Select Formulary Reference Guide - Consolidated … Formulary Reference Guide ... your member website or call member services at the number listed on your ID card. SAVING ... cefazolin

Select Formulary Reference Guide

Your formulary utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically sound and that it supports patient health. This committee reviews and evaluates medications on the formulary based on safety and efficacy to help maintain clinical integrity in all therapeutic categories.

FORMULARY DESIGN

Your formulary has a formulary structure which includes most prescription drugs. The formulary structure features medications generics (with the lowest co-payments), preferred and non-preferred brand-name drugs.

• Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under “GENERIC” have the same active ingredient as the brand-name versions but at a lower cost.

• Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs that will generally have lower co-payments than non-preferred brand name drugs.

• Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have higher co-payments than preferred brand name drugs.

USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS

Many health plans use the formulary to help manage the overall cost of providing prescription drug benefits. This formulary offers a wide range of medications from which to choose. We realize that this formulary reference guide may not include every drug from every manufacturer. However, choosing a generic or preferred drug when it is appropriate can provide access to the necessary medications to stay healthy, at a cost that is more affordable.

Select Formulary Reference Guide

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

covered and the applicable co‐payment. The medications listed on this formulary are subject to change pursuant to the formulary management

activities of Optum. The presence of a medication on this formulary list does not guarantee coverage. To determine the most up‐to‐date formulary

status of your medication, please visit your member website or call member services at the number listed on your ID card.

SAVING ON OUT-OF-POCKET COSTS

Your health plan sets the co-payments for each formulary drug status which include generic, preferred brand-name, and non-preferred brand-name medications. Health plans often design prescription drug plans to encourage the use of generic and preferred brand-name drugs. Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients may also pay less for generic drugs, or they may be asked to pay the cost difference between brand-name drugs and their generic alternatives.

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

CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE

When employers and other health plans design their prescription drug plans, they may choose to provide coverage only for certain medications, time periods, doses, quantities, or for a specific indications (e.g. they may exclude coverage for medications for unapproved, unproven, or cosmetic indications). When coverage for medications is provided based on use or quantity, your pharmacy benefit may contact your prescriber’s office for additional information to determine whether coverage is available under your plan. Patients who are unsure whether these coverage rules apply for a particular medication can consult their prescription drug benefit manual or contact a Member Services representative to determine specific coverage requirements.

KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED

The following formulary reference guide is designed so that generic products are listed first in each drug category. The preferred brand name products are listed next, and non-preferred brand products are listed last.

OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — a leading provider of integrated health services. Learn more at optum.com.

All OptumTM

trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or

registered marks of their respective owners. © 2015 Optum, Inc. All rights reserved.

Table of Contents

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

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

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

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

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

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

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

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

TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

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

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

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

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

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

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

AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

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

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

ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

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

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

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

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

MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

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

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

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

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

CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

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

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

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

ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIHISTAMINES-TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

cefotetan

cefoxitin sodium

cefprozil

cefuroxime axetil

January 2017 cefuroxime sodium

PREFERRED

ANTI-INFECTIVES Cefaclor

NON PREFERRED

PENICILLINS

Cefaclor ER

GENERIC

Cefotan

amoxicillin

Cefotetan

amoxicillin/clavulanate potassium

Cefotetan/Dextrose

amoxicillin/clavulanate potassium ER

Cefoxitin Sodium

ampicillin

Ceftin

ampicillin sodium

Cefuroxime Sodium

ampicillin-sulbactam

Zinacef

dicloxacillin sodium

THIRD GENERATION

nafcillin sodium

GENERIC

oxacillin sodium

cefdinir

penicillin v potassium

cefixime

penicillin G potassium

cefotaxime sodium

piperacillin sodium/ tazobactam sodium

cefpodoxime proxetil

piperacillin sodium/tazobactam sodium

ceftazidime

piperacillin/tazobactam

ceftriaxone sodium

Amoxicillin/Clavulanate Potassium

Cefotaxime Sodium

PREFERRED

Ceftriaxone IN Iso-osmotic Dextrose

Amoxicillin

NON PREFERRED

Ampicillin

Cedax

NON PREFERRED

Cefditoren Pivoxil

Amoxicillin ER

Ceftazidime/Dextrose

Ampicillin Sodium

Ceftibuten

Augmentin

Ceftriaxone Sodium

Augmentin ES-600

Ceftriaxone/Dextrose

Augmentin XR

Claforan

Bactocill IN Dextrose

Claforan/D5W

Bicillin C-R

Fortaz

Bicillin L-a

Rocephin

Moxatag

Spectracef

Nafcillin

Suprax

Nafcillin Sodium

Tazicef

Penicillin G Potassium IN Iso-osmotic Dextrose

FOURTH GENERATION

Penicillin G Procaine

GENERIC

Penicillin G Sodium

cefepime

Pfizerpen-G

NON PREFERRED

Timentin

Cefepime

Unasyn

Cefepime/Dextrose

Unasyn Bulk Pack

Maxipime

Zosyn

MACROLIDES

CEPHALOSPORIN

GENERIC

FIRST GENERATION

azithromycin

GENERIC

clarithromycin

cefadroxil

clarithromycin ER

cefazolin sodium

erythromycin

cephalexin

erythromycin ethylsuccinate

PREFERRED

Azithromycin

Cephalexin

PREFERRED

NON PREFERRED

E.e.s. 400

Ancef

Erythromycin Base

Cefazolin

Erythromycin Ethylsuccinate

Cefazolin Sodium

NON PREFERRED

Cefazolin Sodium/Dextrose

Biaxin

Cefazolin/Dextrose

Dificid

Cefazolin/D5W

E.e.s. Granules

Cefazolin/Sodium Chloride

Ery-TAB

Keflex

Eryped 200

SECOND GENERATION

Eryped 400

GENERIC

Erythrocin Lactobionate

cefaclor

Erythrocin Stearate

Effective January 1, 2017 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2017 Optum, Inc. All rights reserved.

1

PCE GENERIC

Zithromax amikacin sulfate

Zithromax Tri-PAK gentamicin sulfate

Zithromax Z-PAK gentamicin sulfate pediatric

Zmax gentamicin sulfate/0.9% sodium chloride

isotonic gentamicin

TETRACYCLINES neomycin sulfate

paromomycin sulfate

GENERIC

tobramycin

demeclocycline HCL

tobramycin sulfate

doxycycline

Tobramycin

doxycycline hyclate

PREFERRED

doxycycline hyclate DR

Bethkis

doxycycline monohydrate

NON PREFERRED

minocycline HCL

Gentamicin Sulfate/0.9% Sodium Chloride

minocycline HCL ER

Kitabis PAK

tetracycline hydrochloride

Streptomycin Sulfate

Tetracycline HCL

Tobi

NON PREFERRED

Tobi Podhaler

Acticlate

Tobramycin Sulfate

Adoxa

Adoxa PAK 1/100

SULFONAMIDES

Adoxa PAK 1/150

Adoxa PAK 2/100 PREFERRED

Alodox Convenience Kit Sulfadiazine

Avidoxy DK

Benzodox 30 Kit ANTIMYCOBACTERIAL AGENTS

Benzodox 60 Kit

GENERIC

Doryx

ethambutol HCL

Doryx Mpc

isoniazid

Minocin

pyrazinamide

Minocin Kit

rifabutin

Monodox

rifampin

Morgidox 1X100MG

NON PREFERRED

Morgidox 1X50MG Kit

Capastat Sulfate

Morgidox 2X100MG

Cycloserine

Nicazeldoxy 30 Kit

Isoniazid

Nicazeldoxy 60 Kit

Myambutol

Nutridox

Mycobutin

Ocudox

Paser

Solodyn

Priftin

Targadox

Rifadin

Vibramycin

Rifamate

Rifater

QUINOLONES

Sirturo

GENERIC Trecator

ciprofloxacin

ciprofloxacin ER ANTIFUNGALS

ciprofloxacin HCL

GENERIC

ciprofloxacin I.V.-IN D5W

fluconazole

levofloxacin

fluconazole IN dextrose

levofloxacin IN D5W

fluconazole IN NACL

levofloxacin IN 5% dextrose

flucytosine

moxifloxacin HCL

griseofulvin microsize

Ciprofloxacin HCL

griseofulvin ultramicrosize

Ofloxacin

itraconazole

NON PREFERRED

ketoconazole

Avelox

nystatin

Avelox Abc Pack

terbinafine HCL

Cipro

voriconazole

Cipro I.V.-IN D5W

NON PREFERRED

Cipro XR

Abelcet

Ciprofloxacin

Ambisome

Factive

Amphotec

Levaquin

Amphotericin B

Moxifloxacin HCL

Ancobon

Noroxin

Cancidas

Cresemba

AMINOGLYCOSIDES

Diflucan

Eraxis

Effective January 1, 2017

2

Fluconazole IN NACL Tivicay

Grifulvin V Triumeq

Gris-peg Truvada

Lamisil Tybost

Mycamine Videx Pediatric

Noxafil Viracept

Onmel Viread

Sporanox Vitekta

Sporanox Pulsepak Zepatier

Vfend NON PREFERRED

Vfend IV Acyclovir Sodium

Baraclude

ANTIVIRALS Combivir

Copegus

GENERIC

Cytovene

abacavir

Daklinza

abacavir sulfate/lamivudine/zidovudine

Epivir

abacavir/lamivudine

Epivir HBV

acyclovir

Epzicom

acyclovir sodium

Famvir

adefovir dipivoxil

Flumadine

cidofovir

Foscavir

didanosine

Hepsera

entecavir

Moderiba

famciclovir

Moderiba 1200 Dose Pack

ganciclovir

Moderiba 800 Dose Pack

lamivudine

Olysio

lamivudine/zidovudine

Peg-intron

nevirapine

Peg-intron Redipen

nevirapine ER

Peg-intron Redipen PAK 4

ribavirin

Pegintron

rimantadine HCL

Rapivab

stavudine

Rebetol

valacyclovir HCL

Relenza Diskhaler

valganciclovir

Retrovir

valganciclovir hydrochlorde

Ribasphere

zidovudine

Ribasphere Ribapak

Nevirapine

Rimantalist

PREFERRED

Sitavig

Aptivus

Tamiflu

Atripla

Technivie

Complera

Trizivir

Crixivan

Tyzeka

Descovy

Valcyte

Edurant

Valtrex

Emtriva

Victrelis

Epclusa

Videx EC

Evotaz

Viekira PAK

Fuzeon

Viekira XR

Genvoya

Viramune

Harvoni

Viramune XR

Intelence

Virazole

Invirase

Vistide

Isentress

Zerit

Kaletra

Ziagen

Lexiva

Zovirax

Norvir

Odefsey

ANTIMALARIALS

Pegasys

Pegasys Proclick GENERIC

Prezcobix atovaquone/proguanil HCL

Prezista chloroquine phosphate

Rescriptor hydroxychloroquine sulfate

Retrovir IV Infusion mefloquine HCL

Reyataz quinine sulfate

Ribatab Primaquine Phosphate

Selzentry PREFERRED

Sovaldi Daraprim

Stribild NON PREFERRED

Sustiva Aralen


3

Coartem First-metronidazole 100

Malarone First-metronidazole 50

Plaquenil First-vancomycin 25

Qualaquin First-vancomycin 50

Flagyl

AMEBICIDES Flagyl ER

Impavido

PREFERRED

Invanz

Yodoxin

Ketek

Lincocin

ANTHELMINTICS

Lincomycin/Lidocaine

GENERIC

Mepron

ivermectin

Meropenem/Sodium Chloride

PREFERRED

Merrem

Biltricide

Metro IV

NON PREFERRED

Neutrexin

Albenza

Orbactiv

Emverm

Pentam 300

Stromectol

Primaxin IV

Primaxin IV Add-vantage

MISC. ANTI-INFECTIVES

Primsol

GENERIC

Sivextro

atovaquone

Sulfamethoxazole/Trimethoprim

aztreonam

Synercid

bacitracin

Tindamax

clindamycin

Tygacil

clindamycin palmitate HCL

Vancocin HCL

clindamycin phosphate

Vancomycin

clindamycin phosphate add-vantage

Vancomycin Hydrochloride

clindamycin phosphate pharmacy bulk package

Vancomycin Hydrochloride/Dextrose

clindamycin phosphate IN D5W

Vancomycin Hydrochloride/NACL

clindamycin HCL

Vancomycin Hydrochloride/Sodium Chloride

colistimethate sodium

Vancomycin HCL

dapsone

Vancomycin HCL + Syrspendsf PH4

daptomycin

Vancomycin HCL IN Dextrose

imipenem/cilastatin

Vibativ

lincomycin HCL

Xifaxan

linezolid

Zerbaxa

meropenem

Zyvox

metronidazole

metronidazole IN NACL 0.79%

ANTINEOPLASTICS, ETC

polymyxin b sulfate

ALKYLATING AGENTS

sulfamethoxazole/trimethoprim

sulfamethoxazole/trimethoprim DS GENERIC

tinidazole carboplatin

trimethoprim cisplatin

vancomycin HCL cyclophosphamide

Linezolid ifosfamide

PREFERRED melphalan hydrochloride

Alinia oxaliplatin

Nebupent temozolomide

NON PREFERRED Lomustine

Avycaz PREFERRED

Azactam Alkeran

Azactam IN Iso-osmotic Dextrose Bicnu

Bactrim Busulfex

Bactrim DS Hexalen

Cayston Leukeran

Chloramphenicol Sodium Succinate Mustargen

Cleocin Myleran

Cleocin IN D5W Treanda

Cleocin Pediatric Granules Zanosar

Cleocin Phosphate NON PREFERRED

Clin Single Use Kit Bendeka

Clindamycin Phosphate Cisplatin

Coly-mycin M Cyclophosphamide

Cubicin Eloxatin

Cubicin RF Evomela

Dalvance Gleostine

Doribax Gliadel Wafer


4

Ifex ANGIOGENESIS INHIBITORS

Ifosfamide

PREFERRED

Temodar

Avastin

Thiotepa

Zaltrap

Valchlor

NON PREFERRED

Yondelis

Cyramza

ANTIBIOTICS

ANTIBODIES

GENERIC

PREFERRED

bleomycin sulfate

Adcetris

daunorubicin HCL

Arzerra

doxorubicin HCL

Erbitux

doxorubicin HCL liposome

Herceptin

epirubicin HCL

Perjeta

idarubicin HCL

Yervoy

mitomycin

NON PREFERRED

mitoxantrone HCL

Blincyto

Doxorubicin HCL

Darzalex

Mitomycin

Empliciti

PREFERRED

Gazyva

Daunoxome

Kadcyla

NON PREFERRED

Keytruda

Bleo 15k

Opdivo

Cosmegen

Portrazza

Doxil

Rituxan

Ellence

Tecentriq

Idamycin PFS

Unituxin

Vectibix

ANTINEOPLASTIC ENZYMES

Zevalin Y-90

PREFERRED

Oncaspar HORMONAL AGENTS

NON PREFERRED

GENERIC

Erwinaze

anastrozole

bicalutamide

ANTIMETABOLITES

exemestane

GENERIC flutamide

azacitidine letrozole

capecitabine leuprolide acetate

cladribine megestrol acetate

cytarabine nilutamide

cytarabine aqueous tamoxifen citrate

decitabine Hydroxyprogesterone Caproate

fludarabine phosphate PREFERRED

fluorouracil Emcyt

gemcitabine Fareston

gemcitabine HCL Faslodex

mercaptopurine Lupron Depot

methotrexate Lysodren

methotrexate sodium Zoladex

Floxuridine NON PREFERRED

Methotrexate Sodium Arimidex

PREFERRED Aromasin

Alimta Casodex

Arranon Depo-provera

Clolar Eligard

Folotyn Femara

Tabloid Firmagon

NON PREFERRED Megace Oral

Cytarabine Aqueous Nilandron

Dacogen Soltamox

Fludara Trelstar

Gemzar Trelstar Mixject

Purinethol Vantas

Purixan Xtandi

Trexall Zytiga

Vidaza

Xeloda IMMUNOMODULATORS

GENERIC

azathioprine


5

cyclosporine Torisel

cyclosporine modified Tykerb

mycophenolate mofetil Velcade

mycophenolic acid DR Xalkori

sirolimus Zolinza

tacrolimus NON PREFERRED

Azathioprine Afinitor Disperz

PREFERRED Alecensa

Atgam Beleodaq

Cellcept Intravenous Bosulif

Thalomid Cabometyx

NON PREFERRED Cometriq

Astagraf XL Cotellic

Azasan Farydak

Cellcept Gilotrif

Cyclosporine Modified Gleevec

Envarsus XR Ibrance

Imuran Iclusig

Myfortic Imbruvica

Neoral Inlyta

Nulojix Iressa

Pomalyst Lenvima 10 MG Daily Dose

Prograf Lenvima 14 MG Daily Dose

Rapamune Lenvima 18 MG Daily Dose

Revlimid Lenvima 20 MG Daily Dose

Sandimmune Lenvima 24 MG Daily Dose

Simulect Lenvima 8 MG Daily Dose

Thymoglobulin Lynparza

Zortress Ninlaro

Stivarga

MITOTIC INHIBITORS Sutent

Tagrisso

GENERIC

Tarceva

docetaxel

Tasigna

etoposide

Votrient

paclitaxel

Zelboraf

vincristine sulfate

Zydelig

vinorelbine tartrate

Zykadia

PREFERRED

Abraxane

TOPOISOMERASE I INHIBITOR

Etoposide

Halaven GENERIC

Ixempra Kit irinotecan

Jevtana irinotecan HCL

NON PREFERRED topotecan HCL

Docefrez NON PREFERRED

Docetaxel Camptosar

Docetaxel (non-alcohol Formula) Hycamtin

Etopophos Irinotecan

Marqibo Onivyde

Navelbine Topotecan HCL

Paclitaxel

Taxotere RADIOPHARMACEUTICALS

Teniposide

PREFERRED

Vinblastine Sulfate

Xofigo

NON PREFERRED

ENZYME INHIBITORS

Metastron

GENERIC Quadramet

imatinib mesylate

PREFERRED CELLULAR IMMUNOTHERAPY

Afinitor

PREFERRED

Caprelsa

Provenge

Istodax

Istodax (overfill)

ANTINEOPLASTICS MISC.

Jakafi

GENERIC

Kyprolis

bexarotene

Mekinist

dacarbazine

Nexavar

hydroxyurea

Sprycel

tretinoin

Tafinlar


6

PREFERRED nitroglycerin

Actimmune nitroglycerin lingual

Alferon N nitroglycerin transdermal

Matulane nitroglycerin ER

Proleukin nitroglycerin IN dextrose 5%

Theracys nitroglycerin IN 5% dextrose

Tice Bcg Nitroglycerin Lingual

Trisenox PREFERRED

NON PREFERRED Dilatrate SR

Dacarbazine Isosorbide Dinitrate ER

Hydrea Nitro-bid

Intron A Nitro-dur

Intron A W/Diluent Ranexa

Nipent NON PREFERRED

Photofrin Gonitro

Sylatron Imdur

Synribo Isordil Titradose

Targretin Nitroglycerin

Uvadex Nitroglycerin IN Dextrose 5%

Nitrolingual Pumpspray

CHEMOTHERAPY RESCUE Nitromist

Nitronal

GENERIC

Nitrostat

amifostine

dexrazoxane

BETA BLOCKERS

leucovorin calcium

levoleucovorin GENERIC

levoleucovorin calcium acebutolol HCL

mesna atenolol

PREFERRED betaxolol HCL

Leucovorin Calcium bisoprolol fumarate

NON PREFERRED carvedilol

Ethyol esmolol HCL

Fusilev labetalol HCL

Levoleucovorin metoprolol succinate ER

Mesnex metoprolol tartrate

Totect nadolol

Voraxaze pindolol

Zinecard propranolol HCL

propranolol HCL ER

CHEMOTHERAPY ADJUNCTS sotalol HCL

sotalol HCL (AF)

PREFERRED

Metoprolol Tartrate

Kepivance

PREFERRED

NON PREFERRED

Bystolic

Elitek

Propranolol HCL

Timolol Maleate

ANTINEOPLASTIC COMBO

NON PREFERRED

NON PREFERRED

Betapace

Lonsurf

Betapace AF

Brevibloc

CARDIOVASCULAR DRUGS

Coreg

PHOSPHODIESTERASE INHBTR

Coreg CR

GENERIC

Corgard

milrinone lactate

Esmolol HCL

milrinone IN dextrose

Hemangeol

Hypertenevide-12.5

CARDIAC GLYCOSIDES

Inderal LA

GENERIC

Inderal XL

digoxin

Innopran XL

PREFERRED

Kerlone

Lanoxin

Levatol

NON PREFERRED

Lopressor

Digoxin

Sectral

Lanoxin Pediatric

Sotalol Hydrochloride

Sotylize

ANTIANGINAL AGENTS

Tenormin

GENERIC

Toprol XL

isosorbide dinitrate

Trandate

isosorbide mononitrate

Zebeta

isosorbide mononitrate ER


7

CALCIUM CHANNEL BLOCKERS Norpace

Procainamide HCL

GENERIC

Quinidine Gluconate

amlodipine besylate

Rythmol

diltiazem CD

Rythmol SR

diltiazem HCL

Tikosyn

diltiazem HCL CD

Xylocaine

diltiazem HCL ER

felodipine ER

ACE INHIBITORS

isradipine

nicardipine HCL GENERIC

nifedipine benazepril HCL

nifedipine ER captopril

nimodipine enalapril maleate

nisoldipine enalaprilat

verapamil HCL fosinopril sodium

verapamil HCL ER lisinopril

verapamil HCL SR moexipril HCL

NON PREFERRED perindopril erbumine

Adalat CC quinapril HCL

Calan ramipril

Calan SR trandolapril

Cardene IV NON PREFERRED

Cardizem Accupril

Cardizem CD Aceon

Cardizem LA Altace

Cleviprex Epaned

Diltiazem Hydrochloride/Sodium Chloride Lotensin

Diltiazem HCL Mavik

Hypertenipine-2.5 Prinivil

Nisoldipine Qbrelis

Nisoldipine ER Univasc

Norvasc Vasotec

Nymalize Zestril

Procardia

Procardia XL ANGIOTENSIN RCPTR BLOCKER

Sular

GENERIC

Tiazac

candesartan cilexetil

Verelan

irbesartan

Verelan PM

losartan potassium

telmisartan

ANTIARRHYTHMICS

valsartan

GENERIC Eprosartan Mesylate

adenosine PREFERRED

amiodarone HCL Benicar

disopyramide phosphate NON PREFERRED

dofetilide Atacand

flecainide acetate Avapro

ibutilide fumarate Cozaar

lidocaine HCL Diovan

lidocaine HCL IN D5W Edarbi

lidocaine HCL/dextrose Micardis

mexiletine HCL Teveten

propafenone HCL

propafenone HCL ER DIRECT RENIN INHIBITORS

quinidine gluconate CR

PREFERRED

quinidine gluconate ER

Tekturna

quinidine sulfate

Amiodarone HCL

ANTIHYPERTENSIVES MISC.

Quinidine Sulfate ER

GENERIC

PREFERRED

clonidine HCL

Norpace CR

doxazosin

Quinidine Sulfate

doxazosin mesylate

NON PREFERRED

eplerenone

Adenocard

fenoldopam mesylate

Cordarone

guanfacine HCL

Corvert

hydralazine HCL

Lidocaine HCL

methyldopa

Multaq

minoxidil

Nexterone

phenoxybenzamine hydrochloride


8

prazosin HCL Hyzaar

terazosin HCL Lopressor HCT

PREFERRED Lotensin HCT

Reserpine Lotrel

NON PREFERRED Lytensopril Kit

Cardura Lytensopril-90 Kit

Catapres Micardis HCT

Catapres-tts-1 Prestalia

Catapres-tts-2 Tarka

Catapres-tts-3 Tekamlo

Corlopam Tenoretic 100

Demser Tenoretic 50

Dibenzyline Teveten HCT

Inspra Twynsta

Methyldopate HCL Vaseretic

Minipress Zestoretic

Nitropress Ziac

Phentolamine Mesylate

Tenex DIURETICS

Vecamyl

GENERIC

acetazolamide

ANTIHYPERTENSIVE COMBO

acetazolamide sodium

GENERIC acetazolamide ER

amlodipine besylate/benazepril hydrochloride amiloride HCL

amlodipine besylate/benazepril HCL amiloride/hydrochlorothiazide

amlodipine besylate/valsartan bumetanide

amlodipine/valsartan/hctz chlorothiazide

atenolol/chlorthalidone chlorothiazide sodium

benazepril HCL/hydrochlorothiazide chlorthalidone

bisoprolol fumarate/hydrochlorothiazide ethacrynate sodium

candesartan cilexetil/hydrochlorothiazide ethacrynic acid

enalapril maleate/hydrochlorothiazide furosemide

fosinopril sodium/hydrochlorothiazide hydrochlorothiazide

irbesartan/hydrochlorothiazide indapamide

lisinopril/hydrochlorothiazide mannitol

losartan potassium/hydrochlorothiazide methazolamide

metoprolol/hydrochlorothiazide metolazone

moexipril/hydrochlorothiazide spironolactone

nadolol/bendroflumethiazide spironolactone/hydrochlorothiazide

quinapril/hydrochlorothiazide torsemide

telmisartan/amlodipine triamterene/hydrochlorothiazide

telmisartan/hydrochlorothiazide Acetazolamide

trandolapril/verapamil HCL Chlorothiazide

trandolapril/verapamil HCL ER Chlorthalidone

valsartan/hydrochlorothiazide Triamterene/Hydrochlorothiazide

PREFERRED PREFERRED

Amlodipine/Olmesartan Medoxomil Furosemide

Azor Methyclothiazide

Benicar HCT NON PREFERRED

Captopril/Hydrochlorothiazide Aldactazide

Dutoprol Aldactone

Methyldopa/Hydrochlorothiazide Bumex

Metoprolol Succinate ER/Hydrochlorothiazide Demadex

Propranolol/Hydrochlorothiazide Diamox

Tekturna HCT Diuril

Tribenzor Dyazide

NON PREFERRED Dyrenium

Accuretic Edecrin

Amturnide Keveyis

Atacand HCT Lasix

Avalide Maxzide

Byvalson Maxzide-25

Clorpres Microzide

Corzide Neptazane

Diovan HCT Sodium Diuril

Edarbyclor Sodium Edecrin

Exforge Torsemide

Exforge HCT Zaroxolyn

Hypertensolol


9

VASOPRESSORS Vytorin

Welchol

GENERIC

NON PREFERRED

dobutamine HCL

Advicor

dobutamine HCL/D5W

Altoprev

dobutamine/dextrose 5%

Antara

dopamine HCL

Colestid

dopamine HCL-dextrose 5%

Colestid Flavored

dopamine HCL/dextrose 5%

Crestor

dopamine/D5W

Fenoglide

ephedrine sulfate

Juxtapid

midodrine HCL

Kynamro

norepinephrine bitartrate

Lescol

phenylephrine HCL

Lescol XL

PREFERRED

Lipitor

Epipen 2-PAK

Livalo

Epipen-JR 2-PAK

Lofibra

NON PREFERRED

Lopid

Adrenaclick

Lovaza

Adrenalin

Mevacor

Adyphren II

Niaspan

Adyphren Kit

Omega-3/D-3 Wellness Pack

Akovaz

Pravachol

Auvi-q

Questran

Dopamine HCL

Questran Light

Ephedrine Sulfate

Repatha

Ephedrine Sulfate/Sodium Chloride

Repatha Pushtronex System

Epinephrine

Repatha Sureclick

Epinephrine HCL

Tricor

Episnap

Triglide

Epy II Kit

Trilipix

Epy Kit

Zetia

Levophed

Zocor

Norepinephrine Bitartrate/Dextrose

Norepinephrine Bitartrate/Sodium Chloride

CARDIOVASCULAR - MISC.

Norepinephrine/Sodium Chloride

Northera GENERIC

Phenylephrine Hydrochloride/Dextrose amlodipine besylate/atorvastatin calcium

Phenylephrine HCL epoprostenol sodium

Phenylephrine HCL/Sodium Chloride papaverine HCL

Phenylephrine/Sodium Chloride sildenafil

Vazculep sildenafil citrate

PREFERRED

ANTIHYPERLIPIDEMICS Adempas

Cialis

GENERIC

Letairis

atorvastatin calcium

Opsumit

cholestyramine

Remodulin

cholestyramine light

Tracleer

colestipol HCL

Veletri

fenofibrate

Viagra

fenofibrate micronized

NON PREFERRED

fenofibric acid DR

Adcirca

fluvastatin

Bidil

fluvastatin sodium ER

Caduet

gemfibrozil

Corlanor

lovastatin

Entresto

niacin ER

Flolan

omega-3-acid ethyl esters

Levitra

pravastatin sodium

Muse

rosuvastatin calcium

Natrecor

simvastatin

Orenitram

Fenofibrate

Revatio

Fenofibric Acid

Staxyn

PREFERRED

Stendra

Fibricor

Tyvaso

Lipofen

Tyvaso Refill

Niacor

Tyvaso Starter

Praluent

Uptravi

Simcor

Ventavis

Vascepa


10

DERMATOLOGICALS Inova 8/2 Acne Control Therapy

Klaron

ACNE PRODUCTS

Neuac Kit

GENERIC

Nuox

adapalene

Onexton

adapalene P.M.

Plexion

benzoyl peroxide

Plexion Cleanser

benzoyl peroxide SHORT contact

Plexion Cleansing Cloths


Prascion Ra With Sunscreens

clindamycin phosphate/tretinoin

Retin-a

clindamycin/benzoyl peroxide

Retin-a Micro

erythromycin

Retin-a Micro P.M.

erythromycin/benzoyl peroxide

Riax

sodium sulfacetamide

Rosula

sodium sulfacetamide/sulfur

Sodium Sulfacetamide/Sulfur

sodium sulfacetamide/sulfur cleanser

Sodium Sulfacetamide/Sulfur Cleanser IN Urea

sodium sulfacetamide/sulfur cleansing cloths

Sodium Sulfacetamide/Sulfur IN Urea

sodium sulfacetamide/sulfur green

Sulfoam

sodium sulfacetamide/sulfur w/sunscreen

Sumadan Kit

sodium sulfacetamide/sulfur wash

Sumadan Wash

sulfacetamide sodium

Sumadan XLT

sulfacetamide sodium/sulfur

Sumaxin

sulfacetamide sodium/sulfur cleanser

Sumaxin CP Kit

tretinoin

Sumaxin Ts

tretinoin microsphere

Sumaxin Wash

tretinoin microsphere P.M.

Tretin-x

PREFERRED

Triseon

Clindagel

Vanoxide-HC

Retinoic Acid

Veltin

Retinoic Acid-all Trans

Zacare 4% Kit

Tretinoin

Zacare 8% Kit

Tretinoin (all-trans Retinoic Acid)

Ziana

NON PREFERRED

Absorica

ROSACEA AGENTS

Acanya

GENERIC

Aczone

metronidazole

Adapalene

Doxycycline

Akne-mycin

PREFERRED

Atralin

Mirvaso

Avar

Soolantra

Avar LS

NON PREFERRED

Avar LS Cleanser

Finacea

Avar-e LS

Metrocream

Azelex

Metrogel

Benzac Ac Wash

Metrolotion

Benzaclin

Noritate

Benzaclin With P.M.

Oracea

Benzamycin

Rosadan Kit

Benzamycinpak

Benzefoam

ANALGESICS - TOPICAL

Benzefoam Ultra

NON PREFERRED

Benzefoamultra

A.a.g.c. Kit IN Teroderm

Benziq

Baclofen

Benziq LS

Equipto-baclofen

Clarifoam EF

Cleocin-t

ANTIBIOTICS - TOPICAL

Clindacin Etz

Clindacin PAC GENERIC

Clindap-t mupirocin

Clinoin mupirocin calcium

Dermapak Plus PREFERRED

Differin Centany

Duac Gentamicin Sulfate

Epiduo NON PREFERRED

Epiduo Forte Altabax

Erygel Bactroban

Evoclin Centany AT

Fabior Cortisporin

Inova Neo-synalar

Inova 4/1 Acne Control Therapy Neo-synalar Kit


11

ANTIFUNGALS - TOPICAL Dsg PAK

Emvoren

GENERIC

Equipto-naproxen

ciclopirox

Extardol

ciclopirox nail lacquer

Flector

ciclopirox olamine

Innoprax-5

clotrimazole

K.b.g.l. IN Teroderm Cream

clotrimazole/betamethasone dipropionate

Ketophene Rapidpaq

econazole nitrate

Ketorolac 2% Gel

ketoconazole

Lidoprofen

naftifine hydrochloride

Novoclair

nystatin

Nuvya

nystatin/triamcinolone

Pennsaid

oxiconazole nitrate

Voltaren

PREFERRED

Vopac

Ala-quin

Vopac GB

Exoderm

Vopac Kt

NON PREFERRED

Xrylix

Ciclodan Cream Kit

Zyvodol

Ciclodan Solution Kit

Cnl8 Nail Kit

ANTIPRURITICS

Dermacinrx Therazole PAK

Ecoza GENERIC

Ertaczo Doxepin Hydrochloride

Exelderm NON PREFERRED

Extina Prudoxin

Halotin Zonalon

Jublia

Kerydin ANTIPSORIATICS

Ketodan Kit

GENERIC

Loprox

acitretin

Loprox Shampoo

calcipotriene

Lotrisone

methoxsalen

Luzu

Calcitriol

Mentax

PREFERRED

Naftifine HCL

Anthralin

Naftin

Dritho-creme HP

Nizoral

Stelara

Nyata

Vectical

Oxistat

NON PREFERRED

Pediaderm AF Complete Kit

Cosentyx

Penlac Nail Lacquer

Cosentyx Sensoready Pen

Recura

Dovonex

Vusion

Oxsoralen Ultra

Xolegel

Soriatane

Xolegel Corepak

Sorilux

Xolegel Duo/Head & Shoulders

Taltz

Xolegel Duo/Xolex

Tazorac

Zithranol

ANTIVIRALS - TOPICAL

Zithranol-rr

GENERIC 8-mop

acyclovir

NON PREFERRED ANTISEBORRHEIC AGENTS

Denavir

GENERIC

Lidovir

selenium sulfide

Xerese


Zovirax

sodium sulfacetamide wash

NON PREFERRED

ANTIHISTAMINES-TOPICAL

Glycolic Acid

NON PREFERRED Glycolic Acid 70% High Purity

Allo-pax Ovace Plus

Nazirex Ovace Plus Wash

Ovace Wash

ANTI-INFLAMMATORY AGENTS Promiseb

Promiseb Complete

GENERIC

Selrx

diclofenac sodium

Tersi Foam

NON PREFERRED

TL Triseb

Dermacinrx Lexitral Pharmapak

Diclofenac Sodium

Dipentocaine


12

CORTICOSTEROIDS - TOPICAL Olux-e

Pandel

GENERIC

Pediaderm HC

alclometasone dipropionate

Pediaderm Ta

augmented betamethasone dipropionate

Rrb PAK

betamethasone dipropionate

Scalacort DK

betamethasone valerate

Sernivo

calcipotriene/betamethasone dipropionate

Silazone Pharmapak

clobetasol propionate

Silazone-II

clobetasol propionate emollient

Synalar

desonide

Synalar Cream Kit

desoximetasone

Synalar Ointment Kit

fluocinolone acetonide

Synalar Ts

fluocinonide

Taclonex

fluocinonide-e

Temovate

flurandrenolide

Temovate E

fluticasone propionate

Texacort

halobetasol propionate

Topicort

hydrocortisone

Triamsil Combipak

hydrocortisone butyrate

Trianex

hydrocortisone butyrate (lipid)

Triderma Forte

hydrocortisone butyrate (lipophilic)

Ultravate

hydrocortisone valerate

Ultravate X

hydrocortisone IN absorbase

Validerm

mometasone furoate

Vanos

prednicarbate

Verdeso

triamcinolone acetonide

Westcort

Amcinonide

Xilapak

Desoximetasone

Diflorasone Diacetate

IMMUNOMODULATING AGENTS

PREFERRED

Pramosone GENERIC

NON PREFERRED imiquimod

Aclovate tacrolimus

Advanced Allergy Collection Kit PREFERRED

Ala Scalp Elidel

Capex NON PREFERRED

Clobex Aldara

Clocortolone Pivalate Protopic

Clocortolone Pivalate P.M. Zyclara

Clodan Kit Zyclara P.M.

Cloderm

Cloderm P.M. DERMATOLOGICALS - MISC.

Cordran

GENERIC

Cordran Tape

ammonium lactate

Cutivate

episone CRE

Derma-smoothe/FS Body

lactic acid

Derma-smoothe/FS Scalp

lactic acid e

Dermasorb HC

lactic acid w/vitamin e

Dermasorb Ta

lidocaine

Dermatop

lidocaine HCL

Dermazone

lidocaine HCL jelly

Desonate

lidocaine-prilocaine-cream base

Desowen

lidocaine/prilocaine

Diprolene

lindane

Diprolene AF

malathion

Elocon

permethrin

Enstilar

podofilox

Epifoam

salicylic acid

First-hydrocortisone

salicylic acid cream

Halog

salicylic acid lotion

Kenalog

salicylic acid ER

Locoid

sodium hyaluronate

Locoid Lipocream

urea

Luxiq

urea topical

Micort-HC

urea IN zinc undecylenate/lactic acid vehicle

Noxipak

urea 40% nail film

Nucort

PREFERRED

Nuzon

Drysol

Olux

Eurax


13

Lindane Lidothol

NON PREFERRED Lidotral

Accucaine Lycelle

Acuicyn Daily Eyelid & Eyelash Cleanser Mb Hydrogel

Alevicyn Antipruritic SG Medi-derm/L-RX

Aluvea Megrix

Anacaine Natroba

Arnica Flower Neosalus

Astero Neosalus CP

Atopiclair Neuvaxin

Aurstat Anti-itch Hydrogel Nivatopic Plus

Aurstat Anti-itch Hydrogel Kit Nusrugepak Surgical Prep/Carepak

Avenova Nuvail

Avenova/Neutrox Ovide

Benzoin Compound Tincture Oxsoralen

Benzoin Tincture Pliaglis

Boric Acid Pr Cream

Ceracade Presera

Coal TAR Pruclair

Cocaine HCL Prumyx

Condylox Pyrogallic Acid

Copasil Qutenza

Dermacinrx Clorhexacin Relyyks

Dermacinrx Duopatch Pharmapak Relyyt

Dermacinrx Neurotral Pharmapak Salex

Dermacinrx Phn PAK Salex Cream

Dermacinrx Surgical Pharmapak Salex Lotion

Dermacinrx Zrm PAK Salicylic Acid

Dermasorb XM Salicylic Acid IN Ammonium Lactate Vehicle

Dermawerx Surgical Plus PAK Salvax

Dermazyl Salvax Duo Plus

Eletone Scar Patch

Eletone Twinpack Sebuderm

Elimite Sinelee

Emla Sklice

Emulsion SB Solaice

Entty Spray Emulsion Soothee

Epiceram Spinosad

Ethyl Chloride Sulfurated Lime

Ethyl Chloride/Fine Pinpoint Supracil

Ethyl Chloride/Fine Stream Synera

Ethyl Chloride/Medium Jet Stream Tetrix

Ethyl Chloride/Medium Stream Tropazone

Ethyl Chloride/Mist Ulesfia

Gebauers Pain Ease Ultrasal-ER

Gebauers Spray And Stretch Umecta

Genadur Umecta Nail Film

Genadur Kit Umecta PD

Gordofilm Uramaxin

Gordons Urea Uramaxin GT

Hydro 35 Uramaxin GT Kit

Hydro 40 Foam Utopic

Hylatopic Veinpuncture Px1 Phlebotomy System

Hylatopic Plus Venipuncture Cpi

Hylira Veregen

HPR Verrunex

HPR Plus Vexa

HPR Plus Hydrogel Kit Virasal

HPR Plus/Mb Hydrogel Xerac Ac

IV Infusion Cpi Xeralux

Keralac Xylocaine

Keralyt

Keralyt Scalp ENDOCRINE AND METABOLIC

Lac-hydrin

CORTICOSTEROIDS

Latrix XM

GENERIC

Ldo Plus

betamethasone sodium phosphate/betamethasone acetate

Lido-RX 4.1

Lidocaine And Tetracaine Cream

budesonide

Lidocaine HCL

dexamethasone

Lidoderm


14

dexamethasone sodium phosphate Triamcinolone/Lidocaine

fludrocortisone acetate Triloan II Suik

hydrocortisone Triloan Suik

methylprednisolone Uceris

methylprednisolone acetate Veripred 20

methylprednisolone dose pack

methylprednisolone sodiumsuccinate ANDROGENS-ANABOLIC

prednisolone

GENERIC

prednisolone sodium phosphate

danazol

prednisolone sodium phosphate odt

methyltestosterone

prednisone

oxandrolone

Dexamethasone Sodium Phosphate

testosterone

PREFERRED

testosterone cypionate

Cortisone Acetate

testosterone enanthate

Dexamethasone

testosterone P.M.

Medrol

Testosterone

Millipred

Testosterone P.M.

Prednisone

PREFERRED

Prednisone Intensol

Androderm

NON PREFERRED

Androgel P.M.

Aristospan Intra-articular

Androxy

Betalido

NON PREFERRED

Betaloan Suik

Anadrol-50

Betamethasone SP

Androgel

Celestone-soluspan

Android

Cortef

Aveed

Depo-medrol

Axiron

Dermacinrx Cinlone-i Cpi

Depo-testosterone

Dexamethasone Intensol

First-testosterone

Dexlido

First-testosterone Mc Compounding Kit

Dexlido-m

Fortesta

Dexpak 10 Day

Natesto

Dexpak 13 Day

Oxandrin

Dexpak 6 Day

Striant

Doubledex

Testim

Dyural-l

Testone Cik

Dyural-lm

Testopel

Dyural-40

Testred

Dyural-80

Vogelxo

Entocort EC

Vogelxo P.M.

Interarticular Joint Kit

Kenalog-10

ESTROGENS

Kenalog-40

GENERIC

LT Injection Kit

estradiol

Marbeta-l

estradiol valerate

Marbeta-25

estradiol/norethindrone acetate

Mardex-25

norethindrone acetate/ethinyl estradiol

Medrol Dosepak

Estropipate

Medroloan II Suik

PREFERRED

Medroloan Suik

Climara Pro

Methylprednisolone

Duavee

Methylprednisolone PF

Menest

Methylprednisolone/Lidocaine

Premphase

Millipred DP

Prempro

Mlk F4 Kit

NON PREFERRED

Mlp A-2

Activella

Orapred Odt

Alora

Pediapred

Angeliq

Prednisolone Sodium Phosphate

Biest/Progesterone

Pro-c-dure 5 Kit

Climara

Pro-c-dure 6 Kit

Combipatch

Rayos

Delestrogen

Readysharp-k

Depo-estradiol

Readysharp-p40

Divigel

Readysharp-p80

Elestrin

Solu-cortef

Enjuvia

Solu-medrol

Estrace

Triamcinolone

Estradiol

Triamcinolone Acetonide PF

Estrogel

Triamcinolone PF


15

Evamist megestrol acetate

Femhrt Low Dose norethindrone acetate

Menostar progesterone

Minivelle PREFERRED

Prefest Makena

Premarin NON PREFERRED

Vivelle-dot Aygestin

Medroxyprogesterone/Lidocaine

CONTRACEPTIVES Megace ES

Progesterone 10% Kit

GENERIC

Prometrium

desogestrel/ethinyl estradiol

Provera

drospirenone/ethinyl estradiol

drospirenone/ethinyl estradiol/levomefolate calcium

ANTIDIABETIC AGENTS

levonorgestrel

levonorgestrel and ethinyl estradiol INSULIN

levonorgestrel/ethinyl estradiol PREFERRED

norethindrone Humalog

norethindrone & ethinyl estradiol ferrous fumarate Humalog Kwikpen

norethindrone acetate/ethinyl estradiol Humalog Mix 50/50

norethindrone acetate/ethinyl estradiol/ferrous fumarate Humalog Mix 50/50 Kwikpen

norgestimate/ethinyl estradiol Humalog Mix 75/25

Levonorgestrel Humalog Mix 75/25 Kwikpen

PREFERRED Humulin N

Natazia Humulin N Kwikpen

Necon 1/50-28 Humulin R

Necon 10/11-28 Humulin R U-500 (concentrated)

Norinyl 1+50 Humulin R U-500 Kwikpen

Nuvaring Humulin 70/30

Zovia 1/50e Humulin 70/30 Kwikpen

NON PREFERRED Lantus

Beyaz Lantus Solostar

Brevicon-28 Levemir

Cyclessa Levemir Flextouch

Desogen Novolin N

Ella Novolin N Relion

Estrostep FE Novolin R

Falessa Novolin R Relion

Femcon FE Novolin 70/30

Generess FE Novolin 70/30 Relion

Loestrin FE 1.5/30 Novolog

Loestrin FE 1/20 Novolog Flexpen

Loestrin 1.5/30-21 Novolog Mix 70/30

Loestrin 1/20-21 Novolog Mix 70/30 Prefilled Flexpen

Loseasonique Novolog Penfill

LO Loestrin FE Toujeo Solostar

Minastrin 24 FE NON PREFERRED

Mircette Afrezza

Modicon Apidra

Nor-QD Apidra Solostar

Norinyl 1+35 Tresiba Flextouch

Ortho Micronor AMYLIN ANALOGS

Ortho Tri-cyclen NON PREFERRED

Ortho Tri-cyclen LO Symlinpen 120

Ortho-cept Symlinpen 60

Ortho-cyclen INCRETIN MIMETIC AGENTS

Ortho-novum 1/35 PREFERRED

Ortho-novum 7/7/7 Bydureon

Ovcon-35 Bydureon Pen

Quartette Byetta

Safyral Trulicity

Seasonique Victoza

Taytulla NON PREFERRED

Tri-norinyl 28 Tanzeum

Yasmin 28 SULFONYLUREAS

Yaz GENERIC

glimepiride

PROGESTINS glipizide

glipizide ER

GENERIC

glyburide

medroxyprogesterone acetate

glyburide micronized


16

tolazamide Repaglinide/Metformin Hydrochloride

Glyburide PREFERRED

Tolazamide Invokamet

PREFERRED Invokamet XR

Chlorpropamide Janumet

Diabeta Janumet XR

Tolbutamide Jentadueto

NON PREFERRED Jentadueto XR

Amaryl Synjardy

Glucotrol NON PREFERRED

Glucotrol XL Actoplus Met

Glynase Actoplus Met XR

BIGUANIDES Appformin

GENERIC Appformin-d

metformin HCL Avandamet

metformin HCL ER Avandaryl

NON PREFERRED Duetact

Fortamet Glucovance

Glucophage Glyxambi

Glucophage XR Kazano

Glumetza Kombiglyze XR

Riomet Oseni

MEGLITINIDE ANALOGUES Prandimet

GENERIC Xigduo XR

nateglinide

repaglinide BISPHOSPHONATES

NON PREFERRED

GENERIC

Prandin

alendronate sodium

Starlix

ibandronate sodium

DIABETIC OTHER

pamidronate disodium

PREFERRED

risedronate sodium

Glucagen Hypokit

risedronate sodium DR

Glucagon Emergency Kit

zoledronic acid

Invokana

PREFERRED

Jardiance

Alendronate Sodium

Proglycem

NON PREFERRED

NON PREFERRED

Actonel

Cycloset

Atelvia

Farxiga

Binosto

Korlym

Boniva

ALPHA-GLUCOSIDASE INHIBIT

Etidronate Disodium

GENERIC

Fosamax

acarbose

Fosamax Plus D

miglitol

Pamidronate Disodium

NON PREFERRED

Reclast

Glyset

Zoledronic Acid

Precose

Zometa

DPP-4 INHIBITORS

GENERIC

CALCITONINS

Alogliptin

GENERIC

PREFERRED

calcitonin salmon

Januvia

calcitonin-salmon

Tradjenta

NON PREFERRED

NON PREFERRED

Fortical

Nesina

Miacalcin

Onglyza

INSULIN SENSITIZING AGENT

PARATHYROID HORMONE

GENERIC

PREFERRED

pioglitazone HCL

Forteo

NON PREFERRED

NON PREFERRED

Actos

Natpara

Avandia

ANTIDIABETIC COMBINATIONS

RANK LIGAND INHIBITORS

GENERIC

PREFERRED

glipizide/metformin HCL

Prolia

glyburide/metformin HCL

Xgeva

pioglitazone HCL-glimepiride

pioglitazone HCL/metformin HCL

HORMONE RECEPTOR MDLTR

Alogliptin/Metformin HCL

Alogliptin/Pioglitazone


17

GENERIC Sandostatin Lar Depot

raloxifene hydrochloride Signifor

NON PREFERRED Signifor Lar

Evista Somatuline Depot

Osphena

GH RECEPTOR ANTAGONISTS

FERTILITY REGULATORS

NON PREFERRED

GENERIC Somavert

chorionic gonadotropin

clomiphene citrate POSTERIOR PITUITARY

PREFERRED

GENERIC

Gonal-f

desmopressin acetate

Gonal-f RFF

vasopressin

Gonal-f RFF Rediject

NON PREFERRED

NON PREFERRED

Ddavp

Bravelle

Pitressin Synthetic

Follistim AQ

Stimate

Menopur

Vasopressin/Sodium Chloride

Ovidrel

Vasostrict

LHRH/GNRH AGONIST

CORTICOTROPIN

PREFERRED

PREFERRED

Lupron Depot-PED

H.p. Acthar

Supprelin LA

Synarel

PROLACTIN INHIBITORS

NON PREFERRED

GENERIC

Lupaneta Pack

cabergoline

GNRH/LHRH ANTAGONISTS

VASOPRESSIN ANTAGONISTS

PREFERRED

PREFERRED

Cetrotide

Samsca

NON PREFERRED

NON PREFERRED

Ganirelix Acetate

Vaprisol

GROWTH HORMONES

PROGESTERONE ANTAGONISTS

PREFERRED

NON PREFERRED

Norditropin Cartridge

Mifeprex

Norditropin Flexpro

Norditropin Nordiflex Pen

METABOLIC MODIFIERS

Nutropin AQ Nuspin 10

GENERIC


calcitriol


doxercalciferol

Nutropin AQ Pen

levocarnitine

Saizen

paricalcitol

Saizen Click.easy

sodium phenylacetate/sodium benzoate

Serostim

sodium phenylbutyrate

NON PREFERRED

PREFERRED

Genotropin

Aldurazyme

Genotropin Miniquick

Carbaglu

Humatrope

Elaprase

Humatrope Combo Pack

Fabrazyme

Omnitrope

Kuvan

Tev-tropin

Lumizyme

Zomacton

Myozyme

Zorbtive

Naglazyme

NON PREFERRED

GHRH

Ammonul

NON PREFERRED

Buphenyl

Egrifta

Carnitor

Carnitor SF

SOMATOMEDINS

Cystadane

PREFERRED

Hectorol

Increlex

Kanuma

Myalept

SOMATOSTATIC AGENTS

Orfadin

GENERIC Ravicti

octreotide acetate Rocaltrol

NON PREFERRED Sensipar

Sandostatin Strensiq


18

Vimizim ANTACIDS

Xuriden

NON PREFERRED

Zemplar

Sodium Bicarbonate

THYROID AGENTS

ULCER DRUGS

GENERIC

GENERIC

levothyroxine sodium

atropine sulfate

liothyronine sodium

chlordiazepoxide HCL/clidinium bromide

methimazole

cimetidine

propylthiouracil

cimetidine HCL

NON PREFERRED

dicyclomine HCL

Armour Thyroid

esomeprazole magnesium

Cytomel

esomeprazole sodium

Levothyroxine Sodium

famotidine

Nature-throid

glycopyrrolate

Nature-throid Nt-2.5

hyoscyamine sulfate

Synthroid

hyoscyamine sulfate odt

Tapazole

hyoscyamine sulfate ER

Thyrolar-1

hyoscyamine sulfate SR

Thyrolar-1/2

lansoprazole

Thyrolar-1/4

lansoprazole/amoxicillin/clarithromycin

Thyrolar-2

methscopolamine bromide

Thyrolar-3

misoprostol

Tirosint

nizatidine

Triostat

omeprazole

Westhroid

omeprazole/sodium bicarbonate

Wp Thyroid

pantoprazole sodium

rabeprazole sodium

GASTROINTESTINAL

ranitidine HCL

sucralfate

LAXATIVES

Esomeprazole Sodium

GENERIC

Famotidine

lactulose

Nizatidine

mineral oil heavy

PREFERRED

peg 3350/electrolytes

Dexilant

peg-3350/electrolytes

Omeclamox-PAK

peg-3350/NACL/NA bicarbonate/KCL

Propantheline Bromide

polyethylene glycol 3350

Pylera

NON PREFERRED

Symax Duotab

Cascara Sagrada

NON PREFERRED

Colyte-flavor Packs

Aciphex

Gialax

Aciphex Sprinkle

Golytely

Anaspaz

Kristalose

Atropen

Moviprep

Atropine Sulfate

Nulytely/Flavor Packs

Belladonna & Opium

Osmoprep

Belladonna Alkaloids & Opium

Pcp 100

Bentyl

Prepopik

Cantil

Suclear

Carafate

Suprep Bowel Prep

Cuvposa

Cytotec

ANTIDIARRHEALS

Deprizine Fusepaq

GENERIC

Deprizine Rapidpaq

diphenoxylate/atropine

Esomeprazole Strontium

loperamide HCL

Famotidine Premixed

opium

First-lansoprazole

opium tincture

First-omeprazole

PREFERRED

Gabitidine

Diphenoxylate/Atropine

Gastrinex NF

Paregoric

Glycopyrrolate

NON PREFERRED

Levbid

Fulyzaq

Levsin

Lomotil

Levsin/SL

Motofen

Librax

Mytesi

Nexium

Restora RX

Nexium I.v.

Restora Sprinkles

Omeprazole + Syrspend SF Alka

Rezyst IM

Pamine

Vsl#3 DS


19

Pamine Forte metoclopramide HCL

Pamine FQ sulfasalazine

Pepcid ursodiol

Prevacid Mesalamine DR

Prevacid Solutab PREFERRED

Prevpac Amitiza

Prilosec Apriso

Protonix Canasa

Robinul Cimzia

Robinul Forte Cimzia Starter Kit

Scopolamine Hydrobromide Lialda

Sentradine Linzess

Zantac Proctofoam HC

Zegerid Remicade

Renvela

ANTIEMETICS Sevelamer Carbonate

Sfrowasa

GENERIC

Stelara

dronabinol

NON PREFERRED

granisetron HCL

Actigall

meclizine HCL

Analpram Advanced

ondansetron odt

Analpram-HC

ondansetron HCL

Analpram-HC Singles

trimethobenzamide HCL

Anusol-HC

PREFERRED

Asacol HD

Aloxi

Auryxia

NON PREFERRED

Azulfidine

Akynzeo

Azulfidine EN-TABS

Anzemet

Chenodal

Cesamet

Cholbam

Diclegis

Colazal

Dimenhydrinate

Cortenema

Emend

Cortifoam

Granisol

Delzicol

Marinol

Dexpanthenol

Ondansetron Hydrochloride/Sodium Chloride

Dipentum

Sancuso

Eliphos

Sustol

Entereg

Tigan

Entyvio

Transderm-scop

Fosrenol

Varubi

Gastrocrom

Zofran

Gattex

Zofran Odt

Giazo

Zuplenz

Inflectra

Lidocaine HCL-hydrocortisone Acetate With Aloe

DIGESTIVE AIDS

Lotronex

PREFERRED

Metoclopramide Odt

Creon

Metozolv Odt

Pancrelipase

Movantik

Zenpep

Ocaliva

NON PREFERRED

Pentasa

Pancreaze

Phoslo

Pertzye

Phoslyra

Sucraid

Procort

Ultresa

Proctocort

Viokace

Rectiv

Reglan

GASTROINTESTINAL - MISC.

Relistor

GENERIC

Renagel

alosetron hydrochloride

Rowasa

balsalazide disodium

Uceris

calcium acetate

Urso Forte

cromolyn sodium

Urso 250

hydrocort ene 100MG

Velphoro

hydrocortisone

Viberzi

hydrocortisone acetate/pramoxine

lactulose

GENITOURINARY

lidocaine HCL/hydrocortisone acetate

URINARY ANTI-INFECTIVES

mesalamine

metoclopramide odt


20

GENERIC Terazol 3

methenamine hippurate Terazol 7

methenamine mandelate Vagifem

nitrofurantoin

nitrofurantoin macrocrystals GENITOURINARY - MISC.

nitrofurantoin monohydrate

GENERIC

nitrofurantoin monohydrate/macrocrystals

alfuzosin HCL ER

PREFERRED

citric acid/sodium citrate

Methenamine Mandelate

dutasteride

NON PREFERRED

dutasteride/tamsulosin hydrochloride

Furadantin

dutasteride/tamsulosin HCL

Hiprex

finasteride

Macrobid

phenazopyridine HCL

Macrodantin

potassium citrate ER

Monurol

potassium citrate-citric acid crystals

Uretron D/S

potassium citrate/citric acid

Urimar-t

potassium citrate/sodium citrate/citric acid

Urogesic-blue

sodium citrate/citric acid

tamsulosin HCL

URINARY ANTISPASMODICS

tricitrates

GENERIC PREFERRED

bethanechol chloride Cytra-3

darifenacin hydrobromide ER Elmiron

flavoxate HCL Rapaflo

oxybutynin chloride NON PREFERRED

oxybutynin chloride ER Avodart

tolterodine tartrate Cardura XL

tolterodine tartrate ER Cystagon

trospium chloride Flomax

trospium chloride ER Jalyn

PREFERRED K-phos NO 2

Vesicare Lithostat

NON PREFERRED Oracit

Detrol Procysbi

Detrol LA Proscar

Ditropan XL Pyridium

Enablex Shohls Solution Modified

Gelnique Thiola

Myrbetriq Urocit-k 10

Oxytrol Urocit-k 15

Toviaz Urocit-k 5

Urecholine Uroxatral

VAGINAL PRODUCTS HEMATOLOGICAL

GENERIC

HEMATOPOIETIC AGENTS


GENERIC

metronidazole vaginal

cyanocobalamin

terconazole

folic acid

PREFERRED

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

Premarin

sodium ferric gluconate complex/sucrose

NON PREFERRED

Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc

Avc

Cleocin PREFERRED

Clindesse Aranesp Albumin Free

Crinone Cerezyme

Endometrin Folitab 500

Estrace Granix

Estring Mozobil

Fem PH Neumega

Femring Neupogen

First-progesterone VGS 100 Compounding Kit Nplate

First-progesterone VGS 200 Compounding Kit Procrit

First-progesterone VGS 25 Compounding Kit Zarxio

First-progesterone VGS 400 Compounding Kit NON PREFERRED

First-progesterone VGS 50 Compounding Kit Abaneu-SL

Gynazole-1 Albafort

Metrogel-vaginal Animi-3

Nuvessa Animi-3/Vitamin D

Relagard B-12 Kit


21

B-6 Folic Acid Triferic

Biferarx Venofer

Cenfol Vpriv

Centratex Zavesca

Cerdelga Zolate

Ciferex

Corvite 150 ANTICOAGULANTS

Dermacinrx Purefolix

GENERIC

Divista

argatroban

Droxia

bivalirudin

Ed Cyte F

enoxaparin sodium

Elelyso

fondaparinux sodium

Epogen

heparin lock

Feraheme

heparin lock flush

Feriva

heparin lock flush for flushing vascular access devices

Feriva 21/7

heparin lock flush/NACL for flushing vascular access devices

Ferivafa

heparin sodium

Ferralet 90

heparin sodium dcu

Ferrex 150 Forte Plus

heparin sodium lock flush

Ferrex 28

heparin sodium/sodium chloride 0.9% premix

Ferrlecit

heparin sodium/D5W

Ferro-plex Hematinic

heparin sodium/NACL 0.9%

Ferrotrin

warfarin sodium

Focalgin Dss

PREFERRED

Folene

Pradaxa

Folgard RX

Xarelto

Folic Acid

Xarelto Starter Pack

Folivane-f

NON PREFERRED

Folivane-plus

Angiomax

Folixapure

Argatroban

Foltrate

Arixtra

Fusion Plus

Coumadin

Fusion Sprinkles

Defitelio

Hematogen Fa

Eliquis

Hematron-AF

Fragmin

Hemocyte Plus

Heparin Lock Flush

Hemocyte-f

Heparin Sodium

Hydroxocobalamin

Heparin Sodium/D5W

Icar-c Plus

Heparin Sodium/NACL

Infed

Heparin Sodium/NACL 0.45%

Injectafer

Heparin Sodium/Sodium Chloride

Integra F

Heparin Sodium/Sodium Chloride PF

Integra Plus

Heparin Sodium/Sodium Chloride 0.9%

Irospan 24/6

Heparin Sodium/Sodium CH Loride

Is 24/6

Iprivask

Leukine

Lovenox

Maxaron Forte

Savaysa

Maxfe

Sodium Citrate

Methionine/Inositol/Choline/Cyanocobalamin

Mircera

HEMOSTATICS

Multigen

Multigen Folic GENERIC

Multigen Plus aminocaproic acid

MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa

tranexamic acid

NON PREFERRED

MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac

Amicar

Aminocaproic Acid

Nascobal

Artiss

Natalvirt Flt

Astringyn

Nephron Fa

Cyklokapron

Neulasta

Evicel

Neulasta Onpro Kit

Evithrom

Novaferrum

Lysteda

Nufera

Recothrom

Omontys

Recothrom Spray Kit

Pre-folic

Thrombin-jmi Diluent

Proferrin-forte

Thrombin-jmi Epistaxis

Promacta

Thrombin-jmi Syringe Spray Kit

Protectiron

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

Tandem F

Tandem Plus


22

Thrombogen Reopro

Tisseel Tnkase

Tisseel VH Voluven

Xyntha

HEMATOLOGICAL - MISC. Xyntha Solofuse

Yosprala

GENERIC

Zontivity

anagrelide hydrochloride

cilostazol

MOUTH/THROAT/DENTAL AGENT

clopidogrel

dipyridamole

eptifibatide

GENERIC

hetastarch 6%/NACL

cevimeline HCL

pentoxifylline ER

chlorhexidine gluconate

ticlopidine HCL

chlorhexidine gluconate oral rinse

Aspirin/Dipyridamole

clotrimazole

PREFERRED

lidocaine viscous

Advate

lidocaine HCL viscous

Alphanate/Von Willebrand Factor Complex/Human

nystatin

Alphanine SD

pilocarpine hydrochloride

Bebulin

pilocarpine HCL

Benefix

stannous fluoride oral rinse

Berinert


Brilinta

triamcinolone IN orabase

Cinryze

Lidocaine HCL

Corifact

NON PREFERRED

Effient

Aquoral

Feiba

Caphosol

Feiba NF

Debacterol

Firazyr

Evoxac

Hemofil M

First-bxn Mouthwash

Humate-p

First-dukes Mouthwash

Koate-dvi

First-marys Mouthwash

Monoclate-p

First-mouthwash Blm

Mononine

Gel-kam Oral Care Rinse

Novoseven

Gelclair

Novoseven Rt

Nafrinse Daily/Acidulated

Profilnine

Nafrinse Daily/Neutral

Profilnine SD

Nafrinse Weekly

Recombinate

Neutrasal

Riastap

Numoisyn

Soliris

Orafate

Ticlopidine HCL

Oravig

Wilate

Peridex

NON PREFERRED

Prevident

Activase

Prothelial

Aggrastat

Salagen

Aggrenox

Salivamax

Agrylin

Salivate RX

Cathflo Activase

Durlaza

NEUROLOGY, CNS, PSYCH

Helixate FS

ANTIANXIETY AGENTS

Hespan

GENERIC

Hextend

alprazolam

Integrilin

alprazolam odt

Ixinity

alprazolam ER

Kalbitor

buspirone HCL

Kengreal

chlordiazepoxide HCL

Kinlytic

clorazepate dipotassium

Kogenate FS

diazepam

Kogenate FS Bio-set

droperidol

Kovaltry

gene-xene TAB 15MG

LMD 10% Dextrose 5%

gene-xene TAB 3.75MG

LMD 10% Sodium Chloride 0.9%

gene-xene TAB 7.5MG

Novoeight

hydroxyzine pamoate

Nuwiq

hydroxyzine HCL

Persantine

lorazepam

Plavix

meprobamate

Pletal

oxazepam

Protamine Sulfate

Diazepam


23

Hydroxyzine Pamoate Effexor XR

NON PREFERRED Elavil

Alprazolam Intensol Emsam

Ativan Fetzima

Gabavale-5 Fetzima Titration Pack

Gabazolamine Gaboxetine

Gabazolamine-0.5 Irenka

Hydroxyzine HCL Khedezla

Lorazepam Lexapro

Sentrazolam AM 0.25 Luvox CR

Tranxene T Marplan

Valium Nardil

Vistaril Norpramin

Xanax Oleptro

Xanax XR Pamelor

Parnate

ANTIDEPRESSANTS Paxil CR

Pexeva

GENERIC

Prozac

amitriptyline HCL

Prozac Weekly

bupropion HCL

Remeron

bupropion HCL ER

Remeron Soltab

bupropion HCL SR

Sentraflox AM-10

bupropion HCL XL

Sentralopram AM-10

citalopram hydrobromide

Sentravil PM-25

clomipramine HCL

Sentroxatine

desipramine HCL

Surmontil

doxepin HCL

Tofranil

duloxetine HCL

Tofranil-PM

escitalopram oxalate

Trazamine

fluoxetine DR

Trintellix

fluoxetine HCL

Viibryd

fluvoxamine maleate

Viibryd Starter Pack

fluvoxamine maleate ER

Vivactil

imipramine pamoate

Wellbutrin

imipramine HCL

Wellbutrin SR

mirtazapine

Wellbutrin XL

mirtazapine odt

Zoloft

nefazodone HCL

nortriptyline HCL

ANTIPSYCHOTICS

paroxetine HCL

paroxetine HCL ER GENERIC

phenelzine sulfate aripiprazole

protriptyline HCL aripiprazole odt

sertraline HCL chlorpromazine HCL

tranylcypromine sulfate clozapine

trazodone HCL clozapine odt

trimipramine maleate fluphenazine decanoate

venlafaxine HCL fluphenazine HCL

venlafaxine HCL ER haloperidol

Amoxapine haloperidol decanoate

Doxepin HCL haloperidol lactate

Nefazodone HCL lithium carbonate

Nortriptyline HCL lithium carbonate ER

Venlafaxine HCL ER loxapine

PREFERRED loxapine succinate

Fluoxetine HCL olanzapine

Forfivo XL olanzapine odt

Maprotiline HCL paliperidone ER

Paxil perphenazine

Pristiq prochlorperazine

NON PREFERRED prochlorperazine edisylate

Anafranil prochlorperazine maleate

Aplenzin quetiapine fumarate

Appbutamone risperidone

Brintellix risperidone odt

Celexa thioridazine HCL

Cymbalta thiothixene

Desvenlafaxine ER trifluoperazine HCL

Duloxetine HCL ziprasidone HCL


24

Clozapine Odt Lunesta

PREFERRED Nembutal Sodium

Abilify Discmelt Phenobarbital Sodium

Fluphenazine HCL Precedex

Saphris Restoril

Seroquel XR Rozerem

NON PREFERRED Seconal

Abilify Seconal Sodium

Abilify Maintena Sentrazolpidem PM-5

Adasuve Silenor

Aristada Sonata

Chlorpromazine HCL Strazepam

Clozaril Zolpimist

Equetro

Fanapt ADHD, NARCOLEPSY, ETC.

Fanapt Titration Pack

GENERIC

Fazaclo

amphetamine/dextroamphetamine

Geodon

armodafinil

Haldol

caffeine citrate

Haldol Decanoate 100

clonidine HCL ER

Haldol Decanoate 50

dexmethylphenidate HCL

Invega

dexmethylphenidate HCL ER

Invega Sustenna

dextroamphetamine sulfate

Invega Trinza

dextroamphetamine sulfate ER

Latuda

doxapram HCL

Lithium

guanfacine ER

Lithium Carbonate

methamphetamine HCL

Lithobid

methylphenidate hydrochloride

Molindone Hydrochloride

methylphenidate HCL

Nuplazid

methylphenidate HCL CD

Rexulti

methylphenidate HCL ER

Risperdal

methylphenidate HCL SR

Risperdal Consta

modafinil

Risperdal M-TAB

Armodafinil

Seroquel

Methylphenidate HCL ER

Versacloz

PREFERRED

Vraylar

Strattera

Zyprexa

Vyvanse

Zyprexa Relprevv

NON PREFERRED

Zyprexa Zydis

Adderall

Adderall XR

HYPNOTICS

Adzenys XR-odt

GENERIC Aptensio XR

dexmedetomidine HCL Cafcit

estazolam Caffeine/Sodium Benzoate

eszopiclone Concerta

phenobarbital Daytrana

temazepam Desoxyn

triazolam Dexedrine

zaleplon Dopram

zolpidem tartrate Dyanavel XR

zolpidem tartrate ER Evekeo

Flurazepam HCL Focalin

Phenobarbital Focalin XR

Quazepam Intuniv

Triazolam Kapvay

NON PREFERRED Metadate CD

Ambien Methylin

Ambien CR Nuvigil

Amytal Sodium Procentra

Belsomra Provigil

Butisol Sodium Quillichew ER

Dexmedetomidine HCL Quillivant XR

Doral Ritalin

Edluar Ritalin LA

Gabazolpidem-5 Sentramodafin AM-100

Halcion Zenzedi

Hetlioz

Intermezzo


25

ANTICONVULSANTS Peganone

Phenytek

GENERIC

Potiga

carbamazepine

Qudexy XR

carbamazepine ER

Sabril

clonazepam

Spritam

clonazepam odt

Stavzor

divalproex sodium

Tegretol

divalproex sodium DR

Tegretol-XR

divalproex sodium ER

Therapentin-60

ethosuximide

Therapentin-90

felbamate

Topamax

fosphenytoin sodium

Topamax Sprinkle

gabapentin

Topiramate ER

lamotrigine

Trileptal

lamotrigine odt

Trokendi XR

lamotrigine titration

Vimpat

lamotrigine ER

Zarontin

levetiracetam

Zonegran

levetiracetam ER

oxcarbazepine

ANTIPARKINSON AGENTS

phenytoin

phenytoin sodium GENERIC

phenytoin sodium extended amantadine HCL

primidone benztropine mesylate

tiagabine hydrochloride bromocriptine mesylate

topiramate carbidopa

valproate sodium carbidopa/levodopa

valproic acid carbidopa/levodopa odt

zonisamide carbidopa/levodopa ER

Diazepam entacapone

PREFERRED pramipexole dihydrochloride

Diastat Acudial pramipexole dihydrochloride ER

Diastat Pediatric ropinirole ER

Lyrica ropinirole HCL

NON PREFERRED selegiline HCL

Aptiom tolcapone

Banzel trihexyphenidyl HCL

Briviact Carbidopa/Levodopa/Entacapone

Carbatrol PREFERRED

Celontin Apokyn

Cerebyx NON PREFERRED

Depacon Amantadine HCL

Depakene Azilect

Depakote Cogentin

Depakote ER Comtan

Depakote Sprinkles Duopa

Dilantin Eldepryl

Dilantin Infatabs Lodosyn

Dilantin-125 Mirapex

Fanatrex Fusepaq Mirapex ER

Felbatol Neupro

Fycompa Parlodel

Gabitril Requip

Keppra Requip XL

Keppra XR Rytary

Klonopin Sinemet

Lamictal Sinemet CR

Lamictal Chewable Dispersible Stalevo 100

Lamictal Odt Stalevo 125

Lamictal Starter/Not Taking Carbamazepine Stalevo 150

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate

Stalevo 200

Stalevo 50

Lamictal Starter/Taking Valproate

Stalevo 75

Lamictal XR

Tasmar

Levetiracetam

Zelapar

Mysoline

Neurontin

NEUROLOGY, PSYCH - MISC.

Onfi

GENERIC

Oxtellar XR

acamprosate calcium DR


26

disulfiram NEUROMUSCULAR AGENTS

donepezil HCL

GENERIC

ergoloid mesylates

atracurium besylate

galantamine hydrobromide

cisatracurium besylate

glatopa

pancuronium bromide

memantine hydrochloride

riluzole

memantine HCL

rocuronium bromide

memantine HCL titration PAK

vecuronium bromide

olanzapine/fluoxetine

PREFERRED

pimozide

Botox

rivastigmine tartrate

NON PREFERRED

rivastigmine transdermal system

Anectine

tetrabenazine

Dysport

Ergoloid Mesylates

Exondys 51

Galantamine Hydrobromide

Myobloc

PREFERRED

Nimbex

Ampyra

Quelicin

Avonex

Quelicin 1000

Avonex Pen

Rilutek

Betaseron

Rocuronium Bromide

Chlordiazepoxide/Amitriptyline

Succinylcholine Chloride

Copaxone

Vecuronium Bromide

Namenda XR

Vecuronium Bromide/Sodiumchloride

Namenda XR Titration Pack

Xeomin

Namzaric

Zemuron

Perphenazine/Amitriptyline

Tecfidera

MUSCULOSKELETAL AGENTS

Tecfidera Starter Pack

GENERIC

NON PREFERRED

baclofen

Addyi

carisoprodol

Antabuse

carisoprodol/aspirin

Aricept

carisoprodol/aspirin/codeine

Aricept Odt

chlorzoxazone

Aubagio

cyclobenzaprine HCL

Brisdelle

dantrolene sodium

Campral

metaxalone

Convenience PAK

methocarbamol

Dermacinrx Dpn PAK

orphenadrine citrate

Exelon

orphenadrine citrate ER

Extavia

tizanidine HCL

Fluoxetine

Metaxalone

Gilenya

PREFERRED

Gralise

Euflexxa

Gralise Starter

Gablofen

Horizant

Lioresal Intrathecal

Lemtrada

Synvisc

Namenda

Synvisc One

Namenda Titration PAK

NON PREFERRED

Nuedexta

Amrix

Orap

Cyclobenzaprine Comfort PAC

Plegridy

Cyclophene Rapidpaq

Plegridy Starter Pack

Dantrium

Razadyne

Dantrium IV

Razadyne ER

Fexmid

Rebif

First-baclofen 1

Rebif Rebidose

First-baclofen 5

Rebif Rebidose Titration Pack

Flexepax

Rebif Titration Pack

Gel-one

Sarafem

Gelsyn-3

Savella

Genvisc 850

Savella Titration Pack

Hyalgan

Smartrx Gaba Kit

Hymovis

Smartrx Gaba-v Kit

Lorvatus Pharmapak

Symbyax

Lorzone

Tysabri

Metaxall CP

Xenazine

Monovisc

Xyrem

Norflex

Zinbryta

Orthovisc

Parafon Forte DSC


27

Prazolamine Viroptic

Robaxin Zirgan

Robaxin-750 Zymaxid

Ryanodex

Skelaxin ARTIFICIAL TEAR/LUBRICANT

Soma

NON PREFERRED

Supartz

Lacrisert

Supartz Fx

Tabradol Fusepaq

BETA-BLOCKERS

Tabradol Rapidpaq

GENERIC

Therabenzaprine-60

betaxolol HCL

Therabenzaprine-90

carteolol HCL

Therabenzaprine-90-5

dorzolamide HCL/timolol maleate

Tizanidine Comfort PAC

levobunolol HCL

Zanaflex

timolol maleate

timolol maleate ophthalmic gel forming

ANTIMYASTHENIC AGENTS

Metipranolol

GENERIC

PREFERRED

neostigmine methylsulfate

Betoptic-s

pyridostigmine bromide

Combigan

pyridostigmine bromide ER

Timoptic Ocudose

PREFERRED

NON PREFERRED

Guanidine HCL

Betagan

NON PREFERRED

Betimol

Bloxiverz

Cosopt

Enlon

Cosopt PF

Enlon-plus

Istalol

Mestinon

Timoptic

Mestinon Timespan

Timoptic-xe

Neostigmine Methylsulfate

Regonol

OPHTHALMIC STEROIDS

GENERIC

OPHTHALMOLOGY AND OTIC

dexamethasone sodium phosphate

ANTI-INFECTIVES fluorometholone

neomycin/polymyxin/bacitracin/hydrocortisone

GENERIC

neomycin/polymyxin/dexamethasone

bacitracin/polymyxin b

prednisolone acetate

ciprofloxacin HCL

sulfacetamide sodium/prednisolone sodium phosphate

erythromycin

tobramycin/dexamethasone

gatifloxacin

PREFERRED

gentamicin sulfate

Dexamethasone Sodium Phosphate

levofloxacin

FML

neomycin/bacitracin/polymyxin

FML Forte

neomycin/polymyxin/bacitracin zinc

Pred Mild

neomycin/polymyxin/gramicidin

Prednisolone Sodium Phosphate

ofloxacin

NON PREFERRED

polymyxin b sulfate/trimethoprim sulfate

Alrex


Blephamide

sulfacetamide sodium

Blephamide S.o.p.

tobramycin sulfate

Durezol

trifluridine

Flarex

trimethoprim sulfate/polymyxin b sulfate

FML Liquifilm

PREFERRED

Lotemax

Bacitracin

Maxidex

Moxeza

Maxitrol

Natacyn

Neomycin/Polymyxin/Hydrocortisone

Sulfacetamide Sodium

Omnipred

Vigamox

Pred Forte

NON PREFERRED

Pred-G

Azasite

Pred-G S.o.p.

Besivance

Prednisolone/Moxifloxacin

Betadine Ophthalmic Prep

Prednisolone/Moxifloxacin/Bromfenac

Bleph-10

Tobradex

Ciloxan

Tobradex ST

Garamycin

Vexol

Mitosol

Zylet

Neosporin

Ocuflox

PROSTAGLANDINS

Polytrim

Tobrex


28

GENERIC ketorolac tromethamine

latanoprost olopatadine HCL

Bimatoprost PREFERRED

Travoprost Azopt

PREFERRED Pataday

Lumigan Pazeo

Travatan Z NON PREFERRED

NON PREFERRED Acular

Rescula Acular LS

Xalatan Acuvail

Zioptan Alocril

Alomide

CYCLOPLEGIC MYDRIATICS Bepreve

Bromfenac

GENERIC

Bromsite

atropine sulfate

Cystaran

cyclopentolate hydrochloride

Elestat

cyclopentolate HCL

Emadine

homatropine HBR

Ilevro

Atropine Sulfate

Lastacaft

NON PREFERRED

Nevanac

Cyclogyl

Ocufen

Cyclomydril

Optivar

Isopto Atropine

Patanol

Prolensa

DECONGESTANTS

Trusopt

GENERIC

phenylephrine HCL

OTIC AGENTS

PREFERRED

GENERIC

Naphazoline HCL

acetic acid

antipyrine/benzocaine

MIOTICS

fluocinolone acetonide

GENERIC

fluocinolone acetonide ear drops

pilocarpine HCL

hydrocortisone/acetic acid

PREFERRED

neomycin/polymyxin/hydrocortisone

Phospholine Iodide

neomycin/polymyxin/HC

NON PREFERRED

ofloxacin

Isopto Carpine

PREFERRED

Acetic Acid/Aluminum Acetate

ADRENERGIC AGENTS

Ciprodex

GENERIC

Pramotic

apraclonidine

NON PREFERRED

brimonidine tartrate

Antipyrine/Benzocaine

PREFERRED

Cetraxal

Alphagan P

Cipro HC

Simbrinza

Ciprofloxacin

NON PREFERRED

Coly-mycin S

Iopidine

Cortisporin-tc

Dermotic

IMMUNOMODULATORS

Floxin Otic

NON PREFERRED

Otiprio

Restasis

Otovel

Otozin

LOCAL ANESTHETICS

Vosol HC

GENERIC

proparacaine HCL

OXYTOCICS

tetracaine HCL

NON PREFERRED

GENERIC

Akten

methylergonovine maleate

Alcaine

oxytocin

NON PREFERRED

OPHTHALMICS - MISC.

Cervidil

GENERIC

Hemabate

azelastine HCL

Oxytocin

bromfenac

Oxytocin/Lactated Ringers

cromolyn sodium

Pitocin

diclofenac sodium

Prepidil

dorzolamide HCL

Prostin E2

epinastine HCL

flurbiprofen sodium


29

PAIN MANAGEMENT Oxycodone HCL ER

PREFERRED

ANALGESICS - NONNARCOTIC

Embeda

GENERIC

Hydromorphone HCL

butalbital/acetaminophen

Opana ER (crush Resistant)

butalbital/acetaminophen/caffeine

Oxycodone/Ibuprofen

butalbital/aspirin/caffeine

Oxycontin

choline magnesium trisalicylate

Suboxone

diflunisal

Zubsolv

salsalate

NON PREFERRED

PREFERRED

Abstral

Choline Magnesium Trisalicylate

Actiq

Dologesic

Alfenta

Prialt

Avinza

NON PREFERRED

Belbuca

Allzital

Bunavail

Bupap

Buprenex

Disalcid

Butrans

Esgic

Capital/Codeine

Fioricet

Codeine Sulfate

Fiorinal

Conzip

Levacet

Demerol

Ofirmev

Dilaudid

Vanatol LQ

Dilaudid-HP

Dolophine

ANALGESICS - OPIOID

Duragesic

GENERIC

Exalgo

acetaminophen/caffeine/dihydrocodeine

Fentanyl Citrate

acetaminophen/codeine

Fentanyl Citrate/NACL

acetaminophen/codeine #2

Fentanyl Citrate/Sodium Chloride


Fentora


Fioricet/Codeine

acetaminophen/codeine phosphate

Fiorinal/Codeine #3

alfentanil

Hycet

buprenorphine HCL

Hydromorphone Hydrochloride/ NACL

buprenorphine HCL/naloxone HCL

Hydromorphone Hydrochloride/NACL

butalbital/acetaminophen/caffeine/codeine

Hydromorphone Hydrochloride/Sodium Chloride

butalbital/aspirin/caffeine/codeine

Hydromorphone HCL/NACL

butorphanol tartrate

Hysingla ER

codeine sulfate

Ibudone

fentanyl

Infumorph 200

fentanyl citrate oral transmucosal

Infumorph 500

hydrocodone bitartrate/acetaminophen

Ionsys

hydrocodone/acetaminophen

Kadian

hydrocodone/ibuprofen

Lazanda

hydromorphone hydrochloride

Levorphanol Tartrate

hydromorphone HCL

Lortab

hydromorphone HCL dosette

Meperidine HCL

hydromorphone HCL ER

Methadone HCL

meperidine HCL

Methadose

methadone HCL

Methadose Sugar-free

morphine sulfate

Morphine Sulfate Add-vantage

morphine sulfate ER

Morphine Sulfate/NACL

nalbuphine HCL

Morphine Sulfate/Sodium Chloride

oxycodone HCL

MS Contin

oxycodone/acetaminophen

Norco

oxycodone/aspirin

Nucynta

oxymorphone hydrochloride

Nucynta ER

oxymorphone hydrochloride ER

Opana

pentazocine/naloxone HCL

Oxaydo

tramadol hydrochloride/acetaminophen

Oxycodone/Acetaminophen

tramadol HCL

Percocet

tramadol HCL ER

Percodan

Aspirin-caffeine-dihydrocodeine

Primlev

Fentanyl

Probuphine Implant Kit

Hydrocodone/Acetaminophen

Remifentanil HCL

Hydromorphone HCL/Sodium Chloride

Reprexain

Meperidine Hydrochloride/Sodium Chloride

Roxicet

Morphine Sulfate

Roxicodone

Morphine Sulfate ER

Subsys


30

Synalgos-dc Arava

Synapryn Fusepaq Arcalyst

Talwin Arthrotec 50

Theracodeine-300 Arthrotec 75

Theracodophen-325 Caldolor

Theratramadol-60 Capxib Kit

Theratramadol-90 Cataflam

Tramadol HCL ER Celebrex

Trezix Daypro

Tylenol/Codeine #3 Derma Silkrx Anodynexa PAK

Tylenol/Codeine #4 Derma Silkrx Diclopak

Ultiva Dermacinrx Inflammatral PAK

Ultracet Duexis

Ultram Dyloject

Ultram ER Enbrel

Vicoprofen Enbrel Sureclick

Xartemis XR EC-naprosyn

Xodol Feldene

Xtampza ER Fenortho

Zamicet Flanax Pain Relief Kit

Zohydro ER Ibuprofen Comfort PAC

Indocin

ANTI-INFLAMMATORY Indomethacin

IC 400

GENERIC

IC 800

celecoxib

Ketorocaine-l

diclofenac potassium

Ketorocaine-lm

diclofenac sodium DR

Ketorolac Tromethamine

diclofenac sodium ER

Kineret

diclofenac sodium/misoprostol

Lodine

etodolac

Meloxicam Comfort PAC

etodolac ER

Mobic

flurbiprofen

Nalfon

ibuprofen

Naprelan

ibuprofen lysine

Naprosyn

indomethacin

Naproxen Comfort PAC

indomethacin ER

Neoprofen

ketoprofen

Orencia

ketorolac tromethamine

Orencia Clickject

leflunomide

Otezla

mefenamic acid

Otrexup

meloxicam

Ponstel

nabumetone

Prastera

naproxen

Previdolrx Analgesic PAK

naproxen sodium

Rheumatrex

naproxen sodium CR

Ridaura

naproxen sodium ER

Sprix

oxaprozin

Therafeldamine

piroxicam

Theraprofen-60

sulindac

Theraprofen-800

tolmetin sodium

Theraprofen-90

Meclofenamate Sodium

Theraproxen-500

Naproxen

Theraproxen-60

Tolmetin Sodium

Theraproxen-90

PREFERRED

Tivorbex

Fenoprofen Calcium

Toronova II Suik

Humira

Toronova Suik

Humira Pediatric Crohns Disease Starter Pack

Trepadiclofen-25

Humira Pen

Trepoxicam-7.5

Humira Pen-crohns Diseasestarter

Vimovo

Humira Pen-psoriasis Starter

Vivlodex

Ilaris

Voltaren-XR

Ketoprofen ER

Xeljanz

Meloxicam

Xeljanz XR

Rasuvo

Zipsor

Simponi

Zorvolex

Simponi Aria

NON PREFERRED

MIGRAINE PRODUCTS

Actemra

Anaprox DS


31

GENERIC NON PREFERRED

almotriptan Articadent Dental

almotriptan malate Bupivacaine Hydrochloride/Sodium Chloride

dihydroergotamine mesylate BD Pudendal/Local Block Tray 1% Lidocaine

frovatriptan succinate Carbocaine

naratriptan HCL Citanest Forte Dental

rizatriptan benzoate Citanest Plain Dental

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

sumatriptan

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

sumatriptan succinate

sumatriptan succinate refill

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

zolmitriptan

zolmitriptan odt

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

Dihydroergotamine Mesylate

Sumatriptan Succinate

Exparel

NON PREFERRED

Lidocaine HCL

Alsuma

Lidocaine HCL/Dextrose

Amerge

Marcaine

Axert

Marcaine/Epinephrine

Cafergot

Marlido-25

Cambia

Marvona Suik

D.h.e. 45

Mld Kit

Ergomar

Monoject Bone Marrow Biopsy Prepping Tray

Frova

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

Imitrex

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

Imitrex Statdose System

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

Maxalt

Maxalt-MLT

Naropin

Migergot

Nesacaine

Migral

Nesacaine-mpf

Migranal

Readysharp-a

Migranow

Ropivacaine

Onzetra Xsail

Ropivacaine Hydrochloride/Sodium Chloride

Relpax

Sensorcaine-mpf/Epinephrine

Sumavel Dosepro

Turkel Paracentesis Procedure Tray/8french

Treximet

Xylocaine

Zecuity

Xylocaine-mpf

Zembrace Symtouch

Xylocaine-mpf/Epinephrine

Zomig

Xylocaine/Epinephrine

Zomig Nasal Spray

Zomig ZMT

RESPIRATORY, ALLERGY, ETC

ANTIHISTAMINES

GOUT AGENTS

GENERIC

GENERIC

carbinoxamine maleate

allopurinol

cetirizine HCL

probenecid

clemastine fumarate

probenecid/colchicine

cyproheptadine HCL

PREFERRED

desloratadine

Colcrys

diphenhydramine HCL

Uloric

levocetirizine dihydrochloride

NON PREFERRED

promethazine HCL

Aloprim

promethazine HCL plain

Colchicine

Clemastine Fumarate

Krystexxa

Desloratadine Odt

Mitigare

PREFERRED

Zurampic

Allegra Allergy Childrens

Zyloprim

Dexchlorpheniramine Maleate

NON PREFERRED

LOCAL ANESTHETICS-INJ

Brompheniramine

GENERIC

Brompheniramine Tannate

bupivacaine HCL

Clarinex

bupivacaine/epinephrine

Dicopanol Fusepaq

lidocaine HCL

Dicopanol Rapidpaq

lidocaine/epinephrine

Karbinal ER

ropivacaine

Phenergan

ropivacaine HCL

Respa-BR

Tetracaine HCL

Xyzal


32

NASAL AGENTS Hypersal

Nebusal

GENERIC

Neotuss Plus

azelastine HCL

Obredon

budesonide

Panatuss Dxp

flunisolide

Relhist

fluticasone propionate

Rescon-JR

ipratropium bromide

Rezira

mometasone furoate

Semprex-d

olopatadine HCL

Tessalon Perles


Tussicaps

PREFERRED

Tussionex Pennkinetic Extended Release

Dymista

Tuzistra XR

NON PREFERRED

Vituz

Adrenalin

Zonatuss

Astepro

Zutripro

Atrovent

Bactroban Nasal

ANTIASTHMATIC/COPD AGENTS

Beconase AQ

Dermacinrx Azenase PAK GENERIC

Dermacinrx Ticanase PAK albuterol

Flonase albuterol sulfate

Nasonex albuterol sulfate ER

Omnaris albuterol TAB 4MG

Patanase aminophylline

Qnasl budesonide

Qnasl Childrens epinephrine HCL

Rhinocort Aqua ipratropium bromide

Ticaspray ipratropium bromide/albuterol sulfate

Tyzine levalbuterol

Tyzine Pediatric Nasal Drops levalbuterol HCL

Veramyst montelukast sodium

Zetonna terbutaline sulfate

theophylline

COUGH/COLD/ALLERGY theophylline CR

theophylline ER

GENERIC

zafirlukast

acetylcysteine

Cromolyn Sodium

benzonatate

PREFERRED

bromphen/pseudoephedrine HCL/dextromethorphan HBR

Advair Diskus

hydrocodone bitartrate/chlorpheniramine maleate/PSE

Advair HFA

hydrocodone bitartrate/homatropine methylbromide

Anoro Ellipta

hydrocodone polistirex/chlorpheniramine polistirex

Arnuity Ellipta

hydrocodone/homatropine

Breo Ellipta

phenylephrine/guaifenesin

Combivent Respimat

promethazine-DM

Elixophyllin

promethazine/codeine

Flovent Diskus

promethazine/dextromethorphan

Flovent HFA

promethazine/phenylephrine

Foradil Aerolizer

promethazine/phenylephrine/codeine

Incruse Ellipta

sodium chloride

Metaproterenol Sulfate

Benzonatate

Proair HFA

PREFERRED

Proair Respiclick

Dallergy

Pulmicort Flexhaler

J-max

Qvar

Mucinex Maximum Strength

Serevent Diskus

Promethazine/Phenylephrine

Spiriva Handihaler

NON PREFERRED

Spiriva Respimat

Carbaphen 12

Stiolto Respimat

Carbaphen 12 PED

Symbicort

Clarinex-d 12 HOUR

Ventolin HFA

Codar AR

Xolair

Cpb Wc

NON PREFERRED

Decon-a

Accolate

Exactuss

Aerospan

Flowtuss

Alvesco

Gilphex TR

Arcapta Neohaler

Giltuss

Asmanex HFA

Giltuss TR

Asmanex Twisthaler 120 Metered Doses

Hycofenix

Asmanex Twisthaler 14 Metered Doses

Hyper-sal


33

Asmanex Twisthaler 30 Metered Doses Afluria Quadrivalent 2016-2017

Asmanex Twisthaler 60 Metered Doses Afluria 2014-2015

Asmanex Twisthaler 7 Metered Doses Afluria 2015-2016

Atrovent HFA Afluria 2016-2017

Bevespi Aerosphere Bcg Vaccine

Brovana Bexsero

Cinqair Biothrax

Daliresp Cervarix

Dulera Comvax

Isuprel Engerix-b

Lufyllin Fluad 2016-2017

Nucala Fluarix Quadrivalent 2014-2015

Perforomist Fluarix Quadrivalent 2015-2016

Proventil HFA Fluarix Quadrivalent 2016-2017

Pulmicort Fluarix 2014-2015

Pulmophylline Flublok 2014-2015

Singulair Flublok 2015-2016

Striverdi Respimat Flublok 2016-2017

Theo-24 Flucelvax Quadrivalent 2016-2017

Theophylline/D5W Flucelvax 2014-2015

Tudorza Pressair Flucelvax 2015-2016

Utibron Neohaler Flulaval Quadrivalent 2014-2015

Vospire ER Flulaval Quadrivalent 2015-2016

Xopenex Flulaval Quadrivalent 2016-2017

Xopenex Concentrate Flulaval 2014-2015

Xopenex HFA Flumist Quadrivalent

Zyflo Fluvirin PF 2014-2015

Zyflo CR Fluvirin 2014-2015

Fluvirin 2015-2016

RESPIRATORY AGENTS - MISC Fluvirin 2016-2017

Fluzone High-dose PF 2014-2015

PREFERRED


Pulmozyme


NON PREFERRED

Fluzone PF 2014-2015

Aralast NP

Fluzone Quadrivalent 2014-2015

Curosurf


Esbriet


Glassia

Fluzone Split 2014-2015

Infasurf

Fluzone Split 2015-2016

Kalydeco

Gardasil

Ofev

Gardasil 9

Orkambi

Havrix

Prolastin-c

Hiberix

Surfaxin

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

Survanta Intratracheal

Ipol Inactivated IPV

Zemaira

Ixiaro

M-m-r II

TOXOIDS

Medical Provider EZ Flu Shot 2014-2015

Medical Provider EZ Flu Shot 2015-2016

NON PREFERRED

Medical Provider Single Use EZ Flu Shot

Adacel

Menactra

Boostrix

Menhibrix

Daptacel

Menomune-a/C/Y/W-135

Diphtheria/Tetanus Toxoids Adsorbed Pediatric

Menveo

Infanrix

Pedvax HIB

Kinrix

Pneumovax 23

Pediarix

Pneumovax 23/1 Dose

Pentacel

Pneumovax 23/5 Dose

Quadracel

Prevnar 13

Tenivac

Proquad

Tetanus/Diphtheria Toxoids-adsorbed

Rabavert

Tetanus/Diphtheria Toxoids-adsorbed Adult

Recombivax HB

Rotarix

VACCINES

Rotateq

Trumenba

NON PREFERRED

Twinrix

Acthib

Typhim VI

Afluria PF 2014-2015

Vaqta


Varivax


Vaxchora


34

Vivotif One A Day Womens Prenatal/DHA

Yf-vax One A Day Womens Prenatal1

Zostavax One-a-day Womens Prenatal

OB Complete

VITAMINS OB Complete One

OB Complete Petite

VITAMINS

OB Complete Premier

GENERIC

OB Complete/DHA

ascorbic acid

Poly-VI-flor

ergocalciferol

Poly-VI-flor FS

phytonadione

Poly-VI-flor/Iron

pyridoxine HCL

Prefera OB

thiamine HCL

Prefera OB + DHA

vitamin c 222MG

Prenata

vitamin d

Prenatal Vitamin

vitamin k1

Prenatal Vitamins

PREFERRED

Prenate AM

Mephyton

Prenate Elite

Vitamin A

Prenate Essential

NON PREFERRED

Prenate Star

Aquasol A Parenteral

Provida OB

Drisdol

Right Step Prenatal

Niacin

Select-OB

Vitamin K1

Stuart Prenatal

Wheat Germ

Taron-bc

Taron-c DHA

MULTIVITAMINS

Theranatal Core Nutrition

GENERIC

Tri-VI-flor

b-complex 100

Tricare Prenatal

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

Tricare Prenatal Compleat

PREFERRED

Tricare Prenatal DHA One

Atabex EC

Tricare Prenatal 1

Atabex Prenatal

Vinacal B

Bal-care DHA

Vinate AZ Extra

Citranatal B-calm

Vinate Calcium

Citranatal RX

Vinate DHA RF

Clinical Nutrients Prenatal Formula

Vita-pren

Concept DHA

Vitafol Gummies

Concept OB

Vitafol-nano

Duet DHA Balanced

Vitamedmd Redichew RX

Duet DHA 400

Vitapearl

Duet DHA 400EC

Viva DHA

Duet DHA 430

Your Life Multi Prenatal

Duet DHA 430EC

Zatean-pn

Enbrace HR

Zatean-pn Plus

Escavite

NON PREFERRED

Escavite D

Adrenal C Formula

Folbee Plus Cz

Albafort

Folcaps Omega 3

Bacmin

Folivane-OB

Citranatal Assure

Healthy Mama Be Well Rounded

Citranatal DHA

Marnatal-f

Citranatal Harmony

Mission Prenatal

Citranatal 90 DHA

Mteryti

Cod Liver Oil

Mteryti Folic 5

Corvite

Mykidz Iron Fl

Crnatal

Mynatal

Dialyvite Supreme D

Natachew

Dialyvite 3000

Natalvit

Dialyvite 5000

Natelle One

Dialyvite/Zinc

Neevo DHA

Floriva

Nestabs

Focalgin CA

Nestabs DHA

Focalgin 90 DHA

Newgen

Folet DHA

Niva-plus

Folet One

O-CAL Fa

Folgard OS

O-CAL Prenatal

Folivane-prx DHA NF

Obstetrix DHA

Fortavit

Obtrex

Gesticare DHA

Obtrex DHA

Infuvite


35

Infuvite Adult MEDICAL DEVICES

Infuvite Pediatric

DIABETIC SUPPLIES

M.v.i. Adult

PREFERRED

M.v.i. Pediatric

Accu-chek Active Strips

M.v.i.-12 Without Vitamin K

Accu-chek Aviva

Natalvirt CA

Accu-chek Aviva Connect

Natalvirt 90 DHA

Accu-chek Aviva Plus

Nephplex RX

Accu-chek Comfort Curve Test Strips

Nephro-vite RX

Accu-chek Compact Plus

Nephrocaps

Accu-chek Compact Plus Care Kit

Nephrocaps QT

Accu-chek Compact Test Drum

Nestabs Abc

Accu-chek Fastclix Lancetdevice Kit

Nexa Plus

Accu-chek Fastclix Lancets

Nicadan

Accu-chek Multiclix Lanc Et Device Kit

Nicadan ZX

Accu-chek Multiclix Lancets

Nicazel

Accu-chek Nano Smartview

Nicazel Forte

Accu-chek Safe-t-pro Lancets

Nicomide

Accu-chek Safe-t-pro Pluslancets

Nutricap

Accu-chek Smartview Strips

Nutrivit

Accu-chek Soft Touch Lancets

Obstetrix One

Accu-chek Softclix Lancetdevice Kit

Ocuvel

Accu-chek Softclix Lancets

OB Complete Gold

Accu-chek Voicemate

Paire OB

Accutrend Glucose

Preferaob +dha

Active 1ST Blood Lancets 30G/Easy Twist CAP

Preferaob One

Advocate Insulin Pen Needles 29GX12.7MM

Prefol-DHA

Advocate Insulin Pen Needles 31GX5MM

Prenate

Advocate Insulin Pen Needles 31GX8MM

Prenate DHA

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

Prenate Enhance


Prenate Mini


Prenate Pixie


Prenate Restore


Preque 10


Protect Plus

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

Provida DHA


Quflora FE


R-natal OB

Advocate Lancets

Renatabs

Advocate Lancets 30G

Renatabs With Iron

Advocate Safety Lancets

Req 49+

Advocate Safety Lancets 26G

Select-ob+dha

Agamatrix Ultra-thin Lancets 33G

Siderol

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

Strovite Forte

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

Strovite One

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

Supervite

Assure Haemolance Plus High Flow 18G

Supervite EC

Assure Haemolance Plus Low Flow 25G

Support-500

Assure Haemolance Plus Micro Flow 28G

Synagex

Assure Haemolance Plus Normal Flow 21G

Synatek

Assure Haemolance Plus Pediatric Blade

Texavite LQ

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

Triveen-duo DHA

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

Triveen-prx RNF

Assure Lance Lancets

TL G-FOL OS

Assure Lance Lancets 21G

Udamin SP

Assure Lance Plus Safety Lancets 25G

Vemavite-prx 2

Assure Lance Plus Safety Lancets 30G

Vitafol

Assure Lancets

Vitafol Fe+

Aurora Lancet Super Thin 30G

Vitafol Ultra

Aurora Lancet Thin 23G

Vitafol-ob+dha

Aurora Pen Needles 29GX12MM

Vitafol-one

Aurora Pen Needles 31G X 6MM

Vital-d RX

Aurora Pen Needles 31G X 8MM

Vitamedmd One RX/Quatrefolic

Autolet Platforms

Vitamedmd Plus RX/Quatre Folic

AF Lancets Super Thin

Vitaroca Plus

AT Last Lancets

Vitatrue

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

Zatean-pn DHA

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

Zatean-CH

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

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


36

B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2" BD-insul SYR Mis LO Dose

B-d Insulin Syringe Ultrafine/1ML/30G X 1/2" Carefine Pen Needle 32GX4MM

Bayer Microlet Lancets Carefine Pen Needles 29GX1/2"

Bullseye Safety Lancets Carefine Pen Needles 30GX5/16"

BD Autoshield Duo 30G X 3/16" Carefine Pen Needles 31GX6MM

BD Autoshield 29G X 3/16" Carefine Pen Needles 31GX8MM

BD Autoshield 29G X 5/16" Careone Lancet Thin

BD Insulin Syringe LUER-LOK/U-100/1ML Careone Lancet Ultra Thin

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

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

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8" Clever Chek Lancets Ultrathin 30G

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2" Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM

BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2" Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16"

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

Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G 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 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


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

BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16" Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2"

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"









BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64" Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2"


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

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






Clever Choice Comfort EZ Pen Needles 29GX12MM

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








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


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


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



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


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

Coaguchek Lancets

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

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

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

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




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




BD Insulin Syringe/U-500/0.5ML/31G X 15/64"

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

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


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


BD Lancet Ultrafine 30G

Comfort Lancets

BD Lancet Ultrafine 33G

Diastar Easy Test II Lancets 30G

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

Diastar Easy Test Lancets30G

Droplet Lancets Ultra Thin 30G

BD Microtainer Lancets

Droplet Pen Needles 29GX12MM

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"


BD Pen Needle/Ultrafine/29G X 12.7MM


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


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

Drug Mart On-the-go Lancets Gentle 30G

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

Drug Mart Unilet Lancets Super Thin 30G

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

Drug Mart Unilet Lancets Ultra Thin 28G

Duane Reade Unifine Pentips 29G X 12MM

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

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT


37

Duane Reade Unifine Pentips 31G X 8MM SHORT Embrace Lancets Ultra Thin 30G

E-z Ject Lancets Eql SHORT Pen Needles 31G X 8MM

E-z Ject Lancets Color Eql Ultra SHORT Pen Needles 31G X 6MM

E-z Ject Lancets Super Thin Excel Comfort Point Insulin Pen Needles 31G X 4MM

E-z Ject Lancets Super Thin 30G Exel Comfort Point Insulin Pen Needles 29G X 12MM

E-z Ject Lancets Thin 26G Exel Comfort Point Insulin Pen Needles 31G X 6MM

E-z Ject Lancets 21G Exel Comfort Point Insulin Pen Needles 31G X 8MM

E-ZJECT Lancets Micro-thin 33G Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2"

Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2" Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16"

Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX1/2" Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2"

Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX5/16"

Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2"

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

Easy Touch Fliplock Safety Insulin Syringe 1ML/31GX5/16"

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


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


EZ Smart Blood Glucose Lancets

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

EZ-lets Lancets 21G

EZ-lets Lancets 23G

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

EZ-lets Lancets 26G Super-soft

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

EZ-lets Lancets 28G Ultra-soft

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

EZ-lets Lancets 30G


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


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


Fifty50 Pen Needles 31GX5MM


Fifty50 Pen Needles/31GX8MM

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

Fifty50 Pen Needles/32GX4MM


Fifty50 Safety Seal Lancets 30G


Fifty50 Safety Seal Lancets 32G


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


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

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



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


Fifty50 Unilet Lancets 33G

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

Fine 30

Easy Touch Lancets 21G/Pressure Activated

Fingerstix Lancets


Fora Lancets


Freestyle Lancets

Easy Touch Lancets 26G/Pull-top

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

Easy Touch Lancets 26G/Twist


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


Easy Touch Lancets 28G/Twist Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16"

Easy Touch Lancets 30G/Button-activated

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



Freestyle Unistick II Lancets


Gentle-let GP Lancets


Gentle-let Lancets General Purpose Style/Fine Point


Gentle-let Lancets General Purpose Style/Medium Point


Gentle-let Lancets Safety Style/Fine Point


Gentle-let Lancets Safety Style/Medium Point

Easy Touch Pen Needles 29GX1/2"

Gentle-let Platforms 2.4MM


Gentle-let Platforms 3.0MM


Glucocom Lancets 28G



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


Easy Touch Safety Lancets21G/Pressure Activated

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



Easy Touch Safety Lancets26G/Button Activated




Easy Touch Safety Lancets28G/Button Activated




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

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





Glucosource Lancets

Gmate Lancets 30G

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

H-e-b Incontrol Pen Needles 29GX12MM

Easy Twist & CAP Lancets

H-e-b IN Control Pen Needles 31GX6MM

Easytest II Lancets

H-e-b IN Control Pen Needles 31GX8MM

Easytest Lancets

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


38

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

Haemolance Low Flow Lancets Litetouch Insulin Syringe/0.3ML/30G X 5/16"

Haemolance Plus Litetouch Insulin Syringe/0.3ML/31G X 5/16"

Haemolance Plus High Flow Litetouch Insulin Syringe/0.5ML/30G X 5/16"

Haemolance Plus Low Flow Litetouch Insulin Syringe/0.5ML/31G X 5/16"

Haemolance Plus Max Flow Litetouch Insulin Syringe/1ML/30G X 5/16"

Haemolance Plus Pediatric Flow Litetouch Lancets Micro Thin 33G

Healthwise Mini Pen Needles 31GX6MM Litetouch Pen Needles 29GX12.7MM

Healthwise Pen Needles 29GX12MM Litetouch Pen Needles 31G X 6MM

Healthwise SHORT Pen Needles 31GX8MM Litetouch Pen Needles 31GX8MM SHORT

Hy-vee Lancets Live Better Lancet Super Thin 30G

Insulin Syringe/U-100/0.3ML/29G X 1/2" Live Better Lancet Ultra Thin 28G

Insulin Syringe/U-100/0.5ML/28G X 1/2" Live Better Pen Needles 29G X 12MM

Insulin Syringe/U-100/0.5ML/29G X 1/2" Live Better Pen Needles 31G X 12MM

Insulin Syringe/U-100/1ML/28G X 1/2" Live Better Pen Needles 31G X 6MM

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



Insulin Syringe/0.3ML/29G X 1/2" Magellan Insulin Safety Syringe/U-100/0.5ML/30G X 5/16"

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

Insulin Syringe/0.3ML/30G X 5/16" Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16"

Insulin Syringe/0.3ML/31G X 5/16" Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2"

Insulin Syringe/0.5ML/27G X 1/2" Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2"

Insulin Syringe/0.5ML/28G X 1/2" Medisense Thin Lancets

Insulin Syringe/0.5ML/29G X 1/2" Medlance Plus Extra Lancets 21G

Insulin Syringe/0.5ML/30G X 1/2" Medlance Plus Lancets

Insulin Syringe/0.5ML/30G X 5/16" Medlance Plus Lancets Lite 25G

Insulin Syringe/0.5ML/31G X 5/16" Medlance Plus Lite Lancets 25G

Insulin Syringe/1ML/28G X 1/2" Medlance Plus Special Lancets 0.8MM

Insulin Syringe/1ML/29G X 1/2" Medlance Plus Superlite 30G

Insulin Syringe/1ML/30G X 5/16" Medlance Plus Superlite 30G/Comfort Max

Insulin Syringe/1ML/31G X 5/16" Medlance Plus Universal Lancets 21G

Insupen Sensitive 32GX8MM Medlance Plus/Lite 25G

Insupen Ultrafin 29GX12MM Medlance/Extra

Insupen Ultrafin 30GX8MM Medlance/Lite

Insupen Ultrafin 31GX6MM Medlance/Universal

Insupen Ultrafin 31GX8MM Meijer Lancets Universal 30G

IN Touch Sterile Lancets 30G Meijer Super Thin Lancets

Lancet Transporter Case Microlet Lancets

Lancets Microtainer Safety Flow Lancet/Sterile/Single-use

Lancets Bullseye Safety Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML

Lancets Safety Seal 21G Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8"

Lancets Safety Seal 26G Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2"

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

Lancets Safety Seal 30G

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

Lancets Thin

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

Lancets Twist Top

Lancets Ultra Fine

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

Lancets Ultra Thin

Lancets 26G Twist Top

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

Lancets 28G

Lancets 30G

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


Lancets 30G/Twist Top Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2"


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

Lancets 33G Universal Design

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

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


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


Leader Unifine Pentips/Mini/31GX3/16"

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

Leader Unifine Pentips/Nano/32GX5/32"

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

Leader Unifine Pentips/Plus/32GX5/32"

Monoject Insulin Syringe/1ML

Liberty Medical Lancets 30G

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

Lifescan Unistik II Lancets

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

Lifescan Unistik 2 Deep Penetration


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


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


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


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





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


39

Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2" Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16"

Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16" Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2"

Monojector End CAPS Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2"

Monojector Opd End CAPS Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8"

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

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

Monolettor Safety Lancets

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

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

Precision Thin Lancets

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

Precision Thins GP Lancet

Precision Ultra Lancet

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

Preferred Plus Unifine Pentips 29G X 12MM

Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT

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

Preferred Plus Unifine Pentips 31G X 8MM SHORT

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

Myglucohealth Mgh Softlance Lancets 30G

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

Netgroup Lancets

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

Nova Safety Lancets 23G

Prodigy Pressure Activated Safety Lancets

Nova Safety Lancets 28G

Prodigy Safety Lancets

Nova Sureflex Lancets

Prodigy Twist Top Lancets

Novofine Plus 32GX4MM

Pss Select GP Lancets

On Call Lancets

Pss Select Platforms

On Call Plus Lancets

Pss Select Safety Lancets

Onetouch Club Lancets Fine Point

Px Lancets Ultra Thin

Onetouch Combo Pack

PC Unifine Pentips 29G X 1/2"

Onetouch Delica Lancets Extra Fine 33G

PC Unifine Pentips 31G X 6MM Ultra SHORT

Onetouch Delica Lancets Fine 30G

PC Unifine Pentips 31G X 8MM SHORT

Onetouch Finepoint Lancets

Qc Lancets Super Thin

Onetouch Lancets

Qc Lancets Ultra Thin

Onetouch Suresoft Lancing Device/18G

Qc Pen Needles 29G X 12MM





Onetouch Ultra Blue

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

Onetouch Ultra Mini

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

Onetouch Ultra 2

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

Onetouch Ultralink System (hex)

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

Onetouch Ultralink System (DEC)


Onetouch Ultrasoft Lancets


Onetouch Verio


Onetouch Verio Flex Bloodglucose Monitoring System


Onetouch Verio IQ Blood Glucose Monitoring System


Onetouch Verio Sync Bloodglucose Monitoring System


Onetouch Verio Test Strips


Pen Needles 29G X 12MM

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

Pen Needles 29GX1/2"




Pen Needles 31G X 1/4" SHORT

Relion Lancets Micro-thin33G

Pen Needles 31G X 3/16"

Relion Lancets Standard 21G


Relion Lancets Thin 26G


Relion Lancets Ultra-thin30G


Relion Mini Pen Needles 31GX6MM

Pen Needles 31GX6MM (1/4")

Relion Pen Needles 29GX12MM

Pen Needles 31GX8MM


Pen Needles 31GX8MM (5/16")


Pen Needles 32GX4MM


Penlet II Replacement CAPS

Relion SHORT Pen Needles 31GX8MM

Penlet II Replacement CAPS-deep

Relion Thin Lancets

Penlet II Replacement CAPS-regular

Relion Ultra Thin Lancets

Pentips 29GX12MM

Relion Ultra Thin Lancets30G

Pentips 31GX5MM

Relion Ultra Thin Plus Lancets 32G

Pentips 31GX6MM

Relion Ultra Thin Plus Lancets 33G

Pentips 31GX8MM

Rexall Lancets Ultra Thin

Pentips 32GX4MM

Rightest Gl300 Lancets

Perfect Lancets 30G

Rightest GD-L500 Alternate Site Adapter

Perfect Pressure Activated Safety Lancets 28G

Safe-t-lance Low Flow 25G

Pharmacist Choice Ultra Thin Lancets

Safe-t-lance Normal Flow 21G

Pharmacist Choice Ultra Thin Lancets 28G

Safe-t-lance Plus Safety Lancet High Flow


Safe-t-lance Plus Safety Lancet Low Flow


Safe-t-lance Plus Safety Lancet Normal Flow


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

Pharmacy Counter Lancets

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


40

Safesnap Insulin Syringe/0.5ML/30G X 5/16" Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2"

Safesnap Insulin Syringe/1ML/28G X 1/2" Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2"

Safesnap Insulin Syringe/1ML/29G X 1/2" Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16"

Safety Lancet 21G/Pressure Activated Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16"

Safety Lancet 28G/Pressure Activated Trueplus Insulin Syringe/U-100/1ML/28G X 1/2"

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

Safety Lancets 21G Trueplus Insulin Syringe/U-100/1ML/30G X 5/16"

Safety Lancets 28G Trueplus Insulin Syringe/U-100/1ML/31G X 5/16"

Safety Let Lancets Trueplus Lancets 26G

Safety Seal Lancets 28G Trueplus Lancets 28G

Safety Seal Lancets 30G Trueplus Lancets 28G Super Thin

Safety-glide Insulin Syringe/0.3ML/29G X 1/2" Trueplus Lancets 30G

Shopko On-the-go Comfort Lancets 30G Trueplus Lancets 30G Ultra Thin

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM Trueplus Lancets 33G

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM Trueplus Lancets 33G Micro Thin

Shopko Unifine Pentips Pen Needles/Original/29GX12MM Trueplus Safety Lancets 28G

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2"

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

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

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

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

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

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

Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM

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


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



Shopko Unilet Lancets Super Thin 30G

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

Shopko Unilet Lancets Ultra Thin 28G

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

Single-let

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

Smart Diabetes Vantage Universal Lancets 30G


Smart Sense Color Lancets Universal 33G


Smart Sense Standard Lancets Universal 21G


Smart Sense Super Thin Lancets Universal 30G


Smart Sense Thin Lancets Universal 26G


Smartest Lancets 28G


Solus V2 Pressure Activated Safety Lancets 28G


Solus V2 Twist Lancets 30G

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

Sterilance PA


Sterilance TL


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


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

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

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


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











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



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





Ulticare Micro Pen Needles 31G X 8MM


Ulticare Micro Pen Needles 32G X 4MM

Sure-lance Flat Lancets

Ulticare Micro Pen Needles/32G X 4MM

Sure-lance Lancets 26G

Ulticare Mini Pen Needles Ulti-fine IV

Sure-lance Thin Lancets 28G

Ulticare Mini Pen Needles 31GX6MM

Sure-lance Ultra Thin Lancets

Ulticare Mini Pen Needles/31G X 6MM

Sure-touch Lancets Universal

Ulticare Mini Pen Needles31GX6MM

Surelite Lancets

Ulticare Original Pen Needles Ulti-fine

Techlite AST Lancets

Ulticare Pen Needles/29G X 12.7MM

Techlite Lancets

Ulticare SHORT Pen Needles Ulti-fine IV

Techlite Lancets 30G

Ulticare SHORT Pen Needles 31GX8MM

Techlite Pen Needles/31G X 5MM

Ulticare SHORT Pen Needles/31G X 8MM

Techlite Pen Needles/31G X 6 MM

Ulticare Thin Lancets 30G


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


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


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

Thinlets GP Lancets

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

Thinlets Lancet

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

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

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


Ultilet Classic Lancets



41

Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16" Unistik 3

Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16" Unistik 3 Comfort

Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16" Unistik 3 Extra

Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16" Unistik 3 Extra Single Use Safety Lancets/21G

Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16" Unistik 3 Gentle

Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16" Unistik 3 Neonatal

Ultilet Lancets Unistik 3 Normal

Ultilet Lancets 33G Universal 1 Lancets Thin 26G

Ultilet Pen Needle 32GX4MM/SHORT Universal 1 Lancets Ultra Thin 30G

Ultilet Safety Lancets 23G V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2"

Ultilet SHORT Pen Needles 31GX5/16" V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"

Ultilet SHORT Pen Needles31GX3/16" V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"

Ultra-thin II Auto Lancet V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2"

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

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

Valumark Lancet Super Thin 30G


Valumark Lancet Ultra Thin 28G

Valumark Pen Needles 29GX12MM


Valumark Pen Needles 31G X 6MM

Valumark Pen Needles 31G X 8MM


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

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

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

Vida Mia Unifine Pentips Mini 31GX6MM

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

Vida Mia Unifine Pentips Original 29GX12MM

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

Vida Mia Unifine Pentips 32GX4MM

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

Vida Mia Unilet Lancets Super Thin 30G

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

Vida Mia Unilet Lancets Ultra Thin 28G

Ultra-thin II Lancets 28G

Vida Mia Unipfine Pentipsshort 31GX8MM

Ultra-thin II Lancets 30G

Vitalet Pro Lancets

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

Vitalet Pro Plus Lancets

Ultra-thin II Pen Needles 29GX1/2"

W&f Lancets Colored 21G

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

W&f Lancets 26G

Ultra-thin II Safety Autolancets 26G

Walgreens Lancets

Ultralance

Walgreens Thin Lancets

Unifine Pentips Plus 29GX12MM

Walgreens Ultra Thin Lancets


1ST Choice Lancets Super Thin


1ST Choice Lancets Thin


1ST Choice Lancets Ultra Thin

Unifine Pentips 29GX12MM

1ST Tier Unifine Pentips 29GX12MM

Unifine Pentips 31G X 3/16"


Unifine Pentips 31G X 6MM


Unifine Pentips 31G X 8MM


MEDICAL DEVICES - MISC


PREFERRED


Aerochamber Mini Aerosol Chamber


Aerochamber MV

Unilet Comfortouch Lancet

Aerochamber Plus Flow VU

Unilet Excelite

Aerochamber Plus Flow-VU

Unilet Excelite II

Aerochamber Plus Flow-VU/Large Mask

Unilet G.p. Lancet

Aerochamber Plus Flow-VU/Mask

Unilet G.p. Superlite Lancet

Aerochamber Plus Flow-VU/Medium Mask

Unilet GP 28 Ultra Thin

Aerochamber Plus Flow-VU/Small Mask

Unilet Lancet

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

Unilet Lancets Micro-thin33G

Unilet Lancets Super-thin30G

Aerochamber Z-stat Plus/Flowsignal

Unilet Lancets Ultra-thin 28G

Aerochamber Z-stat Plus/Large Mask

Unilet Superlite Lancet

Aerochamber Z-stat Plus/Medium Mask

Unistik CZT Comfort

Aerochamber Z-stat Plus/Small Mask

Unistik CZT Normal

Aerochamber/Flowsignal

Unistik Safety Lancets 28G

Aerovent Plus Holding Chamber/Collapsible

Unistik Safety Lancets 30G

Arial Chamber

Unistik Touch Safety Lancets 21G

Breatherite


Breatherite Collapsible Adult Spacer W/Mask


Breatherite Collapsible Child Spacer W/Mask


Breatherite Collapsible Infant Spacer W/Mask

Unistik 1

Breatherite Collapsible Small Child Spacer W/Mask

Unistik 2

Breatherite Collapsible Spacer W/ Neonate Mask

Unistik 2 Comfort

Breatherite Rigid Spacer W/Mask

Unistik 2 Extra

Breatherite W/Large Mask

Unistik 2 Neonatal

Breatherite W/Medium Mask

Unistik 2 Normal

Unistik 2 Super


42

Breatherite W/Small Mask

Clever Choice Anti-staticvalved Holding Chamber/Adult Large

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

Compact Space Chamber/Anti-static/Small Mask

E-z Spacer

E-z Spacer The Body Guards Pack

Easivent

Easivent/Mask-large

Easivent/Mask-medium

Easivent/Mask-small

Flexichamber

Flexichamber Adult Mask/Small

Flexichamber Child Mask/Large

Flexichamber Child Mask/Small

Inspirachamber/Anti-static Valved/Mouthpiece

Inspirachamber/Large

Inspirachamber/Soothermask/Inspiramask/Medium

Inspirachamber/Soothermask/Inspiramask/Small

Inspirease Bags

Inspirease Drug Delivery System

Inspirease Mouthpiece

Inspirease Reservoir Bags

Liteaire

Mask Vortex/Baby Whirl Duckling

Mask Vortex/Child/Frog

Mask Vortex/Spinner The Duck

Mask Vortex/Toddler/Lady Bug

Microchamber

Microspacer

Nessi Spacer/Large Mask

Nessi Spacer/Mouthpiece

Nessi Spacer/Small/MED Mask

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

Panda Mask Large

Panda Mask Medium

Panda Mask Small

Pediatric Panda Mask

Pocket Chamber

Pocket Spacer

Riteflo

Vortex Valved Holding Chamber

Watchhaler

MISCELLANEOUS

NON PREFERRED

Chemet

Exjade

Ferriprox

Jadenu

Pentetate Calcium Trisodium

Pentetate Zinc Trisodium

Effective January 1, 2017 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2017 Optum, Inc. All rights reserved.

43

Index

A

Actigall, 20 Advocate Insulin Syringe/U-100/1ML/29GX1/2", 36

Actimmune, 7

A.a.g.c. Kit IN Teroderm, 11

Actiq, 30 Advocate Insulin Syringe/U-100/1ML/30GX5/16", 36

abacavir, 3

Activase, 23

abacavir sulfate/lamivudine/zidovudine, 3

Active 1ST Blood Lancets 30G/Easy Twist CAP, 36

Advocate Insulin Syringe/U-100/1ML/31GX5/16", 36

abacavir/lamivudine, 3

Abaneu-SL, 21

Activella, 15 Advocate Lancets, 36

Abelcet, 2

Actonel, 17 Advocate Lancets 30G, 36

Abilify, 25

Actoplus Met, 17 Advocate Safety Lancets, 36

Abilify Discmelt, 25

Actoplus Met XR, 17 Advocate Safety Lancets 26G, 36

Abilify Maintena, 25

Actos, 17 Adyphren II, 10

Abraxane, 6

Acuicyn Daily Eyelid & Eyelash Cleanser, 14

Adyphren Kit, 10

Absorica, 11

Adzenys XR-odt, 25

Abstral, 30

Acular, 29 Aerochamber Mini Aerosol Chamber, 42

acamprosate calcium DR, 26

Acular LS, 29 Aerochamber MV, 42

Acanya, 11

Acuvail, 29 Aerochamber Plus Flow VU, 42

acarbose, 17

acyclovir, 3, 12 Aerochamber Plus Flow-VU, 42

Accolate, 33

acyclovir sodium, 3 Aerochamber Plus Flow-VU/Large Mask, 42

Accu-chek Active Strips, 36

Acyclovir Sodium, 3

Accu-chek Aviva, 36

Aczone, 11 Aerochamber Plus Flow-VU/Mask, 42

Accu-chek Aviva Connect, 36

Adacel, 34 Aerochamber Plus Flow-VU/Medium Mask, 42

Accu-chek Aviva Plus, 36

Adalat CC, 8

Accu-chek Comfort Curve Test Strips, 36

adapalene, 11 Aerochamber Plus Flow-VU/Small Mask, 42

Accu-chek Compact Plus, 36

Adapalene, 11

Accu-chek Compact Plus Care Kit, 36

adapalene P.M., 11 Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 42

Accu-chek Compact Test Drum, 36

Adasuve, 25

Accu-chek Fastclix Lancetdevice Kit, 36

Adcetris, 5 Aerochamber Z-stat Plus/Flowsignal, 42

Accu-chek Fastclix Lancets, 36

Adcirca, 10 Aerochamber Z-stat Plus/Large Mask, 42

Accu-chek Multiclix Lanc Et Device Kit, 36

Adderall, 25 Aerochamber Z-stat Plus/Medium Mask, 42

Adderall XR, 25

Accu-chek Multiclix Lancets, 36

Addyi, 27 Aerochamber Z-stat Plus/Small Mask, 42

Accu-chek Nano Smartview, 36

adefovir dipivoxil, 3 Aerochamber/Flowsignal, 42

Accu-chek Safe-t-pro Lancets, 36

Adempas, 10 Aerospan, 33

Accu-chek Safe-t-pro Pluslancets, 36

Adenocard, 8 Aerovent Plus Holding Chamber/Collapsible, 42

Accu-chek Smartview Strips, 36

adenosine, 8

Accu-chek Soft Touch Lancets, 36

Adoxa, 2 AF Lancets Super Thin, 36

Accu-chek Softclix Lancetdevice Kit, 36

Adoxa PAK 1/100, 2 Afinitor, 6

Accu-chek Softclix Lancets, 36

Adoxa PAK 1/150, 2 Afinitor Disperz, 6

Accu-chek Voicemate, 36

Adoxa PAK 2/100, 2 Afluria 2014-2015, 34

Accucaine, 14

Adrenaclick, 10 Afluria 2015-2016, 34

Accupril, 8

Adrenal C Formula, 35 Afluria 2016-2017, 34

Accuretic, 9

Adrenalin, 10, 33 Afluria PF 2014-2015, 34

Accutrend Glucose, 36

Advair Diskus, 33 Afluria PF 2015-2016, 34

acebutolol HCL, 7

Advair HFA, 33 Afluria PF 2016-2017, 34

Aceon, 8

Advanced Allergy Collection Kit, 13 Afluria Quadrivalent 2016-2017, 34

acetaminophen/caffeine/dihydrocodeine, 30

Advate, 23 Afrezza, 16

Advicor, 10 Agamatrix Ultra-thin Lancets 33G, 36

acetaminophen/codeine, 30

Advocate Insulin Pen Needles 29GX12.7MM, 36

Aggrastat, 23

acetaminophen/codeine #2, 30

Aggrenox, 23


Advocate Insulin Pen Needles 31GX5MM, 36

Agrylin, 23


Akne-mycin, 11

acetaminophen/codeine phosphate, 30

Advocate Insulin Pen Needles 31GX8MM, 36

Akovaz, 10

acetazolamide, 9

Akten, 29

Acetazolamide, 9

Advocate Insulin Syringe/U-100/0.3ML/29GX1/2", 36

Akynzeo, 20

acetazolamide ER, 9

Ala Scalp, 13

acetazolamide sodium, 9


Ala-quin, 12

acetic acid, 29

Albafort, 21, 35

Acetic Acid/Aluminum Acetate, 29


Albenza, 4

acetylcysteine, 33

albuterol, 33

Aciphex, 19


albuterol sulfate, 33

Aciphex Sprinkle, 19

albuterol sulfate ER, 33

acitretin, 12


albuterol TAB 4MG, 33

Aclovate, 13

Alcaine, 29

Actemra, 31


alclometasone dipropionate, 13

Acthib, 34

Aldactazide, 9

Acticlate, 2

Aldactone, 9

amlodipine besylate/benazepril HCL, 9 Appformin, 17

Aldara, 13

amlodipine besylate/benazepril hydrochloride, 9

Appformin-d, 17

Aldurazyme, 18

apraclonidine, 29

Alecensa, 6

amlodipine besylate/valsartan, 9 Apriso, 20

alendronate sodium, 17

Amlodipine/Olmesartan Medoxomil, 9 Aptensio XR, 25

Alendronate Sodium, 17

amlodipine/valsartan/hctz, 9 Aptiom, 26

Alevicyn Antipruritic SG, 14

ammonium lactate, 13 Aptivus, 3

Alfenta, 30

Ammonul, 18 Aquasol A Parenteral, 35

alfentanil, 30

Amoxapine, 24 Aquoral, 23

Alferon N, 7

amoxicillin, 1 Aralast NP, 34

alfuzosin HCL ER, 21

Amoxicillin, 1 Aralen, 3

Alimta, 5

Amoxicillin ER, 1 Aranesp Albumin Free, 21

Alinia, 4

amoxicillin/clavulanate potassium, 1 Arava, 31

Alkeran, 4

Amoxicillin/Clavulanate Potassium, 1 Arcalyst, 31

Allegra Allergy Childrens, 32

amoxicillin/clavulanate potassium ER, 1 Arcapta Neohaler, 33

Allo-pax, 12

amphetamine/dextroamphetamine, 25 argatroban, 22

allopurinol, 32

Amphotec, 2 Argatroban, 22

Allzital, 30

Amphotericin B, 2 Arial Chamber, 42

almotriptan, 32

ampicillin, 1 Aricept, 27

almotriptan malate, 32

Ampicillin, 1 Aricept Odt, 27

Alocril, 29

ampicillin sodium, 1 Arimidex, 5

Alodox Convenience Kit, 2

Ampicillin Sodium, 1 aripiprazole, 24

Alogliptin, 17

ampicillin-sulbactam, 1 aripiprazole odt, 24

Alogliptin/Metformin HCL, 17

Ampyra, 27 Aristada, 25

Alogliptin/Pioglitazone, 17

Amrix, 27 Aristospan Intra-articular, 15

Alomide, 29

Amturnide, 9 Arixtra, 22

Aloprim, 32

Amytal Sodium, 25 armodafinil, 25

Alora, 15

Anacaine, 14 Armodafinil, 25

alosetron hydrochloride, 20

Anadrol-50, 15 Armour Thyroid, 19

Aloxi, 20

Anafranil, 24 Arnica Flower, 14

Alphagan P, 29

anagrelide hydrochloride, 23 Arnuity Ellipta, 33

Alphanate/Von Willebrand Factor Complex/Human, 23

Analpram Advanced, 20 Aromasin, 5

Analpram-HC, 20 Arranon, 5

Alphanine SD, 23

Analpram-HC Singles, 20 Arthrotec 50, 31

alprazolam, 23

Anaprox DS, 31 Arthrotec 75, 31

alprazolam ER, 23

Anaspaz, 19 Articadent Dental, 32

Alprazolam Intensol, 24

anastrozole, 5 Artiss, 22

alprazolam odt, 23

Ancef, 1 Arzerra, 5

Alrex, 28

Ancobon, 2 Asacol HD, 20

Alsuma, 32

Androderm, 15 ascorbic acid, 35

Altabax, 11

Androgel, 15 Asmanex HFA, 33

Altace, 8

Androgel P.M., 15 Asmanex Twisthaler 120 Metered Doses, 33

Altoprev, 10

Android, 15

Aluvea, 14

Androxy, 15 Asmanex Twisthaler 14 Metered Doses, 33

Alvesco, 33

Anectine, 27

amantadine HCL, 26

Angeliq, 15 Asmanex Twisthaler 30 Metered Doses, 34

Amantadine HCL, 26

Angiomax, 22

Amaryl, 17

Animi-3, 21 Asmanex Twisthaler 60 Metered Doses, 34

Ambien, 25

Animi-3/Vitamin D, 21

Ambien CR, 25

Anoro Ellipta, 33 Asmanex Twisthaler 7 Metered Doses, 34

Ambisome, 2

Antabuse, 27

Amcinonide, 13

Antara, 10 Aspirin-caffeine-dihydrocodeine, 30

Amerge, 32

Anthralin, 12 Aspirin/Dipyridamole, 23

Amicar, 22

Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2", 36

Assure Haemolance Plus High Flow 18G, 36

amifostine, 7

amikacin sulfate, 2

Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2", 36

Assure Haemolance Plus Low Flow 25G, 36

amiloride HCL, 9

amiloride/hydrochlorothiazide, 9

Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2", 36

Assure Haemolance Plus Micro Flow 28G, 36

aminocaproic acid, 22

Aminocaproic Acid, 22

antipyrine/benzocaine, 29 Assure Haemolance Plus Normal Flow 21G, 36

aminophylline, 33

Antipyrine/Benzocaine, 29

amiodarone HCL, 8

Anusol-HC, 20 Assure Haemolance Plus Pediatric Blade, 36

Amiodarone HCL, 8

Anzemet, 20

Amitiza, 20

Apidra, 16 Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 36

amitriptyline HCL, 24

Apidra Solostar, 16

amlodipine besylate, 8

Aplenzin, 24 Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2", 36

amlodipine besylate/atorvastatin calcium, 10

Apokyn, 26

Appbutamone, 24 Assure Lance Lancets, 36

Assure Lance Lancets 21G, 36

Avonex Pen, 27 BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 37

Assure Lance Plus Safety Lancets 25G, 36

Avycaz, 4

Axert, 32 BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 37

Assure Lance Plus Safety Lancets 30G, 36

Axiron, 15

Aygestin, 16 BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 37

Assure Lancets, 36

azacitidine, 5

Astagraf XL, 6

Azactam, 4 BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 37

Astepro, 33

Azactam IN Iso-osmotic Dextrose, 4

Astero, 14

Azasan, 6 BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 37

Astringyn, 22

Azasite, 28

AT Last Lancets, 36

azathioprine, 5 BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 37

Atabex EC, 35

Azathioprine, 6

Atabex Prenatal, 35

azelastine HCL, 29, 33 BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 37

Atacand, 8

Azelex, 11

Atacand HCT, 9

Azilect, 26 BD Insulin Syringe Slip Tip/U-100/1ML, 37

Atelvia, 17

azithromycin, 1

atenolol, 7

Azithromycin, 1 BD Insulin Syringe U-40/1ML/25G X 5/8", 37

atenolol/chlorthalidone, 9

Azopt, 29

Atgam, 6

Azor, 9 BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 37

Ativan, 24

aztreonam, 4

Atopiclair, 14

Azulfidine, 20 BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 37

atorvastatin calcium, 10

Azulfidine EN-TABS, 20

atovaquone, 4

B BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 37

atovaquone/proguanil HCL, 3

B-12 Kit, 21

atracurium besylate, 27

BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 37

B-6 Folic Acid, 22

Atralin, 11

b-complex 100, 35

Atripla, 3


B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 36

Atropen, 19

atropine sulfate, 19, 29


B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16", 36

Atropine Sulfate, 19, 29

Atrovent, 33


B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 36

Atrovent HFA, 34

Aubagio, 27

BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 37

B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 36

augmented betamethasone dipropionate, 13

BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 37

B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 37

Augmentin, 1

Augmentin ES-600, 1

BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 37

B-d Insulin Syringe Ultrafine/1ML/30G X 1/2", 37

Augmentin XR, 1

Aurora Lancet Super Thin 30G, 36


bacitracin, 4

Aurora Lancet Thin 23G, 36

Bacitracin, 28

Aurora Pen Needles 29GX12MM, 36


bacitracin/polymyxin b, 28

Aurora Pen Needles 31G X 6MM, 36

Baclofen, 11

Aurora Pen Needles 31G X 8MM, 36


baclofen, 27

Aurstat Anti-itch Hydrogel, 14

Bacmin, 35

Aurstat Anti-itch Hydrogel Kit, 14


Bactocill IN Dextrose, 1

Auryxia, 20

Bactrim, 4

Autolet Platforms, 36


Bactrim DS, 4

Auvi-q, 10

Bactroban, 11

Avalide, 9


Bactroban Nasal, 33

Avandamet, 17

Bal-care DHA, 35

Avandaryl, 17


balsalazide disodium, 20

Avandia, 17

Banzel, 26

Avapro, 8

BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 37

Baraclude, 3

Avar, 11

Bayer Microlet Lancets, 37

Avar LS, 11


Bcg Vaccine, 34

Avar LS Cleanser, 11

BD Autoshield 29G X 3/16", 37

Avar-e LS, 11


BD Autoshield 29G X 5/16", 37

Avastin, 5

BD Autoshield Duo 30G X 3/16", 37

Avc, 21


BD Insulin Syringe LUER-LOK/U-100/1ML, 37

Aveed, 15

Avelox, 2

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 37

BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 37

Avelox Abc Pack, 2

Avenova, 14

BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 37

BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 37

Avenova/Neutrox, 14

Avidoxy DK, 2

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 37

BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 37

Avinza, 30

Avodart, 21

BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 37

BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 37

Avonex, 27

BD Insulin Syringe/U-100/1ML/27G X 1/2", 37

benzonatate, 33 Neonate Mask, 42

Benzonatate, 33 Breatherite Rigid Spacer W/Mask, 42


benzoyl peroxide, 11 Breatherite W/Large Mask, 42

benzoyl peroxide SHORT contact, 11 Breatherite W/Medium Mask, 42

BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 37

benztropine mesylate, 26 Breatherite W/Small Mask, 43

Bepreve, 29 Breo Ellipta, 33


Berinert, 23 Brevibloc, 7

Besivance, 28 Brevicon-28, 16

BD Insulin Syringe/U-500/0.5ML/31G X 15/64", 37

Betadine Ophthalmic Prep, 28 Brilinta, 23

Betagan, 28 brimonidine tartrate, 29

BD Integra Insulin Syringe/U-100/1ML/29G X 1/2", 37

Betalido, 15 Brintellix, 24

Betaloan Suik, 15 Brisdelle, 27

BD Integra Syringe/Retracting Needle/1ML/25G X 1", 37

betamethasone dipropionate, 13 Briviact, 26

betamethasone sodium phosphate/betamethasone acetate, 14

bromfenac, 29

BD Lancet Ultrafine 30G, 37

Bromfenac, 29

BD Lancet Ultrafine 33G, 37

Betamethasone SP, 15 bromocriptine mesylate, 26

BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 37

betamethasone valerate, 13 bromphen/pseudoephedrine HCL/dextromethorphan HBR, 33

Betapace, 7

BD Microtainer Lancets, 37

Betapace AF, 7 Brompheniramine, 32

BD Pen Needle/Mini/Ultrafine/31G X 3/16", 37

Betaseron, 27 Brompheniramine Tannate, 32

betaxolol HCL, 7, 28 Bromsite, 29

BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 37

bethanechol chloride, 21 Brovana, 34

Bethkis, 2 budesonide, 14, 33(2)

BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 37

Betimol, 28 Bullseye Safety Lancets, 37

Betoptic-s, 28 bumetanide, 9

BD Pen Needle/Ultrafine/29G X 12.7MM, 37

Bevespi Aerosphere, 34 Bumex, 9

bexarotene, 6 Bunavail, 30

BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 37

Bexsero, 34 Bupap, 30

Beyaz, 16 Buphenyl, 18

BD Pen Needles SHORT/Ultrafine/31G X 5/16", 37

Biaxin, 1 bupivacaine HCL, 32

bicalutamide, 5 Bupivacaine Hydrochloride/Sodium Chloride, 32

BD Pudendal/Local Block Tray 1% Lidocaine, 32

Bicillin C-R, 1

Bicillin L-a, 1 bupivacaine/epinephrine, 32

BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2", 37

Bicnu, 4 Buprenex, 30

Bidil, 10 buprenorphine HCL, 30

BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 37

Biest/Progesterone, 15 buprenorphine HCL/naloxone HCL, 30

Biferarx, 22 bupropion HCL, 24

BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 37

Biltricide, 4 bupropion HCL ER, 24

Bimatoprost, 29 bupropion HCL SR, 24

BD-insul SYR Mis LO Dose, 37

Binosto, 17 bupropion HCL XL, 24

Bebulin, 23

Biothrax, 34 buspirone HCL, 23

Beconase AQ, 33

bisoprolol fumarate, 7 Busulfex, 4

Belbuca, 30

bisoprolol fumarate/hydrochlorothiazide, 9

butalbital/acetaminophen, 30

Beleodaq, 6

butalbital/acetaminophen/caffeine, 30

Belladonna & Opium, 19

bivalirudin, 22 butalbital/acetaminophen/caffeine/codeine, 30

Belladonna Alkaloids & Opium, 19

Bleo 15k, 5

Belsomra, 25

bleomycin sulfate, 5 butalbital/aspirin/caffeine, 30

benazepril HCL, 8

Bleph-10, 28 butalbital/aspirin/caffeine/codeine, 30

benazepril HCL/hydrochlorothiazide, 9

Blephamide, 28 Butisol Sodium, 25

Bendeka, 4

Blephamide S.o.p., 28 butorphanol tartrate, 30

Benefix, 23

Blincyto, 5 Butrans, 30

Benicar, 8

Bloxiverz, 28 Bydureon, 16

Benicar HCT, 9

Boniva, 17 Bydureon Pen, 16

Bentyl, 19

Boostrix, 34 Byetta, 16

Benzac Ac Wash, 11

Boric Acid, 14 Bystolic, 7

Benzaclin, 11

Bosulif, 6 Byvalson, 9

Benzaclin With P.M., 11

Botox, 27 C

Benzamycin, 11

Bravelle, 18

cabergoline, 18

Benzamycinpak, 11

Breatherite, 42

Cabometyx, 6

Benzefoam, 11

Breatherite Collapsible Adult Spacer W/Mask, 42

Caduet, 10

Benzefoam Ultra, 11

Cafcit, 25

Benzefoamultra, 11

Breatherite Collapsible Child Spacer W/Mask, 42

Cafergot, 32

Benziq, 11

caffeine citrate, 25

Benziq LS, 11

Breatherite Collapsible Infant Spacer W/Mask, 42

Caffeine/Sodium Benzoate, 25

Benzodox 30 Kit, 2

Calan, 8

Benzodox 60 Kit, 2

Breatherite Collapsible Small Child Spacer W/Mask, 42

Calan SR, 8

Benzoin Compound Tincture, 14

calcipotriene, 12

Benzoin Tincture, 14

Breatherite Collapsible Spacer W/

calcipotriene/betamethasone

dipropionate, 13

Cayston, 4 chlordiazepoxide HCL/clidinium bromide, 19

calcitonin salmon, 17

Cedax, 1

calcitonin-salmon, 17

cefaclor, 1 Chlordiazepoxide/Amitriptyline, 27

Calcitriol, 12

Cefaclor, 1 chlorhexidine gluconate, 23

calcitriol, 18

Cefaclor ER, 1 chlorhexidine gluconate oral rinse, 23

calcium acetate, 20

cefadroxil, 1 chloroquine phosphate, 3

Caldolor, 31

Cefazolin, 1 chlorothiazide, 9

Cambia, 32

cefazolin sodium, 1 Chlorothiazide, 9

Campral, 27

Cefazolin Sodium, 1 chlorothiazide sodium, 9

Camptosar, 6

Cefazolin Sodium/Dextrose, 1 chlorpromazine HCL, 24

Canasa, 20

Cefazolin/D5W, 1 Chlorpromazine HCL, 25

Cancidas, 2

Cefazolin/Dextrose, 1 Chlorpropamide, 17

candesartan cilexetil, 8

Cefazolin/Sodium Chloride, 1 chlorthalidone, 9

candesartan cilexetil/hydrochlorothiazide, 9

cefdinir, 1 Chlorthalidone, 9

Cefditoren Pivoxil, 1 chlorzoxazone, 27

Cantil, 19

cefepime, 1 Cholbam, 20

Capastat Sulfate, 2

Cefepime, 1 cholestyramine, 10

capecitabine, 5

Cefepime/Dextrose, 1 cholestyramine light, 10

Capex, 13

cefixime, 1 choline magnesium trisalicylate, 30

Caphosol, 23

Cefotan, 1 Choline Magnesium Trisalicylate, 30

Capital/Codeine, 30

cefotaxime sodium, 1 chorionic gonadotropin, 18

Caprelsa, 6

Cefotaxime Sodium, 1 Cialis, 10

captopril, 8

cefotetan, 1 Ciclodan Cream Kit, 12

Captopril/Hydrochlorothiazide, 9

Cefotetan, 1 Ciclodan Solution Kit, 12

Capxib Kit, 31

Cefotetan/Dextrose, 1 ciclopirox, 12

Carafate, 19

cefoxitin sodium, 1 ciclopirox nail lacquer, 12

Carbaglu, 18

Cefoxitin Sodium, 1 ciclopirox olamine, 12

carbamazepine, 26

cefpodoxime proxetil, 1 cidofovir, 3

carbamazepine ER, 26

cefprozil, 1 Ciferex, 22

Carbaphen 12, 33

ceftazidime, 1 cilostazol, 23

Carbaphen 12 PED, 33

Ceftazidime/Dextrose, 1 Ciloxan, 28

Carbatrol, 26

Ceftibuten, 1 cimetidine, 19

carbidopa, 26

Ceftin, 1 cimetidine HCL, 19

carbidopa/levodopa, 26

Ceftriaxone IN Iso-osmotic Dextrose, 1 Cimzia, 20

carbidopa/levodopa ER, 26

ceftriaxone sodium, 1 Cimzia Starter Kit, 20

carbidopa/levodopa odt, 26

Ceftriaxone Sodium, 1 Cinqair, 34

Carbidopa/Levodopa/Entacapone, 26

Ceftriaxone/Dextrose, 1 Cinryze, 23

carbinoxamine maleate, 32

cefuroxime axetil, 1 Cipro, 2

Carbocaine, 32

cefuroxime sodium, 1 Cipro HC, 29

carboplatin, 4

Cefuroxime Sodium, 1 Cipro I.V.-IN D5W, 2

Cardene IV, 8

Celebrex, 31 Cipro XR, 2

Cardizem, 8

celecoxib, 31 Ciprodex, 29

Cardizem CD, 8

Celestone-soluspan, 15 ciprofloxacin, 2

Cardizem LA, 8

Celexa, 24 Ciprofloxacin, 2, 29

Cardura, 9

Cellcept, 6 ciprofloxacin ER, 2

Cardura XL, 21

Cellcept Intravenous, 6 ciprofloxacin HCL, 2, 28

Carefine Pen Needle 32GX4MM, 37

Celontin, 26 Ciprofloxacin HCL, 2

Carefine Pen Needles 29GX1/2", 37

Cenfol, 22 ciprofloxacin I.V.-IN D5W, 2

Carefine Pen Needles 30GX5/16", 37

Centany, 11 cisatracurium besylate, 27

Carefine Pen Needles 31GX6MM, 37

Centany AT, 11 cisplatin, 4

Carefine Pen Needles 31GX8MM, 37

Centratex, 22 Cisplatin, 4

Careone Lancet Thin, 37

cephalexin, 1 citalopram hydrobromide, 24

Careone Lancet Ultra Thin, 37

Cephalexin, 1 Citanest Forte Dental, 32

carisoprodol, 27

Ceracade, 14 Citanest Plain Dental, 32

carisoprodol/aspirin, 27

Cerdelga, 22 Citranatal 90 DHA, 35

carisoprodol/aspirin/codeine, 27

Cerebyx, 26 Citranatal Assure, 35

Carnitor, 18

Cerezyme, 21 Citranatal B-calm, 35

Carnitor SF, 18

Cervarix, 34 Citranatal DHA, 35

carteolol HCL, 28

Cervidil, 29 Citranatal Harmony, 35

carvedilol, 7

Cesamet, 20 Citranatal RX, 35

Cascara Sagrada, 19

cetirizine HCL, 32 citric acid/sodium citrate, 21

Casodex, 5

Cetraxal, 29 cladribine, 5

Cataflam, 31

Cetrotide, 18 Claforan, 1

Catapres, 9

cevimeline HCL, 23 Claforan/D5W, 1

Catapres-tts-1, 9

Chemet, 43 Clarifoam EF, 11

Catapres-tts-2, 9

Chenodal, 20 Clarinex, 32

Catapres-tts-3, 9

Chloramphenicol Sodium Succinate, 4 Clarinex-d 12 HOUR, 33

Cathflo Activase, 23

chlordiazepoxide HCL, 23 clarithromycin, 1

clarithromycin ER, 1

Climara, 15 Combivent Respimat, 33

Cleanlet Lancets 28G, 37

Climara Pro, 15 Combivir, 3

clemastine fumarate, 32

Clin Single Use Kit, 4 Cometriq, 6

Clemastine Fumarate, 32

Clindacin Etz, 11 Comfort Assist Insulin Syringe 0.3ML/29G X 1/2", 37

Cleocin, 4, 21

Clindacin PAC, 11

Cleocin IN D5W, 4

Clindagel, 11 Comfort Assist Insulin Syringe/0.3ML/30G X 5/16", 37

Cleocin Pediatric Granules, 4

clindamycin, 4

Cleocin Phosphate, 4

clindamycin HCL, 4 Comfort Assist Insulin Syringe/0.3ML/31G X 5/16", 37

Cleocin-t, 11

clindamycin palmitate HCL, 4

Clever Chek Lancets Ultrathin, 37

clindamycin phosphate, 4, 11, 21 Comfort Assist Insulin Syringe/0.5ML/29G X 1/2", 37

Clever Chek Lancets Ultrathin 30G, 37

Clindamycin Phosphate, 4

Clever Choice Anti-staticvalved Holding Chamber/Adult Large, 43

clindamycin phosphate add-vantage, 4 Comfort Assist Insulin Syringe/0.5ML/30G X 5/16", 37

clindamycin phosphate IN D5W, 4

Clever Choice Anti-staticvalved Holding Chamber/Medium, 43

clindamycin phosphate pharmacy bulk package, 4

Comfort Assist Insulin Syringe/0.5ML/31G X 5/16", 37

Clever Choice Anti-staticvalved Holding Chamber/Small, 43

clindamycin phosphate/tretinoin, 11 Comfort Assist Insulin Syringe/1ML/29G X 1/2", 37

clindamycin/benzoyl peroxide, 11

Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 37

Clindap-t, 11 Comfort Assist Insulin Syringe/1ML/30G X 5/16", 37

Clindesse, 21

Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 37

Clinical Nutrients Prenatal Formula, 35 Comfort Assist Insulin Syringe/1ML/31G X 5/16", 37

Clinoin, 11


clobetasol propionate, 13 Comfort Lancets, 37

clobetasol propionate emollient, 13 Compact Space Chamber/Anti-static, 43


Clobex, 13 Compact Space Chamber/Anti-static/Large Mask, 43

Clocortolone Pivalate, 13


Clocortolone Pivalate P.M., 13 Compact Space Chamber/Anti-static/Medium Mask, 43

Clodan Kit, 13


Cloderm, 13 Compact Space Chamber/Anti-static/Small Mask, 43

Cloderm P.M., 13


Clolar, 5 Complera, 3

clomiphene citrate, 18 Comtan, 26


clomipramine HCL, 24 Comvax, 34

clonazepam, 26 Concept DHA, 35


clonazepam odt, 26 Concept OB, 35

clonidine HCL, 8 Concerta, 25


clonidine HCL ER, 25 Condylox, 14

clopidogrel, 23 Convenience PAK, 27


clorazepate dipotassium, 23 Conzip, 30

Clorpres, 9 Copasil, 14

Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 37

clotrimazole, 12, 23 Copaxone, 27

clotrimazole/betamethasone dipropionate, 12

Copegus, 3


Cordarone, 8

clozapine, 24 Cordran, 13


clozapine odt, 24 Cordran Tape, 13

Clozapine Odt, 25 Coreg, 7

Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 37

Clozaril, 25 Coreg CR, 7

Cnl8 Nail Kit, 12 Corgard, 7

Clever Choice Comfort EZ Pen Needles 29GX12MM, 37

Coaguchek Lancets, 37 Corifact, 23

Coal TAR, 14 Corlanor, 10


Coartem, 4 Corlopam, 9

Cocaine HCL, 14 Cortef, 15


Cod Liver Oil, 35 Cortenema, 20

Codar AR, 33 Cortifoam, 20


codeine sulfate, 30 Cortisone Acetate, 15

Codeine Sulfate, 30 Cortisporin, 11


Cogentin, 26 Cortisporin-tc, 29

Colazal, 20 Corvert, 8


Colchicine, 32 Corvite, 35

Colcrys, 32 Corvite 150, 22


Colestid, 10 Corzide, 9

Colestid Flavored, 10 Cosentyx, 12


colestipol HCL, 10 Cosentyx Sensoready Pen, 12

colistimethate sodium, 4 Cosmegen, 5


Coly-mycin M, 4 Cosopt, 28

Coly-mycin S, 29 Cosopt PF, 28


Colyte-flavor Packs, 19 Cotellic, 6

Combigan, 28 Coumadin, 22

Cleviprex, 8

Combipatch, 15 Cozaar, 8

Cpb Wc, 33

Debacterol, 23 dexamethasone sodium phosphate, 15, 28

Creon, 20

decitabine, 5

Cresemba, 2

Decon-a, 33 Dexamethasone Sodium Phosphate, 15, 28

Crestor, 10

Defitelio, 22

Crinone, 21

Delestrogen, 15 Dexchlorpheniramine Maleate, 32

Crixivan, 3

Delzicol, 20 Dexedrine, 25

Crnatal, 35

Demadex, 9 Dexilant, 19

cromolyn sodium, 20, 29

demeclocycline HCL, 2 Dexlido, 15

Cromolyn Sodium, 33

Demerol, 30 Dexlido-m, 15

Cubicin, 4

Demser, 9 dexmedetomidine HCL, 25

Cubicin RF, 4

Denavir, 12 Dexmedetomidine HCL, 25

Curosurf, 34

Depacon, 26 dexmethylphenidate HCL, 25

Cutivate, 13

Depakene, 26 dexmethylphenidate HCL ER, 25

Cuvposa, 19

Depakote, 26 Dexpak 10 Day, 15

cyanocobalamin, 21

Depakote ER, 26 Dexpak 13 Day, 15

Cyclessa, 16

Depakote Sprinkles, 26 Dexpak 6 Day, 15

Cyclobenzaprine Comfort PAC, 27

Depo-estradiol, 15 Dexpanthenol, 20

cyclobenzaprine HCL, 27

Depo-medrol, 15 dexrazoxane, 7

Cyclogyl, 29

Depo-provera, 5 dextroamphetamine sulfate, 25

Cyclomydril, 29

Depo-testosterone, 15 dextroamphetamine sulfate ER, 25

cyclopentolate HCL, 29

Deprizine Fusepaq, 19 Diabeta, 17

cyclopentolate hydrochloride, 29

Deprizine Rapidpaq, 19 Dialyvite 3000, 35

Cyclophene Rapidpaq, 27

Derma Silkrx Anodynexa PAK, 31 Dialyvite 5000, 35

cyclophosphamide, 4

Derma Silkrx Diclopak, 31 Dialyvite Supreme D, 35

Cyclophosphamide, 4

Derma-smoothe/FS Body, 13 Dialyvite/Zinc, 35

Cycloserine, 2

Derma-smoothe/FS Scalp, 13 Diamox, 9

Cycloset, 17

Dermacinrx Azenase PAK, 33 Diastar Easy Test II Lancets 30G, 37

cyclosporine, 6

Dermacinrx Cinlone-i Cpi, 15 Diastar Easy Test Lancets30G, 37

cyclosporine modified, 6

Dermacinrx Clorhexacin, 14 Diastat Acudial, 26

Cyclosporine Modified, 6

Dermacinrx Dpn PAK, 27 Diastat Pediatric, 26

Cyklokapron, 22

Dermacinrx Duopatch Pharmapak, 14 diazepam, 23

Cymbalta, 24

Dermacinrx Inflammatral PAK, 31 Diazepam, 23, 26

cyproheptadine HCL, 32

Dermacinrx Lexitral Pharmapak, 12 Dibenzyline, 9

Cyramza, 5

Dermacinrx Neurotral Pharmapak, 14 Diclegis, 20

Cystadane, 18

Dermacinrx Phn PAK, 14 diclofenac potassium, 31

Cystagon, 21

Dermacinrx Purefolix, 22 diclofenac sodium, 12, 29

Cystaran, 29

Dermacinrx Surgical Pharmapak, 14 Diclofenac Sodium, 12

cytarabine, 5

Dermacinrx Therazole PAK, 12 diclofenac sodium DR, 31

cytarabine aqueous, 5

Dermacinrx Ticanase PAK, 33 diclofenac sodium ER, 31

Cytarabine Aqueous, 5

Dermacinrx Zrm PAK, 14 diclofenac sodium/misoprostol, 31

Cytomel, 19

Dermapak Plus, 11 dicloxacillin sodium, 1

Cytotec, 19

Dermasorb HC, 13 Dicopanol Fusepaq, 32

Cytovene, 3

Dermasorb Ta, 13 Dicopanol Rapidpaq, 32

Cytra-3, 21

Dermasorb XM, 14 dicyclomine HCL, 19

D

Dermatop, 13 didanosine, 3

Dermawerx Surgical Plus PAK, 14 Differin, 11

D.h.e. 45, 32

Dermazone, 13 Dificid, 1

dacarbazine, 6

Dermazyl, 14 Diflorasone Diacetate, 13

Dacarbazine, 7

Dermotic, 29 Diflucan, 2

Dacogen, 5

Descovy, 3 diflunisal, 30

Daklinza, 3

desipramine HCL, 24 digoxin, 7

Daliresp, 34

desloratadine, 32 Digoxin, 7

Dallergy, 33

Desloratadine Odt, 32 dihydroergotamine mesylate, 32

Dalvance, 4

desmopressin acetate, 18 Dihydroergotamine Mesylate, 32

danazol, 15

Desogen, 16 Dilantin, 26

Dantrium, 27

desogestrel/ethinyl estradiol, 16 Dilantin Infatabs, 26

Dantrium IV, 27

Desonate, 13 Dilantin-125, 26

dantrolene sodium, 27

desonide, 13 Dilatrate SR, 7

dapsone, 4

Desowen, 13 Dilaudid, 30

Daptacel, 34

desoximetasone, 13 Dilaudid-HP, 30

daptomycin, 4

Desoximetasone, 13 diltiazem CD, 8

Daraprim, 3

Desoxyn, 25 diltiazem HCL, 8

darifenacin hydrobromide ER, 21

Desvenlafaxine ER, 24 Diltiazem HCL, 8

Darzalex, 5

Detrol, 21 diltiazem HCL CD, 8

daunorubicin HCL, 5

Detrol LA, 21 diltiazem HCL ER, 8

Daunoxome, 5

dexamethasone, 14 Diltiazem Hydrochloride/Sodium Chloride, 8

Daypro, 31

Dexamethasone, 15

Daytrana, 25

Dexamethasone Intensol, 15 Dimenhydrinate, 20

Ddavp, 18

Diovan, 8

Droplet Pen Needles 29GX12MM, 37 E-z Ject Lancets Thin 26G, 38

Diovan HCT, 9

Droplet Pen Needles 31GX5MM, 37 E-z Spacer, 43

Dipentocaine, 12

Droplet Pen Needles 31GX6MM, 37 E-z Spacer The Body Guards Pack, 43

Dipentum, 20

Droplet Pen Needles 31GX8MM, 37 E-ZJECT Lancets Micro-thin 33G, 38

diphenhydramine HCL, 32

Droplet Pen Needles 32GX4MM, 37 E.e.s. 400, 1

diphenoxylate/atropine, 19

Droplet Pen Needles 32GX8MM, 37 E.e.s. Granules, 1

Diphenoxylate/Atropine, 19

drospirenone/ethinyl estradiol, 16 Easivent, 43

Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 34

drospirenone/ethinyl estradiol/levomefolate calcium, 16

Easivent/Mask-large, 43

Easivent/Mask-medium, 43

Diprolene, 13

Droxia, 22 Easivent/Mask-small, 43

Diprolene AF, 13

Drug Mart On-the-go Lancets Gentle 30G, 37

Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2", 38

dipyridamole, 23

Disalcid, 30

Drug Mart Unilet Lancets Super Thin 30G, 37


disopyramide phosphate, 8

disulfiram, 27

Drug Mart Unilet Lancets Ultra Thin 28G, 37


Ditropan XL, 21

Diuril, 9

Drysol, 13 Easy Touch Fliplock Safety Insulin Syringe 1ML/31GX5/16", 38

divalproex sodium, 26

Dsg PAK, 12

divalproex sodium DR, 26

Duac, 11 Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 38

divalproex sodium ER, 26

Duane Reade Unifine Pentips 29G X 12MM, 37

Divigel, 15

Easy Touch Insulin Syringe/0.3ML/31G X 5/16", 38

Divista, 22

Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 37

dobutamine HCL, 10


dobutamine HCL/D5W, 10

Duane Reade Unifine Pentips 31G X 8MM SHORT, 38

dobutamine/dextrose 5%, 10


Docefrez, 6

Duavee, 15

docetaxel, 6

Duet DHA 400, 35 Easy Touch Insulin Syringe/1ML/30G X 5/16", 38

Docetaxel, 6

Duet DHA 400EC, 35

Docetaxel (non-alcohol Formula), 6

Duet DHA 430, 35 Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2", 38

dofetilide, 8

Duet DHA 430EC, 35

Dologesic, 30

Duet DHA Balanced, 35 Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16", 38

Dolophine, 30

Duetact, 17

donepezil HCL, 27

Duexis, 31 Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2", 38

dopamine HCL, 10

Dulera, 34

Dopamine HCL, 10

duloxetine HCL, 24 Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2", 38

dopamine HCL-dextrose 5%, 10

Duloxetine HCL, 24

dopamine HCL/dextrose 5%, 10

Duopa, 26 Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2", 38

dopamine/D5W, 10

Duragesic, 30

Dopram, 25

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 32

Easy Touch Insulin Syringe/U-100/0.5ML/27G X 1/2", 38

Doral, 25

Doribax, 4

Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 32


Doryx, 2

Doryx Mpc, 2

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 32


dorzolamide HCL, 29

dorzolamide HCL/timolol maleate, 28

Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 32


Doubledex, 15

Dovonex, 12

Durezol, 28 Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2", 38

doxapram HCL, 25

Durlaza, 23

doxazosin, 8

dutasteride, 21 Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2", 38

doxazosin mesylate, 8

dutasteride/tamsulosin HCL, 21

doxepin HCL, 24

dutasteride/tamsulosin hydrochloride, 21 Easy Touch Insulin Syringe/U-100/1ML/29G X 1/2", 38

Doxepin HCL, 24

Dutoprol, 9

Doxepin Hydrochloride, 12

Dyanavel XR, 25 Easy Touch Insulin Syringe/U-100/1ML/30G X 1/2", 38

doxercalciferol, 18

Dyazide, 9

Doxil, 5

Dyloject, 31 Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16", 38

doxorubicin HCL, 5

Dymista, 33

Doxorubicin HCL, 5

Dyrenium, 9 Easy Touch Lancets 21G/Pressure Activated, 38

doxorubicin HCL liposome, 5

Dysport, 27

doxycycline, 2

Dyural-40, 15 Easy Touch Lancets 23G/Pressure Activated, 38

Doxycycline, 11

Dyural-80, 15

doxycycline hyclate, 2

Dyural-l, 15 Easy Touch Lancets 26G/Pressure Activated, 38

doxycycline hyclate DR, 2

Dyural-lm, 15

doxycycline monohydrate, 2

E Easy Touch Lancets 26G/Pull-top, 38

Drisdol, 35

Easy Touch Lancets 26G/Twist, 38

E-z Ject Lancets, 38

Dritho-creme HP, 12

Easy Touch Lancets 28G/Pressure Activated, 38

E-z Ject Lancets 21G, 38

dronabinol, 20

E-z Ject Lancets Color, 38

droperidol, 23

Easy Touch Lancets 28G/Pull-top, 38

E-z Ject Lancets Super Thin, 38

Droplet Lancets Ultra Thin 30G, 37


E-z Ject Lancets Super Thin 30G, 38

Easy Touch Lancets 30G/Button-activated, 38

Ellence, 5 Eql Ultra SHORT Pen Needles 31G X 6MM, 38

Elmiron, 21


Elocon, 13 Equetro, 25

Eloxatin, 4 Equipto-baclofen, 11


Emadine, 29 Equipto-naproxen, 12


Embeda, 30 Eraxis, 2


Embrace Lancets Ultra Thin 30G, 38 Erbitux, 5

Emcyt, 5 ergocalciferol, 35


Emend, 20 ergoloid mesylates, 27


Emla, 14 Ergoloid Mesylates, 27


Empliciti, 5 Ergomar, 32

Easy Touch Pen Needles 29GX1/2", 38

Emsam, 24 Ertaczo, 12


Emtriva, 3 Erwinaze, 5


Emulsion SB, 14 Ery-TAB, 1


Emverm, 4 Erygel, 11

Easy Touch Pen Needles/31G X 3/16", 38

Emvoren, 12 Eryped 200, 1

Enablex, 21 Eryped 400, 1

Easy Touch Safety Lancets21G/Pressure Activated, 38

enalapril maleate, 8 Erythrocin Lactobionate, 1

enalapril maleate/hydrochlorothiazide, 9 Erythrocin Stearate, 1


enalaprilat, 8 erythromycin, 1, 11, 28

Enbrace HR, 35 Erythromycin Base, 1

Easy Touch Safety Lancets26G/Button Activated, 38

Enbrel, 31 erythromycin ethylsuccinate, 1

Enbrel Sureclick, 31 Erythromycin Ethylsuccinate, 1


Endometrin, 21 erythromycin/benzoyl peroxide, 11

Engerix-b, 34 Esbriet, 34

Easy Touch Safety Lancets28G/Button Activated, 38

Enjuvia, 15 Escavite, 35

Enlon, 28 Escavite D, 35


Enlon-plus, 28 escitalopram oxalate, 24

enoxaparin sodium, 22 Esgic, 30

Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2", 38

Enstilar, 13 esmolol HCL, 7

entacapone, 26 Esmolol HCL, 7


entecavir, 3 esomeprazole magnesium, 19

Entereg, 20 esomeprazole sodium, 19


Entocort EC, 15 Esomeprazole Sodium, 19

Entresto, 10 Esomeprazole Strontium, 19

Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2", 38

Entty Spray Emulsion, 14 estazolam, 25

Entyvio, 20 Estrace, 15, 21

Easy Twist & CAP Lancets, 38

Envarsus XR, 6 estradiol, 15

Easytest II Lancets, 38

Epaned, 8 Estradiol, 15

Easytest Lancets, 38

Epclusa, 3 estradiol valerate, 15

EC-naprosyn, 31

ephedrine sulfate, 10 estradiol/norethindrone acetate, 15

econazole nitrate, 12

Ephedrine Sulfate, 10 Estring, 21

Ecoza, 12

Ephedrine Sulfate/Sodium Chloride, 10 Estrogel, 15

Ed Cyte F, 22

Epiceram, 14 Estropipate, 15

Edarbi, 8

Epiduo, 11 Estrostep FE, 16

Edarbyclor, 9

Epiduo Forte, 11 eszopiclone, 25

Edecrin, 9

Epifoam, 13 ethacrynate sodium, 9

Edluar, 25

epinastine HCL, 29 ethacrynic acid, 9

Edurant, 3

Epinephrine, 10 ethambutol HCL, 2

Effexor XR, 24

Epinephrine HCL, 10 ethosuximide, 26

Effient, 23

epinephrine HCL, 33 Ethyl Chloride, 14

Egrifta, 18

Epipen 2-PAK, 10 Ethyl Chloride/Fine Pinpoint, 14

Elaprase, 18

Epipen-JR 2-PAK, 10 Ethyl Chloride/Fine Stream, 14

Elavil, 24

epirubicin HCL, 5 Ethyl Chloride/Medium Jet Stream, 14

Eldepryl, 26

Episnap, 10 Ethyl Chloride/Medium Stream, 14

Elelyso, 22

episone CRE, 13 Ethyl Chloride/Mist, 14

Elestat, 29

Epivir, 3 Ethyol, 7

Elestrin, 15

Epivir HBV, 3 Etidronate Disodium, 17

Eletone, 14

eplerenone, 8 etodolac, 31

Eletone Twinpack, 14

Epogen, 22 etodolac ER, 31

Elidel, 13

epoprostenol sodium, 10 Etopophos, 6

Eligard, 5

Eprosartan Mesylate, 8 etoposide, 6

Elimite, 14

eptifibatide, 23 Etoposide, 6

Eliphos, 20

Epy II Kit, 10 Euflexxa, 27

Eliquis, 22

Epy Kit, 10 Eurax, 13

Elitek, 7

Epzicom, 3 Evamist, 16

Elixophyllin, 33

Eql SHORT Pen Needles 31G X 8MM, 38

Evekeo, 25

Ella, 16

Evicel, 22

Evista, 18

Feiba, 23 First-baclofen 1, 27

Evithrom, 22

Feiba NF, 23 First-baclofen 5, 27

Evoclin, 11

felbamate, 26 First-bxn Mouthwash, 23

Evomela, 4

Felbatol, 26 First-dukes Mouthwash, 23

Evotaz, 3

Feldene, 31 First-hydrocortisone, 13

Evoxac, 23

felodipine ER, 8 First-lansoprazole, 19

Exactuss, 33

Fem PH, 21 First-marys Mouthwash, 23

Exalgo, 30

Femara, 5 First-metronidazole 100, 4

Excel Comfort Point Insulin Pen Needles 31G X 4MM, 38

Femcon FE, 16 First-metronidazole 50, 4

Femhrt Low Dose, 16 First-mouthwash Blm, 23

Exel Comfort Point Insulin Pen Needles 29G X 12MM, 38

Femring, 21 First-omeprazole, 19

fenofibrate, 10 First-progesterone VGS 100 Compounding Kit, 21


Fenofibrate, 10

fenofibrate micronized, 10 First-progesterone VGS 200 Compounding Kit, 21


Fenofibric Acid, 10

fenofibric acid DR, 10 First-progesterone VGS 25 Compounding Kit, 21

Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 38

Fenoglide, 10

fenoldopam mesylate, 8 First-progesterone VGS 400 Compounding Kit, 21


Fenoprofen Calcium, 31

Fenortho, 31 First-progesterone VGS 50 Compounding Kit, 21


fentanyl, 30

Fentanyl, 30 First-testosterone, 15


Fentanyl Citrate, 30 First-testosterone Mc Compounding Kit, 15

fentanyl citrate oral transmucosal, 30


Fentanyl Citrate/NACL, 30 First-vancomycin 25, 4

Fentanyl Citrate/Sodium Chloride, 30 First-vancomycin 50, 4

Exel Comfort Point Insulin Syringe/1ML/28G X 1/2", 38

Fentora, 30 Flagyl, 4

Feraheme, 22 Flagyl ER, 4


Feriva, 22 Flanax Pain Relief Kit, 31

Feriva 21/7, 22 Flarex, 28


Ferivafa, 22 flavoxate HCL, 21

Ferralet 90, 22 flecainide acetate, 8

Exelderm, 12

Ferrex 150 Forte Plus, 22 Flector, 12

Exelon, 27

Ferrex 28, 22 Flexepax, 27

exemestane, 5

Ferriprox, 43 Flexichamber, 43

Exforge, 9

Ferrlecit, 22 Flexichamber Adult Mask/Small, 43

Exforge HCT, 9

Ferro-plex Hematinic, 22 Flexichamber Child Mask/Large, 43

Exjade, 43

Ferrotrin, 22 Flexichamber Child Mask/Small, 43

Exoderm, 12

Fetzima, 24 Flolan, 10

Exondys 51, 27

Fetzima Titration Pack, 24 Flomax, 21

Exparel, 32

Fexmid, 27 Flonase, 33

Extardol, 12

Fibricor, 10 Floriva, 35

Extavia, 27

Fifty50 Pen Needles 31G X3/16" (5MM), 38

Flovent Diskus, 33

Extina, 12

Flovent HFA, 33

EZ Smart Blood Glucose Lancets, 38

Fifty50 Pen Needles 31G X5/16" (8MM), 38

Flowtuss, 33

EZ-lets Lancets 21G, 38

Floxin Otic, 29


Fifty50 Pen Needles 31GX5MM, 38 Floxuridine, 5

EZ-lets Lancets 26G Super-soft, 38

Fifty50 Pen Needles/31GX8MM, 38 Fluad 2016-2017, 34

EZ-lets Lancets 28G Ultra-soft, 38

Fifty50 Pen Needles/32GX4MM, 38 Fluarix 2014-2015, 34


Fifty50 Safety Seal Lancets 30G, 38 Fluarix Quadrivalent 2014-2015, 34

F

Fifty50 Safety Seal Lancets 32G, 38 Fluarix Quadrivalent 2015-2016, 34

Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16", 38

Fluarix Quadrivalent 2016-2017, 34

Fabior, 11

Flublok 2014-2015, 34

Fabrazyme, 18

Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 38

Flublok 2015-2016, 34

Factive, 2

Flublok 2016-2017, 34

Falessa, 16

Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 38

Flucelvax 2014-2015, 34

famciclovir, 3

Flucelvax 2015-2016, 34

famotidine, 19

Fifty50 Unilet Lancets 33G, 38 Flucelvax Quadrivalent 2016-2017, 34

Famotidine, 19

Finacea, 11 fluconazole, 2

Famotidine Premixed, 19

finasteride, 21 fluconazole IN dextrose, 2

Famvir, 3

Fine 30, 38 fluconazole IN NACL, 2

Fanapt, 25

Fingerstix Lancets, 38 Fluconazole IN NACL, 3

Fanapt Titration Pack, 25

Fioricet, 30 flucytosine, 2

Fanatrex Fusepaq, 26

Fioricet/Codeine, 30 Fludara, 5

Fareston, 5

Fiorinal, 30 fludarabine phosphate, 5

Farxiga, 17

Fiorinal/Codeine #3, 30 fludrocortisone acetate, 15

Farydak, 6

Firazyr, 23 Flulaval 2014-2015, 34

Faslodex, 5

Firmagon, 5 Flulaval Quadrivalent 2014-2015, 34

Fazaclo, 25

Flulaval Quadrivalent 2015-2016, 34

fondaparinux sodium, 22 gemcitabine, 5

Flulaval Quadrivalent 2016-2017, 34

Fora Lancets, 38 gemcitabine HCL, 5

Flumadine, 3

Foradil Aerolizer, 33 gemfibrozil, 10

Flumist Quadrivalent, 34

Forfivo XL, 24 Gemzar, 5

flunisolide, 33

Fortamet, 17 Genadur, 14

fluocinolone acetonide, 13, 29

Fortavit, 35 Genadur Kit, 14

fluocinolone acetonide ear drops, 29

Fortaz, 1 gene-xene TAB 15MG, 23

fluocinonide, 13

Forteo, 17 gene-xene TAB 3.75MG, 23

fluocinonide-e, 13

Fortesta, 15 gene-xene TAB 7.5MG, 23

fluorometholone, 28

Fortical, 17 Generess FE, 16

fluorouracil, 5

Fosamax, 17 Genotropin, 18

Fluoxetine, 27

Fosamax Plus D, 17 Genotropin Miniquick, 18

fluoxetine DR, 24

Foscavir, 3 gentamicin sulfate, 2, 28

fluoxetine HCL, 24

fosinopril sodium, 8 Gentamicin Sulfate, 11

Fluoxetine HCL, 24

fosinopril sodium/hydrochlorothiazide, 9 gentamicin sulfate pediatric, 2

fluphenazine decanoate, 24

fosphenytoin sodium, 26 gentamicin sulfate/0.9% sodium chloride, 2

fluphenazine HCL, 24

Fosrenol, 20

Fluphenazine HCL, 25

Fragmin, 22 Gentamicin Sulfate/0.9% Sodium Chloride, 2

flurandrenolide, 13

Freestyle Lancets, 38

Flurazepam HCL, 25

Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16", 38

Gentle-let GP Lancets, 38

flurbiprofen, 31

Gentle-let Lancets General Purpose Style/Fine Point, 38

flurbiprofen sodium, 29

Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16", 38

flutamide, 5

Gentle-let Lancets General Purpose Style/Medium Point, 38

fluticasone propionate, 13, 33

Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16", 38

fluvastatin, 10

Gentle-let Lancets Safety Style/Fine Point, 38

fluvastatin sodium ER, 10

Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16", 38

Fluvirin 2014-2015, 34

Gentle-let Lancets Safety Style/Medium Point, 38

Fluvirin 2015-2016, 34

Freestyle Unistick II Lancets, 38

Fluvirin 2016-2017, 34

Frova, 32 Gentle-let Platforms 2.4MM, 38

Fluvirin PF 2014-2015, 34

frovatriptan succinate, 32 Gentle-let Platforms 3.0MM, 38

fluvoxamine maleate, 24

Fulyzaq, 19 Genvisc 850, 27

fluvoxamine maleate ER, 24

Furadantin, 21 Genvoya, 3

Fluzone High-dose PF 2014-2015, 34

furosemide, 9 Geodon, 25


Furosemide, 9 Gesticare DHA, 35


Fusilev, 7 Gialax, 19

Fluzone PF 2014-2015, 34

Fusion Plus, 22 Giazo, 20

Fluzone Quadrivalent 2014-2015, 34

Fusion Sprinkles, 22 Gilenya, 27


Fuzeon, 3 Gilotrif, 6


Fycompa, 26 Gilphex TR, 33

Fluzone Split 2014-2015, 34

G Giltuss, 33

Fluzone Split 2015-2016, 34

Giltuss TR, 33

gabapentin, 26

FML, 28

Glassia, 34

Gabavale-5, 24

FML Forte, 28

glatopa, 27

Gabazolamine, 24

FML Liquifilm, 28

Gleevec, 6

Gabazolamine-0.5, 24

Focalgin 90 DHA, 35

Gleostine, 4

Gabazolpidem-5, 25

Focalgin CA, 35

Gliadel Wafer, 4

Gabitidine, 19

Focalgin Dss, 22

glimepiride, 16

Gabitril, 26

Focalin, 25

glipizide, 16

Gablofen, 27

Focalin XR, 25

glipizide ER, 16

Gaboxetine, 24

Folbee Plus Cz, 35

glipizide/metformin HCL, 17

galantamine hydrobromide, 27

Folcaps Omega 3, 35

Glucagen Hypokit, 17

Galantamine Hydrobromide, 27

Folene, 22

Glucagon Emergency Kit, 17

ganciclovir, 3

Folet DHA, 35

Glucocom Lancets 28G, 38

Ganirelix Acetate, 18

Folet One, 35


Garamycin, 28

Folgard OS, 35


Gardasil, 34

Folgard RX, 22

Glucophage, 17

Gardasil 9, 34

folic acid, 21

Glucophage XR, 17

Gastrinex NF, 19

Folic Acid, 22

Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2", 38

Gastrocrom, 20

folic acid/vitamin b-6/vitamin b-12, 21

gatifloxacin, 28

Folitab 500, 21


Gattex, 20

Folivane-f, 22

Gazyva, 5

Folivane-OB, 35


Gebauers Pain Ease, 14

Folivane-plus, 22

Gebauers Spray And Stretch, 14

Folivane-prx DHA NF, 35


Gel-kam Oral Care Rinse, 23

Folixapure, 22

Gel-one, 27

Follistim AQ, 18


Gelclair, 23

Folotyn, 5

Gelnique, 21

Foltrate, 22

Glucopro Insulin Syringe/U-100/0.

Gelsyn-3, 27

5ML/31G X 5/16", 38

haloperidol, 24 Humira, 31

Glucopro Insulin Syringe/U-100/1ML/30G X 1/2", 38

haloperidol decanoate, 24 Humira Pediatric Crohns Disease Starter Pack, 31

haloperidol lactate, 24


Halotin, 12 Humira Pen, 31

Harvoni, 3 Humira Pen-crohns Diseasestarter, 31


Havrix, 34 Humira Pen-psoriasis Starter, 31

Healthwise Mini Pen Needles 31GX6MM, 39

Humulin 70/30, 16

Glucosource Lancets, 38

Humulin 70/30 Kwikpen, 16

Glucotrol, 17

Healthwise Pen Needles 29GX12MM, 39 Humulin N, 16

Glucotrol XL, 17

Healthwise SHORT Pen Needles 31GX8MM, 39

Humulin N Kwikpen, 16

Glucovance, 17

Humulin R, 16

Glumetza, 17

Healthy Mama Be Well Rounded, 35 Humulin R U-500 (concentrated), 16

glyburide, 16

Hectorol, 18 Humulin R U-500 Kwikpen, 16

Glyburide, 17

Helixate FS, 23 Hy-vee Lancets, 39

glyburide micronized, 16

Hemabate, 29 Hyalgan, 27

glyburide/metformin HCL, 17

Hemangeol, 7 Hycamtin, 6

Glycolic Acid, 12

Hematogen Fa, 22 Hycet, 30

Glycolic Acid 70% High Purity, 12

Hematron-AF, 22 Hycofenix, 33

glycopyrrolate, 19

Hemocyte Plus, 22 hydralazine HCL, 8

Glycopyrrolate, 19

Hemocyte-f, 22 Hydrea, 7

Glynase, 17

Hemofil M, 23 Hydro 35, 14

Glyset, 17

heparin lock, 22 Hydro 40 Foam, 14

Glyxambi, 17

heparin lock flush, 22 hydrochlorothiazide, 9

Gmate Lancets 30G, 38

Heparin Lock Flush, 22 hydrocodone bitartrate/acetaminophen, 30

Golytely, 19

heparin lock flush for flushing vascular access devices, 22

Gonal-f, 18

hydrocodone bitartrate/chlorpheniramine maleate/PSE, 33

Gonal-f RFF, 18

heparin lock flush/NACL for flushing vascular access devices, 22

Gonal-f RFF Rediject, 18

hydrocodone bitartrate/homatropine methylbromide, 33

Gonitro, 7

heparin sodium, 22

Gordofilm, 14

Heparin Sodium, 22 hydrocodone polistirex/chlorpheniramine polistirex, 33

Gordons Urea, 14

heparin sodium dcu, 22

Gralise, 27

heparin sodium lock flush, 22 hydrocodone/acetaminophen, 30

Gralise Starter, 27

heparin sodium/D5W, 22 Hydrocodone/Acetaminophen, 30

granisetron HCL, 20

Heparin Sodium/D5W, 22 hydrocodone/homatropine, 33

Granisol, 20

Heparin Sodium/NACL, 22 hydrocodone/ibuprofen, 30

Granix, 21

Heparin Sodium/NACL 0.45%, 22 hydrocort ene 100MG, 20

Grifulvin V, 3

heparin sodium/NACL 0.9%, 22 hydrocortisone, 13, 15, 20

Gris-peg, 3

Heparin Sodium/Sodium CH Loride, 22 hydrocortisone acetate/pramoxine, 20

griseofulvin microsize, 2

Heparin Sodium/Sodium Chloride, 22 hydrocortisone butyrate, 13

griseofulvin ultramicrosize, 2

Heparin Sodium/Sodium Chloride 0.9%, 22

hydrocortisone butyrate (lipid), 13

guanfacine ER, 25

hydrocortisone butyrate (lipophilic), 13

guanfacine HCL, 8

heparin sodium/sodium chloride 0.9% premix, 22

hydrocortisone IN absorbase, 13

Guanidine HCL, 28

hydrocortisone valerate, 13

Gynazole-1, 21

Heparin Sodium/Sodium Chloride PF, 22 hydrocortisone/acetic acid, 29

H

Hepsera, 3 hydromorphone HCL, 30

Herceptin, 5 Hydromorphone HCL, 30

H-e-b IN Control Pen Needles 31GX6MM, 38

Hespan, 23 hydromorphone HCL dosette, 30

hetastarch 6%/NACL, 23 hydromorphone HCL ER, 30

H-e-b IN Control Pen Needles 31GX8MM, 38

Hetlioz, 25 Hydromorphone HCL/NACL, 30

Hexalen, 4 Hydromorphone HCL/Sodium Chloride, 30

H-e-b IN Control Unifine Pentips Plus 32GX4MM, 38

Hextend, 23

Hiberix, 34 hydromorphone hydrochloride, 30

H-e-b Incontrol Pen Needles 29GX12MM, 38

Hiprex, 21 Hydromorphone Hydrochloride/ NACL, 30

homatropine HBR, 29

H.p. Acthar, 18

Horizant, 27 Hydromorphone Hydrochloride/NACL, 30

Haemolance, 39

HPR, 14 Hydromorphone Hydrochloride/Sodium Chloride, 30

Haemolance Low Flow Lancets, 39

HPR Plus, 14

Haemolance Plus, 39

HPR Plus Hydrogel Kit, 14 Hydroxocobalamin, 22

Haemolance Plus High Flow, 39

HPR Plus/Mb Hydrogel, 14 hydroxychloroquine sulfate, 3

Haemolance Plus Low Flow, 39

Humalog, 16 Hydroxyprogesterone Caproate, 5

Haemolance Plus Max Flow, 39

Humalog Kwikpen, 16 hydroxyurea, 6

Haemolance Plus Pediatric Flow, 39

Humalog Mix 50/50, 16 hydroxyzine HCL, 23

Halaven, 6

Humalog Mix 50/50 Kwikpen, 16 Hydroxyzine HCL, 24

Halcion, 25

Humalog Mix 75/25, 16 hydroxyzine pamoate, 23

Haldol, 25

Humalog Mix 75/25 Kwikpen, 16 Hydroxyzine Pamoate, 24

Haldol Decanoate 100, 25

Humate-p, 23 Hylatopic, 14

Haldol Decanoate 50, 25

Humatrope, 18 Hylatopic Plus, 14

halobetasol propionate, 13

Humatrope Combo Pack, 18 Hylira, 14

Halog, 13

Hymovis, 27

Inova 4/1 Acne Control Therapy, 11 ipratropium bromide/albuterol sulfate, 33

hyoscyamine sulfate, 19

Inova 8/2 Acne Control Therapy, 11 Iprivask, 22

hyoscyamine sulfate ER, 19

Inspirachamber/Anti-static Valved/Mouthpiece, 43

irbesartan, 8

hyoscyamine sulfate odt, 19

irbesartan/hydrochlorothiazide, 9

hyoscyamine sulfate SR, 19

Inspirachamber/Large, 43 Irenka, 24

Hyper-sal, 33

Inspirachamber/Soothermask/Inspiramask/Medium, 43

Iressa, 6

Hypersal, 33

irinotecan, 6

Hypertenevide-12.5, 7

Inspirachamber/Soothermask/Inspiramask/Small, 43

Irinotecan, 6

Hypertenipine-2.5, 8

irinotecan HCL, 6

Hypertensolol, 9

Inspirease Bags, 43 Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 21

Hysingla ER, 30

Inspirease Drug Delivery System, 43

Hyzaar, 9

Inspirease Mouthpiece, 43 Irospan 24/6, 22

I

Inspirease Reservoir Bags, 43 Is 24/6, 22

Inspra, 9 Isentress, 3

ibandronate sodium, 17

Insulin Syringe/0.3ML/29G X 1", 39 isoniazid, 2

Ibrance, 6

Insulin Syringe/0.3ML/29G X 1/2", 39 Isoniazid, 2

Ibudone, 30

Insulin Syringe/0.3ML/30G X 5/16", 39 Isopto Atropine, 29

ibuprofen, 31

Insulin Syringe/0.3ML/31G X 5/16", 39 Isopto Carpine, 29

Ibuprofen Comfort PAC, 31

Insulin Syringe/0.5ML/27G X 1/2", 39 Isordil Titradose, 7

ibuprofen lysine, 31

Insulin Syringe/0.5ML/28G X 1/2", 39 isosorbide dinitrate, 7

ibutilide fumarate, 8

Insulin Syringe/0.5ML/29G X 1/2", 39 Isosorbide Dinitrate ER, 7

IC 400, 31

Insulin Syringe/0.5ML/30G X 1/2", 39 isosorbide mononitrate, 7

IC 800, 31

Insulin Syringe/0.5ML/30G X 5/16", 39 isosorbide mononitrate ER, 7

Icar-c Plus, 22

Insulin Syringe/0.5ML/31G X 5/16", 39 isotonic gentamicin, 2

Iclusig, 6

Insulin Syringe/1ML/28G X 1/2", 39 isradipine, 8

Idamycin PFS, 5

Insulin Syringe/1ML/29G X 1/2", 39 Istalol, 28

idarubicin HCL, 5

Insulin Syringe/1ML/30G X 5/16", 39 Istodax, 6

Ifex, 5

Insulin Syringe/1ML/31G X 5/16", 39 Istodax (overfill), 6

ifosfamide, 4

Insulin Syringe/U-100/0.3ML/29G X 1/2", 39

Isuprel, 34

Ifosfamide, 5

itraconazole, 2

Ilaris, 31


IV Infusion Cpi, 14

Ilevro, 29

ivermectin, 4

imatinib mesylate, 6


Ixempra Kit, 6

Imbruvica, 6

Ixiaro, 34

Imdur, 7

Insulin Syringe/U-100/1ML/28G X 1/2", 39

Ixinity, 23

imipenem/cilastatin, 4

J

imipramine HCL, 24


imipramine pamoate, 24

J-max, 33

imiquimod, 13

Jadenu, 43


Imitrex, 32

Jakafi, 6

Imitrex Statdose Refill, 32

Jalyn, 21


Imitrex Statdose System, 32

Janumet, 17

Imovax Rabies (h.d.c.v.), 34

Janumet XR, 17

Insupen Sensitive 32GX8MM, 39

Impavido, 4

Januvia, 17

Insupen Ultrafin 29GX12MM, 39

Imuran, 6

Jardiance, 17


IN Touch Sterile Lancets 30G, 39

Jentadueto, 17


Increlex, 18

Jentadueto XR, 17


Incruse Ellipta, 33

Jevtana, 6

Integra F, 22

indapamide, 9

Jublia, 12

Integra Plus, 22

Inderal LA, 7

Juxtapid, 10

Integrilin, 23

Inderal XL, 7

K

Intelence, 3

Indocin, 31

Interarticular Joint Kit, 15

K-phos NO 2, 21

indomethacin, 31

Intermezzo, 25

K.b.g.l. IN Teroderm Cream, 12

Indomethacin, 31

Intron A, 7

Kadcyla, 5

indomethacin ER, 31

Intron A W/Diluent, 7

Kadian, 30

Infanrix, 34

Intuniv, 25

Kalbitor, 23

Infasurf, 34

Invanz, 4

Kaletra, 3

Infed, 22

Invega, 25

Kalydeco, 34

Inflectra, 20

Invega Sustenna, 25

Kanuma, 18

Infumorph 200, 30

Invega Trinza, 25

Kapvay, 25

Infumorph 500, 30

Invirase, 3

Karbinal ER, 32

Infuvite, 35

Invokamet, 17

Kazano, 17

Infuvite Adult, 36

Invokamet XR, 17

Keflex, 1

Infuvite Pediatric, 36

Invokana, 17

Kenalog, 13

Injectafer, 22

Ionsys, 30

Kenalog-10, 15

Inlyta, 6

Iopidine, 29

Kenalog-40, 15

Innopran XL, 7

Ipol Inactivated IPV, 34

Kengreal, 23

Innoprax-5, 12

ipratropium bromide, 33(2)

Kepivance, 7

Inova, 11

Keppra, 26

Lancets 30G Twist Top, 39 levocetirizine dihydrochloride, 32

Keppra XR, 26

Lancets 30G/Twist Top, 39 levofloxacin, 2, 28

Keralac, 14

Lancets 31G Twist Top, 39 levofloxacin IN 5% dextrose, 2

Keralyt, 14

Lancets 33G Universal Design, 39 levofloxacin IN D5W, 2

Keralyt Scalp, 14

Lancets Bullseye Safety, 39 levoleucovorin, 7

Kerlone, 7

Lancets Safety Seal 21G, 39 Levoleucovorin, 7

Kerydin, 12

Lancets Safety Seal 26G, 39 levoleucovorin calcium, 7

Ketek, 4

Lancets Safety Seal 28G, 39 levonorgestrel, 16

ketoconazole, 2, 12

Lancets Safety Seal 30G, 39 Levonorgestrel, 16

Ketodan Kit, 12

Lancets Thin, 39 levonorgestrel and ethinyl estradiol, 16

Ketophene Rapidpaq, 12

Lancets Twist Top, 39 levonorgestrel/ethinyl estradiol, 16

ketoprofen, 31

Lancets Ultra Fine, 39 Levophed, 10

Ketoprofen ER, 31

Lancets Ultra Thin, 39 Levorphanol Tartrate, 30

Ketorocaine-l, 31

Lanoxin, 7 levothyroxine sodium, 19

Ketorocaine-lm, 31

Lanoxin Pediatric, 7 Levothyroxine Sodium, 19

Ketorolac 2% Gel, 12

lansoprazole, 19 Levsin, 19

ketorolac tromethamine, 29, 31

lansoprazole/amoxicillin/clarithromycin, 19

Levsin/SL, 19

Ketorolac Tromethamine, 31

Lexapro, 24

Keveyis, 9

Lantus, 16 Lexiva, 3

Keytruda, 5

Lantus Solostar, 16 Lialda, 20

Khedezla, 24

Lasix, 9 Liberty Medical Lancets 30G, 39

Kineret, 31

Lastacaft, 29 Librax, 19

Kinlytic, 23

latanoprost, 29 Lido-RX 4.1, 14

Kinrix, 34

Latrix XM, 14 lidocaine, 13

Kitabis PAK, 2

Latuda, 25 Lidocaine And Tetracaine Cream, 14

Klaron, 11

Lazanda, 30 lidocaine HCL, 8, 13, 32

Klonopin, 26

Ldo Plus, 14 Lidocaine HCL, 8, 14, 23, 32

Koate-dvi, 23

Leader Unifine Pentips Plus/Mini/31GX3/16", 39

lidocaine HCL IN D5W, 8

Kogenate FS, 23

lidocaine HCL jelly, 13

Kogenate FS Bio-set, 23

Leader Unifine Pentips Plus/SHORT/31GX5/16", 39

lidocaine HCL viscous, 23

Kombiglyze XR, 17

Lidocaine HCL-hydrocortisone Acetate With Aloe, 20

Korlym, 17

Leader Unifine Pentips/Mini/31GX3/16", 39

Kovaltry, 23

lidocaine HCL/dextrose, 8

Kristalose, 19

Leader Unifine Pentips/Nano/32GX5/32", 39

Lidocaine HCL/Dextrose, 32

Krystexxa, 32

lidocaine HCL/hydrocortisone acetate, 20

Kuvan, 18

Leader Unifine Pentips/Plus/32GX5/32", 39

lidocaine viscous, 23

Kynamro, 10

lidocaine-prilocaine-cream base, 13

Kyprolis, 6

leflunomide, 31 lidocaine/epinephrine, 32

L

Lemtrada, 27 lidocaine/prilocaine, 13

Lenvima 10 MG Daily Dose, 6 Lidoderm, 14

labetalol HCL, 7

Lenvima 14 MG Daily Dose, 6 Lidoprofen, 12

Lac-hydrin, 14

Lenvima 18 MG Daily Dose, 6 Lidothol, 14

Lacrisert, 28

Lenvima 20 MG Daily Dose, 6 Lidotral, 14

lactic acid, 13

Lenvima 24 MG Daily Dose, 6 Lidovir, 12

lactic acid e, 13

Lenvima 8 MG Daily Dose, 6 Lifescan Unistik 2 Deep Penetration, 39

lactic acid w/vitamin e, 13

Lescol, 10 Lifescan Unistik II Lancets, 39

lactulose, 19, 20

Lescol XL, 10 Lincocin, 4

Lamictal, 26

Letairis, 10 lincomycin HCL, 4

Lamictal Chewable Dispersible, 26

letrozole, 5 Lincomycin/Lidocaine, 4

Lamictal Odt, 26

leucovorin calcium, 7 lindane, 13

Lamictal Starter/Not Taking Carbamazepine, 26

Leucovorin Calcium, 7 Lindane, 14

Leukeran, 4 linezolid, 4

Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 26

Leukine, 22 Linezolid, 4

leuprolide acetate, 5 Linzess, 20

Levacet, 30 Lioresal Intrathecal, 27

Lamictal Starter/Taking Valproate, 26

levalbuterol, 33 liothyronine sodium, 19

Lamictal XR, 26

levalbuterol HCL, 33 Lipitor, 10

Lamisil, 3

Levaquin, 2 Lipofen, 10

lamivudine, 3

Levatol, 7 lisinopril, 8

lamivudine/zidovudine, 3

Levbid, 19 lisinopril/hydrochlorothiazide, 9

lamotrigine, 26

Levemir, 16 Lite Touch Pen Needles/31G X 3/16", 39

lamotrigine ER, 26

Levemir Flextouch, 16 Liteaire, 43

lamotrigine odt, 26

levetiracetam, 26 Litetouch Insulin Syringe/0.3ML/29G X 1/2", 39

lamotrigine titration, 26

Levetiracetam, 26

Lancet Transporter Case, 39

levetiracetam ER, 26 Litetouch Insulin Syringe/0.3ML/30G X 5/16", 39

Lancets, 39

Levitra, 10

Lancets 26G Twist Top, 39

levobunolol HCL, 28 Litetouch Insulin Syringe/0.3ML/31G X 5/16", 39

Lancets 28G, 39

levocarnitine, 18

Lancets 30G, 39

Litetouch Insulin Syringe/0.5ML/30G X 5/16", 39

Lotrel, 9 Maxalt-MLT, 32

Lotrisone, 12 Maxaron Forte, 22

Litetouch Insulin Syringe/0.5ML/31G X 5/16", 39

Lotronex, 20 Maxfe, 22

lovastatin, 10 Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2", 39

Litetouch Insulin Syringe/1ML/30G X 5/16", 39

Lovaza, 10

Lovenox, 22 Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2", 39

Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2", 39

loxapine, 24

loxapine succinate, 24 Maxidex, 28

Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2", 39

LT Injection Kit, 15 Maxipime, 1

Lufyllin, 34 Maxitrol, 28

Litetouch Insulin Syringe/U-100/1ML/28G X 1/2", 39

Lumigan, 29 Maxzide, 9

Lumizyme, 18 Maxzide-25, 9


Lunesta, 25 Mb Hydrogel, 14

Lupaneta Pack, 18 meclizine HCL, 20


Lupron Depot, 5 Meclofenamate Sodium, 31

Lupron Depot-PED, 18 Medi-derm/L-RX, 14

Litetouch Lancets Micro Thin 33G, 39

Luvox CR, 24 Medical Provider EZ Flu Shot 2014-2015, 34

Litetouch Pen Needles 29GX12.7MM, 39

Luxiq, 13

Litetouch Pen Needles 31G X 6MM, 39

Luzu, 12 Medical Provider EZ Flu Shot 2015-2016, 34

Litetouch Pen Needles 31GX8MM SHORT, 39

Lycelle, 14

Lynparza, 6 Medical Provider Single Use EZ Flu Shot, 34

Lithium, 25

Lyrica, 26

lithium carbonate, 24

Lysodren, 5 Medisense Thin Lancets, 39

Lithium Carbonate, 25

Lysteda, 22 Medlance Plus Extra Lancets 21G, 39

lithium carbonate ER, 24

Lytensopril Kit, 9 Medlance Plus Lancets, 39

Lithobid, 25

Lytensopril-90 Kit, 9 Medlance Plus Lancets Lite 25G, 39

Lithostat, 21

M Medlance Plus Lite Lancets 25G, 39

Livalo, 10

Medlance Plus Special Lancets 0.8MM, 39

M-m-r II, 34

Live Better Lancet Super Thin 30G, 39

M.v.i. Adult, 36

Live Better Lancet Ultra Thin 28G, 39

Medlance Plus Superlite 30G, 39

M.v.i. Pediatric, 36

Live Better Pen Needles 29G X 12MM, 39

Medlance Plus Superlite 30G/Comfort Max, 39

M.v.i.-12 Without Vitamin K, 36

Macrobid, 21


Medlance Plus Universal Lancets 21G, 39

Macrodantin, 21

Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2", 39


Medlance Plus/Lite 25G, 39

LMD 10% Dextrose 5%, 23

Medlance/Extra, 39


LMD 10% Sodium Chloride 0.9%, 23

Medlance/Lite, 39

LO Loestrin FE, 16

Medlance/Universal, 39


Locoid, 13

Medrol, 15

Locoid Lipocream, 13

Medrol Dosepak, 15


Lodine, 31

Medroloan II Suik, 15

Lodosyn, 26

Medroloan Suik, 15

Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2", 39

Loestrin 1.5/30-21, 16

medroxyprogesterone acetate, 16

Loestrin 1/20-21, 16

Medroxyprogesterone/Lidocaine, 16

Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16", 39

Loestrin FE 1.5/30, 16

mefenamic acid, 31

Loestrin FE 1/20, 16

mefloquine HCL, 3

Makena, 16

Lofibra, 10

Megace ES, 16

Malarone, 4

Lomotil, 19

Megace Oral, 5

malathion, 13

Lomustine, 4

megestrol acetate, 5, 16

mannitol, 9

Lonsurf, 7

Megrix, 14

Maprotiline HCL, 24

loperamide HCL, 19

Meijer Lancets Universal 30G, 39

Marbeta-25, 15

Lopid, 10

Meijer Super Thin Lancets, 39

Marbeta-l, 15

Lopressor, 7

Mekinist, 6

Marcaine, 32

Lopressor HCT, 9

meloxicam, 31

Marcaine/Epinephrine, 32

Loprox, 12

Meloxicam, 31

Mardex-25, 15

Loprox Shampoo, 12

Meloxicam Comfort PAC, 31

Marinol, 20

lorazepam, 23

melphalan hydrochloride, 4

Marlido-25, 32

Lorazepam, 24

memantine HCL, 27

Marnatal-f, 35

Lortab, 30

memantine HCL titration PAK, 27

Marplan, 24

Lorvatus Pharmapak, 27

memantine hydrochloride, 27

Marqibo, 6

Lorzone, 27

Menactra, 34

Marvona Suik, 32

losartan potassium, 8

Menest, 15

Mask Vortex/Baby Whirl Duckling, 43

losartan potassium/hydrochlorothiazide, 9

Menhibrix, 34

Mask Vortex/Child/Frog, 43

Menomune-a/C/Y/W-135, 34

Mask Vortex/Spinner The Duck, 43

Loseasonique, 16

Menopur, 18

Mask Vortex/Toddler/Lady Bug, 43

Lotemax, 28

Menostar, 16

Matulane, 7

Lotensin, 8

Mentax, 12

Mavik, 8

Lotensin HCT, 9

Menveo, 34

Maxalt, 32

meperidine HCL, 30

metoprolol succinate ER, 7 Moderiba 800 Dose Pack, 3

Meperidine HCL, 30

Metoprolol Succinate ER/Hydrochlorothiazide, 9

Modicon, 16

Meperidine Hydrochloride/Sodium Chloride, 30

moexipril HCL, 8

metoprolol tartrate, 7 moexipril/hydrochlorothiazide, 9

Mephyton, 35

Metoprolol Tartrate, 7 Molindone Hydrochloride, 25

meprobamate, 23

metoprolol/hydrochlorothiazide, 9 mometasone furoate, 13, 33

Mepron, 4

Metozolv Odt, 20 Monoclate-p, 23

mercaptopurine, 5

Metro IV, 4 Monodox, 2

meropenem, 4

Metrocream, 11 Monoject Bone Marrow Biopsy Prepping Tray, 32

Meropenem/Sodium Chloride, 4

Metrogel, 11

Merrem, 4

Metrogel-vaginal, 21 Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 32

mesalamine, 20

Metrolotion, 11

Mesalamine DR, 20

metronidazole, 4, 11 Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 32

mesna, 7

metronidazole IN NACL 0.79%, 4

Mesnex, 7

metronidazole vaginal, 21 Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 32

Mestinon, 28

Mevacor, 10

Mestinon Timespan, 28

mexiletine HCL, 8 Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML, 39

Metadate CD, 25

Miacalcin, 17

Metaproterenol Sulfate, 33

Micardis, 8 Monoject Insulin Syringe/1ML, 39

Metastron, 6

Micardis HCT, 9 Monoject Insulin Syringe/1ML/31G X 5/16", 39

Metaxall CP, 27

Micort-HC, 13

metaxalone, 27

Microchamber, 43 Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8", 39

Metaxalone, 27

Microlet Lancets, 39

metformin HCL, 17

Microspacer, 43 Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2", 39

metformin HCL ER, 17

Microtainer Safety Flow Lancet/Sterile/Single-use, 39

methadone HCL, 30

Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2", 39

Methadone HCL, 30

Microzide, 9

Methadose, 30

midodrine HCL, 10 Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2", 39

Methadose Sugar-free, 30

Mifeprex, 18

methamphetamine HCL, 25

Migergot, 32 Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2", 39

methazolamide, 9

miglitol, 17

methenamine hippurate, 21

Migral, 32 Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2", 39

methenamine mandelate, 21

Migranal, 32

Methenamine Mandelate, 21

Migranow, 32 Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2", 39

methimazole, 19

Millipred, 15

Methionine/Inositol/Choline/Cyanocobalamin, 22

Millipred DP, 15 Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2", 39

milrinone IN dextrose, 7

methocarbamol, 27

milrinone lactate, 7 Monoject Insulin Syringe/Softpack/1ML/27G X 1/2", 39

methotrexate, 5

Minastrin 24 FE, 16

methotrexate sodium, 5

mineral oil heavy, 19 Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2", 39

Methotrexate Sodium, 5

Minipress, 9

methoxsalen, 12

Minivelle, 16 Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16", 39

methscopolamine bromide, 19

Minocin, 2

Methyclothiazide, 9

Minocin Kit, 2 Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 39

methyldopa, 8

minocycline HCL, 2

Methyldopa/Hydrochlorothiazide, 9

minocycline HCL ER, 2 Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16", 39

Methyldopate HCL, 9

minoxidil, 8

methylergonovine maleate, 29

Mirapex, 26 Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 39

Methylin, 25

Mirapex ER, 26

methylphenidate HCL, 25

Mircera, 22 Monoject Insulin Syringe/U-100/1ML/30G X 5/16", 39

methylphenidate HCL CD, 25

Mircette, 16

methylphenidate HCL ER, 25

mirtazapine, 24 Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 39

Methylphenidate HCL ER, 25

mirtazapine odt, 24

methylphenidate HCL SR, 25

Mirvaso, 11 Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 39

methylphenidate hydrochloride, 25

misoprostol, 19

methylprednisolone, 15

Mission Prenatal, 35 Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16", 39

Methylprednisolone, 15

Mitigare, 32

methylprednisolone acetate, 15

mitomycin, 5 Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2", 39

methylprednisolone dose pack, 15

Mitomycin, 5

Methylprednisolone PF, 15

Mitosol, 28 Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2", 39

methylprednisolone sodiumsuccinate, 15

mitoxantrone HCL, 5

Methylprednisolone/Lidocaine, 15

Mld Kit, 32 Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16", 39

methyltestosterone, 15

Mlk F4 Kit, 15

Metipranolol, 28

Mlp A-2, 15 Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16", 39

metoclopramide HCL, 20

Mobic, 31

metoclopramide odt, 20

modafinil, 25 Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 39

Metoclopramide Odt, 20

Moderiba, 3

metolazone, 9

Moderiba 1200 Dose Pack, 3 Monoject Ultra Comfort Insulin

Syringe/1ML/29G X 1/2", 40

Myrbetriq, 21 neomycin/polymyxin/bacitracin/hydrocortisone, 28

Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 40

Mysoline, 26

Mytesi, 19 neomycin/polymyxin/dexamethasone, 28

Monojector End CAPS, 40

N neomycin/polymyxin/gramicidin, 28

Monojector Opd End CAPS, 40

neomycin/polymyxin/HC, 29

nabumetone, 31

Monolet Lancets, 40

Neomycin/Polymyxin/Hydrocortisone, 28

nadolol, 7

Monolet Opd Lancets, 40

neomycin/polymyxin/hydrocortisone, 29

nadolol/bendroflumethiazide, 9

Monolettor Safety Lancets, 40

Neoprofen, 31

Nafcillin, 1

Mononine, 23

Neoral, 6

nafcillin sodium, 1

Monovisc, 27

Neosalus, 14

Nafcillin Sodium, 1

montelukast sodium, 33

Neosalus CP, 14

Nafrinse Daily/Acidulated, 23

Monurol, 21

Neosporin, 28

Nafrinse Daily/Neutral, 23

Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 40

neostigmine methylsulfate, 28

Nafrinse Weekly, 23

Neostigmine Methylsulfate, 28

Naftifine HCL, 12

Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 40

Neotuss Plus, 33

naftifine hydrochloride, 12

Nephplex RX, 36

Naftin, 12

Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 40

Nephro-vite RX, 36

Naglazyme, 18

Nephrocaps, 36

nalbuphine HCL, 30

Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 40

Nephrocaps QT, 36

Nalfon, 31

Nephron Fa, 22

Namenda, 27

Morgidox 1X100MG, 2

Neptazane, 9

Namenda Titration PAK, 27

Morgidox 1X50MG Kit, 2

Nesacaine, 32

Namenda XR, 27

Morgidox 2X100MG, 2

Nesacaine-mpf, 32

Namenda XR Titration Pack, 27

morphine sulfate, 30

Nesina, 17

Namzaric, 27

Morphine Sulfate, 30

Nessi Spacer/Large Mask, 43

Naphazoline HCL, 29

Morphine Sulfate Add-vantage, 30

Nessi Spacer/Mouthpiece, 43

Naprelan, 31

morphine sulfate ER, 30

Nessi Spacer/Small/MED Mask, 43

Naprosyn, 31

Morphine Sulfate ER, 30

Nestabs, 35

naproxen, 31

Morphine Sulfate/NACL, 30

Nestabs Abc, 36

Naproxen, 31

Morphine Sulfate/Sodium Chloride, 30

Nestabs DHA, 35

Naproxen Comfort PAC, 31

Motofen, 19

Netgroup Lancets, 40

naproxen sodium, 31

Movantik, 20

Neuac Kit, 11

naproxen sodium CR, 31

Moviprep, 19

Neulasta, 22

naproxen sodium ER, 31

Moxatag, 1

Neulasta Onpro Kit, 22

naratriptan HCL, 32

Moxeza, 28

Neumega, 21

Nardil, 24

moxifloxacin HCL, 2

Neupogen, 21

Naropin, 32

Moxifloxacin HCL, 2

Neupro, 26

Nascobal, 22

Mozobil, 21

Neurontin, 26

Nasonex, 33

MS Contin, 30

Neutrasal, 23

Natachew, 35

Mteryti, 35

Neutrexin, 4

Natacyn, 28

Mteryti Folic 5, 35

Neuvaxin, 14

Natalvirt 90 DHA, 36

Mucinex Maximum Strength, 33

Nevanac, 29

Natalvirt CA, 36

Multaq, 8

nevirapine, 3

Natalvirt Flt, 22

Multigen, 22

Nevirapine, 3

Natalvit, 35

Multigen Folic, 22

nevirapine ER, 3

Natazia, 16

Multigen Plus, 22

Newgen, 35

nateglinide, 17

mupirocin, 11

Nexa Plus, 36

Natelle One, 35

mupirocin calcium, 11

Nexavar, 6

Natesto, 15

Muse, 10

Nexium, 19

Natpara, 17

Mustargen, 4

Nexium I.v., 19

Natrecor, 10

MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 22

Nexterone, 8

Natroba, 14

Niacin, 35

Nature-throid, 19

MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 22

niacin ER, 10

Nature-throid Nt-2.5, 19

niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 35

Navelbine, 6

Myalept, 18

Nazirex, 12

Myambutol, 2

Niacor, 10

Nebupent, 4

Mycamine, 3

Niaspan, 10

Nebusal, 33

Mycobutin, 2

Nicadan, 36

Necon 1/50-28, 16

mycophenolate mofetil, 6

Nicadan ZX, 36

Necon 10/11-28, 16

mycophenolic acid DR, 6

nicardipine HCL, 8

Neevo DHA, 35

Myfortic, 6

Nicazel, 36

nefazodone HCL, 24

Myglucohealth Mgh Softlance Lancets 30G, 40

Nicazel Forte, 36

Nefazodone HCL, 24

Nicazeldoxy 30 Kit, 2

Nembutal Sodium, 25

Mykidz Iron Fl, 35

Nicazeldoxy 60 Kit, 2

Neo-synalar, 11

Myleran, 4

Nicomide, 36

Neo-synalar Kit, 11

Mynatal, 35

nifedipine, 8

neomycin sulfate, 2

Myobloc, 27

nifedipine ER, 8

neomycin/bacitracin/polymyxin, 28

Myozyme, 18

Nilandron, 5

neomycin/polymyxin/bacitracin zinc, 28

nilutamide, 5

Nova Sureflex Lancets, 40 Ocufen, 29

Nimbex, 27

Novaferrum, 22 Ocuflox, 28

nimodipine, 8

Novoclair, 12 Ocuvel, 36

Ninlaro, 6

Novoeight, 23 Odefsey, 3

Nipent, 7

Novofine Plus 32GX4MM, 40 Ofev, 34

nisoldipine, 8

Novolin 70/30, 16 Ofirmev, 30

Nisoldipine, 8

Novolin 70/30 Relion, 16 Ofloxacin, 2

Nisoldipine ER, 8

Novolin N, 16 ofloxacin, 28, 29

Nitro-bid, 7

Novolin N Relion, 16 olanzapine, 24

Nitro-dur, 7

Novolin R, 16 olanzapine odt, 24

nitrofurantoin, 21

Novolin R Relion, 16 olanzapine/fluoxetine, 27

nitrofurantoin macrocrystals, 21

Novolog, 16 Oleptro, 24

nitrofurantoin monohydrate, 21

Novolog Flexpen, 16 olopatadine HCL, 29, 33

nitrofurantoin monohydrate/macrocrystals, 21

Novolog Mix 70/30, 16 Olux, 13

Novolog Mix 70/30 Prefilled Flexpen, 16 Olux-e, 13

nitroglycerin, 7

Novolog Penfill, 16 Olysio, 3

Nitroglycerin, 7

Novoseven, 23 Omeclamox-PAK, 19

nitroglycerin ER, 7

Novoseven Rt, 23 omega-3-acid ethyl esters, 10

nitroglycerin IN 5% dextrose, 7

Noxafil, 3 Omega-3/D-3 Wellness Pack, 10

nitroglycerin IN dextrose 5%, 7

Noxipak, 13 omeprazole, 19

Nitroglycerin IN Dextrose 5%, 7

Nplate, 21 Omeprazole + Syrspend SF Alka, 19

nitroglycerin lingual, 7

Nucala, 34 omeprazole/sodium bicarbonate, 19

Nitroglycerin Lingual, 7

Nucort, 13 Omnaris, 33

nitroglycerin transdermal, 7

Nucynta, 30 Omnipred, 28

Nitrolingual Pumpspray, 7

Nucynta ER, 30 Omnitrope, 18

Nitromist, 7

Nuedexta, 27 Omontys, 22

Nitronal, 7

Nufera, 22 On Call Lancets, 40

Nitropress, 9

Nulojix, 6 On Call Plus Lancets, 40

Nitrostat, 7

Nulytely/Flavor Packs, 19 Oncaspar, 5

Niva-plus, 35

Numoisyn, 23 ondansetron HCL, 20

Nivatopic Plus, 14

Nuox, 11 Ondansetron Hydrochloride/Sodium Chloride, 20

nizatidine, 19

Nuplazid, 25

Nizatidine, 19

Nusrugepak Surgical Prep/Carepak, 14 ondansetron odt, 20

Nizoral, 12

Nutricap, 36 One A Day Womens Prenatal/DHA, 35

Nor-QD, 16

Nutridox, 2 One A Day Womens Prenatal1, 35

Norco, 30

Nutrivit, 36 One-a-day Womens Prenatal, 35

Norditropin Cartridge, 18

Nutropin AQ Nuspin 10, 18 Onetouch Club Lancets Fine Point, 40

Norditropin Flexpro, 18

Nutropin AQ Nuspin 20, 18 Onetouch Combo Pack, 40

Norditropin Nordiflex Pen, 18

Nutropin AQ Nuspin 5, 18 Onetouch Delica Lancets Extra Fine 33G, 40

norepinephrine bitartrate, 10

Nutropin AQ Pen, 18

Norepinephrine Bitartrate/Dextrose, 10

Nuvail, 14 Onetouch Delica Lancets Fine 30G, 40

Norepinephrine Bitartrate/Sodium Chloride, 10

Nuvaring, 16 Onetouch Finepoint Lancets, 40

Nuvessa, 21 Onetouch Lancets, 40

Norepinephrine/Sodium Chloride, 10

Nuvigil, 25 Onetouch Suresoft Lancing Device/18G, 40

norethindrone, 16

Nuvya, 12

norethindrone & ethinyl estradiol ferrous fumarate, 16

Nuwiq, 23 Onetouch Suresoft Lancing Device/21G, 40

Nuzon, 13

norethindrone acetate, 16

Nyata, 12 Onetouch Suresoft Lancing Device/28G, 40

norethindrone acetate/ethinyl estradiol, 15, 16

Nymalize, 8

nystatin, 2, 12, 23 Onetouch Ultra 2, 40

norethindrone acetate/ethinyl estradiol/ferrous fumarate, 16

nystatin/triamcinolone, 12 Onetouch Ultra Blue, 40

O Onetouch Ultra Mini, 40

Norflex, 27

Onetouch Ultralink System (DEC), 40

O-CAL Fa, 35

norgestimate/ethinyl estradiol, 16

Onetouch Ultralink System (hex), 40

O-CAL Prenatal, 35

Norinyl 1+35, 16

Onetouch Ultrasoft Lancets, 40

OB Complete, 35

Norinyl 1+50, 16

Onetouch Verio, 40

OB Complete Gold, 36

Noritate, 11

Onetouch Verio Flex Bloodglucose Monitoring System, 40

OB Complete One, 35

Noroxin, 2

OB Complete Petite, 35

Norpace, 8

Onetouch Verio IQ Blood Glucose Monitoring System, 40

OB Complete Premier, 35

Norpace CR, 8

OB Complete/DHA, 35

Norpramin, 24

Onetouch Verio Sync Bloodglucose Monitoring System, 40

Obredon, 33

Northera, 10

Obstetrix DHA, 35

nortriptyline HCL, 24

Onetouch Verio Test Strips, 40

Obstetrix One, 36

Nortriptyline HCL, 24

Onexton, 11

Obtrex, 35

Norvasc, 8

Onfi, 26

Obtrex DHA, 35

Norvir, 3

Onglyza, 17

Ocaliva, 20

Nova Safety Lancets 23G, 40

Onivyde, 6

octreotide acetate, 18

Nova Safety Lancets 28G, 40

Onmel, 3

Ocudox, 2

Onzetra Xsail, 32

oxazepam, 23 Pediapred, 15

Opana, 30

oxcarbazepine, 26 Pediarix, 34

Opana ER (crush Resistant), 30

oxiconazole nitrate, 12 Pediatric Panda Mask, 43

Opdivo, 5

Oxistat, 12 Pedvax HIB, 34

opium, 19

Oxsoralen, 14 peg 3350/electrolytes, 19

opium tincture, 19

Oxsoralen Ultra, 12 peg-3350/electrolytes, 19

Opsumit, 10

Oxtellar XR, 26 peg-3350/NACL/NA bicarbonate/KCL, 19

Optichamber Advantage, 43

oxybutynin chloride, 21 Peg-intron, 3

Optichamber Advantage/Large Mask, 43

oxybutynin chloride ER, 21 Peg-intron Redipen, 3

Optichamber Advantage/Medium Face Mask, 43

oxycodone HCL, 30 Peg-intron Redipen PAK 4, 3

Oxycodone HCL ER, 30 Peganone, 26

Optichamber Advantage/Small Face Mask, 43

oxycodone/acetaminophen, 30 Pegasys, 3

Oxycodone/Acetaminophen, 30 Pegasys Proclick, 3

Optichamber Diamond, 43

oxycodone/aspirin, 30 Pegintron, 3

Optichamber Diamond/Largeface Mask, 43

Oxycodone/Ibuprofen, 30 Pen Needles 29G X 12MM, 40

Oxycontin, 30 Pen Needles 29GX1/2", 40

Optichamber Diamond/Medium Face Mask, 43

oxymorphone hydrochloride, 30 Pen Needles 30GX5/16", 40

oxymorphone hydrochloride ER, 30 Pen Needles 31G X 1/4" SHORT, 40

Optichamber Diamond/Smallface Mask, 43

oxytocin, 29 Pen Needles 31G X 3/16", 40

Oxytocin, 29 Pen Needles 31G X 5MM, 40

Optichamber Face Mask/Large, 43

Oxytocin/Lactated Ringers, 29 Pen Needles 31G X 6MM, 40

Optichamber Face Mask/Medium, 43

Oxytrol, 21 Pen Needles 31GX5/16", 40

Optichamber Face Mask/Small, 43

P Pen Needles 31GX6MM (1/4"), 40

Optihaler, 43

Pen Needles 31GX8MM, 40

paclitaxel, 6

Optihaler MDI Drug Delivery System, 43

Pen Needles 31GX8MM (5/16"), 40

Paclitaxel, 6

Optivar, 29

Pen Needles 32GX4MM, 40

Paire OB, 36

Oracea, 11

penicillin G potassium, 1

paliperidone ER, 24

Oracit, 21

Penicillin G Potassium IN Iso-osmotic Dextrose, 1

Pamelor, 24

Orafate, 23

pamidronate disodium, 17

Orap, 27

Penicillin G Procaine, 1

Pamidronate Disodium, 17

Orapred Odt, 15

Penicillin G Sodium, 1

Pamine, 19

Oravig, 23

penicillin v potassium, 1

Pamine Forte, 20

Orbactiv, 4

Penlac Nail Lacquer, 12

Pamine FQ, 20

Orencia, 31

Penlet II Replacement CAPS, 40

Panatuss Dxp, 33

Orencia Clickject, 31

Penlet II Replacement CAPS-deep, 40

Pancreaze, 20

Orenitram, 10

Penlet II Replacement CAPS-regular, 40

Pancrelipase, 20

Orfadin, 18

Pennsaid, 12

pancuronium bromide, 27

Orkambi, 34

Pentacel, 34

Panda Mask Large, 43

orphenadrine citrate, 27

Pentam 300, 4

Panda Mask Medium, 43

orphenadrine citrate ER, 27

Pentasa, 20

Panda Mask Small, 43

Ortho Micronor, 16

pentazocine/naloxone HCL, 30

Pandel, 13

Ortho Tri-cyclen, 16

Pentetate Calcium Trisodium, 43

pantoprazole sodium, 19

Ortho Tri-cyclen LO, 16

Pentetate Zinc Trisodium, 43

papaverine HCL, 10

Ortho-cept, 16

Pentips 29GX12MM, 40

Parafon Forte DSC, 27

Ortho-cyclen, 16

Pentips 31GX5MM, 40

Paregoric, 19

Ortho-novum 1/35, 16

Pentips 31GX6MM, 40

paricalcitol, 18

Ortho-novum 7/7/7, 16

Pentips 31GX8MM, 40

Parlodel, 26

Orthovisc, 27

Pentips 32GX4MM, 40

Parnate, 24

Oseni, 17

pentoxifylline ER, 23

paromomycin sulfate, 2

Osmoprep, 19

Pepcid, 20

paroxetine HCL, 24

Osphena, 18

Percocet, 30

paroxetine HCL ER, 24

Otezla, 31

Percodan, 30

Paser, 2

Otiprio, 29

Perfect Lancets 30G, 40

Pataday, 29

Otovel, 29

Perfect Pressure Activated Safety Lancets 28G, 40

Patanase, 33

Otozin, 29

Patanol, 29

Otrexup, 31

Perforomist, 34

Paxil, 24

Ovace Plus, 12

Peridex, 23

Paxil CR, 24

Ovace Plus Wash, 12

perindopril erbumine, 8

Pazeo, 29

Ovace Wash, 12

Perjeta, 5

PC Unifine Pentips 29G X 1/2", 40

Ovcon-35, 16

permethrin, 13

PC Unifine Pentips 31G X 6MM Ultra SHORT, 40

Ovide, 14

perphenazine, 24

Ovidrel, 18

Perphenazine/Amitriptyline, 27

PC Unifine Pentips 31G X 8MM SHORT, 40

oxacillin sodium, 1

Persantine, 23

oxaliplatin, 4

Pertzye, 20

PCE, 2

Oxandrin, 15

Pexeva, 24

Pcp 100, 19

oxandrolone, 15

Pfizerpen-G, 1

Pediaderm AF Complete Kit, 12

oxaprozin, 31

Pharmacist Choice Ultra Thin Lancets, 40

Pediaderm HC, 13

Oxaydo, 30

Pediaderm Ta, 13

Pharmacist Choice Ultra Thin Lancets 28G, 40

28 Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT, 40

Polytrim, 28


Pomalyst, 6 Preferred Plus Unifine Pentips 31G X 8MM SHORT, 40

Ponstel, 31


Portrazza, 5 Prefest, 16

potassium citrate ER, 21 Prefol-DHA, 36


potassium citrate-citric acid crystals, 21 Premarin, 16, 21

potassium citrate/citric acid, 21 Premphase, 15

Pharmacy Counter Lancets, 40

potassium citrate/sodium citrate/citric acid, 21

Prempro, 15

phenazopyridine HCL, 21

Prenata, 35

phenelzine sulfate, 24

Potiga, 26 Prenatal Vitamin, 35

Phenergan, 32

Pr Cream, 14 Prenatal Vitamins, 35

phenobarbital, 25

Pradaxa, 22 Prenate, 36

Phenobarbital, 25

Praluent, 10 Prenate AM, 35

Phenobarbital Sodium, 25

pramipexole dihydrochloride, 26 Prenate DHA, 36

phenoxybenzamine hydrochloride, 8

pramipexole dihydrochloride ER, 26 Prenate Elite, 35

Phentolamine Mesylate, 9

Pramosone, 13 Prenate Enhance, 36

phenylephrine HCL, 10, 29

Pramotic, 29 Prenate Essential, 35

Phenylephrine HCL, 10

Prandimet, 17 Prenate Mini, 36

Phenylephrine HCL/Sodium Chloride, 10

Prandin, 17 Prenate Pixie, 36

Phenylephrine Hydrochloride/Dextrose, 10

Prascion Ra With Sunscreens, 11 Prenate Restore, 36

Prastera, 31 Prenate Star, 35

phenylephrine/guaifenesin, 33

Pravachol, 10 Prepidil, 29

Phenylephrine/Sodium Chloride, 10

pravastatin sodium, 10 Prepopik, 19

Phenytek, 26

Prazolamine, 28 Preque 10, 36

phenytoin, 26

prazosin HCL, 9 Presera, 14

phenytoin sodium, 26

Pre-folic, 22 Prestalia, 9

phenytoin sodium extended, 26

Precedex, 25 Prevacid, 20

Phoslo, 20

Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 40

Prevacid Solutab, 20

Phoslyra, 20

Prevident, 23

Phospholine Iodide, 29


Previdolrx Analgesic PAK, 31

Photofrin, 7

Prevnar 13, 34

phytonadione, 35


Prevpac, 20

pilocarpine HCL, 23, 29

Prezcobix, 3

pilocarpine hydrochloride, 23


Prezista, 3

pimozide, 27

Prialt, 30

pindolol, 7

Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 40

Priftin, 2

pioglitazone HCL, 17

Prilosec, 20

pioglitazone HCL-glimepiride, 17

Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 40

Primaquine Phosphate, 3

pioglitazone HCL/metformin HCL, 17

Primaxin IV, 4

piperacillin sodium/ tazobactam sodium, 1

Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2", 40

Primaxin IV Add-vantage, 4

primidone, 26

piperacillin sodium/tazobactam sodium, 1

Precision Thin Lancets, 40 Primlev, 30

piperacillin/tazobactam, 1

Precision Thins GP Lancet, 40 Primsol, 4

piroxicam, 31

Precision Ultra Lancet, 40 Prinivil, 8

Pitocin, 29

Precose, 17 Pristiq, 24

Pitressin Synthetic, 18

Pred Forte, 28 Pro-c-dure 5 Kit, 15

Plaquenil, 4

Pred Mild, 28 Pro-c-dure 6 Kit, 15

Plavix, 23

Pred-G, 28 Proair HFA, 33

Plegridy, 27

Pred-G S.o.p., 28 Proair Respiclick, 33

Plegridy Starter Pack, 27

prednicarbate, 13 probenecid, 32

Pletal, 23

prednisolone, 15 probenecid/colchicine, 32

Plexion, 11

prednisolone acetate, 28 Probuphine Implant Kit, 30

Plexion Cleanser, 11

prednisolone sodium phosphate, 15 Procainamide HCL, 8

Plexion Cleansing Cloths, 11

Prednisolone Sodium Phosphate, 15, 28 Procardia, 8

Pliaglis, 14

prednisolone sodium phosphate odt, 15 Procardia XL, 8

Pneumovax 23, 34

Prednisolone/Moxifloxacin, 28 Procentra, 25

Pneumovax 23/1 Dose, 34

Prednisolone/Moxifloxacin/Bromfenac, 28

prochlorperazine, 24

Pneumovax 23/5 Dose, 34

prochlorperazine edisylate, 24

Pocket Chamber, 43

prednisone, 15 prochlorperazine maleate, 24

Pocket Spacer, 43

Prednisone, 15 Procort, 20

podofilox, 13

Prednisone Intensol, 15 Procrit, 21

Poly-VI-flor, 35

Prefera OB, 35 Proctocort, 20

Poly-VI-flor FS, 35

Prefera OB + DHA, 35 Proctofoam HC, 20

Poly-VI-flor/Iron, 35

Preferaob +dha, 36 Procysbi, 21

polyethylene glycol 3350, 19

Preferaob One, 36 Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16", 40

polymyxin b sulfate, 4

Preferred Plus Unifine Pentips 29G X 12MM, 40

polymyxin b sulfate/trimethoprim sulfate,

Prodigy Insulin Syringe/1/2ML/31G X

5/16", 40

Purixan, 5 Rebif Titration Pack, 27

Prodigy Insulin Syringe/1ML/28G X 1/2", 40

Px Lancets Ultra Thin, 40 Reclast, 17

Pylera, 19 Recombinate, 23

Prodigy Pressure Activated Safety Lancets, 40

pyrazinamide, 2 Recombivax HB, 34

Pyridium, 21 Recothrom, 22

Prodigy Safety Lancets, 40

pyridostigmine bromide, 28 Recothrom Spray Kit, 22

Prodigy Twist Top Lancets, 40

pyridostigmine bromide ER, 28 Rectiv, 20

Proferrin-forte, 22

pyridoxine HCL, 35 Recura, 12

Profilnine, 23

Pyrogallic Acid, 14 Reglan, 20

Profilnine SD, 23

Q Regonol, 28

progesterone, 16

Relagard, 21

Qbrelis, 8

Progesterone 10% Kit, 16

Relenza Diskhaler, 3

Qc Lancets Super Thin, 40

Proglycem, 17

Relhist, 33

Qc Lancets Ultra Thin, 40

Prograf, 6

Relion Insulin Syringe/U -100/0.5ML/29G, 40

Qc Pen Needles 29G X 12MM, 40

Prolastin-c, 34


Prolensa, 29

Relion Insulin Syringe/U-00/1ML/29G X 1/2", 40


Proleukin, 7

Qnasl, 33

Prolia, 17

Relion Insulin Syringe/U-100/0.3ML/29G, 40

Qnasl Childrens, 33

Promacta, 22

Quadracel, 34

promethazine HCL, 32

Relion Insulin Syringe/U-100/0.3ML/29G X 1/2", 40

Quadramet, 6

promethazine HCL plain, 32

Qualaquin, 4

promethazine-DM, 33


Quartette, 16

promethazine/codeine, 33

Quazepam, 25

promethazine/dextromethorphan, 33


Qudexy XR, 26

promethazine/phenylephrine, 33

Quelicin, 27

Promethazine/Phenylephrine, 33


Quelicin 1000, 27

promethazine/phenylephrine/codeine, 33

Questran, 10

Prometrium, 16


Questran Light, 10

Promiseb, 12

quetiapine fumarate, 24

Promiseb Complete, 12


Quflora FE, 36

propafenone HCL, 8

Quillichew ER, 25

propafenone HCL ER, 8


Quillivant XR, 25

Propantheline Bromide, 19

quinapril HCL, 8

proparacaine HCL, 29


quinapril/hydrochlorothiazide, 9

propranolol HCL, 7

Quinidine Gluconate, 8

Propranolol HCL, 7

Relion Insulin Syringe/U-100/1ML/30G, 40

quinidine gluconate CR, 8

propranolol HCL ER, 7

quinidine gluconate ER, 8

Propranolol/Hydrochlorothiazide, 9


quinidine sulfate, 8

propylthiouracil, 19

Quinidine Sulfate, 8

Proquad, 34


Quinidine Sulfate ER, 8

Proscar, 21

quinine sulfate, 3

Prostin E2, 29

Relion Lancets Micro-thin33G, 40

Qutenza, 14

Protamine Sulfate, 23

Relion Lancets Standard 21G, 40

Qvar, 33

Protect Plus, 36

Relion Lancets Thin 26G, 40

R

Protectiron, 22

Relion Lancets Ultra-thin30G, 40

Prothelial, 23

Relion Mini Pen Needles 31GX6MM, 40

R-natal OB, 36

Protonix, 20

Relion Pen Needles 29GX12MM, 40

Rabavert, 34

Protopic, 13


rabeprazole sodium, 19

protriptyline HCL, 24


raloxifene hydrochloride, 18

Provenge, 6


ramipril, 8

Proventil HFA, 34

Relion SHORT Pen Needles 31GX8MM, 40

Ranexa, 7

Provera, 16

ranitidine HCL, 19

Provida DHA, 36

Relion Thin Lancets, 40

Rapaflo, 21

Provida OB, 35

Relion Ultra Thin Lancets, 40

Rapamune, 6

Provigil, 25

Relion Ultra Thin Lancets30G, 40

Rapivab, 3

Prozac, 24

Relion Ultra Thin Plus Lancets 32G, 40

Rasuvo, 31

Prozac Weekly, 24

Relion Ultra Thin Plus Lancets 33G, 40

Ravicti, 18

Pruclair, 14

Relistor, 20

Rayos, 15

Prudoxin, 12

Relpax, 32

Razadyne, 27

Prumyx, 14

Relyyks, 14

Razadyne ER, 27

Pss Select GP Lancets, 40

Relyyt, 14

Readysharp-a, 32

Pss Select Platforms, 40

Remeron, 24

Readysharp-k, 15

Pss Select Safety Lancets, 40

Remeron Soltab, 24

Readysharp-p40, 15

Pulmicort, 34

Remicade, 20

Readysharp-p80, 15

Pulmicort Flexhaler, 33

Remifentanil HCL, 30

Rebetol, 3

Pulmophylline, 34

Remodulin, 10

Rebif, 27

Pulmozyme, 34

Renagel, 20

Rebif Rebidose, 27

Purinethol, 5

Renatabs, 36

Rebif Rebidose Titration Pack, 27

Renatabs With Iron, 36

Rituxan, 5 Saizen Click.easy, 18

Renvela, 20

rivastigmine tartrate, 27 Salagen, 23

Reopro, 23

rivastigmine transdermal system, 27 Salex, 14

repaglinide, 17

rizatriptan benzoate, 32 Salex Cream, 14

Repaglinide/Metformin Hydrochloride, 17

rizatriptan benzoate odt, 32 Salex Lotion, 14

Repatha, 10

Robaxin, 28 salicylic acid, 13

Repatha Pushtronex System, 10

Robaxin-750, 28 Salicylic Acid, 14

Repatha Sureclick, 10

Robinul, 20 salicylic acid cream, 13

Reprexain, 30

Robinul Forte, 20 salicylic acid ER, 13

Req 49+, 36

Rocaltrol, 18 Salicylic Acid IN Ammonium Lactate Vehicle, 14

Requip, 26

Rocephin, 1

Requip XL, 26

rocuronium bromide, 27 salicylic acid lotion, 13

Rescon-JR, 33

Rocuronium Bromide, 27 Salivamax, 23

Rescriptor, 3

ropinirole ER, 26 Salivate RX, 23

Rescula, 29

ropinirole HCL, 26 salsalate, 30

Reserpine, 9

ropivacaine, 32 Salvax, 14

Respa-BR, 32

Ropivacaine, 32 Salvax Duo Plus, 14

Restasis, 29

ropivacaine HCL, 32 Samsca, 18

Restora RX, 19

Ropivacaine Hydrochloride/Sodium Chloride, 32

Sancuso, 20

Restora Sprinkles, 19

Sandimmune, 6

Restoril, 25

Rosadan Kit, 11 Sandostatin, 18

Retin-a, 11

Rosula, 11 Sandostatin Lar Depot, 18

Retin-a Micro, 11

rosuvastatin calcium, 10 Saphris, 25

Retin-a Micro P.M., 11

Rotarix, 34 Sarafem, 27

Retinoic Acid, 11

Rotateq, 34 Savaysa, 22

Retinoic Acid-all Trans, 11

Rowasa, 20 Savella, 27

Retrovir, 3

Roxicet, 30 Savella Titration Pack, 27

Retrovir IV Infusion, 3

Roxicodone, 30 Scalacort DK, 13

Revatio, 10

Rozerem, 25 Scar Patch, 14

Revlimid, 6

Rrb PAK, 13 Scopolamine Hydrobromide, 20

Rexall Lancets Ultra Thin, 40

Ryanodex, 28 Seasonique, 16

Rexulti, 25

Rytary, 26 Sebuderm, 14

Reyataz, 3

Rythmol, 8 Seconal, 25

Rezira, 33

Rythmol SR, 8 Seconal Sodium, 25

Rezyst IM, 19

S Sectral, 7

Rheumatrex, 31

Select-OB, 35

Sabril, 26

Rhinocort Aqua, 33

Select-ob+dha, 36

Safe-t-lance Low Flow 25G, 40

Riastap, 23

selegiline HCL, 26

Safe-t-lance Normal Flow 21G, 40

Riax, 11

selenium sulfide, 12

Safe-t-lance Plus Safety Lancet High Flow, 40

Ribasphere, 3

Selrx, 12

Ribasphere Ribapak, 3

Selzentry, 3

Safe-t-lance Plus Safety Lancet Low Flow, 40

Ribatab, 3

Semprex-d, 33

ribavirin, 3

Sensipar, 18

Safe-t-lance Plus Safety Lancet Normal Flow, 40

Ridaura, 31

Sensorcaine-mpf/Epinephrine, 32

rifabutin, 2

Sentradine, 20

Safesnap Insulin Syringe/0.3ML/30G X 5/16", 40

Rifadin, 2

Sentraflox AM-10, 24

Rifamate, 2

Sentralopram AM-10, 24


rifampin, 2

Sentramodafin AM-100, 25

Rifater, 2

Sentravil PM-25, 24


Right Step Prenatal, 35

Sentrazolam AM 0.25, 24

Rightest GD-L500 Alternate Site Adapter, 40

Sentrazolpidem PM-5, 25

Safesnap Insulin Syringe/1ML/28G X 1/2", 41

Sentroxatine, 24

Rightest Gl300 Lancets, 40

Serevent Diskus, 33

Safesnap Insulin Syringe/1ML/29G X 1/2", 41

Rilutek, 27

Sernivo, 13

riluzole, 27

Seroquel, 25

Safety Lancet 21G/Pressure Activated, 41

rimantadine HCL, 3

Seroquel XR, 25

Rimantalist, 3

Serostim, 18

Safety Lancet 28G/Pressure Activated, 41

Riomet, 17

sertraline HCL, 24

risedronate sodium, 17

Sevelamer Carbonate, 20

Safety Lancets, 41

risedronate sodium DR, 17

Sfrowasa, 20

Safety Lancets 21G, 41

Risperdal, 25

Shohls Solution Modified, 21

Safety Lancets 28G, 41

Risperdal Consta, 25

Shopko On-the-go Comfort Lancets 30G, 41

Safety Let Lancets, 41

Risperdal M-TAB, 25

Safety Seal Lancets 28G, 41

risperidone, 24

Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 41

Safety Seal Lancets 30G, 41

risperidone odt, 24

Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 41

Ritalin, 25

Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 41

Ritalin LA, 25

Safyral, 16

Riteflo, 43

Shopko Unifine Pentips Pen

Saizen, 18

Needles/Original/29GX12MM, 41

Sodium Sulfacetamide/Sulfur, 11 Striverdi Respimat, 34

Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 41

sodium sulfacetamide/sulfur cleanser, 11 Stromectol, 4

Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 11

Strovite Forte, 36

Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM, 41

Strovite One, 36

sodium sulfacetamide/sulfur cleansing cloths, 11

Stuart Prenatal, 35

Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM, 41

Suboxone, 30

sodium sulfacetamide/sulfur green, 11 Subsys, 30

Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM, 41

Sodium Sulfacetamide/Sulfur IN Urea, 11 Succinylcholine Chloride, 27

sodium sulfacetamide/sulfur w/sunscreen, 11

Suclear, 19

Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM, 41

Sucraid, 20

sodium sulfacetamide/sulfur wash, 11 sucralfate, 19

Shopko Unilet Lancets Super Thin 30G, 41

Solaice, 14 Sular, 8

Soliris, 23 sulfacetamide sodium, 11, 28

Shopko Unilet Lancets Ultra Thin 28G, 41

Solodyn, 2 Sulfacetamide Sodium, 28

Soltamox, 5 sulfacetamide sodium/prednisolone sodium phosphate, 28

Siderol, 36

Solu-cortef, 15

Signifor, 18

Solu-medrol, 15 sulfacetamide sodium/sulfur, 11

Signifor Lar, 18

Solus V2 Pressure Activated Safety Lancets 28G, 41

sulfacetamide sodium/sulfur cleanser, 11

Silazone Pharmapak, 13

Sulfadiazine, 2

Silazone-II, 13

Solus V2 Twist Lancets 30G, 41 sulfamethoxazole/trimethoprim, 4

sildenafil, 10

Soma, 28 Sulfamethoxazole/Trimethoprim, 4

sildenafil citrate, 10

Somatuline Depot, 18 sulfamethoxazole/trimethoprim DS, 4

Silenor, 25

Somavert, 18 sulfasalazine, 20

Simbrinza, 29

Sonata, 25 Sulfoam, 11

Simcor, 10

Soolantra, 11 Sulfurated Lime, 14

Simponi, 31

Soothee, 14 sulindac, 31

Simponi Aria, 31

Soriatane, 12 Sumadan Kit, 11

Simulect, 6

Sorilux, 12 Sumadan Wash, 11

simvastatin, 10

sotalol HCL, 7 Sumadan XLT, 11

Sinelee, 14

sotalol HCL (AF), 7 sumatriptan, 32

Sinemet, 26

Sotalol Hydrochloride, 7 sumatriptan succinate, 32

Sinemet CR, 26

Sotylize, 7 Sumatriptan Succinate, 32

Single-let, 41

Sovaldi, 3 sumatriptan succinate refill, 32

Singulair, 34

Spectracef, 1 Sumavel Dosepro, 32

sirolimus, 6

Spinosad, 14 Sumaxin, 11

Sirturo, 2

Spiriva Handihaler, 33 Sumaxin CP Kit, 11

Sitavig, 3

Spiriva Respimat, 33 Sumaxin Ts, 11

Sivextro, 4

spironolactone, 9 Sumaxin Wash, 11

Skelaxin, 28

spironolactone/hydrochlorothiazide, 9 Supartz, 28

Sklice, 14

Sporanox, 3 Supartz Fx, 28

Smart Diabetes Vantage Universal Lancets 30G, 41

Sporanox Pulsepak, 3 Supervite, 36

Spritam, 26 Supervite EC, 36

Smart Sense Color Lancets Universal 33G, 41

Sprix, 31 Support-500, 36

Sprycel, 6 Supprelin LA, 18

Smart Sense Standard Lancets Universal 21G, 41

Stalevo 100, 26 Supracil, 14

Stalevo 125, 26 Suprax, 1

Smart Sense Super Thin Lancets Universal 30G, 41

Stalevo 150, 26 Suprep Bowel Prep, 19

Stalevo 200, 26 Sure-fine Pen Needles 29GX1/2" 12.7MM, 41

Smart Sense Thin Lancets Universal 26G, 41

Stalevo 50, 26

Stalevo 75, 26 Sure-fine Pen Needles 31GX3/16" 5MM, 41

Smartest Lancets 28G, 41

stannous fluoride oral rinse, 23

Smartrx Gaba Kit, 27

Starlix, 17 Sure-fine Pen Needles 31GX5/16" 8MM, 41

Smartrx Gaba-v Kit, 27

stavudine, 3

Sodium Bicarbonate, 19

Stavzor, 26 Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2", 41

sodium chloride, 33

Staxyn, 10

Sodium Citrate, 22

Stelara, 12, 20 Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16", 41

sodium citrate/citric acid, 21

Stendra, 10

Sodium Diuril, 9

Sterilance PA, 41 Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16", 41

Sodium Edecrin, 9

Sterilance TL, 41

sodium ferric gluconate complex/sucrose, 21

Stimate, 18 Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2", 41

Stiolto Respimat, 33

sodium hyaluronate, 13

Stivarga, 6 Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2", 41

sodium phenylacetate/sodium benzoate, 18

Strattera, 25

Strazepam, 25 Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16", 41

sodium phenylbutyrate, 18

Strensiq, 18

sodium sulfacetamide, 11, 12, 28

Streptomycin Sulfate, 2 Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16", 41

sodium sulfacetamide wash, 12

Striant, 15

sodium sulfacetamide/sulfur, 11

Stribild, 3 Sure-ject Insulin Syringe/U-100/1ML/28G

X 1/2", 41

Tazicef, 1 theophylline, 33

Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2", 41

Tazorac, 12 theophylline CR, 33

Tecentriq, 5 theophylline ER, 33


Tecfidera, 27 Theophylline/D5W, 34

Tecfidera Starter Pack, 27 Therabenzaprine-60, 28


Techlite AST Lancets, 41 Therabenzaprine-90, 28

Techlite Lancets, 41 Therabenzaprine-90-5, 28

Sure-lance Flat Lancets, 41

Techlite Lancets 30G, 41 Theracodeine-300, 31

Sure-lance Lancets 26G, 41

Techlite Pen Needles/31G X 5MM, 41 Theracodophen-325, 31

Sure-lance Thin Lancets 28G, 41

Techlite Pen Needles/31G X 6 MM, 41 Theracys, 7

Sure-lance Ultra Thin Lancets, 41

Techlite Pen Needles/31G X 8MM, 41 Therafeldamine, 31

Sure-touch Lancets Universal, 41

Techlite Pen Needles/32G X 4MM, 41 Theranatal Core Nutrition, 35

Surelite Lancets, 41

Techlite Pen Needles/32G X 8MM, 41 Therapentin-60, 26

Surfaxin, 34

Technivie, 3 Therapentin-90, 26

Surmontil, 24

Tegretol, 26 Theraprofen-60, 31

Survanta Intratracheal, 34

Tegretol-XR, 26 Theraprofen-800, 31

Sustiva, 3

Tekamlo, 9 Theraprofen-90, 31

Sustol, 20

Tekturna, 8 Theraproxen-500, 31

Sutent, 6

Tekturna HCT, 9 Theraproxen-60, 31

Sylatron, 7

telmisartan, 8 Theraproxen-90, 31

Symax Duotab, 19

telmisartan/amlodipine, 9 Theratramadol-60, 31

Symbicort, 33

telmisartan/hydrochlorothiazide, 9 Theratramadol-90, 31

Symbyax, 27

temazepam, 25 thiamine HCL, 35

Symlinpen 120, 16

Temodar, 5 Thinlets GP Lancets, 41

Symlinpen 60, 16

Temovate, 13 Thinlets Lancet, 41

Synagex, 36

Temovate E, 13 Thiola, 21

Synalar, 13

temozolomide, 4 thioridazine HCL, 24

Synalar Cream Kit, 13

Tenex, 9 Thiotepa, 5

Synalar Ointment Kit, 13

Teniposide, 6 thiothixene, 24

Synalar Ts, 13

Tenivac, 34 Thrombin-jmi Diluent, 22

Synalgos-dc, 31

Tenoretic 100, 9 Thrombin-jmi Epistaxis, 22

Synapryn Fusepaq, 31

Tenoretic 50, 9 Thrombin-jmi Syringe Spray Kit, 22

Synarel, 18

Tenormin, 7 Thrombin-jmi W/Dil Spray P.M. Actuator, 22

Synatek, 36

Terazol 3, 21

Synera, 14

Terazol 7, 21 Thrombogen, 23

Synercid, 4

terazosin HCL, 9 Thymoglobulin, 6

Synjardy, 17

terbinafine HCL, 2 Thyrolar-1, 19

Synribo, 7

terbutaline sulfate, 33 Thyrolar-1/2, 19

Synthroid, 19

terconazole, 21 Thyrolar-1/4, 19

Synvisc, 27

Tersi Foam, 12 Thyrolar-2, 19

Synvisc One, 27

Tessalon Perles, 33 Thyrolar-3, 19

T

Testim, 15 tiagabine hydrochloride, 26

Testone Cik, 15 Tiazac, 8

Tabloid, 5

Testopel, 15 Ticaspray, 33

Tabradol Fusepaq, 28

testosterone, 15 Tice Bcg, 7

Tabradol Rapidpaq, 28

Testosterone, 15 ticlopidine HCL, 23

Taclonex, 13

testosterone cypionate, 15 Ticlopidine HCL, 23

tacrolimus, 6, 13

testosterone enanthate, 15 Tigan, 20

Tafinlar, 6

testosterone P.M., 15 Tikosyn, 8

Tagrisso, 6

Testosterone P.M., 15 Timentin, 1

Taltz, 12

Testred, 15 Timolol Maleate, 7

Talwin, 31

Tetanus/Diphtheria Toxoids-adsorbed, 34

timolol maleate, 28

Tamiflu, 3

timolol maleate ophthalmic gel forming, 28

tamoxifen citrate, 5

Tetanus/Diphtheria Toxoids-adsorbed Adult, 34

tamsulosin HCL, 21

Timoptic, 28

Tandem F, 22

tetrabenazine, 27 Timoptic Ocudose, 28

Tandem Plus, 22

tetracaine HCL, 29 Timoptic-xe, 28

Tanzeum, 16

Tetracaine HCL, 32 Tindamax, 4

Tapazole, 19

Tetracycline HCL, 2 tinidazole, 4

Tarceva, 6

tetracycline hydrochloride, 2 Tirosint, 19

Targadox, 2

Tetrix, 14 Tisseel, 23

Targretin, 7

Tev-tropin, 18 Tisseel VH, 23

Tarka, 9

Teveten, 8 Tivicay, 3

Taron-bc, 35

Teveten HCT, 9 Tivorbex, 31

Taron-c DHA, 35

Texacort, 13 Tizanidine Comfort PAC, 28

Tasigna, 6

Texavite LQ, 36 tizanidine HCL, 27

Tasmar, 26

Thalomid, 6 TL G-FOL OS, 36

Taxotere, 6

Theo-24, 34 TL Triseb, 12

Taytulla, 16

Tnkase, 23

tretinoin microsphere P.M., 11 Trueplus Insulin Syringe/U-100/1ML/29G X 1/2", 41

Tobi, 2

Trexall, 5

Tobi Podhaler, 2

Treximet, 32 Trueplus Insulin Syringe/U-100/1ML/30G X 5/16", 41

Tobradex, 28

Trezix, 31

Tobradex ST, 28

Tri-norinyl 28, 16 Trueplus Insulin Syringe/U-100/1ML/31G X 5/16", 41

tobramycin, 2

Tri-VI-flor, 35

Tobramycin, 2

Triamcinolone, 15 Trueplus Lancets 26G, 41

tobramycin sulfate, 2, 28

triamcinolone acetonide, 13, 23, 33 Trueplus Lancets 28G, 41

Tobramycin Sulfate, 2

Triamcinolone Acetonide PF, 15 Trueplus Lancets 28G Super Thin, 41

tobramycin/dexamethasone, 28

triamcinolone IN orabase, 23 Trueplus Lancets 30G, 41

Tobrex, 28

Triamcinolone PF, 15 Trueplus Lancets 30G Ultra Thin, 41

Tofranil, 24

Triamcinolone/Lidocaine, 15 Trueplus Lancets 33G, 41

Tofranil-PM, 24

Triamsil Combipak, 13 Trueplus Lancets 33G Micro Thin, 41

tolazamide, 17

triamterene/hydrochlorothiazide, 9 Trueplus Safety Lancets 28G, 41

Tolazamide, 17

Triamterene/Hydrochlorothiazide, 9 Trulicity, 16

Tolbutamide, 17

Trianex, 13 Trumenba, 34

tolcapone, 26

triazolam, 25 Trusopt, 29

tolmetin sodium, 31

Triazolam, 25 Truvada, 3

Tolmetin Sodium, 31

Tribenzor, 9 Tudorza Pressair, 34

tolterodine tartrate, 21

Tricare Prenatal, 35 Turkel Paracentesis Procedure Tray/8french, 32

tolterodine tartrate ER, 21

Tricare Prenatal 1, 35

Topamax, 26

Tricare Prenatal Compleat, 35 Tussicaps, 33

Topamax Sprinkle, 26

Tricare Prenatal DHA One, 35 Tussionex Pennkinetic Extended Release, 33

Topicort, 13

tricitrates, 21

topiramate, 26

Tricor, 10 Tuzistra XR, 33

Topiramate ER, 26

Triderma Forte, 13 Twinrix, 34

topotecan HCL, 6

Triferic, 22 Twynsta, 9

Topotecan HCL, 6

trifluoperazine HCL, 24 Tybost, 3

Toprol XL, 7

trifluridine, 28 Tygacil, 4

Torisel, 6

Triglide, 10 Tykerb, 6

Toronova II Suik, 31

trihexyphenidyl HCL, 26 Tylenol/Codeine #3, 31

Toronova Suik, 31

Trileptal, 26 Tylenol/Codeine #4, 31

torsemide, 9

Trilipix, 10 Typhim VI, 34

Torsemide, 9

Triloan II Suik, 15 Tysabri, 27

Totect, 7

Triloan Suik, 15 Tyvaso, 10

Toujeo Solostar, 16

trimethobenzamide HCL, 20 Tyvaso Refill, 10

Toviaz, 21

trimethoprim, 4 Tyvaso Starter, 10

Tracleer, 10

trimethoprim sulfate/polymyxin b sulfate, 28

Tyzeka, 3

Tradjenta, 17

Tyzine, 33

tramadol HCL, 30

trimipramine maleate, 24 Tyzine Pediatric Nasal Drops, 33

tramadol HCL ER, 30

Trintellix, 24 U

Tramadol HCL ER, 31

Triostat, 19

Uceris, 15, 20

tramadol hydrochloride/acetaminophen, 30

Trisenox, 7

Udamin SP, 36

Triseon, 11

Ulesfia, 14

Trandate, 7

Triumeq, 3

Uloric, 32

trandolapril, 8

Triveen-duo DHA, 36

Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 41

trandolapril/verapamil HCL, 9

Triveen-prx RNF, 36

trandolapril/verapamil HCL ER, 9

Trizivir, 3

Ulticare Insulin Safety Syringe/1ML/29G X 1/2", 41

tranexamic acid, 22

Trokendi XR, 26

Transderm-scop, 20

Tropazone, 14

Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16", 41

Tranxene T, 24

trospium chloride, 21

tranylcypromine sulfate, 24

trospium chloride ER, 21

Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 41

Travatan Z, 29

Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2", 41

Travoprost, 29

Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 41

Trazamine, 24


trazodone HCL, 24

Ulticare Insulin Syringe/0.3ML/29G X 1/2", 41

Treanda, 4


Trecator, 2


Trelstar, 5


Trelstar Mixject, 5


Trepadiclofen-25, 31


Trepoxicam-7.5, 31


Tresiba Flextouch, 16


Tretin-x, 11


tretinoin, 6, 11


Tretinoin, 11


Tretinoin (all-trans Retinoic Acid), 11

Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 41

tretinoin microsphere, 11

Ulticare Insulin Syringe/0.5ML/30G X

5/16", 41

Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4", 41

Umecta, 14

Ulticare Insulin Syringe/1ML/28G X 1/2", 41

Umecta Nail Film, 14

Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4", 41

Umecta PD, 14


Unasyn, 1

Ulticare U-100 Insulin Syringes/1ML/31G X 1/4", 41

Unasyn Bulk Pack, 1


Unifine Pentips 29GX12MM, 42

Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16", 41

Unifine Pentips 31G X 3/16", 42


Unifine Pentips 31G X 6MM, 42

Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16", 41

Unifine Pentips 31G X 8MM, 42

Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16", 41


Ultilet Classic Lancets, 41 Unifine Pentips 31GX6MM, 42


Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16", 42





Unifine Pentips Plus 29GX12MM, 42






Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16", 41


Unilet Comfortouch Lancet, 42

Unilet Excelite, 42

Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16", 41

Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 42

Unilet Excelite II, 42

Unilet G.p. Lancet, 42

Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2", 41

Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 42

Unilet G.p. Superlite Lancet, 42

Unilet GP 28 Ultra Thin, 42


Ultilet Lancets, 42 Unilet Lancet, 42

Ultilet Lancets 33G, 42 Unilet Lancets Micro-thin33G, 42


Ultilet Pen Needle 32GX4MM/SHORT, 42

Unilet Lancets Super-thin30G, 42

Unilet Lancets Ultra-thin 28G, 42


Ultilet Safety Lancets 23G, 42 Unilet Superlite Lancet, 42

Ultilet SHORT Pen Needles 31GX5/16", 42

Unistik 1, 42


Unistik 2, 42

Ultilet SHORT Pen Needles31GX3/16", 42

Unistik 2 Comfort, 42


Unistik 2 Extra, 42

Ultiva, 31 Unistik 2 Neonatal, 42


Ultra-thin II Auto Lancet, 42 Unistik 2 Normal, 42

Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 42

Unistik 2 Super, 42


Unistik 3, 42


Unistik 3 Comfort, 42

Ulticare Insulin Syringe/U-100/1ML/29G X 1/2", 41

Unistik 3 Extra, 42


Unistik 3 Extra Single Use Safety Lancets/21G, 42



Unistik 3 Gentle, 42


Unistik 3 Neonatal, 42

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 42

Unistik 3 Normal, 42


Unistik CZT Comfort, 42

Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16", 42

Unistik CZT Normal, 42

Ulticare Micro Pen Needles 31G X 8MM, 41

Unistik Safety Lancets 28G, 42

Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 42

Unistik Safety Lancets 30G, 42

Ulticare Micro Pen Needles 32G X 4MM, 41

Unistik Touch Safety Lancets 21G, 42

Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 42


Ulticare Micro Pen Needles/32G X 4MM, 41


Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 42


Ulticare Mini Pen Needles 31GX6MM, 41

Unituxin, 5

Ulticare Mini Pen Needles Ulti-fine IV, 41

Ultra-thin II Lancets 28G, 42 Univasc, 8

Ulticare Mini Pen Needles/31G X 6MM, 41

Ultra-thin II Lancets 30G, 42 Universal 1 Lancets Thin 26G, 42

Ultra-thin II Mini Pen Neeedles/31GX3/16", 42

Universal 1 Lancets Ultra Thin 30G, 42

Ulticare Mini Pen Needles31GX6MM, 41

Uptravi, 10

Ulticare Original Pen Needles Ulti-fine, 41

Ultra-thin II Pen Needles 29GX1/2", 42 Uramaxin, 14

Ultra-thin II Pen Needles/SHORT/31GX5/16", 42

Uramaxin GT, 14

Ulticare Pen Needles/29G X 12.7MM, 41

Uramaxin GT Kit, 14

Ulticare SHORT Pen Needles 31GX8MM, 41

Ultra-thin II Safety Autolancets 26G, 42 urea, 13

Ultracet, 31 urea 40% nail film, 13

Ulticare SHORT Pen Needles Ulti-fine IV, 41

Ultralance, 42 urea IN zinc undecylenate/lactic acid vehicle, 13

Ultram, 31

Ulticare SHORT Pen Needles/31G X 8MM, 41

Ultram ER, 31 urea topical, 13

Ultrasal-ER, 14 Urecholine, 21

Ulticare Thin Lancets 30G, 41

Ultravate, 13 Uretron D/S, 21

Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4", 41

Ultravate X, 13 Urimar-t, 21

Ultresa, 20 Urocit-k 10, 21

Urocit-k 15, 21

Vaxchora, 34 Vinate AZ Extra, 35

Urocit-k 5, 21

Vazculep, 10 Vinate Calcium, 35

Urogesic-blue, 21

Vecamyl, 9 Vinate DHA RF, 35

Uroxatral, 21

Vectibix, 5 Vinblastine Sulfate, 6

Urso 250, 20

Vectical, 12 vincristine sulfate, 6

Urso Forte, 20

vecuronium bromide, 27 vinorelbine tartrate, 6

ursodiol, 20

Vecuronium Bromide, 27 Viokace, 20

Utibron Neohaler, 34

Vecuronium Bromide/Sodiumchloride, 27 Viracept, 3

Utopic, 14

Veinpuncture Px1 Phlebotomy System, 14

Viramune, 3

Uvadex, 7

Viramune XR, 3

V

Velcade, 6 Virasal, 14

Veletri, 10 Virazole, 3

V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2", 42

Velphoro, 20 Viread, 3

Veltin, 11 Viroptic, 28


Vemavite-prx 2, 36 Vistaril, 24

Venipuncture Cpi, 14 Vistide, 3


venlafaxine HCL, 24 Vita-pren, 35

venlafaxine HCL ER, 24 Vitafol, 36

V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 42

Venlafaxine HCL ER, 24 Vitafol Fe+, 36

Venofer, 22 Vitafol Gummies, 35

V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 42

Ventavis, 10 Vitafol Ultra, 36

Ventolin HFA, 33 Vitafol-nano, 35

Vagifem, 21

Veramyst, 33 Vitafol-ob+dha, 36

valacyclovir HCL, 3

verapamil HCL, 8 Vitafol-one, 36

Valchlor, 5

verapamil HCL ER, 8 Vital-d RX, 36

Valcyte, 3

verapamil HCL SR, 8 Vitalet Pro Lancets, 42

valganciclovir, 3

Verdeso, 13 Vitalet Pro Plus Lancets, 42

valganciclovir hydrochlorde, 3

Veregen, 14 Vitamedmd One RX/Quatrefolic, 36

Validerm, 13

Verelan, 8 Vitamedmd Plus RX/Quatre Folic, 36

Valium, 24

Verelan PM, 8 Vitamedmd Redichew RX, 35

valproate sodium, 26

Veripred 20, 15 Vitamin A, 35

valproic acid, 26

Verrunex, 14 vitamin c 222MG, 35

valsartan, 8

Versacloz, 25 vitamin d, 35

valsartan/hydrochlorothiazide, 9

Vesicare, 21 vitamin k1, 35

Valtrex, 3

Vexa, 14 Vitamin K1, 35

Valumark Lancet Super Thin 30G, 42

Vexol, 28 Vitapearl, 35

Valumark Lancet Ultra Thin 28G, 42

Vfend, 3 Vitaroca Plus, 36

Valumark Pen Needles 29GX12MM, 42

Vfend IV, 3 Vitatrue, 36

Valumark Pen Needles 31G X 6MM, 42

Viagra, 10 Vitekta, 3

Valumark Pen Needles 31G X 8MM, 42

Vibativ, 4 Vituz, 33

Vanatol LQ, 30

Viberzi, 20 Viva DHA, 35

Vancocin HCL, 4

Vibramycin, 2 Vivactil, 24

Vancomycin, 4

Vicoprofen, 31 Vivelle-dot, 16

vancomycin HCL, 4

Victoza, 16 Vivlodex, 31

Vancomycin HCL, 4

Victrelis, 3 Vivotif, 35

Vancomycin HCL + Syrspendsf PH4, 4

Vida Mia Unifine Pentips 32GX4MM, 42 Vogelxo, 15

Vancomycin HCL IN Dextrose, 4

Vida Mia Unifine Pentips Mini 31GX6MM, 42

Vogelxo P.M., 15

Vancomycin Hydrochloride, 4

Voltaren, 12

Vancomycin Hydrochloride/Dextrose, 4

Vida Mia Unifine Pentips Original 29GX12MM, 42

Voltaren-XR, 31

Vancomycin Hydrochloride/NACL, 4

Voluven, 23

Vancomycin Hydrochloride/Sodium Chloride, 4

Vida Mia Unilet Lancets Super Thin 30G, 42

Vopac, 12

Vopac GB, 12

Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 42

Vida Mia Unilet Lancets Ultra Thin 28G, 42

Vopac Kt, 12

Voraxaze, 7

Vanishpoint Insulin Syringe/1ML/29G X 1/2", 42

Vida Mia Unipfine Pentipsshort 31GX8MM, 42

voriconazole, 2

Vortex Valved Holding Chamber, 43

Vanos, 13

Vidaza, 5 Vosol HC, 29

Vanoxide-HC, 11

Videx EC, 3 Vospire ER, 34

Vantas, 5

Videx Pediatric, 3 Votrient, 6

Vaprisol, 18

Viekira PAK, 3 Vpriv, 22

Vaqta, 34

Viekira XR, 3 Vraylar, 25

Varivax, 34

Vigamox, 28 Vsl#3 DS, 19

Varubi, 20

Viibryd, 24 Vusion, 12

Vascepa, 10

Viibryd Starter Pack, 24 Vytorin, 10

Vaseretic, 9

Vimizim, 19 Vyvanse, 25

vasopressin, 18

Vimovo, 31 W

Vasopressin/Sodium Chloride, 18

Vimpat, 26

Vasostrict, 18

W&f Lancets 26G, 42

Vinacal B, 35

Vasotec, 8

W&f Lancets Colored 21G, 42

Walgreens Lancets, 42

Z Zolpimist, 25

Walgreens Thin Lancets, 42

Zomacton, 18

Zacare 4% Kit, 11

Walgreens Ultra Thin Lancets, 42

Zometa, 17

Zacare 8% Kit, 11

warfarin sodium, 22

Zomig, 32

zafirlukast, 33

Watchhaler, 43

Zomig Nasal Spray, 32

zaleplon, 25

Welchol, 10

Zomig ZMT, 32

Zaltrap, 5

Wellbutrin, 24

Zonalon, 12

Zamicet, 31

Wellbutrin SR, 24

Zonatuss, 33

Zanaflex, 28

Wellbutrin XL, 24

Zonegran, 26

Zanosar, 4

Westcort, 13

zonisamide, 26

Zantac, 20

Westhroid, 19

Zontivity, 23

Zarontin, 26

Wheat Germ, 35

Zorbtive, 18

Zaroxolyn, 9

Wilate, 23

Zortress, 6

Zarxio, 21

Wp Thyroid, 19

Zorvolex, 31

Zatean-CH, 36

X

Zostavax, 35

Zatean-pn, 35

Zosyn, 1

Xalatan, 29

Zatean-pn DHA, 36

Zovia 1/50e, 16

Xalkori, 6

Zatean-pn Plus, 35

Zovirax, 3, 12

Xanax, 24

Zavesca, 22

Zubsolv, 30

Xanax XR, 24

Zebeta, 7

Zuplenz, 20

Xarelto, 22

Zecuity, 32

Zurampic, 32

Xarelto Starter Pack, 22

Zegerid, 20

Zutripro, 33

Xartemis XR, 31

Zelapar, 26

Zyclara, 13

Xeljanz, 31

Zelboraf, 6

Zyclara P.M., 13

Xeljanz XR, 31

Zemaira, 34

Zydelig, 6

Xeloda, 5

Zembrace Symtouch, 32

Zyflo, 34

Xenazine, 27

Zemplar, 19

Zyflo CR, 34

Xeomin, 27

Zemuron, 27

Zykadia, 6

Xerac Ac, 14

Zenpep, 20

Zylet, 28

Xeralux, 14

Zenzedi, 25

Zyloprim, 32

Xerese, 12

Zepatier, 3

Zymaxid, 28

Xgeva, 17

Zerbaxa, 4

Zyprexa, 25

Xifaxan, 4

Zerit, 3

Zyprexa Relprevv, 25

Xigduo XR, 17

Zestoretic, 9

Zyprexa Zydis, 25

Xilapak, 13

Zestril, 8

Zytiga, 5

Xodol, 31

Zetia, 10

Zyvodol, 12

Xofigo, 6

Zetonna, 33

Zyvox, 4

Xolair, 33

Zevalin Y-90, 5

1

Xolegel, 12

Ziac, 9

Xolegel Corepak, 12

Ziagen, 3 1ST Choice Lancets Super Thin, 42

Xolegel Duo/Head & Shoulders, 12

Ziana, 11 1ST Choice Lancets Thin, 42

Xolegel Duo/Xolex, 12

zidovudine, 3 1ST Choice Lancets Ultra Thin, 42

Xopenex, 34

Zinacef, 1 1ST Tier Unifine Pentips 29GX12MM, 42

Xopenex Concentrate, 34

Zinbryta, 27 1ST Tier Unifine Pentips 31GX6MM, 42

Xopenex HFA, 34

Zinecard, 7 1ST Tier Unifine Pentips 31GX8MM, 42

Xrylix, 12

Zioptan, 29 8

Xtampza ER, 31

ziprasidone HCL, 24

8-mop, 12

Xtandi, 5

Zipsor, 31

Xuriden, 19

Zirgan, 28

Xylocaine, 8, 14, 32

Zithranol, 12

Xylocaine-mpf, 32

Zithranol-rr, 12

Xylocaine-mpf/Epinephrine, 32

Zithromax, 2

Xylocaine/Epinephrine, 32

Zithromax Tri-PAK, 2

Xyntha, 23

Zithromax Z-PAK, 2

Xyntha Solofuse, 23

Zmax, 2

Xyrem, 27

Zocor, 10

Xyzal, 32

Zofran, 20

Y

Zofran Odt, 20

Zohydro ER, 31

Yasmin 28, 16

Zoladex, 5

Yaz, 16

Zolate, 22

Yervoy, 5

zoledronic acid, 17

Yf-vax, 35

Zoledronic Acid, 17

Yodoxin, 4

Zolinza, 6

Yondelis, 5

zolmitriptan, 32

Yosprala, 23

zolmitriptan odt, 32

Your Life Multi Prenatal, 35

Zoloft, 24

zolpidem tartrate, 25

zolpidem tartrate ER, 25

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