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
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