HealthPartners EnhancedRx

Transcription

HealthPartners EnhancedRx
Drug List (formulary)
For current information on the EnhancedRx Drug List, visit healthpartners.com/pharmacy.
Effective: July 1, 2015
©2013 HealthPartners
What’s the EnhancedRx drug list?
This is the list of medicines (a drug list sometimes also
called a formulary) covered by your health plan. The
drug list is reviewed by a team of clinical experts every
three months for new medicines, safety alerts and other
developments.
Who decides what’s on the drug list?
The HealthPartners Pharmacy and Therapeutics
Committee (P&T) manages the list. This team of clinical
experts is focused on safety, effectiveness and
affordability. Visit healthpartners.com/pharmacy for
more information on how we decide what medicines
are included on the drug lists.
How do you use the drug list?
The medicines on the drug list are listed in alphabetical
order by medicine category starting on page 4. Some
medicines are listed in ALL CAPS and others are lower italics
to help you determine which medicines are brand and
which are generic. Brand medicines are the most costly.
Generic medicines are just as safe and effective as brand
medicines but cost you less, and some generic medicines
are very low-cost. Use this key to help:


Brand medicines are in ALL CAPS
(e.g., KEFLEX)
Generic medicines are in lower italics
(e.g., cephalexin)
o
High-Cost Generics
o
Low-Cost Generics
Why do you need prior authorization for
some medicines?
Even though some medicines are on the drug list, they
need to meet the HealthPartners prior authorization
criteria in order for the medicine to be covered by your
pharmacy benefits. Your doctor will get the approval for
you. The approval decision is usually made within 2 to 3
working days of the request.
What do the abbreviations in the “More
details” column mean?
This column gives special information about the medicine
you’re searching for. The abbreviations let you know there
might be a special program or rules for the medicine. Use
this key to help you navigate the drug list:

Prior Authorization Required

Step Therapy Required

Age Edit

Gender Edit Female

Gender Edit Male

Quantity Limit

Smoking Cessation

Specialty Drugs

Trial Drug Program

Weight Loss

Oncology
What’s Step Therapy?
Some medicines are on the drug list, but require you to
try one or more other drug list medicines first.
HealthPartners covers a medicine with step therapy, if
you've already tried the other medicine(s). If you
haven't tried the other medicine(s) first, you or your
doctor will need to get approval from HealthPartners
before the medicine will be covered by your lowest
brand, generic or specialty copay or coinsurance. The
approval decision is usually made within 2 to 3 working
days of the request.
What’s Age Edit?
An age edit means some medicines are only covered if
you’re within a specific age range. If you're not in the
approved age range, you or your doctor will need to
request approval from HealthPartners if you want your
medicine to be covered by your pharmacy benefits. The
What’s Trial Drug Program?
The trial drug program applies to new prescriptions for
certain medicines that may not be well tolerated due
to:

Side effects
What’s Gender Edit?

High cost
A gender edit means some medicines are covered for
males or females only. If you're not in the approved
gender group, you or your doctor will need to request
approval from HealthPartners if you want your
medicine to be covered by your pharmacy benefits. The

High potential for waste
What’s a Quantity Limit?
This means HealthPartners limits the amount of the
medicine that you'll get each time you fill your
prescription. The quantity limit may be less than the
days supply listed in your contract or Summary Plan
Description.
What’s Smoking Cessation?
These are medicines that can be used to help you stop
smoking. Some medicines used for smoking cessation
may have limits on the amount you get.
What’s Specialty Medicine?
Specialty medicines are usually prescribed by doctors
whose focus is on the treatment of chronic and complex
diseases. These medicines usually require a higher
degree of management, have a high price and aren’t
always stocked at retail pharmacies. Prescriptions for
these medicines must be filled at a specialty pharmacy
and are often covered at a different benefit than nonspecialty medicines. Log on to your secure
myHealthPartners account and click on "My plan
benefits" on the Medical Plan tab to check your benefits
for specialty medicines.
Your first fill of a trial drug may be limited to less than a
month supply. If the drug is well tolerated and effective,
you’ll get the remainder of your first month supply. If a
flat dollar copay applies to the medicine, you’ll pay no
more than one copay for each one month supply.
What’s Weight Loss?
This type of medicine may have limits on the amount
you get or may not be covered under all contracts. Log
on to your secure myHealthPartners account and click
on "My plan benefits" on the Medical Plan tab to check
your benefits for weight loss. Weight Loss medicines are
listed on the drug list under the Weight Loss medicine
category.
What’s Oncology?
These are oncology (cancer) medicines that must be
filled at a specialty pharmacy, but are not subject to the
specialty benefit. Instead, your regular generic or brand
pharmacy copay or coinsurance will apply.
The HealthPartners family of health plans is underwritten and/or administered by HealthPartners, Inc., Group Health, Inc., HealthPartners Insurance Company or
HealthPartners Administrators, Inc. Fully insured Wisconsin plans are underwritten by HealthPartners Insurance Company. (1/15) ©2013 HealthPartners
Table of Contents
Alcohol Dependency ............................................................................................................................................3
Allergy...................................................................................................................................................................3
Alpha-1 Antitrypsin Deficiency .............................................................................................................................4
Anti-Addiction/Substance Abuse Treatment Agents ...........................................................................................4
Anti-Infective ........................................................................................................................................................5
Arthritis...............................................................................................................................................................15
Asthma & COPD..................................................................................................................................................15
Behavioral Health ...............................................................................................................................................18
Birth Control .......................................................................................................................................................22
Bleeding Disorders .............................................................................................................................................28
Blood Modifier ...................................................................................................................................................28
Blood Thinner .....................................................................................................................................................30
Bone Health ........................................................................................................................................................32
Cancer.................................................................................................................................................................32
Corticosteroids ...................................................................................................................................................35
Cough & Cold ......................................................................................................................................................36
Cystic Fibrosis .....................................................................................................................................................36
Dementia ............................................................................................................................................................37
Diabetes..............................................................................................................................................................37
Ear Conditions ....................................................................................................................................................40
Enzyme Replacement .........................................................................................................................................40
Eye Conditions ....................................................................................................................................................40
Gout ....................................................................................................................................................................45
Heart Health .......................................................................................................................................................45
Hereditary Angioedema .....................................................................................................................................53
Immune Deficiency.............................................................................................................................................53
Immune Suppressant .........................................................................................................................................54
Kidney Failure .....................................................................................................................................................55
Men's Health ......................................................................................................................................................55
Migraine .............................................................................................................................................................56
Mouth & Throat .................................................................................................................................................57
Multiple Sclerosis ...............................................................................................................................................58
Muscle Relaxant .................................................................................................................................................59
Other Conditions ................................................................................................................................................59
Pain .....................................................................................................................................................................61
Parkinson's .........................................................................................................................................................65
Pulmonary Hypertension ...................................................................................................................................66
Seizures / Epilepsy ..............................................................................................................................................67
Skin Conditions ...................................................................................................................................................70
Sleep Disorders...................................................................................................................................................77
Smoking Cessation .............................................................................................................................................78
Stomach / Gastrointestinal ................................................................................................................................ 78
Thyroid ...............................................................................................................................................................82
Urinary & Bladder Health ...................................................................................................................................82
Vaccines ..............................................................................................................................................................84
1
Vitamins And Minerals .......................................................................................................................................85
Weight Loss ........................................................................................................................................................88
Women's Health .................................................................................................................................................88
Index ...................................................................................................................................................................91
2
Drug
Status
More Details
Alcohol Dependency
Alcohol Dependency
acamprosate oral tablet,delayed release (dr/ec)
333 mg
disulfiram oral tablet 250 mg, 500 mg
naltrexone oral tablet 50 mg
Allergy
Allergy, Eye
azelastine ophthalmic drops 0.05 %
cromolyn ophthalmic drops 4 %
epinastine ophthalmic drops 0.05 %
PATADAY OPHTHALMIC DROPS 0.2 %
PAZEO OPHTHALMIC DROPS 0.7 %
Allergy, Injection
AUVI-Q INJECTION AUTO-INJECTOR 0.15
MG/0.15 ML (1:1,000), 0.3 MG/0.3 ML (1:1,000)
EPIPEN INJECTION AUTO-INJECTOR 0.3 MG/0.3
ML (1:1,000)
EPIPEN JR 2-PAK INJECTION AUTO-INJECTOR 0.15
MG/0.3 ML (1:2,000)
Allergy, Other Nasal
azelastine nasal aerosol,spray 137 mcg (0.1 %)
ipratropium bromide nasal spray,non-aerosol 0.03
%, 0.06 %
Allergy, Other Oral
GRASTEK SUBLINGUAL TABLET 2,800 BAU
RAGWITEK SUBLINGUAL TABLET 12 AMB A 1
UNIT
Antihistamines, Oral
clemastine oral syrup 0.67 mg/5 ml
EnhancedRx July 1, 2015
3
Drug
cyproheptadine oral syrup 2 mg/5 ml
cyproheptadine oral tablet 4 mg
hydroxyzine hcl oral solution 10 mg/5 ml
hydroxyzine hcl oral tablet 10 mg, 25 mg, 50 mg
hydroxyzine pamoate oral capsule 100 mg, 25 mg,
50 mg
promethazine oral syrup 6.25 mg/5 ml
promethazine oral tablet 12.5 mg, 25 mg, 50 mg
Corticosteroids, Nasal
flunisolide nasal spray,non-aerosol 25 mcg (0.025
%), 29 mcg (0.025 %)
fluticasone nasal spray,suspension 50
mcg/actuation
NASONEX NASAL SPRAY,NON-AEROSOL 50
MCG/ACTUATION
QNASL NASAL HFA AEROSOL INHALER 40
MCG/ACTUATION, 80 MCG/ACTUATION
VERAMYST NASAL SPRAY,SUSPENSION 27.5
MCG/ACTUATION
Alpha-1 Antitrypsin Deficiency
Alpha-1 Antitrypsin Deficiency
ARALAST NP INTRAVENOUS RECON SOLN 1,000
MG, 500 MG
GLASSIA INTRAVENOUS SOLUTION 1 GRAM/50
ML (2 %)
PROLASTIN INTRAVENOUS RECON SOLN 1,000
MG, 500 MG
PROLASTIN-C INTRAVENOUS RECON SOLN 1,000
MG
ZEMAIRA INTRAVENOUS RECON SOLN 1,000 MG
Anti-Addiction/Substance Abuse
Treatment Agents
Anti-Addiction/Substance Abuse
Treatment Agents
4
Status
More Details
Drug
Status
More Details
naloxone injection syringe 1 mg/ml
Anti-Infective
Antibiotics, Cephalosporins
cefadroxil oral capsule 500 mg
cefadroxil oral suspension for reconstitution 250
mg/5 ml, 500 mg/5 ml
cefadroxil oral tablet 1 gram
cefdinir oral capsule 300 mg
cefdinir oral suspension for reconstitution 125
cefprozil oral suspension for reconstitution 125
cefprozil oral tablet 250 mg, 500 mg
CEFTIN ORAL SUSPENSION FOR
RECONSTITUTION 125 MG/5 ML, 250 MG/5 ML
cefuroxime axetil oral tablet 250 mg, 500 mg
cephalexin oral capsule 250 mg, 500 mg
cephalexin oral suspension for reconstitution 125
cephalexin oral tablet 250 mg, 500 mg
SUPRAX ORAL CAPSULE 400 MG
SUPRAX ORAL TABLET 400 MG
Antibiotics, Macrolides
azithromycin oral suspension for reconstitution
100 mg/5 ml, 200 mg/5 ml
azithromycin oral tablet 250 mg, 500 mg, 600 mg
clarithromycin oral suspension for reconstitution
125 mg/5 ml, 250 mg/5 ml
clarithromycin oral tablet 250 mg, 500 mg
5
Drug
DIFICID ORAL TABLET 200 MG
ERYPED 400 ORAL SUSPENSION FOR
RECONSTITUTION 400 MG/5 ML
ery-tab oral tablet,delayed release (dr/ec) 250 mg,
500 mg
ERY-TAB ORAL TABLET,DELAYED RELEASE
(DR/EC) 333 MG
erythrocin (as stearate) oral tablet 250 mg
erythromycin ethylsuccinate oral suspension for
reconstitution 200 mg/5 ml
erythromycin ethylsuccinate oral tablet 400 mg
erythromycin oral capsule,delayed release(dr/ec)
250 mg
erythromycin oral tablet 250 mg, 500 mg
erythromycin-sulfisoxazole oral suspension for
reconstitution 200-600 mg/5 ml
Antibiotics, Other
clindamycin hcl oral capsule 150 mg, 300 mg, 75
mg
clindamycin palmitate hcl oral recon soln 75 mg/5
ml
neomycin oral tablet 500 mg
sulfamethoxazole-trimethoprim oral suspension
200-40 mg/5 ml
sulfamethoxazole-trimethoprim oral tablet 400-80
mg, 800-160 mg
trimethoprim oral tablet 100 mg
vancomycin intravenous recon soln 1,000 mg, 10
gram, 5 gram, 500 mg
vancomycin oral capsule 125 mg, 250 mg
XIFAXAN ORAL TABLET 200 MG, 550 MG
ZYVOX ORAL SUSPENSION FOR RECONSTITUTION
100 MG/5 ML
6
Status
More Details
Drug
Status
More Details
ZYVOX ORAL TABLET 600 MG
Antibiotics, Penicillins
amoxicillin oral capsule 250 mg, 500 mg
amoxicillin oral suspension for reconstitution 125
mg/5 ml, 200 mg/5 ml, 250 mg/5 ml, 400 mg/5 ml
amoxicillin oral tablet 500 mg, 875 mg
amoxicillin oral tablet,chewable 125 mg, 250 mg
amoxicillin-pot clavulanate oral suspension for
reconstitution 200-28.5 mg/5 ml, 250-62.5 mg/5
ml, 400-57 mg/5 ml, 600-42.9 mg/5 ml
amoxicillin-pot clavulanate oral tablet 250-125
mg, 500-125 mg, 875-125 mg
amoxicillin-pot clavulanate oral tablet,chewable
200-28.5 mg, 400-57 mg
ampicillin oral capsule 250 mg, 500 mg
ampicillin oral suspension for reconstitution 125
dicloxacillin oral capsule 250 mg, 500 mg
penicillin v potassium oral recon soln 125 mg/5
ml, 250 mg/5 ml
penicillin v potassium oral tablet 250 mg, 500 mg
Antibiotics, Quinolones
ciprofloxacin hcl oral tablet 100 mg, 250 mg, 500
mg, 750 mg
ciprofloxacin oral suspension,microcapsule recon
250 mg/5 ml, 500 mg/5 ml
levofloxacin oral solution 250 mg/10 ml
levofloxacin oral tablet 250 mg, 500 mg, 750 mg
moxifloxacin oral tablet 400 mg
Antibiotics, Tetracyclines
demeclocycline oral tablet 150 mg, 300 mg
7
Drug
doxycycline hyclate oral tablet 20 mg
doxycycline monohydrate oral capsule 100 mg, 50
mg
minocycline oral capsule 100 mg, 50 mg, 75 mg
tetracycline oral capsule 250 mg, 500 mg
Antifungals
clotrimazole mucous membrane troche 10 mg
CRESEMBA ORAL CAPSULE 186 MG
fluconazole oral suspension for reconstitution 10
mg/ml, 40 mg/ml
fluconazole oral tablet 100 mg, 150 mg, 200 mg,
50 mg
griseofulvin microsize oral suspension 125 mg/5
ml
griseofulvin microsize oral tablet 500 mg
griseofulvin ultramicrosize oral tablet 125 mg, 250
mg
itraconazole oral capsule 100 mg
ketoconazole oral tablet 200 mg
NOXAFIL ORAL SUSPENSION 200 MG/5 ML (40
MG/ML)
NOXAFIL ORAL TABLET,DELAYED RELEASE
(DR/EC) 100 MG
nystatin oral suspension 100,000 unit/ml
nystatin oral tablet 500,000 unit
SPORANOX ORAL SOLUTION 10 MG/ML
terbinafine hcl oral tablet 250 mg
voriconazole oral suspension for reconstitution
200 mg/5 ml (40 mg/ml)
8
Status
More Details
Drug
Status
More Details
voriconazole oral tablet 200 mg, 50 mg
Anti-Infective, Other
ALBENZA ORAL TABLET 200 MG
atovaquone oral suspension 750 mg/5 ml
BILTRICIDE ORAL TABLET 600 MG
dapsone oral tablet 100 mg, 25 mg
ivermectin oral tablet 3 mg
rifabutin oral capsule 150 mg
SIVEXTRO ORAL TABLET 200 MG
Antiprotozoals
ALINIA ORAL SUSPENSION FOR RECONSTITUTION
100 MG/5 ML
ALINIA ORAL TABLET 500 MG
atovaquone-proguanil oral tablet 250-100 mg,
62.5-25 mg
chloroquine phosphate oral tablet 250 mg, 500
mg
hydroxychloroquine oral tablet 200 mg
mefloquine oral tablet 250 mg
metronidazole oral tablet 250 mg, 500 mg
YODOXIN ORAL TABLET 210 MG, 650 MG
Antiviral, Hepatitis B
adefovir oral tablet 10 mg
BARACLUDE ORAL SOLUTION 0.05 MG/ML
entecavir oral tablet 0.5 mg, 1 mg
9
Drug
EPIVIR HBV ORAL SOLUTION 25 MG/5 ML (5
MG/ML)
lamivudine oral tablet 100 mg
TYZEKA ORAL TABLET 600 MG
Antiviral, Hepatitis C
HARVONI ORAL TABLET 90-400 MG
INTRON A INJECTION RECON SOLN 10 MILLION
UNIT (1 ML), 18 MILLION UNIT (1 ML), 50
MILLION UNIT (1 ML)
INTRON A INJECTION SOLUTION 10 MILLION
UNIT/ML, 6 MILLION UNIT/ML
OLYSIO ORAL CAPSULE 150 MG
PEGASYS CONVENIENCE PACK SUBCUTANEOUS
KIT 180 MCG/0.5 ML
PEGASYS PROCLICK SUBCUTANEOUS PEN
INJECTOR 135 MCG/0.5 ML, 180 MCG/0.5 ML
PEGASYS SUBCUTANEOUS SOLUTION 180
MCG/ML
PEGASYS SUBCUTANEOUS SYRINGE 180 MCG/0.5
ML
PEGINTRON REDIPEN SUBCUTANEOUS PEN
INJECTOR KIT 120 MCG/0.5 ML, 150 MCG/0.5
ML, 50 MCG/0.5 ML, 80 MCG/0.5 ML
PEGINTRON SUBCUTANEOUS KIT 120 MCG/0.5
ML, 150 MCG/0.5 ML, 50 MCG/0.5 ML, 80
MCG/0.5 ML
REBETOL ORAL SOLUTION 40 MG/ML
ribavirin oral capsule 200 mg
ribavirin oral tablet 200 mg
SOVALDI ORAL TABLET 400 MG
Antiviral, HIV
abacavir oral tablet 300 mg
10
Status
More Details
Drug
abacavir-lamivudine-zidovudine oral tablet 300150-300 mg
Status
More Details
APTIVUS ORAL CAPSULE 250 MG
APTIVUS ORAL SOLUTION 100 MG/ML
ATRIPLA ORAL TABLET 600-200-300 MG
COMPLERA ORAL TABLET 200-25-300 MG
CRIXIVAN ORAL CAPSULE 200 MG, 400 MG
didanosine oral capsule,delayed release(dr/ec)
125 mg, 200 mg, 250 mg, 400 mg
EDURANT ORAL TABLET 25 MG
EMTRIVA ORAL CAPSULE 200 MG
EMTRIVA ORAL SOLUTION 10 MG/ML
EPZICOM ORAL TABLET 600-300 MG
EVOTAZ ORAL TABLET 300-150 MG
FUZEON SUBCUTANEOUS RECON SOLN 90 MG
INTELENCE ORAL TABLET 100 MG, 200 MG, 25
MG
INVIRASE ORAL CAPSULE 200 MG
INVIRASE ORAL TABLET 500 MG
ISENTRESS ORAL POWDER IN PACKET 100 MG
ISENTRESS ORAL TABLET 400 MG
ISENTRESS ORAL TABLET,CHEWABLE 100 MG, 25
MG
KALETRA ORAL SOLUTION 400-100 MG/5 ML
11
Drug
KALETRA ORAL TABLET 100-25 MG, 200-50 MG
lamivudine oral solution 10 mg/ml
lamivudine oral tablet 150 mg, 300 mg
lamivudine-zidovudine oral tablet 150-300 mg
LEXIVA ORAL SUSPENSION 50 MG/ML
LEXIVA ORAL TABLET 700 MG
nevirapine oral suspension 50 mg/5 ml
nevirapine oral tablet 200 mg
nevirapine oral tablet extended release 24 hr 400
mg
NORVIR ORAL SOLUTION 80 MG/ML
NORVIR ORAL TABLET 100 MG
NORVIR SOFT GELATIN ORAL CAPSULE 100 MG
PREZCOBIX ORAL TABLET 800-150 MG-MG
PREZISTA ORAL SUSPENSION 100 MG/ML
PREZISTA ORAL TABLET 150 MG, 400 MG, 600
MG, 75 MG, 800 MG
RESCRIPTOR ORAL TABLET 200 MG
RESCRIPTOR ORAL TABLET, DISPERSIBLE 100 MG
REYATAZ ORAL CAPSULE 100 MG, 150 MG, 200
MG, 300 MG
REYATAZ ORAL POWDER IN PACKET 50 MG
SELZENTRY ORAL TABLET 150 MG, 300 MG
stavudine oral capsule 15 mg, 20 mg, 30 mg, 40
mg
12
Status
More Details
Drug
Status
More Details
stavudine oral recon soln 1 mg/ml
STRIBILD ORAL TABLET 150-150-200-300 MG
SUSTIVA ORAL CAPSULE 200 MG, 50 MG
SUSTIVA ORAL TABLET 600 MG
TIVICAY ORAL TABLET 50 MG
TRIUMEQ ORAL TABLET 600-50-300 MG
TRUVADA ORAL TABLET 200-300 MG
TYBOST ORAL TABLET 150 MG
VIDEX 2 GRAM PEDIATRIC ORAL RECON SOLN 10
MG/ML (FINAL)
VIDEX 4 GRAM PEDIATRIC ORAL RECON SOLN 10
MG/ML (FINAL)
VIRACEPT ORAL TABLET 250 MG, 625 MG
VIREAD ORAL POWDER 40 MG/SCOOP (40
MG/GRAM)
VIREAD ORAL TABLET 150 MG, 200 MG, 250 MG,
300 MG
VITEKTA ORAL TABLET 150 MG, 85 MG
ZIAGEN ORAL SOLUTION 20 MG/ML
zidovudine oral capsule 100 mg
zidovudine oral syrup 10 mg/ml
zidovudine oral tablet 300 mg
Antiviral, Other
acyclovir oral capsule 200 mg
acyclovir oral suspension 200 mg/5 ml
13
Drug
acyclovir oral tablet 400 mg, 800 mg
amantadine hcl oral capsule 100 mg
amantadine hcl oral solution 50 mg/5 ml
RELENZA DISKHALER INHALATION BLISTER WITH
DEVICE 5 MG/ACTUATION
rimantadine oral tablet 100 mg
TAMIFLU ORAL CAPSULE 30 MG, 45 MG, 75 MG
TAMIFLU ORAL SUSPENSION FOR
RECONSTITUTION 6 MG/ML
valacyclovir oral tablet 1 gram, 500 mg
VALCYTE ORAL RECON SOLN 50 MG/ML
valganciclovir oral tablet 450 mg
Tuberculosis
cycloserine oral capsule 250 mg
ethambutol oral tablet 100 mg, 400 mg
isoniazid oral solution 50 mg/5 ml
isoniazid oral tablet 100 mg, 300 mg
PRIFTIN ORAL TABLET 150 MG
pyrazinamide oral tablet 500 mg
rifampin oral capsule 150 mg, 300 mg
SIRTURO ORAL TABLET 100 MG
TRECATOR ORAL TABLET 250 MG
Urinary Anti-Infectives
MACRODANTIN ORAL CAPSULE 25 MG
14
Status
More Details
Drug
Status
More Details
MONUROL ORAL PACKET 3 GRAM
nitrofurantoin macrocrystal oral capsule 100 mg,
50 mg
nitrofurantoin monohyd/m-cryst oral capsule 100
mg
nitrofurantoin oral suspension 25 mg/5 ml
Arthritis
Arthritis, Other
CUPRIMINE ORAL CAPSULE 250 MG
DEPEN TITRATABS ORAL TABLET 250 MG
Disease Modifying Agents
ENBREL SUBCUTANEOUS RECON SOLN 25 MG (1
ML)
ENBREL SUBCUTANEOUS SYRINGE 25 MG/0.5ML
(0.51), 50 MG/ML (0.98 ML)
ENBREL SURECLICK SUBCUTANEOUS PEN
INJECTOR 50 MG/ML (0.98 ML)
HUMIRA PEN SUBCUTANEOUS PEN INJECTOR KIT
40 MG/0.8 ML
HUMIRA SUBCUTANEOUS SYRINGE KIT 10
MG/0.2 ML, 20 MG/0.4 ML, 40 MG/0.8 ML
KINERET SUBCUTANEOUS SYRINGE 100 MG/0.67
ML
leflunomide oral tablet 10 mg, 20 mg
methotrexate sodium (pf) injection solution 25
mg/ml
methotrexate sodium injection solution 25 mg/ml
methotrexate sodium oral tablet 2.5 mg
RIDAURA ORAL CAPSULE 3 MG
Asthma & COPD
Asthma & COPD, Other
ATROVENT HFA INHALATION HFA AEROSOL
INHALER 17 MCG/ACTUATION
15
Drug
cromolyn inhalation solution for nebulization 20
mg/2 ml
DALIRESP ORAL TABLET 500 MCG
ipratropium bromide inhalation solution 0.02 %
montelukast oral granules in packet 4 mg
montelukast oral tablet 10 mg
montelukast oral tablet,chewable 4 mg, 5 mg
SPIRIVA RESPIMAT INHALATION MIST 2.5
MCG/ACTUATION
SPIRIVA WITH HANDIHALER INHALATION
CAPSULE, W/INHALATION DEVICE 18 MCG
Bronchodilators, Inhaled
albuterol sulfate inhalation solution for
nebulization 0.63 mg/3 ml, 1.25 mg/3 ml, 2.5 mg
/3 ml (0.083 %), 5 mg/ml
FORADIL AEROLIZER INHALATION CAPSULE,
W/INHALATION DEVICE 12 MCG
MAXAIR AUTOHALER INHALATION AEROSOL
BREATH ACTIVATED 200 MCG/INHALATION
SEREVENT DISKUS INHALATION BLISTER WITH
DEVICE 50 MCG/DOSE
STRIVERDI RESPIMAT INHALATION MIST 2.5
MCG/ACTUATION
VENTOLIN HFA INHALATION HFA AEROSOL
INHALER 90 MCG/ACTUATION
Bronchodilators, Oral
albuterol sulfate oral syrup 2 mg/5 ml
albuterol sulfate oral tablet 2 mg, 4 mg
albuterol sulfate oral tablet extended release 12
hr 4 mg, 8 mg
terbutaline oral tablet 2.5 mg, 5 mg
theophylline oral tablet extended release 12 hr
100 mg, 200 mg, 300 mg, 450 mg
16
Status
More Details
Drug
theophylline oral tablet extended release 400 mg,
600 mg
Status
More Details
Combination Agents, Inhaled
ADVAIR DISKUS INHALATION BLISTER WITH
DEVICE 100-50 MCG/DOSE, 250-50 MCG/DOSE,
500-50 MCG/DOSE
ADVAIR HFA INHALATION HFA AEROSOL
INHALER 115-21 MCG/ACTUATION, 230-21
MCG/ACTUATION, 45-21 MCG/ACTUATION
ANORO ELLIPTA INHALATION BLISTER WITH
DEVICE 62.5-25 MCG/ACTUATION
ARNUITY ELLIPTA INHALATION BLISTER WITH
DEVICE 100 MCG/ACTUATION, 200
MCG/ACTUATION
BREO ELLIPTA INHALATION BLISTER WITH DEVICE
100-25 MCG/DOSE, 200-25 MCG/DOSE
COMBIVENT INHALATION AEROSOL 18-103
MCG/ACTUATION
COMBIVENT RESPIMAT INHALATION MIST 20100 MCG/ACTUATION
DULERA INHALATION HFA AEROSOL INHALER
100-5 MCG/ACTUATION, 200-5
MCG/ACTUATION
ipratropium-albuterol inhalation solution for
nebulization 0.5 mg-3 mg(2.5 mg base)/3 ml
Corticosteroids, Inhaled
ASMANEX HFA INHALATION HFA AEROSOL
INHALER 100 MCG/ACTUATION, 200
MCG/ACTUATION
ASMANEX TWISTHALER INHALATION AEROSOL
POWDR BREATH ACTIVATED 110 MCG (30
DOSES), 220 MCG (120 DOSES), 220 MCG (30
DOSES), 220 MCG (60 DOSES)
budesonide inhalation suspension for nebulization
0.25 mg/2 ml, 0.5 mg/2 ml
FLOVENT DISKUS INHALATION BLISTER WITH
DEVICE 100 MCG/ACTUATION, 250
FLOVENT HFA INHALATION HFA AEROSOL
INHALER 110 MCG/ACTUATION, 220
17
Drug
PULMICORT FLEXHALER INHALATION AEROSOL
POWDR BREATH ACTIVATED 180
PULMICORT INHALATION SUSPENSION FOR
NEBULIZATION 1 MG/2 ML
QVAR INHALATION AEROSOL 40
Behavioral Health
Antipsychotic
ABILIFY DISCMELT ORAL
TABLET,DISINTEGRATING 10 MG, 15 MG
ABILIFY ORAL SOLUTION 1 MG/ML
aripiprazole oral tablet 10 mg, 15 mg, 2 mg, 20
mg, 30 mg, 5 mg
chlorpromazine oral tablet 10 mg, 100 mg, 200
mg, 25 mg, 50 mg
clozapine oral tablet 100 mg, 200 mg, 25 mg, 50
mg
clozapine oral tablet,disintegrating 100 mg, 12.5
mg, 150 mg, 200 mg, 25 mg
fluphenazine hcl oral concentrate 5 mg/ml
fluphenazine hcl oral elixir 2.5 mg/5 ml
fluphenazine hcl oral tablet 1 mg, 10 mg, 2.5 mg,
5 mg
haloperidol lactate oral concentrate 2 mg/ml
haloperidol oral tablet 0.5 mg, 1 mg, 10 mg, 2 mg,
20 mg, 5 mg
loxapine succinate oral capsule 10 mg, 25 mg, 5
mg, 50 mg
olanzapine oral tablet 10 mg, 15 mg, 2.5 mg, 20
mg, 5 mg, 7.5 mg
olanzapine oral tablet,disintegrating 10 mg, 15
mg, 20 mg, 5 mg
perphenazine oral tablet 16 mg, 2 mg, 4 mg, 8 mg
quetiapine oral tablet 100 mg, 200 mg, 25 mg,
300 mg, 400 mg, 50 mg
risperidone oral solution 1 mg/ml
18
Status
More Details
Drug
risperidone oral tablet 0.25 mg, 0.5 mg, 1 mg, 2
mg, 3 mg, 4 mg
risperidone oral tablet,disintegrating 0.25 mg, 0.5
mg, 1 mg, 2 mg, 3 mg, 4 mg
SEROQUEL XR ORAL TABLET EXTENDED RELEASE
24 HR 150 MG, 200 MG, 300 MG, 400 MG, 50 MG
thioridazine oral tablet 10 mg, 100 mg, 25 mg, 50
mg
Status
More Details
thiothixene oral capsule 1 mg, 10 mg, 2 mg, 5 mg
trifluoperazine oral tablet 1 mg, 10 mg, 2 mg, 5
mg
VERSACLOZ ORAL SUSPENSION 50 MG/ML
ziprasidone hcl oral capsule 20 mg, 40 mg, 60 mg,
80 mg
Anxiety
alprazolam oral tablet 0.25 mg, 0.5 mg, 1 mg, 2
mg
buspirone oral tablet 10 mg, 15 mg, 30 mg, 5 mg,
7.5 mg
chlordiazepoxide hcl oral capsule 10 mg, 25 mg, 5
mg
clonazepam oral tablet 0.5 mg, 1 mg, 2 mg
diazepam intensol oral concentrate 5 mg/ml
diazepam oral solution 5 mg/5 ml
diazepam oral tablet 10 mg, 2 mg, 5 mg
lorazepam oral concentrate 2 mg/ml
lorazepam oral tablet 0.5 mg, 1 mg, 2 mg
Attention Deficit/Hyperactivity Disorder
(ADHD)
adderall xr oral capsule,extended release 24hr 10
mg, 15 mg, 20 mg, 25 mg, 30 mg, 5 mg
amphetamine salt combo oral tablet 10 mg, 12.5
mg, 15 mg, 20 mg, 30 mg, 5 mg, 7.5 mg
clonidine hcl oral tablet extended release 12 hr 0.1
mg
19
Drug
dexmethylphenidate oral tablet 10 mg, 2.5 mg, 5
mg
dextroamphetamine oral capsule, extended
release 10 mg, 15 mg, 5 mg
dextroamphetamine oral tablet 10 mg, 5 mg
guanfacine oral tablet extended release 24 hr 1
mg, 2 mg, 3 mg, 4 mg
methylphenidate oral capsule, er biphasic 30-70
10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg
methylphenidate oral capsule,er biphasic 50-50 20
mg, 30 mg, 40 mg
methylphenidate oral tablet 10 mg, 20 mg, 5 mg
methylphenidate oral tablet extended release 10
mg, 20 mg
methylphenidate oral tablet extended release
24hr 18 mg, 27 mg, 36 mg, 54 mg
QUILLIVANT XR ORAL SUSPENSION,EXT REL
24HR,RECON 5 MG/ML (25 MG/5 ML)
STRATTERA ORAL CAPSULE 10 MG, 100 MG, 18
MG, 25 MG, 40 MG, 60 MG, 80 MG
VYVANSE ORAL CAPSULE 10 MG, 20 MG, 30 MG,
40 MG, 50 MG, 60 MG, 70 MG
Bipolar Disorder
divalproex oral capsule, sprinkle 125 mg
divalproex oral tablet extended release 24 hr 250
mg, 500 mg
divalproex oral tablet,delayed release (dr/ec) 125
mg, 250 mg, 500 mg
lithium carbonate oral capsule 150 mg, 300 mg,
600 mg
lithium carbonate oral tablet 300 mg
lithium carbonate oral tablet extended release
300 mg, 450 mg
lithium citrate oral solution 8 meq/5 ml
Depression
amitriptyline oral tablet 10 mg, 100 mg, 150 mg,
25 mg, 50 mg, 75 mg
20
Status
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Drug
Status
More Details
budeprion sr oral tablet extended release 150 mg
bupropion hcl oral tablet 100 mg, 75 mg
bupropion hcl oral tablet extended release 100
mg, 150 mg, 200 mg
bupropion hcl oral tablet extended release 24 hr
150 mg, 300 mg
citalopram oral solution 10 mg/5 ml
citalopram oral tablet 10 mg, 20 mg, 40 mg
clomipramine oral capsule 25 mg, 50 mg, 75 mg
desipramine oral tablet 10 mg, 100 mg, 150 mg,
25 mg, 50 mg, 75 mg
doxepin oral capsule 10 mg, 100 mg, 150 mg, 25
mg, 50 mg, 75 mg
doxepin oral concentrate 10 mg/ml
duloxetine oral capsule,delayed release(dr/ec) 20
mg, 30 mg, 60 mg
EMSAM TRANSDERMAL PATCH 24 HOUR 12
MG/24 HR, 6 MG/24 HR, 9 MG/24 HR
escitalopram oxalate oral solution 5 mg/5 ml
escitalopram oxalate oral tablet 10 mg, 20 mg, 5
mg
fluoxetine oral capsule 10 mg, 20 mg, 40 mg
fluoxetine oral solution 20 mg/5 ml
fluoxetine oral tablet 10 mg, 20 mg
fluvoxamine oral tablet 100 mg, 25 mg, 50 mg
imipramine hcl oral tablet 10 mg, 25 mg, 50 mg
mirtazapine oral tablet 15 mg, 30 mg, 45 mg, 7.5
mg
nefazodone oral tablet 100 mg, 150 mg, 200 mg,
250 mg, 50 mg
21
Drug
nortriptyline oral capsule 10 mg, 25 mg, 50 mg, 75
mg
nortriptyline oral solution 10 mg/5 ml
paroxetine hcl oral tablet 10 mg, 20 mg, 30 mg, 40
mg
PAXIL ORAL SUSPENSION 10 MG/5 ML
phenelzine oral tablet 15 mg
sertraline oral concentrate 20 mg/ml
sertraline oral tablet 100 mg, 25 mg, 50 mg
tranylcypromine oral tablet 10 mg
trazodone oral tablet 100 mg, 150 mg, 300 mg, 50
mg
venlafaxine oral capsule,extended release 24hr
150 mg, 37.5 mg, 75 mg
venlafaxine oral tablet 100 mg, 25 mg, 37.5 mg,
50 mg, 75 mg
Birth Control
Contraceptives, Other
NUVARING VAGINAL RING 0.12-0.015 MG/24 HR
xulane transdermal patch weekly 150-35 mcg/24
hr
Emergency Contraception
ELLA ORAL TABLET 30 MG
levonorgestrel oral tablet 0.75 mg, 1.5 mg
my way oral tablet 1.5 mg
next choice one dose oral tablet 1.5 mg
Oral Contraceptives
altavera (28) oral tablet 0.15-0.03 mg
alyacen 1/35 (28) oral tablet 1-35 mg-mcg
22
Status
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Drug
alyacen 7/7/7 (28) oral tablet 0.5/0.75/1 mg- 35
mcg
Status
More Details
apri oral tablet 0.15-0.03 mg
aranelle (28) oral tablet 0.5/1/0.5-35 mg-mcg
aubra oral tablet 0.1-20 mg-mcg
aviane oral tablet 0.1-20 mg-mcg
azurette (28) oral tablet 0.15-0.02 mgx21 /0.01
mg x 5
balziva (28) oral tablet 0.4-35 mg-mcg
brevicon (28) oral tablet 0.5-35 mg-mcg
briellyn oral tablet 0.4-35 mg-mcg
camila oral tablet 0.35 mg
caziant (28) oral tablet 0.1/.125/.15-25 mg-mcg
cesia (28) oral tablet 0.1/.125/.15-25 mg-mcg
chateal oral tablet 0.15-0.03 mg
cryselle (28) oral tablet 0.3-30 mg-mcg
cyclafem 1/35 (28) oral tablet 1-35 mg-mcg
cyclafem 7/7/7 (28) oral tablet 0.5/0.75/1 mg- 35
mcg
dasetta 1/35 (28) oral tablet 1-35 mg-mcg
dasetta 7/7/7 (28) oral tablet 0.5/0.75/1 mg- 35
mcg
desogestrel-ethinyl estradiol oral tablet 0.15-0.03
mg
drospirenone-ethinyl estradiol oral tablet 3-0.03
mg
elinest oral tablet 0.3-30 mg-mcg
23
Drug
emoquette oral tablet 0.15-0.03 mg
enpresse oral tablet 50-30 (6)/75-40 (5)/12530(10)
enskyce oral tablet 0.15-0.03 mg
errin oral tablet 0.35 mg
estarylla oral tablet 0.25-35 mg-mcg
falmina (28) oral tablet 0.1-20 mg-mcg
gianvi (28) oral tablet 3-0.02 mg
gildagia oral tablet 0.4-35 mg-mcg
gildess fe oral tablet 1 mg-20 mcg (21)/75 mg (7),
1.5 mg-30 mcg (21)/75 mg (7)
gildess oral tablet 1-20 mg-mcg, 1.5-30 mg-mcg
heather oral tablet 0.35 mg
introvale oral tablets,dose pack,3 month 0.15-30
mg-mcg
jencycla oral tablet 0.35 mg
jolessa oral tablets,dose pack,3 month 0.15-30
mg-mcg
jolivette oral tablet 0.35 mg
junel 1.5/30 (21) oral tablet 1.5-30 mg-mcg
junel 1/20 (21) oral tablet 1-20 mg-mcg
junel fe 1.5/30 (28) oral tablet 1.5 mg-30 mcg
(21)/75 mg (7)
junel fe 1/20 (28) oral tablet 1 mg-20 mcg (21)/75
mg (7)
kariva (28) oral tablet 0.15-0.02 mgx21 /0.01 mg x
5
kelnor 1/35 (28) oral tablet 1-35 mg-mcg
24
Status
More Details
Drug
Status
More Details
kurvelo oral tablet 0.15-0.03 mg
larin 1/20 (21) oral tablet 1-20 mg-mcg
larin fe oral tablet 1 mg-20 mcg (21)/75 mg (7),
1.5 mg-30 mcg (21)/75 mg (7)
leena 28 oral tablet 0.5/1/0.5-35 mg-mcg
lessina oral tablet 0.1-20 mg-mcg
levlen (28) oral tablet 0.15-0.03 mg
levonest (28) oral tablet 50-30 (6)/75-40 (5)/12530(10)
levonorgestrel-ethinyl estrad oral tablet 0.1-20
mg-mcg, 0.15-0.03 mg
levonorgestrel-ethinyl estrad oral tablets,dose
pack,3 month 0.15-30 mg-mcg
levora-28 oral tablet 0.15-0.03 mg
loryna (28) oral tablet 3-0.02 mg
low-ogestrel (28) oral tablet 0.3-30 mg-mcg
lutera (28) oral tablet 0.1-20 mg-mcg
lyza oral tablet 0.35 mg
marlissa oral tablet 0.15-0.03 mg
microgestin 1.5/30 (21) oral tablet 1.5-30 mg-mcg
microgestin 1/20 (21) oral tablet 1-20 mg-mcg
microgestin fe 1.5/30 (28) oral tablet 1.5 mg-30
mcg (21)/75 mg (7)
microgestin fe 1/20 (28) oral tablet 1 mg-20 mcg
(21)/75 mg (7)
mono-linyah oral tablet 0.25-35 mg-mcg
mononessa (28) oral tablet 0.25-35 mg-mcg
25
Drug
myzilra oral tablet 50-30 (6)/75-40 (5)/125-30(10)
necon 0.5/35 (28) oral tablet 0.5-35 mg-mcg
necon 1/35 (28) oral tablet 1-35 mg-mcg
necon 1/50 (28) oral tablet 1-50 mg-mcg
necon 10/11 (28) oral tablet 0.5-35/1-35 mgmcg/mg-mcg
necon 7/7/7 (28) oral tablet 0.5/0.75/1 mg- 35
mcg
nora-be oral tablet 0.35 mg
norethindrone (contraceptive) oral tablet 0.35 mg
norgestimate-ethinyl estradiol oral tablet
0.18/0.215/0.25 mg-35 mcg (28), 0.25-35 mg-mcg
norgestrel-ethinyl estradiol oral tablet 0.3-30 mgmcg
norinyl 1+35 (28) oral tablet 1-35 mg-mcg
nortrel 0.5/35 (28) oral tablet 0.5-35 mg-mcg
nortrel 1/35 (21) oral tablet 1-35 mg-mcg
nortrel 1/35 (28) oral tablet 1-35 mg-mcg
nortrel 7/7/7 (28) oral tablet 0.5/0.75/1 mg- 35
mcg
ocella oral tablet 3-0.03 mg
ogestrel (28) oral tablet 0.5-50 mg-mcg
orsythia oral tablet 0.1-20 mg-mcg
philith oral tablet 0.4-35 mg-mcg
pimtrea (28) oral tablet 0.15-0.02 mgx21 /0.01 mg
x5
pirmella oral tablet 0.5/0.75/1 mg- 35 mcg, 1-35
mg-mcg
26
Status
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Drug
Status
More Details
portia oral tablet 0.15-0.03 mg
previfem oral tablet 0.25-35 mg-mcg
quasense oral tablets,dose pack,3 month 0.15-30
mg-mcg
reclipsen (28) oral tablet 0.15-0.03 mg
sprintec (28) oral tablet 0.25-35 mg-mcg
sronyx oral tablet 0.1-20 mg-mcg
syeda oral tablet 3-0.03 mg
tilia fe oral tablet 1-20(5)/1-30(7) /1mg-35mcg (9)
tri-estarylla oral tablet 0.18/0.215/0.25 mg-35
mcg (28)
tri-legest fe oral tablet 1-20(5)/1-30(7) /1mg35mcg (9)
tri-linyah oral tablet 0.18/0.215/0.25 mg-35 mcg
(28)
trinessa (28) oral tablet 0.18/0.215/0.25 mg-35
mcg (28)
tri-previfem (28) oral tablet 0.18/0.215/0.25 mg35 mcg (28)
tri-sprintec (28) oral tablet 0.18/0.215/0.25 mg-35
mcg (28)
trivora (28) oral tablet 50-30 (6)/75-40 (5)/12530(10)
velivet triphasic regimen (28) oral tablet
0.1/.125/.15-25 mg-mcg
vestura (28) oral tablet 3-0.02 mg
viorele (28) oral tablet 0.15-0.02 mgx21 /0.01 mg
x5
vyfemla (28) oral tablet 0.4-35 mg-mcg
wera (28) oral tablet 0.5-35 mg-mcg
zarah oral tablet 3-0.03 mg
27
Drug
zenchent (28) oral tablet 0.4-35 mg-mcg
zovia 1/35e (28) oral tablet 1-35 mg-mcg
zovia 1/50e (28) oral tablet 1-50 mg-mcg
Bleeding Disorders
Bleeding Disorders, Hemophilia
STIMATE NASAL SPRAY,NON-AEROSOL 150
MCG/SPRAY (0.1 ML)
Bleeding Disorders, Other
aminocaproic acid oral solution 25 %
aminocaproic acid oral tablet 500 mg
Blood Modifier
Blood Modifiers
ARANESP (IN POLYSORBATE) INJECTION
SOLUTION 100 MCG/ML, 150 MCG/0.75 ML, 200
MCG/ML, 25 MCG/ML, 300 MCG/ML, 40
MCG/ML, 60 MCG/ML
ARANESP (IN POLYSORBATE) INJECTION SYRINGE
10 MCG/0.4 ML, 100 MCG/0.5 ML, 150 MCG/0.3
ML, 200 MCG/0.4 ML, 25 MCG/0.42 ML, 300
MCG/0.6 ML, 40 MCG/0.4 ML, 500 MCG/ML, 60
MCG/0.3 ML
LEUKINE INJECTION RECON SOLN 250 MCG
LEUKINE INJECTION SOLUTION 500 MCG/ML
NEULASTA SUBCUTANEOUS SYRINGE 6
MG/0.6ML
NEULASTA SUBCUTANEOUS SYRINGE, W/
WEARABLE INJECTOR 6 MG/0.6 ML
NEUPOGEN INJECTION SOLUTION 300 MCG/ML,
480 MCG/1.6 ML
NEUPOGEN INJECTION SYRINGE 300 MCG/0.5
ML, 480 MCG/0.8 ML
PROCRIT 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
28
Status
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Drug
PROMACTA ORAL TABLET 12.5 MG, 25 MG, 50
MG, 75 MG
Status
More Details
Clotting Disorders
ADVATE INTRAVENOUS RECON SOLN 1,000 (+/-)
UNIT, 1,500 (+/-) UNIT, 2,000 (+/-) UNIT, 250 (+/-)
UNIT, 3,000 (+/-) UNIT, 4,000 (+/-) UNIT, 500 (+/-)
UNIT
ALPHANATE INTRAVENOUS RECON SOLN 1,000
(400 VWF) UNIT/10 ML, 1,500 (600 VWF)
UNIT/10 ML, 2,000 (800 VWF) UNIT/10 ML, 250
(100 VWF) UNIT/5 ML, 500 (200 VWF) UNIT/5 ML
ALPHANINE SD INTRAVENOUS RECON SOLN
1,000 (+/-) UNIT, 1,500 (+/-) UNIT, 500 (+/-) UNIT
ALPROLIX INTRAVENOUS RECON SOLN 1,000
UNIT, 2,000 UNIT, 3,000 UNIT, 500 UNIT
BEBULIN VH INTRAVENOUS RECON SOLN 700
(+/-) UNIT
BENEFIX INTRAVENOUS KIT 1,000 UNIT, 2,000
UNIT, 250 UNIT, 3,000 UNIT, 500 UNIT
CORIFACT INTRAVENOUS KIT 1,000-1,600 UNIT
ELOCTATE INTRAVENOUS RECON SOLN 1,000
UNIT, 1,500 UNIT, 2,000 UNIT, 250 UNIT, 3,000
UNIT, 500 UNIT, 750 UNIT
FEIBA NF INTRAVENOUS RECON SOLN 1,7503,250 UNIT, 400-650 UNIT, 651-1,200 UNIT
HELIXATE FS INTRAVENOUS RECON SOLN 1,000
(+/-) UNIT, 2,000 (+/-) UNIT, 250 (+/-) UNIT, 3,000
(+/-) UNIT, 500 (+/-) UNIT
HEMOFIL M HIGH INTRAVENOUS RECON SOLN
801-1,500 UNIT
HEMOFIL M LOW INTRAVENOUS RECON SOLN
220-400 UNIT
HEMOFIL M MID INTRAVENOUS RECON SOLN
401-800 UNIT
HEMOFIL M SUPER HIGH INTRAVENOUS RECON
SOLN 1,501-2,000 UNIT
HUMATE-P INTRAVENOUS KIT 1,000-2,400 UNIT,
250-600 UNIT, 500-1,200 UNIT
IXINITY INTRAVENOUS RECON SOLN 1,000 UNIT,
1,500 UNIT, 500 UNIT
29
Drug
KOATE-DVI INTRAVENOUS KIT 500 (+/-) UNIT
KOATE-DVI INTRAVENOUS RECON SOLN 1,000
(+/-) UNIT, 250 (+/-) UNIT, 500 (+/-) UNIT
KOGENATE FS INTRAVENOUS RECON SOLN 1,000
(+/-) UNIT, 2,000 (+/-) UNIT, 250 (+/-) UNIT, 3,000
(+/-) UNIT, 500 (+/-) UNIT
MONOCLATE-P INTRAVENOUS KIT 1,000 (+/-)
UNIT, 1,500 (+/-) UNIT
MONONINE INTRAVENOUS KIT 1,000 (+/-) UNIT
NOVOEIGHT INTRAVENOUS RECON SOLN 1,000
(+/-) UNIT, 1,500 (+/-) UNIT, 2,000 (+/-) UNIT, 250
(+/-) UNIT, 3,000 (+/-) UNIT, 500 (+/-) UNIT
NOVOSEVEN RT INTRAVENOUS RECON SOLN 1
MG (1,000 MCG), 2 MG (2,000 MCG), 5 MG
(5,000 MCG), 8 MG (8,000 MCG)
OBIZUR INTRAVENOUS RECON SOLN 500 (+/-)
UNIT RANGE
PLASMANATE INTRAVENOUS PARENTERAL
SOLUTION 5 %
PROFILNINE INTRAVENOUS RECON SOLN 1,000
(+/-) UNIT, 1,200 (+/-) UNIT, 1,500 (+/-) UNIT, 500
(+/-) UNIT
RECOMBINATE INTRAVENOUS RECON SOLN
1,000 (+/-) UNIT, 1,500 (+/-) UNIT, 2,000 (+/-)
UNIT, 250 (+/-) UNIT, 500 (+/-) UNIT
RIXUBIS INTRAVENOUS RECON SOLN 1,000 UNIT,
2,000 UNIT, 250 UNIT, 3,000 UNIT, 500 UNIT
THROMBATE III INTRAVENOUS RECON SOLN 500
(+/-) UNIT
TRETTEN INTRAVENOUS RECON SOLN 2,500 UNIT
WILATE INTRAVENOUS KIT 1,000-1,000 UNIT,
450-450 UNIT, 500-500 UNIT, 900-900 UNIT
XYNTHA INTRAVENOUS KIT 1,000 (+/-) UNIT,
2,000 (+/-) UNIT, 250 (+/-) UNIT, 500 (+/-) UNIT
XYNTHA SOLOFUSE INTRAVENOUS SYRINGE KIT
1,000 (+/-) UNIT, 2,000 (+/-) UNIT, 250 (+/-) UNIT,
3,000 (+/-) UNIT, 500 (+/-) UNIT
Blood Thinner
Anticoagulants
30
Status
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Drug
Status
More Details
ELIQUIS ORAL TABLET 2.5 MG, 5 MG
enoxaparin subcutaneous solution 300 mg/3 ml
enoxaparin subcutaneous syringe 100 mg/ml, 120
mg/0.8 ml, 150 mg/ml, 30 mg/0.3 ml, 40 mg/0.4
ml, 60 mg/0.6 ml, 80 mg/0.8 ml
fondaparinux subcutaneous syringe 10 mg/0.8 ml,
2.5 mg/0.5 ml, 5 mg/0.4 ml, 7.5 mg/0.6 ml
heparin (porcine) injection cartridge 5,000 unit/ml
(1 ml)
heparin (porcine) injection solution 1,000 unit/ml,
10,000 unit/ml, 20,000 unit/ml, 5,000 unit/ml
heparin, porcine (pf) injection syringe 5,000
unit/0.5 ml
jantoven oral tablet 1 mg, 10 mg, 2 mg, 2.5 mg, 3
mg, 4 mg, 5 mg, 6 mg, 7.5 mg
PRADAXA ORAL CAPSULE 150 MG, 75 MG
warfarin oral tablet 1 mg, 10 mg, 2 mg, 2.5 mg, 3
mg, 4 mg, 5 mg, 6 mg, 7.5 mg
XARELTO ORAL TABLET 10 MG, 15 MG, 20 MG
XARELTO ORAL TABLETS,DOSE PACK 15 MG (42)20 MG (9)
Platelet Inhibitors
AGGRENOX ORAL CAPSULE, ER MULTIPHASE 12
HR 25-200 MG
anagrelide oral capsule 0.5 mg, 1 mg
BRILINTA ORAL TABLET 90 MG
cilostazol oral tablet 100 mg, 50 mg
clopidogrel oral tablet 75 mg
dipyridamole oral tablet 25 mg, 50 mg, 75 mg
EFFIENT ORAL TABLET 10 MG, 5 MG
pentoxifylline oral tablet extended release 400 mg
31
Drug
ZONTIVITY ORAL TABLET 2.08 MG
Bone Health
Bone Health, Other
etidronate disodium oral tablet 200 mg, 400 mg
Osteoporosis
alendronate oral solution 70 mg/75 ml
alendronate oral tablet 10 mg, 35 mg, 40 mg, 5
mg, 70 mg
calcitonin (salmon) nasal spray,non-aerosol 200
unit/actuation
FORTEO SUBCUTANEOUS PEN INJECTOR 20
MCG/DOSE - 600 MCG/2.4 ML
FORTICAL NASAL SPRAY,NON-AEROSOL 200
UNIT/ACTUATION
FOSAMAX PLUS D ORAL TABLET 70-2,800 MGUNIT, 70-5,600 MG-UNIT
raloxifene oral tablet 60 mg
risedronate oral tablet 150 mg, 30 mg, 35 mg, 5
mg
Cancer
Cancer
AFINITOR DISPERZ ORAL TABLET FOR
SUSPENSION 2 MG, 3 MG, 5 MG
AFINITOR ORAL TABLET 10 MG, 2.5 MG, 5 MG,
7.5 MG
ALKERAN ORAL TABLET 2 MG
anastrozole oral tablet 1 mg
bicalutamide oral tablet 50 mg
BOSULIF ORAL TABLET 100 MG, 500 MG
capecitabine oral tablet 150 mg, 500 mg
CAPRELSA ORAL TABLET 100 MG, 300 MG
32
Status
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Drug
COMETRIQ ORAL CAPSULE 100 MG/DAY(80
MG[1]-20 MG[1]), 140 MG/DAY(80 MG[1]-20
MG[3]), 60 MG/DAY (20 MG [3]/DAY)
Status
More Details
cyclophosphamide oral capsule 25 mg, 50 mg
cyclophosphamide oral tablet 25 mg, 50 mg
EMCYT ORAL CAPSULE 140 MG
ERIVEDGE ORAL CAPSULE 150 MG
etoposide oral capsule 50 mg
exemestane oral tablet 25 mg
flutamide oral capsule 125 mg
GILOTRIF ORAL TABLET 20 MG, 30 MG, 40 MG
GLEEVEC ORAL TABLET 100 MG, 400 MG
HEXALEN ORAL CAPSULE 50 MG
HYCAMTIN INTRAVENOUS RECON SOLN 4 MG
HYCAMTIN ORAL CAPSULE 0.25 MG, 1 MG
hydroxyurea oral capsule 500 mg
ICLUSIG ORAL TABLET 15 MG, 45 MG
IMBRUVICA ORAL CAPSULE 140 MG
INLYTA ORAL TABLET 1 MG, 5 MG
JAKAFI ORAL TABLET 10 MG, 15 MG, 20 MG, 25
MG, 5 MG
letrozole oral tablet 2.5 mg
LEUKERAN ORAL TABLET 2 MG
33
Drug
lomustine oral capsule 10 mg, 100 mg, 40 mg
MATULANE ORAL CAPSULE 50 MG
megestrol oral tablet 20 mg, 40 mg
MEKINIST ORAL TABLET 0.5 MG, 2 MG
mercaptopurine oral tablet 50 mg
mg/ml
MYLERAN ORAL TABLET 2 MG
NEXAVAR ORAL TABLET 200 MG
POMALYST ORAL CAPSULE 1 MG, 2 MG, 3 MG, 4
MG
REVLIMID ORAL CAPSULE 10 MG, 15 MG, 2.5 MG,
20 MG, 25 MG, 5 MG
SOLTAMOX ORAL SOLUTION 10 MG/5 ML
SPRYCEL ORAL TABLET 100 MG, 140 MG, 20 MG,
50 MG, 70 MG, 80 MG
STIVARGA ORAL TABLET 40 MG
SUTENT ORAL CAPSULE 12.5 MG, 25 MG, 37.5
MG, 50 MG
SYLATRON SUBCUTANEOUS KIT 200 MCG, 300
MCG, 600 MCG
TABLOID ORAL TABLET 40 MG
TAFINLAR ORAL CAPSULE 50 MG, 75 MG
tamoxifen oral tablet 10 mg, 20 mg
TARCEVA ORAL TABLET 100 MG, 150 MG, 25 MG
34
Status
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Drug
Status
More Details
TASIGNA ORAL CAPSULE 150 MG, 200 MG
temozolomide oral capsule 100 mg, 140 mg, 180
mg, 20 mg, 250 mg, 5 mg
THALOMID ORAL CAPSULE 100 MG, 150 MG, 200
MG, 50 MG
tretinoin (chemotherapy) oral capsule 10 mg
TYKERB ORAL TABLET 250 MG
VALCHLOR TOPICAL GEL 0.016 %
VOTRIENT ORAL TABLET 200 MG
XALKORI ORAL CAPSULE 200 MG, 250 MG
XTANDI ORAL CAPSULE 40 MG
ZELBORAF ORAL TABLET 240 MG
ZOLINZA ORAL CAPSULE 100 MG
ZYTIGA ORAL TABLET 250 MG
Corticosteroids
Corticosteroids, Oral
DEXAMETHASONE INTENSOL ORAL DROPS 1
MG/ML
dexamethasone oral elixir 0.5 mg/5 ml
dexamethasone oral solution 0.5 mg/5 ml
dexamethasone oral tablet 0.5 mg, 0.75 mg, 1 mg,
1.5 mg, 2 mg, 4 mg, 6 mg
fludrocortisone oral tablet 0.1 mg
hydrocortisone oral tablet 10 mg, 20 mg, 5 mg
MEDROL ORAL TABLET 2 MG
methylprednisolone oral tablet 16 mg, 32 mg, 4
mg, 8 mg
35
Drug
methylprednisolone oral tablets,dose pack 4 mg
MILLIPRED ORAL TABLET 5 MG
prednisolone oral solution 15 mg/5 ml
prednisolone sodium phosphate oral solution 15
mg/5 ml, 25 mg/5 ml (5 mg/ml), 5 mg base/5 ml
(6.7 mg/5 ml)
PREDNISONE INTENSOL ORAL CONCENTRATE 5
MG/ML
prednisone oral solution 5 mg/5 ml
prednisone oral tablet 1 mg, 10 mg, 2.5 mg, 20
mg, 5 mg, 50 mg
prednisone oral tablets,dose pack 10 mg, 5 mg
Cough & Cold
Cough & Cold
benzonatate oral capsule 100 mg, 200 mg
codeine-guaifenesin oral liquid 10-100 mg/5 ml
guaiatussin ac oral liquid 10-100 mg/5 ml
promethazine vc oral syrup 6.25-5 mg/5 ml
promethazine-dm oral syrup 6.25-15 mg/5 ml
Cystic Fibrosis
Cystic Fibrosis
acetylcysteine solution 100 mg/ml (10 %), 200
mg/ml (20 %)
CAYSTON INHALATION SOLUTION FOR
NEBULIZATION 75 MG/ML
KALYDECO ORAL GRANULES IN PACKET 50 MG,
75 MG
KALYDECO ORAL TABLET 150 MG
PULMOZYME INHALATION SOLUTION 1 MG/ML
tobramycin in 0.225 % nacl inhalation solution for
nebulization 300 mg/5 ml
36
Status
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Drug
Status
More Details
Dementia
Dementia
donepezil oral tablet 10 mg, 5 mg
donepezil oral tablet,disintegrating 10 mg, 5 mg
EXELON TRANSDERMAL PATCH 24 HOUR 13.3
MG/24 HOUR, 4.6 MG/24 HR, 9.5 MG/24 HR
galantamine oral capsule,ext rel. pellets 24 hr 16
mg, 24 mg, 8 mg
galantamine oral solution 4 mg/ml
galantamine oral tablet 12 mg, 4 mg, 8 mg
NAMENDA ORAL SOLUTION 10 MG/5 ML
NAMENDA ORAL TABLET 10 MG, 5 MG
NAMENDA TITRATION PAK ORAL TABLETS,DOSE
PACK 5-10 MG
NAMENDA XR ORAL CAP,SPRINKLE,ER 24HR
DOSE PACK 7-14-21-28 MG
NAMENDA XR ORAL CAPSULE,SPRINKLE,ER 24HR
14 MG, 21 MG, 28 MG, 7 MG
rivastigmine tartrate oral capsule 1.5 mg, 3 mg,
4.5 mg, 6 mg
Diabetes
Diabetes, Injection
BYDUREON SUBCUTANEOUS PEN INJECTOR 2
MG/0.65 ML
BYDUREON SUBCUTANEOUS
SUSPENSION,EXTENDED REL RECON 2 MG
BYETTA SUBCUTANEOUS PEN INJECTOR 10
MCG/DOSE(250 MCG/ML) 2.4 ML, 5 MCG/DOSE
(250 MCG/ML) 1.2 ML
GLUCAGEN HYPOKIT INJECTION RECON SOLN 1
MG
GLUCAGEN INJECTION RECON SOLN 1 MG
GLUCAGON EMERGENCY KIT (HUMAN)
INJECTION KIT 1 MG
37
Drug
TRULICITY SUBCUTANEOUS PEN INJECTOR 0.75
MG/0.5 ML, 1.5 MG/0.5 ML
VICTOZA 2-PAK SUBCUTANEOUS PEN INJECTOR
0.6 MG/0.1 ML (18 MG/3 ML)
VICTOZA 3-PAK SUBCUTANEOUS PEN INJECTOR
0.6 MG/0.1 ML (18 MG/3 ML)
Diabetes, Oral
acarbose oral tablet 100 mg, 25 mg, 50 mg
CYCLOSET ORAL TABLET 0.8 MG
glimepiride oral tablet 1 mg, 2 mg, 4 mg
glipizide oral tablet 10 mg, 5 mg
glipizide oral tablet extended release 24hr 10 mg,
2.5 mg, 5 mg
glipizide-metformin oral tablet 2.5-250 mg, 2.5500 mg, 5-500 mg
GLYSET ORAL TABLET 100 MG, 25 MG, 50 MG
INVOKAMET ORAL TABLET 150-1,000 MG, 150500 MG, 50-1,000 MG, 50-500 MG
INVOKANA ORAL TABLET 100 MG, 300 MG
JARDIANCE ORAL TABLET 10 MG, 25 MG
JENTADUETO ORAL TABLET 2.5-1,000 MG, 2.5500 MG, 2.5-850 MG
metformin oral tablet 1,000 mg, 500 mg, 850 mg
metformin oral tablet extended release 24 hr 500
mg, 750 mg
nateglinide oral tablet 120 mg, 60 mg
pioglitazone oral tablet 15 mg, 30 mg, 45 mg
pioglitazone-glimepiride oral tablet 30-2 mg, 30-4
mg
pioglitazone-metformin oral tablet 15-500 mg, 15850 mg
38
Status
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Drug
Status
More Details
repaglinide oral tablet 0.5 mg, 1 mg, 2 mg
TRADJENTA ORAL TABLET 5 MG
Insulin
HUMALOG KWIKPEN SUBCUTANEOUS INSULIN
PEN 100 UNIT/ML
HUMALOG MIX 50-50 KWIKPEN SUBCUTANEOUS
INSULIN PEN 100 UNIT/ML (50-50)
HUMALOG MIX 50-50 SUBCUTANEOUS
SUSPENSION 100 UNIT/ML (50-50)
HUMALOG MIX 75-25 KWIKPEN SUBCUTANEOUS
HUMALOG MIX 75-25 SUBCUTANEOUS
SUSPENSION 100 UNIT/ML (75-25)
HUMALOG SUBCUTANEOUS CARTRIDGE 100
UNIT/ML
HUMALOG SUBCUTANEOUS SOLUTION 100
UNIT/ML
HUMULIN 70/30 KWIKPEN SUBCUTANEOUS
HUMULIN 70/30 PEN SUBCUTANEOUS INSULIN
PEN 100 UNIT/ML (70-30)
HUMULIN 70/30 SUBCUTANEOUS SUSPENSION
100 UNIT/ML (70-30)
HUMULIN N KWIKPEN SUBCUTANEOUS INSULIN
PEN 100 UNIT/ML (3 ML)
HUMULIN N PEN SUBCUTANEOUS INSULIN PEN
100 UNIT/ML (3 ML)
HUMULIN N SUBCUTANEOUS SUSPENSION 100
UNIT/ML
HUMULIN R INJECTION SOLUTION 100 UNIT/ML
HUMULIN R U-500 "CONCENTRATED"
SUBCUTANEOUS SOLUTION 500 UNIT/ML
LANTUS SOLOSTAR SUBCUTANEOUS INSULIN
PEN 100 UNIT/ML (3 ML)
LANTUS SUBCUTANEOUS SOLUTION 100
UNIT/ML
LEVEMIR FLEXPEN SUBCUTANEOUS INSULIN PEN
100 UNIT/ML (3 ML)
39
Drug
LEVEMIR SUBCUTANEOUS SOLUTION 100
UNIT/ML
TOUJEO SOLOSTAR SUBCUTANEOUS INSULIN
PEN 300 UNIT/ML (1.5 ML)
Ear Conditions
Anti-Infectives, Ear
acetic acid otic solution 2 %
CIPRO HC OTIC DROPS,SUSPENSION 0.2-1 %
CIPRODEX OTIC DROPS,SUSPENSION 0.3-0.1 %
neomycin-polymyxin-hc otic drops,suspension 3.510,000-1 mg/ml-unit/ml-%
neomycin-polymyxin-hc otic solution 3.5-10,000-1
mg/ml-unit/ml-%
ofloxacin otic drops 0.3 %
Ear Conditions, Other
antipyrine-benzocaine otic drops 5.4-1.4 %
fluocinolone acetonide oil otic drops 0.01 %
Enzyme Replacement
Enzyme Replacement
CERDELGA ORAL CAPSULE 84 MG
CREON ORAL CAPSULE,DELAYED RELEASE(DR/EC)
12,000-38,000 -60,000 UNIT, 24,000-76,000 120,000 UNIT, 3,000-9,500- 15,000 UNIT, 36,000114,000- 180,000 UNIT, 6,000-19,000 -30,000
UNIT
SUCRAID ORAL SOLUTION 8,500 UNIT/ML
ZAVESCA ORAL CAPSULE 100 MG
Eye Conditions
Anti-Infectives, Eye
AZASITE OPHTHALMIC DROPS 1 %
40
Status
More Details
Drug
Status
More Details
bacitracin ophthalmic ointment 500 unit/gram
bacitracin-polymyxin b ophthalmic ointment 50010,000 unit/gram
BESIVANCE OPHTHALMIC DROPS,SUSPENSION
0.6 %
BLEPHAMIDE S.O.P. OPHTHALMIC OINTMENT 100.2 %
CILOXAN OPHTHALMIC OINTMENT 0.3 %
ciprofloxacin hcl ophthalmic drops 0.3 %
erythromycin ophthalmic ointment 5 mg/gram
(0.5 %)
gatifloxacin ophthalmic drops 0.5 %
gentamicin ophthalmic ointment 0.3 % (3
mg/gram)
neomycin-bacitracin-polymyxin ophthalmic
ointment 3.5-400-10,000 mg-unit-unit/g
neomycin-polymyxin b-dexameth ophthalmic
drops,suspension 3.5mg/ml-10,000 unit/ml-0.1 %
neomycin-polymyxin-gramicidin ophthalmic drops
1.75 mg-10,000 unit-0.025mg/ml
ofloxacin ophthalmic drops 0.3 %
polymyxin b sulf-trimethoprim ophthalmic drops
10,000 unit- 1 mg/ml
sulfacetamide sodium ophthalmic drops 10 %
sulfacetamide sodium ophthalmic ointment 10 %
sulfacetamide-prednisolone ophthalmic drops 10
%-0.23 % (0.25 %)
TOBRADEX OPHTHALMIC OINTMENT 0.3-0.1 %
tobramycin ophthalmic drops 0.3 %
tobramycin-dexamethasone ophthalmic
drops,suspension 0.3-0.1 %
TOBREX OPHTHALMIC OINTMENT 0.3 %
41
Drug
trifluridine ophthalmic drops 1 %
VIGAMOX OPHTHALMIC DROPS 0.5 %
ZIRGAN OPHTHALMIC GEL 0.15 %
ZYLET OPHTHALMIC DROPS,SUSPENSION 0.3-0.5
%
Anti-Inflammatories, Eye
ACUVAIL (PF) OPHTHALMIC DROPPERETTE 0.45
%
ALREX OPHTHALMIC DROPS,SUSPENSION 0.2 %
bromfenac ophthalmic drops 0.09 %
dexamethasone sodium phosphate ophthalmic
drops 0.1 %
diclofenac sodium ophthalmic drops 0.1 %
DUREZOL OPHTHALMIC DROPS 0.05 %
fluorometholone ophthalmic drops,suspension 0.1
%
flurbiprofen sodium ophthalmic drops 0.03 %
FML S.O.P. OPHTHALMIC OINTMENT 0.1 %
ILEVRO OPHTHALMIC DROPS,SUSPENSION 0.3 %
ketorolac ophthalmic drops 0.4 %, 0.5 %
LOTEMAX OPHTHALMIC DROPS,GEL 0.5 %
LOTEMAX OPHTHALMIC DROPS,SUSPENSION 0.5
%
LOTEMAX OPHTHALMIC OINTMENT 0.5 %
NEVANAC OPHTHALMIC DROPS,SUSPENSION 0.1
%
PRED FORTE OPHTHALMIC DROPS,SUSPENSION 1
%
42
Status
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Drug
PRED MILD OPHTHALMIC DROPS,SUSPENSION
0.12 %
prednisolone acetate ophthalmic
drops,suspension 1 %
prednisolone sodium phosphate ophthalmic drops
1%
Status
More Details
PROLENSA OPHTHALMIC DROPS 0.07 %
Eye Conditions, Other
altafrin ophthalmic drops 10 %
atropine ophthalmic drops 1 %
atropine ophthalmic ointment 1 %
CYCLOGYL OPHTHALMIC DROPS 0.5 %
cyclopentolate ophthalmic drops 1 %, 2 %
CYSTARAN OPHTHALMIC DROPS 0.44 %
homatropaire ophthalmic drops 5 %
ISOPTO HYOSCINE OPHTHALMIC DROPS 0.25 %
LACRISERT OPHTHALMIC INSERT 5 MG
phenylephrine hcl ophthalmic drops 10 %, 2.5 %
RESTASIS OPHTHALMIC DROPPERETTE 0.05 %
Glaucoma
acetazolamide oral capsule, extended release 500
mg
acetazolamide oral tablet 125 mg, 250 mg
ALPHAGAN P OPHTHALMIC DROPS 0.1 %
AZOPT OPHTHALMIC DROPS,SUSPENSION 1 %
betaxolol ophthalmic drops 0.5 %
43
Drug
BETOPTIC S OPHTHALMIC DROPS,SUSPENSION
0.25 %
bimatoprost ophthalmic drops 0.03 %
brimonidine ophthalmic drops 0.15 %, 0.2 %
carteolol ophthalmic drops 1 %
COMBIGAN OPHTHALMIC DROPS 0.2-0.5 %
COSOPT (PF) OPHTHALMIC DROPPERETTE 2-0.5
%
dorzolamide ophthalmic drops 2 %
dorzolamide-timolol ophthalmic drops 22.3-6.8
mg/ml
latanoprost ophthalmic drops 0.005 %
levobunolol ophthalmic drops 0.25 %, 0.5 %
LUMIGAN OPHTHALMIC DROPS 0.01 %
methazolamide oral tablet 25 mg, 50 mg
PHOSPHOLINE IODIDE OPHTHALMIC DROPS
0.125 %
pilocarpine hcl ophthalmic drops 1 %, 2 %, 4 %
PILOPINE HS OPHTHALMIC GEL 4 %
SIMBRINZA OPHTHALMIC DROPS,SUSPENSION 10.2 %
timolol maleate ophthalmic drops 0.25 %, 0.5 %
timolol maleate ophthalmic gel forming solution
0.25 %, 0.5 %
TRAVATAN Z OPHTHALMIC DROPS 0.004 %
travoprost (benzalkonium) ophthalmic drops
0.004 %
ZIOPTAN (PF) OPHTHALMIC DROPPERETTE
0.0015 %
44
Status
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Drug
Status
More Details
Gout
Gout
allopurinol oral tablet 100 mg, 300 mg
colchicine oral capsule 0.6 mg
colchicine oral tablet 0.6 mg
colchicine-probenecid oral tablet 0.5-500 mg
probenecid oral tablet 500 mg
ULORIC ORAL TABLET 40 MG, 80 MG
Heart Health
Angina
ISORDIL ORAL TABLET 40 MG
isosorbide dinitrate oral tablet 10 mg, 20 mg, 30
mg, 5 mg
isosorbide dinitrate oral tablet extended release
40 mg
isosorbide dinitrate sublingual tablet 2.5 mg, 5 mg
isosorbide mononitrate oral tablet 10 mg, 20 mg
isosorbide mononitrate oral tablet extended
release 24 hr 120 mg, 30 mg, 60 mg
NITRO-BID TRANSDERMAL OINTMENT 2 %
NITRO-DUR TRANSDERMAL PATCH 24 HOUR 0.3
MG/HR, 0.8 MG/HR
nitroglycerin transdermal patch 24 hour 0.1
mg/hr, 0.2 mg/hr, 0.4 mg/hr, 0.6 mg/hr
NITROSTAT SUBLINGUAL TABLET 0.3 MG, 0.4
MG, 0.6 MG
Antiarrhythmics
amiodarone oral tablet 100 mg, 200 mg, 400 mg
disopyramide phosphate oral capsule 100 mg, 150
mg
45
Drug
flecainide oral tablet 100 mg, 150 mg, 50 mg
mexiletine oral capsule 150 mg, 200 mg, 250 mg
MULTAQ ORAL TABLET 400 MG
NORPACE CR ORAL CAPSULE, EXTENDED RELEASE
100 MG, 150 MG
propafenone oral tablet 150 mg, 225 mg, 300 mg
quinidine gluconate oral tablet extended release
324 mg
quinidine sulfate oral tablet 200 mg, 300 mg
quinidine sulfate oral tablet extended release 300
mg
sotalol af oral tablet 120 mg, 160 mg, 80 mg
sotalol oral tablet 120 mg, 160 mg, 240 mg, 80
mg
TIKOSYN ORAL CAPSULE 125 MCG, 250 MCG, 500
MCG
Blood Pressure, ACEI & ARB
amlodipine-benazepril oral capsule 10-20 mg, 1040 mg, 2.5-10 mg, 5-10 mg, 5-20 mg, 5-40 mg
amlodipine-valsartan oral tablet 10-160 mg, 10320 mg, 5-160 mg, 5-320 mg
amlodipine-valsartan-hcthiazid oral tablet 10-16012.5 mg, 10-160-25 mg, 10-320-25 mg, 5-16012.5 mg, 5-160-25 mg
benazepril oral tablet 10 mg, 20 mg, 40 mg, 5 mg
benazepril-hydrochlorothiazide oral tablet 10-12.5
mg, 20-12.5 mg, 20-25 mg, 5-6.25 mg
captopril oral tablet 100 mg, 12.5 mg, 25 mg, 50
mg
captopril-hydrochlorothiazide oral tablet 25-15
mg, 25-25 mg, 50-15 mg, 50-25 mg
enalapril maleate oral tablet 10 mg, 2.5 mg, 20
mg, 5 mg
enalapril-hydrochlorothiazide oral tablet 10-25
mg, 5-12.5 mg
46
Status
More Details
Drug
Status
More Details
fosinopril oral tablet 10 mg, 20 mg, 40 mg
fosinopril-hydrochlorothiazide oral tablet 10-12.5
mg, 20-12.5 mg
irbesartan oral tablet 150 mg, 300 mg, 75 mg
irbesartan-hydrochlorothiazide oral tablet 15012.5 mg, 300-12.5 mg
lisinopril oral tablet 10 mg, 2.5 mg, 20 mg, 30 mg,
40 mg, 5 mg
lisinopril-hydrochlorothiazide oral tablet 10-12.5
mg, 20-12.5 mg, 20-25 mg
losartan oral tablet 100 mg, 25 mg, 50 mg
losartan-hydrochlorothiazide oral tablet 100-12.5
mg, 100-25 mg, 50-12.5 mg
moexipril oral tablet 15 mg, 7.5 mg
moexipril-hydrochlorothiazide oral tablet 15-12.5
mg, 15-25 mg, 7.5-12.5 mg
perindopril erbumine oral tablet 2 mg, 4 mg, 8 mg
quinapril oral tablet 10 mg, 20 mg, 40 mg, 5 mg
quinapril-hydrochlorothiazide oral tablet 10-12.5
mg, 20-12.5 mg, 20-25 mg
ramipril oral capsule 1.25 mg, 10 mg, 2.5 mg, 5
mg
trandolapril oral tablet 1 mg, 2 mg, 4 mg
valsartan oral tablet 160 mg, 320 mg, 40 mg, 80
mg
valsartan-hydrochlorothiazide oral tablet 160-12.5
mg, 160-25 mg, 320-12.5 mg, 320-25 mg, 80-12.5
mg
Blood Pressure, Beta Blockers
atenolol oral tablet 100 mg, 25 mg, 50 mg
atenolol-chlorthalidone oral tablet 100-25 mg, 5025 mg
bisoprolol fumarate oral tablet 10 mg, 5 mg
47
Drug
bisoprolol-hydrochlorothiazide oral tablet 10-6.25
mg, 2.5-6.25 mg, 5-6.25 mg
carvedilol oral tablet 12.5 mg, 25 mg, 3.125 mg,
6.25 mg
COREG CR ORAL CAPSULE, ER MULTIPHASE 24 HR
10 MG, 20 MG, 40 MG, 80 MG
labetalol oral tablet 100 mg, 200 mg, 300 mg
metoprolol succinate oral tablet extended release
24 hr 100 mg, 200 mg, 25 mg, 50 mg
metoprolol ta-hydrochlorothiaz oral tablet 100-25
mg, 100-50 mg, 50-25 mg
metoprolol tartrate oral tablet 100 mg, 25 mg, 50
mg
nadolol oral tablet 20 mg, 40 mg, 80 mg
propranolol oral capsule,extended release 24 hr
120 mg, 160 mg, 60 mg, 80 mg
propranolol oral solution 20 mg/5 ml, 40 mg/5 ml
propranolol oral tablet 10 mg, 20 mg, 40 mg, 60
mg, 80 mg
propranolol-hydrochlorothiazid oral tablet 40-25
mg, 80-25 mg
Blood Pressure, Calcium Channel Blockers
amlodipine oral tablet 10 mg, 2.5 mg, 5 mg
amlodipine-benazepril oral capsule 10-20 mg, 1040 mg, 2.5-10 mg, 5-10 mg, 5-20 mg, 5-40 mg
amlodipine-valsartan oral tablet 10-160 mg, 10320 mg, 5-160 mg, 5-320 mg
amlodipine-valsartan-hcthiazid oral tablet 10-16012.5 mg, 10-160-25 mg, 10-320-25 mg, 5-16012.5 mg, 5-160-25 mg
cartia xt oral capsule,extended release 24hr 120
mg, 180 mg, 240 mg, 300 mg
diltia xt oral capsule,ext release degradable 120
mg, 240 mg
diltiazem hcl oral capsule, extended release 120
mg, 180 mg, 240 mg, 300 mg, 360 mg, 420 mg
diltiazem hcl oral capsule,ext release degradable
120 mg, 180 mg, 240 mg
48
Status
More Details
Drug
diltiazem hcl oral capsule,extended release 12 hr
120 mg, 60 mg, 90 mg
diltiazem hcl oral capsule,extended release 24hr
120 mg, 180 mg, 240 mg, 300 mg, 360 mg
diltiazem hcl oral tablet 120 mg, 30 mg, 60 mg, 90
mg
dilt-xr oral capsule,ext release degradable 120 mg,
180 mg
nifedipine oral tablet extended release 24hr 30
mg, 60 mg, 90 mg
nifedipine oral tablet extended release 30 mg, 60
mg, 90 mg
Status
More Details
nimodipine oral capsule 30 mg
taztia xt oral capsule, extended release 120 mg,
180 mg, 240 mg, 300 mg, 360 mg
verapamil oral capsule,ext rel. pellets 24 hr 120
mg, 180 mg, 240 mg, 360 mg
verapamil oral tablet 120 mg, 40 mg, 80 mg
verapamil oral tablet extended release 120 mg,
180 mg, 240 mg
Blood Pressure, Other
clonidine hcl oral tablet 0.1 mg, 0.2 mg, 0.3 mg
clonidine transdermal patch weekly 0.1 mg/24 hr,
0.2 mg/24 hr, 0.3 mg/24 hr
DIBENZYLINE ORAL CAPSULE 10 MG
doxazosin oral tablet 1 mg, 2 mg, 4 mg, 8 mg
guanfacine oral tablet 1 mg, 2 mg
hydralazine oral tablet 10 mg, 100 mg, 25 mg, 50
mg
methyldopa oral tablet 250 mg, 500 mg
midodrine oral tablet 10 mg, 2.5 mg, 5 mg
minoxidil oral tablet 10 mg, 2.5 mg
49
Drug
prazosin oral capsule 1 mg, 2 mg, 5 mg
reserpine oral tablet 0.1 mg, 0.25 mg
terazosin oral capsule 1 mg, 10 mg, 2 mg, 5 mg
Cholesterol Lowering, Bile Acid Resins
cholestyramine (with sugar) oral powder 4 gram
cholestyramine (with sugar) oral powder in packet
4 gram
cholestyramine light oral powder 4 gram
cholestyramine light oral powder in packet 4 gram
colestipol oral tablet 1 gram
prevalite oral powder 4 gram
prevalite oral powder in packet 4 gram
Cholesterol Lowering, Other
JUXTAPID ORAL CAPSULE 10 MG, 20 MG, 30 MG,
40 MG, 5 MG, 60 MG
KYNAMRO SUBCUTANEOUS SYRINGE 200
MG/ML
ZETIA ORAL TABLET 10 MG
Cholesterol Lowering, Statins
atorvastatin oral tablet 10 mg, 20 mg, 40 mg, 80
mg
LIPTRUZET ORAL TABLET 10-10 MG, 10-20 MG,
10-40 MG, 10-80 MG
lovastatin oral tablet 10 mg, 20 mg, 40 mg
pravastatin oral tablet 10 mg, 20 mg, 40 mg, 80
mg
simvastatin oral tablet 10 mg, 20 mg, 5 mg
simvastatin oral tablet 40 mg
simvastatin oral tablet 80 mg
50
Status
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Drug
Status
More Details
VYTORIN 10-10 ORAL TABLET 10-10 MG
Diuretics
mg
ALDACTAZIDE ORAL TABLET 50-50 MG
amiloride oral tablet 5 mg
amiloride-hydrochlorothiazide oral tablet 5-50 mg
bumetanide oral tablet 0.5 mg, 1 mg, 2 mg
chlorothiazide oral tablet 250 mg, 500 mg
chlorthalidone oral tablet 25 mg, 50 mg
DIURIL ORAL SUSPENSION 250 MG/5 ML
EDECRIN ORAL TABLET 25 MG
eplerenone oral tablet 25 mg, 50 mg
furosemide oral solution 10 mg/ml, 40 mg/5 ml
furosemide oral tablet 20 mg, 40 mg, 80 mg
hydrochlorothiazide oral capsule 12.5 mg
hydrochlorothiazide oral tablet 12.5 mg, 25 mg,
50 mg
indapamide oral tablet 1.25 mg, 2.5 mg
metolazone oral tablet 10 mg, 2.5 mg, 5 mg
51
Drug
spironolactone oral tablet 100 mg, 25 mg, 50 mg
spironolacton-hydrochlorothiaz oral tablet 25-25
mg
torsemide oral tablet 10 mg, 100 mg, 20 mg, 5 mg
triamterene-hydrochlorothiazid oral capsule 37.525 mg, 50-25 mg
triamterene-hydrochlorothiazid oral tablet 37.525 mg, 75-50 mg
Heart Health, Other
DIGOXIN ORAL SOLUTION 50 MCG/ML
digoxin oral tablet 125 mcg
digoxin oral tablet 250 mcg
klor-con m10 oral tablet,er particles/crystals 10
meq
klor-con m15 oral tablet,er particles/crystals 15
meq
KLOR-CON/25 ORAL PACKET 25 MEQ
potassium chloride oral capsule, extended release
10 meq, 8 meq
potassium chloride oral liquid 20 meq/15 ml, 40
meq/15 ml
potassium chloride oral packet 20 meq
potassium chloride oral tablet extended release 10
meq, 8 meq
potassium chloride oral tablet,er particles/crystals
10 meq, 20 meq
Triglyceride Lowering
fenofibrate micronized oral capsule 134 mg, 200
mg, 67 mg
fenofibrate nanocrystallized oral tablet 145 mg,
48 mg
fenofibrate oral tablet 160 mg, 54 mg
gemfibrozil oral tablet 600 mg
52
Status
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Drug
Status
More Details
omega-3 acid ethyl esters oral capsule 1 gram
VASCEPA ORAL CAPSULE 1 GRAM
Hereditary Angioedema
Hereditary Angioedema
BERINERT INTRAVENOUS KIT 500 UNIT (10 ML)
BERINERT INTRAVENOUS RECON SOLN 500 UNIT
(10 ML)
CINRYZE INTRAVENOUS RECON SOLN 500 UNIT
(5 ML)
FIRAZYR SUBCUTANEOUS SYRINGE 30 MG/3 ML
KALBITOR SUBCUTANEOUS SOLUTION 10
MG/ML (1 ML)
RUCONEST INTRAVENOUS RECON SOLN 2,100
UNIT
Immune Deficiency
Immune Deficiency
BIVIGAM INTRAVENOUS SOLUTION 10 %
CARIMUNE NF NANOFILTERED INTRAVENOUS
RECON SOLN 12 GRAM, 3 GRAM, 6 GRAM
FLEBOGAMMA DIF INTRAVENOUS SOLUTION 10
%, 5 %
GAMASTAN S/D INTRAMUSCULAR SOLUTION 1518 % RANGE
GAMMAGARD LIQUID INJECTION SOLUTION 10
%
GAMMAGARD S/D INTRAVENOUS RECON SOLN
10 GRAM, 2.5 GRAM, 5 GRAM
GAMMAGARD S-D (IGA < 1 MCG/ML)
INTRAVENOUS RECON SOLN 10 GRAM, 5 GRAM
GAMMAKED 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 %)
GAMMAPLEX INTRAVENOUS SOLUTION 5 %
53
Drug
GAMUNEX INTRAVENOUS SOLUTION 10 %
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 %)
HIZENTRA SUBCUTANEOUS SOLUTION 1 GRAM/5
ML (20 %), 10 GRAM/50 ML (20 %), 2 GRAM/10
ML (20 %), 4 GRAM/20 ML (20 %)
HYQVIA SUBCUTANEOUS SOLUTION 10 GRAM
/100 ML (10 %), 2.5 GRAM /25 ML (10 %), 20
GRAM /200 ML (10 %), 30 GRAM /300 ML (10 %),
5 GRAM /50 ML (10 %)
OCTAGAM INTRAVENOUS SOLUTION 5 %
PRIVIGEN INTRAVENOUS SOLUTION 10 %
VIVAGLOBIN SUBCUTANEOUS SOLUTION 16 %
(160 MG/ML)
Immune Suppressant
Immune Suppressant
azathioprine oral tablet 50 mg
cyclophosphamide oral capsule 25 mg, 50 mg
cyclophosphamide oral tablet 25 mg, 50 mg
cyclosporine modified oral capsule 100 mg, 25 mg,
50 mg
cyclosporine modified oral solution 100 mg/ml
cyclosporine oral capsule 100 mg, 25 mg
gengraf oral capsule 100 mg, 25 mg
gengraf oral solution 100 mg/ml
mercaptopurine oral tablet 50 mg
mg/ml
54
Status
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Drug
Status
More Details
mycophenolate mofetil oral capsule 250 mg
mycophenolate mofetil oral suspension for
reconstitution 200 mg/ml
mycophenolate mofetil oral tablet 500 mg
RAPAMUNE ORAL SOLUTION 1 MG/ML
sirolimus oral tablet 0.5 mg, 1 mg, 2 mg
tacrolimus oral capsule 0.5 mg, 1 mg, 5 mg
Kidney Failure
Kidney Failure
calcium acetate oral capsule 667 mg
PHOSLYRA ORAL SOLUTION 667 MG (169 MG
CALCIUM)/5 ML
RENVELA ORAL POWDER IN PACKET 0.8 GRAM,
2.4 GRAM
RENVELA ORAL TABLET 800 MG
SENSIPAR ORAL TABLET 30 MG, 60 MG, 90 MG
sevelamer carbonate oral tablet 800 mg
Men's Health
Benign Prostatic Hypertrophy
alfuzosin oral tablet extended release 24 hr 10 mg
AVODART ORAL CAPSULE 0.5 MG
doxazosin oral tablet 1 mg, 2 mg, 4 mg, 8 mg
finasteride oral tablet 5 mg
JALYN ORAL CAPSULE, ER MULTIPHASE 24 HR
0.5-0.4 MG
prazosin oral capsule 1 mg, 2 mg, 5 mg
55
Drug
tamsulosin oral capsule,extended release 24hr 0.4
mg
terazosin oral capsule 1 mg, 10 mg, 2 mg, 5 mg
Testosterone Deficiency
ANDRODERM TRANSDERMAL PATCH 24 HOUR 2
MG/24 HOUR, 4 MG/24 HR
ANDROGEL TRANSDERMAL GEL IN METEREDDOSE PUMP 20.25 MG/1.25 GRAM (1.62 %)
ANDROGEL TRANSDERMAL GEL IN PACKET 1.62
% (20.25 MG/1.25 GRAM), 1.62 % (40.5 MG/2.5
GRAM)
androxy oral tablet 10 mg
DEPO-TESTOSTERONE INTRAMUSCULAR OIL 200
MG/ML
testosterone cypionate intramuscular oil 100
mg/ml, 200 mg/ml
testosterone enanthate intramuscular oil 200
mg/ml
testosterone transdermal gel in metered-dose
pump 1.25 gram/ actuation (1 %)
testosterone transdermal gel in packet 1 % (25
mg/2.5gram), 1 % (50 mg/5 gram)
Migraine
Migraine, Other
cafergot oral tablet 1-100 mg
dihydroergotamine injection solution 1 mg/ml
dihydroergotamine nasal spray,non-aerosol 0.5
mg/pump act. (4 mg/ml)
ERGOMAR SUBLINGUAL TABLET 2 MG
isometh-dichloral-acetaminophn oral capsule 65100-325 mg
migergot rectal suppository 2-100 mg
migragesic ida oral capsule 65-100-325 mg
nodolor oral capsule 65-100-325 mg
56
Status
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Drug
Status
More Details
prodrin oral tablet 65-20-325 mg
Migraine, Preventives
mg, 500 mg
mg, 250 mg, 500 mg
propranolol oral capsule,extended release 24 hr
120 mg, 160 mg, 60 mg, 80 mg
propranolol oral solution 20 mg/5 ml, 40 mg/5 ml
propranolol oral tablet 10 mg, 20 mg, 40 mg, 60
mg, 80 mg
Migraine, Triptans
naratriptan oral tablet 1 mg, 2.5 mg
rizatriptan oral tablet 10 mg, 5 mg
rizatriptan oral tablet,disintegrating 10 mg, 5 mg
sumatriptan nasal spray,non-aerosol 20
mg/actuation, 5 mg/actuation
sumatriptan succinate oral tablet 100 mg, 25 mg,
50 mg
sumatriptan succinate subcutaneous cartridge 4
mg/0.5 ml, 6 mg/0.5 ml
sumatriptan succinate subcutaneous pen injector
4 mg/0.5 ml, 6 mg/0.5 ml
sumatriptan succinate subcutaneous solution 6
mg/0.5 ml
Mouth & Throat
Dental Health
chlorhexidine gluconate mucous membrane
mouthwash 0.12 %
periogard mucous membrane mouthwash 0.12 %
triamcinolone acetonide dental paste 0.1 %
Dry Mouth
57
Drug
cevimeline oral capsule 30 mg
pilocarpine hcl oral tablet 5 mg, 7.5 mg
Pain
lidocaine hcl mucous membrane gel 2 %
lidocaine hcl mucous membrane jelly in applicator
2%
lidocaine hcl mucous membrane solution 2 %, 4 %
(40 mg/ml)
lidocaine viscous mucous membrane solution 2 %
Multiple Sclerosis
Multiple Sclerosis, Injection
AVONEX (WITH ALBUMIN) INTRAMUSCULAR KIT
30 MCG
AVONEX INTRAMUSCULAR PEN INJECTOR 30
MCG/0.5 ML
AVONEX INTRAMUSCULAR PEN INJECTOR KIT 30
MCG/0.5 ML
AVONEX INTRAMUSCULAR SYRINGE 30 MCG/0.5
ML
AVONEX INTRAMUSCULAR SYRINGE KIT 30
MCG/0.5 ML
COPAXONE SUBCUTANEOUS SYRINGE 40 MG/ML
COPAXONE SUBCUTANEOUS SYRINGE KIT 20
MG/ML
EXTAVIA SUBCUTANEOUS KIT 0.3 MG
REBIF (WITH ALBUMIN) SUBCUTANEOUS
SYRINGE 22 MCG/0.5 ML, 44 MCG/0.5 ML
REBIF REBIDOSE SUBCUTANEOUS PEN INJECTOR
22 MCG/0.5 ML, 44 MCG/0.5 ML,
8.8MCG/0.2ML-22 MCG/0.5ML (6)
REBIF TITRATION PACK SUBCUTANEOUS
SYRINGE 8.8MCG/0.2ML-22 MCG/0.5ML (6)
Multiple Sclerosis, Oral
AMPYRA ORAL TABLET EXTENDED RELEASE 12
HR 10 MG
58
Status
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Drug
Status
More Details
GILENYA ORAL CAPSULE 0.5 MG
TECFIDERA ORAL CAPSULE,DELAYED
RELEASE(DR/EC) 120 MG, 120 MG (14)- 240 MG
(46), 240 MG
Muscle Relaxant
Muscle Relaxants
baclofen oral tablet 10 mg, 20 mg
chlorzoxazone oral tablet 500 mg
cyclobenzaprine oral tablet 10 mg, 5 mg, 7.5 mg
dantrolene oral capsule 100 mg, 25 mg, 50 mg
methocarbamol oral tablet 500 mg, 750 mg
tizanidine oral tablet 2 mg, 4 mg
Other Conditions
Other Agents
ACTHAR H.P. INJECTION GEL 80 UNIT/ML
ALFERON N INJECTION SOLUTION 5 MILLION
UNIT/ML
ARCALYST SUBCUTANEOUS RECON SOLN 220 MG
BUPHENYL ORAL TABLET 500 MG
CHEMET ORAL CAPSULE 100 MG
CYSTAGON ORAL CAPSULE 150 MG, 50 MG
desmopressin nasal aerosol,spray 10 mcg/spray
(0.1 ml)
desmopressin nasal solution 0.1 mg/ml
(refrigerate)
desmopressin nasal spray,non-aerosol 10
mcg/spray (0.1 ml)
desmopressin oral tablet 0.1 mg, 0.2 mg
59
Drug
ergoloid oral tablet 1 mg
ESBRIET ORAL CAPSULE 267 MG
EXJADE ORAL TABLET, DISPERSIBLE 125 MG, 250
MG, 500 MG
FERRIPROX ORAL TABLET 500 MG
ILARIS (PF) SUBCUTANEOUS RECON SOLN 180
MG/1.2 ML (150 MG/ML)
JADENU ORAL TABLET 180 MG, 360 MG, 90 MG
kionex oral powder
KUVAN ORAL POWDER IN PACKET 100 MG, 500
MG
KUVAN ORAL TABLET,SOLUBLE 100 MG
leucovorin calcium oral tablet 10 mg, 15 mg, 25
mg, 5 mg
levocarnitine (with sugar) oral solution 100 mg/ml
levocarnitine oral tablet 330 mg
marlexate oral powder
megestrol oral suspension 400 mg/10 ml (40
mg/ml)
MESTINON ORAL SYRUP 60 MG/5 ML
MESTINON TIMESPAN ORAL TABLET EXTENDED
RELEASE 180 MG
nifedipine oral capsule 10 mg, 20 mg
octreotide acetate injection solution 1,000
mcg/ml, 100 mcg/ml, 200 mcg/ml, 50 mcg/ml,
500 mcg/ml
octreotide acetate injection syringe 100 mcg/ml (1
ml), 50 mcg/ml (1 ml), 500 mcg/ml (1 ml)
OFEV ORAL CAPSULE 100 MG, 150 MG
60
Status
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Drug
Status
More Details
oxandrolone oral tablet 10 mg, 2.5 mg
pyridostigmine bromide oral tablet 60 mg
RAVICTI ORAL LIQUID 1.1 GRAM/ML
riluzole oral tablet 50 mg
SIGNIFOR SUBCUTANEOUS SOLUTION 0.3
MG/ML (1 ML), 0.6 MG/ML (1 ML), 0.9 MG/ML (1
ML)
sodium phenylbutyrate oral powder 0.94
gram/gram
sodium polystyrene (sorb free) oral suspension 15
gram/60 ml
sodium polystyrene sulfonate oral powder
sodium polystyrene sulfonate oral suspension 15
gram/60 ml
SOMAVERT SUBCUTANEOUS RECON SOLN 10
MG, 15 MG, 20 MG, 25 MG, 30 MG
XENAZINE ORAL TABLET 12.5 MG, 25 MG
Pain
Fibromyalgia / Neuropathic Pain
duloxetine oral capsule,delayed release(dr/ec) 20
mg, 30 mg, 60 mg
gabapentin oral capsule 100 mg, 300 mg, 400 mg
gabapentin oral solution 250 mg/5 ml, 250 mg/5
ml (5 ml), 300 mg/6 ml (6 ml)
gabapentin oral tablet 600 mg, 800 mg
lidocaine topical adhesive patch,medicated 5
%(700 mg/patch)
LYRICA ORAL CAPSULE 100 MG, 150 MG, 200
MG, 225 MG, 25 MG, 300 MG, 50 MG, 75 MG
LYRICA ORAL SOLUTION 20 MG/ML
SAVELLA ORAL TABLET 100 MG, 12.5 MG, 25 MG,
50 MG
61
Drug
SAVELLA ORAL TABLETS,DOSE PACK 12.5 MG (5)25 MG(8)-50 MG(42)
Non-Steroidal Anti-Inflammatories
celecoxib oral capsule 100 mg, 200 mg, 400 mg,
50 mg
diclofenac potassium oral tablet 50 mg
diclofenac sodium oral tablet extended release 24
hr 100 mg
diclofenac sodium oral tablet,delayed release
(dr/ec) 25 mg, 50 mg, 75 mg
etodolac oral capsule 200 mg, 300 mg
etodolac oral tablet 400 mg, 500 mg
etodolac oral tablet extended release 24 hr 400
mg, 500 mg, 600 mg
flurbiprofen oral tablet 100 mg, 50 mg
ibuprofen oral tablet 400 mg, 600 mg, 800 mg
INDOCIN ORAL SUSPENSION 25 MG/5 ML
indomethacin oral capsule 25 mg, 50 mg
ketorolac oral tablet 10 mg
meloxicam oral suspension 7.5 mg/5 ml
meloxicam oral tablet 15 mg, 7.5 mg
nabumetone oral tablet 500 mg, 750 mg
naproxen oral suspension 125 mg/5 ml
naproxen oral tablet 250 mg, 375 mg, 500 mg
naproxen oral tablet,delayed release (dr/ec) 375
mg, 500 mg
naproxen sodium oral tablet 275 mg, 550 mg
piroxicam oral capsule 10 mg, 20 mg
62
Status
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Drug
Status
More Details
salsalate oral tablet 500 mg, 750 mg
sulindac oral tablet 150 mg, 200 mg
tolmetin oral capsule 400 mg
tolmetin oral tablet 200 mg, 600 mg
Pain, Opioids
acetaminophen-codeine oral solution 120-12
mg/5 ml, 300 mg-30 mg /12.5 ml
acetaminophen-codeine oral tablet 300-15 mg,
300-30 mg, 300-60 mg
buprenorphine-naloxone sublingual tablet 2-0.5
mg, 8-2 mg
codeine sulfate oral tablet 15 mg, 30 mg, 60 mg
endocet oral tablet 10-325 mg, 2.5-325 mg, 5-325
mg, 7.5-325 mg
fentanyl transdermal patch 72 hour 100 mcg/hr,
12 mcg/hr, 25 mcg/hr, 37.5 mcg/hour, 50 mcg/hr,
62.5 mcg/hour, 75 mcg/hr, 87.5 mcg/hour
hydrocodone-acetaminophen oral solution 7.5325 mg/15 ml
hydrocodone-acetaminophen oral tablet 10-325
mg, 10-500 mg, 2.5-500 mg, 5-325 mg, 5-500 mg,
7.5-325 mg, 7.5-500 mg
hydrocodone-ibuprofen oral tablet 7.5-200 mg
hydromorphone oral liquid 1 mg/ml
hydromorphone oral tablet 2 mg, 4 mg, 8 mg
hydromorphone rectal suppository 3 mg
methadone oral concentrate 10 mg/ml
methadone oral solution 10 mg/5 ml, 5 mg/5 ml
methadone oral tablet 10 mg, 5 mg
methadone oral tablet,soluble 40 mg
63
Drug
morphine concentrate oral solution 100 mg/5 ml
(20 mg/ml)
morphine oral solution 10 mg/5 ml, 20 mg/5 ml
MORPHINE ORAL TABLET 15 MG, 30 MG
morphine oral tablet extended release 100 mg,
200 mg
morphine oral tablet extended release 15 mg, 30
mg, 60 mg
morphine rectal suppository 10 mg, 20 mg, 30 mg,
5 mg
oxycodone oral capsule 5 mg
oxycodone oral concentrate 20 mg/ml
oxycodone oral solution 5 mg/5 ml
oxycodone oral tablet 10 mg, 15 mg, 20 mg, 5 mg
oxycodone oral tablet 30 mg
oxycodone oral tablet,oral only,ext.rel.12 hr 10
mg, 20 mg, 40 mg
oxycodone oral tablet,oral only,ext.rel.12 hr 80 mg
oxycodone-acetaminophen oral capsule 5-500 mg
oxycodone-acetaminophen oral tablet 10-325 mg,
5-325 mg, 7.5-325 mg, 7.5-500 mg
oxycodone-aspirin oral tablet 4.8355-325 mg
OXYCONTIN ORAL TABLET,ORAL
ONLY,EXT.REL.12 HR 10 MG, 15 MG, 20 MG, 30
MG, 40 MG
OXYCONTIN ORAL TABLET,ORAL
ONLY,EXT.REL.12 HR 60 MG, 80 MG
roxicet oral solution 5-325 mg/5 ml
SUBOXONE SUBLINGUAL FILM 12-3 MG, 2-0.5
MG, 4-1 MG, 8-2 MG
Pain, Other
64
Status
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Drug
Status
More Details
butalbital compound oral tablet 50-325-40 mg
butalbital-acetaminophen oral tablet 50-325 mg
butalbital-acetaminophen-caff oral tablet 50-32540 mg, 50-500-40 mg
butalbital-aspirin-caffeine oral capsule 50-325-40
mg
butalbital-aspirin-caffeine oral tablet 50-325-40
mg
tramadol oral tablet 50 mg
Pain, Topical
lidocaine topical ointment 5 %
lidocaine-prilocaine topical cream 2.5-2.5 %
VOLTAREN TOPICAL GEL 1 %
Parkinson's
Parkinson's
amantadine hcl oral capsule 100 mg
amantadine hcl oral solution 50 mg/5 ml
AZILECT ORAL TABLET 0.5 MG, 1 MG
benztropine oral tablet 0.5 mg, 1 mg, 2 mg
bromocriptine oral capsule 5 mg
bromocriptine oral tablet 2.5 mg
carbidopa oral tablet 25 mg
carbidopa-levodopa oral tablet 10-100 mg, 25-100
mg, 25-250 mg
carbidopa-levodopa oral tablet extended release
25-100 mg, 50-200 mg
65
Drug
carbidopa-levodopa-entacapone oral tablet 12.550-200 mg, 18.75-75-200 mg, 25-100-200 mg,
31.25-125-200 mg, 37.5-150-200 mg, 50-200-200
mg
entacapone oral tablet 200 mg
MIRAPEX ER ORAL TABLET EXTENDED RELEASE
24 HR 2.25 MG, 3 MG, 3.75 MG, 4.5 MG
NEUPRO TRANSDERMAL PATCH 24 HOUR 1
MG/24 HOUR, 2 MG/24 HOUR, 3 MG/24 HOUR,
4 MG/24 HOUR, 6 MG/24 HOUR, 8 MG/24 HOUR
pramipexole oral tablet 0.125 mg, 0.25 mg, 0.5
mg, 0.75 mg, 1 mg, 1.5 mg
pramipexole oral tablet extended release 24 hr
0.375 mg, 0.75 mg, 1.5 mg
ropinirole oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg,
3 mg, 4 mg, 5 mg
ropinirole oral tablet extended release 24 hr 12
mg, 2 mg, 4 mg, 6 mg, 8 mg
RYTARY ORAL CAPSULE, EXTENDED RELEASE
23.75-95 MG, 36.25-145 MG, 48.75-195 MG,
61.25-245 MG
selegiline hcl oral capsule 5 mg
selegiline hcl oral tablet 5 mg
trihexyphenidyl oral elixir 0.4 mg/ml
trihexyphenidyl oral tablet 2 mg, 5 mg
Pulmonary Hypertension
Pulmonary Hypertension
ADEMPAS ORAL TABLET 0.5 MG, 1 MG, 1.5 MG, 2
MG, 2.5 MG
EPOPROSTENOL (GLYCINE) INTRAVENOUS
RECON SOLN 1.5 MG
FLOLAN INTRAVENOUS RECON SOLN 1.5 MG
LETAIRIS ORAL TABLET 10 MG, 5 MG
OPSUMIT ORAL TABLET 10 MG
66
Status
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Drug
REMODULIN INJECTION SOLUTION 1 MG/ML, 10
MG/ML, 2.5 MG/ML, 5 MG/ML
REVATIO ORAL SUSPENSION FOR
RECONSTITUTION 10 MG/ML
Status
More Details
sildenafil oral tablet 20 mg
TRACLEER ORAL TABLET 125 MG, 62.5 MG
TYVASO INHALATION SOLUTION FOR
NEBULIZATION 1.74 MG/2.9 ML (0.6 MG/ML)
TYVASO REFILL KIT INHALATION SOLUTION FOR
NEBULIZATION 1.74 MG/2.9 ML (0.6 MG/ML)
TYVASO STARTER KIT INHALATION SOLUTION
FOR NEBULIZATION 1.74 MG/2.9 ML
VELETRI INTRAVENOUS RECON SOLN 0.5 MG
VELETRI INTRAVENOUS RECON SOLN 1.5 MG
VENTAVIS INHALATION SOLUTION FOR
NEBULIZATION 10 MCG/ML, 20 MCG/ML
Seizures / Epilepsy
Seizures / Epilepsy
mg
APTIOM ORAL TABLET 200 MG, 400 MG, 600 MG,
800 MG
BANZEL ORAL SUSPENSION 40 MG/ML
BANZEL ORAL TABLET 200 MG, 400 MG
carbamazepine oral capsule, er multiphase 12 hr
100 mg, 200 mg, 300 mg
carbamazepine oral suspension 100 mg/5 ml, 100
mg/5 ml (5 ml)
carbamazepine oral tablet 200 mg
carbamazepine oral tablet extended release 12 hr
200 mg, 400 mg
carbamazepine oral tablet,chewable 100 mg
67
Drug
clonazepam oral tablet 0.5 mg, 1 mg, 2 mg
diazepam intensol oral concentrate 5 mg/ml
diazepam oral solution 5 mg/5 ml
diazepam oral tablet 10 mg, 2 mg, 5 mg
diazepam rectal kit 12.5-15-17.5-20 mg, 2.5 mg,
5-7.5-10 mg
DILANTIN KAPSEAL ORAL CAPSULE 30 MG
DILANTIN ORAL CAPSULE 30 MG
mg, 500 mg
mg, 250 mg, 500 mg
ethosuximide oral capsule 250 mg
ethosuximide oral solution 250 mg/5 ml
felbamate oral suspension 600 mg/5 ml
felbamate oral tablet 400 mg, 600 mg
FYCOMPA ORAL TABLET 10 MG, 12 MG, 2 MG, 4
MG, 6 MG, 8 MG
gabapentin oral capsule 100 mg, 300 mg, 400 mg
gabapentin oral solution 250 mg/5 ml, 250 mg/5
ml (5 ml), 300 mg/6 ml (6 ml)
gabapentin oral tablet 600 mg, 800 mg
GABITRIL ORAL TABLET 12 MG, 16 MG
LAMICTAL ORAL TABLET, CHEWABLE
DISPERSIBLE 2 MG
lamotrigine oral tablet 100 mg, 150 mg, 200 mg,
25 mg
68
Status
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Drug
lamotrigine oral tablet, chewable dispersible 25
mg, 5 mg
lamotrigine oral tablet,disintegrating 100 mg, 200
mg, 25 mg, 50 mg
Status
More Details
lamotrigine oral tablets,dose pack 25 mg (35)
levetiracetam oral solution 100 mg/ml
levetiracetam oral tablet 1,000 mg, 250 mg, 500
mg, 750 mg
LYRICA ORAL CAPSULE 100 MG, 150 MG, 200
MG, 225 MG, 25 MG, 300 MG, 50 MG, 75 MG
LYRICA ORAL SOLUTION 20 MG/ML
ONFI ORAL SUSPENSION 2.5 MG/ML
ONFI ORAL TABLET 10 MG, 20 MG, 5 MG
oxcarbazepine oral suspension 300 mg/5 ml
oxcarbazepine oral tablet 150 mg, 300 mg, 600
mg
phenobarbital oral elixir 20 mg/5 ml
phenobarbital oral tablet 100 mg, 15 mg, 16.2
mg, 30 mg, 60 mg
phenytoin oral suspension 125 mg/5 ml
phenytoin oral tablet,chewable 50 mg
phenytoin sodium extended oral capsule 100 mg,
200 mg, 300 mg
POTIGA ORAL TABLET 200 MG, 300 MG, 400 MG,
50 MG
primidone oral tablet 250 mg, 50 mg
SABRIL ORAL POWDER IN PACKET 500 MG
SABRIL ORAL TABLET 500 MG
TEGRETOL XR ORAL TABLET EXTENDED RELEASE
12 HR 100 MG
69
Drug
tiagabine oral tablet 2 mg, 4 mg
topiramate oral capsule, sprinkle 15 mg, 25 mg
topiramate oral tablet 100 mg, 200 mg, 25 mg, 50
mg
valproic acid (as sodium salt) oral solution 250
mg/5 ml, 500 mg/10 ml (10 ml)
valproic acid oral capsule 250 mg
VIMPAT ORAL SOLUTION 10 MG/ML
VIMPAT ORAL TABLET 100 MG, 150 MG, 200 MG,
50 MG
zonisamide oral capsule 100 mg, 25 mg, 50 mg
Skin Conditions
Acne, Oral
amnesteem oral capsule 10 mg, 20 mg, 40 mg
claravis oral capsule 10 mg, 20 mg, 30 mg, 40 mg
myorisan oral capsule 10 mg, 20 mg, 40 mg
sotret oral capsule 20 mg, 40 mg
zenatane oral capsule 10 mg, 20 mg, 40 mg
Acne, Topical
ACZONE TOPICAL GEL 5 %
adapalene topical cream 0.1 %
adapalene topical gel 0.1 %, 0.3 %
adapalene topical gel with pump 0.3 %
avita topical cream 0.025 %
avita topical gel 0.025 %
70
Status
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Drug
Status
More Details
AZELEX TOPICAL CREAM 20 %
cerisa topical cleanser 10-1 %
clindamycin phosphate topical gel 1 %
clindamycin phosphate topical lotion 1 %
clindamycin phosphate topical solution 1 %
clindamycin phosphate topical swab 1 %
erythromycin with ethanol topical gel 2 %
erythromycin with ethanol topical solution 2 %
sulfacetamide sodium (acne) topical suspension
10 %
sulfacetamide sodium-sulfur topical cleanser 10-5
% (w/w)
sulfacetamide sodium-sulfur topical cream 10-5 %
(w/w)
sulfacetamide sodium-sulfur topical lotion 10-5 %
(w/v), 10-5 % (w/w)
sulfacetamide sod-sulfur-urea topical cleanser 105-10 %
tretinoin microspheres topical gel 0.04 %, 0.1 %
tretinoin microspheres topical gel with pump 0.04
%, 0.1 %
tretinoin topical cream 0.025 %, 0.05 %, 0.1 %
tretinoin topical gel 0.01 %, 0.025 %
Antifungals, Topical
ciclopirox topical cream 0.77 %
ciclopirox topical gel 0.77 %
ciclopirox topical solution 8 %
71
Drug
ciclopirox topical suspension 0.77 %
econazole topical cream 1 %
EXELDERM TOPICAL CREAM 1 %
EXELDERM TOPICAL SOLUTION 1 %
ketoconazole topical cream 2 %
ketoconazole topical shampoo 2 %
nystatin topical cream 100,000 unit/gram
nystatin topical ointment 100,000 unit/gram
nystatin topical powder 100,000 unit/gram
Anti-Infectives, Topical
ALTABAX TOPICAL OINTMENT 1 %
gentamicin topical cream 0.1 %
gentamicin topical ointment 0.1 %
mupirocin calcium topical cream 2 %
mupirocin topical ointment 2 %
silver sulfadiazine topical cream 1 %
Corticosteroids, Topical
APEXICON E TOPICAL CREAM 0.05 %
betamethasone dipropionate topical cream 0.05 %
betamethasone dipropionate topical lotion 0.05 %
betamethasone dipropionate topical ointment
0.05 %
betamethasone valerate topical cream 0.1 %
72
Status
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Drug
Status
More Details
betamethasone valerate topical lotion 0.1 %
betamethasone valerate topical ointment 0.1 %
betamethasone, augmented topical cream 0.05 %
betamethasone, augmented topical gel 0.05 %
betamethasone, augmented topical lotion 0.05 %
betamethasone, augmented topical ointment 0.05
%
clobetasol topical cream 0.05 %
clobetasol topical gel 0.05 %
clobetasol topical ointment 0.05 %
clobetasol topical solution 0.05 %
clobetasol-emollient topical cream 0.05 %
CORDRAN TAPE LARGE ROLL TOPICAL TAPE 4
MCG/CM2
CORDRAN TAPE SMALL ROLL TOPICAL TAPE 4
MCG/CM2
desonide topical cream 0.05 %
desonide topical lotion 0.05 %
desonide topical ointment 0.05 %
desoximetasone topical cream 0.05 %, 0.25 %
desoximetasone topical gel 0.05 %
desoximetasone topical ointment 0.25 %
fluocinolone topical cream 0.01 %, 0.025 %
fluocinolone topical oil 0.01 %
73
Drug
fluocinolone topical ointment 0.025 %
fluocinolone-shower cap topical oil 0.01 %
fluocinonide topical cream 0.05 %
fluocinonide topical gel 0.05 %
fluocinonide topical ointment 0.05 %
fluocinonide topical solution 0.05 %
fluocinonide-emollient topical cream 0.05 %
fluticasone topical cream 0.05 %
fluticasone topical ointment 0.005 %
hydrocortisone topical cream 2.5 %
hydrocortisone topical lotion 2.5 %
hydrocortisone topical ointment 2.5 %
hydrocortisone valerate topical cream 0.2 %
hydrocortisone valerate topical ointment 0.2 %
hydrocortisone-pramoxine topical cream 2.5-1 %
iodoquinol-hc topical cream 1-1 %
lokara topical lotion 0.05 %
mometasone topical cream 0.1 %
mometasone topical ointment 0.1 %
mometasone topical solution 0.1 %
triamcinolone acetonide topical cream 0.025 %,
0.1 %, 0.5 %
74
Status
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Drug
triamcinolone acetonide topical lotion 0.025 %,
0.1 %
triamcinolone acetonide topical ointment 0.025 %,
0.1 %, 0.5 %
Status
More Details
triderm topical cream 0.1 %
Lice / Scabies, Topical
EURAX TOPICAL CREAM 10 %
EURAX TOPICAL LOTION 10 %
malathion topical lotion 0.5 %
permethrin topical cream 5 %
Psoriasis, Other
acitretin oral capsule 10 mg, 17.5 mg, 25 mg
ENBREL SUBCUTANEOUS RECON SOLN 25 MG (1
ML)
ENBREL SUBCUTANEOUS SYRINGE 25 MG/0.5ML
(0.51), 50 MG/ML (0.98 ML)
ENBREL SURECLICK SUBCUTANEOUS PEN
INJECTOR 50 MG/ML (0.98 ML)
40 MG/0.8 ML
MG/0.2 ML, 20 MG/0.4 ML, 40 MG/0.8 ML
Psoriasis, Topical
calcipotriene topical cream 0.005 %
calcipotriene topical ointment 0.005 %
calcipotriene topical solution 0.005 %
calcipotriene-betamethasone topical ointment
0.005-0.064 %
calcitriol topical ointment 3 mcg/gram
75
Drug
DRITHOCREME HP TOPICAL CREAM 1 %
TACLONEX TOPICAL SUSPENSION 0.005-0.064 %
TAZORAC TOPICAL CREAM 0.05 %, 0.1 %
TAZORAC TOPICAL GEL 0.05 %, 0.1 %
Rosacea
cerisa topical cleanser 10-1 %
FINACEA TOPICAL GEL 15 %
metronidazole topical cream 0.75 %
metronidazole topical gel 0.75 %, 1 %
metronidazole topical lotion 0.75 %
NORITATE TOPICAL CREAM 1 %
sulfacetamide sodium-sulfur topical cleanser 10-5
% (w/w)
sulfacetamide sodium-sulfur topical cream 10-5 %
(w/w)
sulfacetamide sodium-sulfur topical lotion 10-5 %
(w/v), 10-5 % (w/w)
sulfacetamide sod-sulfur-urea topical cleanser 105-10 %
Skin Conditions, Other
ammonium lactate topical cream 12 %
ammonium lactate topical lotion 12 %
CONDYLOX TOPICAL GEL 0.5 %
ELIDEL TOPICAL CREAM 1 %
FLUOROPLEX TOPICAL CREAM 1 %
fluorouracil topical cream 0.5 %, 5 %
76
Status
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Drug
Status
More Details
fluorouracil topical solution 2 %, 5 %
granulex topical aerosol,spray 0.12-87 mg/gram
hypercare topical solution 20 %
imiquimod topical cream in packet 5 %
OXSORALEN TOPICAL LOTION 1 %
PICATO TOPICAL GEL 0.015 %, 0.05 %
podofilox topical solution 0.5 %
selenium sulfide topical suspension 2.5 %
tacrolimus topical ointment 0.03 %, 0.1 %
urea topical cream 40 %
urea topical gel 40 %
urea topical lotion 40 %
urea topical nail film suspension 40 %
Sleep Disorders
Insomnia
temazepam oral capsule 15 mg, 30 mg
zaleplon oral capsule 10 mg, 5 mg
zolpidem oral tablet 10 mg, 5 mg
zolpidem oral tablet,ext release multiphase 12.5
mg, 6.25 mg
Narcolepsy / Excessive Sleepiness
modafinil oral tablet 100 mg, 200 mg
NUVIGIL ORAL TABLET 150 MG, 200 MG, 250
MG, 50 MG
77
Drug
XYREM ORAL SOLUTION 500 MG/ML
Smoking Cessation
Nicotine Replacement
nicotine (polacrilex) buccal gum 2 mg, 4 mg
nicotine (polacrilex) buccal lozenge 2 mg, 4 mg
nicotine transdermal patch 24 hour 14 mg/24 hr,
21 mg/24 hr, 22 mg/24 hr, 7 mg/24 hr
NICOTROL INHALATION CARTRIDGE 10 MG
NICOTROL NS NASAL SPRAY,NON-AEROSOL 10
MG/ML
Smoking Cessation, Other
buproban oral tablet extended release 150 mg
CHANTIX CONTINUING MONTH BOX ORAL
TABLET 1 MG
CHANTIX CONTINUING MONTH PAK ORAL
TABLET 1 MG
CHANTIX ORAL TABLET 0.5 MG, 1 MG
CHANTIX STARTING MONTH BOX ORAL
TABLETS,DOSE PACK 0.5 MG (11)- 1 MG (42)
CHANTIX STARTING MONTH PAK ORAL
TABLETS,DOSE PACK 0.5 MG (11)- 1 MG (42)
Stomach / Gastrointestinal
Bowel Prep
gavilyte-c oral recon soln 240-22.72-6.72 gram
gavilyte-g oral recon soln 236-22.74-6.74 gram
gavilyte-n oral recon soln 420 gram
MOVIPREP ORAL POWDER IN PACKET 100-7.52.691 GRAM
Constipation
AMITIZA ORAL CAPSULE 24 MCG, 8 MCG
78
Status
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Drug
Status
More Details
enulose oral solution 10 gram/15 ml
lactulose oral solution 10 gram/15 ml
LINZESS ORAL CAPSULE 145 MCG, 290 MCG
RELISTOR SUBCUTANEOUS KIT 12 MG/0.6 ML
RELISTOR SUBCUTANEOUS SOLUTION 12 MG/0.6
ML
RELISTOR SUBCUTANEOUS SYRINGE 12 MG/0.6
ML, 8 MG/0.4 ML
Crohn's Disease / Ulcerative Colitis
ASACOL HD ORAL TABLET,DELAYED RELEASE
(DR/EC) 800 MG
balsalazide oral capsule 750 mg
budesonide oral capsule,delayed,extend.release 3
mg
CANASA RECTAL SUPPOSITORY 1,000 MG
DELZICOL ORAL CAPSULE,DELAYED
RELEASE(DR/EC) 400 MG
40 MG/0.8 ML
MG/0.2 ML, 20 MG/0.4 ML, 40 MG/0.8 ML
LIALDA ORAL TABLET,DELAYED RELEASE (DR/EC)
1.2 GRAM
mesalamine rectal enema 4 gram/60 ml
PENTASA ORAL CAPSULE, EXTENDED RELEASE
250 MG, 500 MG
sulfasalazine oral tablet 500 mg
sulfasalazine oral tablet,delayed release (dr/ec)
500 mg
Nausea / Vomiting
dronabinol oral capsule 10 mg, 2.5 mg, 5 mg
EMEND ORAL CAPSULE 125 MG, 40 MG, 80 MG
79
Drug
EMEND ORAL CAPSULE,DOSE PACK 125 MG (1)80 MG (2)
metoclopramide hcl oral solution 5 mg/5 ml
metoclopramide hcl oral tablet 10 mg, 5 mg
ondansetron hcl oral solution 4 mg/5 ml
ondansetron hcl oral tablet 24 mg, 4 mg, 8 mg
ondansetron oral tablet,disintegrating 4 mg, 8 mg
prochlorperazine maleate oral tablet 10 mg, 5 mg
prochlorperazine rectal suppository 25 mg
promethazine oral syrup 6.25 mg/5 ml
promethazine oral tablet 12.5 mg, 25 mg, 50 mg
promethazine rectal suppository 12.5 mg, 25 mg,
50 mg
TRANSDERM-SCOP TRANSDERMAL PATCH 72
HOUR 1.5 MG (1 MG OVER 3 DAYS)
trimethobenzamide oral capsule 300 mg
Stomach / Gastrointestinal, Other
alosetron oral tablet 0.5 mg, 1 mg
CARBAGLU ORAL TABLET, DISPERSIBLE 200 MG
CUVPOSA ORAL SOLUTION 1 MG/5 ML (0.2
MG/ML)
dicyclomine oral capsule 10 mg
dicyclomine oral solution 10 mg/5 ml
dicyclomine oral tablet 20 mg
diphenoxylate-atropine oral liquid 2.5-0.025 mg/5
ml
diphenoxylate-atropine oral tablet 2.5-0.025 mg
80
Status
More Details
Drug
FULYZAQ ORAL TABLET,DELAYED RELEASE
(DR/EC) 125 MG
Status
More Details
glycopyrrolate oral tablet 1 mg, 2 mg
hyoscyamine sulfate oral drops 0.125 mg/ml
hyoscyamine sulfate oral elixir 0.125 mg/5 ml
hyoscyamine sulfate oral tablet 0.125 mg
hyoscyamine sulfate oral tablet extended release
12 hr 0.375 mg
hyoscyamine sulfate oral tablet,disintegrating
0.125 mg
hyoscyamine sulfate sublingual tablet 0.125 mg
MOVANTIK ORAL TABLET 12.5 MG, 25 MG
paregoric oral liquid 2 mg/5 ml
propantheline oral tablet 15 mg
ursodiol oral capsule 300 mg
ursodiol oral tablet 250 mg, 500 mg
Stomach / Gastrointestinal, Rectal
CORTIFOAM RECTAL FOAM 10 % (80 MG)
hydrocortisone acetate rectal suppository 25 mg
hydrocortisone rectal enema 100 mg/60 ml
hydrocortisone-pramoxine rectal cream 1-1 %,
2.5-1 %
PROCTOFOAM HC RECTAL FOAM 1-1 %
proctosol hc rectal cream 2.5 %
Ulcers / Heartburn / GERD
CARAFATE ORAL SUSPENSION 100 MG/ML
81
Drug
cimetidine hcl oral solution 300 mg/5 ml
cimetidine oral tablet 300 mg, 400 mg, 800 mg
famotidine oral tablet 20 mg, 40 mg
lansoprazole oral capsule,delayed release(dr/ec)
15 mg, 30 mg
misoprostol oral tablet 100 mcg, 200 mcg
omeprazole oral capsule,delayed release(dr/ec) 10
mg, 20 mg, 40 mg
pantoprazole oral tablet,delayed release (dr/ec)
20 mg, 40 mg
PREVACID SOLUTAB ORAL TABLET,DISINTEGRAT,
DELAY REL 15 MG, 30 MG
ranitidine hcl oral syrup 15 mg/ml
ranitidine hcl oral tablet 150 mg, 300 mg
sucralfate oral suspension 100 mg/ml
sucralfate oral tablet 1 gram
Thyroid
Antithyroid Agents
methimazole oral tablet 10 mg, 5 mg
propylthiouracil oral tablet 50 mg
Thyroid Agents
levothyroxine oral tablet 100 mcg, 112 mcg, 125
mcg, 137 mcg, 150 mcg, 175 mcg, 200 mcg, 25
mcg, 300 mcg, 50 mcg, 75 mcg, 88 mcg
liothyronine oral tablet 25 mcg, 5 mcg, 50 mcg
SYNTHROID ORAL TABLET 100 MCG, 112 MCG,
125 MCG, 137 MCG, 150 MCG, 175 MCG, 200
MCG, 25 MCG, 300 MCG, 50 MCG, 75 MCG, 88
MCG
Urinary & Bladder Health
Overactive Bladder
82
Status
More Details
Drug
MYRBETRIQ ORAL TABLET EXTENDED RELEASE 24
HR 25 MG, 50 MG
Status
More Details
oxybutynin chloride oral syrup 5 mg/5 ml
oxybutynin chloride oral tablet 5 mg
oxybutynin chloride oral tablet extended release
24hr 10 mg, 15 mg, 5 mg
tolterodine oral capsule,extended release 24hr 2
mg, 4 mg
tolterodine oral tablet 1 mg, 2 mg
trospium oral tablet 20 mg
VESICARE ORAL TABLET 10 MG, 5 MG
Urinary & Bladder Health, Other
bethanechol chloride oral tablet 10 mg, 25 mg, 5
mg, 50 mg
cytra-2 oral solution 500-334 mg/5 ml
cytra-3 oral solution 550-500-334 mg/5 ml
cytra-k oral solution 1,100-334 mg/5 ml
ELMIRON ORAL CAPSULE 100 MG
phenazopyridine oral tablet 100 mg, 200 mg
phospha 250 neutral oral tablet 250 mg
pot & sod citrate-citric acid oral solution 550-500334 mg/5 ml
potassium citrate oral tablet extended release 10
meq (1,080 mg), 15 meq, 5 meq (540 mg)
potassium citrate-citric acid oral solution 1,100334 mg/5 ml
sodium citrate-citric acid oral solution 500-334
mg/5 ml
tricitrates oral solution 550-500-334 mg/5 ml
83
Drug
virt-phos 250 neutral oral tablet 250 mg
Vaccines
Vaccines
FLUARIX 2014-2015 (PF) INTRAMUSCULAR
SYRINGE 45 MCG (15 MCG X 3)/0.5 ML
FLUARIX QUAD 2014-2015 (PF) INTRAMUSCULAR
FLUCELVAX 2014-2015 (PF) INTRAMUSCULAR
SYRINGE 45 MCG (15 MCG X 3)0.5 ML
FLULAVAL 2014-2015 (PF) INTRAMUSCULAR
FLULAVAL 2014-2015 INTRAMUSCULAR
SUSPENSION 45 MCG (15 MCG X 3)/0.5 ML
FLULAVAL QUAD 2014-2015 (PF)
INTRAMUSCULAR SYRINGE 60 MCG (15 MCG X
4)/0.5 ML
FLULAVAL QUAD 2014-2015 INTRAMUSCULAR
FLUVIRIN 2014-2015 (PF) INTRAMUSCULAR
FLUVIRIN 2014-2015 INTRAMUSCULAR
FLUZONE 2014-2015 (PF) INTRAMUSCULAR
FLUZONE 2014-2015 INTRAMUSCULAR
FLUZONE HIGH-DOSE 2014-15 (PF)
INTRAMUSCULAR SYRINGE 180 MCG/0.5 ML
FLUZONE INTRADERM QUAD 2014-15
INTRADERMAL SYRINGE 36 MCG/0.1 ML
FLUZONE QUAD 2014-2015 (PF)
INTRAMUSCULAR SUSPENSION 60 MCG (15 MCG
X 4)/0.5 ML
FLUZONE QUAD 2014-2015 (PF)
INTRAMUSCULAR SYRINGE 60 MCG (15 MCG X
4)/0.5 ML
FLUZONE QUAD 2014-2015 INTRAMUSCULAR
FLUZONE QUAD PEDI 2014-15 (PF)
INTRAMUSCULAR SYRINGE 30 MCG (7.5 MCG X
4)/0.25 ML
84
Status
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Drug
SINGLE USE EZ FLU 2014-15(PF)
INTRAMUSCULAR SYRINGE KIT 45 MCG (15 MCG
X3)/0.5 ML
VIVOTIF BERNA VACCINE ORAL
CAPSULE,DELAYED RELEASE(DR/EC) 2 BILLION
UNIT
Status
More Details
Vitamins And Minerals
Vitamins And Minerals
calcitriol oral capsule 0.25 mcg, 0.5 mcg
calcitriol oral solution 1 mcg/ml
completenate oral tablet,chewable 29-1 mg
cyanocobalamin (vitamin b-12) injection solution
1,000 mcg/ml
denta 5000 plus dental cream 1.1 %
dentagel dental gel 1.1 %
ergocalciferol (vitamin d2) oral capsule 50,000
unit
fabb oral tablet 2.2-25-1 mg
fluoridex daily defense dental gel 1.1 %
folbee plus oral tablet 5 mg
folic acid oral tablet 1 mg
inatal advance oral tablet 90-1-50 mg
inatal ultra oral tablet 90-1-50 mg
MEPHYTON ORAL TABLET 5 MG
multi-vitamin with fluoride oral drops 0.25 mg/ml,
0.5 mg/ml
multi-vitamin with fluoride oral tablet,chewable
0.25 mg, 0.5 mg, 1 mg
multivitamins with fluoride oral tablet,chewable
0.25 mg, 0.5 mg, 1 mg
mynatal advance oral tablet 90-1-50 mg
85
Drug
mynatal oral tablet 90-1-50 mg
mynatal plus oral tablet 65-1 mg
mynatal-z oral tablet 65-1 mg
mynate 90 plus oral tablet extended release 90
mg iron-1 mg
mynephrocaps oral capsule 1 mg
natal-v rx oral tablet 29 mg iron- 1 mg
nephrocaps oral capsule 1 mg
o-cal prenatal oral tablet 15-1 mg
pediatric multivitamin-fl oral drops 0.25 mg/ml
poly-vitamin with fluoride oral drops 0.5 mg/ml
prenaplus oral tablet 27-1 mg
prenatabs fa oral tablet 29-1 mg
prenatabs rx oral tablet 29 mg iron- 1 mg
prenatal ad oral tablet 90-1-50 mg
prenatal low iron oral tablet 27-1 mg
prenatal plus (calcium carb) oral tablet 27 mg
iron- 1 mg
prenatal plus oral tablet 29 mg iron- 1 mg
prenatal plus with iron (ca) oral tablet 29 mg iron1 mg
purefe ob plus oral capsule 106 mg iron- 1 mg
purefe plus oral capsule 106 mg iron- 1 mg
QUFLORA PEDIATRIC DROPS ORAL DROPS
0.25MG FLUORIDE (0.55 MG)/ML, 0.5 MG
FLUORIDE (1.1 MG)/ML
renal caps oral capsule 1 mg
86
Status
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Drug
Status
More Details
reno caps oral capsule 1 mg
se-natal 19 (with docusate) oral tablet 29 mg iron1 mg-25 mg
se-natal 19 oral tablet,chewable 29 mg iron- 1 mg
sf 5000 plus dental cream 1.1 %
sf dental gel 1.1 %
sodium fluoride dental solution 0.2 %
sodium fluoride oral drops 0.5 mg fluoride (1.1
mg)/ml
sodium fluoride oral tablet 1 mg fluoride (2.2 mg)
sodium fluoride oral tablet,chewable 0.25 mg
fluorid (0.55 mg), 0.5 mg fluoride (1.1 mg), 1 mg
fluoride (2.2 mg)
tl gard rx oral tablet 2.2-25-1 mg
triadvance oral tablet 90-1-50 mg
trinatal gt oral tablet 90-1-50 mg
trinatal ultra oral tablet 90-1-50 mg
trinate oral tablet 28-1 mg
triphrocaps oral capsule 1 mg
triple vitamin with fluoride oral drops 0.25 mg
fluor. (0.55 mg)/ml
tri-vitamin with fluoride oral drops 0.25 mg fluor.
(0.55 mg)/ml, 0.5 mg fluoride (1.1 mg)/ml
vinate az oral tablet 27-1 mg
vinate care oral tablet,chewable 40 mg iron- 1 mg
vinate gt oral tablet 90-1-50 mg
vinate m oral tablet 27-1 mg
vinate one oral tablet 60 mg iron-1 mg
87
Drug
vinate ultra oral tablet 90-1-50 mg
vitamin b-12 injection solution 1,000 mcg/ml
vitamin d2 oral capsule 50,000 unit
vitamins a,c,d & fluoride oral drops 0.25 mg fluor.
(0.55 mg)/ml
vol-plus oral tablet 27-1 mg
vol-tab rx oral tablet 29 mg iron- 1 mg
Weight Loss
Weight Loss
ALLI ORAL CAPSULE 60 MG
phentermine oral capsule 15 mg, 30 mg, 37.5 mg
phentermine oral tablet 37.5 mg
XENICAL ORAL CAPSULE 120 MG
Women's Health
Anti-Infectives, Vaginal
CLEOCIN VAGINAL SUPPOSITORY 100 MG
clindamycin phosphate vaginal cream 2 %
metronidazole vaginal gel 0.75 %
terconazole vaginal cream 0.4 %, 0.8 %
terconazole vaginal suppository 80 mg
Estrogens, Vaginal
ESTRACE VAGINAL CREAM 0.01 % (0.1
MG/GRAM)
ESTRING VAGINAL RING 2 MG
PREMARIN VAGINAL CREAM 0.625 MG/GRAM
88
Status
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Drug
Status
More Details
VAGIFEM VAGINAL TABLET 10 MCG
Hormone Replacement
CLIMARA PRO TRANSDERMAL PATCH WEEKLY
0.045-0.015 MG/24 HR
COMBIPATCH TRANSDERMAL PATCH
SEMIWEEKLY 0.05-0.14 MG/24 HR, 0.05-0.25
MG/24 HR
estradiol oral tablet 0.5 mg, 1 mg, 2 mg
estradiol transdermal patch semiweekly 0.025
mg/24 hr, 0.0375 mg/24 hr, 0.05 mg/24 hr, 0.075
mg/24 hr, 0.1 mg/24 hr
estradiol transdermal patch weekly 0.025 mg/24
hr, 0.0375 mg/24 hr, 0.05 mg/24 hr, 0.06 mg/24
hr, 0.075 mg/24 hr, 0.1 mg/24 hr
estradiol-norethindrone acet oral tablet 0.5-0.1
mg, 1-0.5 mg
estropipate oral tablet 0.75 mg, 1.5 mg, 3 mg
jinteli oral tablet 1-5 mg-mcg
medroxyprogesterone oral tablet 10 mg, 2.5 mg, 5
mg
mimvey lo oral tablet 0.5-0.1 mg
mimvey oral tablet 1-0.5 mg
norethindrone acetate oral tablet 5 mg
norethindrone ac-eth estradiol oral tablet 0.5-2.5
mg-mcg
PREMARIN ORAL TABLET 0.3 MG, 0.45 MG, 0.625
MG, 0.9 MG, 1.25 MG
PREMPHASE ORAL TABLET 0.625 MG (14)/
0.625MG-5MG(14)
PREMPRO ORAL TABLET 0.3-1.5 MG, 0.45-1.5
MG, 0.625-2.5 MG, 0.625-5 MG
progesterone micronized oral capsule 100 mg, 200
mg
Women's Health, Other
cabergoline oral tablet 0.5 mg
89
Drug
danazol oral capsule 100 mg, 200 mg, 50 mg
methylergonovine oral tablet 0.2 mg
nifedipine oral capsule 10 mg, 20 mg
raloxifene oral tablet 60 mg
tranexamic acid oral tablet 650 mg
90
Status
More Details
Index
A
abacavir ................................ 10
abacavir-lamivudinezidovudine ........................ 11
ABILIFY .................................. 18
ABILIFY DISCMELT................. 18
acamprosate ........................... 3
acarbose ............................... 38
acetaminophen-codeine ...... 63
acetazolamide .......... 43, 51, 67
acetic acid ............................. 40
acetylcysteine ....................... 36
acitretin ................................ 75
ACTHAR H.P. ......................... 59
ACUVAIL (PF) ........................ 42
acyclovir.......................... 13, 14
ACZONE ................................ 70
adapalene ............................. 70
adderall xr............................. 19
adefovir .................................. 9
ADEMPAS ............................. 66
ADVAIR DISKUS..................... 17
ADVAIR HFA .......................... 17
ADVATE................................. 29
AFINITOR .............................. 32
AFINITOR DISPERZ ................ 32
AGGRENOX ........................... 31
ALBENZA ................................. 9
albuterol sulfate ................... 16
ALDACTAZIDE ....................... 51
alendronate .......................... 32
ALFERON N ........................... 59
alfuzosin ............................... 55
ALINIA ..................................... 9
ALKERAN ............................... 32
ALLI ....................................... 88
allopurinol ............................ 45
alosetron .............................. 80
ALPHAGAN P......................... 43
ALPHANATE .......................... 29
ALPHANINE SD ...................... 29
alprazolam ............................ 19
ALPROLIX .............................. 29
ALREX .................................... 42
ALTABAX ............................... 72
altafrin .................................. 43
altavera (28) ......................... 22
alyacen 1/35 (28) .................. 22
alyacen 7/7/7 (28) ................ 23
amantadine hcl ............... 14, 65
amiloride .............................. 51
amiloride-hydrochlorothiazide
.......................................... 51
aminocaproic acid ................ 28
amiodarone .......................... 45
AMITIZA ................................ 78
amitriptyline ......................... 20
amlodipine ............................ 48
amlodipine-benazepril ... 46, 48
amlodipine-valsartan...... 46, 48
amlodipine-valsartan-hcthiazid
.................................... 46, 48
ammonium lactate ............... 76
amnesteem ........................... 70
amoxicillin............................... 7
amoxicillin-pot clavulanate .... 7
amphetamine salt combo .... 19
ampicillin ................................ 7
AMPYRA ................................ 58
anagrelide ............................. 31
anastrozole ........................... 32
ANDRODERM ........................ 56
ANDROGEL............................ 56
androxy ................................. 56
ANORO ELLIPTA .................... 17
antipyrine-benzocaine.......... 40
APEXICON E .......................... 72
apri........................................ 23
APTIOM................................. 67
APTIVUS ................................ 11
ARALAST NP ............................ 4
aranelle (28) ......................... 23
ARANESP (IN POLYSORBATE) 28
ARCALYST.............................. 59
aripiprazole ........................... 18
ARNUITY ELLIPTA .................. 17
ASACOL HD ........................... 79
ASMANEX HFA ...................... 17
ASMANEX TWISTHALER ........17
atenolol .................................47
atenolol-chlorthalidone ........47
atorvastatin ..........................50
atovaquone.............................9
atovaquone-proguanil ............9
ATRIPLA.................................11
atropine ................................43
ATROVENT HFA .....................15
aubra .....................................23
AUVI-Q ....................................3
aviane ...................................23
avita ......................................70
AVODART ..............................55
AVONEX ................................58
AVONEX (WITH ALBUMIN) ...58
AZASITE .................................40
azathioprine ..........................54
azelastine ................................3
AZELEX ..................................71
AZILECT .................................65
azithromycin ...........................5
AZOPT ...................................43
azurette (28) .........................23
B
bacitracin ..............................41
bacitracin-polymyxin b .........41
baclofen ................................59
balsalazide ............................79
balziva (28)............................23
BANZEL..................................67
BARACLUDE ............................9
BEBULIN VH ..........................29
benazepril .............................46
benazeprilhydrochlorothiazide .........46
BENEFIX.................................29
benzonatate ..........................36
benztropine ..........................65
BERINERT ..............................53
BESIVANCE ............................41
betamethasone dipropionate
..........................................72
betamethasone valerate 72, 73
91
betamethasone, augmented 73
betaxolol ............................... 43
bethanechol chloride ........... 83
BETOPTIC S ........................... 44
bicalutamide ......................... 32
BILTRICIDE .............................. 9
bimatoprost .......................... 44
bisoprolol fumarate.............. 47
bisoprolol-hydrochlorothiazide
.......................................... 48
BIVIGAM ............................... 53
BLEPHAMIDE S.O.P. .............. 41
BOSULIF ................................ 32
BREO ELLIPTA ....................... 17
brevicon (28) ........................ 23
briellyn .................................. 23
BRILINTA ............................... 31
brimonidine .......................... 44
bromfenac ............................ 42
bromocriptine ...................... 65
budeprion sr ......................... 21
budesonide ..................... 17, 79
bumetanide .......................... 51
BUPHENYL ............................ 59
buprenorphine-naloxone ..... 63
buproban .............................. 78
bupropion hcl ....................... 21
buspirone ............................. 19
butalbital compound ............ 65
butalbital-acetaminophen.... 65
butalbital-acetaminophen-caff
.......................................... 65
butalbital-aspirin-caffeine .... 65
BYDUREON ........................... 37
BYETTA.................................. 37
C
cabergoline ........................... 89
cafergot ................................ 56
calcipotriene ......................... 75
calcipotriene-betamethasone
.......................................... 75
calcitonin (salmon) ............... 32
calcitriol .......................... 75, 85
calcium acetate .................... 55
camila ................................... 23
CANASA ................................ 79
92
capecitabine ......................... 32
CAPRELSA ............................. 32
captopril ............................... 46
captopril-hydrochlorothiazide
.......................................... 46
CARAFATE ............................. 81
CARBAGLU ............................ 80
carbamazepine ..................... 67
carbidopa .............................. 65
carbidopa-levodopa ............. 65
carbidopa-levodopaentacapone ....................... 66
CARIMUNE NF NANOFILTERED
.......................................... 53
carteolol................................ 44
cartia xt ................................. 48
carvedilol .............................. 48
CAYSTON............................... 36
caziant (28) ........................... 23
cefadroxil ................................ 5
cefdinir.................................... 5
cefprozil .................................. 5
CEFTIN .................................... 5
cefuroxime axetil .................... 5
celecoxib ............................... 62
cephalexin .............................. 5
CERDELGA ............................. 40
cerisa .............................. 71, 76
cesia (28) .............................. 23
cevimeline ............................ 58
CHANTIX ............................... 78
CHANTIX CONTINUING
MONTH BOX ..................... 78
CHANTIX CONTINUING
MONTH PAK...................... 78
CHANTIX STARTING MONTH
BOX ................................... 78
CHANTIX STARTING MONTH
PAK.................................... 78
chateal .................................. 23
CHEMET ................................ 59
chlordiazepoxide hcl ............. 19
chlorhexidine gluconate ....... 57
chloroquine phosphate .......... 9
chlorothiazide ....................... 51
chlorpromazine .................... 18
chlorthalidone ......................51
chlorzoxazone .......................59
cholestyramine (with sugar) .50
cholestyramine light .............50
ciclopirox.........................71, 72
cilostazol ...............................31
CILOXAN ................................41
cimetidine .............................82
cimetidine hcl .......................82
CINRYZE ................................53
CIPRO HC...............................40
CIPRODEX..............................40
ciprofloxacin ...........................7
ciprofloxacin hcl ................7, 41
citalopram.............................21
claravis ..................................70
clarithromycin.........................5
clemastine ..............................3
CLEOCIN ................................88
CLIMARA PRO .......................89
clindamycin hcl .......................6
clindamycin palmitate hcl .......6
clindamycin phosphate...71, 88
clobetasol .............................73
clobetasol-emollient .............73
clomipramine ........................21
clonazepam.....................19, 68
clonidine ...............................49
clonidine hcl ....................19, 49
clopidogrel ............................31
clotrimazole ............................8
clozapine ...............................18
codeine sulfate .....................63
codeine-guaifenesin .............36
colchicine ..............................45
colchicine-probenecid ..........45
colestipol ..............................50
COMBIGAN ...........................44
COMBIPATCH ........................89
COMBIVENT ..........................17
COMBIVENT RESPIMAT ........17
COMETRIQ ............................33
COMPLERA ............................11
completenate .......................85
CONDYLOX ............................76
COPAXONE ............................58
CORDRAN TAPE LARGE ROLL 73
CORDRAN TAPE SMALL ROLL73
COREG CR ............................. 48
CORIFACT .............................. 29
CORTIFOAM .......................... 81
COSOPT (PF) ......................... 44
CREON .................................. 40
CRESEMBA .............................. 8
CRIXIVAN .............................. 11
cromolyn........................... 3, 16
cryselle (28) .......................... 23
CUPRIMINE ........................... 15
CUVPOSA .............................. 80
cyanocobalamin (vitamin b-12)
.......................................... 85
cyclafem 1/35 (28) ............... 23
cyclafem 7/7/7 (28) .............. 23
cyclobenzaprine ................... 59
CYCLOGYL ............................. 43
cyclopentolate ...................... 43
cyclophosphamide ......... 33, 54
cycloserine ............................ 14
CYCLOSET.............................. 38
cyclosporine ......................... 54
cyclosporine modified .......... 54
cyproheptadine ...................... 4
CYSTAGON ............................ 59
CYSTARAN............................. 43
cytra-2 .................................. 83
cytra-3 .................................. 83
cytra-k................................... 83
D
DALIRESP .............................. 16
danazol ................................. 90
dantrolene ............................ 59
dapsone .................................. 9
dasetta 1/35 (28) .................. 23
dasetta 7/7/7 (28) ................ 23
DELZICOL .............................. 79
demeclocycline ....................... 7
denta 5000 plus .................... 85
dentagel................................ 85
DEPEN TITRATABS ................ 15
DEPO-TESTOSTERONE .......... 56
desipramine.......................... 21
desmopressin ....................... 59
desogestrel-ethinyl estradiol 23
desonide ............................... 73
desoximetasone ................... 73
dexamethasone .................... 35
DEXAMETHASONE INTENSOL
.......................................... 35
dexamethasone sodium
phosphate......................... 42
dexmethylphenidate ............ 20
dextroamphetamine............. 20
diazepam ........................ 19, 68
diazepam intensol .......... 19, 68
DIBENZYLINE ......................... 49
diclofenac potassium............ 62
diclofenac sodium .......... 42, 62
dicloxacillin ............................. 7
dicyclomine........................... 80
didanosine ............................ 11
DIFICID .................................... 6
digoxin .................................. 52
DIGOXIN ................................ 52
dihydroergotamine............... 56
DILANTIN .............................. 68
DILANTIN KAPSEAL ............... 68
diltia xt .................................. 48
diltiazem hcl ................... 48, 49
dilt-xr .................................... 49
diphenoxylate-atropine ........ 80
dipyridamole ........................ 31
disopyramide phosphate...... 45
disulfiram ................................ 3
DIURIL ................................... 51
divalproex ................. 20, 57, 68
donepezil .............................. 37
dorzolamide.......................... 44
dorzolamide-timolol ............. 44
doxazosin ........................ 49, 55
doxepin ................................. 21
doxycycline hyclate ................ 8
doxycycline monohydrate ...... 8
DRITHOCREME HP ................ 76
dronabinol ............................ 79
drospirenone-ethinyl estradiol
.......................................... 23
DULERA ................................. 17
duloxetine....................... 21, 61
DUREZOL ...............................42
E
econazole ..............................72
EDECRIN ................................51
EDURANT ..............................11
EFFIENT .................................31
ELIDEL ...................................76
elinest ...................................23
ELIQUIS .................................31
ELLA ......................................22
ELMIRON ...............................83
ELOCTATE..............................29
EMCYT ...................................33
EMEND ............................ 79, 80
emoquette ............................24
EMSAM .................................21
EMTRIVA ...............................11
enalapril maleate ..................46
enalapril-hydrochlorothiazide
..........................................46
ENBREL............................ 15, 75
ENBREL SURECLICK .........15, 75
endocet .................................63
enoxaparin ............................31
enpresse ...............................24
enskyce .................................24
entacapone ...........................66
entecavir .................................9
enulose .................................79
epinastine ...............................3
EPIPEN ....................................3
EPIPEN JR 2-PAK......................3
EPIVIR HBV ............................10
eplerenone ...........................51
EPOPROSTENOL (GLYCINE) ...66
EPZICOM ...............................11
ergocalciferol (vitamin d2) ...85
ergoloid .................................60
ERGOMAR .............................56
ERIVEDGE ..............................33
errin ......................................24
ERYPED 400.............................6
ery-tab ....................................6
ERY-TAB ..................................6
erythrocin (as stearate) ..........6
erythromycin ....................6, 41
93
erythromycin ethylsuccinate.. 6
erythromycin with ethanol .. 71
erythromycin-sulfisoxazole .... 6
ESBRIET ................................. 60
escitalopram oxalate ............ 21
estarylla ................................ 24
ESTRACE................................ 88
estradiol................................ 89
estradiol-norethindrone acet
.......................................... 89
ESTRING ................................ 88
estropipate ........................... 89
ethambutol ........................... 14
ethosuximide ........................ 68
etidronate disodium ............. 32
etodolac ................................ 62
etoposide.............................. 33
EURAX ................................... 75
EVOTAZ ................................. 11
EXELDERM ............................ 72
EXELON ................................. 37
exemestane .......................... 33
EXJADE .................................. 60
EXTAVIA ................................ 58
F
fabb ...................................... 85
falmina (28) .......................... 24
famotidine ............................ 82
FEIBA NF ............................... 29
felbamate ............................. 68
fenofibrate............................ 52
fenofibrate micronized ......... 52
fenofibrate nanocrystallized 52
fentanyl ................................ 63
FERRIPROX ............................ 60
FINACEA ................................ 76
finasteride ............................ 55
FIRAZYR................................. 53
FLEBOGAMMA DIF ............... 53
flecainide .............................. 46
FLOLAN ................................. 66
FLOVENT DISKUS .................. 17
FLOVENT HFA ....................... 17
FLUARIX 2014-2015 (PF)....... 84
FLUARIX QUAD 2014-2015 (PF)
.......................................... 84
94
FLUCELVAX 2014-2015 (PF) .. 84
fluconazole ............................. 8
fludrocortisone ..................... 35
FLULAVAL 2014-2015 ........... 84
FLULAVAL 2014-2015 (PF) .... 84
FLULAVAL QUAD 2014-2015 84
FLULAVAL QUAD 2014-2015
(PF).................................... 84
flunisolide ............................... 4
fluocinolone .................... 73, 74
fluocinolone acetonide oil .... 40
fluocinolone-shower cap ...... 74
fluocinonide .......................... 74
fluocinonide-emollient ......... 74
fluoridex daily defense ......... 85
fluorometholone .................. 42
FLUOROPLEX ......................... 76
fluorouracil ..................... 76, 77
fluoxetine.............................. 21
fluphenazine hcl ................... 18
flurbiprofen .......................... 62
flurbiprofen sodium ............. 42
flutamide .............................. 33
fluticasone ........................ 4, 74
FLUVIRIN 2014-2015 ............ 84
FLUVIRIN 2014-2015 (PF) ..... 84
fluvoxamine .......................... 21
FLUZONE 2014-2015 ............ 84
FLUZONE 2014-2015 (PF) ..... 84
FLUZONE HIGH-DOSE 2014-15
(PF).................................... 84
FLUZONE INTRADERM QUAD
2014-15............................. 84
FLUZONE QUAD 2014-2015.. 84
FLUZONE QUAD 2014-2015
(PF).................................... 84
FLUZONE QUAD PEDI 2014-15
(PF).................................... 84
FML S.O.P.............................. 42
folbee plus ............................ 85
folic acid................................ 85
fondaparinux ........................ 31
FORADIL AEROLIZER ............. 16
FORTEO ................................. 32
FORTICAL .............................. 32
FOSAMAX PLUS D ................. 32
fosinopril ...............................47
fosinopril-hydrochlorothiazide
..........................................47
FULYZAQ ...............................81
furosemide............................51
FUZEON .................................11
FYCOMPA ..............................68
G
gabapentin ......................61, 68
GABITRIL ...............................68
galantamine ..........................37
GAMASTAN S/D ....................53
GAMMAGARD LIQUID ..........53
GAMMAGARD S/D ................53
GAMMAGARD S-D (IGA < 1
MCG/ML) ..........................53
GAMMAKED..........................53
GAMMAPLEX ........................53
GAMUNEX .............................54
GAMUNEX-C .........................54
gatifloxacin ...........................41
gavilyte-c...............................78
gavilyte-g ..............................78
gavilyte-n ..............................78
gemfibrozil ............................52
gengraf ..................................54
gentamicin ......................41, 72
gianvi (28) .............................24
gildagia ..................................24
gildess ...................................24
gildess fe ...............................24
GILENYA ................................59
GILOTRIF ...............................33
GLASSIA...................................4
GLEEVEC ................................33
glimepiride ............................38
glipizide .................................38
glipizide-metformin ..............38
GLUCAGEN ............................37
GLUCAGEN HYPOKIT .............37
GLUCAGON EMERGENCY KIT
(HUMAN) ..........................37
glycopyrrolate .......................81
GLYSET ..................................38
granulex ................................77
GRASTEK .................................3
griseofulvin microsize............. 8
griseofulvin ultramicrosize ..... 8
guaiatussin ac ....................... 36
guanfacine ...................... 20, 49
H
haloperidol ........................... 18
haloperidol lactate ............... 18
HARVONI .............................. 10
heather ................................. 24
HELIXATE FS .......................... 29
HEMOFIL M HIGH ................. 29
HEMOFIL M LOW .................. 29
HEMOFIL M MID ................... 29
HEMOFIL M SUPER HIGH...... 29
heparin (porcine) .................. 31
heparin, porcine (pf) ............ 31
HEXALEN ............................... 33
HIZENTRA ............................. 54
homatropaire ....................... 43
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 ............................ 29
HUMIRA .................... 15, 75, 79
HUMIRA PEN ............ 15, 75, 79
HUMULIN 70/30 ................... 39
HUMULIN 70/30 KWIKPEN ... 39
HUMULIN 70/30 PEN ........... 39
HUMULIN N .......................... 39
HUMULIN N KWIKPEN .......... 39
HUMULIN N PEN................... 39
HUMULIN R .......................... 39
HUMULIN R U-500 ................ 39
HYCAMTIN ............................ 33
hydralazine ........................... 49
hydrochlorothiazide ............. 51
hydrocodone-acetaminophen
.......................................... 63
hydrocodone-ibuprofen ....... 63
hydrocortisone ......... 35, 74, 81
hydrocortisone acetate ........ 81
hydrocortisone valerate ....... 74
hydrocortisone-pramoxine.. 74,
81
hydromorphone ................... 63
hydroxychloroquine ............... 9
hydroxyurea ......................... 33
hydroxyzine hcl ....................... 4
hydroxyzine pamoate ............. 4
hyoscyamine sulfate ............. 81
hypercare.............................. 77
HYQVIA ................................. 54
I
ibuprofen .............................. 62
ICLUSIG ................................. 33
ILARIS (PF) ............................. 60
ILEVRO .................................. 42
IMBRUVICA ........................... 33
imipramine hcl ...................... 21
imiquimod ............................ 77
inatal advance ...................... 85
inatal ultra ............................ 85
indapamide ........................... 51
INDOCIN................................ 62
indomethacin ....................... 62
INLYTA .................................. 33
INTELENCE ............................ 11
INTRON A .............................. 10
introvale ............................... 24
INVIRASE ............................... 11
INVOKAMET .......................... 38
INVOKANA ............................ 38
iodoquinol-hc ....................... 74
ipratropium bromide ........ 3, 16
ipratropium-albuterol .......... 17
irbesartan ............................. 47
irbesartan-hydrochlorothiazide
.......................................... 47
ISENTRESS ............................. 11
isometh-dichloralacetaminophn .................. 56
isoniazid ................................ 14
ISOPTO HYOSCINE ................ 43
ISORDIL ................................. 45
isosorbide dinitrate .............. 45
isosorbide mononitrate ........ 45
itraconazole ............................ 8
ivermectin ...............................9
IXINITY...................................29
J
JADENU .................................60
JAKAFI ...................................33
JALYN ....................................55
jantoven ................................31
JARDIANCE ............................38
jencycla .................................24
JENTADUETO ........................38
jinteli .....................................89
jolessa ...................................24
jolivette .................................24
junel 1.5/30 (21) ...................24
junel 1/20 (21) ......................24
junel fe 1.5/30 (28) ...............24
junel fe 1/20 (28) ..................24
JUXTAPID ..............................50
K
KALBITOR ..............................53
KALETRA .......................... 11, 12
KALYDECO .............................36
kariva (28) .............................24
kelnor 1/35 (28) ....................24
ketoconazole ....................8, 72
ketorolac .........................42, 62
KINERET ................................15
kionex ...................................60
klor-con m10.........................52
klor-con m15.........................52
KLOR-CON/25 .......................52
KOATE-DVI ............................30
KOGENATE FS........................30
kurvelo ..................................25
KUVAN ..................................60
KYNAMRO .............................50
L
labetalol ................................48
LACRISERT .............................43
lactulose................................79
LAMICTAL..............................68
lamivudine ......................10, 12
lamivudine-zidovudine .........12
lamotrigine .....................68, 69
lansoprazole .........................82
LANTUS .................................39
95
LANTUS SOLOSTAR ............... 39
larin 1/20 (21) ....................... 25
larin fe .................................. 25
latanoprost ........................... 44
leena 28 ................................ 25
leflunomide .......................... 15
lessina ................................... 25
LETAIRIS ................................ 66
letrozole ............................... 33
leucovorin calcium ............... 60
LEUKERAN............................. 33
LEUKINE ................................ 28
LEVEMIR ............................... 40
LEVEMIR FLEXPEN ................ 39
levetiracetam ....................... 69
levlen (28) ............................. 25
levobunolol........................... 44
levocarnitine......................... 60
levocarnitine (with sugar) .... 60
levofloxacin ............................ 7
levonest (28)......................... 25
levonorgestrel ...................... 22
levonorgestrel-ethinyl estrad
.......................................... 25
levora-28 .............................. 25
levothyroxine........................ 82
LEXIVA................................... 12
LIALDA .................................. 79
lidocaine ......................... 61, 65
lidocaine hcl.......................... 58
lidocaine viscous................... 58
lidocaine-prilocaine .............. 65
LINZESS ................................. 79
liothyronine .......................... 82
LIPTRUZET............................. 50
lisinopril ................................ 47
lisinopril-hydrochlorothiazide
.......................................... 47
lithium carbonate ................. 20
lithium citrate ....................... 20
lokara .................................... 74
lomustine.............................. 34
lorazepam ............................. 19
loryna (28) ............................ 25
losartan................................. 47
96
losartan-hydrochlorothiazide
.......................................... 47
LOTEMAX .............................. 42
lovastatin .............................. 50
low-ogestrel (28) .................. 25
loxapine succinate ................ 18
LUMIGAN .............................. 44
lutera (28) ............................. 25
LYRICA ............................. 61, 69
lyza ........................................ 25
M
MACRODANTIN .................... 14
malathion ............................. 75
marlexate.............................. 60
marlissa................................. 25
MATULANE ........................... 34
MAXAIR AUTOHALER ............ 16
MEDROL................................ 35
medroxyprogesterone .......... 89
mefloquine ............................. 9
megestrol........................ 34, 60
MEKINIST .............................. 34
meloxicam ............................ 62
MEPHYTON ........................... 85
mercaptopurine.............. 34, 54
mesalamine .......................... 79
MESTINON ............................ 60
MESTINON TIMESPAN .......... 60
metformin ............................ 38
methadone ........................... 63
methazolamide ..................... 44
methimazole ......................... 82
methocarbamol .................... 59
methotrexate sodium .... 15, 34,
54, 55, 75
methotrexate sodium (pf) ... 15,
34, 54
methyldopa .......................... 49
methylergonovine ................ 90
methylphenidate .................. 20
methylprednisolone ....... 35, 36
metoclopramide hcl ............. 80
metolazone ........................... 51
metoprolol succinate............ 48
metoprolol tahydrochlorothiaz .............. 48
metoprolol tartrate ..............48
metronidazole ............ 9, 76, 88
mexiletine .............................46
microgestin 1.5/30 (21) ........25
microgestin 1/20 (21) ...........25
microgestin fe 1.5/30 (28) ....25
microgestin fe 1/20 (28) .......25
midodrine .............................49
migergot ...............................56
migragesic ida .......................56
MILLIPRED .............................36
mimvey .................................89
mimvey lo .............................89
minocycline .............................8
minoxidil ...............................49
MIRAPEX ER ..........................66
mirtazapine ...........................21
misoprostol ...........................82
modafinil ...............................77
moexipril ...............................47
moexipril-hydrochlorothiazide
..........................................47
mometasone.........................74
MONOCLATE-P .....................30
mono-linyah..........................25
mononessa (28) ....................25
MONONINE ...........................30
montelukast ..........................16
MONUROL ............................15
morphine ..............................64
MORPHINE ............................64
morphine concentrate ..........64
MOVANTIK ............................81
MOVIPREP.............................78
moxifloxacin............................7
MULTAQ ...............................46
multi-vitamin with fluoride ..85
multivitamins with fluoride ..85
mupirocin..............................72
mupirocin calcium ................72
my way..................................22
mycophenolate mofetil ........55
MYLERAN ..............................34
mynatal .................................86
mynatal advance ..................85
mynatal plus .........................86
mynatal-z .............................. 86
mynate 90 plus ..................... 86
mynephrocaps ...................... 86
myorisan ............................... 70
MYRBETRIQ .......................... 83
myzilra .................................. 26
N
nabumetone ......................... 62
nadolol .................................. 48
naloxone ................................. 5
naltrexone .............................. 3
NAMENDA ............................ 37
NAMENDA TITRATION PAK .. 37
NAMENDA XR ....................... 37
naproxen .............................. 62
naproxen sodium ................. 62
naratriptan ........................... 57
NASONEX ................................ 4
natal-v rx............................... 86
nateglinide ............................ 38
necon 0.5/35 (28) ................. 26
necon 1/35 (28) .................... 26
necon 1/50 (28) .................... 26
necon 10/11 (28) .................. 26
necon 7/7/7 (28) .................. 26
nefazodone........................... 21
neomycin ................................ 6
neomycin-bacitracinpolymyxin ......................... 41
neomycin-polymyxin bdexameth ......................... 41
neomycin-polymyxingramicidin ......................... 41
neomycin-polymyxin-hc ....... 40
nephrocaps ........................... 86
NEULASTA............................. 28
NEUPOGEN ........................... 28
NEUPRO ................................ 66
NEVANAC .............................. 42
nevirapine............................. 12
NEXAVAR .............................. 34
next choice one dose ........... 22
nicotine ................................. 78
nicotine (polacrilex) .............. 78
NICOTROL ............................. 78
NICOTROL NS ........................ 78
nifedipine.................. 49, 60, 90
nimodipine............................ 49
NITRO-BID ............................. 45
NITRO-DUR ........................... 45
nitrofurantoin ....................... 15
nitrofurantoin macrocrystal . 15
nitrofurantoin monohyd/mcryst .................................. 15
nitroglycerin ......................... 45
NITROSTAT............................ 45
nodolor ................................. 56
nora-be ................................. 26
norethindrone (contraceptive)
.......................................... 26
norethindrone acetate ......... 89
norethindrone ac-eth estradiol
.......................................... 89
norgestimate-ethinyl estradiol
.......................................... 26
norgestrel-ethinyl estradiol .. 26
norinyl 1+35 (28) .................. 26
NORITATE ............................. 76
NORPACE CR ......................... 46
nortrel 0.5/35 (28) ................ 26
nortrel 1/35 (21) ................... 26
nortrel 1/35 (28) ................... 26
nortrel 7/7/7 (28) ................. 26
nortriptyline.......................... 22
NORVIR ................................. 12
NORVIR SOFT GELATIN ......... 12
NOVOEIGHT .......................... 30
NOVOSEVEN RT .................... 30
NOXAFIL .................................. 8
NUVARING ............................ 22
NUVIGIL ................................ 77
nystatin ............................. 8, 72
O
OBIZUR.................................. 30
o-cal prenatal........................ 86
ocella .................................... 26
OCTAGAM ............................. 54
octreotide acetate ................ 60
OFEV ..................................... 60
ofloxacin ......................... 40, 41
ogestrel (28) ......................... 26
olanzapine ............................ 18
OLYSIO ..................................10
omega-3 acid ethyl esters ....53
omeprazole ...........................82
ondansetron .........................80
ondansetron hcl ....................80
ONFI ......................................69
OPSUMIT...............................66
orsythia .................................26
oxandrolone..........................61
oxcarbazepine.......................69
OXSORALEN ..........................77
oxybutynin chloride ..............83
oxycodone ............................64
oxycodone-acetaminophen ..64
oxycodone-aspirin ................64
OXYCONTIN...........................64
P
pantoprazole.........................82
paregoric ...............................81
paroxetine hcl .......................22
PATADAY .................................3
PAXIL .....................................22
PAZEO .....................................3
pediatric multivitamin-fl .......86
PEGASYS................................10
PEGASYS CONVENIENCE PACK
..........................................10
PEGASYS PROCLICK ...............10
PEGINTRON...........................10
PEGINTRON REDIPEN............10
penicillin v potassium .............7
PENTASA ...............................79
pentoxifylline ........................31
perindopril erbumine ...........47
periogard ..............................57
permethrin............................75
perphenazine ........................18
phenazopyridine ...................83
phenelzine ............................22
phenobarbital .......................69
phentermine .........................88
phenylephrine hcl .................43
phenytoin..............................69
phenytoin sodium extended 69
philith ....................................26
PHOSLYRA .............................55
97
phospha 250 neutral ............ 83
PHOSPHOLINE IODIDE .......... 44
PICATO .................................. 77
pilocarpine hcl ................ 44, 58
PILOPINE HS.......................... 44
pimtrea (28).......................... 26
pioglitazone .......................... 38
pioglitazone-glimepiride ...... 38
pioglitazone-metformin ....... 38
pirmella ................................ 26
piroxicam .............................. 62
PLASMANATE ....................... 30
podofilox............................... 77
polymyxin b sulf-trimethoprim
.......................................... 41
poly-vitamin with fluoride .... 86
POMALYST ............................ 34
portia .................................... 27
pot & sod citrate-citric acid .. 83
potassium chloride ............... 52
potassium citrate.................. 83
potassium citrate-citric acid . 83
POTIGA ................................. 69
PRADAXA .............................. 31
pramipexole ......................... 66
pravastatin............................ 50
prazosin .......................... 50, 55
PRED FORTE .......................... 42
PRED MILD ............................ 43
prednisolone ........................ 36
prednisolone acetate ........... 43
prednisolone sodium
phosphate................... 36, 43
prednisone ........................... 36
PREDNISONE INTENSOL ....... 36
PREMARIN ...................... 88, 89
PREMPHASE.......................... 89
PREMPRO ............................. 89
prenaplus.............................. 86
prenatabs fa ......................... 86
prenatabs rx ......................... 86
prenatal ad ........................... 86
prenatal low iron .................. 86
prenatal plus......................... 86
prenatal plus (calcium carb) . 86
prenatal plus with iron (ca) .. 86
98
PREVACID SOLUTAB.............. 82
prevalite................................ 50
previfem ............................... 27
PREZCOBIX ............................ 12
PREZISTA ............................... 12
PRIFTIN ................................. 14
primidone ............................. 69
PRIVIGEN .............................. 54
probenecid ........................... 45
prochlorperazine .................. 80
prochlorperazine maleate .... 80
PROCRIT ................................ 28
PROCTOFOAM HC................. 81
proctosol hc .......................... 81
prodrin .................................. 57
PROFILNINE .......................... 30
progesterone micronized ..... 89
PROLASTIN .............................. 4
PROLASTIN-C .......................... 4
PROLENSA ............................. 43
PROMACTA ........................... 29
promethazine ................... 4, 80
promethazine vc ................... 36
promethazine-dm ................. 36
propafenone ......................... 46
propantheline ....................... 81
propranolol ..................... 48, 57
propranololhydrochlorothiazid ........... 48
propylthiouracil .................... 82
PULMICORT .......................... 18
PULMICORT FLEXHALER ....... 18
PULMOZYME ........................ 36
purefe ob plus ...................... 86
purefe plus............................ 86
pyrazinamide ........................ 14
pyridostigmine bromide ....... 61
Q
QNASL ..................................... 4
quasense............................... 27
quetiapine ............................ 18
QUFLORA PEDIATRIC DROPS 86
QUILLIVANT XR ..................... 20
quinapril ............................... 47
quinapril-hydrochlorothiazide
.......................................... 47
quinidine gluconate ..............46
quinidine sulfate ...................46
QVAR .....................................18
R
RAGWITEK...............................3
raloxifene ........................32, 90
ramipril .................................47
ranitidine hcl .........................82
RAPAMUNE ...........................55
RAVICTI .................................61
REBETOL................................10
REBIF (WITH ALBUMIN) ........58
REBIF REBIDOSE ....................58
REBIF TITRATION PACK .........58
reclipsen (28) ........................27
RECOMBINATE ......................30
RELENZA DISKHALER .............14
RELISTOR ...............................79
REMODULIN..........................67
renal caps..............................86
reno caps ..............................87
RENVELA ...............................55
repaglinide ............................39
RESCRIPTOR ..........................12
reserpine ...............................50
RESTASIS ...............................43
REVATIO ................................67
REVLIMID ..............................34
REYATAZ................................12
ribavirin.................................10
RIDAURA ...............................15
rifabutin ..................................9
rifampin ................................14
riluzole ..................................61
rimantadine ..........................14
risedronate ...........................32
risperidone......................18, 19
rivastigmine tartrate .............37
RIXUBIS .................................30
rizatriptan .............................57
ropinirole ..............................66
roxicet ...................................64
RUCONEST ............................53
RYTARY..................................66
S
SABRIL ...................................69
salsalate ................................ 63
SAVELLA .......................... 61, 62
selegiline hcl ......................... 66
selenium sulfide ................... 77
SELZENTRY ............................ 12
se-natal 19 ............................ 87
se-natal 19 (with docusate) .. 87
SENSIPAR .............................. 55
SEREVENT DISKUS ................ 16
SEROQUEL XR ....................... 19
sertraline .............................. 22
sevelamer carbonate............ 55
sf 87
sf 5000 plus .......................... 87
SIGNIFOR .............................. 61
sildenafil ............................... 67
silver sulfadiazine ................. 72
SIMBRINZA ........................... 44
simvastatin ........................... 50
SINGLE USE EZ FLU 201415(PF) ............................... 85
sirolimus ............................... 55
SIRTURO ............................... 14
SIVEXTRO ................................ 9
sodium citrate-citric acid...... 83
sodium fluoride .................... 87
sodium phenylbutyrate ........ 61
sodium polystyrene (sorb free)
.......................................... 61
sodium polystyrene sulfonate
.......................................... 61
SOLTAMOX ........................... 34
SOMAVERT ........................... 61
sotalol ................................... 46
sotalol af ............................... 46
sotret .................................... 70
SOVALDI................................ 10
SPIRIVA RESPIMAT................ 16
SPIRIVA WITH HANDIHALER . 16
spironolactone ..................... 52
spironolactonhydrochlorothiaz .............. 52
SPORANOX ............................. 8
sprintec (28) ......................... 27
SPRYCEL ................................ 34
sronyx ................................... 27
stavudine ........................ 12, 13
STIMATE................................ 28
STIVARGA.............................. 34
STRATTERA ........................... 20
STRIBILD ................................ 13
STRIVERDI RESPIMAT............ 16
SUBOXONE ........................... 64
SUCRAID ............................... 40
sucralfate .............................. 82
sulfacetamide sodium .......... 41
sulfacetamide sodium (acne)71
sulfacetamide sodium-sulfur
.................................... 71, 76
sulfacetamide sod-sulfur-urea
.................................... 71, 76
sulfacetamide-prednisolone 41
sulfamethoxazoletrimethoprim ...................... 6
sulfasalazine ......................... 79
sulindac................................. 63
sumatriptan .......................... 57
sumatriptan succinate .......... 57
SUPRAX ................................... 5
SUSTIVA ................................ 13
SUTENT ................................. 34
syeda..................................... 27
SYLATRON ............................. 34
SYNTHROID ........................... 82
T
TABLOID ................................ 34
TACLONEX............................. 76
tacrolimus ....................... 55, 77
TAFINLAR .............................. 34
TAMIFLU ............................... 14
tamoxifen ............................. 34
tamsulosin ............................ 56
TARCEVA ............................... 34
TASIGNA ............................... 35
TAZORAC............................... 76
taztia xt ................................. 49
TECFIDERA ............................ 59
TEGRETOL XR ........................ 69
temazepam ........................... 77
temozolomide ...................... 35
terazosin ......................... 50, 56
terbinafine hcl ........................ 8
terbutaline ............................16
terconazole ...........................88
testosterone .........................56
testosterone cypionate ........56
testosterone enanthate........56
tetracycline .............................8
THALOMID ............................35
theophylline ....................16, 17
thioridazine ...........................19
thiothixene ...........................19
THROMBATE III .....................30
tiagabine ...............................70
TIKOSYN ................................46
tilia fe ....................................27
timolol maleate ....................44
TIVICAY .................................13
tizanidine ..............................59
tl gard rx................................87
TOBRADEX ............................41
tobramycin............................41
tobramycin in 0.225 % nacl ..36
tobramycin-dexamethasone 41
TOBREX .................................41
tolmetin ................................63
tolterodine ............................83
topiramate ............................70
torsemide..............................52
TOUJEO SOLOSTAR ...............40
TRACLEER ..............................67
TRADJENTA ...........................39
tramadol ...............................65
trandolapril ...........................47
tranexamic acid ....................90
TRANSDERM-SCOP ...............80
tranylcypromine ...................22
TRAVATAN Z .........................44
travoprost (benzalkonium) ...44
trazodone .............................22
TRECATOR .............................14
tretinoin ................................71
tretinoin (chemotherapy) .....35
tretinoin microspheres .........71
TRETTEN................................30
triadvance .............................87
triamcinolone acetonide57, 74,
75
99
triamterenehydrochlorothiazid ........... 52
tricitrates .............................. 83
triderm.................................. 75
tri-estarylla ........................... 27
trifluoperazine ...................... 19
trifluridine............................. 42
trihexyphenidyl..................... 66
tri-legest fe ........................... 27
tri-linyah ............................... 27
trimethobenzamide.............. 80
trimethoprim .......................... 6
trinatal gt .............................. 87
trinatal ultra ......................... 87
trinate ................................... 87
trinessa (28) .......................... 27
triphrocaps ........................... 87
triple vitamin with fluoride .. 87
tri-previfem (28) ................... 27
tri-sprintec (28) .................... 27
TRIUMEQ .............................. 13
tri-vitamin with fluoride ....... 87
trivora (28)............................ 27
trospium ............................... 83
TRULICITY ............................. 38
TRUVADA .............................. 13
TYBOST ................................. 13
TYKERB.................................. 35
TYVASO ................................. 67
TYVASO REFILL KIT ................ 67
TYVASO STARTER KIT ............ 67
TYZEKA .................................. 10
U
ULORIC .................................. 45
urea ...................................... 77
ursodiol................................. 81
V
VAGIFEM............................... 89
valacyclovir ........................... 14
VALCHLOR ............................ 35
VALCYTE................................ 14
valganciclovir ........................ 14
valproic acid ......................... 70
valproic acid (as sodium salt)70
valsartan ............................... 47
100
valsartan-hydrochlorothiazide
.......................................... 47
vancomycin............................. 6
VASCEPA ............................... 53
VELETRI ................................. 67
velivet triphasic regimen (28)
.......................................... 27
venlafaxine ........................... 22
VENTAVIS .............................. 67
VENTOLIN HFA ...................... 16
VERAMYST .............................. 4
verapamil .............................. 49
VERSACLOZ ........................... 19
VESICARE .............................. 83
vestura (28) .......................... 27
VICTOZA 2-PAK ..................... 38
VICTOZA 3-PAK ..................... 38
VIDEX 2 GRAM PEDIATRIC .... 13
VIDEX 4 GRAM PEDIATRIC .... 13
VIGAMOX .............................. 42
VIMPAT ................................. 70
vinate az ............................... 87
vinate care ............................ 87
vinate gt ................................ 87
vinate m ................................ 87
vinate one ............................. 87
vinate ultra ........................... 88
viorele (28) ........................... 27
VIRACEPT .............................. 13
VIREAD .................................. 13
virt-phos 250 neutral ............ 84
vitamin b-12 ......................... 88
vitamin d2 ............................. 88
vitamins a,c,d & fluoride ...... 88
VITEKTA ................................ 13
VIVAGLOBIN ......................... 54
VIVOTIF BERNA VACCINE...... 85
vol-plus ................................. 88
vol-tab rx............................... 88
VOLTAREN ............................ 65
voriconazole ....................... 8, 9
VOTRIENT ............................. 35
vyfemla (28) .......................... 27
VYTORIN 10-10 ..................... 51
VYTORIN 10-20 ..................... 51
VYTORIN 10-40 .....................51
VYTORIN 10-80 .....................51
VYVANSE ...............................20
W
warfarin ................................31
wera (28)...............................27
WILATE ..................................30
X
XALKORI ................................35
XARELTO ...............................31
XENAZINE ..............................61
XENICAL ................................88
XIFAXAN ..................................6
XTANDI ..................................35
xulane ...................................22
XYNTHA .................................30
XYNTHA SOLOFUSE ...............30
XYREM...................................78
Y
YODOXIN .................................9
Z
zaleplon ................................77
zarah .....................................27
ZAVESCA ...............................40
ZELBORAF .............................35
ZEMAIRA .................................4
zenatane ...............................70
zenchent (28) ........................28
ZETIA .....................................50
ZIAGEN ..................................13
zidovudine ............................13
ZIOPTAN (PF) ........................44
ziprasidone hcl ......................19
ZIRGAN ..................................42
ZOLINZA ................................35
zolpidem ...............................77
zonisamide ............................70
ZONTIVITY .............................32
zovia 1/35e (28) ....................28
zovia 1/50e (28) ....................28
ZYLET .....................................42
ZYTIGA...................................35
ZYVOX ................................. 6, 7

HealthPartners EnhancedRx

Transcription

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