List of covered drugs · INTRODUCTION Catamaran utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of practicing physicians, pharmacists, and nurses to help

List of covered drugs

INTRODUCTION

Catamaran utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of

practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically

sound and that it supports patient health. This committee reviews and evaluates medications

on the formulary based on safety and efficacy to help maintain clinical integrity in all

therapeutic categories.

FORMULARY DESIGN

Catamaran has a formulary structure which includes most prescription drugs. The formulary

structure features medications generics (with the lowest co-payments), preferred and non-

preferred brand-name drugs.

Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under

“GENERIC” have the same active ingredient as the brand-name versions but at a lower

cost.

Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs

that will generally have lower co-payments than non-preferred brand name drugs.

Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have higher co-

payments than preferred brand name drugs.

USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS

Many health plans use the Catamaran formulary to help manage the overall cost of providing

prescription drug benefits. This formulary offers a wide range of medications from which to

choose. We realize that this formulary reference guide may not include every drug from every

manufacturer. However, choosing a generic or preferred drug when it is appropriate can

provide access to the necessary medications to stay healthy, at a cost that is more affordable.

SAVING ON OUT-OF-POCKET COSTS

Your health plan sets the co-payments for each formulary drug status which include generic,

preferred brand-name, and non-preferred brand-name medications. Health plans often design

prescription drug plans to encourage the use of generic and preferred brand-name drugs.

Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as

coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients

may also pay less for generic drugs, or they may be asked to pay the cost difference between

brand-name drugs and their generic alternatives.

PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic version

becomes available.

CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE

When employers and other health plans design their prescription drug plans, they may choose

to provide coverage only for certain medications, time periods, doses, quantities, or for a

specific indications (e.g. they may exclude coverage for medications for unapproved, unproven,

or cosmetic indications). When coverage for medications is provided based on use or quantity,

Catamaran may contact your prescriber’s office for additional information to determine

whether coverage is available under your plan. Patients who are unsure whether these

coverage rules apply for a particular medication can consult their prescription drug benefit

manual or contact a Catamaran Member Services representative to determine specific

coverage requirements.

KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED

The following formulary reference guide is designed so that generic products are listed first in

each drug category. The preferred brand name products are listed next, and non-preferred

brand products are listed last.

*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design

determines what is covered and the applicable co-payment. The medications listed on this formulary are subject to change

pursuant to the formulary management activities of Catamaran. The presence of a medication on this formulary list does not

guarantee coverage. To determine the most up-to-date formulary status of your medication, please visit your member website

or call member services at the number listed on your ID card.

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

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

ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

CALCIUM REGULATORS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

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

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Cefaclor ER

Cefotetan

Cefotetan/Dextrose

Cefoxitin Sodium

April 2014

Ceftin

Cefuroxime Sodium

ANTI-INFECTIVES

Cefuroxime/Dextrose

Mefoxin

PENICILLINS

Zinacef

GENERIC

Zinacef IN Iso-osmotic Dextrose

amoxicillin

Zinacef IN Iso-osmotic Diluent

amoxicillin/clavulanate potassium

THIRD GENERATION

amoxicillin/clavulanate potassium ER

GENERIC

ampicillin

cefdinir

ampicillin sodium

cefotaxime sodium

ampicillin-sulbactam

cefpodoxime proxetil

dicloxacillin sodium

ceftazidime

nafcillin sodium

ceftriaxone sodium

oxacillin sodium

NON PREFERRED

penicillin v potassium

Cedax

penicillin G potassium

Cefditoren Pivoxil

piperacillin sodium/ tazobactam sodium

Ceftazidime

piperacillin sodium/tazobactam sodium

Ceftazidime/Dextrose

piperacillin/tazobactam

Ceftibuten

NON PREFERRED

Ceftriaxone IN Iso-osmotic Dextrose

Amoxicillin

Ceftriaxone/Dextrose

Ampicillin

Claforan

Ampicillin Sodium

Claforan/D5W

Ampicillin-sulbactam

Fortaz

Augmentin

Rocephin

Augmentin ES-600

Spectracef

Augmentin XR

Suprax

Bactocill IN Dextrose

Tazicef

Bicillin C-R

FOURTH GENERATION

Bicillin L-a

GENERIC

Moxatag

cefepime

Nafcillin Sodium

NON PREFERRED

Nallpen Iso-osmotic IN Dextrose

Cefepime

Nallpen/Dextrose

Maxipime

Penicillin G Potassium IN Iso-osmotic Dextrose

Penicillin G Procaine

MACROLIDES

Penicillin G Sodium

GENERIC

Pfizerpen-G

azithromycin

Timentin

clarithromycin

Unasyn

clarithromycin ER

Unasyn Bulk Pack

erythromycin

Zosyn

NON PREFERRED

Azithromycin

CEPHALOSPORIN

Biaxin

FIRST GENERATION

Biaxin XL

GENERIC

Biaxin XL PAC

cefadroxil

Dificid

cefazolin sodium

E.e.s. Granules

cephalexin

E.e.s. 400

NON PREFERRED

Ery-TAB

Ancef

Eryped 200

Cefazolin Sodium

Eryped 400

Cefazolin Sodium/Dextrose

Erythrocin Lactobionate

Cephalexin

Erythrocin Stearate

Keflex

Erythromycin Base

SECOND GENERATION

Erythromycin Ethylsuccinate

GENERIC

PCE

cefaclor

Zithromax

cefoxitin sodium

Zithromax Tri-PAK

cefprozil

Zithromax Z-PAK

cefuroxime axetil

Zmax

cefuroxime sodium

NON PREFERRED

TETRACYCLINES

Cefaclor

Effective April 1, 2014 v.3

©Catamaran 2014. All Rights Reserved. May not be copied or distributed without authorization.

1

GENERIC

Isotonic Gentamicin

demeclocycline HCL

Kanamycin Sulfate

doxycycline

Streptomycin Sulfate

doxycycline hyclate

Tobi

doxycycline hyclate DR

Tobramycin Sulfate/Sodium Chloride

doxycycline monohydrate

minocycline HCL

SULFONAMIDES

minocycline HCL ER

PREFERRED

NON PREFERRED

Sulfisoxizole

Adoxa

NON PREFERRED

Adoxa PAK 1/100

Sulfadiazine

Adoxa PAK 1/150

Adoxa PAK 2/100

ANTIMYCOBACTERIAL AGENTS

Alodox Convenience Kit

GENERIC

Avidoxy DK

ethambutol HCL

Doryx

isoniazid

Doxycycline Hyclate

pyrazinamide

Dynacin

rifampin

Minocin

PREFERRED

Minocin Kit

Mycobutin

Monodox

Priftin

Morgidox 1X100MG

Seromycin

Morgidox 2X100MG

Sirturo

Nicazeldoxy 30 Kit

NON PREFERRED

Nicazeldoxy 60 Kit

Capastat Sulfate

Nutridox

Cycloserine

Ocudox

Isoniazid

Oraxyl

Myambutol

Solodyn

Paser

Tetracycline HCL

Rifadin

Vibramycin

Rifamate

Rifater

QUINOLONES

Trecator

GENERIC

ciprofloxacin

ANTIFUNGALS

ciprofloxacin ER

GENERIC

ciprofloxacin HCL

fluconazole

ciprofloxacin I.V.-IN D5W

fluconazole IN dextrose

levofloxacin

fluconazole IN NACL

levofloxacin IN D5W

flucytosine

ofloxacin

griseofulvin microsize

PREFERRED

griseofulvin ultramicrosize

Avelox

itraconazole

Avelox Abc Pack

ketoconazole

NON PREFERRED

nystatin

Cipro

terbinafine HCL

Cipro I.V.-IN D5W

voriconazole

Cipro XR

PREFERRED

Factive

Cancidas

Levaquin

Mycamine

Noroxin

Noxafil

NON PREFERRED

AMINOGLYCOSIDES

Abelcet

GENERIC

Ambisome

amikacin sulfate

Amphotec

gentamicin sulfate

Amphotericin B

gentamicin sulfate pediatric

Ancobon

gentamicin sulfate/sodium chloride

Diflucan

gentamicin sulfate/0.9% sodium chloride

Eraxis

isotonic gentamicin

Fluconazole IN NACL

neomycin sulfate

Grifulvin V

paromomycin sulfate

Gris-peg

tobramycin

Lamisil

tobramycin sulfate

Onmel

PREFERRED

Sporanox

Tobi Podhaler

Sporanox Pulsepak

NON PREFERRED

Terbinex

Bethkis

Vfend

Gentamicin Sulfate/0.9% Sodium Chloride

Vfend IV

Effective April 1, 2014

2

ANTIVIRALS

Epivir HBV

Famvir

GENERIC

Flumadine

abacavir

Foscarnet Sodium

abacavir sulfate/lamivudine/zidovudine

Foscavir

acyclovir

Hepsera

acyclovir sodium

Infergen

adefovir dipivoxil

Olysio

cidofovir

Rebetol

didanosine

Retrovir

famciclovir

Rimantalist

ganciclovir

Sovaldi

lamivudine

Trizivir

lamivudine/zidovudine

Tyzeka

nevirapine

Valtrex

ribavirin

Videx EC

rimantadine HCL

Viramune

stavudine

Virazole

valacyclovir HCL

Vistide

zidovudine

Zerit

PREFERRED

Ziagen

Aptivus

Zovirax

Atripla

Baraclude

ANTIMALARIALS

Complera

Crixivan

GENERIC

Edurant

atovaquone/proguanil HCL

Emtriva

chloroquine phosphate

Epzicom

hydroxychloroquine sulfate

Fuzeon

mefloquine HCL

Incivek

quinine sulfate

Intelence

PREFERRED

Invirase

Coartem

Isentress

Daraprim

Kaletra

Primaquine Phosphate

Lexiva

NON PREFERRED

Moderiba

Aralen

Nevirapine

Atovaquone/Proguanil HCL

Norvir

Malarone

Peg-intron

Plaquenil

Peg-intron Redipen

Qualaquin

Peg-intron Redipen PAK 4

Pegasys

AMEBICIDES

Pegasys Proclick

NON PREFERRED

Prezista

Yodoxin

Relenza Diskhaler

Rescriptor

ANTHELMINTICS

Retrovir IV Infusion

PREFERRED

Reyataz

Albenza

Ribapak

Stromectol

Ribasphere

NON PREFERRED

Ribatab

Biltricide

Selzentry

Stribild

MISC. ANTI-INFECTIVES

Sustiva

GENERIC

Tamiflu

aztreonam

Tivicay

bacitracin

Truvada

clindamycin palmitate HCL

Valcyte

clindamycin phosphate

Victrelis

clindamycin phosphate add-vantage

Videx Pediatric

clindamycin phosphate pharmacy bulk package

Viracept

clindamycin phosphate IN D5W

Viramune XR

clindamycin HCL

Viread

colistimethate sodium

NON PREFERRED

erythromycin/sulfisoxazole

Acyclovir Sodium

imipenem/cilastatin

Combivir

meropenem

Copegus

metronidazole

Cytovene

metronidazole IN NACL 0.79%

Epivir

polymyxin b sulfate


3

sulfamethoxazole/trimethoprim

Zanosar

sulfamethoxazole/trimethoprim DS

NON PREFERRED

tinidazole

Carboplatin

trimethoprim

Ceenu

vancomycin HCL

Cisplatin

PREFERRED

Cyclophosphamide

Alinia

Eloxatin

Cayston

Ifex

Dapsone

Ifosfamide

Mepron

Temodar

Nebupent

Thiotepa

Tygacil

Xifaxan

ANTIBIOTICS

Zyvox

GENERIC

NON PREFERRED

bleomycin sulfate

Azactam

dactinomycin

Azactam IN Iso-osmotic Dextrose

daunorubicin HCL

Bacitracin

doxorubicin HCL

Bactrim

doxorubicin HCL liposome

Bactrim DS

epirubicin HCL

Chloramphenicol Sodium Succinate

idarubicin HCL

Cleocin

mitomycin

Cleocin IN D5W

mitoxantrone HCL

Cleocin Pediatric Granules

PREFERRED

Cleocin Phosphate

Daunoxome

Clindamycin Phosphate

Valstar

Coly-mycin M

NON PREFERRED

Cubicin

Adriamycin

Doribax

Cerubidine

Flagyl

Cosmegen

Flagyl ER

Doxil

Invanz

Ellence

Ketek

Epirubicin HCL

Lincocin

Idamycin PFS

Merrem

Metro IV

ANTINEOPLASTIC ENZYMES

Neutrexin

PREFERRED

Pentam 300

Elspar

Primaxin IV

Erwinaze

Primaxin IV Add-vantage

Oncaspar

Primsol

Sulfamethoxazole/Trimethoprim

ANTIMETABOLITES

Synercid

GENERIC

Tindamax

azacitidine

Vancocin HCL

cladribine

Vancomycin HCL

cytarabine

Vancomycin HCL IN Dextrose

cytarabine aqueous

Vibativ

decitabine

floxuridine

ANTINEOPLASTICS, ETC

fludarabine phosphate

ALKYLATING AGENTS

fluorouracil

GENERIC

gemcitabine HCL

carboplatin

mercaptopurine

cisplatin

methotrexate

ifosfamide

methotrexate sodium

melphalan hydrochloride

PREFERRED

oxaliplatin

Alimta

temozolomide

Arranon

PREFERRED

Clolar

Alkeran

Depocyt

Bicnu

Folotyn

Busulfex

Tabloid

Gliadel Wafer

Trexall

Hexalen

Xeloda

Leukeran

NON PREFERRED

Lomustine

Cytarabine

Mustargen

Dacogen

Myleran

Fludara

Treanda

Fludarabine Phosphate


4

Gemcitabine

cyclosporine modified

Gemzar

mycophenolate mofetil

Purinethol

mycophenolic acid DR

Vidaza

sirolimus

tacrolimus

ANGIOGENESIS INHIBITORS

PREFERRED

Azasan

PREFERRED

Pomalyst

Avastin

Rapamune

Zaltrap

Revlimid

Thalomid

ANTIBODIES

NON PREFERRED

PREFERRED

Astagraf XL

Adcetris

Atgam

Arzerra

Azathioprine Sodium

Bexxar

Cellcept

Campath

Cellcept Intravenous

Erbitux

Cyclosporine Modified

Herceptin

Imuran

Kadcyla

Myfortic

Perjeta

Neoral

Rituxan

Nulojix

Vectibix

Prograf

Yervoy

Sandimmune

Zevalin Y-90

Simulect

NON PREFERRED

Thymoglobulin

Gazyva

Zortress

HORMONAL AGENTS

MITOTIC INHIBITORS

GENERIC

GENERIC

anastrozole

etoposide

bicalutamide

paclitaxel

exemestane

vincristine sulfate

flutamide

vinorelbine tartrate

letrozole

PREFERRED

leuprolide acetate

Abraxane

megestrol acetate

Docefrez

tamoxifen citrate

Etopophos

PREFERRED

Halaven

Depo-provera

Ixempra Kit

Eligard

Jevtana

Emcyt

Marqibo

Fareston

Taxotere

Faslodex

Teniposide

Firmagon

Vumon

Lupron Depot

NON PREFERRED

Lysodren

Docetaxel

Megestrol Acetate

Etoposide

Nilandron

Navelbine

Soltamox

Paclitaxel

Trelstar Depot

Vinblastine Sulfate

Trelstar Depot Mixject

Trelstar LA

ENZYME INHIBITORS

Trelstar LA Mixject

PREFERRED

Trelstar Mixject

Afinitor

Vantas

Afinitor Disperz

Xtandi

Bosulif

Zoladex

Caprelsa

Zytiga

Cometriq

NON PREFERRED

Gilotrif

Arimidex

Gleevec

Aromasin

Iclusig

Casodex

Inlyta

Femara

Istodax

Megace Oral

Jakafi

Kyprolis

IMMUNOMODULATORS

Mekinist

GENERIC

Nexavar

azathioprine

Sprycel

cyclosporine


5

Stivarga

PREFERRED

Sutent

Fusilev

Tafinlar

Totect

Tarceva

Voraxaze

Tasigna

NON PREFERRED

Torisel

Calcium Folinate

Tykerb

Ethyol

Vandetanib

Leucovorin Calcium

Velcade

Mesnex

Votrient

Zinecard

Xalkori

Zelboraf

CHEMOTHERAPY ADJUNCTS

Zolinza

PREFERRED

NON PREFERRED

Elitek

Imbruvica

Kepivance

TOPOISOMERASE I INHIBITOR

ANTINEOPLASTIC COMBO

GENERIC

NON PREFERRED

irinotecan

Ifosfamide/Mesna

topotecan HCL

NON PREFERRED

CARDIOVASCULAR DRUGS

Camptosar

PHOSPHODIESTERASE INHBTR

Hycamtin

GENERIC

Topotecan HCL

milrinone lactate

milrinone IN dextrose

RADIOPHARMACEUTICALS

PREFERRED

CARDIAC GLYCOSIDES

Bexxar 131 Iodine

GENERIC

Metastron

digoxin

Quadramet

NON PREFERRED

NON PREFERRED

Digoxin

Xofigo

Lanoxin

Lanoxin Pediatric

CELLULAR IMMUNOTHERAPY

PREFERRED

ANTIANGINAL AGENTS

Provenge

GENERIC

isosorbide dinitrate

ANTINEOPLASTICS MISC.

isosorbide dinitrate ER

GENERIC

isosorbide mononitrate

dacarbazine

isosorbide mononitrate ER

hydroxyurea

nitroglycerin

pentostatin

nitroglycerin lingual

tretinoin

nitroglycerin transdermal

PREFERRED

nitroglycerin IN dextrose 5%

Actimmune

nitroglycerin IN 5% dextrose

Alferon N

PREFERRED

Intron-a

Dilatrate SR

Intron-a W/Diluent

Nitro-bid

Matulane

Nitrostat

Photofrin

Ranexa

Proleukin

NON PREFERRED

Sylatron

Imdur

Synribo

Isordil Titradose

Targretin

Isosorbide Dinitrate

Theracys

Nitro-dur

Tice Bcg

Nitroglycerin

Trisenox

Nitroglycerin IN Dextrose 5%

Uvadex

Nitroglycerin Lingual

NON PREFERRED

Nitrolingual Pumpspray

Dacarbazine

Nitromist

Hydrea

Nipent

BETA BLOCKERS

GENERIC

CHEMOTHERAPY RESCUE

acebutolol HCL

GENERIC

atenolol

amifostine

betaxolol HCL

dexrazoxane

bisoprolol fumarate

leucovorin calcium

carvedilol

mesna

esmolol HCL


6

labetalol HCL

Procardia XL

metoprolol succinate ER

Sular

metoprolol tartrate

Tiazac

nadolol

Verapamil HCL

propranolol HCL

Verelan

propranolol HCL ER

Verelan PM

sotalol HCL

sotalol HCL (AF)

ANTIARRHYTHMICS

PREFERRED

GENERIC

Bystolic

adenosine

Coreg CR

amiodarone HCL

NON PREFERRED

disopyramide phosphate

Betapace

flecainide acetate

Betapace AF

ibutilide fumarate

Brevibloc

lidocaine HCL

Coreg

lidocaine HCL IN D5W

Corgard

lidocaine HCL/dextrose

Hypertenevide-12.5

mexiletine HCL

Inderal LA

propafenone HCL

Innopran XL

propafenone HCL ER

Kerlone

quinidine gluconate CR

Levatol

quinidine gluconate ER

Lopressor

quinidine sulfate

Pindolol

PREFERRED

Propranolol HCL

Tikosyn

Sectral

NON PREFERRED

Sotalol Hydrochloride

Adenocard

Tenormin

Amiodarone HCL

Timolol Maleate

Cordarone

Toprol XL

Corvert

Trandate

Lidocaine HCL

Zebeta

Multaq

Nexterone

CALCIUM CHANNEL BLOCKERS

Norpace

GENERIC

Norpace CR

amlodipine besylate

Procainamide HCL

diltiazem CD

Quinidine Gluconate

diltiazem HCL

Quinidine Sulfate ER

diltiazem HCL ER

Rythmol

felodipine ER

Rythmol SR

nicardipine HCL

Tambocor

nifedipine

Xylocaine

nifedipine ER

nimodipine

ACE INHIBITORS

nisoldipine

GENERIC

verapamil HCL

benazepril HCL

verapamil HCL ER

captopril

verapamil HCL SR

enalapril maleate

NON PREFERRED

enalaprilat

Adalat CC

fosinopril sodium

Calan

lisinopril

Calan SR

moexipril HCL

Cardene I.v.

perindopril erbumine

Cardene IV

quinapril HCL

Cardene SR

ramipril

Cardizem

trandolapril

Cardizem CD

NON PREFERRED

Cardizem LA

Accupril

Cleviprex

Aceon

Dilacor XR

Altace

Diltiazem HCL

Epaned

Hypertenipine-2.5

Lotensin

Isoptin SR

Mavik

Isradipine

Prinivil

Nisoldipine

Univasc

Nisoldipine ER

Vasotec

Norvasc

Zestril

Nymalize

Procardia


7

ANGIOTENSIN RCPTR BLOCKER

nadolol/bendroflumethiazide

quinapril/hydrochlorothiazide

GENERIC

telmisartan/amlodipine

candesartan cilexetil

valsartan/hydrochlorothiazide

eprosartan mesylate

PREFERRED

irbesartan

Amturnide

losartan potassium

Azor

telmisartan

Benicar HCT

PREFERRED

Exforge

Benicar

Exforge HCT

Diovan

Micardis HCT

NON PREFERRED

Tarka

Atacand

Tekamlo

Avapro

Tekturna HCT

Cozaar

Tribenzor

Edarbi

NON PREFERRED

Micardis

Accuretic

Teveten

Atacand HCT

Avalide

DIRECT RENIN INHIBITORS

Captopril/Hydrochlorothiazide

PREFERRED

Clorpres

Tekturna

Corzide

Diovan HCT

ANTIHYPERTENSIVES MISC.

Dutoprol

GENERIC

Edarbyclor

clonidine HCL

Hypertensolol

doxazosin mesylate

Hyzaar

eplerenone

Lopressor HCT

fenoldopam mesylate

Lotensin HCT

guanfacine HCL

Lotrel

hydralazine HCL

Lytensopril

methyldopa

Lytensopril-90

minoxidil

Methyldopa/Hydrochlorothiazide

prazosin HCL

Propranolol/Hydrochlorothiazide

terazosin HCL

Tenoretic 100

PREFERRED

Tenoretic 50

Demser

Teveten HCT

Dibenzyline

Twynsta

NON PREFERRED

Uniretic

Cardura

Vaseretic

Catapres

Zestoretic

Catapres-tts-1

Ziac

Catapres-tts-2

Catapres-tts-3

DIURETICS

Corlopam

GENERIC

Inspra

acetazolamide

Methyldopate HCL

acetazolamide sodium

Minipress

acetazolamide ER

Nexiclon XR

amiloride HCL

Nitropress

amiloride/hydrochlorothiazide

Phentolamine Mesylate

bumetanide

Reserpine

chlorothiazide

Tenex

chlorothiazide sodium

Vecamyl

furosemide

hydrochlorothiazide

ANTIHYPERTENSIVE COMBO

indapamide

GENERIC

mannitol

amlodipine besylate/benazepril hydrochloride

methazolamide

amlodipine besylate/benazepril HCL

metolazone

atenolol/chlorthalidone

spironolactone

benazepril HCL/hydrochlorothiazide

spironolactone/hydrochlorothiazide

bisoprolol fumarate/hydrochlorothiazide

torsemide

candesartan cilexetil/hydrochlorothiazide

triamterene/hydrochlorothiazide

enalapril maleate/hydrochlorothiazide

NON PREFERRED

fosinopril sodium/hydrochlorothiazide

Acetazolamide

irbesartan/hydrochlorothiazide

Aldactazide

lisinopril/hydrochlorothiazide

Aldactone

losartan potassium/hydrochlorothiazide

Chlorothiazide

metoprolol/hydrochlorothiazide

Chlorthalidone

moexipril/hydrochlorothiazide


8

Demadex

Simcor

Diamox

Vascepa

Diuril

Vytorin

Dyazide

Welchol

Dyrenium

Zetia

Edecrin

NON PREFERRED

Furosemide

Advicor

Introl

Altoprev

Lasix

Antara

Maxzide

Colestid

Maxzide-25

Colestid Flavored

Methyclothiazide

Fenofibric Acid

Microzide

Fenoglide

Neptazane

Fibricor

Sodium Diuril

Kynamro

Sodium Edecrin

Lescol

Torsemide

Lescol XL

Triamterene/Hydrochlorothiazide

Lipitor

Zaroxolyn

Livalo

Lofibra

VASOPRESSORS

Lopid

Mevacor

GENERIC

Niacor

dobutamine HCL

Niaspan

dobutamine HCL/D5W

Pravachol

dobutamine/dextrose 5%

Questran

dopamine HCL

Questran Light

dopamine HCL-dextrose 5%

Tricor

dopamine HCL/dextrose 5%

Triglide

dopamine/D5W

Trilipix

ephedrine sulfate

Zocor

midodrine HCL

norepinephrine bitartrate

CARDIOVASCULAR - MISC.

phenylephrine HCL

PREFERRED

GENERIC

Epipen 2-PAK

amlodipine besylate/atorvastatin calcium

Epipen-JR 2-PAK

epoprostenol sodium

NON PREFERRED

papaverine HCL

Adrenaclick

sildenafil citrate

Adrenalin

PREFERRED

Auvi-q

Adcirca

Dobutamine/Dextrose 5%

Caverject

Dopamine HCL

Caverject Impulse

Epinephrine

Cialis

Levophed

Edex

Neo-synephrine

Letairis

Phenylephrine HCL

Muse

Opsumit

ANTIHYPERLIPIDEMICS

Remodulin

Revatio

GENERIC

Tracleer

atorvastatin calcium

Tyvaso

cholestyramine

Tyvaso Refill

cholestyramine light

Tyvaso Starter

colestipol HCL

Veletri

colestipol HCL for oral suspension

Ventavis

fenofibrate

Viagra

fenofibrate micronized

NON PREFERRED

fenofibric acid DR

Adempas

fluvastatin

Amlodipine Besylate/Atorvastatin Calcium

gemfibrozil

Bidil

lovastatin

Caduet

niacin ER

Flolan

pravastatin sodium

Levitra

simvastatin

Natrecor

PREFERRED

Staxyn

Crestor

Stendra

Juxtapid

Lipofen

DERMATOLOGICALS

Liptruzet

Lovaza


9

ACNE PRODUCTS

Sodium Sulfacetamide/Sulfur

Sodium Sulfacetamide/Sulfur Cleanser IN Urea

GENERIC

Sodium Sulfacetamide/Sulfur IN Urea

adapalene

Sulfoam

benzoyl peroxide

Sumadan Kit

benzoyl peroxide SHORT contact

Sumadan Wash


Sumadan XLT

clindamycin/benzoyl peroxide

Sumaxin

erythromycin

Sumaxin CP Kit

erythromycin/benzoyl peroxide

Sumaxin Ts

sodium sulfacetamide

Sumaxin Wash

sodium sulfacetamide/sulfur

Tretin-x

sodium sulfacetamide/sulfur cleanser

Vanoxide-HC

sodium sulfacetamide/sulfur cleansing cloths

Zacare 4% Kit

sodium sulfacetamide/sulfur green

Zacare 8% Kit

sodium sulfacetamide/sulfur wash

sulfacetamide sodium

ROSACEA AGENTS

sulfacetamide sodium/sulfur cleanser

tretinoin

GENERIC

tretinoin microsphere

metronidazole

tretinoin microsphere P.M.

PREFERRED

PREFERRED

Finacea

Acanya

Finacea Plus

Atralin

Oracea

Epiduo

NON PREFERRED

Veltin

Metrocream

Ziana

Metrogel

NON PREFERRED

Metrolotion

Absorica

Mirvaso

Aczone

Noritate

Akne-mycin

Rosadan Kit

Avar

Avar LS

ANTIBIOTICS - TOPICAL

Avar LS Cleanser

GENERIC

Avar-e LS

mupirocin

Azelex

mupirocin calcium

Benzac Ac Wash

NON PREFERRED

Benzac W Wash

Altabax

Benzaclin

Bactroban

Benzaclin With P.M.

Centany

Benzamycin

Centany AT

Benzamycinpak

Cortisporin

Benzefoam

Gentamicin Sulfate

Benzefoamultra

Benziq

ANTIFUNGALS - TOPICAL

Benziq LS

GENERIC

Claravis

ciclopirox

Clarifoam EF

ciclopirox nail lacquer

Cleocin-t

ciclopirox olamine

Clindacin Etz

clotrimazole

Clindacin PAC

clotrimazole/betamethasone dipropionate

Clindagel

econazole nitrate

Delos

ketoconazole

Differin

nystatin

Duac

nystatin/triamcinolone

Erygel

PREFERRED

Evoclin

Nystatin

Fabior

Nystatin Domestic

Inova

Nystatin Foreign

Inova 4/1 Acne Control Therapy

NON PREFERRED

Inova 8/2 Acne Control Therapy

Ciclodan Cream Kit

Klaron

Ciclodan Solution Kit

Lavoclen-4 Creamy Wash

Ciclopirox Topical Solution Kit

Lavoclen-8 Creamy Wash

Cnl8 Nail Kit

Nuox

Ecoza

Retin-a

Ertaczo

Retin-a Micro

Exelderm

Retin-a Micro P.M.

Extina

Riax

Halotin

Rosanil

Ketodan Kit


10

Lamisil Spray

Glycolic Acid 70% High Purity

Loprox

Ovace Plus

Loprox Shampoo

Ovace Plus Wash

Lotrisone

Ovace Wash

Mentax

Promiseb

Naftin

Promiseb Complete

Nizoral

Seb-prev

Oxistat

Selenium Sulfide

Pediaderm AF Complete Kit

Selrx

Pedipirox-4 Nail

Selsun Shampoo

Penlac Nail Lacquer

Sodium Sulfacetamide/Urea

Vusion

Tersi Foam

Xolegel

TL Triseb

Xolegel Corepak

Xolegel Duo/Head & Shoulders

CORTICOSTEROIDS - TOPICAL

Xolegel Duo/Xolex

GENERIC

alclometasone dipropionate

ANTIVIRALS - TOPICAL

amcinonide

GENERIC

augmented betamethasone dipropionate

acyclovir

betamethasone dipropionate

PREFERRED

betamethasone valerate

Denavir

clobetasol propionate

NON PREFERRED

clobetasol propionate emollient

Lidovir

desonide

Xerese

desoximetasone

Zovirax

diflorasone diacetate

fluocinolone acetonide

ANTI-INFLAMMATORY AGENTS

fluocinonide

fluocinonide emollient base

PREFERRED

fluocinonide-e

Voltaren

fluticasone propionate

NON PREFERRED

halobetasol propionate

Flector

hydrocortisone

Lidoprofen

hydrocortisone acetate/aloe

Pennsaid

hydrocortisone butyrate

Vopac

hydrocortisone butyrate (lipid)

Vopac GB

hydrocortisone butyrate (lipophilic)

Vopac Kt

hydrocortisone valerate

hydrocortisone IN absorbase

ANTIPRURITICS

mometasone furoate

NON PREFERRED

prednicarbate

Prudoxin

triamcinolone acetonide

Zonalon

PREFERRED

Pramosone

ANTIPSORIATICS

Pramosone E

GENERIC

Taclonex

acitretin

NON PREFERRED

calcipotriene

Aclovate

PREFERRED

Ala Scalp

Oxsoralen Ultra

Amcinonide

Tazorac

Apexicon E

8-mop

Capex

NON PREFERRED

Carmol-HC

Calcitriol

Clobex

Dovonex

Clocortolone Pivalate

Dritho-creme HP

Clocortolone Pivalate P.M.

Soriatane

Cloderm

Sorilux

Cloderm P.M.

Stelara

Cordran

Vectical

Cordran SP

Zithranol

Cordran Tape

Zithranol-rr

Cutivate

Derma-smoothe/FS Body

ANTISEBORRHEIC AGENTS

Derma-smoothe/FS Body Oil

GENERIC

Derma-smoothe/FS Scalp

selenium sulfide

Derma-smoothe/FS Scalp Oil


Dermasorb HC

sodium sulfacetamide wash

Dermasorb Ta

NON PREFERRED

Dermatop

Glycolic Acid


11

Desonate

salicylic acid

Desowen

salicylic acid cream

Desowen Cream/Cetaphil Lotion

salicylic acid lotion

Desowen Lotion/Cetaphil Cream

sodium hyaluronate

Desowen Ointment/Cetaphil Lotion

urea

Desoximetasone

urea topical

Diflorasone Diacetate

urea IN zinc undecylenate/lactic acid vehicle

Diprolene

urea 40% nail film

Diprolene AF

PREFERRED

Elocon

Condylox

Epifoam

Eurax

First-hydrocortisone

Oxsoralen

Halog

NON PREFERRED

Halonate

Aluminum Acetate

Kenalog

Aluvea

Locoid

Anacaine

Locoid Lipocream

Arnica Flower

Luxiq

Atopiclair

Nucort

Aurstat

Nuzon

Aurstat Anti-itch Hydrogel

Olux

Aurstat Anti-itch Hydrogel Kit

Olux-e

Benzoin Compound Tincture

Pandel

Benzoin Tincture

Pediaderm HC

Boric Acid

Pediaderm Ta

Cem-urea

Scalacort DK

Coal TAR

Synalar

Cocaine HCL

Synalar Cream Kit

Dermasorb XM

Synalar Ointment Kit

Drysol

Synalar Ts

Elenzapatch

Temovate

Eletone

Temovate E

Elimite

Texacort

Emla

Topicort

Emulsion SB

Triamcinolone Acetonide

Epiceram

Trianex

Ethyl Chloride

Ultravate

Ethyl Chloride/Fine Pinpoint

Ultravate PAC

Ethyl Chloride/Fine Stream

Ultravate X

Ethyl Chloride/Medium Jet Stream

Vanos

Ethyl Chloride/Medium Stream

Verdeso

Ethyl Chloride/Mist

Westcort

Gebauers Pain Ease

Gebauers Spray And Stretch

IMMUNOMODULATING AGENTS

Genadur

Genadur Kit

GENERIC

Gordofilm

imiquimod

Gordons Urea

PREFERRED

Green Soap

Elidel

Hydro 35

Protopic

Hydro 40 Foam

Zyclara

Hylatopic

Zyclara P.M.

Hylatopic Plus

NON PREFERRED

Hylatopic Plus/Aurstat

Aldara

Hylira

HPR

DERMATOLOGICALS - MISC.

HPR Plus

GENERIC

HPR Plus/Mb Hydrogel

ammonium lactate

Kerafoam

episone CRE

Kerafoam 42

lactic acid

Keralyt

lactic acid e

Keralyt Scalp

lactic acid w/vitamin e

Lac-hydrin

lidocaine

Latrix XM

lidocaine HCL

Lidocaine HCL

lidocaine HCL jelly

Lidocaine/Prilocaine

lidocaine/prilocaine

Lidoderm

lindane

Lycelle

malathion

Mb Hydrogel

permethrin

Mimyx

podofilox

Natroba


12

Neosalus

Depo-medrol

Neosalus CP

Dexamethasone

Nuvail

Dexamethasone Intensol

Ovide

Dexamethasone Sodium Phosphate

Pliaglis

Dexpak 10 Day

Pontocaine

Dexpak 13 Day

Pr Cream

Dexpak 6 Day

Presera

Entocort EC

Pruclair

FLO-pred

Prumyx

Kenalog-10

Pyrogallic Acid

Kenalog-40

Qutenza

Medrol

Radigel

Medrol Dosepak

Salex

Millipred

Salex Cream

Millipred DP

Salex Lotion

Orapred

Salicylic Acid

Orapred Odt

Salicylic Acid IN Ammonium Lactate Vehicle

Pediapred

Salkera

Prednisolone Sodium Phosphate

Salvax

Prednisone

Salvax Duo Plus

Prednisone Intensol

Sklice

Prelone

Spinosad

Rayos

Sulfurated Lime

Solu-cortef

Synera

Solu-medrol

Tetrix

Veripred 20

Tropazone

TL-cermide

ANDROGENS-ANABOLIC

Ulesfia

GENERIC

Umecta

danazol

Umecta Nail Film

oxandrolone

Umecta PD

testosterone cypionate

Uramaxin

testosterone enanthate

Uramaxin GT

PREFERRED

Uramaxin GT Kit

Androderm

Utopic

Androgel

Veregen

Androgel P.M.

Virasal

Androxy

Witch Hazel

Axiron

Xclair

NON PREFERRED

Xerac Ac

Anadrol-50

Xylocaine

Android

Delatestryl

ENDOCRINE AND METABOLIC

Depo-testosterone

First-testosterone

CORTICOSTEROIDS

First-testosterone Mc Compounding Kit

GENERIC

Fortesta

betamethasone sodium phosphate/betamethasone acetate

Oxandrin

budesonide

Striant

dexamethasone

Testim

dexamethasone sodium phosphate

Testopel

fludrocortisone acetate

Testred

hydrocortisone

methylprednisolone

ESTROGENS

methylprednisolone acetate

GENERIC

methylprednisolone dose pack

estradiol

methylprednisolone sodiumsuccinate

estradiol valerate

prednisolone

estradiol/norethindrone acetate

prednisolone sodium phosphate

estropipate

prednisone

PREFERRED

PREFERRED

Alora

Uceris

Cenestin

NON PREFERRED

Combipatch

Aristospan Intra-articular

Enjuvia

Aristospan Intralesional

Evamist

Celestone

Minivelle

Celestone-soluspan

Premphase

Cortef

Prempro

Cortisone Acetate

Vivelle-dot


13

NON PREFERRED

Ortho-novum 7/7/7

Activella

Ovcon-35

Angeliq

Plan B

Climara

Plan B One-step

Climara Pro

Quartette

Delestrogen

Seasonique

Depo-estradiol

Tri-norinyl 28

Divigel

Yasmin 28

Duavee

Yaz

Elestrin

Zovia 1/50e

Estrace

Estrasorb

PROGESTINS

Estrogel

GENERIC

Estropipate

medroxyprogesterone acetate

Femhrt Low Dose

norethindrone acetate

Jinteli

progesterone

Menest

PREFERRED

Menostar

Makena

Prefest

NON PREFERRED

Premarin

Aygestin

Megace ES

CONTRACEPTIVES

Prometrium

GENERIC

Provera

desogestrel/ethinyl estradiol

drospirenone/ethinyl estradiol

ANTIDIABETIC AGENTS

levonorgestrel

INSULIN

levonorgestrel and ethinyl estradiol

PREFERRED

levonorgestrel/ethinyl estradiol

Humalog

norethindrone

Humalog Kwikpen

norgestimate/ethinyl estradiol

Humalog Mix 50/50

PREFERRED

Humalog Mix 50/50 Kwikpen

Beyaz

Humalog Mix 75/25

Loestrin 24 FE

Humalog Mix 75/25 Kwikpen

Lomedia 24 FE

Humulin N

LO Loestrin FE

Humulin N Kwikpen

Minastrin 24 FE

Humulin N U-100 Pen

Natazia

Humulin R

Safyral

Humulin R U-500 (concentrated)

NON PREFERRED

Humulin 70/30

Amethyst

Humulin 70/30 Kwikpen

Brevicon-28

Humulin 70/30 Pen

Cyclessa

Lantus

Desogen

Lantus Solostar

Ella

Levemir

Estrostep FE

Levemir Flexpen

Femcon FE

Novolog

Generess FE

Novolog Flexpen

Loestrin FE 1.5/30

Novolog Mix 70/30

Loestrin FE 1/20

Novolog Mix 70/30 Prefilled Flexpen

Loestrin 1.5/30-21

Novolog Penfill

Loestrin 1/20-21

NON PREFERRED

Loseasonique

Apidra

LO Minastrin FE

Apidra Solostar

Mircette

Novolin N

Modicon

Novolin N Relion

Necon 1/50-28

Novolin R

Necon 10/11-28

Novolin R Relion

Nor-QD

Novolin 70/30

Nordette-28

Novolin 70/30 Relion

Norinyl 1+35

Relion N

Norinyl 1+50

Relion N Innolet

Ogestrel

Relion R

Ortho Evra

Relion 70/30

Ortho Micronor

Relion 70/30 Innolet

Ortho Tri-cyclen

AMYLIN ANALOGS

Ortho Tri-cyclen LO

PREFERRED

Ortho-cept

Symlinpen 120

Ortho-cyclen

Symlinpen 60

Ortho-novum 1/35

INCRETIN MIMETIC AGENTS


14

PREFERRED

ANTIDIABETIC COMBINATIONS

Bydureon

GENERIC

Byetta

glipizide/metformin HCL

NON PREFERRED

glyburide/metformin HCL

Victoza

pioglitazone HCL-glimepiride

SULFONYLUREAS

pioglitazone HCL/metformin HCL

GENERIC

PREFERRED

glimepiride

Actoplus Met XR

glipizide

Janumet

glipizide ER

Janumet XR

glyburide

Juvisync

glyburide micronized

Kombiglyze XR

tolazamide

Prandimet

NON PREFERRED

NON PREFERRED

Amaryl

Actoplus Met

Chlorpropamide

Appformin

Diabeta

Appformin-d

Glucotrol

Avandamet

Glucotrol XL

Avandaryl

Glyburide

Duetact

Glynase

Glucovance

Tolazamide

Jentadueto

Tolbutamide

Kazano

BIGUANIDES

Oseni

GENERIC

metformin HCL

BISPHOSPHONATES

metformin HCL ER

GENERIC

PREFERRED

alendronate sodium

Riomet

ibandronate sodium

NON PREFERRED

pamidronate disodium

Fortamet

zoledronic acid

Glucophage

PREFERRED

Glucophage XR

Actonel

Glumetza

Atelvia

MEGLITINIDE ANALOGUES

NON PREFERRED

GENERIC

Alendronate Sodium

nateglinide

Binosto

repaglinide

Boniva

NON PREFERRED

Didronel

Prandin

Etidronate Disodium

Starlix

Fosamax

DIABETIC OTHER

Fosamax Plus D

PREFERRED

Pamidronate Disodium

Glucagen

Reclast

Glucagen Hypokit

Skelid

Glucagon Emergency Kit

Zoledronic Acid

Invokana

Zometa

Proglycem

NON PREFERRED

CALCITONINS

Korlym

GENERIC

ALPHA-GLUCOSIDASE INHIBIT

calcitonin salmon

GENERIC

calcitonin-salmon

acarbose

NON PREFERRED

NON PREFERRED

Fortical

Glyset

Miacalcin

Precose

DPP-4 INHIBITORS

PARATHYROID HORMONE

PREFERRED

PREFERRED

Januvia

Forteo

Onglyza

NON PREFERRED

RANK LIGAND INHIBITORS

Nesina

PREFERRED

Tradjenta

Xgeva

INSULIN SENSITIZING AGENT

NON PREFERRED

GENERIC

Prolia

pioglitazone HCL

NON PREFERRED

CALCIUM REGULATORS - MISC

Actos

NON PREFERRED

Avandia

Ganite


15

HORMONE RECEPTOR MDLTR

GENERIC

octreotide acetate

PREFERRED

PREFERRED

Evista

Sandostatin Lar Depot

NON PREFERRED

Signifor

Osphena

Somatuline Depot

NON PREFERRED

FERTILITY REGULATORS

Sandostatin

GENERIC

chorionic gonadotropin

GH RECEPTOR ANTAGONISTS

clomiphene citrate

PREFERRED

PREFERRED

Somavert

Bravelle

Follistim AQ

POSTERIOR PITUITARY

Menopur

Repronex

GENERIC

NON PREFERRED

desmopressin acetate

Clomid

vasopressin

Gonal-f

PREFERRED

Gonal-f RFF

Stimate

Gonal-f RFF Pen

NON PREFERRED

Gonal-f RFF Rediject

Ddavp

Ovidrel

Pitressin Synthetic

LHRH/GNRH AGONIST

CORTICOTROPIN

PREFERRED

PREFERRED

Lupron Depot-PED

Acthar HP

Supprelin LA

Synarel

PROLACTIN INHIBITORS

NON PREFERRED

GENERIC

Lupaneta Pack

cabergoline

GNRH/LHRH ANTAGONISTS

VASOPRESSIN ANTAGONISTS

PREFERRED

PREFERRED

Cetrotide

Samsca

Ganirelix Acetate

NON PREFERRED

Vaprisol

GROWTH HORMONES

PREFERRED

PROGESTERONE ANTAGONISTS

Norditropin Cartridge

NON PREFERRED

Norditropin Flexpro

Mifeprex

Norditropin Nordiflex Pen

Nutropin

METABOLIC MODIFIERS

Nutropin AQ

GENERIC

Nutropin AQ Nuspin 10

calcitriol


doxercalciferol


levocarnitine

Nutropin AQ Pen

paricalcitol

NON PREFERRED

sodium phenylbutyrate

Genotropin

PREFERRED

Genotropin Miniquick

Aldurazyme

Humatrope

Carbaglu

Humatrope Combo Pack

Cystadane

Omnitrope

Elaprase

Saizen

Fabrazyme

Saizen Click.easy

Hectorol

Serostim

Kuvan

Tev-tropin

Lumizyme

Zorbtive

Myozyme

Naglazyme

GHRH

Orfadin

NON PREFERRED

Ravicti

Egrifta

Sensipar

NON PREFERRED

SOMATOMEDINS

Ammonul

NON PREFERRED

Buphenyl

Increlex

Carnitor

Carnitor SF

SOMATOSTATIC AGENTS

Rocaltrol

Zemplar


16

THYROID AGENTS

NON PREFERRED

Sodium Bicarbonate

GENERIC

levothyroxine sodium

ULCER DRUGS

liothyronine sodium

methimazole

GENERIC

propylthiouracil

atropine sulfate

PREFERRED

cimetidine

Armour Thyroid

cimetidine HCL

NON PREFERRED

dicyclomine HCL

Cytomel

esomeprazole sodium

Levothyroxine Sodium

famotidine

Nature-throid

glycopyrrolate

Nature-throid Nt-2.5

hyoscyamine sulfate

Synthroid

hyoscyamine sulfate odt

Tapazole

hyoscyamine sulfate ER

Thyrolar-1

hyoscyamine sulfate SR

Thyrolar-1/2

lansoprazole

Thyrolar-1/4

lansoprazole/amoxicillin/clarithromycin

Thyrolar-2

methscopolamine bromide

Thyrolar-3

misoprostol

Tirosint

nizatidine

Triostat

omeprazole

Westhroid

omeprazole/sodium bicarbonate

Westhroid-p

pantoprazole sodium

Wp Thyroid

rabeprazole sodium

ranitidine HCL

GASTROINTESTINAL

sucralfate

PREFERRED

LAXATIVES

Carafate

GENERIC

Nexium

lactulose

Pylera

peg 3350/electrolytes

NON PREFERRED

peg-3350/electrolytes

Aciphex

peg-3350/NACL/NA bicarbonate/KCL

Aciphex Sprinkle

polyethylene glycol 3350

Anaspaz

PREFERRED

Atropen

Halflytely Bowel Prep/Flavor Packs

Atropine Sulfate

Kristalose

Axid

Moviprep

Belladonna & Opium

Suclear

Belladonna Alkaloids & Opium

Suprep Bowel Prep

Bentyl

NON PREFERRED

Cantil

Cascara Sagrada

Cuvposa

Colyte-flavor Packs

Cytotec

Golytely

Dexilant

Mineral Oil Heavy

Dicyclomine HCL

Nulytely/Flavor Packs

Digex NF

Osmoprep

Esomeprazole Strontium

Prepopik

Famotidine Premixed

Senna

First-lansoprazole

Senna Leaves

First-omeprazole

Gabitidine

ANTIDIARRHEALS

Gastrinex NF

GENERIC

Glycate

diphenoxylate/atropine

Helidac

loperamide HCL

Levbid

opium

Levsin

opium tincture

Levsin/SL

NON PREFERRED

Nexium I.v.

Diphenoxylate/Atropine

Omeclamox-PAK

Fulyzaq

Omeprazole + Syrspend SF Alka

Lomotil

Pamine

Motofen

Pamine Forte

Paregoric

Pamine FQ

Rezyst IM

Pepcid

Rezyst SB

Prevacid

Vsl#3 DS

Prevacid Solutab

Prevpac

ANTACIDS

Prilosec


17

Propantheline Bromide

Canasa

Protonix

Chenodal

Robinul

Cimzia

Robinul Forte

Cimzia Starter Kit

Scopolamine Hydrobromide

Cortifoam

Sentradine

Delzicol

Symax Duotab

Fosrenol

Zantac

Lialda

Zegerid

Linzess

Lotronex

ANTIEMETICS

Pentasa

Proctofoam HC

GENERIC

Rectiv

dronabinol

Relistor

granisetron HCL

Renvela

meclizine HCL

NON PREFERRED

ondansetron odt

Actigall

ondansetron HCL

Analpram-HC

ondansetron HCL/dextrose

Analpram-HC Singles

trimethobenzamide HCL

Anusol-HC

PREFERRED

Apriso

Aloxi

Azulfidine

Emend

Azulfidine EN-TABS

Sancuso

Colazal

Transderm-scop

Cortenema

NON PREFERRED

Dexpanthenol

Antivert

Dipentum

Anzemet

Eliphos

Cesamet

Entereg

Coca Cola Syurp

Gastrocrom

Diclegis

Gattex

Dimenhydrinate

Giazo

Granisol

Lidocaine HCL-hydrocortisone Acetate With Aloe

Marinol

Lidocaine HCL/Hydrocortisone Acetate

Tigan

Metozolv Odt

Zofran

Phoslo

Zofran Odt

Phoslyra

Zuplenz

Procort

Proctocort

DIGESTIVE AIDS

Reglan

PREFERRED

Remicade

Creon

Renagel

Pancrelipase

Rowasa

Sucraid

Sfrowasa

Viokace

Urso Forte

Zenpep

Urso 250

NON PREFERRED

Velphoro

Pancreaze

Z-pram

Pertzye

Ultresa

GENITOURINARY

GASTROINTESTINAL - MISC.

URINARY ANTI-INFECTIVES

GENERIC

GENERIC

balsalazide disodium

methenamine hippurate

calcium acetate

methenamine mandelate

cromolyn sodium

nitrofurantoin

hydrocort ene 100MG

nitrofurantoin macrocrystals

hydrocortisone

nitrofurantoin monohydrate

hydrocortisone acetate/pramoxine

nitrofurantoin monohydrate/macrocrystals

lactulose

NON PREFERRED

lidocaine HCL/hydrocortisone acetate

Furadantin

mesalamine

Hiprex

metoclopramide HCL

Macrobid

sulfasalazine

Macrodantin

ursodiol

Methenamine Mandelate

PREFERRED

Monurol

Amitiza

Prosed/DS

Analpram Advanced

Urelle

Asacol

Uretron D/S

Asacol HD

Urex


18

Uribel

PREFERRED

Urimar-t

Cystagon

Urogesic-blue

Elmiron

Uroqid #2

Procysbi

Rapaflo

URINARY ANTISPASMODICS

Renacidin

NON PREFERRED

GENERIC

Avodart

bethanechol chloride

Cardura XL

flavoxate HCL

Citrolith

oxybutynin chloride

Cytra-3

oxybutynin chloride ER

Flomax

tolterodine tartrate

Jalyn

tolterodine tartrate ER

K-phos NO 2

trospium chloride

Lithostat

trospium chloride ER

Oracit

PREFERRED

Potassium Citrate

Gelnique

Potassium Citrate ER

Oxytrol

Proscar

Oxytrol For Women

Pyridium

Toviaz

Shohls Solution Modified

Vesicare

Sodium Citrate

NON PREFERRED

Thiola

Detrol

Tricitrates

Detrol LA

Urocit-k 10

Ditropan XL

Urocit-k 15

Enablex

Urocit-k 5

Myrbetriq

Uroxatral

Sanctura

Sanctura XR

HEMATOLOGICAL

Urecholine

HEMATOPOIETIC AGENTS

VAGINAL PRODUCTS

GENERIC

GENERIC

cyanocobalamin


folic acid

metronidazole vaginal

folic acid/vitamin b-6/vitamin b-12

terconazole

sodium ferric gluconate complex/sucrose

PREFERRED

PREFERRED

Clindesse

Aranesp Albumin Free

Crinone

Cerezyme

Endometrin

Cyanocobalamin

Estrace

Droxia

Estring

Elelyso

Vagifem

Feraheme

NON PREFERRED

Ferrex 150 Forte Plus

Avc

Ferrex 28

Cleocin

Leukine

Fem PH

Mozobil

Femring

Nascobal

First-progesterone VGS 100 Compounding Kit

Neulasta


Neumega


Neupogen


Nplate


Procrit

Gynazole-1

Promacta

Metrogel-vaginal

Venofer

Nystatin Vaginal

Vitamin B12/Folic Acid

Premarin

Vpriv

Relagard

NON PREFERRED

Terazol 3

Albafort

Terazol 7

Animi-3

Animi-3/Vitamin D

GENITOURINARY - MISC.

B-6 Folic Acid

GENERIC

Biferarx

alfuzosin HCL ER

Cenfol

citric acid/sodium citrate

Centratex

finasteride

Corvite 150

hydrochloric acid

Divista

phenazopyridine HCL

Ed Cyte F

tamsulosin HCL

Epogen


19

Feriva

Heparin Sodium/NACL 0.45%

Ferivafa

Heparin Sodium/Sodium Chloride 0.9%

Ferralet 90

Iprivask

Ferrlecit

Lovenox

Ferro-plex Hematinic

Ferrotrin

HEMOSTATICS

Folgard RX

GENERIC

Folic Acid

aminocaproic acid

Folivane-f

tranexamic acid

Folivane-plus

NON PREFERRED

Foltrate

Amicar

Fusion Plus

Aminocaproic Acid

Granix

Artiss

Hematogen Fa

Astringyn

Hematron-AF

Cyklokapron

Hemocyte Plus

Evicel

Hemocyte-f

Evithrom

Hydroxocobalamin

Lysteda

Icar-c Plus

Recothrom

Injectafer

Recothrom Spray Kit

Integra F

Thrombin-jmi Diluent

Integra Plus

Thrombin-jmi Epistaxis

Iron

Thrombin-jmi Syringe Spray Kit

Irospan 24/6

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

Maxaron Forte

Thrombogen

Multigen

Tisseel

Multigen Folic

Trasylol

Multigen Plus

Natalvirt Flt

HEMATOLOGICAL - MISC.

Nephron Fa

GENERIC

Novaferrum

anagrelide hydrochloride

Omontys

cilostazol

Pre-folic

clopidogrel

Proferrin-forte

dipyridamole

Protectiron

hetastarch 6%/NACL

Tandem F

pentoxifylline ER

Tandem Plus

ticlopidine HCL

Zavesca

PREFERRED

Advate

ANTICOAGULANTS

Aggrenox

GENERIC

Alphanate/Von Willebrand Factor Complex/Human

argatroban

Alphanine SD

enoxaparin sodium

Benefix

fondaparinux sodium

Berinert

heparin lock

Brilinta

heparin lock flush

Corifact

heparin lock flush for flushing vascular access devices

Effient

heparin lock flush/NACL for flushing vascular access devices

Feiba NF

Feiba VH Immuno

heparin sodium

Helixate FS

heparin sodium dcu

Hemofil M

heparin sodium lock flush

Humate-p

heparin sodium/sodium chloride 0.9% premix

Koate-dvi

heparin sodium/D5W

Kogenate FS

heparin sodium/NACL 0.9%

Kogenate FS Bio-set

warfarin sodium

Monoclate-p

PREFERRED

Mononine

Eliquis

Novoseven

Pradaxa

Novoseven Rt

Xarelto

Recombinate

NON PREFERRED

Riastap

Angiomax

Soliris

Argatroban

Wilate

Arixtra

Xyntha

Coumadin

Xyntha Solofuse

Fragmin

NON PREFERRED

Heparin Lock Flush

Activase

Heparin Sodium

Aggrastat

Heparin Sodium/D5W

Agrylin


20

Cathflo Activase

alprazolam ER

Firazyr

buspirone HCL

Hespan

chlordiazepoxide HCL

Hextend

clorazepate dipotassium

Integrilin

diazepam

Kalbitor

droperidol

Kinlytic

gene-xene TAB 15MG

LMD 10% Dextrose 5%

gene-xene TAB 3.75MG

LMD 10% Sodium Chloride 0.9%

gene-xene TAB 7.5MG

Persantine

hydroxyzine pamoate

Plavix

hydroxyzine HCL

Pletal

lorazepam

Protamine Sulfate

meprobamate

Reopro

oxazepam

Retavase

NON PREFERRED

Retavase Half-kit

Alprazolam Intensol

Tnkase

Ativan

Trental

Diazepam

Voluven

Diazepam Intensol

Gabavale-5

MOUTH/THROAT/DENTAL AGENT

Gabazolamine

Gabazolamine-0.5

Hydroxyzine HCL

GENERIC

Hydroxyzine Pamoate

cevimeline HCL

Lorazepam Intensol

chlorhexadine gluconate oral rinse

Niravam

chlorhexidine gluconate

Sentrazolam AM 0.25

chlorhexidine gluconate oral rinse

Tranxene T

clotrimazole

Valium

lidocaine viscous

Vistaril

lidocaine HCL

Xanax

nystatin

Xanax XR

pilocarpine hydrochloride

pilocarpine HCL

ANTIDEPRESSANTS

stannous fluoride oral rinse

GENERIC


amitriptyline HCL

triamcinolone IN orabase

bupropion HCL

NON PREFERRED

bupropion HCL ER

Aquoral

bupropion HCL SR

Caphosol

bupropion HCL XL

Debacterol

citalopram hydrobromide

Evoxac

clomipramine HCL

First-bxn Mouthwash

desipramine HCL

First-dukes Mouthwash

doxepin HCL

First-marys Mouthwash

duloxetine HCL

First-mouthwash Blm

escitalopram oxalate

Gel-kam Oral Care Rinse

fluoxetine DR

Gelclair

fluoxetine HCL

Gelx

fluvoxamine maleate

Lta 360 Kit

fluvoxamine maleate ER

Mucotrol

imipramine pamoate

Nafrinse Daily/Acidulated

imipramine HCL

Nafrinse Daily/Neutral

mirtazapine

Nafrinse Weekly

mirtazapine odt

Neutrasal

nefazodone HCL

Numoisyn

nortriptyline HCL

Orafate

paroxetine HCL

Oramagicrx

paroxetine HCL ER

Oravig

phenelzine sulfate

Peridex

protriptyline HCL

Prevident

sertraline HCL

Prothelial

tranylcypromine sulfate

Salagen

trazodone HCL

Salicept

trimipramine maleate

venlafaxine HCL

NEUROLOGY, CNS, PSYCH

venlafaxine HCL ER

ANTIANXIETY AGENTS

PREFERRED

GENERIC

Pristiq

alprazolam

alprazolam odt


21

Viibryd

prochlorperazine maleate

NON PREFERRED

quetiapine fumarate

Amoxapine

risperidone

Anafranil

risperidone odt

Aplenzin

thioridazine HCL

Appbutamone

thiothixene

Appbutamone-d

trifluoperazine HCL

Brintellix

ziprasidone HCL

Celexa

PREFERRED

Cymbalta

Abilify

Desvenlafaxine ER

Abilify Discmelt

Doxepin HCL

Abilify Maintena

Effexor XR

Latuda

Emsam

Risperdal Consta

Fetzima

Seroquel XR

Fetzima Titration Pack

NON PREFERRED

Fluoxetine HCL

Adasuve

Forfivo XL

Chlorpromazine HCL

Gaboxetine

Clozapine Odt

Khedezla

Clozaril

Lexapro

Equetro

Luvox CR

Fanapt

Maprotiline HCL

Fanapt Titration Pack

Marplan

Fazaclo

Nardil

Fluphenazine Decanoate

Nefazodone HCL

Fluphenazine HCL

Norpramin

Geodon

Nortriptyline HCL

Haldol

Oleptro

Haldol Decanoate 100

Pamelor

Haldol Decanoate 50

Parnate

Invega

Paxil

Invega Sustenna

Paxil CR

Lithium Carbonate

Pexeva

Lithium Citrate

Prozac

Lithobid

Prozac Weekly

Loxitane

Remeron

Risperdal

Remeron Soltab

Risperdal M-TAB

Sentraflox AM-10

Saphris

Sentralopram AM-10

Seroquel

Sentravil PM-25

Versacloz

Sentroxatine

Zyprexa

Surmontil

Zyprexa Relprevv

Tofranil

Zyprexa Zydis

Trazamine

Venlafaxine HCL ER

HYPNOTICS

Vivactil

GENERIC

Wellbutrin

estazolam

Wellbutrin SR

flurazepam HCL

Wellbutrin XL

phenobarbital

Zoloft

phenobarbital sodium

temazepam

ANTIPSYCHOTICS

triazolam

GENERIC

zaleplon

chlorpromazine HCL

zolpidem tartrate

clozapine

zolpidem tartrate ER

fluphenazine HCL

PREFERRED

haloperidol

Chloral Hydrate

haloperidol decanoate

Lunesta

haloperidol lactate

Rozerem

lithium carbonate

NON PREFERRED

lithium carbonate ER

Ambien

loxapine

Ambien CR

loxapine succinate

Amytal Sodium

olanzapine

Butisol Sodium

olanzapine odt

Doral

perphenazine

Edluar

prochlorperazine

Gabazolpidem-5

prochlorperazine edisylate

Halcion


22

Intermezzo

clonazepam odt

Luminal

divalproex sodium

Nembutal Sodium

divalproex sodium DR

Phenobarbital

divalproex sodium ER

Phenobarbital Sodium

ethosuximide

Precedex

felbamate

Quazepam

fosphenytoin sodium

Restoril

gabapentin

Seconal

lamotrigine

Sentrazolpidem PM-5

lamotrigine ER

Silenor

levetiracetam

Somnote

levetiracetam ER

Sonata

oxcarbazepine

Strazepam

phenytoin

Zolpimist

phenytoin sodium

phenytoin sodium extended

ADHD, NARCOLEPSY, ETC.

primidone

tiagabine hydrochloride

GENERIC

topiramate

amphetamine/dextroamphetamine

valproate sodium

caffeine citrate

valproic acid

clonidine HCL ER

zonisamide

dexmethylphenidate HCL

PREFERRED

dexmethylphenidate HCL ER

Banzel

dextroamphetamine sulfate

Celontin

dextroamphetamine sulfate ER

Diazepam

doxapram HCL

Lamictal Odt

methamphetamine HCL

Lyrica

methylphenidate hydrochloride

Onfi

methylphenidate HCL

Peganone

methylphenidate HCL CD

Potiga

methylphenidate HCL ER

Tegretol-XR

methylphenidate HCL SR

NON PREFERRED

modafinil

Carbatrol

PREFERRED

Cerebyx

Daytrana

Depacon

Intuniv

Depakene

Quillivant XR

Depakote

Strattera

Depakote ER

Vyvanse

Depakote Sprinkles

NON PREFERRED

Diastat Acudial

Adderall

Diastat Pediatric

Adderall XR

Dilantin

Cafcit

Dilantin Infatabs

Caffeine/Sodium Benzoate

Felbatol

Concerta

Fycompa

Desoxyn

Gabitril

Dexedrine

Keppra

Dopram

Keppra XR

Focalin

Klonopin

Focalin XR

Lamictal

Kapvay

Lamictal Chewable Dispersible

Kapvay Dose Pack

Lamictal Starter/Not Taking Carbamazepine

Metadate CD

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate

Methylin

Methylphenidate HCL ER

Lamictal Starter/Taking Valproate

Nuvigil

Lamictal XR

Procentra

Levetiracetam

Provigil

Mysoline

Ritalin

Neurontin

Ritalin LA

Oxtellar XR

Ritalin SR

Phenytek

Sentramodafin AM-100

Sabril

Zenzedi

Stavzor

Tegretol

ANTICONVULSANTS

Therapentin-60

GENERIC

Therapentin-90

carbamazepine

Topamax

carbamazepine ER

Topamax Sprinkle

clonazepam

Trileptal

Trokendi XR


23

Vimpat

Nuedexta

Zarontin

Rebif

Zonegran

Rebif Rebidose

Rebif Rebidose Titration Pack

ANTIPARKINSON AGENTS

Rebif Titration Pack

Savella

GENERIC

Tecfidera

amantadine HCL

Tecfidera Starter Pack

benztropine mesylate

Xenazine

bromocriptine mesylate

Xyrem

carbidopa/levodopa

NON PREFERRED

carbidopa/levodopa odt

Antabuse

carbidopa/levodopa CR

Aricept

carbidopa/levodopa ER

Aricept Odt

carbidopa/levodopa SR

Aubagio

entacapone

Betaseron

pramipexole dihydrochloride

Brisdelle

ropinirole ER

Campral

ropinirole HCL

Chlordiazepoxide/Amitriptyline

selegiline HCL

Ergoloid Mesylates

trihexyphenidyl HCL

Exelon

PREFERRED

Extavia

Apokyn

Gilenya

Azilect

Horizant

Lodosyn

Orap

Mirapex ER

Perphenazine/Amitriptyline

NON PREFERRED

Razadyne

Amantadine HCL

Razadyne ER

Carbidopa/Levodopa/Entacapone

Sarafem

Cogentin

Savella Titration Pack

Comtan

Symbyax

Eldepryl

Tysabri

Mirapex

Neupro

NEUROMUSCULAR AGENTS

Parcopa

Parlodel

GENERIC

Requip

atracurium besylate

Requip XL

cisatracurium besylate

Sinemet

pancuronium bromide

Sinemet CR

riluzole

Stalevo 100

rocuronium bromide

Stalevo 125

vecuronium bromide

Stalevo 150

NON PREFERRED

Stalevo 200

Anectine

Stalevo 50

Botox

Stalevo 75

Dysport

Tasmar

Myobloc

Zelapar

Nimbex

Quelicin

NEUROLOGY, PSYCH - MISC.

Quelicin 1000

Rilutek

GENERIC

Xeomin

acamprosate calcium DR

Zemuron

disulfiram

donepezil HCL

MUSCULOSKELETAL AGENTS

fluoxetine

galantamine

GENERIC

galantamine hydrobromide

baclofen

olanzapine/fluoxetine

carisoprodol

rivastigmine tartrate

carisoprodol/aspirin

PREFERRED

carisoprodol/aspirin/codeine

Ampyra

chlorzoxazone

Avonex

cyclobenzaprine HCL

Avonex Pen

dantrolene sodium

Copaxone

metaxalone

Gralise

methocarbamol

Gralise Starter

orphenadrine citrate

Namenda

orphenadrine citrate ER

Namenda Titration PAK

orphenadrine/asa/caffeine

Namenda XR

tizanidine HCL

Namenda XR Titration Pack


24

PREFERRED

NON PREFERRED

Euflexxa

Bacitracin

Gablofen

Betadine Ophthalmic Prep

Hyalgan

Bleph-10

Lioresal Intrathecal

Ciloxan

Orthovisc

Garamycin

NON PREFERRED

Mitosol

Amrix

Neosporin

Carisoprodol

Ocuflox

Cyclobenzaprine Comfort PAC

Polytrim

Dantrium

Sulfacetamide Sodium

Dantrium IV

Tobrex

Fexmid

Viroptic

Flexeril

Zirgan

Lorzone

Zymaxid

Norflex

Parafon Forte DSC

ARTIFICIAL TEAR/LUBRICANT

Prazolamine

NON PREFERRED

Robaxin

Lacrisert

Robaxin-750

Skelaxin

BETA-BLOCKERS

Soma

GENERIC

Therabenzaprine-60

betaxolol HCL

Therabenzaprine-90

carteolol HCL

Therabenzaprine-90-5

dorzolamide HCL/timolol maleate

Tizanidine Comfort PAC

levobunolol HCL

Zanaflex

metipranolol

timolol maleate

ANTIMYASTHENIC AGENTS

timolol maleate ophthalmic gel forming

GENERIC

PREFERRED

neostigmine methylsulfate

Betoptic-s

pyridostigmine bromide

Combigan

PREFERRED

NON PREFERRED

Mestinon Timespan

Betagan

Prostigmin

Betimol

NON PREFERRED

Cosopt

Bloxiverz

Cosopt PF

Enlon

Istalol

Enlon-plus

Levobunolol HCL

Guanidine HCL

Optipranolol

Mestinon

Timoptic

Regonol

Timoptic Ocudose

Timoptic-xe

OPHTHALMOLOGY AND OTIC

OPHTHALMIC STEROIDS

ANTI-INFECTIVES

GENERIC

GENERIC

dexamethasone sodium phosphate

bacitracin/polymyxin b

fluorometholone

ciprofloxacin HCL

neomycin/polymyxin/bacitracin/hydrocortisone

erythromycin

neomycin/polymyxin/dexamethasone

gatifloxacin

prednisolone acetate

gentamicin sulfate

sulfacetamide sodium/prednisolone sodium phosphate

levofloxacin

tobramycin/dexamethasone

neomycin/bacitracin/polymyxin

PREFERRED

neomycin/polymyxin/bacitracin zinc

Alrex

neomycin/polymyxin/gramicidin

Durezol

ofloxacin

FML

polymyxin b sulfate/trimethoprim sulfate

Lotemax


Pred Mild

sulfacetamide sodium

Retisert

tobramycin sulfate

Tobradex ST

trifluridine

Zylet

trimethoprim sulfate/polymyxin b sulfate

NON PREFERRED

PREFERRED

Blephamide

Azasite

Blephamide S.o.p.

Besivance

Flarex

Moxeza

FML Forte

Natacyn

FML Liquifilm

Vigamox

Maxidex


25

Maxitrol

NON PREFERRED

Neomycin/Polymyxin/Hydrocortisone

Akten

Omnipred

Alcaine

Pred Forte

Pred-G

OPHTHALMICS - MISC.

Pred-G S.o.p.

GENERIC

Prednisolone Sodium Phosphate

azelastine HCL

Tobradex

bromfenac

Vexol

cromolyn sodium

diclofenac sodium

PROSTAGLANDINS

dorzolamide HCL

GENERIC

epinastine HCL

latanoprost

flurbiprofen sodium

PREFERRED

ketorolac tromethamine

Lumigan

PREFERRED

Travatan Z

Bepreve

Travoprost

Bromday

NON PREFERRED

Bromfenac

Rescula

Cystaran

Xalatan

Ilevro

Zioptan

Jetrea

Nevanac

CYCLOPLEGIC MYDRIATICS

Pataday

Patanol

GENERIC

Prolensa

atropine sulfate

NON PREFERRED

cyclopentolate HCL

Acular

homatropine HBR

Acular LS

NON PREFERRED

Acuvail

Atropine Sulfate

Alocril

Cyclogyl

Alomide

Cyclomydril

Azopt

Isopto Atropine

Elestat

Isopto Homatropine

Emadine

Isopto Hyoscine

Lastacaft

Ocufen

DECONGESTANTS

Optivar

GENERIC

Trusopt

phenylephrine HCL

NON PREFERRED

OTIC AGENTS

Mydfrin

GENERIC

Naphazoline HCL

acetic acid

antipyrine/benzocaine

MIOTICS

fluocinolone acetonide

GENERIC

fluocinolone acetonide ear drops

pilocarpine HCL

hydrocortisone/acetic acid

PREFERRED

neomycin/polymyxin/hydrocortisone

Phospholine Iodide

neomycin/polymyxin/HC

Pilopine HS

ofloxacin

NON PREFERRED

PREFERRED

Isopto Carbachol

Ciprodex

Isopto Carpine

NON PREFERRED

Acetic Acid/Aluminum Acetate

ADRENERGIC AGENTS

Auralgan

GENERIC

Cetraxal

apraclonidine

Cipro HC

brimonidine tartrate

Ciprofloxacin

NON PREFERRED

Coly-mycin S

Alphagan P

Cortisporin

Iopidine

Cortisporin-tc

Simbrinza

Cresylate

Dermotic

IMMUNOMODULATORS

Myoxin

PREFERRED

Otozin

Restasis

Pramotic

Vosol HC

LOCAL ANESTHETICS

GENERIC

OXYTOCICS

proparacaine HCL

tetracaine HCL


26

oxycodone HCL

GENERIC

oxycodone/acetaminophen

methylergonovine maleate

oxycodone/aspirin

oxytocin

oxycodone/ibuprofen

NON PREFERRED

oxymorphone hydrochloride

Cervidil

oxymorphone hydrochloride ER

Hemabate

pentazocine/acetaminophen

Pitocin

pentazocine/naloxone HCL

Prepidil

tramadol hydrochloride/acetaminophen

Prostin E2

tramadol HCL

tramadol HCL ER

PAIN MANAGEMENT

PREFERRED

Butrans

ANALGESICS - NONNARCOTIC

Fentora

GENERIC

Nucynta

butal/asa/caff

Nucynta ER

butalbital/acetaminophen

Opana ER (crush Resistant)

butalbital/acetaminophen/caffeine

Oxycontin

butalbital/apap/caffeine

Suboxone

butalbital/asa/caffeine

NON PREFERRED

choline magnesium trisalicylate

Abstral

diflunisal

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate

salsalate

Actiq

PREFERRED

Alfenta

Halfprin

Aspirin-caffeine-dihydrocodeine

NON PREFERRED

Avinza

Alagesic LQ

Buprenex

Bupap

Capital/Codeine

Butalbital/Aspirin/Caffeine

Codeine Phosphate

Dolgic Plus

Codeine Sulfate

Dologesic

Conzip

Equagesic

Demerol

Esgic

Dilaudid

Esgic-plus

Dilaudid-HP

Fioricet

Dolophine

Fiorinal

Dolophine HCL

Levacet

Duragesic

Mst 600

Exalgo

Ofirmev

Fioricet/Codeine

Orbivan

Fiorinal/Codeine #3

Orbivan CF

Hycet

Phrenilin Forte

Hydrocodone Bitartrate/Acetaminophen

Rhinoflex-650

Hydrocodone/Acetaminophen

Staflex

Hydromorphone HCL

Tencon

Hydromorphone HCL Dosette

Ibudone

ANALGESICS - OPIOID

Infumorph 200

GENERIC

Infumorph 500

acetaminophen/codeine

Kadian

acetaminophen/codeine #2

Lazanda


Levorphanol Tartrate


Liquicet

acetaminophen/codeine phosphate

Lorcet Plus

alfentanil

Lorcet 10/650

buprenorphine HCL

Lortab

buprenorphine HCL/naloxone HCL

Magnacet

butalbital/acetaminophen/caffeine/codeine

Maxidone

butalbital/aspirin/caffeine/codeine

Meperidine HCL

butorphanol tartrate

Methadone HCL

fentanyl

Methadose

fentanyl citrate oral transmucosal

Methadose Sugar-free

hydrocodone bitartrate/acetaminophen

Morphine Sulfate

hydrocodone/acetaminophen

Morphine Sulfate Add-vantage

hydrocodone/ibuprofen

Morphine Sulfate IN Dextrose 5%

hydromorphone HCL

MS Contin

meperidine HCL

Norco

methadone HCL

Opana

morphine sulfate

Oxecta

morphine sulfate ER

Oxycodone HCL

nalbuphine HCL

Pentazocine/Naloxone HCL


27

Percocet

Vimovo

Percodan

NON PREFERRED

Primlev

Actemra

Reprexain

Anaprox

Roxicet

Anaprox DS

Roxicodone

Arava

Rybix Odt

Arthrotec 50

Subsys

Arthrotec 75

Synalgos-dc

Caldolor

Talwin

Cataflam

Theracodeine-300

Clinoril

Theracodophen-low-90

Daypro

Theracodophen-325

Duexis

Theracodophen-650

Enbrel

Theracodophen-750

Enbrel Sureclick

Theratramadol-60

EC-naprosyn

Theratramadol-90

Feldene

Tramadol HCL ER

Fenoprofen Calcium

Trezix

Ibuprofen Comfort PAC

Tylenol/Codeine #3

Ilaris

Tylenol/Codeine #4

Indocin

Tylox

Indocin IV

Ultiva

Indomethacin

Ultracet

IC 400

Ultram

IC 800

Ultram ER

Ketoprofen ER

Vicoprofen

Ketorolac Tromethamine

Xodol

Kineret

Xolox

Meclofenamate Sodium

Zamicet

Meloxicam

Zohydro ER

Meloxicam Comfort PAC

Zolvit

Mobic

Zubsolv

Nalfon

Zydone

Naprelan

Naprosyn

ANTI-INFLAMMATORY

Naproxen Comfort PAC

Neoprofen

GENERIC

Orencia

diclofenac potassium

Otrexup

diclofenac sodium DR

Ponstel

diclofenac sodium ER

Rheumatrex

diclofenac sodium XR

Simponi

diclofenac sodium/misoprostol

Simponi Aria

etodolac

Sprix

etodolac ER

Therafeldamine

flurbiprofen

Theraprofen-60

ibuprofen

Theraprofen-800

indomethacin

Theraprofen-90

indomethacin sodium

Theraproxen-500

indomethacin ER

Theraproxen-60

ketoprofen

Theraproxen-90

ketorolac tromethamine

Tolmetin Sodium

leflunomide

Trepadiclofen-25

mefenamic acid

Trepoxen-250

meloxicam

Trepoxicam-7.5

nabumetone

Voltaren-XR

naproxen

Xeljanz

naproxen sodium

Zipsor

oxaprozin

Zorvolex

piroxicam

sulindac

MIGRAINE PRODUCTS

tolmetin sodium

PREFERRED

GENERIC

Arcalyst

dihydroergotamine mesylate

Celebrex

naratriptan HCL

Humira

rizatriptan benzoate

Humira Pen

rizatriptan benzoate odt

Humira Pen-crohns Diseasestarter

sumatriptan succinate

Humira Pen-psoriasis Starter

sumatriptan succinate refill

Ridaura

zolmitriptan


28

zolmitriptan odt

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"

PREFERRED

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"

Relpax

Sumavel Dosepro

Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G

Treximet

Zomig Nasal Spray

Naropin

NON PREFERRED

Nesacaine

Alsuma

Nesacaine-mpf

Amerge

Pontocaine

Axert

Pontocaine Niphanoid

Cafergot

Sensorcaine-mpf/Epinephrine

Cambia

Turkel Paracentesis Procedure Tray/8french

D.h.e. 45

Xylocaine

Dihydroergotamine Mesylate

Xylocaine-mpf

Ergomar

Xylocaine-mpf/Epinephrine

Frova

Xylocaine/Epinephrine

Imitrex

Imitrex Statdose Refill

RESPIRATORY, ALLERGY, ETC

Imitrex Statdose System

ANTIHISTAMINES

Maxalt

GENERIC

Maxalt-MLT

carbinoxamine maleate

Migergot

cetirizine HCL

Migral

clemastine fumarate

Migranal

cyproheptadine HCL

Sumatriptan

desloratadine

Zomig

desloratadine odt

Zomig ZMT

diphenhydramine HCL

levocetirizine dihydrochloride

GOUT AGENTS

promethazine HCL

GENERIC

promethazine HCL plain

allopurinol

NON PREFERRED

allopurinol sodium

Aerohist

probenecid

Ahist

probenecid/colchicine

Brompheniramine Tannate

PREFERRED

Clarinex

Colcrys

Clarinex Reditabs

Krystexxa

Clemastine Fumarate

Uloric

Dexchlorpheniramine Maleate

NON PREFERRED

Doxytex

Aloprim

Ed Chlorped

Zyloprim

Ed-chlor-tan

Palgic

LOCAL ANESTHETICS-INJ

Phenergan

GENERIC

Promethegan

bupivacaine HCL

Respa-BR

bupivacaine/epinephrine

Xyzal

chloroprocaine HCL

lidocaine HCL

NASAL AGENTS

lidocaine/epinephrine

GENERIC

tetracaine HCL

azelastine HCL

NON PREFERRED

flunisolide

BD Pudendal/Local Block Tray 1% Lidocaine

fluticasone propionate

Carbocaine

ipratropium bromide

Duocaine


Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH

PREFERRED

Astepro

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH

Nasonex

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH

Phenylephrine HCL

Qnasl

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH

NON PREFERRED

Adrenalin

Exparel

Astelin

Lidocaine HCL/Dextrose

Atrovent

Marcaine

Bactroban Nasal

Marcaine W/O Epi

Beconase AQ

Marcaine/Epinephrine

Dymista

Mepivacaine HCL

Flonase

Monoject Bone Marrow Biopsy Prepping Tray

Flunisolide

Nasacort AQ


29

Omnaris

Poly H.S. DHC

Patanase

Poly H.S. Nc

Rhinocort Aqua

Poly-tussin DHC

Tyzine

Poly-tussin EX

Tyzine Pediatric Nasal Drops

Relhist

Veramyst

Rescon-JR

Zetonna

Rescon-MX

Rezira

COUGH/COLD/ALLERGY

Semprex-d

Suttar-SF

GENERIC

Suttar-2

acetylcysteine

Tessalon

benzonatate

Tessalon Perles

hydrocodone bitartrate/chlorpheniramine maleate/PSE

Tussafed EX

hydrocodone bitartrate/homatropine methylbromide

Tussionex Pennkinetic Extended Release

hydrocodone polistirex/chlorpheniramine polistirex

Vituz

hydrocodone/homatropine

Z-cof I

phenylephrine/guaifenesin

Zonatuss

promethazine-DM

Zutripro

promethazine/codeine

promethazine/dextromethorphan

ANTIASTHMATIC/COPD AGENTS

sodium chloride

PREFERRED

GENERIC

Tussicaps

albuterol sulfate

NON PREFERRED

albuterol sulfate ER

Alahist Ac

albuterol TAB 4MG

Alahist DHC

aminophylline

Allfen CD

budesonide

Allfen CDX

cromolyn sodium

Ambifed CD

epinephrine HCL

Ambifed CDX

ipratropium bromide

Ambifed-G CD

ipratropium bromide/albuterol sulfate

Ambifed-G CDX

levalbuterol

Carbaphen 12

levalbuterol HCL

Carbaphen 12 PED

montelukast sodium

Clarinex-d 12 HOUR

terbutaline sulfate

Clarinex-d 24 HOUR

theophylline

Cotab A

theophylline CR

Cotab AX

theophylline ER

Cotabflu

theophylline/D5W

Cpb Wc

zafirlukast

Decon-a

PREFERRED

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL

Advair Diskus

Advair HFA

Donatuss Dc

Arcapta Neohaler

Exactuss

Asmanex 120 Metered Doses

Gilphex TR


Giltuss


Giltuss Pediatric


Giltuss PED-c


Giltuss TR

Atrovent HFA

Hyper-sal

Breo Ellipta

Hypersal

Combivent

J-cof DHC

Combivent Respimat

J-max DHC

Daliresp

Maxifed CD

Dulera

Maxifed CDX

Foradil Aerolizer

Maxifed-G CD

Perforomist

Maxifed-G CDX

Proair HFA

Maxiflu CD

Pulmicort Flexhaler

Maxiflu CDX

Qvar

Maxiphen CD

Serevent Diskus

Maxiphen CDX

Spiriva Handihaler

Nebusal

Symbicort

Neotuss Plus

Tudorza Pressair

Panatuss Dxp

Ventolin HFA

Pediatex TD

NON PREFERRED

Pediatex TDM

Accolate

Phenflu CD

Accuneb

Phenflu CDX

Adrenalin


30

Aerospan

Engerix-b

Alvesco

Fluarix Quadrivalent 2013-2014

Anoro Ellipta

Fluarix 2012-2013

Brondil

Fluarix 2013-2014

Brovana

Flublok 2013-2014

Duoneb

Flucelvax 2012-2013

Elixophyllin

Flucelvax 2013-2014

Flovent Diskus

Flulaval Quadrivalent 2013-2014

Flovent HFA

Flulaval 2012-2013

Isuprel

Flulaval 2013-2014

Lufyllin

Flumist Nasal Vaccine 2012-2013

Maxair Autohaler

Flumist Quadrivalent

Metaproterenol Sulfate

Fluvirin PF 2012-2013

Proventil HFA

Fluvirin PF 2013-2014

Pulmicort

Fluvirin 2012-2013

Pulmophylline

Fluvirin 2013-2014

Senophylline

Fluzone High-dose PF 2012-2013

Singulair

Fluzone High-dose PF 2013-2014

Theo-24

Fluzone Intradermal

Theophylline/D5W

Fluzone Pediatric PF 2012-2013

Vospire ER

Fluzone Pediatric PF 2013-2014

Xolair

Fluzone PF 2012-2013

Xopenex

Fluzone PF 2013-2014

Xopenex Concentrate

Fluzone Quadrivalent 2013-2014

Xopenex HFA

Fluzone Split 2012-2013

Zyflo

Fluzone Split 2013-2014

Zyflo CR

Gardasil

Havrix

RESPIRATORY AGENTS - MISC

Hiberix

Imovax Rabies (h.d.c.v.)

PREFERRED

Influenza A (h1n1) Monovalent 2009

Kalydeco

Ipol Inactivated IPV

Prolastin

Ixiaro

Prolastin-c

Je-vax

Pulmozyme

M-m-r II W/Diluent 10 Dose

Zemaira

Menactra

NON PREFERRED

Menhibrix

Aralast NP

Menomune-a/C/Y/W-135

Curosurf

Menveo

Glassia

Pedvax HIB

Infasurf

Pneumovax 23/1 Dose

Survanta Intratracheal

Pneumovax 23/5 Dose

Prevnar 13

TOXOIDS

Proquad

Rabavert

PREFERRED

Recombivax HB

Adacel

Rotarix

Boostrix

Rotateq

Daptacel

Twinrix

Diphtheria/Tetanus Toxoids Adsorbed Pediatric

Typhim VI

Infanrix

Vaqta

Kinrix

Varivax

Pediarix

Vivotif Berna

Pentacel

Yf-vax

Tenivac

Zostavax

Tetanus Toxoid Adsorbed

NON PREFERRED

Tetanus/Diphtheria Toxoids-adsorbed Adult

Bcg Vaccine

Tripedia

VITAMINS

VACCINES

VITAMINS

GENERIC

PREFERRED

ascorbic acid

Acthib

ergocalciferol

Afluria PF 2012-2013

phytonadione

Afluria PF 2013-2014

thiamine HCL

Afluria 2012-2013

vitamin c 222MG

Afluria 2013-2014

vitamin d

Biothrax

vitamin k1

Cervarix

Comvax


31

PREFERRED

M-vit

Mephyton

Macnatal CN DHA

NON PREFERRED

Marnatal-f

Aquasol A Parenteral

Maxinate

Ascorbic Acid

Moms Choice RX

Decara

Mykidz Iron Fl

Drisdol

Mynatal

Pyridoxine HCL

Mynatal Advance

Vitamin K1

Mynatal Ultracaplet

Wheat Germ

Natachew

Natafort

MULTIVITAMINS

Natalvirt CA

Natalvirt 90 DHA

GENERIC

Natalvit

b-complex

Natelle One

b-complex 100

Natelle-EZ

NON PREFERRED

Neevo

Adrenal C Formula

Neevo DHA

Albafort

Nephplex RX

Atabex EC

Nephro-vite RX

Atabex Prenatal

Nephrocaps

B-nexa

Nephrocaps QT

Bacmin

Nestabs

Bal-care DHA

Nestabs Abc

Bal-care DHA Essential

Nestabs DHA

Cavan-alpha Kit

Nexa Plus

Citranatal Assure

Nexa Select

Citranatal B-calm

Nicazel

Citranatal DHA

Nicazel Forte

Citranatal Harmony

Nicomide

Citranatal RX

Nutricap

Citranatal 90 DHA

Nutrivit

Cod Liver Oil

O-CAL Fa

Concept DHA

O-CAL Prenatal

Concept OB

Obstetrix DHA

Corvite

Obstetrix EC

Crnatal

OB Complete

CO-natal Fa

OB Complete One

Dialyvite Supreme D

OB Complete Petite

Dialyvite 3000

OB Complete Premier

Dialyvite 5000

OB Complete 400

Dialyvite/Zinc

OB Complete/DHA

Diatx ZN

OB-natal One

Duet DHA

Paire OB

Duet DHA Balanced

Poly-VI-flor

Duet DHA EC

Poly-VI-flor/Iron

Duet DHA 400

Pr Natal 400

Duet DHA 400EC

Pr Natal 400 EC

Duet DHA 430

Pr Natal 430

Duet DHA 430EC

Pr Natal 430 EC

Elite OB With DHA

Prefera OB

Elite-OB

Prefera OB + DHA

Elite-OB 400

Preferaob One

Escavite

Prefol-DHA

Escavite LQ

Prenata

Folbecal

Prenatabs RX

Folcaps Omega 3

Prenatal Ad

Folgard OS

Prenatal-u

Folivane-prx DHA NF

Prenate

Folivane-EC Calcium DHA NF

Prenate AM

Folivane-OB

Prenate DHA

Fortavit

Prenate Elite

Gesticare DHA

Prenate Enhance

Inatal Advance

Prenate Essential

Inatal GT

Prenate Mini

Inatal Ultra

Prenate Restore

Levomefolate PNV

Prenexa

M.v.i. Adult

Preque 10

M.v.i. Pediatric

Promar

M.v.i.-12 Without Vitamin K

Protect Cardio


32

Protect Plus

Vitamedmd Plus RX/Quatre Folic

Protect Plus NR

Vitamedmd Redichew RX/Quatrefolic

Protectbone

Vitapearl

Protectnatal

Vitaroca Plus

Provida OB

Viva CT Prenatal

Quflora Pediatric

Viva DHA

R-natal OB

Zatean-pn

Renatabs

Zatean-pn DHA

Renatabs With Iron

Zatean-pn Plus

Renax

Zatean-CH

Req 49+

Select-ob+dha

MEDICAL DEVICES

Select-OB

DIABETIC SUPPLIES

Siderol

PREFERRED

Strovite

Accu-chek Active Glucose Control Solution

Strovite Forte

Accu-chek Active Strips

Strovite One

Accu-chek Aviva

Supervite

Accu-chek Aviva Plus

Supervite EC

Accu-chek Comfort Curve Control Solution (2 Levels)

Support-500

Accu-chek Comfort Curve Linearity Solution

Synagex

Accu-chek Comfort Curve Test Strips

Synatek

Accu-chek Compact Blue Control Solution (2 Levels)

Tandem DHA

Accu-chek Compact Plus Care Kit

Tandem OB

Accu-chek Compact Plus Clear Control Solution (2 Levels)

Taron EC Calcium

Accu-chek Compact Strips

Taron-bc

Accu-chek Compact Test Drum

Taron-c DHA

Accu-chek Fastclix Lancetdevice Kit

Taron-duo EC

Accu-chek Fastclix Lancets

Taron-prex

Accu-chek Instant Glucosecontrol Solution (2 Levels)

Taron-EC CAL

Accu-chek Multiclix Lanc Et Device Kit

Tri RX

Accu-chek Multiclix Lancets

Tri-VI-flor

Accu-chek Nano Smartview

Tricare

Accu-chek Safe-t-pro Lancets

Tricare DHA 301

Accu-chek Safe-t-pro Pluslancets

Tricare Prenatal Compleat

Accu-chek Smartview Control

Tricare Prenatal DHA One

Accu-chek Smartview Strips

Trinate

Accu-chek Soft Touch Lancets

Triveen-duo DHA

Accu-chek Softclix Lancetdevice Kit

Triveen-one

Accu-chek Softclix Lancets

Triveen-prx RNF

Accu-chek Voicemate

Triveen-ten

Advocate Lancets

Triveen-u

Advocate Safety Lancets

TL G-FOL OS

Agamatrix Ultra-thin Lancets 33G

Udamin

Assure Haemolance Plus High Flow 18G

Udamin SP

Assure Haemolance Plus Low Flow 25G

Vemavite-prx 2

Assure Haemolance Plus Micro Flow 28G

Vinacal

Assure Haemolance Plus Normal Flow 21G

Vinacal B

Assure Haemolance Plus Pediatric Blade

Vinate AZ

Assure Lance Lancets

Vinate AZ Extra

Assure Lancets

Vinate C

Aurora Lancet Super Thin 30G

Vinate Calcium

Aurora Lancet Thin 23G

Vinate Care

AF Lancets Super Thin

Vinate DHA

AT Last Lancets

Vinate GT

Bayer Microlet Lancets

Vinate IC

Bullseye Safety Lancets

Vinate II

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

Vinate M

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

Vinate One

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

Vinate Pn Care

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

Vita-pren

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

Vitafol

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

Vitafol Ultra

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

Vitafol-ob+dha

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

Vitafol-one

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

Vitafol-plus

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

Vitafol-pn

BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"

Vitafol-OB

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

Vital-d RX

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

Vitamedmd One RX/Quatrefolic


33

BD Insulin Syringe U-40/1ML/25G X 5/8"

Easy Touch Safety Lancets28G/Pressure Activated

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

Easy Twist & CAP Lancets

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

Easytest II Lancets

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

Easytest Lancets

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

EZ Smart Blood Glucose Lancets

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

EZ-lets Lancets 21G

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

EZ-lets Lancets 23G

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

EZ-lets Lancets 26G Super-soft

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

EZ-lets Lancets 28G Ultra-soft


EZ-lets Lancets 30G


Fasttake Test Strips


Fifty50 Safety Seal Lancets 30G

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

Fifty50 Safety Seal Lancets 32G

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

Fine 30

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

Fingerstix Lancets

Fora Lancets

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

Freestyle Lancets

Freestyle Unistick II Lancets

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

Gentle-let GP Lancets

Gentle-let Lancets General Purpose Style/Fine Point

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

Gentle-let Lancets General Purpose Style/Medium Point

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

Gentle-let Lancets Safety Style/Fine Point


Gentle-let Lancets Safety Style/Medium Point

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

Glucocom Lancets 28G



BD Lancet Ultrafine 30G


BD Lancet Ultrafine 33G

Glucosource Lancets

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

H&h Thinlet Lancets 26G

H&h Thinlet Super Thin Lancets 30G

BD Microtainer Lancets

Haemolance

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

Haemolance Low Flow Lancets

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

Haemolance Plus

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

Haemolance Plus High Flow

BD Pen Needle/Ultrafine/29G X 12.7MM

Haemolance Plus Low Flow

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

Haemolance Plus Max Flow

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

Haemolance Plus Pediatric Flow

Careone Lancet Thin

Hy-vee Lancets

Careone Lancet Ultra Thin

Lancets

Cleanlet Lancets 28G

Lancets Bullseye Safety

Clever Chek Lancets Ultrathin

Lancets Safety Seal 21G

Clever Chek Lancets Ultrathin 30G


Coaguchek Lancets


Comfort Lancets


Diastar Easy Test II Lancets 30G

Lancets Thin

Diastar Easy Test Lancets30G

Lancets Twist Top

Droplet Lancets Ultra Thin 30G

Lancets Ultra Fine

Drug Mart On-the-go Lancets Gentle 30G

Lancets Ultra Thin

Drug Mart Unilet Lancets Super Thin 30G

Lancets 26G Twist Top

Drug Mart Unilet Lancets Ultra Thin 28G

Lancets 28G

E-z Ject Lancets

Lancets 30G

E-z Ject Lancets Color


E-z Ject Lancets Super Thin


E-z Ject Lancets Super Thin 30G

Lifescan Unistik II Lancets

E-z Ject Lancets Thin 26G

Lifescan Unistik 2 Deep Penetration

E-z Ject Lancets 21G

Litetouch Lancets Micro Thin 33G

E-ZJECT Lancets Micro-thin 33G

Live Better Lancet Super Thin 30G

Easy Touch Lancets 21G/Pressure Activated

Live Better Lancet Ultra Thin 28G


Medisense Thin Lancets


Medlance Plus Extra Lancets 21G


Medlance Plus Lancets

Easy Touch Lancets 28G/Twist

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


Medlance Plus Universal Lancets 21G


Medlance Plus/Lite 25G


Medlance/Extra

Easy Touch Safety Lancets26G/Button Activated

Medlance/Lite


Medlance/Universal

Easy Touch Safety Lancets28G/Button Activated


34

Meijer Super Thin Lancets

Relion Lancets Ultra-thin30G

Microlet Lancets

Relion Thin Lancets

Microtainer Safety Flow Lancet/Sterile/Single-use

Relion Ultra Thin Lancets

Monolet Lancets

Relion Ultra Thin Lancets30G

Monolet Opd Lancets

Relion Ultra Thin Plus Lancets 32G

Monolettor Safety Lancets

Relion Ultra Thin Plus Lancets 33G

Myglucohealth Mgh Softlance Lancets 30G

Renew Advanced Lancing Cartridge Refills

Netgroup Lancets

Rexall Lancets Ultra Thin

Nova Safety Lancets 23G

Rightest Gl300 Lancets

Nova Safety Lancets 28G

Safe-t-lance Low Flow 25G

Nova Sureflex Lancets

Safe-t-lance Normal Flow 21G

Novofine Autocover 30GX8MM

Safe-t-lance Plus Safety Lancet High Flow

Novofine 30GX8MM

Safe-t-lance Plus Safety Lancet Low Flow

Novofine 32GX6MM

Safe-t-lance Plus Safety Lancet Normal Flow

Novotwist 30GX8MM

Safety Lancet 2MM

Novotwist 32GX5MM

Safety Lancet 21G/Pressure Activated

On Call Lancets

Safety Lancet 28G/Pressure Activated

On Call Plus Lancets

Safety Lancets

Onetouch Basic System

Safety Lancets 21G

Onetouch Basic/Profile Test Strips

Safety Lancets 28G

Onetouch Club Lancets Fine Point

Safety Let Lancets

Onetouch Combo Pack

Safety Seal Lancets 28G

Onetouch Delica Lancets Extra Fine 33G

Safety Seal Lancets 30G

Onetouch Delica Lancets Fine 30G

Shopko On-the-go Comfort Lancets 30G

Onetouch Delica Lancing Device

Shopko Unilet Lancets Super Thin 30G

Onetouch Finepoint Lancets

Shopko Unilet Lancets Ultra Thin 28G

Onetouch Lancets

Single-let

Onetouch Ping Meter Remote

Smart Diabetes Vantage Universal Lancets 30G

Onetouch Profile System

Smart Sense Color Lancets Universal 33G

Onetouch Suresoft Lancing Device/18G

Smart Sense Standard Lancets Universal 21G


Smart Sense Super Thin Lancets Universal 30G


Smart Sense Thin Lancets Universal 26G

Onetouch Ultra Blue

Smartest Lancets 28G

Onetouch Ultra Control

Solus V2 Pressure Activated Safety Lancets 28G

Onetouch Ultra Mini

Solus V2 Twist Lancets 30G

Onetouch Ultra System Kit

Sterilance TL

Onetouch Ultra 2

Sure-lance Flat Lancets

Onetouch Ultralink System (hex)

Sure-lance Lancets 26G

Onetouch Ultralink System (DEC)

Sure-lance Thin Lancets 28G

Onetouch Ultrasmart

Sure-lance Ultra Thin Lancets

Onetouch Ultrasoft Lancets

Sure-touch Lancets Universal

Onetouch Verio Control Solution High

Surelite Lancets

Onetouch Verio IQ Blood Glucose Monitoring System

Surestep Pro Test Strips

Onetouch Verio Mid Control Solution

Surestep Test Strips

Onetouch Verio Sync Bloodglucose Monitoring System

Techlite AST Lancets

Onetouch Verio Test Strips

Techlite Lancets

Pen Needles 29G X 12MM

Techlite Lancets 30G

Pen Needles 29GX1/2"

Thinlets GP Lancets


Thinlets Lancet

Pen Needles 31G X 1/4" SHORT

Trueplus Lancets 26G

Pen Needles 31G X 3/16"


Pen Needles 31G X 6MM

Trueplus Lancets 28G Super Thin



Perfect Lancets 30G

Trueplus Lancets 30G Ultra Thin

Perfect Pressure Activated Safety Lancets 28G


Pharmacy Counter Lancets

Trueplus Lancets 33G Micro Thin

Precision Thin Lancets

Trueplus Safety Lancets 28G

Precision Thins GP Lancet

Ulticare Thin Lancets 30G

Precision Ultra Lancet

Ultilet Basic Lancets 30G

Prodigy Pressure Activated Safety Lancets

Ultilet Classic Lancets

Prodigy Twist Top Lancets

Ultilet Lancets

Pss Select GP Lancets

Ultilet Lancets 33G

Pss Select Safety Lancets

Ultilet Safety Lancets 23G

Px Lancets Ultra Thin

Ultra-thin II Auto Lancet

Qc Lancets Super Thin

Ultra-thin II Lancets 28G

Qc Lancets Ultra Thin

Ultra-thin II Lancets 30G

Relion Lancets

Ultra-thin II Safety Autolancets 26G

Relion Lancets Micro-thin33G

Unilet Comfortouch Lancet

Relion Lancets Standard 21G

Unilet Excelite

Relion Lancets Thin 26G

Unilet Excelite II


35

Unilet G.p. Lancet

Element Plus Test Strips

Unilet G.p. Superlite Lancet

Element Test Strips

Unilet GP 28 Ultra Thin

Embrace Blood Glucose Test Strips

Unilet Lancet

Envision Autocode Test Strips

Unilet Superlite Lancet

Eql Truetrack Test

Unistik 3 Gentle

Evencare + Blood Glucose Test Strip

Universal 1 Lancets Thin 26G

Evencare Blood Glucose Test Strip

Universal 1 Lancets Ultra Thin 30G

Evencare G2 Test Strips

Valumark Lancet Super Thin 30G

Evencare G3 Test Strips

Valumark Lancet Ultra Thin 28G

Evolution Autocode

Vida Mia Unilet Lancets Super Thin 30G

Exactech R-s-G Test Strips

Vida Mia Unilet Lancets Ultra Thin 28G

Exactech Test Strips

Vitalet Pro Lancets

EZ Smart Blood Glucose Test Strips

Vitalet Pro Plus Lancets

EZ Smart Plus Blood Glucose Test Strips

W&f Lancets Colored 21G

Fifty50 Glucose Test Strip 2.0

W&f Lancets 26G

Fora D10 Blood Glucose Test Strips

Walgreens Lancets

Fora D15c Blood Glucose Test Strips

Walgreens Thin Lancets

Fora D15z Blood Glucose Test Strips

Walgreens Ultra Thin Lancets

Fora D15G Blood Glucose Test Strips

1ST Choice Lancets Super Thin

Fora D20 Blood Glucose Test Strips

1ST Choice Lancets Thin

Fora GD20 Test Strips

1ST Choice Lancets Ultra Thin

Fora G20 Blood Glucose Test Strips

NON PREFERRED

Fora G30a Blood Glucose Test Strips

Accutrend Glucose

Fora G71a Blood Glucose Test Strips

Acura Blood Glucose Test Strips

Fora G90 Blood Glucose Test Strips

Advance Intuition Test Strips

Fora V10 Blood Glucose Test Strips

Advance Micro-draw Test Strips


Advocate Redi-code


Advocate Redi-code+ Test Strips


Advocate Test Strips

Fora V30a Blood Glucose Test Strips

Agamatrix Amp NO Code Test Strips

Foracare GD40

Agamatrix Jazz Test Strips

Foracare Premium V10 Teststrips

Agamatrix Keynote Test Strips

Foracare Test N Go Test Strips

Agamatrix Presto Test Strips

Freestyle Insulinx Blood Glucose Test

Ascensia Autodisc Test Strips

Freestyle Insulinx Blood Glucose Test Strips

Assure II

Freestyle Lite Test Strips

Assure II Check Strip

Freestyle Test Strips

Assure II Test Strips

Gluco Perfect 3 Test Strips

Assure Platinum Test Strips

Glucocard Expression Blood Glucose Test Strips

Assure Pro Test Strips

Glucocard Vital Test Strips

Assure 3 Test Strips

Glucocard X-sensor

Assure 4 Test Strips

Glucocard 01 Sensor

AT Last Test Strips

Glucocard 01 Test Strips

Bayer Breeze 2 Test Disc

Glucocom Test Strips

Bayer Contour Blood Glucose Test Strips

Glucolab Test Strips

Bayer Contour Next Blood Glucose Test

Gluconavii Blood Glucose Test Strips

Bg Star Blood Glucose Test

Gmate Blood Glucose Test Strips

Bioscanner Glucose Test Strips

Infinity Blood Glucose Test Strips

Blood Glucose Test Strips

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

Blood Glucose Test Strips Premium

Liberty Next Generation Blood Glucose Test Strips

Careone Blood Glucose Test Strips/Premium

Maxima Blood Glucose Teststrips

Careone Blood Glucose Test Strips/Value

Microdot Test Strips

Caresens N Blood Glucose Test Strips

Myglucohealth Blood Glucose Test

Choice DM Fora G20 Test Strips

Neutek 2tek Test Strips

Clever Chek Auto-code Test Strips

Nexgen Test Strips

Clever Chek Auto-code Voice Test Strips

Nova Max Glucose Test Strips

Clever Chek Test Strips

On Call Plus Blood Glucose Test

Clever Choice Auto-code Pro Test Strips

On Call Vivid Blood Glucose Test

Clever Choice Micro Test Strips

Optium Test Strips

Control AST

Optiumez Test Strips

Control Test Strips

Optumrx Blood Glucose Test

Duo-care Test Strips

Pharmacist Choice Autocode Blood Glucose Test Strips

Easy Step Test Strips

Pocketchem EZ Blood Glucose Test Strips

Easy Touch Glucose Test Strips

Precision Point Of Care Test Strips

Easygluco

Precision PCX

Easymax Test Strips

Precision PCX Plus Test Strips

Easymax 15 Test Strips

Precision QID Test Strips

Easypro Blood Glucose Test Strips

Precision Sof-tact Test Strips

Easypro Plus

Precision XTRA Blood Glucose Test Strips

Eclipse Test Strips

Prestige Test Strips


36

Prodigy Autocode Blood Glucose Test Strips

E-z Spacer

Prodigy NO Coding Blood Glucose Test Strips

E-z Spacer The Body Guards Pack

Pts Panels Glucose Test

Easivent

Quicktek Test Strips

Easivent/Mask-large

Quintet Ac Blood Glucose Test Strips

Easivent/Mask-medium

Quintet Blood Glucose Test Strips

Easivent/Mask-small

Refuah Plus Blood Glucosetest Strips

Inspirease Bags

Relion Blood Glucose Teststrips

Inspirease Drug Delivery System

Relion Confirm/Micro Test Strips

Inspirease Mouthpiece

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

Inspirease Reservoir Bags

Relion Prime Blood Glucose Test Strips

Liteaire

Relion Ultima Blood Glucose Test Strips

Mask Vortex/Baby Whirl Duckling

Relion Ultima Test Strips

Mask Vortex/Child/Frog

Reveal Blood Glucose Test

Mask Vortex/Spinner The Duck

Rexall Blood Glucose Test Strips

Mask Vortex/Toddler/Lady Bug

Rightest GS100 Blood Glucose Test Strips

Microchamber


Microspacer


Nessi Spacer/Large Mask

Smart Diabetes Xpres Blood Glucose Test Strips

Nessi Spacer/Mouthpiece

Smart Sense Premium Bloodglucose Strips

Nessi Spacer/Small/MED Mask

Smart Sense Value Blood Glucose Strips

Optichamber Advantage

Smartest Blood Glucose Test Strips

Optichamber Diamond

Solus V2 Audible Test

Optichamber Diamond/Largeface Mask

Supreme Test Strips

Optichamber Diamond/Medium Face Mask

Sure Edge Blood Glucose Test Strips

Optichamber Diamond/Smallface Mask

Sure-test Easyplus Mini Blood Glucose Test Strips

Optihaler

Surechek Blood Glucose Test Strips

Optihaler MDI Drug Delivery System

Telcare Blood Glucose Test Strips

Panda Mask Large

Truetest Blood Glucose T Est

Panda Mask Medium

Truetest Blood Glucose T Est Strips

Panda Mask Small

Truetest Strips

Pediatric Panda Mask

Truetrack Blood Glucose Test

Pocket Chamber

Truetrack Test

Pocket Spacer

Ultima Test Strips

Riteflo

Ultratrak Pro Test Strips

Vortex Valved Holding Chamber

Ultratrak Ultimate Test Strips

Watchhaler

Unistrip1 Generic

Victory Agm-4000 Test Strips

MISCELLANEOUS

Vocal Point Blood Glucose Test Strips

Wavesense Presto Test Strips

PREFERRED

Chemet

MEDICAL DEVICES - MISC

Exjade

PREFERRED

NON PREFERRED

Aerochamber Mini Aerosol Chamber

Ferriprox

Aerochamber MV

Pentetate Calcium Trisodium

Aerochamber Plus Flow VU

Pentetate Zinc Trisodium

Aerochamber Plus Flow-VU

Aerochamber Plus Flow-VU/Large Mask

Aerochamber Plus Flow-VU/Mask

Aerochamber Plus Flow-VU/Medium Mask

Aerochamber Plus Flow-VU/Small Mask

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

Aerochamber Z-stat Plus/Flowsignal

Aerochamber Z-stat Plus/Large Mask

Aerochamber Z-stat Plus/Medium Mask

Aerochamber Z-stat Plus/Small Mask

Aerochamber/Flowsignal

Arial Chamber

Breatherite

Breatherite Collapsible Adult Spacer W/Mask

Breatherite Collapsible Child Spacer W/Mask

Breatherite Collapsible Infant Spacer W/Mask

Breatherite Collapsible Small Child Spacer W/Mask

Breatherite Collapsible Spacer W/ Neonate Mask

Breatherite Rigid Spacer W/Mask

Breatherite W/Large Mask

Breatherite W/Medium Mask

Breatherite W/Small Mask

Effective April 1, 2014 v.3

©Catamaran 2014. All Rights Reserved. May not be copied or distributed without authorization.

37

Index

A

Acetic Acid/Aluminum Acetate, 26

Mask, 37

acetylcysteine, 30

Aerochamber Plus Flow-VU/Small Mask, 37

abacavir, 3

Aciphex, 17

abacavir sulfate/lamivudine/zidovudine, 3

Aciphex Sprinkle, 17

Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 37

Abelcet, 2

acitretin, 11

Abilify, 22

Aclovate, 11

Aerochamber Z-stat Plus/Flowsignal, 37

Abilify Discmelt, 22

Actemra, 28

Aerochamber Z-stat Plus/Large Mask, 37

Abilify Maintena, 22

Acthar HP, 16

Aerochamber Z-stat Plus/Medium Mask, 37

Abraxane, 5

Acthib, 31

Absorica, 10

Actigall, 18

Aerochamber Z-stat Plus/Small Mask, 37

Abstral, 27

Actimmune, 6

Aerochamber/Flowsignal, 37

acamprosate calcium DR, 24

Actiq, 27

Aerohist, 29

Acanya, 10

Activase, 20

Aerospan, 31

acarbose, 15

Activella, 14

AF Lancets Super Thin, 33

Accolate, 30

Actonel, 15

Afinitor, 5

Accu-chek Active Glucose Control Solution, 33

Actoplus Met, 15

Afinitor Disperz, 5

Actoplus Met XR, 15

Afluria 2012-2013, 31

Accu-chek Active Strips, 33

Actos, 15

Afluria 2013-2014, 31

Accu-chek Aviva, 33

Acular, 26

Afluria PF 2012-2013, 31

Accu-chek Aviva Plus, 33

Acular LS, 26

Afluria PF 2013-2014, 31

Accu-chek Comfort Curve Control Solution (2 Levels), 33

Acura Blood Glucose Test Strips, 36

Agamatrix Amp NO Code Test Strips, 36

Acuvail, 26

Agamatrix Jazz Test Strips, 36

Accu-chek Comfort Curve Linearity Solution, 33

acyclovir, 3, 11

Agamatrix Keynote Test Strips, 36

acyclovir sodium, 3

Agamatrix Presto Test Strips, 36

Accu-chek Comfort Curve Test Strips, 33

Acyclovir Sodium, 3

Agamatrix Ultra-thin Lancets 33G, 33

Accu-chek Compact Blue Control Solution (2 Levels), 33

Aczone, 10

Aggrastat, 20

Adacel, 31

Aggrenox, 20

Accu-chek Compact Plus Care Kit, 33

Adalat CC, 7

Agrylin, 20

Accu-chek Compact Plus Clear Control Solution (2 Levels), 33

adapalene, 10

Ahist, 29

Adasuve, 22

Akne-mycin, 10

Accu-chek Compact Strips, 33

Adcetris, 5

Akten, 26

Accu-chek Compact Test Drum, 33

Adcirca, 9

Ala Scalp, 11

Accu-chek Fastclix Lancetdevice Kit, 33

Adderall, 23

Alagesic LQ, 27

Accu-chek Fastclix Lancets, 33

Adderall XR, 23

Alahist Ac, 30

Accu-chek Instant Glucosecontrol Solution (2 Levels), 33

adefovir dipivoxil, 3

Alahist DHC, 30

Adempas, 9

Albafort, 19, 32

Accu-chek Multiclix Lanc Et Device Kit, 33

Adenocard, 7

Albenza, 3

adenosine, 7

albuterol sulfate, 30

Accu-chek Multiclix Lancets, 33

Adoxa, 2

albuterol sulfate ER, 30

Accu-chek Nano Smartview, 33

Adoxa PAK 1/100, 2

albuterol TAB 4MG, 30

Accu-chek Safe-t-pro Lancets, 33

Adoxa PAK 1/150, 2

Alcaine, 26

Accu-chek Safe-t-pro Pluslancets, 33

Adoxa PAK 2/100, 2

alclometasone dipropionate, 11

Accu-chek Smartview Control, 33

Adrenaclick, 9

Aldactazide, 8

Accu-chek Smartview Strips, 33

Adrenal C Formula, 32

Aldactone, 8

Accu-chek Soft Touch Lancets, 33

Adrenalin, 9, 29, 30

Aldara, 12

Accu-chek Softclix Lancetdevice Kit, 33

Adriamycin, 4

Aldurazyme, 16

Accu-chek Softclix Lancets, 33

Advair Diskus, 30

alendronate sodium, 15

Accu-chek Voicemate, 33

Advair HFA, 30

Alendronate Sodium, 15

Accuneb, 30

Advance Intuition Test Strips, 36

Alfenta, 27

Accupril, 7

Advance Micro-draw Test Strips, 36

alfentanil, 27

Accuretic, 8

Advate, 20

Alferon N, 6

Accutrend Glucose, 36

Advicor, 9

alfuzosin HCL ER, 19

acebutolol HCL, 6

Advocate Lancets, 33

Alimta, 4

Aceon, 7

Advocate Redi-code, 36

Alinia, 4

Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 27

Advocate Redi-code+ Test Strips, 36

Alkeran, 4

Advocate Safety Lancets, 33

Allfen CD, 30

acetaminophen/codeine, 27

Advocate Test Strips, 36

Allfen CDX, 30

acetaminophen/codeine #2, 27

Aerochamber Mini Aerosol Chamber, 37

allopurinol, 29


Aerochamber MV, 37

allopurinol sodium, 29


Aerochamber Plus Flow VU, 37

Alocril, 26

acetaminophen/codeine phosphate, 27

Aerochamber Plus Flow-VU, 37

Alodox Convenience Kit, 2

acetazolamide, 8

Aerochamber Plus Flow-VU/Large Mask, 37

Alomide, 26

Acetazolamide, 8

Aloprim, 29

acetazolamide ER, 8

Aerochamber Plus Flow-VU/Mask, 37

Alora, 13

acetazolamide sodium, 8

Aerochamber Plus Flow-VU/Medium

Aloxi, 18

acetic acid, 26

Alphagan P, 26

Amturnide, 8

Arzerra, 5

Alphanate/Von Willebrand Factor Complex/Human, 20

Amytal Sodium, 22

Asacol, 18

Anacaine, 12

Asacol HD, 18

Alphanine SD, 20

Anadrol-50, 13

Ascensia Autodisc Test Strips, 36

alprazolam, 21

Anafranil, 22

ascorbic acid, 31

alprazolam ER, 21

anagrelide hydrochloride, 20

Ascorbic Acid, 32

Alprazolam Intensol, 21

Analpram Advanced, 18

Asmanex 120 Metered Doses, 30

alprazolam odt, 21

Analpram-HC, 18


Alrex, 25

Analpram-HC Singles, 18


Alsuma, 29

Anaprox, 28


Altabax, 10

Anaprox DS, 28


Altace, 7

Anaspaz, 17

Aspirin-caffeine-dihydrocodeine, 27

Altoprev, 9

anastrozole, 5

Assure 3 Test Strips, 36

Aluminum Acetate, 12

Ancef, 1

Assure 4 Test Strips, 36

Aluvea, 12

Ancobon, 2

Assure Haemolance Plus High Flow 18G, 33

Alvesco, 31

Androderm, 13

amantadine HCL, 24

Androgel, 13

Assure Haemolance Plus Low Flow 25G, 33

Amantadine HCL, 24

Androgel P.M., 13

Amaryl, 15

Android, 13

Assure Haemolance Plus Micro Flow 28G, 33

Ambien, 22

Androxy, 13

Ambien CR, 22

Anectine, 24

Assure Haemolance Plus Normal Flow 21G, 33

Ambifed CD, 30

Angeliq, 14

Ambifed CDX, 30

Angiomax, 20

Assure Haemolance Plus Pediatric Blade, 33

Ambifed-G CD, 30

Animi-3, 19

Ambifed-G CDX, 30

Animi-3/Vitamin D, 19

Assure II, 36

Ambisome, 2

Anoro Ellipta, 31

Assure II Check Strip, 36

amcinonide, 11

Antabuse, 24

Assure II Test Strips, 36

Amcinonide, 11

Antara, 9

Assure Lance Lancets, 33

Amerge, 29

antipyrine/benzocaine, 26

Assure Lancets, 33

Amethyst, 14

Antivert, 18

Assure Platinum Test Strips, 36

Amicar, 20

Anusol-HC, 18

Assure Pro Test Strips, 36

amifostine, 6

Anzemet, 18

Astagraf XL, 5

amikacin sulfate, 2

Apexicon E, 11

Astelin, 29

amiloride HCL, 8

Apidra, 14

Astepro, 29

amiloride/hydrochlorothiazide, 8

Apidra Solostar, 14

Astringyn, 20

aminocaproic acid, 20

Aplenzin, 22

AT Last Lancets, 33

Aminocaproic Acid, 20

Apokyn, 24

AT Last Test Strips, 36

aminophylline, 30

Appbutamone, 22

Atabex EC, 32

amiodarone HCL, 7

Appbutamone-d, 22

Atabex Prenatal, 32

Amiodarone HCL, 7

Appformin, 15

Atacand, 8

Amitiza, 18

Appformin-d, 15

Atacand HCT, 8

amitriptyline HCL, 21

apraclonidine, 26

Atelvia, 15

amlodipine besylate, 7

Apriso, 18

atenolol, 6

amlodipine besylate/atorvastatin calcium, 9

Aptivus, 3

atenolol/chlorthalidone, 8

Aquasol A Parenteral, 32

Atgam, 5

Amlodipine Besylate/Atorvastatin Calcium, 9

Aquoral, 21

Ativan, 21

Aralast NP, 31

Atopiclair, 12

amlodipine besylate/benazepril HCL, 8

Aralen, 3

atorvastatin calcium, 9

amlodipine besylate/benazepril hydrochloride, 8

Aranesp Albumin Free, 19

atovaquone/proguanil HCL, 3

Arava, 28

Atovaquone/Proguanil HCL, 3

ammonium lactate, 12

Arcalyst, 28

atracurium besylate, 24

Ammonul, 16

Arcapta Neohaler, 30

Atralin, 10

Amoxapine, 22

argatroban, 20

Atripla, 3

amoxicillin, 1

Argatroban, 20

Atropen, 17

Amoxicillin, 1

Arial Chamber, 37

atropine sulfate, 17, 26

amoxicillin/clavulanate potassium, 1

Aricept, 24

Atropine Sulfate, 17, 26

amoxicillin/clavulanate potassium ER, 1

Aricept Odt, 24

Atrovent, 29

amphetamine/dextroamphetamine, 23

Arimidex, 5

Atrovent HFA, 30

Amphotec, 2

Aristospan Intra-articular, 13

Aubagio, 24

Amphotericin B, 2

Aristospan Intralesional, 13

augmented betamethasone dipropionate, 11

ampicillin, 1

Arixtra, 20

Ampicillin, 1

Armour Thyroid, 17

Augmentin, 1

ampicillin sodium, 1

Arnica Flower, 12

Augmentin ES-600, 1

Ampicillin Sodium, 1

Aromasin, 5

Augmentin XR, 1

ampicillin-sulbactam, 1

Arranon, 4

Auralgan, 26

Ampicillin-sulbactam, 1

Arthrotec 50, 28

Aurora Lancet Super Thin 30G, 33

Ampyra, 24

Arthrotec 75, 28

Aurora Lancet Thin 23G, 33

Amrix, 25

Artiss, 20

Aurstat, 12

Aurstat Anti-itch Hydrogel, 12

Bcg Vaccine, 31

5/8", 34

Aurstat Anti-itch Hydrogel Kit, 12

BD Insulin Syringe LUER-LOK/U-100/1ML, 33

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

Auvi-q, 9

Avalide, 8

BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 33

BD Lancet Ultrafine 30G, 34

Avandamet, 15

BD Lancet Ultrafine 33G, 34

Avandaryl, 15

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 33

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 34

Avandia, 15

Avapro, 8

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 33

BD Microtainer Lancets, 34

Avar, 10

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 34

Avar LS, 10

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 33

Avar LS Cleanser, 10

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 34

Avar-e LS, 10

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 33

Avastin, 5

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 34

Avc, 19

BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 33

Avelox, 2

BD Pen Needle/Ultrafine/29G X 12.7MM, 34

Avelox Abc Pack, 2

BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 33

Avidoxy DK, 2

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 34

Avinza, 27

BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 33

Avodart, 19

BD Pen Needles SHORT/Ultrafine/31G X 5/16", 34

Avonex, 24

BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 33

Avonex Pen, 24

BD Pudendal/Local Block Tray 1% Lidocaine, 29

Axert, 29

BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 33

Axid, 17

Beconase AQ, 29

Axiron, 13

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 33

Belladonna & Opium, 17

Aygestin, 14

Belladonna Alkaloids & Opium, 17

azacitidine, 4

BD Insulin Syringe Slip Tip/U-100/1ML, 33

benazepril HCL, 7

Azactam, 4

benazepril HCL/hydrochlorothiazide, 8

Azactam IN Iso-osmotic Dextrose, 4

BD Insulin Syringe U-40/1ML/25G X 5/8", 34

Benefix, 20

Azasan, 5

Benicar, 8

Azasite, 25

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 34

Benicar HCT, 8

azathioprine, 5

Bentyl, 17

Azathioprine Sodium, 5

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 34

Benzac Ac Wash, 10

azelastine HCL, 26, 29

Benzac W Wash, 10

Azelex, 10

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 34

Benzaclin, 10

Azilect, 24

Benzaclin With P.M., 10

azithromycin, 1

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 34

Benzamycin, 10

Azithromycin, 1

Benzamycinpak, 10

Azopt, 26


Benzefoam, 10

Azor, 8

Benzefoamultra, 10

aztreonam, 3


Benziq, 10

Azulfidine, 18

Benziq LS, 10

Azulfidine EN-TABS, 18


Benzoin Compound Tincture, 12

B

Benzoin Tincture, 12

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 34

benzonatate, 30

B-6 Folic Acid, 19

benzoyl peroxide, 10

b-complex, 32

BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 34

benzoyl peroxide SHORT contact, 10

b-complex 100, 32

benztropine mesylate, 24

B-nexa, 32

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

Bepreve, 26

bacitracin, 3

Berinert, 20

Bacitracin, 4, 25

BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 34

Besivance, 25

bacitracin/polymyxin b, 25

Betadine Ophthalmic Prep, 25

baclofen, 24

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

Betagan, 25

Bacmin, 32

betamethasone dipropionate, 11

Bactocill IN Dextrose, 1

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

betamethasone sodium phosphate/betamethasone acetate, 13

Bactrim, 4

Bactrim DS, 4

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 34

betamethasone valerate, 11

Bactroban, 10

Betapace, 7

Bactroban Nasal, 29

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 34

Betapace AF, 7

Bal-care DHA, 32

Betaseron, 24

Bal-care DHA Essential, 32

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 34

betaxolol HCL, 6, 25

balsalazide disodium, 18

bethanechol chloride, 19

Banzel, 23

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 34

Bethkis, 2

Baraclude, 3

Betimol, 25

Bayer Breeze 2 Test Disc, 36


Betoptic-s, 25

Bayer Contour Blood Glucose Test Strips, 36

Bexxar, 5


Bexxar 131 Iodine, 6

Bayer Contour Next Blood Glucose Test, 36

Beyaz, 14

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

Bg Star Blood Glucose Test, 36

Bayer Microlet Lancets, 33

Biaxin, 1

bupropion HCL, 21

carbinoxamine maleate, 29

Biaxin XL, 1

bupropion HCL ER, 21

Carbocaine, 29

Biaxin XL PAC, 1

bupropion HCL SR, 21

carboplatin, 4

bicalutamide, 5

bupropion HCL XL, 21

Carboplatin, 4

Bicillin C-R, 1

buspirone HCL, 21

Cardene I.v., 7

Bicillin L-a, 1

Busulfex, 4

Cardene IV, 7

Bicnu, 4

butal/asa/caff, 27

Cardene SR, 7

Bidil, 9

butalbital/acetaminophen, 27

Cardizem, 7

Biferarx, 19

butalbital/acetaminophen/caffeine, 27

Cardizem CD, 7

Biltricide, 3

butalbital/acetaminophen/caffeine/codeine, 27

Cardizem LA, 7

Binosto, 15

Cardura, 8

Bioscanner Glucose Test Strips, 36

butalbital/apap/caffeine, 27

Cardura XL, 19

Biothrax, 31

butalbital/asa/caffeine, 27

Careone Blood Glucose Test Strips/Premium, 36

bisoprolol fumarate, 6

Butalbital/Aspirin/Caffeine, 27

bisoprolol fumarate/hydrochlorothiazide, 8

butalbital/aspirin/caffeine/codeine, 27

Careone Blood Glucose Test Strips/Value, 36

Butisol Sodium, 22

bleomycin sulfate, 4

butorphanol tartrate, 27

Careone Lancet Thin, 34

Bleph-10, 25

Butrans, 27

Careone Lancet Ultra Thin, 34

Blephamide, 25

Bydureon, 15

Caresens N Blood Glucose Test Strips, 36

Blephamide S.o.p., 25

Byetta, 15

Blood Glucose Test Strips, 36

Bystolic, 7

carisoprodol, 24

Blood Glucose Test Strips Premium, 36

C

Carisoprodol, 25

Bloxiverz, 25

carisoprodol/aspirin, 24

cabergoline, 16

Boniva, 15

carisoprodol/aspirin/codeine, 24

Caduet, 9

Boostrix, 31

Carmol-HC, 11

Cafcit, 23

Boric Acid, 12

Carnitor, 16

Cafergot, 29

Bosulif, 5

Carnitor SF, 16

caffeine citrate, 23

Botox, 24

carteolol HCL, 25

Caffeine/Sodium Benzoate, 23

Bravelle, 16

carvedilol, 6

Calan, 7

Breatherite, 37

Cascara Sagrada, 17

Calan SR, 7

Breatherite Collapsible Adult Spacer W/Mask, 37

Casodex, 5

calcipotriene, 11

Cataflam, 28

calcitonin salmon, 15

Breatherite Collapsible Child Spacer W/Mask, 37

Catapres, 8

calcitonin-salmon, 15

Catapres-tts-1, 8

Calcitriol, 11

Breatherite Collapsible Infant Spacer W/Mask, 37

Catapres-tts-2, 8

calcitriol, 16

Catapres-tts-3, 8

calcium acetate, 18

Breatherite Collapsible Small Child Spacer W/Mask, 37

Cathflo Activase, 21

Calcium Folinate, 6

Cavan-alpha Kit, 32

Caldolor, 28

Breatherite Collapsible Spacer W/ Neonate Mask, 37

Caverject, 9

Cambia, 29

Caverject Impulse, 9

Campath, 5

Breatherite Rigid Spacer W/Mask, 37

Cayston, 4

Campral, 24

Breatherite W/Large Mask, 37

Cedax, 1

Camptosar, 6

Breatherite W/Medium Mask, 37

Ceenu, 4

Canasa, 18

Breatherite W/Small Mask, 37

cefaclor, 1

Cancidas, 2

Breo Ellipta, 30

Cefaclor, 1

candesartan cilexetil, 8

Brevibloc, 7

Cefaclor ER, 1

candesartan cilexetil/hydrochlorothiazide, 8

Brevicon-28, 14

cefadroxil, 1

Brilinta, 20

cefazolin sodium, 1

Cantil, 17

brimonidine tartrate, 26

Cefazolin Sodium, 1

Capastat Sulfate, 2

Brintellix, 22

Cefazolin Sodium/Dextrose, 1

Capex, 11

Brisdelle, 24

cefdinir, 1

Caphosol, 21

Bromday, 26

Cefditoren Pivoxil, 1

Capital/Codeine, 27

bromfenac, 26

cefepime, 1

Caprelsa, 5

Bromfenac, 26

Cefepime, 1

captopril, 7

bromocriptine mesylate, 24

cefotaxime sodium, 1

Captopril/Hydrochlorothiazide, 8

Brompheniramine Tannate, 29

Cefotetan, 1

Carafate, 17

Brondil, 31

Cefotetan/Dextrose, 1

Carbaglu, 16

Brovana, 31

cefoxitin sodium, 1

carbamazepine, 23

budesonide, 13, 30

Cefoxitin Sodium, 1

carbamazepine ER, 23

Bullseye Safety Lancets, 33

cefpodoxime proxetil, 1

Carbaphen 12, 30

bumetanide, 8

cefprozil, 1

Carbaphen 12 PED, 30

Bupap, 27

ceftazidime, 1

Carbatrol, 23

Buphenyl, 16

Ceftazidime, 1

carbidopa/levodopa, 24

bupivacaine HCL, 29

Ceftazidime/Dextrose, 1

carbidopa/levodopa CR, 24

bupivacaine/epinephrine, 29

Ceftibuten, 1

carbidopa/levodopa ER, 24

Buprenex, 27

Ceftin, 1

carbidopa/levodopa odt, 24

buprenorphine HCL, 27

Ceftriaxone IN Iso-osmotic Dextrose, 1

carbidopa/levodopa SR, 24

buprenorphine HCL/naloxone HCL, 27

ceftriaxone sodium, 1

Carbidopa/Levodopa/Entacapone, 24

Ceftriaxone/Dextrose, 1

Cipro, 2

clobetasol propionate emollient, 11

cefuroxime axetil, 1

Cipro HC, 26

Clobex, 11

cefuroxime sodium, 1

Cipro I.V.-IN D5W, 2

Clocortolone Pivalate, 11

Cefuroxime Sodium, 1

Cipro XR, 2

Clocortolone Pivalate P.M., 11

Cefuroxime/Dextrose, 1

Ciprodex, 26

Cloderm, 11

Celebrex, 28

ciprofloxacin, 2

Cloderm P.M., 11

Celestone, 13

Ciprofloxacin, 26

Clolar, 4

Celestone-soluspan, 13

ciprofloxacin ER, 2

Clomid, 16

Celexa, 22

ciprofloxacin HCL, 2, 25

clomiphene citrate, 16

Cellcept, 5

ciprofloxacin I.V.-IN D5W, 2

clomipramine HCL, 21

Cellcept Intravenous, 5

cisatracurium besylate, 24

clonazepam, 23

Celontin, 23

cisplatin, 4

clonazepam odt, 23

Cem-urea, 12

Cisplatin, 4

clonidine HCL, 8

Cenestin, 13

citalopram hydrobromide, 21

clonidine HCL ER, 23

Cenfol, 19

Citranatal 90 DHA, 32

clopidogrel, 20

Centany, 10

Citranatal Assure, 32

clorazepate dipotassium, 21

Centany AT, 10

Citranatal B-calm, 32

Clorpres, 8

Centratex, 19

Citranatal DHA, 32

clotrimazole, 10, 21

cephalexin, 1

Citranatal Harmony, 32

clotrimazole/betamethasone dipropionate, 10

Cephalexin, 1

Citranatal RX, 32

Cerebyx, 23

citric acid/sodium citrate, 19

clozapine, 22

Cerezyme, 19

Citrolith, 19

Clozapine Odt, 22

Cerubidine, 4

cladribine, 4

Clozaril, 22

Cervarix, 31

Claforan, 1

Cnl8 Nail Kit, 10

Cervidil, 27

Claforan/D5W, 1

CO-natal Fa, 32

Cesamet, 18

Claravis, 10

Coaguchek Lancets, 34

cetirizine HCL, 29

Clarifoam EF, 10

Coal TAR, 12

Cetraxal, 26

Clarinex, 29

Coartem, 3

Cetrotide, 16

Clarinex Reditabs, 29

Coca Cola Syurp, 18

cevimeline HCL, 21

Clarinex-d 12 HOUR, 30

Cocaine HCL, 12

Chemet, 37

Clarinex-d 24 HOUR, 30

Cod Liver Oil, 32

Chenodal, 18

clarithromycin, 1

Codeine Phosphate, 27

Chloral Hydrate, 22

clarithromycin ER, 1

Codeine Sulfate, 27

Chloramphenicol Sodium Succinate, 4

Cleanlet Lancets 28G, 34

Cogentin, 24

chlordiazepoxide HCL, 21

clemastine fumarate, 29

Colazal, 18

Chlordiazepoxide/Amitriptyline, 24

Clemastine Fumarate, 29

Colcrys, 29

chlorhexadine gluconate oral rinse, 21

Cleocin, 4, 19

Colestid, 9

chlorhexidine gluconate, 21

Cleocin IN D5W, 4

Colestid Flavored, 9

chlorhexidine gluconate oral rinse, 21

Cleocin Pediatric Granules, 4

colestipol HCL, 9

chloroprocaine HCL, 29

Cleocin Phosphate, 4

colestipol HCL for oral suspension, 9

chloroquine phosphate, 3

Cleocin-t, 10

colistimethate sodium, 3

chlorothiazide, 8

Clever Chek Auto-code Test Strips, 36

Coly-mycin M, 4

Chlorothiazide, 8

Clever Chek Auto-code Voice Test Strips, 36

Coly-mycin S, 26

chlorothiazide sodium, 8

Colyte-flavor Packs, 17

chlorpromazine HCL, 22

Clever Chek Lancets Ultrathin, 34

Combigan, 25

Chlorpromazine HCL, 22

Clever Chek Lancets Ultrathin 30G, 34

Combipatch, 13

Chlorpropamide, 15

Clever Chek Test Strips, 36

Combivent, 30

Chlorthalidone, 8

Clever Choice Auto-code Pro Test Strips, 36

Combivent Respimat, 30

chlorzoxazone, 24

Combivir, 3

Choice DM Fora G20 Test Strips, 36

Clever Choice Micro Test Strips, 36

Cometriq, 5

cholestyramine, 9

Cleviprex, 7

Comfort Lancets, 34

cholestyramine light, 9

Climara, 14

Complera, 3

choline magnesium trisalicylate, 27

Climara Pro, 14

Comtan, 24

chorionic gonadotropin, 16

Clindacin Etz, 10

Comvax, 31

Cialis, 9

Clindacin PAC, 10

Concept DHA, 32

Ciclodan Cream Kit, 10

Clindagel, 10

Concept OB, 32

Ciclodan Solution Kit, 10

clindamycin HCL, 3

Concerta, 23

ciclopirox, 10

clindamycin palmitate HCL, 3

Condylox, 12

ciclopirox nail lacquer, 10

clindamycin phosphate, 3, 10, 19

Control AST, 36

ciclopirox olamine, 10

Clindamycin Phosphate, 4

Control Test Strips, 36

Ciclopirox Topical Solution Kit, 10

clindamycin phosphate add-vantage, 3

Conzip, 27

cidofovir, 3

clindamycin phosphate IN D5W, 3

Copaxone, 24

cilostazol, 20

clindamycin phosphate pharmacy bulk package, 3

Copegus, 3

Ciloxan, 25

Cordarone, 7

cimetidine, 17

clindamycin/benzoyl peroxide, 10

Cordran, 11

cimetidine HCL, 17

Clindesse, 19

Cordran SP, 11

Cimzia, 18

Clinoril, 28

Cordran Tape, 11

Cimzia Starter Kit, 18

clobetasol propionate, 11

Coreg, 7

Coreg CR, 7

Dantrium, 25

Dexedrine, 23

Corgard, 7

Dantrium IV, 25

Dexilant, 17

Corifact, 20

dantrolene sodium, 24

dexmethylphenidate HCL, 23

Corlopam, 8

Dapsone, 4

dexmethylphenidate HCL ER, 23

Cortef, 13

Daptacel, 31

Dexpak 10 Day, 13

Cortenema, 18

Daraprim, 3

Dexpak 13 Day, 13

Cortifoam, 18

daunorubicin HCL, 4

Dexpak 6 Day, 13

Cortisone Acetate, 13

Daunoxome, 4

Dexpanthenol, 18

Cortisporin, 10, 26

Daypro, 28

dexrazoxane, 6

Cortisporin-tc, 26

Daytrana, 23

dextroamphetamine sulfate, 23

Corvert, 7

Ddavp, 16

dextroamphetamine sulfate ER, 23

Corvite, 32

Debacterol, 21

Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 30

Corvite 150, 19

Decara, 32

Corzide, 8

decitabine, 4

Cosmegen, 4

Decon-a, 30

Diabeta, 15

Cosopt, 25

Delatestryl, 13

Dialyvite 3000, 32

Cosopt PF, 25

Delestrogen, 14

Dialyvite 5000, 32

Cotab A, 30

Delos, 10

Dialyvite Supreme D, 32

Cotab AX, 30

Delzicol, 18

Dialyvite/Zinc, 32

Cotabflu, 30

Demadex, 9

Diamox, 9

Coumadin, 20

demeclocycline HCL, 2

Diastar Easy Test II Lancets 30G, 34

Cozaar, 8

Demerol, 27

Diastar Easy Test Lancets30G, 34

Cpb Wc, 30

Demser, 8

Diastat Acudial, 23

Creon, 18

Denavir, 11

Diastat Pediatric, 23

Crestor, 9

Depacon, 23

Diatx ZN, 32

Cresylate, 26

Depakene, 23

diazepam, 21

Crinone, 19

Depakote, 23

Diazepam, 21, 23

Crixivan, 3

Depakote ER, 23

Diazepam Intensol, 21

Crnatal, 32

Depakote Sprinkles, 23

Dibenzyline, 8

cromolyn sodium, 18, 26, 30

Depo-estradiol, 14

Diclegis, 18

Cubicin, 4

Depo-medrol, 13

diclofenac potassium, 28

Curosurf, 31

Depo-provera, 5

diclofenac sodium, 26

Cutivate, 11

Depo-testosterone, 13

diclofenac sodium DR, 28

Cuvposa, 17

Depocyt, 4

diclofenac sodium ER, 28

cyanocobalamin, 19

Derma-smoothe/FS Body, 11

diclofenac sodium XR, 28

Cyanocobalamin, 19

Derma-smoothe/FS Body Oil, 11

diclofenac sodium/misoprostol, 28

Cyclessa, 14

Derma-smoothe/FS Scalp, 11

dicloxacillin sodium, 1

Cyclobenzaprine Comfort PAC, 25

Derma-smoothe/FS Scalp Oil, 11

dicyclomine HCL, 17

cyclobenzaprine HCL, 24

Dermasorb HC, 11

Dicyclomine HCL, 17

Cyclogyl, 26

Dermasorb Ta, 11

didanosine, 3

Cyclomydril, 26

Dermasorb XM, 12

Didronel, 15

cyclopentolate HCL, 26

Dermatop, 11

Differin, 10

Cyclophosphamide, 4

Dermotic, 26

Dificid, 1

Cycloserine, 2

desipramine HCL, 21

diflorasone diacetate, 11

cyclosporine, 5

desloratadine, 29

Diflorasone Diacetate, 12

cyclosporine modified, 5

desloratadine odt, 29

Diflucan, 2

Cyclosporine Modified, 5

desmopressin acetate, 16

diflunisal, 27

Cyklokapron, 20

Desogen, 14

Digex NF, 17

Cymbalta, 21

desogestrel/ethinyl estradiol, 14

digoxin, 6

cyproheptadine HCL, 29

Desonate, 12

Digoxin, 6

Cystadane, 16

desonide, 11

dihydroergotamine mesylate, 28

Cystagon, 19

Desowen, 12

Dihydroergotamine Mesylate, 29

Cystaran, 26

Desowen Cream/Cetaphil Lotion, 12

Dilacor XR, 7

cytarabine, 4

Desowen Lotion/Cetaphil Cream, 12

Dilantin, 23

Cytarabine, 4

Desowen Ointment/Cetaphil Lotion, 12

Dilantin Infatabs, 23

cytarabine aqueous, 4

desoximetasone, 11

Dilatrate SR, 6

Cytomel, 17

Desoximetasone, 12

Dilaudid, 27

Cytotec, 17

Desoxyn, 23

Dilaudid-HP, 27

Cytovene, 3

Desvenlafaxine ER, 22

diltiazem CD, 7

Cytra-3, 19

Detrol, 19

diltiazem HCL, 7

D

Detrol LA, 19

Diltiazem HCL, 7

dexamethasone, 13

diltiazem HCL ER, 7

D.h.e. 45, 29

Dexamethasone, 13

Dimenhydrinate, 18

dacarbazine, 6

Dexamethasone Intensol, 13

Diovan, 8

Dacarbazine, 6

dexamethasone sodium phosphate, 13, 25

Diovan HCT, 8

Dacogen, 4

Dipentum, 18

dactinomycin, 4

Dexamethasone Sodium Phosphate, 13

diphenhydramine HCL, 29

Daliresp, 30

Dexchlorpheniramine Maleate, 29

diphenoxylate/atropine, 17

danazol, 13

Diphenoxylate/Atropine, 17

Duavee, 14

Activated, 34

Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 31

Duet DHA, 32

Easy Touch Safety Lancets26G/Button Activated, 34

Duet DHA 400, 32

Diprolene, 12

Duet DHA 400EC, 32

Easy Touch Safety Lancets26G/Pressure Activated, 34

Diprolene AF, 12

Duet DHA 430, 32

dipyridamole, 20

Duet DHA 430EC, 32

Easy Touch Safety Lancets28G/Button Activated, 34

disopyramide phosphate, 7

Duet DHA Balanced, 32

disulfiram, 24

Duet DHA EC, 32


Ditropan XL, 19

Duetact, 15

Diuril, 9

Duexis, 28

Easy Twist & CAP Lancets, 34

divalproex sodium, 23

Dulera, 30

Easygluco, 36

divalproex sodium DR, 23

duloxetine HCL, 21

Easymax 15 Test Strips, 36

divalproex sodium ER, 23

Duo-care Test Strips, 36

Easymax Test Strips, 36

Divigel, 14

Duocaine, 29

Easypro Blood Glucose Test Strips, 36

Divista, 19

Duoneb, 31

Easypro Plus, 36

dobutamine HCL, 9

Duragesic, 27

Easytest II Lancets, 34

dobutamine HCL/D5W, 9

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 29

Easytest Lancets, 34

dobutamine/dextrose 5%, 9

EC-naprosyn, 28

Dobutamine/Dextrose 5%, 9

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 29

Eclipse Test Strips, 36

Docefrez, 5

econazole nitrate, 10

Docetaxel, 5

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 29

Ecoza, 10

Dolgic Plus, 27

Ed Chlorped, 29

Dologesic, 27

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 29

Ed Cyte F, 19

Dolophine, 27

Ed-chlor-tan, 29

Dolophine HCL, 27

Durezol, 25

Edarbi, 8

Donatuss Dc, 30

Dutoprol, 8

Edarbyclor, 8

donepezil HCL, 24

Dyazide, 9

Edecrin, 9

dopamine HCL, 9

Dymista, 29

Edex, 9

Dopamine HCL, 9

Dynacin, 2

Edluar, 22

dopamine HCL-dextrose 5%, 9

Dyrenium, 9

Edurant, 3

dopamine HCL/dextrose 5%, 9

Dysport, 24

Effexor XR, 22

dopamine/D5W, 9

E

Effient, 20

Dopram, 23

Egrifta, 16

E-z Ject Lancets, 34

Doral, 22

Elaprase, 16

E-z Ject Lancets 21G, 34

Doribax, 4

Eldepryl, 24

E-z Ject Lancets Color, 34

Doryx, 2

Elelyso, 19

E-z Ject Lancets Super Thin, 34

dorzolamide HCL, 26

Element Plus Test Strips, 36

E-z Ject Lancets Super Thin 30G, 34

dorzolamide HCL/timolol maleate, 25

Element Test Strips, 36

E-z Ject Lancets Thin 26G, 34

Dovonex, 11

Elenzapatch, 12

E-z Spacer, 37

doxapram HCL, 23

Elestat, 26

E-z Spacer The Body Guards Pack, 37

doxazosin mesylate, 8

Elestrin, 14

E-ZJECT Lancets Micro-thin 33G, 34

doxepin HCL, 21

Eletone, 12

E.e.s. 400, 1

Doxepin HCL, 22

Elidel, 12

E.e.s. Granules, 1

doxercalciferol, 16

Eligard, 5

Easivent, 37

Doxil, 4

Elimite, 12

Easivent/Mask-large, 37

doxorubicin HCL, 4

Eliphos, 18

Easivent/Mask-medium, 37

doxorubicin HCL liposome, 4

Eliquis, 20

Easivent/Mask-small, 37

doxycycline, 2

Elite OB With DHA, 32

Easy Step Test Strips, 36

doxycycline hyclate, 2

Elite-OB, 32

Easy Touch Glucose Test Strips, 36

Doxycycline Hyclate, 2

Elite-OB 400, 32

Easy Touch Lancets 21G/Pressure Activated, 34

doxycycline hyclate DR, 2

Elitek, 6

doxycycline monohydrate, 2

Elixophyllin, 31


Doxytex, 29

Ella, 14

Drisdol, 32

Ellence, 4


Dritho-creme HP, 11

Elmiron, 19

dronabinol, 18

Elocon, 12


droperidol, 21

Eloxatin, 4

Droplet Lancets Ultra Thin 30G, 34

Elspar, 4

Easy Touch Lancets 28G/Twist, 34

drospirenone/ethinyl estradiol, 14

Emadine, 26


Droxia, 19

Embrace Blood Glucose Test Strips, 36

Drug Mart On-the-go Lancets Gentle 30G, 34

Emcyt, 5


Emend, 18


Drug Mart Unilet Lancets Super Thin 30G, 34

Emla, 12

Emsam, 22


Drug Mart Unilet Lancets Ultra Thin 28G, 34

Emtriva, 3


Emulsion SB, 12


Drysol, 12

Enablex, 19

Duac, 10

enalapril maleate, 7

Easy Touch Safety Lancets23G/Pressure

enalapril maleate/hydrochlorothiazide, 8

Estrasorb, 14

Fasttake Test Strips, 34

enalaprilat, 7

Estring, 19

Fazaclo, 22

Enbrel, 28

Estrogel, 14

Feiba NF, 20

Enbrel Sureclick, 28

estropipate, 13

Feiba VH Immuno, 20

Endometrin, 19

Estropipate, 14

felbamate, 23

Engerix-b, 31

Estrostep FE, 14

Felbatol, 23

Enjuvia, 13

ethambutol HCL, 2

Feldene, 28

Enlon, 25

ethosuximide, 23

felodipine ER, 7

Enlon-plus, 25

Ethyl Chloride, 12

Fem PH, 19

enoxaparin sodium, 20

Ethyl Chloride/Fine Pinpoint, 12

Femara, 5

entacapone, 24

Ethyl Chloride/Fine Stream, 12

Femcon FE, 14

Entereg, 18

Ethyl Chloride/Medium Jet Stream, 12

Femhrt Low Dose, 14

Entocort EC, 13

Ethyl Chloride/Medium Stream, 12

Femring, 19

Envision Autocode Test Strips, 36

Ethyl Chloride/Mist, 12

fenofibrate, 9

Epaned, 7

Ethyol, 6

fenofibrate micronized, 9

ephedrine sulfate, 9

Etidronate Disodium, 15

Fenofibric Acid, 9

Epiceram, 12

etodolac, 28

fenofibric acid DR, 9

Epiduo, 10

etodolac ER, 28

Fenoglide, 9

Epifoam, 12

Etopophos, 5

fenoldopam mesylate, 8

epinastine HCL, 26

etoposide, 5

Fenoprofen Calcium, 28

Epinephrine, 9

Etoposide, 5

fentanyl, 27

epinephrine HCL, 30

Euflexxa, 25

fentanyl citrate oral transmucosal, 27

Epipen 2-PAK, 9

Eurax, 12

Fentora, 27

Epipen-JR 2-PAK, 9

Evamist, 13

Feraheme, 19

epirubicin HCL, 4

Evencare + Blood Glucose Test Strip, 36

Feriva, 20

Epirubicin HCL, 4

Evencare Blood Glucose Test Strip, 36

Ferivafa, 20

episone CRE, 12

Evencare G2 Test Strips, 36

Ferralet 90, 20

Epivir, 3

Evencare G3 Test Strips, 36

Ferrex 150 Forte Plus, 19

Epivir HBV, 3

Evicel, 20

Ferrex 28, 19

eplerenone, 8

Evista, 16

Ferriprox, 37

Epogen, 19

Evithrom, 20

Ferrlecit, 20

epoprostenol sodium, 9

Evoclin, 10

Ferro-plex Hematinic, 20

eprosartan mesylate, 8

Evolution Autocode, 36

Ferrotrin, 20

Epzicom, 3

Evoxac, 21

Fetzima, 22

Eql Truetrack Test, 36

Exactech R-s-G Test Strips, 36

Fetzima Titration Pack, 22

Equagesic, 27

Exactech Test Strips, 36

Fexmid, 25

Equetro, 22

Exactuss, 30

Fibricor, 9

Eraxis, 2

Exalgo, 27

Fifty50 Glucose Test Strip 2.0, 36

Erbitux, 5

Exelderm, 10

Fifty50 Safety Seal Lancets 30G, 34

ergocalciferol, 31

Exelon, 24

Fifty50 Safety Seal Lancets 32G, 34

Ergoloid Mesylates, 24

exemestane, 5

Finacea, 10

Ergomar, 29

Exforge, 8

Finacea Plus, 10

Ertaczo, 10

Exforge HCT, 8

finasteride, 19

Erwinaze, 4

Exjade, 37

Fine 30, 34

Ery-TAB, 1

Exparel, 29

Fingerstix Lancets, 34

Erygel, 10

Extavia, 24

Fioricet, 27

Eryped 200, 1

Extina, 10

Fioricet/Codeine, 27

Eryped 400, 1

EZ Smart Blood Glucose Lancets, 34

Fiorinal, 27

Erythrocin Lactobionate, 1

EZ Smart Blood Glucose Test Strips, 36

Fiorinal/Codeine #3, 27

Erythrocin Stearate, 1

EZ Smart Plus Blood Glucose Test Strips, 36

Firazyr, 21

erythromycin, 1, 10, 25

Firmagon, 5

Erythromycin Base, 1

EZ-lets Lancets 21G, 34

First-bxn Mouthwash, 21

Erythromycin Ethylsuccinate, 1


First-dukes Mouthwash, 21

erythromycin/benzoyl peroxide, 10

EZ-lets Lancets 26G Super-soft, 34

First-hydrocortisone, 12

erythromycin/sulfisoxazole, 3

EZ-lets Lancets 28G Ultra-soft, 34

First-lansoprazole, 17

Escavite, 32


First-marys Mouthwash, 21

Escavite LQ, 32

F

First-mouthwash Blm, 21

escitalopram oxalate, 21

First-omeprazole, 17

Fabior, 10

Esgic, 27

First-progesterone VGS 100 Compounding Kit, 19

Fabrazyme, 16

Esgic-plus, 27

Factive, 2

esmolol HCL, 6


famciclovir, 3

esomeprazole sodium, 17

famotidine, 17

Esomeprazole Strontium, 17


Famotidine Premixed, 17

estazolam, 22

Famvir, 3

Estrace, 14, 19


Fanapt, 22

estradiol, 13

Fanapt Titration Pack, 22

estradiol valerate, 13


Fareston, 5

estradiol/norethindrone acetate, 13

Faslodex, 5

First-testosterone, 13

Fluzone Intradermal, 31

Freestyle Insulinx Blood Glucose Test Strips, 36

First-testosterone Mc Compounding Kit, 13

Fluzone Pediatric PF 2012-2013, 31

Fluzone Pediatric PF 2013-2014, 31

Freestyle Lancets, 34

Flagyl, 4

Fluzone PF 2012-2013, 31

Freestyle Lite Test Strips, 36

Flagyl ER, 4

Fluzone PF 2013-2014, 31

Freestyle Test Strips, 36

Flarex, 25

Fluzone Quadrivalent 2013-2014, 31

Freestyle Unistick II Lancets, 34

flavoxate HCL, 19

Fluzone Split 2012-2013, 31

Frova, 29

flecainide acetate, 7

Fluzone Split 2013-2014, 31

Fulyzaq, 17

Flector, 11

FML, 25

Furadantin, 18

Flexeril, 25

FML Forte, 25

furosemide, 8

FLO-pred, 13

FML Liquifilm, 25

Furosemide, 9

Flolan, 9

Focalin, 23

Fusilev, 6

Flomax, 19

Focalin XR, 23

Fusion Plus, 20

Flonase, 29

Folbecal, 32

Fuzeon, 3

Flovent Diskus, 31

Folcaps Omega 3, 32

Fycompa, 23

Flovent HFA, 31

Folgard OS, 32

G

floxuridine, 4

Folgard RX, 20

gabapentin, 23

Fluarix 2012-2013, 31

folic acid, 19

Gabavale-5, 21

Fluarix 2013-2014, 31

Folic Acid, 20

Gabazolamine, 21

Fluarix Quadrivalent 2013-2014, 31

folic acid/vitamin b-6/vitamin b-12, 19

Gabazolamine-0.5, 21

Flublok 2013-2014, 31

Folivane-EC Calcium DHA NF, 32

Gabazolpidem-5, 22

Flucelvax 2012-2013, 31

Folivane-f, 20

Gabitidine, 17

Flucelvax 2013-2014, 31

Folivane-OB, 32

Gabitril, 23

fluconazole, 2

Folivane-plus, 20

Gablofen, 25

fluconazole IN dextrose, 2

Folivane-prx DHA NF, 32

Gaboxetine, 22

fluconazole IN NACL, 2

Follistim AQ, 16

galantamine, 24

Fluconazole IN NACL, 2

Folotyn, 4

galantamine hydrobromide, 24

flucytosine, 2

Foltrate, 20

ganciclovir, 3

Fludara, 4

fondaparinux sodium, 20

Ganirelix Acetate, 16

fludarabine phosphate, 4

Fora D10 Blood Glucose Test Strips, 36

Ganite, 15

Fludarabine Phosphate, 4

Fora D15c Blood Glucose Test Strips, 36

Garamycin, 25

fludrocortisone acetate, 13

Fora D15G Blood Glucose Test Strips, 36

Gardasil, 31

Flulaval 2012-2013, 31

Gastrinex NF, 17

Flulaval 2013-2014, 31

Fora D15z Blood Glucose Test Strips, 36

Gastrocrom, 18

Flulaval Quadrivalent 2013-2014, 31

Fora D20 Blood Glucose Test Strips, 36

gatifloxacin, 25

Flumadine, 3

Fora G20 Blood Glucose Test Strips, 36

Gattex, 18

Flumist Nasal Vaccine 2012-2013, 31

Fora G30a Blood Glucose Test Strips, 36

Gazyva, 5

Flumist Quadrivalent, 31

Fora G71a Blood Glucose Test Strips, 36

Gebauers Pain Ease, 12

flunisolide, 29

Fora G90 Blood Glucose Test Strips, 36

Gebauers Spray And Stretch, 12

Flunisolide, 29

Fora GD20 Test Strips, 36

Gel-kam Oral Care Rinse, 21

fluocinolone acetonide, 11, 26

Fora Lancets, 34

Gelclair, 21

fluocinolone acetonide ear drops, 26

Fora V10 Blood Glucose Test Strips, 36

Gelnique, 19

fluocinonide, 11


Gelx, 21

fluocinonide emollient base, 11


Gemcitabine, 5

fluocinonide-e, 11


gemcitabine HCL, 4

fluorometholone, 25

Fora V30a Blood Glucose Test Strips, 36

gemfibrozil, 9

fluorouracil, 4

Foracare GD40, 36

Gemzar, 5

fluoxetine, 24

Foracare Premium V10 Teststrips, 36

Genadur, 12

fluoxetine DR, 21

Foracare Test N Go Test Strips, 36

Genadur Kit, 12

fluoxetine HCL, 21

Foradil Aerolizer, 30

gene-xene TAB 15MG, 21

Fluoxetine HCL, 22

Forfivo XL, 22

gene-xene TAB 3.75MG, 21

Fluphenazine Decanoate, 22

Fortamet, 15

gene-xene TAB 7.5MG, 21

fluphenazine HCL, 22

Fortavit, 32

Generess FE, 14

Fluphenazine HCL, 22

Fortaz, 1

Genotropin, 16

flurazepam HCL, 22

Forteo, 15

Genotropin Miniquick, 16

flurbiprofen, 28

Fortesta, 13

gentamicin sulfate, 2, 25

flurbiprofen sodium, 26

Fortical, 15

Gentamicin Sulfate, 10

flutamide, 5

Fosamax, 15

gentamicin sulfate pediatric, 2

fluticasone propionate, 11, 29

Fosamax Plus D, 15

gentamicin sulfate/0.9% sodium chloride, 2

fluvastatin, 9

Foscarnet Sodium, 3

Fluvirin 2012-2013, 31

Foscavir, 3

Gentamicin Sulfate/0.9% Sodium Chloride, 2

Fluvirin 2013-2014, 31

fosinopril sodium, 7

Fluvirin PF 2012-2013, 31

fosinopril sodium/hydrochlorothiazide, 8

gentamicin sulfate/sodium chloride, 2

Fluvirin PF 2013-2014, 31

fosphenytoin sodium, 23

Gentle-let GP Lancets, 34

fluvoxamine maleate, 21

Fosrenol, 18

Gentle-let Lancets General Purpose Style/Fine Point, 34

fluvoxamine maleate ER, 21

Fragmin, 20

Fluzone High-dose PF 2012-2013, 31

Freestyle Insulinx Blood Glucose Test, 36

Gentle-let Lancets General Purpose Style/Medium Point, 34

Fluzone High-dose PF 2013-2014, 31

Gentle-let Lancets Safety Style/Fine Point, 34

Grifulvin V, 2

homatropine HBR, 26

Gris-peg, 2

Horizant, 24

Gentle-let Lancets Safety Style/Medium Point, 34

griseofulvin microsize, 2

HPR, 12

griseofulvin ultramicrosize, 2

HPR Plus, 12

Geodon, 22

guanfacine HCL, 8

HPR Plus/Mb Hydrogel, 12

Gesticare DHA, 32

Guanidine HCL, 25

Humalog, 14

Giazo, 18

Gynazole-1, 19

Humalog Kwikpen, 14

Gilenya, 24

H

Humalog Mix 50/50, 14

Gilotrif, 5

Humalog Mix 50/50 Kwikpen, 14

H&h Thinlet Lancets 26G, 34

Gilphex TR, 30

Humalog Mix 75/25, 14

H&h Thinlet Super Thin Lancets 30G, 34

Giltuss, 30

Humalog Mix 75/25 Kwikpen, 14

Haemolance, 34

Giltuss PED-c, 30

Humate-p, 20

Haemolance Low Flow Lancets, 34

Giltuss Pediatric, 30

Humatrope, 16

Haemolance Plus, 34

Giltuss TR, 30

Humatrope Combo Pack, 16

Haemolance Plus High Flow, 34

Glassia, 31

Humira, 28

Haemolance Plus Low Flow, 34

Gleevec, 5

Humira Pen, 28

Haemolance Plus Max Flow, 34

Gliadel Wafer, 4

Humira Pen-crohns Diseasestarter, 28

Haemolance Plus Pediatric Flow, 34

glimepiride, 15

Humira Pen-psoriasis Starter, 28

Halaven, 5

glipizide, 15

Humulin 70/30, 14

Halcion, 22

glipizide ER, 15

Humulin 70/30 Kwikpen, 14

Haldol, 22

glipizide/metformin HCL, 15

Humulin 70/30 Pen, 14

Haldol Decanoate 100, 22

Glucagen, 15

Humulin N, 14

Haldol Decanoate 50, 22

Glucagen Hypokit, 15

Humulin N Kwikpen, 14

Halflytely Bowel Prep/Flavor Packs, 17

Glucagon Emergency Kit, 15

Humulin N U-100 Pen, 14

Halfprin, 27

Gluco Perfect 3 Test Strips, 36

Humulin R, 14

halobetasol propionate, 11

Glucocard 01 Sensor, 36

Humulin R U-500 (concentrated), 14

Halog, 12

Glucocard 01 Test Strips, 36

Hy-vee Lancets, 34

Halonate, 12

Glucocard Expression Blood Glucose Test Strips, 36

Hyalgan, 25

haloperidol, 22

Hycamtin, 6

haloperidol decanoate, 22

Glucocard Vital Test Strips, 36

Hycet, 27

haloperidol lactate, 22

Glucocard X-sensor, 36

hydralazine HCL, 8

Halotin, 10

Glucocom Lancets 28G, 34

Hydrea, 6

Havrix, 31


Hydro 35, 12

Hectorol, 16


Hydro 40 Foam, 12

Helidac, 17

Glucocom Test Strips, 36

hydrochloric acid, 19

Helixate FS, 20

Glucolab Test Strips, 36

hydrochlorothiazide, 8

Hemabate, 27

Gluconavii Blood Glucose Test Strips, 36

hydrocodone bitartrate/acetaminophen, 27

Hematogen Fa, 20

Glucophage, 15

Hematron-AF, 20

Glucophage XR, 15

Hydrocodone Bitartrate/Acetaminophen, 27

Hemocyte Plus, 20

Glucosource Lancets, 34

Hemocyte-f, 20

Glucotrol, 15

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 30

Hemofil M, 20

Glucotrol XL, 15

heparin lock, 20

Glucovance, 15

hydrocodone bitartrate/homatropine methylbromide, 30

heparin lock flush, 20

Glumetza, 15

Heparin Lock Flush, 20

glyburide, 15

hydrocodone polistirex/chlorpheniramine polistirex, 30

heparin lock flush for flushing vascular access devices, 20

Glyburide, 15

glyburide micronized, 15

hydrocodone/acetaminophen, 27

heparin lock flush/NACL for flushing vascular access devices, 20

glyburide/metformin HCL, 15

Hydrocodone/Acetaminophen, 27

Glycate, 17

hydrocodone/homatropine, 30

heparin sodium, 20

Glycolic Acid, 11

hydrocodone/ibuprofen, 27

Heparin Sodium, 20

Glycolic Acid 70% High Purity, 11

hydrocort ene 100MG, 18

heparin sodium dcu, 20

glycopyrrolate, 17

hydrocortisone, 11, 13, 18

heparin sodium lock flush, 20

Glynase, 15

hydrocortisone acetate/aloe, 11

heparin sodium/D5W, 20

Glyset, 15

hydrocortisone acetate/pramoxine, 18

Heparin Sodium/D5W, 20

Gmate Blood Glucose Test Strips, 36

hydrocortisone butyrate, 11

Heparin Sodium/NACL 0.45%, 20

Golytely, 17

hydrocortisone butyrate (lipid), 11

heparin sodium/NACL 0.9%, 20

Gonal-f, 16

hydrocortisone butyrate (lipophilic), 11

Heparin Sodium/Sodium Chloride 0.9%, 20

Gonal-f RFF, 16

hydrocortisone IN absorbase, 11

Gonal-f RFF Pen, 16

hydrocortisone valerate, 11

heparin sodium/sodium chloride 0.9% premix, 20

Gonal-f RFF Rediject, 16

hydrocortisone/acetic acid, 26

Gordofilm, 12

hydromorphone HCL, 27

Hepsera, 3

Gordons Urea, 12

Hydromorphone HCL, 27

Herceptin, 5

Gralise, 24

Hydromorphone HCL Dosette, 27

Hespan, 21

Gralise Starter, 24

Hydroxocobalamin, 20

hetastarch 6%/NACL, 20

granisetron HCL, 18

hydroxychloroquine sulfate, 3

Hexalen, 4

Granisol, 18

hydroxyurea, 6

Hextend, 21

Granix, 20

hydroxyzine HCL, 21

Hiberix, 31

Green Soap, 12

Hydroxyzine HCL, 21

Hiprex, 18

hydroxyzine pamoate, 21

Inova, 10

Jevtana, 5

Hydroxyzine Pamoate, 21

Inova 4/1 Acne Control Therapy, 10

Jinteli, 14

Hylatopic, 12

Inova 8/2 Acne Control Therapy, 10

Juvisync, 15

Hylatopic Plus, 12

Inspirease Bags, 37

Juxtapid, 9

Hylatopic Plus/Aurstat, 12

Inspirease Drug Delivery System, 37

K

Hylira, 12

Inspirease Mouthpiece, 37

K-phos NO 2, 19

hyoscyamine sulfate, 17

Inspirease Reservoir Bags, 37

Kadcyla, 5

hyoscyamine sulfate ER, 17

Inspra, 8

Kadian, 27

hyoscyamine sulfate odt, 17

Insulin Syringe/0.5ML/30G X 5/16", 36

Kalbitor, 21

hyoscyamine sulfate SR, 17

Integra F, 20

Kaletra, 3

Hyper-sal, 30

Integra Plus, 20

Kalydeco, 31

Hypersal, 30

Integrilin, 21

Kanamycin Sulfate, 2

Hypertenevide-12.5, 7

Intelence, 3

Kapvay, 23

Hypertenipine-2.5, 7

Intermezzo, 23

Kapvay Dose Pack, 23

Hypertensolol, 8

Introl, 9

Kazano, 15

Hyzaar, 8

Intron-a, 6

Keflex, 1

I

Intron-a W/Diluent, 6

Kenalog, 12

Intuniv, 23

ibandronate sodium, 15

Kenalog-10, 13

Invanz, 4

Ibudone, 27

Kenalog-40, 13

Invega, 22

ibuprofen, 28

Kepivance, 6

Invega Sustenna, 22

Ibuprofen Comfort PAC, 28

Keppra, 23

Invirase, 3

ibutilide fumarate, 7

Keppra XR, 23

Invokana, 15

IC 400, 28

Kerafoam, 12

Iopidine, 26

IC 800, 28

Kerafoam 42, 12

Ipol Inactivated IPV, 31

Icar-c Plus, 20

Keralyt, 12

ipratropium bromide, 29, 30

Iclusig, 5

Keralyt Scalp, 12

ipratropium bromide/albuterol sulfate, 30

Idamycin PFS, 4

Kerlone, 7

Iprivask, 20

idarubicin HCL, 4

Ketek, 4

irbesartan, 8

Ifex, 4

ketoconazole, 2, 10

irbesartan/hydrochlorothiazide, 8

ifosfamide, 4

Ketodan Kit, 10

irinotecan, 6

Ifosfamide, 4

ketoprofen, 28

Iron, 20

Ifosfamide/Mesna, 6

Ketoprofen ER, 28

Irospan 24/6, 20

Ilaris, 28

ketorolac tromethamine, 26, 28

Isentress, 3

Ilevro, 26

Ketorolac Tromethamine, 28

isoniazid, 2

Imbruvica, 6

Khedezla, 22

Isoniazid, 2

Imdur, 6

Kineret, 28

Isoptin SR, 7

imipenem/cilastatin, 3

Kinlytic, 21

Isopto Atropine, 26

imipramine HCL, 21

Kinrix, 31

Isopto Carbachol, 26

imipramine pamoate, 21

Klaron, 10

Isopto Carpine, 26

imiquimod, 12

Klonopin, 23

Isopto Homatropine, 26

Imitrex, 29

Koate-dvi, 20

Isopto Hyoscine, 26

Imitrex Statdose Refill, 29

Kogenate FS, 20

Isordil Titradose, 6

Imitrex Statdose System, 29

Kogenate FS Bio-set, 20

isosorbide dinitrate, 6

Imovax Rabies (h.d.c.v.), 31

Kombiglyze XR, 15

Isosorbide Dinitrate, 6

Imuran, 5

Korlym, 15

isosorbide dinitrate ER, 6

Inatal Advance, 32

Kristalose, 17

isosorbide mononitrate, 6

Inatal GT, 32

Krystexxa, 29

isosorbide mononitrate ER, 6

Inatal Ultra, 32

Kuvan, 16

isotonic gentamicin, 2

Incivek, 3

Kynamro, 9

Isotonic Gentamicin, 2

Increlex, 16

Kyprolis, 5

Isradipine, 7

indapamide, 8

L

Istalol, 25

Inderal LA, 7

Istodax, 5

labetalol HCL, 7

Indocin, 28

Isuprel, 31

Lac-hydrin, 12

Indocin IV, 28

itraconazole, 2

Lacrisert, 25

indomethacin, 28

Ixempra Kit, 5

lactic acid, 12

Indomethacin, 28

Ixiaro, 31

lactic acid e, 12

indomethacin ER, 28

J

lactic acid w/vitamin e, 12

indomethacin sodium, 28

lactulose, 17, 18

Infanrix, 31

J-cof DHC, 30

Lamictal, 23

Infasurf, 31

J-max DHC, 30

Lamictal Chewable Dispersible, 23

Infergen, 3

Jakafi, 5

Lamictal Odt, 23

Infinity Blood Glucose Test Strips, 36

Jalyn, 19

Lamictal Starter/Not Taking Carbamazepine, 23

Influenza A (h1n1) Monovalent 2009, 31

Janumet, 15

Infumorph 200, 27

Janumet XR, 15

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 23

Infumorph 500, 27

Januvia, 15

Injectafer, 20

Je-vax, 31

Inlyta, 5

Jentadueto, 15

Lamictal Starter/Taking Valproate, 23

Innopran XL, 7

Jetrea, 26

Lamictal XR, 23

levonorgestrel/ethinyl estradiol, 14

Lomedia 24 FE, 14

Lamisil, 2

Levophed, 9

Lomotil, 17

Lamisil Spray, 11

Levorphanol Tartrate, 27

Lomustine, 4

lamivudine, 3

levothyroxine sodium, 17

loperamide HCL, 17

lamivudine/zidovudine, 3

Levothyroxine Sodium, 17

Lopid, 9

lamotrigine, 23

Levsin, 17

Lopressor, 7

lamotrigine ER, 23

Levsin/SL, 17

Lopressor HCT, 8

Lancets, 34

Lexapro, 22

Loprox, 11

Lancets 26G Twist Top, 34

Lexiva, 3

Loprox Shampoo, 11

Lancets 28G, 34

Lialda, 18

lorazepam, 21

Lancets 30G, 34

Liberty Next Generation Blood Glucose Test Strips, 36

Lorazepam Intensol, 21


Lorcet 10/650, 27


lidocaine, 12

Lorcet Plus, 27

Lancets Bullseye Safety, 34

lidocaine HCL, 7, 12, 21, 29

Lortab, 27

Lancets Safety Seal 21G, 34

Lidocaine HCL, 7, 12

Lorzone, 25


lidocaine HCL IN D5W, 7

losartan potassium, 8


lidocaine HCL jelly, 12

losartan potassium/hydrochlorothiazide, 8


Lidocaine HCL-hydrocortisone Acetate With Aloe, 18

Lancets Thin, 34

Loseasonique, 14

Lancets Twist Top, 34

lidocaine HCL/dextrose, 7

Lotemax, 25

Lancets Ultra Fine, 34

Lidocaine HCL/Dextrose, 29

Lotensin, 7

Lancets Ultra Thin, 34

lidocaine HCL/hydrocortisone acetate, 18

Lotensin HCT, 8

Lanoxin, 6

Lidocaine HCL/Hydrocortisone Acetate, 18

Lotrel, 8

Lanoxin Pediatric, 6

Lotrisone, 11

lansoprazole, 17

lidocaine viscous, 21

Lotronex, 18

lansoprazole/amoxicillin/clarithromycin, 17

lidocaine/epinephrine, 29

lovastatin, 9

lidocaine/prilocaine, 12

Lovaza, 9

Lantus, 14

Lidocaine/Prilocaine, 12

Lovenox, 20

Lantus Solostar, 14

Lidoderm, 12

loxapine, 22

Lasix, 9

Lidoprofen, 11

loxapine succinate, 22

Lastacaft, 26

Lidovir, 11

Loxitane, 22

latanoprost, 26

Lifescan Unistik 2 Deep Penetration, 34

Lta 360 Kit, 21

Latrix XM, 12

Lifescan Unistik II Lancets, 34

Lufyllin, 31

Latuda, 22

Lincocin, 4

Lumigan, 26

Lavoclen-4 Creamy Wash, 10

lindane, 12

Luminal, 23

Lavoclen-8 Creamy Wash, 10

Linzess, 18

Lumizyme, 16

Lazanda, 27

Lioresal Intrathecal, 25

Lunesta, 22

leflunomide, 28

liothyronine sodium, 17

Lupaneta Pack, 16

Lescol, 9

Lipitor, 9

Lupron Depot, 5

Lescol XL, 9

Lipofen, 9

Lupron Depot-PED, 16

Letairis, 9

Liptruzet, 9

Luvox CR, 22

letrozole, 5

Liquicet, 27

Luxiq, 12

leucovorin calcium, 6

lisinopril, 7

Lycelle, 12

Leucovorin Calcium, 6

lisinopril/hydrochlorothiazide, 8

Lyrica, 23

Leukeran, 4

Liteaire, 37

Lysodren, 5

Leukine, 19

Litetouch Lancets Micro Thin 33G, 34

Lysteda, 20

leuprolide acetate, 5

lithium carbonate, 22

Lytensopril, 8

Levacet, 27

Lithium Carbonate, 22

Lytensopril-90, 8

levalbuterol, 30

lithium carbonate ER, 22

M

levalbuterol HCL, 30

Lithium Citrate, 22

M-m-r II W/Diluent 10 Dose, 31

Levaquin, 2

Lithobid, 22

M-vit, 32

Levatol, 7

Lithostat, 19

M.v.i. Adult, 32

Levbid, 17

Livalo, 9

M.v.i. Pediatric, 32

Levemir, 14

Live Better Lancet Super Thin 30G, 34

M.v.i.-12 Without Vitamin K, 32

Levemir Flexpen, 14

Live Better Lancet Ultra Thin 28G, 34

Macnatal CN DHA, 32

levetiracetam, 23

LMD 10% Dextrose 5%, 21

Macrobid, 18

Levetiracetam, 23

LMD 10% Sodium Chloride 0.9%, 21

Macrodantin, 18

levetiracetam ER, 23

LO Loestrin FE, 14

Magnacet, 27

Levitra, 9

LO Minastrin FE, 14

Makena, 14

levobunolol HCL, 25

Locoid, 12

Malarone, 3

Levobunolol HCL, 25

Locoid Lipocream, 12

malathion, 12

levocarnitine, 16

Lodosyn, 24

mannitol, 8

levocetirizine dihydrochloride, 29

Loestrin 1.5/30-21, 14

Maprotiline HCL, 22

levofloxacin, 2, 25

Loestrin 1/20-21, 14

Marcaine, 29

levofloxacin IN D5W, 2

Loestrin 24 FE, 14

Marcaine W/O Epi, 29

Levomefolate PNV, 32

Loestrin FE 1.5/30, 14

Marcaine/Epinephrine, 29

levonorgestrel, 14

Loestrin FE 1/20, 14

Marinol, 18

levonorgestrel and ethinyl estradiol, 14

Lofibra, 9

Marnatal-f, 32

Marplan, 22

Menostar, 14

Mevacor, 9

Marqibo, 5

Mentax, 11

mexiletine HCL, 7

Mask Vortex/Baby Whirl Duckling, 37

Menveo, 31

Miacalcin, 15

Mask Vortex/Child/Frog, 37

meperidine HCL, 27

Micardis, 8

Mask Vortex/Spinner The Duck, 37

Meperidine HCL, 27

Micardis HCT, 8

Mask Vortex/Toddler/Lady Bug, 37

Mephyton, 32

Microchamber, 37

Matulane, 6

Mepivacaine HCL, 29

Microdot Test Strips, 36

Mavik, 7

meprobamate, 21

Microlet Lancets, 35

Maxair Autohaler, 31

Mepron, 4

Microspacer, 37

Maxalt, 29

mercaptopurine, 4

Microtainer Safety Flow Lancet/Sterile/Single-use, 35

Maxalt-MLT, 29

meropenem, 3

Maxaron Forte, 20

Merrem, 4

Microzide, 9

Maxidex, 25

mesalamine, 18

midodrine HCL, 9

Maxidone, 27

mesna, 6

Mifeprex, 16

Maxifed CD, 30

Mesnex, 6

Migergot, 29

Maxifed CDX, 30

Mestinon, 25

Migral, 29

Maxifed-G CD, 30

Mestinon Timespan, 25

Migranal, 29

Maxifed-G CDX, 30

Metadate CD, 23

Millipred, 13

Maxiflu CD, 30

Metaproterenol Sulfate, 31

Millipred DP, 13

Maxiflu CDX, 30

Metastron, 6

milrinone IN dextrose, 6

Maxima Blood Glucose Teststrips, 36

metaxalone, 24

milrinone lactate, 6

Maxinate, 32

metformin HCL, 15

Mimyx, 12

Maxiphen CD, 30

metformin HCL ER, 15

Minastrin 24 FE, 14

Maxiphen CDX, 30

methadone HCL, 27

Mineral Oil Heavy, 17

Maxipime, 1

Methadone HCL, 27

Minipress, 8

Maxitrol, 26

Methadose, 27

Minivelle, 13

Maxzide, 9

Methadose Sugar-free, 27

Minocin, 2

Maxzide-25, 9

methamphetamine HCL, 23

Minocin Kit, 2

Mb Hydrogel, 12

methazolamide, 8

minocycline HCL, 2

meclizine HCL, 18

methenamine hippurate, 18

minocycline HCL ER, 2

Meclofenamate Sodium, 28

methenamine mandelate, 18

minoxidil, 8

Medisense Thin Lancets, 34

Methenamine Mandelate, 18

Mirapex, 24

Medlance Plus Extra Lancets 21G, 34

methimazole, 17

Mirapex ER, 24

Medlance Plus Lancets, 34

methocarbamol, 24

Mircette, 14

Medlance Plus Lancets Lite 25G, 34

methotrexate, 4

mirtazapine, 21

Medlance Plus Lite Lancets 25G, 34

methotrexate sodium, 4

mirtazapine odt, 21

Medlance Plus Special Lancets 0.8MM, 34

methscopolamine bromide, 17

Mirvaso, 10

Methyclothiazide, 9

misoprostol, 17

Medlance Plus Superlite 30G, 34

methyldopa, 8

mitomycin, 4

Medlance Plus Superlite 30G/Comfort Max, 34

Methyldopa/Hydrochlorothiazide, 8

Mitosol, 25

Methyldopate HCL, 8

mitoxantrone HCL, 4

Medlance Plus Universal Lancets 21G, 34

methylergonovine maleate, 27

Mobic, 28

Methylin, 23

modafinil, 23

Medlance Plus/Lite 25G, 34

methylphenidate HCL, 23

Moderiba, 3

Medlance/Extra, 34

methylphenidate HCL CD, 23

Modicon, 14

Medlance/Lite, 34

methylphenidate HCL ER, 23

moexipril HCL, 7

Medlance/Universal, 34

Methylphenidate HCL ER, 23

moexipril/hydrochlorothiazide, 8

Medrol, 13

methylphenidate HCL SR, 23

mometasone furoate, 11

Medrol Dosepak, 13

methylphenidate hydrochloride, 23

Moms Choice RX, 32

medroxyprogesterone acetate, 14

methylprednisolone, 13

Monoclate-p, 20

mefenamic acid, 28

methylprednisolone acetate, 13

Monodox, 2

mefloquine HCL, 3

methylprednisolone dose pack, 13

Monoject Bone Marrow Biopsy Prepping Tray, 29

Mefoxin, 1

methylprednisolone sodiumsuccinate, 13

Megace ES, 14

metipranolol, 25

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 29

Megace Oral, 5

metoclopramide HCL, 18

megestrol acetate, 5

metolazone, 8

Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 29

Megestrol Acetate, 5

metoprolol succinate ER, 7

Meijer Super Thin Lancets, 35

metoprolol tartrate, 7

Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 29

Mekinist, 5

metoprolol/hydrochlorothiazide, 8

meloxicam, 28

Metozolv Odt, 18

Monolet Lancets, 35

Meloxicam, 28

Metro IV, 4

Monolet Opd Lancets, 35

Meloxicam Comfort PAC, 28

Metrocream, 10

Monolettor Safety Lancets, 35

melphalan hydrochloride, 4

Metrogel, 10

Mononine, 20

Menactra, 31

Metrogel-vaginal, 19

montelukast sodium, 30

Menest, 14

Metrolotion, 10

Monurol, 18

Menhibrix, 31

metronidazole, 3, 10

Morgidox 1X100MG, 2

Menomune-a/C/Y/W-135, 31

metronidazole IN NACL 0.79%, 3

Morgidox 2X100MG, 2

Menopur, 16

metronidazole vaginal, 19

morphine sulfate, 27

Morphine Sulfate, 27

Nasacort AQ, 29

Neutrasal, 21

Morphine Sulfate Add-vantage, 27

Nascobal, 19

Neutrexin, 4

morphine sulfate ER, 27

Nasonex, 29

Nevanac, 26

Morphine Sulfate IN Dextrose 5%, 27

Natachew, 32

nevirapine, 3

Motofen, 17

Natacyn, 25

Nevirapine, 3

Moviprep, 17

Natafort, 32

Nexa Plus, 32

Moxatag, 1

Natalvirt 90 DHA, 32

Nexa Select, 32

Moxeza, 25

Natalvirt CA, 32

Nexavar, 5

Mozobil, 19

Natalvirt Flt, 20

Nexgen Test Strips, 36

MS Contin, 27

Natalvit, 32

Nexiclon XR, 8

Mst 600, 27

Natazia, 14

Nexium, 17

Mucotrol, 21

nateglinide, 15

Nexium I.v., 17

Multaq, 7

Natelle One, 32

Nexterone, 7

Multigen, 20

Natelle-EZ, 32

niacin ER, 9

Multigen Folic, 20

Natrecor, 9

Niacor, 9

Multigen Plus, 20

Natroba, 12

Niaspan, 9

mupirocin, 10

Nature-throid, 17

nicardipine HCL, 7

mupirocin calcium, 10

Nature-throid Nt-2.5, 17

Nicazel, 32

Muse, 9

Navelbine, 5

Nicazel Forte, 32

Mustargen, 4

Nebupent, 4

Nicazeldoxy 30 Kit, 2

Myambutol, 2

Nebusal, 30

Nicazeldoxy 60 Kit, 2

Mycamine, 2

Necon 1/50-28, 14

Nicomide, 32

Mycobutin, 2

Necon 10/11-28, 14

nifedipine, 7

mycophenolate mofetil, 5

Neevo, 32

nifedipine ER, 7

mycophenolic acid DR, 5

Neevo DHA, 32

Nilandron, 5

Mydfrin, 26

nefazodone HCL, 21

Nimbex, 24

Myfortic, 5

Nefazodone HCL, 22

nimodipine, 7

Myglucohealth Blood Glucose Test, 36

Nembutal Sodium, 23

Nipent, 6

Myglucohealth Mgh Softlance Lancets 30G, 35

Neo-synephrine, 9

Niravam, 21

neomycin sulfate, 2

nisoldipine, 7

Mykidz Iron Fl, 32

neomycin/bacitracin/polymyxin, 25

Nisoldipine, 7

Myleran, 4

neomycin/polymyxin/bacitracin zinc, 25

Nisoldipine ER, 7

Mynatal, 32

neomycin/polymyxin/bacitracin/hydrocortisone, 25

Nitro-bid, 6

Mynatal Advance, 32

Nitro-dur, 6

Mynatal Ultracaplet, 32

neomycin/polymyxin/dexamethasone, 25

nitrofurantoin, 18

Myobloc, 24

neomycin/polymyxin/gramicidin, 25

nitrofurantoin macrocrystals, 18

Myoxin, 26

neomycin/polymyxin/HC, 26

nitrofurantoin monohydrate, 18

Myozyme, 16

Neomycin/Polymyxin/Hydrocortisone, 26

nitrofurantoin monohydrate/macrocrystals, 18

Myrbetriq, 19

neomycin/polymyxin/hydrocortisone, 26

Mysoline, 23

Neoprofen, 28

nitroglycerin, 6

N

Neoral, 5

Nitroglycerin, 6

Neosalus, 13

nitroglycerin IN 5% dextrose, 6

nabumetone, 28

Neosalus CP, 13

nitroglycerin IN dextrose 5%, 6

nadolol, 7

Neosporin, 25

Nitroglycerin IN Dextrose 5%, 6

nadolol/bendroflumethiazide, 8

neostigmine methylsulfate, 25

nitroglycerin lingual, 6

nafcillin sodium, 1

Neotuss Plus, 30

Nitroglycerin Lingual, 6

Nafcillin Sodium, 1

Nephplex RX, 32

nitroglycerin transdermal, 6

Nafrinse Daily/Acidulated, 21

Nephro-vite RX, 32

Nitrolingual Pumpspray, 6

Nafrinse Daily/Neutral, 21

Nephrocaps, 32

Nitromist, 6

Nafrinse Weekly, 21

Nephrocaps QT, 32

Nitropress, 8

Naftin, 11

Nephron Fa, 20

Nitrostat, 6

Naglazyme, 16

Neptazane, 9

nizatidine, 17

nalbuphine HCL, 27

Nesacaine, 29

Nizoral, 11

Nalfon, 28

Nesacaine-mpf, 29

Nor-QD, 14

Nallpen Iso-osmotic IN Dextrose, 1

Nesina, 15

Norco, 27

Nallpen/Dextrose, 1

Nessi Spacer/Large Mask, 37

Nordette-28, 14

Namenda, 24

Nessi Spacer/Mouthpiece, 37

Norditropin Cartridge, 16

Namenda Titration PAK, 24

Nessi Spacer/Small/MED Mask, 37

Norditropin Flexpro, 16

Namenda XR, 24

Nestabs, 32

Norditropin Nordiflex Pen, 16

Namenda XR Titration Pack, 24

Nestabs Abc, 32

norepinephrine bitartrate, 9

Naphazoline HCL, 26

Nestabs DHA, 32

norethindrone, 14

Naprelan, 28

Netgroup Lancets, 35

norethindrone acetate, 14

Naprosyn, 28

Neulasta, 19

Norflex, 25

naproxen, 28

Neumega, 19

norgestimate/ethinyl estradiol, 14

Naproxen Comfort PAC, 28

Neupogen, 19

Norinyl 1+35, 14

naproxen sodium, 28

Neupro, 24

Norinyl 1+50, 14

naratriptan HCL, 28

Neurontin, 23

Noritate, 10

Nardil, 22

Neutek 2tek Test Strips, 36

Noroxin, 2

Naropin, 29

Norpace, 7

OB-natal One, 32

Onfi, 23

Norpace CR, 7

Obstetrix DHA, 32

Onglyza, 15

Norpramin, 22

Obstetrix EC, 32

Onmel, 2

nortriptyline HCL, 21

octreotide acetate, 16

Opana, 27

Nortriptyline HCL, 22

Ocudox, 2

Opana ER (crush Resistant), 27

Norvasc, 7

Ocufen, 26

opium, 17

Norvir, 3

Ocuflox, 25

opium tincture, 17

Nova Max Glucose Test Strips, 36

Ofirmev, 27

Opsumit, 9

Nova Safety Lancets 23G, 35

ofloxacin, 2, 25, 26

Optichamber Advantage, 37

Nova Safety Lancets 28G, 35

Ogestrel, 14

Optichamber Diamond, 37

Nova Sureflex Lancets, 35

olanzapine, 22

Optichamber Diamond/Largeface Mask, 37

Novaferrum, 20

olanzapine odt, 22

Novofine 30GX8MM, 35

olanzapine/fluoxetine, 24

Optichamber Diamond/Medium Face Mask, 37

Novofine 32GX6MM, 35

Oleptro, 22

Novofine Autocover 30GX8MM, 35

Olux, 12

Optichamber Diamond/Smallface Mask, 37

Novolin 70/30, 14

Olux-e, 12

Novolin 70/30 Relion, 14

Olysio, 3

Optihaler, 37

Novolin N, 14

Omeclamox-PAK, 17

Optihaler MDI Drug Delivery System, 37

Novolin N Relion, 14

omeprazole, 17

Optipranolol, 25

Novolin R, 14

Omeprazole + Syrspend SF Alka, 17

Optium Test Strips, 36

Novolin R Relion, 14

omeprazole/sodium bicarbonate, 17

Optiumez Test Strips, 36

Novolog, 14

Omnaris, 30

Optivar, 26

Novolog Flexpen, 14

Omnipred, 26

Optumrx Blood Glucose Test, 36

Novolog Mix 70/30, 14

Omnitrope, 16

Oracea, 10

Novolog Mix 70/30 Prefilled Flexpen, 14

Omontys, 20

Oracit, 19

Novolog Penfill, 14

On Call Lancets, 35

Orafate, 21

Novoseven, 20

On Call Plus Blood Glucose Test, 36

Oramagicrx, 21

Novoseven Rt, 20

On Call Plus Lancets, 35

Orap, 24

Novotwist 30GX8MM, 35

On Call Vivid Blood Glucose Test, 36

Orapred, 13

Novotwist 32GX5MM, 35

Oncaspar, 4

Orapred Odt, 13

Noxafil, 2

ondansetron HCL, 18

Oravig, 21

Nplate, 19

ondansetron HCL/dextrose, 18

Oraxyl, 2

Nucort, 12

ondansetron odt, 18

Orbivan, 27

Nucynta, 27

Onetouch Basic System, 35

Orbivan CF, 27

Nucynta ER, 27

Onetouch Basic/Profile Test Strips, 35

Orencia, 28

Nuedexta, 24

Onetouch Club Lancets Fine Point, 35

Orfadin, 16

Nulojix, 5

Onetouch Combo Pack, 35

orphenadrine citrate, 24

Nulytely/Flavor Packs, 17

Onetouch Delica Lancets Extra Fine 33G, 35

orphenadrine citrate ER, 24

Numoisyn, 21

orphenadrine/asa/caffeine, 24

Nuox, 10

Onetouch Delica Lancets Fine 30G, 35

Ortho Evra, 14

Nutricap, 32

Onetouch Delica Lancing Device, 35

Ortho Micronor, 14

Nutridox, 2

Onetouch Finepoint Lancets, 35

Ortho Tri-cyclen, 14

Nutrivit, 32

Onetouch Lancets, 35

Ortho Tri-cyclen LO, 14

Nutropin, 16

Onetouch Ping Meter Remote, 35

Ortho-cept, 14

Nutropin AQ, 16

Onetouch Profile System, 35

Ortho-cyclen, 14

Nutropin AQ Nuspin 10, 16

Onetouch Suresoft Lancing Device/18G, 35

Ortho-novum 1/35, 14


Ortho-novum 7/7/7, 14



Orthovisc, 25

Nutropin AQ Pen, 16

Oseni, 15

Nuvail, 13


Osmoprep, 17

Nuvigil, 23

Osphena, 16

Nuzon, 12

Onetouch Ultra 2, 35

Otozin, 26

Nymalize, 7

Onetouch Ultra Blue, 35

Otrexup, 28

nystatin, 2, 10, 21

Onetouch Ultra Control, 35

Ovace Plus, 11

Nystatin, 10

Onetouch Ultra Mini, 35

Ovace Plus Wash, 11

Nystatin Domestic, 10

Onetouch Ultra System Kit, 35

Ovace Wash, 11

Nystatin Foreign, 10

Onetouch Ultralink System (DEC), 35

Ovcon-35, 14

Nystatin Vaginal, 19

Onetouch Ultralink System (hex), 35

Ovide, 13

nystatin/triamcinolone, 10

Onetouch Ultrasmart, 35

Ovidrel, 16

O

Onetouch Ultrasoft Lancets, 35

oxacillin sodium, 1

Onetouch Verio Control Solution High, 35

oxaliplatin, 4

O-CAL Fa, 32

Oxandrin, 13

O-CAL Prenatal, 32

Onetouch Verio IQ Blood Glucose Monitoring System, 35

oxandrolone, 13

OB Complete, 32

oxaprozin, 28

OB Complete 400, 32

Onetouch Verio Mid Control Solution, 35

oxazepam, 21

OB Complete One, 32

Onetouch Verio Sync Bloodglucose Monitoring System, 35

oxcarbazepine, 23

OB Complete Petite, 32

Oxecta, 27

OB Complete Premier, 32

Onetouch Verio Test Strips, 35

Oxistat, 11

OB Complete/DHA, 32

Oxsoralen, 12

Peg-intron Redipen PAK 4, 3

Phospholine Iodide, 26

Oxsoralen Ultra, 11

Peganone, 23

Photofrin, 6

Oxtellar XR, 23

Pegasys, 3

Phrenilin Forte, 27

oxybutynin chloride, 19

Pegasys Proclick, 3

phytonadione, 31

oxybutynin chloride ER, 19

Pen Needles 29G X 12MM, 35

pilocarpine HCL, 21, 26

oxycodone HCL, 27

Pen Needles 29GX1/2", 35

pilocarpine hydrochloride, 21

Oxycodone HCL, 27


Pilopine HS, 26

oxycodone/acetaminophen, 27

Pen Needles 31G X 1/4" SHORT, 35

Pindolol, 7

oxycodone/aspirin, 27

Pen Needles 31G X 3/16", 35

pioglitazone HCL, 15

oxycodone/ibuprofen, 27

Pen Needles 31G X 6MM, 35

pioglitazone HCL-glimepiride, 15

Oxycontin, 27


pioglitazone HCL/metformin HCL, 15

oxymorphone hydrochloride, 27

penicillin G potassium, 1

piperacillin sodium/ tazobactam sodium, 1

oxymorphone hydrochloride ER, 27

Penicillin G Potassium IN Iso-osmotic Dextrose, 1

oxytocin, 27

piperacillin sodium/tazobactam sodium, 1

Oxytrol, 19

Penicillin G Procaine, 1

piperacillin/tazobactam, 1

Oxytrol For Women, 19

Penicillin G Sodium, 1

piroxicam, 28

P

penicillin v potassium, 1

Pitocin, 27

Penlac Nail Lacquer, 11

Pitressin Synthetic, 16

paclitaxel, 5

Pennsaid, 11

Plan B, 14

Paclitaxel, 5

Pentacel, 31

Plan B One-step, 14

Paire OB, 32

Pentam 300, 4

Plaquenil, 3

Palgic, 29

Pentasa, 18

Plavix, 21

Pamelor, 22

pentazocine/acetaminophen, 27

Pletal, 21

pamidronate disodium, 15

pentazocine/naloxone HCL, 27

Pliaglis, 13

Pamidronate Disodium, 15

Pentazocine/Naloxone HCL, 27

Pneumovax 23/1 Dose, 31

Pamine, 17

Pentetate Calcium Trisodium, 37

Pneumovax 23/5 Dose, 31

Pamine Forte, 17

Pentetate Zinc Trisodium, 37

Pocket Chamber, 37

Pamine FQ, 17

pentostatin, 6

Pocket Spacer, 37

Panatuss Dxp, 30

pentoxifylline ER, 20

Pocketchem EZ Blood Glucose Test Strips, 36

Pancreaze, 18

Pepcid, 17

Pancrelipase, 18

Percocet, 28

podofilox, 12

pancuronium bromide, 24

Percodan, 28

Poly H.S. DHC, 30

Panda Mask Large, 37

Perfect Lancets 30G, 35

Poly H.S. Nc, 30

Panda Mask Medium, 37

Perfect Pressure Activated Safety Lancets 28G, 35

Poly-tussin DHC, 30

Panda Mask Small, 37

Poly-tussin EX, 30

Pandel, 12

Perforomist, 30

Poly-VI-flor, 32

pantoprazole sodium, 17

Peridex, 21

Poly-VI-flor/Iron, 32

papaverine HCL, 9

perindopril erbumine, 7

polyethylene glycol 3350, 17

Parafon Forte DSC, 25

Perjeta, 5

polymyxin b sulfate, 3

Parcopa, 24

permethrin, 12

polymyxin b sulfate/trimethoprim sulfate, 25

Paregoric, 17

perphenazine, 22

paricalcitol, 16

Perphenazine/Amitriptyline, 24

Polytrim, 25

Parlodel, 24

Persantine, 21

Pomalyst, 5

Parnate, 22

Pertzye, 18

Ponstel, 28

paromomycin sulfate, 2

Pexeva, 22

Pontocaine, 13, 29

paroxetine HCL, 21

Pfizerpen-G, 1

Pontocaine Niphanoid, 29

paroxetine HCL ER, 21

Pharmacist Choice Autocode Blood Glucose Test Strips, 36

Potassium Citrate, 19

Paser, 2

Potassium Citrate ER, 19

Pataday, 26

Pharmacy Counter Lancets, 35

Potiga, 23

Patanase, 30

phenazopyridine HCL, 19

Pr Cream, 13

Patanol, 26

phenelzine sulfate, 21

Pr Natal 400, 32

Paxil, 22

Phenergan, 29

Pr Natal 400 EC, 32

Paxil CR, 22

Phenflu CD, 30

Pr Natal 430, 32

PCE, 1

Phenflu CDX, 30

Pr Natal 430 EC, 32

Pediaderm AF Complete Kit, 11

phenobarbital, 22

Pradaxa, 20

Pediaderm HC, 12

Phenobarbital, 23

pramipexole dihydrochloride, 24

Pediaderm Ta, 12

phenobarbital sodium, 22

Pramosone, 11

Pediapred, 13

Phenobarbital Sodium, 23

Pramosone E, 11

Pediarix, 31

Phentolamine Mesylate, 8

Pramotic, 26

Pediatex TD, 30

phenylephrine HCL, 9, 26

Prandimet, 15

Pediatex TDM, 30

Phenylephrine HCL, 9, 29

Prandin, 15

Pediatric Panda Mask, 37

phenylephrine/guaifenesin, 30

Pravachol, 9

Pedipirox-4 Nail, 11

Phenytek, 23

pravastatin sodium, 9

Pedvax HIB, 31

phenytoin, 23

Prazolamine, 25

peg 3350/electrolytes, 17

phenytoin sodium, 23

prazosin HCL, 8

peg-3350/electrolytes, 17

phenytoin sodium extended, 23

Pre-folic, 20

peg-3350/NACL/NA bicarbonate/KCL, 17

Phoslo, 18

Precedex, 23

Peg-intron, 3

Phoslyra, 18

Precision PCX, 36

Peg-intron Redipen, 3

Precision PCX Plus Test Strips, 36

Procainamide HCL, 7

Provigil, 23

Precision Point Of Care Test Strips, 36

Procardia, 7

Prozac, 22

Precision QID Test Strips, 36

Procardia XL, 7

Prozac Weekly, 22

Precision Sof-tact Test Strips, 36

Procentra, 23

Pruclair, 13

Precision Thin Lancets, 35

prochlorperazine, 22

Prudoxin, 11

Precision Thins GP Lancet, 35

prochlorperazine edisylate, 22

Prumyx, 13

Precision Ultra Lancet, 35

prochlorperazine maleate, 22

Pss Select GP Lancets, 35

Precision XTRA Blood Glucose Test Strips, 36

Procort, 18

Pss Select Safety Lancets, 35

Procrit, 19

Pts Panels Glucose Test, 37

Precose, 15

Proctocort, 18

Pulmicort, 31

Pred Forte, 26

Proctofoam HC, 18

Pulmicort Flexhaler, 30

Pred Mild, 25

Procysbi, 19

Pulmophylline, 31

Pred-G, 26

Prodigy Autocode Blood Glucose Test Strips, 37

Pulmozyme, 31

Pred-G S.o.p., 26

Purinethol, 5

prednicarbate, 11

Prodigy NO Coding Blood Glucose Test Strips, 37

Px Lancets Ultra Thin, 35

prednisolone, 13

Pylera, 17

prednisolone acetate, 25

Prodigy Pressure Activated Safety Lancets, 35

pyrazinamide, 2

prednisolone sodium phosphate, 13

Pyridium, 19

Prednisolone Sodium Phosphate, 13, 26

Prodigy Twist Top Lancets, 35

pyridostigmine bromide, 25

prednisone, 13

Proferrin-forte, 20

Pyridoxine HCL, 32

Prednisone, 13

progesterone, 14

Pyrogallic Acid, 13

Prednisone Intensol, 13

Proglycem, 15

Q

Prefera OB, 32

Prograf, 5

Qc Lancets Super Thin, 35

Prefera OB + DHA, 32

Prolastin, 31

Qc Lancets Ultra Thin, 35

Preferaob One, 32

Prolastin-c, 31

Qnasl, 29

Prefest, 14

Prolensa, 26

Quadramet, 6

Prefol-DHA, 32

Proleukin, 6

Qualaquin, 3

Prelone, 13

Prolia, 15

Quartette, 14

Premarin, 14, 19

Promacta, 19

Quazepam, 23

Premphase, 13

Promar, 32

Quelicin, 24

Prempro, 13

promethazine HCL, 29

Quelicin 1000, 24

Prenata, 32

promethazine HCL plain, 29

Questran, 9

Prenatabs RX, 32

promethazine-DM, 30

Questran Light, 9

Prenatal Ad, 32

promethazine/codeine, 30

quetiapine fumarate, 22

Prenatal-u, 32

promethazine/dextromethorphan, 30

Quflora Pediatric, 33

Prenate, 32

Promethegan, 29

Quicktek Test Strips, 37

Prenate AM, 32

Prometrium, 14

Quillivant XR, 23

Prenate DHA, 32

Promiseb, 11

quinapril HCL, 7

Prenate Elite, 32

Promiseb Complete, 11

quinapril/hydrochlorothiazide, 8

Prenate Enhance, 32

propafenone HCL, 7

Quinidine Gluconate, 7

Prenate Essential, 32

propafenone HCL ER, 7

quinidine gluconate CR, 7

Prenate Mini, 32

Propantheline Bromide, 18

quinidine gluconate ER, 7

Prenate Restore, 32

proparacaine HCL, 26

quinidine sulfate, 7

Prenexa, 32

propranolol HCL, 7

Quinidine Sulfate ER, 7

Prepidil, 27

Propranolol HCL, 7

quinine sulfate, 3

Prepopik, 17

propranolol HCL ER, 7

Quintet Ac Blood Glucose Test Strips, 37

Preque 10, 32

Propranolol/Hydrochlorothiazide, 8

Quintet Blood Glucose Test Strips, 37

Presera, 13

propylthiouracil, 17

Qutenza, 13

Prestige Test Strips, 36

Proquad, 31

Qvar, 30

Prevacid, 17

Proscar, 19

R

Prevacid Solutab, 17

Prosed/DS, 18

Prevident, 21

Prostigmin, 25

R-natal OB, 33

Prevnar 13, 31

Prostin E2, 27

Rabavert, 31

Prevpac, 17

Protamine Sulfate, 21

rabeprazole sodium, 17

Prezista, 3

Protect Cardio, 32

Radigel, 13

Priftin, 2

Protect Plus, 33

ramipril, 7

Prilosec, 17

Protect Plus NR, 33

Ranexa, 6

Primaquine Phosphate, 3

Protectbone, 33

ranitidine HCL, 17

Primaxin IV, 4

Protectiron, 20

Rapaflo, 19

Primaxin IV Add-vantage, 4

Protectnatal, 33

Rapamune, 5

primidone, 23

Prothelial, 21

Ravicti, 16

Primlev, 28

Protonix, 18

Rayos, 13

Primsol, 4

Protopic, 12

Razadyne, 24

Prinivil, 7

protriptyline HCL, 21

Razadyne ER, 24

Pristiq, 21

Provenge, 6

Rebetol, 3

Proair HFA, 30

Proventil HFA, 31

Rebif, 24

probenecid, 29

Provera, 14

Rebif Rebidose, 24

probenecid/colchicine, 29

Provida OB, 33

Rebif Rebidose Titration Pack, 24

Rebif Titration Pack, 24

Retavase Half-kit, 21

Rowasa, 18

Reclast, 15

Retin-a, 10

Roxicet, 28

Recombinate, 20

Retin-a Micro, 10

Roxicodone, 28

Recombivax HB, 31

Retin-a Micro P.M., 10

Rozerem, 22

Recothrom, 20

Retisert, 25

Rybix Odt, 28

Recothrom Spray Kit, 20

Retrovir, 3

Rythmol, 7

Rectiv, 18

Retrovir IV Infusion, 3

Rythmol SR, 7

Refuah Plus Blood Glucosetest Strips, 37

Revatio, 9

S

Reveal Blood Glucose Test, 37

Sabril, 23

Reglan, 18

Revlimid, 5

Safe-t-lance Low Flow 25G, 35

Regonol, 25

Rexall Blood Glucose Test Strips, 37

Safe-t-lance Normal Flow 21G, 35

Relagard, 19

Rexall Lancets Ultra Thin, 35

Safe-t-lance Plus Safety Lancet High Flow, 35

Relenza Diskhaler, 3

Reyataz, 3

Relhist, 30

Rezira, 30

Safe-t-lance Plus Safety Lancet Low Flow, 35

Relion 70/30, 14

Rezyst IM, 17

Relion 70/30 Innolet, 14

Rezyst SB, 17

Safe-t-lance Plus Safety Lancet Normal Flow, 35

Relion Blood Glucose Teststrips, 37

Rheumatrex, 28

Relion Confirm/Micro Test Strips, 37

Rhinocort Aqua, 30

Safety Lancet 21G/Pressure Activated, 35

Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 37

Rhinoflex-650, 27

Riastap, 20

Safety Lancet 28G/Pressure Activated, 35

Relion Lancets, 35

Riax, 10

Relion Lancets Micro-thin33G, 35

Ribapak, 3

Safety Lancet 2MM, 35

Relion Lancets Standard 21G, 35

Ribasphere, 3

Safety Lancets, 35

Relion Lancets Thin 26G, 35

Ribatab, 3

Safety Lancets 21G, 35

Relion Lancets Ultra-thin30G, 35

ribavirin, 3

Safety Lancets 28G, 35

Relion N, 14

Ridaura, 28

Safety Let Lancets, 35

Relion N Innolet, 14

Rifadin, 2

Safety Seal Lancets 28G, 35

Relion Prime Blood Glucose Test Strips, 37

Rifamate, 2

Safety Seal Lancets 30G, 35

rifampin, 2

Safyral, 14

Relion R, 14

Rifater, 2

Saizen, 16

Relion Thin Lancets, 35

Rightest Gl300 Lancets, 35

Saizen Click.easy, 16

Relion Ultima Blood Glucose Test Strips, 37

Rightest GS100 Blood Glucose Test Strips, 37

Salagen, 21

Salex, 13

Relion Ultima Test Strips, 37


Salex Cream, 13

Relion Ultra Thin Lancets, 35

Salex Lotion, 13

Relion Ultra Thin Lancets30G, 35


Salicept, 21

Relion Ultra Thin Plus Lancets 32G, 35

salicylic acid, 12

Relion Ultra Thin Plus Lancets 33G, 35

Rilutek, 24

Salicylic Acid, 13

Relistor, 18

riluzole, 24

salicylic acid cream, 12

Relpax, 29

rimantadine HCL, 3

Salicylic Acid IN Ammonium Lactate Vehicle, 13

Remeron, 22

Rimantalist, 3

Remeron Soltab, 22

Riomet, 15

salicylic acid lotion, 12

Remicade, 18

Risperdal, 22

Salkera, 13

Remodulin, 9

Risperdal Consta, 22

salsalate, 27

Renacidin, 19

Risperdal M-TAB, 22

Salvax, 13

Renagel, 18

risperidone, 22

Salvax Duo Plus, 13

Renatabs, 33

risperidone odt, 22

Samsca, 16

Renatabs With Iron, 33

Ritalin, 23

Sanctura, 19

Renax, 33

Ritalin LA, 23

Sanctura XR, 19

Renew Advanced Lancing Cartridge Refills, 35

Ritalin SR, 23

Sancuso, 18

Riteflo, 37

Sandimmune, 5

Renvela, 18

Rituxan, 5

Sandostatin, 16

Reopro, 21

rivastigmine tartrate, 24

Sandostatin Lar Depot, 16

repaglinide, 15

rizatriptan benzoate, 28

Saphris, 22

Reprexain, 28

rizatriptan benzoate odt, 28

Sarafem, 24

Repronex, 16

Robaxin, 25

Savella, 24

Req 49+, 33

Robaxin-750, 25

Savella Titration Pack, 24

Requip, 24

Robinul, 18

Scalacort DK, 12

Requip XL, 24

Robinul Forte, 18

Scopolamine Hydrobromide, 18

Rescon-JR, 30

Rocaltrol, 16

Seasonique, 14

Rescon-MX, 30

Rocephin, 1

Seb-prev, 11

Rescriptor, 3

rocuronium bromide, 24

Seconal, 23

Rescula, 26

ropinirole ER, 24

Sectral, 7

Reserpine, 8

ropinirole HCL, 24

Select-OB, 33

Respa-BR, 29

Rosadan Kit, 10

Select-ob+dha, 33

Restasis, 26

Rosanil, 10

selegiline HCL, 24

Restoril, 23

Rotarix, 31

selenium sulfide, 11

Retavase, 21

Rotateq, 31

Selenium Sulfide, 11

Selrx, 11

Sodium Bicarbonate, 17

Strattera, 23

Selsun Shampoo, 11

sodium chloride, 30

Strazepam, 23

Selzentry, 3

Sodium Citrate, 19

Streptomycin Sulfate, 2

Semprex-d, 30

Sodium Diuril, 9

Striant, 13

Senna, 17

Sodium Edecrin, 9

Stribild, 3

Senna Leaves, 17

sodium ferric gluconate complex/sucrose, 19

Stromectol, 3

Senophylline, 31

Strovite, 33

Sensipar, 16

sodium hyaluronate, 12

Strovite Forte, 33

Sensorcaine-mpf/Epinephrine, 29

sodium phenylbutyrate, 16

Strovite One, 33

Sentradine, 18

sodium sulfacetamide, 10, 11, 25

Suboxone, 27

Sentraflox AM-10, 22

sodium sulfacetamide wash, 11

Subsys, 28

Sentralopram AM-10, 22

sodium sulfacetamide/sulfur, 10

Suclear, 17

Sentramodafin AM-100, 23

Sodium Sulfacetamide/Sulfur, 10

Sucraid, 18

Sentravil PM-25, 22

sodium sulfacetamide/sulfur cleanser, 10

sucralfate, 17

Sentrazolam AM 0.25, 21

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 10

Sular, 7

Sentrazolpidem PM-5, 23

sulfacetamide sodium, 10, 25

Sentroxatine, 22

sodium sulfacetamide/sulfur cleansing cloths, 10

Sulfacetamide Sodium, 25

Serevent Diskus, 30

sulfacetamide sodium/prednisolone sodium phosphate, 25

Seromycin, 2

sodium sulfacetamide/sulfur green, 10

Seroquel, 22

Sodium Sulfacetamide/Sulfur IN Urea, 10

sulfacetamide sodium/sulfur cleanser, 10

Seroquel XR, 22

sodium sulfacetamide/sulfur wash, 10

Sulfadiazine, 2

Serostim, 16

Sodium Sulfacetamide/Urea, 11

sulfamethoxazole/trimethoprim, 4

sertraline HCL, 21

Soliris, 20

Sulfamethoxazole/Trimethoprim, 4

Sfrowasa, 18

Solodyn, 2

sulfamethoxazole/trimethoprim DS, 4

Shohls Solution Modified, 19

Soltamox, 5

sulfasalazine, 18

Shopko On-the-go Comfort Lancets 30G, 35

Solu-cortef, 13

Sulfisoxizole, 2

Solu-medrol, 13

Sulfoam, 10

Shopko Unilet Lancets Super Thin 30G, 35

Solus V2 Audible Test, 37

Sulfurated Lime, 13

Solus V2 Pressure Activated Safety Lancets 28G, 35

sulindac, 28

Shopko Unilet Lancets Ultra Thin 28G, 35

Sumadan Kit, 10

Solus V2 Twist Lancets 30G, 35

Sumadan Wash, 10

Siderol, 33

Soma, 25

Sumadan XLT, 10

Signifor, 16

Somatuline Depot, 16

Sumatriptan, 29

sildenafil citrate, 9

Somavert, 16

sumatriptan succinate, 28

Silenor, 23

Somnote, 23

sumatriptan succinate refill, 28

Simbrinza, 26

Sonata, 23

Sumavel Dosepro, 29

Simcor, 9

Soriatane, 11

Sumaxin, 10

Simponi, 28

Sorilux, 11

Sumaxin CP Kit, 10

Simponi Aria, 28

sotalol HCL, 7

Sumaxin Ts, 10

Simulect, 5

sotalol HCL (AF), 7

Sumaxin Wash, 10

simvastatin, 9

Sotalol Hydrochloride, 7

Supervite, 33

Sinemet, 24

Sovaldi, 3

Supervite EC, 33

Sinemet CR, 24

Spectracef, 1

Support-500, 33

Single-let, 35

Spinosad, 13

Supprelin LA, 16

Singulair, 31

Spiriva Handihaler, 30

Suprax, 1

sirolimus, 5

spironolactone, 8

Supreme Test Strips, 37

Sirturo, 2

spironolactone/hydrochlorothiazide, 8

Suprep Bowel Prep, 17

Skelaxin, 25

Sporanox, 2

Sure Edge Blood Glucose Test Strips, 37

Skelid, 15

Sporanox Pulsepak, 2

Sure-lance Flat Lancets, 35

Sklice, 13

Sprix, 28

Sure-lance Lancets 26G, 35

Smart Diabetes Vantage Universal Lancets 30G, 35

Sprycel, 5

Sure-lance Thin Lancets 28G, 35

Staflex, 27

Sure-lance Ultra Thin Lancets, 35

Smart Diabetes Xpres Blood Glucose Test Strips, 37

Stalevo 100, 24

Sure-test Easyplus Mini Blood Glucose Test Strips, 37

Stalevo 125, 24

Smart Sense Color Lancets Universal 33G, 35

Stalevo 150, 24

Sure-touch Lancets Universal, 35

Stalevo 200, 24

Surechek Blood Glucose Test Strips, 37

Smart Sense Premium Bloodglucose Strips, 37

Stalevo 50, 24

Surelite Lancets, 35

Stalevo 75, 24

Surestep Pro Test Strips, 35

Smart Sense Standard Lancets Universal 21G, 35

stannous fluoride oral rinse, 21

Surestep Test Strips, 35

Starlix, 15

Surmontil, 22

Smart Sense Super Thin Lancets Universal 30G, 35

stavudine, 3

Survanta Intratracheal, 31

Stavzor, 23

Sustiva, 3

Smart Sense Thin Lancets Universal 26G, 35

Staxyn, 9

Sutent, 6

Stelara, 11

Suttar-2, 30

Smart Sense Value Blood Glucose Strips, 37

Stendra, 9

Suttar-SF, 30

Sterilance TL, 35

Sylatron, 6

Smartest Blood Glucose Test Strips, 37

Stimate, 16

Symax Duotab, 18

Smartest Lancets 28G, 35

Stivarga, 6

Symbicort, 30

Symbyax, 24

Tenormin, 7

Thyrolar-1/2, 17

Symlinpen 120, 14

Terazol 3, 19

Thyrolar-1/4, 17

Symlinpen 60, 14

Terazol 7, 19

Thyrolar-2, 17

Synagex, 33

terazosin HCL, 8

Thyrolar-3, 17

Synalar, 12

terbinafine HCL, 2

tiagabine hydrochloride, 23

Synalar Cream Kit, 12

Terbinex, 2

Tiazac, 7

Synalar Ointment Kit, 12

terbutaline sulfate, 30

Tice Bcg, 6

Synalar Ts, 12

terconazole, 19

ticlopidine HCL, 20

Synalgos-dc, 28

Tersi Foam, 11

Tigan, 18

Synarel, 16

Tessalon, 30

Tikosyn, 7

Synatek, 33

Tessalon Perles, 30

Timentin, 1

Synera, 13

Testim, 13

Timolol Maleate, 7

Synercid, 4

Testopel, 13

timolol maleate, 25

Synribo, 6

testosterone cypionate, 13

timolol maleate ophthalmic gel forming, 25

Synthroid, 17

testosterone enanthate, 13

T

Testred, 13

Timoptic, 25

Tetanus Toxoid Adsorbed, 31

Timoptic Ocudose, 25

Tabloid, 4

Tetanus/Diphtheria Toxoids-adsorbed Adult, 31

Timoptic-xe, 25

Taclonex, 11

Tindamax, 4

tacrolimus, 5

tetracaine HCL, 26, 29

tinidazole, 4

Tafinlar, 6

Tetracycline HCL, 2

Tirosint, 17

Talwin, 28

Tetrix, 13

Tisseel, 20

Tambocor, 7

Tev-tropin, 16

Tivicay, 3

Tamiflu, 3

Teveten, 8

Tizanidine Comfort PAC, 25

tamoxifen citrate, 5

Teveten HCT, 8

tizanidine HCL, 24

tamsulosin HCL, 19

Texacort, 12

TL G-FOL OS, 33

Tandem DHA, 33

Thalomid, 5

TL Triseb, 11

Tandem F, 20

Theo-24, 31

TL-cermide, 13

Tandem OB, 33

theophylline, 30

Tnkase, 21

Tandem Plus, 20

theophylline CR, 30

Tobi, 2

Tapazole, 17

theophylline ER, 30

Tobi Podhaler, 2

Tarceva, 6

theophylline/D5W, 30

Tobradex, 26

Targretin, 6

Theophylline/D5W, 31

Tobradex ST, 25

Tarka, 8

Therabenzaprine-60, 25

tobramycin, 2

Taron EC Calcium, 33

Therabenzaprine-90, 25

tobramycin sulfate, 2, 25

Taron-bc, 33

Therabenzaprine-90-5, 25

Tobramycin Sulfate/Sodium Chloride, 2

Taron-c DHA, 33

Theracodeine-300, 28

tobramycin/dexamethasone, 25

Taron-duo EC, 33

Theracodophen-325, 28

Tobrex, 25

Taron-EC CAL, 33


Tofranil, 22

Taron-prex, 33


Tofranil-PM, 22

Tasigna, 6

Theracodophen-low-90, 28

tolazamide, 15

Tasmar, 24

Theracys, 6

Tolazamide, 15

Taxotere, 5

Therafeldamine, 28

Tolbutamide, 15

Tazicef, 1

Therapentin-60, 23

tolmetin sodium, 28

Tazorac, 11

Therapentin-90, 23

Tolmetin Sodium, 28

Tecfidera, 24

Theraprofen-60, 28

tolterodine tartrate, 19

Tecfidera Starter Pack, 24

Theraprofen-800, 28

tolterodine tartrate ER, 19

Techlite AST Lancets, 35

Theraprofen-90, 28

Topamax, 23

Techlite Lancets, 35

Theraproxen-500, 28

Topamax Sprinkle, 23

Techlite Lancets 30G, 35

Theraproxen-60, 28

Topicort, 12

Tegretol, 23

Theraproxen-90, 28

topiramate, 23

Tegretol-XR, 23

Theratramadol-60, 28

topotecan HCL, 6

Tekamlo, 8

Theratramadol-90, 28

Topotecan HCL, 6

Tekturna, 8

thiamine HCL, 31

Toprol XL, 7

Tekturna HCT, 8

Thinlets GP Lancets, 35

Torisel, 6

Telcare Blood Glucose Test Strips, 37

Thinlets Lancet, 35

torsemide, 8

telmisartan, 8

Thiola, 19

Torsemide, 9

telmisartan/amlodipine, 8

thioridazine HCL, 22

Totect, 6

temazepam, 22

Thiotepa, 4

Toviaz, 19

Temodar, 4

thiothixene, 22

Tracleer, 9

Temovate, 12

Thrombin-jmi Diluent, 20

Tradjenta, 15

Temovate E, 12

Thrombin-jmi Epistaxis, 20

tramadol HCL, 27

temozolomide, 4

Thrombin-jmi Syringe Spray Kit, 20

tramadol HCL ER, 27

Tencon, 27

Thrombin-jmi W/Dil Spray P.M. Actuator, 20

Tramadol HCL ER, 28

Tenex, 8

tramadol hydrochloride/acetaminophen, 27

Teniposide, 5

Thrombogen, 20

Tenivac, 31

Thymoglobulin, 5

Trandate, 7

Tenoretic 100, 8

Thyrolar-1, 17

trandolapril, 7

Tenoretic 50, 8

tranexamic acid, 20

trospium chloride ER, 19

Unasyn, 1

Transderm-scop, 18

Trueplus Lancets 26G, 35

Unasyn Bulk Pack, 1

Tranxene T, 21


Unilet Comfortouch Lancet, 35

tranylcypromine sulfate, 21

Trueplus Lancets 28G Super Thin, 35

Unilet Excelite, 35

Trasylol, 20


Unilet Excelite II, 35

Travatan Z, 26

Trueplus Lancets 30G Ultra Thin, 35

Unilet G.p. Lancet, 36

Travoprost, 26


Unilet G.p. Superlite Lancet, 36

Trazamine, 22

Trueplus Lancets 33G Micro Thin, 35

Unilet GP 28 Ultra Thin, 36

trazodone HCL, 21

Trueplus Safety Lancets 28G, 35

Unilet Lancet, 36

Treanda, 4

Truetest Blood Glucose T Est, 37

Unilet Superlite Lancet, 36

Trecator, 2

Truetest Blood Glucose T Est Strips, 37

Uniretic, 8

Trelstar Depot, 5

Truetest Strips, 37

Unistik 3 Gentle, 36

Trelstar Depot Mixject, 5

Truetrack Blood Glucose Test, 37

Unistrip1 Generic, 37

Trelstar LA, 5

Truetrack Test, 37

Univasc, 7

Trelstar LA Mixject, 5

Trusopt, 26

Universal 1 Lancets Thin 26G, 36

Trelstar Mixject, 5

Truvada, 3

Universal 1 Lancets Ultra Thin 30G, 36

Trental, 21

Tudorza Pressair, 30

Uramaxin, 13

Trepadiclofen-25, 28

Turkel Paracentesis Procedure Tray/8french, 29

Uramaxin GT, 13

Trepoxen-250, 28

Uramaxin GT Kit, 13

Trepoxicam-7.5, 28

Tussafed EX, 30

urea, 12

Tretin-x, 10

Tussicaps, 30

urea 40% nail film, 12

tretinoin, 6, 10

Tussionex Pennkinetic Extended Release, 30

urea IN zinc undecylenate/lactic acid vehicle, 12

tretinoin microsphere, 10

tretinoin microsphere P.M., 10

Twinrix, 31

urea topical, 12

Trexall, 4

Twynsta, 8

Urecholine, 19

Treximet, 29

Tygacil, 4

Urelle, 18

Trezix, 28

Tykerb, 6

Uretron D/S, 18

Tri RX, 33

Tylenol/Codeine #3, 28

Urex, 18

Tri-norinyl 28, 14

Tylenol/Codeine #4, 28

Uribel, 19

Tri-VI-flor, 33

Tylox, 28

Urimar-t, 19

triamcinolone acetonide, 11, 21, 29

Typhim VI, 31

Urocit-k 10, 19

Triamcinolone Acetonide, 12

Tysabri, 24

Urocit-k 15, 19

triamcinolone IN orabase, 21

Tyvaso, 9

Urocit-k 5, 19

triamterene/hydrochlorothiazide, 8

Tyvaso Refill, 9

Urogesic-blue, 19

Triamterene/Hydrochlorothiazide, 9

Tyvaso Starter, 9

Uroqid #2, 19

Trianex, 12

Tyzeka, 3

Uroxatral, 19

triazolam, 22

Tyzine, 30

Urso 250, 18

Tribenzor, 8

Tyzine Pediatric Nasal Drops, 30

Urso Forte, 18

Tricare, 33

U

ursodiol, 18

Tricare DHA 301, 33

Utopic, 13

Uceris, 13

Tricare Prenatal Compleat, 33

Uvadex, 6

Udamin, 33

Tricare Prenatal DHA One, 33

V

Udamin SP, 33

Tricitrates, 19

Ulesfia, 13

Vagifem, 19

Tricor, 9

Uloric, 29

valacyclovir HCL, 3

trifluoperazine HCL, 22

Ulticare Thin Lancets 30G, 35

Valcyte, 3

trifluridine, 25

Ultilet Basic Lancets 30G, 35

Valium, 21

Triglide, 9

Ultilet Classic Lancets, 35

valproate sodium, 23

trihexyphenidyl HCL, 24

Ultilet Lancets, 35

valproic acid, 23

Trileptal, 23

Ultilet Lancets 33G, 35

valsartan/hydrochlorothiazide, 8

Trilipix, 9

Ultilet Safety Lancets 23G, 35

Valstar, 4

trimethobenzamide HCL, 18

Ultima Test Strips, 37

Valtrex, 3

trimethoprim, 4

Ultiva, 28

Valumark Lancet Super Thin 30G, 36

trimethoprim sulfate/polymyxin b sulfate, 25

Ultra-thin II Auto Lancet, 35

Valumark Lancet Ultra Thin 28G, 36

Ultra-thin II Lancets 28G, 35

Vancocin HCL, 4

trimipramine maleate, 21

Ultra-thin II Lancets 30G, 35

vancomycin HCL, 4

Trinate, 33

Ultra-thin II Safety Autolancets 26G, 35

Vancomycin HCL, 4

Triostat, 17

Ultracet, 28

Vancomycin HCL IN Dextrose, 4

Tripedia, 31

Ultram, 28

Vandetanib, 6

Trisenox, 6

Ultram ER, 28

Vanos, 12

Triveen-duo DHA, 33

Ultratrak Pro Test Strips, 37

Vanoxide-HC, 10

Triveen-one, 33

Ultratrak Ultimate Test Strips, 37

Vantas, 5

Triveen-prx RNF, 33

Ultravate, 12

Vaprisol, 16

Triveen-ten, 33

Ultravate PAC, 12

Vaqta, 31

Triveen-u, 33

Ultravate X, 12

Varivax, 31

Trizivir, 3

Ultresa, 18

Vascepa, 9

Trokendi XR, 23

Umecta, 13

Vaseretic, 8

Tropazone, 13

Umecta Nail Film, 13

vasopressin, 16

trospium chloride, 19

Umecta PD, 13

Vasotec, 7

Vecamyl, 8

Viramune XR, 3

Westhroid, 17

Vectibix, 5

Virasal, 13

Westhroid-p, 17

Vectical, 11

Virazole, 3

Wheat Germ, 32

vecuronium bromide, 24

Viread, 3

Wilate, 20

Velcade, 6

Viroptic, 25

Witch Hazel, 13

Veletri, 9

Vistaril, 21

Wp Thyroid, 17

Velphoro, 18

Vistide, 3

X

Veltin, 10

Vita-pren, 33

Xalatan, 26

Vemavite-prx 2, 33

Vitafol, 33

Xalkori, 6

venlafaxine HCL, 21

Vitafol Ultra, 33

Xanax, 21

venlafaxine HCL ER, 21

Vitafol-OB, 33

Xanax XR, 21

Venlafaxine HCL ER, 22

Vitafol-ob+dha, 33

Xarelto, 20

Venofer, 19

Vitafol-one, 33

Xclair, 13

Ventavis, 9

Vitafol-plus, 33

Xeljanz, 28

Ventolin HFA, 30

Vitafol-pn, 33

Xeloda, 4

Veramyst, 30

Vital-d RX, 33

Xenazine, 24

verapamil HCL, 7

Vitalet Pro Lancets, 36

Xeomin, 24

Verapamil HCL, 7

Vitalet Pro Plus Lancets, 36

Xerac Ac, 13

verapamil HCL ER, 7

Vitamedmd One RX/Quatrefolic, 33

Xerese, 11

verapamil HCL SR, 7

Vitamedmd Plus RX/Quatre Folic, 33

Xgeva, 15

Verdeso, 12

Vitamedmd Redichew RX/Quatrefolic, 33

Xifaxan, 4

Veregen, 13

Vitamin B12/Folic Acid, 19

Xodol, 28

Verelan, 7

vitamin c 222MG, 31

Xofigo, 6

Verelan PM, 7

vitamin d, 31

Xolair, 31

Veripred 20, 13

vitamin k1, 31

Xolegel, 11

Versacloz, 22

Vitamin K1, 32

Xolegel Corepak, 11

Vesicare, 19

Vitapearl, 33

Xolegel Duo/Head & Shoulders, 11

Vexol, 26

Vitaroca Plus, 33

Xolegel Duo/Xolex, 11

Vfend, 2

Vituz, 30

Xolox, 28

Vfend IV, 2

Viva CT Prenatal, 33

Xopenex, 31

Viagra, 9

Viva DHA, 33

Xopenex Concentrate, 31

Vibativ, 4

Vivactil, 22

Xopenex HFA, 31

Vibramycin, 2

Vivelle-dot, 13

Xtandi, 5

Vicoprofen, 28

Vivotif Berna, 31

Xylocaine, 7, 13, 29

Victory Agm-4000 Test Strips, 37

Vocal Point Blood Glucose Test Strips, 37

Xylocaine-mpf, 29

Victoza, 15

Xylocaine-mpf/Epinephrine, 29

Victrelis, 3

Voltaren, 11

Xylocaine/Epinephrine, 29

Vida Mia Unilet Lancets Super Thin 30G, 36

Voltaren-XR, 28

Xyntha, 20

Voluven, 21

Xyntha Solofuse, 20

Vida Mia Unilet Lancets Ultra Thin 28G, 36

Vopac, 11

Xyrem, 24

Vopac GB, 11

Xyzal, 29

Vidaza, 5

Vopac Kt, 11

Y

Videx EC, 3

Voraxaze, 6

Videx Pediatric, 3

voriconazole, 2

Yasmin 28, 14

Vigamox, 25

Vortex Valved Holding Chamber, 37

Yaz, 14

Viibryd, 22

Vosol HC, 26

Yervoy, 5

Vimovo, 28

Vospire ER, 31

Yf-vax, 31

Vimpat, 24

Votrient, 6

Yodoxin, 3

Vinacal, 33

Vpriv, 19

Z

Vinacal B, 33

Vsl#3 DS, 17

Z-cof I, 30

Vinate AZ, 33

Vumon, 5

Z-pram, 18

Vinate AZ Extra, 33

Vusion, 11

Zacare 4% Kit, 10

Vinate C, 33

Vytorin, 9

Zacare 8% Kit, 10

Vinate Calcium, 33

Vyvanse, 23

zafirlukast, 30

Vinate Care, 33

W

zaleplon, 22

Vinate DHA, 33

W&f Lancets 26G, 36

Zaltrap, 5

Vinate GT, 33

W&f Lancets Colored 21G, 36

Zamicet, 28

Vinate IC, 33

Walgreens Lancets, 36

Zanaflex, 25

Vinate II, 33

Walgreens Thin Lancets, 36

Zanosar, 4

Vinate M, 33

Walgreens Ultra Thin Lancets, 36

Zantac, 18

Vinate One, 33

warfarin sodium, 20

Zarontin, 24

Vinate Pn Care, 33

Watchhaler, 37

Zaroxolyn, 9

Vinblastine Sulfate, 5

Wavesense Presto Test Strips, 37

Zatean-CH, 33

vincristine sulfate, 5

Welchol, 9

Zatean-pn, 33

vinorelbine tartrate, 5

Wellbutrin, 22

Zatean-pn DHA, 33

Viokace, 18

Wellbutrin SR, 22

Zatean-pn Plus, 33

Viracept, 3

Wellbutrin XL, 22

Zavesca, 20

Viramune, 3

Westcort, 12

Zebeta, 7

Zegerid, 18

Zyflo, 31

Zelapar, 24

Zyflo CR, 31

Zelboraf, 6

Zylet, 25

Zemaira, 31

Zyloprim, 29

Zemplar, 16

Zymaxid, 25

Zemuron, 24

Zyprexa, 22

Zenpep, 18

Zyprexa Relprevv, 22

Zenzedi, 23

Zyprexa Zydis, 22

Zerit, 3

Zytiga, 5

Zestoretic, 8

Zyvox, 4

Zestril, 7

1

Zetia, 9

1ST Choice Lancets Super Thin, 36

Zetonna, 30

1ST Choice Lancets Thin, 36

Zevalin Y-90, 5

1ST Choice Lancets Ultra Thin, 36

Ziac, 8

8

Ziagen, 3

Ziana, 10

8-mop, 11

zidovudine, 3

Zinacef, 1

Zinacef IN Iso-osmotic Dextrose, 1

Zinacef IN Iso-osmotic Diluent, 1

Zinecard, 6

Zioptan, 26

ziprasidone HCL, 22

Zipsor, 28

Zirgan, 25

Zithranol, 11

Zithranol-rr, 11

Zithromax, 1

Zithromax Tri-PAK, 1

Zithromax Z-PAK, 1

Zmax, 1

Zocor, 9

Zofran, 18

Zofran Odt, 18

Zohydro ER, 28

Zoladex, 5

zoledronic acid, 15

Zoledronic Acid, 15

Zolinza, 6

zolmitriptan, 28

zolmitriptan odt, 29

Zoloft, 22

zolpidem tartrate, 22

zolpidem tartrate ER, 22

Zolpimist, 23

Zolvit, 28

Zometa, 15

Zomig, 29

Zomig Nasal Spray, 29

Zomig ZMT, 29

Zonalon, 11

Zonatuss, 30

Zonegran, 24

zonisamide, 23

Zorbtive, 16

Zortress, 5

Zorvolex, 28

Zostavax, 31

Zosyn, 1

Zovia 1/50e, 14

Zovirax, 3, 11

Zubsolv, 28

Zuplenz, 18

Zutripro, 30

Zyclara, 12

Zyclara P.M., 12

Zydone, 28

Documents

List of covered drugs · INTRODUCTION Catamaran utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of practicing physicians, pharmacists, and nurses to help