2016 MDWise HIEx Formulary

Transcription

2016 MDWise HIEx Formulary
MDwise HIX Formulary
2016
Contents
of
Table
Table of Contents
ANALGESIC AND ANTIHISTAMINE COMBINATION .................................................................................................................................................................................................. 3
ANALGESICS ........................................................................................................................................................................................................................................................................................................................... 3
ANESTHETICS .................................................................................................................................................................................................................................................................................................................... 13
ANTIARTHRITICS ......................................................................................................................................................................................................................................................................................................... 14
ANTIASTHMATICS ...................................................................................................................................................................................................................................................................................................... 17
ANTIBIOTICS ....................................................................................................................................................................................................................................................................................................................... 19
ANTICOAGULANTS .................................................................................................................................................................................................................................................................................................... 28
ANTIDOTES ............................................................................................................................................................................................................................................................................................................................ 30
ANTIFUNGALS ................................................................................................................................................................................................................................................................................................................... 30
ANTIHISTAMINE AND DECONGESTANT COMBINATION ............................................................................................................................................................................... 33
ANTIHISTAMINES ........................................................................................................................................................................................................................................................................................................ 35
ANTIHYPERGLYCEMICS .................................................................................................................................................................................................................................................................................. 38
ANTIINFECTIVES .......................................................................................................................................................................................................................................................................................................... 41
ANTIINFECTIVES/MISCELLANEOUS .............................................................................................................................................................................................................................................. 41
ANTINEOPLASTICS .................................................................................................................................................................................................................................................................................................... 42
ANTIPARKINSON DRUGS .................................................................................................................................................................................................................................................................................. 44
ANTIPLATELET DRUGS ...................................................................................................................................................................................................................................................................................... 45
ANTIVIRALS .......................................................................................................................................................................................................................................................................................................................... 46
AUTONOMIC DRUGS ................................................................................................................................................................................................................................................................................................ 49
BIOLOGICALS .................................................................................................................................................................................................................................................................................................................... 51
BLOOD ........................................................................................................................................................................................................................................................................................................................................... 53
CARDIAC DRUGS ........................................................................................................................................................................................................................................................................................................... 54
CARDIOVASCULAR ................................................................................................................................................................................................................................................................................................... 56
CNS DRUGS ............................................................................................................................................................................................................................................................................................................................. 62
COLONY STIMULATING FACTORS ................................................................................................................................................................................................................................................... 66
CONTRACEPTIVES ..................................................................................................................................................................................................................................................................................................... 67
COUGH/COLD PREPARATIONS ............................................................................................................................................................................................................................................................... 72
DIAGNOSTIC ......................................................................................................................................................................................................................................................................................................................... 81
DIURETICS .............................................................................................................................................................................................................................................................................................................................. 85
EENT PREPS ........................................................................................................................................................................................................................................................................................................................... 86
ELECT/CALORIC/H2O ............................................................................................................................................................................................................................................................................................ 91
GASTROINTESTINAL .............................................................................................................................................................................................................................................................................................. 96
HERBALS ................................................................................................................................................................................................................................................................................................................................ 103
HORMONES ......................................................................................................................................................................................................................................................................................................................... 103
IMMUNOSUPPRESANT ...................................................................................................................................................................................................................................................................................... 107
MISCELLANEOUS MEDICAL SUPPLIES, DEVICES, NON-DRUG ......................................................................................................................................................... 108
MUSCLE RELAXANTS ......................................................................................................................................................................................................................................................................................... 140
PRE-NATAL VITAMINS ...................................................................................................................................................................................................................................................................................... 141
PSYCHOTHERAPEUTIC DRUGS .......................................................................................................................................................................................................................................................... 149
SEDATIVE/HYPNOTICS ..................................................................................................................................................................................................................................................................................... 154
SKIN PREPS ......................................................................................................................................................................................................................................................................................................................... 155
SMOKING DETERRENTS ................................................................................................................................................................................................................................................................................ 169
THYROID PREPS .......................................................................................................................................................................................................................................................................................................... 170
UNCLASSIFIED DRUG PRODUCTS ................................................................................................................................................................................................................................................... 170
VITAMINS .............................................................................................................................................................................................................................................................................................................................. 178
1
2
MDwise HIX Formulary
2016
Drug Name
Reference
Tier
Notes
ANALGESIC AND ANTIHISTAMINE
COMBINATION
ACUFLEX
3
ALI-FLEX
1
BIOGESIC
1
BIOREGESIC
1
DOLOGEN (PHENYLTOLX-ACETAMIN)
1
DOLOGESIC
3
FLEXTRA DS
3
FLEXTRA-650
3
LAGESIC
3
NOVAGESIC
1
POLY-650
1
RELAGESIC
3
RHINOFLEX
1
RHINOFLEX-650
1
ZFLEX
1
ZGESIC
3
ANALGESICS
ABSTRAL
3
acetaminophen-codeine oral solution 120 mg-12
mg /5 ml (5 ml), 120-12 mg/5 ml
1
acetaminophen-codeine oral tablet
1
acetaminophen-codeine oral tablet
Tylenol-Codeine #3
1
acetaminophen-codeine oral tablet
Tylenol-Codeine #4
1
ACTIQ
3
ADULT LOW DOSE ASPIRIN
5
ALAGESIC LQ
1
almotriptan malate
Axert
PA
PA
1
ST; QL (2 EA per 5 days)
ALSUMA
3
QL (1 EA per 14 days)
AMERGE
2
QL (3 EA per 5 days)
ANABAR
3
ASCOMP WITH CODEINE
1
ASPIR-81
5
ASPIRIN CHILDRENS
5
MDwise Marketplace
3
Drug Name
Reference
Tier
ASPIRIN LOW DOSE
5
ASPIRIN LOW-STRENGTH
5
aspirin oral tablet 325 mg
St. Joseph Aspirin
5
aspirin oral tablet,chewable
St. Joseph Low-Dose Aspirin
5
aspirin oral tablet,delayed release (dr/ec) 325
mg
Ecotrin
5
aspirin oral tablet,delayed release (dr/ec) 81 mg Aspirin EC
5
aspirin oral tablet,delayed release (dr/ec) 975
mg
1
Easprin
Notes
ASPIR-LOW
5
ASPIR-TRIN
5
ASTRAMORPH-PF
1
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
3
ST; QL (2 EA per 5 days)
B & O 15-A SUPPRETTE
1
BE-FLEX PLUS
1
belladonna alkaloids-opium
1
BUPAP ORAL TABLET 50-300 MG
3
BUPAP ORAL TABLET 50-650 MG
1
BUPRENEX
3
buprenorphine hcl injection
1
buprenorphine hcl injection
Buprenex
1
BUTALBITAL COMPOUND
1
BUTALBITAL COMPOUND W/CODEINE
1
butalbital-acetaminop-caf-cod oral capsule
50-325-40-30 mg
Phrenilin w/Caffeine-Codeine
1
butalbital-acetaminophen
Phrenilin
1
butalbital-acetaminophen-caff
Triad
1
butalbital-aspirin-caffeine
Butalbital Compound
1
butorphanol tartrate
1
BUTRANS
2
CAFGESIC
1
CAMBIA
3
CAPACET
1
CAPITAL WITH CODEINE
2
carisoprodol-asa-codeine
Soma Compound with Codeine
1
CATAFLAM
3
CEPHADYN
3
CHILD ASPIRIN
5
CHILDREN'S ASPIRIN
5
choline,magnesium salicylate
1
CHOLINE-MAG TRISALICYLATE
MDwise Marketplace
1
4
QL (1 EA per 7 days)
QL (3 EA per 10 days)
Drug Name
Reference
Tier
COCET
1
COCET PLUS
1
codeine phosphate
1
codeine sulfate oral solution 30 mg/5 ml
3
codeine sulfate oral tablet
1
codeine-butalbital-asa-caff
Butalbital Compound-Codeine
Notes
1
CO-GESIC
1
QL (8 EA per 1 day)
CONZIP
3
ST; QL (1 EA per 1 day)
D.H.E.45
3
QL (15 ML per 14 days)
DEMEROL (PF) INJECTION SYRINGE
3
DEMEROL INJECTION
3
diclofenac potassium
Cataflam
diflunisal
1
1
dihydrocode-acetaminophen-caff oral capsule
Trezix
1
QL (10 EA per 1 day)
dihydrocode-acetaminophen-caff oral tablet
Panlor SS
1
dihydrocodeine-aspirin-caff
Synalgos-DC
1
dihydroergotamine injection
D.H.E. 45
1
QL (15 ML per 14 days)
dihydroergotamine nasal
Migranal
1
QL (8 ML per 28 days)
DILAUDID (PF)
3
DILAUDID ORAL TABLET
2
DILAUDID-5
2
DILAUDID-HP (PF)
3
DISKETS
3
DOLGIC PLUS
3
DOLOPHINE ORAL
2
DURABAC
3
DURABAC FORTE
3
DURAGESIC
2
DURAMORPH (PF) INJECTION SOLUTION 0.5
MG/ML
3
DURAXIN
3
E.C. PRIN
5
ECOTRIN
5
ED-FLEX
1
ELMIRON
2
EMBEDA ORAL
CAPSULE,EXTEND.RELEASE PELLETS
3
EMBEDA ORAL CAPSULE,ORAL
ONLY,EXT.REL PELL 100-4 MG
3
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
3
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)
ENDOCET ORAL TABLET 10-650 MG
1
QL (6 EA per 1 day)
PA; QL (1 EA per 3 days)
MDwise Marketplace
5
Drug Name
Reference
Tier
Notes
ENDOCET ORAL TABLET 7.5-500 MG
1
ENDODAN
1
ENTERIC COATED ASPIRIN
5
EPIDRIN
1
ERCAF
2
QL (10 EA per 7 days)
ERGOMAR
3
QL (10 EA per 7 days)
1
QL (10 EA per 7 days)
ergotamine-caffeine
Cafergot
QL (8 EA per 1 day)
ESGIC ORAL CAPSULE
3
ESGIC ORAL TABLET
2
ESGIC-PLUS
3
EXALGO ER ORAL TABLET EXTENDED
RELEASE 24 HR 12 MG, 16 MG, 8 MG
3
PA; QL (1 EA per 1 day)
EXALGO ER ORAL TABLET EXTENDED
RELEASE 24 HR 32 MG
3
PA; QL (2 EA per 1 day)
fentanyl
Duragesic
1
PA; QL (1 EA per 3 days)
fentanyl citrate
Actiq
1
PA
FENTORA
3
PA
FIORICET ORAL CAPSULE
3
FIORICET ORAL TABLET
2
FIORICET WITH CODEINE ORAL CAPSULE
50-300-40-30 MG
1
FIORICET WITH CODEINE ORAL CAPSULE
50-325-40-30 MG
2
FIORINAL
2
FIORINAL-CODEINE #3
2
FLEXTRA PLUS
3
FROVA
3
HALFPRIN ORAL TABLET,DELAYED
RELEASE (DR/EC) 81 MG
5
HYCET
2
QL (184 ML per 1 day)
1
QL (8 EA per 1 day)
hydrocodone-acetaminophen oral solution
2.5-167 mg/5 ml, 5-334 mg/10 ml
1
QL (120 ML per 1 day)
hydrocodone-acetaminophen oral solution 5-163
mg/7.5ml(7.5ml)
1
QL (184 ML per 1 day)
hydrocodone-acetaminophen oral capsule
Hydrocet
ST; QL (3 EA per 5 days)
hydrocodone-acetaminophen oral solution
7.5-325 mg/15 ml
Hycet
1
QL (184 ML per 1 day)
hydrocodone-acetaminophen oral solution
7.5-500 mg/15 ml
Lortab Elixir
1
QL (120 ML per 1 day)
hydrocodone-acetaminophen oral tablet 10-300
Xodol 10/300
mg
1
QL (13 EA per 1 day)
hydrocodone-acetaminophen oral tablet 10-325
Norco
mg, 5-325 mg, 7.5-325 mg
1
QL (12 EA per 1 day)
hydrocodone-acetaminophen oral tablet 10-500
Lortab 10/500
mg
1
QL (8 EA per 1 day)
hydrocodone-acetaminophen oral tablet 10-650
Lorcet 10/650
mg
1
QL (6 EA per 1 day)
MDwise Marketplace
6
Drug Name
Reference
Tier
Notes
hydrocodone-acetaminophen oral tablet 10-660
Vicodin HP
mg
1
QL (6 EA per 1 day)
hydrocodone-acetaminophen oral tablet 10-750
Maxidone
mg
1
QL (5 EA per 1 day)
hydrocodone-acetaminophen oral tablet 2.5-325
Verdrocet
mg
1
hydrocodone-acetaminophen oral tablet 2.5-500
mg
1
QL (8 EA per 1 day)
hydrocodone-acetaminophen oral tablet 5-300
mg
Xodol 5/300
1
QL (13 EA per 1 day)
hydrocodone-acetaminophen oral tablet 5-500
mg
Lortab
1
QL (8 EA per 1 day)
hydrocodone-acetaminophen oral tablet 7.5-300
Xodol 7.5/300
mg
1
QL (13 EA per 1 day)
hydrocodone-acetaminophen oral tablet 7.5-500
Lortab 7.5
mg
1
QL (8 EA per 1 day)
hydrocodone-acetaminophen oral tablet 7.5-650
Anexsia
mg
1
QL (6 EA per 1 day)
hydrocodone-acetaminophen oral tablet 7.5-750
Vicodin ES
mg
1
QL (5 EA per 1 day)
hydrocodone-ibuprofen
1
Vicoprofen
HYDROGESIC
1
hydromorphone (pf) injection solution 1 mg/ml Dilaudid
1
hydromorphone (pf) injection solution 10 mg/ml Dilaudid-HP
1
hydromorphone in 0.9 % nacl intravenous
syringe 4 mg/ml (1 ml)
1
hydromorphone injection
1
hydromorphone intravenous patient
control.analgesia soln
1
hydromorphone intravenous syringe
1
hydromorphone oral liquid
Dilaudid-5
1
hydromorphone oral tablet
Dilaudid
1
QL (8 EA per 1 day)
hydromorphone oral tablet extended release 24
Exalgo ER
hr 12 mg, 16 mg, 8 mg
1
PA; QL (1 EA per 1 day)
hydromorphone oral tablet extended release 24
Exalgo ER
hr 32 mg
1
PA; QL (2 EA per 1 day)
hydromorphone rectal
1
Dilaudid
HYSINGLA ER
3
IBUDONE
3
ibuprofen-oxycodone
Combunox
QL (1 EA per 1 day)
1
IMITREX NASAL
2
QL (6 EA per 15 days)
IMITREX ORAL
2
QL (3 EA per 5 days)
IMITREX STATDOSE KIT REFILL
SUBCUTANEOUS CARTRIDGE 4 MG/0.5 ML
2
QL (1 EA per 14 days)
IMITREX STATDOSE KIT REFILL
SUBCUTANEOUS CARTRIDGE 6 MG/0.5 ML
3
QL (1 EA per 14 days)
IMITREX STATDOSE PEN SUBCUTANEOUS
PEN INJECTOR 6 MG/0.5 ML
3
QL (1 EA per 14 days)
MDwise Marketplace
7
Drug Name
Reference
IMITREX SUBCUTANEOUS
Tier
2
isometh-dichloral-acetaminophn
Diacetazone
1
isomethepten-caf-acetaminophen oral tablet
130-20-500 mg
Prodrin
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
3
KADIAN ORAL CAPSULE,EXTEND.RELEASE
PELLETS 100 MG, 30 MG
3
KADIAN ORAL CAPSULE,EXTEND.RELEASE
PELLETS 200 MG
3
ketorolac injection
1
ketorolac injection
Toradol
ketorolac intramuscular solution
ketorolac oral
QL (1 ML per 14 days)
QL (2 EA per 1 day)
QL (4 EA per 1 day)
1
1
Toradol
1
LAZANDA
3
LEVACET
3
levorphanol tartrate
Notes
Levo-Dromoran
PA
1
LITE COAT ASPIRIN
5
LO-DOSE ASPIRIN
5
LORCET (HYDROCODONE)
1
QL (12 EA per 1 day)
LORCET 10/650
2
QL (6 EA per 1 day)
LORCET HD
1
QL (12 EA per 1 day)
LORCET PLUS ORAL TABLET 7.5-325 MG
1
QL (12 EA per 1 day)
LORCET PLUS ORAL TABLET 7.5-650 MG
2
QL (6 EA per 1 day)
LORTAB
2
QL (8 EA per 1 day)
LORTAB 10-325
2
QL (12 EA per 1 day)
LORTAB 5-325
2
QL (12 EA per 1 day)
LORTAB 7.5-325
2
QL (12 EA per 1 day)
LORTAB ELIXIR ORAL SOLUTION 7.5-500
MG/15 ML
2
QL (120 ML per 1 day)
MAGNACET
3
QL (10 EA per 1 day)
MARGESIC
1
MARTEN-TAB
1
MAXALT
2
QL (3 EA per 5 days)
MAXALT-MLT
2
QL (3 EA per 5 days)
MAXIDONE
2
QL (5 EA per 1 day)
mefenamic acid
Ponstel
1
meperidine (pf) injection solution 100 mg/ml, 50
Demerol (PF)
mg/ml
1
meperidine (pf) injection solution 25 mg/ml
1
meperidine injection cartridge
1
methadone injection
1
methadone oral
1
methadone oral
MDwise Marketplace
8
Methadose
1
Drug Name
Reference
Tier
METHADOSE ORAL CONCENTRATE
3
METHADOSE ORAL TABLET 10 MG
1
METHADOSE ORAL TABLET,SOLUBLE
1
MIGRAGESIC IDA
1
MIGRANAL
3
MINIPRIN
5
morphine (pf) in 0.9 % nacl intravenous patient
control.analgesia soln
1
morphine (pf) in 0.9 % nacl intravenous
solution 2 mg/ml
1
morphine (pf) in 0.9 % nacl intravenous syringe
4 mg/ml
1
morphine (pf) in dextrose 5 %
1
morphine (pf) injection solution 0.5 mg/ml, 1
mg/ml
Duramorph
1
morphine concentrate oral solution
Roxanol Concentrate
1
Notes
QL (8 ML per 28 days)
morphine in 0.9 % nacl intravenous solution 5
mg/ml
1
morphine in 0.9 % nacl intravenous syringe 10
mg/ml
1
morphine injection solution
1
morphine injection syringe 10 mg/ml, 15 mg/ml,
4 mg/ml, 8 mg/ml
1
morphine intramuscular
1
morphine intravenous cartridge 15 mg/ml, 4
mg/ml
1
morphine intravenous pt controlled analgesia
syring
1
morphine intravenous syringe 10 mg/10 ml (1
mg/ml)
1
morphine oral capsule, er multiphase 24 hr 120
Avinza
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
Avinza
1
QL (1 EA per 1 day)
morphine oral capsule,extend.release pellets 100
Kadian
mg, 20 mg, 30 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
MS Contin
1
QL (3 EA per 1 day)
morphine oral tablet extended release
Oramorph SR
1
QL (3 EA per 1 day)
morphine rectal
1
MS CONTIN
2
MST 600
1
nalbuphine
Nubain
1
naratriptan
Amerge
1
NODOLOR
1
NORCO
2
QL (3 EA per 1 day)
QL (3 EA per 5 days)
QL (12 EA per 1 day)
MDwise Marketplace
9
Drug Name
Reference
Tier
Notes
NUCYNTA
2
QL (6 EA per 1 day)
NUCYNTA ER
2
QL (2 EA per 1 day)
ONSOLIS
3
PA
OPANA
3
OPANA ER ORAL TABLET EXTENDED
RELEASE 12 HR 10 MG, 15 MG, 20 MG, 5 MG,
7.5 MG
3
QL (2 EA per 1 day)
OPANA ER ORAL TABLET EXTENDED
RELEASE 12 HR 30 MG, 40 MG
3
QL (4 EA per 1 day)
OPANA ER ORAL TABLET,ORAL
ONLY,EXT.REL.12 HR 10 MG, 15 MG, 20 MG,
5 MG, 7.5 MG
3
QL (2 EA per 1 day)
OPANA ER ORAL TABLET,ORAL
ONLY,EXT.REL.12 HR 30 MG, 40 MG
3
QL (4 EA per 1 day)
ORAMORPH SR
2
QL (3 EA per 1 day)
ORBIVAN
3
ORBIVAN CF
3
OXAYDO
3
OXECTA
3
oxycodone hcl-oxycodone-asa
1
oxycodone oral capsule
OxyIR
1
oxycodone oral concentrate
ETH-Oxydose
1
oxycodone oral solution
Roxicodone
1
oxycodone oral tablet
Dazidox
1
oxycodone oral tablet
Roxicodone
1
oxycodone oral tablet extended release 12 hr 10
OxyContin
mg, 20 mg, 40 mg
1
QL (2 EA per 1 day)
oxycodone oral tablet extended release 12 hr 80
OxyContin
mg
1
QL (4 EA per 1 day)
oxycodone oral tablet,oral only,ext.rel.12 hr 10
mg, 20 mg, 40 mg
OxyContin
1
QL (2 EA per 1 day)
oxycodone oral tablet,oral only,ext.rel.12 hr 80
mg
OxyContin
1
QL (4 EA per 1 day)
oxycodone-acetaminophen oral capsule
Tylox
1
QL (8 EA per 1 day)
oxycodone-acetaminophen oral tablet 10-325
mg, 5-325 mg, 7.5-325 mg
Endocet
1
QL (12 EA per 1 day)
oxycodone-acetaminophen oral tablet 10-650
mg
Endocet
1
QL (6 EA per 1 day)
oxycodone-acetaminophen oral tablet 2.5-325
mg
Percocet
1
QL (12 EA per 1 day)
oxycodone-acetaminophen oral tablet 7.5-500
mg
Endocet
1
QL (8 EA per 1 day)
oxycodone-aspirin
Endodan
1
OXYCONTIN ORAL TABLET EXTENDED
RELEASE 12 HR 10 MG, 15 MG, 20 MG, 30
MG, 40 MG, 60 MG
2
QL (2 EA per 1 day)
OXYCONTIN ORAL TABLET EXTENDED
RELEASE 12 HR 80 MG
2
QL (4 EA per 1 day)
MDwise Marketplace
10
Drug Name
Reference
Tier
Notes
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
Opana
1
oxymorphone oral tablet extended release 12 hr
Opana ER
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
Opana ER
30 mg, 40 mg
1
QL (4 EA per 1 day)
PANLOR SS
3
pentazocine-acetaminophen
Talacen
1
pentazocine-naloxone
Talwin NX
1
PERCOCET ORAL TABLET 10-325 MG,
2.5-325 MG, 5-325 MG, 7.5-325 MG
2
QL (12 EA per 1 day)
PERCOCET ORAL TABLET 10-650 MG
2
QL (6 EA per 1 day)
PERCOCET ORAL TABLET 7.5-500 MG
2
QL (8 EA per 1 day)
PERCODAN
2
PHRENILIN
2
PHRENILIN FORTE
2
PONSTEL
3
PRIMLEV
3
PRODRIN ORAL TABLET 130-20-500 MG
3
PROMACET
1
RELPAX
3
REPAN
1
REPREXAIN
1
rizatriptan
Maxalt
QL (13 EA per 1 day)
ST; QL (2 EA per 5 days)
1
QL (3 EA per 5 days)
ROXICET ORAL SOLUTION
1
QL (61 ML per 1 day)
ROXICET ORAL TABLET 5-325 MG
1
QL (12 EA per 1 day)
ROXICET ORAL TABLET 5-500 MG
1
QL (8 EA per 1 day)
ROXICODONE
2
RYBIX ODT
3
RYZOLT
3
SEDAPAP
3
SPRIX
3
ST JOSEPH ASPIRIN
5
ST. JOSEPH ASPIRIN
5
ST. JOSEPH LOW-DOSE ASPIRIN
5
STAGESIC
1
QL (8 EA per 1 day)
SUBSYS
3
PA
QL (1 EA per 6 days)
sumatriptan
Imitrex
1
QL (6 EA per 15 days)
sumatriptan succinate oral
Imitrex
1
QL (3 EA per 5 days)
sumatriptan succinate subcutaneous cartridge
Imitrex STATdose Kit Refill
1
QL (1 EA per 14 days)
MDwise Marketplace
11
Drug Name
Reference
sumatriptan succinate subcutaneous pen
injector
Imitrex STATdose Pen
1
QL (1 EA per 14 days)
sumatriptan succinate subcutaneous solution
Imitrex
1
QL (1 ML per 14 days)
sumatriptan succinate subcutaneous syringe 4
mg/0.5 ml
1
QL (1 EA per 14 days)
SUMAVEL DOSEPRO SUBCUTANEOUS
NEEDLE-FREE INJECTOR 4 MG/0.5 ML
3
ST; QL (4 ML per 28 days)
SUMAVEL DOSEPRO SUBCUTANEOUS
NEEDLE-FREE INJECTOR 6 MG/0.5 ML
3
ST; QL (1 ML per 14 days)
SYNALGOS-DC
3
TALWIN
3
TENCON ORAL TABLET 50-325 MG
1
TENCON ORAL TABLET 50-650 MG
3
tramadol oral capsule,er biphase 24 hr 17-83
ConZip ER
tramadol oral capsule,er biphase 24 hr 25-75
Tier
Notes
1
ST; QL (1 EA per 1 day)
1
ST; QL (1 EA per 1 day)
ST; QL (1 EA per 1 day)
tramadol oral capsule,er biphase 24 hr 25-75
ConZip ER
1
tramadol oral tablet
Ultram
1
tramadol oral tablet extended release 24 hr
Ultram ER
1
tramadol oral tablet, er multiphase 24 hr
Ryzolt
1
tramadol-acetaminophen
Ultracet
1
TREXIMET
3
ST; QL (1 EA per 3 days)
TREZIX ORAL CAPSULE 16-320.5-30 MG
3
QL (10 EA per 1 day)
TREZIX ORAL CAPSULE 16-356.4-30 MG
1
TYLENOL-CODEINE #3
2
TYLENOL-CODEINE #4
2
TYLOX
2
ULTRACET
3
ULTRAM
2
ULTRAM ER
3
VANATOL LQ
3
VICODIN ES ORAL TABLET 7.5-300 MG
1
QL (13 EA per 1 day)
VICODIN ES ORAL TABLET 7.5-750 MG
2
QL (5 EA per 1 day)
VICODIN HP ORAL TABLET 10-300 MG
1
QL (13 EA per 1 day)
VICODIN HP ORAL TABLET 10-660 MG
2
QL (6 EA per 1 day)
VICODIN ORAL TABLET 5-300 MG
1
QL (13 EA per 1 day)
VICODIN ORAL TABLET 5-500 MG
2
QL (8 EA per 1 day)
VICOPROFEN
3
XARTEMIS XR
3
QL (12 EA per 1 day)
XODOL 10/300
2
QL (13 EA per 1 day)
XODOL 5/300
3
QL (13 EA per 1 day)
XODOL 7.5/300
3
QL (13 EA per 1 day)
XOLOX
3
QL (8 EA per 1 day)
XYLON 10
1
ZAMICET
3
MDwise Marketplace
12
QL (8 EA per 1 day)
QL (184 ML per 1 day)
Drug Name
Reference
Tier
Notes
ZEBUTAL ORAL CAPSULE 50-325-40 MG
1
ZEBUTAL ORAL CAPSULE 50-500-40 MG
3
ZECUITY
3
ZERLOR
1
ZIPSOR
3
ST; QL (4 EA per 1 day)
ZOHYDRO ER
3
QL (2 EA per 1 day)
1
ST; QL (2 EA per 5 days)
zolmitriptan
Zomig ZMT
ZOLVIT
1
ZOMIG NASAL SPRAY,NON-AEROSOL 2.5
MG
2
ST; QL (12 EA per 30
days)
ZOMIG NASAL SPRAY,NON-AEROSOL 5 MG
2
ST; QL (6 EA per 15 days)
ZOMIG ORAL
2
ST; QL (2 EA per 5 days)
ZOMIG ZMT
2
ST; QL (2 EA per 5 days)
ZYDONE
2
QL (10 EA per 1 day)
ANESTHETICS
ADAZIN
3
AMERICAINE ANESTHETIC
3
ANACAINE
3
BUCALSEP
3
CETACAINE
3
CETACAINE ANESTHETIC
3
cocaine
1
COMPOUND 347
1
EMLA
3
ETHRANE
3
ethyl chloride
1
EXACTACAIN
1
FORANE
3
GLYDO
1
isoflurane
Forane
1
LDO PLUS
3
LIDAMANTLE
3
lidocaine hcl laryngotracheal
LTA Pre-Attached
1
lidocaine hcl mucous membrane
Anestacon
1
lidocaine hcl mucous membrane
Glydo
1
lidocaine hcl mucous membrane
Lidocaine Viscous
1
lidocaine hcl mucous membrane
Xylocaine
1
lidocaine hcl topical
LidaMantle
1
lidocaine topical adhesive patch,medicated
Lidoderm
1
lidocaine topical ointment
1
LIDOCAINE VISCOUS
1
lidocaine-prilocaine topical cream
EMLA
1
lidocaine-tetracaine
Pliaglis
1
MDwise Marketplace
13
Drug Name
Reference
Tier
LIDODERM
3
LIDOPIN
3
LIDORX
3
LIDOVEX
3
LTA PRE-ATTACHED
3
ORASEP MUCOUS MEMBRANE SOLUTION
3
PAIN EASE
3
PAIN RELIEF (LIDOCAINE HCL)
3
phenazopyridine oral tablet 100 mg
Pyridium
1
phenazopyridine oral tablet 200 mg
Urodol
1
PHENAZOPYRIDINE PLUS
1
PLIAGLIS
3
PONTOCAINE TOPICAL SOLUTION
3
PYRIDIUM
2
REGENECARE
3
REGENECARE WITH ALOE
3
RELYYKS
3
SCAR PATCH
3
sevoflurane
Sojourn
1
SILVERA PATCH
3
SOJOURN
1
SPRAY AND STRETCH
3
SUPRANE
3
SYNERA
3
TERRELL
1
ULTANE
3
VELMA PATCH
3
VEXA
3
XYLOCAINE JELLY
3
XYLOCAINE MUCOUS MEMBRANE JELLY
IN APPLICATOR
1
XYLOCAINE MUCOUS MEMBRANE
SOLUTION
3
ANTIARTHRITICS
allopurinol
Zyloprim
1
ANAPROX
2
ANAPROX DS
2
ARAVA
2
ARTHROTEC 50
3
ARTHROTEC 75
3
CELEBREX
2
celecoxib
Celebrex
1
CHILD IBUPROFEN
1
CHILDREN'S ADVIL
MDwise Marketplace
1
14
Notes
Drug Name
Reference
Tier
CHILDREN'S IBUPROFEN
1
CHILDREN'S MEDI-PROFEN
1
CHILDREN'S PROFEN IB
1
CLINORIL
2
Notes
colchicine oral capsule
Mitigare
1
QL (2 EA per 1 day)
colchicine oral tablet
Colcrys
1
QL (4 EA per 1 day)
colchicine-probenecid
1
COLCRYS
2
COMFORT PAC-IBUPROFEN
3
COMFORT PAC-MELOXICAM
3
COMFORT PAC-NAPROXEN
3
CUPRIMINE
2
DAYPRO
2
DEPEN TITRATABS
2
DERMASILKRX DICLOPAK
3
diclofenac sodium oral
Voltaren
1
diclofenac sodium oral
Voltaren-XR
1
diclofenac-misoprostol
Arthrotec 75
1
QL (4 EA per 1 day)
DISALCID
2
DUEXIS
3
EC-NAPROSYN
2
ENBREL
4
PA
ENBREL SURECLICK
4
PA
etodolac
Lodine XL
FELDENE
fenoprofen oral capsule
ST; QL (3 EA per 1 day)
1
2
Nalfon
2
fenoprofen oral tablet
1
flurbiprofen
1
HUMIRA
4
PA
HUMIRA PEDIATRIC CROHN'S START
4
PA
HUMIRA PEN
4
PA
HUMIRA PEN CROHN'S-UC-HS START
4
PA
HUMIRA PEN PSORIASIS STARTER
4
PA
ibuprofen oral suspension
Children's Ibuprofen
1
ibuprofen oral tablet 400 mg
Ibuprohm
1
ibuprofen oral tablet 600 mg, 800 mg
Motrin
1
IC400
1
IC800
1
INDOCIN
2
indomethacin oral
1
indomethacin oral
Indocin SR
ketoprofen oral capsule
ketoprofen oral capsule
1
1
Orudis
1
MDwise Marketplace
15
Drug Name
Reference
KINERET
leflunomide
4
Arava
meclofenamate oral
meloxicam
Tier
PA
1
1
Mobic
1
MITIGARE
3
MOBIC
2
nabumetone
Notes
Relafen
QL (2 EA per 1 day)
1
NALFON
2
NAPRELAN CR
3
NAPRELAN CR DOSE CARD
3
NAPROSYN
2
naproxen
Naprosyn
1
naproxen sodium oral tablet 275 mg
Anaprox
1
naproxen sodium oral tablet 550 mg
Anaprox DS
1
naproxen sodium oral tablet extended release
Naprelan
1
naproxen sodium oral tablet, er multiphase 24
hr
Naprelan CR
1
ORENCIA
4
ORUVAIL
1
OTEZLA
4
PA
OTEZLA STARTER
4
PA
OTREXUP (PF)
4
ST; QL (1.6 ML per 28
days)
oxaprozin
Daypro
1
piroxicam
Feldene
1
PA
probenecid
1
RASUVO (PF) SUBCUTANEOUS
AUTO-INJECTOR 10 MG/0.2 ML
4
ST; QL (0.8 ML per 28
days)
RASUVO (PF) SUBCUTANEOUS
AUTO-INJECTOR 12.5 MG/0.25 ML
4
ST; QL (1 ML per 28 days)
RASUVO (PF) SUBCUTANEOUS
AUTO-INJECTOR 15 MG/0.3 ML
4
ST; QL (1.2 ML per 28
days)
RASUVO (PF) SUBCUTANEOUS
AUTO-INJECTOR 17.5 MG/0.35 ML
4
ST; QL (1.4 ML per 28
days)
RASUVO (PF) SUBCUTANEOUS
AUTO-INJECTOR 20 MG/0.4 ML
4
ST; QL (1.6 ML per 28
days)
RASUVO (PF) SUBCUTANEOUS
AUTO-INJECTOR 22.5 MG/0.45 ML
4
ST; QL (1.8 ML per 28
days)
RASUVO (PF) SUBCUTANEOUS
AUTO-INJECTOR 25 MG/0.5 ML
4
ST; QL (2 ML per 28 days)
RASUVO (PF) SUBCUTANEOUS
AUTO-INJECTOR 27.5 MG/0.55 ML
4
ST; QL (2.2 ML per 28
days)
RASUVO (PF) SUBCUTANEOUS
AUTO-INJECTOR 30 MG/0.6 ML
4
ST; QL (2.4 ML per 28
days)
RASUVO (PF) SUBCUTANEOUS
AUTO-INJECTOR 7.5 MG/0.15 ML
4
ST; QL (0.6 ML per 28
days)
RHEUMATREX
MDwise Marketplace
16
2
Drug Name
Reference
RIDAURA
salsalate
Tier
Notes
4
Salflex
1
SIMPONI SUBCUTANEOUS PEN INJECTOR
100 MG/ML
4
PA
SIMPONI SUBCUTANEOUS SYRINGE
4
PA
sulindac oral
1
sulindac oral
Clinoril
1
TIVORBEX
3
ST; QL (3 EA per 1 day)
tolmetin
1
ULORIC
2
ST; QL (30 EA per 30
days)
VIMOVO
3
ST
VOLTAREN-XR
2
XELJANZ
4
PA
ZORVOLEX
3
ST; QL (3 EA per 1 day)
ZYLOPRIM
2
ANTIASTHMATICS
ACCOLATE
3
ACCUNEB
2
acetylcysteine
1
ADVAIR DISKUS
2
QL (60 EA per 30 days)
ADVAIR HFA
2
QL (12 GM per 30 days)
AEROSPAN
3
ST; QL (17.8 GM per 30
days)
albuterol sulfate inhalation solution for
nebulization
1
albuterol sulfate inhalation solution for
nebulization
AccuNeb
1
albuterol sulfate inhalation solution for
nebulization
Proventil
1
albuterol sulfate oral
1
albuterol sulfate oral
Proventil
1
albuterol sulfate oral
Vospire ER
1
ST; QL (12.2 GM per 30
days)
ALVESCO
3
aminophylline oral tablet
1
ANORO ELLIPTA
3
ST; QL (60 EA per 30
days)
ARCAPTA NEOHALER
3
ST; QL (1 EA per 1 day)
ARNUITY ELLIPTA
3
ST; QL (30 EA per 30
days)
ASMANEX HFA
2
QL (13 GM per 30 days)
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
QL (1 EA per 30 days)
MDwise Marketplace
17
Drug Name
Reference
Tier
Notes
ATROVENT HFA
2
QL (25.8 GM per 30 days)
BREO ELLIPTA
2
QL (60 EA per 30 days)
BRONCOMAR-1
1
BROVANA
3
QL (120 ML per 30 days)
budesonide inhalation suspension for
nebulization 0.25 mg/2 ml, 0.5 mg/2 ml
Pulmicort
1
QL (120 ML per 30 days)
budesonide inhalation suspension for
nebulization 1 mg/2 ml
Pulmicort
1
QL (60 ML per 30 days)
COMBIVENT
2
COMBIVENT RESPIMAT
2
COPD
1
cromolyn inhalation
Intal
1
cromolyn oral
Gastrocrom
1
DALIRESP
2
DIFIL-G 400
1
DILEX-G 200
3
DILEX-G 400
3
DULERA
2
DUONEB
2
DY-G
1
DYLIX
3
dyphylline-guaifenesin
Dyflex-G
ST; QL (1 EA per 1 day)
QL (13 GM per 30 days)
1
ELIXOPHYLLIN ORAL ELIXIR 80 MG/15 ML
1
FLOVENT DISKUS INHALATION BLISTER
WITH DEVICE 100 MCG/ACTUATION, 50
MCG/ACTUATION
3
ST; QL (60 EA per 30
days)
FLOVENT DISKUS INHALATION BLISTER
WITH DEVICE 250 MCG/ACTUATION
3
ST; QL (120 EA per 30
days)
FLOVENT HFA INHALATION HFA AEROSOL
INHALER 110 MCG/ACTUATION
3
ST; QL (12 GM per 30
days)
FLOVENT HFA INHALATION HFA AEROSOL
INHALER 220 MCG/ACTUATION
3
ST; QL (24 GM per 30
days)
FLOVENT HFA INHALATION HFA AEROSOL
INHALER 44 MCG/ACTUATION
3
ST; QL (21.2 GM per 30
days)
FORADIL AEROLIZER
3
ST; QL (60 EA per 30
days)
GASTROCROM
3
INCRUSE ELLIPTA
3
ipratropium bromide inhalation
1
ipratropium-albuterol
DuoNeb
JAY-PHYL
levalbuterol hcl
1
1
Xopenex
1
LUFYLLIN
3
LUFYLLIN-GG
3
MAXAIR AUTOHALER
3
MDwise Marketplace
18
ST; QL (30 EA per 30
days)
Drug Name
Reference
metaproterenol oral
montelukast
Tier
Notes
1
Singulair
1
PERFOROMIST
2
PROAIR HFA
2
PROAIR RESPICLICK
2
PROVENTIL HFA
3
PULMICORT FLEXHALER
2
QL (1 EA per 30 days)
PULMICORT INHALATION SUSPENSION
FOR NEBULIZATION 0.25 MG/2 ML, 0.5 MG/2
ML
2
QL (120 ML per 30 days)
PULMICORT INHALATION SUSPENSION
FOR NEBULIZATION 1 MG/2 ML
2
QL (60 ML per 30 days)
QVAR
2
QL (17.4 GM per 30 days)
SEREVENT DISKUS
2
QL (60 EA per 30 days)
SINGULAIR
2
SPIRIVA RESPIMAT
2
QL (4 GM per 30 days)
SPIRIVA WITH HANDIHALER
2
QL (30 EA per 30 days)
STIOLTO RESPIMAT
2
QL (4 GM per 30 days)
STRIVERDI RESPIMAT
2
QL (4 GM per 30 days)
SYMBICORT
3
ST; QL (10.2 GM per 30
days)
terbutaline oral
Brethine
1
THEO-24
2
THEOCHRON
1
theophylline oral solution
1
theophylline oral tablet extended release
Uniphyl
1
theophylline oral tablet extended release 12 hr
Theochron
1
TUDORZA PRESSAIR
3
VENTOLIN HFA
2
VOSPIRE ER
3
XOPENEX
3
XOPENEX CONCENTRATE
3
XOPENEX HFA
3
zafirlukast
Accolate
QL (120 ML per 30 days)
ST; QL (1 EA per 30 days)
1
ZYFLO
3
ZYFLO CR
3
ANTIBIOTICS
ACTICLATE
3
ST; QL (2 EA per 1 day)
ADOXA ORAL CAPSULE
3
ST; QL (2 EA per 1 day)
AKNE-MYCIN
3
AK-POLY-BAC
1
amoxicillin oral capsule
Amoxil
1
amoxicillin oral suspension for reconstitution
Amoxil
1
amoxicillin oral tablet
1
MDwise Marketplace
19
Drug Name
Reference
Tier
amoxicillin oral tablet
Amoxil
1
amoxicillin oral tablet, er multiphase 24 hr
Moxatag
1
amoxicillin oral tablet,chewable 125 mg, 250 mg Amoxil
1
amoxicillin-pot clavulanate
1
Augmentin ES-600
Notes
ampicillin
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
3
AVAR LS
3
AVAR-E
3
AVAR-E GREEN
3
AVAR-E LS
3
AVELOX
2
AVELOX ABC PACK
2
AVIDOXY
3
ST; QL (2 EA per 1 day)
AVIDOXY DK
3
ST; QL (1 EA per 30 days)
AZASITE
3
azithromycin oral
Zithromax
1
azithromycin oral
Zithromax Z-Pak
1
AZUPHEN MB
1
bacitracin ophthalmic
1
bacitracin-polymyxin b ophthalmic
Polysporin
1
bacitracin-polymyxin b topical ointment
Polysporin
1
BACTRIM
2
BACTRIM DS
2
BACTROBAN
2
BACTROBAN NASAL
2
BENOXYLDOXY 30
3
ST; QL (1 EA per 30 days)
BENOXYLDOXY 60
3
ST; QL (1 EA per 30 days)
BENZAMYCIN
2
BENZAMYCINPAK
2
BESIVANCE
2
BETHKIS
4
BIAXIN ORAL SUSPENSION FOR
RECONSTITUTION 250 MG/5 ML
2
BIAXIN ORAL TABLET
2
BIAXIN XL
2
BIAXIN XL PAK
2
BLEPH-10
1
MDwise Marketplace
20
PA
Drug Name
Reference
Tier
BLEPHAMIDE
2
BLEPHAMIDE S.O.P.
2
BP 10-1
1
CAYSTON
4
CEDAX
3
cefaclor oral capsule
Ceclor
1
cefaclor oral suspension for reconstitution 125
mg/5 ml, 250 mg/5 ml
Ceclor
1
cefaclor oral suspension for reconstitution 375
mg/5 ml
1
cefaclor oral tablet extended release 12 hr
1
cefadroxil oral capsule
Duricef
1
cefadroxil oral suspension for reconstitution 250
Duricef
mg/5 ml, 500 mg/5 ml
1
cefadroxil oral tablet
Duricef
1
cefdinir
Omnicef
1
cefditoren pivoxil
Spectracef
1
cefixime
Suprax
1
cefpodoxime
Vantin
1
cefprozil
Cefzil
1
ceftibuten
Cedax
1
CEFTIN ORAL SUSPENSION FOR
RECONSTITUTION
2
CEFTIN ORAL TABLET 250 MG, 500 MG
2
cefuroxime axetil oral tablet
Ceftin
2
CENTANY AT
3
Keflex
1
CERISA
1
CETRAXAL
3
CILOXAN
2
CIPRO HC
3
CIPRO ORAL SUSPENSION,MICROCAPSULE
RECON
2
CIPRO ORAL TABLET 250 MG, 500 MG
2
CIPRO XR
3
CIPRODEX
2
ciprofloxacin
Cipro
1
ciprofloxacin (mixture)
Cipro XR
1
ciprofloxacin hcl
Cipro
1
CLARIFOAM EF
3
CLARIS CLARIFYING WASH
3
clarithromycin
Biaxin
PA
1
CENTANY
cephalexin
Notes
1
CLEANSING WASH TOPICAL CLEANSER
1
CLENIA EMOLLIENT
MDwise Marketplace
1
21
Drug Name
Reference
Tier
CLENIA FOAMING WASH
1
CLEOCIN ORAL CAPSULE
3
CLEOCIN ORAL RECON SOLN
2
CLEOCIN T
2
CLEOCIN VAGINAL
3
CLINDACIN ETZ TOPICAL KIT
3
CLINDACIN ETZ TOPICAL SWAB
2
CLINDACIN PAC
3
CLINDA-DERM
1
CLINDAGEL
3
clindamycin hcl
Cleocin
1
clindamycin palmitate hcl
Cleocin
1
CLINDAMYCIN PEDIATRIC
1
clindamycin phosphate topical
Clinda-Derm
1
clindamycin phosphate topical
ClindaMax
1
clindamycin phosphate topical
Clindets
1
clindamycin phosphate topical
Evoclin
1
clindamycin phosphate vaginal
ClindaMax
1
CLINDAREACH
3
CLINDESSE
3
CLINDETS
1
COLY-MYCIN S
3
CORTISPORIN OTIC SOLUTION
2
CORTISPORIN TOPICAL
2
CORTISPORIN-TC
3
CORTOMYCIN
1
cycloserine
Seromycin
dapsone
demeclocycline oral
Notes
1
1
Declomycin
1
dicloxacillin
1
DIFICID
2
ST; QL (20 EA per 30
days)
DORYX ORAL TABLET,DELAYED RELEASE
(DR/EC) 100 MG, 150 MG, 50 MG, 75 MG
3
ST; QL (2 EA per 1 day)
DORYX ORAL TABLET,DELAYED RELEASE
(DR/EC) 200 MG
3
ST; QL (1 EA per 1 day)
DOUBLE ANTIBIOTIC
1
doxycycline hyclate oral capsule
Vibramycin
1
ST; QL (2 EA per 1 day)
doxycycline hyclate oral tablet 100 mg
Vibra-Tabs
1
ST; QL (2 EA per 1 day)
doxycycline hyclate oral tablet,delayed release
(dr/ec)
Doryx
1
ST; QL (2 EA per 1 day)
doxycycline monohydrate oral capsule
Adoxa
1
QL (2 EA per 1 day)
doxycycline monohydrate oral capsule
Monodox
1
QL (2 EA per 1 day)
Oracea
1
ST; QL (1 EA per 1 day);
AGE
doxycycline monohydrate oral capsule,ir &
delay rel,biphase
MDwise Marketplace
22
Drug Name
Reference
Tier
doxycycline monohydrate oral suspension for
reconstitution
Vibramycin
1
doxycycline monohydrate oral tablet
Adoxa
1
QL (2 EA per 1 day)
doxycycline monohydrate oral tablet
Adoxa Pak
1
QL (2 EA per 1 day)
DYNACIN ORAL TABLET
2
E.E.S. 400 ORAL TABLET
1
E.E.S. GRANULES
1
EMGEL
2
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
erythromycin ethylsuccinate oral tablet
E.E.S. 400
1
erythromycin ophthalmic
Romycin
1
erythromycin oral capsule,delayed
release(dr/ec)
Eryc
1
erythromycin oral tablet
1
erythromycin with ethanol
Ery Pads
1
erythromycin-benzoyl peroxide
BenzamycinPak
1
erythromycin-sulfisoxazole
Pediazole
1
ethambutol
Myambutol
1
EVOCLIN
2
FACTIVE
3
FLAGYL
2
FLAGYL ER
2
FURADANTIN
2
GARAMYCIN
2
gatifloxacin
Notes
Zymaxid
GENTAK OPHTHALMIC OINTMENT
1
1
gentamicin ophthalmic
Garamycin
1
gentamicin ophthalmic
Gentak
1
gentamicin topical
1
HIPREX
3
HYOLEV MB
1
HYOPHEN
1
ILOTYCIN
2
INDIOMIN MB
1
IQUIX
3
ISONARIF
MDwise Marketplace
1
23
Drug Name
Reference
Tier
isoniazid oral
1
KEFLEX ORAL CAPSULE 250 MG, 500 MG
2
KEFLEX ORAL CAPSULE 750 MG
3
KETEK
2
KITABIS PAK
4
LEVAQUIN ORAL
2
levofloxacin ophthalmic
Quixin
1
levofloxacin oral
Levaquin
1
linezolid oral
Zyvox
1
MACROBID
2
MACRODANTIN
2
mafenide acetate
Sulfamylon
MAXITROL
Notes
PA
PA
1
2
methenamine hippurate
Hiprex
1
methenamine mandelate
Mandelamine
1
METROGEL VAGINAL
2
metronidazole oral
Flagyl
1
metronidazole vaginal
Metrogel Vaginal
1
MINOCIN KIT WITH WIPES
3
MINOCIN ORAL
2
minocycline oral capsule
Minocin
1
minocycline oral tablet
Dynacin
1
minocycline oral tablet extended release 24 hr
Solodyn
1
ST; QL (1 EA per 1 day);
AGE
MONDOXYNE NL ORAL CAPSULE 100 MG,
50 MG
3
QL (2 EA per 1 day)
MONDOXYNE NL ORAL CAPSULE 75 MG
3
ST; QL (2 EA per 1 day)
MONODOX ORAL CAPSULE 100 MG, 50 MG
3
QL (2 EA per 1 day)
MONODOX ORAL CAPSULE 75 MG
3
ST; QL (2 EA per 1 day)
MONUROL
3
MORGIDOX
2
ST; QL (2 EA per 1 day)
MORGIDOX 1X100
3
ST; QL (1 EA per 30 days)
MORGIDOX 2X100
3
ST; QL (1 EA per 30 days)
MOXATAG
3
MOXEZA
2
moxifloxacin
Avelox
1
mupirocin
Bactroban
1
mupirocin calcium
Bactroban
1
MYAMBUTOL
2
MYCIFRADIN
1
MYCOBUTIN
3
MYOXIN
1
neomycin
1
neomycin-bacitracin-poly-hc
MDwise Marketplace
24
Cortomycin
1
Drug Name
Reference
Tier
neomycin-bacitracin-polymyxin
Triple Antibiotic
1
neomycin-polymyxin b-dexameth
Maxitrol
1
neomycin-polymyxin-gramicidin
Ocutricin
1
neomycin-polymyxin-hc
Cortomycin
1
Notes
NEO-POLYCIN
1
NEO-POLYCIN HC
1
NEOSPORIN (NEO-POLYM-GRAMICID)
2
NEO-SYNALAR
3
ST
NEO-SYNALAR KIT
3
ST
nitrofurantoin macrocrystal
Macrodantin
1
nitrofurantoin monohyd/m-cryst
Macrobid
1
nitrofurantoin oral
Furadantin
1
NOROXIN
3
NUVESSA
3
OCUFLOX
2
ofloxacin
Ocuflox
1
ORACEA
3
PASER
3
PCE
2
penicillin v potassium
Veetids
1
PHOSPHASAL
2
PLEXION
3
PLEXION CLEANSING CLOTHS
3
POLY BACITRACIN
1
POLYCIN
1
POLY-DEX
1
polymyxin b sulf-trimethoprim
Polytrim
1
POLY-PRED
2
POLYTRIM
2
PRASCION
1
PRASCION FC
1
PRASCION RA
1
PRED-G
3
PRED-G S.O.P.
3
PRIFTIN
3
PRIMSOL
2
PROQUIN XR
3
pyrazinamide
1
QUIXIN
3
rifabutin
Mycobutin
ST; QL (1 EA per 1 day);
AGE
1
RIFADIN ORAL
2
RIFAMATE
2
MDwise Marketplace
25
Drug Name
Reference
rifampin oral
Rifadin
Tier
1
RIFATER
3
ROMYCIN
1
ROSADERM
1
ROSANIL
3
ROSULA
3
ROSULA CLEANSING CLOTHS
3
ROSULA CLK
3
SEPTRA
2
SEPTRA DS
2
SEROMYCIN
3
SILVADENE
2
silver sulfadiazine
Thermazene
Notes
1
SIRTURO
4
PA
SIVEXTRO ORAL
2
PA
SOLODYN
3
ST; QL (1 EA per 1 day);
AGE
SPECTRACEF
3
SS 10-2
3
SSD
1
SSD AF
1
SSS 10-4
1
SSS 10-5
1
sulfacet sod-sulf-urea-mer-ti
Rosula CLK
sulfacetamide sodium ophthalmic
1
1
sulfacetamide sodium ophthalmic
Sulfac
1
sulfacetamide sodium-sulfur topical cleanser
10-5 % (w/w)
PRASCION AV
1
sulfacetamide sodium-sulfur topical cleanser
9.8-4.8 %
Plexion
1
sulfacetamide sodium-sulfur topical cleanser
9-4 %
Sumaxin
1
sulfacetamide sodium-sulfur topical cleanser
9-4.5 %
Sumadan
1
sulfacetamide sodium-sulfur topical cream 10-5
Avar-E
% (w/w)
1
sulfacetamide sodium-sulfur topical cream
9.8-4.8 %
Plexion
1
sulfacetamide sodium-sulfur topical foam
Clarifoam EF
1
sulfacetamide sodium-sulfur topical lotion
1
sulfacetamide sodium-sulfur topical lotion
Plexion
1
sulfacetamide sodium-sulfur topical lotion
Sulfacet-R
1
sulfacetamide sodium-sulfur topical pads,
medicated
Plexion Cleansing Cloths
1
sulfacetamide sodium-sulfur topical pads,
medicated
Sumaxin
1
MDwise Marketplace
26
Drug Name
Reference
Tier
sulfacetamide sodium-sulfur topical suspension Sumaxin TS
1
sulfacetamide sodium-sulfur topical suspension Zetacet
1
sulfacetamide sod-sulfur-urea
1
Cleansing Wash
sulfacetamide-prednisolone
sulfacetamide-sulfur-cleansr23
1
Sumadan
SULFACLEANSE 8-4
sulfact na-sul-avobnz-otn-ocsa
1
1
Sumadan XLT
sulfadiazine oral
1
1
sulfamethoxazole-trimethoprim oral
Bactrim DS
1
sulfamethoxazole-trimethoprim oral
Septra
1
sulfamethoxazole-trimethoprim oral
Sulfatrim
1
SULFAMIDE
1
SULFAMYLON
3
SULFATRIM
1
SUMADAN
3
SUMAXIN
3
SUMAXIN CP
3
SUMAXIN TS
3
SUPRAX
2
tetracycline
Notes
Sumycin
1
THALOMID
4
THERMAZENE
2
TOBI
4
PA
TOBI PODHALER
4
PA
TOBRADEX
2
TOBRADEX ST
3
tobramycin
Tobrex
1
tobramycin in 0.225 % nacl
Tobi
4
tobramycin-dexamethasone
TobraDex
1
TOBRASOL
1
TOBREX
2
TOPISULF
1
TRECATOR
3
trimethoprim
1
TRIOXIN
3
TRIPLE ANTIBIOTIC PLUS
1
UR N-C
1
URAMIT MB
1
URELLE
3
URETRON D-S ORAL TABLET 81.6-10.8-40.8
MG
2
UREX (METHENAMINE)
3
URIBEL
3
PA; QL (2 EA per 1 day)
PA
MDwise Marketplace
27
Drug Name
Reference
Tier
Notes
URIMAR-T
1
URIN DS
2
URO-BLUE
1
UROGESIC-BLUE
1
URO-L
1
UROLET MB
1
URO-MP
1
UROPHEN MB
1
URYL
3
USTELL
1
UTA
3
UTA (WITH PHENYL SALICYLATE)
3
UTICAP
1
UTIRA-C
3
VANCOCIN
2
QL (40 EA per 30 days)
1
QL (40 EA per 30 days)
vancomycin oral
Vancocin
VANDAZOLE
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
3
QL (9 EA per 1 FILL)
XIFAXAN ORAL TABLET 550 MG
2
PA
ZENCIA
3
ZETACET
3
ZITHROMAX ORAL
2
ZITHROMAX TRI-PAK
2
ZITHROMAX Z-PAK
2
ZMAX
2
ZYLET
2
ZYMAR
2
ZYMAXID
2
ZYVOX ORAL SUSPENSION FOR
RECONSTITUTION
2
ZYVOX ORAL TABLET
2
ST; QL (2 EA per 1 day)
PA
ANTICOAGULANTS
ACD
3
ACD-A
3
anticoag citrate phos dextrose
1
ARIXTRA SUBCUTANEOUS SYRINGE 10
MG/0.8 ML
4
MDwise Marketplace
28
QL (8 ML per 30 days)
Drug Name
Reference
Tier
Notes
ARIXTRA SUBCUTANEOUS SYRINGE 2.5
MG/0.5 ML
4
QL (5 ML per 30 days)
ARIXTRA SUBCUTANEOUS SYRINGE 5
MG/0.4 ML
4
QL (4 ML per 30 days)
ARIXTRA SUBCUTANEOUS SYRINGE 7.5
MG/0.6 ML
4
QL (6 ML per 30 days)
COUMADIN ORAL
2
ELIQUIS ORAL TABLET 2.5 MG
2
QL (2 EA per 1 day)
ELIQUIS ORAL TABLET 5 MG
2
QL (74 EA per 30 days)
enoxaparin subcutaneous solution
Lovenox
4
QL (30 ML per 30 days)
enoxaparin subcutaneous syringe 100 mg/ml,
150 mg/ml
Lovenox
4
QL (20 ML per 30 days)
enoxaparin subcutaneous syringe 120 mg/0.8
ml, 80 mg/0.8 ml
Lovenox
4
QL (16 ML per 30 days)
enoxaparin subcutaneous syringe 30 mg/0.3 ml
Lovenox
4
QL (6 ML per 30 days)
enoxaparin subcutaneous syringe 40 mg/0.4 ml
Lovenox
4
QL (8 ML per 30 days)
enoxaparin subcutaneous syringe 60 mg/0.6 ml
Lovenox
4
QL (12 ML per 30 days)
fondaparinux subcutaneous syringe 10 mg/0.8
ml
Arixtra
4
QL (8 ML per 30 days)
fondaparinux subcutaneous syringe 2.5 mg/0.5
ml
Arixtra
4
QL (5 ML per 30 days)
fondaparinux subcutaneous syringe 5 mg/0.4 ml Arixtra
4
QL (4 ML per 30 days)
fondaparinux subcutaneous syringe 7.5 mg/0.6
ml
4
QL (6 ML per 30 days)
FRAGMIN SUBCUTANEOUS SOLUTION
4
QL (7.6 ML per 30 days)
FRAGMIN SUBCUTANEOUS SYRINGE 10,000
ANTI-XA UNIT/ML
4
QL (10 ML per 30 days)
FRAGMIN SUBCUTANEOUS SYRINGE 12,500
ANTI-XA UNIT/0.5 ML
4
QL (5 ML per 30 days)
FRAGMIN SUBCUTANEOUS SYRINGE 15,000
ANTI-XA UNIT/0.6 ML
4
QL (6 ML per 30 days)
FRAGMIN SUBCUTANEOUS SYRINGE 18,000
ANTI-XA UNIT/0.72 ML
4
QL (7.2 ML per 30 days)
FRAGMIN SUBCUTANEOUS SYRINGE 2,500
ANTI-XA UNIT/0.2 ML, 5,000 ANTI-XA
UNIT/0.2 ML
4
QL (2 ML per 30 days)
FRAGMIN SUBCUTANEOUS SYRINGE 7,500
ANTI-XA UNIT/0.3 ML
4
QL (3 ML per 30 days)
HEP FLUSH-10 (PF)
1
heparin (porcine) in 0.9% nacl intravenous
parenteral solution 25,000 unit/250 ml
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
1
HEPARIN FLUSH
1
heparin flush(porcine)-0.9nacl
1
Arixtra
MDwise Marketplace
29
Drug Name
Reference
Tier
HEPARIN LOCK
1
HEPARIN LOCK FLUSH
1
heparin lock flush (porcine)
Hep-Lock
Notes
1
HEPARIN LOCKFLUSH(PORCINE)(PF)
1
heparin, porcine (pf) intravenous solution
10,000 unit/5 ml
1
INNOHEP
3
IPRIVASK
4
JANTOVEN
1
LOVENOX SUBCUTANEOUS SOLUTION
4
QL (30 ML per 30 days)
LOVENOX SUBCUTANEOUS SYRINGE 100
MG/ML, 150 MG/ML
4
QL (20 ML per 30 days)
LOVENOX SUBCUTANEOUS SYRINGE 120
MG/0.8 ML, 80 MG/0.8 ML
4
QL (16 ML per 30 days)
LOVENOX SUBCUTANEOUS SYRINGE 30
MG/0.3 ML
4
QL (6 ML per 30 days)
LOVENOX SUBCUTANEOUS SYRINGE 40
MG/0.4 ML
4
QL (8 ML per 30 days)
LOVENOX SUBCUTANEOUS SYRINGE 60
MG/0.6 ML
4
QL (12 ML per 30 days)
MONOJECT PREFILL (PF)
1
MONOJECT PREFILL ADVANCED (PF)
INTRAVENOUS SYRINGE 10 UNIT/ML
3
MONOJECT PREFILL ADVANCED (PF)
INTRAVENOUS SYRINGE 100 UNIT/ML
2
PRADAXA
3
QL (2 EA per 1 day)
SAVAYSA
3
QL (30 EA per 30 days)
sodium citrate
1
warfarin
Coumadin
PA; QL (6 EA per 30 days)
1
XARELTO ORAL TABLET 10 MG, 20 MG
2
QL (1 EA per 1 day)
XARELTO ORAL TABLET 15 MG
2
QL (2 EA per 1 day)
XARELTO ORAL TABLETS,DOSE PACK
2
QL (51 EA per 30 days)
ANTIDOTES
DEPADE
1
EVZIO
3
QL (0.8 ML per 365 days)
MOVANTIK
2
QL (1 EA per 1 day)
naltrexone oral
Revia
1
RELISTOR
2
REVIA
2
TREXAN
1
ANTIFUNGALS
ANCOBON
3
ANTIFUNGAL (CLOTRIMAZOLE)
1
ATHLETE'S FOOT (CLOTRIMAZOLE)
1
ATHLETIC FOOT CREAM
1
MDwise Marketplace
30
PA
Drug Name
Reference
Tier
BENSAL HP TOPICAL OINTMENT 3-6 %
3
CICLODAN KIT
3
CICLODAN TOPICAL CREAM
2
CICLODAN TOPICAL SOLUTION
3
ciclopirox
Penlac
1
ciclopirox-ure-camph-menth-euc
Ciclodan Kit
1
ciclopirox-vite-nail lacq remo
CNL 8 Nail
1
CLOTRIMAZOLE AF
1
CLOTRIMAZOLE FOOT
1
clotrimazole mucous membrane
Mycelex
1
clotrimazole topical
Lotrimin AF
1
clotrimazole topical
Mycelex OTC
1
clotrimazole-betamethasone
Lotrisone
1
CNL 8 NAIL
3
CRESEMBA ORAL
3
CRUEX PRESCRIPTION STRENGTH
1
DESENEX (CLOTRIMAZOLE)
1
DIFLUCAN
2
econazole topical
Spectazole
1
ECOZA
3
ERTACZO
3
EXELDERM
2
EXODERM
1
EXTINA
3
fluconazole
Diflucan
1
flucytosine
Ancobon
1
GRIFULVIN V ORAL TABLET
3
griseofulvin microsize
Grifulvin V
1
griseofulvin ultramicrosize
Gris-PEG
1
GRIS-PEG (ULTRAMICROSIZE)
2
GYNAZOLE-1
2
ITCH RELIEF (CLOTRIMAZOLE)
1
itraconazole
Notes
Sporanox
1
JOCK ITCH (CLOTRIMAZOLE)
1
JUBLIA
3
PA
KERYDIN
3
PA
KETOCON + PLUS
3
ketoconazole
Nizoral
1
ketoconazole-hydrocortisone
Ketocon + Plus
3
KETODAN
1
KETODAN KIT
3
LAMISIL (AEROSOL)
2
MDwise Marketplace
31
Drug Name
Reference
Tier
LAMISIL AT TOPICAL
SPRAY,NON-AEROSOL
2
LAMISIL ORAL
2
LOPROX
2
LOTRIMIN ULTRA
3
LOTRISONE TOPICAL CREAM
2
LUZU
3
MENTAX
3
MICONAZOLE-3 VAGINAL SUPPOSITORY
1
naftifine
Naftin
1
NAFTIN TOPICAL CREAM
2
NAFTIN TOPICAL GEL 1 %
2
NAFTIN TOPICAL GEL 2 %
3
NATACYN
3
NIZORAL TOPICAL SHAMPOO
2
NOXAFIL ORAL
3
NUZOLE
2
NYAMYC
1
nystatin oral powder 150 million unit, 500
million unit
1
nystatin oral suspension
1
nystatin oral tablet
Mycostatin
nystatin topical
nystatin topical
1
1
Mycostatin
1
nystatin vaginal
1
nystatin-triamcinolone
1
NYSTOP
1
ONMEL
3
ORAVIG
3
OXISTAT
3
PEDIADERM AF
3
PEDI-DRI
1
PEDIPIROX-4
3
PENLAC
3
RINGWORM
1
SPORANOX
2
SPORANOX PULSEPAK
2
TERAZOL 3
3
TERAZOL 7
3
terbinafine hcl oral
Lamisil
TERBINEX
terconazole
TRIPLE DYE
MDwise Marketplace
32
1
3
Terazol 7
1
1
Notes
ST; QL (60 GM per 28
days)
Drug Name
Reference
Tier
VERSICLEAR
1
VFEND
2
voriconazole oral
VFEND
Notes
1
VUSION
3
XOLEGEL
3
ANTIHISTAMINE AND
DECONGESTANT COMBINATION
ALERSULE
3
ALLEGRA-D 12 HOUR
2
ALLEGRA-D 24 HOUR
2
ALLERGY RELIEF D
1
ALLERGY RELIEF-D(FEXOFENADINE)
1
APRODINE
1
BPM PE
1
BPM PSEUDO
1
BROMAX D
1
brompheniramine-pe tannates
Bromaphedrine D
1
brompheniramine-pseudoephedrin
Brovex SR
1
BROVEX PB
3
BROVEX PSE
3
BROVEX SR
3
CARDEC (PHENYLEPHRIN-CHLORPHN)
1
CENTERGY
1
CERON
1
CHLORPED D
1
chlorpheniramine-pe tannates
RINATE Pediatric
1
chlorphen-pyrilamine-phenyleph
Phena-S
1
CLARINEX-D 12 HOUR
3
ST; QL (2 EA per 1 day)
CLARINEX-D 24 HOUR
3
ST; QL (1 EA per 1 day)
COLD & ALLERGY ORAL TABLET 2.5-60 MG
1
C-PHEN
1
CPM PSE
1
CPM-PE
1
CPM-PSE
1
DALLERGY-JR
3
DECONAMINE
3
DHM-PE
1
diphenhydramine-phenylephrine
Ala-Hist LQ
1
ED A-HIST
1
ED A-HIST PSE
1
ENTRE-B
1
fexofenadine-pseudoephedrine
HISTEX SR
Allegra-D 12 Hour
1
1
MDwise Marketplace
33
Drug Name
Reference
Tier
J-TAN D
1
J-TAN D PD
1
LODRANE
3
LODRANE 24 D
3
LOHIST 12D
1
MAXICHLOR PEH
3
MYHIST-PD
1
NASAL DECONGESTANT-ANTIHIST
1
NASAL DECONGEST-ANTIHISTAMINE
1
NASOHIST
1
NEUTRAHIST
1
NOHIST
1
NOHIST-LQ
1
PEDIATEX PS
1
PHENA-PLUS
3
PHENA-S
3
PHENYLTOLOXAMINE PE CPM
1
POLY HIST PD
3
PROMETHAZINE VC
1
promethazine-phenylephrine
Promethazine VC
1
PSE BPM
1
PYRIL D
3
PYRIL-CHLOR-PHEN
1
RELHIST
1
RESCON JR
3
RESCON-MX
3
RESPAHIST
1
R-TANNA PEDIATRIC
1
RU-HIST FORTE
1
RYNA-12
3
RYNATAN
2
RYNATAN PEDIATRIC ORAL SUSPENSION
2
RYNATAN PEDIATRIC ORAL
TABLET,CHEWABLE
3
RY-TANN
1
SEMPREX-D
3
SILDEC-PE
1
SINUS & ALLERGY (PSEUDOEPHED)
1
SONAHIST
1
SUDAHIST
1
SUDOGEST COLD & ALLERGY
1
TANABID SR
3
TEKRAL
3
MDwise Marketplace
34
Notes
Drug Name
Reference
Tier
TL-HIST PD
1
TRIGOFEN
1
TUSSANIL
3
VAZOBID
1
VAZOBID-PD
1
VAZOTAB
1
V-HIST
3
VIRAVAN-P (TANNATE)
3
VIRDEC
1
WAL-ACT D COLD & ALLERGY
1
WAL-FEX D 12 HOUR
1
WAL-FEX D 24 HOUR
1
ZODEN PD
1
ZOTEX-PE
3
Notes
ANTIHISTAMINES
ALER-CAP
1
ALL DAY ALLERGY (CETIRIZINE) ORAL
SOLUTION
1
ALLEGRA
2
ALLEGRA ALLERGY
1
ALLER-EASE
1
ALLER-FEX
1
ALLERGY (DIPHENHYDRAMINE) ORAL
CAPSULE
1
ALLERGY MEDICATION
1
ALLERGY MEDICINE ORAL CAPSULE
1
ALLERGY RELIEF (CETIRIZINE) ORAL
SOLUTION
1
ALLERGY RELIEF (CLEMASTINE)
1
ALLERGY RELIEF (FEXOFENADINE)
1
ALLERGY RELIEF(CHLORPHENIRAMN)
ORAL TABLET EXTENDED RELEASE
1
ALLERGY RELIEF(DIPHENHYDRAMIN)
ORAL CAPSULE
1
ALLERHIST-1
1
ANTIHIST
1
ANTIHISTAMINE ORAL CAPSULE
1
ARBINOXA
1
azelastine ophthalmic
Optivar
1
BANOPHEN ORAL CAPSULE
1
BEPREVE
3
BPM
1
BROMAX
3
brompheniramine maleate
J-TAN PD
AGE
1
MDwise Marketplace
35
Drug Name
Reference
brompheniramine tannate
Brovex CT
Tier
1
BROMSPIRO
1
BROVEX CT
3
carbinoxamine maleate
PALGIC
1
cetirizine oral solution 1 mg/ml
All Day Allergy
1
CHILD ALLERGY RELF(CETIRIZINE) ORAL
SOLUTION
1
CHILDREN'S ALLEGRA ALLERGY ORAL
SUSPENSION
3
CHILDREN'S ALLEGRA ALLERGY ORAL
TABLET
1
CHILDREN'S ALLEGRA ALLERGY ORAL
TABLET,DISINTEGRATING
3
CHILDREN'S ALLERGY (DIPHENHYD) ORAL
ELIXIR
1
CHILDREN'S ALLERGY COMPLETE
1
CHILDREN'S ALLERGY(CETIRIZINE)
1
CHILDREN'S ALLER-TEC
1
CHILDREN'S CETIRIZINE ORAL SOLUTION
1
CHILDREN'S WAL-ZYR ORAL SOLUTION
1
CHILD'S ALL DAY ALLERGY(CETIR)
1
CHLORPHEN SR
1
chlorpheniramine maleate oral tablet extended
release
Chlor-Trimeton Allergy 12
hour
Notes
AGE
QL (10 ML per 1 day)
1
CLARINEX ORAL SYRUP
3
ST; QL (10 ML per 1 day)
CLARINEX ORAL TABLET
3
QL (1 EA per 1 day)
CLARINEX ORAL
TABLET,DISINTEGRATING
3
ST; QL (1 EA per 1 day)
clemastine oral
1
clemastine oral
Allerhist-1
1
clemastine oral
Tavist
1
COMPLETE ALLERGY MEDICINE
1
COMPLETE ALLERGY ORAL CAPSULE
1
cyproheptadine
1
DAILYHIST-1
1
DAYHIST
1
DAYHIST ALLERGY
1
desloratadine oral tablet
Clarinex
1
QL (1 EA per 1 day)
desloratadine oral tablet,disintegrating
Clarinex
1
ST; QL (1 EA per 1 day)
dexchlorpheniramine maleate
1
DIPHEDRYL ORAL CAPSULE
1
DIPHEN
1
DIPHENHIST ORAL CAPSULE
1
diphenhydramine hcl oral capsule
Allergy
1
diphenhydramine hcl oral capsule
Medi-Sleep Max Strength
1
MDwise Marketplace
36
Drug Name
Reference
diphenhydramine hcl oral elixir
Diphedryl
Tier
Notes
1
DOXYTEX
1
DYTAN
1
DYTUSS
3
ED CHLORPED
1
ED-CHLOR-TAN
1
ELESTAT
3
EMADINE
3
epinastine
ELESTAT
1
fexofenadine oral tablet
Allegra
1
GERI-DRYL ORAL CAPSULE
1
hydroxyzine hcl oral solution 10 mg/5 ml
1
hydroxyzine hcl oral tablet
1
hydroxyzine pamoate
1
KARBINAL ER
3
LASTACAFT
3
levocetirizine oral solution
Xyzal
1
levocetirizine oral tablet
Xyzal
1
ST; QL (960 ML per 30
days); AGE
ST; QL (10 ML per 1 day)
LODRANE ER
3
LOHIST 12
1
MEDI-PHEDRYL ORAL CAPSULE
1
MUCINEX ALLERGY
1
MYCI CHLOR-TAN
3
OPTIVAR
2
PALGIC ORAL LIQUID
1
AGE
PALGIC ORAL TABLET
3
AGE
PATADAY
2
PATANOL
2
PAZEO
3
PHARBEDRYL
1
PHENERGAN INJECTION
3
promethazine injection
1
promethazine injection
Phenergan
promethazine oral
promethazine oral
1
1
Phenergan
1
Q-DRYL ORAL CAPSULE
1
RESPA-BR
1
triprolidine hcl
ST; QL (2.5 ML per 30
days)
Zymine
1
VALU-DRYL ALLERGY ORAL CAPSULE
1
VALU-DRYL CHILD'S ALLERGY
1
VAZOL
3
VISTARIL
2
MDwise Marketplace
37
Drug Name
Reference
Tier
WAL-DRYL ALLERGY ORAL CAPSULE
1
WAL-FEX ALLERGY
1
WAL-ZYR (CETIRIZINE) ORAL SOLUTION
1
XYZAL ORAL SOLUTION
3
XYZAL ORAL TABLET
2
Notes
ST; QL (10 ML per 1 day)
ANTIHYPERGLYCEMICS
acarbose
Precose
1
ACTOPLUS MET
2
ST
ACTOPLUS MET XR
2
ST
ACTOS
2
AFREZZA INHALATION CARTRIDGE,
W/INHALATION DEVICE 4 UNIT
3
QL (180 EA per 28 days)
AFREZZA INHALATION CARTRIDGE,
W/INHALATION DEVICE 4 UNIT (30)/ 8 UNIT
(60), 8 UNIT (60)/ 12 UNIT (30)
3
QL (360 EA per 28 days)
AFREZZA INHALATION CARTRIDGE,
W/INHALATION DEVICE 4 UNIT (60)/ 8 UNIT
(30)
3
QL (450 EA per 28 days)
AMARYL
2
APIDRA
3
ST; QL (40 ML per 28
days)
APIDRA SOLOSTAR
3
ST; QL (30 ML per 28
days)
AVANDAMET
3
ST
AVANDARYL
3
ST
AVANDIA
3
ST
BYDUREON
3
ST; QL (1 EA per 7 days)
BYETTA SUBCUTANEOUS PEN INJECTOR 10
MCG/DOSE(250 MCG/ML) 2.4 ML
3
ST; QL (2.4 ML per 30
days)
BYETTA SUBCUTANEOUS PEN INJECTOR 5
MCG/DOSE (250 MCG/ML) 1.2 ML
3
ST; QL (1.2 ML per 30
days)
chlorpropamide
Diabinese
1
CYCLOSET
3
DIABETA
2
DUETACT
2
ST
FARXIGA
3
ST; QL (1 EA per 1 day)
FORTAMET
3
ST
glimepiride
Amaryl
1
glipizide
Glucotrol XL
1
glipizide-metformin
Metaglip
1
GLUCOPHAGE
2
GLUCOPHAGE XR
2
GLUCOTROL
2
GLUCOTROL XL
2
GLUCOVANCE
2
GLUMETZA
MDwise Marketplace
3
38
ST
ST
Drug Name
Reference
Tier
glyburide
Micronase
1
glyburide micronized
Glynase
1
glyburide-metformin
Glucovance
1
Notes
GLYNASE
3
GLYSET
3
GLYXAMBI
2
ST; QL (1 EA per 1 day)
HUMALOG KWIKPEN SUBCUTANEOUS
INSULIN PEN 100 UNIT/ML
2
QL (30 ML per 28 days)
HUMALOG KWIKPEN SUBCUTANEOUS
INSULIN PEN 200 UNIT/ML (3 ML)
2
QL (12 ML per 28 days)
HUMALOG MIX 50-50
2
QL (40 ML per 28 days)
HUMALOG MIX 50-50 KWIKPEN
2
QL (30 ML per 28 days)
HUMALOG MIX 75-25
2
QL (40 ML per 28 days)
HUMALOG MIX 75-25 KWIKPEN
2
QL (30 ML per 28 days)
HUMALOG SUBCUTANEOUS CARTRIDGE
2
QL (30 ML per 28 days)
HUMALOG SUBCUTANEOUS SOLUTION
2
QL (40 ML per 28 days)
HUMULIN 70/30
2
QL (40 ML per 28 days)
HUMULIN 70/30 KWIKPEN
2
QL (30 ML per 28 days)
HUMULIN 70/30 PEN
2
QL (30 ML per 28 days)
HUMULIN N
2
QL (40 ML per 28 days)
HUMULIN N PEN
2
QL (30 ML per 28 days)
HUMULIN R
2
QL (40 ML per 28 days)
HUMULIN R U-500 (CONCENTRATED)
2
QL (40 ML per 28 days)
INVOKAMET
2
ST; QL (2 EA per 1 day)
INVOKANA
2
ST; QL (30 EA per 30
days)
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)
JARDIANCE
3
ST; QL (1 EA per 1 day)
JENTADUETO
2
QL (2 EA per 1 day)
JUVISYNC
2
KAZANO
3
ST; QL (2 EA per 1 day)
KOMBIGLYZE XR ORAL TABLET, ER
MULTIPHASE 24 HR 2.5-1,000 MG
3
ST; QL (2 EA per 1 day)
KOMBIGLYZE XR ORAL TABLET, ER
MULTIPHASE 24 HR 5-1,000 MG, 5-500 MG
3
ST; QL (1 EA per 1 day)
KORLYM
4
PA
LANTUS SOLOSTAR
2
QL (30 ML per 28 days)
LANTUS SUBCUTANEOUS CARTRIDGE
2
QL (30 EA per 28 days)
LANTUS SUBCUTANEOUS SOLUTION
2
QL (40 ML per 28 days)
MDwise Marketplace
39
Drug Name
Reference
Tier
Notes
LEVEMIR
3
ST; QL (40 ML per 28
days)
LEVEMIR FLEXPEN
3
ST; QL (30 ML per 28
days)
LEVEMIR FLEXTOUCH
3
ST; QL (30 ML per 28
days)
metformin oral tablet
Glucophage
1
metformin oral tablet extended release 24 hr
Glucophage XR
1
metformin oral tablet extended release 24hr
FORTAMET
1
nateglinide
Starlix
1
ST
NESINA
3
ST; QL (1 EA per 1 day)
NOVOLIN 70/30
3
QL (40 ML per 28 days)
NOVOLIN N
3
QL (40 ML per 28 days)
NOVOLIN R
3
QL (40 ML per 28 days)
NOVOLOG
3
ST; QL (40 ML per 28
days)
NOVOLOG FLEXPEN
3
ST; QL (30 ML per 28
days)
NOVOLOG MIX 70-30
3
ST; QL (40 ML per 28
days)
NOVOLOG MIX 70-30 FLEXPEN
3
ST; QL (30 ML per 28
days)
NOVOLOG PENFILL
3
ST; QL (30 ML per 28
days)
ONGLYZA
3
ST; QL (1 EA per 1 day)
OSENI
3
ST; QL (1 EA per 1 day)
pioglitazone
Actos
1
pioglitazone-glimepiride
DUETACT
1
ST
pioglitazone-metformin
Actoplus met
1
ST
PRANDIMET
2
PRANDIN
2
PRECOSE
2
repaglinide oral tablet 1 mg, 2 mg
Prandin
1
RIOMET
2
STARLIX
2
SYMLINPEN 120
2
SYMLINPEN 60
2
SYNJARDY
3
TANZEUM
3
tolazamide
1
tolbutamide
1
TOUJEO SOLOSTAR
2
QL (7.5 ML per 28 days)
TRADJENTA
2
QL (1 EA per 1 day)
TRULICITY
2
ST; QL (2 ML per 28 days)
VICTOZA 2-PAK
2
ST; QL (9 ML per 30 days)
MDwise Marketplace
40
ST; QL (4 EA per 28 days)
Drug Name
Reference
XIGDUO XR
Tier
3
Notes
ST; QL (2 EA per 1 day)
ANTIINFECTIVES/MISCELLANEOU
S
ACID JELLY
1
ALBENZA
3
ALINIA
3
atovaquone
Mepron
1
atovaquone-proguanil
Malarone
1
BILTRICIDE
2
chloroquine phosphate oral
1
chloroquine phosphate oral
Aralen
1
COARTEM
3
DARAPRIM
2
FEM PH
3
FORMADON
1
FORMALAZ
1
formaldehyde
Formadon
1
glycine irrigation
Glycine Urologic
3
GLYCINE UROLOGIC
3
hydroxychloroquine oral
Plaquenil
1
ivermectin oral
Stromectol
1
LAZERFORMALYDE
1
MALARONE
3
MALARONE PEDIATRIC
3
mebendazole oral
Vermox
1
mefloquine
Lariam
1
MEPRON
3
NEBUPENT
2
paromomycin
1
PLAQUENIL
2
primaquine
2
QUALAQUIN
2
quinine sulfate
QUALAQUIN
1
RELAGARD
3
STROMECTOL
3
sulfur
3
TINDAMAX
3
tinidazole
YODOXIN
Tindamax
1
2
ANTIINFECTIVES
ARESTIN
3
AVC VAGINAL
2
MDwise Marketplace
41
Drug Name
Reference
Tier
Notes
ANTINEOPLASTICS
ACTIMMUNE
4
AFINITOR DISPERZ
4
PA
AFINITOR ORAL TABLET 10 MG, 2.5 MG, 5
MG
4
PA; QL (1 EA per 1 day)
AFINITOR ORAL TABLET 7.5 MG
4
PA
ALFERON N
4
ALKERAN ORAL
2
anastrozole
Arimidex
1
ARIMIDEX
2
AROMASIN
2
PA
PA
bexarotene
Targretin
4
bicalutamide
Casodex
1
BOSULIF ORAL TABLET 100 MG
4
PA; QL (4 EA per 1 day)
BOSULIF ORAL TABLET 500 MG
4
PA; QL (1 EA per 1 day)
capecitabine oral tablet 150 mg
Xeloda
4
PA; QL (28 EA per 21
days)
capecitabine oral tablet 500 mg
Xeloda
4
PA; QL (112 EA per 21
days)
CAPRELSA ORAL TABLET 100 MG
4
PA; QL (2 EA per 1 day)
CAPRELSA ORAL TABLET 300 MG
4
PA; QL (1 EA per 1 day)
CARAC
3
CASODEX
2
CEENU ORAL CAPSULE 10 MG, 100 MG
4
CEENU ORAL CAPSULE 40 MG
2
COMETRIQ
4
cyclophosphamide oral
4
cyclophosphamide oral
Cytoxan
4
diclofenac sodium topical gel
Solaraze
1
EFUDEX TOPICAL CREAM
2
ELIGARD
4
EMCYT
4
ERIVEDGE
4
etoposide oral
1
exemestane
PA; QL (100 GM per 1
FILL)
PA
PA; QL (1 EA per 1 day)
1
PA
FARESTON
4
PA
FARYDAK
4
PA
FEMARA
2
FIRMAGON KIT W DILUENT SYRINGE
SUBCUTANEOUS RECON SOLN 120 MG
4
QL (2 EA per 365 days)
FIRMAGON KIT W DILUENT SYRINGE
SUBCUTANEOUS RECON SOLN 80 MG
4
QL (1 EA per 30 days)
FIRMAGON SUBCUTANEOUS RECON SOLN
120 MG
4
QL (2 EA per 365 days)
MDwise Marketplace
42
Aromasin
PA; QL (4 EA per 1 day)
Drug Name
Reference
Tier
FIRMAGON SUBCUTANEOUS RECON SOLN
80 MG
4
FLUOROPLEX
3
fluorouracil topical
Carac
1
fluorouracil topical
Efudex
1
Notes
QL (1 EA per 30 days)
flutamide
1
GILOTRIF
4
PA
GLEEVEC
4
PA; QL (2 EA per 1 day)
GLEOSTINE
4
HEXALEN
4
HYCAMTIN ORAL
4
HYDREA
2
hydroxyurea
Hydrea
1
IBRANCE
4
PA
ICLUSIG ORAL TABLET 15 MG
4
PA; QL (2 EA per 1 day)
ICLUSIG ORAL TABLET 45 MG
4
PA; QL (1 EA per 1 day)
IMBRUVICA
4
PA
INLYTA ORAL TABLET 1 MG
4
PA; QL (6 EA per 1 day)
INLYTA ORAL TABLET 5 MG
4
PA; QL (2 EA per 1 day)
INTRON A INJECTION
4
PA
IRESSA
4
PA
JAKAFI
4
PA; QL (2 EA per 1 day)
LENVIMA
4
PA
letrozole
Femara
LEUKERAN
leuprolide subcutaneous kit
4
Lupron
LEVULAN
lomustine
1
4
3
CeeNU
4
LONSURF
4
PA
LYNPARZA
4
PA; QL (16 EA per 1 day)
LYSODREN
4
MATULANE
4
megestrol oral tablet
1
MEKINIST
4
mercaptopurine
Purinethol
PA
1
methotrexate sodium
1
methotrexate sodium (pf)
1
METVIXIA
3
MYLERAN
4
NEXAVAR
4
PA; QL (4 EA per 1 day)
NILANDRON
4
QL (150 EA per 30 days)
ODOMZO
4
PA
PANRETIN
4
MDwise Marketplace
43
Drug Name
Reference
Tier
Notes
PICATO TOPICAL GEL 0.015 %
2
QL (3 EA per 28 days)
PICATO TOPICAL GEL 0.05 %
2
QL (2 EA per 28 days)
POMALYST
4
PA
PURINETHOL
2
PURIXAN
4
ST
REVLIMID
4
PA; QL (1 EA per 1 day)
SOLARAZE
3
PA; QL (100 GM per 1
FILL)
SOLTAMOX
2
SPRYCEL ORAL TABLET 100 MG, 140 MG, 50
MG, 70 MG, 80 MG
4
PA; QL (1 EA per 1 day)
SPRYCEL ORAL TABLET 20 MG
4
PA; QL (2 EA per 1 day)
STIVARGA
4
PA; QL (3 EA per 1 day)
SUTENT
4
PA; QL (1 EA per 1 day)
SYLATRON
4
QL (1 EA per 7 days)
SYNRIBO
4
PA
TABLOID
4
TAFINLAR
4
tamoxifen
Nolvadex
PA
5
TARCEVA
4
PA; QL (1 EA per 1 day)
TARGRETIN
4
PA
TASIGNA
4
PA; QL (4 EA per 1 day)
TEMODAR ORAL
4
PA
PA
temozolomide
Temodar
4
tretinoin (chemotherapy)
Vesanoid
4
TREXALL
2
TYKERB
4
PA
VALCHLOR
4
PA
VOTRIENT
4
PA; QL (4 EA per 1 day)
XALKORI
4
PA; QL (2 EA per 1 day)
XELODA ORAL TABLET 150 MG
4
PA; QL (28 EA per 21
days)
XELODA ORAL TABLET 500 MG
4
PA; QL (112 EA per 21
days)
XTANDI
4
PA; QL (4 EA per 1 day)
ZELBORAF
4
PA; QL (8 EA per 1 day)
ZOLINZA
4
ZYDELIG
4
PA
ZYKADIA
4
PA
ZYTIGA
4
PA; QL (4 EA per 1 day)
ANTIPARKINSON DRUGS
amantadine hcl
1
APOKYN
4
PA; QL (2 ML per 1 day)
AZILECT
2
QL (1 EA per 1 day)
MDwise Marketplace
44
Drug Name
Reference
benztropine oral
Tier
1
bromocriptine
Parlodel
1
carbidopa
Lodosyn
1
carbidopa-levodopa
Sinemet CR
1
carbidopa-levodopa-entacapone
Stalevo 50
1
COMTAN
2
DUOPA
3
ELDEPRYL
2
entacapone
Notes
Comtan
PA
1
LODOSYN
2
MIRAPEX
2
MIRAPEX ER
3
ST; QL (1 EA per 1 day)
NEUPRO
2
ST; QL (1 EA per 1 day)
PARCOPA
3
PARLODEL
2
pramipexole oral tablet
Mirapex
1
pramipexole oral tablet extended release 24 hr
Mirapex ER
1
REQUIP
2
REQUIP XL
2
ST; QL (1 EA per 1 day)
ST; QL (1 EA per 1 day)
ropinirole oral tablet
Requip
1
ropinirole oral tablet extended release 24 hr
Requip XL
1
ST; QL (1 EA per 1 day)
RYTARY
3
ST; QL (10 EA per 1 day)
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
3
ST; QL (3 EA per 1 day)
1
ST; QL (3 EA per 1 day)
tolcapone
Tasmar
trihexyphenidyl
1
ZELAPAR
3
QL (2 EA per 1 day)
ANTIPLATELET DRUGS
AGGRENOX
3
AGRYLIN
4
anagrelide
Agrylin
1
aspirin-dipyridamole
Aggrenox
1
BRILINTA
2
cilostazol
Pletal
1
clopidogrel oral tablet 300 mg
Plavix
1
QL (2 EA per 1 day)
QL (4 EA per 30 days)
MDwise Marketplace
45
Drug Name
Reference
Tier
clopidogrel oral tablet 75 mg
Plavix
1
dipyridamole oral
Persantine
1
DURLAZA
3
EFFIENT
2
PERSANTINE
2
PLAVIX ORAL TABLET 300 MG
2
PLAVIX ORAL TABLET 75 MG
2
PLETAL
2
ticlopidine
Ticlid
ZONTIVITY
Notes
QL (1 EA per 1 day)
QL (4 EA per 30 days)
1
3
QL (1 EA per 1 day)
ANTIVIRALS
abacavir
Ziagen
1
QL (60 EA per 30 days)
abacavir-lamivudine-zidovudine
Trizivir
1
PA
acyclovir oral capsule
Zovirax
1
acyclovir oral suspension 200 mg/5 ml
Zovirax
1
acyclovir oral tablet
Zovirax
1
acyclovir topical
Zovirax
1
adefovir
Hepsera
4
APTIVUS
2
PA
ATRIPLA
2
QL (30 EA per 30 days)
BARACLUDE
4
COMPLERA
2
COPEGUS
2
CRIXIVAN
2
DAKLINZA
4
DENAVIR
3
didanosine oral capsule,delayed release(dr/ec)
125 mg, 200 mg
Videx EC
1
didanosine oral capsule,delayed release(dr/ec)
250 mg, 400 mg
Videx EC
1
PA
PA
QL (60 EA per 30 days)
EDURANT
2
PA
EMTRIVA ORAL CAPSULE
2
QL (30 EA per 30 days)
EMTRIVA ORAL SOLUTION
2
QL (720 ML per 30 days)
entecavir
Baraclude
4
EPIVIR HBV
2
EPIVIR ORAL SOLUTION
2
QL (900 ML per 30 days)
EPIVIR ORAL TABLET 150 MG
2
QL (60 EA per 30 days)
EPIVIR ORAL TABLET 300 MG
2
QL (30 EA per 30 days)
EPZICOM
2
QL (30 EA per 30 days)
EVOTAZ
2
QL (1 EA per 1 day)
famciclovir
Famvir
1
FAMVIR
3
FLUMADINE ORAL TABLET
3
MDwise Marketplace
46
Drug Name
Reference
Tier
Notes
FUZEON SUBCUTANEOUS KIT
2
ST; QL (60 EA per 30
days)
HARVONI
4
PA
HEPSERA
4
INCIVEK
4
INFERGEN
4
INTELENCE
2
PA
INVIRASE ORAL CAPSULE
2
ST; QL (300 EA per 30
days)
INVIRASE ORAL TABLET
2
ST; QL (120 EA per 30
days)
ISENTRESS
2
KALETRA ORAL SOLUTION
2
QL (390 ML per 30 days)
KALETRA ORAL TABLET 100-25 MG
2
QL (300 EA per 30 days)
KALETRA ORAL TABLET 200-50 MG
2
QL (120 EA per 30 days)
QL (900 ML per 30 days)
PA
lamivudine oral solution
Epivir
1
lamivudine oral tablet 100 mg
Epivir HBV
1
lamivudine oral tablet 150 mg
Epivir
1
QL (60 EA per 30 days)
lamivudine oral tablet 300 mg
Epivir
1
QL (30 EA per 30 days)
lamivudine-zidovudine
Combivir
1
QL (60 EA per 30 days)
LEXIVA
2
PA
MODERIBA
2
MODERIBA DOSE PACK ORAL
TABLETS,DOSE PACK 400 MG (7)- 400 MG
(7), 600 MG (7)- 400 MG (7), 600 MG (7)- 600
MG (7)
3
ST
nevirapine oral suspension
Viramune
1
QL (1200 ML per 30 days)
nevirapine oral tablet
Viramune
1
QL (60 EA per 30 days)
nevirapine oral tablet extended release 24 hr
Viramune XR
1
NORVIR ORAL CAPSULE
2
QL (360 EA per 30 days)
NORVIR ORAL SOLUTION
2
QL (450 ML per 30 days)
NORVIR ORAL TABLET
2
QL (360 EA per 30 days)
OLYSIO
4
PA
PEGASYS CONVENIENCE PACK
4
PA
PEGASYS PROCLICK
4
PA
PEGASYS SUBCUTANEOUS SOLUTION
4
PA
PEGINTRON
4
PA
PEGINTRON REDIPEN
4
PA
PREZCOBIX
2
QL (1 EA per 1 day)
PREZISTA ORAL SUSPENSION
2
QL (240 ML per 30 days)
PREZISTA ORAL TABLET 150 MG
2
QL (240 EA per 30 days)
PREZISTA ORAL TABLET 400 MG, 600 MG
2
QL (60 EA per 30 days)
PREZISTA ORAL TABLET 75 MG
2
QL (480 EA per 30 days)
PREZISTA ORAL TABLET 800 MG
2
QL (30 EA per 30 days)
REBETOL
2
MDwise Marketplace
47
Drug Name
Reference
Tier
Notes
RELENZA DISKHALER
3
RESCRIPTOR
2
RETROVIR ORAL CAPSULE
2
QL (180 EA per 30 days)
RETROVIR ORAL SYRUP
2
QL (1800 ML per 30 days)
RETROVIR ORAL TABLET
2
QL (60 EA per 30 days)
REYATAZ
2
RIBASPHERE ORAL CAPSULE
1
RIBASPHERE ORAL TABLET 200 MG
1
RIBASPHERE ORAL TABLET 400 MG, 600
MG
1
ST
RIBASPHERE RIBAPAK ORAL
TABLETS,DOSE PACK 200 MG (7)- 400 MG
(7), 400 MG (7)- 400 MG (7), 400-400 MG
(28)-MG (28), 600 MG (7)- 400 MG (7), 600 MG
(7)- 600 MG (7), 600-400 MG (28)-MG (28),
600-600 MG (28)-MG (28)
1
ST
RIBATAB DOSE PACK ORAL
TABLETS,DOSE PACK 400-400 MG (28)-MG
(28), 600-400 MG (28)-MG (28)
3
ST
ribavirin oral capsule
RIBASPHERE
1
ribavirin oral tablet 200 mg
RIBASPHERE
1
rimantadine
Flumadine
1
QL (40 EA per 183 days)
SELZENTRY
2
PA
SITAVIG
3
ST; QL (4 EA per 365
days)
SOVALDI
4
PA
stavudine oral capsule
Zerit
1
QL (60 EA per 30 days)
stavudine oral recon soln
Zerit
1
QL (2400 ML per 30 days)
STRIBILD
2
QL (30 EA per 30 days)
SUSTIVA
2
TAMIFLU ORAL CAPSULE 30 MG
2
QL (40 EA per 183 days)
TAMIFLU ORAL CAPSULE 45 MG, 75 MG
2
QL (20 EA per 183 days)
TAMIFLU ORAL SUSPENSION FOR
RECONSTITUTION 12 MG/ML
2
TAMIFLU ORAL SUSPENSION FOR
RECONSTITUTION 6 MG/ML
2
QL (360 ML per 183 days)
TECHNIVIE
4
PA
TIVICAY
2
PA
trifluridine
Viroptic
1
TRIUMEQ
2
QL (1 EA per 1 day)
TRUVADA
2
QL (30 EA per 30 days)
TYZEKA
4
valacyclovir
Valtrex
VALCYTE
valganciclovir
VALTREX
MDwise Marketplace
48
1
3
Valcyte
1
2
Drug Name
Reference
Tier
Notes
VEREGEN
3
VICTRELIS
4
PA
VIDEX 2 GRAM PEDIATRIC
2
QL (1200 ML per 30 days)
VIDEX 4 GRAM PEDIATRIC
2
QL (1200 ML per 30 days)
VIDEX EC ORAL CAPSULE,DELAYED
RELEASE(DR/EC) 125 MG, 200 MG
2
QL (60 EA per 30 days)
VIDEX EC ORAL CAPSULE,DELAYED
RELEASE(DR/EC) 250 MG, 400 MG
2
VIEKIRA PAK
4
VIRACEPT
2
VIRAMUNE ORAL SUSPENSION
2
QL (1200 ML per 30 days)
VIRAMUNE ORAL TABLET
2
QL (60 EA per 30 days)
VIRAMUNE XR
2
VIRAZOLE
2
VIREAD ORAL POWDER
2
QL (225 GM per 30 days)
VIREAD ORAL TABLET
2
QL (30 EA per 30 days)
VIROPTIC
2
VITEKTA
2
ST; QL (1 EA per 1 day)
XERESE
3
ST; QL (10 GM per 365
days)
ZERIT ORAL CAPSULE
2
QL (60 EA per 30 days)
ZERIT ORAL RECON SOLN
2
QL (2400 ML per 30 days)
ZIAGEN ORAL SOLUTION
2
QL (900 ML per 30 days)
PA
zidovudine oral capsule
Retrovir
1
QL (180 EA per 30 days)
zidovudine oral syrup
Retrovir
1
QL (1800 ML per 30 days)
zidovudine oral tablet
Retrovir
1
QL (60 EA per 30 days)
ZIRGAN
2
ZOVIRAX
2
AUTONOMIC DRUGS
ADDERALL
2
QL (2 EA per 1 day)
ADDERALL XR ORAL CAPSULE,EXTENDED
RELEASE 24HR 10 MG, 15 MG, 5 MG
1
QL (1 EA per 1 day)
ADDERALL XR ORAL CAPSULE,EXTENDED
RELEASE 24HR 20 MG, 25 MG, 30 MG
1
QL (2 EA per 1 day)
ADRENACLICK
3
AMPHETAMINE SALT COMBO
1
ARICEPT
2
ARICEPT ODT
2
AUVI-Q
3
bethanechol chloride
Urecholine
1
cevimeline
Evoxac
1
QL (2 EA per 1 day)
ST
DESOXYN
3
QL (150 EA per 30 days)
DEXEDRINE ORAL TABLET 10 MG
2
QL (180 EA per 30 days)
DEXEDRINE SPANSULE ORAL CAPSULE,
EXTENDED RELEASE 10 MG, 5 MG
2
QL (60 EA per 30 days)
MDwise Marketplace
49
Drug Name
Reference
DEXEDRINE SPANSULE ORAL CAPSULE,
EXTENDED RELEASE 15 MG
Tier
Notes
2
QL (120 EA per 30 days)
dextroamphetamine oral capsule, extended
release 10 mg, 5 mg
Dexedrine Spansule
1
QL (60 EA per 30 days)
dextroamphetamine oral capsule, extended
release 15 mg
Dexedrine Spansule
1
QL (120 EA per 30 days)
dextroamphetamine oral solution
ProCentra
1
QL (1800 ML per 30 days)
dextroamphetamine oral tablet 10 mg
DextroStat
1
QL (180 EA per 30 days)
dextroamphetamine oral tablet 5 mg
DextroStat
1
QL (90 EA per 30 days)
DIBENZYLINE
4
donepezil oral tablet 10 mg, 5 mg
Aricept
1
donepezil oral tablet,disintegrating
Aricept ODT
1
epinephrine injection auto-injector
Adrenaclick
1
epinephrine injection auto-injector
EpiPen
1
epinephrine injection syringe 0.1 mg/ml
(1:10,000)
1
EPIPEN
2
EPIPEN JR
2
EVEKEO
3
EVOXAC
2
EXELON ORAL
2
EXELON TRANSDERMAL
2
QL (30 EA per 30 days)
PA
galantamine oral capsule,ext rel. pellets 24 hr
Razadyne ER
1
QL (30 EA per 30 days)
galantamine oral solution
Razadyne
1
QL (200 ML per 30 days)
galantamine oral tablet
Razadyne
1
QL (60 EA per 30 days)
guanidine
1
MESTINON ORAL
2
MESTINON TIMESPAN
2
methamphetamine
Desoxyn
1
midodrine
ProAmatine
1
MYTELASE
3
NORTHERA
4
phenoxybenzamine
Dibenzyline
4
pilocarpine hcl oral
Salagen
1
PROCENTRA
3
PROSTIGMIN
2
pyridostigmine bromide
Mestinon
QL (150 EA per 30 days)
PA
QL (1800 ML per 30 days)
1
RAZADYNE ER
3
QL (30 EA per 30 days)
RAZADYNE ORAL SOLUTION
3
QL (200 ML per 30 days)
RAZADYNE ORAL TABLET
3
QL (60 EA per 30 days)
QL (30 EA per 30 days)
rivastigmine
Exelon
1
rivastigmine tartrate
Exelon
1
SALAGEN
2
TWINJECT AUTOINJECTOR
2
MDwise Marketplace
50
Drug Name
Reference
Tier
Notes
URECHOLINE
2
ZENZEDI ORAL TABLET 10 MG
1
QL (180 EA per 30 days)
ZENZEDI ORAL TABLET 2.5 MG, 7.5 MG
2
ST; QL (90 EA per 30
days)
ZENZEDI ORAL TABLET 5 MG
1
QL (90 EA per 30 days)
AFLURIA 2014-2015
5
QL (0.5 ML per 180 days);
AGE
AFLURIA 2014-2015 (PF)
5
QL (0.5 ML per 180 days);
AGE
AFLURIA 2015-2016
5
QL (0.5 ML per 180 days);
AGE
AFLURIA 2015-2016 (PF)
5
QL (0.5 ML per 180 days);
AGE
ANASCORP
3
EPIFIX AMNIOTIC MEMBRANE
3
FLUARIX 2014-2015 (PF)
5
QL (0.5 ML per 180 days);
AGE
FLUARIX QUAD 2014-2015 (PF)
5
QL (0.5 ML per 180 days);
AGE
FLUARIX QUAD 2015-2016 (PF)
5
QL (0.5 ML per 180 days);
AGE
FLUBLOK 2014-2015 (PF)
5
QL (0.5 ML per 180 days);
AGE
FLUBLOK 2015-2016 (PF)
5
QL (0.5 ML per 180 days);
AGE
FLUCELVAX 2014-2015 (PF)
5
QL (0.5 ML per 180 days);
AGE
FLUCELVAX 2015-2016 (PF)
5
QL (0.5 ML per 180 days);
AGE
FLULAVAL 2014-2015
5
QL (0.5 ML per 180 days);
AGE
FLULAVAL 2014-2015 (PF)
5
QL (0.5 ML per 180 days);
AGE
FLULAVAL QUAD 2014-2015
5
QL (0.5 ML per 180 days);
AGE
FLULAVAL QUAD 2014-2015 (PF)
5
QL (0.5 ML per 180 days);
AGE
FLULAVAL QUAD 2015-2016
5
QL (0.5 ML per 180 days);
AGE
FLUMIST 2010-2011
3
FLUMIST 2011-2012
3
FLUMIST 2012-2013
3
FLUMIST 2013-2014
3
FLUMIST QUAD 2014-2015
5
QL (1 EA per 180 days);
AGE
FLUMIST QUAD 2015-2016
5
QL (1 EA per 180 days);
AGE
BIOLOGICALS
MDwise Marketplace
51
Drug Name
Reference
Tier
Notes
FLUVIRIN 2014-2015
5
QL (0.5 ML per 180 days);
AGE
FLUVIRIN 2014-2015 (PF)
5
QL (0.5 ML per 180 days);
AGE
FLUVIRIN 2015-2016
5
QL (0.5 ML per 180 days);
AGE
FLUVIRIN 2015-2016 (PF)
5
QL (0.5 ML per 180 days);
AGE
FLUZONE 2014-2015
5
QL (0.5 ML per 180 days);
AGE
FLUZONE 2014-2015 (PF)
5
QL (0.5 ML per 180 days);
AGE
FLUZONE 2015-2016
5
QL (0.5 ML per 180 days);
AGE
FLUZONE HIGH-DOSE 2014-15 (PF)
5
QL (0.5 ML per 180 days);
AGE
FLUZONE HIGH-DOSE 2015-16 (PF)
5
QL (0.5 ML per 180 days);
AGE
FLUZONE INTRADERM QUAD 2015-16
5
QL (0.1 ML per 180 days);
AGE
FLUZONE QUAD 2014-2015
5
QL (0.5 ML per 180 days);
AGE
FLUZONE QUAD 2014-2015 (PF)
5
QL (0.5 ML per 180 days);
AGE
FLUZONE QUAD 2015-2016
5
QL (0.5 ML per 180 days);
AGE
FLUZONE QUAD 2015-2016 (PF)
5
QL (0.5 ML per 180 days);
AGE
GAMMAGARD LIQUID
4
PA
GAMMAKED
4
PA
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 %)
4
PA
GRAFIX CORE TOPICAL SHEET 1.5 X 2 CM,
14 MM, 2 X 3 CM, 3 X 4 CM, 4 X 4 CM
3
GRAFIX PRIME TOPICAL SHEET 1.5 X 2 CM,
14 MM, 2 X 3 CM, 3 X 4 CM, 4 X 4 CM
3
GRASTEK
2
PA
HIZENTRA SUBCUTANEOUS SOLUTION 1
GRAM/5 ML (20 %), 10 GRAM/50 ML (20 %), 4
GRAM/20 ML (20 %)
4
PA
HYQVIA
4
PA
ORALAIR
2
PA
RAGWITEK
2
PA
ROTARIX
3
ROTATEQ VACCINE
3
SINGLE USE EZ FLU 2014-15(PF)
5
MDwise Marketplace
52
QL (0.5 EA per 180 days);
AGE
Drug Name
Reference
Tier
VIVAGLOBIN
3
VIVOTIF BERNA VACCINE
3
Notes
BLOOD
ADVATE
4
ALPHANATE
4
ALPHANINE SD
4
ALPROLIX
4
AMICAR
3
aminocaproic acid oral
AMICAR
1
ASTRINGYN
3
AVITENE
3
AVITENE FLOUR
3
BEBULIN
4
BEBULIN VH
4
BENEFIX
4
CORIFACT
4
DROXIA
3
ELOCTATE
4
ENDO AVITENE
3
EVARREST
3
FEIBA NF
4
GELFOAM
3
GELFOAM COMPRESSED SIZE 100
3
GELFOAM SPONGE SIZE 100
3
GELFOAM SPONGE SIZE 12-7MM
3
GELFOAM SPONGE SIZE 200
3
GELFOAM SPONGE SIZE 50
3
HELIXATE FS
4
HEMOFIL M HIGH
4
HEMOFIL M LOW
4
HEMOFIL M MID
4
HEMOFIL M SUPER HIGH
4
HUMATE-P
4
IXINITY
4
KOATE-DVI INTRAVENOUS KIT
4
KOATE-DVI INTRAVENOUS RECON SOLN
1,000 (+/-) UNIT, 250 (+/-) UNIT
4
KOGENATE FS
4
LYSTEDA
3
MONOCLATE-P
4
MONONINE
4
NOVOEIGHT
4
NOVOSEVEN
3
MDwise Marketplace
53
Drug Name
Reference
Tier
NOVOSEVEN RT
4
OXYCEL COTTON-TYPE PLEDGET
3
pentoxifylline
Pentoxil
1
PROFILNINE INTRAVENOUS RECON SOLN
1,000 (+/-) UNIT, 1,200 (+/-) UNIT, 500 (+/-)
UNIT
4
PROFILNINE INTRAVENOUS RECON SOLN
1,500 (+/-) UNIT
3
RECOMBINATE
4
RECOTHROM
3
RECOTHROM SPRAY KIT
3
RIXUBIS
4
SYRINGE AVITENE
3
TACHOSIL
3
THROMBIN-JMI
1
TISSEEL VHSD
3
tranexamic acid oral
Lysteda
Notes
1
TRENTAL
2
TRETTEN
4
ULTRAFOAM
3
WILATE
4
XYNTHA
4
XYNTHA SOLOFUSE
4
CARDIAC DRUGS
ADALAT CC
2
AFEDITAB CR
1
amiodarone oral
Pacerone
1
amlodipine
Norvasc
1
amyl nitrite
1
CALAN
2
CALAN SR
2
CARDENE SR
3
CARDIZEM
2
CARDIZEM CD
2
CARDIZEM LA
3
CARTIA XT
1
CORDARONE
2
CORLANOR
2
COVERA-HS
3
DIGITEK
1
DIGOX
1
digoxin oral solution 50 mcg/ml
2
digoxin oral tablet
MDwise Marketplace
54
Digitek
1
PA; QL (2 EA per 1 day)
Drug Name
Reference
Tier
DILACOR XR ORAL CAPSULE,EXT RELEASE
DEGRADABLE 240 MG
2
DILATRATE-SR
3
DILT-CD
1
DILTIA XT
1
diltiazem hcl oral
1
diltiazem hcl oral
Cardizem
1
diltiazem hcl oral
Cardizem CD
1
diltiazem hcl oral
Cardizem LA
1
diltiazem hcl oral
Cardizem SR
1
diltiazem hcl oral
Cartia XT
1
diltiazem hcl oral
DILT-XR
1
diltiazem hcl oral
Taztia XT
1
diltiazem hcl oral
Tiazac
1
DILT-XR
1
DILTZAC ER
1
disopyramide phosphate oral capsule
Norpace
DYNACIRC CR
1
3
felodipine
Plendil
1
flecainide
Tambocor
1
IMDUR
2
ISOCHRON
2
ISODITRATE
1
ISORDIL
2
ISORDIL TITRADOSE ORAL TABLET 5 MG
2
isosorbide dinitrate
Isordil Titradose
1
isosorbide mononitrate
Monoket
1
isradipine
DynaCirc
1
LANOXIN ORAL TABLET 125 MCG, 250 MCG
2
LANOXIN ORAL TABLET 187.5 MCG, 62.5
MCG
3
MATZIM LA
1
mexiletine
1
MINITRAN
1
MONOKET
2
MULTAQ
2
nicardipine oral
Notes
Cardene
1
NIFEDIAC CC
1
NIFEDICAL XL
1
nifedipine
Procardia XL
1
nimodipine
Nimotop
1
nisoldipine
1
NITRO-BID
2
NITRO-DUR
2
MDwise Marketplace
55
Drug Name
Reference
Tier
nitroglycerin oral
Nitro-Time
1
nitroglycerin transdermal patch 24 hour
Minitran
1
nitroglycerin transdermal patch 24 hour
Nitro-Dur
1
nitroglycerin translingual
Nitrolingual
1
nitroglycerin translingual
Nitromist
1
NITROLINGUAL
2
NITROMIST
3
NITROSTAT
2
NITRO-TIME
1
NORPACE
2
NORPACE CR
2
NORVASC
2
NYMALIZE
4
PACERONE ORAL TABLET 100 MG, 200 MG,
400 MG
1
PROCARDIA
2
PROCARDIA XL
2
propafenone
Rythmol
Notes
PA
1
quinidine gluconate oral
1
quinidine sulfate
1
RANEXA ORAL TABLET EXTENDED
RELEASE 12 HR 1,000 MG
2
QL (60 EA per 30 days)
RANEXA ORAL TABLET EXTENDED
RELEASE 12 HR 500 MG
2
QL (120 EA per 30 days)
RYTHMOL ORAL TABLET 150 MG, 225 MG
2
RYTHMOL SR
2
SULAR
3
TAMBOCOR
2
TAZTIA XT
1
TIAZAC
2
TIKOSYN
2
verapamil oral
Calan
1
verapamil oral
Calan SR
1
verapamil oral
Isoptin SR
1
verapamil oral
Verelan
1
verapamil oral
Verelan PM
1
VERELAN
2
VERELAN PM
2
CARDIOVASCULAR
ACCUPRIL
2
ACCURETIC
2
acebutolol
Sectral
1
ACEON
3
ADCIRCA
4
MDwise Marketplace
56
PA
Drug Name
Reference
Tier
Notes
ADEMPAS
4
PA
ADVICOR ORAL TABLET, ER MULTIPHASE
24 HR 1,000-20 MG, 750-20 MG
3
ST; QL (2 EA per 1 day)
ADVICOR ORAL TABLET, ER MULTIPHASE
24 HR 1,000-40 MG, 500-20 MG
3
ST; QL (1 EA per 1 day)
ALTACE
2
ALTOPREV
3
ST; QL (1 EA per 1 day)
QL (1 EA per 1 day)
amlodipine-atorvastatin
Caduet
1
amlodipine-benazepril
Lotrel
1
amlodipine-valsartan
Exforge
1
ST
amlodipine-valsartan-hcthiazid
Exforge HCT
1
ST
AMTURNIDE
3
PA
ANTARA ORAL CAPSULE 130 MG, 43 MG
2
ST
ANTARA ORAL CAPSULE 30 MG, 90 MG
3
ST
ATACAND
3
ATACAND HCT
3
atenolol
Tenormin
1
atenolol-chlorthalidone
Tenoretic 100
1
atorvastatin
Lipitor
1
ATROPEN INTRAMUSCULAR PEN INJECTOR
0.5 MG/0.7 ML, 1 MG/0.7 ML, 2 MG/0.7 ML
3
AVALIDE
2
AVAPRO
2
AZOR
2
benazepril
Lotensin
1
benazepril-hydrochlorothiazide
Lotensin HCT
1
ST
BENICAR
2
ST
BENICAR HCT
2
ST
BETAPACE AF
2
BETAPACE ORAL TABLET 120 MG, 160 MG,
240 MG
2
betaxolol oral
Kerlone
BIDIL
1
2
bisoprolol fumarate
Zebeta
1
bisoprolol-hydrochlorothiazide
Ziac
1
BYSTOLIC
2
CADUET
2
candesartan
Atacand
1
candesartan-hydrochlorothiazid
Atacand HCT
1
captopril
Capoten
1
captopril-hydrochlorothiazide
Capozide
1
CARDURA
2
CARDURA XL
3
carvedilol
Coreg
QL (1 EA per 1 day)
1
MDwise Marketplace
57
Drug Name
Reference
Tier
CATAPRES
2
CATAPRES-TTS-1
3
CATAPRES-TTS-2
3
CATAPRES-TTS-3
3
cholestyramine (with sugar)
Questran
CHOLESTYRAMINE LIGHT
1
1
clonidine
Catapres-TTS-1
1
clonidine hcl oral tablet
Catapres
1
CLORPRES ORAL TABLET 0.1-15 MG, 0.2-15
MG
1
COLESTID
2
COLESTID FLAVORED ORAL GRANULES
2
COLESTID FLAVORED ORAL PACKET
3
colestipol
Colestid
1
COREG
2
COREG CR
2
CORGARD
2
CORZIDE
3
COZAAR
2
CRESTOR
2
DEMSER
3
DIOVAN
2
DIOVAN HCT
2
doxazosin
Notes
Cardura
ST; QL (1 EA per 1 day)
1
DUTOPROL
3
EDARBI
3
ST
EDARBYCLOR
3
ST
enalapril maleate
Vasotec
1
enalapril-hydrochlorothiazide
1
ENTRESTO
3
PA; QL (2 EA per 1 day)
EPANED
3
ST; QL (1200 ML per 30
days); AGE
1
ST
eprosartan
Teveten
ergoloid
1
EXFORGE
2
ST
EXFORGE HCT
2
ST
fenofibrate micronized
Lofibra
1
fenofibrate nanocrystallized
Tricor
1
fenofibrate oral tablet
Fenoglide
1
fenofibrate oral tablet
Lofibra
1
fenofibrate oral tablet
Triglide
1
fenofibric acid
Fibricor
1
fenofibric acid (choline)
Trilipix
1
FENOGLIDE
MDwise Marketplace
58
2
ST
Drug Name
Reference
FIBRICOR
Tier
Notes
3
fluvastatin oral capsule
Lescol
1
ST; QL (2 EA per 1 day)
fluvastatin oral tablet extended release 24 hr
Lescol XL
1
ST; QL (1 EA per 1 day)
fosinopril
Monopril
1
fosinopril-hydrochlorothiazide
Monopril HCT
1
gemfibrozil oral
Lopid
1
guanabenz
guanfacine oral tablet
1
Tenex
1
HEMANGEOL
3
hydralazine oral
1
hydralazine oral
Apresoline
ST; QL (360 ML per 30
days)
1
HYZAAR
2
INDERAL LA
2
INDERAL XL
3
ST
INNOPRAN XL
3
ST
irbesartan
Avapro
1
irbesartan-hydrochlorothiazide
Avalide
1
isoxsuprine
Vasodilan
1
JUXTAPID
4
KERLONE
3
KYNAMRO
4
labetalol oral
Trandate
PA
PA
1
LESCOL
3
ST; QL (2 EA per 1 day)
LESCOL XL
3
ST; QL (1 EA per 1 day)
LETAIRIS
4
PA
LEVATOL
3
LIPITOR
2
LIPOCHOL PLUS
3
LIPOFEN
3
ST
LIPTRUZET
3
ST; QL (30 EA per 30
days)
lisinopril
Prinivil
1
lisinopril-hydrochlorothiazide
Prinzide
1
LIVALO
3
LOFIBRA ORAL CAPSULE
2
LOFIBRA ORAL TABLET
2
LOPID
2
LOPRESSOR HCT
3
LOPRESSOR ORAL
2
losartan
Cozaar
1
losartan-hydrochlorothiazide
Hyzaar
1
LOTENSIN HCT
ST; QL (1 EA per 1 day)
ST
2
MDwise Marketplace
59
Drug Name
Reference
Tier
LOTENSIN ORAL TABLET 10 MG, 20 MG, 40
MG
2
LOTREL
2
lovastatin
Mevacor
MAVIK
methyldopa
1
2
Aldomet
methyldopa-hydrochlorothiazide
1
1
metoprolol succinate
Toprol XL
1
metoprolol ta-hydrochlorothiaz
Lopressor HCT
1
metoprolol tartrate oral
metoprolol tartrate oral
1
Lopressor
1
MEVACOR
2
MICARDIS
3
MICARDIS HCT
3
MINIPRESS
2
minoxidil oral
1
moexipril
Univasc
1
moexipril-hydrochlorothiazide
Uniretic
1
nadolol
Naldol
1
nadolol-bendroflumethiazide
Corzide
1
NEXICLON XR ORAL SUSPENSION,EXTEND
RELEASE 24HR
2
NEXICLON XR ORAL TABLET EXTENDED
RELEASE 24 HR
3
niacin oral tablet extended release 24 hr
Notes
Niaspan
1
ST
NIACOR
1
NIASPAN EXTENDED-RELEASE
2
ST
OPSUMIT
4
PA
ORENITRAM
4
PA
papaverine
Para-Time
1
perindopril erbumine
Aceon
1
pindolol
1
PRALUENT PEN
4
PA
PRALUENT SYRINGE
4
PA
PRAVACHOL
2
pravastatin
Pravachol
1
prazosin oral
Minipress
1
PRESTALIA
3
PREVALITE
1
PRINIVIL ORAL TABLET 10 MG, 20 MG, 5
MG
2
PRINZIDE
2
propranolol oral
1
propranolol oral
MDwise Marketplace
60
Inderal LA
1
ST; QL (1 EA per 1 day)
Drug Name
Reference
Tier
propranolol-hydrochlorothiazid
1
QUESTRAN
2
QUESTRAN LIGHT ORAL POWDER IN
PACKET
2
quinapril
Accupril
1
quinapril-hydrochlorothiazide
Quinaretic
1
ramipril
Altace
1
Notes
REMODULIN
4
PA
REPATHA SURECLICK
4
PA
REPATHA SYRINGE
4
PA
reserpine
1
REVATIO ORAL SUSPENSION FOR
RECONSTITUTION
4
PA
REVATIO ORAL TABLET
2
PA
SECTRAL
2
sildenafil oral
Revatio
1
PA
SIMCOR ORAL TABLET, ER MULTIPHASE 24
HR 1,000-20 MG, 750-20 MG
2
ST; QL (2 EA per 1 day)
SIMCOR ORAL TABLET, ER MULTIPHASE 24
HR 1,000-40 MG, 500-20 MG, 500-40 MG
2
ST; QL (1 EA per 1 day)
simvastatin oral tablet 10 mg, 20 mg, 40 mg, 5
mg
Zocor
1
simvastatin oral tablet 80 mg
Zocor
1
SORINE
1
SOTALOL AF
1
sotalol oral
Sorine
ST
1
ST; QL (2000 ML per 30
days)
SOTYLIZE
3
TARKA
3
TEKAMLO
3
PA
TEKTURNA
3
PA
TEKTURNA HCT
3
PA
telmisartan
Micardis
1
telmisartan-amlodipine
Twynsta
1
telmisartan-hydrochlorothiazid
Micardis HCT
1
TENEX
2
TENORETIC 100
2
TENORETIC 50
2
TENORMIN
2
terazosin
Hytrin
1
TEVETEN
3
ST
TEVETEN HCT
3
ST
timolol maleate oral
1
TOPROL XL
2
TRACLEER
4
PA
MDwise Marketplace
61
Drug Name
Reference
TRANDATE ORAL
Tier
Notes
2
trandolapril
Mavik
1
trandolapril-verapamil
Tarka
1
TRIBENZOR
2
TRICOR
2
TRIGLIDE ORAL TABLET 160 MG
2
TRIGLIDE ORAL TABLET 50 MG
2
TRILIPIX
3
TWYNSTA
3
TYVASO
4
PA
TYVASO INSTITUTIONAL START KIT
4
PA
TYVASO REFILL KIT
4
PA
UNIRETIC
3
UNIVASC
3
valsartan
Diovan
1
valsartan-hydrochlorothiazide
Diovan HCT
1
ST
ST
VALTURNA
3
PA
VASERETIC
2
VASOTEC
2
VECAMYL
3
PA
VENTAVIS
4
PA
VYTORIN 10-10
3
ST; QL (1 EA per 1 day)
VYTORIN 10-20
3
ST; QL (1 EA per 1 day)
VYTORIN 10-40
3
ST; QL (1 EA per 1 day)
VYTORIN 10-80
3
ST; QL (1 EA per 1 day)
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
ST
AMPYRA
4
PA
APTIOM ORAL TABLET 200 MG, 400 MG, 800
MG
3
ST; QL (1 EA per 1 day)
APTIOM ORAL TABLET 600 MG
3
ST; QL (2 EA per 1 day)
AUBAGIO
4
PA
AVONEX
4
PA
AVONEX (WITH ALBUMIN)
4
PA
BANZEL ORAL SUSPENSION
3
ST; QL (80 ML per 1 day)
BANZEL ORAL TABLET 200 MG
MDwise Marketplace
3
ST; QL (16 EA per 1 day)
QL (1 EA per 1 day)
CNS DRUGS
62
Drug Name
Reference
Tier
Notes
BANZEL ORAL TABLET 400 MG
3
ST; QL (8 EA per 1 day)
BETASERON SUBCUTANEOUS KIT
4
PA
CAFCIT ORAL
3
caffeine citrated oral
Cafcit
1
carbamazepine oral capsule, er multiphase 12
hr
EQUETRO
1
carbamazepine oral suspension 100 mg/5 ml
Tegretol
1
carbamazepine oral suspension 200 mg/10 ml
1
carbamazepine oral tablet
Tegretol
1
carbamazepine oral tablet extended release 12
hr
Tegretol XR
1
carbamazepine oral tablet,chewable
Tegretol
1
CARBATROL
2
CELONTIN ORAL CAPSULE 300 MG
3
clonazepam
Klonopin
1
COPAXONE SUBCUTANEOUS SYRINGE
4
PA
DEPAKENE
2
DEPAKOTE
2
DEPAKOTE ER
2
DEPAKOTE SPRINKLES
2
DIASTAT
2
QL (1 EA per 1 FILL)
DIASTAT ACUDIAL
2
QL (1 EA per 1 FILL)
diazepam rectal kit 2.5 mg
Diastat
1
QL (1 EA per 1 FILL)
diazepam rectal kit 5-7.5-10 mg
Diastat AcuDial
1
QL (1 EA per 1 FILL)
DILANTIN
2
DILANTIN EXTENDED
2
DILANTIN INFATABS
2
DILANTIN-125
2
divalproex
Depakote
EPITOL
ethosuximide
1
1
Zarontin
EXTAVIA
1
4
PA
felbamate oral suspension
Felbatol
1
ST; QL (30 ML per 1 day)
felbamate oral tablet 400 mg
Felbatol
1
ST; QL (9 EA per 1 day)
felbamate oral tablet 600 mg
Felbatol
1
ST; QL (6 EA per 1 day)
FELBATOL ORAL SUSPENSION
3
ST; QL (30 ML per 1 day)
FELBATOL ORAL TABLET 400 MG
3
ST; QL (9 EA per 1 day)
FELBATOL ORAL TABLET 600 MG
3
ST; QL (6 EA per 1 day)
FYCOMPA ORAL TABLET 10 MG, 12 MG, 8
MG
3
ST; QL (30 EA per 30
days)
FYCOMPA ORAL TABLET 2 MG
3
ST; QL (120 EA per 30
days)
FYCOMPA ORAL TABLET 4 MG, 6 MG
3
ST; QL (60 EA per 30
days)
gabapentin oral capsule
MDwise Marketplace
Neurontin
1
63
Drug Name
Reference
gabapentin oral solution
Tier
Notes
1
gabapentin oral solution
Neurontin
1
gabapentin oral tablet 600 mg, 800 mg
Neurontin
1
GABITRIL ORAL TABLET 12 MG, 2 MG, 4 MG
3
ST; QL (4 EA per 1 day)
GABITRIL ORAL TABLET 16 MG
3
ST; QL (3 EA per 1 day)
GILENYA
4
PA
GLATOPA
4
PA
GRALISE
3
ST; QL (3 EA per 1 day)
GRALISE 30-DAY STARTER PACK
3
ST; QL (39 EA per 15
days)
HORIZANT ORAL TABLET EXTENDED
RELEASE 300 MG
3
ST; QL (30 EA per 30
days)
HORIZANT ORAL TABLET EXTENDED
RELEASE 600 MG
3
ST; QL (2 EA per 1 day)
KEPPRA ORAL
2
KEPPRA XR
3
KLONOPIN
2
LAMICTAL ODT ORAL
TABLET,DISINTEGRATING 100 MG
3
ST; QL (3 EA per 1 day)
LAMICTAL ODT ORAL
TABLET,DISINTEGRATING 200 MG
3
ST; QL (2 EA per 1 day)
LAMICTAL ODT ORAL
TABLET,DISINTEGRATING 25 MG, 50 MG
3
ST; QL (6 EA per 1 day)
LAMICTAL ODT STARTER (BLUE)
3
ST
LAMICTAL ODT STARTER (GREEN)
3
ST
LAMICTAL ODT STARTER (ORANGE)
3
ST
LAMICTAL ORAL TABLET
2
LAMICTAL ORAL TABLET, CHEWABLE
DISPERSIBLE 25 MG, 5 MG
2
LAMICTAL STARTER (BLUE) KIT
2
LAMICTAL STARTER (GREEN) KIT
2
LAMICTAL STARTER (ORANGE) KIT
2
LAMICTAL XR ORAL TABLET EXTENDED
RELEASE 24HR 100 MG
3
ST; QL (3 EA per 1 day)
LAMICTAL XR ORAL TABLET EXTENDED
RELEASE 24HR 200 MG, 250 MG, 300 MG
3
ST; QL (2 EA per 1 day)
LAMICTAL XR ORAL TABLET EXTENDED
RELEASE 24HR 25 MG, 50 MG
3
ST; QL (6 EA per 1 day)
LAMICTAL XR STARTER (BLUE)
3
ST
LAMICTAL XR STARTER (GREEN)
3
ST
LAMICTAL XR STARTER (ORANGE)
3
ST
lamotrigine oral tablet
Lamictal
1
lamotrigine oral tablet extended release 24hr
100 mg
Lamictal XR
1
ST; QL (3 EA per 1 day)
lamotrigine oral tablet extended release 24hr
200 mg, 250 mg, 300 mg
Lamictal XR
1
ST; QL (2 EA per 1 day)
MDwise Marketplace
64
Drug Name
Reference
Tier
Notes
lamotrigine oral tablet extended release 24hr 25
Lamictal XR
mg, 50 mg
1
lamotrigine oral tablet, chewable dispersible
Lamictal
1
lamotrigine oral tablet,disintegrating 100 mg
Lamictal ODT
1
ST; QL (3 EA per 1 day)
lamotrigine oral tablet,disintegrating 200 mg
Lamictal ODT
1
ST; QL (2 EA per 1 day)
lamotrigine oral tablet,disintegrating 25 mg, 50
Lamictal ODT
mg
1
ST; QL (6 EA per 1 day)
lamotrigine oral tablets,dose pack 25 mg (35)
1
Lamictal Starter (Blue) Kit
levetiracetam oral
ST; QL (6 EA per 1 day)
1
levetiracetam oral
Keppra
1
levetiracetam oral
Keppra XR
1
LYRICA
2
MEBARAL
3
memantine oral solution
Namenda
1
QL (300 ML per 30 days)
memantine oral tablet
Namenda
1
QL (60 EA per 30 days)
memantine oral tablets,dose pack
Namenda Titration Pak
1
QL (49 EA per 28 days)
MYSOLINE
2
NAMENDA ORAL SOLUTION
2
QL (300 ML per 30 days)
NAMENDA ORAL TABLET
2
QL (60 EA per 30 days)
NAMENDA TITRATION PAK
2
QL (49 EA per 28 days)
NAMENDA XR ORAL CAP,SPRINKLE,ER
24HR DOSE PACK
2
QL (28 EA per 28 days)
NAMENDA XR ORAL
CAPSULE,SPRINKLE,ER 24HR
2
QL (30 EA per 30 days)
NAMZARIC
2
ST; QL (1 EA per 1 day)
NEURONTIN
2
NUEDEXTA
3
PA
ONFI ORAL SUSPENSION
3
ST; QL (480 ML per 30
days)
ONFI ORAL TABLET
3
ST; QL (2 EA per 1 day)
oxcarbazepine
Trileptal
1
OXTELLAR XR ORAL TABLET EXTENDED
RELEASE 24 HR 150 MG, 300 MG
3
ST; QL (1 EA per 1 day)
OXTELLAR XR ORAL TABLET EXTENDED
RELEASE 24 HR 600 MG
3
ST; QL (4 EA per 1 day)
PEGANONE
3
PHENYTEK
2
phenytoin
Dilantin Infatabs
1
phenytoin sodium extended
Phenytek
1
PLEGRIDY
4
PA
POTIGA ORAL TABLET 200 MG, 300 MG, 400
MG
3
ST; QL (3 EA per 1 day)
POTIGA ORAL TABLET 50 MG
3
ST; QL (9 EA per 1 day)
primidone
QUDEXY XR ORAL CAPSULE,SPRINKLE,ER
24HR 100 MG, 25 MG, 50 MG
Mysoline
1
3
ST; QL (1 EA per 1 day)
MDwise Marketplace
65
Drug Name
Reference
Tier
Notes
QUDEXY XR ORAL CAPSULE,SPRINKLE,ER
24HR 150 MG, 200 MG
3
ST; QL (2 EA per 1 day)
REBIF (WITH ALBUMIN)
4
PA
REBIF REBIDOSE
4
PA
REBIF TITRATION PACK
4
PA
RILUTEK
4
riluzole
Rilutek
4
SABRIL
3
QL (6 EA per 1 day)
STAVZOR
3
ST
TECFIDERA
4
PA
TEGRETOL
2
TEGRETOL XR
2
tetrabenazine
Xenazine
4
tiagabine
Gabitril
1
TOPAMAX
2
TOPIRAGEN
1
ST; QL (4 EA per 1 day)
topiramate oral capsule, sprinkle
Topamax
1
topiramate oral capsule,sprinkle,er 24hr 100
mg, 25 mg, 50 mg
Qudexy XR
1
ST; QL (1 EA per 1 day)
topiramate oral capsule,sprinkle,er 24hr 150
mg, 200 mg
Qudexy XR
1
ST; QL (2 EA per 1 day)
topiramate oral tablet
Topamax
1
TRILEPTAL
2
TROKENDI XR ORAL CAPSULE,EXTENDED
RELEASE 24HR 100 MG, 25 MG, 50 MG
3
ST; QL (1 EA per 1 day)
TROKENDI XR ORAL CAPSULE,EXTENDED
RELEASE 24HR 200 MG
3
ST; QL (2 EA per 1 day)
valproic acid
Depakene
1
valproic acid (as sodium salt) oral solution 250
mg/5 ml
Valproic Acid
1
valproic acid (as sodium salt) oral solution 250
mg/5 ml (5 ml)
1
VIMPAT ORAL SOLUTION
3
ST; QL (1200 ML per 30
days)
VIMPAT ORAL TABLET
3
ST; QL (2 EA per 1 day)
XENAZINE
4
ZARONTIN
2
ZONEGRAN ORAL CAPSULE 100 MG, 25 MG
2
zonisamide
Zonegran
1
COLONY STIMULATING FACTORS
ARANESP (IN POLYSORBATE)
4
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
4
PA
GRANIX
4
PA
MDwise Marketplace
66
Drug Name
Reference
Tier
Notes
LEUKINE
4
PA
MIRCERA
4
PA
NEULASTA SUBCUTANEOUS SYRINGE
4
PA
NEUMEGA
4
NEUPOGEN
4
PA
OMONTYS
4
PA
PROCRIT
4
PA
PROMACTA
4
PA
ZARXIO
4
PA
CONTRACEPTIVES
AFTERA
2
ALTAVERA (28)
5
ALYACEN 1/35 (28)
5
ALYACEN 7/7/7 (28)
5
AMETHIA
5
QL (91 EA per 84 days)
AMETHIA LO
5
QL (91 EA per 84 days)
AMETHYST
3
ST
APRI
5
ARANELLE (28)
5
ASHLYNA
5
AUBRA
5
AVIANE
5
AZURETTE (28)
5
BALZIVA (28)
5
BEYAZ
3
BREVICON (28)
5
BRIELLYN
5
CAMILA
5
CAMRESE
5
QL (91 EA per 84 days)
CAMRESE LO
5
QL (91 EA per 84 days)
CAYA CONTOURED
3
CAZIANT (28)
5
CHATEAL
5
CONCEPTROL
5
CRYSELLE (28)
5
CYCLAFEM 1/35 (28)
5
CYCLAFEM 7/7/7 (28)
5
CYCLESSA (28)
2
CYRED
5
DASETTA 1/35 (28)
5
DASETTA 7/7/7 (28)
5
DAYSEE
5
DEBLITANE
5
QL (91 EA per 84 days)
ST
ST
QL (91 EA per 84 days)
MDwise Marketplace
67
Drug Name
Reference
Tier
Notes
DELYLA (28)
5
DEPO-PROVERA INTRAMUSCULAR
SUSPENSION
5
QL (1 ML per 84 days)
DEPO-PROVERA INTRAMUSCULAR
SYRINGE
5
QL (1 ML per 84 days)
DEPO-SUBQ PROVERA 104
5
QL (0.65 ML per 84 days)
desog-e.estradiol/e.estradiol
Mircette
DESOGEN
5
2
desogestrel-ethinyl estradiol
Ortho-Cept (28)
5
drospirenone-ethinyl estradiol
Yasmin 28
5
ST
ST
ECONTRA EZ
5
ELINEST
5
ELLA
5
EMOQUETTE
5
ENCARE
5
ENPRESSE
5
ENSKYCE
5
ERRIN
5
ESTARYLLA
5
ESTROSTEP FE-28
3
FALLBACK SOLO
5
FALMINA (28)
5
FC FEMALE CONDOM
5
QL (30 EA per 30 days)
FC2 FEMALE CONDOM
5
QL (30 EA per 30 days)
FEMCAP
5
FEMCON FE
3
GENERESS FE
3
GIANVI (28)
5
GILDAGIA
5
GILDESS
5
GILDESS 24 FE
5
GILDESS FE
5
GYNOL II
5
HEATHER
5
IMPLANON
5
QL (1 EA per 365 days)
INTROVALE
5
QL (91 EA per 84 days)
JENCYCLA
5
JOLESSA
5
JOLIVETTE
5
JULEBER
5
JUNEL 1.5/30 (21)
5
JUNEL 1/20 (21)
5
JUNEL FE 1.5/30 (28)
5
JUNEL FE 1/20 (28)
5
MDwise Marketplace
68
ST
ST
ST
QL (91 EA per 84 days)
Drug Name
Reference
Tier
JUNEL FE 24
5
KARIVA (28)
5
KELNOR 1/35 (28)
5
KIMIDESS (28)
5
KURVELO
5
l norgest/e.estradiol-e.estrad
Seasonique
5
LARIN 1.5/30 (21)
5
LARIN 1/20 (21)
5
LARIN 24 FE
5
LARIN FE
5
LAYOLIS FE
5
LEENA 28
5
LESSINA
5
LEVONEST (28)
5
levonorgestrel oral tablet 0.75 mg
Plan B
5
levonorgestrel oral tablet 1.5 mg
Plan B One-Step
5
levonorgestrel-ethinyl estrad oral tablet
Levlite-28
5
levonorgestrel-ethinyl estrad oral tablet
Levora 0.15/30 (28)
5
levonorgestrel-ethinyl estrad oral tablet
Lybrel
5
levonorgestrel-ethinyl estrad oral tablets,dose
pack,3 month
Seasonale
5
Notes
QL (91 EA per 84 days)
AGE
QL (91 EA per 84 days)
LEVORA-28
5
LILETTA
5
LO LOESTRIN FE
2
ST
LOESTRIN 1.5/30 (21)
2
ST
LOESTRIN 1/20 (21)
2
ST
LOESTRIN 24 FE
3
LOESTRIN FE 1.5/30 (28-DAY)
2
ST
LOESTRIN FE 1/20 (28-DAY)
2
ST
LOMEDIA 24 FE
5
LO-OVRAL (28)
2
ST
LORYNA (28)
5
ST
LOSEASONIQUE
3
ST; QL (91 EA per 84
days)
LOW-OGESTREL (28)
5
LUTERA (28)
5
LYBREL
3
LYZA
5
MARLISSA
5
medroxyprogesterone intramuscular
Depo-Provera
5
MICROGESTIN 1.5/30 (21)
5
MICROGESTIN 1/20 (21)
5
MICROGESTIN FE 1.5/30 (28)
5
MICROGESTIN FE 1/20 (28)
5
ST
QL (1 ML per 84 days)
MDwise Marketplace
69
Drug Name
Reference
Tier
Notes
MINASTRIN 24 FE
3
MIRCETTE (28)
2
MIRENA
5
MODICON (28)
2
MONO-LINYAH
5
MONONESSA (28)
5
MY WAY
5
MYZILRA
5
NATAZIA
3
NECON 0.5/35 (28)
5
NECON 1/35 (28)
5
NECON 1/50 (28)
5
NECON 10/11 (28)
5
NECON 7/7/7 (28)
5
NEXPLANON
5
QL (1 EA per 365 days)
NEXT CHOICE
5
AGE
NEXT CHOICE ONE DOSE
5
NIKKI (28)
5
NORA-BE
5
NORDETTE (28)
2
noreth-ethinyl estradiol-iron
Femcon Fe
5
norethindrone (contraceptive)
Errin
5
norethindrone ac-eth estradiol oral tablet 1-20
mg-mcg
Loestrin 1/20 (21)
5
norethindrone-e.estradiol-iron
Microgestin FE 1/20 (28)
5
norethindrone-ethin estradiol
Norinyl 1+35 (28)
2
norgestimate-ethinyl estradiol
Previfem
5
norgestrel-ethinyl estradiol
Lo-Ovral (28)
5
ST
ST
ST
ST
ST
ST
NORINYL 1+35 (28)
5
NORINYL 1+50 (28)
2
NORLYROC
5
NOR-QD
2
NORTREL 0.5/35 (28)
5
NORTREL 1/35 (21)
5
NORTREL 1/35 (28)
5
NORTREL 7/7/7 (28)
5
NUVARING
5
ST; QL (1 EA per 28 days)
OCELLA
5
ST
OGESTREL (28)
5
OPCICON ONE-STEP
5
ORSYTHIA
5
ORTHO ALL-FLEX FITTING SET
5
ORTHO DIAPHRAGM ALL-FLEX 65
5
MDwise Marketplace
70
ST
ST
Drug Name
Reference
Tier
Notes
ORTHO DIAPHRAGM ALL-FLEX 70
5
ORTHO DIAPHRAGM ALL-FLEX 75
5
ORTHO DIAPHRAGM ALL-FLEX 80
5
ORTHO EVRA
2
ST; QL (3 EA per 28 days)
ORTHO MICRONOR
2
ST
ORTHO TRI-CYCLEN (28)
2
ST
ORTHO TRI-CYCLEN LO (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)
3
ST
OVCON-50 (28)
3
ST
PARAGARD T 380A
5
PHILITH
5
PIMTREA (28)
5
PIRMELLA
5
PLAN B ONE-STEP
2
PORTIA
5
PREVIFEM
5
QUARTETTE
3
QUASENSE
5
RECLIPSEN (28)
5
SAFYRAL
3
ST
SEASONALE CONTRACEPTIVE
2
ST; QL (91 EA per 84
days)
SEASONIQUE
3
ST; QL (91 EA per 84
days)
SETLAKIN
5
QL (91 EA per 84 days)
SHAROBEL
5
SKYLA
5
SOLIA
5
SPRINTEC (28)
5
SRONYX
5
SYEDA
5
TAKE ACTION
2
TARINA FE
5
TILIA FE
5
TODAY CONTRACEPTIVE SPONGE
5
TRI-ESTARYLLA
5
TRI-LEGEST FE
5
TRI-LINYAH
5
TRINESSA (28)
5
TRI-NORINYL (28)
2
QL (91 EA per 84 days)
ST
ST
MDwise Marketplace
71
Drug Name
Reference
Tier
Notes
TRI-PREVIFEM (28)
5
TRI-SPRINTEC (28)
5
TRIVORA (28)
5
VAGINAL CONTRACEPTIVE FILM
5
VAGINAL CONTRACEPTIVE FOAM
5
VCF CONTRACEPTIVE FILM
5
VELIVET TRIPHASIC REGIMEN (28)
5
VESTURA (28)
5
VIORELE (28)
5
VYFEMLA (28)
5
WERA (28)
5
WIDE-SEAL DIAPHRAGM 60
5
WIDE-SEAL DIAPHRAGM 65
5
WIDE-SEAL DIAPHRAGM 70
5
WIDE-SEAL DIAPHRAGM 75
5
WIDE-SEAL DIAPHRAGM 80
5
WIDE-SEAL DIAPHRAGM 85
5
WIDE-SEAL DIAPHRAGM 90
5
WIDE-SEAL DIAPHRAGM 95
5
WYMZYA FE
5
XULANE
5
QL (3 EA per 28 days)
YASMIN (28)
2
ST
YAZ (28)
2
ST
ZARAH
5
ST
ZENCHENT (28)
5
ZENCHENT FE
5
ZEOSA
5
ZOVIA 1/35E (28)
5
ZOVIA 1/50E (28)
5
COUGH/COLD PREPARATIONS
30PSE-150GFN-15DM
1
30PSE-3BRM-15DM
1
50PSE-3BRM-30DM
1
7.5PEH-4BRM-15DM
1
ADULT ROBITUSSIN PEAK COLD DM
1
ADULT TUSSIN CHEST CONGESTION
1
ADULT TUSSIN COUGH CONGEST DM
1
ADULT WAL-TUSSIN
1
AEROHIST
3
AEROHIST PLUS
3
AEROKID
3
AIRACOF
1
ALACOL DM
1
MDwise Marketplace
72
ST
Drug Name
Reference
Tier
ALA-HIST AC
3
ALA-HIST DHC
3
ALDEX DM
1
ALLERX 10
3
ALLERX 30
3
ALLERX DF
3
ALLERX DF 30
3
ALLERX PE
3
ALLERX-D
3
ALLFEN CD
3
ALLFEN CDX
3
ALTIPRES-B
1
AMBI 10PEH-400GFN
1
AMBI 10PEH-400GFN-20DM
1
AMBI 40PSE-400GFN
3
AMBI 40PSE-400GFN-20DM
1
AMBI 60PSE-400GFN
1
AMBI 60PSE-400GFN-20DM
1
AMBIFED
3
AMBIFED CD
3
AMBIFED CDX
3
AMBIFED DM
3
AMBIFED-G (IR)
3
AMBIFED-G CD
3
AMBIFED-G CDX
3
AMBIFED-G DM (IR)
3
AP-HIST DM
1
ATUSS DS
3
BALACALL DM
1
benzonatate
Tessalon
Notes
1
BIO T PRES-B
1
BIO-B KIDS
1
BIOCOTRON
1
BIONATUSS DXP
1
BP 8 COUGH
1
BPM PE DM
1
BROMFED DM
1
BROMHIST-DM
1
BROMHIST-PDX
1
BROMPHENEX DM
1
brompheniramine-pseudoeph-dm
Bromophed DX
1
brompheniramin-phenylephrin-dm
Duravent-DPB
1
brompheniram-pe-dihydrocodeine
Poly-Tussin DHC
1
MDwise Marketplace
73
Drug Name
Reference
Tier
BRONCOTRON
1
BRONKIDS
3
BROVEX CB
3
BROVEX CBX
3
BROVEX PB C
3
BROVEX PB CX
3
BROVEX PB DM
3
BROVEX PSE DM
3
CAPCOF
3
CARBAPHEN 12
3
CARBAPHEN 12 PED
3
CARBATUSS
3
CARBA-XP
3
CARDEC DM (PHENYLEPH-CHLORPHN)
1
CENTERGY DM
1
CENTUSS DM
1
CENTUSSIN DHC
1
CERON-DM
1
CHERACOL D
1
CHERATUSSIN AC
1
CHERATUSSIN DAC
1
CHEST CONGESTION RELIEF D
1
CHEST CONGESTION RELIEF ORAL LIQUID
1
CHEST CONGESTION RELIEF PE
1
CHEST-SINUS CONGESTION RELIEF
1
CHILD MUCINEX CHEST CONGESTION
1
CHILD MUCUS RELIEF EXPECTORANT
1
CHILDREN'S CHEST CONGESTION
1
CHLORDEX GP
1
CHLOR-MES D
1
chlorpheniramine-pe-dm-gg
Donatussin
1
chlorpheniramine-phenyleph-dm
DM-PE-Chlor
1
chlorphen-pseudoeph-dm tannate
Atuss DS
1
CODAR AR
1
CODAR D
1
CODAR GF
1
codeine-guaifenesin
ExeClear-C
1
CONGESTAC
1
CONGEST-EZE
1
CONGEST-EZE PE
1
CORFEN-DM
1
CORZALL
3
CORZALL-PE
1
MDwise Marketplace
74
Notes
Drug Name
Reference
Tier
COTAB A
3
COTAB AX
3
COTABFLU
3
COUGH CONTROL (GUAIFENESIN)
1
COUGH CONTROL DM ORAL LIQUID
1
COUGH SYRUP
1
COUGHTAB
1
C-PHEN DM
1
CPM-PE-DM
1
CPM-PSE DM
1
cpm-pseudoephed-hydrocodone
Zutripro
Notes
1
DALLERGY
3
DALLERGY DM
3
DALLERGY PE
3
DALLERGY PSE
3
DE-CHLOR DM
1
DE-CHLOR DR
1
DEHISTINE
1
DELTUSS DMX
3
DESGEN
3
DESPEC-DM (PHENYLEPH-DM-GUAIF)
ORAL LIQUID 5-15-100 MG/5 ML
3
DESPEC-EXP
3
DESPEC-PDC
3
DESPEC-TAB ORAL TABLET 40-400 MG
1
DEX PC
1
DEXPHEN M
1
DEX-TUSS
1
DIABETIC SILTUSSIN DAS-NA
1
DIABETIC SILTUSSIN-DM
1
DIABETIC TUSSIN DM ORAL LIQUID 10-100
MG/5 ML
1
DIABETIC TUSSIN EX ORAL LIQUID
1
DIHYDRO-CP
1
DIHYDRO-GP
1
DIHYDRO-PE
1
DONATUSS DC
3
DONATUSS XP
3
DONATUSSIN (WITH GUAIFENESIN)
3
DONATUSSIN DM
3
DONATUSSIN PEDI (REFORMULATED)
3
DRYMAX
1
DURAFLU ORAL TABLET 60-20-200-500 MG
3
ED A-HIST DM ORAL LIQUID
1
MDwise Marketplace
75
Drug Name
Reference
Tier
ENDACOF AC
1
ENDACOF-C
1
ENDACOF-DC
1
ENDAL CD
3
ENTRE-COUGH
1
ENTRE-COUGH TANNATE
1
ENTRE-S
1
EXALL
3
EXALL-D
1
EXECLEAR-C
1
EXEFEN DMX
1
EXEFEN-IR
1
EXPECTORANT
1
EXPECTORANT COUGH SYRUP
1
EXPECTUSS
1
FENESIN PE IR
1
FLOWTUSS
3
GANIDIN NR
1
GANI-TUSS DM NR
1
GENTEX 30
1
GERI-TUSSIN
1
G-P-TUSS DXP
1
G-SUPRESS DX
3
G-TRON
1
GUAIASORB DM
1
GUAIATUSSIN AC
1
GUAIFENESIN AC
1
GUAIFENESIN DAC
1
GUAIFENESIN NR
1
guaifenesin oral liquid
Scot-Tussin Expectorant
1
guaifenesin oral tablet 200 mg
Coughtab
1
GUAIFENESIN-DM NR
1
HYCOFENIX
3
hydrocodone-chlorpheniramine
Tussionex Pennkinetic ER
1
hydrocodone-homatropine oral syrup 5-1.5
mg/5 ml
Hydromet
1
hydrocodone-homatropine oral tablet
Hycodan
1
HYDROMET
1
IOPHEN DM-NR
1
IOPHEN-NR
1
J-COF DHC
1
J-MAX
1
J-MAX DHC
1
MDwise Marketplace
76
Notes
ST; QL (600 ML per 10
days)
Drug Name
Reference
Tier
LEXUSS 210
1
LIQUIBID D-R
1
LOHIST PEB DM
1
LOHIST-DM
1
LOHIST-PSB-DM
1
LORTUSS EX ORAL SYRUP
1
LUSAIR
1
LUSONAL
3
MAR-COF BP
1
MAR-COF CG
1
MAXICHLOR DM
3
MAXICHLOR PEH DM
3
MAXICHLOR PSE DM
3
MAXIFED (IR)
3
MAXIFED CD
3
MAXIFED CDX
3
MAXIFED DM (IR)
3
MAXIFED DMX (IR)
3
MAXIFED-G (IR)
3
MAXIFED-G CD
3
MAXIFED-G CDX
3
MAXIFLU CD
3
MAXIFLU CDX
3
MAXIFLU DM
3
MAXIPHEN CDX
3
M-CLEAR
1
M-CLEAR WC
3
MEDIFIN EXPECTORANT
1
MEDIFIN EXPECTORANT MUCUS RLF
1
MEDI-TUSSIN
1
MEDI-TUSSIN DM DIABETIC
1
M-END MAX D
3
M-END PE
3
M-END WC
3
MESEHIST DM
1
MESEHIST WC
1
MUCAPHED
1
MUCUS RELIEF
1
MUCUS RELIEF D (PHENYLEPHRINE)
1
MUCUS RELIEF D (PSEUDOEPHED)
1
MUCUS RELIEF ORAL TABLET 200 MG
1
MUCUS RELIEF PE
1
MUCUS RELIEF SINUS
1
Notes
MDwise Marketplace
77
Drug Name
Reference
Tier
MYCI-GC
2
MYHIST-DM
1
MYTUSSIN DAC
1
NARIZ
1
NASOHIST DM
1
NEO DM ORAL SUSPENSION
3
NEO-TUSS
1
NEOTUSS-D (CHLORPHENIRAMINE)
1
NEUTRAHIST PDX
1
NINJACOF-XG
1
NIVA-HIST DM
1
NOHIST DMX
1
NOHIST-DM
1
NOREL SR
3
NOTUSS AC
3
NOTUSS DC
3
NOTUSS-NX
3
NOTUSS-NXD
3
NU-COPD
1
OBREDON
3
ONETAB CONGESTION & COUGH
1
ORGAN-I NR
1
ORGANIDIN NR
3
PBM ALLERGY
1
PDM GG
1
PE-CP-K GUAIACOL
1
PEDIAHIST DM
1
PEDIATRIC COUGH & COLD ORAL LIQUID
100 MG/5 ML
1
PE-HIST DM
1
PHENCARB GG
1
PHENFLU CD
3
PHENFLU CDX
3
PHENFLU DM
3
phenylephrine-guaifenesin
Sil-Tex
1
PLURATUSS
1
POLY HIST DHC
3
POLY HIST DM
3
POLY HIST NC
3
POLY-TUSSIN DHC
3
POLY-TUSSIN DM
3
POLY-TUSSIN EX
3
PRESGEN B
1
MDwise Marketplace
78
Notes
ST; QL (600 ML per 10
days)
Drug Name
Reference
Tier
PROLEX DMX
3
PROMETHAZINE VC-CODEINE
1
promethazine-codeine
Phenergan-Codeine
promethazine-dm
promethazine-phenyleph-codeine
1
1
Phenergan VC-Codeine
1
PROTID
3
PSE BROM
1
PSEUDO COUGH
1
PSEUDO DM GG
1
PSEUDOEPHEDRINE GG
1
pseudoephedrine hcl oral tablet 60 mg
Notes
Sudogest
1
PULMARI-GP
1
Q-TUSSIN
1
RE DCP
1
REFENESEN ORAL TABLET 200 MG
1
REFENESEN PE
1
RELCOF C
1
REME HIST DM
1
REME TUSSIN DM
1
RESCON
3
RESPA C
3
RESPA-AR
1
RESPERAL-DM
1
RESPIVENT DF
1
RESPIVENT DF 30
1
RESPIVENT-D
1
RI-TUSSIN
1
ROBAFEN
1
ROBAFEN DM COUGH
1
ROBITUSSIN CHEST CONGESTION
3
ROBITUSSIN MUCUS-CHEST CONGEST
3
RU-TUSS
1
RYDEX
1
RYNA-12X
3
RYNATUSS
3
RYNEZE
3
SAFE TUSSIN DM
1
SCOT-TUSSIN EXPECTORANT
1
SERADEX
1
SILDEC PE-DM
1
SILTUSSIN DM DAS
1
SILTUSSIN SA
1
SIMUC-DM
1
MDwise Marketplace
79
Drug Name
Reference
Tier
SINA-12X
3
SONAHIST DM
1
SORBUGEN NR
1
STAHIST (REFORMULATED)
3
STATUSS GREEN (CODEINE)
3
SUDATEX G
1
SUDATEX-DM
1
SUDOGEST ORAL TABLET 60 MG
1
TESSALON
3
TESSALON PERLES
3
TIME-HIST QD
3
TL-DEX DM
1
TL-DMX
1
TL-HIST CD
1
TL-HIST CM
1
TL-HIST DM
1
TREXBROM
3
TRICODE AR
1
TRICODE GF
1
TRI-DEX PE
1
TRIGOFEN DM
1
TRISPEC DMX ORAL LIQUID 15-25 MG/5 ML
3
TRISPEC DMX PEDIATRIC
3
TRISPEC PSE ORAL LIQUID 30-15-25 MG/5
ML
3
TRISPEC PSE PEDIATRIC
3
TRYMINE CG
1
TUSICOF ORAL TABLET
1
TUSNEL C
2
TUSNEL DIABETIC
1
TUSNEL PED-C
3
TUSNEL PEDIATRIC ORAL LIQUID
3
TUSSAFED EX
1
TUSSI PRES-B ORAL LIQUID 4-10-20 MG/5
ML
1
TUSSI-12
3
TUSSI-12 S
3
TUSSI-12D
3
TUSSI-12D S
3
TUSSICAPS
3
TUSSIGON
2
TUSSIN CHEST CONGESTION
1
TUSSIN COUGH &CHEST CONGESTION
1
TUSSIN COUGH DM
1
MDwise Marketplace
80
Notes
Drug Name
Reference
Tier
TUSSIN DM CLEAR
1
TUSSIN DM COUGH & CHEST ORAL LIQUID
10-100 MG/5 ML
1
TUSSIN DM MAX ORAL LIQUID 10-100 MG/5
ML
1
TUSSIN DM ORAL LIQUID
1
TUSSIN EXPECTORANT
1
TUSSIN HONEY
1
TUSSIN ORAL LIQUID
1
TUSSIONEX PENNKINETIC ER
2
TUSSI-PRES ORAL LIQUID
3
TUSSO-DMR
1
TUZISTRA XR
3
ULTRA DM FREE & CLEAR
1
VANACOF CD
3
VAZOTAN
1
V-COF
3
VIRAVAN-PDM (TANNATE)
3
VIRDEC DM
1
VIRTUSSIN DAC
1
VITUZ
3
WAL-TUSSIN
1
Y-COF DMX
1
Z-COF 8 DM
1
Z-DEX
3
Z-DEX PEDIATRIC
3
ZODEN
1
ZODEN DM
1
ZONATUSS
3
ZOTEX
3
ZOTEX-12
3
ZOTEX-12D
3
ZOTEX-D (WITH DM & PE)
3
ZOTEX-EX
3
Z-TUSS AC
3
Z-TUSS DM
3
ZUTRIPRO
3
Notes
ST; QL (200 ML per 10
days)
DIAGNOSTIC
ACCU-CHEK ACTIVE TEST
3
ACCU-CHEK AVIVA
3
ACCU-CHEK AVIVA PLUS TEST STRP
3
ACCU-CHEK COMFORT CURVE TEST
3
ACCU-CHEK COMPACT PLUS TEST
3
MDwise Marketplace
81
Drug Name
Reference
Tier
ACCU-CHEK COMPACT TEST
3
ACCU-CHEK SMARTVIEW TEST STRIP
3
ACCUTREND GLUCOSE
3
ACURA TEST STRIPS
3
ADVANCE TEST
3
ADVANCED GLUC METER TEST STRIP
3
ADVOCATE REDI-CODE
3
ADVOCATE REDI-CODE+ STRIP
3
ADVOCATE TEST STRIPS
3
AGAMATRIX AMP TEST STRIPS
3
ASSURE 4 STRIPS
3
ASSURE PLATINUM STRIP
3
ASSURE PRISM MULTI STRIP
3
ASSURE PRO TEST STRIPS
3
BG-STAR
3
BIONIME RIGHTEST TEST STRIPS
3
BLOOD GLUCOSE TEST
3
BREEZE 2 TEST STRIPS
3
CARESENS N TEST STRIPS
3
CHOICEDM CLARUS STRIP
3
CHOICEDM G20 STRIP
3
CLEVER CHOICE MICRO TEST STRIP
3
CLEVER CHOICE PRO STRIP
3
CLEVER CHOICE TALK TEST
3
CLEVER CHOICE TEST STRIPS
3
CLEVER CHOICE VOICE+ TEST
3
CONTOUR NEXT STRIPS
3
CONTOUR TEST STRIPS
3
CONTROL G3
3
CONTROL TEST
3
DIATRUE PLUS TEST STRIP
3
EASY GLUCO G2
3
EASY PLUS
3
EASY PLUS II TEST
3
EASY PRO PLUS TEST STRIPS
3
EASY STEP
3
EASY TALK GLUCOSE TEST
3
EASY TOUCH STRIP
3
EASY TRAK GLUCOSE TEST
3
EASYGLUCO PLUS STRIP
3
EASYGLUCO TEST
3
EASYMAX
3
EASYMAX 15
3
MDwise Marketplace
82
Notes
Drug Name
Reference
Tier
ECLIPSE TEST STRIPS
3
ELEMENT COMPACT TEST STRIPS
3
ELEMENT PLUS TEST
3
ELEMENT TEST STRIPS
3
EMBRACE BLOOD GLUCOSE SYSTEM STRIP
3
EMBRACE EVO TEST STRIPS
3
EMBRACE PRO TEST STRIPS
3
ENVISION TEST STRIPS
3
EVENCARE G2 STRIP
3
EVENCARE G3 TEST
3
EVENCARE MINI GLUCOSE TEST STR
3
EVENCARE TEST
3
EVOLUTION TEST STRIPS
3
EZ SMART PLUS TEST
3
EZ SMART TEST
3
FASTTAKE TEST
3
FIFTY50 TEST STRIP
3
FORA D10 STRIP
3
FORA D15C
3
FORA D15G
3
FORA D15Z
3
FORA D20 STRIP
3
FORA G20 STRIP
3
FORA G30A STRIP
3
FORA G71A STRIP
3
FORA G90 STRIP
3
FORA GD50 TEST STRIPS
3
FORA TEST N'GO TEST STRIPS
3
FORA TEST STRIP
3
FORA V10 STRIP
3
FORA V12 GLUCOSE
3
FORA V20 STRIP
3
FORA V22 STRIP
3
FORA V30A STRIP
3
FORACARE GD20
3
FORACARE GD40
3
FORTISCARE GLUCOSE TEST STRIPS
3
FREESTYLE INSULINX STRIP
3
FREESTYLE INSULINX TEST STRIPS
2
FREESTYLE LITE STRIPS
3
FREESTYLE TEST
2
G-4 TEST
3
GE100 BLOOD GLUCOSE TEST STRIP
3
Notes
MDwise Marketplace
83
Drug Name
Reference
Tier
GENSTRIP TEST STRIP
3
GENULTIMATE TEST
3
GLUCO NAVII TEST STRIP
3
GLUCOCARD 01 SENSOR PLUS
3
GLUCOCARD EXPRESSION STRIP
3
GLUCOCARD SHINE TEST STRIPS
3
GLUCOCARD VITAL SENSOR
3
GLUCOCARD X-SENSOR
3
GLUCOCOM GLUCOSE
3
GLUCOLAB STRIP
3
GM100 STRIP
3
GMATE TEST STRIPS
3
HEALTHPRO TEST STRIPS
3
INFINITY TEST STRIPS
3
KEYNOTE
3
LIBERTY TEST
3
MAXIMA
3
MICRO BLOOD GLUCOSE
3
MICRODOT BLOOD GLUCOSE SYSTEM
STRIP
3
MICRODOT XTRA BLOOD GLUCOSE
3
MYGLUCOHEALTH STRIP
3
NEUTEK 2TEK TEST STRIPS
3
NOVA MAX GLUCOSE TEST
3
ON CALL EXPRESS TEST STRIP
3
ON CALL PLUS TEST STRIP
3
ON CALL VIVID TEST STRIP
3
ONE TOUCH TEST
2
ONETOUCH ULTRA TEST
3
ONETOUCH VERIO
3
OPTIUM EZ
3
OPTIUM TEST
3
OPTUMRX STRIP
3
PHARMACIST CHOICE
3
POCKETCHEM EZ
3
PRECISION PCX PLUS TEST
3
PRECISION PCX TEST
3
PRECISION POINT OF CARE TEST
3
PRECISION Q-I-D TEST
3
PRECISION XTRA TEST
2
PREMIUM V10 STRIP
3
PRESTIGE SMART SYSTEM TEST
3
PRESTIGE TEST
3
MDwise Marketplace
84
Notes
Drug Name
Reference
Tier
PRODIGY
3
PRODIGY AUTOCODE TEST STRIPS
3
PRODIGY NO CODING
3
PRODIGY VOICE GLUCOSE TEST
3
QUINTET AC STRIP
3
QUINTET GLUCOSE TEST STRIPS
3
REFUAH PLUS
3
RELION CONFIRM-MICRO
3
RELION PRIME TEST STRIPS
3
RELION ULTIMA
3
REVEAL TEST STRIP
3
RIGHTEST GS250S TEST STRIPS
3
RIGHTEST GS260 TEST STRIPS
3
RIGHTEST GS550 TEST STRIPS
3
SMART CARESENS N TEST STRIPS
3
SMART SENSE TEST STRIPS
3
SMARTDIABETES XPRES STRIP
3
SMARTEST TEST
3
SOLUS V2 TEST STRIPS
3
SURE EDGE
3
SURECHEK TEST STRIPS
3
SURESTEP PRO TEST
3
SURESTEP TEST
3
SURE-TEST EASYPLUS MINI STRIP
3
TD GOLD TEST STRIP
3
TELCARE TEST STRIPS
3
TEST N'GO TEST
3
TRUE METRIX GLUCOSE TEST STRIP
3
TRUETEST TEST STRIPS
3
TRUETRACK SMART SYSTEM STRIP
3
TRUETRACK TEST
3
ULTIMA TEST STRIPS
3
ULTRATRAK
3
ULTRATRAK ULTIMATE STRIP
3
UNISTRIP1 TEST STRIP
3
VICTORY GLUCOSE TEST
3
VOCAL POINT
3
WAVESENSE JAZZ STRIP
3
WAVESENSE PRESTO STRIP
3
Notes
DIURETICS
acetazolamide
Diamox Sequels
1
ALDACTAZIDE
3
ALDACTONE
2
MDwise Marketplace
85
Drug Name
Reference
amiloride oral
Midamor
amiloride-hydrochlorothiazide
bumetanide oral
Tier
1
1
Bumex
1
chlorothiazide
1
chlorthalidone oral tablet 25 mg, 50 mg
1
DEMADEX
2
DIAMOX SEQUELS
2
DIURIL
3
DYAZIDE
2
DYRENIUM
3
EDECRIN
3
eplerenone
INSPRA
furosemide oral solution 10 mg/ml, 40 mg/5 ml
furosemide oral tablet
Notes
1
1
Lasix
1
hydrochlorothiazide
1
indapamide
1
INSPRA
2
INTROL
1
LASIX
2
MAXZIDE
2
MAXZIDE-25MG
2
methazolamide oral
Neptazane
1
methyclothiazide
Enduron
1
metolazone
Zaroxolyn
1
MICROZIDE
2
MIDAMOR
3
NEPTAZANE
2
RESECTISOL
3
SAMSCA ORAL TABLET 15 MG
3
QL (30 EA per 365 days)
SAMSCA ORAL TABLET 30 MG
3
QL (60 EA per 365 days)
spironolactone
Aldactone
1
spironolacton-hydrochlorothiaz
Aldactazide
1
THALITONE
torsemide oral
2
Demadex
1
triamterene-hydrochlorothiazid
1
ZAROXOLYN ORAL TABLET 2.5 MG, 5 MG
2
EENT PREPS
ACETASOL HC
1
acetic acid otic
Acetasol
1
acetic acid-aluminum acetate
Borofair
1
ACUICYN
3
ACULAR
2
ACULAR LS
2
MDwise Marketplace
86
Drug Name
Reference
Tier
ACUVAIL (PF)
3
ADRENALIN NASAL
3
AERO OTIC HC
3
AK-CON
1
AK-PENTOLATE
1
AKTEN (PF)
3
ALAMAST
2
ALCAINE
1
ALOCRIL
2
ALODOX
3
ALOMIDE
2
ALPHAGAN P
2
ALREX
2
ALTACAINE
1
ALTAFLUOR
1
ALTAFRIN OPHTHALMIC DROPS 10 %, 2.5 %
1
antipyrine-benzocaine
Auroto
1
apraclonidine
Iopidine
1
Notes
ASTELIN
2
QL (60 ML per 30 days)
ASTEPRO NASAL SPRAY,NON-AEROSOL
2
ST; QL (60 ML per 30
days)
atropine ophthalmic
1
atropine ophthalmic
Isopto Atropine
1
atropine sulfate (pf)
1
ATROPINE-CARE
1
ATROVENT
2
AURALGAN
3
AURALGAN (W/ ACETIC ACID)
3
AURAX
1
AURODEX
1
AUROGUARD
1
AVENOVA
3
azelastine nasal
Astelin
1
QL (60 ML per 30 days)
azelastine nasal
Astepro
1
QL (60 ML per 30 days)
AZOPT
2
BECONASE AQ
3
benzocaine
Americaine Otic
1
BETADINE OPHTHALMIC PREP
3
BETAGAN OPHTHALMIC DROPS 0.5 %
2
betaxolol ophthalmic
1
BETIMOL
2
BETOPTIC S
2
bimatoprost
Lumigan
ST; QL (25 GM per 30
days)
1
QL (1 ML per 12 days)
MDwise Marketplace
87
Drug Name
Reference
Tier
brimonidine
1
BROMDAY
3
BROMDAY TWINPACK
3
bromfenac
XIBROM
1
budesonide nasal
Rhinocort Aqua
1
carteolol
chloroxylenol-pramoxine
PramOtic
1
1
COMBIGAN
2
CORTAMOX
1
CORTANE-B AQUEOUS
1
CORTANE-B OTIC
1
CORTANE-B TOPICAL
3
COSOPT
2
COSOPT (PF)
3
CRESYLATE
1
Crolom
2
CYCLOMYDRIL
3
Pentolair
1
CYLATE
1
CYSTARAN
4
DERMOTIC OIL
3
dexamethasone sodium phosphate ophthalmic
Dexasol
DEXASOL
ST; QL (2 EA per 1 day)
1
CYCLOGYL
cyclopentolate
ST; QL (43 GM per 75
days)
1
CHLORPHENYLCAINE
cromolyn ophthalmic
Notes
PA
1
3
diclofenac sodium ophthalmic
Voltaren
1
dorzolamide
Trusopt
1
dorzolamide-timolol
Cosopt
1
DUREZOL
2
DYMISTA
3
EXOTIC-HC
1
EYE WASH STERILE
1
FLAREX
2
FLONASE
2
QL (16 GM per 30 days)
FLONASE ALLERGY RELIEF
2
QL (16 ML per 30 days)
FLUCAINE
1
flunisolide nasal spray,non-aerosol 25 mcg
(0.025 %)
1
fluocinolone acetonide oil
DermOtic Oil
1
fluorescein-benoxinate
Flurox
3
fluorescein-proparacaine
Flucaine
1
fluorometholone
FML Liquifilm
1
MDwise Marketplace
88
ST; QL (23 GM per 30
days)
QL (25 ML per 30 days)
Drug Name
Reference
flurbiprofen sodium
Ocufen
Tier
1
FLURESS
3
FLUROX
3
fluticasone nasal
Flonase
1
FML FORTE
2
FML LIQUIFILM
2
FML S.O.P.
2
GELFILM OPHTHALMIC
3
HOMATROPAIRE
1
homatropine hbr
Isopto Homatropine
1
hydrocortisone-acetic acid
Acetasol HC
1
ILEVRO
2
IOPIDINE
3
ipratropium bromide nasal
Atrovent
2
ISOPTO CARBACHOL
2
ISOPTO CARPINE
2
ISOPTO HOMATROPINE
2
ISOPTO HYOSCINE
3
ISTALOL
3
ketorolac ophthalmic
Acular
1
ketorolac ophthalmic
Acular LS
1
3
latanoprost
Xalatan
1
levobunolol
Betagan
1
LOTEMAX
2
LUMIGAN
2
MAXIDEX
3
metipranolol
QL (16 GM per 30 days)
1
ISOPTO ATROPINE
LACRISERT
Notes
Optipranolol
QL (1 ML per 12 days)
1
MITOSOL
3
MYDFRIN
3
MYDRAL
3
MYDRIACYL
3
NASACORT AQ
2
QL (11 GM per 20 days)
NASONEX
2
QL (17 GM per 30 days)
NEOFRIN
1
NEOTIC (WITH GLYCERIN)
3
NEVANAC
2
OCUDOX
3
OCUFEN
2
olopatadine
OMNARIS
Patanase
1
ST; QL (30.5 GM per 30
days)
3
ST; QL (5 GM per 12 days)
MDwise Marketplace
89
Drug Name
Reference
Tier
OMNIPRED
2
OPTIPRANOLOL
2
OTIC CARE (ANTIPYRINE)
3
OTIC EDGE
1
OTICIN
1
OTICIN HC (BAK FREE)
3
OTO-END 10
1
OTOMAX-HC
1
OTOZIN
3
PARCAINE
1
PAREMYD
3
PATANASE
3
phenylephrine hcl ophthalmic
Neofrin
PHOSPHOLINE IODIDE
pilocarpine hcl ophthalmic drops 1 %, 2 %, 4
%
ST; QL (30.5 GM per 30
days)
1
3
Isopto Carpine
1
PILOPINE HS
3
PINNACAINE
1
PR OTIC SOLUTION
1
PRAMOXINE-HC
1
PRED FORTE
2
PRED MILD
2
PREDNISOL
2
prednisolone acetate
Econopred Plus
1
prednisolone sodium phosphate ophthalmic
Prednisol
1
PROLENSA
proparacaine
Notes
3
Ophthetic
1
QNASL NASAL HFA AEROSOL INHALER 40
MCG/ACTUATION
2
ST; QL (4.9 GM per 30
days)
QNASL NASAL HFA AEROSOL INHALER 80
MCG/ACTUATION
2
ST; QL (8.7 GM per 30
days)
RESCULA
3
ST; QL (1 ML per 3 days)
RESTASIS
2
QL (64 EA per 30 days)
RHINOCORT AQUA
3
ST; QL (43 GM per 75
days)
SIMBRINZA
2
TETCAINE
3
tetracaine hcl
Tetcaine
1
tetracaine hcl (pf) ophthalmic
1
TETRAVISC
3
TETRAVISC FORTE OPHTHALMIC
DROPPERETTE,HYPERVISCOUS
3
timolol maleate ophthalmic
Timoptic
1
timolol maleate ophthalmic
Timoptic-XE
1
MDwise Marketplace
90
Drug Name
Reference
Tier
Notes
TIMOPTIC
2
TIMOPTIC OCUDOSE (PF)
3
TIMOPTIC-XE
2
TRAVATAN Z
2
QL (1 ML per 12 days)
1
QL (1 ML per 12 days)
travoprost (benzalkonium)
Travatan
TREAGAN OTIC
ST; QL (2 EA per 1 day)
1
triamcinolone acetonide nasal
Nasacort AQ
1
tropicamide ophthalmic
Mydral
1
TRUSOPT
2
TYZINE
3
VERAMYST
3
VEXOL
3
VOLTAREN OPHTHALMIC
2
VOSOL
2
VOSOL-HC
2
XALATAN
2
XIBROM
3
ZETONNA
3
ZINOTIC (WITH GLYCERIN)
3
ZINOTIC ES (WITH GLYCERIN)
3
ZIOPTAN (PF)
3
QL (11 GM per 20 days)
ST; QL (10 GM per 30
days)
ST; QL (6.1 GM per 30
days)
ST; QL (1 EA per 1 day)
ELECT/CALORIC/H2O
ACTIVE FE
3
AURYXIA
3
BD POSIFLUSH NORMAL SALINE
1
BD POSIFLUSH SALINE BLUNT CANN
1
BD PRE-FILLED NORMAL SALINE
1
BD PRE-FILLED SALINE BLUNT CAN
1
BIFERA RX
3
CALCIFOLIC-D
1
calcium acetate oral capsule
PhosLo
1
calcium acetate oral tablet 667 mg
Calphron
1
CALCIUM-FOLIC ACID-VITAMIN D
1
CAVIRINSE
3
CHILDREN'S IRON
5
CLINPRO 5000
3
CONTROLRX
3
CORVITA 150
1
CORVITE 150 ORAL TABLET 150 MG IRON- 1
MG
2
CORVITE 150 ORAL TABLET 150-1.25-120-10
MG
3
QL (12 EA per 1 day)
MDwise Marketplace
91
Drug Name
Reference
Tier
CORVITE FE
3
DENTA 5000 PLUS
1
DENTAGEL
1
EFFER-K ORAL TABLET, EFFERVESCENT 10
MEQ, 20 MEQ
3
EFFER-K ORAL TABLET, EFFERVESCENT 25
MEQ
1
ELIPHOS
1
EPIFLUR
5
EPIKLOR
1
FE 90 PLUS
1
FE C PLUS
1
FER-IRON
5
FERIVA
3
FERIVA 21-7 TABLET
3
FERIVA FA (SUMALATE)
3
FEROCON
1
FEROTRIN
1
FERRALET 90 DUAL-IRON DELIVERY
3
FERRAPLUS 90
1
FERREX 150 FORTE
1
FERREX 150 FORTE PLUS
1
FERREX 150 PLUS
1
FERREX 28
1
FERROCITE PLUS
1
FERROGELS FORTE
1
ferrous sulfate oral drops
Fer-In-Sol
5
FETRIN
3
FLORIVA (FLUORIDE-VITAMIN D3)
3
FLUORABON
3
FLUOR-A-DAY
3
FLUOR-A-DAY (WITH XYLITOL)
3
FLUORIDEX DAILY DEFENSE
1
FLUORIDEX SENSITIVITY RELIEF
1
FLUORITAB
2
FLURA-DROPS
2
FOCALGIN DSS
1
FOLGARD OS
3
FOLITAB
1
FOLIVANE-F
1
FOLIVANE-PLUS
1
FOLTRIN
1
FOSRENOL
3
FUMATINIC
3
MDwise Marketplace
92
Notes
Drug Name
Reference
Tier
FUSION PLUS
3
GEL-KAM
1
GEL-KAM ORAL CARE RINSE
3
GLUCAGEN
3
GLUCAGEN HYPOKIT
3
GLUCAGON EMERGENCY KIT (HUMAN)
2
glucose oral tablet,chewable 4 gram
Dex4 Glucose Pouch Pack
Notes
2
GLUTOFAC-MX
3
HEMATINIC PLUS VIT/MINERALS
1
HEMATINIC/FOLIC ACID
1
HEMATOGEN
1
HEMATOGEN FA
1
HEMATOGEN FORTE
1
HEMATRON
3
HEMATRON-AF
3
HEMAX
3
HEMETAB
1
HEMOCYTE-F
3
HEMOCYTE-PLUS
3
ICAR-C PLUS
1
IFEREX 150 FORTE
1
INTEGRA F
3
INTEGRA PLUS
3
IRON 100 PLUS
1
iron aspgly&ps-c-b12-fa-ca-suc
Niferex-150 Forte
(w/Sumalate)
1
iron aspgly-c-b12-ca-suc-stoma
Multigen
1
iron fum & ag-c-b12-fa-ca-succ
Chromagen Forte
(w/Sumalate)
1
IRON ORAL DROPS
5
IRON ORAL TABLET 125 MG IRON-25 MG
IRON-1 MG
1
IROSPAN 24/6
3
JUST FOR KIDS
1
KAOCHLOR
3
KAYEXALATE
2
K-EFFERVESCENT
1
KIONEX
1
KLOR-CON
2
KLOR-CON 10
2
KLOR-CON M10
1
KLOR-CON M15
1
KLOR-CON M20
1
KLOR-CON SPRINKLE
1
MDwise Marketplace
93
Drug Name
Reference
Tier
KLOR-CON/25
2
K-PHOS MF
3
K-PHOS NO 2
3
K-PHOS ORIGINAL
3
K-PHOS-NEUTRAL
3
K-SOL ORAL LIQUID 20 MEQ/15 ML
2
K-TAB ORAL TABLET EXTENDED RELEASE
10 MEQ
2
lactated ringers
3
LOZI-FLUR
3
LUDENT FLUORIDE
2
LYSIPLEX PLUS ORAL TABLET
3
MAGNEBIND 400
1
MARLEXATE
1
MAXARON FORTE ORAL CAPSULE
1
MAXARON FORTE ORAL TABLET
3
MAXFE (FOLATE-DOCUSATE)
3
MICRO-K
2
MONOJECT 0.9% SODIUM CHLORIDE
3
MONOJECT PREFILL ADVANCED NS
3
MONOJECT PREFILL SALINE FLUSH
3
MULTIGEN
1
MULTIGEN FOLIC
1
MULTIGEN PLUS
1
MYFERON 150 FORTE
1
NAFRINSE
3
NATALVIRT FLT
1
NEPHRON FA
1
NIRON KOMPLETE
3
NORMAL SALINE FLUSH
1
NOVAFERRUM ORAL RECON SOLN
3
NUTRESTORE
3
OMNII GEL
1
PERIO MED
3
PHOS-FLUR
3
PHOSLO
2
PHOSLYRA
3
PHOSPHA 250 NEUTRAL
1
POLY-IRON 150 FORTE
1
potassium bicarb and chloride
K-Lyte/Cl 25
1
potassium bicarb-citric acid
Effer-K
1
potassium chloride oral
K-Dur
1
potassium chloride oral
K-Lor
1
MDwise Marketplace
94
Notes
Drug Name
Reference
Tier
potassium chloride oral
K-Sol
1
potassium chloride oral
K-Tab
1
potassium chloride oral
Kay Ciel
1
potassium chloride oral
Klor-Con 10
1
potassium chloride oral
Klor-Con 8
1
potassium chloride oral
Klor-Con M10
1
potassium chloride oral
Micro-K
1
potassium citrate
Urocit-K 10
1
PREVIDENT
3
PREVIDENT 5000 BOOSTER
3
PREVIDENT 5000 BOOSTER PLUS
3
PREVIDENT 5000 DRY MOUTH
3
PREVIDENT 5000 ENAMEL PROTECT
3
PREVIDENT 5000 PLUS
3
PREVIDENT 5000 SENSITIVE
3
PROFERRIN-FORTE
3
PROGLYCEM
3
PUREVIT DUALFE PLUS
3
RE DUALVIT F
1
RE DUALVIT PLUS
1
RECAL D
1
RENACIDIN
3
RENAGEL
2
RENVELA
2
REOCYTE PLUS
1
saccharin
3
SALINE FLUSH
1
SE-TAN PLUS
1
sevelamer carbonate
Renvela
1
SF
1
SIDEROL
1
sod phos,di & mono-k phos mono
Phospha 250 Neutral
1
SODIPHLUOR
5
sodium chloride 0.45 % intravenous
1
sodium chloride 0.9 % injection solution
1
sodium chloride 0.9 % injection syringe
Monoject Prefill Advanced NS
sodium chloride 0.9 % intravenous
Notes
1
1
sodium fluoride dental
CaviRinse
1
sodium fluoride dental
Denta 5000 Plus
1
sodium fluoride oral
EtheDent
5
sodium fluoride oral
Fluorabon
5
sodium fluoride oral
Flura-Tab
5
sodium fluoride oral
Luride
5
MDwise Marketplace
95
Drug Name
Reference
SODIUM POLYSTYRENE (SORB FREE)
sodium polystyrene sulfonate
Tier
1
SPS
1
sorbitol powder
3
SPS ORAL
1
SPS RECTAL
3
SSKI
1
stannous fluoride
Perio Med
1
STRONG IODINE ORAL
1
SYREX SODIUM CHLORIDE 0.9%
1
TANDEM PLUS
3
TARON FORTE
1
TL G-FOL OS
1
TL ICON
1
TL-FOL 500
1
TL-HEM 150
1
TRICON
1
TRIGELS-F FORTE
1
UROCIT-K 10
3
UROCIT-K 15
3
UROCIT-K 5
3
UROQID-ACID NO.2
3
VELPHORO
3
VIRT-PHOS 250 NEUTRAL
1
VITAFOL
1
zinc sulfate oral
1
zinc sulfate oral
Notes
Zinc-220
1
ZINC-220
1
ZINCATE
1
GASTROINTESTINAL
ACID CONTROL (RANITIDINE) ORAL
TABLET 150 MG
1
ACID CONTROLLER ORAL TABLET 20 MG
1
ACID REDUCER (CIMETIDINE)
1
ACID REDUCER (FAMOTIDINE) ORAL
TABLET 20 MG
1
ACID REDUCER (RANITIDINE) ORAL
TABLET 150 MG
1
ACID RELIEF (CIMETIDINE)
1
ACIPHEX
3
ST; QL (1 EA per 1 day)
ACIPHEX SPRINKLE
3
ST; QL (1 EA per 1 day)
ACTIGALL
2
AKYNZEO
3
alosetron
AMBIZINE
MDwise Marketplace
96
Lotronex
1
1
QL (1 EA per 28 days)
Drug Name
Reference
AMITIZA
amoxicil-clarithromy-lansopraz
Prevpac
Tier
Notes
2
QL (2 EA per 1 day)
1
QL (112 EA per 10 days)
ANALPRAM E
3
ANALPRAM-HC RECTAL
2
ANAMANTLE HC
3
ANAMANTLE HC FORTE
3
ANASPAZ
2
ANTI-DIARRHEAL (LOPERAMIDE) ORAL
CAPSULE
1
ANTIVERT
2
ANUCORT-HC
1
ANUSOL-HC
2
ANZEMET ORAL TABLET 100 MG
3
ST; QL (4 EA per 1 FILL)
ANZEMET ORAL TABLET 50 MG
3
ST; QL (8 EA per 1 FILL)
APRISO
2
ASACOL
2
ASACOL HD
3
AXID ORAL SOLUTION
2
AZULFIDINE
2
AZULFIDINE EN-TABS
2
balsalazide
Colazal
1
BENTYL ORAL
2
BUPHENYL
4
CANASA
2
CANTIL
3
CARAFATE
2
CESAMET
3
CHENODAL
3
chlordiazepoxide-clidinium
Librax (with Clidinium)
CHOLBAM
cimetidine
ST; QL (6 EA per 1 day)
1
4
Tagamet
ST
PA
1
cimetidine hcl oral
1
CIMZIA
4
PA
CIMZIA POWDER FOR RECONST
4
PA
CIMZIA STARTER KIT
4
PA
CLEARLAX
1
COLAZAL
2
COLYTE WITH FLAVOR PACKS ORAL
RECON SOLN 227.1-21.5-6.36 GRAM
3
COLYTE WITH FLAVOR PACKS ORAL
RECON SOLN 240-22.72-6.72 -5.84 GRAM
2
COMPRO
1
CONSTULOSE
1
CREON
2
MDwise Marketplace
97
Drug Name
Reference
Tier
Notes
CUVPOSA
3
CYTOTEC
2
DELZICOL
3
ST
DEXILANT
3
ST; QL (1 EA per 1 day)
DICLEGIS
3
QL (4 EA per 1 day)
dicyclomine oral
1
dicyclomine oral
Bentyl
1
DIGEX NF
3
DIPENTUM
3
diphenoxylate-atropine
Lomotil
1
DONNATAL EXTENTABS
2
DONNATAL ORAL ELIXIR 16.2-0.1037 -0.0194
MG/5 ML
2
DONNATAL ORAL TABLET
2
DRAMAMINE LESS DROWSY
1
dronabinol
Marinol
ST
1
ST; QL (2 EA per 1 day)
DULCOLAX BALANCE
1
ED-SPAZ
1
EMEND ORAL CAPSULE 125 MG
2
QL (1 EA per 1 FILL)
EMEND ORAL CAPSULE 40 MG
2
QL (4 EA per 1 FILL)
EMEND ORAL CAPSULE 80 MG
2
QL (2 EA per 1 FILL)
EMEND ORAL CAPSULE,DOSE PACK
2
QL (3 EA per 1 FILL)
ENTEREG
3
ENULOSE
1
esomeprazole magnesium
Nexium
1
QL (1 EA per 1 day)
esomeprazole strontium oral capsule,delayed
release(dr/ec) 24.65 mg
3
ST; QL (1 EA per 1 day)
esomeprazole strontium oral capsule,delayed
release(dr/ec) 49.3 mg
3
ST; QL (4 EA per 1 day)
famotidine oral suspension
Pepcid
1
famotidine oral tablet 20 mg
Acid Reducer
1
famotidine oral tablet 40 mg
Pepcid
1
FULYZAQ
3
GASTRINEX NF
3
GATTEX 30-VIAL
4
PA
GATTEX ONE-VIAL
4
PA
GAVILYTE-C
1
GAVILYTE-G
1
GAVILYTE-H AND BISACODYL
1
GAVILYTE-N
1
GENERLAC
1
GENTLELAX
1
GIAZO
3
GLYCOLAX
1
MDwise Marketplace
98
ST; QL (2 EA per 1 day)
ST
Drug Name
Reference
glycopyrrolate oral
Robinul
1
glycopyrrolate oral
Robinul Forte
1
GOLYTELY
granisetron hcl oral
Tier
Notes
2
Kytril
1
ST; QL (8 EA per 30 days)
GRANISOL
1
ST; QL (60 ML per 30
days)
GRX HICORT 25
1
HALFLYTELY-BISACODYL W-FLAV PK
3
HC PRAM
1
HEALTHYLAX
1
HEARTBURN PREVENTION ORAL TABLET
20 MG
1
HEARTBURN RELIEF (CIMETIDINE)
1
HEARTBURN RELIEF (FAMOTIDINE) ORAL
TABLET 20 MG
1
HEARTBURN RELIEF (RANITIDINE) ORAL
TABLET 150 MG
1
HEARTBURN RELIEF 24 HOUR
1
HEARTBURN TREATMENT 24 HOUR
1
HELIDAC
3
HEMMOREX-HC
2
HEMORRHOIDAL-HC
1
HEMRIL-30
1
hydrocortisone acetate rectal suppository
Anudil HC
1
hydrocortisone acetate rectal suppository
Proctosert HC
1
hydrocortisone-pramox-e-pram#1
Analpram E
1
hydrocortisone-pramoxine rectal cream 1-1 %
ProctoCream-HC
1
hydrocortisone-pramoxine rectal cream 2.5-1 % Analpram-HC
1
HYOMAX-SL
1
hyoscyamine sulfate
Levbid
1
ipecac
1
KRISTALOSE
2
lactulose
Enulose
1
lansoprazole oral capsule,delayed release(dr/ec) Prevacid
1
lansoprazole oral tablet,disintegrat, delay rel
1
Prevacid SoluTab
LAXA CLEAR
1
LAXATIVE PEG 3350
1
LEVBID
2
LEVSIN ORAL
2
LEVSIN/SL
2
LIALDA
2
LIBRAX (WITH CLIDINIUM)
2
lidocaine hcl-hydrocortison ac rectal
1
lidocaine hcl-hydrocortison ac rectal
AnaMantle HC
ST
1
MDwise Marketplace
99
Drug Name
Reference
Tier
lidocaine hcl-hydrocortison ac rectal
AnaMantle HC Forte
1
lidocaine hcl-hydrocortison ac rectal
LidaZone HC
1
lidocaine-hydrocortisone-aloe
RectaGel HC
1
LIDOCORT
1
LINZESS
2
LITHOSTAT
3
LOMOTIL
2
loperamide oral capsule
Anti-Diarrheal (Loperamide)
Notes
QL (1 EA per 1 day)
1
LOTRONEX
3
LOVAZA
2
QL (4 EA per 1 day)
MARINOL
2
ST; QL (2 EA per 1 day)
meclizine oral tablet 12.5 mg
Antivert
1
meclizine oral tablet 25 mg
Dramamine Less Drowsy
1
MEDI-MECLIZINE
1
ME-PB-HYOS
1
mesalamine rectal
Rowasa
1
mesalamine with cleansing wipe
Rowasa
1
methscopolamine oral
Pamine
1
methscopolamine oral
Pamine Forte
1
metoclopramide hcl oral solution
metoclopramide hcl oral tablet
1
Reglan
1
metoclopramide hcl oral tablet,disintegrating 5
Metozolv ODT
mg
1
METOZOLV ODT
3
misoprostol
Cytotec
1
MOTION RELIEF (MECLIZINE)
1
MOTION SICKNESS (MECLIZINE)
1
MOTION SICKNESS II
1
MOTION SICKNESS RELIEF II
1
MOTION SICKNESS RELIEF(MECLIZ) ORAL
TABLET
1
MOTOFEN
3
MOVIPREP
3
NEXIUM
2
QL (1 EA per 1 day)
NEXIUM PACKET
2
QL (1 EA per 1 day)
nizatidine
Axid
1
NULEV
2
NULYTELY WITH FLAVOR PACKS
2
OCL
2
OMECLAMOX-PAK
3
omega-3 acid ethyl esters
Lovaza
1
omeprazole oral capsule,delayed release(dr/ec)
Prilosec
1
omeprazole-sodium bicarbonate
Zegerid
1
ondansetron
ZOFRAN ODT
1
MDwise Marketplace
100
QL (4 EA per 1 day)
ST; QL (1 EA per 1 day)
Drug Name
Reference
ondansetron hcl oral solution
Zofran
ondansetron hcl oral tablet
ondansetron hcl oral tablet
Tier
1
Zofran
1
1
OSCIMIN
1
OSCIMIN SL
1
OSCIMIN SR
1
OSMOPREP
3
PAMINE
3
PAMINE FORTE
3
PAMINE FQ
3
PANCREAZE
3
PANCRELIPASE 5000
1
Protonix
1
paregoric
1
PB-HYOS
1
peg 3350-electrolytes
Golytely
1
PEG3350
1
PEG-3350 WITH FLAVOR PACKS
1
peg-electrolyte soln
QL (50 ML per 15 days)
1
opium tincture
pantoprazole oral
Notes
Nulytely
1
PEG-PREP
3
PENTASA
2
PEPCID
2
PEPCID AC ORAL TABLET 20 MG
2
PERANEX HC
3
PERTZYE
3
PHENADOZ
1
phenobarb-hyoscy-atropine-scop oral tablet
Belladonna Alk-Phenobarbital
1
polyethylene glycol 3350 oral
GlycoLax
1
POWDERLAX
1
PRAMCORT
2
PRAM-HCA
3
PREPOPIK
3
PREVACID
2
PREVACID 24HR
2
PREVACID SOLUTAB
2
ST
PREVPAC
2
QL (112 EA per 10 days)
PRILOSEC ORAL CAPSULE,DELAYED
RELEASE(DR/EC)
2
PRILOSEC ORAL SUSP,DELAYED RELEASE
FOR RECON
3
prochlorperazine
Compro
1
prochlorperazine maleate oral
Compazine
1
PROCORT
3
MDwise Marketplace
101
Drug Name
Reference
Tier
PROCTOCORT RECTAL SUPPOSITORY
2
PROCTOCREAM-HC
2
PROCTOFOAM HC
2
PROCTOSOL HC
1
promethazine rectal
Phenergan
1
PROMETHEGAN
1
propantheline
1
PROTONIX ORAL GRANULES DR FOR SUSP
IN PACKET
3
PROTONIX ORAL TABLET,DELAYED
RELEASE (DR/EC)
2
PURELAX
1
PYLERA
3
QUADRAPAX
1
rabeprazole
Aciphex
1
ranitidine hcl oral capsule
Taladine
1
ranitidine hcl oral syrup
Zantac
1
ranitidine hcl oral tablet 150 mg, 300 mg
Zantac
1
RAVICTI
4
RECTACORT-HC
2
RECTIV
3
REGLAN ORAL
2
RE-PB HYOS
1
RESTORA RX
3
REZYST
3
ROBINUL FORTE
3
ROBINUL ORAL
3
ROWASA
2
SAL-TROPINE
1
SANCUSO
3
SE-DONNA PB HYOS
1
SFROWASA
2
SMOOTHLAX
1
sodium phenylbutyrate
Buphenyl
3
SUCRAID
4
sucralfate oral tablet
Carafate
1
sulfasalazine
Azulfidine
1
SULFAZINE
1
SULFAZINE EC
1
SUPREP BOWEL PREP KIT
3
SYMAX DUOTAB
3
SYMAX FASTABS
2
SYMAX-SL
2
102
ST
QL (1 EA per 1 day)
PA
ST; QL (1 EA per 7 days)
4
SUCLEAR
MDwise Marketplace
Notes
PA
Drug Name
Reference
Tier
SYMAX-SR
2
TAGAMET HB
3
TIGAN ORAL CAPSULE 300 MG
3
TRANSDERM-SCOP
3
TRILYTE WITH FLAVOR PACKETS
1
trimethobenzamide oral
Tigan
1
ULTRESA
3
URSO 250
2
URSO FORTE
2
ursodiol
Actigall
Notes
1
VARUBI
3
VASCEPA
2
VERTICALM
1
VIOKACE
3
VIOKASE 16
2
VIOKASE 8
2
WAL-ZAN 150
1
ZANTAC 25 EFFERDOSE
2
ZANTAC MAXIMUM STRENGTH
2
ZANTAC ORAL
2
ZEGERID
3
ST; QL (1 EA per 1 day)
ZEGERID OTC
3
ST; QL (1 EA per 1 day)
ZENPEP
2
ZOFRAN (AS HYDROCHLORIDE) ORAL
SOLUTION
2
ZOFRAN (AS HYDROCHLORIDE) ORAL
TABLET
2
ZOFRAN ODT
2
Z-PRAM
1
ZUPLENZ ORAL FILM 4 MG
3
ST; QL (2 EA per 3 days)
ZUPLENZ ORAL FILM 8 MG
3
ST; QL (1 EA per 3 days)
ZYPRAM
3
QL (4 EA per 1 day)
QL (50 ML per 15 days)
HERBALS
INFLUDO
3
MARJORAM
3
HORMONES
ACTIVELLA
3
ALORA
2
QL (2 EA per 7 days)
ANADROL-50
3
PA
ANDRODERM TRANSDERMAL PATCH 24
HOUR 2 MG/24 HOUR, 4 MG/24 HR
3
PA
ANDRODERM TRANSDERMAL PATCH 24
HOUR 2.5 MG/24 HR, 5 MG/24 HR
2
PA
ANDROGEL
2
PA
MDwise Marketplace
103
Drug Name
Reference
Tier
ANDROID
2
ANDROXY
1
ANGELIQ
3
ASMALPRED
3
ASMALPRED PLUS
3
AXIRON
2
AYGESTIN
2
BAYCADRON
1
budesonide oral
Entocort EC
cabergoline
calcitonin (salmon)
Notes
QL (120 EA per 30 days)
PA
1
1
FORTICAL
1
CELESTONE
3
CENESTIN
3
CERVIDIL
3
CLIMARA
2
QL (1 EA per 7 days)
CLIMARA PRO
3
QL (1 EA per 7 days)
COLOCORT
1
COMBIPATCH
2
CORTEF
2
CORTENEMA
2
CORTIFOAM
3
cortisone
1
COVARYX
1
COVARYX H.S.
1
CRINONE VAGINAL GEL 4 %
3
danazol oral
1
danazol oral
Danocrine
1
DDAVP INJECTION
3
DDAVP NASAL
2
DDAVP ORAL
2
DELTASONE
1
DEPO-PROVERA INTRAMUSCULAR
SOLUTION
3
DEPO-TESTOSTERONE
2
desmopressin injection
DDAVP
desmopressin nasal
1
1
desmopressin nasal
DDAVP
1
desmopressin oral
DDAVP
1
dexamethasone
1
DEXAMETHASONE INTENSOL
3
DEXPAK 10 DAY
3
DEXPAK 13 DAY
3
DEXPAK 6 DAY
3
MDwise Marketplace
104
QL (2 EA per 7 days)
PA
Drug Name
Reference
Tier
DIVIGEL
3
DUAVEE
2
EEMT
1
EEMT HS
1
EGRIFTA
4
ELESTRIN
3
ENJUVIA
3
ENTOCORT EC
2
ESTRACE
2
ESTRADERM
2
Notes
PA
QL (2 EA per 7 days)
estradiol oral
Estrace
1
estradiol transdermal patch semiweekly
Alora
1
QL (2 EA per 7 days)
estradiol transdermal patch semiweekly
Vivelle-Dot
1
QL (2 EA per 7 days)
estradiol transdermal patch weekly
Climara
1
QL (1 EA per 7 days)
estradiol-norethindrone acet
Activella
1
ESTRASORB
3
ESTRING
3
ESTROGEL
3
estrogens-methyltestosterone
Estratest H.S.
1
estropipate
Ogen 0.625
1
EVAMIST
3
FEMHRT 1/5
2
FEMHRT LOW DOSE
2
FEMRING
3
FEMTRACE
3
FLO-PRED
3
fludrocortisone
Florinef
QL (1 EA per 90 days)
QL (1 EA per 84 days)
1
FORTESTA
3
FORTICAL
3
GENOTROPIN
4
PA
GENOTROPIN MINIQUICK
4
PA
HUMATROPE
4
PA
hydrocortisone oral
Cortef
1
hydrocortisone rectal enema
Cortenema
1
INCRELEX
4
JEVANTIQUE
2
JINTELI
1
LOPREEZA
1
MEDROL
2
MEDROL (PAK)
2
medroxyprogesterone oral
Provera
PA
PA
1
MENEST
2
MENOSTAR
3
QL (1 EA per 7 days)
MDwise Marketplace
105
Drug Name
Reference
Tier
METHERGINE
2
METHITEST
2
methylergonovine oral
Methergine
1
methylprednisolone
Medrol
1
methyltestosterone oral capsule
Android
1
Notes
MIACALCIN
3
MILLIPRED DP
2
MILLIPRED ORAL SOLUTION
3
MILLIPRED ORAL TABLET
2
MIMVEY
1
MIMVEY LO
1
MINIVELLE
2
QL (2 EA per 7 days)
MYALEPT
4
QL (1 EA per 1 day)
NATESTO
3
PA
NATPARA
4
PA
NORDITROPIN CARTRIDGE
3
PA
NORDITROPIN FLEXPRO
4
PA
NORDITROPIN NORDIFLEX
4
PA
norethindrone acetate
Aygestin
1
norethindrone ac-eth estradiol oral tablet
0.5-2.5 mg-mcg
Femhrt Low Dose
1
norethindrone ac-eth estradiol oral tablet 1-5
mg-mcg
Femhrt 1/5
1
NUTROPIN
4
PA
NUTROPIN AQ
4
PA
NUTROPIN AQ NUSPIN
4
PA
octreotide acetate
Sandostatin
4
OMNITROPE
4
ORAPRED
2
ORAPRED ODT
3
OXANDRIN
3
PA
1
PA
oxandrolone
Oxandrin
PEDIAPRED
prednisolone oral solution 15 mg/5 ml
2
Prelone
1
prednisolone sodium phosphate oral solution 15
Orapred
mg/5 ml
1
prednisolone sodium phosphate oral solution 25
mg/5 ml (5 mg/ml)
1
prednisolone sodium phosphate oral solution 5
mg base/5 ml (6.7 mg/5 ml)
Pediapred
1
prednisolone sodium phosphate oral
tablet,disintegrating
Orapred ODT
1
PREDNISONE INTENSOL
2
prednisone oral
1
prednisone oral
MDwise Marketplace
106
Deltasone
1
PA
Drug Name
Reference
Tier
prednisone oral
Sterapred
1
prednisone oral
Sterapred DS
1
PREFEST
3
PRELONE
1
PREMARIN ORAL
2
PREMARIN VAGINAL
2
PREMPHASE
2
PREMPRO
2
PREPIDIL
3
progesterone
Progesterone in Oil
PROGESTERONE IN OIL
progesterone micronized
Notes
1
1
Prometrium
1
PROMETRIUM
2
PROSTIN E2
3
PROVERA
2
RAYOS
3
ST
SAIZEN
4
PA
SAIZEN CLICK.EASY
4
PA
SANDOSTATIN
4
SEROSTIM SUBCUTANEOUS RECON SOLN 4
MG, 5 MG, 6 MG
4
PA
SIGNIFOR
4
PA
STIMATE
3
STRIANT
3
SYNAREL
4
TESTIM
3
PA
PA
testosterone
AndroGel
1
PA
testosterone cypionate
Depo-Testosterone
1
PA
testosterone enanthate
Delatestryl
1
PA
TESTRED
2
TEV-TROPIN
4
PA
UCERIS
3
ST
VAGIFEM
2
VERIPRED 20
3
VIVELLE-DOT
2
QL (2 EA per 7 days)
VOGELXO TRANSDERMAL GEL IN
METERED-DOSE PUMP
3
PA
VOGELXO TRANSDERMAL GEL IN PACKET
3
PA
ZEMA-PAK
1
ZOMACTON
4
PA
ZORBTIVE
4
PA
ACTEMRA SUBCUTANEOUS
4
PA
ASTAGRAF XL
MDwise Marketplace
4
IMMUNOSUPPRESANT
107
Drug Name
Reference
AZASAN
azathioprine
Tier
3
Imuran
CELLCEPT
1
2
cyclosporine modified
Neoral
4
cyclosporine oral capsule
Sandimmune
4
ELIDEL
3
ENVARSUS XR
4
GENGRAF
4
HECORIA
4
IMURAN
2
mycophenolate mofetil
CellCept
1
mycophenolate sodium
Myfortic
1
MYFORTIC
3
NEORAL
4
PROGRAF ORAL
4
PROTOPIC
2
RAPAMUNE
4
SANDIMMUNE ORAL
4
sirolimus
Rapamune
STELARA SUBCUTANEOUS SYRINGE
4
Prograf
4
tacrolimus topical
Protopic
1
4
MISCELLANEOUS MEDICAL
SUPPLIES, DEVICES, NON-DRUG
1ST TIER UNIFINE PENTIPS
2
1ST TIER UNIFINE PENTIPS PLUS
2
1ST TIER UNILET COMFORTOUCH
2
2TEK CONTROL (HIGH-NORMAL)
2
A.I.R.S NEBULIZER REPLACEMENT
3
ABBOCATH-T
3
ABBOCATH-T/SYRINGE
3
ACAPELLA
3
ACCU-CHEK ACTIVE GLUCOSE CONT
2
ACCU-CHEK AVIVA CONTROL SOLN
2
ACCU-CHEK COMFORT CURVE
2
ACCU-CHEK COMFORT CURVE LINEAR
2
ACCU-CHEK COMP BLUE CONT, M-H
2
ACCU-CHEK COMPACT PLUS CONTROL
2
ACCU-CHEK FASTCLIX
2
ACCU-CHEK INSTANT CONTROL
2
ACCU-CHEK MULTICLIX LANCET
2
ACCU-CHEK SAFE-T-PRO
2
MDwise Marketplace
108
ST; AGE
ST; AGE
4
tacrolimus oral
ZORTRESS
Notes
PA
ST; AGE
Drug Name
Reference
Tier
ACCU-CHEK SAFE-T-PRO PLUS
2
ACCU-CHEK SMARTVIEW CONTRL SOL
2
ACCU-CHEK SOFT DEV LANCETS
2
ACCU-CHEK SOFTCLIX LANCET DEV
2
ACCU-CHEK SOFTCLIX LANCETS
2
ACCU-CHEK SPIRIT ADAPTER
3
ACCU-CHEK SPIRIT CLIP CASE
3
ACCUTREND GLUCOSE CONTROL
2
ACE AEROSOL CLOUD ENHANCER
3
ACTICOAT 7 DRESSING
3
ACTICOAT ABSORBENT
3
ACTICOAT DRESSING
3
ACTICOAT FLEX 3 DRESSING
3
ACTICOAT FLEX 7 DRESSING
3
ACTICOAT MOISTURE CONTROL
3
ACTICOAT SITE
3
ACTICOAT SURGICAL DRESSING
3
ACTI-LANCE LANCETS
2
ACTIVE CATH
3
ACURA CONTROL HIGH
2
ACURA CONTROL LOW
2
ACURA CONTROL NORMAL
2
ADAPTA-CAP
3
ADD-A-FOLEY CATH-MONO-FLO DRNG
3
ADD-A-FOLEY CATH-PRE-FILL SYRN
3
ADD-A-FOLEY TRAY
3
adhesive bandage
Curad Sheer Spots
Notes
3
adhesive bandage-adhes remov#1
3
ADHESIVE DRESSING
3
ADHESIVE GAUZE PAD
3
ADHESIVE PADS
3
ADJUSTABLE LANCING DEVICE
2
ADULT AEROSOL MASK
3
ADULT DISPOSABLE MOUTHPIECE
3
ADVANCE NORMAL CONTROL
2
ADVANCE PLUS INTERMITTENT
3
ADVANCED ANTIBACTERIAL BANDAGE
3
ADVANCED LANCING DEVICE
2
ADVANCED NON-STICK DRESSINGS
3
ADVANCED TRAVEL LANCETS
2
ADVOCATE CONTROL SOLUTION HIGH
2
ADVOCATE LANCET
2
ADVOCATE LANCING DEVICE
2
MDwise Marketplace
109
Drug Name
Reference
Tier
ADVOCATE LOW CONTROL
2
ADVOCATE PEN NEEDLES
2
ADVOCATE REDI-CODE+ CTRL HIGH
2
ADVOCATE REDI-CODE+ CTRL LOW
2
ADVOCATE SYRINGES
2
AEROCHAMBER MINI
3
AEROCHAMBER MV
3
AEROCHAMBER PLUS FLOW-VU
3
AEROCHAMBER PLUS FLOW-VU,L MSK
3
AEROCHAMBER PLUS FLOW-VU,M MSK
3
AEROCHAMBER PLUS FLOW-VU,S MSK
3
AEROCHAMBER PLUS Z STAT
3
AEROCHAMBER PLUS Z STAT LG MSK
3
AEROCHAMBER PLUS Z STAT MD MSK
3
AEROCHAMBER PLUS Z STAT SM MSK
3
AEROCHAMBER WITH FLOWSIGNAL
3
AEROCHAMBER Z-STAT PLUS-FLW SG
3
AEROECLIPSE II NEBULIZER
3
AEROECLIPSE REUSABLE BAN
3
AEROGEAR ACTION ASTHMA KIT
3
AERONEB GO
3
AERONEB GO NEBULISER
3
AEROTRACH PLUS
3
AGAMATRIX CONTROL HIGH
2
AGAMATRIX CONTROL NORM-HI
2
AGIE-GRX
3
AIMSCO INSULIN SYRINGE
2
AIMSCO ULTRA THIN II
2
AIR TUBE WITH AIR PLUGS
3
AIRS ADULT AEROSOL MASK
3
AIRS DISPOSABLE NEBULIZER
3
AIRS PEDIATRIC DISPOSABLE MASK
3
AIRZONE & MINIWRIGHT AFS
3
AIRZONE PEAK FLOW METER
3
ALGICELL AG
3
alginate dressing
DermaStat
3
ALGISITE M
3
ALL FLOW 1000 KIT
3
ALL FLOW 1000 PFT FILTER
3
ALL FLOW 2000 PFT FILTER
3
ALL FLOW 3000 KIT
3
ALL FLOW 3000 PFT FILTER
3
ALL FLOW 4000 KIT
3
MDwise Marketplace
110
Notes
Drug Name
Reference
Tier
ALL FLOW 4000 PFT FILTER
3
ALL FLOW 5000 KIT
3
ALL FLOW 5000 PFT FILTER
3
ALL FLOW 6000 PFT FILTER
3
ALL FLOW 7000 PFT FILTER
3
ALLEVYN
3
ALLEVYN ADHESIVE DRESSING
3
ALLEVYN AG
3
ALLEVYN AG ADHESIVE
3
ALLEVYN AG GENTLE DRESSING
3
ALLEVYN CAVITY DRESSING
3
ALLEVYN CAVITY WOUND DRESS
3
ALLEVYN GENTLE BORDER
3
ALLEVYN GENTLE BORDER HEEL
3
ALLEVYN GENTLE BORDER LITE
3
ALLEVYN GENTLE BORDER MULTISIT
3
ALLEVYN GENTLE BORDER SACRUM
3
ALLEVYN HEEL
3
ALLEVYN LIFE DRESSING
3
ALLEVYN PLUS ADHESIVE
3
ALLEVYN SACRUM
3
ALLEVYN SACRUM DRESSING
3
ALLEVYN THIN DRESSING
3
ALLEVYN TRACHEOSTOMY DRESSING
3
ALL-PURPOSE DRESSINGS
3
ALTERA NEBULIZER
3
ALTERA NEBULIZER SYSTEM
3
ALTERNATE SITE LANCET
2
ALTERNATE SITE LANCING DEVICE
2
AMIELLE VAGINAL TRAINER
3
ANGIOCATH AUTOGUARD IV CATH
3
ANTIBACTERIAL BANDAGES
3
ANTIBACTERIAL PAD
3
ANTI-EMBOLISM STOCKINGS
3
APOGEE HC INTERMIT CATHETER
3
AQUA LANCE LANCING DEVICE
2
AQUACEL AG FOAM
3
AQUACEL AG FOAM HEEL
3
AQUACEL AG FOAM SACRAL
3
AQUACEL FOAM
3
AQUACEL FOAM SACRAL
3
AQUAFLO
3
ARCH BANDAGE
3
Notes
MDwise Marketplace
111
Drug Name
Reference
Tier
ARGLAES 3.25"X 14" FILM
3
ARGLAES FILM
3
ARGLAES ISLAND
3
ARGLAES TOPICAL BANDAGE
3
ARGYLE TRACHEOSTOM TUBE HOLDER
3
ARGYLE TROCAR
3
ARTHRITIS HEATWRAPS
3
ASEPTO BULB
3
ASSESS FULL RANGE PEAK METER
3
ASSESS LOW RANGE PEAK METER
3
ASSESS PEAK FLOW METER
3
ASSURA UROSTOMY POUCH
3
ASSURE 4 CONTROL SOLUTION
2
ASSURE DOSE NORMAL CONTROL
2
ASSURE DOSE NORM-HI CONTROL
2
ASSURE HAEMOLANCE PLUS
2
ASSURE ID INSULIN SAFETY
2
ASSURE LANCE
2
ASSURE LANCE PLUS
2
ASSURE PRISM CONTROL 1-2 SOLN
2
ASTHMA CHECK METER
3
ASTHMAMENTOR PEAK FLOW METER
3
ASTHMAPACK CHILDREN'S
3
ASTHMAPACK I
3
ASTHMAPACK II
3
ASTHMAPACK III
3
AURORA HEALTHCARE LANCETS
2
AURORA SUPER THIN LANCETS
2
AUTODROP
3
AUTO-LANCET MINI
2
AUTOLET IMPRESSION LANC DEV
2
AUTOLET LANCING DEVICE
2
AUTOLET LITE CLINISAFE
2
AUTOLET LITE CLINISAFE DEVICE
2
AUTOLET MINI
2
AUTOLET MKII CLINISAFE DEVICE
2
AUTOSQUEEZE
3
AVOGEL
3
AVOGEL DRESSING
3
BACT-POLLEN-DUST FILTER MASK
3
BAG-STRAP SYSTEM
3
BAG-TUBING SYSTEM
3
BANDAGE
3
MDwise Marketplace
112
Notes
Drug Name
Reference
Tier
BANDAGES
3
BANDAGES FLEXIBLE FABRIC
3
BANDAGES SHEER
3
BANDAGES/FLEXIBLE/ASSORTED
3
BANDAGES/PLASTIC
3
BAND-AID ACTIVE FLEX
3
BAND-AID CLEAR SPOTS
3
BAND-AID FLEXIBLE
3
BAND-AID FLEXIBLE FABRIC
3
BAND-AID GAUZE PADS
3
BAND-AID HANDYMAN
3
BAND-AID HURT-FREE
3
BAND-AID MIRASORB GAUZE
3
BAND-AID NON-STICK PADS
3
BAND-AID PLASTIC
3
BAND-AID PLUS ANTIBIOTIC
3
BAND-AID ROLLED GAUZE
3
BAND-AID SECURE-FLEX
3
BAND-AID SHEER STRIPS
3
BAND-AID SURGIPAD
3
BAND-AID TOUGH PADS
3
BAND-AID TOUGH STRIPS
3
BAND-AID WATERPROOF PAD
3
BARD CATHETER STRAP
3
BARD CENTER ENTRY CLOSE SYSTEM
3
BARD CLEAN-CATH
3
BARD COUDE TIP CATHETER
3
BARD DELUXE FABRIC LEG STRAPS
3
BARD EXTENSION TUBING/CONNECT
3
BARD FEMALE INTERMITTENT CATH
3
BARD INFECT CONT TRAY-NO CATH
3
BARD INFECTION CONTROL BAG
3
BARD LATEX LEG STRAPS
3
BARD LEG BAG HOLDER
3
BARD LEG BAG STRAPS/FABRIC
3
BARD LUBRICATH FOLEY TRAY
3
BARD LUBRICATH FOLEY TRAY 18FR
3
BARD MALE EXTERNAL CATHETER
3
BARD RUBBER UTILITY CATHETER
3
BARD UNIVERSAL FOLEY CATH TRAY
3
BARD URETHRAL CATHETER TRAY
3
BARD URINARY DRAINAGE SYSTEM
3
BARDEX ALL-SILICONE FOLEY CATH
3
Notes
MDwise Marketplace
113
Drug Name
Reference
Tier
BARDEX CLOSED SYSTEM CATH TRAY
3
BARDEX LUBRICATH FOLEY CATH
3
BARDEX URETHRAL CATHETERTRAY
3
BARDIA URINARY DRAINAGE BAG
3
BD ANGIOCATH IV CATHETER
3
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 INSYTE AUTOGUARD
3
BD INTEGRA INSULIN SYRINGE
2
BD LANCET DEVICE
2
BD LO-DOSE MICRO-FINE IV
2
BD LO-DOSE ULTRA-FINE
2
BD MICROTAINER LANCET
2
BD SAFETYGLIDE INSULIN SYRINGE
2
BD SAFETYGLIDE SYRINGE SYRINGE 1 ML
27 X 5/8"
2
BD SAF-T-INTIMA
3
BD ULTRA FINE LANCETS
2
BD ULTRA-FINE II LANCETS
2
BD ULTRA-FINE NANO PEN NEEDLES
2
BEDSIDE DRAINAGE COLLECT SYSTM
3
BIATAIN
3
BIATAIN ADHESIVE FOAM DRESSING
3
BIATAIN HEEL ADH FOAM DRESSING
3
BIATAIN NON-ADHESIVE FOAM
3
BIATAIN NON-ADHESIVEFOAM ROUND
3
BIOBRANE
3
BIOBRANE DRESSING
3
BIOBRANE-L
3
BIOBRANE-L DRESSING
3
BIOGUARD GAUZE TOPICAL BANDAGE 0.3
%- 2" X 2", 0.3 %- 4" X 4"
3
MDwise Marketplace
114
Notes
Drug Name
Reference
Tier
BIOGUARD ISLAND
3
BIOGUARD NON-ADHERENT
3
BIOGUARD PACKING STRIPS
3
BIOSTEP
3
BIOSTEP AG
3
BLISTER RELIEF BANDAGES
3
BLISTERFILM DRESSING
3
blood glucose contrl hi,normal
DuoCare
2
blood glucose control, normal
Glucometer DEX
2
BORDERED GAUZE
3
BREATHERITE MDI SPACER
3
BREATHERITE RIGID SPACER& MASK
3
BREATHERITE SPACER& MASK,ADULT
3
BREATHERITE SPACER& MASK,CHILD
3
BREATHERITE SPACER&MASK,INFANT
3
BREATHERITE SPACER&MASK,S.CHLD
3
BREATHERITE VALVED MDI CHAMBER
3
BREATHERITE VALVED MDI SPACER
3
BREATHERITE WITH MASK, LARGE
3
BREATHERITE WITH MASK, MEDIUM
3
BREATHERITE WITH MASK, SMALL
3
BREEZE 2 CONTROL SOLUTION, LOW
2
BREEZE 2 CONTROL SOLUTION, NML
2
BREEZE 2 CONTROL SOLUTION,HIGH
2
BUBBLES THE FISH PEDI MASK
3
BULKEE II
3
BULLSEYE MINI SAFETY LANCETS
2
CALALGIN-GRX DRESSING
3
CALALGIN-GRX ROPE DRESSING
3
CAMO BANDAGES
3
CAREFINE PEN NEEDLE
2
CAREFREE PANTILINERS
3
CAREFREE PANTY SHIELD
3
CAREONE LANCING DEVICE
2
CAREONE THIN LANCET
2
CAREONE ULTIGUARD
2
CAREONE ULTRA THIN LANCET
2
CARESENS CONTROL A & B
2
CARESENS CONTROL A NORMAL
2
CARESENS LANCETS
2
catheter
Vinyl Catheter
Notes
3
CATHETER IRRIG SET CAIR CLAMP
3
CATHETER TIP CAP LOCKING
3
MDwise Marketplace
115
Drug Name
Reference
Tier
CHOICE DM CLARUS NORM CONTROL
2
CLEAR ADVANTAGE
3
CLEAR BANDAGES
3
CLEAR SPOT BANDAGES
3
CLEAR STRIPS
3
CLEAR WATERPROOF STRIPS
3
CLEAR-CATH
3
CLEAR-CATH(SUBCLAV)
3
CLEAR-CATH,16G,1-1/4 IN
3
CLEAR-CATH,20G,2 IN
3
CLEVER CHEK LANCETS
2
CLEVER CHOICE LEVEL 1 CONTROL
2
CLEVER CHOICE LEVEL 2 CONTROL
2
CLEVER CHOICE LEVEL 3 CONTROL
2
CLICKFINE
2
CO MONITOR
3
CO MONITOR REPLACEMENT T
3
COAGUCHEK LANCETS
2
COBAN
3
COBAN ACTION WRAP
3
COBAN SELF-ADHERENT WRAP
3
COBAN STERILE SELF-ADHERENT
3
COLOR LANCETS
2
COMBINATION WATER BOTTLE
3
COMBINE ABD
3
COMFEEL SEASORB
3
COMFORT EZ LANCETS
2
COMFORT EZ PEN NEEDLES
2
COMFORT EZ SYRINGE
2
COMFORT LANCETS
2
COMPACT COMPRESSOR NEBULIZER
3
COMPACT SPACE CHAMBER PLUS
3
COMPACT ULTRASONIC NEBULIZER
3
COMP-AIR ELITE COMP NEB SYSTEM
3
COMP-AIR NEBULIZER COMPRESSOR
3
COMP-AIR XLT COMPRESSOR NEB
3
COMPAT SURGICAL FEED TUBE
3
COMPAT Y-SET PUMP SET
3
COMPAT Y-SET VINYL BAG SET
3
CONFORM
3
CONFORMANT 2 TOPICAL BANDAGE
3
CONTOUR CONTROL SOLUTION, HIGH
2
CONTOUR CONTROL SOLUTION, LOW
2
MDwise Marketplace
116
Notes
Drug Name
Reference
Tier
CONTOUR CONTROL SOLUTION, NML
2
CONTOUR NEXT LEV 1 CONTROL SOL
2
CONTOUR NEXT LEV 2 CONTROL SOL
2
CONVEEN DRIP COLLECTOR
3
COOL MIST HUMIDIFIER
3
COOL MIST HUMIDIFIER 1 GALLON
3
COOLMAGIC
3
COOLMAGIC FENESTRATED
3
COPA HYDROPHILIC FOAM
3
COTTON BALLS
3
COVRSITE
3
COVRSITE PLUS
3
CURAD GAUZE PAD
3
CURAD NON-STICK PAD
3
CURAD SHEER SPOTS
3
CURASOL HYDROGEL DRESSING
3
CURITY 8000 URINE MTR FLY TRAY
3
CURITY ABDOMINAL PAD
3
CURITY AMD
3
CURITY AMD (WITH POLYHEXAMETH)
3
CURITY BANDAGE
3
CURITY BEDSIDE DRAINAGE BAG
3
CURITY BEDSIDE DRAINAGE SET
3
CURITY BEDSIDE-MONO-FLO DRANGE
3
CURITY COVER
3
CURITY DETECTABLE LAP
3
CURITY DISP LAP SPONGE POUCH
3
CURITY DISP LAP SPONGE TRAY
3
CURITY DRAINAGE BAG
3
CURITY DRESSING
3
CURITY FOLEY CATHETER KIT
3
CURITY GAUZE
3
CURITY GAUZE BURN DRESSING
3
CURITY IODOFORM PACKING STRIP
3
CURITY MATERNITY PADS
3
CURITY MULTI-TRAUMA DRESSING
3
CURITY NON-ADHERENT STRIP
3
CURITY NON-ADHERING DRESSING
3
CURITY PLAIN PACKING STRIP
3
CURITY PREMIUM CATHETER TRAY
3
CURITY READY-CUT GAUZE
3
CURITY SPNG COUNTER BAG STRIPS
3
CURITY SPNG COUNTER RACK-SCALE
3
Notes
MDwise Marketplace
117
Drug Name
Reference
Tier
CURITY STANDARD POROUS
3
CURITY STRMLIN CATH - MONO-FLO
3
CURITY SURGICAL DRESSING
3
CURITY ULTRAMER 2-W CATH LAT/T
3
CURITY ULTRAMER 2-W CATH TEFLN
3
CURITY ULTRAMER 2-WAY CATHETER
3
CURITY ULTRAMER IRRG 3WAY CATH
3
CURITY ULTRAMER URETHRAL CATH
3
CURITY UNIVERSAL - NO DRAINAGE
3
CURITY URETERAL DRAIN SET
3
CURITY URETH CATH CLOSED SYSTM
3
CURITY URETH CATH OPEN SYSTEM
3
CURITY URETHRAL CATHETER
3
CURITY URINE METER
3
CURITY WET DRESSING
3
CUTICERIN DRESSING
3
DAVOL C.S. FOLEY CATHETER TRAY
3
DAVOL COMPLETE FOLEY
3
DAVOL FOLEY CATH INSERT TRAY
3
DAVOL SILICONE FOLEY CATH
3
DAVOL UNIVERSAL CATH TRAY
3
DAVOL URETHRAL CATHETER TRAY
3
DAVOL URETHRAL CATHTRAY (W/O)
3
DAVOL URINARY DRAINAGE BAG
3
DERMACEA
3
DERMACEA I.V.
3
DERMACEA NON-WOVEN
3
DERMACEA STRETCH
3
DERMAGAUZE
3
DERMAGAUZE HYDROGEL DRESSING
3
DERMA-GEL
3
DERMAGINATE
3
DERMALEVIN
3
DERMAVIEW
3
DERMAVIEW II
3
DEVILBISS COMPACT COMPRESSOR
3
DEVILBISS DISPOSABLE NEBULIZER
3
DEVILBISS PULMO-AIDE COMPRESSR
3
DEVILBISS PULMOMATE COMPRESSOR
3
DEVILBISS PULMONEB LT COMP-NEB
3
DEVILBISS TRAVELER COMPRESSOR
3
DIATRUE CONTROL SOLN NORMAL
2
DIATRUE CONTROL SOLUTION HIGH
2
MDwise Marketplace
118
Notes
Drug Name
Reference
Tier
DIATRUE CONTROL SOLUTION LOW
2
DISPOSABLE PAPER MOUTHPIECE
3
DISPOSABLE POWER
3
DISPOZ-A-BAG LEG BAG LARGE
3
DISPOZ-A-BAG LEG BAG MEDIUM
3
DISPOZ-A-BAG LEG BAG SMALL
3
DOME-PASTE BANDAGES
3
DOVER ADVANTAGE DRAINAGE BAG
3
DOVER ADVANTAGE URINE
3
DOVER CATHETER
3
DOVER FOLEY CATHETER
3
DOVER LATEX FOLEY CATHETER
3
DOVER PEDIATRIC URINE METER
3
DOVER PREMIUM URINE
3
DOVER RED RUBBER ROBINSON CATH
3
DOVER TEXAS MALE EXTERNAL CATH
3
DOVER UNIVERSAL
3
DOVER URI-DRAIN COMBINATION
3
DOVER URI-DRAIN DELUXE LEG BAG
3
DOVER URI-DRAIN MALE EXT CATH
3
DOVER URINARY LEG BAG
3
DRAINABLE POUCH CLOSURE
3
DRESSING SPONGES
3
DROPLET LANCETS
2
DROPLET LANCING DEVICE
2
DRYNET WOUND VEIL
3
DURA-G
3
EASIVENT HOLDING CHAMBER
3
EASIVENT MASK LARGE
3
EASIVENT MASK MEDIUM
3
EASIVENT MASK SMALL
3
EASY CHECK HIGH CONTROL
2
EASY CHECK LOW CONTROL
2
EASY CHECK NORMAL CONTROL
2
EASY CLICK LANCING DEVICE
2
EASY COMFORT INSULIN SYRINGE
2
EASY COMFORT LANCETS
2
EASY COMFORT PEN NEEDLES
2
EASY PLUS II HIGH CONTROL
2
EASY PLUS II LOW CONTROL
2
EASY STEP HIGH CONTROL SOLN
2
EASY STEP LOW CONTROL SOLUTION
2
EASY STEP NORMAL CONTROL SOLN
2
Notes
MDwise Marketplace
119
Drug Name
Reference
Tier
EASY TALK HIGH CONTROL
2
EASY TALK LOW CONTROL
2
EASY TOUCH HIGH-LOW CONTROL
2
EASY TOUCH INSULIN SAFETY SYR
2
EASY TOUCH INSULIN SYRINGE
2
EASY TOUCH LANCETS
2
EASY TOUCH LANCING DEVICE
2
EASY TOUCH NEEDLE
2
EASY TOUCH SAFETY LANCETS
2
EASY TOUCH TWIST LANCETS
2
EASY TRAK HIGH CONTROL
2
EASY TRAK LOW CONTROL
2
EASY TRAK NORMAL CONTROL
2
EASY TWIST & CAP LANCETS
2
EASYGLUCO PLUS NORMAL CONTROL
2
EASYMAX 15 LEVEL 1
2
EASYMAX 15 LEVEL 2
2
EASYMAX HIGH CONTROL
2
EASYMAX LOW CONTROL
2
EASYMAX NORMAL CONTROL
2
EASYMAX SPEAKING NORMAL CTRL
2
ECLIPSE HIGH CONTROL
2
ECLIPSE LOW CONTROL
2
ECLIPSE NORMAL CONTROL
2
elastic bandage
Self-Grip
3
ELASTIC STRETCH NET
3
ELASTO-GEL
3
ELASTO-GEL CAST-SPLINT PADDING
3
ELASTO-GEL CIRCLE DRESSING
3
ELASTO-GEL FACE DRESSING
3
ELASTO-GEL PLUS
3
ELBOW INLET
3
ELEMENT COMPACT HIGH CONTROL
2
ELEMENT COMPACT NORMAL CONTROL
2
ELEMENT HIGH CONTROL
2
ELEMENT LOW CONTROL
2
ELEMENT NORMAL CONTROL
2
ELEMENT PLUS LEVEL 1 CONTROL
2
ELEMENT PLUS LEVEL 2 CONTROL
2
ELEMENT PLUS LEVEL 3 CONTROL
2
ELITE DC AUTO ADAPTER
3
EM2400 VALVE SET
3
EMBRACE ADAPTER-CHARGER
3
MDwise Marketplace
120
Notes
Drug Name
Reference
Tier
EMBRACE EVO LEVEL 1
2
EMBRACE EVO LEVEL 2
2
EMBRACE GLUCOSE CONTROL HIGH
2
EMBRACE GLUCOSE CONTROL LOW
2
EMBRACE LANCETS
2
EMBRACE POLE CLAMP
3
EMBRACE PRO
2
ENVISION HIGH CONTROL
2
ENVISION LOW CONTROL
2
ENVISION NORMAL CONTROL
2
ERAPID NEBULIZER HANDSET
3
ERAPID NEBULIZER SYSTEM
3
EVENCARE G2 SOLUTION
2
EVENCARE G3 CONTROL
2
EVENCARE SOLUTION
2
EVERYDAY LONG PANTILINERS
3
EVOLUTION NORMAL CONTROL
2
EXACTA-MIX ADAPTER
3
EXACTA-MIX BAG ADAPTER
3
EXACTA-MIX LARGE BORE CAPS
3
EXACTA-MIX NON-VENT INTLET
3
EXACTA-MIX VALVE SET
3
EXACTA-MIX VENTED ADAPTER
3
EXACTA-MIX VENTED INTLET
3
EXCILON
3
EXCILON AMD (WITH POLYHEXAMET)
3
EXCILON DRAIN
3
EXCILON I.V.
3
EXEL INSULIN
2
EXPANDOVER BANDAGE
3
EXPIRATORY MOUTHPIECE
3
EXTENSION TUBING W-CONNECTOR
3
external catheter, male
3
EXUDERM ODORSHIELD
3
EXU-DRY ADULT DRESSING
3
EXU-DRY ARM DRESSING
3
EXU-DRY BOOT-FOOT DRESSING
3
EXU-DRY BURN JACKET-LARGE
3
EXU-DRY BURN JACKET-MEDIUM
3
EXU-DRY BURN JACKET-SMALL
3
EXU-DRY BURN VEST-LARGE
3
EXU-DRY BURN VEST-SMALL
3
EXU-DRY ELBOW-KNEE-HEEL
3
Notes
MDwise Marketplace
121
Drug Name
Reference
Tier
EXU-DRY FACE DRESSING
3
EXU-DRY HAND DRESSING, LARGE
3
EXU-DRY HAND DRESSING, MEDIUM
3
EXU-DRY HAND DRESSING, SMALL
3
EXU-DRY INCISION DRESSING
3
EXU-DRY LARGE BOOT DRESSING
3
EXU-DRY LEG DRESSING
3
EXU-DRY NECK DRESSING
3
EXU-DRY SCALP DRESSING
3
EXU-DRY WOUND DRESSING
3
E-Z JECT LANCETS
2
E-Z JECT THIN LANCETS
2
EZ SMART CONTROL
2
EZ SMART LANCETS
2
E-Z SPACER
3
E-Z SPACER PEDSPAK
3
FABRIC BANDAGES
3
FABRIC KNUCKLE-FINGER BANDAGE
3
FABRIC STRIP EXTRA LARGE
3
FACE SPLASH SHIELD, FULL
3
FACE SPLASH SHIELD, SHORT
3
FEEDING TUBE ATTACHMENT DEVICE
3
FEEDING TUBES
3
FEMALE CATHETER
3
FEMALE SPECIMEN CATHETER
3
FEMALE URINARY POUCH
3
FEMININE CLEANSING CLOTHS
3
FIFTY50 SAFETY SEAL LANCETS
2
FILTER PAD
3
FILTERED MOUTHPIECE ATTACHMENT
3
FILTERS REPLACEMENT
3
FINE 30 UNIVERSAL LANCETS
2
FINGER SLEEVES
3
FINGERSTIX LANCETS
2
FIRST AID HURT-FREE WRAP
3
FIRST CHOICE LANCETS THIN
2
FLEX BANDAGE
3
FLEX FABRIC BANDAGE
3
FLEXIBLE
3
FLEXIBLE DRESSING
3
FLEXIBLE FABRIC BANDAGES
3
FLEXIBLE FOAM
3
FLEXICHAMBER
3
MDwise Marketplace
122
Notes
Drug Name
Reference
Tier
FLEXIFLO COMPANION SYSTEM
3
FLEXIFLO EASY-FEED GASTROSTOMY
3
FLEXIFLO FEEDING TUBE
3
FLEXIFLO GASTROSTOMY TUBE
3
FLEXIFLO LAP G
3
FLEXIFLO MAGNA-PORT
3
FLEXIFLO OVER-THE-GUIDEWIRE
3
FLEXIGEL TOPICAL BANDAGE
3
FLEX-WRAP
3
FLEXZAN WOUND DRESSING
3
foam bandage
Sof-Foam
3
FOAM TOE BANDAGE
3
FOLEY CATHETER
3
FOLEY CATHETER TRAY
3
FORA HIGH CONTROL
2
FORA LANCING DEVICE
2
FORA LOW CONTROL
2
FORA NORMAL CONTROL
2
FORACARE GDH HIGH CONTROL
2
FORACARE GDH LOW CONTROL
2
FORACARE GDH NORMAL CONTROL
2
FORACARE LANCETS
2
FORTISCARE HIGH
2
FORTISCARE LOW
2
FORTISCARE NORMAL
2
FREEDOM CATH
3
FREEDOM DRAINAGE BAG
3
FREEDOM LEG BAG
3
FREEDOM T-TAP LEG BAG KIT
3
FREEDOM TWIST PORT LEG BAG KIT
3
FREESTYLE CONTROL
2
FREESTYLE LANCETS
2
FREESTYLE PRECISION
2
FREESTYLE UNISTIK 2
2
gauze bandage
J & J Triangular Bandage
Notes
3
GAUZE PAD
3
GAUZE ROLL
3
GAUZE SPONGES
3
GE100 CONTROL SOLUTION NORMAL
2
GELPAD
3
GENTLE TAPE
3
GENTLECATH
3
GIZMO
3
MDwise Marketplace
123
Drug Name
Reference
Tier
GLUCOCARD 01 HI-NORMAL CONTROL
2
GLUCOCARD 01 NORMAL CONTROL
2
GLUCOCARD EXPRESSION SOLUTION
2
GLUCOCARD SHINE
2
GLUCOCARD X-METER CONTROL
2
GLUCOCOM CONTROL HIGH
2
GLUCOCOM CONTROL NORMAL
2
GLUCOCOM LANCETS
2
GLUCOLAB HIGH CONTROL
2
GLUCOLAB LOW CONTROL
2
GLUCOLAB NORMAL CONTROL
2
GLUCOLET 2 AUTOMATIC LANCING
2
GLUCOPRO
2
GLUCOSE CONTROL
2
GLUCOSE KETONE CONTROL SOLN
2
GLUCOSOURCE
2
GMATE CONTROL SOLUTION, HIGH
2
GMATE CONTROL SOLUTION, NORMAL
2
GMATE LANCETS
2
GRX FOAM DRESSING
3
GRX HYDROGEL GAUZE
3
HAEMOLANCE LOW FLOW LANCETS
2
HAEMOLANCE PLUS
2
HAEMOLANCE PLUS LANCETS
2
HAEMOLANCE, RETRACTABLE LANCET
2
HEALTHMIST
3
HEALTHPRO HIGH-LOW CONTROL
2
HEALTHY ACCENTS AUTOLET
2
HEALTHY ACCENTS UNIFINE PENTIP
2
HEALTHY ACCENTS UNILET LANCET
2
HEAT THERAPY
3
HEATWRAPS
3
HEATWRAPS BACK & HIP PADS
3
HEAVY DUTY FABRIC STRIPS
3
humidifiers
Cool Mist Humidifier 1 gallon
3
HYDRESS
3
HYDRO ARMOR AG HEEL DRESSING
3
HYDRO ARMOR AG TOE
3
hydrocol dress-adhesive rem#1
3
HYDROFERA BLUE
3
HYDROPHOR
3
HYPO-ALLERGENIC BANDAGES
3
HYPOLANCE AST LANCING
2
MDwise Marketplace
124
Notes
Drug Name
Reference
Tier
INCARE INVIEW CATHETER
3
IN-CHECK DIAL TRAINING DEVICE
3
IN-CHECK NASAL WITH MASK
3
IN-CHECK ORAL FLOW METER
3
INCONTROL LANCING DEVICE
2
INCONTROL PEN NEEDLE
2
INCONTROL SUPER THIN LANCETS
2
INCONTROL ULTRA THIN LANCETS
2
INFINITY CONTROL SOLUTION HIGH
2
INFINITY CONTROL SOLUTION LOW
2
INFINITY CONTROL SOLUTION NORM
2
INJECT EASE LANCETS
2
INNOSPIRE DELUXE
3
INNOSPIRE ELEGANCE
3
INNOSPIRE ESSENCE
3
INNOSPIRE MINI
3
INNOSPIRE REPLACEMENT FILTER
3
INS SYRINGE/NEEDLE 0.5CC/27G
2
INSPIRACHAMBER
3
INSPIRACHAMBER WITH MASK-MED
3
INSPIRACHAMBER WITH MASK-SMALL
3
INSPIRATION ELITE
3
INSPIRATION ELITE FILTER
3
INSPIRATION NEBULIZER SYSTEM
3
INSPIREASE
3
INSPIREASE BAGS
3
INSPIREASE MOUTHPIECE
3
INSPIREASE RESERVOIR BAGS
3
INSULIN SYRINGE MICROFINE
2
insulin syringe needleless
BD Insulin Syringe Slip Tip
Notes
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
Ultra Comfort Insulin Syringe
2
insulin syringes (disposable)
Monoject Insulin Syringe
2
INSUMED
2
INSUPEN
2
INSYTE IV CATHETER
3
INTERSORB
3
INTROSYTE AUTOGUARD
3
INVACARE LANCETS
2
ISLAND GARD-GRX
3
IV 3000
3
MDwise Marketplace
125
Drug Name
Reference
Tier
IV PUMP SET/IVEX-HP FILTER
3
J & J NON-STICK PADS LARGE
3
J & J NON-STICK PADS MEDIUM
3
KALTOSTAT FORTEX
3
KALTOSTAT ROPE
3
KALTOSTAT WOUND DRESSING
3
KANGAROO FEEDING TUBE
3
KENDALL CLOTH
3
KENDALL FOAM BORDER
3
KENDALL TOPICAL BANDAGE
3
KENGUARD FOLEY CATHETER
3
KENGUARD URINARY DRAIN BAG
3
KENLINE ADD-A-FOLEY TRAY 30CC
3
KERLIX
3
KERLIX AMD
3
KERLIX BURN PACK
3
KERLIX LITE
3
KERLIX PACKING SPONGE
3
KINNEY BRAND LANCETS
2
KLING ROLLS
3
KOTEX FRESH & DRY
3
KOTEX OVERNIGHT
3
KWIK-VIAL
3
lancets
Ultilet Lancets
2
LANCETS, SUPER THIN
2
LANCETS,THIN
2
LANCETS,ULTRA THIN
2
lancing device
Multi-Lancet Device
2
LANCING DEVICE WITH LANCETS
2
LANCING SYSTEM
2
LC D NEBULIZER SET
3
LC PLUS
3
LC STAR
3
LEG BAG STRAPS
3
LIBERTY CONTROL SOLN NORMAL
2
LIBERTY CONTROL SOLUTION HIGH
2
LIBERTY LEV 1 GLUCOSE CONTROL
2
LIBERTY LEV 2 GLUCOSE CONTROL
2
LICE & NIT REMOVAL COMB
3
LISCO
3
LITE TOUCH INSULIN PEN NEEDLES
2
LITE TOUCH INSULIN SYRINGE
2
LITE TOUCH LANCETS
2
MDwise Marketplace
126
Notes
Drug Name
Reference
Tier
LITE TOUCH LANCING DEVICE
2
LITE TOUCH-MEDIUM MASK
3
LITEAIRE MDI CHAMBER
3
LITETOUCH-LARGE MASK
3
LITETOUCH-SMALL MASK
3
LUER LOCK-TO-BAG
3
LUER TO CATHETER TIP ADAPTER
3
LUER TO URETHRAL TIP ADAPTER
3
MAGELLAN INSULIN SAFETY SYRNG
2
MAGELLAN SYRINGE SYRINGE 0.3 ML 30 X
5/16", 0.5 ML 30 X 5/16"
2
MAGNA-PORT GASTROSTOMY TUBE
3
MAJOR COMFORT
2
MASK VORTEX BABY WHIRL DUCK
3
MASK VORTEX SPINNER THE DUCK
3
MAXI DEODORANT
3
MAXI PAD REGULAR
3
MAXI PAD SUPER
3
MAXI-COMFORT INSULIN SYRINGE
2
MAXIMA CONTROL SOLUTION, HIGH
2
MAXIMA CONTROL SOLUTION, LOW
2
MAXIMA CONTROL SOLUTION, MEDIU
2
MAXIMA CONTROL SOLUTION, NORMA
2
MAXI-PADS
3
MAXORB
3
MAXORB EXTRA DRESSING
3
MAXORB ROPE
3
MEDIGRIP
3
MEDIGRIP ELASTICATED SUPPORT
3
MEDIGRIP TUBULAR
3
MEDIHONEY (CAL ALGINATE-HONEY)
3
MEDI-LANCE LANCETS
2
MEDIPORE DRESS-IT COVER
3
MEDISENSE
2
MEDISENSE CONTROLS 1-HI 1-LO
2
MEDISENSE GLUCOSE KETONE
2
MEDISENSE MID CONTROL
2
MEDISENSE THIN LANCETS
2
MEDLANCE PLUS LANCETS
2
MEDLANCE PLUS SPECIAL BLADE
2
MEDPOINT NORMAL CONTROL
2
MEPILEX
3
MEPILEX AG
3
Notes
MDwise Marketplace
127
Drug Name
Reference
Tier
MEPILEX BORDER
3
MEPILEX BORDER SACRUM
3
MEPITEL
3
MESALT
3
METER-CHECK
2
MICRO AIR
3
MICRO ELITE COMP-NEBUL
3
MICRO ELITE LITHIUM BATTERY
3
MICRO ELITE REPLACEMENT FILTER
3
MICRO PLUS NEBULIZER
3
MICRO THIN LANCETS
2
MICRO VOLUME INLET
3
MICROCHAMBER
3
MICRODOT HIGH-LOW CONTROL
2
MICRODOT NORMAL CONTROL
2
MICROFUSE MINIBORE ADMIN SET
3
MICROLET 2 LANCING DEVICE
2
MICROLET LANCET
2
MICROLIFE PEAK FLOW METER
3
MICROMACRO INLET
3
MICROSKIN APPLICATOR
3
MICROSPACER
3
MICROSPONGE
3
MINI ELITE COMPRESSOR-NEBULIZE
3
MINI ELITE FILTER REPLACEMENT
3
MINI ELITE LITHIUM BATTERY
3
MINI LANCING DEVICE
2
MINI PLUS NEBULIZER
3
MINI ULTRA-THIN II
2
MINI WRIGHT PEAK FLOW METER
3
MINI-WRIGHT PEAK FLOW METER
3
MIRASORB
3
MISTASSIST
3
MONAGHAN Z STAT CHAMBER
3
MONAGHAN Z STAT CHAMBER-LG MSK
3
MONAGHAN Z STAT CHAMBER-MD MSK
3
MONAGHAN Z STAT CHAMBER-SM MSK
3
MONOJECT INSULIN SAFETY SYRING
2
MONOJECT INSULIN SYRINGE
2
MONOJECT SYRINGE SYRINGE 1/2 ML 28
2
MONOJECT ULTRA COMFORT INSULIN
2
MONOJECTOR LANCET DEVICE
2
MONOLET LANCETS
2
MDwise Marketplace
128
Notes
Drug Name
Reference
Tier
MONOLET THIN LANCETS
2
MOUTHPIECE
3
MOUTHPIECE REUSABLE MW
3
MPM FOAM DRESSING
3
MULTI-LANCET DEVICE
2
MYGLUCOHEALTH CONTROL SOLUTION
2
MYGLUCOHEALTH LANCETS
2
NASONEB NASAL NEBULIZER
3
NATURAL CARE BANDAGES
3
nebulizer accessories
E-Z Spacer Pedspak
3
NESSI SPACER
3
NEW GENERATION
3
NEXCARE TEGADERM
3
NEXIVA
3
NITROGLYCERIN DISTAL EXTENSION
3
non-adherent bandage
Release Non-Adhering
Dressing
Notes
3
NON-ADHESIVE PAD
3
NON-STICK DRESSINGS
3
NON-STICK PAD
3
NOSE CLIP
3
NOVA MAX GLUCOSE CONTROL
2
NOVA SAFETY LANCETS
2
NOVA SUREFLEX LANCETS
2
NOVAMAX PLUS GLU-KET
2
NOVOFINE 30
2
NOVOFINE 32
2
NOVOFINE AUTOCOVER
2
NOVOFINE PLUS
2
NOVOTWIST
2
NV CARDIAC CATHETER SET
3
ON CALL EXPRESS CONTROL
2
ON CALL LANCET
2
ON CALL LANCING DEVICE
2
ON CALL PLUS CONTROL
2
ON CALL PLUS LANCET
2
ON CALL PLUS LANCING DEVICE
2
ON CALL VIVID CONTROL
2
ONE FLOW FVC SPIROMETER
3
ONE FLOW SPIROMETER PC CABLE
3
ONE FLOW SPIROMETER SOFTWARE
3
ONE FLOW TESTER MOUTHPIECE
3
ONE FLOW TESTER SPIROMETER
3
MDwise Marketplace
129
Drug Name
Reference
Tier
ONE TOUCH NORMAL CONTROL
2
ONE WAY VALVED MOUTHPIECE
3
ONETOUCH DELICA LANC DEVICE
2
ONETOUCH DELICA LANCETS
2
ONETOUCH FINEPOINT LANCETS
2
ONETOUCH SURESOFT LANCING DEV
2
ONETOUCH ULTRA CONTROL
2
ONETOUCH ULTRASOFT LANCETS
2
ONETOUCH VERIO HIGH CONTROL
2
ONETOUCH VERIO MID CONTROL
2
ON-THE-GO LANCETS
2
OPSITE
3
OPSITE ADHESIVE DRESSING
3
OPSITE FLEXIFIX
3
OPSITE FLEXIGRID
3
OPSITE FLEXIGRID DRESSING
3
OPSITE IV 3000
3
OPTICHAMBER ADULT MASK-LARGE
3
OPTICHAMBER ADVANTAGE
3
OPTICHAMBER ADVANTAGE-LG MASK
3
OPTICHAMBER ADVANTAGE-MED MASK
3
OPTICHAMBER ADVANTAGE-SML MSK
3
OPTICHAMBER DIAMOND LG MASK
3
OPTICHAMBER DIAMOND VHC
3
OPTICHAMBER DIAMOND-MED MSK
3
OPTICHAMBER DIAMOND-SML MASK
3
OPTICHAMBER LARGE FACE MASK
3
OPTICHAMBER MEDIUM FACE MASK
3
OPTICHAMBER SMALL FACE MASK
3
OPTIFOAM
3
OPTIFOAM NON-ADHESIVE
3
OPTIHALER DRUG DELIVERY SYSTEM
3
OPTIONHOME NEBULIZER/COMP
3
OPTUMRX SOLUTION
2
ORAL-TO-ORAL RAPID CONNECTOR
3
ORSINI INSULIN SYRINGE
2
PAIN FREE WRAP
3
PANDA MASK
3
PANTILINERS
3
PARADIGM SILHOUETTE INFUS SET
3
PARI BABY CONV KIT - SIZE 1
3
PARI BABY CONV KIT - SIZE 2
3
PARI BABY CONV KIT - SIZE 3
3
MDwise Marketplace
130
Notes
Drug Name
Reference
Tier
PARI BABY CONVERSION PACK 1
3
PARI BABY CONVERSION PACK 2
3
PARI BABY NEBULIZER
3
PARI LC D NEBULIZER
3
PARI LC FILTER WITH VALVE SET
3
PARI LC MASK SET
3
PARI LC SPRINT NEBULIZER SET
3
PARI LC SPRINT SINUS
3
PARI SINUS AEROSOL SYSTEM
3
PARI TREK S COMBO PACK
3
PARI TREK S COMPACT COMPRESSOR
3
PARI TREK S PORTABLE PWR KIT
3
PEAK AIR PEAK FLOW METER
3
PEDIATRIC MEDIUM MASK
3
PEDIATRIC MOUTHPIECES
3
PEDIATRIC PANDA MASK
3
PEDIATRIC SMALL MASK
3
PEDIATRIC-SMALL MOUTH ADAPTOR
3
PEN NEEDLE
2
pen needle, diabetic needle 29 gauge x 1/2"
BD Autoshield Pen Needle
pen needle, diabetic needle 31 gauge x 1/3", 31
gauge x 1/6"
pen needle, diabetic needle 31 gauge x 1/4", 31
gauge x 5/16"
Notes
2
2
Pen Needle
2
PENLET PLUS BLOOD SAMPLER
2
PENTIPS
2
PERSONAL BEST FULL RANGE
3
PERSONAL BEST LOW RANGE
3
PERSONAL BEST PEAK FLOW METER
3
PETROLATUM GAUZE
3
PFLEX INSPIRATORY TRAINER
3
PHARMACY PUMP STAND
3
PIKO 1
3
PILLOW MASK ADULT
3
PILLOW MASK CHILD
3
PILLOW MASK PEDIATRIC
3
PIPETTE 120ML CATHETER TIP
3
PIPETTE 30ML CATHETER TIP
3
PIPETTE 45ML CATHETER TIP
3
PIPETTE 90ML CATHETER TIP
3
PLASTIC STRIPS
3
PLATINUM UROSTOMY POUCH
3
POCKET CHAMBER
3
POCKET PEAK FLOW METER
3
MDwise Marketplace
131
Drug Name
Reference
Tier
POLYFIN QR INFUSION SET
3
POLYFIN QR/WINGS INFUSION SET
3
POLYSKIN II
3
PRECISION 200 CATHETER TRAY
3
PRECISION GLUCOSE CONTROL SOLN
2
PRECISION GLUCOSE/KETONE CONTR
2
PRESSURE ACTIVATED LANCETS
2
PRESTIGE GLUCOSE HI CONTROL
2
PRIMAPORE IV
3
PRIMEAIRE
3
PRIMER MODIFIED UNNA BOOT
3
PROCHAMBER
3
PRODIGY CONTROL SOLUTION, LOW
2
PRODIGY CONTROL SOLUTION,HIGH
2
PRODIGY INSULIN SYRINGE
2
PRODIGY LANCETS
2
PRODIGY LANCING DEVICE
2
PRODIGY MINI-MIST NEBULIZER
3
PRODIGY PEN NEEDLE
2
PRODIGY TWIST TOP LANCET
2
PROFORE BANDAGE SYSTEM
3
PRONEB ULTRA
3
PRONEB ULTRA FILTER ASSEMBLY
3
PRONEB ULTRA II
3
PRONEB ULTRA II DLX COMPRESSOR
3
PRONEB ULTRA II FILTER ASSEM
3
PULMO-AIDE COMPRESSOR
3
PULMONEB LT COMPRESSOR NEBUL
3
PUSH BUTTON SAFETY LANCETS
2
QWIK-STRIP
3
RADIADRES GEL
3
REFUAH PLUS GLUCOSE CONTROL
2
RELIAMED LANCET
2
RELIAMED MINI LANCING DEVICE
2
RELIAMED SAFETY SEAL LANCETS
2
RELIAMED TWIST & CAP LANCET
2
RELION NEEDLES
2
RELION PEN NEEDLES
2
RELION THIN LANCETS
2
RELION ULTRA THIN PLUS LANCETS
2
RENEW ADVANCED LANCING SYSTEM
2
RENEW ADVANCED MICRO-LANCETS
2
REPLACEMENT J-4 CANNULA
3
MDwise Marketplace
132
Notes
Drug Name
Reference
Tier
RESTORE
3
RESTORE CALCIUM ALGINATE
3
RESTORE CONTACT LAYER
3
RESTORE CONTACT LAYER SILVER
3
RESTORE DUO
3
RESTORE FOAM DRESSING SILVER
3
RESTORE FOAM HEEL DRESSING
3
RESTORE HYDROGEL GAUZE
3
RESTORE HYDROGEL GAUZE SPONGE
3
RESTORE ODOR-ABSORBENT BANDAGE 6
X 10 "
3
RESTORE TRIO
3
RETRACTED PENIS POUCH
3
REUSABLE NEBULIZER KIT
3
RIGHTEST CONTROL SOLUTION HIGH
2
RIGHTEST CONTROL SOLUTION NORM
2
RIGHTEST GC250S CNTRL SOL NORM
2
RIGHTEST GD500 LANCING DEVICE
2
RIGHTEST GL300 LANCETS
2
RITEFLO AEROCHAMBER
3
ROBINSON CLEAR VINYL CATHETER
3
ROB-NEL URETHRAL CATHETER
3
ROLLED GAUZE
3
RONDIC
3
RUBBER MOUTHPIECE
3
SAFELET IV CATHETER
3
SAFESNAP INSULIN SYRINGE
2
SAFETY LANCETS
2
SAFETY SEAL LANCETS
2
SAFETY-LET LANCETS
2
SAMI THE SEAL
3
SAMI THE SEAL FILTER
3
SAMI THE SEAL MASK
3
SCREW CAP PUMP SET
3
SELF ADHERENT WRAP
3
SELF-ADHERANT GENTLE WRAP
3
SELF-ADHERING BANDAGE
3
SELF-CATH
3
SELF-CATH 10"
3
SELF-CATHETER, FEMALE
3
SELFGRIP
3
SELF-GRIP TOPICAL BANDAGE
3
SHEER ADHESIVE
3
Notes
MDwise Marketplace
133
Drug Name
Reference
Tier
SHEER BANDAGE
3
SHEER BANDAGES
3
SHEER PLASTIC STRIP
3
SHEER SPOT BANDAGES
3
SHEER STRIP
3
SHEER STRIP EXTRA LARGE
3
SHEER STRIPS
3
SHEER STRIPS ASSORTED
3
SHRINKSAFE PARALYTIC ID BAND
3
SIDESTREAM
3
SIDESTREAM ADULT FACE MASK
3
SIDESTREAM MASK
3
SIDESTREAM NEBULIZER
3
SIDESTREAM PEDIATRIC FACE MASK
3
SIDESTREAM PLUS
3
SILHOUETTE
3
SILICONE MASK
3
SILICONE MASK - INFANT
3
SILICONE MASK - PEDIATRIC
3
SILVASORB CAVITY
3
SILVASORB DRESSING
3
SINGLE-LET
2
SINUSTAR AEROSOL
3
SINUSTAR NEBULIZER
3
SKIN CLOSURE STRIPS TOPICAL COMBO
PACK
3
SKINTEGRITY HYDROGEL DRESSING
3
SMART SENSE LANCETS
2
SMARTDIABETES VANTAGE
2
SMARTEST CONTROL
2
SMARTEST LANCET
2
SMARTMASK KIDS
3
SMS GLUCOSE CONTROL
2
SOF-SET ADHESIVE PATCH
3
SOFT CLOTH
3
SOFT TOUCH LANCETS
2
SOLOSITE TOPICAL BANDAGE
3
SOLUS V2 CONTROL SOLUTION, LOW
2
SOLUS V2 CONTROL SOLUTION,HIGH
2
SOLUS V2 LANCETS
2
SOLUS V2 LANCING DEVICE
2
SOOTHE NEB MESH NEBULIZER
3
SOOTHING NON-STICK
3
MDwise Marketplace
134
Notes
Drug Name
Reference
Tier
SORBSAN TOPICAL WOUND DRESSING
3
SORBSAN WOUND DRESSING
3
SORESPOT
3
SPACE CHAMBER PLUS
3
SPLASH SHIELD FLEX
3
STAYFREE MAXI-PAD
3
STAYFREE SUREFIT
3
STAYFREE ULTRA THIN
3
STERILANCE TL
2
STERILE GAUZE PAD
3
STERILE GEL BAG
3
STERILE PADS
3
STERILE STRETCH GAUZE BANDAGE
3
STERI-STRIP DRESSING
3
STRATASORB COMPOSITE WOUND
3
STRATASORB ISLAND DRESSING
3
STRETCH BANDAGE
3
STRETCH GAUZE BANDAGE
3
STRONG STRIPS
3
STRONG STRIPS X-LARGE
3
SUNRISE COMPRESSOR-NEBULIZER
3
SUPER STRIP BANDAGES
3
SUPER THIN LANCETS
2
SUPOR CAPSULE HYDROPHILIC
3
SURE COMFORT INS. SYR. U-100
2
SURE COMFORT INSULIN SYRINGE
2
SURE COMFORT LANCETS
2
SURE COMFORT LANCING PEN
2
SURE COMFORT PEN NEEDLE
2
SURE EDGE CONTROL HIGH
2
SURE EDGE CONTROL LOW
2
SURE EDGE CONTROL NORMAL
2
SURECHEK GLUCOSE CONTROL
2
SURE-FINE PEN NEEDLES
2
SUREFLEX DEVICE WITH LANCETS
2
SUREFLEX LANCING DEVICE
2
SURE-JECT INSULIN SYRINGE
2
SURE-LANCE
2
SURE-LANCE ULTRA THIN
2
SURE-PEN LANCING DEVICE
2
SUREPRESS ABSORBENT PADDING
3
SUREPRESS HIGH COMPRESSION
3
SURESITE
3
Notes
MDwise Marketplace
135
Drug Name
Reference
Tier
SURESITE FLEXIGRID
3
SURESITE IV
3
SURESITE MATRIX
3
SURESITE WINDOW
3
SURESTEP GLUCOSE CONTROL
2
SURESTEP PRO HIGH GLUCOSE
2
SURESTEP PRO LOW GLUCOSE
2
SURESTEP PRO NORMAL GLUCOSE
2
SURE-TEST EASYPLUS MINI SOLUTION
2
SURE-TOUCH LANCET
2
SURGICAL DRESSING
3
SURGICAL DRESSING EXTR PROTCT
3
SURGICAL PADS
3
TAMPER-RESISTANT BAG CAP
3
tampons
Tampons Super Absorbency
3
TAMPONS SUPER ABSORBENCY
3
TD GOLD LEVEL 1 CONTROL
2
TD GOLD LEVEL 2 CONTROL
2
TD GOLD LEVEL 3 CONTROL
2
TECHLITE AST LANCETS
2
TECHLITE LANCETS
2
TEGADERM
3
TEGADERM ABSORBENT
3
TEGADERM AG MESH
3
TEGADERM FIRST AID STYLE
3
TEGADERM FRAME STYLE
3
TEGADERM HP FRAME STYLE
3
TEGADERM I.V.
3
TEGADERM TRANSPARENT DRESSING
3
TEGAGEN HG
3
TEGAGEN HI
3
TELCARE CONTROL
2
TELCARE LANCETS
2
TELFA
3
TELFA (WITH POLYHEXAMETH)
3
TELFA AMD
3
TELFA CLEAR WOUND DRESSING
3
TELFA ISLAND DRESSING
3
TELFA OUCHLESS NON-ADHERENT
3
TENA SERENITY
3
TENDER TAPE
3
TENDERSORB
3
TENDERWET ACTIVE CAVITY DRESS
3
MDwise Marketplace
136
Notes
Drug Name
Reference
Tier
TENDERWET ACTIVE DRESSING
3
TENDERWRAP UNNA BOOT
3
TENS 504
3
TENSOR
3
TERUMO INS SYRINGE 0.5CC/27G
2
TERUMO INSULIN SYRINGE
2
THERMACARE HAND/WRIST
3
THERMACARE KNEE/ELBOW
3
THERMACARE LARGE/XLGE BACK/HIP
3
THERMACARE MENSTRUAL
3
THERMACARE NECK/WRIST/SHOULDER
3
THERMACARE SMALL/MED BACK/HIP
3
THIN LANCETS
2
THINPRO INSULIN SYRINGE
2
THONG LINER
3
THRESHOLD IMT TRAINER
3
THRESHOLD PEP DEVICE
3
TISSUEPAK BEDSIDE TISSUE
3
TOE AID DRESSING
3
TOPCARE CLICKFINE
2
TOPCARE ULTRA COMFORT
2
TOPCARE UNIVERSAL1 THIN LANCET
2
TOPICAL DISPENSER
3
TOPICAL TIP CAP
3
TOUCH-TROL
3
transparent dressings
Polyskin II
Notes
3
TRANSPARENT THIN FILM DRESSING
3
TRIAMINIC FLOWING VAPORS
3
TRIPLE HELIX COLLAGEN TOPICAL
BANDAGE
3
TRUE METRIX LEVEL 1
2
TRUE METRIX LEVEL 2
2
TRUE METRIX LEVEL 3
2
TRUECONTROL LEVEL 0
2
TRUECONTROL LEVEL 1
2
TRUEDRAW LANCING DEVICE
2
TRUEPLUS INSULIN
2
TRUEPLUS LANCETS
2
TRUETEST HIGH GLUCOSE CONTROL
2
TRUETEST LOW GLUCOSE CONTROL
2
TRUETEST NORMAL GLUCOSE CNTRL
2
TRUETRACK GLUCOSE
2
TRUETRACK GLUCOSE CONTROL HIGH
2
MDwise Marketplace
137
Drug Name
Reference
Tier
TRUZONE PEAK FLOW METER
3
TUBULAR GAUZE
3
tubular gauze-dresng protector
Tubular Gauze
3
ULTICARE
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
ULTI-LANCE
2
ULTILET BASIC LANCETS
2
ULTILET CLASSIC LANCETS
2
ULTILET INSULIN SYRINGE
2
ULTILET LANCETS
2
ULTILET PEN NEEDLE
2
ULTILET SAFETY LANCETS
2
ULTRA CMFT INS SYR HALF UNIT
2
ULTRA COMFORT INSULIN SYRINGE
2
ULTRA THIN II LANCETS
2
ULTRA THIN LANCETS
2
ULTRA THIN PLUS LANCETS
2
ULTRA TLC LANCETS
2
ULTRACOMFORT
2
ULTRACOMFORT W/ CONTAINER
2
ULTRALANCE LANCETS
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
ULTRA-THIN II LANCETS
2
ULTRATRAK HIGH-LOW CONTROL
2
ULTRATRAK NORMAL CONTROL
2
ULTRATRAK ULTIMATE SOLUTION
2
UNIFINE PENTIPS
2
UNIFINE PENTIPS PLUS
2
UNILET COMFORTOUCH LANCET
2
UNILET EXCELITE II LANCET
2
UNILET EXCELITE LANCET
2
UNILET G.P. LANCET
2
UNILET G.P. SUPERLITE LANCET
2
UNILET GP LANCET
2
UNILET LANCET
2
UNILET LANCETS
2
MDwise Marketplace
138
Notes
Drug Name
Reference
Tier
UNILET SUPER THIN LANCETS
2
UNILET SUPERLITE LANCET
2
UNISTIK
2
UNISTIK 1
2
UNISTIK 2 DEVICE
2
UNISTIK 2 EXTRA
2
UNISTIK 2 NORMAL LANCET
2
UNISTIK 2 SUPER
2
UNISTIK 3
2
UNISTIK 3 COMFORT DEVICE
2
UNISTIK 3 COMFORT LANCET
2
UNISTIK 3 EXTRA LANCET
2
UNISTIK 3 GENTLE
2
UNISTIK 3 LANCETS
2
UNISTIK 3 NEONATAL
2
UNISTIK 3 NEONATAL DEVICE
2
UNISTIK 3 NORMAL LANCET
2
UNISTIK CZT LANCET
2
UNISTIK SAFETY
2
UNISTRIP HIGH CONTROL
2
UNISTRIP LOW CONTROL
2
UNIVERSAL 1 LANCETS
2
UNNA-FLEX CONVENIENCE PACK
3
UNNA-FLEX ELASTIC UNNA BOOT
3
URETHRAL CATHETER
3
URINARY LEG BAG
3
URINARY LEG MEDIUM BAG
3
UROCARE FABRIC LEG STRAPS
3
UROCARE URINARY DRAIN BOTTLE
3
URO-CON CATHETER
3
URO-SAN LEG BAG
3
URO-SAN PLUS
3
UROSTOMY NIGHT BAG
3
VAGINAL DISPENSER TIP CAP
3
VANISHPOINT SYRINGE SYRINGE 1 ML 29
X 1/2", 1/2 ML 30 X 1/2"
2
VAPORIZER CLEANING
3
VAPORIZER INHALANT
3
vaporizers
SudaCare Advanced
Notes
3
VASELINE PETROLATUM GAUZE
3
VENI-PREP III/SITE CARE
3
VENI-PREP KIT
3
VENI-PREP KIT II
3
MDwise Marketplace
139
Drug Name
Reference
Tier
VENTED URINARY LEG BAG
3
VENTED URINARY LEG BAG SYSTEM
3
VERSALON
3
VERSALON NONWOVEN ALL-PURPOSE
3
VERSIVA XC
3
VIASORB ABSORBENT DRESSING
3
VICKS HUMIDIFIER
3
VICKS WARM MIST HUMIDIFIER
3
VICTORY HIGH, LOW CONTROL
2
VIGILON PRIMARY WOUND DRESSING
3
VINYL CATHETER
3
VIOS AEROSOL DELIVERY SYSTEM
3
VISCOPASTE PB7
3
VISTEC X-RAY DETECT
3
VOCAL POINT GLUCOSE CONTROL
2
VOCALPOINT GLUCOSE CONTROL
2
VORTEX ADULT MASK
3
VORTEX FROG MASK-CHILD
3
VORTEX HOLDING CHAMBER
3
VORTEX HOLDING CHAMBER CHILD
3
VORTEX HOLDING CHAMBER TODDLER
3
VORTEX LADYBUG MASK-TODDLER
3
VORTEX VHC FROG MASK-CHILD
3
VORTEX VHC LADYBUG MASK-TODDLR
3
WARM STEAM VAPORIZER
3
WATCHHALER
3
WATER SHIELD BANDAGES
3
WATERPROOF STRONG STRIPS
3
WAVESENSE CONTROL SOLUTION
2
WEBRIL
3
WEBRIL II
3
WINDMILL TRAINER
3
WING TIP TUBING
3
WOUND DRAINAGE COLLECTOR
3
WOUNDGARD GAUZE
3
XEROFLO GAUZE DRESSING
3
XEROFORM
3
XEROFORM PETROLATUM DRESSING
3
XEROFORM PETROLATUM OVERWRAP
3
XPRES NORMAL CONTROL
2
Y-PORT CONNECTOR
3
MUSCLE RELAXANTS
AMRIX
MDwise Marketplace
140
3
Notes
Drug Name
Reference
baclofen
Tier
1
carisoprodol
Soma
1
carisoprodol-aspirin
Carisoprodol Compound
1
chlorzoxazone
Parafon Forte DSC
1
COMFORT PAC-CYCLOBENZAPRINE
3
COMFORT PAC-TIZANIDINE
3
cyclobenzaprine
Flexeril
DANTRIUM ORAL
dantrolene
1
2
Dantrium
1
FEXMID
3
FLEXERIL
2
LORZONE
3
metaxalone oral tablet 800 mg
Skelaxin
1
methocarbamol oral
Robaxin
1
methocarbamol oral
Robaxin-750
1
orphenadrine citrate oral
Norflex
1
ORPHENADRINE COMPOUND
1
ORPHENADRINE COMPOUND-DS
1
PARAFON FORTE DSC
2
ROBAXIN ORAL
2
ROBAXIN-750
2
SKELAXIN
2
SOMA
2
tizanidine
ZANAFLEX
Notes
Zanaflex
1
2
PRE-NATAL VITAMINS
ACTIVE OB
3
ATABEX EC
3
BAL-CARE DHA
1
BAL-CARE DHA ESSENTIAL
1
B-NEXA
3
CADEAU DHA
3
CALCIUM PNV
1
CAVAN ONE OMEGA
1
CAVAN-ALPHA KIT
1
CAVAN-EC SOD DHA
1
CAVAN-FOLATE DHA
1
CAVAN-FOLATE OB
1
CAVAN-HEME OB
1
CAVAN-HEME OMEGA
1
CHOICE-OB + DHA
1
CITRANATAL (DUAL-IRON)
3
CITRANATAL 90 DHA (ALGAL OIL)
3
MDwise Marketplace
141
Drug Name
Reference
Tier
CITRANATAL 90 DHA (NEW FORMULA
3
CITRANATAL ASSURE
3
CITRANATAL B-CALM
3
CITRANATAL B-CALM (FE GLUC)
3
CITRANATAL DHA (ALGAL OIL)
3
CITRANATAL DHA (NEW FORMULA)
3
CITRANATAL HARMONY
3
CITRANATAL HARMONY (IRON FUM)
3
CITRANATAL RX (NEW FORMULA)
3
C-NATE DHA
1
COMPLETE NATAL DHA
3
COMPLETENATE
1
COMPLETE-RF PRENATAL
3
CONCEPT DHA
3
CONCEPT OB
3
CORENATE-DHA
1
DOCOSAVIT
1
DOTHELLE DHA
1
DUET DHA BALANCED
3
DUET DHA BALANCED ORAL COMBO PACK
24 MG IRON- 1 MG-272 MG, 26 MG IRON- 1
MG-278 MG
3
DUET DHA COMPLETE
3
DUET DHA EC-OM 3
3
DUET DHA WITH OMEGA-3
3
ED CYTE F
1
ELITE-OB 400
1
ELITE-OB ORAL CAPSULE
1
ELITE-OB ORAL TABLET
3
ENBRACE HR
3
EXTRA-VIRT PLUS DHA
1
FEMECAL OB
1
FOCALGIN 90 DHA
1
FOCALGIN CA
1
FOLBECAL
1
FOLCAL DHA
1
FOLCAPS CARE ONE
1
FOLCAPS OMEGA-3 (ASPARTO-GLY)
1
FOLET DHA
3
FOLET ONE
3
FOLINATAL PLUS B
1
FOLIVANE-OB
1
FOLIVANE-PRX DHA NF
1
GESTICARE
3
MDwise Marketplace
142
Notes
Drug Name
Reference
Tier
GESTICARE DHA
3
HEMENATAL OB
1
HEMENATAL OB + DHA
1
ICAR-C PLUS SR
3
INATAL ADVANCE
1
INATAL GT
1
INATAL ULTRA
1
INFANATE BALANCE
1
INFANATE DHA
1
INFANATE PLUS
1
LACTOCAL-F
3
LEVOMEFOLATEPNV
1
L-METHYLFOLATE PNV DHA
1
MACNATAL CN DHA
1
MARNATAL-F
1
MAXINATE
3
MULTINATAL PLUS
1
MULTI-NATE 30 DHA
1
MULTI-NATE DHA EXTRA
1
M-VIT
3
MYNATAL
1
MYNATAL ADVANCE
1
MYNATAL PLUS
1
MYNATAL-Z
1
MYNATE 90 PLUS
1
NATA KOMPLETE
3
NATACHEW (FE BIS-GLYCINATE)
3
NATAFORT
3
NATAFORT (NEW FORMULA 2011)
3
NATAL-V RX
1
NATALVIRT 90 DHA
1
NATALVIRT CA
1
NATALVIT
3
NATELLE ONE
3
NATELLE-EZ
3
NAVATAB + DHA
1
NEEVO
3
NEEVODHA (WITH ALGAL OIL)
3
NESTABS
3
NESTABS ABC
3
NESTABS DHA
3
NEWGEN
1
NEXA PLUS
3
Notes
MDwise Marketplace
143
Drug Name
Reference
Tier
NEXA SELECT
3
NIVA-PLUS
1
NUTRI-TAB OB
1
NUTRI-TAB OB + DHA
1
OB COMPLETE
3
OB COMPLETE 400
3
OB COMPLETE DHA
3
OB COMPLETE ONE
3
OB COMPLETE PETITE
3
OB COMPLETE PREMIER
3
OB COMPLETE WITH DHA
3
OB-NATAL ONE
1
OBSTETRIX DHA
1
OBSTETRIX EC
3
OBTREX
3
OBTREX DHA
3
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
3
PNV OB+DHA ORAL COMBO PACK 65-1-250
MG
1
pnv with ca,no.71-iron-fa
Vol-Plus
1
PNV-DHA
1
PNV-DHA + DOCUSATE
1
PNV-FERROUS FUMARATE-DOCU-FA
1
PNV-FIRST
1
PNV-OMEGA
1
PNV-SELECT
1
PNV-TOTAL
1
PNV-VP-U
1
POLY IRON PN
1
POLY IRON PN FORTE
1
PR NATAL 400
1
PR NATAL 400 EC
1
PR NATAL 430
1
PR NATAL 430 EC
1
PR NATAL 440 EC
1
PREFERA-OB
3
PREFERA-OB ONE
3
PREFERA-OB PLUS DHA
3
MDwise Marketplace
144
Notes
Drug Name
Reference
Tier
PREFOL-DHA
1
PRENA1
1
PRENA1 CHEW
1
PRENA1 CHEW (QUATREFOLIC)
1
PRENA1 PLUS
1
PRENACARE
1
PRENAFIRST
1
PRENAISSANCE
1
PRENAISSANCE 90 DHA
1
PRENAISSANCE BALANCE
1
PRENAISSANCE DHA
1
PRENAISSANCE DHA HARMONY
1
PRENAISSANCE HARMONY DHA
1
PRENAISSANCE NEXT
1
PRENAISSANCE NEXT-B
1
PRENAISSANCE PLUS
1
PRENAISSANCE PROMISE
1
PRENAPLUS
1
PRENATA
3
PRENATABS FA
1
PRENATABS RX
1
PRENATAL 19
1
PRENATAL 19 (WITH DOCUSATE)
1
PRENATAL AD
1
PRENATAL LOW IRON
1
PRENATAL MULTIVIT WITH IRON
1
PRENATAL MV & MIN
1
PRENATAL PLUS
1
PRENATAL PLUS (CALCIUM CARB)
1
PRENATAL PLUS WITH IRON (CA)
1
PRENATAL VITAMINS LOW IRON
1
PRENATAL-U
1
PRENATE AM
3
PRENATE CHEWABLE
3
PRENATE DHA
3
PRENATE DHA (FERR ASP GLYCIN)
3
PRENATE ELITE
3
PRENATE ELITE (IRON ASP GLYC)
3
PRENATE ELITE (NEW FORM)
3
PRENATE ENHANCE
3
PRENATE ESSENTIAL
3
PRENATE ESSENTIAL(IRON-ASP-GL)
3
PRENATE MINI
3
Notes
MDwise Marketplace
145
Drug Name
Reference
Tier
PRENATE MINI (FERR ASP GLYCIN)
3
PRENATE PIXIE
3
PRENATE PLUS
1
PRENATE RESTORE
3
PRENATE STAR
3
PRENEXA
3
PRENEXA PREMIER
3
PREPLUS
1
PREQUE 10
3
PRETAB
1
PROTECT NATAL
3
PROVIDA DHA
3
PROVIDA OB
3
PUREFE OB PLUS
1
PUREFE PLUS
1
RE DUALVIT OB
1
RE OB + DHA
1
RE OB 90 + DHA
1
REAPHIRM
1
RELNATE DHA
1
RE-NATA 29 OB
1
R-NATAL OB
1
ROVIN-A DHA
3
RULAVITE DHA
1
SE-CARE
1
SE-CARE CONCEIVE
1
SE-CARE GESTURE
1
SELECT-OB
1
SELECT-OB (FOLIC ACID)
1
SELECT-OB + DHA
3
SE-NATAL 19
1
SE-NATAL 19 (WITH DOCUSATE)
1
SE-NATAL 90
1
SE-NATAL ONE
1
SE-PLETE DHA
1
SE-TAN DHA
1
SETONET
1
SETONET-EC
1
TANDEM DHA
3
TANDEM OB
3
TARON-BC
1
TARON-C DHA
1
TARON-DUO EC
1
MDwise Marketplace
146
Notes
Drug Name
Reference
Tier
TARON-PREX PRENATAL-DHA
1
THRIVITE-19
1
TL-ASSURE + DHA
3
TL-ASSURE ONE
1
TL-CARE DHA
1
TL-SELECT
1
TL-SELECT DHA
1
TRI RX
1
TRIADVANCE
1
TRICARE
3
TRICARE DHA
3
TRICARE PRENATAL COMPLEAT
3
TRICARE PRENATAL DHA ONE
3
TRIMESIS RX
1
TRINATAL GT
1
TRINATAL RX 1
3
TRINATAL ULTRA
1
TRINATE
1
TRISTART DHA
3
TRI-TABS DHA
1
TRIVEEN-DUO DHA
1
TRIVEEN-ONE
1
TRIVEEN-PRX RNF
1
TRIVEEN-TEN
1
TRIVEEN-U
1
TRUST NATAL DHA
3
ULTIMATE OB DHA
1
ULTIMATECARE ONE
1
ULTIMATECARE ONE NF
1
VEMAVITE-PRX-2
1
VENA-BAL DHA
1
VENATAL COMPLETE DHA
1
VENATAL-FA
1
VINACAL
1
VINATE AZ
1
VINATE C
1
VINATE CALCIUM
1
VINATE CARE
1
VINATE DHA
1
VINATE DHA RF
1
VINATE GT
1
VINATE IC
1
VINATE II
1
Notes
MDwise Marketplace
147
Drug Name
Reference
Tier
VINATE M
1
VINATE ONE
1
VINATE PN CARE
1
VINATE ULTRA
1
VIRT NATE
1
VIRT-ADVANCE
1
VIRT-BAL DHA
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 FE+ (WITH DOCUSATE)
3
VITAFOL NANO
1
VITAFOL ULTRA
3
VITAFOL-OB
3
VITAFOL-OB+DHA
1
VITAFOL-ONE
3
VITAFOL-PLUS
3
VITAFOL-PN (UD)
3
VITAMED MD ONE RX
3
VITAMED MD PLUS RX
3
VITAMEDMD REDICHEW RX
3
VITAMEDMD REDICHEW RX (QUAT)
3
VITAPEARL
3
VITASPIRE
1
VIVA CT
1
VIVA DHA
1
V-NATAL
1
V-NATAL DHA
1
VOL-NATE
1
VOL-PLUS
1
VOL-TAB RX
1
VP CH ULTRA
1
VP-CH PLUS
1
VP-CH-PNV
1
VP-ERA OB PLUS
3
VP-GGR-B6
1
MDwise Marketplace
148
Notes
Drug Name
Reference
Tier
VP-HEME OB
1
VP-HEME OB + DHA
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
ST; QL (3 EA per 1 day)
ABILIFY DISCMELT ORAL
TABLET,DISINTEGRATING 15 MG
2
ST; QL (2 EA per 1 day)
ABILIFY ORAL SOLUTION
2
ST; QL (30 ML per 1 day)
ABILIFY ORAL TABLET
2
ST; QL (1 EA per 1 day)
ADASUVE
4
alprazolam
Xanax
1
ALPRAZOLAM INTENSOL
2
amitriptyline
1
amitriptyline-chlordiazepoxide
Limbitrol
1
amoxapine
1
ANAFRANIL
2
APLENZIN
3
ST; QL (1 EA per 1 day)
APTENSIO XR
3
ST; QL (1 EA per 1 day)
aripiprazole oral solution
Abilify
1
ST; QL (30 ML per 1 day)
aripiprazole oral tablet
Abilify
1
ST; QL (1 EA per 1 day)
aripiprazole oral tablet,disintegrating 10 mg
Abilify Discmelt
1
ST; QL (3 EA per 1 day)
aripiprazole oral tablet,disintegrating 15 mg
Abilify Discmelt
1
ST; QL (2 EA per 1 day)
ATIVAN ORAL
2
BRINTELLIX
3
ST; QL (1 EA per 1 day)
BRISDELLE
3
ST; QL (1 EA per 1 day)
BUDEPRION SR
1
BUDEPRION XL
1
bupropion hcl
Wellbutrin SR
1
buspirone
BuSpar
1
CELEXA ORAL TABLET
chlordiazepoxide hcl
2
Librium
chlorpromazine oral
1
1
citalopram
Celexa
1
clomipramine
Anafranil
1
clonidine hcl oral tablet extended release 12 hr
Kapvay
1
clorazepate dipotassium
Tranxene T-Tab
1
clozapine oral tablet
MDwise Marketplace
4
QL (120 EA per 30 days)
QL (3 EA per 1 day)
149
Drug Name
Reference
clozapine oral tablet
Clozaril
4
QL (3 EA per 1 day)
clozapine oral tablet,disintegrating
FazaClo
4
ST; QL (3 EA per 1 day)
CLOZARIL
4
QL (3 EA per 1 day)
CONCERTA ORAL TABLET EXTENDED
RELEASE 24HR 18 MG, 27 MG, 54 MG
1
QL (1 EA per 1 day)
CONCERTA ORAL TABLET EXTENDED
RELEASE 24HR 36 MG
1
QL (2 EA per 1 day)
CYMBALTA
2
QL (2 EA per 1 day)
DAYTRANA
3
ST; QL (1 EA per 1 day)
desipramine oral
Norpramin
desvenlafaxine fumarate
Tier
Notes
1
3
ST; QL (1 EA per 1 day)
Khedezla
3
ST; QL (1 EA per 1 day)
desvenlafaxine oral tablet extended release 24hr Khedezla
1
ST; QL (1 EA per 1 day)
dexmethylphenidate oral capsule,er biphasic
50-50 10 mg, 20 mg, 30 mg, 40 mg, 5 mg
Focalin XR
1
QL (1 EA per 1 day)
dexmethylphenidate oral tablet
Focalin
1
QL (2 EA per 1 day)
desvenlafaxine oral tablet extended release 24
hr
DIAZEPAM INTENSOL
diazepam oral concentrate
1
Diazepam Intensol
diazepam oral solution 5 mg/5 ml
diazepam oral tablet
1
1
Valium
doxepin oral
1
1
duloxetine oral capsule,delayed release(dr/ec)
20 mg, 30 mg, 60 mg
Cymbalta
1
QL (2 EA per 1 day)
duloxetine oral capsule,delayed release(dr/ec)
40 mg
Irenka
1
QL (1 EA per 1 day)
EFFEXOR XR
2
EMSAM
3
EQUETRO
3
escitalopram oxalate
Lexapro
QL (1 EA per 1 day)
1
FANAPT ORAL TABLET
3
ST; QL (2 EA per 1 day)
FANAPT ORAL TABLETS,DOSE PACK
3
ST; QL (8 EA per 28 days)
FAZACLO
4
ST; QL (3 EA per 1 day)
FETZIMA
3
ST; QL (1 EA per 1 day)
fluoxetine oral capsule
Prozac
1
fluoxetine oral capsule
Selfemra
1
fluoxetine oral capsule,delayed release(dr/ec)
Prozac Weekly
1
fluoxetine oral solution
Prozac
1
fluoxetine oral tablet 10 mg
Sarafem
1
fluoxetine oral tablet 20 mg
Rapiflux
1
fluphenazine hcl oral
1
fluvoxamine oral capsule,extended release 24hr Luvox CR
1
fluvoxamine oral tablet
1
FOCALIN
2
QL (2 EA per 1 day)
FOCALIN XR
2
QL (1 EA per 1 day)
MDwise Marketplace
150
ST; QL (2 EA per 1 day)
Drug Name
Reference
Tier
Notes
FORFIVO XL
3
ST; QL (1 EA per 1 day)
GEODON ORAL
2
QL (2 EA per 1 day)
1
QL (1 EA per 1 day)
guanfacine oral tablet extended release 24 hr
Intuniv
haloperidol
1
haloperidol lactate oral
1
imipramine hcl
Tofranil
1
imipramine pamoate
Tofranil-PM
1
INTUNIV ER
3
QL (1 EA per 1 day)
INVEGA ORAL TABLET EXTENDED
RELEASE 24HR 1.5 MG, 3 MG, 9 MG
3
ST; QL (1 EA per 1 day)
INVEGA ORAL TABLET EXTENDED
RELEASE 24HR 6 MG
3
ST; QL (2 EA per 1 day)
IRENKA
3
ST; QL (1 EA per 1 day)
KAPVAY
3
QL (120 EA per 30 days)
KAPVAY DOSE PACK
3
QL (60 EA per 30 days)
KHEDEZLA
3
ST; QL (1 EA per 1 day)
LATUDA ORAL TABLET 120 MG, 20 MG, 40
MG, 60 MG
3
ST; QL (30 EA per 30
days)
LATUDA ORAL TABLET 80 MG
3
ST; QL (60 EA per 30
days)
LEXAPRO
2
lithium carbonate
Lithobid
1
lithium citrate oral solution 8 meq/5 ml
1
LITHOBID
2
LORAZEPAM INTENSOL
1
lorazepam oral
Ativan
1
lorazepam oral
Lorazepam Intensol
1
loxapine succinate
Loxitane
1
LOXITANE
2
LUVOX CR
3
maprotiline
1
MARPLAN
3
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)
METADATE ER
1
QL (90 EA per 30 days)
METHYLIN ER ORAL TABLET EXTENDED
RELEASE 10 MG
1
QL (3 EA per 1 day)
METHYLIN ER ORAL TABLET EXTENDED
RELEASE 20 MG
1
QL (90 EA per 30 days)
METHYLIN ORAL SOLUTION
2
METHYLIN ORAL TABLET
1
QL (90 EA per 30 days)
METHYLIN ORAL TABLET,CHEWABLE
2
QL (90 EA per 30 days)
ST; QL (2 EA per 1 day)
MDwise Marketplace
151
Drug Name
Reference
Tier
Notes
methylphenidate oral capsule, er biphasic 30-70
METADATE CD
10 mg, 20 mg, 40 mg, 50 mg, 60 mg
1
QL (1 EA per 1 day)
methylphenidate oral capsule, er biphasic 30-70
METADATE CD
30 mg
1
QL (2 EA per 1 day)
methylphenidate oral capsule,er biphasic 50-50
Ritalin LA
20 mg, 40 mg
1
QL (1 EA per 1 day)
methylphenidate oral capsule,er biphasic 50-50
Ritalin LA
30 mg
1
QL (2 EA per 1 day)
methylphenidate oral solution
Methylin
1
methylphenidate oral tablet
Methylin
1
QL (90 EA per 30 days)
methylphenidate oral tablet
Ritalin
1
QL (90 EA per 30 days)
methylphenidate oral tablet extended release 10
METADATE ER
mg
1
QL (3 EA per 1 day)
methylphenidate oral tablet extended release 20
METADATE ER
mg
1
QL (90 EA per 30 days)
methylphenidate oral tablet extended release
24hr 18 mg, 27 mg, 54 mg
CONCERTA
1
QL (1 EA per 1 day)
methylphenidate oral tablet extended release
24hr 36 mg
CONCERTA
1
QL (2 EA per 1 day)
methylphenidate oral tablet,chewable
Methylin
1
QL (90 EA per 30 days)
mirtazapine
Remeron SolTab
1
MOBAN
modafinil
3
Provigil
1
NARDIL
2
NAVANE
2
nefazodone
1
NIRAVAM
3
NORPRAMIN
2
nortriptyline
Pamelor
NUVIGIL
PA
1
3
PA
olanzapine oral
Zyprexa
1
QL (1 EA per 1 day)
olanzapine oral
Zyprexa Zydis
1
QL (1 EA per 1 day)
olanzapine-fluoxetine
Symbyax
1
QL (1 EA per 1 day)
OLEPTRO ER
3
ST; QL (3 EA per 2 days)
ORAP
3
oxazepam
1
paliperidone oral tablet extended release 24hr
1.5 mg, 3 mg, 9 mg
Invega
1
ST; QL (1 EA per 1 day)
paliperidone oral tablet extended release 24hr 6
Invega
mg
1
ST; QL (2 EA per 1 day)
PAMELOR
2
PARNATE
2
paroxetine hcl
Paxil
1
PAXIL
2
PAXIL CR
3
perphenazine
1
MDwise Marketplace
152
Drug Name
Reference
Tier
perphenazine-amitriptyline
1
PEXEVA
3
phenelzine
Nardil
1
pimozide
Orap
1
PRISTIQ
protriptyline
2
Vivactil
2
PROZAC ORAL CAPSULE
2
PROZAC WEEKLY
2
Seroquel
ST; QL (1 EA per 1 day)
ST; QL (1 EA per 1 day)
1
PROVIGIL
quetiapine
Notes
PA
1
QL (3 EA per 1 day)
QUILLIVANT XR
3
ST; QL (2 ML per 1 day)
REMERON
2
REMERON SOLTAB
2
REXULTI
3
ST; QL (1 EA per 1 day)
RISPERDAL M-TAB
2
QL (2 EA per 1 day)
RISPERDAL ORAL SOLUTION
2
QL (8 ML per 1 day)
RISPERDAL ORAL TABLET
2
QL (2 EA per 1 day)
risperidone oral solution
Risperdal
1
QL (8 ML per 1 day)
risperidone oral tablet
Risperdal
1
QL (2 EA per 1 day)
1
QL (2 EA per 1 day)
1
QL (2 EA per 1 day)
RITALIN
2
QL (90 EA per 30 days)
RITALIN LA ORAL CAPSULE,ER BIPHASIC
50-50 10 MG, 20 MG, 40 MG, 60 MG
2
QL (1 EA per 1 day)
RITALIN LA ORAL CAPSULE,ER BIPHASIC
50-50 30 MG
2
QL (2 EA per 1 day)
RITALIN SR
2
QL (90 EA per 30 days)
SAPHRIS
3
ST; QL (2 EA per 1 day)
SAPHRIS (BLACK CHERRY)
3
ST; QL (2 EA per 1 day)
SARAFEM ORAL TABLET
3
SELFEMRA
1
SEROQUEL
2
QL (3 EA per 1 day)
SEROQUEL XR ORAL TABLET EXTENDED
RELEASE 24 HR
3
ST; QL (1 EA per 1 day)
risperidone oral tablet,disintegrating
risperidone oral tablet,disintegrating
sertraline
Risperdal M-TAB
Zoloft
1
STRATTERA ORAL CAPSULE 10 MG, 18 MG,
25 MG, 40 MG
2
QL (60 EA per 30 days)
STRATTERA ORAL CAPSULE 100 MG, 60
MG, 80 MG
2
QL (30 EA per 30 days)
SURMONTIL
3
SYMBYAX
2
thioridazine
1
thiothixene
1
TOFRANIL
2
TOFRANIL-PM
MDwise Marketplace
3
QL (1 EA per 1 day)
153
Drug Name
Reference
TRANXENE T-TAB
Tier
2
tranylcypromine
Parnate
1
trazodone
Desyrel
1
trifluoperazine
trimipramine
Notes
1
Surmontil
1
VALIUM
2
VANSPAR
2
venlafaxine oral capsule,extended release 24hr
Effexor XR
1
venlafaxine oral tablet
Effexor
1
venlafaxine oral tablet extended release 24hr
150 mg, 37.5 mg, 75 mg
1
venlafaxine oral tablet extended release 24hr
225 mg
3
VERSACLOZ
4
ST; QL (18 ML per 1 day)
VIIBRYD
3
ST; QL (1 EA per 1 day)
VIVACTIL
3
VYVANSE
2
WELLBUTRIN
2
WELLBUTRIN SR
2
WELLBUTRIN XL
2
XANAX
2
XANAX XR
3
ziprasidone hcl
Geodon
1
ST; QL (1 EA per 1 day)
QL (2 EA per 1 day)
ZOLOFT
2
ZYPREXA ORAL
2
QL (1 EA per 1 day)
ZYPREXA ZYDIS
2
QL (1 EA per 1 day)
AMBIEN
2
QL (1 EA per 1 day)
AMBIEN CR
2
ST; QL (1 EA per 1 day)
BELSOMRA ORAL TABLET 10 MG, 15 MG, 20
MG
3
ST; QL (1 EA per 1 day)
BUTISOL
3
chloral hydrate
1
DORAL
3
EDLUAR
3
SEDATIVE/HYPNOTICS
estazolam
Prosom
1
eszopiclone
Lunesta
1
EZ NITE SLEEP ORAL CAPSULE
flurazepam
ST; QL (1 EA per 1 day)
QL (1 EA per 1 day)
1
Dalmane
1
HALCION ORAL TABLET 0.25 MG
2
HETLIOZ
4
PA
INTERMEZZO
3
ST; QL (1 EA per 1 day)
LUNESTA
2
QL (1 EA per 1 day)
midazolam oral
1
MDwise Marketplace
154
Drug Name
Reference
Tier
midazolam oral syrup 2 mg/ml
1
phenobarbital
1
quazepam
Doral
Notes
1
RESTORIL
2
ROZEREM
3
SECONAL SODIUM
3
SILENOR
3
SLEEP AID (DIPHENHYDRAMINE) ORAL
CAPSULE
1
SOMNOTE
1
SONATA
2
temazepam
Restoril
1
triazolam
Halcion
1
ST; QL (1 EA per 1 day)
ST; QL (1 EA per 1 day)
QL (1 EA per 1 day)
WAL-SLEEP Z ORAL CAPSULE
1
XYREM
4
PA
zaleplon
Sonata
1
QL (1 EA per 1 day)
zolpidem oral tablet
Ambien
1
QL (1 EA per 1 day)
zolpidem oral tablet,ext release multiphase
Ambien CR
1
ST; QL (1 EA per 1 day)
ZOLPIMIST
3
ST; QL (7.7 ML per 30
days)
Z-SLEEP ORAL CAPSULE
1
SKIN PREPS
8-MOP
2
ABSORICA
3
ACANYA
3
acetic acid irrigation
1
acitretin
Soriatane
4
ACLARO
3
ACLARO PD
3
ACLOVATE
2
ACNE & BLACKHEAD TERMINATOR
1
ACNE FOAMING WASH
1
ACNE MEDICATION TOPICAL GEL
1
ACNE TREATMENT (BENZOYL PEROX)
TOPICAL GEL
1
ACNE TREATMENT PACK
1
ACNE-CLEAR
1
ACTICIN
1
ACZONE
3
adapalene
Differin
1
AL 12
1
ALA-CORT TOPICAL CREAM
1
ALA-QUIN
3
ALA-SCALP
1
AGE
MDwise Marketplace
155
Drug Name
Reference
alclometasone
Aclovate
Tier
1
ALCORTIN A
3
ALDARA
2
ALEVICYN ANTIPRURITIC
3
ALEVICYN ANTIPRURITIC SG
3
ALEVICYN DERMAL
3
ALICLEN
1
ALOQUIN
3
ALPHAQUIN HP
1
ALTABAX
3
aluminum acetate
1
ALUVEA
3
amcinonide
1
AMLACTIN
1
ammonium lactate topical
AmLactin
1
ammonium lactate topical
Moist Skin
1
AMNESTEEM
1
ANALPRAM-HC TOPICAL
2
ANTI-ITCH (HC) TOPICAL CREAM
1
ANTI-ITCH (HC) TOPICAL LOTION
1
ANTI-ITCH (HC) TOPICAL OINTMENT
1
ANTISEPTIC ORAL CLEANSER
1
APEXICON
2
APEXICON E
2
APOP
3
AQUA GLYCOLIC HC
3
AQUANIL HC
1
ARIDA
3
ARTISS
3
ARTISS-DUPLOJECT SYSTEM
3
ATOPICLAIR
3
ATRALIN
3
ATRAPRO CP
3
ATRAPRO DERMAL SPRAY
3
ATRAPRO HYDROGEL
3
AURSTAT TOPICAL GEL
3
AURSTAT TOPICAL KIT,CREAM AND GEL
3
AURSTAT TOPICAL KIT,CREAM AND GEL
96.53-3-0.4 -0.066 %
1
AVITA
1
AVO CREAM
1
AZELEX
3
MDwise Marketplace
156
Notes
PA; QL (24 EA per 30
days)
AGE
AGE
Drug Name
Reference
Tier
BEAU RX
3
BENSAL HP TOPICAL OINTMENT 3 %
3
BENZAC AC
2
BENZAC AC WASH
2
BENZAC W WASH
2
BENZACLIN
2
BENZACLIN CAREKIT
3
BENZACLIN PUMP
3
benzalkonium chloride solution 17 %
1
BENZASHAVE-10
2
BENZASHAVE-5
2
BENZEFOAM
3
BENZEFOAM ULTRA
3
BENZEPRO
1
BENZEPRO (MICROSPHERES)
1
BENZIQ
3
BENZIQ LS
3
benzoin
1
BENZOIN COMPOUND TOPICAL TINCTURE
10-2-8-4 %
1
benzoyl peroxide
Triaz Cleanser
BENZOYL PEROXIDE ACNE WASH
benzoyl peroxide microspheres
NeoBenz Micro
Peroderm
1
1
1
Diprosone
betamethasone valerate
betamethasone, augmented
1
1
BETA-HC
betamethasone dipropionate
ST; QL (30 GM per 30
days)
1
BENZOYL PEROXIDE WASH
benzoyl peroxide-urea
Notes
1
1
Diprolene AF
1
BIAFINE EMULSION
3
BIONECT
3
BLANCHE
3
BP
1
BP 7 % WASH KIT
1
BP FOAM
1
BP WASH (MICROSPHERES)
1
BP WASH ACNE TREATMENT
1
BP WASH TOPICAL CLEANSER 10 %, 2.5 %, 5
%
2
BP WASH TOPICAL CLEANSER 7 %
3
BP-50% UREA
1
BPO CREAMY WASH PACK TOPICAL KIT 8-5
%
1
MDwise Marketplace
157
Drug Name
Reference
Tier
BPO TOPICAL TOWELETTE
1
BPO-10
1
BPO-5
1
BREVOXYL-4
2
BREVOXYL-4 COMPLETE PACK
3
BREVOXYL-8
2
BREVOXYL-8 COMPLETE PACK
3
calcipotriene
Dovonex
CALCITRENE
calcitriol topical
Vectical
1
ST
1
ST
1
ST
CAPEX
3
CARB-O-PHILIC TOPICAL CREAM 40 %
1
CARB-O-PHILIC TOPICAL GEL
3
CARMOL 40
3
CARMOL HC
2
CARMOL SCALP TREATMENT
3
CELACYN
3
CEM-UREA
1
CLARAVIS
1
CLEANSE AND TREAT
3
clindamycin-benzoyl peroxide
Benzaclin
CLOBETA+PLUS
1
3
clobetasol
Cormax
1
clobetasol-coal tar
Clobeta+Plus
3
clobetasol-emollient
Temovate E
1
CLOBEX
clocortolone pivalate
2
Cloderm
1
CLODAN
2
CLODAN KIT
3
CLODERM
3
CONDYLOX
2
CONSTANT CLENS
3
CORDRAN SP TOPICAL CREAM 0.05 %
2
CORDRAN TAPE SMALL ROLL
2
CORDRAN TOPICAL CREAM
2
CORDRAN TOPICAL LOTION
2
CORDRAN TOPICAL OINTMENT
2
CORMAX TOPICAL OINTMENT
1
CORMAX TOPICAL SOLUTION
1
CORTAID TOPICAL CREAM
1
CORTALO
3
CORTISONE (HYDROCORTISONE)
1
CORTIZONE-10 PLUS
1
MDwise Marketplace
158
Notes
Drug Name
Reference
Tier
Notes
CORTIZONE-10 TOPICAL CREAM
1
CORTIZONE-10 TOPICAL LOTION
2
CORTIZONE-10 TOPICAL OINTMENT
1
COSENTYX
4
PA
COSENTYX (2 SYRINGES)
4
PA
COSENTYX PEN
4
PA
COSENTYX PEN (2 PENS)
4
PA
CREAMY ACNE FACE
1
CURITY STERILE WATER
1
CUTIVATE
2
DELOS
3
DERMACERIN
1
DERMAREST ECZEMA (HYDROCORT)
1
DERMASILKRX SDS
1
DERMA-SMOOTHE/FS BODY OIL
3
DERMA-SMOOTHE/FS SCALP OIL
3
DERMASORB AF COMPLETE KIT
3
DERMASORB HC COMPLETE KIT
3
DERMASORB TA COMPLETE KIT
3
DERMASORB XM COMPLETE KIT
3
DERMATOP
3
DERMAZENE
1
DESONATE
3
desonide
DesOwen
1
DESONIL
3
DESONIL + PLUS
3
DESOWEN OINTMENT & LOTION
3
DESOWEN TOPICAL CREAM
2
DESOWEN TOPICAL KIT,LOTION &
CREAM,EMOLLIENT
3
DESOWEN TOPICAL LOTION
2
DESOWEN TOPICAL OINTMENT
1
desoximetasone
Topicort
1
DESQUAM-X TOPICAL CLEANSER 10 %
2
DESQUAM-X TOPICAL CLEANSER 5 %
1
diclofenac sodium topical drops
Pennsaid
DIFFERIN
diflorasone
1
2
Psorcon
ST; QL (1 EA per 30 days)
AGE
1
DIPROLENE
2
DIPROLENE AF
2
DOAK TAR DISTILLATE
3
DOVONEX
2
ST
DRITHOCREME
2
ST
MDwise Marketplace
159
Drug Name
Reference
Tier
Notes
DRITHO-SCALP
2
DRY SKIN THERAPY
1
DRY SKIN TREATMENT
1
DRYSOL DAB-O-MATIC
2
DUAC
3
DUAC CS
2
DURASAL
3
ECZEMA ANTI-ITCH
1
ELDOPAQUE FORTE
3
ELDOQUIN FORTE
3
ELETONE
3
ELIMITE
2
ELOCON
2
EMULSION SB
1
EPICERAM
3
EPIDUO
3
QL (45 GM per 30 days);
AGE
EPIDUO FORTE
3
QL (45 GM per 30 days);
AGE
EPIFOAM
3
EPIQUIN MICRO
3
EUCERIN
3
EURAX
2
FABIOR
2
FINACEA
3
FINACEA PLUS
3
FLECTOR
3
fluocinolone
1
fluocinolone-shower cap
Derma-Smoothe/FS Scalp Oil
1
fluocinonide
1
FLUOCINONIDE-E
1
fluocinonide-emollient
Fluocinonide-E
1
fluticasone topical
Cutivate
1
FOAMING ACNE FACE WASH
1
FORMA-RAY
3
FRESHNET
3
GENADUR
3
GERI-HYDROLAC TOPICAL CREAM
1
GORDONS UREA
3
GRANULEX
1
guaiacol
3
HALAC
1
halobetasol propionate
HALOG
MDwise Marketplace
160
Ultravate
1
3
AGE
Drug Name
Reference
Tier
HALONATE
3
HALONATE PAC
3
HEX-ON LIGHT ODOR
3
HPR
3
HPR PLUS HYDROGEL
1
HPR PLUS TOPICAL CREAM
1
HPR PLUS TOPICAL FOAM
3
HPR PLUS-MB HYDROGEL
1
HYDRO 35
3
HYDRO 40
3
HYDROCERIN TOPICAL CREAM
1
hydrocortisone acet-aloe vera
1
hydrocortisone butyrate
Locoid
1
hydrocortisone butyr-emollient
Locoid Lipocream
2
HYDROCORTISONE PLUS
1
HYDROCORTISONE PLUS 12
1
hydrocortisone topical cream 1 %
Anti-Itch (HC)
1
hydrocortisone topical cream 2.5 %
Hytone
1
hydrocortisone topical lotion
1
hydrocortisone topical lotion
Aquanil HC
1
hydrocortisone topical ointment 1 %
Cortizone-10
1
hydrocortisone topical ointment 2.5 %
1
hydrocortisone valerate
Westcort
1
hydrocortisone-iodoquinol-aloe
Vytone
1
hydrocortisone-min oil-wht pet
hydrocortisone-pramoxine topical
1
Pramosone
1
HYDROCREAM
1
HYDRO-IODOQUINOL 2-1
1
hydroquinone
Lustra
1
hydroquinone microspheres
EpiQuin Micro
1
hydroquinone with sunscreen
Solaquin Forte
1
HYDROSKIN
1
HYGEL TOPICAL GEL 0.2 %
1
HYGEL TOPICAL GEL 2.5 %
3
HYLASE
3
HYLATOPIC
3
HYLATOPIC PLUS
3
HYLATOPIC PLUS-AURSTAT
1
HYLIRA
1
HYPERCARE
1
ICY HOT MEDICATED SLEEVE
3
imiquimod
Notes
Aldara
1
PA; QL (24 EA per 30
days)
MDwise Marketplace
161
Drug Name
Reference
Tier
INOVA
3
INOVA 4-1
3
INOVA 8-2
3
iodine-potassium iodide
Strong Iodine
IODOFLEX
iodoquinol-hc
1
3
Dermazene
1
IODOSORB
3
ITCH-X HC
1
KENALOG TOPICAL
2
KERAFOAM
3
KERALAC
3
KERALAC NAILSTIK
3
KERALYT RX
3
KERALYT SCALP COMPLETE
3
KEROL
3
KEROL AD
3
KEROL REDI-CLOTHS
3
KLARON
2
LAC-HYDRIN
3
LAC-HYDRIN TWELVE
3
LACLOTION
1
lactated ringers irrigation
3
lactic acid
Lactinol
1
lactic acid (bulk) liquid
3
LACTIC ACID E
1
LATRIX
1
LATRIX XM
1
LAVOCLEN-4
1
LAVOCLEN-4 (NEW CLEANSER)
1
LAVOCLEN-8
1
LAVOCLEN-8 (NEW CLEANSER)
1
LIDAMANTLE HC
3
lidocaine hcl-hydrocortison ac topical
LidaMantle HC
1
lidocaine hcl-hydrocortison ac topical
Lidocaine-HC
1
lindane
1
LOCOID TOPICAL CREAM
2
LOCOID TOPICAL LOTION
3
LOCOID TOPICAL OINTMENT
2
LOCOID TOPICAL SOLUTION
2
LOUTREX
1
LUGOLS TOPICAL
1
LUSTRA
3
LUSTRA-AF
3
MDwise Marketplace
162
Notes
Drug Name
Reference
Tier
LUSTRA-ULTRA
3
LUXIQ
3
LYCELLE
3
malathion
Ovide
1
MB HYDROGEL
1
MB HYDROGEL (CYCLOMETHICONE)
1
MEDIHONEY (HONEY) TOPICAL PASTE
3
MELPAQUE HP
1
MELQUIN 3
1
MELQUIN HP
1
methoxsalen rapid
Oxsoralen Ultra
1
methyl salicylate
1
METROCREAM
2
METROGEL KIT
3
METROGEL TOPICAL GEL 1 %
3
METROGEL TOPICAL GEL WITH PUMP
3
METROLOTION
2
metronidazole topical
MetroCream
1
metronidazole topical
Metrogel
1
metronidazole topical
MetroLotion
1
metronidazole topical
Nydamax
1
MIMYX
3
MINERIN TOPICAL CREAM
1
MIRVASO
3
MOISTURIZING
1
MOISTURIZING CREAM
1
mometasone
Elocon
3
MYORISAN
1
NATROBA
3
NEOBENZ MICRO CREAM PLUS PACK
3
NEOBENZ MICRO SD
3
NEOBENZ MICRO WASH PLUS PACK
3
Neosporin GU Irrigant
QL (30 GM per 30 days)
1
MOMEXIN
neomycin-polymyxin b gu
Notes
1
NEOSALUS
3
NEOSPORIN ANTI-ITCH
1
NEOSPORIN GU IRRIGANT
3
NEUAC
1
NEUAC KIT
3
NEUTROGENA SENSITIVE SKN MOIST
1
NIVATOPIC PLUS
1
NOBLE FORMULA HC TOPICAL CREAM
1
NORITATE
3
MDwise Marketplace
163
Drug Name
Reference
Tier
NORMLGEL AG
3
NOURIVA REPAIR
1
NOVACORT
3
NUCORT
3
NUOX
3
NUQUIN HP
1
NUVAIL
3
NUZON
3
OBAGI ELASTIDERM
1
OBAGI NU-DERM BLENDER
1
OBAGI NU-DERM CLEAR
1
OBAGI NU-DERM SUNFADER
3
OBAGI-C CLARIFYING SERUM
3
OBAGI-C THERAPY NIGHT
3
OC8
2
ODOR ELIMINATOR DROPS
3
OLUX
2
OLUX-E
3
OLUX-OLUX-E (100/10)
3
OLUX-OLUX-E (50/50)
3
ONEXTON
3
OPTASE
3
OSCION
1
OVACE
3
OVACE PLUS SHAMPOO
2
OVACE PLUS TOPICAL
CLEANSER,EXTENDED RELEASE
3
OVACE PLUS TOPICAL CREAM
3
OVACE PLUS TOPICAL CREAM,EXTENDED
RELEASE
3
OVACE PLUS TOPICAL FOAM
3
OVACE PLUS TOPICAL LOTION
3
OVACE PLUS WASH
3
OVIDE
2
OXALIS
3
OXSORALEN
2
OXSORALEN ULTRA
2
PACNEX
3
PACNEX HP
3
PACNEX LP
3
PACNEX MX
3
PANDEL
2
PANOXYL TOPICAL CLEANSER
1
PANOXYL-4
1
MDwise Marketplace
164
Notes
ST
Drug Name
Reference
Tier
PEDIADERM HC
3
PEDIADERM TA
3
PENNSAID
3
permethrin topical cream
Acticin
1
PEROXYL
1
PERSA-GEL
1
PHISOHEX
3
PHYSIOLYTE
3
PHYSIOSOL IRRIGATION
3
PODOCON
1
Condylox
1
potassium hydroxide
1
PR BENZOYL PEROXIDE
1
PR CREAM
1
PRAMOSONE
2
prednicarbate
DERMATOP
ST
1
PEROXIDE SORE MOUTH CLEANSER
podofilox
Notes
1
PREPARATION H HYDROCORTISONE
1
PRESERA
3
PROMISEB
3
PROMISEB COMPLETE
3
PRUCLAIR
1
PRUDOXIN
3
PRUMYX
1
PRUTECT
1
PYROGALLIC ACID
3
QUTENZA
3
RADIAPLEXRX
3
RE 10 WASH
1
RE SA
1
RE UREA 40
1
REA LO 39
3
REA LO 40
3
RECORT PLUS
1
REGRANEX
2
RELYYT
3
REMEVEN
1
RETIN-A
3
AGE
RETIN-A MICRO
3
AGE
RETIN-A MICRO PUMP
3
AGE
RE-U40
1
REVINA
1
RIAX
3
PA
MDwise Marketplace
165
Drug Name
Reference
ringers irrigation
Tis-U-Sol
Tier
1
RINNOVI NAIL SYSTEM
3
RISABAL-PH
1
ROSADAN TOPICAL CREAM
1
ROSADAN TOPICAL KIT, CLEANSER & GEL
3
ROSADAN TOPICAL KIT,CLEANSER AND
CREAM
3
ROSULA NS
3
SA
1
SALACYN TOPICAL CREAM
3
SALACYN TOPICAL LOTION
1
SALEX
3
salicylic acid sr-ceramides
Salex
1
salicylic acid topical cream
Salacyn
1
salicylic acid topical cream,extended release
Akurza
1
salicylic acid topical film forming liquid w/appl
Virasal
27.5 %
1
salicylic acid topical foam
Salkera
1
salicylic acid topical gel
Keralyt Rx
1
salicylic acid topical liquid 26 %
Durasal
1
salicylic acid topical lotion
Salacyn
1
salicylic acid topical lotion,extended release
Salex
1
salicylic acid topical shampoo
Salex
1
salicylic acid-ammon lact-aloe
Salkera
1
SALKERA
1
SALVAX
1
SALVAX DUO PLUS
3
SANTYL
3
SCALACORT
2
SCALACORT DK
2
SCALP TREATMENT KIT
1
SE BPO
1
SEA-CLENS WOUND CLEANSER
1
SEB-PREV
1
selenium sulfide
1
SELSEB
3
silver nitrate applicators
1
silver nitrate topical
1
SILVRSTAT
3
SINELEE TOPICAL ADHESIVE
PATCH,MEDICATED 0.05-5 %
3
SKIN TREATMENT
1
SKLICE
3
sodium chloride irrigation
MDwise Marketplace
166
Sea-Clens Wound Cleanser
1
Notes
Drug Name
Reference
sodium hyaluronate
Hylira
Tier
1
SOLAICE
3
SONAFINE
1
SOOLANTRA
3
SOOTHING CARE (HYDROCORTISONE)
1
sorbitol irrigation
1
sorbitol-mannitol
1
SORIATANE ORAL CAPSULE 10 MG, 17.5
MG, 25 MG
4
SORILUX
3
SOTRET ORAL CAPSULE 20 MG
1
spinosad
Natroba
STRONG IODINE TOPICAL
ST
1
1
sulfacetamide sodium (acne)
Klaron
1
sulfacetamide sodium topical cleanser
Ovace Plus
1
sulfacetamide sodium topical cleanser, gel
sulfacetamide sodium-urea
Notes
1
CARMOL Scalp Treatment
1
SYNALAR
2
SYNALAR CREAM KIT
3
SYNALAR OINTMENT KIT
3
SYNALAR TS
3
TAZORAC
2
TEMOVATE
2
TEMOVATE E
2
TERSI FOAM
3
TETRIX
3
TEXACORT
2
THERAPEUTIC MOISTURIZING
1
TL 4.25% BPO MX
1
TL 45% UREA
1
TL TRISEB (WITH TELMESTEINE)
1
TL-CERMIDE
1
TOPICORT TOPICAL CREAM
2
TOPICORT TOPICAL GEL
2
TOPICORT TOPICAL OINTMENT
2
TOPICORT TOPICAL SPRAY,NON-AEROSOL
3
ST
tretinoin microspheres
Retin-A Micro
1
AGE
tretinoin topical
Atralin
1
AGE
tretinoin topical
Avita
1
AGE
tretinoin topical
Retin-A
1
AGE
TRETIN-X (GEL)
3
AGE
TRETIN-X CREAM KIT
3
AGE
TRETIN-X TOPICAL CREAM 0.0375 %
3
AGE
MDwise Marketplace
167
Drug Name
Reference
triamcinolone acetonide topical
Tier
1
triamcinolone acetonide topical
Kenalog
1
triamcinolone acetonide topical
Trianex
1
TRIANEX
1
TRIAZ CLEANSER
2
TRIAZ TOPICAL PADS, MEDICATED
2
TRIAZ TOPICAL TOWELETTE
3
TRIDERM TOPICAL CREAM
1
TRI-LUMA
3
TROPAZONE CREAM
3
TROPAZONE LOTION
3
U40
1
ULESFIA
3
ULTRA-FRESH TOPICAL
3
ULTRASAL-ER
3
ULTRAVATE
2
ULTRAVATE PAC
3
ULTRAVATE X
3
UMECTA NAIL FILM PEN
3
UMECTA PD
3
UMECTA TOPICAL EMULSION
3
UMECTA TOPICAL FOAM
1
UMECTA TOPICAL NAIL FILM SUSPENSION
3
UMECTA TOPICAL SUSPENSION
3
URAMAXIN GT
3
URAMAXIN TOPICAL CREAM
3
URAMAXIN TOPICAL FOAM
3
URAMAXIN TOPICAL LOTION
3
UREA (WITH LA & SAL ACID)
1
UREA 40
1
UREA 50%
1
UREA NAIL STICK
1
urea topical cream 39 %
Aluvea
1
urea topical cream 40 %
Urea-C40
1
urea topical cream 45 %
Uramaxin
1
urea topical cream 47 %
Keralac
1
urea topical cream 50 %
Urealac
1
urea-hyaluronate sodium
Umecta
1
UREVAZ
3
VANOS
2
VANOXIDE-HC
2
VASHE WOUND THERAPY
3
VASOLEX
1
MDwise Marketplace
168
Notes
Drug Name
Reference
Tier
VECTICAL
2
VEHICLE/N
3
VEHICLE/N MILD
3
VELTIN
3
VERDESO
3
VIRASAL
3
vitamin e topical oil
1
VITAZOL
1
VOLTAREN TOPICAL
2
VYTONE
3
water for irrigation, sterile
Curity Sterile Water
Notes
ST
1
WESTCORT TOPICAL CREAM
1
WESTCORT TOPICAL OINTMENT
2
XCLAIR
3
XENADERM
3
XERAC AC
3
X-VIATE TOPICAL CREAM
1
X-VIATE TOPICAL GEL
3
X-VIATE TOPICAL LOTION
1
ZACARE
3
ZENATANE
1
ZENIEVA
3
ZIANA
2
ZITHRANOL
3
ST
ZITHRANOL-RR
3
ST
ZODERM
3
ZODERM REDI-PADS
3
ZONALON
3
ZYCLARA TOPICAL CREAM IN
METERED-DOSE PUMP 2.5 %
3
PA; QL (7.5 GM per 1 day)
ZYCLARA TOPICAL CREAM IN
METERED-DOSE PUMP 3.75 %
3
PA; QL (7.5 GM per 28
days)
ZYCLARA TOPICAL CREAM IN PACKET
3
PA; QL (1 EA per 1 day)
BUPROBAN
5
QL (2 EA per 1 day); AGE
CHANTIX
5
QL (2 EA per 1 day); AGE
CHANTIX CONTINUING MONTH BOX
5
QL (2 EA per 1 day); AGE
CHANTIX STARTING MONTH BOX
5
QL (2 EA per 1 day); AGE
CHANTIX STARTING MONTH PAK
5
QL (2 EA per 1 day); AGE
COMMIT
5
QL (9 EA per 1 day); AGE
NICODERM CQ
5
QL (1 EA per 1 day); AGE
NICORELIEF
5
QL (9 EA per 1 day); AGE
NICORETTE
5
QL (9 EA per 1 day); AGE
5
QL (9 EA per 1 day); AGE
SMOKING DETERRENTS
nicotine (polacrilex)
MDwise Marketplace
Nicorelief
169
Drug Name
Reference
nicotine transdermal patch 24 hour
Tier
Notes
5
QL (1 EA per 1 day); AGE
5
QL (1 EA per 1 day); AGE
nicotine transdermal patch, td daily, sequential
5
AGE
NICOTROL
5
ST; QL (1008 EA per 90
days); AGE
NICOTROL NS
5
ST; QL (160 ML per 90
days); AGE
NTS STEP 1
5
QL (1 EA per 1 day); AGE
QUIT 2
5
QL (9 EA per 1 day); AGE
QUIT 4
5
QL (9 EA per 1 day); AGE
STOP SMOKING AID
5
QL (9 EA per 1 day); AGE
THRIVE NICOTINE
5
QL (9 EA per 1 day); AGE
ZYBAN
5
QL (2 EA per 1 day); AGE
nicotine transdermal patch 24 hour
Nicoderm CQ
THYROID PREPS
ARMOUR THYROID
2
CYTOMEL
2
LEVOTHROID
2
levothyroxine oral
Levothroid
1
levothyroxine oral
Synthroid
1
levothyroxine oral
Unithroid
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 oral
Cytomel
1
methimazole oral tablet 10 mg, 5 mg
Northyx
1
NATURE-THROID
1
NP THYROID
1
propylthiouracil
1
SYNTHROID
2
TAPAZOLE
2
THYROLAR-1
3
THYROLAR-1/2
3
THYROLAR-1/4
3
THYROLAR-2
3
THYROLAR-3
3
TIROSINT
3
UNITHROID
2
WESTHROID
1
WESTHROID-P
1
WP THYROID
1
UNCLASSIFIED DRUG PRODUCTS
ACTONEL ORAL TABLET 150 MG
3
ST; QL (1 EA per 30 days)
ACTONEL ORAL TABLET 30 MG, 5 MG
3
ST; QL (1 EA per 1 day)
MDwise Marketplace
170
Drug Name
Reference
ACTONEL ORAL TABLET 35 MG
Tier
Notes
3
ST; QL (1 EA per 7 days)
QL (75 ML per 7 days)
alendronate oral solution
Fosamax
1
alendronate oral tablet
Fosamax
1
alfuzosin
Uroxatral
1
aluminum monostearate
3
ANTABUSE
2
APLIGRAF
3
APPLE-ADE FLAVOR
3
AQUA GLYCOLIC FACE
3
AQUORAL
3
AR CAPS
3
ARALAST NP
4
ARCALYST
4
ATELVIA
3
ST; QL (1 EA per 7 days)
AVODART
2
ST; M
BANANA CONCENTRATE
3
BANANA CREAM FLAVOR
3
banana flavor (bulk)
3
BASE, PCCA SYRUP VEHICLE
3
BERINERT INTRAVENOUS RECON SOLN
4
PA
BINOSTO
3
ST; QL (4 EA per 28 days)
BITTERNESS MASK FLAVOR
3
BLUEBERRY FLAVOR
3
BONIVA ORAL
2
BUBBLE GUM CONCENTRATE
3
BUBBLE GUM FLAVORING
3
bubblegum flavor (bulk)
Bubble Gum Concentrate
BUNAVAIL
3
3
PA
buprenorphine hcl sublingual
Subutex
1
PA
buprenorphine-naloxone
Suboxone
1
PA
BUTTERSCOTCH FLAVORING
3
butylated hydroxytoluene powder
3
calcipotriene-betamethasone
Taclonex
1
CAMPRAL
3
CAMPRAL DOSE PAK
3
CAPHOSOL
3
CAPSUBLEND-H
3
CAPSUBLEND-P
3
CAPSUBLEND-S
3
CAPSULE #0
3
CAPSULE #0 (HYPROMELLOSE)
3
CAPSULE #0 DRCAPS
3
CAPSULE #00
3
ST
MDwise Marketplace
171
Drug Name
Reference
Tier
Notes
CAPSULE #00 (HYPROMELLOSE)
3
CAPSULE #000
3
CAPSULE #1
3
CAPSULE #1 (HYPROMELLOSE)
3
CAPSULE #1 DRCAPS
3
CAPSULE #10
3
CAPSULE #11
3
CAPSULE #12
3
CAPSULE #13
3
CAPSULE #2
3
CAPSULE #2 (HYPROMELLOSE)
3
CAPSULE #3
3
CAPSULE #3 (HYPROMELLOSE)
3
CAPSULE #4
3
CAPSULE #5
3
CAPSULE #7
3
CAPSULE CONI-SNAP #0 (GELATIN)
3
CAPSULE CONI-SNAP #0(HYPROMEL)
3
CAPSULE CONI-SNAP #00 (GELATIN
3
CAPSULE CONI-SNAP #000
3
CAPSULE CONI-SNAP #1 (GELATIN)
3
CAPSULE CONI-SNAP #1(HYPROMEL)
3
CAPSULE CONI-SNAP #2 (GELATIN)
3
CAPSULE CONI-SNAP #3 (GELATIN)
3
CAPSULE CONI-SNAP #3(HYPROMEL)
3
CAPSULE CONI-SNAP #4 (GELATIN)
3
CAPSULE,WHITE OPAQUE GELATN #1
3
CARBAGLU
4
CARDIOVID PLUS
1
carmine
3
CARNITOR ORAL
3
CARNITOR SUGAR-FREE
3
CAVERJECT
3
QL (1 EA per 5 days)
CAVERJECT IMPULSE
3
QL (1 EA per 5 days)
cellulose (bulk) powder
3
CERDELGA
4
cheesecake flavor (bulk)
3
CHEMET
3
cherry flavor oral
Cherry Concentrate
3
chlorhexidine gluconate mucous membrane
Periogard
1
chocolate flavor (bulk) liquid
3
cholesterol
3
CIALIS ORAL TABLET 10 MG, 20 MG
2
MDwise Marketplace
172
PA
M; QL (1 EA per 5 days)
Drug Name
Reference
Tier
Notes
CIALIS ORAL TABLET 2.5 MG, 5 MG
2
M; QL (1 EA per 1 day)
CINRYZE
4
PA
citric acid
3
citric acid anhydrous (bulk)
3
cream de menthe (bulk)
Creme Dementhe Flavoring
3
CREME DE MENTHE FLAVORING
3
CRYOSERV
3
CUROSURF INTRATRACHEAL SUSPENSION
240 MG/3 ML
3
CYSTADANE
4
CYSTAGON
3
DEBACTEROL
3
deferoxamine
Desferal
1
DERMABASE
3
DERMAGRAFT
3
DESFERAL
3
DETROL
2
ST
DETROL LA
2
ST
DIABETIDERM
3
DIABETIDERM FOOT REJUVENATING
3
DIDRONEL
2
disulfiram
Antabuse
DITROPAN XL
1
2
doxercalciferol oral
Hectorol
1
doxycycline hyclate oral tablet 20 mg
Periostat
1
DUODOTE
dutasteride
3
Avodart
EDEX
emollient
DiabetiDerm Deep
Moisturizing
1
ST; M
3
QL (1 EA per 5 days)
3
ENABLEX
3
ENDOFORM TOPICAL SHEET 16 X 16 CM, 4
X 4 CM, 8 X 8 CM
3
ENDOFORM, PERFORATED
3
ENGLISH TOFFEE FLAVOR
3
EPISIL
3
ESBRIET
4
ethyl acetate
3
ethyl vanillin
3
etidronate disodium
Didronel
2
EXJADE
4
FERRIPROX
4
Proscar
PA
1
EVISTA
finasteride oral tablet 5 mg
ST
PA; QL (1 EA per 1 day)
1
MDwise Marketplace
173
Drug Name
Reference
Tier
FINGER CREAM
3
FINGERS SKIN
3
FIRAZYR
4
FLAVOR PLUS
3
FLAVOR SWEET
3
FLAVOR SWEET-SF
3
FLAVORX
3
flavoxate
Urispas
Notes
PA
1
FLOMAX
2
FORTEO
4
QL (2.4 ML per 28 days)
FOSAMAX ORAL SOLUTION
2
QL (75 EA per 7 days)
FOSAMAX ORAL TABLET
2
FOSAMAX PLUS D
2
GALZIN
3
gelatin (bulk)
3
GELCLAIR
3
GELFILM IMPLANT
3
GELNIQUE
3
GELX
3
glutathione (bulk)
3
guar gum
3
guava flavor (bulk)
3
HECTOROL ORAL
3
HICON
3
HYDROCREAM BASE
3
hydroxypropyl cellulose
3
HYPER-SAL INHALATION SOLUTION FOR
NEBULIZATION 3.5 %
3
HYPER-SAL INHALATION SOLUTION FOR
NEBULIZATION 7 %
2
hypromellose
Methocel E 4 M
3
ibandronate oral
Boniva
1
ST
INDICLOR
3
INFASURF
3
isopropyl palmitate
3
JADENU
4
JALYN
2
ST; M
KALYDECO
4
PA
KEVEYIS
4
PA
KUVAN
4
PA
LEMON EXTRACT FLAVOR
3
leucovorin calcium oral
1
LEVITRA
3
levocarnitine (with sugar)
MDwise Marketplace
174
Carnitor
1
M; QL (1 EA per 5 days)
Drug Name
Reference
levocarnitine oral tablet
Carnitor
Tier
Notes
1
LIP TREATMENT
3
MAGNASWEET 110
3
magnesium stearate
3
marshmallow flavor (bulk)
3
MATRISTEM
3
MATRISTEM MICROMATRIX
3
MEGACE
2
MEGACE ES
2
megestrol oral suspension
1
megestrol oral suspension
Megace ES
1
megestrol oral suspension
Megace Oral
1
MESNEX ORAL
3
METHOCEL E 4 M
3
methylcellulose
3
methylcellulose 1500cps (bulk)
3
methylcellulose 4000cps (bulk)
3
MIFEPREX
3
MUCOTROL
1
MUGARD
3
MURI-LUBE
3
MUSE
3
QL (1 EA per 5 days)
MYRBETRIQ
2
ST; QL (30 EA per 30
days)
NEBUSAL
3
NEUTRASAL
3
NEUTROGENA LIGHT NIGHT
3
NEXAVIR
3
NUMOISYN
3
nutmeg oil
3
OFEV
4
oleic acid
3
ORA-BLEND
3
ORAL SYRUP SF
3
ORALONE
1
ORAMAGICRX
3
ORANGE CONCENTRATE
3
ORA-PLUS
3
ORA-SWEET
3
ORA-SWEET SF
3
ORFADIN
4
ORKAMBI
4
PA
OSPHENA
3
QL (1 EA per 1 day)
PA
MDwise Marketplace
175
Drug Name
Reference
oxybutynin chloride oral
Ditropan
1
oxybutynin chloride oral
Ditropan XL
1
OXYTROL
paricalcitol oral capsule 1 mcg
Tier
3
Zemplar
1
PCCA EMOLLIENT BASE
3
PCCA NATAPRES
3
PCCA-PLUS BASE
3
PEANUT BUTTER FLAVOR
3
PENTRAVAN
3
PERIDEX
2
PERIOGARD
1
PERIOSTAT
3
PETROLEUM JELLY
3
PETROLEUM JELLY, WHITE
3
PFCB
3
polyoxyl 40 stearate
3
polyoxyl 40 stearate (bulk)
3
polysorbate 40
3
polysorbate 60
3
pralidoxime
3
PROCYSBI
4
PROLASTIN
4
PROLASTIN-C
4
propylene glycol (bulk)
3
PROSCAR
2
PULMOSAL
2
PULMOZYME
4
PUMPKIN FLAVOR
3
RADIAGEL
3
RADIGEL ACEMANNAN HYDROGEL
3
RADIOGARDASE
3
Evista
ST
1
PAROEX ORAL RINSE
raloxifene
Notes
PA
PA
1
PA; QL (1 EA per 1 day)
RAPAFLO
3
ST; M
raspberry flavor, artificial
3
REMESENSE
3
risedronate oral tablet 150 mg
Actonel
1
ST; QL (1 EA per 30 days)
risedronate oral tablet 30 mg, 5 mg
Actonel
1
ST; QL (1 EA per 1 day)
risedronate oral tablet 35 mg
Actonel
1
ST; QL (1 EA per 7 days)
risedronate oral tablet,delayed release (dr/ec)
Atelvia
1
ST; QL (1 EA per 7 days)
root beer flavor (bulk)
3
RUCONEST
4
PA
SANCTURA
3
ST
MDwise Marketplace
176
Drug Name
Reference
Tier
SANCTURA XR
3
SAVELLA
2
SENSIPAR
4
silica
3
simple syrup
Ora-Sweet
3
sodium bisulfite
3
sodium chlor 0.9% bacteriostat
1
sodium chloride inhalation
1
Hyper-Sal
ST
3
SKELID
sodium chloride inhalation
Notes
1
sodium iodide-123 oral capsule 3.7 mbq (100
microci)
3
sodium iodide-123 oral capsule 7.4 mbq (200
microci)
1
sodium succinate
3
SOMAVERT
4
SORBIDON HYDRATE
3
STAXYN
2
M; QL (1 EA per 5 days)
STENDRA
3
M; QL (1 EA per 5 days)
strawberry flavor (bulk)
3
SUBOXONE
2
PA
SUBUTEX
2
PA
SURFAXIN
3
SURVANTA
3
SWEET-SF
3
SYPRINE
3
SYRPALTA VEHICLE
3
TACLONEX
3
ST
TACLONEX SCALP
3
ST
tamsulosin
Flomax
THIOLA
tolterodine
1
4
Detrol LA
1
tolu balsam
3
TOVIAZ
2
TRANSCYTE
3
triamcinolone acetonide dental
Oralone
1
trospium
Sanctura
1
tutti-frutti flavor (bulk)
3
TYBOST
2
UROXATRAL
2
VANICREAM
3
VANILLA BUTTERNUT FLAVOR
3
vanilla butternut flavor(bulk)
3
vanillin (bulk) crystals
3
ST
ST
ST
PA
MDwise Marketplace
177
Drug Name
Reference
Tier
Notes
VASELINE
3
VENELEX TOPICAL OINTMENT
3
VESICARE
2
ST
VIAGRA
2
M; QL (1 EA per 5 days)
white petrolatum topical gel
Petroleum Jelly
3
WHITE PETROLEUM JELLY
3
wild cherry flavor (bulk)
3
ZAVESCA
4
ZEMAIRA
4
ZEMPLAR ORAL
2
zinc stearate
3
ZUBSOLV
3
PA
PA
VITAMINS
ABANEU-SL
1
ADVANCED AM-PM
1
AIRAVITE
1
ANIMI-3 WITH VITAMIN D
3
ascorbic acid injection
Vi-Cert C500
1
ascorbic acid oral granules
1
B COMPLEX 100 INJECTION
1
BACMIN
1
b-complex with vitamin c oral capsule
Super B/C
1
b-complex with vitamin c oral tablet
Superplex-T
1
B-COMPLEX WITH VITAMIN C ORAL
TABLET
1
BIOCEL (WITH LUTEIN)
3
BP VIT 3 PLUS
1
B-PLEX
1
CALAFOL RX
3
calcitriol oral
Rocaltrol
1
CENFOL
3
CENOLATE
3
CENTRAL-VITE FOR SENIORS
1
CENTRAL-VITE HP
1
CENTRAVITES 50 PLUS
1
CEROVITE ADVANCED FORMULA
1
CEROVITE SENIOR
1
CHILDREN'S VITAMIN D
5
CHOICE-TABS
1
cholecalciferol (vitamin d3) oral capsule 400
unit
AGE
Vitamin D-3
5
AGE
cholecalciferol (vitamin d3) oral tablet 400 unit Vitamin D-3
5
AGE
cholecalciferol (vitamin d3) oral tablet,chewable
Vitamin D-3
400 unit
5
AGE
MDwise Marketplace
178
Drug Name
Reference
Tier
CIFEREX
3
COMPLETE FORMULATION D3000
3
COMPLETE FORMULATION PEDIATRIC
3
COMPLETE SENIOR ORAL TABLET
1
CORVITA
3
CORVITE
3
CORVITE FREE
3
cyanocobalamin (vitamin b-12) injection
Neuro B-12 S
1
DAILY DIET SUPPORT
1
DAILY MULTIPLE ORAL TABLET
1
DAILY MULTI-VITAMIN
1
DAILY VALUE
1
DAILY VITAMIN
1
DAILY VITAMIN FORMULA
1
DAILY-VITE
1
DELTA D3
5
DIALYVITE
1
DIALYVITE 3000
1
DIALYVITE 5000
3
DIALYVITE 800 WITH IRON
1
DIALYVITE SUPREME D
3
DIATX ZN
3
DRISDOL ORAL CAPSULE
2
DURACHOL
3
ELDERCAPS
3
ergocalciferol (vitamin d2) oral capsule
Vitamin D
3
ESCAVITE D
3
ESSENTIAL ONE DAILY
1
FABB
1
Biomide 750
AGE
1
ESCAVITE
fa-niacinamide-cupric ox-zinc
Notes
1
FARBEE WITH C
1
FLORIVA
3
FOLBEE
1
FOLBEE PLUS
1
FOLCAPS
1
FOLGARD RX
2
folic acid injection
1
folic acid oral tablet 1 mg
1
folic acid oral tablet 400 mcg, 800 mcg
5
folic acid-vit b6-vit b12 oral tablet 2.2-25-0.5 mg FOLCAPS
1
FOLPACE RX
3
FOLPLEX 2.2
1
MDwise Marketplace
179
Drug Name
Reference
Tier
FOLTRATE
3
FORTAVIT
3
GLUTOFAC
1
GLUTOFAC-ZX
3
hydroxocobalamin
1
MACUTEK
1
MACUVEX
3
MACUZIN
3
MARTINIC
1
MEGA MULTIVITAMIN
1
MEN'S MULTI-VITAMIN
1
MEPHYTON
2
MULTICHEW
3
MULTIPLE VITAMIN ESSENTIAL
1
MULTIPLE VITAMINS
1
MULTI-VIT WITH FLUORIDE & IRON
1
multivitamin oral tablet
One Daily
1
MULTIVITAMIN WITH FLUORIDE
1
MULTI-VITAMIN WITH FLUORIDE
1
MULTIVITAMINS WITH FLUORIDE
1
MULTIVITAMINS-FLUORIDE-FOLIC A ORAL
TABLET,CHEWABLE 0.25 MG, 0.5 MG
1
MULTIVITAMINS-FLUORIDE-FOLIC A ORAL
TABLET,CHEWABLE 1 MG
3
MVC-FLUORIDE ORAL TABLET,CHEWABLE
0.25 MG, 0.5 MG
1
MVC-FLUORIDE ORAL TABLET,CHEWABLE
1 MG
3
MYKIDZ IRON FLUORIDE
3
MYNEPHROCAPS
1
NASCOBAL
3
NEPHPLEX RX
1
NEPHROCAPS
3
NEPHROCAPS QT
3
NEPHRONEX-SL
3
NEPHRO-VITE RX
1
NEURIN-SL
1
niacin oral capsule, extended release 250 mg
1
NICOMIDE
3
NICOMIDE (SELENIUM-CHROMIUM)
3
NICOTINAMIDE
1
NUTRICAP
3
OCUVEL
3
ONCE DAILY
1
MDwise Marketplace
180
Notes
Drug Name
Reference
Tier
ONE DAILY ESSENTIAL ORAL TABLET
1
ONE DAILY MULTIVITAMIN ORAL TABLET
1
ONE DAILY ORAL TABLET
1
ONE-A-DAY ESSENTIAL
1
ONE-A-DAY MEN'S MULTIVITAMIN
1
ORTHO D
3
PED MULTIVITAMINS-A,B,D,E,K,ZN
1
pediatric multivitamin-fl
Multivitamins W/Fluoride
1
PHARMACIST FAVORITE MULTI-VIT
1
PHLUORIVIT
1
PHLUORIVIT + FE
1
phytonadione injection
1
POLY-VI-FLOR
3
POLY-VI-FLOR FS ORAL FILM 0.25 MG
FLUORIDE, 0.5 MG FLUORIDE
3
POLY-VI-FLOR WITH IRON
3
POLY-VITAMIN WITH FLUORIDE
1
POLY-VITAMIN/FLUORIDE/IRON
1
POTABA
3
potassium aminobenzoate
Potaba Envule
Notes
1
PROMAR
1
PROTECT BONE
3
PROTECT CARDIO
3
PROTECT IRON
3
PROTECT PLUS
3
PROTECT PLUS NR
3
PURALOR CI
3
pyridoxine injection
1
QUFLORA PEDIATRIC DROPS
1
RE FAC-X
1
RE MULTIVIT-FLUORIDE
1
RENAL CAPS
1
RENALPREN
1
RENA-VITE RX
1
RENAX
1
RENAX 5.5
1
RENO CAPS
1
REQ49+
3
REVESTA
3
RISANOID PLUS
1
ROCALTROL
2
SENTRY ORAL TABLET 18-400 MG-MCG
1
SOFTGELS MULTIVIT-A,B,D,E,K,ZN
1
MDwise Marketplace
181
Drug Name
Reference
Tier
SPECTRAVITE ADULT 50+ ORAL TABLET
1
SPECTRAVITE ADVANCED FORMULA
ORAL TABLET 18-400 MG-MCG
1
SPECTRAVITE SENIOR ORAL TABLET
1
STROVITE
1
STROVITE ADVANCE
1
STROVITE FORTE
1
STROVITE PLUS
1
SUPER B COMPLEX-VITAMIN C
1
SUPER B/C
1
SUPER B-50 COMPLEX
1
SUPER MULTIVITAMIN
1
SUPERPLEX-T
1
SUPERVITE
3
SUPERVITE (EC)
3
SUPPORT-500
1
SYNAGEX
3
TAB-A-VITE
1
TEXAVITE LQ
3
THERAPEUTIC FORMULA/HEMATINICS
1
THERATRUM COMPLETE 50 PLUS
1
THERATRUM COMPLETE 50 PLUS/LUT
1
THEROBEC
1
THEROBEC PLUS
1
thiamine hcl injection
1
THRIVITE RX
3
TL GARD RX
1
TL NICOTINAMIDE
1
TL-FLUORIVITE
1
TOTAL B/C
1
TRIPHLUORIVIT
1
TRIPHROCAPS
1
TRIPLE VITAMIN WITH FLUORIDE
1
TRI-VI-FLOR
3
TRI-VI-FLORO
1
TRI-VIT WITH FLUORIDE & IRON
1
TRI-VITAMIN W/FLUORIDE & IRON
1
TRI-VITAMIN WITH FLUORIDE
1
UDAMIN
3
UDAMIN ER
3
UDAMIN SP
3
V-C FORTE
1
VICA FORTE
1
MDwise Marketplace
182
Notes
Drug Name
Reference
Tier
VICAP FORTE
1
VIC-FORTE
1
VIRT-CAPS
1
VIRT-GARD
1
VIRT-VITE
1
VIRT-VITE PLUS
1
VITA S FORTE
1
VITABEE/C
1
VITACEL (WITH LUTEIN)
1
VITAL-D RX
1
vitamin b complex oral capsule
Balanced B-50 Complex
Notes
1
VITAMIN B COMPLEX WITH C
1
VITAMIN D2
1
VITAMIN D3 ORAL CAPSULE 400 UNIT
5
AGE
VITAMIN D3 ORAL TABLET 400 UNIT
5
AGE
VITAMIN D3 ORAL TABLET,CHEWABLE 400
UNIT
5
AGE
VITAMIN K INJECTION
1
VITAMIN K1 INJECTION
1
VITAMINS A,C,D & FLUORIDE
1
VITAMINS B COMPLEX ORAL CAPSULE
1
VITAMINS FOR HAIR ORAL TABLET
1
VITA-RESPA
3
VOL-CARE RX
1
VP-VITE RX
1
ZAVARA
3
MDwise Marketplace
183
MDwise Marketplace
184
Index
Index
Index
Index
1ST TIER UNIFINE PENTIPS ................. 108
1ST TIER UNIFINE PENTIPS PLUS
...................................................................................................... 108
1ST TIER UNILET COMFORTOUCH
...................................................................................................... 108
2TEK CONTROL (HIGH-NORMAL)
...................................................................................................... 108
30PSE-150GFN-15DM ......................................... 72
30PSE-3BRM-15DM .............................................. 72
50PSE-3BRM-30DM .............................................. 72
7.5PEH-4BRM-15DM ........................................... 72
8-MOP ................................................................................. 155
A.I.R.S NEBULIZER REPLACEMENT
...................................................................................................... 108
abacavir ............................................................................... 46
abacavir-lamivudine-zidovudine ............ 46
ABANEU-SL ............................................................... 178
ABBOCATH-T .......................................................... 108
ABBOCATH-T/SYRINGE ........................... 108
ABILIFY .......................................................................... 149
ABILIFY DISCMELT ....................................... 149
ABSORICA ................................................................... 155
ABSTRAL ............................................................................. 3
ACANYA ........................................................................ 155
ACAPELLA .................................................................. 108
acarbose ............................................................................... 38
ACCOLATE .................................................................... 17
ACCU-CHEK ACTIVE GLUCOSE
CONT .................................................................................. 108
ACCU-CHEK ACTIVE TEST ..................... 81
ACCU-CHEK AVIVA .......................................... 81
ACCU-CHEK AVIVA CONTROL
SOLN ................................................................................... 108
ACCU-CHEK AVIVA PLUS TEST
STRP ........................................................................................ 81
ACCU-CHEK COMFORT CURVE .... 108
ACCU-CHEK COMFORT CURVE
LINEAR ............................................................................ 108
ACCU-CHEK COMFORT CURVE
TEST ........................................................................................ 81
ACCU-CHEK COMP BLUE CONT,
M-H ........................................................................................ 108
ACCU-CHEK COMPACT PLUS
CONTROL ..................................................................... 108
ACCU-CHEK COMPACT PLUS TEST
......................................................................................................... 81
ACCU-CHEK COMPACT TEST .............. 82
ACCU-CHEK FASTCLIX ............................ 108
ACCU-CHEK INSTANT CONTROL
...................................................................................................... 108
ACCU-CHEK MULTICLIX LANCET
...................................................................................................... 108
ACCU-CHEK SAFE-T-PRO ...................... 108
ACCU-CHEK SAFE-T-PRO PLUS .... 109
ACCU-CHEK SMARTVIEW CONTRL
SOL ........................................................................................ 109
ACCU-CHEK SMARTVIEW TEST
STRIP ...................................................................................... 82
ACCU-CHEK SOFT DEV LANCETS
...................................................................................................... 109
ACCU-CHEK SOFTCLIX LANCET
DEV ....................................................................................... 109
ACCU-CHEK SOFTCLIX LANCETS
...................................................................................................... 109
ACCU-CHEK SPIRIT ADAPTER ....... 109
ACCU-CHEK SPIRIT CLIP CASE ..... 109
ACCUNEB ........................................................................ 17
ACCUPRIL ....................................................................... 56
ACCURETIC .................................................................. 56
ACCUTREND GLUCOSE ............................... 82
ACCUTREND GLUCOSE CONTROL
...................................................................................................... 109
ACD .......................................................................................... 28
ACD-A ................................................................................... 28
ACE AEROSOL CLOUD ENHANCER
...................................................................................................... 109
acebutolol ........................................................................... 56
ACEON ................................................................................. 56
acetaminophen-codeine ........................................ 3
ACETASOL HC .......................................................... 86
acetazolamide ................................................................ 85
acetic acid ............................................................. 86, 155
acetic acid-aluminum acetate ..................... 86
acetylcysteine ................................................................. 17
ACID CONTROL (RANITIDINE) .......... 96
ACID CONTROLLER .......................................... 96
ACID JELLY .................................................................. 41
ACID REDUCER (CIMETIDINE) .......... 96
ACID REDUCER (FAMOTIDINE) ....... 96
ACID REDUCER (RANITIDINE) .......... 96
ACID RELIEF (CIMETIDINE) .................. 96
ACIPHEX ........................................................................... 96
ACIPHEX SPRINKLE .......................................... 96
acitretin ............................................................................. 155
ACLARO ......................................................................... 155
ACLARO PD ............................................................... 155
ACLOVATE ................................................................. 155
ACNE & BLACKHEAD TERMINATOR
...................................................................................................... 155
ACNE FOAMING WASH ............................ 155
ACNE MEDICATION ....................................... 155
ACNE TREATMENT (BENZOYL
PEROX) ............................................................................. 155
ACNE TREATMENT PACK ..................... 155
ACNE-CLEAR .......................................................... 155
ACTEMRA .................................................................... 107
ACTICIN .......................................................................... 155
ACTICLATE ................................................................... 19
ACTICOAT 7 DRESSING ............................ 109
ACTICOAT ABSORBENT .......................... 109
ACTICOAT DRESSING ................................. 109
ACTICOAT FLEX 3 DRESSING ......... 109
ACTICOAT FLEX 7 DRESSING ......... 109
ACTICOAT MOISTURE CONTROL
...................................................................................................... 109
ACTICOAT SITE ................................................... 109
ACTICOAT SURGICAL DRESSING
...................................................................................................... 109
ACTIGALL ....................................................................... 96
ACTI-LANCE LANCETS ............................. 109
ACTIMMUNE ............................................................... 42
ACTIQ ....................................................................................... 3
ACTIVE CATH ........................................................ 109
ACTIVE FE ...................................................................... 91
ACTIVE OB ................................................................. 141
ACTIVELLA ............................................................... 103
ACTONEL ........................................................ 170, 171
ACTOPLUS MET ...................................................... 38
ACTOPLUS MET XR ........................................... 38
ACTOS .................................................................................. 38
ACUFLEX ............................................................................. 3
ACUICYN .......................................................................... 86
ACULAR ............................................................................. 86
ACULAR LS ................................................................... 86
ACURA CONTROL HIGH .......................... 109
ACURA CONTROL LOW ........................... 109
ACURA CONTROL NORMAL .............. 109
ACURA TEST STRIPS ....................................... 82
ACUVAIL (PF) ............................................................ 87
acyclovir .............................................................................. 46
ACZONE .......................................................................... 155
ADALAT CC .................................................................. 54
adapalene ........................................................................ 155
ADAPTA-CAP .......................................................... 109
ADASUVE ..................................................................... 149
ADAZIN .............................................................................. 13
ADCIRCA .......................................................................... 56
ADD-A-FOLEY CATH-MONO-FLO
DRNG .................................................................................. 109
ADD-A-FOLEY CATH-PRE-FILL
SYRN ................................................................................... 109
ADD-A-FOLEY TRAY .................................... 109
ADDERALL .................................................................... 49
ADDERALL XR ......................................................... 49
adefovir ................................................................................ 46
ADEMPAS ........................................................................ 57
adhesive bandage .................................................. 109
adhesive bandage-adhes remov#1 ..... 109
ADHESIVE DRESSING ................................. 109
ADHESIVE GAUZE PAD ............................ 109
ADHESIVE PADS ................................................. 109
ADJUSTABLE LANCING DEVICE
...................................................................................................... 109
ADOXA ................................................................................ 19
ADRENACLICK ........................................................ 49
ADRENALIN ................................................................. 87
ADULT AEROSOL MASK ......................... 109
ADULT DISPOSABLE MOUTHPIECE
...................................................................................................... 109
ADULT LOW DOSE ASPIRIN ..................... 3
ADULT ROBITUSSIN PEAK COLD
DM ............................................................................................. 72
ADULT TUSSIN CHEST
CONGESTION ............................................................. 72
ADULT TUSSIN COUGH CONGEST
DM ............................................................................................. 72
ADULT WAL-TUSSIN ....................................... 72
ADVAIR DISKUS .................................................... 17
ADVAIR HFA ............................................................... 17
ADVANCE NORMAL CONTROL .... 109
ADVANCE PLUS INTERMITTENT
...................................................................................................... 109
ADVANCE TEST ...................................................... 82
ADVANCED AM-PM ....................................... 178
ADVANCED ANTIBACTERIAL
BANDAGE .................................................................... 109
MDwise Marketplace
185
Index
Index
Index
ADVANCED GLUC METER TEST
STRIP ...................................................................................... 82
ADVANCED LANCING DEVICE ..... 109
ADVANCED NON-STICK DRESSINGS
...................................................................................................... 109
ADVANCED TRAVEL LANCETS .... 109
ADVATE ............................................................................. 53
ADVICOR .......................................................................... 57
ADVOCATE CONTROL SOLUTION
HIGH .................................................................................... 109
ADVOCATE LANCET .................................... 109
ADVOCATE LANCING DEVICE ...... 109
ADVOCATE LOW CONTROL .............. 110
ADVOCATE PEN NEEDLES .................. 110
ADVOCATE REDI-CODE .............................. 82
ADVOCATE REDI-CODE+ .......................... 82
ADVOCATE REDI-CODE+ CTRL
HIGH .................................................................................... 110
ADVOCATE REDI-CODE+ CTRL LOW
...................................................................................................... 110
ADVOCATE SYRINGES .............................. 110
ADVOCATE TEST STRIPS .......................... 82
AERO OTIC HC .......................................................... 87
AEROCHAMBER MINI ................................. 110
AEROCHAMBER MV ..................................... 110
AEROCHAMBER PLUS FLOW-VU
...................................................................................................... 110
AEROCHAMBER PLUS FLOW-VU,L
MSK ...................................................................................... 110
AEROCHAMBER PLUS FLOW-VU,M
MSK ...................................................................................... 110
AEROCHAMBER PLUS FLOW-VU,S
MSK ...................................................................................... 110
AEROCHAMBER PLUS Z STAT ....... 110
AEROCHAMBER PLUS Z STAT LG
MSK ...................................................................................... 110
AEROCHAMBER PLUS Z STAT MD
MSK ...................................................................................... 110
AEROCHAMBER PLUS Z STAT SM
MSK ...................................................................................... 110
AEROCHAMBER WITH
FLOWSIGNAL ......................................................... 110
AEROCHAMBER Z-STAT PLUS-FLW
SG ............................................................................................ 110
AEROECLIPSE II NEBULIZER ........... 110
AEROECLIPSE REUSABLE BAN .... 110
AEROGEAR ACTION ASTHMA KIT
...................................................................................................... 110
AEROHIST ....................................................................... 72
AEROHIST PLUS ..................................................... 72
AEROKID .......................................................................... 72
AERONEB GO .......................................................... 110
AERONEB GO NEBULISER .................... 110
AEROSPAN ..................................................................... 17
AEROTRACH PLUS .......................................... 110
AFEDITAB CR ............................................................ 54
AFINITOR ......................................................................... 42
AFINITOR DISPERZ ............................................ 42
AFLURIA 2014-2015 ............................................. 51
AFLURIA 2014-2015 (PF) ............................... 51
AFLURIA 2015-2016 ............................................. 51
AFLURIA 2015-2016 (PF) ............................... 51
AFREZZA .......................................................................... 38
AFTERA .............................................................................. 67
AGAMATRIX AMP TEST STRIPS ...... 82
MDwise Marketplace
AGAMATRIX CONTROL HIGH ........ 110
AGAMATRIX CONTROL NORM-HI
...................................................................................................... 110
AGGRENOX ................................................................... 45
AGIE-GRX .................................................................... 110
AGRYLIN .......................................................................... 45
AIMSCO INSULIN SYRINGE ................ 110
AIMSCO ULTRA THIN II ........................... 110
AIR TUBE WITH AIR PLUGS ............... 110
AIRACOF ........................................................................... 72
AIRAVITE ..................................................................... 178
AIRS ADULT AEROSOL MASK ........ 110
AIRS DISPOSABLE NEBULIZER ..... 110
AIRS PEDIATRIC DISPOSABLE
MASK ................................................................................. 110
AIRZONE & MINIWRIGHT AFS ....... 110
AIRZONE PEAK FLOW METER ....... 110
AK-CON .............................................................................. 87
AKNE-MYCIN ............................................................. 19
AK-PENTOLATE ...................................................... 87
AK-POLY-BAC ........................................................... 19
AKTEN (PF) .................................................................... 87
AKYNZEO ........................................................................ 96
AL 12 ................................................................................... 155
ALACOL DM ................................................................. 72
ALA-CORT ................................................................... 155
ALAGESIC LQ ................................................................ 3
ALA-HIST AC .............................................................. 73
ALA-HIST DHC ......................................................... 73
ALAMAST ........................................................................ 87
ALA-QUIN .................................................................... 155
ALA-SCALP ................................................................ 155
ALBENZA ......................................................................... 41
albuterol sulfate ......................................................... 17
ALCAINE ........................................................................... 87
alclometasone ............................................................. 156
ALCORTIN A ............................................................ 156
ALDACTAZIDE ......................................................... 85
ALDACTONE ............................................................... 85
ALDARA ......................................................................... 156
ALDEX DM ..................................................................... 73
alendronate ................................................................... 171
ALER-CAP ....................................................................... 35
ALERSULE ...................................................................... 33
ALEVICYN ANTIPRURITIC ................... 156
ALEVICYN ANTIPRURITIC SG ........ 156
ALEVICYN DERMAL ..................................... 156
ALFERON N ................................................................... 42
alfuzosin ........................................................................... 171
ALGICELL AG ......................................................... 110
alginate dressing ..................................................... 110
ALGISITE M ............................................................... 110
ALICLEN ........................................................................ 156
ALI-FLEX ............................................................................. 3
ALINIA ................................................................................. 41
ALKERAN ........................................................................ 42
ALL DAY ALLERGY (CETIRIZINE)
......................................................................................................... 35
ALL FLOW 1000 KIT ....................................... 110
ALL FLOW 1000 PFT FILTER ............... 110
ALL FLOW 2000 PFT FILTER ............... 110
ALL FLOW 3000 KIT ....................................... 110
ALL FLOW 3000 PFT FILTER ............... 110
ALL FLOW 4000 KIT ....................................... 110
ALL FLOW 4000 PFT FILTER ............... 111
ALL FLOW 5000 KIT ....................................... 111
ALL FLOW 5000 PFT FILTER ............... 111
ALL FLOW 6000 PFT FILTER ............... 111
ALL FLOW 7000 PFT FILTER ............... 111
ALLEGRA ......................................................................... 35
ALLEGRA ALLERGY ........................................ 35
ALLEGRA-D 12 HOUR ..................................... 33
ALLEGRA-D 24 HOUR ..................................... 33
ALLER-EASE ................................................................ 35
ALLER-FEX .................................................................... 35
ALLERGY (DIPHENHYDRAMINE)
......................................................................................................... 35
ALLERGY MEDICATION ............................. 35
ALLERGY MEDICINE ....................................... 35
ALLERGY RELIEF (CETIRIZINE) ...... 35
ALLERGY RELIEF (CLEMASTINE)
......................................................................................................... 35
ALLERGY RELIEF (FEXOFENADINE)
......................................................................................................... 35
ALLERGY RELIEF D .......................................... 33
ALLERGY
RELIEF(CHLORPHENIRAMN) ............... 35
ALLERGY
RELIEF(DIPHENHYDRAMIN) ................ 35
ALLERGY
RELIEF-D(FEXOFENADINE) ................... 33
ALLERHIST-1 .............................................................. 35
ALLERX 10 ..................................................................... 73
ALLERX 30 ..................................................................... 73
ALLERX DF ................................................................... 73
ALLERX DF 30 ........................................................... 73
ALLERX PE .................................................................... 73
ALLERX-D ....................................................................... 73
ALLEVYN ..................................................................... 111
ALLEVYN ADHESIVE DRESSING
...................................................................................................... 111
ALLEVYN AG .......................................................... 111
ALLEVYN AG ADHESIVE ....................... 111
ALLEVYN AG GENTLE DRESSING
...................................................................................................... 111
ALLEVYN CAVITY DRESSING ........ 111
ALLEVYN CAVITY WOUND DRESS
...................................................................................................... 111
ALLEVYN GENTLE BORDER ............. 111
ALLEVYN GENTLE BORDER HEEL
...................................................................................................... 111
ALLEVYN GENTLE BORDER LITE
...................................................................................................... 111
ALLEVYN GENTLE BORDER
MULTISIT ...................................................................... 111
ALLEVYN GENTLE BORDER
SACRUM ........................................................................ 111
ALLEVYN HEEL .................................................. 111
ALLEVYN LIFE DRESSING ................... 111
ALLEVYN PLUS ADHESIVE ................ 111
ALLEVYN SACRUM ....................................... 111
ALLEVYN SACRUM DRESSING ..... 111
ALLEVYN THIN DRESSING ................. 111
ALLEVYN TRACHEOSTOMY
DRESSING .................................................................... 111
ALLFEN CD ................................................................... 73
ALLFEN CDX ............................................................... 73
allopurinol ........................................................................ 14
ALL-PURPOSE DRESSINGS .................. 111
almotriptan malate .................................................... 3
186
Index
Index
Index
ALOCRIL ........................................................................... 87
ALODOX ............................................................................ 87
ALOMIDE ......................................................................... 87
ALOQUIN ...................................................................... 156
ALORA .............................................................................. 103
alosetron .............................................................................. 96
ALPHAGAN P .............................................................. 87
ALPHANATE ................................................................ 53
ALPHANINE SD ........................................................ 53
ALPHAQUIN HP .................................................... 156
alprazolam .................................................................... 149
ALPRAZOLAM INTENSOL ..................... 149
ALPROLIX ....................................................................... 53
ALREX .................................................................................. 87
ALSUMA ............................................................................... 3
ALTABAX ..................................................................... 156
ALTACAINE .................................................................. 87
ALTACE .............................................................................. 57
ALTAFLUOR ................................................................ 87
ALTAFRIN ....................................................................... 87
ALTAVERA (28) ....................................................... 67
ALTERA NEBULIZER .................................... 111
ALTERA NEBULIZER SYSTEM ........ 111
ALTERNATE SITE LANCET .................. 111
ALTERNATE SITE LANCING DEVICE
...................................................................................................... 111
ALTIPRES-B .................................................................. 73
ALTOPREV ..................................................................... 57
aluminum acetate .................................................. 156
aluminum monostearate ............................... 171
ALUVEA ......................................................................... 156
ALVESCO ......................................................................... 17
ALYACEN 1/35 (28) .............................................. 67
ALYACEN 7/7/7 (28) ............................................ 67
amantadine hcl ............................................................ 44
AMARYL ........................................................................... 38
AMBI 10PEH-400GFN ........................................ 73
AMBI 10PEH-400GFN-20DM .................... 73
AMBI 40PSE-400GFN ......................................... 73
AMBI 40PSE-400GFN-20DM ...................... 73
AMBI 60PSE-400GFN ......................................... 73
AMBI 60PSE-400GFN-20DM ...................... 73
AMBIEN .......................................................................... 154
AMBIEN CR ................................................................ 154
AMBIFED .......................................................................... 73
AMBIFED CD ............................................................... 73
AMBIFED CDX .......................................................... 73
AMBIFED DM .............................................................. 73
AMBIFED-G (IR) ...................................................... 73
AMBIFED-G CD ........................................................ 73
AMBIFED-G CDX ................................................... 73
AMBIFED-G DM (IR) .......................................... 73
AMBIZINE ....................................................................... 96
amcinonide .................................................................... 156
AMERGE ............................................................................... 3
AMERICAINE ANESTHETIC ................... 13
AMETHIA ......................................................................... 67
AMETHIA LO ............................................................... 67
AMETHYST .................................................................... 67
AMICAR ............................................................................. 53
AMIELLE VAGINAL TRAINER ......... 111
amiloride ............................................................................. 86
amiloride-hydrochlorothiazide ................. 86
aminocaproic acid .................................................... 53
aminophylline ............................................................... 17
MDwise Marketplace
amiodarone ...................................................................... 54
AMITIZA ............................................................................ 97
amitriptyline ............................................................... 149
amitriptyline-chlordiazepoxide ............ 149
AMLACTIN ................................................................. 156
amlodipine ........................................................................ 54
amlodipine-atorvastatin ................................... 57
amlodipine-benazepril ........................................ 57
amlodipine-valsartan ........................................... 57
amlodipine-valsartan-hcthiazid ............... 57
ammonium lactate ............................................... 156
AMNESTEEM ........................................................... 156
amoxapine ..................................................................... 149
amoxicil-clarithromy-lansopraz .............. 97
amoxicillin .............................................................. 19, 20
amoxicillin-pot clavulanate ........................... 20
AMPHETAMINE SALT COMBO .......... 49
ampicillin ........................................................................... 20
AMPYRA ........................................................................... 62
AMRIX .............................................................................. 140
AMTURNIDE ................................................................ 57
amyl nitrite ...................................................................... 54
ANABAR ............................................................................... 3
ANACAINE ..................................................................... 13
ANADROL-50 ........................................................... 103
ANAFRANIL .............................................................. 149
anagrelide .......................................................................... 45
ANALPRAM E ............................................................. 97
ANALPRAM-HC .......................................... 97, 156
ANAMANTLE HC ................................................... 97
ANAMANTLE HC FORTE ............................ 97
ANAPROX ........................................................................ 14
ANAPROX DS .............................................................. 14
ANASCORP .................................................................... 51
ANASPAZ ......................................................................... 97
anastrozole ....................................................................... 42
ANCOBON ....................................................................... 30
ANDRODERM .......................................................... 103
ANDROGEL ................................................................ 103
ANDROID ...................................................................... 104
ANDROXY ................................................................... 104
ANGELIQ ....................................................................... 104
ANGIOCATH AUTOGUARD IV CATH
...................................................................................................... 111
ANIMI-3 WITH VITAMIN D ................... 178
ANORO ELLIPTA .................................................... 17
ANTABUSE ................................................................. 171
ANTARA ............................................................................ 57
ANTIBACTERIAL BANDAGES ......... 111
ANTIBACTERIAL PAD ................................ 111
anticoag citrate phos dextrose ................... 28
ANTI-DIARRHEAL (LOPERAMIDE)
......................................................................................................... 97
ANTI-EMBOLISM STOCKINGS ........ 111
ANTIFUNGAL (CLOTRIMAZOLE) ... 30
ANTIHIST ......................................................................... 35
ANTIHISTAMINE ................................................... 35
ANTI-ITCH (HC) .................................................... 156
antipyrine-benzocaine ......................................... 87
ANTISEPTIC ORAL CLEANSER ....... 156
ANTIVERT ....................................................................... 97
ANUCORT-HC ............................................................ 97
ANUSOL-HC ................................................................. 97
ANZEMET ........................................................................ 97
APEXICON ................................................................... 156
APEXICON E ............................................................. 156
AP-HIST DM .................................................................. 73
APIDRA ............................................................................... 38
APIDRA SOLOSTAR ........................................... 38
APLENZIN .................................................................... 149
APLIGRAF .................................................................... 171
APOGEE HC INTERMIT CATHETER
...................................................................................................... 111
APOKYN ............................................................................ 44
APOP .................................................................................... 156
APPLE-ADE FLAVOR .................................... 171
apraclonidine ................................................................. 87
APRI ......................................................................................... 67
APRISO ................................................................................ 97
APRODINE ...................................................................... 33
APTENSIO XR ......................................................... 149
APTIOM .............................................................................. 62
APTIVUS ............................................................................ 46
AQUA GLYCOLIC FACE ........................... 171
AQUA GLYCOLIC HC ................................... 156
AQUA LANCE LANCING DEVICE
...................................................................................................... 111
AQUACEL AG FOAM ..................................... 111
AQUACEL AG FOAM HEEL .................. 111
AQUACEL AG FOAM SACRAL ......... 111
AQUACEL FOAM ................................................ 111
AQUACEL FOAM SACRAL .................... 111
AQUAFLO ..................................................................... 111
AQUANIL HC ........................................................... 156
AQUORAL .................................................................... 171
AR CAPS ......................................................................... 171
ARALAST NP ............................................................ 171
ARANELLE (28) ........................................................ 67
ARANESP (IN POLYSORBATE) ........... 66
ARAVA ................................................................................ 14
ARBINOXA ..................................................................... 35
ARCALYST ................................................................. 171
ARCAPTA NEOHALER ................................... 17
ARCH BANDAGE ................................................ 111
ARESTIN ............................................................................ 41
ARGLAES ...................................................................... 112
ARGLAES 3.25"X 14" FILM .................... 112
ARGLAES FILM .................................................... 112
ARGLAES ISLAND ............................................ 112
ARGYLE TRACHEOSTOM TUBE
HOLDER .......................................................................... 112
ARGYLE TROCAR ............................................. 112
ARICEPT ............................................................................ 49
ARICEPT ODT ............................................................. 49
ARIDA ................................................................................ 156
ARIMIDEX ....................................................................... 42
aripiprazole .................................................................. 149
ARIXTRA ................................................................ 28, 29
ARMOUR THYROID ........................................ 170
ARNUITY ELLIPTA ............................................. 17
AROMASIN .................................................................... 42
ARTHRITIS HEATWRAPS ....................... 112
ARTHROTEC 50 ........................................................ 14
ARTHROTEC 75 ........................................................ 14
ARTISS .............................................................................. 156
ARTISS-DUPLOJECT SYSTEM .......... 156
ASACOL ............................................................................. 97
ASACOL HD .................................................................. 97
ASCOMP WITH CODEINE .............................. 3
ascorbic acid ............................................................... 178
187
Index
Index
Index
ASEPTO BULB ........................................................ 112
ASHLYNA ........................................................................ 67
ASMALPRED ............................................................ 104
ASMALPRED PLUS .......................................... 104
ASMANEX HFA ........................................................ 17
ASMANEX TWISTHALER ........................... 17
ASPIR-81 ............................................................................... 3
aspirin ....................................................................................... 4
ASPIRIN CHILDRENS .......................................... 3
ASPIRIN LOW DOSE ............................................. 4
ASPIRIN LOW-STRENGTH ........................... 4
aspirin-dipyridamole ............................................ 45
ASPIR-LOW ....................................................................... 4
ASPIR-TRIN ....................................................................... 4
ASSESS FULL RANGE PEAK METER
...................................................................................................... 112
ASSESS LOW RANGE PEAK METER
...................................................................................................... 112
ASSESS PEAK FLOW METER ............. 112
ASSURA UROSTOMY POUCH ........... 112
ASSURE 4 CONTROL SOLUTION
...................................................................................................... 112
ASSURE 4 STRIPS .................................................. 82
ASSURE DOSE NORMAL CONTROL
...................................................................................................... 112
ASSURE DOSE NORM-HI CONTROL
...................................................................................................... 112
ASSURE HAEMOLANCE PLUS ......... 112
ASSURE ID INSULIN SAFETY ........... 112
ASSURE LANCE ................................................... 112
ASSURE LANCE PLUS ................................. 112
ASSURE PLATINUM .......................................... 82
ASSURE PRISM CONTROL 1-2 SOLN
...................................................................................................... 112
ASSURE PRISM MULTI STRIP .............. 82
ASSURE PRO TEST STRIPS ....................... 82
ASTAGRAF XL ....................................................... 107
ASTELIN ............................................................................ 87
ASTEPRO .......................................................................... 87
ASTHMA CHECK METER ........................ 112
ASTHMAMENTOR PEAK FLOW
METER .............................................................................. 112
ASTHMAPACK CHILDREN'S .............. 112
ASTHMAPACK I ................................................... 112
ASTHMAPACK II ................................................. 112
ASTHMAPACK III .............................................. 112
ASTRAMORPH-PF .................................................... 4
ASTRINGYN ................................................................. 53
ATABEX EC ............................................................... 141
ATACAND ....................................................................... 57
ATACAND HCT ........................................................ 57
ATELVIA ........................................................................ 171
atenolol ................................................................................. 57
atenolol-chlorthalidone ...................................... 57
ATHLETE'S FOOT (CLOTRIMAZOLE)
......................................................................................................... 30
ATHLETIC FOOT CREAM ........................... 30
ATIVAN ........................................................................... 149
ATOPICLAIR ............................................................. 156
atorvastatin ...................................................................... 57
atovaquone ....................................................................... 41
atovaquone-proguanil ......................................... 41
ATRALIN ....................................................................... 156
ATRAPRO CP ............................................................ 156
ATRAPRO DERMAL SPRAY ................. 156
MDwise Marketplace
ATRAPRO HYDROGEL ............................... 156
ATRIPLA ............................................................................ 46
ATROPEN ......................................................................... 57
atropine ................................................................................ 87
atropine sulfate (pf) ............................................... 87
ATROPINE-CARE ................................................... 87
ATROVENT .................................................................... 87
ATROVENT HFA ..................................................... 18
ATUSS DS ......................................................................... 73
AUBAGIO ......................................................................... 62
AUBRA ................................................................................. 67
AUGMENTIN ................................................................ 20
AUGMENTIN ES-600 .......................................... 20
AUGMENTIN XR ..................................................... 20
AURALGAN ................................................................... 87
AURALGAN (W/ ACETIC ACID) ......... 87
AURAX ................................................................................ 87
AURODEX ....................................................................... 87
AUROGUARD ............................................................. 87
AURORA HEALTHCARE LANCETS
...................................................................................................... 112
AURORA SUPER THIN LANCETS
...................................................................................................... 112
AURSTAT ...................................................................... 156
AURYXIA ......................................................................... 91
AUTODROP ................................................................ 112
AUTO-LANCET MINI ..................................... 112
AUTOLET IMPRESSION LANC DEV
...................................................................................................... 112
AUTOLET LANCING DEVICE ............ 112
AUTOLET LITE CLINISAFE .................. 112
AUTOLET LITE CLINISAFE DEVICE
...................................................................................................... 112
AUTOLET MINI ..................................................... 112
AUTOLET MKII CLINISAFE DEVICE
...................................................................................................... 112
AUTOSQUEEZE .................................................... 112
AUVI-Q ................................................................................ 49
AVALIDE .......................................................................... 57
AVANDAMET ............................................................. 38
AVANDARYL .............................................................. 38
AVANDIA ......................................................................... 38
AVAPRO ............................................................................. 57
AVAR ..................................................................................... 20
AVAR LS ............................................................................ 20
AVAR-E ............................................................................... 20
AVAR-E GREEN ....................................................... 20
AVAR-E LS ..................................................................... 20
AVC VAGINAL .......................................................... 41
AVELOX ............................................................................. 20
AVELOX ABC PACK .......................................... 20
AVENOVA ....................................................................... 87
AVIANE .............................................................................. 67
AVIDOXY ......................................................................... 20
AVIDOXY DK .............................................................. 20
AVINZA .................................................................................. 4
AVITA ................................................................................ 156
AVITENE ........................................................................... 53
AVITENE FLOUR .................................................... 53
AVO CREAM ............................................................. 156
AVODART .................................................................... 171
AVOGEL ......................................................................... 112
AVOGEL DRESSING ....................................... 112
AVONEX ............................................................................ 62
AVONEX (WITH ALBUMIN) .................... 62
AXERT ..................................................................................... 4
AXID ....................................................................................... 97
AXIRON ........................................................................... 104
AYGESTIN ................................................................... 104
AZASAN .......................................................................... 108
AZASITE ............................................................................ 20
azathioprine ................................................................. 108
azelastine .................................................................. 35, 87
AZELEX ........................................................................... 156
AZILECT ............................................................................ 44
azithromycin .................................................................. 20
AZOPT .................................................................................. 87
AZOR ...................................................................................... 57
AZULFIDINE ................................................................ 97
AZULFIDINE EN-TABS ................................... 97
AZUPHEN MB ............................................................. 20
AZURETTE (28) ......................................................... 67
B & O 15-A SUPPRETTE .................................... 4
B COMPLEX 100 ................................................... 178
bacitracin ........................................................................... 20
bacitracin-polymyxin b ..................................... 20
baclofen ............................................................................. 141
BACMIN .......................................................................... 178
BACT-POLLEN-DUST FILTER MASK
...................................................................................................... 112
BACTRIM .......................................................................... 20
BACTRIM DS ............................................................... 20
BACTROBAN ............................................................... 20
BACTROBAN NASAL ....................................... 20
BAG-STRAP SYSTEM .................................... 112
BAG-TUBING SYSTEM ............................... 112
BALACALL DM ........................................................ 73
BAL-CARE DHA ................................................... 141
BAL-CARE DHA ESSENTIAL .............. 141
balsalazide ........................................................................ 97
BALZIVA (28) .............................................................. 67
BANANA CONCENTRATE ...................... 171
BANANA CREAM FLAVOR .................. 171
banana flavor (bulk) .......................................... 171
BANDAGE .................................................................... 112
BANDAGES ................................................................ 113
BANDAGES FLEXIBLE FABRIC ..... 113
BANDAGES SHEER .......................................... 113
BANDAGES/FLEXIBLE/ASSORTED
...................................................................................................... 113
BANDAGES/PLASTIC ................................... 113
BAND-AID ACTIVE FLEX ....................... 113
BAND-AID CLEAR SPOTS ...................... 113
BAND-AID FLEXIBLE ................................... 113
BAND-AID FLEXIBLE FABRIC ......... 113
BAND-AID GAUZE PADS ......................... 113
BAND-AID HANDYMAN .......................... 113
BAND-AID HURT-FREE ............................. 113
BAND-AID MIRASORB GAUZE ....... 113
BAND-AID NON-STICK PADS ........... 113
BAND-AID PLASTIC ....................................... 113
BAND-AID PLUS ANTIBIOTIC .......... 113
BAND-AID ROLLED GAUZE ............... 113
BAND-AID SECURE-FLEX ...................... 113
BAND-AID SHEER STRIPS ..................... 113
BAND-AID SURGIPAD ................................. 113
BAND-AID TOUGH PADS ........................ 113
BAND-AID TOUGH STRIPS ................... 113
BAND-AID WATERPROOF PAD ...... 113
BANOPHEN .................................................................... 35
188
Index
Index
Index
BANZEL .................................................................... 62, 63
BARACLUDE ............................................................... 46
BARD CATHETER STRAP ....................... 113
BARD CENTER ENTRY CLOSE
SYSTEM .......................................................................... 113
BARD CLEAN-CATH ...................................... 113
BARD COUDE TIP CATHETER ......... 113
BARD DELUXE FABRIC LEG STRAPS
...................................................................................................... 113
BARD EXTENSION
TUBING/CONNECT .......................................... 113
BARD FEMALE INTERMITTENT
CATH .................................................................................. 113
BARD INFECT CONT TRAY-NO
CATH .................................................................................. 113
BARD INFECTION CONTROL BAG
...................................................................................................... 113
BARD LATEX LEG STRAPS .................. 113
BARD LEG BAG HOLDER ....................... 113
BARD LEG BAG STRAPS/FABRIC
...................................................................................................... 113
BARD LUBRICATH FOLEY TRAY
...................................................................................................... 113
BARD LUBRICATH FOLEY TRAY
18FR ...................................................................................... 113
BARD MALE EXTERNAL CATHETER
...................................................................................................... 113
BARD RUBBER UTILITY CATHETER
...................................................................................................... 113
BARD UNIVERSAL FOLEY CATH
TRAY .................................................................................. 113
BARD URETHRAL CATHETER TRAY
...................................................................................................... 113
BARD URINARY DRAINAGE
SYSTEM .......................................................................... 113
BARDEX ALL-SILICONE FOLEY
CATH .................................................................................. 113
BARDEX CLOSED SYSTEM CATH
TRAY .................................................................................. 114
BARDEX LUBRICATH FOLEY CATH
...................................................................................................... 114
BARDEX URETHRAL
CATHETERTRAY ................................................ 114
BARDIA URINARY DRAINAGE BAG
...................................................................................................... 114
BASE, PCCA SYRUP VEHICLE ......... 171
BAYCADRON .......................................................... 104
b-complex with vitamin c ............................. 178
B-COMPLEX WITH VITAMIN C ...... 178
BD ANGIOCATH IV CATHETER ..... 114
BD AUTOSHIELD DUO PEN NEEDLE
...................................................................................................... 114
BD AUTOSHIELD PEN NEEDLE ...... 114
BD ECLIPSE LUER-LOK ............................ 114
BD INSULIN PEN NEEDLE UF MINI
...................................................................................................... 114
BD INSULIN PEN NEEDLE UF ORIG
...................................................................................................... 114
BD INSULIN PEN NEEDLE UF SHORT
...................................................................................................... 114
BD INSULIN SYRINGE ................................ 114
BD INSULIN SYRINGE HALF UNIT
...................................................................................................... 114
BD INSULIN SYRINGE MICRO-FINE
...................................................................................................... 114
MDwise Marketplace
BD INSULIN SYRINGE SAFETY-LOK
...................................................................................................... 114
BD INSULIN SYRINGE SLIP TIP ..... 114
BD INSULIN SYRINGE ULT-FINE II
...................................................................................................... 114
BD INSULIN SYRINGE ULTRA-FINE
...................................................................................................... 114
BD INSYTE AUTOGUARD ...................... 114
BD INTEGRA INSULIN SYRINGE
...................................................................................................... 114
BD LANCET DEVICE ..................................... 114
BD LO-DOSE MICRO-FINE IV ............ 114
BD LO-DOSE ULTRA-FINE .................... 114
BD MICROTAINER LANCET ............... 114
BD POSIFLUSH NORMAL SALINE
......................................................................................................... 91
BD POSIFLUSH SALINE BLUNT
CANN ..................................................................................... 91
BD PRE-FILLED NORMAL SALINE
......................................................................................................... 91
BD PRE-FILLED SALINE BLUNT CAN
......................................................................................................... 91
BD SAFETYGLIDE INSULIN
SYRINGE ........................................................................ 114
BD SAFETYGLIDE SYRINGE .............. 114
BD SAF-T-INTIMA ............................................. 114
BD ULTRA FINE LANCETS ................... 114
BD ULTRA-FINE II LANCETS ............. 114
BD ULTRA-FINE NANO PEN
NEEDLES ....................................................................... 114
BEAU RX ........................................................................ 157
BEBULIN ........................................................................... 53
BEBULIN VH ................................................................ 53
BECONASE AQ ......................................................... 87
BEDSIDE DRAINAGE COLLECT
SYSTM .............................................................................. 114
BE-FLEX PLUS .............................................................. 4
belladonna alkaloids-opium ............................ 4
BELSOMRA ................................................................ 154
benazepril .......................................................................... 57
benazepril-hydrochlorothiazide .............. 57
BENEFIX ............................................................................ 53
BENICAR ........................................................................... 57
BENICAR HCT ............................................................ 57
BENOXYLDOXY 30 ............................................. 20
BENOXYLDOXY 60 ............................................. 20
BENSAL HP ...................................................... 31, 157
BENTYL .............................................................................. 97
BENZAC AC ............................................................... 157
BENZAC AC WASH .......................................... 157
BENZAC W WASH ............................................. 157
BENZACLIN ............................................................... 157
BENZACLIN CAREKIT ................................ 157
BENZACLIN PUMP ........................................... 157
benzalkonium chloride ................................... 157
BENZAMYCIN ............................................................ 20
BENZAMYCINPAK .............................................. 20
BENZASHAVE-10 ............................................... 157
BENZASHAVE-5 ................................................... 157
BENZEFOAM ............................................................ 157
BENZEFOAM ULTRA .................................... 157
BENZEPRO .................................................................. 157
BENZEPRO (MICROSPHERES) .......... 157
BENZIQ ............................................................................ 157
BENZIQ LS ................................................................... 157
benzocaine ........................................................................ 87
benzoin .............................................................................. 157
BENZOIN COMPOUND ................................ 157
benzonatate ...................................................................... 73
benzoyl peroxide .................................................... 157
BENZOYL PEROXIDE ACNE WASH
...................................................................................................... 157
benzoyl peroxide microspheres ............ 157
BENZOYL PEROXIDE WASH .............. 157
benzoyl peroxide-urea ..................................... 157
benztropine ...................................................................... 45
BEPREVE .......................................................................... 35
BERINERT .................................................................... 171
BESIVANCE ................................................................... 20
BETADINE OPHTHALMIC PREP ........ 87
BETAGAN ........................................................................ 87
BETA-HC ........................................................................ 157
betamethasone dipropionate .................... 157
betamethasone valerate ................................. 157
betamethasone, augmented ....................... 157
BETAPACE ..................................................................... 57
BETAPACE AF ........................................................... 57
BETASERON ................................................................. 63
betaxolol .................................................................... 57, 87
bethanechol chloride ............................................ 49
BETHKIS ............................................................................ 20
BETIMOL .......................................................................... 87
BETOPTIC S ................................................................... 87
bexarotene ........................................................................ 42
BEYAZ .................................................................................. 67
BG-STAR ........................................................................... 82
BIAFINE EMULSION ...................................... 157
BIATAIN ......................................................................... 114
BIATAIN ADHESIVE FOAM
DRESSING .................................................................... 114
BIATAIN HEEL ADH FOAM
DRESSING .................................................................... 114
BIATAIN NON-ADHESIVE FOAM
...................................................................................................... 114
BIATAIN NON-ADHESIVEFOAM
ROUND ............................................................................. 114
BIAXIN ................................................................................. 20
BIAXIN XL ...................................................................... 20
BIAXIN XL PAK ....................................................... 20
bicalutamide ................................................................... 42
BIDIL ...................................................................................... 57
BIFERA RX ..................................................................... 91
BILTRICIDE ................................................................... 41
bimatoprost ..................................................................... 87
BINOSTO ........................................................................ 171
BIO T PRES-B .............................................................. 73
BIO-B KIDS ..................................................................... 73
BIOBRANE ................................................................... 114
BIOBRANE DRESSING ................................ 114
BIOBRANE-L ............................................................ 114
BIOBRANE-L DRESSING .......................... 114
BIOCEL (WITH LUTEIN) ........................... 178
BIOCOTRON ................................................................. 73
BIOGESIC ............................................................................. 3
BIOGUARD GAUZE ......................................... 114
BIOGUARD ISLAND ....................................... 115
BIOGUARD NON-ADHERENT ........... 115
BIOGUARD PACKING STRIPS ........... 115
BIONATUSS DXP .................................................... 73
BIONECT ........................................................................ 157
189
Index
Index
Index
BIONIME RIGHTEST TEST STRIPS
BREEZE 2 CONTROL SOLUTION,
NML ...................................................................................... 115
BREEZE 2 CONTROL
SOLUTION,HIGH ................................................. 115
BREEZE 2 TEST STRIPS ................................. 82
BREO ELLIPTA ......................................................... 18
BREVICON (28) ......................................................... 67
BREVOXYL-4 ........................................................... 158
BREVOXYL-4 COMPLETE PACK
...................................................................................................... 158
BREVOXYL-8 ........................................................... 158
BREVOXYL-8 COMPLETE PACK
...................................................................................................... 158
BRIELLYN ....................................................................... 67
BRILINTA ......................................................................... 45
brimonidine ..................................................................... 88
BRINTELLIX ............................................................. 149
BRISDELLE ................................................................. 149
BROMAX ........................................................................... 35
BROMAX D .................................................................... 33
BROMDAY ...................................................................... 88
BROMDAY TWINPACK ................................. 88
BROMFED DM ........................................................... 73
bromfenac ......................................................................... 88
BROMHIST-DM ......................................................... 73
BROMHIST-PDX ...................................................... 73
bromocriptine ............................................................... 45
BROMPHENEX DM .............................................. 73
brompheniramine maleate ............................ 35
brompheniramine tannate ............................. 36
brompheniramine-pe tannates ................. 33
brompheniramine-pseudoeph-dm ........ 73
brompheniramine-pseudoephedrin .... 33
brompheniramin-phenylephrin-dm ... 73
brompheniram-pe-dihydrocodeine ..... 73
BROMSPIRO ................................................................. 36
BRONCOMAR-1 ....................................................... 18
BRONCOTRON .......................................................... 74
BRONKIDS ...................................................................... 74
BROVANA ....................................................................... 18
BROVEX CB .................................................................. 74
BROVEX CBX ............................................................. 74
BROVEX CT .................................................................. 36
BROVEX PB ................................................................... 33
BROVEX PB C ............................................................. 74
BROVEX PB CX ........................................................ 74
BROVEX PB DM ...................................................... 74
BROVEX PSE ............................................................... 33
BROVEX PSE DM ................................................... 74
BROVEX SR ................................................................... 33
BUBBLE GUM CONCENTRATE ....... 171
BUBBLE GUM FLAVORING ................. 171
bubblegum flavor (bulk) ............................... 171
BUBBLES THE FISH PEDI MASK
...................................................................................................... 115
BUCALSEP ...................................................................... 13
BUDEPRION SR ..................................................... 149
BUDEPRION XL .................................................... 149
budesonide ................................................ 18, 88, 104
BULKEE II .................................................................... 115
BULLSEYE MINI SAFETY LANCETS
...................................................................................................... 115
bumetanide ...................................................................... 86
BUNAVAIL .................................................................. 171
BUPAP ...................................................................................... 4
BUPHENYL .................................................................... 97
BUPRENEX ........................................................................ 4
buprenorphine hcl ......................................... 4, 171
buprenorphine-naloxone .............................. 171
BUPROBAN ................................................................ 169
bupropion hcl ............................................................ 149
buspirone ........................................................................ 149
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 ........................................................................ 154
butorphanol tartrate ................................................ 4
BUTRANS ............................................................................ 4
BUTTERSCOTCH FLAVORING ........ 171
butylated hydroxytoluene ........................... 171
BYDUREON ................................................................... 38
BYETTA .............................................................................. 38
BYSTOLIC ....................................................................... 57
cabergoline .................................................................... 104
CADEAU DHA ......................................................... 141
CADUET ............................................................................. 57
CAFCIT ................................................................................ 63
caffeine citrated .......................................................... 63
CAFGESIC ........................................................................... 4
CALAFOL RX ........................................................... 178
CALALGIN-GRX DRESSING ................ 115
CALALGIN-GRX ROPE DRESSING
...................................................................................................... 115
CALAN ................................................................................. 54
CALAN SR ....................................................................... 54
CALCIFOLIC-D .......................................................... 91
calcipotriene ................................................................ 158
calcipotriene-betamethasone ................... 171
calcitonin (salmon) .............................................. 104
CALCITRENE ........................................................... 158
calcitriol .............................................................. 158, 178
calcium acetate ............................................................ 91
CALCIUM PNV ....................................................... 141
CALCIUM-FOLIC ACID-VITAMIN D
......................................................................................................... 91
CAMBIA ................................................................................. 4
CAMILA .............................................................................. 67
CAMO BANDAGES ........................................... 115
CAMPRAL .................................................................... 171
CAMPRAL DOSE PAK .................................. 171
CAMRESE ........................................................................ 67
CAMRESE LO .............................................................. 67
CANASA ............................................................................. 97
candesartan ..................................................................... 57
candesartan-hydrochlorothiazid ............ 57
CANTIL ................................................................................ 97
CAPACET ............................................................................. 4
CAPCOF .............................................................................. 74
capecitabine .................................................................... 42
CAPEX ............................................................................... 158
CAPHOSOL ................................................................. 171
CAPITAL WITH CODEINE ............................. 4
CAPRELSA ...................................................................... 42
CAPSUBLEND-H .................................................. 171
CAPSUBLEND-P ................................................... 171
CAPSUBLEND-S ................................................... 171
82
BIOREGESIC .................................................................... 3
BIOSTEP .......................................................................... 115
BIOSTEP AG .............................................................. 115
bisoprolol fumarate ............................................... 57
bisoprolol-hydrochlorothiazide ............... 57
BITTERNESS MASK FLAVOR ............ 171
BLANCHE ..................................................................... 157
BLEPH-10 .......................................................................... 20
BLEPHAMIDE ............................................................. 21
BLEPHAMIDE S.O.P. .......................................... 21
BLISTER RELIEF BANDAGES ........... 115
BLISTERFILM DRESSING ....................... 115
blood glucose contrl hi,normal .............. 115
blood glucose control, normal ................ 115
BLOOD GLUCOSE TEST ............................... 82
BLUEBERRY FLAVOR ................................. 171
B-NEXA ........................................................................... 141
BONIVA ........................................................................... 171
BORDERED GAUZE ........................................ 115
BOSULIF ............................................................................ 42
BP ............................................................................................ 157
BP 10-1 .................................................................................. 21
BP 7 % WASH KIT .............................................. 157
BP 8 COUGH ................................................................. 73
BP FOAM ........................................................................ 157
BP VIT 3 PLUS ......................................................... 178
BP WASH ....................................................................... 157
BP WASH (MICROSPHERES) ............... 157
BP WASH ACNE TREATMENT ......... 157
BP-50% UREA .......................................................... 157
B-PLEX ............................................................................. 178
BPM .......................................................................................... 35
BPM PE ................................................................................ 33
BPM PE DM .................................................................... 73
BPM PSEUDO .............................................................. 33
BPO ........................................................................................ 158
BPO CREAMY WASH PACK ................. 157
BPO-10 ............................................................................... 158
BPO-5 .................................................................................. 158
BREATHERITE MDI SPACER .............. 115
BREATHERITE RIGID SPACER&
MASK ................................................................................. 115
BREATHERITE SPACER&
MASK,ADULT ......................................................... 115
BREATHERITE SPACER&
MASK,CHILD ........................................................... 115
BREATHERITE
SPACER&MASK,INFANT ......................... 115
BREATHERITE
SPACER&MASK,S.CHLD .......................... 115
BREATHERITE VALVED MDI
CHAMBER .................................................................... 115
BREATHERITE VALVED MDI
SPACER ........................................................................... 115
BREATHERITE WITH MASK, LARGE
...................................................................................................... 115
BREATHERITE WITH MASK,
MEDIUM ......................................................................... 115
BREATHERITE WITH MASK, SMALL
...................................................................................................... 115
BREEZE 2 CONTROL SOLUTION,
LOW ..................................................................................... 115
.........................................................................................................
MDwise Marketplace
190
Index
Index
Index
CAPSULE #0 ............................................................... 171
CAPSULE #0 (HYPROMELLOSE) ... 171
CAPSULE #0 DRCAPS ................................... 171
CAPSULE #00 ........................................................... 171
CAPSULE #00 (HYPROMELLOSE)
...................................................................................................... 172
CAPSULE #000 ........................................................ 172
CAPSULE #1 ............................................................... 172
CAPSULE #1 (HYPROMELLOSE) ... 172
CAPSULE #1 DRCAPS ................................... 172
CAPSULE #10 ........................................................... 172
CAPSULE #11 ........................................................... 172
CAPSULE #12 ........................................................... 172
CAPSULE #13 ........................................................... 172
CAPSULE #2 ............................................................... 172
CAPSULE #2 (HYPROMELLOSE) ... 172
CAPSULE #3 ............................................................... 172
CAPSULE #3 (HYPROMELLOSE) ... 172
CAPSULE #4 ............................................................... 172
CAPSULE #5 ............................................................... 172
CAPSULE #7 ............................................................... 172
CAPSULE CONI-SNAP #0 (GELATIN)
...................................................................................................... 172
CAPSULE CONI-SNAP
#0(HYPROMEL) ..................................................... 172
CAPSULE CONI-SNAP #00 (GELATIN
...................................................................................................... 172
CAPSULE CONI-SNAP #000 ................... 172
CAPSULE CONI-SNAP #1 (GELATIN)
...................................................................................................... 172
CAPSULE CONI-SNAP
#1(HYPROMEL) ..................................................... 172
CAPSULE CONI-SNAP #2 (GELATIN)
...................................................................................................... 172
CAPSULE CONI-SNAP #3 (GELATIN)
...................................................................................................... 172
CAPSULE CONI-SNAP
#3(HYPROMEL) ..................................................... 172
CAPSULE CONI-SNAP #4 (GELATIN)
...................................................................................................... 172
CAPSULE,WHITE OPAQUE GELATN
#1 .............................................................................................. 172
captopril .............................................................................. 57
captopril-hydrochlorothiazide .................. 57
CARAC ................................................................................. 42
CARAFATE ..................................................................... 97
CARBAGLU ................................................................ 172
carbamazepine ............................................................. 63
CARBAPHEN 12 ....................................................... 74
CARBAPHEN 12 PED ......................................... 74
CARBATROL ................................................................ 63
CARBATUSS ................................................................. 74
CARBA-XP ...................................................................... 74
carbidopa ........................................................................... 45
carbidopa-levodopa ............................................... 45
carbidopa-levodopa-entacapone ............. 45
carbinoxamine maleate ..................................... 36
CARB-O-PHILIC .................................................... 158
CARDEC
(PHENYLEPHRIN-CHLORPHN) ........... 33
CARDEC DM
(PHENYLEPH-CHLORPHN) ...................... 74
CARDENE SR ............................................................... 54
CARDIOVID PLUS ............................................. 172
CARDIZEM ..................................................................... 54
MDwise Marketplace
CARDIZEM CD .......................................................... 54
CARDIZEM LA ........................................................... 54
CARDURA ....................................................................... 57
CARDURA XL ............................................................. 57
CAREFINE PEN NEEDLE .......................... 115
CAREFREE PANTILINERS ...................... 115
CAREFREE PANTY SHIELD ................. 115
CAREONE LANCING DEVICE ........... 115
CAREONE THIN LANCET ........................ 115
CAREONE ULTIGUARD ............................. 115
CAREONE ULTRA THIN LANCET
...................................................................................................... 115
CARESENS CONTROL A & B .............. 115
CARESENS CONTROL A NORMAL
...................................................................................................... 115
CARESENS LANCETS ................................... 115
CARESENS N TEST STRIPS ...................... 82
carisoprodol ................................................................. 141
carisoprodol-asa-codeine .................................... 4
carisoprodol-aspirin .......................................... 141
carmine ............................................................................. 172
CARMOL 40 ................................................................ 158
CARMOL HC ............................................................. 158
CARMOL SCALP TREATMENT ........ 158
CARNITOR ................................................................... 172
CARNITOR SUGAR-FREE ........................ 172
carteolol ............................................................................... 88
CARTIA XT ..................................................................... 54
carvedilol ............................................................................ 57
CASODEX ........................................................................ 42
CATAFLAM ....................................................................... 4
CATAPRES ...................................................................... 58
CATAPRES-TTS-1 .................................................. 58
CATAPRES-TTS-2 .................................................. 58
CATAPRES-TTS-3 .................................................. 58
catheter ............................................................................. 115
CATHETER IRRIG SET CAIR CLAMP
...................................................................................................... 115
CATHETER TIP CAP LOCKING ........ 115
CAVAN ONE OMEGA ................................... 141
CAVAN-ALPHA KIT ........................................ 141
CAVAN-EC SOD DHA ................................... 141
CAVAN-FOLATE DHA ................................. 141
CAVAN-FOLATE OB ...................................... 141
CAVAN-HEME OB ............................................. 141
CAVAN-HEME OMEGA .............................. 141
CAVERJECT ............................................................... 172
CAVERJECT IMPULSE ................................. 172
CAVIRINSE .................................................................... 91
CAYA CONTOURED .......................................... 67
CAYSTON ........................................................................ 21
CAZIANT (28) .............................................................. 67
CEDAX ................................................................................. 21
CEENU .................................................................................. 42
cefaclor ................................................................................. 21
cefadroxil ........................................................................... 21
cefdinir .................................................................................. 21
cefditoren pivoxil ...................................................... 21
cefixime ................................................................................ 21
cefpodoxime .................................................................... 21
cefprozil ............................................................................... 21
ceftibuten ........................................................................... 21
CEFTIN ................................................................................. 21
cefuroxime axetil ....................................................... 21
CELACYN ..................................................................... 158
CELEBREX ..................................................................... 14
celecoxib .............................................................................. 14
CELESTONE .............................................................. 104
CELEXA .......................................................................... 149
CELLCEPT .................................................................... 108
cellulose (bulk) ......................................................... 172
CELONTIN ....................................................................... 63
CEM-UREA .................................................................. 158
CENESTIN .................................................................... 104
CENFOL ........................................................................... 178
CENOLATE ................................................................. 178
CENTANY ........................................................................ 21
CENTANY AT .............................................................. 21
CENTERGY .................................................................... 33
CENTERGY DM ........................................................ 74
CENTRAL-VITE FOR SENIORS ........ 178
CENTRAL-VITE HP .......................................... 178
CENTRAVITES 50 PLUS ............................. 178
CENTUSS DM .............................................................. 74
CENTUSSIN DHC .................................................... 74
CEPHADYN ....................................................................... 4
cephalexin .......................................................................... 21
CERDELGA ................................................................. 172
CERISA ................................................................................ 21
CERON ................................................................................. 33
CERON-DM .................................................................... 74
CEROVITE ADVANCED FORMULA
...................................................................................................... 178
CEROVITE SENIOR .......................................... 178
CERVIDIL ...................................................................... 104
CESAMET ......................................................................... 97
CETACAINE .................................................................. 13
CETACAINE ANESTHETIC ....................... 13
cetirizine .............................................................................. 36
CETRAXAL .................................................................... 21
cevimeline .......................................................................... 49
CHANTIX ....................................................................... 169
CHANTIX CONTINUING MONTH
BOX ....................................................................................... 169
CHANTIX STARTING MONTH BOX
...................................................................................................... 169
CHANTIX STARTING MONTH PAK
...................................................................................................... 169
CHATEAL ......................................................................... 67
cheesecake flavor (bulk) ................................ 172
CHEMET ......................................................................... 172
CHENODAL ................................................................... 97
CHERACOL D .............................................................. 74
CHERATUSSIN AC ............................................... 74
CHERATUSSIN DAC .......................................... 74
cherry flavor ............................................................... 172
CHEST CONGESTION RELIEF .............. 74
CHEST CONGESTION RELIEF D ........ 74
CHEST CONGESTION RELIEF PE ..... 74
CHEST-SINUS CONGESTION RELIEF
......................................................................................................... 74
CHILD ALLERGY RELF(CETIRIZINE)
......................................................................................................... 36
CHILD ASPIRIN ........................................................... 4
CHILD IBUPROFEN ............................................. 14
CHILD MUCINEX CHEST
CONGESTION ............................................................. 74
CHILD MUCUS RELIEF
EXPECTORANT ........................................................ 74
CHILDREN'S ADVIL ........................................... 14
191
36
CHILDREN'S ALLERGY
(DIPHENHYD) ............................................................. 36
CHILDREN'S ALLERGY COMPLETE
......................................................................................................... 36
CHILDREN'S ALLERGY(CETIRIZINE)
......................................................................................................... 36
CHILDREN'S ALLER-TEC ........................... 36
CHILDREN'S ASPIRIN ......................................... 4
CHILDREN'S CETIRIZINE ........................... 36
CHILDREN'S CHEST CONGESTION
......................................................................................................... 74
CHILDREN'S IBUPROFEN ........................... 15
CHILDREN'S IRON ............................................... 91
CHILDREN'S MEDI-PROFEN ................... 15
CHILDREN'S PROFEN IB .............................. 15
CHILDREN'S VITAMIN D ......................... 178
CHILDREN'S WAL-ZYR ................................. 36
CHILD'S ALL DAY ALLERGY(CETIR)
......................................................................................................... 36
chloral hydrate ......................................................... 154
CHLORDEX GP ......................................................... 74
chlordiazepoxide hcl .......................................... 149
chlordiazepoxide-clidinium .......................... 97
chlorhexidine gluconate ................................. 172
CHLOR-MES D ........................................................... 74
chloroquine phosphate ....................................... 41
chlorothiazide ............................................................... 86
chloroxylenol-pramoxine ................................ 88
CHLORPED D .............................................................. 33
CHLORPHEN SR ...................................................... 36
chlorpheniramine maleate ............................. 36
chlorpheniramine-pe tannates .................. 33
chlorpheniramine-pe-dm-gg ........................ 74
chlorpheniramine-phenyleph-dm ......... 74
chlorphen-pseudoeph-dm tannate ........ 74
chlorphen-pyrilamine-phenyleph .......... 33
CHLORPHENYLCAINE ................................... 88
chlorpromazine ....................................................... 149
chlorpropamide .......................................................... 38
chlorthalidone .............................................................. 86
chlorzoxazone ............................................................ 141
chocolate flavor (bulk) .................................... 172
CHOICE DM CLARUS NORM
CONTROL ..................................................................... 116
CHOICEDM CLARUS ........................................ 82
CHOICEDM G20 ....................................................... 82
CHOICE-OB + DHA ........................................... 141
CHOICE-TABS ......................................................... 178
CHOLBAM ....................................................................... 97
cholecalciferol (vitamin d3) ....................... 178
cholesterol ...................................................................... 172
cholestyramine (with sugar) ........................ 58
CHOLESTYRAMINE LIGHT ..................... 58
choline,magnesium salicylate ......................... 4
CHOLINE-MAG TRISALICYLATE ....... 4
CIALIS .................................................................. 172, 173
CICLODAN ...................................................................... 31
CICLODAN KIT ......................................................... 31
ciclopirox ............................................................................ 31
ciclopirox-ure-camph-menth-euc .......... 31
ciclopirox-vite-nail lacq remo .................... 31
CIFEREX ......................................................................... 179
cilostazol .............................................................................. 45
MDwise Marketplace
192
Index
.........................................................................................................
Index
Index
CHILDREN'S ALLEGRA ALLERGY
CILOXAN .......................................................................... 21
cimetidine .......................................................................... 97
cimetidine hcl ................................................................ 97
CIMZIA ................................................................................ 97
CIMZIA POWDER FOR RECONST .... 97
CIMZIA STARTER KIT .................................... 97
CINRYZE ........................................................................ 173
CIPRO .................................................................................... 21
CIPRO HC ......................................................................... 21
CIPRO XR ......................................................................... 21
CIPRODEX ....................................................................... 21
ciprofloxacin ................................................................... 21
ciprofloxacin (mixture) ...................................... 21
ciprofloxacin hcl ........................................................ 21
citalopram ...................................................................... 149
CITRANATAL (DUAL-IRON) ............... 141
CITRANATAL 90 DHA (ALGAL OIL)
...................................................................................................... 141
CITRANATAL 90 DHA (NEW
FORMULA .................................................................... 142
CITRANATAL ASSURE ............................... 142
CITRANATAL B-CALM .............................. 142
CITRANATAL B-CALM (FE GLUC)
...................................................................................................... 142
CITRANATAL DHA (ALGAL OIL)
...................................................................................................... 142
CITRANATAL DHA (NEW
FORMULA) .................................................................. 142
CITRANATAL HARMONY ...................... 142
CITRANATAL HARMONY (IRON
FUM) .................................................................................... 142
CITRANATAL RX (NEW FORMULA)
...................................................................................................... 142
citric acid ........................................................................ 173
citric acid anhydrous (bulk) ..................... 173
CLARAVIS ................................................................... 158
CLARIFOAM EF ....................................................... 21
CLARINEX ...................................................................... 36
CLARINEX-D 12 HOUR .................................. 33
CLARINEX-D 24 HOUR .................................. 33
CLARIS CLARIFYING WASH ................. 21
clarithromycin ............................................................. 21
CLEANSE AND TREAT ............................... 158
CLEANSING WASH ............................................. 21
CLEAR ADVANTAGE ................................... 116
CLEAR BANDAGES ......................................... 116
CLEAR SPOT BANDAGES ....................... 116
CLEAR STRIPS ....................................................... 116
CLEAR WATERPROOF STRIPS ........ 116
CLEAR-CATH .......................................................... 116
CLEAR-CATH(SUBCLAV) ....................... 116
CLEAR-CATH,16G,1-1/4 IN ..................... 116
CLEAR-CATH,20G,2 IN ................................ 116
CLEARLAX .................................................................... 97
clemastine .......................................................................... 36
CLENIA EMOLLIENT ........................................ 21
CLENIA FOAMING WASH ......................... 22
CLEOCIN ........................................................................... 22
CLEOCIN T ..................................................................... 22
CLEVER CHEK LANCETS ....................... 116
CLEVER CHOICE LEVEL 1 CONTROL
...................................................................................................... 116
CLEVER CHOICE LEVEL 2 CONTROL
...................................................................................................... 116
CLEVER CHOICE LEVEL 3 CONTROL
...................................................................................................... 116
CLEVER CHOICE MICRO TEST STRIP
......................................................................................................... 82
CLEVER CHOICE PRO ..................................... 82
CLEVER CHOICE TALK TEST ............... 82
CLEVER CHOICE TEST STRIPS .......... 82
CLEVER CHOICE VOICE+ TEST ........ 82
CLICKFINE .................................................................. 116
CLIMARA ...................................................................... 104
CLIMARA PRO ....................................................... 104
CLINDACIN ETZ ..................................................... 22
CLINDACIN PAC ..................................................... 22
CLINDA-DERM ......................................................... 22
CLINDAGEL .................................................................. 22
clindamycin hcl ........................................................... 22
clindamycin palmitate hcl .............................. 22
CLINDAMYCIN PEDIATRIC .................... 22
clindamycin phosphate ...................................... 22
clindamycin-benzoyl peroxide ............... 158
CLINDAREACH ........................................................ 22
CLINDESSE .................................................................... 22
CLINDETS ........................................................................ 22
CLINORIL ......................................................................... 15
CLINPRO 5000 ............................................................ 91
CLOBETA+PLUS .................................................. 158
clobetasol ........................................................................ 158
clobetasol-coal tar ................................................. 158
clobetasol-emollient ............................................ 158
CLOBEX .......................................................................... 158
clocortolone pivalate .......................................... 158
CLODAN ......................................................................... 158
CLODAN KIT ............................................................ 158
CLODERM .................................................................... 158
clomipramine ............................................................. 149
clonazepam ...................................................................... 63
clonidine .............................................................................. 58
clonidine hcl ...................................................... 58, 149
clopidogrel .............................................................. 45, 46
clorazepate dipotassium ................................ 149
CLORPRES ...................................................................... 58
clotrimazole ..................................................................... 31
CLOTRIMAZOLE AF .......................................... 31
CLOTRIMAZOLE FOOT ................................. 31
clotrimazole-betamethasone ........................ 31
clozapine ............................................................. 149, 150
CLOZARIL .................................................................... 150
C-NATE DHA ............................................................ 142
CNL 8 NAIL .................................................................... 31
CO MONITOR ........................................................... 116
CO MONITOR REPLACEMENT T ... 116
COAGUCHEK LANCETS ........................... 116
COARTEM ....................................................................... 41
COBAN ............................................................................. 116
COBAN ACTION WRAP .............................. 116
COBAN SELF-ADHERENT WRAP
...................................................................................................... 116
COBAN STERILE SELF-ADHERENT
...................................................................................................... 116
cocaine ................................................................................... 13
COCET ..................................................................................... 5
COCET PLUS ................................................................... 5
CODAR AR ...................................................................... 74
CODAR D .......................................................................... 74
CODAR GF ...................................................................... 74
Index
Index
Index
codeine phosphate ....................................................... 5
codeine sulfate ................................................................. 5
codeine-butalbital-asa-caff ............................... 5
codeine-guaifenesin ................................................ 74
CO-GESIC ............................................................................. 5
COLAZAL ......................................................................... 97
colchicine ............................................................................ 15
colchicine-probenecid .......................................... 15
COLCRYS ......................................................................... 15
COLD & ALLERGY .............................................. 33
COLESTID ........................................................................ 58
COLESTID FLAVORED ................................... 58
colestipol ............................................................................. 58
COLOCORT ................................................................. 104
COLOR LANCETS .............................................. 116
COLY-MYCIN S ........................................................ 22
COLYTE WITH FLAVOR PACKS ....... 97
COMBIGAN .................................................................... 88
COMBINATION WATER BOTTLE
...................................................................................................... 116
COMBINE ABD ...................................................... 116
COMBIPATCH ......................................................... 104
COMBIVENT ................................................................ 18
COMBIVENT RESPIMAT .............................. 18
COMETRIQ ..................................................................... 42
COMFEEL SEASORB ...................................... 116
COMFORT EZ LANCETS ........................... 116
COMFORT EZ PEN NEEDLES ............. 116
COMFORT EZ SYRINGE ............................ 116
COMFORT LANCETS ..................................... 116
COMFORT PAC-CYCLOBENZAPRINE
...................................................................................................... 141
COMFORT PAC-IBUPROFEN .................. 15
COMFORT PAC-MELOXICAM .............. 15
COMFORT PAC-NAPROXEN ................... 15
COMFORT PAC-TIZANIDINE ............. 141
COMMIT ......................................................................... 169
COMPACT COMPRESSOR
NEBULIZER ................................................................ 116
COMPACT SPACE CHAMBER PLUS
...................................................................................................... 116
COMPACT ULTRASONIC
NEBULIZER ................................................................ 116
COMP-AIR ELITE COMP NEB
SYSTEM .......................................................................... 116
COMP-AIR NEBULIZER
COMPRESSOR ......................................................... 116
COMP-AIR XLT COMPRESSOR NEB
...................................................................................................... 116
COMPAT SURGICAL FEED TUBE
...................................................................................................... 116
COMPAT Y-SET PUMP SET ................... 116
COMPAT Y-SET VINYL BAG SET
...................................................................................................... 116
COMPLERA .................................................................... 46
COMPLETE ALLERGY .................................... 36
COMPLETE ALLERGY MEDICINE
......................................................................................................... 36
COMPLETE FORMULATION D3000
...................................................................................................... 179
COMPLETE FORMULATION
PEDIATRIC .................................................................. 179
COMPLETE NATAL DHA ......................... 142
COMPLETE SENIOR ........................................ 179
COMPLETENATE ................................................ 142
MDwise Marketplace
COMPLETE-RF PRENATAL ................... 142
COMPOUND 347 ...................................................... 13
COMPRO ............................................................................ 97
COMTAN ........................................................................... 45
CONCEPT DHA ...................................................... 142
CONCEPT OB ........................................................... 142
CONCEPTROL ............................................................ 67
CONCERTA ................................................................. 150
CONDYLOX ............................................................... 158
CONFORM .................................................................... 116
CONFORMANT 2 ................................................. 116
CONGESTAC ................................................................ 74
CONGEST-EZE ........................................................... 74
CONGEST-EZE PE ................................................. 74
CONSTANT CLENS .......................................... 158
CONSTULOSE ............................................................. 97
CONTOUR CONTROL SOLUTION,
HIGH .................................................................................... 116
CONTOUR CONTROL SOLUTION,
LOW ..................................................................................... 116
CONTOUR CONTROL SOLUTION,
NML ...................................................................................... 117
CONTOUR NEXT LEV 1 CONTROL
SOL ........................................................................................ 117
CONTOUR NEXT LEV 2 CONTROL
SOL ........................................................................................ 117
CONTOUR NEXT STRIPS ............................. 82
CONTOUR TEST STRIPS ............................... 82
CONTROL G3 ............................................................... 82
CONTROL TEST ....................................................... 82
CONTROLRX ............................................................... 91
CONVEEN DRIP COLLECTOR ........... 117
CONZIP ................................................................................... 5
COOL MIST HUMIDIFIER ........................ 117
COOL MIST HUMIDIFIER 1 GALLON
...................................................................................................... 117
COOLMAGIC ............................................................ 117
COOLMAGIC FENESTRATED ............ 117
COPA HYDROPHILIC FOAM ............... 117
COPAXONE .................................................................... 63
COPD ...................................................................................... 18
COPEGUS .......................................................................... 46
CORDARONE .............................................................. 54
CORDRAN .................................................................... 158
CORDRAN SP ........................................................... 158
CORDRAN TAPE SMALL ROLL ...... 158
COREG ................................................................................. 58
COREG CR ....................................................................... 58
CORENATE-DHA ................................................ 142
CORFEN-DM ................................................................. 74
CORGARD ....................................................................... 58
CORIFACT ....................................................................... 53
CORLANOR ................................................................... 54
CORMAX ....................................................................... 158
CORTAID ....................................................................... 158
CORTALO ..................................................................... 158
CORTAMOX .................................................................. 88
CORTANE-B .................................................................. 88
CORTANE-B AQUEOUS ................................ 88
CORTEF ........................................................................... 104
CORTENEMA ........................................................... 104
CORTIFOAM ............................................................. 104
cortisone ........................................................................... 104
CORTISONE (HYDROCORTISONE)
...................................................................................................... 158
CORTISPORIN ............................................................ 22
CORTISPORIN-TC ................................................. 22
CORTIZONE-10 ...................................................... 159
CORTIZONE-10 PLUS .................................... 158
CORTOMYCIN ........................................................... 22
CORVITA ....................................................................... 179
CORVITA 150 ............................................................... 91
CORVITE ........................................................................ 179
CORVITE 150 ............................................................... 91
CORVITE FE .................................................................. 92
CORVITE FREE ...................................................... 179
CORZALL ......................................................................... 74
CORZALL-PE ............................................................... 74
CORZIDE ........................................................................... 58
COSENTYX ................................................................. 159
COSENTYX (2 SYRINGES) ..................... 159
COSENTYX PEN ................................................... 159
COSENTYX PEN (2 PENS) ....................... 159
COSOPT .............................................................................. 88
COSOPT (PF) ................................................................. 88
COTAB A ........................................................................... 75
COTAB AX ...................................................................... 75
COTABFLU ..................................................................... 75
COTTON BALLS ................................................... 117
COUGH CONTROL (GUAIFENESIN)
......................................................................................................... 75
COUGH CONTROL DM ................................... 75
COUGH SYRUP ......................................................... 75
COUGHTAB ................................................................... 75
COUMADIN ................................................................... 29
COVARYX .................................................................... 104
COVARYX H.S. ...................................................... 104
COVERA-HS .................................................................. 54
COVRSITE .................................................................... 117
COVRSITE PLUS .................................................. 117
COZAAR ............................................................................. 58
C-PHEN ................................................................................ 33
C-PHEN DM ................................................................... 75
CPM PSE ............................................................................. 33
CPM-PE ................................................................................ 33
CPM-PE-DM ................................................................... 75
CPM-PSE ............................................................................ 33
CPM-PSE DM ................................................................ 75
cpm-pseudoephed-hydrocodone ............. 75
cream de menthe (bulk) ................................. 173
CREAMY ACNE FACE .................................. 159
CREME DE MENTHE FLAVORING
...................................................................................................... 173
CREON ................................................................................. 97
CRESEMBA .................................................................... 31
CRESTOR .......................................................................... 58
CRESYLATE ................................................................. 88
CRINONE ....................................................................... 104
CRIXIVAN ....................................................................... 46
cromolyn ................................................................... 18, 88
CRUEX PRESCRIPTION STRENGTH
......................................................................................................... 31
CRYOSERV ................................................................. 173
CRYSELLE (28) ......................................................... 67
CUPRIMINE ................................................................... 15
CURAD GAUZE PAD ...................................... 117
CURAD NON-STICK PAD ......................... 117
CURAD SHEER SPOTS ................................. 117
CURASOL HYDROGEL DRESSING
...................................................................................................... 117
193
Index
Index
Index
CURITY 8000 URINE MTR FLY TRAY
...................................................................................................... 117
CURITY ABDOMINAL PAD .................. 117
CURITY AMD ........................................................... 117
CURITY AMD (WITH
POLYHEXAMETH) ............................................ 117
CURITY BANDAGE .......................................... 117
CURITY BEDSIDE DRAINAGE BAG
...................................................................................................... 117
CURITY BEDSIDE DRAINAGE SET
...................................................................................................... 117
CURITY BEDSIDE-MONO-FLO
DRANGE ......................................................................... 117
CURITY COVER .................................................... 117
CURITY DETECTABLE LAP ................. 117
CURITY DISP LAP SPONGE POUCH
...................................................................................................... 117
CURITY DISP LAP SPONGE TRAY
...................................................................................................... 117
CURITY DRAINAGE BAG ........................ 117
CURITY DRESSING .......................................... 117
CURITY FOLEY CATHETER KIT ... 117
CURITY GAUZE .................................................... 117
CURITY GAUZE BURN DRESSING
...................................................................................................... 117
CURITY IODOFORM PACKING STRIP
...................................................................................................... 117
CURITY MATERNITY PADS ................ 117
CURITY MULTI-TRAUMA DRESSING
...................................................................................................... 117
CURITY NON-ADHERENT STRIP
...................................................................................................... 117
CURITY NON-ADHERING DRESSING
...................................................................................................... 117
CURITY PLAIN PACKING STRIP ... 117
CURITY PREMIUM CATHETER
TRAY .................................................................................. 117
CURITY READY-CUT GAUZE ........... 117
CURITY SPNG COUNTER BAG
STRIPS ............................................................................... 117
CURITY SPNG COUNTER
RACK-SCALE ........................................................... 117
CURITY STANDARD POROUS .......... 118
CURITY STERILE WATER ...................... 159
CURITY STRMLIN CATH MONO-FLO ................................................................. 118
CURITY SURGICAL DRESSING ....... 118
CURITY ULTRAMER 2-W CATH
LAT/T .................................................................................. 118
CURITY ULTRAMER 2-W CATH
TEFLN ................................................................................ 118
CURITY ULTRAMER 2-WAY
CATHETER .................................................................. 118
CURITY ULTRAMER IRRG 3WAY
CATH .................................................................................. 118
CURITY ULTRAMER URETHRAL
CATH .................................................................................. 118
CURITY UNIVERSAL - NO
DRAINAGE .................................................................. 118
CURITY URETERAL DRAIN SET ... 118
CURITY URETH CATH CLOSED
SYSTM .............................................................................. 118
CURITY URETH CATH OPEN
SYSTEM .......................................................................... 118
CURITY URETHRAL CATHETER
DAVOL URETHRAL CATHTRAY
(W/O) ................................................................................... 118
DAVOL URINARY DRAINAGE BAG
...................................................................................................... 118
DAYHIST ........................................................................... 36
DAYHIST ALLERGY .......................................... 36
DAYPRO ............................................................................. 15
DAYSEE .............................................................................. 67
DAYTRANA ............................................................... 150
DDAVP .............................................................................. 104
DEBACTEROL ......................................................... 173
DEBLITANE ................................................................... 67
DE-CHLOR DM .......................................................... 75
DE-CHLOR DR ........................................................... 75
DECONAMINE ........................................................... 33
deferoxamine .............................................................. 173
DEHISTINE ..................................................................... 75
DELOS ............................................................................... 159
DELTA D3 ..................................................................... 179
DELTASONE ............................................................. 104
DELTUSS DMX ......................................................... 75
DELYLA (28) ................................................................. 68
DELZICOL ....................................................................... 98
DEMADEX ....................................................................... 86
demeclocycline ............................................................. 22
DEMEROL ........................................................................... 5
DEMEROL (PF) .............................................................. 5
DEMSER ............................................................................. 58
DENAVIR .......................................................................... 46
DENTA 5000 PLUS ................................................ 92
DENTAGEL .................................................................... 92
DEPADE .............................................................................. 30
DEPAKENE ..................................................................... 63
DEPAKOTE ..................................................................... 63
DEPAKOTE ER ........................................................... 63
DEPAKOTE SPRINKLES ................................ 63
DEPEN TITRATABS ............................................ 15
DEPO-PROVERA ........................................ 68, 104
DEPO-SUBQ PROVERA 104 ...................... 68
DEPO-TESTOSTERONE .............................. 104
DERMABASE ........................................................... 173
DERMACEA ............................................................... 118
DERMACEA I.V. ................................................... 118
DERMACEA NON-WOVEN .................... 118
DERMACEA STRETCH ................................ 118
DERMACERIN ......................................................... 159
DERMAGAUZE ...................................................... 118
DERMAGAUZE HYDROGEL
DRESSING .................................................................... 118
DERMA-GEL ............................................................. 118
DERMAGINATE .................................................... 118
DERMAGRAFT ....................................................... 173
DERMALEVIN ......................................................... 118
DERMAREST ECZEMA
(HYDROCORT) ....................................................... 159
DERMASILKRX DICLOPAK .................... 15
DERMASILKRX SDS ....................................... 159
DERMA-SMOOTHE/FS BODY OIL
...................................................................................................... 159
DERMA-SMOOTHE/FS SCALP OIL
...................................................................................................... 159
DERMASORB AF COMPLETE KIT
...................................................................................................... 159
DERMASORB HC COMPLETE KIT
...................................................................................................... 159
MDwise Marketplace
194
118
CURITY URINE METER .............................. 118
CURITY WET DRESSING ......................... 118
CUROSURF ................................................................. 173
CUTICERIN DRESSING ............................... 118
CUTIVATE ................................................................... 159
CUVPOSA ......................................................................... 98
cyanocobalamin (vitamin b-12) ............ 179
CYCLAFEM 1/35 (28) ......................................... 67
CYCLAFEM 7/7/7 (28) ....................................... 67
CYCLESSA (28) ......................................................... 67
cyclobenzaprine ...................................................... 141
CYCLOGYL .................................................................... 88
CYCLOMYDRIL ....................................................... 88
cyclopentolate ............................................................... 88
cyclophosphamide ................................................... 42
cycloserine ........................................................................ 22
CYCLOSET ..................................................................... 38
cyclosporine ................................................................. 108
cyclosporine modified ...................................... 108
CYLATE .............................................................................. 88
CYMBALTA ............................................................... 150
cyproheptadine ........................................................... 36
CYRED ................................................................................. 67
CYSTADANE ............................................................ 173
CYSTAGON ................................................................ 173
CYSTARAN .................................................................... 88
CYTOMEL .................................................................... 170
CYTOTEC ......................................................................... 98
D.H.E.45 .................................................................................. 5
DAILY DIET SUPPORT ................................ 179
DAILY MULTIPLE ............................................. 179
DAILY MULTI-VITAMIN .......................... 179
DAILY VALUE ........................................................ 179
DAILY VITAMIN ................................................. 179
DAILY VITAMIN FORMULA ............... 179
DAILYHIST-1 ............................................................... 36
DAILY-VITE .............................................................. 179
DAKLINZA ...................................................................... 46
DALIRESP ........................................................................ 18
DALLERGY .................................................................... 75
DALLERGY DM ........................................................ 75
DALLERGY PE ........................................................... 75
DALLERGY PSE ....................................................... 75
DALLERGY-JR ........................................................... 33
danazol .............................................................................. 104
DANTRIUM ................................................................. 141
dantrolene ...................................................................... 141
dapsone ................................................................................. 22
DARAPRIM ..................................................................... 41
DASETTA 1/35 (28) ............................................... 67
DASETTA 7/7/7 (28) ............................................. 67
DAVOL C.S. FOLEY CATHETER
TRAY .................................................................................. 118
DAVOL COMPLETE FOLEY ................. 118
DAVOL FOLEY CATH INSERT TRAY
...................................................................................................... 118
DAVOL SILICONE FOLEY CATH
...................................................................................................... 118
DAVOL UNIVERSAL CATH TRAY
...................................................................................................... 118
DAVOL URETHRAL CATHETER
TRAY .................................................................................. 118
......................................................................................................
159
DERMASORB XM COMPLETE KIT
159
DERMATOP ................................................................ 159
DERMAVIEW ........................................................... 118
DERMAVIEW II ..................................................... 118
DERMAZENE ............................................................ 159
DERMOTIC OIL ........................................................ 88
DESENEX (CLOTRIMAZOLE) ................ 31
DESFERAL ................................................................... 173
DESGEN .............................................................................. 75
desipramine ................................................................. 150
desloratadine ................................................................. 36
desmopressin .............................................................. 104
desog-e.estradiol/e.estradiol ......................... 68
DESOGEN ......................................................................... 68
desogestrel-ethinyl estradiol ........................ 68
DESONATE ................................................................. 159
desonide ............................................................................ 159
DESONIL ........................................................................ 159
DESONIL + PLUS ................................................. 159
DESOWEN .................................................................... 159
DESOWEN OINTMENT & LOTION
...................................................................................................... 159
desoximetasone ........................................................ 159
DESOXYN ........................................................................ 49
DESPEC-DM
(PHENYLEPH-DM-GUAIF) ......................... 75
DESPEC-EXP ................................................................ 75
DESPEC-PDC ................................................................ 75
DESPEC-TAB ................................................................ 75
DESQUAM-X ............................................................. 159
desvenlafaxine ........................................................... 150
desvenlafaxine fumarate ............................... 150
DETROL .......................................................................... 173
DETROL LA ................................................................ 173
DEVILBISS COMPACT COMPRESSOR
...................................................................................................... 118
DEVILBISS DISPOSABLE
NEBULIZER ................................................................ 118
DEVILBISS PULMO-AIDE
COMPRESSR ............................................................. 118
DEVILBISS PULMOMATE
COMPRESSOR ......................................................... 118
DEVILBISS PULMONEB LT
COMP-NEB .................................................................. 118
DEVILBISS TRAVELER
COMPRESSOR ......................................................... 118
DEX PC ................................................................................ 75
dexamethasone ......................................................... 104
DEXAMETHASONE INTENSOL ....... 104
dexamethasone sodium phosphate ....... 88
DEXASOL ......................................................................... 88
dexchlorpheniramine maleate ................... 36
DEXEDRINE .................................................................. 49
DEXEDRINE SPANSULE .................... 49, 50
DEXILANT ...................................................................... 98
dexmethylphenidate ........................................... 150
DEXPAK 10 DAY ................................................. 104
DEXPAK 13 DAY ................................................. 104
DEXPAK 6 DAY .................................................... 104
DEXPHEN M ................................................................. 75
dextroamphetamine ............................................... 50
DEX-TUSS ........................................................................ 75
MDwise Marketplace
......................................................................................................
Index
......................................................................................................
Index
Index
DERMASORB TA COMPLETE KIT
DHM-PE .............................................................................. 33
DIABETA ........................................................................... 38
DIABETIC SILTUSSIN DAS-NA ........... 75
DIABETIC SILTUSSIN-DM ......................... 75
DIABETIC TUSSIN DM ................................... 75
DIABETIC TUSSIN EX ..................................... 75
DIABETIDERM ....................................................... 173
DIABETIDERM FOOT
REJUVENATING .................................................. 173
DIALYVITE ................................................................. 179
DIALYVITE 3000 .................................................. 179
DIALYVITE 5000 .................................................. 179
DIALYVITE 800 WITH IRON ................ 179
DIALYVITE SUPREME D .......................... 179
DIAMOX SEQUELS .............................................. 86
DIASTAT ........................................................................... 63
DIASTAT ACUDIAL ............................................ 63
DIATRUE CONTROL SOLN NORMAL
...................................................................................................... 118
DIATRUE CONTROL SOLUTION
HIGH .................................................................................... 118
DIATRUE CONTROL SOLUTION
LOW ..................................................................................... 119
DIATRUE PLUS TEST STRIP ................... 82
DIATX ZN ..................................................................... 179
diazepam ............................................................... 63, 150
DIAZEPAM INTENSOL ................................ 150
DIBENZYLINE ............................................................ 50
DICLEGIS .......................................................................... 98
diclofenac potassium ................................................ 5
diclofenac sodium ................... 15, 42, 88, 159
diclofenac-misoprostol ........................................ 15
dicloxacillin ..................................................................... 22
dicyclomine ...................................................................... 98
didanosine ......................................................................... 46
DIDRONEL ................................................................... 173
DIFFERIN ....................................................................... 159
DIFICID ................................................................................ 22
DIFIL-G 400 .................................................................... 18
diflorasone ..................................................................... 159
DIFLUCAN ...................................................................... 31
diflunisal ................................................................................. 5
DIGEX NF ......................................................................... 98
DIGITEK ............................................................................. 54
DIGOX .................................................................................. 54
digoxin ................................................................................... 54
dihydrocode-acetaminophen-caff ............. 5
dihydrocodeine-aspirin-caff ............................ 5
DIHYDRO-CP ............................................................... 75
dihydroergotamine .................................................... 5
DIHYDRO-GP .............................................................. 75
DIHYDRO-PE ............................................................... 75
DILACOR XR ............................................................... 55
DILANTIN ........................................................................ 63
DILANTIN EXTENDED ................................... 63
DILANTIN INFATABS ...................................... 63
DILANTIN-125 ............................................................ 63
DILATRATE-SR ........................................................ 55
DILAUDID ........................................................................... 5
DILAUDID (PF) ............................................................. 5
DILAUDID-5 ..................................................................... 5
DILAUDID-HP (PF) .................................................. 5
DILEX-G 200 ................................................................. 18
DILEX-G 400 ................................................................. 18
DILT-CD ............................................................................. 55
DILTIA XT ....................................................................... 55
diltiazem hcl ................................................................... 55
DILT-XR ............................................................................. 55
DILTZAC ER ................................................................. 55
DIOVAN .............................................................................. 58
DIOVAN HCT ............................................................... 58
DIPENTUM ...................................................................... 98
DIPHEDRYL .................................................................. 36
DIPHEN ................................................................................ 36
DIPHENHIST ................................................................. 36
diphenhydramine hcl ................................. 36, 37
diphenhydramine-phenylephrine .......... 33
diphenoxylate-atropine ...................................... 98
DIPROLENE ................................................................ 159
DIPROLENE AF ..................................................... 159
dipyridamole .................................................................. 46
DISALCID ......................................................................... 15
DISKETS ................................................................................ 5
disopyramide phosphate .................................. 55
DISPOSABLE PAPER MOUTHPIECE
...................................................................................................... 119
DISPOSABLE POWER ................................... 119
DISPOZ-A-BAG LEG BAG LARGE
...................................................................................................... 119
DISPOZ-A-BAG LEG BAG MEDIUM
...................................................................................................... 119
DISPOZ-A-BAG LEG BAG SMALL
...................................................................................................... 119
disulfiram ....................................................................... 173
DITROPAN XL ........................................................ 173
DIURIL ................................................................................. 86
divalproex .......................................................................... 63
DIVIGEL .......................................................................... 105
DOAK TAR DISTILLATE ........................... 159
DOCOSAVIT .............................................................. 142
DOLGIC PLUS ................................................................ 5
DOLOGEN
(PHENYLTOLX-ACETAMIN) ..................... 3
DOLOGESIC ...................................................................... 3
DOLOPHINE ..................................................................... 5
DOME-PASTE BANDAGES .................... 119
DONATUSS DC ......................................................... 75
DONATUSS XP .......................................................... 75
DONATUSSIN (WITH GUAIFENESIN)
......................................................................................................... 75
DONATUSSIN DM ................................................. 75
DONATUSSIN PEDI
(REFORMULATED) ............................................. 75
donepezil ............................................................................. 50
DONNATAL ................................................................... 98
DONNATAL EXTENTABS .......................... 98
DORAL .............................................................................. 154
DORYX ................................................................................ 22
dorzolamide .................................................................... 88
dorzolamide-timolol .............................................. 88
DOTHELLE DHA .................................................. 142
DOUBLE ANTIBIOTIC ..................................... 22
DOVER ADVANTAGE DRAINAGE
BAG ....................................................................................... 119
DOVER ADVANTAGE URINE ............ 119
DOVER CATHETER ......................................... 119
DOVER FOLEY CATHETER .................. 119
DOVER LATEX FOLEY CATHETER
...................................................................................................... 119
195
Index
Index
Index
DOVER PEDIATRIC URINE METER
...................................................................................................... 119
DOVER PREMIUM URINE ....................... 119
DOVER RED RUBBER ROBINSON
CATH .................................................................................. 119
DOVER TEXAS MALE EXTERNAL
CATH .................................................................................. 119
DOVER UNIVERSAL ...................................... 119
DOVER URI-DRAIN COMBINATION
...................................................................................................... 119
DOVER URI-DRAIN DELUXE LEG
BAG ....................................................................................... 119
DOVER URI-DRAIN MALE EXT
CATH .................................................................................. 119
DOVER URINARY LEG BAG ............... 119
DOVONEX .................................................................... 159
doxazosin ............................................................................ 58
doxepin .............................................................................. 150
doxercalciferol .......................................................... 173
doxycycline hyclate ................................... 22, 173
doxycycline monohydrate ..................... 22, 23
DOXYTEX ........................................................................ 37
DRAINABLE POUCH CLOSURE ...... 119
DRAMAMINE LESS DROWSY .............. 98
DRESSING SPONGES ..................................... 119
DRISDOL ........................................................................ 179
DRITHOCREME .................................................... 159
DRITHO-SCALP .................................................... 160
dronabinol ........................................................................ 98
DROPLET LANCETS ....................................... 119
DROPLET LANCING DEVICE ............. 119
drospirenone-ethinyl estradiol .................. 68
DROXIA .............................................................................. 53
DRY SKIN THERAPY ..................................... 160
DRY SKIN TREATMENT ........................... 160
DRYMAX .......................................................................... 75
DRYNET WOUND VEIL .............................. 119
DRYSOL DAB-O-MATIC ........................... 160
DUAC .................................................................................. 160
DUAC CS ........................................................................ 160
DUAVEE ......................................................................... 105
DUET DHA BALANCED ............................. 142
DUET DHA COMPLETE .............................. 142
DUET DHA EC-OM 3 ....................................... 142
DUET DHA WITH OMEGA-3 ................ 142
DUETACT ......................................................................... 38
DUEXIS ................................................................................ 15
DULCOLAX BALANCE .................................. 98
DULERA ............................................................................. 18
duloxetine ....................................................................... 150
DUODOTE .................................................................... 173
DUONEB ............................................................................ 18
DUOPA ................................................................................. 45
DURABAC ........................................................................... 5
DURABAC FORTE .................................................... 5
DURACHOL ................................................................ 179
DURAFLU ........................................................................ 75
DURA-G ........................................................................... 119
DURAGESIC ..................................................................... 5
DURAMORPH (PF) ................................................... 5
DURASAL ..................................................................... 160
DURAXIN ............................................................................. 5
DUREZOL ......................................................................... 88
DURLAZA ........................................................................ 46
dutasteride .................................................................... 173
MDwise Marketplace
DUTOPROL .................................................................... 58
DYAZIDE .......................................................................... 86
DY-G ....................................................................................... 18
DYLIX ................................................................................... 18
DYMISTA .......................................................................... 88
DYNACIN ......................................................................... 23
DYNACIRC CR ........................................................... 55
dyphylline-guaifenesin ....................................... 18
DYRENIUM .................................................................... 86
DYTAN ................................................................................. 37
DYTUSS .............................................................................. 37
E.C. PRIN ............................................................................... 5
E.E.S. 400 ........................................................................... 23
E.E.S. GRANULES .................................................. 23
EASIVENT HOLDING CHAMBER
...................................................................................................... 119
EASIVENT MASK LARGE ....................... 119
EASIVENT MASK MEDIUM .................. 119
EASIVENT MASK SMALL ....................... 119
EASY CHECK HIGH CONTROL ....... 119
EASY CHECK LOW CONTROL ......... 119
EASY CHECK NORMAL CONTROL
...................................................................................................... 119
EASY CLICK LANCING DEVICE .... 119
EASY COMFORT INSULIN SYRINGE
...................................................................................................... 119
EASY COMFORT LANCETS .................. 119
EASY COMFORT PEN NEEDLES .... 119
EASY GLUCO G2 .................................................... 82
EASY PLUS ..................................................................... 82
EASY PLUS II HIGH CONTROL ........ 119
EASY PLUS II LOW CONTROL ......... 119
EASY PLUS II TEST ............................................. 82
EASY PRO PLUS TEST STRIPS ............. 82
EASY STEP ..................................................................... 82
EASY STEP HIGH CONTROL SOLN
...................................................................................................... 119
EASY STEP LOW CONTROL
SOLUTION ................................................................... 119
EASY STEP NORMAL CONTROL
SOLN ................................................................................... 119
EASY TALK GLUCOSE TEST ................. 82
EASY TALK HIGH CONTROL ............ 120
EASY TALK LOW CONTROL .............. 120
EASY TOUCH ................................................. 82, 120
EASY TOUCH HIGH-LOW CONTROL
...................................................................................................... 120
EASY TOUCH INSULIN SAFETY SYR
...................................................................................................... 120
EASY TOUCH INSULIN SYRINGE
...................................................................................................... 120
EASY TOUCH LANCETS ........................... 120
EASY TOUCH LANCING DEVICE
...................................................................................................... 120
EASY TOUCH SAFETY LANCETS
...................................................................................................... 120
EASY TOUCH TWIST LANCETS ..... 120
EASY TRAK GLUCOSE TEST ................. 82
EASY TRAK HIGH CONTROL ............ 120
EASY TRAK LOW CONTROL ............. 120
EASY TRAK NORMAL CONTROL
...................................................................................................... 120
EASY TWIST & CAP LANCETS ........ 120
EASYGLUCO PLUS .............................................. 82
EASYGLUCO PLUS NORMAL
CONTROL ..................................................................... 120
EASYGLUCO TEST .............................................. 82
EASYMAX ....................................................................... 82
EASYMAX 15 ............................................................... 82
EASYMAX 15 LEVEL 1 ................................ 120
EASYMAX 15 LEVEL 2 ................................ 120
EASYMAX HIGH CONTROL ................ 120
EASYMAX LOW CONTROL .................. 120
EASYMAX NORMAL CONTROL .... 120
EASYMAX SPEAKING NORMAL
CTRL .................................................................................... 120
ECLIPSE HIGH CONTROL ....................... 120
ECLIPSE LOW CONTROL ........................ 120
ECLIPSE NORMAL CONTROL ........... 120
ECLIPSE TEST STRIPS ..................................... 83
EC-NAPROSYN ......................................................... 15
econazole ............................................................................. 31
ECONTRA EZ ............................................................... 68
ECOTRIN .............................................................................. 5
ECOZA .................................................................................. 31
ECZEMA ANTI-ITCH ...................................... 160
ED A-HIST ........................................................................ 33
ED A-HIST DM ........................................................... 75
ED A-HIST PSE .......................................................... 33
ED CHLORPED .......................................................... 37
ED CYTE F ................................................................... 142
EDARBI ............................................................................... 58
EDARBYCLOR ........................................................... 58
ED-CHLOR-TAN ...................................................... 37
EDECRIN ........................................................................... 86
EDEX ................................................................................... 173
ED-FLEX ................................................................................ 5
EDLUAR .......................................................................... 154
ED-SPAZ ............................................................................. 98
EDURANT ........................................................................ 46
EEMT .................................................................................. 105
EEMT HS ........................................................................ 105
EFFER-K ............................................................................. 92
EFFEXOR XR ............................................................ 150
EFFIENT ............................................................................. 46
EFUDEX .............................................................................. 42
EGRIFTA ........................................................................ 105
elastic bandage ......................................................... 120
ELASTIC STRETCH NET ........................... 120
ELASTO-GEL ............................................................ 120
ELASTO-GEL CAST-SPLINT
PADDING ....................................................................... 120
ELASTO-GEL CIRCLE DRESSING
...................................................................................................... 120
ELASTO-GEL FACE DRESSING ....... 120
ELASTO-GEL PLUS .......................................... 120
ELBOW INLET ........................................................ 120
ELDEPRYL ...................................................................... 45
ELDERCAPS .............................................................. 179
ELDOPAQUE FORTE ...................................... 160
ELDOQUIN FORTE ........................................... 160
ELEMENT COMPACT HIGH
CONTROL ..................................................................... 120
ELEMENT COMPACT NORMAL
CONTROL ..................................................................... 120
ELEMENT COMPACT TEST STRIPS
......................................................................................................... 83
ELEMENT HIGH CONTROL .................. 120
ELEMENT LOW CONTROL .................... 120
196
Index
Index
Index
ELEMENT NORMAL CONTROL ...... 120
ELEMENT PLUS LEVEL 1 CONTROL
...................................................................................................... 120
ELEMENT PLUS LEVEL 2 CONTROL
...................................................................................................... 120
ELEMENT PLUS LEVEL 3 CONTROL
...................................................................................................... 120
ELEMENT PLUS TEST ..................................... 83
ELEMENT TEST STRIPS ................................ 83
ELESTAT ........................................................................... 37
ELESTRIN ..................................................................... 105
ELETONE ....................................................................... 160
ELIDEL ............................................................................. 108
ELIGARD ........................................................................... 42
ELIMITE .......................................................................... 160
ELINEST ............................................................................. 68
ELIPHOS ............................................................................. 92
ELIQUIS .............................................................................. 29
ELITE DC AUTO ADAPTER ................... 120
ELITE-OB ....................................................................... 142
ELITE-OB 400 ........................................................... 142
ELIXOPHYLLIN ....................................................... 18
ELLA ....................................................................................... 68
ELMIRON ............................................................................. 5
ELOCON .......................................................................... 160
ELOCTATE ...................................................................... 53
EM2400 VALVE SET ........................................ 120
EMADINE ......................................................................... 37
EMBEDA ............................................................................... 5
EMBRACE ADAPTER-CHARGER
...................................................................................................... 120
EMBRACE BLOOD GLUCOSE
SYSTEM .............................................................................. 83
EMBRACE EVO LEVEL 1 ......................... 121
EMBRACE EVO LEVEL 2 ......................... 121
EMBRACE EVO TEST STRIPS ............... 83
EMBRACE GLUCOSE CONTROL
HIGH .................................................................................... 121
EMBRACE GLUCOSE CONTROL
LOW ..................................................................................... 121
EMBRACE LANCETS ..................................... 121
EMBRACE POLE CLAMP ......................... 121
EMBRACE PRO ...................................................... 121
EMBRACE PRO TEST STRIPS ................ 83
EMCYT ................................................................................. 42
EMEND ................................................................................ 98
EMGEL ................................................................................. 23
EMLA ..................................................................................... 13
emollient .......................................................................... 173
EMOQUETTE ............................................................... 68
EMSAM ............................................................................ 150
EMTRIVA .......................................................................... 46
EMULSION SB ........................................................ 160
ENABLEX ...................................................................... 173
enalapril maleate ....................................................... 58
enalapril-hydrochlorothiazide .................. 58
ENBRACE HR ........................................................... 142
ENBREL .............................................................................. 15
ENBREL SURECLICK ....................................... 15
ENCARE ............................................................................. 68
ENDACOF AC .............................................................. 76
ENDACOF-C .................................................................. 76
ENDACOF-DC ............................................................. 76
ENDAL CD ...................................................................... 76
ENDO AVITENE ....................................................... 53
MDwise Marketplace
ENDOCET ...................................................................... 5, 6
ENDODAN .......................................................................... 6
ENDOFORM ............................................................... 173
ENDOFORM, PERFORATED ................. 173
ENGLISH TOFFEE FLAVOR .................. 173
ENJUVIA ........................................................................ 105
enoxaparin ........................................................................ 29
ENPRESSE ....................................................................... 68
ENSKYCE ......................................................................... 68
entacapone ........................................................................ 45
entecavir .............................................................................. 46
ENTEREG .......................................................................... 98
ENTERIC COATED ASPIRIN ....................... 6
ENTOCORT EC ....................................................... 105
ENTRE-B ............................................................................ 33
ENTRE-COUGH ......................................................... 76
ENTRE-COUGH TANNATE ....................... 76
ENTRE-S ............................................................................. 76
ENTRESTO ...................................................................... 58
ENULOSE .......................................................................... 98
ENVARSUS XR ...................................................... 108
ENVISION HIGH CONTROL .................. 121
ENVISION LOW CONTROL ................... 121
ENVISION NORMAL CONTROL ..... 121
ENVISION TEST STRIPS ............................... 83
EPANED .............................................................................. 58
EPICERAM ................................................................... 160
EPIDRIN ................................................................................. 6
EPIDUO ............................................................................ 160
EPIDUO FORTE ..................................................... 160
EPIFIX AMNIOTIC MEMBRANE ........ 51
EPIFLUR ............................................................................. 92
EPIFOAM ....................................................................... 160
EPIKLOR ............................................................................ 92
epinastine ........................................................................... 37
epinephrine ...................................................................... 50
EPIPEN ................................................................................. 50
EPIPEN JR ......................................................................... 50
EPIQUIN MICRO .................................................. 160
EPISIL ................................................................................. 173
EPITOL ................................................................................. 63
EPIVIR .................................................................................. 46
EPIVIR HBV ................................................................... 46
eplerenone ......................................................................... 86
EPOGEN .............................................................................. 66
eprosartan ......................................................................... 58
EPZICOM ........................................................................... 46
EQUETRO ...................................................................... 150
ERAPID NEBULIZER HANDSET ..... 121
ERAPID NEBULIZER SYSTEM .......... 121
ERCAF ...................................................................................... 6
ergocalciferol (vitamin d2) ......................... 179
ergoloid ................................................................................. 58
ERGOMAR .......................................................................... 6
ergotamine-caffeine ................................................... 6
ERIVEDGE ....................................................................... 42
ERRIN .................................................................................... 68
ERTACZO ......................................................................... 31
ERY PADS ........................................................................ 23
ERYGEL .............................................................................. 23
ERYPED 200 .................................................................. 23
ERYPED 400 .................................................................. 23
ERY-TAB ........................................................................... 23
ERYTHROCIN (AS STEARATE) ........... 23
erythromycin ................................................................. 23
erythromycin ethylsuccinate ....................... 23
erythromycin with ethanol ............................ 23
erythromycin-benzoyl peroxide ............... 23
erythromycin-sulfisoxazole ........................... 23
ESBRIET .......................................................................... 173
ESCAVITE .................................................................... 179
ESCAVITE D .............................................................. 179
escitalopram oxalate .......................................... 150
ESGIC ........................................................................................ 6
ESGIC-PLUS ..................................................................... 6
esomeprazole magnesium ............................... 98
esomeprazole strontium .................................... 98
ESSENTIAL ONE DAILY ........................... 179
ESTARYLLA ................................................................. 68
estazolam ........................................................................ 154
ESTRACE ....................................................................... 105
ESTRADERM ............................................................ 105
estradiol ............................................................................ 105
estradiol-norethindrone acet ................... 105
ESTRASORB .............................................................. 105
ESTRING ........................................................................ 105
ESTROGEL ................................................................... 105
estrogens-methyltestosterone .................. 105
estropipate ..................................................................... 105
ESTROSTEP FE-28 ................................................. 68
eszopiclone .................................................................... 154
ethambutol ....................................................................... 23
ethosuximide .................................................................. 63
ETHRANE ......................................................................... 13
ethyl acetate ................................................................. 173
ethyl chloride ................................................................. 13
ethyl vanillin ............................................................... 173
etidronate disodium ........................................... 173
etodolac ................................................................................ 15
etoposide ............................................................................. 42
EUCERIN ........................................................................ 160
EURAX .............................................................................. 160
EVAMIST ....................................................................... 105
EVARREST ..................................................................... 53
EVEKEO ............................................................................. 50
EVENCARE ................................................................. 121
EVENCARE G2 ............................................. 83, 121
EVENCARE G3 CONTROL ...................... 121
EVENCARE G3 TEST ......................................... 83
EVENCARE MINI GLUCOSE TEST
STR ............................................................................................ 83
EVENCARE TEST ................................................... 83
EVERYDAY LONG PANTILINERS
...................................................................................................... 121
EVISTA ............................................................................. 173
EVOCLIN ........................................................................... 23
EVOLUTION NORMAL CONTROL
...................................................................................................... 121
EVOLUTION TEST STRIPS ........................ 83
EVOTAZ ............................................................................. 46
EVOXAC ............................................................................ 50
EVZIO .................................................................................... 30
EXACTACAIN ............................................................. 13
EXACTA-MIX ADAPTER .......................... 121
EXACTA-MIX BAG ADAPTER .......... 121
EXACTA-MIX LARGE BORE CAPS
...................................................................................................... 121
EXACTA-MIX NON-VENT INTLET
...................................................................................................... 121
EXACTA-MIX VALVE SET ..................... 121
197
Index
Index
Index
EXACTA-MIX VENTED ADAPTER
EZ NITE SLEEP ...................................................... 154
EZ SMART CONTROL ................................... 122
EZ SMART LANCETS .................................... 122
EZ SMART PLUS TEST .................................... 83
EZ SMART TEST ...................................................... 83
E-Z SPACER ............................................................... 122
E-Z SPACER PEDSPAK ................................ 122
FABB ................................................................................... 179
FABIOR ............................................................................ 160
FABRIC BANDAGES ....................................... 122
FABRIC KNUCKLE-FINGER
BANDAGE .................................................................... 122
FABRIC STRIP EXTRA LARGE ......... 122
FACE SPLASH SHIELD, FULL ............ 122
FACE SPLASH SHIELD, SHORT ....... 122
FACTIVE ............................................................................ 23
FALLBACK SOLO .................................................. 68
FALMINA (28) ............................................................. 68
famciclovir ........................................................................ 46
famotidine ......................................................................... 98
FAMVIR .............................................................................. 46
FANAPT ........................................................................... 150
fa-niacinamide-cupric ox-zinc ................ 179
FARBEE WITH C .................................................. 179
FARESTON ..................................................................... 42
FARXIGA .......................................................................... 38
FARYDAK ........................................................................ 42
FASTTAKE TEST .................................................... 83
FAZACLO ...................................................................... 150
FC FEMALE CONDOM .................................... 68
FC2 FEMALE CONDOM ................................. 68
FE 90 PLUS ...................................................................... 92
FE C PLUS ........................................................................ 92
FEEDING TUBE ATTACHMENT
DEVICE ............................................................................ 122
FEEDING TUBES ................................................. 122
FEIBA NF .......................................................................... 53
felbamate ............................................................................ 63
FELBATOL ...................................................................... 63
FELDENE .......................................................................... 15
felodipine ............................................................................ 55
FEM PH ................................................................................ 41
FEMALE CATHETER ..................................... 122
FEMALE SPECIMEN CATHETER ... 122
FEMALE URINARY POUCH .................. 122
FEMARA ............................................................................ 42
FEMCAP ............................................................................. 68
FEMCON FE ................................................................... 68
FEMECAL OB ........................................................... 142
FEMHRT 1/5 ............................................................... 105
FEMHRT LOW DOSE ...................................... 105
FEMININE CLEANSING CLOTHS
...................................................................................................... 122
FEMRING ....................................................................... 105
FEMTRACE ................................................................. 105
FENESIN PE IR ........................................................... 76
fenofibrate ........................................................................ 58
fenofibrate micronized ....................................... 58
fenofibrate nanocrystallized ........................ 58
fenofibric acid ............................................................... 58
fenofibric acid (choline) .................................... 58
FENOGLIDE ................................................................... 58
fenoprofen ......................................................................... 15
fentanyl .................................................................................... 6
fentanyl citrate ................................................................ 6
FENTORA ............................................................................. 6
FER-IRON ......................................................................... 92
FERIVA ................................................................................ 92
FERIVA 21-7 TABLET ....................................... 92
FERIVA FA (SUMALATE) ........................... 92
FEROCON ......................................................................... 92
FEROTRIN ....................................................................... 92
FERRALET 90 DUAL-IRON
DELIVERY ....................................................................... 92
FERRAPLUS 90 .......................................................... 92
FERREX 150 FORTE ............................................ 92
FERREX 150 FORTE PLUS .......................... 92
FERREX 150 PLUS ................................................. 92
FERREX 28 ...................................................................... 92
FERRIPROX ................................................................ 173
FERROCITE PLUS .................................................. 92
FERROGELS FORTE ........................................... 92
ferrous sulfate ............................................................... 92
FETRIN ................................................................................. 92
FETZIMA ........................................................................ 150
FEXMID ........................................................................... 141
fexofenadine .................................................................... 37
fexofenadine-pseudoephedrine ................. 33
FIBRICOR ......................................................................... 59
FIFTY50 SAFETY SEAL LANCETS
...................................................................................................... 122
FIFTY50 TEST STRIP ......................................... 83
FILTER PAD ............................................................... 122
FILTERED MOUTHPIECE
ATTACHMENT ....................................................... 122
FILTERS REPLACEMENT ........................ 122
FINACEA ........................................................................ 160
FINACEA PLUS ...................................................... 160
finasteride ...................................................................... 173
FINE 30 UNIVERSAL LANCETS ...... 122
FINGER CREAM ................................................... 174
FINGER SLEEVES .............................................. 122
FINGERS SKIN ........................................................ 174
FINGERSTIX LANCETS .............................. 122
FIORICET ............................................................................. 6
FIORICET WITH CODEINE ........................... 6
FIORINAL ............................................................................ 6
FIORINAL-CODEINE #3 .................................... 6
FIRAZYR ........................................................................ 174
FIRMAGON .......................................................... 42, 43
FIRMAGON KIT W DILUENT
SYRINGE ........................................................................... 42
FIRST AID HURT-FREE WRAP .......... 122
FIRST CHOICE LANCETS THIN ....... 122
FLAGYL .............................................................................. 23
FLAGYL ER ................................................................... 23
FLAREX .............................................................................. 88
FLAVOR PLUS ........................................................ 174
FLAVOR SWEET .................................................. 174
FLAVOR SWEET-SF ........................................ 174
FLAVORX ..................................................................... 174
flavoxate ........................................................................... 174
flecainide ............................................................................. 55
FLECTOR ....................................................................... 160
FLEX BANDAGE .................................................. 122
FLEX FABRIC BANDAGE ........................ 122
FLEXERIL ..................................................................... 141
FLEXIBLE ..................................................................... 122
FLEXIBLE DRESSING ................................... 122
FLEXIBLE FABRIC BANDAGES ..... 122
121
EXACTA-MIX VENTED INTLET ..... 121
EXALGO ER ...................................................................... 6
EXALL .................................................................................. 76
EXALL-D ........................................................................... 76
EXCILON ....................................................................... 121
EXCILON AMD (WITH
POLYHEXAMET) ................................................ 121
EXCILON DRAIN ................................................. 121
EXCILON I.V. ........................................................... 121
EXECLEAR-C .............................................................. 76
EXEFEN DMX ............................................................. 76
EXEFEN-IR ...................................................................... 76
EXEL INSULIN ....................................................... 121
EXELDERM .................................................................... 31
EXELON ............................................................................. 50
exemestane ....................................................................... 42
EXFORGE ......................................................................... 58
EXFORGE HCT .......................................................... 58
EXJADE ........................................................................... 173
EXODERM ....................................................................... 31
EXOTIC-HC .................................................................... 88
EXPANDOVER BANDAGE ..................... 121
EXPECTORANT ........................................................ 76
EXPECTORANT COUGH SYRUP ....... 76
EXPECTUSS ................................................................... 76
EXPIRATORY MOUTHPIECE .............. 121
EXTAVIA .......................................................................... 63
EXTENSION TUBING
W-CONNECTOR ................................................... 121
external catheter, male ................................... 121
EXTINA ............................................................................... 31
EXTRA-VIRT PLUS DHA ........................... 142
EXUDERM ODORSHIELD ....................... 121
EXU-DRY ADULT DRESSING ............ 121
EXU-DRY ARM DRESSING .................... 121
EXU-DRY BOOT-FOOT DRESSING
...................................................................................................... 121
EXU-DRY BURN JACKET-LARGE
...................................................................................................... 121
EXU-DRY BURN JACKET-MEDIUM
...................................................................................................... 121
EXU-DRY BURN JACKET-SMALL
...................................................................................................... 121
EXU-DRY BURN VEST-LARGE ........ 121
EXU-DRY BURN VEST-SMALL ....... 121
EXU-DRY ELBOW-KNEE-HEEL ...... 121
EXU-DRY FACE DRESSING .................. 122
EXU-DRY HAND DRESSING, LARGE
...................................................................................................... 122
EXU-DRY HAND DRESSING,
MEDIUM ......................................................................... 122
EXU-DRY HAND DRESSING, SMALL
...................................................................................................... 122
EXU-DRY INCISION DRESSING ..... 122
EXU-DRY LARGE BOOT DRESSING
...................................................................................................... 122
EXU-DRY LEG DRESSING ...................... 122
EXU-DRY NECK DRESSING ................. 122
EXU-DRY SCALP DRESSING .............. 122
EXU-DRY WOUND DRESSING ......... 122
EYE WASH STERILE ......................................... 88
E-Z JECT LANCETS .......................................... 122
E-Z JECT THIN LANCETS ........................ 122
MDwise Marketplace
......................................................................................................
198
Index
Index
Index
FLEXIBLE FOAM ................................................ 122
FLEXICHAMBER ................................................. 122
FLEXIFLO COMPANION SYSTEM
...................................................................................................... 123
FLEXIFLO EASY-FEED
GASTROSTOMY ................................................... 123
FLEXIFLO FEEDING TUBE .................... 123
FLEXIFLO GASTROSTOMY TUBE
...................................................................................................... 123
FLEXIFLO LAP G ................................................ 123
FLEXIFLO MAGNA-PORT ....................... 123
FLEXIFLO OVER-THE-GUIDEWIRE
...................................................................................................... 123
FLEXIGEL ..................................................................... 123
FLEXTRA DS ................................................................... 3
FLEXTRA PLUS ........................................................... 6
FLEXTRA-650 ................................................................. 3
FLEX-WRAP .............................................................. 123
FLEXZAN WOUND DRESSING ......... 123
FLOMAX ........................................................................ 174
FLONASE .......................................................................... 88
FLONASE ALLERGY RELIEF ................. 88
FLO-PRED ..................................................................... 105
FLORIVA ........................................................................ 179
FLORIVA (FLUORIDE-VITAMIN D3)
......................................................................................................... 92
FLOVENT DISKUS ................................................ 18
FLOVENT HFA ........................................................... 18
FLOWTUSS ..................................................................... 76
FLUARIX 2014-2015 (PF) ............................... 51
FLUARIX QUAD 2014-2015 (PF) .......... 51
FLUARIX QUAD 2015-2016 (PF) .......... 51
FLUBLOK 2014-2015 (PF) ............................. 51
FLUBLOK 2015-2016 (PF) ............................. 51
FLUCAINE ....................................................................... 88
FLUCELVAX 2014-2015 (PF) .................... 51
FLUCELVAX 2015-2016 (PF) .................... 51
fluconazole ........................................................................ 31
flucytosine ......................................................................... 31
fludrocortisone ......................................................... 105
FLULAVAL 2014-2015 ...................................... 51
FLULAVAL 2014-2015 (PF) ......................... 51
FLULAVAL QUAD 2014-2015 ................. 51
FLULAVAL QUAD 2014-2015 (PF) .... 51
FLULAVAL QUAD 2015-2016 ................. 51
FLUMADINE ................................................................. 46
FLUMIST 2010-2011 ............................................. 51
FLUMIST 2011-2012 ............................................. 51
FLUMIST 2012-2013 ............................................. 51
FLUMIST 2013-2014 ............................................. 51
FLUMIST QUAD 2014-2015 ........................ 51
FLUMIST QUAD 2015-2016 ........................ 51
flunisolide .......................................................................... 88
fluocinolone .................................................................. 160
fluocinolone acetonide oil ................................ 88
fluocinolone-shower cap ................................ 160
fluocinonide ................................................................. 160
FLUOCINONIDE-E ............................................. 160
fluocinonide-emollient ..................................... 160
FLUORABON ............................................................... 92
FLUOR-A-DAY .......................................................... 92
FLUOR-A-DAY (WITH XYLITOL) .... 92
fluorescein-benoxinate ........................................ 88
fluorescein-proparacaine ................................ 88
FLUORIDEX DAILY DEFENSE ............. 92
MDwise Marketplace
FLUORIDEX SENSITIVITY RELIEF
FOLIVANE-OB ........................................................ 142
FOLIVANE-PLUS .................................................... 92
FOLIVANE-PRX DHA NF .......................... 142
FOLPACE RX ............................................................ 179
FOLPLEX 2.2 ............................................................. 179
FOLTRATE ................................................................... 180
FOLTRIN ............................................................................ 92
fondaparinux ................................................................. 29
FORA D10 ......................................................................... 83
FORA D15C ..................................................................... 83
FORA D15G .................................................................... 83
FORA D15Z ..................................................................... 83
FORA D20 ......................................................................... 83
FORA G20 ......................................................................... 83
FORA G30A .................................................................... 83
FORA G71A .................................................................... 83
FORA G90 ......................................................................... 83
FORA GD50 TEST STRIPS ........................... 83
FORA HIGH CONTROL ............................... 123
FORA LANCING DEVICE ......................... 123
FORA LOW CONTROL ................................. 123
FORA NORMAL CONTROL ................... 123
FORA TEST N'GO TEST STRIPS .......... 83
FORA TEST STRIP ................................................. 83
FORA V10 ......................................................................... 83
FORA V12 GLUCOSE ......................................... 83
FORA V20 ......................................................................... 83
FORA V22 ......................................................................... 83
FORA V30A .................................................................... 83
FORACARE GD20 .................................................. 83
FORACARE GD40 .................................................. 83
FORACARE GDH HIGH CONTROL
...................................................................................................... 123
FORACARE GDH LOW CONTROL
...................................................................................................... 123
FORACARE GDH NORMAL
CONTROL ..................................................................... 123
FORACARE LANCETS ................................. 123
FORADIL AEROLIZER .................................... 18
FORANE ............................................................................. 13
FORFIVO XL .............................................................. 151
FORMADON .................................................................. 41
FORMALAZ ................................................................... 41
formaldehyde ................................................................ 41
FORMA-RAY ............................................................. 160
FORTAMET .................................................................... 38
FORTAVIT .................................................................... 180
FORTEO ........................................................................... 174
FORTESTA ................................................................... 105
FORTICAL .................................................................... 105
FORTISCARE GLUCOSE TEST
STRIPS .................................................................................. 83
FORTISCARE HIGH .......................................... 123
FORTISCARE LOW ........................................... 123
FORTISCARE NORMAL ............................. 123
FOSAMAX .................................................................... 174
FOSAMAX PLUS D ............................................ 174
fosinopril ............................................................................. 59
fosinopril-hydrochlorothiazide ................. 59
FOSRENOL ..................................................................... 92
FRAGMIN ......................................................................... 29
FREEDOM CATH ................................................. 123
FREEDOM DRAINAGE BAG ................. 123
FREEDOM LEG BAG ...................................... 123
FREEDOM T-TAP LEG BAG KIT ..... 123
92
FLUORITAB ................................................................... 92
fluorometholone ......................................................... 88
FLUOROPLEX ............................................................. 43
fluorouracil ...................................................................... 43
fluoxetine ........................................................................ 150
fluphenazine hcl ...................................................... 150
FLURA-DROPS .......................................................... 92
flurazepam .................................................................... 154
flurbiprofen ..................................................................... 15
flurbiprofen sodium .............................................. 89
FLURESS ........................................................................... 89
FLUROX ............................................................................. 89
flutamide ............................................................................. 43
fluticasone ............................................................ 89, 160
fluvastatin .......................................................................... 59
FLUVIRIN 2014-2015 .......................................... 52
FLUVIRIN 2014-2015 (PF) ............................. 52
FLUVIRIN 2015-2016 .......................................... 52
FLUVIRIN 2015-2016 (PF) ............................. 52
fluvoxamine ................................................................. 150
FLUZONE 2014-2015 ........................................... 52
FLUZONE 2014-2015 (PF) .............................. 52
FLUZONE 2015-2016 ........................................... 52
FLUZONE HIGH-DOSE 2014-15 (PF)
......................................................................................................... 52
FLUZONE HIGH-DOSE 2015-16 (PF)
......................................................................................................... 52
FLUZONE INTRADERM QUAD
2015-16 .................................................................................. 52
FLUZONE QUAD 2014-2015 ...................... 52
FLUZONE QUAD 2014-2015 (PF) ......... 52
FLUZONE QUAD 2015-2016 ...................... 52
FLUZONE QUAD 2015-2016 (PF) ......... 52
FML FORTE ................................................................... 89
FML LIQUIFILM ....................................................... 89
FML S.O.P. ....................................................................... 89
foam bandage ............................................................ 123
FOAM TOE BANDAGE ................................ 123
FOAMING ACNE FACE WASH .......... 160
FOCALGIN 90 DHA .......................................... 142
FOCALGIN CA ........................................................ 142
FOCALGIN DSS ........................................................ 92
FOCALIN ........................................................................ 150
FOCALIN XR ............................................................. 150
FOLBECAL .................................................................. 142
FOLBEE ........................................................................... 179
FOLBEE PLUS ......................................................... 179
FOLCAL DHA ........................................................... 142
FOLCAPS ....................................................................... 179
FOLCAPS CARE ONE ..................................... 142
FOLCAPS OMEGA-3 (ASPARTO-GLY)
...................................................................................................... 142
FOLET DHA ................................................................ 142
FOLET ONE ................................................................. 142
FOLEY CATHETER ........................................... 123
FOLEY CATHETER TRAY ....................... 123
FOLGARD OS .............................................................. 92
FOLGARD RX .......................................................... 179
folic acid ........................................................................... 179
folic acid-vit b6-vit b12 ................................... 179
FOLINATAL PLUS B ....................................... 142
FOLITAB ............................................................................ 92
FOLIVANE-F ................................................................. 92
.........................................................................................................
199
Index
Index
Index
FREEDOM TWIST PORT LEG BAG
KIT .......................................................................................... 123
FREESTYLE CONTROL .............................. 123
FREESTYLE INSULINX .................................. 83
FREESTYLE INSULINX TEST STRIPS
......................................................................................................... 83
FREESTYLE LANCETS ................................ 123
FREESTYLE LITE STRIPS ........................... 83
FREESTYLE PRECISION ........................... 123
FREESTYLE TEST ................................................. 83
FREESTYLE UNISTIK 2 .............................. 123
FRESHNET ................................................................... 160
FROVA ..................................................................................... 6
FULYZAQ ......................................................................... 98
FUMATINIC ................................................................... 92
FURADANTIN ............................................................. 23
furosemide ........................................................................ 86
FUSION PLUS .............................................................. 93
FUZEON .............................................................................. 47
FYCOMPA ........................................................................ 63
G-4 TEST ............................................................................ 83
gabapentin .............................................................. 63, 64
GABITRIL ......................................................................... 64
galantamine ..................................................................... 50
GALZIN ............................................................................ 174
GAMMAGARD LIQUID .................................. 52
GAMMAKED ................................................................ 52
GAMUNEX-C ............................................................... 52
GANIDIN NR ................................................................. 76
GANI-TUSS DM NR ............................................. 76
GARAMYCIN ............................................................... 23
GASTRINEX NF ........................................................ 98
GASTROCROM .......................................................... 18
gatifloxacin ....................................................................... 23
GATTEX 30-VIAL ................................................... 98
GATTEX ONE-VIAL ............................................ 98
gauze bandage ........................................................... 123
GAUZE PAD ............................................................... 123
GAUZE ROLL ........................................................... 123
GAUZE SPONGES ............................................... 123
GAVILYTE-C ................................................................ 98
GAVILYTE-G ............................................................... 98
GAVILYTE-H AND BISACODYL ....... 98
GAVILYTE-N ............................................................... 98
GE100 BLOOD GLUCOSE TEST STRIP
......................................................................................................... 83
GE100 CONTROL SOLUTION
NORMAL ........................................................................ 123
gelatin (bulk) .............................................................. 174
GELCLAIR .................................................................... 174
GELFILM .............................................................. 89, 174
GELFOAM ........................................................................ 53
GELFOAM COMPRESSED SIZE 100
......................................................................................................... 53
GELFOAM SPONGE SIZE 100 ................. 53
GELFOAM SPONGE SIZE 12-7MM ... 53
GELFOAM SPONGE SIZE 200 ................. 53
GELFOAM SPONGE SIZE 50 .................... 53
GEL-KAM ......................................................................... 93
GEL-KAM ORAL CARE RINSE ............. 93
GELNIQUE ................................................................... 174
GELPAD .......................................................................... 123
GELX ................................................................................... 174
gemfibrozil ....................................................................... 59
GENADUR .................................................................... 160
MDwise Marketplace
GENERESS FE ............................................................. 68
GENERLAC .................................................................... 98
GENGRAF ..................................................................... 108
GENOTROPIN .......................................................... 105
GENOTROPIN MINIQUICK .................... 105
GENSTRIP TEST STRIP ................................... 84
GENTAK ............................................................................. 23
gentamicin ........................................................................ 23
GENTEX 30 ..................................................................... 76
GENTLE TAPE ........................................................ 123
GENTLECATH ......................................................... 123
GENTLELAX ................................................................ 98
GENULTIMATE TEST ....................................... 84
GEODON ........................................................................ 151
GERI-DRYL .................................................................... 37
GERI-HYDROLAC .............................................. 160
GERI-TUSSIN ............................................................... 76
GESTICARE ................................................................ 142
GESTICARE DHA ................................................ 143
GIANVI (28) ................................................................... 68
GIAZO ................................................................................... 98
GILDAGIA ....................................................................... 68
GILDESS ............................................................................. 68
GILDESS 24 FE ........................................................... 68
GILDESS FE ................................................................... 68
GILENYA .......................................................................... 64
GILOTRIF .......................................................................... 43
GIZMO ............................................................................... 123
GLATOPA ......................................................................... 64
GLEEVEC .......................................................................... 43
GLEOSTINE ................................................................... 43
glimepiride ....................................................................... 38
glipizide ................................................................................ 38
glipizide-metformin ............................................... 38
GLUCAGEN ................................................................... 93
GLUCAGEN HYPOKIT .................................... 93
GLUCAGON EMERGENCY KIT
(HUMAN) .......................................................................... 93
GLUCO NAVII TEST STRIP ....................... 84
GLUCOCARD 01 HI-NORMAL
CONTROL ..................................................................... 124
GLUCOCARD 01 NORMAL CONTROL
...................................................................................................... 124
GLUCOCARD 01 SENSOR PLUS ......... 84
GLUCOCARD EXPRESSION ....... 84, 124
GLUCOCARD SHINE ...................................... 124
GLUCOCARD SHINE TEST STRIPS
......................................................................................................... 84
GLUCOCARD VITAL SENSOR .............. 84
GLUCOCARD X-METER CONTROL
...................................................................................................... 124
GLUCOCARD X-SENSOR ............................ 84
GLUCOCOM CONTROL HIGH ........... 124
GLUCOCOM CONTROL NORMAL
...................................................................................................... 124
GLUCOCOM GLUCOSE ................................. 84
GLUCOCOM LANCETS ............................... 124
GLUCOLAB .................................................................... 84
GLUCOLAB HIGH CONTROL ............. 124
GLUCOLAB LOW CONTROL .............. 124
GLUCOLAB NORMAL CONTROL
...................................................................................................... 124
GLUCOLET 2 AUTOMATIC LANCING
...................................................................................................... 124
GLUCOPHAGE ........................................................... 38
GLUCOPHAGE XR ................................................ 38
GLUCOPRO ................................................................. 124
glucose ................................................................................... 93
GLUCOSE CONTROL ..................................... 124
GLUCOSE KETONE CONTROL SOLN
...................................................................................................... 124
GLUCOSOURCE ................................................... 124
GLUCOTROL ................................................................ 38
GLUCOTROL XL ..................................................... 38
GLUCOVANCE .......................................................... 38
GLUMETZA ................................................................... 38
glutathione (bulk) ................................................. 174
GLUTOFAC ................................................................. 180
GLUTOFAC-MX ....................................................... 93
GLUTOFAC-ZX ...................................................... 180
glyburide ............................................................................. 39
glyburide micronized ........................................... 39
glyburide-metformin ............................................ 39
glycine .................................................................................... 41
GLYCINE UROLOGIC ....................................... 41
GLYCOLAX ................................................................... 98
glycopyrrolate .............................................................. 99
GLYDO ................................................................................. 13
GLYNASE ......................................................................... 39
GLYSET .............................................................................. 39
GLYXAMBI .................................................................... 39
GM100 ................................................................................... 84
GMATE CONTROL SOLUTION, HIGH
...................................................................................................... 124
GMATE CONTROL SOLUTION,
NORMAL ........................................................................ 124
GMATE LANCETS ............................................. 124
GMATE TEST STRIPS ....................................... 84
GOLYTELY .................................................................... 99
GORDONS UREA ................................................. 160
G-P-TUSS DXP ............................................................ 76
GRAFIX CORE ............................................................ 52
GRAFIX PRIME ......................................................... 52
GRALISE ............................................................................ 64
GRALISE 30-DAY STARTER PACK
......................................................................................................... 64
granisetron hcl ............................................................. 99
GRANISOL ...................................................................... 99
GRANIX .............................................................................. 66
GRANULEX ................................................................ 160
GRASTEK ......................................................................... 52
GRIFULVIN V .............................................................. 31
griseofulvin microsize .......................................... 31
griseofulvin ultramicrosize ........................... 31
GRIS-PEG (ULTRAMICROSIZE) .......... 31
GRX FOAM DRESSING ............................... 124
GRX HICORT 25 ....................................................... 99
GRX HYDROGEL GAUZE ........................ 124
G-SUPRESS DX ......................................................... 76
G-TRON ............................................................................... 76
guaiacol ............................................................................. 160
GUAIASORB DM ..................................................... 76
GUAIATUSSIN AC ................................................ 76
guaifenesin ........................................................................ 76
GUAIFENESIN AC ................................................. 76
GUAIFENESIN DAC ............................................ 76
GUAIFENESIN NR ................................................. 76
GUAIFENESIN-DM NR .................................... 76
guanabenz ......................................................................... 59
guanfacine ........................................................... 59, 151
200
Index
Index
Index
guanidine ............................................................................ 50
guar gum ......................................................................... 174
guava flavor (bulk) .............................................. 174
GYNAZOLE-1 .............................................................. 31
GYNOL II ........................................................................... 68
HAEMOLANCE LOW FLOW
LANCETS ....................................................................... 124
HAEMOLANCE PLUS .................................... 124
HAEMOLANCE PLUS LANCETS .... 124
HAEMOLANCE, RETRACTABLE
LANCET .......................................................................... 124
HALAC .............................................................................. 160
HALCION ....................................................................... 154
HALFLYTELY-BISACODYL W-FLAV
PK ............................................................................................... 99
HALFPRIN ........................................................................... 6
halobetasol propionate .................................... 160
HALOG ............................................................................. 160
HALONATE ................................................................ 161
HALONATE PAC .................................................. 161
haloperidol .................................................................... 151
haloperidol lactate ............................................... 151
HARVONI ......................................................................... 47
HC PRAM .......................................................................... 99
HEALTHMIST .......................................................... 124
HEALTHPRO HIGH-LOW CONTROL
...................................................................................................... 124
HEALTHPRO TEST STRIPS ....................... 84
HEALTHY ACCENTS AUTOLET ..... 124
HEALTHY ACCENTS UNIFINE
PENTIP .............................................................................. 124
HEALTHY ACCENTS UNILET
LANCET .......................................................................... 124
HEALTHYLAX ........................................................... 99
HEARTBURN PREVENTION .................... 99
HEARTBURN RELIEF (CIMETIDINE)
......................................................................................................... 99
HEARTBURN RELIEF (FAMOTIDINE)
......................................................................................................... 99
HEARTBURN RELIEF (RANITIDINE)
......................................................................................................... 99
HEARTBURN RELIEF 24 HOUR .......... 99
HEARTBURN TREATMENT 24 HOUR
......................................................................................................... 99
HEAT THERAPY .................................................. 124
HEATHER ......................................................................... 68
HEATWRAPS ............................................................ 124
HEATWRAPS BACK & HIP PADS
...................................................................................................... 124
HEAVY DUTY FABRIC STRIPS ........ 124
HECORIA ....................................................................... 108
HECTOROL ................................................................. 174
HELIDAC ........................................................................... 99
HELIXATE FS .............................................................. 53
HEMANGEOL .............................................................. 59
HEMATINIC PLUS VIT/MINERALS
......................................................................................................... 93
HEMATINIC/FOLIC ACID ........................... 93
HEMATOGEN .............................................................. 93
HEMATOGEN FA .................................................... 93
HEMATOGEN FORTE ....................................... 93
HEMATRON .................................................................. 93
HEMATRON-AF ....................................................... 93
HEMAX ................................................................................ 93
HEMENATAL OB ................................................ 143
MDwise Marketplace
HEMENATAL OB + DHA ........................... 143
HEMETAB ........................................................................ 93
HEMMOREX-HC ...................................................... 99
HEMOCYTE-F ............................................................. 93
HEMOCYTE-PLUS ................................................ 93
HEMOFIL M HIGH ................................................ 53
HEMOFIL M LOW .................................................. 53
HEMOFIL M MID .................................................... 53
HEMOFIL M SUPER HIGH .......................... 53
HEMORRHOIDAL-HC ...................................... 99
HEMRIL-30 ...................................................................... 99
HEP FLUSH-10 (PF) .............................................. 29
heparin (porcine) ...................................................... 29
heparin (porcine) in 0.9% nacl ................. 29
heparin (porcine) in 5 % dex ...................... 29
heparin (porcine) in nacl (pf) ..................... 29
HEPARIN FLUSH .................................................... 29
heparin flush(porcine)-0.9nacl .................. 29
HEPARIN LOCK ....................................................... 30
HEPARIN LOCK FLUSH ................................ 30
heparin lock flush (porcine) ......................... 30
HEPARIN
LOCKFLUSH(PORCINE)(PF) .................... 30
heparin, porcine (pf) ............................................. 30
HEPSERA .......................................................................... 47
HETLIOZ ........................................................................ 154
HEXALEN ........................................................................ 43
HEX-ON LIGHT ODOR ................................. 161
HICON ................................................................................ 174
HIPREX ................................................................................ 23
HISTEX SR ...................................................................... 33
HIZENTRA ....................................................................... 52
HOMATROPAIRE ................................................... 89
homatropine hbr ....................................................... 89
HORIZANT ...................................................................... 64
HPR ........................................................................................ 161
HPR PLUS ...................................................................... 161
HPR PLUS HYDROGEL ............................... 161
HPR PLUS-MB HYDROGEL ................... 161
HUMALOG ...................................................................... 39
HUMALOG KWIKPEN ..................................... 39
HUMALOG MIX 50-50 ...................................... 39
HUMALOG MIX 50-50 KWIKPEN ...... 39
HUMALOG MIX 75-25 ...................................... 39
HUMALOG MIX 75-25 KWIKPEN ...... 39
HUMATE-P ...................................................................... 53
HUMATROPE ........................................................... 105
humidifiers .................................................................... 124
HUMIRA ............................................................................. 15
HUMIRA PEDIATRIC CROHN'S
START ................................................................................... 15
HUMIRA PEN ............................................................... 15
HUMIRA PEN CROHN'S-UC-HS
START ................................................................................... 15
HUMIRA PEN PSORIASIS STARTER
......................................................................................................... 15
HUMULIN 70/30 ........................................................ 39
HUMULIN 70/30 KWIKPEN ....................... 39
HUMULIN 70/30 PEN ......................................... 39
HUMULIN N .................................................................. 39
HUMULIN N PEN .................................................... 39
HUMULIN R .................................................................. 39
HUMULIN R U-500
(CONCENTRATED) .............................................. 39
HYCAMTIN .................................................................... 43
HYCET ..................................................................................... 6
HYCOFENIX ................................................................. 76
hydralazine ...................................................................... 59
HYDREA ............................................................................ 43
HYDRESS ...................................................................... 124
HYDRO 35 ..................................................................... 161
HYDRO 40 ..................................................................... 161
HYDRO ARMOR AG HEEL
DRESSING .................................................................... 124
HYDRO ARMOR AG TOE ......................... 124
HYDROCERIN ......................................................... 161
hydrochlorothiazide .............................................. 86
hydrocodone-acetaminophen .................. 6, 7
hydrocodone-chlorpheniramine .............. 76
hydrocodone-homatropine ............................ 76
hydrocodone-ibuprofen ........................................ 7
hydrocol dress-adhesive rem#1 ............ 124
hydrocortisone ............................................ 105, 161
hydrocortisone acet-aloe vera ................. 161
hydrocortisone acetate ....................................... 99
hydrocortisone butyrate ................................ 161
hydrocortisone butyr-emollient ............ 161
HYDROCORTISONE PLUS ...................... 161
HYDROCORTISONE PLUS 12 ............. 161
hydrocortisone valerate ................................. 161
hydrocortisone-acetic acid ............................. 89
hydrocortisone-iodoquinol-aloe ........... 161
hydrocortisone-min oil-wht pet ............ 161
hydrocortisone-pramox-e-pram#1 ....... 99
hydrocortisone-pramoxine ............... 99, 161
HYDROCREAM ..................................................... 161
HYDROCREAM BASE .................................. 174
HYDROFERA BLUE ......................................... 124
HYDROGESIC ................................................................ 7
HYDRO-IODOQUINOL 2-1 ...................... 161
HYDROMET .................................................................. 76
hydromorphone ............................................................. 7
hydromorphone (pf) ................................................. 7
hydromorphone in 0.9 % nacl ...................... 7
HYDROPHOR ........................................................... 124
hydroquinone ............................................................. 161
hydroquinone microspheres ..................... 161
hydroquinone with sunscreen ................. 161
HYDROSKIN ............................................................. 161
hydroxocobalamin ............................................... 180
hydroxychloroquine .............................................. 41
hydroxypropyl cellulose ................................ 174
hydroxyurea ................................................................... 43
hydroxyzine hcl ........................................................... 37
hydroxyzine pamoate ........................................... 37
HYGEL .............................................................................. 161
HYLASE .......................................................................... 161
HYLATOPIC ............................................................... 161
HYLATOPIC PLUS ............................................. 161
HYLATOPIC PLUS-AURSTAT ............ 161
HYLIRA ........................................................................... 161
HYOLEV MB ................................................................. 23
HYOMAX-SL ................................................................ 99
HYOPHEN ........................................................................ 23
hyoscyamine sulfate ............................................... 99
HYPERCARE ............................................................. 161
HYPER-SAL ................................................................ 174
HYPO-ALLERGENIC BANDAGES
...................................................................................................... 124
HYPOLANCE AST LANCING .............. 124
201
Index
Index
Index
hypromellose .............................................................. 174
HYQVIA .............................................................................. 52
HYSINGLA ER ............................................................... 7
HYZAAR ............................................................................ 59
ibandronate .................................................................. 174
IBRANCE ........................................................................... 43
IBUDONE ............................................................................. 7
ibuprofen ............................................................................ 15
ibuprofen-oxycodone ............................................... 7
IC400 ....................................................................................... 15
IC800 ....................................................................................... 15
ICAR-C PLUS ............................................................... 93
ICAR-C PLUS SR .................................................. 143
ICLUSIG .............................................................................. 43
ICY HOT MEDICATED SLEEVE ...... 161
IFEREX 150 FORTE .............................................. 93
ILEVRO ................................................................................ 89
ILOTYCIN ........................................................................ 23
IMBRUVICA .................................................................. 43
IMDUR .................................................................................. 55
imipramine hcl ......................................................... 151
imipramine pamoate ......................................... 151
imiquimod ..................................................................... 161
IMITREX ......................................................................... 7, 8
IMITREX STATDOSE KIT REFILL ....... 7
IMITREX STATDOSE PEN .............................. 7
IMPLANON ..................................................................... 68
IMURAN .......................................................................... 108
INATAL ADVANCE .......................................... 143
INATAL GT ................................................................. 143
INATAL ULTRA .................................................... 143
INCARE INVIEW CATHETER ............. 125
IN-CHECK DIAL TRAINING DEVICE
...................................................................................................... 125
IN-CHECK NASAL WITH MASK ..... 125
IN-CHECK ORAL FLOW METER .... 125
INCIVEK ............................................................................. 47
INCONTROL LANCING DEVICE .... 125
INCONTROL PEN NEEDLE .................... 125
INCONTROL SUPER THIN LANCETS
...................................................................................................... 125
INCONTROL ULTRA THIN LANCETS
...................................................................................................... 125
INCRELEX .................................................................... 105
INCRUSE ELLIPTA ............................................... 18
indapamide ...................................................................... 86
INDERAL LA ................................................................ 59
INDERAL XL ................................................................ 59
INDICLOR ..................................................................... 174
INDIOMIN MB ............................................................ 23
INDOCIN ............................................................................ 15
indomethacin ................................................................. 15
INFANATE BALANCE .................................. 143
INFANATE DHA ................................................... 143
INFANATE PLUS ................................................. 143
INFASURF .................................................................... 174
INFERGEN ....................................................................... 47
INFINITY CONTROL SOLUTION
HIGH .................................................................................... 125
INFINITY CONTROL SOLUTION
LOW ..................................................................................... 125
INFINITY CONTROL SOLUTION
NORM ................................................................................. 125
INFINITY TEST STRIPS .................................. 84
INFLUDO ....................................................................... 103
MDwise Marketplace
INJECT EASE LANCETS ............................ 125
INLYTA ............................................................................... 43
INNOHEP ........................................................................... 30
INNOPRAN XL ........................................................... 59
INNOSPIRE DELUXE ..................................... 125
INNOSPIRE ELEGANCE ............................. 125
INNOSPIRE ESSENCE ................................... 125
INNOSPIRE MINI ................................................. 125
INNOSPIRE REPLACEMENT FILTER
...................................................................................................... 125
INOVA ............................................................................... 162
INOVA 4-1 ..................................................................... 162
INOVA 8-2 ..................................................................... 162
INS SYRINGE/NEEDLE 0.5CC/27G
...................................................................................................... 125
INSPIRACHAMBER .......................................... 125
INSPIRACHAMBER WITH
MASK-MED ................................................................ 125
INSPIRACHAMBER WITH
MASK-SMALL ......................................................... 125
INSPIRATION ELITE ....................................... 125
INSPIRATION ELITE FILTER .............. 125
INSPIRATION NEBULIZER SYSTEM
...................................................................................................... 125
INSPIREASE ............................................................... 125
INSPIREASE BAGS ........................................... 125
INSPIREASE MOUTHPIECE .................. 125
INSPIREASE RESERVOIR BAGS ..... 125
INSPRA ................................................................................ 86
INSULIN SYRINGE ........................................... 125
INSULIN SYRINGE MICROFINE ..... 125
insulin syringe needleless ............................. 125
INSULIN SYRINGE ULTRAFINE ..... 125
insulin syringe-needle u-100 ..................... 125
insulin syringes (disposable) ..................... 125
INSUMED ...................................................................... 125
INSUPEN ........................................................................ 125
INSYTE IV CATHETER ................................ 125
INTEGRA F ..................................................................... 93
INTEGRA PLUS ......................................................... 93
INTELENCE ................................................................... 47
INTERMEZZO .......................................................... 154
INTERSORB ................................................................ 125
INTROL ................................................................................ 86
INTRON A ........................................................................ 43
INTROSYTE AUTOGUARD .................... 125
INTROVALE .................................................................. 68
INTUNIV ER ............................................................... 151
INVACARE LANCETS ................................... 125
INVEGA ........................................................................... 151
INVIRASE ......................................................................... 47
INVOKAMET ................................................................ 39
INVOKANA .................................................................... 39
iodine-potassium iodide ................................. 162
IODOFLEX ................................................................... 162
iodoquinol-hc ............................................................. 162
IODOSORB ................................................................... 162
IOPHEN DM-NR ........................................................ 76
IOPHEN-NR .................................................................... 76
IOPIDINE ........................................................................... 89
ipecac ...................................................................................... 99
ipratropium bromide ................................. 18, 89
ipratropium-albuterol ......................................... 18
IPRIVASK ......................................................................... 30
IQUIX ..................................................................................... 23
irbesartan .......................................................................... 59
irbesartan-hydrochlorothiazide .............. 59
IRENKA ........................................................................... 151
IRESSA ................................................................................. 43
IRON ........................................................................................ 93
IRON 100 PLUS .......................................................... 93
iron aspgly&ps-c-b12-fa-ca-suc ............... 93
iron aspgly-c-b12-ca-suc-stoma ............... 93
iron fum & ag-c-b12-fa-ca-succ ............... 93
IROSPAN 24/6 .............................................................. 93
ISENTRESS ..................................................................... 47
ISLAND GARD-GRX ....................................... 125
ISOCHRON ...................................................................... 55
ISODITRATE ................................................................. 55
isoflurane ........................................................................... 13
isometh-dichloral-acetaminophn ............... 8
isomethepten-caf-acetaminophen ............. 8
ISONARIF ......................................................................... 23
isoniazid ............................................................................... 24
isopropyl palmitate ............................................. 174
ISOPTO ATROPINE .............................................. 89
ISOPTO CARBACHOL ...................................... 89
ISOPTO CARPINE .................................................. 89
ISOPTO HOMATROPINE .............................. 89
ISOPTO HYOSCINE ............................................. 89
ISORDIL .............................................................................. 55
ISORDIL TITRADOSE ....................................... 55
isosorbide dinitrate ................................................. 55
isosorbide mononitrate ...................................... 55
isoxsuprine ....................................................................... 59
isradipine ........................................................................... 55
ISTALOL ............................................................................ 89
ITCH RELIEF (CLOTRIMAZOLE) ...... 31
ITCH-X HC ................................................................... 162
itraconazole ..................................................................... 31
IV 3000 ............................................................................... 125
IV PUMP SET/IVEX-HP FILTER ....... 126
ivermectin .......................................................................... 41
IXINITY ............................................................................... 53
J & J NON-STICK PADS LARGE ....... 126
J & J NON-STICK PADS MEDIUM
...................................................................................................... 126
JADENU ........................................................................... 174
JAKAFI ................................................................................. 43
JALYN ................................................................................ 174
JANTOVEN ..................................................................... 30
JANUMET ......................................................................... 39
JANUMET XR .............................................................. 39
JANUVIA ........................................................................... 39
JARDIANCE ................................................................... 39
JAY-PHYL ........................................................................ 18
J-COF DHC ...................................................................... 76
JENCYCLA ...................................................................... 68
JENTADUETO ............................................................. 39
JEVANTIQUE ............................................................ 105
JINTELI ............................................................................. 105
J-MAX .................................................................................... 76
J-MAX DHC .................................................................... 76
JOCK ITCH (CLOTRIMAZOLE) ............ 31
JOLESSA ............................................................................ 68
JOLIVETTE ..................................................................... 68
J-TAN D ............................................................................... 34
J-TAN D PD ..................................................................... 34
JUBLIA ................................................................................. 31
JULEBER ........................................................................... 68
202
Index
Index
Index
JUNEL 1.5/30 (21) .................................................... 68
JUNEL 1/20 (21) ......................................................... 68
JUNEL FE 1.5/30 (28) ........................................... 68
JUNEL FE 1/20 (28) ................................................ 68
JUNEL FE 24 .................................................................. 69
JUST FOR KIDS ......................................................... 93
JUVISYNC ........................................................................ 39
JUXTAPID ........................................................................ 59
KADIAN ................................................................................. 8
KALETRA ......................................................................... 47
KALTOSTAT FORTEX .................................. 126
KALTOSTAT ROPE ........................................... 126
KALTOSTAT WOUND DRESSING
...................................................................................................... 126
KALYDECO ................................................................ 174
KANGAROO FEEDING TUBE ............. 126
KAOCHLOR ................................................................... 93
KAPVAY ......................................................................... 151
KAPVAY DOSE PACK .................................. 151
KARBINAL ER ........................................................... 37
KARIVA (28) ................................................................. 69
KAYEXALATE ........................................................... 93
KAZANO ............................................................................ 39
K-EFFERVESCENT ............................................... 93
KEFLEX .............................................................................. 24
KELNOR 1/35 (28) ................................................... 69
KENALOG .................................................................... 162
KENDALL ..................................................................... 126
KENDALL CLOTH ............................................. 126
KENDALL FOAM BORDER .................... 126
KENGUARD FOLEY CATHETER .... 126
KENGUARD URINARY DRAIN BAG
...................................................................................................... 126
KENLINE ADD-A-FOLEY TRAY 30CC
...................................................................................................... 126
KEPPRA .............................................................................. 64
KEPPRA XR ................................................................... 64
KERAFOAM ............................................................... 162
KERALAC ..................................................................... 162
KERALAC NAILSTIK ..................................... 162
KERALYT RX ........................................................... 162
KERALYT SCALP COMPLETE .......... 162
KERLIX ............................................................................ 126
KERLIX AMD ........................................................... 126
KERLIX BURN PACK ..................................... 126
KERLIX LITE ............................................................ 126
KERLIX PACKING SPONGE ................. 126
KERLONE ......................................................................... 59
KEROL .............................................................................. 162
KEROL AD ................................................................... 162
KEROL REDI-CLOTHS ................................. 162
KERYDIN .......................................................................... 31
KETEK .................................................................................. 24
KETOCON + PLUS ................................................. 31
ketoconazole ................................................................... 31
ketoconazole-hydrocortisone ...................... 31
KETODAN ........................................................................ 31
KETODAN KIT ........................................................... 31
ketoprofen ......................................................................... 15
ketorolac ....................................................................... 8, 89
KEVEYIS ........................................................................ 174
KEYNOTE ........................................................................ 84
KHEDEZLA ................................................................. 151
KIMIDESS (28) ............................................................ 69
KINERET ........................................................................... 16
MDwise Marketplace
KINNEY BRAND LANCETS .................. 126
KIONEX .............................................................................. 93
KITABIS PAK ............................................................... 24
KLARON ......................................................................... 162
KLING ROLLS ......................................................... 126
KLONOPIN ...................................................................... 64
KLOR-CON ...................................................................... 93
KLOR-CON 10 ............................................................. 93
KLOR-CON M10 ....................................................... 93
KLOR-CON M15 ....................................................... 93
KLOR-CON M20 ....................................................... 93
KLOR-CON SPRINKLE .................................... 93
KLOR-CON/25 ............................................................. 94
KOATE-DVI ................................................................... 53
KOGENATE FS ........................................................... 53
KOMBIGLYZE XR ................................................. 39
KORLYM ........................................................................... 39
KOTEX FRESH & DRY ................................. 126
KOTEX OVERNIGHT ..................................... 126
K-PHOS MF ..................................................................... 94
K-PHOS NO 2 ................................................................ 94
K-PHOS ORIGINAL .............................................. 94
K-PHOS-NEUTRAL ............................................... 94
KRISTALOSE ............................................................... 99
K-SOL .................................................................................... 94
K-TAB .................................................................................... 94
KURVELO ........................................................................ 69
KUVAN ............................................................................. 174
KWIK-VIAL ................................................................ 126
KYNAMRO ...................................................................... 59
l norgest/e.estradiol-e.estrad ....................... 69
labetalol ............................................................................... 59
LAC-HYDRIN ........................................................... 162
LAC-HYDRIN TWELVE .............................. 162
LACLOTION .............................................................. 162
LACRISERT .................................................................... 89
lactated ringers .............................................. 94, 162
lactic acid ........................................................................ 162
lactic acid (bulk) ..................................................... 162
LACTIC ACID E ..................................................... 162
LACTOCAL-F ........................................................... 143
lactulose ............................................................................... 99
LAGESIC ............................................................................... 3
LAMICTAL ...................................................................... 64
LAMICTAL ODT ...................................................... 64
LAMICTAL ODT STARTER (BLUE)
......................................................................................................... 64
LAMICTAL ODT STARTER (GREEN)
......................................................................................................... 64
LAMICTAL ODT STARTER
(ORANGE) ........................................................................ 64
LAMICTAL STARTER (BLUE) KIT
......................................................................................................... 64
LAMICTAL STARTER (GREEN) KIT
......................................................................................................... 64
LAMICTAL STARTER (ORANGE) KIT
......................................................................................................... 64
LAMICTAL XR ........................................................... 64
LAMICTAL XR STARTER (BLUE) .... 64
LAMICTAL XR STARTER (GREEN)
......................................................................................................... 64
LAMICTAL XR STARTER (ORANGE)
......................................................................................................... 64
LAMISIL ............................................................................. 32
LAMISIL (AEROSOL) ........................................ 31
LAMISIL AT .................................................................. 32
lamivudine ........................................................................ 47
lamivudine-zidovudine ....................................... 47
lamotrigine ............................................................. 64, 65
lancets ................................................................................. 126
LANCETS, SUPER THIN ............................. 126
LANCETS,THIN ..................................................... 126
LANCETS,ULTRA THIN ............................. 126
lancing device ............................................................ 126
LANCING DEVICE WITH LANCETS
...................................................................................................... 126
LANCING SYSTEM ........................................... 126
LANOXIN .......................................................................... 55
lansoprazole .................................................................... 99
LANTUS .............................................................................. 39
LANTUS SOLOSTAR .......................................... 39
LARIN 1.5/30 (21) .................................................... 69
LARIN 1/20 (21) ......................................................... 69
LARIN 24 FE .................................................................. 69
LARIN FE .......................................................................... 69
LASIX .................................................................................... 86
LASTACAFT ................................................................. 37
latanoprost ....................................................................... 89
LATRIX ............................................................................ 162
LATRIX XM ................................................................ 162
LATUDA ......................................................................... 151
LAVOCLEN-4 ........................................................... 162
LAVOCLEN-4 (NEW CLEANSER)
...................................................................................................... 162
LAVOCLEN-8 ........................................................... 162
LAVOCLEN-8 (NEW CLEANSER)
...................................................................................................... 162
LAXA CLEAR .............................................................. 99
LAXATIVE PEG 3350 ......................................... 99
LAYOLIS FE .................................................................. 69
LAZANDA ........................................................................... 8
LAZERFORMALYDE ......................................... 41
LC D NEBULIZER SET ................................. 126
LC PLUS .......................................................................... 126
LC STAR ......................................................................... 126
LDO PLUS ........................................................................ 13
LEENA 28 .......................................................................... 69
leflunomide ...................................................................... 16
LEG BAG STRAPS .............................................. 126
LEMON EXTRACT FLAVOR ................ 174
LENVIMA ......................................................................... 43
LESCOL ............................................................................... 59
LESCOL XL .................................................................... 59
LESSINA ............................................................................. 69
LETAIRIS .......................................................................... 59
letrozole ................................................................................ 43
leucovorin calcium ............................................... 174
LEUKERAN .................................................................... 43
LEUKINE ........................................................................... 67
leuprolide ........................................................................... 43
LEVACET ............................................................................. 8
levalbuterol hcl ............................................................ 18
LEVAQUIN ...................................................................... 24
LEVATOL ......................................................................... 59
LEVBID ................................................................................ 99
LEVEMIR .......................................................................... 40
LEVEMIR FLEXPEN ........................................... 40
LEVEMIR FLEXTOUCH ................................. 40
levetiracetam ................................................................. 65
LEVITRA ........................................................................ 174
203
Index
Index
Index
levobunolol ....................................................................... 89
levocarnitine ................................................................ 175
levocarnitine (with sugar) ........................... 174
levocetirizine .................................................................. 37
levofloxacin ...................................................................... 24
LEVOMEFOLATEPNV .................................. 143
LEVONEST (28) ......................................................... 69
levonorgestrel ................................................................ 69
levonorgestrel-ethinyl estrad ...................... 69
LEVORA-28 .................................................................... 69
levorphanol tartrate ................................................. 8
LEVOTHROID .......................................................... 170
levothyroxine .............................................................. 170
LEVOXYL ..................................................................... 170
LEVSIN ................................................................................ 99
LEVSIN/SL ....................................................................... 99
LEVULAN ........................................................................ 43
LEXAPRO ...................................................................... 151
LEXIVA ............................................................................... 47
LEXUSS 210 ................................................................... 77
LIALDA ............................................................................... 99
LIBERTY CONTROL SOLN NORMAL
...................................................................................................... 126
LIBERTY CONTROL SOLUTION
HIGH .................................................................................... 126
LIBERTY LEV 1 GLUCOSE CONTROL
...................................................................................................... 126
LIBERTY LEV 2 GLUCOSE CONTROL
...................................................................................................... 126
LIBERTY TEST .......................................................... 84
LIBRAX (WITH CLIDINIUM) .................. 99
LICE & NIT REMOVAL COMB .......... 126
LIDAMANTLE ............................................................ 13
LIDAMANTLE HC .............................................. 162
lidocaine .............................................................................. 13
lidocaine hcl .................................................................... 13
lidocaine hcl-hydrocortison ac
.............................................................................. 99, 100, 162
LIDOCAINE VISCOUS ..................................... 13
lidocaine-hydrocortisone-aloe ................ 100
lidocaine-prilocaine ................................................ 13
lidocaine-tetracaine ................................................ 13
LIDOCORT ................................................................... 100
LIDODERM ..................................................................... 14
LIDOPIN ............................................................................. 14
LIDORX ............................................................................... 14
LIDOVEX .......................................................................... 14
LILETTA ............................................................................. 69
lindane ............................................................................... 162
linezolid ................................................................................ 24
LINZESS .......................................................................... 100
liothyronine .................................................................. 170
LIP TREATMENT ................................................. 175
LIPITOR .............................................................................. 59
LIPOCHOL PLUS ..................................................... 59
LIPOFEN ............................................................................. 59
LIPTRUZET .................................................................... 59
LIQUIBID D-R ............................................................. 77
LISCO ................................................................................. 126
lisinopril .............................................................................. 59
lisinopril-hydrochlorothiazide .................. 59
LITE COAT ASPIRIN ............................................. 8
LITE TOUCH INSULIN PEN NEEDLES
...................................................................................................... 126
LITE TOUCH INSULIN SYRINGE ... 126
MDwise Marketplace
LITE TOUCH LANCETS .............................. 126
LITE TOUCH LANCING DEVICE .... 127
LITE TOUCH-MEDIUM MASK ........... 127
LITEAIRE MDI CHAMBER ..................... 127
LITETOUCH-LARGE MASK .................. 127
LITETOUCH-SMALL MASK ................. 127
lithium carbonate .................................................. 151
lithium citrate ............................................................ 151
LITHOBID ..................................................................... 151
LITHOSTAT ................................................................ 100
LIVALO ............................................................................... 59
L-METHYLFOLATE PNV DHA .......... 143
LO LOESTRIN FE .................................................... 69
LOCOID ........................................................................... 162
LO-DOSE ASPIRIN ................................................... 8
LODOSYN ........................................................................ 45
LODRANE ........................................................................ 34
LODRANE 24 D ......................................................... 34
LODRANE ER .............................................................. 37
LOESTRIN 1.5/30 (21) ........................................ 69
LOESTRIN 1/20 (21) ............................................. 69
LOESTRIN 24 FE ...................................................... 69
LOESTRIN FE 1.5/30 (28-DAY) .............. 69
LOESTRIN FE 1/20 (28-DAY) ................... 69
LOFIBRA ........................................................................... 59
LOHIST 12 ........................................................................ 37
LOHIST 12D ................................................................... 34
LOHIST PEB DM ...................................................... 77
LOHIST-DM ................................................................... 77
LOHIST-PSB-DM ..................................................... 77
LOMEDIA 24 FE ....................................................... 69
LOMOTIL ....................................................................... 100
lomustine ............................................................................ 43
LONSURF .......................................................................... 43
LO-OVRAL (28) ......................................................... 69
loperamide .................................................................... 100
LOPID .................................................................................... 59
LOPREEZA ................................................................... 105
LOPRESSOR .................................................................. 59
LOPRESSOR HCT ................................................... 59
LOPROX ............................................................................. 32
lorazepam ....................................................................... 151
LORAZEPAM INTENSOL .......................... 151
LORCET (HYDROCODONE) ........................ 8
LORCET 10/650 ............................................................. 8
LORCET HD ...................................................................... 8
LORCET PLUS ............................................................... 8
LORTAB ................................................................................. 8
LORTAB 10-325 ............................................................ 8
LORTAB 5-325 ............................................................... 8
LORTAB 7.5-325 .......................................................... 8
LORTAB ELIXIR ......................................................... 8
LORTUSS EX ................................................................ 77
LORYNA (28) ............................................................... 69
LORZONE ...................................................................... 141
losartan ................................................................................. 59
losartan-hydrochlorothiazide ..................... 59
LOSEASONIQUE ..................................................... 69
LOTEMAX ....................................................................... 89
LOTENSIN ....................................................................... 60
LOTENSIN HCT ........................................................ 59
LOTREL .............................................................................. 60
LOTRIMIN ULTRA ............................................... 32
LOTRISONE ................................................................... 32
LOTRONEX ................................................................. 100
LOUTREX ...................................................................... 162
lovastatin ............................................................................ 60
LOVAZA ......................................................................... 100
LOVENOX ........................................................................ 30
LOW-OGESTREL (28) ........................................ 69
loxapine succinate ................................................. 151
LOXITANE ................................................................... 151
LOZI-FLUR ...................................................................... 94
LTA PRE-ATTACHED ....................................... 14
LUDENT FLUORIDE ........................................... 94
LUER LOCK-TO-BAG .................................... 127
LUER TO CATHETER TIP ADAPTER
...................................................................................................... 127
LUER TO URETHRAL TIP ADAPTER
...................................................................................................... 127
LUFYLLIN ....................................................................... 18
LUFYLLIN-GG ............................................................ 18
LUGOLS .......................................................................... 162
LUMIGAN ........................................................................ 89
LUNESTA ...................................................................... 154
LUSAIR ................................................................................ 77
LUSONAL ......................................................................... 77
LUSTRA ........................................................................... 162
LUSTRA-AF ................................................................ 162
LUSTRA-ULTRA .................................................. 163
LUTERA (28) ................................................................. 69
LUVOX CR ................................................................... 151
LUXIQ ................................................................................ 163
LUZU ...................................................................................... 32
LYBREL .............................................................................. 69
LYCELLE ....................................................................... 163
LYNPARZA .................................................................... 43
LYRICA ............................................................................... 65
LYSIPLEX PLUS ...................................................... 94
LYSODREN .................................................................... 43
LYSTEDA .......................................................................... 53
LYZA ...................................................................................... 69
MACNATAL CN DHA .................................... 143
MACROBID .................................................................... 24
MACRODANTIN ...................................................... 24
MACUTEK .................................................................... 180
MACUVEX ................................................................... 180
MACUZIN ...................................................................... 180
mafenide acetate ........................................................ 24
MAGELLAN INSULIN SAFETY
SYRNG .............................................................................. 127
MAGELLAN SYRINGE ................................. 127
MAGNACET ...................................................................... 8
MAGNA-PORT GASTROSTOMY
TUBE ................................................................................... 127
MAGNASWEET 110 .......................................... 175
MAGNEBIND 400 .................................................... 94
magnesium stearate ............................................ 175
MAJOR COMFORT ............................................ 127
MALARONE .................................................................. 41
MALARONE PEDIATRIC .............................. 41
malathion ........................................................................ 163
maprotiline ................................................................... 151
MAR-COF BP ................................................................ 77
MAR-COF CG ............................................................... 77
MARGESIC ......................................................................... 8
MARINOL ...................................................................... 100
MARJORAM ............................................................... 103
MARLEXATE ............................................................... 94
MARLISSA ...................................................................... 69
204
Index
Index
Index
MARNATAL-F ......................................................... 143
MARPLAN .................................................................... 151
marshmallow flavor (bulk) ........................ 175
MARTEN-TAB ................................................................ 8
MARTINIC .................................................................... 180
MASK VORTEX BABY WHIRL DUCK
...................................................................................................... 127
MASK VORTEX SPINNER THE DUCK
...................................................................................................... 127
MATRISTEM ............................................................. 175
MATRISTEM MICROMATRIX ............ 175
MATULANE ................................................................... 43
MATZIM LA .................................................................. 55
MAVIK ................................................................................. 60
MAXAIR AUTOHALER ................................... 18
MAXALT ............................................................................... 8
MAXALT-MLT .............................................................. 8
MAXARON FORTE ............................................... 94
MAXFE (FOLATE-DOCUSATE) ........... 94
MAXI DEODORANT ........................................ 127
MAXI PAD REGULAR ................................... 127
MAXI PAD SUPER ............................................. 127
MAXICHLOR DM ................................................... 77
MAXICHLOR PEH ................................................. 34
MAXICHLOR PEH DM ..................................... 77
MAXICHLOR PSE DM ...................................... 77
MAXI-COMFORT INSULIN SYRINGE
...................................................................................................... 127
MAXIDEX ........................................................................ 89
MAXIDONE ....................................................................... 8
MAXIFED (IR) ............................................................. 77
MAXIFED CD ............................................................... 77
MAXIFED CDX .......................................................... 77
MAXIFED DM (IR) ................................................ 77
MAXIFED DMX (IR) ............................................ 77
MAXIFED-G (IR) ...................................................... 77
MAXIFED-G CD ........................................................ 77
MAXIFED-G CDX ................................................... 77
MAXIFLU CD ............................................................... 77
MAXIFLU CDX .......................................................... 77
MAXIFLU DM ............................................................. 77
MAXIMA ........................................................................... 84
MAXIMA CONTROL SOLUTION,
HIGH .................................................................................... 127
MAXIMA CONTROL SOLUTION,
LOW ..................................................................................... 127
MAXIMA CONTROL SOLUTION,
MEDIU ............................................................................... 127
MAXIMA CONTROL SOLUTION,
NORMA ............................................................................ 127
MAXINATE ................................................................. 143
MAXI-PADS ................................................................ 127
MAXIPHEN CDX ..................................................... 77
MAXITROL ..................................................................... 24
MAXORB ....................................................................... 127
MAXORB EXTRA DRESSING ............. 127
MAXORB ROPE ..................................................... 127
MAXZIDE ......................................................................... 86
MAXZIDE-25MG ...................................................... 86
MB HYDROGEL .................................................... 163
MB HYDROGEL
(CYCLOMETHICONE) .................................. 163
M-CLEAR .......................................................................... 77
M-CLEAR WC .............................................................. 77
MEBARAL ....................................................................... 65
MDwise Marketplace
mebendazole ................................................................... 41
meclizine .......................................................................... 100
meclofenamate ............................................................. 16
MEDIFIN EXPECTORANT .......................... 77
MEDIFIN EXPECTORANT MUCUS
RLF ............................................................................................ 77
MEDIGRIP .................................................................... 127
MEDIGRIP ELASTICATED SUPPORT
...................................................................................................... 127
MEDIGRIP TUBULAR ................................... 127
MEDIHONEY (CAL
ALGINATE-HONEY) ....................................... 127
MEDIHONEY (HONEY) ............................... 163
MEDI-LANCE LANCETS ........................... 127
MEDI-MECLIZINE ............................................. 100
MEDI-PHEDRYL ...................................................... 37
MEDIPORE DRESS-IT COVER ........... 127
MEDISENSE ............................................................... 127
MEDISENSE CONTROLS 1-HI 1-LO
...................................................................................................... 127
MEDISENSE GLUCOSE KETONE
...................................................................................................... 127
MEDISENSE MID CONTROL ............... 127
MEDISENSE THIN LANCETS .............. 127
MEDI-TUSSIN ............................................................. 77
MEDI-TUSSIN DM DIABETIC ................ 77
MEDLANCE PLUS LANCETS .............. 127
MEDLANCE PLUS SPECIAL BLADE
...................................................................................................... 127
MEDPOINT NORMAL CONTROL
...................................................................................................... 127
MEDROL ........................................................................ 105
MEDROL (PAK) ..................................................... 105
medroxyprogesterone ............................ 69, 105
mefenamic acid ............................................................... 8
mefloquine ........................................................................ 41
MEGA MULTIVITAMIN ............................. 180
MEGACE ........................................................................ 175
MEGACE ES ............................................................... 175
megestrol ............................................................... 43, 175
MEKINIST ........................................................................ 43
meloxicam ......................................................................... 16
MELPAQUE HP ...................................................... 163
MELQUIN 3 ................................................................. 163
MELQUIN HP ............................................................ 163
memantine ........................................................................ 65
M-END MAX D .......................................................... 77
M-END PE ......................................................................... 77
M-END WC ...................................................................... 77
MENEST .......................................................................... 105
MENOSTAR ................................................................ 105
MEN'S MULTI-VITAMIN ........................... 180
MENTAX ........................................................................... 32
ME-PB-HYOS ............................................................ 100
meperidine ........................................................................... 8
meperidine (pf) ............................................................... 8
MEPHYTON ................................................................ 180
MEPILEX ........................................................................ 127
MEPILEX AG ............................................................ 127
MEPILEX BORDER ........................................... 128
MEPILEX BORDER SACRUM ............. 128
MEPITEL ........................................................................ 128
meprobamate ............................................................. 151
MEPRON ............................................................................ 41
mercaptopurine .......................................................... 43
mesalamine ................................................................... 100
mesalamine with cleansing wipe .......... 100
MESALT .......................................................................... 128
MESEHIST DM ........................................................... 77
MESEHIST WC ........................................................... 77
MESNEX ......................................................................... 175
MESTINON ...................................................................... 50
MESTINON TIMESPAN ................................... 50
METADATE CD ..................................................... 151
METADATE ER ...................................................... 151
metaproterenol ............................................................ 19
metaxalone .................................................................... 141
METER-CHECK ..................................................... 128
metformin .......................................................................... 40
methadone ............................................................................ 8
METHADOSE .................................................................. 9
methamphetamine ................................................... 50
methazolamide ............................................................. 86
methenamine hippurate .................................... 24
methenamine mandelate .................................. 24
METHERGINE ......................................................... 106
methimazole ................................................................ 170
METHITEST ................................................................ 106
methocarbamol ........................................................ 141
METHOCEL E 4 M .............................................. 175
methotrexate sodium ............................................ 43
methotrexate sodium (pf) ................................ 43
methoxsalen rapid ................................................ 163
methscopolamine ................................................... 100
methyclothiazide ....................................................... 86
methyl salicylate ..................................................... 163
methylcellulose ......................................................... 175
methylcellulose 1500cps (bulk) .............. 175
methylcellulose 4000cps (bulk) .............. 175
methyldopa ...................................................................... 60
methyldopa-hydrochlorothiazide .......... 60
methylergonovine .................................................. 106
METHYLIN .................................................................. 151
METHYLIN ER ........................................................ 151
methylphenidate ..................................................... 152
methylprednisolone ............................................ 106
methyltestosterone ............................................... 106
metipranolol ................................................................... 89
metoclopramide hcl ............................................ 100
metolazone ........................................................................ 86
metoprolol succinate ............................................. 60
metoprolol ta-hydrochlorothiaz .............. 60
metoprolol tartrate ................................................. 60
METOZOLV ODT ................................................. 100
METROCREAM ...................................................... 163
METROGEL ................................................................ 163
METROGEL KIT .................................................... 163
METROGEL VAGINAL .................................... 24
METROLOTION .................................................... 163
metronidazole .................................................. 24, 163
METVIXIA ....................................................................... 43
MEVACOR ....................................................................... 60
mexiletine ........................................................................... 55
MIACALCIN ............................................................... 106
MICARDIS ....................................................................... 60
MICARDIS HCT ........................................................ 60
MICONAZOLE-3 ...................................................... 32
MICRO AIR .................................................................. 128
MICRO BLOOD GLUCOSE ......................... 84
MICRO ELITE COMP-NEBUL .............. 128
205
Index
Index
Index
MICRO ELITE LITHIUM BATTERY
...................................................................................................... 128
MICRO ELITE REPLACEMENT
FILTER .............................................................................. 128
MICRO PLUS NEBULIZER ...................... 128
MICRO THIN LANCETS .............................. 128
MICRO VOLUME INLET ............................ 128
MICROCHAMBER .............................................. 128
MICRODOT BLOOD GLUCOSE
SYSTEM .............................................................................. 84
MICRODOT HIGH-LOW CONTROL
...................................................................................................... 128
MICRODOT NORMAL CONTROL
...................................................................................................... 128
MICRODOT XTRA BLOOD GLUCOSE
......................................................................................................... 84
MICROFUSE MINIBORE ADMIN SET
...................................................................................................... 128
MICROGESTIN 1.5/30 (21) ........................... 69
MICROGESTIN 1/20 (21) ................................ 69
MICROGESTIN FE 1.5/30 (28) .................. 69
MICROGESTIN FE 1/20 (28) ....................... 69
MICRO-K ........................................................................... 94
MICROLET 2 LANCING DEVICE .... 128
MICROLET LANCET ....................................... 128
MICROLIFE PEAK FLOW METER
...................................................................................................... 128
MICROMACRO INLET ................................. 128
MICROSKIN APPLICATOR .................... 128
MICROSPACER ...................................................... 128
MICROSPONGE ..................................................... 128
MICROZIDE ................................................................... 86
MIDAMOR ....................................................................... 86
midazolam ........................................................ 154, 155
midodrine .......................................................................... 50
MIFEPREX .................................................................... 175
MIGRAGESIC IDA .................................................... 9
MIGRANAL ....................................................................... 9
MILLIPRED ................................................................. 106
MILLIPRED DP ....................................................... 106
MIMVEY ......................................................................... 106
MIMVEY LO .............................................................. 106
MIMYX ............................................................................. 163
MINASTRIN 24 FE ................................................. 70
MINERIN ........................................................................ 163
MINI ELITE
COMPRESSOR-NEBULIZE ...................... 128
MINI ELITE FILTER REPLACEMENT
...................................................................................................... 128
MINI ELITE LITHIUM BATTERY ... 128
MINI LANCING DEVICE ............................ 128
MINI PLUS NEBULIZER ............................. 128
MINI ULTRA-THIN II ..................................... 128
MINI WRIGHT PEAK FLOW METER
...................................................................................................... 128
MINIPRESS ..................................................................... 60
MINIPRIN ............................................................................. 9
MINITRAN ....................................................................... 55
MINIVELLE ................................................................ 106
MINI-WRIGHT PEAK FLOW METER
...................................................................................................... 128
MINOCIN ........................................................................... 24
MINOCIN KIT WITH WIPES ..................... 24
minocycline ...................................................................... 24
minoxidil ............................................................................. 60
MDwise Marketplace
MIRAPEX .......................................................................... 45
MIRAPEX ER ................................................................ 45
MIRASORB .................................................................. 128
MIRCERA .......................................................................... 67
MIRCETTE (28) .......................................................... 70
MIRENA .............................................................................. 70
mirtazapine .................................................................. 152
MIRVASO ...................................................................... 163
misoprostol ................................................................... 100
MISTASSIST .............................................................. 128
MITIGARE ....................................................................... 16
MITOSOL .......................................................................... 89
MOBAN ............................................................................ 152
MOBIC .................................................................................. 16
modafinil ......................................................................... 152
MODERIBA .................................................................... 47
MODERIBA DOSE PACK .............................. 47
MODICON (28) ........................................................... 70
moexipril ............................................................................. 60
moexipril-hydrochlorothiazide ................. 60
MOISTURIZING .................................................... 163
MOISTURIZING CREAM ........................... 163
mometasone ................................................................. 163
MOMEXIN .................................................................... 163
MONAGHAN Z STAT CHAMBER
...................................................................................................... 128
MONAGHAN Z STAT CHAMBER-LG
MSK ...................................................................................... 128
MONAGHAN Z STAT CHAMBER-MD
MSK ...................................................................................... 128
MONAGHAN Z STAT CHAMBER-SM
MSK ...................................................................................... 128
MONDOXYNE NL .................................................. 24
MONOCLATE-P ........................................................ 53
MONODOX ..................................................................... 24
MONOJECT 0.9% SODIUM
CHLORIDE ...................................................................... 94
MONOJECT INSULIN SAFETY
SYRING ............................................................................ 128
MONOJECT INSULIN SYRINGE ...... 128
MONOJECT PREFILL (PF) ........................... 30
MONOJECT PREFILL ADVANCED
(PF) ............................................................................................ 30
MONOJECT PREFILL ADVANCED NS
......................................................................................................... 94
MONOJECT PREFILL SALINE FLUSH
......................................................................................................... 94
MONOJECT SYRINGE ................................... 128
MONOJECT ULTRA COMFORT
INSULIN .......................................................................... 128
MONOJECTOR LANCET DEVICE
...................................................................................................... 128
MONOKET ....................................................................... 55
MONOLET LANCETS .................................... 128
MONOLET THIN LANCETS ................... 129
MONO-LINYAH ........................................................ 70
MONONESSA (28) .................................................. 70
MONONINE .................................................................... 53
montelukast ..................................................................... 19
MONUROL ...................................................................... 24
MORGIDOX ................................................................... 24
MORGIDOX 1X100 ............................................... 24
MORGIDOX 2X100 ............................................... 24
morphine ............................................................................... 9
morphine (pf) ................................................................... 9
morphine (pf) in 0.9 % nacl ............................ 9
morphine (pf) in dextrose 5 % ..................... 9
morphine concentrate ............................................. 9
morphine in 0.9 % nacl ........................................ 9
MOTION RELIEF (MECLIZINE) ........ 100
MOTION SICKNESS (MECLIZINE)
...................................................................................................... 100
MOTION SICKNESS II ................................... 100
MOTION SICKNESS RELIEF II .......... 100
MOTION SICKNESS RELIEF(MECLIZ)
...................................................................................................... 100
MOTOFEN .................................................................... 100
MOUTHPIECE .......................................................... 129
MOUTHPIECE REUSABLE MW ........ 129
MOVANTIK .................................................................... 30
MOVIPREP ................................................................... 100
MOXATAG ...................................................................... 24
MOXEZA ........................................................................... 24
moxifloxacin ................................................................... 24
MPM FOAM DRESSING .............................. 129
MS CONTIN ....................................................................... 9
MST 600 .................................................................................. 9
MUCAPHED ................................................................... 77
MUCINEX ALLERGY ........................................ 37
MUCOTROL ............................................................... 175
MUCUS RELIEF ........................................................ 77
MUCUS RELIEF D
(PHENYLEPHRINE) ............................................. 77
MUCUS RELIEF D (PSEUDOEPHED)
......................................................................................................... 77
MUCUS RELIEF PE ............................................... 77
MUCUS RELIEF SINUS ................................... 77
MUGARD ....................................................................... 175
MULTAQ ........................................................................... 55
MULTICHEW ............................................................ 180
MULTIGEN ..................................................................... 94
MULTIGEN FOLIC ................................................ 94
MULTIGEN PLUS ................................................... 94
MULTI-LANCET DEVICE ......................... 129
MULTINATAL PLUS ....................................... 143
MULTI-NATE 30 DHA ................................... 143
MULTI-NATE DHA EXTRA .................... 143
MULTIPLE VITAMIN ESSENTIAL
...................................................................................................... 180
MULTIPLE VITAMINS ................................. 180
MULTI-VIT WITH FLUORIDE & IRON
...................................................................................................... 180
multivitamin ................................................................ 180
MULTIVITAMIN WITH FLUORIDE
...................................................................................................... 180
MULTI-VITAMIN WITH FLUORIDE
...................................................................................................... 180
MULTIVITAMINS WITH FLUORIDE
...................................................................................................... 180
MULTIVITAMINS-FLUORIDE-FOLIC
A ................................................................................................ 180
mupirocin .......................................................................... 24
mupirocin calcium .................................................. 24
MURI-LUBE ................................................................ 175
MUSE .................................................................................. 175
MVC-FLUORIDE .................................................. 180
M-VIT ................................................................................. 143
MY WAY ............................................................................ 70
MYALEPT ..................................................................... 106
MYAMBUTOL ............................................................ 24
206
Index
Index
Index
MYCI CHLOR-TAN .............................................. 37
MYCIFRADIN .............................................................. 24
MYCI-GC ........................................................................... 78
MYCOBUTIN ................................................................ 24
mycophenolate mofetil .................................... 108
mycophenolate sodium ................................... 108
MYDFRIN ......................................................................... 89
MYDRAL ........................................................................... 89
MYDRIACYL ................................................................ 89
MYFERON 150 FORTE ..................................... 94
MYFORTIC .................................................................. 108
MYGLUCOHEALTH ............................................ 84
MYGLUCOHEALTH CONTROL
SOLUTION ................................................................... 129
MYGLUCOHEALTH LANCETS ......... 129
MYHIST-DM ................................................................. 78
MYHIST-PD .................................................................... 34
MYKIDZ IRON FLUORIDE ..................... 180
MYLERAN ....................................................................... 43
MYNATAL ................................................................... 143
MYNATAL ADVANCE ................................. 143
MYNATAL PLUS ................................................. 143
MYNATAL-Z ............................................................. 143
MYNATE 90 PLUS .............................................. 143
MYNEPHROCAPS ............................................... 180
MYORISAN ................................................................. 163
MYOXIN ............................................................................. 24
MYRBETRIQ ............................................................. 175
MYSOLINE ...................................................................... 65
MYTELASE .................................................................... 50
MYTUSSIN DAC ...................................................... 78
MYZILRA .......................................................................... 70
nabumetone ..................................................................... 16
nadolol ................................................................................... 60
nadolol-bendroflumethiazide ..................... 60
NAFRINSE ....................................................................... 94
naftifine ................................................................................ 32
NAFTIN ................................................................................ 32
nalbuphine ........................................................................... 9
NALFON ............................................................................. 16
naltrexone .......................................................................... 30
NAMENDA ...................................................................... 65
NAMENDA TITRATION PAK .................. 65
NAMENDA XR ........................................................... 65
NAMZARIC .................................................................... 65
NAPRELAN CR .......................................................... 16
NAPRELAN CR DOSE CARD ................... 16
NAPROSYN .................................................................... 16
naproxen ............................................................................. 16
naproxen sodium ...................................................... 16
naratriptan .......................................................................... 9
NARDIL ........................................................................... 152
NARIZ .................................................................................... 78
NASACORT AQ ......................................................... 89
NASAL DECONGESTANT-ANTIHIST
......................................................................................................... 34
NASAL
DECONGEST-ANTIHISTAMINE .......... 34
NASCOBAL ................................................................. 180
NASOHIST ....................................................................... 34
NASOHIST DM ........................................................... 78
NASONEB NASAL NEBULIZER ....... 129
NASONEX ........................................................................ 89
NATA KOMPLETE ............................................. 143
NATACHEW (FE BIS-GLYCINATE)
...................................................................................................... 143
NATACYN ....................................................................... 32
NATAFORT ................................................................. 143
NATAFORT (NEW FORMULA 2011)
...................................................................................................... 143
NATAL-V RX ............................................................ 143
NATALVIRT 90 DHA ...................................... 143
NATALVIRT CA .................................................... 143
NATALVIRT FLT .................................................... 94
NATALVIT ................................................................... 143
NATAZIA .......................................................................... 70
nateglinide ........................................................................ 40
NATELLE ONE ....................................................... 143
NATELLE-EZ ............................................................ 143
NATESTO ...................................................................... 106
NATPARA ..................................................................... 106
NATROBA .................................................................... 163
NATURAL CARE BANDAGES ........... 129
NATURE-THROID .............................................. 170
NAVANE ........................................................................ 152
NAVATAB + DHA .............................................. 143
nebulizer accessories ......................................... 129
NEBUPENT ..................................................................... 41
NEBUSAL ...................................................................... 175
NECON 0.5/35 (28) .................................................. 70
NECON 1/35 (28) ....................................................... 70
NECON 1/50 (28) ....................................................... 70
NECON 10/11 (28) ................................................... 70
NECON 7/7/7 (28) ..................................................... 70
NEEVO .............................................................................. 143
NEEVODHA (WITH ALGAL OIL) ... 143
nefazodone .................................................................... 152
NEO DM .............................................................................. 78
NEOBENZ MICRO CREAM PLUS
PACK ................................................................................... 163
NEOBENZ MICRO SD .................................... 163
NEOBENZ MICRO WASH PLUS PACK
...................................................................................................... 163
NEOFRIN ........................................................................... 89
neomycin ............................................................................. 24
neomycin-bacitracin-poly-hc ...................... 24
neomycin-bacitracin-polymyxin ............. 25
neomycin-polymyxin b gu ........................... 163
neomycin-polymyxin b-dexameth ......... 25
neomycin-polymyxin-gramicidin ........... 25
neomycin-polymyxin-hc ................................... 25
NEO-POLYCIN ........................................................... 25
NEO-POLYCIN HC ................................................ 25
NEORAL .......................................................................... 108
NEOSALUS .................................................................. 163
NEOSPORIN
(NEO-POLYM-GRAMICID) ........................ 25
NEOSPORIN ANTI-ITCH ............................ 163
NEOSPORIN GU IRRIGANT .................. 163
NEO-SYNALAR ......................................................... 25
NEO-SYNALAR KIT ............................................ 25
NEOTIC (WITH GLYCERIN) ..................... 89
NEO-TUSS ........................................................................ 78
NEOTUSS-D (CHLORPHENIRAMINE)
......................................................................................................... 78
NEPHPLEX RX ........................................................ 180
NEPHROCAPS ......................................................... 180
NEPHROCAPS QT ............................................... 180
NEPHRON FA .............................................................. 94
NEPHRONEX-SL .................................................. 180
NEPHRO-VITE RX .............................................. 180
NEPTAZANE ................................................................. 86
NESINA ................................................................................ 40
NESSI SPACER ....................................................... 129
NESTABS ....................................................................... 143
NESTABS ABC ........................................................ 143
NESTABS DHA ....................................................... 143
NEUAC .............................................................................. 163
NEUAC KIT ................................................................. 163
NEULASTA ..................................................................... 67
NEUMEGA ....................................................................... 67
NEUPOGEN .................................................................... 67
NEUPRO ............................................................................. 45
NEURIN-SL ................................................................. 180
NEURONTIN ................................................................. 65
NEUTEK 2TEK TEST STRIPS .................. 84
NEUTRAHIST .............................................................. 34
NEUTRAHIST PDX ............................................... 78
NEUTRASAL ............................................................. 175
NEUTROGENA LIGHT NIGHT ........... 175
NEUTROGENA SENSITIVE SKN
MOIST ................................................................................ 163
NEVANAC ....................................................................... 89
nevirapine .......................................................................... 47
NEW GENERATION ......................................... 129
NEWGEN ........................................................................ 143
NEXA PLUS ................................................................ 143
NEXA SELECT ........................................................ 144
NEXAVAR ....................................................................... 43
NEXAVIR ....................................................................... 175
NEXCARE TEGADERM .............................. 129
NEXICLON XR ........................................................... 60
NEXIUM .......................................................................... 100
NEXIUM PACKET .............................................. 100
NEXIVA ........................................................................... 129
NEXPLANON ............................................................... 70
NEXT CHOICE ............................................................ 70
NEXT CHOICE ONE DOSE ......................... 70
niacin ......................................................................... 60, 180
NIACOR .............................................................................. 60
NIASPAN EXTENDED-RELEASE ...... 60
nicardipine ....................................................................... 55
NICODERM CQ ...................................................... 169
NICOMIDE ................................................................... 180
NICOMIDE (SELENIUM-CHROMIUM)
...................................................................................................... 180
NICORELIEF .............................................................. 169
NICORETTE ................................................................ 169
NICOTINAMIDE ................................................... 180
nicotine .............................................................................. 170
nicotine (polacrilex) ............................................ 169
NICOTROL ................................................................... 170
NICOTROL NS ......................................................... 170
NIFEDIAC CC .............................................................. 55
NIFEDICAL XL .......................................................... 55
nifedipine ........................................................................... 55
NIKKI (28) ........................................................................ 70
NILANDRON ................................................................ 43
nimodipine ........................................................................ 55
NINJACOF-XG ............................................................ 78
NIRAVAM ..................................................................... 152
NIRON KOMPLETE .............................................. 94
nisoldipine ......................................................................... 55
NITRO-BID ...................................................................... 55
MDwise Marketplace
207
Index
Index
Index
NITRO-DUR ................................................................... 55
nitrofurantoin ............................................................... 25
nitrofurantoin macrocrystal ........................ 25
nitrofurantoin monohyd/m-cryst ........... 25
nitroglycerin ................................................................... 56
NITROGLYCERIN DISTAL
EXTENSION ............................................................... 129
NITROLINGUAL ...................................................... 56
NITROMIST .................................................................... 56
NITROSTAT ................................................................... 56
NITRO-TIME ................................................................. 56
NIVA-HIST DM .......................................................... 78
NIVA-PLUS ................................................................. 144
NIVATOPIC PLUS ............................................... 163
nizatidine ........................................................................ 100
NIZORAL ........................................................................... 32
NOBLE FORMULA HC ................................. 163
NODOLOR ........................................................................... 9
NOHIST ................................................................................ 34
NOHIST DMX .............................................................. 78
NOHIST-DM ................................................................... 78
NOHIST-LQ .................................................................... 34
non-adherent bandage .................................... 129
NON-ADHESIVE PAD .................................... 129
NON-STICK DRESSINGS ........................... 129
NON-STICK PAD .................................................. 129
NORA-BE .......................................................................... 70
NORCO .................................................................................... 9
NORDETTE (28) ........................................................ 70
NORDITROPIN CARTRIDGE ................ 106
NORDITROPIN FLEXPRO ........................ 106
NORDITROPIN NORDIFLEX ................ 106
NOREL SR ........................................................................ 78
noreth-ethinyl estradiol-iron ....................... 70
norethindrone (contraceptive) .................. 70
norethindrone acetate ...................................... 106
norethindrone ac-eth estradiol .... 70, 106
norethindrone-e.estradiol-iron ................. 70
norethindrone-ethin estradiol .................... 70
norgestimate-ethinyl estradiol ................... 70
norgestrel-ethinyl estradiol ........................... 70
NORINYL 1+35 (28) .............................................. 70
NORINYL 1+50 (28) .............................................. 70
NORITATE ................................................................... 163
NORLYROC ................................................................... 70
NORMAL SALINE FLUSH ........................... 94
NORMLGEL AG .................................................... 164
NOROXIN ......................................................................... 25
NORPACE ......................................................................... 56
NORPACE CR .............................................................. 56
NORPRAMIN ............................................................. 152
NOR-QD .............................................................................. 70
NORTHERA .................................................................... 50
NORTREL 0.5/35 (28) .......................................... 70
NORTREL 1/35 (21) ............................................... 70
NORTREL 1/35 (28) ............................................... 70
NORTREL 7/7/7 (28) ............................................. 70
nortriptyline ................................................................ 152
NORVASC ........................................................................ 56
NORVIR .............................................................................. 47
NOSE CLIP ................................................................... 129
NOTUSS AC ................................................................... 78
NOTUSS DC ................................................................... 78
NOTUSS-NX .................................................................. 78
NOTUSS-NXD ............................................................. 78
MDwise Marketplace
NOURIVA REPAIR ............................................. 164
NOVA MAX GLUCOSE CONTROL
...................................................................................................... 129
NOVA MAX GLUCOSE TEST ................. 84
NOVA SAFETY LANCETS ....................... 129
NOVA SUREFLEX LANCETS .............. 129
NOVACORT ................................................................ 164
NOVAFERRUM ......................................................... 94
NOVAGESIC ..................................................................... 3
NOVAMAX PLUS GLU-KET ................. 129
NOVOEIGHT ................................................................. 53
NOVOFINE 30 .......................................................... 129
NOVOFINE 32 .......................................................... 129
NOVOFINE AUTOCOVER ........................ 129
NOVOFINE PLUS ................................................. 129
NOVOLIN 70/30 ......................................................... 40
NOVOLIN N ................................................................... 40
NOVOLIN R ................................................................... 40
NOVOLOG ....................................................................... 40
NOVOLOG FLEXPEN ........................................ 40
NOVOLOG MIX 70-30 ....................................... 40
NOVOLOG MIX 70-30 FLEXPEN ........ 40
NOVOLOG PENFILL ........................................... 40
NOVOSEVEN ............................................................... 53
NOVOSEVEN RT ..................................................... 54
NOVOTWIST ............................................................. 129
NOXAFIL ........................................................................... 32
NP THYROID ............................................................ 170
NTS STEP 1 .................................................................. 170
NU-COPD .......................................................................... 78
NUCORT ......................................................................... 164
NUCYNTA ....................................................................... 10
NUCYNTA ER ............................................................. 10
NUEDEXTA .................................................................... 65
NULEV .............................................................................. 100
NULYTELY WITH FLAVOR PACKS
...................................................................................................... 100
NUMOISYN ................................................................. 175
NUOX ................................................................................. 164
NUQUIN HP ................................................................ 164
nutmeg oil ...................................................................... 175
NUTRESTORE ............................................................. 94
NUTRICAP ................................................................... 180
NUTRI-TAB OB ...................................................... 144
NUTRI-TAB OB + DHA ................................ 144
NUTROPIN ................................................................... 106
NUTROPIN AQ ........................................................ 106
NUTROPIN AQ NUSPIN .............................. 106
NUVAIL ........................................................................... 164
NUVARING .................................................................... 70
NUVESSA ......................................................................... 25
NUVIGIL ......................................................................... 152
NUZOLE ............................................................................. 32
NUZON ............................................................................. 164
NV CARDIAC CATHETER SET ......... 129
NYAMYC .......................................................................... 32
NYMALIZE ..................................................................... 56
nystatin ................................................................................. 32
nystatin-triamcinolone ....................................... 32
NYSTOP .............................................................................. 32
OB COMPLETE ...................................................... 144
OB COMPLETE 400 ........................................... 144
OB COMPLETE DHA ...................................... 144
OB COMPLETE ONE ....................................... 144
OB COMPLETE PETITE ............................... 144
OB COMPLETE PREMIER ........................ 144
OB COMPLETE WITH DHA ................... 144
OBAGI ELASTIDERM .................................... 164
OBAGI NU-DERM BLENDER .............. 164
OBAGI NU-DERM CLEAR ....................... 164
OBAGI NU-DERM SUNFADER .......... 164
OBAGI-C CLARIFYING SERUM ...... 164
OBAGI-C THERAPY NIGHT .................. 164
OB-NATAL ONE ................................................... 144
OBREDON ........................................................................ 78
OBSTETRIX DHA ................................................ 144
OBSTETRIX EC ...................................................... 144
OBTREX .......................................................................... 144
OBTREX DHA .......................................................... 144
OC8 ........................................................................................ 164
O-CAL FA ...................................................................... 144
O-CAL PRENATAL ............................................ 144
OCELLA .............................................................................. 70
OCL ....................................................................................... 100
octreotide acetate .................................................. 106
OCUDOX ........................................................................... 89
OCUFEN ............................................................................. 89
OCUFLOX ........................................................................ 25
OCUVEL .......................................................................... 180
ODOMZO ........................................................................... 43
ODOR ELIMINATOR DROPS ............... 164
OFEV ................................................................................... 175
ofloxacin .............................................................................. 25
OGESTREL (28) ......................................................... 70
olanzapine ...................................................................... 152
olanzapine-fluoxetine ....................................... 152
oleic acid .......................................................................... 175
OLEPTRO ER ............................................................ 152
olopatadine ....................................................................... 89
OLUX .................................................................................. 164
OLUX-E ............................................................................ 164
OLUX-OLUX-E (100/10) .............................. 164
OLUX-OLUX-E (50/50) .................................. 164
OLYSIO ................................................................................ 47
OMECLAMOX-PAK ......................................... 100
omega-3 acid ethyl esters ............................. 100
omeprazole .................................................................... 100
omeprazole-sodium bicarbonate ......... 100
OMNARIS ......................................................................... 89
OMNII GEL ..................................................................... 94
OMNIPRED ..................................................................... 90
OMNITROPE .............................................................. 106
OMONTYS ....................................................................... 67
ON CALL EXPRESS CONTROL ......... 129
ON CALL EXPRESS TEST STRIP ........ 84
ON CALL LANCET ............................................ 129
ON CALL LANCING DEVICE .............. 129
ON CALL PLUS CONTROL ..................... 129
ON CALL PLUS LANCET .......................... 129
ON CALL PLUS LANCING DEVICE
...................................................................................................... 129
ON CALL PLUS TEST STRIP .................... 84
ON CALL VIVID CONTROL .................. 129
ON CALL VIVID TEST STRIP ................. 84
ONCE DAILY ............................................................ 180
ondansetron ................................................................. 100
ondansetron hcl ....................................................... 101
ONE DAILY ................................................................. 181
ONE DAILY ESSENTIAL ........................... 181
ONE DAILY MULTIVITAMIN ............. 181
208
Index
Index
Index
ONE FLOW FVC SPIROMETER ......... 129
ONE FLOW SPIROMETER PC CABLE
...................................................................................................... 129
ONE FLOW SPIROMETER
SOFTWARE ................................................................. 129
ONE FLOW TESTER MOUTHPIECE
...................................................................................................... 129
ONE FLOW TESTER SPIROMETER
...................................................................................................... 129
ONE TOUCH NORMAL CONTROL
...................................................................................................... 130
ONE TOUCH TEST ................................................ 84
ONE WAY VALVED MOUTHPIECE
...................................................................................................... 130
ONE-A-DAY ESSENTIAL .......................... 181
ONE-A-DAY MEN'S MULTIVITAMIN
...................................................................................................... 181
ONETAB CONGESTION & COUGH
......................................................................................................... 78
ONETOUCH DELICA LANC DEVICE
...................................................................................................... 130
ONETOUCH DELICA LANCETS ...... 130
ONETOUCH FINEPOINT LANCETS
...................................................................................................... 130
ONETOUCH SURESOFT LANCING
DEV ....................................................................................... 130
ONETOUCH ULTRA CONTROL ....... 130
ONETOUCH ULTRA TEST .......................... 84
ONETOUCH ULTRASOFT LANCETS
...................................................................................................... 130
ONETOUCH VERIO ............................................. 84
ONETOUCH VERIO HIGH CONTROL
...................................................................................................... 130
ONETOUCH VERIO MID CONTROL
...................................................................................................... 130
ONEXTON .................................................................... 164
ONFI ........................................................................................ 65
ONGLYZA ........................................................................ 40
ONMEL ................................................................................ 32
ONSOLIS ............................................................................ 10
ON-THE-GO LANCETS ................................ 130
OPANA ................................................................................. 10
OPANA ER ....................................................................... 10
OPCICON ONE-STEP .......................................... 70
opium tincture .......................................................... 101
OPSITE .............................................................................. 130
OPSITE ADHESIVE DRESSING ......... 130
OPSITE FLEXIFIX ............................................... 130
OPSITE FLEXIGRID ......................................... 130
OPSITE FLEXIGRID DRESSING ....... 130
OPSITE IV 3000 ...................................................... 130
OPSUMIT ........................................................................... 60
OPTASE ........................................................................... 164
OPTICHAMBER ADULT
MASK-LARGE ......................................................... 130
OPTICHAMBER ADVANTAGE ......... 130
OPTICHAMBER ADVANTAGE-LG
MASK ................................................................................. 130
OPTICHAMBER ADVANTAGE-MED
MASK ................................................................................. 130
OPTICHAMBER ADVANTAGE-SML
MSK ...................................................................................... 130
OPTICHAMBER DIAMOND LG MASK
...................................................................................................... 130
OPTICHAMBER DIAMOND VHC ... 130
MDwise Marketplace
OPTICHAMBER DIAMOND-MED
MSK ...................................................................................... 130
OPTICHAMBER DIAMOND-SML
MASK ................................................................................. 130
OPTICHAMBER LARGE FACE MASK
...................................................................................................... 130
OPTICHAMBER MEDIUM FACE
MASK ................................................................................. 130
OPTICHAMBER SMALL FACE MASK
...................................................................................................... 130
OPTIFOAM ................................................................... 130
OPTIFOAM NON-ADHESIVE ............... 130
OPTIHALER DRUG DELIVERY
SYSTEM .......................................................................... 130
OPTIONHOME NEBULIZER/COMP
...................................................................................................... 130
OPTIPRANOLOL ...................................................... 90
OPTIUM EZ ..................................................................... 84
OPTIUM TEST ............................................................. 84
OPTIVAR ........................................................................... 37
OPTUMRX .......................................................... 84, 130
ORA-BLEND .............................................................. 175
ORACEA ............................................................................. 25
ORAL SYRUP SF .................................................. 175
ORALAIR .......................................................................... 52
ORALONE ..................................................................... 175
ORAL-TO-ORAL RAPID CONNECTOR
...................................................................................................... 130
ORAMAGICRX ....................................................... 175
ORAMORPH SR ........................................................ 10
ORANGE CONCENTRATE ...................... 175
ORAP ................................................................................... 152
ORA-PLUS .................................................................... 175
ORAPRED ..................................................................... 106
ORAPRED ODT ...................................................... 106
ORASEP .............................................................................. 14
ORA-SWEET .............................................................. 175
ORA-SWEET SF ..................................................... 175
ORAVIG .............................................................................. 32
ORBIVAN .......................................................................... 10
ORBIVAN CF ................................................................ 10
ORENCIA .......................................................................... 16
ORENITRAM ................................................................ 60
ORFADIN ....................................................................... 175
ORGAN-I NR ................................................................. 78
ORGANIDIN NR ....................................................... 78
ORKAMBI ..................................................................... 175
orphenadrine citrate .......................................... 141
ORPHENADRINE COMPOUND ......... 141
ORPHENADRINE COMPOUND-DS
...................................................................................................... 141
ORSINI INSULIN SYRINGE .................... 130
ORSYTHIA ...................................................................... 70
ORTHO ALL-FLEX FITTING SET ...... 70
ORTHO D ....................................................................... 181
ORTHO DIAPHRAGM ALL-FLEX 65
......................................................................................................... 70
ORTHO DIAPHRAGM ALL-FLEX 70
......................................................................................................... 71
ORTHO DIAPHRAGM ALL-FLEX 75
......................................................................................................... 71
ORTHO DIAPHRAGM ALL-FLEX 80
......................................................................................................... 71
ORTHO EVRA ............................................................. 71
ORTHO MICRONOR ........................................... 71
ORTHO TRI-CYCLEN (28) ........................... 71
ORTHO TRI-CYCLEN LO (28) ................ 71
ORTHO-CEPT (28) .................................................. 71
ORTHO-CYCLEN (28) ....................................... 71
ORTHO-NOVUM 1/35 (28) ........................... 71
ORTHO-NOVUM 7/7/7 (28) ......................... 71
ORUVAIL .......................................................................... 16
OSCIMIN ........................................................................ 101
OSCIMIN SL ............................................................... 101
OSCIMIN SR ............................................................... 101
OSCION ............................................................................ 164
OSENI .................................................................................... 40
OSMOPREP ................................................................. 101
OSPHENA ...................................................................... 175
OTEZLA .............................................................................. 16
OTEZLA STARTER ............................................... 16
OTIC CARE (ANTIPYRINE) ....................... 90
OTIC EDGE ..................................................................... 90
OTICIN ................................................................................. 90
OTICIN HC (BAK FREE) ................................ 90
OTO-END 10 .................................................................. 90
OTOMAX-HC ............................................................... 90
OTOZIN ............................................................................... 90
OTREXUP (PF) ............................................................ 16
OVACE .............................................................................. 164
OVACE PLUS ............................................................ 164
OVACE PLUS SHAMPOO ......................... 164
OVACE PLUS WASH ...................................... 164
OVCON-35 (28) ........................................................... 71
OVCON-50 (28) ........................................................... 71
OVIDE ................................................................................ 164
OXALIS ............................................................................ 164
OXANDRIN ................................................................. 106
oxandrolone ................................................................. 106
oxaprozin ........................................................................... 16
OXAYDO ........................................................................... 10
oxazepam ........................................................................ 152
oxcarbazepine ............................................................... 65
OXECTA ............................................................................. 10
OXISTAT ........................................................................... 32
OXSORALEN ............................................................ 164
OXSORALEN ULTRA .................................... 164
OXTELLAR XR .......................................................... 65
oxybutynin chloride ........................................... 176
OXYCEL COTTON-TYPE PLEDGET
......................................................................................................... 54
oxycodone .......................................................................... 10
oxycodone hcl-oxycodone-asa .................... 10
oxycodone-acetaminophen ............................ 10
oxycodone-aspirin .................................................... 10
OXYCONTIN ...................................................... 10, 11
oxymorphone ................................................................. 11
OXYTROL ..................................................................... 176
PACERONE ..................................................................... 56
PACNEX .......................................................................... 164
PACNEX HP ................................................................ 164
PACNEX LP ................................................................ 164
PACNEX MX .............................................................. 164
PAIN EASE ...................................................................... 14
PAIN FREE WRAP .............................................. 130
PAIN RELIEF (LIDOCAINE HCL) ....... 14
PAIRE OB PLUS DHA .................................... 144
PALGIC ................................................................................ 37
paliperidone ................................................................. 152
PAMELOR ..................................................................... 152
209
Index
Index
Index
PAMINE ........................................................................... 101
PAMINE FORTE .................................................... 101
PAMINE FQ ................................................................. 101
PANCREAZE ............................................................. 101
PANCRELIPASE 5000 ..................................... 101
PANDA MASK ......................................................... 130
PANDEL .......................................................................... 164
PANLOR SS .................................................................... 11
PANOXYL ..................................................................... 164
PANOXYL-4 ............................................................... 164
PANRETIN ....................................................................... 43
PANTILINERS .......................................................... 130
pantoprazole ............................................................... 101
papaverine ........................................................................ 60
PARADIGM SILHOUETTE INFUS SET
...................................................................................................... 130
PARAFON FORTE DSC ................................ 141
PARAGARD T 380A ............................................. 71
PARCAINE ....................................................................... 90
PARCOPA ......................................................................... 45
paregoric ......................................................................... 101
PAREMYD ....................................................................... 90
PARI BABY CONV KIT - SIZE 1 ....... 130
PARI BABY CONV KIT - SIZE 2 ....... 130
PARI BABY CONV KIT - SIZE 3 ....... 130
PARI BABY CONVERSION PACK 1
...................................................................................................... 131
PARI BABY CONVERSION PACK 2
...................................................................................................... 131
PARI BABY NEBULIZER ........................... 131
PARI LC D NEBULIZER .............................. 131
PARI LC FILTER WITH VALVE SET
...................................................................................................... 131
PARI LC MASK SET ......................................... 131
PARI LC SPRINT NEBULIZER SET
...................................................................................................... 131
PARI LC SPRINT SINUS .............................. 131
PARI SINUS AEROSOL SYSTEM .... 131
PARI TREK S COMBO PACK ............... 131
PARI TREK S COMPACT
COMPRESSOR ......................................................... 131
PARI TREK S PORTABLE PWR KIT
...................................................................................................... 131
paricalcitol .................................................................... 176
PARLODEL ..................................................................... 45
PARNATE ...................................................................... 152
PAROEX ORAL RINSE ................................. 176
paromomycin ................................................................ 41
paroxetine hcl ............................................................ 152
PASER ................................................................................... 25
PATADAY ........................................................................ 37
PATANASE ..................................................................... 90
PATANOL ......................................................................... 37
PAXIL ................................................................................. 152
PAXIL CR ...................................................................... 152
PAZEO .................................................................................. 37
PB-HYOS ........................................................................ 101
PBM ALLERGY ......................................................... 78
PCCA EMOLLIENT BASE ......................... 176
PCCA NATAPRES ............................................... 176
PCCA-PLUS BASE .............................................. 176
PCE ............................................................................................ 25
PDM GG .............................................................................. 78
PEAK AIR PEAK FLOW METER ...... 131
PEANUT BUTTER FLAVOR .................. 176
MDwise Marketplace
PE-CP-K GUAIACOL .......................................... 78
PED MULTIVITAMINS-A,B,D,E,K,ZN
...................................................................................................... 181
PEDIADERM AF ....................................................... 32
PEDIADERM HC ................................................... 165
PEDIADERM TA ................................................... 165
PEDIAHIST DM ......................................................... 78
PEDIAPRED ................................................................ 106
PEDIATEX PS .............................................................. 34
PEDIATRIC COUGH & COLD ................. 78
PEDIATRIC MEDIUM MASK ............... 131
PEDIATRIC MOUTHPIECES ................. 131
pediatric multivitamin-fl .............................. 181
PEDIATRIC PANDA MASK .................... 131
PEDIATRIC SMALL MASK ..................... 131
PEDIATRIC-SMALL MOUTH
ADAPTOR ..................................................................... 131
PEDI-DRI ........................................................................... 32
PEDIPIROX-4 ................................................................ 32
peg 3350-electrolytes ......................................... 101
PEG3350 ........................................................................... 101
PEG-3350 WITH FLAVOR PACKS
...................................................................................................... 101
PEGANONE .................................................................... 65
PEGASYS .......................................................................... 47
PEGASYS CONVENIENCE PACK ...... 47
PEGASYS PROCLICK ........................................ 47
peg-electrolyte soln .............................................. 101
PEGINTRON .................................................................. 47
PEGINTRON REDIPEN .................................... 47
PEG-PREP ...................................................................... 101
PE-HIST DM ................................................................... 78
PEN NEEDLE ............................................................ 131
pen needle, diabetic ............................................ 131
penicillin v potassium .......................................... 25
PENLAC .............................................................................. 32
PENLET PLUS BLOOD SAMPLER
...................................................................................................... 131
PENNSAID .................................................................... 165
PENTASA ....................................................................... 101
pentazocine-acetaminophen ......................... 11
pentazocine-naloxone .......................................... 11
PENTIPS .......................................................................... 131
pentoxifylline ................................................................. 54
PENTRAVAN ............................................................ 176
PEPCID .............................................................................. 101
PEPCID AC ................................................................... 101
PERANEX HC ........................................................... 101
PERCOCET ...................................................................... 11
PERCODAN .................................................................... 11
PERFOROMIST .......................................................... 19
PERIDEX ........................................................................ 176
perindopril erbumine .......................................... 60
PERIO MED .................................................................... 94
PERIOGARD .............................................................. 176
PERIOSTAT ................................................................. 176
permethrin .................................................................... 165
PEROXIDE SORE MOUTH
CLEANSER .................................................................. 165
PEROXYL ...................................................................... 165
perphenazine .............................................................. 152
perphenazine-amitriptyline ...................... 153
PERSA-GEL ................................................................. 165
PERSANTINE ............................................................... 46
PERSONAL BEST FULL RANGE ..... 131
PERSONAL BEST LOW RANGE ....... 131
PERSONAL BEST PEAK FLOW
METER .............................................................................. 131
PERTZYE ....................................................................... 101
PETROLATUM GAUZE ................................ 131
PETROLEUM JELLY ....................................... 176
PETROLEUM JELLY, WHITE ............... 176
PEXEVA .......................................................................... 153
PFCB .................................................................................... 176
PFLEX INSPIRATORY TRAINER .... 131
PHARBEDRYL ........................................................... 37
PHARMACIST CHOICE .................................. 84
PHARMACIST FAVORITE MULTI-VIT
...................................................................................................... 181
PHARMACY PUMP STAND ................... 131
PHENADOZ ................................................................. 101
PHENA-PLUS ............................................................... 34
PHENA-S ............................................................................ 34
phenazopyridine ........................................................ 14
PHENAZOPYRIDINE PLUS ........................ 14
PHENCARB GG ......................................................... 78
phenelzine ...................................................................... 153
PHENERGAN ................................................................ 37
PHENFLU CD ............................................................... 78
PHENFLU CDX .......................................................... 78
PHENFLU DM .............................................................. 78
phenobarb-hyoscy-atropine-scop ....... 101
phenobarbital ............................................................ 155
phenoxybenzamine ................................................. 50
phenylephrine hcl ..................................................... 90
phenylephrine-guaifenesin ............................ 78
PHENYLTOLOXAMINE PE CPM ........ 34
PHENYTEK ..................................................................... 65
phenytoin ........................................................................... 65
phenytoin sodium extended .......................... 65
PHILITH .............................................................................. 71
PHISOHEX .................................................................... 165
PHLUORIVIT ............................................................. 181
PHLUORIVIT + FE .............................................. 181
PHOS-FLUR .................................................................... 94
PHOSLO .............................................................................. 94
PHOSLYRA ..................................................................... 94
PHOSPHA 250 NEUTRAL ............................. 94
PHOSPHASAL ............................................................. 25
PHOSPHOLINE IODIDE .................................. 90
PHRENILIN ..................................................................... 11
PHRENILIN FORTE .............................................. 11
PHYSIOLYTE ............................................................ 165
PHYSIOSOL IRRIGATION ....................... 165
phytonadione .............................................................. 181
PICATO ................................................................................ 44
PIKO 1 ................................................................................ 131
PILLOW MASK ADULT .............................. 131
PILLOW MASK CHILD ................................ 131
PILLOW MASK PEDIATRIC .................. 131
pilocarpine hcl .................................................... 50, 90
PILOPINE HS ................................................................ 90
pimozide ........................................................................... 153
PIMTREA (28) .............................................................. 71
pindolol ................................................................................. 60
PINNACAINE ............................................................... 90
pioglitazone ..................................................................... 40
pioglitazone-glimepiride ................................... 40
pioglitazone-metformin ..................................... 40
PIPETTE 120ML CATHETER TIP ..... 131
210
Index
Index
Index
PIPETTE 30ML CATHETER TIP ........ 131
PIPETTE 45ML CATHETER TIP ........ 131
PIPETTE 90ML CATHETER TIP ........ 131
PIRMELLA ....................................................................... 71
piroxicam ........................................................................... 16
PLAN B ONE-STEP ............................................... 71
PLAQUENIL ................................................................... 41
PLASTIC STRIPS .................................................. 131
PLATINUM UROSTOMY POUCH ... 131
PLAVIX ................................................................................ 46
PLEGRIDY ....................................................................... 65
PLETAL ............................................................................... 46
PLEXION ........................................................................... 25
PLEXION CLEANSING CLOTHS ........ 25
PLIAGLIS .......................................................................... 14
PLURATUSS .................................................................. 78
PNV 29-1 ......................................................................... 144
PNV FOLIC ACID + IRON ......................... 144
PNV OB+DHA .......................................................... 144
pnv with ca,no.71-iron-fa ............................. 144
PNV-DHA ....................................................................... 144
PNV-DHA + DOCUSATE ............................ 144
PNV-FERROUS
FUMARATE-DOCU-FA ................................ 144
PNV-FIRST ................................................................... 144
PNV-OMEGA ............................................................. 144
PNV-SELECT ............................................................. 144
PNV-TOTAL ............................................................... 144
PNV-VP-U ...................................................................... 144
POCKET CHAMBER ........................................ 131
POCKET PEAK FLOW METER ........... 131
POCKETCHEM EZ ................................................. 84
PODOCON .................................................................... 165
podofilox .......................................................................... 165
POLY BACITRACIN ............................................ 25
POLY HIST DHC ...................................................... 78
POLY HIST DM .......................................................... 78
POLY HIST NC ........................................................... 78
POLY HIST PD ............................................................ 34
POLY IRON PN ....................................................... 144
POLY IRON PN FORTE ................................ 144
POLY-650 .............................................................................. 3
POLYCIN ........................................................................... 25
POLY-DEX ....................................................................... 25
polyethylene glycol 3350 ............................... 101
POLYFIN QR INFUSION SET ............... 132
POLYFIN QR/WINGS INFUSION SET
...................................................................................................... 132
POLY-IRON 150 FORTE .................................. 94
polymyxin b sulf-trimethoprim ............... 25
polyoxyl 40 stearate ............................................ 176
polyoxyl 40 stearate (bulk) ......................... 176
POLY-PRED ................................................................... 25
POLYSKIN II .............................................................. 132
polysorbate 40 ........................................................... 176
polysorbate 60 ........................................................... 176
POLYTRIM ...................................................................... 25
POLY-TUSSIN DHC ............................................. 78
POLY-TUSSIN DM ................................................. 78
POLY-TUSSIN EX .................................................. 78
POLY-VI-FLOR ....................................................... 181
POLY-VI-FLOR FS .............................................. 181
POLY-VI-FLOR WITH IRON .................. 181
POLY-VITAMIN WITH FLUORIDE
...................................................................................................... 181
MDwise Marketplace
POLY-VITAMIN/FLUORIDE/IRON
PREFERA-OB ............................................................ 144
PREFERA-OB ONE ............................................ 144
PREFERA-OB PLUS DHA .......................... 144
PREFEST ......................................................................... 107
PREFOL-DHA ........................................................... 145
PRELONE ....................................................................... 107
PREMARIN .................................................................. 107
PREMIUM V10 ............................................................ 84
PREMPHASE ............................................................. 107
PREMPRO ..................................................................... 107
PRENA1 ........................................................................... 145
PRENA1 CHEW ...................................................... 145
PRENA1 CHEW (QUATREFOLIC)
...................................................................................................... 145
PRENA1 PLUS ......................................................... 145
PRENACARE ............................................................. 145
PRENAFIRST ............................................................. 145
PRENAISSANCE ................................................... 145
PRENAISSANCE 90 DHA ........................... 145
PRENAISSANCE BALANCE .................. 145
PRENAISSANCE DHA ................................... 145
PRENAISSANCE DHA HARMONY
...................................................................................................... 145
PRENAISSANCE HARMONY DHA
...................................................................................................... 145
PRENAISSANCE NEXT ................................ 145
PRENAISSANCE NEXT-B ......................... 145
PRENAISSANCE PLUS ................................. 145
PRENAISSANCE PROMISE .................... 145
PRENAPLUS .............................................................. 145
PRENATA ...................................................................... 145
PRENATABS FA .................................................... 145
PRENATABS RX ................................................... 145
PRENATAL 19 ......................................................... 145
PRENATAL 19 (WITH DOCUSATE)
...................................................................................................... 145
PRENATAL AD ....................................................... 145
PRENATAL LOW IRON ............................... 145
PRENATAL MULTIVIT WITH IRON
...................................................................................................... 145
PRENATAL MV & MIN ................................ 145
PRENATAL PLUS ................................................ 145
PRENATAL PLUS (CALCIUM CARB)
...................................................................................................... 145
PRENATAL PLUS WITH IRON (CA)
...................................................................................................... 145
PRENATAL VITAMINS LOW IRON
...................................................................................................... 145
PRENATAL-U ........................................................... 145
PRENATE AM .......................................................... 145
PRENATE CHEWABLE ................................ 145
PRENATE DHA ....................................................... 145
PRENATE DHA (FERR ASP GLYCIN)
...................................................................................................... 145
PRENATE ELITE .................................................. 145
PRENATE ELITE (IRON ASP GLYC)
...................................................................................................... 145
PRENATE ELITE (NEW FORM) ......... 145
PRENATE ENHANCE ..................................... 145
PRENATE ESSENTIAL ................................. 145
PRENATE ESSENTIAL(IRON-ASP-GL)
...................................................................................................... 145
PRENATE MINI ...................................................... 145
PRENATE MINI (FERR ASP GLYCIN)
...................................................................................................... 146
181
POMALYST .................................................................... 44
PONSTEL ........................................................................... 11
PONTOCAINE ............................................................. 14
PORTIA ................................................................................ 71
POTABA .......................................................................... 181
potassium aminobenzoate ........................... 181
potassium bicarb and chloride ................. 94
potassium bicarb-citric acid ........................ 94
potassium chloride ........................................ 94, 95
potassium citrate ....................................................... 95
potassium hydroxide ......................................... 165
POTIGA ................................................................................ 65
POWDERLAX ........................................................... 101
PR BENZOYL PEROXIDE ......................... 165
PR CREAM ................................................................... 165
PR NATAL 400 ......................................................... 144
PR NATAL 400 EC .............................................. 144
PR NATAL 430 ......................................................... 144
PR NATAL 430 EC .............................................. 144
PR NATAL 440 EC .............................................. 144
PR OTIC SOLUTION ............................................ 90
PRADAXA ........................................................................ 30
pralidoxime .................................................................. 176
PRALUENT PEN ....................................................... 60
PRALUENT SYRINGE ....................................... 60
PRAMCORT ................................................................ 101
PRAM-HCA ................................................................. 101
pramipexole .................................................................... 45
PRAMOSONE ........................................................... 165
PRAMOXINE-HC ..................................................... 90
PRANDIMET ................................................................. 40
PRANDIN .......................................................................... 40
PRASCION ....................................................................... 25
PRASCION FC ............................................................. 25
PRASCION RA ............................................................ 25
PRAVACHOL ............................................................... 60
pravastatin ....................................................................... 60
prazosin ............................................................................... 60
PRECISION 200 CATHETER TRAY
...................................................................................................... 132
PRECISION GLUCOSE CONTROL
SOLN ................................................................................... 132
PRECISION GLUCOSE/KETONE
CONTR .............................................................................. 132
PRECISION PCX PLUS TEST ................... 84
PRECISION PCX TEST ..................................... 84
PRECISION POINT OF CARE TEST
......................................................................................................... 84
PRECISION Q-I-D TEST .................................. 84
PRECISION XTRA TEST ................................ 84
PRECOSE ........................................................................... 40
PRED FORTE ................................................................ 90
PRED MILD .................................................................... 90
PRED-G ................................................................................ 25
PRED-G S.O.P. ............................................................. 25
prednicarbate ............................................................ 165
PREDNISOL ................................................................... 90
prednisolone ................................................................ 106
prednisolone acetate .............................................. 90
prednisolone sodium phosphate
............................................................................................ 90, 106
prednisone ........................................................ 106, 107
PREDNISONE INTENSOL ......................... 106
......................................................................................................
211
Index
Index
Index
PRENATE PIXIE .................................................... 146
PRENATE PLUS ..................................................... 146
PRENATE RESTORE ....................................... 146
PRENATE STAR .................................................... 146
PRENEXA ...................................................................... 146
PRENEXA PREMIER ....................................... 146
PREPARATION H
HYDROCORTISONE ........................................ 165
PREPIDIL ....................................................................... 107
PREPLUS ........................................................................ 146
PREPOPIK ..................................................................... 101
PREQUE 10 .................................................................. 146
PRESERA ....................................................................... 165
PRESGEN B .................................................................... 78
PRESSURE ACTIVATED LANCETS
...................................................................................................... 132
PRESTALIA .................................................................... 60
PRESTIGE GLUCOSE HI CONTROL
...................................................................................................... 132
PRESTIGE SMART SYSTEM TEST ... 84
PRESTIGE TEST ....................................................... 84
PRETAB ........................................................................... 146
PREVACID ................................................................... 101
PREVACID 24HR .................................................. 101
PREVACID SOLUTAB ................................... 101
PREVALITE .................................................................... 60
PREVIDENT ................................................................... 95
PREVIDENT 5000 BOOSTER .................... 95
PREVIDENT 5000 BOOSTER PLUS
......................................................................................................... 95
PREVIDENT 5000 DRY MOUTH .......... 95
PREVIDENT 5000 ENAMEL PROTECT
......................................................................................................... 95
PREVIDENT 5000 PLUS .................................. 95
PREVIDENT 5000 SENSITIVE ................. 95
PREVIFEM ....................................................................... 71
PREVPAC ....................................................................... 101
PREZCOBIX ................................................................... 47
PREZISTA ......................................................................... 47
PRIFTIN ............................................................................... 25
PRILOSEC ..................................................................... 101
PRIMAPORE IV ...................................................... 132
primaquine ....................................................................... 41
PRIMEAIRE ................................................................. 132
PRIMER MODIFIED UNNA BOOT
...................................................................................................... 132
primidone .......................................................................... 65
PRIMLEV ........................................................................... 11
PRIMSOL ........................................................................... 25
PRINIVIL ........................................................................... 60
PRINZIDE .......................................................................... 60
PRISTIQ ........................................................................... 153
PROAIR HFA ................................................................ 19
PROAIR RESPICLICK ........................................ 19
probenecid ........................................................................ 16
PROCARDIA ................................................................. 56
PROCARDIA XL ....................................................... 56
PROCENTRA ................................................................ 50
PROCHAMBER ....................................................... 132
prochlorperazine ................................................... 101
prochlorperazine maleate ........................... 101
PROCORT ...................................................................... 101
PROCRIT ............................................................................ 67
PROCTOCORT ......................................................... 102
PROCTOCREAM-HC ....................................... 102
MDwise Marketplace
PROCTOFOAM HC ............................................ 102
PROCTOSOL HC ................................................... 102
PROCYSBI .................................................................... 176
PRODIGY .......................................................................... 85
PRODIGY AUTOCODE TEST STRIPS
......................................................................................................... 85
PRODIGY CONTROL SOLUTION,
LOW ..................................................................................... 132
PRODIGY CONTROL
SOLUTION,HIGH ................................................. 132
PRODIGY INSULIN SYRINGE ............ 132
PRODIGY LANCETS ....................................... 132
PRODIGY LANCING DEVICE ............. 132
PRODIGY MINI-MIST NEBULIZER
...................................................................................................... 132
PRODIGY NO CODING ................................... 85
PRODIGY PEN NEEDLE ............................. 132
PRODIGY TWIST TOP LANCET ....... 132
PRODIGY VOICE GLUCOSE TEST
......................................................................................................... 85
PRODRIN ........................................................................... 11
PROFERRIN-FORTE ............................................ 95
PROFILNINE ................................................................. 54
PROFORE BANDAGE SYSTEM ........ 132
progesterone ................................................................ 107
PROGESTERONE IN OIL ........................... 107
progesterone micronized .............................. 107
PROGLYCEM ............................................................... 95
PROGRAF ...................................................................... 108
PROLASTIN ................................................................ 176
PROLASTIN-C ......................................................... 176
PROLENSA ..................................................................... 90
PROLEX DMX ............................................................. 79
PROMACET .................................................................... 11
PROMACTA ................................................................... 67
PROMAR ........................................................................ 181
promethazine ................................................... 37, 102
PROMETHAZINE VC ......................................... 34
PROMETHAZINE VC-CODEINE .......... 79
promethazine-codeine ......................................... 79
promethazine-dm ..................................................... 79
promethazine-phenyleph-codeine ......... 79
promethazine-phenylephrine ..................... 34
PROMETHEGAN .................................................. 102
PROMETRIUM ........................................................ 107
PROMISEB ................................................................... 165
PROMISEB COMPLETE .............................. 165
PRONEB ULTRA .................................................. 132
PRONEB ULTRA FILTER ASSEMBLY
...................................................................................................... 132
PRONEB ULTRA II ............................................ 132
PRONEB ULTRA II DLX
COMPRESSOR ......................................................... 132
PRONEB ULTRA II FILTER ASSEM
...................................................................................................... 132
propafenone .................................................................... 56
propantheline ............................................................. 102
proparacaine .................................................................. 90
propranolol ...................................................................... 60
propranolol-hydrochlorothiazid ............. 61
propylene glycol (bulk) ................................... 176
propylthiouracil ...................................................... 170
PROQUIN XR ............................................................... 25
PROSCAR ...................................................................... 176
PROSTIGMIN ............................................................... 50
PROSTIN E2 ................................................................ 107
PROTECT BONE ................................................... 181
PROTECT CARDIO ............................................ 181
PROTECT IRON ..................................................... 181
PROTECT NATAL ............................................... 146
PROTECT PLUS ..................................................... 181
PROTECT PLUS NR .......................................... 181
PROTID ................................................................................ 79
PROTONIX ................................................................... 102
PROTOPIC .................................................................... 108
protriptyline ................................................................ 153
PROVENTIL HFA .................................................... 19
PROVERA ..................................................................... 107
PROVIDA DHA ....................................................... 146
PROVIDA OB ............................................................ 146
PROVIGIL ...................................................................... 153
PROZAC .......................................................................... 153
PROZAC WEEKLY ............................................. 153
PRUCLAIR .................................................................... 165
PRUDOXIN .................................................................. 165
PRUMYX ........................................................................ 165
PRUTECT ....................................................................... 165
PSE BPM ............................................................................. 34
PSE BROM ....................................................................... 79
PSEUDO COUGH ..................................................... 79
PSEUDO DM GG ...................................................... 79
PSEUDOEPHEDRINE GG .............................. 79
pseudoephedrine hcl ............................................. 79
PULMARI-GP ............................................................... 79
PULMICORT ................................................................. 19
PULMICORT FLEXHALER ......................... 19
PULMO-AIDE COMPRESSOR ............. 132
PULMONEB LT COMPRESSOR
NEBUL .............................................................................. 132
PULMOSAL ................................................................. 176
PULMOZYME .......................................................... 176
PUMPKIN FLAVOR .......................................... 176
PURALOR CI ............................................................. 181
PUREFE OB PLUS ............................................... 146
PUREFE PLUS .......................................................... 146
PURELAX ...................................................................... 102
PUREVIT DUALFE PLUS .............................. 95
PURINETHOL .............................................................. 44
PURIXAN .......................................................................... 44
PUSH BUTTON SAFETY LANCETS
...................................................................................................... 132
PYLERA ........................................................................... 102
pyrazinamide ................................................................. 25
PYRIDIUM ....................................................................... 14
pyridostigmine bromide ................................... 50
pyridoxine ...................................................................... 181
PYRIL D .............................................................................. 34
PYRIL-CHLOR-PHEN ........................................ 34
PYROGALLIC ACID ........................................ 165
Q-DRYL ............................................................................... 37
QNASL .................................................................................. 90
Q-TUSSIN .......................................................................... 79
QUADRAPAX ........................................................... 102
QUALAQUIN ................................................................ 41
QUARTETTE ................................................................. 71
QUASENSE ..................................................................... 71
quazepam ....................................................................... 155
QUDEXY XR ....................................................... 65, 66
QUESTRAN .................................................................... 61
QUESTRAN LIGHT ............................................... 61
212
Index
Index
Index
quetiapine ....................................................................... 153
QUFLORA PEDIATRIC DROPS ......... 181
QUILLIVANT XR ................................................. 153
quinapril ............................................................................. 61
quinapril-hydrochlorothiazide ................. 61
quinidine gluconate ................................................ 56
quinidine sulfate ........................................................ 56
quinine sulfate .............................................................. 41
QUINTET AC ................................................................ 85
QUINTET GLUCOSE TEST STRIPS
......................................................................................................... 85
QUIT 2 ................................................................................ 170
QUIT 4 ................................................................................ 170
QUIXIN ................................................................................ 25
QUTENZA ..................................................................... 165
QVAR ..................................................................................... 19
QWIK-STRIP .............................................................. 132
rabeprazole ................................................................... 102
RADIADRES GEL ................................................ 132
RADIAGEL ................................................................... 176
RADIAPLEXRX ...................................................... 165
RADIGEL ACEMANNAN HYDROGEL
...................................................................................................... 176
RADIOGARDASE ................................................ 176
RAGWITEK .................................................................... 52
raloxifene ........................................................................ 176
ramipril ................................................................................ 61
RANEXA ............................................................................ 56
ranitidine hcl .............................................................. 102
RAPAFLO ...................................................................... 176
RAPAMUNE ............................................................... 108
raspberry flavor, artificial .......................... 176
RASUVO (PF) ............................................................... 16
RAVICTI .......................................................................... 102
RAYOS .............................................................................. 107
RAZADYNE ................................................................... 50
RAZADYNE ER ......................................................... 50
RE 10 WASH .............................................................. 165
RE DCP ................................................................................. 79
RE DUALVIT F ........................................................... 95
RE DUALVIT OB .................................................. 146
RE DUALVIT PLUS .............................................. 95
RE FAC-X ...................................................................... 181
RE MULTIVIT-FLUORIDE ....................... 181
RE OB + DHA ............................................................ 146
RE OB 90 + DHA ................................................... 146
RE SA .................................................................................. 165
RE UREA 40 ................................................................ 165
REA LO 39 .................................................................... 165
REA LO 40 .................................................................... 165
REAPHIRM .................................................................. 146
REBETOL .......................................................................... 47
REBIF (WITH ALBUMIN) ............................. 66
REBIF REBIDOSE ................................................... 66
REBIF TITRATION PACK ............................ 66
RECAL D ............................................................................ 95
RECLIPSEN (28) ........................................................ 71
RECOMBINATE ........................................................ 54
RECORT PLUS ........................................................ 165
RECOTHROM .............................................................. 54
RECOTHROM SPRAY KIT .......................... 54
RECTACORT-HC ................................................. 102
RECTIV ............................................................................. 102
REFENESEN .................................................................. 79
REFENESEN PE ......................................................... 79
MDwise Marketplace
REFUAH PLUS ........................................................... 85
REFUAH PLUS GLUCOSE CONTROL
...................................................................................................... 132
REGENECARE ............................................................ 14
REGENECARE WITH ALOE ..................... 14
REGLAN .......................................................................... 102
REGRANEX ................................................................ 165
RELAGARD .................................................................... 41
RELAGESIC ....................................................................... 3
RELCOF C ........................................................................ 79
RELENZA DISKHALER .................................. 48
RELHIST ............................................................................. 34
RELIAMED LANCET ...................................... 132
RELIAMED MINI LANCING DEVICE
...................................................................................................... 132
RELIAMED SAFETY SEAL LANCETS
...................................................................................................... 132
RELIAMED TWIST & CAP LANCET
...................................................................................................... 132
RELION CONFIRM-MICRO ....................... 85
RELION NEEDLES ............................................. 132
RELION PEN NEEDLES ............................... 132
RELION PRIME TEST STRIPS ................ 85
RELION THIN LANCETS ........................... 132
RELION ULTIMA .................................................... 85
RELION ULTRA THIN PLUS
LANCETS ....................................................................... 132
RELISTOR ........................................................................ 30
RELNATE DHA ...................................................... 146
RELPAX .............................................................................. 11
RELYYKS ......................................................................... 14
RELYYT .......................................................................... 165
REME HIST DM ......................................................... 79
REME TUSSIN DM ................................................ 79
REMERON .................................................................... 153
REMERON SOLTAB ........................................ 153
REMESENSE .............................................................. 176
REMEVEN .................................................................... 165
REMODULIN ................................................................ 61
RENACIDIN ................................................................... 95
RENAGEL ......................................................................... 95
RENAL CAPS ............................................................ 181
RENALPREN ............................................................. 181
RE-NATA 29 OB .................................................... 146
RENA-VITE RX ...................................................... 181
RENAX .............................................................................. 181
RENAX 5.5 .................................................................... 181
RENEW ADVANCED LANCING
SYSTEM .......................................................................... 132
RENEW ADVANCED
MICRO-LANCETS ............................................... 132
RENO CAPS ................................................................ 181
RENVELA ......................................................................... 95
REOCYTE PLUS ....................................................... 95
repaglinide ........................................................................ 40
REPAN .................................................................................. 11
REPATHA SURECLICK .................................. 61
REPATHA SYRINGE ........................................... 61
RE-PB HYOS .............................................................. 102
REPLACEMENT J-4 CANNULA ........ 132
REPREXAIN ................................................................... 11
REQ49+ ............................................................................. 181
REQUIP ................................................................................ 45
REQUIP XL ..................................................................... 45
RESCON .............................................................................. 79
RESCON JR ..................................................................... 34
RESCON-MX ................................................................. 34
RESCRIPTOR ................................................................ 48
RESCULA .......................................................................... 90
RESECTISOL ................................................................ 86
reserpine ............................................................................. 61
RESPA C&C IR ........................................................... 79
RESPA-AR ........................................................................ 79
RESPA-BR ........................................................................ 37
RESPAHIST .................................................................... 34
RESPERAL-DM .......................................................... 79
RESPIVENT DF .......................................................... 79
RESPIVENT DF 30 ................................................. 79
RESPIVENT-D ............................................................. 79
RESTASIS ......................................................................... 90
RESTORA RX ........................................................... 102
RESTORE ....................................................................... 133
RESTORE CALCIUM ALGINATE ... 133
RESTORE CONTACT LAYER .............. 133
RESTORE CONTACT LAYER SILVER
...................................................................................................... 133
RESTORE DUO ....................................................... 133
RESTORE FOAM DRESSING SILVER
...................................................................................................... 133
RESTORE FOAM HEEL DRESSING
...................................................................................................... 133
RESTORE HYDROGEL GAUZE ........ 133
RESTORE HYDROGEL GAUZE
SPONGE ........................................................................... 133
RESTORE ODOR-ABSORBENT ......... 133
RESTORE TRIO ...................................................... 133
RESTORIL ..................................................................... 155
RETIN-A .......................................................................... 165
RETIN-A MICRO .................................................. 165
RETIN-A MICRO PUMP ............................... 165
RETRACTED PENIS POUCH ................. 133
RETROVIR ....................................................................... 48
RE-U40 .............................................................................. 165
REUSABLE NEBULIZER KIT ............... 133
REVATIO ........................................................................... 61
REVEAL TEST STRIP ........................................ 85
REVESTA ....................................................................... 181
REVIA .................................................................................... 30
REVINA ........................................................................... 165
REVLIMID ....................................................................... 44
REXULTI ........................................................................ 153
REYATAZ ......................................................................... 48
REZYST ........................................................................... 102
RHEUMATREX .......................................................... 16
RHINOCORT AQUA ............................................ 90
RHINOFLEX ...................................................................... 3
RHINOFLEX-650 ......................................................... 3
RIAX .................................................................................... 165
RIBASPHERE ............................................................... 48
RIBASPHERE RIBAPAK ................................ 48
RIBATAB DOSE PACK .................................... 48
ribavirin .............................................................................. 48
RIDAURA .......................................................................... 17
rifabutin .............................................................................. 25
RIFADIN ............................................................................. 25
RIFAMATE ...................................................................... 25
rifampin ............................................................................... 26
RIFATER ............................................................................ 26
RIGHTEST CONTROL SOLUTION
HIGH .................................................................................... 133
213
Index
Index
Index
RIGHTEST CONTROL SOLUTION
NORM ................................................................................. 133
RIGHTEST GC250S CNTRL SOL
NORM ................................................................................. 133
RIGHTEST GD500 LANCING DEVICE
...................................................................................................... 133
RIGHTEST GL300 LANCETS ................ 133
RIGHTEST GS250S TEST STRIPS ....... 85
RIGHTEST GS260 TEST STRIPS .......... 85
RIGHTEST GS550 TEST STRIPS .......... 85
RILUTEK ........................................................................... 66
riluzole .................................................................................. 66
rimantadine ..................................................................... 48
ringers ................................................................................ 166
RINGWORM .................................................................. 32
RINNOVI NAIL SYSTEM ........................... 166
RIOMET .............................................................................. 40
RISABAL-PH ............................................................. 166
RISANOID PLUS ................................................... 181
risedronate .................................................................... 176
RISPERDAL ................................................................ 153
RISPERDAL M-TAB ......................................... 153
risperidone .................................................................... 153
RITALIN .......................................................................... 153
RITALIN LA ............................................................... 153
RITALIN SR ................................................................ 153
RITEFLO AEROCHAMBER .................... 133
RI-TUSSIN ........................................................................ 79
rivastigmine .................................................................... 50
rivastigmine tartrate ............................................. 50
RIXUBIS ............................................................................. 54
rizatriptan ......................................................................... 11
R-NATAL OB ............................................................ 146
ROBAFEN ......................................................................... 79
ROBAFEN DM COUGH ................................... 79
ROBAXIN ...................................................................... 141
ROBAXIN-750 .......................................................... 141
ROBINSON CLEAR VINYL
CATHETER .................................................................. 133
ROBINUL ....................................................................... 102
ROBINUL FORTE ................................................ 102
ROBITUSSIN CHEST CONGESTION
......................................................................................................... 79
ROBITUSSIN MUCUS-CHEST
CONGEST ......................................................................... 79
ROB-NEL URETHRAL CATHETER
...................................................................................................... 133
ROCALTROL ............................................................. 181
ROLLED GAUZE .................................................. 133
ROMYCIN ........................................................................ 26
RONDIC ........................................................................... 133
root beer flavor (bulk) ..................................... 176
ropinirole ........................................................................... 45
ROSADAN .................................................................... 166
ROSADERM ................................................................... 26
ROSANIL ........................................................................... 26
ROSULA ............................................................................. 26
ROSULA CLEANSING CLOTHS .......... 26
ROSULA CLK .............................................................. 26
ROSULA NS ................................................................ 166
ROTARIX .......................................................................... 52
ROTATEQ VACCINE .......................................... 52
ROVIN-A DHA ........................................................ 146
ROWASA ........................................................................ 102
ROXICET ........................................................................... 11
MDwise Marketplace
ROXICODONE ............................................................ 11
ROZEREM ..................................................................... 155
R-TANNA PEDIATRIC ..................................... 34
RUBBER MOUTHPIECE ............................. 133
RUCONEST ................................................................. 176
RU-HIST FORTE ....................................................... 34
RULAVITE DHA ................................................... 146
RU-TUSS ............................................................................ 79
RYBIX ODT .................................................................... 11
RYDEX ................................................................................. 79
RYNA-12 ............................................................................ 34
RYNA-12X ....................................................................... 79
RYNATAN ....................................................................... 34
RYNATAN PEDIATRIC ................................... 34
RYNATUSS ..................................................................... 79
RYNEZE .............................................................................. 79
RY-TANN .......................................................................... 34
RYTARY ............................................................................. 45
RYTHMOL ....................................................................... 56
RYTHMOL SR ............................................................. 56
RYZOLT .............................................................................. 11
SA ............................................................................................ 166
SABRIL ................................................................................ 66
saccharin ............................................................................. 95
SAFE TUSSIN DM .................................................. 79
SAFELET IV CATHETER ........................... 133
SAFESNAP INSULIN SYRINGE ........ 133
SAFETY LANCETS ............................................ 133
SAFETY SEAL LANCETS ......................... 133
SAFETY-LET LANCETS ............................. 133
SAFYRAL .......................................................................... 71
SAIZEN ............................................................................. 107
SAIZEN CLICK.EASY .................................... 107
SALACYN ..................................................................... 166
SALAGEN ......................................................................... 50
SALEX ............................................................................... 166
salicylic acid ................................................................ 166
salicylic acid sr-ceramides .......................... 166
salicylic acid-ammon lact-aloe ............... 166
SALINE FLUSH ......................................................... 95
SALKERA ...................................................................... 166
salsalate ................................................................................ 17
SAL-TROPINE .......................................................... 102
SALVAX .......................................................................... 166
SALVAX DUO PLUS ........................................ 166
SAMI THE SEAL ................................................... 133
SAMI THE SEAL FILTER ........................... 133
SAMI THE SEAL MASK .............................. 133
SAMSCA ............................................................................. 86
SANCTURA ................................................................. 176
SANCTURA XR ...................................................... 177
SANCUSO ..................................................................... 102
SANDIMMUNE ....................................................... 108
SANDOSTATIN ...................................................... 107
SANTYL .......................................................................... 166
SAPHRIS ......................................................................... 153
SAPHRIS (BLACK CHERRY) ................ 153
SARAFEM ..................................................................... 153
SAVAYSA ........................................................................ 30
SAVELLA ...................................................................... 177
SCALACORT ............................................................. 166
SCALACORT DK .................................................. 166
SCALP TREATMENT KIT ......................... 166
SCAR PATCH ............................................................... 14
SCOT-TUSSIN EXPECTORANT ............ 79
SCREW CAP PUMP SET .............................. 133
SE BPO .............................................................................. 166
SEA-CLENS WOUND CLEANSER
...................................................................................................... 166
SEASONALE CONTRACEPTIVE ......... 71
SEASONIQUE .............................................................. 71
SEB-PREV ..................................................................... 166
SE-CARE ......................................................................... 146
SE-CARE CONCEIVE ..................................... 146
SE-CARE GESTURE ......................................... 146
SECONAL SODIUM .......................................... 155
SECTRAL .......................................................................... 61
SEDAPAP .......................................................................... 11
SE-DONNA PB HYOS ..................................... 102
SELECT-OB ................................................................. 146
SELECT-OB (FOLIC ACID) ..................... 146
SELECT-OB + DHA ........................................... 146
selegiline hcl .................................................................... 45
selenium sulfide ....................................................... 166
SELF ADHERENT WRAP ........................... 133
SELF-ADHERANT GENTLE WRAP
...................................................................................................... 133
SELF-ADHERING BANDAGE .............. 133
SELF-CATH ................................................................. 133
SELF-CATH 10" ...................................................... 133
SELF-CATHETER, FEMALE .................. 133
SELFEMRA .................................................................. 153
SELFGRIP ...................................................................... 133
SELF-GRIP .................................................................... 133
SELSEB ............................................................................. 166
SELZENTRY .................................................................. 48
SEMPREX-D .................................................................. 34
SE-NATAL 19 ............................................................ 146
SE-NATAL 19 (WITH DOCUSATE)
...................................................................................................... 146
SE-NATAL 90 ............................................................ 146
SE-NATAL ONE ..................................................... 146
SENSIPAR ..................................................................... 177
SENTRY ........................................................................... 181
SE-PLETE DHA ....................................................... 146
SEPTRA ............................................................................... 26
SEPTRA DS ..................................................................... 26
SERADEX ......................................................................... 79
SEREVENT DISKUS ............................................ 19
SEROMYCIN ................................................................. 26
SEROQUEL .................................................................. 153
SEROQUEL XR ....................................................... 153
SEROSTIM .................................................................... 107
sertraline ......................................................................... 153
SE-TAN DHA ............................................................. 146
SE-TAN PLUS .............................................................. 95
SETLAKIN ....................................................................... 71
SETONET ....................................................................... 146
SETONET-EC ............................................................ 146
sevelamer carbonate ............................................. 95
sevoflurane ....................................................................... 14
SF ................................................................................................. 95
SFROWASA ................................................................ 102
SHAROBEL ..................................................................... 71
SHEER ADHESIVE ............................................. 133
SHEER BANDAGE ............................................. 134
SHEER BANDAGES .......................................... 134
SHEER PLASTIC STRIP ............................... 134
SHEER SPOT BANDAGES ........................ 134
SHEER STRIP ............................................................ 134
214
Index
Index
Index
SHEER STRIP EXTRA LARGE ............ 134
SHEER STRIPS ........................................................ 134
SHEER STRIPS ASSORTED .................... 134
SHRINKSAFE PARALYTIC ID BAND
...................................................................................................... 134
SIDEROL ............................................................................ 95
SIDESTREAM ........................................................... 134
SIDESTREAM ADULT FACE MASK
...................................................................................................... 134
SIDESTREAM MASK ...................................... 134
SIDESTREAM NEBULIZER .................... 134
SIDESTREAM PEDIATRIC FACE
MASK ................................................................................. 134
SIDESTREAM PLUS ......................................... 134
SIGNIFOR ...................................................................... 107
SILDEC PE-DM .......................................................... 79
SILDEC-PE ....................................................................... 34
sildenafil .............................................................................. 61
SILENOR ........................................................................ 155
SILHOUETTE ............................................................ 134
silica ...................................................................................... 177
SILICONE MASK ................................................. 134
SILICONE MASK - INFANT ................... 134
SILICONE MASK - PEDIATRIC ......... 134
SILTUSSIN DM DAS ........................................... 79
SILTUSSIN SA ............................................................ 79
SILVADENE ................................................................... 26
SILVASORB CAVITY ..................................... 134
SILVASORB DRESSING ............................. 134
silver nitrate ................................................................ 166
silver nitrate applicators ............................... 166
silver sulfadiazine ..................................................... 26
SILVERA PATCH .................................................... 14
SILVRSTAT ................................................................. 166
SIMBRINZA ................................................................... 90
SIMCOR .............................................................................. 61
simple syrup ................................................................ 177
SIMPONI ............................................................................. 17
SIMUC-DM ...................................................................... 79
simvastatin ....................................................................... 61
SINA-12X ........................................................................... 80
SINELEE .......................................................................... 166
SINEMET ........................................................................... 45
SINEMET CR ................................................................ 45
SINGLE USE EZ FLU 2014-15(PF) ...... 52
SINGLE-LET .............................................................. 134
SINGULAIR .................................................................... 19
SINUS & ALLERGY (PSEUDOEPHED)
......................................................................................................... 34
SINUSTAR AEROSOL .................................... 134
SINUSTAR NEBULIZER ............................. 134
sirolimus .......................................................................... 108
SIRTURO ........................................................................... 26
SITAVIG ............................................................................. 48
SIVEXTRO ....................................................................... 26
SKELAXIN ................................................................... 141
SKELID ............................................................................. 177
SKIN CLOSURE STRIPS ............................. 134
SKIN TREATMENT ........................................... 166
SKINTEGRITY HYDROGEL
DRESSING .................................................................... 134
SKLICE ............................................................................. 166
SKYLA .................................................................................. 71
SLEEP AID (DIPHENHYDRAMINE)
...................................................................................................... 155
MDwise Marketplace
SMART CARESENS N TEST STRIPS
SORBSAN WOUND DRESSING ........ 135
SORBUGEN NR ......................................................... 80
SORESPOT ................................................................... 135
SORIATANE ............................................................... 167
SORILUX ........................................................................ 167
SORINE ................................................................................ 61
sotalol ..................................................................................... 61
SOTALOL AF ............................................................... 61
SOTRET ........................................................................... 167
SOTYLIZE ........................................................................ 61
SOVALDI ........................................................................... 48
SPACE CHAMBER PLUS ........................... 135
SPECTRACEF .............................................................. 26
SPECTRAVITE ADULT 50+ .................... 182
SPECTRAVITE ADVANCED
FORMULA .................................................................... 182
SPECTRAVITE SENIOR .............................. 182
spinosad ............................................................................ 167
SPIRIVA RESPIMAT ........................................... 19
SPIRIVA WITH HANDIHALER .............. 19
spironolactone .............................................................. 86
spironolacton-hydrochlorothiaz .............. 86
SPLASH SHIELD FLEX ................................ 135
SPORANOX .................................................................... 32
SPORANOX PULSEPAK ................................. 32
SPRAY AND STRETCH ................................... 14
SPRINTEC (28) ............................................................ 71
SPRIX ..................................................................................... 11
SPRYCEL ........................................................................... 44
SPS ............................................................................................. 96
SRONYX ............................................................................. 71
SS 10-2 ................................................................................... 26
SSD ............................................................................................ 26
SSD AF .................................................................................. 26
SSKI ......................................................................................... 96
SSS 10-4 ............................................................................... 26
SSS 10-5 ............................................................................... 26
ST JOSEPH ASPIRIN ........................................... 11
ST. JOSEPH ASPIRIN .......................................... 11
ST. JOSEPH LOW-DOSE ASPIRIN ..... 11
STAGESIC ........................................................................ 11
STAHIST (REFORMULATED) ................ 80
STALEVO 100 .............................................................. 45
STALEVO 125 .............................................................. 45
STALEVO 150 .............................................................. 45
STALEVO 200 .............................................................. 45
STALEVO 50 ................................................................. 45
STALEVO 75 ................................................................. 45
stannous fluoride ...................................................... 96
STARLIX ............................................................................ 40
STATUSS GREEN (CODEINE) ................ 80
stavudine ............................................................................. 48
STAVZOR ......................................................................... 66
STAXYN .......................................................................... 177
STAYFREE MAXI-PAD ................................ 135
STAYFREE SUREFIT ...................................... 135
STAYFREE ULTRA THIN ......................... 135
STELARA ....................................................................... 108
STENDRA ...................................................................... 177
STERILANCE TL .................................................. 135
STERILE GAUZE PAD ................................... 135
STERILE GEL BAG ............................................ 135
STERILE PADS ....................................................... 135
STERILE STRETCH GAUZE
BANDAGE .................................................................... 135
85
SMART SENSE LANCETS ........................ 134
SMART SENSE TEST STRIPS .................. 85
SMARTDIABETES VANTAGE ............ 134
SMARTDIABETES XPRES .......................... 85
SMARTEST CONTROL ................................. 134
SMARTEST LANCET ...................................... 134
SMARTEST TEST .................................................... 85
SMARTMASK KIDS ......................................... 134
SMOOTHLAX ........................................................... 102
SMS GLUCOSE CONTROL ...................... 134
sod phos,di & mono-k phos mono ......... 95
SODIPHLUOR .............................................................. 95
sodium bisulfite ....................................................... 177
sodium chlor 0.9% bacteriostat ........... 177
sodium chloride .......................................... 166, 177
sodium chloride 0.45 % ..................................... 95
sodium chloride 0.9 % ........................................ 95
sodium citrate ............................................................... 30
sodium fluoride ........................................................... 95
sodium hyaluronate ............................................ 167
sodium iodide-123 ................................................. 177
sodium phenylbutyrate .................................. 102
SODIUM POLYSTYRENE (SORB
FREE) ..................................................................................... 96
sodium polystyrene sulfonate ..................... 96
sodium succinate .................................................... 177
SOF-SET ADHESIVE PATCH ................ 134
SOFT CLOTH ............................................................ 134
SOFT TOUCH LANCETS ............................ 134
SOFTGELS MULTIVIT-A,B,D,E,K,ZN
...................................................................................................... 181
SOJOURN .......................................................................... 14
SOLAICE ........................................................................ 167
SOLARAZE ..................................................................... 44
SOLIA .................................................................................... 71
SOLODYN ........................................................................ 26
SOLOSITE ..................................................................... 134
SOLTAMOX ................................................................... 44
SOLUS V2 CONTROL SOLUTION,
LOW ..................................................................................... 134
SOLUS V2 CONTROL
SOLUTION,HIGH ................................................. 134
SOLUS V2 LANCETS ...................................... 134
SOLUS V2 LANCING DEVICE ............ 134
SOLUS V2 TEST STRIPS ................................ 85
SOMA ................................................................................. 141
SOMAVERT ................................................................ 177
SOMNOTE .................................................................... 155
SONAFINE .................................................................... 167
SONAHIST ....................................................................... 34
SONAHIST DM ........................................................... 80
SONATA .......................................................................... 155
SOOLANTRA ............................................................ 167
SOOTHE NEB MESH NEBULIZER
...................................................................................................... 134
SOOTHING CARE
(HYDROCORTISONE) ................................... 167
SOOTHING NON-STICK ............................. 134
SORBIDON HYDRATE ................................. 177
sorbitol ..................................................................... 96, 167
sorbitol-mannitol ................................................... 167
SORBSAN TOPICAL WOUND
DRESSING .................................................................... 135
.........................................................................................................
215
Index
Index
Index
STERI-STRIP DRESSING ........................... 135
STIMATE ........................................................................ 107
STIOLTO RESPIMAT .......................................... 19
STIVARGA ...................................................................... 44
STOP SMOKING AID ...................................... 170
STRATASORB COMPOSITE WOUND
...................................................................................................... 135
STRATASORB ISLAND DRESSING
...................................................................................................... 135
STRATTERA .............................................................. 153
strawberry flavor (bulk) ............................... 177
STRETCH BANDAGE ..................................... 135
STRETCH GAUZE BANDAGE ............ 135
STRIANT ........................................................................ 107
STRIBILD .......................................................................... 48
STRIVERDI RESPIMAT .................................. 19
STROMECTOL ........................................................... 41
STRONG IODINE ....................................... 96, 167
STRONG STRIPS .................................................. 135
STRONG STRIPS X-LARGE ................... 135
STROVITE .................................................................... 182
STROVITE ADVANCE .................................. 182
STROVITE FORTE .............................................. 182
STROVITE PLUS .................................................. 182
SUBOXONE ................................................................ 177
SUBSYS ............................................................................... 11
SUBUTEX ...................................................................... 177
SUCLEAR ...................................................................... 102
SUCRAID ....................................................................... 102
sucralfate ........................................................................ 102
SUDAHIST ....................................................................... 34
SUDATEX G .................................................................. 80
SUDATEX-DM ............................................................ 80
SUDOGEST ..................................................................... 80
SUDOGEST COLD & ALLERGY .......... 34
SULAR .................................................................................. 56
sulfacet sod-sulf-urea-mer-ti ....................... 26
sulfacetamide sodium ............................. 26, 167
sulfacetamide sodium (acne) .................... 167
sulfacetamide sodium-sulfur ............. 26, 27
sulfacetamide sodium-urea ........................ 167
sulfacetamide sod-sulfur-urea ................... 27
sulfacetamide-prednisolone .......................... 27
sulfacetamide-sulfur-cleansr23 ................ 27
SULFACLEANSE 8-4 .......................................... 27
sulfact na-sul-avobnz-otn-ocsa ................. 27
sulfadiazine ...................................................................... 27
sulfamethoxazole-trimethoprim .............. 27
SULFAMIDE .................................................................. 27
SULFAMYLON .......................................................... 27
sulfasalazine ................................................................ 102
SULFATRIM .................................................................. 27
SULFAZINE ................................................................ 102
SULFAZINE EC ...................................................... 102
sulfur ....................................................................................... 41
sulindac ................................................................................ 17
SUMADAN ...................................................................... 27
sumatriptan ..................................................................... 11
sumatriptan succinate ............................... 11, 12
SUMAVEL DOSEPRO ........................................ 12
SUMAXIN ......................................................................... 27
SUMAXIN CP ............................................................... 27
SUMAXIN TS ............................................................... 27
SUNRISE COMPRESSOR-NEBULIZER
...................................................................................................... 135
MDwise Marketplace
SUPER B COMPLEX-VITAMIN C ... 182
SUPER B/C ................................................................... 182
SUPER B-50 COMPLEX ............................... 182
SUPER MULTIVITAMIN ............................ 182
SUPER STRIP BANDAGES ...................... 135
SUPER THIN LANCETS ............................... 135
SUPERPLEX-T ......................................................... 182
SUPERVITE ................................................................. 182
SUPERVITE (EC) .................................................. 182
SUPOR CAPSULE HYDROPHILIC
...................................................................................................... 135
SUPPORT-500 ........................................................... 182
SUPRANE .......................................................................... 14
SUPRAX .............................................................................. 27
SUPREP BOWEL PREP KIT .................... 102
SURE COMFORT INS. SYR. U-100
...................................................................................................... 135
SURE COMFORT INSULIN SYRINGE
...................................................................................................... 135
SURE COMFORT LANCETS .................. 135
SURE COMFORT LANCING PEN .... 135
SURE COMFORT PEN NEEDLE ........ 135
SURE EDGE ................................................................... 85
SURE EDGE CONTROL HIGH ............. 135
SURE EDGE CONTROL LOW .............. 135
SURE EDGE CONTROL NORMAL
...................................................................................................... 135
SURECHEK GLUCOSE CONTROL
...................................................................................................... 135
SURECHEK TEST STRIPS ............................ 85
SURE-FINE PEN NEEDLES ..................... 135
SUREFLEX DEVICE WITH LANCETS
...................................................................................................... 135
SUREFLEX LANCING DEVICE ......... 135
SURE-JECT INSULIN SYRINGE ....... 135
SURE-LANCE ........................................................... 135
SURE-LANCE ULTRA THIN .................. 135
SURE-PEN LANCING DEVICE ........... 135
SUREPRESS ABSORBENT PADDING
...................................................................................................... 135
SUREPRESS HIGH COMPRESSION
...................................................................................................... 135
SURESITE ..................................................................... 135
SURESITE FLEXIGRID ................................. 136
SURESITE IV ............................................................. 136
SURESITE MATRIX .......................................... 136
SURESITE WINDOW ....................................... 136
SURESTEP GLUCOSE CONTROL
...................................................................................................... 136
SURESTEP PRO HIGH GLUCOSE ... 136
SURESTEP PRO LOW GLUCOSE .... 136
SURESTEP PRO NORMAL GLUCOSE
...................................................................................................... 136
SURESTEP PRO TEST ....................................... 85
SURESTEP TEST ...................................................... 85
SURE-TEST EASYPLUS MINI ... 85, 136
SURE-TOUCH LANCET .............................. 136
SURFAXIN ................................................................... 177
SURGICAL DRESSING ................................. 136
SURGICAL DRESSING EXTR
PROTCT ........................................................................... 136
SURGICAL PADS ................................................. 136
SURMONTIL .............................................................. 153
SURVANTA ................................................................ 177
SUSTIVA ............................................................................ 48
SUTENT .............................................................................. 44
SWEET-SF ..................................................................... 177
SYEDA .................................................................................. 71
SYLATRON .................................................................... 44
SYMAX DUOTAB ............................................... 102
SYMAX FASTABS .............................................. 102
SYMAX-SL ................................................................... 102
SYMAX-SR .................................................................. 103
SYMBICORT ................................................................. 19
SYMBYAX ................................................................... 153
SYMLINPEN 120 ...................................................... 40
SYMLINPEN 60 ......................................................... 40
SYNAGEX ..................................................................... 182
SYNALAR ..................................................................... 167
SYNALAR CREAM KIT ............................... 167
SYNALAR OINTMENT KIT .................... 167
SYNALAR TS ............................................................ 167
SYNALGOS-DC ......................................................... 12
SYNAREL ...................................................................... 107
SYNERA ............................................................................. 14
SYNJARDY ..................................................................... 40
SYNRIBO ........................................................................... 44
SYNTHROID .............................................................. 170
SYPRINE ......................................................................... 177
SYREX SODIUM CHLORIDE 0.9% ... 96
SYRINGE AVITENE ............................................. 54
SYRPALTA VEHICLE .................................... 177
TAB-A-VITE ............................................................... 182
TABLOID ........................................................................... 44
TACHOSIL ....................................................................... 54
TACLONEX ................................................................. 177
TACLONEX SCALP .......................................... 177
tacrolimus ...................................................................... 108
TAFINLAR ....................................................................... 44
TAGAMET HB ......................................................... 103
TAKE ACTION ........................................................... 71
TALWIN .............................................................................. 12
TAMBOCOR .................................................................. 56
TAMIFLU .......................................................................... 48
tamoxifen ........................................................................... 44
TAMPER-RESISTANT BAG CAP ..... 136
tampons ............................................................................ 136
TAMPONS SUPER ABSORBENCY
...................................................................................................... 136
tamsulosin ...................................................................... 177
TANABID SR ................................................................ 34
TANDEM DHA ........................................................ 146
TANDEM OB ............................................................. 146
TANDEM PLUS ......................................................... 96
TANZEUM ....................................................................... 40
TAPAZOLE .................................................................. 170
TARCEVA ........................................................................ 44
TARGRETIN .................................................................. 44
TARINA FE ..................................................................... 71
TARKA ................................................................................. 61
TARON FORTE .......................................................... 96
TARON-BC ................................................................... 146
TARON-C DHA ....................................................... 146
TARON-DUO EC ................................................... 146
TARON-PREX PRENATAL-DHA ..... 147
TASIGNA ........................................................................... 44
TASMAR ............................................................................ 45
TAZORAC ..................................................................... 167
TAZTIA XT ..................................................................... 56
TD GOLD LEVEL 1 CONTROL ........... 136
216
Index
Index
Index
TD GOLD LEVEL 2 CONTROL ........... 136
TD GOLD LEVEL 3 CONTROL ........... 136
TD GOLD TEST STRIP ..................................... 85
TECFIDERA ................................................................... 66
TECHLITE AST LANCETS ....................... 136
TECHLITE LANCETS ..................................... 136
TECHNIVIE .................................................................... 48
TEGADERM ................................................................ 136
TEGADERM ABSORBENT ...................... 136
TEGADERM AG MESH ................................ 136
TEGADERM FIRST AID STYLE ........ 136
TEGADERM FRAME STYLE ................. 136
TEGADERM HP FRAME STYLE ...... 136
TEGADERM I.V. .................................................... 136
TEGADERM TRANSPARENT
DRESSING .................................................................... 136
TEGAGEN HG .......................................................... 136
TEGAGEN HI ............................................................ 136
TEGRETOL ...................................................................... 66
TEGRETOL XR ........................................................... 66
TEKAMLO ....................................................................... 61
TEKRAL .............................................................................. 34
TEKTURNA .................................................................... 61
TEKTURNA HCT ..................................................... 61
TELCARE CONTROL ..................................... 136
TELCARE LANCETS ....................................... 136
TELCARE TEST STRIPS ................................. 85
TELFA ................................................................................ 136
TELFA (WITH POLYHEXAMETH)
...................................................................................................... 136
TELFA AMD ............................................................... 136
TELFA CLEAR WOUND DRESSING
...................................................................................................... 136
TELFA ISLAND DRESSING .................... 136
TELFA OUCHLESS NON-ADHERENT
...................................................................................................... 136
telmisartan ....................................................................... 61
telmisartan-amlodipine ..................................... 61
telmisartan-hydrochlorothiazid .............. 61
temazepam .................................................................... 155
TEMODAR ....................................................................... 44
TEMOVATE ................................................................ 167
TEMOVATE E .......................................................... 167
temozolomide ................................................................ 44
TENA SERENITY ................................................. 136
TENCON ............................................................................. 12
TENDER TAPE ........................................................ 136
TENDERSORB ......................................................... 136
TENDERWET ACTIVE CAVITY
DRESS ................................................................................ 136
TENDERWET ACTIVE DRESSING
...................................................................................................... 137
TENDERWRAP UNNA BOOT .............. 137
TENEX .................................................................................. 61
TENORETIC 100 ....................................................... 61
TENORETIC 50 ........................................................... 61
TENORMIN ..................................................................... 61
TENS 504 ........................................................................ 137
TENSOR ........................................................................... 137
TERAZOL 3 ..................................................................... 32
TERAZOL 7 ..................................................................... 32
terazosin .............................................................................. 61
terbinafine hcl .............................................................. 32
TERBINEX ....................................................................... 32
terbutaline ........................................................................ 19
MDwise Marketplace
terconazole ....................................................................... 32
TERRELL ........................................................................... 14
TERSI FOAM ............................................................. 167
TERUMO INS SYRINGE 0.5CC/27G
...................................................................................................... 137
TERUMO INSULIN SYRINGE .............. 137
TESSALON ...................................................................... 80
TESSALON PERLES ............................................ 80
TEST N'GO TEST ..................................................... 85
TESTIM ............................................................................. 107
testosterone ................................................................... 107
testosterone cypionate ..................................... 107
testosterone enanthate ..................................... 107
TESTRED ....................................................................... 107
TETCAINE ....................................................................... 90
tetrabenazine ................................................................. 66
tetracaine hcl ................................................................. 90
tetracaine hcl (pf) ..................................................... 90
tetracycline ....................................................................... 27
TETRAVISC ................................................................... 90
TETRAVISC FORTE ............................................ 90
TETRIX ............................................................................. 167
TEVETEN .......................................................................... 61
TEVETEN HCT ........................................................... 61
TEV-TROPIN ............................................................. 107
TEXACORT ................................................................. 167
TEXAVITE LQ ......................................................... 182
THALITONE .................................................................. 86
THALOMID .................................................................... 27
THEO-24 ............................................................................. 19
THEOCHRON ............................................................... 19
theophylline ..................................................................... 19
THERAPEUTIC
FORMULA/HEMATINICS ......................... 182
THERAPEUTIC MOISTURIZING ..... 167
THERATRUM COMPLETE 50 PLUS
...................................................................................................... 182
THERATRUM COMPLETE 50
PLUS/LUT ..................................................................... 182
THERMACARE HAND/WRIST ........... 137
THERMACARE KNEE/ELBOW .......... 137
THERMACARE LARGE/XLGE
BACK/HIP ..................................................................... 137
THERMACARE MENSTRUAL ............ 137
THERMACARE
NECK/WRIST/SHOULDER ...................... 137
THERMACARE SMALL/MED
BACK/HIP ..................................................................... 137
THERMAZENE ........................................................... 27
THEROBEC ................................................................. 182
THEROBEC PLUS ............................................... 182
thiamine hcl ................................................................. 182
THIN LANCETS ..................................................... 137
THINPRO INSULIN SYRINGE ............. 137
THIOLA ............................................................................ 177
thioridazine .................................................................. 153
thiothixene ..................................................................... 153
THONG LINER ........................................................ 137
THRESHOLD IMT TRAINER ................. 137
THRESHOLD PEP DEVICE ...................... 137
THRIVE NICOTINE ........................................... 170
THRIVITE RX ........................................................... 182
THRIVITE-19 ............................................................. 147
THROMBIN-JMI ....................................................... 54
THYROLAR-1 ........................................................... 170
THYROLAR-1/2 ...................................................... 170
THYROLAR-1/4 ...................................................... 170
THYROLAR-2 ........................................................... 170
THYROLAR-3 ........................................................... 170
tiagabine .............................................................................. 66
TIAZAC ................................................................................ 56
ticlopidine .......................................................................... 46
TIGAN ................................................................................ 103
TIKOSYN ........................................................................... 56
TILIA FE ............................................................................. 71
TIME-HIST QD ........................................................... 80
timolol maleate .................................................. 61, 90
TIMOPTIC ........................................................................ 91
TIMOPTIC OCUDOSE (PF) .......................... 91
TIMOPTIC-XE ............................................................. 91
TINDAMAX .................................................................... 41
tinidazole ............................................................................ 41
TIROSINT ...................................................................... 170
TISSEEL VHSD .......................................................... 54
TISSUEPAK BEDSIDE TISSUE ........... 137
TIVICAY ............................................................................. 48
TIVORBEX ...................................................................... 17
tizanidine ........................................................................ 141
TL 4.25% BPO MX ............................................... 167
TL 45% UREA ........................................................... 167
TL GARD RX ............................................................. 182
TL G-FOL OS ................................................................ 96
TL ICON .............................................................................. 96
TL NICOTINAMIDE .......................................... 182
TL TRISEB (WITH TELMESTEINE)
...................................................................................................... 167
TL-ASSURE + DHA ........................................... 147
TL-ASSURE ONE ................................................. 147
TL-CARE DHA ........................................................ 147
TL-CERMIDE ............................................................ 167
TL-DEX DM ................................................................... 80
TL-DMX .............................................................................. 80
TL-FLUORIVITE ................................................... 182
TL-FOL 500 ..................................................................... 96
TL-HEM 150 ................................................................... 96
TL-HIST CD .................................................................... 80
TL-HIST CM ................................................................... 80
TL-HIST DM .................................................................. 80
TL-HIST PD ..................................................................... 35
TL-SELECT .................................................................. 147
TL-SELECT DHA .................................................. 147
TOBI ........................................................................................ 27
TOBI PODHALER ................................................... 27
TOBRADEX .................................................................... 27
TOBRADEX ST .......................................................... 27
tobramycin ....................................................................... 27
tobramycin in 0.225 % nacl ......................... 27
tobramycin-dexamethasone ......................... 27
TOBRASOL ..................................................................... 27
TOBREX ............................................................................. 27
TODAY CONTRACEPTIVE SPONGE
......................................................................................................... 71
TOE AID DRESSING ........................................ 137
TOFRANIL .................................................................... 153
TOFRANIL-PM ........................................................ 153
tolazamide ......................................................................... 40
tolbutamide ..................................................................... 40
tolcapone ............................................................................. 45
tolmetin ................................................................................ 17
tolterodine ...................................................................... 177
217
Index
Index
Index
tolu balsam ................................................................... 177
TOPAMAX ....................................................................... 66
TOPCARE CLICKFINE .................................. 137
TOPCARE ULTRA COMFORT ............ 137
TOPCARE UNIVERSAL1 THIN
LANCET .......................................................................... 137
TOPICAL DISPENSER ................................... 137
TOPICAL TIP CAP .............................................. 137
TOPICORT .................................................................... 167
TOPIRAGEN .................................................................. 66
topiramate ........................................................................ 66
TOPISULF ......................................................................... 27
TOPROL XL ................................................................... 61
torsemide ............................................................................ 86
TOTAL B/C .................................................................. 182
TOUCH-TROL .......................................................... 137
TOUJEO SOLOSTAR ........................................... 40
TOVIAZ ............................................................................ 177
TRACLEER ..................................................................... 61
TRADJENTA ................................................................. 40
tramadol .............................................................................. 12
tramadol-acetaminophen ................................ 12
TRANDATE .................................................................... 62
trandolapril ..................................................................... 62
trandolapril-verapamil ...................................... 62
tranexamic acid .......................................................... 54
TRANSCYTE ............................................................. 177
TRANSDERM-SCOP ......................................... 103
transparent dressings ....................................... 137
TRANSPARENT THIN FILM
DRESSING .................................................................... 137
TRANXENE T-TAB ........................................... 154
tranylcypromine ..................................................... 154
TRAVATAN Z .............................................................. 91
travoprost (benzalkonium) ........................... 91
trazodone ........................................................................ 154
TREAGAN OTIC ....................................................... 91
TRECATOR ..................................................................... 27
TRENTAL .......................................................................... 54
tretinoin ............................................................................ 167
tretinoin (chemotherapy) ................................ 44
tretinoin microspheres .................................... 167
TRETIN-X ...................................................................... 167
TRETIN-X (GEL) ................................................... 167
TRETIN-X CREAM KIT ................................ 167
TRETTEN .......................................................................... 54
TREXALL .......................................................................... 44
TREXAN ............................................................................. 30
TREXBROM ................................................................... 80
TREXIMET ...................................................................... 12
TREZIX ................................................................................ 12
TRI RX ............................................................................... 147
TRIADVANCE ......................................................... 147
triamcinolone acetonide ......... 91, 168, 177
TRIAMINIC FLOWING VAPORS ..... 137
triamterene-hydrochlorothiazid ............. 86
TRIANEX ....................................................................... 168
TRIAZ ................................................................................. 168
TRIAZ CLEANSER ............................................. 168
triazolam ......................................................................... 155
TRIBENZOR ................................................................... 62
TRICARE ........................................................................ 147
TRICARE DHA ........................................................ 147
TRICARE PRENATAL COMPLEAT
...................................................................................................... 147
MDwise Marketplace
TRICARE PRENATAL DHA ONE .... 147
TRICODE AR ................................................................ 80
TRICODE GF ................................................................. 80
TRICON ............................................................................... 96
TRICOR ............................................................................... 62
TRIDERM ....................................................................... 168
TRI-DEX PE .................................................................... 80
TRI-ESTARYLLA .................................................... 71
trifluoperazine .......................................................... 154
trifluridine ........................................................................ 48
TRIGELS-F FORTE ................................................ 96
TRIGLIDE ......................................................................... 62
TRIGOFEN ....................................................................... 35
TRIGOFEN DM ........................................................... 80
trihexyphenidyl ........................................................... 45
TRI-LEGEST FE ......................................................... 71
TRILEPTAL .................................................................... 66
TRI-LINYAH ................................................................. 71
TRILIPIX ............................................................................ 62
TRI-LUMA .................................................................... 168
TRILYTE WITH FLAVOR PACKETS
...................................................................................................... 103
TRIMESIS RX ........................................................... 147
trimethobenzamide ............................................. 103
trimethoprim ................................................................. 27
trimipramine .............................................................. 154
TRINATAL GT ......................................................... 147
TRINATAL RX 1 ................................................... 147
TRINATAL ULTRA ........................................... 147
TRINATE ........................................................................ 147
TRINESSA (28) ........................................................... 71
TRI-NORINYL (28) ................................................ 71
TRIOXIN ............................................................................. 27
TRIPHLUORIVIT .................................................. 182
TRIPHROCAPS ....................................................... 182
TRIPLE ANTIBIOTIC PLUS ........................ 27
TRIPLE DYE .................................................................. 32
TRIPLE HELIX COLLAGEN ................... 137
TRIPLE VITAMIN WITH FLUORIDE
...................................................................................................... 182
TRI-PREVIFEM (28) ............................................. 72
triprolidine hcl ............................................................. 37
TRISPEC DMX ............................................................ 80
TRISPEC DMX PEDIATRIC ........................ 80
TRISPEC PSE ................................................................ 80
TRISPEC PSE PEDIATRIC ............................ 80
TRI-SPRINTEC (28) ............................................... 72
TRISTART DHA ..................................................... 147
TRI-TABS DHA ....................................................... 147
TRIUMEQ .......................................................................... 48
TRIVEEN-DUO DHA ....................................... 147
TRIVEEN-ONE ........................................................ 147
TRIVEEN-PRX RNF .......................................... 147
TRIVEEN-TEN ......................................................... 147
TRIVEEN-U ................................................................. 147
TRI-VI-FLOR ............................................................. 182
TRI-VI-FLORO ......................................................... 182
TRI-VIT WITH FLUORIDE & IRON
...................................................................................................... 182
TRI-VITAMIN W/FLUORIDE & IRON
...................................................................................................... 182
TRI-VITAMIN WITH FLUORIDE ..... 182
TRIVORA (28) .............................................................. 72
TROKENDI XR ........................................................... 66
TROPAZONE CREAM .................................... 168
TROPAZONE LOTION ................................... 168
tropicamide ...................................................................... 91
trospium ........................................................................... 177
TRUE METRIX GLUCOSE TEST
STRIP ...................................................................................... 85
TRUE METRIX LEVEL 1 ............................ 137
TRUE METRIX LEVEL 2 ............................ 137
TRUE METRIX LEVEL 3 ............................ 137
TRUECONTROL LEVEL 0 ........................ 137
TRUECONTROL LEVEL 1 ........................ 137
TRUEDRAW LANCING DEVICE ..... 137
TRUEPLUS INSULIN ....................................... 137
TRUEPLUS LANCETS ................................... 137
TRUETEST HIGH GLUCOSE
CONTROL ..................................................................... 137
TRUETEST LOW GLUCOSE
CONTROL ..................................................................... 137
TRUETEST NORMAL GLUCOSE
CNTRL ............................................................................... 137
TRUETEST TEST STRIPS ............................. 85
TRUETRACK GLUCOSE ............................ 137
TRUETRACK GLUCOSE CONTROL
HIGH .................................................................................... 137
TRUETRACK SMART SYSTEM ........... 85
TRUETRACK TEST .............................................. 85
TRULICITY ..................................................................... 40
TRUSOPT .......................................................................... 91
TRUST NATAL DHA ....................................... 147
TRUVADA ....................................................................... 48
TRUZONE PEAK FLOW METER ...... 138
TRYMINE CG ............................................................... 80
TUBULAR GAUZE ............................................. 138
tubular gauze-dresng protector ........... 138
TUDORZA PRESSAIR ....................................... 19
TUSICOF ............................................................................ 80
TUSNEL C ........................................................................ 80
TUSNEL DIABETIC .............................................. 80
TUSNEL PED-C ......................................................... 80
TUSNEL PEDIATRIC .......................................... 80
TUSSAFED EX ............................................................ 80
TUSSANIL ........................................................................ 35
TUSSI PRES-B ............................................................. 80
TUSSI-12 ............................................................................. 80
TUSSI-12 S ....................................................................... 80
TUSSI-12D ........................................................................ 80
TUSSI-12D S .................................................................. 80
TUSSICAPS ..................................................................... 80
TUSSIGON ....................................................................... 80
TUSSIN ................................................................................. 81
TUSSIN CHEST CONGESTION .............. 80
TUSSIN COUGH &CHEST
CONGESTION ............................................................. 80
TUSSIN COUGH DM ........................................... 80
TUSSIN DM .................................................................... 81
TUSSIN DM CLEAR ............................................. 81
TUSSIN DM COUGH & CHEST ............. 81
TUSSIN DM MAX ................................................... 81
TUSSIN EXPECTORANT ............................... 81
TUSSIN HONEY ........................................................ 81
TUSSIONEX PENNKINETIC ER ........... 81
TUSSI-PRES ................................................................... 81
TUSSO-DMR ................................................................. 81
tutti-frutti flavor (bulk) ................................. 177
TUZISTRA XR ............................................................. 81
TWINJECT AUTOINJECTOR .................... 50
218
Index
Index
Index
TWYNSTA ....................................................................... 62
TYBOST ........................................................................... 177
TYKERB ............................................................................. 44
TYLENOL-CODEINE #3 ................................. 12
TYLENOL-CODEINE #4 ................................. 12
TYLOX ................................................................................. 12
TYVASO ............................................................................. 62
TYVASO INSTITUTIONAL START
KIT ............................................................................................. 62
TYVASO REFILL KIT ........................................ 62
TYZEKA ............................................................................. 48
TYZINE ................................................................................ 91
U40 ......................................................................................... 168
UCERIS ............................................................................. 107
UDAMIN ......................................................................... 182
UDAMIN ER ............................................................... 182
UDAMIN SP ................................................................ 182
ULESFIA ......................................................................... 168
ULORIC ............................................................................... 17
ULTANE ............................................................................. 14
ULTICARE .................................................................... 138
ULTI-LANCE ............................................................. 138
ULTILET BASIC LANCETS .................... 138
ULTILET CLASSIC LANCETS ............ 138
ULTILET INSULIN SYRINGE .............. 138
ULTILET LANCETS .......................................... 138
ULTILET PEN NEEDLE ............................... 138
ULTILET SAFETY LANCETS ............... 138
ULTIMA TEST STRIPS ..................................... 85
ULTIMATE OB DHA ........................................ 147
ULTIMATECARE ONE ................................. 147
ULTIMATECARE ONE NF ....................... 147
ULTRA CMFT INS SYR HALF UNIT
...................................................................................................... 138
ULTRA COMFORT INSULIN
SYRINGE ........................................................................ 138
ULTRA DM FREE & CLEAR ..................... 81
ULTRA THIN II LANCETS ....................... 138
ULTRA THIN LANCETS ............................. 138
ULTRA THIN PLUS LANCETS ........... 138
ULTRA TLC LANCETS ................................ 138
ULTRACET ..................................................................... 12
ULTRACOMFORT .............................................. 138
ULTRACOMFORT W/ CONTAINER
...................................................................................................... 138
ULTRAFOAM .............................................................. 54
ULTRA-FRESH ....................................................... 168
ULTRALANCE LANCETS ......................... 138
ULTRAM ............................................................................ 12
ULTRAM ER .................................................................. 12
ULTRASAL-ER ....................................................... 168
ULTRA-THIN II (SHORT) INS SYR
...................................................................................................... 138
ULTRA-THIN II (SHORT) PEN NDL
...................................................................................................... 138
ULTRA-THIN II INS PEN NEEDLES
...................................................................................................... 138
ULTRA-THIN II INSULIN SYRINGE
...................................................................................................... 138
ULTRA-THIN II LANCETS ...................... 138
ULTRATRAK ................................................................ 85
ULTRATRAK HIGH-LOW CONTROL
...................................................................................................... 138
ULTRATRAK NORMAL CONTROL
...................................................................................................... 138
MDwise Marketplace
ULTRATRAK ULTIMATE ............... 85, 138
ULTRAVATE ............................................................. 168
ULTRAVATE PAC .............................................. 168
ULTRAVATE X ...................................................... 168
ULTRESA ....................................................................... 103
UMECTA ........................................................................ 168
UMECTA NAIL FILM PEN ....................... 168
UMECTA PD .............................................................. 168
UNIFINE PENTIPS .............................................. 138
UNIFINE PENTIPS PLUS ............................ 138
UNILET COMFORTOUCH LANCET
...................................................................................................... 138
UNILET EXCELITE II LANCET ......... 138
UNILET EXCELITE LANCET ............... 138
UNILET G.P. LANCET ................................... 138
UNILET G.P. SUPERLITE LANCET
...................................................................................................... 138
UNILET GP LANCET ...................................... 138
UNILET LANCET ................................................. 138
UNILET LANCETS ............................................. 138
UNILET SUPER THIN LANCETS ..... 139
UNILET SUPERLITE LANCET ............ 139
UNIRETIC ......................................................................... 62
UNISTIK .......................................................................... 139
UNISTIK 1 ..................................................................... 139
UNISTIK 2 DEVICE ........................................... 139
UNISTIK 2 EXTRA ............................................. 139
UNISTIK 2 NORMAL
LANCET&DEVICE ............................................. 139
UNISTIK 2 SUPER ............................................... 139
UNISTIK 3 ..................................................................... 139
UNISTIK 3 COMFORT DEVICE ......... 139
UNISTIK 3 COMFORT LANCET ....... 139
UNISTIK 3 EXTRA LANCET ................. 139
UNISTIK 3 GENTLE ......................................... 139
UNISTIK 3 LANCETS ..................................... 139
UNISTIK 3 NEONATAL ............................... 139
UNISTIK 3 NEONATAL DEVICE ..... 139
UNISTIK 3 NORMAL LANCET .......... 139
UNISTIK CZT LANCET ................................ 139
UNISTIK SAFETY ............................................... 139
UNISTRIP HIGH CONTROL ................... 139
UNISTRIP LOW CONTROL ..................... 139
UNISTRIP1 TEST STRIP ................................. 85
UNITHROID ................................................................ 170
UNIVASC .......................................................................... 62
UNIVERSAL 1 LANCETS .......................... 139
UNNA-FLEX CONVENIENCE PACK
...................................................................................................... 139
UNNA-FLEX ELASTIC UNNA BOOT
...................................................................................................... 139
UR N-C .................................................................................. 27
URAMAXIN ................................................................ 168
URAMAXIN GT ..................................................... 168
URAMIT MB .................................................................. 27
urea ........................................................................................ 168
UREA (WITH LA & SAL ACID) ......... 168
UREA 40 .......................................................................... 168
UREA 50% ..................................................................... 168
UREA NAIL STICK ............................................ 168
urea-hyaluronate sodium ............................. 168
URECHOLINE ............................................................. 51
URELLE .............................................................................. 27
URETHRAL CATHETER ............................. 139
URETRON D-S ............................................................ 27
UREVAZ .......................................................................... 168
UREX (METHENAMINE) .............................. 27
URIBEL ................................................................................ 27
URIMAR-T ....................................................................... 28
URIN DS ............................................................................. 28
URINARY LEG BAG ........................................ 139
URINARY LEG MEDIUM BAG .......... 139
URO-BLUE ...................................................................... 28
UROCARE FABRIC LEG STRAPS
...................................................................................................... 139
UROCARE URINARY DRAIN
BOTTLE ........................................................................... 139
UROCIT-K 10 ................................................................ 96
UROCIT-K 15 ................................................................ 96
UROCIT-K 5 ................................................................... 96
URO-CON CATHETER .................................. 139
UROGESIC-BLUE ................................................... 28
URO-L .................................................................................... 28
UROLET MB .................................................................. 28
URO-MP .............................................................................. 28
UROPHEN MB ............................................................ 28
UROQID-ACID NO.2 ........................................... 96
URO-SAN LEG BAG ......................................... 139
URO-SAN PLUS ..................................................... 139
UROSTOMY NIGHT BAG ......................... 139
UROXATRAL ............................................................ 177
URSO 250 ....................................................................... 103
URSO FORTE ............................................................ 103
ursodiol ............................................................................. 103
URYL ...................................................................................... 28
USTELL ............................................................................... 28
UTA .......................................................................................... 28
UTA (WITH PHENYL SALICYLATE)
......................................................................................................... 28
UTICAP ................................................................................ 28
UTIRA-C ............................................................................. 28
VAGIFEM ...................................................................... 107
VAGINAL CONTRACEPTIVE FILM
......................................................................................................... 72
VAGINAL CONTRACEPTIVE FOAM
......................................................................................................... 72
VAGINAL DISPENSER TIP CAP ....... 139
valacyclovir ...................................................................... 48
VALCHLOR .................................................................... 44
VALCYTE ......................................................................... 48
valganciclovir ................................................................ 48
VALIUM .......................................................................... 154
valproic acid ................................................................... 66
valproic acid (as sodium salt) ..................... 66
valsartan ............................................................................. 62
valsartan-hydrochlorothiazide ................. 62
VALTREX ......................................................................... 48
VALTURNA ................................................................... 62
VALU-DRYL ALLERGY ................................ 37
VALU-DRYL CHILD'S ALLERGY ..... 37
VANACOF CD ............................................................. 81
VANATOL LQ ............................................................. 12
VANCOCIN ..................................................................... 28
vancomycin ...................................................................... 28
VANDAZOLE ............................................................... 28
VANICREAM ............................................................ 177
VANILLA BUTTERNUT FLAVOR
...................................................................................................... 177
vanilla butternut flavor(bulk) ................ 177
vanillin (bulk) ............................................................ 177
219
Index
Index
Index
VANISHPOINT SYRINGE ......................... 139
VANOS .............................................................................. 168
VANOXIDE-HC ...................................................... 168
VANSPAR ..................................................................... 154
VAPORIZER CLEANING ........................... 139
VAPORIZER INHALANT ........................... 139
vaporizers ....................................................................... 139
VARUBI ........................................................................... 103
VASCEPA ...................................................................... 103
VASELINE .................................................................... 178
VASELINE PETROLATUM GAUZE
...................................................................................................... 139
VASERETIC ................................................................... 62
VASHE WOUND THERAPY ................... 168
VASOLEX ...................................................................... 168
VASOTEC ......................................................................... 62
VAZOBID .......................................................................... 35
VAZOBID-PD ............................................................... 35
VAZOL ................................................................................. 37
VAZOTAB ........................................................................ 35
VAZOTAN ........................................................................ 81
V-C FORTE .................................................................. 182
VCF CONTRACEPTIVE FILM ................. 72
V-COF .................................................................................... 81
VECAMYL ....................................................................... 62
VECTICAL .................................................................... 169
VEHICLE/N ................................................................. 169
VEHICLE/N MILD ............................................... 169
VELIVET TRIPHASIC REGIMEN (28)
......................................................................................................... 72
VELMA PATCH ......................................................... 14
VELPHORO .................................................................... 96
VELTIN ............................................................................. 169
VEMAVITE-PRX-2 ............................................. 147
VENA-BAL DHA .................................................. 147
VENATAL COMPLETE DHA ................ 147
VENATAL-FA .......................................................... 147
VENELEX ...................................................................... 178
VENI-PREP III/SITE CARE ....................... 139
VENI-PREP KIT ...................................................... 139
VENI-PREP KIT II ................................................ 139
venlafaxine .................................................................... 154
VENTAVIS ....................................................................... 62
VENTED URINARY LEG BAG ............ 140
VENTED URINARY LEG BAG
SYSTEM .......................................................................... 140
VENTOLIN HFA ....................................................... 19
VERAMYST ................................................................... 91
verapamil ........................................................................... 56
VERDESO ...................................................................... 169
VEREGEN ......................................................................... 49
VERELAN ......................................................................... 56
VERELAN PM .............................................................. 56
VERIPRED 20 ............................................................ 107
VERSACLOZ ............................................................. 154
VERSALON ................................................................. 140
VERSALON NONWOVEN
ALL-PURPOSE ........................................................ 140
VERSICLEAR ............................................................... 33
VERSIVA XC ............................................................. 140
VERTICALM .............................................................. 103
VESICARE .................................................................... 178
VESTURA (28) ............................................................ 72
VEXA ..................................................................................... 14
VEXOL ................................................................................. 91
MDwise Marketplace
VFEND .................................................................................. 33
V-HIST .................................................................................. 35
VIAGRA ........................................................................... 178
VIASORB ABSORBENT DRESSING
...................................................................................................... 140
VIBRAMYCIN ............................................................. 28
VICA FORTE .............................................................. 182
VICAP FORTE .......................................................... 183
VIC-FORTE .................................................................. 183
VICKS HUMIDIFIER ........................................ 140
VICKS WARM MIST HUMIDIFIER
...................................................................................................... 140
VICODIN ............................................................................ 12
VICODIN ES .................................................................. 12
VICODIN HP .................................................................. 12
VICOPROFEN .............................................................. 12
VICTORY GLUCOSE TEST ........................ 85
VICTORY HIGH, LOW CONTROL
...................................................................................................... 140
VICTOZA 2-PAK ...................................................... 40
VICTRELIS ...................................................................... 49
VIDEX 2 GRAM PEDIATRIC .................... 49
VIDEX 4 GRAM PEDIATRIC .................... 49
VIDEX EC ......................................................................... 49
VIEKIRA PAK .............................................................. 49
VIGAMOX ........................................................................ 28
VIGILON PRIMARY WOUND
DRESSING .................................................................... 140
VIIBRYD ......................................................................... 154
VIMOVO ............................................................................. 17
VIMPAT .............................................................................. 66
VINACAL ....................................................................... 147
VINATE AZ ................................................................. 147
VINATE C ...................................................................... 147
VINATE CALCIUM ........................................... 147
VINATE CARE ........................................................ 147
VINATE DHA ............................................................ 147
VINATE DHA RF .................................................. 147
VINATE GT ................................................................. 147
VINATE IC ................................................................... 147
VINATE II ...................................................................... 147
VINATE M .................................................................... 148
VINATE ONE ............................................................ 148
VINATE PN CARE .............................................. 148
VINATE ULTRA .................................................... 148
VINYL CATHETER ........................................... 140
VIOKACE ....................................................................... 103
VIOKASE 16 ............................................................... 103
VIOKASE 8 .................................................................. 103
VIORELE (28) ............................................................... 72
VIOS AEROSOL DELIVERY SYSTEM
...................................................................................................... 140
VIRACEPT ....................................................................... 49
VIRAMUNE .................................................................... 49
VIRAMUNE XR ......................................................... 49
VIRASAL ........................................................................ 169
VIRAVAN-P (TANNATE) .............................. 35
VIRAVAN-PDM (TANNATE) ................... 81
VIRAZOLE ....................................................................... 49
VIRDEC ............................................................................... 35
VIRDEC DM ................................................................... 81
VIREAD ............................................................................... 49
VIROPTIC ......................................................................... 49
VIRT NATE .................................................................. 148
VIRT-ADVANCE .................................................. 148
VIRT-BAL DHA ..................................................... 148
VIRT-BAL DHA PLUS ................................... 148
VIRT-C DHA .............................................................. 148
VIRT-CAPS .................................................................. 183
VIRT-CARE ONE .................................................. 148
VIRT-GARD ................................................................ 183
VIRTI-SULF .................................................................... 28
VIRT-NATE ................................................................. 148
VIRT-PHOS 250 NEUTRAL ......................... 96
VIRT-PN .......................................................................... 148
VIRT-PN DHA .......................................................... 148
VIRT-PN PLUS ........................................................ 148
VIRTPREX .................................................................... 148
VIRT-SELECT .......................................................... 148
VIRTUSSIN DAC ..................................................... 81
VIRT-VITE .................................................................... 183
VIRT-VITE GT ......................................................... 148
VIRT-VITE PLUS .................................................. 183
VISCOPASTE PB7 ............................................... 140
VISTARIL .......................................................................... 37
VISTEC X-RAY DETECT ........................... 140
VITA S FORTE ......................................................... 183
VITABEE/C .................................................................. 183
VITACEL (WITH LUTEIN) ....................... 183
VITAFOL ........................................................................... 96
VITAFOL FE+ (WITH DOCUSATE)
...................................................................................................... 148
VITAFOL NANO ................................................... 148
VITAFOL ULTRA ................................................ 148
VITAFOL-OB ............................................................. 148
VITAFOL-OB+DHA .......................................... 148
VITAFOL-ONE ........................................................ 148
VITAFOL-PLUS ...................................................... 148
VITAFOL-PN (UD) .............................................. 148
VITAL-D RX ............................................................... 183
VITAMED MD ONE RX ............................... 148
VITAMED MD PLUS RX ............................. 148
VITAMEDMD REDICHEW RX ........... 148
VITAMEDMD REDICHEW RX
(QUAT) .............................................................................. 148
vitamin b complex ................................................ 183
VITAMIN B COMPLEX WITH C ....... 183
VITAMIN D2 .............................................................. 183
VITAMIN D3 .............................................................. 183
vitamin e .......................................................................... 169
VITAMIN K ................................................................. 183
VITAMIN K1 .............................................................. 183
VITAMINS A,C,D & FLUORIDE ....... 183
VITAMINS B COMPLEX ............................ 183
VITAMINS FOR HAIR ................................... 183
VITAPEARL ................................................................ 148
VITA-RESPA .............................................................. 183
VITASPIRE ................................................................... 148
VITAZOL ........................................................................ 169
VITEKTA ........................................................................... 49
VITUZ .................................................................................... 81
VIVA CT .......................................................................... 148
VIVA DHA .................................................................... 148
VIVACTIL ..................................................................... 154
VIVAGLOBIN .............................................................. 53
VIVELLE-DOT ......................................................... 107
VIVOTIF BERNA VACCINE ...................... 53
V-NATAL ....................................................................... 148
V-NATAL DHA ....................................................... 148
VOCAL POINT ............................................................ 85
220
Index
Index
Index
VOCAL POINT GLUCOSE CONTROL
...................................................................................................... 140
VOCALPOINT GLUCOSE CONTROL
...................................................................................................... 140
VOGELXO .................................................................... 107
VOL-CARE RX ........................................................ 183
VOL-NATE ................................................................... 148
VOL-PLUS .................................................................... 148
VOL-TAB RX ............................................................ 148
VOLTAREN ....................................................... 91, 169
VOLTAREN-XR ......................................................... 17
voriconazole .................................................................... 33
VORTEX ADULT MASK ............................ 140
VORTEX FROG MASK-CHILD ........... 140
VORTEX HOLDING CHAMBER ....... 140
VORTEX HOLDING CHAMBER
CHILD ................................................................................ 140
VORTEX HOLDING CHAMBER
TODDLER ...................................................................... 140
VORTEX LADYBUG
MASK-TODDLER ................................................ 140
VORTEX VHC FROG MASK-CHILD
...................................................................................................... 140
VORTEX VHC LADYBUG
MASK-TODDLR .................................................... 140
VOSOL .................................................................................. 91
VOSOL-HC ...................................................................... 91
VOSPIRE ER .................................................................. 19
VOTRIENT ....................................................................... 44
VP CH ULTRA ......................................................... 148
VP-CH PLUS ............................................................... 148
VP-CH-PNV ................................................................. 148
VP-ERA OB PLUS ................................................ 148
VP-GGR-B6 .................................................................. 148
VP-HEME OB ............................................................ 149
VP-HEME OB + DHA ....................................... 149
VP-HEME ONE ........................................................ 149
VP-PNV-DHA ............................................................ 149
VP-VITE RX ................................................................ 183
VUSION ............................................................................... 33
VYFEMLA (28) ........................................................... 72
VYTONE ......................................................................... 169
VYTORIN 10-10 ......................................................... 62
VYTORIN 10-20 ......................................................... 62
VYTORIN 10-40 ......................................................... 62
VYTORIN 10-80 ......................................................... 62
VYVANSE ..................................................................... 154
WAL-ACT D COLD & ALLERGY ....... 35
WAL-DRYL ALLERGY .................................... 38
WAL-FEX ALLERGY ......................................... 38
WAL-FEX D 12 HOUR ....................................... 35
WAL-FEX D 24 HOUR ....................................... 35
WAL-SLEEP Z .......................................................... 155
WAL-TUSSIN ............................................................... 81
WAL-ZAN 150 .......................................................... 103
WAL-ZYR (CETIRIZINE) .............................. 38
warfarin ............................................................................... 30
WARM STEAM VAPORIZER ................ 140
WATCHHALER ...................................................... 140
water for irrigation, sterile ........................ 169
WATER SHIELD BANDAGES .............. 140
WATERPROOF STRONG STRIPS .... 140
WAVESENSE CONTROL SOLUTION
...................................................................................................... 140
WAVESENSE JAZZ .............................................. 85
MDwise Marketplace
WAVESENSE PRESTO ..................................... 85
WEBRIL ........................................................................... 140
WEBRIL II ..................................................................... 140
WELCHOL ....................................................................... 62
WELLBUTRIN ......................................................... 154
WELLBUTRIN SR ............................................... 154
WELLBUTRIN XL ............................................... 154
WERA (28) ........................................................................ 72
WESTCORT ................................................................. 169
WESTHROID ............................................................. 170
WESTHROID-P ....................................................... 170
white petrolatum .................................................... 178
WHITE PETROLEUM JELLY ................ 178
WIDE-SEAL DIAPHRAGM 60 ................. 72
WIDE-SEAL DIAPHRAGM 65 ................. 72
WIDE-SEAL DIAPHRAGM 70 ................. 72
WIDE-SEAL DIAPHRAGM 75 ................. 72
WIDE-SEAL DIAPHRAGM 80 ................. 72
WIDE-SEAL DIAPHRAGM 85 ................. 72
WIDE-SEAL DIAPHRAGM 90 ................. 72
WIDE-SEAL DIAPHRAGM 95 ................. 72
WILATE .............................................................................. 54
wild cherry flavor (bulk) .............................. 178
WINDMILL TRAINER .................................... 140
WING TIP TUBING ............................................ 140
WOUND DRAINAGE COLLECTOR
...................................................................................................... 140
WOUNDGARD GAUZE ................................ 140
WP THYROID ........................................................... 170
WYMZYA FE ................................................................ 72
XALATAN ........................................................................ 91
XALKORI .......................................................................... 44
XANAX ............................................................................. 154
XANAX XR .................................................................. 154
XARELTO ......................................................................... 30
XARTEMIS XR ........................................................... 12
XCLAIR ............................................................................ 169
XELJANZ ........................................................................... 17
XELODA ............................................................................. 44
XENADERM ............................................................... 169
XENAZINE ...................................................................... 66
XERAC AC ................................................................... 169
XERESE ............................................................................... 49
XEROFLO GAUZE DRESSING ........... 140
XEROFORM ................................................................ 140
XEROFORM PETROLATUM
DRESSING .................................................................... 140
XEROFORM PETROLATUM
OVERWRAP ............................................................... 140
XIBROM ............................................................................. 91
XIFAXAN .......................................................................... 28
XIGDUO XR ................................................................... 41
XODOL 10/300 ............................................................ 12
XODOL 5/300 ................................................................ 12
XODOL 7.5/300 ........................................................... 12
XOLEGEL ......................................................................... 33
XOLOX ................................................................................. 12
XOPENEX ......................................................................... 19
XOPENEX CONCENTRATE ...................... 19
XOPENEX HFA .......................................................... 19
XPRES NORMAL CONTROL ................ 140
XTANDI .............................................................................. 44
XULANE ............................................................................. 72
X-VIATE .......................................................................... 169
XYLOCAINE ................................................................. 14
XYLOCAINE JELLY ............................................ 14
XYLON 10 ........................................................................ 12
XYNTHA ............................................................................ 54
XYNTHA SOLOFUSE ........................................ 54
XYREM ............................................................................. 155
XYZAL ................................................................................. 38
YASMIN (28) ................................................................. 72
YAZ (28) ............................................................................. 72
Y-COF DMX ................................................................... 81
YODOXIN ......................................................................... 41
Y-PORT CONNECTOR .................................. 140
ZACARE .......................................................................... 169
zafirlukast ......................................................................... 19
zaleplon ............................................................................. 155
ZAMICET .......................................................................... 12
ZANAFLEX ................................................................. 141
ZANTAC .......................................................................... 103
ZANTAC 25 EFFERDOSE .......................... 103
ZANTAC MAXIMUM STRENGTH
...................................................................................................... 103
ZARAH ................................................................................. 72
ZARONTIN ...................................................................... 66
ZAROXOLYN .............................................................. 86
ZARXIO ............................................................................... 67
ZATEAN-CH .............................................................. 149
ZATEAN-PN ............................................................... 149
ZATEAN-PN DHA ............................................... 149
ZATEAN-PN PLUS ............................................. 149
ZAVARA ......................................................................... 183
ZAVESCA ...................................................................... 178
Z-COF 8 DM ................................................................... 81
Z-DEX .................................................................................... 81
Z-DEX PEDIATRIC ............................................... 81
ZEBETA .............................................................................. 62
ZEBUTAL .......................................................................... 13
ZECUITY ........................................................................... 13
ZEGERID ........................................................................ 103
ZEGERID OTC ......................................................... 103
ZELAPAR .......................................................................... 45
ZELBORAF ..................................................................... 44
ZEMAIRA ...................................................................... 178
ZEMA-PAK .................................................................. 107
ZEMPLAR ..................................................................... 178
ZENATANE ................................................................. 169
ZENCHENT (28) ........................................................ 72
ZENCHENT FE ........................................................... 72
ZENCIA ................................................................................ 28
ZENIEVA ........................................................................ 169
ZENPEP ............................................................................ 103
ZENZEDI ............................................................................ 51
ZEOSA .................................................................................. 72
ZERIT ..................................................................................... 49
ZERLOR .............................................................................. 13
ZESTORETIC ................................................................ 62
ZESTRIL ............................................................................. 62
ZETACET .......................................................................... 28
ZETIA ..................................................................................... 62
ZETONNA ........................................................................ 91
ZFLEX ....................................................................................... 3
ZGESIC .................................................................................... 3
ZIAC ........................................................................................ 62
ZIAGEN ............................................................................... 49
ZIANA ................................................................................ 169
zidovudine ......................................................................... 49
zinc stearate ................................................................. 178
221
Index
Index
zinc sulfate ........................................................................ 96
ZINC-220 ............................................................................ 96
ZINCATE ........................................................................... 96
ZINGIBER ...................................................................... 149
ZINOTIC (WITH GLYCERIN) .................. 91
ZINOTIC ES (WITH GLYCERIN) ......... 91
ZIOPTAN (PF) .............................................................. 91
ziprasidone hcl ......................................................... 154
ZIPSOR ................................................................................. 13
ZIRGAN ............................................................................... 49
ZITHRANOL .............................................................. 169
ZITHRANOL-RR ................................................... 169
ZITHROMAX ................................................................ 28
ZITHROMAX TRI-PAK .................................... 28
ZITHROMAX Z-PAK ........................................... 28
ZMAX .................................................................................... 28
ZOCOR ................................................................................. 62
ZODEN ................................................................................. 81
ZODEN DM ..................................................................... 81
ZODEN PD ....................................................................... 35
ZODERM ........................................................................ 169
ZODERM REDI-PADS .................................... 169
ZOFRAN (AS HYDROCHLORIDE)
...................................................................................................... 103
ZOFRAN ODT ........................................................... 103
ZOHYDRO ER ............................................................. 13
ZOLINZA ........................................................................... 44
zolmitriptan .................................................................... 13
ZOLOFT ........................................................................... 154
zolpidem ........................................................................... 155
ZOLPIMIST .................................................................. 155
ZOLVIT ................................................................................ 13
ZOMACTON ............................................................... 107
ZOMIG .................................................................................. 13
ZOMIG ZMT .................................................................. 13
ZONALON .................................................................... 169
ZONATUSS ..................................................................... 81
ZONEGRAN ................................................................... 66
zonisamide ........................................................................ 66
ZONTIVITY .................................................................... 46
ZORBTIVE .................................................................... 107
ZORTRESS ................................................................... 108
ZORVOLEX .................................................................... 17
ZOTEX .................................................................................. 81
ZOTEX-12 ......................................................................... 81
ZOTEX-12D .................................................................... 81
ZOTEX-D (WITH DM & PE) ....................... 81
ZOTEX-EX ....................................................................... 81
ZOTEX-PE ........................................................................ 35
ZOVIA 1/35E (28) ..................................................... 72
ZOVIA 1/50E (28) ..................................................... 72
ZOVIRAX .......................................................................... 49
Z-PRAM ........................................................................... 103
Z-SLEEP ........................................................................... 155
Z-TUSS AC ...................................................................... 81
Z-TUSS DM ..................................................................... 81
ZUBSOLV ...................................................................... 178
ZUPLENZ ....................................................................... 103
ZUTRIPRO ....................................................................... 81
ZYBAN .............................................................................. 170
ZYCLARA ..................................................................... 169
ZYDELIG ........................................................................... 44
ZYDONE ............................................................................. 13
ZYFLO .................................................................................. 19
ZYFLO CR ........................................................................ 19
MDwise Marketplace
ZYKADIA .......................................................................... 44
ZYLET ................................................................................... 28
ZYLOPRIM ...................................................................... 17
ZYMAR ................................................................................ 28
ZYMAXID ........................................................................ 28
ZYPRAM ......................................................................... 103
ZYPREXA ...................................................................... 154
ZYPREXA ZYDIS ................................................. 154
ZYTIGA ............................................................................... 44
ZYVOX ................................................................................. 28
222