ENHANCED FORMULARY - QualChoice Health Insurance...ENHANCED FORMULARY 2017 Comprehensive Medication List Effective Date: May 25, 2017 This document has information about the drugs

ENHANCED FORMULARY

2017 Comprehensive Medication List

Effective Date: May 25, 2017

This document has information about the drugs covered in your plan.

Please read carefully.

1705 CR 021

QualChoice uses a Pharmacy and Therapeutics Committee made up of practicing doctors,

pharmacists, and nurses to make sure our drug list is clinically sound and gives the best value to

our members. This committee reviews FDA-approved drugs that are newly approved and those

thatare currently on the market. Drugs are chosen based on safety, effectiveness, and cost in

comparison to other drugs in their class.

Our Essential formulary includes generic drugs, preferred and non-preferred drugs, specialty

drugs and ACA (Affordable Care Act) preventive drugs. Our Essential formulary is a closed

formulary. This means that coverage is limited to those products listed in the different tiers.

There are 4 tiers on the formulary, along with the preventive drugs.

Tier 1 – This tier has the lowest member cost share. Most, but not all, generic medications are in

Tier 1.

Tier 2 – This tier contains some higher cost generic drugs and preferred brand-name drugs.

Preferred brand-name drugs generally have lower co-payments than non-preferredbrand-name

drugs.

Tier 3 – This tier may contain some higher cost generic drugs but is mostly non-preferred brand

drugs. Non-preferred drugs generally have higher co-payments than preferred brand-name

drugs.

Tier 5 – This tier contains specialty drugs and has the highest co-payment and cost. These drugs

are used to treat complex or rare health problems.

ACA Preventive Drugs – Drugs listed as ‘Preventive’ may have coverage and no co-payment

when health care reform requirements are met for age, gender, and/or risk factors.

We use reasonable medical and utilization management to determine whether a medication is

medically necessary. These may include prior authorization, quantity limits, and step therapy as

described below. Those drugs are listed as:

PA — Prior Authorization QL — Quantity Limits ST — Step Therapy

Table of Contents

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

GENERAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

Ery-TAB

Eryped 200

Eryped 400

Erythrocin Stearate

May 2017

Erythromycin

PCE

ANTI-INFECTIVES

Zmax

PENICILLINS

TETRACYCLINES

TIER 01 amoxicillin

TIER 01 avidoxy

amoxicillin/clavulanate potassium

demeclocycline HCL

amoxicillin/clavulanate potassium ER

doxycycline

ampicillin

doxycycline hyclate

ampicillin sodium

doxycycline monohydrate

ampicillin-sulbactam

minocycline HCL

dicloxacillin sodium

mondoxyne nl

nafcillin sodium

morgidox 1X100MG

oxacillin sodium

morgidox 1X50MG

penicillin v potassium

morgidox 2X100MG

Amoxicillin/Clavulanate Potassium

TIER 03 Demeclocycline HCL

TIER 03 Amoxicillin Trihydrate

Doxycycline Hyclate

Augmentin

Minocycline HCL

Moxatag

Oxytetracycline HCL

Penicillin G Procaine

Vibramycin

CEPHALOSPORIN

QUINOLONES

FIRST GENERATION

TIER 01 ciprofloxacin

TIER 01 cefadroxil

ciprofloxacin ER

cefazolin sodium

ciprofloxacin HCL

cephalexin

levofloxacin

Cefazolin Sodium

moxifloxacin HCL

SECOND GENERATION

ofloxacin

TIER 01 cefaclor

Ciprofloxacin HCL

cefotetan

Factive

cefoxitin sodium

Levofloxacin

cefprozil

cefuroxime axetil

AMINOGLYCOSIDES

cefuroxime sodium

TIER 01 amikacin sulfate

Cefaclor

gentamicin sulfate

TIER 03 Ceftin

gentamicin sulfate pediatric

THIRD GENERATION

neomycin sulfate

TIER 01 cefdinir

paromomycin sulfate

cefixime

tobramycin sulfate

cefpodoxime proxetil

Amikacin Sulfate

ceftazidime

TIER 03 Streptomycin Sulfate

ceftriaxone sodium

Tobramycin Sulfate

tazicef

TIER 05 tobramycin

Cefotaxime Sodium

Tobramycin

TIER 03 Cedax

Cefditoren Pivoxil

SULFONAMIDES

Ceftibuten

Spectracef

TIER 03 Sulfadiazine

Suprax

Sulfadiazine Sodium

FOURTH GENERATION

Sulfamethoxazole

TIER 01 cefepime

Sulfamethoxazole Micro

Sulfapyridine

MACROLIDES

Sulfisoxizole

TIER 01 azithromycin

ANTIMYCOBACTERIAL AGENTS

clarithromycin

clarithromycin ER

TIER 01 ethambutol HCL

erythromycin

isoniazid

erythromycin ethylsuccinate

pyrazinamide

E.e.s. 400

rifabutin

Erythromycin Base

rifampin

Erythromycin Ethylsuccinate

TIER 03 Aminosalicylic Acid

TIER 03 DificidPA

Cycloserine

E.e.s. Granules

Ethambutol HCL

Isoniazid

Myambutol

Effective May 25, 2017

PA=Prior Auth Required; ST=Step Therapy; QL=Quantity Limits; 1

Mycobutin

Stribild

Paser

Sustiva

Priftin

Tamiflu

Rifamate

Tivicay

Rifampin

Triumeq

Rifater

Valcyte

Trecator

Videx Pediatric

Viracept

ANTIFUNGALS

Virazole

Ziagen

TIER 01 bio-statin

TIER 05 adefovir dipivoxil

fluconazole

entecavir

flucytosine

moderiba

griseofulvin microsize

ribasphere

griseofulvin ultramicrosize

ribavirin

itraconazole

Baraclude

ketoconazolePA

EpclusaPA

nystatin

Fuzeon

terbinafine HCL

Moderiba

voriconazole

Moderiba 1200 Dose Pack

TIER 03 Bio-statin

Moderiba 800 Dose Pack

CresembaPA

Peg-intron RedipenPA

Noxafil

Peg-intron Redipen PAK 4PA

PegasysPA

ANTIVIRALS

Pegasys ProclickPA

TIER 01 abacavir

PegintronPA

abacavir sulfate/lamivudine/zidovudine

Rebetol

abacavir/lamivudine

Ribasphere

acyclovir

Ribasphere Ribapak

didanosine

Vemlidy

famciclovir

ZepatierPA

lamivudine

lamivudine/zidovudine

ANTIMALARIALS

lopinavir/ritonavir

TIER 01 atovaquone/proguanil HCL

nevirapine

chloroquine phosphate

nevirapine ERST

hydroxychloroquine sulfate

oseltamivir phosphate

mefloquine HCL

rimantadine HCL

quinine sulfate

stavudine

Primaquine Phosphate

valacyclovir HCL

TIER 03 Chloroquine Phosphate

valganciclovir

Coartem

valganciclovir hydrochlorde

Daraprim

zidovudine

Quinacrine HCL

TIER 02 Atripla

Quinine Sulfate

Intelence

Quinine Sulfate Dihydrate

Invirase

Kaletra

AMEBICIDES

Norvir

Prezista

TIER 03 Iodoquinol

Reyataz

Truvada

ANTHELMINTICS

Viramune

TIER 01 ivermectin

Viread

TIER 03 Albenza

TIER 03 Aptivus

Biltricide

Complera

Emverm

Crixivan

Mebendazole

Descovy

Piperazine Citrate

Edurant

Thiabendazole

Emtriva

Epzicom

MISC. ANTI-INFECTIVES

Evotaz

TIER 01 atovaquone

Genvoya

aztreonam

Isentress

baciim

Lexiva

bacitracin

Odefsey

clindamycin palmitate HCL

Prezcobix

clindamycin HCL

Relenza Diskhaler

dapsone

Rescriptor

lincomycin HCL

Selzentry

linezolid



metronidazole

Lupron Depot (4-month)PA

polymyxin b sulfate

TrelstarPA

sulfamethoxazole/trimethoprim

Trelstar MixjectPA

sulfamethoxazole/trimethoprim DS

VantasPA

sulfatrim pediatric

XtandiPA

tinidazole

ZoladexPA

trimethoprim

ZytigaPA

vancomycin HCL

TIER 03 Alinia

IMMUNOMODULATORS

Chloramphenicol

TIER 01 azathioprine

Nebupent

cyclosporine

Polymyxin B Sulfate

cyclosporine modified

Primsol

gengraf

Sivextro

mycophenolate mofetil

Trimethoprim

mycophenolic acid DR

Vancomycin HCL

sirolimus

Xifaxan

tacrolimus

TIER 05 colistimethate sodium

TIER 03 Astagraf XLPA

Cayston

Azasan

Azathioprine

ANTINEOPLASTICS, ETC

Envarsus XR

Levamisole HCL

ALKYLATING AGENTS

Rapamune

TIER 01 thiotepa

Zortress

TIER 03 Alkeran

TIER 05 Pomalyst

Gleostine

Revlimid

Hexalen

Thalomid

Leukeran

Mustargen

MITOTIC INHIBITORS

Myleran

TIER 05 Etoposide

Tepadina

TIER 05 temozolomide

ENZYME INHIBITORS

Cyclophosphamide

EvomelaPA

TIER 03 Iressa

Velcade

ANTIMETABOLITES

Votrient

TIER 05 imatinib mesylatePA

TIER 01 azacitidine

AfinitorPA

mercaptopurine

Afinitor Disperz

methotrexate

AlecensaPA

methotrexate sodium

BosulifPA

TIER 03 Methotrexate

CaprelsaPA

Tabloid

CometriqPA

Trexall

CotellicPA

TIER 05 capecitabinePA

FarydakPA

GilotrifPA

ANTIBODIES

IbrancePA

TIER 05 RituxanPA

IclusigPA

TecentriqPA

ImbruvicaPA

InlytaPA

HORMONAL AGENTS

JakafiPA

TIER 01 anastrozole

Lenvima 10 MG Daily DosePA

bicalutamide


exemestane


flutamide


letrozole


megestrol acetate


tamoxifen citrate

LynparzaPA

TIER 03 Emcyt

MekinistPA

Fareston

NexavarPA

Lupron Depot (6-month)

NinlaroPA

Lysodren

RubracaPA

Megestrol Acetate

SprycelPA

Soltamox

StivargaPA

TIER 05 leuprolide acetatePA

SutentPA

EligardPA

TafinlarPA

Firmagon

TagrissoPA

Hydroxyprogesterone Caproate

TarcevaPA


TasignaPA




ToriselPA

nadolol

TykerbPA

pindolol

XalkoriPA

propranolol hydrochloride

ZelborafPA

propranolol HCL

ZolinzaPA

propranolol HCL ER

ZydeligPA

sorine

ZykadiaPA

sotalol HCL

sotalol HCL (AF)

TOPOISOMERASE I INHIBITOR

TIER 03 Acebutolol HCL

Atenolol

TIER 03 Hycamtin

Bystolic

Coreg CR

ANTINEOPLASTICS MISC.

Innopran XL

TIER 01 hydroxyurea

Metoprolol Tartrate

tretinoin

Nadolol

TIER 03 Matulane

Propranolol HCL

TIER 05 bexarotenePA

Timolol Maleate

ActimmunePA

Alferon NPA

CALCIUM CHANNEL BLOCKERS

Intron APA

TIER 01 afeditab CR

Intron A W/DiluentPA

amlodipine besylate

ProleukinPA

cartia XT

SylatronPA

dilt-XR

Theracys

diltiazem CD

Tice Bcg

diltiazem HCL

diltiazem HCL CD

CHEMOTHERAPY RESCUE

diltiazem HCL ER

TIER 01 leucovorin calcium

felodipine ER

TIER 03 Mesnex

isradipine

matzim LA

ANTINEOPLASTIC COMBO

nicardipine HCL

TIER 05 LonsurfPA

nifedipine

nifedipine ER

CARDIOVASCULAR DRUGS

nimodipine

CARDIAC GLYCOSIDES

nisoldipine ER

TIER 01 digitek

taztia XT

digox

verapamil HCL

digoxin

verapamil HCL ER

TIER 03 Lanoxin

verapamil HCL SR

Nisoldipine ER

ANTIANGINAL AGENTS

TIER 03 Nymalize

TIER 01 isosorbide dinitrate

isosorbide mononitrate

ANTIARRHYTHMICS

isosorbide mononitrate ER

TIER 01 amiodarone HCL

minitran

disopyramide phosphate

nitro-time

dofetilide

nitroglycerin

flecainide acetate

nitroglycerin lingual

mexiletine HCL

nitroglycerin transdermal

pacerone

nitroglycerin ER

propafenone HCL

Nitroglycerin Lingual

propafenone HCL ER

TIER 02 Ranexa

quinidine gluconate CR

TIER 03 Dilatrate SR

quinidine gluconate ER

Isordil Titradose

Quinidine Sulfate

Nitro-bid

TIER 02 Norpace CR

Nitro-dur

TIER 03 Multaq

Nitromist

Procainamide HCL

Nitrostat

Tikosyn

BETA BLOCKERS

ACE INHIBITORS

TIER 01 acebutolol HCL

TIER 01 benazepril HCL

atenolol

captopril

betaxolol HCL

enalapril maleate

bisoprolol fumarate

fosinopril sodium

carvedilol

lisinopril

labetalol HCL

moexipril HCL

metoprolol succinate ER

perindopril erbumine

metoprolol tartrate

quinapril HCL



ramipril

Tribenzor

trandolapril

DIURETICS

ANGIOTENSIN RCPTR BLOCKER

TIER 01 acetazolamide

TIER 01 irbesartan

acetazolamide sodium

losartan potassium

acetazolamide ER

olmesartan medoxomilQL,PA,ST

amiloride HCL

valsartanPA,ST

amiloride/hydrochlorothiazide

Eprosartan Mesylate

bumetanide

TIER 02 candesartan cilexetil

chlorothiazide

telmisartanQL

chlorthalidone

TIER 03 BenicarQL,PA,ST

furosemide

EdarbiQL,PA

hydrochlorothiazide

indapamide

DIRECT RENIN INHIBITORS

methazolamide

metolazone

TIER 03 TekturnaQL

spironolactone

spironolactone/hydrochlorothiazide

ANTIHYPERTENSIVES MISC.

torsemide

TIER 01 clonidine HCL

triamterene/hydrochlorothiazide

doxazosin

Chlorothiazide

doxazosin mesylate

TIER 03 Aldactazide

eplerenone

Amiloride HCL

guanfacine HCL

Diuril

hydralazine HCL

Dyazide

methyldopa

Dyrenium

minoxidil

Furosemide

phenoxybenzamine hydrochloride

Hydrochlorothiazide

prazosin HCL

Maxzide

terazosin HCL

Maxzide-25

TIER 03 Demser

Methazolamide

Diazoxide

Methyclothiazide

Phentolamine Mesylate

Triamterene

Prazosin Hydrochloride

Prazosin HCL

VASOPRESSORS

TIER 01 ephedrine sulfate

ANTIHYPERTENSIVE COMBO

midodrine HCL

TIER 01 amlodipine besylate/benazepril hydrochloride

norepinephrine bitartrate

amlodipine besylate/benazepril HCL

phenylephrine HCL

amlodipine besylate/valsartan

Epinephrine

amlodipine/olmesartan medoxomil

Phenylephrine HCL

amlodipine/valsartan/hctz

atenolol/chlorthalidone

ANTIHYPERLIPIDEMICS

benazepril HCL/hydrochlorothiazide

TIER 01 atorvastatin calcium

bisoprolol fumarate/hydrochlorothiazide

cholestyramine

candesartan cilexetil/hydrochlorothiazide

cholestyramine light

enalapril maleate/hydrochlorothiazide

colestipol HCL

fosinopril sodium/hydrochlorothiazide

ezetimibe

irbesartan/hydrochlorothiazide

ezetimibe/simvastatinPA

lisinopril/hydrochlorothiazide

fenofibrate

losartan potassium/hydrochlorothiazide

fenofibrate micronized

metoprolol/hydrochlorothiazide

fluvastatin

moexipril/hydrochlorothiazide

gemfibrozil

nadolol/bendroflumethiazide

lovastatin

olmesartan medoxomil/amlodipine/hydrochlorothiazide

niacin ER

olmesartan medoxomil/hydrochlorothiazideQL,PA,ST

pravastatin sodium

quinapril/hydrochlorothiazide

prevalite

telmisartan/amlodipine

simvastatin

trandolapril/verapamil HCL ER

Fenofibrate

valsartan/hydrochlorothiazideST

TIER 02 fenofibric acid DR

Propranolol/Hydrochlorothiazide

rosuvastatin calcium

TIER 02 telmisartan/hydrochlorothiazideQL

TIER 03 Gemfibrozil

TIER 03 Azor

Niacor

Benicar HCTQL,PA,ST

VytorinPA

Clorpres

Welchol

Dutoprol

Zetia

EdarbyclorPA

TIER 05 RepathaPA

Metoprolol Succinate ER/Hydrochlorothiazide

Repatha Pushtronex SystemPA

Tekturna HCTQL



Repatha SureclickPA

sulfacetamide sodium

sulfacetamide sodium/sulfur

CARDIOVASCULAR - MISC.

sulfacetamide sodium/sulfur cleanser

tretinoin

TIER 01 amlodipine besylate/atorvastatin calcium

tretinoin microsphere

isoxsuprine HCL

tretinoin microsphere P.M.

papaverine HCL

zenatane

TIER 03 BidilQL

zencia

CaverjectQL,PA

Sodium Sulfacetamide/Sulfur

CialisQL,PA

TIER 02 Veltin

EdexQL,PA

TIER 03 Aczone

Entresto

Azelex

LevitraQL,PA

Benziq

MuseQL,PA

Benziq LS

Nylidrin Hydrochloride

Benzoyl Peroxide

StaxynQL,PA

Benzoyl Peroxide Hydrous

StendraQL,PA

Clindagel

ViagraQL,PA

Epiduo

TIER 05 sildenafilPA

Fabior

sildenafil citratePA

Sodium Sulfacetamide/Sulfur Cleanser IN Urea

AdcircaPA

Sodium Sulfacetamide/Sulfur IN Urea

AdempasPA

Sumaxin CP Kit

LetairisPA

Vanoxide-HC

OpsumitPA

Zaclir Cleansing

RevatioPA

TracleerPA

ROSACEA AGENTS

TyvasoPA

Tyvaso RefillPA

TIER 01 metronidazole

Tyvaso StarterPA

rosadan

UptraviQL,PA

TIER 03 Finacea

VentavisPA

Noritate

Rosadan Kit

DERMATOLOGICALS

ANTIBIOTICS - TOPICAL

ACNE PRODUCTS

TIER 01 gentamicin sulfate

TIER 01 adapalene

mupirocin

adapalene P.M.

TIER 03 Altabax

avar cleanser

Bacitracin

avar-e emollient

Bacitracin Zinc

avar-e green

Cortisporin

avita

Gentamicin Sulfate

benzepro

Gentamicin Sulfate Micronized

benzepro creamy wash

Neo-synalar

benzepro SHORT contact

Neomycin Sulfate

benzoyl peroxide

bp foam

ANTIFUNGALS - TOPICAL

bp wash

TIER 01 ciclodan

bp 10-1

ciclopirox

cerisa wash

ciclopirox nail lacquer

claravis

ciclopirox olamine

clearplex x

ciclopirox treatment

clindacin etz pledgets

clotrimazole

clindacin-p

clotrimazole/betamethasone dipropionate

clindamycin phosphate

dermazene

clindamycin/benzoyl peroxide

econazole nitrate

ery

hydrocortisone/iodoquinol

erythromycin

ketoconazole

erythromycin/benzoyl peroxide

ketodan

myorisan

nyamyc

neuac

nyata

oscion cleanser

nystatin

pr benzoyl peroxide wash

nystatin/triamcinolone

rosanil cleanser

nystop

sodium sulfacetamide

oxiconazole nitrate

sodium sulfacetamide/sulfur

TIER 03 Ala-quin

sodium sulfacetamide/sulfur cleanser

Aloquin

sodium sulfacetamide/sulfur green

Ertaczo

sodium sulfacetamide/sulfur wash

Exelderm

ss 10-2

Gentian Violet

sss 10%-5%



Halotin

fluocinonide

Mentax

fluocinonide emulsified base

Naftin

fluocinonide-e

Oxistat

flurandrenolide

Vusion

fluticasone propionate

Xolegel

halobetasol propionate

hydrocortisone

ANTIVIRALS - TOPICAL

hydrocortisone acetate/pramoxine

hydrocortisone butyrate

TIER 01 acyclovir

hydrocortisone butyrate (lipid)

TIER 02 Denavir

hydrocortisone butyrate (lipophilic)

TIER 03 Xerese

hydrocortisone valerate

Zovirax

hydrocortisone IN absorbase

hydrocortisone 1% IN absobase

ANTI-INFLAMMATORY AGENTS

mometasone furoate

TIER 01 diclofenac sodium

prednicarbate

TIER 03 FlectorPA

scalacort

triamcinolone acetonide

ANTIPRURITICS

triderm

TIER 01 Doxepin Hydrochloride

Amcinonide

TIER 03 Camphor

Apexicon E

Prudoxin

Desoximetasone

Zonalon

Diflorasone Diacetate

Psorcon

ANTIPSORIATICS

Trianex

TIER 01 acitretin

TIER 03 Capex

calcipotriene

Clocortolone Pivalate

calcitrene

Clocortolone Pivalate P.M.

methoxsalen

Cloderm

tazarotene

Cloderm P.M.

Calcitriol

Cordran

TIER 03 Anthralin

Cortane-b

Dritho-creme HP

Desonate

Tazorac

Desonide

Vectical

Enstilar

TIER 05 CosentyxPA

Epifoam

Cosentyx Sensoready PenPA

Fluocinolone Acetonide

StelaraPA

Fluocinonide

TaltzPA

Halog

Hydrocortisone

ANTISEBORRHEIC AGENTS

Hydrocortisone Acetate

TIER 01 seb-prev wash

Hydrocortisone Acetate Micronized

selenium sulfide

Hydrocortisone Micronized


Locoid

sodium sulfacetamide wash

Nucort

TIER 03 Glycolic Acid

Pandel

Glycolic Acid 70% High Purity

Taclonex

Loutrex

Texacort

Ovace Plus

Topicort

Promiseb

Verdeso

Sulfacetamide Sodium

IMMUNOMODULATING AGENTS

CORTICOSTEROIDS - TOPICAL

TIER 01 imiquimod

TIER 01 ala-cort

tacrolimus

alclometasone dipropionate

TIER 02 Elidel

augmented betamethasone dipropionate

betamethasone dipropionate

DERMATOLOGICALS - MISC.

betamethasone valerate

TIER 01 agoneaze

calcipotriene/betamethasone dipropionate

ammonium lactate

clobetasol propionate

anodyne lpt

clobetasol propionate e

benzoin compound tincture

clobetasol propionate emollient

cidaleaze

clodan

dermacinrx empricaine

cormax scalp application

dermacinrx prizopak

desonide

episone CRE

desoximetasone

glydo

fluocinolone acetonide

lactic acid

fluocinolone acetonide body

lactic acid e

fluocinolone acetonide scalp



lactic acid w/vitamin e

Eurax

latrix

Gebauers Pain Ease

leva set/occlusive dressing

Gebauers Spray And Stretch

lido bdk

Genadur

lido-prilo caine pack

Gordofilm

lidocaine

Gordons Urea

lidocaine HCL

Hylatopic Plus

lidocaine HCL jelly

Hylira

lidocaine PAK

HPR

lidocaine/prilocaine

HPR Plus

lidopin

Ichthammol

lidopril

Keralyt Scalp

lidopril XR

Latrix XM

liprozonepak

Lido-k

livixil PAK

Lidocaine HCL

malathion

Lidocaine HCL Monohydrate

medolor PAK

Natroba

permethrin

Neosalus

podofilox

Nuvail

pramox gel

Phlag Spray

premium lidocaine

Podophyllum Resin

prilolid

Pramoxine HCL

rea LO 40

Presera

relador PAK

Pyrogallic Acid

relador PAK plus

Salicylic Acid

remeven

Sebuderm

salacyn

Sulfurated Lime

salicylic acid

Synera

salicylic acid cream

Synerderm

salicylic acid lotion

Tannic Acid

salisol forte

Ulesfia

salitech forte

Umecta

sodium hyaluronate

Uramaxin

ure-k

Uramaxin GT Kit

urea

Urea Nail

urea hydrating

Veregen

urea topical

urea IN zinc undecylenate/lactic acid vehicle

ENDOCRINE AND METABOLIC

urea 40% nail film

CORTICOSTEROIDS

Cem-urea

TIER 01 betamethasone sodium phosphate/betamethasone acetate

Ethyl Chloride

Ethyl Chloride/Fine Pinpoint

budesonide

Ethyl Chloride/Fine Stream

deltasone

Ethyl Chloride/Medium Jet Stream

dexamethasone

Ethyl Chloride/Medium Stream

dexamethasone sodium phosphate

Ethyl Chloride/Mist

fludrocortisone acetate

Lindane

hydrocortisone

LP lite PAK

methylprednisolone

Podocon 25 IN Benzoin Tincture

methylprednisolone acetate

TIER 03 Alevicyn Antipruritic SG

methylprednisolone dose pack

Aluminum Chloride Anhydrous

methylprednisolone sodiumsuccinate

Aluminum Chloride Hexahydrate

prednisolone

Anacaine

prednisolone sodium phosphate

Arnica Flower

prednisolone sodium phosphate odt

Avage

prednisone

Bensal HP

Dexamethasone

Benzocaine

Dexamethasone Intensol

Benzoin Tincture

Dexamethasone Sodium Phosphate

Boric Acid

Prednisolone Sodium Phosphate

Calamine

Prednisone

Cantharidin

Prednisone Intensol

Capsaicin

TIER 03 Cortisone Acetate

Ceracade

Dexpak 10 Day

Coal TAR

Dexpak 13 Day

Cocaine HCL

Dexpak 6 Day

Condylox

Fludrocortisone Acetate

Emulsion SB

Medrol

Entty Spray Emulsion

Methylprednisolone

Epiceram



Methylprednisolone Acetate

alyacen 7/7/7

Millipred

amethia

Millipred DP

amethia LO

Prednisolone

apri

Prednisolone Acetate

aranelle

Prednisolone Anhydrous

ashlyna

Prednisolone Sodium Phosphate, Usp

aubra

Prednisolone Usp, Micronized Anhydrous

aviane

Veripred 20

azurette

balziva

ANDROGENS-ANABOLIC

bekyree

blisovi FE 1.5/30

TIER 01 danazol

blisovi FE 1/20

methyltestosterone

blisovi 24 FE

oxandrolone

briellyn

testosterone cypionatePA

camila

TIER 02 AndrogelPA

camrese

Androgel P.M.PA

camrese LO

Methitest

caziant

TIER 03 Anadrol-50

chateal

Androxy

cryselle-28

Danazol

cyclafem 1/35

MethyltestosteronePA

cyclafem 7/7/7

cyred

ESTROGENS

dasetta 1/35

TIER 01 amabelz

dasetta 7/7/7

covaryx

daysee

covaryx HS

deblitane

eemt

delyla

eemt HS

desogestrel/ethinyl estradiol

esterified estrogens/methltestosterone

drospirenone/ethinyl estradiol

esterified estrogens/methyltestosterone

drospirenone/ethinyl estradiol/levomefolate calcium

esterified estrogens/methyltestosterone DS

econtra EZ

esterified estrogens/methyltestosterone HS

elinest

estradiol

emoquette

estradiol valerate

enpresse-28

estradiol/norethindrone acetate

enskyce

fyavolv

errin

jevantique LO

estarylla

jinteli

fallback solo

lopreeza

falmina

mimvey

femynor

mimvey LO

gianvi

norethindrone acetate/ethinyl estradiol

gildagia

Estropipate

heather

TIER 02 Alora

introvale

Combipatch

jencycla

Minivelle

jolessa

Premarin

jolivette

Premphase

juleber

Prempro

junel FE 1.5/30

TIER 03 Depo-estradiol

junel FE 1/20

Divigel

junel FE 24

DuaveePA

junel 1.5/30

Elestrin

junel 1/20

Estradiol

kaitlib FE

Estriol

kariva

Estrogel

kelnor 1/35

Estrone

kimidess

Ethinyl Estradiol

kurvelo

Evamist

larin FE 1.5/30

Menest

larin FE 1/20

Menostar

larin 1.5/30

Vivelle-dot

larin 1/20

larin 24 FE

CONTRACEPTIVES

larissia

TIER 01 aftera

layolis FE

altavera

leena

alyacen 1/35

lessina

levonest



levonorgestrel

vestura

levonorgestrel and ethinyl estradiol

vienva

levonorgestrel/ethinyl estradiol

viorele

levora 0.15/30-28

vyfemla

lomedia 24 FE

wera

loryna

wymzya FE

low-ogestrel

zarah

lutera

zenchent

lyza

zenchent FE

marlissa

zovia 1/35e

medroxyprogesterone acetateQL

Necon 10/11-28

microgestin FE

Ogestrel

microgestin FE 1.5/30

Xulane

microgestin 1.5/30

TIER 02 Depo-subq Provera 104QL

microgestin 1/20

Falessa

microgestin 24 FE

Natazia

mono-linyah

Nuvaring

mononessa

TIER 03 Beyaz

my way

Ella

myzilra

LO Loestrin FE

necon 0.5/35-28

Ortho Micronor

necon 7/7/7

Safyral

next choice one dose

nikki

PROGESTINS

nora-be

TIER 01 medroxyprogesterone acetate

norethindrone

megestrol acetate

norethindrone & ethinyl estradiol ferrous fumarate

norethindrone acetate

norethindrone acetate/ethinyl estradiol

progesterone

norethindrone acetate/ethinyl estradiol/ferrous fumarate

TIER 03 Norethindrone Acetate

norethindrone/ethinyl estradiol/ferrous fumarate

Progesterone Micronized

norgestimate/ethinyl estradiol

Progesterone Milled

norlyroc

Progesterone Wettable

nortrel 0.5/35 (28)

TIER 05 MakenaPA

nortrel 1/35

nortrel 7/7/7

ANTIDIABETIC AGENTS

ocella

INSULIN

opcicon one-step

TIER 02 Lantus

option 2

Lantus Solostar

orsythia

Levemir

philith

Levemir Flextouch

pimtrea

Novolin N

pirmella 1/35

Novolin N Relion

pirmella 7/7/7

Novolin R

portia-28

Novolin R Relion

previfem

Novolin 70/30

quasense

Novolin 70/30 Relion

rajani

Novolog

react

Novolog Flexpen

reclipsen

Novolog Mix 70/30

setlakin

Novolog Mix 70/30 Prefilled Flexpen

sharobel

Novolog Penfill

sprintec 28

Toujeo Solostar

sronyx

TIER 03 Humalog Kwikpen

syeda

Humulin R U-500 (concentrated)

take action

AMYLIN ANALOGS

tarina FE 1/20

TIER 03 Symlinpen 120

tilia FE

Symlinpen 60

tri femynor

INCRETIN MIMETIC AGENTS

tri-estarylla

TIER 03 BydureonPA

tri-legest FE

Bydureon PenPA

tri-linyah

ByettaPA

tri-previfem

VictozaPA

tri-sprintec

SULFONYLUREAS

tri-LO-estarylla

TIER 01 glimepiride

tri-LO-marzia

glipizide

tri-LO-sprintec

glipizide ER

trinessa

glipizide XL

trinessa LO

glyburide

trivora-28

glyburide micronized

velivet



Tolazamide

Gonal-f RFFPA

TIER 03 Glipizide

Gonal-f RFF RedijectPA

Glyburide

MenopurPA

BIGUANIDES

OvidrelPA

TIER 01 metformin hydrochloride

metformin HCL

LHRH/GNRH AGONIST

metformin HCL ER

TIER 05 Lupaneta Pack

TIER 03 Riomet

Lupron Depot-PED (1-month)PA

MEGLITINIDE ANALOGUES

Lupron Depot-PED (3-month)PA

TIER 01 nateglinide

Supprelin LAPA

repaglinide

SynarelPA

DIABETIC OTHER

TIER 02 InvokanaPA

GNRH/LHRH ANTAGONISTS

JardiancePA

TIER 05 CetrotidePA

TIER 03 Glucagen Hypokit

Ganirelix AcetatePA

Glucagon Emergency Kit

Proglycem

GROWTH HORMONES

TIER 05 KorlymPA

TIER 05 Norditropin CartridgePA

ALPHA-GLUCOSIDASE INHIBIT

Norditropin FlexproPA

TIER 01 acarbose

miglitol

GHRH

DPP-4 INHIBITORS

TIER 05 EgriftaPA

TIER 02 JanuviaPA

OnglyzaPA

SOMATOMEDINS

INSULIN SENSITIZING AGENT

TIER 05 IncrelexPA

TIER 01 pioglitazone HCL

ANTIDIABETIC COMBINATIONS

SOMATOSTATIC AGENTS

TIER 01 glipizide/metformin HCL

TIER 05 octreotide acetatePA

glyburide/metformin HCL

Sandostatin Lar Depot

pioglitazone HCL-glimepiride

Signifor

pioglitazone HCL/metformin HCL

Somatuline Depot

Repaglinide/Metformin Hydrochloride

TIER 02 Invokamet

GH RECEPTOR ANTAGONISTS

Janumet

TIER 05 Somavert

Kombiglyze XR

Synjardy

POSTERIOR PITUITARY

TIER 03 Actoplus Met XR

TIER 01 desmopressin acetate

TIER 03 Stimate

BISPHOSPHONATES

TIER 01 alendronate sodium

PROLACTIN INHIBITORS

risedronate sodium

TIER 01 cabergoline

risedronate sodium DR

Alendronate Sodium

VASOPRESSIN ANTAGONISTS

Etidronate Disodium

TIER 03 Samsca

TIER 03 ibandronate sodiumST

PROGESTERONE ANTAGONISTS

CALCITONINS

TIER 03 Mifeprex

TIER 01 calcitonin salmon

calcitonin-salmon

METABOLIC MODIFIERS

PARATHYROID HORMONE

TIER 01 calcitriol

doxercalciferol

TIER 05 ForteoPA

levocarnitine

NatparaPA

paricalcitol

sodium phenylbutyrate

RANK LIGAND INHIBITORS

TIER 03 Buphenyl

TIER 05 ProliaPA

Cystadane

TIER 05 CarbagluPA

HORMONE RECEPTOR MDLTR

KuvanPA

TIER 01 raloxifene hydrochloride

OrfadinPA

TIER 03 OsphenaPA

Sensipar

FERTILITY REGULATORS

THYROID AGENTS

TIER 05 chorionic gonadotropinPA

TIER 01 levo-t

novarelPA

levothyroxine sodium

pregnyl w/diluent benzyl alcohol/NACLPA

levoxyl

BravellePA

liothyronine sodium

Follistim AQPA

methimazole

Gonal-fPA



propylthiouracil

Kaolin

unithroid

Motofen

unithroid direct

Paregoric

NP thyroid 15

Pectin

NP thyroid 60

NP thyroid 90

ANTACIDS

TIER 02 Nature-throid

TIER 03 Magnesium Oxide Heavy

Nature-throid Nt-2.5

Magnesium Oxide Light

NP thyroid 30

Magnesium Trisilicate

Thyrolar-1

Magnesium Trisilicate Anhydrous

Thyrolar-1/2

Magnesium Trisilicate Hydrate

Thyrolar-1/4

Sodium Bicarbonate

Thyrolar-2

Thyrolar-3

ULCER DRUGS

Westhroid

TIER 01 atropine sulfate

Wp Thyroid

chlordiazepoxide HCL/clidinium bromide

TIER 03 Armour Thyroid

dicyclomine HCL

Cytomel

ed-spaz

Liothyronine Sodium

glycopyrrolate

Methimazole

hyoscyamine sulfate

PCCA T3 Sodium Dilution

hyoscyamine sulfate odt

Synthroid

hyoscyamine sulfate ER

Thyroid

hyoscyamine sulfate SR

Thyroid Porcine

hyosyne

Tirosint

lansoprazole/amoxicillin/clarithromycin

Triiodo-l-thyronine Sodium

methscopolamine bromide

misoprostol

GASTROINTESTINAL

nulev

LAXATIVES

omeprazole

oscimin

TIER 01 constulose

oscimin SR

gavilyte-c

pantoprazole sodium

gavilyte-h

phenohytro

gavilyte-n/flavor pack

sucralfate

gavilyte-G

symax-SL

lactulose

symax-SR

peg 3350/electrolytes

Belladonna & Opium

peg-prep

TIER 02 lansoprazole

peg-3350/electrolytes

rabeprazole sodium

peg-3350/NACL/NA bicarbonate/KCL

TIER 03 Atropine Sulfate

pegylax

Atropine Sulfate Monohydrate

polyethylene glycol 3350

Carafate

trilyte

Cuvposa

TIER 03 Bisacodyl

Donnatal

Cascara Sagrada

Hyoscyamine Sulfate

Colyte-flavor Packs

Isopropamide Iodide

Docusate Sodium

Levsin

Gialax

Propantheline Bromide

Golytely

Pylera

Kristalose

Scopolamine HBR

Magnesium Sulfate

Sucralfate

Magnesium Sulfate Heptahydrate

Symax DuotabQL

Mineral Oil

Mineral Oil Heavy

ANTIEMETICS

Mineral Oil Light

Moviprep

TIER 01 aprepitantQL

Muri-lube

dronabinol

Nulytely/Flavor Packs

granisetron HCLQL

Osmoprep

meclizine HCL

Prepopik

ondansetron odt

Suprep Bowel Prep Kit

ondansetron HCLQL

trimethobenzamide HCL

ANTIDIARRHEALS

TIER 03 AnzemetQL

Cesamet

TIER 01 diphenoxylate/atropine

EmendQL

lofene

Meclizine HCL

loperamide HCL

Meclizine HCL Monohydrate

opium

SancusoQL

opium tincture

Transderm-scop

TIER 03 Bismuth Subgallate



VarubiQL

5-aminosalicylic Acid

TIER 05 CholbamPA

DIGESTIVE AIDS

CimziaPA

Cimzia Starter KitPA

TIER 02 Creon

RelistorQL,PA

Zenpep

TIER 03 L-glutamic Acid HCL

GENITOURINARY

Pepsin

Sucraid

URINARY ANTI-INFECTIVES

TIER 01 azuphen mb

GASTROINTESTINAL - MISC.

hyolev mb

TIER 01 alosetron hydrochloride

hyophen

ana-lex

me/naphos/mb/hyo 1

anucort-HC

methenamine hippurate

anusol-HC

methenamine mandelate

balsalazide disodium

nitrofurantoin

calcium acetate

nitrofurantoin macrocrystals

colocort

nitrofurantoin monohydrate

cromolyn sodium

nitrofurantoin monohydrate/macrocrystals

enulose

phosphasal

generlac

ur n-c

hemmorex-HC

uramit mb

hydrocort ene 100MG

urelle

hydrocortisone

uretron d/s

hydrocortisone acetate

uribel

hydrocortisone acetate/pramoxine

urin d/s

lactulose

uro-mp

lidazone HC

uro-458

lidocaine HCL/hydrocortisone acetate

uroav-b

mesalamine

uroav-81

metoclopramide HCL

urophen mb

pramcort

uryl

procto-MED HC

ustell

procto-PAK

uticap

proctosol HC

utira-c

proctozone-HC

utrona-c

sulfasalazine

TIER 03 Monurol

ursodiol

Nalidixic Acid

Lidocaine HCL-hydrocortisone Acetate With Aloe

Nitrofurantoin Macrocrystal

Mesalamine DRST

TIER 02 Canasa

URINARY ANTISPASMODICS

Cortifoam

TIER 01 bethanechol chloride

Lialda

darifenacin hydrobromide ERPA,ST

Linzess

flavoxate HCL

Pentasa

oxybutynin chloride

Proctofoam HC

oxybutynin chloride ER

Sfrowasa

tolterodine tartrate

TIER 03 Amitiza

tolterodine tartrate ER

Analpram-HC

trospium chloride

AprisoST

trospium chloride ER

Asacol HDST

TIER 03 Bethanechol Chloride

Auryxia

MyrbetriqPA

Azulfidine

Oxybutinin Chloride

Azulfidine EN-TABS

OxytrolPA

Chenodal

ToviazPA

DelzicolST

VesicarePA

Dipentum

Entereg

VAGINAL PRODUCTS

Fosrenol

TIER 01 clindamycin phosphate

Mesalamine

metronidazole vaginal

Metoclopramide HCL

terconazole

Metoclopramide HCL Monohydrate

vandazole

Movantik

vcf vaginal contraceptivegel

Phoslyra

yuvafem

Procort

TIER 02 Clindesse

Renagel

Encare

Renvela

Estrace

Simethicone

Options Gynol II Vaginal Contraceptive

Sulfasalazine

Premarin



Shur-seal

ferrous drops

Today Sponge

ferrous sulfate

Vcf Vaginal Contraceptive Film

folic acid

Vcf Vaginal Contraceptive Foam

gnp folic acid

TIER 03 Avc

iron supplement childrens

Cleocin

kp folic acid

Crinone

px folic acid

Endometrin

ra folic acid

Estring

sm folic acid

Fem PH

wee care

Femring

yl folic acid

Gynazole-1

CVS folic acid

Relagard

HM folic acid

Vagifem

TIER 02 Ferretts IPS

Ferrous Sulfate

GENITOURINARY - MISC.

Iron Chews Pediatric

Iron Up

TIER 01 acetic acid 0.25%

Nascobal

alfuzosin HCL ER

Novaferrum Pediatric Drops

aminoacetic acid

TIER 03 Cyanocobalamin

argyle sterile saline 100ML

Droxia

curity sterile saline

Ferrous Sulfate Anhydrous

cytra k crystals

Ferrous Sulfate Heptahydrate

dutasteride

Folic Acid

dutasteride/tamsulosin hydrochloridePA

Hydroxocobalamin

dutasteride/tamsulosin HCLPA

TIER 05 Aranesp Albumin Free

finasteride

CerdelgaPA

glycine

ElelysoPA

neomycin/polymyxin b sulfates

EpogenPA

phenazo

GranixPA

phenazopyridine HCL

LeukinePA

potassium citrate ER

Mircera

potassium citrate-citric acid crystals

Mozobil

potassium citrate/citric acid

Neulasta

sodium chloride

Neulasta Onpro Kit

sodium chloride 0.9%

Neupogen

sodium citrate/citric acid

Nplate

tamsulosin HCL

ProcritPA

taron-crystals

Promacta

tricitrates

Zarxio

virtrate-k

Zavesca

virtrate-2

virtrate-3

ANTICOAGULANTS

TIER 02 Elmiron

TIER 03 Cardura XL

TIER 01 heparin sodium

Cystagon

heparin sodium dcu

Glycine

heparin sodium/sodium chloride 0.9% premix

Glycine (l)

heparin sodium/NACL 0.9%

K-phos NO 2

jantoven

Lithostat

warfarin sodium

Oracit

TIER 02 Eliquis

Phenazopyridine HCL

Pradaxa

Potassium Citrate

Xarelto

Potassium Citrate Monohydrate

Xarelto Starter Pack

RapafloPA

TIER 03 Acd-a Noclot-50

Renacidin

Anticoagulant Citrate Dextrose Solution A

Sodium Citrate

Anticoagulant Citrate Phosphate Dextrose Solution

Sodium Citrate Anhydrous

Anticoagulant Sodium Citrate

Sorbitol

Coumadin

Sorbitol-mannitol

Tricitrasol

Thiola

Warfarin Sodium Clathrateform

TIER 05 enoxaparin sodium

HEMATOLOGICAL

fondaparinux sodium

Fragmin

HEMATOPOIETIC AGENTS

TIER 01 bprotected pedia iron

HEMOSTATICS

cyanocobalamin

TIER 01 tranexamic acidQL

fa-8

TIER 03 Amicar

fer-iron

Astringyn

ferosul



Evicel

karigel

Thrombin-jmi Diluent

karigel-n

Thrombin-jmi Syringe Spray Kit

lidocaine viscous

Thrombin-jmi W/Dil Spray P.M. Actuator

lidocaine HCL viscous

Thrombogen

neutragard advanced

neutral sodium fluoride

HEMATOLOGICAL - MISC.

nystatin

oralone

TIER 01 anagrelide hydrochloride

paroex

aspirin/dipyridamole

periogard

cilostazol

phos-flur

clopidogrel

pilocarpine hydrochloride

dipyridamole

pilocarpine HCL

pentoxifylline ER

prevident rinse

TIER 03 Aggrenox

topex topical anesthetic

Brilinta


Effient

triamcinolone IN orabase

TIER 05 AdvatePA

Lidocaine HCL

AdynovatePA

SF

AfstylaPA

SF 5000 plus

Alphanate/Von Willebrand Factor Complex/HumanPA

TIER 03 Amphotericin B

Alphanine SDPA

Debacterol

AlprolixPA

Gel-kam Oral Care Rinse

BebulinPA

Gelclair

BenefixPA

Mucotrol

CoagadexPA

Nafrinse Daily/Acidulated

CorifactPA

Nafrinse Daily/Neutral

FeibaPA

Nafrinse Weekly

Helixate FSPA

Neutrasal

Hemofil MPA

Oramagicrx

Humate-pPA

OravigST

IdelvionPA

Prevident Fluoride

IxinityPA

Prevident 5000 Booster

KoatePA

Prevident 5000 Booster Plus

Koate-dviPA

Prevident 5000 Dry Mouth

Kogenate FSPA

Prevident 5000 Plus

Kogenate FS Bio-setPA

Salicept

Monoclate-pPA

Salivamax

MononinePA

Salivate RX

NovosevenPA

Thera-flur-n

Novoseven RtPA

Zinc Acetate

NuwiqPA

ProfilninePA

NEUROLOGY, CNS, PSYCH

Profilnine SDPA

RecombinatePA

ANTIANXIETY AGENTS

Riastap

TIER 01 alprazolam

RixubisPA

alprazolam odt

Thrombate Iii

alprazolam ER

Thrombate Iii W/10 ML Sterile Water

alprazolam XR

Thrombate Iii W/20 ML Sterile Water

buspirone HCL

XynthaPA

chlordiazepoxide HCL

Xyntha SolofusePA

clorazepate dipotassium

diazepam

MOUTH/THROAT/DENTAL AGENT

diazepam intensol

droperidol

TIER 01 cavarest

gene-xene TAB 15MG

cevimeline HCL

gene-xene TAB 3.75MG

chlorhexidine gluconate

gene-xene TAB 7.5MG

chlorhexidine gluconate oral rinse

hydroxyzine pamoate

clinpro 5000

hydroxyzine HCL

clotrimazole

lorazepam

denta 5000 plus

lorazepam intensol

dentagel

meprobamate

easygel

oxazepam

fluoridex

Alprazolam Intensol

fluoridex daily renewal

Hydroxyzine Pamoate

fluoridex enhanced whitening

TIER 03 Droperidol

fluoridex sensitivity relief

fluoridex sensitivity relief/sls free

ANTIDEPRESSANTS

TIER 01



amitriptyline HCL

risperidoneQL

bupropion HCL

risperidone odtQL

bupropion HCL ER

risperidone M-TABQL

bupropion HCL SR

thioridazine HCL

bupropion HCL XL

thiothixene

citalopram hydrobromide

trifluoperazine HCL

clomipramine HCL

ziprasidone HCLQL

desipramine HCL

Clozapine OdtQL

desvenlafaxine ERQL,PA

Fluphenazine HCL

doxepin HCL

Lithium Carbonate

escitalopram oxalate

TIER 03 Abilify Maintena

fluoxetine HCL

Aristada

fluvoxamine maleate

Chlorpromazine HCL

fluvoxamine maleate ER

EquetroQL

imipramine pamoate

FanaptQL

imipramine HCL

Fanapt Titration PackQL

mirtazapine

FazacloQL

mirtazapine odt

Haloperidol

nefazodone HCL

Invega Sustenna

nortriptyline HCL

Invega Trinza

paroxetine HCL

LatudaQL

paroxetine HCL ER

NuplazidPA

phenelzine sulfate

Prochlorperazine Maleate

protriptyline HCL

RexultiPA

sertraline HCL

SaphrisQL,PA

tranylcypromine sulfate

Seroquel XRQL

trazodone HCL

VraylarPA

trimipramine maleate

Zyprexa Relprevv

venlafaxine HCLQL

TIER 05 Risperdal Consta

venlafaxine HCL ER

Amoxapine

HYPNOTICS

Doxepin HCL

TIER 01 estazolam

Fluoxetine DR

phenobarbital

Nefazodone HCL

temazepam

Nortriptyline HCL

triazolam

TIER 02 duloxetine HCLQL

zaleplonQL

Desvenlafaxine ER

zolpidem tartrateQL

Khedezla

Flurazepam HCL

TIER 03 Desipramine HCL

Phenobarbital

EmsamQL

Phenobarbital Sodium

Marplan

Quazepam

PristiqPA

Triazolam

Trazodone HCL

TIER 02 eszopicloneQL

Trimipramine Maleate

zolpidem tartrate ERQL

TIER 03 Amytal Sodium

ANTIPSYCHOTICS

Butisol Sodium

TIER 01 aripiprazoleQL

Chloral Hydrate

chlorpromazine HCL

Doral

clozapineQL

Pentobarbital Sodium

clozapine odtQL

RozeremQL

compro

Seconal Sodium

fluphenazine decanoate

SilenorQL,ST

fluphenazine HCL

haloperidol

ADHD, NARCOLEPSY, ETC.

haloperidol decanoate

TIER 01 armodafinilQL,PA

haloperidol lactate

caffeine citrate

lithium carbonate

dexedrineQL

lithium carbonate ER

dexmethylphenidate HCL

loxapine

dextroamphetamine sulfateQL

loxapine succinate

guanfacine ERPA

olanzapineQL

methamphetamine HCLQL

olanzapine odtQL

methylphenidate hydrochloride

paliperidone ERQL

methylphenidate HCLQL

perphenazine

modafinilQL,PA

prochlorperazine

zenzediQL

prochlorperazine maleate

Methylphenidate HCLQL

quetiapine fumarateQL

TIER 02 amphetamine/dextroamphetamineQL

quetiapine fumarate ERQL

dexmethylphenidate HCL ERQL



dextroamphetamine sulfate ERQL

Phenytek

metadate ERQL

Phenytoin Sodium

methylphenidate HCL CDQL

Sabril

methylphenidate HCL ERQL

Tegretol

methylphenidate HCL SRQL

Tegretol-XR

Methylphenidate HCL ERQL

Topamax

StratteraQL,PA

Topamax Sprinkle

TIER 03 Caffeine Anhydrous

Trileptal

Caffeine Citrated

Trokendi XRPA

DaytranaQL,PA

Vimpat

Focalin XRQL

Zarontin

Quillivant XRQL

Zonegran

VyvanseQL

ANTIPARKINSON AGENTS

ANTICONVULSANTS

TIER 01 amantadine HCL

TIER 01 carbamazepine

benztropine mesylate

carbamazepine ER

bromocriptine mesylate

clonazepam

carbidopa

clonazepam odt

carbidopa/levodopa

divalproex sodium

carbidopa/levodopa odt

divalproex sodium DR

carbidopa/levodopa ER

divalproex sodium ER

entacapone

epitol

pramipexole dihydrochloride

ethosuximide

pramipexole dihydrochloride ER

felbamate

rasagiline mesylatePA

fosphenytoin sodium

ropinirole ER

gabapentin

ropinirole HCL

lamotrigine

selegiline HCL

lamotrigine odt

tolcapone

lamotrigine titration

trihexyphenidyl HCL

lamotrigine ER

Carbidopa/Levodopa/Entacapone

levetiracetam

TIER 03 AzilectPA

levetiracetam ER

Benztropine Mesylate

oxcarbazepine

Bromocriptine Mesylate

phenytoin

Levodopa

phenytoin infatabs

NeuproPA

phenytoin sodium extended

Selegiline HCL

primidone

Stalevo 100

roweepra

Stalevo 125

tiagabine hydrochloride

Stalevo 150

topiramate

Stalevo 200

valproic acid

Stalevo 50

zonisamide

Stalevo 75

TIER 03 Banzel

Zelapar

BriviactPA

Carbatrol

NEUROLOGY, PSYCH - MISC.

Celontin

TIER 01 acamprosate calcium DR

Depakene

bupropion HCL SR

Depakote

disulfiram

Depakote ER

fluoxetine HCL

Depakote Sprinkles

galantamine hydrobromide

Dilantin

galantamine hydrobromide ER

Dilantin Infatabs

olanzapine/fluoxetineQL

Dilantin-125

pimozide

FycompaPA

rivastigmine tartrate

Gabitril

rivastigmine transdermal system

Keppra

Chlordiazepoxide/Amitriptyline

Keppra XR

Ergoloid Mesylates

Lamictal

Fluoxetine

Lamictal Chewable Dispersible

Galantamine Hydrobromide

Lamictal Odt

Perphenazine/Amitriptyline

Lamictal XR

TIER 02 donepezil HCLST

LyricaPA

TIER 03 ChantixPA

Mysoline

Chantix Continuing Month PAKPA

Neurontin

Chantix Starting Month PAKPA

OnfiPA

Namenda XR

Oxtellar XR

Namenda XR Titration Pack

Peganone

NuedextaPA



Sarafem

gentamicin sulfate

Savella

levofloxacin

Savella Titration Pack

neo-polycin

TIER 05 glatopa

neomycin/bacitracin/polymyxin

tetrabenazinePA

neomycin/polymyxin/gramicidin

AmpyraPA

ofloxacin

AubagioPA

polycin

Avonex

polymyxin b sulfate/trimethoprim sulfate

Avonex Pen


Betaseron

sulfacetamide sodium

Copaxone

tobramycin sulfate

Extavia

trifluridine

GilenyaPA

trimethoprim sulfate/polymyxin b sulfate

Plegridy

TIER 02 Vigamox

Plegridy Starter Pack

TIER 03 Azasite

RebifPA

Besivance

Rebif RebidosePA

Betadine Ophthalmic Prep

Rebif Rebidose Titration PackPA

Ciloxan

Rebif Titration PackPA

Moxeza

TecfideraPA

Natacyn

Tecfidera Starter PackPA

Sulfacetamide Sodium

XyremPA

Tobrex

ZinbrytaPA

Zirgan

NEUROMUSCULAR AGENTS

ARTIFICIAL TEAR/LUBRICANT

TIER 03 Xeomin

TIER 03 Lacrisert

TIER 05 riluzole

BotoxPA

BETA-BLOCKERS

DysportPA

TIER 01 betaxolol HCL

MyoblocPA

carteolol HCL

dorzolamide HCL/timolol maleate

MUSCULOSKELETAL AGENTS

levobunolol HCL

TIER 01 baclofen

timolol maleate

carisoprodol

timolol maleate ophthalmic gel forming

carisoprodol/aspirin

Metipranolol

carisoprodol/aspirin/codeine

TIER 03 Betimol

chlorzoxazone

Betoptic-s

cyclobenzaprine HCL

Combigan

dantrolene sodium

Istalol

methocarbamol

Timoptic Ocudose

orphenadrine citrate

orphenadrine citrate ER

OPHTHALMIC STEROIDS

tizanidine HCL

TIER 01 fluorometholone

TIER 02 metaxallST

neo-polycin HC

metaxaloneST

neomycin/polymyxin/bacitracin/hydrocortisone

TIER 03 Carisoprodol

neomycin/polymyxin/dexamethasone

TIER 05 EuflexxaPA

prednisolone acetate

Gel-onePA

sulfacetamide sodium/prednisolone sodium phosphate

Genvisc 850PA

tobramycin/dexamethasone

HyalganPA

Dexamethasone Sodium Phosphate

OrthoviscPA

TIER 02 Lotemax

SupartzPA

TIER 03 Alrex

Supartz FxPA

Blephamide

SynviscPA

Blephamide S.o.p.

Synvisc OnePA

Durezol

Flarex

ANTIMYASTHENIC AGENTS

FML

TIER 01 pyridostigmine bromide

FML Forte

pyridostigmine bromide ER

Maxidex

TIER 03 Mestinon

Pred Mild

Pred-G

OPHTHALMOLOGY AND OTIC

Pred-G S.o.p.

Tobradex

ANTI-INFECTIVES

Tobradex ST

TIER 01 bacitracin/polymyxin b

Zylet

ciprofloxacin HCL

erythromycin

PROSTAGLANDINS

gatifloxacin

TIER 01 latanoprost

gentak



Bimatoprost

cyotic

TIER 02 Travatan Z

exotic-HC

fluocinolone acetonide

CYCLOPLEGIC MYDRIATICS

fluocinolone acetonide ear drops

hydrocortisone/acetic acid

TIER 01 cyclopentolate hydrochloride

neomycin/polymyxin/hydrocortisone

cyclopentolate HCL

neomycin/polymyxin/HC

homatropaire

ofloxacin

homatropine HBR

otomax-HC

tropicamide

TIER 02 Ciprodex

Atropine Sulfate

TIER 03 Cetraxal

TIER 03 Cyclomydril

Cipro HC

Tropicamide

Ciprofloxacin

Coly-mycin S

DECONGESTANTS

Cortane-b Aqueous

TIER 01 altafrin

phenylephrine HCL

OXYTOCICS

MIOTICS

TIER 01 methylergonovine maleate

TIER 01 pilocarpine HCL

oxytocin

TIER 03 Phospholine Iodide

Methergine

ADRENERGIC AGENTS

PAIN MANAGEMENT

TIER 01 apraclonidine

brimonidine tartrate

ANALGESICS - NONNARCOTIC

TIER 03 Alphagan P

TIER 01 adult aspirin EC low strength

Iopidine

aspir-low

Simbrinza

aspir-81

aspirin

IMMUNOMODULATORS

aspirin adult low dose

TIER 02 Restasis

aspirin adult low strength

Restasis Multidose

aspirin childrens

aspirin enteric coated adult low strength

LOCAL ANESTHETICS

aspirin low dose

aspirin low strength

TIER 01 altacaine

aspirin EC

proparacaine HCL

aspirin EC low dose

tetcaine

aspirin 81

tetracaine HCL

aspirin 81 low dose

tetravisc

aspirtab

tetravisc forte

bayer advanced aspirin regular strength

TIER 03 Akten

bayer aspirin

bayer aspirin regimen

OPHTHALMICS - MISC.

bayer aspirin EC low dose

TIER 01 azelastine HCL

bayer chewable low dose

bromfenac

bayer low dose

cromolyn sodium

butalbital/acetaminophen

diclofenac sodium

butalbital/acetaminophen/caffeine

dorzolamide HCL

butalbital/aspirin/caffeine

epinastine HCL

childrens aspirin

flurbiprofen sodium

childrens aspirin low strength

ketorolac tromethamine

choline magnesium trisalicylate

olopatadine HCL

coated aspirin

Bromfenac

diflunisal

TIER 02 Pataday

ecotrin

Pazeo

ecotrin low strength

TIER 03 Alocril

ecpirin

Alomide

enteric coated aspirin

Azopt

eq adult aspirin low strength

Bepreve

eq aspirin

Emadine

eq aspirin adult low dose

Ilevro

eq aspirin low dose

Lastacaft

eq aspirin EC

Nevanac

eq childrens aspirin

Xiidra

eql aspirin

eql aspirin low dose

OTIC AGENTS

eql aspirin EC

TIER 01 acetasol HC

gnp adult aspirin low strength

acetic acid

gnp aspirin

cortic-nd



gnp aspirin low dose

ascomp/codeine

goodsense aspirin

buprenorphine HCL

goodsense aspirin adult low strength

buprenorphine HCL/naloxone HCLPA

goodsense aspirin low dose

butalbital/acetaminophen/caffeine/codeine

h-e-b aspirin

butalbital/aspirin/caffeine/codeine

kls aspirin low dose

butorphanol tartrateQL

kls aspirin EC

codeine sulfate

kp aspirin

duramorph

marten-TAB

endocetQL

meijer aspirin EC

fentanyl

miniprin low dose

fentanyl citrate oral transmucosalQL,PA

norwich aspirin

hydrocodone bitartrate/acetaminophenQL

px aspirin

hydrocodone/acetaminophenQL

px enteric aspirin

hydrocodone/ibuprofen

qc aspirin

hydromorphone HCL

qc aspirin low dose

hydromorphone HCL dosette

qc chewable aspirin low dose

ibudone

qc childrens aspirin

lorcetQL

qc enteric aspirin

lorcet plusQL

ra aspirin

lorcet HDQL

ra aspirin adult low dose

lortabQL

ra aspirin adult low strength

meperidine HCL

ra aspirin childrens

methadone HCL

ra aspirin EC

methadone HCL intensol

ra aspirin EC adult low strength

methadose

ra childrens aspirin

morphine sulfate

salsalate

morphine sulfate ER

sm aspirin

nalbuphine HCL

sm aspirin adult low strength

oxycodone HCL

sm aspirin enteric coated

oxycodone/acetaminophenQL

sm aspirin EC low strength

oxycodone/aspirin

sm childrens aspirin

oxymorphone hydrochloride

st joseph aspirin

pentazocine/naloxone HCL

st joseph low dose aspirin

reprexain

tgt aspirin

tramadol hydrochloride/acetaminophenQL

tgt aspirin low dose

tramadol HCL

tgt childrens aspirin

tramadol HCL ER

tgt enteric-coated aspirin

verdrocet

CVS aspirin

vicodinQL

CVS aspirin adult low dose

vicodin ESQL

CVS aspirin adult low strength

vicodin HPQL

CVS aspirin low dose

xylon

CVS aspirin EC

Aspirin-caffeine-dihydrocodeine

CVS childrens aspirin

Butorphanol Tartrate

CVS enteric aspirin

Codeine Sulfate

Duraxin

Levorphanol Tartrate

EC-81 aspirin

Methadone HCL

HM aspirin

Morphine Sulfate

HM aspirin EC

Morphine Sulfate ER

HM aspirin EC low dose

Oxycodone/Ibuprofen

MM aspirin

Oxymorphone Hydrochloride ER

SB aspirin

TIER 02 Oxycodone HCL ER

SB aspirin adult low strength

Oxycontin

SB aspirin EC

SuboxonePA

SB childrens aspirin

TIER 03 BunavailPA

SB low dose asa EC

Codeine Phosphate

Tencon

Kadian

TIER 03 Acetyl Salicylic Acid

Lortab

Aspirin

Meperidine HCL

Levacet

Meperidine HCL/Promethazine HCL

Sodium Salicylate

Nucynta

Vanatol LQ

Nucynta ER

TIER 05 Prialt

Opana ER (crush Resistant)

Oxycodone/AcetaminophenQL

ANALGESICS - OPIOID

PrimlevQL

Synalgos-dc

TIER 01 acetaminophen/codeineQL

acetaminophen/codeine phosphateQL

ANTI-INFLAMMATORY

alfentanil

TIER 01



diclofenac potassium

Migergot

diclofenac sodium DR

MigranalQL

diclofenac sodium ER

RelpaxQL,PA,ST

diclofenac sodium/misoprostol

ZomigQL,ST

flurbiprofen

ibuprofen

GOUT AGENTS

indomethacin

TIER 01 allopurinol

indomethacin ER

probenecid

ketoprofen

probenecid/colchicine

ketorolac tromethamine

TIER 03 Colchicine

leflunomide

Colcrys

mefenamic acid

Mitigare

meloxicam

Uloric

nabumetone

ZurampicPA

naproxen

naproxen sodium

LOCAL ANESTHETICS-INJ

naproxen DR

TIER 01 bupivacaine HCL

oxaprozin

bupivacaine/epinephrine

sulindac

lidocaine HCL

Ketorolac Tromethamine

lidocaine/epinephrine

Meclofenamate Sodium

polocaine

Tolmetin Sodium

polocaine-mpf

TIER 02 celecoxibPA

ropivacaine

etodolac

ropivacaine HCL

etodolac ER

sensorcaine

piroxicam

sensorcaine-mpf

TIER 03 Arcalyst

sensorcaine-mpf/epinephrine

Indocin

sensorcaine/epinephrine

Phenylbutazone

xylocaine dental

Ridaura

Ropivacaine Hydrochloride

Sulindac

Tetracaine HCL

TIER 05 ActemraPA

TIER 03 Mepivacaine HCL

EnbrelPA

Procaine HCL

Enbrel SureclickPA

Sensorcaine-mpf/Epinephrine

HumiraPA

Humira Pediatric Crohns Disease Starter PackPA

GENERAL ANESTHETICS

Humira PenPA

TIER 01 isoflurane

Humira Pen-crohns DiseasestarterPA

ketamine HCL

Humira Pen-psoriasis StarterPA

sevoflurane

KineretPA

terrell

OrenciaPA

Orencia ClickjectPA

RESPIRATORY, ALLERGY, ETC

OtezlaPA

ANTIHISTAMINES

SimponiPA

TIER 01 carbinoxamine maleate

XeljanzPA

cyproheptadine HCL

Xeljanz XRPA

diphenhydramine HCL

pharbedryl

MIGRAINE PRODUCTS

phenadoz

TIER 01 dihydroergotamine mesylate

phenergan

ergotamine tartrate/caffeine

promethazine HCL

frovatriptan succinateQL,PA,ST

promethazine HCL plain

isometheptene/dichloralphenazone/acetaminophen

promethegan

naratriptan HCLQL

TIER 03 Brompheniramine Maleate

nodolor

Brompheniramine Tannate

rizatriptan benzoateQL

Chlorpheniramine Maleate

rizatriptan benzoate odtQL

Clemastine Fumarate

sumatriptanQL

Diphenhydramine HCL

sumatriptan succinateQL

Doxylamine Succinate

sumatriptan succinate refillQL

Pyrilamine Maleate

Sumatriptan SuccinateQL

Tripelennamine HCL

TIER 02 almotriptanQL,PA,ST

almotriptan malateQL,PA,ST

NASAL AGENTS

zolmitriptanQL

TIER 01 azelastine HCL

zolmitriptan odtQL

budesonide

TIER 03 Cafergot

flunisolide

Dihydroergotamine Mesylate

fluticasone propionate

Ergomar

ipratropium bromide

Ergotamine Tartrate

olopatadine HCL




theochron

TIER 03 Adrenalin

theophylline CR

Phenylephrine HCL

theophylline ER

Phenylpropanolamine Hydrochloride Usp

zafirlukast

Pseudoephedrine HCL

Cromolyn Sodium

Elixophyllin

COUGH/COLD/ALLERGY

TIER 02 Advair DiskusPA

Advair HFAPA

TIER 01 acetylcysteine

Anoro Ellipta

benzonatate

Arnuity Ellipta

biotuss

Breo ElliptaPA

biotuss pediatric

Flovent Diskus

bromfed DM

Flovent HFA

bromphen/pseudoephedrine HCL/dextromethorphan HBR

Incruse Ellipta

giltuss pediatric

Levalbuterol Tartrate HFA

hydrocodone bitartrate/homatropine methylbromide

Proair HFA

hydrocodone polistirex/chlorpheniramine polistirex

Proair Respiclick

hydrocodone/homatropine

Pulmicort Flexhaler

hydromet

Serevent Diskus

nebusal

Spiriva Handihaler

nortuss-DE

Spiriva Respimat

promethazine VC plain

SymbicortPA

promethazine VC/codeine

Theo-24

promethazine-DM

Ventolin HFA

promethazine/codeine

TIER 03 Aerospan

promethazine/dextromethorphan

Albuterol Sulfate

promethazine/phenylephrine

Aminophylline Anhydrous

promethazine/phenylephrine/codeine

Arcapta Neohaler

pulmosal

Atrovent HFA

sodium chloride

Bevespi Aerosphere

tussigon

Brovana

Benzonatate

Combivent Respimat

TIER 03 Acetylcysteine

DalirespPA

Bromhexine HCL

Ephedrine HCL

Carbaphen 12

Ephedrine Sulfate

Carbaphen 12 PED

Flunisolide

Decon-a

Flunisolide Anhydrous

Decon-G

Ipratropium Bromide

Gilphex TR

Ipratropium Bromide Monohydrate

Giltuss TR

Metaproterenol Sulfate

Hypersal

Perforomist

N-acetyl-l-cysteine

Stiolto Respimat

Neotuss Plus

Striverdi Respimat

Nortuss-EX

Terbutaline Sulfate

Panatuss Dxp

Utibron Neohaler

Relhist

Xopenex HFA

Rezira

TIER 05 NucalaPA

Semprex-d

XolairPA

Terpin Hydrate

Terpin Hydrate Monohydrate

RESPIRATORY AGENTS - MISC

Tgq 15DM/5PEH/2CPM

Tgq 30PSE/150GFN/15DM

TIER 03 Curosurf

Tgq 30PSE/3BRM/15DM

Survanta Intratracheal

Tussicaps

TIER 05 EsbrietPA

KalydecoPA

ANTIASTHMATIC/COPD AGENTS

OfevPA

OrkambiPA

TIER 01 albuterol

Pulmozyme

albuterol sulfate

albuterol sulfate ER

TOXOIDS

albuterol TAB 4MG

budesonide

difil-G forte

TIER 03 Adacel

epinephrine HCL

Boostrix

ipratropium bromide

Daptacel

ipratropium bromide/albuterol sulfate

Diphtheria/Tetanus Toxoids Adsorbed Pediatric

levalbuterol

Infanrix

levalbuterol HCL

Kinrix

montelukast sodium

Pediarix

terbutaline sulfate

Pentacel



Quadracel

delta d3

Tenivac

dialyvite vitamin d 5000

Tetanus/Diphtheria Toxoids-adsorbed

dialyvite vitamin d3 max

d2000 ultra strength

VACCINES

d3

d3 adult

d3 adult gummy

TIER 03 Acthib

d3 high potency

Afluria PF 2015-2016

d3 kids

Afluria PF 2016-2017

d3 maximum strength

Afluria Quadrivalent 2016-2017

d3 super strength

Afluria 2015-2016QL

d3 ultra strength

Afluria 2016-2017QL

d3 2000

Bexsero

d3-1000

Engerix-b

d3-50

Fluad 2016-2017

eql vitamin d3

Fluarix Quadrivalent 2016-2017

eql vitamin d3 gummies

Flublok 2015-2016

gnp d 1000

Flublok 2016-2017

gnp d 2000

Flucelvax Quadrivalent 2016-2017

gnp vitamin d

Flulaval Quadrivalent 2016-2017

gnp vitamin d maximum strength

Fluvirin 2015-2016QL

gnp vitamin d super strength

Fluvirin 2016-2017QL

gnp vitamin d3 extra strength

Fluzone High-dose PF 2016-2017

healthy kids vitamin d3

Fluzone Intradermal Quadrivalent 2016-2017

just d

Fluzone Quadrivalent 2016-2017

kp vitamin d

Gardasil

kp vitamin d3

Gardasil 9

maximum d3

Havrix

mega-c/a plus

Hiberix

nat-rul vitamin d

Ipol Inactivated IPV

natural vitamin d-3

M-m-r II

optimal-d

Menactra

optimal-d pack

Menhibrix

opurity vitamin d

Menveo

ortho-CS 250

Pedvax HIB

pronutrients vitamin d3

Pneumovax 23

ra vitamin d-3

Pneumovax 23/1 Dose

sm vitamin d

Prevnar 13

sm vitamin d3

Proquad

thera-d rapid repletion

Recombivax HB

thera-d 2000

Rotarix

thiamine HCL

Rotateq

vitajoy daily d gummies

Trumenba

vitamin c 222MG

Twinrix

vitamin d

Vaqta

vitamin d high potency

Varivax

vitamin d 400

ZostavaxQL

vitamin d-1000

vitamin d-1000 maximum strength

VITAMINS

vitamin d-3

VITAMINS

vitamin d-400

TIER 01 aqueous vitamin d infants

vitamin d3

ascorbic acid

vitamin d3 adult gummies

bio-d-mulsion

vitamin d3 gummies

bio-d-mulsion forte

vitamin d3 high potency

bprotected pedia d-vite

vitamin d3 maximum strength

d 1000

vitamin d3 super strength

d 10000

vitamin d3 ultra potency

d 2000

vitamin d3 400

d 400

Aminobenzoate Potassium

d 5000

CVS d3

d-vita

CVS vitamin d childrens gummies

d-1000

CVS vitamin d3

d-1000 extra strength

HM vitamin d

d-2000 maximum strength

HM vitamin d3

d-3-5

PA vitamin d-3

d-400

PA vitamin d-3 gummy

d-5000

TIER 02 Baby Super Daily D3

decara

Baby Vitamin D3 Drops



CVS Vitamin D3 Drops/Infants

Citranatal RX

Ddrops

Citranatal 90 DHA

D3 Dots

Clinical Nutrients Prenatal Formula

HM Vitamin D3

Concept DHA

Replesta

Concept OB

Replesta Childrens

Dothelle DHA

Replesta Nx

Duet DHA Balanced

Sm Vitamin D3 Maximum Strength

Duet DHA 400

Super Daily D3

Extra-virt Plus DHA

Thera-d 4000

Ezfe Forte

Vitamelts Vitamin D

Focalgin CA

Vitamin D3

Focalgin 90 DHA

Wellesse Vitamin D3

Folcal DHA

TIER 03 Aminobenzoic Acid

Folcaps Omega 3

Calcium Ascorbate Dihydrate

Folet One

Calcium Pantothenate

Folivane-OB

Decara

Gnp Daily Prenatal

Ergocalciferol

Gnp Prenatal

Niacin

Goodsense Prenatal Vitamins

Para-aminobenzoic Acid

Hemenatal OB

Potaba

Hemenatal OB + DHA

Potassium P-aminobenzoate

HM One Daily Prenatal Combo

Pyridoxine HCL

HM Prenatal

Sodium Ascorbate

Infanate Balance

Thiamine Hydrochloride

Kosher Prenatal Plus Iron

Thiamine HCL

Kp Prenatal Multivitamins

Wheat Germ

Kpn Prenatal

4-aminobenzoic Acid Potassium Salt

Levomefolate DHA

Marnatal-f

MULTIVITAMINS

Mynatal

Nat-rul Prenatal Vitamins

TIER 01 corvita

Natachew

sm prenatal vitamins

Natalvit

Bp Folinatal Plus B

Natelle One

Bp Multinatal Plus

Neevo DHA

Classic Prenatal

Nestabs

Complete Natal DHA

Nestabs Abc

CVS Prenatal

Nestabs DHA

Eql Prenatal Formula

Newgen

Macnatal CN DHA

Nexa Plus

Mynate 90 Plus

Niva-plus

Obstetrix EC

Nutricion Porvida

Perry Prenatal

O-CAL Fa

Pr Natal 400 EC

O-CAL Prenatal

Pr Natal 430

Obstetrix DHA

Pr Natal 430 EC

Obstetrix One

Pre-natal Formula

One-a-day Womens Prenatal

Prenaissance Plus

OB Complete

Prenatal And Iron

OB Complete Gold

Prenatal Forte

OB Complete One

Prenatal Vitamins

OB Complete Petite

Px Prenatal Multivitamins

OB Complete Premier

Ra Prenatal

OB Complete/DHA

Sm Prenatal Vitamins

Preferaob +dha

Taron-prex

Preferaob One

Trinatal RX 1

Prenaissance

Ultimatecare One NF

Prenaissance Balance

Vinate M

Prenaissance Harmony DHA

Vinate One

Prenaissance Next

TIER 02 Active OB

Prenaissance Next-b

Atabex EC

Prenata

Atabex Prenatal

Prenatal

Bal-care DHA

Prenatal Complete

C-nate DHA

Prenatal Formula A-free

Calcium PNV

Prenatal Multi +dha

Citranatal Assure

Prenatal Multivitamin

Citranatal B-calm

Prenatal One Daily

Citranatal DHA

Prenatal Plus

Citranatal Harmony

Prenatal Plus Iron

Prenatal Vitamin



Prenatal Vitamin/Iron

Vitafol Fe+

Prenatal Vitamins Plus Low Iron

Vitafol Gummies

Prenatal 19

Vitafol Ultra

Prenate

Vitafol-nano

Prenate AM

Vitafol-ob+dha

Prenate DHA

Vitafol-one

Prenate Elite

Vitamedmd One RX/Quatrefolic

Prenate Enhance

Vitamedmd Redichew RX

Prenate Essential

Vitapearl

Prenate Mini

Viva DHA

Prenate Pixie

Vol-nate

Prenate Restore

Vol-plus

Prena1 Chew

Vol-TAB RX

Prena1 Pearl

Vp-ggr-b6 Prenatal

Preplus

Vp-heme One

Pretab

Vp-heme OB

Profe Forte

Vp-heme OB + DHA

Provida OB

Vp-CH Plus

Purefe OB Plus

Vp-CH-PNV

PA Prenatal Formula

Vp-PNV-DHA

PNV Ferrous Fumarate/Docusate/Folic Acid

Zatean-pn DHA

PNV Folic Acid + Iron Multivitamin

Zatean-pn Plus

PNV Ob+dha

Zatean-CH

PNV Prenatal Plus Multivitamin

TIER 03 Nicomide

PNV TABS 29-1

Prefera OB

PNV-dha+docusate

Prenate Star

PNV-omega

Provida DHA

PNV-select

Tristart DHA

PNV-total

PNV-vp-u

MEDICAL DEVICES

Qc Prenatal

DIABETIC SUPPLIES

R-natal OB

TIER 02 Accu-chek Aviva

Ra One Daily

Accu-chek Aviva Plus

Ra Prenatal Formula/Folicacid

Accu-chek Compact Plus

Relnate DHA

Accu-chek Compact Test Drum

Right Step Prenatal

Accu-chek Fastclix Lancetdevice Kit

Rulavite DHA

Accu-chek Fastclix Lancets

Select-ob+dha

Accu-chek Multiclix Lanc Et Device Kit

Select-OB

Accu-chek Multiclix Lancets

Sm One Daily Prenatal

Accu-chek Safe-t-pro Lancets

Taron-bc

Accu-chek Safe-t-pro Pluslancets

Taron-c DHA

Accu-chek Smartview Strips

Theranatal Core Nutrition

Accu-chek Soft Touch Lancets

Thrivite RX

Accu-chek Softclix Lancetdevice Kit

Thrivite 19

Accu-chek Softclix Lancets

Tri-TABS DHA

Accutrend Glucose

Tricare Prenatal

Onetouch Club Lancets Fine Point

Tricare Prenatal Compleat

Onetouch Combo Pack

Tricare Prenatal DHA One

Onetouch Delica Lancets Fine 30G

Trinatal GT

Onetouch Delica Lancing Device

Triveen-duo DHA

Onetouch Finepoint Lancets

Triveen-prx RNF

Onetouch Lancets

TL Folate

Onetouch Suresoft Lancing Device/18G

TL-care DHA


TL-select


Vemavite-prx 2

Onetouch Ultra Blue

Vena-bal DHA

Onetouch Ultrasoft Lancets

Vinate DHA RF

Onetouch Verio Test Strips

Virt Nate

TIER 03 Acti-lance Lancets 28G

Virt-advance

Acti-lance Lite Safety Lancets 28G

Virt-c DHA

Acti-lance Special Safety Lancets 17G

Virt-care One

Acti-lance Special Safetylancets 17G

Virt-nate DHA

Acti-lance Universal Safety Lancets 23G

Virt-pn

Active 1ST Blood Lancets 30G/Easy Twist CAP

Virt-pn DHA

Adjustable Lancing Device

Virt-pn Plus

Advocate Insulin Pen Needles

Virt-select

Advocate Insulin Pen Needles 29GX12.7MM

Virt-vite GT

Advocate Insulin Pen Needles 31GX5MM

Virtprex

Vita-pren



Advocate Insulin Pen Needles 31GX8MM

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"

Advocate Insulin Syringe/U-100/0.3ML/29GX1/2"

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"


BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"


BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"


BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 15/64"


BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"


BD Insulin Syringe Safetyglide/1ML/29G X 1/2"

Advocate Insulin Syringe/U-100/1ML/29GX1/2"

BD Insulin Syringe Slip Tip/U-100/1ML


BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"


BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"

Advocate Lancets

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"

Advocate Lancets 30G

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"

Advocate Lancing Device


Advocate Rapid-safe Lancing Device


Advocate Safety Lancets


Advocate Safety Lancets 26G

BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"

Agamatrix Ultra-thin Lancets 33G

BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64"

Alternate Site Lancing Device

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"

Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2"


Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2"


Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2"


Aqua Lance Adjustable Lancing Device

BD Insulin Syringe Ultrafine/1ML/30G X 1/2"

Assure Comfort Lancets Ultra Thin 28G

BD Insulin Syringe Ultrafine/1ML/31G X 5/16"

Assure Comfort Lancets Ultra Thin 30G

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"

Assure Haemolance Plus High Flow 18G

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"

Assure Haemolance Plus Low Flow 25G

Assure Haemolance Plus Micro Flow 28G

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"

Assure Haemolance Plus Normal Flow 21G

Assure Haemolance Plus Pediatric Blade

BD Insulin Syringe/U-100/0.5ML/30G X 1/2"

Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2"

BD Insulin Syringe/U-100/1ML/27G X 1/2"

Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2"

BD Insulin Syringe/U-100/2ML/27.5G X 5/8"

Assure Lance Lancets

BD Lancet Ultrafine 30G

Assure Lance Lancets 21G

BD Lancet Ultrafine 33G

Assure Lance Plus Safety Lancets 25G

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"

Assure Lance Plus Safety Lancets 30G

Assure Lancets

BD Microtainer Lancets

Aurora Lancet Super Thin 30G

BD Pen Needle/Mini/Ultrafine/31G X 3/16"

Aurora Lancet Thin 23G

BD Pen Needle/Nano/Ultra Fine/32G X 4MM

Aurora Pen Needles 29GX12MM

BD Pen Needle/SHORT/Ultrafine/31G X 5/16"

Aurora Pen Needles 31G X 6MM

BD Pen Needle/Ultrafine/29G X 12.7MM

Aurora Pen Needles 31G X 8MM

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM

Aurora Unifine Pentips/Mini/31GX3/16"

BD Pen Needles SHORT/Ultrafine/31G X 5/16"

Aurora Unifine Pentips/32GX5/32"

BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2"

Auto-lancet

BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2"

Auto-lancet Mini

Autolet Impression Lancing Device

BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16"

Autolet II Clinisafe

BD-insul SYR Mis LO Dose

Autolet Lancing Device

Cardiocom Lancing Device

Autolet Lite Clinisafe

Carefine Pen Needle 32GX4MM

Autolet Lite Starter Pack

Carefine Pen Needles 29GX1/2"

Autolet Mini

Carefine Pen Needles 30GX5/16"

Autolet Platforms

Carefine Pen Needles 31GX6MM

Autolet Plus


AF Lancets Super Thin


AT Last Lancets


B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16"

Careone Advanced Lancing Device

B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16"

Careone Insulin Syringes/0.3ML/30G X 1/2"

B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16"


B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2"


B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2"


B-d Insulin Syringe Ultrafine/1ML/30G X 1/2"

Careone Insulin Syringes/1ML/30G X 1/2"

Bayer Microlet Lancets

Careone Insulin Syringes/1ML/31GX5/16"

Bayer Microlet 2 Lancing Device

Careone Lancet Thin

Bullseye Mini Safety Lancets

Careone Lancet Ultra Thin

Bullseye Safety Lancets

Careone Unifine Pentips Pen Needles 32GX4MM

BD Autoshield Duo 30G X 3/16"

Careone Unifine Pentips Plus Pen Needles 29GX12MM

BD Autoshield 29G X 3/16"


BD Autoshield 29G X 5/16"


BD Insulin Syringe LUER-LOK/U-100/1ML


BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"




Careone Unifine Pentips 29GX12MM

CVS Lancets Micro Thin 33G


CVS Lancets Micro-thin 33G


CVS Lancets Original


CVS Lancets Thin 26G

Caretouch Lancing Device With Ejector

CVS Lancets Ultra Thin 30G

Caretouch Pen Needles 31 G X 6 MM

CVS Lancets Ultra-thin 30G

Caretouch Pen Needles 31GX 5MM

CVS Lancets 21G


CVS Lancing Device


CVS Ultra Thin Lancets


D-care Blood Glucose

Caretouch Twist Lancets 30G

Diastar Easy Test II Lancets 30G

Cleanlet Lancets 28G

Diastar Easy Test Lancets30G

Clever Chek Lancets Ultrathin

Droplet Lancets Ultra Thin 30G

Clever Chek Lancets Ultrathin 30G

Droplet Lancing Device

Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM

Droplet Pen Needles 29GX12MM

Clever Choice Comfort EZ Insulin Pen Needles 33GX4MM


Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16"



Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2"







Drug Mart Adjustable Lancing Device

Drug Mart Lancets Thin


Drug Mart Lancets Ultra Thin


Drug Mart On-the-go Lancets Gentle 30G

Drug Mart Unifine Pentips 31GX5MM


Drug Mart Unifine Pentipsplus 32GX4MM

Drug Mart Unifine Pentips29G X 12MM


Drug Mart Unifine Pentips31GX6MM




Drug Mart Unilet Lancets Super Thin 30G


Drug Mart Unilet Lancets Ultra Thin 28G


Duane Reade Lancet Alternate Site 26G

Duane Reade Lancet Super Thin 30G

Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2"

Duane Reade Lancet Ultra Thin 28G

Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16"

Duane Reade Unifine Pentips 29G X 12MM

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT

Clever Choice Comfort EZ Pen Needles 29GX12MM

Duane Reade Unifine Pentips 31G X 8MM SHORT


E-z Ject Lancets


E-z Ject Lancets Color


E-z Ject Lancets Super Thin


E-z Ject Lancets Super Thin 30G


E-z Ject Lancets Thin 26G


E-z Ject Lancets 21G


E-ZJECT Lancets Micro-thin 33G


Easy Comfort Insulin Syringe/U-100/0.5ML/30G X 1/2"


Easy Comfort Insulin Syringe/U-100/1ML/30G X 1/2"


Easy Comfort Insulin Syringe/0.5ML/30G X 5/16"


Easy Comfort Insulin Syringe/0.5ML/31G X 5/16"

Clickfine Pen Needle Universal/31GX1/4"

Easy Comfort Insulin Syringe/1ML/30G X 5/16"

Clickfine Pen Needle Universal/31GX5/16"

Easy Comfort Insulin Syringe/1ML/31G X 5/16"

Clickfine Pen Needle 32GX5/32"

Easy Comfort Lancets

Clickfine Pen Needles/31GX1/4"

Easy Comfort Lancets 30G/Pull Top

Clickfine Pen Needles/31GX5/16"

Easy Comfort Lancets 30G/Thin Top

Clickfine Universal Pen Needles 31GX5/16"

Easy Comfort Pen Needles 31GX1/4"

Closercare


Coaguchek Lancets


Comfort Assist Insulin Syringe 0.3ML/29G X 1/2"


Comfort Assist Insulin Syringe/0.3ML/30G X 5/16"

Easy Mini Eject Lancing Device


Easy Mini Lancing Device


Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2"





Comfort Assist Insulin Syringe/1ML/29G X 1/2"




Comfort Assured Lancets Micro Thin 33G

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2"

Comfort Assured Lancets Super Thin 28G

Comfort Lancets



Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16"

Elite-thin Insulin Syringe/1ML/30G X 5/16"

Embrace Lancets Ultra Thin 30G

Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2"

Eql Color Lancets Micro Thin 33G

Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2"

Eql Color Lancets 21G

Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2"

Eql Insulin Syringe/0.3ML/29G X 1/2"









Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2"



Eql Insulin Syringe/1ML/29G X 1/2"





Easy Touch Insulin Syringe/0.3ML/30G X 5/16"

Eql Super Thin Lancets 30G


Eql SHORT Pen Needles 31G X 8MM


Eql Thin Lancets 26G


Eql Ultra SHORT Pen Needles 31G X 6MM

Easy Touch Insulin Syringe/1ML/30G X 5/16"

Excel Comfort Point Insulin Pen Needles 31G X 4MM

Easy Touch Lancets 21G/Pressure Activated

Exel Comfort Point Insulin Pen Needles 29G X 12MM





Easy Touch Lancets 26G/Pull-top

Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2"

Easy Touch Lancets 26G/Twist








Easy Touch Lancets 30G/Button-activated

Exel Comfort Point Insulin Syringe/1ML/29G X 1/2"


Exel Comfort Point Insulin Syringe/1ML/30G X 5/16"


EZ Smart Blood Glucose Lancets


EZ-lets Lancets 21G


EZ-lets Lancets 23G


EZ-lets Lancets 26G Super-soft


EZ-lets Lancets 28G Ultra-soft


EZ-lets Lancets 30G

Easy Touch Lancing Device/Ejector

Fifty50 Pen Needles 31G X3/16" (5MM)

Easy Touch Pen Needles 29GX1/2"

Fifty50 Pen Needles 31G X5/16" (8MM)


Fifty50 Pen Needles 31GX5MM


Fifty50 Pen Needles/31GX8MM






Fifty50 Safety Seal Lancets 30G

Easy Touch Pen Needles/31G X 3/16"

Fifty50 Safety Seal Lancets 32G

Easy Touch Safety Lancets21G/Pressure Activated

Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16"


Easy Touch Safety Lancets26G/Button Activated

Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16"


Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16"

Easy Touch Safety Lancets28G/Button Activated

Fifty50 Unilet Lancets 33G


Fine 30

Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2"

Fingerstix Lancets


Fora Lancets

Fora Lancing Device


Fora Lancing Device/Clearcap

Freds Pharmacy Autolet Lancing Device

Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2"

Freds Pharmacy Unifine Pentips Pen Needles 32GX4MM

Easy Touch 32GX5MM

Freds Pharmacy Unifine Pentips Plus 31GX5MM

Easy Touch 32GX6MM

Freds Pharmacy Unifine Pentips Plus 31GX8MM

Easy Twist & CAP Lancets

Freds Pharmacy Unilet Lancets Super Thin 30G

Easytest II Lancets

Freds Pharmacy Unilet Lancets Ultra Thin 28G

Easytest Lancets

Freestyle Lancets

Elite-thin Insulin Syringe/U-100/0.5ML/28G X 1/2"

Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16"



Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16"


Elite-thin Insulin Syringe/U-100/1ML/28G X 5/16"

Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16"


Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16"


Elite-thin Insulin Syringe/0.3ML/31G X 5/16"

Freestyle Unistick II Lancets


Gentle-let GP Lancets


Gentle-let Lancets General Purpose Style/Fine Point

Elite-thin Insulin Syringe/1ML/29G X 5/16"

Gentle-let Lancets General Purpose Style/Medium Point



Gentle-let Lancets Safety Style/Fine Point

Gnp Lancets 21G

Gentle-let Lancets Safety Style/Medium Point

Gnp Micro Thin Lancets 33G

Gentle-let Platforms 2.4MM

Gnp Super Thin Lancets/30G

Gentle-let Platforms 3.0MM

Gnp Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2"

Global Ease Inject Pen Needles 29GX12MM

Gnp Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16" SHORT




Global Ease Inject Pen Neeedles 31GX5MM


Global Easy Glide Insulinsyringe/U-100/0.3ML/31G X 5/16"



Global Easy Glide Pen Needles 32GX4MM

Global Inject Ease Insulin Syringe/U-100/0.3ML/29G X 1/2"



Gnp Ultra Comfort Insulin Syringe/1ML/29G X 1/2"

Gnp Ultra Comfort Insulin Syringe/1ML/30G X 5/16" SHORT


Gnp Ultra Comfort Insulin Syringe/1ML/31G X 5/16" SHORT


Goodsense Lancets Micro-thin 33G


Goodsense Lancets Ultra-thin 30G


Goodsense Lancing Device

H-e-b Incontrol Advanced Lancing Device


H-e-b Incontrol Lancets Micro Thin 33G

H-e-b Incontrol Lancets Super Thin 30G


H-e-b Incontrol Lancets Ultra Thin 28G

H-e-b Incontrol Pen Needles 29GX12MM


H-e-b IN Control Pen Needles 31GX5MM


Global Inject Ease Insulin Syringe/U-100/1ML/29G X 1/2"



H-e-b IN Control Pen Needles/Nano/32GX4MM


H-e-b IN Control Unifine Pentips Plus 31GX5MM


H-e-b IN Control Unifine Pentips Plus 32GX4MM

Global Inject Ease Lancets 28G

Haemolance

Global Inject Ease Lancets 30G

Haemolance Low Flow Lancets

Global Insulin Syringe/U-100/0.3ML/30G X 1/2"

Haemolance Plus

Global Insulin Syringes/U-100/0.3ML/30GX5/16"

Haemolance Plus High Flow

Global Lancing Device

Haemolance Plus Low Flow

Glucocom Lancets 28G

Haemolance Plus Max Flow


Haemolance Plus Pediatric Flow


Health Care Lancing Device

Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2"

Healthwise Lancets 30G


Healthwise Lancing Pen


Healthwise Mini Pen Needles 31GX6MM


Healthwise Pen Needles 29GX12MM


Healthwise SHORT Pen Needles 31GX8MM


Healthwise Unifine Pentips Pen Needles 32GX4MM

Glucopro Insulin Syringe/U-100/1ML/30G X 1/2"

Healthy Accents Autolet Impression Lancing Device


Healthy Accents Unifine Pentips Pen Needles 29GX12MM



Glucosource Lancet Device


Glucosource Lancets


Gmate Lancets 30G


Gmate Lancing Device

Healthy Accents Unilet Lancets Super Thin 30G

Gnp Clickfine Pen Needle Universal/31GX5/16"

Hy-vee Lancets

Gnp Clickfine Universal Pen Needles 31GX1/4"

Hy-vee Thin Lancets

Gnp Clickfine Universal Pen Needles 31GX5/16"

Hypolance AST Lancing Kit

Gnp Insulin Syringe/0.3ML/29G X 1/2"

Insulin Syringe/U-100/0.3ML/29G X 1/2"






Insulin Syringe/U-100/1ML/29G X 1/2"






Insulin Syringe/0.3ML/29G X 1/2"

Gnp Insulin Syringe/1ML/29G X 1/2"

Insulin Syringe/0.3ML/29G X 1"





Gnp Lancets


Gnp Lancets Micro Thin 33G


Gnp Lancets Super Thin 30G


Gnp Lancets Thin


Gnp Lancets Thin 26G




Insulin Syringe/1ML/29G X 1/2"

Lancets 26G Twist Top

Insulin Syringe/1ML/30G X 5/16"

Lancets 28G

Insulin Syringes/0.5ML/27GX1/2"

Lancets 30G




Lancets 30G/Twist Top



Insulin Syringes/0.5ML/31GX 5/16"

Lancets 33G Universal Design


Lancing Device

Insulin Syringes/1ML/27GX/1/2"

Lancing Device Adjustable

Insulin Syringes/1ML/27GX1/2"

Lanzo


Leader Advanced Lancing Device


Leader Insulin Syringe/0.3ML/29G X 1/2"



Insupen Pen Needles 32G X4MM


Insupen Sensitive 32GX6MM


Insupen Sensitive 32GX8MM


Insupen Ultrafin 29GX12MM





Leader Insulin Syringe/1ML/29G X 1/2"



Insupen 33GX4MM


IN Touch Lancing Device

Leader Lancets Colored

IN Touch Sterile Lancets 30G

Leader Super Thin Lancet

Kinney Lancets

Leader Thin Lancets

Kinney Thin Lancets

Leader Unifine Pentips Plus/Mini/31GX3/16"

Kinray Insulin Syringe Preferred Plus/0.3ML/31G X 5/16"

Leader Unifine Pentips Plus/SHORT/31GX5/16"

Kinray Insulin Syringe Preferred Plus/0.5ML/31G X 5/16"

Leader Unifine Pentips/Mini/31GX3/16"

Kinray Insulin Syringe Preferred Plus/1ML/31G X 5/16"

Leader Unifine Pentips/Nano/32GX5/32"

Kinray Insulin Syringe/0.5ML/29G X 1/2"

Leader Unifine Pentips/Plus/32GX5/32"

Kmart Valu Plus Insulin Syringe/0.3ML/30G

Liberty Medical Lancets 30G


Liberty Mini Lancing Device


Lifescan Unistik II Lancets

Kmart Valu Plus Insulin Syringe/1ML/29G

Lifescan Unistik 2 Deep Penetration

Kmart Valu Plus Insulin Syringe/1ML/30G

Lite Touch Lancets

Kroger Insulin Syringe/0.3ML/29G X 1/2"

Lite Touch Lancing Device


Lite Touch Lancing Pen


Lite Touch Pen Needles/31G X 3/16"


Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2"


Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2"


Litetouch Insulin Syringe/U-100/1ML/29G X 1/2"

Kroger Insulin Syringe/1ML/29G X 1/2"

Litetouch Insulin Syringe/U-100/1ML/31G X 5/16"


Litetouch Insulin Syringe/0.3ML/29G X 1/2"



Kroger Lancets


Kroger Lancets Micro Thin33G


Kroger Lancets Super Thin


Kroger Lancets Thin

Litetouch Insulin Syringe/1ML/30G X 5/16"

Kroger Lancets Thin 26G

Litetouch Lancets Micro Thin 33G

Kroger Lancets Ultrathin 30G

Litetouch Pen Needles 29GX12.7MM

Kroger Lancets 21G

Litetouch Pen Needles 31G X 6MM

Kroger Lancing Device

Litetouch Pen Needles 31GX8MM SHORT

Kroger Pen Needles 29G X 12MM

Live Better Advanced Lancing Device

Kroger Pen Needles 31G X 8MM

Live Better Lancet Super Thin 30G

Kroger Pen Needles 31GX1/4"

Live Better Lancet Ultra Thin 28G

Lancet Device Adjustable

Live Better Pen Needles 29G X 12MM

Lancet Device With Ejector


Lancet Transporter Case


Lancets

Longs Insulin Syringe/0.5ML/31G X 5/16"

Lancets Bullseye Safety

Longs Lancets Standard

Lancets Micro Thin 33G

Longs Lancets Thin

Lancets Safety Seal 21G

Longs Lancets Ultra Thin


Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2"





Lancets Super Thin 28G


Lancets Thin

Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2"

Lancets Twist Top

Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16"

Lancets Ultra Fine

Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2"

Lancets Ultra Thin

Medic Insulin Syringe/0.3ML/30G X 5/16"

Lancets Ultra Thin 30G

Medic Insulin Syringe/0.5ML/30G X 5/16"



Medichoice Pre-set Safety Lancet Dual Use

Monojector Opd End CAPS

Medichoice Pre-set Safety Lancet Low Flow

Monolet Lancets

Medichoice Pre-set Safety Lancet Medium Flow

Monolet Opd Lancets

Medichoice Pre-set Safety Lancet Moderate Flow

Monolettor Safety Lancets

Medichoice Safety Lancet Extra

Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"

Medichoice Safety Lancet Normal

Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"

Medicine Shoppe Lancets

Medicine Shoppe Lancets Thin

Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2"

Medicine Shoppe Pen Needles 29G X 12MM


Multi-lancet Device


Multi-lancet Device 2

Medisense Thin Lancets

Myglucohealth Mgh Softlance Lancets 30G

Medlance Plus Extra Lancets 21G

MS Insulin Syringe/0.3ML/29G X 1/2"

Medlance Plus Lancets


Medlance Plus Lancets Lite 25G


Medlance Plus Lite Lancets 25G


Medlance Plus Special Lancets 0.8MM


Medlance Plus Superlite 30G


Medlance Plus Superlite 30G/Comfort Max

MS Insulin Syringe/1ML/29G X 1/2"

Medlance Plus Universal Lancets 21G


Medlance Plus/Lite 25G


Medlance/Extra

Netgroup Lancets

Medlance/Lite

Nova Safety Lancets 23G

Medlance/Universal

Nova Safety Lancets 28G

Meijer Color Lancets Universal 33G

Nova Sureflex Lancets

Meijer Lancets

Nova Sureflex Lancing Device

Meijer Lancets Thin

Novofine Autocover 30GX8MM

Meijer Lancets Universal 21G

Novofine Plus 32GX4MM


Novofine 30GX8MM


Novofine 32GX6MM

Meijer Pen Needles 29G X 12MM

Novotwist 32GX5MM


On Call Lancets


On Call Lancing Device

Meijer Super Thin Lancets

On Call Plus Lancets

Microlet Lancets

On Call Plus Lancing Device

Microlet Next

Onetouch Delica Lancets Extra Fine 33G

Microtainer Safety Flow Lancet/Sterile/Single-use

Pen Needles 29G X 12MM

Mini Lancing Device

Pen Needles 29GX1/2"

Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML


Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8"

Pen Needles 30GX5MM

Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2"

Pen Needles 30GX8MM

Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2"

Pen Needles 31G X 1/4" SHORT

Pen Needles 31G X 3/16"

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2"

Pen Needles 31G X 5MM


Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2"

Pen Needles 31GX6MM (1/4")

Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2"

Pen Needles 31GX8MM

Pen Needles 31GX8MM (5/16")

Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2"

Pen Needles 32GX4MM

Penlet II Automatic Bloodsampler

Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2"

Penlet II Replacement CAPS

Penlet II Replacement CAPS-deep

Monoject Insulin Syringe/Softpack/1ML/27G X 1/2"

Penlet II Replacement CAPS-regular

Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16"

Pentips 29GX12MM


Pentips 31GX5MM


Pentips 31GX6MM

Monoject Insulin Syringe/U-100/1ML/28G X 1/2"

Pentips 31GX8MM

Monoject Insulin Syringe/U-100/1ML/30G X 5/16"

Pentips 32GX4MM

Monoject Insulin Syringe/1ML

Perfect Lancets 30G

Monoject Insulin Syringe/1ML/31G X 5/16"

Perfect Pressure Activated Safety Lancets 28G

Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2"

Pharmacist Choice Ultra Thin Lancets


Pharmacist Choice Ultra Thin Lancets 28G








Pharmacy Counter Lancets


Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16"

Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2"






Monojector End CAPS



Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2"

Qc Unifine Pentips 32GX4MM

Qc Unilet Lancets 28G/Ultra Thin

Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2"

Qc Unilet Lancets 33G/Micro Thin

Precision Thin Lancets

Ra E-ZJECT Color Lancets Micro-thin 33G

Precision Thins GP Lancet

Ra E-ZJECT Lancets Thin 26G

Precision Ultra Lancet

Ra E-ZJECT Lancets Thin 28G

Preferred Plus Insulin Syringe/U-100/0.3ML/29G X 1/2"

Ra E-ZJECT Lancets Ultra Thin 30G


Ra E-ZJECT Lancets 28G


Ra Insulin Syringe/U-100/0.5ML/30G X 5/16"


Ra Insulin Syringe/U-100/1 ML/30G X 5/16"


Ra Insulin Syringe/0.5ML/29G X 1/2"

Preferred Plus Insulin Syringe/U-100/1ML/29G X 1/2"

Ra Insulin Syringe/1ML/29G X 1/2"

Preferred Plus Insulin Syringe/U-100/1ML/30G X 5/16"

Ra Lancing Device

Preferred Plus Lancets Colored 21G

Ra Pen Needles 31G X 5MM 3/16"

Preferred Plus Lancets Super Thin 30G

Ra Pen Needles 31G X 8MM 5/16"

Preferred Plus Lancets Thin 26G

Readylance Safety Lancets/30G/1.6MM

Preferred Plus Unifine Pentips 29G X 12MM

Reality Insulin Syringe/U-100/0.5ML/28G X 1/2"

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT

Reality Insulin Syringe/U-100/0.5ML/29G X 1/2"

Preferred Plus Unifine Pentips 31G X 8MM SHORT

Reality Insulin Syringe/U-100/1ML/29G X 1/2"

Preferred Plus Unifine Pentips 32GX4MM

Reality Lancets

Preferred Plus Unifine Pentips/Mini/31GX5MM

Reality Trigger Lancets

Pressure Activated Safetylancet 21G

Relion Insulin Syringe 0.5ML/31G X 15/64"

Pro Comfort Lancets 30G

Relion Insulin Syringe 1ML/31GX15/64"

Pro Comfort Lancets 31G

Relion Insulin Syringe/U -100/0.5ML/29G

Pro Comfort Pen Needles/ 31G X 8MM

Relion Insulin Syringe/U-00/1ML/29G X 1/2"


Relion Insulin Syringe/U-100/0.3ML/29G


Relion Insulin Syringe/U-100/0.3ML/29G X 1/2"



Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16"


Prodigy Insulin Syringe/1/2ML/31G X 5/16"


Prodigy Lancing Device


Prodigy Pressure Activated Safety Lancets


Prodigy Safety Lancets


Prodigy Twist Top Lancets


Pss Select GP Lancets


Pss Select Platforms

Relion Insulin Syringe/U-100/1ML/30G

Pss Select Safety Lancets


Push Button Safety Lancets 21G


Push Button Safety Lancets 28G

Relion Lancets Micro-thin33G

Px Advanced Lancing Device

Relion Lancets Standard 21G

Px Extra SHORT Pen Needles 31GX6MM

Relion Lancets Thin 26G

Px Insulin Syringe/U-100/0.3ML/30G X 1/2"

Relion Lancets Ultra-thin30G


Relion Lancing Device


Relion Mini Pen Needles 31GX6MM


Relion Pen Needles 29GX12MM

Px Insulin Syringe/U-100/1ML/30G X 1/2"


Px Insulin Syringe/U-100/1ML/31G X 5/16"


Px Lancet Auto Injector


Px Lancets Ultra Thin

Relion SHORT Pen Needles 31GX8MM

Px Mini Pen Needles 31GX5MM

Relion Thin Lancets

Px Pen Needle 29GX12MM

Relion Ultra Thin Lancets

Px Pen Needle 31GX8MM

Relion Ultra Thin Lancets30G

Px Shortlength Pen Needles/31GX8MM

Relion Ultra Thin Plus Lancets 32G

PC Lancets Super Thin 30G

Relion Ultra Thin Plus Lancets 33G

PC Unifine Pentips 29G X 1/2"

Relion 2-IN-1 Lancing Device 25G

PC Unifine Pentips 31G X 5MM Mini

Relion 2-IN-1 Lancing Device 30G

PC Unifine Pentips 31G X 6MM Ultra SHORT

Rexall Lancets Ultra Thin

PC Unifine Pentips 31G X 8MM SHORT

Rightest Gl300 Lancets

Qc Advanced Lancing Device

Rightest GD-L500 Alternate Site Adapter

Qc Insulin Syringe/0.3ML/29G X 1/2"

Rightest GD500 Lancing Device


Safe-t-lance Low Flow 25G


Safe-t-lance Normal Flow 21G

Qc Insulin Syringe/1ML/29G X 1/2"

Safe-t-lance Plus Safety Lancet High Flow

Qc Insulin Syringe/1ML/31G X 5/16"

Safe-t-lance Plus Safety Lancet Low Flow

Qc Lancets

Safe-t-lance Plus Safety Lancet Normal Flow

Qc Lancets Super Thin

Safesnap Insulin Syringe/0.3ML/30G X 5/16"

Qc Lancets Thin


Qc Lancets Ultra Thin


Qc Pen Needles 29G X 12MM

Safesnap Insulin Syringe/1ML/29G X 1/2"


Safety Insulin Syringes 0.5ML/29GX1/2"




Safety Insulin Syringes 0.5ML/30GX5/16"

Sure Comfort Insulin Syringe/U-100/1ML/31G X 5/16"

Safety Insulin Syringes 1ML/27GX1/2"

Sure Comfort Lancets 18G





Safety Lancet 21G/Pressure Activated


Safety Lancet 28G/Pressure Activated


Safety Lancets

Sure Comfort Lancing Pen

Safety Lancets 21G

Sure Comfort Pen Needles 29GX1/2" 12.7MM

Safety Lancets 28G

Sure Comfort Pen Needles 30GX5/16" SHORT

Safety Let Lancets

Sure Comfort Pen Needles 31GX3/16" (5MM)

Safety Seal Lancets 28G

Sure Comfort Pen Needles 31GX5/16" (8MM)

Safety Seal Lancets 30G

Sure Comfort Pen Needles 32GX5/32"

Safety-glide Insulin Syringe/0.3ML/29G X 1/2"

Sure Comfort Pen Needles 32GX6MM

Saps Health Twist Top Lancets 30G

Sure-fine Pen Needles 29GX1/2" 12.7MM

Sapscare Twist Top Lancets 30G

Sure-fine Pen Needles 31GX3/16" 5MM

Schnucks Insulin Syringe Ulti-fine/U-100/0.5ML/29G X 1/2"

Sure-fine Pen Needles 31GX5/16" 8MM

Schnucks Insulin Syringe Ulti-fine/U-100/0.5ML/30G X 5/16"

Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2"


Select-lite Device/Lancets


Select-lite Lancing Device


Shopko Autolet Lancing Device


Shopko On-the-go Comfort Lancets 30G


Shopko Unifine Pentips Pen Needles/Micro/32GX4MM


Shopko Unifine Pentips Pen Needles/Mini/31GX5MM

Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2"

Shopko Unifine Pentips Pen Needles/Original/29GX12MM


Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM


Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM

Sure-lance Flat Lancets

Sure-lance Lancets 26G

Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM

Sure-lance Thin Lancets 28G

Sure-lance Ultra Thin Lancets

Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM

Sure-pen

Sure-touch Lancets Universal

Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM

Surelite Lancets

Shopko Unilet Lancets Super Thin 30G

SB Insulin Syringe/U-100/0.5ML/29G X 1/2"

Shopko Unilet Lancets Ultra Thin 28G

SB Insulin Syringe/U-100/0.5ML/30G X 5/16"

Side Button Safety Lancet21G

SB Insulin Syringe/U-100/1ML/29G X 1/2"

Simple Diagnostics Lancing Device


Single-let


Sm Insulin Syringe/1ML/31G X 5/16"

SB Lancets Thin

Sm Lancets 21G

SB Lancets Ultra Thin

Sm Micro Thin Lancets 33G

Techlite AST Lancets

Sm Super Thin Lancets

Techlite Lancets

Sm Super Thin Lancets 30G

Techlite Lancets 30G

Sm Thin Lancets 26G

Techlite Pen Needles/31G X 5MM

Smart Diabetes Vantage Lancing Device

Techlite Pen Needles/31G X 6 MM

Smart Sense Color Lancets Universal 33G


Smart Sense Standard Lancets Universal 21G


Smart Sense Super Thin Lancets Universal 30G


Smart Sense Thin Lancets Universal 26G


Smartest Lancets 28G

Tgt Advanced Lancing Device

Solus V2 Lancing Device

Tgt Lancet Alternate Site

Solus V2 Pressure Activated Safety Lancets 28G

Tgt Lancet Micro Thin 33G

Solus V2 Twist Lancets 30G

Tgt Lancet Super Thin 30G

Sterilance PA

Tgt Lancet Thin 23G

Sterilance TL

Tgt Lancet Thin 26G

Super Thin Lancets

Tgt Lancet Ultra Thin 28G

Sure Comfort Insulin Syringe/U-100/0.3ML/29G X 1/2"

Tgt Lancet Ultra Thin 30G


Tgt Lancing Device


Thinlets GP Lancets

Sure Comfort Insulin Syringe/U-100/0.3ML/31G X 5/16

Thinlets Lancet


Todays Health Advanced Lancing Device

Sure Comfort Insulin Syringe/U-100/0.3ML/31GX1/4"

Todays Health Mini Pen Needles 31G X 1/4"


Todays Health Original Pen Needles 29G X 1/2"


Todays Health Super Thin Lancets 30G


Todays Health SHORT Pen Needles 31G X 5/16"


Todays Health Ultra Thin Lancets 28G

Sure Comfort Insulin Syringe/U-100/0.5ML/31G X 5/16

Topcare Clickfine Universal Pen Eedles 31GX1/4"


Topcare Clickfine Universal Pen Eedles 31GX5/16"


Topcare Lancets Micro-thin 33G




Topcare Ultra Comfort Insulin Syringe/U-100/0.3ML/29G X 1/2"

Ulticare Micro Pen Needles 32G X 4MM

Ulticare Micro Pen Needles/32G X 4MM

Topcare Ultra Comfort Insulin Syringe/U-100/0.5ML/29G X 1/2"

Ulticare Mini Pen Needles Ulti-fine IV

Ulticare Mini Pen Needles 31GX6MM

Topcare Ultra Comfort Insulin Syringe/U-100/1ML/29G X 1/2"

Ulticare Mini Pen Needles/31G X 6MM

Ulticare Mini Pen Needles31GX6MM

Topcare Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16"

Ulticare Original Pen Needles Ulti-fine


Ulticare Pen Needles/29G X 12.7MM


Ulticare SHORT Pen Needles Ulti-fine IV


Ulticare SHORT Pen Needles 31GX8MM

Topcare Ultra Comfort Insulin Syringe/1ML/30G X 5/16"

Ulticare SHORT Pen Needles/31G X 8MM

Topcare Ultra Comfort Insulin Syringe/1ML/31G X 5/16"

Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4"

Topco Insulin Syringe/U-100/0.3ML/29G X 1/2"

Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4"


Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4"


Ulticare U-100 Insulin Syringes/1ML/31G X 1/4"

Topco Insulin Syringe/U-100/1ML/29G X 1/2"

Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16"

Travel Lancets Advanced 28G

Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16"

Travel Lancets 30G

Ultilet Classic Lancets

Truedraw Lancing Device

Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16"

Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2"







Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16"


Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16"


Ultilet Lancets


Ultilet Lancets 33G

Trueplus Insulin Syringe/U-100/1ML/29G X 1/2"

Ultilet Pen Needle 32GX4MM/SHORT


Ultilet Safety Lancets 23G


Ultilet SHORT Pen Needles 31GX5/16"

Trueplus Lancets 26G

Ultilet SHORT Pen Needles31GX3/16"


Ultra Comfort Insulin Syringe/U-100/0.3ML/30G X 5/16"

Trueplus Lancets 28G Super Thin

Ultra Thin Lancets 28G


Ultra-comfort Insulin Syringe/U-100/0.3ML/29G X 1/2"

Trueplus Lancets 30G Ultra Thin




Trueplus Lancets 33G Micro Thin


Trueplus Pen Needles 29GX12MM







Ultra-comfort Insulin Syringe/U-100/1ML/29G X 1/2"



Trueplus Safety Lancets 28G


Ulti-lance Automatic/ Clear Tip

Ultra-thin II Auto Lancet

Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2"

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16"

Ulticare Insulin Safety Syringe/1ML/29G X 1/2"

Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16"


Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16"

Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16"


Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16"




Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16"


Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16"

Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16"

Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2"

Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16"

Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2"

Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2"

Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2"


Ultra-thin II Lancets 28G


Ultra-thin II Lancets 30G


Ultra-thin II Mini Pen Neeedles/31GX3/16"

Ulticare Insulin Syringe/U-100/1ML/30G X 1/2"

Ultra-thin II Pen Needles 29GX1/2"

Ulticare Insulin Syringe/U-100/1ML/31G X 5/16"

Ultra-thin II Pen Needles/SHORT/31GX5/16"

Ulticare Insulin Syringe/0.3ML/29G X 1/2"

Ultra-thin II Safety Autolancets 26G


Ultralance


Unifine Pentips Plus 29GX12MM









Ulticare Insulin Syringe/1ML/29G X 1/2"

Unifine Pentips 29GX12MM


Unifine Pentips 31G X 3/16"


Unifine Pentips 31G X 6MM

Ulticare Micro Pen Needles 31G X 8MM



Unifine Pentips 31G X 8MM

Vp Insulin Syringe/U-100/0.3ML/29G X 1/2"


W&f Lancets Colored 21G


W&f Lancets 26G


Walgreens Advanced Travellancets 28G


Walgreens Comfort Assuredlancets Micro Thin/33G

Unilet Comfortouch Lancet

Walgreens Comfort Assuredlancets Super Thin/28G

Unilet Excelite

Walgreens Lancets

Unilet Excelite II

Walgreens Thin Lancets

Unilet G.p. Lancet

Walgreens Ultra Thin Lancets

Unilet G.p. Superlite Lancet

Wegmans Unifine Pentips Plus 32GX4MM

Unilet GP 28 Ultra Thin

Wegmans Unifine Pentips Plus/Mini/31GX5MM

Unilet Lancet

Wegmans Unifine Pentips Plus/SHORT/31GX8MM

Unilet Lancets Micro-thin33G

Wegmans Unifine Pentips Plus/Ultra SHORT/31GX6MM

Unilet Lancets Super-thin30G

1ST Choice Lancets Super Thin

Unilet Lancets Ultra-thin 28G

1ST Choice Lancets Thin

Unilet Superlite Lancet

1ST Choice Lancets Ultra Thin

Unistik CZT Comfort

1ST Tier Unifine Pentips /Mini/31GX5MM

Unistik CZT Normal

1ST Tier Unifine Pentips Plus 31GX8MM

Unistik Safety Lancets 28G

1ST Tier Unifine Pentips Plus 32GX4MM

Unistik Safety Lancets 30G

1ST Tier Unifine Pentips Plus/Mini/31GX5MM

Unistik Touch Safety Lancets 21G

1ST Tier Unifine Pentips Plus/Original/29GX12MM


1ST Tier Unifine Pentips Plus/Ultra SHORT/31GX6MM


1ST Tier Unifine Pentips 29GX12MM



Unistik 1


Unistik 2


Unistik 2 Comfort

1ST Tier Unilet Comfortouch Lancets 28G

Unistik 2 Extra

1ST Tier Unilet Comfortouch Lancets 30G

Unistik 2 Neonatal

Unistik 2 Normal

MEDICAL DEVICES - MISC

Unistik 2 Super

TIER 03 Aerochamber Mini Aerosol Chamber

Unistik 3

Aerochamber MV

Unistik 3 Comfort

Aerochamber Plus Flow VU

Unistik 3 Extra

Aerochamber Plus Flow-VU

Unistik 3 Extra Single Use Safety Lancets/21G

Aerochamber Plus Flow-VU/Large Mask

Unistik 3 Gentle

Aerochamber Plus Flow-VU/Mask

Unistik 3 Neonatal

Aerochamber Plus Flow-VU/Medium Mask

Unistik 3 Normal

Aerochamber Plus Flow-VU/Small Mask

Universal 1 Lancets Thin 26G

Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU

Universal 1 Lancets Ultra Thin 30G

Aerochamber Z-stat Plus/Flowsignal

Universal 1 Lancets/33G/Micro-thin

Aerochamber Z-stat Plus/Large Mask

V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2"

Aerochamber Z-stat Plus/Medium Mask


Aerochamber Z-stat Plus/Small Mask


Aerochamber/Flowsignal

V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2"

Aerovent Plus Holding Chamber/Collapsible

Value Health Insulin Syringe/U-100/0.5ML/29G X 1/2"

Breatherite

Value Health Insulin Syringe/U-100/1ML/29G X 1/2"

Breatherite Collapsible Adult Spacer W/Mask

Value Plus Lancets Standard 21G

Breatherite Collapsible Child Spacer W/Mask

Value Plus Lancets Super Thin 30G

Breatherite Collapsible Infant Spacer W/Mask

Value Plus Lancets Thin 26G

Breatherite Collapsible Small Child Spacer W/Mask

Value Plus Lancing Device

Breatherite Collapsible Spacer W/ Neonate Mask

Valumark Lancet Super Thin 30G

Breatherite Rigid Spacer W/Mask

Valumark Lancet Ultra Thin 28G

Breatherite W/Large Mask

Valumark Pen Needles 29GX12MM

Breatherite W/Medium Mask

Valumark Pen Needles 31G X 6MM

Breatherite W/Small Mask

Valumark Pen Needles 31G X 8MM

Clever Choice Anti-staticvalved Holding Chamber/Adult Large

Vanishpoint Insulin Syringe/0.5ML/30G X 1/2"

Vanishpoint Insulin Syringe/0.5ML/30G X 5/16"

Clever Choice Anti-staticvalved Holding Chamber/Medium

Vanishpoint Insulin Syringe/1ML/29G X 1/2"

Clever Choice Anti-staticvalved Holding Chamber/Small


Compact Space Chamber/Anti-static


Compact Space Chamber/Anti-static/Large Mask

Vida Mia Autolet Lancing Device

Compact Space Chamber/Anti-static/Medium Mask

Vida Mia Unifine Pentips Mini 31GX6MM

Compact Space Chamber/Anti-static/Small Mask

Vida Mia Unifine Pentips Original 29GX12MM

E-z Spacer

Vida Mia Unifine Pentips 32GX4MM

E-z Spacer The Body Guards Pack

Vida Mia Unilet Lancets Super Thin 30G

Easivent

Vida Mia Unilet Lancets Ultra Thin 28G

Easivent/Mask-large

Vida Mia Unipfine Pentipsshort 31GX8MM

Easivent/Mask-medium

Vitalet Pro Lancets

Vitalet Pro Plus Lancets



Easivent/Mask-small

Flexichamber

Flexichamber Adult Mask/Small

Flexichamber Child Mask/Large

Flexichamber Child Mask/Small

Inspirachamber/Anti-static Valved/Mouthpiece

Inspirachamber/Large

Inspirachamber/Soothermask/Inspiramask/Medium

Inspirachamber/Soothermask/Inspiramask/Small

Inspirease Bags

Inspirease Drug Delivery System

Inspirease Mouthpiece

Inspirease Reservoir Bags

Liteaire

Microchamber

Microspacer

Optichamber Advantage

Optichamber Advantage/Large Mask

Optichamber Advantage/Medium Face Mask

Optichamber Advantage/Small Face Mask

Optichamber Diamond

Optichamber Diamond/Largeface Mask

Optichamber Diamond/Medium Face Mask

Optichamber Diamond/Smallface Mask

Optihaler

Optihaler MDI Drug Delivery System

Pocket Chamber

Pocket Spacer

Riteflo

Valved Holding Chamber

Vortex Valved Holding Chamber

Watchhaler

MISCELLANEOUS

TIER 01 naloxone HCL

Naloxone HCL

TIER 03 Chemet

TIER 05 naltrexone HCL

ExjadePA

FerriproxPA

JadenuPA

VivitrolPA



Index

A

Advate, 15

aftera, 9

Advocate Insulin Pen Needles, 25

Agamatrix Ultra-thin Lancets 33G, 26

abacavir, 2

Advocate Insulin Pen Needles 29GX12.7MM, 25

Aggrenox, 15

abacavir sulfate/lamivudine/zidovudine, 2

agoneaze, 7

abacavir/lamivudine, 2

Advocate Insulin Pen Needles 31GX5MM, 25

Akten, 19

Abilify Maintena, 16

ala-cort, 7

acamprosate calcium DR, 17

Advocate Insulin Pen Needles 31GX8MM, 26

Ala-quin, 6

acarbose, 11

Albenza, 2

Accu-chek Aviva, 25

Advocate Insulin Syringe/U-100/0.3ML/29GX1/2", 26

albuterol, 22

Accu-chek Aviva Plus, 25

albuterol sulfate, 22

Accu-chek Compact Plus, 25


Albuterol Sulfate, 22

Accu-chek Compact Test Drum, 25

albuterol sulfate ER, 22

Accu-chek Fastclix Lancetdevice Kit, 25


albuterol TAB 4MG, 22

Accu-chek Fastclix Lancets, 25

alclometasone dipropionate, 7

Accu-chek Multiclix Lanc Et Device Kit, 25


Aldactazide, 5

Alecensa, 3

Accu-chek Multiclix Lancets, 25


alendronate sodium, 11

Accu-chek Safe-t-pro Lancets, 25

Alendronate Sodium, 11

Accu-chek Safe-t-pro Pluslancets, 25


Alevicyn Antipruritic SG, 8

Accu-chek Smartview Strips, 25

alfentanil, 20

Accu-chek Soft Touch Lancets, 25

Advocate Insulin Syringe/U-100/1ML/29GX1/2", 26

Alferon N, 4

Accu-chek Softclix Lancetdevice Kit, 25

alfuzosin HCL ER, 14

Accu-chek Softclix Lancets, 25


Alinia, 3

Accutrend Glucose, 25

Alkeran, 3

Acd-a Noclot-50, 14


allopurinol, 21

acebutolol HCL, 4

almotriptan, 21

Acebutolol HCL, 4

Advocate Lancets, 26

almotriptan malate, 21

acetaminophen/codeine, 20

Advocate Lancets 30G, 26

Alocril, 19

acetaminophen/codeine phosphate, 20

Advocate Lancing Device, 26

Alomide, 19

acetasol HC, 19

Advocate Rapid-safe Lancing Device, 26

Aloquin, 6

acetazolamide, 5

Advocate Safety Lancets, 26

Alora, 9

acetazolamide ER, 5

Advocate Safety Lancets 26G, 26

alosetron hydrochloride, 13

acetazolamide sodium, 5

Adynovate, 15

Alphagan P, 19

acetic acid, 19

Aerochamber Mini Aerosol Chamber, 35

Alphanate/Von Willebrand Factor Complex/Human, 15

acetic acid 0.25%, 14

Aerochamber MV, 35

Acetyl Salicylic Acid, 20

Aerochamber Plus Flow VU, 35

Alphanine SD, 15

acetylcysteine, 22

Aerochamber Plus Flow-VU, 35

alprazolam, 15

Acetylcysteine, 22

Aerochamber Plus Flow-VU/Large Mask, 35

alprazolam ER, 15

acitretin, 7

Alprazolam Intensol, 15

Actemra, 21

Aerochamber Plus Flow-VU/Mask, 35

alprazolam odt, 15

Acthib, 23

Aerochamber Plus Flow-VU/Medium Mask, 35

alprazolam XR, 15

Acti-lance Lancets 28G, 25

Alprolix, 15

Acti-lance Lite Safety Lancets 28G, 25

Aerochamber Plus Flow-VU/Small Mask, 35

Alrex, 18

Acti-lance Special Safety Lancets 17G, 25

Altabax, 6

Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 35

altacaine, 19

Acti-lance Special Safetylancets 17G, 25

altafrin, 19

Acti-lance Universal Safety Lancets 23G, 25

Aerochamber Z-stat Plus/Flowsignal, 35

altavera, 9

Aerochamber Z-stat Plus/Large Mask, 35

Alternate Site Lancing Device, 26

Actimmune, 4

Aerochamber Z-stat Plus/Medium Mask, 35

Aluminum Chloride Anhydrous, 8

Active 1ST Blood Lancets 30G/Easy Twist CAP, 25

Aluminum Chloride Hexahydrate, 8

Aerochamber Z-stat Plus/Small Mask, 35

alyacen 1/35, 9

Active OB, 24

Aerochamber/Flowsignal, 35

alyacen 7/7/7, 9

Actoplus Met XR, 11

Aerospan, 22

amabelz, 9

acyclovir, 2, 7

Aerovent Plus Holding Chamber/Collapsible, 35

amantadine HCL, 17

Aczone, 6

Amcinonide, 7

Adacel, 22

AF Lancets Super Thin, 26

amethia, 9

adapalene, 6

afeditab CR, 4

amethia LO, 9

adapalene P.M., 6

Afinitor, 3

Amicar, 14

Adcirca, 6

Afinitor Disperz, 3

amikacin sulfate, 1

adefovir dipivoxil, 2

Afluria 2015-2016, 23

Amikacin Sulfate, 1

Adempas, 6

Afluria 2016-2017, 23

amiloride HCL, 5

Adjustable Lancing Device, 25

Afluria PF 2015-2016, 23

Amiloride HCL, 5

Adrenalin, 22

Afluria PF 2016-2017, 23

amiloride/hydrochlorothiazide, 5

adult aspirin EC low strength, 19

Afluria Quadrivalent 2016-2017, 23

aminoacetic acid, 14

Advair Diskus, 22

Afstyla, 15

Aminobenzoate Potassium, 23

Advair HFA, 22

Aminobenzoic Acid, 24

argyle sterile saline 100ML, 14

Atropine Sulfate Monohydrate, 12

Aminophylline Anhydrous, 22

aripiprazole, 16

Atrovent HFA, 22

Aminosalicylic Acid, 1

Aristada, 16

Aubagio, 18

amiodarone HCL, 4

armodafinil, 16

aubra, 9

Amitiza, 13

Armour Thyroid, 12

augmented betamethasone dipropionate, 7

amitriptyline HCL, 16

Arnica Flower, 8

amlodipine besylate, 4

Arnuity Ellipta, 22

Augmentin, 1

amlodipine besylate/atorvastatin calcium, 6

Asacol HD, 13

Aurora Lancet Super Thin 30G, 26

ascomp/codeine, 20

Aurora Lancet Thin 23G, 26

amlodipine besylate/benazepril HCL, 5

ascorbic acid, 23

Aurora Pen Needles 29GX12MM, 26

amlodipine besylate/benazepril hydrochloride, 5

ashlyna, 9

Aurora Pen Needles 31G X 6MM, 26

aspir-81, 19

Aurora Pen Needles 31G X 8MM, 26

amlodipine besylate/valsartan, 5

aspir-low, 19

Aurora Unifine Pentips/32GX5/32", 26

amlodipine/olmesartan medoxomil, 5

aspirin, 19

Aurora Unifine Pentips/Mini/31GX3/16", 26

amlodipine/valsartan/hctz, 5

Aspirin, 20

ammonium lactate, 7

aspirin 81, 19

Auryxia, 13

Amoxapine, 16

aspirin 81 low dose, 19

Auto-lancet, 26

amoxicillin, 1

aspirin adult low dose, 19

Auto-lancet Mini, 26

Amoxicillin Trihydrate, 1

aspirin adult low strength, 19

Autolet II Clinisafe, 26

amoxicillin/clavulanate potassium, 1

aspirin childrens, 19

Autolet Impression Lancing Device, 26

Amoxicillin/Clavulanate Potassium, 1

aspirin EC, 19

Autolet Lancing Device, 26

amoxicillin/clavulanate potassium ER, 1

aspirin EC low dose, 19

Autolet Lite Clinisafe, 26

amphetamine/dextroamphetamine, 16

aspirin enteric coated adult low strength, 19

Autolet Lite Starter Pack, 26

Amphotericin B, 15

Autolet Mini, 26

ampicillin, 1

aspirin low dose, 19

Autolet Platforms, 26

ampicillin sodium, 1

aspirin low strength, 19

Autolet Plus, 26

ampicillin-sulbactam, 1

Aspirin-caffeine-dihydrocodeine, 20

Avage, 8

Ampyra, 18

aspirin/dipyridamole, 15

avar cleanser, 6

Amytal Sodium, 16

aspirtab, 19

avar-e emollient, 6

ana-lex, 13

Assure Comfort Lancets Ultra Thin 28G, 26

avar-e green, 6

Anacaine, 8

Avc, 14

Anadrol-50, 9

Assure Comfort Lancets Ultra Thin 30G, 26

aviane, 9

anagrelide hydrochloride, 15

avidoxy, 1

Analpram-HC, 13

Assure Haemolance Plus High Flow 18G, 26

avita, 6

anastrozole, 3

Avonex, 18

Androgel, 9

Assure Haemolance Plus Low Flow 25G, 26

Avonex Pen, 18

Androgel P.M., 9

azacitidine, 3

Androxy, 9

Assure Haemolance Plus Micro Flow 28G, 26

Azasan, 3

anodyne lpt, 7

Azasite, 18

Anoro Ellipta, 22

Assure Haemolance Plus Normal Flow 21G, 26

azathioprine, 3

Anthralin, 7

Azathioprine, 3

Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2", 26

Assure Haemolance Plus Pediatric Blade, 26

azelastine HCL, 19, 21

Azelex, 6

Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2", 26

Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 26

Azilect, 17

azithromycin, 1

Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2", 26

Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2", 26

Azopt, 19

Azor, 5

Anticoagulant Citrate Dextrose Solution A, 14

Assure Lance Lancets, 26

aztreonam, 2

Assure Lance Lancets 21G, 26

Azulfidine, 13

Anticoagulant Citrate Phosphate Dextrose Solution, 14

Assure Lance Plus Safety Lancets 25G, 26

Azulfidine EN-TABS, 13

azuphen mb, 13

Anticoagulant Sodium Citrate, 14

Assure Lance Plus Safety Lancets 30G, 26

azurette, 9

anucort-HC, 13

B

anusol-HC, 13

Assure Lancets, 26

B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 26

Anzemet, 12

Astagraf XL, 3

Apexicon E, 7

Astringyn, 14

B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16", 26

apraclonidine, 19

AT Last Lancets, 26

aprepitant, 12

Atabex EC, 24

B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 26

apri, 9

Atabex Prenatal, 24

Apriso, 13

atenolol, 4

B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 26

Aptivus, 2

Atenolol, 4

Aqua Lance Adjustable Lancing Device, 26

atenolol/chlorthalidone, 5

B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 26

atorvastatin calcium, 5

aqueous vitamin d infants, 23

atovaquone, 2

B-d Insulin Syringe Ultrafine/1ML/30G X 1/2", 26

aranelle, 9

atovaquone/proguanil HCL, 2

Aranesp Albumin Free, 14

Atripla, 2

Baby Super Daily D3, 23

Arcalyst, 21

atropine sulfate, 12

Baby Vitamin D3 Drops, 23

Arcapta Neohaler, 22

Atropine Sulfate, 12, 19

baciim, 2

bacitracin, 2

BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 26

betamethasone sodium phosphate/betamethasone acetate, 8

Bacitracin, 6

Bacitracin Zinc, 6

BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64", 26

betamethasone valerate, 7

bacitracin/polymyxin b, 18

Betaseron, 18

baclofen, 18

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 26

betaxolol HCL, 4, 18

Bal-care DHA, 24

bethanechol chloride, 13

balsalazide disodium, 13

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 26

Bethanechol Chloride, 13

balziva, 9

Betimol, 18

Banzel, 17

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 26

Betoptic-s, 18

Baraclude, 2

Bevespi Aerosphere, 22

bayer advanced aspirin regular strength, 19

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 26

bexarotene, 4

Bexsero, 23

bayer aspirin, 19

BD Insulin Syringe/U-100/1ML/27G X 1/2", 26

Beyaz, 10

bayer aspirin EC low dose, 19

bicalutamide, 3

bayer aspirin regimen, 19

BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 26

Bidil, 6

bayer chewable low dose, 19

Biltricide, 2

bayer low dose, 19

BD Lancet Ultrafine 30G, 26

Bimatoprost, 19

Bayer Microlet 2 Lancing Device, 26

BD Lancet Ultrafine 33G, 26

bio-d-mulsion, 23

Bayer Microlet Lancets, 26

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 26

bio-d-mulsion forte, 23

BD Autoshield 29G X 3/16", 26

bio-statin, 2

BD Autoshield 29G X 5/16", 26

BD Microtainer Lancets, 26

Bio-statin, 2

BD Autoshield Duo 30G X 3/16", 26

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 26

biotuss, 22

BD Insulin Syringe LUER-LOK/U-100/1ML, 26

biotuss pediatric, 22

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 26

Bisacodyl, 12

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 26

Bismuth Subgallate, 12

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 26

bisoprolol fumarate, 4

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 26

bisoprolol fumarate/hydrochlorothiazide, 5

BD Pen Needle/Ultrafine/29G X 12.7MM, 26

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 26

Blephamide, 18

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 26

Blephamide S.o.p., 18

BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 26

blisovi 24 FE, 9

BD Pen Needles SHORT/Ultrafine/31G X 5/16", 26

blisovi FE 1.5/30, 9

BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 26

blisovi FE 1/20, 9

BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2", 26

Boostrix, 22

BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 26

Boric Acid, 8

BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 26

Bosulif, 3

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 15/64", 26

Botox, 18

BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 26

bp 10-1, 6

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 26

bp foam, 6

BD-insul SYR Mis LO Dose, 26

Bp Folinatal Plus B, 24

BD Insulin Syringe Slip Tip/U-100/1ML, 26

Bebulin, 15

Bp Multinatal Plus, 24

bekyree, 9

bp wash, 6

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 26

Belladonna & Opium, 12

bprotected pedia d-vite, 23

benazepril HCL, 4

bprotected pedia iron, 14

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 26

benazepril HCL/hydrochlorothiazide, 5

Bravelle, 11

Benefix, 15

Breatherite, 35

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 26

Benicar, 5

Breatherite Collapsible Adult Spacer W/Mask, 35

Benicar HCT, 5

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 26

Bensal HP, 8

Breatherite Collapsible Child Spacer W/Mask, 35

benzepro, 6


benzepro creamy wash, 6

Breatherite Collapsible Infant Spacer W/Mask, 35

benzepro SHORT contact, 6


Benziq, 6

Breatherite Collapsible Small Child Spacer W/Mask, 35

Benziq LS, 6


Benzocaine, 8

Breatherite Collapsible Spacer W/ Neonate Mask, 35

benzoin compound tincture, 7

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 26

Benzoin Tincture, 8

Breatherite Rigid Spacer W/Mask, 35

benzonatate, 22

Breatherite W/Large Mask, 35

BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 26

Benzonatate, 22

Breatherite W/Medium Mask, 35

benzoyl peroxide, 6

Breatherite W/Small Mask, 35

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 26

Benzoyl Peroxide, 6

Breo Ellipta, 22

Benzoyl Peroxide Hydrous, 6

briellyn, 9


benztropine mesylate, 17

Brilinta, 15

Benztropine Mesylate, 17

brimonidine tartrate, 19


Bepreve, 19

Briviact, 17

Besivance, 18

bromfed DM, 22


Betadine Ophthalmic Prep, 18

bromfenac, 19

betamethasone dipropionate, 7

Bromfenac, 19

Bromhexine HCL, 22

Capsaicin, 8

carteolol HCL, 18

bromocriptine mesylate, 17

captopril, 4

cartia XT, 4

Bromocriptine Mesylate, 17

Carafate, 12

carvedilol, 4

bromphen/pseudoephedrine HCL/dextromethorphan HBR, 22

Carbaglu, 11

Cascara Sagrada, 12

carbamazepine, 17

cavarest, 15

Brompheniramine Maleate, 21

carbamazepine ER, 17

Caverject, 6

Brompheniramine Tannate, 21

Carbaphen 12, 22

Cayston, 3

Brovana, 22

Carbaphen 12 PED, 22

caziant, 9

budesonide, 8, 21, 22

Carbatrol, 17

Cedax, 1

Bullseye Mini Safety Lancets, 26

carbidopa, 17

cefaclor, 1

Bullseye Safety Lancets, 26

carbidopa/levodopa, 17

Cefaclor, 1

bumetanide, 5

carbidopa/levodopa ER, 17

cefadroxil, 1

Bunavail, 20

carbidopa/levodopa odt, 17

cefazolin sodium, 1

Buphenyl, 11

Carbidopa/Levodopa/Entacapone, 17

Cefazolin Sodium, 1

bupivacaine HCL, 21

carbinoxamine maleate, 21

cefdinir, 1

bupivacaine/epinephrine, 21

Cardiocom Lancing Device, 26

Cefditoren Pivoxil, 1

buprenorphine HCL, 20

Cardura XL, 14

cefepime, 1

buprenorphine HCL/naloxone HCL, 20

Carefine Pen Needle 32GX4MM, 26

cefixime, 1

bupropion HCL, 16

Carefine Pen Needles 29GX1/2", 26

Cefotaxime Sodium, 1

bupropion HCL ER, 16

Carefine Pen Needles 30GX5/16", 26

cefotetan, 1

bupropion HCL SR, 16, 17

Carefine Pen Needles 31GX6MM, 26

cefoxitin sodium, 1

bupropion HCL XL, 16


cefpodoxime proxetil, 1

buspirone HCL, 15


cefprozil, 1

butalbital/acetaminophen, 19


ceftazidime, 1

butalbital/acetaminophen/caffeine, 19

Careone Advanced Lancing Device, 26

Ceftibuten, 1

butalbital/acetaminophen/caffeine/codeine, 20

Careone Insulin Syringes/0.3ML/30G X 1/2", 26

Ceftin, 1

ceftriaxone sodium, 1

butalbital/aspirin/caffeine, 19


cefuroxime axetil, 1

butalbital/aspirin/caffeine/codeine, 20

cefuroxime sodium, 1

Butisol Sodium, 16


celecoxib, 21

butorphanol tartrate, 20

Celontin, 17

Butorphanol Tartrate, 20


Cem-urea, 8

Bydureon, 10

cephalexin, 1

Bydureon Pen, 10

Careone Insulin Syringes/1ML/30G X 1/2", 26

Ceracade, 8

Byetta, 10

Cerdelga, 14

Bystolic, 4

Careone Insulin Syringes/1ML/31GX5/16", 26

cerisa wash, 6

C

Cesamet, 12

Careone Lancet Thin, 26

Cetraxal, 19

C-nate DHA, 24

Careone Lancet Ultra Thin, 26

Cetrotide, 11

cabergoline, 11

Careone Unifine Pentips 29GX12MM, 27

cevimeline HCL, 15

Cafergot, 21


Chantix, 17

Caffeine Anhydrous, 17


Chantix Continuing Month PAK, 17

caffeine citrate, 16


Chantix Starting Month PAK, 17

Caffeine Citrated, 17

Careone Unifine Pentips Pen Needles 32GX4MM, 26

chateal, 9

Calamine, 8

Chemet, 36

calcipotriene, 7

Careone Unifine Pentips Plus Pen Needles 29GX12MM, 26

Chenodal, 13

calcipotriene/betamethasone dipropionate, 7

childrens aspirin, 19


childrens aspirin low strength, 19

calcitonin salmon, 11

Chloral Hydrate, 16

calcitonin-salmon, 11


Chloramphenicol, 3

calcitrene, 7

chlordiazepoxide HCL, 15

Calcitriol, 7


chlordiazepoxide HCL/clidinium bromide, 12

calcitriol, 11

calcium acetate, 13


Chlordiazepoxide/Amitriptyline, 17

Calcium Ascorbate Dihydrate, 24

chlorhexidine gluconate, 15

Calcium Pantothenate, 24

Caretouch Lancing Device With Ejector, 27

chlorhexidine gluconate oral rinse, 15

Calcium PNV, 24

chloroquine phosphate, 2

camila, 9

Caretouch Pen Needles 31 G X 6 MM, 27

Chloroquine Phosphate, 2

Camphor, 7

chlorothiazide, 5

camrese, 9

Caretouch Pen Needles 31GX 5MM, 27

Chlorothiazide, 5

camrese LO, 9


Chlorpheniramine Maleate, 21

Canasa, 13


chlorpromazine HCL, 16

candesartan cilexetil, 5


Chlorpromazine HCL, 16

candesartan cilexetil/hydrochlorothiazide, 5

Caretouch Twist Lancets 30G, 27

chlorthalidone, 5

carisoprodol, 18

chlorzoxazone, 18

Cantharidin, 8

Carisoprodol, 18

Cholbam, 13

capecitabine, 3

carisoprodol/aspirin, 18

cholestyramine, 5

Capex, 7

carisoprodol/aspirin/codeine, 18

cholestyramine light, 5

Caprelsa, 3

choline magnesium trisalicylate, 19

Syringe/1ML/29G X 1/2", 27

clozapine odt, 16

chorionic gonadotropin, 11

Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16", 27

Clozapine Odt, 16

Cialis, 6

Coagadex, 15

ciclodan, 6

Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 27

Coaguchek Lancets, 27

ciclopirox, 6

Coal TAR, 8

ciclopirox nail lacquer, 6

Clever Choice Comfort EZ Pen Needles 29GX12MM, 27

Coartem, 2

ciclopirox olamine, 6

coated aspirin, 19

ciclopirox treatment, 6


Cocaine HCL, 8

cidaleaze, 7

Codeine Phosphate, 20

cilostazol, 15


codeine sulfate, 20

Ciloxan, 18

Codeine Sulfate, 20

Cimzia, 13


Colchicine, 21

Cimzia Starter Kit, 13

Colcrys, 21

Cipro HC, 19


colestipol HCL, 5

Ciprodex, 19

colistimethate sodium, 3

ciprofloxacin, 1


colocort, 13

Ciprofloxacin, 19

Coly-mycin S, 19

ciprofloxacin ER, 1


Colyte-flavor Packs, 12

ciprofloxacin HCL, 1, 18

Combigan, 18

Ciprofloxacin HCL, 1


Combipatch, 9

citalopram hydrobromide, 16

Combivent Respimat, 22

Citranatal 90 DHA, 24


Cometriq, 3

Citranatal Assure, 24

Comfort Assist Insulin Syringe 0.3ML/29G X 1/2", 27

Citranatal B-calm, 24


Citranatal DHA, 24

Comfort Assist Insulin Syringe/0.3ML/30G X 5/16", 27

Citranatal Harmony, 24


Citranatal RX, 24


claravis, 6


clarithromycin, 1


clarithromycin ER, 1

Clickfine Pen Needle 32GX5/32", 27

Classic Prenatal, 24

Clickfine Pen Needle Universal/31GX1/4", 27


Cleanlet Lancets 28G, 27

clearplex x, 6

Clickfine Pen Needle Universal/31GX5/16", 27


Clemastine Fumarate, 21

Cleocin, 14

Clickfine Pen Needles/31GX1/4", 27

Comfort Assist Insulin Syringe/1ML/29G X 1/2", 27

Clever Chek Lancets Ultrathin, 27

Clickfine Pen Needles/31GX5/16", 27

Clever Chek Lancets Ultrathin 30G, 27

Clickfine Universal Pen Needles 31GX5/16", 27


Clever Choice Anti-staticvalved Holding Chamber/Adult Large, 35

clindacin etz pledgets, 6


Clever Choice Anti-staticvalved Holding Chamber/Medium, 35

clindacin-p, 6

Clindagel, 6

Comfort Assured Lancets Micro Thin 33G, 27

Clever Choice Anti-staticvalved Holding Chamber/Small, 35

clindamycin HCL, 2

clindamycin palmitate HCL, 2

Comfort Assured Lancets Super Thin 28G, 27

Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 27

clindamycin phosphate, 6, 13

clindamycin/benzoyl peroxide, 6

Comfort Lancets, 27

Clever Choice Comfort EZ Insulin Pen Needles 33GX4MM, 27

Clindesse, 13

Compact Space Chamber/Anti-static, 35

Clinical Nutrients Prenatal Formula, 24

Compact Space Chamber/Anti-static/Large Mask, 35

Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 27

clinpro 5000, 15

clobetasol propionate, 7

Compact Space Chamber/Anti-static/Medium Mask, 35


clobetasol propionate e, 7

clobetasol propionate emollient, 7

Compact Space Chamber/Anti-static/Small Mask, 35


Clocortolone Pivalate, 7

Clocortolone Pivalate P.M., 7

Complera, 2


clodan, 7

Complete Natal DHA, 24

Cloderm, 7

compro, 16


Cloderm P.M., 7

Concept DHA, 24

clomipramine HCL, 16

Concept OB, 24


clonazepam, 17

Condylox, 8

clonazepam odt, 17

constulose, 12


clonidine HCL, 5

Copaxone, 18

clopidogrel, 15

Cordran, 7


clorazepate dipotassium, 15

Coreg CR, 4

Clorpres, 5

Corifact, 15


Closercare, 27

cormax scalp application, 7

clotrimazole, 6, 15

Cortane-b, 7


clotrimazole/betamethasone dipropionate, 6

Cortane-b Aqueous, 19

cortic-nd, 19

Clever Choice Comfort EZ Insulin

clozapine, 16

Cortifoam, 13

Cortisone Acetate, 8

d-2000 maximum strength, 23

Desvenlafaxine ER, 16

Cortisporin, 6

d-3-5, 23

dexamethasone, 8

corvita, 24

d-400, 23

Dexamethasone, 8

Cosentyx, 7

d-5000, 23

Dexamethasone Intensol, 8

Cosentyx Sensoready Pen, 7

D-care Blood Glucose, 27

dexamethasone sodium phosphate, 8

Cotellic, 3

d-vita, 23

Dexamethasone Sodium Phosphate, 8, 18

Coumadin, 14

d2000 ultra strength, 23

covaryx, 9

d3, 23

dexedrine, 16

covaryx HS, 9

d3 2000, 23

dexmethylphenidate HCL, 16

Creon, 13

d3 adult, 23

dexmethylphenidate HCL ER, 16

Cresemba, 2

d3 adult gummy, 23

Dexpak 10 Day, 8

Crinone, 14

D3 Dots, 24

Dexpak 13 Day, 8

Crixivan, 2

d3 high potency, 23

Dexpak 6 Day, 8

cromolyn sodium, 13, 19

d3 kids, 23

dextroamphetamine sulfate, 16

Cromolyn Sodium, 22

d3 maximum strength, 23

dextroamphetamine sulfate ER, 17

cryselle-28, 9

d3 super strength, 23

dialyvite vitamin d 5000, 23

curity sterile saline, 14

d3 ultra strength, 23

dialyvite vitamin d3 max, 23

Curosurf, 22

d3-1000, 23

Diastar Easy Test II Lancets 30G, 27

Cuvposa, 12

d3-50, 23

Diastar Easy Test Lancets30G, 27

CVS aspirin, 20

Daliresp, 22

diazepam, 15

CVS aspirin adult low dose, 20

danazol, 9

diazepam intensol, 15

CVS aspirin adult low strength, 20

Danazol, 9

Diazoxide, 5

CVS aspirin EC, 20

dantrolene sodium, 18

diclofenac potassium, 21

CVS aspirin low dose, 20

dapsone, 2

diclofenac sodium, 7, 19

CVS childrens aspirin, 20

Daptacel, 22

diclofenac sodium DR, 21

CVS d3, 23

Daraprim, 2

diclofenac sodium ER, 21

CVS enteric aspirin, 20

darifenacin hydrobromide ER, 13

diclofenac sodium/misoprostol, 21

CVS folic acid, 14

dasetta 1/35, 9

dicloxacillin sodium, 1

CVS Lancets 21G, 27

dasetta 7/7/7, 9

dicyclomine HCL, 12

CVS Lancets Micro Thin 33G, 27

daysee, 9

didanosine, 2

CVS Lancets Micro-thin 33G, 27

Daytrana, 17

Dificid, 1

CVS Lancets Original, 27

Ddrops, 24

difil-G forte, 22

CVS Lancets Thin 26G, 27

Debacterol, 15

Diflorasone Diacetate, 7

CVS Lancets Ultra Thin 30G, 27

deblitane, 9

diflunisal, 19

CVS Lancets Ultra-thin 30G, 27

decara, 23

digitek, 4

CVS Lancing Device, 27

Decara, 24

digox, 4

CVS Prenatal, 24

Decon-a, 22

digoxin, 4

CVS Ultra Thin Lancets, 27

Decon-G, 22

dihydroergotamine mesylate, 21

CVS vitamin d childrens gummies, 23

delta d3, 23

Dihydroergotamine Mesylate, 21

CVS vitamin d3, 23

deltasone, 8

Dilantin, 17

CVS Vitamin D3 Drops/Infants, 24

delyla, 9

Dilantin Infatabs, 17

cyanocobalamin, 14

Delzicol, 13

Dilantin-125, 17

Cyanocobalamin, 14

demeclocycline HCL, 1

Dilatrate SR, 4

cyclafem 1/35, 9

Demeclocycline HCL, 1

dilt-XR, 4

cyclafem 7/7/7, 9

Demser, 5

diltiazem CD, 4

cyclobenzaprine HCL, 18

Denavir, 7

diltiazem HCL, 4

Cyclomydril, 19

denta 5000 plus, 15

diltiazem HCL CD, 4

cyclopentolate HCL, 19

dentagel, 15

diltiazem HCL ER, 4

cyclopentolate hydrochloride, 19

Depakene, 17

Dipentum, 13

Cyclophosphamide, 3

Depakote, 17

diphenhydramine HCL, 21

Cycloserine, 1

Depakote ER, 17

Diphenhydramine HCL, 21

cyclosporine, 3

Depakote Sprinkles, 17

diphenoxylate/atropine, 12

cyclosporine modified, 3

Depo-estradiol, 9

Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 22

cyotic, 19

Depo-subq Provera 104, 10

cyproheptadine HCL, 21

dermacinrx empricaine, 7

dipyridamole, 15

cyred, 9

dermacinrx prizopak, 7

disopyramide phosphate, 4

Cystadane, 11

dermazene, 6

disulfiram, 17

Cystagon, 14

Descovy, 2

Diuril, 5

Cytomel, 12

desipramine HCL, 16

divalproex sodium, 17

cytra k crystals, 14

Desipramine HCL, 16

divalproex sodium DR, 17

D

desmopressin acetate, 11

divalproex sodium ER, 17

desogestrel/ethinyl estradiol, 9

Divigel, 9

d 1000, 23

Desonate, 7

Docusate Sodium, 12

d 10000, 23

desonide, 7

dofetilide, 4

d 2000, 23

Desonide, 7

donepezil HCL, 17

d 400, 23

desoximetasone, 7

Donnatal, 12

d 5000, 23

Desoximetasone, 7

Doral, 16

d-1000, 23

desvenlafaxine ER, 16

dorzolamide HCL, 19

d-1000 extra strength, 23

dorzolamide HCL/timolol maleate, 18

dutasteride/tamsulosin hydrochloride, 14

100/0.5ML/30G X 5/16", 27

Dothelle DHA, 24

Dutoprol, 5

Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2", 28

doxazosin, 5

Dyazide, 5

doxazosin mesylate, 5

Dyrenium, 5

Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2", 28

doxepin HCL, 16

Dysport, 18

Doxepin HCL, 16

E

Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2", 28

Doxepin Hydrochloride, 7

E-z Ject Lancets, 27

doxercalciferol, 11


E-z Ject Lancets 21G, 27

doxycycline, 1

E-z Ject Lancets Color, 27

doxycycline hyclate, 1


E-z Ject Lancets Super Thin, 27

Doxycycline Hyclate, 1

E-z Ject Lancets Super Thin 30G, 27

doxycycline monohydrate, 1


E-z Ject Lancets Thin 26G, 27

Doxylamine Succinate, 21

E-z Spacer, 35

Dritho-creme HP, 7


E-z Spacer The Body Guards Pack, 35

dronabinol, 12

E-ZJECT Lancets Micro-thin 33G, 27

droperidol, 15

Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2", 28

E.e.s. 400, 1

Droperidol, 15

E.e.s. Granules, 1

Droplet Lancets Ultra Thin 30G, 27


Easivent, 35

Droplet Lancing Device, 27

Easivent/Mask-large, 35

Droplet Pen Needles 29GX12MM, 27


Easivent/Mask-medium, 35


Easivent/Mask-small, 36



Easy Comfort Insulin Syringe/0.5ML/30G X 5/16", 27



Easy Touch Lancets 21G/Pressure Activated, 28

Easy Comfort Insulin Syringe/0.5ML/31G X 5/16", 27




Easy Comfort Insulin Syringe/1ML/30G X 5/16", 27


drospirenone/ethinyl estradiol, 9


Easy Comfort Insulin Syringe/1ML/31G X 5/16", 27

drospirenone/ethinyl estradiol/levomefolate calcium, 9

Easy Touch Lancets 26G/Pull-top, 28

Easy Comfort Insulin Syringe/U-100/0.5ML/30G X 1/2", 27

Droxia, 14

Easy Touch Lancets 26G/Twist, 28

Drug Mart Adjustable Lancing Device, 27


Easy Comfort Insulin Syringe/U-100/1ML/30G X 1/2", 27

Drug Mart Lancets Thin, 27

Drug Mart Lancets Ultra Thin, 27


Easy Comfort Lancets, 27

Drug Mart On-the-go Lancets Gentle 30G, 27


Easy Comfort Lancets 30G/Pull Top, 27

Easy Touch Lancets 30G/Button-activated, 28

Easy Comfort Lancets 30G/Thin Top, 27

Drug Mart Unifine Pentips 31GX5MM, 27

Easy Comfort Pen Needles 31GX1/4", 27

Drug Mart Unifine Pentips29G X 12MM, 27



Drug Mart Unifine Pentips31GX6MM, 27








Drug Mart Unifine Pentipsplus 32GX4MM, 27


Easy Mini Eject Lancing Device, 27

Drug Mart Unilet Lancets Super Thin 30G, 27


Easy Mini Lancing Device, 27


Easy Touch 32GX5MM, 28

Drug Mart Unilet Lancets Ultra Thin 28G, 27

Easy Touch Lancing Device/Ejector, 28

Easy Touch 32GX6MM, 28

Easy Touch Pen Needles 29GX1/2", 28

Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2", 27

Duane Reade Lancet Alternate Site 26G, 27




Duane Reade Lancet Super Thin 30G, 27




Duane Reade Lancet Ultra Thin 28G, 27


Duane Reade Unifine Pentips 29G X 12MM, 27

Easy Touch Pen Needles/31G X 3/16", 28


Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 27

Easy Touch Safety Lancets21G/Pressure Activated, 28

Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 28

Duane Reade Unifine Pentips 31G X 8MM SHORT, 27



Duavee, 9

Easy Touch Safety Lancets26G/Button Activated, 28


Duet DHA 400, 24

Duet DHA Balanced, 24



duloxetine HCL, 16

duramorph, 20

Easy Touch Safety Lancets28G/Button Activated, 28

Easy Touch Insulin Syringe/1ML/30G X 5/16", 28

Duraxin, 20

Durezol, 18


Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2", 27

dutasteride, 14

dutasteride/tamsulosin HCL, 14

Easy Touch Sheathlock Safety Insulin

Easy Touch Insulin Syringe/Safety/U-

Syringe 1ML/29GX1/2", 28

enalapril maleate, 4

eql vitamin d3 gummies, 23

Easy Touch Sheathlock Safety Insulin Syringe 1ML/30GX5/16", 28

enalapril maleate/hydrochlorothiazide, 5

Equetro, 16

Enbrel, 21

Ergocalciferol, 24

Easy Touch Sheathlock Safety Insulin Syringe 1ML/31GX5/16", 28

Enbrel Sureclick, 21

Ergoloid Mesylates, 17

Encare, 13

Ergomar, 21

Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2", 28

endocet, 20

Ergotamine Tartrate, 21

Endometrin, 14

ergotamine tartrate/caffeine, 21

Easy Twist & CAP Lancets, 28

Engerix-b, 23

errin, 9

easygel, 15

enoxaparin sodium, 14

Ertaczo, 6

Easytest II Lancets, 28

enpresse-28, 9

ery, 6

Easytest Lancets, 28

enskyce, 9

Ery-TAB, 1

EC-81 aspirin, 20

Enstilar, 7

Eryped 200, 1

econazole nitrate, 6

entacapone, 17

Eryped 400, 1

econtra EZ, 9

entecavir, 2

Erythrocin Stearate, 1

ecotrin, 19

Entereg, 13

erythromycin, 1, 6, 18

ecotrin low strength, 19

enteric coated aspirin, 19

Erythromycin, 1

ecpirin, 19

Entresto, 6

Erythromycin Base, 1

ed-spaz, 12

Entty Spray Emulsion, 8

erythromycin ethylsuccinate, 1

Edarbi, 5

enulose, 13

Erythromycin Ethylsuccinate, 1

Edarbyclor, 5

Envarsus XR, 3

erythromycin/benzoyl peroxide, 6

Edex, 6

Epclusa, 2

Esbriet, 22

Edurant, 2

Ephedrine HCL, 22

escitalopram oxalate, 16

eemt, 9

ephedrine sulfate, 5

estarylla, 9

eemt HS, 9

Ephedrine Sulfate, 22

estazolam, 16

Effient, 15

Epiceram, 8

esterified estrogens/methltestosterone, 9

Egrifta, 11

Epiduo, 6

esterified estrogens/methyltestosterone, 9

Elelyso, 14

Epifoam, 7

Elestrin, 9

epinastine HCL, 19

esterified estrogens/methyltestosterone DS, 9

Elidel, 7

Epinephrine, 5

Eligard, 3

epinephrine HCL, 22

esterified estrogens/methyltestosterone HS, 9

elinest, 9

episone CRE, 7

Eliquis, 14

epitol, 17

Estrace, 13

Elite-thin Insulin Syringe/0.3ML/31G X 5/16", 28

eplerenone, 5

estradiol, 9

Epogen, 14

Estradiol, 9


Eprosartan Mesylate, 5

estradiol valerate, 9

Epzicom, 2

estradiol/norethindrone acetate, 9


eq adult aspirin low strength, 19

Estring, 14

eq aspirin, 19

Estriol, 9

Elite-thin Insulin Syringe/1ML/29G X 5/16", 28

eq aspirin adult low dose, 19

Estrogel, 9

eq aspirin EC, 19

Estrone, 9

Elite-thin Insulin Syringe/1ML/30G X 5/16", 28

eq aspirin low dose, 19

Estropipate, 9

eq childrens aspirin, 19

eszopiclone, 16

Elite-thin Insulin Syringe/U-100/0.5ML/28G X 1/2", 28

eql aspirin, 19

ethambutol HCL, 1

eql aspirin EC, 19

Ethambutol HCL, 1


eql aspirin low dose, 19

Ethinyl Estradiol, 9

Eql Color Lancets 21G, 28

ethosuximide, 17


Eql Color Lancets Micro Thin 33G, 28

Ethyl Chloride, 8

Eql Insulin Syringe/0.3ML/29G X 1/2", 28

Ethyl Chloride/Fine Pinpoint, 8



Ethyl Chloride/Fine Stream, 8

Ethyl Chloride/Medium Jet Stream, 8

Elite-thin Insulin Syringe/U-100/1ML/28G X 5/16", 28


Ethyl Chloride/Medium Stream, 8

Ethyl Chloride/Mist, 8



Etidronate Disodium, 11


etodolac, 21


etodolac ER, 21


Etoposide, 3

Elixophyllin, 22

Euflexxa, 18

Ella, 10

Eql Insulin Syringe/1ML/29G X 1/2", 28

Eurax, 8

Elmiron, 14


Evamist, 9

Emadine, 19


Evicel, 15

Embrace Lancets Ultra Thin 30G, 28

Eql Prenatal Formula, 24

Evomela, 3

Emcyt, 3

Eql SHORT Pen Needles 31G X 8MM, 28

Evotaz, 2

Emend, 12

Excel Comfort Point Insulin Pen Needles 31G X 4MM, 28

emoquette, 9

Eql Super Thin Lancets 30G, 28

Emsam, 16

Eql Thin Lancets 26G, 28

Exel Comfort Point Insulin Pen Needles 29G X 12MM, 28

Emtriva, 2

Eql Ultra SHORT Pen Needles 31G X 6MM, 28

Emulsion SB, 8


Emverm, 2

eql vitamin d3, 23


28

fluticasone propionate, 7, 21

Fifty50 Pen Needles 31GX5MM, 28

fluvastatin, 5

Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 28

Fifty50 Pen Needles/31GX8MM, 28

Fluvirin 2015-2016, 23


Fluvirin 2016-2017, 23



fluvoxamine maleate, 16

Fifty50 Safety Seal Lancets 30G, 28

fluvoxamine maleate ER, 16


Fifty50 Safety Seal Lancets 32G, 28

Fluzone High-dose PF 2016-2017, 23

Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16", 28

Fluzone Intradermal Quadrivalent 2016-2017, 23


Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 28

Fluzone Quadrivalent 2016-2017, 23


FML, 18

Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 28

FML Forte, 18

Exel Comfort Point Insulin Syringe/1ML/29G X 1/2", 28

Focalgin 90 DHA, 24

Fifty50 Unilet Lancets 33G, 28

Focalgin CA, 24

Exel Comfort Point Insulin Syringe/1ML/30G X 5/16", 28

Finacea, 6

Focalin XR, 17

finasteride, 14

Folcal DHA, 24

Exelderm, 6

Fine 30, 28

Folcaps Omega 3, 24

exemestane, 3

Fingerstix Lancets, 28

Folet One, 24

Exjade, 36

Firmagon, 3

folic acid, 14

exotic-HC, 19

Flarex, 18

Folic Acid, 14

Extavia, 18

flavoxate HCL, 13

Folivane-OB, 24

Extra-virt Plus DHA, 24

flecainide acetate, 4

Follistim AQ, 11

EZ Smart Blood Glucose Lancets, 28

Flector, 7

fondaparinux sodium, 14

EZ-lets Lancets 21G, 28

Flexichamber, 36

Fora Lancets, 28


Flexichamber Adult Mask/Small, 36

Fora Lancing Device, 28

EZ-lets Lancets 26G Super-soft, 28

Flexichamber Child Mask/Large, 36

Fora Lancing Device/Clearcap, 28

EZ-lets Lancets 28G Ultra-soft, 28

Flexichamber Child Mask/Small, 36

Forteo, 11


Flovent Diskus, 22

fosinopril sodium, 4

ezetimibe, 5

Flovent HFA, 22

fosinopril sodium/hydrochlorothiazide, 5

ezetimibe/simvastatin, 5

Fluad 2016-2017, 23

fosphenytoin sodium, 17

Ezfe Forte, 24

Fluarix Quadrivalent 2016-2017, 23

Fosrenol, 13

F

Flublok 2015-2016, 23

Fragmin, 14

Flublok 2016-2017, 23

Freds Pharmacy Autolet Lancing Device, 28

fa-8, 14

Flucelvax Quadrivalent 2016-2017, 23

Fabior, 6

fluconazole, 2

Freds Pharmacy Unifine Pentips Pen Needles 32GX4MM, 28

Factive, 1

flucytosine, 2

Falessa, 10

fludrocortisone acetate, 8

Freds Pharmacy Unifine Pentips Plus 31GX5MM, 28

fallback solo, 9

Fludrocortisone Acetate, 8

falmina, 9

Flulaval Quadrivalent 2016-2017, 23

Freds Pharmacy Unifine Pentips Plus 31GX8MM, 28

famciclovir, 2

flunisolide, 21

Fanapt, 16

Flunisolide, 22

Freds Pharmacy Unilet Lancets Super Thin 30G, 28

Fanapt Titration Pack, 16

Flunisolide Anhydrous, 22

Fareston, 3

fluocinolone acetonide, 7, 19

Freds Pharmacy Unilet Lancets Ultra Thin 28G, 28

Farydak, 3

Fluocinolone Acetonide, 7

Fazaclo, 16

fluocinolone acetonide body, 7

Freestyle Lancets, 28

Feiba, 15

fluocinolone acetonide ear drops, 19

Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16", 28

felbamate, 17

fluocinolone acetonide scalp, 7

felodipine ER, 4

fluocinonide, 7

Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16", 28

Fem PH, 14

Fluocinonide, 7

Femring, 14

fluocinonide emulsified base, 7

Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16", 28

femynor, 9

fluocinonide-e, 7

fenofibrate, 5

fluoridex, 15

Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16", 28

Fenofibrate, 5

fluoridex daily renewal, 15

fenofibrate micronized, 5

fluoridex enhanced whitening, 15

Freestyle Unistick II Lancets, 28

fenofibric acid DR, 5

fluoridex sensitivity relief, 15

frovatriptan succinate, 21

fentanyl, 20

fluoridex sensitivity relief/sls free, 15

furosemide, 5

fentanyl citrate oral transmucosal, 20

fluorometholone, 18

Furosemide, 5

fer-iron, 14

Fluoxetine, 17

Fuzeon, 2

ferosul, 14

Fluoxetine DR, 16

fyavolv, 9

Ferretts IPS, 14

fluoxetine HCL, 16, 17

Fycompa, 17

Ferriprox, 36

fluphenazine decanoate, 16

G

ferrous drops, 14

fluphenazine HCL, 16

ferrous sulfate, 14

gabapentin, 17

Fluphenazine HCL, 16

Ferrous Sulfate, 14

Gabitril, 17

flurandrenolide, 7

Ferrous Sulfate Anhydrous, 14

galantamine hydrobromide, 17

Flurazepam HCL, 16

Ferrous Sulfate Heptahydrate, 14

Galantamine Hydrobromide, 17

flurbiprofen, 21

Fifty50 Pen Needles 31G X3/16" (5MM), 28

galantamine hydrobromide ER, 17

flurbiprofen sodium, 19

Ganirelix Acetate, 11

flutamide, 3

Fifty50 Pen Needles 31G X5/16" (8MM),

Gardasil, 23

Gardasil 9, 23

Global Inject Ease Insulin Syringe/U-100/0.3ML/30G X 1/2", 29

Gmate Lancing Device, 29

gatifloxacin, 18

gnp adult aspirin low strength, 19

gavilyte-c, 12


gnp aspirin, 19

gavilyte-G, 12

gnp aspirin low dose, 20

gavilyte-h, 12


Gnp Clickfine Pen Needle Universal/31GX5/16", 29

gavilyte-n/flavor pack, 12

Gebauers Pain Ease, 8


Gnp Clickfine Universal Pen Needles 31GX1/4", 29

Gebauers Spray And Stretch, 8

Gel-kam Oral Care Rinse, 15


Gnp Clickfine Universal Pen Needles 31GX5/16", 29

Gel-one, 18

Gelclair, 15


gnp d 1000, 23

gemfibrozil, 5

gnp d 2000, 23

Gemfibrozil, 5


Gnp Daily Prenatal, 24

Genadur, 8

gnp folic acid, 14

gene-xene TAB 15MG, 15


Gnp Insulin Syringe/0.3ML/29G X 1/2", 29

gene-xene TAB 3.75MG, 15

gene-xene TAB 7.5MG, 15

Global Inject Ease Insulin Syringe/U-100/1ML/29G X 1/2", 29


generlac, 13

gengraf, 3



gentak, 18

gentamicin sulfate, 1, 6, 18



Gentamicin Sulfate, 6

Gentamicin Sulfate Micronized, 6



gentamicin sulfate pediatric, 1

Gentian Violet, 6

Global Inject Ease Lancets 28G, 29


Gentle-let GP Lancets, 28

Global Inject Ease Lancets 30G, 29

Gentle-let Lancets General Purpose Style/Fine Point, 28

Global Insulin Syringe/U-100/0.3ML/30G X 1/2", 29


Gentle-let Lancets General Purpose Style/Medium Point, 28

Global Insulin Syringes/U-100/0.3ML/30GX5/16", 29

Gnp Insulin Syringe/1ML/29G X 1/2", 29


Gentle-let Lancets Safety Style/Fine Point, 29

Global Lancing Device, 29


Glucagen Hypokit, 11

Gnp Lancets, 29

Gentle-let Lancets Safety Style/Medium Point, 29

Glucagon Emergency Kit, 11

Gnp Lancets 21G, 29

Glucocom Lancets 28G, 29

Gnp Lancets Micro Thin 33G, 29

Gentle-let Platforms 2.4MM, 29


Gnp Lancets Super Thin 30G, 29

Gentle-let Platforms 3.0MM, 29


Gnp Lancets Thin, 29

Genvisc 850, 18

Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2", 29

Gnp Lancets Thin 26G, 29

Genvoya, 2

Gnp Micro Thin Lancets 33G, 29

Gialax, 12


Gnp Prenatal, 24

gianvi, 9

Gnp Super Thin Lancets/30G, 29

gildagia, 9


Gnp Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 29

Gilenya, 18

Gilotrif, 3


Gnp Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16" SHORT, 29

Gilphex TR, 22

giltuss pediatric, 22



Giltuss TR, 22

glatopa, 18



Gleostine, 3

glimepiride, 10

Glucopro Insulin Syringe/U-100/1ML/30G X 1/2", 29


glipizide, 10

Glipizide, 11



glipizide ER, 10

glipizide XL, 10



glipizide/metformin HCL, 11

Global Ease Inject Pen Needles 29GX12MM, 29

Glucosource Lancet Device, 29

Gnp Ultra Comfort Insulin Syringe/1ML/29G X 1/2", 29

Glucosource Lancets, 29


glyburide, 10

Gnp Ultra Comfort Insulin Syringe/1ML/30G X 5/16" SHORT, 29

Glyburide, 11


glyburide micronized, 10

Gnp Ultra Comfort Insulin Syringe/1ML/31G X 5/16" SHORT, 29

glyburide/metformin HCL, 11

Global Ease Inject Pen Neeedles 31GX5MM, 29

glycine, 14

gnp vitamin d, 23

Glycine, 14

gnp vitamin d maximum strength, 23

Global Easy Glide Insulinsyringe/U-100/0.3ML/31G X 5/16", 29

Glycine (l), 14

gnp vitamin d super strength, 23

Glycolic Acid, 7

gnp vitamin d3 extra strength, 23

Global Easy Glide Pen Needles 32GX4MM, 29

Glycolic Acid 70% High Purity, 7

Golytely, 12

glycopyrrolate, 12

Gonal-f, 11


glydo, 7

Gonal-f RFF, 11

Gmate Lancets 30G, 29

Gonal-f RFF Rediject, 11

goodsense aspirin, 20

Needles 29GX12MM, 29

hydrocortisone acetate, 13

goodsense aspirin adult low strength, 20

Healthy Accents Unifine Pentips Pen Needles 31GX5MM, 29

Hydrocortisone Acetate Micronized, 7

goodsense aspirin low dose, 20

hydrocortisone acetate/pramoxine, 7, 13

Goodsense Lancets Micro-thin 33G, 29


hydrocortisone butyrate, 7

Goodsense Lancets Ultra-thin 30G, 29

hydrocortisone butyrate (lipid), 7

Goodsense Lancing Device, 29


hydrocortisone butyrate (lipophilic), 7

Goodsense Prenatal Vitamins, 24

hydrocortisone IN absorbase, 7

Gordofilm, 8


Hydrocortisone Micronized, 7

Gordons Urea, 8

hydrocortisone valerate, 7

granisetron HCL, 12

Healthy Accents Unilet Lancets Super Thin 30G, 29

hydrocortisone/acetic acid, 19

Granix, 14

hydrocortisone/iodoquinol, 6

griseofulvin microsize, 2

healthy kids vitamin d3, 23

hydromet, 22

griseofulvin ultramicrosize, 2

heather, 9

hydromorphone HCL, 20

guanfacine ER, 16

Helixate FS, 15

hydromorphone HCL dosette, 20

guanfacine HCL, 5

Hemenatal OB, 24

Hydroxocobalamin, 14

Gynazole-1, 14

Hemenatal OB + DHA, 24

hydroxychloroquine sulfate, 2

H

hemmorex-HC, 13

Hydroxyprogesterone Caproate, 3

Hemofil M, 15

hydroxyurea, 4

h-e-b aspirin, 20

heparin sodium, 14

hydroxyzine HCL, 15

H-e-b IN Control Pen Needles 31GX5MM, 29

heparin sodium dcu, 14

hydroxyzine pamoate, 15

heparin sodium/NACL 0.9%, 14

Hydroxyzine Pamoate, 15


heparin sodium/sodium chloride 0.9% premix, 14

Hylatopic Plus, 8

Hylira, 8


Hexalen, 3

hyolev mb, 13

Hiberix, 23

hyophen, 13

H-e-b IN Control Pen Needles/Nano/32GX4MM, 29

HM aspirin, 20

hyoscyamine sulfate, 12

HM aspirin EC, 20

Hyoscyamine Sulfate, 12

H-e-b IN Control Unifine Pentips Plus 31GX5MM, 29

HM aspirin EC low dose, 20

hyoscyamine sulfate ER, 12

HM folic acid, 14

hyoscyamine sulfate odt, 12

H-e-b IN Control Unifine Pentips Plus 32GX4MM, 29

HM One Daily Prenatal Combo, 24

hyoscyamine sulfate SR, 12

HM Prenatal, 24

hyosyne, 12

H-e-b Incontrol Advanced Lancing Device, 29

HM vitamin d, 23

Hypersal, 22

HM vitamin d3, 23

Hypolance AST Lancing Kit, 29

H-e-b Incontrol Lancets Micro Thin 33G, 29

HM Vitamin D3, 24

I

homatropaire, 19

H-e-b Incontrol Lancets Super Thin 30G, 29

ibandronate sodium, 11

homatropine HBR, 19

Ibrance, 3

HPR, 8

H-e-b Incontrol Lancets Ultra Thin 28G, 29

ibudone, 20

HPR Plus, 8

ibuprofen, 21

Humalog Kwikpen, 10

H-e-b Incontrol Pen Needles 29GX12MM, 29

Ichthammol, 8

Humate-p, 15

Iclusig, 3

Humira, 21

Haemolance, 29

Idelvion, 15

Humira Pediatric Crohns Disease Starter Pack, 21

Haemolance Low Flow Lancets, 29

Ilevro, 19

Haemolance Plus, 29

imatinib mesylate, 3

Humira Pen, 21

Haemolance Plus High Flow, 29

Imbruvica, 3

Humira Pen-crohns Diseasestarter, 21

Haemolance Plus Low Flow, 29

imipramine HCL, 16

Humira Pen-psoriasis Starter, 21

Haemolance Plus Max Flow, 29

imipramine pamoate, 16

Humulin R U-500 (concentrated), 10

Haemolance Plus Pediatric Flow, 29

imiquimod, 7

Hy-vee Lancets, 29

halobetasol propionate, 7

IN Touch Lancing Device, 30

Hy-vee Thin Lancets, 29

Halog, 7

IN Touch Sterile Lancets 30G, 30

Hyalgan, 18

haloperidol, 16

Increlex, 11

Hycamtin, 4

Haloperidol, 16

Incruse Ellipta, 22

hydralazine HCL, 5

haloperidol decanoate, 16

indapamide, 5

hydrochlorothiazide, 5

haloperidol lactate, 16

Indocin, 21

Hydrochlorothiazide, 5

Halotin, 7

indomethacin, 21

hydrocodone bitartrate/acetaminophen, 20

Havrix, 23

indomethacin ER, 21

Health Care Lancing Device, 29

Infanate Balance, 24

hydrocodone bitartrate/homatropine methylbromide, 22

Healthwise Lancets 30G, 29

Infanrix, 22

Healthwise Lancing Pen, 29

Inlyta, 3

hydrocodone polistirex/chlorpheniramine polistirex, 22

Healthwise Mini Pen Needles 31GX6MM, 29

Innopran XL, 4

Inspirachamber/Anti-static Valved/Mouthpiece, 36

hydrocodone/acetaminophen, 20

Healthwise Pen Needles 29GX12MM, 29

hydrocodone/homatropine, 22

Healthwise SHORT Pen Needles 31GX8MM, 29

Inspirachamber/Large, 36

hydrocodone/ibuprofen, 20

Inspirachamber/Soothermask/Inspiramask/Medium, 36

hydrocort ene 100MG, 13

Healthwise Unifine Pentips Pen Needles 32GX4MM, 29

hydrocortisone, 7, 8, 13

Inspirachamber/Soothermask/Inspiramask/Small, 36

Hydrocortisone, 7

Healthy Accents Autolet Impression Lancing Device, 29

hydrocortisone 1% IN absobase, 7

Inspirease Bags, 36

Hydrocortisone Acetate, 7

Healthy Accents Unifine Pentips Pen

Inspirease Drug Delivery System, 36

Inspirease Mouthpiece, 36

isometheptene/dichloralphenazone/acetaminophen, 21

Kinrix, 22

Inspirease Reservoir Bags, 36

kls aspirin EC, 20

Insulin Syringe/0.3ML/29G X 1", 29

isoniazid, 1

kls aspirin low dose, 20

Insulin Syringe/0.3ML/29G X 1/2", 29

Isoniazid, 1

Kmart Valu Plus Insulin Syringe/0.3ML/30G, 30


Isopropamide Iodide, 12


Isordil Titradose, 4



isosorbide dinitrate, 4


isosorbide mononitrate, 4



isosorbide mononitrate ER, 4


isoxsuprine HCL, 6

Kmart Valu Plus Insulin Syringe/1ML/29G, 30


isradipine, 4

Insulin Syringe/1ML/29G X 1/2", 30

Istalol, 18

Kmart Valu Plus Insulin Syringe/1ML/30G, 30

Insulin Syringe/1ML/30G X 5/16", 30

itraconazole, 2

Insulin Syringe/U-100/0.3ML/29G X 1/2", 29

ivermectin, 2

Koate, 15

Ixinity, 15

Koate-dvi, 15


J

Kogenate FS, 15

Kogenate FS Bio-set, 15

Jadenu, 36


Kombiglyze XR, 11

Jakafi, 3

Korlym, 11

jantoven, 14

Insulin Syringe/U-100/1ML/29G X 1/2", 29

Kosher Prenatal Plus Iron, 24

Janumet, 11

kp aspirin, 20

Januvia, 11


kp folic acid, 14

Jardiance, 11

Kp Prenatal Multivitamins, 24

jencycla, 9


kp vitamin d, 23

jevantique LO, 9

kp vitamin d3, 23

jinteli, 9

Insulin Syringes/0.5ML/27GX1/2", 30

Kpn Prenatal, 24

jolessa, 9


Kristalose, 12

jolivette, 9


Kroger Insulin Syringe/0.3ML/29G X 1/2", 30

juleber, 9


junel 1.5/30, 9

Insulin Syringes/0.5ML/31GX 5/16", 30


junel 1/20, 9


junel FE 1.5/30, 9

Insulin Syringes/1ML/27GX/1/2", 30


junel FE 1/20, 9

Insulin Syringes/1ML/27GX1/2", 30

junel FE 24, 9



just d, 23


K



Insupen 33GX4MM, 30

K-phos NO 2, 14

Insupen Pen Needles 32G X4MM, 30


Kadian, 20

Insupen Sensitive 32GX6MM, 30

kaitlib FE, 9

Insupen Sensitive 32GX8MM, 30

Kroger Insulin Syringe/1ML/29G X 1/2", 30

Kaletra, 2

Insupen Ultrafin 29GX12MM, 30

Kalydeco, 22



Kaolin, 12


karigel, 15



karigel-n, 15

Intelence, 2

kariva, 9

Intron A, 4

Kroger Lancets, 30

kelnor 1/35, 9

Intron A W/Diluent, 4

Kroger Lancets 21G, 30

Keppra, 17

introvale, 9

Kroger Lancets Micro Thin33G, 30

Keppra XR, 17

Invega Sustenna, 16

Kroger Lancets Super Thin, 30

Keralyt Scalp, 8

Invega Trinza, 16

Kroger Lancets Thin, 30

ketamine HCL, 21

Invirase, 2

Kroger Lancets Thin 26G, 30

ketoconazole, 2, 6

Invokamet, 11

Kroger Lancets Ultrathin 30G, 30

ketodan, 6

Invokana, 11

Kroger Lancing Device, 30

ketoprofen, 21

Iodoquinol, 2

Kroger Pen Needles 29G X 12MM, 30

ketorolac tromethamine, 19, 21

Iopidine, 19

Kroger Pen Needles 31G X 8MM, 30

Ketorolac Tromethamine, 21

Ipol Inactivated IPV, 23

Kroger Pen Needles 31GX1/4", 30

Khedezla, 16

ipratropium bromide, 21, 22

kurvelo, 9

kimidess, 9

Ipratropium Bromide, 22

Kuvan, 11

Kineret, 21

Ipratropium Bromide Monohydrate, 22

L

Kinney Lancets, 30

ipratropium bromide/albuterol sulfate, 22

Kinney Thin Lancets, 30

L-glutamic Acid HCL, 13

irbesartan, 5

Kinray Insulin Syringe Preferred Plus/0.3ML/31G X 5/16", 30

labetalol HCL, 4

irbesartan/hydrochlorothiazide, 5

Lacrisert, 18

Iressa, 3

Kinray Insulin Syringe Preferred Plus/0.5ML/31G X 5/16", 30

lactic acid, 7

Iron Chews Pediatric, 14

lactic acid e, 7

iron supplement childrens, 14

Kinray Insulin Syringe Preferred Plus/1ML/31G X 5/16", 30

lactic acid w/vitamin e, 8

Iron Up, 14

lactulose, 12, 13

Isentress, 2

Kinray Insulin Syringe/0.5ML/29G X 1/2", 30

Lamictal, 17

isoflurane, 21

Lamictal Chewable Dispersible, 17

Lamictal Odt, 17

30

lidocaine, 8

Lamictal XR, 17

Leader Insulin Syringe/1ML/30G X 5/16", 30

lidocaine HCL, 8, 21

lamivudine, 2

Lidocaine HCL, 8, 15

lamivudine/zidovudine, 2

Leader Insulin Syringe/1ML/31G X 5/16", 30

lidocaine HCL jelly, 8

lamotrigine, 17

Lidocaine HCL Monohydrate, 8

lamotrigine ER, 17

Leader Lancets Colored, 30

lidocaine HCL viscous, 15

lamotrigine odt, 17

Leader Super Thin Lancet, 30

Lidocaine HCL-hydrocortisone Acetate With Aloe, 13

lamotrigine titration, 17

Leader Thin Lancets, 30

Lancet Device Adjustable, 30

Leader Unifine Pentips Plus/Mini/31GX3/16", 30

lidocaine HCL/hydrocortisone acetate, 13

Lancet Device With Ejector, 30

lidocaine PAK, 8

Lancet Transporter Case, 30

Leader Unifine Pentips Plus/SHORT/31GX5/16", 30

lidocaine viscous, 15

Lancets, 30

lidocaine/epinephrine, 21

Lancets 26G Twist Top, 30

Leader Unifine Pentips/Mini/31GX3/16", 30

lidocaine/prilocaine, 8

Lancets 28G, 30

lidopin, 8

Lancets 30G, 30

Leader Unifine Pentips/Nano/32GX5/32", 30

lidopril, 8


lidopril XR, 8

Lancets 30G/Twist Top, 30

Leader Unifine Pentips/Plus/32GX5/32", 30

Lifescan Unistik 2 Deep Penetration, 30


Lifescan Unistik II Lancets, 30

Lancets 33G Universal Design, 30

leena, 9

lincomycin HCL, 2

Lancets Bullseye Safety, 30

leflunomide, 21

Lindane, 8

Lancets Micro Thin 33G, 30

Lenvima 10 MG Daily Dose, 3

linezolid, 2

Lancets Safety Seal 21G, 30


Linzess, 13



liothyronine sodium, 11



Liothyronine Sodium, 12



liprozonepak, 8

Lancets Super Thin 28G, 30


lisinopril, 4

Lancets Thin, 30

lessina, 9

lisinopril/hydrochlorothiazide, 5

Lancets Twist Top, 30

Letairis, 6

Lite Touch Lancets, 30

Lancets Ultra Fine, 30

letrozole, 3

Lite Touch Lancing Device, 30

Lancets Ultra Thin, 30

leucovorin calcium, 4

Lite Touch Lancing Pen, 30

Lancets Ultra Thin 30G, 30

Leukeran, 3

Lite Touch Pen Needles/31G X 3/16", 30

Lancing Device, 30

Leukine, 14

Liteaire, 36

Lancing Device Adjustable, 30

leuprolide acetate, 3

Litetouch Insulin Syringe/0.3ML/29G X 1/2", 30

Lanoxin, 4

leva set/occlusive dressing, 8

lansoprazole, 12

Levacet, 20


lansoprazole/amoxicillin/clarithromycin, 12

levalbuterol, 22

levalbuterol HCL, 22


Lantus, 10

Levalbuterol Tartrate HFA, 22

Lantus Solostar, 10

Levamisole HCL, 3


Lanzo, 30

Levemir, 10

larin 1.5/30, 9

Levemir Flextouch, 10


larin 1/20, 9

levetiracetam, 17

larin 24 FE, 9

levetiracetam ER, 17

Litetouch Insulin Syringe/1ML/30G X 5/16", 30

larin FE 1.5/30, 9

Levitra, 6

larin FE 1/20, 9

levo-t, 11

Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2", 30

larissia, 9

levobunolol HCL, 18

Lastacaft, 19

levocarnitine, 11

Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2", 30

latanoprost, 18

Levodopa, 17

latrix, 8

levofloxacin, 1, 18

Litetouch Insulin Syringe/U-100/1ML/29G X 1/2", 30

Latrix XM, 8

Levofloxacin, 1

Latuda, 16

Levomefolate DHA, 24

Litetouch Insulin Syringe/U-100/1ML/31G X 5/16", 30

layolis FE, 9

levonest, 9

Leader Advanced Lancing Device, 30

levonorgestrel, 10

Litetouch Lancets Micro Thin 33G, 30

Leader Insulin Syringe/0.3ML/29G X 1/2", 30

levonorgestrel and ethinyl estradiol, 10

Litetouch Pen Needles 29GX12.7MM, 30

levonorgestrel/ethinyl estradiol, 10

Litetouch Pen Needles 31G X 6MM, 30


levora 0.15/30-28, 10

Litetouch Pen Needles 31GX8MM SHORT, 30

Levorphanol Tartrate, 20


levothyroxine sodium, 11

lithium carbonate, 16

levoxyl, 11

Lithium Carbonate, 16


Levsin, 12

lithium carbonate ER, 16

Lexiva, 2

Lithostat, 14


Lialda, 13

Live Better Advanced Lancing Device, 30

Liberty Medical Lancets 30G, 30

Live Better Lancet Super Thin 30G, 30


Liberty Mini Lancing Device, 30

Live Better Lancet Ultra Thin 28G, 30

lidazone HC, 13

Live Better Pen Needles 29G X 12MM, 30


lido bdk, 8

Lido-k, 8


Leader Insulin Syringe/1ML/29G X 1/2",

lido-prilo caine pack, 8


malathion, 8

Meijer Lancets Thin, 31

livixil PAK, 8

marlissa, 10

Meijer Lancets Universal 21G, 31

LO Loestrin FE, 10

Marnatal-f, 24


Locoid, 7

Marplan, 16


lofene, 12

marten-TAB, 20

Meijer Pen Needles 29G X 12MM, 31

lomedia 24 FE, 10

Matulane, 4


Longs Insulin Syringe/0.5ML/31G X 5/16", 30

matzim LA, 4


Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2", 30

Meijer Super Thin Lancets, 31

Longs Lancets Standard, 30

Mekinist, 3

Longs Lancets Thin, 30

Maxidex, 18

meloxicam, 21

Longs Lancets Ultra Thin, 30

maximum d3, 23

Menactra, 23

Lonsurf, 4

Maxzide, 5

Menest, 9

loperamide HCL, 12

Maxzide-25, 5

Menhibrix, 23

lopinavir/ritonavir, 2

me/naphos/mb/hyo 1, 13

Menopur, 11

lopreeza, 9

Mebendazole, 2

Menostar, 9

lorazepam, 15

meclizine HCL, 12

Mentax, 7

lorazepam intensol, 15

Meclizine HCL, 12

Menveo, 23

lorcet, 20

Meclizine HCL Monohydrate, 12

meperidine HCL, 20

lorcet HD, 20

Meclofenamate Sodium, 21

Meperidine HCL, 20

lorcet plus, 20

Medic Insulin Syringe/0.3ML/30G X 5/16", 30

Meperidine HCL/Promethazine HCL, 20

lortab, 20

Mepivacaine HCL, 21

Lortab, 20

Medic Insulin Syringe/0.5ML/30G X 5/16", 30

meprobamate, 15

loryna, 10

mercaptopurine, 3

losartan potassium, 5

Medichoice Pre-set Safety Lancet Dual Use, 31

mesalamine, 13

losartan potassium/hydrochlorothiazide, 5

Mesalamine, 13

Medichoice Pre-set Safety Lancet Low Flow, 31

Mesalamine DR, 13

Lotemax, 18

Mesnex, 4

Loutrex, 7

Medichoice Pre-set Safety Lancet Medium Flow, 31

Mestinon, 18

lovastatin, 5

metadate ER, 17

low-ogestrel, 10

Medichoice Pre-set Safety Lancet Moderate Flow, 31

Metaproterenol Sulfate, 22

loxapine, 16

metaxall, 18

loxapine succinate, 16

Medichoice Safety Lancet Extra, 31

metaxalone, 18

LP lite PAK, 8

Medichoice Safety Lancet Normal, 31

metformin HCL, 11

Lupaneta Pack, 11

Medicine Shoppe Lancets, 31

metformin HCL ER, 11

Lupron Depot (1-month), 3

Medicine Shoppe Lancets Thin, 31

metformin hydrochloride, 11


Medicine Shoppe Pen Needles 29G X 12MM, 31

methadone HCL, 20


Methadone HCL, 20



methadone HCL intensol, 20

Lupron Depot-PED (1-month), 11

methadose, 20

Lupron Depot-PED (3-month), 11


methamphetamine HCL, 16

lutera, 10

methazolamide, 5

Lynparza, 3

Medisense Thin Lancets, 31

Methazolamide, 5

Lyrica, 17

Medlance Plus Extra Lancets 21G, 31

methenamine hippurate, 13

Lysodren, 3

Medlance Plus Lancets, 31

methenamine mandelate, 13

lyza, 10

Medlance Plus Lancets Lite 25G, 31

Methergine, 19

M

Medlance Plus Lite Lancets 25G, 31

methimazole, 11

Medlance Plus Special Lancets 0.8MM, 31

Methimazole, 12

M-m-r II, 23

Methitest, 9

Macnatal CN DHA, 24

Medlance Plus Superlite 30G, 31

methocarbamol, 18

Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2", 30

Medlance Plus Superlite 30G/Comfort Max, 31

methotrexate, 3

Methotrexate, 3


Medlance Plus Universal Lancets 21G, 31

methotrexate sodium, 3

methoxsalen, 7


Medlance Plus/Lite 25G, 31

methscopolamine bromide, 12

Medlance/Extra, 31

Methyclothiazide, 5


Medlance/Lite, 31

methyldopa, 5

Medlance/Universal, 31

methylergonovine maleate, 19

Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2", 30

medolor PAK, 8

methylphenidate HCL, 16

Medrol, 8

Methylphenidate HCL, 16

Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16", 30

medroxyprogesterone acetate, 10(2)

methylphenidate HCL CD, 17

mefenamic acid, 21

methylphenidate HCL ER, 17

Magnesium Oxide Heavy, 12

mefloquine HCL, 2

Methylphenidate HCL ER, 17

Magnesium Oxide Light, 12

mega-c/a plus, 23

methylphenidate HCL SR, 17

Magnesium Sulfate, 12

megestrol acetate, 3, 10

methylphenidate hydrochloride, 16

Magnesium Sulfate Heptahydrate, 12

Megestrol Acetate, 3

methylprednisolone, 8

Magnesium Trisilicate, 12

meijer aspirin EC, 20

Methylprednisolone, 8

Magnesium Trisilicate Anhydrous, 12

Meijer Color Lancets Universal 33G, 31

methylprednisolone acetate, 8

Magnesium Trisilicate Hydrate, 12

Meijer Lancets, 31

Methylprednisolone Acetate, 9

Makena, 10

methylprednisolone dose pack, 8

Monoject Insulin Syringe/1ML/31G X 5/16", 31

morphine sulfate, 20

methylprednisolone sodiumsuccinate, 8

Morphine Sulfate, 20

methyltestosterone, 9

Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8", 31

morphine sulfate ER, 20

Methyltestosterone, 9

Morphine Sulfate ER, 20

Metipranolol, 18

Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2", 31

Motofen, 12

metoclopramide HCL, 13

Movantik, 13

Metoclopramide HCL, 13

Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2", 31

Moviprep, 12

Metoclopramide HCL Monohydrate, 13

Moxatag, 1

metolazone, 5

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2", 31

Moxeza, 18

metoprolol succinate ER, 4

moxifloxacin HCL, 1

Metoprolol Succinate ER/Hydrochlorothiazide, 5

Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2", 31

Mozobil, 14

MS Insulin Syringe/0.3ML/29G X 1/2", 31

metoprolol tartrate, 4

Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2", 31


Metoprolol Tartrate, 4

metoprolol/hydrochlorothiazide, 5

Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2", 31


metronidazole, 3, 6

metronidazole vaginal, 13

Monoject Insulin Syringe/Softpack/1ML/27G X 1/2", 31


mexiletine HCL, 4


Microchamber, 36

Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2", 31

microgestin 1.5/30, 10


microgestin 1/20, 10

Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16", 31

microgestin 24 FE, 10

MS Insulin Syringe/1ML/29G X 1/2", 31

microgestin FE, 10



microgestin FE 1.5/30, 10


Microlet Lancets, 31


Mucotrol, 15

Microlet Next, 31

Multaq, 4

Microspacer, 36

Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 31

Multi-lancet Device, 31

Microtainer Safety Flow Lancet/Sterile/Single-use, 31

Multi-lancet Device 2, 31

Monoject Insulin Syringe/U-100/1ML/30G X 5/16", 31

mupirocin, 6

midodrine HCL, 5

Muri-lube, 12

Mifeprex, 11

Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 31

Muse, 6

Migergot, 21

Mustargen, 3

miglitol, 11


my way, 10

Migranal, 21

Myambutol, 1

Millipred, 9


Mycobutin, 2

Millipred DP, 9

mycophenolate mofetil, 3

mimvey, 9


mycophenolic acid DR, 3

mimvey LO, 9

Myglucohealth Mgh Softlance Lancets 30G, 31

Mineral Oil, 12


Mineral Oil Heavy, 12

Myleran, 3

Mineral Oil Light, 12


Mynatal, 24

Mini Lancing Device, 31

Mynate 90 Plus, 24

miniprin low dose, 20


Myobloc, 18

minitran, 4

myorisan, 6

Minivelle, 9

Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 31

Myrbetriq, 13

minocycline HCL, 1

Mysoline, 17

Minocycline HCL, 1


myzilra, 10

minoxidil, 5

N

Mircera, 14


N-acetyl-l-cysteine, 22

mirtazapine, 16

nabumetone, 21

mirtazapine odt, 16

Monojector End CAPS, 31

nadolol, 4

misoprostol, 12

Monojector Opd End CAPS, 31

Nadolol, 4

Mitigare, 21

Monolet Lancets, 31

nadolol/bendroflumethiazide, 5

MM aspirin, 20

Monolet Opd Lancets, 31

nafcillin sodium, 1

modafinil, 16

Monolettor Safety Lancets, 31

Nafrinse Daily/Acidulated, 15

moderiba, 2

mononessa, 10

Nafrinse Daily/Neutral, 15

Moderiba, 2

Mononine, 15

Nafrinse Weekly, 15

Moderiba 1200 Dose Pack, 2

montelukast sodium, 22

Naftin, 7

Moderiba 800 Dose Pack, 2

Monurol, 13

nalbuphine HCL, 20

moexipril HCL, 4

Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 31

Nalidixic Acid, 13

moexipril/hydrochlorothiazide, 5

naloxone HCL, 36

mometasone furoate, 7

Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 31

Naloxone HCL, 36

mondoxyne nl, 1

naltrexone HCL, 36

mono-linyah, 10

Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 31

Namenda XR, 17

Monoclate-p, 15

Namenda XR Titration Pack, 17

Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML, 31

morgidox 1X100MG, 1

naproxen, 21

morgidox 1X50MG, 1

naproxen DR, 21

Monoject Insulin Syringe/1ML, 31

morgidox 2X100MG, 1

naproxen sodium, 21

naratriptan HCL, 21

nisoldipine ER, 4

Novolog Penfill, 10

Nascobal, 14

Nisoldipine ER, 4

Novoseven, 15

Nat-rul Prenatal Vitamins, 24

Nitro-bid, 4

Novoseven Rt, 15

nat-rul vitamin d, 23

Nitro-dur, 4

Novotwist 32GX5MM, 31

Natachew, 24

nitro-time, 4

Noxafil, 2

Natacyn, 18

nitrofurantoin, 13

NP thyroid 15, 12

Natalvit, 24

Nitrofurantoin Macrocrystal, 13

NP thyroid 30, 12

Natazia, 10

nitrofurantoin macrocrystals, 13

NP thyroid 60, 12

nateglinide, 11

nitrofurantoin monohydrate, 13

NP thyroid 90, 12

Natelle One, 24

nitrofurantoin monohydrate/macrocrystals, 13

Nplate, 14

Natpara, 11

Nucala, 22

Natroba, 8

nitroglycerin, 4

Nucort, 7

natural vitamin d-3, 23

nitroglycerin ER, 4

Nucynta, 20

Nature-throid, 12

nitroglycerin lingual, 4

Nucynta ER, 20

Nature-throid Nt-2.5, 12

Nitroglycerin Lingual, 4

Nuedexta, 17

Nebupent, 3

nitroglycerin transdermal, 4

nulev, 12

nebusal, 22

Nitromist, 4

Nulytely/Flavor Packs, 12

necon 0.5/35-28, 10

Nitrostat, 4

Nuplazid, 16

Necon 10/11-28, 10

Niva-plus, 24

Nutricion Porvida, 24

necon 7/7/7, 10

nodolor, 21

Nuvail, 8

Neevo DHA, 24

nora-be, 10

Nuvaring, 10

nefazodone HCL, 16

Norditropin Cartridge, 11

Nuwiq, 15

Nefazodone HCL, 16

Norditropin Flexpro, 11

nyamyc, 6

neo-polycin, 18

norepinephrine bitartrate, 5

nyata, 6

neo-polycin HC, 18

norethindrone, 10

Nylidrin Hydrochloride, 6

Neo-synalar, 6

norethindrone & ethinyl estradiol ferrous fumarate, 10

Nymalize, 4

neomycin sulfate, 1

nystatin, 2, 6, 15

Neomycin Sulfate, 6

norethindrone acetate, 10

nystatin/triamcinolone, 6

neomycin/bacitracin/polymyxin, 18

Norethindrone Acetate, 10

nystop, 6

neomycin/polymyxin b sulfates, 14

norethindrone acetate/ethinyl estradiol, 9, 10

O

neomycin/polymyxin/bacitracin/hydrocortisone, 18

O-CAL Fa, 24

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 10

O-CAL Prenatal, 24

neomycin/polymyxin/dexamethasone, 18

OB Complete, 24

neomycin/polymyxin/gramicidin, 18

norethindrone/ethinyl estradiol/ferrous fumarate, 10

OB Complete Gold, 24

neomycin/polymyxin/HC, 19

OB Complete One, 24

neomycin/polymyxin/hydrocortisone, 19

norgestimate/ethinyl estradiol, 10

OB Complete Petite, 24

Neosalus, 8

Noritate, 6

OB Complete Premier, 24

Neotuss Plus, 22

norlyroc, 10

OB Complete/DHA, 24

Nestabs, 24

Norpace CR, 4

Obstetrix DHA, 24

Nestabs Abc, 24

nortrel 0.5/35 (28), 10

Obstetrix EC, 24

Nestabs DHA, 24

nortrel 1/35, 10

Obstetrix One, 24

Netgroup Lancets, 31

nortrel 7/7/7, 10

ocella, 10

neuac, 6

nortriptyline HCL, 16

octreotide acetate, 11

Neulasta, 14

Nortriptyline HCL, 16

Odefsey, 2

Neulasta Onpro Kit, 14

nortuss-DE, 22

Ofev, 22

Neupogen, 14

Nortuss-EX, 22

ofloxacin, 1, 18, 19

Neupro, 17

Norvir, 2

Ogestrel, 10

Neurontin, 17

norwich aspirin, 20

olanzapine, 16

neutragard advanced, 15

Nova Safety Lancets 23G, 31

olanzapine odt, 16

neutral sodium fluoride, 15

Nova Safety Lancets 28G, 31

olanzapine/fluoxetine, 17

Neutrasal, 15

Nova Sureflex Lancets, 31

olmesartan medoxomil, 5

Nevanac, 19

Nova Sureflex Lancing Device, 31

olmesartan medoxomil/amlodipine/hydrochlorothiazide, 5

nevirapine, 2

Novaferrum Pediatric Drops, 14

nevirapine ER, 2

novarel, 11

Newgen, 24

Novofine 30GX8MM, 31

olmesartan medoxomil/hydrochlorothiazide, 5

Nexa Plus, 24

Novofine 32GX6MM, 31

Nexavar, 3

Novofine Autocover 30GX8MM, 31

olopatadine HCL, 19, 21

next choice one dose, 10

Novofine Plus 32GX4MM, 31

omeprazole, 12

Niacin, 24

Novolin 70/30, 10

On Call Lancets, 31

niacin ER, 5

Novolin 70/30 Relion, 10

On Call Lancing Device, 31

Niacor, 5

Novolin N, 10

On Call Plus Lancets, 31

nicardipine HCL, 4

Novolin N Relion, 10

On Call Plus Lancing Device, 31

Nicomide, 25

Novolin R, 10

ondansetron HCL, 12

nifedipine, 4

Novolin R Relion, 10

ondansetron odt, 12

nifedipine ER, 4

Novolog, 10

One-a-day Womens Prenatal, 24

nikki, 10

Novolog Flexpen, 10

Onetouch Club Lancets Fine Point, 25

nimodipine, 4

Novolog Mix 70/30, 10

Onetouch Combo Pack, 25

Ninlaro, 3

Novolog Mix 70/30 Prefilled Flexpen, 10

Onetouch Delica Lancets Extra Fine 33G,

31

oxaprozin, 21

Pen Needles 30GX8MM, 31

Onetouch Delica Lancets Fine 30G, 25

oxazepam, 15

Pen Needles 31G X 1/4" SHORT, 31

Onetouch Delica Lancing Device, 25

oxcarbazepine, 17

Pen Needles 31G X 3/16", 31

Onetouch Finepoint Lancets, 25

oxiconazole nitrate, 6

Pen Needles 31G X 5MM, 31

Onetouch Lancets, 25

Oxistat, 7

Pen Needles 31GX5/16", 31

Onetouch Suresoft Lancing Device/18G, 25

Oxtellar XR, 17

Pen Needles 31GX6MM (1/4"), 31

Oxybutinin Chloride, 13



oxybutynin chloride, 13

Pen Needles 31GX8MM (5/16"), 31

oxybutynin chloride ER, 13



oxycodone HCL, 20

Penicillin G Procaine, 1

Oxycodone HCL ER, 20

penicillin v potassium, 1

Onetouch Ultra Blue, 25

oxycodone/acetaminophen, 20

Penlet II Automatic Bloodsampler, 31

Onetouch Ultrasoft Lancets, 25

Oxycodone/Acetaminophen, 20

Penlet II Replacement CAPS, 31

Onetouch Verio Test Strips, 25

oxycodone/aspirin, 20

Penlet II Replacement CAPS-deep, 31

Onfi, 17

Oxycodone/Ibuprofen, 20

Penlet II Replacement CAPS-regular, 31

Onglyza, 11

Oxycontin, 20

Pentacel, 22

Opana ER (crush Resistant), 20

oxymorphone hydrochloride, 20

Pentasa, 13

opcicon one-step, 10

Oxymorphone Hydrochloride ER, 20

pentazocine/naloxone HCL, 20

opium, 12

Oxytetracycline HCL, 1

Pentips 29GX12MM, 31

opium tincture, 12

oxytocin, 19

Pentips 31GX5MM, 31

Opsumit, 6

Oxytrol, 13

Pentips 31GX6MM, 31

Optichamber Advantage, 36

P

Pentips 31GX8MM, 31

Optichamber Advantage/Large Mask, 36

Pentips 32GX4MM, 31

PA Prenatal Formula, 25

Optichamber Advantage/Medium Face Mask, 36

Pentobarbital Sodium, 16

PA vitamin d-3, 23

pentoxifylline ER, 15

PA vitamin d-3 gummy, 23

Optichamber Advantage/Small Face Mask, 36

Pepsin, 13

pacerone, 4

Perfect Lancets 30G, 31

paliperidone ER, 16

Optichamber Diamond, 36

Perfect Pressure Activated Safety Lancets 28G, 31

Panatuss Dxp, 22

Optichamber Diamond/Largeface Mask, 36

Pandel, 7

Perforomist, 22

pantoprazole sodium, 12

Optichamber Diamond/Medium Face Mask, 36

perindopril erbumine, 4

papaverine HCL, 6

periogard, 15

Para-aminobenzoic Acid, 24

Optichamber Diamond/Smallface Mask, 36

permethrin, 8

Paregoric, 12

perphenazine, 16

paricalcitol, 11

Optihaler, 36

Perphenazine/Amitriptyline, 17

paroex, 15

Optihaler MDI Drug Delivery System, 36

Perry Prenatal, 24

paromomycin sulfate, 1

optimal-d, 23

pharbedryl, 21

paroxetine HCL, 16

optimal-d pack, 23

Pharmacist Choice Ultra Thin Lancets, 31

paroxetine HCL ER, 16

option 2, 10

Paser, 2

Options Gynol II Vaginal Contraceptive, 13

Pharmacist Choice Ultra Thin Lancets 28G, 31

Pataday, 19

Pazeo, 19

opurity vitamin d, 23


PC Lancets Super Thin 30G, 32

Oracit, 14

PC Unifine Pentips 29G X 1/2", 32

oralone, 15


PC Unifine Pentips 31G X 5MM Mini, 32

Oramagicrx, 15

PC Unifine Pentips 31G X 6MM Ultra SHORT, 32

Oravig, 15


Orencia, 21

PC Unifine Pentips 31G X 8MM SHORT, 32

Orencia Clickject, 21

Pharmacy Counter Lancets, 31

Orfadin, 11

phenadoz, 21

PCCA T3 Sodium Dilution, 12

Orkambi, 22

phenazo, 14

PCE, 1

orphenadrine citrate, 18

phenazopyridine HCL, 14

Pectin, 12

orphenadrine citrate ER, 18

Phenazopyridine HCL, 14

Pediarix, 22

orsythia, 10

phenelzine sulfate, 16

Pedvax HIB, 23

Ortho Micronor, 10

phenergan, 21

peg 3350/electrolytes, 12

ortho-CS 250, 23

phenobarbital, 16

peg-3350/electrolytes, 12

Orthovisc, 18

Phenobarbital, 16

peg-3350/NACL/NA bicarbonate/KCL, 12

oscimin, 12

Phenobarbital Sodium, 16

Peg-intron Redipen, 2

oscimin SR, 12

phenohytro, 12

Peg-intron Redipen PAK 4, 2

oscion cleanser, 6

phenoxybenzamine hydrochloride, 5

peg-prep, 12

oseltamivir phosphate, 2

Phentolamine Mesylate, 5

Peganone, 17

Osmoprep, 12

Phenylbutazone, 21

Pegasys, 2

Osphena, 11

phenylephrine HCL, 5, 19

Pegasys Proclick, 2

Otezla, 21

Phenylephrine HCL, 5, 22

Pegintron, 2

otomax-HC, 19

Phenylpropanolamine Hydrochloride Usp, 22

pegylax, 12

Ovace Plus, 7

Pen Needles 29G X 12MM, 31

Ovidrel, 11

Phenytek, 17


oxacillin sodium, 1

phenytoin, 17


oxandrolone, 9

phenytoin infatabs, 17


Phenytoin Sodium, 17

prazosin HCL, 5

pregnyl w/diluent benzyl alcohol/NACL, 11

phenytoin sodium extended, 17

Prazosin HCL, 5

philith, 10

Prazosin Hydrochloride, 5

Premarin, 9, 13

Phlag Spray, 8

Pre-natal Formula, 24

premium lidocaine, 8

phos-flur, 15

Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 31

Premphase, 9

Phoslyra, 13

Prempro, 9

phosphasal, 13


Prena1 Chew, 25

Phospholine Iodide, 19

Prena1 Pearl, 25

pilocarpine HCL, 15, 19


Prenaissance, 24

pilocarpine hydrochloride, 15

Prenaissance Balance, 24

pimozide, 17


Prenaissance Harmony DHA, 24

pimtrea, 10

Prenaissance Next, 24

pindolol, 4

Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 32

Prenaissance Next-b, 24

pioglitazone HCL, 11

Prenaissance Plus, 24

pioglitazone HCL-glimepiride, 11

Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2", 32

Prenata, 24

pioglitazone HCL/metformin HCL, 11

Prenatal, 24

Piperazine Citrate, 2

Precision Thin Lancets, 32

Prenatal 19, 25

pirmella 1/35, 10

Precision Thins GP Lancet, 32

Prenatal And Iron, 24

pirmella 7/7/7, 10

Precision Ultra Lancet, 32

Prenatal Complete, 24

piroxicam, 21

Pred Mild, 18

Prenatal Formula A-free, 24

Plegridy, 18

Pred-G, 18

Prenatal Forte, 24

Plegridy Starter Pack, 18

Pred-G S.o.p., 18

Prenatal Multi +dha, 24

Pneumovax 23, 23

prednicarbate, 7

Prenatal Multivitamin, 24

Pneumovax 23/1 Dose, 23

prednisolone, 8

Prenatal One Daily, 24

PNV Ferrous Fumarate/Docusate/Folic Acid, 25

Prednisolone, 9

Prenatal Plus, 24

Prednisolone Acetate, 9

Prenatal Plus Iron, 24

PNV Folic Acid + Iron Multivitamin, 25

prednisolone acetate, 18

Prenatal Vitamin, 24

PNV Ob+dha, 25

Prednisolone Anhydrous, 9

Prenatal Vitamin/Iron, 25

PNV Prenatal Plus Multivitamin, 25

prednisolone sodium phosphate, 8

Prenatal Vitamins, 24

PNV TABS 29-1, 25

Prednisolone Sodium Phosphate, 8

Prenatal Vitamins Plus Low Iron, 25

PNV-dha+docusate, 25

prednisolone sodium phosphate odt, 8

Prenate, 25

PNV-omega, 25

Prednisolone Sodium Phosphate, Usp, 9

Prenate AM, 25

PNV-select, 25

Prednisolone Usp, Micronized Anhydrous, 9

Prenate DHA, 25

PNV-total, 25

Prenate Elite, 25

PNV-vp-u, 25

prednisone, 8

Prenate Enhance, 25

Pocket Chamber, 36

Prednisone, 8

Prenate Essential, 25

Pocket Spacer, 36

Prednisone Intensol, 8

Prenate Mini, 25

Podocon 25 IN Benzoin Tincture, 8

Prefera OB, 25

Prenate Pixie, 25

podofilox, 8

Preferaob +dha, 24

Prenate Restore, 25

Podophyllum Resin, 8

Preferaob One, 24

Prenate Star, 25

polocaine, 21

Preferred Plus Insulin Syringe/U-100/0.3ML/29G X 1/2", 32

Preplus, 25

polocaine-mpf, 21

Prepopik, 12

polycin, 18


Presera, 8

polyethylene glycol 3350, 12

Pressure Activated Safetylancet 21G, 32

polymyxin b sulfate, 3


Pretab, 25

Polymyxin B Sulfate, 3

prevalite, 5

polymyxin b sulfate/trimethoprim sulfate, 18


Prevident 5000 Booster, 15

Prevident 5000 Booster Plus, 15

Pomalyst, 3


Prevident 5000 Dry Mouth, 15

portia-28, 10

Prevident 5000 Plus, 15

Potaba, 24

Preferred Plus Insulin Syringe/U-100/1ML/29G X 1/2", 32

Prevident Fluoride, 15

Potassium Citrate, 14

prevident rinse, 15

potassium citrate ER, 14

Preferred Plus Insulin Syringe/U-100/1ML/30G X 5/16", 32

previfem, 10

Potassium Citrate Monohydrate, 14

Prevnar 13, 23

potassium citrate-citric acid crystals, 14

Preferred Plus Lancets Colored 21G, 32

Prezcobix, 2

potassium citrate/citric acid, 14

Preferred Plus Lancets Super Thin 30G, 32

Prezista, 2

Potassium P-aminobenzoate, 24

Prialt, 20

pr benzoyl peroxide wash, 6

Preferred Plus Lancets Thin 26G, 32

Priftin, 2

Pr Natal 400 EC, 24

Preferred Plus Unifine Pentips 29G X 12MM, 32

prilolid, 8

Pr Natal 430, 24

Primaquine Phosphate, 2

Pr Natal 430 EC, 24

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT, 32

primidone, 17

Pradaxa, 14

Primlev, 20

pramcort, 13

Preferred Plus Unifine Pentips 31G X 8MM SHORT, 32

Primsol, 3

pramipexole dihydrochloride, 17

Pristiq, 16

pramipexole dihydrochloride ER, 17

Preferred Plus Unifine Pentips 32GX4MM, 32

Pro Comfort Lancets 30G, 32

pramox gel, 8

Pro Comfort Lancets 31G, 32

Pramoxine HCL, 8

Preferred Plus Unifine Pentips/Mini/31GX5MM, 32

Pro Comfort Pen Needles/ 31G X 8MM, 32

pravastatin sodium, 5


Prudoxin, 7

Qc Unilet Lancets 33G/Micro Thin, 32

Pseudoephedrine HCL, 22

Quadracel, 23


Psorcon, 7

quasense, 10

Pss Select GP Lancets, 32

Quazepam, 16


Pss Select Platforms, 32

quetiapine fumarate, 16

Pss Select Safety Lancets, 32

quetiapine fumarate ER, 16

Proair HFA, 22

Pulmicort Flexhaler, 22

Quillivant XR, 17

Proair Respiclick, 22

pulmosal, 22

Quinacrine HCL, 2

probenecid, 21

Pulmozyme, 22

quinapril HCL, 4

probenecid/colchicine, 21

Purefe OB Plus, 25

quinapril/hydrochlorothiazide, 5

Procainamide HCL, 4

Push Button Safety Lancets 21G, 32

quinidine gluconate CR, 4

Procaine HCL, 21

Push Button Safety Lancets 28G, 32

quinidine gluconate ER, 4

prochlorperazine, 16

Px Advanced Lancing Device, 32

Quinidine Sulfate, 4

prochlorperazine maleate, 16

px aspirin, 20

quinine sulfate, 2

Prochlorperazine Maleate, 16

px enteric aspirin, 20

Quinine Sulfate, 2

Procort, 13

Px Extra SHORT Pen Needles 31GX6MM, 32

Quinine Sulfate Dihydrate, 2

Procrit, 14

R

procto-MED HC, 13

px folic acid, 14

R-natal OB, 25

procto-PAK, 13

Px Insulin Syringe/U-100/0.3ML/30G X 1/2", 32

ra aspirin, 20

Proctofoam HC, 13

ra aspirin adult low dose, 20

proctosol HC, 13


ra aspirin adult low strength, 20

proctozone-HC, 13

ra aspirin childrens, 20

Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16", 32


ra aspirin EC, 20

ra aspirin EC adult low strength, 20

Prodigy Insulin Syringe/1/2ML/31G X 5/16", 32


ra childrens aspirin, 20

Ra E-ZJECT Color Lancets Micro-thin 33G, 32

Prodigy Lancing Device, 32

Px Insulin Syringe/U-100/1ML/30G X 1/2", 32

Prodigy Pressure Activated Safety Lancets, 32

Ra E-ZJECT Lancets 28G, 32

Px Insulin Syringe/U-100/1ML/31G X 5/16", 32

Ra E-ZJECT Lancets Thin 26G, 32

Prodigy Safety Lancets, 32

Ra E-ZJECT Lancets Thin 28G, 32

Prodigy Twist Top Lancets, 32

Px Lancet Auto Injector, 32

Ra E-ZJECT Lancets Ultra Thin 30G, 32

Profe Forte, 25

Px Lancets Ultra Thin, 32

ra folic acid, 14

Profilnine, 15

Px Mini Pen Needles 31GX5MM, 32

Ra Insulin Syringe/0.5ML/29G X 1/2", 32

Profilnine SD, 15

Px Pen Needle 29GX12MM, 32

Ra Insulin Syringe/1ML/29G X 1/2", 32

progesterone, 10

Px Pen Needle 31GX8MM, 32

Ra Insulin Syringe/U-100/0.5ML/30G X 5/16", 32

Progesterone Micronized, 10

Px Prenatal Multivitamins, 24

Progesterone Milled, 10

Px Shortlength Pen Needles/31GX8MM, 32

Ra Insulin Syringe/U-100/1 ML/30G X 5/16", 32

Progesterone Wettable, 10

Proglycem, 11

Pylera, 12

Ra Lancing Device, 32

Proleukin, 4

pyrazinamide, 1

Ra One Daily, 25

Prolia, 11

pyridostigmine bromide, 18

Ra Pen Needles 31G X 5MM 3/16", 32

Promacta, 14

pyridostigmine bromide ER, 18

Ra Pen Needles 31G X 8MM 5/16", 32

promethazine HCL, 21

Pyridoxine HCL, 24

Ra Prenatal, 24

promethazine HCL plain, 21

Pyrilamine Maleate, 21

Ra Prenatal Formula/Folicacid, 25

promethazine VC plain, 22

Pyrogallic Acid, 8

ra vitamin d-3, 23

promethazine VC/codeine, 22

Q

rabeprazole sodium, 12

promethazine-DM, 22

Qc Advanced Lancing Device, 32

rajani, 10

promethazine/codeine, 22

qc aspirin, 20

raloxifene hydrochloride, 11

promethazine/dextromethorphan, 22

qc aspirin low dose, 20

ramipril, 5

promethazine/phenylephrine, 22

qc chewable aspirin low dose, 20

Ranexa, 4

promethazine/phenylephrine/codeine, 22

qc childrens aspirin, 20

Rapaflo, 14

promethegan, 21

qc enteric aspirin, 20

Rapamune, 3

Promiseb, 7

Qc Insulin Syringe/0.3ML/29G X 1/2", 32

rasagiline mesylate, 17

pronutrients vitamin d3, 23


rea LO 40, 8

propafenone HCL, 4


react, 10

propafenone HCL ER, 4

Readylance Safety Lancets/30G/1.6MM, 32

Propantheline Bromide, 12

Qc Insulin Syringe/1ML/29G X 1/2", 32

proparacaine HCL, 19

Qc Insulin Syringe/1ML/31G X 5/16", 32

Reality Insulin Syringe/U-100/0.5ML/28G X 1/2", 32

propranolol HCL, 4

Qc Lancets, 32

Propranolol HCL, 4

Qc Lancets Super Thin, 32

Reality Insulin Syringe/U-100/0.5ML/29G X 1/2", 32

propranolol HCL ER, 4

Qc Lancets Thin, 32

propranolol hydrochloride, 4

Qc Lancets Ultra Thin, 32

Reality Insulin Syringe/U-100/1ML/29G X 1/2", 32

Propranolol/Hydrochlorothiazide, 5

Qc Pen Needles 29G X 12MM, 32

propylthiouracil, 12


Reality Lancets, 32

Proquad, 23


Reality Trigger Lancets, 32

protriptyline HCL, 16

Qc Prenatal, 25

Rebetol, 2

Provida DHA, 25

Qc Unifine Pentips 32GX4MM, 32

Rebif, 18

Provida OB, 25

Qc Unilet Lancets 28G/Ultra Thin, 32

Rebif Rebidose, 18

Rebif Rebidose Titration Pack, 18

Renagel, 13

S

Rebif Titration Pack, 18

Renvela, 13

Sabril, 17

reclipsen, 10

repaglinide, 11

Safe-t-lance Low Flow 25G, 32

Recombinate, 15

Repaglinide/Metformin Hydrochloride, 11

Safe-t-lance Normal Flow 21G, 32

Recombivax HB, 23

Repatha, 5

Safe-t-lance Plus Safety Lancet High Flow, 32

relador PAK, 8

Repatha Pushtronex System, 5

relador PAK plus, 8

Repatha Sureclick, 6

Safe-t-lance Plus Safety Lancet Low Flow, 32

Relagard, 14

Replesta, 24

Relenza Diskhaler, 2

Replesta Childrens, 24

Safe-t-lance Plus Safety Lancet Normal Flow, 32

Relhist, 22

Replesta Nx, 24

Relion 2-IN-1 Lancing Device 25G, 32

reprexain, 20

Safesnap Insulin Syringe/0.3ML/30G X 5/16", 32

Relion 2-IN-1 Lancing Device 30G, 32

Rescriptor, 2

Relion Insulin Syringe 0.5ML/31G X 15/64", 32

Restasis, 19


Restasis Multidose, 19

Relion Insulin Syringe 1ML/31GX15/64", 32

Revatio, 6


Revlimid, 3

Relion Insulin Syringe/U -100/0.5ML/29G, 32

Rexall Lancets Ultra Thin, 32

Safesnap Insulin Syringe/1ML/29G X 1/2", 32

Rexulti, 16

Relion Insulin Syringe/U-00/1ML/29G X 1/2", 32

Reyataz, 2

Safety Insulin Syringes 0.5ML/29GX1/2", 32

Rezira, 22

Relion Insulin Syringe/U-100/0.3ML/29G, 32

Riastap, 15

Safety Insulin Syringes 0.5ML/30GX5/16", 33

ribasphere, 2

Relion Insulin Syringe/U-100/0.3ML/29G X 1/2", 32

Ribasphere, 2

Safety Insulin Syringes 1ML/27GX1/2", 33

Ribasphere Ribapak, 2


ribavirin, 2


Ridaura, 21


rifabutin, 1


Rifamate, 2


rifampin, 1

Safety Lancet 21G/Pressure Activated, 33

Rifampin, 2


Rifater, 2

Safety Lancet 28G/Pressure Activated, 33

Right Step Prenatal, 25


Rightest GD-L500 Alternate Site Adapter, 32

Safety Lancets, 33

Safety Lancets 21G, 33


Rightest GD500 Lancing Device, 32

Safety Lancets 28G, 33

Rightest Gl300 Lancets, 32

Safety Let Lancets, 33


riluzole, 18

Safety Seal Lancets 28G, 33

rimantadine HCL, 2

Safety Seal Lancets 30G, 33


Riomet, 11

Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 33

risedronate sodium, 11

Relion Insulin Syringe/U-100/1ML/30G, 32

risedronate sodium DR, 11

Safyral, 10

Risperdal Consta, 16

salacyn, 8


risperidone, 16

Salicept, 15

risperidone M-TAB, 16

salicylic acid, 8


risperidone odt, 16

Salicylic Acid, 8

Riteflo, 36

salicylic acid cream, 8

Relion Lancets Micro-thin33G, 32

Rituxan, 3

salicylic acid lotion, 8

Relion Lancets Standard 21G, 32

rivastigmine tartrate, 17

salisol forte, 8

Relion Lancets Thin 26G, 32

rivastigmine transdermal system, 17

salitech forte, 8

Relion Lancets Ultra-thin30G, 32

Rixubis, 15

Salivamax, 15

Relion Lancing Device, 32

rizatriptan benzoate, 21

Salivate RX, 15

Relion Mini Pen Needles 31GX6MM, 32

rizatriptan benzoate odt, 21

salsalate, 20

Relion Pen Needles 29GX12MM, 32

ropinirole ER, 17

Samsca, 11


ropinirole HCL, 17

Sancuso, 12


ropivacaine, 21

Sandostatin Lar Depot, 11


ropivacaine HCL, 21

Saphris, 16

Relion SHORT Pen Needles 31GX8MM, 32

Ropivacaine Hydrochloride, 21

Saps Health Twist Top Lancets 30G, 33

rosadan, 6

Sapscare Twist Top Lancets 30G, 33

Relion Thin Lancets, 32

Rosadan Kit, 6

Sarafem, 18

Relion Ultra Thin Lancets, 32

rosanil cleanser, 6

Savella, 18

Relion Ultra Thin Lancets30G, 32

rosuvastatin calcium, 5

Savella Titration Pack, 18

Relion Ultra Thin Plus Lancets 32G, 32

Rotarix, 23

SB aspirin, 20

Relion Ultra Thin Plus Lancets 33G, 32

Rotateq, 23

SB aspirin adult low strength, 20

Relistor, 13

roweepra, 17

SB aspirin EC, 20

Relnate DHA, 25

Rozerem, 16

SB childrens aspirin, 20

Relpax, 21

Rubraca, 3

SB Insulin Syringe/U-100/0.5ML/29G X 1/2", 33

remeven, 8

Rulavite DHA, 25

Renacidin, 14

SB Insulin Syringe/U-100/0.5ML/30G X

5/16", 33

Signifor, 11

Sorbitol, 14

SB Insulin Syringe/U-100/1ML/29G X 1/2", 33

sildenafil, 6

Sorbitol-mannitol, 14

sildenafil citrate, 6

sorine, 4


Silenor, 16

sotalol HCL, 4

Simbrinza, 19

sotalol HCL (AF), 4


Simethicone, 13

Spectracef, 1

Simple Diagnostics Lancing Device, 33

Spiriva Handihaler, 22

SB Lancets Thin, 33

Simponi, 21

Spiriva Respimat, 22

SB Lancets Ultra Thin, 33

simvastatin, 5

spironolactone, 5

SB low dose asa EC, 20

Single-let, 33

spironolactone/hydrochlorothiazide, 5

scalacort, 7

sirolimus, 3

sprintec 28, 10

Schnucks Insulin Syringe Ulti-fine/U-100/0.5ML/29G X 1/2", 33

Sivextro, 3

Sprycel, 3

sm aspirin, 20

sronyx, 10

Schnucks Insulin Syringe Ulti-fine/U-100/0.5ML/30G X 5/16", 33

sm aspirin adult low strength, 20

ss 10-2, 6

sm aspirin EC low strength, 20

sss 10%-5%, 6

Scopolamine HBR, 12

sm aspirin enteric coated, 20

st joseph aspirin, 20

seb-prev wash, 7

sm childrens aspirin, 20

st joseph low dose aspirin, 20

Sebuderm, 8

sm folic acid, 14

Stalevo 100, 17

Seconal Sodium, 16

Sm Insulin Syringe/1ML/31G X 5/16", 33

Stalevo 125, 17

Select-lite Device/Lancets, 33

Sm Lancets 21G, 33

Stalevo 150, 17

Select-lite Lancing Device, 33

Sm Micro Thin Lancets 33G, 33

Stalevo 200, 17

Select-OB, 25

Sm One Daily Prenatal, 25

Stalevo 50, 17

Select-ob+dha, 25

sm prenatal vitamins, 24

Stalevo 75, 17

selegiline HCL, 17

Sm Prenatal Vitamins, 24

stavudine, 2

Selegiline HCL, 17

Sm Super Thin Lancets, 33

Staxyn, 6

selenium sulfide, 7

Sm Super Thin Lancets 30G, 33

Stelara, 7

Selzentry, 2

Sm Thin Lancets 26G, 33

Stendra, 6

Semprex-d, 22

sm vitamin d, 23

Sterilance PA, 33

Sensipar, 11

sm vitamin d3, 23

Sterilance TL, 33

sensorcaine, 21

Sm Vitamin D3 Maximum Strength, 24

Stimate, 11

sensorcaine-mpf, 21

Smart Diabetes Vantage Lancing Device, 33

Stiolto Respimat, 22

sensorcaine-mpf/epinephrine, 21

Stivarga, 3

Sensorcaine-mpf/Epinephrine, 21

Smart Sense Color Lancets Universal 33G, 33

Strattera, 17

sensorcaine/epinephrine, 21

Streptomycin Sulfate, 1

Serevent Diskus, 22

Smart Sense Standard Lancets Universal 21G, 33

Stribild, 2

Seroquel XR, 16

Striverdi Respimat, 22

sertraline HCL, 16

Smart Sense Super Thin Lancets Universal 30G, 33

Suboxone, 20

setlakin, 10

Sucraid, 13

sevoflurane, 21

Smart Sense Thin Lancets Universal 26G, 33

sucralfate, 12

SF, 15

Sucralfate, 12

SF 5000 plus, 15

Smartest Lancets 28G, 33

sulfacetamide sodium, 6, 18

Sfrowasa, 13

Sodium Ascorbate, 24

Sulfacetamide Sodium, 7, 18

sharobel, 10

Sodium Bicarbonate, 12

sulfacetamide sodium/prednisolone sodium phosphate, 18

Shopko Autolet Lancing Device, 33

sodium chloride, 14, 22

Shopko On-the-go Comfort Lancets 30G, 33

sodium chloride 0.9%, 14

sulfacetamide sodium/sulfur, 6

Sodium Citrate, 14

sulfacetamide sodium/sulfur cleanser, 6

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 33

Sodium Citrate Anhydrous, 14

Sulfadiazine, 1

sodium citrate/citric acid, 14

Sulfadiazine Sodium, 1

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 33

sodium hyaluronate, 8

Sulfamethoxazole, 1

sodium phenylbutyrate, 11

Sulfamethoxazole Micro, 1

Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 33

Sodium Salicylate, 20

sulfamethoxazole/trimethoprim, 3

sodium sulfacetamide, 6, 7, 18

sulfamethoxazole/trimethoprim DS, 3

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 33

sodium sulfacetamide wash, 7

Sulfapyridine, 1

sodium sulfacetamide/sulfur, 6

sulfasalazine, 13

Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM, 33

Sodium Sulfacetamide/Sulfur, 6

Sulfasalazine, 13

sodium sulfacetamide/sulfur cleanser, 6

sulfatrim pediatric, 3

Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM, 33

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 6

Sulfisoxizole, 1

Sulfurated Lime, 8

Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM, 33

sodium sulfacetamide/sulfur green, 6

sulindac, 21

Sodium Sulfacetamide/Sulfur IN Urea, 6

Sulindac, 21

Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM, 33

sodium sulfacetamide/sulfur wash, 6

sumatriptan, 21

Soltamox, 3

sumatriptan succinate, 21

Shopko Unilet Lancets Super Thin 30G, 33

Solus V2 Lancing Device, 33

Sumatriptan Succinate, 21

Solus V2 Pressure Activated Safety Lancets 28G, 33

sumatriptan succinate refill, 21

Shopko Unilet Lancets Ultra Thin 28G, 33

Sumaxin CP Kit, 6

Solus V2 Twist Lancets 30G, 33

Supartz, 18

Shur-seal, 14

Somatuline Depot, 11

Supartz Fx, 18

Side Button Safety Lancet21G, 33

Somavert, 11

Super Daily D3, 24

Super Thin Lancets, 33

Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16", 33

Techlite Pen Needles/32G X 4MM, 33

Supprelin LA, 11


Suprax, 1



Suprep Bowel Prep Kit, 12

Tegretol, 17

Sure Comfort Insulin Syringe/U-100/0.3ML/29G X 1/2", 33

Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2", 33

Tegretol-XR, 17

Tekturna, 5



Tekturna HCT, 5

telmisartan, 5



telmisartan/amlodipine, 5

telmisartan/hydrochlorothiazide, 5

Sure Comfort Insulin Syringe/U-100/0.3ML/31G X 5/16, 33

Sure-lance Flat Lancets, 33

temazepam, 16

Sure-lance Lancets 26G, 33

temozolomide, 3


Sure-lance Thin Lancets 28G, 33

Tencon, 20

Sure-lance Ultra Thin Lancets, 33

Tenivac, 23

Sure Comfort Insulin Syringe/U-100/0.3ML/31GX1/4", 33

Sure-pen, 33

Tepadina, 3

Sure-touch Lancets Universal, 33

terazosin HCL, 5


Surelite Lancets, 33

terbinafine HCL, 2

Survanta Intratracheal, 22

terbutaline sulfate, 22


Sustiva, 2

Terbutaline Sulfate, 22

Sutent, 3

terconazole, 13


syeda, 10

Terpin Hydrate, 22

Sylatron, 4

Terpin Hydrate Monohydrate, 22


Symax Duotab, 12

terrell, 21

symax-SL, 12

testosterone cypionate, 9

Sure Comfort Insulin Syringe/U-100/0.5ML/31G X 5/16, 33

symax-SR, 12

Tetanus/Diphtheria Toxoids-adsorbed, 23

Symbicort, 22

Sure Comfort Insulin Syringe/U-100/1ML/29G X 1/2", 33

Symlinpen 120, 10

tetcaine, 19

Symlinpen 60, 10

tetrabenazine, 18


Synalgos-dc, 20

tetracaine HCL, 19

Synarel, 11

Tetracaine HCL, 21


Synera, 8

tetravisc, 19

Synerderm, 8

tetravisc forte, 19


Synjardy, 11

Texacort, 7

Synthroid, 12

Tgq 15DM/5PEH/2CPM, 22

Sure Comfort Lancets 18G, 33

Synvisc, 18

Tgq 30PSE/150GFN/15DM, 22


Synvisc One, 18

Tgq 30PSE/3BRM/15DM, 22


T

Tgt Advanced Lancing Device, 33


tgt aspirin, 20

Tabloid, 3


tgt aspirin low dose, 20

Taclonex, 7

Sure Comfort Lancing Pen, 33

tgt childrens aspirin, 20

tacrolimus, 3, 7

Sure Comfort Pen Needles 29GX1/2" 12.7MM, 33

tgt enteric-coated aspirin, 20

Tafinlar, 3

Tgt Lancet Alternate Site, 33

Tagrisso, 3

Sure Comfort Pen Needles 30GX5/16" SHORT, 33

Tgt Lancet Micro Thin 33G, 33

take action, 10

Tgt Lancet Super Thin 30G, 33

Taltz, 7

Sure Comfort Pen Needles 31GX3/16" (5MM), 33

Tgt Lancet Thin 23G, 33

Tamiflu, 2

Tgt Lancet Thin 26G, 33

tamoxifen citrate, 3

Sure Comfort Pen Needles 31GX5/16" (8MM), 33

Tgt Lancet Ultra Thin 28G, 33

tamsulosin HCL, 14

Tgt Lancet Ultra Thin 30G, 33

Tannic Acid, 8

Sure Comfort Pen Needles 32GX5/32", 33

Tgt Lancing Device, 33

Tarceva, 3

Thalomid, 3

tarina FE 1/20, 10

Sure Comfort Pen Needles 32GX6MM, 33

Theo-24, 22

Taron-bc, 25

theochron, 22

Taron-c DHA, 25

Sure-fine Pen Needles 29GX1/2" 12.7MM, 33

theophylline CR, 22

taron-crystals, 14

theophylline ER, 22

Taron-prex, 24

Sure-fine Pen Needles 31GX3/16" 5MM, 33

thera-d 2000, 23

Tasigna, 3

Thera-d 4000, 24

tazarotene, 7

Sure-fine Pen Needles 31GX5/16" 8MM, 33

thera-d rapid repletion, 23

tazicef, 1

Thera-flur-n, 15

Tazorac, 7


Theracys, 4

taztia XT, 4

Theranatal Core Nutrition, 25

Tecentriq, 3


Thiabendazole, 2

Tecfidera, 18

thiamine HCL, 23

Tecfidera Starter Pack, 18


Thiamine HCL, 24

Techlite AST Lancets, 33

Thiamine Hydrochloride, 24

Techlite Lancets, 33


Thinlets GP Lancets, 33

Techlite Lancets 30G, 33

Thinlets Lancet, 33



Thiola, 14

Techlite Pen Needles/31G X 6 MM, 33

thioridazine HCL, 16


thiotepa, 3

Topcare Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 34

triamterene/hydrochlorothiazide, 5

thiothixene, 16

Trianex, 7

Thrivite 19, 25


triazolam, 16

Thrivite RX, 25

Triazolam, 16

Thrombate Iii, 15


Tribenzor, 5

Thrombate Iii W/10 ML Sterile Water, 15

Tricare Prenatal, 25

Thrombate Iii W/20 ML Sterile Water, 15


Tricare Prenatal Compleat, 25

Thrombin-jmi Diluent, 15

Tricare Prenatal DHA One, 25

Thrombin-jmi Syringe Spray Kit, 15

Topcare Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 34

Tricitrasol, 14

Thrombin-jmi W/Dil Spray P.M. Actuator, 15

tricitrates, 14

Topcare Ultra Comfort Insulin Syringe/1ML/31G X 5/16", 34

triderm, 7

Thrombogen, 15

trifluoperazine HCL, 16

Thyroid, 12

Topcare Ultra Comfort Insulin Syringe/U-100/0.3ML/29G X 1/2", 33

trifluridine, 18

Thyroid Porcine, 12

trihexyphenidyl HCL, 17

Thyrolar-1, 12

Topcare Ultra Comfort Insulin Syringe/U-100/0.5ML/29G X 1/2", 34

Triiodo-l-thyronine Sodium, 12

Thyrolar-1/2, 12

Trileptal, 17

Thyrolar-1/4, 12

Topcare Ultra Comfort Insulin Syringe/U-100/1ML/29G X 1/2", 34

trilyte, 12

Thyrolar-2, 12

trimethobenzamide HCL, 12

Thyrolar-3, 12

Topco Insulin Syringe/U-100/0.3ML/29G X 1/2", 34

trimethoprim, 3

tiagabine hydrochloride, 17

Trimethoprim, 3

Tice Bcg, 4


trimethoprim sulfate/polymyxin b sulfate, 18

Tikosyn, 4

tilia FE, 10


trimipramine maleate, 16

Timolol Maleate, 4

Trimipramine Maleate, 16

timolol maleate, 18

Topco Insulin Syringe/U-100/1ML/29G X 1/2", 34

Trinatal GT, 25

timolol maleate ophthalmic gel forming, 18

Trinatal RX 1, 24

topex topical anesthetic, 15

trinessa, 10

Timoptic Ocudose, 18

Topicort, 7

trinessa LO, 10

tinidazole, 3

topiramate, 17

Tripelennamine HCL, 21

Tirosint, 12

Torisel, 4

Tristart DHA, 25

Tivicay, 2

torsemide, 5

Triumeq, 2

tizanidine HCL, 18

Toujeo Solostar, 10

Triveen-duo DHA, 25

TL Folate, 25

Toviaz, 13

Triveen-prx RNF, 25

TL-care DHA, 25

Tracleer, 6

trivora-28, 10

TL-select, 25

tramadol HCL, 20

Trokendi XR, 17

Tobradex, 18

tramadol HCL ER, 20

tropicamide, 19

Tobradex ST, 18

tramadol hydrochloride/acetaminophen, 20

Tropicamide, 19

tobramycin, 1

trospium chloride, 13

Tobramycin, 1

trandolapril, 5

trospium chloride ER, 13

tobramycin sulfate, 1, 18

trandolapril/verapamil HCL ER, 5

Truedraw Lancing Device, 34

Tobramycin Sulfate, 1

tranexamic acid, 14

Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2", 34

tobramycin/dexamethasone, 18

Transderm-scop, 12

Tobrex, 18

tranylcypromine sulfate, 16


Today Sponge, 14

Travatan Z, 19

Todays Health Advanced Lancing Device, 33

Travel Lancets 30G, 34


Travel Lancets Advanced 28G, 34

Todays Health Mini Pen Needles 31G X 1/4", 33

trazodone HCL, 16


Trazodone HCL, 16

Todays Health Original Pen Needles 29G X 1/2", 33

Trecator, 2


Trelstar, 3

Todays Health SHORT Pen Needles 31G X 5/16", 33

Trelstar Mixject, 3


tretinoin, 4, 6

Todays Health Super Thin Lancets 30G, 33

tretinoin microsphere, 6


tretinoin microsphere P.M., 6

Todays Health Ultra Thin Lancets 28G, 33

Trexall, 3

Trueplus Insulin Syringe/U-100/1ML/29G X 1/2", 34

tri femynor, 10

Tolazamide, 11

tri-estarylla, 10


tolcapone, 17

tri-legest FE, 10

Tolmetin Sodium, 21

tri-linyah, 10


tolterodine tartrate, 13

tri-LO-estarylla, 10

tolterodine tartrate ER, 13

tri-LO-marzia, 10

Trueplus Lancets 26G, 34

Topamax, 17

tri-LO-sprintec, 10


Topamax Sprinkle, 17

tri-previfem, 10

Trueplus Lancets 28G Super Thin, 34

Topcare Clickfine Universal Pen Eedles 31GX1/4", 33

tri-sprintec, 10


Tri-TABS DHA, 25

Trueplus Lancets 30G Ultra Thin, 34

Topcare Clickfine Universal Pen Eedles 31GX5/16", 33

triamcinolone acetonide, 7, 15, 22


triamcinolone IN orabase, 15

Trueplus Lancets 33G Micro Thin, 34

Topcare Lancets Micro-thin 33G, 33

Triamterene, 5

Trueplus Pen Needles 29GX12MM, 34


Ulticare Insulin Syringe/U-100/1ML/30G X 1/2", 34

Ultra-comfort Insulin Syringe/U-100/0.5ML/28G X 1/2", 34



Ulticare Insulin Syringe/U-100/1ML/31G X 5/16", 34



Trueplus Safety Lancets 28G, 34

Ulticare Micro Pen Needles 31G X 8MM, 34


Trumenba, 23

Truvada, 2

Ulticare Micro Pen Needles 32G X 4MM, 34


Tussicaps, 22

tussigon, 22

Ulticare Micro Pen Needles/32G X 4MM, 34

Ultra-comfort Insulin Syringe/U-100/1ML/29G X 1/2", 34

Twinrix, 23

Tykerb, 4

Ulticare Mini Pen Needles 31GX6MM, 34


Tyvaso, 6

Ulticare Mini Pen Needles Ulti-fine IV, 34

Tyvaso Refill, 6

Ulticare Mini Pen Needles/31G X 6MM, 34


Tyvaso Starter, 6

U

Ulticare Mini Pen Needles31GX6MM, 34

Ultra-thin II Auto Lancet, 34

Ulticare Original Pen Needles Ulti-fine, 34

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 34

Ulesfia, 8

Uloric, 21

Ulticare Pen Needles/29G X 12.7MM, 34


Ulti-lance Automatic/ Clear Tip, 34

Ulticare SHORT Pen Needles 31GX8MM, 34

Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 34


Ulticare SHORT Pen Needles Ulti-fine IV, 34

Ulticare Insulin Safety Syringe/1ML/29G X 1/2", 34


Ulticare SHORT Pen Needles/31G X 8MM, 34

Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16", 34

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 34

Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4", 34

Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 34

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16", 34

Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4", 34

Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 34

Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 34

Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4", 34

Ulticare Insulin Syringe/0.3ML/29G X 1/2", 34

Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 34

Ulticare U-100 Insulin Syringes/1ML/31G X 1/4", 34


Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 34

Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16", 34


Ultra-thin II Lancets 28G, 34

Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16", 34

Ultra-thin II Lancets 30G, 34


Ultra-thin II Mini Pen Neeedles/31GX3/16", 34

Ultilet Classic Lancets, 34


Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16", 34

Ultra-thin II Pen Needles 29GX1/2", 34

Ultra-thin II Pen Needles/SHORT/31GX5/16", 34



Ultra-thin II Safety Autolancets 26G, 34



Ultralance, 34

Umecta, 8

Ulticare Insulin Syringe/1ML/29G X 1/2", 34


Unifine Pentips 29GX12MM, 34

Unifine Pentips 31G X 3/16", 34


Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 34

Unifine Pentips 31G X 6MM, 34

Unifine Pentips 31G X 8MM, 35


Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 34



Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16", 34

Ultilet Lancets, 34


Ultilet Lancets 33G, 34



Ultilet Pen Needle 32GX4MM/SHORT, 34

Unifine Pentips Plus 29GX12MM, 34



Ultilet Safety Lancets 23G, 34


Ultilet SHORT Pen Needles 31GX5/16", 34




Ultilet SHORT Pen Needles31GX3/16", 34

Unilet Comfortouch Lancet, 35

Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16", 34

Unilet Excelite, 35

Ultimatecare One NF, 24

Unilet Excelite II, 35

Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16", 34

Ultra Comfort Insulin Syringe/U-100/0.3ML/30G X 5/16", 34

Unilet G.p. Lancet, 35

Unilet G.p. Superlite Lancet, 35

Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2", 34

Ultra Thin Lancets 28G, 34

Unilet GP 28 Ultra Thin, 35


Unilet Lancet, 35


Unilet Lancets Micro-thin33G, 35


Unilet Lancets Super-thin30G, 35


Unilet Lancets Ultra-thin 28G, 35


Unilet Superlite Lancet, 35


Unistik 1, 35

Unistik 2, 35

valganciclovir, 2

Vida Mia Unifine Pentips 32GX4MM, 35

Unistik 2 Comfort, 35

valganciclovir hydrochlorde, 2

Vida Mia Unifine Pentips Mini 31GX6MM, 35

Unistik 2 Extra, 35

valproic acid, 17

Unistik 2 Neonatal, 35

valsartan, 5

Vida Mia Unifine Pentips Original 29GX12MM, 35

Unistik 2 Normal, 35

valsartan/hydrochlorothiazide, 5

Unistik 2 Super, 35

Value Health Insulin Syringe/U-100/0.5ML/29G X 1/2", 35

Vida Mia Unilet Lancets Super Thin 30G, 35

Unistik 3, 35

Unistik 3 Comfort, 35

Value Health Insulin Syringe/U-100/1ML/29G X 1/2", 35

Vida Mia Unilet Lancets Ultra Thin 28G, 35

Unistik 3 Extra, 35

Unistik 3 Extra Single Use Safety Lancets/21G, 35

Value Plus Lancets Standard 21G, 35

Vida Mia Unipfine Pentipsshort 31GX8MM, 35

Value Plus Lancets Super Thin 30G, 35

Unistik 3 Gentle, 35

Value Plus Lancets Thin 26G, 35

Videx Pediatric, 2

Unistik 3 Neonatal, 35

Value Plus Lancing Device, 35

vienva, 10

Unistik 3 Normal, 35

Valumark Lancet Super Thin 30G, 35

Vigamox, 18

Unistik CZT Comfort, 35

Valumark Lancet Ultra Thin 28G, 35

Vimpat, 17

Unistik CZT Normal, 35

Valumark Pen Needles 29GX12MM, 35

Vinate DHA RF, 25

Unistik Safety Lancets 28G, 35

Valumark Pen Needles 31G X 6MM, 35

Vinate M, 24

Unistik Safety Lancets 30G, 35

Valumark Pen Needles 31G X 8MM, 35

Vinate One, 24

Unistik Touch Safety Lancets 21G, 35

Valved Holding Chamber, 36

viorele, 10


Vanatol LQ, 20

Viracept, 2


vancomycin HCL, 3

Viramune, 2


Vancomycin HCL, 3

Virazole, 2

unithroid, 12

vandazole, 13

Viread, 2

unithroid direct, 12

Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 35

Virt Nate, 25

Universal 1 Lancets Thin 26G, 35

Virt-advance, 25

Universal 1 Lancets Ultra Thin 30G, 35

Vanishpoint Insulin Syringe/0.5ML/30G X 5/16", 35

Virt-c DHA, 25

Universal 1 Lancets/33G/Micro-thin, 35

Virt-care One, 25

Uptravi, 6

Vanishpoint Insulin Syringe/1ML/29G X 1/2", 35

Virt-nate DHA, 25

ur n-c, 13

Virt-pn, 25

Uramaxin, 8


Virt-pn DHA, 25

Uramaxin GT Kit, 8

Virt-pn Plus, 25

uramit mb, 13


Virt-select, 25

ure-k, 8

Virt-vite GT, 25

urea, 8

Vanoxide-HC, 6

Virtprex, 25

urea 40% nail film, 8

Vantas, 3

virtrate-2, 14

urea hydrating, 8

Vaqta, 23

virtrate-3, 14

urea IN zinc undecylenate/lactic acid vehicle, 8

Varivax, 23

virtrate-k, 14

Varubi, 13

Vita-pren, 25

Urea Nail, 8

Vcf Vaginal Contraceptive Film, 14

Vitafol Fe+, 25

urea topical, 8

Vcf Vaginal Contraceptive Foam, 14

Vitafol Gummies, 25

urelle, 13

vcf vaginal contraceptivegel, 13

Vitafol Ultra, 25

uretron d/s, 13

Vectical, 7

Vitafol-nano, 25

uribel, 13

Velcade, 3

Vitafol-ob+dha, 25

urin d/s, 13

velivet, 10

Vitafol-one, 25

uro-458, 13

Veltin, 6

vitajoy daily d gummies, 23

uro-mp, 13

Vemavite-prx 2, 25

Vitalet Pro Lancets, 35

uroav-81, 13

Vemlidy, 2

Vitalet Pro Plus Lancets, 35

uroav-b, 13

Vena-bal DHA, 25

Vitamedmd One RX/Quatrefolic, 25

urophen mb, 13

venlafaxine HCL, 16

Vitamedmd Redichew RX, 25

ursodiol, 13

venlafaxine HCL ER, 16

Vitamelts Vitamin D, 24

uryl, 13

Ventavis, 6

vitamin c 222MG, 23

ustell, 13

Ventolin HFA, 22

vitamin d, 23

Utibron Neohaler, 22

verapamil HCL, 4

vitamin d 400, 23

uticap, 13

verapamil HCL ER, 4

vitamin d high potency, 23

utira-c, 13

verapamil HCL SR, 4

vitamin d-1000, 23

utrona-c, 13

Verdeso, 7

vitamin d-1000 maximum strength, 23

V

verdrocet, 20

vitamin d-3, 23

Veregen, 8

vitamin d-400, 23

V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2", 35

Veripred 20, 9

vitamin d3, 23

Vesicare, 13

Vitamin D3, 24


vestura, 10

vitamin d3 400, 23

Viagra, 6

vitamin d3 adult gummies, 23


Vibramycin, 1

vitamin d3 gummies, 23

vicodin, 20

vitamin d3 high potency, 23

V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 35

vicodin ES, 20

vitamin d3 maximum strength, 23

vicodin HP, 20

vitamin d3 super strength, 23

Vagifem, 14

Victoza, 10

vitamin d3 ultra potency, 23

valacyclovir HCL, 2

Vida Mia Autolet Lancing Device, 35

Vitapearl, 25

Valcyte, 2

Viva DHA, 25

Xtandi, 3

1ST Tier Unifine Pentips 32GX4MM, 35

Vivelle-dot, 9

Xulane, 10

1ST Tier Unifine Pentips Plus 31GX8MM, 35

Vivitrol, 36

xylocaine dental, 21

Vol-nate, 25

xylon, 20

1ST Tier Unifine Pentips Plus 32GX4MM, 35

Vol-plus, 25

Xyntha, 15

Vol-TAB RX, 25

Xyntha Solofuse, 15

1ST Tier Unifine Pentips Plus/Mini/31GX5MM, 35

voriconazole, 2

Xyrem, 18

Vortex Valved Holding Chamber, 36

Y

1ST Tier Unifine Pentips Plus/Original/29GX12MM, 35

Votrient, 3

yl folic acid, 14

Vp Insulin Syringe/U-100/0.3ML/29G X 1/2", 35

1ST Tier Unifine Pentips Plus/Ultra SHORT/31GX6MM, 35

yuvafem, 13

Z

Vp-CH Plus, 25

1ST Tier Unilet Comfortouch Lancets 28G, 35

Vp-CH-PNV, 25

Zaclir Cleansing, 6

Vp-ggr-b6 Prenatal, 25

1ST Tier Unilet Comfortouch Lancets 30G, 35

zafirlukast, 22

Vp-heme OB, 25

zaleplon, 16

Vp-heme OB + DHA, 25

4

zarah, 10

Vp-heme One, 25

Zarontin, 17

4-aminobenzoic Acid Potassium Salt, 24

Vp-PNV-DHA, 25

Zarxio, 14

5

Vraylar, 16

Zatean-CH, 25

Vusion, 7

Zatean-pn DHA, 25

5-aminosalicylic Acid, 13

vyfemla, 10

Zatean-pn Plus, 25

Vytorin, 5

Zavesca, 14

Vyvanse, 17

Zelapar, 17

W

Zelboraf, 4

zenatane, 6

W&f Lancets 26G, 35

zenchent, 10

W&f Lancets Colored 21G, 35

zenchent FE, 10

Walgreens Advanced Travellancets 28G, 35

zencia, 6

Zenpep, 13

Walgreens Comfort Assuredlancets Micro Thin/33G, 35

zenzedi, 16

Zepatier, 2

Walgreens Comfort Assuredlancets Super Thin/28G, 35

Zetia, 5

Ziagen, 2

Walgreens Lancets, 35

zidovudine, 2

Walgreens Thin Lancets, 35

Zinbryta, 18

Walgreens Ultra Thin Lancets, 35

Zinc Acetate, 15

warfarin sodium, 14

ziprasidone HCL, 16

Warfarin Sodium Clathrateform, 14

Zirgan, 18

Watchhaler, 36

Zmax, 1

wee care, 14

Zoladex, 3

Wegmans Unifine Pentips Plus 32GX4MM, 35

Zolinza, 4

zolmitriptan, 21

Wegmans Unifine Pentips Plus/Mini/31GX5MM, 35

zolmitriptan odt, 21

zolpidem tartrate, 16

Wegmans Unifine Pentips Plus/SHORT/31GX8MM, 35

zolpidem tartrate ER, 16

Zomig, 21

Wegmans Unifine Pentips Plus/Ultra SHORT/31GX6MM, 35

Zonalon, 7

Zonegran, 17

Welchol, 5

zonisamide, 17

Wellesse Vitamin D3, 24

Zortress, 3

wera, 10

Zostavax, 23

Westhroid, 12

zovia 1/35e, 10

Wheat Germ, 24

Zovirax, 7

Wp Thyroid, 12

Zurampic, 21

wymzya FE, 10

Zydelig, 4

X

Zykadia, 4

Xalkori, 4

Zylet, 18

Xarelto, 14

Zyprexa Relprevv, 16

Xarelto Starter Pack, 14

Zytiga, 3

Xeljanz, 21

1

Xeljanz XR, 21

1ST Choice Lancets Super Thin, 35

Xeomin, 18

1ST Choice Lancets Thin, 35

Xerese, 7

1ST Choice Lancets Ultra Thin, 35

Xifaxan, 3

1ST Tier Unifine Pentips /Mini/31GX5MM, 35

Xiidra, 19

Xolair, 22


Xolegel, 7


Xopenex HFA, 22


1705 CR 021

53379208.1

Non-Discrimination and Accessibility Notice

QualChoice complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. QualChoice does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

QualChoice:

Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o Written information in other formats (large print, audio, accessible electronic formats, other formats)

Provides free language services to people whose primary language is not English, such as: o Qualified interpreters o Information written in other languages

If you need these services, contact Customer Service at (501) 228-7111. If you believe that QualChoice has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

QualChoice Civil Rights Coordinator QualChoice P.O. Box 25610 Little Rock, AR 72221-5610 (501) 228-7111 Fax #: 501-707-6729 [email protected]

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the QualChoice Civil Rights Coordinator is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-868-1019, 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. Notice of Discrimination Grievance Procedures

It is the policy of QualChoice not to discriminate on the basis of race, color, national origin, sex, age or disability. QualChoice has adopted an internal grievance procedure providing for prompt and equitable resolution of complaints alleging any action prohibited by Section 1557 of the Affordable Care Act (42 U.S.C. 18116) and its implementing regulations at 45 CFR part 92, issued by the U.S. Department of Health and Human Services. Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age or disability in certain health programs and activities. Section 1557 and its implementing regulations may be examined in the office of the QualChoice Civil Rights Coordinator, who has been designated to coordinate the efforts of QualChoice to comply with Section 1557 (the “Section 1557 Coordinator”):

QualChoice Civil Rights Coordinator QualChoice P.O. Box 25610 Little Rock, AR 72221-5610 (501) 228-7111 Fax #: 501-707-6729 [email protected]

Any person who believes someone has been subjected to discrimination on the basis of race, color, national origin, sex, age or disability may file a grievance under this procedure. It is against the law for QualChoice to retaliate against anyone who opposes discrimination, files a grievance, or participates in the investigation of a grievance.

Procedure:

Grievances must be submitted to the Section 1557 Coordinator within sixty (60) days of the date the person filing the grievance becomes aware of the alleged discriminatory action.

A complaint must be in writing, containing the name and address of the person filing it. The complaint must state the problem or action alleged to be discriminatory and the remedy or relief sought.

The Section 1557 Coordinator (or her/his designee) shall conduct an investigation of the complaint. This investigation may be informal, but it will be thorough, affording all interested persons an opportunity to submit evidence relevant to the complaint. The Section 1557 Coordinator will maintain the files and records of QualChoice relating to such grievances. To the extent possible, and in accordance with applicable law, the Section 1557 Coordinator will take appropriate steps to preserve the confidentiality of files and records relating to grievances and will share them only with those who have a need to know.

The Section 1557 Coordinator will issue a written decision on the grievance, based on a preponderance of the evidence, no later than thirty (30) days after its filing, including a notice to the complainant of their right to pursue further administrative or legal remedies.

The person filing the grievance may appeal the decision of the Section 1557 Coordinator by writing to the Vice President Corporate Responsibility within fifteen (15) days of receiving the Section 1557 Coordinator’s decision. The Vice President Corporate Responsibility shall issue a written decision in response to the appeal no later than thirty (30) days after its filing.

1607 CO 027 1 of 2

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

http://www.hhs.gov/ocr/office/file/index.html

The availability and use of this grievance procedure does not prevent a person from pursuing other legal or administrative remedies, including filing a complaint of discrimination on the basis of race, color, national origin, sex, age or disability in court or with the U.S. Department of Health and Human Services, Office for Civil Rights. A person can file a complaint of discrimination electronically through the Office for Civil Rights Complaint Portal, which is available at: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf , or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201.

Complaint forms are available at: http://www.hhs.gov/ocr/office/file/index.html. Such complaints must be filed within 180 days of the date of the alleged discrimination. QualChoice will make appropriate arrangements to ensure that individuals with disabilities and individuals with limited English proficiency are provided auxiliary aids and services or language assistance services, respectively, if needed to participate in this grievance process. Such arrangements may include, but are not limited to, providing qualified interpreters, providing taped cassettes of material for individuals with low vision, or assuring a barrier-free location for the proceedings. The Section 1557 Coordinator will be responsible for such arrangements. QualChoice offers help for members with limited English proficiency (LEP). The following statement is printed in the top languages used in

Arkansas, as required by the Federal government:

ATTENTION: Language assistance services, free of charge, are available to you. Call 1-800-235-7111 (TTY: 711).

Spanish ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-235-7111 (TTY: 711). Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-235-7111 (TTY: 711). Marshallese LALE: Ñe kwōj kōnono Kajin Ṃajōḷ, kwomaroñ bōk jerbal in jipañ ilo kajin ṇe aṃ ejjeḷọk wōṇāān. Kaalọk 1-800-235-7111 (TTY: 711). Chinese 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-235-7111 (TTY: 711).

Lao

ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວ ້ າພາສາ ລາວ, ການບໍ ລິ ການຊ່ວຍເຫ ຼື ອດ້ານພາສາ, ໂດຍບໍ່ ເສັຽຄ່າ, ແມ່ນມີ ພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-235-7111 (TTY: 711). Tagalog PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-235-7111 (TTY: 711). Arabic

.(117)رقمهاتف الصم والبكم: 7111-235-800-1ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم German ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-235-7111 (TTY: 711). French ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-235-7111 (ATS: 711). Hmong LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-800-235-7111 (TTY: 711). Korean

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-235-7111 (TTY: 711) 번으로 전화해 주십시오. Portuguese ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-800-235-7111 (TTY: 711). Japanese 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-800-235-7111 (TTY: 711)s まで、お電話にてご連絡ください。

Hindi

ध्यान दें: यदद आप द िंदी बोलते ैं तो आपके ललए मुफ्त में भाषा स ायता सेवाएिं उपलब्ध ैं। 1-800-235-7111 (TTY: 711) पर कॉल करें। Gujarati

સચુના: જો તમે ગજુરાતી બોલતા હો, તો નન:શલુ્ક ભાષા સહાય સવેાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો 1-800-235-7111 (TTY: 711).

1607 CO 027 2 of 2

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