OPTIMA HEALTH PRESCRIPTION DRUG FORMULARY · OPTIMA HEALTH PRESCRIPTION DRUG FORMULARY . SMALL GROUP STANDARD FORMULARY ... benzoyl peroxide SHORT contact ciclopirox nail lacquer

Revised: 10/13/2017

OPTIMA HEALTH PRESCRIPTION DRUG FORMULARY

SMALL GROUP STANDARD FORMULARY (50 or Less Employees)

Effective: October 1, 2017

Erythrocin Stearate

PCE

TETRACYCLINES

October 2017

TIER 01 PREFERRED GENERIC

avidoxy

ANTI-INFECTIVES

demeclocycline HCL

doxycycline

PENICILLINS

doxycycline hyclate


doxycycline hyclate DRST

amoxicillin

minocycline HCL

amoxicillin/clavulanate potassium

minocycline HCL ER

amoxicillin/clavulanate potassium ER

mondoxyne nl

ampicillin

morgidox 1X100MG

dicloxacillin sodium

morgidox 1X50MG

penicillin v potassium

morgidox 2X100MG

Amoxicillin

tetracycline hydrochloride

Amoxicillin/Clavulanate Potassium

tetracycline HCL

Ampicillin

Minocycline HCL ERST

TIER 02 NON-PREFERRED GENERIC

Tetracycline HCL

Amoxicillin ER


doxycycline monohydrate

CEPHALOSPORIN

TIER 03 NON-PREFERRED BRAND

FIRST GENERATION

Avidoxy DK


Minocin Kit

cefadroxil

Morgidox 1X100MG

cephalexin

Morgidox 2X100MG


Nutridox

Cephalexin

SECOND GENERATION

QUINOLONES



cefaclor

ciprofloxacin ER

cefprozil

ciprofloxacin HCL

cefuroxime axetil

levofloxacin

Cefaclor

ofloxacin

Cefaclor ER

Ciprofloxacin HCL


Ofloxacin

Ceftin


THIRD GENERATION

ciprofloxacin


moxifloxacin HCL

cefdinir

Levofloxacin

cefpodoxime proxetil



Factive

cefixime

Cefditoren Pivoxil

AMINOGLYCOSIDES

Ceftibuten


Ceftriaxone Sodium

neomycin sulfate


paromomycin sulfate

Cedax

TIER 04 SPECIALTY

Suprax

tobramycin

tobramycin inhalation solution PAK

MACROLIDES

Bethkis


Tobi PodhalerPA

azithromycin

clarithromycin

SULFONAMIDES

clarithromycin ER


erythromycin

Sulfadiazine

Azithromycin

Clarithromycin

ANTIMYCOBACTERIAL AGENTS

E.e.s. 400

Erythromycin Base


Erythromycin Ethylsuccinate

ethambutol HCL


isoniazid

erythromycin ethylsuccinate

pyrazinamide


rifampin

DificidPA

Isoniazid

Ery-TAB


Eryped 400

rifabutin

Cycloserine

TIER 03

Effective October 1, 2017

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

NON-PREFERRED BRAND

EpclusaPA

Paser

Epivir HBV

Priftin

Evotaz

Rifamate

Fuzeon

Rifater

Genvoya

SirturoPA

HarvoniPA

Trecator

Hepsera

Intelence

ANTIFUNGALS

Invirase

Isentress


Isentress HD

bio-statin

Kaletra

fluconazole

Lexiva

griseofulvin microsize

Moderiba

griseofulvin ultramicrosize

Nevirapine

itraconazole

Norvir

ketoconazole

Odefsey

nystatin

OlysioPA

terbinafine HCL

Peg-intron

voriconazole

Peg-intron Redipen

Peg-intron Redipen PAK 4


Pegasys

flucytosine

Pegasys Proclick


Pegintron

Bio-statin

Prezcobix

Cresemba

Prezista

Noxafil

Rebetol

Onmel

Rescriptor

Sporanox

Retrovir IV Infusion

Reyataz

ANTIVIRALS

Ribasphere


Ribasphere Ribapak

acyclovir

Ribatab

famciclovir

Selzentry

rimantadine HCL

SovaldiPA

valacyclovir HCL

Stribild


Sustiva

oseltamivir phosphateQL

TechniviePA


Tivicay

Relenza DiskhalerQL

Triumeq

TamifluQL

Truvada

TIER 04 SPECIALTY

Tybost

abacavir

Tyzeka

abacavir sulfate/lamivudine/zidovudine

Vemlidy

abacavir/lamivudine

Victrelis

adefovir dipivoxil

Videx Pediatric

didanosine

Viekira PAKPA

entecavir

Viekira XRPA

fosamprenavir calcium

Viracept

lamivudine

Virazole

lamivudine/zidovudine

Viread

lopinavir/ritonavir

Vitekta

moderiba

ZepatierPA

nevirapine

Ziagen

nevirapine ER

ribasphere

ANTIMALARIALS

ribavirin


stavudine

chloroquine phosphate

valganciclovir

hydroxychloroquine sulfate

valganciclovir hydrochlorde

mefloquine HCL

zidovudine

Chloroquine Phosphate

Aptivus

Primaquine Phosphate

Atripla


Baraclude

atovaquone/proguanil HCL

Complera

quinine sulfate

Crixivan


DaklinzaPA

Coartem

Descovy

DaraprimPA

Edurant

Emtriva



ANTHELMINTICS

PREFERRED BRAND

Trexall


TIER 04 SPECIALTY

ivermectin

capecitabine

TIER 02 PREFERRED BRAND

Purixan

pin-x

Tabloid

pinworm medicine

reeses pinworm medicine

HORMONAL AGENTS

AlbenzaST

EmvermST

FORMULARY FORMULARY

Pin-x

tamoxifen citrate

Reeses Pinworm Medicine



anastrozole

Biltricide

bicalutamide

StromectolST

exemestane

flutamide

MISC. ANTI-INFECTIVES

letrozole

megestrol acetate


nilutamide

clindamycin palmitate HCL


clindamycin HCL

Emcyt

dapsone

Fareston

linezolid


metronidazole

Depo-provera

sulfamethoxazole/trimethoprim

Soltamox

sulfamethoxazole/trimethoprim DS

TIER 04 SPECIALTY

sulfatrim pediatric

Firmagon

tinidazole

Lysodren

trimethoprim

Xtandi

vancomycin HCL

Zytiga


atovaquone

IMMUNOMODULATORS

vancomycin

PREFERRED BRAND


Alinia

azathioprine

Nebupent

cyclosporine


cyclosporine modified

Impavido

gengraf

Ketek

mycophenolate mofetil

Primsol

mycophenolic acid DR

XifaxanQL,PA

tacrolimus

ZyvoxST

Cyclosporine Modified

TIER 04 SPECIALTY


Cayston

sirolimus

First-vancomycin 25

PREFERRED BRAND

First-vancomycin 50

Sandimmune

Sivextro


Vancomycin HCL + Syrspendsf PH4

Rapamune

TIER 04 SPECIALTY

ANTINEOPLASTICS, ETC.

Envarsus XR

PomalystPA

ALKYLATING AGENTS

RevlimidPA


Thalomid

melphalan

Zortress

TIER 04 SPECIALTY

temozolomide

MITOTIC INHIBITORS

Cyclophosphamide

TIER 04 SPECIALTY

Gleostine

Etoposide

Hexalen

Leukeran

ENZYME INHIBITORS

Lomustine

TIER 04 SPECIALTY

Myleran

imatinib mesylate

Valchlor

Afinitor

Yondelis

Afinitor Disperz

Alecensa

ANTIMETABOLITES

Bosulif


CabometyxQL

mercaptopurine

Caprelsa

methotrexate

CometriqQL

methotrexate sodium

Cotellic

Methotrexate Sodium

Farydak

TIER 02



Gilotrif

Digoxin

Gleevec


IbrancePA

Lanoxin

IclusigPA

Imbruvica

ANTIANGINAL AGENTS

Inlyta


IressaPA

isosorbide dinitrate

Jakafi

isosorbide mononitrate

KisqaliPA

isosorbide mononitrate ER

Lenvima 10 MG Daily Dose

minitran


nitro-time


nitroglycerin


nitroglycerin transdermal


nitroglycerin ER


Isosorbide Dinitrate ER

Lynparza


Mekinist

nitroglycerin lingual

NexavarPA

Nitroglycerin Lingual

Ninlaro

PREFERRED BRAND

Sprycel

Nitro-bid

StivargaPA

Nitro-dur

SutentPA

Nitrostat

Tafinlar


TagrissoPA

Dilatrate SR

Tarceva

Ranexa

Tasigna

TykerbPA

BETA BLOCKERS

Votrient


XalkoriPA

acebutolol HCL

ZelborafPA

atenolol

Zolinza

betaxolol HCL

Zydelig

bisoprolol fumarate

ZykadiaPA

carvedilol

labetalol HCL

TOPOISOMERASE I INHIBITOR

metoprolol succinate ER

TIER 04 SPECIALTY

metoprolol tartrate

Hycamtin

nadolol

Onivyde

propranolol hydrochloride

propranolol HCL

ANTINEOPLASTICS MISC.

propranolol HCL ER


sorine

hydroxyurea

sotalol HCL

tretinoin

sotalol HCL (AF)

TIER 04 SPECIALTY

Metoprolol Tartrate

bexarotene

Propranolol HCL

ActimmunePA

Timolol Maleate

Alferon N


Intron A

pindolol

Intron A W/Diluent


Matulane

BystolicST

Sylatron

Hemangeol

CHEMOTHERAPY RESCUE

CALCIUM CHANNEL BLOCKERS



leucovorin calcium

afeditab CR

Leucovorin Calcium

amlodipine besylate

TIER 04 SPECIALTY

cartia XT

Mesnex

dilt-XR

diltiazem CD

ANTINEOPLASTIC COMBO

diltiazem HCL

diltiazem HCL CD

TIER 04 SPECIALTY

diltiazem HCL ER

Lonsurf

felodipine ER

isradipine

CARDIOVASCULAR DRUGS

matzim LA

CARDIAC GLYCOSIDES

nicardipine HCL


nifedical XL

digitek

nifedipine

digox

nifedipine ER

digoxin



nimodipine

NON-PREFERRED GENERIC

nisoldipine ER

Reserpine

taztia XT


verapamil HCL

Demser

verapamil HCL ER

Vecamyl

verapamil HCL SR

Nisoldipine ER

ANTIHYPERTENSIVE COMBO


ANTIARRHYTHMICS

amlodipine besylate/benazepril hydrochloride


amlodipine besylate/benazepril HCL

amiodarone HCL

atenolol/chlorthalidone

disopyramide phosphate

benazepril HCL/hydrochlorothiazide

flecainide acetate

bisoprolol fumarate/hydrochlorothiazide

mexiletine HCL

candesartan cilexetil/hydrochlorothiazide

propafenone HCL

enalapril maleate/hydrochlorothiazide

quinidine gluconate CR

fosinopril sodium/hydrochlorothiazide

quinidine gluconate ER

irbesartan/hydrochlorothiazide

quinidine sulfate

lisinopril/hydrochlorothiazide

Quinidine Sulfate

losartan potassium/hydrochlorothiazide

Quinidine Sulfate ER

metoprolol/hydrochlorothiazide


moexipril/hydrochlorothiazide

dofetilide

nadolol/bendroflumethiazide

pacerone

quinapril/hydrochlorothiazide

propafenone HCL ER

valsartan/hydrochlorothiazide

PREFERRED BRAND

Captopril/Hydrochlorothiazide

Multaq

Methyldopa/Hydrochlorothiazide

Metoprolol/Hydrochlorothiazide

ACE INHIBITORS

Propranolol/Hydrochlorothiazide



amlodipine besylate/valsartan

benazepril HCL

amlodipine/olmesartan medoxomil

captopril

amlodipine/valsartan/hctz

enalapril maleate

olmesartan medoxomil/hydrochlorothiazide

fosinopril sodium

telmisartan/amlodipine

lisinopril

telmisartan/hydrochlorothiazide

moexipril HCL

trandolapril/verapamil HCL ER

perindopril erbumine

PREFERRED BRAND

quinapril HCL

Clorpres

ramipril

EdarbyclorST

trandolapril



Prestalia

Epaned

DIURETICS

ANGIOTENSIN RCPTR BLOCKER



acetazolamide

irbesartan

acetazolamide ER

losartan potassium

amiloride HCL


amiloride/hydrochlorothiazide

candesartan cilexetil

bumetanide

olmesartan medoxomil

chlorothiazide

telmisartan

chlorthalidone

valsartan

furosemide

Eprosartan Mesylate

hydrochlorothiazide

PREFERRED BRAND

indapamide

EdarbiST

methazolamide

metolazone

ANTIHYPERTENSIVES MISC.

spironolactone


spironolactone/hydrochlorothiazide

clonidine HCL

torsemide

doxazosin

triamterene/hydrochlorothiazide

doxazosin mesylate

Chlorothiazide

eplerenone

Furosemide

guanfacine HCL

Triamterene/Hydrochlorothiazide

hydralazine HCL


methyldopa

ethacrynic acidPA

minoxidil

Methyclothiazide

phenoxybenzamine hydrochloride

PREFERRED BRAND

prazosin HCL

Diuril

terazosin HCL

Dyrenium

TIER 02




AdcircaPA

Keveyis

AdempasST

Letairis

VASOPRESSORS

Opsumit

Orenitram


RevatioPA

epinephrine HCL

Tracleer

midodrine HCL

Tyvaso

EpinephrineQL

Tyvaso Refill


Tyvaso Starter

Epipen 2-PAKQL

UptraviPA

Epipen-JR 2-PAKQL

Ventavis

TIER 04 SPECIALTY

NortheraPA

DERMATOLOGICALS

ANTIHYPERLIPIDEMICS

ACNE PRODUCTS



atorvastatin calcium

acne foaming wash

cholestyramine

acne medication 10

cholestyramine light

acne medication 5

colestipol HCL

acne pimple medication maximum strength/vanishing

ezetimibe/simvastatinST

acne treatment gel

fenofibrate

acne-clear

fenofibrate micronized

adapaleneAL

fenofibric acid DR

adapalene P.M.AL

fluvastatin

amnesteem

gemfibrozil

avar cleanser

lovastatin

avitaAL

pravastatin sodium

benzoyl peroxide

prevalite

benzoyl peroxide wash

simvastatin

bp foaming wash

Niacor

bp gel

bp wash


bpo-10 wash

ezetimibe

claravis

fluvastatin sodium ERST

clean & clear persa-gel maximum strength

niacin ER

clearplex v

omega-3-acid ethyl estersPA

clearplex x

rosuvastatin calcium

clindacin etz pledgets

trikloPA

clindacin-p

Fenofibrate

clindamycin phosphate

Fenofibric Acid

ery

PREFERRED BRAND

erythromycin

Welchol

erythromycin/benzoyl peroxide


kp benzoyl peroxide

Altoprev

kp benzoyl peroxide wash

LivaloST

myorisan

Omega-3/D-3 Wellness Pack

neuac

Sure Result O3d3 System

panoxyl wash

TIER 04 SPECIALTY

ra renewal medicated acne treatment maximum strength

JuxtapidPA

rosanil cleanser

KynamroPA

sodium sulfacetamide

PraluentQL,PA

sodium sulfacetamide/sulfur

RepathaQL,PA

sulfacetamide sodium

Repatha Pushtronex SystemQL,PA

sulfacetamide sodium/sulfur cleanser

Repatha SureclickQL,PA

tretinoinAL

zenatane

CARDIOVASCULAR - MISC.

CVS acne foaming face wash


CVS acne treatment

amlodipine besylate/atorvastatin calcium

CVS acne treatment/maximum strength


CVS creamy acne face wash

isoxsuprine HCL

CVS foaming acne face wash

Isoxsuprine HCL

DifferinAL


Sodium Sulfacetamide/Sulfur

CialisPA

Sodium Sulfacetamide/Sulfur Cleanser IN Urea

CorlanorPA

EntrestoPA


TIER 04 SPECIALTY

adapalene and benzoyl peroxidePA,ST

sildenafilPA

avar-e emollient

sildenafil citratePA

avar-e green



benzepro creamy wash

PREFERRED GENERIC

benzepro foaming cloths

ciclodan

benzepro SHORT contact

ciclopirox

benzoyl peroxide SHORT contact

ciclopirox nail lacquer

bp foam

ciclopirox olamine

bp 10-1

ciclopirox treatment

bpo 6% foaming cloths

clotrimazole/betamethasone dipropionate

cerisa wash

dermazene

clindamycin phosphate/tretinoin

econazole nitrate

clindamycin/benzoyl peroxide

hydrocortisone/iodoquinol

pr benzoyl peroxide wash

ketoconazole

sodium sulfacetamide/sulfur cleanser

nyamyc

sodium sulfacetamide/sulfur green

nyata

sodium sulfacetamide/sulfur w/sunscreen

nystatin

sodium sulfacetamide/sulfur wash

nystatin/triamcinolone

sss 10%-5%

nystop

sulfacetamide sodium/sulfur


sulfacleanse 8/4

hydrocortisone acetate & iodoquinol

tretinoin microsphereST

ketodan

tretinoin microsphere P.M.ST

naftifine hydrochloride

zencia

naftifine HCL

AdapaleneAL

oxiconazole nitrate

Bp Cleansing Wash

Exoderm

Sodium Sulfacetamide/Sulfur IN Urea


Sss 10-5

Ala-quin

Zaclir Cleansing

Ciclodan Cream Kit

PREFERRED BRAND

Ciclodan Solution Kit

Desquam-x Wash

Dermasorb AF

Panoxyl-4 Creamy Wash

ErtaczoST


ExeldermST

Aktipak

JubliaPA

Avar

KerydinPA

Avar LS

Ketodan Kit

Avar LS Cleanser

Loprox

Benzamycin

LuzuST

Clindacin Etz

Mentax

Clindacin PAC

NaftinST

Epiduo ForteST

OxistatST

Inova

Pediaderm AF Complete Kit

Neuac KitST

Penlac Nail Lacquer

Rosula

Xolegel Corepak

Zacare 4% Kit

ANTIVIRALS - TOPICAL

ROSACEA AGENTS



acyclovir

metronidazole


rosadan

DenavirST


DoxycyclineST

ANTI-INFLAMMATORY AGENTS



Metronidazole

diclofenac sodium

MirvasoPA

klofensaid II

Rosadan Kit


Lexixryl

ANTIBIOTICS - TOPICAL

Xrylix


gentamicin sulfate

ANTIPRURITICS

Gentamicin Sulfate



Doxepin Hydrochloride

mupirocin


mupirocin calcium

Zonalon


Altabax

ANTIPSORIATICS

Centany AT


Neo-synalar

calcipotriene

Neo-synalar Kit


acitretin

ANTIFUNGALS - TOPICAL

calcitrene

TIER 01

methoxsalen



tazaroteneST

Apexicon EST

Calcitriol

Clocortolone Pivalate

Dritho-creme HP

Clocortolone Pivalate P.M.

PREFERRED BRAND

Halac

8-mop



CapexST

SoriataneST

Clodan Kit

TazoracST

Cortane-b

Zithranol

Dermasorb HCST

Zithranol-rr

Dermasorb TaST

TIER 04 SPECIALTY

Dermazone

CosentyxPA

DesowenST

Cosentyx Sensoready PenPA

EnstilarST

StelaraPA

Epifoam

TaltzPA

HalogST

Nucort

ANTISEBORRHEIC AGENTS

PandelST

Pediaderm HCST


Pediaderm TaST

seb-prev wash

Silazone Pharmapak

selenium sulfide

Silazone-II

sodium sulfacetamide wash

Synalar Cream Kit


Synalar Ointment Kit


TexacortST


TrianexST

Sodium Sulfacetamide Wash

TridesilonST

CORTICOSTEROIDS - TOPICAL

IMMUNOMODULATING AGENTS



ala-cort

imiquimod

alclometasone dipropionate


alphatrex

tacrolimus

augmented betamethasone dipropionate

PREFERRED BRAND

betamethasone dipropionate

Elidel

betamethasone dipropionate/augmented

betamethasone valerate

DERMATOLOGICALS - MISC.

clobetasol propionate

clobetasol propionate e


clobetasol propionate emollient

agoneaze

cormax scalp application

anodyne lpt

desonide

dermacinrx empricaine

desoximetasone

dermacinrx prizopak

fluocinolone acetonide

lactic acid

fluocinonide

lactic acid e

fluocinonide emulsified base

lactic acid w/vitamin e

fluticasone propionate

latrix

halobetasol propionate

leva set

hydrocortisone

leva set/occlusive dressing

hydrocortisone butyrate

lido bdk

hydrocortisone butyrate (lipid)ST

lido-prilo caine pack

hydrocortisone butyrate (lipophilic)ST

lidocaine

hydrocortisone valerate

lidocaine HCL

lokara

lidocaine PAK

mometasone furoate

lidocaine-prilocaine-cream base

prednicarbate

lidocaine/prilocaine

triamcinolone acetonide

lidopril

triderm

lidopril XR

Amcinonide

liprozonepak

Diflorasone Diacetate

livixil PAK

Synalar

medolor PAK

permethrin


podofilox

calcipotriene/betamethasone dipropionateST

premium lidocaine

clodan

prilolid

fluocinolone acetonide body

priloxx LP

fluocinolone acetonide scalp

rea LO 40

flurandrenolideST

relador PAK

hydrocortisone acetate/pramoxine

relador PAK plus

nolixST

remeven

scalacort

salacyn



salicylic acid lotion

HPR

salitech forte

HPR Plus

ure-k

Kamdoy

urea

Ldo Plus

Lidocaine HCL

Lido-k

LindaneST

Lido-RX 4.1

LP lite PAK

Lidocin

Lidopin


Lidorx

cerovel

Lidothol

cidaleaze

Lidotral

ethyl chloride

Lidovex

lidopin

Lidozol

lindaneST

Neosalus

malathion

Neosalus CP

rea LO 39

Nivatopic Plus

salicylic acid

Oxsoralen

salicylic acid cream

Phlag Spray

salicylic acid wart remover

Presera

salicylic acid ER

Pruclair

salisol forte

Prumyx

sodium hyaluronate

Qutenza

umecta mousse

Ra Saline Wound Wash

ure-39

Renuu Patch

urea hydrating

Safe Wash

urea nail

Saline Wound Wash

urea nail gel

Saljet

urea 40% nail film

Saljet Rinse

urea-c40

Salvax

Cem-urea

Salvax Duo Plus

Coal TAR

Silvera Pain Relief

Ethyl Chloride

SkliceST

Ethyl Chloride/Fine Pinpoint

Synera

Ethyl Chloride/Fine Stream

Synerderm

Ethyl Chloride/Medium Jet Stream

Synvexia Tc

Ethyl Chloride/Medium Stream

Tranzarel

Ethyl Chloride/Mist

UlesfiaPA

Latrix XM

Ultrasal-ER

Lidocaine And Tetracaine Cream

Umecta

Podocon 25 IN Benzoin Tincture

Umecta Nail FilmST

Pyrogallic Acid

Umecta PD

Relyyks

Urevaz

Scar Patch

Utopic

Spinosad

Velma Pain Relief

Tetrix

Veltrix

Tretinoin EmollientPA

Wound Wash Saline

Uramaxin

Xeralux

Urea IN Zinc Undecylenate/Lactic Acid Vehicle

Urea Nail Kit

ENDOCRINE AND METABOLIC

Urea Topical

CORTICOSTEROIDS

PREFERRED BRAND


regenecare HA

budesonide


dexamethasone

Accucaine

fludrocortisone acetate

Adazin

hydrocortisone

Anacaine

methylprednisolone

Astero

methylprednisolone dose pack

Atopiclair

prednisolone

Avaderm

prednisolone sodium phosphate

Ceracade

prednisone

CVS Saline Wound Wash

Cortisone Acetate

Dexeryl

Dexamethasone

Eletone

Prednisone

Eletone Twinpack


Emulsion SB

deltasone

Entty Spray Emulsion

prednisolone sodium phosphate odt

Epiceram

Prednisolone Sodium Phosphate

EuraxST

PREFERRED BRAND

Gnp Saline Wound Wash

Dexamethasone Intensol

Hylatopic Plus



Prednisone Intensol

altavera


alyacen 1/35

Dexpak 10 DayST

alyacen 7/7/7

Dexpak 13 DayST

amethia

Dexpak 6 DayST

amethia LO

Medrol Dosepak

amethyst

Millipred DP

apri

RayosST

aranelle

Zodex 6-dayST

ashlyna

aubra

ANDROGENS-ANABOLIC

aviane

azurette


balziva

methyltestosterone

bekyree

oxandrolone

blisovi FE 1.5/30

testosteronePA

blisovi FE 1/20

testosterone P.M.PA

blisovi 24 FE

Testosterone P.M.PA

briellyn


camila

danazol

camrese

testosterone topical solutionPA

camrese LO

TestosteronePA

caziant

PREFERRED BRAND

chateal

AndrogelPA

cryselle-28

Androgel P.M.PA

cyclafem 1/35

Androxy

cyclafem 7/7/7


cyred

Anadrol-50

dasetta 1/35

Methitest

dasetta 7/7/7

daysee

ESTROGENS

deblitane


delyla

amabelz

desogestrel/ethinyl estradiol

eemt

drospirenone/ethinyl estradiol

eemt HS

drospirenone/ethinyl estradiol/levomefolate calcium

esterified estrogens/methltestosterone

econtra EZ

esterified estrogens/methyltestosterone

elinest

esterified estrogens/methyltestosterone DS

emoquette

esterified estrogens/methyltestosterone HS

enpresse-28

estradiol

enskyce

estradiol/norethindrone acetate

errin

lopreeza

estarylla

mimvey

ethynodiol diacetate/ethinyl estradiol

mimvey LO

fallback solo

Estropipate

falmina

fayosim


femynor

covaryx

gianvi

covaryx HS

gildagia

fyavolv

gildess FE 1.5/30

jevantique LO

gildess FE 1/20

jinteli

gildess 1.5/30

norethindrone acetate/ethinyl estradiol

gildess 1/20

PREFERRED BRAND

gildess 24 FE

Prefest

heather

Premarin

introvale

Premphase

isibloom

Prempro

jencycla


jolessa

Alora

jolivette

Combipatch

juleber

Duavee

junel FE 1.5/30

Enjuvia

junel FE 1/20

Menest

junel FE 24

Minivelle

junel 1.5/30

Vivelle-dot

junel 1/20

kaitlib FE

CONTRACEPTIVES

kariva

FORMULARY FORMULARY

kelnor 1/35

aftera

kimidess



kurvelo

sronyx

larin FE 1.5/30

syeda

larin FE 1/20

take action

larin 1.5/30

tarina FE 1/20

larin 1/20

tilia FE

larin 24 FE

tri femynor

larissia

tri-estarylla

layolis FE

tri-legest FE

leena

tri-linyah

lessina

tri-previfem

levonest

tri-sprintec

levonorgestrel

tri-LO-estarylla

levonorgestrel and ethinyl estradiol

tri-LO-marzia

levonorgestrel/ethinyl estradiol

tri-LO-sprintec

levora 0.15/30-28

trinessa

lillow

trinessa LO

lomedia 24 FE

trivora-28

loryna

velivet

low-ogestrel

vestura

lutera

vienva

lyza

viorele

marlissa

vyfemla

medroxyprogesterone acetate

wera

melodetta 24 FE

wymzya FE

mibelas 24 FE

zarah

microgestin FE

zenchent

microgestin FE 1.5/30

zenchent FE

microgestin 1.5/30

zovia 1/35e

microgestin 1/20

zovia 1/50e

microgestin 24 FE

Ella

mono-linyah

Levonorgestrel And Ethinyl Estradiol

mononessa

Necon 1/50-28

my way

Nuvaring

myzilra

Ogestrel

necon 0.5/35-28

Xulane

necon 1/35


necon 10/11-28

Falessa

necon 7/7/7

LO Loestrin FE

next choice one dose

Natazia

nikki

Nor-QD

nora-be

Ortho Micronor

norethindrone

Safyral

norethindrone & ethinyl estradiol ferrous fumarate

norethindrone acetate/ethinyl estradiol

PROGESTINS

norethindrone acetate/ethinyl estradiol/ferrous fumarate


norethindrone/ethinyl estradiol/ferrous fumarate

medroxyprogesterone acetate

norgestimate/ethinyl estradiol

norethindrone acetate

norlyda

progesterone

norlyroc


nortrel 0.5/35 (28)

megestrol acetate

nortrel 1/35

nortrel 7/7/7

ANTIDIABETIC AGENTS

ocella

INSULIN

opcicon one-step


option 2

Humalog

orsythia

Humalog Junior Kwikpen

philith

Humalog Kwikpen

pimtrea

Humalog Mix 50/50

pirmella 1/35

Humalog Mix 50/50 Kwikpen

pirmella 7/7/7

Humalog Mix 75/25

portia-28

Humalog Mix 75/25 Kwikpen

previfem

Humulin N

quasense

Humulin N Kwikpen

rajani

Humulin R

react

Humulin R U-500 (concentrated)

reclipsen

Humulin R U-500 Kwikpen

rivelsa

Humulin 70/30

setlakin

Humulin 70/30 Kwikpen

sharobel

Lantus

sprintec 28

Lantus Solostar



Toujeo Solostar

Tradjenta



ApidraST

AlogliptinST

Apidra SolostarST

NesinaST

LevemirST

OnglyzaST

Levemir FlextouchST

INSULIN SENSITIZING AGENT

Novolog Mix 70/30ST


Novolog Mix 70/30 Prefilled FlexpenST

pioglitazone HCL

Tresiba FlextouchST


AMYLIN ANALOGS

Avandia


ANTIDIABETIC COMBINATIONS

Symlinpen 120


Symlinpen 60

glipizide/metformin HCL

INCRETIN MIMETIC AGENTS

glyburide/metformin HCL


pioglitazone HCL/metformin HCL

Bydureon


Bydureon Pen

pioglitazone HCL-glimepiride

Byetta

Repaglinide/Metformin Hydrochloride

Trulicity

PREFERRED BRAND

VictozaQL

Invokamet


Invokamet XR

AdlyxinST

Janumet

Adlyxin Starter PackST

Janumet XR

TanzeumST

Jentadueto

SULFONYLUREAS

Jentadueto XR


Soliqua 100/33QL,ST

glimepiride

Synjardy

glipizide

Synjardy XR

glipizide ER


glipizide XL

GlyxambiST

glyburide

Xigduo XRST

glyburide micronized

Chlorpropamide

BISPHOSPHONATES



Tolazamide

alendronate sodium

Tolbutamide

ibandronate sodium

BIGUANIDES

Alendronate Sodium


Etidronate Disodium

metformin hydrochloride


metformin HCL

risedronate sodium

metformin HCL ER

risedronate sodium DR


PREFERRED BRAND

Riomet

Fosamax Plus D

MEGLITINIDE ANALOGUES



Binosto

nateglinide


CALCITONINS

repaglinide



calcitonin salmon

PrandinST

calcitonin-salmon

DIABETIC OTHER


PARATHYROID HORMONE

Glucagen Hypokit

TIER 04 SPECIALTY

Glucagon Emergency Kit

Forteo

Invokana

NatparaPA

Jardiance


HORMONE RECEPTOR MDLTR

Cycloset

FORMULARY FORMULARY

FarxigaST

raloxifene hydrochloride

Proglycem


TIER 04 SPECIALTY

Evista

KorlymPA

OsphenaST

ALPHA-GLUCOSIDASE INHIBIT


FERTILITY REGULATORS

acarbose

TIER 04 SPECIALTY


Chorionic Gonadotropin

miglitol

Novarel

DPP-4 INHIBITORS

Pregnyl W/Diluent Benzyl Alcohol/NACL


Januvia



GROWTH HORMONES

NON-PREFERRED BRAND

ZemplarST

TIER 04 SPECIALTY

TIER 04 SPECIALTY

GenotropinPA

sodium phenylbutyrate

Genotropin MiniquickPA

Buphenyl

HumatropePA

Carbaglu

Humatrope Combo PackPA

Cystadane

Norditropin CartridgePA

KuvanPA

Norditropin FlexproPA

MyaleptPA

Nutropin AQ Nuspin 10PA

Orfadin


Ravicti


Strensiq

Nutropin AQ PenPA

Xuriden

OmnitropePA

SaizenPA

Saizen Click.easyPA

THYROID AGENTS

Saizenprep ReconstitutionkitPA

SerostimPA


ZomactonPA

levo-t

ZorbtivePA

levothyroxine sodium

levothyroxine sodium TAB 0.075MG

GHRH

levoxyl

liothyronine sodium

TIER 04 SPECIALTY

methimazole

EgriftaPA

propylthiouracil

unithroid

SOMATOMEDINS

unithroid direct

TIER 04 SPECIALTY

Nature-throid

IncrelexPA

NP thyroid


SOMATOSTATIC AGENTS

NP thyroid 30

TIER 04 SPECIALTY

NP thyroid 60

SigniforPA

NP thyroid 90

Westhroid

GH RECEPTOR ANTAGONISTS

PREFERRED BRAND

TIER 04 SPECIALTY

Armour Thyroid

Somavert

Nature-throid Nt-2.5

Wp Thyroid

POSTERIOR PITUITARY



Synthroid

desmopressin acetate

Thyrolar-1

TIER 04 SPECIALTY

Thyrolar-1/2

Stimate

Thyrolar-1/4

Thyrolar-2

CORTICOTROPIN

Thyrolar-3

TIER 04 SPECIALTY

H.p. ActharPA

GASTROINTESTINAL

LAXATIVES

PROLACTIN INHIBITORS

FORMULARY FORMULARY


clearlax

cabergoline

dulcolax balance

eq clearlax

VASOPRESSIN ANTAGONISTS

eql clearlax

TIER 04 SPECIALTY

gavilax

SamscaPA

gavilyte-c

gavilyte-n/flavor pack

PROGESTERONE ANTAGONISTS

gavilyte-G


gentlelax

Mifeprex

glycolax

gnp clearlax

METABOLIC MODIFIERS

kls laxaclear


laxative polyethlyene glycol 3350

calcitriol

peg 3350


peg 3350/electrolytes

doxercalciferol

peg-3350/electrolytes

levocarnitine

peg-3350/NACL/NA bicarbonate/KCL

paricalcitol

pegylax

PREFERRED BRAND

peg3350

Sensipar

polyethylene glycol 3350

TIER 03

polyethylene glycol 3350-grx



qc natura-LAX

lansoprazole/amoxicillin/clarithromycin

ra laxative

omeppiST

sm clearlax

omeprazole/sodium bicarbonateST

smooth LAX

rabeprazole sodium

sw clearlax

Belladonna & Opium

tgt powderlax

Belladonna Alkaloids & Opium

trilyte

Nizatidine

CVS purelax

Propantheline Bromide

HM clearlax


SB polyethylene glycol 3 350

Aciphex Sprinkle


Cantil

constulose

Carafate

lactulose

Cuvposa


DexilantST

gavilyte-h

Donnatal

peg-prep

Omeclamox-PAK


Protonix

Moviprep

Robinul

Osmoprep

Robinul Forte

Prepopik

TIER 04 SPECIALTY

Suprep Bowel Prep Kit

First-lansoprazole

First-omeprazole

ANTIDIARRHEALS

Omeprazole + Syrspend SF Alka


ANTIEMETICS

diphenoxylate/atropine

Paregoric



dronabinol

opium

granisetron HCLQL

opium tincture

meclizine HCL

Diphenoxylate/Atropine

ondansetron odt


ondansetron HCL

Motofen

scopolamine

Restora RX

trimethobenzamide HCL

TIER 04 SPECIALTY


FulyzaqPA

aprepitantQL


ULCER DRUGS

AkynzeoQL

AnzemetQL


Cesamet

b-donna

VarubiQL

belladonna alkaloids/phenobarbital

cimetidine

DIGESTIVE AIDS

cimetidine HCL

dicyclomine HCL


ed-spaz

Pancrelipase

famotidine


glycopyrrolate

Creon

hyoscyamine sulfate

Pancreaze

hyoscyamine sulfate odt

Pertzye

hyoscyamine sulfate ER

Ultresa

hyoscyamine sulfate SR

Viokace

hyosyne

Zenpep

lansoprazole

TIER 04 SPECIALTY

methscopolamine bromide

SucraidQL,PA

misoprostol

nizatidine

GASTROINTESTINAL - MISC.

nulev


omeprazole

ana-lex

oscimin

anucort-HC

oscimin SR

anusol-HC

pantoprazole sodium

balsalazide disodium

phenohytro

calcium acetateQL

ranitidine HCL

colocort

sucralfate

cromolyn sodium

symax-SL

enulose

symax-SR

generlac

hemmorex-HC


hydrocortisone

chlordiazepoxide HCL/clidinium bromide

hydrocortisone acetate

esomeprazole magnesiumST

hydrocortisone acetate/pramoxine



lactulose

ur n-c

lidocaine HCL/hydrocortisone acetate

uramit mb

mesalamine

urelle

metoclopramide HCL

uretron d/s

procto-MED HC

uribel

procto-PAK

urin d/s

proctosol HC

uro-blue

proctozone-HC

uro-l

sulfasalazine

uro-mp

ursodiol

uro-458

Mesalamine DR

uroav-b


uroav-81

alosetron hydrochloride

urophen mb

hydrocortisone acetate/pramoxine HCL

ustell

mesalamine DR

uta

pramcort

uticap

sevelamer carbonateQL

utira-c

Lidocaine HCL-hydrocortisone Acetate With Aloe

utrona-c

Metoclopramide OdtST

Methenamine Mandelate

PREFERRED BRAND

Urimar-t

AuryxiaQL,ST


Canasa

Monurol

Delzicol

Dipentum

URINARY ANTISPASMODICS

Pentasa


Proctofoam HC

bethanechol chloride

Sfrowasa

flavoxate HCL


oxybutynin chloride

Apriso

oxybutynin chloride ER

Entereg

tolterodine tartrate

FosrenolQL,ST

trospium chloride ER

Giazo


Linzess

darifenacin hydrobromide ERST

LotronexST

tolterodine tartrate ER

PhoslyraQL

trospium chloride

Rectiv

PREFERRED BRAND

RelistorPA

Oxytrol For Women

RenagelQL


RenvelaQL

EnablexST

Rowasa

GelniqueST

Uceris

Gelnique P.M.ST

VelphoroQL,ST

MyrbetriqST

Viberzi

Oxytrol

TIER 04 SPECIALTY

ToviazST

Chenodal

UrecholineST

Cholbam

VesicareST

CimziaPA

Cimzia Starter KitPA

VAGINAL PRODUCTS

GattexPA

FORMULARY FORMULARY

Ocaliva

vcf vaginal contraceptive foam

vcf vaginal contraceptivegel

GENITOURINARY

Encare

URINARY ANTI-INFECTIVES

Options Gynol II Vaginal Contraceptive

Shur-seal


Today Sponge

me/naphos/mb/hyo 1

Vcf Vaginal Contraceptive Film

nitrofurantoin macrocrystals

Vcf Vaginal Contraceptive Foam

nitrofurantoin monohydrate


nitrofurantoin monohydrate/macrocrystals

clindamycin phosphate

urolet mb

metronidazole vaginal

uryl

terconazole


vandazole

azuphen mb

zazole

hyolev mb

Miconazole 3

hyophen


indiomin mb

estradiol

methenamine hippurate

yuvafem

methenamine mandelate

PREFERRED BRAND

nitrofurantoin

Cleocin

phosphasal



Premarin

tricon


trigels-f forte

Avc

virt-gard

Fem PH

virt-vite

Gynazole-1

AV-vite fb

Intrarosa

Bp Vit 3

Relagard

TL gard RX

TIER 04 SPECIALTY

TL icon

CrinonePA


corvita 150

GENITOURINARY - MISC.

k-tan plus

purevit dualfe plus


se-tan plus

alfuzosin HCL ER

B-12 Kit

argyle sterile saline 100ML

Ferraplus 90

curity sterile saline

Hematogen Fa

cytra k crystals

Multigen

finasteride

Multigen Folic

phenazo

Multigen Plus

phenazopyridine HCL

Tandem F

potassium citrate ER

PREFERRED BRAND

potassium citrate-citric acid crystals

ferate

potassium citrate/citric acid

fergon

sodium chloride

ferrotabs

sodium chloride 0.9%

ferrous gluconate

sodium citrate/citric acid

iron

tamsulosin HCL

iron 27

taron-crystals

CVS iron

virtrate-k


virtrate-2

Abaneu-SL

Active FE


Animi-3

dutasteride

Animi-3/Vitamin D

dutasteride/tamsulosin hydrochloride

B-12 Compliance Injectionkit

dutasteride/tamsulosin HCL

Bp Vit 3 Plus

potassium citrate/sodium citrate/citric acid

Cenfol

tricitrates

Centratex

virtrate-3

Ciferex

PREFERRED BRAND

Cifrazol

Rimso-50

Dermacinrx Purefolix


Divista

Elmiron

Droxia

Lithostat

Durachol

Oracit

Feriva

PyridiumST

Ferro-plex Hematinic

RapafloST

Ferrotrin

TIER 04 SPECIALTY

Folivane-plus

Cystagon

Folixapure

Procysbi

Hemocyte Plus

Thiola

Integra Plus

Maxfe

HEMATOLOGICAL AGENTS

Nephron Fa

HEMATOPOIETIC AGENTS

Neurin-SL


Noxifol-d

airavite

Ortho D

cyanocobalamin

Physicians EZ Use B-12 Compliance Kit

fabb

Pre-folic

ferocon

Proferrin-forte

ferotrinsic

Protectiron

ferrocite plus

Purefe Plus

folbee

Revesta

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

Roxifol-d

folplex 2.2

Vitamin Deficiency Injectable System-b12

foltrin

Zavara

hematinic plus vitamins/minerals

Zolate

hematinic/folic acid

TIER 04 SPECIALTY

hematogen forte

Aranesp Albumin FreePA

hemocyte-f

Cerdelga

hemocyte-plus

EpogenPA

nufol

GranixPA



LeukinePA

cevimeline HCL

Mircera

chlorhexidine gluconate

NeulastaPA

chlorhexidine gluconate oral rinse

Neulasta Onpro KitPA

clotrimazole

NeupogenPA

controlrx

ProcritPA

denta 5000 plus

PromactaPA

dentagel

ZarxioPA

fluoridex daily defense

Zavesca

fluoridex daily defense enhanced whitening

karigel

ANTICOAGULANTS

karigel-n

lidocaine viscousAL


lidocaine HCL viscousAL

heparin lock flush

neutragard advanced

heparin lock flush for flushing vascular access devices

oralone dental paste

heparin lock flush/NACL for flushing vascular access devices

paroex

heparin sodium

periogard

heparin sodium dcu

phos-flur

heparin sodium lock flush

pilocarpine hydrochloride

heparin sodium/sodium chloride 0.9% premix

pilocarpine HCL

heparin sodium/D5W

triamcinolone acetonide dental paste

heparin sodium/NACL 0.9%

SF

jantoven

SF 5000 plus

monoject pharma grade flush syringe/heparin lock


monoject prefill advanced heparin lock flush

clinpro 5000

sash kit for flushing vascular access devices

fluoridex

warfarin sodium

fluoridex daily defense sensitivity relief

Heparin Lock Flush

fluoridex enhanced whitening

Heparin Sodium/D5W

fluoridex sensitivity relief

Heparin Sodium/NACL 0.45%

fluoridex sensitivity relief/sls free

Heparin Sodium/Sodium Chloride 0.9%

nystatin

Sash Kit For Flushing Vascular Access Devices

Lidocaine HCL

PREFERRED BRAND


cold sore treatment

EliquisPA

cough drops

XareltoPA

eql cold sore treatment

Xarelto Starter PackPA

flanax cough relief


gnp cold sore treatment

SavaysaPA

ra cold sore treatment

TIER 04 SPECIALTY

sm cough drops

enoxaparin sodium

Moi-stir

fondaparinux sodium

Mouthkote

Fragmin

Oramagic Plus

Prevident 5000 Plus

HEMOSTATICS



Debacterol

tranexamic acid

Episil

Fluoridex Daily Defense Sensitivity Relief

HEMATOLOGICAL - MISC.

Gelclair

Gelx


Mucotrol

anagrelide hydrochloride

MugardQL,ST

cilostazol

Nafrinse Daily/Acidulated

clopidogrel

Nafrinse Daily/Neutral

dipyridamole

Nafrinse Weekly

pentoxifylline ER

Orafate

prasugrel

Oramagicrx

OravigST


Prevident Fluoride

aspirin/dipyridamole

Prevident 5000 Booster


Prevident 5000 Booster Plus

Aggrenox

Prevident 5000 Dry Mouth

Brilinta

Prothelial

Durlaza

Salicept

ZontivityPA

Thera-flur-n

MOUTH/THROAT/DENTAL AGENT

NEUROLOGY, CNS, PSYCH


cavarest



ANTIANXIETY AGENTS

BrintellixQL,ST

Emsam


FetzimaQL,ST

alprazolam

Fetzima Titration PackQL,ST

alprazolam odt

Marplan

alprazolam ER

NardilST

alprazolam XR

Pexeva

buspirone HCL

TrintellixQL,ST

chlordiazepoxide HCL

ViibrydQL,ST

clorazepate dipotassium

Viibryd Starter PackQL,ST

diazepam

diazepam intensol

ANTIPSYCHOTICS

hydroxyzine pamoate

hydroxyzine HCL


meprobamate

aripiprazoleQL

oxazepam

aripiprazole odtQL

Hydroxyzine Pamoate

chlorpromazine HCLQL


clozapineQL

lorazepam

compro

lorazepam intensol

fluphenazine decanoate

Diazepam

fluphenazine HCLQL

PREFERRED BRAND

haloperidolQL

Alprazolam Intensol

haloperidol lactate

lithium carbonate

ANTIDEPRESSANTS

lithium carbonate ER

loxapineQL


loxapine succinateQL

amitriptyline HCL

olanzapineQL

bupropion HCLQL

olanzapine odtQL

bupropion HCL ERQL

perphenazineQL

bupropion HCL SRQL

prochlorperazine

bupropion HCL XLQL

prochlorperazine maleate

citalopram hydrobromideQL

quetiapine fumarateQL

clomipramine HCL

risperidoneQL

desipramine HCL

risperidone odtQL

doxepin HCL

risperidone M-TABQL

escitalopram oxalateQL

thioridazine HCLQL

fluoxetine HCLQL

thiothixeneQL

fluvoxamine maleateQL

trifluoperazine HCLQL

imipramine pamoate

ziprasidone HCLQL

imipramine HCL

Fluphenazine HCLQL

mirtazapineQL

Lithium

mirtazapine odtQL

Lithium Carbonate

nefazodone HCL


nortriptyline HCL

clozapine odtQL

paroxetine HCLQL

haloperidol decanoate

paroxetine HCL ERQL

paliperidone ERQL,ST

phenelzine sulfate

quetiapine fumarate ERQL,ST

protriptyline HCL

Clozapine OdtQL

sertraline HCLQL

Molindone Hydrochloride

tranylcypromine sulfate


trazodone HCLQL

FanaptQL,ST

venlafaxine HCLQL

Fanapt Titration PackQL,ST

venlafaxine HCL ERQL

LatudaQL,ST

Amoxapine

NuplazidQL,PA

Doxepin HCL

RexultiQL,ST

Fluoxetine DRQL

SaphrisQL,ST

Fluoxetine HCLQL

Versacloz

Maprotiline HCL

VraylarQL,ST

Nefazodone HCL

TIER 04 SPECIALTY

Nortriptyline HCL

Aristada

Venlafaxine HCL ERQL

QL

HYPNOTICS


desvenlafaxine ERQL,PA,ST


duloxetine HCLQL

estazolam

fluvoxamine maleate ERQL

eszopicloneQL

trimipramine maleate

midazolam HCL

Desvenlafaxine ERQL

phenobarbital


temazepamQL

Aplenzin

triazolamQL



zaleplonQL

levetiracetam ER

zolpidem tartrateQL

oxcarbazepine

zolpidem tartrate ERQL

phenytoin

Flurazepam HCLQL

phenytoin infatabs

Phenobarbital

phenytoin sodium extended

TriazolamQL

primidone


roweepra

Quazepam

tiagabine hydrochloride


topiramate

RozeremQL,ST

valproic acid

Seconal

zonisamide

Seconal Sodium

Diazepam

ZolpimistQL,ST

Diazepam Rectal Gel

TIER 04 SPECIALTY

Hetlioz


felbamate

ADHD, NARCOLEPSY, ETC.

lamotrigine odt

lamotrigine titration


Topiramate ER

caffeine citrate


dexedrineQL

Banzel

dextroamphetamine sulfateQL

CarbatrolST

dextroamphetamine sulfate ERQL

Celontin

methamphetamine HCLQL

DepakeneST

methylphenidate HCLQL

DepakoteST

zenzediQL

Depakote ERST


Depakote SprinklesST

amphetamine/dextroamphetamineQL

Diastat Acudial

armodafinilQL,PA

Diastat Pediatric

atomoxetineQL,AL,ST

DilantinST

clonidine HCL ER

Dilantin InfatabsST

dexmethylphenidate HCLQL

Dilantin-125ST

dexmethylphenidate HCL ERQL

FelbatolST

guanfacine ER

GabitrilST

metadate ERQL

KeppraST

methylphenidate hydrochlorideQL

Keppra XRST

methylphenidate HCL CDQL

KlonopinST

methylphenidate HCL ERQL

LamictalST

modafinilQL,PA

Lamictal Chewable DispersibleST

phendimetrazine tartratePA

Lamictal OdtST

phentermine HCLPA

Lamictal XRST

Methylphenidate HCLQL

LyricaST

Methylphenidate HCL ERQL

MysolineST

Methylphenidate HCL ER (LA)QL,AL

NeurontinST

Phendimetrazine Tartrate ERPA

Onfi


Oxtellar XR

Aptensio XRQL,PA

Peganone

BelviqPA

PhenytekST

Belviq XRPA

TegretolST

ContravePA

Tegretol-XRST

QsymiaPA

TopamaxST

VyvanseQL,AL

Topamax Sprinkle

TrileptalST

ANTICONVULSANTS

VimpatST


ZarontinST

carbamazepine

ZonegranST

carbamazepine ER

TIER 04 SPECIALTY

clonazepam

vigabatrin

clonazepam odt

Sabril

divalproex sodium

divalproex sodium DR

ANTIPARKINSON AGENTS

divalproex sodium ER


epitol

amantadine HCL

ethosuximide

benztropine mesylate

gabapentin

bromocriptine mesylate

lamotrigine

carbidopa/levodopa

lamotrigine starter kit/blue

carbidopa/levodopa odt

lamotrigine starter kit/green

carbidopa/levodopa ER

lamotrigine ER

entacapone

levetiracetam



pramipexole dihydrochloride

tgt nicotine step twoQL

ropinirole ER

thriveQL

ropinirole HCL

CVS nicotineQL

selegiline HCL

CVS nicotine lozengeQL

trihexyphenidyl HCL

CVS nicotine polacrilexQL

Carbidopa/Levodopa/Entacapone

CVS nicotine polacrilex starterQL


CVS nicotine transdermal systemQL

carbidopa

CVS nts step 1QL

pramipexole dihydrochloride ER

HM nicotine polacrilexQL

rasagiline mesylate

HM nicotine transdermal systemQL

tolcapone

HM nicotine transdermal system step 3QL


Nicotine Transdermal SystemQL

EldeprylST

SR nicotine gumQL

LodosynST


TasmarST

disulfiram

Zelapar

fluoxetine HCLQL

TIER 04 SPECIALTY

galantamine hydrobromide

Apokyn

galantamine hydrobromide ER

memantine hydrochloride

NEUROLOGY, PSYCH - MISC.

memantine HCL

memantine HCL titration PAK

FORMULARY FORMULARY

olanzapine/fluoxetine

buprobanQL

pimozideQL

bupropion HCL SRQL

rivastigmine tartrate

eq nicotineQL

rivastigmine transdermal system

eq nicotine gum refillQL

Chlordiazepoxide/Amitriptyline

eq nicotine gum starterQL

FluoxetineQL

eq nicotine polacrilexQL

Galantamine Hydrobromide

eq nicotine step 3QL

Perphenazine/Amitriptyline

eql nicotineQL


eql nicotine polacrilexQL

acamprosate calcium DR

eql nicotine polacrilex refillQL

donepezil HCL

eql nicotine polacrilex starterQL

Ergoloid Mesylates

gnp nicotine gumQL


gnp nicotine mini lozengeQL

AddyiPA

gnp nicotine polacrilexQL

ChantixQL

gnp nicotine polacrilex miniQL

Chantix Continuing Month PAKQL

gnp nicotine transdermal systemQL

Chantix Starting Month PAKQL

goodsense nicotine gumQL

Namenda XRST

kls quit2QL

Namenda XR Titration PackST

kls quit4QL

Namzaric

nicoreliefQL

Nicotrol InhalerQL

nicotineQL

Nicotrol NsQL

nicotine mini lozengeQL

NuedextaQL,PA

nicotine polacrilexQL

OrapQL,ST

nicotine polacrilex refillQL

TIER 04 SPECIALTY

nicotine polacrilex starter kitQL

glatopaST

nicotine step 1QL

tetrabenazine

nicotine step 2QL

AmpyraQL

nicotine step 3QL

AubagioST

nicotine transdermal systemQL

Avonex

nicotine transdermal system step 1QL

Avonex Pen


Betaseron


Copaxone

px stop smoking aidQL

ExtaviaST

qc nicotine polacrilexQL

GilenyaST

ra mini nicotineQL

IngrezzaPA

ra nicotineQL

PlegridyST

ra nicotine gumQL

Plegridy Starter PackST

ra nicotine polacrilexQL

RebifST

ra nicotine transdermal systemQL

Rebif RebidoseST

ra nicotine transdermal system step 3QL

Rebif Rebidose Titration PackST

sm nicotineQL

Rebif Titration PackST

sm nicotine polacrilexQL

SavellaST

sm nicotine transdermal systemQL

Savella Titration PackST

sw nicotine polacrilexQL

Tecfidera

tgt nicotine gumQL

Tecfidera Starter Pack

tgt nicotine polacrilexQL

XenazineST

tgt nicotine step oneQL

XyremPA

tgt nicotine step threeQL



NEUROMUSCULAR AGENTS

Betadine Ophthalmic Prep

Mitosol


Natacyn

riluzole

Zirgan


Zymaxid

RilutekST

ARTIFICIAL TEAR/LUBRICANT

MUSCULOSKELETAL AGENTS



Lacrisert

baclofen

carisoprodol

BETA-BLOCKERS

carisoprodol/aspirin

carisoprodol/aspirin/codeine


chlorzoxazone

betaxolol HCL

cyclobenzaprine HCL

carteolol HCL

dantrolene sodium

dorzolamide HCL/timolol maleate

methocarbamol

levobunolol HCL

orphenadrine citrate ER

timolol maleate

tizanidine HCL

timolol maleate ophthalmic gel forming

Metipranolol



metaxall

Betimol

metaxalone

Betoptic-s

Metaxalone

Istalol



Tizanidine Comfort PAC

Combigan

ANTIMYASTHENIC AGENTS

OPHTHALMIC STEROIDS



pyridostigmine bromide

fluorometholone

pyridostigmine bromide ER

neo-polycin HC


neomycin/polymyxin/bacitracin/hydrocortisone

Guanidine HCL

prednisolone acetate

sulfacetamide sodium/prednisolone sodium phosphate

OPHTHALMOLOGY AND OTIC

tobramycin/dexamethasone

Dexamethasone Sodium Phosphate

ANTI-INFECTIVES



neomycin/polymyxin/dexamethasone

ak-poly-bac

Neomycin/Polymyxin/Hydrocortisone

bacitracin/polymyxin b

Prednisolone Sodium Phosphate

ciprofloxacin HCL

PREFERRED BRAND

erythromycin

Blephamide

gentak

Blephamide S.o.p.

gentamicin sulfate

Flarex

ilotycin

FML Forte

moxifloxacin HCL

Pred Mild

neo-polycin

Tobradex ST

neomycin/bacitracin/polymyxin


neomycin/polymyxin/bacitracin zinc

Durezol

neomycin/polymyxin/gramicidin

FML

ofloxacin

Lotemax

polycin

Pred-G

polymyxin b sulfate/trimethoprim sulfate

Pred-G S.o.p.

tobramycin

Tobradex

tobramycin sulfate

Triesence

trifluridine

Vexol

trimethoprim sulfate/polymyxin b sulfate

Gentak

PROSTAGLANDINS



gatifloxacin

latanoprost

levofloxacin



Bimatoprost

sulfacetamide sodium

Travoprost

Bacitracin

PREFERRED BRAND

Sulfacetamide Sodium

Travatan Z

PREFERRED BRAND


Ciloxan

LumiganST

Moxeza

ResculaST


ZioptanST

Azasite

Besivance



CYCLOPLEGIC MYDRIATICS

ra antihistamine eye drops

ra eye itch relief


sm eye itch relief

tropicamide

tgt eye itch relief


theratears allergy eye itch relief

cyclopentolate hydrochloride

wal-zyr

cyclopentolate HCL

CVS allergy eye drops

homatropaire

CVS eye itch relief

homatropine HBR

HM eye itch relief

Atropine Sulfate


bromfenac

DECONGESTANTS

epinastine HCL


flurbiprofen sodium

Naphazoline HCL

olopatadine HCLST


Bromfenac

altafrin

Flurbiprofen Sodium

phenylephrine HCL

PREFERRED BRAND

Alomide

MIOTICS

Azopt



pilocarpine HCL

AlocrilST


BepreveST

Phospholine Iodide

EmadineST


LastacaftST

Miochol-e

Nevanac

PatanolST

ADRENERGIC AGENTS

TIER 04 SPECIALTY


Cystaran

apraclonidine

brimonidine tartrate

OTIC AGENTS



Iopidine

acetasol HC


acetic acid

SimbrinzaST

cortic-nd

cyotic

IMMUNOMODULATORS

exotic-HC


hydrocortisone/acetic acid

Restasis

neomycin/polymyxin/hydrocortisone

Restasis Multidose

neomycin/polymyxin/HC

ofloxacin

LOCAL ANESTHETICS

otomax-HC


Acetic Acid/Aluminum Acetate

altacaine


proparacaine HCL

fluocinolone acetonide

tetcaine

fluocinolone acetonide ear drops

tetracaine HCL

Ciprofloxacin

tetravisc

PREFERRED BRAND

tetravisc forte

Cipro HC


Ciprodex

Akten


Coly-mycin S

OPHTHALMICS - MISC.

Cortane-b Aqueous


Cortane-b-otic

alaway

Cortisporin-tc

alaway childrens allergy eye itch relief

Oticin HC NR

allergy eye drops

Otiprio

azelastine HCL

Pramotic

claritin eye

cromolyn sodium

OXYTOCICS

diclofenac sodium

dorzolamide HCL


eq eye itch relief

methylergonovine maleate

eq itchy eye drops

Methergine

eye itch relief

gnp eye itch relief

PAIN MANAGEMENT

gnp itchy eye

ANALGESICS - NONNARCOTIC

goodsense itchy eye

FORMULARY FORMULARY

ketorolac tromethamine

aspirin

ketotifen fumarate

bayer advanced aspirin regular strength

kp ketotifen fumarate



bayer aspirin

oxymorphone hydrochlorideQL,PA

eq aspirin

oxymorphone hydrochloride ERQL,PA

eql aspirin

tramadol hydrochloride/acetaminophenQL

gnp aspirin

tramadol HCLQL

goodsense aspirin

tramadol HCL ERQL

norwich aspirin

vicodinQL

px aspirin

vicodin ESQL

qc aspirin

vicodin HPQL

ra aspirin

Codeine SulfateQL

sm aspirin

FentanylQL

tgt aspirin

Hydromorphone HCLQL

Aspirin Low Dose

Meperidine HCLQL

CVS aspirin

Methadone HCLQL

HM aspirin

MethadoseQL

MM aspirin

Methadose Sugar-freeQL

SB aspirin

Morphine SulfateQL


Morphine Sulfate ERQL

butalbital/acetaminophenQL

Oxycodone/IbuprofenQL

butalbital/acetaminophen/caffeineQL

Oxymorphone Hydrochloride ERQL,PA

butalbital/aspirin/caffeine


capacetQL

hydrocodone bitartrate/acetaminophenQL

choline magnesium trisalicylate

hydromorphone hydrochlorideQL,PA

diflunisal

hydromorphone hydrochloride ERQL,PA

esgicQL

hydromorphone HCL ERQL,PA

margesicQL

morphine sulfateQL

marten-TABQL

pentazocine/naloxone HCLQL

phrenilin forteQL

reprexainQL

salsalate

verdrocetQL

zebutalQL

xylonQL

Butalbital/Aspirin/Caffeine

Acetaminophen/Caffeine/DihydrocodeineQL,PA

Duraxin

Aspirin-caffeine-dihydrocodeineQL

TenconQL

Levorphanol TartrateQL


Meperidine HCL/Promethazine HCLQL

Vanatol LQQL

Oxycodone HCL ERQL,PA

Vanatol SQL

Oxycodone/AcetaminophenQL


Tramadol HCL ERQL,ST

AllzitalQL,ST

PREFERRED BRAND

Levacet

SuboxoneQL


ANALGESICS - OPIOID

AbstralQL,PA

BelbucaQL,PA


Capital/CodeineQL

acetaminophen/codeineQL

EmbedaQL

acetaminophen/codeine phosphateQL

FentoraQL,PA

ascomp/codeineQL

Hysingla ERQL,PA

buprenorphine HCLQL

KadianQL

buprenorphine HCL/naloxone HCLQL

LazandaQL,PA

butalbital/acetaminophen/caffeine/codeineQL

NucyntaQL,PA

butalbital/aspirin/caffeine/codeineQL

Nucynta ERQL,PA

butorphanol tartrateQL,PA

Opana ER (crush Resistant)QL,PA

codeine sulfateQL

OxaydoQL,PA

endocetQL

OxycontinQL,PA

fentanylQL

PrimlevQL

fentanyl citrate oral transmucosalQL,PA

SubsysQL,PA

hydrocodone/acetaminophenQL

TrezixQL,PA

hydrocodone/ibuprofenQL

ZamicetQL

hydromorphone HCLQL

QL

ibudoneQL

lorcetQL

ANTI-INFLAMMATORY

lorcet plusQL

lorcet HDQL


lortabQL

diclofenac potassium

meperidine HCLQL

diclofenac sodium DR

methadone HCLQL

diclofenac sodium ER

methadone HCL intensolQL

diclofenac sodium/misoprostol

methadose

etodolac

morphine sulfate ERQL

etodolac ER

oxycodone HCLQL

flurbiprofen

oxycodone/acetaminophenQL

ibuprofen

oxycodone/aspirinQL

indomethacin



indomethacin ER

sumatriptanQL

ketoprofen

sumatriptan succinateQL

ketorolac tromethamineQL

sumatriptan succinate refillQL

leflunomide

zolmitriptanQL

meloxicam

zolmitriptan odtQL

nabumetone

Sumatriptan SuccinateQL

naproxenQL


naproxen kitQL

almotriptanQL,ST

naproxen sodium

almotriptan malateQL,ST

naproxen DRQL

eletriptan hydrobromideQL,PA,ST

oxaprozinQL

ergotamine tartrate/caffeine

piroxicam

frovatriptan succinateQL,ST

sulindac

isometheptene mucate/caffeine/acetaminophen

tolmetin sodium

Dihydroergotamine MesylateQL

Meclofenamate Sodium

PREFERRED BRAND

Meloxicam

CambiaQL,ST

NaproxenQL

Ergomar

Tolmetin Sodium



AxertQL

celecoxibQL

FrovaQL

fenoprofen calcium

Imitrex Statdose SystemQL

inflammacin

Migergot

mefenamic acid

ZomigQL,ST

naproxen sodium CR

naproxen sodium ER

GOUT AGENTS

nudiclo tabpak


previdolrx plus analgesicpak

allopurinol

xenaflamm

probenecid

Fenoprofen Calcium

probenecid/colchicine

Ketoprofen ER


PREFERRED BRAND

Colchicine

Indocin

PREFERRED BRAND

Rheumatrex

UloricST

Ridaura


RESPIRATORY, ALLERGY, ETC

CelebrexQL

ANTIHISTAMINES

Flanax Pain Relief Kit


Ibuprofen Comfort PAC

arbinoxa

Meloxicam Comfort PAC

carbinoxamine maleate

NaprosynQL

clemastine fumarate

Naproxen Comfort PAC

cyproheptadine HCL

OtrexupST

desloratadine

RasuvoST

levocetirizine dihydrochloride

Vivlodex

phenadoz

TIER 04 SPECIALTY

phenergan

ActemraPA

promethazine HCL

Arcalyst

promethazine HCL plain

EnbrelPA

promethegan

Enbrel SureclickPA

Brompheniramine Tannate

HumiraPA

Clemastine Fumarate

Humira Pediatric Crohns Disease Starter PackPA


Humira PenPA

bpm

Humira Pen-crohns DiseasestarterPA

Desloratadine Odt

Humira Pen-psoriasis StarterPA

Respa-BR

KineretPA


OrenciaPA

Karbinal ER

Orencia ClickjectPA

Phenergan Fortis

OtezlaPA

SimponiPA

NASAL AGENTS

XeljanzPA


Xeljanz XRPA

azelastine HCL

budesonide nasal spray

MIGRAINE PRODUCTS

fluticasone propionate


ipratropium bromide

isometheptene/dichloralphenazone/acetaminophen

mometasone furoateST

naratriptan HCLQL

ra budesonide nasal spray

nodolor

rhinocort allergy

rizatriptan benzoateQL

Flunisolide

rizatriptan benzoate odtQL

TIER 02



NON-PREFERRED GENERIC

Metaproterenol Sulfate

olopatadine HCL

PREFERRED BRAND

PREFERRED BRAND

Advair Diskus

Bactroban Nasal

Advair HFA


Anoro Ellipta

Adrenalin

Asmanex HFA

Tyzine Pediatric Nasal Drops

Asmanex Twisthaler 120 Metered Doses


COUGH/COLD/ALLERGY





acetylcysteine

Breo Ellipta

benzonatate

Combivent Respimat

hydrocodone bitartrate/homatropine methylbromide

Dulera

hydrocodone polistirex/chlorpheniramine polistirexQL

Flovent Diskus

hydrocodone/homatropine

Flovent HFA

hydromet

Fluticasone Propionate/Salmeterol

promethazine VC plain

Foradil Aerolizer

promethazine VC/codeine

Qvar

promethazine-DM

Serevent Diskus

promethazine/codeine

Spiriva Handihaler

promethazine/dextromethorphan

Spiriva Respimat

promethazine/phenylephrine

Ventolin HFA

promethazine/phenylephrine/codeine


pulmosal

Aerospan

sodium chloride

AlvescoST

tussigon

Arcapta NeohalerST


Atrovent HFA

hydrocodone bitartrate/chlorpheniramine maleate/PSE

BrovanaST

Nortuss-EX

Daliresp

Tgq 30PSE/150GFN/15DM

Elixophyllin

Tgq 30PSE/3BRM/15DM

Incruse Ellipta


Striverdi RespimatST

Carbaphen 12

Theo-24

Carbaphen 12 PED

Utibron NeohalerST

Codar AR

ZyfloPA

Decon-a

Zyflo CRPA

Decon-G

Flowtuss

RESPIRATORY AGENTS - MISC

Hycofenix

Hypersal

TIER 04 SPECIALTY

Nebusal

Esbriet

Neotuss Plus

KalydecoPA

Obredon

Ofev

Panatuss Dxp

OrkambiPA

Relhist

Pulmozyme

Rezira

Tusnel

VACCINES

Tuzistra XR

VituzQL

FORMULARY FORMULARY

Afluria PF 2015-2016

ANTIASTHMATIC/COPD AGENTS




albuterol sulfate

Afluria Quadrivalent 2016-2017

albuterol sulfate ER

Afluria Quadrivalent 2017-2018

budesonide

Afluria 2015-2016

ipratropium bromide

Afluria 2016-2017

ipratropium bromide/albuterol sulfate

Afluria 2017-2018

levalbuterol

Fluad 2016-2017

levalbuterol HCL

Fluad 2017-2018

montelukast sodium

Fluarix Quadrivalent 2015-2016

terbutaline sulfate


theochron


theophylline CR

Flublok Quadrivalent 2017-2018

theophylline ER

Flublok 2015-2016

zafirlukast

Flublok 2016-2017

Cromolyn Sodium

Flublok 2017-2018


Flucelvax Quadrivalent 2016-2017

difil-G forte

Flucelvax Quadrivalent 2017-2018

theophylline

Flucelvax 2015-2016



Flulaval Quadrivalent 2014-2015

vitacel


vitamax pediatric


vitamins a/c/d/fluoride


Bp Folinatal Plus B

Flumist Quadrivalent

Bp Multinatal Plus

Fluvirin 2015-2016

Complete Natal DHA

Fluvirin 2016-2017

Completenate

Fluvirin 2017-2018

CO-natal Fa

Fluzone Intradermal Quadrivalent 2015-2016

Elite-OB


Floriva Plus


Folbee Plus Cz

Fluzone Quadrivalent 2015-2016

Inatal Advance


Inatal GT


Inatal Ultra

Fluzone Split 2015-2016

Macnatal CN DHA

Influenza Vaccine For Safeway Dependants

Mynatal Advance

Medical Provider EZ Flu Shot PF 2014-2015

Mynatal Plus

Medical Provider EZ Flu Shot 2015-2016

Mynatal Ultracaplet

Medical Provider Single Use EZ Flu Shot

Mynatal-z

Medical Provider Single Use EZ Flu Shot 2016-2017

Mynate 90 Plus

Zostavax

MVC-fluoride

Nutricap

VITAMINS

Pr Natal 400

Pr Natal 400 EC

VITAMINS

Pr Natal 430


Pr Natal 430 EC

decara

Prenaissance Plus

d3

Prenatabs RX

d3-50

Prenatal-u

optimal-d

PNV-select

optimal-d pack

PNV-DHA

vitamin d

Quflora Pediatric

vitamin d3

Se-natal 19


Se-tan DHA

Mephyton

Siderol


Taron-prex

Potaba

Triadvance

Trinatal RX 1

MULTIVITAMINS

Trinate


Ultimatecare One

b-plex plus

Ultimatecare One NF

biocel

Vinate II

corvita

Vinate M

corvite free

Vinate One

lysiplex plus

Vitafol-OB

mult-vitamin/fluoride


multi vitamin/fluoride

Floriva

multi-vit/fluoride

Tri-vit/Fluoride/Iron

multi-vit/iron/fluoride

PREFERRED BRAND

multi-vitamin/fluoride

AP-zel

multi-vitamin/fluoride drops

Bacmin

multi-vitamin/fluoride/iron

C-nate DHA

multivitamin with fluoride

Calcium PNV

multivitamin/fluoride

Citranatal Assure

multivitamins/fluoride

Citranatal B-calm

mynephrocaps

Citranatal DHA

mynephron

Citranatal Harmony

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper

Citranatal RX

nutrifac ZX

Citranatal 90 DHA

renal CAPS

Concept DHA

reno CAPS

Concept OB

tri-vit/fluoride

Dialyvite Supreme D

tri-vitamin/fluoride

Dothelle DHA

triphrocaps

Duet DHA Balanced

triple-vitamin/fluoride

Duet DHA 400

v-c forte

Extra-virt Plus DHA

vic-forte

Focalgin CA

virt-CAPS

Focalgin 90 DHA

vita s forte

Folcal DHA

vita-min

Folcaps Omega 3



Folivane-OB

Virt-vite GT

Fortavit

Virtprex

Hemenatal OB + DHA

Vitafol

Multivitamin With Fluoride

Vitafol Fe+

Natachew

Vitafol Gummies

Natelle One

Vitafol Ultra

Nestabs

Vitafol-nano

Newgen

Vitafol-ob+dha

Nexa Plus

Vitafol-one

Nicadan

Vitamedmd One RX/Quatrefolic

Nicadan ZX

Vitamedmd Redichew RX

Nicazel

Vitapearl

Nicazel Forte

Viva DHA

Ocuvel

Vol-nate

OB Complete

Vp-heme One

OB Complete Gold

Vp-heme OB + DHA

OB Complete One

Vp-zel

OB Complete Petite

Vp-CH-PNV

OB Complete Premier

Vp-PNV-DHA

OB Complete/DHA

Zatean-pn DHA

Preferaob +dha

Zatean-pn Plus

Preferaob One

Zatean-CH

Prenaissance


Prenaissance Balance

Active OB

Prenata

Atabex EC

Prenatabs Fa

Bal-care DHA

Prenatal 19

Enbrace HR

Prenate

Escavite

Prenate AM

Folet DHA

Prenate DHA

Folet One

Prenate Enhance

Hemenatal OB

Prenate Mini

Infanate Balance

Prenate Pixie

Levomefolate DHA

Prenate Restore

Marnatal-f

Prenate Star

Mykidz Iron Fl

Prena1 Chew

Mynatal

Prena1 Pearl

Natalvit

Preque 10

Neevo DHA

Pretab

Nestabs Abc

Protect Plus

Nestabs DHA

Provida OB

O-CAL Prenatal

PNV Ferrous Fumarate/Docusate/Folic Acid

Obstetrix One

PNV Ob+dha

Poly-VI-flor

PNV-dha+docusate

Poly-VI-flor/Iron

PNV-omega

Prefera OB

PNV-vp-u

Prenaissance Harmony DHA

Relnate DHA

Prenaissance Next

Req 49+

Prenaissance Next-b

Rulavite DHA

Prenatal Plus Iron

Select-ob+dha

Prenate Elite

Select-OB

Prenate Essential

Strovite Forte

Provida DHA

Strovite One

Purefe OB Plus

Synagex

PNV TABS 29-1

Synatek

PNV-total

Taron-c DHA

R-natal OB

Thrivite 19

Taron-bc

Trinatal GT

Thrivite RX

Triveen-prx RNF

Tri-TABS DHA

TL-select

Tri-VI-flor

Udamin SP

Tri-VI-floro

Vemavite-prx 2

Tricare Prenatal

Virt Nate

Tricare Prenatal Compleat

Virt-advance

Tricare Prenatal DHA One

Virt-c DHA

Tristart DHA

Virt-nate DHA

Triveen-duo DHA

Virt-pn

TL Folate

Virt-pn DHA

TL-care DHA

Virt-pn Plus

TL-fluorivite

Virt-select

Vena-bal DHA



Vinate DHA RF

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

Vita-pren


Vitamedmd Plus RX/Quatre Folic


Vitaroca Plus

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

Vol-TAB RX


Vp-ggr-b6 Prenatal


Vp-heme OB


Vp-CH Plus

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

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

MEDICAL DEVICES

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

DIABETIC SUPPLIES

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


Advocate Insulin Pen Needles 29GX12.7MM

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

Advocate Insulin Pen Needles 31GX5MM

Advocate Insulin Pen Needles 31GX8MM

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

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

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


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


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


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


BD Integra Syringe/Retracting Needle/1ML/25G X 1"


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

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

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


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


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

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

BD Pen Needle/Ultrafine/29G X 12.7MM

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

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

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

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

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

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

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

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

Aurora Pen Needles 29GX12MM

Aurora Pen Needles 31G X 6MM

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

Aurora Pen Needles 31G X 8MM

BD Ultra-fine Micro Pen Needles 6MM X 32G

Aurora Unifine Pentips/Mini/31GX3/16"

Carefine Pen Needle 32GX4MM

Aurora Unifine Pentips/32GX5/32"

Carefine Pen Needles 29GX1/2"

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

Carefine Pen Needles 30GX5/16"

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

Carefine Pen Needles 31GX6MM

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


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


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


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

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

BD Autoshield 29G X 3/16"


BD Autoshield 29G X 5/16"


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


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

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

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

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

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

Careone Unifine Pentips Pen Needles 32GX4MM

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

Careone Unifine Pentips Plus Pen Needles 29GX12MM

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


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


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


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


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

Careone Unifine Pentips 29GX12MM

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


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


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


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

Caretouch Pen Needles 31 G X 6 MM

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

Caretouch Pen Needles 31GX 5MM

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


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


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


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

Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM


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



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











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







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


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


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

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


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


Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2"






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

Clever Choice Comfort EZ Pen Needles 29GX12MM









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








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


Easy Touch Pen Needle 30 G X 5/16"


Easy Touch Pen Needles 29GX1/2"

Clickfine Pen Needle Universal/31GX1/4"


Clickfine Pen Needle Universal/31GX5/16"


Clickfine Pen Needle 32GX5/32"


Clickfine Pen Needles/31GX1/4"


Clickfine Pen Needles/31GX5/16"


Clickfine Universal Pen Needles 31GX5/16"

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

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

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

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







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

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


Easy Touch 32GX5MM


Easy Touch 32GX6MM

Droplet Pen Needles 29GX12MM

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








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







Drug Mart Unifine Pentips 31GX5MM

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

Drug Mart Unifine Pentipsplus 32GX4MM


Drug Mart Unifine Pentips29G X 12MM


Drug Mart Unifine Pentips31GX6MM

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


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


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

Duane Reade Unifine Pentips 29G X 12MM

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

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT

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

Duane Reade Unifine Pentips 31G X 8MM SHORT

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

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


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


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






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

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

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


Easy Comfort Pen Needles 31GX1/4"



Eql SHORT Pen Needles 31G X 8MM


Eql Ultra Comfort Insulinsyringe/0.3ML/31G X 5/16"


Eql Ultra Comfort Insulinsyringe/1ML/30G X 5/16"



Eql Ultra SHORT Pen Needles 31G X 6MM

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

Exel Comfort Point Insulin Pen Needles 29G X 12MM

Gnp Clickfine Pen Needle Universal/31GX5/16"


Gnp Clickfine Universal Pen Needles 31GX1/4"


Gnp Clickfine Universal Pen Needles 31GX5/16"

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

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









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





Gnp Insulin Syringe/1ML/28G X 1/2"

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


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


Fifty50 Pen Needles 31GX5MM


Fifty50 Pen Needles/31GX8MM

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


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



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


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


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


Freds Pharmacy Unifine Pentips Pen Needles 32GX4MM


Freds Pharmacy Unifine Pentips Plus 31GX5MM

Freds Pharmacy Unifine Pentips Plus 31GX8MM

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

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

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

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

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

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

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

H-e-b Incontrol Pen Needles 29GX12MM

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

H-e-b IN Control Pen Needles 31GX5MM

Global Ease Inject Pen Needles 29GX12MM





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

Global Ease Inject Pen Neeedles 31GX5MM

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

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

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

Healthwise Mini Pen Needles 31GX6MM

Global Easy Glide Pen Needles 32GX4MM

Healthwise Pen Needles 29GX12MM

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

Healthwise SHORT Pen Needles 31GX8MM

Healthwise Unifine Pentips Pen Needles 32GX4MM


Healthy Accents Unifine Pentips Pen Needles 29GX12MM








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




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






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


Insulin Syringe/0.3ML/29G X 1"

Global Inject Ease Insulin Syringe/U-100/1ML/28G X 1/2"










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


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


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



Insulin Syringe/1ML/28G X 1/2"








Insulin Syringes/0.5ML/27GX1/2"








Litetouch Pen Needles 31G X 6MM

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

Litetouch Pen Needles 31GX8MM SHORT


Live Better Pen Needles 29G X 12MM

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


Insulin Syringes/1ML/27GX1/2"



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


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





Insupen Pen Needles 32G X4MM


Insupen Sensitive 32GX6MM

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

Insupen Sensitive 32GX8MM

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

Insupen Ultrafin 29GX12MM

Marathon Medical Pentips 29GX12MM







Insupen 29G X 12MM

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

Insupen 31G X 5MM

Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2"

Insupen 31G X 8MM

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

Insupen 32G X 4MM

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

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

Medicine Shoppe Pen Needles 29G X 12MM

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


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


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

Meijer Pen Needles 29G X 12MM

Kmart Valu Plus Insulin Syringe/0.3ML/30G





Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML

Kmart Valu Plus Insulin Syringe/1ML/29G

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

Kmart Valu Plus Insulin Syringe/1ML/30G

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

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

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


Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2"


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



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


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

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



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

Kroger Pen Needles 29G X 12MM

Kroger Pen Needles 31G X 8MM

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

Kroger Pen Needles 31GX1/4"

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

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

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






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


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


Monoject Insulin Syringe/1ML


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

Leader Insulin Syringe/1ML/28G X 1/2"

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







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


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


Leader Unifine Pentips/Mini/31GX3/16"


Leader Unifine Pentips/Nano/32GX5/32"

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

Leader Unifine Pentips/Plus/32GX5/32"


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


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

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

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

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

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



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

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


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



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



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


Litetouch Pen Needles 29GX12.7MM





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


Px Mini Pen Needles 31GX5MM

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

Px Pen Needle 29GX12MM


Px Pen Needle 31GX8MM


Px Shortlength Pen Needles/31GX8MM

Novofine Autocover 30GX8MM

PC Unifine Pentips 29G X 1/2"

Novofine Plus 32GX4MM

PC Unifine Pentips 31G X 5MM Mini

Novofine 30GX8MM

PC Unifine Pentips 31G X 6MM Ultra SHORT

Novofine 32GX6MM

PC Unifine Pentips 31G X 8MM SHORT

Novotwist 30GX8MM

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

Novotwist 32GX5MM


Pen Needles 29G X 12MM


Pen Needles 29GX1/2"

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


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

Pen Needles 30GX8MM

Qc Pen Needles 29G X 12MM

Pen Needles 31G X 1/4" SHORT


Pen Needles 31G X 3/16"



Qc Unifine Pentips 32GX4MM


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


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


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

Pen Needles 31GX6MM (1/4")

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

Pen Needles 31GX8MM

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

Pen Needles 31GX8MM (5/16")

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


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


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


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

Pen Needles 32GX4MM

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

Pentips 29G X 12MM

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

Pentips 29GX12MM

Relion Insulin Syringe 1ML/31GX15/64"

Pentips 31G X 5MM

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

Pentips 31G X 8MM

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

Pentips 31GX5MM

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

Pentips 31GX6MM

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

Pentips 31GX8MM


Pentips 32G X 4MM


Pentips 32GX4MM


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








Precision Sure-dose Insulin Syringe/1ML/28G X 1/2"


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

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


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


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



Relion Mini Pen Needles 31GX6MM


Relion Pen Needles 29GX12MM





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



Relion SHORT Pen Needles 31GX8MM


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

Preferred Plus Unifine Pentips 29G X 12MM


Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT


Preferred Plus Unifine Pentips 31G X 8MM SHORT

Safesnap Insulin Syringe/1ML/28G X 1/2"

Preferred Plus Unifine Pentips 32GX4MM

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

Preferred Plus Unifine Pentips/Mini/31GX5MM

Safety Insulin Syringes 0.5ML/29GX1/2"

Pro Comfort Pen Needles/ 31G X 8MM

Safety Insulin Syringes 0.5ML/30GX5/16"


Safety Insulin Syringes 1ML/27GX1/2"





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

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

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

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

Prodigy Insulin Syringe/1ML/28G X 1/2"

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

Px Extra SHORT Pen Needles 31GX6MM

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

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM


Shopko Unifine Pentips Pen Needles/Mini/31GX5MM


Shopko Unifine Pentips Pen Needles/Original/29GX12MM


Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM

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



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

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

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

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

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


Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM


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

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

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

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

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


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






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





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







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

Trueplus Pen Needles 29GX12MM

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









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

Sure Comfort Pen Needles 29GX1/2" 12.7MM

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

Sure Comfort Pen Needles 30GX5/16" SHORT

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

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

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

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

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

Sure Comfort Pen Needles 32GX5/32"

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

Sure Comfort Pen Needles 32GX6MM


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


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


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

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

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

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


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











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





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



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


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


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

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





Techlite Pen Needles 29G X 12 MM


Techlite Pen Needles 31G X 5MM


Techlite Pen Needles/31G X 5MM


Techlite Pen Needles/31G X 6 MM



Ulticare Insulin Syringe/1ML/28G X 1/2"







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

Ulticare Micro Pen Needles 31G X 8MM

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

Ulticare Micro Pen Needles 32G X 4MM

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

Ulticare Micro Pen Needles/32G X 4MM

Topcare Clickfine Universal Pen Eedles 31GX1/4"

Ulticare Mini Pen Needles Ulti-fine IV

Topcare Clickfine Universal Pen Eedles 31GX5/16"

Ulticare Mini Pen Needles 31GX6MM

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

Ulticare Mini Pen Needles/31G X 6MM

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

Ulticare Mini Pen Needles31GX6MM

Ulticare Original Pen Needles Ulti-fine

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

Ulticare Pen Needles 31G X 5MM/Mini

Ulticare Pen Needles/29G X 12.7MM

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

Ulticare SHORT Pen Needles Ulti-fine IV


Ulticare SHORT Pen Needles 31GX8MM


Ulticare SHORT Pen Needles/31G X 8MM




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

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

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

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

Ultilet Insulin Syringe 31X6MM

Valumark Pen Needles 29GX12MM

Ultilet Insulin Syringe/SHORT/0.3ML/30G X 12.7MM

Valumark Pen Needles 31G X 6MM

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

Valumark Pen Needles 31G X 8MM


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


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


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

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


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


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

Vida Mia Unifine Pentips Mini 31GX6MM

Ultilet Insulin Syringe/U-100/0.5ML/31GX6MM

Vida Mia Unifine Pentips Original 29GX12MM

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

Vida Mia Unifine Pentips 32GX4MM

Ultilet Insulin Syringe/0.3ML/30G X 8MM

Vida Mia Unipfine Pentipsshort 31GX8MM


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


Wegmans Unifine Pentips Plus 32GX4MM

Ultilet Insulin Syringe/1ML/30G X 8MM

Wegmans Unifine Pentips Plus/Mini/31GX5MM

Ultilet Insulin Syringe/1ML/31G X 8MM

Wegmans Unifine Pentips Plus/SHORT/31GX8MM

Ultilet Pen Needle 29GX12.7MM

Wegmans Unifine Pentips Plus/Ultra SHORT/31GX6MM

Ultilet Pen Needle 31GX5MM

1ST Tier Unifine Pentips /Mini/31GX5MM


1ST Tier Unifine Pentips Plus 31GX8MM


1ST Tier Unifine Pentips Plus 32GX4MM

Ultilet Pen Needle 32GX4MM/SHORT

1ST Tier Unifine Pentips Plus/Mini/31GX5MM

Ultilet SHORT Pen Needles 31GX5/16"

1ST Tier Unifine Pentips Plus/Original/29GX12MM

Ultilet SHORT Pen Needles31GX3/16"

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

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

1ST Tier Unifine Pentips 29GX12MM

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








MEDICAL DEVICES - MISC


FORMULARY FORMULARY


Aerochamber Mini Aerosol Chamber

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

Aerochamber MV


Aerochamber Plus Flow VU


Aerochamber Plus Flow-VU


Aerochamber Plus Flow-VU/Large Mask

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

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

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

Aerochamber Z-stat Plus/Small Mask

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

Aerochamber/Flowsignal

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

Aerovent Plus Holding Chamber/Collapsible

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

Arial Chamber

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

Breatherite

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

Breatherite Collapsible Adult Spacer W/Mask

Ultra-thin II Pen Needles 29GX1/2"

Breatherite Collapsible Child Spacer W/Mask

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

Breatherite Collapsible Infant Spacer W/Mask

Unifine Pentips Plus 29GX12MM

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

Unifine Pentips 29GX12MM

Breatherite W/Small Mask

Unifine Pentips 31G X 3/16"

Clever Choice Anti-staticvalved Holding Chamber/Adult Large

Unifine Pentips 31G X 6MM

Unifine Pentips 31G X 8MM

Clever Choice Anti-staticvalved Holding Chamber/Medium


Clever Choice Anti-staticvalved Holding Chamber/Small


Compact Space Chamber/Anti-static


Compact Space Chamber/Anti-static/Large Mask


Compact Space Chamber/Anti-static/Medium Mask

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

Compact Space Chamber/Anti-static/Small Mask


E-z Spacer


E-z Spacer The Body Guards Pack

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

Easivent

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



Easivent/Mask-large

Easivent/Mask-medium

Easivent/Mask-small

Flexichamber

Inspirachamber/Anti-static Valved/Mouthpiece

Inspirachamber/Large

Inspirachamber/Soothermask/Inspiramask/Medium

Inspirachamber/Soothermask/Inspiramask/Small

Inspirease Drug Delivery System

Liteaire

Microchamber

Microspacer

Optichamber Advantage

Optichamber Advantage/Large Mask

Optichamber Advantage/Medium Face Mask

Optichamber Advantage/Small Face Mask

Optichamber Diamond

Optichamber Diamond/Largeface Mask

Optichamber Diamond/Medium Face Mask

Optichamber Diamond/Smallface Mask

Optichamber Face Mask/Large

Optichamber Face Mask/Medium

Optichamber Face Mask/Small

Optihaler

Optihaler MDI Drug Delivery System

Pocket Chamber

Pocket Spacer

Riteflo

Valved Holding Chamber

Vortex Valved Holding Chamber

Watchhaler

MISCELLANEOUS AGENTS


naltrexone HCL


naloxone HCL

Naloxone HCL

PREFERRED BRAND

Chemet

Narcan


EvzioST

TIER 04 SPECIALTY

Exjade

FerriproxST

Jadenu

Jadenu Sprinkle



Index

A

5ML/31GX5/16", 28

Allzital, 23

Advocate Insulin Syringe/U-100/1ML/29GX1/2", 28

almotriptan, 24

abacavir, 2

almotriptan malate, 24

abacavir sulfate/lamivudine/zidovudine, 2


Alocril, 22

abacavir/lamivudine, 2

Alogliptin, 12

Abaneu-SL, 16


Alomide, 22

Abstral, 23

Alora, 10

acamprosate calcium DR, 20

Aerochamber Mini Aerosol Chamber, 34

alosetron hydrochloride, 15

acarbose, 12

Aerochamber MV, 34

alphatrex, 8

Accucaine, 9

Aerochamber Plus Flow VU, 34

alprazolam, 18

acebutolol HCL, 4

Aerochamber Plus Flow-VU, 34

alprazolam ER, 18

Acetaminophen/Caffeine/Dihydrocodeine, 23

Aerochamber Plus Flow-VU/Large Mask, 34

Alprazolam Intensol, 18

alprazolam odt, 18

acetaminophen/codeine, 23

Aerochamber Plus Flow-VU/Mask, 34

alprazolam XR, 18

acetaminophen/codeine phosphate, 23

Aerochamber Plus Flow-VU/Medium Mask, 34

Altabax, 7

acetasol HC, 22

altacaine, 22

acetazolamide, 5

Aerochamber Plus Flow-VU/Small Mask, 34

altafrin, 22

acetazolamide ER, 5

altavera, 10

acetic acid, 22

Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 34

Altoprev, 6

Acetic Acid/Aluminum Acetate, 22

Alvesco, 25

acetylcysteine, 25

Aerochamber Z-stat Plus/Flowsignal, 34

alyacen 1/35, 10

Aciphex Sprinkle, 14

Aerochamber Z-stat Plus/Large Mask, 34

alyacen 7/7/7, 10

acitretin, 7

Aerochamber Z-stat Plus/Medium Mask, 34

amabelz, 10

acne foaming wash, 6

amantadine HCL, 19

acne medication 10, 6

Aerochamber Z-stat Plus/Small Mask, 34

Amcinonide, 8

acne medication 5, 6

Aerochamber/Flowsignal, 34

amethia, 10

acne pimple medication maximum strength/vanishing, 6

Aerospan, 25

amethia LO, 10

Aerovent Plus Holding Chamber/Collapsible, 34

amethyst, 10

acne treatment gel, 6

amiloride HCL, 5

acne-clear, 6

afeditab CR, 4

amiloride/hydrochlorothiazide, 5

Actemra, 24

Afinitor, 3

amiodarone HCL, 5

Actimmune, 4

Afinitor Disperz, 3

amitriptyline HCL, 18

Active FE, 16

Afluria 2015-2016, 25

amlodipine besylate, 4

Active OB, 27

Afluria 2016-2017, 25

amlodipine besylate/atorvastatin calcium, 6

acyclovir, 2, 7

Afluria 2017-2018, 25

adapalene, 6

Afluria PF 2015-2016, 25

amlodipine besylate/benazepril HCL, 5

Adapalene, 7

Afluria PF 2016-2017, 25

amlodipine besylate/benazepril hydrochloride, 5

adapalene and benzoyl peroxide, 6

Afluria PF 2017-2018, 25

adapalene P.M., 6

Afluria Quadrivalent 2016-2017, 25

amlodipine besylate/valsartan, 5

Adazin, 9

Afluria Quadrivalent 2017-2018, 25

amlodipine/olmesartan medoxomil, 5

Adcirca, 6

aftera, 10

amlodipine/valsartan/hctz, 5

Addyi, 20

Aggrenox, 17

amnesteem, 6

adefovir dipivoxil, 2

agoneaze, 8

Amoxapine, 18

Adempas, 6

airavite, 16

amoxicillin, 1

Adlyxin, 12

ak-poly-bac, 21

Amoxicillin, 1

Adlyxin Starter Pack, 12

Akten, 22

Amoxicillin ER, 1

Adrenalin, 25

Aktipak, 7

amoxicillin/clavulanate potassium, 1

Advair Diskus, 25

Akynzeo, 14

Amoxicillin/Clavulanate Potassium, 1

Advair HFA, 25

ala-cort, 8

amoxicillin/clavulanate potassium ER, 1

Advocate Insulin Pen Needles 29GX12.7MM, 28

Ala-quin, 7

amphetamine/dextroamphetamine, 19

alaway, 22

ampicillin, 1

Advocate Insulin Pen Needles 31GX5MM, 28

alaway childrens allergy eye itch relief, 22

Ampicillin, 1

Ampyra, 20

Advocate Insulin Pen Needles 31GX8MM, 28

Albenza, 3

ana-lex, 14

albuterol sulfate, 25

Anacaine, 9

Advocate Insulin Syringe/U-100/0.3ML/29GX1/2", 28

albuterol sulfate ER, 25

Anadrol-50, 10

alclometasone dipropionate, 8

anagrelide hydrochloride, 17


Alecensa, 3

anastrozole, 3

alendronate sodium, 12

Androgel, 10


Alendronate Sodium, 12

Androgel P.M., 10

Alferon N, 4

Androxy, 10


alfuzosin HCL ER, 16

Animi-3, 16

Alinia, 3

Animi-3/Vitamin D, 16


allergy eye drops, 22

anodyne lpt, 8

allopurinol, 24

Anoro Ellipta, 25

Advocate Insulin Syringe/U-100/0.

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

augmented betamethasone dipropionate, 8

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

Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2", 28

Aurora Pen Needles 29GX12MM, 28

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

Aurora Pen Needles 31G X 6MM, 28

Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2", 28

Aurora Pen Needles 31G X 8MM, 28

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 28

Aurora Unifine Pentips/32GX5/32", 28

anucort-HC, 14

Aurora Unifine Pentips/Mini/31GX3/16", 28

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

anusol-HC, 14

Anzemet, 14

Auryxia, 15

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

AP-zel, 26

AV-vite fb, 16

Apexicon E, 8

Avaderm, 9

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

Apidra, 12

Avandia, 12

Apidra Solostar, 12

Avar, 7

BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 28

Aplenzin, 18

avar cleanser, 6

Apokyn, 20

Avar LS, 7

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

apraclonidine, 22

Avar LS Cleanser, 7

aprepitant, 14

avar-e emollient, 6

BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 28

apri, 10

avar-e green, 6

Apriso, 15

Avc, 16

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

Aptensio XR, 19

aviane, 10

Aptivus, 2

avidoxy, 1

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 15/64", 28

aranelle, 10

Avidoxy DK, 1

Aranesp Albumin Free, 16

avita, 6

BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 28

arbinoxa, 24

Avonex, 20

Arcalyst, 24

Avonex Pen, 20

BD Insulin Syringe Slip Tip/U-100/1ML, 28

Arcapta Neohaler, 25

Axert, 24

argyle sterile saline 100ML, 16

Azasite, 21

BD Insulin Syringe U-40/1ML/25G X 5/8", 28

Arial Chamber, 34

azathioprine, 3

aripiprazole, 18

azelastine HCL, 22, 24

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 28

aripiprazole odt, 18

azithromycin, 1

Aristada, 18

Azithromycin, 1

BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 28

armodafinil, 19

Azopt, 22

Armour Thyroid, 13

azuphen mb, 15

BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 28

ascomp/codeine, 23

azurette, 10

ashlyna, 10

B

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 28

Asmanex HFA, 25

B-12 Compliance Injectionkit, 16

Asmanex Twisthaler 120 Metered Doses, 25


B-12 Kit, 16

B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 28



B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16", 28



B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 28


BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 28

B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 28


BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 28

B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 28

aspirin, 22

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 28

Aspirin Low Dose, 23

B-d Insulin Syringe Ultrafine/1ML/30G X 1/2", 28

Aspirin-caffeine-dihydrocodeine, 23


aspirin/dipyridamole, 17

b-donna, 14

Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 28


b-plex plus, 26

Bacitracin, 21

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


bacitracin/polymyxin b, 21

baclofen, 21

Astero, 9


Bacmin, 26

Atabex EC, 27

Bactroban Nasal, 25

atenolol, 4


Bal-care DHA, 27

atenolol/chlorthalidone, 5

balsalazide disodium, 14

atomoxetine, 19


balziva, 10

Atopiclair, 9

Banzel, 19

atorvastatin calcium, 6


Baraclude, 2

atovaquone, 3

bayer advanced aspirin regular strength, 22

atovaquone/proguanil HCL, 2

BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 28

Atripla, 2

bayer aspirin, 23

Atropine Sulfate, 22


BD Autoshield 29G X 3/16", 28

Atrovent HFA, 25

BD Autoshield 29G X 5/16", 28

Aubagio, 20


BD Insulin Syringe LUER-LOK/U-100/1ML, 28

aubra, 10


betaxolol HCL, 4, 21

bupropion HCL ER, 18

bethanechol chloride, 15

bupropion HCL SR, 18, 20

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 28

Bethkis, 1

bupropion HCL XL, 18

Betimol, 21

buspirone HCL, 18

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 28

Betoptic-s, 21

butalbital/acetaminophen, 23

bexarotene, 4

butalbital/acetaminophen/caffeine, 23

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

bicalutamide, 3

butalbital/acetaminophen/caffeine/codeine, 23

Biltricide, 3

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

Bimatoprost, 21

butalbital/aspirin/caffeine, 23

Binosto, 12

Butalbital/Aspirin/Caffeine, 23

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

bio-statin, 2

butalbital/aspirin/caffeine/codeine, 23

Bio-statin, 2

butorphanol tartrate, 23

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

biocel, 26

Bydureon, 12

bisoprolol fumarate, 4

Bydureon Pen, 12

BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 28

bisoprolol fumarate/hydrochlorothiazide, 5

Byetta, 12

Bystolic, 4

BD Integra Insulin Syringe/U-100/1ML/29G X 1/2", 28

Blephamide, 21

C

Blephamide S.o.p., 21

C-nate DHA, 26

BD Integra Syringe/Retracting Needle/1ML/25G X 1", 28

blisovi 24 FE, 10

cabergoline, 13

blisovi FE 1.5/30, 10

Cabometyx, 3

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

blisovi FE 1/20, 10

caffeine citrate, 19

Bosulif, 3

calcipotriene, 7

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 28

bp 10-1, 7

calcipotriene/betamethasone dipropionate, 8

Bp Cleansing Wash, 7

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 28

bp foam, 7

calcitonin salmon, 12

bp foaming wash, 6

calcitonin-salmon, 12

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 28

Bp Folinatal Plus B, 26

calcitrene, 7

bp gel, 6

Calcitriol, 8

BD Pen Needle/Ultrafine/29G X 12.7MM, 28

Bp Multinatal Plus, 26

calcitriol, 13

Bp Vit 3, 16

calcium acetate, 14

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 28

Bp Vit 3 Plus, 16

Calcium PNV, 26

bp wash, 6

Cambia, 24

BD Pen Needles SHORT/Ultrafine/31G X 5/16", 28

bpm, 24

camila, 10

bpo 6% foaming cloths, 7

camrese, 10

BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2", 28

bpo-10 wash, 6

camrese LO, 10

Breatherite, 34

Canasa, 15

BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 28

Breatherite Collapsible Adult Spacer W/Mask, 34

candesartan cilexetil, 5

candesartan cilexetil/hydrochlorothiazide, 5

BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 28

Breatherite Collapsible Child Spacer W/Mask, 34

Cantil, 14

BD Ultra-fine Micro Pen Needles 6MM X 32G, 28

Breatherite Collapsible Infant Spacer W/Mask, 34

capacet, 23

capecitabine, 3

bekyree, 10

Breatherite Collapsible Small Child Spacer W/Mask, 34

Capex, 8

Belbuca, 23

Capital/Codeine, 23

Belladonna & Opium, 14

Breatherite Collapsible Spacer W/ Neonate Mask, 34

Caprelsa, 3

Belladonna Alkaloids & Opium, 14

captopril, 5

belladonna alkaloids/phenobarbital, 14

Breatherite Rigid Spacer W/Mask, 34

Captopril/Hydrochlorothiazide, 5

Belviq, 19

Breatherite W/Large Mask, 34

Carafate, 14

Belviq XR, 19

Breatherite W/Medium Mask, 34

Carbaglu, 13

benazepril HCL, 5

Breatherite W/Small Mask, 34

carbamazepine, 19

benazepril HCL/hydrochlorothiazide, 5

Breo Ellipta, 25

carbamazepine ER, 19

Benzamycin, 7

briellyn, 10

Carbaphen 12, 25

benzepro creamy wash, 7

Brilinta, 17

Carbaphen 12 PED, 25

benzepro foaming cloths, 7

brimonidine tartrate, 22

Carbatrol, 19

benzepro SHORT contact, 7

Brintellix, 18

carbidopa, 20

benzonatate, 25

bromfenac, 22

carbidopa/levodopa, 19

benzoyl peroxide, 6

Bromfenac, 22

carbidopa/levodopa ER, 19

benzoyl peroxide SHORT contact, 7

bromocriptine mesylate, 19

carbidopa/levodopa odt, 19

benzoyl peroxide wash, 6

Brompheniramine Tannate, 24

Carbidopa/Levodopa/Entacapone, 20

benztropine mesylate, 19

Brovana, 25

carbinoxamine maleate, 24

Bepreve, 22

budesonide, 9, 25

Carefine Pen Needle 32GX4MM, 28

Besivance, 21

budesonide nasal spray, 24

Carefine Pen Needles 29GX1/2", 28

Betadine Ophthalmic Prep, 21

bumetanide, 5

Carefine Pen Needles 30GX5/16", 28

betamethasone dipropionate, 8

Buphenyl, 13

Carefine Pen Needles 31GX6MM, 28

betamethasone dipropionate/augmented, 8

buprenorphine HCL, 23


buprenorphine HCL/naloxone HCL, 23


betamethasone valerate, 8

buproban, 20


Betaseron, 20

bupropion HCL, 18

Careone Insulin Syringes/0.3ML/30G X

1/2", 28

cerovel, 9

clearplex x, 6

Careone Insulin Syringes/0.3ML/31G X 5/16", 28

Cesamet, 14

clemastine fumarate, 24

cevimeline HCL, 17

Clemastine Fumarate, 24


Chantix, 20

Cleocin, 15

Chantix Continuing Month PAK, 20

Clever Choice Anti-staticvalved Holding Chamber/Adult Large, 34


Chantix Starting Month PAK, 20

chateal, 10

Clever Choice Anti-staticvalved Holding Chamber/Medium, 34

Careone Insulin Syringes/1ML/30G X 1/2", 28

Chemet, 35

Chenodal, 15

Clever Choice Anti-staticvalved Holding Chamber/Small, 34

Careone Insulin Syringes/1ML/31GX5/16", 28

chlordiazepoxide HCL, 18

chlordiazepoxide HCL/clidinium bromide, 14

Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 28

Careone Unifine Pentips 29GX12MM, 28


Chlordiazepoxide/Amitriptyline, 20

Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 28


chlorhexidine gluconate, 17


chlorhexidine gluconate oral rinse, 17


Careone Unifine Pentips Pen Needles 32GX4MM, 28

chloroquine phosphate, 2

Chloroquine Phosphate, 2


Careone Unifine Pentips Plus Pen Needles 29GX12MM, 28

chlorothiazide, 5

Chlorothiazide, 5



chlorpromazine HCL, 18

Chlorpropamide, 12



chlorthalidone, 5

chlorzoxazone, 21



Cholbam, 15

cholestyramine, 6



cholestyramine light, 6

choline magnesium trisalicylate, 23


Caretouch Pen Needles 31 G X 6 MM, 28

Chorionic Gonadotropin, 12

Cialis, 6


Caretouch Pen Needles 31GX 5MM, 28

ciclodan, 7


Ciclodan Cream Kit, 7



Ciclodan Solution Kit, 7


ciclopirox, 7

Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 29

carisoprodol, 21

ciclopirox nail lacquer, 7

carisoprodol/aspirin, 21

ciclopirox olamine, 7


carisoprodol/aspirin/codeine, 21

ciclopirox treatment, 7

carteolol HCL, 21

cidaleaze, 9


cartia XT, 4

Ciferex, 16

carvedilol, 4

Cifrazol, 16

Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 28

cavarest, 17

cilostazol, 17

Cayston, 3

Ciloxan, 21

Clever Choice Comfort EZ Pen Needles 29GX12MM, 29

caziant, 10

cimetidine, 14

Cedax, 1

cimetidine HCL, 14


cefaclor, 1

Cimzia, 15

Cefaclor, 1

Cimzia Starter Kit, 15


Cefaclor ER, 1

Cipro HC, 22

cefadroxil, 1

Ciprodex, 22


cefdinir, 1

ciprofloxacin, 1

Cefditoren Pivoxil, 1

Ciprofloxacin, 22


cefixime, 1

ciprofloxacin ER, 1

cefpodoxime proxetil, 1

ciprofloxacin HCL, 1, 21


cefprozil, 1

Ciprofloxacin HCL, 1

Ceftibuten, 1

citalopram hydrobromide, 18


Ceftin, 1

Citranatal 90 DHA, 26

Ceftriaxone Sodium, 1

Citranatal Assure, 26


cefuroxime axetil, 1

Citranatal B-calm, 26

Celebrex, 24

Citranatal DHA, 26


celecoxib, 24

Citranatal Harmony, 26

Celontin, 19

Citranatal RX, 26


Cem-urea, 9

claravis, 6

Cenfol, 16

clarithromycin, 1


Centany AT, 7

Clarithromycin, 1

Centratex, 16

clarithromycin ER, 1

Clickfine Pen Needle 32GX5/32", 29

cephalexin, 1

claritin eye, 22

Clickfine Pen Needle Universal/31GX1/4", 29

Cephalexin, 1

clean & clear persa-gel maximum strength, 6

Ceracade, 9

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

Cerdelga, 16

clearlax, 13

cerisa wash, 7

clearplex v, 6

Clickfine Pen Needles/31GX1/4", 29

Clickfine Pen Needles/31GX5/16", 29

Compact Space Chamber/Anti-static/Large Mask, 34

Cycloset, 12

Clickfine Universal Pen Needles 31GX5/16", 29

cyclosporine, 3

Compact Space Chamber/Anti-static/Medium Mask, 34

cyclosporine modified, 3

Clindacin Etz, 7

Cyclosporine Modified, 3

clindacin etz pledgets, 6

Compact Space Chamber/Anti-static/Small Mask, 34

cyotic, 22

Clindacin PAC, 7

cyproheptadine HCL, 24

clindacin-p, 6

Complera, 2

cyred, 10

clindamycin HCL, 3

Complete Natal DHA, 26

Cystadane, 13

clindamycin palmitate HCL, 3

Completenate, 26

Cystagon, 16

clindamycin phosphate, 6, 15

compro, 18

Cystaran, 22

clindamycin phosphate/tretinoin, 7

Concept DHA, 26

cytra k crystals, 16

clindamycin/benzoyl peroxide, 7

Concept OB, 26

D

clinpro 5000, 17

constulose, 14

d3, 26

clobetasol propionate, 8

Contrave, 19

d3-50, 26

clobetasol propionate e, 8

controlrx, 17

Daklinza, 2

clobetasol propionate emollient, 8

Copaxone, 20

Daliresp, 25

Clocortolone Pivalate, 8

Corlanor, 6

danazol, 10

Clocortolone Pivalate P.M., 8

cormax scalp application, 8

dantrolene sodium, 21

clodan, 8

Cortane-b, 8

dapsone, 3

Clodan Kit, 8

Cortane-b Aqueous, 22

Daraprim, 2

clomipramine HCL, 18

Cortane-b-otic, 22

darifenacin hydrobromide ER, 15

clonazepam, 19

cortic-nd, 22

dasetta 1/35, 10

clonazepam odt, 19

Cortisone Acetate, 9

dasetta 7/7/7, 10

clonidine HCL, 5

Cortisporin-tc, 22

daysee, 10

clonidine HCL ER, 19

corvita, 26

Debacterol, 17

clopidogrel, 17

corvita 150, 16

deblitane, 10

clorazepate dipotassium, 18

corvite free, 26

decara, 26

Clorpres, 5

Cosentyx, 8

Decon-a, 25

clotrimazole, 17

Cosentyx Sensoready Pen, 8

Decon-G, 25

clotrimazole/betamethasone dipropionate, 7

Cotellic, 3

deltasone, 9

cough drops, 17

delyla, 10

clozapine, 18

covaryx, 10

Delzicol, 15

clozapine odt, 18

covaryx HS, 10

demeclocycline HCL, 1

Clozapine Odt, 18

Creon, 14

Demser, 5

CO-natal Fa, 26

Cresemba, 2

Denavir, 7

Coal TAR, 9

Crinone, 16

denta 5000 plus, 17

Coartem, 2

Crixivan, 2

dentagel, 17

Codar AR, 25

cromolyn sodium, 14, 22

Depakene, 19

codeine sulfate, 23

Cromolyn Sodium, 25

Depakote, 19

Codeine Sulfate, 23

cryselle-28, 10

Depakote ER, 19

Colchicine, 24

curity sterile saline, 16

Depakote Sprinkles, 19

cold sore treatment, 17

Cuvposa, 14

Depo-provera, 3

colestipol HCL, 6

CVS acne foaming face wash, 6

dermacinrx empricaine, 8

colocort, 14

CVS acne treatment, 6

dermacinrx prizopak, 8

Coly-mycin S, 22

CVS acne treatment/maximum strength, 6

Dermacinrx Purefolix, 16

Combigan, 21

Dermasorb AF, 7

Combipatch, 10

CVS allergy eye drops, 22

Dermasorb HC, 8

Combivent Respimat, 25

CVS aspirin, 23

Dermasorb Ta, 8

Cometriq, 3

CVS creamy acne face wash, 6

dermazene, 7

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

CVS eye itch relief, 22

Dermazone, 8

CVS foaming acne face wash, 6

Descovy, 2

Comfort Assist Insulin Syringe/0.3ML/30G X 5/16", 29

CVS iron, 16

desipramine HCL, 18

CVS nicotine, 20

desloratadine, 24


CVS nicotine lozenge, 20

Desloratadine Odt, 24

CVS nicotine polacrilex, 20

desmopressin acetate, 13


CVS nicotine polacrilex starter, 20

desogestrel/ethinyl estradiol, 10

CVS nicotine transdermal system, 20

desonide, 8


CVS nts step 1, 20

Desowen, 8

CVS purelax, 14

desoximetasone, 8


CVS Saline Wound Wash, 9

Desquam-x Wash, 7

cyanocobalamin, 16

desvenlafaxine ER, 18

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

cyclafem 1/35, 10

Desvenlafaxine ER, 18

cyclafem 7/7/7, 10

dexamethasone, 9


cyclobenzaprine HCL, 21

Dexamethasone, 9

cyclopentolate HCL, 22

Dexamethasone Intensol, 9


cyclopentolate hydrochloride, 22

Dexamethasone Sodium Phosphate, 21

Cyclophosphamide, 3

dexedrine, 19

Compact Space Chamber/Anti-static, 34

Cycloserine, 1

Dexeryl, 9

Dexilant, 14

doxycycline hyclate DR, 1

29

dexmethylphenidate HCL, 19

doxycycline monohydrate, 1

Easy Comfort Pen Needles 31GX5/16", 29

dexmethylphenidate HCL ER, 19

Dritho-creme HP, 8

Dexpak 10 Day, 10

dronabinol, 14


Dexpak 13 Day, 10

Droplet Pen Needles 29GX12MM, 29

Dexpak 6 Day, 10


Easy Touch 32GX5MM, 29

dextroamphetamine sulfate, 19


Easy Touch 32GX6MM, 29

dextroamphetamine sulfate ER, 19


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

Dialyvite Supreme D, 26


Diastat Acudial, 19



Diastat Pediatric, 19


diazepam, 18



Diazepam, 18, 19

drospirenone/ethinyl estradiol, 10

diazepam intensol, 18

drospirenone/ethinyl estradiol/levomefolate calcium, 10


Diazepam Rectal Gel, 19

diclofenac potassium, 23

Droxia, 16

Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 29

diclofenac sodium, 7, 22

Drug Mart Unifine Pentips 31GX5MM, 29

diclofenac sodium DR, 23

Drug Mart Unifine Pentips29G X 12MM, 29


diclofenac sodium ER, 23

diclofenac sodium/misoprostol, 23

Drug Mart Unifine Pentips31GX6MM, 29


dicloxacillin sodium, 1


dicyclomine HCL, 14



didanosine, 2

Drug Mart Unifine Pentipsplus 32GX4MM, 29

Differin, 6

Easy Touch Insulin Syringe/1ML/30G X 5/16", 29

Dificid, 1

Duane Reade Unifine Pentips 29G X 12MM, 29

difil-G forte, 25

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

Diflorasone Diacetate, 8

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 29

diflunisal, 23

Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16", 29

digitek, 4

Duane Reade Unifine Pentips 31G X 8MM SHORT, 29

digox, 4

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

digoxin, 4

Duavee, 10

Digoxin, 4

Duet DHA 400, 26

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

Dihydroergotamine Mesylate, 24

Duet DHA Balanced, 26

Dilantin, 19

dulcolax balance, 13

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

Dilantin Infatabs, 19

Dulera, 25

Dilantin-125, 19

duloxetine HCL, 18


Dilatrate SR, 4

Durachol, 16

dilt-XR, 4

Duraxin, 23


diltiazem CD, 4

Durezol, 21

diltiazem HCL, 4

Durlaza, 17


diltiazem HCL CD, 4

dutasteride, 16

diltiazem HCL ER, 4

dutasteride/tamsulosin HCL, 16


Dipentum, 15

dutasteride/tamsulosin hydrochloride, 16

diphenoxylate/atropine, 14

Dyrenium, 5

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

Diphenoxylate/Atropine, 14

E

dipyridamole, 17


E-z Spacer, 34

disopyramide phosphate, 5

E-z Spacer The Body Guards Pack, 34

disulfiram, 20


E.e.s. 400, 1

Diuril, 5

Easivent, 34

divalproex sodium, 19


Easivent/Mask-large, 35

divalproex sodium DR, 19

Easivent/Mask-medium, 35

divalproex sodium ER, 19


Easivent/Mask-small, 35

Divista, 16

Easy Comfort Insulin Syringe/0.3ML/30G X 5/16", 29

dofetilide, 5

Easy Touch Pen Needle 30 G X 5/16", 29

donepezil HCL, 20


Donnatal, 14

Easy Touch Pen Needles 29GX1/2", 29

dorzolamide HCL, 22



dorzolamide HCL/timolol maleate, 21


Dothelle DHA, 26


Easy Comfort Insulin Syringe/1ML/30G X 5/16", 29

doxazosin, 5


doxazosin mesylate, 5


Easy Comfort Insulin Syringe/1ML/31G X 5/16", 29

doxepin HCL, 18

Easy Touch Pen Needles/31G X 3/16", 29

Doxepin HCL, 18

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

Doxepin Hydrochloride, 7

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

doxercalciferol, 13

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

doxycycline, 1

Easy Touch Sheathlock Safety Insulin Syringe 1ML/30GX5/16", 29

Doxycycline, 7


doxycycline hyclate, 1

Easy Touch Sheathlock Safety Insulin

Easy Comfort Pen Needles 31GX3/16",

Syringe 1ML/31GX5/16", 29

enskyce, 10

Ergoloid Mesylates, 20

Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2", 29

Enstilar, 8

Ergomar, 24

entacapone, 19

ergotamine tartrate/caffeine, 24

econazole nitrate, 7

entecavir, 2

errin, 10

econtra EZ, 10

Entereg, 15

Ertaczo, 7

ed-spaz, 14

Entresto, 6

ery, 6

Edarbi, 5

Entty Spray Emulsion, 9

Ery-TAB, 1

Edarbyclor, 5

enulose, 14

Eryped 400, 1

Edurant, 2

Envarsus XR, 3

Erythrocin Stearate, 1

eemt, 10

Epaned, 5

erythromycin, 1, 6, 21

eemt HS, 10

Epclusa, 2

Erythromycin Base, 1

Egrifta, 13

Epiceram, 9

Erythromycin Ethylsuccinate, 1

Eldepryl, 20

Epiduo Forte, 7

erythromycin ethylsuccinate, 1

Eletone, 9

Epifoam, 8

erythromycin/benzoyl peroxide, 6

Eletone Twinpack, 9

epinastine HCL, 22

Esbriet, 25

eletriptan hydrobromide, 24

Epinephrine, 6

Escavite, 27

Elidel, 8

epinephrine HCL, 6

escitalopram oxalate, 18

elinest, 10

Epipen 2-PAK, 6

esgic, 23

Eliquis, 17

Epipen-JR 2-PAK, 6

esomeprazole magnesium, 14

Elite-OB, 26

Episil, 17

estarylla, 10

Elite-thin Insulin Syringe/0.3ML/31G X 5/16", 29

epitol, 19

estazolam, 18

Epivir HBV, 2

esterified estrogens/methltestosterone, 10


eplerenone, 5

Epogen, 16

esterified estrogens/methyltestosterone, 10


Eprosartan Mesylate, 5

eq aspirin, 23

esterified estrogens/methyltestosterone DS, 10

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

eq clearlax, 13

eq eye itch relief, 22

esterified estrogens/methyltestosterone HS, 10

Elite-thin Insulin Syringe/1ML/30G X 5/16", 29

eq itchy eye drops, 22

eq nicotine, 20

estradiol, 10, 15

Elite-thin Insulin Syringe/U-100/0.5ML/28G X 1/2", 29

eq nicotine gum refill, 20

estradiol/norethindrone acetate, 10

eq nicotine gum starter, 20

Estropipate, 10


eq nicotine polacrilex, 20

eszopiclone, 18

eq nicotine step 3, 20

ethacrynic acid, 5


eql aspirin, 23

ethambutol HCL, 1

eql clearlax, 13

ethosuximide, 19


eql cold sore treatment, 17

ethyl chloride, 9

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

Ethyl Chloride, 9

Elite-thin Insulin Syringe/U-100/1ML/28G X 1/2", 29


Ethyl Chloride/Fine Pinpoint, 9

Ethyl Chloride/Fine Stream, 9



Ethyl Chloride/Medium Jet Stream, 9

Ethyl Chloride/Medium Stream, 9



Ethyl Chloride/Mist, 9


ethynodiol diacetate/ethinyl estradiol, 10


Etidronate Disodium, 12


etodolac, 23

Elixophyllin, 25

etodolac ER, 23

Ella, 11

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

Etoposide, 3

Elmiron, 16


Eurax, 9

Emadine, 22


Evista, 12

Embeda, 23

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

Evotaz, 2

Emcyt, 3

Evzio, 35

emoquette, 10

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

Exel Comfort Point Insulin Pen Needles 29G X 12MM, 30

Emsam, 18

Emtriva, 2

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


Emulsion SB, 9

Emverm, 3

eql nicotine, 20


Enablex, 15

eql nicotine polacrilex, 20

enalapril maleate, 5

eql nicotine polacrilex refill, 20

Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 30

enalapril maleate/hydrochlorothiazide, 5

eql nicotine polacrilex starter, 20

Enbrace HR, 27

Eql SHORT Pen Needles 31G X 8MM, 29


Enbrel, 24

Enbrel Sureclick, 24

Eql Ultra Comfort Insulinsyringe/0.3ML/31G X 5/16", 29


Encare, 15

endocet, 23

Eql Ultra Comfort Insulinsyringe/1ML/30G X 5/16", 29


Enjuvia, 10

enoxaparin sodium, 17

Eql Ultra SHORT Pen Needles 31G X 6MM, 30


enpresse-28, 10

Exel Comfort Point Insulin Syringe/1ML/28G X 1/2", 30

Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16", 30

Fluphenazine HCL, 18

flurandrenolide, 8


Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 30

Flurazepam HCL, 19

flurbiprofen, 23


Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 30

flurbiprofen sodium, 22

Flurbiprofen Sodium, 22

Exelderm, 7

finasteride, 16

flutamide, 3

exemestane, 3

Firmagon, 3

fluticasone propionate, 8, 24

Exjade, 35

First-lansoprazole, 14

Fluticasone Propionate/Salmeterol, 25

Exoderm, 7

First-omeprazole, 14

fluvastatin, 6

exotic-HC, 22

First-vancomycin 25, 3

fluvastatin sodium ER, 6

Extavia, 20

First-vancomycin 50, 3

Fluvirin 2015-2016, 26

Extra-virt Plus DHA, 26

flanax cough relief, 17

Fluvirin 2016-2017, 26

eye itch relief, 22

Flanax Pain Relief Kit, 24

Fluvirin 2017-2018, 26

ezetimibe, 6

Flarex, 21

fluvoxamine maleate, 18

ezetimibe/simvastatin, 6

flavoxate HCL, 15

fluvoxamine maleate ER, 18

F

flecainide acetate, 5

Fluzone Intradermal Quadrivalent 2015-2016, 26

Flexichamber, 35

fabb, 16

Floriva, 26


Factive, 1

Floriva Plus, 26

Falessa, 11

Flovent Diskus, 25


fallback solo, 10

Flovent HFA, 25

falmina, 10

Flowtuss, 25

Fluzone Quadrivalent 2015-2016, 26

famciclovir, 2

Fluad 2016-2017, 25


famotidine, 14

Fluad 2017-2018, 25


Fanapt, 18

Fluarix Quadrivalent 2015-2016, 25

Fluzone Split 2015-2016, 26

Fanapt Titration Pack, 18


FML, 21

Fareston, 3


FML Forte, 21

Farxiga, 12

Flublok 2015-2016, 25

Focalgin 90 DHA, 26

Farydak, 3

Flublok 2016-2017, 25

Focalgin CA, 26

fayosim, 10

Flublok 2017-2018, 25

folbee, 16

felbamate, 19

Flublok Quadrivalent 2017-2018, 25

Folbee Plus Cz, 26

Felbatol, 19

Flucelvax 2015-2016, 25

Folcal DHA, 26

felodipine ER, 4

Flucelvax Quadrivalent 2016-2017, 25

Folcaps Omega 3, 26

Fem PH, 16

Flucelvax Quadrivalent 2017-2018, 25

Folet DHA, 27

femynor, 10

fluconazole, 2

Folet One, 27

fenofibrate, 6

flucytosine, 2

folic acid/vitamin b-6/vitamin b-12, 16

Fenofibrate, 6

fludrocortisone acetate, 9

Folivane-OB, 27

fenofibrate micronized, 6

Flulaval Quadrivalent 2014-2015, 26

Folivane-plus, 16

Fenofibric Acid, 6


Folixapure, 16

fenofibric acid DR, 6


folplex 2.2, 16

fenoprofen calcium, 24


foltrin, 16

Fenoprofen Calcium, 24

Flumist Quadrivalent, 26

fondaparinux sodium, 17

fentanyl, 23

Flunisolide, 24

Foradil Aerolizer, 25

Fentanyl, 23

fluocinolone acetonide, 8, 22

Fortavit, 27

fentanyl citrate oral transmucosal, 23

fluocinolone acetonide body, 8

Forteo, 12

Fentora, 23

fluocinolone acetonide ear drops, 22

Fosamax Plus D, 12

ferate, 16

fluocinolone acetonide scalp, 8

fosamprenavir calcium, 2

fergon, 16

fluocinonide, 8

fosinopril sodium, 5

Feriva, 16

fluocinonide emulsified base, 8

fosinopril sodium/hydrochlorothiazide, 5

ferocon, 16

fluoridex, 17

Fosrenol, 15

ferotrinsic, 16

fluoridex daily defense, 17

Fragmin, 17

Ferraplus 90, 16

fluoridex daily defense enhanced whitening, 17

Freds Pharmacy Unifine Pentips Pen Needles 32GX4MM, 30

Ferriprox, 35

Ferro-plex Hematinic, 16

fluoridex daily defense sensitivity relief, 17

Freds Pharmacy Unifine Pentips Plus 31GX5MM, 30

ferrocite plus, 16

ferrotabs, 16

Fluoridex Daily Defense Sensitivity Relief, 17

Freds Pharmacy Unifine Pentips Plus 31GX8MM, 30

Ferrotrin, 16

ferrous gluconate, 16

fluoridex enhanced whitening, 17

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

Fetzima, 18

fluoridex sensitivity relief, 17

Fetzima Titration Pack, 18

fluoridex sensitivity relief/sls free, 17

Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16", 30

Fifty50 Pen Needles 31G X3/16" (5MM), 30

fluorometholone, 21

Fluoxetine, 20

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

Fifty50 Pen Needles 31G X5/16" (8MM), 30

Fluoxetine DR, 18

fluoxetine HCL, 18, 20

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

Fifty50 Pen Needles 31GX5MM, 30

Fluoxetine HCL, 18

Fifty50 Pen Needles/31GX8MM, 30

fluphenazine decanoate, 18

Frova, 24


fluphenazine HCL, 18

frovatriptan succinate, 24


Fulyzaq, 14

100/0.3ML/30G X 5/16", 30

30

furosemide, 5

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

Gnp Insulin Syringe/0.5ML/28G X 1/2", 30

Furosemide, 5

Fuzeon, 2



fyavolv, 10

G



gabapentin, 19



Gabitril, 19

galantamine hydrobromide, 20


Gnp Insulin Syringe/1ML/28G X 1/2", 30

Galantamine Hydrobromide, 20


galantamine hydrobromide ER, 20



gatifloxacin, 21


Gattex, 15

Global Inject Ease Insulin Syringe/U-100/1ML/28G X 1/2", 30

gnp itchy eye, 22

gavilax, 13

gnp nicotine gum, 20

gavilyte-c, 13


gnp nicotine mini lozenge, 20

gavilyte-G, 13

gnp nicotine polacrilex, 20

gavilyte-h, 14


gnp nicotine polacrilex mini, 20

gavilyte-n/flavor pack, 13

gnp nicotine transdermal system, 20

Gelclair, 17


Gnp Saline Wound Wash, 9

Gelnique, 15

Gnp Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 30

Gelnique P.M., 15


Gelx, 17

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

gemfibrozil, 6

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

generlac, 14


gengraf, 3

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

Genotropin, 13


Genotropin Miniquick, 13

Glucagen Hypokit, 12

gentak, 21

Glucagon Emergency Kit, 12


Gentak, 21

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

gentamicin sulfate, 7, 21


Gentamicin Sulfate, 7


gentlelax, 13


Genvoya, 2


gianvi, 10

Gnp Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 30

Giazo, 15


gildagia, 10

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

gildess 1.5/30, 10


gildess 1/20, 10

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

gildess 24 FE, 10


gildess FE 1.5/30, 10

Gnp Ultra Comfort Insulin Syringe/1ML/31G X 5/16" SHORT, 30

gildess FE 1/20, 10

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

Gilenya, 20

goodsense aspirin, 23

Gilotrif, 4


goodsense itchy eye, 22

glatopa, 20

goodsense nicotine gum, 20

Gleevec, 4


granisetron HCL, 14

Gleostine, 3

Granix, 16

glimepiride, 12

glyburide, 12

griseofulvin microsize, 2

glipizide, 12

glyburide micronized, 12

griseofulvin ultramicrosize, 2

glipizide ER, 12

glyburide/metformin HCL, 12

guanfacine ER, 19

glipizide XL, 12

glycolax, 13

guanfacine HCL, 5

glipizide/metformin HCL, 12

glycopyrrolate, 14

Guanidine HCL, 21

Global Ease Inject Pen Needles 29GX12MM, 30

Glyxambi, 12

Gynazole-1, 16

gnp aspirin, 23

H


gnp clearlax, 13

H-e-b IN Control Pen Needles 31GX5MM, 30

Gnp Clickfine Pen Needle Universal/31GX5/16", 30



Gnp Clickfine Universal Pen Needles 31GX1/4", 30

Global Ease Inject Pen Neeedles 31GX5MM, 30


Gnp Clickfine Universal Pen Needles 31GX5/16", 30

Global Easy Glide Insulinsyringe/U-100/0.3ML/31G X 5/16", 30

H-e-b IN Control Pen Needles/Nano/32GX4MM, 30

gnp cold sore treatment, 17

Global Easy Glide Pen Needles 32GX4MM, 30

gnp eye itch relief, 22

H-e-b IN Control Unifine Pentips Plus 31GX5MM, 30



H-e-b IN Control Unifine Pentips Plus 32GX4MM, 30



H-e-b Incontrol Pen Needles 29GX12MM, 30

Gnp Insulin Syringe/0.3ML/31G X 5/16",

Global Inject Ease Insulin Syringe/U-

H.p. Acthar, 13

Humalog, 11

Hypersal, 25

Halac, 8

Humalog Junior Kwikpen, 11

Hysingla ER, 23

halobetasol propionate, 8

Humalog Kwikpen, 11

I

Halog, 8

Humalog Mix 50/50, 11

ibandronate sodium, 12

haloperidol, 18

Humalog Mix 50/50 Kwikpen, 11

Ibrance, 4

haloperidol decanoate, 18

Humalog Mix 75/25, 11

ibudone, 23

haloperidol lactate, 18

Humalog Mix 75/25 Kwikpen, 11

ibuprofen, 23

Harvoni, 2

Humatrope, 13

Ibuprofen Comfort PAC, 24

Healthwise Mini Pen Needles 31GX6MM, 30

Humatrope Combo Pack, 13

Iclusig, 4

Humira, 24

ilotycin, 21

Healthwise Pen Needles 29GX12MM, 30

Humira Pediatric Crohns Disease Starter Pack, 24

imatinib mesylate, 3

Healthwise SHORT Pen Needles 31GX8MM, 30

Imbruvica, 4

Humira Pen, 24

imipramine HCL, 18

Healthwise Unifine Pentips Pen Needles 32GX4MM, 30

Humira Pen-crohns Diseasestarter, 24

imipramine pamoate, 18

Humira Pen-psoriasis Starter, 24

imiquimod, 8

Healthy Accents Unifine Pentips Pen Needles 29GX12MM, 30

Humulin 70/30, 11

Imitrex Statdose System, 24

Humulin 70/30 Kwikpen, 11

Impavido, 3


Humulin N, 11

Inatal Advance, 26

Humulin N Kwikpen, 11

Inatal GT, 26


Humulin R, 11

Inatal Ultra, 26

Humulin R U-500 (concentrated), 11

Increlex, 13


Humulin R U-500 Kwikpen, 11

Incruse Ellipta, 25

Hycamtin, 4

indapamide, 5


Hycofenix, 25

indiomin mb, 15

hydralazine HCL, 5

Indocin, 24

heather, 10

hydrochlorothiazide, 5

indomethacin, 23

Hemangeol, 4

hydrocodone bitartrate/acetaminophen, 23

indomethacin ER, 24

hematinic plus vitamins/minerals, 16

Infanate Balance, 27

hematinic/folic acid, 16

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 25

inflammacin, 24

Hematogen Fa, 16

Influenza Vaccine For Safeway Dependants, 26

hematogen forte, 16

hydrocodone bitartrate/homatropine methylbromide, 25

Hemenatal OB, 27

Ingrezza, 20

Hemenatal OB + DHA, 27

hydrocodone polistirex/chlorpheniramine polistirex, 25

Inlyta, 4

hemmorex-HC, 14

Inova, 7

Hemocyte Plus, 16

hydrocodone/acetaminophen, 23

Inspirachamber/Anti-static Valved/Mouthpiece, 35

hemocyte-f, 16

hydrocodone/homatropine, 25

hemocyte-plus, 16

hydrocodone/ibuprofen, 23

Inspirachamber/Large, 35

heparin lock flush, 17

hydrocortisone, 8, 9, 14

Inspirachamber/Soothermask/Inspiramask/Medium, 35

Heparin Lock Flush, 17

hydrocortisone acetate, 14

heparin lock flush for flushing vascular access devices, 17

hydrocortisone acetate & iodoquinol, 7

Inspirachamber/Soothermask/Inspiramask/Small, 35

hydrocortisone acetate/pramoxine, 8, 14

heparin lock flush/NACL for flushing vascular access devices, 17

hydrocortisone acetate/pramoxine HCL, 15

Inspirease Drug Delivery System, 35

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

heparin sodium, 17

hydrocortisone butyrate, 8

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

heparin sodium dcu, 17

hydrocortisone butyrate (lipid), 8


heparin sodium lock flush, 17

hydrocortisone butyrate (lipophilic), 8


heparin sodium/D5W, 17

hydrocortisone valerate, 8


Heparin Sodium/D5W, 17

hydrocortisone/acetic acid, 22


Heparin Sodium/NACL 0.45%, 17

hydrocortisone/iodoquinol, 7


heparin sodium/NACL 0.9%, 17

hydromet, 25


Heparin Sodium/Sodium Chloride 0.9%, 17

hydromorphone HCL, 23


Hydromorphone HCL, 23


heparin sodium/sodium chloride 0.9% premix, 17

hydromorphone HCL ER, 23

Insulin Syringe/1ML/28G X 1/2", 30

hydromorphone hydrochloride, 23


Hepsera, 2

hydromorphone hydrochloride ER, 23


Hetlioz, 19

hydroxychloroquine sulfate, 2


Hexalen, 3

hydroxyurea, 4

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

HM aspirin, 23

hydroxyzine HCL, 18

HM clearlax, 14

hydroxyzine pamoate, 18


HM eye itch relief, 22

Hydroxyzine Pamoate, 18

HM nicotine polacrilex, 20

Hylatopic Plus, 9


HM nicotine transdermal system, 20

hyolev mb, 15

HM nicotine transdermal system step 3, 20

hyophen, 15

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

hyoscyamine sulfate, 14

homatropaire, 22

hyoscyamine sulfate ER, 14


homatropine HBR, 22

hyoscyamine sulfate odt, 14

HPR, 9

hyoscyamine sulfate SR, 14


HPR Plus, 9

hyosyne, 14


Janumet XR, 12

Korlym, 12

Januvia, 12

kp benzoyl peroxide, 6

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

Jardiance, 12

kp benzoyl peroxide wash, 6


jencycla, 10

kp ketotifen fumarate, 22


Jentadueto, 12

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


Jentadueto XR, 12

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

jevantique LO, 10



jinteli, 10

Insulin Syringes/1ML/27GX/1/2", 31

jolessa, 10


Insulin Syringes/1ML/27GX1/2", 31

jolivette, 10


Jublia, 7



juleber, 10


junel 1.5/30, 10



junel 1/20, 10

Insupen 29G X 12MM, 31

junel FE 1.5/30, 10



junel FE 1/20, 10


junel FE 24, 10

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


Juxtapid, 6

Insupen Pen Needles 32G X4MM, 31

K


Insupen Sensitive 32GX6MM, 31

k-tan plus, 16

Insupen Sensitive 32GX8MM, 31


Kadian, 23

Insupen Ultrafin 29GX12MM, 31

kaitlib FE, 10


Kroger Pen Needles 29G X 12MM, 31

Kaletra, 2


Kroger Pen Needles 31G X 8MM, 31

Kalydeco, 25


Kroger Pen Needles 31GX1/4", 31

Kamdoy, 9

Integra Plus, 16

kurvelo, 11

Karbinal ER, 24

Intelence, 2

Kuvan, 13

karigel, 17

Intrarosa, 16

Kynamro, 6

karigel-n, 17

Intron A, 4

L

kariva, 10

Intron A W/Diluent, 4

kelnor 1/35, 10

labetalol HCL, 4

introvale, 10

Keppra, 19

Lacrisert, 21

Invirase, 2

Keppra XR, 19

lactic acid, 8

Invokamet, 12

Kerydin, 7

lactic acid e, 8

Invokamet XR, 12

Ketek, 3

lactic acid w/vitamin e, 8

Invokana, 12

ketoconazole, 2, 7

lactulose, 14, 15

Iopidine, 22

ketodan, 7

Lamictal, 19

ipratropium bromide, 24, 25

Ketodan Kit, 7

Lamictal Chewable Dispersible, 19

ipratropium bromide/albuterol sulfate, 25

ketoprofen, 24

Lamictal Odt, 19

irbesartan, 5

Ketoprofen ER, 24

Lamictal XR, 19

irbesartan/hydrochlorothiazide, 5

ketorolac tromethamine, 22, 24

lamivudine, 2

Iressa, 4

ketotifen fumarate, 22

lamivudine/zidovudine, 2

iron, 16

Keveyis, 6

lamotrigine, 19

iron 27, 16

kimidess, 10

lamotrigine ER, 19

Isentress, 2

Kineret, 24

lamotrigine odt, 19

Isentress HD, 2

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

lamotrigine starter kit/blue, 19

isibloom, 10

lamotrigine starter kit/green, 19

isometheptene mucate/caffeine/acetaminophen, 24

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

lamotrigine titration, 19

Lanoxin, 4

isometheptene/dichloralphenazone/acetaminophen, 24

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

lansoprazole, 14

lansoprazole/amoxicillin/clarithromycin, 14

isoniazid, 1

Kinray Insulin Syringe/0.5ML/29G X 1/2", 31

Isoniazid, 1

Lantus, 11

isosorbide dinitrate, 4

Kisqali, 4

Lantus Solostar, 11

Isosorbide Dinitrate ER, 4

klofensaid II, 7

larin 1.5/30, 11

isosorbide mononitrate, 4

Klonopin, 19

larin 1/20, 11

isosorbide mononitrate ER, 4

kls laxaclear, 13

larin 24 FE, 11

isoxsuprine HCL, 6

kls quit2, 20

larin FE 1.5/30, 11

Isoxsuprine HCL, 6

kls quit4, 20

larin FE 1/20, 11

isradipine, 4

Kmart Valu Plus Insulin Syringe/0.3ML/30G, 31

larissia, 11

Istalol, 21

Lastacaft, 22

itraconazole, 2


latanoprost, 21

ivermectin, 3

latrix, 8

J


Latrix XM, 9

Jadenu, 35

Latuda, 18

Jadenu Sprinkle, 35

Kmart Valu Plus Insulin Syringe/1ML/29G, 31

laxative polyethlyene glycol 3350, 13

Jakafi, 4

layolis FE, 11

jantoven, 17

Kmart Valu Plus Insulin Syringe/1ML/30G, 31

Lazanda, 23

Janumet, 12

Ldo Plus, 9

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

levora 0.15/30-28, 11

Litetouch Pen Needles 31GX8MM SHORT, 31

Levorphanol Tartrate, 23


levothyroxine sodium, 13

Lithium, 18

levothyroxine sodium TAB 0.075MG, 13

lithium carbonate, 18


levoxyl, 13

Lithium Carbonate, 18

Lexiva, 2

lithium carbonate ER, 18


Lexixryl, 7

Lithostat, 16

lido bdk, 8

Livalo, 6


Lido-k, 9

Live Better Pen Needles 29G X 12MM, 31

lido-prilo caine pack, 8


Lido-RX 4.1, 9


lidocaine, 8


Lidocaine And Tetracaine Cream, 9


lidocaine HCL, 8

livixil PAK, 8

Leader Insulin Syringe/1ML/28G X 1/2", 31

Lidocaine HCL, 9, 17

LO Loestrin FE, 11

lidocaine HCL viscous, 17

Lodosyn, 20


Lidocaine HCL-hydrocortisone Acetate With Aloe, 15

lokara, 8

lomedia 24 FE, 11


lidocaine HCL/hydrocortisone acetate, 15

Lomustine, 3

lidocaine PAK, 8

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


lidocaine viscous, 17

lidocaine-prilocaine-cream base, 8

Lonsurf, 4

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

lidocaine/prilocaine, 8

lopinavir/ritonavir, 2

Lidocin, 9

lopreeza, 10

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

lidopin, 9

Loprox, 7

Lidopin, 9

lorazepam, 18

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

lidopril, 8

lorazepam intensol, 18

lidopril XR, 8

lorcet, 23

Leader Unifine Pentips/Nano/32GX5/32", 31

Lidorx, 9

lorcet HD, 23

Lidothol, 9

lorcet plus, 23

Leader Unifine Pentips/Plus/32GX5/32", 31

Lidotral, 9

lortab, 23

Lidovex, 9

loryna, 11

leena, 11

Lidozol, 9

losartan potassium, 5

leflunomide, 24

lillow, 11

losartan potassium/hydrochlorothiazide, 5

Lenvima 10 MG Daily Dose, 4

Lindane, 9


lindane, 9

Lotemax, 21


linezolid, 3

Lotronex, 15


Linzess, 15

lovastatin, 6


liothyronine sodium, 13

low-ogestrel, 11


liprozonepak, 8

loxapine, 18

lessina, 11

lisinopril, 5

loxapine succinate, 18

Letairis, 6

lisinopril/hydrochlorothiazide, 5

LP lite PAK, 9

letrozole, 3

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

Lumigan, 21

leucovorin calcium, 4

Liteaire, 35

lutera, 11

Leucovorin Calcium, 4

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

Luzu, 7

Leukeran, 3

Lynparza, 4

Leukine, 17


Lyrica, 19

leva set, 8

lysiplex plus, 26

leva set/occlusive dressing, 8


Lysodren, 3

Levacet, 23

lyza, 11

levalbuterol, 25


M

levalbuterol HCL, 25

Macnatal CN DHA, 26

Levemir, 12


Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2", 31

Levemir Flextouch, 12

levetiracetam, 19

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


levetiracetam ER, 19

levo-t, 13

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


levobunolol HCL, 21

levocarnitine, 13

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


levocetirizine dihydrochloride, 24

levofloxacin, 1, 21

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

Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2", 31

Levofloxacin, 1

Levomefolate DHA, 27


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

levonest, 11

levonorgestrel, 11


malathion, 9

levonorgestrel and ethinyl estradiol, 11

Maprotiline HCL, 18

Levonorgestrel And Ethinyl Estradiol, 11

Litetouch Pen Needles 29GX12.7MM, 31

Marathon Medical Pentips 29GX12MM, 31

levonorgestrel/ethinyl estradiol, 11

Litetouch Pen Needles 31G X 6MM, 31


metaxall, 21

mimvey, 10


metaxalone, 21

mimvey LO, 10


Metaxalone, 21

minitran, 4

margesic, 23

metformin HCL, 12

Minivelle, 10

marlissa, 11

metformin HCL ER, 12

Minocin Kit, 1

Marnatal-f, 27

metformin hydrochloride, 12

minocycline HCL, 1

Marplan, 18

methadone HCL, 23

minocycline HCL ER, 1

marten-TAB, 23

Methadone HCL, 23

Minocycline HCL ER, 1

Matulane, 4

methadone HCL intensol, 23

minoxidil, 5

matzim LA, 4

methadose, 23

Miochol-e, 22

Maxfe, 16

Methadose, 23

Mircera, 17

Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2", 31

Methadose Sugar-free, 23

mirtazapine, 18

methamphetamine HCL, 19

mirtazapine odt, 18

Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2", 31

methazolamide, 5

Mirvaso, 7

methenamine hippurate, 15

misoprostol, 14

me/naphos/mb/hyo 1, 15

methenamine mandelate, 15

Mitosol, 21

meclizine HCL, 14

Methenamine Mandelate, 15

MM aspirin, 23

Meclofenamate Sodium, 24

Methergine, 22

modafinil, 19

Medic Insulin Syringe/0.3ML/30G X 5/16", 31

methimazole, 13

moderiba, 2

Methitest, 10

Moderiba, 2

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

methocarbamol, 21

moexipril HCL, 5

methotrexate, 3

moexipril/hydrochlorothiazide, 5

Medical Provider EZ Flu Shot 2015-2016, 26

methotrexate sodium, 3

Moi-stir, 17

Methotrexate Sodium, 3

Molindone Hydrochloride, 18

Medical Provider EZ Flu Shot PF 2014-2015, 26

methoxsalen, 7

mometasone furoate, 8, 24

methscopolamine bromide, 14

mondoxyne nl, 1

Medical Provider Single Use EZ Flu Shot, 26

Methyclothiazide, 5

mono-linyah, 11

methyldopa, 5

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

Medical Provider Single Use EZ Flu Shot 2016-2017, 26

Methyldopa/Hydrochlorothiazide, 5

methylergonovine maleate, 22

Monoject Insulin Syringe/1ML, 31

Medicine Shoppe Pen Needles 29G X 12MM, 31

methylphenidate HCL, 19

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

Methylphenidate HCL, 19


methylphenidate HCL CD, 19

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

methylphenidate HCL ER, 19


Methylphenidate HCL ER, 19

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

Methylphenidate HCL ER (LA), 19

medolor PAK, 8

methylphenidate hydrochloride, 19

Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2", 31

Medrol Dosepak, 10

methylprednisolone, 9

medroxyprogesterone acetate, 11(2)

methylprednisolone dose pack, 9

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

mefenamic acid, 24

methyltestosterone, 10

mefloquine HCL, 2

Metipranolol, 21

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

megestrol acetate, 3, 11

metoclopramide HCL, 15

Meijer Pen Needles 29G X 12MM, 31

Metoclopramide Odt, 15

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


metolazone, 5


metoprolol succinate ER, 4

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

Mekinist, 4

metoprolol tartrate, 4

melodetta 24 FE, 11

Metoprolol Tartrate, 4

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

meloxicam, 24

metoprolol/hydrochlorothiazide, 5

Meloxicam, 24

Metoprolol/Hydrochlorothiazide, 5

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

Meloxicam Comfort PAC, 24

metronidazole, 3, 7

melphalan, 3

Metronidazole, 7

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

memantine HCL, 20

metronidazole vaginal, 15

memantine HCL titration PAK, 20

mexiletine HCL, 5

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

memantine hydrochloride, 20

mibelas 24 FE, 11

Menest, 10

Miconazole 3, 15


Mentax, 7

Microchamber, 35

meperidine HCL, 23

microgestin 1.5/30, 11


Meperidine HCL, 23

microgestin 1/20, 11

Meperidine HCL/Promethazine HCL, 23

microgestin 24 FE, 11

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

Mephyton, 26

microgestin FE, 11

meprobamate, 18

microgestin FE 1.5/30, 11

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

mercaptopurine, 3

Microspacer, 35

mesalamine, 15

midazolam HCL, 18

monoject pharma grade flush syringe/heparin lock, 17

Mesalamine DR, 15

midodrine HCL, 6

mesalamine DR, 15

Mifeprex, 13

monoject prefill advanced heparin lock flush, 17

Mesnex, 4

Migergot, 24

metadate ER, 19

miglitol, 12

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

Metaproterenol Sulfate, 25

Millipred DP, 10


Multigen Plus, 16

Necon 1/50-28, 11

multivitamin with fluoride, 26

necon 10/11-28, 11


Multivitamin With Fluoride, 27

necon 7/7/7, 11

multivitamin/fluoride, 26

Neevo DHA, 27


multivitamins/fluoride, 26

nefazodone HCL, 18

mupirocin, 7

Nefazodone HCL, 18


mupirocin calcium, 7

neo-polycin, 21

MVC-fluoride, 26

neo-polycin HC, 21


my way, 11

Neo-synalar, 7

Myalept, 13

Neo-synalar Kit, 7


mycophenolate mofetil, 3

neomycin sulfate, 1

mycophenolic acid DR, 3

neomycin/bacitracin/polymyxin, 21

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

Mykidz Iron Fl, 27

neomycin/polymyxin/bacitracin zinc, 21

Myleran, 3

neomycin/polymyxin/bacitracin/hydrocortisone, 21


Mynatal, 27

Mynatal Advance, 26

neomycin/polymyxin/dexamethasone, 21


Mynatal Plus, 26

neomycin/polymyxin/gramicidin, 21

Mynatal Ultracaplet, 26

neomycin/polymyxin/HC, 22

mononessa, 11

Mynatal-z, 26

Neomycin/Polymyxin/Hydrocortisone, 21

montelukast sodium, 25

Mynate 90 Plus, 26

neomycin/polymyxin/hydrocortisone, 22

Monurol, 15

mynephrocaps, 26

Neosalus, 9

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

mynephron, 26

Neosalus CP, 9

myorisan, 6

Neotuss Plus, 25

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

Myrbetriq, 15

Nephron Fa, 16

Mysoline, 19

Nesina, 12

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

myzilra, 11

Nestabs, 27

N

Nestabs Abc, 27

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

Nestabs DHA, 27

nabumetone, 24

neuac, 6

nadolol, 4

morgidox 1X100MG, 1

Neuac Kit, 7

nadolol/bendroflumethiazide, 5

Morgidox 1X100MG, 1

Neulasta, 17

Nafrinse Daily/Acidulated, 17

morgidox 1X50MG, 1

Neulasta Onpro Kit, 17

Nafrinse Daily/Neutral, 17

morgidox 2X100MG, 1

Neupogen, 17

Nafrinse Weekly, 17

Morgidox 2X100MG, 1

Neurin-SL, 16

naftifine HCL, 7

Morphine Sulfate, 23

Neurontin, 19

naftifine hydrochloride, 7

morphine sulfate, 23

neutragard advanced, 17

Naftin, 7

morphine sulfate ER, 23

Nevanac, 22

naloxone HCL, 35

Morphine Sulfate ER, 23

nevirapine, 2

Naloxone HCL, 35

Motofen, 14

Nevirapine, 2

naltrexone HCL, 35

Mouthkote, 17

nevirapine ER, 2

Namenda XR, 20

Moviprep, 14

Newgen, 27

Namenda XR Titration Pack, 20

Moxeza, 21

Nexa Plus, 27

Namzaric, 20

moxifloxacin HCL, 1, 21

Nexavar, 4

Naphazoline HCL, 22

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

next choice one dose, 11

Naprosyn, 24


niacin ER, 6

naproxen, 24

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 26

Naproxen, 24


Naproxen Comfort PAC, 24

Niacor, 6

naproxen DR, 24


Nicadan, 27

naproxen kit, 24


Nicadan ZX, 27

naproxen sodium, 24

nicardipine HCL, 4

naproxen sodium CR, 24


Nicazel, 27

naproxen sodium ER, 24

Nicazel Forte, 27

naratriptan HCL, 24

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

nicorelief, 20

Narcan, 35


nicotine, 20

Nardil, 18


nicotine mini lozenge, 20

Natachew, 27

Mucotrol, 17

nicotine polacrilex, 20

Natacyn, 21

Mugard, 17

nicotine polacrilex refill, 20

Natalvit, 27

mult-vitamin/fluoride, 26

nicotine polacrilex starter kit, 20

Natazia, 11

Multaq, 5

nicotine step 1, 20

nateglinide, 12

multi vitamin/fluoride, 26

nicotine step 2, 20

Natelle One, 27

multi-vit/fluoride, 26

nicotine step 3, 20

Natpara, 12

multi-vit/iron/fluoride, 26

nicotine transdermal system, 20

Nature-throid, 13

multi-vitamin/fluoride, 26

Nicotine Transdermal System, 20

Nature-throid Nt-2.5, 13

multi-vitamin/fluoride drops, 26

nicotine transdermal system step 1, 20

Nebupent, 3

multi-vitamin/fluoride/iron, 26


Nebusal, 25

Multigen, 16


necon 0.5/35-28, 11

Multigen Folic, 16

Nicotrol Inhaler, 20

necon 1/35, 11

Nicotrol Ns, 20

NP thyroid 60, 13

Optichamber Advantage, 35

nifedical XL, 4

NP thyroid 90, 13

Optichamber Advantage/Large Mask, 35

nifedipine, 4

Nucort, 8

Optichamber Advantage/Medium Face Mask, 35

nifedipine ER, 4

Nucynta, 23

nikki, 11

Nucynta ER, 23

Optichamber Advantage/Small Face Mask, 35

nilutamide, 3

nudiclo tabpak, 24

nimodipine, 5

Nuedexta, 20

Optichamber Diamond, 35

Ninlaro, 4

nufol, 16

Optichamber Diamond/Largeface Mask, 35

nisoldipine ER, 5

nulev, 14

Nisoldipine ER, 5

Nuplazid, 18

Optichamber Diamond/Medium Face Mask, 35

Nitro-bid, 4

Nutricap, 26

Nitro-dur, 4

Nutridox, 1

Optichamber Diamond/Smallface Mask, 35

nitro-time, 4

nutrifac ZX, 26

nitrofurantoin, 15

Nutropin AQ Nuspin 10, 13

Optichamber Face Mask/Large, 35

nitrofurantoin macrocrystals, 15


Optichamber Face Mask/Medium, 35

nitrofurantoin monohydrate, 15


Optichamber Face Mask/Small, 35

nitrofurantoin monohydrate/macrocrystals, 15

Nutropin AQ Pen, 13

Optihaler, 35

Nuvaring, 11

Optihaler MDI Drug Delivery System, 35

nitroglycerin, 4

nyamyc, 7

optimal-d, 26

nitroglycerin ER, 4

nyata, 7

optimal-d pack, 26

nitroglycerin lingual, 4

nystatin, 2, 7, 17

option 2, 11

Nitroglycerin Lingual, 4

nystatin/triamcinolone, 7

Options Gynol II Vaginal Contraceptive, 15

nitroglycerin transdermal, 4

nystop, 7

Nitrostat, 4

O

Oracit, 16

Nivatopic Plus, 9

Orafate, 17

O-CAL Prenatal, 27

nizatidine, 14

oralone dental paste, 17

OB Complete, 27

Nizatidine, 14

Oramagic Plus, 17

OB Complete Gold, 27

nodolor, 24

Oramagicrx, 17

OB Complete One, 27

nolix, 8

Orap, 20

OB Complete Petite, 27

Nor-QD, 11

Oravig, 17

OB Complete Premier, 27

nora-be, 11

Orencia, 24

OB Complete/DHA, 27

Norditropin Cartridge, 13

Orencia Clickject, 24

Obredon, 25

Norditropin Flexpro, 13

Orenitram, 6

Obstetrix One, 27

norethindrone, 11

Orfadin, 13

Ocaliva, 15

norethindrone & ethinyl estradiol ferrous fumarate, 11

Orkambi, 25

ocella, 11

orphenadrine citrate ER, 21

Ocuvel, 27

norethindrone acetate, 11

orsythia, 11

Odefsey, 2

norethindrone acetate/ethinyl estradiol, 10, 11

Ortho D, 16

Ofev, 25

Ortho Micronor, 11

ofloxacin, 1, 21, 22

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 11

oscimin, 14

Ofloxacin, 1

oscimin SR, 14

Ogestrel, 11

norethindrone/ethinyl estradiol/ferrous fumarate, 11

oseltamivir phosphate, 2

olanzapine, 18

Osmoprep, 14

olanzapine odt, 18

norgestimate/ethinyl estradiol, 11

Osphena, 12

olanzapine/fluoxetine, 20

norlyda, 11

Otezla, 24

olmesartan medoxomil, 5

norlyroc, 11

Oticin HC NR, 22

olmesartan medoxomil/hydrochlorothiazide, 5

Northera, 6

Otiprio, 22

nortrel 0.5/35 (28), 11

otomax-HC, 22

olopatadine HCL, 22, 25

nortrel 1/35, 11

Otrexup, 24

Olysio, 2

nortrel 7/7/7, 11

oxandrolone, 10

Omeclamox-PAK, 14

nortriptyline HCL, 18

oxaprozin, 24

omega-3-acid ethyl esters, 6

Nortriptyline HCL, 18

Oxaydo, 23

Omega-3/D-3 Wellness Pack, 6

Nortuss-EX, 25

oxazepam, 18

omeppi, 14

Norvir, 2

oxcarbazepine, 19

omeprazole, 14

norwich aspirin, 23

oxiconazole nitrate, 7

Omeprazole + Syrspend SF Alka, 14

Novarel, 12

Oxistat, 7

omeprazole/sodium bicarbonate, 14

Novofine 30GX8MM, 32

Oxsoralen, 9

Omnitrope, 13

Novofine 32GX6MM, 32

Oxtellar XR, 19

ondansetron HCL, 14

Novofine Autocover 30GX8MM, 32

oxybutynin chloride, 15

ondansetron odt, 14

Novofine Plus 32GX4MM, 32

oxybutynin chloride ER, 15

Onfi, 19

Novolog Mix 70/30, 12

oxycodone HCL, 23

Onglyza, 12

Novolog Mix 70/30 Prefilled Flexpen, 12

Oxycodone HCL ER, 23

Onivyde, 4

Novotwist 30GX8MM, 32

oxycodone/acetaminophen, 23

Onmel, 2

Novotwist 32GX5MM, 32

Oxycodone/Acetaminophen, 23

Opana ER (crush Resistant), 23

Noxafil, 2

oxycodone/aspirin, 23

opcicon one-step, 11

Noxifol-d, 16

Oxycodone/Ibuprofen, 23

opium, 14

NP thyroid, 13

Oxycontin, 23

opium tincture, 14

NP thyroid 30, 13

oxymorphone hydrochloride, 23

Opsumit, 6

oxymorphone hydrochloride ER, 23

Pentips 29GX12MM, 32

PNV-vp-u, 27

Oxymorphone Hydrochloride ER, 23

Pentips 31G X 5MM, 32

Pocket Chamber, 35

Oxytrol, 15


Pocket Spacer, 35

Oxytrol For Women, 15

Pentips 31GX5MM, 32

Podocon 25 IN Benzoin Tincture, 9

P

Pentips 31GX6MM, 32

podofilox, 8

Pentips 31GX8MM, 32

Poly-VI-flor, 27

pacerone, 5


Poly-VI-flor/Iron, 27

paliperidone ER, 18

Pentips 32GX4MM, 32

polycin, 21

Panatuss Dxp, 25

pentoxifylline ER, 17

polyethylene glycol 3350, 13

Pancreaze, 14

perindopril erbumine, 5

polyethylene glycol 3350-grx, 13

Pancrelipase, 14

periogard, 17

polymyxin b sulfate/trimethoprim sulfate, 21

Pandel, 8

permethrin, 8

panoxyl wash, 6

perphenazine, 18

Pomalyst, 3

Panoxyl-4 Creamy Wash, 7

Perphenazine/Amitriptyline, 20

portia-28, 11

pantoprazole sodium, 14

Pertzye, 14

Potaba, 26

Paregoric, 14

Pexeva, 18

potassium citrate ER, 16

paricalcitol, 13

phenadoz, 24

potassium citrate-citric acid crystals, 16

paroex, 17

phenazo, 16

potassium citrate/citric acid, 16

paromomycin sulfate, 1

phenazopyridine HCL, 16

potassium citrate/sodium citrate/citric acid, 16

paroxetine HCL, 18

phendimetrazine tartrate, 19

paroxetine HCL ER, 18

Phendimetrazine Tartrate ER, 19

pr benzoyl peroxide wash, 7

Paser, 2

phenelzine sulfate, 18

Pr Natal 400, 26

Patanol, 22

phenergan, 24

Pr Natal 400 EC, 26

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

Phenergan Fortis, 24

Pr Natal 430, 26

PC Unifine Pentips 31G X 5MM Mini, 32

phenobarbital, 18

Pr Natal 430 EC, 26

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

Phenobarbital, 19

Praluent, 6

phenohytro, 14

pramcort, 15

PC Unifine Pentips 31G X 8MM SHORT, 32

phenoxybenzamine hydrochloride, 5

pramipexole dihydrochloride, 20

phentermine HCL, 19

pramipexole dihydrochloride ER, 20

PCE, 1

phenylephrine HCL, 22

Pramotic, 22

Pediaderm AF Complete Kit, 7

Phenytek, 19

Prandin, 12

Pediaderm HC, 8

phenytoin, 19

prasugrel, 17

Pediaderm Ta, 8

phenytoin infatabs, 19

pravastatin sodium, 6

peg 3350, 13

phenytoin sodium extended, 19

prazosin HCL, 5

peg 3350/electrolytes, 13

philith, 11

Pre-folic, 16

peg-3350/electrolytes, 13

Phlag Spray, 9

Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 32

peg-3350/NACL/NA bicarbonate/KCL, 13

phos-flur, 17

Peg-intron, 2

Phoslyra, 15


Peg-intron Redipen, 2

phosphasal, 15

Peg-intron Redipen PAK 4, 2

Phospholine Iodide, 22


peg-prep, 14

phrenilin forte, 23

peg3350, 13

Physicians EZ Use B-12 Compliance Kit, 16


Peganone, 19

Pegasys, 2

pilocarpine HCL, 17, 22

Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 32

Pegasys Proclick, 2

pilocarpine hydrochloride, 17

Pegintron, 2

pimozide, 20

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

pegylax, 13

pimtrea, 11

Pen Needles 29G X 12MM, 32

pin-x, 3

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

Pen Needles 29GX1/2", 32

Pin-x, 3


pindolol, 4

Pred Mild, 21

Pen Needles 30GX8MM, 32

pinworm medicine, 3

Pred-G, 21

Pen Needles 31G X 1/4" SHORT, 32

pioglitazone HCL, 12

Pred-G S.o.p., 21

Pen Needles 31G X 3/16", 32

pioglitazone HCL-glimepiride, 12

prednicarbate, 8


pioglitazone HCL/metformin HCL, 12

prednisolone, 9


pirmella 1/35, 11

prednisolone acetate, 21


pirmella 7/7/7, 11

prednisolone sodium phosphate, 9


piroxicam, 24

Prednisolone Sodium Phosphate, 9, 21

Pen Needles 31GX6MM (1/4"), 32

Plegridy, 20

prednisolone sodium phosphate odt, 9


Plegridy Starter Pack, 20

prednisone, 9

Pen Needles 31GX8MM (5/16"), 32

PNV Ferrous Fumarate/Docusate/Folic Acid, 27

Prednisone, 9


Prednisone Intensol, 10


PNV Ob+dha, 27

Prefera OB, 27


PNV TABS 29-1, 27

Preferaob +dha, 27


PNV-DHA, 26

Preferaob One, 27

penicillin v potassium, 1

PNV-dha+docusate, 27

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

Penlac Nail Lacquer, 7

PNV-omega, 27

Pentasa, 15

PNV-select, 26


pentazocine/naloxone HCL, 23

PNV-total, 27



Priftin, 2

Purefe Plus, 16

prilolid, 8

purevit dualfe plus, 16


priloxx LP, 8

Purixan, 3

Primaquine Phosphate, 2

px aspirin, 23


primidone, 19

Px Extra SHORT Pen Needles 31GX6MM, 32

Primlev, 23

Preferred Plus Insulin Syringe/U-100/1ML/28G X 1/2", 32

Primsol, 3

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

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







Preferred Plus Unifine Pentips 29G X 12MM, 32



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

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

probenecid, 24

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

probenecid/colchicine, 24

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

prochlorperazine, 18

Preferred Plus Unifine Pentips 32GX4MM, 32

prochlorperazine maleate, 18

Px Mini Pen Needles 31GX5MM, 32

Procrit, 17

Px Pen Needle 29GX12MM, 32

Preferred Plus Unifine Pentips/Mini/31GX5MM, 32

procto-MED HC, 15

Px Pen Needle 31GX8MM, 32

procto-PAK, 15

Px Shortlength Pen Needles/31GX8MM, 32

Prefest, 10

Proctofoam HC, 15

Pregnyl W/Diluent Benzyl Alcohol/NACL, 12

proctosol HC, 15

px stop smoking aid, 20

proctozone-HC, 15

pyrazinamide, 1

Premarin, 10, 16

Procysbi, 16

Pyridium, 16

premium lidocaine, 8

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

pyridostigmine bromide, 21

Premphase, 10

pyridostigmine bromide ER, 21

Prempro, 10

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

Pyrogallic Acid, 9

Prena1 Chew, 27

Q

Prena1 Pearl, 27

Prodigy Insulin Syringe/1ML/28G X 1/2", 32

qc aspirin, 23

Prenaissance, 27

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

Prenaissance Balance, 27

Proferrin-forte, 16


Prenaissance Harmony DHA, 27

progesterone, 11


Prenaissance Next, 27

Proglycem, 12

Prenaissance Next-b, 27

Promacta, 17

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

Prenaissance Plus, 26

promethazine HCL, 24

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

Prenata, 27

promethazine HCL plain, 24

qc natura-LAX, 14

Prenatabs Fa, 27

promethazine VC plain, 25

qc nicotine polacrilex, 20

Prenatabs RX, 26

promethazine VC/codeine, 25

Qc Pen Needles 29G X 12MM, 32

Prenatal 19, 27

promethazine-DM, 25


Prenatal Plus Iron, 27

promethazine/codeine, 25


Prenatal-u, 26

promethazine/dextromethorphan, 25

Qc Unifine Pentips 32GX4MM, 32

Prenate, 27

promethazine/phenylephrine, 25

Qsymia, 19

Prenate AM, 27

promethazine/phenylephrine/codeine, 25

quasense, 11

Prenate DHA, 27

promethegan, 24

Quazepam, 19

Prenate Elite, 27

propafenone HCL, 5

quetiapine fumarate, 18

Prenate Enhance, 27

propafenone HCL ER, 5

quetiapine fumarate ER, 18

Prenate Essential, 27

Propantheline Bromide, 14

Quflora Pediatric, 26

Prenate Mini, 27

proparacaine HCL, 22

quinapril HCL, 5

Prenate Pixie, 27

propranolol HCL, 4

quinapril/hydrochlorothiazide, 5

Prenate Restore, 27

Propranolol HCL, 4

quinidine gluconate CR, 5

Prenate Star, 27

propranolol HCL ER, 4

quinidine gluconate ER, 5

Prepopik, 14

propranolol hydrochloride, 4

quinidine sulfate, 5

Preque 10, 27

Propranolol/Hydrochlorothiazide, 5

Quinidine Sulfate, 5

Presera, 9

propylthiouracil, 13

Quinidine Sulfate ER, 5

Prestalia, 5

Protect Plus, 27

quinine sulfate, 2

Pretab, 27

Protectiron, 16

Qutenza, 9

prevalite, 6

Prothelial, 17

Qvar, 25

Prevident 5000 Booster, 17

Protonix, 14

R

Prevident 5000 Booster Plus, 17

protriptyline HCL, 18

Prevident 5000 Dry Mouth, 17

Provida DHA, 27

R-natal OB, 27

Prevident 5000 Plus, 17

Provida OB, 27

ra antihistamine eye drops, 22

Prevident Fluoride, 17

Pruclair, 9

ra aspirin, 23

previdolrx plus analgesicpak, 24

Prumyx, 9

ra budesonide nasal spray, 24

previfem, 11

pulmosal, 25

ra cold sore treatment, 17

Prezcobix, 2

Pulmozyme, 25

ra eye itch relief, 22

Prezista, 2

Purefe OB Plus, 27

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

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

32

rifabutin, 1

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

Relion Insulin Syringe/U-100/0.3ML/30G X 5/16", 32

Rifamate, 2

rifampin, 1

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


Rifater, 2

Rilutek, 21

ra laxative, 14


riluzole, 21

ra mini nicotine, 20

rimantadine HCL, 2

ra nicotine, 20


Rimso-50, 16

ra nicotine gum, 20

Riomet, 12

ra nicotine polacrilex, 20

Relion Insulin Syringe/U-100/0.5ML/30G, 32

risedronate sodium, 12

ra nicotine transdermal system, 20

risedronate sodium DR, 12

ra nicotine transdermal system step 3, 20


risperidone, 18

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

risperidone M-TAB, 18

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


risperidone odt, 18

ra renewal medicated acne treatment maximum strength, 6

Riteflo, 35

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

rivastigmine tartrate, 20

Ra Saline Wound Wash, 9

rivastigmine transdermal system, 20

rabeprazole sodium, 14

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

rivelsa, 11

rajani, 11

rizatriptan benzoate, 24

raloxifene hydrochloride, 12


rizatriptan benzoate odt, 24

ramipril, 5

Robinul, 14

Ranexa, 4


Robinul Forte, 14

ranitidine HCL, 14

ropinirole ER, 20

Rapaflo, 16

Relion Mini Pen Needles 31GX6MM, 32

ropinirole HCL, 20

Rapamune, 3

Relion Pen Needles 29GX12MM, 32

rosadan, 7

rasagiline mesylate, 20


Rosadan Kit, 7

Rasuvo, 24


rosanil cleanser, 6

Ravicti, 13


Rosula, 7

Rayos, 10

Relion SHORT Pen Needles 31GX8MM, 32

rosuvastatin calcium, 6

rea LO 39, 9

Rowasa, 15

rea LO 40, 8

Relistor, 15

roweepra, 19

react, 11

Relnate DHA, 27

Roxifol-d, 16

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

Relyyks, 9

Rozerem, 19

remeven, 8

Rulavite DHA, 27

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

Renagel, 15

S

renal CAPS, 26

Sabril, 19

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

reno CAPS, 26

Safe Wash, 9

Renuu Patch, 9

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

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

Renvela, 15

repaglinide, 12


Rebetol, 2

Repaglinide/Metformin Hydrochloride, 12

Rebif, 20

Repatha, 6


Rebif Rebidose, 20

Repatha Pushtronex System, 6

Rebif Rebidose Titration Pack, 20

Repatha Sureclick, 6

Safesnap Insulin Syringe/1ML/28G X 1/2", 32

Rebif Titration Pack, 20

reprexain, 23

reclipsen, 11

Req 49+, 27

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

Rectiv, 15

Rescriptor, 2

reeses pinworm medicine, 3

Rescula, 21

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

Reeses Pinworm Medicine, 3

Reserpine, 5

regenecare HA, 9

Respa-BR, 24

Safety Insulin Syringes 0.5ML/30GX5/16", 32

relador PAK, 8

Restasis, 22

relador PAK plus, 8

Restasis Multidose, 22

Safety Insulin Syringes 1ML/27GX1/2", 32

Relagard, 16

Restora RX, 14

Relenza Diskhaler, 2

Retrovir IV Infusion, 2


Relhist, 25

Revatio, 6

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

Revesta, 16


Revlimid, 3

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

Rexulti, 18

Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 32

Reyataz, 2

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

Rezira, 25

Safyral, 11

Rheumatrex, 24

Saizen, 13


rhinocort allergy, 24

Saizen Click.easy, 13

ribasphere, 2

Saizenprep Reconstitutionkit, 13

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

Ribasphere, 2

salacyn, 8

Ribasphere Ribapak, 2

Salicept, 17


Ribatab, 2

salicylic acid, 9

ribavirin, 2

salicylic acid cream, 9

Relion Insulin Syringe/U-100/0.3ML/30G,

Ridaura, 24

salicylic acid ER, 9

salicylic acid lotion, 9

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

sss 10%-5%, 7

salicylic acid wart remover, 9

Sss 10-5, 7

Saline Wound Wash, 9

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

stavudine, 2

salisol forte, 9

Stelara, 8

salitech forte, 9

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

Stimate, 13

Saljet, 9

Stivarga, 4

Saljet Rinse, 9

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

Strensiq, 13

salsalate, 23

Stribild, 2

Salvax, 9

Shur-seal, 15

Striverdi Respimat, 25

Salvax Duo Plus, 9

Siderol, 26

Stromectol, 3

Samsca, 13

Signifor, 13

Strovite Forte, 27

Sandimmune, 3

Silazone Pharmapak, 8

Strovite One, 27

Saphris, 18

Silazone-II, 8

Suboxone, 23

sash kit for flushing vascular access devices, 17

sildenafil, 6

Subsys, 23

sildenafil citrate, 6

Sucraid, 14

Sash Kit For Flushing Vascular Access Devices, 17

Silvera Pain Relief, 9

sucralfate, 14

Simbrinza, 22

sulfacetamide sodium, 6, 21

Savaysa, 17

Simponi, 24

Sulfacetamide Sodium, 21

Savella, 20

simvastatin, 6

sulfacetamide sodium/prednisolone sodium phosphate, 21

Savella Titration Pack, 20

sirolimus, 3

SB aspirin, 23

Sirturo, 2

sulfacetamide sodium/sulfur, 7

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

Sivextro, 3

sulfacetamide sodium/sulfur cleanser, 6

Sklice, 9

sulfacleanse 8/4, 7

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

sm aspirin, 23

Sulfadiazine, 1

sm clearlax, 14

sulfamethoxazole/trimethoprim, 3

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

sm cough drops, 17

sulfamethoxazole/trimethoprim DS, 3

sm eye itch relief, 22

sulfasalazine, 15


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

sulfatrim pediatric, 3

sm nicotine, 20

sulindac, 24


sm nicotine polacrilex, 20

sumatriptan, 24

sm nicotine transdermal system, 20

sumatriptan succinate, 24

SB polyethylene glycol 3 350, 14

smooth LAX, 14

Sumatriptan Succinate, 24

scalacort, 8

sodium chloride, 16, 25

sumatriptan succinate refill, 24

Scar Patch, 9

sodium chloride 0.9%, 16

Suprax, 1

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

sodium citrate/citric acid, 16

Suprep Bowel Prep Kit, 14

sodium hyaluronate, 9

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

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

sodium phenylbutyrate, 13

sodium sulfacetamide, 6, 8, 21


scopolamine, 14

sodium sulfacetamide wash, 8

Se-natal 19, 26

Sodium Sulfacetamide Wash, 8


Se-tan DHA, 26

sodium sulfacetamide/sulfur, 6

se-tan plus, 16

Sodium Sulfacetamide/Sulfur, 6

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

seb-prev wash, 8

sodium sulfacetamide/sulfur cleanser, 7

Seconal, 19

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 6


Seconal Sodium, 19

Select-OB, 27

sodium sulfacetamide/sulfur green, 7


Select-ob+dha, 27

Sodium Sulfacetamide/Sulfur IN Urea, 7

selegiline HCL, 20

sodium sulfacetamide/sulfur w/sunscreen, 7


selenium sulfide, 8

Selzentry, 2

sodium sulfacetamide/sulfur wash, 7


Sensipar, 13

Soliqua 100/33, 12

Serevent Diskus, 25

Soltamox, 3


Serostim, 13

Somavert, 13

sertraline HCL, 18

Soriatane, 8

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

setlakin, 11

sorine, 4

sevelamer carbonate, 15

sotalol HCL, 4

Sure Comfort Insulin Syringe/U-100/1ML/28G X 1/2", 33

SF, 17

sotalol HCL (AF), 4

SF 5000 plus, 17

Sovaldi, 2


Sfrowasa, 15

Spinosad, 9

sharobel, 11

Spiriva Handihaler, 25


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

Spiriva Respimat, 25

spironolactone, 5


Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 32

spironolactone/hydrochlorothiazide, 5

Sporanox, 2


Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 32

sprintec 28, 11

Sprycel, 4

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

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 32

SR nicotine gum, 20

sronyx, 11

Sure Comfort Pen Needles 30GX5/16"

SHORT, 33

tamsulosin HCL, 16

Thera-flur-n, 17

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

Tandem F, 16

theratears allergy eye itch relief, 22

Tanzeum, 12

Thiola, 16

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

Tarceva, 4

thioridazine HCL, 18

tarina FE 1/20, 11

thiothixene, 18

Sure Comfort Pen Needles 32GX5/32", 33

Taron-bc, 27

thrive, 20

Taron-c DHA, 27

Thrivite 19, 27

Sure Comfort Pen Needles 32GX6MM, 33

taron-crystals, 16

Thrivite RX, 27

Taron-prex, 26

Thyrolar-1, 13

Sure Result O3d3 System, 6

Tasigna, 4

Thyrolar-1/2, 13

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

Tasmar, 20

Thyrolar-1/4, 13

tazarotene, 8

Thyrolar-2, 13

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

Tazorac, 8

Thyrolar-3, 13

taztia XT, 5

tiagabine hydrochloride, 19

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

Tecfidera, 20

tilia FE, 11

Tecfidera Starter Pack, 20

Timolol Maleate, 4

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

Techlite Pen Needles 29G X 12 MM, 33

timolol maleate, 21

Techlite Pen Needles 31G X 5MM, 33

timolol maleate ophthalmic gel forming, 21


Techlite Pen Needles/31G X 5MM, 33

Techlite Pen Needles/31G X 6 MM, 33

tinidazole, 3



Tivicay, 2


Tizanidine Comfort PAC, 21



tizanidine HCL, 21


TL Folate, 27


Technivie, 2

TL gard RX, 16

Tegretol, 19

TL icon, 16


Tegretol-XR, 19

TL-care DHA, 27

telmisartan, 5

TL-fluorivite, 27


telmisartan/amlodipine, 5

TL-select, 27

telmisartan/hydrochlorothiazide, 5

Tobi Podhaler, 1

Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2", 33

temazepam, 18

Tobradex, 21

temozolomide, 3

Tobradex ST, 21


Tencon, 23

tobramycin, 1, 21

terazosin HCL, 5

tobramycin inhalation solution PAK, 1


terbinafine HCL, 2

tobramycin sulfate, 21

terbutaline sulfate, 25

tobramycin/dexamethasone, 21


terconazole, 15

Today Sponge, 15

testosterone, 10

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

Sustiva, 2

Testosterone, 10

Sutent, 4

testosterone P.M., 10

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

sw clearlax, 14

Testosterone P.M., 10

sw nicotine polacrilex, 20

testosterone topical solution, 10

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

syeda, 11

tetcaine, 22

Sylatron, 4

tetrabenazine, 20

Tolazamide, 12

symax-SL, 14

tetracaine HCL, 22

Tolbutamide, 12

symax-SR, 14

tetracycline HCL, 1

tolcapone, 20

Symlinpen 120, 12

Tetracycline HCL, 1

tolmetin sodium, 24

Symlinpen 60, 12

tetracycline hydrochloride, 1

Tolmetin Sodium, 24

Synagex, 27

tetravisc, 22

tolterodine tartrate, 15

Synalar, 8

tetravisc forte, 22

tolterodine tartrate ER, 15

Synalar Cream Kit, 8

Tetrix, 9

Topamax, 19

Synalar Ointment Kit, 8

Texacort, 8

Topamax Sprinkle, 19

Synatek, 27

Tgq 30PSE/150GFN/15DM, 25

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

Synera, 9

Tgq 30PSE/3BRM/15DM, 25

Synerderm, 9

tgt aspirin, 23

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

Synjardy, 12

tgt eye itch relief, 22

Synjardy XR, 12

tgt nicotine gum, 20

Topcare Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 33

Synthroid, 13

tgt nicotine polacrilex, 20

Synvexia Tc, 9

tgt nicotine step one, 20


T

tgt nicotine step three, 20

tgt nicotine step two, 20


Tabloid, 3

tgt powderlax, 14

tacrolimus, 3, 8

Thalomid, 3


Tafinlar, 4

Theo-24, 25

Tagrisso, 4

theochron, 25

Topcare Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 33

take action, 11

theophylline, 25

Taltz, 8

theophylline CR, 25

Topcare Ultra Comfort Insulin Syringe/1ML/31G X 5/16", 33

Tamiflu, 2

theophylline ER, 25

tamoxifen citrate, 3

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

Tricare Prenatal Compleat, 27

Tykerb, 4

Tricare Prenatal DHA One, 27

Tyvaso, 6

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

tricitrates, 16

Tyvaso Refill, 6

tricon, 16

Tyvaso Starter, 6

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

triderm, 8

Tyzeka, 2

Tridesilon, 8

Tyzine Pediatric Nasal Drops, 25

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

Triesence, 21

U

trifluoperazine HCL, 18

Uceris, 15


trifluridine, 21

Udamin SP, 27

trigels-f forte, 16

Ulesfia, 9


trihexyphenidyl HCL, 20

Uloric, 24

triklo, 6

Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 33

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

Trileptal, 19

trilyte, 14

Ulticare Insulin Safety Syringe/1ML/29G X 1/2", 33

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

trimethobenzamide HCL, 14

trimethoprim, 3

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

topiramate, 19

trimethoprim sulfate/polymyxin b sulfate, 21

Topiramate ER, 19

Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 33

torsemide, 5

trimipramine maleate, 18

Toujeo Solostar, 12

Trinatal GT, 27

Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 33

Toviaz, 15

Trinatal RX 1, 26

Tracleer, 6

Trinate, 26

Ulticare Insulin Syringe/0.3ML/29G X 1/2", 33

Tradjenta, 12

trinessa, 11

tramadol HCL, 23

trinessa LO, 11


tramadol HCL ER, 23

Trintellix, 18

Tramadol HCL ER, 23

triphrocaps, 26


tramadol hydrochloride/acetaminophen, 23

triple-vitamin/fluoride, 26

Tristart DHA, 27


trandolapril, 5

Triumeq, 2

trandolapril/verapamil HCL ER, 5

Triveen-duo DHA, 27


tranexamic acid, 17

Triveen-prx RNF, 27

tranylcypromine sulfate, 18

trivora-28, 11


Tranzarel, 9

tropicamide, 22

Travatan Z, 21

trospium chloride, 15


Travoprost, 21

trospium chloride ER, 15

trazodone HCL, 18

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

Ulticare Insulin Syringe/1ML/28G X 1/2", 33

Trecator, 2

Tresiba Flextouch, 12



tretinoin, 4, 6

Tretinoin Emollient, 9



tretinoin microsphere, 7

tretinoin microsphere P.M., 7



Trexall, 3

Trezix, 23


Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16", 33

tri femynor, 11

tri-estarylla, 11



tri-legest FE, 11

tri-linyah, 11



tri-LO-estarylla, 11

tri-LO-marzia, 11

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


tri-LO-sprintec, 11

tri-previfem, 11


Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16", 33

tri-sprintec, 11

Tri-TABS DHA, 27


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

Tri-VI-flor, 27

Tri-VI-floro, 27


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

tri-vit/fluoride, 26

Tri-vit/Fluoride/Iron, 26

Trueplus Pen Needles 29GX12MM, 33


tri-vitamin/fluoride, 26


Triadvance, 26



triamcinolone acetonide, 8


triamcinolone acetonide dental paste, 17



triamterene/hydrochlorothiazide, 5

Trulicity, 12

Triamterene/Hydrochlorothiazide, 5

Truvada, 2


Trianex, 8

Tusnel, 25

triazolam, 18

tussigon, 25


Triazolam, 19

Tuzistra XR, 25

Tricare Prenatal, 27

Tybost, 2

Ulticare Insulin Syringe/U-100/0.5ML/30G

X 5/16", 33

Ultilet Pen Needle 29GX12.7MM, 34

Unifine Pentips 31G X 8MM, 34


Ultilet Pen Needle 31GX5MM, 34

Unifine Pentips 31GX5MM, 34



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



Ultilet Pen Needle 32GX4MM/SHORT, 34



Unifine Pentips Plus 29GX12MM, 34

Ultilet SHORT Pen Needles 31GX5/16", 34




Ultilet SHORT Pen Needles31GX3/16", 34




Ultimatecare One, 26

unithroid, 13

Ulticare Micro Pen Needles 31G X 8MM, 33

Ultimatecare One NF, 26

unithroid direct, 13

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

Uptravi, 6

Ulticare Micro Pen Needles 32G X 4MM, 33

ur n-c, 15

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

Uramaxin, 9

Ulticare Micro Pen Needles/32G X 4MM, 33

uramit mb, 15


ure-39, 9

Ulticare Mini Pen Needles 31GX6MM, 33

ure-k, 9

Ulticare Mini Pen Needles Ulti-fine IV, 33


urea, 9

Ulticare Mini Pen Needles/31G X 6MM, 33

urea 40% nail film, 9


urea hydrating, 9

Ulticare Mini Pen Needles31GX6MM, 33

Urea IN Zinc Undecylenate/Lactic Acid Vehicle, 9

Ulticare Original Pen Needles Ulti-fine, 33


urea nail, 9

Ulticare Pen Needles 31G X 5MM/Mini, 33


urea nail gel, 9

Urea Nail Kit, 9

Ulticare Pen Needles/29G X 12.7MM, 33


Urea Topical, 9

Ulticare SHORT Pen Needles 31GX8MM, 33

urea-c40, 9

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

Urecholine, 15

Ulticare SHORT Pen Needles Ulti-fine IV, 33

urelle, 15


uretron d/s, 15

Ulticare SHORT Pen Needles/31G X 8MM, 33

Urevaz, 9


uribel, 15

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

Urimar-t, 15


urin d/s, 15

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

uro-458, 15

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

uro-blue, 15

Ultilet Insulin Syringe 31X6MM, 34

uro-l, 15

Ultilet Insulin Syringe/0.3ML/30G X 8MM, 34


uro-mp, 15

uroav-81, 15



uroav-b, 15

urolet mb, 15



urophen mb, 15

ursodiol, 15

Ultilet Insulin Syringe/1ML/30G X 8MM, 34

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

uryl, 15

ustell, 15

Ultilet Insulin Syringe/1ML/31G X 8MM, 34

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

uta, 15

Utibron Neohaler, 25

Ultilet Insulin Syringe/SHORT/0.3ML/30G X 12.7MM, 34

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

uticap, 15

utira-c, 15

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

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

Utopic, 9

utrona-c, 15


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

V

v-c forte, 26


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

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


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


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

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


Ultrasal-ER, 9

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

Ultresa, 14

V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 34

Umecta, 9

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

umecta mousse, 9

V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 34

Umecta Nail Film, 9

Ultilet Insulin Syringe/U-100/0.5ML/31GX6MM, 34

Umecta PD, 9

valacyclovir HCL, 2


Valchlor, 3

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

Unifine Pentips 31G X 3/16", 34

valganciclovir, 2

Unifine Pentips 31G X 6MM, 34

valganciclovir hydrochlorde, 2

valproic acid, 19

Viekira PAK, 2

Vp-CH-PNV, 27

valsartan, 5

Viekira XR, 2

Vp-ggr-b6 Prenatal, 28

valsartan/hydrochlorothiazide, 5

vienva, 11

Vp-heme OB, 28

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

vigabatrin, 19

Vp-heme OB + DHA, 27

Viibryd, 18

Vp-heme One, 27

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

Viibryd Starter Pack, 18

Vp-PNV-DHA, 27

Vimpat, 19

Vp-zel, 27

Valumark Pen Needles 29GX12MM, 34

Vinate DHA RF, 28

Vraylar, 18

Valumark Pen Needles 31G X 6MM, 34

Vinate II, 26

vyfemla, 11

Valumark Pen Needles 31G X 8MM, 34

Vinate M, 26

Vyvanse, 19

Valved Holding Chamber, 35

Vinate One, 26

W

Vanatol LQ, 23

Viokace, 14

wal-zyr, 22

Vanatol S, 23

viorele, 11

warfarin sodium, 17

vancomycin, 3

Viracept, 2

Watchhaler, 35

vancomycin HCL, 3

Virazole, 2

Wegmans Unifine Pentips Plus 32GX4MM, 34

Vancomycin HCL + Syrspendsf PH4, 3

Viread, 2

vandazole, 15

Virt Nate, 27

Wegmans Unifine Pentips Plus/Mini/31GX5MM, 34

Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 34

Virt-advance, 27

Virt-c DHA, 27

Wegmans Unifine Pentips Plus/SHORT/31GX8MM, 34

Vanishpoint Insulin Syringe/0.5ML/30G X 5/16", 34

virt-CAPS, 26

virt-gard, 16

Wegmans Unifine Pentips Plus/Ultra SHORT/31GX6MM, 34

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

Virt-nate DHA, 27

Virt-pn, 27

Welchol, 6


Virt-pn DHA, 27

wera, 11

Virt-pn Plus, 27

Westhroid, 13


Virt-select, 27

Wound Wash Saline, 9

virt-vite, 16

Wp Thyroid, 13

Varubi, 14

Virt-vite GT, 27

wymzya FE, 11

Vcf Vaginal Contraceptive Film, 15

Virtprex, 27

X

vcf vaginal contraceptive foam, 15

virtrate-2, 16

Vcf Vaginal Contraceptive Foam, 15

virtrate-3, 16

Xalkori, 4

vcf vaginal contraceptivegel, 15

virtrate-k, 16

Xarelto, 17

Vecamyl, 5

vita s forte, 26

Xarelto Starter Pack, 17

velivet, 11

vita-min, 26

Xeljanz, 24

Velma Pain Relief, 9

Vita-pren, 28

Xeljanz XR, 24

Velphoro, 15

vitacel, 26

xenaflamm, 24

Veltrix, 9

Vitafol, 27

Xenazine, 20

Vemavite-prx 2, 27

Vitafol Fe+, 27

Xeralux, 9

Vemlidy, 2

Vitafol Gummies, 27

Xifaxan, 3

Vena-bal DHA, 27

Vitafol Ultra, 27

Xigduo XR, 12

venlafaxine HCL, 18

Vitafol-nano, 27

Xolegel Corepak, 7

venlafaxine HCL ER, 18

Vitafol-OB, 26

Xrylix, 7

Venlafaxine HCL ER, 18

Vitafol-ob+dha, 27

Xtandi, 3

Ventavis, 6

Vitafol-one, 27

Xulane, 11

Ventolin HFA, 25

vitamax pediatric, 26

Xuriden, 13

verapamil HCL, 5

Vitamedmd One RX/Quatrefolic, 27

xylon, 23

verapamil HCL ER, 5

Vitamedmd Plus RX/Quatre Folic, 28

Xyrem, 20

verapamil HCL SR, 5

Vitamedmd Redichew RX, 27

Y

verdrocet, 23

vitamin d, 26

Yondelis, 3

Versacloz, 18

vitamin d3, 26

yuvafem, 15

Vesicare, 15

Vitamin Deficiency Injectable System-b12, 16

Z

vestura, 11

Vexol, 21

vitamins a/c/d/fluoride, 26

Zacare 4% Kit, 7

Viberzi, 15

Vitapearl, 27

Zaclir Cleansing, 7

vic-forte, 26

Vitaroca Plus, 28

zafirlukast, 25

vicodin, 23

Vitekta, 2

zaleplon, 19

vicodin ES, 23

Vituz, 25

Zamicet, 23

vicodin HP, 23

Viva DHA, 27

zarah, 11

Victoza, 12

Vivelle-dot, 10

Zarontin, 19

Victrelis, 2

Vivlodex, 24

Zarxio, 17

Vida Mia Unifine Pentips 32GX4MM, 34

Vol-nate, 27

Zatean-CH, 27

Vida Mia Unifine Pentips Mini 31GX6MM, 34

Vol-TAB RX, 28

Zatean-pn DHA, 27

voriconazole, 2

Zatean-pn Plus, 27

Vida Mia Unifine Pentips Original 29GX12MM, 34

Vortex Valved Holding Chamber, 35

Zavara, 16

Votrient, 4

Zavesca, 17

Vida Mia Unipfine Pentipsshort 31GX8MM, 34

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

zazole, 15

zebutal, 23

Videx Pediatric, 2

Vp-CH Plus, 28

Zelapar, 20

Zelboraf, 4

Zemplar, 13

zenatane, 6

zenchent, 11

zenchent FE, 11

zencia, 7

Zenpep, 14

zenzedi, 19

Zepatier, 2

Ziagen, 2

zidovudine, 2

Zioptan, 21

ziprasidone HCL, 18

Zirgan, 21

Zithranol, 8

Zithranol-rr, 8

Zodex 6-day, 10

Zolate, 16

Zolinza, 4

zolmitriptan, 24

zolmitriptan odt, 24

zolpidem tartrate, 19

zolpidem tartrate ER, 19

Zolpimist, 19

Zomacton, 13

Zomig, 24

Zonalon, 7

Zonegran, 19

zonisamide, 19

Zontivity, 17

Zorbtive, 13

Zortress, 3

Zostavax, 26

zovia 1/35e, 11

zovia 1/50e, 11

Zydelig, 4

Zyflo, 25

Zyflo CR, 25

Zykadia, 4

Zymaxid, 21

Zytiga, 3

Zyvox, 3

1

1ST Tier Unifine Pentips /Mini/31GX5MM, 34

1ST Tier Unifine Pentips 29GX12MM, 34




1ST Tier Unifine Pentips Plus 31GX8MM, 34

1ST Tier Unifine Pentips Plus 32GX4MM, 34

1ST Tier Unifine Pentips Plus/Mini/31GX5MM, 34

1ST Tier Unifine Pentips Plus/Original/29GX12MM, 34

1ST Tier Unifine Pentips Plus/Ultra SHORT/31GX6MM, 34

8

8-mop, 8

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OPTIMA HEALTH PRESCRIPTION DRUG FORMULARY · OPTIMA HEALTH PRESCRIPTION DRUG FORMULARY . SMALL GROUP STANDARD FORMULARY ... benzoyl peroxide SHORT contact ciclopirox nail lacquer