER ORAL POWDER
1
FIBER SMOOTH
1
FIBER SMOOTH (SUCROSE)
1
FIBER THERAPY (PSYLLIUM SEED)
1
FIBER THERAPY ORAL POWDER 2 GRAM/19 GRAM
1
FIBER-LAX
1
FIBERTAB
1
FISH OIL ORAL CAPSULE 360-1,200 MG
1
FISH OIL ORAL CAPSULE,DELAYED
RELEASE(DR/EC) 300-1,000 MG
1
FLEET BISACODYL
2
FLEET ENEMA
2
FLEET GLYCERIN (ADULT)
1
FLEET GLYCERIN (CHILD)
1
FLEET GLYCERIN LAXATIVE
2
FLEET LAXATIVE
1
FLEET MINERAL OIL
2
FLEET PEDIATRIC
2
FLORA-Q
2
FLORA-Q(2)
2
FORMULA EM
1
FULYZAQ
2
GAS FREE EXTRA STRENGTH
1
GAS RELIEF
1
GAS RELIEF EXTRA STRENGTH ORAL CAPSULE
1
GAS RELIEF MAXIMUM STRENGTH
1
GAS RELIEF ULTRA STRENGTH
1
GAS-X EXTRA STRENGTH ORAL
TABLET,CHEWABLE
2
GAS-X ORAL TABLET,CHEWABLE
2
GAS-X ULTRA-STRENGTH
1
GAS-X WITH MAALOX
2
GATTEX 30-VIAL
2
GATTEX ONE-VIAL
2
105
Drug Name
Tier
GAVILAX ORAL POWDER
2
GAVILYTE-C
1
GAVILYTE-G
1
GAVILYTE-H AND BISACODYL
1
GAVILYTE-N
1
GAVISCON
2
GAVISCON EXTRA STRENGTH
2
GENERLAC
1
GENTLE LAXATIVE
1
GIAZO
2
glycerin (adult)
1
glycerin (child)
1
GLYCOLAX ORAL POWDER
1
glycopyrrolate injection
1
glycopyrrolate oral
1
GOLYTELY
2
granisetron (pf)
1
granisetron hcl intravenous
1
HEALTHYLAX
1
HEARTBURN RELIEF (CIMETIDINE)
1
HEARTBURN RELIEF (FAMOTIDINE)
1
HEARTBURN RELIEF (RANITIDINE)
1
HEARTBURN RELIEF 24 HOUR
1
HEARTBURN TREATMENT 24 HOUR
1
HEMMOREX-HC
2
HEMORRHOID RECTAL
1
HEMORRHOIDAL (PHENYLEPH-COCOA) RECTAL
SUPPOSITORY 0.25-88.44 %
1
HEMORRHOIDAL COOLING
1
HEMORRHOIDAL CREAM
1
HEMORRHOIDAL RECTAL OINTMENT
1
HEMORRHOIDAL RECTAL SUPPOSITORY 0.25-3 %
1
HEMORRHOIDAL SUPPOSITORY
2
HEMRIL-30
1
hydrocortisone acetate rectal suppository
1
hydrocortisone-pramox-e-pram#1
1
hydrocortisone-pramoxine rectal
1
HYGIENIC (WITCH HAZEL) CLEANS
1
hyoscyamine sulfate oral drops
1
hyoscyamine sulfate oral elixir
1
hyoscyamine sulfate oral tablet
1
hyoscyamine sulfate oral tablet,disintegrating
1
hyoscyamine sulfate sublingual
1
HYOSYNE
1
106
Notes
Drug Name
Tier
INFANTS GAS RELIEF
1
INTRALIPID INTRAVENOUS EMULSION 20 %, 30 %
2
KAO-TIN (BISMUTH SUBSALICYLAT)
1
KAO-TIN (DOCUSATE CALCIUM)
1
KEPIVANCE
2
KONSYL (SUGAR)
1
KONSYL EASY MIX
2
KONSYL FIBER
1
KONSYL FORMULA-D
2
KONSYL SUGAR-FREE (ASPARTAME) ORAL
POWDER IN PACKET
2
KONSYL-D
2
KRISTALOSE
2
lactulose oral solution 10 gram/15 ml (15 ml), 20 gram/30
ml
1
lansoprazole oral capsule,delayed release(dr/ec)
1
LAXATIVE (BISACODYL)
1
LAXATIVE (SENNOSIDES) ORAL TABLET 25 MG
1
LAXATIVE FEMININE
1
LAXATIVE MAXIMUM STRENGTH
1
LAXATIVE PLUS STOOL SOFTENER
1
LEVSIN
2
LEVSIN/SL
2
LIALDA
2
LIBRAX (WITH CLIDINIUM)
2
lidocaine hcl-hydrocortison ac rectal
1
lidocaine-hydrocortisone-aloe
1
LINZESS
2
LIPOSYN II
2
LIPOSYN III INTRAVENOUS EMULSION 10 %, 20 %
2
LIQUID ANTACID ORAL SUSPENSION 200-200-20
MG/5 ML
1
LITHOSTAT
2
LOMOTIL
2
loperamide oral capsule
1
loperamide oral liquid
1
LOTRONEX
2
LOVAZA
2
MAALOX ADVANCED ORAL SUSPENSION
1
MAALOX ADVANCED ORAL TABLET,CHEWABLE
2
MAALOX MAX QUICK DISSOLVE
2
MAALOX RS
2
MAALOX TOTAL RELIEF (BISMUTH)
1
MAG-AL
2
MAG-AL PLUS
1
Notes
QL (1 EA per 1 day)
QL (4 EA per 1 day)
107
Drug Name
Tier
MAG-AL PLUS EXTRA STRENGTH
1
magnesium citrate oral solution
1
MAJOR-PREP (PHENYLEPHRINE-FAT)
1
MAJOR-PREP HEMORRHOIDAL
1
MARINOL
2
MASANTI DOUBLE STRENGTH
1
meclizine oral tablet 12.5 mg, 25 mg
1
meclizine oral tablet,chewable
1
MEDICATED PADS TOPICAL PADS, MEDICATED 50
%
1
ME-PB-HYOS
1
mesalamine rectal
1
mesalamine with cleansing wipe
1
METAMUCIL (WITH SUGAR) ORAL POWDER 3.4
GRAM/7 GRAM
2
METAMUCIL (WITH SUGAR) ORAL POWDER IN
PACKET
2
METAMUCIL FIBER SINGLES
2
METAMUCIL MULTIHEALTH FIBER
2
METAMUCIL ORAL POWDER
2
METAMUCIL SUGAR FREE
2
METAMUCIL SUGAR-FREE (ASPART) ORAL
POWDER 3.3 GRAM/5.95 GRAM
2
METAMUCIL SUNRISE
2
methscopolamine oral
1
metoclopramide hcl injection
1
metoclopramide hcl oral solution
1
metoclopramide hcl oral tablet
1
metoclopramide hcl oral tablet,disintegrating 5 mg
1
METOZOLV ODT
2
MI-ACID
1
MI-ACID GAS RELIEF
1
MILK OF MAGNESIA
1
MILK OF MAGNESIA CONCENTRATED
2
MINERAL OIL LAXATIVE
1
mineral oil rectal
1
MINTOX
1
MINTOX MAXIMUM STRENGTH
1
MINTOX PLUS
1
misoprostol
1
MOTION RELIEF (MECLIZINE)
1
MOTION SICKNESS
1
MOTION SICKNESS (MECLIZINE)
1
MOTION SICKNESS RELIEF
1
MOTION-TIME
1
108
Notes
Drug Name
Tier
MOVIPREP
2
MYTAB GAS
1
MYTAB GAS MAXIMUM STRENGTH
1
NATURAL FIBER LAXATIVE
1
NATURAL FIBER LAXATIVE (SUGAR) ORAL
POWDER 3.4 GRAM/12 GRAM, 3.4 GRAM/7 GRAM
1
NATURAL FIBER LAXATIVE THERAPY
1
NATURAL VEG LAXATIVE(SENNOSID)
1
NEXIUM IV
2
NEXIUM PACKET
2
nizatidine
1
NULEV
2
NULYTELY WITH FLAVOR PACKS
2
NUTRILIPID
2
OMECLAMOX-PAK
2
omega-3 acid ethyl esters
1
omeprazole
1
omeprazole magnesium
1
ondansetron
1
ondansetron (pf) in dextrose
1
ondansetron hcl (pf)
1
ondansetron hcl intravenous
1
ondansetron hcl oral solution
1
ondansetron hcl oral tablet
1
opium tincture
1
OSCIMIN
1
OSCIMIN SL
1
OSCIMIN SR
1
OSMOPREP
2
PAMINE
2
PAMINE FORTE
2
PANCREAZE
2
PANCRELIPASE 5000
1
pantoprazole
1
paregoric
1
PEDIA-LAX
2
PEDIA-LAX STOOL SOFTENER
1
peg 3350-electrolytes
1
PEG3350
1
PEG-3350 WITH FLAVOR PACKS
1
peg-electrolyte soln
1
PENTASA
2
PEPCID
2
PEPCID COMPLETE
2
Notes
QL (4 EA per 1 day)
109
Drug Name
Tier
Notes
PEPTIC RELIEF
1
PEPTO-BISMOL
2
PEPTO-BISMOL MAX ST
2
PEPTO-BISMOL TO-GO
2
PERDIEM OVERNIGHT RELIEF
1
PERI-COLACE
1
PERTZYE
2
PHAZYME
2
PHENADOZ
1
PHENERGAN RECTAL
2
phenobarb-hyoscy-atropine-scop oral tablet
1
PHOSPHATE LAXATIVE ORAL SOLUTION
1
PINK BISMUTH MAXIMUM STRENGTH
1
PINK BISMUTH ORAL SUSPENSION
1
PINK BISMUTH ORAL TABLET,CHEWABLE
1
polyethylene glycol 3350 oral
1
PRAMCORT
2
pramoxine topical
1
PREP-HEM (PHENYLEPHRINE)
2
PREPOPIK
2
PREVACID
2
PREVACID 24HR
2
PREVACID SOLUTAB
2
ST
PREVPAC
2
PRILOSEC
2
PRILOSEC OTC
2
prochlorperazine
1
prochlorperazine edisylate injection solution 10 mg/2 ml (5
mg/ml)
1
prochlorperazine maleate oral
1
PROCORT
2
PROCTOCORT
2
PROCTOCREAM-HC
2
PROCTOFOAM
2
PROCTOFOAM HC
2
PROCTO-PAK
1
PROCTOSOL HC
1
PROCTOZONE-HC
1
promethazine rectal
1
PROMETHEGAN
1
propantheline
1
PROTONIX INTRAVENOUS
2
PROTONIX ORAL TABLET,DELAYED RELEASE
(DR/EC)
2
110
Drug Name
Tier
PYLERA
2
QUADRAPAX
1
rabeprazole
1
ranitidine hcl
1
RAVICTI
2
READY-TO-USE ENEMA
1
READY-TO-USE ENEMA (MIN OIL)
1
RECTIV
2
REGLAN ORAL
2
REGULOID
1
REGULOID, SUGAR FREE
1
REMICADE
2
RESTORA RX
2
RESTORA SPRINKLES
2
RI-MAG PLUS
1
ROBINUL
2
ROBINUL FORTE
2
ROWASA
2
RULOX
2
SANCUSO
2
SANI-SUPP (ADULT)
1
SANI-SUPP (CHILD)
1
SANI-SUPP (INFANT)
1
scopolamine hbr
1
SE-DONNA PB HYOS
1
SENEXON
1
SENEXON-S
1
SENNA LAX
1
SENNA LAXATIVE ORAL TABLET 25 MG, 8.6 MG
1
SENNA ORAL SYRUP 8.8 MG/5 ML
1
SENNA ORAL TABLET
1
SENNA PLUS
1
SENNA PROMPT
2
SENNA SOFT
2
SENNA WITH DOCUSATE SODIUM
1
SENNA-GEN
1
SENNALAX-S
1
SENNA-S
1
SENNA-TIME S
1
SENNO
1
sennosides-docusate sodium
1
SENOKOT
2
SENOKOT TO GO
2
SENOKOT-S
1
Notes
QL (1 EA per 1 day)
PA
111
Drug Name
Tier
SENOKOTXTRA
2
SFROWASA
2
SILACE
1
simethicone oral capsule 180 mg
1
simethicone oral drops,suspension
1
simethicone oral tablet,chewable
1
SMOOTH ANTACID
1
sodium bicarbonate oral
1
sodium phenylbutyrate
1
SOF-LAX
2
STOMACH RELIEF
1
STOMACH RELIEF MAX STRENGTH
1
STOMACH RELIEF ORIGINAL
1
STOOL SOFTENER ORAL CAPSULE 100 MG, 240 MG,
250 MG
1
STOOL SOFTENER-LAXATIVE
1
STOOL SOFTENER-STIMULANT LAXAT
1
SUCLEAR
2
sucralfate oral tablet
1
sulfasalazine
1
SULFAZINE
1
SULFAZINE EC
1
SUPERIOR DIGESTIVE ENZYME
2
SUPREP BOWEL PREP KIT
2
SYMAX FASTABS
2
SYMAX-SL
2
TIGAN INTRAMUSCULAR
2
TIGAN ORAL CAPSULE 300 MG
2
TRANSDERM-SCOP
2
TRAVEL SICKNESS
1
TRAVEL SICKNESS (MECLIZINE)
1
TRILYTE WITH FLAVOR PACKETS
1
trimethobenzamide intramuscular solution
1
trimethobenzamide oral
1
TUMS
2
TUMS E-X
2
TUMS EXTRA STRENGTH SMOOTHIES
2
TUMS FRESHERS
2
TUMS ULTRA ORAL TABLET,CHEWABLE 1,177 MG
1
TUMS ULTRA ORAL TABLET,CHEWABLE 400 MG
(1,000 MG)
2
ULTRA STRENGTH ANTACID
1
ULTRESA
2
URSO 250
2
112
Notes
Drug Name
Tier
URSO FORTE
2
ursodiol
1
VARUBI
2
VASCEPA
2
VIOKACE
2
VISICOL
2
WAL-MUCIL FIBER (ASPARTAME)
2
WAL-MUCIL FIBER (SUGAR)
2
WAL-ZAN 75
1
WOMEN'S GENTLE LAXATIVE(BISAC)
1
WOMEN'S LAXATIVE (BISACODYL) ORAL TABLET
1
ZANTAC 75
2
ZANTAC INJECTION
2
ZANTAC MAXIMUM STRENGTH
2
ZANTAC ORAL TABLET
2
ZEGERID ORAL CAPSULE
2
ZENPEP
2
ZOFRAN (AS HYDROCHLORIDE) INTRAVENOUS
2
ZOFRAN (AS HYDROCHLORIDE) ORAL SOLUTION
2
ZOFRAN (AS HYDROCHLORIDE) ORAL TABLET
2
ZOFRAN ODT
2
ZUPLENZ ORAL FILM 4 MG
2
ZYPRAM
2
Notes
QL (4 EA per 1 day)
HERBALS
alfalfa oral tablet 600 mg, 650 mg
2
aloe vera oral
2
ANAMU ORAL CAPSULE 450 MG
2
ANTI-NAUSEA GINGER
2
arnica
2
asafetida
2
AZO BLADDER CONTROL
2
AZO CRANBERRY
2
AZO CRANBERRY + PROBIOTIC
2
bilberry
2
bilberry fruit extract
2
black cohosh oral capsule 40 mg, 540 mg
2
black cohosh root extract oral capsule 160 mg
2
blue-green algae (spirulina)
2
calcium-cranberry fruit
2
CARB CUTTER
2
CARDIO TEA
2
catnip
2
cat's claw (uncaria tomentosa) oral capsule 350 mg, 400 mg
2
CHLOROPHYLL (WITH ALFALFA)
2
113
Drug Name
Tier
CINNAMON
2
cinnamon bark
2
CINNAMON OIL
2
cranberry conc-ascorbic acid oral capsule 4,200-20 mg
2
CRANBERRY CONCENTRATE ORAL CAPSULE
140-100 MG
2
cranberry extract oral capsule 200 mg, 425 mg
2
cranberry extract oral tablet 300 mg
2
cranberry fruit oral tablet 400 mg
2
cranberry oral capsule 500 mg
2
CRANBERRY ORAL TABLET
2
CRANBERRY PLUS VITAMIN C
2
CRAN-MAX 500 MG
2
DETOX DIETARY
2
DETOXAREX
2
DIURETIC
2
echinacea
2
ECHINACEA & GOLDENSEAL ORAL TABLET
2
ECHINACEA 1X
2
echinacea angust-purpr root xt
2
ECHINACEA HERB
2
echinacea oral tablet 167 mg
2
ECHINACEA PLUS
2
echinacea purpurea extract
2
echinacea purpurea root
2
ECHINACEA ROOT
2
echinacea-golden seal oral capsule 180-45 mg, 350-100 mg
2
echinacea-golden seal roots
2
ELLURA
2
EVENING PRIMROSE
2
evening primrose oil
2
feverfew
2
flaxseed oil
2
flaxseed oral powder
2
GARLIC OIL ORAL CAPSULE 1,000 MG
2
garlic oral capsule , 2,000 mg, 345 mg, 580 mg
2
garlic oral tablet , 200 mg, 400 mg, 500 mg
2
GARLIPURE
2
GARLIQUE
2
ginger (zingiber officinalis)
2
GINGER EXTRACT
2
GINKGO
2
ginkgo biloba
2
ginkgo biloba extract
2
114
Notes
Drug Name
Tier
ginkgo biloba leaf extract oral capsule 30 mg, 60 mg
2
ginkgo biloba-ginkgo biloba ex
2
GINSENG KOREAN
2
ginseng oral capsule 200 mg
2
grape seed extract oral capsule 100 mg
2
grape seed extract oral tablet
2
grape seed xt-bioflav,citrus
2
GREEN COFFEE BEAN ORAL TABLET
2
GREEN TEA COMPLEX ORAL TABLET 1,000 MG
2
green tea leaf ext-green tea
2
GREEN TEA ORAL CAPSULE
2
green tea-hoodia gordonii
2
hawthorn
2
IBGARD
2
IMMUNE JUMP
2
IMUHANCE
2
INFLUDO
2
INNERMOST NATURE FOR MEN
2
kava root extract
2
KOREAN GINSENG
2
korean ginseng root extract
2
lavender oil
2
licorice
2
LINSEED OIL
2
LIVER COMPLEX
2
MARJORAM
2
MILK THISTLE EXTRACT
2
milk thistle oral capsule 150 mg, 200 mg
2
milk thistle oral tablet
2
milk thistle seed extract oral capsule 175 mg, 200 mg, 87.5
mg
2
MILK THISTLE XTRA
2
myrrh
2
NATURAL HERBAL DIURETIC
2
NONI
2
ODOR FREE GARLIC ORAL TABLET 100 MG
2
ODORLESS GARLIC ORAL CAPSULE
2
ODORLESS GARLIC ORAL TABLET 1250 MG
2
peppermint oil
2
peppermint spirit
2
PETADOLEX
2
PETADOLEX 75
2
PHYTOFUSION
2
pomegranate fruit extract
2
Notes
115
Drug Name
Tier
POMEGRANATE-EGCG & GRAPE SEED
2
PRIMROSE OIL
2
PROBIOTIC PLUS & CRANBERRY
2
raspberry ketone
2
red yeast rice oral capsule
2
REFEX
2
RETAINE FLAX
2
rosemary oil
2
saffron extract
2
sage leaf (bulk)
2
saw palmetto fruit
2
saw palmetto oral capsule 160 mg, 500 mg
2
saw palmetto-pumpkin seed oil
2
SERENAGEN
2
SOOTHING SLEEP
2
SOUTH AFRICAN HOODIA
2
SUPER POTENT YOHIMBE
2
TART CHERRY EXTRACT
2
THERACRAN HP FOR KIDS
2
TOTAL BODY CLEANSE
2
TUMERSAID
2
turmeric root extract
2
valerian root oral capsule 250 mg, 450 mg, 500 mg
2
VP-PRECIP
2
WHOLE BODY JOINT SUPPORT
2
YOHIMBE
2
yohimbe bark
2
Notes
HORMONES
ACTHAR H.P.
2
ACTHREL
2
ACTIVELLA
2
A-HYDROCORT
1
ALORA
2
ANADROL-50
2
PA
ANDRODERM
2
ANDROGEL TRANSDERMAL GEL IN
METERED-DOSE PUMP 1.25 GRAM/ ACTUATION (1
%)
2
PA; QL (300 GM per 30 days)
ANDROGEL TRANSDERMAL GEL IN
METERED-DOSE PUMP 20.25 MG/1.25 GRAM (1.62 %)
2
PA; QL (5 GM per 1 day)
ANDROGEL TRANSDERMAL GEL IN PACKET 1 %
(25 MG/2.5GRAM), 1.62 % (40.5 MG/2.5 GRAM)
2
ANDROGEL TRANSDERMAL GEL IN PACKET 1 %
(50 MG/5 GRAM)
2
116
Drug Name
Tier
Notes
ANDROGEL TRANSDERMAL GEL IN PACKET 1.62 %
(20.25 MG/1.25 GRAM)
2
ANDROID
2
ANDROXY
1
ANGELIQ
2
ARISTOSPAN INTRA-ARTICULAR
2
ARISTOSPAN INTRALESIONAL
2
AVEED
2
AXIRON
2
AYGESTIN
2
BAYCADRON
1
betamethasone acet,sod phos
1
budesonide oral
1
cabergoline
1
calcitonin (salmon)
1
CELESTONE SOLUSPAN
2
CENESTIN ORAL TABLET 0.3 MG, 0.625 MG, 0.9 MG,
1.25 MG
2
CERVIDIL
2
CLIMARA
2
CLIMARA PRO
2
COLOCORT
1
COMBIPATCH
2
CORTEF
2
CORTENEMA
2
CORTIFOAM
2
cortisone
1
CORTROSYN
2
cosyntropin injection
1
COVARYX
1
COVARYX H.S.
1
CRINONE VAGINAL GEL 4 %
2
danazol oral
1
DDAVP
2
DELATESTRYL
2
DELESTROGEN
2
DEPO-ESTRADIOL
2
DEPO-MEDROL
2
DEPO-PROVERA INTRAMUSCULAR SOLUTION
2
DEPO-TESTOSTERONE INTRAMUSCULAR OIL 100
MG/ML
2
desmopressin injection
1
desmopressin nasal
1
desmopressin oral
1
dexamethasone
1
PA; QL (1.25 GM per 1 day)
117
Drug Name
Tier
Notes
DEXAMETHASONE INTENSOL
2
dexamethasone sodium phos (pf)
1
dexamethasone sodium phosphate injection solution
1
DEXPAK 10 DAY
2
DEXPAK 13 DAY
2
DEXPAK 6 DAY
2
DIVIGEL
2
DUAVEE
2
EEMT
1
EEMT HS
1
EGRIFTA
2
ELESTRIN
2
ENJUVIA ORAL TABLET 0.3 MG, 0.45 MG, 0.9 MG,
1.25 MG
2
ENTOCORT EC
2
ESTRACE
2
estradiol oral
1
estradiol transdermal patch semiweekly
1
estradiol transdermal patch weekly
1
estradiol valerate
1
estradiol-norethindrone acet
1
ESTRING
2
estrogens-methyltestosterone
1
estropipate
1
EVAMIST
2
FEMHRT LOW DOSE
2
FEMRING
2
FLO-PRED
2
fludrocortisone
1
FORTESTA
2
FORTICAL
2
GENOTROPIN
2
PA
GENOTROPIN MINIQUICK
2
PA
HEMABATE
2
HUMATROPE
2
hydrocortisone oral
1
hydrocortisone rectal enema
1
INCRELEX
2
JINTELI
1
KENALOG INJECTION
2
LOPREEZA
1
LUPANETA PACK (1 MONTH)
2
LUPANETA PACK (3 MONTH)
2
118
PA
PA
Drug Name
Tier
Notes
LUPRON DEPOT (3 MONTH) INTRAMUSCULAR
SYRINGE KIT 11.25 MG
2
LUPRON DEPOT INTRAMUSCULAR SYRINGE KIT
3.75 MG
2
LUPRON DEPOT-PED
2
LUPRON DEPOT-PED (3 MONTH)
2
MAKENA
2
MEDROL
2
MEDROL (PAK)
2
medroxyprogesterone oral
1
melatonin oral tablet 3 mg
1
melatonin oral tablet,disintegrating 3 mg
1
melatonin sublingual tablet 10 mg
1
melatonin-lemon balm leaf extr
1
MENEST
2
MENOSTAR
2
METHITEST
2
methylergonovine
1
methylprednisolone
1
methylprednisolone acetate
1
methylprednisolone sodium succ injection recon soln 125
mg, 40 mg
1
methylprednisolone sodium succ intravenous
1
methyltestosterone oral capsule
1
MIACALCIN
2
MILLIPRED
2
MILLIPRED DP
2
MIMVEY
1
MIMVEY LO
1
MINIVELLE
2
MYALEPT
2
QL (1 EA per 1 day)
NATESTO
2
NATPARA
2
PA
NORDITROPIN FLEXPRO
2
PA
NORDITROPIN NORDIFLEX
2
PA
norethindrone acetate
1
norethindrone ac-eth estradiol oral tablet 0.5-2.5 mg-mcg,
1-5 mg-mcg
1
NUTROPIN
2
PA
NUTROPIN AQ NUSPIN
2
PA
NUTROPIN AQ SUBCUTANEOUS CARTRIDGE
2
PA
octreotide acetate
1
OMNITROPE
2
ORAPRED
2
ORAPRED ODT
2
PA
119
Drug Name
Tier
Notes
oxandrolone
1
oxytocin injection solution
2
PEDIAPRED
2
PITOCIN
2
PITRESSIN
2
prednisolone oral solution 15 mg/5 ml
1
prednisolone sodium phosphate oral solution 15 mg/5 ml,
25 mg/5 ml (5 mg/ml), 5 mg base/5 ml (6.7 mg/5 ml)
1
prednisolone sodium phosphate oral tablet,disintegrating
1
PREDNISONE INTENSOL
2
prednisone oral
1
PREFEST
2
PREMARIN
2
PREMPHASE
2
PREMPRO
2
PREPIDIL
2
progesterone
1
PROGESTERONE IN OIL
1
progesterone micronized
1
PROMETRIUM
2
PROSTIN E2
2
PROVERA
2
RAYOS
2
ST
SAIZEN
2
PA
SAIZEN CLICK.EASY
2
PA
SANDOSTATIN
2
SANDOSTATIN LAR DEPOT
2
SEROSTIM SUBCUTANEOUS RECON SOLN 4 MG, 5
MG, 6 MG
2
PA
SIGNIFOR
2
PA
SIGNIFOR LAR
2
SOLU-CORTEF
2
SOLU-CORTEF (PF)
2
SOLU-MEDROL
2
SOLU-MEDROL (PF)
2
SOMATULINE DEPOT
2
STIMATE
2
STRIANT
2
SUPPRELIN LA
2
SYNAREL
2
TESTIM
2
TESTOPEL
2
testosterone cypionate intramuscular oil 100 mg/ml
1
testosterone enanthate
1
120
PA
Drug Name
Tier
Notes
testosterone transdermal gel
1
testosterone transdermal gel in metered-dose pump 1.25
gram/ actuation (1 %)
1
testosterone transdermal gel in metered-dose pump 10
mg/0.5 gram /actuation
1
testosterone transdermal gel in packet 1 % (25 mg/2.5gram)
1
testosterone transdermal gel in packet 1 % (50 mg/5 gram)
1
TESTRED
2
triamcinolone acetonide injection
1
UCERIS ORAL
2
UCERIS RECTAL
2
VAGIFEM
2
vasopressin
1
VASOSTRICT
2
VERIPRED 20
2
VIVELLE-DOT
2
VOGELXO
2
ZOMACTON
2
PA
ZORBTIVE
2
PA
ST
IMMUNOSUPPRESANT
ACTEMRA INTRAVENOUS
2
ACTEMRA SUBCUTANEOUS
2
ASTAGRAF XL
2
AZASAN
2
azathioprine
1
CELLCEPT
2
CELLCEPT INTRAVENOUS
2
cyclosporine intravenous
1
cyclosporine modified
1
cyclosporine oral
1
ELIDEL
2
GENGRAF
1
HECORIA
2
IMURAN
2
mycophenolate mofetil
1
mycophenolate sodium
1
MYFORTIC
2
NEORAL
2
NULOJIX
2
ORTHOCLONE OKT3
2
PROGRAF
2
RAPAMUNE
2
SANDIMMUNE
2
SIMULECT
2
PA
ST
121
Drug Name
Tier
sirolimus
1
STELARA SUBCUTANEOUS SYRINGE
2
tacrolimus oral
1
tacrolimus topical
1
ZORTRESS
2
MISCELLANEOUS MEDICAL SUPPLIES,
DEVICES, NON-DRUG
1ST TIER UNIFINE PENTIPS
2
1ST TIER UNIFINE PENTIPS PLUS
2
3M NEXCARE DURAPORE
2
ABSORBENT COTTON BALLS
2
ACCU-CHEK FASTCLIX KIT
2
ACCU-CHEK MULTICLIX LANCET KIT
2
ACCU-CHEK SOFT DEV LANCETS
2
ACCU-CHEK SOFTCLIX LANCET DEV
2
ACE AEROSOL CLOUD ENHANCER
2
adhesive bandage
2
adhesive bandage-adhes remov#1
2
ADHESIVE DRESSING
2
ADHESIVE GAUZE PAD
2
ADHESIVE PADS
2
adhesive remover
2
adhesive tape
2
ADVANCED ANTIBACTERIAL BANDAGE
2
ADVOCATE PEN NEEDLES
2
ADVOCATE SYRINGES
2
AEROCHAMBER MINI
2
AEROCHAMBER MV
2
AEROCHAMBER PLUS FLOW-VU
2
AEROCHAMBER PLUS FLOW-VU,L MSK
2
AEROCHAMBER PLUS FLOW-VU,M MSK
2
AEROCHAMBER PLUS FLOW-VU,S MSK
2
AEROCHAMBER PLUS Z STAT
2
AEROCHAMBER PLUS Z STAT LG MSK
2
AEROCHAMBER PLUS Z STAT MD MSK
2
AEROCHAMBER PLUS Z STAT SM MSK
2
AEROCHAMBER WITH FLOWSIGNAL
2
AEROCHAMBER Z-STAT PLUS-FLW SG
2
AEROTRACH PLUS
2
AGIE-GRX
2
AIMSCO INSULIN SYRINGE
2
AIMSCO ULTRA THIN II
2
ALLEVYN ADHESIVE DRESSING TOPICAL
BANDAGE 9 X 9 "
2
122
Notes
PA
ST
Drug Name
Tier
ALLEVYN CAVITY DRESSING
2
ALLEVYN CAVITY WOUND DRESS
2
ALLEVYN PLUS ADHESIVE
2
ALLEVYN SACRUM DRESSING
2
ALLEVYN TOPICAL BANDAGE 6 X 5.375 "
2
ALLKARE ADHESIVE REMOVER WIPES
2
ALL-PURPOSE DRESSINGS
2
ANTIBACTERIAL BANDAGES
2
ANTIBACTERIAL PAD
2
AQUACEL FOAM SACRAL
2
AQUACEL FOAM TOPICAL BANDAGE 3.2 X 3.2 ", 8 X
5.5 ", 8 X 7 "
2
AQUAFLO
2
ARCH BANDAGE
2
ARGLAES 3.25"X 14" FILM
2
ARTHRITIS HEATWRAPS
2
ASSURE ID INSULIN SAFETY
2
ATHLETIC TAPE
2
AVOGEL
2
AVOGEL DRESSING
2
B&L SENSITIVE EYES
2
BANDAGE
2
BANDAGES
2
BANDAGES FLEXIBLE FABRIC
2
BANDAGES SHEER
2
BANDAGES/FLEXIBLE/ASSORTED
2
BANDAGES/PLASTIC
2
BAND-AID ACTIVE FLEX
2
BAND-AID BUTTERFLY CLOSURE
2
BAND-AID CLEAR SPOTS
2
BAND-AID CLOTH TAPE
2
BAND-AID FLEXIBLE
2
BAND-AID FLEXIBLE FABRIC
2
BAND-AID GAUZE PADS
2
BAND-AID HANDYMAN
2
BAND-AID HURT-FREE
2
BAND-AID MIRASORB GAUZE
2
BAND-AID NON-STICK PADS
2
BAND-AID PAPER TAPE
2
BAND-AID PLASTIC
2
BAND-AID PLUS ANTIBIOTIC
2
BAND-AID ROLLED GAUZE
2
BAND-AID SECURE-FLEX
2
BAND-AID SHEER STRIPS
2
Notes
123
Drug Name
Tier
BAND-AID SURGIPAD
2
BAND-AID TOUGH PADS
2
BAND-AID TOUGH STRIPS
2
BAND-AID WATERPROOF
2
BAND-AID WATERPROOF PAD
2
BARD ADHESIVE REMOVER WIPES
2
BARD TWO-SIDED ADHESIVE STRIP
2
BD AUTOSHIELD DUO PEN NEEDLE
2
BD AUTOSHIELD PEN NEEDLE
2
BD ECLIPSE LUER-LOK SYRINGE 1 ML 30 X 1/2"
2
BD INSULIN PEN NEEDLE UF MINI
2
BD INSULIN PEN NEEDLE UF ORIG
2
BD INSULIN PEN NEEDLE UF SHORT
2
BD INSULIN SYRINGE
2
BD INSULIN SYRINGE HALF UNIT
2
BD INSULIN SYRINGE MICRO-FINE
2
BD INSULIN SYRINGE SAFETY-LOK
2
BD INSULIN SYRINGE SLIP TIP
2
BD INSULIN SYRINGE ULT-FINE II
2
BD INSULIN SYRINGE ULTRA-FINE
2
BD INTEGRA INSULIN SYRINGE
2
BD LO-DOSE MICRO-FINE IV
2
BD LO-DOSE ULTRA-FINE
2
BD SAFETYGLIDE INSULIN SYRINGE
2
BD SAFETYGLIDE SYRINGE SYRINGE 1 ML 27 X
5/8"
2
BD ULTRA-FINE NANO PEN NEEDLES
2
BIATAIN HEEL ADH FOAM DRESSING
2
BIATAIN NON-ADHESIVEFOAM ROUND
2
BIO TRUE
2
BIOBRANE
2
BIOBRANE DRESSING
2
BIOBRANE-L
2
BIOBRANE-L DRESSING
2
BLENDERM SURGICAL
2
BLENDERM WATERPROOF SURG TAPE
2
BLISTER RELIEF BANDAGES
2
BLISTERFILM DRESSING
2
BORDERED GAUZE
2
BOSTON CLEANER
2
BOSTON CONDITIONING
2
BOSTON ONE STEP (PF)
2
BOSTON REWETTING
2
BOSTON SIMPLUS
2
124
Notes
Drug Name
Tier
BREATHERITE MDI SPACER
2
BREATHERITE RIGID SPACER& MASK
2
BREATHERITE SPACER& MASK,ADULT
2
BREATHERITE SPACER& MASK,CHILD
2
BREATHERITE SPACER&MASK,INFANT
2
BREATHERITE SPACER&MASK,S.CHLD
2
BREATHERITE VALVED MDI CHAMBER
2
BREATHERITE VALVED MDI SPACER
2
BREATHERITE WITH MASK, LARGE
2
BREATHERITE WITH MASK, MEDIUM
2
BREATHERITE WITH MASK, SMALL
2
BULKEE II
2
BUTTERFLY CLOSURES
2
CALLUS CUSHION
2
CALLUS PADS
2
CAMO BANDAGES
2
CARBOFLEX ODOR CONTROL DRESSIN
2
CAREFINE PEN NEEDLE
2
CAREFREE PANTILINERS
2
CAREFREE PANTY SHIELD
2
CAREONE ULTIGUARD
2
CARRASYN HYDROGEL WOUND DRESS
2
CHEMSTRIP (CALIBRATION)
2
CLEAR BANDAGES
2
CLEAR SPOT BANDAGES
2
CLEAR STRIPS
2
CLEAR TAPE
2
CLEAR WATERPROOF STRIPS
2
CLERZ PLUS
2
CLICKFINE
2
CLOTH FIRST AID TAPE
2
CLOTH TAPE
2
COACH SPORTS
2
COBAN
2
COBAN ACTION WRAP
2
COBAN SELF-ADHERENT WRAP
2
COBAN STERILE SELF-ADHERENT
2
COMBINE ABD
2
COMFEEL PURILON
2
COMFORT EZ PEN NEEDLES
2
COMFORT EZ SYRINGE
2
COMPACT SPACE CHAMBER PLUS
2
CONFORM
2
CONFORMANT 2
2
Notes
125
Drug Name
Tier
CONTACT LENS RELIEF
2
COOLMAGIC
2
COOLMAGIC FENESTRATED
2
CORN CUSHION
2
COSMETIC BALLS
2
COSMETIC PUFFS
2
COSMETIC SQUARES
2
COTTON BALLS
2
COTTON BALLS STERILE
2
COTTON SQUARES
2
COTTON SWABS
2
COTTON, STERILE
2
COVRSITE
2
COVRSITE PLUS
2
CURAD GAUZE PAD
2
CURAD NON-STICK PAD
2
CURAD SHEER SPOTS
2
CURAFIL GEL WOUND
2
CURASILK CLOTH
2
CURASOL HYDROGEL DRESSING
2
CURASOL WOUND DRESSING
2
CURI-STRIP WOUND CLOSURES
2
CURITY ABDOMINAL PAD
2
CURITY ABSORBENT WADDING
2
CURITY AMD
2
CURITY AMD (WITH POLYHEXAMETH)
2
CURITY BANDAGE
2
CURITY COTTON PREP BALLS
2
CURITY COTTON TIP APPLICATOR
2
CURITY COVER
2
CURITY DETECTABLE LAP
2
CURITY DISP LAP SPONGE POUCH
2
CURITY DISP LAP SPONGE TRAY
2
CURITY DRESSING TOPICAL BANDAGE 4 1/2 X 3600
", 9 X 100 "-YARD
2
CURITY GAUZE
2
CURITY GAUZE BURN DRESSING
2
CURITY IODOFORM PACKING STRIP
2
CURITY LAKESIDE COTTON ROLL
2
CURITY MATERNITY PADS
2
CURITY MULTI-TRAUMA DRESSING
2
CURITY NON-ADHERENT STRIP
2
CURITY NON-ADHERING DRESSING
2
CURITY PLAIN PACKING STRIP
2
126
Notes
Drug Name
Tier
CURITY READY-CUT GAUZE
2
CURITY STANDARD POROUS
2
CURITY SURGICAL DRESSING
2
CURITY WET DRESSING
2
DENTAL TRAVEL PACK
2
denture care products
2
DERMACEA
2
DERMACEA I.V.
2
DERMACEA NON-WOVEN
2
DERMACEA STRETCH
2
DERMAGAUZE
2
DERMAGAUZE HYDROGEL DRESSING
2
DERMA-GEL
2
DERMAGRAN HYDROGEL DRESSING
2
DERMAGRAN HYDROPHILIC DRESSING
2
DERMASYN
2
DERMAVIEW
2
DERMAVIEW II
2
DISINFECTING SOLUTION
2
DOME-PASTE BANDAGES
2
DRESSING SPONGES
2
DRYNET WOUND VEIL
2
DUODERM HYDROACTIVE TOPICAL GEL
2
DUODERM HYDROACTIVE TOPICAL PASTE
2
DURAPORE CLOTH SURGICAL TAPE
2
DURAPORE SURGICAL
2
EAR POPPER INFLATION DEVICE
2
EASIVENT HOLDING CHAMBER
2
EASIVENT MASK LARGE
2
EASIVENT MASK MEDIUM
2
EASIVENT MASK SMALL
2
EASY COMFORT INSULIN SYRINGE
2
EASY COMFORT PEN NEEDLES
2
EASY TOUCH INSULIN SAFETY SYR
2
EASY TOUCH INSULIN SYRINGE
2
EASY TOUCH NEEDLE
2
elastic bandage
2
ELASTIC STRETCH NET
2
ELASTO-GEL
2
ELASTO-GEL CAST-SPLINT PADDING
2
ELASTO-GEL CIRCLE DRESSING
2
ELASTO-GEL FACE DRESSING
2
ELASTO-GEL PLUS
2
EVERYDAY LONG PANTILINERS
2
Notes
127
Drug Name
Tier
EXCILON
2
EXCILON AMD (WITH POLYHEXAMET)
2
EXCILON DRAIN
2
EXCILON I.V.
2
EXEL INSULIN
2
EXPANDOVER BANDAGE
2
EXU-DRY ADULT DRESSING
2
EXU-DRY ARM DRESSING
2
EXU-DRY BOOT-FOOT DRESSING
2
EXU-DRY BURN JACKET-LARGE
2
EXU-DRY BURN JACKET-MEDIUM
2
EXU-DRY BURN JACKET-SMALL
2
EXU-DRY BURN VEST-LARGE
2
EXU-DRY BURN VEST-SMALL
2
EXU-DRY ELBOW-KNEE-HEEL
2
EXU-DRY FACE DRESSING
2
EXU-DRY HAND DRESSING, LARGE
2
EXU-DRY HAND DRESSING, MEDIUM
2
EXU-DRY HAND DRESSING, SMALL
2
EXU-DRY INCISION DRESSING
2
EXU-DRY LARGE BOOT DRESSING
2
EXU-DRY LEG DRESSING
2
EXU-DRY NECK DRESSING
2
EXU-DRY SCALP DRESSING
2
EXU-DRY WOUND DRESSING
2
E-Z SPACER
2
EZO CUSHIONS LOWER HEAVY
2
EZO CUSHIONS LOWER REGULAR
2
EZO CUSHIONS UPPER HEAVY
2
EZO CUSHIONS UPPER REGULAR
2
FABRIC BANDAGES
2
FABRIC KNUCKLE-FINGER BANDAGE
2
FABRIC STRIP EXTRA LARGE
2
FINGER SLEEVES
2
FIRST AID CLOTH TAPE
2
FIRST AID HURT-FREE WRAP
2
FIRST AID PAPER TAPE
2
FIRST AID PLASTIC TAPE
2
FIRST AID SKINTONE PAPER
2
FIRST AID WATERPROOF TAPE
2
FLEX BANDAGE
2
FLEX FABRIC BANDAGE
2
FLEX FINGER BANDAGE
2
FLEXIBLE
2
128
Notes
Drug Name
Tier
FLEXIBLE DRESSING
2
FLEXIBLE FABRIC BANDAGES
2
FLEXIBLE FOAM
2
FLEXICHAMBER
2
FLEXIGEL
2
FLEX-WRAP
2
FLEXZAN WOUND DRESSING TOPICAL BANDAGE 2
X 3 ", 4 X 8 "
2
foam bandage
2
FOAM TOE BANDAGE
2
FREESTYLE PRECISION
2
gauze bandage
2
GAUZE PAD
2
GAUZE ROLL
2
GAUZE SPONGES
2
GEL CORN PROTECTORS
2
GEL TOE PROTECTOR
2
GEL TOE SPACERS
2
GELPAD
2
GENTLE TAPE
2
GLUCOPRO
2
GRX FOAM DRESSING
2
GRX HYDROGEL GAUZE
2
GRX WOUND GEL
2
HEALTHY ACCENTS UNIFINE PENTIP
2
HEAT THERAPY
2
HEATWRAPS
2
HEATWRAPS BACK & HIP PADS
2
HEAVY DUTY FABRIC STRIPS
2
HURRIVIEW
2
HURRIVIEW II
2
HYDE-OUT ALDEHYDE NEUTRALIZER
2
HYDRESS
2
hydrocol dress-adhesive rem#1
2
HYDROPHOR
2
HYPAFIX
2
HYPO-ALLERGENIC BANDAGES
2
IN-CHECK DIAL TRAINING DEVICE
2
INCONTROL PEN NEEDLE
2
INS SYRINGE/NEEDLE 0.5CC/27G
2
INSPIRACHAMBER
2
INSPIRACHAMBER WITH MASK-MED
2
INSPIRACHAMBER WITH MASK-SMALL
2
INSPIREASE
2
Notes
129
Drug Name
Tier
INSPIREASE BAGS
2
INSPIREASE MOUTHPIECE
2
INSPIREASE RESERVOIR BAGS
2
INSULIN SYRINGE MICROFINE
2
insulin syringe needleless
2
INSULIN SYRINGE SYRINGE 1 ML 28 X 1/2", 1 ML 29
X 1/2", 1 ML 30 X 5/16", 1/2 ML 28 X 1/2", 1/2 ML 29 X
1/2", 1/2 ML 30 X 5/16"
2
INSULIN SYRINGE ULTRAFINE
2
insulin syringe-needle u-100
2
insulin syringes (disposable)
2
INSUMED
2
INSUPEN
2
INTERSORB
2
INTRASITE GEL DRESSING
2
ISLAND GARD-GRX
2
IV 3000
2
IV3000 FRAME DELIVERY DRESSING
2
J & J FIRST AID TAPE PAPER
2
J & J NON-STICK PADS LARGE
2
J & J NON-STICK PADS MEDIUM
2
KENDALL
2
KENDALL CLOTH
2
KENDALL FOAM BORDER
2
KENDALL PAPER TAPE
2
KERLIX
2
KERLIX AMD
2
KERLIX BURN PACK
2
KERLIX LITE
2
KERLIX PACKING SPONGE
2
KLING ROLLS
2
KOTEX FRESH & DRY
2
KOTEX OVERNIGHT
2
LISCO
2
LITE TOUCH INSULIN PEN NEEDLES
2
LITE TOUCH INSULIN SYRINGE
2
LITE TOUCH-MEDIUM MASK
2
LITEAIRE MDI CHAMBER
2
LITETOUCH-LARGE MASK
2
LITETOUCH-SMALL MASK
2
LUBRICATING & REWETTING
2
MAGELLAN INSULIN SAFETY SYRNG
2
MAGELLAN SYRINGE SYRINGE 0.3 ML 30 X 5/16",
0.5 ML 30 X 5/16"
2
MAXI DEODORANT
2
130
Notes
Drug Name
Tier
MAXI PAD REGULAR
2
MAXI PAD SUPER
2
MAXI-COMFORT INSULIN SYRINGE
2
MAXI-PADS
2
MAXORB
2
MAXORB EXTRA DRESSING
2
MAXORB ROPE
2
MEDFIX
2
MEDFIX EZ DRESSING
2
MEDIGRIP
2
MEDIGRIP ELASTICATED SUPPORT
2
MEDIGRIP TUBULAR
2
MEDIPORE
2
MEDIPORE DRESS-IT COVER
2
MEDIPORE H
2
MEDIPORE SOFT CLOTH TAPE
2
MEFIX
2
MEPILEX BORDER
2
MEPILEX BORDER SACRUM
2
MEPITEL
2
MICROCHAMBER
2
MICROFOAM SURGICAL
2
MICROPORE FIRST AID CLOTH
2
MICROPORE FIRST AID PAPER
2
MICROPORE FIRST AID PLASTIC
2
MICROPORE FIRST AID SKINTONE
2
MICROPORE FIRST AID WATERPROOF
2
MICROPORE PAPER SURGICAL TAPE
2
MICROPORE SURGICAL
2
MICROSPACER
2
MICROSPONGE
2
MINI ULTRA-THIN II
2
MIRASORB
2
MISTASSIST
2
MONAGHAN Z STAT CHAMBER
2
MONAGHAN Z STAT CHAMBER-LG MSK
2
MONAGHAN Z STAT CHAMBER-MD MSK
2
MONAGHAN Z STAT CHAMBER-SM MSK
2
MONOJECT INSULIN SAFETY SYRING
2
MONOJECT INSULIN SYRINGE
2
MONOJECT SYRINGE SYRINGE 1/2 ML 28
2
MONOJECT ULTRA COMFORT INSULIN
2
MOUTHPIECE
2
Notes
131
Drug Name
Tier
MPM FOAM DRESSING TOPICAL BANDAGE 4 X 4 ",
6X6"
2
MULTIPURPOSE CONTACT LENS
2
MULTI-PURPOSE SOFT CONTACT LEN
2
NATURAL CARE BANDAGES
2
NEEDLE-PRO EDGE
2
NESSI SPACER
2
NEW GENERATION
2
NEXCARE GENTLE PAPER TAPE
2
NEXCARE TEGADERM
2
non-adherent bandage
2
NON-ADHESIVE PAD
2
NON-STICK DRESSINGS
2
NON-STICK PAD
2
NO-STING SKIN-PREP
2
NOVOFINE 30
2
NOVOFINE 32
2
NOVOFINE AUTOCOVER
2
NOVOFINE PLUS
2
NOVOTWIST
2
ONE FLOW SPIROMETER PC CABLE
2
ONE FLOW SPIROMETER SOFTWARE
2
ONE FLOW TESTER MOUTHPIECE
2
ONE FLOW TESTER SPIROMETER
2
ONE STEP AT A TIME
2
ONE WAY VALVED MOUTHPIECE
2
OPSITE
2
OPSITE ADHESIVE DRESSING
2
OPSITE FLEXIFIX
2
OPSITE FLEXIGRID
2
OPSITE FLEXIGRID DRESSING
2
OPSITE IV 3000
2
OPTICHAMBER ADULT MASK-LARGE
2
OPTICHAMBER ADVANTAGE
2
OPTICHAMBER ADVANTAGE-LG MASK
2
OPTICHAMBER ADVANTAGE-MED MASK
2
OPTICHAMBER ADVANTAGE-SML MSK
2
OPTICHAMBER DIAMOND LG MASK
2
OPTICHAMBER DIAMOND VHC
2
OPTICHAMBER DIAMOND-MED MSK
2
OPTICHAMBER DIAMOND-SML MASK
2
OPTICHAMBER LARGE FACE MASK
2
OPTICHAMBER MEDIUM FACE MASK
2
OPTICHAMBER SMALL FACE MASK
2
132
Notes
Drug Name
Tier
OPTI-FREE
2
OPTI-FREE EXPRESS
2
OPTI-FREE REPLENISH
2
OPTI-FREE REWETTING DROPS
2
OPTIHALER DRUG DELIVERY SYSTEM
2
ORSINI INSULIN SYRINGE
2
PAIN FREE TAPE
2
PAIN FREE WRAP
2
PANDA MASK
2
PANTILINERS
2
PAPER FIRST AID TAPE
2
PAPER TAPE
2
PAPER TAPE, HYPOALLERGENIC
2
PEDIATRIC MEDIUM MASK
2
PEDIATRIC PANDA MASK
2
PEDIATRIC SMALL MASK
2
PEDI-PRE
2
PEDI-PRE TAPE SPRAY
2
PEDI-SKIN ADHERENT #2
2
PEN NEEDLE
2
pen needle, diabetic needle 29 gauge x 1/2", 31 gauge x
1/3", 31 gauge x 1/4", 31 gauge x 1/6", 31 gauge x 5/16"
2
PENTIPS
2
PETROLATUM GAUZE
2
PFLEX INSPIRATORY TRAINER
2
PLASTIC STRIPS
2
PLASTIC SWABS
2
POCKET CHAMBER
2
POLYSKIN II
2
POWER CLEANER
2
PRIMAPORE IV
2
PRIMEAIRE
2
PRIMER MODIFIED UNNA BOOT
2
PRO SPORTS TAPE
2
PROCHAMBER
2
PRODIGY INSULIN SYRINGE
2
PRODIGY PEN NEEDLE
2
PURE COTTON
2
Q-TIPS/SINGLE-TIP
2
Q-TIPS/SINGLE-TIP APPLICATOR
2
QWIK-STRIP
2
RADIADRES GEL
2
RELION NEEDLES
2
RELION PEN NEEDLES
2
Notes
133
Drug Name
Tier
REMOVE
2
RENU DISINFECTING
2
RENU MULTIPLUS
2
RENU REWETTING DROPS
2
RESTON
2
RESTON HIGH SUPPORT PAD
2
RESTON LIGHT SUPPORT ROLL
2
RESTON MEDIUM SUPPORT PAD
2
RESTORE CONTACT LAYER
2
RESTORE CONTACT LAYER SILVER
2
RESTORE DUO
2
RESTORE FOAM HEEL DRESSING
2
RESTORE HYDROGEL DRESSING
2
RESTORE HYDROGEL GAUZE
2
RESTORE HYDROGEL GAUZE SPONGE
2
RESTORE ODOR-ABSORBENT BANDAGE 6 X 10 "
2
RESTORE TOPICAL BANDAGE 2 1/2 X 2 1/2 ", 2 X 2 ",
4 X 4 ", 4 X 5 ", 8 X 12 "
2
RESTORE TRIO
2
RITEFLO AEROCHAMBER
2
ROLLED ABSORBENT COTTON
2
ROLLED GAUZE
2
RONDIC
2
SAFESNAP INSULIN SYRINGE
2
SAF-GEL
2
SALINE 4
2
SALINE SENSITIVE
2
SALINE SENSITIVE EYES
2
SALINE SOLUTION
2
SALINE SOLUTION,STERILE PRESRV
2
SCANPOR TAPE
2
SELF ADHERENT WRAP
2
SELF-ADHERANT GENTLE WRAP
2
SELF-ADHERING BANDAGE
2
SELFGRIP
2
SELF-GRIP
2
SENSI-CARE ADHESI REMOVER WIPE
2
SENSITIVE EYES
2
SENSITIVE EYES DAILY CLEANER
2
SENSITIVE EYES PLUS SALINE
2
SENSODYNE
2
SHEER ADHESIVE
2
SHEER BANDAGE
2
SHEER BANDAGES
2
134
Notes
Drug Name
Tier
SHEER PLASTIC STRIP
2
SHEER SPOT BANDAGES
2
SHEER STRIP
2
SHEER STRIP EXTRA LARGE
2
SHEER STRIPS
2
SHEER STRIPS ASSORTED
2
SIDESTREAM PEDIATRIC FACE MASK
2
SILICONE MASK - INFANT
2
SILICONE MASK - PEDIATRIC
2
SKIN CLOSURE STRIPS
2
SKINTEGRITY HYDROGEL
2
SKINTEGRITY HYDROGEL DRESSING
2
SOF-SET ADHESIVE PATCH
2
SOFT CLOTH
2
SOLOSITE
2
SOLOSITE WOUND GEL
2
SOOTHING NON-STICK
2
SORESPOT
2
SPACE CHAMBER PLUS
2
SPECTRAGEL
2
SPORTS TAPE
2
STAYFREE MAXI-PAD
2
STAYFREE SUREFIT
2
STAYFREE ULTRA THIN
2
STERILE GAUZE PAD
2
STERILE PADS
2
STERILE SALINE
2
STERILE STRETCH GAUZE BANDAGE
2
STERI-STRIP
2
STERI-STRIP DRESSING
2
STERI-STRIP SKIN CLOSURE
2
STERI-STRIP SKIN CLOSURES
2
STIK IT
2
STRATASORB COMPOSITE WOUND
2
STRATASORB ISLAND DRESSING
2
STRETCH BANDAGE
2
STRETCH GAUZE BANDAGE
2
STRONG STRIPS
2
STRONG STRIPS X-LARGE
2
SUPER STRIP BANDAGES
2
SURE COMFORT INS. SYR. U-100
2
SURE COMFORT INSULIN SYRINGE
2
SURE COMFORT PEN NEEDLE
2
SURE-FINE PEN NEEDLES
2
Notes
135
Drug Name
Tier
SURE-JECT INSULIN SYRINGE
2
SUREPRESS ABSORBENT PADDING
2
SUREPRESS HIGH COMPRESSION
2
SURESITE
2
SURESITE FLEXIGRID
2
SURESITE IV
2
SURESITE MATRIX
2
SURESITE WINDOW
2
SURGICAL DRESSING
2
SURGICAL DRESSING EXTR PROTCT
2
SURGICAL PADS
2
SYSTANE CONTACTS
2
TEGADERM
2
TEGADERM ABSORBENT
2
TEGADERM FIRST AID STYLE
2
TEGADERM FRAME STYLE
2
TEGADERM HP FRAME STYLE
2
TEGADERM HYDROGEL
2
TEGADERM I.V.
2
TEGADERM TRANSPARENT DRESSING
2
TELFA
2
TELFA (WITH POLYHEXAMETH)
2
TELFA AMD
2
TELFA CLEAR WOUND DRESSING
2
TELFA ISLAND DRESSING
2
TELFA OUCHLESS NON-ADHERENT
2
TENA SERENITY
2
TENDER TAPE
2
TENDERSKIN
2
TENDERSORB
2
TENDERWET ACTIVE CAVITY DRESS
2
TENDERWET ACTIVE DRESSING
2
TENDERWET SYSTEM
2
TENDERWRAP UNNA BOOT
2
TENSOR
2
TERUMO INS SYRINGE 0.5CC/27G
2
TERUMO INSULIN SYRINGE
2
TERUMO SURGUARD
2
THERMACARE HAND/WRIST
2
THERMACARE KNEE/ELBOW
2
THERMACARE LARGE/XLGE BACK/HIP
2
THERMACARE MENSTRUAL
2
THERMACARE NECK/WRIST/SHOULDER
2
THERMACARE SMALL/MED BACK/HIP
2
136
Notes
Drug Name
Tier
THINPRO INSULIN SYRINGE
2
THONG LINER
2
THRESHOLD IMT TRAINER
2
THRESHOLD PEP DEVICE
2
TOE AID DRESSING
2
TOOTHETTE
2
toothpaste
2
TOPCARE CLICKFINE
2
TOPCARE ULTRA COMFORT
2
transparent dressings
2
TRANSPARENT THIN FILM DRESSING
2
TRANSPORE
2
TRANSPORE SURGICAL
2
TRIPLE HELIX COLLAGEN TOPICAL BANDAGE
2
TRUEPLUS INSULIN
2
ULTICARE NEEDLE
2
ULTICARE SYRINGE 0.3 ML 29 X 1/2", 0.3 ML 30 X
1/2", 0.3 ML 30 X5/16 ", 0.3 ML 31 X 5/16", 1 ML 29 X
1/2", 1 ML 30 X 1/2", 1 ML 30 X 5/16 ", 1 ML 31 X 5/16",
1/2 ML 29 X 1/2 ", 1/2 ML 30 X 1/2", 1/2 ML 31 X 5/16",
1/2 ML30 X 5/16 "
2
ULTILET INSULIN SYRINGE
2
ULTILET PEN NEEDLE
2
ULTRA CMFT INS SYR HALF UNIT
2
ULTRA COMFORT INSULIN SYRINGE
2
ULTRACOMFORT
2
ULTRACOMFORT W/ CONTAINER
2
ULTRA-THIN II (SHORT) INS SYR
2
ULTRA-THIN II (SHORT) PEN NDL
2
ULTRA-THIN II INS PEN NEEDLES
2
ULTRA-THIN II INSULIN SYRINGE
2
UNIFINE PENTIPS
2
UNIFINE PENTIPS PLUS
2
UNISOL 4
2
UNI-SOLVE ADHESIVE REMOVER
2
UNISOLVE ADHESIVE REMOVER WIPE
2
UNISTIK 2 EXTRA
2
UNISTIK 2 NORMAL LANCET
2
UNIVERSAL REMOVER WIPES
2
UNNA-FLEX ELASTIC UNNA BOOT
2
VANISHPOINT SYRINGE SYRINGE 1 ML 29 X 1/2",
1/2 ML 30 X 1/2"
2
VARNAL
2
VASCUDERM HYDROGEL WOUND
2
VASELINE PETROLATUM GAUZE
2
Notes
137
Drug Name
Tier
VERSALON
2
VERSALON NONWOVEN ALL-PURPOSE
2
VERSIVA XC TOPICAL BANDAGE 10 X 8 ", 4 1/4 X 4
1/4 ", 5 1/2 X 5 1/2 ", 7 1/2 X 7 1/2 ", 8 X 7 "
2
VIASORB ABSORBENT DRESSING
2
VIGILON PRIMARY WOUND DRESSING
2
VISCOPASTE PB7
2
VISINE FOR CONTACTS
2
VISTEC X-RAY DETECT
2
VORTEX ADULT MASK
2
VORTEX FROG MASK-CHILD
2
VORTEX HOLDING CHAMBER
2
VORTEX HOLDING CHAMBER CHILD
2
VORTEX HOLDING CHAMBER TODDLER
2
VORTEX LADYBUG MASK-TODDLER
2
VORTEX VHC FROG MASK-CHILD
2
VORTEX VHC LADYBUG MASK-TODDLR
2
WATCHHALER
2
WATER SHIELD BANDAGES
2
WATERPROOF STRONG STRIPS
2
WEBRIL
2
WEBRIL II
2
WET-PRUF
2
WINDMILL TRAINER
2
WOUNDGARD GAUZE
2
WOUN'DRES HYDROGEL WOUND DRESS
2
ZAROSEN DESENSITIZER
2
MUSCLE RELAXANTS
AMRIX
2
baclofen
1
carisoprodol
1
carisoprodol-aspirin
1
chlorzoxazone
1
cyclobenzaprine oral tablet
1
DANTRIUM
2
dantrolene
1
FEXMID
2
GABLOFEN
2
LIORESAL
2
LORZONE
2
metaxalone
1
methocarbamol
1
orphenadrine citrate injection
1
orphenadrine citrate oral
1
138
Notes
Drug Name
Tier
PARAFON FORTE DSC
2
REVONTO
1
ROBAXIN
2
ROBAXIN-750
2
RYANODEX
2
SKELAXIN
2
SOMA
2
tizanidine
1
ZANAFLEX
2
Notes
PRE-NATAL VITAMINS
ACTIVE OB
2
BAL-CARE DHA
1
BAL-CARE DHA ESSENTIAL
1
B-NEXA
2
CALCIUM PNV
1
CAVAN-ALPHA KIT
1
CAVAN-EC SOD DHA
1
CITRANATAL (DUAL-IRON)
2
CITRANATAL 90 DHA (ALGAL OIL)
2
CITRANATAL 90 DHA (NEW FORMULA
2
CITRANATAL ASSURE
2
CITRANATAL B-CALM
2
CITRANATAL B-CALM (FE GLUC)
2
CITRANATAL DHA (ALGAL OIL)
2
CITRANATAL DHA (NEW FORMULA)
2
CITRANATAL HARMONY
2
CITRANATAL HARMONY (IRON FUM)
2
CITRANATAL RX (NEW FORMULA)
2
C-NATE DHA
1
COMPLETE NATAL DHA
2
COMPLETENATE
1
CONCEPT DHA
2
CONCEPT OB
2
DOTHELLE DHA
1
DUET DHA EC-OM 3
2
DUET DHA WITH OMEGA-3
2
ELITE-OB ORAL TABLET
2
ENBRACE HR
2
EXTRA-VIRT PLUS DHA
1
FOCALGIN 90 DHA
1
FOCALGIN CA
1
FOLCAL DHA
1
FOLCAPS CARE ONE
1
FOLCAPS OMEGA-3 (ASPARTO-GLY)
1
139
Drug Name
Tier
FOLIVANE-OB
1
FOLIVANE-PRX DHA NF
1
GESTICARE DHA
2
HEMENATAL OB
1
HEMENATAL OB + DHA
1
INATAL ADVANCE
1
INATAL ULTRA
1
MARNATAL-F
1
NATA KOMPLETE
2
NATAFORT (NEW FORMULA 2011)
2
NATELLE ONE
2
NESTABS
2
NESTABS ABC
2
NESTABS DHA
2
NEXA PLUS
2
NEXA SELECT ORAL CAPSULE 29 MG IRON- 1.25
MG-55 MG
2
NIVA-PLUS
1
NUTRI-TAB OB
1
NUTRI-TAB OB + DHA
1
OB COMPLETE
2
OB COMPLETE 400
2
OB COMPLETE ONE
2
OB COMPLETE PETITE
2
OB COMPLETE PREMIER
2
OB COMPLETE WITH DHA
2
O-CAL FA
1
O-CAL PRENATAL
1
PAIRE OB PLUS DHA
1
PNV 29-1
1
PNV FOLIC ACID + IRON
1
PNV OB+DHA ORAL COMBO PACK 27-1-50-250 MG
2
PNV-DHA
1
PNV-FERROUS FUMARATE-DOCU-FA
1
PNV-FIRST
1
PNV-SELECT
1
PNV-VP-U
1
PR NATAL 400
1
PR NATAL 400 EC
1
PR NATAL 430
1
PR NATAL 430 EC
1
PREFERA-OB
2
PREFERA-OB ONE
2
PREFERA-OB PLUS DHA
2
140
Notes
Drug Name
Tier
PRENAISSANCE
1
PRENAISSANCE PLUS
1
PRENATA
2
PRENATAL PLUS (CALCIUM CARB)
1
PRENATAL PLUS WITH IRON (CA)
1
PRENATAL WITH DHA & FOLIC ACID
1
PRENATE AM
2
PRENATE CHEWABLE
2
PRENATE DHA
2
PRENATE DHA (FERR ASP GLYCIN)
2
PRENATE ELITE
2
PRENATE ELITE (IRON ASP GLYC)
2
PRENATE ENHANCE
2
PRENATE ESSENTIAL
2
PRENATE ESSENTIAL(IRON-ASP-GL)
2
PRENATE MINI
2
PRENATE MINI (FERR ASP GLYCIN)
2
PRENATE PIXIE
2
PRENATE RESTORE
2
PRENATE STAR
2
PRENEXA
2
PREPLUS
1
PREQUE 10
2
PRETAB
1
PROVIDA DHA
2
PROVIDA OB
2
PUREFE OB PLUS
1
PUREFE PLUS
1
REAPHIRM
1
RELNATE DHA
1
RULAVITE DHA
1
SE-CARE
1
SELECT-OB
1
SELECT-OB (FOLIC ACID)
1
SELECT-OB + DHA
2
SE-NATAL 19
1
SE-NATAL 19 (WITH DOCUSATE)
1
SE-NATAL ONE
1
SE-TAN DHA
1
TANDEM DHA
2
TANDEM OB
2
TARON-BC
1
TARON-C DHA
1
TARON-PREX PRENATAL-DHA
1
Notes
141
Drug Name
Tier
TL FOLATE
1
TL-CARE DHA
1
TL-SELECT
1
TL-SELECT DHA
1
TRIADVANCE
1
TRICARE
2
TRICARE PRENATAL COMPLEAT
2
TRICARE PRENATAL DHA ONE
2
TRINATAL GT
1
TRINATAL RX 1
2
TRINATAL ULTRA
1
TRISTART DHA
2
TRIVEEN-DUO DHA
1
TRIVEEN-PRX RNF
1
ULTIMATE OB DHA
1
ULTIMATECARE ONE
1
ULTIMATECARE ONE NF
1
VEMAVITE-PRX-2
1
VENA-BAL DHA
1
VINATE C
1
VINATE GT
1
VIRT NATE
1
VIRT-ADVANCE
1
VIRT-BAL DHA PLUS
1
VIRT-C DHA
1
VIRT-CARE ONE
1
VIRT-NATE
1
VIRT-PN
1
VIRT-PN DHA
1
VIRT-PN PLUS
1
VIRTPREX
1
VIRT-SELECT
1
VIRT-VITE GT
1
VITAFOL NANO
1
VITAFOL ULTRA
2
VITAFOL-OB
2
VITAFOL-OB+DHA
1
VITAFOL-ONE
2
VITAFOL-PLUS
2
VIVA CT
1
V-NATAL
1
VOL-NATE
1
VOL-PLUS
1
VP CH ULTRA
1
142
Notes
Drug Name
Tier
VP-CH PLUS
1
VP-CH-PNV
1
VP-GGR-B6
1
VP-HEME OB
1
VP-HEME ONE
1
VP-PNV-DHA
1
ZATEAN-CH
1
ZATEAN-PN
1
ZATEAN-PN DHA
1
ZATEAN-PN PLUS
1
ZINGIBER
1
Notes
PSYCHOTHERAPEUTIC DRUGS
ABILIFY DISCMELT ORAL
TABLET,DISINTEGRATING 10 MG
2
QL (3 EA per 1 day)
ABILIFY DISCMELT ORAL
TABLET,DISINTEGRATING 15 MG
2
QL (2 EA per 1 day)
ABILIFY INTRAMUSCULAR
2
ABILIFY MAINTENA
2
ABILIFY ORAL SOLUTION
2
ABILIFY ORAL TABLET 10 MG, 15 MG, 2 MG, 30 MG
2
QL (1 EA per 1 day)
ABILIFY ORAL TABLET 20 MG, 5 MG
2
QL (2 EA per 1 day)
ADASUVE
2
alprazolam
1
ALPRAZOLAM INTENSOL
2
amitriptyline
1
amitriptyline-chlordiazepoxide
1
amoxapine
1
ANAFRANIL
2
APLENZIN
2
APTENSIO XR
2
aripiprazole oral solution
1
aripiprazole oral tablet 10 mg, 15 mg, 2 mg, 30 mg
1
QL (1 EA per 1 day)
aripiprazole oral tablet 20 mg, 5 mg
1
QL (2 EA per 1 day)
aripiprazole oral tablet,disintegrating 10 mg
1
QL (3 EA per 1 day)
aripiprazole oral tablet,disintegrating 15 mg
1
QL (2 EA per 1 day)
ARISTADA
2
ATIVAN ORAL
2
BRINTELLIX
2
QL (1 EA per 1 day)
BRISDELLE
2
bupropion hcl oral tablet
1
bupropion hcl oral tablet extended release 100 mg, 200 mg
1
bupropion hcl oral tablet extended release 24 hr
1
buspirone
1
CELEXA ORAL TABLET
2
QL (1 EA per 1 day)
143
Drug Name
Tier
Notes
chlordiazepoxide hcl
1
chlorpromazine
1
citalopram
1
clomipramine
1
clonidine hcl oral tablet extended release 12 hr
1
clorazepate dipotassium
1
clozapine oral tablet 100 mg
1
QL (6 EA per 1 day)
clozapine oral tablet 200 mg, 25 mg, 50 mg
1
QL (3 EA per 1 day)
clozapine oral tablet,disintegrating 100 mg
1
QL (6 EA per 1 day)
clozapine oral tablet,disintegrating 12.5 mg, 150 mg, 200
mg, 25 mg
1
QL (3 EA per 1 day)
CLOZARIL ORAL TABLET 100 MG
2
QL (6 EA per 1 day)
CLOZARIL ORAL TABLET 25 MG
2
QL (3 EA per 1 day)
CONCERTA ORAL TABLET EXTENDED RELEASE
24HR 18 MG, 27 MG, 54 MG
2
QL (1 EA per 1 day)
CONCERTA ORAL TABLET EXTENDED RELEASE
24HR 36 MG
2
QL (2 EA per 1 day)
CYMBALTA
2
QL (2 EA per 1 day)
DAYTRANA
2
desipramine oral
1
desvenlafaxine fumarate oral tablet extended release 24hr
100 mg
2
QL (2 EA per 1 day)
desvenlafaxine fumarate oral tablet extended release 24hr
50 mg
2
QL (1 EA per 1 day)
desvenlafaxine oral tablet extended release 24 hr 100 mg
2
QL (2 EA per 1 day)
desvenlafaxine oral tablet extended release 24 hr 50 mg
2
QL (1 EA per 1 day)
desvenlafaxine oral tablet extended release 24hr
1
QL (1 EA per 1 day)
dexmethylphenidate oral capsule,er biphasic 50-50
1
QL (1 EA per 1 day)
dexmethylphenidate oral tablet 10 mg
1
QL (4 EA per 1 day)
dexmethylphenidate oral tablet 2.5 mg, 5 mg
1
QL (2 EA per 1 day)
diazepam injection
1
DIAZEPAM INTENSOL
1
diazepam oral concentrate
1
diazepam oral solution 5 mg/5 ml (1 mg/ml)
1
diazepam oral tablet
1
doxepin oral
1
droperidol injection solution
1
duloxetine
1
EFFEXOR XR
2
EMSAM
2
EQUETRO
2
escitalopram oxalate
1
FANAPT
2
QL (2 EA per 1 day)
FAZACLO ORAL TABLET,DISINTEGRATING 100 MG
2
QL (6 EA per 1 day)
FAZACLO ORAL TABLET,DISINTEGRATING 12.5
MG, 150 MG, 200 MG, 25 MG
2
QL (3 EA per 1 day)
144
QL (2 EA per 1 day)
QL (1 EA per 1 day)
Drug Name
Tier
Notes
FETZIMA
2
QL (1 EA per 1 day)
fluoxetine oral capsule
1
fluoxetine oral capsule,delayed release(dr/ec)
1
fluoxetine oral solution
1
fluoxetine oral tablet 10 mg, 20 mg
1
fluoxetine oral tablet 60 mg
2
fluphenazine decanoate
1
fluphenazine hcl
1
fluvoxamine oral capsule,extended release 24hr
1
fluvoxamine oral tablet
1
FOCALIN ORAL TABLET 10 MG
2
QL (4 EA per 1 day)
FOCALIN ORAL TABLET 2.5 MG, 5 MG
2
QL (2 EA per 1 day)
FOCALIN XR
2
QL (1 EA per 1 day)
FORFIVO XL
2
QL (1 EA per 1 day)
GEODON INTRAMUSCULAR
2
GEODON ORAL CAPSULE 20 MG, 40 MG
2
QL (2 EA per 1 day)
GEODON ORAL CAPSULE 60 MG, 80 MG
2
QL (3 EA per 1 day)
guanfacine oral tablet extended release 24 hr
1
QL (1 EA per 1 day)
HALDOL
2
HALDOL DECANOATE
2
haloperidol
1
haloperidol decanoate
1
haloperidol lactate
1
imipramine hcl
1
imipramine pamoate
1
INTUNIV ER
2
QL (1 EA per 1 day)
INVEGA ORAL TABLET EXTENDED RELEASE 24HR
1.5 MG, 3 MG, 9 MG
2
QL (1 EA per 1 day)
INVEGA ORAL TABLET EXTENDED RELEASE 24HR
6 MG
2
QL (2 EA per 1 day)
INVEGA SUSTENNA
2
INVEGA TRINZA
2
IRENKA
2
QL (2 EA per 1 day)
KAPVAY
2
KHEDEZLA
2
QL (1 EA per 1 day)
LATUDA ORAL TABLET 120 MG, 20 MG, 40 MG, 60
MG
2
LATUDA ORAL TABLET 80 MG
2
LEXAPRO
2
lithium carbonate
1
lithium citrate oral solution 8 meq/5 ml
1
LITHOBID
2
LORAZEPAM INTENSOL
1
lorazepam oral
1
loxapine succinate
1
QL (2 EA per 1 day)
145
Drug Name
Tier
Notes
LOXITANE
2
LUVOX CR
2
maprotiline
1
MARPLAN
2
meprobamate
1
METADATE CD ORAL CAPSULE, ER BIPHASIC 30-70
10 MG, 20 MG, 40 MG, 50 MG, 60 MG
2
QL (1 EA per 1 day)
METADATE CD ORAL CAPSULE, ER BIPHASIC 30-70
30 MG
2
QL (2 EA per 1 day)
METHYLIN ORAL SOLUTION
2
METHYLIN ORAL TABLET,CHEWABLE
2
methylphenidate oral capsule, er biphasic 30-70 10 mg, 20
mg, 40 mg, 50 mg, 60 mg
1
QL (1 EA per 1 day)
methylphenidate oral capsule, er biphasic 30-70 30 mg
1
QL (2 EA per 1 day)
methylphenidate oral capsule,er biphasic 50-50
1
methylphenidate oral solution
1
methylphenidate oral tablet
1
methylphenidate oral tablet extended release 10 mg
1
methylphenidate oral tablet extended release 20 mg
1
methylphenidate oral tablet extended release 24hr 18 mg, 27
mg, 54 mg
1
QL (1 EA per 1 day)
methylphenidate oral tablet extended release 24hr 36 mg
1
QL (2 EA per 1 day)
methylphenidate oral tablet,chewable
1
mirtazapine
1
modafinil
1
NARDIL
2
nefazodone
1
NIRAVAM
2
NORPRAMIN
2
nortriptyline
1
NUVIGIL
2
olanzapine intramuscular
1
olanzapine oral tablet 10 mg, 15 mg
1
olanzapine oral tablet 2.5 mg, 5 mg, 7.5 mg
1
olanzapine oral tablet 20 mg
1
QL (3 EA per 1 day)
olanzapine oral tablet,disintegrating 10 mg, 15 mg
1
QL (2 EA per 1 day)
olanzapine oral tablet,disintegrating 20 mg
1
QL (3 EA per 1 day)
olanzapine oral tablet,disintegrating 5 mg
1
olanzapine-fluoxetine
1
QL (1 EA per 1 day)
OLEPTRO ER
2
ORAP
2
oxazepam
1
paliperidone oral tablet extended release 24hr 1.5 mg, 3 mg,
9 mg
1
QL (1 EA per 1 day)
paliperidone oral tablet extended release 24hr 6 mg
1
QL (2 EA per 1 day)
146
QL (2 EA per 1 day)
QL (2 EA per 1 day)
Drug Name
Tier
Notes
PAMELOR
2
PARNATE
2
paroxetine hcl oral tablet
1
paroxetine hcl oral tablet extended release 24 hr
1
PAXIL
2
PAXIL CR
2
perphenazine
1
perphenazine-amitriptyline
1
PEXEVA
2
phenelzine
1
pimozide
1
PRISTIQ ORAL TABLET EXTENDED RELEASE 24 HR
100 MG
2
QL (2 EA per 1 day)
PRISTIQ ORAL TABLET EXTENDED RELEASE 24 HR
25 MG, 50 MG
2
QL (1 EA per 1 day)
protriptyline
1
PROVIGIL
2
PROZAC ORAL CAPSULE
2
PROZAC WEEKLY
2
quetiapine oral tablet 100 mg, 200 mg, 25 mg, 50 mg
1
QL (3 EA per 1 day)
quetiapine oral tablet 300 mg, 400 mg
1
QL (4 EA per 1 day)
QUILLIVANT XR
2
REMERON
2
REMERON SOLTAB
2
REXULTI
2
RISPERDAL CONSTA
2
RISPERDAL M-TAB
2
RISPERDAL ORAL SOLUTION
2
RISPERDAL ORAL TABLET
2
risperidone oral solution
1
risperidone oral tablet
1
QL (2 EA per 1 day)
risperidone oral tablet,disintegrating
1
QL (2 EA per 1 day)
RITALIN
2
RITALIN LA
2
SAPHRIS
2
QL (2 EA per 1 day)
SAPHRIS (BLACK CHERRY)
2
QL (2 EA per 1 day)
SARAFEM ORAL TABLET 10 MG, 20 MG
2
SEROQUEL ORAL TABLET 100 MG, 200 MG, 25 MG,
50 MG
2
QL (3 EA per 1 day)
SEROQUEL ORAL TABLET 300 MG, 400 MG
2
QL (4 EA per 1 day)
SEROQUEL XR ORAL TABLET EXTENDED RELEASE
24 HR 150 MG, 200 MG
2
QL (1 EA per 1 day)
24 HR 300 MG
2
QL (3 EA per 1 day)
24 HR 400 MG
2
QL (4 EA per 1 day)
QL (1 EA per 1 day)
QL (2 EA per 1 day)
QL (2 EA per 1 day)
147
Drug Name
Tier
Notes
24 HR 50 MG
2
sertraline
1
STRATTERA ORAL CAPSULE 10 MG, 18 MG, 25 MG,
40 MG
2
STRATTERA ORAL CAPSULE 100 MG, 60 MG, 80 MG
2
SURMONTIL
2
SYMBYAX
2
thioridazine
1
thiothixene
1
TOFRANIL
2
TOFRANIL-PM
2
TRANXENE T-TAB
2
tranylcypromine
1
trazodone
1
trifluoperazine
1
trimipramine
1
venlafaxine oral capsule,extended release 24hr
1
venlafaxine oral tablet
1
VERSACLOZ
2
VIIBRYD
2
QL (1 EA per 1 day)
VYVANSE
2
QL (1 EA per 1 day)
WELLBUTRIN
2
WELLBUTRIN SR
2
WELLBUTRIN XL
2
XANAX
2
XANAX XR
2
ziprasidone hcl oral capsule 20 mg, 40 mg
1
QL (2 EA per 1 day)
ziprasidone hcl oral capsule 60 mg, 80 mg
1
QL (3 EA per 1 day)
ZOLOFT
2
ZYPREXA INTRAMUSCULAR
2
ZYPREXA ORAL TABLET 10 MG, 15 MG
2
ZYPREXA ORAL TABLET 2.5 MG, 5 MG, 7.5 MG
2
ZYPREXA ORAL TABLET 20 MG
2
ZYPREXA RELPREVV
2
ZYPREXA ZYDIS ORAL TABLET,DISINTEGRATING
10 MG, 15 MG
2
QL (2 EA per 1 day)
20 MG
2
QL (3 EA per 1 day)
5 MG
2
QL (2 EA per 1 day)
QL (1 EA per 1 day)
QL (2 EA per 1 day)
QL (3 EA per 1 day)
SEDATIVE/HYPNOTICS
AMBIEN
2
QL (1 EA per 1 day)
AMBIEN CR
2
QL (1 EA per 1 day)
AMYTAL
1
148
Drug Name
Tier
Notes
ATIVAN INJECTION
2
BELSOMRA
2
BUTISOL ORAL TABLET 30 MG
2
dexmedetomidine
1
EDLUAR
2
estazolam
1
eszopiclone
1
flurazepam
1
HALCION ORAL TABLET 0.25 MG
2
HETLIOZ
2
PA
INTERMEZZO
2
QL (1 EA per 1 day)
lorazepam injection solution 4 mg/ml
1
lorazepam injection syringe
1
LUNESTA
2
midazolam oral syrup 2 mg/ml
1
NIGHTTIME SLEEP AID (DIPHEN)
1
NYTOL
1
phenobarbital
1
phenobarbital sodium injection solution
1
PRECEDEX
2
PRECEDEX IN 0.9 % SODIUM CHLOR
2
RESTFULLY SLEEP
1
RESTORIL
2
ROZEREM
2
SECONAL SODIUM
2
SILENOR
2
SLEEP
1
SLEEP AID (DIPHENHYDRAMINE) ORAL CAPSULE
50 MG
1
SLEEP AID (DIPHENHYDRAMINE) ORAL TABLET
1
SLEEP AID (DOXYLAMINE)
1
SLEEP AID MAX STR (DIPHENHYDR)
1
SLEEP TIME
1
SLEEP-TABS
1
SOMINEX
1
SONATA
2
temazepam
1
triazolam
1
XYREM
2
zaleplon
1
QL (1 EA per 1 day)
zolpidem
1
QL (1 EA per 1 day)
ZOLPIMIST
2
Z-SLEEP
1
ZZZQUIL
2
QL (1 EA per 1 day)
QL (1 EA per 1 day)
QL (1 EA per 1 day)
QL (1 EA per 1 day)
QL (1 EA per 1 day)
QL (1 EA per 1 day)
QL (1 EA per 1 day)
149
Drug Name
Tier
Notes
SKIN PREPS
4-N-1 NO RINSE WASH
1
8-MOP
2
ABSORICA
2
ACANYA
2
acetic acid irrigation
1
acitretin
1
ACLARO
2
ACLOVATE
2
ACNE MEDICATION TOPICAL GEL 10 %
1
ACNE MEDICATION TOPICAL LOTION 10 %
1
ACNE MEDICATION TOPICAL LOTION 5 %
2
ACNE TREATMENT (BENZOYL PEROX) TOPICAL
CREAM
1
ACNEFREE ACNE CLEARING SYSTEM
1
ACNEFREE SEVERE ACNE CLEARING
2
ACZONE
2
adapalene topical cream
1
adapalene topical gel
1
adapalene topical gel with pump
1
ALA-QUIN
2
alclometasone
1
ALCOHOL PADS
2
ALCOHOL PREP PADS
2
ALCOHOL PREP SWABS
2
alcohol swabs
2
ALCOHOL WIPES
2
ALCORTIN A TOPICAL GEL IN PACKET
2
ALDARA
2
ALICLEN
1
ALOE VESTA
2
ALOE VESTA BATHING CLOTHS
2
ALOE VESTA SKIN CONDITIONER 2
1
ALOQUIN
2
ALTABAX
2
ALUVEA
2
A-MANTLE
2
amcinonide
1
ammonium and potassium iodides
1
ammonium lactate topical
1
AMNESTEEM
1
AMPHADASE
2
ANALGESIC CREME
1
ANALPRAM-HC TOPICAL
2
150
ST
Drug Name
Tier
ANTI-DANDRUFF
1
ANTI-DANDRUFF (COAL TAR)
1
ANTI-ITCH (DIPHENHYDRAMINE) TOPICAL
AEROSOL,SPRAY
1
ANTI-ITCH (HC) TOPICAL CREAM
1
ANTI-ITCH(DIPHENHYD) WITH ZINC TOPICAL
AEROSOL,SPRAY
1
ANTI-ITCH(DIPHENHYD) WITH ZINC TOPICAL
CREAM 2-0.1 %
1
ANTISEPTIC GEL
2
APEXICON
2
APEXICON E
2
AQUA GLYCOLIC CLEANSER
2
ARGLAES TOPICAL POWDER
2
ARTHRICREAM
1
ARTHRICREAM RUB
1
ARTHRITIS
1
ARTHRITIS PAIN RELIEF(CAPSAIC) TOPICAL
CREAM 0.1 %
1
ARTISS
2
ARTISS-DUPLOJECT SYSTEM
2
ASTRINGENT
1
ATRALIN
2
AVEENO BABY TOPICAL CLEANSER
2
AVITA
1
AZELEX
2
BABY WASH
2
BANOPHEN ANTI-ITCH
1
BAZA CLEANSE & PROTECT TOPICAL LOTION
1
BAZA CLEANSE & PROTECT TOPICAL
SPRAY,NON-AEROSOL
1
BAZA CLEAR
2
BAZA PROTECT
2
BD ALCOHOL SWABS
2
BEAUTY BAR
2
BEDSIDE-CARE
1
BEDSIDE-CARE PERINEAL
2
BENSAL HP TOPICAL OINTMENT 3 %
2
BENZACLIN
2
BENZACLIN PUMP
2
BENZEPRO (MICROSPHERES)
1
BENZEPRO TOPICAL FOAM
1
BENZOIN COMPOUND TOPICAL TINCTURE 10-2-8-4
%
1
benzoyl peroxide topical cleanser 10 %, 2.5 %, 5 %, 6 %, 7
%
1
Notes
151
Drug Name
Tier
Notes
benzoyl peroxide topical foam
1
benzoyl peroxide topical gel 10 %, 2.5 %, 5 %
1
benzoyl peroxide topical gel,alcohol based
1
benzoyl peroxide topical lotion
1
BETADINE
2
BETADINE SKIN CLEANSER
2
BETADINE SPRAY
2
BETADINE SURGICAL SCRUB
2
BETADINE SWABSTICKS
2
betamethasone dipropionate
1
betamethasone valerate
1
betamethasone, augmented
1
BETASEPT SURGICAL SCRUB
1
BLUE GEL
1
BODI BATH
2
BODI CARE
2
BODI LINE ALMOND SKIN CARE
2
BP TOPICAL CLEANSER
1
BP TOPICAL LOTION
1
BP TOPICAL SUSPENSION
1
BP-50% UREA
1
BPO CREAMY WASH PACK
1
BPO TOPICAL TOWELETTE
1
calamine
1
CALAMINE MEDICATED
1
calamine phenolated
1
calamine-zinc oxide topical lotion 8-8 %
1
calamine-zinc oxide-phenol
1
calcipotriene
1
ST
CALCITRENE
1
ST
calcitriol topical
1
ST
calcium acetate-aluminum sulf
2
CALDYPHEN CLEAR
1
CALDYPHEN TOPICAL LOTION 1-8 %
1
CALLERGY CLEAR
1
camphor (bulk)
2
CAMPHOR BLOCKS
2
camphor topical
1
CAPEX
2
capsaicin topical cream 0.025 %, 0.1 %
1
CARLESTA
2
CARMOL 10
2
CARMOL 20
2
CARRINGTON MOIST BARRIER-ZINC
2
152
Drug Name
Tier
Notes
CARRINGTON MOISTURE BARRIER CR
2
CASTELLANI PAINT MODIFIED
2
CASTILE
2
CAVILON SKIN CLEANSER
2
CEM-UREA
1
CERAVE BABY MOISTURIZING
2
CERAVE SUNSCREEN
2
CETA-KLENZ GENTLE
2
CETAPHIL ANTIBACTERIAL
2
CETAPHIL DAILY FACIAL
2
CETAPHIL DERMACONTROL
2
CETAPHIL RESTORADERM TOPICAL CLEANSER
2
CETAPHIL TOPICAL CLEANSER
2
CHEST RUB
1
CHLOROPHYLL
2
CLARAVIS
1
clindamycin-benzoyl peroxide
1
clobetasol
1
clobetasol-emollient
1
CLOBEX
2
clocortolone pivalate
1
CLODAN
2
CLODAN KIT
2
CLODERM
2
COLD & HOT PAIN RELIEF TOPICAL ADHESIVE
PATCH,MEDICATED
1
COLD SORE TREATMNT (CAMP-PHEN)
1
COMPLETE LICE TREATMENT
1
CONDYLOX
2
CORDRAN TAPE LARGE ROLL
2
CORDRAN TAPE SMALL ROLL
2
CORMAX TOPICAL OINTMENT
1
CORMAX TOPICAL SOLUTION
1
CORTIZONE-10 TOPICAL CREAM
1
COSENTYX
2
PA
COSENTYX (2 SYRINGES)
2
PA
COSENTYX PEN
2
PA
COSENTYX PEN (2 PENS)
2
PA
CRITIC-AID CLEAR
2
CURITY ALCOHOL SWABS
2
CUTIVATE TOPICAL CREAM
2
CUTIVATE TOPICAL LOTION
2
DEL-CLENS
2
DEODORANT SOAP
2
153
Drug Name
Tier
DERMA STAT
2
DERMACINRX SILAZONE
2
DERMAL WOUND CLEANSER TOPICAL CLEANSER
2
DERMAL WOUND CLEANSER TOPICAL CLEANSER
0.13 %
1
DERMASARRA
1
DERMASEPTIN
1
DERMA-SMOOTHE/FS BODY OIL
2
DERMA-SMOOTHE/FS SCALP OIL
2
DERMATOP
2
DESONATE
2
desonide
1
DESOWEN
2
desoximetasone
1
DESQUAM-X TOPICAL CLEANSER 10 %
2
DHS
2
DHS TAR
2
DHS TAR GEL
2
DHS ZINC
1
DIAPER RASH RELIEF
1
DIAPER RASH TOPICAL OINTMENT
1
diclofenac sodium topical drops
1
DIFFERIN
2
diflorasone
1
DIPROLENE
2
DIPROLENE AF
2
DOVONEX
2
DR. SMITH'S ADULT BARRIER
2
DR. SMITH'S DIAPER
1
DR. SMITH'S DIAPER RASH
2
DR. SMITH'S RASH-SKIN
2
DUAC
2
DYNA-HEX
1
DYNA-HEX (ISOPROPYL ALCOHOL)
1
EASY TOUCH ALCOHOL PREP PADS
2
ELIMITE
2
ELOCON
2
ELTA LITE TAR
1
ELTA SEAL MOISTURE BARRIER
2
ELTA TAR
2
EPI-CLENZ TOPICAL FOAM
2
EPIDUO
2
EPIDUO FORTE
2
EPIFOAM
2
154
Notes
ST
Drug Name
Tier
ESOTERICA FADE
2
ethyl alcohol
2
EURAX
2
FABIOR
2
FINACEA
2
FINACEA PLUS
2
FLECTOR
2
fluocinolone
1
fluocinolone-shower cap
1
fluocinonide
1
FLUOCINONIDE-E
1
fluocinonide-emollient
1
fluticasone topical
1
FRESHNET
2
GEL-STAT
2
GENTLE RAIN
1
GERI-LAV
2
GLUCOPRO ALCOHOL
2
GRANULEX
1
guaiacol
2
halobetasol propionate
1
HALOG
2
HAND SANITIZER
2
HAND SANITIZING WIPES
2
HEX-ON LIGHT ODOR
2
hydrocortisone acetate topical cream
1
hydrocortisone butyrate
1
hydrocortisone butyr-emollient
1
HYDROCORTISONE PLUS
1
hydrocortisone topical
1
hydrocortisone valerate
1
hydrocortisone-aloe vera topical cream 1 %
1
hydrocortisone-min oil-wht pet
1
hydrocortisone-pramoxine topical
1
hydrogen peroxide solution 3 %
1
hydrogen peroxide topical towelette
1
hydroquinone
1
hydroquinone microspheres
1
hydroquinone with sunscreen
1
HYDROSKIN
1
HYDROSKIN WITH ALOE
1
HYGIENIC CLEANSING
1
ICY HOT MEDICATED SLEEVE
2
imiquimod
1
Notes
155
Drug Name
Tier
INVISIBLE ACNE
1
IODIDES TINCTURE
1
iodine-sodium iodide topical tincture 2 %
1
iodoquinol-hc
1
ISAGEL
2
ISAGEL NO RINSE
2
ISOPROPYL ALCOHOL-WINTERGREEN
1
ITCH RELIEF TOPICAL CREAM 2-0.1 %
1
ITCH-X TOPICAL GEL
2
ITCH-X TOPICAL SPRAY,NON-AEROSOL
2
IV PREP WIPES
2
KENALOG TOPICAL
2
KENDALL 2-IN-1
2
KLARON
2
LAC-HYDRIN
2
lactated ringers irrigation
2
lactic acid (bulk) liquid
2
LAZERCREME
2
LICE EGG REMOVER
1
LICE KILLING
1
LICE SOLUTION
1
LICE TREATMENT (PERMETHRIN)
1
LICE TREATMENT TOPICAL LIQUID 1 %
1
LICE TREATMENT TOPICAL SHAMPOO
1
lidocaine hcl-hydrocortison ac topical
1
lindane
1
LUSTRA
2
LUSTRA-AF
2
LUXIQ
2
malathion
1
MEDI PADS
1
MEDICATED BODY
1
MEDICATED BODY POWDER TOPICAL POWDER
0.15 %
2
MEDICATED BODY POWDER TOPICAL POWDER
0.15-1 %
1
MEDICATED CHEST RUB
1
MEDICATED WIPES TOPICAL PAD
2
MEDICATED WIPES WITH ALOE
1
MEDIPLAST CORN-CALLUS-WART
1
MENCAPS
2
methoxsalen rapid
1
METROCREAM
2
METROGEL TOPICAL GEL 1 %
2
156
Notes
Drug Name
Tier
METROGEL TOPICAL GEL WITH PUMP
2
METROLOTION
2
metronidazole topical
1
MIRVASO
2
MOBISYL
1
MOISTURE RECOVERY
2
mometasone
1
MUSCLE RUB (WITH CAMPHOR)
1
MUSCLE RUB TOPICAL CREAM 15-10 %
1
MUSCLE RUB ULTRA-STRENGTH
1
MYOFLEX
1
MYORISAN
1
NATROBA
2
NATURE'S WASH PLUS WHIRLPOOL
2
neomycin-polymyxin b gu
1
NEOSPORIN DAILY BODY
2
NEOSPORIN GU IRRIGANT
2
NEUAC
1
NEUAC KIT
2
NEUTROGENA RAINBATH
2
NEUTROGENA TONER
2
NO STING BARRIER FILM
2
NORITATE
2
OATMEAL BATH REGULAR
1
OCUSOFT FACIAL-SKIN CLEANSER
2
ODOR ELIMINATOR DROPS
2
OLUX
2
OLUX-E
2
ONEXTON
2
ORAL PEROXIDE
1
OVACE
2
OVACE PLUS SHAMPOO
2
OVACE PLUS TOPICAL CLEANSER,EXTENDED
RELEASE
2
OVACE PLUS TOPICAL CREAM
2
OVACE PLUS TOPICAL FOAM
2
OVACE PLUS TOPICAL LOTION
2
OVACE PLUS WASH
2
OVIDE
2
OXSORALEN
2
OXSORALEN ULTRA
2
PACNEX HP
2
PACNEX LP
2
PACNEX MX
2
Notes
ST
157
Drug Name
Tier
PAIN RELIEF INSTANT ANTISEPTIC
1
PAIN RELIEVING (MENTHOL) TOPICAL GEL 3.5 %
2
PAIN RELIEVING RUB
1
PANDEL
2
PANOXYL TOPICAL BAR
2
PANOXYL TOPICAL CLEANSER
1
PANOXYL TOPICAL CREAM
2
PANOXYL-4
1
PEDIADERM HC
2
PEDIADERM TA
2
PEDI-BORO SOAK
1
PENNSAID
2
PERIFRESH
2
PERIGIENE
2
PERIGUARD
1
PERISCENT
2
permethrin
1
PHISOHEX
2
PHYSIOLYTE
2
PHYSIOSOL IRRIGATION
2
pine tar (bulk)
2
PODOCON
1
podofilox
1
povidone-iodine topical ointment
1
povidone-iodine topical solution 10 %
1
PRAMEGEL ANTI-ITCH
2
PRAMOSONE
2
PRAMOSONE E
2
prednicarbate
1
PROSHIELD PLUS
1
PROSHIELD PLUS SKIN PROTECTANT
2
PROSHIELD PROTECTIVE HAND
2
PRUDOXIN
2
PSORCON
2
PYRETHRIN LICE TREATMENT M
1
QUTENZA
2
REA LO 30
2
REGRANEX
2
REHYLA HAIR-BODY
2
REMEDY 4-IN-1 CLEANSER
1
REMEDY CALAZIME PROTECT PASTE TOPICAL
PASTE 3.5-0.2-69-16.5 %
2
REMEDY CLEAR-AID PROTECT
2
REMEDY DIMETHICONE CREAM
2
158
Notes
ST
PA
Drug Name
Tier
REMEDY NUTRASHIELD SKIN PROTEC
2
REMEDY PHYTOPLEX Z-GUARD
2
REMEDY PHYTOPLEX Z-GUARD (ZN)
2
REMEDY SKIN REPAIR
2
RENEWAL HAND SANITIZER
2
RETIN-A
2
RETIN-A MICRO
2
RETIN-A MICRO PUMP
2
ringers irrigation
1
ROSADAN TOPICAL CREAM
1
ROSADAN TOPICAL GEL
2
ROSADAN TOPICAL KIT, CLEANSER & GEL
2
ROSADAN TOPICAL KIT,CLEANSER AND CREAM
2
RUBBING ALCOHOL (ETHANOL)
2
SALACTIC FILM
1
SALEX
2
salicylic acid sr-ceramides topical kit,cleanser & cream er
1
salicylic acid topical cream
1
salicylic acid topical film forming liquid w/appl 27.5 %
1
salicylic acid topical foam
1
salicylic acid topical gel
1
salicylic acid topical liquid 26 %
1
salicylic acid topical lotion
1
salicylic acid topical shampoo
1
SAL-PLANT
1
SANI-PADS
1
SANTYL
2
SARNA ANTI-ITCH
2
SCALPICIN ANTI-ITCH
1
SE BPO TOPICAL KIT,CLEANSER AND CREAM
1
SEBEX
1
SEB-PREV
1
SECURA DIMETHICONE TOPICAL CREAM
1
SECURA EXTRA PROTECTIVE
2
SECURA MOISTURIZING TOPICAL CLEANSER
1
SECURA PERSONAL
1
SECURA PERSONAL SKIN CARE
2
SECURA PROTECTIVE TOPICAL CREAM
2
SECURA PROTECTIVE TOPICAL OINTMENT
1
SECURA STARTER KIT
2
SECURA TOTAL BODY CLEANSER
2
SECURA TWO-STEP KIT
2
selenium sulfide
1
SELSUN BLUE (SALICYLIC ACID)
1
Notes
159
Drug Name
Tier
SELSUN BLUE MOISTURIZING
2
SELSUN BLUE NATURALS
1
SENSI-CARE (FOAM)
2
SENSI-CARE MOISTURIZING 2
2
silver nitrate topical solution 0.5 %
1
SILVERMED TOPICAL CLEANSER
2
SKIN CLEANSER
2
SKINTEGRITY WOUND CLEANSER
2
SKLICE
2
sodium chloride irrigation
1
SOOLANTRA
2
SOOTHE & COOL BODY POWDER
2
SOOTHE & COOL FREE MEDSEPTIC
2
SOOTHE & COOL INZO BARRIER
2
SOOTHE & COOL MEDSEPTIC
2
SOOTHE & COOL MOISTURE BARRIER
2
SOOTHE & COOL SKIN PASTE
1
SOOTHE & COOL TOPICAL SOAP
2
sorbitol irrigation
1
sorbitol-mannitol
1
SORIATANE ORAL CAPSULE 10 MG, 17.5 MG, 25 MG
2
SORILUX
2
spinosad
1
sulfacetamide sodium (acne)
1
sulfacetamide sodium topical
1
sulfacetamide sodium-urea
1
SURE COMFORT ALCOHOL PREP PADS
2
SURE-PREP ALCOHOL PREP PADS
2
SYNALAR
2
SYNALAR CREAM KIT
2
SYNALAR OINTMENT KIT
2
SYNALAR TS
2
TAZORAC
2
TEMOVATE
2
TEMOVATE E
2
TEXACORT
2
THERA-GEL
1
THERA-GESIC PLUS
2
THERA-GESIC TOPICAL CREAM 15-1 %
1
THERAPEUTIC MINERAL ICE
1
THERASEAL
1
TOPICORT TOPICAL CREAM
2
TOPICORT TOPICAL GEL
2
TOPICORT TOPICAL OINTMENT
2
160
Notes
ST
Drug Name
Tier
TOPICORT TOPICAL SPRAY,NON-AEROSOL
2
TRANS-VER-SAL PLANTARPATCH
2
tretinoin microspheres
1
tretinoin topical
1
triamcinolone acetonide topical
1
TRIANEX
1
TRI-LUMA
2
TRIXAICIN
1
TRIXAICIN HP
1
trolamine salicylate
1
U-CORT
1
ULESFIA
2
ULTILET ALCOHOL SWAB
2
ULTRACIN T
1
ULTRA-FRESH TOPICAL
2
ULTRAVATE
2
ULTRAVATE PAC
2
ULTRAVATE X
2
UMECTA NAIL FILM PEN
2
UMECTA PD
2
UMECTA TOPICAL EMULSION
2
UMECTA TOPICAL FOAM
1
UMECTA TOPICAL NAIL FILM SUSPENSION
2
URAMAXIN GT
2
URAMAXIN TOPICAL CREAM
2
URAMAXIN TOPICAL FOAM
2
URAMAXIN TOPICAL LOTION
2
urea topical cream 39 %, 40 %
1
urea topical foam
1
urea topical gel
1
urea topical lotion 40 %, 45 %
1
urea topical nail film suspension
1
VANOS
2
VAPORX BALM
2
VECTICAL
2
VELTIN
2
VICKS VAPORUB TOPICAL OINTMENT 4.7-1.2-2.6 %
2
VICKS VAPORUB TOPICAL OINTMENT 4.8-1.2-2.6 %
1
vitamin a and d
1
VITRASE
2
vits a and d-white pet-lanolin topical ointment in packet
1
VOLTAREN TOPICAL
2
water for irrigation, sterile
1
WEBCOL
2
Notes
ST
ST
161
Drug Name
Tier
Notes
WESTCORT TOPICAL OINTMENT
2
WITCH HAZEL
1
witch hazel leaf (hamamelis)
1
WOUND & SKIN CLEANSER
2
WOUND CLEANSER
2
WOUND GEL
2
XERAC AC
2
ZENATANE
1
ZIANA
2
ZIKS ARTHRITIS PAIN RELIEF
2
zinc oxide topical ointment 20 %
1
ZONALON
2
ZYCLARA TOPICAL CREAM IN METERED-DOSE
PUMP 2.5 %
2
PA; QL (7.5 GM per 1 day)
ZYCLARA TOPICAL CREAM IN METERED-DOSE
PUMP 3.75 %
2
PA; QL (7.5 GM per 28 days)
ZYCLARA TOPICAL CREAM IN PACKET
2
SMOKING DETERRENTS
BUPROBAN
1
CHANTIX
2
QL (2 EA per 1 day)
CHANTIX CONTINUING MONTH BOX
2
QL (2 EA per 1 day)
CHANTIX STARTING MONTH BOX
2
QL (2 EA per 1 day)
NICODERM CQ TRANSDERMAL PATCH 24 HOUR 14
MG/24 HR, 7 MG/24 HR
2
NICORELIEF
1
NICORETTE BUCCAL GUM 4 MG
2
NICORETTE BUCCAL LOZENGE
2
nicotine (polacrilex)
1
nicotine transdermal patch 24 hour 14 mg/24 hr, 21 mg/24
hr, 7 mg/24 hr
1
nicotine transdermal patch, td daily, sequential
2
NICOTROL
2
NICOTROL NS
2
ZYBAN
2
THYROID PREPS
ARMOUR THYROID
2
CYTOMEL
2
levothyroxine
1
LEVOXYL ORAL TABLET 100 MCG, 112 MCG, 125
MCG, 137 MCG, 150 MCG, 175 MCG, 200 MCG, 25
MCG, 50 MCG, 75 MCG, 88 MCG
2
liothyronine
1
methimazole oral tablet 10 mg, 5 mg
1
NP THYROID
1
propylthiouracil
1
162
Drug Name
Tier
SYNTHROID
2
TAPAZOLE
2
THYROGEN
2
THYROLAR-1
2
THYROLAR-1/2
2
THYROLAR-1/4
2
THYROLAR-2
2
THYROLAR-3
2
TIROSINT
2
TRIOSTAT
2
UNITHROID
2
Notes
UNCLASSIFIED DRUG PRODUCTS
acamprosate
1
ACETADOTE
2
acetone
2
acetylcysteine intravenous
1
ACTIDOSE/SORBITOL
2
ACTIDOSE-AQUA
1
ACTONEL ORAL TABLET 35 MG
2
ADAGEN
2
adipic acid
2
ADVANCED EYE HEALTH
1
ALCOHOL, DENATURED
2
alcohol, reagent
2
ALDURAZYME
2
alendronate oral solution
1
alendronate oral tablet
1
alfuzosin
1
almond oil, sweet (bulk)
2
aluminum monostearate
2
amaranth
2
amifostine crystalline
1
anise
2
ANTABUSE
2
APPLE FLAVORING
2
APPLE-ADE FLAVOR
2
AQUA LUBE
2
AQUA LUBE ADVANCED FORMULA GEL
2
AQUABASE
2
AR CAPS
2
ARALAST NP
2
ARCALYST
2
ATELVIA
2
BACTERIOSTATIC WATER(PARABENS)
1
163
Drug Name
Tier
Notes
BAL IN OIL
2
BANANA CONCENTRATE
2
BANANA CREAM FLAVOR
2
banana flavor (bulk)
2
BASE, PCCA SYRUP VEHICLE
2
BEEF FLAVOR
2
BENLYSTA
2
bentonite
2
benzaldehyde
2
bergamot oil, imitation
2
BERINERT INTRAVENOUS KIT
2
BHT
2
BINOSTO
2
bitter mask flavoring (bulk)
2
BITTERNESS MASK FLAVOR
2
BLUEBERRY FLAVOR
2
BODI LOTION
2
BONIVA INTRAVENOUS
2
BONIVA ORAL
2
BRIJ 30
2
BRIJ 35 POWDER
2
BRIJ 58
2
BRIJ 78
2
BRIJ 99
2
BUBBLE GUM CONCENTRATE
2
BUBBLE GUM FLAVORING
2
bubblegum flavor (bulk)
2
BUNAVAIL BUCCAL FILM 2.1-0.3 MG
2
BUNAVAIL BUCCAL FILM 4.2-0.7 MG, 6.3-1 MG
2
buprenorphine hcl sublingual
1
buprenorphine-naloxone
1
BUTTER RUM FLAVORING
2
BUTTERSCOTCH FLAVORING
2
butylated hydroxytoluene
2
calcipotriene-betamethasone
1
CALCIUM DISODIUM VERSENATE
2
CAMPRAL
2
CAMPRAL DOSE PAK
2
CAPSUBLEND-H
2
CAPSUBLEND-P
2
CAPSUBLEND-S
2
CAPSULE #0
2
CAPSULE #0 (CELLULOSE)
2
CAPSULE #0 (HYPROMELLOSE)
2
164
PA
ST
ST
Drug Name
Tier
CAPSULE #0 DRCAPS
2
CAPSULE #00
2
2
2
CAPSULE #1
2
2
2
CAPSULE #1 DRCAPS
2
CAPSULE #10
2
CAPSULE #11
2
CAPSULE #12
2
CAPSULE #13
2
CAPSULE #2
2
2
CAPSULE #3
2
2
2
CAPSULE #4
2
CAPSULE #5
2
CAPSULE #7
2
CAPSULE CONI-SNAP #0 (GELATIN)
2
CAPSULE CONI-SNAP #0(HYPROMEL)
2
CAPSULE CONI-SNAP #00 (GELATIN
2
CAPSULE CONI-SNAP #000
2
2
2
2
2
2
2
CAPSULE,WHITE OPAQUE GELATN #1
2
CARBAGLU
2
CARBOMER 934P RESIN
2
carbomer 940 (bulk)
2
carbomer homopolymer c (bulk)
2
carmine
2
CARNITOR
2
CARNITOR SUGAR-FREE
2
CARTICEL
2
castor oil
2
cellulose (bulk) powder
2
CERDELGA
2
CEREZYME
2
cheesecake flavor (bulk)
2
Notes
PA
165
Drug Name
Tier
Notes
CHEMET
2
chlorhexidine gluconate mucous membrane
1
chocolate flavor (bulk) liquid
2
cholesterol
2
CINNAMON FLAVORING
2
CINRYZE
2
citric acid
2
citronella oil
2
CLOVE FLAVORING
2
CO Q-10 ORAL CAPSULE 100 MG
1
cocoa butter
2
cocoa butter (bulk)
2
cocoa butter (bulk) topical bar
2
coconut oil (bulk)
2
cottonseed oil (bulk)
2
cpd vehicle sus.sugar-free #12
2
cream de menthe (bulk)
2
CREME DE MENTHE FLAVORING
2
CRYOSERV
2
CUROSURF
2
CYSTADANE
2
CYSTAGON
2
deferoxamine
1
DELBASE COMPOUNDING
2
DERMABASE
2
DERMAFIX TOPICAL OINTMENT
2
DERMANIC
2
DESFERAL
2
DETROL
2
ST
DETROL LA
2
ST
dexrazoxane hcl
1
DIAFOODS THICK-IT
2
DIAFOODS THICK-IT #2
2
DILUENT FOR EPOPROSTENOL/FLOLA
1
DILUENT FOR YF-VAX (1 DOSE)
2
2
DILUENT-MERCK LIVE VIRUS VACC
2
disulfiram
1
DITROPAN XL
2
DIVISTA
2
doxercalciferol
1
doxycycline hyclate oral tablet 20 mg
1
ELAPRASE
2
ELELYSO
2
166
PA
Drug Name
Tier
ENABLEX
2
ENGLISH TOFFEE FLAVOR
2
ESBRIET
2
ethyl acetate
2
ethyl vanillin
2
etidronate disodium
1
eucalyptol
2
EUCALYPTUS FLAVOR
2
eucalyptus oil oil 100 %
2
EVISTA
2
EXJADE
2
EZ CHAR
2
FABRAZYME
2
FATTIBASE
2
FATTYBLEND
2
FERRIPROX
2
finasteride oral tablet 5 mg
1
FIRAZYR
2
FLAVOR BLEND 2 IN 1
2
FLAVOR PACKETS
2
FLAVOR PLUS
2
FLAVOR SWEET
2
FLAVOR SWEET-SF
2
FLAVORX
2
FLAVOUR PAC
2
flavoxate
1
FLOMAX
2
flumazenil
1
fomepizole
1
FORTEO
2
FOSAMAX ORAL TABLET 70 MG
2
FOSAMAX PLUS D
2
FP NATURAL LOTION
2
FUSILEV
2
GALZIN
2
gelatin (bulk)
2
gelatin oral capsule 650 mg
2
GELFILM IMPLANT
2
GELNIQUE
2
GLASSIA
2
glutathione (bulk)
2
glyceryl monostearate
2
GRAPEFRUIT
2
guar gum
2
Notes
ST
PA
QL (1 EA per 1 day)
PA
ST
167
Drug Name
Tier
guava flavor (bulk)
2
HECTOROL
2
HICON
2
hydrophilic
2
HYDROPHILIC OINTMENT BASE(FAG)
2
HYDROPHILIC PETROLATUM
2
hydroxypropyl cellulose
2
HYLENEX
2
hypromellose
2
ibandronate intravenous solution
1
ibandronate oral
1
ILARIS (PF)
2
INSTA-CHAR
1
INSTA-CHAR-SORBITOL
1
INSTACLEAN
2
INSTANT FOOD THICKENER
2
isopropyl alcohol solution 70 %, 91 %
2
isopropyl palmitate
2
JADENU
2
JOHNSON'S BABY LOTION
2
JOHNSON'S BODY CARE
2
KALBITOR
2
KALYDECO
2
KEVEYIS
2
KUVAN
2
lanolin anhydrous
2
LEMON EXTRACT FLAVOR
2
lemon flavor extract (bulk)
2
LEMON FLAVORING
2
leucovorin calcium injection recon soln
1
leucovorin calcium oral
1
levocarnitine (with sugar)
1
levocarnitine intravenous
1
levocarnitine oral tablet
1
levoleucovorin calcium
1
LIME FLAVOR
2
LIP TREATMENT
2
LUMIZYME
2
MAGNASWEET 110
2
MAGNASWEET 135
2
magnesium stearate
2
marshmallow flavor (bulk)
2
MEGACE
2
MEGACE ES
2
168
Notes
ST
Drug Name
Tier
Notes
megestrol oral suspension
1
mesna
1
MESNEX
2
METHAZEL
2
METHOCEL E 4 M
2
methyl alcohol
2
methylcellulose
2
methylcellulose 1500cps (bulk)
2
methylcellulose 4000cps (bulk)
2
methylene blue (antidote)
1
methylene blue (bulk-solid)
2
MINERAL OIL HEAVY
2
MURI-LUBE
2
mustard oil
2
MYOZYME
2
NAGLAZYME
2
NESTLE FLAVOR
2
NIACIN-AZE AC-TURMER-FA-B6-ZN
1
NICADAN
2
nutmeg oil
2
OFEV
2
oleic acid
2
OMEGA-3 IQ CHILDREN'S
2
ORAL MIX
2
ORAL MIX SF
2
ORAL SUSPEND
2
ORAL SYRUP
2
ORAL SYRUP SF
2
ORALONE
1
orange
2
ORANGE CONCENTRATE
2
orange oil
2
ORA-PLUS
2
ORA-SWEET
2
ORA-SWEET SF
2
ORFADIN
2
ORKAMBI
2
PA
OSPHENA
2
QL (1 EA per 1 day)
oxybutynin chloride oral
1
OXYTROL
2
pamidronate
1
PANHEMATIN
2
paraffin
2
paricalcitol hemodialysis port injection
2
PA
ST
169
Drug Name
Tier
paricalcitol oral
1
PCCA-PLUS BASE
2
PEANUT BUTTER FLAVOR
2
PENTRAVAN
2
PEPPERMINT FLAVORING
2
petrolatum, yellow (bulk)
2
PETROLEUM JELLY
2
PETROLEUM JELLY, WHITE
2
polyethylene glycol 8000(bulk) powder 100 %
2
polyoxyl 40 stearate
2
polyoxyl 40 stearate (bulk)
2
polysorbate 40
2
polysorbate 60
2
polysorbate 80
2
PROCYSBI
2
PRODERM
1
PROLASTIN-C
2
PROLIA
2
propylene glycol
2
propylene glycol (bulk)
2
PROSCAR
2
PROTOPAM CHLORIDE
2
PULMOZYME
2
PUMPKIN FLAVOR
2
Q-CARE RX Q2
2
Q-CARE RX Q4
2
Q-GEL WITH ALPHA LIPOIC ACID
2
RADIAGEL
2
raloxifene
1
QL (1 EA per 1 day)
RAPAFLO ORAL CAPSULE 4 MG
2
ST
raspberry
2
raspberry flavor, artificial
2
RASPBERRY FLAVORING
2
RECLAST
2
resveratrol oral capsule 250 mg
2
risedronate oral tablet,delayed release (dr/ec)
1
root beer flavor (bulk)
2
rose oil
2
ROSE WATER
2
rosin (bulk) powder
2
RUCONEST
2
sassafras oil
2
SAVELLA
2
SENSIPAR
2
170
Notes
PA
PA
Drug Name
Tier
Notes
sesame oil
2
silica
2
simple syrup
2
SIMPLYTHICK ORAL GEL
2
sodium bisulfite
2
sodium chloride inhalation
1
sodium silicate
2
sodium succinate
2
SOMAVERT
2
SORBIDON HYDRATE
2
sorbitol solution
2
SPEARMINT FLAVORING
2
spearmint oil
2
stearic acid
2
stearyl alcohol
2
STERILE WATER FOR INJECTION
1
strawberry flavor (bulk)
2
STRAWBERRY FLAVORING
2
SUBOXONE SUBLINGUAL FILM 12-3 MG
2
SUBOXONE SUBLINGUAL FILM 2-0.5 MG, 4-1 MG,
8-2 MG
2
SURFAXIN
2
SURVANTA
2
SUSPENDOL-S
2
SWEET-SF
2
SYPRINE
2
SYRPALTA VEHICLE
2
SYRSPEND SF
2
SYRSPEND SF ALKA
2
SYRSPEND SF LIQUID
2
SYRUP VEHICLE SF
2
TACLONEX
2
tamsulosin
1
TANGERINE OIL, NATURAL
2
THICK NOW
2
THICKEN UP CLEAR
2
THICKENUP LEMON HONEY
2
THICKENUP LEMON NECTAR
2
THICK-IT
2
THICK-IT #2
2
THIOLA
2
tolterodine
1
tolu balsam
2
TOVIAZ
2
ST
ST
ST
171
Drug Name
Tier
TOZAL
2
tragacanth powder
2
triamcinolone acetonide dental
1
trospium
1
tutti-frutti flavor (bulk)
2
TYBOST
2
TYSABRI
2
UROXATRAL
2
VANILLA BUTTERNUT FLAVOR
2
vanilla butternut flavor(bulk)
2
vanillin (bulk)
2
VASELINE
2
VERSA FREE
2
VERSA PLUS
2
VESICARE
2
VIMIZIM
2
VISUDYNE
2
VIVITROL
2
VPRIV
2
VP-ZEL
1
water for inject, bacteriostat
1
water for injection, sterile
1
WATERMELON FLAVORING
2
WHITE WAX (BEESWAX)
2
wild cherry flavor (bulk)
2
WINTERGREEN FLAVORING
2
WITEPSOL H-15
2
XGEVA
2
XIAFLEX
2
XOFIGO
2
YELLOW WAX (BEESWAX)
2
ZAVESCA
2
ZEMAIRA
2
ZEMPLAR
2
zinc stearate
2
ZINECARD (AS HCL)
2
zoledronic acid
1
zoledronic acid-mannitol-water
1
ZOMETA
2
ZUBSOLV SUBLINGUAL TABLET 1.4-0.36 MG,
11.4-2.9 MG, 5.7-1.4 MG, 8.6-2.1 MG
2
VITAMINS
ADULT MULTIVITAMIN (W-LUTEIN)
1
ADVANCED AM-PM
1
172
Notes
ST
PA
ST
PA
PA
Drug Name
Tier
AQUASOL A
2
ascorbic acid injection
1
B COMPLEX 100 INJECTION
1
BABY VITAMIN D3
1
BACMIN
1
CALCIJEX
2
calcitriol intravenous solution 1 mcg/ml
1
calcitriol oral
1
CENTRUM FLAVOR BURST ADULT
2
cholecalciferol (vitamin d3) oral capsule 10,000 unit
1
cod liver oil oral oil
1
COD LIVER OIL PLUS VIT A & D3
1
CORVITA
2
CORVITE
2
CORVITE FREE
2
cyanocobalamin (vitamin b-12) injection
1
DECARA ORAL CAPSULE 25,000 UNIT
2
DECARA ORAL CAPSULE 50,000 UNIT
1
DIALYVITE
1
DIALYVITE 3000
1
DIALYVITE 5000
2
DIALYVITE SUPREME D
2
DRISDOL ORAL CAPSULE
2
ENLYTE (FERROUS GLYCINE)
2
ergocalciferol (vitamin d2) oral capsule
1
ergocalciferol (vitamin d2) oral drops
1
ESCAVITE
2
ESCAVITE D
2
ESCAVITE LQ
2
FABB
1
FALESSA
2
fa-niacinamide-cupric ox-zinc
1
FLORIVA ORAL TABLET,CHEWABLE 0.25MG
FLUORIDE (0.55 MG)
2
FOLASTIN
1
FOLCAPS
1
FOLGARD
2
folic acid injection
1
folic acid oral tablet 1 mg
1
FOLTRATE
2
hydroxocobalamin
1
INFUVITE ADULT
2
INFUVITE PEDIATRIC
2
levomefolate calcium
1
Notes
173
Drug Name
Tier
L-METHYL-B6-B12
1
L-METHYL-MC
1
L-METHYL-MC NAC
1
M.V.I. ADULT
2
M.V.I. PEDIATRIC
2
M.V.I.-12 (WITHOUT VITAMIN K)
2
MEN'S MULTIVITAMIN GUMMIES
1
MEPHYTON
2
MI-OMEGA NF
1
MULTI-VIT WITH FLUORIDE & IRON
1
MULTIVITAMIN WITH FLUORIDE
1
MULTI-VITAMIN WITH FLUORIDE
1
MULTIVITAMINS WITH FLUORIDE
1
multivit-min-iron fum-folic ac
2
MVC-FLUORIDE ORAL TABLET,CHEWABLE 0.25
MG, 0.5 MG
1
NASCOBAL
2
NEPHPLEX RX
1
NEPHROCAPS
1
NEPHRONEX-SL
2
niacin oral capsule, extended release 250 mg, 500 mg
1
niacin oral powder
2
niacin oral tablet 500 mg
1
niacin oral tablet extended release 500 mg
1
NICOMIDE
2
NICOMIDE (SELENIUM-CHROMIUM)
2
NIVA-FOL
2
phytonadione injection
1
PURALOR CI
2
pyridoxine injection
1
QUFLORA PEDIATRIC
1
QUFLORA PEDIATRIC DROPS
1
RENAL CAPS
1
RENO CAPS
1
ROCALTROL
2
STROVITE FORTE
1
STROVITE ONE
2
SUPER B MAXI COMPLEX
1
thiamine hcl injection
1
THRIVITE RX
2
TL GARD RX
1
TL-FLUORIVITE
1
TRIPHROCAPS
1
TRIPLE VITAMIN WITH FLUORIDE
1
174
Notes
Drug Name
Tier
TRI-VIT WITH FLUORIDE & IRON
1
TRI-VITAMIN WITH FLUORIDE
1
TROPICAL LIQUID NUTRITION
2
UDAMIN SP
2
VASCULERA
2
VIRT-CAPS
1
VIRT-VITE
1
VIRT-VITE FORTE
1
VIRT-VITE PLUS
1
VIT 3
1
VITAL-D RX
1
VITAMIN B-12 ORAL TABLET 1,000 MCG
1
VITAMIN D2
1
VITAMIN D3 ORAL TABLET 1,000 UNIT, 2,000 UNIT
1
vitamin e (dl, acetate) oral capsule 400 unit
1
VITAMIN K INJECTION
1
VITAMIN K1 INJECTION
1
VITAMINS A,C,D & FLUORIDE
1
VOL-CARE RX
1
VP-VITE RX
1
WOMEN'S MULTIVITAMIN GUMMIES
1
ZAVARA
2
Notes
175
176
Index
Index
Index
Index
12 HOUR NASAL SPRAY .............................. 88
1ST TIER UNIFINE PENTIPS ................. 122
1ST TIER UNIFINE PENTIPS PLUS
...................................................................................................... 122
3 DAY VAGINAL .................................................... 30
3-DAY VAGINAL .................................................... 30
3M NEXCARE DURAPORE ..................... 122
4 WAY ................................................................................... 88
4-N-1 NO RINSE WASH ............................... 150
8 HOUR PAIN RELIEVER ................................ 3
8-MOP ................................................................................. 150
abacavir ................................................................................. 46
abacavir-lamivudine-zidovudine ................. 47
ABATINEX ................................................................... 101
ABELCET .......................................................................... 30
ABILIFY .......................................................................... 143
ABILIFY DISCMELT ....................................... 143
ABILIFY MAINTENA ..................................... 143
ABLAVAR ........................................................................ 85
ABRAXANE ................................................................... 40
ABREVA ............................................................................. 47
ABSORBENT COTTON BALLS ......... 122
ABSORICA ................................................................... 150
ABSTRAL ............................................................................. 3
acamprosate ................................................................... 163
ACANYA ........................................................................ 150
acarbose ................................................................................. 37
ACCOLATE .................................................................... 17
ACCU-CHEK FASTCLIX ............................ 122
ACCU-CHEK MULTICLIX LANCET
...................................................................................................... 122
ACCU-CHEK SOFT DEV LANCETS
...................................................................................................... 122
ACCU-CHEK SOFTCLIX LANCET
DEV ....................................................................................... 122
ACCUPRIL ....................................................................... 61
ACCURETIC .................................................................. 61
ACE AEROSOL CLOUD ENHANCER
...................................................................................................... 122
acebutolol ............................................................................ 61
ACEPHEN ............................................................................. 3
ACETADOTE ............................................................. 163
ACETA-GESIC ................................................................ 3
acetaminophen ................................................................... 3
ACETAMINOPHEN PM ....................................... 3
acetaminophen-codeine ............................................ 3
ACETASOL HC .......................................................... 88
acetazolamide .................................................................. 86
acetazolamide sodium ............................................. 86
ACETEST ........................................................................... 85
acetic acid .............................................................. 88, 150
acetic acid-aluminum acetate .......................... 88
acetone ................................................................................ 163
acetylcysteine ..................................................... 17, 163
ACID CONTROL (RANITIDINE) ....... 101
ACID CONTROLLER ....................................... 101
ACID GONE ANTACID ................................ 101
ACID GONE ANTACID E.STRENGTH
...................................................................................................... 101
ACID REDUCER (CIMETIDINE) ....... 101
ACID REDUCER (FAMOTIDINE) .... 101
ACID REDUCER (RANITIDINE) ....... 101
ACIPHEX SPRINKLE ...................................... 101
acitretin ............................................................................... 150
ACLARO ......................................................................... 150
ACLOVATE ................................................................. 150
ACNE MEDICATION ....................................... 150
ACNE TREATMENT (BENZOYL
PEROX) ............................................................................. 150
ACNEFREE ACNE CLEARING
SYSTEM .......................................................................... 150
ACNEFREE SEVERE ACNE
CLEARING ................................................................... 150
ACTEMRA .................................................................... 121
ACTHAR H.P. ............................................................ 116
ACTHIB (PF) .................................................................. 52
ACTHREL ...................................................................... 116
ACTIDOSE/SORBITOL ................................. 163
ACTIDOSE-AQUA .............................................. 163
ACTIGALL ................................................................... 101
ACTIMMUNE ............................................................... 40
ACTIQ ....................................................................................... 3
ACTIVASE ....................................................................... 57
ACTIVE FE ...................................................................... 93
ACTIVE OB ................................................................. 139
ACTIVELLA ............................................................... 116
ACTONEL ...................................................................... 163
ACTOPLUS MET XR ........................................... 37
ACTOS .................................................................................. 37
ACULAR ............................................................................. 88
ACULAR LS ................................................................... 88
ACUVAIL (PF) ............................................................ 88
acyclovir ............................................................................... 47
acyclovir sodium .......................................................... 47
ACZONE .......................................................................... 150
ADACEL(TDAP
ADOLESN/ADULT)(PF) .................................. 52
ADAGEN ........................................................................ 163
ADALAT CC .................................................................. 59
adapalene .......................................................................... 150
ADASUVE ..................................................................... 143
ADCETRIS ....................................................................... 40
ADCIRCA .......................................................................... 61
ADDAMEL N ................................................................ 93
ADDED STRENGTH HEADACHE
RELIEF ..................................................................................... 3
ADDERALL .................................................................... 50
ADDERALL XR ......................................................... 50
adefovir .................................................................................. 47
ADEMPAS ........................................................................ 61
ADENOCARD .............................................................. 59
ADENOSCAN ............................................................... 85
adenosine ............................................................................. 59
adenosine (diagnostic) ............................................ 85
adenovirus vac live type-4, 7 ........................... 52
adenovirus vaccine live type-4 ...................... 52
adenovirus vaccine live type-7 ...................... 52
adhesive bandage ..................................................... 122
adhesive bandage-adhes remov#1 ........... 122
ADHESIVE DRESSING ................................. 122
ADHESIVE GAUZE PAD ............................ 122
ADHESIVE PADS ................................................. 122
adhesive remover ..................................................... 122
adhesive tape ................................................................. 122
adipic acid ........................................................................ 163
ADOXA ................................................................................ 19
ADRENACLICK ........................................................ 50
ADRENALIN ................................................................. 50
ADRUCIL .......................................................................... 40
ADULT MULTIVITAMIN (W-LUTEIN)
...................................................................................................... 172
ADULT TUSSIN CHEST
CONGESTION ............................................................. 75
ADULT TUSSIN COUGH CONGEST
DM ............................................................................................. 75
ADULT TUSSIN DM ............................................ 75
ADULT TUSSIN MULTI-SYMP COLD
......................................................................................................... 75
ADVAIR DISKUS .................................................... 17
ADVAIR HFA ............................................................... 17
ADVANCED AM-PM ....................................... 172
ADVANCED ANTACID-ANTIGAS
...................................................................................................... 101
ADVANCED ANTIBACTERIAL
BANDAGE .................................................................... 122
ADVANCED EYE HEALTH .................... 163
ADVANCED FORMULA EYE DROPS
......................................................................................................... 88
ADVATE ............................................................................. 57
ADVICOR .......................................................................... 62
ADVOCATE PEN NEEDLES .................. 122
ADVOCATE SYRINGES .............................. 122
AEROCHAMBER MINI ................................. 122
AEROCHAMBER MV ..................................... 122
AEROCHAMBER PLUS FLOW-VU
...................................................................................................... 122
AEROCHAMBER PLUS FLOW-VU,L
MSK ...................................................................................... 122
AEROCHAMBER PLUS FLOW-VU,M
MSK ...................................................................................... 122
AEROCHAMBER PLUS FLOW-VU,S
MSK ...................................................................................... 122
AEROCHAMBER PLUS Z STAT ....... 122
AEROCHAMBER PLUS Z STAT LG
MSK ...................................................................................... 122
AEROCHAMBER PLUS Z STAT MD
MSK ...................................................................................... 122
AEROCHAMBER PLUS Z STAT SM
MSK ...................................................................................... 122
AEROCHAMBER WITH
FLOWSIGNAL ......................................................... 122
AEROCHAMBER Z-STAT PLUS-FLW
SG ............................................................................................ 122
AEROSPAN ..................................................................... 17
AEROTRACH PLUS .......................................... 122
AFEDITAB CR ............................................................ 59
AFINITOR ......................................................................... 40
AFINITOR DISPERZ ............................................ 40
AFLURIA 2010-2011 (PF) ............................... 52
AFLURIA 2011-2012 ............................................. 52
AFLURIA 2011-2012 (PF) ............................... 52
AFLURIA 2012-2013 ............................................. 52
AFLURIA 2012-2013 (PF) ............................... 52
AFLURIA 2013-2014 ............................................. 52
AFLURIA 2013-2014 (PF) ............................... 52
AFLURIA 2014-2015 ............................................. 52
AFLURIA 2014-2015 (PF) ............................... 52
AFLURIA 2015-2016 ............................................. 52
AFLURIA 2015-2016 (PF) ............................... 52
177
Index
Index
Index
AFREZZA .......................................................................... 37
AFTERA .............................................................................. 71
AGGRASTAT IN SODIUM CHLORIDE
......................................................................................................... 46
AGGRENOX ................................................................... 46
AGIE-GRX .................................................................... 122
AGRIFLU 2010-2011 (PF) ............................... 52
AGRYLIN .......................................................................... 46
AHIST (CHLORCYCLIZINE) .................... 34
A-HYDROCORT .................................................... 116
AIMSCO INSULIN SYRINGE ................ 122
AIMSCO ULTRA THIN II ........................... 122
AIRACOF ........................................................................... 75
AK-FLUOR ...................................................................... 85
AKORN BALANCED SALT ........................ 88
AK-POLY-BAC ........................................................... 19
AKTEN (PF) .................................................................... 88
AKWA TEARS ............................................................ 88
AKWA TEARS (POLYVINYL
ALCOHOL) ...................................................................... 88
AKYNZEO .................................................................... 101
ALA-HIST AC .............................................................. 75
ALA-HIST DM ............................................................. 75
ALA-HIST IR ................................................................. 34
ALA-HIST PE ................................................................ 32
ALA-QUIN .................................................................... 150
ALAWAY .......................................................................... 34
ALBENZA ......................................................................... 39
ALBUKED-25 ............................................................... 57
ALBUKED-5 ................................................................... 57
albumin, human 25 % ............................................. 57
albumin, human 5 % ................................................ 57
ALBUMINAR 25 % ................................................ 57
ALBUMINAR 5 % ................................................... 57
ALBURX (HUMAN) 25 % .............................. 57
ALBURX (HUMAN) 5 % ................................. 57
ALBUSTIX REAGENT ...................................... 85
ALBUTEIN 25 % ....................................................... 57
ALBUTEIN 5 % .......................................................... 57
albuterol sulfate ............................................................. 17
ALCAINE ........................................................................... 88
alclometasone .............................................................. 150
ALCOHOL PADS .................................................. 150
ALCOHOL PREP PADS ................................ 150
ALCOHOL PREP SWABS ........................... 150
alcohol swabs ............................................................... 150
ALCOHOL WIPES ............................................... 150
ALCOHOL, DENATURED ......................... 163
alcohol, reagent .......................................................... 163
ALCOHOL-BENZOCAINE ........................... 39
ALCORTIN A ............................................................ 150
ALDACTAZIDE ......................................................... 87
ALDACTONE ............................................................... 87
ALDARA ......................................................................... 150
ALDURAZYME ...................................................... 163
alendronate ...................................................................... 163
ALERTNESS AID ..................................................... 67
ALEVAZOL .................................................................... 30
alfalfa .................................................................................... 113
ALFENTA ............................................................................. 3
alfentanil .................................................................................. 4
alfuzosin ............................................................................ 163
ALICLEN ........................................................................ 150
ALIMTA .............................................................................. 40
ALINIA ................................................................................. 39
ALKERAN ........................................................................ 40
ALL DAY ALLERGY (CETIRIZINE)
ALLEVYN ..................................................................... 123
ALLEVYN ADHESIVE DRESSING
...................................................................................................... 122
ALLEVYN CAVITY DRESSING ........ 123
ALLEVYN CAVITY WOUND DRESS
...................................................................................................... 123
ALLEVYN PLUS ADHESIVE ................ 123
ALLEVYN SACRUM DRESSING ..... 123
ALLFEN DM .................................................................. 75
ALLKARE ADHESIVE REMOVER
WIPES ................................................................................. 123
ALL-NITE COLD-FLU ....................................... 75
allopurinol ........................................................................... 15
ALL-PURPOSE DRESSINGS .................. 123
ALMACONE ............................................................... 101
ALMACONE MLT ............................................... 101
ALMACONE-2 ......................................................... 101
almond oil, sweet (bulk) ................................... 163
ALOCRIL ........................................................................... 88
aloe vera ............................................................................ 113
ALOE VESTA ............................................................ 150
ALOE VESTA ANTIFUNGAL
(MICON) ............................................................................. 30
ALOE VESTA BATHING CLOTHS
...................................................................................................... 150
ALOE VESTA SKIN CONDITIONER 2
...................................................................................................... 150
ALOMIDE ......................................................................... 88
ALOPRIM .......................................................................... 15
ALOQUIN ...................................................................... 150
ALORA .............................................................................. 116
alosetron ............................................................................ 101
ALOXI ................................................................................ 101
ALPHAGAN P .............................................................. 88
ALPHANATE ................................................................ 57
ALPHANINE SD ........................................................ 57
alprazolam ....................................................................... 143
ALPRAZOLAM INTENSOL ..................... 143
ALPROLIX ....................................................................... 57
alprostadil ............................................................................ 62
ALREX .................................................................................. 88
ALSUMA ............................................................................... 4
ALTABAX ..................................................................... 150
ALTACE .............................................................................. 62
ALTAVERA (28) ....................................................... 71
ALTOPREV ..................................................................... 62
aluminum hydroxide gel ................................... 101
aluminum monostearate .................................... 163
ALUVEA ......................................................................... 150
ALVESCO ......................................................................... 17
ALYACEN 1/35 (28) .............................................. 71
ALYACEN 7/7/7 (28) ............................................ 71
amantadine hcl ............................................................... 45
A-MANTLE .................................................................. 150
amaranth ............................................................................ 163
AMARYL ........................................................................... 37
AMBIEN .......................................................................... 148
AMBIEN CR ................................................................ 148
AMBISOME .................................................................... 30
amcinonide ...................................................................... 150
AMERGE ............................................................................... 4
AMETHIA ......................................................................... 71
AMETHIA LO ............................................................... 71
AMETHYST .................................................................... 71
AMICAR ............................................................................. 57
AMIDATE ......................................................................... 12
178
34
ALL DAY ALLERGY-D ................................... 32
ALL DAY PAIN RELIEF ................................. 15
ALL DAY RELIEF ................................................... 15
all xt-weed pol-russian thistl ............................ 52
ALLEGRA ......................................................................... 34
ALLEGRA-D 12 HOUR ..................................... 32
ALLEGRA-D 24 HOUR ..................................... 32
aller ext-tree poll,black waln ........................... 52
aller ext-tree poll,red cedar ................................ 52
aller ext-tree pollen-bayberry .......................... 52
aller ext-tree pollen-mesquite ......................... 52
aller xt-tree poll,shagbk hick ........................... 52
aller xt-tree pollen-am.sycamo ...................... 52
aller xt-tree pollen-box elder ........................... 52
aller xt-tree pollen-red birch ............................. 52
aller xt-tree pollen-white ash ........................... 52
aller xt-weed pollen-sagebrush ...................... 53
ALLER-CHLOR .......................................................... 34
ALLERCLEAR D-12HR .................................... 32
ALLERCLEAR D-24HR .................................... 32
ALLER-EASE ................................................................ 34
ALLERFED COLD & ALLERGY .......... 33
allerg ext-tree pollen-pecan ............................... 53
allerg ext-weed pollen-mugwort .................. 53
allerg ex-weed pol-rgh pigweed ................... 53
allerg xt-sheep sor,yellw dock ........................ 53
allergen ext-candida albicans .......................... 53
allergen ext-english plantain ............................ 53
allergen ext-virginia live oak ........................... 53
allergen xt-grass pollen-bahia ......................... 53
allergenic ex-horse epithelium ....................... 53
allergen-weed-lambsquarters ........................... 53
ALLER-G-TIME ......................................................... 34
ALLERGY & COLD PE ..................................... 75
ALLERGY & CONGESTION RELIEF
......................................................................................................... 33
ALLERGY (CHLORPHENIRAMINE)
......................................................................................................... 34
ALLERGY (DIPHENHYDRAMINE)
......................................................................................................... 34
ALLERGY 4-HOUR ............................................... 34
ALLERGY COMPLETE-D ............................. 33
ALLERGY D-12 ......................................................... 33
ALLERGY EYE (KETOTIFEN) ............... 34
ALLERGY MEDICINE ....................................... 34
ALLERGY MULTI-SYMPTOM ............... 75
ALLERGY RELIEF & NASAL
DECONGE ........................................................................ 33
ALLERGY RELIEF (CETIRIZINE) ...... 34
ALLERGY RELIEF (CLEMASTINE)
......................................................................................................... 34
ALLERGY RELIEF (FEXOFENADINE)
......................................................................................................... 34
ALLERGY RELIEF (LORATADINE)
......................................................................................................... 34
ALLERGY RELIEF D-24 ................................. 33
ALLERGY
RELIEF(CHLORPHENIRAMN) ............... 35
ALLERGY
RELIEF(DIPHENHYDRAMIN) ................ 35
ALLERGY SINUS HEADACHE (PE)
......................................................................................................... 75
ALLERGY-TIME ...................................................... 35
ALLERHIST-1 .............................................................. 35
.........................................................................................................
Index
Index
Index
amifostine crystalline ........................................... 163
amikacin ................................................................................ 19
amiloride .............................................................................. 87
amiloride-hydrochlorothiazide ...................... 87
AMINO ACIDS 15 % ............................................ 93
aminocaproic acid ....................................................... 57
aminohippurate sodium ......................................... 85
aminophylline ................................................................. 17
AMINOSYN 10 % .................................................... 93
AMINOSYN 7 % WITH
ELECTROLYTES ..................................................... 93
AMINOSYN 8.5 % ................................................... 93
AMINOSYN 8.5 %-ELECTROLYTES
......................................................................................................... 93
AMINOSYN II 10 % .............................................. 93
AMINOSYN II 15 % .............................................. 93
AMINOSYN II 7 % .................................................. 93
AMINOSYN II 8.5 % ............................................. 93
AMINOSYN II 8.5 %-ELECTROLYTES
......................................................................................................... 93
AMINOSYN M 3.5 % ........................................... 94
AMINOSYN-HBC 7% .......................................... 94
AMINOSYN-PF 10 % ........................................... 94
AMINOSYN-PF 7 % (SULFITE-FREE)
......................................................................................................... 94
AMINOSYN-RF 5.2 % ........................................ 94
amiodarone ........................................................................ 59
amiodarone in dextrose 5 % ............................. 59
AMITIZA ........................................................................ 101
amitriptyline .................................................................. 143
amitriptyline-chlordiazepoxide .................. 143
amlodipine .......................................................................... 59
amlodipine-atorvastatin ......................................... 62
amlodipine-benazepril ............................................ 62
ammonia aromatic ...................................................... 67
ammonium and potassium iodides ......... 150
ammonium chloride .................................................. 87
ammonium lactate ................................................... 150
ammonium molybdate ............................................ 94
AMMONUL ................................................................. 101
AMNESTEEM ........................................................... 150
amoxapine ....................................................................... 143
amoxicil-clarithromy-lansopraz ................ 101
amoxicillin .......................................................................... 19
amoxicillin-pot clavulanate ............................... 19
AMPHADASE ........................................................... 150
AMPHETAMINE SALT COMBO .......... 50
AMPHOTEC ................................................................... 30
amphotericin b ................................................................ 30
ampicillin ............................................................................. 19
ampicillin sodium ........................................................ 19
ampicillin-sulbactam ................................................ 19
AMPYRA ........................................................................... 67
AMRIX .............................................................................. 138
AMTURNIDE ................................................................ 62
AMYTAL ........................................................................ 148
ANADROL-50 ........................................................... 116
ANAFRANIL .............................................................. 143
anagrelide ............................................................................ 46
ANA-LEX ....................................................................... 101
ANA-LEX KIT .......................................................... 101
ANALGESIC CREME ...................................... 150
ANALPRAM E ......................................................... 101
ANALPRAM-HC ...................................... 101, 150
ANALPRAM-HC SINGLES ....................... 101
ANAMU ........................................................................... 113
ANAPROX ........................................................................ 15
ANAPROX DS .............................................................. 15
ANASCORP .................................................................... 53
ANASPAZ ...................................................................... 101
anastrozole .......................................................................... 40
ANCOBON ....................................................................... 30
ANDRODERM .......................................................... 116
ANDROGEL ................................................... 116, 117
ANDROID ...................................................................... 117
ANDROXY ................................................................... 117
ANECTINE ....................................................................... 50
ANEFRIN ........................................................................... 88
ANGELIQ ....................................................................... 117
ANGIOMAX ................................................................... 28
anise ....................................................................................... 163
ANORO ELLIPTA .................................................... 17
ANTABUSE ................................................................. 163
ANTACID ....................................................................... 101
ANTACID ANTI-GAS ..................................... 101
ANTACID ANTI-GAS DOUBLE STR
...................................................................................................... 101
ANTACID CALCIUM ...................................... 102
ANTACID EXST (CA CARB-MAG
HYD) .................................................................................... 102
ANTACID EXST (MAG CARB-AL
HYD) .................................................................................... 102
ANTACID EXT STR (CALCIUM
CARB) ................................................................................ 102
ANTACID EXTRA-STRENGTH .......... 102
ANTACID MAXIMUM STRENGTH
...................................................................................................... 102
ANTACID PLUS ANTI-GAS .................... 102
ANTACID ULTRA STRENGTH .......... 102
ANTACID-ANTIGAS ....................................... 102
ANTACID-SIMETHICONE ....................... 102
ANTARA ............................................................................ 62
ANTIBACTERIAL BANDAGES ......... 123
ANTIBACTERIAL PAD ................................ 123
ANTIBIOTIC (BACITRACIN ZINC)
......................................................................................................... 19
ANTIBIOTIC PLUS (PRAMOXINE)
......................................................................................................... 19
ANTICAVITY FLUORIDE RINSE ....... 94
ANTI-DANDRUFF ............................................... 151
ANTI-DANDRUFF (COAL TAR) ....... 151
ANTI-DIARRHEA ................................................ 102
ANTI-DIARRHEAL (LOPERAMIDE)
...................................................................................................... 102
ANTIFUNGAL ............................................................. 30
ANTIFUNGAL (CLOTRIMAZOLE) ... 30
ANTIFUNGAL (TOLNAFTATE) ............ 30
ANTIFUNGAL CREAM .................................... 30
ANTIFUNGAL SPRAY ...................................... 30
ANTI-ITCH (DIPHENHYDRAMINE)
...................................................................................................... 151
ANTI-ITCH (HC) .................................................... 151
ANTI-ITCH(DIPHENHYD) WITH ZINC
...................................................................................................... 151
ANTI-NAUSEA ....................................................... 102
ANTI-NAUSEA GINGER ............................. 113
antipyrine-benzocaine ............................................. 88
ANTISEPTIC GEL ................................................ 151
ANTISEPTIC MOUTH RINSE ................... 88
antivenin latrodectus mactans ......................... 53
antivenin micrurus fulvius .................................. 53
ANTIVERT ................................................................... 102
ANUCORT-HC ......................................................... 102
ANU-MED ..................................................................... 102
ANUSOL-HC .............................................................. 102
ANZEMET ..................................................................... 102
APEXICON ................................................................... 151
APEXICON E ............................................................. 151
AP-HIST DM .................................................................. 75
APIDRA ............................................................................... 37
APIDRA SOLOSTAR ........................................... 37
APLENZIN .................................................................... 143
APLISOL ............................................................................. 53
APOKYN ............................................................................ 45
APPLE FLAVORING ........................................ 163
APPLE-ADE FLAVOR .................................... 163
apraclonidine .................................................................... 88
APRI ......................................................................................... 71
APRISO ............................................................................. 102
APRODINE ...................................................................... 33
APTENSIO XR ......................................................... 143
APTIOM .............................................................................. 67
APTIVUS ............................................................................ 47
AQUA GLYCOLIC CLEANSER .......... 151
AQUA LUBE .............................................................. 163
AQUA LUBE ADVANCED FORMULA
GEL ........................................................................................ 163
AQUABASE ................................................................ 163
AQUACEL FOAM ................................................ 123
AQUACEL FOAM SACRAL .................... 123
AQUAFLO ..................................................................... 123
AQUANAZ ....................................................................... 76
AQUASOL A .............................................................. 173
AR CAPS ......................................................................... 163
ARALAST NP ............................................................ 163
ARANELLE (28) ........................................................ 71
ARANESP (IN POLYSORBATE) ........... 70
ARAVA ................................................................................ 15
ARBINOXA ..................................................................... 35
ARCALYST ................................................................. 163
ARCAPTA NEOHALER ................................... 17
ARCH BANDAGE ................................................ 123
argatroban ........................................................................... 28
argatroban in 0.9 % sod chlor ......................... 28
argatroban in nacl (iso-os) .................................. 28
ARGLAES ...................................................................... 151
ARGLAES 3.25"X 14" FILM .................... 123
ARICEPT ............................................................................ 50
ARICEPT ODT ............................................................. 50
ARIMIDEX ....................................................................... 40
aripiprazole ..................................................................... 143
ARISTADA ................................................................... 143
ARISTOSPAN INTRA-ARTICULAR
...................................................................................................... 117
ARISTOSPAN INTRALESIONAL ..... 117
ARIXTRA .......................................................................... 28
ARMOUR THYROID ........................................ 162
arnica .................................................................................... 113
ARNUITY ELLIPTA ............................................. 17
AROMASIN .................................................................... 40
ARRANON ....................................................................... 40
ARTHRICREAM .................................................... 151
ARTHRICREAM RUB ..................................... 151
ARTHRITIS .................................................................. 151
ARTHRITIS HEATWRAPS ....................... 123
ARTHRITIS PAIN RELIEF (ACETAM)
............................................................................................................ 4
179
Index
Index
Index
ARTHRITIS PAIN RELIEF(CAPSAIC)
...................................................................................................... 151
ARTHRITIS PAIN RELIEVER ..................... 4
ARTHROTEC 50 ........................................................ 15
ARTHROTEC 75 ........................................................ 15
ARTIFICIAL TEARS ............................................ 88
ARTIFICIAL TEARS (PETRO/MIN)
......................................................................................................... 88
ARTIFICIAL TEARS (POLYVIN ALC)
......................................................................................................... 88
ARTISS .............................................................................. 151
ARTISS-DUPLOJECT SYSTEM .......... 151
ARZERRA ......................................................................... 40
ASACOL .......................................................................... 102
ASACOL HD ............................................................... 102
asafetida ............................................................................. 113
ASCLERA .......................................................................... 62
ASCOMP WITH CODEINE .............................. 4
ascorbic acid .................................................................. 173
ASCRIPTIN ......................................................................... 4
ASHLYNA ........................................................................ 71
ASMANEX HFA ........................................................ 17
ASMANEX TWISTHALER ........................... 17
ASPIR-81 ............................................................................... 4
aspirin ......................................................................................... 4
ASPIRIN LOW DOSE ............................................. 4
ASPIRIN LOW-STRENGTH ........................... 4
aspirin-dipyridamole ................................................ 46
ASPIR-LOW ....................................................................... 4
ASSURE ID INSULIN SAFETY ........... 123
ASTAGRAF XL ....................................................... 121
ASTELIN ............................................................................ 88
ASTEPRO .......................................................................... 88
ASTHMANEFRIN REFILL ........................... 17
ASTRINGENT ........................................................... 151
ATACAND ....................................................................... 62
ATACAND HCT ........................................................ 62
ATELVIA ........................................................................ 163
atenolol .................................................................................. 62
atenolol-chlorthalidone .......................................... 62
ATGAM ................................................................................ 53
ATHLETE'S FOOT (CLOTRIMAZOLE)
......................................................................................................... 30
ATHLETE'S FOOT (TERBINAFINE)
......................................................................................................... 30
ATHLETE'S FOOT (TOLNAFTATE)
......................................................................................................... 30
ATHLETE'S FOOT AF ........................................ 30
ATHLETIC TAPE .................................................. 123
ATIVAN .............................................................. 143, 149
atorvastatin ......................................................................... 62
atovaquone ......................................................................... 39
atovaquone-proguanil ............................................. 39
atracurium ........................................................................... 50
ATRALIN ....................................................................... 151
ATRIPLA ............................................................................ 47
atropine ..................................................................... 88, 102
atropine in 0.9 % sod chloride .................... 102
ATROVENT .................................................................... 88
ATROVENT HFA ..................................................... 17
ATRYN ................................................................................. 57
AUBAGIO ......................................................................... 67
AUBRA ................................................................................. 71
AUGMENTIN ................................................................ 19
AUGMENTIN ES-600 .......................................... 19
AUGMENTIN XR ..................................................... 19
AURAX ................................................................................ 88
AURODEX ....................................................................... 88
AUROGUARD ............................................................. 88
AURYXIA ......................................................................... 94
AUVI-Q ................................................................................ 50
AVALIDE .......................................................................... 62
AVANDAMET ............................................................. 37
AVANDARYL .............................................................. 37
AVANDIA ......................................................................... 37
AVAPRO ............................................................................. 62
AVAR ..................................................................................... 19
AVAR LS ............................................................................ 19
AVAR-E ............................................................................... 19
AVAR-E GREEN ....................................................... 19
AVAR-E LS ..................................................................... 19
AVASTIN ........................................................................... 40
AVC VAGINAL .......................................................... 40
AVEED .............................................................................. 117
AVEENO BABY ..................................................... 151
AVELOX ............................................................................. 19
AVELOX ABC PACK .......................................... 19
AVELOX IN NACL (ISO-OSMOTIC)
......................................................................................................... 19
AVIANE .............................................................................. 71
AVINZA .................................................................................. 4
AVITA ................................................................................ 151
AVOGEL ......................................................................... 123
AVOGEL DRESSING ....................................... 123
AVONEX ............................................................................ 67
AVONEX (WITH ALBUMIN) .................... 67
AVYCAZ ............................................................................ 19
AXERT ..................................................................................... 4
AXIRON ........................................................................... 117
AYGESTIN ................................................................... 117
azacitidine ........................................................................... 40
AZACTAM ....................................................................... 19
AZACTAM IN DEXTROSE (ISO-OSM)
......................................................................................................... 19
AZASAN .......................................................................... 121
AZASITE ............................................................................ 20
azathioprine .................................................................... 121
azelastine .................................................................... 35, 88
AZELEX ........................................................................... 151
AZILECT ............................................................................ 45
azithromycin ..................................................................... 20
AZO .......................................................................................... 12
AZO BLADDER CONTROL ..................... 113
AZO CRANBERRY ............................................ 113
AZO CRANBERRY + PROBIOTIC
...................................................................................................... 113
AZO TEST STRIPS ................................................. 85
AZO-GESIC ..................................................................... 12
AZOPT .................................................................................. 88
aztreonam ............................................................................ 20
AZULFIDINE ............................................................. 102
AZULFIDINE EN-TABS ............................... 102
AZUPHEN MB ............................................................. 20
AZURETTE (28) ......................................................... 71
B COMPLEX 100 ................................................... 173
B&L SENSITIVE EYES ................................. 123
BABY TEETHING GEL .................................... 12
BABY VITAMIN D3 .......................................... 173
BABY WASH ............................................................. 151
BACIIM ................................................................................ 20
bacitracin .............................................................................. 20
bacitracin zinc ................................................................. 20
bacitracin-polymyxin b .......................................... 20
BACKACHE RELIEF EXTRA
STRENGTH ........................................................................ 4
baclofen .............................................................................. 138
BACMIN .......................................................................... 173
BACTERIOSTATIC
WATER(PARABENS) ...................................... 163
BACTRIM .......................................................................... 20
BACTRIM DS ............................................................... 20
BACTROBAN ............................................................... 20
BACTROBAN NASAL ....................................... 20
BAL IN OIL .................................................................. 164
BALANCED SALT ................................................. 88
BAL-CARE DHA ................................................... 139
BAL-CARE DHA ESSENTIAL .............. 139
balsalazide ....................................................................... 102
BALZIVA (28) .............................................................. 71
BANANA CONCENTRATE ...................... 164
BANANA CREAM FLAVOR .................. 164
banana flavor (bulk) .............................................. 164
BANDAGE .................................................................... 123
BANDAGES ................................................................ 123
BANDAGES FLEXIBLE FABRIC ..... 123
BANDAGES SHEER .......................................... 123
BANDAGES/FLEXIBLE/ASSORTED
...................................................................................................... 123
BANDAGES/PLASTIC ................................... 123
BAND-AID ACTIVE FLEX ....................... 123
BAND-AID BUTTERFLY CLOSURE
...................................................................................................... 123
BAND-AID CLEAR SPOTS ...................... 123
BAND-AID CLOTH TAPE ......................... 123
BAND-AID FLEXIBLE ................................... 123
BAND-AID FLEXIBLE FABRIC ......... 123
BAND-AID GAUZE PADS ......................... 123
BAND-AID HANDYMAN .......................... 123
BAND-AID HURT-FREE ............................. 123
BAND-AID MIRASORB GAUZE ....... 123
BAND-AID NON-STICK PADS ........... 123
BAND-AID PAPER TAPE ........................... 123
BAND-AID PLASTIC ....................................... 123
BAND-AID PLUS ANTIBIOTIC .......... 123
BAND-AID ROLLED GAUZE ............... 123
BAND-AID SECURE-FLEX ...................... 123
BAND-AID SHEER STRIPS ..................... 123
BAND-AID SURGIPAD ................................. 124
BAND-AID TOUGH PADS ........................ 124
BAND-AID TOUGH STRIPS ................... 124
BAND-AID WATERPROOF ..................... 124
BAND-AID WATERPROOF PAD ...... 124
BANOPHEN .................................................................... 35
BANOPHEN ALLERGY ................................... 35
BANOPHEN ANTI-ITCH ............................. 151
BANZEL .............................................................................. 67
BARACLUDE ............................................................... 47
BARD ADHESIVE REMOVER WIPES
...................................................................................................... 124
BARD TWO-SIDED ADHESIVE STRIP
...................................................................................................... 124
BASE, PCCA SYRUP VEHICLE ......... 164
BAYCADRON .......................................................... 117
BAZA ANTIFUNGAL ......................................... 30
BAZA CLEANSE & PROTECT ............. 151
BAZA CLEAR ........................................................... 151
BAZA PROTECT ................................................... 151
bcg vaccine, live (pf) ............................................... 53
180
Index
Index
Index
BD ALCOHOL SWABS ................................. 151
BD AUTOSHIELD DUO PEN NEEDLE
...................................................................................................... 124
BD AUTOSHIELD PEN NEEDLE ...... 124
BD ECLIPSE LUER-LOK ............................ 124
BD INSULIN PEN NEEDLE UF MINI
...................................................................................................... 124
BD INSULIN PEN NEEDLE UF ORIG
...................................................................................................... 124
BD INSULIN PEN NEEDLE UF SHORT
...................................................................................................... 124
BD INSULIN SYRINGE ................................ 124
BD INSULIN SYRINGE HALF UNIT
...................................................................................................... 124
BD INSULIN SYRINGE MICRO-FINE
...................................................................................................... 124
BD INSULIN SYRINGE SAFETY-LOK
...................................................................................................... 124
BD INSULIN SYRINGE SLIP TIP ..... 124
BD INSULIN SYRINGE ULT-FINE II
...................................................................................................... 124
BD INSULIN SYRINGE ULTRA-FINE
...................................................................................................... 124
BD INTEGRA INSULIN SYRINGE
...................................................................................................... 124
BD LO-DOSE MICRO-FINE IV ............ 124
BD LO-DOSE ULTRA-FINE .................... 124
BD SAFETYGLIDE INSULIN
SYRINGE ........................................................................ 124
BD SAFETYGLIDE SYRINGE .............. 124
BD ULTRA-FINE NANO PEN
NEEDLES ....................................................................... 124
BEAUTY BAR .......................................................... 151
BEBULIN ........................................................................... 57
BEBULIN VH ................................................................ 58
BECONASE AQ ......................................................... 88
BEDSIDE-CARE .................................................... 151
BEDSIDE-CARE PERINEAL ................... 151
BEEF FLAVOR ........................................................ 164
BELEODAQ .................................................................... 40
belladonna alkaloids-opium ................................. 4
BELLADONNA-OPIUM ...................................... 4
BELSOMRA ................................................................ 149
benazepril ............................................................................ 62
benazepril-hydrochlorothiazide .................... 62
BENEFIBER SUGAR FREE
(DEXTRIN) ................................................................... 102
BENEFIX ............................................................................ 58
BENICAR ........................................................................... 62
BENLYSTA .................................................................. 164
BENSAL HP ...................................................... 30, 151
bentonite ............................................................................ 164
BENTYL .......................................................................... 102
BENZACLIN ............................................................... 151
BENZACLIN PUMP ........................................... 151
benzaldehyde ................................................................ 164
BENZAMYCIN ............................................................ 20
BENZEDREX ................................................................ 88
BENZEPRO .................................................................. 151
BENZEPRO (MICROSPHERES) .......... 151
BENZOIN COMPOUND ................................ 151
benzonatate ........................................................................ 76
benzoyl peroxide ......................................... 151, 152
benztropine ........................................................................ 45
BEPREVE .......................................................................... 35
bergamot oil, imitation ....................................... 164
BERINERT .................................................................... 164
BESIVANCE ................................................................... 20
BETADINE ................................................................... 152
BETADINE OPHTHALMIC PREP ........ 88
BETADINE SKIN CLEANSER .............. 152
BETADINE SPRAY ............................................ 152
BETADINE SURGICAL SCRUB ......... 152
BETADINE SWABSTICKS ....................... 152
BETAGAN ........................................................................ 89
betamethasone acet,sod phos ....................... 117
betamethasone dipropionate .......................... 152
betamethasone valerate ...................................... 152
betamethasone, augmented ............................ 152
BETAPACE ..................................................................... 62
BETAPACE AF ........................................................... 62
BETASEPT SURGICAL SCRUB ......... 152
BETASERON ................................................................. 67
betaxolol ..................................................................... 62, 89
bethanechol chloride ................................................ 50
BETHKIS ............................................................................ 20
BETIMOL .......................................................................... 89
BETOPTIC S ................................................................... 89
bexarotene ........................................................................... 40
BEXSERO (PF) ............................................................ 53
BHT ....................................................................................... 164
BIATAIN HEEL ADH FOAM
DRESSING .................................................................... 124
BIATAIN NON-ADHESIVEFOAM
ROUND ............................................................................. 124
BIAXIN ................................................................................. 20
bicalutamide ...................................................................... 40
BICILLIN C-R ............................................................... 20
BICILLIN L-A ............................................................... 20
BICLORA ........................................................................... 76
BICNU ................................................................................... 40
BIDIL ...................................................................................... 62
BIFERA RX ..................................................................... 94
bilberry ................................................................................ 113
bilberry fruit extract ............................................... 113
BILTRICIDE ................................................................... 39
bimatoprost ........................................................................ 89
BINOSTO ........................................................................ 164
BIO TRUE ...................................................................... 124
BIOBRANE ................................................................... 124
BIOBRANE DRESSING ................................ 124
BIOBRANE-L ............................................................ 124
BIOBRANE-L DRESSING .......................... 124
BION TEARS (PF) ................................................... 89
BIOTENE ........................................................................... 94
BIOTHRAX ...................................................................... 53
BISAC-EVAC ............................................................. 102
bisacodyl ........................................................................... 102
BISCOLAX ................................................................... 102
BISMATROL .............................................................. 103
BISMUTH ....................................................................... 103
BISMUTH MAXIMUM STRENGTH
...................................................................................................... 103
bisoprolol fumarate .................................................... 62
bisoprolol-hydrochlorothiazide ..................... 62
bitter mask flavoring (bulk) ........................... 164
BITTERNESS MASK FLAVOR ............ 164
bivalirudin ........................................................................... 28
BIVIGAM ........................................................................... 53
black cohosh .................................................................. 113
black cohosh root extract ................................. 113
BLENDERM SURGICAL ............................. 124
BLENDERM WATERPROOF SURG
TAPE .................................................................................... 124
bleomycin ............................................................................ 40
BLEPH-10 .......................................................................... 20
BLEPHAMIDE ............................................................. 20
BLEPHAMIDE S.O.P. .......................................... 20
BLINCYTO ...................................................................... 40
BLISTER RELIEF BANDAGES ........... 124
BLISTERFILM DRESSING ....................... 124
BLUE GEL ..................................................................... 152
BLUEBERRY FLAVOR ................................. 164
blue-green algae (spirulina) ........................... 113
B-NEXA ........................................................................... 139
BODI BATH ................................................................. 152
BODI CARE ................................................................. 152
BODI LINE ALMOND SKIN CARE
...................................................................................................... 152
BODI LOTION .......................................................... 164
BONIVA ........................................................................... 164
BOOSTRIX TDAP .................................................... 53
BORDERED GAUZE ........................................ 124
BOSTON CLEANER .......................................... 124
BOSTON CONDITIONING ....................... 124
BOSTON ONE STEP (PF) ............................ 124
BOSTON REWETTING ................................. 124
BOSTON SIMPLUS ............................................ 124
BOSULIF ............................................................................ 40
BOTOX ................................................................................. 50
BP ............................................................................................ 152
BP 10-1 .................................................................................. 20
BP-50% UREA .......................................................... 152
BPO ........................................................................................ 152
BPO CREAMY WASH PACK ................. 152
BREATHERITE MDI SPACER .............. 125
BREATHERITE RIGID SPACER&
MASK ................................................................................. 125
BREATHERITE SPACER&
MASK,ADULT ......................................................... 125
BREATHERITE SPACER&
MASK,CHILD ........................................................... 125
BREATHERITE
SPACER&MASK,INFANT ......................... 125
BREATHERITE
SPACER&MASK,S.CHLD .......................... 125
BREATHERITE VALVED MDI
CHAMBER .................................................................... 125
BREATHERITE VALVED MDI
SPACER ........................................................................... 125
BREATHERITE WITH MASK, LARGE
...................................................................................................... 125
BREATHERITE WITH MASK,
MEDIUM ......................................................................... 125
BREATHERITE WITH MASK, SMALL
...................................................................................................... 125
BREO ELLIPTA ......................................................... 17
BREVIBLOC .................................................................. 62
BREVIBLOC IN NACL (ISO-OSM) .... 62
BREVICON (28) ......................................................... 71
BREVITAL ....................................................................... 12
BRIELLYN ....................................................................... 71
BRIJ 30 ............................................................................... 164
BRIJ 35 ............................................................................... 164
BRIJ 58 ............................................................................... 164
BRIJ 78 ............................................................................... 164
BRIJ 99 ............................................................................... 164
BRILINTA ......................................................................... 46
181
Index
Index
Index
brimonidine ....................................................................... 89
BRINTELLIX ............................................................. 143
BRISDELLE ................................................................. 143
BROHIST D ..................................................................... 33
BROMFED DM ........................................................... 76
bromfenac ........................................................................... 89
bromocriptine .................................................................. 45
brompheniramine-pseudoeph-dm ............... 76
BROTAPP .......................................................................... 33
BROTAPP DM .............................................................. 76
BROVANA ....................................................................... 17
BROVEX PEB ............................................................... 33
BROVEX PEB DM .................................................. 76
BROVEX PSB ..................................................... 33, 76
BSS ............................................................................................ 89
BSS PLUS .......................................................................... 89
BUBBLE GUM CONCENTRATE ....... 164
BUBBLE GUM FLAVORING ................. 164
bubblegum flavor (bulk) ................................... 164
budesonide ............................................................ 17, 117
BUFFERED LIDOCAINE ................................ 12
BUFFERIN ........................................................................... 4
BUFFERIN EXTRA STRENGTH ............... 4
BULKEE II .................................................................... 125
bumetanide ......................................................................... 87
BUMINATE 25 % ..................................................... 58
BUMINATE 5 % ......................................................... 58
BUNAVAIL .................................................................. 164
BUPAP ...................................................................................... 4
BUPHENYL ................................................................. 103
bupivacaine ........................................................................ 12
bupivacaine (pf) ............................................................ 12
bupivacaine in nacl(pf) .......................................... 12
bupivacaine-dextrose-water(pf) .................... 12
bupivacaine-epinephrine ...................................... 12
bupivacaine-epinephrine (pf) .......................... 12
bupivacaine-epinephrine bitart ...................... 12
buprenorphine hcl ............................................. 4, 164
buprenorphine-naloxone ................................... 164
BUPROBAN ................................................................ 162
bupropion hcl ............................................................... 143
BURN RELIEF ............................................................. 12
buspirone .......................................................................... 143
BUSULFEX ..................................................................... 40
BUTALBITAL COMPOUND .......................... 4
BUTALBITAL COMPOUND
W/CODEINE ...................................................................... 4
butalbital-acetaminop-caf-cod ........................... 4
butalbital-acetaminophen ........................................ 4
butalbital-acetaminophen-caff ........................... 4
butalbital-aspirin-caffeine ...................................... 4
BUTISOL ........................................................................ 149
butorphanol tartrate ....................................................... 4
BUTRANS ............................................................................ 4
BUTTER RUM FLAVORING .................. 164
BUTTERFLY CLOSURES .......................... 125
BUTTERSCOTCH FLAVORING ........ 164
butylated hydroxytoluene ................................ 164
BYDUREON ................................................................... 37
BYSTOLIC ....................................................................... 62
cabergoline ...................................................................... 117
CADUET ............................................................................. 62
CAFCIT ................................................................................ 67
CAFERGOT ........................................................................ 4
caffeine citrated ............................................................. 67
caffeine-sodium benzoate ................................... 67
calamine ............................................................................. 152
CALAMINE MEDICATED ......................... 152
calamine phenolated .............................................. 152
calamine-zinc oxide ............................................... 152
calamine-zinc oxide-phenol .......................... 152
CALAN ................................................................................. 59
CALAN SR ....................................................................... 59
CALCARB 600 WITH VITAMIN D ..... 94
CALCIJEX ..................................................................... 173
calcipotriene .................................................................. 152
calcipotriene-betamethasone ........................ 164
calcitonin (salmon) ................................................. 117
CALCITRENE ........................................................... 152
calcitriol ................................................................ 152, 173
CALCIUM 600 WITH VITAMIN D3
......................................................................................................... 94
calcium acetate ............................................................... 94
calcium acetate-aluminum sulf .................. 152
CALCIUM ANTACID ...................................... 103
CALCIUM ANTACID ULTRA MAX ST
...................................................................................................... 103
calcium carbonate .......................................... 94, 103
calcium carbonate-vitamin d3 ........................ 94
calcium chloride ........................................................... 94
CALCIUM DISODIUM VERSENATE
...................................................................................................... 164
calcium gluconate ....................................................... 94
calcium gluconate in 0.9% nacl .................... 94
CALCIUM MAGNESIUM .............................. 94
CALCIUM PNV ....................................................... 139
calcium-cranberry fruit ....................................... 113
CALCIUM-FOLIC ACID-VITAMIN D
......................................................................................................... 94
CALDOLOR .................................................................... 15
CALDYPHEN ............................................................ 152
CALDYPHEN CLEAR ..................................... 152
CAL-GEST ANTACID ..................................... 103
CALLERGY CLEAR .......................................... 152
CALLUS CUSHION ........................................... 125
CALLUS PADS ........................................................ 125
CALPHRON .................................................................... 94
CAMBIA ................................................................................. 4
CAMILA .............................................................................. 71
CAMO BANDAGES ........................................... 125
CAMPATH ....................................................................... 40
camphor ............................................................................. 152
camphor (bulk) ........................................................... 152
CAMPHOR BLOCKS ........................................ 152
CAMPRAL .................................................................... 164
CAMPRAL DOSE PAK .................................. 164
CAMPTOSAR ............................................................... 40
CAMRESE ........................................................................ 71
CAMRESE LO .............................................................. 71
CANASA ......................................................................... 103
CANCIDAS ...................................................................... 30
candesartan ........................................................................ 62
candesartan-hydrochlorothiazid .................... 62
CANTIL ............................................................................ 103
CAPACET ............................................................................. 4
CAPASTAT ..................................................................... 20
CAPCOF .............................................................................. 76
capecitabine ....................................................................... 40
CAPEX ............................................................................... 152
CAPITAL WITH CODEINE ............................. 4
CAPMIST DM ............................................................... 76
CAPRELSA ...................................................................... 41
CAPRON DM ................................................................ 76
capsaicin ............................................................................ 152
CAPSUBLEND-H .................................................. 164
CAPSUBLEND-P ................................................... 164
CAPSUBLEND-S ................................................... 164
CAPSULE #0 ............................................................... 164
CAPSULE #0 (CELLULOSE) .................. 164
CAPSULE #0 (HYPROMELLOSE) ... 164
CAPSULE #0 DRCAPS ................................... 165
CAPSULE #00 ........................................................... 165
CAPSULE #00 (CELLULOSE) ............... 165
...................................................................................................... 165
CAPSULE #1 ............................................................... 165
CAPSULE #1 DRCAPS ................................... 165
CAPSULE #10 ........................................................... 165
CAPSULE #11 ........................................................... 165
CAPSULE #12 ........................................................... 165
CAPSULE #13 ........................................................... 165
CAPSULE #2 ............................................................... 165
CAPSULE #3 ............................................................... 165
CAPSULE #4 ............................................................... 165
CAPSULE #5 ............................................................... 165
CAPSULE #7 ............................................................... 165
...................................................................................................... 165
CAPSULE CONI-SNAP
#0(HYPROMEL) ..................................................... 165
CAPSULE CONI-SNAP #00 (GELATIN
...................................................................................................... 165
CAPSULE CONI-SNAP #000 ................... 165
...................................................................................................... 165
CAPSULE CONI-SNAP
#1(HYPROMEL) ..................................................... 165
...................................................................................................... 165
...................................................................................................... 165
CAPSULE CONI-SNAP
#3(HYPROMEL) ..................................................... 165
...................................................................................................... 165
CAPSULE,WHITE OPAQUE GELATN
#1 .............................................................................................. 165
captopril ................................................................................ 62
captopril-hydrochlorothiazide ........................ 62
CARAC ................................................................................. 41
CARAFATE ................................................................. 103
CARB CUTTER ....................................................... 113
CARBAGLU ................................................................ 165
carbamazepine ................................................................ 67
CARBATROL ................................................................ 67
carbidopa .............................................................................. 45
carbidopa-levodopa ................................................... 45
carbidopa-levodopa-entacapone ................... 45
carbinoxamine maleate .......................................... 35
CARBOCAINE ............................................................. 12
CARBOCAINE (PF) ............................................... 12
CARBOFLEX ODOR CONTROL
DRESSIN ......................................................................... 125
182
Index
Index
Index
CARBOMER 934P RESIN ........................... 165
carbomer 940 (bulk) .............................................. 165
carbomer homopolymer c (bulk) .............. 165
carboplatin .......................................................................... 41
CARDENE IV ................................................................ 59
CARDENE IV IN DEXTROSE ................... 59
CARDENE IV IN SODIUM CHLORIDE
......................................................................................................... 59
CARDIO TEA ............................................................ 113
CARDIOLITE ................................................................ 85
cardioplegic soln .......................................................... 59
CARDIZEM ..................................................................... 59
CARDIZEM CD .......................................................... 59
CARDIZEM LA ........................................................... 59
CARDURA ....................................................................... 62
CARDURA XL ............................................................. 62
CAREFINE PEN NEEDLE .......................... 125
CAREFREE PANTILINERS ...................... 125
CAREFREE PANTY SHIELD ................. 125
CAREONE ULTIGUARD ............................. 125
CARIMUNE NF NANOFILTERED ...... 53
carisoprodol ................................................................... 138
carisoprodol-asa-codeine ........................................ 4
carisoprodol-aspirin ............................................... 138
CARLESTA .................................................................. 152
carmine ............................................................................... 165
CARMOL 10 ................................................................ 152
CARMOL 20 ................................................................ 152
CARNITOR ................................................................... 165
CARNITOR SUGAR-FREE ........................ 165
CARRASYN HYDROGEL WOUND
DRESS ................................................................................ 125
CARRINGTON MOIST
BARRIER-ZINC ...................................................... 152
CARRINGTON MOISTURE BARRIER
CR ............................................................................................ 153
carteolol ................................................................................. 89
CARTIA XT ..................................................................... 59
CARTICEL .................................................................... 165
carvedilol ............................................................................. 62
CASODEX ........................................................................ 41
CASTELLANI PAINT MODIFIED .... 153
CASTILE ......................................................................... 153
castor oil ............................................................... 103, 165
CATAFLAM ....................................................................... 4
CATAPRES ...................................................................... 62
CATAPRES-TTS-1 .................................................. 62
CATAPRES-TTS-2 .................................................. 62
CATAPRES-TTS-3 .................................................. 62
CATHFLO ACTIVASE ....................................... 58
catnip .................................................................................... 113
cat's claw (uncaria tomentosa) .................... 113
CAVAN-ALPHA KIT ........................................ 139
CAVAN-EC SOD DHA ................................... 139
CAVILON SKIN CLEANSER ................. 153
CAYA CONTOURED .......................................... 71
CAYSTON ........................................................................ 20
CAZIANT (28) .............................................................. 71
CEDAX ................................................................................. 20
CEENU .................................................................................. 41
cefaclor .................................................................................. 20
cefadroxil ............................................................................. 20
cefazolin ................................................................................ 20
cefazolin in 0.9% sod chloride ....................... 20
cefazolin in dextrose (iso-os) .......................... 20
cefazolin in dextrose 5 % .................................... 20
cefdinir ................................................................................... 20
cefepime ................................................................................ 20
cefepime in dextrose 5 % .................................... 20
cefepime in dextrose,iso-osm .......................... 21
cefixime ................................................................................. 21
cefotaxime .......................................................................... 21
cefotetan ................................................................................ 21
cefotetan in dextrose, iso-osm ........................ 21
cefoxitin ................................................................................ 21
cefoxitin in dextrose, iso-osm ......................... 21
cefpodoxime ..................................................................... 21
cefprozil ................................................................................ 21
ceftazidime ......................................................................... 21
ceftazidime in d5w ..................................................... 21
ceftibuten ............................................................................. 21
CEFTIN ................................................................................. 21
ceftriaxone .......................................................................... 21
ceftriaxone in dextrose,iso-os ......................... 21
cefuroxime axetil ......................................................... 21
cefuroxime sodium .................................................... 21
CELEBREX ..................................................................... 15
celecoxib .............................................................................. 15
CELESTONE SOLUSPAN .......................... 117
CELEXA .......................................................................... 143
CELLCEPT .................................................................... 121
CELLCEPT INTRAVENOUS ................... 121
cellulose (bulk) ........................................................... 165
CELONTIN ....................................................................... 67
CEM-UREA .................................................................. 153
CENESTIN .................................................................... 117
CENTANY ........................................................................ 21
CENTANY AT .............................................................. 21
CENTRATEX ................................................................ 94
CENTRUM FLAVOR BURST ADULT
...................................................................................................... 173
CENTUSSIN DHC .................................................... 76
CEPACOL SENSATIONS COOLING
......................................................................................................... 12
CEPACOL SENSATIONS HYDRA ...... 12
CEPACOL SORE THROAT
(BENZ-MEN) ................................................................. 12
CEPACOL SORETHROAT-COUGH
......................................................................................................... 76
CEPACOL ULTRA .................................................. 12
cephalexin ........................................................................... 21
CEPROTIN (BLUE BAR) ................................ 58
CEPROTIN (GREEN BAR) ............................ 58
CERAVE BABY MOISTURIZING .... 153
CERAVE SUNSCREEN ................................. 153
CERDELGA ................................................................. 165
CEREBYX ......................................................................... 67
CEREZYME ................................................................. 165
CERVARIX VACCINE (PF) ......................... 53
CERVIDIL ...................................................................... 117
CESAMET ..................................................................... 103
CETA-KLENZ GENTLE ................................ 153
CETAPHIL .................................................................... 153
CETAPHIL ANTIBACTERIAL ............. 153
CETAPHIL DAILY FACIAL .................... 153
CETAPHIL DERMACONTROL ........... 153
CETAPHIL RESTORADERM ................. 153
cetirizine ............................................................................... 35
cetirizine-pseudoephedrine ................................ 33
cevimeline ........................................................................... 50
CHANTIX ....................................................................... 162
CHANTIX CONTINUING MONTH
BOX ....................................................................................... 162
CHANTIX STARTING MONTH BOX
...................................................................................................... 162
CHATEAL ......................................................................... 71
cheesecake flavor (bulk) ................................... 165
CHEMET ......................................................................... 166
CHEMSTRIP (CALIBRATION) ............ 125
CHEMSTRIP 2 .............................................................. 85
CHEMSTRIP K ............................................................ 85
CHEMSTRIP MICRAL ....................................... 85
CHEMSTRIP UGK .................................................. 85
CHENODAL ................................................................ 103
CHERATUSSIN AC ............................................... 76
CHERATUSSIN DAC .......................................... 76
CHEST CONGESTION RELIEF .............. 76
CHEST CONGESTION RELIEF + DM
......................................................................................................... 76
CHEST CONGESTION RELIEF PE ..... 76
CHEST CONGESTION-COUGH
RELIEF ................................................................................. 76
CHEST RUB ................................................................ 153
CHEST-SINUS CONGESTION RELIEF
......................................................................................................... 76
CHILD ALLERGY RELF(CETIRIZINE)
......................................................................................................... 35
CHILD COLD-COUGH DAY-NIGHT
......................................................................................................... 76
CHILD DELSYM COUGH+CHEST DM
......................................................................................................... 76
CHILD DELSYM COUGH+COLD ....... 76
CHILD DELSYM NIGHTTIME C-C ... 33
CHILD IBUPROFEN ............................................. 15
CHILD MUCINEX CHEST
CONGESTION ............................................................. 76
CHILD MUCINEX
CONGESTION-COUGH ................................... 76
CHILD MUCINEX M-S COLD
DAY-NTE .......................................................................... 76
CHILD MUCINEX STUFFY
NOSE-COLD .................................................................. 76
CHILD MUCUS RELIEF COUGH ......... 76
CHILD MUCUS RELIEF
EXPECTORANT ........................................................ 76
CHILD PLUS COUGH & RUNNY
NOSE ....................................................................................... 76
CHILD TRIAMINIC COLD &
ALLERGY ......................................................................... 33
CHILD TRIAMINIC
COUGH-CONGEST ............................................... 76
CHILD TRIAMINIC COUGH-SORE
THR ........................................................................................... 76
CHILD TRIAMINIC MS FEVER-COLD
......................................................................................................... 76
CHILDREN'S ACETAMINOPHEN .......... 4
CHILDREN'S ALAWAY .................................. 35
CHILDREN'S ALLERGY
(DIPHENHYD) ............................................................. 35
CHILDREN'S ALLERGY COMPLETE
......................................................................................................... 35
CHILDREN'S ALLERGY MEDICINE
......................................................................................................... 35
CHILDREN'S ASPIRIN ......................................... 4
CHILDREN'S CETIRIZINE ........................... 35
CHILDREN'S COLD & COUGH ............. 76
183
76
CHILDREN'S COLD-ALLERGY (PE)
33
CHILDREN'S IBUPROFEN ........................... 15
CHILDREN'S MAPAP ............................................ 5
CHILDREN'S MAPAP COUGH-SINUS
......................................................................................................... 76
CHILDREN'S M-S COLD DAY-NIGHT
......................................................................................................... 76
CHILDREN'S MUCINEX
COLD-FEVER .............................................................. 76
CHILDREN'S MUCINEX COUGH ....... 76
CHILDREN'S MUCINEX
MULTI-SYMP .............................................................. 76
CHILDREN'S MUCINEX NIGHT TIME
......................................................................................................... 76
CHILDREN'S PAIN & FEVER RELIEF
............................................................................................................ 5
CHILDREN'S PAIN RELIEF ........................... 5
CHILDREN'S PAIN RELIEVER .................. 5
CHILDREN'S PEPTO ........................................ 103
CHILDRENS PLUS MULTI-SYMP
COLD ...................................................................................... 76
CHILDREN'S Q-PAP ................................................ 5
CHILDREN'S SILAPAP ........................................ 5
CHILDREN'S SILFEDRINE .......................... 76
CHILDREN'S TRIAMINIC FEVER ......... 5
CHILDREN'S TRIAMINIC-D MS COLD
......................................................................................................... 76
CHILD'S ALL DAY ALLERGY(CETIR)
......................................................................................................... 35
CHILDS TRIACTING COLD & COUGH
......................................................................................................... 33
CHLO HIST ..................................................................... 77
CHLO TUSS .................................................................... 77
CHLO TUSS EX ......................................................... 77
chloramphenicol sod succinate ...................... 21
chlordiazepoxide hcl ............................................. 144
chlordiazepoxide-clidinium ........................... 103
chlorhexidine gluconate .................................... 166
CHLOROPHYLL .................................................... 153
CHLOROPHYLL (WITH ALFALFA)
...................................................................................................... 113
chloroprocaine (pf) .................................................... 12
chloroquine phosphate ........................................... 39
chlorothiazide .................................................................. 87
chlorothiazide sodium ............................................. 87
chlorpheniramine maleate ................................... 35
chlorpromazine ........................................................... 144
chlorpropamide .............................................................. 37
chlorthalidone ................................................................. 87
chlorzoxazone .............................................................. 138
chocolate flavor (bulk) ........................................ 166
CHOLBAM ................................................................... 103
cholecalciferol (vitamin d3) .......................... 173
cholesterol ....................................................................... 166
cholestyramine (with sugar) ............................. 63
CHOLESTYRAMINE LIGHT ..................... 63
choline,magnesium salicylate ............................ 5
chromium chloride ..................................................... 94
CICLODAN ...................................................................... 30
CICLODAN KIT ......................................................... 30
ciclopirox ............................................................................. 30
ciclopirox-ure-camph-menth-euc ................ 30
ciclopirox-vite-nail lacq remo ........................ 30
.........................................................................................................
184
Index
.........................................................................................................
Index
Index
CHILDREN'S COLD & COUGH DM
cidofovir ................................................................................ 47
cilostazol .............................................................................. 46
CILOXAN .......................................................................... 21
cimetidine ........................................................................ 103
cimetidine hcl ............................................................... 103
CIMZIA ............................................................................. 103
CIMZIA POWDER FOR RECONST
...................................................................................................... 103
CIMZIA STARTER KIT ................................. 103
CINNAMON ................................................................ 114
cinnamon bark ............................................................. 114
CINNAMON FLAVORING ........................ 166
CINNAMON OIL ................................................... 114
CINRYZE ........................................................................ 166
CIPRO .................................................................................... 21
CIPRO HC ......................................................................... 21
CIPRO IN D5W ............................................................ 21
CIPRO XR ......................................................................... 21
CIPRODEX ....................................................................... 21
ciprofloxacin .................................................................... 21
ciprofloxacin (mixture) .......................................... 21
ciprofloxacin hcl ........................................................... 21
ciprofloxacin in 5 % dextrose ......................... 21
ciprofloxacin lactate ................................................. 21
cisatracurium .................................................................... 50
cisplatin ................................................................................. 41
citalopram ........................................................................ 144
CITRANATAL (DUAL-IRON) ............... 139
CITRANATAL 90 DHA (ALGAL OIL)
...................................................................................................... 139
CITRANATAL 90 DHA (NEW
FORMULA .................................................................... 139
CITRANATAL ASSURE ............................... 139
CITRANATAL B-CALM .............................. 139
CITRANATAL B-CALM (FE GLUC)
...................................................................................................... 139
CITRANATAL DHA (ALGAL OIL)
...................................................................................................... 139
CITRANATAL DHA (NEW
FORMULA) .................................................................. 139
CITRANATAL HARMONY ...................... 139
CITRANATAL HARMONY (IRON
FUM) .................................................................................... 139
CITRANATAL RX (NEW FORMULA)
...................................................................................................... 139
citric acid .......................................................................... 166
citronella oil ................................................................... 166
CITRUCEL .................................................................... 103
CITRUCEL SUGAR FREE .......................... 103
cladribine ............................................................................. 41
CLAFORAN .................................................................... 21
CLARAVIS ................................................................... 153
CLARINEX ...................................................................... 35
CLARINEX-D 12 HOUR .................................. 33
clarithromycin ................................................................. 21
CLEANSING EYELID ........................................ 89
CLEANSING WASH ............................................. 21
CLEAR BANDAGES ......................................... 125
CLEAR SPOT BANDAGES ....................... 125
CLEAR STRIPS ....................................................... 125
CLEAR TAPE ............................................................ 125
CLEAR WATERPROOF STRIPS ........ 125
CLEARLAX ................................................................. 103
clemastine ........................................................................... 35
CLENIA EMOLLIENT ........................................ 21
CLENIA FOAMING WASH ......................... 22
CLEOCIN ........................................................................... 22
CLEOCIN IN 5 % DEXTROSE .................. 22
CLEOCIN T ..................................................................... 22
CLERZ PLUS .............................................................. 125
CLEVIPREX ................................................................... 59
CLICKFINE .................................................................. 125
CLIMARA ...................................................................... 117
CLIMARA PRO ....................................................... 117
CLINDACIN ETZ ..................................................... 22
CLINDACIN P .............................................................. 22
CLINDACIN PAC ..................................................... 22
clindamycin hcl ............................................................. 22
clindamycin in 5 % dextrose ............................ 22
clindamycin palmitate hcl ................................... 22
CLINDAMYCIN PEDIATRIC .................... 22
clindamycin phosphate .......................................... 22
clindamycin-benzoyl peroxide ................... 153
CLINDESSE .................................................................... 22
CLINIMIX 5%/D15W SULFITE FREE
......................................................................................................... 94
CLINIMIX 5%/D25W SULFITE-FREE
......................................................................................................... 94
......................................................................................................... 94
CLINIMIX 4.25%/D10W SULF FREE
......................................................................................................... 94
......................................................................................................... 94
......................................................................................................... 94
......................................................................................................... 94
CLINIMIX 5%-D20W(SULFITE-FREE)
......................................................................................................... 94
......................................................................................................... 94
......................................................................................................... 94
......................................................................................................... 94
......................................................................................................... 94
......................................................................................................... 94
......................................................................................................... 94
......................................................................................................... 94
......................................................................................................... 95
CLINISOL SF 15 % ................................................. 95
CLINISTIX ....................................................................... 85
CLINITEST REAGENT ..................................... 85
clobetasol .......................................................................... 153
clobetasol-emollient .............................................. 153
CLOBEX .......................................................................... 153
clocortolone pivalate ............................................. 153
CLODAN ......................................................................... 153
CLODAN KIT ............................................................ 153
CLODERM .................................................................... 153
CLOFERA .......................................................................... 77
CLOLAR ............................................................................. 41
clomipramine ................................................................ 144
clonazepam ........................................................................ 67
clonidine ............................................................................... 63
clonidine (pf) ....................................................................... 5
Index
Index
Index
clonidine hcl ........................................................ 63, 144
clopidogrel .......................................................................... 46
clorazepate dipotassium .................................... 144
CLORPRES ...................................................................... 63
CLOTH FIRST AID TAPE ........................... 125
CLOTH TAPE ............................................................ 125
clotrimazole ....................................................................... 30
CLOTRIMAZOLE 3 DAY ............................... 30
CLOTRIMAZOLE-3 ............................................... 30
clotrimazole-betamethasone ............................. 30
CLOVE FLAVORING ...................................... 166
clozapine ........................................................................... 144
CLOZARIL .................................................................... 144
C-NATE DHA ............................................................ 139
CNL 8 NAIL .................................................................... 30
CO Q-10 ............................................................................ 166
COACH SPORTS ................................................... 125
COARTEM ....................................................................... 39
COBAN ............................................................................. 125
COBAN ACTION WRAP .............................. 125
COBAN SELF-ADHERENT WRAP
...................................................................................................... 125
COBAN STERILE SELF-ADHERENT
...................................................................................................... 125
cocaine .................................................................................... 12
cocoa butter .................................................................... 166
cocoa butter (bulk) .................................................. 166
coconut oil (bulk) ..................................................... 166
cod liver oil .................................................................... 173
COD LIVER OIL PLUS VIT A & D3
...................................................................................................... 173
codeine sulfate ................................................................... 5
codeine-guaifenesin .................................................. 77
CODITUSS DM ........................................................... 77
COLACE .......................................................................... 103
COLACE CLEAR .................................................. 103
COLAZAL ...................................................................... 103
colchicine ............................................................................. 15
colchicine-probenecid ............................................. 15
COLCRYS ......................................................................... 15
COLD & ALLERGY .............................................. 33
COLD & ALLERGY PE ..................................... 33
COLD & COUGH ...................................................... 77
COLD & COUGH DM ......................................... 77
COLD & COUGH ELIXIR .............................. 77
COLD & FLU SEVERE ...................................... 77
COLD & HOT PAIN RELIEF ................... 153
COLD HEAD CONGESTION
DAY/NITE ........................................................................ 77
DAYTIME ......................................................................... 77
NIGHTTIME ................................................................... 77
COLD HEAD CONGESTION SEVER
DAY .......................................................................................... 77
COLD MULTI-SYMPTOM ............................ 77
COLD MULTI-SYMPTOM
(CHLORPHEN) ............................................................ 77
COLD MULTI-SYMPTOM
DAY/NIGHT ................................................................... 77
COLD RELIEF .............................................................. 77
COLD RELIEF PLUS ............................................ 77
COLD SEVERE CONGESTION ............... 77
COLD SORE TREATMENT ......................... 39
COLD SORE TREATMNT
(CAMP-PHEN) .......................................................... 153
COLD-SINUS RELIEF ........................................ 77
COLESTID ........................................................................ 63
COLESTID FLAVORED ................................... 63
colestipol .............................................................................. 63
colistin (colistimethate na) ................................. 22
COLOCORT ................................................................. 117
COLY-MYCIN M PARENTERAL ......... 22
COLY-MYCIN S ........................................................ 22
COLYTE WITH FLAVOR PACKS .... 103
COMBIGAN .................................................................... 89
COMBINE ABD ...................................................... 125
COMBIPATCH ......................................................... 117
COMBIVENT RESPIMAT .............................. 17
COMBIVIR ....................................................................... 47
COMETRIQ ..................................................................... 41
COMFEEL PURILON ....................................... 125
COMFORT EZ PEN NEEDLES ............. 125
COMFORT EZ SYRINGE ............................ 125
COMPACT SPACE CHAMBER PLUS
...................................................................................................... 125
COMPLERA .................................................................... 47
COMPLETE ................................................................. 103
COMPLETE ALLERGY .................................... 35
COMPLETE ALLERGY MEDICINE
......................................................................................................... 35
COMPLETE LICE TREATMENT ....... 153
COMPLETE NATAL DHA ......................... 139
COMPLETENATE ................................................ 139
COMPRO ........................................................................ 103
COMTAN ........................................................................... 45
COMTREX COLD-COUGH .......................... 77
COMTREX DAY/NI SEV COLD-SINUS
......................................................................................................... 77
COMTREX DAY/NIGHT COLD &
COUGH ................................................................................ 77
COMTREX DEEP CHEST COLD .......... 77
COMTREX FLU THERAPY ......................... 77
COMTREX NIGHTTIME COLD &
COUGH ................................................................................ 77
COMVAX (PF) ............................................................. 53
CONCEPT DHA ...................................................... 139
CONCEPT OB ........................................................... 139
CONCERTA ................................................................. 144
CONDYLOX ............................................................... 153
CONEX ................................................................................. 33
CONFORM .................................................................... 125
CONFORMANT 2 ................................................. 125
CONGESTAC ................................................................ 77
CONGESTION RELIEF (IBUPROF-PE)
......................................................................................................... 77
CONSTULOSE ......................................................... 103
CONTACT LENS RELIEF ........................... 126
CONZIP ................................................................................... 5
COOLMAGIC ............................................................ 126
COOLMAGIC FENESTRATED ............ 126
COPAXONE .................................................................... 67
COPEGUS .......................................................................... 47
COPPER CHLORIDE ........................................... 95
CORDARONE .............................................................. 59
CORDRAN TAPE LARGE ROLL ....... 153
CORDRAN TAPE SMALL ROLL ...... 153
COREG ................................................................................. 63
COREG CR ....................................................................... 63
CORGARD ....................................................................... 63
CORIFACT ....................................................................... 58
CORLANOR ................................................................... 59
CORLOPAM ................................................................... 63
CORMAX ....................................................................... 153
CORN CUSHION ................................................... 126
CORTEF ........................................................................... 117
CORTENEMA ........................................................... 117
CORTIFOAM ............................................................. 117
cortisone ............................................................................ 117
CORTISPORIN ............................................................ 22
CORTISPORIN-TC ................................................. 22
CORTIZONE-10 ...................................................... 153
CORTOMYCIN ........................................................... 22
CORTROSYN ............................................................ 117
CORVERT ......................................................................... 59
CORVITA ....................................................................... 173
CORVITA 150 ............................................................... 95
CORVITE ........................................................................ 173
CORVITE 150 ............................................................... 95
CORVITE FE .................................................................. 95
CORVITE FREE ...................................................... 173
CORZIDE ........................................................................... 63
COSENTYX ................................................................. 153
COSENTYX (2 SYRINGES) ..................... 153
COSENTYX PEN ................................................... 153
COSENTYX PEN (2 PENS) ....................... 153
COSMEGEN ................................................................... 41
COSMETIC BALLS ............................................ 126
COSMETIC PUFFS .............................................. 126
COSMETIC SQUARES ................................... 126
COSOPT .............................................................................. 89
COSOPT (PF) ................................................................. 89
cosyntropin ..................................................................... 117
COTTON BALLS ................................................... 126
COTTON BALLS STERILE ...................... 126
COTTON SQUARES .......................................... 126
COTTON SWABS ................................................. 126
COTTON, STERILE ............................................ 126
cottonseed oil (bulk) ............................................. 166
COUGH & COLD ...................................................... 77
COUGH & COLD BP ............................................ 77
COUGH & SORE THROAT .......................... 77
COUGH CONTROL
(DEXTROMETHORPH) .................................... 77
COUGH CONTROL (GUAIFENESIN)
......................................................................................................... 77
COUGH CONTROL CF (PE) ....................... 77
COUGH CONTROL DM ................................... 77
COUGH CONTROL DM MAX ................. 77
COUGH DM ER .......................................................... 77
COUGH DROPS ......................................................... 77
COUGH RELIEF ........................................................ 77
COUGH SUPPRESSANT ................................. 77
COUGH
SUPPRESSANT-EXPECTORANT ........ 77
COUGH SYRUP ......................................................... 77
COUGH SYRUP DM ............................................. 78
COUGH-SORE THROAT NIGHT .......... 78
COUGHTAB ................................................................... 78
COUGHTAB 400 ....................................................... 78
COUMADIN ................................................................... 28
COVARYX .................................................................... 117
COVARYX H.S. ...................................................... 117
COVERA-HS .................................................................. 59
COVRSITE .................................................................... 126
COVRSITE PLUS .................................................. 126
COZAAR ............................................................................. 63
cpd vehicle sus.sugar-free #12 .................... 166
185
Index
Index
Index
cpm-pseudoephed-hydrocodone .................. 78
cranberry ........................................................................... 114
CRANBERRY ............................................................ 114
cranberry conc-ascorbic acid ........................ 114
CRANBERRY CONCENTRATE ......... 114
cranberry extract ....................................................... 114
cranberry fruit .............................................................. 114
CRANBERRY PLUS VITAMIN C ..... 114
CRAN-MAX 500 MG ........................................ 114
cream de menthe (bulk) ..................................... 166
CREME DE MENTHE FLAVORING
...................................................................................................... 166
CREON .............................................................................. 103
CRESEMBA .................................................................... 30
CRESTOR .......................................................................... 63
CRINONE ....................................................................... 117
CRITIC-AID CLEAR ......................................... 153
CRITIC-AID CLEAR AF .................................. 30
CRIXIVAN ....................................................................... 47
cromolyn .................................................................... 17, 89
CRUEX PRESCRIPTION STRENGTH
......................................................................................................... 30
CRYOSERV ................................................................. 166
CRYSELLE (28) ......................................................... 71
CUBICIN ............................................................................. 22
cupric sulfate .................................................................... 95
CUPRIMINE ................................................................... 15
CURAD GAUZE PAD ...................................... 126
CURAD NON-STICK PAD ......................... 126
CURAD SHEER SPOTS ................................. 126
CURAFIL GEL WOUND .............................. 126
CURASILK CLOTH ........................................... 126
CURASOL HYDROGEL DRESSING
...................................................................................................... 126
CURASOL WOUND DRESSING ........ 126
CURI-STRIP WOUND CLOSURES
...................................................................................................... 126
CURITY ABDOMINAL PAD .................. 126
CURITY ABSORBENT WADDING
...................................................................................................... 126
CURITY ALCOHOL SWABS .................. 153
CURITY AMD ........................................................... 126
CURITY AMD (WITH
POLYHEXAMETH) ............................................ 126
CURITY BANDAGE .......................................... 126
CURITY COTTON PREP BALLS ....... 126
CURITY COTTON TIP APPLICATOR
...................................................................................................... 126
CURITY COVER .................................................... 126
CURITY DETECTABLE LAP ................. 126
CURITY DISP LAP SPONGE POUCH
...................................................................................................... 126
CURITY DISP LAP SPONGE TRAY
...................................................................................................... 126
CURITY DRESSING .......................................... 126
CURITY GAUZE .................................................... 126
CURITY GAUZE BURN DRESSING
...................................................................................................... 126
CURITY IODOFORM PACKING STRIP
...................................................................................................... 126
CURITY LAKESIDE COTTON ROLL
...................................................................................................... 126
CURITY MATERNITY PADS ................ 126
CURITY MULTI-TRAUMA DRESSING
...................................................................................................... 126
CURITY NON-ADHERENT STRIP
DASETTA 7/7/7 (28) ............................................. 71
daunorubicin ..................................................................... 41
DAUNOXOME ............................................................ 41
DAY TIME PE .............................................................. 78
DAYHIST ALLERGY .......................................... 35
DAYPRO ............................................................................. 15
DAYSEE .............................................................................. 71
DAYTIME COLD & FLU RELIEF (PE)
......................................................................................................... 78
DAYTIME COLD-FLU ....................................... 78
DAY-TIME COUGH .............................................. 78
DAYTIME MUCUS RELIEF DM ........... 78
DAYTIME SINUS .................................................... 78
DAYTIME SINUS RELIEF ............................ 78
DAYTIME-NIGHTTIME .................................. 78
DAYTRANA ............................................................... 144
DDAVP .............................................................................. 117
DEBLITANE ................................................................... 71
DECARA ......................................................................... 173
DECAVAC (PF) .......................................................... 53
DE-CHLOR DM .......................................................... 78
decitabine ............................................................................. 41
DECONEX ........................................................................ 78
DECONEX DM ............................................................ 78
DECONEX DMX ....................................................... 78
DECONEX IR ................................................................ 78
deferoxamine ................................................................ 166
DEFINITY ......................................................................... 85
DEHYDRATED ALCOHOL ......................... 68
DELATESTRYL ...................................................... 117
DELBASE COMPOUNDING ................... 166
DEL-CLENS ................................................................ 153
DELESTROGEN ..................................................... 117
DELFLEX WITH 2.5 % DEXTROSE
......................................................................................................... 95
DELFLEX-LC/1.5% DEXTROSE ........... 95
DELFLEX-LC/2.5% DEXTROSE ........... 95
DELFLEX-LC/4.25% DEXTROSE ........ 95
DELFLEX-SM WITH 1.5% DEXTROSE
......................................................................................................... 95
DELSYM 12 HOUR ................................................ 78
DELSYM COUGH+CHEST CONGEST
DM ............................................................................................. 78
DELSYM COUGH+COLD DAYTIME
......................................................................................................... 78
DELSYM COUGH+COLD NIGHTTIME
......................................................................................................... 78
DELSYM COUGH+SOOTHING
ACTION ............................................................................... 78
DELSYM NIGHT TIME COUGH &
COLD ...................................................................................... 33
DELSYM NIGHTTIME
MULTI-SYMPTOM ................................................ 78
DELYLA (28) ................................................................. 71
DELZICOL .................................................................... 103
DEMADEX ....................................................................... 87
demeclocycline .............................................................. 22
DEMEROL ........................................................................... 5
DEMEROL (PF) .............................................................. 5
DEMSER ............................................................................. 63
DENAVIR .......................................................................... 47
DENTA 5000 PLUS ................................................ 95
DENTAGEL .................................................................... 95
DENTAL TRAVEL PACK ........................... 127
denture care products ........................................... 127
DEODORANT SOAP ........................................ 153
186
126
CURITY NON-ADHERING DRESSING
...................................................................................................... 126
CURITY PLAIN PACKING STRIP ... 126
CURITY READY-CUT GAUZE ........... 127
CURITY STANDARD POROUS .......... 127
CURITY SURGICAL DRESSING ....... 127
CURITY WET DRESSING ......................... 127
CUROSURF ................................................................. 166
CUTIVATE ................................................................... 153
CUVPOSA ..................................................................... 103
cyanocobalamin (vitamin b-12) ................. 173
CYCLAFEM 1/35 (28) ......................................... 71
CYCLAFEM 7/7/7 (28) ....................................... 71
CYCLESSA (28) ......................................................... 71
CYCLIVERT ............................................................... 103
cyclobenzaprine ......................................................... 138
CYCLOGYL .................................................................... 89
CYCLOMYDRIL ....................................................... 89
cyclopentolate ................................................................. 89
cyclophosphamide ...................................................... 41
cycloserine .......................................................................... 22
CYCLOSET ..................................................................... 37
cyclosporine ................................................................... 121
cyclosporine modified ......................................... 121
CYKLOKAPRON ...................................................... 58
CYMBALTA ............................................................... 144
cyproheptadine ............................................................... 35
CYRAMZA ....................................................................... 41
CYRED ................................................................................. 71
CYSTADANE ............................................................ 166
CYSTAGON ................................................................ 166
CYSTARAN .................................................................... 89
cysteine (l-cysteine) .................................................. 95
CYSVIEW .......................................................................... 85
cytarabine ............................................................................ 41
cytarabine (pf) ................................................................. 41
CYTOGAM ...................................................................... 53
CYTOMEL .................................................................... 162
CYTOTEC ...................................................................... 103
CYTOVENE .................................................................... 47
CYTRA K CRYSTALS ....................................... 95
D.H.E.45 .................................................................................. 5
d10 % & 0.45 % sodium chloride ............... 95
d2.5 %-0.45 % sodium chloride ................... 95
d5 % and 0.9 % sodium chloride ................. 95
d5 %-0.45 % sodium chloride ........................ 95
dacarbazine ........................................................................ 41
DACOGEN ....................................................................... 41
DAKLINZA ...................................................................... 47
DALLERGY (CHLORCYCLIZINE-PE)
......................................................................................................... 33
DALLERGY
(CHLORPHENIRAMINE-PE) ..................... 33
DALLERGY
(DEXBROMPHENIRAMN-PE) ................. 33
DALVANCE ................................................................... 22
danazol ................................................................................ 117
DANTRIUM ................................................................. 138
dantrolene ........................................................................ 138
dapsone .................................................................................. 22
DAPTACEL (DTAP PEDIATRIC) (PF)
......................................................................................................... 53
DARAPRIM ..................................................................... 39
DASETTA 1/35 (28) ............................................... 71
......................................................................................................
Index
Index
Index
DEPACON ........................................................................ 68
DEPAKENE ..................................................................... 68
DEPAKOTE ..................................................................... 68
DEPAKOTE ER ........................................................... 68
DEPAKOTE SPRINKLES ................................ 68
DEPEN TITRATABS ............................................ 15
DEPOCYT (PF) ............................................................ 41
DEPO-ESTRADIOL ............................................ 117
DEPO-MEDROL ..................................................... 117
DEPO-PROVERA ........................................ 71, 117
DEPO-SUBQ PROVERA 104 ...................... 71
DEPO-TESTOSTERONE .............................. 117
DERMA STAT .......................................................... 154
DERMABASE ........................................................... 166
DERMACEA ............................................................... 127
DERMACEA I.V. ................................................... 127
DERMACEA NON-WOVEN .................... 127
DERMACEA STRETCH ................................ 127
DERMACINRX SILAZONE ...................... 154
DERMAFIX .................................................................. 166
DERMAFUNGAL ..................................................... 30
DERMAGAUZE ...................................................... 127
DERMAGAUZE HYDROGEL
DRESSING .................................................................... 127
DERMA-GEL ............................................................. 127
DERMAGRAN HYDROGEL
DRESSING .................................................................... 127
DERMAGRAN HYDROPHILIC
DRESSING .................................................................... 127
DERMAL WOUND CLEANSER ......... 154
DERMANIC ................................................................. 166
DERMASARRA ...................................................... 154
DERMASEPTIN ...................................................... 154
DERMA-SMOOTHE/FS BODY OIL
...................................................................................................... 154
DERMA-SMOOTHE/FS SCALP OIL
...................................................................................................... 154
DERMASYN ............................................................... 127
DERMATOP ................................................................ 154
DERMAVIEW ........................................................... 127
DERMAVIEW II ..................................................... 127
DERMOTIC OIL ........................................................ 89
DESENEX .......................................................................... 31
DESFERAL ................................................................... 166
DESGEN DM (PSEUDOEPHEDRINE)
......................................................................................................... 78
desipramine .................................................................... 144
desloratadine .................................................................... 35
desmopressin ................................................................ 117
desog-e.estradiol/e.estradiol ............................. 71
DESOGEN ......................................................................... 71
desogestrel-ethinyl estradiol ............................. 71
DESONATE ................................................................. 154
desonide ............................................................................. 154
DESOWEN .................................................................... 154
desoximetasone .......................................................... 154
DESOXYN ........................................................................ 50
DESQUAM-X ............................................................. 154
desvenlafaxine ............................................................. 144
desvenlafaxine fumarate ................................... 144
DETOX DIETARY ............................................... 114
DETOXAREX ............................................................ 114
DETROL .......................................................................... 166
DETROL LA ................................................................ 166
DEWEE'S CARMINATIVE ........................ 103
DEX4 GLUCOSE ....................................................... 95
dexamethasone ............................................................ 117
DEXAMETHASONE INTENSOL ....... 118
dexamethasone sodium phos (pf) ............ 118
dexamethasone sodium phosphate
............................................................................................ 89, 118
dexchlorpheniramine maleate ......................... 35
DEXEDRINE .................................................................. 50
DEXEDRINE SPANSULE .............................. 50
DEXFERRUM ............................................................... 95
DEXILANT ................................................................... 103
dexmedetomidine ..................................................... 149
dexmethylphenidate ............................................... 144
DEXPAK 10 DAY ................................................. 118
DEXPAK 13 DAY ................................................. 118
DEXPAK 6 DAY .................................................... 118
dexpanthenol .................................................................... 50
dexrazoxane hcl ......................................................... 166
dextroamphetamine ................................................... 50
dextroamphetamine-amphetamine ... 50, 51
dextromethorphan polistirex ............................ 78
dextromethorphan-guaifenesin ...................... 78
dextrose ................................................................................. 95
dextrose 10 % and 0.2 % nacl ......................... 95
dextrose 10 % in water (d10w) ...................... 95
dextrose 5 % in water (d5w) ............................ 95
dextrose 5 %-lactated ringers .......................... 95
dextrose 5%-0.2 % sod chloride ................... 95
dextrose 5%-0.3 % sod.chloride ................... 95
DHS ....................................................................................... 154
DHS TAR ........................................................................ 154
DHS TAR GEL .......................................................... 154
DHS ZINC ...................................................................... 154
DIABETA ........................................................................... 37
DIABETIC SILTUSSIN DAS-NA ........... 78
DIABETIC SILTUSSIN-DM ......................... 78
DIABETIC SILTUSSIN-DM MAX STR
......................................................................................................... 78
DIABETISWEET ....................................................... 95
DIAFOODS THICK-IT .................................... 166
DIAFOODS THICK-IT #2 ............................ 166
DIALYVITE ................................................................. 173
DIALYVITE 3000 .................................................. 173
DIALYVITE 5000 .................................................. 173
DIALYVITE SUPREME D .......................... 173
DIAMOX SEQUELS .............................................. 87
DIANEAL PD-2 WITH 2.5 % DEX ....... 95
DIANEAL PD-2 WITH 4.25 % DEX .... 95
DIANEAL PD-2/1.5% DEXTROSE ...... 95
DIANEAL WITH 1.5% DEXTROSE ... 95
DIANEAL WITH 4.25 % DEXTROSE
......................................................................................................... 95
DIAPER RASH ......................................................... 154
DIAPER RASH RELIEF ................................. 154
DIASCREEN 10 .......................................................... 85
DIASCREEN 1G REAGENT ........................ 85
DIASCREEN 1K REAGENT ........................ 85
DIASCREEN 2GK REAGENT ................... 85
DIASCREEN 3 REAGENT ............................. 85
DIASCREEN 4OBL REAGENT ............... 85
DIASTAT ........................................................................... 68
DIASTAT ACUDIAL ............................................ 68
DIASTIX ............................................................................. 86
diazepam ................................................................. 68, 144
DIAZEPAM INTENSOL ................................ 144
dibucaine .............................................................................. 12
DICEL CD ......................................................................... 78
DICLEGIS ...................................................................... 103
diclofenac potassium ................................................... 5
diclofenac sodium ...................... 15, 41, 89, 154
diclofenac-misoprostol .......................................... 15
dicloxacillin ....................................................................... 22
dicyclomine .................................................................... 103
didanosine ........................................................................... 47
DIFFERIN ....................................................................... 154
DIFICID ................................................................................ 22
diflorasone ....................................................................... 154
DIFLUCAN ...................................................................... 31
diflunisal .................................................................................. 5
DIGITEK ............................................................................. 59
DIGOX .................................................................................. 60
digoxin .................................................................................... 60
dihydrocode-acetaminophen-caff ................... 5
dihydrocodeine-aspirin-caff ................................. 5
dihydroergotamine ......................................................... 5
DILACOR XR ............................................................... 60
DILANTIN ........................................................................ 68
DILANTIN EXTENDED ................................... 68
DILANTIN INFATABS ...................................... 68
DILANTIN-125 ............................................................ 68
DILATRATE-SR ........................................................ 60
DILAUDID ........................................................................... 5
DILAUDID (PF) ............................................................. 5
DILAUDID-HP (PF) .................................................. 5
DILT-CD ............................................................................. 60
DILTIA XT ....................................................................... 60
diltiazem hcl ..................................................................... 60
diltiazem in dextrose 5 % .................................... 60
DILT-XR ............................................................................. 60
DILTZAC ER ................................................................. 60
DILUENT FOR
EPOPROSTENOL/FLOLA .......................... 166
...................................................................................................... 166
...................................................................................................... 166
DILUENT-MERCK LIVE VIRUS VACC
...................................................................................................... 166
DIMAPHEN (PE) ....................................................... 33
DIMAPHEN DM ........................................................ 78
dimenhydrinate ........................................................... 104
DIMETANE-DX ......................................................... 78
DIMETAPP DM COLD-COUGH (PE)
......................................................................................................... 78
DIOCTO ........................................................................... 104
DIOVAN .............................................................................. 63
DIOVAN HCT ............................................................... 63
DIPENTUM .................................................................. 104
DIPHEDRYL .................................................................. 35
DIPHENHIST ................................................................. 35
diphenhydramine hcl ............................................... 35
diphenhydramine-acetaminophen .................. 3
187
Index
Index
Index
diphenoxylate-atropine ....................................... 104
DIPRIVAN ........................................................................ 12
DIPROLENE ................................................................ 154
DIPROLENE AF ..................................................... 154
dipyridamole .......................................................... 46, 86
DISALCID ......................................................................... 15
DISINFECTING SOLUTION .................... 127
DISKETS ................................................................................ 5
disopyramide phosphate ....................................... 60
DISPOSABLE ENEMA ................................... 104
disulfiram ......................................................................... 166
DITROPAN XL ........................................................ 166
DIURETIC ...................................................................... 114
DIURIL ................................................................................. 87
divalproex ........................................................................... 68
DIVIGEL .......................................................................... 118
DIVISTA .......................................................................... 166
DOAN'S EXTRA STRENGTH ....................... 5
DOAN'S PM BACK PAIN RELIEF .......... 5
dobutamine ........................................................................ 60
dobutamine in d5w .................................................... 60
DOCEFREZ ..................................................................... 41
docetaxel .............................................................................. 41
DOC-Q-LACE ............................................................ 104
DOC-Q-LAX ................................................................ 104
DOCU .................................................................................. 104
docusate calcium ....................................................... 104
docusate sodium ........................................................ 104
DOCUSIL ........................................................................ 104
DOCUSOL ..................................................................... 104
DOCUSOL KIDS .................................................... 104
DOCUSOL PLUS ................................................... 104
DOK ...................................................................................... 104
DOK PLUS .................................................................... 104
DOLOGESIC ...................................................................... 3
DOLOPHINE ..................................................................... 5
DOME-PASTE BANDAGES .................... 127
DONATUSS DC ......................................................... 78
DONATUSSIN ............................................................. 78
DONATUSSIN DM ................................................. 78
DONATUSSIN PEDI
(REFORMULATED) ............................................. 78
DONATUSSIN PEDIATRIC ......................... 78
donepezil .............................................................................. 51
DONNATAL ................................................................ 104
dopamine .............................................................................. 51
dopamine in 5 % dextrose .................................. 51
DOPRAM ........................................................................... 68
DORIBAX .......................................................................... 22
DORYX ................................................................................ 22
dorzolamide ....................................................................... 89
dorzolamide-timolol ................................................. 89
DOTHELLE DHA .................................................. 139
DOUBLE ANTIBIOTIC ..................................... 22
DOUBLE ANTIBIOTIC (B.TRACN ZN)
......................................................................................................... 22
DOVONEX .................................................................... 154
doxazosin ............................................................................. 63
doxepin ............................................................................... 144
doxercalciferol ............................................................ 166
DOXIL ................................................................................... 41
doxorubicin ........................................................................ 41
doxorubicin, peg-liposomal .............................. 41
DOXY-100 ........................................................................ 22
doxycycline hyclate ..................................... 22, 166
doxycycline monohydrate ......................... 22, 23
DR. SMITH'S ADULT BARRIER ........ 154
DR. SMITH'S DIAPER ..................................... 154
DR. SMITH'S DIAPER RASH ................. 154
DR. SMITH'S RASH-SKIN ......................... 154
DRESSING SPONGES ..................................... 127
DRIMINATE ............................................................... 104
DRISDOL ........................................................................ 173
droperidol ......................................................................... 144
DROXIA .............................................................................. 58
DRY EYES ........................................................................ 89
DRYMAX .......................................................................... 78
DRYMAX AF ................................................................ 78
DRYNET WOUND VEIL .............................. 127
DUAC .................................................................................. 154
DUAVEE ......................................................................... 118
DUCODYL .................................................................... 104
DUET DHA EC-OM 3 ....................................... 139
DUET DHA WITH OMEGA-3 ................ 139
DUETACT ......................................................................... 37
DUEXIS ................................................................................ 15
DULCOLAX (BISACODYL) .................... 104
DULERA ............................................................................. 17
duloxetine ........................................................................ 144
DUODERM HYDROACTIVE ................. 127
DUONEB ............................................................................ 17
DUOPA ................................................................................. 45
DURACLON (PF) ......................................................... 5
DURAFLU ........................................................................ 78
DURAGESIC ..................................................................... 5
DURAMORPH (PF) ................................................... 5
DURAPORE CLOTH SURGICAL TAPE
...................................................................................................... 127
DURAPORE SURGICAL .............................. 127
DURAVENT DM ....................................................... 78
DURAVENT PE .......................................................... 78
DUREZOL ......................................................................... 89
DUTOPROL .................................................................... 63
DYAZIDE .......................................................................... 87
DYLOJECT ...................................................................... 15
DYMISTA .......................................................................... 89
DYNACIN ......................................................................... 23
DYNA-HEX ................................................................. 154
DYNA-HEX (ISOPROPYL ALCOHOL)
...................................................................................................... 154
DYSPORT .......................................................................... 51
E.C. PRIN ............................................................................... 5
E.E.S. 400 ........................................................................... 23
E.E.S. GRANULES .................................................. 23
EAR DROPS (CARBAMIDE
PEROXIDE) ..................................................................... 89
EAR POPPER INFLATION DEVICE
...................................................................................................... 127
EAR WAX REMOVAL DROPS ............... 89
EAR WAX REMOVAL KIT .......................... 89
EAR WAX REMOVAL SYSTEM .......... 89
EAR WAX TREATMENT ............................... 89
EASIVENT HOLDING CHAMBER
...................................................................................................... 127
EASIVENT MASK LARGE ....................... 127
EASIVENT MASK MEDIUM .................. 127
EASIVENT MASK SMALL ....................... 127
EASY COMFORT INSULIN SYRINGE
...................................................................................................... 127
EASY COMFORT PEN NEEDLES .... 127
EASY TOUCH ........................................................... 127
EASY TOUCH ALCOHOL PREP PADS
...................................................................................................... 154
EASY TOUCH INSULIN SAFETY SYR
...................................................................................................... 127
EASY TOUCH INSULIN SYRINGE
...................................................................................................... 127
echinacea .......................................................................... 114
ECHINACEA & GOLDENSEAL .......... 114
ECHINACEA 1X .................................................... 114
echinacea angust-purpr root xt ................... 114
ECHINACEA HERB ........................................... 114
ECHINACEA PLUS ............................................ 114
echinacea purpurea extract ............................. 114
echinacea purpurea root ..................................... 114
ECHINACEA ROOT .......................................... 114
echinacea-golden seal .......................................... 114
echinacea-golden seal roots ........................... 114
EC-NAPROSYN ......................................................... 15
econazole ............................................................................. 31
ECONTRA EZ ............................................................... 71
ED A-HIST ........................................................................ 33
ED A-HIST DM ........................................................... 79
ED A-HIST PSE .......................................................... 33
ED BRON GP ................................................................. 79
ED CHLORPED D .................................................... 33
ED CHLORPED JR ................................................. 35
ED-APAP ............................................................................... 5
EDARBYCLOR ........................................................... 63
ED-CHLORPED .......................................................... 35
ED-CHLORTAN ......................................................... 35
EDECRIN ........................................................................... 87
EDLUAR .......................................................................... 149
ED-SPAZ ......................................................................... 104
EDURANT ........................................................................ 47
EEMT .................................................................................. 118
EEMT HS ........................................................................ 118
EFFER-K ................................................................... 95, 96
EFFERVESCENT PAIN RELIEF ................ 5
EFFEXOR XR ............................................................ 144
EFFIENT ............................................................................. 46
EFUDEX .............................................................................. 41
EGRIFTA ........................................................................ 118
ELAPRASE ................................................................... 166
elastic bandage ............................................................ 127
ELASTIC STRETCH NET ........................... 127
ELASTO-GEL ............................................................ 127
ELASTO-GEL CAST-SPLINT
PADDING ....................................................................... 127
ELASTO-GEL CIRCLE DRESSING
...................................................................................................... 127
ELASTO-GEL FACE DRESSING ....... 127
ELASTO-GEL PLUS .......................................... 127
ELDEPRYL ...................................................................... 45
electrolyte-48 in d5w ............................................... 96
ELELYSO ....................................................................... 166
ELESTAT ........................................................................... 36
ELESTRIN ..................................................................... 118
ELIDEL ............................................................................. 121
ELIGARD ........................................................................... 41
ELIMITE .......................................................................... 154
ELINEST ............................................................................. 71
ELIPHOS ............................................................................. 96
ELIQUIS .............................................................................. 28
ELITEK ................................................................................. 15
ELITE-OB ....................................................................... 139
ELIXOPHYLLIN ....................................................... 18
188
Index
Index
Index
ELLA ....................................................................................... 71
ELLENCE .......................................................................... 41
ELLURA .......................................................................... 114
ELMIRON ............................................................................. 5
ELOCON .......................................................................... 154
ELOCTATE ...................................................................... 58
ELOXATIN ...................................................................... 41
ELTA LITE TAR .................................................... 154
ELTA SEAL MOISTURE BARRIER
...................................................................................................... 154
ELTA TAR ..................................................................... 154
EMADINE ......................................................................... 36
EMBEDA ............................................................................... 5
EMCYT ................................................................................. 41
EMEND ............................................................................. 104
EMLA ..................................................................................... 12
EMOQUETTE ............................................................... 71
EMSAM ............................................................................ 144
EMTRIVA .......................................................................... 47
ENABLEX ...................................................................... 167
enalapril maleate .......................................................... 63
enalaprilat ............................................................................ 63
enalapril-hydrochlorothiazide ......................... 63
ENBRACE HR ........................................................... 139
ENBREL .............................................................................. 15
ENBREL SURECLICK ....................................... 15
ENDACOF - DM ........................................................ 79
ENDACOF-C .................................................................. 79
ENDOCET ............................................................................ 5
ENDODAN .......................................................................... 5
ENEMA ............................................................................. 104
ENEMA DISPOSABLE ................................... 104
ENGERIX-B (PF) ....................................................... 53
ENGERIX-B PEDIATRIC (PF) .................. 53
ENGLISH TOFFEE FLAVOR .................. 167
ENJUVIA ........................................................................ 118
ENLON ................................................................................. 51
ENLYTE (FERROUS GLYCINE) ........ 173
enoxaparin ................................................................ 28, 29
ENPRESSE ....................................................................... 72
ENSKYCE ......................................................................... 72
entacapone .......................................................................... 45
entecavir ................................................................................ 47
ENTEREG ...................................................................... 104
ENTOCORT EC ....................................................... 118
ENTRE-COUGH ......................................................... 79
ENTRE-S ............................................................................. 79
ENTRESTO ...................................................................... 63
ENTSOL NASAL SPRAY ............................... 89
ENTYVIO ....................................................................... 104
ENULOSE ...................................................................... 104
EOVIST ................................................................................ 86
EPANED .............................................................................. 63
ephedrine sulfate .......................................................... 79
ephedrine sulfate in 0.9% nacl ....................... 79
EPI-CLENZ ................................................................... 154
EPIDUO ............................................................................ 154
EPIDUO FORTE ..................................................... 154
EPIFOAM ....................................................................... 154
epinastine ............................................................................. 36
epinephrine ........................................................................ 51
epinephrine hcl (pf) ................................................... 51
EPIPEN ................................................................................. 51
EPIPEN 2-PAK ............................................................. 51
EPIPEN JR ......................................................................... 51
EPIPEN JR 2-PAK .................................................... 51
epirubicin ............................................................................. 41
EPISNAP ............................................................................. 51
EPITOL ................................................................................. 68
EPIVIR .................................................................................. 47
EPIVIR HBV ................................................................... 47
eplerenone ........................................................................... 87
EPOGEN .............................................................................. 70
epoprostenol (glycine) ............................................ 63
eprosartan ............................................................................ 63
EPZICOM ........................................................................... 47
EQUETRO ...................................................................... 144
ERAXIS(WATER DILUENT) ..................... 31
ERBITUX ........................................................................... 41
ergocalciferol (vitamin d2) ............................. 173
ergoloid .................................................................................. 63
ergotamine-caffeine ...................................................... 6
ERIVEDGE ....................................................................... 41
ERRIN .................................................................................... 72
ERTACZO ......................................................................... 31
ERWINAZE ..................................................................... 41
ERY PADS ........................................................................ 23
ERYGEL .............................................................................. 23
ERYPED 200 .................................................................. 23
ERYPED 400 .................................................................. 23
ERY-TAB ........................................................................... 23
ERYTHROCIN ............................................................. 23
ERYTHROCIN (AS STEARATE) ........... 23
erythromycin .................................................................... 23
erythromycin ethylsuccinate ............................ 23
erythromycin with ethanol ................................. 23
erythromycin-benzoyl peroxide .................... 23
ESBRIET .......................................................................... 167
ESCAVITE .................................................................... 173
ESCAVITE D .............................................................. 173
ESCAVITE LQ .......................................................... 173
escitalopram oxalate .............................................. 144
ESGIC ........................................................................................ 6
esmolol ................................................................................... 63
esomeprazole sodium ........................................... 104
esomeprazole strontium ..................................... 104
ESOTERICA FADE ............................................. 155
ESTARYLLA ................................................................. 72
estazolam .......................................................................... 149
ESTRACE ....................................................................... 118
estradiol .............................................................................. 118
estradiol valerate ....................................................... 118
estradiol-norethindrone acet .......................... 118
ESTRING ........................................................................ 118
estrogens-methyltestosterone ....................... 118
estropipate ....................................................................... 118
ESTROSTEP FE-28 ................................................. 72
eszopiclone ..................................................................... 149
ethacrynate sodium .................................................... 87
ethambutol .......................................................................... 23
ethanol (ethyl alcohol) ............................................ 68
ethosuximide .................................................................... 68
ethyl acetate ................................................................... 167
ethyl alcohol .................................................................. 155
ethyl vanillin ................................................................. 167
etidronate disodium ............................................... 167
etodolac ................................................................................. 15
etomidate .............................................................................. 13
ETOPOPHOS ................................................................. 41
etoposide .............................................................................. 42
eucalyptol ......................................................................... 167
EUCALYPTUS FLAVOR ............................. 167
eucalyptus oil ............................................................... 167
EURAX .............................................................................. 155
EVAMIST ....................................................................... 118
EVEKEO ............................................................................. 51
EVENING PRIMROSE .................................... 114
evening primrose oil ............................................. 114
EVERYDAY LONG PANTILINERS
...................................................................................................... 127
EVISTA ............................................................................. 167
EVOCLIN ........................................................................... 23
EVOTAZ ............................................................................. 47
EVOXAC ............................................................................ 51
EVZIO .................................................................................... 29
EXALGO ER ...................................................................... 6
EXCEDRIN BACK & BODY .......................... 6
EXCEDRIN EXTRA STRENGTH ............. 6
EXCEDRIN MENSTRUAL COMPLETE
............................................................................................................ 6
EXCEDRIN PM .............................................................. 3
EXCEDRIN SINUS HEADACHE ........... 79
EXCEDRIN TENSION HEADACHE ..... 6
EXCILON ....................................................................... 128
EXCILON AMD (WITH
POLYHEXAMET) ................................................ 128
EXCILON DRAIN ................................................. 128
EXCILON I.V. ........................................................... 128
EXECLEAR-C .............................................................. 79
EXEFEN DMX ............................................................. 79
EXEL INSULIN ....................................................... 128
EXELDERM .................................................................... 31
EXELON ............................................................................. 51
exemestane ......................................................................... 42
EXFORGE ......................................................................... 63
EXFORGE HCT .......................................................... 63
EXJADE ........................................................................... 167
EX-LAX (SENNOSIDES) ............................. 104
EX-LAX MAXIMUM STRENGTH ... 104
EX-LAX MILK OF MAGNESIA .......... 104
EX-LAX ULTRA .................................................... 104
EXPANDOVER BANDAGE ..................... 128
EXTAVIA .......................................................................... 68
EXTENDED PAIN RELIEF .............................. 6
EXTINA ............................................................................... 31
EXTRANEAL 7.5 % ............................................... 96
EXTRA-VIRT PLUS DHA ........................... 139
EXU-DRY ADULT DRESSING ............ 128
EXU-DRY ARM DRESSING .................... 128
EXU-DRY BOOT-FOOT DRESSING
...................................................................................................... 128
EXU-DRY BURN JACKET-LARGE
...................................................................................................... 128
EXU-DRY BURN JACKET-MEDIUM
...................................................................................................... 128
EXU-DRY BURN JACKET-SMALL
...................................................................................................... 128
EXU-DRY BURN VEST-LARGE ........ 128
EXU-DRY BURN VEST-SMALL ....... 128
EXU-DRY ELBOW-KNEE-HEEL ...... 128
EXU-DRY FACE DRESSING .................. 128
EXU-DRY HAND DRESSING, LARGE
...................................................................................................... 128
EXU-DRY HAND DRESSING,
MEDIUM ......................................................................... 128
EXU-DRY HAND DRESSING, SMALL
...................................................................................................... 128
EXU-DRY INCISION DRESSING ..... 128
189
Index
Index
Index
EXU-DRY LARGE BOOT DRESSING
...................................................................................................... 128
EXU-DRY LEG DRESSING ...................... 128
EXU-DRY NECK DRESSING ................. 128
EXU-DRY SCALP DRESSING .............. 128
EXU-DRY WOUND DRESSING ......... 128
EYE DROPS (TETRAHYDROZOLINE)
......................................................................................................... 89
EYE DROPS ADVANCED RELIEF ..... 89
EYE DROPS ALLERGY RELIEF ........... 89
EYE IRRIGATING SOLUTION ............... 89
EYE ITCH RELIEF .................................................. 36
EYE STREAM .............................................................. 89
EYE WASH ...................................................................... 89
EYELID WIPES .......................................................... 89
EYLEA .................................................................................. 89
EZ CHAR ........................................................................ 167
EZ FLU 2015-16(FLUCELVAX)(PF)
......................................................................................................... 53
E-Z SPACER ............................................................... 128
EZO CUSHIONS LOWER HEAVY
...................................................................................................... 128
EZO CUSHIONS LOWER REGULAR
...................................................................................................... 128
EZO CUSHIONS UPPER HEAVY ..... 128
EZO CUSHIONS UPPER REGULAR
...................................................................................................... 128
FABB ................................................................................... 173
FABIOR ............................................................................ 155
FABRAZYME ........................................................... 167
FABRIC BANDAGES ....................................... 128
FABRIC KNUCKLE-FINGER
BANDAGE .................................................................... 128
FABRIC STRIP EXTRA LARGE ......... 128
FALESSA ........................................................................ 173
FALLBACK SOLO .................................................. 72
FALMINA (28) ............................................................. 72
famciclovir ......................................................................... 47
famotidine ........................................................................ 104
famotidine (pf) ............................................................ 105
famotidine (pf)-nacl (iso-os) ....................... 105
FAMVIR .............................................................................. 47
FANAPT ........................................................................... 144
fa-niacinamide-cupric ox-zinc .................... 173
FARESTON ..................................................................... 42
FARXIGA .......................................................................... 37
FARYDAK ........................................................................ 42
FASLODEX ..................................................................... 42
FATTIBASE ................................................................. 167
FATTYBLEND ......................................................... 167
FAZACLO ...................................................................... 144
FE C .......................................................................................... 96
FE C PLUS ........................................................................ 96
FEIBA NF .......................................................................... 58
FELBATOL ...................................................................... 68
FELDENE .......................................................................... 15
felodipine ............................................................................. 60
FEM PH ................................................................................ 39
FEMARA ............................................................................ 42
FEMATROL LAXATIVE ............................. 105
FEMCON FE ................................................................... 72
FEMHRT LOW DOSE ...................................... 118
FEMRING ....................................................................... 118
fenofibrate ........................................................................... 63
fenofibrate micronized ........................................... 63
fenofibrate nanocrystallized ............................. 63
fenofibric acid ................................................................. 63
fenofibric acid (choline) ....................................... 63
FENOGLIDE ................................................................... 63
fenoprofen ........................................................................... 15
fentanyl ..................................................................................... 6
fentanyl citrate ................................................................... 6
fentanyl citrate (pf) ....................................................... 6
FENTORA ............................................................................. 6
FERAHEME .................................................................... 96
FERIVA ................................................................................ 96
FERIVA 21-7 TABLET ....................................... 96
FERIVA FA (SUMALATE) ........................... 96
FERIVA FA (WITH QUATREFOLIC)
......................................................................................................... 96
FERRALET 90 DUAL-IRON
DELIVERY ....................................................................... 96
FERRAPLUS 90 .......................................................... 96
FERRETTS ....................................................................... 96
FERRIPROX ................................................................ 167
FERRLECIT .................................................................... 96
ferrous gluconate ......................................................... 96
ferrous sulfate .................................................................. 96
FETZIMA ........................................................................ 145
FEVER REDUCER ..................................................... 6
FEVERALL ......................................................................... 6
feverfew ............................................................................. 114
FEXMID ........................................................................... 138
fexofenadine ..................................................................... 36
fexofenadine-pseudoephedrine ...................... 33
FIBER .................................................................................. 105
FIBER (CALCIUM POLYCARBOPHIL)
...................................................................................................... 105
FIBER (PSYLLIUM HUSK) ...................... 105
FIBER (PSYLLIUM HUSK/SUGAR)
...................................................................................................... 105
FIBER (WITH ASPARTAME) ................ 105
FIBER LAXATIVE (CA POLYCARBO)
...................................................................................................... 105
FIBER LAXATIVE
(METHYLCELLULO) ...................................... 105
FIBER LAXATIVE (PSYLLIUM HUSK)
...................................................................................................... 105
FIBER SMOOTH .................................................... 105
FIBER SMOOTH (SUCROSE) ................ 105
FIBER THERAPY ................................................. 105
FIBER THERAPY (PSYLLIUM SEED)
...................................................................................................... 105
FIBER-LAX .................................................................. 105
FIBERTAB .................................................................... 105
FIBRICOR ......................................................................... 63
FINACEA ........................................................................ 155
FINACEA PLUS ...................................................... 155
finasteride ........................................................................ 167
FINGER SLEEVES .............................................. 128
FIORICET ............................................................................. 6
FIORICET WITH CODEINE ........................... 6
FIORINAL ............................................................................ 6
FIORINAL-CODEINE #3 .................................... 6
FIRAZYR ........................................................................ 167
FIRMAGON KIT W DILUENT
SYRINGE ........................................................................... 42
FIRST AID CLOTH TAPE ........................... 128
FIRST AID HURT-FREE WRAP .......... 128
FIRST AID PAPER TAPE ............................ 128
FIRST AID PLASTIC TAPE ...................... 128
FIRST AID SKINTONE PAPER ............ 128
FIRST AID WATERPROOF TAPE .... 128
FISH OIL ......................................................................... 105
FLAGYL .............................................................................. 23
FLAREX .............................................................................. 89
FLAVOR BLEND 2 IN 1 ............................... 167
FLAVOR PACKETS ........................................... 167
FLAVOR PLUS ........................................................ 167
FLAVOR SWEET .................................................. 167
FLAVOR SWEET-SF ........................................ 167
FLAVORX ..................................................................... 167
FLAVOUR PAC ...................................................... 167
flavoxate ............................................................................ 167
flaxseed .............................................................................. 114
flaxseed oil ...................................................................... 114
FLEBOGAMMA DIF ............................................ 53
flecainide .............................................................................. 60
FLECTOR ....................................................................... 155
FLEET BISACODYL ......................................... 105
FLEET ENEMA ....................................................... 105
FLEET GLYCERIN (ADULT) ................. 105
FLEET GLYCERIN (CHILD) ................... 105
FLEET GLYCERIN LAXATIVE .......... 105
FLEET LAXATIVE ............................................. 105
FLEET MINERAL OIL .................................... 105
FLEET PEDIATRIC ............................................ 105
FLEX BANDAGE .................................................. 128
FLEX FABRIC BANDAGE ........................ 128
FLEX FINGER BANDAGE ........................ 128
FLEXBUMIN 25 % .................................................. 58
FLEXBUMIN 5 % ..................................................... 58
FLEXIBLE ..................................................................... 128
FLEXIBLE DRESSING ................................... 129
FLEXIBLE FABRIC BANDAGES ..... 129
FLEXIBLE FOAM ................................................ 129
FLEXICHAMBER ................................................. 129
FLEXIGEL ..................................................................... 129
FLEX-WRAP .............................................................. 129
FLEXZAN WOUND DRESSING ......... 129
FLOLAN .............................................................................. 63
FLOMAX ........................................................................ 167
FLONASE .......................................................................... 89
FLONASE ALLERGY RELIEF ................. 90
FLO-PRED ..................................................................... 118
FLORA-Q ........................................................................ 105
FLORA-Q(2) ................................................................ 105
FLORIVA ........................................................................ 173
FLOVENT DISKUS ................................................ 18
FLOVENT HFA ........................................................... 18
FLOWTUSS ..................................................................... 79
floxuridine .......................................................................... 42
FLU & SEVERE COLD-DAYTIME ..... 79
FLU & SORE THROAT ..................................... 79
FLU BP .................................................................................. 79
FLUARIX 2010-2011 (PF) ............................... 53
FLUARIX 2011-2012 (PF) ............................... 53
FLUARIX 2012-2013 (PF) ............................... 53
FLUARIX 2013-2014 (PF) ............................... 53
FLUARIX 2014-2015 (PF) ............................... 53
FLUARIX QUAD 2013-2014 (PF) .......... 53
FLUARIX QUAD 2014-2015 (PF) .......... 53
FLUARIX QUAD 2015-2016 (PF) .......... 53
FLUBLOK 2012-2013 (PF) ............................. 53
FLUBLOK 2013-2014 (PF) ............................. 53
FLUBLOK 2014-2015 (PF) ............................. 54
FLUBLOK 2015-2016 (PF) ............................. 54
FLUCELVAX (PF) ................................................... 54
190
Index
Index
Index
FLUCELVAX 2013-2014 (PF) .................... 54
FLUCELVAX 2014-2015 (PF) .................... 54
FLUCELVAX 2015-2016 (PF) .................... 54
fluconazole ......................................................................... 31
fluconazole in dextrose(iso-o) ........................ 31
fluconazole in nacl (iso-osm) .......................... 31
flucytosine .......................................................................... 31
fludarabine .......................................................................... 42
fludrocortisone ............................................................ 118
FLULAVAL 2010-2011 ...................................... 54
FLULAVAL 2011-2012 ...................................... 54
FLULAVAL 2012-2013 ...................................... 54
FLULAVAL 2013-2014 ...................................... 54
FLULAVAL 2014-2015 ...................................... 54
FLULAVAL 2014-2015 (PF) ......................... 54
FLULAVAL QUAD 2013-2014 ................. 54
FLULAVAL QUAD 2014-2015 ................. 54
FLULAVAL QUAD 2014-2015 (PF) .... 54
FLULAVAL QUAD 2015-2016 ................. 54
FLUMADINE ................................................................. 47
flumazenil ........................................................................ 167
FLUMIST 2010-2011 ............................................. 54
FLUMIST 2011-2012 ............................................. 54
FLUMIST 2012-2013 ............................................. 54
FLUMIST 2013-2014 ............................................. 54
FLUMIST QUAD 2014-2015 ........................ 54
FLUMIST QUAD 2015-2016 ........................ 54
flunisolide ........................................................................... 90
fluocinolone ................................................................... 155
fluocinolone acetonide oil .................................. 90
fluocinolone-shower cap ................................... 155
fluocinonide ................................................................... 155
FLUOCINONIDE-E ............................................. 155
fluocinonide-emollient ........................................ 155
FLUOR-A-DAY .......................................................... 96
FLUOR-A-DAY (WITH XYLITOL) .... 96
fluorescein-benoxinate ........................................... 90
fluoride toothpaste ...................................................... 96
fluorometholone ............................................................ 90
fluorouracil ........................................................................ 42
fluoxetine .......................................................................... 145
fluphenazine decanoate ...................................... 145
fluphenazine hcl ........................................................ 145
flurazepam ....................................................................... 149
flurbiprofen ........................................................................ 15
flurbiprofen sodium .................................................. 90
FLURESS ........................................................................... 90
FLU-SEVERE COLD-COUGH
DAYTIME ......................................................................... 79
FLU-SEVERE COLD-COUGH NIGHT
......................................................................................................... 79
flutamide .............................................................................. 42
fluticasone ............................................................. 90, 155
FLUVIRIN 2010-2011 .......................................... 54
FLUVIRIN 2010-2011 (PF) ............................. 54
FLUVIRIN 2011-2012 .......................................... 54
FLUVIRIN 2011-2012 (PF) ............................. 54
FLUVIRIN 2012-2013 .......................................... 54
FLUVIRIN 2012-2013 (PF) ............................. 54
FLUVIRIN 2013-2014 .......................................... 54
FLUVIRIN 2013-2014 (PF) ............................. 54
FLUVIRIN 2014-2015 .......................................... 54
FLUVIRIN 2014-2015 (PF) ............................. 54
FLUVIRIN 2015-2016 .......................................... 54
FLUVIRIN 2015-2016 (PF) ............................. 54
fluvoxamine ................................................................... 145
FLUZONE 2010-2011 ........................................... 54
FLUZONE 2010-2011 (PF) .............................. 54
FLUZONE 2011-2012 ........................................... 54
FLUZONE 2011-2012 (PF) .............................. 54
FLUZONE 2012-2013 ........................................... 54
FLUZONE 2012-2013 (PF) .............................. 54
FLUZONE 2013-2014 ........................................... 54
FLUZONE 2013-2014 (PF) .............................. 54
FLUZONE 2014-2015 ........................................... 54
FLUZONE 2014-2015 (PF) .............................. 54
FLUZONE 2015-2016 ........................................... 55
......................................................................................................... 55
......................................................................................................... 55
......................................................................................................... 55
......................................................................................................... 55
......................................................................................................... 55
......................................................................................................... 55
......................................................................................................... 55
......................................................................................................... 55
......................................................................................................... 55
......................................................................................................... 55
FLUZONE INTRADERM QUAD
2015-16 .................................................................................. 55
FLUZONE PEDI 2012 -2013 (PF) ........... 55
FLUZONE PEDI 2013-2014 (PF) ............. 55
FLUZONE QUAD 2013-2014 (PF) ......... 55
FLUZONE QUAD 2014-2015 ...................... 55
FLUZONE QUAD 2014-2015 (PF) ......... 55
FLUZONE QUAD 2015-2016 ...................... 55
FLUZONE QUAD 2015-2016 (PF) ......... 55
......................................................................................................... 55
......................................................................................................... 55
......................................................................................................... 55
FML FORTE ................................................................... 90
FML LIQUIFILM ....................................................... 90
FML S.O.P. ....................................................................... 90
foam bandage ............................................................... 129
FOAM TOE BANDAGE ................................ 129
FOCALGIN 90 DHA .......................................... 139
FOCALGIN CA ........................................................ 139
FOCALGIN DSS ........................................................ 96
FOCALIN ........................................................................ 145
FOCALIN XR ............................................................. 145
FOLASTIN .................................................................... 173
FOLCAL DHA ........................................................... 139
FOLCAPS ....................................................................... 173
FOLCAPS CARE ONE ..................................... 139
FOLCAPS OMEGA-3 (ASPARTO-GLY)
...................................................................................................... 139
FOLGARD ..................................................................... 173
folic acid ............................................................................ 173
FOLIVANE-F ................................................................. 96
FOLIVANE-OB ........................................................ 140
FOLIVANE-PRX DHA NF .......................... 140
FOLOTYN ......................................................................... 42
FOLTRATE ................................................................... 173
fomepizole ....................................................................... 167
fondaparinux .................................................................... 29
FORADIL AEROLIZER .................................... 18
FORANE ............................................................................. 13
FORFIVO XL .............................................................. 145
formaldehyde ................................................................... 39
FORMULA EM ........................................................ 105
FORTAMET .................................................................... 37
FORTAZ .............................................................................. 23
FORTAZ IN DEXTROSE 5 % ..................... 23
FORTEO ........................................................................... 167
FORTESTA ................................................................... 118
FORTICAL .................................................................... 118
FOSAMAX .................................................................... 167
FOSAMAX PLUS D ............................................ 167
foscarnet ................................................................................ 47
fosinopril .............................................................................. 63
fosinopril-hydrochlorothiazide ...................... 63
fosphenytoin ..................................................................... 68
FOSRENOL ..................................................................... 96
FOSTEUM ......................................................................... 96
FP NATURAL LOTION ................................. 167
FRAGMIN ......................................................................... 29
FREAMINE HBC 6.9 % ..................................... 96
FREAMINE III 10 % .............................................. 96
FREESTYLE PRECISION ........................... 129
FRESHKOTE ................................................................. 90
FRESHNET ................................................................... 155
FROVA ..................................................................................... 6
FUL-GLO ........................................................................... 86
FULYZAQ ...................................................................... 105
FUNGOID TINCTURE ....................................... 31
FUNGOID-D ................................................................... 31
FURADANTIN ............................................................. 23
furosemide .......................................................................... 87
FUSILEV ......................................................................... 167
FUSION PLUS .............................................................. 96
FUSION SPRINKLES ........................................... 96
FUZEON .............................................................................. 47
FYCOMPA ........................................................................ 68
gabapentin ........................................................................... 68
GABITRIL ......................................................................... 68
GABLOFEN ................................................................. 138
GADAVIST ...................................................................... 86
galantamine ....................................................................... 51
GALZIN ............................................................................ 167
GAMASTAN S/D ...................................................... 55
GAMMAGARD S/D ............................................... 55
GAMMAGARD S-D (IGA < 1
MCG/ML) ........................................................................... 55
GAMMAKED ................................................................ 55
GAMMAPLEX ............................................................. 55
GAMUNEX ...................................................................... 55
GAMUNEX-C ............................................................... 55
ganciclovir sodium ..................................................... 47
GARAMYCIN ............................................................... 23
GARDASIL (PF) ......................................................... 55
GARDASIL 9 (PF) .................................................... 55
garlic ..................................................................................... 114
GARLIC OIL ............................................................... 114
GARLIPURE ............................................................... 114
GARLIQUE ................................................................... 114
GAS FREE EXTRA STRENGTH ......... 105
191
Index
Index
Index
GAS RELIEF ............................................................... 105
GAS RELIEF EXTRA STRENGTH ... 105
GAS RELIEF MAXIMUM STRENGTH
...................................................................................................... 105
GAS RELIEF ULTRA STRENGTH ... 105
GASTROCROM .......................................................... 18
GAS-X ................................................................................ 105
GAS-X EXTRA STRENGTH .................... 105
GAS-X ULTRA-STRENGTH ................... 105
GAS-X WITH MAALOX .............................. 105
gatifloxacin ........................................................................ 23
GATTEX 30-VIAL ............................................... 105
GATTEX ONE-VIAL ........................................ 105
gauze bandage ............................................................. 129
GAUZE PAD ............................................................... 129
GAUZE ROLL ........................................................... 129
GAUZE SPONGES ............................................... 129
GAVILAX ...................................................................... 106
GAVILYTE-C ............................................................ 106
GAVILYTE-G ............................................................ 106
GAVILYTE-H AND BISACODYL .... 106
GAVILYTE-N ............................................................ 106
GAVISCON .................................................................. 106
GAVISCON EXTRA STRENGTH ...... 106
GAZYVA ............................................................................ 42
GEL CORN PROTECTORS ....................... 129
GEL TOE PROTECTOR ................................ 129
GEL TOE SPACERS .......................................... 129
gelatin .................................................................................. 167
gelatin (bulk) ................................................................. 167
GELFILM ........................................................................ 167
GELNIQUE ................................................................... 167
GELPAD .......................................................................... 129
GEL-STAT ..................................................................... 155
gemcitabine ....................................................................... 42
gemfibrozil ......................................................................... 63
GEMZAR ............................................................................ 42
GENERESS FE ............................................................. 72
GENERLAC ................................................................. 106
GENGRAF ..................................................................... 121
GENOTROPIN .......................................................... 118
GENOTROPIN MINIQUICK .................... 118
GENTAK ............................................................................. 23
gentamicin .......................................................................... 23
gentamicin in nacl (iso-osm) ........................... 23
gentamicin sulfate (ped) (pf) ........................... 23
gentamicin sulfate (pf) ........................................... 23
GENTEAL MILD TO MODERATE .... 90
GENTEAL GEL ........................................................... 90
GENTEAL MILD ....................................................... 90
GENTEAL PM .............................................................. 90
GENTEAL SEVERE .............................................. 90
GENTLE LAXATIVE ....................................... 106
GENTLE RAIN ......................................................... 155
GENTLE TAPE ........................................................ 129
GEODON ........................................................................ 145
GERI-LAV ..................................................................... 155
GESTICARE DHA ................................................ 140
GIAZO ................................................................................ 106
GILDAGIA ....................................................................... 72
GILDESS ............................................................................. 72
GILDESS 24 FE ........................................................... 72
GILDESS FE ................................................................... 72
GILENYA .......................................................................... 68
GILOTRIF .......................................................................... 42
ginger (zingiber officinalis) ........................... 114
GINGER EXTRACT ........................................... 114
GINKGO .......................................................................... 114
ginkgo biloba ................................................................ 114
ginkgo biloba extract ............................................ 114
ginkgo biloba leaf extract ................................ 115
ginkgo biloba-ginkgo biloba ex ................. 115
ginseng ................................................................................ 115
GINSENG KOREAN .......................................... 115
GLASSIA ........................................................................ 167
GLATOPA ......................................................................... 68
GLEEVEC .......................................................................... 42
GLEOSTINE ................................................................... 42
GLIADEL WAFER .................................................. 42
glimepiride ......................................................................... 37
glipizide ................................................................................. 37
glipizide-metformin .................................................. 37
GLUCAGEN ................................................................... 96
GLUCAGEN DIAGNOSTIC KIT ............ 86
GLUCAGEN HYPOKIT .................................... 96
GLUCAGON EMERGENCY KIT
(HUMAN) .......................................................................... 96
glucagon hcl ...................................................................... 86
GLUCOPHAGE ........................................................... 37
GLUCOPHAGE XR ................................................ 37
GLUCOPRO ................................................................. 129
GLUCOPRO ALCOHOL ............................... 155
glucosam su dip-chondroit-c-mn ................. 15
glucosam-chondr msm#6-manganes ....... 15
glucosamine sulfate ................................................... 15
glucose .................................................................................... 96
GLUCOSE POWDER ........................................... 96
GLUCOTROL ................................................................ 37
GLUCOTROL XL ..................................................... 37
GLUCOVANCE .......................................................... 37
GLUMETZA ................................................................... 37
glutathione (bulk) ..................................................... 167
glyburide .............................................................................. 37
glyburide micronized ............................................... 37
glyburide-metformin ................................................ 37
glycerin (adult) ........................................................... 106
glycerin (child) ........................................................... 106
glyceryl monostearate .......................................... 167
GLYCINE UROLOGIC ....................................... 39
GLYCOLAX ................................................................ 106
GLYCOPHOS ................................................................ 96
glycopyrrolate .............................................................. 106
GLYDO ................................................................................. 13
GLYNASE ......................................................................... 37
GLYSET .............................................................................. 37
GLYTACTIN 20PE BETTERMILK
LITE .......................................................................................... 96
GLYXAMBI .................................................................... 37
GOLYTELY ................................................................. 106
GONAK ................................................................................ 90
GOODY'S HEADACHE POWDER .......... 6
GRALISE ............................................................................ 68
GRALISE 30-DAY STARTER PACK
......................................................................................................... 68
granisetron (pf) ........................................................... 106
granisetron hcl ............................................................. 106
GRANIX .............................................................................. 70
GRANULEX ................................................................ 155
grape seed extract .................................................... 115
grape seed xt-bioflav,citrus ............................ 115
GRAPEFRUIT ........................................................... 167
GRASTEK ......................................................................... 55
GREEN COFFEE BEAN ................................ 115
GREEN TEA ................................................................ 115
GREEN TEA COMPLEX .............................. 115
green tea leaf ext-green tea ............................ 115
green tea-hoodia gordonii ................................ 115
griseofulvin microsize ............................................ 31
griseofulvin ultramicrosize ................................ 31
GRIS-PEG (ULTRAMICROSIZE) .......... 31
GRX FOAM DRESSING ............................... 129
GRX HYDROGEL GAUZE ........................ 129
GRX WOUND GEL ............................................. 129
guaiacol .............................................................................. 155
GUAIATUSSIN AC ................................................ 79
guaifenesin ......................................................................... 79
GUAIFENESIN AC ................................................. 79
GUAIFENESIN DAC ............................................ 79
GUAIFENESIN DM ............................................... 79
guanfacine ............................................................. 63, 145
guanidine .............................................................................. 51
guar gum ........................................................................... 167
guava flavor (bulk) ................................................. 168
GYNAZOLE-1 .............................................................. 31
HALAVEN ........................................................................ 42
HALCION ....................................................................... 149
HALDOL ......................................................................... 145
HALDOL DECANOATE ............................... 145
halobetasol propionate ........................................ 155
HALOG ............................................................................. 155
haloperidol ...................................................................... 145
haloperidol decanoate .......................................... 145
haloperidol lactate ................................................... 145
HAND SANITIZER ............................................. 155
HAND SANITIZING WIPES .................... 155
HARVONI ......................................................................... 47
HAVRIX (PF) ................................................................. 55
hawthorn ........................................................................... 115
HEADACHE FORMULA ADDED STR
............................................................................................................ 6
HEADACHE PM ........................................................... 3
HEADACHE RELIEF .............................................. 6
HEADACHE RELIEF
(ASA-ACET-CAF) ....................................................... 6
HEALTHY ACCENTS UNIFINE
PENTIP .............................................................................. 129
HEALTHYLAX ....................................................... 106
HEARTBURN RELIEF (CIMETIDINE)
...................................................................................................... 106
HEARTBURN RELIEF (FAMOTIDINE)
...................................................................................................... 106
HEARTBURN RELIEF (RANITIDINE)
...................................................................................................... 106
HEARTBURN RELIEF 24 HOUR ....... 106
HEARTBURN TREATMENT 24 HOUR
...................................................................................................... 106
HEAT THERAPY .................................................. 129
HEATHER ......................................................................... 72
HEATWRAPS ............................................................ 129
HEATWRAPS BACK & HIP PADS
...................................................................................................... 129
HEAVY DUTY FABRIC STRIPS ........ 129
HECORIA ....................................................................... 121
HECTOROL ................................................................. 168
HELIXATE FS .............................................................. 58
HEMABATE ................................................................ 118
HEMANGEOL .............................................................. 64
HEMATOGEN .............................................................. 96
192
Index
Index
Index
HEMATOGEN FA .................................................... 96
HEMATOGEN FORTE ....................................... 96
HEMENATAL OB ................................................ 140
HEMENATAL OB + DHA ........................... 140
HEMETAB ........................................................................ 96
HEMMOREX-HC .................................................. 106
HEMOCYTE ................................................................... 96
HEMOCYTE-F ............................................................. 96
HEMOCYTE-PLUS ................................................ 97
HEMOFIL M HIGH ................................................ 58
HEMOFIL M LOW .................................................. 58
HEMOFIL M MID .................................................... 58
HEMOFIL M SUPER HIGH .......................... 58
HEMORRHOID ....................................................... 106
HEMORRHOIDAL ............................................... 106
HEMORRHOIDAL
(PHENYLEPH-COCOA) ................................ 106
HEMORRHOIDAL COOLING ............... 106
HEMORRHOIDAL CREAM ..................... 106
HEMORRHOIDAL SUPPOSITORY
...................................................................................................... 106
HEMRIL-30 .................................................................. 106
HEP FLUSH-10 (PF) .............................................. 29
HEPAGAM B ................................................................. 55
heparin (porcine) .......................................................... 29
heparin (porcine) in 5 % dex ........................... 29
heparin (porcine) in nacl (pf) ........................... 29
heparin(porcine) in 0.45% nacl ..................... 29
heparin, porcine (pf) ................................................. 29
HEPATAMINE 8% .................................................. 97
HEPSERA .......................................................................... 47
HERCEPTIN ................................................................... 42
HESPAN 6 % IN NS ............................................... 58
hetastarch 6 % in 0.9 % nacl ............................ 58
HETLIOZ ........................................................................ 149
HEXALEN ........................................................................ 42
HEX-ON LIGHT ODOR ................................. 155
HEXTEND ........................................................................ 58
HICON ................................................................................ 168
HIPREX ................................................................................ 23
HISTAFLEX ....................................................................... 6
HISTEX (TRIPROLIDINE) ............................ 36
HISTEX DM .................................................................... 79
HISTEX PD ...................................................................... 36
HISTEX PE ....................................................................... 33
HISTEX-AC ..................................................................... 79
HIZENTRA ....................................................................... 55
HORIZANT ...................................................................... 68
HUMALOG ...................................................................... 38
HUMALOG KWIKPEN ..................................... 37
HUMALOG MIX 50-50 ...................................... 37
HUMALOG MIX 50-50 KWIKPEN ...... 38
HUMALOG MIX 75-25 ...................................... 38
HUMALOG MIX 75-25 KWIKPEN ...... 38
HUMATE-P ...................................................................... 58
HUMATROPE ........................................................... 118
HUMIRA ............................................................................. 15
HUMIRA PEDIATRIC CROHN'S
START ................................................................................... 15
HUMIRA PEN ............................................................... 15
HUMIRA PEN CROHN'S-UC-HS
START ................................................................................... 15
HUMIRA PEN PSORIASIS STARTER
......................................................................................................... 16
HUMULIN 70/30 ........................................................ 38
HUMULIN 70/30 KWIKPEN ....................... 38
HUMULIN 70/30 PEN ......................................... 38
HUMULIN N .................................................................. 38
HUMULIN N KWIKPEN .................................. 38
HUMULIN N PEN .................................................... 38
HUMULIN R .................................................................. 38
HUMULIN R U-500
(CONCENTRATED) .............................................. 38
HURRIVIEW .............................................................. 129
HURRIVIEW II ........................................................ 129
HYCAMTIN .................................................................... 42
HYCET ..................................................................................... 6
HYCOFENIX ................................................................. 79
HYDE-OUT ALDEHYDE
NEUTRALIZER ....................................................... 129
hydralazine ......................................................................... 64
HYDREA ............................................................................ 42
HYDRESS ...................................................................... 129
hydrochlorothiazide .................................................. 87
hydrocodone-acetaminophen .............................. 6
hydrocodone-chlorpheniramine .................... 79
hydrocodone-homatropine ................................. 79
hydrocodone-ibuprofen ............................................ 6
hydrocol dress-adhesive rem#1 ................. 129
hydrocortisone ............................................... 118, 155
hydrocortisone acetate ........................... 106, 155
hydrocortisone butyrate ..................................... 155
hydrocortisone butyr-emollient ................. 155
HYDROCORTISONE PLUS ...................... 155
hydrocortisone valerate ...................................... 155
hydrocortisone-acetic acid ................................. 90
hydrocortisone-aloe vera .................................. 155
hydrocortisone-min oil-wht pet ................. 155
hydrocortisone-pramox-e-pram#1 .......... 106
hydrocortisone-pramoxine ................. 106, 155
hydrogen peroxide .................................................. 155
HYDROMET .................................................................. 79
hydromorphone ................................................................. 7
hydromorphone (pf) ..................................................... 7
hydromorphone in 0.9 % nacl ............................ 7
hydrophilic ...................................................................... 168
HYDROPHILIC OINTMENT
BASE(FAG) .................................................................. 168
HYDROPHILIC PETROLATUM ......... 168
HYDROPHOR ........................................................... 129
hydroquinone ................................................................ 155
hydroquinone microspheres .......................... 155
hydroquinone with sunscreen ...................... 155
HYDROSKIN ............................................................. 155
HYDROSKIN WITH ALOE ....................... 155
hydroxocobalamin ................................................... 173
hydroxychloroquine .................................................. 39
hydroxypropyl cellulose .................................... 168
hydroxyurea ...................................................................... 42
hydroxyzine hcl ............................................................. 36
hydroxyzine pamoate .............................................. 36
HYGIENIC (WITCH HAZEL) CLEANS
...................................................................................................... 106
HYGIENIC CLEANSING ............................. 155
HYLENEX ..................................................................... 168
HYOLEV MB ................................................................. 23
hyoscyamine sulfate .............................................. 106
HYOSYNE ..................................................................... 106
HYPAFIX ........................................................................ 129
HYPERHEP B S/D ................................................... 55
HYPERHEP B S-D NEONATAL ............. 55
HYPERLYTE CR ...................................................... 97
HYPERRAB S/D (PF) ........................................... 55
HYPERRHO S/D ........................................................ 55
HYPERTET S/D (PF) ............................................ 55
HYPO-ALLERGENIC BANDAGES
...................................................................................................... 129
HYPOTEARS ................................................................. 90
hypromellose ................................................................ 168
HYQVIA .............................................................................. 55
HYSINGLA ER ............................................................... 7
HYZAAR ............................................................................ 64
ibandronate ..................................................................... 168
IBGARD ........................................................................... 115
IBRANCE ........................................................................... 42
IBUDONE ............................................................................. 7
IBU-DROPS ..................................................................... 16
ibuprofen .............................................................................. 16
IBUPROFEN COLD ............................................... 79
IBUPROFEN COLD-SINUS(WITH PSE)
......................................................................................................... 79
IBUPROFEN IB ........................................................... 16
IBUPROFEN JR STRENGTH ...................... 16
IBUPROFEN PM ........................................................... 7
ibuprofen-oxycodone .................................................. 7
ibutilide fumarate ........................................................ 60
IC GREEN ......................................................................... 86
ICLUSIG .............................................................................. 42
ICY HOT MEDICATED SLEEVE ...... 155
IDAMYCIN PFS ......................................................... 42
idarubicin ............................................................................. 42
IFEREX 150 ..................................................................... 97
IFEREX 150 FORTE .............................................. 97
IFEX ......................................................................................... 42
ifosfamide ........................................................................... 42
ILARIS (PF) .................................................................. 168
ILEVRO ................................................................................ 90
ILOTYCIN ........................................................................ 23
ILUVIEN ............................................................................. 90
IMBRUVICA .................................................................. 42
IMDUR .................................................................................. 60
imipenem-cilastatin ................................................... 23
imipramine hcl ............................................................ 145
imipramine pamoate .............................................. 145
imiquimod ....................................................................... 155
IMITREX ................................................................................ 7
IMITREX STATDOSE KIT REFILL ....... 7
IMITREX STATDOSE PEN .............................. 7
IMMUNE JUMP ...................................................... 115
IMOGAM RABIES-HT (PF) ......................... 56
IMOVAX RABIES VACCINE (PF) ...... 56
IMPLANON ..................................................................... 72
IMUHANCE ................................................................. 115
IMURAN .......................................................................... 121
INATAL ADVANCE .......................................... 140
INATAL ULTRA .................................................... 140
IN-CHECK DIAL TRAINING DEVICE
...................................................................................................... 129
INCONTROL PEN NEEDLE .................... 129
INCRELEX .................................................................... 118
INCRUSE ELLIPTA ............................................... 18
indapamide ......................................................................... 87
INDERAL LA ................................................................ 64
INDERAL XL ................................................................ 64
INDIGO CARMINE ................................................ 86
INDIOMIN MB ............................................................ 23
INDOCIN ............................................................................ 16
indomethacin .................................................................... 16
193
Index
Index
Index
indomethacin sodium .............................................. 64
INFANRIX (DTAP) (PF) ................................... 56
INFANT PAIN RELIEVER ................................ 7
INFANTS GAS RELIEF ................................. 107
INFANTS IBU-DROPS ....................................... 16
INFANT'S IBUPROFEN .................................... 16
INFANTS MAPAP ...................................................... 7
INFANTS' PAIN & FEVER ............................... 7
INFANTS' PAIN RELIEF .................................... 7
INFANT'S PAIN RELIEF .................................... 7
INFANT'S PAIN RELIEVER ........................... 7
INFANTS' TRIAMINIC FEVER .................. 7
INFED .................................................................................... 97
INFLUDO ....................................................................... 115
influenza a (h1n1) vac 09 (pf) ........................ 56
influenza a (h1n1) vac 2009 ............................. 56
INFUMORPH P/F ......................................................... 7
INFUVITE ADULT .............................................. 173
INFUVITE PEDIATRIC ................................. 173
INJECTAFER ................................................................. 97
INLYTA ............................................................................... 42
INNERMOST NATURE FOR MEN
...................................................................................................... 115
INNOHEP ........................................................................... 29
INNOPRAN XL ........................................................... 64
INS SYRINGE/NEEDLE 0.5CC/27G
...................................................................................................... 129
INSPIRACHAMBER .......................................... 129
INSPIRACHAMBER WITH
MASK-MED ................................................................ 129
INSPIRACHAMBER WITH
MASK-SMALL ......................................................... 129
INSPIREASE ............................................................... 129
INSPIREASE BAGS ........................................... 130
INSPIREASE MOUTHPIECE .................. 130
INSPIREASE RESERVOIR BAGS ..... 130
INSPRA ................................................................................ 87
INSTA-CHAR ............................................................ 168
INSTA-CHAR-SORBITOL ......................... 168
INSTACLEAN ........................................................... 168
INSTA-GLUCOSE ................................................... 97
INSTANT FOOD THICKENER ............. 168
INSULIN SYRINGE ........................................... 130
INSULIN SYRINGE MICROFINE ..... 130
insulin syringe needleless ................................ 130
INSULIN SYRINGE ULTRAFINE ..... 130
insulin syringe-needle u-100 ........................ 130
insulin syringes (disposable) ........................ 130
INSUMED ...................................................................... 130
INSUPEN ........................................................................ 130
INTEGRA ........................................................................... 97
INTEGRA F ..................................................................... 97
INTEGRA PLUS ......................................................... 97
INTEGRILIN .................................................................. 46
INTELENCE ................................................................... 47
INTENSE COUGH RELIEVER ................. 79
INTERMEZZO .......................................................... 149
INTERSORB ................................................................ 130
INTRALIPID ............................................................... 107
INTRASITE GEL DRESSING ................. 130
INTRON A ........................................................................ 42
INTROVALE .................................................................. 72
INTUNIV ER ............................................................... 145
INVANZ .............................................................................. 23
INVEGA ........................................................................... 145
INVEGA SUSTENNA ....................................... 145
INVEGA TRINZA ................................................. 145
INVIRASE ............................................................... 47, 48
INVISIBLE ACNE ................................................ 156
INVOKAMET ................................................................ 38
INVOKANA .................................................................... 38
INZO ANTIFUNGAL ........................................... 31
IODIDES TINCTURE ....................................... 156
iodine-sodium iodide ............................................ 156
IODOPEN ........................................................................... 97
iodoquinol-hc ............................................................... 156
IONOSOL-B IN D5W ........................................... 97
IONOSOL-MB IN D5W ..................................... 97
IONSYS ................................................................................... 7
IOPHEN C-NR .............................................................. 79
IOPHEN DM-NR ........................................................ 79
IOPHEN-NR .................................................................... 79
IOPIDINE ........................................................................... 90
IPOL ......................................................................................... 56
ipratropium bromide ....................................... 18, 90
ipratropium-albuterol ............................................... 18
IPRIVASK ......................................................................... 29
IQUIX ..................................................................................... 23
irbesartan .............................................................................. 64
irbesartan-hydrochlorothiazide ...................... 64
IRENKA ........................................................................... 145
IRESSA ................................................................................. 42
irinotecan ............................................................................. 42
iron aspgly&ps-c-b12-fa-ca-suc ................... 97
iron aspgly-c-b12-ca-suc-stoma ................... 97
iron fum & ag-c-b12-fa-ca-succ ................... 97
IROSPAN 24/6 .............................................................. 97
ISAGEL ............................................................................. 156
ISAGEL NO RINSE ............................................. 156
ISENTRESS ..................................................................... 48
ISLAND GARD-GRX ....................................... 130
ISOLYTE S PH 7.4 ................................................... 97
ISOLYTE-P IN 5 % DEXTROSE ............. 97
ISOLYTE-S ...................................................................... 97
isometh-dichloral-acetaminophn ..................... 7
isomethepten-caf-acetaminophen ................... 7
ISONARIF ......................................................................... 23
isoniazid ................................................................................ 23
isopropyl alcohol ............................................ 39, 168
isopropyl alcohol-benzocaine ......................... 39
ISOPROPYL
ALCOHOL-WINTERGREEN .................. 156
isopropyl palmitate ................................................. 168
ISOPTO CARPINE .................................................. 90
ISOPTO TEARS .......................................................... 90
ISORDIL .............................................................................. 60
ISORDIL TITRADOSE ....................................... 60
isosorbide dinitrate ..................................................... 60
isosorbide mononitrate ........................................... 60
isosulfan blue ................................................................... 86
isradipine .............................................................................. 60
ISTALOL ............................................................................ 90
ISTODAX ........................................................................... 42
ISUPREL ............................................................................. 51
ITCH RELIEF ............................................................. 156
ITCH-X .............................................................................. 156
ITCHY EYE DROPS .............................................. 36
itraconazole ....................................................................... 31
IV 3000 ............................................................................... 130
IV PREP WIPES ...................................................... 156
IV3000 FRAME DELIVERY
DRESSING .................................................................... 130
ivermectin ........................................................................... 39
IXEMPRA .......................................................................... 42
IXIARO (PF) ................................................................... 56
IXINITY ............................................................................... 58
J & J FIRST AID TAPE PAPER ............. 130
J & J NON-STICK PADS LARGE ....... 130
J & J NON-STICK PADS MEDIUM
...................................................................................................... 130
JADENU ........................................................................... 168
JAKAFI ................................................................................. 42
JANTOVEN ..................................................................... 29
JANUMET ......................................................................... 38
JANUMET XR .............................................................. 38
JANUVIA ........................................................................... 38
J-COF DHC ...................................................................... 79
JENCYCLA ...................................................................... 72
JENTADUETO ............................................................. 38
JETREA (PF) .................................................................. 90
JE-VAX ................................................................................. 56
JEVTANA .......................................................................... 43
JINTELI ............................................................................. 118
J-MAX .................................................................................... 79
J-MAX DHC .................................................................... 79
JOCK ITCH ...................................................................... 31
JOHNSON'S BABY LOTION ................... 168
JOHNSON'S BODY CARE ......................... 168
JOLESSA ............................................................................ 72
JOLIVETTE ..................................................................... 72
JR. STR NON-ASPIRIN PAIN ....................... 7
J-TAN D PD ..................................................................... 33
J-TAN PD ........................................................................... 36
JUBLIA ................................................................................. 31
JULEBER ........................................................................... 72
JUNEL 1.5/30 (21) .................................................... 72
JUNEL 1/20 (21) ......................................................... 72
JUNEL FE 1.5/30 (28) ........................................... 72
JUNEL FE 1/20 (28) ................................................ 72
JUNEL FE 24 .................................................................. 72
JUNIOR MAPAP ........................................................... 7
JUXTAPID ........................................................................ 64
KABIVEN .......................................................................... 97
KADCYLA ....................................................................... 43
KADIAN ................................................................................. 7
KALBITOR ................................................................... 168
KALETRA ......................................................................... 48
KALYDECO ................................................................ 168
kanamycin ........................................................................... 24
KAO-TIN (BISMUTH
SUBSALICYLAT) ................................................ 107
KAO-TIN (DOCUSATE CALCIUM)
...................................................................................................... 107
KAPVAY ......................................................................... 145
KARBINAL ER ........................................................... 36
KARIVA (28) ................................................................. 72
kava root extract ........................................................ 115
KAYEXALATE ........................................................... 97
KAZANO ............................................................................ 38
KCENTRA ........................................................................ 58
KEDBUMIN .................................................................... 58
K-EFFERVESCENT ............................................... 97
KEFLEX .............................................................................. 24
KELNOR 1/35 (28) ................................................... 72
KENALOG ....................................................... 118, 156
KENDALL ..................................................................... 130
KENDALL 2-IN-1 ................................................. 156
KENDALL CLOTH ............................................. 130
194
Index
Index
Index
KENDALL FOAM BORDER .................... 130
KENDALL PAPER TAPE ............................ 130
KENGREAL .................................................................... 46
KEPIVANCE ............................................................... 107
KEPPRA .............................................................................. 68
KEPPRA XR ................................................................... 68
KERLIX ............................................................................ 130
KERLIX AMD ........................................................... 130
KERLIX BURN PACK ..................................... 130
KERLIX LITE ............................................................ 130
KERLIX PACKING SPONGE ................. 130
KERYDIN .......................................................................... 31
KETALAR ......................................................................... 13
ketamine ................................................................................ 13
KETEK .................................................................................. 24
ketoconazole ..................................................................... 31
KETODAN ........................................................................ 31
KETODAN KIT ........................................................... 31
KETO-DIASTIX ......................................................... 86
KETONE CARE .......................................................... 86
KETONE URINE TEST ...................................... 86
ketoprofen ........................................................................... 16
ketorolac ........................................................................ 7, 90
KETOSTIX ....................................................................... 86
ketotifen fumarate ....................................................... 36
KEVEYIS ........................................................................ 168
KEYTRUDA ................................................................... 43
KHEDEZLA ................................................................. 145
KIDKARE COUGH/COLD ............................. 79
KIMIDESS (28) ............................................................ 72
KINERET ........................................................................... 16
KINRIX (PF) ................................................................... 56
KIONEX .............................................................................. 97
KITABIS PAK ............................................................... 24
KLARON ......................................................................... 156
KLING ROLLS ......................................................... 130
KLONOPIN ...................................................................... 68
KLOR-CON ...................................................................... 97
KLOR-CON 10 ............................................................. 97
KLOR-CON 8 ................................................................. 97
KLOR-CON M10 ....................................................... 97
KLOR-CON M15 ....................................................... 97
KLOR-CON M20 ....................................................... 97
KLOR-CON SPRINKLE .................................... 97
KLOR-CON/25 ............................................................. 97
KLOR-CON/EF ............................................................ 97
KOATE-DVI ................................................................... 58
KOGENATE FS ........................................................... 58
KOMBIGLYZE XR ................................................. 38
KONSYL (SUGAR) ............................................. 107
KONSYL EASY MIX ........................................ 107
KONSYL FIBER ..................................................... 107
KONSYL FORMULA-D ................................ 107
KONSYL SUGAR-FREE
(ASPARTAME) ........................................................ 107
KONSYL-D ................................................................... 107
KOREAN GINSENG .......................................... 115
korean ginseng root extract ............................ 115
KORLYM ........................................................................... 38
KOTEX FRESH & DRY ................................. 130
KOTEX OVERNIGHT ..................................... 130
K-PHOS NO 2 ................................................................ 97
K-PHOS ORIGINAL .............................................. 97
K-PHOS-NEUTRAL ............................................... 97
KRISTALOSE ............................................................ 107
K-SOL .................................................................................... 97
K-TAB .................................................................................... 97
KURVELO ........................................................................ 72
KUVAN ............................................................................. 168
KYNAMRO ...................................................................... 64
KYPROLIS ....................................................................... 43
l norgest/e.estradiol-e.estrad ............................. 72
labetalol ................................................................................. 64
LAC-HYDRIN ........................................................... 156
LACRISERT .................................................................... 90
lactated ringers .................................................. 97, 156
lactic acid (bulk) ....................................................... 156
lactulose ............................................................................. 107
LAMICTAL ...................................................................... 68
LAMICTAL ODT ...................................................... 68
LAMICTAL ODT STARTER (BLUE)
......................................................................................................... 68
LAMICTAL ODT STARTER (GREEN)
......................................................................................................... 68
LAMICTAL ODT STARTER
(ORANGE) ........................................................................ 69
LAMICTAL STARTER (BLUE) KIT
......................................................................................................... 69
LAMICTAL STARTER (GREEN) KIT
......................................................................................................... 69
LAMICTAL STARTER (ORANGE) KIT
......................................................................................................... 69
LAMICTAL XR ........................................................... 69
LAMICTAL XR STARTER (BLUE) .... 69
LAMICTAL XR STARTER (GREEN)
......................................................................................................... 69
LAMICTAL XR STARTER (ORANGE)
......................................................................................................... 69
LAMISIL ............................................................................. 31
LAMISIL (AEROSOL) ........................................ 31
LAMISIL AF ................................................................... 31
LAMISIL AF DEFENSE .................................... 31
LAMISIL AT .................................................................. 31
lamivudine .......................................................................... 48
lamivudine-zidovudine .......................................... 48
lamotrigine ......................................................................... 69
LANACANE ANTI-ITCH ................................ 13
LANACANE FIRST AID .................................. 13
lanolin anhydrous ..................................................... 168
LANOXIN .......................................................................... 60
LANOXIN PEDIATRIC ..................................... 60
lansoprazole ................................................................... 107
LANTUS .............................................................................. 38
LANTUS SOLOSTAR .......................................... 38
LARIN 1.5/30 (21) .................................................... 72
LARIN 1/20 (21) ......................................................... 72
LARIN 24 FE .................................................................. 72
LARIN FE .......................................................................... 72
LASIX .................................................................................... 87
LASTACAFT ................................................................. 36
latanoprost .......................................................................... 90
LATUDA ......................................................................... 145
lavender oil ..................................................................... 115
LAXATIVE (BISACODYL) ....................... 107
LAXATIVE (SENNOSIDES) .................... 107
LAXATIVE FEMININE ................................. 107
LAXATIVE MAXIMUM STRENGTH
...................................................................................................... 107
LAXATIVE PLUS STOOL SOFTENER
...................................................................................................... 107
LAYOLIS FE .................................................................. 72
LAZANDA ........................................................................... 7
LAZERCREME ........................................................ 156
LDO PLUS ........................................................................ 13
LEENA 28 .......................................................................... 72
leflunomide ........................................................................ 16
LEMON EXTRACT FLAVOR ................ 168
lemon flavor extract (bulk) ............................. 168
LEMON FLAVORING ..................................... 168
LEMTRADA ................................................................... 69
LENVIMA ......................................................................... 43
LESCOL ............................................................................... 64
LESSINA ............................................................................. 72
LETAIRIS .......................................................................... 64
letrozole ................................................................................. 43
leucovorin calcium ................................................. 168
LEUKERAN .................................................................... 43
LEUKINE ........................................................................... 70
leuprolide ............................................................................. 43
levalbuterol hcl .............................................................. 18
LEVAQUIN ...................................................................... 24
LEVAQUIN IN 5 % DEXTROSE ............ 24
LEVEMIR .......................................................................... 38
LEVEMIR FLEXPEN ........................................... 38
LEVEMIR FLEXTOUCH ................................. 38
levetiracetam .................................................................... 69
levetiracetam in nacl (iso-os) .......................... 69
levobunolol ........................................................................ 90
levocarnitine .................................................................. 168
levocarnitine (with sugar) ................................ 168
levocetirizine .................................................................... 36
levofloxacin ....................................................................... 24
levofloxacin in d5w ................................................... 24
levoleucovorin calcium ...................................... 168
levomefolate calcium ........................................... 173
LEVONEST (28) ......................................................... 72
levonorgestrel .................................................................. 72
levonorgestrel-ethinyl estrad ........................... 72
LEVOPHED (BITARTRATE) ..................... 51
LEVORA-28 .................................................................... 72
levorphanol tartrate ....................................................... 8
levothyroxine ................................................................ 162
LEVOXYL ..................................................................... 162
LEVSIN ............................................................................. 107
LEVSIN/SL ................................................................... 107
LEXAPRO ...................................................................... 145
LEXISCAN ....................................................................... 86
LEXIVA ............................................................................... 48
LEXUSS 210 ................................................................... 79
LIALDA ............................................................................ 107
LIBRAX (WITH CLIDINIUM) ............... 107
LICE EGG REMOVER .................................... 156
LICE KILLING ......................................................... 156
LICE SOLUTION ................................................... 156
LICE TREATMENT ............................................ 156
LICE TREATMENT (PERMETHRIN)
...................................................................................................... 156
licorice ................................................................................. 115
lidocaine ................................................................................ 13
lidocaine (pf) in d7.5w ......................................... 13
lidocaine (pf) .......................................................... 13, 60
lidocaine hcl ...................................................................... 13
lidocaine hcl-hydrocortison ac ...... 107, 156
lidocaine in 5 % dextrose (pf) ......................... 60
LIDOCAINE VISCOUS ..................................... 13
lidocaine-epinephrine .............................................. 13
lidocaine-epinephrine (pf) .................................. 13
lidocaine-epinephrine bit ..................................... 13
195
Index
Index
Index
lidocaine-hydrocortisone-aloe ..................... 107
lidocaine-prilocaine ................................................... 13
LIDODERM ..................................................................... 13
LIME FLAVOR ........................................................ 168
LINCOCIN ........................................................................ 24
lindane ................................................................................. 156
linezolid ................................................................................. 24
linezolid-0.9% sodium chloride .................... 24
LINSEED OIL ............................................................ 115
LINZESS .......................................................................... 107
LIORESAL .................................................................... 138
liothyronine .................................................................... 162
LIP TREATMENT ................................................. 168
LIPITOR .............................................................................. 64
LIPODOX ........................................................................... 43
LIPODOX 50 .................................................................. 43
LIPOFEN ............................................................................. 64
LIPOSYN II .................................................................. 107
LIPOSYN III ................................................................ 107
LIPTRUZET .................................................................... 64
LIQUID ANTACID .............................................. 107
LIQUITEARS ................................................................. 90
LISCO ................................................................................. 130
lisinopril ................................................................................ 64
lisinopril-hydrochlorothiazide ........................ 64
LITE COAT ASPIRIN ............................................. 8
LITE TOUCH INSULIN PEN NEEDLES
...................................................................................................... 130
LITE TOUCH INSULIN SYRINGE ... 130
LITE TOUCH-MEDIUM MASK ........... 130
LITEAIRE MDI CHAMBER ..................... 130
LITETOUCH-LARGE MASK .................. 130
LITETOUCH-SMALL MASK ................. 130
lithium carbonate ...................................................... 145
lithium citrate ............................................................... 145
LITHOBID ..................................................................... 145
LITHOSTAT ................................................................ 107
LIVER COMPLEX ............................................... 115
LMD 10 % IN 0.9 % SODIUM CHLOR
......................................................................................................... 58
LMD 10 % IN 5 % DEXTROSE ................ 58
L-METHYL-B6-B12 ........................................... 174
L-METHYL-MC ...................................................... 174
L-METHYL-MC NAC ...................................... 174
LO LOESTRIN FE .................................................... 73
LO MINASTRIN FE ............................................... 73
LODOSYN ........................................................................ 45
LODRANE D .................................................................. 33
LOESTRIN 1.5/30 (21) ........................................ 73
LOESTRIN 1/20 (21) ............................................. 73
LOESTRIN 24 FE ...................................................... 73
LOESTRIN FE 1.5/30 (28-DAY) .............. 73
LOESTRIN FE 1/20 (28-DAY) ................... 73
LOFIBRA ........................................................................... 64
LOHIST - D ...................................................................... 33
LOHIST PEB DM ...................................................... 79
LOHIST-DM ................................................................... 80
LOHIST-PEB .................................................................. 33
LOMEDIA 24 FE ....................................................... 73
LOMOTIL ....................................................................... 107
lomustine .............................................................................. 43
loperamide ....................................................................... 107
LOPID .................................................................................... 64
LOPREEZA ................................................................... 118
LOPRESSOR .................................................................. 64
LOPRESSOR HCT ................................................... 64
LOPROX ............................................................................. 31
loratadine ............................................................................. 36
LORATA-DINE D .................................................... 33
LORATADINE-D ...................................................... 33
lorazepam ............................................................ 145, 149
LORAZEPAM INTENSOL .......................... 145
LORCET (HYDROCODONE) ........................ 8
LORCET HD ...................................................................... 8
LORCET PLUS ............................................................... 8
LORTAB 10-325 ............................................................ 8
LORTAB 5-325 ............................................................... 8
LORTAB 7.5-325 .......................................................... 8
LORTAB ELIXIR ......................................................... 8
LORTUSS DM .............................................................. 80
LORTUSS EX ................................................................ 80
LORTUSS LQ ................................................................ 33
LORYNA (28) ............................................................... 73
LORZONE ...................................................................... 138
losartan ................................................................................... 64
losartan-hydrochlorothiazide ........................... 64
LOSEASONIQUE ..................................................... 73
LOTEMAX ....................................................................... 90
LOTENSIN ....................................................................... 64
LOTENSIN HCT ........................................................ 64
LOTREL .............................................................................. 64
LOTRISONE ................................................................... 31
LOTRONEX ................................................................. 107
lovastatin .............................................................................. 64
LOVAZA ......................................................................... 107
LOVENOX ........................................................................ 29
LOW-OGESTREL (28) ........................................ 73
loxapine succinate ................................................... 145
LOXITANE ................................................................... 146
LUBRICANT EYE ................................................... 90
LUBRICANT EYE (CMC-GLYCERIN)
......................................................................................................... 90
LUBRICANT EYE (PG-PEG 400) .......... 90
LUBRICANT EYE DROPS ............................ 90
LUBRICATING & REWETTING ........ 130
LUBRICATING PLUS ......................................... 90
LUBRIFRESH PM .................................................... 90
LUCENTIS ........................................................................ 90
LUDENT FLUORIDE ........................................... 97
LUFYLLIN ....................................................................... 18
LUMIGAN ........................................................................ 90
LUMIZYME ................................................................. 168
LUNESTA ...................................................................... 149
LUPANETA PACK (1 MONTH) .......... 118
LUPANETA PACK (3 MONTH) .......... 118
LUPRON DEPOT ......................................... 43, 119
LUPRON DEPOT (3 MONTH) ..... 43, 119
LUPRON DEPOT (4 MONTH) ................... 43
LUPRON DEPOT (6 MONTH) ................... 43
LUPRON DEPOT-PED .................................... 119
LUPRON DEPOT-PED (3 MONTH)
...................................................................................................... 119
LUSAIR ................................................................................ 80
LUSEDRA ......................................................................... 13
LUSTRA ........................................................................... 156
LUSTRA-AF ................................................................ 156
LUTERA (28) ................................................................. 73
LUVOX CR ................................................................... 146
LUXIQ ................................................................................ 156
LUZU ...................................................................................... 31
LYNPARZA .................................................................... 43
LYRICA ............................................................................... 69
LYSODREN .................................................................... 43
LYSTEDA .......................................................................... 58
LYZA ...................................................................................... 73
M.V.I. ADULT .......................................................... 174
M.V.I. PEDIATRIC .............................................. 174
M.V.I.-12 (WITHOUT VITAMIN K)
...................................................................................................... 174
MAALOX ADVANCED ................................ 107
MAALOX MAX QUICK DISSOLVE
...................................................................................................... 107
MAALOX RS .............................................................. 107
MAALOX TOTAL RELIEF (BISMUTH)
...................................................................................................... 107
MACROBID .................................................................... 24
MACRODANTIN ...................................................... 24
MACUGEN ...................................................................... 90
mafenide acetate ........................................................... 24
MAG-AL .......................................................................... 107
MAG-AL PLUS ........................................................ 107
MAG-AL PLUS EXTRA STRENGTH
...................................................................................................... 108
MAGELLAN INSULIN SAFETY
SYRNG .............................................................................. 130
MAGELLAN SYRINGE ................................. 130
MAGNACET ...................................................................... 8
MAGNASWEET 110 .......................................... 168
MAGNASWEET 135 .......................................... 168
MAGNEBIND 300 .................................................... 97
MAGNEBIND 400 .................................................... 97
magnesium chloride .................................................. 97
magnesium citrate .................................................... 108
magnesium oxide ......................................................... 98
magnesium stearate ................................................ 168
magnesium sulfate ...................................................... 98
magnesium sulfate in d5w .................................. 98
magnesium sulfate in water .............................. 98
MAGNEVIST ................................................................. 86
MAJOR-PREP
(PHENYLEPHRINE-FAT) ........................... 108
MAJOR-PREP HEMORRHOIDAL .... 108
MAKENA ....................................................................... 119
MALARONE .................................................................. 39
MALARONE PEDIATRIC .............................. 39
malathion .......................................................................... 156
manganese chloride ................................................... 98
mannitol 10 % ................................................................. 87
mannitol 20 % ................................................................. 87
mannitol 25 % ................................................................. 87
mannitol 5 % .................................................................... 87
MAPAP (ACETAMINOPHEN) ..................... 8
MAPAP ARTHRITIS PAIN ............................... 8
MAPAP COLD FORMULA ........................... 80
MAPAP EXTRA STRENGTH ........................ 8
MAPAP INFANTS' ..................................................... 8
MAPAP PM ......................................................................... 3
MAPAP SINUS MAX STRENGTH (PE)
......................................................................................................... 80
maprotiline ...................................................................... 146
MARCAINE .................................................................... 13
MARCAINE (PF) ....................................................... 13
MARCAINE SPINAL (PF) .............................. 13
MARCAINE-EPINEPHRINE ....................... 13
MARCAINE-EPINEPHRINE (PF) .......... 13
MAR-COF BP ................................................................ 80
MAR-COF CG ............................................................... 80
MARGESIC ......................................................................... 8
196
Index
Index
Index
MARINOL ...................................................................... 108
MARJORAM ............................................................... 115
MARLISSA ...................................................................... 73
MARNATAL-F ......................................................... 140
MARPLAN .................................................................... 146
MARQIBO ........................................................................ 43
marshmallow flavor (bulk) ............................. 168
MARTEN-TAB ................................................................ 8
MASANTI DOUBLE STRENGTH ..... 108
MATULANE ................................................................... 43
MATZIM LA .................................................................. 60
MAVIK ................................................................................. 64
MAXALT ............................................................................... 8
MAXALT-MLT .............................................................. 8
MAXARON FORTE ............................................... 98
MAXFE ................................................................................. 98
MAXI DEODORANT ........................................ 130
MAXI PAD REGULAR ................................... 131
MAXI PAD SUPER ............................................. 131
MAXI-COMFORT INSULIN SYRINGE
...................................................................................................... 131
MAXIDEX ........................................................................ 91
MAXIDONE ....................................................................... 8
MAXI-PADS ................................................................ 131
MAXIPHEN ..................................................................... 80
MAXIPHEN DM ........................................................ 80
MAXIPIME ...................................................................... 24
MAXITROL ..................................................................... 24
MAXORB ....................................................................... 131
MAXORB EXTRA DRESSING ............. 131
MAXORB ROPE ..................................................... 131
MAXZIDE ......................................................................... 87
MAXZIDE-25MG ...................................................... 87
M-CLEAR WC .............................................................. 80
meclizine ........................................................................... 108
meclofenamate ............................................................... 16
MEDFIX ........................................................................... 131
MEDFIX EZ DRESSING ............................... 131
MEDI PADS ................................................................. 156
MEDICATED BODY ......................................... 156
MEDICATED BODY POWDER ........... 156
MEDICATED CHEST RUB ....................... 156
MEDICATED PADS ........................................... 108
MEDICATED WIPES ........................................ 156
MEDICATED WIPES WITH ALOE
...................................................................................................... 156
MEDIGRIP .................................................................... 131
MEDIGRIP ELASTICATED SUPPORT
...................................................................................................... 131
MEDIGRIP TUBULAR ................................... 131
MEDIPLAST CORN-CALLUS-WART
...................................................................................................... 156
MEDIPORE ................................................................... 131
MEDIPORE DRESS-IT COVER ........... 131
MEDIPORE H ............................................................ 131
MEDIPORE SOFT CLOTH TAPE ...... 131
MEDROL ........................................................................ 119
MEDROL (PAK) ..................................................... 119
medroxyprogesterone ................................ 73, 119
mefenamic acid ................................................................. 8
MEFIX ................................................................................ 131
mefloquine .......................................................................... 39
MEFOXIN IN DEXTROSE (ISO-OSM)
......................................................................................................... 24
MEGACE ........................................................................ 168
MEGACE ES ............................................................... 168
megestrol ................................................................ 43, 169
MEKINIST ........................................................................ 43
melatonin .......................................................................... 119
melatonin-lemon balm leaf extr ................ 119
meloxicam .......................................................................... 16
melphalan hcl .................................................................. 43
memantine .......................................................................... 69
MENACTRA (PF) ..................................................... 56
MENCAPS ..................................................................... 156
M-END DMX ................................................................. 80
M-END MAX D .......................................................... 80
M-END PE ......................................................................... 80
M-END WC ...................................................................... 80
MENEST .......................................................................... 119
MENHIBRIX (PF) ..................................................... 56
MENOMUNE - A/C/Y/W-135 ..................... 56
MENOMUNE - A/C/Y/W-135 (PF) ....... 56
MENOSTAR ................................................................ 119
MEN'S MULTIVITAMIN GUMMIES
...................................................................................................... 174
MENSTRUAL RELIEF .......................................... 8
MENTAX ........................................................................... 31
MENVEO A-C-Y-W-135-DIP (PF) ........ 56
MENVEO MENA COMPONENT (PF)
......................................................................................................... 56
MENVEO MENCYW-135 COMPNT
(PF) ............................................................................................ 56
ME-PB-HYOS ............................................................ 108
meperidine ............................................................................. 8
meperidine (pf) .................................................................. 8
meperidine in 0.9 % nacl ........................................ 8
MEPERITAB ..................................................................... 8
MEPHYTON ................................................................ 174
MEPILEX BORDER ........................................... 131
MEPILEX BORDER SACRUM ............. 131
MEPITEL ........................................................................ 131
mepivacaine (pf) ........................................................... 13
meprobamate ................................................................ 146
MEPRON ............................................................................ 39
mercaptopurine .............................................................. 43
meropenem ........................................................................ 24
meropenem-0.9% sodium chloride ............ 24
MERREM ........................................................................... 24
mesalamine ..................................................................... 108
mesalamine with cleansing wipe .............. 108
mesna .................................................................................... 169
MESNEX ......................................................................... 169
MESTINON ...................................................................... 51
MESTINON TIMESPAN ................................... 51
METADATE CD ..................................................... 146
METAMUCIL ............................................................ 108
METAMUCIL (WITH SUGAR) ............ 108
METAMUCIL FIBER SINGLES ........... 108
METAMUCIL MULTIHEALTH FIBER
...................................................................................................... 108
METAMUCIL SUGAR FREE .................. 108
METAMUCIL SUGAR-FREE
(ASPART) ....................................................................... 108
METAMUCIL SUNRISE ............................... 108
metaproterenol ................................................................ 18
metaxalone ...................................................................... 138
metformin ............................................................................ 38
methadone .............................................................................. 8
METHADONE INTENSOL ............................... 8
METHADOSE .................................................................. 9
methamphetamine ....................................................... 51
METHAZEL ................................................................. 169
methazolamide ............................................................... 87
methenamine hippurate ......................................... 24
methenamine mandelate ....................................... 24
methimazole .................................................................. 162
METHITEST ................................................................ 119
methocarbamol ........................................................... 138
METHOCEL E 4 M .............................................. 169
methotrexate sodium ................................................ 43
methotrexate sodium (pf) .................................... 43
methoxsalen rapid .................................................... 156
methscopolamine ...................................................... 108
methyclothiazide .......................................................... 87
methyl alcohol ............................................................. 169
methylcellulose .......................................................... 169
methylcellulose 1500cps (bulk) ................. 169
methylcellulose 4000cps (bulk) ................. 169
methyldopa ........................................................................ 64
methyldopa-hydrochlorothiazide ................. 64
methyldopate .................................................................... 64
methylene blue (antidote) ................................ 169
methylene blue (bulk-solid) ........................... 169
methylergonovine .................................................... 119
METHYLIN .................................................................. 146
methylphenidate ........................................................ 146
methylprednisolone ................................................ 119
methylprednisolone acetate ........................... 119
methylprednisolone sodium succ ............. 119
methyltestosterone .................................................. 119
metipranolol ...................................................................... 91
metoclopramide hcl ............................................... 108
metolazone ......................................................................... 87
metoprolol succinate ................................................ 64
metoprolol ta-hydrochlorothiaz .................... 64
metoprolol tartrate ...................................................... 64
METOZOLV ODT ................................................. 108
METRO I.V. ..................................................................... 24
METROCREAM ...................................................... 156
METROGEL ................................................... 156, 157
METROGEL VAGINAL .................................... 24
METROLOTION .................................................... 157
metronidazole .................................................... 24, 157
metronidazole in nacl (iso-os) ........................ 24
MEVACOR ....................................................................... 64
mexiletine ............................................................................ 60
MIACALCIN ............................................................... 119
MI-ACID .......................................................................... 108
MI-ACID GAS RELIEF ................................... 108
MICARDIS ....................................................................... 64
MICARDIS HCT ........................................................ 64
MICONAZOLE 7 ....................................................... 31
miconazole nitrate ....................................................... 31
MICONAZOLE-3 ...................................................... 31
MICONAZORB AF ................................................. 31
MICRHOGAM ULTRA-FILTERED .... 56
MICRHOGAM ULTRA-FILTERED
PLUS ........................................................................................ 56
MICRO-BUMINTEST .......................................... 86
MICROCHAMBER .............................................. 131
MICROFOAM SURGICAL ........................ 131
MICROGESTIN 1.5/30 (21) ........................... 73
MICROGESTIN 1/20 (21) ................................ 73
MICROGESTIN FE 1.5/30 (28) .................. 73
MICROGESTIN FE 1/20 (28) ....................... 73
MICRO-GUARD ........................................................ 31
MICRO-K ........................................................................... 98
197
Index
Index
Index
MICROPORE FIRST AID CLOTH .... 131
MICROPORE FIRST AID PAPER ...... 131
MICROPORE FIRST AID PLASTIC
...................................................................................................... 131
MICROPORE FIRST AID SKINTONE
...................................................................................................... 131
MICROPORE FIRST AID
WATERPROOF ....................................................... 131
MICROPORE PAPER SURGICAL
TAPE .................................................................................... 131
MICROPORE SURGICAL ........................... 131
MICROSPACER ...................................................... 131
MICROSPONGE ..................................................... 131
MICROZIDE ................................................................... 87
midazolam ............................................................. 13, 149
midazolam (pf) ............................................................... 13
midazolam (pf) in 0.9 % nacl .......................... 13
midazolam in 0.9 % nacl ..................................... 13
midodrine ............................................................................. 51
MIGERGOT ........................................................................ 9
MIGRAINE FORMULA ........................................ 9
MIGRAINE RELIEF .................................................. 9
MIGRANAL ....................................................................... 9
MILK OF MAGNESIA ..................................... 108
MILK OF MAGNESIA
CONCENTRATED ............................................... 108
milk thistle ...................................................................... 115
MILK THISTLE EXTRACT ...................... 115
milk thistle seed extract ..................................... 115
MILK THISTLE XTRA ................................... 115
MILLIPRED ................................................................. 119
MILLIPRED DP ....................................................... 119
milrinone .............................................................................. 60
milrinone in 5 % dextrose ................................... 60
MIMVEY ......................................................................... 119
MIMVEY LO .............................................................. 119
MINASTRIN 24 FE ................................................. 73
mineral oil ........................................................................ 108
MINERAL OIL HEAVY ................................ 169
MINERAL OIL LAXATIVE ...................... 108
MINI ULTRA-THIN II ..................................... 131
MINIPRESS ..................................................................... 65
MINIPRIN ............................................................................. 9
MINITRAN ....................................................................... 60
MINIVELLE ................................................................ 119
MINOCIN ........................................................................... 24
minocycline ....................................................................... 24
minoxidil .............................................................................. 65
MINTOX .......................................................................... 108
MINTOX MAXIMUM STRENGTH
...................................................................................................... 108
MINTOX PLUS ........................................................ 108
MIOCHOL-E ................................................................... 91
MI-OMEGA NF ........................................................ 174
MIOSTAT .......................................................................... 91
MIRAPEX .......................................................................... 45
MIRAPEX ER ................................................................ 45
MIRASORB .................................................................. 131
MIRCERA .......................................................................... 70
MIRCETTE (28) .......................................................... 73
mirtazapine ..................................................................... 146
MIRVASO ...................................................................... 157
misoprostol ..................................................................... 108
MISTASSIST .............................................................. 131
MITIGARE ....................................................................... 16
mitomycin ........................................................................... 43
mitoxantrone .................................................................... 43
MOBIC .................................................................................. 16
MOBISYL ....................................................................... 157
modafinil ........................................................................... 146
MODERIBA .................................................................... 48
MODERIBA DOSE PACK .............................. 48
MODICON (28) ........................................................... 73
moexipril .............................................................................. 65
moexipril-hydrochlorothiazide ...................... 65
MOISTURE RECOVERY ............................. 157
mometasone ................................................................... 157
MONAGHAN Z STAT CHAMBER
...................................................................................................... 131
MONAGHAN Z STAT CHAMBER-LG
MSK ...................................................................................... 131
MONAGHAN Z STAT CHAMBER-MD
MSK ...................................................................................... 131
MONAGHAN Z STAT CHAMBER-SM
MSK ...................................................................................... 131
MONOCLATE-P ........................................................ 58
MONOJECT INSULIN SAFETY
SYRING ............................................................................ 131
MONOJECT INSULIN SYRINGE ...... 131
MONOJECT SYRINGE ................................... 131
MONOJECT ULTRA COMFORT
INSULIN .......................................................................... 131
MONO-LINYAH ........................................................ 73
MONONESSA (28) .................................................. 73
MONONINE .................................................................... 58
montelukast ....................................................................... 18
MONUROL ...................................................................... 24
MORGIDOX ................................................................... 24
MORGIDOX 1X100 ............................................... 24
MORGIDOX 2X100 ............................................... 24
morphine .................................................................................. 9
morphine (pf) ...................................................................... 9
morphine concentrate ................................................. 9
morphine in 0.9 % nacl ............................................. 9
morrhuate sodium ....................................................... 65
MOTION RELIEF (MECLIZINE) ........ 108
MOTION SICKNESS ......................................... 108
MOTION SICKNESS (MECLIZINE)
...................................................................................................... 108
MOTION SICKNESS RELIEF ................. 108
MOTION-TIME ....................................................... 108
MOUTH RINSE ........................................................... 91
MOUTHPIECE .......................................................... 131
MOVANTIK .................................................................... 30
MOVIPREP ................................................................... 109
MOXATAG ...................................................................... 24
MOXEZA ........................................................................... 24
moxifloxacin .................................................................... 24
moxifloxacin-sod.ace,sul-water .................... 24
MOZOBIL .......................................................................... 70
MPM FOAM DRESSING .............................. 132
MS CONTIN ....................................................................... 9
MUCAPHED ................................................................... 80
MUCINEX ......................................................................... 80
MUCINEX ALLERGY ........................................ 36
MUCINEX COLD & SINUS ......................... 80
MUCINEX COLD-FLU & SORE
THROAT ............................................................................. 80
MUCINEX COUGH MINI-MELTS ....... 80
MUCINEX D .................................................................. 80
MUCINEX D MAXIMUM STRENGTH
......................................................................................................... 80
MUCINEX DM ............................................................ 80
MUCINEX FAST-MAX
COLD-FLU-THRT ................................................... 80
MUCINEX FAST-MAX COLD-SINUS
......................................................................................................... 80
MUCINEX FAST-MAX
CONGEST-COUGH ............................................... 80
MUCINEX FAST-MAX DAY-NITE
COLD ...................................................................................... 80
MUCINEX FAST-MAX DAY-NITE
CONG ..................................................................................... 80
MUCINEX FAST-MAX
DAY-NT(DOXYL) ................................................... 80
MUCINEX FAST-MAX DM MAX ....... 80
MUCINEX FAST-MAX NITE (DOXYL)
......................................................................................................... 80
MUCINEX FAST-MAX NITE
COLD-FLU ....................................................................... 80
MUCINEX FAST-MAX SEV
CLD-SINUS ..................................................................... 80
MUCINEX FAST-MAX SEVERE COLD
......................................................................................................... 80
MUCINEX FST-MX DY-NT CLD
(DPH) ...................................................................................... 81
MUCINEX FULL FORCE ............................... 91
MUCINEX MINI-MELTS ................................ 81
MUCINEX MOISTURE SMART ............ 91
MUCINEX SINUS-MAX .................................. 91
MUCINEX SINUS-MAX D-N
(DIPHEN) ........................................................................... 81
MUCINEX SINUS-MAX DY-NT
(DXYL) ................................................................................. 81
MUCINEX SINUS-MAX NITE
CONGEST ......................................................................... 81
MUCINEX SINUS-MAX
PRESSUR-PAIN ......................................................... 81
MUCINEX SINUS-MAX SEV
CONG(DM) ...................................................................... 81
MUCINEX SINUS-MAX SEV
CONGESTN .................................................................... 81
MUCOSA ........................................................................... 81
MUCOSA DM ............................................................... 81
MUCUS RELIEF ........................................................ 81
MUCUS RELIEF COLD & SINUS ........ 81
MUCUS RELIEF COLD-FLU-SORE
THR ........................................................................................... 81
MUCUS RELIEF COUGH ............................... 81
MUCUS RELIEF DM ............................................ 81
MUCUS RELIEF ER .............................................. 81
MUCUS RELIEF PE ............................................... 81
MUCUS RELIEF SEV
CONGEST-COLD ..................................................... 81
MUCUS RELIEF SINUS ................................... 81
MULTAQ ........................................................................... 60
MULTIPURPOSE CONTACT LENS
...................................................................................................... 132
MULTI-PURPOSE SOFT CONTACT
LEN ........................................................................................ 132
MULTI-SYMPTOM COLD (PE) .............. 81
MULTI-SYMPTOM COLD NIGHT
TIME ........................................................................................ 81
MULTITRACE-4 ....................................................... 98
MULTITRACE-4 CONCENTRATE ..... 98
MULTITRACE-4 NEONATAL ................. 98
MULTITRACE-4 PEDIATRIC ................... 98
MULTITRACE-5 ....................................................... 98
198
Index
Index
Index
MULTITRACE-5 CONCENTRATE ..... 98
MULTI-VIT WITH FLUORIDE & IRON
...................................................................................................... 174
MULTIVITAMIN WITH FLUORIDE
...................................................................................................... 174
MULTI-VITAMIN WITH FLUORIDE
...................................................................................................... 174
MULTIVITAMINS WITH FLUORIDE
...................................................................................................... 174
multivit-min-iron fum-folic ac .................... 174
mupirocin ............................................................................. 24
mupirocin calcium ...................................................... 24
MURI-LUBE ................................................................ 169
MURO 128 ........................................................................ 91
MUSCLE RUB .......................................................... 157
MUSCLE RUB (WITH CAMPHOR)
...................................................................................................... 157
MUSCLE RUB ULTRA-STRENGTH
...................................................................................................... 157
mustard oil ...................................................................... 169
MUSTARGEN .............................................................. 43
MVC-FLUORIDE .................................................. 174
MY WAY ............................................................................ 73
MYALEPT ..................................................................... 119
MYAMBUTOL ............................................................ 24
MYCAMINE ................................................................... 31
MYCOBUTIN ................................................................ 24
mycophenolate mofetil ....................................... 121
mycophenolate sodium ....................................... 121
MYDRIACYL ................................................................ 91
MYFORTIC .................................................................. 121
MYLERAN ....................................................................... 43
MYOBLOC ....................................................................... 51
MYOCHRYSINE ....................................................... 16
MYOFLEX .................................................................... 157
MYORISAN ................................................................. 157
MYOZYME .................................................................. 169
myrrh .................................................................................... 115
MYSOLINE ...................................................................... 69
MYTAB GAS .............................................................. 109
MYTAB GAS MAXIMUM STRENGTH
...................................................................................................... 109
MYZILRA .......................................................................... 73
NABI-HB ............................................................................ 56
nabumetone ....................................................................... 16
nadolol .................................................................................... 65
nadolol-bendroflumethiazide ........................... 65
nafcillin .................................................................................. 25
nafcillin in dextrose iso-osm ............................ 25
naftifine ................................................................................. 31
NAFTIN ................................................................................ 31
NAGLAZYME .......................................................... 169
nalbuphine .............................................................................. 9
NALFON ............................................................................. 16
naloxone ................................................................................ 30
naltrexone ............................................................................ 30
NAMENDA ...................................................................... 69
NAMENDA TITRATION PAK .................. 69
NAMENDA XR ........................................................... 69
NAMZARIC .................................................................... 69
naphazoline ........................................................................ 91
NAPHCON-A ................................................................. 91
NAPRELAN CR .......................................................... 16
NAPRELAN CR DOSE CARD ................... 16
NAPROSYN .................................................................... 16
naproxen ............................................................................... 16
naproxen sodium .......................................................... 16
naratriptan .............................................................................. 9
NARDIL ........................................................................... 146
NAROPIN (PF) ............................................................. 13
NASACORT AQ ......................................................... 91
NASAL ALLERGY ................................................. 91
NASAL DECONGESTANT
(OXYMETAZL) .......................................................... 91
NASAL DECONGESTANT (PE) ............. 81
NASAL DECONGESTANT
(PSEUDOEPH) ............................................................. 81
NASAL FOUR .............................................................. 91
NASAL SPRAY (OXYMETAZOLINE)
......................................................................................................... 91
NASAL SPRAY 12 HOUR .............................. 91
NASAL SPRAY EXTRA
MOISTURIZING ........................................................ 91
NASAL SPRAY LONG ACTING ............ 91
NASAL SPRAY SINUS ...................................... 91
NASAL SPRAY X-MOIST ............................. 91
NASCOBAL ................................................................. 174
NASONEX ........................................................................ 91
NASOPEN PE ................................................................ 33
NATA KOMPLETE ............................................. 140
NATACYN ....................................................................... 32
NATAFORT (NEW FORMULA 2011)
...................................................................................................... 140
nateglinide .......................................................................... 38
NATELLE ONE ....................................................... 140
NATESTO ...................................................................... 119
NATPARA ..................................................................... 119
NATRECOR .................................................................... 65
NATROBA .................................................................... 157
NATURAL BALANCE ....................................... 91
NATURAL CARE BANDAGES ........... 132
NATURAL FIBER LAXATIVE ............. 109
(SUGAR) .......................................................................... 109
THERAPY ...................................................................... 109
NATURAL HERBAL DIURETIC ........ 115
NATURAL VEG
LAXATIVE(SENNOSID) .............................. 109
NATURE'S TEARS ................................................. 91
NATURE'S WASH PLUS WHIRLPOOL
...................................................................................................... 157
NAVELBINE .................................................................. 43
NEBUPENT ..................................................................... 39
NECON 0.5/35 (28) .................................................. 73
NECON 1/35 (28) ....................................................... 73
NECON 1/50 (28) ....................................................... 73
NECON 10/11 (28) ................................................... 73
NECON 7/7/7 (28) ..................................................... 73
NEEDLE-PRO EDGE ........................................ 132
nefazodone ...................................................................... 146
NEO AC ............................................................................... 81
NEO DM .............................................................................. 81
NEO-FRADIN ............................................................... 25
neomycin .............................................................................. 25
neomycin-bacitracin-poly-hc ........................... 25
neomycin-bacitracin-polymyxin .................. 25
neomycin-polymyxin b gu .............................. 157
neomycin-polymyxin b-dexameth ............. 25
neomycin-polymyxin-gramicidin ............... 25
neomycin-polymyxin-hc ...................................... 25
NEO-POLYCIN HC ................................................ 25
NEOPROFEN (IBUPROFEN LYSN)(PF)
......................................................................................................... 65
NEORAL .......................................................................... 121
NEOSPORIN
(NEO-POLYM-GRAMICID) ........................ 25
NEOSPORIN DAILY BODY .................... 157
NEOSPORIN GU IRRIGANT .................. 157
neostigmine methylsulfate ................................. 51
NEO-SYNALAR ......................................................... 25
NEO-SYNALAR KIT ............................................ 25
NEPHPLEX RX ........................................................ 174
NEPHRAMINE 5.4 % ........................................... 98
NEPHROCAPS ......................................................... 174
NEPHRON FA .............................................................. 98
NEPHRONEX-SL .................................................. 174
NEPTAZANE ................................................................. 87
NESACAINE .................................................................. 13
NESACAINE-MPF ................................................... 13
NESINA ................................................................................ 38
NESSI SPACER ....................................................... 132
NESTABS ....................................................................... 140
NESTABS ABC ........................................................ 140
NESTABS DHA ....................................................... 140
NESTLE FLAVOR ............................................... 169
NEUAC .............................................................................. 157
NEUAC KIT ................................................................. 157
NEULASTA ..................................................................... 70
NEUMEGA ....................................................................... 70
NEUPOGEN .................................................................... 70
NEUPRO ............................................................................. 45
NEURONTIN ................................................................. 69
NEUT ...................................................................................... 98
NEUTROGENA RAINBATH ................... 157
NEUTROGENA TONER ............................... 157
NEVANAC ....................................................................... 91
nevirapine ............................................................................ 48
NEW GENERATION ......................................... 132
NEXA PLUS ................................................................ 140
NEXA SELECT ........................................................ 140
NEXAVAR ....................................................................... 43
NEXCARE GENTLE PAPER TAPE
...................................................................................................... 132
NEXCARE TEGADERM .............................. 132
NEXIUM IV ................................................................. 109
NEXIUM PACKET .............................................. 109
NEXPLANON ............................................................... 73
NEXT CHOICE ............................................................ 73
NEXT CHOICE ONE DOSE ......................... 73
NEXTERONE ................................................................ 60
niacin .................................................................................... 174
NIACIN-AZE AC-TURMER-FA-B6-ZN
...................................................................................................... 169
NIACOR .............................................................................. 65
NIASPAN EXTENDED-RELEASE ...... 65
NICADAN ...................................................................... 169
nicardipine .......................................................................... 60
NICODERM CQ ...................................................... 162
NICOMIDE ................................................................... 174
NICOMIDE (SELENIUM-CHROMIUM)
...................................................................................................... 174
NICORELIEF .............................................................. 162
NICORETTE ................................................................ 162
nicotine ............................................................................... 162
nicotine (polacrilex) .............................................. 162
NICOTROL ................................................................... 162
NICOTROL NS ......................................................... 162
199
Index
Index
Index
NIFEDICAL XL .......................................................... 60
nifedipine ............................................................................. 60
NIGHT TIME (DOXY-DM-ACETAM)
......................................................................................................... 81
NIGHT TIME COLD ............................................. 81
NIGHT TIME COLD & FLU RELIEF
......................................................................................................... 81
NIGHT TIME COLD-FLU ............................... 81
NIGHT TIME COLD-FLU RELIEF ...... 81
NIGHT-TIME ................................................................. 81
NIGHTTIME COLD-FLU ................................ 81
NIGHTTIME COLD-FLU RELIEF ........ 81
NIGHTTIME COUGH .......................................... 81
NIGHTTIME SINUS .............................................. 81
NIGHTTIME SLEEP AID (DIPHEN)
...................................................................................................... 149
NILANDRON ................................................................ 43
NIMBEX .............................................................................. 51
nimodipine .......................................................................... 60
NINJACOF ........................................................................ 81
NINJACOF-A ................................................................. 82
NINJACOF-XG ............................................................ 82
NIPENT ................................................................................ 43
NIRAVAM ..................................................................... 146
NIRON KOMPLETE .............................................. 98
nisoldipine .......................................................................... 61
NITE TIME ....................................................................... 82
NITE TIME COLD-FLU RELIEF ............ 82
NITE TIME COUGH ............................................. 82
NITE TIME-D COLD-FLU RELIEF ..... 82
NITE-TIME COLD-FLU .................................... 82
NITRATEST PAPER ............................................. 86
NITRATEST PAPER WITH
DISPENSER .................................................................... 86
NITRO-BID ...................................................................... 61
NITRO-DUR ................................................................... 61
nitrofurantoin ................................................................... 25
nitrofurantoin macrocrystal ............................... 25
nitrofurantoin monohyd/m-cryst .................. 25
nitroglycerin ...................................................................... 61
nitroglycerin in 5 % dextrose .......................... 61
NITROLINGUAL ...................................................... 61
NITROMIST .................................................................... 61
NITROPRESS ................................................................ 65
NITROSTAT ................................................................... 61
NITRO-TIME ................................................................. 61
NIVA-FOL ..................................................................... 174
NIVA-HIST DM .......................................................... 82
NIVANEX DMX ........................................................ 82
NIVA-PLUS ................................................................. 140
nizatidine .......................................................................... 109
NIZORAL ........................................................................... 32
NO DOZ ............................................................................... 69
NO DRIP ............................................................................. 91
NO STING BARRIER FILM ...................... 157
NODOLOR ........................................................................... 9
NOHIST-DM ................................................................... 82
NOHIST-LQ .................................................................... 33
non-adherent bandage .......................................... 132
NON-ADHESIVE PAD .................................... 132
NON-ASA EX ST PAIN/SLEEP AID ..... 3
NON-ASPIRIN ................................................................. 9
NON-ASPIRIN EXTRA STRENGTH .... 9
NON-ASPIRIN NIGHTIME .............................. 3
NON-ASPIRIN PAIN RELIEF ....................... 9
NON-ASPIRIN PM ..................................................... 3
NON-DROWSY ALLERGY .......................... 36
NONI .................................................................................... 115
NON-STICK DRESSINGS ........................... 132
NON-STICK PAD .................................................. 132
NORA-BE .......................................................................... 73
NORCO .................................................................................... 9
NORDITROPIN FLEXPRO ........................ 119
NORDITROPIN NORDIFLEX ................ 119
NOREL AD ...................................................................... 82
NOREL CS ........................................................................ 82
norepinephrine bitartrate ...................................... 51
noreth-ethinyl estradiol-iron ............................. 73
norethindrone (contraceptive) ......................... 73
norethindrone acetate ........................................... 119
norethindrone ac-eth estradiol ........... 73, 119
norethindrone-e.estradiol-iron ........................ 73
norgestimate-ethinyl estradiol ........................ 73
NORINYL 1+35 (28) .............................................. 73
NORINYL 1+50 (28) .............................................. 74
NORITATE ................................................................... 157
NORLYROC ................................................................... 74
NORMOSOL-M IN 5 % DEXTROSE
......................................................................................................... 98
NORMOSOL-R ............................................................ 98
NORMOSOL-R IN 5 % DEXTROSE
......................................................................................................... 98
NORMOSOL-R PH 7.4 ........................................ 98
NORPACE ......................................................................... 61
NORPACE CR .............................................................. 61
NORPRAMIN ............................................................. 146
NOR-QD .............................................................................. 74
NORTHERA .................................................................... 51
NORTREL 0.5/35 (28) .......................................... 74
NORTREL 1/35 (21) ............................................... 74
NORTREL 1/35 (28) ............................................... 74
NORTREL 7/7/7 (28) ............................................. 74
nortriptyline ................................................................... 146
NORVASC ........................................................................ 61
NORVIR .............................................................................. 48
NOSE DROPS ............................................................... 91
NOSE DROPS EXTRA STRENGTH ... 91
NO-STICK GLUCOSE ........................................ 86
NO-STING SKIN-PREP .................................. 132
NOVOEIGHT ................................................................. 58
NOVOFINE 30 .......................................................... 132
NOVOFINE 32 .......................................................... 132
NOVOFINE AUTOCOVER ........................ 132
NOVOFINE PLUS ................................................. 132
NOVOLIN 70/30 ......................................................... 38
NOVOLIN N ................................................................... 38
NOVOLIN R ................................................................... 38
NOVOLOG ....................................................................... 38
NOVOLOG FLEXPEN ........................................ 38
NOVOLOG MIX 70-30 ....................................... 38
NOVOLOG MIX 70-30 FLEXPEN ........ 38
NOVOLOG PENFILL ........................................... 39
NOVOSEVEN RT ..................................................... 58
NOVOTWIST ............................................................. 132
NOXAFIL ........................................................................... 32
NP THYROID ............................................................ 162
NPLATE .............................................................................. 70
NRS NASAL RELIEF ........................................... 91
NU-COPD .......................................................................... 82
NUCYNTA ........................................................................... 9
NUCYNTA ER ................................................................. 9
NUEDEXTA .................................................................... 69
NULECIT ........................................................................... 98
NULEV .............................................................................. 109
NULOJIX ........................................................................ 121
NULYTELY WITH FLAVOR PACKS
...................................................................................................... 109
NUPERCAINAL ......................................................... 13
nutmeg oil ........................................................................ 169
NUTRESTORE ............................................................. 98
NUTRILIPID ............................................................... 109
NUTRILYTE ................................................................... 98
NUTRILYTE II ............................................................ 98
NUTRI-TAB OB ...................................................... 140
NUTRI-TAB OB + DHA ................................ 140
NUTRITIONAL SHAKE ................................... 98
NUTRITIONAL SHAKE PLUS ................. 98
NUTROPIN ................................................................... 119
NUTROPIN AQ ........................................................ 119
NUTROPIN AQ NUSPIN .............................. 119
NUVARING .................................................................... 74
NUVESSA ......................................................................... 25
NUVIGIL ......................................................................... 146
NYAMYC .......................................................................... 32
NYMALIZE ..................................................................... 61
NYQUIL D ........................................................................ 82
nystatin ................................................................................... 32
nystatin-triamcinolone ............................................ 32
NYSTOP .............................................................................. 32
NYTOL .............................................................................. 149
OATMEAL BATH REGULAR ............... 157
OB COMPLETE ...................................................... 140
OB COMPLETE 400 ........................................... 140
OB COMPLETE ONE ....................................... 140
OB COMPLETE PETITE ............................... 140
OB COMPLETE PREMIER ........................ 140
OB COMPLETE WITH DHA ................... 140
OBIZUR ............................................................................... 58
O-CAL FA ...................................................................... 140
O-CAL PRENATAL ............................................ 140
OCTAGAM ...................................................................... 56
octreotide acetate ...................................................... 119
OCUFEN ............................................................................. 91
OCUFLOX ........................................................................ 25
OCUSOFT FACIAL-SKIN CLEANSER
...................................................................................................... 157
ODOMZO ........................................................................... 43
ODOR ELIMINATOR DROPS ............... 157
ODOR FREE GARLIC ..................................... 115
ODORLESS GARLIC ........................................ 115
OFEV ................................................................................... 169
ofloxacin ............................................................................... 25
OGESTREL (28) ......................................................... 74
olanzapine ........................................................................ 146
olanzapine-fluoxetine .......................................... 146
oleic acid ........................................................................... 169
OLEPTRO ER ............................................................ 146
olopatadine ......................................................................... 91
OLUX .................................................................................. 157
OLUX-E ............................................................................ 157
OLYSIO ................................................................................ 48
OMECLAMOX-PAK ......................................... 109
omega-3 acid ethyl esters ................................. 109
OMEGA-3 IQ CHILDREN'S ...................... 169
omeprazole ...................................................................... 109
omeprazole magnesium ..................................... 109
OMIDRIA ........................................................................... 91
OMNARIS ......................................................................... 91
200
Index
Index
Index
OMNIPAQUE 140 .................................................... 86
OMNIPAQUE 180 .................................................... 86
OMNIPAQUE 240 .................................................... 86
OMNIPAQUE 300 .................................................... 86
OMNIPAQUE 350 .................................................... 86
OMNIPRED ..................................................................... 91
OMNISCAN .................................................................... 86
OMNISCAN PREFILL PLUS ...................... 86
OMNITROPE .............................................................. 119
ONCASPAR .................................................................... 43
ondansetron .................................................................... 109
ondansetron (pf) in dextrose ......................... 109
ondansetron hcl .......................................................... 109
ondansetron hcl (pf) ............................................... 109
ONE FLOW SPIROMETER PC CABLE
...................................................................................................... 132
ONE FLOW SPIROMETER
SOFTWARE ................................................................. 132
ONE FLOW TESTER MOUTHPIECE
...................................................................................................... 132
ONE FLOW TESTER SPIROMETER
...................................................................................................... 132
ONE STEP AT A TIME ................................... 132
ONE WAY VALVED MOUTHPIECE
...................................................................................................... 132
ONEXTON .................................................................... 157
ONFI ........................................................................................ 69
ONGLYZA ........................................................................ 39
ONMEL ................................................................................ 32
ONTAK ................................................................................. 43
OPANA .................................................................................... 9
OPANA ER .......................................................................... 9
OPCICON ONE-STEP .......................................... 74
OPDIVO ............................................................................... 43
opium tincture .............................................................. 109
OPSITE .............................................................................. 132
OPSITE ADHESIVE DRESSING ......... 132
OPSITE FLEXIFIX ............................................... 132
OPSITE FLEXIGRID ......................................... 132
OPSITE FLEXIGRID DRESSING ....... 132
OPSITE IV 3000 ...................................................... 132
OPSUMIT ........................................................................... 65
OPTICHAMBER ADULT
MASK-LARGE ......................................................... 132
OPTICHAMBER ADVANTAGE ......... 132
OPTICHAMBER ADVANTAGE-LG
MASK ................................................................................. 132
OPTICHAMBER ADVANTAGE-MED
MASK ................................................................................. 132
OPTICHAMBER ADVANTAGE-SML
MSK ...................................................................................... 132
OPTICHAMBER DIAMOND LG MASK
...................................................................................................... 132
OPTICHAMBER DIAMOND VHC ... 132
OPTICHAMBER DIAMOND-MED
MSK ...................................................................................... 132
OPTICHAMBER DIAMOND-SML
MASK ................................................................................. 132
OPTICHAMBER LARGE FACE MASK
...................................................................................................... 132
OPTICHAMBER MEDIUM FACE
MASK ................................................................................. 132
OPTICHAMBER SMALL FACE MASK
...................................................................................................... 132
OPTI-CLEAR ................................................................. 91
OPTI-FREE ................................................................... 133
OPTI-FREE EXPRESS ..................................... 133
OPTI-FREE REPLENISH .............................. 133
OPTI-FREE REWETTING DROPS .... 133
OPTIHALER DRUG DELIVERY
SYSTEM .......................................................................... 133
OPTISON ............................................................................ 86
OPTIVAR ........................................................................... 36
ORACEA ............................................................................. 25
ORACIT ............................................................................... 98
ORAL MIX .................................................................... 169
ORAL MIX SF ........................................................... 169
ORAL PAIN RELIEF ............................................ 13
ORAL PEROXIDE ................................................ 157
ORAL SUSPEND ................................................... 169
ORAL SYRUP ........................................................... 169
ORAL SYRUP SF .................................................. 169
ORALAIR .......................................................................... 56
ORALONE ..................................................................... 169
orange .................................................................................. 169
ORANGE CONCENTRATE ...................... 169
orange oil .......................................................................... 169
ORAP ................................................................................... 146
ORA-PLUS .................................................................... 169
ORAPRED ..................................................................... 119
ORAPRED ODT ...................................................... 119
ORASEP .............................................................................. 13
ORA-SWEET .............................................................. 169
ORA-SWEET SF ..................................................... 169
ORAVIG .............................................................................. 32
ORBACTIV ...................................................................... 25
ORENCIA .......................................................................... 16
ORENCIA (WITH MALTOSE) .................. 16
ORENITRAM ................................................................ 65
ORFADIN ....................................................................... 169
ORGAN-I NR ................................................................. 82
ORIGINAL NASAL SPRAY ......................... 91
ORKAMBI ..................................................................... 169
orphenadrine citrate ............................................... 138
ORSINI INSULIN SYRINGE .................... 133
ORSYTHIA ...................................................................... 74
ORTHO ALL-FLEX FITTING SET ...... 74
......................................................................................................... 74
......................................................................................................... 74
......................................................................................................... 74
......................................................................................................... 74
ORTHO EVRA ............................................................. 74
ORTHO MICRONOR ........................................... 74
ORTHO TRI-CYCLEN (28) ........................... 74
ORTHO-CEPT (28) .................................................. 74
ORTHOCLONE OKT3 ..................................... 121
ORTHO-CYCLEN (28) ....................................... 74
ORTHO-NOVUM 1/35 (28) ........................... 74
ORTHO-NOVUM 7/7/7 (28) ......................... 74
OSCIMIN ........................................................................ 109
OSCIMIN SL ............................................................... 109
OSCIMIN SR ............................................................... 109
OSENI .................................................................................... 39
OSMITROL 10 % ...................................................... 87
OSMITROL 15 % ...................................................... 87
OSMITROL 20 % ...................................................... 87
OSMITROL 5 % .......................................................... 87
OSMOPREP ................................................................. 109
OSPHENA ...................................................................... 169
OTEZLA .............................................................................. 16
OTEZLA STARTER ............................................... 16
OTIC CARE (ANTIPYRINE) ....................... 91
OTOZIN ............................................................................... 91
OVACE .............................................................................. 157
OVACE PLUS ............................................................ 157
OVACE PLUS SHAMPOO ......................... 157
OVACE PLUS WASH ...................................... 157
OVCON-35 (28) ........................................................... 74
OVIDE ................................................................................ 157
oxacillin ................................................................................. 25
oxacillin in dextrose(iso-osm) ........................ 25
oxaliplatin ........................................................................... 43
oxandrolone ................................................................... 120
oxaprozin ............................................................................. 16
oxazepam .......................................................................... 146
oxcarbazepine ................................................................. 69
OXECTA ................................................................................ 9
OXISTAT ........................................................................... 32
OXSORALEN ............................................................ 157
OXSORALEN ULTRA .................................... 157
OXTELLAR XR .......................................................... 69
oxybutynin chloride ............................................... 169
oxycodone .................................................................... 9, 10
oxycodone-acetaminophen ................................ 10
oxycodone-aspirin ...................................................... 10
OXYCONTIN ................................................................ 10
oxymorphone ................................................................... 10
oxytocin ............................................................................. 120
OXYTROL ..................................................................... 169
OYSTERCAL-D .......................................................... 98
OZURDEX ........................................................................ 91
PACERONE ..................................................................... 61
paclitaxel .............................................................................. 43
PACNEX HP ................................................................ 157
PACNEX LP ................................................................ 157
PACNEX MX .............................................................. 157
PAIN & FEVER ........................................................... 10
PAIN FREE TAPE ................................................. 133
PAIN FREE WRAP .............................................. 133
PAIN RELIEF ................................................................ 10
PAIN RELIEF
ALCOHOL-BENZOCAINE ........................... 40
PAIN RELIEF ALLERGY SINUS .......... 82
PAIN RELIEF ANESTHETIC ..................... 14
PAIN RELIEF COLD ............................................ 82
PAIN RELIEF COLD & COUGH ............ 82
PAIN RELIEF EXTRA STRENGTH .... 10
PAIN RELIEF INSTANT ANTISEPTIC
...................................................................................................... 158
PAIN RELIEF PM ........................................................ 3
PAIN RELIEF PM RAPID RELEASE .... 3
PAIN RELIEF REGULAR STRENGTH
......................................................................................................... 10
PAIN RELIEF SINUS PE .................................. 82
PAIN RELIEVER ....................................................... 10
PAIN RELIEVER AM/PM .................................. 3
PAIN RELIEVER EXTRA STRENGTH
......................................................................................................... 10
PAIN RELIEVER PLUS ..................................... 10
PAIN RELIEVER PM ............................................... 3
PAIN RELIEVER PM EX ST ........................... 3
PAIN RELIEVER PM EX-STRENGTH
............................................................................................................ 3
PAIN RELIEVING (MENTHOL) ......... 158
201
Index
Index
Index
PAIN RELIEVING RUB ................................ 158
PAIRE OB PLUS DHA .................................... 140
paliperidone ................................................................... 146
PAMELOR ..................................................................... 147
pamidronate ................................................................... 169
PAMINE ........................................................................... 109
PAMINE FORTE .................................................... 109
PANCREAZE ............................................................. 109
PANCRELIPASE 5000 ..................................... 109
pancuronium ..................................................................... 51
PANDA MASK ......................................................... 133
PANDEL .......................................................................... 158
PANHEMATIN ......................................................... 169
PANOXYL ..................................................................... 158
PANOXYL-4 ............................................................... 158
PANRETIN ....................................................................... 43
PANTILINERS .......................................................... 133
pantoprazole .................................................................. 109
papaverine ........................................................................... 65
PAPER FIRST AID TAPE ............................ 133
PAPER TAPE .............................................................. 133
PAPER TAPE, HYPOALLERGENIC
...................................................................................................... 133
paraffin ................................................................................ 169
PARAFON FORTE DSC ................................ 139
PARAGARD T 380A ............................................. 74
PARCOPA ......................................................................... 46
paregoric ........................................................................... 109
PAREMYD ....................................................................... 91
paricalcitol ......................................................... 169, 170
PARNATE ...................................................................... 147
paromomycin ................................................................... 40
paroxetine hcl ............................................................... 147
PASER ................................................................................... 25
PATADAY ........................................................................ 36
PATANASE ..................................................................... 91
PATANOL ......................................................................... 36
PAXIL ................................................................................. 147
PAXIL CR ...................................................................... 147
PAZEO .................................................................................. 36
PCCA-PLUS BASE .............................................. 170
PCE ............................................................................................ 25
PEANUT BUTTER FLAVOR .................. 170
PEDIA RELIEF COUGH-COLD .............. 82
PEDIADERM AF ....................................................... 32
PEDIADERM HC ................................................... 158
PEDIADERM TA ................................................... 158
PEDIA-LAX ................................................................. 109
PEDIA-LAX STOOL SOFTENER ....... 109
PEDIAPRED ................................................................ 120
PEDIARIX (PF) ........................................................... 56
PEDIATRIC COUGH & COLD ................. 82
PEDIATRIC ELECTROLYTE .................... 98
PEDIATRIC MEDIUM MASK ............... 133
PEDIATRIC PANDA MASK .................... 133
PEDIATRIC SMALL MASK ..................... 133
PEDIAVENT ................................................................... 36
PEDI-BORO SOAK ............................................. 158
PEDI-PRE ....................................................................... 133
PEDI-PRE TAPE SPRAY .............................. 133
PEDI-SKIN ADHERENT #2 ...................... 133
PEDITRACE ................................................................... 98
PEDVAX HIB (PF) .................................................. 56
peg 3350-electrolytes ........................................... 109
PEG3350 ........................................................................... 109
PEG-3350 WITH FLAVOR PACKS
PHAZYME .................................................................... 110
PHENACTIN AA PLUS 20 PE ................... 98
PHENADOZ ................................................................. 110
PHENASEPTIC ........................................................... 14
phenazopyridine ............................................................ 14
phenelzine ........................................................................ 147
PHENERGAN .................................................. 36, 110
phenobarb-hyoscy-atropine-scop ............. 110
phenobarbital ................................................................ 149
phenobarbital sodium ........................................... 149
phenoxybenzamine .................................................... 51
phenylephrine hcl .............................................. 65, 91
phenylephrine hcl in 0.9% nacl ..................... 65
PHENYLHISTINE DH ........................................ 82
PHENYTEK ..................................................................... 69
phenytoin ............................................................................. 69
phenytoin sodium ........................................................ 69
phenytoin sodium extended .............................. 69
PHILITH .............................................................................. 74
PHISOHEX .................................................................... 158
PHOSLO .............................................................................. 98
PHOSLYRA ..................................................................... 98
PHOSPHA 250 NEUTRAL ............................. 98
PHOSPHATE LAXATIVE ........................... 110
PHOSPHOLINE IODIDE .................................. 91
PHRENILIN FORTE .............................................. 10
PHYSICIANS EZ USE FLU 2012-13
......................................................................................................... 56
PHYSIOLYTE ............................................................ 158
PHYSIOSOL IRRIGATION ....................... 158
physostigmine salicylate ...................................... 51
PHYTOFUSION ...................................................... 115
phytonadione ................................................................ 174
PICATO ...................................................................... 43, 44
pilocarpine hcl ...................................................... 51, 92
pimozide ............................................................................ 147
PIMTREA (28) .............................................................. 74
pindolol .................................................................................. 65
pine tar (bulk) .............................................................. 158
PINK BISMUTH ..................................................... 110
PINK BISMUTH MAXIMUM
STRENGTH .................................................................. 110
PINNACAINE ............................................................... 92
pioglitazone ....................................................................... 39
piperacillin-tazobactam ......................................... 25
PIRMELLA ....................................................................... 74
piroxicam ............................................................................. 16
PITOCIN .......................................................................... 120
PITRESSIN .................................................................... 120
PLAQUENIL ................................................................... 40
PLASBUMIN 25 % .................................................. 58
PLASBUMIN 5 % ..................................................... 58
PLASMA-LYTE 148 .............................................. 98
PLASMA-LYTE A ................................................... 98
PLASMA-LYTE-56 IN 5 % DEXTROSE
......................................................................................................... 98
PLASMANATE ........................................................... 58
PLASTIC STRIPS .................................................. 133
PLASTIC SWABS ................................................. 133
PLAVIX ................................................................................ 46
PLEGISOL ........................................................................ 61
PLEGRIDY ....................................................................... 69
PLETAL ............................................................................... 46
PLIAGLIS .......................................................................... 14
PLURATUSS .................................................................. 82
PNEUMOVAX 23 ..................................................... 56
202
109
PEGANONE .................................................................... 69
PEGASYS .......................................................................... 48
PEGASYS PROCLICK ........................................ 48
peg-electrolyte soln ................................................ 109
PEGINTRON .................................................................. 48
PEGINTRON REDIPEN .................................... 48
PEN NEEDLE ............................................................ 133
pen needle, diabetic ............................................... 133
penicillin g pot in dextrose ................................ 25
penicillin g potassium ............................................. 25
penicillin g procaine ................................................. 25
penicillin g sodium .................................................... 25
penicillin v potassium ............................................. 25
PENLAC .............................................................................. 32
PENNSAID .................................................................... 158
PENTACEL (PF) ........................................................ 56
PENTACEL ACTHIB COMPONENT
(PF) ............................................................................................ 56
PENTACEL DTAP-IPV COMPNT (PF)
......................................................................................................... 56
PENTAM ............................................................................. 40
PENTASA ....................................................................... 109
pentazocine-acetaminophen .............................. 10
pentazocine-naloxone ............................................. 10
PENTIPS .......................................................................... 133
pentoxifylline ................................................................... 58
PENTRAVAN ............................................................ 170
PEPCID .............................................................................. 109
PEPCID COMPLETE ......................................... 109
PEPPERMINT FLAVORING .................... 170
peppermint oil .............................................................. 115
peppermint spirit ....................................................... 115
PEPTIC RELIEF ...................................................... 110
PEPTO-BISMOL ..................................................... 110
PEPTO-BISMOL MAX ST .......................... 110
PEPTO-BISMOL TO-GO .............................. 110
PERCOCET ...................................................................... 10
PERCODAN .................................................................... 10
PERDIEM OVERNIGHT RELIEF ....... 110
PERFOROMIST .......................................................... 18
PERI-COLACE ......................................................... 110
PERIFRESH ................................................................. 158
PERIGIENE .................................................................. 158
PERIGUARD .............................................................. 158
PERIKABIVEN ............................................................ 98
perindopril erbumine ............................................... 65
PERISCENT ................................................................. 158
PERJETA ............................................................................ 43
permethrin ....................................................................... 158
perphenazine ................................................................. 147
perphenazine-amitriptyline ............................ 147
PERSANTINE ............................................................... 46
PERTZYE ....................................................................... 110
PETADOLEX ............................................................. 115
PETADOLEX 75 ..................................................... 115
PETROLATUM GAUZE ................................ 133
petrolatum, yellow (bulk) ................................ 170
PETROLEUM JELLY ....................................... 170
PETROLEUM JELLY, WHITE ............... 170
PEXEVA .......................................................................... 147
PFIZERPEN-G .............................................................. 25
PFLEX INSPIRATORY TRAINER .... 133
PHARBEDRYL ........................................................... 36
PHARBETOL ................................................................. 10
......................................................................................................
Index
Index
Index
PNV 29-1 ......................................................................... 140
PNV FOLIC ACID + IRON ......................... 140
PNV OB+DHA .......................................................... 140
PNV-DHA ....................................................................... 140
PNV-FERROUS
FUMARATE-DOCU-FA ................................ 140
PNV-FIRST ................................................................... 140
PNV-SELECT ............................................................. 140
PNV-VP-U ...................................................................... 140
POCKET CHAMBER ........................................ 133
PODOCON .................................................................... 158
podofilox ........................................................................... 158
POLOCAINE .................................................................. 14
POLOCAINE-MPF ................................................... 14
POLY HIST DHC ...................................................... 82
POLY HIST FORTE (DOXYLAMINE)
......................................................................................................... 34
POLY HIST NC ........................................................... 82
POLY HIST PD .................................................. 34, 82
POLYCIN ........................................................................... 25
polyethylene glycol 3350 ................................. 110
polyethylene glycol 8000(bulk) ................. 170
POLY-HIST DM (THONZYLAMINE)
......................................................................................................... 82
polymyxin b sulfate ................................................... 25
polymyxin b sulf-trimethoprim ..................... 25
polyoxyl 40 stearate ............................................... 170
polyoxyl 40 stearate (bulk) ............................. 170
POLYSACCHARIDE IRON .......................... 98
POLYSKIN II .............................................................. 133
polysorbate 40 ............................................................. 170
polysorbate 60 ............................................................. 170
polysorbate 80 ............................................................. 170
POLYTRIM ...................................................................... 25
POLY-TUSSIN ............................................................. 82
POLY-TUSSIN AC .................................................. 82
POLY-TUSSIN D ....................................................... 82
POLY-TUSSIN EX .................................................. 82
POLY-VENT DM ...................................................... 82
POLY-VENT IR .......................................................... 82
POMALYST .................................................................... 44
pomegranate fruit extract ................................. 115
POMEGRANATE-EGCG & GRAPE
SEED .................................................................................... 116
PONSTEL ........................................................................... 10
PONTOCAINE (PF) ................................................ 14
PORTIA ................................................................................ 74
pot & sod citrate-citric acid ............................... 98
potassium acetate ......................................................... 99
potassium bicarb and chloride ........................ 99
potassium bicarb-citric acid .............................. 99
potassium chlorid-d5-0.45%nacl ................. 99
potassium chloride ..................................................... 99
potassium chloride in 0.9%nacl .................... 99
potassium chloride in 5 % dex ....................... 99
potassium chloride in lr-d5 ................................ 99
potassium chloride-0.45 % nacl .................... 99
potassium chloride-d5-0.2%nacl ................. 99
potassium citrate ........................................................... 99
potassium citrate-citric acid .............................. 99
potassium gluconate ................................................. 99
potassium phosphate m-/d-basic .................. 99
POTIGA ................................................................................ 69
povidone-iodine ......................................................... 158
POWER CLEANER ............................................. 133
PR NATAL 400 ......................................................... 140
PR NATAL 400 EC .............................................. 140
PR NATAL 430 ......................................................... 140
PR NATAL 430 EC .............................................. 140
PRADAXA ........................................................................ 29
PRALUENT PEN ....................................................... 65
PRALUENT SYRINGE ....................................... 65
PRAMCORT ................................................................ 110
PRAMEGEL ANTI-ITCH ............................. 158
pramipexole ....................................................................... 46
PRAMOSONE ........................................................... 158
PRAMOSONE E ...................................................... 158
pramoxine ........................................................................ 110
PRAMOXINE-HC ..................................................... 92
PRANDIMET ................................................................. 39
PRANDIN .......................................................................... 39
PRASCION ....................................................................... 25
PRASCION FC ............................................................. 25
PRASCION RA ............................................................ 25
PRAVACHOL ............................................................... 65
pravastatin ........................................................................... 65
PRAXBIND ...................................................................... 58
prazosin ................................................................................. 65
PRECEDEX .................................................................. 149
PRECEDEX IN 0.9 % SODIUM CHLOR
...................................................................................................... 149
PRECOSE ........................................................................... 39
PRED FORTE ................................................................ 92
PRED MILD .................................................................... 92
PRED-G ................................................................................ 25
PRED-G S.O.P. ............................................................. 25
prednicarbate ................................................................ 158
prednisolone .................................................................. 120
prednisolone acetate ................................................. 92
prednisolone sodium phosphate ...... 92, 120
prednisone ....................................................................... 120
PREDNISONE INTENSOL ......................... 120
PREFERA-OB ............................................................ 140
PREFERA-OB ONE ............................................ 140
PREFERA-OB PLUS DHA .......................... 140
PREFEST ......................................................................... 120
PREMARIN .................................................................. 120
PREMASOL 10 % ..................................................... 99
PREMASOL 6 % ........................................................ 99
PRE-MENSTRUAL RELIEF ........................ 10
PREMPHASE ............................................................. 120
PREMPRO ..................................................................... 120
PRENAISSANCE ................................................... 141
PRENAISSANCE PLUS ................................. 141
PRENATA ...................................................................... 141
PRENATAL PLUS (CALCIUM CARB)
...................................................................................................... 141
PRENATAL PLUS WITH IRON (CA)
...................................................................................................... 141
PRENATAL WITH DHA & FOLIC
ACID .................................................................................... 141
PRENATE AM .......................................................... 141
PRENATE CHEWABLE ................................ 141
PRENATE DHA ....................................................... 141
PRENATE DHA (FERR ASP GLYCIN)
...................................................................................................... 141
PRENATE ELITE .................................................. 141
PRENATE ELITE (IRON ASP GLYC)
...................................................................................................... 141
PRENATE ENHANCE ..................................... 141
PRENATE ESSENTIAL ................................. 141
PRENATE ESSENTIAL(IRON-ASP-GL)
...................................................................................................... 141
PRENATE MINI ...................................................... 141
PRENATE MINI (FERR ASP GLYCIN)
...................................................................................................... 141
PRENATE PIXIE .................................................... 141
PRENATE RESTORE ....................................... 141
PRENATE STAR .................................................... 141
PRENEXA ...................................................................... 141
PREP-HEM (PHENYLEPHRINE) ....... 110
PREPIDIL ....................................................................... 120
PREPLUS ........................................................................ 141
PREPOPIK ..................................................................... 110
PREQUE 10 .................................................................. 141
PRETAB ........................................................................... 141
PREVACID ................................................................... 110
PREVACID 24HR .................................................. 110
PREVACID SOLUTAB ................................... 110
PREVALITE .................................................................... 65
PREVIFEM ....................................................................... 74
PREVNAR 13 (PF) ................................................... 56
PREVPAC ....................................................................... 110
PREZCOBIX ................................................................... 48
PREZISTA ......................................................................... 48
PRIALT ................................................................................. 10
PRIFTIN ............................................................................... 25
PRILOSEC ..................................................................... 110
PRILOSEC OTC ...................................................... 110
PRIMAPORE IV ...................................................... 133
primaquine .......................................................................... 40
PRIMAXIN IV .............................................................. 25
PRIMEAIRE ................................................................. 133
PRIMER MODIFIED UNNA BOOT
...................................................................................................... 133
primidone ............................................................................. 69
PRIMLEV ........................................................................... 10
PRIMROSE OIL ...................................................... 116
PRIMSOL ........................................................................... 25
PRINIVIL ........................................................................... 65
PRISTIQ ........................................................................... 147
PRIVIGEN ......................................................................... 56
PRO DNA COLLECTION ............................... 86
PRO SPORTS TAPE ........................................... 133
PROAIR HFA ................................................................ 18
PROAIR RESPICLICK ........................................ 18
probenecid .......................................................................... 16
PROBIOTIC PLUS & CRANBERRY
...................................................................................................... 116
procainamide .................................................................... 61
PROCALAMINE 3% ............................................. 99
PROCARDIA ................................................................. 61
PROCARDIA XL ....................................................... 61
PROCENTRA ................................................................ 51
PROCHAMBER ....................................................... 133
PRO-CHLO ....................................................................... 82
prochlorperazine ....................................................... 110
prochlorperazine edisylate .............................. 110
prochlorperazine maleate ................................. 110
PRO-CLEAR AC ........................................................ 82
PROCORT ...................................................................... 110
PROCRIT ............................................................................ 70
PROCTOCORT ......................................................... 110
PROCTOCREAM-HC ....................................... 110
PROCTOFOAM ....................................................... 110
PROCTOFOAM HC ............................................ 110
203
Index
Index
Index
PROCTO-PAK ........................................................... 110
PROCTOSOL HC ................................................... 110
PROCTOZONE-HC ............................................. 110
PROCYSBI .................................................................... 170
PRODERM .................................................................... 170
PRODIGY INSULIN SYRINGE ............ 133
PRODIGY PEN NEEDLE ............................. 133
PROFILNINE ................................................................. 58
progesterone .................................................................. 120
PROGESTERONE IN OIL ........................... 120
progesterone micronized ................................... 120
PROGLYCEM ............................................................... 99
PROGRAF ...................................................................... 121
PROLASTIN-C ......................................................... 170
PROLENSA ..................................................................... 92
PROLEUKIN .................................................................. 44
PROLIA ............................................................................. 170
PROMACTA ................................................................... 70
promethazine ...................................................... 36, 110
PROMETHAZINE VC ......................................... 34
PROMETHAZINE VC-CODEINE .......... 82
promethazine-codeine ............................................. 82
promethazine-dm ......................................................... 82
promethazine-phenyleph-codeine ............... 82
promethazine-phenylephrine ........................... 34
PROMETHEGAN .................................................. 110
PROMETRIUM ........................................................ 120
propafenone ....................................................................... 61
propantheline ................................................................ 110
proparacaine ...................................................................... 92
propofol ................................................................................. 14
propoxyphene .................................................................. 10
propoxyphene n-acetaminophen .................. 10
propoxyphene-acetaminophen ....................... 10
propranolol ......................................................................... 65
propranolol-hydrochlorothiazid .................... 65
propylene glycol ........................................................ 170
propylene glycol (bulk) ...................................... 170
propylthiouracil .......................................................... 162
PROQUAD (PF) .......................................................... 56
PROQUIN XR ............................................................... 26
PRO-RED AC (W/
DEXCHLORPHENIR) ......................................... 82
PROSCAR ...................................................................... 170
PROSHIELD PLUS .............................................. 158
PROSHIELD PLUS SKIN
PROTECTANT ......................................................... 158
PROSHIELD PROTECTIVE HAND
...................................................................................................... 158
PROSOL 20 % ............................................................... 99
PROSTASCINT ........................................................... 86
PROSTIN E2 ................................................................ 120
PROSTIN VR PEDIATRIC ............................. 65
protamine ............................................................................. 58
PROTONIX ................................................................... 110
PROTOPAM CHLORIDE ............................. 170
protriptyline ................................................................... 147
PROVENTIL HFA .................................................... 18
PROVERA ..................................................................... 120
PROVIDA DHA ....................................................... 141
PROVIDA OB ............................................................ 141
PROVIGIL ...................................................................... 147
PROVIL ................................................................................ 16
PROZAC .......................................................................... 147
PROZAC WEEKLY ............................................. 147
PRUDOXIN .................................................................. 158
pseudoephedrine hcl ................................................. 82
PSORCON ...................................................................... 158
PULMICORT ................................................................. 18
PULMICORT FLEXHALER ......................... 18
PULMOZYME .......................................................... 170
PUMPKIN FLAVOR .......................................... 170
PURALOR CI ............................................................. 174
PURALUBE ..................................................................... 92
PURE COTTON ....................................................... 133
PUREFE OB PLUS ............................................... 141
PUREFE PLUS .......................................................... 141
PUREVIT DUALFE PLUS .............................. 99
PURIXAN .......................................................................... 44
PYLERA ........................................................................... 111
pyrazinamide .................................................................... 26
PYRETHRIN LICE TREATMENT M
...................................................................................................... 158
PYRIDIUM ....................................................................... 14
pyridostigmine bromide ........................................ 51
pyridoxine ........................................................................ 174
pyrilamine-phenylephrine ................................... 34
Q-CARE RX Q2 ....................................................... 170
Q-CARE RX Q4 ....................................................... 170
Q-DRYL ............................................................................... 36
Q-GEL WITH ALPHA LIPOIC ACID
...................................................................................................... 170
QNASL .................................................................................. 92
Q-PAP ..................................................................................... 10
Q-PAP EXTRA STRENGTH ........................ 10
Q-TAPP ................................................................................. 34
Q-TAPP DM .................................................................... 82
Q-TIPS/SINGLE-TIP .......................................... 133
Q-TIPS/SINGLE-TIP APPLICATOR
...................................................................................................... 133
Q-TUSSIN .......................................................................... 83
Q-TUSSIN DM ............................................................. 83
QUADRACEL (PF) ................................................. 56
QUADRAPAX ........................................................... 111
QUALAQUIN ................................................................ 40
QUARTETTE ................................................................. 74
QUASENSE ..................................................................... 74
QUDEXY XR ................................................................. 70
QUELICIN ........................................................................ 51
QUENALIN ...................................................................... 36
QUESTRAN .................................................................... 65
QUESTRAN LIGHT ............................................... 65
quetiapine ......................................................................... 147
QUFLORA PEDIATRIC ................................. 174
QUFLORA PEDIATRIC DROPS ......... 174
QUILLIVANT XR ................................................. 147
quinapril ................................................................................ 65
quinapril-hydrochlorothiazide ........................ 65
quinidine gluconate ................................................... 61
quinidine sulfate ........................................................... 61
quinine sulfate ................................................................. 40
QUIXIN ................................................................................ 26
QUTENZA ..................................................................... 158
QVAR ..................................................................................... 18
QWIK-STRIP .............................................................. 133
RABAVERT (PF) ...................................................... 56
rabeprazole ...................................................................... 111
racepinephrine ................................................................ 18
RADIADRES GEL ................................................ 133
RADIAGEL ................................................................... 170
RAGWITEK .................................................................... 56
raloxifene .......................................................................... 170
ramipril .................................................................................. 65
RANEXA ............................................................................ 61
ranitidine hcl ................................................................. 111
RAPAFLO ...................................................................... 170
RAPAMUNE ............................................................... 121
RAPIVAB ........................................................................... 48
raspberry ........................................................................... 170
raspberry flavor, artificial ................................ 170
RASPBERRY FLAVORING ...................... 170
raspberry ketone ........................................................ 116
RASUVO (PF) ............................................................... 16
RAVICTI .......................................................................... 111
RAYOS .............................................................................. 120
RAZADYNE ................................................................... 52
RAZADYNE ER ......................................................... 51
REA LO 30 .................................................................... 158
READY-TO-USE ENEMA .......................... 111
READY-TO-USE ENEMA (MIN OIL)
...................................................................................................... 111
REAPHIRM .................................................................. 141
REBETOL .......................................................................... 48
REBIF (WITH ALBUMIN) ............................. 70
REBIF REBIDOSE ................................................... 70
REBIF TITRATION PACK ............................ 70
RECLAST ....................................................................... 170
RECLIPSEN (28) ........................................................ 74
RECOMBINATE ........................................................ 58
RECOMBIVAX HB (PF) ................................... 56
RECOTHROM .............................................................. 59
RECOTHROM SPRAY KIT .......................... 59
RECTIV ............................................................................. 111
red yeast rice ................................................................. 116
REDNESS RELIEF .................................................. 92
REFEX ............................................................................... 116
REFRESH CELLUVISC .................................... 92
REFRESH CLASSIC (PF) ................................ 92
REFRESH LACRI-LUBE ................................. 92
REFRESH LIQUIGEL .......................................... 92
REFRESH OPTIVE ................................................. 92
REFRESH OPTIVE ADVANCED .......... 92
REFRESH OPTIVE ADVANCED (PF)
......................................................................................................... 92
REFRESH OPTIVE SENSITIVE (PF)
......................................................................................................... 92
REFRESH P.M. ............................................................ 92
REFRESH PLUS ......................................................... 92
REFRESH TEARS .................................................... 92
REGLAN .......................................................................... 111
REGONOL ........................................................................ 52
REGRANEX ................................................................ 158
REGULOID ................................................................... 111
REGULOID, SUGAR FREE ....................... 111
REHYLA HAIR-BODY ................................... 158
RELCOF C ........................................................................ 83
RELENZA DISKHALER .................................. 48
RELION NEEDLES ............................................. 133
RELION PEN NEEDLES ............................... 133
RELISTOR ........................................................................ 30
RELNATE DHA ...................................................... 141
RELPAX .............................................................................. 10
REMEDY 4-IN-1 CLEANSER ................. 158
REMEDY ANTIFUNGAL ............................... 32
REMEDY CALAZIME PROTECT
PASTE ................................................................................ 158
REMEDY CLEAR-AID PROTECT .... 158
204
158
REMEDY NUTRASHIELD SKIN
PROTEC ........................................................................... 159
REMEDY PHYTOPLEX ANTIFUNGAL
......................................................................................................... 32
...................................................................................................... 159
(ZN) ....................................................................................... 159
REMEDY SKIN REPAIR .............................. 159
REMERON .................................................................... 147
REMERON SOLTAB ........................................ 147
REMICADE .................................................................. 111
REMODULIN ................................................................ 65
REMOVE ........................................................................ 134
RENACIDIN ................................................................... 99
RENAGEL ......................................................................... 99
RENAL CAPS ............................................................ 174
RENEWAL HAND SANITIZER ........... 159
RENO CAPS ................................................................ 174
RENU DISINFECTING ................................... 134
RENU MULTIPLUS ........................................... 134
RENU REWETTING DROPS ................... 134
RENVELA ......................................................................... 99
REOPRO .............................................................................. 46
repaglinide .......................................................................... 39
REPATHA SURECLICK .................................. 65
REPREXAIN ................................................................... 10
REQUIP ................................................................................ 46
REQUIP XL ..................................................................... 46
RESCON .............................................................................. 34
RESCON-DM ................................................................. 83
RESCON-GG .................................................................. 83
RESCRIPTOR ................................................................ 48
RESECTISOL ................................................................ 87
reserpine ................................................................................ 65
RESPAIRE-30 ................................................................ 83
RESTASIS ......................................................................... 92
RESTFULLY SLEEP .......................................... 149
RESTON ........................................................................... 134
RESTON HIGH SUPPORT PAD .......... 134
RESTON LIGHT SUPPORT ROLL ... 134
RESTON MEDIUM SUPPORT PAD
...................................................................................................... 134
RESTORA RX ........................................................... 111
RESTORA SPRINKLES ................................. 111
RESTORE ....................................................................... 134
RESTORE CONTACT LAYER .............. 134
RESTORE CONTACT LAYER SILVER
...................................................................................................... 134
RESTORE DUO ....................................................... 134
RESTORE FOAM HEEL DRESSING
...................................................................................................... 134
RESTORE HYDROGEL DRESSING
...................................................................................................... 134
RESTORE HYDROGEL GAUZE ........ 134
RESTORE HYDROGEL GAUZE
SPONGE ........................................................................... 134
RESTORE ODOR-ABSORBENT ......... 134
RESTORE TRIO ...................................................... 134
RESTORIL ..................................................................... 149
resveratrol ........................................................................ 170
RETAINE FLAX ..................................................... 116
RETAVASE ..................................................................... 59
RETIN-A .......................................................................... 159
Index
......................................................................................................
Index
Index
REMEDY DIMETHICONE CREAM
RETIN-A MICRO .................................................. 159
RETIN-A MICRO PUMP ............................... 159
RETISERT ......................................................................... 92
RETROVIR ....................................................................... 48
REVATIO ........................................................................... 65
REVEAL COLON DISEASE TEST ...... 86
REVEAL UTI TEST STRIP ........................... 86
REVLIMID ....................................................................... 44
REVONTO ..................................................................... 139
REXULTI ........................................................................ 147
REYATAZ ......................................................................... 48
REZIRA ................................................................................ 83
R-GENE 10 ....................................................................... 86
RHEUMATREX .......................................................... 16
RHINOCORT AQUA ............................................ 92
RHOGAM ULTRA-FILTERED ................. 56
RHOGAM ULTRA-FILTERED PLUS
......................................................................................................... 56
RHOPHYLAC ............................................................... 56
RIASTAP ............................................................................ 59
RIBASPHERE ............................................................... 48
RIBASPHERE RIBAPAK ................................ 48
ribavirin ....................................................................... 48, 49
RIDAURA .......................................................................... 16
rifabutin ................................................................................. 26
RIFADIN ............................................................................. 26
RIFAMATE ...................................................................... 26
rifampin ................................................................................. 26
RIFATER ............................................................................ 26
RILUTEK ........................................................................... 70
riluzole .................................................................................... 70
RI-MAG PLUS .......................................................... 111
rimantadine ........................................................................ 49
RIMSO-50 .......................................................................... 10
ringers ........................................................................ 99, 159
RIOMET .............................................................................. 39
risedronate ....................................................................... 170
RISPERDAL ................................................................ 147
RISPERDAL CONSTA .................................... 147
RISPERDAL M-TAB ......................................... 147
risperidone ....................................................................... 147
RITALIN .......................................................................... 147
RITALIN LA ............................................................... 147
RITEFLO AEROCHAMBER .................... 134
RITUXAN .......................................................................... 44
rivastigmine ....................................................................... 52
rivastigmine tartrate .................................................. 52
RIXUBIS ............................................................................. 59
rizatriptan ............................................................................. 11
ROBAFEN ......................................................................... 83
ROBAFEN AC .............................................................. 83
ROBAFEN CF ............................................................... 83
ROBAFEN COUGH ............................................... 83
ROBAFEN DM ............................................................ 83
ROBAFEN DM CLEAR ..................................... 83
ROBAFEN DM COUGH ................................... 83
ROBAFEN DM MAX ........................................... 83
ROBAXIN ...................................................................... 139
ROBAXIN-750 .......................................................... 139
ROBINUL ....................................................................... 111
ROBINUL FORTE ................................................ 111
ROCALTROL ............................................................. 174
ROCEPHIN ....................................................................... 26
rocuronium ......................................................................... 52
ROLLED ABSORBENT COTTON .... 134
ROLLED GAUZE .................................................. 134
RONDIC ........................................................................... 134
root beer flavor (bulk) ......................................... 170
ropinirole .............................................................................. 46
ropivacaine (pf) ............................................................. 14
ropivacaine (pf) in 0.9 % nacl ........................ 14
ROSADAN .................................................................... 159
ROSANIL ........................................................................... 26
rose oil ................................................................................. 170
ROSE WATER .......................................................... 170
rosemary oil ................................................................... 116
rosin (bulk) ..................................................................... 170
ROSULA ............................................................................. 26
ROSULA CLEANSING CLOTHS .......... 26
ROTARIX .......................................................................... 57
ROTATEQ VACCINE .......................................... 57
ROWASA ........................................................................ 111
ROXICET ........................................................................... 11
ROXICODONE ............................................................ 11
ROZEREM ..................................................................... 149
RUBBING ALCOHOL (ETHANOL)
...................................................................................................... 159
RUCONEST ................................................................. 170
RU-HIST D ....................................................................... 34
RU-HIST-D (WITH PYRILAMINE) .... 34
RULAVITE DHA ................................................... 141
RULOX .............................................................................. 111
RYANODEX ............................................................... 139
RYDEX ................................................................................. 83
RYMED
(DEXCHLORPHENIRAMINE-PE) ....... 34
RYNEX DM ..................................................................... 83
RYNEX PE ........................................................................ 34
RYNEX PSE .................................................................... 34
RYTARY ............................................................................. 46
RYTHMOL ....................................................................... 61
RYTHMOL SR ............................................................. 61
S2 RACEPINEPHRINE ....................................... 18
SABRIL ................................................................................ 70
saccharin ............................................................................... 99
saccharin sodium ......................................................... 99
SAFESNAP INSULIN SYRINGE ........ 134
saffron extract .............................................................. 116
SAF-GEL ......................................................................... 134
SAFYRAL .......................................................................... 74
sage leaf (bulk) ........................................................... 116
SAIZEN ............................................................................. 120
SAIZEN CLICK.EASY .................................... 120
SALACTIC FILM .................................................. 159
SALAGEN ......................................................................... 52
SALEX ............................................................................... 159
salicylic acid .................................................................. 159
salicylic acid sr-ceramides .............................. 159
SALINE 4 ........................................................................ 134
SALINE SENSITIVE .......................................... 134
SALINE SENSITIVE EYES ....................... 134
SALINE SOLUTION .......................................... 134
SALINE SOLUTION,STERILE
PRESRV ........................................................................... 134
SAL-PLANT ................................................................ 159
salsalate ................................................................................. 16
SAMSCA ............................................................................. 87
SANCUSO ..................................................................... 111
SANDIMMUNE ....................................................... 121
SANDOSTATIN ...................................................... 120
SANDOSTATIN LAR DEPOT ................ 120
SANI-PADS .................................................................. 159
205
Index
Index
Index
SANI-SUPP (ADULT) ...................................... 111
SANI-SUPP (CHILD) ........................................ 111
SANI-SUPP (INFANT) .................................... 111
SANTYL .......................................................................... 159
SAPHRIS ......................................................................... 147
SAPHRIS (BLACK CHERRY) ................ 147
SARAFEM ..................................................................... 147
SARNA ANTI-ITCH ........................................... 159
SARNA SENSITIVE .............................................. 14
sassafras oil .................................................................... 170
SAVAYSA ........................................................................ 29
SAVELLA ...................................................................... 170
saw palmetto ................................................................. 116
saw palmetto fruit .................................................... 116
saw palmetto-pumpkin seed oil ................. 116
SCALPICIN ANTI-ITCH ............................... 159
SCANPOR TAPE .................................................... 134
scopolamine hbr ........................................................ 111
SE BPO .............................................................................. 159
SEASONIQUE .............................................................. 74
SEBEX ............................................................................... 159
SEB-PREV ..................................................................... 159
SE-CARE ......................................................................... 141
SECONAL SODIUM .......................................... 149
SECTRAL .......................................................................... 65
SECURA ANTIFUNGAL ................................. 32
SECURA ANTIFUNGAL EXTRA
THICK .................................................................................... 32
SECURA DIMETHICONE .......................... 159
SECURA EXTRA PROTECTIVE ........ 159
SECURA MOISTURIZING ......................... 159
SECURA PERSONAL ...................................... 159
SECURA PERSONAL SKIN CARE
...................................................................................................... 159
SECURA PROTECTIVE ................................ 159
SECURA STARTER KIT .............................. 159
SECURA TOTAL BODY CLEANSER
...................................................................................................... 159
SECURA TWO-STEP KIT ........................... 159
SE-DONNA PB HYOS ..................................... 111
SELECT-OB ................................................................. 141
SELECT-OB (FOLIC ACID) ..................... 141
SELECT-OB + DHA ........................................... 141
selegiline hcl ..................................................................... 46
selenium ................................................................................ 99
selenium sulfide ......................................................... 159
SELF ADHERENT WRAP ........................... 134
SELF-ADHERANT GENTLE WRAP
...................................................................................................... 134
SELF-ADHERING BANDAGE .............. 134
SELFGRIP ...................................................................... 134
SELF-GRIP .................................................................... 134
SELSUN BLUE (SALICYLIC ACID)
...................................................................................................... 159
SELSUN BLUE MOISTURIZING ....... 160
SELSUN BLUE NATURALS ................... 160
SELZENTRY .................................................................. 49
SEMPREX-D .................................................................. 34
SE-NATAL 19 ............................................................ 141
SE-NATAL 19 (WITH DOCUSATE)
...................................................................................................... 141
SE-NATAL ONE ..................................................... 141
SENEXON ...................................................................... 111
SENEXON-S ................................................................ 111
SENNA .............................................................................. 111
SENNA LAX ............................................................... 111
SENNA LAXATIVE ........................................... 111
SENNA PLUS ............................................................ 111
SENNA PROMPT .................................................. 111
SENNA SOFT ............................................................ 111
SENNA WITH DOCUSATE SODIUM
...................................................................................................... 111
SENNA-GEN .............................................................. 111
SENNALAX-S ........................................................... 111
SENNA-S ........................................................................ 111
SENNA-TIME S ....................................................... 111
SENNO .............................................................................. 111
sennosides-docusate sodium ......................... 111
SENOKOT ...................................................................... 111
SENOKOT TO GO ................................................ 111
SENOKOT-S ................................................................ 111
SENOKOTXTRA ................................................... 112
SENSI-CARE (FOAM) ..................................... 160
SENSI-CARE ADHESI REMOVER
WIPE .................................................................................... 134
SENSI-CARE MOISTURIZING 2 ....... 160
SENSIPAR ..................................................................... 170
SENSITIVE EYES ................................................. 134
SENSITIVE EYES DAILY CLEANER
...................................................................................................... 134
SENSITIVE EYES PLUS SALINE ..... 134
SENSODYNE ............................................................. 134
SENSORCAINE .......................................................... 14
SENSORCAINE/EPINEPHRINE ............. 14
SENSORCAINE-MPF .......................................... 14
SENSORCAINE-MPF SPINAL ................. 14
SENSORCAINE-MPF/EPINEPHRINE
......................................................................................................... 14
SERENAGEN ............................................................. 116
SEREVENT DISKUS ............................................ 18
SEROMYCIN ................................................................. 26
SEROQUEL .................................................................. 147
SEROQUEL XR .......................................... 147, 148
SEROSTIM .................................................................... 120
sertraline ............................................................................ 148
sesame oil ......................................................................... 171
SE-TAN DHA ............................................................. 141
SE-TAN PLUS .............................................................. 99
SETLAKIN ....................................................................... 74
sevelamer carbonate ................................................. 99
SEVERE COLD & FLU (PE) ........................ 83
SEVERE COLD PE ................................................. 83
sevoflurane ......................................................................... 14
SF ................................................................................................. 99
SF 5000 PLUS ................................................................ 99
SFROWASA ................................................................ 112
SHAROBEL ..................................................................... 74
SHEER ADHESIVE ............................................. 134
SHEER BANDAGE ............................................. 134
SHEER BANDAGES .......................................... 134
SHEER PLASTIC STRIP ............................... 135
SHEER SPOT BANDAGES ........................ 135
SHEER STRIP ............................................................ 135
SHEER STRIP EXTRA LARGE ............ 135
SHEER STRIPS ........................................................ 135
SHEER STRIPS ASSORTED .................... 135
SIDESTREAM PEDIATRIC FACE
MASK ................................................................................. 135
SIGNIFOR ...................................................................... 120
SIGNIFOR LAR ....................................................... 120
SILACE ............................................................................. 112
SILADRYL SA ............................................................. 36
SILAFED ............................................................................. 34
SILAPAP ............................................................................. 11
sildenafil ..................................................................... 65, 66
SILENOR ........................................................................ 149
silica ....................................................................................... 171
SILICONE MASK - INFANT ................... 135
SILICONE MASK - PEDIATRIC ......... 135
SILPHEN COUGH ................................................... 36
SILPHEN DM COUGH ....................................... 83
SILTUSSIN DAS ........................................................ 83
SILTUSSIN DM DAS ........................................... 83
SILTUSSIN SA ............................................................ 83
SILTUSSIN-DM .......................................................... 83
SILVADENE ................................................................... 26
silver nitrate ................................................................... 160
silver sulfadiazine ....................................................... 26
SILVERMED .............................................................. 160
SIMBRINZA ................................................................... 92
SIMCOR .............................................................................. 66
simethicone .................................................................... 112
simple syrup .................................................................. 171
SIMPLYTHICK ........................................................ 171
SIMPONI ............................................................................. 16
SIMPONI ARIA ........................................................... 16
SIMULECT ................................................................... 121
simvastatin .......................................................................... 66
SINEMET ........................................................................... 46
SINEMET CR ................................................................ 46
SINEX ULTRA FINE MIST 12-HOUR
......................................................................................................... 92
SINGLE USE EZ FLU 2012-13 (PF) ..... 57
SINGLE USE EZ FLU 2013-14 (PF) ..... 57
SINGLE USE EZ FLU 2014-15(PF) ...... 57
SINGULAIR .................................................................... 18
SINUS & ALLERGY PE .................................... 34
SINUS &
ALLERGY(PHENYLEPHRINE) .............. 34
SINUS & COLD-D ................................................... 83
SINUS 12 HOUR ........................................................ 83
SINUS CONG & PAIN DAY-NIGHT
......................................................................................................... 83
SINUS CONGESTION & PAIN ................ 83
SINUS CONGESTION & PAIN(GUAIF)
......................................................................................................... 83
SINUS
CONGESTION&PAIN(CHLORPH) ..... 83
SINUS NASAL SPRAY ...................................... 92
SINUS PAIN RELIEF ........................................... 83
SINUS RELIEF (OXYMETAZOLINE)
......................................................................................................... 92
SINUS WASH ............................................................... 92
sirolimus ............................................................................ 122
SIRTURO ........................................................................... 26
SITAVIG ............................................................................. 49
SIVEXTRO ....................................................................... 26
SKELAXIN ................................................................... 139
SKIN CLEANSER ................................................. 160
SKIN CLOSURE STRIPS ............................. 135
SKINTEGRITY HYDROGEL .................. 135
SKINTEGRITY HYDROGEL
DRESSING .................................................................... 135
SKINTEGRITY WOUND CLEANSER
...................................................................................................... 160
SKLICE ............................................................................. 160
SLEEP ................................................................................. 149
206
Index
Index
Index
SLEEP AID (DIPHENHYDRAMINE)
...................................................................................................... 149
SLEEP AID (DOXYLAMINE) ................ 149
SLEEP AID MAX STR (DIPHENHYDR)
...................................................................................................... 149
SLEEP TIME ............................................................... 149
SLEEP-TABS .............................................................. 149
SLOW RELEASE IRON .................................... 99
SMOOTH ANTACID ......................................... 112
sodium acetate ................................................................ 99
sodium bicarbonate ...................................... 99, 112
sodium bisulfite ......................................................... 171
sodium chloride ..................... 92, 100, 160, 171
sodium chloride 0.45 % ........................................ 99
sodium chloride 0.9 % ............................................ 99
sodium chloride 3 % ............................................. 100
sodium chloride 5 % ............................................. 100
sodium citrate-citric acid .................................. 100
SODIUM EDECRIN ............................................... 87
sodium ferric gluconat-sucrose .................. 100
sodium fluoride .......................................................... 100
sodium lactate .............................................................. 100
sodium phenylbutyrate ....................................... 112
sodium phosphate .................................................... 100
SODIUM POLYSTYRENE (SORB
FREE) .................................................................................. 100
sodium polystyrene sulfonate ...................... 100
sodium silicate ............................................................ 171
sodium succinate ....................................................... 171
SOF-LAX ........................................................................ 112
SOF-SET ADHESIVE PATCH ................ 135
SOFT CLOTH ............................................................ 135
SOLARAZE ..................................................................... 44
SOLIRIS ............................................................................... 59
SOLODYN ........................................................................ 26
SOLOSITE ..................................................................... 135
SOLOSITE WOUND GEL ........................... 135
SOLTAMOX ................................................................... 44
SOLU-CORTEF ....................................................... 120
SOLU-CORTEF (PF) .......................................... 120
SOLU-MEDROL ..................................................... 120
SOLU-MEDROL (PF) ....................................... 120
SOMA ................................................................................. 139
SOMATULINE DEPOT .................................. 120
SOMAVERT ................................................................ 171
SOMINEX ...................................................................... 149
SONATA .......................................................................... 149
SOOLANTRA ............................................................ 160
SOOTHE & COOL ................................................ 160
SOOTHE & COOL BODY POWDER
...................................................................................................... 160
SOOTHE & COOL FREE MEDSEPTIC
...................................................................................................... 160
SOOTHE & COOL INZO BARRIER
...................................................................................................... 160
SOOTHE & COOL MEDSEPTIC ......... 160
SOOTHE & COOL MOISTURE
BARRIER ........................................................................ 160
SOOTHE & COOL SKIN PASTE ........ 160
SOOTHING NON-STICK ............................. 135
SOOTHING SLEEP ............................................. 116
SORBIDON HYDRATE ................................. 171
sorbitol ...................................................... 100, 160, 171
sorbitol-mannitol ...................................................... 160
SORE THROAT .......................................................... 14
SORE THROAT & COUGH .......................... 83
SORE THROAT
(BENZOCAINE-MENTH) ............................... 14
SORE THROAT (PHENOL) .......................... 14
SORESPOT ................................................................... 135
SORIATANE ............................................................... 160
SORILUX ........................................................................ 160
SORINE ................................................................................ 66
sotalol ...................................................................................... 66
SOTALOL AF ............................................................... 66
SOTRADECOL ............................................................ 66
SOUTH AFRICAN HOODIA .................... 116
SOVALDI ........................................................................... 49
SPACE CHAMBER PLUS ........................... 135
SPEARMINT FLAVORING ....................... 171
spearmint oil .................................................................. 171
SPECTRAGEL .......................................................... 135
spinosad ............................................................................. 160
SPIRIVA RESPIMAT ........................................... 18
SPIRIVA WITH HANDIHALER .............. 18
spironolactone ................................................................. 87
spironolacton-hydrochlorothiaz .................... 87
SPORANOX .................................................................... 32
SPORANOX PULSEPAK ................................. 32
SPORTS TAPE .......................................................... 135
SPRINTEC (28) ............................................................ 74
SPRIX ..................................................................................... 11
SPRYCEL ........................................................................... 44
SPS ......................................................................................... 100
SRONYX ............................................................................. 74
SSD ............................................................................................ 26
SSKI ...................................................................................... 100
SSS 10-5 ............................................................................... 26
STAFLEX
(BROMPHENIRA-ACETAMIN) ................. 3
STAHIST AD ................................................................. 34
STALEVO 100 .............................................................. 46
STALEVO 125 .............................................................. 46
STALEVO 150 .............................................................. 46
STALEVO 200 .............................................................. 46
STALEVO 50 ................................................................. 46
STALEVO 75 ................................................................. 46
stannous fluoride ....................................................... 100
STARLIX ............................................................................ 39
STATUSS GREEN (CODEINE) ................ 83
stavudine .............................................................................. 49
STAY AWAKE ............................................................ 70
STAY AWAKE MAXIMUM
STRENGTH ..................................................................... 70
STAYFREE MAXI-PAD ................................ 135
STAYFREE SUREFIT ...................................... 135
STAYFREE ULTRA THIN ......................... 135
stearic acid ...................................................................... 171
stearyl alcohol .............................................................. 171
STELARA ....................................................................... 122
STERILE EYE DROPS ....................................... 92
STERILE GAUZE PAD ................................... 135
STERILE PADS ....................................................... 135
STERILE SALINE ................................................. 135
STERILE STRETCH GAUZE
BANDAGE .................................................................... 135
STERILE WATER FOR INJECTION
...................................................................................................... 171
STERILUBE .................................................................... 92
STERI-STRIP .............................................................. 135
STERI-STRIP DRESSING ........................... 135
STERI-STRIP SKIN CLOSURE ............ 135
STERI-STRIP SKIN CLOSURES ......... 135
STIK IT .............................................................................. 135
STIMATE ........................................................................ 120
STIOLTO RESPIMAT .......................................... 18
STIVARGA ...................................................................... 44
STOMACH RELIEF ............................................ 112
STOMACH RELIEF MAX STRENGTH
...................................................................................................... 112
STOMACH RELIEF ORIGINAL .......... 112
STOOL SOFTENER ............................................ 112
STOOL SOFTENER-LAXATIVE ........ 112
STOOL SOFTENER-STIMULANT
LAXAT .............................................................................. 112
STRATASORB COMPOSITE WOUND
...................................................................................................... 135
STRATASORB ISLAND DRESSING
...................................................................................................... 135
STRATTERA .............................................................. 148
strawberry flavor (bulk) ..................................... 171
STRAWBERRY FLAVORING ............... 171
streptomycin ..................................................................... 26
STRETCH BANDAGE ..................................... 135
STRETCH GAUZE BANDAGE ............ 135
STRIANT ........................................................................ 120
STRIBILD .......................................................................... 49
STRIVERDI RESPIMAT .................................. 18
STROMECTOL ........................................................... 40
STRONG STRIPS .................................................. 135
STRONG STRIPS X-LARGE ................... 135
STROVITE FORTE .............................................. 174
STROVITE ONE ..................................................... 174
SUBLIMAZE (PF) .................................................... 11
SUBOXONE ................................................................ 171
SUBSYS ............................................................................... 11
SUCLEAR ...................................................................... 112
sucralfate ........................................................................... 112
sucrose ................................................................................. 100
SUDOGEST ..................................................................... 83
SUDOGEST 12-HOUR ........................................ 83
SUDOGEST CHILDRENS .............................. 83
SUDOGEST COLD & ALLERGY .......... 34
SUDOGEST PE ............................................................ 83
SUDOGEST SINUS & ALLERGY ......... 34
SUFENTA .......................................................................... 11
sufentanil citrate ........................................................... 11
SULAR .................................................................................. 61
sulfacetamide sodium ................................ 26, 160
sulfacetamide sodium (acne) ........................ 160
sulfacetamide sodium-sulfur ............................ 26
sulfacetamide sodium-urea ............................. 160
sulfacetamide sod-sulfur-urea ......................... 26
sulfacetamide-prednisolone .............................. 26
sulfacetamide-sulfur-cleansr23 ..................... 26
SULFACLEANSE 8-4 .......................................... 26
sulfact na-sul-avobnz-otn-ocsa ...................... 26
sulfadiazine ........................................................................ 26
sulfamethoxazole-trimethoprim .................... 26
SULFAMIDE .................................................................. 26
SULFAMYLON .......................................................... 26
sulfasalazine .................................................................. 112
SULFATRIM .................................................................. 26
SULFAZINE ................................................................ 112
SULFAZINE EC ...................................................... 112
sulfur ........................................................................................ 40
sulindac .................................................................................. 17
SUMADAN ...................................................................... 26
207
Index
Index
Index
SUMADAN XLT ........................................................ 26
sumatriptan ........................................................................ 11
sumatriptan succinate .............................................. 11
SUMAVEL DOSEPRO ........................................ 11
SUMAXIN ......................................................................... 26
SUMAXIN CP ............................................................... 27
SUMAXIN TS ............................................................... 27
SUMMER'S EVE DOUCHE .......................... 40
SUPER B MAXI COMPLEX ..................... 174
SUPER POTENT YOHIMBE .................... 116
SUPER STRIP BANDAGES ...................... 135
SUPERIOR DIGESTIVE ENZYME
...................................................................................................... 112
SUPHEDRIN ................................................................... 83
SUPHEDRIN 12 HOUR ...................................... 83
SUPHEDRINE .............................................................. 83
SUPHEDRINE 12 HOUR .................................. 83
SUPPRELIN LA ...................................................... 120
SUPRANE .......................................................................... 14
SUPRAX .............................................................................. 27
SUPREP BOWEL PREP KIT .................... 112
SURE COMFORT ALCOHOL PREP
PADS .................................................................................... 160
SURE COMFORT INS. SYR. U-100
...................................................................................................... 135
SURE COMFORT INSULIN SYRINGE
...................................................................................................... 135
SURE COMFORT PEN NEEDLE ........ 135
SURE-FINE PEN NEEDLES ..................... 135
SURE-JECT INSULIN SYRINGE ....... 136
SURE-PREP ALCOHOL PREP PADS
...................................................................................................... 160
SUREPRESS ABSORBENT PADDING
...................................................................................................... 136
SUREPRESS HIGH COMPRESSION
...................................................................................................... 136
SURESITE ..................................................................... 136
SURESITE FLEXIGRID ................................. 136
SURESITE IV ............................................................. 136
SURESITE MATRIX .......................................... 136
SURESITE WINDOW ....................................... 136
SURFAXIN ................................................................... 171
SURGICAL DRESSING ................................. 136
SURGICAL DRESSING EXTR
PROTCT ........................................................................... 136
SURGICAL PADS ................................................. 136
SURMONTIL .............................................................. 148
SURVANTA ................................................................ 171
SUSPENDOL-S ........................................................ 171
SUSTIVA ............................................................................ 49
SUTENT .............................................................................. 44
SWEET-SF ..................................................................... 171
SWIM EAR ....................................................................... 92
SYEDA .................................................................................. 74
SYLATRON .................................................................... 44
SYLATRON 4-PACK ........................................... 44
SYLVANT ......................................................................... 44
SYMAX FASTABS .............................................. 112
SYMAX-SL ................................................................... 112
SYMBICORT ................................................................. 18
SYMBYAX ................................................................... 148
SYMLINPEN 120 ...................................................... 39
SYMLINPEN 60 ......................................................... 39
SYNAGIS ........................................................................... 49
SYNALAR ..................................................................... 160
SYNALAR CREAM KIT ............................... 160
SYNALAR OINTMENT KIT .................... 160
SYNALAR TS ............................................................ 160
SYNALGOS-DC ......................................................... 11
SYNAREL ...................................................................... 120
SYNERA ............................................................................. 14
SYNERCID ....................................................................... 27
SYNJARDY ..................................................................... 39
SYNRIBO ........................................................................... 44
SYNTHROID .............................................................. 163
SYPRINE ......................................................................... 171
SYRPALTA VEHICLE .................................... 171
SYRSPEND SF ......................................................... 171
SYRSPEND SF ALKA ..................................... 171
SYRSPEND SF LIQUID ................................. 171
SYRUP VEHICLE SF ........................................ 171
SYSTANE .......................................................................... 92
SYSTANE (PF) ............................................................ 92
SYSTANE BALANCE ......................................... 92
SYSTANE CONTACTS .................................. 136
SYSTANE GEL ........................................................... 92
SYSTANE NIGHTTIME ................................... 92
SYSTANE ULTRA .................................................. 92
SYSTANE ULTRA (PF) ..................................... 93
TAB TUSSIN .................................................................. 83
TAB TUSSIN DM ..................................................... 83
TABLOID ........................................................................... 44
TACHOSIL ....................................................................... 59
TACLONEX ................................................................. 171
tacrolimus ........................................................................ 122
TACTINAL ....................................................................... 11
TACTINAL EXTRA STRENGTH .......... 11
TAFINLAR ....................................................................... 44
TAKE ACTION ........................................................... 74
TALWIN .............................................................................. 11
TAMIFLU .......................................................................... 49
tamoxifen ............................................................................. 44
tamsulosin ........................................................................ 171
TANDEM DHA ........................................................ 141
TANDEM DUAL ACTION ......................... 100
TANDEM OB ............................................................. 141
TANDEM PLUS ...................................................... 100
TANGERINE OIL, NATURAL ............... 171
TAPAZOLE .................................................................. 163
TARCEVA ........................................................................ 44
TARGRETIN .................................................................. 44
TARINA FE ..................................................................... 74
TARKA ................................................................................. 66
TARON FORTE ....................................................... 100
TARON-BC ................................................................... 141
TARON-C DHA ....................................................... 141
TARON-PREX PRENATAL-DHA ..... 141
TART CHERRY EXTRACT ...................... 116
TASIGNA ........................................................................... 44
TASMAR ............................................................................ 46
TAXOTERE ..................................................................... 44
TAZICEF ............................................................................. 27
TAZORAC ..................................................................... 160
TAZTIA XT ..................................................................... 61
TEARS NATURALE FORTE ...................... 93
TEARS NATURALE FREE (PF) .............. 93
TEARS NATURALE II ....................................... 93
TEARS PURE ................................................................ 93
TECFIDERA ................................................................... 70
TECHNIVIE .................................................................... 49
TEFLARO .......................................................................... 27
TEGADERM ................................................................ 136
TEGADERM ABSORBENT ...................... 136
TEGADERM FIRST AID STYLE ........ 136
TEGADERM FRAME STYLE ................. 136
TEGADERM HP FRAME STYLE ...... 136
TEGADERM HYDROGEL ......................... 136
TEGADERM I.V. .................................................... 136
TEGADERM TRANSPARENT
DRESSING .................................................................... 136
TEGRETOL ...................................................................... 70
TEGRETOL XR ........................................................... 70
TEKAMLO ....................................................................... 66
TEKTURNA .................................................................... 66
TEKTURNA HCT ..................................................... 66
TELFA ................................................................................ 136
TELFA (WITH POLYHEXAMETH)
...................................................................................................... 136
TELFA AMD ............................................................... 136
TELFA CLEAR WOUND DRESSING
...................................................................................................... 136
TELFA ISLAND DRESSING .................... 136
TELFA OUCHLESS NON-ADHERENT
...................................................................................................... 136
telmisartan .......................................................................... 66
telmisartan-amlodipine .......................................... 66
telmisartan-hydrochlorothiazid ..................... 66
temazepam ...................................................................... 149
TEMODAR ....................................................................... 44
TEMOVATE ................................................................ 160
TEMOVATE E .......................................................... 160
temozolomide .................................................................. 44
TENA SERENITY ................................................. 136
TENDER TAPE ........................................................ 136
TENDERSKIN ........................................................... 136
TENDERSORB ......................................................... 136
TENDERWET ACTIVE CAVITY
DRESS ................................................................................ 136
TENDERWET ACTIVE DRESSING
...................................................................................................... 136
TENDERWET SYSTEM ................................ 136
TENDERWRAP UNNA BOOT .............. 136
TENEX .................................................................................. 66
teniposide ............................................................................. 44
TENIVAC (PF) ............................................................. 57
TENORETIC 100 ....................................................... 66
TENORETIC 50 ........................................................... 66
TENORMIN ..................................................................... 66
TENSION HEADACHE ..................................... 11
TENSOR ........................................................................... 136
TERAZOL 3 ..................................................................... 32
TERAZOL 7 ..................................................................... 32
terazosin ................................................................................ 66
terbinafine hcl ................................................................. 32
terbutaline ........................................................................... 18
terconazole ......................................................................... 32
TERUMO INS SYRINGE 0.5CC/27G
...................................................................................................... 136
TERUMO INSULIN SYRINGE .............. 136
TERUMO SURGUARD .................................. 136
TESSALON PERLES ............................................ 83
TESTIM ............................................................................. 120
TESTOPEL .................................................................... 120
testosterone ..................................................................... 121
testosterone cypionate ......................................... 120
testosterone enanthate .......................................... 120
TESTRED ....................................................................... 121
tetanus toxoid,adsorbed (pf) ............................. 57
208
Index
Index
Index
tetanus,diphtheria tox ped(pf) ......................... 57
tetanus-diphtheria toxoids-td ........................... 57
tetrabenazine .................................................................... 70
tetracaine hcl .................................................................... 93
tetracaine hcl (pf) ............................................... 14, 93
tetracycline ......................................................................... 27
tetrahydrozoline ............................................................ 93
TEVETEN .......................................................................... 66
TEVETEN HCT ........................................................... 66
TEXACORT ................................................................. 160
THALITONE .................................................................. 88
THALOMID .................................................................... 27
THAM ................................................................................. 100
THEO-24 ............................................................................. 18
theophylline ....................................................................... 19
theophylline in dextrose 5 % ........................... 18
THERACRAN HP FOR KIDS .................. 116
THERAFLU COLD-COUGH ....................... 84
THERAFLU COLD-SORE THROAT
(PE) ............................................................................................ 84
THERAFLU FLU-SORE THROAT ....... 84
THERAFLU MAX-D SEVERE
COLD-FLU ....................................................................... 84
THERAFLU MULTI-SYMPTOM COLD
......................................................................................................... 84
THERAFLU NIGHT SEVERE
COLD-CGH ...................................................................... 84
THERAFLU NIGHTTIME SEVERE
COLD ...................................................................................... 84
THERAFLU SINUS & COLD ...................... 84
THERAFLU WARMING RELIEF .......... 84
THERA-GEL ............................................................... 160
THERA-GESIC ......................................................... 160
THERA-GESIC PLUS ....................................... 160
THERAPEUTIC MINERAL ICE ........... 160
THERASEAL .............................................................. 160
THERMACARE HAND/WRIST ........... 136
THERMACARE KNEE/ELBOW .......... 136
THERMACARE LARGE/XLGE
BACK/HIP ..................................................................... 136
THERMACARE MENSTRUAL ............ 136
THERMACARE
NECK/WRIST/SHOULDER ...................... 136
THERMACARE SMALL/MED
BACK/HIP ..................................................................... 136
thiamine hcl ................................................................... 174
THICK NOW ............................................................... 171
THICKEN UP CLEAR ...................................... 171
THICKENUP LEMON HONEY ............ 171
THICKENUP LEMON NECTAR ......... 171
THICK-IT ........................................................................ 171
THICK-IT #2 ............................................................... 171
THINPRO INSULIN SYRINGE ............. 137
THIOLA ............................................................................ 171
thioridazine ..................................................................... 148
thiotepa .................................................................................. 44
thiothixene ....................................................................... 148
THONG LINER ........................................................ 137
THRESHOLD IMT TRAINER ................. 137
THRESHOLD PEP DEVICE ...................... 137
THRIVITE RX ........................................................... 174
THROAT SPRAY ...................................................... 14
THROMBATE III ...................................................... 59
THROMBIN-JMI ....................................................... 59
THYMOGLOBULIN ............................................. 57
THYROGEN ................................................................ 163
THYROLAR-1 ........................................................... 163
THYROLAR-1/2 ...................................................... 163
THYROLAR-1/4 ...................................................... 163
THYROLAR-2 ........................................................... 163
THYROLAR-3 ........................................................... 163
TIAZAC ................................................................................ 61
ticlopidine ........................................................................... 46
TIGAN ................................................................................ 112
TIKOSYN ........................................................................... 61
TILIA FE ............................................................................. 74
timolol maleate .................................................... 66, 93
TIMOPTIC ........................................................................ 93
TIMOPTIC OCUDOSE (PF) .......................... 93
TIMOPTIC-XE ............................................................. 93
TINDAMAX .................................................................... 40
tinidazole .............................................................................. 40
tioconazole ......................................................................... 32
TIOCONAZOLE-1 ................................................... 32
TIROSINT ...................................................................... 163
TISSEEL VHSD .......................................................... 59
TIVICAY ............................................................................. 49
TIVORBEX ...................................................................... 17
tizanidine .......................................................................... 139
TL FOLATE ................................................................. 142
TL GARD RX ............................................................. 174
TL G-FOL OS ............................................................. 100
TL ICON ........................................................................... 100
TL-CARE DHA ........................................................ 142
TL-FLUORIVITE ................................................... 174
TL-FOL 500 .................................................................. 100
TL-HEM 150 ................................................................ 100
TL-SELECT .................................................................. 142
TL-SELECT DHA .................................................. 142
TNKASE .............................................................................. 59
TOBI ........................................................................................ 27
TOBI PODHALER ................................................... 27
TOBRADEX .................................................................... 27
TOBRADEX ST .......................................................... 27
tobramycin .......................................................................... 27
tobramycin in 0.225 % nacl .............................. 27
tobramycin in 0.9 % nacl ..................................... 27
tobramycin sulfate ...................................................... 27
tobramycin-dexamethasone .............................. 27
TOBREX ............................................................................. 27
TOE AID DRESSING ........................................ 137
TOFRANIL .................................................................... 148
TOFRANIL-PM ........................................................ 148
TOLAK ................................................................................. 44
tolazamide ........................................................................... 39
tolbutamide ........................................................................ 39
tolcapone .............................................................................. 46
tolmetin .................................................................................. 17
tolnaftate ............................................................................... 32
tolterodine ........................................................................ 171
tolu balsam ...................................................................... 171
TOOTHETTE .............................................................. 137
toothpaste ......................................................................... 137
TOPAMAX ....................................................................... 70
TOPCARE CLICKFINE .................................. 137
TOPCARE ULTRA COMFORT ............ 137
TOPICORT ....................................................... 160, 161
topiramate ........................................................................... 70
TOPOSAR .......................................................................... 44
topotecan .............................................................................. 44
TOPROL XL ................................................................... 66
TORISEL ............................................................................. 44
torsemide .............................................................................. 88
TOTAL BODY CLEANSE ........................... 116
TOUJEO SOLOSTAR ........................................... 39
TOVIAZ ............................................................................ 171
TOZAL ............................................................................... 172
TPN ELECTROLYTES .................................... 100
TRACE ELEMENTS 4/PEDIATRIC
...................................................................................................... 100
TRACLEER ..................................................................... 66
TRADJENTA ................................................................. 39
tragacanth ......................................................................... 172
tramadol ................................................................................ 11
tramadol-acetaminophen ...................................... 11
TRANDATE .................................................................... 66
trandolapril ......................................................................... 66
trandolapril-verapamil ............................................ 66
tranexamic acid .............................................................. 59
TRANSDERM-SCOP ......................................... 112
transparent dressings ............................................. 137
TRANSPARENT THIN FILM
DRESSING .................................................................... 137
TRANSPORE .............................................................. 137
TRANSPORE SURGICAL ........................... 137
TRANS-VER-SAL PLANTARPATCH
...................................................................................................... 161
TRANXENE T-TAB ........................................... 148
tranylcypromine ......................................................... 148
TRAVASOL 10 % .................................................. 100
TRAVATAN Z .............................................................. 93
TRAVEL SICKNESS ......................................... 112
TRAVEL SICKNESS (MECLIZINE)
...................................................................................................... 112
travoprost (benzalkonium) ................................. 93
trazodone .......................................................................... 148
TREANDA ........................................................................ 44
TRECATOR ..................................................................... 27
TRELSTAR ...................................................................... 44
TRELSTAR DEPOT ............................................... 44
TRELSTAR LA ............................................................ 44
tretinoin .............................................................................. 161
tretinoin (chemotherapy) ..................................... 44
tretinoin microspheres ......................................... 161
TRETTEN .......................................................................... 59
TREXALL .......................................................................... 44
TRIACTING COUGH & COLD ................ 84
TRIADVANCE ......................................................... 142
triamcinolone acetonide
................................................................. 93, 121, 161, 172
TRIAMINIC ........................................................... 34, 84
TRIAMINIC (XYLOMETAZOLINE)
......................................................................................................... 93
TRIAMINIC ALLERGY .................................... 36
TRIAMINIC CHEST &NASAL
CONGEST ......................................................................... 84
TRIAMINIC COLD & COUGH (PE) ... 84
TRIAMINIC COLD & COUGH NT (PE)
......................................................................................................... 34
TRIAMINIC COLD- ALLERGY PE ..... 34
TRIAMINIC COLD-STUFFY NOSE ... 84
TRIAMINIC COUGH ........................................... 84
TRIAMINIC COUGH/RUNNY NOSE
......................................................................................................... 36
TRIAMINIC COUGH-SORE THROAT
......................................................................................................... 84
TRIAMINIC FEVER REDUCER ............. 11
TRIAMINIC FLU-COUGH-FEVER ..... 84
209
Index
Index
Index
TRIAMINIC SOFTCHEWS ........................... 84
triamterene-hydrochlorothiazid ..................... 88
TRIANEX ....................................................................... 161
triazolam ........................................................................... 149
TRI-BUFFERED ASPIRIN ............................. 11
TRICARE ........................................................................ 142
TRICARE PRENATAL COMPLEAT
...................................................................................................... 142
TRICARE PRENATAL DHA ONE .... 142
TRICITRATES .......................................................... 100
TRICON ............................................................................ 100
TRICOR ............................................................................... 66
TRIESENCE (PF) ...................................................... 93
TRI-ESTARYLLA .................................................... 74
trifluoperazine ............................................................. 148
trifluridine ........................................................................... 49
TRIGELS-F FORTE ............................................ 100
TRIGLIDE ......................................................................... 66
trihexyphenidyl .............................................................. 46
TRIHIBIT (PF) .............................................................. 57
TRI-LEGEST FE ......................................................... 75
TRILEPTAL .................................................................... 70
TRI-LINYAH ................................................................. 75
TRILIPIX ............................................................................ 66
TRI-LUMA .................................................................... 161
TRILYTE WITH FLAVOR PACKETS
...................................................................................................... 112
trimethobenzamide ................................................. 112
trimethoprim ..................................................................... 27
trimipramine .................................................................. 148
TRINATAL GT ......................................................... 142
TRINATAL RX 1 ................................................... 142
TRINATAL ULTRA ........................................... 142
TRINESSA (28) ........................................................... 75
TRI-NORINYL (28) ................................................ 75
TRIOSTAT .................................................................... 163
TRIOXIN ............................................................................. 27
TRIPEDIA (PF) ............................................................ 57
TRIPHROCAPS ....................................................... 174
TRIPLE ANTIBIOTIC .......................................... 27
TRIPLE ANTIBIOTIC (PRAM) EXTRA
......................................................................................................... 27
TRIPLE ANTIBIOTIC PLUS ........................ 27
TRIPLE HELIX COLLAGEN ................... 137
TRIPLE VITAMIN WITH FLUORIDE
...................................................................................................... 174
TRI-PREVIFEM (28) ............................................. 75
TRISENOX ....................................................................... 44
TRI-SPRINTEC (28) ............................................... 75
TRISTART DHA ..................................................... 142
TRIUMEQ .......................................................................... 49
TRIVEEN-DUO DHA ....................................... 142
TRIVEEN-PRX RNF .......................................... 142
TRI-VIT WITH FLUORIDE & IRON
...................................................................................................... 175
TRI-VITAMIN WITH FLUORIDE ..... 175
TRIVORA (28) .............................................................. 75
TRIXAICIN ................................................................... 161
TRIXAICIN HP ........................................................ 161
TRIZIVIR ........................................................................... 49
TROKENDI XR ........................................................... 70
trolamine salicylate ................................................ 161
TROPHAMINE 10 % ......................................... 100
TROPHAMINE 6% .............................................. 100
TROPICAL LIQUID NUTRITION ..... 175
tropicamide ........................................................................ 93
trospium ............................................................................. 172
TRUEPLUS INSULIN ....................................... 137
TRULICITY ..................................................................... 39
TRUMENBA ................................................................... 57
TRUSOPT .......................................................................... 93
TRUVADA ....................................................................... 49
TUBERSOL ..................................................................... 57
TUMERSAID .............................................................. 116
TUMS .................................................................................. 112
TUMS E-X ..................................................................... 112
TUMS EXTRA STRENGTH
SMOOTHIES .............................................................. 112
TUMS FRESHERS ............................................... 112
TUMS ULTRA .......................................................... 112
turmeric root extract .............................................. 116
TUSNEL C ........................................................................ 84
TUSNEL NEW FORMULA ........................... 84
TUSNEL PEDIATRIC .......................................... 84
TUSNEL-DM PEDIATRIC ............................. 84
TUSSICAPS ..................................................................... 84
TUSSIGON ....................................................................... 84
TUSSIN ................................................................................. 84
TUSSIN CF ....................................................................... 84
TUSSIN CF COUGH-COLD ......................... 84
TUSSIN CF MAX ...................................................... 84
TUSSIN CHEST CONGESTION .............. 84
TUSSIN COUGH (DM ONLY) .................. 84
TUSSIN DM .................................................................... 84
TUSSIN DM CLEAR ............................................. 84
TUSSIN DM COUGH & CHEST ............. 84
TUSSIN DM MAX ................................................... 84
TUSSIN EXPECTORANT ............................... 84
TUSSIONEX PENNKINETIC ER ........... 84
tutti-frutti flavor (bulk) ....................................... 172
TWINRIX (PF) .............................................................. 57
TWYNSTA ....................................................................... 66
TYBOST ........................................................................... 172
TYGACIL ........................................................................... 27
TYKERB ............................................................................. 44
TYLENOL PM EXTRA STRENGTH ..... 3
TYLENOL-CODEINE #3 ................................. 11
TYLENOL-CODEINE #4 ................................. 11
TYPHIM VI ...................................................................... 57
TYSABRI ........................................................................ 172
TYVASO ............................................................................. 66
TYVASO INSTITUTIONAL START
KIT ............................................................................................. 66
TYVASO REFILL KIT ........................................ 66
TYVASO STARTER KIT ................................. 66
TYZEKA ............................................................................. 49
TYZINE ................................................................................ 93
UCERIS ............................................................................. 121
U-CORT ............................................................................ 161
UDAMIN SP ................................................................ 175
ULESFIA ......................................................................... 161
ULORIC ............................................................................... 17
ULTANE ............................................................................. 14
ULTICARE .................................................................... 137
ULTILET ALCOHOL SWAB ................... 161
ULTILET INSULIN SYRINGE .............. 137
ULTILET PEN NEEDLE ............................... 137
ULTIMATE OB DHA ........................................ 142
ULTIMATECARE ONE ................................. 142
ULTIMATECARE ONE NF ....................... 142
ULTIVA ............................................................................... 11
ULTRA CMFT INS SYR HALF UNIT
...................................................................................................... 137
ULTRA COMFORT INSULIN
SYRINGE ........................................................................ 137
ULTRA LUBRICANT EYE ........................... 93
ULTRA STRENGTH ANTACID .......... 112
ULTRABAG/DIANEAL PD-2/1.5%
DEX ....................................................................................... 100
ULTRABAG/DIANEAL PD-2/2.5%
DEX ....................................................................................... 100
ULTRABAG/DIANEAL
PD-2/4.25%DEX ...................................................... 100
ULTRABAG/DIANEAL/2.5%
DEXTROSE .................................................................. 100
ULTRACET ..................................................................... 11
ULTRACIN T ............................................................. 161
ULTRACOMFORT .............................................. 137
ULTRACOMFORT W/ CONTAINER
...................................................................................................... 137
ULTRAFOAM .............................................................. 59
ULTRA-FRESH ....................................................... 161
ULTRAM ............................................................................ 11
ULTRAM ER .................................................................. 11
ULTRA-THIN II (SHORT) INS SYR
...................................................................................................... 137
ULTRA-THIN II (SHORT) PEN NDL
...................................................................................................... 137
ULTRA-THIN II INS PEN NEEDLES
...................................................................................................... 137
ULTRA-THIN II INSULIN SYRINGE
...................................................................................................... 137
ULTRAVATE ............................................................. 161
ULTRAVATE PAC .............................................. 161
ULTRAVATE X ...................................................... 161
ULTRAVIST ................................................................... 86
ULTRESA ....................................................................... 112
UMECTA ........................................................................ 161
UMECTA NAIL FILM PEN ....................... 161
UMECTA PD .............................................................. 161
UNASYN ............................................................................ 27
UNIFINE PENTIPS .............................................. 137
UNIFINE PENTIPS PLUS ............................ 137
UNISOL 4 ....................................................................... 137
UNI-SOLVE ADHESIVE REMOVER
...................................................................................................... 137
UNISOLVE ADHESIVE REMOVER
WIPE .................................................................................... 137
UNISTIK 2 EXTRA ............................................. 137
UNISTIK 2 NORMAL
LANCET&DEVICE ............................................. 137
UNITHROID ................................................................ 163
UNITUXIN ....................................................................... 44
UNIVASC .......................................................................... 66
UNIVERSAL REMOVER WIPES ....... 137
UNNA-FLEX ELASTIC UNNA BOOT
...................................................................................................... 137
UR N-C .................................................................................. 27
URAMAXIN ................................................................ 161
URAMAXIN GT ..................................................... 161
URAMIT MB .................................................................. 27
urea ......................................................................................... 161
URECHOLINE ............................................................. 52
URELLE .............................................................................. 27
URIMAR-T ....................................................................... 27
URIN DS ............................................................................. 27
URINARY PAIN RELIEF ................................ 14
210
Index
Index
Index
URINARY TRACT INF.TEST (WBCS)
......................................................................................................... 86
UROCIT-K 10 ............................................................ 100
UROCIT-K 15 ............................................................ 100
UROCIT-K 5 ................................................................ 100
UROGESIC-BLUE ................................................... 27
URO-L .................................................................................... 27
UROLET MB .................................................................. 27
UROPHEN MB ............................................................ 27
UROXATRAL ............................................................ 172
URSO 250 ....................................................................... 112
URSO FORTE ............................................................ 113
ursodiol ............................................................................... 113
UTIRA-C ............................................................................. 27
VAGIFEM ...................................................................... 121
VAGISTAT-1 ................................................................. 32
VAGISTAT-3 ................................................................. 32
valacyclovir ....................................................................... 49
VALCHLOR .................................................................... 44
VALCYTE ......................................................................... 49
valerian root ................................................................... 116
valganciclovir .................................................................. 49
valproate sodium .......................................................... 70
valproic acid ..................................................................... 70
valproic acid (as sodium salt) ......................... 70
valsartan ................................................................................ 67
valsartan-hydrochlorothiazide ........................ 67
VALSTAR ......................................................................... 45
VALTREX ......................................................................... 49
VALU-DRYL ALLERGY ................................ 36
VANACOF ........................................................................ 84
VANACOF DM ........................................................... 84
VANACOF-8 .................................................................. 84
VANAHIST PD ............................................................ 36
VANATOL LQ ............................................................. 11
VANCOCIN ..................................................................... 27
vancomycin ....................................................................... 28
vancomycin in 0.9% sodium cl ..................... 27
vancomycin in d5w ................................................... 27
vancomycin in dextrose iso-osm ................. 27
VANDAZOLE ............................................................... 28
vandetanib ........................................................................... 45
VANILLA BUTTERNUT FLAVOR
...................................................................................................... 172
vanilla butternut flavor(bulk) ....................... 172
vanillin (bulk) .............................................................. 172
VANISHPOINT SYRINGE ......................... 137
VANOS .............................................................................. 161
VANTAS ............................................................................. 45
VAPORX BALM .................................................... 161
VAPRISOL ....................................................................... 88
VAQTA (PF) ................................................................... 57
VARIVAX (PF) ............................................................ 57
VARIZIG ............................................................................. 57
VARNAL ......................................................................... 137
VARUBI ........................................................................... 113
VASCEPA ...................................................................... 113
VASCUDERM HYDROGEL WOUND
...................................................................................................... 137
VASCULERA ............................................................. 175
VASELINE .................................................................... 172
VASELINE PETROLATUM GAUZE
...................................................................................................... 137
VASERETIC ................................................................... 67
vasopressin ...................................................................... 121
VASOSTRICT ........................................................... 121
VASOTEC ......................................................................... 67
VECAMYL ....................................................................... 67
VECTIBIX ......................................................................... 45
VECTICAL .................................................................... 161
vecuronium bromide ................................................ 52
VELCADE ......................................................................... 45
VELETRI ............................................................................ 67
VELIVET TRIPHASIC REGIMEN (28)
......................................................................................................... 75
VELPHORO ................................................................. 100
VELTIN ............................................................................. 161
VEMAVITE-PRX-2 ............................................. 142
VENA-BAL DHA .................................................. 142
venlafaxine ...................................................................... 148
VENOFER ...................................................................... 100
VENTAVIS ....................................................................... 67
VENTOLIN HFA ....................................................... 19
VERAMYST ................................................................... 93
verapamil ............................................................................. 61
VEREGEN ......................................................................... 49
VERELAN ......................................................................... 61
VERELAN PM .............................................................. 61
VERIPRED 20 ............................................................ 121
VERSA FREE ............................................................. 172
VERSA PLUS ............................................................. 172
VERSACLOZ ............................................................. 148
VERSALON ................................................................. 138
VERSALON NONWOVEN
ALL-PURPOSE ........................................................ 138
VERSIVA XC ............................................................. 138
VESICARE .................................................................... 172
VEXOL ................................................................................. 93
VFEND .................................................................................. 32
VFEND IV ......................................................................... 32
VIASORB ABSORBENT DRESSING
...................................................................................................... 138
VIBATIV ............................................................................. 28
VIBRAMYCIN ............................................................. 28
VICKS CHILDREN'S NYQUIL
COLD&C ............................................................................ 84
VICKS DAYQUIL COLD&FLU
RELIEF ................................................................................. 84
VICKS DAYQUIL COUGH ........................... 85
VICKS DAYQUIL MUCUS CONTROL
DM ............................................................................................. 85
VICKS DAYQUIL SEVERE COLD-FLU
......................................................................................................... 85
VICKS NYQUIL COLD/FLU (CPM)
......................................................................................................... 85
VICKS NYQUIL COLD/FLU
LIQUICAP ......................................................................... 85
VICKS NYQUIL COUGH ............................... 85
VICKS NYQUIL NIGHTTIME RELIEF
......................................................................................................... 85
VICKS NYQUIL SEVERE COLD-FLU
......................................................................................................... 85
VICKS QLEARQUIL ALLERGY ........... 36
VICKS QLEARQUIL DAYTIME SINUS
......................................................................................................... 85
VICKS QLEARQUIL NIGHTIME
SINUS ..................................................................................... 85
VICKS QLEARQUIL NIGHTTIME RLF
......................................................................................................... 36
VICKS
QLEARQUIL(OXYMETAZOLINE) .... 93
VICKS SINEX 12-HOUR ................................. 93
VICKS VAPODROPS ........................................... 85
VICKS VAPORUB ............................................... 161
VICKS VAPOSTEAM .......................................... 85
VICODIN ............................................................................ 11
VICODIN ES .................................................................. 11
VICODIN HP .................................................................. 11
VICOPROFEN .............................................................. 12
VICTOZA 2-PAK ...................................................... 39
VICTOZA 3-PAK ...................................................... 39
VICTRELIS ...................................................................... 49
VIDAZA .............................................................................. 45
VIDEX 2 GRAM PEDIATRIC .................... 49
VIDEX 4 GRAM PEDIATRIC .................... 49
VIDEX EC ......................................................................... 49
VIEKIRA PAK .............................................................. 49
VIGAMOX ........................................................................ 28
VIGILON PRIMARY WOUND
DRESSING .................................................................... 138
VIIBRYD ......................................................................... 148
VILACTIN AA PLUS 20 PE ...................... 100
VIMIZIM ......................................................................... 172
VIMOVO ............................................................................. 17
VIMPAT .............................................................................. 70
VINATE C ...................................................................... 142
VINATE GT ................................................................. 142
vinblastine ........................................................................... 45
VINCASAR PFS ......................................................... 45
vincristine ............................................................................ 45
vinorelbine .......................................................................... 45
VIOKACE ....................................................................... 113
VIORELE (28) ............................................................... 75
VIRACEPT ....................................................................... 49
VIRAMUNE .................................................................... 49
VIRAMUNE XR ......................................................... 49
VIRAZOLE ....................................................................... 49
VIREAD ............................................................................... 49
VIROPTIC ......................................................................... 49
VIRT NATE .................................................................. 142
VIRT-ADVANCE .................................................. 142
VIRT-BAL DHA PLUS ................................... 142
VIRT-C DHA .............................................................. 142
VIRT-CAPS .................................................................. 175
VIRT-CARE ONE .................................................. 142
VIRTI-SULF .................................................................... 28
VIRT-NATE ................................................................. 142
VIRT-PHOS 250 NEUTRAL ..................... 100
VIRT-PN .......................................................................... 142
VIRT-PN DHA .......................................................... 142
VIRT-PN PLUS ........................................................ 142
VIRTPREX .................................................................... 142
VIRTRATE-2 .............................................................. 101
VIRTRATE-3 .............................................................. 101
VIRTRATE-K ............................................................. 101
VIRT-SELECT .......................................................... 142
VIRTUSSIN AC .......................................................... 85
VIRTUSSIN DAC ..................................................... 85
VIRT-VITE .................................................................... 175
VIRT-VITE FORTE ............................................. 175
VIRT-VITE GT ......................................................... 142
VIRT-VITE PLUS .................................................. 175
VISCOPASTE PB7 ............................................... 138
VISICOL .......................................................................... 113
VISINE FOR CONTACTS ........................... 138
VISIPAQUE ..................................................................... 86
VISTARIL .......................................................................... 36
VISTEC X-RAY DETECT ........................... 138
211
Index
Index
Index
VISTIDE .............................................................................. 49
VISUDYNE ................................................................... 172
VIT 3 ..................................................................................... 175
VITAFOL ........................................................................ 101
VITAFOL NANO ................................................... 142
VITAFOL ULTRA ................................................ 142
VITAFOL-OB ............................................................. 142
VITAFOL-OB+DHA .......................................... 142
VITAFOL-ONE ........................................................ 142
VITAFOL-PLUS ...................................................... 142
VITAL-D RX ............................................................... 175
vitamin a and d ........................................................... 161
VITAMIN B-12 ......................................................... 175
VITAMIN D2 .............................................................. 175
VITAMIN D3 .............................................................. 175
vitamin e (dl, acetate) .......................................... 175
VITAMIN K ................................................................. 175
VITAMIN K1 .............................................................. 175
VITAMINS A,C,D & FLUORIDE ....... 175
VITEKTA ........................................................................... 49
VITRASE ........................................................................ 161
vits a and d-white pet-lanolin ...................... 161
VITUZ .................................................................................... 85
VIVA CT .......................................................................... 142
VIVAGLOBIN .............................................................. 57
VIVELLE-DOT ......................................................... 121
VIVITROL ..................................................................... 172
VIVOTIF BERNA VACCINE ...................... 57
V-NATAL ....................................................................... 142
VOGELXO .................................................................... 121
VOL-CARE RX ........................................................ 175
VOL-NATE ................................................................... 142
VOL-PLUS .................................................................... 142
VOLTAREN ....................................................... 93, 161
VOLTAREN-XR ......................................................... 17
VOLUVEN 6 % ............................................................ 59
voriconazole ...................................................................... 32
VORTEX ADULT MASK ............................ 138
VORTEX FROG MASK-CHILD ........... 138
VORTEX HOLDING CHAMBER ....... 138
CHILD ................................................................................ 138
TODDLER ...................................................................... 138
VORTEX LADYBUG
MASK-TODDLER ................................................ 138
VORTEX VHC FROG MASK-CHILD
...................................................................................................... 138
VORTEX VHC LADYBUG
MASK-TODDLR .................................................... 138
VOSOL .................................................................................. 93
VOSOL-HC ...................................................................... 93
VOSPIRE ER .................................................................. 19
VOTRIENT ....................................................................... 45
VP CH ULTRA ......................................................... 142
VP-CH PLUS ............................................................... 143
VP-CH-PNV ................................................................. 143
VP-GGR-B6 .................................................................. 143
VP-GSTN ........................................................................ 101
VP-HEME OB ............................................................ 143
VP-HEME ONE ........................................................ 143
VP-PNV-DHA ............................................................ 143
VP-PRECIP ................................................................... 116
VPRIV ................................................................................. 172
VP-VITE RX ................................................................ 175
VP-ZEL .............................................................................. 172
VUSION ............................................................................... 32
VYFEMLA (28) ........................................................... 75
VYTORIN 10-20 ......................................................... 67
VYTORIN 10-40 ......................................................... 67
VYTORIN 10-80 ......................................................... 67
VYVANSE ..................................................................... 148
WAL-ITIN ......................................................................... 36
WAL-MUCIL FIBER (ASPARTAME)
...................................................................................................... 113
WAL-MUCIL FIBER (SUGAR) ............ 113
WAL-ZAN 75 ............................................................. 113
warfarin ................................................................................. 29
WATCHHALER ...................................................... 138
water for inject, bacteriostat .......................... 172
water for injection, sterile ................................ 172
water for irrigation, sterile .............................. 161
WATER SHIELD BANDAGES .............. 138
WATERMELON FLAVORING ............. 172
WATERPROOF STRONG STRIPS .... 138
WEBCOL ........................................................................ 161
WEBRIL ........................................................................... 138
WEBRIL II ..................................................................... 138
WEE CARE ................................................................... 101
WELCHOL ....................................................................... 67
WELLBUTRIN ......................................................... 148
WELLBUTRIN SR ............................................... 148
WELLBUTRIN XL ............................................... 148
WERA (28) ........................................................................ 75
WESTCORT ................................................................. 162
WET-PRUF ................................................................... 138
WHEY PROTEIN CONCENTRATE
...................................................................................................... 101
WHITE WAX (BEESWAX) ....................... 172
WHOLE BODY JOINT SUPPORT ..... 116
WIDE-SEAL DIAPHRAGM 60 ................. 75
WILATE .............................................................................. 59
wild cherry flavor (bulk) ................................... 172
WINDMILL TRAINER .................................... 138
WINRHO SDF ............................................................... 57
WINTERGREEN FLAVORING ............ 172
WITCH HAZEL ....................................................... 162
witch hazel leaf (hamamelis) ....................... 162
WITEPSOL H-15 .................................................... 172
WOMEN'S GENTLE
LAXATIVE(BISAC) ........................................... 113
WOMEN'S LAXATIVE (BISACODYL)
...................................................................................................... 113
WOMEN'S MULTIVITAMIN
GUMMIES ..................................................................... 175
WOUND & SKIN CLEANSER ............... 162
WOUND CLEANSER ....................................... 162
WOUND GEL ............................................................ 162
WOUNDGARD GAUZE ................................ 138
WOUN'DRES HYDROGEL WOUND
DRESS ................................................................................ 138
WYMZYA FE ................................................................ 75
XALATAN ........................................................................ 93
XALKORI .......................................................................... 45
XANAX ............................................................................. 148
XANAX XR .................................................................. 148
XARELTO ......................................................................... 29
XARTEMIS XR ........................................................... 12
XELJANZ ........................................................................... 17
XELODA ............................................................................. 45
XENAZINE ...................................................................... 70
XEOMIN ............................................................................. 52
XERAC AC ................................................................... 162
XERESE ............................................................................... 49
XGEVA ............................................................................. 172
XIAFLEX ........................................................................ 172
XIFAXAN .......................................................................... 28
XIGDUO XR ................................................................... 39
XODOL 10/300 ............................................................ 12
XODOL 5/300 ................................................................ 12
XODOL 7.5/300 ........................................................... 12
XOFIGO ........................................................................... 172
XOLAIR ............................................................................... 19
XOPENEX ......................................................................... 19
XOPENEX CONCENTRATE ...................... 19
XOPENEX HFA .......................................................... 19
XTANDI .............................................................................. 45
XULANE ............................................................................. 75
XYLOCAINE ................................................................. 14
XYLOCAINE (CARDIAC) (PF) ............... 61
XYLOCAINE JELLY ............................................ 14
XYLOCAINE-EPINEPHRINE .................... 14
XYLOCAINE-MPF .................................................. 14
XYLOCAINE-MPF/EPINEPHRINE ..... 14
XYLON 10 ........................................................................ 12
XYNTHA ............................................................................ 59
XYNTHA SOLOFUSE ........................................ 59
XYREM ............................................................................. 149
XYZAL ................................................................................. 36
YASMIN (28) ................................................................. 75
YAZ (28) ............................................................................. 75
YELLOW WAX (BEESWAX) ................. 172
YERVOY ............................................................................ 45
YF-VAX (PF) ................................................................. 57
YOHIMBE ...................................................................... 116
yohimbe bark ................................................................ 116
ZADITOR ........................................................................... 37
zafirlukast ............................................................................ 19
zaleplon .............................................................................. 149
ZALTRAP .......................................................................... 45
ZAMICET .......................................................................... 12
ZANAFLEX ................................................................. 139
ZANOSAR ........................................................................ 45
ZANTAC .......................................................................... 113
ZANTAC 75 ................................................................. 113
ZANTAC MAXIMUM STRENGTH
...................................................................................................... 113
ZARAH ................................................................................. 75
ZARONTIN ...................................................................... 70
ZAROSEN DESENSITIZER ...................... 138
ZAROXOLYN .............................................................. 88
ZARXIO ............................................................................... 71
ZATEAN-CH .............................................................. 143
ZATEAN-PN ............................................................... 143
ZATEAN-PN DHA ............................................... 143
ZATEAN-PN PLUS ............................................. 143
ZAVARA ......................................................................... 175
ZAVESCA ...................................................................... 172
ZEASORB (MICONAZOLE) ....................... 32
ZEBETA .............................................................................. 67
ZEBUTAL .......................................................................... 12
212
Index
Index
ZECUITY ........................................................................... 12
ZEGERID ........................................................................ 113
ZELAPAR .......................................................................... 46
ZELBORAF ..................................................................... 45
ZEMAIRA ...................................................................... 172
ZEMPLAR ..................................................................... 172
ZEMURON ....................................................................... 52
ZENATANE ................................................................. 162
ZENCHENT (28) ........................................................ 75
ZENCHENT FE ........................................................... 75
ZENPEP ............................................................................ 113
ZENZEDI ............................................................................ 52
ZEOSA .................................................................................. 75
ZERBAXA ........................................................................ 28
ZERIT ..................................................................................... 50
ZESTORETIC ................................................................ 67
ZESTRIL ............................................................................. 67
ZETIA ..................................................................................... 67
ZETONNA ........................................................................ 93
ZEVALIN (Y-90) ....................................................... 45
ZFLEX ....................................................................................... 3
ZIAC ........................................................................................ 67
ZIAGEN ............................................................................... 50
ZIANA ................................................................................ 162
zidovudine .......................................................................... 50
ZIKS ARTHRITIS PAIN RELIEF ........ 162
ZINACEF ............................................................................ 28
ZINACEF IN STERILE WATER ............. 28
zinc chloride .................................................................. 101
zinc oxide ......................................................................... 162
zinc stearate ................................................................... 172
zinc sulfate ...................................................................... 101
ZINECARD (AS HCL) ..................................... 172
ZINGIBER ...................................................................... 143
ZINGO ................................................................................... 14
ZIOPTAN (PF) .............................................................. 93
ziprasidone hcl ............................................................ 148
ZIPSOR ................................................................................. 12
ZIRGAN ............................................................................... 50
ZITHROMAX ................................................................ 28
ZITHROMAX TRI-PAK .................................... 28
ZITHROMAX Z-PAK ........................................... 28
ZMAX .................................................................................... 28
ZOCOR ................................................................................. 67
ZOFRAN (AS HYDROCHLORIDE)
...................................................................................................... 113
ZOFRAN ODT ........................................................... 113
ZOHYDRO ER ............................................................. 12
ZOLADEX ........................................................................ 45
zoledronic acid ............................................................ 172
zoledronic acid-mannitol-water ................. 172
ZOLINZA ........................................................................... 45
ZOLOFT ........................................................................... 148
zolpidem ............................................................................ 149
ZOLPIMIST .................................................................. 149
ZOMACTON ............................................................... 121
ZOMETA ......................................................................... 172
ZOMIG .................................................................................. 12
ZOMIG ZMT .................................................................. 12
ZONALON .................................................................... 162
ZONATUSS ..................................................................... 85
ZONEGRAN ................................................................... 70
zonisamide .......................................................................... 70
ZONTIVITY .................................................................... 46
ZORBTIVE .................................................................... 121
ZORTRESS ................................................................... 122
ZORVOLEX .................................................................... 17
ZOSTAVAX (PF) ....................................................... 57
ZOSYN .................................................................................. 28
ZOSYN IN DEXTROSE (ISO-OSM) ... 28
ZOVIA 1/35E (28) ..................................................... 75
ZOVIA 1/50E (28) ..................................................... 75
ZOVIRAX .......................................................................... 50
Z-SLEEP ........................................................................... 149
Z-TUSS AC ...................................................................... 85
Z-TUSS E ............................................................................ 85
ZUBSOLV ...................................................................... 172
ZUPLENZ ....................................................................... 113
ZUTRIPRO ....................................................................... 85
ZYBAN .............................................................................. 162
ZYCLARA ..................................................................... 162
ZYDELIG ........................................................................... 45
ZYFLO .................................................................................. 19
ZYFLO CR ........................................................................ 19
ZYKADIA .......................................................................... 45
ZYLET ................................................................................... 28
ZYLOPRIM ...................................................................... 17
ZYMAXID ........................................................................ 28
ZYPRAM ......................................................................... 113
ZYPREXA ...................................................................... 148
ZYPREXA RELPREVV .................................. 148
ZYPREXA ZYDIS ................................................. 148
ZYTIGA ............................................................................... 45
ZYVOX ................................................................................. 28
ZZZQUIL ........................................................................ 149
213