Drug Quantity Management-2018 - Express Scripts quantity management-2018 ... actonel risedronate sodium 30 mg tablet 30 tablets ... avonex* interferon beta-1a 30 mcg vial 4 vials

Drug Quantity Management-2018

To help make the use of prescription drugs safer and more affordable, our plan is now using a Drug Quantity Management

program. That is, for certain medications, you can receive an amount to last you a certain number of days. This gives you the

right amount to take the daily dose considered safe and effective, according to the recommendations of the U.S. Food and

Drug Administration (FDA). Based on the FDA’s guidelines and other medical information, our plan developed this program

together with Express Scripts, the company chosen to manage our prescription drug benefit.

The following limits are based on a 30-day supply. If your plan allows for additional days supply, your limits may be higher. For

instance, you may be able to get a 90-day supply of your medication through mail order service. Your doctor could also request

a prior authorization. If this request is approved, a prior authorization would let you receive more than the recommended

quantity.

MEDICATION

(* = SPECIALTY DRUGS)GENERIC TARGET DOSAGE/STRENGTH

QUANTITY

PER DAYS OR PER RX

ACTIQ FENTANYL CITRATE 1200 MCG 90 UNITS






ACTONEL RISEDRONATE SODIUM 150 MG TABLET 1 TABLET

ACTONEL RISEDRONATE SODIUM 30 MG TABLET 30 TABLETS




ACTOPLUS MET PIOGLITAZONE/METFORMIN HCL 15/500MG 90 TABLETS

ACTOPLUS MET PIOGLITAZONE/METFORMIN HCL 15/850MG 90 TABLETS

ACTOPLUS MET XR PIOGLITAZONE/METFORMIN HCL 15/1000 MG 60 TABLETS

ACTOPLUS MET XR PIOGLITAZONE/METFORMIN HCL 30/1000 MG 30 TABLETS

ACTOS PIOGLITAZONE HCL 15 MG TABLET 30 TABLETS



ADCIRCA* TADALAFIL 20 MG TABLET 60 TABLETS

ADRENACLICK EPINEPHRINE 0.15 MG TWO-PACK2 UNITS

(1 CARTON)

ADRENACLICK EPINEPHRINE 0.3 MG TWO-PACK2 UNITS

(1 CARTON)

ADVAIR DISKUS FLUTICASONE/SALMETEROL100/50 WITH DEVICE (14 BLISTER

DISKUS)14 BLISTERS


DISKUS)1 DEVICE


DISKUS)14 BLISTERS


DISKUS)1 DEVICE


DISKUS)14 BLISTERS


DISKUS)1 DEVICE

ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2018

Data Class: Internal

ADVAIR HFA (120) FLUTICASONE/SALMETEROL 115/21 MCG 1 DEVICE






ADVICOR LOVASTATIN/NIACIN 1000 /40 30 TABLETS

ADVICOR LOVASTATIN/NIACIN 1000/20 60 TABLETS



AEROSPAN FLUNISOLIDE 80 MCG INHALER 18 G (2 INHALERS, 8.9 G EACH)

AIRDUO FLUTICASONE PROPIONATE AND SALMETEROL) 113-14 MCG INHALER 1 INHALER



AKYNZEO NETUPITANT/PALONOSETRON HCL 300/0.5 MG CAPSULE 1 CAPSULE

ALBENZA ALBENDAZOLE 200 MG 120 TABLETS

ALECENSA* ALECTINIB HCL 150 MG CAPSULE 240 CAPSULES

ALENDRONATE ALENDRONATE SODIUM 10 MG 30 TABLETS

ALENDRONATE ALENDRONATE SODIUM 35MG 4 TABLETS



ALENDRONATE ALENDRONATE SODIUM 70MG/75 ML SOLUTION 4 TABLETS

ALINIA NITAZOXANIDE 100 MG /5 ML SUSPENSION 360 ML

ALINIA NITAZOXANIDE 500 MG 14 TABLETS

ALLEGRA FEXOFENADINE HCL 180 MG TABLET 30 TABLETS

ALLEGRA FEXOFENADINE HCL 60 MG CAPSULE/TABLET 60 TABLETS/ CAPSULES

ALLEGRA ALLERGY 12 HOUR FEXOFENADINE HCL 60 MG TABLET 60 TABLETS

ALLEGRA ALLERGY 24 HOUR FEXOFENADINE HCL 180 MG TABLET 30 TABLETS

ALLEGRA CHILDREN’S ALLERGY FEXOFENADINE HCL 30 MG ODT 60 TABLETS

ALLEGRA CHILDREN’S ALLERGY FEXOFENADINE HCL 30 MG TABLET 60 TABLETS

ALLEGRA-D 12 HOUR FEXOFENADINE/PSEUDOEPHEDRINE HCL 60MG/120MG TABLET 60 TABLETS

ALLEGRA-D 12 HOUR ALLERGY AND

CONGESTIONFEXOFENADINE/PSEUDOEPHEDRINE HCL 60MG/120MG TABLET 60 TABLETS

ALLEGRA-D 24 HOUR FEXOFENADINE/PSEUDOEPHEDRINE HCL 180MG/240MG TABLET 30 TABLETS

ALLEGRA-D 24 HOUR ALLERGY AND

CONGESTIONFEXOFENADINE/PSEUDOEPHEDRINE HCL 180MG/240MG TABLET 30 TABLETS

ALORA ESTRADIOL 0.025 MG/DAY PATCH 8 PATCHES




ALOXI PALONOSETRON HCL 0.25MG/5ML VIAL 1 VIAL

ALSUMA SUMATRIPTAN SUCCINATE 6 MG INJECTION 8 KITS = 16 INJECTIONS

ALTOPREV LOVASTATIN 20 MG TABLET 30 TABLETS



ALUNBRIG* BRIGATINIB 30 MG TABLET 180 TABLETS

AMBIEN ZOLPIDEM TARTRATE 10 MG TABLET 30 TABLETS

AMBIEN ZOLPIDEM TARTRATE 5 MG TABLET 30 TABLETS

AMBIEN CR ZOLPIDEM TARTRATE 12.5 MG TABLET 30 TABLETS

AMBIEN CR ZOLPIDEM TARTRATE 6.25 MG TABLET 30 TABLETS

AMERGE NARATRIPTAN HCL 1 MG TABLET 9 TABLETS

AMERGE NARATRIPTAN HCL 2.5 MG TABLET 9 TABLETS

ANORO ELLIPTA UMECLIDINIUM/VILANTEROL 62.5/25 MCG 14 BLISTERS (INSTITUTIONAL PACK)

ANORO ELLIPTA UMECLIDINIUM/VILANTEROL 62.5/25 MCG 60 BLISTERS

ANZEMET DOLASETRON MESYLATE 100 MG TABLET 3 TABLETS

ANZEMET DOLASETRON MESYLATE 50 MG TABLET 3 TABLETS


ARAVA LEFLUNOMIDE 10 MG 30 TABLETS

ARAVA LEFLUNOMIDE 20 MG 30 TABLETS

ARCAPTA NEOHALER INDACATEROL MALEATE 75 MCG POWDER1 PACKAGE

(30 CAPSULES)

ARNUITY ELLIPTA FLUTICASONE FUROATE 100 MCG INHALER1 INHALER (30 BLISTERS OR 14

BLISTERS INSTITUTIONAL PACK)

ARNUITY ELLIPTA FLUTICASONE FUROATE 200 MCG INHALER1 INHALER (30 BLISTERS OR 14


ASMANEX HFA MOMETASONE FUROATE 100 MCG INHALER 13 G (1 INHALER)

ASMANEX HFA MOMETASONE FUROATE 200 MCG INHALER 13 G (1 INHALER)

ASMANEX TWISTHALER MOMETASONE FUROATE 110 MCG/INH (14 INHALATIONS)1 INHALER

OBS: 7.1.13

ASMANEX TWISTHALER MOMETASONE FUROATE 110 MCG/INH (30 INHALATIONS) 1 INHALER

ASMANEX TWISTHALER MOMETASONE FUROATE 110 MG #71 INHALER (7 INHALATIONS

INSTITUTIONAL PACK)





ASTELIN READY SPRAY NASAL

SPRAYAZELASTINE HCL 34 ML BOTTLE 2 BOTTLES

ATELVIA RISEDRONATE 35 MG TABLET 4 TABLETS

ATROVENT HFA IPRATROPIUM BROMIDE 12.9 GM AEROSOL 2 INHALERS

ATROVENT INHALER IPRATROPIUM BROMIDE 14.7 GM AEROSOL 2 INHALERS

ATROVENT NASAL SPRAY IPRATROPIUM BROMIDE 0.03% (30 ML) NASAL SOLUTION 1 BOTTLE

ATROVENT NASAL SPRAY IPRATROPIUM BROMIDE 0.06% (15 ML) NASAL SOLUTION 2 BOTTLES

AVANDAMET ROSIGLITAZONE/METFORMIN HCL 2 MG/1000 MG TABLET 60 TABLETS




AVANDARYL ROSIGLITAZONE/METFORMIN HCL 4 MG/1 MG TABLET 30 TABLETS





AVANDIA ROSIGLITAZONE 2 MG TABLET 60 TABLETS



AVINZA MORPHINE SULFATE 120 MG CAPSULE 60 TABLETS





AVINZA MORPHINE SULFATE 90 CAPSULE 60 TABLETS

AVONEX PEN* INTERFERON BETA-1A 30 MCG/0.5 ML PEN 1 BOX (4 PENS)

AVONEX* INTERFERON BETA-1A30 MCG PREFILLED SYRINGE (0.5

ML)4 SYRINGES

AVONEX* INTERFERON BETA-1A 30 MCG VIAL 4 VIALS

AXERT ALMOTRIPTAN 12.5 MG TABLET 12 TABLETS

AXERT ALMOTRIPTAN 6.25 MG TABLET 6 TABLETS


AZMACORT TRIAMCINOLONE ACETONIDE 20 GRAMS2 INHALERS

OBS 7.1.13

BELBUCA BUPRENOPRHINE HCL 150 MCG FILM 60 FILMS



BELBUCA BUPRENOPRHINE HCL 600 MCG 60 FILMS




BELSOMRA SUVOREXANT 10 MG TABLET 30 TABLETS




BETASERON* INTERFERON BETA-1B 0.3 MG VIAL

14 OR 15 VIALS WITH PREFILLED

DILUENT SYRINGE (DEPENDING ON

PRODUCT PACKAGING)

BETHKIS* TOBRAMYCIN 300 MG/4 ML AMPULE 56 AMPULES

BEVESPI AEROSPHERE GLYCOPYRROLATE AND FORMOTEROL FUMARATE10.7 GRAM CANISTER (120

INHALATIONS)

10.7 GRAM CANISTER (120

INHALATIONS)

BINOSTO ALENDRONATE 70 MG EFFERVESCENT TABLET 4 TABLETS

BONIVA IBANDRONATE 150 MG TABLET 1 TABLET

BOSULIF* BOSUTINIB 100 MG TABLET 120 TABLETS

BOSULIF* BOSUTINIB 500 MG TABLET 30 TABLETS

BREO ELLIPTA FLUTICASONE/VILANTEROL 100MCG/25MCG #28 28 BLISTERS (1 INHALER)

BREO ELLIPTA FLUTICASONE/VILANTEROL 100MCG/25MCG #60 60 BLISTERS

BREO ELLIPTA FLUTICASONE/VILANTEROL200 MCG/25 MCG, PACKAGE SIZE

281 INHALER (28 BLISTERS)

BREO ELLIPTA FLUTICASONE/VILANTEROL200 MCG/25 MCG, PACKAGE SIZE

601 INHALER (60 BLISTERS)

BROVANA INHALATION SOLUTION ARFORMOTEROL TARTRATE1 CARTON (30 VIALS; 15

MCG/VIALS)2 CARTONS

BUNAVAIL BUPRENORPHINE/NALOXONE 2.1 MG/0.3 MG FILM 30 FILMS

BUNAVAIL BUPRENORPHINE/NALOXONE 4.2 MG/0.7 MG FILM 60 FILMS

BUNAVAIL BUPRENORPHINE/NALOXONE 6.3 MG/1 MG FILM 60 FILMS

BYDUREON EXENATIDE 2 MG VIAL1 CARTON

(4 SINGLE-DOSE TRAYS)

BYDUREON PEN EXENATIDE 2 MG PEN 4 PENS (1 PACKAGE)

BYETTA EXENATIDE 1.2 ML (250 MCG/ML) 1 SYRINGE

BYETTA EXENATIDE 2.4 ML (250 MCG/ML) 1 SYRINGE

CABERGOLINE CABERGOLINE 0.5 MG TABLET 8 PATCHES

CABOMETYX* CABOZANTINIB 20 MG TABLET 30 TABLETS

CADUET AMLODIPINE/ATORVASTATIN 10/10 MG TABLET 30 TABLETS




CADUET AMLODIPINE/ATORVASTATIN 2.5/10 MG TABLET 30 TABLETS







CAMBIA DICLOFENAC POTASSIUM 50 MG POWDER 9 PACKETS

CAPRELSA VANDETANIB 100 MG TABLET 60 TABLETS

CAPRELSA VANDETANIB 300 MG TABLET 30 TABLETS

CARDURA DOXAZOSIN MESYLATE 1 MG TABLET 30 TABLETS





CARDURA XL DOXAZOSIN MESYLATE 4 MG TABLET 30 TABLETS

CARDURA XL DOXAZOSIN MESYLATE 8 MG TABLET 30 TABLETS

CATAPRES CLONIDINE HCL TTS PATCHES 1 PATCH 4 PATCHES

CAVERJECT ALPROSTADIL 20 MCG (VIAL) 12 UNITS

CAVERJECT ALPROSTADIL 40 MCG (VIAL) 12 UNITS

CAVERJECT IMPULSE ALPROSTADIL 10 MCG (SYSTEM) 12 UNITS

CAVERJECT IMPULSE ALPROSTADIL 20 MCG (SYSTEM) 12 UNITS

CAYSTON* AZTREONAM LYSINE 75 MG POWDER1 KIT (84 VIALS OF AZTREONAM

AND 88 VIALS OF DLIUENT)

CESAMET NABILONE 1 MG CAPSULE 30 CAPSULES

CHILDREN'S QNASL BECLOMETHASONE DIPROPIONATE 40 MCG (4.9 G) 5 G (1 BOTTLE)

CHOLBAM* CHOLIC ACID 50 MG CAPSULE 120 CAPSULES

CHORIONIC GONADOTROPIN* CHORIONIC GONADOTROPIN 10,000 UNITS, GENERIC 3 VIALS

CIALIS TADALAFIL 10 MG TABLET 8 UNITS

CIALIS TADALAFIL 2.5 MG TABLET 30 TABLETS



CICLOPIROX CICLOPIROX 0.77% GEL 45 GRAMS

CLARINEX DESLORATADINE 2.5 MG REDITABS 30 TABLETS

CLARINEX DESLORATADINE 5 MG REDITAB/TABLET 30 TABLETS

CLARINEX –D 12 HOUR DESLORATADINE/PSEUDOEPHEDRINE SULFATE 2.5 MG/120 MG TABLET 60 TABLETS

CLARINEX –D 24 HOUR TELITHROMYCIN 5MG/240MG TABLET 30 TABLETS

CLARITIN LORATADINE 10 MG REDITAB/TABLET/CAPSULE 30 TABLETS

CLARITIN LORATADINE 5 MG CHEWABLE TABLET 30 TABLETS

CLARITIN-D 12 HOUR PSEUDOEPHEDRINE SULFATE/LORATADINE 5 MG/120 MG TABLET 60 TABLETS

CLARITIN-D 24 HOUR PSEUDOEPHEDRINE SULFATE/LORATADINE 10MG/240 MG TABLET 30 TABLETS

CLIMARA ESTRADIOL 0.025 MG/DAY PATCH 4 PATCHES






CLIMARA PRO ESTRADIOL/LEVONOGESTREL 0.045 MG/ 0.015 MG/DAY PATCH 4 PATCHES

CLOBETASOL CLOBETASOL EMOLLIENT CREAM 120 GRAMS

CLOBETASOL CLOBETASOLFOAM, SOLUTION, EMOLLIENT

FOAM100 GRAMS

CLOBETASOL CLOBETASOL LOTION 118 GRAMS

CLOBETASOL CLOBETASOL OINTMENT, CREAM, AND GEL 120 GRAMS

CLOBETASOL CLOBETASOL SHAMPOO 236 GRAMS

CLOBETASOL CLOBETASOL SPRAY 125 GRAMS

CLOTRIMAZOLE CLOTRIMAZOLE 1% CREAM 45 GRAMS

CLOTRIMAZOLE CLOTRIMAZOLE 1% SOLUTION 30 ML

CLOTRIMAZOLE CLOTRIMAZOLE BETAMETHASONE LOTION 60 ML

COMBIVENT ALBUTEROL SULFATE/IPRATROPIUM BROMIDE 14.7 GRAMS 2 INHALERS

COMBIVENT RESPIMAT ALBUTEROL SULFATE/IPRATROPIUM BROMIDE 20MCG-100MCG 2 INHALERS

CONZIP ER TRAMADOL HCL 200 MG CAPSULE 30 TABLETS

CONZIP ER TRAMADOL HCL 300 MG CAPSULE 30 TABLETS

CONZIP ER (TRAMADOL ER -BRAND) TRAMADOL HCL 100 MG CAPSULE 30 TABLETS

COPAXONE* GLATIRAMER ACETATE 40 MG/ML SYRINGE 12 SYRINGES

COPAXONE/GLATOPA* GLATIRAMER ACETATE 20 MG PREFILLED SYRINGE30 ML/1 KIT (30 PREFILLED

SYRINGES)

COTELLIC* COBIMETINIB 20 MG TABLET 63 TABLETS


CRESTOR ROSUVASTATIN 10 MG TABLET 30 TABLETS




DALMANE FLURAZEPAM 15 MG CAPSULE 15 CAPSULES

DALMANE FLURAZEPAM 30 MG CAPSULE 15 CAPSULES

DEPO-PROVERA CONTRACEPTIVE

INJECTIONPROGESTERONE 150 MG/ML 1 VIAL/SYRINGE

DEPO-SUBQ PROVERA 104 PROGESTERONE 104 MG/0.65 ML 1 SYRINGE

DEXILANT DEXLANSOPRAZOLE 30 MG CAPSULE 30 CAPSULES

DIFLUCAN FLUCONAZOLE 150 MG TABLET 2 TABLETS

DIVIGEL ESTRADIOL 0.1% (0.25 G/PACKET) 30 PACKETS

DIVIGEL ESTRADIOL 0.1% (0.5 G/PACKET) 30 PACKETS

DIVIGEL ESTRADIOL 0.1% (1G/PACKET) 30 PACKETS

DORAL QUAZEPAM 15 MG TABLET 15 TABLETS

DORAL QUAZEPAM 7.5 MG TABLET 15 TABLETS

DOSTINEX CABERGOLINE 0.5 MG TABLET 8 TABLETS

DUETACT GLIMEPIRIDE/PIOGLITAZONE HCL 30/2MG TABLET 30 TABLETS

DUETACT GLIMEPIRIDE/PIOGLITAZONE HCL 30/4MG TABLET 30 TABLETS

DULERA FORMOTEROL/MOMETASONE 100MCG/5MCG 1 INHALER

DULERA FORMOTEROL/MOMETASONE200 MCG/5MCG (INSTITUTIONAL

PACKAGE)1 INHALER (60 SPRAYS/INHALER)

DULERA FORMOTEROL/MOMETASONE 200MCG/5MCG 1 INHALER

DUONEB IPRATROPIUM BROMIDE/ALBUTEROL SULFATE 3 ML VIAL180 VIALS

(PACKAGE SIZE 3)

DUPIXENT DUPILUMAB 300 MG SYRINGE4 SYRINGES (INITIAL DOSE); 2

SYRINGES (MAINTENANCE)

DYMISTA AZELASTINE HCL/ FLUTICASONE PROPIONATE137MCG-50MCG (23 G) NASAL

SPRAY1 BOTTLE

ECONAZOLE ECONAZOLE 1% CREAM 85 GRAMS

ECOZA ECOZA 1% FOAM 70 GRAMS

EDEX ALPROSTADIL 10 MCG MCG/ML (2 PK) 12 UNITS






EDLUAR ZOLPIDEM TARTRATE 10 MG TABLET 30 TABLETS

EDLUAR ZOLPIDEM TARTRATE 5 MG TABLET 30 TABLETS

ELESTRIN GEL ESTRADIOL 0.06% GEL METER DOSE PUMP 52 GRAMS (2 PUMPS)

ELIDEL CREAM PIMECROLIMUS 1% CREAM 100 GRAMS

ELLA ULIPRISTAL ACETATE30 MG ULIPRISTAL ACETATE ORAL

TABLET (1 TABLET/BLISTER PACK)1 TABLET/DOSE

EMBEDA MORPHINE SULFATE/NALTREXONE HCL 100 MG/4 MG 90 CAPSULES

EMBEDA MORPHINE SULFATE/NALTREXONE HCL 20 MG/0.8 MG 90 CAPSULES


EMBEDA MORPHINE SULFATE/NALTREXONE HCL 50 MG/2 MG 90 CAPSULES



EMEND APREPITANT 125 MG CAPSULE 1 CAPSULE

EMEND APREPITANT 125 MG ORAL SUSPENSION 3 PACKETS

EMEND APREPITANT 150 MG FOR INJECTION 1 VIAL

EMEND APREPITANT 40 MG CAPSULE 1 CAPSULE

EMEND APREPITANT 80 MG CAPSULE 2 CAPSULES

EMEND APREPITANT BIFOLD PACK 1 PACK


EMEND APREPITANTTRIFOLD PACK, CONTAINS ONE 125

MG AND TWO 80 MG CAPSULES1 PACK (PACKAGE SIZE 3)

EMVERM MEBENDAZOLE 100 MG CHEWABLE TABLETS 6 TABLETS

ENBREL* ETANERCEPT25MG VIALS & PRE-FILLED

SYRINGES8 VIALS/SYRINGES

ENBREL* ETANERCEPT50MG SYRINGE/AUTO INJECTORS /

SURECLICK4 SYRINGES/AUTO INJECTORS

EPCLUSA* SOFOSBUVIR AND VELPATASVIR TABLETS 84 TABLETS

EPINEPHRINE EPINEPHRINE 0.15 MG TWO-PACK2 UNITS

(1 CARTON)

EPINEPHRINE EPINEPHRINE 0.3 MG TWO-PACK2 UNITS

(1 CARTON)

EPIPEN EPINEPHRINE 0.3 MG TWO-PACK 2 UNITS

EPIPEN JR EPINEPHRINE 0.15 MG TWO-PACK2 UNITS

(1 CARTON)

ERIVEDGE* VISMODEGIB 150 MG CAPSULE 30 CAPSULES

ERTACZO SERTACONAZOLE NITRATE 2% CREAM 60 GRAMS

ESBRIET* PIRFENIDONE 267 MG CAPSULE 270 CAPSULES

ESBRIET* PIRFENIDONE267 MG CAPSULE (14 DAY

TITRATION BLISTER PACK)1 PACK (63 CAPSULES)

ESBRIET* PIRFENIDONE267 MG CAPSULE (4 WEEK

MAINTENANCE BLISTER PACK)1 CARTON (252 CAPSULES)

ESOMEPRAZOLE STRONTIUM ESOMEPRAZOLE STRONTIUM 24.65 MG CAPSULE 30 CAPSULES

ESTRADERM ESTRADIOL 0.05 MG/DAY PATCH 8 PATCHES

ESTRADERM ESTRADIOL 0.1 MG/DAY PATCH 8 PATCHES

ESTRASORB ESTRADIOL 4.35 MG PER 1.74 G POUCH 56 PACKETS (97.44 G)

EUCRISA CRISABOROLE 2% OINTMENT 120 GRAMS

EVAMIST ESTRADIOL 1.53 MG SPRAY 2 PUMPS

EXALGO HYDROMORPHONE HCL 12 MG TABLET 60 TABLETS


EXALGO HYDROMORPHONE HCL 32MG TABLET 60 TABLETS


EXELDERM SULCONAZOLE NITRATE 1% CREAM AND SOLUTION 60 GRAMS

EXTAVIA* INTERFERON BETA-1B 0.3 MG KIT 15 BLISTER UNITS/VIALS

EXTAVIA* INTERFERON BETA-1B 0.3 MG VIAL 15 BLISTER UNITS/VIALS

EXTINA KETOCONAZOLE 2% FOAM 100 GRAMS

FAMVIR FAMCICLOVIR 125 MG TABLET 21 TABLETS



FARXIGA DAPAGLIFLOZIN 10 MG TABLET 30 TABLETS

FARXIGA DAPAGLIFLOZIN 5 MG TABLET 30 TABLETS

FARYDAK* PANOBINOSTAT 10 MG CAPSULE 6 CAPSULES



FLECTOR DICLOFENAC EPOLAMINE 1.3% PATCH 60 PATCHES

FLONASE FLUTICASONE50 MCG (16 G) NASAL SPRAY (120

ACTUATIONS)1 BOTTLE

FLONASE ALLERGY RELIEF FLUTICASONE 50 MCG NASAL SPRAY (15.8 G) 16 ML (15.8 ML = 1 BOTTLE)

FLONASE ALLERGY RELIEF FLUTICASONE 50 MCG NASAL SPRAY (9.9 G) 10 ML (9.9 ML = 1 BOTTLE)

FLONASE ALLERGY RELIEF 50 MCG

SPRAYFLUTICASONE PACKAGE SIZE 15.8 G 1 UNIT (16G)

FLONASE ALLERGY RELIEF 50 MCG

SPRAYFLUTICASONE PACKAGE SIZE 9.9 G 1 UNIT (10 G)

FLOVENT DISKUS FLUTICASONE PROPIONATEPOWDER 100MCG (1 DEVICE = 60

DOSES)1 INHALER



DOSES)4 INHALERS


DOSES)1 INHALER

FLOVENT HFA FLUTICASONE PROPIONATEAEROSOL 10.6 GM (120 DOSES; 44

MCG/DOSE)1 INHALER

FLOVENT HFA FLUTICASONE PROPIONATEAEROSOL 12 GM (120 DOSES; 110

MCG/DOSE)1 INHALER

FLOVENT HFA FLUTICASONE PROPIONATEAEROSOL 12 GM (120 DOSES; 220

MCG/DOSE)2 INHALERS

FLUNISOLIDE FLUNISOLIDE 0.025% (25 ML) NASAL SOLUTION 2 BOTTLES

FLUOCINONIDE OINTMENT GEL,

SOLUTION, OR CREAM EMULSIFIED

BASE

FLUOCINONIDE

0.05% CREAM, 0.05% CREAM-

EMULSIFIED BASE, 0.1% CREAM,

0.05% OINTMENT, 0.05% GEL,

0.05% SOLUTION

120 GRAMS

FORADIL FORMOTEROL FUMARATE 1 DEVICE (12 BLISTERS)1 PACKAGE (PACKAGE SIZE 12) 12

CAPSULES

FORADIL FORMOTEROL FUMARATE1 DEVICE (60 BLISTERS;

12MCG/INH)

1 PACKAGE (PACKAGE SIZE 60) 60

CAPUSULES

FORTAMET METFORMIN 1,000 MG TABLET 60 TABLETS

FORTAMET METFORMIN 500 MG TABLET 30 TABLETS

FOSAMAX ALENDRONATE 10 MG TABLET 30 TABLETS

FOSAMAX ALENDRONATE 35MG TABLET 4 TABLETS



FOSAMAX ALENDRONATE 70 MG/75 ML ORAL SOLUTION 4 BOTTLES (300 ML)

FOSAMAX ALENDRONATE 70MG TABLET 4 TABLETS

FOSAMAX PLUS D ALENDRONATE/VITAMIN D 70 MG/2800 IU 4 TABLETS

FOSAMAX PLUS D ALENDRONATE/VITAMIN D 70 MG/5600 IU 4 TABLETS

FROVA FROVATRIPTAN 2.5 MG TABLET 9 TABLETS

GELNIQUE OXYBUTYNIN CHLORIDE 0.1 30 GRAMS

GELNIQUE OXYBUTYNIN 10% GEL 30 SACHETS

GELNIQUE OXYBUTYNIN 3 % GEL 1 PUMP

GILOTRIF* AFATINIB 20 MG TABLET 30 TABLETS



GLEEVEC (IMATINIB)* IMATINIB MESYLATE 100 MG TABLET 180 TABLES

GLEEVEC (IMATINIB)* IMATINIB MESYLATE 400 MG TABLET 60 TABLETS

GLUCOPHAGE XR METFORMIN 500 MG TABLET 120 TABLETS

GLUCOPHAGE XR METFORMIN 750 MG TABLET 60 TABLETS

GLYXAMBI EMPAGLIFLOZIN/LINAGLIPTIN 10 MG/5 MG TABLET 30 TABLETS

GLYXAMBI EMPAGLIFLOZIN/LINAGLIPTIN 25 MG/5 MG TABLET 30 TABLETS

GRANISOL GRANISETRON 2 MG/10 ML SOLUTION 1 BOTTLE (30 ML)

HALCION TRIAZOLAM 0.125 MG TABLET 15 TABLETS

HALCION TRIAZOLAM 0.25 MG TABLET 15 TABLETS

HARVONI* SOFOSBUVIR/LEDIPASVIR 400 MG/90 MG TABLET 56 TABLETS (28 TABLETS/28 DAYS)

HETLIOZ* TASIMELTEON 20 MG 30 CAPSULES

HUMIRA* ADALIMUMAB 10 MG/0.2 ML SYRINGE 2 SYRINGES

HUMIRA* ADALIMUMAB 20 MG/0.4 ML SYRINGE PEDIATRIC 2 SYRINGES

HUMIRA* ADALIMUMAB 40 MG/0.8 ML PEN 2 SYRINGES/PEN

HUMIRA* ADALIMUMAB40 MG/0.8 ML PSORIASIS STARTER

PACK2 SYRINGES

HUMIRA* ADALIMUMAB 40 MG/0.8 ML SYRINGE 2 SYRINGES/PEN


HUMIRA* ADALIMUMAB40MG/0.8 ML CROHN’S STARTER

PACK2 SYRINGES

HYSINGLA ER HYDROCODONE BITARTRATE ER 100 MG TABLET 60 TABLETS







HYTRIN TERAZOSIN 1 MG CAPSULE 30 TABLETS




IBRANCE* PALBOCICLIB 100 MG CAPSULE 21 CAPSULES



ICLUSIG* PONATINIB 15 MG TABLET 60 TABLETS

ICLUSIG* PONATINIB 45 MG TABLET 30 TABLETS

IMBRUVICA* IBRUTINIB 140 MG 120 CAPSULES

IMITREX (SUMATRIPTAN) SUMATRIPTAN SUCCINATE 6 MG/0.5 ML INJECTION 1 KIT/2 SYRINGES

INCRUSE ELLIPTA UMECLIDINIUM 62.5 MCG INHALER1 INHALER (30 BLISTERS OR 7


INLYTA* AXITINIB 1 MG TABLET 180 TABLETS

INLYTA* AXITINIB 5 MG TABLET 120 TABLETS

INTERMEZZO ZOLPIDEM TARTRATE 1.75 MG TABLET 30 TABLETS

INTERMEZZO ZOLPIDEM TARTRATE 3.5 MG TABLET 30 TABLETS

INVOKAMET CANAGLIFLOZIN/METFORMIN HCL 150 MG/1000 MG TABLET 60 TABLETS




INVOKANA CANAGLIFLOZIN 100 MG 30 TABLETS

IRESSA* GEFITINIB 250 MG TABLET 30 TABLETS

JAKAFI* RUXOLITINIB 10 MG TABLET 60 TABLETS





JANUMET SITAGLIPTIN/METFORMIN HCL 50/1000 MG TABLET 60 TABLETS

JANUMET SITAGLIPTIN/METFORMIN HCL 50/500 MG TABLET 60 TABLETS

JANUMET XR SITAGLIPTIN/METFORMIN HCL XR 100/1000 MG TABLET 30 TABLETS



JANUVIA SITAGLIPTIN 100 MG TABLET 30 TABLETS



JARDIANCE EMPAGLIFLOZIN 10 MG TABLET 30 TABLETS

JARDIANCE EMPAGLIFLOZIN 25 MG TABLET 30 TABLETS

JENTADUETO LINAGLIPTIN/METFORMIN HCL 2.5/1,000 MG TABLET 60 TABLETS

JENTADUETO LINAGLIPTIN/METFORMIN HCL 2.5/500 MG TABLET 60 TABLETS

JENTADUETO LINAGLIPTIN/METFORMIN HCL 2.5/850 MG TABLET 60 TABLETS

JENTADUETO XR LINAGLIPTIN/METFORMIN 2.5 MG TABLET 60 TABLETS

JENTADUETO XR LINAGLIPTIN/METFORMIN 5 MG TABLET 30 TABLETS

JUVISYNC SIMVASTATIN/SITAGLIPTIN 100/10 MG TABLET 30 TABLETS



KADIAN MORPHINE SULFATE ER 10 MG CAPSULE 90 CAPSULES













KALYDECO IVACAFTOR 150 MG TABLET 60 TABLETS

KALYDECO IVACAFTOR 50 MG GRANULES PACKET 56 PACKETS (1 PACKAGE)

KALYDECO IVACAFTOR 75 MG GRANULES PACKET 56 PACKETS (1 PACKAGE)

KETOCONAZOLE KETOCONAZOLE 2% CREAM 60 GRAMS

KEVZARA * SARILUMAB 200 MG/1.14 ML 2 SYRINGES

KEVZARA* SARILUMAB 150 MG/1.14 ML 2 SYRINGES

KISQALI FEMARA COPACK* RIBOCICLIB TABLETS; LETROZOLE TABLETS 49 TABLET PACK 1 PACK



KISQALI* RIBOCICLIB 21 TABLET PACK 21 TABLETS (1 PACK)



KITABIS PACK TOBRAMYCIN PAK*

(BRAND, ALSO BY SAME MANU:

PARI )

TOBRAMYCIN 300 MG/5 ML SOLUTION280 ML = 1 PACKAGE (56

AMPULES, 5 ML EACH)

KYTRIL (GRANISETRON) GRANISETRON 1 MG TABLET 6 TABLETS

KYTRIL (GRANISETRON) GRANISETRON 2 MG/10 ML ORAL SOLUTION 1 BOTTLE (30 ML)

LESCOL FLUVASTATIN 20 MG CAPSULE 30 TABLETS

LESCOL FLUVASTATIN 40 MG CAPSULE 60 TABLETS

LESCOL XL (FLUVASTATIN ER) FLUVASTATIN ER 80 MG TABLET 30 TABLETS

LEVONORGESTREL (BRAND NAME

PLAN B NOW OBSOLETE)

NEXT CHOICE

LEVONORGESTREL 0.75MG TABLET 2 TABLETS

LIDOCAINE JELLY LIDOCAINE 2% 60 ML

LIDOCAINE OINTMENT LIDOCAINE 35.44 OR 50 GRAMS 1 TUBE

LIDOCAINE/PRILOCAINE CREAM LIDOCAINE 2.5% 30 GRAMS

LIPITOR ATORVASTATIN 10 MG TABLET 30 TABLETS




LIPTRUZET EZETIMIBE/ATORVASTATIN 10/10 MG TABLETS 30 TABLETS




LIVALO PITAVASTATIN 1 MG TABLET 30 TABLETS



LOPROX CICLOPIROX 0.77% CREAM 90 GRAMS

LOPROX CICLOPIROX 0.77% SUSPENSION 60 ML

LOPROX CICLOPIROX 1% SHAMPOO 120 ML

LOTRISONE CLOTRIMAZOLE AND BETAMETHASONE LOTRISONE CREAM 45 GRAMS

LUZU LULICONAZOLE CREAM 1% CREAM 60 GRAMS

MAVYRET* GLECAPREVIR/PIBRENTASVIR 100-40 MG TABLET 168 TABLETS

MAXAIR AUTOHALER PIRBUTEROL 0.2 MG/ACTUATION 1 INHALER

MAXALT RIZATRIPTAN 10 MG TABLET 18 TABLETS

MAXALT RIZATRIPTAN 5 MG TABLET 18 TABLETS


MAXALT MLT RIZATRIPTAN 10 MG TABLET 18 TABLETS

MAXALT MLT RIZATRIPTAN 5 MG TABLET 18 TABLETS

MEKINIST* TRAMETINIB 0.5 MG TABLETS 90 TABLETS

MEKINIST* TRAMETINIB 2 MG TABLETS 30 TABLETS

MENOSTAR ESTRADIOL 14 MCG/DAY PATCH 4 PATCHES

MENTAX BUTENAFINE 1% CREAM 30 GRAMS

MEVACOR LOVASTATIN 10 MG TABLET 30 TABLETS



MIGRANAL DIHYDROERGOTAMINE 4 MG/ML NS 8 SPRAY DEVICES = 1 KIT

MINIVELLE ESTRADIOL 0.0375 MG PATCH 8 PATCHES




MOBIC MELOXICAM 7.5 MG TABLET 30 TABLETS

MORPHABOND ER MORPHINE SULFATE 100 MG TABLET 120 TABLETS




MS CONTIN MORPHINE SULFATE ER 100 MG TABLET 120 TABLETS





MUSE ALPROSTADIL 1000 MCG SUPPOSITORY 12 UNITS




NAFTIN NAFTIFINE HYDROCHLORIDE 1 % AND 2% CREAM 60 GRAMS

NARCAN NALOXONE HCL 4 MG/0.1 NASAL SPRAY 1 PACKAGE (2 DEVICES)

NASACORT ALLERGY 24HR (OTC) TRIAMCINOLONE55 MCG PER ACTUATION NASAL

SPRAY (10.8 ML)11 ML (1 BOTTLE = 10.8 ML)

NASACORT ALLERGY 24HR (OTC) TRIAMCINOLONE55 MCG PER ACTUATION NASAL

SPRAY (16.9 ML)17 ML (1 BOTTLE = 16.9 ML)

NASACORT AQ TRIAMCINOLONE 55 MCG/ACTUATION NS 1 BOTTLE

NEBUPENT PENTAMIDINE ISETHIONATE 300MG/CONTAINER 1 CONTAINER (INHALER)

NEULASTA* PEGFILGRASTIM 6MG SYRINGE 2 SYRINGES

NEXAVAR* SORAFENIB 200MG TABLET 120 TABLETS

NEXIUM ESOMEPRAZOLE 10MG PACKET 30 PACKETS

NEXIUM ESOMEPRAZOLE 2.5MG PACKET 30 PACKETS

NEXIUM ESOMEPRAZOLE 20MG CAPSULE 30 CAPSULES



NINLARO* IXAZOMIB 2.3 MG CAPSULE 3 CAPSULES

NINLARO* IXAZOMIB 3 MG CAPSULE 3 CAPSULES

NINLARO* IXAZOMIB 4 MG CAPSULE 3 CAPSULES

NIZORAL KETOCONAZOLE 2% SHAMPOO 120 ML

NOVAREL CHORIONIC GONADOTROPIN 10,000 UNITS 3 VIALS

NUCALA* MEPOLIZUMAB 100 MG VIAL 1 VIAL

NUCYNTA TAPENTADOL 100MG TABLET 181 TABLETS



NUCYNTA ER TAPENTADOL ER 100MG TABLET 60 TABLETS






NYSTATIN NYSTATIN CREAM AND OINTMENT 30 GRAMS

NYSTATIN-TRIAMCINOLONE NYSTATIN CREAM AND OINTMENT 60 GRAMS

OCALIVA* OBETICHOLIC ACID 10 MG TABLET 30 TABLETS

OCALIVA* OBETICHOLIC ACID 5 MG TABLET 30 TABLETS

ODOMZO* SONIDEGIB 200 MG CAPSULE 30 CAPSULES

OFEV* NINTEDANIB 100 MG CAPSULE 60 CAPSULES

OFEV* NINTEDANIB 150 MG CAPSULE 60 CAPSULES

OMECLAMOX -PAK AMOXICILLIN, CLARITHROMYCIN, OMEPRAZOLE PATIENT PACK80 CAPS/TABS (10 CARDS) = 1

COMBO PACK

ONMEL ITRACONAZOLE 200MG TABLET 15 TABLETS

ONSOLIS FENTANYL 1200 MCG 90 UNITS





ONZETRA XSAIL SUMATRIPTAN NASAL POWDER 11 MG/NOSEPIECE 1 KIT (8 DOSES/16 NOSE PIECES)

ORAMORPH SR MORPHINE SULFATE 100MG TABLET 120 TABLETS




ORKAMBI* LUMACAFTOR/IVACAFTOR 100 MG/125 MG TABLET 112 TABLETS (1 BOX)

ORKAMBI* LUMACAFTOR/IVACAFTOR 200 MCG/125 MG TABLET 112 TABLETS (1 PACKAGE)

OSENI ALOGLIPTIN/PIOGLITAZONE 12.5-15 MG TABLET 30 TABLETS



OSENI ALOGLIPTIN/PIOGLITAZONE 25-15 MG TABLET 30 TABLETS



OXISTAT OXICONAZOLE NITRATE 1% CREAM 60 GRAMS

OXYCONTIN OXYCODONE HCL 10MG TABLET 90 TABLETS

OXYCONTIN OXYCODONE HCL 15 MG TABLET 90 TABLETS






OXYTROL OXYBUTYNIN 3.9MG/24 HOUR PATCH 8 PATCHES

PATANASE OLOPATADINE HCL 30.5GM SPRAY 1 BOTTLE

PEG INTRON* PEGINTERFERON ALFA-2B 120MCG KIT 4 PENS/VIALS

PEG INTRON* PEGINTERFERON ALFA-2B 120MCG/PEN 4 PENS/VIALS







PEGASYS* PEGINTERFERON ALFA-2B135MCG PROCLICK CONVENIENCE

PACK1 BOX

PEGASYS* PEGINTERFERON ALFA-2B 180MCG CONVENIENCE PACK 1 BOX

PEGASYS* PEGINTERFERON ALFA-2B180MCG PROCLICK CONVENIENCE

PACK1 BOX

PEGASYS* PEGINTERFERON ALFA-2B 180MCG/VIAL 4 VIALS

PENNSAID DICLOFENAC SODIUM TOPICAL SOLUTION 2% SOLUTION 112 GRAMS

PENNSAID AND KLOFENSAID DICLOFENAC SODIUM DROP 1.5 DROPS 150 ML

PERFOROMIST FORMOTEROL FUMARATE 20MCG/2 ML VIAL1 CARTON

(60 VIALS)


PLAN B ONE-STEP

(LEVONORGESTREL)

AFTERA

ECONTRA EZ

FALLBACK SOLO

MY WAY

NEXT CHOICE ONE DOSE

OPCICON ONE-STEP

TAKE ACTION

LEVONORGESTREL 1.5MG TABLET 1 TABLET

PLEGRIDY* PEGINTERFERON BETA-1A125 MCG/0.5 ML PREFILLED PEN OR

SYRINGE

2 UNITS (PENS OR SYRINGES - 1 ML

TOTAL)

PLEGRIDY* PEGINTERFERON BETA-1A

STARTER PACK (ONE 63 MCG, AND

ONE 94 MCG PREFILLED PEN OR

SYRINGE)

1 CARTON/PACK (CONTAINS 2

PENS OR SYRINGES - 1 ML TOTAL)

PRANDIMET

(REPAGLINIDE/METFORMIN)REPAGLINIDE/METFORMIN HCL 1MG/500MG 150 TABLETS

PRANDIMET

(REPAGLINIDE/METFORMIN)REPAGLINIDE/METFORMIN HCL 2MG/500MG 150 TABLETS

PRAVACHOL PRAVASTATIN 10MG TABLET 30 TABLETS




PREGNYL CHORIONIC GONADOTROPIN 10,000 UNITS 3 VIALS

PREVPAC LANSOPRAZOLE/AMOXICILLIN/CLARITHROMYCIN PATIENT PACK112 CAPS/TABS (14 CARDS) = 1

PACK

PRILOSEC OMEPRAZOLE 10MG CAPSULE 30 CAPSULES

PRILOSEC OMEPRAZOLE 10MG PACKETS 30 PACKETS

PRILOSEC OMEPRAZOLE 2.5MG PACKETS 60 PACKETS

PRILOSEC OMEPRAZOLE 20MG CAPSULE 30 CAPSULES

PROAIR HFA ALBUTEROL SULFATE 8.5GM INHALER 2 INHALERS

PROAIR RESPICLICK ALBUTEROL SULFATE 90 MCG/INHALER 2 INHALERS (2 G)

PROSOM ESTAZOLAM 1MG TABLET 15 TABLETS

PROSOM ESTAZOLAM 2MG TABLET 15 TABLETS

PROTOPIC OINTMENT TACROLIMUS 0.0003 100 GRAMS

PROTOPIC OINTMENT TACROLIMUS 0.001 100 GRAMS

PULMICORT FLEXHALER BUDESONIDE 180MCG/ACTUATION 2 INHALERS

PULMICORT FLEXHALER BUDESONIDE 90MCG/ACTUATION 1 INHALER

QNASL BECLOMETHASONE DIPROPIONATE 80 MCG (8.7 G) NASAL SPRAY 1 BOTTLE

QVAR HFA BECLOMETHASONE DIPROPIONATE 40MCG (8.7G) 2 INHALERS

QVAR HFA BECLOMETHASONE DIPROPIONATE 80MCG (8.7 G) 2 INHALERS

REBIF* INTERFERON BETA-1A 22MCG SYRINGE 12 SYRINGES

REBIF* INTERFERON BETA-1A 44MCG SYRINGE 12 SYRINGES

REBIF* INTERFERON BETA-1A8.8MCG SYRINGES/22MCG

SYRINGES1 PACKAGE

REGRANEX BECAPLERMIN 0.01% GEL, 15 GM 1 TUBE

RELENZA BECAPLERMIN 5 MG DISKHALER 20 BLISTERS (1 CARTON)

RELPAX ELETRIPTAN HBR 20 MG TABLET 6 TABLETS

RELPAX ELETRIPTAN HBR 40 MG TABLET 6 TABLETS

RESTASIS CYCLOSPORINE 0.0005 60 VIALS

RESTASIS CYCLOSPORINE RESTASIS 5.5 ML MULTIDOSE VIAL 5.5 ML

RESTORIL TEMAZEPAM 15 MG CAPSULE 15 CAPSULES

RESTORIL TEMAZEPAM 22.5 MG CAPSULE 15 CAPSULES

RESTORIL TEMAZEPAM 30 MG CAPSULE 15 CAPSULES

RESTORIL TEMAZEPAM 7.5 MG CAPSULE 15 CAPSULES

REVATIO* SILDENAFIL CITRATE 10 MG/ML ORAL SUSPENSION 112 ML (1 BOTTLE)

REVATIO* SILDENAFIL CITRATE 20 MG TABLET 90 TABLETS


RHINOCORT ALLERGY SPRAY BUDESONIDE

32 MCG (120 SPRAYS PER BOTTLE,

8.6 G; 60 SPRAYS PER BOTTLE, 5 G)

NASAL SPRAY

9 GM (8.6 G = 1 BOTTLE) AND 5 G

(1 BOTTLE)

RHINOCORT AQ BUDESONIDE32 MCG (120 SPRAYS PER BOTTLE,

8.6 GM)2 BOTTLES

ROZEREM RAMELTEON 8 MG TABLET 30 TABLETS

RUBRACA RUCAPARIB 200 MG TABLET 120 TABLETS



RYBIX ODT TRAMADOL HCL 50 MG TABLET 240 TABLETS

RYZOLT ER TRAMADOL HCL ER 100 MG 30 TABLETS



SAMSCA* TOLVAPTAN 15 MG TABLET 30 TABLETS

SAMSCA* TOLVAPTAN 30 MG TABLET 60 TABLETS

SANCUSO GRANISETRON 3.1 MG/24 HOUR PATCH 1 PATCH

SECONAL SECOBARBITAL SODIUM 100 MG CAPSULE 30 CAPSULES

SEEBRI NEOHALER GLYCOPYRROLATE 15.6 MCG INHALATION POWDER 60 INHALATIONS (1 PACKAGE)

SEREVENT SALMETEROL XINAFOATE DISKUS (28 BLISTERS; 50MCG/INH) 1 PACKAGE

SEREVENT SALMETEROL XINAFOATE DISKUS (60 BLISTERS; 50MCG/INH) 1 PACKAGE

SILENOR DOXEPIN 3 MG TABLET 30 TABLETS

SILENOR DOXEPIN 6 MG TABLET 30 TABLETS

SILIQ* BRODALUMAB 210 MG 2 SYRINGES

SIMCOR NIACIN/SIMVASTATIN 1000/20MG TABLET 60 TABLETS





SITAVIG ACYCLOVIR 50 MG BUCCAL TABLET 2 TABLETS (1 PACKAGE)

SOLARAZE DICLOFENAC SODIUM 3% GEL 100 GRAMS

SOLIQUA INSULIN GLARGINE AND LIXISENATIDE100 UNITS/ML/ 20 MCG/ML 3

ML/SYRINGE1 PACKAGE (5 X 3 ML SYRINGES)

SONATA ZALEPLON 10 MG CAPSULE 60 TABLETS

SONATA ZALEPLON 5 MG CAPSULE 30 TABLETS

SPIRIVA TIOTROPIUM BROMIDE18 MCG CAPSULE FOR USE WITH

INHALATION DEVICE, 30 CAPSULES1 PACKAGE

SPIRIVA TIOTROPIUM BROMIDE

18 MCG CAPSULE FOR USE WITH

INHALATION DEVICE, 5 CAPSULES (1

BLISTER CARD)

1 PACKAGE

SPIRIVA TIOTROPIUM BROMIDE

18 MCG CAPSULE FOR USE WITH

INHALATION DEVICE, 90 CAPSULES

(6 BLISTER CARDS)

1 PACKAGE

(90 DOSES)

SPIRIVA RESPIMAT TIOTROPIUM BROMIDE 1.25 MCG INHALATION SPRAY 4 G = 1 INHALER (60 INHALATIONS)

SPIRIVA RESPIMAT TIOTROPIUM BROMIDE28 INHALATIONS PACK AND 60

INHALATIONS PACK1 INHALER (4 G)

SPORANOX ITRACONAZOLE 100 MG CAPSULE 30 CAPSULES

SPRIX* KETOROLAC TROMETHAMINE

1 NASAL SPRAY BOTTLE (8

SPRAYS/BOTTLE OR

15.75MG/SPRAY)

5 BOTTLES

SPRYCEL* DASATINIB 100 MG TABLET 30 TABLETS







STADOL (BUTORPHANOL NASAL

SPRAY )BUTORPHANOL TARTRATE

10 MG/ML NASAL SPRAY (2.5 ML

BOTTLE)2 BOTTLES

STIOLTO RESPIMAT TIOTROPIUM BROMIDE/OLODATEROL 2.5/2.5 MCG INHALATION SPRAY

1 INHALER = 4 G (60 INHALATIONS

OR 28 INHALATIONS

INSTITUTIONAL PACK)

STIVARGA* REGORAFENIB 40 MG TABLET 84 TABLES

STRIVERDI RESPIMAT OLODATEROL28 INHALATIONS PACK, 60

INHALATIONS PACK

1 INHALER (60 INHALATIONS OR 28

INHALATIONS INSTITUTIONAL

PACK)

STROMECTOL IVERMECTIN 3 MG TABLETS 20 TABLETS

SUBOXONE BUPRENORPHINE/NALOXONE 12/3 MG FILM 60 FILMS

SUBOXONE BUPRENORPHINE/NALOXONE 2/0.5 MG FILM 90 FILMS

SUBOXONE BUPRENORPHINE/NALOXONE 2/0.5 MG TABLET 90 TABLETS



SUBOXONE BUPRENORPHINE/NALOXONE 8/2 MG TABLET 90 TABLETS

SUBSYS FENTANYL 100 MCG SL SPRAY 90 SPRAY UNITS







SUTENT* SUNITINIB MALATE 12.5 MG CAPSULE 90 CAPSULES

SUTENT* SUNITINIB MALATE 25 MG CAPSULE 30 CAPSULES

SUTENT* SUNITINIB MALATE 37.5 MG CAPSULE 30 CAPSULES

SUTENT* SUNITINIB MALATE 50 MG CAPSULE 30 CAPSULES

SYMBICORT BUDESONIDE/FORMOTEROL 160/4.5 MCG INHALER 1 PACKAGE (6)

SYMBICORT BUDESONIDE/FORMOTEROL 160/4.5 MCG INHALER 1 PACKAGE (10.2)



SYMLIN PRAMLINTIDE ACETATE 120 PEN INJECTOR 7 PENS

SYMLIN PRAMLINTIDE ACETATE 60 PEN INJECTOR 7 PENS

SYNJARDY EMPAGLIFLOZIN/METFORMIN HCL 12.5 MG/1000 MG TABLET 60 TABLETS

SYNJARDY EMPAGLIFLOZIN/METFORMIN HCL 12.5 MG/500 MG TABLET 60 TABLETS

SYNJARDY EMPAGLIFLOZIN/METFORMIN HCL 5 MG/1000 MG TABLET 60 TABLETS

SYNJARDY EMPAGLIFLOZIN/METFORMIN HCL 5 MG/500 MG TABLET 60 TABLETS

SYNJARDY XR EMPAGLIFLOZIN AND METFORMIN HYDROCHLORIDE EXTENDED-RELEASE 10/1000 MG TABLET 60 TABLETS

SYNJARDY XR EMPAGLIFLOZIN AND METFORMIN HYDROCHLORIDE EXTENDED-RELEASE 12.5/1000 MG TABLET 60 TABLETS



TAFINLAR (DABRAFENIB)* DABRAFENIB 50 MG 120 CAPSULES

TAFINLAR (DABRAFENIB)* DABRAFENIB 75 MG 120 CAPSULES

TAGRISSO* OSIMERTINIB 40 MG TABLET 30 TABLETS

TAGRISSO* OSIMERTINIB 80 MG TABLET 30 TABLETS

TAMIFLU OSELTAMIVIR PHOSPHATE 12 MG/ML SUSPENSION 3 BOTTLES

TAMIFLU OSELTAMIVIR PHOSPHATE 30 MG CAPSULE 20 CAPSULES


TAMIFLU OSELTAMIVIR PHOSPHATE 6 MG/ML SUSPENSION 3 BOTTLES


TARCEVA* ERLOTINIB 100 MG TABLET 30 TABLETS




TASIGNA* NILOTINIB 150 MG CAPSULE 112 CAPSULES

TASIGNA* NILOTINIB 200 MG CAPSULE 112 CAPSULES

TECHNIVIE* OMBITASVIR, PARITAPREVIR AND RITONAVIR(OMBITASVIR, PARITAPREVIR,

RITONAVIR 12.5/75/50 MG)3 CARTONS (168 TABLETS)

TINDAMAX TINIDAZOLE 500 MG TABLETS 20 TABLETS

TIVORBEX INDOMETHACIN 20 MG CAPSULE 90 CAPSULES

TOBI PODHALER* TOBRAMYCIN 28 MG 224 CAPSULES

TORADOL KETOROLAC 10 MG TABLET 20 TABLETS

TRADJENTA LINAGLIPTIN 5 MG TABLET 30 TABLETS

TRAMADOL ER TRAMADOL HCL ER 150MG CAP 60 CAPSULES

TREXIMET SUMATRIPTAN/NAPROXEN SODIUM 10/60 MG TABLETS 9 TABLETS

TREXIMET SUMATRIPTAN/NAPROXEN SODIUM 85-500 MG TABLET 9 TABLETS

TRULICITY DULAGLUTIDE 0.75 MG/0.5 ML PEN 4 PENS

TRULICITY DULAGLUTIDE 0.75 MG/0.5 ML SYRINGE 4 SYRINGES

TRULICITY DULAGLUTIDE 1.5 MG/0.5 ML PEN 4 PENS

TRULICITY DULAGLUTIDE 1.5 MG/0.5 ML SYRINGE 4 SYRINGES

TUDORZA PRESSAIR ACLIDINIUM BROMIDE 400 MCG INHALER 1 INHALER

TYKERB* CAPECITABINE 250 MG TABLET 180 TABLETS

TYMLOS* ABALOPARATIDE 3,120 MCG/1.56 ML INJECTION 1 PEN

ULTRACET TRAMADOL/ACETAMINOPHEN 37.5 MG-325 MG TABLET 240 TABLETS

ULTRAM TRAMADOL HCL 50 MG TABLET 240 TABLETS

ULTRAM ER TRAMADOL HCL ER 100 MG TABLET 30 TABLETS



UTIBRON NEOHALER INDACATEROL/GLYCOPYRROLATE27.5/15.6 MCG INHALATION

POWDER (PACKAGE SIZE 6)6 INHALATIONS (1 PACKAGE)

UTIBRON NEOHALER INDACATEROL/GLYCOPYRROLATE27.5/15.6 MCG INHALATION

POWDER (PACKAGE SIZE 60)60 INHALATIONS (1 PACKAGE)

VARUBI ROLAPITANT 90 MG TABLET 2 TABLETS (1 PACKAGE)

VENCLEXTA* VENETOCLAX STARTING PACK 1 STARTING PACK = 42 TABLETS

VENTOLIN HFA ALBUTEROL SULFATE 18 GM AEROSOL 2 INHALERS

VENTOLIN HFA ALBUTEROL SULFATE 8 GM AEROSOL 1 INHALER

VERAMYST FLUTICASONE FUROATE 27.5 MCG (10 G) NASAL SPRAY 1 BOTTLE

VIAGRA SILDENAFIL CITRATE 100 MG TABLET 8 UNITS



VIEKIRA PAK* OMBITASVIR, PARITAPREVIR, RITONAVIR; DASABUVIR

OMBITASVIR, PARITAPREVIR,

RITONAVIR 12.5/75/50 MG WITH

DASABUVIR 250 MG)

3 PAKS (336 TABLETS)

VIEKIRA XR* OMBITASVIR/PARITAPREVIR/RITONAVIR; DASABUVIR TABLETS 252 TABLETS

VIVELLE-DOT ESTRADIOL 0.025 MG PATCH 8 PATCHES





VIVLODEX MELOXICAM 5 MG CAPSULE N/A

VOLTAREN DICLOFENAC 1% GEL 500 GRAMS

VOSEVI*SOFOSBUVIR/VELPATASVIR/

VOXILAPREVIR400-100-100 MG TABLET 84 TABLETS

VOTRIENT* PAZOPANIB 200 MG TABLET 120 TABLETS

VUSION MICONAZOLE NITRATE, ZINC OXIDE, AND WHITE PETROLATUM OINTMENT 50 GRAMS

XALKORI* CRIZOTINIB 200 MG CAPSULE 60 CAPSULES

XALKORI* CRIZOTINIB 250 MG CAPSULE 60 TABLETS

XERMELO* TELOTRISTAT ETHYL 250 MG TABLET 90 TABLETS

XIFAXAN RIFAXIMIN 200 MG TABLET 9 TABLETS

XIFAXAN RIFAXIMIN 550 MG TABLET 60 TABLETS

XIGDUO XR DAPAGLIFLOZIN/METFORMIN HCL XR 10 MG/1000 MG TABLET 30 TABLETS





XIIDRA LIFITEGRAST OPHTHALMIC SOLUTION 5% SOLUTION 60 VIALS

XOLAIR* OMALIZUMAB 150 MG VIAL 6 VIALS

XOLEGEL KETOCONAZOLE 2% GEL 45 GRAMS

XTAMPZA ER OXYCODONE 13.5 MG 90 CAPSULES

XTAMPZA ER OXYCODONE 18 MG 90 CAPSULES




XTANDI* ENZALUTAMIDE 40 MG CAPSULE 120 CAPSULES

XULTOPHY INSULIN DEGLUDEC AND LIRAGLUTIDE 5 X 3 ML SYRINGE 1 KIT (15 ML)

XYZAL LEVOCETIRIZINE 5 MG TABLET 30 TABLETS

ZECUITY TDS* SUMATRIPTAN IONTOPHORETIC 6.5 MG/4 HOUR 4 PATCHES

ZEJULA* NIRAPARIB 100 MG CAPSULE 90 CAPSULES

ZELBORAF* VEMURAFENIB 240 MG TABLET 240 TABLETS

ZEMBRACE SUMATRIPTAN 3 MG/0.5 ML SYRINGE 4 SYRINGES (1 KIT)

ZINBRYTA* DACLIZUMAB 150 MG/ML SYRINGE 1 SYRINGE (150 MG/ML)

ZOCOR SIMVASTATIN 10 MG TABLET 30 TABLETS





ZOFRAN (ONDANSETRON) ONDANSETRON 24 MG TABLET 1 TABLET

ZOFRAN (ONDANSETRON) ONDANSETRON 4 MG TABLET 9 TABLETS

ZOFRAN (ONDANSETRON) ONDANSETRON 4 MG/5ML SOLUTION 2 BOTTLES

ZOFRAN (ONDANSETRON) ONDANSETRON 8 MG TABLET 9 TABLETS

ZOFRAN ODT (ONDANSETRON) ONDANSETRON 4 MG TABLET 9 TABLETS

ZOFRAN ODT (ONDANSETRON) ONDANSETRON 8 MG TABLET 9 TABLETS

ZOHYDRO ER HYDROCODONE BITARTRATE 10 MG 90 CAPSULES






ZOLPIMIST ZOLPIDEM 5 MG ORAL SPRAY 4.5 ML (1 BOTTLE)

ZOMIG ZOLMITRIPTAN 2.5 MG TABLET 6 TABLETS

ZOMIG ZOLMITRIPTAN 5 MG NASAL SPRAY 6 DEVICES

ZOMIG ZOLMITRIPTAN 5 MG TABLET 6 TABLETS

ZOMIG ZMT ZOLMITRIPTAN 2.5 MG TABLET 6 TABLETS

ZOMIG ZMT ZOLMITRIPTAN 5 MG TABLET 6 TABLETS

ZONALON/PRUDOXIN DOXEPIN 5% CREAM 45 GRAMS

ZORVOLEX DICLOFENAC 18 MG CAPSULES 90 CAPSULES

ZOVIRAX ACYCLOVIR 5% CREAM 1 TUBE/5 GRAMS

ZOVIRAX ACYCLOVIR 5% OINTMENT 1 TUBE/30 GRAMS

ZUBSOLV BUPRENORPHINE/NALOXONE 0.7 MG/0.18 MG TABLET 30 TABLETS






ZUPLENZ ONDANSETRON 4 MG SOLUBLE FILM 9 FILMS

ZUPLENZ ONDANSETRON 8 MG SOLUBLE FILM 9 FILMS

ZYDELIG* IDELALISIB 100 MG TABLET 60 TABLETS

ZYDELIG* IDELALISIB 150 MG TABLET 60 TABLETS

ZYKADIA* CERITINIB 150 MG CAPSULE 150 CAPSULES


ZYRTEC CETIRIZINE 10 MG CHEWABLE TABLET 30 TABLETS

ZYRTEC CETIRIZINE 10 MG TABLET 30 TABLETS

ZYRTEC CETIRIZINE 5 MG CHEWABLE TABLET 30 TABLETS

ZYRTEC CETIRIZINE 5 MG TABLET 30 TABLETS

ZYRTEC-D 12 HOUR CETIRIZINE/PSEUDOEPHEDRINE 5 MG-120 MG TABLET 60 TABLETS

ZYTIGA* ABIRATERONE ACETATE 250 MG TABLET 120 TABLETS

ZYTIGA* ABIRATERONE 500 MG TABLET 60 TABLETS


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