Commercial Drug Formulary
Transcription
Commercial Drug Formulary
COMMERCIAL FORMULARY Effective October 2016 Provided by EnvisionRx Introduction The Total Health Care (THC) Commercial Formulary was developed to serve as a guide for physicians, pharmacists, health care professionals and members in the selection of cost-effective drug therapy. Total Health Care recognizes that drug therapy is an integral part of effective health management. Total Health Care continually reviews new and existing medications to ensure the Formulary remains responsive to the needs of our members and health professionals. Criteria used to evaluate drug selection for the formulary includes, but is not limited to: safety, efficacy and cost-effectiveness data, as well as comparison of relevant benefits of similar prescription or over-the counter (OTC) agents while minimizing potential duplications. Notice The information contained in this formulary is provided by THC, solely for the convenience of medical providers and members. THC does not warrant or assure accuracy of this information, nor is it intended to be comprehensive in nature. This formulary is not intended to be a substitute for the knowledge, expertise, skill or judgment of the medical provider in their choice of prescription drugs. Total Health Care assumes no responsibility for the actions or omissions of any medical provider based upon reliance, in whole or in part, on the information contained herein. The medical provider should consult the drug manufacturer’s product literature or standard references for more detailed information. How to Read the Formulary Drug Name All formulary drugs are listed either by their generic names (in lowercase) or by their brand names (in uppercase). Drugs are grouped together by their therapeutic drug category. Specific drug listings may be accessed by using the index, using the covered generic name or the covered brand name of the drug. The brand names listed are for reference use only, and do not denote coverage, unless specifically noted. Any drug not found in this Formulary listing shall be considered a non-formulary drug. i Co-Pay Structure Generic Drug Generic Co-Pay Applies Brand Drug Brand Co-Pay Applies Requirements/Limits This field includes potential limitations to the formulary drug. It also may contain additional information about the coverage of the drug such as applicable quantity limits (QL). For certain agents within the Commercial Formulary, a recommended prescribing guideline may apply. Prescribing Guidelines Prescribing guidelines may apply to select drugs on the THC formulary. Prescribing guidelines may vary by benefit design but may include: Prior Authorization Required (PA) Drug requires prior authorization through a specific physician request process. Over the Counter Drugs (OTC) Drug coverage is available for drugs that are available OTC with an authorized prescription from your provider. Specialty Drugs (SP) Drug requires processing through THC’s contracted specialty pharmacy, Diplomat Specialty Pharmacy. Quantity Limit (QL) Drug coverage may be limited to specific quantities per prescription and/or time period. Age Limit (AL) Drug coverage may depend on patient age. Gender Restriction (GR) Drug coverage may depend on patient gender. Step Therapy Required (ST) Drug coverage requires that an alternative or trial of another drug be used before the medication is covered. Custom (C) Drug coverage has unique restrictions. Benefit Coverage and Limitations This formulary does not define benefit coverage and limitations. Members may have specific benefit inclusions, exclusions, copayments, or a lack of coverage, which are not reflected in the Total Health Care Commercial Formulary. Members should contact Total Health Care at 1-800-826-2862 if they have questions regarding their coverage. Please note that the formulary process is evolutionary and changes can occur throughout the year. ii Prior Authorization (PA) Drugs indicated with a “PA” require Prior Authorization for coverage. A prescriber may complete a Prior Authorization form that can be found on the Total Health Care website at www.THCmi.com. You may also request a form by calling Total Health Care at 1-844-222-5584. Completed prior authorization forms should be faxed to 1-866-414-3453. Prior Authorization review of prescribing guidelines will be evaluated utilizing the established drug review criteria approved by Total Health Care. If the request does not meet the approved criteria, the request will not be approved and alternative therapy may be recommended along with the proper course of alternative action. The requesting provider will be provided written notification of Total Health Care review decisions. THC’s website has a contact link where members can contact THC’s Pharmacy Department to ask for an exception request. Non-Formulary Agents A Drug not located on the Total Health Care Commercial Formulary, or any updates published by Total Health Care, shall be considered a non-formulary drug. Requests for coverage of non-formulary agents may be requested by the health professional depending on specific coverage parameters. Review for nonformulary drug requests will require a Prior Authorization request with documentation of medical necessity. Generally, the following basic medical necessity guidelines are used in conducting a review: The patient has failed an appropriate trial of formulary or preferred agents. The use of preferred or formulary agent is contraindicated in the patient. The formulary drug or preferred agents are not suited for the present patient care need, and the drug selected is required for patient safety. If the request does not meet the established guidelines request, it will not be approved and alternative therapy may be recommended along with the proper course of alternative action. Common Drug Exclusions The member’s plan design may exclude certain drug classes. Prior authorization is generally not available for drugs that are specifically excluded by benefit design. Common excluded coverages may include, but are not limited to: OTC medications or their equivalents unless otherwise specified in the Formulary listing. Drug products used for cosmetic purposes. Drug products for erectile dysfunction. Drug products for infertility treatment. Drug products for weight loss. Experimental drug products or any drug product used in an experimental manner. Foreign drugs or drugs not approved by the United States Food & Drug Administration (FDA). Mandated Generic Substitution Total Health Care advocates the use of cost-effective generic drugs where FDA-approved generic equivalent drugs are available. Generic products are listed in the Formulary and noted in lowercase lettering wherever an FDA-approved generic drug product is available. If a member or physician requests a brand-name product in lieu of an approved generic, the member, based upon their coverage, will typically be required to pay the difference in cost between the brand and the generic drug. iii Total Health Care Pharmacy and Therapeutics (P&T) Committee Total Health Care’s Pharmacy & Therapeutics Committee meets quarterly to review and recommend medications for formulary consideration. The Committee considers clinical information on drugs that are new to the market and drugs that are typically included in an outpatient pharmacy benefit. This assures that the formulary remains responsive to patient and physician needs. The Committee is composed of physicians, pharmacists, and health care professionals. The Committee also uses reference materials from our Pharmacy Benefits Manager's Pharmacy and Therapeutics Advisory Panel. Product Selection Criteria The primary goal of the THC Pharmacy & Therapeutics Committee is to maintain and update the formulary based upon an objective analysis of the safety, efficacy, approved indications, adverse effects, contraindications, patient administration/compliance considerations and cost effectiveness of available drugs. When a drug is considered for formulary inclusion, it will be reviewed relative to similar drugs including those currently in the THC Commercial Formulary. Physicians may request a copy of THC’s drug criteria by calling the Pharmacy Department at 1-800-826-2862. Diabetic Testing Supplies Total Health Care works with J&B Medical Supply to provide diabetic testing supplies to our members. Covered diabetic testing supplies include Glucocard Vital glucometer, Glucocard Expression glucometer, and SD Biosensor GlucoNavii glucometer, Glucocard Vital test strips, Glucocard Expression test strips, SD Biosensor GlucoNavii test strips, lancets, insulin syringes, alcohol swabs and ketone strips. These supplies are to be filled through J&B Medical Supply. If you have any questions about our diabetic supply program, please contact J&B Medical Supply at 1-844-236-7933. Specialty Bio-Pharmaceutical Pharmacy Program Total Health Care works with Diplomat Specialty Pharmacy to provide Specialty Bio-Pharmaceutical Pharmacy products to our members. These medications are to be filled exclusively through Diplomat Specialty Pharmacy. A Specialty Drug Prior Authorization Request form must be completed and faxed to EnvisionRx at 1-866414-3453 with supporting documentation and the prescription. A prescriber may obtain a Specialty Drug Prior Authorization Request form found on the Total Health Care website at www.THCmi.com. Once the order is received, EnvisionRx obtains authorization from Total Health Care. If the specialty prior authorization is approved, Total Health Care notifies Diplomat Specialty Pharmacy. Then, the Diplomat Specialty Pharmacy staff ships the medication directly to the physician's office or the patient’s home. All packages are individually marked for each patient and refrigerated items are shipped in insulated containers. Where appropriate, each shipment includes needles, syringes and alcohol swabs. If you have any questions about our Specialty Bio-Pharmaceutical Pharmacy program, please contact EnvisionRx at 1-844-222-5584 or Diplomat Specialty Pharmacy at 1-877-977-9118. Contact Information The Total Health Care Commercial Formulary is designed to assist physicians, members and other health care professionals in the selection of cost-effective agents. Total Health Care encourages your input and feedback on how we can assist in improving this document and the formulary management process. You may contact THC at 1-800-826-2862. iv Medication Limitations Quantity Limitations Quantity Limitations are on medications throughout the formulary and are indicated with a "QL" notation. These are medications that have a daily dose restriction, quantity/days’ supply limitation, and/or a limitation on the duration of therapy. Age Limitations Age Limitations are on medications throughout the formulary and are indicated with an "AL" notation. Coverage for a medication is indicated by the age limitation. This could be a minimum age, maximum age, and/or the combination of a minimum and maximum age edit. Gender Restrictions Gender restrictions are indicated with a “GR” on the formulary and require the member to be a specific gender for coverage. Step Therapy Criteria Step Therapy medications are indicated with a “ST” on the formulary and require that an alternative, first line medication be tried and failed before the requested medication can be covered. The online claims adjudication system will automatically allow for the requested medication to be filled based on electronic claims history indicating that the first line medication was filled. Step Therapy Criteria Therapy Class First Line Second Line Third Line Step Therapy Criteria Attention Deficit/Hyperactivity amphetamine immediaterelease amphetamine extendedrelease VYVANSE Antimigraine sumatriptan, rizatriptan naratriptan Second Line: Prior use of amphetamine immediate-release for 60 days within the last 90 days. Third Line: Prior use of amphetamine extendedrelease for 60 days within the last 90 days. Prior use of sumatriptan AND rizatriptan in the last 90 days. Antipsychotic Agents risperidone, quetiapine immediaterelease, olanzapine alendronate ziprasidone Second Line: Prior use of one step 1 agent within the last 90 days. risedronate Prior use of alendronate within the last 90 days. Osteoporosis v Urinary Antispasmodics oxybutynin, oxybutynin er, oxybutynin syrup, OXYTROL OTC tolterodine, tolterodine er, trospium darifenacin er, trospium er, VESICARE Second Line: Prior use of OXYTROL OTC, oxybutynin, oxybutynin er, or oxybutynin syrup in the last 90 days. Third Line: Prior use of tolterodine, tolterodine er, or trospium in the last 90 days. *Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design determines what is covered and the applicable co-payment. The medications listed on this formulary are subject to change pursuant to the formulary management activities of EnvisionRx. The presence of a medication on this formulary list does not guarantee coverage. vi lowercase italics = Generic drugs UPPERCASE BOLD = Brand name drugs Drug *Adhd/Anti-Narcolepsy/Anti-Obesity/A norexiants* Status T1 = Covered Status Notes AL = Age Limit GR-F = Female Only GR-M = Male Only PA = Prior Authorization QL = Quantity Limit ST = Step Therapy Notes amphetamine-dextroamphet er oral capsule extended release 24 hour 10 mg, 15 mg, 20 mg, 25 mg, 30 mg, 5 mg T1 ST; QL (30 EA per 30 days); AL (Min 6 Years and Max 17 Years) amphetamine-dextroamphetamine oral tablet 10 mg, 12.5 mg, 15 mg, 20 mg, 30 mg, 5 mg, 7.5 mg T1 AL (Min 6 Years and Max 17 Years) dexmethylphenidate hcl oral tablet 10 mg, 2.5 mg, 5 mg T1 AL (Min 6 Years and Max 17 Years) dextroamphetamine sulfate er oral capsule extended release 24 hour 10 mg, 15 mg, 5 mg T1 AL (Min 6 Years and Max 17 Years) dextroamphetamine sulfate oral tablet 10 mg, 5 mg T1 AL (Min 6 Years and Max 17 Years) METADATE ER ORAL TABLET EXTENDEDRELEASE* 20 MG T1 QL (90 EA per 30 days); AL (Min 6 Years and Max 17 Years) methylphenidate hcl er (cd) oral capsule extended release* 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg T1 QL (30 EA per 30 days); AL (Min 6 Years and Max 17 Years) methylphenidate hcl er oral tablet extendedrelease* 10 mg T1 QL (30 EA per 30 days); AL (Min 6 Years and Max 17 Years) methylphenidate hcl er oral tablet extendedrelease* 20 mg T1 QL (90 EA per 30 days); AL (Min 6 Years and Max 17 Years) methylphenidate hcl oral tablet 10 mg T1 QL (180 EA per 30 days); AL (Min 6 Years and Max 17 Years) methylphenidate hcl oral tablet 20 mg, 5 mg T1 QL (90 EA per 30 days); AL (Min 6 Years and Max 17 Years) 1 Drug VYVANSE ORAL CAPSULE 10 MG, 20 MG, 30 MG, 40 MG, 50 MG, 60 MG, 70 MG Status T1 Notes ST; QL (30 EA per 30 days); AL (Min 6 Years and Max 17 Years) *Aminoglycosides* neomycin sulfate oral tablet 500 mg T1 *Analgesics - Anti-Inflammatory* diclofenac potassium oral tablet 50 mg T1 diclofenac sodium er oral tablet extended release 24 hr* 100 mg T1 diclofenac sodium oral tablet delayed release 25 mg, 50 mg, 75 mg T1 ENBREL SUBCUTANEOUS* 25 MG/0.5ML, 50 MG/ML T1 PA ENBREL SUBCUTANEOUS* SOLUTION RECONSTITUTED 25 MG T1 PA ENBREL SURECLICK SUBCUTANEOUS* 50 MG/ML T1 PA fenoprofen calcium oral tablet 600 mg T1 flurbiprofen oral tablet 100 mg, 50 mg T1 HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS* 40 MG/0.8ML T1 PA HUMIRA PEN SUBCUTANEOUS* 40 MG/0.8ML T1 PA HUMIRA PEN-CROHNS STARTER SUBCUTANEOUS* 40 MG/0.8ML T1 PA HUMIRA PEN-PSORIASIS STARTER SUBCUTANEOUS* 40 MG/0.8ML T1 PA HUMIRA SUBCUTANEOUS* 10 MG/0.2ML, 20 MG/0.4ML, 40 MG/0.8ML T1 PA ibuprofen oral capsule 200 mg T1 ibuprofen oral suspension 100 mg/5ml T1 ibuprofen oral tablet 200 mg, 400 mg, 600 mg, 800 mg T1 indomethacin oral capsule 25 mg, 50 mg T1 ketoprofen oral capsule 50 mg T1 QL (360 EA per 30 days) ketoprofen oral capsule 75 mg T1 QL (120 EA per 30 days) ketorolac tromethamine oral tablet 10 mg T1 QL (20 EA per 5 days) leflunomide oral tablet 10 mg, 20 mg T1 meclofenamate sodium oral capsule 50 mg T1 meloxicam oral tablet 15 mg, 7.5 mg T1 nabumetone oral tablet 500 mg T1 QL (120 EA per 30 days) nabumetone oral tablet 750 mg T1 QL (60 EA per 30 days) 2 Drug Status naproxen dr oral tablet delayed release 375 mg T1 naproxen oral tablet 250 mg, 375 mg, 500 mg T1 naproxen sodium oral capsule 220 mg T1 naproxen sodium oral tablet 220 mg T1 naproxen sodium powder T1 oxaprozin oral tablet 600 mg T1 piroxicam oral capsule 10 mg, 20 mg T1 sulindac oral tablet 150 mg, 200 mg T1 Notes *Analgesics - Nonnarcotic* ACEPHEN SUPPOSITORY 325 MG T1 acetaminophen er oral tablet extendedrelease* 650 mg T1 acetaminophen oral capsule 500 mg T1 acetaminophen oral elixir 160 mg/5ml T1 acetaminophen oral suspension 160 mg/5ml T1 acetaminophen oral tablet 325 mg, 500 mg T1 acetaminophen suppository 120 mg T1 adult aspirin low strength oral tablet dispersible 81 mg T1 apap oral tablet chewable 80 mg T1 aspirin adult low strength oral tablet delayed release 81 mg T1 QL (60 EA per 30 days); AL (Min 40 Years and Max 79 Years) aspirin low dose oral tablet chewable 81 mg T1 QL (60 EA per 30 days); AL (Min 40 Years and Max 79 Years) aspirin oral tablet 325 mg T1 QL (30 EA per 30 days); AL (Min 40 Years and Max 79 Years) aspirin oral tablet 81 mg T1 QL (60 EA per 30 days); AL (Min 40 Years and Max 79 Years) aspirin oral tablet delayed release 325 mg T1 QL (30 EA per 30 days); AL (Min 40 Years and Max 79 Years) aspirin suppository 300 mg, 600 mg T1 aspirtab maximum strength oral tablet 500 mg T1 buffasal oral tablet 324 mg T1 QL (30 EA per 30 days); AL (Min 40 Years and Max 79 Years) buffered aspirin oral tablet 325 mg T1 QL (30 EA per 30 days); AL (Min 40 Years and Max 79 Years) butalbital-acetaminophen oral tablet 50-325 mg T1 butalbital-apap-caffeine oral tablet 50-325-40 mg T1 butalbital-aspirin-caffeine oral capsule 50-325-40 mg T1 QL (30 EA per 30 days); AL (Min 40 Years and Max 79 Years) 3 Drug Status choline-mag trisalicylate oral liquid† 500 mg/5ml T1 diflunisal oral tablet 500 mg T1 infants pain relief oral suspension 80 mg/0.8ml T1 migraine relief oral tablet 250-250-65 mg T1 q-pap infants oral solution 80 mg/0.8ml T1 q-pap oral liquid† 160 mg/5ml T1 salsalate oral tablet 500 mg, 750 mg T1 Notes *Analgesics - Opioid* acetaminophen-codeine #2 oral tablet 300-15 mg T1 QL (390 EA per 30 days) acetaminophen-codeine #3 oral tablet 300-30 mg T1 QL (390 EA per 30 days) acetaminophen-codeine #4 oral tablet 300-60 mg T1 QL (390 EA per 30 days) acetaminophen-codeine oral solution 120-12 mg/5ml T1 butalbital-apap-caff-cod oral capsule 50-325-40-30 mg T1 butalbital-asa-caff-codeine oral capsule 50-325-40-30 mg T1 codeine sulfate oral tablet 30 mg, 60 mg T1 fentanyl transdermal patch 72 hr 100 mcg/hr, 25 mcg/hr, 50 mcg/hr, 75 mcg/hr T1 QL (10 EA per 30 days) fentanyl transdermal patch 72 hr 12 mcg/hr T1 PA; QL (10 EA per 30 days) hydrocodone-acetaminophen oral solution 10-325 mg/15ml, 7.5-325 mg/15ml T1 QL (900 ML per 90 days) hydrocodone-acetaminophen oral tablet 10-325 mg, 7.5-325 mg T1 QL (180 EA per 30 days) hydrocodone-acetaminophen oral tablet 5-325 mg T1 QL (360 EA per 30 days) hydromorphone hcl oral tablet 2 mg, 4 mg, 8 mg T1 QL (240 EA per 30 days) meperidine hcl oral tablet 100 mg, 50 mg T1 methadone hcl oral concentrate 10 mg/ml T1 methadone hcl oral solution 10 mg/5ml, 5 mg/5ml T1 methadone hcl oral tablet 10 mg T1 methadone hcl oral tablet 5 mg T1 methadone hcl oral tablet soluble 40 mg T1 morphine sulfate (concentrate) oral solution 100 mg/5ml T1 morphine sulfate er oral tablet extendedrelease* 100 mg, 15 mg, 30 mg, 60 mg T1 morphine sulfate oral solution 10 mg/5ml, 20 mg/5ml T1 morphine sulfate oral tablet 15 mg, 30 mg T1 4 QL (240 EA per 30 days) QL (90 EA per 30 days) QL (180 EA per 30 days) Drug Status Notes oxycodone hcl oral concentrate 100 mg/5ml T1 oxycodone hcl oral solution 5 mg/5ml T1 oxycodone hcl oral tablet 15 mg, 30 mg, 5 mg T1 QL (180 EA per 30 days) oxycodone-acetaminophen oral tablet 10-325 mg, 7.5-325 mg T1 QL (180 EA per 30 days) oxycodone-acetaminophen oral tablet 5-325 mg T1 QL (360 EA per 30 days) oxycodone-aspirin oral tablet 4.8355-325 mg T1 tramadol hcl oral tablet 50 mg T1 QL (240 EA per 30 days) T1 PA *Androgens-Anabolic* testosterone cypionate intramuscular* solution 100 mg/ml, 200 mg/ml *Anorectal Agents* hemorrhoidal cream 1-0.25-14.4-15 % T1 hemorrhoidal suppository 51 % T1 hydrocortisone acetate suppository 25 mg, 30 mg T1 hydrocortisone enema 100 mg/60ml T1 PROCTOCORT CREAM 1 % T1 PROCTOZONE-HC CREAM 2.5 % T1 QL (28 EA per 14 days) QL (120 GM per 30 days) *Antacids* ALKA-SELTZER HEARTBURN ORAL TABLET EFFERVESCENT 1940-1000 MG T1 ALMACONE ORAL TABLET CHEWABLE 200-200-25 MG T1 antacid & antigas oral suspension 200-200-20 mg/5ml, 400-400-40 mg/5ml T1 antacid extra strength oral tablet chewable 675-135 mg T1 antacid multi-symptom oral tablet chewable 675-135-60 mg T1 antacid oral tablet chewable 1177 mg, 350-150 mg, 420 mg, 550-110 mg T1 calcium antacid ultra oral tablet chewable 1000 mg T1 calcium carbonate antacid oral tablet 648 mg T1 calcium carbonate antacid oral tablet chewable 500 mg, 750 mg T1 CHILDRENS SOOTHE ORAL TABLET CHEWABLE 400 MG T1 CITROCARBONATE ORAL GRANULES EFFERVESCENT 0.78-1.82 GM/DOSE T1 5 Drug Status cvs antacid & anti-gas oral tablet chewable 1000-60 mg T1 cvs antacid supreme oral suspension 400-135 mg/5ml T1 DEWEES CARMINATIVE ORAL LIQUID† 6-250 T1 E-Z-GAS II ORAL PACKET 2.21-1.53-0.04 GM T1 GAVISCON EXTRA RELIEF FORMULA ORAL SUSPENSION 508-475 MG/10ML T1 GAVISCON ORAL TABLET CHEWABLE 80-14.2 MG T1 gnp foaming antacid oral suspension 95-358 mg/15ml T1 gnp foaming antacid oral tablet chewable 80-20 mg T1 heartburn antacid ex st oral tablet chewable 160-105 mg T1 mag-al oral liquid† 200-200 mg/5ml T1 magnesium oxide oral capsule 400 mg T1 magnesium oxide oral tablet 250 mg, 400 mg, 420 mg T1 magnesium oxide powder T1 MI-ACID ORAL TABLET CHEWABLE 700-300 MG T1 sodium bicarbonate oral powder T1 sodium bicarbonate oral tablet 325 mg, 650 mg T1 URO-MAG ORAL CAPSULE 140 MG T1 *Anthelmintics* PIN-X ORAL SUSPENSION 50 MG/ML T1 PIN-X ORAL TABLET CHEWABLE 720.5 MG T1 reeses pinworm medicine oral suspension 144 mg/ml T1 *Antianginal Agents* isosorbide dinitrate er oral tablet extendedrelease* 40 mg T1 isosorbide dinitrate oral tablet 10 mg, 20 mg, 30 mg, 5 mg T1 isosorbide mononitrate er oral tablet extended release 24 hr* 120 mg, 30 mg, 60 mg T1 isosorbide mononitrate oral tablet 20 mg T1 6 Notes Drug Status NITRO-BID TRANSDERMAL OINTMENT 2 % T1 nitroglycerin er oral capsule extended release* 2.5 mg, 6.5 mg, 9 mg T1 nitroglycerin transdermal patch 24 hr 0.1 mg/hr, 0.2 mg/hr, 0.4 mg/hr, 0.6 mg/hr T1 NITROSTAT SUBLINGUAL TABLET SUBLINGUAL 0.3 MG, 0.4 MG, 0.6 MG T1 Notes *Antianxiety Agents* alprazolam oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg T1 buspirone hcl oral tablet 10 mg, 15 mg, 30 mg, 5 mg, 7.5 mg T1 chlordiazepoxide hcl oral capsule 10 mg, 25 mg, 5 mg T1 clorazepate dipotassium oral tablet 15 mg, 3.75 mg, 7.5 mg T1 diazepam injection solution 5 mg/ml T1 diazepam oral solution 1 mg/ml T1 AL (Max 64 Years) diazepam oral tablet 10 mg, 2 mg, 5 mg T1 AL (Max 64 Years) hydroxyzine hcl oral syrup 10 mg/5ml T1 hydroxyzine hcl oral tablet 10 mg, 25 mg, 50 mg T1 hydroxyzine pamoate oral capsule 100 mg, 25 mg, 50 mg T1 lorazepam oral tablet 0.5 mg, 1 mg, 2 mg T1 oxazepam oral capsule 10 mg, 15 mg, 30 mg T1 AL (Max 64 Years) *Antiarrhythmics* amiodarone hcl oral tablet 200 mg T1 disopyramide phosphate oral capsule 100 mg, 150 mg T1 flecainide acetate oral tablet 100 mg, 150 mg, 50 mg T1 NORPACE CR ORAL CAPSULE EXTENDED RELEASE 12 HOUR 100 MG T1 QL (60 EA per 30 days) NORPACE CR ORAL CAPSULE EXTENDED RELEASE 12 HOUR 150 MG T1 QL (120 EA per 30 days) propafenone hcl oral tablet 150 mg, 225 mg, 300 mg T1 quinidine gluconate er oral tablet extendedrelease* 324 mg T1 quinidine sulfate oral tablet 200 mg, 300 mg T1 7 Drug *Antiasthmatic And Bronchodilator Agents* Status Notes ADVAIR DISKUS INHALATION AEROSOL POWDER, BREATH ACTIVATED 100-50 MCG/DOSE T1 QL (60 EA per 30 days); AL (Max 11 Years) AEROSPAN INHALATION AEROSOL, SOLUTION 80 MCG/ACT T1 QL (8.9 GM per 30 days) albuterol sulfate inhalation nebulization solution (2.5 mg/3ml) 0.083%, (5 mg/ml) 0.5% T1 albuterol sulfate oral syrup 2 mg/5ml T1 ANORO ELLIPTA INHALATION AEROSOL POWDER, BREATH ACTIVATED 62.5-25 MCG/INH T1 PA; QL (60 EA per 30 days) ATROVENT HFA INHALATION AEROSOL, SOLUTION 17 MCG/ACT T1 QL (12.9 GM per 30 days) BREO ELLIPTA INHALATION AEROSOL POWDER, BREATH ACTIVATED 100-25 MCG/INH, 200-25 MCG/INH T1 QL (60 EA per 30 days) budesonide inhalation suspension 0.25 mg/2ml, 0.5 mg/2ml T1 AL (Max 6 Years) DULERA INHALATION AEROSOL† 100-5 MCG/ACT, 200-5 MCG/ACT T1 QL (13 GM per 30 days) FLOVENT DISKUS INHALATION AEROSOL POWDER, BREATH ACTIVATED 100 MCG/BLIST, 50 MCG/BLIST T1 QL (60 EA per 30 days); AL (Min 4 Years and Max 11 Years) FLOVENT HFA INHALATION AEROSOL† 44 MCG/ACT T1 QL (10.6 GM per 30 days); AL (Min 4 Years and Max 11 Years) FORADIL AEROLIZER INHALATION CAPSULE 12 MCG T1 QL (60 EA per 30 days) INCRUSE ELLIPTA INHALATION AEROSOL POWDER, BREATH ACTIVATED 62.5 MCG/INH T1 QL (30 EA per 30 days) ipratropium bromide inhalation solution 0.02 % T1 LUFYLLIN ORAL TABLET 200 MG, 400 MG T1 metaproterenol sulfate oral syrup 10 mg/5ml T1 metaproterenol sulfate oral tablet 10 mg, 20 mg T1 montelukast sodium oral tablet 10 mg T1 montelukast sodium oral tablet chewable 4 mg, 5 mg T1 SEREVENT DISKUS INHALATION AEROSOL POWDER, BREATH ACTIVATED 50 MCG/DOSE T1 8 QL (120 EA per 30 days) Drug Status Notes STRIVERDI RESPIMAT INHALATION AEROSOL, SOLUTION 2.5 MCG/ACT T1 QL (4 GM per 30 days) SYMBICORT INHALATION AEROSOL† 160-4.5 MCG/ACT, 80-4.5 MCG/ACT T1 QL (10.2 GM per 30 days) terbutaline sulfate oral tablet 2.5 mg, 5 mg T1 THEO-24 ORAL CAPSULE EXTENDED RELEASE 24 HOUR 100 MG, 200 MG, 300 MG T1 theophylline er oral tablet extended release 12 hr* 100 mg, 200 mg, 300 mg, 450 mg T1 theophylline oral solution 80 mg/15ml T1 TUDORZA PRESSAIR INHALATION AEROSOL POWDER, BREATH ACTIVATED 400 MCG/ACT T1 QL (1 EA per 30 days) VENTOLIN HFA INHALATION AEROSOL, SOLUTION 108 (90 BASE) MCG/ACT T1 QL (18 GM per 25 days) enoxaparin sodium injection solution 300 mg/3ml T1 PA enoxaparin sodium subcutaneous* solution 100 mg/ml, 120 mg/0.8ml, 150 mg/ml, 30 mg/0.3ml, 40 mg/0.4ml, 60 mg/0.6ml, 80 mg/0.8ml T1 PA heparin sodium (porcine) injection solution 1000 unit/ml, 10000 unit/ml, 20000 unit/ml, 5000 unit/ml T1 heparin sodium (porcine) pf injection solution 5000 unit/0.5ml T1 JANTOVEN ORAL TABLET 1 MG, 10 MG, 2 MG, 2.5 MG, 3 MG, 4 MG, 5 MG, 6 MG, 7.5 MG T1 warfarin sodium oral tablet 1 mg, 10 mg, 2 mg, 2.5 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7.5 mg T1 XARELTO ORAL TABLET 10 MG T1 *Anticoagulants* PA; QL (35 EA per 35 days) *Anticonvulsants* carbamazepine er oral capsule extended release 12 hour 300 mg T1 carbamazepine er oral tablet extended release 12 hr* 200 mg, 400 mg T1 carbamazepine oral suspension 100 mg/5ml T1 carbamazepine oral tablet 200 mg T1 carbamazepine oral tablet chewable 100 mg T1 clonazepam oral tablet 0.5 mg, 1 mg, 2 mg T1 diazepam gel 2.5 mg T1 QL (2 EA per 30 days) 9 Drug Status Notes DILANTIN ORAL CAPSULE 100 MG T1 divalproex sodium er oral tablet extended release 24 hr* 250 mg, 500 mg T1 divalproex sodium oral 125 mg T1 divalproex sodium oral tablet delayed release 125 mg, 250 mg, 500 mg T1 EPITOL ORAL TABLET 200 MG T1 ethosuximide oral capsule 250 mg T1 ethosuximide oral solution 250 mg/5ml T1 fosphenytoin sodium injection solution 100 mg pe/2ml, 500 mg pe/10ml T1 gabapentin oral capsule 100 mg, 300 mg, 400 mg T1 gabapentin oral solution 250 mg/5ml T1 gabapentin oral tablet 600 mg, 800 mg T1 lamotrigine oral tablet 100 mg, 150 mg, 200 mg T1 lamotrigine oral tablet 25 mg T1 lamotrigine oral tablet chewable 25 mg, 5 mg T1 levetiracetam oral solution 100 mg/ml T1 levetiracetam oral tablet 1000 mg T1 QL (90 EA per 30 days) levetiracetam oral tablet 250 mg T1 QL (360 EA per 30 days) levetiracetam oral tablet 500 mg T1 QL (180 EA per 30 days) levetiracetam oral tablet 750 mg T1 QL (120 EA per 30 days) oxcarbazepine oral tablet 150 mg, 300 mg, 600 mg T1 phenytoin oral suspension 125 mg/5ml T1 phenytoin oral tablet chewable 50 mg T1 phenytoin sodium extended oral capsule 100 mg T1 primidone oral tablet 250 mg, 50 mg T1 topiramate oral capsule sprinkle 15 mg, 25 mg T1 topiramate oral tablet 100 mg, 200 mg, 25 mg, 50 mg T1 valproic acid oral capsule 250 mg T1 valproic acid oral solution 250 mg/5ml T1 zonisamide oral capsule 100 mg T1 QL (180 EA per 30 days) zonisamide oral capsule 25 mg, 50 mg T1 QL (30 EA per 30 days) amitriptyline hcl oral tablet 10 mg, 100 mg, 150 mg, 25 mg, 50 mg, 75 mg T1 AL (Max 64 Years) amoxapine oral tablet 100 mg, 150 mg, 25 mg, 50 mg T1 AL (Max 64 Years) QL (3 EA per 1 day) QL (750 ML per 30 days) *Antidepressants* 10 Drug Status Notes bupropion hcl er (sr) oral tablet extended release 12 hr* 100 mg, 150 mg, 200 mg T1 bupropion hcl er (xl) oral tablet extended release 24 hr* 150 mg, 300 mg T1 bupropion hcl oral tablet 100 mg, 75 mg T1 citalopram hydrobromide oral tablet 10 mg, 20 mg, 40 mg T1 doxepin hcl oral capsule 10 mg, 100 mg, 150 mg, 25 mg, 50 mg, 75 mg T1 AL (Max 64 Years) doxepin hcl oral concentrate 10 mg/ml T1 AL (Max 64 Years) duloxetine hcl oral capsule delayed release particles 20 mg T1 QL (60 EA per 30 days) duloxetine hcl oral capsule delayed release particles 30 mg, 60 mg T1 QL (30 EA per 30 days) escitalopram oxalate oral tablet 10 mg, 5 mg T1 QL (45 EA per 30 days) escitalopram oxalate oral tablet 20 mg T1 QL (30 EA per 30 days) fluoxetine hcl oral capsule 10 mg, 20 mg, 40 mg T1 fluoxetine hcl oral solution 20 mg/5ml T1 fluvoxamine maleate oral tablet 100 mg, 25 mg, 50 mg T1 imipramine hcl oral tablet 10 mg, 25 mg, 50 mg T1 mirtazapine oral tablet 15 mg, 30 mg, 45 mg T1 nortriptyline hcl oral capsule 10 mg, 25 mg, 50 mg, 75 mg T1 nortriptyline hcl oral solution 10 mg/5ml T1 paroxetine hcl oral tablet 10 mg, 20 mg, 30 mg, 40 mg T1 phenelzine sulfate oral tablet 15 mg T1 sertraline hcl oral tablet 100 mg, 25 mg, 50 mg T1 tranylcypromine sulfate oral tablet 10 mg T1 trazodone hcl oral tablet 100 mg, 150 mg, 50 mg T1 venlafaxine hcl er oral capsule extended release 24 hour 150 mg, 37.5 mg, 75 mg T1 venlafaxine hcl oral tablet 100 mg, 25 mg, 37.5 mg, 50 mg, 75 mg T1 AL (Max 64 Years) PA *Antidiabetics* acarbose oral tablet 100 mg, 25 mg, 50 mg T1 alogliptin benzoate oral tablet 12.5 mg, 25 mg, 6.25 mg T1 QL (30 EA per 30 days) alogliptin-metformin hcl oral tablet 12.5-1000 mg, 12.5-500 mg T1 QL (30 EA per 30 days) 11 Drug Status Notes alogliptin-pioglitazone oral tablet 12.5-15 mg, 12.5-30 mg, 12.5-45 mg, 25-15 mg, 25-30 mg, 25-45 mg T1 APIDRA INJECTION SOLUTION 100 UNIT/ML T1 APIDRA SOLOSTAR SUBCUTANEOUS* 100 UNIT/ML T1 chlorpropamide oral tablet 100 mg, 250 mg T1 glimepiride oral tablet 1 mg, 2 mg, 4 mg T1 glipizide oral tablet 10 mg, 5 mg T1 glipizide xl oral tablet extended release 24 hr* 10 mg, 2.5 mg, 5 mg T1 QL (60 EA per 30 days) GLUCAGON EMERGENCY INJECTION KIT 1 MG T1 QL (2 EA per 365 days) glyburide micronized oral tablet 1.5 mg, 3 mg, 6 mg T1 glyburide oral tablet 1.25 mg, 2.5 mg, 5 mg T1 glyburide-metformin oral tablet 1.25-250 mg, 2.5-500 mg, 5-500 mg T1 INVOKANA ORAL TABLET 100 MG, 300 MG T1 PA; QL (30 EA per 30 days) JANUMET ORAL TABLET 50-1000 MG, 50-500 MG T1 QL (60 EA per 30 days) JANUMET XR ORAL TABLET EXTENDED RELEASE 24 HR* 100-1000 MG, 50-1000 MG, 50-500 MG T1 QL (30 EA per 30 days) JANUVIA ORAL TABLET 100 MG, 25 MG, 50 MG T1 QL (30 EA per 30 days) LANTUS SOLOSTAR SUBCUTANEOUS* 100 UNIT/ML T1 LANTUS SUBCUTANEOUS* SOLUTION 100 UNIT/ML T1 metformin hcl er oral tablet extended release 24 hr* 500 mg, 750 mg T1 metformin hcl oral tablet 1000 mg, 500 mg, 850 mg T1 nateglinide oral tablet 120 mg, 60 mg T1 NOVOLIN 70/30 RELION SUBCUTANEOUS* SUSPENSION (70-30) 100 UNIT/ML T1 NOVOLIN 70/30 SUBCUTANEOUS* SUSPENSION (70-30) 100 UNIT/ML T1 12 QL (30 EA per 30 days) QL (90 EA per 30 days) Drug Status Notes NOVOLIN N RELION SUBCUTANEOUS* SUSPENSION 100 UNIT/ML T1 NOVOLIN N SUBCUTANEOUS* SUSPENSION 100 UNIT/ML T1 NOVOLIN R INJECTION SOLUTION 100 UNIT/ML T1 NOVOLIN R RELION INJECTION SOLUTION 100 UNIT/ML T1 NOVOLOG MIX 70/30 SUBCUTANEOUS* SUSPENSION (70-30) 100 UNIT/ML T1 pioglitazone hcl oral tablet 15 mg, 30 mg, 45 mg T1 QL (30 EA per 30 days) pioglitazone hcl-metformin hcl oral tablet 15-500 mg, 15-850 mg T1 QL (60 EA per 30 days) TANZEUM SUBCUTANEOUS* 30 MG, 50 MG T1 PA TOUJEO SOLOSTAR SUBCUTANEOUS* 300 UNIT/ML T1 *Antidiarrheals* acidophilus/citrus pectin oral tablet T1 acidophilus/pectin oral capsule T1 bismuth oral tablet chewable 262 mg T1 CULTURELLE DIGESTIVE HEALTH ORAL CAPSULE T1 CULTURELLE DIGESTIVE HEALTH ORAL TABLET CHEWABLE T1 diphenoxylate-atropine oral liquid† 2.5-0.025 mg/5ml T1 diphenoxylate-atropine oral tablet 2.5-0.025 mg T1 IMODIUM A-D ORAL TABLET CHEWABLE 2 MG T1 loperamide hcl oral capsule 2 mg T1 loperamide hcl oral liquid† 1 mg/5ml T1 loperamide hcl oral suspension 1 mg/7.5ml T1 loperamide hcl oral tablet 2 mg T1 pink bismuth maximum strength oral suspension 525 mg/15ml T1 pink bismuth oral suspension 262 mg/15ml T1 ra pink bismuth oral tablet 262 mg T1 ra probiotic digestive care oral capsule T1 13 Drug *Antidotes* Status Notes naloxone hcl injection solution 0.4 mg/ml, 1 mg/ml T1 QL (2 ML per 90 days) naltrexone hcl oral tablet 50 mg T1 QL (40 EA per 30 days) *Antiemetics* dimenhydrinate injection solution 50 mg/ml T1 dimenhydrinate oral tablet 50 mg T1 DRAMAMINE ORAL TABLET CHEWABLE 50 MG T1 dronabinol oral capsule 10 mg, 2.5 mg, 5 mg T1 meclizine hcl oral tablet 12.5 mg, 25 mg T1 meclizine hcl oral tablet chewable 25 mg T1 meclizine hcl powder T1 ondansetron hcl oral solution 4 mg/5ml T1 ondansetron hcl oral tablet 4 mg, 8 mg T1 ondansetron oral tablet dispersible 4 mg, 8 mg T1 trimethobenzamide hcl oral capsule 300 mg T1 PA QL (50 ML per 30 days) *Antifungals* fluconazole oral suspension reconstituted 10 mg/ml, 40 mg/ml T1 fluconazole oral tablet 100 mg, 200 mg, 50 mg T1 fluconazole oral tablet 150 mg T1 griseofulvin microsize oral suspension 125 mg/5ml T1 griseofulvin microsize oral tablet 500 mg T1 griseofulvin ultramicrosize oral tablet 125 mg, 250 mg T1 ketoconazole oral tablet 200 mg T1 nystatin oral powder T1 nystatin oral tablet 500000 unit T1 terbinafine hcl oral tablet 250 mg T1 QL (4 EA per 30 days) *Antihistamines* aler-dryl oral tablet 50 mg T1 aller-chlor oral syrup 2 mg/5ml T1 cetirizine hcl oral syrup 5 mg/5ml T1 cetirizine hcl oral tablet 10 mg, 5 mg T1 chlorpheniramine maleate er oral tablet extendedrelease* 12 mg T1 chlorpheniramine maleate oral tablet 4 mg T1 14 PA Drug Status Notes chlorpheniramine maleate powder T1 clemastine fumarate oral syrup 0.67 mg/5ml T1 clemastine fumarate oral tablet 1.34 mg, 2.68 mg T1 cvs allergy childrens oral tablet chewable 12.5 mg T1 cyproheptadine hcl oral syrup 2 mg/5ml T1 cyproheptadine hcl oral tablet 4 mg T1 dexchlorpheniramine maleate oral syrup 2 mg/5ml T1 diphenhist oral liquid† 12.5 mg/5ml T1 PA diphenhydramine hcl oral capsule 25 mg, 50 mg T1 PA diphenhydramine hcl oral elixir 12.5 mg/5ml T1 PA diphenhydramine hcl oral tablet 25 mg T1 PA ED CHLORPED ORAL LIQUID† 2 MG/ML T1 fexofenadine hcl childrens oral suspension 30 mg/5ml T1 fexofenadine hcl oral tablet 180 mg T1 levocetirizine dihydrochloride oral tablet 5 mg T1 loratadine allergy relief oral tablet dispersible 10 mg T1 loratadine childrens oral solution 5 mg/5ml T1 loratadine oral tablet 10 mg T1 promethazine hcl oral solution 6.25 mg/5ml T1 promethazine hcl oral tablet 12.5 mg, 25 mg, 50 mg T1 promethazine hcl suppository 12.5 mg, 25 mg, 50 mg T1 QL (28 EA per 14 days) ra allergy relief childrens oral tablet dispersible 12.5 mg T1 PA silphen cough oral syrup 12.5 mg/5ml T1 PA TRIAMINIC COUGH/RUNNY NOSE ORAL STRIP 12.5 MG T1 PA QL (30 EA per 30 days) *Antihyperlipidemics* atorvastatin calcium oral tablet 10 mg, 20 mg, 40 mg, 80 mg T1 cholestyramine light oral powder 4 gm/dose T1 cholestyramine oral powder 4 gm/dose T1 colestipol hcl oral granules 5 gm T1 colestipol hcl oral tablet 1 gm T1 QL (30 EA per 30 days) 15 Drug Status fenofibrate micronized oral capsule 134 mg, 200 mg, 67 mg T1 fenofibrate oral tablet 160 mg, 54 mg T1 gemfibrozil oral tablet 600 mg T1 lovastatin oral tablet 10 mg, 20 mg, 40 mg T1 NIACOR ORAL TABLET 500 MG T1 pravastatin sodium oral tablet 10 mg, 20 mg, 40 mg, 80 mg T1 simvastatin oral tablet 10 mg, 20 mg, 40 mg, 5 mg T1 Notes QL (30 EA per 30 days) QL (30 EA per 30 days) *Antihypertensives* amlodipine besy-benazepril hcl oral capsule 10-20 mg, 10-40 mg, 2.5-10 mg, 5-10 mg, 5-20 mg, 5-40 mg T1 atenolol-chlorthalidone oral tablet 100-25 mg, 50-25 mg T1 AZOR ORAL TABLET 10-20 MG, 10-40 MG, 5-20 MG, 5-40 MG T1 benazepril hcl oral tablet 10 mg, 20 mg, 40 mg, 5 mg T1 benazepril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 mg, 20-25 mg, 5-6.25 mg T1 bisoprolol-hydrochlorothiazide oral tablet 10-6.25 mg, 2.5-6.25 mg, 5-6.25 mg T1 captopril oral tablet 100 mg T1 captopril oral tablet 12.5 mg, 25 mg, 50 mg T1 captopril-hydrochlorothiazide oral tablet 25-15 mg, 25-25 mg, 50-15 mg, 50-25 mg T1 clonidine hcl oral tablet 0.1 mg, 0.2 mg, 0.3 mg T1 doxazosin mesylate oral tablet 1 mg, 2 mg, 4 mg, 8 mg T1 enalapril maleate oral tablet 10 mg, 2.5 mg, 20 mg, 5 mg T1 enalapril-hydrochlorothiazide oral tablet 10-25 mg, 5-12.5 mg T1 fosinopril sodium oral tablet 10 mg, 20 mg, 40 mg T1 guanfacine hcl oral tablet 1 mg, 2 mg T1 hydralazine hcl oral tablet 10 mg, 100 mg, 25 mg, 50 mg T1 irbesartan oral tablet 150 mg, 300 mg, 75 mg T1 QL (30 EA per 30 days) irbesartan-hydrochlorothiazide oral tablet 150-12.5 mg, 300-12.5 mg T1 QL (30 EA per 30 days) 16 PA; QL (30 EA per 30 days) QL (90 EA per 30 days) Drug Status Notes lisinopril oral tablet 10 mg, 2.5 mg, 20 mg, 30 mg, 40 mg, 5 mg T1 lisinopril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 mg, 20-25 mg T1 losartan potassium oral tablet 100 mg, 25 mg, 50 mg T1 QL (30 EA per 30 days) losartan potassium-hctz oral tablet 100-12.5 mg, 100-25 mg, 50-12.5 mg T1 QL (30 EA per 30 days) methyldopa oral tablet 250 mg, 500 mg T1 metoprolol-hydrochlorothiazide oral tablet 100-25 mg, 100-50 mg, 50-25 mg T1 minoxidil oral tablet 10 mg, 2.5 mg T1 moexipril hcl oral tablet 15 mg, 7.5 mg T1 prazosin hcl oral capsule 1 mg, 2 mg, 5 mg T1 propranolol-hctz oral tablet 40-25 mg, 80-25 mg T1 quinapril hcl oral tablet 10 mg, 20 mg, 40 mg, 5 mg T1 quinapril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 mg, 20-25 mg T1 ramipril oral capsule 1.25 mg, 10 mg, 2.5 mg, 5 mg T1 terazosin hcl oral capsule 1 mg, 10 mg, 2 mg, 5 mg T1 trandolapril oral tablet 1 mg, 2 mg, 4 mg T1 QL (60 EA per 30 days) QL (30 EA per 30 days) *Anti-Infective Agents - Misc.* atovaquone oral suspension 750 mg/5ml T1 QL (210 ML per 18 days) clindamycin hcl oral capsule 150 mg, 300 mg, 75 mg T1 clindamycin palmitate hcl oral solution reconstituted 75 mg/5ml T1 dapsone oral tablet 100 mg, 25 mg T1 DORIBAX INTRAVENOUS* SOLUTION RECONSTITUTED 250 MG, 500 MG T1 FIRST-VANCOMYCIN 25 ORAL SOLUTION 25 MG/ML T1 QL (300 ML per 15 days) FIRST-VANCOMYCIN 50 ORAL SOLUTION 50 MG/ML T1 QL (150 ML per 15 days) metronidazole oral tablet 250 mg, 500 mg T1 PRIMSOL ORAL SOLUTION 50 MG/5ML T1 sulfamethoxazole-trimethoprim oral suspension 200-40 mg/5ml T1 QL (600 ML per 30 days) 17 Drug Status sulfamethoxazole-trimethoprim oral tablet 400-80 mg, 800-160 mg T1 trimethoprim oral tablet 100 mg T1 vancomycin hcl intravenous* solution reconstituted 10 gm, 1000 mg, 500 mg, 5000 mg, 750 mg T1 Notes QL (60 EA per 30 days) *Antimalarials* chloroquine phosphate oral tablet 250 mg T1 PA DARAPRIM ORAL TABLET 25 MG T1 PA hydroxychloroquine sulfate oral tablet 200 mg T1 mefloquine hcl oral tablet 250 mg T1 QL (5 EA per 30 days) primaquine phosphate oral tablet 26.3 mg T1 QL (14 EA per 30 days) quinine sulfate oral capsule 324 mg T1 *Antimycobacterial Agents* ethambutol hcl oral tablet 100 mg, 400 mg T1 isoniazid oral syrup 50 mg/5ml T1 isoniazid oral tablet 100 mg, 300 mg T1 pyrazinamide oral tablet 500 mg T1 rifampin oral capsule 150 mg, 300 mg T1 RIFATER ORAL TABLET 50-120-300 MG T1 TRECATOR ORAL TABLET 250 MG T1 *Antineoplastics And Adjunctive Therapies* anastrozole oral tablet 1 mg T1 bicalutamide oral tablet 50 mg T1 capecitabine oral tablet 150 mg, 500 mg T1 cyclophosphamide oral capsule 25 mg, 50 mg T1 ELIGARD SUBCUTANEOUS* KIT 22.5 MG, 30 MG, 45 MG, 7.5 MG T1 flutamide oral capsule 125 mg T1 PA HEXALEN ORAL CAPSULE 50 MG T1 PA hydroxyurea oral capsule 500 mg T1 imatinib mesylate oral tablet 100 mg, 400 mg T1 PA INTRON A INJECTION SOLUTION 10000000 UNIT/ML, 6000000 UNIT/ML T1 PA INTRON A INJECTION SOLUTION RECONSTITUTED 10000000 UNIT, 18000000 UNIT, 50000000 UNIT T1 PA letrozole oral tablet 2.5 mg T1 QL (30 EA per 30 days) 18 GR-F PA Drug Status Notes leucovorin calcium oral tablet 15 mg, 25 mg, 5 mg T1 LEUKERAN ORAL TABLET 2 MG T1 lomustine oral capsule 10 mg, 100 mg, 40 mg T1 PA LUPRON DEPOT INTRAMUSCULAR* KIT 11.25 MG, 22.5 MG, 3.75 MG, 30 MG, 7.5 MG T1 PA MATULANE ORAL CAPSULE 50 MG T1 PA megestrol acetate oral suspension 40 mg/ml, 400 mg/10ml T1 megestrol acetate oral tablet 20 mg, 40 mg T1 mercaptopurine oral tablet 50 mg T1 methotrexate oral tablet 2.5 mg T1 MYLERAN ORAL TABLET 2 MG T1 TABLOID ORAL TABLET 40 MG T1 tamoxifen citrate oral tablet 10 mg, 20 mg T1 GR-F; AL (Min 35 Years) tretinoin oral capsule 10 mg T1 PA *Antiparkinson Agents* amantadine hcl oral capsule 100 mg T1 amantadine hcl oral syrup 50 mg/5ml T1 benztropine mesylate oral tablet 0.5 mg, 1 mg, 2 mg T1 bromocriptine mesylate oral capsule 5 mg T1 bromocriptine mesylate oral tablet 2.5 mg T1 carbidopa oral tablet 25 mg T1 carbidopa-levodopa er oral tablet extendedrelease* 25-100 mg, 50-200 mg T1 carbidopa-levodopa oral tablet 10-100 mg, 25-100 mg, 25-250 mg T1 entacapone oral tablet 200 mg T1 pramipexole dihydrochloride oral tablet 0.125 mg, 0.25 mg, 0.5 mg, 1 mg, 1.5 mg T1 ropinirole hcl oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg, 5 mg T1 selegiline hcl oral capsule 5 mg T1 trihexyphenidyl hcl oral elixir 0.4 mg/ml T1 trihexyphenidyl hcl oral tablet 2 mg, 5 mg T1 *Antipsychotics/Antimanic Agents* clozapine oral tablet 100 mg, 200 mg, 25 mg, 50 mg T1 fluphenazine hcl injection solution 2.5 mg/ml T1 19 Drug Status fluphenazine hcl oral concentrate 5 mg/ml T1 fluphenazine hcl oral elixir 2.5 mg/5ml T1 fluphenazine hcl oral tablet 1 mg, 10 mg, 2.5 mg, 5 mg T1 haloperidol decanoate intramuscular* solution 100 mg/ml T1 haloperidol oral tablet 0.5 mg, 1 mg, 10 mg, 2 mg, 20 mg, 5 mg T1 lithium carbonate er oral tablet extendedrelease* 300 mg, 450 mg T1 lithium carbonate oral capsule 150 mg, 300 mg, 600 mg T1 lithium carbonate oral tablet 300 mg T1 loxapine succinate oral capsule 10 mg, 25 mg, 5 mg, 50 mg T1 olanzapine oral tablet 10 mg, 15 mg, 2.5 mg, 20 mg, 5 mg, 7.5 mg T1 perphenazine oral tablet 16 mg, 2 mg, 4 mg, 8 mg T1 prochlorperazine maleate oral tablet 10 mg, 5 mg T1 prochlorperazine suppository 25 mg T1 quetiapine fumarate oral tablet 100 mg, 200 mg, 25 mg, 300 mg, 400 mg, 50 mg T1 risperidone oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg T1 thiothixene oral capsule 1 mg, 10 mg, 2 mg, 5 mg T1 trifluoperazine hcl oral tablet 1 mg, 10 mg, 2 mg, 5 mg T1 ziprasidone hcl oral capsule 20 mg, 40 mg, 60 mg, 80 mg T1 Notes QL (60 EA per 30 days) ST *Antiseptics & Disinfectants* povidone-iodine external pad 10 % T1 povidone-iodine external solution 10 % T1 *Antivirals* abacavir sulfate oral tablet 300 mg T1 QL (60 EA per 30 days) abacavir-lamivudine-zidovudine oral tablet 300-150-300 mg T1 QL (60 EA per 30 days) acyclovir oral capsule 200 mg T1 acyclovir oral suspension 200 mg/5ml T1 acyclovir oral tablet 400 mg, 800 mg T1 APTIVUS ORAL CAPSULE 250 MG T1 QL (120 EA per 30 days) APTIVUS ORAL SOLUTION 100 MG/ML T1 QL (300 ML per 30 days) 20 AL (Max 12 Years) Drug Status Notes ATRIPLA ORAL TABLET 600-200-300 MG T1 QL (30 EA per 30 days) COMPLERA ORAL TABLET 200-25-300 MG T1 QL (30 EA per 30 days) CRIXIVAN ORAL CAPSULE 200 MG T1 QL (360 EA per 30 days) CRIXIVAN ORAL CAPSULE 400 MG T1 QL (180 EA per 30 days) didanosine oral capsule delayed release 125 mg, 200 mg T1 QL (60 EA per 30 days) didanosine oral capsule delayed release 250 mg, 400 mg T1 QL (30 EA per 30 days) EDURANT ORAL TABLET 25 MG T1 QL (30 EA per 30 days) EMTRIVA ORAL CAPSULE 200 MG T1 QL (30 EA per 30 days) EMTRIVA ORAL SOLUTION 10 MG/ML T1 QL (600 ML per 30 days) EPIVIR HBV ORAL SOLUTION 5 MG/ML T1 QL (1800 ML per 30 days) EPZICOM ORAL TABLET 600-300 MG T1 QL (30 EA per 30 days) INTELENCE ORAL TABLET 100 MG T1 QL (120 EA per 30 days) INTELENCE ORAL TABLET 200 MG T1 QL (60 EA per 30 days) INTELENCE ORAL TABLET 25 MG T1 INVIRASE ORAL CAPSULE 200 MG T1 QL (300 EA per 30 days) INVIRASE ORAL TABLET 500 MG T1 QL (120 EA per 30 days) ISENTRESS ORAL TABLET 400 MG T1 QL (60 EA per 30 days) ISENTRESS ORAL TABLET CHEWABLE 100 MG, 25 MG T1 KALETRA ORAL SOLUTION 400-100 MG/5ML T1 QL (450 ML per 30 days) KALETRA ORAL TABLET 100-25 MG T1 QL (360 EA per 30 days) KALETRA ORAL TABLET 200-50 MG T1 QL (180 EA per 30 days) lamivudine oral solution 10 mg/ml T1 QL (900 ML per 30 days) lamivudine oral tablet 100 mg T1 lamivudine oral tablet 150 mg T1 QL (60 EA per 30 days) lamivudine oral tablet 300 mg T1 QL (30 EA per 30 days) lamivudine-zidovudine oral tablet 150-300 mg T1 QL (60 EA per 30 days) LEXIVA ORAL SUSPENSION 50 MG/ML T1 QL (360 ML per 60 days) LEXIVA ORAL TABLET 700 MG T1 QL (120 EA per 30 days) nevirapine er oral tablet extended release 24 hr* 400 mg T1 QL (30 EA per 30 days) nevirapine oral suspension 50 mg/5ml T1 QL (1200 ML per 30 days) nevirapine oral tablet 200 mg T1 QL (60 EA per 30 days) NORVIR ORAL CAPSULE 100 MG T1 QL (360 EA per 30 days) NORVIR ORAL SOLUTION 80 MG/ML T1 QL (450 ML per 30 days) NORVIR ORAL TABLET 100 MG T1 QL (360 EA per 30 days) 21 Drug Status Notes PEG-INTRON REDIPEN PAK 4 SUBCUTANEOUS* KIT 120 MCG/0.5ML, 150 MCG/0.5ML, 50 MCG/0.5ML, 80 MCG/0.5ML T1 PA PEG-INTRON REDIPEN SUBCUTANEOUS* KIT 120 MCG/0.5ML, 150 MCG/0.5ML, 50 MCG/0.5ML, 80 MCG/0.5ML T1 PA PEGINTRON SUBCUTANEOUS* KIT 120 MCG/0.5ML, 150 MCG/0.5ML, 50 MCG/0.5ML, 80 MCG/0.5ML T1 PA PEG-INTRON SUBCUTANEOUS* KIT 120 MCG/0.5ML, 150 MCG/0.5ML, 50 MCG/0.5ML, 80 MCG/0.5ML T1 PA PREZISTA ORAL TABLET 150 MG T1 QL (240 EA per 30 days) PREZISTA ORAL TABLET 600 MG T1 QL (60 EA per 30 days) PREZISTA ORAL TABLET 75 MG T1 QL (480 EA per 30 days) PREZISTA ORAL TABLET 800 MG T1 QL (30 EA per 30 days) RELENZA DISKHALER INHALATION AEROSOL POWDER, BREATH ACTIVATED 5 MG/BLISTER T1 QL (20 EA per 5 days) RESCRIPTOR ORAL TABLET 100 MG T1 QL (360 EA per 30 days) RESCRIPTOR ORAL TABLET 200 MG T1 REYATAZ ORAL CAPSULE 150 MG, 200 MG T1 QL (60 EA per 30 days) REYATAZ ORAL CAPSULE 300 MG T1 QL (30 EA per 30 days) RIBASPHERE ORAL CAPSULE 200 MG T1 PA ribavirin oral capsule 200 mg T1 PA rimantadine hcl oral tablet 100 mg T1 SELZENTRY ORAL TABLET 150 MG, 300 MG T1 stavudine oral capsule 15 mg, 20 mg, 30 mg, 40 mg T1 QL (60 EA per 30 days) stavudine oral solution reconstituted 1 mg/ml T1 QL (1200 ML per 30 days) STRIBILD ORAL TABLET 150-150-200-300 MG T1 QL (30 EA per 30 days) SUSTIVA ORAL CAPSULE 200 MG T1 QL (90 EA per 30 days) SUSTIVA ORAL CAPSULE 50 MG T1 QL (360 EA per 30 days) SUSTIVA ORAL TABLET 600 MG T1 QL (30 EA per 30 days) TAMIFLU ORAL CAPSULE 30 MG, 45 MG, 75 MG T1 QL (10 EA per 5 days) TAMIFLU ORAL SUSPENSION RECONSTITUTED 6 MG/ML T1 AL (Max 12 Years) 22 Drug Status Notes TIVICAY ORAL TABLET 50 MG T1 QL (30 EA per 30 days) TRIUMEQ ORAL TABLET 600-50-300 MG T1 QL (30 EA per 30 days) TRUVADA ORAL TABLET 100-150 MG, 133-200 MG, 167-250 MG, 200-300 MG T1 QL (30 EA per 30 days) valacyclovir hcl oral tablet 1 gm, 500 mg T1 VIDEX ORAL SOLUTION RECONSTITUTED 2 GM, 4 GM T1 QL (603 ML per 30 days) VIRACEPT ORAL TABLET 250 MG T1 QL (300 EA per 30 days) VIRACEPT ORAL TABLET 625 MG T1 QL (120 EA per 30 days) VIRAMUNE ORAL SUSPENSION 50 MG/5ML T1 QL (1200 ML per 30 days) VIREAD ORAL TABLET 150 MG, 200 MG, 250 MG, 300 MG T1 QL (30 EA per 30 days) ZIAGEN ORAL SOLUTION 20 MG/ML T1 QL (900 ML per 30 days) zidovudine oral capsule 100 mg T1 QL (180 EA per 30 days) zidovudine oral syrup 50 mg/5ml T1 QL (1800 ML per 30 days) zidovudine oral tablet 300 mg T1 QL (60 EA per 30 days) *Assorted Classes* ARGYLE STERILE WATER IRRIGATION SOLUTION T1 azathioprine oral tablet 50 mg T1 CELLCEPT ORAL SUSPENSION RECONSTITUTED 200 MG/ML T1 cyclosporine modified oral capsule 100 mg, 25 mg, 50 mg T1 cyclosporine modified oral solution 100 mg/ml T1 cyclosporine oral capsule 100 mg, 25 mg T1 GENGRAF ORAL CAPSULE 100 MG, 25 MG T1 GENGRAF ORAL SOLUTION 100 MG/ML T1 KIONEX ORAL POWDER T1 mycophenolate mofetil oral capsule 250 mg T1 mycophenolate mofetil oral suspension reconstituted 200 mg/ml T1 mycophenolate mofetil oral tablet 500 mg T1 sodium polystyrene sulfonate oral powder T1 sterile water for irrigation irrigation solution T1 tacrolimus oral capsule 0.5 mg, 1 mg, 5 mg T1 PA *Beta Blockers* acebutolol hcl oral capsule 200 mg, 400 mg T1 23 Drug Status atenolol oral tablet 100 mg, 25 mg, 50 mg T1 bisoprolol fumarate oral tablet 10 mg, 5 mg T1 BYSTOLIC ORAL TABLET 10 MG, 2.5 MG, 20 MG, 5 MG T1 carvedilol oral tablet 12.5 mg, 25 mg, 3.125 mg, 6.25 mg T1 labetalol hcl oral tablet 100 mg, 200 mg, 300 mg T1 metoprolol succinate er oral tablet extended release 24 hr* 100 mg, 200 mg, 25 mg, 50 mg T1 metoprolol tartrate oral tablet 100 mg, 25 mg, 50 mg T1 nadolol oral tablet 20 mg, 40 mg, 80 mg T1 pindolol oral tablet 10 mg, 5 mg T1 propranolol hcl er oral capsule extended release 24 hour 120 mg, 160 mg, 60 mg, 80 mg T1 propranolol hcl oral solution 20 mg/5ml, 40 mg/5ml T1 propranolol hcl oral tablet 10 mg, 20 mg, 40 mg, 60 mg, 80 mg T1 sotalol hcl (af) oral tablet 120 mg, 160 mg, 80 mg T1 sotalol hcl oral tablet 120 mg, 160 mg, 240 mg, 80 mg T1 timolol maleate oral tablet 10 mg, 20 mg, 5 mg T1 Notes *Calcium Channel Blockers* amlodipine besylate oral tablet 10 mg, 2.5 mg, 5 mg T1 QL (30 EA per 30 days) CARTIA XT ORAL CAPSULE EXTENDED RELEASE 24 HOUR 120 MG, 180 MG, 240 MG, 300 MG T1 QL (30 EA per 30 days) diltiazem cd oral capsule extended release 24 hour 120 mg, 180 mg T1 QL (30 EA per 30 days) diltiazem hcl er beads oral capsule extended release 24 hour 420 mg T1 QL (30 EA per 30 days) diltiazem hcl er coated beads oral capsule extended release 24 hour 300 mg T1 QL (30 EA per 30 days) diltiazem hcl er oral capsule extended release 12 hour 120 mg, 60 mg, 90 mg T1 QL (60 EA per 30 days) diltiazem hcl er oral capsule extended release 24 hour 120 mg, 180 mg, 240 mg T1 QL (30 EA per 30 days) diltiazem hcl oral tablet 120 mg, 30 mg, 60 mg, 90 mg T1 24 Drug Status Notes dilt-xr oral capsule extended release 24 hour 120 mg, 180 mg, 240 mg T1 QL (30 EA per 30 days) felodipine er oral tablet extended release 24 hr* 10 mg, 2.5 mg, 5 mg T1 QL (30 EA per 30 days) nicardipine hcl oral capsule 20 mg, 30 mg T1 nifedipine er oral tablet extended release 24 hr* 30 mg, 60 mg, 90 mg T1 QL (30 EA per 30 days) nifedipine er osmotic release oral tablet extended release 24 hr* 30 mg, 60 mg, 90 mg T1 QL (30 EA per 30 days) nifedipine oral capsule 10 mg, 20 mg T1 nimodipine oral capsule 30 mg T1 PA TAZTIA XT ORAL CAPSULE EXTENDED RELEASE 24 HOUR 120 MG, 180 MG, 240 MG, 300 MG, 360 MG T1 QL (30 EA per 30 days) verapamil hcl er oral capsule extended release 24 hour 100 mg, 120 mg, 180 mg, 200 mg, 240 mg, 300 mg, 360 mg T1 QL (30 EA per 30 days) verapamil hcl er oral tablet extendedrelease* 120 mg, 180 mg, 240 mg T1 QL (30 EA per 30 days) verapamil hcl oral tablet 120 mg, 40 mg, 80 mg T1 *Cardiotonics* digoxin oral tablet 125 mcg, 250 mcg T1 *Cephalosporins* cefaclor oral capsule 250 mg, 500 mg T1 cefaclor oral suspension reconstituted 125 mg/5ml, 250 mg/5ml, 375 mg/5ml T1 AL (Max 11 Years) cefadroxil oral capsule 500 mg T1 QL (40 EA per 10 days) cefadroxil oral suspension reconstituted 250 mg/5ml, 500 mg/5ml T1 cefadroxil oral tablet 1 gm T1 cefdinir oral capsule 300 mg T1 cefdinir oral suspension reconstituted 125 mg/5ml, 250 mg/5ml T1 cefpodoxime proxetil oral suspension reconstituted 100 mg/5ml, 50 mg/5ml T1 cefpodoxime proxetil oral tablet 100 mg, 200 mg T1 cefprozil oral suspension reconstituted 125 mg/5ml, 250 mg/5ml T1 cefprozil oral tablet 250 mg, 500 mg T1 CEFTIN ORAL SUSPENSION RECONSTITUTED 125 MG/5ML, 250 MG/5ML T1 QL (20 EA per 10 days) AL (Max 11 Years) AL (Max 11 Years) 25 Drug Status Notes ceftriaxone sodium injection solution reconstituted 1 gm, 500 mg T1 QL (10 EA per 30 days) ceftriaxone sodium injection solution reconstituted 250 mg T1 QL (180 EA per 30 days) ceftriaxone sodium intravenous* solution reconstituted 1 gm T1 cefuroxime axetil oral suspension reconstituted 125 mg/5ml T1 cefuroxime axetil oral tablet 250 mg, 500 mg T1 cephalexin oral capsule 250 mg, 500 mg T1 cephalexin oral suspension reconstituted 125 mg/5ml, 250 mg/5ml T1 *Chemicals* acetone solution T1 ACTIPHYTE OF LEMONGRASS LIQUID† T1 ammonium lactate solution 70 % T1 benzyl benzoate liquid† T1 camphor spirit spirit T1 chlorhexidine gluconate solution T1 chloroform solution T1 cottonseed oil oil T1 CRYOSERV SOLUTION T1 dimethyl sulfoxide solution , 100 % T1 ether solution T1 ethyl alcohol (rubbing) solution 70 % T1 ethyl alcohol external solution 95 % T1 ethyl alcohol solution 95 % T1 eugenol solution T1 glycerin liquid† T1 glycerin solution T1 glycerine liquid† T1 glycerol formal liquid† T1 glycine soya extract solution T1 glycine soya protein solution T1 gnp alcohol denatured solution T1 gnp peppermint spirit spirit T1 gnp sodium silicate solution T1 guaiacol solution T1 hydroxyprogesterone caproate powder T1 26 AL (Max 11 Years) Drug Status isopropyl alcohol solution , 50 %, 70 %, 91 % T1 isopropyl palmitate liquid† T1 methanol solution , 99 % T1 methyl alcohol solution T1 peppermint spirit spirit T1 pine tar liquid† T1 polysorbate 20 solution T1 polysorbate 40 solution T1 polysorbate 60 liquid† T1 polysorbate 80 oral liquid† T1 PRETZ SOLUTION 10 % T1 ra ethyl alcohol solution 70 % T1 sm camphor spirit spirit T1 sodium bicarbonate powder T1 sodium silicate solution 40 % T1 turpentine liquid† T1 undecylenic acid liquid† T1 Notes *Contraceptives* desogestrel-ethinyl estradiol oral tablet 0.15-30 mg-mcg T1 GR-F; QL (28 EA per 21 days) KELNOR 1/35 ORAL TABLET 1-35 MG-MCG T1 GR-F; QL (28 EA per 21 days) levonorgest-eth estrad 91-day oral tablet 0.15-0.03 mg T1 GR-F; QL (91 EA per 91 days) levonorgestrel oral tablet 0.75 mg, 1.5 mg T1 GR-F; QL (2 EA per 30 days) levonorgestrel-ethinyl estrad oral tablet 0.1-20 mg-mcg, 0.15-30 mg-mcg T1 GR-F; QL (28 EA per 21 days) LOW-OGESTREL ORAL TABLET 0.3-30 MG-MCG T1 GR-F; QL (28 EA per 21 days) medroxyprogesterone acetate intramuscular* suspension 150 mg/ml T1 GR-F; QL (1 ML per 90 days) MICROGESTIN 1.5/30 ORAL TABLET 1.5-30 MG-MCG T1 GR-F; QL (21 EA per 21 days) MICROGESTIN FE 1.5/30 ORAL TABLET 1.5-30 MG-MCG T1 GR-F; QL (28 EA per 21 days) NECON 0.5/35 (28) ORAL TABLET 0.5-35 MG-MCG T1 GR-F; QL (28 EA per 21 days) NECON 1/35 (28) ORAL TABLET 1-35 MG-MCG T1 GR-F; QL (28 EA per 21 days) NECON 1/50 (28) ORAL TABLET 1-50 MG-MCG T1 GR-F; QL (28 EA per 21 days) 27 Drug Status Notes NECON 10/11 (28) ORAL TABLET 35 MCG T1 GR-F; QL (28 EA per 21 days) NECON 7/7/7 ORAL TABLET 0.5/0.75/1-35 MG-MCG T1 GR-F; QL (28 EA per 21 days) norethin ace-eth estrad-fe oral tablet 1-20 mg-mcg, 1-20 mg-mcg(24) T1 GR-F; QL (28 EA per 21 days) norethindrone acet-ethinyl est oral tablet 1-20 mg-mcg T1 GR-F; QL (21 EA per 21 days) norethindrone oral tablet 0.35 mg T1 GR-F; QL (28 EA per 21 days) norgestimate-eth estradiol oral tablet 0.25-35 mg-mcg T1 GR-F; QL (28 EA per 21 days) TRINESSA (28) ORAL TABLET 0.18/0.215/0.25 MG-35 MCG T1 GR-F; QL (28 EA per 21 days) TRIVORA (28) ORAL TABLET T1 GR-F; QL (28 EA per 21 days) VELIVET ORAL TABLET 0.1/0.125/0.15 -0.025 MG T1 GR-F; QL (28 EA per 21 days) ZOVIA 1/50E (28) ORAL TABLET 1-50 MG-MCG T1 GR-F; QL (28 EA per 21 days) *Corticosteroids* cortisone acetate oral tablet 25 mg T1 DEXAMETHASONE INTENSOL ORAL CONCENTRATE 1 MG/ML T1 dexamethasone oral elixir 0.5 mg/5ml T1 dexamethasone oral solution 0.5 mg/5ml T1 dexamethasone oral tablet 0.5 mg, 0.75 mg, 1 mg, 1.5 mg, 2 mg, 4 mg, 6 mg T1 DEXPAK 10 DAY ORAL 1.5 MG (35) T1 DEXPAK 13 DAY ORAL 1.5 MG (51) T1 DEXPAK 6 DAY ORAL 1.5 MG (21) T1 fludrocortisone acetate oral tablet 0.1 mg T1 hydrocortisone oral tablet 10 mg, 20 mg, 5 mg T1 methylprednisolone oral 4 mg T1 methylprednisolone oral tablet 16 mg, 32 mg, 4 mg, 8 mg T1 prednisolone oral solution 15 mg/5ml T1 prednisolone sodium phosphate oral solution 15 mg/5ml, 6.7 (5 base) mg/5ml T1 prednisone oral 10 mg (21), 10 mg (48), 5 mg (21), 5 mg (48) T1 prednisone oral solution 5 mg/5ml T1 prednisone oral tablet 1 mg, 10 mg, 2.5 mg, 20 mg, 5 mg, 50 mg T1 28 Drug *Cough/Cold/Allergy* Status ACETADRYL ORAL TABLET 25-500 MG T1 ACETA-GESIC ORAL TABLET 12.5-325 MG T1 acetylcysteine inhalation solution 10 %, 20 % T1 ADVIL ALLERGY & CONGESTION ORAL TABLET 4-10-200 MG T1 ADVIL ALLERGY SINUS ORAL TABLET 2-30-200 MG T1 ADVIL COLD & SINUS LIQUI-GELS ORAL CAPSULE 30-200 MG T1 ALA-HIST PE ORAL TABLET 2-10 MG T1 ALKA-SELTZER PLS ALLERGY & CGH ORAL CAPSULE 5-6.25-10-325 MG T1 ALKA-SELTZER PLUS COLD & COUGH ORAL CAPSULE 5-2-10-325 MG T1 ALKA-SELTZER PLUS COLD & COUGH ORAL TABLET EFFERVESCENT 7.8-2-10-325 MG T1 ALKA-SELTZER PLUS COLD & FLU ORAL TABLET EFFERVESCENT 5-2-10-250 MG T1 ALKA-SELTZER PLUS DAY/NIGHT ORAL T1 ALKA-SELTZER PLUS NIGHT COLD ORAL TABLET EFFERVESCENT 7.8-6.25-10-500 MG T1 ALKA-SELTZER PLUS SINUS ORAL TABLET EFFERVESCENT 7.8-325 MG T1 all day pain relf sinus/cold d oral tablet extended release 12 hr* 120-220 mg T1 aller-time oral tablet 2.5-60 mg T1 ambi 12.5cpd/100gfn/30pse oral liquid† 30-12.5-100 mg/5ml T1 ambi 12.5cpd/1dcpm/30pse oral liquid† 30-1-12.5 mg/5ml T1 ap-hist dm oral liquid† 7.5-4-15 mg/5ml T1 benzonatate oral capsule 100 mg, 200 mg T1 biobron sf oral syrup 10-15-350 mg/5ml T1 biodesp dm oral syrup 5-15-100 mg/5ml T1 biogtuss oral liquid† 10-15-300 mg/5ml T1 bionatuss dxp oral liquid† 10-2-20 mg/5ml T1 bionel oral liquid† 30-15-200 mg/5ml T1 Notes 29 Drug Status bionel pediatric oral liquid† 15-5-50 mg/5ml T1 biospec dmx oral liquid† 15-25 mg/5ml T1 bpm-dm-phen oral syrup 5-2-10 mg/5ml T1 bronchial asthma relief oral tablet 12.5-200 mg T1 BRONCOTRON PED DROPS ORAL LIQUID† 2.5-5-100 MG/ML T1 BRONCOTRON PED ORAL LIQUID† 10-15-350 MG/5ML T1 BRONCOTRON-S ORAL LIQUID† 20-400 MG/5ML T1 BRONKAID ORAL TABLET 25-400 MG T1 bronkids oral liquid† 1.5-0.6-2.75 mg/ml, 10-4-10 mg/5ml T1 brotapp dm oral liquid† 15-1-5 mg/5ml T1 capcof oral syrup 5-2-10 mg/5ml T1 capmist dm oral tablet 60-15-400 mg T1 capron dm oral liquid† 7.5-7.5 mg/5ml T1 CARBAPHEN CH ORAL SUSPENSION 10-4-24 MG/5ML T1 CARBAPHEN PED CH ORAL SUSPENSION 2.5-1.25-8 MG/ML T1 CCP CAFFEINE FREE ORAL TABLET 325-200-10 MG T1 CERTUSS-D ORAL TABLET 60-25-400 MG T1 cetirizine-pseudoephedrine er oral tablet extended release 12 hr* 5-120 mg T1 cheratussin ac oral syrup 100-10 mg/5ml T1 cheratussin dac oral solution 30-10-100 mg/5ml T1 chest congestion daytime oral tablet 325-200 mg T1 chest congestion relief pe oral tablet 10-400 mg T1 chest congestion/pain & sinus oral tablet 10-650-400 mg T1 childrens cough oral liquid† 5-100 mg/5ml T1 childrens cough/runny nose oral suspension 5-160-1 mg/5ml T1 childrens plus cold & allergy oral suspension 12.5-2.5-160 mg/5ml T1 childrens plus cold oral suspension 1-2.5-160 mg/5ml T1 childrens plus flu oral suspension 2.5-1-5-160 mg/5ml T1 30 Notes Drug Status chlo tuss ex oral liquid† 12.5-100 mg/5ml T1 CHLO TUSS ORAL LIQUID† 30-1-12.5 MG/5ML T1 chlophed oral liquid† 5-12.5-100 mg/5ml T1 codituss dm oral syrup 5-8.33-10 mg/5ml T1 cold & cough childrens oral elixir 2.5-1-5 mg/5ml T1 cold & cough day/night child oral 2.5-5 &2.5-6.25 mg/5ml T1 cold & cough daytime oral liquid† 1000-30 mg/30ml T1 cold & flu nighttime/daytime oral (liquid) T1 cold & flu relief nighttime d oral liquid† 60-12.5-30-1000 mg/30ml T1 cold & flu severe daytime oral tablet 5-10-200-325 mg T1 cold control pe cold/flu med oral tablet 25-10-650 mg T1 cold head congestion daytime oral tablet 10-5-325 mg T1 cold head congestion nighttime oral tablet 5-2-10-325 mg T1 cold multi-symptom day/night oral 5-2-10-325 mg T1 cold multi-symptom warm night oral liquid† 5-6.25-10-325 mg/15ml T1 cold relief plus oral tablet effervescent 2-7.8-325 mg T1 cold/flu relief day/night oral T1 cold/flu relief nighttime oral liquid† 15-6.25-325 mg/15ml T1 cold/flu relief oral liquid† 10-5-325 mg/15ml T1 complete sinus relief oral tablet 2-10-500 mg T1 CONEX COLD/ALLERGY ORAL SOLUTION 1-30 MG/5ML T1 CONEX COLD/ALLERGY ORAL TABLET 2-60 MG T1 CONTAC COLD+FLU MAX ST ORAL TABLET 2-5-500 MG T1 CORICIDIN HBP CONGESTION/COUGH ORAL CAPSULE 10-200 MG T1 CORICIDIN HBP DAY/NIGHT COLD ORAL 10-20 &15-200-2 MG T1 Notes 31 Drug Status CORICIDIN NIGHTTIME COLD-COUGH ORAL LIQUID† 12.5-325 MG/15ML T1 cough & cold oral tablet 4-30 mg T1 cough & sore throat nighttime oral liquid† 30-12.5-1000 mg/30ml T1 cough daytime/nighttime oral 6.25-15 & 15 mg/15ml T1 cvs cough & sore throat child oral liquid† 160-5 mg/5ml T1 cvs non-drying sinus pe oral tablet 5-200 mg T1 DALLERGY ORAL LIQUID† 1-2.5 MG/ML T1 DALLERGY ORAL TABLET 1-5 MG T1 day time pe cold/flu relief oral capsule 10-5-325 mg T1 daytime cold & cough childrens oral solution 2.5-5 mg/5ml T1 DAYTIME COLD MEDICINE ORAL LIQUID† 325-15 MG/15ML T1 DELSYM CGH/CLD NIGHTTIME CHILD ORAL LIQUID† 12.5-5-325 MG/10ML T1 DELTUSS DMX ORAL LIQUID† 30-1-15 MG/5ML T1 DELTUSS DP ORAL LIQUID† 1-30 MG/5ML T1 DESGEN DM ORAL SYRUP 5-15-100 MG/5ML T1 DESGEN PEDIATRIC ORAL LIQUID† 2.5-5-50 MG/ML T1 despec dm oral syrup 5-10-100 mg/5ml T1 despec-dm oral tablet 40-30-400 mg T1 dextromethorphan-guaifenesin oral solution 10-100 mg/5ml T1 DIABETIC TUSSIN COLD & FLU ORAL LIQUID† 10-12.5-325 MG/5ML T1 DIABETIC TUSSIN NIGHT COLD/FLU ORAL LIQUID† 10-12.5-325 MG/5ML T1 DIMETAPP LONG ACT COUGH/COLD ORAL SYRUP 1-7.5 MG/5ML T1 DOLOGEN ORAL TABLET 2-650 MG T1 dometuss-da/children oral liquid† 1-2.5 mg/5ml T1 dometuss-dmx oral liquid† 10-30-200 mg/5ml T1 DURAVENT PE ORAL TABLET 10-395 MG T1 ed bron gp oral liquid† 5-100 mg/5ml T1 32 Notes Drug Status ED CHLORPED D ORAL LIQUID† 2-5 MG/ML T1 ed-a-hist dm oral liquid† 10-4-15 mg/5ml T1 endacof-c oral liquid† 2-10 mg/5ml T1 ENDACOF-DM ORAL LIQUID† 2.5-1-5 MG/5ML T1 ENDACON ORAL SYRUP 10-20-100 MG/5ML T1 ENTEX LQ ORAL LIQUID† 10-100 MG/5ML T1 ENTEX T ORAL TABLET 60-375 MG T1 entre-cough oral liquid† 30-15-175 mg/5ml T1 eq allergy/sinus headache oral tablet 12.5-30-500 mg T1 eq childrens cold oral liquid† 1-15-160 mg/5ml T1 eq cold plus oral capsule 2-30-325 mg T1 eq cold relief complete oral tablet 30-2-15-325 mg T1 eq cold/cough plus oral capsule 30-2-10-325 mg T1 eq daytime cold/flu relief oral capsule 30-325-15 mg T1 eq daytime cold/flu relief oral liquid† 30-325-15 mg/15ml T1 eq flu & severe cold & cough oral packet 25-10-650 mg T1 eq flu relief oral tablet 30-500-15 mg T1 eq flu/severe cold/congestion oral packet 60-4-30-1000 mg T1 eq night time cold & cough oral liquid† 6.25-2.5 mg/5ml T1 eq nite time cold/flu relief oral capsule 30-6.25-15-325 mg T1 eq nitetime cold/flu ms relief oral capsule 15-6.25-325 mg T1 eq non-drying sinus oral capsule 30-200 mg T1 eq sinus congestion & pain oral tablet 5-325-200 mg T1 eq triacting cold/allergy oral syrup 1-15 mg/5ml T1 FENESIN DM IR ORAL TABLET 15-400 MG T1 flu & sore throat oral packet 20-10-650 mg T1 flu/severe cold & cough day oral packet 20-10-650 mg T1 gnp night time sinus oral capsule 6.25-5-325 mg T1 Notes 33 Drug Status G-P-TUSS DXP ORAL LIQUID† 10-2-20 MG/5ML T1 G-TRON PEDIATRIC DROPS ORAL LIQUID† 2.5-5-100 MG/ML T1 guaifenesin dm oral tablet 400-20 mg T1 guaifenesin er oral tablet extended release 12 hr* 1200 mg, 600 mg T1 guaifenesin oral solution 100 mg/5ml T1 guaifenesin oral tablet 200 mg, 400 mg T1 guaifenesin powder T1 guaifenesin-dm oral syrup 100-10 mg/5ml T1 G-ZYNCOF ORAL SYRUP 20-400 MG/5ML T1 HERBAL EXPEC ORAL LIQUID† 150 MG/15ML T1 HISTEX-DM ORAL SYRUP 10-2.5-20 MG/5ML T1 HISTEX-PE ORAL SYRUP 2.5-10 MG/5ML T1 hist-pse oral liquid† 0.938-10 mg/ml T1 hydrocod polst-cpm polst er oral 10-8 mg/5ml T1 hydrocodone-homatropine oral syrup 5-1.5 mg/5ml T1 hydrocodone-homatropine oral tablet 5-1.5 mg T1 ibu-profen cold/sinus oral tablet 30-200 mg T1 intense cough reliever oral liquid† 20-300 mg/5ml, 30-200 mg/5ml T1 liquituss gg oral liquid† 200 mg/5ml T1 LITTLE REMEDIES FOR COLDS ORAL LIQUID† 2.5-1.25-80 MG/ML T1 LODRANE D ORAL CAPSULE 4-60 MG T1 LOHIST-D ORAL LIQUID† 2-30 MG/5ML T1 loratadine-d 12hr oral tablet extended release 12 hr* 5-120 mg T1 loratadine-d 24hr oral tablet extended release 24 hr* 10-240 mg T1 LORTUSS DM ORAL LIQUID† 30-6.25-15 MG/5ML T1 LORTUSS LQ ORAL LIQUID† 6.25-30 MG/5ML T1 MAR-COF BP ORAL LIQUID† 30-2-7.5 MG/5ML T1 m-end dmx oral liquid† 20-0.667-10 mg/5ml T1 34 Notes Drug Status m-end max d oral liquid† 20-0.667-6 mg/5ml T1 M-END PE ORAL LIQUID† 3.33-1.33-6.33 MG/5ML T1 MUCINEX CHILD MS DAY-NIGHT CLD ORAL T1 MUCINEX COUGH FOR KIDS ORAL PACKET 5-100 MG T1 MUCINEX FAST-MAX CONGEST COUGH ORAL TABLET 5-10-200 MG T1 MUCINEX FAST-MAX DAY/NIGHT ORAL T1 MUCINEX FOR KIDS ORAL PACKET 100 MG T1 MUCINEX SINUS-MAX DAY/NIGHT ORAL Notes T1 mucus d oral tablet extended release 12 hr* 120-1200 mg T1 mucus relief cold flu throat oral liquid† 5-10-200-325 mg/10ml T1 mucus relief cold/sinus max st oral liquid† 10-650-400 mg/20ml T1 mucus relief d oral tablet 40-400 mg T1 mucus relief severe congst/cgh oral liquid† 10-20-400 mg/20ml T1 mucus-dm max oral tablet extended release 12 hr* 60-1200 mg T1 mucus-dm oral tablet extended release 12 hr* 30-600 mg T1 nasal mist inhalation aerosol, solution 0.9 % T1 NASOPEN ORAL LIQUID† 9.375-30 MG/5ML T1 NASOPEN PE ORAL LIQUID† 50-10 MG/15ML T1 NEOTUSS PLUS ORAL LIQUID† 7.5-4-30 MG/5ML T1 NEOTUSS-D ORAL LIQUID† 7.5-30-200 MG/5ML T1 nighttime cough oral liquid† 6.25-15 mg/15ml T1 nite-time cold/flu relief oral liquid† 5-6.25-15-500 mg/15ml T1 NIVANEX DMX ORAL TABLET 10-15-380 MG T1 nohist-lq oral liquid† 4-10 mg/5ml T1 35 Drug Status non-pseudo cold relief oral tablet 5-15-200-325 mg T1 NOREL AD ORAL TABLET 4-10-325 MG T1 PANATUSS PED DROPS ORAL LIQUID† 15-0.5-6.25 MG/ML T1 PANATUSS PED ORAL LIQUID† 60-2-25 MG/5ML T1 PECGEN DMX ORAL LIQUID† 15-125 MG/5ML T1 PEDIACARE CHILD ALLERGY/COLD ORAL LIQUID† 12.5-5 MG/5ML T1 pediatric cough/cold oral liquid† 15-1-5 mg/5ml T1 phenylhistine dh oral liquid† 30-2-10 mg/5ml T1 POLY HIST FORTE ORAL TABLET 7.5-10 MG T1 poly-hist dm oral liquid† 5-25-10 mg/5ml T1 poly-hist pd oral liquid† 6.25-6.25 mg/ml T1 poly-tussin ac oral liquid† 10-4-10 mg/5ml T1 poly-tussin d oral liquid† 10-30-9.375 mg/5ml T1 poly-tussin oral liquid† 10-9.375 mg/5ml T1 POLY-VENT DM ORAL TABLET 60-20-380 MG T1 POLY-VENT IR ORAL TABLET 60-380 MG T1 pres gen pediatric oral liquid† 2.5-5-75 mg/5ml T1 pro-chlo oral liquid† 5-12.5-12.5 mg/5ml T1 PRO-CLEAR AC ORAL SYRUP 9-8.33 MG/5ML T1 promethazine vc plain oral syrup 6.25-5 mg/5ml T1 promethazine vc/codeine oral syrup 6.25-5-10 mg/5ml T1 promethazine-codeine oral syrup 6.25-10 mg/5ml T1 promethazine-dm oral syrup 6.25-15 mg/5ml T1 PRO-RED AC ORAL SYRUP 5-1-9 MG/5ML T1 pseudoeph-bromphen-dm oral syrup 30-2-10 mg/5ml T1 pseudoephedrine-guaifenesin er oral tablet extended release 12 hr* 60-600 mg T1 pyrilamine-phenylephrine oral suspension 5-16 mg/5ml T1 pyrilamine-phenylephrine oral tablet 25-10 mg T1 qc cold relief oral tablet 12.5-500 mg T1 36 Notes Drug Status qc cold relief plus oral tablet effervescent 2-5-250 mg T1 qc flu relief therapy night oral liquid† 12.5-5-325 mg/15ml T1 Q-TAPP ORAL ELIXIR 1-15 MG/5ML T1 ra allergy multi-symptom night oral tablet 25-5-325 mg T1 ra allergy multi-symptom oral tablet 2-5-325 mg T1 ra allergy plus sinus oral tablet 25-10 mg T1 ra childrens cold & allergy oral elixir 1-2.5 mg/5ml T1 ra cold & flu oral tablet 2-325 mg T1 ra cold/cough sinus relief pe oral tablet 5-10-100-325 mg T1 ra flu maximum strength oral tablet 15-500-2 mg T1 ra severe cold/sinus relief pe oral tablet 12.5-5-325 mg T1 ra sinus congst/pain day/night oral 2-5-325 & 5-325 mg T1 ra suphedrine day/night combo oral T1 ra suphedrine pe oral tablet 4-10 mg, 5-325 mg T1 refenesen plus oral tablet 60-400 mg T1 relcof c oral solution 100-6.3 mg/5ml T1 RESCON DM ORAL SYRUP 30-2-10 MG/5ML T1 RESPAIRE-30 ORAL CAPSULE 30-150 MG T1 ROBITUSSIN CHILD COUGH/COLD CF ORAL LIQUID† 2.5-5-50 MG/5ML T1 ROBITUSSIN CHILD COUGH/COLD LA ORAL LIQUID† 1-7.5 MG/5ML T1 ROBITUSSIN DAY/NIGHT VALUE PAK ORAL T1 ROBITUSSIN NIGHTTIME COUGH DM ORAL LIQUID† 12.5-30 MG/10ML T1 ROBITUSSIN PEAK COLD MULTI-SYM ORAL LIQUID† 6.25-2.5-160 MG/5ML T1 ROBITUSSIN PK COLD DAY/NGHT DM ORAL T1 ROBITUSSIN PK COLD DAY/NGHT MS ORAL T1 ru-hist d oral tablet 4-10 mg T1 rymed oral tablet 2-10 mg T1 Notes 37 Drug Status SAFE TUSSIN PM ORAL LIQUID† 3.125-7.5 MG/5ML T1 sb daytime sinus oral capsule 5-325 mg T1 sb severe cold congestion oral tablet 30-15-200-325 mg T1 SCOT-TUSSIN DM ORAL LIQUID† 2-15 MG/5ML T1 SCOT-TUSSIN SENIOR ORAL LIQUID† 15-200 MG/5ML T1 SINADRIN PE COMPLETE SINUS REL ORAL TABLET 2-10-650 MG T1 sinus daytime/nighttime oral T1 sinus maximum strength oral tablet 30-500 mg T1 sm cough/runny nose childrens oral liquid† 1-5 mg/5ml T1 sm ibuprofren cold childrens oral suspension 15-100 mg/5ml T1 sm pain reliever sinus pe oral tablet 5-500 mg T1 sm tussin cf oral liquid† 30-10-100 mg/5ml T1 sodium chloride inhalation nebulization solution 0.9 % T1 stahist ad oral liquid† 25-60 mg/5ml T1 stahist ad oral tablet 25-60 mg T1 SUDAFED PE DAY & NIGHT ORAL 25-10 & 10 MG T1 SUDOGEST SINUS/ALLERGY ORAL TABLET 4-60 MG T1 super strength sinadrin oral tablet 4-10-650 mg T1 supress a pediatric oral liquid† 5-1-10 mg/ml T1 supress dm pediatric oral liquid† 5-50 mg/ml T1 SUPRESS-PE PEDIATRIC ORAL LIQUID† 2.5-50 MG/ML T1 terpin hydrate powder T1 tg 10peh/380gfn oral tablet 10-380 mg T1 tgq 15dm/5peh/2cpm oral syrup 15-5-2 mg/5ml T1 tgq 30pse/150gfn/15dm oral syrup 30-150-15 mg/5ml T1 theracaps cough/cold reliever oral tablet 30-2-15-500 mg T1 THERAFLU MAX-D COLD & FLU ORAL PACKET 60-30-400-1000 MG T1 38 Notes Drug Status THERAFLU SEVERE COLD & COUGH ORAL PACKET T1 THERAFLU SEVERE COLD DAYTIME ORAL TABLET 15-5-325 MG T1 TREXBROM ORAL LIQUID† 10-4-25 MG/5ML T1 triactin chest congestion oral solution 50 mg/5ml T1 TRIAMINIC CHEST/NASAL CONGEST ORAL SYRUP 2.5-50 MG/5ML T1 TRIAMINIC COLD/ALLERGY CHILD ORAL SYRUP 1-2.5 MG/5ML T1 TRIAMINIC COLD/COUGH DAY TIME ORAL SOLUTION 2.5-5 MG/5ML T1 TRIAMINIC COUGH & SORE THROAT ORAL SYRUP 160-5 MG/5ML T1 TRIAMINIC COUGH/SORE THROAT ORAL TABLET CHEWABLE 160-5 MG T1 TRIAMINIC NIGHT TIME COLD/CGH ORAL SYRUP 6.25-2.5 MG/5ML T1 TRISPEC DMX ORAL LIQUID† 10-187 MG/5ML T1 trymine cg oral liquid† 225-7.5 mg/5ml T1 TUSICOF ORAL LIQUID† 10-20-400 MG/5ML T1 TUSICOF ORAL TABLET 10-20-400 MG T1 TUSNEL C ORAL SYRUP 30-10-100 MG/5ML T1 TUSNEL ORAL CAPSULE 2-15-200 MG T1 TUSNEL ORAL LIQUID† 30-15-200 MG/5ML T1 TUSNEL PEDIATRIC ORAL LIQUID† 15-5-50 MG/5ML T1 tussafex ex oral liquid† 10-30-200 mg/5ml T1 tussafex-a oral liquid† 6-2-15 mg/5ml T1 tussin cf cough & cold oral liquid† 5-10-100 mg/5ml T1 tussin cf max multi-symptom oral liquid† 5-10-200 mg/5ml T1 tussin chest congestion oral syrup 100 mg/5ml T1 tussin cold/congestion oral capsule 30-10-200 mg T1 tussin cough oral syrup 15 mg/5ml T1 tussin dm max oral liquid† 10-200 mg/5ml T1 Notes 39 Drug Status tussi-pres b oral liquid† 10-4-20 mg/5ml T1 TUSSLIN ORAL LIQUID† 10-28-388 MG/5ML T1 TUSSLIN PEDIATRIC ORAL LIQUID† 2.5-7.5-88 MG/ML T1 TYLENOL CHILDRENS COLD/STUFFY ORAL SUSPENSION 2.5-160 MG/5ML T1 TYLENOL CHILDRENS PLUS CLD/CGH ORAL SUSPENSION 5-2.5-160 MG/5ML T1 VANACOF APE ORAL LIQUID† 10-50-25 MG/15ML T1 VANACOF DM ORAL LIQUID† 10-18-200 MG/15ML T1 VANACOF G ORAL LIQUID† 25-200 MG/5ML T1 VANACOF GPE ORAL LIQUID† 10-25-200 MG/15ML T1 VANACOF-8 ORAL LIQUID† 25-50 MG/15ML T1 VANATAB DX ORAL TABLET 30-12.5-200 MG T1 vaporizing steam inhalation liquid† 6.2 % T1 VAZOBID-PD ORAL SUSPENSION 6-10 MG/5ML T1 VICKS DAYQUIL MUCUS CONTROL DM ORAL LIQUID† 10-200 MG/15ML T1 VICKS DAYQUIL SEVERE COLD/FLU ORAL LIQUID† 5-10-200-325 MG/15ML T1 VICKS NATURE FUSION COLD & FLU ORAL LIQUID† 30-7.5-650 MG/30ML T1 VICKS NATURE FUSION CONGEST ORAL LIQUID† 20-200 MG/30ML T1 VICKS NYQUIL CHILDRENS CLD/CGH ORAL LIQUID† 2-15 MG/15ML T1 VICKS NYQUIL COLD & FLU NIGHT ORAL LIQUID† 30-650-4 MG/30ML T1 virdec dm oral liquid† 3.5-1-3 mg/ml T1 virdec oral liquid† 1-3.5 mg/ml T1 WAL-FLU COLD & SORE THROAT ORAL PACKET 20-10-325 MG T1 WAL-FLU SEVERE COLD DAYTIME ORAL PACKET 10-650 MG T1 40 Notes Drug Status ZODRYL AC 25 ORAL SUSPENSION 0.333-1 MG/ML T1 ZODRYL AC 30 ORAL SUSPENSION 0.286-1 MG/ML T1 ZODRYL AC 35 ORAL SUSPENSION 0.25-1 MG/ML T1 ZODRYL AC 40 ORAL SUSPENSION 0.222-1 MG/ML T1 ZODRYL DAC 25 ORAL SUSPENSION 5-0.333-1 MG/ML T1 ZODRYL DAC 30 ORAL SUSPENSION 4.286-0.286-1 MG/ML T1 ZODRYL DAC 35 ORAL SUSPENSION 3.75-0.25-1 MG/ML T1 ZODRYL DAC 40 ORAL SUSPENSION 3.333-0.222-1 MG/ML T1 ZODRYL DEC 25 ORAL SUSPENSION 5-1-20 MG/ML T1 ZODRYL DEC 30 ORAL SUSPENSION 4.286-1-20 MG/ML T1 ZODRYL DEC 35 ORAL SUSPENSION 3.75-1-20 MG/ML T1 ZODRYL DEC 40 ORAL SUSPENSION 3.333-1-20 MG/ML T1 Z-TUSS AC ORAL LIQUID† 2-9 MG/5ML T1 ZYNCOF ORAL SYRUP 20-400 MG/5ML T1 Notes *Dermatologicals* ABREVA EXTERNAL CREAM 10 % T1 acne medication 10 external lotion 10 % T1 acne medication 5 external lotion 5 % T1 ADULT ACNOMEL EXTERNAL CREAM 2-8 % T1 alclometasone dipropionate external cream 0.05 % T1 alclometasone dipropionate external ointment 0.05 % T1 ammonium lactate external cream 12 % T1 ammonium lactate external lotion 12 % T1 bacitracin external ointment 500 unit/gm T1 bacitracin zinc external ointment 500 unit/gm T1 bacitracin-neomycin-polymyxin external ointment 400-5-5000 T1 41 Drug Status Notes benzoyl peroxide cleanser external lotion 6 % T1 benzoyl peroxide external gel 10 %, 2.5 %, 5 % T1 benzoyl peroxide wash external liquid† 10 %, 5 % T1 benzoyl peroxide-erythromycin external gel 5-3 % T1 QL (46.6 GM per 30 days) betamethasone dipropionate aug external cream 0.05 % T1 QL (100 GM per 30 days) betamethasone dipropionate external cream 0.05 % T1 QL (90 GM per 30 days) betamethasone dipropionate external lotion 0.05 % T1 betamethasone dipropionate external ointment 0.05 % T1 QL (90 GM per 30 days) betamethasone valerate external cream 0.1 % T1 QL (90 GM per 30 days) betamethasone valerate external lotion 0.1 % T1 QL (120 ML per 30 days) betamethasone valerate external ointment 0.1 % T1 QL (90 GM per 30 days) bp cleansing external lotion 4 % T1 bp cleansing wash external emulsion 10-4 % T1 BRASIVOL EXTERNAL PASTE T1 CALAGESIC EXTERNAL LOTION 1-8 % T1 capsaicin external cream 0.025 %, 0.1 % T1 CAPZASIN EXTERNAL LIQUID† 0.15 % T1 ciclopirox external solution 8 % T1 CLINDAMAX EXTERNAL LOTION 1 % T1 clindamycin phosphate external lotion 1 % T1 clindamycin phosphate external solution 1 % T1 clindamycin phosphate external swab 1 % T1 clobetasol propionate external solution 0.05 % T1 clotrimazole external cream 1 % T1 clotrimazole external solution 1 % T1 clotrimazole-betamethasone external cream 1-0.05 % T1 QL (90 GM per 30 days) clotrimazole-betamethasone external lotion 1-0.05 % T1 QL (60 ML per 30 days) cvs cortisone cooling relief external gel 1 % T1 QL (60 GM per 30 days) cvs targeted acne spot external cream 2.5 % T1 desonide external ointment 0.05 % T1 econazole nitrate external cream 1 % T1 effaclar duo external solution 5.5 % T1 eql lice solution combination kit 0.5-0.33-4 % T1 erythromycin external gel 2 % T1 42 QL (6.6 ML per 30 days) QL (100 ML per 30 days) QL (120 GM per 30 days) Drug Status Notes erythromycin external solution 2 % T1 first aid antibiotic external ointment 4 % T1 fluocinolone acetonide body external oil 0.01 % T1 QL (120 ML per 30 days) fluocinolone acetonide external cream 0.01 %, 0.025 % T1 QL (120 GM per 30 days) fluocinolone acetonide external ointment 0.025 % T1 QL (120 GM per 30 days) fluocinolone acetonide scalp external oil 0.01 % T1 QL (120 ML per 30 days) fluocinonide external cream 0.05 % T1 QL (120 GM per 30 days) fluocinonide external gel 0.05 % T1 QL (120 GM per 30 days) fluocinonide external ointment 0.05 % T1 QL (120 GM per 30 days) fluocinonide external solution 0.05 % T1 QL (120 ML per 30 days) fluocinonide-e external cream 0.05 % T1 QL (120 GM per 30 days) fluorouracil external cream 5 % T1 fluorouracil external solution 2 %, 5 % T1 fluticasone propionate external cream 0.05 % T1 fluticasone propionate external ointment 0.005 % T1 FUNGOID TINCTURE EXTERNAL SOLUTION 2 % T1 gentamicin sulfate external cream 0.1 % T1 gentamicin sulfate external ointment 0.1 % T1 glycerin external liquid† T1 halobetasol propionate external cream 0.05 % T1 halobetasol propionate external ointment 0.05 % T1 HC DERMAPAX EXTERNAL LIQUID† 0.5-0.5 % T1 hydrocortisone external cream 0.5 % T1 QL (60 GM per 30 days) hydrocortisone external cream 2.5 % T1 QL (90 GM per 30 days) hydrocortisone external lotion 1 % T1 QL (240 GM per 30 days) hydrocortisone external lotion 2.5 % T1 QL (120 ML per 30 days) hydrocortisone external ointment 0.5 %, 1 % T1 QL (60 GM per 30 days) hydrocortisone external ointment 2.5 % T1 QL (90 GM per 30 days) hydrocortisone max st external cream 1 % T1 QL (120 GM per 30 days) hydrocortisone valerate external cream 0.2 % T1 hydrocortisone valerate external ointment 0.2 % T1 QL (120 GM per 30 days) hydrocortisone-aloe external cream 0.5 %, 1 % T1 QL (90 GM per 30 days) isopropyl alcohol wipes external 70 % T1 ketoconazole external cream 2 % T1 ketoconazole external shampoo 2 % T1 QL (120 GM per 30 days) QL (100 GM per 30 days) 43 Drug Status LAC-HYDRIN FIVE EXTERNAL LOTION 5 % T1 lactic acid e external cream 10-3500 %-unt/30gm T1 lactic acid external lotion 10 % T1 lice killing maximum strength external shampoo 0.33-4 % T1 lice solution combination kit 0.33-4-0.5 % T1 lice treatment external liquid† 0.33-4 %, 1 % T1 LICIDE TREATMENT COMBINATION KIT Notes T1 lidocaine external cream 4 % T1 QL (90 GM per 30 days) lidocaine hcl external cream 3 % T1 QL (85 GM per 30 days) lidocaine hcl external gel 2 % T1 lidocaine hcl external solution 4 % T1 lidocaine-prilocaine external cream 2.5-2.5 % T1 lindane external lotion 1 % T1 lindane external shampoo 1 % T1 LIQUIMAT EXTERNAL LOTION 5 % T1 LOTRIMIN AF EXTERNAL AEROSOL† 2 % T1 malathion external lotion 0.5 % T1 medi-first hydrocortisone external cream 1 % T1 metronidazole external cream 0.75 % T1 metronidazole external gel 0.75 % T1 metronidazole external lotion 0.75 % T1 miconazole nitrate external aerosol, powder 2 % T1 miconazole nitrate external cream 2 % T1 miconazorb af external powder 2 % T1 mometasone furoate external cream 0.1 % T1 QL (60 GM per 30 days) mometasone furoate external ointment 0.1 % T1 QL (60 GM per 30 days) mometasone furoate external solution 0.1 % T1 QL (60 ML per 30 days) mupirocin external ointment 2 % T1 NEOSPORIN ESSENTIALS TRIAL PK EXTERNAL KIT 1 & 1 % T1 NEUTROGENA CLEAR PORE EXTERNAL LIQUID† 3.5 % T1 nystatin external cream 100000 unit/gm T1 nystatin external ointment 100000 unit/gm T1 nystatin external powder 100000 unit/gm T1 44 QL (30 GM per 30 days) QL (60 EA per 30 days) Drug Status Notes nystatin-triamcinolone external cream 100000-0.1 unit/gm-% T1 nystatin-triamcinolone external ointment 100000-0.1 unit/gm-% T1 OC8 EXTERNAL GEL 7 % T1 permethrin external cream 5 % T1 permethrin external lotion 1 % T1 podofilox external solution 0.5 % T1 prednicarbate external ointment 0.1 % T1 ra acne maximum external pad 2 % T1 ra acne treatment external cream 10 % T1 ra first aid anti-itch spray external solution 1 % T1 ra lice bedding aerosol† 0.5 % T1 ra lice egg remover external gel T1 ra wart remover external pad 40 % T1 REZAMID EXTERNAL LOTION 2-5 % T1 RID ESSENTIAL LICE ELIMINATION EXTERNAL KIT 0.33-4 % T1 SANTYL EXTERNAL OINTMENT 250 UNIT/GM T1 SCHOOLTIME SHAMPOO EXTERNAL SHAMPOO T1 sebex external shampoo 2-2 % T1 selenium sulfide external lotion 2.5 % T1 silver sulfadiazine external cream 1 % T1 STEP 2 EXTERNAL SOLUTION 8 % T1 sulfacetamide sodium (acne) external lotion 10 % T1 sulfacetamide sodium-sulfur external emulsion 10-5 % T1 sulfacetamide sodium-sulfur external liquid† 9-4.5 % T1 terbinafine hcl external cream 1 % T1 tretinoin external cream 0.025 % T1 QL (45 GM per 30 days); AL (Max 29 Years) tretinoin external cream 0.05 %, 0.1 % T1 AL (Max 29 Years) triamcinolone acetonide external cream 0.025 %, 0.1 % T1 QL (160 GM per 30 days) triamcinolone acetonide external cream 0.5 % T1 QL (60 GM per 30 days) triamcinolone acetonide external lotion 0.025 %, 0.1 % T1 QL (120 ML per 30 days) QL (120 GM per 30 days) QL (60 GM per 30 days) QL (90 GM per 30 days) QL (60 GM per 30 days) 45 Drug Status Notes triamcinolone acetonide external ointment 0.025 %, 0.1 % T1 QL (160 GM per 30 days) triamcinolone acetonide external ointment 0.5 % T1 QL (60 GM per 30 days) triple paste af external ointment 2 % T1 trixaicin hp external cream 0.075 % T1 urea external cream 40 % T1 VASOLEX EXTERNAL OINTMENT T1 QL (60 GM per 30 days) *Diagnostic Products* GLUCOCARD EXPRESSION TEST IN VITRO STRIP T1 GLUCOCARD VITAL TEST IN VITRO STRIP T1 KETOSTIX IN VITRO STRIP T1 PRECISION XTRA KETONE IN VITRO STRIP T1 *Dietary Products/Dietary Management Products* complete protein/vitamin shake oral powder T1 *Digestive Aids* CREON ORAL CAPSULE DELAYED RELEASE PARTICLES 12000 UNIT, 24000 UNIT, 3000-9500 UNIT, 36000 UNIT, 6000 UNIT T1 PANCREAZE ORAL CAPSULE DELAYED RELEASE PARTICLES 10500 UNIT, 16800 UNIT, 21000 UNIT, 4200 UNIT T1 pancrelipase (lip-prot-amyl) oral capsule delayed release particles 5000 unit T1 PERTZYE ORAL CAPSULE DELAYED RELEASE PARTICLES 16000 UNIT, 8000 UNIT T1 ULTRESA ORAL CAPSULE DELAYED RELEASE PARTICLES 13800 UNIT, 20700 UNIT, 23000 UNIT T1 VIOKACE ORAL TABLET 10440 UNIT, 20880 UNIT T1 ZENPEP ORAL CAPSULE DELAYED RELEASE PARTICLES 10000 UNIT, 15000 UNIT, 20000 UNIT, 25000 UNIT, 3000-10000 UNIT, 5000 UNIT T1 *Direct-Acting P2y12 Inhibitors*** BRILINTA ORAL TABLET 60 MG, 90 MG 46 T1 QL (60 EA per 30 days) Drug *Diuretics* Status acetazolamide er oral capsule extended release 12 hour 500 mg T1 acetazolamide oral tablet 125 mg, 250 mg T1 amiloride hcl oral tablet 5 mg T1 amiloride-hydrochlorothiazide oral tablet 5-50 mg T1 bumetanide oral tablet 0.5 mg, 1 mg, 2 mg T1 chlorothiazide oral tablet 250 mg, 500 mg T1 chlorthalidone oral tablet 25 mg, 50 mg T1 DIURIL ORAL SUSPENSION 250 MG/5ML T1 furosemide injection solution 10 mg/ml T1 furosemide oral solution 10 mg/ml T1 furosemide oral tablet 20 mg, 40 mg, 80 mg T1 hydrochlorothiazide oral capsule 12.5 mg T1 hydrochlorothiazide oral tablet 25 mg, 50 mg T1 indapamide oral tablet 1.25 mg, 2.5 mg T1 methazolamide oral tablet 25 mg, 50 mg T1 methyclothiazide oral tablet 5 mg T1 metolazone oral tablet 10 mg, 2.5 mg, 5 mg T1 spironolactone oral tablet 100 mg, 25 mg, 50 mg T1 spironolactone-hctz oral tablet 25-25 mg T1 torsemide oral tablet 10 mg, 100 mg, 20 mg, 5 mg T1 triamterene-hctz oral capsule 37.5-25 mg T1 triamterene-hctz oral tablet 37.5-25 mg, 75-50 mg T1 Notes QL (600 ML per 30 days); AL (Max 12 Years) *Endocrine And Metabolic Agents Misc.* alendronate sodium oral tablet 10 mg, 35 mg, 40 mg, 5 mg, 70 mg T1 calcitonin (salmon) nasal solution 200 unit/act T1 calcitriol oral capsule 0.25 mcg, 0.5 mcg T1 desmopressin ace spray refrig nasal solution 0.01 % T1 desmopressin acetate oral tablet 0.1 mg, 0.2 mg T1 desmopressin acetate spray nasal solution 0.01 % T1 ibandronate sodium oral tablet 150 mg T1 QL (1 EA per 28 days) LUPRON DEPOT-PED INTRAMUSCULAR* KIT 11.25 MG, 15 MG, 7.5 MG T1 PA 47 Drug Status Notes risedronate sodium oral tablet 150 mg, 30 mg, 35 mg, 5 mg T1 SENSIPAR ORAL TABLET 30 MG, 60 MG, 90 MG T1 PA COVARYX HS ORAL TABLET 0.625-1.25 MG T1 GR-F; QL (21 EA per 28 days) COVARYX ORAL TABLET 1.25-2.5 MG T1 GR-F; QL (21 EA per 28 days) est estrogens-methyltest ds oral tablet 1.25-2.5 mg T1 GR-F; QL (21 EA per 28 days) est estrogens-methyltest hs oral tablet 0.625-1.25 mg T1 GR-F; QL (21 EA per 28 days) est estrogens-methyltest oral tablet 1.25-2.5 mg T1 GR-F; QL (21 EA per 28 days) estradiol oral tablet 0.5 mg, 1 mg, 2 mg T1 GR-F estradiol transdermal patch biweekly 0.025 mg/24hr, 0.0375 mg/24hr, 0.05 mg/24hr, 0.075 mg/24hr, 0.1 mg/24hr T1 GR-F; QL (8 EA per 28 days) estradiol transdermal patch weekly 0.025 mg/24hr, 0.0375 mg/24hr, 0.05 mg/24hr, 0.06 mg/24hr, 0.075 mg/24hr, 0.1 mg/24hr T1 GR-F; QL (4 EA per 28 days) estradiol-norethindrone acet oral tablet 0.5-0.1 mg, 1-0.5 mg T1 GR-F; QL (28 EA per 28 days) estropipate oral tablet 0.75 mg, 1.5 mg, 3 mg T1 GR-F; QL (21 EA per 28 days) JINTELI ORAL TABLET 1-5 MG-MCG T1 GR-F; QL (21 EA per 28 days) MENEST ORAL TABLET 0.3 MG, 0.625 MG, 1.25 MG, 2.5 MG T1 GR-F norethindrone-eth estradiol oral tablet 0.5-2.5 mg-mcg T1 GR-F; QL (28 EA per 28 days) PREMARIN ORAL TABLET 0.3 MG, 0.45 MG, 0.625 MG, 0.9 MG, 1.25 MG T1 GR-F; QL (30 EA per 30 days) PREMPHASE ORAL TABLET 0.625-5 MG T1 GR-F; QL (30 EA per 30 days) PREMPRO ORAL TABLET 0.3-1.5 MG, 0.45-1.5 MG, 0.625-2.5 MG, 0.625-5 MG T1 GR-F; QL (30 EA per 30 days) *Estrogens* *Fluoroquinolones* ciprofloxacin hcl oral tablet 250 mg, 500 mg, 750 mg T1 levofloxacin oral tablet 250 mg, 500 mg, 750 mg T1 ofloxacin oral tablet 400 mg T1 *Gastrointestinal Agents - Misc.* APRISO ORAL CAPSULE EXTENDED RELEASE 24 HOUR 0.375 GM T1 balsalazide disodium oral capsule 750 mg T1 48 QL (120 EA per 30 days) Drug Status Notes BICARSIM FORTE ORAL TABLET 125 MG T1 BICARSIM ORAL TABLET 80 MG T1 calcium acetate (phos binder) oral capsule 667 mg T1 calcium acetate (phos binder) oral tablet 667 mg T1 cvs gas relief drops ex st oral liquid† 40 mg/0.6ml T1 DELZICOL ORAL CAPSULE DELAYED RELEASE 400 MG T1 GAS-X EXTRA STRENGTH ORAL STRIP 62.5 MG T1 lactulose encephalopathy oral solution 10 gm/15ml T1 mesalamine enema 4 gm T1 metoclopramide hcl oral solution 10 mg/10ml, 5 mg/5ml T1 metoclopramide hcl oral tablet 10 mg, 5 mg T1 RENAGEL ORAL TABLET 400 MG, 800 MG T1 PA SFROWASA ENEMA 4 GM/60ML T1 QL (240 ML per 30 days) simethicone oral capsule 125 mg, 180 mg T1 simethicone oral suspension 20 mg/0.3ml T1 simethicone oral tablet chewable 125 mg, 80 mg T1 sulfasalazine oral tablet 500 mg T1 sulfasalazine oral tablet delayed release 500 mg T1 ursodiol oral capsule 300 mg T1 ursodiol oral tablet 250 mg, 500 mg T1 QL (180 EA per 30 days) QL (240 ML per 30 days) *Genitourinary Agents - Miscellaneous* alfuzosin hcl er oral tablet extended release 24 hr* 10 mg T1 citric acid-sodium citrate oral solution 334-500 mg/5ml T1 cytra k crystals oral packet 3300-1002 mg T1 cytra-2 oral solution 500-334 mg/5ml T1 CYTRA-3 ORAL SYRUP 550-500-334 MG/5ML T1 cytra-k oral solution 1100-334 mg/5ml T1 finasteride oral tablet 5 mg T1 K-PHOS NO 2 ORAL TABLET 305-700 MG T1 ORACIT ORAL SOLUTION 490-640 MG/5ML T1 49 Drug Status phenazopyridine hcl oral tablet 100 mg, 200 mg, 95 mg T1 potassium citrate-citric acid oral packet 3300-1002 mg T1 potassium citrate-citric acid oral solution 1100-334 mg/5ml T1 sodium chloride irrigation solution 0.9 % T1 tamsulosin hcl oral capsule 0.4 mg T1 Notes *Gout Agents* allopurinol oral tablet 100 mg, 300 mg T1 colchicine oral tablet 0.6 mg T1 colchicine-probenecid oral tablet 0.5-500 mg T1 probenecid oral tablet 500 mg T1 QL (20 EA per 30 days) *Hematological Agents - Misc.* anagrelide hcl oral capsule 0.5 mg, 1 mg T1 BRILINTA ORAL TABLET 60 MG, 90 MG T1 cilostazol oral tablet 100 mg, 50 mg T1 clopidogrel bisulfate oral tablet 300 mg T1 clopidogrel bisulfate oral tablet 75 mg T1 dipyridamole oral tablet 25 mg, 50 mg, 75 mg T1 EFFIENT ORAL TABLET 10 MG, 5 MG T1 PA pentoxifylline er oral tablet extendedrelease* 400 mg T1 QL (90 EA per 30 days) ticlopidine hcl oral tablet 250 mg T1 QL (60 EA per 30 days) QL (30 EA per 30 days) *Hematopoietic Agents* cyanocobalamin injection solution 1000 mcg/ml T1 ELITE IRON ORAL TABLET 15 MG T1 EPOGEN INJECTION SOLUTION 10000 UNIT/ML, 2000 UNIT/ML, 20000 UNIT/ML, 3000 UNIT/ML, 4000 UNIT/ML T1 ferretts ips oral solution 40 mg/15ml T1 ferretts oral tablet 325 (106 fe) mg T1 FERRIMIN 150 ORAL TABLET 150 MG T1 ferrous fumarate oral tablet 29 mg, 324 (106 fe) mg T1 ferrous gluconate oral tablet 225 (27 fe) mg, 240 (27 fe) mg, 324 (37.5 fe) mg, 325 (36 fe) mg T1 ferrous sulfate granules T1 ferrous sulfate oral elixir 220 (44 fe) mg/5ml T1 AL (Max 12 Years) ferrous sulfate oral solution 75 (15 fe) mg/ml T1 AL (Max 12 Years) 50 PA Drug Status ferrous sulfate oral syrup 300 (60 fe) mg/5ml T1 ferrous sulfate oral tablet 27 mg, 325 (65 fe) mg T1 ferrous sulfate oral tablet delayed release 325 (65 fe) mg T1 folic acid oral tablet 1 mg T1 folic acid oral tablet 400 mcg, 800 mcg T1 HEMATOGEN FORTE ORAL CAPSULE 460-60-0.01-1 MG T1 high potency iron oral capsule 86 (27 fe) mg T1 high potency iron oral tablet 134 mg T1 hm iron oral tablet 200 (65 fe) mg T1 iron (ferrous gluconate) oral tablet 256 (28 fe) mg T1 iron complex oral capsule T1 IRON UP ORAL LIQUID† 15 MG/0.5ML T1 MYKIDZ IRON 10 ORAL SUSPENSION 15 MG/1.5ML T1 NOVAFERRUM PEDIATRIC DROPS ORAL LIQUID† 15 MG/ML T1 PERFECT IRON ORAL TABLET 25 MG T1 poly-iron 150 forte oral capsule 150-25-1 mg-mcg-mg T1 PROCRIT INJECTION SOLUTION 10000 UNIT/ML, 2000 UNIT/ML, 20000 UNIT/ML, 3000 UNIT/ML, 4000 UNIT/ML, 40000 UNIT/ML T1 PROFERRIN ES ORAL TABLET 12 MG T1 slow iron oral tablet extendedrelease* 160 (50 fe) mg T1 slow release iron oral tablet extendedrelease* 45 mg, 47.5 mg T1 sm slow release iron oral tablet extendedrelease* 142 (45 fe) mg T1 SPATONE PUR-ABSORB IRON ORAL LIQUID† 5 MG/20ML T1 tl icon oral capsule T1 vitamin b-12 oral tablet 1000 mcg T1 ZARXIO INJECTION 300 MCG/0.5ML, 480 MCG/0.8ML T1 Notes AL (Max 12 Years) GR-F; QL (30 EA per 30 days); AL (Min 14 Years and Max 50 Years) PA AL (Max 12 Years) PA 51 Drug *Hypnotics* Status Notes diphenhydramine hcl (sleep) oral tablet 50 mg T1 diphenhydramine-apap (sleep) oral tablet 25-500 mg T1 estazolam oral tablet 1 mg, 2 mg T1 flurazepam hcl oral capsule 15 mg, 30 mg T1 ibuprofen pm oral tablet 200-38 mg T1 phenobarbital oral solution 20 mg/5ml T1 phenobarbital oral tablet 100 mg, 15 mg, 16.2 mg, 30 mg, 32.4 mg, 60 mg, 64.8 mg, 97.2 mg T1 ra sleep aid (diphenhydramine) oral tablet 25 mg T1 PA ra sleep aid oral capsule 50 mg T1 PA ra sleep aid oral liquid† 50 mg/30ml T1 PA ra sleep-aid nighttime oral capsule 25 mg T1 PA temazepam oral capsule 15 mg, 30 mg T1 QL (30 EA per 30 days); AL (Max 64 Years) triazolam oral tablet 0.125 mg, 0.25 mg T1 AL (Max 64 Years) wal-som oral tablet dispersible 25 mg T1 PA zaleplon oral capsule 10 mg, 5 mg T1 zolpidem tartrate oral tablet 10 mg, 5 mg T1 *Laxatives* AGORAL MAXIMUM STRENGTH ORAL LIQUID† 25 MG/15ML T1 bisacodyl ec oral tablet delayed release 5 mg T1 bisacodyl suppository 10 mg T1 CORRECTOL HERBAL TEA ORAL 30 MG T1 cvs mini enema kids enema 100 mg/5ml T1 cvs natural fiber supplement oral packet 58.6 % T1 diocto oral syrup 60 mg/15ml T1 docusate calcium oral capsule 240 mg T1 docusate sodium oral capsule 100 mg, 250 mg T1 docusate sodium oral liquid† 50 mg/5ml T1 docusate sodium oral tablet 100 mg T1 DOCUSOL MINI ENEMA 283 MG T1 DOCUSOL PLUS MINI-ENEMA ENEMA 20-283 MG T1 EQUALACTIN ORAL TABLET CHEWABLE 625 MG T1 EVAC-U-GEN ORAL TABLET CHEWABLE 10 MG T1 52 PA QL (30 EA per 30 days) Drug Status Notes fiber laxative oral capsule 0.52 gm T1 fiber laxative oral tablet 625 mg T1 fiber therapy oral powder 58.6 % T1 FLEET BISACODYL ENEMA 10 MG/30ML T1 GAVILYTE-C ORAL SOLUTION RECONSTITUTED 240 GM T1 QL (4000 ML per 365 days); AL (Min 50 Years and Max 75 Years) GAVILYTE-G ORAL SOLUTION RECONSTITUTED 236 GM T1 QL (4000 ML per 365 days); AL (Min 50 Years and Max 75 Years) geri-mucil oral powder 68 % T1 glycerin (adult) suppository 2.1 gm T1 glycerin (infants & children) suppository 1 gm, 1.2 gm T1 glycerin adult suppository 2 gm T1 GOLYTELY ORAL SOLUTION RECONSTITUTED 227.1 GM T1 HYDROCIL ORAL PACKET 95 % T1 KONSYL ORAL PACKET 100 %, 28.3 %, 60.3 % T1 KONSYL ORAL POWDER 60.3 %, 71.67 % T1 KONSYL-D ORAL POWDER 52.3 % T1 lactulose oral solution 10 gm/15ml T1 laxative pills oral tablet 15 mg T1 magnesium citrate oral solution 1.745 gm/30ml T1 METAMUCIL ORAL WAFER T1 METAMUCIL SMOOTH TEXTURE ORAL PACKET 28 % T1 natural fiber laxative oral powder 28.3 %, 48.57 % T1 natural fiber therapy oral powder 30.9 % T1 natural psyllium seed oral powder 100 % T1 natural senna laxative oral tablet 64.8-324 mg T1 PEDIA-LAX ORAL LIQUID† 50 MG/15ML T1 PEDIA-LAX SUPPOSITORY 2.8 GM T1 peg 3350 oral packet T1 peg 3350/electrolytes oral solution reconstituted 240 gm T1 polyethylene glycol 3350 oral powder T1 qc natural vegetable oral powder 95 % T1 ra col-rite oral capsule 50 mg T1 ra glycerin child suppository 80.7 % T1 QL (1 EA per 365 days) QL (4000 ML per 365 days); AL (Min 50 Years and Max 75 Years) 53 Drug Status ra laxative extra strength oral tablet 17.2 mg T1 ra laxative oral tablet chewable 15 mg T1 senna laxative oral tablet 25 mg T1 senna leaves oral leaves T1 senna oral capsule 8.6 mg T1 senna oral syrup 176 mg/5ml, 8.8 mg/5ml T1 senna oral tablet 8.6 mg T1 senna-docusate sodium oral tablet 8.6-50 mg T1 SOLUBLE FIBER THERAPY ORAL POWDER T1 TRILYTE ORAL SOLUTION RECONSTITUTED 420 GM T1 Notes QL (4000 ML per 365 days); AL (Min 50 Years and Max 75 Years) *Local Anesthetics-Parenteral* lidocaine hcl (pf) injection solution 4 % T1 *Macrolides* azithromycin oral suspension reconstituted 100 mg/5ml, 200 mg/5ml T1 azithromycin oral tablet 250 mg T1 azithromycin oral tablet 500 mg, 600 mg T1 clarithromycin oral suspension reconstituted 125 mg/5ml, 250 mg/5ml T1 clarithromycin oral tablet 250 mg, 500 mg T1 QL (12 EA per 30 days) *Medical Devices* 1st tier unifine pentips 29g x 12mm , 31g x 5 mm , 31g x 6 mm , 31g x 8 mm , 32g x 4 mm T1 QL (200 EA per 30 days) 1st tier unifine pentips plus 29g x 12mm , 31g x 5 mm , 31g x 6 mm , 31g x 8 mm , 32g x 4 mm T1 QL (200 EA per 30 days) ACCU-CHEK TENDER 1 INFUSION KIT T1 QL (200 EA per 30 days) administration set T1 QL (200 EA per 30 days) ADVOCATE INSULIN PEN NEEDLES 31G X 5 MM , 31G X 8 MM T1 QL (200 EA per 30 days) ADVOCATE INSULIN SYRINGE 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML T1 QL (200 EA per 30 days) air eliminating tpn iv set T1 QL (200 EA per 30 days) anesthesia extension tubing T1 QL (200 EA per 30 days) anti-stick insulin syringe 29g x 1/2" 1 ml T1 QL (200 EA per 30 days) ARGYLE EXTENSION TUBE 20" T1 QL (200 EA per 30 days) 54 Drug Status Notes ASSURE DOSE CONTROL IN VITRO SOLUTION NORMAL T1 ASSURE ID INSULIN SAFETY SYR 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML T1 QL (200 EA per 30 days) aurora pen needles 29g x 12mm , 31g x 6 mm , 31g x 8 mm T1 QL (200 EA per 30 days) aurora unifine pentips 31g x 5 mm , 32g x 4 mm T1 QL (200 EA per 30 days) AUTOJECT 2 T1 QL (200 EA per 30 days) autopen device T1 QL (200 EA per 30 days) BD ANGIOCATH AUTOGUARD T1 QL (200 EA per 30 days) BD AUTOSHIELD 29G X 12MM , 29G X 5MM , 29G X 8MM T1 QL (200 EA per 30 days) BD AUTOSHIELD DUO 30G X 5 MM T1 QL (200 EA per 30 days) BD ECLIPSE SYRINGE 25G X 5/8" 1 ML T1 QL (200 EA per 30 days) BD FIRST MIDCATH 18G/4FRX20CM T1 QL (200 EA per 30 days) BD FIRST MIDCATH 18G/4FRX20CM KIT T1 QL (200 EA per 30 days) BD FIRST MIDCATH 20G/3FRX20CM T1 QL (200 EA per 30 days) BD FIRST MIDCATH 20G/3FRX20CM KIT T1 QL (200 EA per 30 days) BD FIRST PICC 16G/5FRX65CM T1 QL (200 EA per 30 days) BD FIRST PICC 16G/5FRX65CM KIT T1 QL (200 EA per 30 days) BD FIRST PICC 18G/4FRX65CM T1 QL (200 EA per 30 days) BD FIRST PICC 18G/4FRX65CM KIT T1 QL (200 EA per 30 days) BD FIRST PICC 20G/3FRX65CM T1 QL (200 EA per 30 days) BD FIRST PICC 20G/3FRX65CM KIT T1 QL (200 EA per 30 days) BD FIRST PICC 22G/2.8FRX50CM T1 QL (200 EA per 30 days) BD FIRST PICC 26G/1.9FRX50CM T1 QL (200 EA per 30 days) BD FIRST PICC 26G/1.9FRX50CM KIT T1 QL (200 EA per 30 days) BD INSULIN SYR ULTRAFINE II 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML T1 QL (200 EA per 30 days) BD INSULIN SYRINGE 25G X 1" 1 ML, 25G X 5/8" 1 ML, 26G X 1/2" 1 ML, 27G X 1/2" 1 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 1/2" 0.5 ML, 31G X 5/16" 0.3 ML, U-100 1 ML T1 QL (200 EA per 30 days) BD INSULIN SYRINGE HALF-UNIT 31G X 5/16" 0.3 ML T1 QL (200 EA per 30 days) BD INSULIN SYRINGE MICROFINE 27G X 5/8" 1 ML, 28G X 1/2" 0.3 ML, 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML T1 QL (200 EA per 30 days) BD INSULIN SYRINGE U-40 25G X 5/8" 1 ML T1 QL (200 EA per 30 days) 55 Drug Status Notes BD INSULIN SYRINGE ULTRAFINE 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 1/2" 0.3 ML, 30G X 1/2" 0.5 ML, 30G X 1/2" 1 ML, 31G X 15/64" 0.3 ML, 31G X 15/64" 0.5 ML, 31G X 15/64" 1 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML T1 QL (200 EA per 30 days) BD INTEGRA INSULIN SYRINGE 29G X 1/2" 1 ML T1 QL (200 EA per 30 days) BD INTEGRA SYRINGE 25G X 1" 1 ML, 25G X 5/8" 1 ML T1 QL (200 EA per 30 days) BD L-CATH 16G/5FR KIT T1 QL (200 EA per 30 days) BD L-CATH 16G/5FRX60CM T1 QL (200 EA per 30 days) BD L-CATH 18G/3.5FR KIT T1 QL (200 EA per 30 days) BD L-CATH 18G/3.5FRX60CM T1 QL (200 EA per 30 days) BD L-CATH 20G/2.6FR KIT T1 QL (200 EA per 30 days) BD L-CATH 20G/2.6FRX60CM T1 QL (200 EA per 30 days) BD L-CATH 20G/3FR KIT T1 QL (200 EA per 30 days) BD L-CATH 20G/3FRX60CM T1 QL (200 EA per 30 days) BD L-CATH 28G/1.2FRX25CM KIT T1 QL (200 EA per 30 days) BD L-CATH MIDLINE 18G/3.5FRX20 T1 QL (200 EA per 30 days) BD L-CATH MIDLINE 18G/3.5FRX20 KIT T1 QL (200 EA per 30 days) BD L-CATH MIDLINE 20G/3FRX20CM T1 QL (200 EA per 30 days) BD LUER-LOK SYRINGE 20G X 1" 1 ML, 25G X 5/8" 1 ML T1 QL (200 EA per 30 days) BD NEXIVA 18GX1.25" T1 QL (200 EA per 30 days) BD NEXIVA 18GX1.75" T1 QL (200 EA per 30 days) BD NEXIVA 20GX1" T1 QL (200 EA per 30 days) BD NEXIVA 20GX1.25" T1 QL (200 EA per 30 days) BD NEXIVA 20GX1.75" T1 QL (200 EA per 30 days) BD NEXIVA 22GX1" T1 QL (200 EA per 30 days) BD NEXIVA 24GX0.56" T1 QL (200 EA per 30 days) BD NEXIVA 24GX0.75" T1 QL (200 EA per 30 days) BD PEN NEEDLE MINI U/F 31G X 5 MM T1 QL (200 EA per 30 days) BD PEN NEEDLE NANO U/F 32G X 4 MM T1 QL (200 EA per 30 days) BD PEN NEEDLE SHORT U/F 31G X 8 MM T1 QL (200 EA per 30 days) BD PEN NEEDLE ULTRAFINE 29G X 12.7MM T1 QL (200 EA per 30 days) BD SAFETYGLIDE INSULIN SYRINGE 30G X 5/16" 0.5 ML T1 QL (200 EA per 30 days) 56 Drug Status Notes BD SAFETY-LOK INSULIN SYRINGE 29G X 1/2" 1 ML T1 QL (200 EA per 30 days) BD SAFETY-LOK SET T1 QL (200 EA per 30 days) BD SAFETY-LOK VACUTAINER SET T1 QL (200 EA per 30 days) BD SAF-T E-Z SET T1 QL (200 EA per 30 days) BD SAF-T-INTIMA 18G X 1" KIT T1 QL (200 EA per 30 days) BD SAF-T-INTIMA 20GX1" T1 QL (200 EA per 30 days) BD SAF-T-INTIMA 22G X 0.75" KIT T1 QL (200 EA per 30 days) BD SAF-T-INTIMA 22GX3/4" T1 QL (200 EA per 30 days) BD SAF-T-INTIMA 24G X 0.75" KIT T1 QL (200 EA per 30 days) BD SAF-T-INTIMA 24GX3/4" T1 QL (200 EA per 30 days) BD SYRINGE/NEEDLE 25G X 5/8" 1 ML T1 QL (200 EA per 30 days) BD SYRINGE/NEEDLE SLIP TIP 26G X 5/8" 1 ML T1 QL (200 EA per 30 days) BD VACUTAINER SET T1 QL (200 EA per 30 days) CAREFINE PEN NEEDLES 29G X 12MM , 30G X 8 MM , 31G X 6 MM , 31G X 8 MM , 32G X 4 MM , 32G X 5 MM , 32G X 6 MM T1 QL (200 EA per 30 days) careone insulin syringe 30g x 1/2" 0.3 ml, 30g x 1/2" 0.5 ml, 30g x 1/2" 1 ml, 31g x 5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 ml T1 QL (200 EA per 30 days) careone unifine pentips 29g x 12mm , 31g x 5 mm , 31g x 6 mm , 31g x 8 mm , 32g x 4 mm T1 QL (200 EA per 30 days) careone unifine pentips plus 29g x 12mm , 31g x 5 mm , 31g x 6 mm , 31g x 8 mm , 32g x 4 mm T1 QL (200 EA per 30 days) clickfine pen needles 31g x 6 mm , 31g x 8 mm , 32g x 4 mm T1 QL (200 EA per 30 days) COMFORT EZ INSULIN SYRINGE 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 1/2" 0.3 ML, 30G X 1/2" 0.5 ML, 30G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML T1 QL (200 EA per 30 days) COMFORT EZ PEN NEEDLES 31G X 5 MM , 31G X 6 MM , 31G X 8 MM , 32G X 4 MM T1 QL (200 EA per 30 days) cool mist humidifier T1 CORNWALL METAL PIPETTING T1 CURITY ALCOHOL PREPS PAD 70 % T1 denture adhesive cream T1 drug mart unifine pentips 29g x 12mm , 31g x 5 mm , 31g x 6 mm , 31g x 8 mm , 32g x 4 mm T1 QL (200 EA per 30 days) QL (200 EA per 30 days) 57 Drug Status Notes drug mart unifine pentips plus 32g x 4 mm T1 QL (200 EA per 30 days) duane reade unifine pentips 29g x 12mm , 31g x 6 mm , 31g x 8 mm T1 QL (200 EA per 30 days) EASIVENT T1 QL (2 EA per 365 days) EASIVENT MASK LARGE T1 QL (2 EA per 365 days) EASIVENT MASK MEDIUM T1 QL (2 EA per 365 days) EASIVENT MASK SMALL T1 QL (2 EA per 365 days) easy comfort insulin syringe 30g x 1/2" 0.5 ml, 30g x 1/2" 1 ml, 30g x 5/16" 0.3 ml, 30g x 5/16" 0.5 ml, 30g x 5/16" 1 ml T1 QL (200 EA per 30 days) easy comfort pen needles 31g x 5 mm , 31g x 8 mm , 32g x 4 mm T1 QL (200 EA per 30 days) EASY TOUCH FLURINGE 25G X 1" 1 ML, 25G X 5/8" 1 ML T1 QL (200 EA per 30 days) EASY TOUCH INSULIN SAFETY SYR 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 1/2" 1 ML, 30G X 5/16" 0.5 ML T1 QL (200 EA per 30 days) EASY TOUCH INSULIN SYRINGE 27G X 1/2" 0.5 ML, 27G X 1/2" 1 ML, 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 1/2" 0.3 ML, 30G X 1/2" 0.5 ML, 30G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML T1 QL (200 EA per 30 days) EASY TOUCH PEN NEEDLES 29G X 12MM , 31G X 5 MM , 31G X 6 MM , 31G X 8 MM , 32G X 4 MM , 32G X 5 MM , 32G X 6 MM T1 QL (200 EA per 30 days) EASY TOUCH SAFETY SYRINGE 25G X 1" 1 ML, 25G X 5/8" 1 ML T1 QL (200 EA per 30 days) eql insulin syringe 29g x 1/2" 0.3 ml, 29g x 1/2" 0.5 ml, 29g x 1/2" 1 ml, 30g x 5/16" 0.3 ml, 30g x 5/16" 0.5 ml, 30g x 5/16" 1 ml, 31g x 5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 ml T1 QL (200 EA per 30 days) eql short pen needle 31g x 8 mm T1 QL (200 EA per 30 days) eql ultra comfort insulin syr 31g x 5/16" 0.3 ml T1 QL (200 EA per 30 days) eql ultra short pen needle 31g x 6 mm T1 QL (200 EA per 30 days) EXCEL COMFORT POINT PEN NEEDLE 29G X 12MM , 31G X 6 MM , 31G X 8 MM T1 QL (200 EA per 30 days) EXEL COMFORT POINT INSULIN SYR 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML T1 QL (200 EA per 30 days) 58 Drug Status Notes FIFTY50 PEN NEEDLES 31G X 5 MM , 31G X 8 MM T1 QL (200 EA per 30 days) FIFTY50 SUPERIOR COMFORT SYR 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML T1 QL (200 EA per 30 days) fluid administration set T1 QL (200 EA per 30 days) freds pharmacy unifine pentip+ 31g x 5 mm , 31g x 8 mm T1 QL (200 EA per 30 days) freds pharmacy unifine pentips 32g x 4 mm T1 QL (200 EA per 30 days) FREESTYLE CONTROL SOLUTION IN VITRO LIQUID† T1 FREESTYLE PRECISION INS SYR 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML T1 gauze sponge pad 4"x4" T1 global ease inject pen needles 29g x 12mm , 31g x 5 mm , 31g x 8 mm , 32g x 4 mm T1 QL (200 EA per 30 days) global inject ease insulin syr 28g x 1/2" 0.5 ml, 28g x 1/2" 1 ml, 29g x 1/2" 0.3 ml, 29g x 1/2" 0.5 ml, 29g x 1/2" 1 ml, 30g x 1/2" 0.3 ml, 30g x 1/2" 0.5 ml, 30g x 1/2" 1 ml, 30g x 5/16" 0.3 ml, 30g x 5/16" 0.5 ml, 30g x 5/16" 1 ml, 31g x 5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 ml T1 QL (200 EA per 30 days) GLUCOCARD EXPRESSION CONTROL IN VITRO SOLUTION T1 GLUCOPRO INSULIN SYRINGE 30G X 1/2" 0.3 ML, 30G X 1/2" 0.5 ML, 30G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML T1 QL (200 EA per 30 days) gnp clickfine pen needles 31g x 6 mm , 31g x 8 mm T1 QL (200 EA per 30 days) gnp insulin syringe 28g x 1/2" 0.5 ml, 28g x 1/2" 1 ml, 29g x 1/2" 0.3 ml, 29g x 1/2" 0.5 ml, 29g x 1/2" 1 ml, 30g x 5/16" 0.3 ml, 30g x 5/16" 0.5 ml, 30g x 5/16" 1 ml, 31g x 5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 ml T1 QL (200 EA per 30 days) gnp ultra com insulin syringe 28g x 1/2" 0.5 ml, 28g x 1/2" 1 ml, 29g x 1/2" 0.3 ml, 29g x 1/2" 0.5 ml, 29g x 1/2" 1 ml, 30g x 5/16" 0.3 ml, 30g x 5/16" 0.5 ml, 30g x 5/16" 1 ml, 31g x 5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 ml T1 QL (200 EA per 30 days) H 468L TUBING T1 QL (200 EA per 30 days) healthwise mini pen needles 31g x 6 mm T1 QL (200 EA per 30 days) healthwise pen needles 29g x 12mm T1 QL (200 EA per 30 days) QL (200 EA per 30 days) 59 Drug Status Notes healthwise short pen needles 31g x 8 mm T1 QL (200 EA per 30 days) healthwise unifine pentips 32g x 4 mm T1 QL (200 EA per 30 days) healthy accents unifine pentip 29g x 12mm , 31g x 5 mm , 31g x 6 mm , 31g x 8 mm , 32g x 4 mm T1 QL (200 EA per 30 days) h-e-b incontrol pen needles 29g x 12mm , 31g x 5 mm , 31g x 6 mm , 31g x 8 mm , 32g x 4 mm T1 QL (200 EA per 30 days) HUBER INFUSION SET T1 QL (200 EA per 30 days) HUMAPEN LUXURA HD DEVICE T1 QL (200 EA per 30 days) HUMATROPEN FOR 12MG DEVICE T1 QL (200 EA per 30 days) HUMATROPEN FOR 24MG DEVICE T1 QL (200 EA per 30 days) HUMATROPEN FOR 6MG DEVICE T1 QL (200 EA per 30 days) infusion set T1 QL (200 EA per 30 days) infusion set 23" comfort T1 QL (200 EA per 30 days) inject-ease T1 QL (200 EA per 30 days) INJECT-EASE AUTOMATIC INJECTOR T1 QL (200 EA per 30 days) INSUFLON 25G X 0.71" T1 QL (200 EA per 30 days) insulin syringe 28g x 1/2" 0.5 ml, 28g x 1/2" 1 ml, 29g x 1" 0.3 ml, 30g x 1/2" 0.5 ml, 30g x 5/16" 1 ml T1 QL (200 EA per 30 days) insulin syringe 29g x 1/2" 0.3 ml, 29g x 1/2" 0.5 ml, 29g x 1/2" 1 ml, 30g x 5/16" 0.5 ml, 31g x 5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 ml T1 insulin syringe/needle 27g x 1/2" 0.5 ml, 28g x 1/2" 0.5 ml, 28g x 1/2" 1 ml T1 QL (200 EA per 30 days) insupen pen needles 32g x 4 mm T1 QL (200 EA per 30 days) INSUPEN SENSITIVE 32G X 6 MM , 32G X 8 MM T1 QL (200 EA per 30 days) INSUPEN ULTRAFIN 29G X 12MM , 30G X 8 MM , 31G X 6 MM , 31G X 8 MM T1 QL (200 EA per 30 days) INSYTE AUTOGUARD 14GX1.75" T1 QL (200 EA per 30 days) INSYTE AUTOGUARD 18GX1.16" T1 QL (200 EA per 30 days) INSYTE AUTOGUARD 20GX1" T1 QL (200 EA per 30 days) INSYTE AUTOGUARD 20GX1.16" T1 QL (200 EA per 30 days) INSYTE AUTOGUARD 22GX1" T1 QL (200 EA per 30 days) INSYTE AUTOGUARD 24GX3/4" T1 QL (200 EA per 30 days) INTERLINK INJECT SITE/LUER LOC T1 QL (200 EA per 30 days) KANGAROO BURETTE SET T1 QL (200 EA per 30 days) kinray insulin syringe 29g x 1/2" 0.5 ml, 31g x 5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 ml T1 QL (200 EA per 30 days) kmart valu insulin syringe 29g u-100 0.5 ml, u-100 1 ml T1 QL (200 EA per 30 days) 60 Drug Status Notes kmart valu insulin syringe 30g u-100 0.3 ml, u-100 0.5 ml, u-100 1 ml T1 QL (200 EA per 30 days) kroger insulin syringe 29g x 1/2" 0.3 ml, 29g x 1/2" 0.5 ml, 29g x 1/2" 1 ml, 30g x 5/16" 0.3 ml, 30g x 5/16" 0.5 ml, 30g x 5/16" 1 ml, 31g x 5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 ml T1 QL (200 EA per 30 days) kroger pen needles 29g x 12mm , 31g x 6 mm , 31g x 8 mm T1 QL (200 EA per 30 days) L606 TUBING T1 QL (200 EA per 30 days) L609 TUBING T1 QL (200 EA per 30 days) leader insulin syringe 28g x 1/2" 0.5 ml, 28g x 1/2" 1 ml, 29g x 1/2" 0.3 ml, 29g x 1/2" 0.5 ml, 29g x 1/2" 1 ml, 30g x 5/16" 0.3 ml, 30g x 5/16" 0.5 ml, 30g x 5/16" 1 ml, 31g x 5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 ml T1 QL (200 EA per 30 days) LEADER UNIFINE PENTIPS 31G X 5 MM , 32G X 4 MM T1 QL (200 EA per 30 days) LEADER UNIFINE PENTIPS PLUS 31G X 5 MM , 31G X 8 MM , 32G X 4 MM T1 QL (200 EA per 30 days) LITE TOUCH PEN NEEDLES 31G X 5 MM T1 QL (200 EA per 30 days) LITETOUCH INSULIN SYRINGE 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML T1 QL (200 EA per 30 days) LITETOUCH PEN NEEDLES 29G X 12.7MM , 31G X 6 MM , 31G X 8 MM T1 QL (200 EA per 30 days) live better pen needles 29g x 12mm , 31g x 6 mm , 31g x 8 mm T1 QL (200 EA per 30 days) longs insulin syringe 31g x 5/16" 0.5 ml T1 QL (200 EA per 30 days) LTXF PRIM CNV PIN MICRODRIP T1 QL (200 EA per 30 days) LTXF PRIM IV SET/CNVT PIN T1 QL (200 EA per 30 days) LTXF SECONDARY/CNV PIN/32INC T1 QL (200 EA per 30 days) MAGELLAN INSULIN SAFETY SYR 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML T1 QL (200 EA per 30 days) medic insulin syringe 30g x 5/16" 0.3 ml, 30g x 5/16" 0.5 ml T1 QL (200 EA per 30 days) medicine shoppe pen needles 29g x 12mm , 31g x 6 mm , 31g x 8 mm T1 QL (200 EA per 30 days) MEDSAVER SYRINGE 25G X 5/8" 1 ML T1 QL (200 EA per 30 days) 61 Drug Status Notes meijer pen needles 29g x 12mm , 31g x 6 mm , 31g x 8 mm T1 QL (200 EA per 30 days) MONOJECT INSULIN SYRINGE 25G X 5/8" 1 ML, 27G X 1/2" 1 ML, 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML, 31G X 5/16" 1 ML, U-100 1 ML T1 QL (200 EA per 30 days) MONOJECT LIFESHIELD SYRINGE 18G X 1" 1 ML T1 QL (200 EA per 30 days) MONOJECT MAGELLAN SYRINGE 23G X 1" 1 ML, 25G X 1" 1 ML, 25G X 5/8" 1 ML T1 QL (200 EA per 30 days) MONOJECT ULTRA COMFORT SYRINGE 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML T1 QL (200 EA per 30 days) MOORE MONO INSULIN SYRINGE 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML T1 QL (200 EA per 30 days) ms insulin syringe 31g x 5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 ml T1 QL (200 EA per 30 days) NERIA 29G INFUSION SET 10MM T1 QL (200 EA per 30 days) NERIA 29G INFUSION SET 6MM T1 QL (200 EA per 30 days) NERIA 29G INFUSION SET 8MM T1 QL (200 EA per 30 days) NERIA MULTI 27G 2X10MM T1 QL (200 EA per 30 days) NERIA MULTI 27G 3X10MM T1 QL (200 EA per 30 days) NERIA MULTI 27G 4X12MM T1 QL (200 EA per 30 days) NERIA SOFT 25G INFUSION 13MM T1 QL (200 EA per 30 days) NERIA SOFT 25G INFUSION 17MM T1 QL (200 EA per 30 days) NORDIPEN 5 INJECTION DEVICE T1 QL (200 EA per 30 days) NORDIPEN DELIVERY SYSTEM T1 QL (200 EA per 30 days) NOVOFINE 30G X 8 MM , 32G X 6 MM T1 QL (200 EA per 30 days) NOVOFINE AUTOCOVER 30G X 8 MM T1 QL (200 EA per 30 days) NOVOFINE PLUS 32G X 4 MM T1 QL (200 EA per 30 days) NOVOPEN ECHO DEVICE T1 QL (200 EA per 30 days) NOVOTWIST 30G X 8 MM , 32G X 5 MM T1 QL (200 EA per 30 days) OMNIFLEX DIAPHRAGM VAGINAL DIAPHRAGM T1 GR-F; QL (1 EA per 365 days) OMNITROPE PEN 10 INJ DEVICE T1 QL (200 EA per 30 days) OMNITROPE PEN 5 INJ DEVICE T1 QL (200 EA per 30 days) 62 Drug Status Notes ONETOUCH ULTRA CONTROL IN VITRO SOLUTION T1 ORTHO DIAPHRAGM ALL-FLEX VAGINAL DIAPHRAGM 65 MM, 70 MM, 75 MM, 80 MM T1 GR-F; QL (1 EA per 365 days) ORTHO DIAPHRAGM COIL VAGINAL KIT 100 MM, 105 MM, 50 MM T1 GR-F; QL (1 EA per 365 days) ORTHO DIAPHRAGM FLAT VAGINAL KIT 55 MM, 60 MM, 65 MM, 70 MM, 75 MM, 80 MM, 85 MM, 90 MM, 95 MM T1 GR-F; QL (1 EA per 365 days) pc unifine pentips 29g x 12mm , 31g x 5 mm , 31g x 6 mm , 31g x 8 mm T1 QL (200 EA per 30 days) pen needles 1/2" 29g x 12mm T1 QL (200 EA per 30 days) pen needles 29g x 12mm , 31g x 6 mm T1 QL (200 EA per 30 days) pen needles 3/16" 31g x 5 mm T1 QL (200 EA per 30 days) pen needles 5/16" 30g x 8 mm , 31g x 8 mm T1 QL (200 EA per 30 days) plastic adapter , 1 ml T1 QL (200 EA per 30 days) PRECISION SUREDOSE PLUS SYR 29G X 1/2" 0.3 ML, 29G X 1/2" 1 ML T1 QL (200 EA per 30 days) PRECISION SURE-DOSE SYRINGE 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.5 ML, 30G X 3/8" 0.5 ML T1 QL (200 EA per 30 days) preferred plus insulin syringe 28g x 1/2" 0.5 ml, 28g x 1/2" 1 ml, 29g x 1/2" 0.3 ml, 29g x 1/2" 0.5 ml, 29g x 1/2" 1 ml, 30g x 5/16" 0.3 ml, 30g x 5/16" 0.5 ml, 30g x 5/16" 1 ml T1 QL (200 EA per 30 days) preferred plus unifine pentips 29g x 12mm , 31g x 5 mm , 31g x 6 mm , 31g x 8 mm , 32g x 4 mm T1 QL (200 EA per 30 days) PRODIGY INSULIN SYRINGE 28G X 1/2" 1 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML T1 QL (200 EA per 30 days) px extra short pen needles 31g x 6 mm T1 QL (200 EA per 30 days) px insulin syringe 30g x 1/2" 0.3 ml, 30g x 1/2" 0.5 ml, 30g x 1/2" 1 ml, 31g x 5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 ml T1 QL (200 EA per 30 days) px mini pen needles 31g x 5 mm T1 QL (200 EA per 30 days) px pen needle 29g x 12mm , 31g x 8 mm T1 QL (200 EA per 30 days) qc pen needles 29g x 12mm , 31g x 6 mm , 31g x 8 mm T1 QL (200 EA per 30 days) qc unifine pentips 32g x 4 mm T1 QL (200 EA per 30 days) ra insulin syringe 29g x 1/2" 0.5 ml, 29g x 1/2" 1 ml, 30g x 5/16" 0.5 ml, 30g x 5/16" 1 ml T1 QL (200 EA per 30 days) ra pen needles 31g x 5 mm , 31g x 8 mm T1 QL (200 EA per 30 days) 63 Drug Status Notes RELI-ON INSULIN SYRINGE 29G 0.3 ML, 29G 0.5 ML, 29G X 1/2" 1 ML T1 QL (200 EA per 30 days) RELION INSULIN SYRINGE 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML T1 QL (200 EA per 30 days) RELION INSULIN SYRINGE 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML T1 RELION MINI PEN NEEDLES 31G X 6 MM T1 QL (200 EA per 30 days) RELION PEN NEEDLES 29G X 12MM , 31G X 8 MM , 32G X 4 MM T1 QL (200 EA per 30 days) RELION SHORT PEN NEEDLES 31G X 8 MM T1 QL (200 EA per 30 days) SAFELET IV CATHETER T1 QL (200 EA per 30 days) SAFESNAP INSULIN SYRINGE 28G X 1/2" 1 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML T1 QL (200 EA per 30 days) SAFETY-GLIDE SYRINGE 29G X 1/2" 0.3 ML T1 QL (200 EA per 30 days) sb insulin syringe 29g x 1/2" 0.5 ml, 29g x 1/2" 1 ml, 30g x 5/16" 0.5 ml, 30g x 5/16" 1 ml, 31g x 5/16" 1 ml T1 QL (200 EA per 30 days) scalp vein set T1 QL (200 EA per 30 days) schnucks insulin syringe 29g x 1/2" 0.5 ml, 30g x 5/16" 0.5 ml T1 QL (200 EA per 30 days) SHOPKO UNIFINE PENTIPS 29G X 12MM , 31G X 5 MM , 31G X 8 MM , 32G X 4 MM T1 QL (200 EA per 30 days) sm insulin syringe 31g x 5/16" 1 ml T1 QL (200 EA per 30 days) solution administration set T1 QL (200 EA per 30 days) solution transfer device T1 QL (200 EA per 30 days) sure comfort insulin syringe 28g x 1/2" 0.5 ml, 28g x 1/2" 1 ml, 29g x 1/2" 0.3 ml, 29g x 1/2" 0.5 ml, 29g x 1/2" 1 ml, 30g x 1/2" 0.3 ml, 30g x 1/2" 0.5 ml, 30g x 1/2" 1 ml, 30g x 5/16" 0.5 ml, 30g x 5/16" 1 ml, 31g x 5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 ml T1 QL (200 EA per 30 days) sure comfort pen needles 30g x 8 mm , 31g x 5 mm , 31g x 8 mm , 32g x 4 mm T1 QL (200 EA per 30 days) SURE-FINE PEN NEEDLES 29G X 12.7MM , 31G X 5 MM , 31G X 8 MM T1 QL (200 EA per 30 days) 64 Drug Status Notes SURE-JECT INSULIN SYRINGE 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML T1 QL (200 EA per 30 days) SURE-T INFUSION SET 18" T1 QL (200 EA per 30 days) SURE-T INFUSION SET 23" T1 QL (200 EA per 30 days) SURE-T INFUSION SET 32" T1 QL (200 EA per 30 days) surgical dressing pad 5"x9" T1 syringe luer slip 25g x 5/8" 1 ml, 26g x 3/8" 1 ml T1 QL (200 EA per 30 days) TERUMO INSULIN SYRINGE 27G X 1/2" 0.5 ML, 27G X 1/2" 1 ML, 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 3/8" 0.5 ML, 30G X 3/8" 1 ML T1 QL (200 EA per 30 days) TERUMO SURGUARD INSULIN SYR 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML T1 QL (200 EA per 30 days) TERUMO SURGUARD2 SYRINGE 25G X 5/8" 1 ML, 26G X 3/8" 1 ML T1 QL (200 EA per 30 days) THINPRO INSULIN SYRINGE 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 3/8" 0.5 ML, 30G X 3/8" 1 ML, 31G X 3/8" 0.3 ML, 31G X 3/8" 0.5 ML, 31G X 3/8" 1 ML T1 QL (200 EA per 30 days) todays health mini pen needles 31g x 6 mm T1 QL (200 EA per 30 days) todays health pen needles 29g x 12mm T1 QL (200 EA per 30 days) todays health short pen needle 31g x 8 mm T1 QL (200 EA per 30 days) topcare clickfine pen needles 31g x 6 mm , 31g x 8 mm T1 QL (200 EA per 30 days) topcare ultra comfort ins syr 29g x 1/2" 0.3 ml, 29g x 1/2" 0.5 ml, 29g x 1/2" 1 ml, 30g x 5/16" 0.3 ml, 30g x 5/16" 0.5 ml, 30g x 5/16" 1 ml, 31g x 5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 ml T1 QL (200 EA per 30 days) TRUEPLUS INSULIN SYRINGE 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML T1 QL (200 EA per 30 days) ULTICARE INSULIN SAFETY SYR 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML T1 QL (200 EA per 30 days) 65 Drug Status Notes ULTICARE INSULIN SYRINGE 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 1/2" 0.3 ML, 30G X 1/2" 0.5 ML, 30G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML T1 QL (200 EA per 30 days) ULTICARE MICRO PEN NEEDLES 32G X 4 MM T1 QL (200 EA per 30 days) ULTICARE MINI PEN NEEDLES 31G X 6 MM T1 QL (200 EA per 30 days) ULTICARE PEN NEEDLES 29G X 12.7MM , 29G X 12MM T1 QL (200 EA per 30 days) ULTICARE SHORT PEN NEEDLES 31G X 8 MM T1 QL (200 EA per 30 days) ULTICARE SYRINGE 22G X 1-1/2" 1 ML T1 QL (200 EA per 30 days) ULTILET INSULIN SYRINGE SHORT 30G X 5/16" 0.3 ML, 30G X 5/16" 1 ML T1 ULTILET INSULIN SYRINGE SHORT 30G X 5/16" 0.5 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML T1 QL (200 EA per 30 days) ULTILET PEN NEEDLE 31G X 8 MM T1 QL (200 EA per 30 days) ultra comfort insulin syringe 30g x 5/16" 0.3 ml T1 QL (200 EA per 30 days) ultra-comfort insulin syringe 28g x 1/2" 0.5 ml, 28g x 1/2" 1 ml, 29g x 1/2" 0.3 ml, 29g x 1/2" 0.5 ml, 29g x 1/2" 1 ml, 30g x 5/16" 0.3 ml, 30g x 5/16" 0.5 ml, 30g x 5/16" 1 ml, 31g x 5/16" 0.3 ml, 31g x 5/16" 0.5 ml, 31g x 5/16" 1 ml T1 QL (200 EA per 30 days) ULTRA-THIN II INS SYR SHORT 31G X 5/16" 1 ML T1 QL (200 EA per 30 days) UNIFINE PENTIPS 29G X 12MM , 31G X 5 MM , 31G X 6 MM , 31G X 8 MM , 32G X 4 MM T1 QL (200 EA per 30 days) unifine pentips plus 29g x 12mm , 31g x 5 mm , 31g x 6 mm , 31g x 8 mm , 32g x 4 mm T1 QL (200 EA per 30 days) VACUTAINER TUBING T1 QL (200 EA per 30 days) value health insulin syringe 29g x 1/2" 0.5 ml, 29g x 1/2" 1 ml T1 QL (200 EA per 30 days) valumark pen needles 29g x 12mm , 31g x 6 mm , 31g x 8 mm T1 QL (200 EA per 30 days) VANISHPOINT 18GX1-1/4" FEP T1 QL (200 EA per 30 days) VANISHPOINT 18GX1-1/4" PUR T1 QL (200 EA per 30 days) VANISHPOINT 20GX1-1/4" FEP T1 QL (200 EA per 30 days) VANISHPOINT 20GX1-1/4" PUR T1 QL (200 EA per 30 days) 66 Drug Status Notes VANISHPOINT 22GX1" FEP T1 QL (200 EA per 30 days) VANISHPOINT 22GX1" PUR T1 QL (200 EA per 30 days) VANISHPOINT 24GX3/4" FEP T1 QL (200 EA per 30 days) VANISHPOINT 24GX3/4" PUR T1 QL (200 EA per 30 days) VANISHPOINT INSULIN SYRINGE 29G X 1/2" 1 ML, 30G X 1/2" 0.5 ML T1 QL (200 EA per 30 days) VANISHPOINT SYRINGE 25G X 1" 1 ML T1 QL (200 EA per 30 days) VIDA MIA UNIFINE PENTIPS 29G X 12MM , 31G X 6 MM , 31G X 8 MM , 32G X 4 MM T1 QL (200 EA per 30 days) vp insulin syringe 29g x 1/2" 0.3 ml T1 QL (200 EA per 30 days) V-R MONO INSULIN SYRINGE 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML T1 QL (200 EA per 30 days) warm mist vaporizer T1 wegmans unifine pentips plus 31g x 5 mm , 31g x 6 mm , 31g x 8 mm , 32g x 4 mm T1 QL (200 EA per 30 days) WIDE-SEAL DIAPHRAGM 60 VAGINAL DIAPHRAGM 2 % T1 GR-F; QL (1 EA per 365 days) WIDE-SEAL DIAPHRAGM 65 VAGINAL DIAPHRAGM 2 % T1 GR-F; QL (1 EA per 365 days) WIDE-SEAL DIAPHRAGM 70 VAGINAL DIAPHRAGM 2 % T1 GR-F; QL (1 EA per 365 days) WIDE-SEAL DIAPHRAGM 75 VAGINAL DIAPHRAGM 2 % T1 GR-F; QL (1 EA per 365 days) WIDE-SEAL DIAPHRAGM 80 VAGINAL DIAPHRAGM 2 % T1 GR-F; QL (1 EA per 365 days) WIDE-SEAL DIAPHRAGM 85 VAGINAL DIAPHRAGM 2 % T1 GR-F; QL (1 EA per 365 days) WIDE-SEAL DIAPHRAGM 90 VAGINAL DIAPHRAGM 2 % T1 GR-F; QL (1 EA per 365 days) WIDE-SEAL DIAPHRAGM 95 VAGINAL DIAPHRAGM 2 % T1 GR-F; QL (1 EA per 365 days) naratriptan hcl oral tablet 1 mg, 2.5 mg T1 ST; QL (9 EA per 30 days) rizatriptan benzoate oral tablet 10 mg, 5 mg T1 QL (9 EA per 30 days) rizatriptan benzoate oral tablet dispersible 10 mg, 5 mg T1 QL (9 EA per 30 days) sumatriptan succinate oral tablet 100 mg, 25 mg, 50 mg T1 *Migraine Products* *Minerals & Electrolytes* cal/mag oral tablet 200-100 mg T1 67 Drug Status CALCET CREAMY BITES ORAL TABLET CHEWABLE 500-400 MG-UNIT T1 calcium + d3 oral tablet 600-200 mg-unit T1 calcium 500 + d oral tablet 500-125 mg-unit T1 calcium 500/d oral tablet 500-200 mg-unit T1 calcium 500+d high potency oral tablet 500-400 mg-unit T1 calcium 500+d oral tablet 500-200 mg-unit, 500-400 mg-unit T1 calcium 600+d oral tablet 600-200 mg-unit, 600-400 mg-unit T1 calcium 600+d3 oral tablet 600-400 mg-unit, 600-800 mg-unit T1 calcium carbonate oral suspension 1250 (500 ca) mg/5ml T1 calcium carbonate oral tablet 1250 (500 ca) mg T1 calcium carbonate-vitamin d oral capsule 600-200 mg-unit T1 calcium citrate + d oral tablet 315-200 mg-unit T1 calcium citrate + d3 oral tablet 250-200 mg-unit T1 calcium citrate malate-vit d oral tablet 250-100 mg-unit T1 calcium citrate oral granules 760 mg/3.5gm T1 calcium citrate oral tablet 200 mg, 950 mg T1 calcium citrate-vitamin d oral tablet 250-50 mg-unit T1 calcium citrate-vitamin d3 oral liquid† 1000-400 T1 calcium oral tablet chewable 500-100 mg-unit, 600-400 mg-unit T1 calcium plus vitamin d oral capsule 300-100 mg-unit T1 calcium/vitamin d3 gummies oral tablet chewable 200-200 mg-unit T1 calcium-carb 600 + d oral tablet 600-125 mg-unit T1 calcium-magnesium oral tablet 250-125 mg, 750-465 mg T1 calcium-vitamin d oral tablet 500-125 mg-unit, 600-200 mg-unit T1 calcium-vitamin d3 oral capsule 600-400 mg-unit T1 CAL-MAG CHELA-MAX ORAL CAPSULE 70-83 MG T1 68 Notes Drug Status CAL-QUICK ORAL LIQUID† 500-400 MG-UNT/5ML T1 chelated magnesium oral tablet 100 mg T1 cvs oyster shell calcium+vit d oral tablet 500-125 mg-unit T1 effervescent pot chloride oral tablet effervescent 25 meq T1 eql calcium/vitamin d oral capsule 600-100 mg-unit T1 eql vitamin d-3 high potency oral tablet 115-2000 mg-unit T1 gnp calcium 500 +d3 oral tablet 500-600 mg-unit T1 K-PHOS ORAL TABLET 500 MG T1 mag-delay oral tablet extendedrelease* 535 (64 mg) mg T1 MAGINEX DS ORAL PACKET 1230 MG T1 MAGINEX ORAL TABLET DELAYED RELEASE 615 MG T1 magnesium carbonate powder T1 magnesium chloride crystals T1 magnesium chloride powder T1 magnesium citrate oral tablet 100 mg T1 magnesium gluconate oral tablet 30 mg, 500 (27 mg) mg, 550 mg T1 magnesium oral capsule 300 mg T1 magnesium oral tablet 200 mg, 250 mg, 30 mg, 400 mg T1 magnesium oxide -mg supplement oral tablet 250 mg T1 magnesium oxide oral powder T1 magnesium oxide oral tablet 400 (240 mg) mg, 400 (241.3 mg) mg T1 magnesium sulfate injection solution 50 % T1 magnesium sulfate intravenous* solution 2 gm/50ml, 20 gm/500ml, 4 gm/100ml, 4 gm/50ml, 40 gm/1000ml T1 MAGONATE ORAL LIQUID† 1000 (54 MG) MG/5ML T1 MAG-TAB SR ORAL TABLET EXTENDEDRELEASE* 84 MG (7MEQ) T1 ORAZINC ORAL TABLET 110 MG T1 Notes 69 Drug Status Notes OSTEO-PORETICAL ORAL TABLET 600-1000 MG-UNIT T1 oyster shell calcium/d oral tablet 250-125 mg-unit, 250-250 mg-unit T1 parva-cal oral tablet 250-100 mg-unit, 500-200 mg-unit T1 PEDIALYTE ORAL SOLUTION T1 PHOSPHA 250 NEUTRAL ORAL TABLET 155-852-130 MG T1 potassium bicarbonate oral tablet effervescent 25 meq T1 potassium chloride crys er oral tablet extendedrelease* 10 meq, 20 meq T1 potassium chloride er oral capsule extended release* 10 meq, 8 meq T1 potassium chloride er oral tablet extendedrelease* 10 meq, 8 meq T1 potassium chloride oral packet 20 meq T1 potassium chloride oral solution 20 meq/15ml (10%) T1 ra calcium-boron oral tablet 500-1.5 mg T1 sodium chloride flush intravenous* solution 0.9 % T1 sodium chloride injection solution 0.9 % T1 sodium chloride intravenous* solution 0.9 % T1 sodium chloride oral tablet 1 gm T1 sodium fluoride oral solution 1.1 (0.5 f) mg/ml T1 QL (30 ML per 30 days); AL (Max 10 Years) sodium fluoride oral tablet chewable 1.1 (0.5 f) mg, 2.2 (1 f) mg T1 QL (30 EA per 30 days); AL (Max 10 Years) UPCAL D ORAL PACKET 500-500 MG-UNIT T1 UPCAL D ORAL POWDER 500-500 MG-UNT/5GM T1 VITALINE BUFFERED ZINC-220 ORAL TABLET EXTENDEDRELEASE* 220 (50 ZN) MG T1 ZINC 15 ORAL TABLET 66 MG T1 zinc sulfate granules T1 zinc sulfate intravenous* solution 1 mg/ml, 5 mg/ml T1 70 Drug *Mouth/Throat/Dental Agents* Status BENZ-O-STHETIC MOUTH/THROAT SOLUTION 20 % T1 BENZ-O-STHETIC MOUTH/THROAT SWAB 20 % T1 chlorhexidine gluconate mouth/throat solution 0.12 % T1 clotrimazole mouth/throat lozenge 10 mg T1 GEL-TIN DENTAL GEL 0.4 % T1 lidocaine hcl mouth/throat solution 4 % T1 lidocaine viscous mouth/throat solution 2 % T1 nystatin mouth/throat suspension 100000 unit/ml T1 ORA-FILM MOUTH/THROAT STRIP 6 % T1 oral analgesic max st mouth/throat gel 20 % T1 oral analgesic max st mouth/throat liquid† 20 % T1 oral anesthetic mouth/throat paste 20 % T1 PERIOMED MOUTH/THROAT CONCENTRATE 0.63 % T1 pilocarpine hcl oral tablet 5 mg T1 ra baby care oral pain relief mouth/throat gel 7.5 % T1 sf 5000 plus dental cream 1.1 % T1 triamcinolone acetonide mouth/throat paste 0.1 % T1 Notes *Multivitamins* adult gummy oral tablet chewable T1 ATABEX EC ORAL TABLET DELAYED RELEASE 29-1 MG T1 GR-F ATABEX ORAL TABLET CHEWABLE 18-0.8 MG T1 GR-F b-complex balanced oral tablet T1 b-complex/vitamin c oral tablet T1 biovol oral syrup T1 BRAINSTRONG PRENATAL ORAL 33-0.8 & 350 MG T1 GR-F CENTRUM SPECIALIST PRENATAL ORAL 27-0.8 & 200 MG T1 GR-F T1 AL (Max 9 Years) childrens gummies oral tablet chewable T1 AL (Max 9 Years) childrens multivitamin oral tablet chewable 60 mg T1 AL (Max 9 Years) child chewable vitamins/iron oral tablet chewable 71 Drug Status Notes CLINICAL NUTRIENTS PRENATAL ORAL TABLET 7.5-0.2 MG T1 GR-F COMPLETE FORMULATION PEDIATRIC ORAL SOLUTION 45 MG/0.5ML T1 AL (Max 9 Years) complete natal dha oral 29-1-200 & 250 mg T1 GR-F complete prenatal/dha oral 30-0.975 & 300 mg T1 GR-F cvs prenatal gummy oral tablet chewable 0.4-113.5 mg T1 GR-F daily multiple vitamins/min oral tablet T1 DAILY PAK MAXIMUM MULTIVITAMIN ORAL T1 daily vitamin plus oral capsule T1 daily-vitamin oral tablet T1 DIALYVITE SUPREME D ORAL TABLET 3 MG T1 ELDERTONIC ORAL ELIXIR T1 eql gummies childrens oral tablet chewable 30 mg T1 AL (Max 9 Years) FOLGARD OS ORAL TABLET 500-1.1 MG T1 GR-F; QL (30 EA per 30 days); AL (Min 14 Years and Max 50 Years) HEALTHY MAMA BE WELL ROUNDED ORAL 28-0.8 & 450 MG T1 GR-F HONEY BEARS W/IRON-ZINC ORAL TABLET CHEWABLE 30-200-3 T1 AL (Max 9 Years) kpn prenatal oral tablet 0.1 mg T1 GR-F MEGA MULTIVITAMIN ORAL POWDER T1 multi-delyn oral liquid† T1 multivitamins oral tablet chewable T1 multivitamins pediatric oral solution T1 AL (Max 9 Years) MYNATAL ORAL CAPSULE T1 GR-F mynatal plus oral tablet T1 GR-F mynate 90 plus oral tablet extendedrelease* T1 GR-F NANOVM T/F ORAL LIQUID† T1 AL (Max 9 Years) NATALVIT ORAL TABLET T1 GR-F OBSTETRIX DHA ORAL 29-1 & 387 MG T1 GR-F OBSTETRIX EC ORAL TABLET 29-1 MG T1 GR-F O-CAL PRENATAL ORAL TABLET T1 GR-F ONE-A-DAY WOMENS PRENATAL ORAL 28-0.8 & 223 MG T1 GR-F pa prenatal formula oral tablet 9-0.5 mg T1 GR-F 72 AL (Max 9 Years) Drug Status Notes PERRY PRENATAL ORAL CAPSULE 13.5-0.4 MG T1 GR-F poly vitamin oral tablet chewable T1 AL (Max 9 Years) polyvitamin oral solution 35 mg/ml T1 AL (Max 9 Years) polyvitamin/iron oral solution 10 mg/ml T1 AL (Max 9 Years) PR NATAL 400 ORAL 29-1-200 & 400 MG T1 GR-F PR NATAL 430 ORAL 29-1-200 & 430 MG T1 GR-F PRENATA ORAL TABLET CHEWABLE 29-1 MG T1 GR-F prenatabs fa oral tablet T1 GR-F prenatal 19 oral tablet 29-1 mg T1 GR-F prenatal 19 oral tablet chewable 29-1 mg T1 GR-F prenatal complete oral tablet 14-0.4 mg T1 GR-F prenatal formula a-free oral tablet 9-0.267 mg T1 GR-F prenatal formula oral capsule 28-0.8-235 mg T1 GR-F prenatal multi +dha oral capsule 27-0.8-228 mg T1 GR-F PRENATAL MULTIVITAMIN + DHA ORAL 28-0.8 & 200 MG T1 GR-F prenatal oral tablet 27-0.8 mg, 28-0.8 mg, 6.75-0.2 mg T1 GR-F prenatal plus iron oral tablet 29-1 mg T1 GR-F prenatal plus oral tablet 27-1 mg T1 GR-F prenatal vitamins oral tablet 0.8 mg T1 GR-F prenatal/omega-3/fa/iron oral capsule 28-0.8-530 mg T1 GR-F prenatal+dha oral 28-0.975 & 200 mg T1 GR-F PRENATAL-U ORAL CAPSULE 106.5-1 MG T1 GR-F profe forte oral capsule 155-1 mg T1 GR-F purefe ob plus oral capsule 162-115.2-1 mg T1 GR-F T1 AL (Max 9 Years) ra one daily oral 28-0.8 & 440 mg T1 GR-F RENAL ORAL CAPSULE 1 MG T1 stress formula/iron oral tablet T1 stress formula/zinc oral tablet T1 STUART ONE ORAL CAPSULE 27-0.8-200 MG T1 super b complex/vitamin c oral tablet T1 SUPERVITE EC ORAL TABLET DELAYED RELEASE 1 MG T1 qc childrens vitamins/extra c oral tablet chewable GR-F 73 Drug Status Notes SYNATEK ORAL CAPSULE 1.25 MG T1 TARON-BC ORAL 20-1 & 25 (2) MG T1 GR-F THERANATAL COMPLETE ORAL 27-1 & 300 MG T1 GR-F therapeutic liquid oral solution T1 trinatal rx 1 oral tablet 60-1 mg T1 GR-F tri-vit/fluoride oral solution 0.25 mg/ml T1 AL (Max 9 Years) tri-vitamin/fluoride oral solution 0.5 mg/ml T1 AL (Max 9 Years) ultra-mega oral tablet extendedrelease* T1 VINATE II ORAL TABLET 29-1 MG T1 GR-F VINATE M ORAL TABLET 27-1 MG T1 GR-F virt-vite gt oral tablet 90-1 mg T1 GR-F vitamin c-electrolytes oral packet T1 *Musculoskeletal Therapy Agents* baclofen oral tablet 10 mg, 20 mg T1 chlorzoxazone oral tablet 500 mg T1 cyclobenzaprine hcl oral tablet 10 mg, 5 mg T1 methocarbamol oral tablet 500 mg, 750 mg T1 tizanidine hcl oral tablet 2 mg, 4 mg T1 QL (90 EA per 30 days) *Nasal Agents - Systemic And Topical* anefrin spray nasal solution 0.05 % T1 childrens silfedrine oral liquid† 15 mg/5ml T1 cromolyn sodium nasal aerosol, solution 5.2 mg/act T1 flunisolide nasal solution 25 mcg/act (0.025%) T1 QL (50 ML per 30 days) fluticasone propionate nasal suspension 50 mcg/act T1 QL (16 GM per 30 days) ipratropium bromide nasal solution 0.03 % T1 QL (30 ML per 30 days) ipratropium bromide nasal solution 0.06 % T1 QL (15 ML per 30 days) NASACORT ALLERGY 24HR NASAL AEROSOL† 55 MCG/ACT T1 nasal decongestant oral liquid† 30 mg/5ml T1 nasal decongestant oral syrup 30 mg/5ml T1 NEXAFED ORAL 30 MG T1 pseudoephedrine hcl er oral tablet extended release 12 hr* 120 mg T1 pseudoephedrine hcl oral tablet 30 mg, 60 mg T1 RHINOCORT ALLERGY NASAL SUSPENSION 32 MCG/ACT T1 74 Drug saline nasal spray nasal solution 0.65 % Status T1 Notes QL (90 ML per 30 days) *Ophthalmic Agents* advanced lubricant ophthalmic solution 0.05-1 % T1 artificial tears ophthalmic ointment 83-15 % T1 artificial tears ophthalmic solution 0.1-0.3 %, 0.2-0.2-1 %, 0.4 %, 1-0.3 %, 5-6 mg/ml T1 atropine sulfate ophthalmic ointment 1 % T1 atropine sulfate ophthalmic solution 1 % T1 azelastine hcl ophthalmic solution 0.05 % T1 bacitracin ophthalmic ointment 500 unit/gm T1 bacitracin-polymyxin b ophthalmic ointment 500-10000 unit/gm T1 bacitra-neomycin-polymyxin-hc ophthalmic ointment 1 % T1 betaxolol hcl ophthalmic solution 0.5 % T1 bimatoprost ophthalmic solution 0.03 % T1 BLEPHAMIDE S.O.P. OPHTHALMIC OINTMENT 10-0.2 % T1 BLINK TEARS OPHTHALMIC GEL 0.25 % T1 BLINK TEARS OPHTHALMIC SOLUTION 0.25 % T1 brimonidine tartrate ophthalmic solution 0.2 % T1 carteolol hcl ophthalmic solution 1 % T1 ciprofloxacin hcl ophthalmic solution 0.3 % T1 cromolyn sodium ophthalmic solution 4 % T1 cvs lubricant drops ophthalmic gel 0.25-0.3 %, 1 % T1 cyclopentolate hcl ophthalmic solution 1 % T1 dexamethasone sodium phosphate ophthalmic solution 0.1 % T1 diclofenac sodium ophthalmic solution 0.1 % T1 dorzolamide hcl ophthalmic solution 2 % T1 dorzolamide hcl-timolol mal ophthalmic solution 22.3-6.8 mg/ml T1 epinastine hcl ophthalmic solution 0.05 % T1 EQ GENTLE LUBRICANT OPHTHALMIC SOLUTION 0.3 % T1 eq lubricating eye drops ophthalmic solution 0.5-0.9 % T1 erythromycin ophthalmic ointment 5 mg/gm T1 ST; QL (5 ML per 30 days) 75 Drug Status Notes eye allergy relief ophthalmic solution 0.025-0.3 %, 0.027-0.315 % T1 eye drops allergy relief ophthalmic solution 0.05-0.25 % T1 eye drops ophthalmic solution 0.012-0.2 % T1 eye lubricant ophthalmic ointment T1 FLAREX OPHTHALMIC SUSPENSION 0.1 % T1 fluorometholone ophthalmic suspension 0.1 % T1 flurbiprofen sodium ophthalmic solution 0.03 % T1 FML OPHTHALMIC OINTMENT 0.1 % T1 gentamicin sulfate ophthalmic ointment 0.3 % T1 gentamicin sulfate ophthalmic solution 0.3 % T1 GONIOTAIRE OPHTHALMIC SOLUTION 2.5 % T1 homatropine hbr ophthalmic solution 5 % T1 ISOPTO TEARS OPHTHALMIC SOLUTION 0.5 % T1 ketorolac tromethamine ophthalmic solution 0.4 % T1 ketorolac tromethamine ophthalmic solution 0.5 % T1 QL (5 ML per 18 days) ketotifen fumarate ophthalmic solution 0.025 % T1 QL (5 ML per 30 days) latanoprost ophthalmic solution 0.005 % T1 QL (5 ML per 30 days) levobunolol hcl ophthalmic solution 0.5 % T1 QL (5 ML per 18 days) lubricant eye drops ophthalmic solution 0.4-0.3 %, 0.5 %, 0.6 % T1 metipranolol ophthalmic solution 0.3 % T1 multi-purpose solution solution T1 naphazoline hcl ophthalmic solution 0.1 % T1 neomycin-bacitracin zn-polymyx ophthalmic ointment 5-400-10000 T1 neomycin-polymyxin-dexameth ophthalmic ointment 3.5-10000-0.1 T1 neomycin-polymyxin-dexameth ophthalmic suspension 3.5-10000-0.1 T1 neomycin-polymyxin-gramicidin ophthalmic solution 1.75-10000-.025 T1 neomycin-polymyxin-hc ophthalmic suspension 3.5-10000-1 T1 NEO-POLYCIN HC OPHTHALMIC OINTMENT 1 % T1 76 Drug Status Notes ofloxacin ophthalmic solution 0.3 % T1 polymyxin b-trimethoprim ophthalmic solution 10000-0.1 unit/ml-% T1 prednisolone acetate ophthalmic suspension 1 % T1 prednisolone sodium phosphate ophthalmic solution 1 % T1 proparacaine hcl ophthalmic solution 0.5 % T1 ra sterile eye drops ophthalmic solution 0.03-0.5 % T1 redness relief max strength ophthalmic solution 0.03-0.5 % T1 REDNESS RELIEF OPHTHALMIC SOLUTION 0.012-0.25 % T1 redness reliever eye drops ophthalmic solution 0.05 % T1 REFRESH OPTIVE ADVANCED OPHTHALMIC SOLUTION 0.5-1-0.5 % T1 RETAINE MGD OPHTHALMIC EMULSION 0.5-0.5 % T1 sm redness relief ophthalmic solution 0.012-0.2 % T1 sodium chloride (hypertonic) ophthalmic ointment 5% T1 sodium chloride (hypertonic) ophthalmic solution 5% T1 STERILE LUBRICANT OPHTHALMIC LIQUID† 0.7 % T1 sulfacetamide sodium ophthalmic solution 10 % T1 sulfacetamide-prednisolone ophthalmic solution 10-0.23 % T1 SYSTANE OVERNIGHT THERAPY OPHTHALMIC GEL 0.3 % T1 timolol maleate ophthalmic solution 0.25 %, 0.5 % T1 tobramycin ophthalmic solution 0.3 % T1 tobramycin-dexamethasone ophthalmic suspension 0.3-0.1 % T1 QL (5 ML per 10 days) travoprost ophthalmic solution 0.004 % T1 ST; QL (5 ML per 30 days) trifluridine ophthalmic solution 1 % T1 tropicamide ophthalmic solution 0.5 %, 1 % T1 *Otic Agents* acetic acid otic solution 2 % T1 acetic acid-aluminum acetate otic solution 2 % T1 77 Drug Status antipyrine-benzocaine otic solution 5.4-1.4 % T1 ciprofloxacin hcl otic solution 0.2 % T1 ear drops otic solution 6.5 % T1 ear wax cleansing otic kit 6.5 % T1 hydrocortisone-acetic acid otic solution 1-2 % T1 neomycin-polymyxin-hc otic solution 1 % T1 neomycin-polymyxin-hc otic suspension 3.5-10000-1 T1 ofloxacin otic solution 0.3 % T1 Notes *Oxytocics* methylergonovine maleate oral tablet 0.2 mg T1 QL (28 EA per 365 days) *Passive Immunizing Agents* RHOGAM ULTRA-FILTERED PLUS INTRAMUSCULAR* 1500 UNIT T1 SYNAGIS INTRAMUSCULAR* SOLUTION 100 MG/ML, 50 MG/0.5ML T1 PA *Penicillins* amoxicillin oral capsule 250 mg, 500 mg T1 amoxicillin oral suspension reconstituted 125 mg/5ml, 200 mg/5ml, 250 mg/5ml, 400 mg/5ml T1 amoxicillin oral tablet 875 mg T1 amoxicillin oral tablet chewable 125 mg, 250 mg T1 amoxicillin-pot clavulanate oral suspension reconstituted 200-28.5 mg/5ml, 400-57 mg/5ml, 600-42.9 mg/5ml T1 amoxicillin-pot clavulanate oral tablet 250-125 mg T1 QL (42 EA per 14 days) amoxicillin-pot clavulanate oral tablet 500-125 mg, 875-125 mg T1 QL (28 EA per 14 days) amoxicillin-pot clavulanate oral tablet chewable 200-28.5 mg, 400-57 mg T1 AL (Max 11 Years) ampicillin oral capsule 250 mg, 500 mg T1 ampicillin oral suspension reconstituted 125 mg/5ml, 250 mg/5ml T1 BICILLIN C-R 900/300 INTRAMUSCULAR* SUSPENSION 900000-300000 UNIT/2ML T1 QL (4 ML per 28 days) BICILLIN C-R INTRAMUSCULAR* SUSPENSION 1200000 UNIT/2ML T1 QL (4 ML per 28 days) dicloxacillin sodium oral capsule 250 mg, 500 mg T1 penicillin v potassium oral solution reconstituted 125 mg/5ml, 250 mg/5ml T1 78 Drug penicillin v potassium oral tablet 250 mg, 500 mg Status Notes T1 *Pharmaceutical Adjuvants* benzyl alcohol liquid† T1 cherry concentrate oral syrup T1 cherry oral syrup T1 FLAVOR BLEND ORAL SUSPENSION T1 flavor plus oral liquid† T1 flavor sweet oral syrup T1 flavor sweet-sf oral liquid† T1 grape syrup oral syrup T1 ORA-BLEND ORAL SUSPENSION T1 ORA-BLEND SF ORAL SUSPENSION T1 ORAL MIX ORAL LIQUID† T1 ORAL MIX SF ORAL LIQUID† T1 oral suspend oral liquid† T1 oral syrup oral liquid† T1 oral syrup sf oral liquid† T1 ORA-PLUS ORAL LIQUID† T1 ORA-SWEET ORAL SYRUP T1 ORA-SWEET SF ORAL SYRUP T1 PCCA SWEET-SF ORAL SYRUP T1 PCCA SYRUP VEHICLE ORAL SYRUP T1 PCCA-PLUS ORAL SUSPENSION T1 polyethylene glycol 3350 powder T1 SYRPALTA (RED) ORAL SYRUP T1 syrpalta oral syrup T1 SYRSPEND SF ORAL LIQUID† T1 VERSAFREE ORAL SYRUP T1 VERSAPLUS ORAL SYRUP T1 *Potassium Removing Agents*** KIONEX ORAL POWDER T1 sodium polystyrene sulfonate oral powder T1 *Prenatal Mv & Minerals W/ Fa-Omega Fatty Acids W/O Iron*** cvs prenatal gummy oral tablet chewable 0.4-113.5 mg T1 GR-F 79 Drug *Progestins* Status Notes medroxyprogesterone acetate oral tablet 10 mg, 2.5 mg, 5 mg T1 GR-F; QL (30 EA per 30 days) norethindrone acetate oral tablet 5 mg T1 GR-F; QL (60 EA per 30 days) AVONEX INTRAMUSCULAR* KIT 30 MCG T1 PA BETASERON SUBCUTANEOUS* KIT 0.3 MG T1 PA bupropion hcl er (smoking det) oral tablet extended release 12 hr* 150 mg T1 QL (180 EA per 365 days) CHANTIX CONTINUING MONTH PAK ORAL TABLET 1 MG T1 QL (60 EA per 30 days) CHANTIX ORAL TABLET 0.5 MG, 1 MG T1 QL (60 EA per 30 days) CHANTIX STARTING MONTH PAK ORAL TABLET 0.5 MG X 11 & 1 MG X 42 T1 QL (60 EA per 30 days) disulfiram oral tablet 250 mg, 500 mg T1 donepezil hcl oral tablet 10 mg, 5 mg T1 EXTAVIA SUBCUTANEOUS* KIT 0.3 MG T1 galantamine hydrobromide oral tablet 12 mg, 4 mg, 8 mg T1 GLATOPA SUBCUTANEOUS* 20 MG/ML T1 PA nicotine mini mouth/throat lozenge 2 mg T1 QL (270 EA per 30 days) nicotine polacrilex mouth/throat gum 2 mg, 4 mg T1 QL (270 EA per 30 days) nicotine polacrilex mouth/throat lozenge 4 mg T1 QL (270 EA per 30 days) nicotine transdermal kit 21-14-7 mg/24hr T1 nicotine transdermal patch 24 hr 14 mg/24hr, 21 mg/24hr, 7 mg/24hr T1 NICOTROL INHALATION INHALER 10 MG T1 NICOTROL NS NASAL SOLUTION 10 MG/ML T1 *Psychotherapeutic And Neurological Agents - Misc.* PA *Respiratory Agents - Misc.* PULMOZYME INHALATION SOLUTION 1 MG/ML T1 *Serotonin Modulators*** trazodone hcl oral tablet 100 mg, 150 mg, 300 mg, 50 mg T1 *Sulfonamides* sulfadiazine oral tablet 500 mg 80 T1 PA Drug *Tetracyclines* Status doxycycline hyclate oral capsule 100 mg, 50 mg T1 doxycycline hyclate oral tablet 100 mg T1 doxycycline monohydrate oral suspension reconstituted 25 mg/5ml T1 minocycline hcl oral capsule 100 mg, 50 mg, 75 mg T1 VIBRAMYCIN ORAL SYRUP 50 MG/5ML T1 Notes *Thyroid Agents* ARMOUR THYROID ORAL TABLET 120 MG, 15 MG, 180 MG, 240 MG, 30 MG, 300 MG, 60 MG T1 levothyroxine sodium 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 T1 LEVOXYL ORAL TABLET 100 MCG, 112 MCG, 125 MCG, 137 MCG, 150 MCG, 175 MCG, 200 MCG, 25 MCG, 50 MCG, 75 MCG, 88 MCG T1 methimazole oral tablet 10 mg, 5 mg T1 NATURE-THROID ORAL TABLET 130 MG, 146.25 MG, 16.25 MG, 162.5 MG, 195 MG, 260 MG, 32.5 MG, 325 MG, 48.75 MG, 65 MG, 97.5 MG T1 np thyroid oral tablet 30 mg, 90 mg T1 propylthiouracil oral tablet 50 mg T1 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 T1 UNITHROID 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 T1 WESTHROID ORAL TABLET 130 MG, 195 MG, 32.5 MG, 65 MG, 97.5 MG T1 WP THYROID ORAL TABLET 113.75 MG, 130 MG, 32.5 MG, 48.75 MG, 65 MG, 81.25 MG, 97.5 MG T1 *Ulcer Drugs* cimetidine hcl oral solution 300 mg/5ml T1 cimetidine oral tablet 200 mg, 300 mg, 400 mg, 800 mg T1 81 Drug Status Notes dicyclomine hcl oral capsule 10 mg T1 dicyclomine hcl oral solution 10 mg/5ml T1 dicyclomine hcl oral tablet 20 mg T1 famotidine intravenous* solution 20 mg/2ml, 200 mg/20ml, 40 mg/4ml, 500 mg/50ml T1 famotidine oral suspension reconstituted 40 mg/5ml T1 famotidine oral tablet 10 mg, 20 mg, 40 mg T1 famotidine premixed intravenous* solution 20-0.9 mg/50ml-% T1 FIRST-LANSOPRAZOLE ORAL SUSPENSION 3 MG/ML T1 QL (150 ML per 30 days) FIRST-OMEPRAZOLE ORAL SUSPENSION 2 MG/ML T1 QL (150 ML per 30 days) glycopyrrolate oral tablet 1 mg, 2 mg T1 hyoscyamine sulfate er oral tablet extended release 12 hr* 0.375 mg T1 hyoscyamine sulfate oral elixir 0.125 mg/5ml T1 hyoscyamine sulfate oral solution 0.125 mg/ml T1 hyoscyamine sulfate oral tablet 0.125 mg T1 hyoscyamine sulfate oral tablet dispersible 0.125 mg T1 hyoscyamine sulfate sublingual tablet sublingual 0.125 mg T1 lansoprazole oral capsule delayed release 15 mg T1 QL (60 EA per 30 days) lansoprazole oral capsule delayed release 30 mg T1 QL (30 EA per 30 days) misoprostol oral tablet 100 mcg, 200 mcg T1 NEXIUM 24HR ORAL CAPSULE DELAYED RELEASE 20 MG T1 QL (60 EA per 30 days) omeprazole oral capsule delayed release 10 mg T1 QL (30 EA per 30 days) omeprazole oral capsule delayed release 20 mg T1 QL (60 EA per 30 days) omeprazole oral capsule delayed release 40 mg T1 omeprazole oral tablet delayed release 20 mg T1 QL (60 EA per 30 days) omeprazole-sodium bicarbonate oral capsule 20-1100 mg T1 QL (60 EA per 30 days) pantoprazole sodium oral tablet delayed release 20 mg T1 QL (30 EA per 30 days) pantoprazole sodium oral tablet delayed release 40 mg T1 QL (60 EA per 30 days) PEPCID AC MAXIMUM STRENGTH ORAL TABLET CHEWABLE 20 MG T1 82 Drug Status PRILOSEC OTC ORAL TABLET DELAYED RELEASE 20 MG T1 propantheline bromide oral tablet 15 mg T1 ranitidine hcl oral syrup 15 mg/ml T1 ranitidine hcl oral tablet 150 mg, 300 mg, 75 mg T1 sucralfate oral tablet 1 gm T1 Notes QL (60 EA per 30 days) *Urinary Anti-Infectives* methenamine hippurate oral tablet 1 gm T1 methenamine mandelate oral tablet 0.5 gm, 1 gm T1 nitrofurantoin macrocrystal oral capsule 100 mg, 50 mg T1 nitrofurantoin macrocrystal oral capsule 25 mg T1 nitrofurantoin monohyd macro oral capsule 100 mg T1 QL (60 EA per 30 days) nitrofurantoin oral suspension 25 mg/5ml T1 AL (Max 12 Years) QL (60 EA per 30 days) *Urinary Antispasmodics* bethanechol chloride oral tablet 10 mg, 25 mg, 5 mg, 50 mg T1 darifenacin hydrobromide er oral tablet extended release 24 hr* 15 mg, 7.5 mg T1 ENABLEX ORAL TABLET EXTENDED RELEASE 24 HR* 15 MG, 7.5 MG T1 oxybutynin chloride er oral tablet extended release 24 hr* 10 mg, 15 mg, 5 mg T1 oxybutynin chloride oral syrup 5 mg/5ml T1 oxybutynin chloride oral tablet 5 mg T1 OXYTROL FOR WOMEN TRANSDERMAL PATCH BIWEEKLY 3.9 MG/24HR T1 OXYTROL TRANSDERMAL PATCH BIWEEKLY 3.9 MG/24HR T1 tolterodine tartrate er oral capsule extended release 24 hour 2 mg, 4 mg T1 ST tolterodine tartrate oral tablet 1 mg, 2 mg T1 ST tolterodine tartrate oral tablet 2 mg T1 TOVIAZ ORAL TABLET EXTENDED RELEASE 24 HR* 4 MG, 8 MG T1 ST trospium chloride er oral capsule extended release 24 hour 60 mg T1 ST trospium chloride oral tablet 20 mg T1 ST VESICARE ORAL TABLET 10 MG, 5 MG T1 ST ST 83 Drug *Vaccines* Status Notes AFLURIA INTRAMUSCULAR* SUSPENSION T1 QL (0.5 ML per 365 days); AL (Min 9 Years) AFLURIA PRESERVATIVE FREE INTRAMUSCULAR* 0.5 ML T1 QL (0.5 ML per 365 days); AL (Min 9 Years) FLUARIX QUADRIVALENT INTRAMUSCULAR* 0.5 ML T1 QL (0.5 ML per 365 days); AL (Min 3 Years) FLUCELVAX INTRAMUSCULAR* 0.5 ML T1 QL (0.5 ML per 365 days) FLULAVAL QUADRIVALENT INTRAMUSCULAR* 0.5 ML T1 QL (0.5 ML per 365 days); AL (Min 9 Years) FLULAVAL QUADRIVALENT INTRAMUSCULAR* SUSPENSION T1 QL (0.5 ML per 365 days); AL (Min 6 Months) FLUVIRIN INTRAMUSCULAR* SUSPENSION T1 QL (0.5 ML per 365 days); AL (Min 4 Years) FLUVIRIN PRESERVATIVE FREE INTRAMUSCULAR* 0.5 ML T1 QL (0.5 ML per 365 days); AL (Min 4 Years) FLUZONE QUADRIVALENT INTRAMUSCULAR* 0.25 ML T1 QL (0.25 ML per 365 days); AL (Min 6 Months and Max 35 Months) FLUZONE QUADRIVALENT INTRAMUSCULAR* 0.5 ML T1 QL (0.5 ML per 365 days); AL (Min 3 Years) FLUZONE QUADRIVALENT INTRAMUSCULAR* SUSPENSION T1 QL (0.5 ML per 365 days); AL (Min 6 Months) FLUZONE QUADRIVALENT INTRAMUSCULAR* SUSPENSION 0.5 ML T1 QL (0.5 ML per 365 days); AL (Min 3 Years) ZOSTAVAX SUBCUTANEOUS* SOLUTION RECONSTITUTED 19400 UNT/0.65ML T1 AL (Min 60 Years) CLEOCIN VAGINAL SUPPOSITORY 100 MG T1 GR-F clindamycin phosphate vaginal cream 2 % T1 GR-F clotrimazole 3 vaginal cream 2 % T1 GR-F clotrimazole-7 vaginal cream 1 % T1 GR-F ESTRACE VAGINAL CREAM 0.1 MG/GM T1 GR-F FIRST-PROGESTERONE VGS 100 VAGINAL SUPPOSITORY 100 MG T1 FIRST-PROGESTERONE VGS 200 VAGINAL SUPPOSITORY 200 MG T1 FIRST-PROGESTERONE VGS 25 VAGINAL SUPPOSITORY 25 MG T1 FIRST-PROGESTERONE VGS 400 VAGINAL SUPPOSITORY 400 MG T1 *Vaginal Products* 84 Drug Status Notes FIRST-PROGESTERONE VGS 50 VAGINAL SUPPOSITORY 50 MG T1 GYNAZOLE-1 VAGINAL CREAM 2 % T1 GR-F metronidazole vaginal gel 0.75 % T1 GR-F miconazole 3 combo pack vaginal kit 200 & 2 mg-% (9gm) T1 GR-F miconazole 3 vaginal suppository 200 mg T1 GR-F miconazole 7 vaginal cream 2 % T1 GR-F miconazole 7 vaginal suppository 100 mg T1 GR-F OPERAND POVIDONE-IODINE VAGINAL SOLUTION 10 % T1 terconazole vaginal cream 0.4 %, 0.8 % T1 GR-F terconazole vaginal suppository 80 mg T1 GR-F ADRENACLICK INJECTION 0.3 MG/0.3ML T1 QL (2 EA per 30 days) epinephrine injection 0.3 mg/0.3ml T1 QL (2 EA per 30 days) EPIPEN 2-PAK INJECTION 0.3 MG/0.3ML T1 QL (2 EA per 30 days) EPIPEN JR 2-PAK INJECTION 0.15 MG/0.3ML T1 QL (2 EA per 30 days) midodrine hcl oral tablet 10 mg, 2.5 mg, 5 mg T1 QL (90 EA per 30 days) *Vasopressors* *Vitamins* ACEROLA C 500 ORAL WAFER 500 MG T1 ascorbic acid injection solution 500 mg/ml T1 b1 natural oral tablet 250 mg T1 benfotiamine oral capsule 150 mg T1 biotin 5000 oral capsule 5 mg T1 biotin oral capsule 2500 mcg T1 biotin oral tablet 10 mg, 1000 mcg, 300 mcg, 5 mg, 7500 mcg, 800 mcg T1 B-NATAL MOUTH/THROAT LOLLIPOP 25 MG T1 B-NATAL MOUTH/THROAT LOZENGE 25 MG T1 BPROTECTED VITAMIN C ORAL LIQUID† 500 MG/5ML T1 buffered vitamin c oral capsule 1000 mg T1 calcium pantothenate oral tablet 100 mg T1 cvs biotin oral capsule 10 mg T1 cvs vitamin c oral tablet chewable 1000 mg T1 d 1000 oral tablet 1000 unit T1 85 Drug Status Notes d 5000 oral tablet 5000 unit T1 fruit c oral tablet chewable 100 mg T1 LEXINAL ORAL TABLET 2.5 MG T1 M2 POTASSIUM ORAL CAPSULE 60 MG T1 niacin er oral capsule extended release* 250 mg, 500 mg T1 niacin er oral tablet extendedrelease* 1000 mg, 250 mg, 500 mg, 750 mg T1 niacin oral tablet 100 mg, 250 mg, 50 mg, 500 mg T1 niacinamide oral tablet 100 mg, 500 mg T1 niacinamide oral tablet extendedrelease* 500 mg T1 paba oral tablet 100 mg T1 POTABA ORAL CAPSULE 500 MG T1 riboflavin oral capsule 100 mg, 50 mg T1 riboflavin oral tablet 400 mg T1 sodium ascorbate granules T1 vitamin b-1 oral tablet 100 mg, 50 mg T1 vitamin b-2 oral tablet 25 mg, 50 mg T1 vitamin b-6 er oral tablet extendedrelease* 200 mg T1 vitamin b-6 oral tablet 100 mg, 25 mg, 250 mg, 50 mg, 500 mg T1 vitamin b6 oral tablet 200 mg T1 vitamin c (calcium ascorbate) oral solution reconstituted T1 vitamin c drops mouth/throat lozenge 60 mg T1 vitamin c er oral capsule extended release* 500 mg T1 vitamin c er oral tablet extendedrelease* 1500 mg, 500 mg T1 vitamin c oral syrup 500 mg/5ml T1 vitamin c oral tablet 100 mg, 1000 mg, 250 mg, 500 mg T1 vitamin c oral tablet chewable 250 mg, 500 mg T1 vitamin c-rose hips er oral tablet extendedrelease* 1000 mg T1 vitamin d (cholecalciferol) oral capsule 400 unit T1 AL (Min 65 Years) vitamin d (ergocalciferol) oral capsule 50000 unit T1 QL (4 EA per 28 days) vitamin d3 oral tablet 400 unit T1 QL (60 EA per 30 days); AL (Min 65 Years) vitamin e oral capsule 400 unit T1 86 Drug vitamin k (phytonadione) oral tablet 100 mcg Status Notes T1 87 88 Index Index Index Index 1st tier unifine pentips .............................. 54 1st tier unifine pentips plus ............... 54 abacavir sulfate ................................................... 20 abacavir-lamivudine-zidovudine ....................................................................................................... 20 ABREVA ..................................................................... 41 acarbose ......................................................................... 11 ACCU-CHEK TENDER 1 INFUSION ............................................................... 54 acebutolol hcl ......................................................... 23 ACEPHEN ................................................................... 3 ACEROLA C 500 ......................................... 85 ACETADRYL .................................................... 29 ACETA-GESIC ............................................... 29 acetaminophen ......................................................... 3 acetaminophen er ................................................. 3 acetaminophen-codeine .............................. 4 acetaminophen-codeine #2 .................... 4 acetaminophen-codeine #3 .................... 4 acetaminophen-codeine #4 .................... 4 acetazolamide ........................................................ 47 acetazolamide er ............................................... 47 acetic acid ................................................................... 77 acetic acid-aluminum acetate ........ 77 acetone ............................................................................. 26 acetylcysteine ......................................................... 29 acidophilus/citrus pectin ....................... 13 acidophilus/pectin ........................................... 13 acne medication 10 ........................................ 41 acne medication 5 ............................................ 41 ACTIPHYTE OF LEMONGRASS ............................................. 26 acyclovir ......................................................................... 20 administration set ............................................ 54 ADRENACLICK .......................................... 85 ADULT ACNOMEL ............................... 41 adult aspirin low strength ....................... 3 adult gummy ............................................................. 71 ADVAIR DISKUS ........................................... 8 advanced lubricant ........................................ 75 ADVIL ALLERGY & CONGESTION ................................................ 29 ADVIL ALLERGY SINUS ......... 29 ADVIL COLD & SINUS LIQUI-GELS ....................................................... 29 ADVOCATE INSULIN PEN NEEDLES ................................................................. 54 ADVOCATE INSULIN SYRINGE .................................................................. 54 AEROSPAN .............................................................. 8 AFLURIA .................................................................. 84 AFLURIA PRESERVATIVE FREE ................................................................................. 84 AGORAL MAXIMUM STRENGTH .......................................................... 52 air eliminating tpn iv set ........................ 54 ALA-HIST PE ................................................... 29 albuterol sulfate ...................................................... 8 alclometasone dipropionate ............. 41 alendronate sodium ....................................... 47 aler-dryl .......................................................................... 14 alfuzosin hcl er ..................................................... 49 ALKA-SELTZER HEARTBURN ....................................................... 5 ALKA-SELTZER PLS ALLERGY & CGH .................................. 29 ALKA-SELTZER PLUS COLD & COUGH ............................................................... 29 ALKA-SELTZER PLUS COLD & FLU .............................................................................. 29 ALKA-SELTZER PLUS DAY/NIGHT ........................................................ 29 ALKA-SELTZER PLUS NIGHT COLD .................................................. 29 ALKA-SELTZER PLUS SINUS ....................................................................................................... 29 all day pain relf sinus/cold d .......... 29 aller-chlor .................................................................... 14 aller-time ....................................................................... 29 allopurinol .................................................................. 50 ALMACONE ........................................................... 5 alogliptin benzoate ......................................... 11 alogliptin-metformin hcl ........................ 11 alogliptin-pioglitazone ............................. 12 alprazolam ...................................................................... 7 amantadine hcl ..................................................... 19 ambi 12.5cpd/100gfn/30pse ............. 29 ambi 12.5cpd/1dcpm/30pse .............. 29 amiloride hcl ........................................................... 47 amiloride-hydrochlorothiazide .... 47 amiodarone hcl ........................................................ 7 amitriptyline hcl ................................................. 10 amlodipine besy-benazepril hcl ....................................................................................................... 16 amlodipine besylate ...................................... 24 ammonium lactate ............................... 26, 41 amoxapine ................................................................... 10 amoxicillin .................................................................. 78 amoxicillin-pot clavulanate .............. 78 amphetamine-dextroamphet er ........ 1 amphetamine-dextroamphetamine ........................................................................................................... 1 ampicillin ...................................................................... 78 anagrelide hcl ........................................................ 50 anastrozole ................................................................. 18 anefrin spray ........................................................... 74 anesthesia extension tubing .............. 54 ANORO ELLIPTA ....................................... 8 antacid .................................................................................. 5 antacid & antigas ................................................ 5 antacid extra strength .................................... 5 antacid multi-symptom ................................. 5 antipyrine-benzocaine ............................... 78 anti-stick insulin syringe ....................... 54 apap .......................................................................................... 3 ap-hist dm .................................................................... 29 APIDRA ....................................................................... 12 APIDRA SOLOSTAR .......................... 12 APRISO ........................................................................ 48 APTIVUS ................................................................... 20 ARGYLE EXTENSION TUBE 20" .......................................................................................... 54 ARGYLE STERILE WATER ....................................................................................................... 23 ARMOUR THYROID ......................... 81 artificial tears ........................................................ 75 ascorbic acid ........................................................... 85 aspirin .................................................................................... 3 aspirin adult low strength ....................... 3 aspirin low dose ..................................................... 3 aspirtab maximum strength .................. 3 ASSURE DOSE CONTROL .... 55 ASSURE ID INSULIN SAFETY SYR ...................................................................................... 55 ATABEX ..................................................................... 71 ATABEX EC ........................................................ 71 atenolol ............................................................................ 24 atenolol-chlorthalidone .......................... 16 atorvastatin calcium .................................... 15 atovaquone ................................................................. 17 ATRIPLA .................................................................. 21 atropine sulfate .................................................... 75 ATROVENT HFA .......................................... 8 aurora pen needles ......................................... 55 aurora unifine pentips ............................... 55 AUTOJECT 2 ..................................................... 55 autopen ............................................................................. 55 AVONEX .................................................................... 80 azathioprine .............................................................. 23 azelastine hcl ........................................................... 75 azithromycin ............................................................. 54 AZOR ............................................................................... 16 b1 natural ..................................................................... 85 bacitracin ......................................................... 41, 75 bacitracin zinc ....................................................... 41 bacitracin-neomycin-polymyxin ....................................................................................................... 41 bacitracin-polymyxin b ............................ 75 bacitra-neomycin-polymyxin-hc ....................................................................................................... 75 baclofen ........................................................................... 74 89 Index Index Index balsalazide disodium .................................. 48 b-complex balanced ...................................... 71 b-complex/vitamin c ..................................... 71 BD ANGIOCATH AUTOGUARD .................................................. 55 BD AUTOSHIELD .................................... 55 BD AUTOSHIELD DUO ................ 55 BD ECLIPSE SYRINGE ................ 55 BD FIRST MIDCATH 18G/4FRX20CM ............................................ 55 BD FIRST MIDCATH 20G/3FRX20CM ............................................ 55 BD FIRST PICC 16G/5FRX65CM ............................................ 55 BD FIRST PICC 18G/4FRX65CM ............................................ 55 BD FIRST PICC 20G/3FRX65CM ............................................ 55 BD FIRST PICC 22G/2.8FRX50CM ...................................... 55 BD FIRST PICC 26G/1.9FRX50CM ...................................... 55 BD INSULIN SYR ULTRAFINE II ................................................................................................ 55 BD INSULIN SYRINGE ................. 55 BD INSULIN SYRINGE HALF-UNIT ......................................................... 55 BD INSULIN SYRINGE MICROFINE ....................................................... 55 BD INSULIN SYRINGE U-40 ....................................................................................................... 55 BD INSULIN SYRINGE ULTRAFINE ....................................................... 56 BD INTEGRA INSULIN SYRINGE .................................................................. 56 BD INTEGRA SYRINGE ............. 56 BD L-CATH 16G/5FR ......................... 56 BD L-CATH 16G/5FRX60CM ....................................................................................................... 56 BD L-CATH 18G/3.5FR ................... 56 BD L-CATH 18G/3.5FRX60CM ....................................................................................................... 56 BD L-CATH 20G/2.6FR ................... 56 BD L-CATH 20G/2.6FRX60CM ....................................................................................................... 56 BD L-CATH 20G/3FR ......................... 56 BD L-CATH 20G/3FRX60CM ....................................................................................................... 56 BD L-CATH 28G/1.2FRX25CM ....................................................................................................... 56 BD L-CATH MIDLINE 18G/3.5FRX20 ................................................... 56 BD L-CATH MIDLINE 20G/3FRX20CM ............................................ 56 BD LUER-LOK SYRINGE ........ 56 BD NEXIVA 18GX1.25" ................. 56 BD NEXIVA 18GX1.75" ................. 56 BD NEXIVA 20GX1" ........................... 56 BD NEXIVA 20GX1.25" ................. 56 BD NEXIVA 20GX1.75" ................. 56 BD NEXIVA 22GX1" ........................... 56 BD NEXIVA 24GX0.56" ................. 56 BD NEXIVA 24GX0.75" ................. 56 BD PEN NEEDLE MINI U/F ....................................................................................................... 56 BD PEN NEEDLE NANO U/F ....................................................................................................... 56 BD PEN NEEDLE SHORT U/F ....................................................................................................... 56 BD PEN NEEDLE ULTRAFINE ....................................................................................................... 56 BD SAFETYGLIDE INSULIN SYRINGE .................................................................. 56 BD SAFETY-LOK INSULIN SYRINGE .................................................................. 57 BD SAFETY-LOK SET .................... 57 BD SAFETY-LOK VACUTAINER SET ............................... 57 BD SAF-T E-Z SET .................................. 57 BD SAF-T-INTIMA 18G X 1" ....................................................................................................... 57 BD SAF-T-INTIMA 20GX1" ....................................................................................................... 57 BD SAF-T-INTIMA 22G X 0.75" .................................................................................... 57 BD SAF-T-INTIMA 22GX3/4" ....................................................................................................... 57 BD SAF-T-INTIMA 24G X 0.75" .................................................................................... 57 BD SAF-T-INTIMA 24GX3/4" ....................................................................................................... 57 BD SYRINGE/NEEDLE .................. 57 BD SYRINGE/NEEDLE SLIP TIP ......................................................................................... 57 BD VACUTAINER SET .................. 57 benazepril hcl ......................................................... 16 benazepril-hydrochlorothiazide ....................................................................................................... 16 benfotiamine ............................................................. 85 benzonatate ................................................................ 29 BENZ-O-STHETIC ................................. 71 benzoyl peroxide ................................................ 42 benzoyl peroxide cleanser ................... 42 benzoyl peroxide wash ............................. 42 benzoyl peroxide-erythromycin ... 42 benztropine mesylate ................................... 19 benzyl alcohol ........................................................ 79 benzyl benzoate ................................................... 26 betamethasone dipropionate ........... 42 betamethasone dipropionate aug ....................................................................................................... 42 betamethasone valerate .......................... 42 BETASERON ..................................................... 80 betaxolol hcl ............................................................. 75 bethanechol chloride ................................... 83 bicalutamide ............................................................. 18 BICARSIM ............................................................. 49 BICARSIM FORTE ................................ 49 BICILLIN C-R ................................................. 78 BICILLIN C-R 900/300 ..................... 78 bimatoprost ................................................................ 75 biobron sf ...................................................................... 29 biodesp dm .................................................................. 29 biogtuss ............................................................................ 29 bionatuss dxp .......................................................... 29 bionel .................................................................................. 29 bionel pediatric ................................................... 30 biospec dmx ............................................................... 30 biotin .................................................................................... 85 biotin 5000 .................................................................. 85 biovol .................................................................................. 71 bisacodyl ........................................................................ 52 bisacodyl ec ............................................................... 52 bismuth ............................................................................. 13 bisoprolol fumarate ...................................... 24 bisoprolol-hydrochlorothiazide ....................................................................................................... 16 BLEPHAMIDE S.O.P. ........................ 75 BLINK TEARS ................................................ 75 B-NATAL .................................................................. 85 bp cleansing .............................................................. 42 bp cleansing wash ........................................... 42 bpm-dm-phen .......................................................... 30 BPROTECTED VITAMIN C ....................................................................................................... 85 BRAINSTRONG PRENATAL ....................................................................................................... 71 BRASIVOL ............................................................ 42 BREO ELLIPTA .............................................. 8 BRILINTA ................................................... 46, 50 brimonidine tartrate ..................................... 75 bromocriptine mesylate ........................... 19 bronchial asthma relief ........................... 30 BRONCOTRON PED .......................... 30 BRONCOTRON PED DROPS ....................................................................................................... 30 BRONCOTRON-S ..................................... 30 BRONKAID .......................................................... 30 bronkids .......................................................................... 30 brotapp dm ................................................................. 30 budesonide ...................................................................... 8 buffasal ................................................................................ 3 buffered aspirin ....................................................... 3 buffered vitamin c ............................................ 85 90 Index Index Index bumetanide ................................................................. 47 bupropion hcl ......................................................... 11 bupropion hcl er (smoking det) ... 80 bupropion hcl er (sr) ................................... 11 bupropion hcl er (xl) ................................... 11 buspirone hcl ............................................................... 7 butalbital-acetaminophen ........................ 3 butalbital-apap-caff-cod ............................ 4 butalbital-apap-caffeine ............................. 3 butalbital-asa-caff-codeine ................... 4 butalbital-aspirin-caffeine ...................... 3 BYSTOLIC ............................................................. 24 cal/mag ............................................................................. 67 CALAGESIC ....................................................... 42 CALCET CREAMY BITES ..... 68 calcitonin (salmon) ........................................ 47 calcitriol ......................................................................... 47 calcium ............................................................................. 68 calcium + d3 ............................................................ 68 calcium 500 + d .................................................. 68 calcium 500/d ......................................................... 68 calcium 500+d ...................................................... 68 calcium 500+d high potency .......... 68 calcium 600+d ...................................................... 68 calcium 600+d3 .................................................. 68 calcium acetate (phos binder) ....... 49 calcium antacid ultra ..................................... 5 calcium carbonate ........................................... 68 calcium carbonate antacid ..................... 5 calcium carbonate-vitamin d .......... 68 calcium citrate ...................................................... 68 calcium citrate + d ......................................... 68 calcium citrate + d3 ..................................... 68 calcium citrate malate-vit d .............. 68 calcium citrate-vitamin d ..................... 68 calcium citrate-vitamin d3 ................. 68 calcium pantothenate ................................. 85 calcium plus vitamin d .............................. 68 calcium/vitamin d3 gummies .......... 68 calcium-carb 600 + d ................................ 68 calcium-magnesium ...................................... 68 calcium-vitamin d ............................................ 68 calcium-vitamin d3 ........................................ 68 CAL-MAG CHELA-MAX ........... 68 CAL-QUICK ........................................................ 69 camphor spirit ....................................................... 26 capcof ................................................................................. 30 capecitabine ............................................................. 18 capmist dm .................................................................. 30 capron dm .................................................................... 30 capsaicin ........................................................................ 42 captopril ......................................................................... 16 captopril-hydrochlorothiazide ..... 16 CAPZASIN ............................................................. 42 carbamazepine ......................................................... 9 carbamazepine er ................................................. 9 CARBAPHEN CH ...................................... 30 CARBAPHEN PED CH .................... 30 carbidopa ..................................................................... 19 carbidopa-levodopa ..................................... 19 carbidopa-levodopa er ............................. 19 CAREFINE PEN NEEDLES ... 57 careone insulin syringe ........................... 57 careone unifine pentips ........................... 57 careone unifine pentips plus ............ 57 carteolol hcl .............................................................. 75 CARTIA XT .......................................................... 24 carvedilol ...................................................................... 24 CCP CAFFEINE FREE .................... 30 cefaclor ............................................................................ 25 cefadroxil ...................................................................... 25 cefdinir ............................................................................. 25 cefpodoxime proxetil ................................... 25 cefprozil .......................................................................... 25 CEFTIN ........................................................................ 25 ceftriaxone sodium ......................................... 26 cefuroxime axetil ............................................... 26 CELLCEPT ........................................................... 23 CENTRUM SPECIALIST PRENATAL .......................................................... 71 cephalexin .................................................................... 26 CERTUSS-D ......................................................... 30 cetirizine hcl ............................................................. 14 cetirizine-pseudoephedrine er ....... 30 CHANTIX ................................................................. 80 CHANTIX CONTINUING MONTH PAK .................................................... 80 CHANTIX STARTING MONTH PAK .................................................... 80 chelated magnesium ..................................... 69 cheratussin ac ........................................................ 30 cheratussin dac .................................................... 30 cherry ................................................................................. 79 cherry concentrate .......................................... 79 chest congestion daytime ...................... 30 chest congestion relief pe ..................... 30 chest congestion/pain & sinus ...... 30 child chewable vitamins/iron ......... 71 childrens cough ................................................... 30 childrens cough/runny nose ............. 30 childrens gummies .......................................... 71 childrens multivitamin .............................. 71 childrens plus cold ......................................... 30 childrens plus cold & allergy ......... 30 childrens plus flu ............................................... 30 childrens silfedrine ........................................ 74 CHILDRENS SOOTHE ....................... 5 CHLO TUSS ......................................................... 31 chlo tuss ex ................................................................. 31 chlophed ......................................................................... 31 chlordiazepoxide hcl ....................................... 7 chlorhexidine gluconate ............. 26, 71 chloroform .................................................................. 26 chloroquine phosphate ............................. 18 chlorothiazide ........................................................ 47 chlorpheniramine maleate ...... 14, 15 chlorpheniramine maleate er ......... 14 chlorpropamide ................................................... 12 chlorthalidone ....................................................... 47 chlorzoxazone ........................................................ 74 cholestyramine ..................................................... 15 cholestyramine light ..................................... 15 choline-mag trisalicylate .......................... 4 ciclopirox ...................................................................... 42 cilostazol ........................................................................ 50 cimetidine ..................................................................... 81 cimetidine hcl ......................................................... 81 ciprofloxacin hcl ........................ 48, 75, 78 citalopram hydrobromide .................... 11 citric acid-sodium citrate ..................... 49 CITROCARBONATE ............................. 5 clarithromycin ....................................................... 54 clemastine fumarate ..................................... 15 CLEOCIN ................................................................. 84 clickfine pen needles .................................... 57 CLINDAMAX .................................................... 42 clindamycin hcl ................................................... 17 clindamycin palmitate hcl ................... 17 clindamycin phosphate ................ 42, 84 CLINICAL NUTRIENTS PRENATAL .......................................................... 72 clobetasol propionate ................................ 42 clonazepam .................................................................... 9 clonidine hcl ............................................................. 16 clopidogrel bisulfate .................................... 50 clorazepate dipotassium ............................ 7 clotrimazole .................................................. 42, 71 clotrimazole 3 ........................................................ 84 clotrimazole-7 ........................................................ 84 clotrimazole-betamethasone ............ 42 clozapine ........................................................................ 19 codeine sulfate .......................................................... 4 codituss dm ................................................................ 31 colchicine ..................................................................... 50 colchicine-probenecid ............................... 50 cold & cough childrens ........................... 31 cold & cough day/night child ......... 31 cold & cough daytime ............................... 31 cold & flu nighttime/daytime .......... 31 cold & flu relief nighttime d ............. 31 cold & flu severe daytime .................... 31 cold control pe cold/flu med ............ 31 cold head congestion daytime ....... 31 cold head congestion nighttime ....................................................................................................... 31 91 Index Index Index cold multi-symptom day/night ....... 31 cold multi-symptom warm night ....................................................................................................... 31 cold relief plus ...................................................... 31 cold/flu relief ........................................................... 31 cold/flu relief day/night ........................... 31 cold/flu relief nighttime ........................... 31 colestipol hcl ........................................................... 15 COMFORT EZ INSULIN SYRINGE .................................................................. 57 COMFORT EZ PEN NEEDLES ....................................................................................................... 57 COMPLERA ........................................................ 21 COMPLETE FORMULATION PEDIATRIC ......................................................... 72 complete natal dha ......................................... 72 complete prenatal/dha .............................. 72 complete protein/vitamin shake ....................................................................................................... 46 complete sinus relief .................................... 31 CONEX COLD/ALLERGY ...... 31 CONTAC COLD+FLU MAX ST ....................................................................................................... 31 cool mist humidifier ...................................... 57 CORICIDIN HBP CONGESTION/COUGH ................ 31 CORICIDIN HBP DAY/NIGHT COLD ............................................................................... 31 CORICIDIN NIGHTTIME COLD-COUGH .............................................. 32 CORNWALL METAL PIPETTING .......................................................... 57 CORRECTOL HERBAL TEA ....................................................................................................... 52 cortisone acetate ............................................... 28 cottonseed oil .......................................................... 26 cough & cold ........................................................... 32 cough & sore throat nighttime ..... 32 cough daytime/nighttime ....................... 32 COVARYX ............................................................. 48 COVARYX HS ................................................. 48 CREON ......................................................................... 46 CRIXIVAN ............................................................. 21 cromolyn sodium ................................... 74, 75 CRYOSERV ......................................................... 26 CULTURELLE DIGESTIVE HEALTH .................................................................... 13 CURITY ALCOHOL PREPS ....................................................................................................... 57 cvs allergy childrens .................................... 15 cvs antacid & anti-gas .................................. 6 cvs antacid supreme ......................................... 6 cvs biotin ....................................................................... 85 cvs cortisone cooling relief ............... 42 cvs cough & sore throat child ....... 32 cvs gas relief drops ex st ....................... 49 cvs lubricant drops ......................................... 75 cvs mini enema kids ...................................... 52 cvs natural fiber supplement ........... 52 cvs non-drying sinus pe ........................... 32 cvs oyster shell calcium+vit d ....... 69 cvs prenatal gummy .......................... 72, 79 cvs targeted acne spot ............................... 42 cvs vitamin c ............................................................. 85 cyanocobalamin ................................................. 50 cyclobenzaprine hcl ...................................... 74 cyclopentolate hcl ............................................ 75 cyclophosphamide ........................................... 18 cyclosporine ............................................................. 23 cyclosporine modified ............................... 23 cyproheptadine hcl ......................................... 15 cytra k crystals ..................................................... 49 cytra-2 ............................................................................... 49 CYTRA-3 ................................................................... 49 cytra-k ................................................................................ 49 d 1000 ................................................................................ 85 d 5000 ................................................................................ 86 daily multiple vitamins/min ............... 72 DAILY PAK MAXIMUM MULTIVITAMIN ....................................... 72 daily vitamin plus ............................................. 72 daily-vitamin ............................................................ 72 DALLERGY ......................................................... 32 dapsone ............................................................................ 17 DARAPRIM .......................................................... 18 darifenacin hydrobromide er ......... 83 day time pe cold/flu relief .................... 32 daytime cold & cough childrens ....................................................................................................... 32 DAYTIME COLD MEDICINE ....................................................................................................... 32 DELSYM CGH/CLD NIGHTTIME CHILD .......................... 32 DELTUSS DMX ............................................. 32 DELTUSS DP ..................................................... 32 DELZICOL ............................................................ 49 denture adhesive ................................................ 57 DESGEN DM ...................................................... 32 DESGEN PEDIATRIC ...................... 32 desmopressin ace spray refrig ...... 47 desmopressin acetate .................................. 47 desmopressin acetate spray .............. 47 desogestrel-ethinyl estradiol ........... 27 desonide .......................................................................... 42 despec dm ..................................................................... 32 despec-dm .................................................................... 32 DEWEES CARMINATIVE ........... 6 dexamethasone ..................................................... 28 DEXAMETHASONE INTENSOL ............................................................. 28 dexamethasone sodium phosphate ....................................................................................................... 75 dexchlorpheniramine maleate ....... 15 dexmethylphenidate hcl ............................... 1 DEXPAK 10 DAY ....................................... 28 DEXPAK 13 DAY ....................................... 28 DEXPAK 6 DAY ........................................... 28 dextroamphetamine sulfate ................... 1 dextroamphetamine sulfate er ........... 1 dextromethorphan-guaifenesin .... 32 DIABETIC TUSSIN COLD & FLU ...................................................................................... 32 DIABETIC TUSSIN NIGHT COLD/FLU ............................................................. 32 DIALYVITE SUPREME D ........ 72 diazepam .................................................................... 7, 9 diclofenac potassium ....................................... 2 diclofenac sodium .................................... 2, 75 diclofenac sodium er ....................................... 2 dicloxacillin sodium ..................................... 78 dicyclomine hcl .................................................... 82 didanosine ................................................................... 21 diflunisal ............................................................................ 4 digoxin .............................................................................. 25 DILANTIN .............................................................. 10 diltiazem cd ............................................................... 24 diltiazem hcl ............................................................. 24 diltiazem hcl er ..................................................... 24 diltiazem hcl er beads ................................ 24 diltiazem hcl er coated beads ......... 24 dilt-xr .................................................................................. 25 dimenhydrinate .................................................... 14 DIMETAPP LONG ACT COUGH/COLD ............................................... 32 dimethyl sulfoxide ............................................ 26 diocto .................................................................................. 52 diphenhist ..................................................................... 15 diphenhydramine hcl ................................... 15 diphenhydramine hcl (sleep) ........... 52 diphenhydramine-apap (sleep) .... 52 diphenoxylate-atropine ............................ 13 dipyridamole ............................................................ 50 disopyramide phosphate ............................ 7 disulfiram ..................................................................... 80 DIURIL ......................................................................... 47 divalproex sodium ........................................... 10 divalproex sodium er .................................. 10 docusate calcium ............................................... 52 docusate sodium ................................................. 52 DOCUSOL MINI ......................................... 52 DOCUSOL PLUS MINI-ENEMA .................................................. 52 DOLOGEN ............................................................. 32 dometuss-da/children ................................. 32 dometuss-dmx ......................................................... 32 92 Index Index Index donepezil hcl ............................................................ 80 DORIBAX ................................................................. 17 dorzolamide hcl ................................................... 75 dorzolamide hcl-timolol mal ........... 75 doxazosin mesylate ........................................ 16 doxepin hcl ................................................................. 11 doxycycline hyclate ....................................... 81 doxycycline monohydrate .................... 81 DRAMAMINE .................................................. 14 dronabinol ................................................................... 14 drug mart unifine pentips ..................... 57 drug mart unifine pentips plus ..... 58 duane reade unifine pentips ............. 58 DULERA ......................................................................... 8 duloxetine hcl ......................................................... 11 DURAVENT PE ............................................. 32 ear drops ....................................................................... 78 ear wax cleansing ............................................ 78 EASIVENT ............................................................. 58 EASIVENT MASK LARGE ..... 58 EASIVENT MASK MEDIUM ....................................................................................................... 58 EASIVENT MASK SMALL ..... 58 easy comfort insulin syringe ............ 58 easy comfort pen needles ...................... 58 EASY TOUCH FLURINGE ..... 58 EASY TOUCH INSULIN SAFETY SYR ..................................................... 58 EASY TOUCH INSULIN SYRINGE .................................................................. 58 EASY TOUCH PEN NEEDLES ....................................................................................................... 58 EASY TOUCH SAFETY SYRINGE .................................................................. 58 econazole nitrate ............................................... 42 ed bron gp .................................................................... 32 ED CHLORPED ............................................ 15 ED CHLORPED D .................................... 33 ed-a-hist dm .............................................................. 33 EDURANT ............................................................... 21 effaclar duo ............................................................... 42 effervescent pot chloride ....................... 69 EFFIENT .................................................................... 50 ELDERTONIC ................................................ 72 ELIGARD ................................................................. 18 ELITE IRON ....................................................... 50 EMTRIVA ................................................................ 21 ENABLEX ................................................................ 83 enalapril maleate .............................................. 16 enalapril-hydrochlorothiazide ..... 16 ENBREL ......................................................................... 2 ENBREL SURECLICK ........................ 2 endacof-c ....................................................................... 33 ENDACOF-DM ............................................... 33 ENDACON .............................................................. 33 enoxaparin sodium ............................................. 9 entacapone ................................................................. 19 ENTEX LQ ............................................................. 33 ENTEX T ................................................................... 33 entre-cough ................................................................ 33 epinastine hcl .......................................................... 75 epinephrine ................................................................ 85 EPIPEN 2-PAK ............................................... 85 EPIPEN JR 2-PAK .................................... 85 EPITOL ........................................................................ 10 EPIVIR HBV ....................................................... 21 EPOGEN .................................................................... 50 EPZICOM ................................................................ 21 eq allergy/sinus headache ................... 33 eq childrens cold ............................................... 33 eq cold plus ................................................................ 33 eq cold relief complete ............................. 33 eq cold/cough plus .......................................... 33 eq daytime cold/flu relief ...................... 33 eq flu & severe cold & cough ........ 33 eq flu relief ................................................................. 33 eq flu/severe cold/congestion ......... 33 EQ GENTLE LUBRICANT ..... 75 eq lubricating eye drops ........................ 75 eq night time cold & cough ............... 33 eq nite time cold/flu relief .................... 33 eq nitetime cold/flu ms relief ........... 33 eq non-drying sinus ....................................... 33 eq sinus congestion & pain ............... 33 eq triacting cold/allergy ......................... 33 eql calcium/vitamin d ................................. 69 eql gummies childrens .............................. 72 eql insulin syringe ........................................... 58 eql lice solution ................................................... 42 eql short pen needle ...................................... 58 eql ultra comfort insulin syr ............ 58 eql ultra short pen needle .................... 58 eql vitamin d-3 high potency ........... 69 EQUALACTIN ................................................ 52 erythromycin .................................... 42, 43, 75 escitalopram oxalate ................................... 11 est estrogens-methyltest .......................... 48 est estrogens-methyltest ds ................. 48 est estrogens-methyltest hs ................. 48 estazolam ...................................................................... 52 ESTRACE ................................................................ 84 estradiol .......................................................................... 48 estradiol-norethindrone acet .......... 48 estropipate .................................................................. 48 ethambutol hcl ....................................................... 18 ether ...................................................................................... 26 ethosuximide ............................................................ 10 ethyl alcohol ............................................................. 26 ethyl alcohol (rubbing) ............................ 26 eugenol ............................................................................. 26 EVAC-U-GEN ................................................... 52 EXCEL COMFORT POINT PEN NEEDLE ................................................... 58 EXEL COMFORT POINT INSULIN SYR ................................................... 58 EXTAVIA ................................................................. 80 eye allergy relief ................................................ 76 eye drops ....................................................................... 76 eye drops allergy relief ............................ 76 eye lubricant ............................................................ 76 E-Z-GAS II .................................................................. 6 famotidine .................................................................... 82 famotidine premixed .................................... 82 felodipine er .............................................................. 25 FENESIN DM IR ......................................... 33 fenofibrate ................................................................... 16 fenofibrate micronized .............................. 16 fenoprofen calcium ............................................ 2 fentanyl ................................................................................. 4 ferretts ............................................................................... 50 ferretts ips .................................................................... 50 FERRIMIN 150 ............................................... 50 ferrous fumarate ................................................ 50 ferrous gluconate .............................................. 50 ferrous sulfate ............................................ 50, 51 fexofenadine hcl .................................................. 15 fexofenadine hcl childrens .................. 15 fiber laxative ............................................................ 53 fiber therapy ............................................................. 53 FIFTY50 PEN NEEDLES ............. 59 FIFTY50 SUPERIOR COMFORT SYR ........................................... 59 finasteride .................................................................... 49 first aid antibiotic ............................................ 43 FIRST-LANSOPRAZOLE .......... 82 FIRST-OMEPRAZOLE .................. 82 FIRST-PROGESTERONE VGS 100 .......................................................................................... 84 FIRST-PROGESTERONE VGS 200 .......................................................................................... 84 FIRST-PROGESTERONE VGS 25 .............................................................................................. 84 FIRST-PROGESTERONE VGS 400 .......................................................................................... 84 FIRST-PROGESTERONE VGS 50 .............................................................................................. 85 FIRST-VANCOMYCIN 25 ......... 17 FIRST-VANCOMYCIN 50 ......... 17 FLAREX ..................................................................... 76 FLAVOR BLEND ....................................... 79 flavor plus .................................................................... 79 flavor sweet ............................................................... 79 flavor sweet-sf ....................................................... 79 flecainide acetate .................................................. 7 FLEET BISACODYL .......................... 53 93 Index Index Index FLOVENT DISKUS .................................... 8 FLOVENT HFA ................................................. 8 flu & sore throat ................................................ 33 flu/severe cold & cough day ............ 33 FLUARIX QUADRIVALENT ....................................................................................................... 84 FLUCELVAX ..................................................... 84 fluconazole ................................................................. 14 fludrocortisone acetate ............................ 28 fluid administration set ............................ 59 FLULAVAL QUADRIVALENT ....................................................................................................... 84 flunisolide .................................................................... 74 fluocinolone acetonide ............................. 43 fluocinolone acetonide body ............ 43 fluocinolone acetonide scalp .......... 43 fluocinonide .............................................................. 43 fluocinonide-e ........................................................ 43 fluorometholone ................................................. 76 fluorouracil ................................................................ 43 fluoxetine hcl ........................................................... 11 fluphenazine hcl ...................................... 19, 20 flurazepam hcl ....................................................... 52 flurbiprofen .................................................................... 2 flurbiprofen sodium ...................................... 76 flutamide ........................................................................ 18 fluticasone propionate .................. 43, 74 FLUVIRIN ............................................................... 84 FLUVIRIN PRESERVATIVE FREE ................................................................................. 84 fluvoxamine maleate .................................... 11 FLUZONE QUADRIVALENT ....................................................................................................... 84 FML ..................................................................................... 76 FOLGARD OS .................................................. 72 folic acid ........................................................................ 51 FORADIL AEROLIZER ................... 8 fosinopril sodium .............................................. 16 fosphenytoin sodium .................................... 10 freds pharmacy unifine pentip+ ....................................................................................................... 59 freds pharmacy unifine pentips ... 59 FREESTYLE CONTROL SOLUTION ............................................................ 59 FREESTYLE PRECISION INS SYR ...................................................................................... 59 fruit c ................................................................................... 86 FUNGOID TINCTURE .................... 43 furosemide ................................................................... 47 gabapentin .................................................................. 10 galantamine hydrobromide ............... 80 GAS-X EXTRA STRENGTH ....................................................................................................... 49 gauze sponge ........................................................... 59 GAVILYTE-C ................................................... 53 GAVILYTE-G ................................................... 53 GAVISCON ............................................................... 6 GAVISCON EXTRA RELIEF FORMULA ................................................................. 6 GEL-TIN .................................................................... 71 gemfibrozil .................................................................. 16 GENGRAF .............................................................. 23 gentamicin sulfate ............................... 43, 76 geri-mucil ..................................................................... 53 GLATOPA ............................................................... 80 glimepiride ................................................................. 12 glipizide ........................................................................... 12 glipizide xl ................................................................... 12 global ease inject pen needles ...... 59 global inject ease insulin syr .......... 59 GLUCAGON EMERGENCY ....................................................................................................... 12 GLUCOCARD EXPRESSION CONTROL .............................................................. 59 GLUCOCARD EXPRESSION TEST .................................................................................. 46 GLUCOCARD VITAL TEST ....................................................................................................... 46 GLUCOPRO INSULIN SYRINGE .................................................................. 59 glyburide ........................................................................ 12 glyburide micronized .................................. 12 glyburide-metformin .................................... 12 glycerin ................................................................ 26, 43 glycerin (adult) .................................................... 53 glycerin (infants & children) .......... 53 glycerin adult .......................................................... 53 glycerine ......................................................................... 26 glycerol formal ..................................................... 26 glycine soya extract ...................................... 26 glycine soya protein ..................................... 26 glycopyrrolate ....................................................... 82 gnp alcohol denatured .............................. 26 gnp calcium 500 +d3 .................................. 69 gnp clickfine pen needles ...................... 59 gnp foaming antacid ........................................ 6 gnp insulin syringe ......................................... 59 gnp night time sinus ...................................... 33 gnp peppermint spirit ................................. 26 gnp sodium silicate ........................................ 26 gnp ultra com insulin syringe ........ 59 GOLYTELY ......................................................... 53 GONIOTAIRE ................................................. 76 G-P-TUSS DXP ............................................... 34 grape syrup ................................................................ 79 griseofulvin microsize ............................... 14 griseofulvin ultramicrosize ................ 14 G-TRON PEDIATRIC DROPS ....................................................................................................... 34 guaiacol .......................................................................... 26 guaifenesin ................................................................. 34 guaifenesin dm ...................................................... 34 guaifenesin er ......................................................... 34 guaifenesin-dm ..................................................... 34 guanfacine hcl ....................................................... 16 GYNAZOLE-1 .................................................. 85 G-ZYNCOF ............................................................ 34 H 468L TUBING ........................................... 59 halobetasol propionate ............................ 43 haloperidol ................................................................. 20 haloperidol decanoate .............................. 20 HC DERMAPAX .......................................... 43 healthwise mini pen needles ............ 59 healthwise pen needles ............................. 59 healthwise short pen needles .......... 60 healthwise unifine pentips ................... 60 healthy accents unifine pentip ....... 60 HEALTHY MAMA BE WELL ROUNDED .............................................................. 72 heartburn antacid ex st ................................ 6 h-e-b incontrol pen needles ............... 60 HEMATOGEN FORTE ................... 51 hemorrhoidal .............................................................. 5 heparin sodium (porcine) ......................... 9 heparin sodium (porcine) pf ................ 9 HERBAL EXPEC ....................................... 34 HEXALEN ............................................................... 18 high potency iron .............................................. 51 HISTEX-DM ........................................................ 34 HISTEX-PE ........................................................... 34 hist-pse ............................................................................. 34 hm iron ............................................................................. 51 homatropine hbr ................................................ 76 HONEY BEARS W/IRON-ZINC ................................................. 72 HUBER INFUSION SET ................ 60 HUMAPEN LUXURA HD ........... 60 HUMATROPEN FOR 12MG ....................................................................................................... 60 HUMATROPEN FOR 24MG ....................................................................................................... 60 HUMATROPEN FOR 6MG ..... 60 HUMIRA ........................................................................ 2 HUMIRA PEDIATRIC CROHNS START ........................................... 2 HUMIRA PEN ...................................................... 2 HUMIRA PEN-CROHNS STARTER .................................................................... 2 HUMIRA PEN-PSORIASIS STARTER .................................................................... 2 hydralazine hcl ..................................................... 16 hydrochlorothiazide ..................................... 47 HYDROCIL .......................................................... 53 hydrocod polst-cpm polst er ............ 34 hydrocodone-acetaminophen ............. 4 94 Index Index Index hydrocodone-homatropine ................. 34 hydrocortisone .................................. 5, 28, 43 hydrocortisone acetate ................................. 5 hydrocortisone max st ............................... 43 hydrocortisone valerate .......................... 43 hydrocortisone-acetic acid ................ 78 hydrocortisone-aloe ..................................... 43 hydromorphone hcl ........................................... 4 hydroxychloroquine sulfate ............... 18 hydroxyprogesterone caproate .... 26 hydroxyurea .............................................................. 18 hydroxyzine hcl ........................................................ 7 hydroxyzine pamoate ...................................... 7 hyoscyamine sulfate ...................................... 82 hyoscyamine sulfate er ............................. 82 ibandronate sodium ...................................... 47 ibuprofen ........................................................................... 2 ibu-profen cold/sinus .................................. 34 ibuprofen pm ........................................................... 52 imatinib mesylate .............................................. 18 imipramine hcl ...................................................... 11 IMODIUM A-D ............................................... 13 INCRUSE ELLIPTA ................................. 8 indapamide ................................................................. 47 indomethacin ............................................................... 2 infants pain relief ................................................. 4 infusion set .................................................................. 60 infusion set 23" comfort ......................... 60 inject-ease .................................................................... 60 INJECT-EASE AUTOMATIC INJECTOR ............................................................. 60 INSUFLON ............................................................. 60 insulin syringe ....................................................... 60 insulin syringe/needle ................................ 60 insupen pen needles ...................................... 60 INSUPEN SENSITIVE ...................... 60 INSUPEN ULTRAFIN ....................... 60 INSYTE AUTOGUARD 14GX1.75" ................................................................ 60 INSYTE AUTOGUARD 18GX1.16" ................................................................ 60 INSYTE AUTOGUARD 20GX1" .......................................................................... 60 INSYTE AUTOGUARD 20GX1.16" ................................................................ 60 INSYTE AUTOGUARD 22GX1" .......................................................................... 60 INSYTE AUTOGUARD 24GX3/4" .................................................................... 60 INTELENCE ....................................................... 21 intense cough reliever ............................... 34 INTERLINK INJECT SITE/LUER LOC ........................................ 60 INTRON A ............................................................... 18 INVIRASE ............................................................... 21 INVOKANA .......................................................... 12 ipratropium bromide ........................... 8, 74 irbesartan ..................................................................... 16 irbesartan-hydrochlorothiazide ....................................................................................................... 16 iron (ferrous gluconate) ......................... 51 iron complex ............................................................ 51 IRON UP ..................................................................... 51 ISENTRESS .......................................................... 21 isoniazid ......................................................................... 18 isopropyl alcohol .............................................. 27 isopropyl alcohol wipes .......................... 43 isopropyl palmitate ........................................ 27 ISOPTO TEARS ........................................... 76 isosorbide dinitrate ........................................... 6 isosorbide dinitrate er ................................... 6 isosorbide mononitrate ................................ 6 isosorbide mononitrate er ....................... 6 JANTOVEN .............................................................. 9 JANUMET ............................................................... 12 JANUMET XR ................................................. 12 JANUVIA .................................................................. 12 JINTELI ...................................................................... 48 KALETRA ............................................................... 21 KANGAROO BURETTE SET ....................................................................................................... 60 KELNOR 1/35 ................................................... 27 ketoconazole ................................................. 14, 43 ketoprofen ........................................................................ 2 ketorolac tromethamine .................. 2, 76 KETOSTIX ............................................................ 46 ketotifen fumarate ............................................ 76 kinray insulin syringe ................................. 60 KIONEX .......................................................... 23, 79 kmart valu insulin syringe 29g ..... 60 kmart valu insulin syringe 30g ..... 61 KONSYL .................................................................... 53 KONSYL-D ............................................................ 53 K-PHOS ........................................................................ 69 K-PHOS NO 2 .................................................... 49 kpn prenatal .............................................................. 72 kroger insulin syringe ................................ 61 kroger pen needles ......................................... 61 L606 TUBING ................................................... 61 L609 TUBING ................................................... 61 labetalol hcl .............................................................. 24 LAC-HYDRIN FIVE ............................. 44 lactic acid ..................................................................... 44 lactic acid e ............................................................... 44 lactulose ......................................................................... 53 lactulose encephalopathy ..................... 49 lamivudine ................................................................... 21 lamivudine-zidovudine ............................. 21 lamotrigine ................................................................. 10 lansoprazole ............................................................. 82 LANTUS ...................................................................... 12 LANTUS SOLOSTAR ........................ 12 latanoprost ................................................................. 76 laxative pills ............................................................. 53 leader insulin syringe ................................. 61 LEADER UNIFINE PENTIPS ....................................................................................................... 61 LEADER UNIFINE PENTIPS PLUS .................................................................................. 61 leflunomide ..................................................................... 2 letrozole .......................................................................... 18 leucovorin calcium ......................................... 19 LEUKERAN ......................................................... 19 levetiracetam ........................................................... 10 levobunolol hcl ..................................................... 76 levocetirizine dihydrochloride ...... 15 levofloxacin ............................................................... 48 levonorgest-eth estrad 91-day ...... 27 levonorgestrel ........................................................ 27 levonorgestrel-ethinyl estrad .......... 27 levothyroxine sodium .................................. 81 LEVOXYL ............................................................... 81 LEXINAL .................................................................. 86 LEXIVA ....................................................................... 21 lice killing maximum strength ....... 44 lice solution ............................................................... 44 lice treatment .......................................................... 44 LICIDE TREATMENT .................... 44 lidocaine ......................................................................... 44 lidocaine hcl ................................................. 44, 71 lidocaine hcl (pf) ............................................... 54 lidocaine viscous ............................................... 71 lidocaine-prilocaine ..................................... 44 lindane .............................................................................. 44 LIQUIMAT ............................................................ 44 liquituss gg ................................................................. 34 lisinopril ......................................................................... 17 lisinopril-hydrochlorothiazide ..... 17 LITE TOUCH PEN NEEDLES ....................................................................................................... 61 LITETOUCH INSULIN SYRINGE .................................................................. 61 LITETOUCH PEN NEEDLES ....................................................................................................... 61 lithium carbonate ............................................. 20 lithium carbonate er ..................................... 20 LITTLE REMEDIES FOR COLDS ........................................................................... 34 live better pen needles ............................... 61 LODRANE D ....................................................... 34 LOHIST-D ............................................................... 34 lomustine ....................................................................... 19 longs insulin syringe .................................... 61 loperamide hcl ...................................................... 13 loratadine ..................................................................... 15 95 Index Index Index loratadine allergy relief ......................... 15 loratadine childrens ..................................... 15 loratadine-d 12hr ............................................. 34 loratadine-d 24hr ............................................. 34 lorazepam ......................................................................... 7 LORTUSS DM .................................................. 34 LORTUSS LQ ................................................... 34 losartan potassium ......................................... 17 losartan potassium-hctz .......................... 17 LOTRIMIN AF ............................................... 44 lovastatin ....................................................................... 16 LOW-OGESTREL .................................... 27 loxapine succinate ........................................... 20 LTXF PRIM CNV PIN MICRODRIP ...................................................... 61 LTXF PRIM IV SET/CNVT PIN ....................................................................................................... 61 LTXF SECONDARY/CNV PIN/32INC ................................................................ 61 lubricant eye drops ........................................ 76 LUFYLLIN ................................................................. 8 LUPRON DEPOT ....................................... 19 LUPRON DEPOT-PED .................... 47 M2 POTASSIUM ......................................... 86 mag-al .................................................................................... 6 mag-delay ..................................................................... 69 MAGELLAN INSULIN SAFETY SYR ..................................................... 61 MAGINEX ............................................................... 69 MAGINEX DS ................................................... 69 magnesium .................................................................. 69 magnesium carbonate ............................... 69 magnesium chloride ..................................... 69 magnesium citrate ............................... 53, 69 magnesium gluconate ................................ 69 magnesium oxide ....................................... 6, 69 magnesium oxide -mg supplement ....................................................................................................... 69 magnesium sulfate ........................................... 69 MAGONATE ...................................................... 69 MAG-TAB SR ................................................... 69 malathion ...................................................................... 44 MAR-COF BP ................................................... 34 MATULANE ........................................................ 19 meclizine hcl ............................................................ 14 meclofenamate sodium ................................. 2 medic insulin syringe .................................. 61 medicine shoppe pen needles ......... 61 medi-first hydrocortisone ..................... 44 medroxyprogesterone acetate ........................................................................................... 27, 80 MEDSAVER SYRINGE .................. 61 mefloquine hcl ....................................................... 18 MEGA MULTIVITAMIN ............ 72 megestrol acetate .............................................. 19 meijer pen needles .......................................... 62 meloxicam ........................................................................ 2 m-end dmx ................................................................... 34 m-end max d ............................................................. 35 M-END PE ............................................................... 35 MENEST .................................................................... 48 meperidine hcl ........................................................... 4 mercaptopurine ................................................... 19 mesalamine ................................................................ 49 METADATE ER ............................................... 1 METAMUCIL ................................................... 53 METAMUCIL SMOOTH TEXTURE ................................................................ 53 metaproterenol sulfate .................................. 8 metformin hcl .......................................................... 12 metformin hcl er ................................................. 12 methadone hcl ........................................................... 4 methanol ......................................................................... 27 methazolamide ...................................................... 47 methenamine hippurate ........................... 83 methenamine mandelate ........................ 83 methimazole .............................................................. 81 methocarbamol .................................................... 74 methotrexate ............................................................. 19 methyclothiazide ................................................ 47 methyl alcohol ....................................................... 27 methyldopa ................................................................. 17 methylergonovine maleate .................. 78 methylphenidate hcl .......................................... 1 methylphenidate hcl er ................................. 1 methylphenidate hcl er (cd) .................. 1 methylprednisolone ....................................... 28 metipranolol ............................................................. 76 metoclopramide hcl ....................................... 49 metolazone .................................................................. 47 metoprolol succinate er .......................... 24 metoprolol tartrate ......................................... 24 metoprolol-hydrochlorothiazide ....................................................................................................... 17 metronidazole ................................. 17, 44, 85 MI-ACID ......................................................................... 6 miconazole 3 ............................................................ 85 miconazole 3 combo pack ................... 85 miconazole 7 ............................................................ 85 miconazole nitrate ........................................... 44 miconazorb af ........................................................ 44 MICROGESTIN 1.5/30 ..................... 27 MICROGESTIN FE 1.5/30 ......... 27 midodrine hcl .......................................................... 85 migraine relief ........................................................... 4 minocycline hcl .................................................... 81 minoxidil ........................................................................ 17 mirtazapine ................................................................ 11 misoprostol ................................................................ 82 moexipril hcl ............................................................ 17 mometasone furoate ..................................... 44 MONOJECT INSULIN SYRINGE .................................................................. 62 MONOJECT LIFESHIELD SYRINGE .................................................................. 62 MONOJECT MAGELLAN SYRINGE .................................................................. 62 MONOJECT ULTRA COMFORT SYRINGE ...................... 62 montelukast sodium ........................................... 8 MOORE MONO INSULIN SYRINGE .................................................................. 62 morphine sulfate .................................................... 4 morphine sulfate (concentrate) ....... 4 morphine sulfate er ............................................ 4 ms insulin syringe ............................................ 62 MUCINEX CHILD MS DAY-NIGHT CLD ..................................... 35 MUCINEX COUGH FOR KIDS ....................................................................................................... 35 MUCINEX FAST-MAX CONGEST COUGH ............................... 35 MUCINEX FAST-MAX DAY/NIGHT ........................................................ 35 MUCINEX FOR KIDS ....................... 35 MUCINEX SINUS-MAX DAY/NIGHT ........................................................ 35 mucus d ............................................................................ 35 mucus relief cold flu throat ............... 35 mucus relief cold/sinus max st ...... 35 mucus relief d ......................................................... 35 mucus relief severe congst/cgh .... 35 mucus-dm ..................................................................... 35 mucus-dm max ...................................................... 35 multi-delyn .................................................................. 72 multi-purpose solution .............................. 76 multivitamins ........................................................... 72 multivitamins pediatric ............................ 72 mupirocin ..................................................................... 44 mycophenolate mofetil .............................. 23 MYKIDZ IRON 10 .................................... 51 MYLERAN ............................................................. 19 MYNATAL ............................................................. 72 mynatal plus ............................................................. 72 mynate 90 plus ...................................................... 72 nabumetone ................................................................... 2 nadolol .............................................................................. 24 naloxone hcl ............................................................. 14 naltrexone hcl ........................................................ 14 NANOVM T/F ................................................... 72 naphazoline hcl ................................................... 76 naproxen ............................................................................ 3 naproxen dr ................................................................... 3 naproxen sodium ................................................... 3 naratriptan hcl ...................................................... 67 96 Index Index Index NASACORT ALLERGY 24HR ....................................................................................................... 74 nasal decongestant ......................................... 74 nasal mist ...................................................................... 35 NASOPEN ................................................................ 35 NASOPEN PE .................................................... 35 NATALVIT ............................................................ 72 nateglinide .................................................................. 12 natural fiber laxative .................................. 53 natural fiber therapy ................................... 53 natural psyllium seed ................................. 53 natural senna laxative ............................... 53 NATURE-THROID ................................. 81 NECON 0.5/35 (28) .................................... 27 NECON 1/35 (28) .......................................... 27 NECON 1/50 (28) .......................................... 27 NECON 10/11 (28) ...................................... 28 NECON 7/7/7 ....................................................... 28 neomycin sulfate .................................................... 2 neomycin-bacitracin zn-polymyx ....................................................................................................... 76 neomycin-polymyxin-dexameth ... 76 neomycin-polymyxin-gramicidin ....................................................................................................... 76 neomycin-polymyxin-hc .............. 76, 78 NEO-POLYCIN HC ............................... 76 NEOSPORIN ESSENTIALS TRIAL PK ................................................................ 44 NEOTUSS PLUS .......................................... 35 NEOTUSS-D ........................................................ 35 NERIA 29G INFUSION SET 10MM ............................................................................... 62 NERIA 29G INFUSION SET 6MM ................................................................................... 62 NERIA 29G INFUSION SET 8MM ................................................................................... 62 NERIA MULTI 27G 2X10MM ....................................................................................................... 62 NERIA MULTI 27G 3X10MM ....................................................................................................... 62 NERIA MULTI 27G 4X12MM ....................................................................................................... 62 NERIA SOFT 25G INFUSION 13MM ............................................................................... 62 NERIA SOFT 25G INFUSION 17MM ............................................................................... 62 NEUTROGENA CLEAR PORE ....................................................................................................... 44 nevirapine .................................................................... 21 nevirapine er ........................................................... 21 NEXAFED ................................................................ 74 NEXIUM 24HR ............................................... 82 niacin .................................................................................. 86 niacin er .......................................................................... 86 niacinamide ............................................................... 86 NIACOR ...................................................................... 16 nicardipine hcl ...................................................... 25 nicotine ............................................................................. 80 nicotine mini ............................................................ 80 nicotine polacrilex .......................................... 80 NICOTROL ........................................................... 80 NICOTROL NS .............................................. 80 nifedipine ...................................................................... 25 nifedipine er .............................................................. 25 nifedipine er osmotic release .......... 25 nighttime cough ................................................... 35 nimodipine .................................................................. 25 nite-time cold/flu relief ............................. 35 NITRO-BID ............................................................... 7 nitrofurantoin ......................................................... 83 nitrofurantoin macrocrystal ............. 83 nitrofurantoin monohyd macro ... 83 nitroglycerin ................................................................. 7 nitroglycerin er ........................................................ 7 NITROSTAT ........................................................... 7 NIVANEX DMX ............................................ 35 nohist-lq .......................................................................... 35 non-pseudo cold relief .............................. 36 NORDIPEN 5 INJECTION DEVICE ....................................................................... 62 NORDIPEN DELIVERY SYSTEM ..................................................................... 62 NOREL AD ............................................................ 36 norethin ace-eth estrad-fe ................... 28 norethindrone ......................................................... 28 norethindrone acetate ............................... 80 norethindrone acet-ethinyl est ...... 28 norethindrone-eth estradiol .............. 48 norgestimate-eth estradiol .................. 28 NORPACE CR ..................................................... 7 nortriptyline hcl .................................................. 11 NORVIR ...................................................................... 21 NOVAFERRUM PEDIATRIC DROPS ........................................................................... 51 NOVOFINE ........................................................... 62 NOVOFINE AUTOCOVER ..... 62 NOVOFINE PLUS ..................................... 62 NOVOLIN 70/30 ............................................ 12 NOVOLIN 70/30 RELION .......... 12 NOVOLIN N ........................................................ 13 NOVOLIN N RELION ....................... 13 NOVOLIN R ........................................................ 13 NOVOLIN R RELION ....................... 13 NOVOLOG MIX 70/30 ...................... 13 NOVOPEN ECHO ..................................... 62 NOVOTWIST .................................................... 62 np thyroid ..................................................................... 81 nystatin ..................................................... 14, 44, 71 nystatin-triamcinolone ............................. 45 OBSTETRIX DHA .................................... 72 OBSTETRIX EC .......................................... 72 OC8 ...................................................................................... 45 O-CAL PRENATAL ............................... 72 ofloxacin ................................................. 48, 77, 78 olanzapine ................................................................... 20 omeprazole ................................................................. 82 omeprazole-sodium bicarbonate ....................................................................................................... 82 OMNIFLEX DIAPHRAGM ..... 62 OMNITROPE PEN 10 INJ DEVICE ....................................................................... 62 OMNITROPE PEN 5 INJ DEVICE ....................................................................... 62 ondansetron .............................................................. 14 ondansetron hcl ................................................... 14 ONE-A-DAY WOMENS PRENATAL .......................................................... 72 ONETOUCH ULTRA CONTROL .............................................................. 63 OPERAND POVIDONE-IODINE ........................... 85 ORA-BLEND ...................................................... 79 ORA-BLEND SF ........................................... 79 ORACIT ...................................................................... 49 ORA-FILM ............................................................. 71 oral analgesic max st .................................. 71 oral anesthetic ....................................................... 71 ORAL MIX ............................................................. 79 ORAL MIX SF ................................................. 79 oral suspend ............................................................. 79 oral syrup ..................................................................... 79 oral syrup sf .............................................................. 79 ORA-PLUS ............................................................. 79 ORA-SWEET ..................................................... 79 ORA-SWEET SF .......................................... 79 ORAZINC ................................................................. 69 ORTHO DIAPHRAGM ALL-FLEX .............................................................. 63 ORTHO DIAPHRAGM COIL ....................................................................................................... 63 ORTHO DIAPHRAGM FLAT ....................................................................................................... 63 OSTEO-PORETICAL ........................ 70 oxaprozin .......................................................................... 3 oxazepam .......................................................................... 7 oxcarbazepine ........................................................ 10 oxybutynin chloride ....................................... 83 oxybutynin chloride er .............................. 83 oxycodone hcl ............................................................ 5 oxycodone-acetaminophen ..................... 5 oxycodone-aspirin ............................................... 5 OXYTROL .............................................................. 83 OXYTROL FOR WOMEN ........ 83 oyster shell calcium/d ................................ 70 pa prenatal formula ...................................... 72 97 Index Index Index paba ...................................................................................... 86 PANATUSS PED .......................................... 36 PANATUSS PED DROPS ............. 36 PANCREAZE ..................................................... 46 pancrelipase (lip-prot-amyl) ........... 46 pantoprazole sodium ................................... 82 paroxetine hcl ........................................................ 11 parva-cal ....................................................................... 70 pc unifine pentips ............................................. 63 PCCA SWEET-SF ...................................... 79 PCCA SYRUP VEHICLE ............. 79 PCCA-PLUS ......................................................... 79 PECGEN DMX ................................................ 36 PEDIACARE CHILD ALLERGY/COLD ..................................... 36 PEDIA-LAX .......................................................... 53 PEDIALYTE ........................................................ 70 pediatric cough/cold .................................... 36 peg 3350 ......................................................................... 53 peg 3350/electrolytes .................................. 53 PEGINTRON ...................................................... 22 PEG-INTRON ................................................... 22 PEG-INTRON REDIPEN ............. 22 PEG-INTRON REDIPEN PAK 4 .................................................................................................. 22 pen needles ................................................................. 63 pen needles 1/2" ................................................. 63 pen needles 3/16" ............................................. 63 pen needles 5/16" ............................................. 63 penicillin v potassium .................... 78, 79 pentoxifylline er .................................................. 50 PEPCID AC MAXIMUM STRENGTH .......................................................... 82 peppermint spirit ............................................... 27 PERFECT IRON .......................................... 51 PERIOMED .......................................................... 71 permethrin ................................................................... 45 perphenazine ........................................................... 20 PERRY PRENATAL ............................. 73 PERTZYE ................................................................ 46 phenazopyridine hcl ..................................... 50 phenelzine sulfate ............................................. 11 phenobarbital ......................................................... 52 phenylhistine dh .................................................. 36 phenytoin ....................................................................... 10 phenytoin sodium extended ............... 10 PHOSPHA 250 NEUTRAL ........ 70 pilocarpine hcl ...................................................... 71 pindolol ............................................................................ 24 pine tar ............................................................................. 27 pink bismuth ............................................................. 13 pink bismuth maximum strength ....................................................................................................... 13 PIN-X .................................................................................... 6 pioglitazone hcl ................................................... 13 pioglitazone hcl-metformin hcl .... 13 piroxicam .......................................................................... 3 plastic adapter ...................................................... 63 podofilox ........................................................................ 45 POLY HIST FORTE ............................. 36 poly vitamin ............................................................... 73 polyethylene glycol 3350 .......... 53, 79 poly-hist dm ............................................................... 36 poly-hist pd ................................................................ 36 poly-iron 150 forte ......................................... 51 polymyxin b-trimethoprim ................... 77 polysorbate 20 ....................................................... 27 polysorbate 40 ....................................................... 27 polysorbate 60 ....................................................... 27 polysorbate 80 ....................................................... 27 poly-tussin ................................................................... 36 poly-tussin ac .......................................................... 36 poly-tussin d ............................................................. 36 POLY-VENT DM ........................................ 36 POLY-VENT IR ............................................ 36 polyvitamin ................................................................. 73 polyvitamin/iron ................................................. 73 POTABA ..................................................................... 86 potassium bicarbonate ............................. 70 potassium chloride ......................................... 70 potassium chloride crys er ................. 70 potassium chloride er ................................. 70 potassium citrate-citric acid ............ 50 povidone-iodine .................................................. 20 PR NATAL 400 ................................................ 73 PR NATAL 430 ................................................ 73 pramipexole dihydrochloride ......... 19 pravastatin sodium ......................................... 16 prazosin hcl ............................................................... 17 PRECISION SUREDOSE PLUS SYR ...................................................................................... 63 PRECISION SURE-DOSE SYRINGE .................................................................. 63 PRECISION XTRA KETONE ....................................................................................................... 46 prednicarbate ......................................................... 45 prednisolone ............................................................. 28 prednisolone acetate ................................... 77 prednisolone sodium phosphate ........................................................................................... 28, 77 prednisone ................................................................... 28 preferred plus insulin syringe ....... 63 preferred plus unifine pentips ....... 63 PREMARIN .......................................................... 48 PREMPHASE .................................................... 48 PREMPRO .............................................................. 48 PRENATA ................................................................ 73 prenatabs fa .............................................................. 73 prenatal ........................................................................... 73 prenatal 19 ................................................................. 73 prenatal complete ............................................ 73 prenatal formula ................................................ 73 prenatal formula a-free ........................... 73 prenatal multi +dha ..................................... 73 PRENATAL MULTIVITAMIN + DHA .............................................................................. 73 prenatal plus ............................................................ 73 prenatal plus iron ............................................ 73 prenatal vitamins .............................................. 73 prenatal/omega-3/fa/iron ..................... 73 prenatal+dha .......................................................... 73 PRENATAL-U .................................................. 73 pres gen pediatric ............................................ 36 PRETZ ............................................................................ 27 PREZISTA .............................................................. 22 PRILOSEC OTC .......................................... 83 primaquine phosphate ............................... 18 primidone ..................................................................... 10 PRIMSOL ................................................................. 17 probenecid .................................................................. 50 pro-chlo ........................................................................... 36 prochlorperazine ............................................... 20 prochlorperazine maleate ................... 20 PRO-CLEAR AC ......................................... 36 PROCRIT ................................................................. 51 PROCTOCORT ................................................. 5 PROCTOZONE-HC ................................... 5 PRODIGY INSULIN SYRINGE ....................................................................................................... 63 profe forte .................................................................... 73 PROFERRIN ES ........................................... 51 promethazine hcl ............................................... 15 promethazine vc plain ............................... 36 promethazine vc/codeine ....................... 36 promethazine-codeine ............................... 36 promethazine-dm .............................................. 36 propafenone hcl ...................................................... 7 propantheline bromide ............................. 83 proparacaine hcl ............................................... 77 propranolol hcl .................................................... 24 propranolol hcl er ........................................... 24 propranolol-hctz ................................................ 17 propylthiouracil .................................................. 81 PRO-RED AC .................................................... 36 pseudoeph-bromphen-dm ..................... 36 pseudoephedrine hcl .................................... 74 pseudoephedrine hcl er ........................... 74 pseudoephedrine-guaifenesin er ....................................................................................................... 36 PULMOZYME ................................................. 80 purefe ob plus ......................................................... 73 px extra short pen needles .................. 63 px insulin syringe ............................................. 63 px mini pen needles ....................................... 63 px pen needle .......................................................... 63 98 Index Index Index pyrazinamide ........................................................... 18 pyrilamine-phenylephrine ................... 36 qc childrens vitamins/extra c .......... 73 qc cold relief ............................................................ 36 qc cold relief plus ............................................. 37 qc flu relief therapy night ..................... 37 qc natural vegetable ..................................... 53 qc pen needles ....................................................... 63 qc unifine pentips ............................................. 63 q-pap ........................................................................................ 4 q-pap infants ................................................................ 4 Q-TAPP ......................................................................... 37 quetiapine fumarate ...................................... 20 quinapril hcl ............................................................. 17 quinapril-hydrochlorothiazide ..... 17 quinidine gluconate er .................................. 7 quinidine sulfate ..................................................... 7 quinine sulfate ....................................................... 18 ra acne maximum ............................................. 45 ra acne treatment ............................................. 45 ra allergy multi-symptom ..................... 37 ra allergy multi-symptom night ... 37 ra allergy plus sinus ..................................... 37 ra allergy relief childrens .................... 15 ra baby care oral pain relief ........... 71 ra calcium-boron .............................................. 70 ra childrens cold & allergy ............... 37 ra cold & flu ............................................................. 37 ra cold/cough sinus relief pe ........... 37 ra col-rite ...................................................................... 53 ra ethyl alcohol .................................................... 27 ra first aid anti-itch spray ................... 45 ra flu maximum strength ....................... 37 ra glycerin child ................................................. 53 ra insulin syringe .............................................. 63 ra laxative .................................................................... 54 ra laxative extra strength ..................... 54 ra lice bedding ...................................................... 45 ra lice egg remover ....................................... 45 ra one daily ................................................................ 73 ra pen needles ........................................................ 63 ra pink bismuth .................................................... 13 ra probiotic digestive care ................. 13 ra severe cold/sinus relief pe .......... 37 ra sinus congst/pain day/night ..... 37 ra sleep aid ................................................................. 52 ra sleep aid (diphenhydramine) ....................................................................................................... 52 ra sleep-aid nighttime ................................ 52 ra sterile eye drops ........................................ 77 ra suphedrine day/night combo ....................................................................................................... 37 ra suphedrine pe ................................................ 37 ra wart remover .................................................. 45 ramipril ............................................................................ 17 ranitidine hcl ........................................................... 83 REDNESS RELIEF .................................. 77 redness relief max strength ............... 77 redness reliever eye drops .................. 77 reeses pinworm medicine ......................... 6 refenesen plus ........................................................ 37 REFRESH OPTIVE ADVANCED ......................................................... 77 relcof c .............................................................................. 37 RELENZA DISKHALER .............. 22 RELION INSULIN SYRINGE ....................................................................................................... 64 RELI-ON INSULIN SYRINGE ....................................................................................................... 64 RELION MINI PEN NEEDLES ....................................................................................................... 64 RELION PEN NEEDLES ............. 64 RELION SHORT PEN NEEDLES ................................................................. 64 RENAGEL ............................................................... 49 RENAL .......................................................................... 73 RESCON DM ...................................................... 37 RESCRIPTOR .................................................. 22 RESPAIRE-30 ................................................... 37 RETAINE MGD ............................................ 77 REYATAZ ............................................................... 22 REZAMID ................................................................ 45 RHINOCORT ALLERGY .......... 74 RHOGAM ULTRA-FILTERED PLUS .................................................................................. 78 RIBASPHERE .................................................. 22 ribavirin .......................................................................... 22 riboflavin ....................................................................... 86 RID ESSENTIAL LICE ELIMINATION .............................................. 45 rifampin ........................................................................... 18 RIFATER .................................................................. 18 rimantadine hcl ................................................... 22 risedronate sodium ........................................ 48 risperidone ................................................................. 20 rizatriptan benzoate ...................................... 67 ROBITUSSIN CHILD COUGH/COLD CF .................................. 37 ROBITUSSIN CHILD COUGH/COLD LA .................................. 37 ROBITUSSIN DAY/NIGHT VALUE PAK ....................................................... 37 ROBITUSSIN NIGHTTIME COUGH DM ......................................................... 37 ROBITUSSIN PEAK COLD MULTI-SYM ....................................................... 37 ROBITUSSIN PK COLD DAY/NGHT DM ............................................ 37 ROBITUSSIN PK COLD DAY/NGHT MS ............................................. 37 ropinirole hcl .......................................................... 19 ru-hist d ........................................................................... 37 rymed .................................................................................. 37 SAFE TUSSIN PM .................................... 38 SAFELET IV CATHETER ........ 64 SAFESNAP INSULIN SYRINGE .................................................................. 64 SAFETY-GLIDE SYRINGE .... 64 saline nasal spray ............................................ 75 salsalate .............................................................................. 4 SANTYL ...................................................................... 45 sb daytime sinus ................................................. 38 sb insulin syringe .............................................. 64 sb severe cold congestion .................... 38 scalp vein set ........................................................... 64 schnucks insulin syringe ........................ 64 SCHOOLTIME SHAMPOO ... 45 SCOT-TUSSIN DM .................................. 38 SCOT-TUSSIN SENIOR ................ 38 sebex ..................................................................................... 45 selegiline hcl ............................................................ 19 selenium sulfide ................................................... 45 SELZENTRY ...................................................... 22 senna .................................................................................... 54 senna laxative ........................................................ 54 senna leaves .............................................................. 54 senna-docusate sodium ........................... 54 SENSIPAR ............................................................... 48 SEREVENT DISKUS ............................... 8 sertraline hcl ........................................................... 11 sf 5000 plus ................................................................ 71 SFROWASA ......................................................... 49 SHOPKO UNIFINE PENTIPS ....................................................................................................... 64 silphen cough .......................................................... 15 silver sulfadiazine ............................................ 45 simethicone ................................................................ 49 simvastatin .................................................................. 16 SINADRIN PE COMPLETE SINUS REL ............................................................ 38 sinus daytime/nighttime .......................... 38 sinus maximum strength ......................... 38 slow iron ........................................................................ 51 slow release iron ............................................... 51 sm camphor spirit ............................................ 27 sm cough/runny nose childrens ... 38 sm ibuprofren cold childrens .......... 38 sm insulin syringe ............................................ 64 sm pain reliever sinus pe ...................... 38 sm redness relief ................................................ 77 sm slow release iron .................................... 51 sm tussin cf ................................................................. 38 sodium ascorbate .............................................. 86 sodium bicarbonate ............................... 6, 27 sodium chloride ........................... 38, 50, 70 99 Index Index Index sodium chloride (hypertonic) ......... 77 sodium chloride flush ................................. 70 sodium fluoride .................................................... 70 sodium polystyrene sulfonate ........................................................................................... 23, 79 sodium silicate ...................................................... 27 SOLUBLE FIBER THERAPY ....................................................................................................... 54 solution administration set ................ 64 solution transfer device ........................... 64 sotalol hcl ..................................................................... 24 sotalol hcl (af) ....................................................... 24 SPATONE PUR-ABSORB IRON ................................................................................. 51 spironolactone ...................................................... 47 spironolactone-hctz ....................................... 47 stahist ad ....................................................................... 38 stavudine ........................................................................ 22 STEP 2 ............................................................................ 45 STERILE LUBRICANT .................. 77 sterile water for irrigation .................. 23 stress formula/iron ......................................... 73 stress formula/zinc .......................................... 73 STRIBILD ................................................................ 22 STRIVERDI RESPIMAT .................. 9 STUART ONE .................................................. 73 sucralfate ...................................................................... 83 SUDAFED PE DAY & NIGHT ....................................................................................................... 38 SUDOGEST SINUS/ALLERGY ....................................................................................................... 38 sulfacetamide sodium ................................. 77 sulfacetamide sodium (acne) .......... 45 sulfacetamide sodium-sulfur ........... 45 sulfacetamide-prednisolone ............. 77 sulfadiazine ................................................................ 80 sulfamethoxazole-trimethoprim ........................................................................................... 17, 18 sulfasalazine ............................................................ 49 sulindac ............................................................................... 3 sumatriptan succinate ............................... 67 super b complex/vitamin c .................. 73 super strength sinadrin ............................ 38 SUPERVITE EC ........................................... 73 supress a pediatric ......................................... 38 supress dm pediatric .................................... 38 SUPRESS-PE PEDIATRIC ....... 38 sure comfort insulin syringe ............ 64 sure comfort pen needles ...................... 64 SURE-FINE PEN NEEDLES ....................................................................................................... 64 SURE-JECT INSULIN SYRINGE .................................................................. 65 SURE-T INFUSION SET 18" ....................................................................................................... 65 SURE-T INFUSION SET 23" thiothixene ................................................................... 20 ticlopidine hcl ........................................................ 50 timolol maleate ........................................ 24, 77 TIVICAY .................................................................... 23 tizanidine hcl ........................................................... 74 tl icon .................................................................................. 51 tobramycin .................................................................. 77 tobramycin-dexamethasone .............. 77 todays health mini pen needles .... 65 todays health pen needles .................... 65 todays health short pen needle ..... 65 tolterodine tartrate ......................................... 83 tolterodine tartrate er ................................ 83 topcare clickfine pen needles ......... 65 topcare ultra comfort ins syr .......... 65 topiramate ................................................................... 10 torsemide ....................................................................... 47 TOUJEO SOLOSTAR ........................ 13 TOVIAZ ....................................................................... 83 tramadol hcl ................................................................. 5 trandolapril ............................................................... 17 tranylcypromine sulfate .......................... 11 travoprost ..................................................................... 77 trazodone hcl ............................................... 11, 80 TRECATOR ......................................................... 18 tretinoin ............................................................... 19, 45 TREXBROM ....................................................... 39 triactin chest congestion ........................ 39 triamcinolone acetonide ............................................................................... 45, 46, 71 TRIAMINIC CHEST/NASAL CONGEST ............................................................... 39 TRIAMINIC COLD/ALLERGY CHILD ............................................................................ 39 TRIAMINIC COLD/COUGH DAY TIME .............................................................. 39 TRIAMINIC COUGH & SORE THROAT .................................................................... 39 TRIAMINIC COUGH/RUNNY NOSE ................................................................................ 15 TRIAMINIC COUGH/SORE THROAT .................................................................... 39 TRIAMINIC NIGHT TIME COLD/CGH ........................................................... 39 triamterene-hctz ................................................. 47 triazolam ........................................................................ 52 trifluoperazine hcl ........................................... 20 trifluridine ................................................................... 77 trihexyphenidyl hcl ......................................... 19 TRILYTE .................................................................. 54 trimethobenzamide hcl ............................. 14 trimethoprim ............................................................ 18 trinatal rx 1 ................................................................ 74 TRINESSA (28) ............................................... 28 triple paste af .......................................................... 46 100 ....................................................................................................... 65 SURE-T INFUSION SET 32" 65 surgical dressing ............................................... 65 SUSTIVA .................................................................... 22 SYMBICORT ......................................................... 9 SYNAGIS ................................................................... 78 SYNATEK ................................................................ 74 SYNTHROID ...................................................... 81 syringe luer slip .................................................. 65 syrpalta ............................................................................ 79 SYRPALTA (RED) ................................... 79 SYRSPEND SF ................................................. 79 SYSTANE OVERNIGHT THERAPY ............................................................... 77 TABLOID ................................................................. 19 tacrolimus .................................................................... 23 TAMIFLU ................................................................. 22 tamoxifen citrate ................................................ 19 tamsulosin hcl ........................................................ 50 TANZEUM ............................................................. 13 TARON-BC ............................................................ 74 TAZTIA XT .......................................................... 25 temazepam .................................................................. 52 terazosin hcl ............................................................. 17 terbinafine hcl ........................................... 14, 45 terbutaline sulfate ................................................ 9 terconazole ................................................................. 85 terpin hydrate ......................................................... 38 TERUMO INSULIN SYRINGE ....................................................................................................... 65 TERUMO SURGUARD INSULIN SYR ................................................... 65 TERUMO SURGUARD2 SYRINGE .................................................................. 65 testosterone cypionate ................................... 5 tg 10peh/380gfn .................................................. 38 tgq 15dm/5peh/2cpm ................................... 38 tgq 30pse/150gfn/15dm ........................... 38 THEO-24 ........................................................................ 9 theophylline ................................................................... 9 theophylline er .......................................................... 9 theracaps cough/cold reliever ...... 38 THERAFLU MAX-D COLD & FLU ...................................................................................... 38 THERAFLU SEVERE COLD & COUGH ........................................................................ 39 THERAFLU SEVERE COLD DAYTIME ................................................................ 39 THERANATAL COMPLETE ....................................................................................................... 74 therapeutic liquid ............................................. 74 THINPRO INSULIN SYRINGE ....................................................................................................... 65 ....................................................................................................... Index Index Index TRISPEC DMX ............................................... 39 TRIUMEQ ............................................................... 23 tri-vit/fluoride ........................................................ 74 tri-vitamin/fluoride ........................................ 74 TRIVORA (28) ................................................. 28 trixaicin hp ................................................................. 46 tropicamide ................................................................ 77 trospium chloride ............................................. 83 trospium chloride er ..................................... 83 TRUEPLUS INSULIN SYRINGE .................................................................. 65 TRUVADA .............................................................. 23 trymine cg .................................................................... 39 TUDORZA PRESSAIR ......................... 9 turpentine ..................................................................... 27 TUSICOF ................................................................... 39 TUSNEL ...................................................................... 39 TUSNEL C .............................................................. 39 TUSNEL PEDIATRIC ....................... 39 tussafex ex ................................................................... 39 tussafex-a ...................................................................... 39 tussin cf cough & cold .............................. 39 tussin cf max multi-symptom ........... 39 tussin chest congestion ............................. 39 tussin cold/congestion ............................... 39 tussin cough .............................................................. 39 tussin dm max ......................................................... 39 tussi-pres b ................................................................. 40 TUSSLIN .................................................................... 40 TUSSLIN PEDIATRIC ..................... 40 TYLENOL CHILDRENS COLD/STUFFY .............................................. 40 TYLENOL CHILDRENS PLUS CLD/CGH ................................................................. 40 ULTICARE INSULIN SAFETY SYR ...................................................................................... 65 ULTICARE INSULIN SYRINGE .................................................................. 66 ULTICARE MICRO PEN NEEDLES ................................................................. 66 ULTICARE MINI PEN NEEDLES ................................................................. 66 ULTICARE PEN NEEDLES ... 66 ULTICARE SHORT PEN NEEDLES ................................................................. 66 ULTICARE SYRINGE ...................... 66 ULTILET INSULIN SYRINGE SHORT .......................................................................... 66 ULTILET PEN NEEDLE .............. 66 ultra comfort insulin syringe .......... 66 ultra-comfort insulin syringe .......... 66 ultra-mega ................................................................... 74 ULTRA-THIN II INS SYR SHORT .......................................................................... 66 ULTRESA ................................................................ 46 undecylenic acid ................................................ 27 UNIFINE PENTIPS ................................. 66 unifine pentips plus ........................................ 66 UNITHROID ....................................................... 81 UPCAL D ................................................................... 70 urea ........................................................................................ 46 URO-MAG .................................................................. 6 ursodiol ............................................................................ 49 VACUTAINER TUBING ............... 66 valacyclovir hcl ................................................... 23 valproic acid ............................................................ 10 value health insulin syringe .............. 66 valumark pen needles ................................. 66 VANACOF APE ............................................ 40 VANACOF DM ............................................... 40 VANACOF G ...................................................... 40 VANACOF GPE ............................................ 40 VANACOF-8 ........................................................ 40 VANATAB DX ................................................. 40 vancomycin hcl .................................................... 18 VANISHPOINT 18GX1-1/4" FEP ....................................................................................... 66 VANISHPOINT 18GX1-1/4" PUR ...................................................................................... 66 VANISHPOINT 20GX1-1/4" FEP ....................................................................................... 66 VANISHPOINT 20GX1-1/4" PUR ...................................................................................... 66 VANISHPOINT 22GX1" FEP ....................................................................................................... 67 VANISHPOINT 22GX1" PUR ....................................................................................................... 67 VANISHPOINT 24GX3/4" FEP ....................................................................................................... 67 VANISHPOINT 24GX3/4" PUR ....................................................................................................... 67 VANISHPOINT INSULIN SYRINGE .................................................................. 67 VANISHPOINT SYRINGE ....... 67 vaporizing steam ............................................... 40 VASOLEX ................................................................ 46 VAZOBID-PD .................................................... 40 VELIVET .................................................................. 28 venlafaxine hcl ...................................................... 11 venlafaxine hcl er ............................................. 11 VENTOLIN HFA ............................................. 9 verapamil hcl .......................................................... 25 verapamil hcl er ................................................. 25 VERSAFREE ...................................................... 79 VERSAPLUS ....................................................... 79 VESICARE ............................................................. 83 VIBRAMYCIN ................................................. 81 VICKS DAYQUIL MUCUS CONTROL DM ............................................... 40 VICKS DAYQUIL SEVERE COLD/FLU ............................................................. 40 VICKS NATURE FUSION COLD & FLU ..................................................... 40 VICKS NATURE FUSION CONGEST ............................................................... 40 VICKS NYQUIL CHILDRENS CLD/CGH ................................................................. 40 VICKS NYQUIL COLD & FLU NIGHT ............................................................................ 40 VIDA MIA UNIFINE PENTIPS ....................................................................................................... 67 VIDEX ............................................................................. 23 VINATE II ............................................................... 74 VINATE M .............................................................. 74 VIOKACE ................................................................ 46 VIRACEPT ............................................................. 23 VIRAMUNE ......................................................... 23 virdec .................................................................................. 40 virdec dm ....................................................................... 40 VIREAD ....................................................................... 23 virt-vite gt ..................................................................... 74 VITALINE BUFFERED ZINC-220 .................................................................... 70 vitamin b-1 .................................................................. 86 vitamin b-12 .............................................................. 51 vitamin b-2 .................................................................. 86 vitamin b6 .................................................................... 86 vitamin b-6 .................................................................. 86 vitamin b-6 er ......................................................... 86 vitamin c ......................................................................... 86 vitamin c (calcium ascorbate) ....... 86 vitamin c drops ..................................................... 86 vitamin c er ................................................................ 86 vitamin c-electrolytes ................................. 74 vitamin c-rose hips er ................................ 86 vitamin d (cholecalciferol) ................. 86 vitamin d (ergocalciferol) .................... 86 vitamin d3 .................................................................... 86 vitamin e ......................................................................... 86 vitamin k (phytonadione) ...................... 87 vp insulin syringe ............................................. 67 V-R MONO INSULIN SYRINGE .................................................................. 67 VYVANSE .................................................................... 2 WAL-FLU COLD & SORE THROAT .................................................................... 40 WAL-FLU SEVERE COLD DAYTIME ................................................................ 40 wal-som ........................................................................... 52 warfarin sodium ..................................................... 9 warm mist vaporizer .................................... 67 wegmans unifine pentips plus ........ 67 WESTHROID .................................................... 81 101 Index WIDE-SEAL DIAPHRAGM 60 ....................................................................................................... 67 WIDE-SEAL DIAPHRAGM 65 ....................................................................................................... 67 WIDE-SEAL DIAPHRAGM 70 ....................................................................................................... 67 WIDE-SEAL DIAPHRAGM 75 ....................................................................................................... 67 WIDE-SEAL DIAPHRAGM 80 ....................................................................................................... 67 WIDE-SEAL DIAPHRAGM 85 ....................................................................................................... 67 WIDE-SEAL DIAPHRAGM 90 ....................................................................................................... 67 WIDE-SEAL DIAPHRAGM 95 ....................................................................................................... 67 WP THYROID ................................................. 81 XARELTO ................................................................... 9 zaleplon ........................................................................... 52 ZARXIO ...................................................................... 51 ZENPEP ....................................................................... 46 ZIAGEN ....................................................................... 23 zidovudine .................................................................... 23 ZINC 15 ........................................................................ 70 zinc sulfate .................................................................. 70 ziprasidone hcl ..................................................... 20 ZODRYL AC 25 ............................................. 41 ZODRYL AC 30 ............................................. 41 ZODRYL AC 35 ............................................. 41 ZODRYL AC 40 ............................................. 41 ZODRYL DAC 25 ....................................... 41 ZODRYL DAC 30 ....................................... 41 ZODRYL DAC 35 ....................................... 41 ZODRYL DAC 40 ....................................... 41 ZODRYL DEC 25 ....................................... 41 ZODRYL DEC 30 ....................................... 41 ZODRYL DEC 35 ....................................... 41 ZODRYL DEC 40 ....................................... 41 zolpidem tartrate ............................................... 52 zonisamide .................................................................. 10 ZOSTAVAX .......................................................... 84 ZOVIA 1/50E (28) ....................................... 28 Z-TUSS AC ............................................................. 41 ZYNCOF ..................................................................... 41 102
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