Your 2021 National Performance Formulary

Your 2021 National Performance FormularyEffective July 1, 2021

For the most current list of covered medications or if you have questions:

Call the pharmacy number on the back of your ID card

Visit bcbsvt.com/vermontbluerx to:

• Find a participating retail pharmacy by ZIP code

• Look up possible lower-cost medication alternatives

• Compare medication pricing and options

Understanding your formulary

What is a formulary?A formulary is a list of prescribed medications or other pharmacy care products, services or supplies chosen for their safety, cost, and effectiveness. Medications are listed by categories or classes and are placed into cost levels known as tiers. It includes both brand and generic prescription medications.

To create the list, your plan is guided by the Pharmacy and Therapeutics Committee. This group of doctors, nurses, and pharmacists reviews which medications will be covered, how well the drugs work, as well as their safety and overall value.

How do I use my formulary?You and your doctor can use the formulary to help you choose the most cost-effective prescription medications. This guide tells you if a medication is generic or brand, and if special rules apply. If your medication is not listed here, please visit bcbsvt.com/vermontbluerx or call the pharmacy number on the back of your ID card.

What are tiers?Tiers are the different cost levels you pay for a medication when you fill a prescription.

When does the formulary change?• Medications may move to a lower tier at any time.• Medications may move to a higher tier when a generic

equal becomes available.• Medications may move to a higher tier or be excluded from

coverage on January 1 or July 1 of each year.

If a medication changes tiers, you may have to pay a different amount for that medication.

Why are some medications excluded from coverage?A medication may be excluded from coverage under your pharmacy benefit when it works the same as or is similar to another prescription or over-the-counter (OTC) medication.

What if I don’t agree with a decision about an excluded medication?You or your doctor can ask for a coverage request by calling the pharmacy number on the back of your ID card.

About this formularyWhen differences between this formulary and your benefit plan exist, the benefit plan documents rule. This formulary may not be a complete list of medications that are covered by your plan. Please review your benefit plan for full details.

Medication tips

What is the difference between brand-name and generic medications?Generic medications contain the same active ingredients as brand-name medications, but they often cost less. In some situations, brand-name medications could be lower in cost.

What if my doctor writes a brand-name prescription?If your doctor gives you a prescription for a brand-name medication, ask if a lower-cost option could be right for you.

What if I am taking a specialty medication?Specialty medications are used to treat complex conditions and are generally higher in cost. Please note, not all specialty medications are listed in the formulary. Our specialty pharmacy can provide most of your specialty medications along with helpful programs and services. Call (855) 427-4682 and ask how you can have your prescriptions delivered right to your home or doctor’s office.

Over-the-counter medications (OTC)Talk to your doctor about OTC options. Even though OTC medications may not be covered by your pharmacy benefit, they may cost less than a prescription medication.

Reading your formularyThe formulary gives you choices so you and your doctor can decide your best course of treatment. In this formulary, brand-name medications are shown in UPPERCASE (for example, CLOBEX). Generic medications are shown in lowercase (for example, clobetasol).

Tier informationUsing lower tier or preferred medications can help you lower your out-of-pocket cost. Your plan may have multiple or no tiers.

Drug Tier Includes Helpful Tips

Tier CM Oral Chemotherapy $0 copay/bypass deductible for oral chemotherapy drugs

Tier 1 $ Lower-cost generics and some brand name

Use Tier 1 drugs for the lowest out-of-pocket costs.

Tier 2 $$ Mid-range cost preferred brand name

Use Tier 2 drugs instead of Tier 3 to help reduce your out-of-pocket costs.

Tier 3 $$$ Higher-cost brand name and some generics

Many Tier 3 drugs have lower-cost options in Tier 1 or 2. Ask your doctor if they could work for you.

Tier E Excluded May not be covered or need prior authorization. Lower-cost options are available and covered.

Drug list informationIn this drug list, some medications are noted with letters next to them to help you see which ones may have coverage requirements or limits. Your benefit plan decides how these medications may be covered.

M Authorized generic or cobranded product

PA Prior Authorization – Your doctor is required to give your plan more information to determine coverage.

QL Quantity Limit – Medication may be limited to a certain quantity.

SP Specialty Medication – Medication is designated as specialty.

ST Step Therapy – Must try lower-cost medication(s) before a higher-cost medication can be covered.

3P Tier 3 preferred

Drug Name Drug Tier Requirements/Limits

Analgesics - Drugs for Pain

acetaminophen intravenous solution 1

ACETAMINOPHEN INTRAVENOUS SOLUTION PREFILLED SYRINGE

3 PA

acetaminophen-codeine 1 QL

acetaminophen-codeine #2 1 QL



ACTIQ 3 PA; QL

alfentanil hcl 1

ALLZITAL 3 PA

APADAZ E

apap-caff-dihydrocodeine oral capsule 1 QL

apap-caff-dihydrocodeine oral tablet 1 PA; QL

ascomp-codeine 1

bac 1

BELBUCA 2 PA; QL

BENZHYDROCODONE-ACETAMINOPHEN E

BUPRENEX 3 PA

buprenorphine hcl injection 1

buprenorphine transdermal 1 PA; QL

butalbital-acetaminophen capsule 50-300 mg oral

1 PA

BUTALBITAL-ACETAMINOPHEN CAPSULE 50-300 MG ORAL

3 PA

butalbital-acetaminophen oral tablet 25-325 mg, 50-300 mg

1 PA

butalbital-acetaminophen oral tablet 50-325 mg 1

butalbital-apap-caff-cod 1

butalbital-apap-caffeine 1

butalbital-asa-caff-codeine 1

butalbital-aspirin-caffeine 1

butorphanol tartrate injection 1

butorphanol tartrate nasal 1 QL

BUTRANS TRANSDERMAL PATCH WEEKLY 10 MCG/HR, 15 MCG/HR, 20 MCG/HR, 5 MCG/HR

E

carisoprodol-aspirin-codeine 1

codeine sulfate 1 QL

CONZIP E

Effective Date: 7/1/2021

1


DEMEROL INJECTION SOLUTION 100 MG/2ML, 75 MG/ML

3

DEMEROL INJECTION SOLUTION 100 MG/ML, 25 MG/ML, 50 MG/ML

3 PA

DILAUDID INJECTION SOLUTION 0.2 MG/ML 3

DILAUDID INJECTION SOLUTION 1 MG/ML, 2 MG/ML

3 PA

DILAUDID ORAL E

DSUVIA 3 PA

DURAGESIC-100 E

DURAGESIC-12 E

DURAGESIC-25 E

DURAGESIC-50 E

DURAGESIC-75 E

duramorph 1

endocet 1 QL

ESGIC 3 PA

fentanyl 1 PA; QL

fentanyl citrate buccal lozenge on a handle 1 PA; QL

FENTANYL CITRATE BUCCAL TABLET E M

FENTANYL CITRATE INTRAVENOUS SOLUTION PREFILLED SYRINGE 100 MCG/10ML, 20 MCG/2ML, 50 MCG/5ML, 500 MCG/50ML

3 PA

FENTANYL CITRATE-NACL INJECTION 3 PA

FENTANYL CITRATE-NACL INTRAVENOUS SOLUTION 1.25-0.9 MG/250ML-%, 2-0.9 MG/100ML-%

3

FENTANYL CITRATE-NACL INTRAVENOUS SOLUTION PREFILLED SYRINGE 10-0.9 MCG/2ML-%, 10-0.9 MCG/ML-%, 1000-0.9 MCG/50ML-%, 5-0.9 MCG/ML-%, 550-0.9 MCG/55ML-%

3

FENTANYL CITRATE-NACL INTRAVENOUS SOLUTION PREFILLED SYRINGE 100-0.9 MCG/10ML-%

3 PA

FENTANYL CITRATE-NACL SOLUTION 1-0.9 MG/100ML-% INTRAVENOUS

3

FENTANYL CITRATE-NACL SOLUTION 1-0.9 MG/100ML-% INTRAVENOUS

3 PA

FENTANYL CITRATE-NACL SOLUTION 2.5-0.9 MG/250ML-% INTRAVENOUS

3


2


FENTANYL CITRATE-NACL SOLUTION 2.5-0.9 MG/250ML-% INTRAVENOUS

3 PA

FENTANYL CITRATE-NACL SOLUTION PREFILLED SYRINGE 500-0.9 MCG/50ML-% INTRAVENOUS

3

FENTANYL CITRATE-NACL SOLUTION PREFILLED SYRINGE 500-0.9 MCG/50ML-% INTRAVENOUS

3 PA

FENTANYL-BUPIVACAINE-NACL INJECTION 3 PA

FENTORA E

FIORICET E

FIORICET/CODEINE E

hydrocodone bitartrate er 1 PA; QL

hydrocodone-acetaminophen 1 QL

hydrocodone-ibuprofen 1 QL

hydromorphone hcl er 1 PA; QL

HYDROMORPHONE HCL INJECTION SOLUTION 0.2 MG/ML

3

hydromorphone hcl injection solution 4 mg/ml 1

HYDROMORPHONE HCL INTRAVENOUS 3

hydromorphone hcl oral 1 QL

hydromorphone hcl pf 1

hydromorphone hcl rectal 1 PA; QL

HYDROMORPHONE HCL SOLUTION 1 MG/ML INJECTION

3

hydromorphone hcl solution 1 mg/ml injection 1

hydromorphone hcl solution 2 mg/ml injection 1

hydromorphone hcl solution 2 mg/ml injection 1 PA

HYDROMORPHONE HCL-NACL INJECTION 3

HYDROMORPHONE HCL-NACL INTRAVENOUS SOLUTION 20-0.9 MG/100ML-%, 25-0.9 MG/50ML-%, 30-0.9 MG/30ML-%, 50-0.9 MG/50ML-%, 6-0.9 MG/30ML-%

3

HYDROMORPHONE HCL-NACL INTRAVENOUS SOLUTION PREFILLED SYRINGE 0.2-0.9 MG/0.2ML-%, 0.5-0.9 MG/0.5ML-%, 1-0.9 MG/5ML-%, 1-0.9 MG/ML-%, 10-0.9 MG/50ML-%, 15-0.9 MG/30ML-%, 2-0.9 MG/ML-%, 30-0.9 MG/30ML-%, 5-0.9 MG/25ML-%, 55-0.9 MG/55ML-%, 6-0.9 MG/30ML-%

3

HYDROMORPHONE HCL-NACL SOLUTION 10-0.9 MG/50ML-% INTRAVENOUS

3


3


HYDROMORPHONE HCL-NACL SOLUTION 10-0.9 MG/50ML-% INTRAVENOUS

3 PA

HYDROMORPHONE HCL-NACL SOLUTION PREFILLED SYRINGE 25-0.9 MG/50ML-% INTRAVENOUS

3


3 PA


3


3 PA

HYSINGLA ER 2 PA; QL

INFUMORPH 200 3 PA

INFUMORPH 500 3 PA

LAZANDA E

levorphanol tartrate oral 1 PA; QL

LORTAB 3 QL

meperidine hcl injection 1

meperidine hcl oral solution 1 QL

meperidine hcl oral tablet 1 PA; QL

methadone hcl injection 1

methadone hcl intensol 1

methadone hcl oral concentrate 1

methadone hcl oral solution 1

methadone hcl oral tablet 1 PA

methadone hcl oral tablet soluble 1

METHADONE HCL-NACL 3

methadose oral concentrate 10 mg/ml 1

methadose oral tablet soluble 1

methadose sugar-free 1

mitigo 1

morphine sulfate (concentrate) oral solution 100 mg/5ml, 20 mg/ml

1 QL

morphine sulfate (pf) 1

morphine sulfate er 1 PA; QL

morphine sulfate er beads 1 PA; QL

MORPHINE SULFATE INJECTION SOLUTION 1 MG/ML

3


4


morphine sulfate injection solution 2 mg/ml, 4 mg/ml

1

MORPHINE SULFATE INTRAVENOUS SOLUTION 0.5 MG/ML

3

morphine sulfate intravenous solution 50 mg/ml 1 PA

morphine sulfate oral 1 QL

morphine sulfate rectal 1 PA; QL

MORPHINE SULFATE SOLUTION 1 MG/ML INTRAVENOUS

3

morphine sulfate solution 1 mg/ml intravenous 1 PA

MORPHINE SULFATE-NACL INJECTION 3

MORPHINE SULFATE-NACL INTRAVENOUS SOLUTION 50-0.9 MG/50ML-%, 500-0.9 MG/100ML-%

3

MORPHINE SULFATE-NACL INTRAVENOUS SOLUTION PREFILLED SYRINGE

3

MORPHINE SULFATE-NACL SOLUTION 100-0.9 MG/100ML-% INTRAVENOUS

3

MORPHINE SULFATE-NACL SOLUTION 100-0.9 MG/100ML-% INTRAVENOUS

3 PA

MS CONTIN E

nalbuphine hcl injection 1

NALOCET 3 PA; QL

NUCYNTA E

NUCYNTA ER E

OLINVYK 3 PA

OXAYDO 3 PA; QL

OXYCODONE HCL ER ORAL TABLET ER 12 HOUR ABUSE-DETERRENT 15 MG, 30 MG, 60 MG, 80 MG

E M

OXYCODONE HCL ER TABLET ER 12 HOUR ABUSE-DETERRENT 10 MG ORAL

E


E M


E


E M


E


E M


5


oxycodone hcl oral capsule 1 QL

oxycodone hcl oral concentrate 100 mg/5ml 1 QL

oxycodone hcl oral solution 1 QL

oxycodone hcl oral tablet 1 QL

OXYCODONE-ACETAMINOPHEN ORAL SOLUTION

3 PA; QL

OXYCODONE-ACETAMINOPHEN ORAL TABLET 10-300 MG, 2.5-300 MG, 5-300 MG

3 PA; QL

oxycodone-acetaminophen oral tablet 10-325 mg, 2.5-325 mg, 5-325 mg, 7.5-325 mg

1 QL

oxycodone-aspirin 1 QL

OXYCONTIN 2 PA; QL

oxymorphone hcl 1 QL

oxymorphone hcl er 1 PA; QL

pentazocine-naloxone hcl 1 QL

PERCOCET E

PROBUPHINE IMPLANT KIT 3

PROLATE 3 PA; QL

QDOLO E

remifentanil hcl 1

ROXICODONE E

SUBSYS E

TENCON 3 PA

tramadol hcl er 1 QL

tramadol hcl er (biphasic) 1 QL

tramadol hcl ir 1 QL

tramadol-acetaminophen 1 QL

TREZIX 3 PA; QL

ULTIVA 3 PA

ULTRACET E

ULTRAM E

VTOL LQ 3 PA

XTAMPZA ER 2 PA; QL

ZEBUTAL 3 PA

ZOHYDRO ER E

Analgesics - Drugs for Pain and Inflammation

ACTIVE INJECTION KET-L 3 PA

ACTIVE INJECTION KETMARC-L 3 PA


6


ANJESO 3 PA

ARTHROTEC E

CALDOLOR 3

CAMBIA E

CELEBREX E

celecoxib oral 1 QL

DAYPRO 3 PA

DFS DR/MS/MENTH/CAP PAK 3 PA

DFS/MS/MENTH/CAP PAK 3 PA

DICLOFENAC E M

DICLOFENAC EPOLAMINE E M

diclofenac potassium 1

diclofenac sodium er 1

diclofenac sodium external gel 1 % 1 QL

diclofenac sodium external solution 1 PA

diclofenac sodium oral 1

diclofenac-misoprostol 1

DICLOFONO GEL 1.6 % EXTERNAL 3

DICLOFONO GEL 1.6 % EXTERNAL 3 PA

DICLOPR 3 PA

DICLOVIX 3 PA

diflunisal oral 1

DUEXIS E

EC-NAPROSYN 3 PA

ec-naproxen 1

etodolac 1

etodolac er 1

FELDENE 3 PA

fenoprofen calcium oral 1 PA

fenortho 1 PA

FLECTOR E

flurbiprofen oral 1

IBUPAK 3 PA

ibuprofen 1

ibuprofen lysine 1

ibuprofen oral suspension 1

INDOCIN 3 ST

indomethacin er 1


7


INDOMETHACIN ORAL CAPSULE 20 MG 3 ST

indomethacin oral capsule 25 mg, 50 mg 1

indomethacin sodium 1

ketoprofen er 1 PA

ketoprofen oral capsule 25 mg 1 PA

ketoprofen oral capsule 50 mg, 75 mg 1

KETOROCAINE-L 3 PA

KETOROCAINE-LM 3 PA

ketorolac tromethamine injection solution 15 mg/ml

1

ketorolac tromethamine intramuscular 1

KETOROLAC TROMETHAMINE NASAL E M

ketorolac tromethamine oral 1 QL

ketorolac tromethamine solution 30 mg/ml injection

1

KETOROLAC TROMETHAMINE SOLUTION 30 MG/ML INJECTION

3

KETOROLAC-BUPIV-KETAMINE 3 PA

KETOROLAC-ROPIV-KETAMINE 3 PA

LICART E

LODINE 3 PA

meclofenamate sodium oral 1 PA

mefenamic acid oral 1 PA

meloxicam oral capsule 1 PA

meloxicam oral tablet 1

MOBIC E

nabumetone oral 1

NALFON E

NAPRELAN ORAL TABLET EXTENDED RELEASE 24 HOUR 750 MG

3 PA

naproxen oral suspension 1 PA

naproxen oral tablet 1

naproxen oral tablet delayed release 1

naproxen sodium er oral tablet extended release 24 hour 375 mg, 500 mg

1 PA

naproxen sodium oral tablet 275 mg, 550 mg 1

naproxen-esomeprazole 1 PA; QL

NEOPROFEN 3 PA

NUDROXIPAK DSDR-50 3 PA


8


NUDROXIPAK DSDR-75 3 PA

NUDROXIPAK E-400 3 PA

NUDROXIPAK I-800 3 PA

NUDROXIPAK M-15 3 PA

NUDROXIPAK N-500 3 PA

ORMECA 3 PA

oxaprozin 1

PENNSAID E

piroxicam oral 1

PRASTERA 3 PA

QMIIZ ODT E

READYSHARP ANESTH + KETOROLAC 3 PA

RELAFEN E

RELAFEN DS E

salsalate oral 1 PA

SPRIX E

sulindac oral 1

TIVORBEX 3 ST

tolmetin sodium 1

TORONOVA II SUIK 3 PA

TORONOVA SUIK 3 PA

VAROPHEN 3 PA

VENNGEL ONE 3 PA

VIMOVO E

VOLTAREN E

ZIPSOR E

ZORVOLEX E

Anesthetics

1ST MEDX-PATCH/ LIDOCAINE EXTERNAL PATCH 4-0.0375-5-20 %

3 PA

7T LIDO 3 PA

ACCUCAINE 3 PA

ACTIVE INJECTION LM-2 3 PA

AGONEAZE 3 PA

ANODYNE LPT 3 PA

APRIZIO PAK 3 PA

APRIZIO PAK II 3 PA

ARTICADENT DENTAL 3


9


ASTERO 3 PA

BENZO-LIDOCAINE-TETRACAINE 3 PA

bupivacaine fisiopharma 1

bupivacaine hcl (pf) 1

BUPIVACAINE HCL INJECTION SOLUTION 0.125 %

3 PA

bupivacaine hcl injection solution 0.25 %, 0.5 % 1

BUPIVACAINE HCL INJECTION SOLUTION PREFILLED SYRINGE

3 PA

bupivacaine-epinephrine 1

bupivacaine-epinephrine (pf) 1

CADIRAMD 3 PA

CARBOCAINE 3 PA

CARBOCAINE PRESERVATIVE-FREE 3 PA

chloroprocaine hcl (pf) 1

CITANEST FORTE DENTAL 3

CITANEST PLAIN DENTAL 3

COCAINE HCL NASAL 3 PA

DERMACINRX EMPRICAINE 3 PA

DERMACINRX PRIZOPAK 3 PA

EHA 3 PA

EMPRICAINE-II 3 PA

ENZNONUTY 3

ethyl chloride 1

EXPAREL 3

FLEXIN 3 PA

GEBAUERS PAIN EASE 3

GEBAUERS SPRAY AND STRETCH 3

GEN7T 3 PA

GEN7T PLUS 3 PA

glydo 1

GOPRELTO 3 PA

L.E.T. 3

LDO PLUS 3 PA

LEVATIO 3 PA

LIDO BDK 3 PA

lidocaine external patch 5 % 1


10


LIDOCAINE HCL (CARDIAC) INTRAVENOUS SOLUTION PREFILLED SYRINGE 100 MG/10ML

3

lidocaine hcl (cardiac) intravenous solution prefilled syringe 50 mg/5ml

1

lidocaine hcl (cardiac) pf 1

lidocaine hcl (cardiac) solution prefilled syringe 100 mg/5ml intravenous

1

LIDOCAINE HCL (CARDIAC) SOLUTION PREFILLED SYRINGE 100 MG/5ML INTRAVENOUS

3

lidocaine hcl (pf) 1

lidocaine hcl external cream 3 % 1 PA

LIDOCAINE HCL EXTERNAL CREAM 4.12 % 3 PA

lidocaine hcl external lotion 1 PA

lidocaine hcl external solution 1

lidocaine hcl injection solution 0.5 % 1

LIDOCAINE HCL INJECTION SOLUTION PREFILLED SYRINGE

3

LIDOCAINE HCL SOLUTION 1 % INJECTION 3

lidocaine hcl solution 1 % injection 1

LIDOCAINE HCL SOLUTION 2 % INJECTION 3

lidocaine hcl solution 2 % injection 1

lidocaine hcl urethral/mucosal 1

LIDOCAINE IN D5W INTRAVENOUS SOLUTION 2-5 MG/ML-%

3

lidocaine in d5w intravenous solution 4-5 mg/ml-%, 8-5 mg/ml-%

1

LIDOCAINE IN DEXTROSE 3

lidocaine ointment 5 % external 1

lidocaine ointment 5 % external 1 PA

lidocaine-epinephrine injection 1

lidocaine-prilocaine external cream 1

lidocaine-prilocaine external kit 1 PA

LIDOCAINE-SODIUM BICARBONATE 3

LIDOCAINE-TETRACAINE 3 PA

LIDOCANNA 3 PA

LIDODERM E

LIDO-EPINEPHRINE-TETRACAINE SOLUTION 4-0.05-0.5 % EXTERNAL

3


11


LIDO-EPINEPHRINE-TETRACAINE SOLUTION 4-0.05-0.5 % EXTERNAL

3 PA

LIDOMAR 3 PA

LIDOMARK 2/5 3 PA

LIDOPAC 3 PA

lidopin external cream 3 % 1 PA

LIDOPIN EXTERNAL CREAM 3.25 % 3 PA

LIDOPRIL 3 PA

LIDOPRIL XR 3 PA

LIDO-PRILO CAINE PACK 3 PA

LIDOPURE PATCH 3 PA

LIDORX 3 PA

LIDO-SORB 3 PA

LIDOSTREAM 3 PA

LIDOTHOL 3 PA

LIDOTRAL 3 PA

LIDOVIX L 3 PA

LIVIXIL PAK 3 PA

LMR PLUS 3 PA

LYDEXA 3 PA

MARCAINE 3 PA

MARCAINE PRESERVATIVE FREE 3 PA

MARCAINE/EPINEPHRINE 3 PA

MARCAINE/EPINEPHRINE PF 3 PA

marlido 1 PA

MARLIDO-25 3 PA

MARVONA SUIK 3 PA

NAROPIN 3 PA

NESACAINE 3

NESACAINE-MPF SOLUTION 2 % INJECTION 3

NESACAINE-MPF SOLUTION 2 % INJECTION 3 PA

NESACAINE-MPF SOLUTION 3 % INJECTION 3

NESACAINE-MPF SOLUTION 3 % INJECTION 3 PA

NUMBRINO 3 PA

NUVAKAAN 3 PA

NUVAKAAN-II 3 PA

ORABLOC 3

PAINGO KFT 3 PA


12


PLIAGLIS 3 PA

POINT OF CARE LM-2.2 3 PA

POINT OF CARE LM-2.5 3 PA

polocaine 1

polocaine-mpf 1

premium lidocaine 1 PA

PREMIUM SCAR 3 PA

PREPIV SUPPLY 3

PRILO PATCH 3 PA

PRILO PATCH II 3 PA

PRILOLID 3 PA

PRILOVIX 3 PA

PRILOVIX LITE 3 PA

PRILOVIX LITE PLUS 3 PA

PRILOVIX PLUS 3 PA

PRILOVIX ULTRALITE 3 PA

PRILOVIX ULTRALITE PLUS 3 PA

PRILOVIXIL 3 PA

PRIZOPAK II 3 PA

PRIZOTRAL 3 PA

PRIZOTRAL-II 3 PA

READYSHARP-A 3 PA

RECK 3 PA

RELADOR PAK 3 PA

RELADOR PAK PLUS 3 PA

ropivacaine hcl injection solution 10 mg/ml, 5 mg/ml, 7.5 mg/ml

1

ROPIVACAINE HCL INJECTION SOLUTION PREFILLED SYRINGE

3 PA

ropivacaine hcl solution 2 mg/ml injection 1

ROPIVACAINE HCL SOLUTION 2 MG/ML INJECTION

3 PA

ROPIVACAINE HCL-NACL INJECTION 3 PA

ROPIV-CLONIDINE-KETOROLAC 3 PA

SENSORCAINE 3

SENSORCAINE/EPINEPHRINE 3

SENSORCAINE-MPF INJECTION SOLUTION 0.75 %

3

sensorcaine-mpf solution 0.25 % injection 1


13


SENSORCAINE-MPF SOLUTION 0.25 % INJECTION

3

sensorcaine-mpf solution 0.5 % injection 1

SENSORCAINE-MPF SOLUTION 0.5 % INJECTION

3

SENSORCAINE-MPF/EPINEPHRINE 3

SKYADERM-LP 3 PA

SOOTHEE 3 PA

STERILE TOPICAL L.E.T. GEL 3

SX1 MEDICATED POST-OPERATIVE 3 PA

SYNERA 3 PA

tetracaine hcl injection 1 PA

VENIPUNCTURE PX1 PHLEBOTOMY 3

VEXATROL 3 PA

XARACOLL 3 PA

XYLOCAINE 3 PA

xylocaine dental 1

XYLOCAINE/EPINEPHRINE 3 PA

XYLOCAINE-MPF 3 PA

XYLOCAINE-MPF/EPINEPHRINE INJECTION SOLUTION 1 %-1:200000

3

XYLOCAINE-MPF/EPINEPHRINE INJECTION SOLUTION 1.5 %-1:200000, 2 %-1:200000

3 PA

ZERUVIA 3 PA

ZIONODIL 3 PA

ZIONODIL 100 3 PA

ZTLIDO E

Anti-Addiction / Substance Abuse Treatment Agents

acamprosate calcium 1

BUNAVAIL 3 QL

buprenorphine hcl sublingual 1 QL

buprenorphine hcl-naloxone hcl 1 QL

bupropion hcl er (smoking det) 1 QL

CHANTIX 3 QL

CHANTIX CONTINUING MONTH PAK 3 QL

CHANTIX STARTING MONTH PAK 3 QL

disulfiram oral 1

LIFEMS NALOXONE 3 PA


14


LUCEMYRA 3 ST; QL

naloxone hcl injection 1

naltrexone hcl oral 1

NALTREXONE SUBCUTANEOUS 3 PA

NARCAN 2

NICOTROL 3 QL

NICOTROL NS 3 QL

SUBLOCADE 3 SP

SUBOXONE E

VIVITROL 3 SP

ZUBSOLV 2 QL

Antibacterials

ACTICLATE E

AEMCOLO 3 PA; QL

ALTABAX 3

amikacin sulfate injection 1 QL

amoxicillin 1 QL

amoxicillin-potassium clavulanate er 1 QL

amoxicillin-potassium clavulanate oral 1 QL

ampicillin 1 QL

ampicillin sodium 1 QL

ampicillin-sulbactam sodium 1 QL

ARIKAYCE 3 PA; SP; QL

AUGMENTIN ES-600 3 PA; QL

AUGMENTIN ORAL SUSPENSION RECONSTITUTED 125-31.25 MG/5ML

3 QL

AUGMENTIN ORAL SUSPENSION RECONSTITUTED 250-62.5 MG/5ML

3 PA; QL

AUGMENTIN ORAL TABLET 3 PA; QL

avidoxy 1 QL

AVIDOXY DK 3 PA; QL

AVYCAZ 3 QL

AZACTAM 3 PA; QL

azithromycin intravenous 1 QL

azithromycin oral 1 QL

aztreonam 1 QL

bacitracin intramuscular 1 QL

BACTRIM 3 PA; QL

BACTRIM DS 3 PA; QL


15


BAXDELA 3 QL

benzalkonium chloride external solution 1

BICILLIN C-R 3 QL

BICILLIN C-R 900/300 3 QL

BICILLIN L-A 3 QL

cefaclor 1 QL

cefaclor er 1 QL

cefadroxil 1 QL

CEFAZOLIN IN SODIUM CHLORIDE 3 QL

cefazolin sodium injection 1 QL

CEFAZOLIN SODIUM INTRAVENOUS SOLUTION PREFILLED SYRINGE

3 QL

cefazolin sodium intravenous solution reconstituted

1 QL

cefazolin sodium-dextrose intravenous solution 1-4 gm/50ml-%, 2-4 gm/100ml-%

1 QL

CEFAZOLIN SODIUM-DEXTROSE INTRAVENOUS SOLUTION 2-5 GM/100ML-%

3 QL

cefazolin sodium-dextrose intravenous solution reconstituted

1 QL

cefdinir 1 QL

cefepime hcl injection 1 QL

cefepime hcl intravenous solution 1 QL

cefepime hcl intravenous solution reconstituted 1 PA; QL

cefepime-dextrose 1 QL

cefixime 1 QL

CEFOTAN 3 PA; QL

cefotaxime sodium 1 QL

cefotetan disodium 1 QL

cefotetan disodium-dextrose 1 QL

cefoxitin sodium 1 QL

CEFOXITIN SODIUM-DEXTROSE 3 QL

cefpodoxime proxetil 1 QL

cefprozil 1 QL

ceftazidime and dextrose 1 QL

ceftazidime injection 1 QL

ceftriaxone sodium in dextrose 1 QL

ceftriaxone sodium injection 1 QL

ceftriaxone sodium intravenous 1 QL


16


ceftriaxone sodium-dextrose 1 QL

cefuroxime axetil 1 QL

cefuroxime sodium 1 QL

CENTANY 3 PA

CENTANY AT 3 PA

cephalexin 1 QL

chloramphenicol sod succinate 1 QL

CIPRO ORAL SUSPENSION RECONSTITUTED

3 QL

CIPRO ORAL TABLET 3 PA; QL

ciprofloxacin hcl oral 1 QL

ciprofloxacin in d5w 1 QL

clarithromycin er 1 QL

clarithromycin oral 1 QL

CLEOCIN ORAL 3 PA; QL

CLEOCIN PHOSPHATE 3 PA; QL

CLEOCIN VAGINAL CREAM 3 PA

CLEOCIN VAGINAL SUPPOSITORY 2

clindamycin hcl oral 1 QL

clindamycin palmitate hcl 1 QL

clindamycin phosphate in d5w 1 QL

CLINDAMYCIN PHOSPHATE IN NACL 3 QL

clindamycin phosphate injection 1 QL

clindamycin phosphate vaginal 1

CLINDESSE 3

colistimethate sodium (cba) 1 QL

COLY-MYCIN M 3 PA; QL

coremino 1 PA; QL

DALVANCE 3 QL

daptomycin 1 QL

demeclocycline hcl 1 QL

dicloxacillin sodium 1 QL

DIFICID 3 QL

DORYX E

DORYX MPC E

doxy 100 1 QL

doxycycline hyclate intravenous 1 QL

doxycycline hyclate oral capsule 1 QL


17


doxycycline hyclate oral tablet 100 mg, 20 mg 1 QL

doxycycline hyclate oral tablet 150 mg, 50 mg, 75 mg

1 PA; QL

doxycycline hyclate oral tablet delayed release 100 mg, 150 mg, 200 mg, 50 mg, 75 mg

1 PA; QL

DOXYCYCLINE HYCLATE ORAL TABLET DELAYED RELEASE 80 MG

E

doxycycline monohydrate oral capsule 100 mg, 50 mg

1 QL

doxycycline monohydrate oral capsule 150 mg, 75 mg

1 PA; QL

doxycycline monohydrate oral suspension reconstituted

1 QL

doxycycline monohydrate oral tablet 1 QL

E.E.S. GRANULES 3 PA; QL

ertapenem sodium 1 QL

ERYPED 200 3 PA; QL

ERYPED 400 3 PA; QL

ERY-TAB 3 PA; QL

ERYTHROCIN LACTOBIONATE 3 QL

ERYTHROCIN STEARATE 3 QL

erythromycin base 1 QL

erythromycin ethylsuccinate oral 1 QL

erythromycin oral 1 QL

FETROJA 3 QL

FIRVANQ 3 QL

FLAGYL 3 PA; QL

FORTAZ INJECTION SOLUTION RECONSTITUTED 1 GM

3 PA; QL

FORTAZ INJECTION SOLUTION RECONSTITUTED 500 MG

3 QL

FORTAZ INTRAVENOUS 3 QL

fosfomycin tromethamine 1 QL

gentamicin in saline 1 QL

gentamicin sulfate external 1

gentamicin sulfate injection 1 QL

HIPREX 3 PA; QL

hydrogen peroxide 1

imipenem-cilastatin 1 QL

INVANZ 3 PA; QL


18


KEFLEX 3 PA; QL

levofloxacin in d5w 1 QL

levofloxacin intravenous 1 QL

levofloxacin oral 1 QL

LINCOCIN 3 PA; QL

lincomycin hcl injection 1 QL

linezolid 1 QL

linezolid in sodium chloride 1 QL

LUGOLS STRONG IODINE 3

MACROBID 3 PA; QL

MACRODANTIN 3 PA; QL

mafenide acetate external 1

meropenem 1 QL

MEROPENEM-SODIUM CHLORIDE 3 QL

MERREM 3 PA; QL

methenamine hippurate 1 QL

methenamine mandelate oral 1 PA; QL

metronidazole in nacl 1 QL

metronidazole oral 1 QL

metronidazole vaginal 1

MINOCIN INTRAVENOUS 3 QL

MINOCYCLINE HCL ER ORAL CAPSULE EXTENDED RELEASE 24 HOUR

3 QL

minocycline hcl er oral tablet extended release 24 hour

1 PA; QL

minocycline hcl oral 1 QL

MINOLIRA E

mondoxyne nl oral capsule 100 mg 1 QL

mondoxyne nl oral capsule 75 mg 1 PA; QL

MONUROL 3 PA; QL

MORGIDOX COMBINATION 3 PA; QL

morgidox oral 1 QL

moxifloxacin hcl in nacl 1 QL

MOXIFLOXACIN HCL INTRAVENOUS 3 QL

moxifloxacin hcl oral 1 QL

mupirocin calcium 1 PA

mupirocin external 1

nafcillin sodium 1 QL

NAFCILLIN SODIUM IN DEXTROSE 3 QL


19


neomycin sulfate oral 1 QL

neomycin-polymyxin b gu 1

nitrofurantoin 1 QL

nitrofurantoin macrocrystal 1 QL

nitrofurantoin monohydrate macrocrystals 1 QL

NUTRIDOX 3 PA; QL

NUVESSA 3 PA

NUZYRA 3 QL

ofloxacin oral 1 QL

ORBACTIV 3 QL

oxacillin sodium 1 QL

OXACILLIN SODIUM IN DEXTROSE 3 QL

paromomycin sulfate oral 1 QL

PENICILLIN G POT IN DEXTROSE 3 QL

penicillin g potassium 1 QL

penicillin g procaine 1 QL

penicillin g sodium 1 QL

penicillin v potassium 1 QL

PFIZERPEN 3 PA; QL

piperacillin sod-tazobactam so 1 QL

polymyxin b sulfate injection 1 QL

PRIMAXIN IV 3 PA; QL

PRIMSOL 3 QL

RECARBRIO 3 QL

SEYSARA 3 ST; QL

SILVADENE E

silver nitrate external 1 PA

silver sulfadiazine external 1

SIVEXTRO INTRAVENOUS 3 QL

SIVEXTRO ORAL 3 PA; QL

SOLODYN E

SOLOSEC 3

ssd 1

streptomycin sulfate intramuscular 1 QL

sulfadiazine oral 1 QL

sulfamethoxazole-trimethoprim 1 QL

SULFAMYLON 3 PA

sulfatrim pediatric 1 QL


20


SUPRAX ORAL CAPSULE 3 PA; QL

SUPRAX ORAL SUSPENSION RECONSTITUTED 100 MG/5ML, 200 MG/5ML

3 PA; QL

SUPRAX ORAL SUSPENSION RECONSTITUTED 500 MG/5ML

3 QL

SUPRAX ORAL TABLET CHEWABLE 3 QL

SYNERCID 3 QL

TARGADOX E

tazicef injection 1 QL

TAZICEF INTRAVENOUS SOLUTION 3 QL

tazicef intravenous solution reconstituted 1 QL

TEFLARO 3 QL

tetracycline hcl oral 1 QL

tigecycline 1 QL

tinidazole oral 1 QL

tobramycin sulfate injection 1 QL

trimethoprim oral 1 QL

TYGACIL 3 PA; QL

UNASYN 3 PA; QL

VABOMERE 3 QL

VANCOCIN 3 PA; QL

VANCOCIN HCL 3 PA; QL

VANCOMYCIN HCL IN DEXTROSE INTRAVENOUS SOLUTION 1.25-5 GM/250ML-%, 1.5-5 GM/250ML-%

3 QL

vancomycin hcl in dextrose intravenous solution 1-5 gm/200ml-%, 500-5 mg/100ml-%, 750-5 mg/150ml-%

1 QL

VANCOMYCIN HCL IN NACL INTRAVENOUS SOLUTION 1.5-0.9 GM/500ML-%, 1.75-0.9 GM/250ML-%

3 QL

vancomycin hcl in nacl intravenous solution 1-0.9 gm/200ml-%, 500-0.9 mg/100ml-%

1 QL

VANCOMYCIN HCL IN NACL SOLUTION 1.25-0.9 GM/250ML-% INTRAVENOUS

3 QL


3 PA; QL


3 QL


3 PA; QL


21


VANCOMYCIN HCL IN NACL SOLUTION 1-0.9 GM/250ML-% INTRAVENOUS

3 QL


3 PA; QL


3 QL


3 PA; QL

VANCOMYCIN HCL IN NACL SOLUTION 750-0.9 MG/150ML-% INTRAVENOUS

3 QL

vancomycin hcl in nacl solution 750-0.9 mg/150ml-% intravenous

1 QL

vancomycin hcl intravenous 1 QL

vancomycin hcl oral 1 QL

vandazole 1

VIBATIV 3 QL

VIBRAMYCIN ORAL CAPSULE 3 PA; QL

VIBRAMYCIN ORAL SUSPENSION RECONSTITUTED

3 PA; QL

VIBRAMYCIN ORAL SYRUP 3 ST; QL

XENLETA 3 QL

XEPI 3

XERAVA 3 QL

XIFAXAN 3 PA; QL

XIMINO 3 QL

ZEMDRI 3 QL

ZERBAXA 3 QL

ZITHROMAX INTRAVENOUS 3 PA; QL

ZITHROMAX ORAL PACKET 3 QL

ZITHROMAX ORAL SUSPENSION RECONSTITUTED

3 PA; QL

ZITHROMAX ORAL TABLET 3 PA; QL

ZITHROMAX TRI-PAK 3 PA; QL

ZITHROMAX Z-PAK 3 PA; QL

ZOSYN 3 QL

ZYVOX INTRAVENOUS SOLUTION 200 MG/100ML

3 QL

ZYVOX INTRAVENOUS SOLUTION 600 MG/300ML

3 PA; QL

ZYVOX ORAL SUSPENSION RECONSTITUTED

3 PA; QL


22


Anticoagulants

ACD FORMULA A 3

ACD-A NOCLOT-50 3

ACTIVASE 3 PA

ANGIOMAX 3 PA

ANTICOAGULANT SODIUM CITRATE 3

argatroban 1

argatroban in sodium chloride 1 PA

ARIXTRA 3 PA; SP; QL

BIVALIRUDIN RTU 3 PA

bivalirudin trifluoroacetate 1

BIVALIRUDIN-SODIUM CHLORIDE 3 PA

CATHFLO ACTIVASE 3 PA

ELIQUIS 2 QL

ELIQUIS DVT/PE STARTER PACK 2 QL

enoxaparin sodium 1 SP; QL

fondaparinux sodium 1 SP; QL

FRAGMIN 3 SP; QL

heparin (porcine) in nacl intravenous solution 1

HEPARIN (PORCINE) IN NACL INTRAVENOUS SOLUTION 2500-0.9 UT/500ML-%, 30000-0.9 UNIT/L-%, 500-0.9 UT/500ML-%, 5000-0.9 UNIT/L-%, 5000-0.9 UT/500ML-%

3

heparin sod (porcine) in d5w 1

heparin sodium (porcine) 1

heparin sodium (porcine) pf 1

jantoven 1

LOVENOX 3 PA; SP; QL

PRADAXA 2 QL

REGIOCIT 3 PA

RETAVASE 3

RETAVASE HALF-KIT 3

SAVAYSA 3 QL

SODIUM CITRATE IN VITRO 3

SODIUM CITRATE LOCK FLUSH 3

SODIUM CITRATE-GENTAMICIN SULF SOLUTION 4-320 %-MCG/ML INTRAVENOUS

3

SODIUM CITRATE-GENTAMICIN SULF SOLUTION 4-320 %-MCG/ML INTRAVENOUS

3 PA


23


TNKASE 3

TRICITRASOL 3

warfarin sodium oral 1

XARELTO 2 QL

XARELTO STARTER PACK 2 QL

Anticonvulsants - Drugs for Seizures

APTIOM 3

BANZEL 3 PA

BRIVIACT INTRAVENOUS 3

BRIVIACT ORAL 3 ST

carbamazepine er 1

carbamazepine oral 1

CARBATROL E

CELONTIN 3

CEREBYX 3 PA

clobazam 1 PA

DEPAKOTE E

DEPAKOTE ER E

DEPAKOTE SPRINKLES E

DIACOMIT 3 PA; SP

DIASTAT ACUDIAL 3 PA; QL

DIASTAT PEDIATRIC 3 PA; QL

diazepam rectal 1 QL

DILANTIN INFATABS E

DILANTIN ORAL CAPSULE 100 MG E

DILANTIN ORAL CAPSULE 30 MG 3

DILANTIN ORAL SUSPENSION E

divalproex sodium er 1

divalproex sodium oral 1

EPIDIOLEX 3 PA; SP

epitol 1

ethosuximide oral 1

felbamate 1

FINTEPLA 3 PA; SP

fosphenytoin sodium 1

FYCOMPA 3

gabapentin oral 1

GABITRIL 3 PA


24


KEPPRA INTRAVENOUS 3 PA

KEPPRA ORAL E

KEPPRA XR E

LAMICTAL E

LAMICTAL ODT E

LAMICTAL STARTER E

LAMICTAL XR ORAL KIT 3

LAMICTAL XR ORAL TABLET EXTENDED RELEASE 24 HOUR

E

lamotrigine er 1

lamotrigine oral 1

lamotrigine starter kit-blue 1

lamotrigine starter kit-green 1

lamotrigine starter kit-orange 1

levetiracetam er 1

levetiracetam in nacl 1

levetiracetam intravenous 1

levetiracetam oral 1

NAYZILAM 3 QL

NEMBUTAL 3 PA

NEURONTIN E

ONFI E

oxcarbazepine 1

OXTELLAR XR E

pentobarbital sodium injection 1

phenobarbital oral 1

phenobarbital sodium injection 1

PHENYTEK 3 PA

phenytoin infatabs 1

phenytoin oral 1

phenytoin sodium extended 1

phenytoin sodium injection 1

primidone oral 1

QUDEXY XR E

roweepra 1

rufinamide 1 PA

SABRIL E SP

SPRITAM 3 PA


25


subvenite 1

subvenite starter kit-blue 1

subvenite starter kit-green 1

subvenite starter kit-orange 1

SYMPAZAN 3 PA

TEGRETOL E

TEGRETOL-XR E

tiagabine hcl 1

TOPAMAX E

TOPAMAX SPRINKLE E

topiramate er 1

topiramate oral 1

TRILEPTAL E

TROKENDI XR 3 ST

valproate sodium intravenous 1

valproic acid oral 1

VALTOCO 3 QL

vigabatrin 1 PA; SP

vigadrone 1 PA; SP

VIMPAT 3

XCOPRI 3 ST

ZARONTIN 3 PA

ZONEGRAN E

zonisamide oral 1

Antidementia Agents - Drugs for Alzheimer's Disease and Dementia

ARICEPT 3 PA

donepezil hcl 1

EXELON 3 PA

galantamine hydrobromide 1

galantamine hydrobromide er 1

memantine hcl er 1 QL

memantine hcl oral 1

NAMENDA 3 PA

NAMENDA TITRATION PAK 3 PA

NAMENDA XR 3 PA; QL

NAMENDA XR TITRATION PACK 3 QL

NAMZARIC 2 QL


26


RAZADYNE ER 3 PA

rivastigmine 1

rivastigmine tartrate 1

Antidepressants

amitriptyline hcl oral 1

amoxapine 1

APLENZIN 3 ST; QL

BRISDELLE E

bupropion hcl er (sr) 1 QL

bupropion hcl er (xl) oral tablet extended release 24 hour 150 mg, 300 mg

1 QL

BUPROPION HCL ER (XL) ORAL TABLET EXTENDED RELEASE 24 HOUR 450 MG

E M

bupropion hcl oral 1

CELEXA E

chlordiazepoxide-amitriptyline 1

citalopram hydrobromide 1

clomipramine hcl oral 1

CYMBALTA E

desipramine hcl oral 1

DESVENLAFAXINE ER 3 ST; QL

desvenlafaxine succinate er 1 QL

doxepin hcl oral capsule 1

doxepin hcl oral concentrate 1

DRIZALMA SPRINKLE 3 ST; QL

duloxetine hcl oral 1 QL

EFFEXOR XR E

EMSAM 3 QL

escitalopram oxalate 1

FETZIMA 3 ST; QL

FETZIMA TITRATION 3 ST; QL

fluoxetine hcl (pmdd) 1

fluoxetine hcl oral capsule 1

fluoxetine hcl oral capsule delayed release 1 QL

fluoxetine hcl oral solution 1

fluoxetine hcl oral tablet 10 mg, 60 mg 1

fluoxetine hcl oral tablet 20 mg 1 PA

fluvoxamine maleate 1

fluvoxamine maleate er 1 QL


27


FORFIVO XL E

imipramine hcl oral 1

imipramine pamoate 1

LEXAPRO E

maprotiline hcl 1

MARPLAN 3

mirtazapine oral 1

NARDIL 3 PA

nefazodone hcl 1

NORPRAMIN 3 PA

nortriptyline hcl oral 1

olanzapine-fluoxetine hcl 1 QL

PARNATE 3 PA

paroxetine hcl 1

paroxetine hcl er 1

paroxetine mesylate 1 QL

PAXIL CR E

PAXIL ORAL SUSPENSION 2 ST

PAXIL ORAL TABLET E

perphenazine-amitriptyline 1

PEXEVA 3 PA; QL

phenelzine sulfate oral 1

PRISTIQ E

protriptyline hcl 1

PROZAC E

REMERON 3 PA

REMERON SOLTAB 3 PA

sertraline hcl oral 1

SPRAVATO (56 MG DOSE) 3 PA; SP

SPRAVATO (84 MG DOSE) 3 PA; SP

SYMBYAX 3 PA; QL

tranylcypromine sulfate 1

trazodone hcl oral 1

trimipramine maleate oral 1

TRINTELLIX 3 ST; QL

venlafaxine hcl 1

venlafaxine hcl er oral capsule extended release 24 hour

1


28


venlafaxine hcl er oral tablet extended release 24 hour 150 mg, 37.5 mg, 75 mg

1 PA

venlafaxine hcl er oral tablet extended release 24 hour 225 mg

1

VIIBRYD 3 QL

VIIBRYD STARTER PACK 3 QL

WELLBUTRIN SR E

WELLBUTRIN XL E

ZOLOFT E

ZULRESSO 3 PA; SP

Antiemetics - Drugs for Nausea and Vomiting

AKYNZEO INTRAVENOUS 3

AKYNZEO ORAL 3 QL

ALOXI 3 PA

ANZEMET 3 QL

aprepitant 1 QL

BARHEMSYS 3

BONJESTA 3 PA; QL

CINVANTI 3

compro 1

DICLEGIS 3 PA; QL

dimenhydrinate injection 1

doxylamine-pyridoxine 1 PA; QL

dronabinol 1 PA; QL

droperidol injection 1

DROPERIDOL INTRAVENOUS 3 PA

EMEND INTRAVENOUS 3 PA

EMEND ORAL CAPSULE 3 PA; QL

EMEND ORAL SUSPENSION RECONSTITUTED

3 QL

EMEND TRI-PACK 3 PA; QL

fosaprepitant dimeglumine 1

GIMOTI E

granisetron hcl intravenous 1

granisetron hcl oral 1 QL

MARINOL 3 PA; QL

meclizine hcl oral 1

metoclopramide hcl injection 1

metoclopramide hcl oral 1


29


ondansetron hcl injection 1

ondansetron hcl oral solution 1 QL

ondansetron hcl oral tablet 24 mg 1 QL

ondansetron hcl oral tablet 4 mg, 8 mg 1

ondansetron odt 1

palonosetron hcl 1

perphenazine oral 1

prochlorperazine 1

prochlorperazine edisylate injection 1

prochlorperazine maleate oral 1

REGLAN 3 PA

SANCUSO E

scopolamine 1

SUSTOL 3 QL

SYNDROS 3 PA; QL

TIGAN INTRAMUSCULAR 3

TIGAN ORAL 3 PA

TRANSDERM SCOP (1.5 MG) 3 PA

TRANSDERM-SCOP (1.5 MG) 3 PA

trimethobenzamide hcl oral 1

VARUBI (180 MG DOSE) 3 QL

ZUPLENZ 3 PA; QL

Antifungals

ABELCET 3

AMBISOME 3

ANCOBON 3 PA

BIO-STATIN ORAL CAPSULE 3

bio-statin oral powder 1 PA

CANCIDAS 3 PA

caspofungin acetate 1

ciclodan 1

ciclopirox external 1

ciclopirox olamine external 1

ciclopirox treatment 1 PA

clotrimazole external 1

clotrimazole mouth/throat 1

clotrimazole-betamethasone 1

CRESEMBA 3


30


DIFLUCAN 3 PA

DIFMETIOXRIME 3 PA

ECONASIL 3 PA

econazole nitrate external 1

ECONAZOLE NITRATE-NIACINAMIDE 3 PA

ECOZA 3 PA

ERAXIS 3

ERTACZO 3 PA

EXELDERM 3 PA

EXODERM EXTERNAL LOTION 3

fluconazole in sodium chloride 1

fluconazole oral 1

FLUCON-IBUPROF-ITRACON-TERBINA 3 PA

flucytosine oral 1

FUNGIMEZ 3 PA

griseofulvin microsize oral 1

griseofulvin ultramicrosize 1

GYNAZOLE-1 3

HIXDEFRIMA 3

IMIOXIA 3 PA

IODOQUINOL-HC-KETOCONAZOLE 3 PA

itraconazole oral 1 PA

JUBLIA E

KERYDIN 3 PA

ketoconazole cream 2 % external 1

ketoconazole cream 2 % external 1 PA

ketoconazole external foam 1 PA

ketoconazole external shampoo 1

ketoconazole oral 1

KETOCONAZOLE-HYDROCORTISONE 3 PA

ketodan external foam 1 PA

KETODAN EXTERNAL KIT 3 PA

LOPROX 3 PA

LULICONAZOLE 3 PA

LUZU 3 PA

MENTAX 3 PA

micafungin sodium 1

miconazole 3 1


31


MICONAZOLE-ZINC OXIDE-PETROLAT 3 PA

MYCAMINE 3 PA

naftifine hcl 1

NAFTIN EXTERNAL GEL 1 % 3 PA

NAFTIN EXTERNAL GEL 2 % 3

NOXAFIL INTRAVENOUS 3

NOXAFIL ORAL SUSPENSION 3

NOXAFIL ORAL TABLET DELAYED RELEASE 3 PA

nyamyc 1

nystatin external 1

nystatin mouth/throat 1

nystatin oral 1

nystatin-triamcinolone 1

nystop 1

ONYCHO-MED 3 PA

ORAVIG 3 PA

oxiconazole nitrate 1 PA

OXISTAT EXTERNAL LOTION 3 PA

PHEODOYO 3 PA

PHEYO 3 PA

posaconazole 1

RECURA 3 PA

SPORANOX 3 PA

SPORANOX PULSEPAK 3 PA

SULCONAZOLE NITRATE 3 PA

tavaborole 1 PA

terbinafine hcl oral 1 QL

terconazole 1

TOLSURA E

VFEND IV 3 PA

VFEND ORAL SUSPENSION RECONSTITUTED

3 PA

voriconazole intravenous 1

voriconazole oral 1

VUSION 3 PA

XOLEGEL 3 PA

XOLEGEL COREPAK 3 PA

XOLEGEL DUO/HEAD & SHOULDERS 3 PA


32


XOLEGEL DUO/XOLEX 3 PA

ZOLPAK 3 PA

Antigout Agents

allopurinol oral 1

allopurinol sodium 1

ALOPRIM 3 PA

COLCHICINE ORAL CAPSULE E M

colchicine oral tablet 1

colchicine-probenecid 1

COLCRYS E

febuxostat 1 ST

GLOPERBA E

KRYSTEXXA 3 PA; SP

MITIGARE E

probenecid 1

ULORIC 3 PA

ZYLOPRIM 3 PA

Anti-inflammatory Agents

EMFLAZA 3 PA; SP

Antimigraine Agents

AIMOVIG SUBCUTANEOUS SOLUTION AUTO-INJECTOR 140 MG/ML, 70 MG/ML

2 PA; QL

AJOVY E

almotriptan malate 1 QL

AMERGE 3 PA; QL

CAFERGOT 3 PA

D.H.E. 45 3 PA; QL

dihydroergotamine mesylate injection 1 PA; QL

dihydroergotamine mesylate nasal 1 PA; QL

eletriptan hydrobromide 1 QL

EMGALITY 2 PA; QL

EMGALITY (300 MG DOSE) 2 PA; QL

ERGOMAR 3

ergotamine-caffeine 1

frovatriptan succinate 1 PA; QL

IMITREX E

IMITREX STATDOSE REFILL E

IMITREX STATDOSE SYSTEM E


33


MAXALT E

MAXALT-MLT E

MIGERGOT 3

MIGRANAL 3 PA; QL

naratriptan hcl 1 QL

NURTEC 2 PA; QL

ONZETRA XSAIL E

RELPAX E

REYVOW E

rizatriptan benzoate 1 QL

SUMANSETRON 3 PA

sumatriptan nasal 1 QL

sumatriptan succinate oral 1 QL

sumatriptan succinate refill 1 QL

sumatriptan succinate subcutaneous 1 QL

sumatriptan-naproxen sodium 1 PA; QL

TOSYMRA E

TREXIMET E

UBRELVY 2 PA; QL

VYEPTI 3 PA; QL

ZEMBRACE SYMTOUCH E

ZOLMITRIPTAN NASAL 3 ST; QL

zolmitriptan oral 1 QL

ZOMIG NASAL 3 ST; QL

ZOMIG ORAL E

ZOMIG ZMT E

Antimyasthenic Agents

BLOXIVERZ 3 PA

GUANIDINE HCL 3

MESTINON ORAL SOLUTION 3 PA

MESTINON ORAL TABLET EXTENDED RELEASE

3 PA

neostigmine methylsulfate intravenous solution 10 mg/10ml, 5 mg/10ml

1

NEOSTIGMINE METHYLSULFATE INTRAVENOUS SOLUTION 3 MG/3ML, 5 MG/5ML

3

NEOSTIGMINE METHYLSULFATE INTRAVENOUS SOLUTION PREFILLED SYRINGE 2 MG/2ML, 3 MG/3ML

3


34


NEOSTIGMINE METHYLSULFATE SOLUTION PREFILLED SYRINGE 4 MG/4ML INTRAVENOUS

3


3 PA


3


3 PA

pyridostigmine bromide er 1

pyridostigmine bromide oral 1

REGONOL 3

Antimycobacterials

CAPASTAT SULFATE 3 QL

cycloserine oral 1 QL

dapsone oral 1 QL

ethambutol hcl oral 1 QL

isoniazid injection 1 QL

isoniazid oral 1 QL

MYAMBUTOL 3 PA; QL

MYCOBUTIN 3 PA; QL

PASER 3 QL

PRETOMANID 3 QL

PRIFTIN 3 QL

pyrazinamide oral 1 QL

rifabutin 1 QL

RIFADIN 3 PA; QL

rifampin intravenous 1 QL

rifampin oral 1 QL

SIRTURO 3 QL

TRECATOR 3 QL

Antineoplastics - Drugs for Cancer

abiraterone acetate CM PA; SP

ABRAXANE 2 SP

ADCETRIS 2 PA; SP

adriamycin 1 SP

AFINITOR DISPERZ CM PA; SP


35


AFINITOR ORAL TABLET 10 MG CM PA; SP; QL

AFINITOR ORAL TABLET 2.5 MG, 5 MG, 7.5 MG

E SP

ALECENSA CM PA; SP

ALIMTA 2 SP

ALIQOPA 3 PA; SP

ALKERAN INTRAVENOUS 3 PA; SP

ALKERAN ORAL CM PA; SP

ALUNBRIG CM PA; SP; QL

anastrozole oral CM

ARIMIDEX E

AROMASIN CM PA

ARRANON 2 SP

arsenic trioxide intravenous 1 SP

ARZERRA 2 PA; SP

ASPARLAS 3 SP

AVASTIN 3 PA; SP

AYVAKIT CM PA; SP; QL

azacitidine 1 SP

AZEDRA DOSIMETRIC 3 PA

AZEDRA THERAPEUTIC 3 PA

BALVERSA CM PA; SP

BAVENCIO 3 PA; SP

BELEODAQ 3 PA; SP

BELRAPZO E SP

BENDEKA 3 PA; SP

BESPONSA 3 PA; SP

bexarotene CM PA; SP

bicalutamide CM

BICNU 3 PA; SP

BLENREP 3 PA; SP

bleomycin sulfate 1 SP

BLINCYTO 3 PA; SP

BORTEZOMIB 3 PA; SP

BOSULIF CM PA; SP

BRAFTOVI CM PA; SP

BRUKINSA CM PA; SP

busulfan 1 SP


36


BUSULFEX 3 PA; SP

CABOMETYX CM PA; SP

CALQUENCE CM PA; SP

CAMPATH 2 SP

CAMPTOSAR 3 PA; SP

capecitabine CM PA; SP

CAPRELSA ORAL TABLET 100 MG CM PA; SP; QL

CAPRELSA ORAL TABLET 300 MG CM PA; SP

carboplatin 1 SP

carmustine 1 SP

CASODEX CM PA

cisplatin intravenous solution 1 SP

CISPLATIN INTRAVENOUS SOLUTION RECONSTITUTED

3 SP

cladribine 1 SP

clofarabine 1 SP

CLOLAR 3 PA; SP

COMETRIQ CM PA; SP

COPIKTRA CM PA; SP

COSMEGEN 3 PA; SP

COTELLIC CM PA; SP

cyclophosphamide injection 1 SP

CYCLOPHOSPHAMIDE INTRAVENOUS 3 SP

cyclophosphamide oral capsule CM

CYRAMZA 3 PA; SP

cytarabine 1 SP

cytarabine (pf) 1 SP

dacarbazine 1 SP

DACOGEN 3 PA; SP

dactinomycin 1 SP

DANYELZA 3 PA; SP

DARZALEX 3 PA; SP

DARZALEX FASPRO E SP

daunorubicin hcl 1 SP

DAURISMO CM PA; SP

decitabine 1 PA; SP

dexrazoxane hcl 1 SP

docetaxel 1 SP


37


DOXIL 3 PA; SP

doxorubicin hcl 1 SP

doxorubicin hcl liposomal 1 SP

DROXIA 3

ELITEK 3 SP

ELLENCE 3 PA; SP

ELZONRIS 3 PA; SP

EMCYT CM

EMPLICITI 3 PA; SP

ENHERTU 3 PA; SP

epirubicin hcl 1 SP

ERBITUX 2 PA; SP

ERIVEDGE CM PA; SP

ERLEADA E SP

erlotinib hcl oral tablet 100 mg, 150 mg CM PA; SP

erlotinib hcl oral tablet 25 mg CM PA; SP; QL

ERWINAZE 3 SP

ETHYOL 3

ETOPOPHOS 3 SP

etoposide intravenous 1 SP

etoposide oral CM SP

everolimus oral tablet 2.5 mg, 5 mg, 7.5 mg CM PA; SP; QL

EVOMELA 3 SP

exemestane CM

FARESTON CM PA

FARYDAK CM PA; SP

FASLODEX 3 PA; SP

FEMARA CM PA

floxuridine injection 1 SP

fludarabine phosphate 1 SP

fluorouracil intravenous 1 SP

flutamide CM

FOLOTYN 2 PA; SP

fulvestrant 1 SP

GAVRETO CM PA; SP

GAZYVA 3 PA; SP

gemcitabine hcl 1 SP

GILOTRIF CM PA; SP; QL


38


GLEEVEC E SP

GLEOSTINE CM SP

GLIADEL WAFER 3

HALAVEN 2 PA; SP

HERCEPTIN 3 PA; SP

HERCEPTIN HYLECTA 3 PA; SP

HERZUMA E SP

HYCAMTIN INTRAVENOUS 3 PA; SP

HYCAMTIN ORAL CM SP

HYDREA CM PA

hydroxyurea oral CM

IBRANCE CM PA; SP

ICLUSIG ORAL TABLET 10 MG, 15 MG CM PA; SP; QL

ICLUSIG ORAL TABLET 30 MG, 45 MG CM PA; SP

IDAMYCIN PFS 3 PA; SP

idarubicin hcl 1 SP

IDHIFA CM PA; SP; QL

IFEX 3 PA; SP

ifosfamide 1 SP

imatinib mesylate CM PA; SP

IMBRUVICA CM PA; SP

IMFINZI 3 PA; SP

IMLYGIC 3 SP

INFUGEM 3 SP

INLYTA CM PA; SP

INQOVI CM PA; SP

INREBIC CM PA; SP

IRESSA CM PA; SP

irinotecan hcl 1 SP

ISTODAX (OVERFILL) 3 PA; SP

IXEMPRA KIT 2 SP

JAKAFI ORAL TABLET 10 MG CM PA; SP; QL

JAKAFI ORAL TABLET 15 MG, 20 MG, 25 MG, 5 MG

CM PA; SP

JELMYTO 3 PA; SP

JEVTANA 2 PA; SP

KADCYLA 3 PA; SP

KANJINTI 2 PA; SP


39


KEYTRUDA 3 PA; SP

KHAPZORY 3 ST; SP

KISQALI FEMARA CM PA; SP

KISQALI ORAL TABLET THERAPY PACK 200 MG

CM PA; SP

KOSELUGO CM PA; SP

KYPROLIS 2 PA; SP

lapatinib ditosylate CM PA; SP

LENVIMA ORAL CAPSULE THERAPY PACK 10 & 4 MG, 10 MG, 10 MG & 2 X 4 MG, 2 X 10 MG, 2 X 10 MG & 4 MG, 2 X 4 MG, 3 X 4 MG, 4 MG

CM PA; SP

letrozole oral CM

leucovorin calcium injection 1

leucovorin calcium oral CM

LEUKERAN CM

levoleucovorin calcium 1 SP

levoleucovorin calcium pf 1 SP

LIBTAYO 3 PA; SP

LONSURF CM PA; SP

LORBRENA CM PA; SP

LUMOXITI 3 PA; SP

LUTATHERA 3 PA

LYNPARZA CM PA; SP

LYSODREN CM

MARQIBO 3 SP

MATULANE CM SP

MEKINIST CM PA; SP

MEKTOVI CM PA; SP

melphalan CM SP

melphalan hcl 1 SP

mercaptopurine oral CM

mesna 1 SP

MESNEX INTRAVENOUS 3 PA; SP

MESNEX ORAL CM SP

mitomycin intravenous 1 SP

MITOMYCIN INTRAVESICAL 3 PA; SP

mitoxantrone hcl 1 PA; SP

MONJUVI 3 PA; SP


40


mutamycin 1 SP

MVASI 2 PA; SP

MYLERAN CM

MYLOTARG 3 PA; SP

NAVELBINE 3 SP

NERLYNX CM PA; SP; QL

NEXAVAR CM PA; SP

NILANDRON CM PA; SP

nilutamide CM SP

NINLARO CM PA; SP

NIPENT 3 SP

NUBEQA CM PA; SP

ODOMZO CM PA; SP

OGIVRI E SP

ONCASPAR 2 SP

ONIVYDE 3 SP

ONTRUZANT E SP

ONUREG CM PA; SP

OPDIVO 3 PA; SP

ORGOVYX CM PA; SP

oxaliplatin 1 SP

paclitaxel 1 SP

PADCEV 3 PA; SP

PANRETIN 3

paraplatin 1 SP

PEMAZYRE CM PA; SP; QL

PERJETA 2 PA; SP

PHESGO 2 PA; SP

PHOTOFRIN 3 SP

PIQRAY CM PA; SP

POLIVY 3 PA; SP

POMALYST CM PA; SP

PORTRAZZA 3 PA; SP

POTELIGEO 3 PA; SP

PROLEUKIN 2 SP

PURIXAN CM SP

QINLOCK CM PA; SP

QUADRAMET 3


41


RETEVMO CM PA; SP

REVLIMID CM PA; SP

RIABNI 3 PA; SP

RITUXAN 3 PA; SP

RITUXAN HYCELA 3 PA; SP

ROMIDEPSIN 3 PA; SP

ROZLYTREK CM PA; SP

RUBRACA CM PA; SP

RUXIENCE 2 PA; SP

RYDAPT CM PA; SP

SARCLISA 3 PA; SP

SIKLOS 3 PA

SOLTAMOX CM

SPRYCEL CM PA; SP

STIVARGA CM PA; SP

STRONTIUM CHLORIDE SR-89 3 PA

SUTENT CM PA; SP

SYLVANT 3 PA; SP

SYNRIBO 3 PA; SP

TABLOID CM SP

TABRECTA E SP

TAFINLAR CM PA; SP

TAGRISSO ORAL TABLET 40 MG CM PA; SP; QL

TAGRISSO ORAL TABLET 80 MG CM PA; SP

TALZENNA CM PA; SP

tamoxifen citrate oral CM

TARGRETIN EXTERNAL 3 PA; SP

TARGRETIN ORAL E SP

TASIGNA CM PA; SP

TAZVERIK E SP

TECARTUS 3 PA; SP

TECENTRIQ 3 PA; SP

TEMODAR INTRAVENOUS 2 SP

TEMODAR ORAL CM PA; SP

temozolomide CM PA; SP

teniposide 1 SP

TEPADINA 3 PA; SP

THALOMID CM PA; SP


42


thiotepa injection 1 SP

TIBSOVO CM PA; SP

toposar 1 SP

topotecan hcl 1 SP

toremifene citrate CM

TOTECT 3 SP

TRAZIMERA 2 PA; SP

TREANDA E SP

tretinoin oral CM SP

TRISENOX 3 PA; SP

TRODELVY 3 PA; SP

TRUXIMA E SP

TUKYSA CM PA; SP

TURALIO CM PA; SP

TYKERB CM PA; SP

UNITUXIN 3 PA; SP

VALCHLOR 3 PA; SP

valrubicin 1 SP

VALSTAR 3 PA; SP

VECTIBIX 3 SP

VELCADE 2 PA; SP

VENCLEXTA CM PA; SP

VENCLEXTA STARTING PACK CM PA; SP

VERZENIO CM PA; SP

VIDAZA 3 PA; SP

vinblastine sulfate 1 SP

vincristine sulfate 1 SP

vinorelbine tartrate 1 SP

VITRAKVI CM PA; SP

VIZIMPRO CM PA; SP

VORAXAZE 3

VOTRIENT CM PA; SP

VYXEOS 3 PA; SP

XALKORI CM PA; SP

XOFIGO 2

XOSPATA CM PA; SP

XPOVIO (100 MG ONCE WEEKLY) CM PA; SP



43


XPOVIO (40 MG TWICE WEEKLY) CM PA; SP





XTANDI ORAL CAPSULE CM PA; SP

XTANDI ORAL TABLET CM SP

YERVOY 2 PA; SP

YESCARTA 3 PA; SP

YONDELIS 3 SP

YONSA E SP

ZALTRAP 2 PA; SP

ZANOSAR 2 SP

ZEJULA CM PA; SP

ZELBORAF CM PA; SP

ZEPZELCA 3 PA; SP

ZEVALIN Y-90 3 SP

ZIRABEV 2 PA; SP

ZOLINZA CM PA; SP

ZYDELIG CM PA; SP

ZYKADIA CM PA; SP

ZYTIGA E SP

Antiparasitics

albendazole oral 1 PA

ALINIA ORAL SUSPENSION RECONSTITUTED

2

ALINIA ORAL TABLET 3 PA

ARAKODA 3

atovaquone oral 1

atovaquone-proguanil hcl 1

BENZNIDAZOLE 3

BILTRICIDE 3 PA

chloroquine phosphate oral 1

COARTEM 3

crotan 1

DARAPRIM 3 PA; SP

EGATEN 3

ELIMITE 3 PA


44


EMVERM 2

hydroxychloroquine sulfate oral 1

IMPAVIDO 3 QL

ivermectin external 1

ivermectin oral 1

KRINTAFEL 3

LAMPIT 3

lindane 1

MALARONE 3 PA

malathion 1

mefloquine hcl 1

MEPRON 3 PA

NATROBA E

NEBUPENT 3 PA; QL

nitazoxanide 1

OVIDE 3 PA

PENTAM 3 PA; QL

pentamidine isethionate 1 QL

permethrin external 1

PLAQUENIL E

praziquantel oral 1

primaquine phosphate 1

pyrimethamine oral 1 PA; SP

PYRIMETHAMINE-LEUCOVORIN 3

QUALAQUIN 3 PA

quinine sulfate oral 1 PA

SKLICE 3 PA

spinosad 1

STROMECTOL 3 PA

sulfurated lime 1

Antiparkinson Agents

amantadine hcl oral 1

APOKYN 3 PA; SP; QL

AZILECT 3 PA

benztropine mesylate 1

bromocriptine mesylate oral 1

carbidopa oral 1

carbidopa-levodopa 1


45


carbidopa-levodopa er 1

carbidopa-levodopa-entacapone 1

COGENTIN 3 PA

COMTAN 3 PA

DUOPA 3 PA

entacapone 1

GOCOVRI E

INBRIJA 3 PA; SP

KYNMOBI 3 PA; SP; QL

KYNMOBI TITRATION KIT 3 PA; SP; QL

MIRAPEX 3 PA

MIRAPEX ER 3 PA

NEUPRO 3 ST

NOURIANZ 3 PA

ONGENTYS 3

OSMOLEX ER E

PARLODEL 3 PA

pramipexole dihydrochloride 1

pramipexole dihydrochloride er 1

rasagiline mesylate oral 1

ropinirole hcl 1

ropinirole hcl er 1

RYTARY 3 ST

selegiline hcl oral 1

SINEMET 3 PA

STALEVO 100 3 PA

STALEVO 125 3 PA

STALEVO 150 3 PA

STALEVO 200 3 PA

STALEVO 50 3 PA

STALEVO 75 3 PA

TASMAR 3 PA

tolcapone 1

trihexyphenidyl hcl 1

XADAGO 3 ST; QL

ZELAPAR 3

Antiplatelets

AGGRASTAT 3


46


aspirin-dipyridamole er 1

ASPIRIN-OMEPRAZOLE E M

BRILINTA 2

CABLIVI 3 PA; SP; QL

cilostazol 1

clopidogrel bisulfate oral 1

DEFITELIO 3 PA

dipyridamole oral 1

DURLAZA 3 PA

EFFIENT 3 PA

eptifibatide 1

INTEGRILIN 3 PA

KENGREAL 3

PLAVIX E

prasugrel hcl 1

YOSPRALA E

ZONTIVITY 3

Antipsychotics - Drugs for Mood Disorders

ABILIFY E

ABILIFY MAINTENA 3

ABILIFY MYCITE 3 PA; QL

ADASUVE 3 PA

aripiprazole 1 QL

ARISTADA 3

ARISTADA INITIO 3

asenapine maleate 1 QL

CAPLYTA 3 ST; QL

chlorpromazine hcl injection 1

chlorpromazine hcl oral 1

clozapine 1 QL

CLOZARIL 3 PA; QL

FANAPT 3 ST; QL

FANAPT TITRATION PACK 3 ST; QL

fluphenazine decanoate injection 1

fluphenazine hcl 1

GEODON INTRAMUSCULAR 3 PA

HALDOL 3 PA

HALDOL DECANOATE 3 PA


47


haloperidol decanoate intramuscular 1

haloperidol lactate 1

haloperidol oral 1

INVEGA 3 PA; QL

INVEGA SUSTENNA 3

INVEGA TRINZA 3

LATUDA 3 QL

loxapine succinate 1

molindone hcl 1

NUPLAZID 3 PA

olanzapine intramuscular 1

olanzapine oral 1 QL

paliperidone er 1 QL

PERSERIS 3

pimozide 1

quetiapine fumarate 1 QL

quetiapine fumarate er 1 QL

REXULTI 3 QL

RISPERDAL E

RISPERDAL CONSTA 3

risperidone 1 QL

SAPHRIS E

SECUADO E

SEROQUEL E

SEROQUEL XR E

thioridazine hcl oral 1

thiothixene 1

trifluoperazine hcl 1

VERSACLOZ 3 QL

VRAYLAR 3 ST; QL

ziprasidone hcl 1 QL

ziprasidone mesylate 1

ZYPREXA E

ZYPREXA RELPREVV 3

ZYPREXA ZYDIS 3 PA; QL

Antivirals

abacavir sulfate 1

abacavir sulfate-lamivudine 1


48


abacavir-lamivudine-zidovudine 1

acyclovir external cream 1 PA

acyclovir external ointment 1

acyclovir oral 1

acyclovir sodium 1

adefovir dipivoxil 1 SP

APTIVUS 2

atazanavir sulfate 1

ATRIPLA E

BARACLUDE ORAL SOLUTION 3 SP; QL

BARACLUDE ORAL TABLET E SP

BIKTARVY 3

cidofovir intravenous 1

CIMDUO 2

COMBIVIR 3 PA

COMPLERA 2

CRIXIVAN 2

DELSTRIGO 3

DENAVIR 3 PA

DESCOVY E

DOVATO 2

EDURANT 2

efavirenz 1

efavirenz-emtricitab-tenofovir 1

efavirenz-lamivudine-tenofovir 1

emtricitabine 1

emtricitabine-tenofovir df 1

EMTRIVA ORAL CAPSULE 3 PA

EMTRIVA ORAL SOLUTION 2

entecavir 1 SP; QL

EPCLUSA 2 PA; SP; QL

EPIVIR 3 PA

EPIVIR HBV ORAL SOLUTION 2 SP

EPIVIR HBV ORAL TABLET 3 PA; SP

EPZICOM 3 PA

EVOTAZ 2

famciclovir oral 1

FAVIPIRAVIR 3


49


fosamprenavir calcium 1

foscarnet sodium 1

FOSCAVIR 3 PA

FUZEON 2

GANCICLOVIR 3

ganciclovir sodium 1

GENVOYA 3

HARVONI 2 PA; SP; QL

HEPSERA 3 PA; SP

INTELENCE 2

INTRON A 3 PA; SP

INVIRASE 2

ISENTRESS 2

ISENTRESS HD 2

JULUCA 2

KALETRA ORAL SOLUTION 3 PA

KALETRA ORAL TABLET 2

lamivudine oral solution 1

lamivudine oral tablet 100 mg 1 SP

lamivudine oral tablet 150 mg, 300 mg 1

lamivudine-zidovudine 1

LEDIPASVIR-SOFOSBUVIR E M; SP

LEXIVA ORAL SUSPENSION 2

LEXIVA ORAL TABLET 3 PA

lopinavir-ritonavir 1

MAVYRET 2 PA; SP; QL

nevirapine 1

nevirapine er 1

NORVIR ORAL PACKET 2

NORVIR ORAL SOLUTION 2

NORVIR ORAL TABLET 3 PA

ODEFSEY 3

oseltamivir phosphate oral 1 QL

PEGASYS 2 PA; SP

PEGINTRON 3 PA; SP

PIFELTRO 3

PREVYMIS 3 SP

PREZCOBIX 2


50


PREZISTA 2

RAPIVAB 3

RELENZA DISKHALER 3 QL

RETROVIR INTRAVENOUS 2

RETROVIR ORAL 3 PA

REYATAZ ORAL CAPSULE 3 PA

REYATAZ ORAL PACKET 2

ribavirin inhalation 1

ribavirin oral 1 SP

rimantadine hcl 1

ritonavir 1

RUKOBIA 3

SELZENTRY 2 PA

SITAVIG 3 PA; QL

SOFOSBUVIR-VELPATASVIR E M; SP

SOVALDI 3 PA; SP; QL

stavudine 1

STRIBILD 3

SUSTIVA 3 PA

SYMFI 2 PA

SYMFI LO 2 PA

SYMTUZA 3

TAMIFLU E

TEMIXYS E

tenofovir disoproxil fumarate 1

TIVICAY 2

TIVICAY PD 2

TRIUMEQ 2

TRIZIVIR 3 PA

TROGARZO 3 PA

TRUVADA E

TYBOST 2

valacyclovir hcl oral 1 QL

valganciclovir hcl 1

VALTREX E

VEMLIDY 3 SP

VIEKIRA PAK 3 PA; SP; QL

VIRACEPT 2


51


VIRAMUNE 3 PA

VIRAMUNE XR 3 PA

VIRAZOLE 3 PA

VIREAD ORAL POWDER 2

VIREAD ORAL TABLET 150 MG, 200 MG, 250 MG

2

VOSEVI 2 PA; SP; QL

XERESE 3 PA

XOFLUZA (40 MG DOSE) 3 QL

XOFLUZA (80 MG DOSE) 3 QL

ZEPATIER 3 PA; SP; QL

ZIAGEN 3 PA

zidovudine 1

ZOVIRAX E

Anxiolytics - Drugs for Anxiety

alprazolam er 1 QL

alprazolam intensol 1 QL

alprazolam oral tablet 1 QL

alprazolam oral tablet dispersible 1 PA; QL

alprazolam xr 1 QL

ATIVAN INJECTION 3 PA

ATIVAN ORAL E

buspirone hcl oral 1

chlordiazepoxide hcl 1 QL

clonazepam oral 1 QL

clorazepate dipotassium 1 QL

diazepam intensol 1

diazepam intramuscular 1

diazepam oral 1

diazepam solution 5 mg/ml injection 1

DIAZEPAM SOLUTION 5 MG/ML INJECTION 3

DORAL 3 PA; QL

estazolam 1 QL

HALCION 3 PA; QL

hydroxyzine hcl intramuscular 1

hydroxyzine hcl oral 1

hydroxyzine pamoate oral 1

KLONOPIN E


52


lorazepam injection 1

lorazepam intensol 1 QL

lorazepam oral concentrate 2 mg/ml 1 QL

lorazepam oral tablet 1 QL

meprobamate 1

oxazepam 1 QL

quazepam 1 QL

TRANXENE-T 3 PA; QL

triazolam 1 QL

VALIUM E

VISTARIL 3 PA

XANAX E

XANAX XR E

Bipolar Agents - Drugs for Mood Disorders

EQUETRO 3

lithium 1

lithium carbonate er 1

lithium carbonate oral 1

LITHOBID 3 PA

Blood Products and Modifiers - Drugs for Blood Disorders

ADVATE 2 SP

ADYNOVATE 3 SP

AFSTYLA 3 SP

AGRYLIN 3 PA

ALPHANATE 2 SP

ALPHANINE SD 2 SP

ALPROLIX 3 SP

AMICAR 3 PA

aminocaproic acid intravenous 1

aminocaproic acid oral 1

anagrelide hcl 1

ARANESP (ALBUMIN FREE) 2 PA; SP

ASTRINGYN SOLUTION 259 MG/GM EXTERNAL

3

ASTRINGYN SOLUTION 259 MG/GM EXTERNAL

3 PA

BENEFIX 2 SP

COAGADEX 3 SP


53


CORIFACT 2 SP

CYKLOKAPRON 3 PA

DOPTELET 3 PA; SP

ELOCTATE 3 SP

EPOGEN E SP

ESPEROCT E SP

FEIBA 2 SP

FIBRYGA 2 SP

FULPHILA E SP

GRANIX E SP

HEMLIBRA 3 SP

HEMOFIL M 3 SP

HESPAN 3

hetastarch-nacl 1

HEXTEND 3

HUMATE-P 2 SP

IDELVION 3 SP

IXINITY 3 SP

JIVI 3 SP

KCENTRA 3

KOATE 2 SP

KOATE-DVI 2 SP

KOGENATE FS 3 SP

KOVALTRY 3 SP

LEUKINE 3 PA; SP

LMD IN D5W 3

LMD IN NACL 3

LYSTEDA 3 PA

MIRCERA 3 PA; SP

MONONINE 2 SP

MONSELS FERRIC SUBSULFATE 3 PA

MOZOBIL 2 PA; SP; QL

MULPLETA 2 PA; SP

NEULASTA 3 PA; SP

NEULASTA ONPRO 3 PA; SP

NEUPOGEN E SP

NIVESTYM 2 PA; SP

NOVOEIGHT 2 SP


54


NOVOSEVEN RT 2 SP

NPLATE 3 PA; SP

NUWIQ 2 SP

NYVEPRIA 3 PA; SP

OBIZUR 3 SP

PROCRIT E SP

PROFILNINE 2 SP

PROMACTA 3 PA; SP

protamine sulfate intravenous 1

REBINYN 3 SP

REBLOZYL 3 PA; SP

RECOMBINATE 2 SP

RECOTHROM 3

RECOTHROM SPRAY KIT 3

RETACRIT 2 PA; SP

RIASTAP 2 SP

RIXUBIS 3 SP

SEVENFACT 3 SP

SOLIRIS 3 PA; SP

TAVALISSE 3 PA; SP

THROMBIN-JMI 3

THROMBIN-JMI EPISTAXIS 3

THROMBOGEN 3

tranexamic acid intravenous 1

tranexamic acid oral 1

TRANEXAMIC ACID-NACL 3

TRETTEN 3 SP

UDENYCA E SP

ULTOMIRIS 3 PA; SP

VONVENDI 3 SP

WILATE 2 SP

XYNTHA 2 SP

XYNTHA SOLOFUSE 2 SP

ZARXIO 2 PA; SP

ZIEXTENZO 3 PA; SP

Cardiovascular Agents - Drugs for Heart and Circulation Conditions

ACCUPRIL 3 PA


55


ACCURETIC 3 PA

acebutolol hcl oral 1

acetazolamide sodium 1

ADENOCARD 3 PA

adenosine intravenous solution 12 mg/4ml, 6 mg/2ml

1

AKOVAZ 3 PA

ALDACTAZIDE ORAL TABLET 25-25 MG 3 PA

ALDACTAZIDE ORAL TABLET 50-50 MG 3

ALDACTONE 3 PA

aliskiren fumarate 1

alprostadil injection 1

ALTACE E

ALTOPREV 3 ST

amiloride hcl oral 1

amiloride-hydrochlorothiazide 1

amiodarone hcl 1

AMIODARONE HCL IN DEXTROSE 3 PA

amlodipine besylate oral 1

amlodipine besylate-benazepril hcl 1

amlodipine besylate-valsartan 1

amlodipine-atorvastatin 1

amlodipine-olmesartan 1

amlodipine-valsartan-hctz 1

ANTARA 3 PA

ASCLERA 3

ATACAND E

ATACAND HCT 3 PA

atenolol oral 1

atenolol-chlorthalidone 1

atorvastatin calcium oral 1

AVALIDE 3 PA

AVAPRO E

AZOR E

benazepril hcl oral 1

benazepril-hydrochlorothiazide 1

BENICAR E

BENICAR HCT E


56


BETAPACE AF 3 PA

betaxolol hcl oral 1

BIDIL 3

BIORPHEN 3

bisoprolol fumarate oral 1

bisoprolol-hydrochlorothiazide 1

BRETYLIUM TOSYLATE 3 PA

BREVIBLOC 3 PA

BREVIBLOC IN NACL 3 PA

BREVIBLOC PREMIXED 3 PA

BREVIBLOC PREMIXED DS 3 PA

bumetanide 1

BUMEX 3 PA

BYSTOLIC 2

CALAN SR 3 PA

candesartan cilexetil 1

candesartan cilexetil-hctz 1

captopril oral 1

captopril-hydrochlorothiazide 1

CARDENE IV 3

CARDIZEM 3 PA

CARDIZEM LA ORAL TABLET EXTENDED RELEASE 24 HOUR 120 MG

3

CARDIZEM LA ORAL TABLET EXTENDED RELEASE 24 HOUR 180 MG, 240 MG, 300 MG, 360 MG, 420 MG

E

CARDURA 3 PA

CAROSPIR 3

cartia xt 1

carvedilol 1

carvedilol phosphate er 1

CATAPRES-TTS-1 E

CATAPRES-TTS-2 E

CATAPRES-TTS-3 E

chlorothiazide sodium 1

chlorthalidone 1

cholestyramine light 1

cholestyramine oral 1

CLEVIPREX 3


57


clonidine 1

clonidine hcl oral 1

colesevelam hcl oral packet 1 PA

colesevelam hcl oral tablet 1

COLESTID E

COLESTID FLAVORED E

colestipol hcl 1

CONJUPRI E

CONSENSI E

COREG E

COREG CR E

CORLANOR 3 PA; QL

CORLOPAM 3

CORVERT 3 PA

COZAAR E

CRESTOR E

DEMSER 3

DIBENZYLINE 3 PA

digitek 1

digox 1

digoxin injection 1

digoxin oral 1

DILATRATE-SR 3

diltiazem hcl er 1

diltiazem hcl er beads 1

diltiazem hcl er coated beads 1

diltiazem hcl intravenous 1

diltiazem hcl oral 1

DILTIAZEM HCL-DEXTROSE SOLUTION 125-5 MG/125ML-% INTRAVENOUS

3 PA

DILTIAZEM HCL-DEXTROSE SOLUTION 125-5 MG/125ML-% INTRAVENOUS

3

DILTIAZEM HCL-SODIUM CHLORIDE 3

dilt-xr 1

DIOVAN E

DIOVAN HCT E

disopyramide phosphate 1

DIURIL 3

dobutamine hcl 1


58


dobutamine in d5w 1

dofetilide 1

dopamine hcl intravenous 1

dopamine in d5w 1

doxazosin mesylate oral 1

droxidopa 1 PA; SP

DUTOPROL 3 PA

DYRENIUM 3 PA

EDARBI 3 ST

EDARBYCLOR 3 ST

EDECRIN 3 PA

EMERPHED 3 PA

enalapril maleate oral 1

enalaprilat 1

enalapril-hydrochlorothiazide 1

ENTRESTO 2 QL

EPANED 3 PA

EPHEDRINE SULFATE (PRESSORS) INJECTION SOLUTION PREFILLED SYRINGE 50 MG/10ML

3 PA

EPHEDRINE SULFATE (PRESSORS) SOLUTION PREFILLED SYRINGE 25 MG/5ML INJECTION

3


3 PA


3


3 PA

ephedrine sulfate injection 1 PA

ephedrine sulfate intravenous solution 1

EPHEDRINE SULFATE INTRAVENOUS SOLUTION PREFILLED SYRINGE

3

EPHEDRINE SULFATE-NACL INTRAVENOUS SOLUTION PREFILLED SYRINGE 10-0.9 MG/ML-%, 100-0.9 MG/10ML-%

3

EPHEDRINE SULFATE-NACL SOLUTION PREFILLED SYRINGE 25-0.9 MG/5ML-% INTRAVENOUS

3


59



3 PA


3


3 PA


3


3 PA

EPINEPHRINE HCL-DEXTROSE 3

EPINEPHRINE HCL-NACL 3

EPINEPHRINE INTRAVENOUS SOLUTION 3

EPINEPHRINE INTRAVENOUS SOLUTION PREFILLED SYRINGE 0.1 MG/10ML

3

epinephrine intravenous solution prefilled syringe 1 mg/10ml

1

epinephrine pf 1

epinephrine solution prefilled syringe 1 mg/10ml injection

1 PA

EPINEPHRINE SOLUTION PREFILLED SYRINGE 1 MG/10ML INJECTION

3

EPINEPHRINE-DEXTROSE 3

EPINEPHRINE-NACL INTRAVENOUS SOLUTION 2-0.9 MG/250ML-%

3

EPINEPHRINE-NACL INTRAVENOUS SOLUTION 5-0.9 MG/250ML-%

3 PA

EPINEPHRINE-NACL INTRAVENOUS SOLUTION PREFILLED SYRINGE

3

eplerenone 1

esmolol hcl intravenous solution 100 mg/10ml 1

ESMOLOL HCL INTRAVENOUS SOLUTION 2000 MG/100ML, 2500 MG/250ML

3

ESMOLOL HCL INTRAVENOUS SOLUTION PREFILLED SYRINGE

3 PA

esmolol hcl-sodium chloride 1

ethacrynate sodium 1

ethacrynic acid 1


60


ETHAMOLIN 3

EXFORGE E

EXFORGE HCT E

EZALLOR SPRINKLE 3 ST

ezetimibe 1

ezetimibe-simvastatin 1

felodipine er 1

fenofibrate micronized oral capsule 130 mg 1 PA

fenofibrate micronized oral capsule 134 mg, 200 mg, 43 mg, 67 mg

1

fenofibrate oral capsule 1

fenofibrate oral tablet 120 mg, 40 mg 1 PA

fenofibrate oral tablet 145 mg, 160 mg, 48 mg, 54 mg

1

fenofibric acid oral capsule delayed release 1

fenofibric acid oral tablet 1 PA

FIBRICOR 3 ST

flecainide acetate 1

FLOLIPID 3 ST

fluvastatin sodium 1 PA

fluvastatin sodium er 1 PA

fosinopril sodium 1

fosinopril sodium-hctz 1

FUROSEMIDE IN SODIUM CHLORIDE 3

furosemide injection 1

furosemide oral 1

gemfibrozil oral 1

GIAPREZA 3 PA

GONITRO 3

guanfacine hcl 1

HEMANGEOL 3

hydralazine hcl injection 1

hydralazine hcl oral 1

hydrochlorothiazide oral 1

HYZAAR E

ibutilide fumarate 1

icosapent ethyl 1 PA

indapamide 1

INDERAL LA E


61


INDERAL XL E

INNOPRAN XL E

INSPRA 3 PA

irbesartan 1

irbesartan-hydrochlorothiazide 1

ISORDIL TITRADOSE 3 PA

isosorbide dinitrate oral tablet 10 mg, 20 mg, 30 mg, 5 mg

1

isosorbide dinitrate oral tablet 40 mg 1 PA

isosorbide mononitrate 1

isosorbide mononitrate er 1

isradipine 1

JUXTAPID 3 PA; SP; QL

KAPSPARGO SPRINKLE E

KATERZIA E

LABETALOL HCL INTRAVENOUS SOLUTION PREFILLED SYRINGE

3

labetalol hcl oral 1

labetalol hcl solution 5 mg/ml intravenous 1

LABETALOL HCL SOLUTION 5 MG/ML INTRAVENOUS

3

LANOXIN INJECTION 3 PA

LANOXIN ORAL TABLET 125 MCG, 250 MCG 2 PA

LANOXIN ORAL TABLET 62.5 MCG 2

LANOXIN PEDIATRIC 3

LASIX E

LESCOL XL E

LEVOPHED 3 PA

LIPITOR E

LIPOFEN 3

lisinopril oral 1

lisinopril-hydrochlorothiazide 1

LIVALO E

LOPID 3 PA

LOPRESSOR 3 PA

losartan potassium oral 1

losartan potassium-hctz 1

LOTENSIN 3 PA

LOTENSIN HCT 3 PA


62


LOTREL E

lovastatin oral 1

LOVAZA E

mannitol intravenous 1

matzim la 1

MAXZIDE 3 PA

MAXZIDE-25 3 PA

methyldopa 1

methyldopa-hydrochlorothiazide 1

metolazone 1

metoprolol succinate er 1

metoprolol tartrate intravenous 1

metoprolol tartrate oral 1

metoprolol-hydrochlorothiazide 1

metyrosine 1

mexiletine hcl oral 1

MICARDIS E

MICARDIS HCT E

midodrine hcl 1

milrinone lactate 1

milrinone lactate in dextrose 1

MINIPRESS 3 PA

minitran 1 PA

minoxidil oral 1

moexipril hcl 1

MULTAQ 3

nadolol oral 1 PA

NEXLETOL 2 PA; QL

NEXLIZET 2 PA; QL

NEXTERONE 3

niacin (antihyperlipidemic) 1 PA

niacin er (antihyperlipidemic) 1

niacor 1 PA

NIASPAN E

nicardipine hcl 1

NICARDIPINE HCL IN NACL 3

nifedipine er 1

nifedipine er osmotic release 1


63


nifedipine oral 1

nimodipine oral 1

NIPRIDE RTU 3 PA

nisoldipine er 1

NITRO-BID 3

NITRO-DUR 3

nitroglycerin 1

nitroglycerin in d5w 1

NITROLINGUAL 3 PA

NITROMIST 3

nitroprusside sodium solution 25 mg/ml intravenous

1 PA

nitroprusside sodium solution 25 mg/ml intravenous

1

NITROSTAT E

NITRO-TIME 3 PA

NOREPINEPHRINE (BASE)-DEXTROSE 3

norepinephrine bitartrate intravenous 1

NOREPINEPHRINE-DEXTROSE INTRAVENOUS SOLUTION 8-5 MG/500ML-%

3

NOREPINEPHRINE-DEXTROSE SOLUTION 4-5 MG/250ML-% INTRAVENOUS

3


3 PA


3


3 PA

NOREPINEPHRINE-SODIUM CHLORIDE INTRAVENOUS SOLUTION 8-0.9 MG/500ML-%

3 PA

NOREPINEPHRINE-SODIUM CHLORIDE SOLUTION 16-0.9 MG/250ML-% INTRAVENOUS

3


3 PA


3


64



3 PA


3


3 PA

NORPACE 3 PA

NORPACE CR 2

NORTHERA 3 PA; SP

NORVASC E

NYMALIZE 3

olmesartan medoxomil oral 1

olmesartan medoxomil-hctz 1

olmesartan-amlodipine-hctz 1

omega-3-acid ethyl esters 1 PA

OSMITROL 3

PACERONE 3 PA

papaverine hcl injection 1 PA

pentoxifylline er 1

perindopril erbumine 1

phenoxybenzamine hcl oral 1

phentolamine mesylate injection 1

PHENYLEPHRINE HCL (PRESSORS) 3

PHENYLEPHRINE HCL INTRAVENOUS SOLUTION 1 MG/10ML

3

PHENYLEPHRINE HCL INTRAVENOUS SOLUTION PREFILLED SYRINGE

3

phenylephrine hcl solution 10 mg/ml intravenous 1

phenylephrine hcl solution 10 mg/ml intravenous 1 PA

PHENYLEPHRINE HCL-NACL INTRAVENOUS SOLUTION 10-0.9 MG/250ML-%, 100-0.9 MG/250ML-%, 25-0.9 MG/250ML-%

3 PA

PHENYLEPHRINE HCL-NACL INTRAVENOUS SOLUTION 20-0.9 MG/250ML-%, 40-0.9 MG/250ML-%, 80-0.9 MG/250ML-%

3

PHENYLEPHRINE HCL-NACL INTRAVENOUS SOLUTION PREFILLED SYRINGE 0.4-0.9 MG/10ML-%

3 PA


65


PHENYLEPHRINE HCL-NACL INTRAVENOUS SOLUTION PREFILLED SYRINGE 0.5-0.9 MG/5ML-%, 0.8-0.9 MG/10ML-%, 1-0.9 MG/10ML-%, 100-0.9 MCG/10ML-%, 20-0.9 MG/50ML-%

3

PHENYLEPHRINE HCL-NACL SOLUTION 50-0.9 MG/250ML-% INTRAVENOUS

3

PHENYLEPHRINE HCL-NACL SOLUTION 50-0.9 MG/250ML-% INTRAVENOUS

3 PA

pindolol 1

POLIDOCANOL 3 PA

PRALUENT 2 PA; QL

pravastatin sodium 1

prazosin hcl oral 1

PRESTALIA 3

prevalite 1

PRINIVIL E

procainamide hcl injection 1

PROCARDIA 3 PA

PROCARDIA XL 3 PA

propafenone hcl 1

propafenone hcl er 1

propranolol hcl er 1

propranolol hcl intravenous 1

propranolol hcl oral 1

propranolol-hctz 1

PROSTIN VR 3 PA

QBRELIS 3 PA

QUESTRAN E

QUESTRAN LIGHT E

quinapril hcl 1

quinapril-hydrochlorothiazide 1

quinidine gluconate er 1

quinidine sulfate 1

ramipril 1

RANEXA E

ranolazine er 1

RECTIV 3

REPATHA 2 PA; QL

REPATHA PUSHTRONEX SYSTEM 2 PA; QL


66


REPATHA SURECLICK 2 PA; QL

rosuvastatin calcium 1

RYTHMOL SR 3 PA

simvastatin oral 1

SODIUM DIURIL 3 PA

SODIUM EDECRIN 3 PA

sodium nitroprusside 1

sodium tetradecyl sulfate intravenous 1 PA

sorine 1

sotalol hcl (af) 1

SOTALOL HCL INTRAVENOUS 3

sotalol hcl oral 1

SOTRADECOL 3 PA

SOTYLIZE 3

spironolactone oral 1

spironolactone-hctz 1

SULAR 3 PA

SURE RESULT O3D3 SYSTEM 3 PA

TARKA 3 PA

taztia xt 1

TEKTURNA 2 PA

TEKTURNA HCT 2 ST

telmisartan 1

telmisartan-amlodipine 1

telmisartan-hctz 1

TENORETIC 100 3 PA

TENORETIC 50 3 PA

TENORMIN E

tiadylt er 1

TIAZAC 3 PA

TIKOSYN E

timolol maleate oral 1

TOPROL XL E

torsemide 1

trandolapril 1

trandolapril-verapamil hcl er 1

triamterene oral 1

triamterene-hctz 1


67


TRIBENZOR E

TRICOR E

TRILIPIX 3 PA

TWYNSTA 3 PA

valsartan 1

valsartan-hydrochlorothiazide 1

VARITHENA 3

VASCEPA 2 PA

VASERETIC 3 PA

VAZCULEP 3 PA

VECAMYL 3

verapamil hcl er 1

verapamil hcl intravenous 1

verapamil hcl oral 1

VERELAN 3 PA

VERELAN PM 3 PA

VYNDAMAX 3 PA; SP; QL

VYNDAQEL 3 PA; SP; QL

VYTORIN E

WELCHOL E

ZESTRIL E

ZETIA E

ZIAC 3 PA

ZOCOR E

ZYPITAMAG E

Central Nervous System Agents - Drugs for Attention Deficit Disorder

ADDERALL E

ADDERALL XR E

ADHANSIA XR E

ADZENYS ER 3 PA; QL

ADZENYS XR-ODT 3 ST; QL

AMPHETAMINE ER 3 PA; QL

amphetamine sulfate 1 PA; QL

amphetamine-dextroamphetamine 1 PA; QL

amphetamine-dextroamphetamine er 1 PA; QL

APTENSIO XR 3 PA; QL

atomoxetine hcl 1 QL


68


clonidine hcl er 1

CONCERTA E

COTEMPLA XR-ODT 3 ST; QL

DAYTRANA 3 ST; QL

dexmethylphenidate hcl 1 PA; QL

dexmethylphenidate hcl er 1 PA; QL

dextroamphetamine sulfate 1 PA; QL

dextroamphetamine sulfate er 1 PA; QL

DYANAVEL XR 3 ST; QL

EVEKEO E

EVEKEO ODT 3 PA; QL

FOCALIN E

FOCALIN XR E

guanfacine hcl er 1

INTUNIV E

JORNAY PM 3 ST; QL

KAPVAY 3 PA

methamphetamine hcl 1 PA; QL

METHYLIN 3 PA; QL

methylphenidate hcl er 1 PA; QL

methylphenidate hcl er (cd) 1 PA; QL

methylphenidate hcl er (la) 1 PA; QL

methylphenidate hcl er (xr) 1 PA; QL

methylphenidate hcl oral 1 PA; QL

MYDAYIS 3 ST; QL

PROCENTRA 3 PA; QL

QUILLICHEW ER 3 ST; QL

QUILLIVANT XR 3 ST; QL

relexxii 1 PA; QL

RITALIN E

RITALIN LA E

STRATTERA E

VYVANSE 2 PA; QL

ZENZEDI ORAL TABLET 10 MG, 5 MG 3 PA; QL

ZENZEDI ORAL TABLET 15 MG, 2.5 MG, 20 MG, 30 MG, 7.5 MG

3 ST; QL

Central Nervous System Agents - Drugs for Multiple Sclerosis

AMPYRA 3 PA; SP; QL


69


AUBAGIO 3 PA; 3P; SP; QL

AVONEX PEN 2 PA; SP; QL

AVONEX PREFILLED 2 PA; SP; QL

BAFIERTAM 2 PA; SP; QL

BETASERON 2 PA; SP; QL

COPAXONE 2 PA; SP; QL

dalfampridine er 1 PA; SP; QL

dimethyl fumarate oral 1 PA; SP; QL

dimethyl fumarate starter pack 1 PA; SP; QL

EXTAVIA E SP

GILENYA 3 PA; 3P; SP; QL

glatiramer acetate 1 PA; SP; QL

glatopa 1 PA; SP; QL

KESIMPTA 2 PA; SP; QL

LEMTRADA 3 PA; SP

MAVENCLAD 3 PA; 3P; SP

MAYZENT 3 PA; 3P; SP; QL

MAYZENT STARTER PACK 3 PA; 3P; SP; QL

OCREVUS 3 PA; SP; QL

PLEGRIDY E SP

PLEGRIDY STARTER PACK E SP

REBIF E SP

REBIF REBIDOSE E SP

REBIF REBIDOSE TITRATION PACK E SP

REBIF TITRATION PACK E SP

TECFIDERA E SP

TYSABRI 3 PA; SP; QL

VUMERITY 2 PA; SP; QL

ZEPOSIA 3 PA; 3P; SP; QL

ZEPOSIA 7-DAY STARTER PACK 3 PA; 3P; SP; QL

ZEPOSIA STARTER KIT 3 PA; 3P; SP; QL

Central Nervous System Agents - Miscellaneous

ADIPEX-P E

ANECTINE 3 PA

atracurium besylate 1

AUSTEDO 3 PA; SP; QL

benzphetamine hcl 1 PA


70


CAFCIT 3 PA

caffeine citrate 1

CAFFEINE-SODIUM BENZOATE SOLUTION 125-125 MG/ML INJECTION

3

CAFFEINE-SODIUM BENZOATE SOLUTION 125-125 MG/ML INJECTION

3 PA

cisatracurium besylate 1

cisatracurium besylate (pf) intravenous solution 10 mg/5ml

1

cisatracurium besylate (pf) solution 200 mg/20ml intravenous

1

cisatracurium besylate (pf) solution 200 mg/20ml intravenous

1 PA

CONTRAVE E

diethylpropion hcl er 1 PA

diethylpropion hcl oral 1 PA

DOPRAM 3

GRALISE ORAL 3

GRALISE ORAL TABLET 3 ST; QL

HORIZANT 3 PA; QL

IMCIVREE 3 PA; SP; QL

INGREZZA 3 PA; SP; QL

LOMAIRA 3 PA

LYRICA E

LYRICA CR 3 ST; QL

NIMBEX 3 PA

NUEDEXTA 3 PA

ONPATTRO 3 PA; SP

pancuronium bromide 1

phendimetrazine tartrate 1 PA

phendimetrazine tartrate er 1 PA

phentermine hcl oral 1 PA

pregabalin oral 1 QL

QSYMIA 3 PA

QUELICIN 3 PA

RADICAVA 3 PA; SP

RILUTEK 3 PA; QL

riluzole 1 PA; QL

rocuronium bromide intravenous solution 1


71


ROCURONIUM BROMIDE INTRAVENOUS SOLUTION PREFILLED SYRINGE

3

SAVELLA 3 ST; QL

SAVELLA TITRATION PACK 3 ST; QL

SAXENDA 3 PA

SUCCINYLCHOLINE CHLORIDE INJECTION SOLUTION PREFILLED SYRINGE

3

SUCCINYLCHOLINE CHLORIDE INTRAVENOUS SOLUTION PREFILLED SYRINGE 140 MG/7ML

3

succinylcholine chloride solution 20 mg/ml injection

1

SUCCINYLCHOLINE CHLORIDE SOLUTION 20 MG/ML INJECTION

3

SUCCINYLCHOLINE CHLORIDE SOLUTION PREFILLED SYRINGE 100 MG/5ML INTRAVENOUS

3


3 PA


3


3 PA

TEGSEDI 3 PA; SP

tetrabenazine 1 PA; SP

TIGLUTIK 3 PA; SP; QL

VECURONIUM BROMIDE INTRAVENOUS SOLUTION PREFILLED SYRINGE

3

vecuronium bromide intravenous solution reconstituted

1

XENICAL 3 PA

Dental and Oral Agents - Drugs for Mouth and Throat Conditions

ARESTIN 3 PA

BOCASAL 3 PA

cavarest 1

cevimeline hcl 1

chlorhexidine gluconate mouth/throat 1

CLINPRO 5000 3


72


DEBACTEROL SOLUTION 30-50 % MOUTH/THROAT

3

DEBACTEROL SOLUTION 30-50 % MOUTH/THROAT

3 PA

DENTA 5000 PLUS 3

DENTAGEL 3

DERMACINRX CLORHEXACIN 3 PA

DERMACINRX SURGICAL PHARMAPAK 3 PA

easygel 1

EVOXAC 3 PA

FLUORIDEX 3

fluoridex daily renewal 1

FLUORIDEX ENHANCED WHITENING 3

FLUORIDEX SENSITIVITY RELIEF 3

KEPIVANCE 2 SP

lidocaine hcl mouth/throat 1

lidocaine viscous hcl 1

MI PASTE 3

MI PASTE PLUS 3

MUCOSITISRX 3 PA

NAFRINSE DAILY ACIDULATED 3

NAFRINSE DAILY/NEUTRAL 3

NAFRINSE WEEKLY 3

NEUTRASAL 3 PA

NUMOISYN MOUTH/THROAT LOZENGE 3 PA

NUSURGEPAK SURGICAL PREP/CARE 3 PA

oralone 1

PERIDEX 3 PA

periogard 1

pilocarpine hcl oral 1

PREVIDENT 5000 BOOSTER PLUS 3

PREVIDENT 5000 DRY MOUTH 3

PREVIDENT 5000 ENAMEL PROTECT 3

PREVIDENT 5000 ORTHO DEFENSE 3

PREVIDENT 5000 PLUS 3

PREVIDENT 5000 SENSITIVE 3

PREVIDENT DENTAL 3

prevident mouth/throat 1

REMESENSE 3


73


SALAGEN 3 PA

SALIVAMAX 3 PA

sf 1

sf 5000 plus 1

sodium fluoride 5000 enamel 1

sodium fluoride 5000 plus 1

sodium fluoride 5000 ppm 1

sodium fluoride 5000 sensitive 1

sodium fluoride dental 1

TOPEX TOPICAL ANESTHETIC 3

triamcinolone acetonide mouth/throat 1

XEROSTOMIA RELIEF SPRAY 3 PA

Dermatological Agents - Drugs for Skin Conditions

ABSORICA 3 PA

ABSORICA LD 3 PA

ACANYA E

accutane 1 PA

ACIOXIAY 3

acitretin 1

ACZONE EXTERNAL GEL 5 % E

ACZONE EXTERNAL GEL 7.5 % 2

ADAINZDE 3

ADAINZOXIA 3

adapalene external cream 1 PA

adapalene external gel 1 PA

ADAPALENE EXTERNAL PAD 3 PA

ADAPALENE EXTERNAL SOLUTION 3 PA

ADAPALENE-BENZOYL PER-CLINDAMY 3 PA

ADAPALENE-BENZOYL PER-NIACINAM 3 PA

adapalene-benzoyl peroxide external gel 1

ADAPALENE-BENZOYL PEROXIDE EXTERNAL PAD

3 PA

ADVANCED ALLERGY COLLECTION 3 PA

AKLIEF E

ALA SCALP E

ala-cort 1

alclometasone dipropionate 1

ALCOHOL PREP PADS EXTERNAL 70 % 3


74


ALEVAMAX 3 PA

ALEVICYN ANTIPRURITIC 3 PA

ALEVICYN ANTIPRURITIC SG 3 PA

ALEVICYN DERMAL SPRAY 3 PA

ALTRENO 3 PA

amcinonide external cream 1 PA

amcinonide external lotion 1

amcinonide external ointment 1 PA

AMELUZ 3 PA

ammonium lactate external 1

amnesteem 1 PA

AMZEEQ 3

ANACAINE 3 PA

APEXICON E E

AQUACEL AG BURN 3

ARAZLO E

ARZOL SILVER NIT APPLICATORS 3 PA

ATOPADERM 3 PA

ATOPICLAIR 3 PA

ATRALIN 3 PA

AVAR CLEANSER 3 PA

AVAR LS CLEANSER 3 PA

AVAR-E EMOLLIENT 3 PA

AVAR-E GREEN 3 PA

AVAR-E LS 3 PA

AVEIDAOXIA 3 PA

AVITA E

azelaic acid external 1

AZELAIC ACID-NIACINAMIDE 3 PA

AZELEX 3

balsam peru-castor oil 1

BENSAL HP 3 PA

BENZ PER-CLIND-NIACIN-TRETIN 3 PA

BENZAC AC WASH 3 PA

BENZACLIN E

BENZACLIN WITH PUMP E

BENZAMYCIN E

BENZEPRO CREAMY WASH 3 PA


75


BENZEPRO EXTERNAL 3 PA

BENZEPRO EXTERNAL FOAM 5.2 %, 9.7 % 3 PA

benzepro external foam 5.3 % 1 PA

BENZEPRO EXTERNAL LIQUID 3 PA

BENZEPRO FOAMING CLOTHS 3 PA

BENZEPRO SHORT CONTACT 3 PA

BENZOYL PEROX-HYDROCORTISONE 3 PA

benzoyl peroxide external foam 1 PA

BENZOYL PEROXIDE EXTERNAL GEL 6.5 % 3 PA

BENZOYL PEROXIDE FORTE- HC 3 PA

benzoyl peroxide-erythromycin 1

BESER EXTERNAL KIT 3 PA

beser external lotion 1

betamethasone dipropionate aug 1

betamethasone dipropionate external 1

BETAMETHASONE DIPROP-MINOXIDIL 3 PA

betamethasone valerate external 1

bp 10-1 1 PA

bp cleansing wash 1 PA

bp wash external liquid 2.5 %, 7 % 1 PA

BPCO 3

BRYHALI 3 PA

calcipotriene external cream 1

calcipotriene external ointment 1

calcipotriene external solution 1

CALCIPOTRIENE FOAM 0.005 % EXTERNAL E

CALCIPOTRIENE FOAM 0.005 % EXTERNAL E M

calcipotriene-betameth diprop external ointment 1 PA; QL

calcipotriene-betameth diprop external suspension

1 QL

CALCIPOTRIENE-CLOBETASOL PROP 3 PA

CALCITRENE 3 PA

calcitriol external 1

CANTHARIDIN EXTERNAL 3 PA

CAPEX E

CARAC 3

CEM-UREA 3 PA

CERACADE 3 PA


76


CERAMAX 3 PA

cerovel 1 PA

CHLOOXIA 3 PA

CICLOPIROX-CLOBETASOL 3 PA

CICLOPIROX-CLOBETASOL-SAL ACID 3 PA

CICLOPIROX-SALICYLIC ACID 3 PA

CIMETIDINE-LIDO-SALICYLIC ACID 3 PA

claravis 1 PA

CLEOCIN-T 3 PA

CLINDACIN ETZ EXTERNAL KIT 3 PA

clindacin etz external swab 1

CLINDACIN PAC 3 PA

clindacin-p 1

CLINDAGEL E

CLINDAMY-BENZOYL PER-NIACINAM 3 PA

clindamycin phosphate-benzoyl peroxide 1

CLINDAMYCIN PHOS-NIACINAMIDE 3 PA

clindamycin phosphate external foam 1

clindamycin phosphate external lotion 1

clindamycin phosphate external solution 1

clindamycin phosphate external swab 1

CLINDAMYCIN PHOSPHATE GEL 1 % EXTERNAL

E M

clindamycin phosphate gel 1 % external 1

CLINDAMYCIN-NIACIN-TRETINOIN 3 PA

clindamycin-tretinoin 1

CLIND-NIACIN-SPIRONOLAC-TRETIN 3 PA

clobetasol prop emollient base 1

clobetasol propionate e 1

clobetasol propionate emulsion 1

clobetasol propionate external 1

CLOBETASOL PROP-LEVOCETIRIZINE 3 PA

CLOBETASOL PROP-NIACINAMIDE 3 PA

CLOBETAVIX 3 PA

CLOBEX E

CLOBEX SPRAY E

clocortolone pivalate 1

CLODAN EXTERNAL KIT 3 PA


77


clodan external shampoo 1

CLODERM E

coal tar external 1

CONDYLOX 3

CORDRAN EXTERNAL CREAM 0.025 % 3 PA

CORDRAN EXTERNAL TAPE E

CORTISPORIN 3

CUTIVATE 3 PA

dapsone external gel 5 % 1 PA

dapsone gel 7.5 % external 1

DAPSONE GEL 7.5 % EXTERNAL E M

DAPSONE-NIACINAMIDE 3 PA

DAPSONE-NIACINAMIDE-SPIRONOLAC 3 PA

DELUO 3 PA

DEOXIA 3 PA

DERMACINRX SURGICAL COMBOPAK 3 PA

DERMA-SMOOTHE/FS BODY 3 PA

DERMA-SMOOTHE/FS SCALP 3 PA

DERMULCERA 3

DERPIXA 3 PA

DESONATE E

desonide external cream 1

desonide external gel 1 PA

desonide external lotion 1

desonide external ointment 1

DESOWEN 3 PA

desoximetasone external cream 0.05 % 1 PA

desoximetasone external cream 0.25 % 1

desoximetasone external gel 1

desoximetasone external liquid 1

desoximetasone external ointment 0.05 % 1 PA

desoximetasone external ointment 0.25 % 1

DEXERYL 3 PA

DIADIMAXIA 3 PA

DIAOXIA 3 PA

DIASDIMAXIA 3 PA

DIASOXIA 3 PA

diclofenac sodium external gel 3 % 1 ST; QL


78


DICLOFENAC-NA HYALURON-NIACIN 3 PA

DIFFERIN EXTERNAL CREAM E

DIFFERIN EXTERNAL GEL 0.3 % E

DIFFERIN EXTERNAL LOTION E

diflorasone diacetate 1 PA

DIMOXIA 3 PA

DIOCHLOY 3

DIPROLENE 3 PA

DIPROLENE AF 3 PA

DOVONEX 3 PA

doxepin hcl external 1 PA

doxycycline 1 PA

DRAXACE 3 PA

DRAXACE LOTION CLEANSER 3 PA

DRITHO-CREME HP 3 PA

DRIXECE 3 PA

DRYSOL 3

DUOBRII E

DUPIXENT 2 PA; SP; QL

ECEOXIA 3 PA

EFUDEX 3 PA

ELETONE 3 PA

ELIDEL E

EMULSION SB 3 PA

ENSTILAR 3 PA; QL

ENTTY SPRAY 3 PA

ENZOCLEAR 3 PA

EPICERAM 3 PA

EPICYN 3 PA

EPIDUO E

EPIDUO FORTE 3

EPIFOAM 3

ery 1

ERYGEL 3 PA

erythromycin external 1

ESKATA 3 PA

ETHOXIA 3 PA

EUCRISA 2 ST


79


EVOCLIN 3 PA

FABIOR E

FINACEA EXTERNAL FOAM 3

FINACEA EXTERNAL GEL 3 PA

FINAPOD 3

FINASTERIDE-MINOXIDIL 3 PA

FLUOCINOLONE ACET-NIACINAMIDE 3 PA

fluocinolone acetonide body 1

fluocinolone acetonide external 1

fluocinolone acetonide scalp 1

fluocinonide emulsified base 1

fluocinonide external 1

FLUOPAR 3 PA

FLUOROPLEX 3

FLUOROURACIL EXTERNAL CREAM 0.5 % 2

fluorouracil external cream 5 % 1

fluorouracil external solution 1

flurandrenolide 1 PA

fluticasone propionate external 1

GEAMETDRAY 3

GENADUR 3 PA

glycolic acid solution 1 PA

GORDOFILM 3

GUANENDRUX 3

halcinonide 1 PA

halobetasol propionate external cream 1

HALOBETASOL PROPIONATE EXTERNAL FOAM

E M

halobetasol propionate external ointment 1

HALOG EXTERNAL CREAM E

HALOG EXTERNAL OINTMENT E

HALOG EXTERNAL SOLUTION 3 PA

HALUCORT 3 PA

HAXCHLO 3

HPR PLUS 3 PA

HPR PLUS HYDROGEL 3 PA

HYALURONATE-NIACINAM-TRETINOIN 3 PA

HYALURONATE-NIACIN-TACROLIMUS 3 PA


80


HYDRO 40 3 PA

hydrocortisone butyr lipo base 1 PA

hydrocortisone butyrate external cream 1

hydrocortisone butyrate external lotion 1 PA

hydrocortisone butyrate external ointment 1

hydrocortisone butyrate external solution 1

hydrocortisone external cream 1 %, 2.5 % 1

hydrocortisone external lotion 2.5 % 1

hydrocortisone external ointment 1 %, 2.5 % 1

hydrocortisone valerate 1

HYLAGUARD 3 PA

HYLATOPIC PLUS 3 PA

ILIDERM 3 PA

imiquimod external 1

IMIQUIMOD PUMP E M

IMIQUIMOD-LEVOCETIRIZIN-NIACIN 3 PA

IMIQUIMOD-LEVOCET-TRETINOIN 3 PA

IMPEKLO 3 PA

IMPOYZ E

INOVA 3 PA

INOVA 4/1 ACNE CONTROL THERAPY 3 PA

INOVA 8/2 ACNE CONTROL THERAPY 3 PA

isotretinoin oral 1 PA

ITHOXIA 3 PA

IVERMECTIN-METRONIDAZOL-NIACIN 3 PA

KAMDOY 3 PA

KENALOG EXTERNAL E

KERAGEL 3 PA

KERALAC 3 PA

KERALYT EXTERNAL GEL 6 % 3 PA

KERALYT EXTERNAL SHAMPOO 3

KERALYT SCALP 3 PA

KERAMATRIX REPLICINE 5CMX5CM 3

KIVIK 3 PA

KLARON 3 PA

lactic acid e 1

lactic acid external 1

LACTIC ACID-NIACINAMIDE 3 PA


81


LAVARE WOUND WASH 3 PA

LEVICYN 3 PA

LEVICYN DERMAL SPRAY 3 PA

LEVULAN KERASTICK 3

LEXETTE E

LIDOCAINE (ANORECTAL) RECTAL 3 PA

LIDOCAINE-HYDROCORTISONE ACE EXTERNAL

3 PA

LIDOTREX (ALOE VERA) 3 PA

LOYON 3 PA

LUXIQ 3 PA

methoxsalen rapid 1

methyl salicylate external liquid 1 PA

METROCREAM 3 PA

METROGEL E

METROLOTION 3 PA

metronidazole external 1

MICROCYN EXTERNAL GEL 3 PA

MICROCYN EXTERNAL LIQUID 3

MICROCYN SKIN AND WOUND 3 PA

MIMYX 3 PA

MINOXIDIL-PROGEST-TRETINOIN 3 PA

MIRVASO 3

mometasone furoate external 1

myorisan 1 PA

NEOSALUS 3 PA

NEO-SYNALAR EXTERNAL CREAM 3

NEO-SYNALAR EXTERNAL KIT 3 PA

neuac external gel 1

NEUAC EXTERNAL KIT 3 PA

NIACINAMIDE-SPIRONOLACTONE 3 PA

NIACINAMIDE-SULFACETAMIDE 3 PA

NIACINAMIDE-TACROLIMUS 3 PA

NIACINAMIDE-TAZAROTENE 3 PA

NIACINAMIDE-TRETINOIN 3 PA

NIACINAMIDE-TRIAMCINOLONE ACET 3 PA

NIACIN-SPIRONOLACTON-TRETINOIN 3 PA

nolix 1 PA


82


NORITATE E

NUCARACLINPAK 3 PA

NUCARARXPAK 3 PA

NUCORT 3 PA

NUTRASEB 3 PA

NUTRIARX CREAMPAK 3 PA

NUVAIL 3 PA

OLUX 3 PA

OLUX-E 3 PA

ONEXTON 3

ONZDEOXIA 3

ORACEA E

OVACE PLUS 3 PA

OVACE PLUS WASH 3 PA

OVACE WASH 3 PA

OXIANUJO 3

OXIATAR 3

OXIAVARRY 3

OXIAZAR 3

OXOPOD 3

OXSORALEN ULTRA 3 PA

PANDEL E

PENLEN 3 PA

PHLAG SPRAY 3 PA

PICATO 3 ST

pimecrolimus 1

PLEXION 3 PA

PLEXION CLEANSER 3 PA

PLEXION CLEANSING CLOTH 3 PA

podocon 1 PA

podofilox external 1

PODPROG 3

PR BENZOYL PEROXIDE 3 PA

PR BENZOYL PEROXIDE WASH 3 PA

PR CREAM 3 PA

pramox 1 PA

prednicarbate 1

PRESERA 3 PA


83


PROGESTERONE-MINOXIDIL 3 PA

PROMISEB 3 PA

PROPECIA E

PROSILK EXTERNAL 3 PA

PROTEXA 3 PA

PROTOPIC 3 PA

PRUCLAIR 3 PA

PRUMYX 3 PA

PSORCON E

PYROGALLIC ACID 3

QBREXZA 3 QL

QUIHOXVAR 3

QUTENZA 3 PA; QL

QUTENZA (2 PATCH) 3 PA; QL

RADIAGEL 3 PA

RADIAPLEXRX GEL EXTERNAL 3

RADIAPLEXRX GEL EXTERNAL 3 PA

REGENECARE 3

REGRANEX 3 PA

REMIGEN 3 PA

RESORCINOL-SULFUR 3 PA

RETIN-A E

RETIN-A MICRO GEL 0.04 %, 0.1 % E

RETIN-A MICRO PUMP EXTERNAL GEL 0.04 %, 0.1 %

E

RETIN-A MICRO PUMP EXTERNAL GEL 0.06 %, 0.08 %

2 PA

REXASIL PATCH & VITAMIN E LIQ 3 PA

RHOFADE 3

RIAX 3 PA

ROAOXIA 3

rosadan external cream 1

rosadan external gel 1

ROSADAN EXTERNAL KIT 3 PA

SALEX 3 PA

salicylic acid er 1 PA

salicylic acid external 1 PA

salicylic acid wart remover 1 PA

salicylic acid-cleanser 1 PA


84


SALICYLIC ACID-SULFACETAMIDE 3 PA

salimez 1 PA

SALIMEZ FORTE 3 PA

SALVAX 3 PA

SALVAX DUO PLUS 3 PA

SANADERMRX SKIN REPAIR 3 PA

SANTYL 3

SCALACORT DK 3 PA

SCARCARE GEL-PAD KIT/LARGE 3 PA

SCARZEN SKIN REPAIR 3 PA

SCENESSE 3 PA; SP

SEBUDERM 3 PA

selenium sulfide external lotion 1

selenium sulfide external shampoo 1 PA

SELRX 3 PA

SERNIVO 3

SILIPAC 3 PA

sodium sulfacetamide 1 PA

sodium sulfacetamide wash 1 PA

SODIUM SULFACETAMIDE-BAKUCHIOL 3 PA

SOOLANTRA 3

SORIATANE 3 PA

SORILUX E

sss 10-5 1 PA

STRATA CTX 3 PA

STRATA GRT 3 PA

STRATA MARK 3 PA

STRATA XRT 3 PA

sulfacetamide sodium (acne) 1

sulfacetamide sodium external 1 PA

sulfacetamide sodium-sulfur emulsion 10-5 % external

1

sulfacetamide sodium-sulfur emulsion 10-5 % external

1 PA

sulfacetamide sodium-sulfur external cream 1 PA

sulfacetamide sodium-sulfur external liquid 1 PA

sulfacetamide sodium-sulfur external lotion 1 PA

sulfacetamide sodium-sulfur external pad 1 PA


85


sulfacetamide sodium-sulfur external suspension

1 PA

sulfacetamide sod-sulfur wash 1 PA

sulfacetamide-sulfur in urea 1 PA

SULFACLEANSE 8/4 3 PA

sulfamez wash 1 PA

SUMADAN 3 PA

SUMADAN WASH 3 PA

SUMADAN XLT 3 PA

SUMAXIN 3 PA

SUMAXIN CP 3 PA

SUMAXIN WASH 3 PA

SUVICORT 3 PA

SYNALAR 3 PA

SYNALAR (CREAM) 3 PA

SYNALAR (OINTMENT) 3 PA

SYNALAR TS 3 PA

SYNERDERM 3 PA

TACLONEX EXTERNAL OINTMENT E

TACLONEX EXTERNAL SUSPENSION 3 PA; QL

TACROLIMUS EXTERNAL CREAM 3 PA

tacrolimus external ointment 1

TARDEOXIA 3 PA

TARDIMAXIA 3 PA

TAROXIA 3 PA

TASOPROL 3 PA

tazarotene external 1 PA

TAZORAC E

TEMOVATE 3 PA

TETRIX 3 PA

TEXACORT 3

THERAHONEY EXTERNAL SHEET 3

TOPICORT EXTERNAL CREAM 0.25 % 3 PA

TOPICORT EXTERNAL GEL 3 PA

TOPICORT EXTERNAL OINTMENT 3 PA

TOPICORT SPRAY E

tovet external foam 1

TOVET EXTERNAL KIT 3 PA


86


tretinoin external 1 PA

tretinoin microsphere 1 PA

tretinoin microsphere pump 1 PA

triamcinolone acetonide external aerosol solution

1 PA

triamcinolone acetonide external cream 1

triamcinolone acetonide external lotion 1

triamcinolone acetonide external ointment 0.025 %, 0.1 %, 0.5 %

1

triamcinolone acetonide external ointment 0.05 %

1 PA

TRIANEX E

TRI-CHLOR 3

triderm 1

TRIDESILON 3 PA

TRILOCICLO 3 PA

TRIVIX 3 PA

turpentine external 1 PA

ULTRASAL-ER 3 PA

ULTRAVATE E

UMECTA MOUSSE 3 PA

URAMAXIN 3 PA

urea external cream 1 PA

UREA EXTERNAL FOAM 3 PA

urea external lotion 1 PA

urea hydrating 1 PA

urea nail 1 PA

uredeb 1 PA

UREMEZ-40 3 PA

URESOL 3 PA

UREVAZ EXTERNAL CREAM 44 % 3 PA

UTOPIC 3 PA

VANOXIDE-HC 3 PA

VARDIMAXIA 3 PA

VAROXIA 3 PA

VASHE CLEANSING 3

VECTICAL E

VELTIN E

VENELEX 3


87


VERDESO E

VEREGEN 3 PA

VEXASYN 3 PA

VIRASAL 3 PA

WINLEVI 3 PA

WYNZORA 3 PA; QL

XALIX 3 PA

XERAC AC 3

XERALUX 3 PA

XEROFORM OIL EMULSION 2"X2" 3

XEROFORM OIL EMULSION GAUZE 3

XEROFORM OIL EMULSION STRIP 3

XEROFORM OIL ROLL 4"X9' 3

XEROFORM PETROLAT GAUZE 1"X8" 3

XEROFORM PETROLAT GAUZE 5"X9" 3

XEROFORM PETROLAT PATCH 2"X2" 3

XEROFORM PETROLAT PATCH 4"X4" 3

XEROFORM PETROLATUM ROLL 4"X9' 3

xurea 1 PA

ZACARE 3 PA

zaclir cleansing 1 PA

zenatane 1 PA

ZIANA E

ZILXI 3

ZITHRANOL 3 PA

ZYCLARA E

ZYCLARA PUMP E

Diabetes - Antidiabetic Agents

acarbose oral 1

ACTOPLUS MET 3 PA

ADLYXIN E

ADLYXIN STARTER PACK E

ALOGLIPTIN BENZOATE E M

ALOGLIPTIN-METFORMIN HCL E M

ALOGLIPTIN-PIOGLITAZONE E M

AMARYL 3 PA

AVANDIA 3 ST

BYDUREON BCISE AUTOINJECTOR 2 ST; QL


88


BYETTA 10 MCG PEN 2 ST; QL

BYETTA 5 MCG PEN 2 ST; QL

CYCLOSET 3 ST

DUETACT 3 PA

FARXIGA 2 ST

FORTAMET E

glimepiride 1

glipizide er 1

glipizide ir 1

glipizide xl 1

glipizide-metformin hcl 1

GLUCOTROL 3 PA

GLUCOTROL XL 3 PA

GLUMETZA E

glyburide micronized 1

glyburide oral 1

glyburide-metformin 1

GLYNASE 3 PA

GLYXAMBI 2 ST

INVOKAMET E

INVOKAMET XR E

INVOKANA E

JANUMET 2 ST

JANUMET XR 2 ST

JANUVIA 2 ST

JARDIANCE 2 ST

JENTADUETO 2 ST

JENTADUETO XR 2 ST

KAZANO E

KOMBIGLYZE XR E

metformin hcl er 1

metformin hcl er (mod) E

metformin hcl er (osm) E

metformin hcl ir 1

miglitol 1

nateglinide 1

NESINA E

ONGLYZA E


89


OSENI E

OZEMPIC 2 ST; QL

pioglitazone hcl 1

pioglitazone hcl-glimepiride 1

pioglitazone hcl-metformin hcl 1

PRECOSE 3 PA

QTERN E

repaglinide 1

RIOMET 3 PA

RYBELSUS 2 ST; QL

SEGLUROMET E

SOLIQUA 2 ST; QL

STARLIX 3 PA

STEGLATRO E

STEGLUJAN E

SYMLINPEN 120 3 PA

SYMLINPEN 60 3 PA

SYNJARDY 2 ST

SYNJARDY XR 2 ST

tolbutamide 1

TRADJENTA 2 ST

TRIJARDY XR 2 ST

TRULICITY 2 ST; QL

VICTOZA 2 ST; QL

XIGDUO XR 2 ST

XULTOPHY 3 ST; QL

Diabetes - Glucose Monitoring

ACCU-CHEK AVIVA DEVICE E

ACCU-CHEK AVIVA PLUS KIT W/DEVICE E

ACCU-CHEK COMPACT PLUS CONTROL E

ACCU-CHEK COMPACT PLUS TEST STRIPS E

ACCU-CHEK FASTCLIX LANCET KIT 2

ACCU-CHEK GUIDE TEST STRIPS E

ACCU-CHEK GUIDE CONTROL E

ACCU-CHEK GUIDE KIT W/DEVICE E

ACCU-CHEK SMARTVIEW CONTROL E

ACCU-CHEK SMARTVIEW TEST STRIPS E

ACCU-CHEK SOFTCLIX LANCET DEVICE KIT 2


90


AGAMATRIX CONTROL LEVEL 2 E

AGAMATRIX CONTROL LEVEL 4 E

AGAMATRIX PRESTO TEST E

ASSURE PLATINUM E

AUTOLET LANCING DEVICE 3

BIOTEL CARE BLOOD GLUCOSE E

BIOTEL CARE BLOOD GLUCOSE SYST E

BLOOD GLUCOSE TEST E

CARETOUCH CONTROL SOL LEVEL 2 E

CARETOUCH LANCING/EJECTOR 3

CARETOUCH TEST E

CEQUR SIMPLICITY 2U 3

CEQUR SIMPLICITY STARTER 3

CHEMSTRIP UGK 3

CONTOUR CONTROL SOLUTION 2

CONTOUR MONITOR DEVICE 2

CONTOUR MONITOR KIT W/DEVICE 2

CONTOUR NEXT CONTROL SOLUTION 2

CONTOUR NEXT EZ KIT W/DEVICE 2

CONTOUR NEXT LINK 2

CONTOUR NEXT MONITOR KIT W/DEVICE 2

CONTOUR NEXT ONE KIT 2

CONTOUR NEXT TEST STRIPS 2 QL

CONTOUR TEST STRIPS 2 QL

DEXCOM G4 / G5 / G6 RECEIVER, TRANSMITTER, SENSOR (INCLUDING PLATINUM, PLATINUM PEDIATRIC)

2

DEXCOM G4 / G5 / G6 RECEIVER, TRANSMITTER, SENSOR (INCLUDING PLATINUM, PLATINUM PEDIATRIC) DEVICE

2

DIATHRIVE BLOOD GLUCOSE METER E

DIATHRIVE BLOOD GLUCOSE TEST E

DIATHRIVE GLUCOSE CONTROL SOLN E

DIATHRIVE GLUCOSE TEST E

DIATHRIVE LANCING DEVICE 3

DIATHRIVE+ GLUCOSE MONITOR E

DIATHRIVE+ GLUCOSE TEST E

DROPLET GENTEEL LANCING DEVICE 3

EASY TRAK II BLOOD GLUCOSE SYS E


91


EASY TRAK II CONTROL E

EASY TRAK II GLUCOSE TEST E

EASYMAX 15 LEVEL 2-3 CONTROL E

EASYMAX CONTROL E

GLUCOSE CONTROL SOLUTIONS E

EMBRACE LANCING DEVICE/EJECTOR 3

EMBRACE TALK BLOOD GLUCOSE E

EMBRACE TALK GLUCOSE CONTROL E

EMBRACE TALK GLUCOSE TEST E

EMBRACE TALK MONITORING SYSTEM E

ENLITE GLUCOSE SENSOR 3

EVENCARE PROVIEW GLUCOSE TEST E

EVERSENSE SENSOR/HOLDER 3

EVERSENSE SMART TRANSMITTER 3

FORA 6 CONNECT E

FORA GTEL BLOOD GLUCOSE SYSTEM E

FORA GTEL BLOOD GLUCOSE TEST E

FORTISCARE CONTROL E

FORTISCARE GLUCOSE SYSTEM DEVICE E

FORTISCARE T1 GLUCOSE SYSTEM E

FREESTYLE FREEDOM LITE E

FREESTYLE INSULINX SYSTEM E

FREESTYLE INSULINX TEST E

FREESTYLE LIBRE 14 DAY READER E

FREESTYLE LIBRE 14 DAY SENSOR E

FREESTYLE LIBRE 2 READER E

FREESTYLE LIBRE 2 SENSOR E

FREESTYLE LIBRE READER E

FREESTYLE LIBRE SENSOR SYSTEM E

FREESTYLE LITE TEST E

FREESTYLE PRECISION NEO TEST E

FREESTYLE TEST E

GENTEEL LANCING KIT (BLUE) 3

GLUCOCARD 01 SENSOR PLUS E

GLUCOCARD EXPRESSION TEST E

GLUCOCARD SHINE CONNEX E

GLUCOCARD SHINE EXPRESS E

GLUCOCARD SHINE TEST E


92


GLUCOCARD VITAL TEST E

GOJJI BLOOD GLUCOSE TEST E

GOJJI BLOOD TEST STRIP/LANCETS E

GOJJI CONTROL E

GOJJI LANCING DEVICE/CLEAR CAP 3

GUARDIAN CONNECT TRANSMITTER 3

GUARDIAN LINK 3 TRANSMITTER 3

GUARDIAN SENSOR (3) 3

GUARDIAN SENSOR 3 3

HARMONY BLOOD GLUCOSE TEST E

HW EMBRACE PRO GLUCOSE METER E

HW EMBRACE PRO GLUCOSE TEST E

HW EMBRACE TALK BLOOD GLUCOSE E

HW EMBRACE TALK GLUCOSE TEST E

INFINITY BLOOD GLUCOSE TEST E

INPEN 100-BLUE-LILLY 3

INPEN 100-BLUE-NOVO 3

INPEN 100-GRAY-LILLY 3

INPEN 100-GREY-NOVO 3

INPEN 100-PINK-LILLY 3

INPEN 100-PINK-NOVO 3

KETOSTIX 3

KROGER HEALTHPRO GLUCOSE TEST E

LANCETS 2

LANCETS 3

LANCETS KIT 3

MICRODOT TEST E

MICROLET NEXT LANCING DEVICE 3

NOVOPEN ECHO 3

OMNIPOD DASH SYSTEM 3

OMNIPOD STARTER 3

ONE DROP BLOOD GLUCOSE MONITOR E

ONE DROP TEST E

ONETOUCH DELICA LANCING DEV 3

ONETOUCH DELICA PLUS LANCING 3

ONETOUCH ULTRA E

ONETOUCH ULTRA 2 KIT W/DEVICE E

ONETOUCH ULTRA MINI KIT W/DEVICE E


93


ONETOUCH VERIO KIT W/DEVICE E

ONETOUCH VERIO FLEX SYSTEM KIT W/DEVICE

E

ONETOUCH VERIO IN VITRO SOLUTION HIGH

E

ONETOUCH VERIO TEST STRIPS E

ONETOUCH VERIO IQ SYSTEM E

ONETOUCH VERIO REFLECT E

ONETOUCH VERIO SYNC SYSTEM KIT W/DEVICE

E

PRECISION LINK E

PRECISION PCX PLUS TEST E

PRECISION QID MONITOR E

PRECISION QID TEST E

PRECISION SOF-TACT MONITOR E

PRECISION SOF-TACT TEST E

PRECISION XTRA BLOOD GLUCOSE E

PRECISION XTRA DEVICE E

PRECISION XTRA KIT E

PRECISION XTRA MONITOR E

PRODIGY NO CODING BLOOD GLUC E

RELION BLOOD GLUCOSE TEST E

RELION PREMIER CLASSIC E

RELION PREMIER TEST E

SURESTEP PRO HIGH GLUCOSE E

SURESTEP PRO LOW GLUCOSE E

SURESTEP PRO NORMAL GLUCOSE E

TRUE FOCUS BLOOD GLUCOSE METER E

TRUE METRIX BLOOD GLUCOSE TEST E

TRUE METRIX PRO BLOOD GLUCOSE E

UNISTRIP CONTROL IN VITRO SOLUTION LOW

E

V-GO 20 2

V-GO 30 2

V-GO 40 2

VIVAGUARD INO CONTROL SOLUTION E

VIVAGUARD INO GLUCOSE METER E

VIVAGUARD INO TEST STRIPS E

VIVAGUARD LANCING DEVICE 3


94


Diabetes - Glycemic Agents

BAQSIMI ONE PACK 2

BAQSIMI TWO PACK 2

diazoxide oral 1

GLUCAGEN HYPOKIT 3 ST

glucagon emergency kit 1 mg injection 1 mg 1

GLUCAGON EMERGENCY KIT 1 MG INJECTION 1 MG

3 PA

GLUCAGON EMERGENCY KIT 2

GVOKE HYPOPEN 1-PACK 2

GVOKE HYPOPEN 2-PACK 2

GVOKE PFS 2

PROGLYCEM 3 PA

Diabetes - Insulins

ADMELOG E

ADMELOG SOLOSTAR E

AFREZZA 3 PA

APIDRA SOLOSTAR 3 PA

APIDRA VIAL 3 PA

BASAGLAR KWIKPEN E

BD AUTOSHIELD DUO PEN NEEDLES 2

BD ULTRA-FINE INSULIN SYRINGES 2

BD ULTRA-FINE PEN NEEDLES 2

BD VEO INSULIN SYR U/F 1/2UNIT 2

DROPLET MICRON 2

FIASP E

FIASP FLEXTOUCH E

FIASP PENFILL E

HUMALOG KWIKPEN 2

HUMALOG MIX 50/50 KWIKPEN 2

HUMALOG MIX 50/50 VIAL 2

HUMALOG MIX 75/25 KWIKPEN 2

HUMALOG MIX 75/25 VIAL 2

HUMALOG U-100 JUNIOR KWIKPEN 2

HUMALOG VIAL 2

HUMULIN 70/30 KWIKPEN 2

HUMULIN 70/30 VIAL 2

HUMULIN N KWIKPEN 2


95


HUMULIN N VIAL 2

HUMULIN R U-500 KWIKPEN 2

HUMULIN R U-500 VIAL 2

HUMULIN R VIAL 2

INSULIN ASP PROT & ASP FLEXPEN E M

INSULIN ASPART E M

INSULIN ASPART FLEXPEN E M

INSULIN ASPART PENFILL E M

INSULIN ASPART PROT & ASPART E M

INSULIN LISPRO E M

INSULIN LISPRO (1 UNIT DIAL) E M

INSULIN LISPRO JUNIOR KWIKPEN E M

INSULIN LISPRO PROT & LISPRO E M

INSULIN PEN NEEDLES 2

INSULIN SYRINGES 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 1/2" 0.3 ML, 30G X 1/2" 0.5 ML, 30G X 1/2" 1 ML, 30G X 5/16" 0.3 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML, 31G X 15/64" 0.3 ML, 31G X 15/64" 0.5 ML, 31G X 15/64" 1 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML, 32G X 5/16" 0.5 ML, 32G X 5/16" 1 ML

2

LANTUS SOLOSTAR 2

LANTUS U-100 VIAL 2

LEVEMIR U-100 FLEXTOUCH E

LEVEMIR U-100 VIAL E

LYUMJEV KWIKPEN 2

LYUMJEV VIAL 2

MAXICOMFORT SYR 27G X 1/2" 2

MYXREDLIN 3

NOVOFINE AUTOCOVER PEN NEEDLE 2

NOVOFINE PEN NEEDLE 2

NOVOFINE PLUS PEN NEEDLE 2

NOVOLIN 70/30 FLEXPEN 3 PA

NOVOLIN 70/30 FLEXPEN RELION 3 PA

NOVOLIN 70/30 RELION 3 PA

NOVOLIN 70/30 VIAL 3 PA

NOVOLIN N FLEXPEN 3 PA

NOVOLIN N FLEXPEN RELION 3 PA


96


NOVOLIN N RELION 3 PA

NOVOLIN N VIAL 3 PA

NOVOLIN R FLEXPEN 3 PA

NOVOLIN R FLEXPEN RELION 3 PA

NOVOLIN R RELION 3 PA

NOVOLIN R VIAL 3 PA

NOVOLOG FLEXPEN 3 PA

NOVOLOG MIX 70/30 FLEXPEN 3 PA

NOVOLOG MIX 70/30 VIAL 3 PA

NOVOLOG PENFILL 3 PA

NOVOLOG U-100 VIAL 3 PA

NOVOTWIST PEN NEEDLE 2

SEMGLEE E

TOUJEO MAX SOLOSTAR 2

TOUJEO SOLOSTAR 2

TRESIBA E

TRESIBA FLEXTOUCH E

TRUE COMFORT PRO INSULIN SYR 32G X 5/16" 0.5 ML

2

TRUE COMFORT PRO PEN NEEDLES 31G X 8 MM , 32G X 5 MM , 32G X 6 MM , 33G X 4 MM , 33G X 5 MM , 33G X 6 MM

2

ULTIGUARD SAFEPACK SYR/NEEDLE 2

Electrolytes / Minerals / Metals / Vitamins

ACTIVE FE 3

adc/f (0.5mg/ml) 1

AMINO ACID 3

aminoamrms 1 PA

AMINOPROTECT 3

aminoreliefrms 1 PA

AMINOSYN II 3

AMINOSYN-PF 3

AQUASOL A 3

ARGININE HCL INJECTION 3

argyle sterile saline 1

argyle sterile water 1

ASCOR 3 PA

ASCORBIC ACID INTRAVENOUS 3 PA


97


ASCORBIC ACID SOLUTION 500 MG/ML INJECTION

3 PA

ascorbic acid solution 500 mg/ml injection 1 PA

ATABEX OB 2

AZESCHEW PRENATAL/POSTNATAL E

AZESCO E

B-12 COMPLIANCE INJECTION 3 PA

CALCIFOL 3

CALCIUM CHLORIDE SOLUTION 10 % INTRAVENOUS

3

calcium chloride solution 10 % intravenous 1

calcium chloride solution 10 % intravenous 1 PA

calcium gluconate solution 10 % intravenous 1

CALCIUM GLUCONATE SOLUTION 10 % INTRAVENOUS

3

CALCIUM GLUCONATE-NACL INTRAVENOUS SOLUTION 1-0.675 GM/50ML-%

3

CALCIUM GLUCONATE-NACL INTRAVENOUS SOLUTION 1-0.9 GM/100ML-%, 2-0.9 GM/100ML-%

3

CALCIUM GLUCONATE-NACL INTRAVENOUS SOLUTION 2-0.675 GM/100ML-%

3 PA

calcium-folic acid plus d 1 PA

CARBAGLU 2 SP

CARNITOR INTRAVENOUS 3

CARNITOR ORAL E

CARNITOR SF E

CENTRATEX 3

CHEMET 3

CHOLECAL DF 3 PA

CHROMAGEN 3

chromic chloride intravenous 1

CIFEREX 3 PA

CITRANATAL BLOOM E

CITRANATAL MEDLEY 3 PA

CLINIMIX E/DEXTROSE (2.75/5) 3



CLINIMIX E/DEXTROSE (5/15) 3



98




CLINIMIX/DEXTROSE (4.25/10) 3

CLINIMIX/DEXTROSE (4.25/5) 3

CLINIMIX/DEXTROSE (5/15) 3





CLINISOL SF 3

CLINOLIPID 3

clovique 1 PA; SP

CORVITE 150 ORAL TABLET 3 PA

CORVITE 150 ORAL TABLET 150-1.25 MG 2

CORVITE FE 3 PA

CUPRIC CHLORIDE 3

curity sterile saline 1

cyanocobalamin injection solution 1000 mcg/ml 1

CYANOCOBALAMIN INJECTION SOLUTION 2000 MCG/ML

3

cytra k crystals 1 PA

deferasirox 1 PA

deferasirox granules 1 PA

deferiprone 1 PA

DERMACINRX PUREFOLIX 3 PA

DEXIFOL E

DEXPANTHENOL INJECTION 3

dextrose intravenous solution 10 %, 20 %, 30 %, 40 %, 5 %, 70 %

1

DEXTROSE SOLUTION 250 MG/ML INTRAVENOUS

3

dextrose solution 250 mg/ml intravenous 1

DEXTROSE SOLUTION 50 % INTRAVENOUS 3

dextrose solution 50 % intravenous 1

DILUENT FOR LEFAMULIN 3

DRISDOL 3 PA

EDETATE DISODIUM INTRAVENOUS 3

EFFER-K ORAL TABLET EFFERVESCENT 10 MEQ, 20 MEQ

3


99


effer-k tablet effervescent 25 meq oral 1

effer-k tablet effervescent 25 meq oral 1 PA

ENBRACE HR E

ERGOCAL 3 PA

ergocalciferol oral capsule 1

EXJADE 3 PA

FEONYX E

FERAHEME 3

FERIVA 21/7 3 PA

FERIVAFA 3 PA

ferocon 1

ferotrinsic 1

FERRALET 90 3

ferraplus 90 1

FERRIPROX 3 PA

FERRIPROX TWICE-A-DAY 3 PA

FERRLECIT 3 PA

ferrocite plus 1

FERRO-PLEX HEMATINIC 3

FERROTRIN 3

FLORIVA 3 PA

FLORIVA PLUS 3 PA

fluoritab oral tablet chewable 0.55 (0.25 f) mg, 1.1 (0.5 f) mg, 2.2 (1 f) mg

1

folic acid injection 1

folic acid oral tablet 1 mg 1

FOLIC D3 3 PA

FOLIC-K E

FOLI-D 3 PA

FOLITE 3 PA

FOLITIN-Z E

FOLIXAPURE 3 PA

FOLTREXYL E

foltrin 1

FOLVITE-D 3 PA

FREAMINE HBC 3

FREAMINE III 3

FUSION PLUS 3


100


GALZIN 3

GENICIN VITA-D 3 PA

GENICIN VITA-Q E

GENICIN VITA-S E

GLUTATHIONE INJECTION SOLUTION 200 MG/ML

3

GLUTATHIONE INJECTION SOLUTION 6 GM/30ML

3 PA

GLUTATHIONE INTRAVENOUS 3

GLYCINE INJECTION 3

GLYCOPHOS 3

hematinic plus vit/minerals 1

hematinic/folic acid 1

HEMATOGEN FA 3

HEMATRON-AF 3

HEMETAB 3 PA

HEMOCYTE PLUS 3

hemocyte-f 1

HEPATAMINE 3

hydroxocobalamin acetate 1

HYLAVITE E

HYLAZINC E

ICAR-C PLUS 2

iferex 150 forte 1

INFED 3

INJECTAFER 3

INTEGRA F 3

INTEGRA PLUS 3

INTRALIPID 3

iodine strong oral 1

IROSPAN 24/6 3 PA

JADENU SPRINKLE 3 PA

JENLIVA PRENATAL/POSTNATAL E

JYNARQUE 3 SP; QL

KABIVEN 3

klor-con 1

klor-con 10 1

klor-con m10 1

KLOR-CON M15 3


101


klor-con m20 1

klor-con/ef 1

K-PHOS NO 2 3 PA

K-PHOS TABLET 500 MG ORAL 3

K-PHOS TABLET 500 MG ORAL 3 PA

K-PHOS-NEUTRAL 3 PA

k-prime 1

K-TAB E

k-tan plus 1

lactated ringers irrigation 1

LEVOCARNITINE INJECTION 3

levocarnitine oral solution 1

levocarnitine oral tablet 1

levocarnitine sf 1

LIPO 3

LIPO-C 3

LOKELMA 3

LORID E

LYSINE HCL INJECTION 3

MAGNEBIND 400 3

magnesium chloride injection 1

magnesium sulfate in d5w 1

magnesium sulfate intravenous 1

MAGNESIUM SULFATE SOLUTION 50 % INJECTION

3

magnesium sulfate solution 50 % injection 1

MAGNESIUM SULFATE-NACL 3

MANGANESE CHLORIDE 3

MEPHYTON 3 PA

METHYLCOBALAMIN INJECTION SOLUTION 3 PA

METHYLCOBALAMIN INJECTION SOLUTION RECONSTITUTED

3

MIC-L-CARNITINE 3 PA

M-NATAL PLUS 2

MONOFERRIC 3

monoject flush syringe 1

monoject sodium chloride flush 1

MULTIGEN 3

MULTIGEN FOLIC 3


102


MULTIGEN PLUS 3

MULTIPRO E

multitrace-4 neonatal 1 PA

MULTITRACE-4 PEDIATRIC 3 PA

multi-vit/iron/fluoride 1

multi-vitamin/fluoride 1

multivitamin/fluoride oral solution 1

multivitamin/fluoride oral tablet chewable 0.25 mg, 0.5 mg, 1 mg

1

MULTIVITAMIN/FLUORIDE ORAL TABLET CHEWABLE 0.25-0.3 MG, 0.5-0.3 MG, 1-0.3 MG

3

multi-vitamin/fluoride/iron 1

myferon 150 forte 1

na ferric gluc cplx in sucrose 1

n-acetyl-l-cysteine oral 1

nafrinse 1

nafrinse drops 1

NASCOBAL 3

NEOKE ALCAR 3

NEONATAL + DHA E

NEONATAL COMPLETE ORAL TABLET 27-1 MG

3 PA

NEONATAL COMPLETE ORAL TABLET 29-1 MG

E

NEONATAL FE E

NEONATAL PLUS 2

NEPHRAMINE 3

NEPHRON FA 3

NESTABS 2

NESTABS ONE E

NICADAN E

NICAZEL E

NICAZEL FORTE E

NICOMIDE E

NIFEREX 3 PA

normal saline flush 1

NUFERA 3 PA

nutrilipid 1


103


NUTRIVIT 3

OMEGAVEN 3 PA

ONE VITE WOMENS PLUS 2

ORACIT SOLUTION 490-640 MG/5ML ORAL 3

ORACIT SOLUTION 490-640 MG/5ML ORAL 3 PA

ORTHO DF 3 PA

PERIKABIVEN 3

PHOSPHA 250 NEUTRAL 3

phosphorous 1

phospho-trin 250 neutral 1

PHOXILLUM B22K4/0 3 PA

PHOXILLUM BK4/2.5 3 PA

PHYSICIANS EZ USE B-12 3 PA

PHYSIOLYTE 3

PHYSIOSOL IRRIGATION 3

phytonadione injection 1

phytonadione oral 1

PLENAMINE 3

PNV TABS 20-1 E

poly-iron 150 forte 1

polysaccharide iron forte 1

POLY-VI-FLOR ORAL SUSPENSION 2

POLY-VI-FLOR ORAL TABLET CHEWABLE 2 PA

POLY-VI-FLOR/IRON ORAL SUSPENSION 2

POLY-VI-FLOR/IRON ORAL TABLET CHEWABLE

2 PA

potassium acetate intravenous 1

potassium chloride crys er 1

potassium chloride er 1

potassium chloride intravenous 1

potassium chloride oral 1

potassium citrate er 1

potassium citrate-citric acid 1 PA

potassium phosphates 1 PA

potassium phosphates(66 meq k) 1 PA

potassium phosphates(71 meq k) 1

PREGEN DHA E

PREGENNA E


104


PREMASOL 3

PRENAISSANCE 3 PA

PRENARA E

prenatal plus iron 1

prenatal tablet 27-1 mg oral 1

prenatal tablet 27-1 mg oral 1 PA

prenatal vitamin plus low iron 1

PRENATE E

PRENATE DHA E

PRENATE ELITE E

PRENATE ENHANCE E

PRENATE ESSENTIAL E

PRENATE MINI E

PRENATE PIXIE E

PRENATE RESTORE E

PRENATRIX E

PRENATRYL E

PRENATVITE COMPLETE E

PRENATVITE PLUS 2

PRENATVITE RX 2

preplus 1

PRETAB 2

PRIMACARE E

PRISMASOL B22GK 4/0 3

PRISMASOL BGK 0/2.5 3

PRISMASOL BGK 2/0 3


PRISMASOL BGK 4/0/1.2 3 PA


PRISMASOL BK 0/0/1.2 3

PROCALAMINE 3

PROSOL 3

purevit dualfe plus 1

PYRIDOXAL-5 PHOSPHATE INJECTION 3 PA

pyridoxine hcl solution 100 mg/ml injection 1

PYRIDOXINE HCL SOLUTION 100 MG/ML INJECTION

3

QUFLORA FE E


105


QUFLORA FE PEDIATRIC 3 PA

QUFLORA GUMMIES 3 PA

QUFLORA PEDIATRIC 3 PA

RELNATE DHA 2

REMEDIENT E

RENATABS WITH IRON 3

REVESTA 3 PA

ringers irrigation 1

saline bacteriostatic 1

saline flush 1

saline flush zr 1

SALINE-PHENOL 3

SAMSCA ORAL TABLET 15 MG 3 SP; QL

SAMSCA ORAL TABLET 30 MG 3 PA; SP; QL

SELECT-OB ORAL TABLET CHEWABLE 29-1 MG

2 PA

SELENIOUS ACID 3 PA

SELENIUM INTRAVENOUS 3 PA

se-tan plus 1

SMOFLIPID 3

sod citrate-citric acid solution 500-334 mg/5ml oral

1

sod citrate-citric acid solution 500-334 mg/5ml oral

1 PA

sodium acetate intravenous solution 2 meq/ml 1

sodium acetate solution 4 meq/ml intravenous 1

sodium acetate solution 4 meq/ml intravenous 1 PA

sodium bicarbonate intravenous solution 7.5 % 1

sodium bicarbonate solution 4.2 % intravenous 1

sodium bicarbonate solution 4.2 % intravenous 1 PA

sodium bicarbonate solution 8.4 % intravenous 1

SODIUM BICARBONATE SOLUTION 8.4 % INTRAVENOUS

3

SODIUM BICARBONATE SOLUTION 8.4 % INTRAVENOUS

3 PA

sodium bicarbonate solution 8.4 % intravenous 1 PA

SODIUM BICARBONATE-DEXTROSE 3 PA

sodium chloride (pf) solution 0.9 % injection 1

sodium chloride (pf) solution 0.9 % injection 1 PA


106


sodium chloride bacteriostatic 1

sodium chloride flush 1

sodium chloride injection 1

sodium chloride intravenous solution 0.45 %, 0.9 %, 3 %, 5 %

1

sodium chloride irrigation 1

sodium chloride solution 4 meq/ml intravenous 1

sodium chloride solution 4 meq/ml intravenous 1 PA

sodium fluoride oral 1

sodium phosphates 1 PA

sodium polystyrene sulfonate 1

sps 1

sterile water for irrigation 1

swabflush saline flush 1

TAURINE INJECTION 3

THAM 3

THE LIQUILIFT TRACE 3

thiamine hcl injection 1

tis-u-sol 1

tl-hem 150 1

TOLVAPTAN ORAL TABLET 15 MG 3 SP; QL

tolvaptan oral tablet 30 mg 1 SP; QL

TRACE ELEMENTS 4/PEDIATRIC 3 PA

TRALEMENT 3

TRAVASOL 3

TRI-AMINO 3

TRICARE PRENATAL DHA ONE 2

tricitrates 1 PA

TRICON 3

trientine hcl 1 PA; SP

TRIFERIC 3

TRINATE 2

TRINAZ E

TRISODIUM CITRATE/CRRT 3

TRISTART DHA E

TRISTART FREE E

TRISTART ONE E

TRI-VI-FLOR 2


107


TRI-VI-FLORO 2

tri-vite/fluoride 1

TRONVITE E

TROPHAMINE 3

tryptophan oral 1 PA

UROCIT-K 10 3 PA

UROCIT-K 15 3 PA

UROCIT-K 5 3 PA

VELTASSA 3

VENEXA E

VENOFER 3

VINATE ONE 2

VIRT-FEFA PLUS 3

virt-phos 250 neutral 1

VITAFOL 3 PA

VITAFOL FE+ E

VITAFOL-OB+DHA E

vitamin d (ergocalciferol) oral capsule 1.25 mg (50000 ut)

1

VITAMIN DEFICIENCY SYSTEM-B12 3 PA

vitamin k1 injection 1

vitamins acd-fluoride 1

VITASURE E

VITATHELY WITH GINGER E

VITRANOL FE E

VITREXATE E

VITREXATE FE E

VITREXYL E

VITREXYL + IRON E

vp-pnv-dha 1

water for irrigation, sterile 1

WESTAB PLUS 2

WESTGEL DHA E

wheat germ oil 1 PA

WILZIN 3

XVITE E

ZALVIT E

ZINC CHLORIDE INTRAVENOUS 3


108


ZINC SULFATE INTRAVENOUS SOLUTION 1 MG/ML, 3 MG/ML

3 PA

ZINC SULFATE INTRAVENOUS SOLUTION 5 MG/ML

3

ZYVANA E

Gastrointestinal Agents - Drugs for Acid Reflux and Ulcer

ACIPHEX E

ACIPHEX SPRINKLE ORAL CAPSULE SPRINKLE 10 MG

3 PA; QL

ACIPHEX SPRINKLE ORAL CAPSULE SPRINKLE 5 MG

3 ST; QL

CARAFATE ORAL SUSPENSION 3 PA

CARAFATE ORAL TABLET E

cimetidine hcl 1

cimetidine oral 1

CYTOTEC 3 PA

DEXILANT 2 QL

ESOMEP-EZS 3 PA

esomeprazole magnesium 1 QL

esomeprazole sodium 1

ESOMEPRAZOLE STRONTIUM 3 ST; QL

famotidine intravenous 1

famotidine oral suspension reconstituted 1

famotidine oral tablet 20 mg, 40 mg 1

famotidine premixed 1

FIRST-LANSOPRAZOLE 3 ST

FIRST-OMEPRAZOLE 3 ST

lansoprazole oral capsule delayed release 1 QL

lansoprazole oral tablet delayed release dispersible 15 mg

1 QL

lansoprazole oral tablet delayed release dispersible 30 mg

1 PA; QL

misoprostol oral 1

NEXIUM I.V. 3 PA

NEXIUM ORAL CAPSULE DELAYED RELEASE

E

NEXIUM ORAL PACKET 10 MG, 20 MG, 40 MG

3 PA; QL

NEXIUM ORAL PACKET 2.5 MG, 5 MG 3 QL


109


nizatidine 1

omeprazole oral capsule delayed release 1 QL

OMEPRAZOLE+SYRSPEND SF ALKA 3 ST

omeprazole-sodium bicarbonate E

pantoprazole sodium intravenous 1 QL

pantoprazole sodium oral 1 QL

PREVACID E

PREVACID SOLUTAB E

PRILOSEC 3 ST; QL

PROTONIX INTRAVENOUS 3 PA; QL

PROTONIX ORAL PACKET 3 PA; QL

PROTONIX ORAL TABLET DELAYED RELEASE

E

RABEPRAZOLE SODIUM ORAL CAPSULE SPRINKLE

E M

rabeprazole sodium oral tablet delayed release 1 QL

sucralfate oral 1

ZEGERID E

Gastrointestinal Agents - Drugs for Bowel, Intestine and Stomach Conditions

alosetron hcl 1 PA

alvimopan 1

AMITIZA E

amoxicill-clarithro-lansopraz 1

ANASPAZ 3

ATROPEN 3

atropine sulfate injection solution 0.4 mg/ml, 1 mg/ml

1 PA

atropine sulfate injection solution prefilled syringe 0.25 mg/5ml

1

atropine sulfate intravenous solution 1

ATROPINE SULFATE INTRAVENOUS SOLUTION PREFILLED SYRINGE

3

atropine sulfate solution 8 mg/20ml injection 1

atropine sulfate solution 8 mg/20ml injection 1 PA

atropine sulfate solution prefilled syringe 0.5 mg/5ml injection

1

atropine sulfate solution prefilled syringe 0.5 mg/5ml injection

1 PA


110


atropine sulfate solution prefilled syringe 1 mg/10ml injection

1

atropine sulfate solution prefilled syringe 1 mg/10ml injection

1 PA

belladonna alkaloids-opium 1 PA

BENTYL 3 PA

cascara sagrada oral fluid extract 1

CHENODAL 3 PA; SP

chlordiazepoxide-clidinium 1

CLENPIQ 3

constulose 1

cromolyn sodium oral 1

CUVPOSA 3

dicyclomine hcl intramuscular 1

dicyclomine hcl oral 1

diphenoxylate-atropine 1

ED-SPAZ 3

ENTEREG 3 PA

enulose 1

GASTROCROM 3 PA

GATTEX 3 PA; SP

gavilyte-c 1

gavilyte-g 1

gavilyte-h 1

gavilyte-n with flavor pack 1

generlac 1

GIALAX 3 PA

GLYCATE 3 PA

glycopyrrolate injection solution 1

GLYCOPYRROLATE INJECTION SOLUTION PREFILLED SYRINGE 0.6 MG/3ML

3

glycopyrrolate oral tablet 1 mg, 2 mg 1

GLYCOPYRROLATE ORAL TABLET 1.5 MG 3 PA

glycopyrrolate pf 1

GLYCOPYRROLATE SOLUTION PREFILLED SYRINGE 0.6 MG/3ML INTRAVENOUS

3

GLYCOPYRROLATE SOLUTION PREFILLED SYRINGE 0.6 MG/3ML INTRAVENOUS

3 PA

GLYCOPYRROLATE SOLUTION PREFILLED SYRINGE 1 MG/5ML INJECTION

3


111


GLYCOPYRROLATE SOLUTION PREFILLED SYRINGE 1 MG/5ML INJECTION

3 PA

GLYCOPYRROLATE SOLUTION PREFILLED SYRINGE 1 MG/5ML INTRAVENOUS

3

GLYCOPYRROLATE SOLUTION PREFILLED SYRINGE 1 MG/5ML INTRAVENOUS

3 PA

GLYRX-PF 3

GOLYTELY E

HELIDAC THERAPY 3

hyoscyamine sulfate er 1 PA

hyoscyamine sulfate injection 1 PA

hyoscyamine sulfate oral elixir 1

hyoscyamine sulfate oral tablet 1

hyoscyamine sulfate oral tablet dispersible 1

hyoscyamine sulfate sl 1

hyoscyamine sulfate solution 0.125 mg/ml oral 1 PA

hyoscyamine sulfate solution 0.125 mg/ml oral 1

hyoscyamine sulfate tablet sublingual 0.125 mg sublingual

1

hyoscyamine sulfate tablet sublingual 0.125 mg sublingual

1 PA

KRISTALOSE 3 PA

LACTEROL 3

LACTOJEN 3 PA

lactulose encephalopathy 1

lactulose oral packet 1 PA

lactulose oral solution 1

LEVBID 3 PA

LEVSIN 3 PA

LEVSIN/SL 3 PA

LINZESS 2 ST; QL

LOMOTIL 3 PA

loperamide hcl oral capsule 1

LUBIPROSTONE E M

methscopolamine bromide oral 1

mineral oil heavy oral 1

MOTEGRITY 3 ST; QL

MOTOFEN E

MOVANTIK E


112


MOVIPREP E

MYTESI 3 QL

NULEV 3

NULYTELY LEMON-LIME E

NULYTELY WITH FLAVOR PACKS ORAL SOLUTION RECONSTITUTED 420 GM

E

OMECLAMOX-PAK 2

oscimin 1

oscimin sr 1 PA

OSMOPREP E

PCP 100 3 PA

peg 3350-kcl-na bicarb-nacl 1

peg-3350/electrolytes 1

peg-3350/electrolytes/ascorbat 1

peg-kcl-nacl-nasulf-na asc-c 1

peg-prep 1

PLENVU E

PROBICHEW 3 PA

PRODIGEN 3 PA

PROMELLA IN PREBIOTIC 3 PA

PYLERA 2

RELISTOR E

RELTONE 3 PA

RESTORA RX 3

SEROSTIM 3 PA; SP

sodium bicarbonate oral powder 1

SUPREP BOWEL PREP KIT 3

SUTAB 3

SYMAX DUOTAB 3 PA

SYMAX-SR 3 PA

SYMPROIC 2 ST; QL

TALICIA 3

TRULANCE E

URSO 250 3 PA

URSO FORTE 3 PA

ursodiol oral 1

VIBERZI 3 PA; QL

XERMELO 3 PA; SP; QL


113


ZELAC 3 PA

ZELNORM 3 QL

ZORBTIVE 3 PA; SP

Genetic or Enzyme Disorder - Drugs for Replacement, Modification, Treatment

ALDURAZYME 2 PA; SP

AMMONUL 3 PA

BRINEURA 3 PA; SP

BUPHENYL 3 PA; SP

CERDELGA 3 PA; SP

CEREZYME 2 PA; SP

CHOLBAM 3 PA; SP

CREON 2

CRYSVITA 3 PA; SP

CYSTADANE 3 SP

CYSTAGON 3 SP

ELAPRASE 2 PA; SP

ELELYSO 3 PA; SP

ENZADYNE 3 PA

EVRYSDI 3 PA; SP; QL

EXONDYS 51 E SP

FABRAZYME 2 PA; SP

GALAFOLD 3 PA; SP; QL

KANUMA 3 PA; SP

KUVAN E SP

LUMIZYME 2 PA; SP

MEPSEVII 3 PA; SP

miglustat 1 PA; SP

MYALEPT 3 PA; SP

NAGLAZYME 2 PA; SP

nitisinone 1 PA; SP

NITYR 3 PA; SP

OCALIVA 3 PA; SP; QL

ORFADIN 3 PA; SP

PALYNZIQ 3 PA; SP; QL

PANCREAZE E

PERTZYE E

PROCYSBI 3 PA; SP


114


RAVICTI 3 PA; SP

REVCOVI 3 PA; SP

sapropterin dihydrochloride 1 PA; SP

sod benz-sod phenylacet 1

sodium phenylbutyrate oral 1 SP

STRENSIQ 2 PA; SP

SUCRAID 3 SP

VIMIZIM 3 PA; SP

VIOKACE E

VPRIV 3 PA; SP

VYONDYS 53 E SP

XURIDEN 3 PA; SP; QL

ZAVESCA 3 PA; SP

ZENPEP 2

ZOLGENSMA 3 PA; SP

Genitourinary Agents - Drugs for Bladder, Genital and Kidney Conditions

acetic acid irrigation 1

aminoacetic acid 1

AURYXIA 3

bethanechol chloride oral 1

calcium acetate (phos binder) 1

calcium acetate oral tablet 667 mg 1

CUPRIMINE 3 PA; SP

darifenacin hydrobromide er 1

DEPEN TITRATABS 2 PA; SP

DETROL 3 PA

DETROL LA 3 PA

DITROPAN XL 3 PA

ELMIRON E

ENABLEX ORAL TABLET EXTENDED RELEASE 24 HOUR 7.5 MG

3 PA

flavoxate hcl 1

FOSRENOL ORAL PACKET 3

FOSRENOL ORAL TABLET CHEWABLE 3 PA

GELNIQUE 3 ST

glycine irrigation 1

glycine urologic 1

HYOPHEN 3 PA; QL


115


INTRAROSA 3 ST

lanthanum carbonate 1

LITHOSTAT 3

me/naphos/mb/hyo1 1 PA; QL

MYRBETRIQ 2

OXLUMO 3 PA; SP

oxybutynin chloride er 1

oxybutynin chloride oral 1

OXYTROL 3 ST; QL

penicillamine oral capsule 1 PA; SP

penicillamine oral tablet 1 SP

PENTOSAN POLYSULFATE SODIUM ORAL 3 PA

phenazo oral tablet 200 mg 1

phenazopyridine hcl oral tablet 100 mg, 200 mg 1

PHOSLYRA 3

PHOSPHASAL 3 PA; QL

PYRIDIUM 3 PA

RENACIDIN 3

RENAGEL E

RIMSO-50 3

sevelamer carbonate 1

sevelamer hcl 1

solifenacin succinate 1

tadalafil oral tablet 2.5 mg, 5 mg 1 QL

THIOLA EC 3 SP

tolterodine tartrate 1

tolterodine tartrate er 1

TOVIAZ 3

trospium chloride 1

trospium chloride er 1

uretron d/s 1 QL

URIBEL 3 PA; QL

URIMAR-T 3 PA; QL

urin ds 1 QL

URO-458 3 PA; QL

UROGESIC-BLUE 3 PA; QL

uro-mp 1 PA; QL

USTELL 3 PA; QL


116


UTIRA-C 3 PA; QL

VELPHORO 3

VESICARE E

VILAMIT MB 3 PA; QL

VILEVEV MB 3 PA; QL

Genitourinary Agents - Drugs for Prostate Conditions

alfuzosin hcl er 1

AVODART E

CARDURA XL 3 ST

dutasteride oral 1

dutasteride-tamsulosin hcl 1

finasteride oral tablet 5 mg 1

FLOMAX E

JALYN 3 PA

PROSCAR 3 PA

RAPAFLO 3 PA

silodosin 1

tamsulosin hcl 1

terazosin hcl 1

Hormonal Agents - Adrenal

ACTIVE INJECTION BLM-1 3 PA

ACTIVE INJECTION BM 3 PA

ACTIVE INJECTION D 3 PA

ACTIVE INJECTION DL 3 PA

ACTIVE INJECTION DLM 3 PA

ACTIVE INJECTION KIT L 3 PA

ACTIVE INJECTION KL-3 3 PA

ACTIVE INJECTION KM 3 PA

ACTIVE INJECTION LM-DEP-2 3 PA

ACTIVE INJECTION M-1 3 PA

ALKINDI SPRINKLE E

BETA 1 KIT 3 PA

BETALIDO 3 PA

BETALOAN SUIK 3 PA

BETAMETHASONE COMBO 3 PA

BETAMETHASONE SOD PHOS & ACET INJECTION SUSPENSION 7 (4-3) MG/ML

3 PA


117


BETAMETHASONE SOD PHOS & ACET SUSPENSION 6 (3-3) MG/ML INJECTION

3 PA

betamethasone sod phos & acet suspension 6 (3-3) mg/ml injection

1

BETAMETHASONE SODIUM PHOSPHATE INJECTION

3 PA

BSP 0820 3 PA

BUPIVILOG 3 PA

CELESTONE SOLUSPAN 3 PA

CONTRAST ALLERGY PREMED PACK 3 PA

CORTEF E

DECADRON 3 PA

DEPO-MEDROL INJECTION SUSPENSION 20 MG/ML

3

DEPO-MEDROL INJECTION SUSPENSION 40 MG/ML, 80 MG/ML

3 PA

DEXABLISS 3 PA

DEXAMETH SOD PHOS-BUPIV-EPIN 3 PA

DEXAMETHASONE (LA) 3

DEXAMETHASONE ACE & SOD PHOS 3 PA

dexamethasone intensol 1

dexamethasone oral 1

DEXAMETHASONE SOD PHOS-BUPIV 3 PA

DEXAMETHASONE SOD PHOS-NACL 3

dexamethasone sod phosphate pf 1

dexamethasone sodium phosphate injection solution 100 mg/10ml, 120 mg/30ml, 20 mg/5ml

1

DEXAMETHASONE SODIUM PHOSPHATE SOLUTION 10 MG/ML INJECTION

3

dexamethasone sodium phosphate solution 10 mg/ml injection

1

DEXAMETHASONE SODIUM PHOSPHATE SOLUTION 4 MG/ML INJECTION

3

dexamethasone sodium phosphate solution 4 mg/ml injection

1

DEXLIDO 3 PA

DEXLIDO-M 3 PA

DEXONTO 0.4% 3

DMT SUIK 3 PA

DOUBLEDEX 3 PA

DXEVO 11-DAY 3 PA


118


DYURAL-40 3 PA

DYURAL-80 3 PA

DYURAL-L 3 PA

DYURAL-LM 3 PA

fludrocortisone acetate oral 1

HEMADY E

HIDEX 6-DAY 3 PA

hydrocortisone oral 1

KENALOG INJECTION SUSPENSION 10 MG/ML

3

KENALOG INJECTION SUSPENSION 40 MG/ML

E

KENALOG-80 3

LIDOCIDEX I 3 PA

lidolog 1 PA

MARBETA-25 3 PA

MARBETA-L 3 PA

MARDEX-25 3 PA

MAS CARE-PAK 3 PA

MEDROL ORAL TABLET 16 MG, 32 MG, 4 MG, 8 MG

3 PA

MEDROL ORAL TABLET 2 MG 2

MEDROL ORAL TABLET THERAPY PACK 3 PA

MEDROLOAN II SUIK 3 PA

MEDROLOAN SUIK 3 PA

METHYLPREDNISOLONE ACE-LIDO 3 PA

METHYLPREDNISOLONE ACETATE INJECTION SUSPENSION 50 MG/ML

3

methylprednisolone acetate suspension 40 mg/ml injection

1

METHYLPREDNISOLONE ACETATE SUSPENSION 40 MG/ML INJECTION

3

METHYLPREDNISOLONE ACETATE SUSPENSION 80 MG/ML INJECTION

3

methylprednisolone acetate suspension 80 mg/ml injection

1

methylprednisolone oral 1

methylprednisolone sodium succ 1

METHYLPREDNISOLONE-BUPIVACAINE 3

MILLIPRED 2 PA


119


MULTI-SPECIALTY 3 PA

ORAPRED ODT 3 PA

P-CARE K40 3 PA

P-CARE K40G 3 PA

P-CARE K40MX 3 PA

P-CARE K80 3 PA

P-CARE K80G 3 PA

P-CARE K80MX 3 PA

PEDIAPRED 3 PA

PHYSICIANS EZ USE JOINT/TUNNEL 3 PA

PHYSICIANS EZ USE M-PRED 3 PA

POD-CARE 100K 3 PA

POINT OF CARE KM 3 PA

POINT OF CARE L.2 3 PA

POINT OF CARE L.5 3 PA

POINT OF CARE LM DEP 2 3 PA

prednisolone oral solution 1

prednisolone sodium phosphate oral 1

prednisone intensol 1

prednisone oral 1

PRO-C-DURE 5 3 PA

PRO-C-DURE 6 3 PA

RAYOS E

READYSHARP ANESTH + BETAMETH 3 PA

READYSHARP ANESTH + DEXAMETH 3 PA

READYSHARP ANESTH + METHYLPRED 3 PA

READYSHARP BETAMETHASONE 3 PA

READYSHARP DEXAMETHASONE 3 PA

ROPIDEX 3 PA

SOLU-CORTEF 3

SOLU-MEDROL INJECTION SOLUTION RECONSTITUTED 1000 MG, 125 MG, 40 MG, 500 MG

3 PA

SOLU-MEDROL INJECTION SOLUTION RECONSTITUTED 2 GM

3

TAPERDEX 12-DAY 3 PA

TAPERDEX 6-DAY 3 PA

TAPERDEX 7-DAY 3 PA

TOPIDEX 3 PA


120


TRIAMCINOLONE ACETONIDE INJECTION SUSPENSION 50 MG/ML

3 PA

triamcinolone acetonide suspension 40 mg/ml injection

1

TRIAMCINOLONE ACETONIDE SUSPENSION 40 MG/ML INJECTION

3

TRIAMCINOLONE ACETONIDE SUSPENSION 40 MG/ML INJECTION

3 PA

TRIAMCINOLONE DIACETATE INJECTION SUSPENSION 40 MG/ML

3 PA

TRIAMCINOLONE DIACETATE INJECTION SUSPENSION 80 MG/ML

3

TRIAMCINOLONE DIACETATE PF INJECTION SUSPENSION 80 MG/2ML

3 PA

TRIAMCINOLONE-BUPIVACAINE 3

TRILOAN II SUIK 3 PA

TRILOAN SUIK 3 PA

ZCORT 7-DAY 3 PA

ZILRETTA 3 PA

Hormonal Agents - Men's Health

ANDRODERM 2 PA

ANDROGEL E

ANDROGEL PUMP E

AVEED E

danazol oral 1

DEPO-TESTOSTERONE E

FORTESTA E

JATENZO E

METHITEST 3 PA

methyltestosterone oral 1 PA

NATESTO E

oxandrolone oral 1 PA; QL

TESTIM E

TESTONE CIK 3 PA

TESTOPEL E

TESTOSTERONE CYPIONATE INJECTION 3 PA

testosterone cypionate intramuscular 1 PA

testosterone enanthate intramuscular 1 PA

TESTOSTERONE IMPLANT 3 PA

testosterone transdermal 1 PA


121


VOGELXO E

VOGELXO PUMP E

XYOSTED 3 PA

Hormonal Agents - Osteoporosis

EVISTA 3 PA

OSPHENA 3

raloxifene hcl 1

Hormonal Agents - Pituitary

ACTHAR 2 PA; SP

BYNFEZIA PEN E SP

cabergoline 1

CETROTIDE E SP

chorionic gonadotropin intramuscular 1 PA; SP

clomiphene citrate oral 1

DDAVP 3 PA

DDAVP RHINAL TUBE 2

desmopressin ace spray refrig 1

desmopressin acetate injection 1

desmopressin acetate oral 1

desmopressin acetate spray 1

EGRIFTA SV 3 PA; SP; QL

ELIGARD 3 PA; SP; QL

FENSOLVI (6 MONTH) 3 PA; SP; QL

FIRMAGON 3 PA; SP; QL

FIRMAGON (240 MG DOSE) 3 PA; SP; QL

FOLLISTIM AQ 2 PA; SP

ganirelix acetate 1 PA; SP

GENOTROPIN E SP

GENOTROPIN MINIQUICK E SP

GONAL-F E SP

GONAL-F RFF E SP

GONAL-F RFF REDIJECT E SP

HUMATROPE E SP

INCRELEX 2 PA; SP

ISTURISA E SP

leuprolide acetate injection 1 PA; SP

LEUPROLIDE ACETATE-BUPIVACAINE 3

LUPANETA PACK 3 PA; SP; QL


122


LUPRON DEPOT (1-MONTH) INTRAMUSCULAR KIT 3.75 MG

3 PA; SP


2 PA; SP


3 PA; SP


2 PA; SP

LUPRON DEPOT (4-MONTH) INTRAMUSCULAR KIT 30MG

2 PA; SP

LUPRON DEPOT (6-MONTH) INTRAMUSCULAR KIT 45MG

2 PA; SP

LUPRON DEPOT-PED (1-MONTH) INTRAMUSCULAR KIT 11.25 MG

3 PA; SP

LUPRON DEPOT-PED (1-MONTH) INTRAMUSCULAR KIT 15 MG, 7.5 MG

2 PA; SP

LUPRON DEPOT-PED (3-MONTH) INTRAMUSCULAR KIT 11.25 MG (PED)

3 PA; SP

LUPRON DEPOT-PED (3-MONTH) INTRAMUSCULAR KIT 30 MG (PED)

2 PA; SP

MENOPUR 3 PA; SP

MYCAPSSA E SP

NOCDURNA 3

NORDITROPIN FLEXPRO 2 PA; SP

novarel intramuscular solution reconstituted 10000 unit

1 PA; SP

NOVAREL INTRAMUSCULAR SOLUTION RECONSTITUTED 5000 UNIT

3 PA; SP

NUTROPIN AQ NUSPIN 10 2 PA; SP



octreotide acetate 1 PA; SP

OMNITROPE E SP

ORILISSA 2 PA; QL

OVIDREL 3 PA; SP

oxytocin injection 1

OXYTOCIN-LACTATED RINGERS 3

OXYTOCIN-SODIUM CHLORIDE INTRAVENOUS SOLUTION 15-0.9 UT/250ML-%, 20-0.9 UNIT/L-%, 20-0.9 UNT/L-%

3

OXYTOCIN-SODIUM CHLORIDE SOLUTION 30-0.9 UT/500ML-% INTRAVENOUS

3


123


OXYTOCIN-SODIUM CHLORIDE SOLUTION 30-0.9 UT/500ML-% INTRAVENOUS

3 PA

PITOCIN 3 PA

pregnyl 1 PA; SP

SAIZEN E SP

SAIZENPREP E SP

SANDOSTATIN E SP

SANDOSTATIN LAR DEPOT 3 PA; SP

SIGNIFOR E SP

SIGNIFOR LAR 3 PA; SP; QL

SOMATULINE DEPOT 3 PA; SP

SOMAVERT 3 PA; SP

STIMATE 3

SUPPRELIN LA 2 PA; SP; QL

SYNAREL 2

TEPEZZA 3 PA; SP

TRELSTAR MIXJECT 3 PA; SP; QL

TRIPTODUR 3 PA; SP; QL

VANTAS 3 PA; SP; QL

VAPRISOL 3

VASOSTRICT 3

ZOLADEX SUBCUTANEOUS IMPLANT 10.8 MG

3 SP; QL

ZOLADEX SUBCUTANEOUS IMPLANT 3.6 MG 2 SP; QL

ZOMACTON E SP

ZOMACTON (FOR ZOMA-JET 10) E SP

Hormonal Agents - Prostaglandins

KORLYM 3 PA; SP; QL

Hormonal Agents - Sex Hormones and Birth Control

ACTIVELLA 3 PA

afirmelle 1

ALORA 3 ST

altavera 1

alyacen 1/35 1

alyacen 7/7/7 1

amabelz 1

amethia 1 QL

amethia lo 1 QL


124


amethyst 1

ANGELIQ 3

ANNOVERA E

apri 1

aranelle 1

ashlyna 1 QL

aubra 1

aubra eq 1

aurovela 1.5/30 1

aurovela 1/20 1

aurovela 24 fe 1

aurovela fe 1.5/30 1

aurovela fe 1/20 1

aviane 1

AYGESTIN 3 PA

ayuna 1

azurette 1

BALCOLTRA 3 PA

balziva 1

bekyree 1

BEYAZ E

BIJUVA 3

blisovi 24 fe 1

blisovi fe 1.5/30 1

blisovi fe 1/20 1

briellyn 1

camila 1

camrese 1 QL

camrese lo 1 QL

caziant 1

charlotte 24 fe 1

chateal 1

chateal eq 1

CLIMARA E

CLIMARA PRO 2

COMBIPATCH 3

CRINONE 3 QL

cryselle-28 1


125


cyclafem 1/35 1

cyclafem 7/7/7 1

cyred 1

cyred eq 1

dasetta 1/35 1

dasetta 7/7/7 1

daysee 1 QL

deblitane 1

DELESTROGEN INTRAMUSCULAR OIL 10 MG/ML

3

DELESTROGEN INTRAMUSCULAR OIL 20 MG/ML, 40 MG/ML

E

delyla 1

DEPO-ESTRADIOL 3

DEPO-PROVERA 3 PA; QL

DEPO-SUBQ PROVERA 104 3 QL

desogestrel-ethinyl estradiol 1

DIVIGEL 3

dotti 1

drospiren-eth estrad-levomefol 1

drospirenone-ethinyl estradiol 1

DUAVEE 2

ELESTRIN 3

elinest 1

ELLA 3

eluryng 1

emoquette 1

ENDOMETRIN 2

enpresse-28 1

enskyce 1

errin 1

estarylla 1

ESTRACE E

ESTRADIOL IMPLANT 3 PA

estradiol oral 1

estradiol transdermal 1

estradiol vaginal 1

estradiol valerate intramuscular 1

estradiol-norethindrone acet 1


126


ESTRING 3 QL

ESTROGEL 3

ESTROSTEP FE 3 PA

ethynodiol diac-eth estradiol 1

etonogestrel-ethinyl estradiol 1

EVAMIST 3

FALESSA 3 PA

falmina 1

fayosim 1 QL

FEMHRT LOW DOSE 3 PA

FEMRING 3 ST; QL

femynor 1

fyavolv 1

gemmily 1

GENERESS FE E

hailey 1.5/30 1

hailey 24 fe 1

hailey fe 1.5/30 1

hailey fe 1/20 1

heather 1

hydroxyprogesterone caproate intramuscular 1 PA; SP

iclevia 1 QL

IMVEXXY MAINTENANCE PACK 3

IMVEXXY STARTER PACK 3

incassia 1

introvale 1 QL

isibloom 1

jaimiess 1 QL

jasmiel 1

jencycla 1

jinteli 1

jolessa 1 QL

juleber 1

junel 1.5/30 1

junel 1/20 1

junel fe 1.5/30 1

junel fe 1/20 1

junel fe 24 1


127


kaitlib fe 1

kalliga 1

kariva 1

kelnor 1/35 1

kelnor 1/50 1

kurvelo 1

KYLEENA 3

larin 1.5/30 1

larin 1/20 1

larin 24 fe 1

larin fe 1.5/30 1

larin fe 1/20 1

larissia 1

layolis fe 1

leena 1

lessina 1

levonest 1

levonorgest-eth est & eth est 1 QL

levonorgest-eth estrad 91-day 1 QL

levonorgestrel-ethinyl estrad 1

levonorg-eth estrad triphasic 1

levora 0.15/30 (28) 1

LILETTA (52 MG) 3

lillow 1

LO LOESTRIN FE E

LOESTRIN 1.5/30 (21) E

LOESTRIN 1/20 (21) E

LOESTRIN FE 1.5/30 E

LOESTRIN FE 1/20 E

lojaimiess 1 QL

loryna 1

LOSEASONIQUE 3 PA; QL

low-ogestrel 1

lo-zumandimine 1

lutera 1

lyleq 1

lyllana 1

lyza 1


128


MAKENA 2 PA; SP

marlissa 1

medroxyprogesterone acetate intramuscular 1 QL

medroxyprogesterone acetate oral 1

megestrol acetate oral suspension 40 mg/ml, 400 mg/10ml

CM

megestrol acetate oral suspension 625 mg/5ml 1

megestrol acetate oral tablet CM

melodetta 24 fe 1

MENEST 2

MENOSTAR 3 ST

merzee 1

mibelas 24 fe 1

microgestin 1.5/30 1

microgestin 1/20 1

microgestin 24 fe 1

microgestin fe 1.5/30 1

microgestin fe 1/20 1

mili 1

mimvey 1

MINASTRIN 24 FE E

MINIVELLE 3 PA

MIRCETTE 3 PA

MIRENA (52 MG) 3

mono-linyah 1

NATAZIA 2

necon 0.5/35 (28) 1

NEXPLANON 3

nikki 1

nora-be 1

norethin ace-eth estrad-fe 1

norethindrone acetate oral 1

norethindrone acet-ethinyl est 1

norethindrone oral 1

norethindrone-eth estradiol 1

norethin-eth estradiol-fe 1

norgestimate-eth estradiol 1

norgestimate-ethinyl estradiol triphasic 1


129


norlyda 1

norlyroc 1

nortrel 0.5/35 (28) 1

nortrel 1/35 (21) 1

nortrel 1/35 (28) 1

nortrel 7/7/7 1

NUVARING 3 PA

nylia 7/7/7 1

nymyo 1

ocella 1

ORIAHNN 2 PA; QL

orsythia 1

ORTHO MICRONOR E

PARAGARD INTRAUTERINE COPPER 3

philith 1

pimtrea 1

pirmella 1/35 1

pirmella 7/7/7 1

portia-28 1

PREFEST 3

PREMARIN INJECTION 3

PREMARIN ORAL 2

PREMARIN VAGINAL 2

PREMPHASE 2

PREMPRO 2

previfem 1

progesterone intramuscular 1

progesterone micronized oral 1

PROMETRIUM E

PROVERA 3 PA

QUARTETTE 3 PA; QL

reclipsen 1

rivelsa 1 QL

SAFYRAL E

SEASONIQUE E

setlakin 1 QL

sharobel 1

simliya 1


130


simpesse 1 QL

SKYLA 3

SLYND E

sprintec 28 1

sronyx 1

syeda 1

tarina 24 fe 1

tarina fe 1/20 1

tarina fe 1/20 eq 1

TAYTULLA 3 PA

tilia fe 1

tri femynor 1

tri-estarylla 1

tri-legest fe 1

tri-linyah 1

tri-lo-estarylla 1

tri-lo-marzia 1

tri-lo-mili 1

tri-lo-sprintec 1

tri-mili 1

tri-nymyo 1

tri-previfem 1

tri-sprintec 1

trivora (28) 1

tri-vylibra 1

tri-vylibra lo 1

tulana 1

TWIRLA E

tyblume 1

tydemy 1

VAGIFEM E

velivet 1

vestura 1

vienva 1

viorele 1

VIVELLE-DOT E

volnea 1

vyfemla 1


131


vylibra 1

wera 1

wymzya fe 1

xulane 1

YASMIN 28 E

YAZ E

yuvafem 1

zafemy 1

zarah 1

zovia 1/35 (28) 1

zovia 1/35e (28) 1

zumandimine 1

Hormonal Agents - Thyroid

ARMOUR THYROID 3 ST

CYTOMEL E

euthyrox 1

levo-t 1

levothyroxine sodium intravenous 1

LEVOTHYROXINE SODIUM ORAL CAPSULE E M

levothyroxine sodium oral tablet 1

levoxyl 1

liothyronine sodium intravenous 1

liothyronine sodium oral 1

methimazole oral 1

NATURE-THROID 3 ST

np thyroid 1

propylthiouracil oral 1

SYNTHROID E

TAPAZOLE 3 PA

THYQUIDITY E

TIROSINT E

TIROSINT-SOL E

TRIOSTAT 3 PA

unithroid 1

WESTHROID 3 ST

WP THYROID 3 ST


132


Immunological Agents - Drugs for Immune System Stimulation or Suppression

ACTEMRA 3 PA; 3P; SP

ACTEMRA ACTPEN 3 PA; 3P; SP

ACTIMMUNE 2 PA; SP

ALFERON N 2 SP

ARCALYST 3 PA; SP

ASCENIV E SP

ASTAGRAF XL 3 SP

ATGAM 2 SP

AVSOLA 2 PA; SP

AZASAN 3

azathioprine oral 1

azathioprine sodium 1

BAMLANIVIMAB 3

BENLYSTA 3 PA; SP

BERINERT 3 PA; SP; QL

BIVIGAM 3 PA; SP

CARIMUNE NF 3 PA; SP

CASIRIVIMAB 3

CELLCEPT 3 PA; SP

CELLCEPT INTRAVENOUS 3 PA; SP

CIMZIA 2 PA; SP

CIMZIA PREFILLED KIT 2 PA; SP

CIMZIA STARTER KIT 2 PA; SP

CINRYZE 3 PA; SP

COSENTYX (300 MG DOSE) E SP

COSENTYX 150 MG/ML E SP

COSENTYX SENSOREADY (300 MG) E SP

COSENTYX SENSOREADY PEN E SP

CUTAQUIG E SP

CUVITRU 3 PA; SP

cyclosporine intravenous 1 SP

cyclosporine modified 1 SP

cyclosporine oral 1 SP

CYTOGAM 2 PA; SP

ENBREL 3 PA; SP

ENBREL MINI 3 PA; SP


133


ENBREL SURECLICK 3 PA; SP

ENSPRYNG 3 PA; SP

ENTYVIO 3 PA; SP

ENVARSUS XR 3 SP

ETESEVIMAB 3

everolimus oral tablet 0.25 mg, 0.5 mg, 0.75 mg 1 SP

FIRAZYR 3 PA; SP; QL

FLEBOGAMMA DIF 3 PA; SP

GAMASTAN 2 PA; SP

GAMIFANT 3 PA; SP

GAMMAGARD 3 PA; SP

GAMMAGARD S/D LESS IGA 3 PA; SP

GAMMAKED 3 PA; SP

GAMMAPLEX 3 PA; SP

GAMUNEX-C 3 PA; SP

gengraf 1 SP

HAEGARDA 3 PA; SP

HEPAGAM B 3

HIZENTRA 3 PA; SP

HUMIRA 2 PA; SP

HUMIRA PEDIATRIC CROHNS START 2 PA; SP

HUMIRA PEN 2 PA; SP

HUMIRA PEN-CD/UC/HS STARTER 2 PA; SP

HUMIRA PEN-PEDIATRIC UC START 2 PA; SP

HUMIRA PEN-PS/UV/ADOL HS START 2 PA; SP

HUMIRA PEN-PSOR/UVEIT STARTER 2 PA; SP

HYPERHEP B 3

HYPERRAB 3 PA

HYPERRAB S/D 3 PA

HYPERRHO S/D 2 SP

HYPERTET S/D 3

HYQVIA 3 PA; SP

icatibant acetate 1 PA; SP; QL

ILARIS 2 PA; SP; QL

ILUMYA 3 PA; SP

IMDEVIMAB 3

IMOGAM RABIES-HT 3 PA

IMURAN 3 PA


134


INFLECTRA 2 PA; SP

KALBITOR 3 PA; SP; QL

KEDRAB 3 PA

KEVZARA 3 PA; SP

KINERET 3 PA; SP

KYMRIAH 3 PA; SP

leflunomide oral 1

methotrexate oral CM

methotrexate sodium (pf) 1

methotrexate sodium injection 1

methotrexate sodium oral CM

MICRHOGAM ULTRA-FILTERED PLUS 2 SP

mycophenolate mofetil hcl 1 SP

mycophenolate mofetil oral 1 SP

mycophenolate sodium 1 SP

MYFORTIC 3 PA; SP

NABI-HB 3

NEORAL 3 PA; SP

NULOJIX 3 SP

OCTAGAM 3 PA; SP

OLUMIANT E SP

ORENCIA 3 PA; 3P; SP

ORENCIA CLICKJECT 3 PA; 3P; SP

ORLADEYO 3 PA; SP; QL

OTEZLA 2 PA; SP

OTREXUP 3 PA; QL

PANZYGA E SP

PRIVIGEN 3 PA; SP

PROGRAF INTRAVENOUS 3 SP

PROGRAF ORAL CAPSULE 3 PA; SP

PROGRAF ORAL PACKET 3 SP

PROVENGE 2 PA; SP

RAPAMUNE 3 PA; SP

RASUVO 2 PA; QL

REDITREX 3 PA; QL

REMICADE E SP

RENFLEXIS E SP

RHOGAM ULTRA-FILTERED PLUS 2 SP


135


RHOPHYLAC 2

RIDAURA 3 SP

RINVOQ 2 PA; SP

RUCONEST 3 PA; SP; QL

SANDIMMUNE INTRAVENOUS 2 PA; SP

SANDIMMUNE ORAL CAPSULE 3 PA; SP

SANDIMMUNE ORAL SOLUTION 2 SP

SILIQ 3 PA; SP

SIMPONI 2 PA; SP

SIMPONI ARIA 2 PA; SP

SIMULECT 3

sirolimus oral 1 SP

SKYRIZI (150 MG DOSE) 2 PA; SP; QL

STELARA INTRAVENOUS 2 PA; SP

STELARA SUBCUTANEOUS 2 PA; SP; QL

SYNAGIS 2 PA; SP

tacrolimus oral 1 SP

TAKHZYRO 3 PA; SP

TALTZ 3 PA; 3P; SP

temsirolimus 1 SP

THYMOGLOBULIN 3

TICE BCG 2 SP

TORISEL 3 PA; SP

TREMFYA 2 PA; SP

TREXALL CM

UPLIZNA 3 PA; SP

VARIZIG 3 PA

WINRHO SDF 2 SP

XATMEP CM

XELJANZ ORAL SOLUTION 3 PA; SP

XELJANZ ORAL TABLET 2 PA; SP

XELJANZ XR 2 PA; SP

XEMBIFY 3 PA; SP

ZINPLAVA 3

ZORTRESS ORAL TABLET 0.25 MG, 0.5 MG, 0.75 MG

3 PA; SP

ZORTRESS ORAL TABLET 1 MG 3 SP


136


Immunological Agents - Drugs for Vaccination

ACTHIB 3

ADACEL 3

AFLURIA QUADRIVALENT 3

ASTRAZENECA COVID-19 VACCINE 3

BCG VACCINE 3

BEXSERO 3

BIOTHRAX 3

BOOSTRIX 3

DAPTACEL 3

DIPHTHERIA-TETANUS TOXOIDS DT 3

ENGERIX-B 3

FLUAD 3

FLUAD QUADRIVALENT 3

FLUARIX QUADRIVALENT 3

FLUBLOK QUADRIVALENT 3

FLUCELVAX QUADRIVALENT 3

FLULAVAL QUADRIVALENT 3

FLUMIST QUADRIVALENT 3

FLUZONE HIGH-DOSE QUADRIVALENT 3

FLUZONE QUADRIVALENT 3

GARDASIL 9 3

HAVRIX 3

HEPLISAV-B 3

HIBERIX 3

IMOVAX RABIES 3

INFANRIX 3

IPOL 3

IXIARO 3

JANSSEN COVID-19 VACCINE 3

KINRIX 3

MENACTRA 3

MENQUADFI 3

MENVEO 3

M-M-R II 3

MODERNA COVID-19 VACCINE 3

PEDIARIX 3


137


PEDVAX HIB 3

PENTACEL 3

PFIZER-BIONTECH COVID-19 VACC 3

PNEUMOVAX 23 3

PREVNAR 13 3

PROQUAD 3

QUADRACEL 3

RABAVERT 3

RECOMBIVAX HB 3

ROTARIX 3

ROTATEQ 3

SHINGRIX 3

STAMARIL 3

TDVAX 3

TENIVAC 3

TETANUS-DIPHTHERIA TOXOIDS TD 3

TRUMENBA 3

TWINRIX 3

TYPHIM VI 3

VAQTA 3

VARIVAX 3

VAXCHORA 3

VAXELIS 3

VIVOTIF 3

YF-VAX 3

Inflammatory Bowel Disease Agents

ana-lex 1 PA

ANUSOL-HC EXTERNAL 3 PA

APRISO 2 PA

ASACOL HD E

AZULFIDINE 3 PA

AZULFIDINE EN-TABS 3 PA

balsalazide disodium 1

budesonide er 1

budesonide oral 1

CANASA E

CORTENEMA 3 PA

CORTIFOAM 3


138


DELZICOL E

DIPENTUM 3 PA

ENTOCORT EC 3 PA

hydrocortisone (perianal) 1

hydrocortisone ace-pramoxine external cream 1-1 %

1

hydrocortisone rectal 1

LIALDA E

lidocaine-hydrocort (perianal) 1 PA

LIDOCAINE-HYDROCORTISONE ACE RECTAL GEL

3 PA

lidocaine-hydrocortisone ace rectal kit 1 PA

LIDOCORT 3 PA

mesalamine er oral capsule 0.375 gm 1

mesalamine oral 1

mesalamine rectal 1

mesalamine-cleanser 1

ORTIKOS ORAL CAPSULE EXTENDED RELEASE 24 HOUR 6 MG

E

PENTASA 3

PROCTOFOAM HC 2

procto-med hc 1

procto-pak 1

proctozone-hc 1

ROWASA 3 PA

SFROWASA 2

sulfasalazine oral 1

UCERIS ORAL E

UCERIS RECTAL 3

Metabolic Bone Disease Agents - Drugs for Osteoporosis

ACTONEL 3 PA; QL

alendronate sodium oral solution 1

alendronate sodium oral tablet 10 mg, 5 mg 1

alendronate sodium oral tablet 35 mg, 70 mg 1 QL

ATELVIA 3 PA; QL

BINOSTO 3 QL

BONIVA 3 PA; QL

calcitonin (salmon) 1 QL


139


EVENITY 3 PA; SP; QL

FORTEO E SP

FOSAMAX 3 PA; QL

FOSAMAX PLUS D 3 PA; QL

ibandronate sodium 1 QL

MIACALCIN INJECTION 3

pamidronate disodium 1 SP

PROLIA 2 PA; SP; QL

RAYALDEE 3

RECLAST 3 PA; SP

risedronate sodium oral tablet 150 mg, 35 mg 1 QL

risedronate sodium oral tablet 30 mg, 5 mg 1

risedronate sodium oral tablet delayed release 1 QL

TERIPARATIDE (RECOMBINANT) 2 PA; SP

TYMLOS 2 PA; SP

XGEVA 2 PA; SP

zoledronic acid 1 SP

Metabolic Bone Disease Agents - Other

calcitriol intravenous 1

calcitriol oral 1

cinacalcet hcl 1 PA

doxercalciferol intravenous 1

doxercalciferol oral 1 PA

HECTOROL INTRAVENOUS SOLUTION 2 MCG/ML

3

HECTOROL INTRAVENOUS SOLUTION 4 MCG/2ML

3 PA

NATPARA 3 PA; SP; QL

paricalcitol 1

PARSABIV 3 SP

ROCALTROL 3 PA

SENSIPAR E

ZEMPLAR 3 PA

Miscellaneous Therapeutic Agents

ACACIA SUBCUTANEOUS 3 PA

ACCU-CHEK ULTRAFLEX INF SET 3

ACETADOTE 3 PA

acetylcysteine intravenous 1

ACREMONIUM 3 PA


140


ADAKVEO 3 PA; SP

ALCOHOL PREP PADS PAD 3

ALCOHOL PREP PADS PAD 70 % 3

ALDER 3 PA

ALPHA-LIPOIC ACID INJECTION 3

ALTERNARIA 3 PA

AMD FOAM DRESSING 3

AMD FOAM DRESSING TOPSHEET 3

AMERICAN BEECH 3 PA

AMERICAN COCKROACH 3 PA

AMERICAN ELM 3 PA

AMINOPMRMS 3 PA

AMPHADASE 3

ANASCORP 3

ANAVIP 3

ANDEXXA 3 PA

ANTIVENIN LATRODECTUS MACTANS 3

ANTIVENIN MICRURUS FULVIUS 3

APP SLIM RMS 3 PA

ARIZONA CYPRESS 3 PA

ARTISS 3

asilnasalrms 1 PA

ASPERGILLUS FUMIGATUS INJECTION 3 PA

AUREOBASIDIUM 3 PA

AUREOBASIDIUM PULLULANS INJECTION 3 PA

AUSTRALIAN PINE 3 PA

AUTOSOFT 30 INFUSION SET 3

AUTOSOFT 90 INFUSION SET 3

AUTOSOFT XC INFUSION SET 3

BACTERIOSTATIC WATER(BENZ ALC) 3

BAHIA 3 PA

bal in oil 1

BALD CYPRESS 3 PA

BAYBERRY (WAX MYRTLE) 3 PA

BERMUDA GRASS 3 PA

BIOFREQUENCY INSOLES 3 PA

BIOGUARD GAUZE SPONGES PAD 4"X4" 3

BIOGUARD ISLAND DRESSINGS 3


141


BIOGUARD NON-ADHERENT DRESSING 3

BLACK WILLOW 3 PA

BOTOX 2 PA; SP

BOTRYTIS 3 PA

BREATHE EASE LARGE 2

BREATHE EASE MEDIUM 2

BREATHE EASE SMALL 2

BRIDION INTRAVENOUS SOLUTION 500 MG/5ML

3 PA

BRIDION SOLUTION 200 MG/2ML INTRAVENOUS

3

BRIDION SOLUTION 200 MG/2ML INTRAVENOUS

3 PA

BROME 3 PA

CALCIUM DISODIUM VERSENATE 3

CALIFORNIA PEPPER TREE 3 PA

CANDIDA ALBICANS EXTRACT 3 PA

CARDIOVID PLUS 3 PA

CARTICEL 3

CAT HAIR EXTRACT 3 PA

CATTLE EPITHELIUM 3 PA

CAYA 3

CEDAR ELM 3 PA

CHLORHEXIDINE GLUCONATE SOLUTION 20 %

3

CLADOSPORIUM CLADOSPORIOIDES INJECTION

3 PA

CLADOSPORIUM CLADOSPORIOIDES SUBCUTANEOUS

3 PA

CLADOSPORIUM SPHAEROSPERMUM 3 PA

CLEVER CHOICE HOLDING CHAMBER 2

COCKLEBUR 3 PA

COENZYME Q-10 INJECTION 3 PA

COMFORT TOUCH ALCOHOL PREP 3

COMPACT SPACE CHAMBER/LG MASK 2

COMPACT SPACE CHAMBER/MED MASK 2

COMPACT SPACE CHAMBER/SM MASK 2

CORN POLLEN 3 PA

CROFAB 3


142


CURITY AMD ANTIMICROBIAL SPNGE PAD 4"X4"

3

CURITY AMD ANTIMICROBIAL STRIP 3

CURITY IODOFORM PACKING STRIP 3

CURVULARIA 3 PA

CYANOKIT 3

CYTOTINE ORAL POWDER 3

DANDELION 3 PA

deferoxamine mesylate 1

DESFERAL 3 PA

dexmedetomidine hcl in nacl intravenous solution 200-0.9 mcg/50ml-%

1

DEXMEDETOMIDINE HCL IN NACL INTRAVENOUS SOLUTION PREFILLED SYRINGE

3

dexmedetomidine hcl in nacl solution 200 mcg/50ml intravenous

1


1 PA


1


1 PA


1


1 PA

DEXMEDETOMIDINE HCL INTRAVENOUS SOLUTION 1000 MCG/10ML, 400 MCG/4ML

3

dexmedetomidine hcl intravenous solution 200 mcg/2ml

1

DEXMEDETOMIDINE HCL-DEXTROSE 3

DIGIFAB 3

diluent for treprostinil 1

DIMERCAPTOPROPANE-SULFONATE 3 PA

DOG EPITHELIUM 3 PA

DOG FENNEL 3 PA

DOJOLVI E

DRECHSLERA 3 PA

DUODOTE 3

DUROLANE 2 PA; SP


143


DUST MITE MIXED ALLERGEN EXT 3 PA

DYSPORT 3 PA; SP

EASIVENT 2

EASTERN COTTONWOOD 3 PA

ELCYS 3 PA

ENDARI 3 PA

ENU PRO3 PLUS 3 PA

EPICOCCUM 3 PA

EPICOCCUM NIGRUM 3 PA

EQUACARE JR 3 PA

ergoloid mesylates oral 1

ESSENTIAL CARE JR 3 PA

EUFLEXXA 2 PA; SP

EXCILON AMD DRAIN SPONGES 3

FEMCAP 3

FIBERSOURCE HN 3 PA

FIRDAPSE E SP

FIRE ANT 3 PA

FLEXICHAMBER ADULT MASK/SMALL 2

FLEXICHAMBER CHILD MASK/LARGE 2

FLEXICHAMBER CHILD MASK/SMALL 2

flumazenil intravenous 1

fomepizole 1

FORA D40G GLUCOSE/PRESSURE 3

formaldehyde external solution 10 % 1 PA

formaldehyde solution 37 % external (rx) 1

formaldehyde solution 37 % external (rx) 1 PA

FUSARIUM 3 PA

GELCLAIR 3 PA

GEL-FLOW 3 PA

GELFOAM-JMI POWDER 3 PA

GELFOAM-JMI SPONGE 3 PA

GEL-ONE E SP

GELSYN-3 2 PA; SP

GENVISC 850 E SP

GERMAN COCKROACH 3 PA

GIVLAARI 3 PA; SP

glutaraldehyde external 1


144


GLYTACTIN BETTERMILK 15 3 PA

GLYTACTIN BETTERMILK DE-LITE 3 PA

GLYTACTIN BUILD 10PE 3 PA

GLYTACTIN BUILD 20/20 3 PA

GLYTACTIN BUILD 20/20 PKU 3 PA

GLYTACTIN BURST 3 PA

GLYTACTIN RESTORE 10 3 PA

GLYTACTIN RESTORE 5 3 PA

GLYTACTIN RESTORE LITE 10 3 PA

GLYTACTIN RESTORE LITE 10PE 3 PA

GLYTACTIN RTD 10 3 PA

GLYTACTIN RTD 15 3 PA

GLYTACTIN RTD LITE 15 3 PA

GLYTACTIN SWIRL 15PE 3 PA

GOLDENROD 3 PA

GRASS POLLEN(K-O-R-T-SWT VERN) 3 PA

GRASTEK 3 PA; QL

HACKBERRY 3 PA

HCU EASY 3 PA

heparin lock flush 1

heparin sodium lock flush 1

HEPMED 3 PA

HOMACTIN AA PLUS 3 PA

HONEY BEE VENOM 3 PA

HONEY BEE VENOM PROTEIN 3 PA

HORSE EPITHELIUM 3 PA

HYALGAN E SP

HYLENEX 3

HYMOVIS E SP

HYRONAN 3 PA

INSPIREASE RESERVOIR BAGS 2

ISOVACTIN AA PLUS 3 PA

IV STABILIZER FOR LUMOXITI 3

JOHNSON GRASS 3 PA

J-TIP KIT W/VIAL ADAPTERS 3

JUNE GRASS POLLEN STANDARDIZED 3 PA

KAPOK 3 PA

KERLIX AMD ANTIMICROBIAL 3


145


KERLIX AMD SUPER SPONGES 3

KETOVIE 3 PA

KETOVIE PEPTIDE 3 PA

KOCHIA 3 PA

LENSCALE 3 PA

MACI 3 PA

MEADOW FESCUE GRASS POLLEN 3 PA

MELALEUCA 3 PA

MESQUITE 3 PA

methergine 1 QL

methylene blue injection 1 PA

methylergonovine maleate injection 1

methylergonovine maleate oral 1 QL

MICROCHAMBER 2

MINIMED 770G INSULIN PUMP SYS 3

MINIMED MIO ADVANCE INFUSE SET 3

MINIMED PUMP RESERVOIR 3ML 3

MINIMED QUICK SET INF SET 18" 3




MINIMED SILHOUETTE INF SET 32" 3

MINIMED SILHOUETTE INF SET 43" 3

MITE (D. FARINAE) 3 PA

MITE (D. PTERONYSSINUS) 3 PA

MIXED ASPERGILLUS 3 PA

MIXED FEATHERS 3 PA

MIXED RAGWEED 3 PA

MIXED VESPID VENOM PROTEIN INJECTION 3 PA

mixed vespid venom protein subcutaneous solution reconstituted 1100-1100-1100 mcg

1 PA

MIXED VESPID VENOM PROTEIN SUBCUTANEOUS SOLUTION RECONSTITUTED 120-120-120 MCG

3 PA

mlk f1 1 PA

mlk f2 1 PA

mlk f3 1 PA

MLK F4 3 PA

MONOVISC E SP


146


MOUNTAIN CEDAR 3 PA

MOUSE EPITHELIUM 3 PA

MSUD EASY 3 PA

MUCOR INJECTION 3 PA

MUCOR SUBCUTANEOUS 3 PA

MUGWORT 3 PA

MYOBLOC 3 PA; SP

NEOKE RA LIPOIC 3

NEXAVIR 3

NITHIODOTE 3

NOURISH 3 PA

NOZIN NASAL SANITIZER POPSWAB 3

ODACTRA 3 PA; QL

OLIVE TREE 3 PA

OMNIPOD 5 PACK 3

OMNIPOD DASH 5 PACK PODS 3

ORAFATE 3 PA

ORALAIR 3 PA; QL

ORALAIR ADULT STARTER PACK 3 PA; QL

ORALAIR CHILDRENS STARTER PACK 3 PA; QL

ORCHARD GRASS POLLEN 3 PA

ORTHOVISC E SP

OXBRYTA E SP

PALFORZIA E SP

PANDA MASK LARGE 2

PANDA MASK MEDIUM 2

PANDA MASK SMALL 2

PARADIGM QUICK-SET 23" 9MM 3

PEDIATRIC PANDA MASK 2

PENICILLIUM NOTATUM INJECTION 3 PA

PENICILLIUM NOTATUM SUBCUTANEOUS 3 PA

PENTETATE CALCIUM TRISODIUM 3

PENTETATE ZINC TRISODIUM 3

PERENNIAL RYE GRASS POLLEN 3 PA

PHENACTIN AA PLUS 3 PA

PHENOL INJECTION 3 PA

PHEXXI E

PHOMA EXIGUA 3 PA


147


PHOTREXA VISCOUS 3

PHOTREXA-PHOTREXA VISCOUS KIT 3

PHYSOSTIGMINE SALICYLATE 3 PA

PKU EASY 3 PA

PKU EASY MICROTABS 3 PA

PKU GO 3 PA

POCKET SPACER 2

PRAXBIND 3 PA

PRECEDEX 3 PA

PRIVET 3 PA

PRO COMFORT SPACER ADULT 2

PRO COMFORT SPACER CHILD 2

PRO COMFORT SPACER INFANT 2

PROCARE SPACER/ADULT MASK 2

PROCARE SPACER/CHILD MASK 2

PROMACTIN AA PLUS 20PE 3 PA

PROTHELIAL 3 PA

PROTOPAM CHLORIDE 3

PROVAYBLUE 3

QUEEN PALM 3 PA

RABBIT EPITHELIUM 3 PA

RADIOGARDASE 3

RAGWITEK 3 PA; QL

RAPPORT RLS 3

RAPPORT VTD 3

RED MAPLE 3 PA

RED MULBERRY 3 PA

RED TOP GRASS POLLEN 3 PA

RHIZOPUS 3 PA

ROUGH MARSH ELDER 3 PA

RUSSIAN THISTLE 3 PA

RUZURGI 3 PA; SP

SACCHAROMYCES CEREVISIAE INJECTION 3 PA

SACCHAROMYCES CEREVISIAE SUBCUTANEOUS

3 PA

SHAGBARK HICKORY 3 PA

SHEEP SORREL 3 PA

SHORT RAGWEED POLLEN EXT 3 PA


148


SILHOUETTE 23" INFUSION SET 3

SILHOUETTE 43" INFUSION SET 3

SILHOUETTE INFUSION SET 18" 3

sodium nitrite intravenous 1

sodium saccharin powder 1

SODIUM THIOSULFATE SOLUTION 25 % INTRAVENOUS

3 PA

sodium thiosulfate solution 25 % intravenous 1

SORBITOL IRRIGATION SOLUTION 3 % 3

sorbitol irrigation solution 3.3 % 1

sorbitol-mannitol 1

SORREL/DOCK MIX 3 PA

SPINY PIGWEED 3 PA

STEMPHYLIUM 3 PA

STERILE DILUENT FLOLAN PH 12 3

sterile diluent/epoprostenol 1

sterile water for injection intravenous 1

sterile water for injection solution injection 1

sterile water for injection solution injection 1 PA

SUPARTZ FX E SP

SURE T INFUSION SET 18"/6MM 3







SWEET GUM 3 PA

SWEET VERNAL GRASS POLLEN 3 PA

SYNVISC E SP

SYNVISC ONE E SP

T: SLIM X2 INS PMP/CONTROL 7.4 3

T:SLIM X2 INS PUMP/CONTROL-IQ 3

T:SLIM X2 INSULIN PMP BASAL IQ 3

T:SLIM X2 INSULIN PMP BASAL6.4 3

T:SLIM X2 INSULIN PMP/RFURB IQ 3

T:SLIM X2/CONTROL-IQ/REFURB 3

TACHOSIL 3


149


TALL RAGWEED 3 PA

TELFA AMD ISLAND DRESSING 3

TELFA AMD NON-ADHERENT 3

THRIVACIN 30 3 PA

THRIVACIN DETOX 3 PA

TIMOTHY GRASS POLLEN ALLERGEN 3 PA

TISSEEL 3

TRICHOPHYTON 3 PA

TRICHOPHYTON MENTAGROPHYTES 3 PA

TRILURON E SP

TRIVISC E SP

TRUE COMFORT PRO ALCOHOL PREP 3

TRUSTEEL INFUSION SET 3

TYLACTIN BUILD 20PE TYR 3 PA

TYLACTIN RESTORE 10 3 PA

TYLACTIN RESTORE 5PE 3 PA

TYLACTIN RTD 15 3 PA

TYR EASY 3 PA

VARISOFT INFUSION SET 3

VENOMIL HONEY BEE VENOM 3 PA

VENOMIL MIXED VESPID VENOM 3 PA

VENOMIL WASP VENOM 3 PA

VENOMIL WHITE FACED HORNET 3 PA

VENOMIL YELLOW HORNET VENOM 3 PA

VENOMIL YELLOW JACKET VENOM 3 PA

VILACTIN AA PLUS 3 PA

VILTEPSO 3 PA; SP

VISCO-3 E SP

VISTOGARD 3

VITRASE 3

WASP VENOM PROTEIN 3 PA

WESTERN JUNIPER 3 PA

WHITE BIRCH 3 PA

WHITE FACED HORNET VENOM 3 PA

WHITE MULBERRY 3 PA

WHITE OAK 3 PA

WHITE PINE 3 PA

WHITE-FACED HORNET VENOM 3 PA


150


WIDE-SEAL DIAPHRAGM 60 3








XEOMIN 3 PA; SP

XIAFLEX 2 PA; SP

YELLOW DOCK 3 PA

YELLOW HORNET VENOM PROTEIN 3 PA

YELLOW JACKET VENOM PROTEIN 3 PA

ZOKINVY 3 PA; SP; QL

Ophthalmic Agents - Drugs for Eye Allergy, Infection and Inflammation

ACULAR 3 PA

ACULAR LS 3 PA

ACUVAIL 3 PA

ALOCRIL 3 PA

ALOMIDE 3

ALREX 3 PA

AZASITE 3

azelastine hcl ophthalmic 1

bacitracin ophthalmic 1

BEPREVE 3 PA

BESIVANCE 3

BETADINE OPHTHALMIC PREP 3

BLEPH-10 3 PA

bromfenac sodium (once-daily) 1 QL

BROMSITE E

CILOXAN OPHTHALMIC OINTMENT 3

CILOXAN OPHTHALMIC SOLUTION 3 PA

ciprofloxacin hcl ophthalmic 1

cromolyn sodium ophthalmic 1

dexamethasone sodium phosphate ophthalmic 1

DEXTENZA 3 PA; SP

DEXYCU 3


151


diclofenac sodium ophthalmic 1

DUREZOL 3 PA

epinastine hcl 1

erythromycin ophthalmic 1

EYSUVIS 3 PA

FLAREX 3

fluorometholone 1

flurbiprofen sodium 1

FML 2

FML FORTE 3

FML LIQUIFILM 3 PA

gatifloxacin ophthalmic 1

gentak 1

gentamicin sulfate ophthalmic 1

ILEVRO E

ILUVIEN 3 PA; SP

INVELTYS 3

ketorolac tromethamine ophthalmic 1

KLARITY-A 3 PA

KLARITY-L 3 PA

levofloxacin ophthalmic 1

LOTEMAX OPHTHALMIC GEL 3 PA; QL

LOTEMAX OPHTHALMIC OINTMENT 3 PA; QL

LOTEMAX OPHTHALMIC SUSPENSION E

LOTEMAX SM 3

loteprednol etabonate ophthalmic gel 1 QL

loteprednol etabonate ophthalmic suspension 1

MAXIDEX 3

MITOMYCIN INTRAOCULAR 3 PA

MITOSOL 3

MOXEZA 2 PA

moxifloxacin hcl (2x day) 1

MOXIFLOXACIN HCL INTRAOCULAR SOLUTION

3 PA

MOXIFLOXACIN HCL INTRAOCULAR SOLUTION PREFILLED SYRINGE 0.16 %

3

MOXIFLOXACIN HCL INTRAOCULAR SOLUTION PREFILLED SYRINGE 0.3 MG/0.3ML

3 PA


152


moxifloxacin hcl ophthalmic solution 1

MOXIFLOXACIN HCL OPHTHALMIC SOLUTION PREFILLED SYRINGE

3 PA

NATACYN 2

NEVANAC E

OCUFLOX 3 PA

ofloxacin ophthalmic 1

olopatadine hcl ophthalmic 1

OZURDEX 3 PA; SP

POVIDONE-IODINE OPHTHALMIC 3

PRED FORTE E

PRED MILD 3

PREDNISOL ACE-MOXIFLOX-BROMFEN 3 PA

prednisolone acetate ophthalmic 1

prednisolone acetate p-f 1 PA

prednisolone sodium phosphate ophthalmic 1

PREDNISOLON-MOXIFLOX-NEPAFENAC 3 PA

PROLENSA 2 QL

RETISERT 3 PA; SP

sulfacetamide sodium ophthalmic 1

tobramycin ophthalmic 1

TOBREX OPHTHALMIC OINTMENT 3

TOBREX OPHTHALMIC SOLUTION 3 PA

TRIESENCE 3

trifluridine 1

UPNEEQ 3 PA

VANCOMYCIN HCL OPHTHALMIC 3

VIGAMOX E

YUTIQ 3 PA; SP

ZERVIATE E

ZIRGAN 3

ZYMAXID 3 PA

Ophthalmic Agents - Drugs for Glaucoma

acetazolamide er 1

acetazolamide oral 1

ALPHAGAN P OPHTHALMIC SOLUTION 0.1 % 2

ALPHAGAN P OPHTHALMIC SOLUTION 0.15 %

E

apraclonidine hcl 1


153


AZOPT 2 PA

betaxolol hcl ophthalmic 1

BETIMOL 3

BETOPTIC-S 3

bimatoprost ophthalmic 1 QL

brimonidine tartrate ophthalmic 1

BRIMONIDINE-DORZOLAMIDE 3 PA

brinzolamide 1

carteolol hcl 1

COMBIGAN 2

COSOPT E

COSOPT PF E

DORZOLAMIDE HCL SOLUTION 2 % OPHTHALMIC

3

dorzolamide hcl solution 2 % ophthalmic 1

dorzolamide hcl-timolol mal 1

dorzolamide hcl-timolol mal pf 1

DURYSTA 3 PA

EPINEPHRINE HCL 3

IOPIDINE 3

ISOPTO CARPINE 3 PA

ISTALOL 3 PA

KEVEYIS 3 PA; SP; QL

latanoprost ophthalmic 1

LATANOPROST-TIMOLOL MALEATE 3 PA

levobunolol hcl 1

LUMIGAN 2 QL

methazolamide oral 1

PHOSPHOLINE IODIDE 2

pilocarpine hcl ophthalmic 1

RHOPRESSA 3 QL

ROCKLATAN 3 QL

SIMBRINZA 2

timolol maleate ophthalmic gel forming solution 1 PA

timolol maleate ophthalmic solution 1

timolol maleate pf 1

TIMOLOL-BRIMON-DORZOL-LATANOPR 3 PA

TIMOLOL-BRIMONIDINE-DORZOLAMID 3 PA


154


TIMOLOL-DORZOLAMID-LATANOPROST 3 PA

TIMOPTIC E

TIMOPTIC OCUDOSE E

TIMOPTIC-XE E

TRAVATAN Z 3 PA; QL

travoprost (bak free) 1 QL

TRUSOPT 3 PA

VYZULTA E

XALATAN E

XELPROS 3 ST; QL

ZIOPTAN E

Ophthalmic Agents - Drugs for Miscellaneous Eye Conditions

ACUICYN 3 PA

ak-poly-bac 1

AKTEN 3

ALCAINE 3 PA

ALTACAINE 3

altafrin 1

AMVISC 3

AMVISC PLUS 3

atropine sulfate ophthalmic ointment 1

ATROPINE SULFATE OPHTHALMIC SOLUTION 0.01 %

3 PA

atropine sulfate ophthalmic solution 1 % 1

AVENOVA 3 PA

bacitracin-polymyxin b ophthalmic 1

bacitra-neomycin-polymyxin-hc 1

balanced salt 1

BEOVU E SP

BEVACIZUMAB 3 SP

BIOLON 3

BLEPHAMIDE 3

BLEPHAMIDE S.O.P. 3

BSS 3

bss plus solution intraocular 1

BSS PLUS SOLUTION INTRAOCULAR 3

CEQUA E

CHONDROITIN SULFATE OPHTHALMIC 3 PA


155


CYCLOGYL 3 PA

CYCLOMYDRIL 3

cyclopentolate hcl ophthalmic 1

CYCLOSPORINE IN KLARITY 3 PA

CYSTADROPS 3 PA; SP; QL

CYSTARAN 3 PA; SP; QL

DEXAMETHASONE-MOXIFLOXACIN 3 PA

DEXAMETH-MOXIFLOX-KETOROLAC 3 PA

EYLEA 3 PA; SP

GELFILM OPHTHALMIC 3 PA

HEALON 3

HEALON GV 3

HEALON PRO 3 PA

HEALON5 3

HEALON5 PRO 3 PA

homatropaire 1

HYALURONIDASE (INTRAOCULAR) 3

HYPOCYN 3 PA

ISOPTO ATROPINE 3

LACRISERT 3

LASTACAFT 3 PA

LATISSE E

LIDOCAINE-EPINEPHRINE INTRAOCULAR 3 PA

LIDOCAINE-PHENYLEPHRINE 3 PA

LIDOCAINE-PHENYLEPHRINE-BSS 3 PA

LUCENTIS 2 PA; SP

LUXTURNA 3 PA; SP

MAXITROL 3 PA

MEMBRANEBLUE 3

MIOCHOL-E 3

MIOSTAT 3

MOXIFLOXACIN HCL-BSS 3 PA

neomycin-bacitracin zn-polymyx 1

neomycin-polymyxin-dexameth ophthalmic ointment

1

neomycin-polymyxin-dexameth ophthalmic suspension 3.5-10000-0.1

1

neomycin-polymyxin-gramicidin 1

neomycin-polymyxin-hc ophthalmic 1


156


neo-polycin 1

neo-polycin hc 1

OMIDRIA 3

OXERVATE 3 PA; SP; QL

PHENYLEPHRINE HCL INTRAOCULAR 3

phenylephrine hcl ophthalmic 1

polycin 1

polymyxin b-trimethoprim 1

POLYTRIM 3 PA

PRED-G 3

PRED-G S.O.P. 3

PREDNISOLONE ACETATE-NEPAFENAC 3 PA

PREDNISOLONE ACET-MOXIFLOXACIN 3 PA

PREDNISOLONE-BROMFENAC 3 PA

PREDNISOLONE-GATIFLOXACIN 3 PA

PREDNISOLONE-MOXIFLOXACIN 3 PA

PREDNISOLON-GATIFLOX-BROMFENAC 3 PA

PREDNISOLON-MOXIFLOX-BROMFENAC 3 PA

proparacaine hcl ophthalmic 1

PROVISC 3

RESTASIS 2 PA

RESTASIS MULTIDOSE 2 PA

sulfacetamide-prednisolone ophthalmic solution 1

tetracaine hcl ophthalmic 1

TOBRADEX OPHTHALMIC OINTMENT 3

TOBRADEX OPHTHALMIC SUSPENSION E

TOBRADEX ST 3

tobramycin-dexamethasone 1

TRIAMCINOLONE-MOXIFLOXACIN 3 PA

TROPICAMIDE-CYCLOPENTOLATE-PE SOLUTION 1-1-2.5 % OPHTHALMIC

3

TROPICAMIDE-CYCLOPENTOLATE-PE SOLUTION 1-1-2.5 % OPHTHALMIC

3 PA

TROPICAMIDE-PHENYLEPHRINE 3 PA

TROPIC-CYCLOPENT-PE-KETOROLAC 3 PA

TROPIC-CYCLOP-PE-KETO-PROPAR 3 PA

TROPIC-PROPARACA-PE-KETOROLAC 3 PA

VISIONBLUE 3

VISUDYNE 3 SP


157


XIIDRA 2 PA

ZYLET 3

Otic Agents - Drugs for Ear Conditions

acetic acid otic 1

CETRAXAL 3 PA

CIPRO HC 3

CIPRODEX E

ciprofloxacin hcl otic 1 ST

ciprofloxacin-dexamethasone 1

CIPROFLOXACIN-FLUOCINOLONE PF 3 PA

CORTISPORIN-TC 3

DERMOTIC 3 PA

flac 1

fluocinolone acetonide otic 1

hydrocortisone-acetic acid 1

neomycin-polymyxin-hc otic 1

ofloxacin otic 1

OTIPRIO 3 PA

OTOVEL 3 PA

PRAMOTIC 3

Respiratory Tract / Pulmonary Agents - Drugs for Allergies, Cough, Cold

ADRENALIN NASAL 3 PA

azelastine hcl nasal 1 QL

azelastine-fluticasone 1 QL

BECONASE AQ 3 QL

benzonatate 1

BROMPHENIRAMINE MALEATE INTRAMUSCULAR

3 PA

carbinoxamine maleate oral solution 1

carbinoxamine maleate oral tablet 4 mg 1

carbinoxamine maleate oral tablet 6 mg 1 PA

cetirizine hcl oral solution 1

CINQAIR 3 PA; SP

CLARINEX E

CLARINEX-D 12 HOUR E

clemastine fumarate oral tablet 2.68 mg 1

CUROSURF 3

cyproheptadine hcl oral 1


158


desloratadine 1

dexchlorpheniramine maleate oral 1 PA

DI-PHEN 3 PA

diphen oral elixir 1

diphenhydramine hcl injection 1

diphenhydramine hcl oral elixir 1

DYMISTA 2 PA; QL

FASENRA 2 PA; SP

FASENRA PEN 2 PA; SP

flunisolide nasal 1 QL

fluticasone propionate nasal 1

GILPHEX TR 3 PA

HYCODAN 3 PA; QL

hydrocodone polst-chlorphen polst er susp 1 PA; QL

hydrocodone-homatropine 1 PA; QL

hydromet 1 PA; QL

HYPERSAL 3

INFASURF 3

ipratropium bromide nasal 1

KARBINAL ER 3 PA

levocetirizine dihydrochloride oral 1

mometasone furoate nasal 1 QL

NASONEX E

NEOTUSS PLUS 3 PA

NUCALA 2 PA; SP; QL

olopatadine hcl nasal 1 QL

OMNARIS 3 QL

PATANASE 3 PA; QL

PHENERGAN 3 PA

promethazine hcl injection 1

promethazine hcl oral 1

promethazine hcl rectal 1

promethazine vc 1

promethazine vc/codeine 1 PA; QL

promethazine-codeine 1 PA; QL

promethazine-dm 1

promethazine-phenyleph-codeine 1 PA; QL

promethazine-phenylephrine 1


159


promethegan 1

pseudoephedrine-bromphen-dm 1

QNASL 3 QL

QNASL CHILDRENS 3 QL

QUZYTTIR 3 PA

RYCLORA 3 PA

ryvent 1

SINUVA 3 PA

sodium chloride inhalation 1

SSKI 3 PA

SURVANTA 3

TESSALON PERLES 3 PA

TUSSICAPS 3 PA; QL

TUXARIN ER 3 PA; QL

TUZISTRA XR 3 PA; QL

XHANCE E

XOLAIR 2 PA; SP

ZETONNA 3 QL

Respiratory Tract / Pulmonary Agents - Drugs for Asthma and Other Lung Conditions

ACCOLATE 3 PA

acetylcysteine inhalation 1

ADRENALIN INJECTION SOLUTION 1 MG/ML 3

ADRENALIN INJECTION SOLUTION 30 MG/30ML

3 PA

ADVAIR DISKUS 2 PA; QL

ADVAIR HFA 2 QL

ADYPHREN 3 PA

ADYPHREN AMP 3 PA

ADYPHREN AMP II 3 PA

ADYPHREN II 3 PA

AIRDUO DIGIHALER E

AIRDUO RESPICLICK 113/14 E



albuterol sulfate er 1

albuterol sulfate hfa aerosol solution 108 (90 base) mcg/act inhalation

1 QL


160


ALBUTEROL SULFATE HFA AEROSOL SOLUTION 108 (90 BASE) MCG/ACT INHALATION

E M

albuterol sulfate inhalation nebulization solution (2.5 mg/3ml) 0.083%, 0.63 mg/3ml, 1.25 mg/3ml

1 QL

albuterol sulfate inhalation nebulization solution 2.5 mg/0.5ml

1

ALBUTEROL SULFATE NEBULIZATION SOLUTION (5 MG/ML) 0.5% INHALATION

2 PA

albuterol sulfate nebulization solution (5 mg/ml) 0.5% inhalation

1

albuterol sulfate oral 1

ALVESCO E

aminophylline intravenous 1

ANORO ELLIPTA 2 QL

ARALAST NP 3 PA; SP

ARMONAIR DIGIHALER E

ARNUITY ELLIPTA 2 QL

ASMANEX (120 METERED DOSES) E





ASMANEX HFA E

ATROVENT HFA 3 QL

AUVI-Q INJECTION SOLUTION AUTO-INJECTOR 0.1 MG/0.1ML

3 QL

AUVI-Q INJECTION SOLUTION AUTO-INJECTOR 0.15 MG/0.15ML, 0.3 MG/0.3ML

E

BEVESPI AEROSPHERE E

BREO ELLIPTA 2 QL

BREZTRI AEROSPHERE 2 QL

BROVANA 3 QL

budesonide inhalation 1 QL

BUDESONIDE-FORMOTEROL FUMARATE E M

COMBIVENT RESPIMAT 2 QL

cromolyn sodium inhalation 1

DALIRESP 3 PA

DUAKLIR PRESSAIR E

DULERA E


161


ELIXOPHYLLIN 2

epinephrine (anaphylaxis) 1

epinephrine injection solution auto-injector 1

EPINEPHRINE PROFESSIONAL 3 PA

EPINEPHRINESNAP-EMS 3 PA

EPINEPHRINESNAP-V 3 PA

EPIPEN 2-PAK 3 PA

EPIPEN JR 2-PAK E

EPISNAP 3 PA

ESBRIET 3 PA; SP

FLOVENT DISKUS 2 QL

FLOVENT HFA 2 QL

fluticasone-salmeterol inhalation aerosol powder breath activated 100-50 mcg/dose, 250-50 mcg/dose, 500-50 mcg/dose

1 QL

FLUTICASONE-SALMETEROL INHALATION AEROSOL POWDER BREATH ACTIVATED 113-14 MCG/ACT, 232-14 MCG/ACT, 55-14 MCG/ACT

1 QL

GLASSIA 3 PA; SP

INCRUSE ELLIPTA E

ipratropium bromide inhalation 1 QL

ipratropium-albuterol 1 QL

isoproterenol hcl injection 1

ISOPROTERENOL-SODIUM CHLORIDE 3 PA

ISUPREL 3 PA

levalbuterol hcl inhalation 1 QL

LEVALBUTEROL HFA INHALATION AEROSOL 45 MCG/ACT

E M

LONHALA MAGNAIR REFILL KIT 3 QL

LONHALA MAGNAIR STARTER KIT 3 QL

montelukast sodium oral 1

OFEV 3 PA; SP

PERFOROMIST 3 QL

PROAIR DIGIHALER E

PROAIR HFA 2 QL

PROAIR RESPICLICK 2 QL

PROLASTIN-C 3 PA; SP

PROVENTIL HFA E

PULMICORT FLEXHALER 2 QL


162


PULMICORT SUSPENSION E

QVAR REDIHALER E

SCLEROSOL INTRAPLEURAL 3

SEEBRI NEOHALER E

SEREVENT DISKUS 2 QL

SINGULAIR E

SPIRIVA HANDIHALER 2 QL

SPIRIVA RESPIMAT 2 QL

STERILE TALC POWDER 3

STERITALC 3

STIOLTO RESPIMAT 2 QL

STRIVERDI RESPIMAT 2 QL

SYMBICORT 2 QL

SYMJEPI 3

terbutaline sulfate injection 1

terbutaline sulfate oral 1

THEO-24 3

theophylline 1

theophylline er 1

theophylline in d5w 1

TRELEGY ELLIPTA 2 QL

TUDORZA PRESSAIR E

UTIBRON NEOHALER E

VENTOLIN HFA 2 QL

wixela inhub 1 QL

XOPENEX NEB 3 PA; QL

XOPENEX CONCENTRATE 3 PA; QL

XOPENEX HFA E

YUPELRI 3 QL

zafirlukast 1

ZEMAIRA 3 PA; SP

zileuton er 1 ST

ZYFLO 3 ST

Respiratory Tract / Pulmonary Agents - Drugs for Cystic Fibrosis

BETHKIS E SP

CAYSTON E SP

KALYDECO 3 PA; SP


163


KITABIS PAK E SP

ORKAMBI 3 PA; SP; QL

PULMOZYME 2 PA; SP

SYMDEKO 3 PA; SP; QL

TOBI NEBULIZER E SP

TOBI PODHALER 3 SP; QL

tobramycin inhalation nebulization solution 300 mg/4ml

1 SP; QL

tobramycin nebulization solution 300 mg/5ml inhalation

1 SP; QL

TOBRAMYCIN NEBULIZATION SOLUTION 300 MG/5ML INHALATION

E M; SP

TRIKAFTA 3 PA; SP; QL

Respiratory Tract / Pulmonary Agents - Drugs for Pulmonary Hypertension

ADCIRCA E SP

ADEMPAS 2 PA; SP; QL

alyq 1 PA; SP; QL

ambrisentan 1 PA; SP; QL

bosentan 1 PA; SP; QL

epoprostenol sodium 1 PA; SP

FLOLAN 3 PA; SP

LETAIRIS E SP

OPSUMIT 2 PA; SP; QL

ORENITRAM 3 PA; SP

REMODULIN E SP

REVATIO INTRAVENOUS 3 PA; SP

sildenafil citrate intravenous 1 PA; SP

sildenafil citrate oral suspension reconstituted 1 PA; SP; QL

sildenafil citrate oral tablet 20 mg 1 PA; SP; QL

tadalafil (pah) 1 PA; SP; QL

TRACLEER 62.5 MG, 125 MG E SP

TRACLEER 32 MG 3 PA; SP; QL

treprostinil 1 PA; SP

TYVASO 3 PA; SP; QL

TYVASO REFILL 3 PA; SP; QL

TYVASO STARTER 3 PA; SP; QL

UPTRAVI 3 PA; SP; QL

VELETRI 3 PA; SP


164


VENTAVIS 3 PA; SP; QL

Skeletal Muscle Relaxants - Drugs for Muscle Pain and Spasm

AMRIX E

baclofen oral 1

carisoprodol oral 1

chlorzoxazone oral tablet 250 mg, 375 mg, 750 mg

1 PA

chlorzoxazone oral tablet 500 mg 1

cyclobenzaprine hcl er 1 PA

cyclobenzaprine hcl oral tablet 5 mg 1

cyclobenzaprine hcl oral tablet 7.5 mg 1 PA

cyclobenzaprine hcl tablet 10 mg oral 1

cyclobenzaprine hcl tablet 10 mg oral 1 PA

DANTRIUM 3 PA

dantrolene sodium intravenous 1

dantrolene sodium oral 1

METAXALL CP 3 PA

metaxalone 1

methocarbamol injection 1

methocarbamol oral 1

NORGESIC FORTE E

orphenadrine citrate er 1

orphenadrine citrate injection 1

orphenadrine-asa-caffeine 1 PA

ORPHENGESIC FORTE E M

OZOBAX E

revonto 1

ROBAXIN 3 PA

ROBAXIN-750 3 PA

RYANODEX 3

SKELAXIN E

SOMA E

tizanidine hcl oral 1

VANADOM E

ZANAFLEX E

Sleep Disorder Agents

AMBIEN E

AMBIEN CR E


165


AMYTAL SODIUM 3 PA

armodafinil 1 PA; QL

BELSOMRA 3 ST; QL

DAYVIGO 3 ST; QL

doxepin hcl oral tablet 1 QL

EDLUAR 3 ST; QL

eszopiclone 1 QL

flurazepam hcl 1 PA; QL

HETLIOZ 3 PA; SP; QL

LUNESTA E

modafinil 1 PA; QL

NUVIGIL E

PROVIGIL E

ramelteon 1 QL

RESTORIL E

ROZEREM 3 PA; QL

SILENOR 3 PA; QL

SUNOSI 2 PA; QL

temazepam 1 QL

WAKIX 3 PA; SP; QL

XYREM 3 PA; SP; QL

XYWAV 3 PA; SP; QL

zaleplon 1 QL

zolpidem tartrate er 1 QL

zolpidem tartrate oral 1 QL

zolpidem tartrate sublingual 1 PA; QL

ZOLPIMIST 3 ST; QL


166

Index of Drugs

1ST MEDX-PATCH/ LIDOCAINE.................................97T LIDO...................................... 9abacavir sulfate.........................48abacavir sulfate-lamivudine...... 48abacavir-lamivudine-zidovudine.................................49ABELCET..................................30ABILIFY.....................................47ABILIFY MAINTENA................. 47ABILIFY MYCITE...................... 47abiraterone acetate................... 35ABRAXANE.............................. 35ABSORICA............................... 74ABSORICA LD..........................74ACACIA...................................140acamprosate calcium................ 14ACANYA................................... 74acarbose................................... 88ACCOLATE.............................160ACCUCAINE...............................9ACCU-CHEK AVIVA DEVICE...90ACCU-CHEK AVIVA PLUS KIT W/DEVICE..........................90ACCU-CHEK COMPACT PLUS CONTROL...................... 90ACCU-CHEK COMPACT PLUS TEST STRIPS................ 90ACCU-CHEK FASTCLIX LANCET KIT............................. 90ACCU-CHEK GUIDE CONTROL................................ 90ACCU-CHEK GUIDE KIT W/DEVICE................................ 90ACCU-CHEK GUIDE TEST STRIPS..................................... 90ACCU-CHEK SMARTVIEW CONTROL................................ 90ACCU-CHEK SMARTVIEW TEST STRIPS...........................90ACCU-CHEK SOFTCLIX LANCET DEVICE KIT...............90ACCU-CHEK ULTRAFLEX INF SET.................................. 140ACCUPRIL................................55ACCURETIC............................. 56accutane................................... 74ACD FORMULA A.................... 23ACD-A NOCLOT-50..................23acebutolol hcl............................ 56ACETADOTE.......................... 140acetaminophen........................... 1

ACETAMINOPHEN.....................1acetaminophen-codeine..............1acetaminophen-codeine #2.........1acetaminophen-codeine #3.........1acetaminophen-codeine #4.........1acetazolamide.........................153acetazolamide er.....................153acetazolamide sodium.............. 56acetic acid....................... 115, 158acetylcysteine................. 140, 160ACIOXIAY................................. 74ACIPHEX................................ 109ACIPHEX SPRINKLE............. 109acitretin..................................... 74ACREMONIUM....................... 140ACTEMRA.............................. 133ACTEMRA ACTPEN...............133ACTHAR................................. 122ACTHIB...................................137ACTICLATE.............................. 15ACTIMMUNE.......................... 133ACTIQ......................................... 1ACTIVASE................................ 23ACTIVE FE............................... 97ACTIVE INJECTION BLM-1... 117ACTIVE INJECTION BM.........117ACTIVE INJECTION D........... 117ACTIVE INJECTION DL......... 117ACTIVE INJECTION DLM...... 117ACTIVE INJECTION KET-L........6ACTIVE INJECTION KETMARC-L............................... 6ACTIVE INJECTION KIT L..... 117ACTIVE INJECTION KL-3...... 117ACTIVE INJECTION KM.........117ACTIVE INJECTION LM-2..........9ACTIVE INJECTION LM-DEP-2.............................................. 117ACTIVE INJECTION M-1........117ACTIVELLA.............................124ACTONEL............................... 139ACTOPLUS MET...................... 88ACUICYN................................155ACULAR................................. 151ACULAR LS............................ 151ACUVAIL.................................151acyclovir.................................... 49acyclovir sodium....................... 49ACZONE................................... 74ADACEL..................................137ADAINZDE................................74ADAINZOXIA............................ 74

ADAKVEO...............................141adapalene................................. 74ADAPALENE............................ 74ADAPALENE-BENZOYL PER-CLINDAMY............................... 74ADAPALENE-BENZOYL PER-NIACINAM................................ 74adapalene-benzoyl peroxide.....74ADAPALENE-BENZOYL PEROXIDE............................... 74ADASUVE.................................47adc/f (0.5mg/ml)........................ 97ADCETRIS................................35ADCIRCA................................164ADDERALL............................... 68ADDERALL XR......................... 68adefovir dipivoxil ....................... 49ADEMPAS.............................. 164ADENOCARD........................... 56adenosine................................. 56ADHANSIA XR..........................68ADIPEX-P................................. 70ADLYXIN...................................88ADLYXIN STARTER PACK...... 88ADMELOG................................ 95ADMELOG SOLOSTAR........... 95ADRENALIN................... 158, 160adriamycin.................................35ADVAIR DISKUS.................... 160ADVAIR HFA.......................... 160ADVANCED ALLERGY COLLECTION........................... 74ADVATE....................................53ADYNOVATE............................53ADYPHREN............................ 160ADYPHREN AMP................... 160ADYPHREN AMP II................ 160ADYPHREN II......................... 160ADZENYS ER........................... 68ADZENYS XR-ODT.................. 68AEMCOLO................................ 15AFINITOR................................. 36AFINITOR DISPERZ.................35afirmelle.................................. 124AFLURIA QUADRIVALENT....137AFREZZA..................................95AFSTYLA.................................. 53AGAMATRIX CONTROL LEVEL 2....................................91AGAMATRIX CONTROL LEVEL 4....................................91AGAMATRIX PRESTO TEST...91

167

AGGRASTAT............................46AGONEAZE................................ 9AGRYLIN.................................. 53AIMOVIG...................................33AIRDUO DIGIHALER..............160AIRDUO RESPICLICK 113/14160AIRDUO RESPICLICK 232/14160AIRDUO RESPICLICK 55/14..160AJOVY...................................... 33AKLIEF......................................74AKOVAZ................................... 56ak-poly-bac............................. 155AKTEN.................................... 155AKYNZEO.................................29ALA SCALP.............................. 74ala-cort...................................... 74albendazole...............................44albuterol sulfate.......................161ALBUTEROL SULFATE......... 161albuterol sulfate er.................. 160albuterol sulfate hfa.................160ALBUTEROL SULFATE HFA. 161ALCAINE.................................155alclometasone dipropionate...... 74ALCOHOL PREP PADS... 74, 141ALDACTAZIDE......................... 56ALDACTONE............................ 56ALDER.................................... 141ALDURAZYME....................... 114ALECENSA...............................36alendronate sodium................ 139ALEVAMAX...............................75ALEVICYN ANTIPRURITIC...... 75ALEVICYN ANTIPRURITIC SG.............................................75ALEVICYN DERMAL SPRAY... 75alfentanil hcl................................ 1ALFERON N........................... 133alfuzosin hcl er........................ 117ALIMTA..................................... 36ALINIA.......................................44ALIQOPA.................................. 36aliskiren fumarate......................56ALKERAN................................. 36ALKINDI SPRINKLE............... 117allopurinol..................................33allopurinol sodium..................... 33ALLZITAL....................................1almotriptan malate.................... 33ALOCRIL.................................151ALOGLIPTIN BENZOATE........ 88ALOGLIPTIN-METFORMIN HCL...........................................88

ALOGLIPTIN-PIOGLITAZONE. 88ALOMIDE................................151ALOPRIM..................................33ALORA....................................124alosetron hcl............................110ALOXI....................................... 29ALPHAGAN P......................... 153ALPHA-LIPOIC ACID..............141ALPHANATE.............................53ALPHANINE SD........................53alprazolam................................ 52alprazolam er............................ 52alprazolam intensol................... 52alprazolam xr............................ 52ALPROLIX................................ 53alprostadil ..................................56ALREX.................................... 151ALTABAX..................................15ALTACAINE............................ 155ALTACE.................................... 56altafrin..................................... 155altavera................................... 124ALTERNARIA......................... 141ALTOPREV...............................56ALTRENO................................. 75ALUNBRIG................................36ALVESCO............................... 161alvimopan................................110alyacen 1/35............................124alyacen 7/7/7...........................124alyq......................................... 164amabelz.................................. 124amantadine hcl..........................45AMARYL................................... 88AMBIEN.................................. 165AMBIEN CR............................ 165AMBISOME...............................30ambrisentan............................ 164amcinonide................................75AMD FOAM DRESSING.........141AMD FOAM DRESSING TOPSHEET.............................141AMELUZ................................... 75AMERGE.................................. 33AMERICAN BEECH................141AMERICAN COCKROACH.....141AMERICAN ELM.....................141amethia................................... 124amethia lo............................... 124amethyst................................. 125AMICAR.................................... 53amikacin sulfate........................ 15amiloride hcl..............................56

amiloride-hydrochlorothiazide... 56AMINO ACID.............................97aminoacetic acid..................... 115aminoamrms............................. 97aminocaproic acid..................... 53aminophylline.......................... 161AMINOPMRMS.......................141AMINOPROTECT..................... 97aminoreliefrms.......................... 97AMINOSYN II............................97AMINOSYN-PF......................... 97amiodarone hcl......................... 56AMIODARONE HCL IN DEXTROSE.............................. 56AMITIZA..................................110amitriptyline hcl......................... 27amlodipine besylate.................. 56amlodipine besylate-benazepril hcl............................................. 56amlodipine besylate-valsartan.. 56amlodipine-atorvastatin.............56amlodipine-olmesartan..............56amlodipine-valsartan-hctz......... 56ammonium lactate.....................75AMMONUL..............................114amnesteem............................... 75amoxapine................................ 27amoxicill-clarithro-lansopraz... 110amoxicillin................................. 15amoxicillin-potassium clavulanate................................15amoxicillin-potassium clavulanate er............................15AMPHADASE......................... 141AMPHETAMINE ER..................68amphetamine sulfate.................68amphetamine-dextroamphetamine.................. 68amphetamine-dextroamphetamine er.............. 68ampicillin................................... 15ampicillin sodium.......................15ampicillin-sulbactam sodium..... 15AMPYRA...................................69AMRIX.....................................165AMVISC.................................. 155AMVISC PLUS........................155AMYTAL SODIUM.................. 166AMZEEQ...................................75ANACAINE................................75anagrelide hcl............................53ana-lex.................................... 138ANASCORP............................141

168

ANASPAZ............................... 110anastrozole............................... 36ANAVIP...................................141ANCOBON................................30ANDEXXA...............................141ANDRODERM........................ 121ANDROGEL............................121ANDROGEL PUMP................ 121ANECTINE................................70ANGELIQ................................ 125ANGIOMAX...............................23ANJESO......................................7ANNOVERA............................125ANODYNE LPT...........................9ANORO ELLIPTA................... 161ANTARA................................... 56ANTICOAGULANT SODIUM CITRATE...................................23ANTIVENIN LATRODECTUS MACTANS.............................. 141ANTIVENIN MICRURUS FULVIUS.................................141ANUSOL-HC...........................138ANZEMET.................................29APADAZ......................................1apap-caff-dihydrocodeine........... 1APEXICON E............................ 75APIDRA SOLOSTAR................ 95APIDRA VIAL............................95APLENZIN................................ 27APOKYN................................... 45APP SLIM RMS...................... 141apraclonidine hcl..................... 153aprepitant.................................. 29apri.......................................... 125APRISO.................................. 138APRIZIO PAK............................. 9APRIZIO PAK II.......................... 9APTENSIO XR..........................68APTIOM.................................... 24APTIVUS...................................49AQUACEL AG BURN............... 75AQUASOL A............................. 97ARAKODA................................ 44ARALAST NP..........................161aranelle................................... 125ARANESP (ALBUMIN FREE)...53ARAZLO....................................75ARCALYST............................. 133ARESTIN.................................. 72argatroban.................................23argatroban in sodium chloride...23ARGININE HCL........................ 97

argyle sterile saline................... 97argyle sterile water....................97ARICEPT.................................. 26ARIKAYCE................................15ARIMIDEX.................................36aripiprazole............................... 47ARISTADA................................ 47ARISTADA INITIO.................... 47ARIXTRA.................................. 23ARIZONA CYPRESS..............141armodafinil .............................. 166ARMONAIR DIGIHALER........ 161ARMOUR THYROID...............132ARNUITY ELLIPTA.................161AROMASIN...............................36ARRANON................................ 36arsenic trioxide..........................36ARTHROTEC..............................7ARTICADENT DENTAL..............9ARTISS................................... 141ARZERRA.................................36ARZOL SILVER NIT APPLICATORS.........................75ASACOL HD........................... 138ASCENIV................................ 133ASCLERA................................. 56ascomp-codeine..........................1ASCOR..................................... 97ASCORBIC ACID................97, 98ascorbic acid............................. 98asenapine maleate....................47ashlyna....................................125asilnasalrms............................ 141ASMANEX (120 METERED DOSES).................................. 161ASMANEX (14 METERED DOSES).................................. 161ASMANEX (30 METERED DOSES).................................. 161ASMANEX (60 METERED DOSES).................................. 161ASMANEX (7 METERED DOSES).................................. 161ASMANEX HFA...................... 161ASPARLAS............................... 36ASPERGILLUS FUMIGATUS.141aspirin-dipyridamole er..............47ASPIRIN-OMEPRAZOLE......... 47ASSURE PLATINUM................ 91ASTAGRAF XL....................... 133ASTERO................................... 10ASTRAZENECA COVID-19 VACCINE................................ 137

ASTRINGYN............................. 53ATABEX OB..............................98ATACAND.................................56ATACAND HCT........................ 56atazanavir sulfate......................49ATELVIA................................. 139atenolol..................................... 56atenolol-chlorthalidone..............56ATGAM................................... 133ATIVAN..................................... 52atomoxetine hcl.........................68ATOPADERM........................... 75ATOPICLAIR.............................75atorvastatin calcium.................. 56atovaquone............................... 44atovaquone-proguanil hcl..........44atracurium besylate...................70ATRALIN...................................75ATRIPLA................................... 49ATROPEN...............................110atropine sulfate....... 110, 111, 155ATROPINE SULFATE.... 110, 155ATROVENT HFA.................... 161AUBAGIO..................................70aubra.......................................125aubra eq..................................125AUGMENTIN............................ 15AUGMENTIN ES-600............... 15AUREOBASIDIUM..................141AUREOBASIDIUM PULLULANS........................... 141aurovela 1.5/30....................... 125aurovela 1/20.......................... 125aurovela 24 fe......................... 125aurovela fe 1.5/30................... 125aurovela fe 1/20...................... 125AURYXIA................................ 115AUSTEDO.................................70AUSTRALIAN PINE................ 141AUTOLET LANCING DEVICE.. 91AUTOSOFT 30 INFUSION SET......................................... 141AUTOSOFT 90 INFUSION SET......................................... 141AUTOSOFT XC INFUSION SET......................................... 141AUVI-Q....................................161AVALIDE...................................56AVANDIA.................................. 88AVAPRO................................... 56AVAR CLEANSER....................75AVAR LS CLEANSER.............. 75AVAR-E EMOLLIENT............... 75

169

AVAR-E GREEN.......................75AVAR-E LS............................... 75AVASTIN...................................36AVEED....................................121AVEIDAOXIA............................ 75AVENOVA...............................155aviane..................................... 125avidoxy......................................15AVIDOXY DK............................ 15AVITA........................................75AVODART...............................117AVONEX PEN...........................70AVONEX PREFILLED.............. 70AVSOLA..................................133AVYCAZ....................................15AYGESTIN..............................125ayuna...................................... 125AYVAKIT...................................36azacitidine................................. 36AZACTAM.................................15AZASAN..................................133AZASITE................................. 151azathioprine............................ 133azathioprine sodium................133AZEDRA DOSIMETRIC............36AZEDRA THERAPEUTIC......... 36azelaic acid............................... 75AZELAIC ACID-NIACINAMIDE.75azelastine hcl.................. 151, 158azelastine-fluticasone............. 158AZELEX.................................... 75AZESCHEW PRENATAL/POSTNATAL.........98AZESCO................................... 98AZILECT................................... 45azithromycin..............................15AZOPT.................................... 154AZOR........................................ 56aztreonam................................. 15AZULFIDINE........................... 138AZULFIDINE EN-TABS.......... 138azurette................................... 125B-12 COMPLIANCE INJECTION............................... 98bac.............................................. 1bacitracin...........................15, 151bacitracin-polymyxin b............ 155bacitra-neomycin-polymyxin-hc................................................ 155baclofen.................................. 165BACTERIOSTATIC WATER(BENZ ALC)............... 141BACTRIM..................................15

BACTRIM DS............................15BAFIERTAM............................. 70BAHIA..................................... 141bal in oil ...................................141balanced salt...........................155BALCOLTRA...........................125BALD CYPRESS.................... 141balsalazide disodium...............138balsam peru-castor oil ...............75BALVERSA............................... 36balziva.....................................125BAMLANIVIMAB..................... 133BANZEL.................................... 24BAQSIMI ONE PACK............... 95BAQSIMI TWO PACK...............95BARACLUDE............................ 49BARHEMSYS........................... 29BASAGLAR KWIKPEN............. 95BAVENCIO............................... 36BAXDELA................................. 16BAYBERRY (WAX MYRTLE). 141BCG VACCINE....................... 137BD AUTOSHIELD DUO PEN NEEDLES................................. 95BD ULTRA-FINE INSULIN SYRINGES............................... 95BD ULTRA-FINE PEN NEEDLES................................. 95BD VEO INSULIN SYR U/F 1/2UNIT.....................................95BECONASE AQ......................158bekyree................................... 125BELBUCA................................... 1BELEODAQ.............................. 36belladonna alkaloids-opium.... 111BELRAPZO...............................36BELSOMRA............................ 166benazepril hcl............................56benazepril-hydrochlorothiazide. 56BENDEKA.................................36BENEFIX...................................53BENICAR.................................. 56BENICAR HCT..........................56BENLYSTA............................. 133BENSAL HP..............................75BENTYL.................................. 111BENZ PER-CLIND-NIACIN-TRETIN..................................... 75BENZAC AC WASH..................75BENZACLIN..............................75BENZACLIN WITH PUMP........ 75benzalkonium chloride.............. 16BENZAMYCIN.......................... 75

BENZEPRO.............................. 76benzepro................................... 76BENZEPRO CREAMY WASH.. 75BENZEPRO FOAMING CLOTHS................................... 76BENZEPRO SHORT CONTACT.................................76BENZHYDROCODONE-ACETAMINOPHEN.....................1BENZNIDAZOLE...................... 44BENZO-LIDOCAINE-TETRACAINE........................... 10benzonatate............................ 158BENZOYL PEROX-HYDROCORTISONE................76benzoyl peroxide.......................76BENZOYL PEROXIDE..............76BENZOYL PEROXIDE FORTE- HC.............................. 76benzoyl peroxide-erythromycin. 76benzphetamine hcl....................70benztropine mesylate................45BEOVU................................... 155BEPREVE............................... 151BERINERT..............................133BERMUDA GRASS................ 141BESER......................................76beser......................................... 76BESIVANCE........................... 151BESPONSA.............................. 36BETA 1 KIT............................. 117BETADINE OPHTHALMIC PREP...................................... 151BETALIDO.............................. 117BETALOAN SUIK................... 117BETAMETHASONE COMBO. 117betamethasone dipropionate.... 76betamethasone dipropionate aug............................................ 76BETAMETHASONE DIPROP-MINOXIDIL................................76BETAMETHASONE SOD PHOS & ACET................117, 118betamethasone sod phos & acet......................................... 118BETAMETHASONE SODIUM PHOSPHATE..........................118betamethasone valerate........... 76BETAPACE AF......................... 57BETASERON............................70betaxolol hcl...................... 57, 154bethanechol chloride...............115BETHKIS.................................163

170

BETIMOL................................ 154BETOPTIC-S.......................... 154BEVACIZUMAB...................... 155BEVESPI AEROSPHERE.......161bexarotene................................ 36BEXSERO...............................137BEYAZ.................................... 125bicalutamide..............................36BICILLIN C-R............................ 16BICILLIN C-R 900/300.............. 16BICILLIN L-A.............................16BICNU.......................................36BIDIL......................................... 57BIJUVA................................... 125BIKTARVY................................ 49BILTRICIDE.............................. 44bimatoprost............................. 154BINOSTO................................139BIOFREQUENCY INSOLES...141BIOGUARD GAUZE SPONGES.............................. 141BIOGUARD ISLAND DRESSINGS...........................141BIOGUARD NON-ADHERENT DRESSING............................. 142BIOLON.................................. 155BIORPHEN............................... 57BIO-STATIN..............................30bio-statin................................... 30BIOTEL CARE BLOOD GLUCOSE................................ 91BIOTEL CARE BLOOD GLUCOSE SYST...................... 91BIOTHRAX..............................137bisoprolol fumarate................... 57bisoprolol-hydrochlorothiazide.. 57BIVALIRUDIN RTU................... 23bivalirudin trifluoroacetate......... 23BIVALIRUDIN-SODIUM CHLORIDE............................... 23BIVIGAM................................. 133BLACK WILLOW.....................142BLENREP................................. 36bleomycin sulfate...................... 36BLEPH-10............................... 151BLEPHAMIDE.........................155BLEPHAMIDE S.O.P.............. 155BLINCYTO................................ 36blisovi 24 fe............................. 125blisovi fe 1.5/30....................... 125blisovi fe 1/20.......................... 125BLOOD GLUCOSE TEST.........91BLOXIVERZ..............................34

BOCASAL................................. 72BONIVA.................................. 139BONJESTA............................... 29BOOSTRIX............................. 137BORTEZOMIB.......................... 36bosentan................................. 164BOSULIF...................................36BOTOX................................... 142BOTRYTIS.............................. 142bp 10-1......................................76bp cleansing wash.................... 76bp wash.....................................76BPCO........................................76BRAFTOVI................................ 36BREATHE EASE LARGE....... 142BREATHE EASE MEDIUM.....142BREATHE EASE SMALL........142BREO ELLIPTA...................... 161BRETYLIUM TOSYLATE..........57BREVIBLOC............................. 57BREVIBLOC IN NACL.............. 57BREVIBLOC PREMIXED..........57BREVIBLOC PREMIXED DS....57BREZTRI AEROSPHERE.......161BRIDION................................. 142briellyn.....................................125BRILINTA..................................47brimonidine tartrate................. 154BRIMONIDINE-DORZOLAMIDE......................154BRINEURA............................. 114brinzolamide............................154BRISDELLE.............................. 27BRIVIACT................................. 24BROME...................................142bromfenac sodium (once-daily)................................................ 151bromocriptine mesylate.............45BROMPHENIRAMINE MALEATE............................... 158BROMSITE............................. 151BROVANA.............................. 161BRUKINSA................................36BRYHALI...................................76BSP 0820................................118BSS.........................................155bss plus...................................155BSS PLUS.............................. 155budesonide..................... 138, 161budesonide er......................... 138BUDESONIDE-FORMOTEROL FUMARATE..161bumetanide............................... 57

BUMEX..................................... 57BUNAVAIL................................ 14BUPHENYL.............................114bupivacaine fisiopharma........... 10BUPIVACAINE HCL..................10bupivacaine hcl......................... 10bupivacaine hcl (pf)...................10bupivacaine-epinephrine...........10bupivacaine-epinephrine (pf).... 10BUPIVILOG.............................118BUPRENEX................................ 1buprenorphine.............................1buprenorphine hcl................. 1, 14buprenorphine hcl-naloxone hcl............................................. 14bupropion hcl............................ 27bupropion hcl er (smoking det). 14bupropion hcl er (sr)..................27bupropion hcl er (xl).................. 27BUPROPION HCL ER (XL)...... 27buspirone hcl.............................52busulfan.................................... 36BUSULFEX............................... 37butalbital-acetaminophen............1BUTALBITAL-ACETAMINOPHEN.....................1butalbital-apap-caff-cod.............. 1butalbital-apap-caffeine...............1butalbital-asa-caff-codeine..........1butalbital-aspirin-caffeine............ 1butorphanol tartrate.....................1BUTRANS...................................1BYDUREON BCISE AUTOINJECTOR...................... 88BYETTA 10 MCG PEN............. 89BYETTA 5 MCG PEN............... 89BYNFEZIA PEN...................... 122BYSTOLIC................................ 57cabergoline............................. 122CABLIVI.................................... 47CABOMETYX........................... 37CADIRAMD...............................10CAFCIT..................................... 71CAFERGOT.............................. 33caffeine citrate...........................71CAFFEINE-SODIUM BENZOATE...............................71CALAN SR................................ 57CALCIFOL................................ 98calcipotriene..............................76CALCIPOTRIENE..................... 76calcipotriene-betameth diprop...76

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CALCIPOTRIENE-CLOBETASOL PROP...............76calcitonin (salmon).................. 139CALCITRENE........................... 76calcitriol............................. 76, 140calcium acetate....................... 115calcium acetate (phos binder).115CALCIUM CHLORIDE.............. 98calcium chloride........................ 98CALCIUM DISODIUM VERSENATE.......................... 142calcium gluconate..................... 98CALCIUM GLUCONATE.......... 98CALCIUM GLUCONATE-NACL........................................ 98calcium-folic acid plus d............ 98CALDOLOR................................ 7CALIFORNIA PEPPER TREE 142CALQUENCE............................37CAMBIA...................................... 7camila......................................125CAMPATH................................ 37CAMPTOSAR........................... 37camrese.................................. 125camrese lo.............................. 125CANASA................................. 138CANCIDAS............................... 30candesartan cilexetil ................. 57candesartan cilexetil-hctz..........57CANDIDA ALBICANS EXTRACT............................... 142CANTHARIDIN......................... 76CAPASTAT SULFATE..............35capecitabine..............................37CAPEX......................................76CAPLYTA..................................47CAPRELSA...............................37captopril .................................... 57captopril-hydrochlorothiazide.... 57CARAC..................................... 76CARAFATE.............................109CARBAGLU.............................. 98carbamazepine......................... 24carbamazepine er..................... 24CARBATROL............................ 24carbidopa.................................. 45carbidopa-levodopa.................. 45carbidopa-levodopa er.............. 46carbidopa-levodopa-entacapone............................... 46carbinoxamine maleate...........158CARBOCAINE.......................... 10

CARBOCAINE PRESERVATIVE-FREE............10carboplatin................................ 37CARDENE IV............................ 57CARDIOVID PLUS..................142CARDIZEM............................... 57CARDIZEM LA..........................57CARDURA................................ 57CARDURA XL.........................117CARETOUCH CONTROL SOL LEVEL 2....................................91CARETOUCH LANCING/EJECTOR................ 91CARETOUCH TEST................. 91CARIMUNE NF....................... 133carisoprodol............................ 165carisoprodol-aspirin-codeine.......1carmustine................................ 37CARNITOR............................... 98CARNITOR SF..........................98CAROSPIR............................... 57carteolol hcl.............................154cartia xt..................................... 57CARTICEL.............................. 142carvedilol...................................57carvedilol phosphate er.............57cascara sagrada..................... 111CASIRIVIMAB.........................133CASODEX................................ 37caspofungin acetate..................30CAT HAIR EXTRACT............. 142CATAPRES-TTS-1................... 57CATAPRES-TTS-2................... 57CATAPRES-TTS-3................... 57CATHFLO ACTIVASE.............. 23CATTLE EPITHELIUM............142cavarest.................................... 72CAYA...................................... 142CAYSTON...............................163caziant.....................................125CEDAR ELM........................... 142cefaclor..................................... 16cefaclor er................................. 16cefadroxil ...................................16CEFAZOLIN IN SODIUM CHLORIDE............................... 16cefazolin sodium....................... 16CEFAZOLIN SODIUM.............. 16cefazolin sodium-dextrose........ 16CEFAZOLIN SODIUM-DEXTROSE.............................. 16cefdinir...................................... 16cefepime hcl..............................16

cefepime-dextrose.................... 16cefixime.....................................16CEFOTAN.................................16cefotaxime sodium.................... 16cefotetan disodium....................16cefotetan disodium-dextrose.....16cefoxitin sodium........................ 16CEFOXITIN SODIUM-DEXTROSE.............................. 16cefpodoxime proxetil ................. 16cefprozil .....................................16ceftazidime................................16ceftazidime and dextrose.......... 16ceftriaxone sodium....................16ceftriaxone sodium in dextrose. 16ceftriaxone sodium-dextrose.....17cefuroxime axetil ....................... 17cefuroxime sodium....................17CELEBREX.................................7celecoxib..................................... 7CELESTONE SOLUSPAN......118CELEXA....................................27CELLCEPT............................. 133CELLCEPT INTRAVENOUS.. 133CELONTIN................................24CEM-UREA...............................76CENTANY.................................17CENTANY AT........................... 17CENTRATEX............................ 98cephalexin.................................17CEQUA................................... 155CEQUR SIMPLICITY 2U.......... 91CEQUR SIMPLICITY STARTER................................. 91CERACADE.............................. 76CERAMAX................................ 77CERDELGA............................ 114CEREBYX.................................24CEREZYME............................ 114cerovel...................................... 77cetirizine hcl............................ 158CETRAXAL............................. 158CETROTIDE........................... 122cevimeline hcl........................... 72CHANTIX.................................. 14CHANTIX CONTINUING MONTH PAK.............................14CHANTIX STARTING MONTH PAK...........................................14charlotte 24 fe......................... 125chateal.................................... 125chateal eq............................... 125CHEMET...................................98

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CHEMSTRIP UGK.................... 91CHENODAL............................ 111CHLOOXIA............................... 77chloramphenicol sod succinate.17chlordiazepoxide hcl................. 52chlordiazepoxide-amitriptyline...27chlordiazepoxide-clidinium......111chlorhexidine gluconate............ 72CHLORHEXIDINE GLUCONATE..........................142chloroprocaine hcl (pf).............. 10chloroquine phosphate..............44chlorothiazide sodium............... 57chlorpromazine hcl....................47chlorthalidone............................57chlorzoxazone.........................165CHOLBAM.............................. 114CHOLECAL DF.........................98cholestyramine..........................57cholestyramine light.................. 57CHONDROITIN SULFATE..... 155chorionic gonadotropin............122CHROMAGEN.......................... 98chromic chloride........................98ciclodan.....................................30ciclopirox................................... 30ciclopirox olamine..................... 30ciclopirox treatment...................30CICLOPIROX-CLOBETASOL...77CICLOPIROX-CLOBETASOL-SAL ACID..................................77CICLOPIROX-SALICYLIC ACID......................................... 77cidofovir.....................................49CIFEREX.................................. 98cilostazol................................... 47CILOXAN................................ 151CIMDUO................................... 49cimetidine................................109cimetidine hcl.......................... 109CIMETIDINE-LIDO-SALICYLIC ACID...................... 77CIMZIA....................................133CIMZIA PREFILLED KIT.........133CIMZIA STARTER KIT........... 133cinacalcet hcl.......................... 140CINQAIR................................. 158CINRYZE................................ 133CINVANTI................................. 29CIPRO.......................................17CIPRO HC.............................. 158CIPRODEX............................. 158ciprofloxacin hcl........ 17, 151, 158

ciprofloxacin in d5w...................17ciprofloxacin-dexamethasone. 158CIPROFLOXACIN-FLUOCINOLONE PF.............. 158cisatracurium besylate.............. 71cisatracurium besylate (pf)........71cisplatin..................................... 37CISPLATIN............................... 37citalopram hydrobromide.......... 27CITANEST FORTE DENTAL....10CITANEST PLAIN DENTAL......10CITRANATAL BLOOM..............98CITRANATAL MEDLEY............98CLADOSPORIUM CLADOSPORIOIDES............. 142CLADOSPORIUM SPHAEROSPERMUM............ 142cladribine...................................37claravis......................................77CLARINEX.............................. 158CLARINEX-D 12 HOUR..........158clarithromycin............................17clarithromycin er........................17clemastine fumarate................158CLENPIQ................................ 111CLEOCIN.................................. 17CLEOCIN PHOSPHATE...........17CLEOCIN-T...............................77CLEVER CHOICE HOLDING CHAMBER.............................. 142CLEVIPREX..............................57CLIMARA................................ 125CLIMARA PRO....................... 125CLINDACIN ETZ.......................77clindacin etz.............................. 77CLINDACIN PAC...................... 77clindacin-p.................................77CLINDAGEL..............................77CLINDAMY-BENZOYL PER-NIACINAM................................ 77clindamycin hcl..........................17clindamycin palmitate hcl.......... 17CLINDAMYCIN PHOS-NIACINAMIDE.......................... 77clindamycin phosphate....... 17, 77CLINDAMYCIN PHOSPHATE.. 77clindamycin phosphate in d5w.. 17CLINDAMYCIN PHOSPHATE IN NACL....................................17clindamycin phosphate-benzoyl peroxide.......................77CLINDAMYCIN-NIACIN-TRETINOIN...............................77

clindamycin-tretinoin................. 77CLINDESSE..............................17CLIND-NIACIN-SPIRONOLAC-TRETIN............ 77CLINIMIX E/DEXTROSE (2.75/5)......................................98CLINIMIX E/DEXTROSE (4.25/10)....................................98CLINIMIX E/DEXTROSE (4.25/5)......................................98CLINIMIX E/DEXTROSE (5/15).........................................98CLINIMIX E/DEXTROSE (5/20).........................................98CLINIMIX E/DEXTROSE (8/10).........................................99CLINIMIX E/DEXTROSE (8/14).........................................99CLINIMIX/DEXTROSE (4.25/10)....................................99CLINIMIX/DEXTROSE (4.25/5) 99CLINIMIX/DEXTROSE (5/15)... 99CLINIMIX/DEXTROSE (5/20)... 99CLINIMIX/DEXTROSE (6/5)..... 99CLINIMIX/DEXTROSE (8/10)... 99CLINIMIX/DEXTROSE (8/14)... 99CLINISOL SF............................ 99CLINOLIPID.............................. 99CLINPRO 5000......................... 72clobazam...................................24clobetasol prop emollient base. 77clobetasol propionate................77clobetasol propionate e.............77clobetasol propionate emulsion 77CLOBETASOL PROP-LEVOCETIRIZINE.................... 77CLOBETASOL PROP-NIACINAMIDE.......................... 77CLOBETAVIX........................... 77CLOBEX................................... 77CLOBEX SPRAY...................... 77clocortolone pivalate................. 77CLODAN................................... 77clodan....................................... 78CLODERM................................ 78clofarabine................................ 37CLOLAR....................................37clomiphene citrate...................122clomipramine hcl....................... 27clonazepam...............................52clonidine....................................58clonidine hcl.............................. 58clonidine hcl er.......................... 69

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clopidogrel bisulfate.................. 47clorazepate dipotassium........... 52clotrimazole...............................30clotrimazole-betamethasone.....30clovique.....................................99clozapine...................................47CLOZARIL................................ 47COAGADEX..............................53coal tar...................................... 78COARTEM................................ 44COCAINE HCL......................... 10COCKLEBUR..........................142codeine sulfate............................1COENZYME Q-10...................142COGENTIN............................... 46COLCHICINE............................33colchicine.................................. 33colchicine-probenecid............... 33COLCRYS.................................33colesevelam hcl........................ 58COLESTID................................ 58COLESTID FLAVORED............58colestipol hcl............................. 58colistimethate sodium (cba)...... 17COLY-MYCIN M....................... 17COMBIGAN............................ 154COMBIPATCH........................ 125COMBIVENT RESPIMAT....... 161COMBIVIR................................ 49COMETRIQ...............................37COMFORT TOUCH ALCOHOL PREP.................... 142COMPACT SPACE CHAMBER/LG MASK............. 142COMPACT SPACE CHAMBER/MED MASK..........142COMPACT SPACE CHAMBER/SM MASK............ 142COMPLERA..............................49compro...................................... 29COMTAN.................................. 46CONCERTA..............................69CONDYLOX..............................78CONJUPRI................................58CONSENSI............................... 58constulose...............................111CONTOUR CONTROL SOLUTION................................91CONTOUR MONITOR DEVICE.....................................91CONTOUR MONITOR KIT W/DEVICE................................ 91

CONTOUR NEXT CONTROL SOLUTION................................91CONTOUR NEXT EZ KIT W/DEVICE................................ 91CONTOUR NEXT LINK............ 91CONTOUR NEXT MONITOR KIT W/DEVICE..........................91CONTOUR NEXT ONE KIT......91CONTOUR NEXT TEST STRIPS..................................... 91CONTOUR TEST STRIPS........91CONTRAST ALLERGY PREMED PACK......................118CONTRAVE.............................. 71CONZIP...................................... 1COPAXONE..............................70COPIKTRA................................37CORDRAN................................78COREG.....................................58COREG CR...............................58coremino................................... 17CORIFACT................................54CORLANOR..............................58CORLOPAM............................. 58CORN POLLEN...................... 142CORTEF................................. 118CORTENEMA......................... 138CORTIFOAM.......................... 138CORTISPORIN......................... 78CORTISPORIN-TC................. 158CORVERT................................ 58CORVITE 150........................... 99CORVITE FE............................ 99COSENTYX (300 MG DOSE).133COSENTYX 150 MG/ML........ 133COSENTYX SENSOREADY (300 MG).................................133COSENTYX SENSOREADY PEN.........................................133COSMEGEN............................. 37COSOPT.................................154COSOPT PF........................... 154COTELLIC................................ 37COTEMPLA XR-ODT............... 69COZAAR................................... 58CREON................................... 114CRESEMBA..............................30CRESTOR................................ 58CRINONE............................... 125CRIXIVAN................................. 49CROFAB................................. 142cromolyn sodium.....111, 151, 161crotan........................................ 44

cryselle-28...............................125CRYSVITA.............................. 114CUPRIC CHLORIDE.................99CUPRIMINE............................115CURITY AMD ANTIMICROBIAL SPNGE...... 143CURITY AMD ANTIMICROBIAL STRIP........ 143CURITY IODOFORM PACKING STRIP.................... 143curity sterile saline.................... 99CUROSURF............................158CURVULARIA.........................143CUTAQUIG............................. 133CUTIVATE................................ 78CUVITRU................................ 133CUVPOSA.............................. 111cyanocobalamin........................ 99CYANOCOBALAMIN................ 99CYANOKIT..............................143cyclafem 1/35..........................126cyclafem 7/7/7.........................126cyclobenzaprine hcl................ 165cyclobenzaprine hcl er............ 165CYCLOGYL............................ 156CYCLOMYDRIL...................... 156cyclopentolate hcl................... 156cyclophosphamide.................... 37CYCLOPHOSPHAMIDE........... 37cycloserine................................ 35CYCLOSET...............................89cyclosporine............................ 133CYCLOSPORINE IN KLARITY................................................ 156cyclosporine modified............. 133CYKLOKAPRON.......................54CYMBALTA...............................27cyproheptadine hcl..................158CYRAMZA................................ 37cyred....................................... 126cyred eq.................................. 126CYSTADANE.......................... 114CYSTADROPS....................... 156CYSTAGON............................114CYSTARAN............................ 156cytarabine................................. 37cytarabine (pf)........................... 37CYTOGAM..............................133CYTOMEL...............................132CYTOTEC...............................109CYTOTINE..............................143cytra k crystals.......................... 99D.H.E. 45.................................. 33

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dacarbazine.............................. 37DACOGEN................................37dactinomycin............................. 37dalfampridine er........................ 70DALIRESP.............................. 161DALVANCE...............................17danazol................................... 121DANDELION........................... 143DANTRIUM............................. 165dantrolene sodium.................. 165DANYELZA............................... 37dapsone.............................. 35, 78DAPSONE................................ 78DAPSONE-NIACINAMIDE........78DAPSONE-NIACINAMIDE-SPIRONOLAC.......................... 78DAPTACEL............................. 137daptomycin................................17DARAPRIM............................... 44darifenacin hydrobromide er... 115DARZALEX............................... 37DARZALEX FASPRO............... 37dasetta 1/35............................ 126dasetta 7/7/7........................... 126daunorubicin hcl........................37DAURISMO...............................37DAYPRO.....................................7daysee.................................... 126DAYTRANA.............................. 69DAYVIGO................................166DDAVP....................................122DDAVP RHINAL TUBE...........122DEBACTEROL..........................73deblitane................................. 126DECADRON........................... 118decitabine..................................37deferasirox................................ 99deferasirox granules................. 99deferiprone................................99deferoxamine mesylate...........143DEFITELIO............................... 47DELESTROGEN.....................126DELSTRIGO............................. 49DELUO......................................78delyla.......................................126DELZICOL.............................. 139demeclocycline hcl....................17DEMEROL.................................. 2DEMSER...................................58DENAVIR.................................. 49DENTA 5000 PLUS.................. 73DENTAGEL...............................73DEOXIA.................................... 78

DEPAKOTE.............................. 24DEPAKOTE ER........................ 24DEPAKOTE SPRINKLES......... 24DEPEN TITRATABS...............115DEPO-ESTRADIOL................ 126DEPO-MEDROL..................... 118DEPO-PROVERA................... 126DEPO-SUBQ PROVERA 104.126DEPO-TESTOSTERONE....... 121DERMACINRX CLORHEXACIN........................ 73DERMACINRX EMPRICAINE.. 10DERMACINRX PRIZOPAK.......10DERMACINRX PUREFOLIX.... 99DERMACINRX SURGICAL COMBOPAK............................. 78DERMACINRX SURGICAL PHARMAPAK........................... 73DERMA-SMOOTHE/FS BODY.78DERMA-SMOOTHE/FS SCALP...................................... 78DERMOTIC.............................158DERMULCERA.........................78DERPIXA.................................. 78DESCOVY................................ 49DESFERAL............................. 143desipramine hcl.........................27desloratadine.......................... 159desmopressin ace spray refrig 122desmopressin acetate.............122desmopressin acetate spray... 122desogestrel-ethinyl estradiol... 126DESONATE.............................. 78desonide................................... 78DESOWEN............................... 78desoximetasone........................78DESVENLAFAXINE ER............27desvenlafaxine succinate er......27DETROL................................. 115DETROL LA............................ 115DEXABLISS............................ 118DEXAMETH SOD PHOS-BUPIV-EPIN............................118dexamethasone...................... 118DEXAMETHASONE (LA)........118DEXAMETHASONE ACE & SOD PHOS............................. 118dexamethasone intensol......... 118DEXAMETHASONE SOD PHOS-BUPIV..........................118DEXAMETHASONE SOD PHOS-NACL........................... 118

dexamethasone sod phosphate pf........................... 118dexamethasone sodium phosphate....................... 118, 151DEXAMETHASONE SODIUM PHOSPHATE..........................118DEXAMETHASONE-MOXIFLOXACIN.....................156DEXAMETH-MOXIFLOX-KETOROLAC..........................156dexchlorpheniramine maleate.159DEXCOM G4 / G5 / G6 RECEIVER, TRANSMITTER, SENSOR (INCLUDING PLATINUM, PLATINUM PEDIATRIC)..............................91DEXERYL................................. 78DEXIFOL...................................99DEXILANT.............................. 109DEXLIDO................................ 118DEXLIDO-M............................ 118DEXMEDETOMIDINE HCL.... 143dexmedetomidine hcl.............. 143dexmedetomidine hcl in nacl...143DEXMEDETOMIDINE HCL IN NACL...................................... 143DEXMEDETOMIDINE HCL-DEXTROSE............................ 143dexmethylphenidate hcl............ 69dexmethylphenidate hcl er........ 69DEXONTO 0.4%..................... 118DEXPANTHENOL.....................99dexrazoxane hcl........................37DEXTENZA.............................151dextroamphetamine sulfate.......69dextroamphetamine sulfate er.. 69dextrose.................................... 99DEXTROSE.............................. 99DEXYCU................................. 151DFS DR/MS/MENTH/CAP PAK.............................................7DFS/MS/MENTH/CAP PAK........ 7DIACOMIT................................ 24DIADIMAXIA............................. 78DIAOXIA................................... 78DIASDIMAXIA...........................78DIASOXIA................................. 78DIASTAT ACUDIAL.................. 24DIASTAT PEDIATRIC...............24DIATHRIVE BLOOD GLUCOSE METER...................91DIATHRIVE BLOOD GLUCOSE TEST...................... 91

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DIATHRIVE GLUCOSE CONTROL SOLN......................91DIATHRIVE GLUCOSE TEST.. 91DIATHRIVE LANCING DEVICE.....................................91DIATHRIVE+ GLUCOSE MONITOR................................. 91DIATHRIVE+ GLUCOSE TEST.........................................91diazepam............................ 24, 52DIAZEPAM................................52diazepam intensol..................... 52diazoxide...................................95DIBENZYLINE.......................... 58DICLEGIS................................. 29DICLOFENAC.............................7DICLOFENAC EPOLAMINE.......7diclofenac potassium.................. 7diclofenac sodium......... 7, 78, 152diclofenac sodium er................... 7diclofenac-misoprostol................ 7DICLOFENAC-NA HYALURON-NIACIN.................79DICLOFONO...............................7DICLOPR.................................... 7DICLOVIX................................... 7dicloxacillin sodium................... 17dicyclomine hcl........................111diethylpropion hcl...................... 71diethylpropion hcl er..................71DIFFERIN................................. 79DIFICID..................................... 17diflorasone diacetate.................79DIFLUCAN................................ 31diflunisal...................................... 7DIFMETIOXRIME..................... 31DIGIFAB..................................143digitek........................................58digox......................................... 58digoxin.......................................58dihydroergotamine mesylate.....33DILANTIN..................................24DILANTIN INFATABS............... 24DILATRATE-SR........................ 58DILAUDID................................... 2diltiazem hcl.............................. 58diltiazem hcl er.......................... 58diltiazem hcl er beads............... 58diltiazem hcl er coated beads... 58DILTIAZEM HCL-DEXTROSE.. 58DILTIAZEM HCL-SODIUM CHLORIDE............................... 58dilt-xr......................................... 58

DILUENT FOR LEFAMULIN.....99diluent for treprostinil ...............143dimenhydrinate......................... 29DIMERCAPTOPROPANE-SULFONATE.......................... 143dimethyl fumarate..................... 70dimethyl fumarate starter pack..70DIMOXIA...................................79DIOCHLOY............................... 79DIOVAN.................................... 58DIOVAN HCT............................58DIPENTUM............................. 139diphen..................................... 159DI-PHEN................................. 159diphenhydramine hcl...............159diphenoxylate-atropine............111DIPHTHERIA-TETANUS TOXOIDS DT.......................... 137DIPROLENE............................. 79DIPROLENE AF........................79dipyridamole..............................47disopyramide phosphate...........58disulfiram...................................14DITROPAN XL........................ 115DIURIL...................................... 58divalproex sodium..................... 24divalproex sodium er.................24DIVIGEL..................................126DMT SUIK...............................118dobutamine hcl..........................58dobutamine in d5w....................59docetaxel...................................37dofetilide....................................59DOG EPITHELIUM................. 143DOG FENNEL.........................143DOJOLVI.................................143donepezil hcl............................. 26dopamine hcl.............................59dopamine in d5w.......................59DOPRAM.................................. 71DOPTELET............................... 54DORAL......................................52DORYX..................................... 17DORYX MPC............................ 17DORZOLAMIDE HCL............. 154dorzolamide hcl.......................154dorzolamide hcl-timolol mal.... 154dorzolamide hcl-timolol mal pf 154dotti ......................................... 126DOUBLEDEX..........................118DOVATO...................................49DOVONEX................................ 79doxazosin mesylate.................. 59

doxepin hcl..................27, 79, 166doxercalciferol.........................140DOXIL....................................... 38doxorubicin hcl.......................... 38doxorubicin hcl liposomal..........38doxy 100................................... 17doxycycline............................... 79doxycycline hyclate............. 17, 18DOXYCYCLINE HYCLATE.......18doxycycline monohydrate......... 18doxylamine-pyridoxine.............. 29DRAXACE.................................79DRAXACE LOTION CLEANSER...............................79DRECHSLERA....................... 143DRISDOL.................................. 99DRITHO-CREME HP................ 79DRIXECE.................................. 79DRIZALMA SPRINKLE............. 27dronabinol................................. 29droperidol.................................. 29DROPERIDOL.......................... 29DROPLET GENTEEL LANCING DEVICE....................91DROPLET MICRON................. 95drospiren-eth estrad-levomefol126drospirenone-ethinyl estradiol.126DROXIA.................................... 38droxidopa.................................. 59DRYSOL................................... 79DSUVIA.......................................2DUAKLIR PRESSAIR............. 161DUAVEE................................. 126DUETACT................................. 89DUEXIS.......................................7DULERA................................. 161duloxetine hcl............................ 27DUOBRII................................... 79DUODOTE.............................. 143DUOPA..................................... 46DUPIXENT................................79DURAGESIC-100....................... 2DURAGESIC-12......................... 2DURAGESIC-25......................... 2DURAGESIC-50......................... 2DURAGESIC-75......................... 2duramorph...................................2DUREZOL...............................152DURLAZA................................. 47DUROLANE............................ 143DURYSTA...............................154DUST MITE MIXED ALLERGEN EXT.....................144

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dutasteride.............................. 117dutasteride-tamsulosin hcl...... 117DUTOPROL.............................. 59DXEVO 11-DAY......................118DYANAVEL XR.........................69DYMISTA................................ 159DYRENIUM...............................59DYSPORT...............................144DYURAL-40............................ 119DYURAL-80............................ 119DYURAL-L.............................. 119DYURAL-LM........................... 119E.E.S. GRANULES................... 18EASIVENT.............................. 144EASTERN COTTONWOOD... 144EASY TRAK II BLOOD GLUCOSE SYS........................ 91EASY TRAK II CONTROL........ 92EASY TRAK II GLUCOSE TEST.........................................92easygel......................................73EASYMAX 15 LEVEL 2-3 CONTROL................................ 92EASYMAX CONTROL.............. 92ECEOXIA.................................. 79EC-NAPROSYN..........................7ec-naproxen................................ 7ECONASIL................................31econazole nitrate.......................31ECONAZOLE NITRATE-NIACINAMIDE.......................... 31ECOZA......................................31EDARBI.....................................59EDARBYCLOR......................... 59EDECRIN..................................59EDETATE DISODIUM.............. 99EDLUAR................................. 166ED-SPAZ................................ 111EDURANT.................................49efavirenz................................... 49efavirenz-emtricitab-tenofovir....49efavirenz-lamivudine-tenofovir.. 49EFFER-K...................................99effer-k......................................100EFFEXOR XR........................... 27EFFIENT................................... 47EFUDEX................................... 79EGATEN................................... 44EGRIFTA SV...........................122EHA...........................................10ELAPRASE............................. 114ELCYS.................................... 144ELELYSO................................114

ELESTRIN.............................. 126ELETONE................................. 79eletriptan hydrobromide............ 33ELIDEL......................................79ELIGARD................................ 122ELIMITE.................................... 44elinest......................................126ELIQUIS....................................23ELIQUIS DVT/PE STARTER PACK........................................ 23ELITEK......................................38ELIXOPHYLLIN...................... 162ELLA....................................... 126ELLENCE..................................38ELMIRON................................115ELOCTATE............................... 54eluryng.................................... 126ELZONRIS................................ 38EMBRACE LANCING DEVICE/EJECTOR...................92EMBRACE TALK BLOOD GLUCOSE................................ 92EMBRACE TALK GLUCOSE CONTROL................................ 92EMBRACE TALK GLUCOSE TEST.........................................92EMBRACE TALK MONITORING SYSTEM...........92EMCYT..................................... 38EMEND..................................... 29EMEND TRI-PACK................... 29EMERPHED..............................59EMFLAZA................................. 33EMGALITY................................33EMGALITY (300 MG DOSE).... 33emoquette............................... 126EMPLICITI................................ 38EMPRICAINE-II........................ 10EMSAM.....................................27emtricitabine..............................49emtricitabine-tenofovir df...........49EMTRIVA.................................. 49EMULSION SB......................... 79EMVERM.................................. 45ENABLEX............................... 115enalapril maleate.......................59enalaprilat................................. 59enalapril-hydrochlorothiazide.... 59ENBRACE HR........................ 100ENBREL..................................133ENBREL MINI......................... 133ENBREL SURECLICK............ 134ENDARI.................................. 144

endocet....................................... 2ENDOMETRIN........................126ENGERIX-B............................ 137ENHERTU.................................38ENLITE GLUCOSE SENSOR...92enoxaparin sodium....................23enpresse-28............................ 126enskyce...................................126ENSPRYNG............................134ENSTILAR................................ 79entacapone............................... 46entecavir................................... 49ENTEREG...............................111ENTOCORT EC......................139ENTRESTO.............................. 59ENTTY SPRAY......................... 79ENTYVIO................................ 134ENU PRO3 PLUS................... 144enulose................................... 111ENVARSUS XR...................... 134ENZADYNE............................ 114ENZNONUTY............................10ENZOCLEAR............................ 79EPANED................................... 59EPCLUSA................................. 49ephedrine sulfate...................... 59EPHEDRINE SULFATE............59EPHEDRINE SULFATE (PRESSORS)............................59EPHEDRINE SULFATE-NACL............................................ 59, 60EPICERAM............................... 79EPICOCCUM.......................... 144EPICOCCUM NIGRUM.......... 144EPICYN.....................................79EPIDIOLEX............................... 24EPIDUO.................................... 79EPIDUO FORTE....................... 79EPIFOAM..................................79epinastine hcl.......................... 152EPINEPHRINE..........................60epinephrine....................... 60, 162epinephrine (anaphylaxis).......162EPINEPHRINE HCL............... 154EPINEPHRINE HCL-DEXTROSE.............................. 60EPINEPHRINE HCL-NACL.......60epinephrine pf........................... 60EPINEPHRINE PROFESSIONAL.................... 162EPINEPHRINE-DEXTROSE.....60EPINEPHRINE-NACL...............60EPINEPHRINESNAP-EMS.....162

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EPINEPHRINESNAP-V.......... 162EPIPEN 2-PAK....................... 162EPIPEN JR 2-PAK.................. 162epirubicin hcl............................. 38EPISNAP................................ 162epitol......................................... 24EPIVIR...................................... 49EPIVIR HBV..............................49eplerenone................................ 60EPOGEN...................................54epoprostenol sodium...............164eptifibatide.................................47EPZICOM..................................49EQUACARE JR...................... 144EQUETRO................................ 53ERAXIS.....................................31ERBITUX.................................. 38ERGOCAL.............................. 100ergocalciferol...........................100ergoloid mesylates.................. 144ERGOMAR............................... 33ergotamine-caffeine.................. 33ERIVEDGE............................... 38ERLEADA................................. 38erlotinib hcl................................38errin.........................................126ERTACZO.................................31ertapenem sodium.................... 18ERWINAZE............................... 38ery............................................. 79ERYGEL................................... 79ERYPED 200............................ 18ERYPED 400............................ 18ERY-TAB.................................. 18ERYTHROCIN LACTOBIONATE...................... 18ERYTHROCIN STEARATE...... 18erythromycin............... 18, 79, 152erythromycin base.....................18erythromycin ethylsuccinate......18ESBRIET.................................162escitalopram oxalate................. 27ESGIC.........................................2ESKATA....................................79esmolol hcl................................ 60ESMOLOL HCL........................ 60esmolol hcl-sodium chloride......60ESOMEP-EZS........................ 109esomeprazole magnesium......109esomeprazole sodium.............109ESOMEPRAZOLE STRONTIUM...........................109ESPEROCT.............................. 54

ESSENTIAL CARE JR............144estarylla...................................126estazolam..................................52ESTRACE............................... 126ESTRADIOL............................126estradiol.................................. 126estradiol valerate.....................126estradiol-norethindrone acet... 126ESTRING................................ 127ESTROGEL............................ 127ESTROSTEP FE.....................127eszopiclone............................. 166ETESEVIMAB......................... 134ethacrynate sodium...................60ethacrynic acid.......................... 60ethambutol hcl...........................35ETHAMOLIN............................. 61ethosuximide.............................24ETHOXIA.................................. 79ethyl chloride.............................10ethynodiol diac-eth estradiol... 127ETHYOL....................................38etodolac...................................... 7etodolac er.................................. 7etonogestrel-ethinyl estradiol.. 127ETOPOPHOS........................... 38etoposide.................................. 38EUCRISA.................................. 79EUFLEXXA............................. 144euthyrox.................................. 132EVAMIST................................ 127EVEKEO................................... 69EVEKEO ODT...........................69EVENCARE PROVIEW GLUCOSE TEST...................... 92EVENITY.................................140everolimus.........................38, 134EVERSENSE SENSOR/HOLDER...................92EVERSENSE SMART TRANSMITTER........................ 92EVISTA................................... 122EVOCLIN.................................. 80EVOMELA.................................38EVOTAZ....................................49EVOXAC................................... 73EVRYSDI................................ 114EXCILON AMD DRAIN SPONGES.............................. 144EXELDERM.............................. 31EXELON................................... 26exemestane.............................. 38EXFORGE................................ 61

EXFORGE HCT........................ 61EXJADE.................................. 100EXODERM................................31EXONDYS 51......................... 114EXPAREL................................. 10EXTAVIA...................................70EYLEA.................................... 156EYSUVIS................................ 152EZALLOR SPRINKLE...............61ezetimibe...................................61ezetimibe-simvastatin............... 61FABIOR.....................................80FABRAZYME.......................... 114FALESSA................................127falmina.................................... 127famciclovir................................. 49famotidine............................... 109famotidine premixed................109FANAPT....................................47FANAPT TITRATION PACK..... 47FARESTON.............................. 38FARXIGA.................................. 89FARYDAK................................. 38FASENRA............................... 159FASENRA PEN.......................159FASLODEX...............................38FAVIPIRAVIR............................49fayosim....................................127febuxostat................................. 33FEIBA........................................54felbamate.................................. 24FELDENE................................... 7felodipine er.............................. 61FEMARA................................... 38FEMCAP................................. 144FEMHRT LOW DOSE.............127FEMRING............................... 127femynor................................... 127fenofibrate................................. 61fenofibrate micronized...............61fenofibric acid............................61fenoprofen calcium......................7fenortho.......................................7FENSOLVI (6 MONTH)...........122fentanyl....................................... 2fentanyl citrate.............................2FENTANYL CITRATE.................2FENTANYL CITRATE-NACL.. 2, 3FENTANYL-BUPIVACAINE-NACL.......................................... 3FENTORA...................................3FEONYX................................. 100FERAHEME............................ 100

178

FERIVA 21/7........................... 100FERIVAFA.............................. 100ferocon.................................... 100ferotrinsic................................ 100FERRALET 90........................ 100ferraplus 90............................. 100FERRIPROX........................... 100FERRIPROX TWICE-A-DAY.. 100FERRLECIT............................ 100ferrocite plus........................... 100FERRO-PLEX HEMATINIC.... 100FERROTRIN........................... 100FETROJA..................................18FETZIMA...................................27FETZIMA TITRATION...............27FIASP........................................95FIASP FLEXTOUCH.................95FIASP PENFILL........................ 95FIBERSOURCE HN................144FIBRICOR.................................61FIBRYGA.................................. 54FINACEA.................................. 80FINAPOD.................................. 80finasteride............................... 117FINASTERIDE-MINOXIDIL.......80FINTEPLA.................................24FIORICET................................... 3FIORICET/CODEINE..................3FIRAZYR.................................134FIRDAPSE.............................. 144FIRE ANT................................144FIRMAGON.............................122FIRMAGON (240 MG DOSE). 122FIRST-LANSOPRAZOLE....... 109FIRST-OMEPRAZOLE........... 109FIRVANQ.................................. 18flac.......................................... 158FLAGYL.................................... 18FLAREX.................................. 152flavoxate hcl............................ 115FLEBOGAMMA DIF................134flecainide acetate...................... 61FLECTOR................................... 7FLEXICHAMBER ADULT MASK/SMALL......................... 144FLEXICHAMBER CHILD MASK/LARGE.........................144FLEXICHAMBER CHILD MASK/SMALL......................... 144FLEXIN..................................... 10FLOLAN.................................. 164FLOLIPID.................................. 61FLOMAX................................. 117

FLORIVA.................................100FLORIVA PLUS...................... 100FLOVENT DISKUS................. 162FLOVENT HFA....................... 162floxuridine..................................38FLUAD.................................... 137FLUAD QUADRIVALENT....... 137FLUARIX QUADRIVALENT....137FLUBLOK QUADRIVALENT...137FLUCELVAX QUADRIVALENT.................... 137fluconazole................................31fluconazole in sodium chloride..31FLUCON-IBUPROF-ITRACON-TERBINA................. 31flucytosine................................. 31fludarabine phosphate.............. 38fludrocortisone acetate............119FLULAVAL QUADRIVALENT. 137flumazenil ................................144FLUMIST QUADRIVALENT....137flunisolide................................ 159FLUOCINOLONE ACET-NIACINAMIDE.......................... 80fluocinolone acetonide...... 80, 158fluocinolone acetonide body..... 80fluocinolone acetonide scalp.....80fluocinonide...............................80fluocinonide emulsified base.....80FLUOPAR................................. 80FLUORIDEX............................. 73fluoridex daily renewal.............. 73FLUORIDEX ENHANCED WHITENING............................. 73FLUORIDEX SENSITIVITY RELIEF..................................... 73fluoritab................................... 100fluorometholone...................... 152FLUOROPLEX..........................80fluorouracil .......................... 38, 80FLUOROURACIL......................80fluoxetine hcl............................. 27fluoxetine hcl (pmdd).................27fluphenazine decanoate............47fluphenazine hcl........................ 47flurandrenolide.......................... 80flurazepam hcl.........................166flurbiprofen.................................. 7flurbiprofen sodium................. 152flutamide................................... 38fluticasone propionate.......80, 159fluticasone-salmeterol............. 162

FLUTICASONE-SALMETEROL........................162fluvastatin sodium..................... 61fluvastatin sodium er................. 61fluvoxamine maleate................. 27fluvoxamine maleate er.............27FLUZONE HIGH-DOSE QUADRIVALENT.................... 137FLUZONE QUADRIVALENT.. 137FML.........................................152FML FORTE............................152FML LIQUIFILM...................... 152FOCALIN.................................. 69FOCALIN XR............................ 69folic acid.................................. 100FOLIC D3................................100FOLIC-K..................................100FOLI-D.................................... 100FOLITE................................... 100FOLITIN-Z...............................100FOLIXAPURE......................... 100FOLLISTIM AQ....................... 122FOLOTYN................................. 38FOLTREXYL........................... 100foltrin....................................... 100FOLVITE-D............................. 100fomepizole...............................144fondaparinux sodium.................23FORA 6 CONNECT.................. 92FORA D40G GLUCOSE/PRESSURE..........144FORA GTEL BLOOD GLUCOSE SYSTEM.................92FORA GTEL BLOOD GLUCOSE TEST...................... 92FORFIVO XL.............................28formaldehyde.......................... 144FORTAMET.............................. 89FORTAZ....................................18FORTEO................................. 140FORTESTA.............................121FORTISCARE CONTROL........ 92FORTISCARE GLUCOSE SYSTEM................................... 92FORTISCARE T1 GLUCOSE SYSTEM................................... 92FOSAMAX.............................. 140FOSAMAX PLUS D................ 140fosamprenavir calcium.............. 50fosaprepitant dimeglumine........29foscarnet sodium.......................50FOSCAVIR................................50fosfomycin tromethamine..........18

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fosinopril sodium....................... 61fosinopril sodium-hctz............... 61fosphenytoin sodium................. 24FOSRENOL............................ 115FRAGMIN................................. 23FREAMINE HBC.....................100FREAMINE III ......................... 100FREESTYLE FREEDOM LITE. 92FREESTYLE INSULINX SYSTEM................................... 92FREESTYLE INSULINX TEST. 92FREESTYLE LIBRE 14 DAY READER................................... 92FREESTYLE LIBRE 14 DAY SENSOR...................................92FREESTYLE LIBRE 2 READER................................... 92FREESTYLE LIBRE 2 SENSOR...................................92FREESTYLE LIBRE READER..92FREESTYLE LIBRE SENSOR SYSTEM................................... 92FREESTYLE LITE TEST.......... 92FREESTYLE PRECISION NEO TEST................................ 92FREESTYLE TEST...................92frovatriptan succinate................33FULPHILA.................................54fulvestrant................................. 38FUNGIMEZ............................... 31furosemide................................ 61FUROSEMIDE IN SODIUM CHLORIDE............................... 61FUSARIUM............................. 144FUSION PLUS........................ 100FUZEON................................... 50fyavolv.....................................127FYCOMPA................................ 24gabapentin................................ 24GABITRIL..................................24GALAFOLD.............................114galantamine hydrobromide....... 26galantamine hydrobromide er... 26GALZIN................................... 101GAMASTAN............................134GAMIFANT............................. 134GAMMAGARD........................ 134GAMMAGARD S/D LESS IGA134GAMMAKED........................... 134GAMMAPLEX......................... 134GAMUNEX-C.......................... 134GANCICLOVIR......................... 50ganciclovir sodium.................... 50

ganirelix acetate......................122GARDASIL 9...........................137GASTROCROM......................111gatifloxacin.............................. 152GATTEX..................................111gavilyte-c.................................111gavilyte-g.................................111gavilyte-h.................................111gavilyte-n with flavor pack.......111GAVRETO................................ 38GAZYVA................................... 38GEAMETDRAY.........................80GEBAUERS PAIN EASE.......... 10GEBAUERS SPRAY AND STRETCH................................. 10GELCLAIR.............................. 144GELFILM.................................156GEL-FLOW............................. 144GELFOAM-JMI POWDER...... 144GELFOAM-JMI SPONGE....... 144GELNIQUE............................. 115GEL-ONE................................144GELSYN-3.............................. 144gemcitabine hcl......................... 38gemfibrozil .................................61gemmily...................................127GEN7T...................................... 10GEN7T PLUS............................10GENADUR................................ 80GENERESS FE...................... 127generlac.................................. 111gengraf....................................134GENICIN VITA-D.................... 101GENICIN VITA-Q.................... 101GENICIN VITA-S.................... 101GENOTROPIN........................122GENOTROPIN MINIQUICK....122gentak..................................... 152gentamicin in saline.................. 18gentamicin sulfate............. 18, 152GENTEEL LANCING KIT (BLUE)...................................... 92GENVISC 850.........................144GENVOYA................................ 50GEODON.................................. 47GERMAN COCKROACH........144GIALAX................................... 111GIAPREZA................................61GILENYA.................................. 70GILOTRIF................................. 38GILPHEX TR...........................159GIMOTI..................................... 29GIVLAARI............................... 144

GLASSIA.................................162glatiramer acetate..................... 70glatopa...................................... 70GLEEVEC................................. 39GLEOSTINE............................. 39GLIADEL WAFER.....................39glimepiride.................................89glipizide er.................................89glipizide ir.................................. 89glipizide xl................................. 89glipizide-metformin hcl.............. 89GLOPERBA.............................. 33GLUCAGEN HYPOKIT............. 95glucagon emergency kit ............ 95GLUCAGON EMERGENCY KIT............................................ 95GLUCOCARD 01 SENSOR PLUS.........................................92GLUCOCARD EXPRESSION TEST.........................................92GLUCOCARD SHINE CONNEX...................................92GLUCOCARD SHINE EXPRESS................................. 92GLUCOCARD SHINE TEST.....92GLUCOCARD VITAL TEST......93GLUCOSE CONTROL SOLUTIONS............................. 92GLUCOTROL............................89GLUCOTROL XL...................... 89GLUMETZA.............................. 89glutaraldehyde........................ 144GLUTATHIONE...................... 101glyburide................................... 89glyburide micronized................. 89glyburide-metformin.................. 89GLYCATE............................... 111GLYCINE................................ 101glycine.....................................115glycine urologic....................... 115glycolic acid...............................80GLYCOPHOS......................... 101glycopyrrolate..........................111GLYCOPYRROLATE......111, 112glycopyrrolate pf......................111glydo......................................... 10GLYNASE................................. 89GLYRX-PF.............................. 112GLYTACTIN BETTERMILK 15145GLYTACTIN BETTERMILK DE-LITE.................................. 145GLYTACTIN BUILD 10PE...... 145GLYTACTIN BUILD 20/20...... 145

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GLYTACTIN BUILD 20/20 PKU.........................................145GLYTACTIN BURST...............145GLYTACTIN RESTORE 10.... 145GLYTACTIN RESTORE 5...... 145GLYTACTIN RESTORE LITE 10............................................ 145GLYTACTIN RESTORE LITE 10PE....................................... 145GLYTACTIN RTD 10.............. 145GLYTACTIN RTD 15.............. 145GLYTACTIN RTD LITE 15......145GLYTACTIN SWIRL 15PE......145GLYXAMBI................................89GOCOVRI................................. 46GOJJI BLOOD GLUCOSE TEST.........................................93GOJJI BLOOD TEST STRIP/LANCETS......................93GOJJI CONTROL..................... 93GOJJI LANCING DEVICE/CLEAR CAP............... 93GOLDENROD.........................145GOLYTELY............................. 112GONAL-F................................ 122GONAL-F RFF........................ 122GONAL-F RFF REDIJECT..... 122GONITRO................................. 61GOPRELTO.............................. 10GORDOFILM............................ 80GRALISE.................................. 71granisetron hcl.......................... 29GRANIX.................................... 54GRASS POLLEN(K-O-R-T-SWT VERN)............................145GRASTEK...............................145griseofulvin microsize................31griseofulvin ultramicrosize.........31GUANENDRUX........................ 80guanfacine hcl...........................61guanfacine hcl er.......................69GUANIDINE HCL......................34GUARDIAN CONNECT TRANSMITTER........................ 93GUARDIAN LINK 3 TRANSMITTER........................ 93GUARDIAN SENSOR (3)......... 93GUARDIAN SENSOR 3............93GVOKE HYPOPEN 1-PACK.....95GVOKE HYPOPEN 2-PACK.....95GVOKE PFS............................. 95GYNAZOLE-1........................... 31HACKBERRY..........................145

HAEGARDA............................134hailey 1.5/30............................127hailey 24 fe..............................127hailey fe 1.5/30........................127hailey fe 1/20...........................127HALAVEN................................. 39halcinonide................................80HALCION.................................. 52HALDOL....................................47HALDOL DECANOATE............ 47halobetasol propionate..............80HALOBETASOL PROPIONATE.......................... 80HALOG..................................... 80haloperidol................................ 48haloperidol decanoate...............48haloperidol lactate.....................48HALUCORT.............................. 80HARMONY BLOOD GLUCOSE TEST...................... 93HARVONI..................................50HAVRIX...................................137HAXCHLO.................................80HCU EASY..............................145HEALON................................. 156HEALON GV........................... 156HEALON PRO........................ 156HEALON5............................... 156HEALON5 PRO...................... 156heather....................................127HECTOROL............................ 140HELIDAC THERAPY.............. 112HEMADY.................................119HEMANGEOL........................... 61hematinic plus vit/minerals......101hematinic/folic acid..................101HEMATOGEN FA................... 101HEMATRON-AF......................101HEMETAB...............................101HEMLIBRA................................54HEMOCYTE PLUS................. 101hemocyte-f.............................. 101HEMOFIL M.............................. 54HEPAGAM B...........................134heparin (porcine) in nacl........... 23HEPARIN (PORCINE) IN NACL........................................ 23heparin lock flush.................... 145heparin sod (porcine) in d5w.....23heparin sodium (porcine).......... 23heparin sodium (porcine) pf...... 23heparin sodium lock flush....... 145HEPATAMINE.........................101

HEPLISAV-B...........................137HEPMED.................................145HEPSERA.................................50HERCEPTIN............................. 39HERCEPTIN HYLECTA............39HERZUMA................................ 39HESPAN................................... 54hetastarch-nacl......................... 54HETLIOZ.................................166HEXTEND.................................54HIBERIX..................................137HIDEX 6-DAY......................... 119HIPREX.....................................18HIXDEFRIMA............................31HIZENTRA.............................. 134HOMACTIN AA PLUS.............145homatropaire...........................156HONEY BEE VENOM.............145HONEY BEE VENOM PROTEIN................................ 145HORIZANT................................71HORSE EPITHELIUM.............145HPR PLUS................................ 80HPR PLUS HYDROGEL...........80HUMALOG KWIKPEN.............. 95HUMALOG MIX 50/50 KWIKPEN................................. 95HUMALOG MIX 50/50 VIAL......95HUMALOG MIX 75/25 KWIKPEN................................. 95HUMALOG MIX 75/25 VIAL......95HUMALOG U-100 JUNIOR KWIKPEN................................. 95HUMALOG VIAL....................... 95HUMATE-P............................... 54HUMATROPE......................... 122HUMIRA..................................134HUMIRA PEDIATRIC CROHNS START....................134HUMIRA PEN......................... 134HUMIRA PEN-CD/UC/HS STARTER............................... 134HUMIRA PEN-PEDIATRIC UC START.................................... 134HUMIRA PEN-PS/UV/ADOL HS START.............................. 134HUMIRA PEN-PSOR/UVEIT STARTER............................... 134HUMULIN 70/30 KWIKPEN...... 95HUMULIN 70/30 VIAL...............95HUMULIN N KWIKPEN............ 95HUMULIN N VIAL..................... 96HUMULIN R U-500 KWIKPEN..96

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HUMULIN R U-500 VIAL.......... 96HUMULIN R VIAL..................... 96HW EMBRACE PRO GLUCOSE METER...................93HW EMBRACE PRO GLUCOSE TEST...................... 93HW EMBRACE TALK BLOOD GLUCOSE................................ 93HW EMBRACE TALK GLUCOSE TEST...................... 93HYALGAN...............................145HYALURONATE-NIACINAM-TRETINOIN...............................80HYALURONATE-NIACIN-TACROLIMUS.......................... 80HYALURONIDASE (INTRAOCULAR)....................156HYCAMTIN............................... 39HYCODAN.............................. 159hydralazine hcl.......................... 61HYDREA................................... 39HYDRO 40................................ 81hydrochlorothiazide...................61hydrocodone bitartrate er............3hydrocodone polst-chlorphen polst er susp............................159hydrocodone-acetaminophen..... 3hydrocodone-homatropine...... 159hydrocodone-ibuprofen............... 3hydrocortisone.......... 81, 119, 139hydrocortisone (perianal)........ 139hydrocortisone ace-pramoxine139hydrocortisone butyr lipo base.. 81hydrocortisone butyrate............ 81hydrocortisone valerate.............81hydrocortisone-acetic acid...... 158hydrogen peroxide.................... 18hydromet................................. 159HYDROMORPHONE HCL..........3hydromorphone hcl..................... 3hydromorphone hcl er................. 3hydromorphone hcl pf................. 3HYDROMORPHONE HCL-NACL...................................... 3, 4hydroxocobalamin acetate...... 101hydroxychloroquine sulfate....... 45hydroxyprogesterone caproate127hydroxyurea.............................. 39hydroxyzine hcl......................... 52hydroxyzine pamoate................52HYLAGUARD............................81HYLATOPIC PLUS................... 81HYLAVITE...............................101

HYLAZINC.............................. 101HYLENEX............................... 145HYMOVIS............................... 145HYOPHEN.............................. 115hyoscyamine sulfate............... 112hyoscyamine sulfate er........... 112hyoscyamine sulfate sl............112HYPERHEP B.........................134HYPERRAB............................ 134HYPERRAB S/D..................... 134HYPERRHO S/D.....................134HYPERSAL.............................159HYPERTET S/D......................134HYPOCYN.............................. 156HYQVIA.................................. 134HYRONAN.............................. 145HYSINGLA ER............................4HYZAAR................................... 61ibandronate sodium................ 140IBRANCE.................................. 39IBUPAK.......................................7ibuprofen..................................... 7ibuprofen lysine...........................7ibutilide fumarate.......................61ICAR-C PLUS......................... 101icatibant acetate......................134iclevia...................................... 127ICLUSIG....................................39icosapent ethyl.......................... 61IDAMYCIN PFS........................ 39idarubicin hcl............................. 39IDELVION................................. 54IDHIFA...................................... 39iferex 150 forte........................ 101IFEX.......................................... 39ifosfamide..................................39ILARIS.....................................134ILEVRO...................................152ILIDERM................................... 81ILUMYA...................................134ILUVIEN.................................. 152imatinib mesylate...................... 39IMBRUVICA.............................. 39IMCIVREE.................................71IMDEVIMAB............................134IMFINZI..................................... 39IMIOXIA.................................... 31imipenem-cilastatin................... 18imipramine hcl...........................28imipramine pamoate................. 28imiquimod..................................81IMIQUIMOD PUMP...................81

IMIQUIMOD-LEVOCETIRIZIN-NIACIN......................................81IMIQUIMOD-LEVOCET-TRETINOIN...............................81IMITREX................................... 33IMITREX STATDOSE REFILL..33IMITREX STATDOSE SYSTEM................................... 33IMLYGIC................................... 39IMOGAM RABIES-HT.............134IMOVAX RABIES....................137IMPAVIDO................................ 45IMPEKLO.................................. 81IMPOYZ.................................... 81IMURAN..................................134IMVEXXY MAINTENANCE PACK...................................... 127IMVEXXY STARTER PACK... 127INBRIJA.................................... 46incassia................................... 127INCRELEX.............................. 122INCRUSE ELLIPTA................ 162indapamide............................... 61INDERAL LA............................. 61INDERAL XL............................. 62INDOCIN.....................................7INDOMETHACIN........................ 8indomethacin...............................8indomethacin er.......................... 7indomethacin sodium.................. 8INFANRIX............................... 137INFASURF.............................. 159INFED..................................... 101INFINITY BLOOD GLUCOSE TEST.........................................93INFLECTRA............................ 135INFUGEM................................. 39INFUMORPH 200....................... 4INFUMORPH 500....................... 4INGREZZA................................71INJECTAFER..........................101INLYTA..................................... 39INNOPRAN XL..........................62INOVA.......................................81INOVA 4/1 ACNE CONTROL THERAPY................................. 81INOVA 8/2 ACNE CONTROL THERAPY................................. 81INPEN 100-BLUE-LILLY...........93INPEN 100-BLUE-NOVO..........93INPEN 100-GRAY-LILLY.......... 93INPEN 100-GREY-NOVO.........93INPEN 100-PINK-LILLY............93

182

INPEN 100-PINK-NOVO...........93INQOVI..................................... 39INREBIC................................... 39INSPIREASE RESERVOIR BAGS...................................... 145INSPRA.....................................62INSULIN ASP PROT & ASP FLEXPEN..................................96INSULIN ASPART.................... 96INSULIN ASPART FLEXPEN... 96INSULIN ASPART PENFILL.....96INSULIN ASPART PROT & ASPART....................................96INSULIN LISPRO......................96INSULIN LISPRO (1 UNIT DIAL).........................................96INSULIN LISPRO JUNIOR KWIKPEN................................. 96INSULIN LISPRO PROT & LISPRO.....................................96INSULIN PEN NEEDLES..........96INSULIN SYRINGES................ 96INTEGRA F.............................101INTEGRA PLUS......................101INTEGRILIN..............................47INTELENCE..............................50INTRALIPID............................ 101INTRAROSA........................... 116INTRON A.................................50introvale.................................. 127INTUNIV....................................69INVANZ.....................................18INVEGA.................................... 48INVEGA SUSTENNA................48INVEGA TRINZA...................... 48INVELTYS...............................152INVIRASE................................. 50INVOKAMET.............................89INVOKAMET XR.......................89INVOKANA............................... 89iodine strong........................... 101IODOQUINOL-HC-KETOCONAZOLE.................... 31IOPIDINE................................ 154IPOL........................................137ipratropium bromide........ 159, 162ipratropium-albuterol............... 162irbesartan.................................. 62irbesartan-hydrochlorothiazide..62IRESSA.....................................39irinotecan hcl.............................39IROSPAN 24/6........................101ISENTRESS..............................50

ISENTRESS HD....................... 50isibloom...................................127isoniazid.................................... 35isoproterenol hcl......................162ISOPROTERENOL-SODIUM CHLORIDE............................. 162ISOPTO ATROPINE............... 156ISOPTO CARPINE................. 154ISORDIL TITRADOSE.............. 62isosorbide dinitrate....................62isosorbide mononitrate..............62isosorbide mononitrate er......... 62isotretinoin.................................81ISOVACTIN AA PLUS............ 145isradipine...................................62ISTALOL................................. 154ISTODAX (OVERFILL)............. 39ISTURISA............................... 122ISUPREL.................................162ITHOXIA....................................81itraconazole...............................31IV STABILIZER FOR LUMOXITI............................... 145ivermectin..................................45IVERMECTIN-METRONIDAZOL-NIACIN........ 81IXEMPRA KIT........................... 39IXIARO....................................137IXINITY..................................... 54JADENU SPRINKLE...............101jaimiess................................... 127JAKAFI......................................39JALYN.....................................117JANSSEN COVID-19 VACCINE................................ 137jantoven.................................... 23JANUMET................................. 89JANUMET XR........................... 89JANUVIA...................................89JARDIANCE..............................89jasmiel.....................................127JATENZO................................121JELMYTO................................. 39jencycla................................... 127JENLIVA PRENATAL/POSTNATAL.......101JENTADUETO.......................... 89JENTADUETO XR.................... 89JEVTANA..................................39jinteli ........................................127JIVI............................................54JOHNSON GRASS.................145jolessa.....................................127

JORNAY PM............................. 69J-TIP KIT W/VIAL ADAPTERS145JUBLIA......................................31juleber..................................... 127JULUCA.................................... 50JUNE GRASS POLLEN STANDARDIZED.................... 145junel 1.5/30............................. 127junel 1/20................................ 127junel fe 1.5/30......................... 127junel fe 1/20............................ 127junel fe 24............................... 127JUXTAPID.................................62JYNARQUE............................ 101KABIVEN................................ 101KADCYLA................................. 39kaitlib fe...................................128KALBITOR.............................. 135KALETRA..................................50kalliga......................................128KALYDECO............................ 163KAMDOY.................................. 81KANJINTI.................................. 39KANUMA.................................114KAPOK....................................145KAPSPARGO SPRINKLE.........62KAPVAY....................................69KARBINAL ER........................ 159kariva...................................... 128KATERZIA................................ 62KAZANO................................... 89KCENTRA.................................54KEDRAB................................. 135KEFLEX.................................... 19kelnor 1/35.............................. 128kelnor 1/50.............................. 128KENALOG.........................81, 119KENALOG-80......................... 119KENGREAL.............................. 47KEPIVANCE............................. 73KEPPRA................................... 25KEPPRA XR............................. 25KERAGEL................................. 81KERALAC................................. 81KERALYT..................................81KERALYT SCALP.....................81KERAMATRIX REPLICINE 5CMX5CM................................ 81KERLIX AMD ANTIMICROBIAL.................... 145KERLIX AMD SUPER SPONGES.............................. 146KERYDIN.................................. 31

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KESIMPTA................................70ketoconazole.............................31KETOCONAZOLE-HYDROCORTISONE................31ketodan..................................... 31KETODAN.................................31ketoprofen................................... 8ketoprofen er...............................8KETOROCAINE-L.......................8KETOROCAINE-LM....................8ketorolac tromethamine...... 8, 152KETOROLAC TROMETHAMINE.......................8KETOROLAC-BUPIV-KETAMINE..................................8KETOROLAC-ROPIV-KETAMINE..................................8KETOSTIX................................ 93KETOVIE................................ 146KETOVIE PEPTIDE................ 146KEVEYIS.................................154KEVZARA............................... 135KEYTRUDA.............................. 40KHAPZORY.............................. 40KINERET................................ 135KINRIX.................................... 137KISQALI.................................... 40KISQALI FEMARA.................... 40KITABIS PAK.......................... 164KIVIK.........................................81KLARITY-A............................. 152KLARITY-L..............................152KLARON................................... 81KLONOPIN............................... 52klor-con................................... 101klor-con 10.............................. 101klor-con m10........................... 101KLOR-CON M15..................... 101klor-con m20........................... 102klor-con/ef............................... 102KOATE......................................54KOATE-DVI...............................54KOCHIA.................................. 146KOGENATE FS........................ 54KOMBIGLYZE XR.....................89KORLYM.................................124KOSELUGO..............................40KOVALTRY...............................54K-PHOS.................................. 102K-PHOS NO 2.........................102K-PHOS-NEUTRAL................ 102k-prime.................................... 102KRINTAFEL.............................. 45

KRISTALOSE......................... 112KROGER HEALTHPRO GLUCOSE TEST...................... 93KRYSTEXXA............................ 33K-TAB..................................... 102k-tan plus................................ 102kurvelo.................................... 128KUVAN....................................114KYLEENA............................... 128KYMRIAH................................135KYNMOBI................................. 46KYNMOBI TITRATION KIT.......46KYPROLIS................................ 40L.E.T......................................... 10LABETALOL HCL..................... 62labetalol hcl............................... 62LACRISERT............................156lactated ringers....................... 102LACTEROL............................. 112lactic acid.................................. 81lactic acid e............................... 81LACTIC ACID-NIACINAMIDE...81LACTOJEN............................. 112lactulose..................................112lactulose encephalopathy....... 112LAMICTAL................................ 25LAMICTAL ODT........................25LAMICTAL STARTER...............25LAMICTAL XR.......................... 25lamivudine.................................50lamivudine-zidovudine.............. 50lamotrigine................................ 25lamotrigine er............................ 25lamotrigine starter kit-blue.........25lamotrigine starter kit-green...... 25lamotrigine starter kit-orange.... 25LAMPIT..................................... 45LANCETS................................. 93LANOXIN.................................. 62LANOXIN PEDIATRIC.............. 62lansoprazole............................109lanthanum carbonate.............. 116LANTUS SOLOSTAR............... 96LANTUS U-100 VIAL................ 96lapatinib ditosylate.................... 40larin 1.5/30.............................. 128larin 1/20................................. 128larin 24 fe................................ 128larin fe 1.5/30.......................... 128larin fe 1/20............................. 128larissia.....................................128LASIX........................................62LASTACAFT........................... 156

latanoprost.............................. 154LATANOPROST-TIMOLOL MALEATE............................... 154LATISSE................................. 156LATUDA....................................48LAVARE WOUND WASH......... 82layolis fe.................................. 128LAZANDA................................... 4LDO PLUS................................ 10LEDIPASVIR-SOFOSBUVIR.... 50leena....................................... 128leflunomide..............................135LEMTRADA.............................. 70LENSCALE............................. 146LENVIMA.................................. 40LESCOL XL.............................. 62lessina.....................................128LETAIRIS................................ 164letrozole.................................... 40leucovorin calcium.................... 40LEUKERAN...............................40LEUKINE...................................54leuprolide acetate....................122LEUPROLIDE ACETATE-BUPIVACAINE........................122levalbuterol hcl........................ 162LEVALBUTEROL HFA............162LEVATIO...................................10LEVBID................................... 112LEVEMIR U-100 FLEXTOUCH.96LEVEMIR U-100 VIAL...............96levetiracetam.............................25levetiracetam er........................ 25levetiracetam in nacl................. 25LEVICYN...................................82LEVICYN DERMAL SPRAY..... 82levobunolol hcl........................ 154LEVOCARNITINE................... 102levocarnitine............................102levocarnitine sf........................ 102levocetirizine dihydrochloride..159levofloxacin....................... 19, 152levofloxacin in d5w....................19levoleucovorin calcium..............40levoleucovorin calcium pf..........40levonest...................................128levonorgest-eth est & eth est.. 128levonorgest-eth estrad 91-day 128levonorgestrel-ethinyl estrad...128levonorg-eth estrad triphasic...128LEVOPHED.............................. 62levora 0.15/30 (28)..................128levorphanol tartrate..................... 4

184

levo-t....................................... 132levothyroxine sodium.............. 132LEVOTHYROXINE SODIUM.. 132levoxyl..................................... 132LEVSIN................................... 112LEVSIN/SL..............................112LEVULAN KERASTICK............ 82LEXAPRO................................. 28LEXETTE.................................. 82LEXIVA..................................... 50LIALDA....................................139LIBTAYO...................................40LICART....................................... 8LIDO BDK................................. 10lidocaine..............................10, 11LIDOCAINE (ANORECTAL)..... 82lidocaine hcl........................ 11, 73LIDOCAINE HCL...................... 11LIDOCAINE HCL (CARDIAC)...11lidocaine hcl (cardiac)............... 11lidocaine hcl (cardiac) pf........... 11lidocaine hcl (pf)........................11lidocaine hcl urethral/mucosal...11LIDOCAINE IN D5W................. 11lidocaine in d5w........................ 11LIDOCAINE IN DEXTROSE..... 11lidocaine viscous hcl................. 73lidocaine-epinephrine................11LIDOCAINE-EPINEPHRINE... 156lidocaine-hydrocort (perianal). 139LIDOCAINE-HYDROCORTISONE ACE82, 139lidocaine-hydrocortisone ace.. 139LIDOCAINE-PHENYLEPHRINE..................156LIDOCAINE-PHENYLEPHRINE-BSS......... 156lidocaine-prilocaine................... 11LIDOCAINE-SODIUM BICARBONATE........................ 11LIDOCAINE-TETRACAINE.......11LIDOCANNA............................. 11LIDOCIDEX I...........................119LIDOCORT............................. 139LIDODERM............................... 11LIDO-EPINEPHRINE-TETRACAINE..................... 11, 12lidolog......................................119LIDOMAR..................................12LIDOMARK 2/5......................... 12LIDOPAC.................................. 12lidopin........................................12LIDOPIN....................................12

LIDOPRIL..................................12LIDOPRIL XR............................12LIDO-PRILO CAINE PACK.......12LIDOPURE PATCH.................. 12LIDORX.....................................12LIDO-SORB.............................. 12LIDOSTREAM...........................12LIDOTHOL................................ 12LIDOTRAL................................ 12LIDOTREX (ALOE VERA)........ 82LIDOVIX L.................................12LIFEMS NALOXONE................ 14LILETTA (52 MG)....................128lillow........................................ 128LINCOCIN.................................19lincomycin hcl............................19lindane...................................... 45linezolid..................................... 19linezolid in sodium chloride....... 19LINZESS................................. 112liothyronine sodium................. 132LIPITOR.................................... 62LIPO........................................102LIPO-C.................................... 102LIPOFEN...................................62lisinopril ..................................... 62lisinopril-hydrochlorothiazide.....62lithium........................................53lithium carbonate.......................53lithium carbonate er.................. 53LITHOBID................................. 53LITHOSTAT............................ 116LIVALO..................................... 62LIVIXIL PAK.............................. 12LMD IN D5W.............................54LMD IN NACL........................... 54LMR PLUS................................ 12LO LOESTRIN FE...................128LODINE.......................................8LOESTRIN 1.5/30 (21)............128LOESTRIN 1/20 (21)...............128LOESTRIN FE 1.5/30............. 128LOESTRIN FE 1/20................ 128lojaimiess................................ 128LOKELMA............................... 102LOMAIRA..................................71LOMOTIL................................ 112LONHALA MAGNAIR REFILL KIT.......................................... 162LONHALA MAGNAIR STARTER KIT.........................162LONSURF.................................40loperamide hcl.........................112

LOPID....................................... 62lopinavir-ritonavir.......................50LOPRESSOR............................62LOPROX................................... 31lorazepam................................. 53lorazepam intensol....................53LORBRENA.............................. 40LORID..................................... 102LORTAB......................................4loryna...................................... 128losartan potassium....................62losartan potassium-hctz............ 62LOSEASONIQUE................... 128LOTEMAX...............................152LOTEMAX SM........................ 152LOTENSIN................................ 62LOTENSIN HCT........................62loteprednol etabonate............. 152LOTREL.................................... 63lovastatin...................................63LOVAZA....................................63LOVENOX.................................23low-ogestrel.............................128loxapine succinate.................... 48LOYON..................................... 82lo-zumandimine.......................128LUBIPROSTONE....................112LUCEMYRA.............................. 15LUCENTIS.............................. 156LUGOLS STRONG IODINE......19LULICONAZOLE.......................31LUMIGAN................................154LUMIZYME............................. 114LUMOXITI................................. 40LUNESTA............................... 166LUPANETA PACK.................. 122LUPRON DEPOT (1-MONTH) 123LUPRON DEPOT (3-MONTH) 123LUPRON DEPOT (4-MONTH) INTRAMUSCULAR KIT 30MG123LUPRON DEPOT (6-MONTH) INTRAMUSCULAR KIT 45MG123LUPRON DEPOT-PED (1-MONTH)..................................123LUPRON DEPOT-PED (3-MONTH)..................................123LUTATHERA.............................40lutera....................................... 128LUXIQ....................................... 82LUXTURNA.............................156LUZU.........................................31LYDEXA....................................12lyleq.........................................128

185

lyllana......................................128LYNPARZA............................... 40LYRICA..................................... 71LYRICA CR...............................71LYSINE HCL........................... 102LYSODREN.............................. 40LYSTEDA..................................54LYUMJEV KWIKPEN................96LYUMJEV VIAL.........................96lyza..........................................128MACI....................................... 146MACROBID...............................19MACRODANTIN....................... 19mafenide acetate...................... 19MAGNEBIND 400................... 102magnesium chloride................102magnesium sulfate..................102MAGNESIUM SULFATE.........102magnesium sulfate in d5w...... 102MAGNESIUM SULFATE-NACL...................................... 102MAKENA.................................129MALARONE..............................45malathion.................................. 45MANGANESE CHLORIDE..... 102mannitol.................................... 63maprotiline hcl...........................28MARBETA-25......................... 119MARBETA-L........................... 119MARCAINE............................... 12MARCAINE PRESERVATIVE FREE........................................ 12MARCAINE/EPINEPHRINE......12MARCAINE/EPINEPHRINE PF............................................. 12MARDEX-25........................... 119MARINOL..................................29marlido...................................... 12MARLIDO-25............................ 12marlissa...................................129MARPLAN.................................28MARQIBO................................. 40MARVONA SUIK...................... 12MAS CARE-PAK.....................119MATULANE.............................. 40matzim la...................................63MAVENCLAD............................70MAVYRET.................................50MAXALT....................................34MAXALT-MLT........................... 34MAXICOMFORT SYR 27G X 1/2"............................................96MAXIDEX................................152

MAXITROL..............................156MAXZIDE.................................. 63MAXZIDE-25.............................63MAYZENT.................................70MAYZENT STARTER PACK.... 70me/naphos/mb/hyo1............... 116MEADOW FESCUE GRASS POLLEN..................................146meclizine hcl............................. 29meclofenamate sodium...............8MEDROL.................................119MEDROLOAN II SUIK............ 119MEDROLOAN SUIK............... 119medroxyprogesterone acetate 129mefenamic acid...........................8mefloquine hcl...........................45megestrol acetate................... 129MEKINIST................................. 40MEKTOVI..................................40MELALEUCA.......................... 146melodetta 24 fe....................... 129meloxicam...................................8melphalan................................. 40melphalan hcl............................40memantine hcl...........................26memantine hcl er...................... 26MEMBRANEBLUE..................156MENACTRA............................137MENEST................................. 129MENOPUR..............................123MENOSTAR............................129MENQUADFI.......................... 137MENTAX................................... 31MENVEO................................ 137meperidine hcl.............................4MEPHYTON............................102meprobamate............................53MEPRON.................................. 45MEPSEVII............................... 114mercaptopurine......................... 40meropenem...............................19MEROPENEM-SODIUM CHLORIDE............................... 19MERREM.................................. 19merzee.................................... 129mesalamine.............................139mesalamine er oral capsule 0.375 gm................................. 139mesalamine-cleanser..............139mesna....................................... 40MESNEX...................................40MESQUITE............................. 146MESTINON............................... 34

METAXALL CP....................... 165metaxalone............................. 165metformin hcl er........................ 89metformin hcl er (mod)..............89metformin hcl er (osm).............. 89metformin hcl ir ......................... 89methadone hcl............................ 4methadone hcl intensol............... 4METHADONE HCL-NACL.......... 4methadose.................................. 4methadose sugar-free.................4methamphetamine hcl...............69methazolamide........................154methenamine hippurate............ 19methenamine mandelate.......... 19methergine.............................. 146methimazole............................132METHITEST............................121methocarbamol....................... 165methotrexate........................... 135methotrexate sodium.............. 135methotrexate sodium (pf)........ 135methoxsalen rapid.....................82methscopolamine bromide......112methyl salicylate........................82METHYLCOBALAMIN............ 102methyldopa............................... 63methyldopa-hydrochlorothiazide...................63methylene blue........................146methylergonovine maleate......146METHYLIN................................69methylphenidate hcl.................. 69methylphenidate hcl er..............69methylphenidate hcl er (cd).......69methylphenidate hcl er (la)........69methylphenidate hcl er (xr)....... 69methylprednisolone.................119METHYLPREDNISOLONE ACE-LIDO............................... 119METHYLPREDNISOLONE ACETATE............................... 119methylprednisolone acetate.... 119methylprednisolone sodium succ.........................................119METHYLPREDNISOLONE-BUPIVACAINE........................119methyltestosterone..................121metoclopramide hcl...................29metolazone............................... 63metoprolol succinate er.............63metoprolol tartrate.....................63metoprolol-hydrochlorothiazide.63

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METROCREAM........................ 82METROGEL..............................82METROLOTION........................82metronidazole..................... 19, 82metronidazole in nacl................ 19metyrosine................................ 63mexiletine hcl............................ 63MI PASTE................................. 73MI PASTE PLUS.......................73MIACALCIN............................ 140mibelas 24 fe...........................129micafungin sodium.................... 31MICARDIS................................ 63MICARDIS HCT........................ 63MIC-L-CARNITINE..................102miconazole 3.............................31MICONAZOLE-ZINC OXIDE-PETROLAT............................... 32MICRHOGAM ULTRA-FILTERED PLUS.................... 135MICROCHAMBER.................. 146MICROCYN.............................. 82MICROCYN SKIN AND WOUND.................................... 82MICRODOT TEST.................... 93microgestin 1.5/30...................129microgestin 1/20......................129microgestin 24 fe.....................129microgestin fe 1.5/30...............129microgestin fe 1/20..................129MICROLET NEXT LANCING DEVICE.....................................93midodrine hcl.............................63MIGERGOT.............................. 34miglitol.......................................89miglustat..................................114MIGRANAL............................... 34mili ...........................................129MILLIPRED............................. 119milrinone lactate........................63milrinone lactate in dextrose..... 63mimvey....................................129MIMYX...................................... 82MINASTRIN 24 FE..................129mineral oil heavy..................... 112MINIMED 770G INSULIN PUMP SYS............................. 146MINIMED MIO ADVANCE INFUSE SET...........................146MINIMED PUMP RESERVOIR 3ML......................................... 146MINIMED QUICK SET INF SET 18"...................................146

MINIMED QUICK SET INF SET 23"...................................146MINIMED QUICK SET INF SET 32"...................................146MINIMED QUICK SET INF SET 43"...................................146MINIMED SILHOUETTE INF SET 32"...................................146MINIMED SILHOUETTE INF SET 43"...................................146MINIPRESS.............................. 63minitran..................................... 63MINIVELLE............................. 129MINOCIN.................................. 19minocycline hcl..........................19MINOCYCLINE HCL ER...........19minocycline hcl er..................... 19MINOLIRA.................................19minoxidil .................................... 63MINOXIDIL-PROGEST-TRETINOIN...............................82MIOCHOL-E............................156MIOSTAT................................ 156MIRAPEX..................................46MIRAPEX ER............................46MIRCERA................................. 54MIRCETTE..............................129MIRENA (52 MG)....................129mirtazapine............................... 28MIRVASO................................. 82misoprostol..............................109MITE (D. FARINAE)................146MITE (D. PTERONYSSINUS).146MITIGARE.................................33mitigo.......................................... 4mitomycin..................................40MITOMYCIN..................... 40, 152MITOSOL................................152mitoxantrone hcl........................40MIXED ASPERGILLUS...........146MIXED FEATHERS................ 146MIXED RAGWEED................. 146MIXED VESPID VENOM PROTEIN................................ 146mixed vespid venom protein... 146mlk f1...................................... 146mlk f2...................................... 146mlk f3...................................... 146MLK F4................................... 146M-M-R II.................................. 137M-NATAL PLUS......................102MOBIC........................................ 8modafinil ..................................166

MODERNA COVID-19 VACCINE................................ 137moexipril hcl.............................. 63molindone hcl............................48mometasone furoate......... 82, 159mondoxyne nl............................19MONJUVI..................................40MONOFERRIC....................... 102monoject flush syringe............ 102monoject sodium chloride flush................................................ 102mono-linyah............................ 129MONONINE.............................. 54MONOVISC............................ 146MONSELS FERRIC SUBSULFATE.......................... 54montelukast sodium................ 162MONUROL................................19MORGIDOX.............................. 19morgidox................................... 19MORPHINE SULFATE........... 4, 5morphine sulfate......................... 5morphine sulfate (concentrate)... 4morphine sulfate (pf)................... 4morphine sulfate er..................... 4morphine sulfate er beads.......... 4MORPHINE SULFATE-NACL.....5MOTEGRITY...........................112MOTOFEN.............................. 112MOUNTAIN CEDAR............... 147MOUSE EPITHELIUM............ 147MOVANTIK............................. 112MOVIPREP............................. 113MOXEZA.................................152MOXIFLOXACIN HCL.................................. 19, 152, 153moxifloxacin hcl.................19, 153moxifloxacin hcl (2x day).........152moxifloxacin hcl in nacl............. 19MOXIFLOXACIN HCL-BSS.... 156MOZOBIL..................................54MS CONTIN................................5MSUD EASY...........................147MUCOR.................................. 147MUCOSITISRX......................... 73MUGWORT.............................147MULPLETA............................... 54MULTAQ................................... 63MULTIGEN............................. 102MULTIGEN FOLIC..................102MULTIGEN PLUS................... 103MULTIPRO............................. 103MULTI-SPECIALTY................ 120

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multitrace-4 neonatal.............. 103MULTITRACE-4 PEDIATRIC..103multi-vit/iron/fluoride................103multivitamin/fluoride................ 103MULTIVITAMIN/FLUORIDE... 103multi-vitamin/fluoride............... 103multi-vitamin/fluoride/iron........ 103mupirocin.................................. 19mupirocin calcium..................... 19mutamycin.................................41MVASI.......................................41MYALEPT............................... 114MYAMBUTOL........................... 35MYCAMINE...............................32MYCAPSSA............................ 123MYCOBUTIN............................ 35mycophenolate mofetil ............ 135mycophenolate mofetil hcl...... 135mycophenolate sodium........... 135MYDAYIS..................................69myferon 150 forte....................103MYFORTIC............................. 135MYLERAN.................................41MYLOTARG..............................41MYOBLOC.............................. 147myorisan................................... 82MYRBETRIQ...........................116MYTESI...................................113MYXREDLIN............................. 96na ferric gluc cplx in sucrose...103NABI-HB................................. 135nabumetone................................ 8n-acetyl-l-cysteine................... 103nadolol...................................... 63nafcillin sodium......................... 19NAFCILLIN SODIUM IN DEXTROSE.............................. 19nafrinse................................... 103NAFRINSE DAILY ACIDULATED........................... 73NAFRINSE DAILY/NEUTRAL...73nafrinse drops......................... 103NAFRINSE WEEKLY................73naftifine hcl................................32NAFTIN..................................... 32NAGLAZYME..........................114nalbuphine hcl.............................5NALFON..................................... 8NALOCET................................... 5naloxone hcl..............................15NALTREXONE..........................15naltrexone hcl............................15NAMENDA................................ 26

NAMENDA TITRATION PAK....26NAMENDA XR.......................... 26NAMENDA XR TITRATION PACK........................................ 26NAMZARIC............................... 26NAPRELAN.................................8naproxen..................................... 8naproxen sodium........................ 8naproxen sodium er.................... 8naproxen-esomeprazole............. 8naratriptan hcl........................... 34NARCAN...................................15NARDIL.....................................28NAROPIN..................................12NASCOBAL............................ 103NASONEX.............................. 159NATACYN...............................153NATAZIA.................................129nateglinide.................................89NATESTO............................... 121NATPARA............................... 140NATROBA.................................45NATURE-THROID.................. 132NAVELBINE..............................41NAYZILAM................................ 25NEBUPENT.............................. 45necon 0.5/35 (28)....................129nefazodone hcl..........................28NEMBUTAL.............................. 25NEOKE ALCAR...................... 103NEOKE RA LIPOIC.................147neomycin sulfate....................... 20neomycin-bacitracin zn-polymyx...................................156neomycin-polymyxin b gu......... 20neomycin-polymyxin-dexameth................................................ 156neomycin-polymyxin-gramicidin................................156neomycin-polymyxin-hc.. 156, 158NEONATAL + DHA.................103NEONATAL COMPLETE........103NEONATAL FE....................... 103NEONATAL PLUS.................. 103neo-polycin..............................157neo-polycin hc.........................157NEOPROFEN............................. 8NEORAL................................. 135NEOSALUS.............................. 82neostigmine methylsulfate........ 34NEOSTIGMINE METHYLSULFATE............. 34, 35NEO-SYNALAR........................ 82

NEOTUSS PLUS.................... 159NEPHRAMINE........................ 103NEPHRON FA........................ 103NERLYNX................................. 41NESACAINE............................. 12NESACAINE-MPF.................... 12NESINA.....................................89NESTABS............................... 103NESTABS ONE...................... 103neuac........................................ 82NEUAC..................................... 82NEULASTA............................... 54NEULASTA ONPRO.................54NEUPOGEN............................. 54NEUPRO...................................46NEURONTIN.............................25NEUTRASAL............................ 73NEVANAC...............................153nevirapine................................. 50nevirapine er............................. 50NEXAVAR.................................41NEXAVIR................................ 147NEXIUM.................................. 109NEXIUM I.V.............................109NEXLETOL............................... 63NEXLIZET.................................63NEXPLANON..........................129NEXTERONE............................63niacin (antihyperlipidemic)........ 63niacin er (antihyperlipidemic).... 63NIACINAMIDE-SPIRONOLACTONE................ 82NIACINAMIDE-SULFACETAMIDE....................82NIACINAMIDE-TACROLIMUS..82NIACINAMIDE-TAZAROTENE. 82NIACINAMIDE-TRETINOIN......82NIACINAMIDE-TRIAMCINOLONE ACET......... 82NIACIN-SPIRONOLACTON-TRETINOIN...............................82niacor........................................ 63NIASPAN.................................. 63NICADAN................................103nicardipine hcl........................... 63NICARDIPINE HCL IN NACL... 63NICAZEL.................................103NICAZEL FORTE....................103NICOMIDE.............................. 103NICOTROL............................... 15NICOTROL NS......................... 15nifedipine...................................64nifedipine er.............................. 63

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nifedipine er osmotic release.... 63NIFEREX................................ 103nikki.........................................129NILANDRON.............................41nilutamide..................................41NIMBEX.................................... 71nimodipine.................................64NINLARO.................................. 41NIPENT.....................................41NIPRIDE RTU........................... 64nisoldipine er.............................64nitazoxanide..............................45NITHIODOTE..........................147nitisinone.................................114NITRO-BID................................64NITRO-DUR..............................64nitrofurantoin............................. 20nitrofurantoin macrocrystal........20nitrofurantoin monohydrate macrocrystals............................20nitroglycerin...............................64nitroglycerin in d5w................... 64NITROLINGUAL....................... 64NITROMIST.............................. 64nitroprusside sodium.................64NITROSTAT..............................64NITRO-TIME............................. 64NITYR..................................... 114NIVESTYM................................54nizatidine.................................110NOCDURNA........................... 123nolix...........................................82nora-be....................................129NORDITROPIN FLEXPRO..... 123NOREPINEPHRINE (BASE)-DEXTROSE.............................. 64norepinephrine bitartrate...........64NOREPINEPHRINE-DEXTROSE.............................. 64NOREPINEPHRINE-SODIUM CHLORIDE......................... 64, 65norethin ace-eth estrad-fe.......129norethindrone..........................129norethindrone acetate............. 129norethindrone acet-ethinyl est.129norethindrone-eth estradiol..... 129norethin-eth estradiol-fe.......... 129NORGESIC FORTE................165norgestimate-eth estradiol...... 129norgestimate-ethinyl estradiol triphasic...................................129NORITATE................................83norlyda.................................... 130

norlyroc................................... 130normal saline flush.................. 103NORPACE................................ 65NORPACE CR.......................... 65NORPRAMIN............................ 28NORTHERA..............................65nortrel 0.5/35 (28)................... 130nortrel 1/35 (21)...................... 130nortrel 1/35 (28)...................... 130nortrel 7/7/7.............................130nortriptyline hcl..........................28NORVASC................................ 65NORVIR.................................... 50NOURIANZ............................... 46NOURISH............................... 147novarel.................................... 123NOVAREL...............................123NOVOEIGHT............................ 54NOVOFINE AUTOCOVER PEN NEEDLE........................... 96NOVOFINE PEN NEEDLE....... 96NOVOFINE PLUS PEN NEEDLE....................................96NOVOLIN 70/30 FLEXPEN...... 96NOVOLIN 70/30 FLEXPEN RELION.....................................96NOVOLIN 70/30 RELION......... 96NOVOLIN 70/30 VIAL............... 96NOVOLIN N FLEXPEN.............96NOVOLIN N FLEXPEN RELION.....................................96NOVOLIN N RELION................97NOVOLIN N VIAL..................... 97NOVOLIN R FLEXPEN.............97NOVOLIN R FLEXPEN RELION.....................................97NOVOLIN R RELION................97NOVOLIN R VIAL..................... 97NOVOLOG FLEXPEN.............. 97NOVOLOG MIX 70/30 FLEXPEN..................................97NOVOLOG MIX 70/30 VIAL......97NOVOLOG PENFILL................ 97NOVOLOG U-100 VIAL............ 97NOVOPEN ECHO.....................93NOVOSEVEN RT..................... 55NOVOTWIST PEN NEEDLE.... 97NOXAFIL...................................32NOZIN NASAL SANITIZER POPSWAB..............................147np thyroid................................ 132NPLATE.................................... 55NUBEQA...................................41

NUCALA................................. 159NUCARACLINPAK................... 83NUCARARXPAK.......................83NUCORT...................................83NUCYNTA...................................5NUCYNTA ER.............................5NUDROXIPAK DSDR-50............8NUDROXIPAK DSDR-75............9NUDROXIPAK E-400..................9NUDROXIPAK I-800................... 9NUDROXIPAK M-15................... 9NUDROXIPAK N-500................. 9NUEDEXTA.............................. 71NUFERA................................. 103NULEV.................................... 113NULOJIX.................................135NULYTELY LEMON-LIME...... 113NULYTELY WITH FLAVOR PACKS....................................113NUMBRINO.............................. 12NUMOISYN...............................73NUPLAZID................................ 48NURTEC................................... 34NUSURGEPAK SURGICAL PREP/CARE............................. 73NUTRASEB.............................. 83NUTRIARX CREAMPAK.......... 83NUTRIDOX............................... 20nutrilipid...................................103NUTRIVIT............................... 104NUTROPIN AQ NUSPIN 10... 123NUTROPIN AQ NUSPIN 20... 123NUTROPIN AQ NUSPIN 5..... 123NUVAIL..................................... 83NUVAKAAN.............................. 12NUVAKAAN-II........................... 12NUVARING............................. 130NUVESSA.................................20NUVIGIL..................................166NUWIQ......................................55NUZYRA................................... 20nyamyc......................................32nylia 7/7/7................................130NYMALIZE................................ 65nymyo..................................... 130nystatin......................................32nystatin-triamcinolone............... 32nystop....................................... 32NYVEPRIA................................55OBIZUR.................................... 55OCALIVA................................ 114ocella.......................................130OCREVUS................................ 70

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OCTAGAM..............................135octreotide acetate................... 123OCUFLOX...............................153ODACTRA.............................. 147ODEFSEY.................................50ODOMZO..................................41OFEV...................................... 162ofloxacin....................20, 153, 158OGIVRI..................................... 41olanzapine.................................48olanzapine-fluoxetine hcl.......... 28OLINVYK.................................... 5OLIVE TREE...........................147olmesartan medoxomil..............65olmesartan medoxomil-hctz...... 65olmesartan-amlodipine-hctz......65olopatadine hcl................153, 159OLUMIANT............................. 135OLUX........................................ 83OLUX-E.....................................83OMECLAMOX-PAK................ 113omega-3-acid ethyl esters.........65OMEGAVEN........................... 104omeprazole............................. 110OMEPRAZOLE+SYRSPEND SF ALKA................................. 110omeprazole-sodium bicarbonate............................. 110OMIDRIA.................................157OMNARIS............................... 159OMNIPOD 5 PACK................. 147OMNIPOD DASH 5 PACK PODS......................................147OMNIPOD DASH SYSTEM...... 93OMNIPOD STARTER............... 93OMNITROPE.......................... 123ONCASPAR..............................41ondansetron hcl........................ 30ondansetron odt........................ 30ONE DROP BLOOD GLUCOSE MONITOR.............. 93ONE DROP TEST.....................93ONE VITE WOMENS PLUS... 104ONETOUCH DELICA LANCING DEV..........................93ONETOUCH DELICA PLUS LANCING.................................. 93ONETOUCH ULTRA.................93ONETOUCH ULTRA 2 KIT W/DEVICE................................ 93ONETOUCH ULTRA MINI KIT W/DEVICE................................ 93

ONETOUCH VERIO FLEX SYSTEM KIT W/DEVICE..........94ONETOUCH VERIO IQ SYSTEM................................... 94ONETOUCH VERIO KIT W/DEVICE................................ 94ONETOUCH VERIO REFLECT..................................94ONETOUCH VERIO SYNC SYSTEM KIT W/DEVICE..........94ONEXTON................................ 83ONFI......................................... 25ONGENTYS..............................46ONGLYZA.................................89ONIVYDE..................................41ONPATTRO.............................. 71ONTRUZANT............................41ONUREG.................................. 41ONYCHO-MED......................... 32ONZDEOXIA.............................83ONZETRA XSAIL......................34OPDIVO.................................... 41OPSUMIT................................164ORABLOC................................ 12ORACEA...................................83ORACIT.................................. 104ORAFATE............................... 147ORALAIR................................ 147ORALAIR ADULT STARTER PACK...................................... 147ORALAIR CHILDRENS STARTER PACK.................... 147oralone...................................... 73ORAPRED ODT......................120ORAVIG.................................... 32ORBACTIV................................20ORCHARD GRASS POLLEN. 147ORENCIA................................135ORENCIA CLICKJECT........... 135ORENITRAM.......................... 164ORFADIN................................114ORGOVYX................................41ORIAHNN............................... 130ORILISSA............................... 123ORKAMBI............................... 164ORLADEYO............................ 135ORMECA.................................... 9orphenadrine citrate................ 165orphenadrine citrate er............165orphenadrine-asa-caffeine...... 165ORPHENGESIC FORTE........ 165orsythia................................... 130ORTHO DF............................. 104

ORTHO MICRONOR.............. 130ORTHOVISC...........................147ORTIKOS................................139oscimin....................................113oscimin sr................................113oseltamivir phosphate............... 50OSENI.......................................90OSMITROL............................... 65OSMOLEX ER.......................... 46OSMOPREP........................... 113OSPHENA.............................. 122OTEZLA.................................. 135OTIPRIO................................. 158OTOVEL................................. 158OTREXUP...............................135OVACE PLUS........................... 83OVACE PLUS WASH............... 83OVACE WASH..........................83OVIDE.......................................45OVIDREL................................ 123oxacillin sodium.........................20OXACILLIN SODIUM IN DEXTROSE.............................. 20oxaliplatin.................................. 41oxandrolone............................ 121oxaprozin.................................... 9OXAYDO.....................................5oxazepam................................. 53OXBRYTA...............................147oxcarbazepine...........................25OXERVATE............................ 157OXIANUJO................................83OXIATAR.................................. 83OXIAVARRY............................. 83OXIAZAR.................................. 83oxiconazole nitrate.................... 32OXISTAT...................................32OXLUMO................................ 116OXOPOD.................................. 83OXSORALEN ULTRA...............83OXTELLAR XR......................... 25oxybutynin chloride................. 116oxybutynin chloride er............. 116oxycodone hcl............................. 6OXYCODONE HCL ER.............. 5OXYCODONE-ACETAMINOPHEN.....................6oxycodone-acetaminophen.........6oxycodone-aspirin.......................6OXYCONTIN...............................6oxymorphone hcl.........................6oxymorphone hcl er.................... 6oxytocin...................................123

190

OXYTOCIN-LACTATED RINGERS................................123OXYTOCIN-SODIUM CHLORIDE..................... 123, 124OXYTROL...............................116OZEMPIC..................................90OZOBAX................................. 165OZURDEX.............................. 153PACERONE..............................65paclitaxel................................... 41PADCEV................................... 41PAINGO KFT............................ 12PALFORZIA............................ 147paliperidone er.......................... 48palonosetron hcl........................30PALYNZIQ.............................. 114pamidronate disodium.............140PANCREAZE.......................... 114pancuronium bromide............... 71PANDA MASK LARGE........... 147PANDA MASK MEDIUM.........147PANDA MASK SMALL............147PANDEL....................................83PANRETIN................................41pantoprazole sodium...............110PANZYGA...............................135papaverine hcl...........................65PARADIGM QUICK-SET 23" 9MM........................................ 147PARAGARD INTRAUTERINE COPPER.................................130paraplatin.................................. 41paricalcitol............................... 140PARLODEL...............................46PARNATE................................. 28paromomycin sulfate.................20paroxetine hcl............................28paroxetine hcl er....................... 28paroxetine mesylate..................28PARSABIV.............................. 140PASER......................................35PATANASE.............................159PAXIL........................................28PAXIL CR..................................28P-CARE K40........................... 120P-CARE K40G........................ 120P-CARE K40MX......................120P-CARE K80........................... 120P-CARE K80G........................ 120P-CARE K80MX......................120PCP 100..................................113PEDIAPRED........................... 120PEDIARIX............................... 137

PEDIATRIC PANDA MASK.... 147PEDVAX HIB.......................... 138peg 3350-kcl-na bicarb-nacl....113peg-3350/electrolytes..............113peg-3350/electrolytes/ascorbat................................................ 113PEGASYS.................................50PEGINTRON.............................50peg-kcl-nacl-nasulf-na asc-c... 113peg-prep..................................113PEMAZYRE.............................. 41penicillamine........................... 116PENICILLIN G POT IN DEXTROSE.............................. 20penicillin g potassium................20penicillin g procaine.................. 20penicillin g sodium.....................20penicillin v potassium................ 20PENICILLIUM NOTATUM.......147PENLEN....................................83PENNSAID..................................9PENTACEL............................. 138PENTAM................................... 45pentamidine isethionate............ 45PENTASA............................... 139pentazocine-naloxone hcl........... 6PENTETATE CALCIUM TRISODIUM............................147PENTETATE ZINC TRISODIUM............................147pentobarbital sodium.................25PENTOSAN POLYSULFATE SODIUM..................................116pentoxifylline er......................... 65PERCOCET................................ 6PERENNIAL RYE GRASS POLLEN..................................147PERFOROMIST......................162PERIDEX.................................. 73PERIKABIVEN........................ 104perindopril erbumine................. 65periogard...................................73PERJETA..................................41permethrin.................................45perphenazine............................ 30perphenazine-amitriptyline........28PERSERIS................................48PERTZYE............................... 114PEXEVA....................................28PFIZER-BIONTECH COVID-19 VACC................................. 138PFIZERPEN..............................20PHENACTIN AA PLUS........... 147

phenazo.................................. 116phenazopyridine hcl................ 116phendimetrazine tartrate........... 71phendimetrazine tartrate er.......71phenelzine sulfate..................... 28PHENERGAN......................... 159phenobarbital............................ 25phenobarbital sodium................25PHENOL................................. 147phenoxybenzamine hcl............. 65phentermine hcl........................ 71phentolamine mesylate............. 65PHENYLEPHRINE HCL... 65, 157phenylephrine hcl..............65, 157PHENYLEPHRINE HCL (PRESSORS)............................65PHENYLEPHRINE HCL-NACL............................................ 65, 66PHENYTEK...............................25phenytoin.................................. 25phenytoin infatabs.....................25phenytoin sodium......................25phenytoin sodium extended...... 25PHEODOYO............................. 32PHESGO...................................41PHEXXI...................................147PHEYO..................................... 32philith.......................................130PHLAG SPRAY.........................83PHOMA EXIGUA.................... 147PHOSLYRA............................ 116PHOSPHA 250 NEUTRAL......104PHOSPHASAL........................116PHOSPHOLINE IODIDE.........154phosphorous........................... 104phospho-trin 250 neutral......... 104PHOTOFRIN.............................41PHOTREXA VISCOUS........... 148PHOTREXA-PHOTREXA VISCOUS KIT......................... 148PHOXILLUM B22K4/0............ 104PHOXILLUM BK4/2.5............. 104PHYSICIANS EZ USE B-12....104PHYSICIANS EZ USE JOINT/TUNNEL...................... 120PHYSICIANS EZ USE M-PRED...................................... 120PHYSIOLYTE......................... 104PHYSIOSOL IRRIGATION..... 104PHYSOSTIGMINE SALICYLATE.......................... 148phytonadione.......................... 104PICATO.....................................83

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PIFELTRO................................ 50pilocarpine hcl................... 73, 154pimecrolimus.............................83pimozide....................................48pimtrea.................................... 130pindolol......................................66pioglitazone hcl......................... 90pioglitazone hcl-glimepiride.......90pioglitazone hcl-metformin hcl.. 90piperacillin sod-tazobactam so..20PIQRAY.................................... 41pirmella 1/35........................... 130pirmella 7/7/7.......................... 130piroxicam.....................................9PITOCIN................................. 124PKU EASY.............................. 148PKU EASY MICROTABS........148PKU GO.................................. 148PLAQUENIL..............................45PLAVIX..................................... 47PLEGRIDY................................70PLEGRIDY STARTER PACK... 70PLENAMINE........................... 104PLENVU..................................113PLEXION.................................. 83PLEXION CLEANSER.............. 83PLEXION CLEANSING CLOTH......................................83PLIAGLIS.................................. 13PNEUMOVAX 23.................... 138PNV TABS 20-1...................... 104POCKET SPACER................. 148POD-CARE 100K....................120podocon.................................... 83podofilox....................................83PODPROG................................83POINT OF CARE KM..............120POINT OF CARE L.2.............. 120POINT OF CARE L.5.............. 120POINT OF CARE LM DEP 2...120POINT OF CARE LM-2.2..........13POINT OF CARE LM-2.5..........13POLIDOCANOL........................ 66POLIVY..................................... 41polocaine...................................13polocaine-mpf........................... 13polycin.....................................157poly-iron 150 forte................... 104polymyxin b sulfate................... 20polymyxin b-trimethoprim........157polysaccharide iron forte.........104POLYTRIM..............................157POLY-VI-FLOR....................... 104

POLY-VI-FLOR/IRON............. 104POMALYST.............................. 41portia-28..................................130PORTRAZZA............................ 41posaconazole............................32potassium acetate...................104potassium chloride.................. 104potassium chloride crys er...... 104potassium chloride er..............104potassium citrate er.................104potassium citrate-citric acid.....104potassium phosphates............ 104potassium phosphates(66 meq k)............................................. 104potassium phosphates(71 meq k)............................................. 104POTELIGEO............................. 41POVIDONE-IODINE............... 153PR BENZOYL PEROXIDE........83PR BENZOYL PEROXIDE WASH....................................... 83PR CREAM............................... 83PRADAXA.................................23PRALUENT...............................66pramipexole dihydrochloride..... 46pramipexole dihydrochloride er.46PRAMOTIC............................. 158pramox...................................... 83PRASTERA.................................9prasugrel hcl............................. 47pravastatin sodium....................66PRAXBIND..............................148praziquantel.............................. 45prazosin hcl...............................66PRECEDEX............................ 148PRECISION LINK..................... 94PRECISION PCX PLUS TEST. 94PRECISION QID MONITOR.....94PRECISION QID TEST.............94PRECISION SOF-TACT MONITOR................................. 94PRECISION SOF-TACT TEST. 94PRECISION XTRA....................94PRECISION XTRA BLOOD GLUCOSE................................ 94PRECISION XTRA MONITOR..94PRECOSE................................ 90PRED FORTE.........................153PRED MILD............................ 153PRED-G.................................. 157PRED-G S.O.P....................... 157prednicarbate............................ 83

PREDNISOL ACE-MOXIFLOX-BROMFEN.......... 153prednisolone........................... 120prednisolone acetate...............153prednisolone acetate p-f......... 153PREDNISOLONE ACETATE-NEPAFENAC.......................... 157PREDNISOLONE ACET-MOXIFLOXACIN.....................157prednisolone sodium phosphate....................... 120, 153PREDNISOLONE-BROMFENAC......................... 157PREDNISOLONE-GATIFLOXACIN......................157PREDNISOLONE-MOXIFLOXACIN.....................157PREDNISOLON-GATIFLOX-BROMFENAC......................... 157PREDNISOLON-MOXIFLOX-BROMFENAC......................... 157PREDNISOLON-MOXIFLOX-NEPAFENAC.......................... 153prednisone.............................. 120prednisone intensol.................120PREFEST............................... 130pregabalin................................. 71PREGEN DHA........................ 104PREGENNA............................104pregnyl.................................... 124PREMARIN............................. 130PREMASOL............................ 105premium lidocaine.....................13PREMIUM SCAR...................... 13PREMPHASE......................... 130PREMPRO..............................130PRENAISSANCE....................105PRENARA...............................105prenatal................................... 105prenatal plus iron.................... 105prenatal vitamin plus low iron..105PRENATE............................... 105PRENATE DHA...................... 105PRENATE ELITE.................... 105PRENATE ENHANCE............ 105PRENATE ESSENTIAL.......... 105PRENATE MINI...................... 105PRENATE PIXIE.....................105PRENATE RESTORE.............105PRENATRIX........................... 105PRENATRYL.......................... 105PRENATVITE COMPLETE.....105PRENATVITE PLUS............... 105

192

PRENATVITE RX................... 105PREPIV SUPPLY......................13preplus.................................... 105PRESERA.................................83PRESTALIA.............................. 66PRETAB..................................105PRETOMANID.......................... 35PREVACID..............................110PREVACID SOLUTAB............110prevalite.................................... 66PREVIDENT............................. 73prevident................................... 73PREVIDENT 5000 BOOSTER PLUS.........................................73PREVIDENT 5000 DRY MOUTH.....................................73PREVIDENT 5000 ENAMEL PROTECT.................................73PREVIDENT 5000 ORTHO DEFENSE................................. 73PREVIDENT 5000 PLUS.......... 73PREVIDENT 5000 SENSITIVE.73previfem.................................. 130PREVNAR 13..........................138PREVYMIS............................... 50PREZCOBIX............................. 50PREZISTA................................ 51PRIFTIN.................................... 35PRILO PATCH.......................... 13PRILO PATCH II....................... 13PRILOLID..................................13PRILOSEC..............................110PRILOVIX................................. 13PRILOVIX LITE.........................13PRILOVIX LITE PLUS.............. 13PRILOVIX PLUS....................... 13PRILOVIX ULTRALITE............. 13PRILOVIX ULTRALITE PLUS...13PRILOVIXIL.............................. 13PRIMACARE...........................105primaquine phosphate.............. 45PRIMAXIN IV............................ 20primidone.................................. 25PRIMSOL..................................20PRINIVIL................................... 66PRISMASOL B22GK 4/0........ 105PRISMASOL BGK 0/2.5......... 105PRISMASOL BGK 2/0............ 105PRISMASOL BGK 2/3.5......... 105PRISMASOL BGK 4/0/1.2...... 105PRISMASOL BGK 4/2.5......... 105PRISMASOL BK 0/0/1.2......... 105PRISTIQ....................................28

PRIVET................................... 148PRIVIGEN...............................135PRIZOPAK II.............................13PRIZOTRAL..............................13PRIZOTRAL-II...........................13PRO COMFORT SPACER ADULT.................................... 148PRO COMFORT SPACER CHILD..................................... 148PRO COMFORT SPACER INFANT................................... 148PROAIR DIGIHALER..............162PROAIR HFA.......................... 162PROAIR RESPICLICK............162probenecid................................ 33PROBICHEW..........................113PROBUPHINE IMPLANT KIT..... 6procainamide hcl.......................66PROCALAMINE......................105PROCARDIA.............................66PROCARDIA XL....................... 66PROCARE SPACER/ADULT MASK......................................148PROCARE SPACER/CHILD MASK......................................148PRO-C-DURE 5...................... 120PRO-C-DURE 6...................... 120PROCENTRA........................... 69prochlorperazine....................... 30prochlorperazine edisylate........ 30prochlorperazine maleate......... 30PROCRIT..................................55PROCTOFOAM HC................ 139procto-med hc......................... 139procto-pak............................... 139proctozone-hc......................... 139PROCYSBI............................. 114PRODIGEN.............................113PRODIGY NO CODING BLOOD GLUC.......................... 94PROFILNINE............................ 55progesterone...........................130progesterone micronized........ 130PROGESTERONE-MINOXIDIL................................84PROGLYCEM........................... 95PROGRAF.............................. 135PROLASTIN-C........................162PROLATE................................... 6PROLENSA............................ 153PROLEUKIN............................. 41PROLIA...................................140PROMACTA..............................55

PROMACTIN AA PLUS 20PE 148PROMELLA IN PREBIOTIC... 113promethazine hcl.....................159promethazine vc......................159promethazine vc/codeine........ 159promethazine-codeine............ 159promethazine-dm.................... 159promethazine-phenyleph-codeine................................... 159promethazine-phenylephrine.. 159promethegan...........................160PROMETRIUM....................... 130PROMISEB............................... 84propafenone hcl........................ 66propafenone hcl er.................... 66proparacaine hcl..................... 157PROPECIA............................... 84propranolol hcl.......................... 66propranolol hcl er...................... 66propranolol-hctz........................ 66propylthiouracil ........................132PROQUAD..............................138PROSCAR.............................. 117PROSILK.................................. 84PROSOL................................. 105PROSTIN VR............................ 66protamine sulfate...................... 55PROTEXA.................................84PROTHELIAL..........................148PROTONIX............................. 110PROTOPAM CHLORIDE........148PROTOPIC............................... 84protriptyline hcl..........................28PROVAYBLUE........................148PROVENGE............................135PROVENTIL HFA................... 162PROVERA.............................. 130PROVIGIL............................... 166PROVISC................................157PROZAC................................... 28PRUCLAIR................................84PRUMYX...................................84pseudoephedrine-bromphen-dm........................................... 160PSORCON................................84PULMICORT FLEXHALER.....162PULMICORT SUSPENSION.. 163PULMOZYME......................... 164purevit dualfe plus...................105PURIXAN.................................. 41PYLERA..................................113pyrazinamide.............................35PYRIDIUM.............................. 116

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pyridostigmine bromide.............35pyridostigmine bromide er.........35PYRIDOXAL-5 PHOSPHATE. 105pyridoxine hcl.......................... 105PYRIDOXINE HCL..................105pyrimethamine.......................... 45PYRIMETHAMINE-LEUCOVORIN.......................... 45PYROGALLIC ACID................. 84QBRELIS.................................. 66QBREXZA.................................84QDOLO....................................... 6QINLOCK..................................41QMIIZ ODT................................. 9QNASL....................................160QNASL CHILDRENS.............. 160QSYMIA.................................... 71QTERN..................................... 90QUADRACEL..........................138QUADRAMET........................... 41QUALAQUIN.............................45QUARTETTE.......................... 130quazepam................................. 53QUDEXY XR.............................25QUEEN PALM........................ 148QUELICIN................................. 71QUESTRAN.............................. 66QUESTRAN LIGHT.................. 66quetiapine fumarate.................. 48quetiapine fumarate er.............. 48QUFLORA FE......................... 105QUFLORA FE PEDIATRIC.....106QUFLORA GUMMIES............ 106QUFLORA PEDIATRIC.......... 106QUIHOXVAR............................ 84QUILLICHEW ER......................69QUILLIVANT XR....................... 69quinapril hcl...............................66quinapril-hydrochlorothiazide.... 66quinidine gluconate er...............66quinidine sulfate........................ 66quinine sulfate...........................45QUTENZA.................................84QUTENZA (2 PATCH).............. 84QUZYTTIR.............................. 160QVAR REDIHALER................ 163RABAVERT.............................138RABBIT EPITHELIUM............ 148RABEPRAZOLE SODIUM...... 110rabeprazole sodium................ 110RADIAGEL................................84RADIAPLEXRX.........................84RADICAVA................................71

RADIOGARDASE................... 148RAGWITEK.............................148raloxifene hcl...........................122ramelteon................................ 166ramipril ...................................... 66RANEXA................................... 66ranolazine er............................. 66RAPAFLO............................... 117RAPAMUNE............................135RAPIVAB.................................. 51RAPPORT RLS.......................148RAPPORT VTD...................... 148rasagiline mesylate................... 46RASUVO.................................135RAVICTI..................................115RAYALDEE.............................140RAYOS................................... 120RAZADYNE ER........................ 27READYSHARP ANESTH + BETAMETH............................ 120READYSHARP ANESTH + DEXAMETH............................ 120READYSHARP ANESTH + KETOROLAC..............................9READYSHARP ANESTH + METHYLPRED....................... 120READYSHARP BETAMETHASONE................120READYSHARP DEXAMETHASONE............... 120READYSHARP-A......................13REBIF....................................... 70REBIF REBIDOSE....................70REBIF REBIDOSE TITRATION PACK.................... 70REBIF TITRATION PACK.........70REBINYN.................................. 55REBLOZYL............................... 55RECARBRIO.............................20RECK........................................ 13RECLAST............................... 140reclipsen..................................130RECOMBINATE........................55RECOMBIVAX HB.................. 138RECOTHROM.......................... 55RECOTHROM SPRAY KIT.......55RECTIV.....................................66RECURA...................................32RED MAPLE........................... 148RED MULBERRY................... 148RED TOP GRASS POLLEN... 148REDITREX..............................135REGENECARE.........................84

REGIOCIT.................................23REGLAN................................... 30REGONOL................................ 35REGRANEX..............................84RELADOR PAK........................ 13RELADOR PAK PLUS.............. 13RELAFEN................................... 9RELAFEN DS............................. 9RELENZA DISKHALER............ 51relexxii .......................................69RELION BLOOD GLUCOSE TEST.........................................94RELION PREMIER CLASSIC...94RELION PREMIER TEST......... 94RELISTOR.............................. 113RELNATE DHA.......................106RELPAX....................................34RELTONE............................... 113REMEDIENT...........................106REMERON................................28REMERON SOLTAB................ 28REMESENSE........................... 73REMICADE............................. 135remifentanil hcl............................6REMIGEN................................. 84REMODULIN.......................... 164RENACIDIN............................ 116RENAGEL...............................116RENATABS WITH IRON........ 106RENFLEXIS............................ 135repaglinide................................ 90REPATHA................................. 66REPATHA PUSHTRONEX SYSTEM................................... 66REPATHA SURECLICK........... 67RESORCINOL-SULFUR...........84RESTASIS.............................. 157RESTASIS MULTIDOSE........ 157RESTORA RX.........................113RESTORIL.............................. 166RETACRIT................................ 55RETAVASE...............................23RETAVASE HALF-KIT..............23RETEVMO................................ 42RETIN-A....................................84RETIN-A MICRO GEL 0.04 %, 0.1 %.........................................84RETIN-A MICRO PUMP........... 84RETISERT.............................. 153RETROVIR............................... 51REVATIO................................ 164REVCOVI................................115REVESTA............................... 106

194

REVLIMID................................. 42revonto.................................... 165REXASIL PATCH & VITAMIN E LIQ.........................................84REXULTI...................................48REYATAZ................................. 51REYVOW.................................. 34RHIZOPUS............................. 148RHOFADE................................ 84RHOGAM ULTRA-FILTERED PLUS.......................................135RHOPHYLAC..........................136RHOPRESSA......................... 154RIABNI...................................... 42RIASTAP...................................55RIAX..........................................84ribavirin..................................... 51RIDAURA................................136rifabutin..................................... 35RIFADIN....................................35rifampin..................................... 35RILUTEK...................................71riluzole.......................................71rimantadine hcl..........................51RIMSO-50............................... 116ringers irrigation...................... 106RINVOQ..................................136RIOMET.................................... 90risedronate sodium................. 140RISPERDAL..............................48RISPERDAL CONSTA..............48risperidone................................ 48RITALIN.................................... 69RITALIN LA...............................69ritonavir..................................... 51RITUXAN.................................. 42RITUXAN HYCELA...................42rivastigmine...............................27rivastigmine tartrate.................. 27rivelsa......................................130RIXUBIS....................................55rizatriptan benzoate.................. 34ROAOXIA..................................84ROBAXIN................................165ROBAXIN-750.........................165ROCALTROL.......................... 140ROCKLATAN.......................... 154rocuronium bromide.................. 71ROCURONIUM BROMIDE....... 72ROMIDEPSIN........................... 42ROPIDEX................................120ropinirole hcl..............................46ropinirole hcl er......................... 46

ropivacaine hcl.......................... 13ROPIVACAINE HCL................. 13ROPIVACAINE HCL-NACL...... 13ROPIV-CLONIDINE-KETOROLAC............................13rosadan..................................... 84ROSADAN................................ 84rosuvastatin calcium................. 67ROTARIX................................ 138ROTATEQ...............................138ROUGH MARSH ELDER........148ROWASA................................ 139roweepra................................... 25ROXICODONE........................... 6ROZEREM.............................. 166ROZLYTREK............................ 42RUBRACA................................ 42RUCONEST............................136rufinamide................................. 25RUKOBIA..................................51RUSSIAN THISTLE................ 148RUXIENCE............................... 42RUZURGI................................148RYANODEX............................165RYBELSUS...............................90RYCLORA...............................160RYDAPT................................... 42RYTARY................................... 46RYTHMOL SR.......................... 67ryvent...................................... 160SABRIL..................................... 25SACCHAROMYCES CEREVISIAE.......................... 148SAFYRAL................................130SAIZEN................................... 124SAIZENPREP......................... 124SALAGEN................................. 74SALEX...................................... 84salicylic acid.............................. 84salicylic acid er..........................84salicylic acid wart remover........ 84salicylic acid-cleanser............... 84SALICYLIC ACID-SULFACETAMIDE....................85salimez......................................85SALIMEZ FORTE..................... 85saline bacteriostatic................ 106saline flush.............................. 106saline flush zr.......................... 106SALINE-PHENOL................... 106SALIVAMAX..............................74salsalate......................................9SALVAX.................................... 85

SALVAX DUO PLUS.................85SAMSCA.................................106SANADERMRX SKIN REPAIR.85SANCUSO................................ 30SANDIMMUNE....................... 136SANDOSTATIN...................... 124SANDOSTATIN LAR DEPOT. 124SANTYL.................................... 85SAPHRIS.................................. 48sapropterin dihydrochloride.....115SARCLISA................................ 42SAVAYSA................................. 23SAVELLA.................................. 72SAVELLA TITRATION PACK... 72SAXENDA.................................72SCALACORT DK...................... 85SCARCARE GEL-PAD KIT/LARGE............................... 85SCARZEN SKIN REPAIR......... 85SCENESSE.............................. 85SCLEROSOL INTRAPLEURAL.....................163scopolamine..............................30SEASONIQUE........................ 130SEBUDERM..............................85SECUADO................................ 48SEEBRI NEOHALER.............. 163SEGLUROMET.........................90SELECT-OB............................106selegiline hcl............................. 46SELENIOUS ACID..................106SELENIUM..............................106selenium sulfide........................ 85SELRX...................................... 85SELZENTRY.............................51SEMGLEE.................................97SENSIPAR..............................140SENSORCAINE........................13SENSORCAINE/EPINEPHRINE................................................13SENSORCAINE-MPF......... 13, 14sensorcaine-mpf................. 13, 14SENSORCAINE-MPF/EPINEPHRINE................. 14SEREVENT DISKUS.............. 163SERNIVO..................................85SEROQUEL.............................. 48SEROQUEL XR........................ 48SEROSTIM............................. 113sertraline hcl..............................28se-tan plus.............................. 106setlakin....................................130sevelamer carbonate.............. 116

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sevelamer hcl..........................116SEVENFACT............................ 55SEYSARA................................. 20sf............................................... 74sf 5000 plus...............................74SFROWASA........................... 139SHAGBARK HICKORY...........148sharobel.................................. 130SHEEP SORREL.................... 148SHINGRIX...............................138SHORT RAGWEED POLLEN EXT......................................... 148SIGNIFOR...............................124SIGNIFOR LAR.......................124SIKLOS..................................... 42sildenafil citrate....................... 164SILENOR................................ 166SILHOUETTE 23" INFUSION SET......................................... 149SILHOUETTE 43" INFUSION SET......................................... 149SILHOUETTE INFUSION SET 18"...........................................149SILIPAC.................................... 85SILIQ.......................................136silodosin.................................. 117SILVADENE..............................20silver nitrate...............................20silver sulfadiazine......................20SIMBRINZA............................ 154simliya..................................... 130simpesse.................................131SIMPONI.................................136SIMPONI ARIA....................... 136SIMULECT..............................136simvastatin................................ 67SINEMET.................................. 46SINGULAIR.............................163SINUVA...................................160sirolimus..................................136SIRTURO..................................35SITAVIG....................................51SIVEXTRO................................20SKELAXIN.............................. 165SKLICE..................................... 45SKYADERM-LP........................ 14SKYLA.................................... 131SKYRIZI (150 MG DOSE).......136SLYND.................................... 131SMOFLIPID.............................106sod benz-sod phenylacet........ 115sod citrate-citric acid............... 106sodium acetate........................106

sodium bicarbonate.........106, 113SODIUM BICARBONATE.......106SODIUM BICARBONATE-DEXTROSE............................ 106sodium chloride...............107, 160sodium chloride (pf)................ 106sodium chloride bacteriostatic.107sodium chloride flush.............. 107SODIUM CITRATE................... 23SODIUM CITRATE LOCK FLUSH...................................... 23SODIUM CITRATE-GENTAMICIN SULF................. 23SODIUM DIURIL.......................67SODIUM EDECRIN.................. 67sodium fluoride..................74, 107sodium fluoride 5000 enamel....74sodium fluoride 5000 plus......... 74sodium fluoride 5000 ppm.........74sodium fluoride 5000 sensitive..74sodium nitrite...........................149sodium nitroprusside.................67sodium phenylbutyrate............115sodium phosphates.................107sodium polystyrene sulfonate. 107sodium saccharin.................... 149sodium sulfacetamide............... 85sodium sulfacetamide wash......85SODIUM SULFACETAMIDE-BAKUCHIOL............................. 85sodium tetradecyl sulfate.......... 67SODIUM THIOSULFATE........149sodium thiosulfate................... 149SOFOSBUVIR-VELPATASVIR.51solifenacin succinate...............116SOLIQUA.................................. 90SOLIRIS....................................55SOLODYN................................ 20SOLOSEC.................................20SOLTAMOX.............................. 42SOLU-CORTEF...................... 120SOLU-MEDROL......................120SOMA..................................... 165SOMATULINE DEPOT........... 124SOMAVERT............................124SOOLANTRA............................85SOOTHEE................................ 14SORBITOL..............................149sorbitol.................................... 149sorbitol-mannitol......................149SORIATANE............................. 85SORILUX.................................. 85sorine........................................ 67

SORREL/DOCK MIX.............. 149SOTALOL HCL......................... 67sotalol hcl.................................. 67sotalol hcl (af)............................67SOTRADECOL......................... 67SOTYLIZE.................................67SOVALDI.................................. 51spinosad....................................45SPINY PIGWEED................... 149SPIRIVA HANDIHALER..........163SPIRIVA RESPIMAT.............. 163spironolactone...........................67spironolactone-hctz...................67SPORANOX..............................32SPORANOX PULSEPAK..........32SPRAVATO (56 MG DOSE)..... 28SPRAVATO (84 MG DOSE)..... 28sprintec 28.............................. 131SPRITAM.................................. 25SPRIX......................................... 9SPRYCEL................................. 42sps.......................................... 107sronyx..................................... 131ssd............................................ 20SSKI........................................160sss 10-5.................................... 85STALEVO 100.......................... 46STALEVO 125.......................... 46STALEVO 150.......................... 46STALEVO 200.......................... 46STALEVO 50............................ 46STALEVO 75............................ 46STAMARIL.............................. 138STARLIX................................... 90stavudine...................................51STEGLATRO............................ 90STEGLUJAN.............................90STELARA................................136STEMPHYLIUM...................... 149STERILE DILUENT FLOLAN PH 12...................................... 149sterile diluent/epoprostenol..... 149STERILE TALC POWDER......163STERILE TOPICAL L.E.T. GEL...........................................14sterile water for injection......... 149sterile water for irrigation.........107STERITALC............................ 163STIMATE................................ 124STIOLTO RESPIMAT............. 163STIVARGA................................42STRATA CTX............................85STRATA GRT........................... 85

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STRATA MARK........................ 85STRATA XRT............................85STRATTERA.............................69STRENSIQ..............................115streptomycin sulfate.................. 20STRIBILD..................................51STRIVERDI RESPIMAT......... 163STROMECTOL......................... 45STRONTIUM CHLORIDE SR-89.............................................. 42SUBLOCADE............................15SUBOXONE..............................15SUBSYS..................................... 6subvenite...................................26subvenite starter kit-blue...........26subvenite starter kit-green........ 26subvenite starter kit-orange...... 26SUCCINYLCHOLINE CHLORIDE............................... 72succinylcholine chloride............ 72SUCRAID................................115sucralfate................................ 110SULAR...................................... 67SULCONAZOLE NITRATE.......32sulfacetamide sodium....... 85, 153sulfacetamide sodium (acne).... 85sulfacetamide sodium-sulfur85, 86sulfacetamide sod-sulfur wash..86sulfacetamide-prednisolone.... 157sulfacetamide-sulfur in urea......86SULFACLEANSE 8/4................86sulfadiazine............................... 20sulfamethoxazole-trimethoprim.20sulfamez wash.......................... 86SULFAMYLON..........................20sulfasalazine........................... 139sulfatrim pediatric......................20sulfurated lime...........................45sulindac.......................................9SUMADAN................................ 86SUMADAN WASH.................... 86SUMADAN XLT........................ 86SUMANSETRON...................... 34sumatriptan............................... 34sumatriptan succinate............... 34sumatriptan succinate refill ....... 34sumatriptan-naproxen sodium.. 34SUMAXIN..................................86SUMAXIN CP............................86SUMAXIN WASH......................86SUNOSI.................................. 166SUPARTZ FX..........................149SUPPRELIN LA...................... 124

SUPRAX................................... 21SUPREP BOWEL PREP KIT..113SURE RESULT O3D3 SYSTEM................................... 67SURE T INFUSION SET 18"/6MM..................................149SURE T INFUSION SET 23"/10MM................................149SURE T INFUSION SET 23"/6MM..................................149SURE T INFUSION SET 23"/8MM..................................149SURE T INFUSION SET 32"/10MM................................149SURE T INFUSION SET 32"/6MM..................................149SURE T INFUSION SET 32"/8MM..................................149SURESTEP PRO HIGH GLUCOSE................................ 94SURESTEP PRO LOW GLUCOSE................................ 94SURESTEP PRO NORMAL GLUCOSE................................ 94SURVANTA............................ 160SUSTIVA...................................51SUSTOL....................................30SUTAB.................................... 113SUTENT....................................42SUVICORT............................... 86swabflush saline flush............. 107SWEET GUM..........................149SWEET VERNAL GRASS POLLEN..................................149SX1 MEDICATED POST-OPERATIVE............................. 14syeda...................................... 131SYLVANT..................................42SYMAX DUOTAB................... 113SYMAX-SR............................. 113SYMBICORT...........................163SYMBYAX.................................28SYMDEKO.............................. 164SYMFI....................................... 51SYMFI LO................................. 51SYMJEPI.................................163SYMLINPEN 120...................... 90SYMLINPEN 60........................ 90SYMPAZAN.............................. 26SYMPROIC.............................113SYMTUZA.................................51SYNAGIS................................ 136SYNALAR................................. 86

SYNALAR (CREAM).................86SYNALAR (OINTMENT)........... 86SYNALAR TS............................86SYNAREL............................... 124SYNDROS................................ 30SYNERA................................... 14SYNERCID............................... 21SYNERDERM........................... 86SYNJARDY...............................90SYNJARDY XR.........................90SYNRIBO..................................42SYNTHROID...........................132SYNVISC................................ 149SYNVISC ONE....................... 149T: SLIM X2 INS PMP/CONTROL 7.4................149T:SLIM X2 INS PUMP/CONTROL-IQ.............. 149T:SLIM X2 INSULIN PMP BASAL IQ................................149T:SLIM X2 INSULIN PMP BASAL6.4............................... 149T:SLIM X2 INSULIN PMP/RFURB IQ...................... 149T:SLIM X2/CONTROL-IQ/REFURB............................ 149TABLOID...................................42TABRECTA...............................42TACHOSIL.............................. 149TACLONEX...............................86TACROLIMUS.......................... 86tacrolimus..........................86, 136tadalafil ....................................116tadalafil (pah).......................... 164TAFINLAR.................................42TAGRISSO............................... 42TAKHZYRO............................ 136TALICIA.................................. 113TALL RAGWEED....................150TALTZ..................................... 136TALZENNA............................... 42TAMIFLU...................................51tamoxifen citrate........................42tamsulosin hcl......................... 117TAPAZOLE............................. 132TAPERDEX 12-DAY............... 120TAPERDEX 6-DAY................. 120TAPERDEX 7-DAY................. 120TARDEOXIA............................. 86TARDIMAXIA............................ 86TARGADOX..............................21TARGRETIN............................. 42tarina 24 fe.............................. 131

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tarina fe 1/20........................... 131tarina fe 1/20 eq...................... 131TARKA...................................... 67TAROXIA.................................. 86TASIGNA.................................. 42TASMAR................................... 46TASOPROL.............................. 86TAURINE................................ 107tavaborole................................. 32TAVALISSE.............................. 55TAYTULLA..............................131tazarotene................................. 86tazicef........................................21TAZICEF................................... 21TAZORAC.................................86taztia xt......................................67TAZVERIK................................ 42TDVAX.................................... 138TECARTUS...............................42TECENTRIQ............................. 42TECFIDERA..............................70TEFLARO................................. 21TEGRETOL...............................26TEGRETOL-XR........................ 26TEGSEDI.................................. 72TEKTURNA...............................67TEKTURNA HCT...................... 67TELFA AMD ISLAND DRESSING............................. 150TELFA AMD NON-ADHERENT............................ 150telmisartan................................ 67telmisartan-amlodipine..............67telmisartan-hctz.........................67temazepam............................. 166TEMIXYS.................................. 51TEMODAR................................ 42TEMOVATE.............................. 86temozolomide............................42temsirolimus............................136TENCON.....................................6teniposide..................................42TENIVAC................................ 138tenofovir disoproxil fumarate.....51TENORETIC 100...................... 67TENORETIC 50........................ 67TENORMIN...............................67TEPADINA................................ 42TEPEZZA................................124terazosin hcl............................117terbinafine hcl............................32terbutaline sulfate....................163terconazole............................... 32

TERIPARATIDE (RECOMBINANT)................... 140TESSALON PERLES..............160TESTIM...................................121TESTONE CIK........................ 121TESTOPEL............................. 121TESTOSTERONE...................121testosterone............................ 121TESTOSTERONE CYPIONATE........................... 121testosterone cypionate............121testosterone enanthate........... 121TETANUS-DIPHTHERIA TOXOIDS TD.......................... 138tetrabenazine............................ 72tetracaine hcl.....................14, 157tetracycline hcl.......................... 21TETRIX..................................... 86TEXACORT.............................. 86THALOMID............................... 42THAM......................................107THE LIQUILIFT TRACE..........107THEO-24.................................163theophylline.............................163theophylline er.........................163theophylline in d5w................. 163THERAHONEY......................... 86thiamine hcl.............................107THIOLA EC............................. 116thioridazine hcl.......................... 48thiotepa..................................... 43thiothixene.................................48THRIVACIN 30........................150THRIVACIN DETOX............... 150THROMBIN-JMI........................55THROMBIN-JMI EPISTAXIS.... 55THROMBOGEN........................55THYMOGLOBULIN.................136THYQUIDITY.......................... 132tiadylt er.................................... 67tiagabine hcl..............................26TIAZAC..................................... 67TIBSOVO.................................. 43TICE BCG............................... 136TIGAN....................................... 30tigecycline................................. 21TIGLUTIK..................................72TIKOSYN.................................. 67tilia fe.......................................131timolol maleate..................67, 154timolol maleate pf....................154TIMOLOL-BRIMON-DORZOL-LATANOPR.............................154

TIMOLOL-BRIMONIDINE-DORZOLAMID........................ 154TIMOLOL-DORZOLAMID-LATANOPROST..................... 155TIMOPTIC...............................155TIMOPTIC OCUDOSE............155TIMOPTIC-XE.........................155TIMOTHY GRASS POLLEN ALLERGEN.............................150tinidazole...................................21TIROSINT............................... 132TIROSINT-SOL.......................132TISSEEL................................. 150tis-u-sol................................... 107TIVICAY.................................... 51TIVICAY PD.............................. 51TIVORBEX..................................9tizanidine hcl........................... 165tl-hem 150............................... 107TNKASE....................................24TOBI NEBULIZER.................. 164TOBI PODHALER...................164TOBRADEX............................ 157TOBRADEX ST.......................157tobramycin...................... 153, 164TOBRAMYCIN........................ 164tobramycin sulfate.....................21tobramycin-dexamethasone....157TOBREX................................. 153tolbutamide............................... 90tolcapone.................................. 46tolmetin sodium...........................9TOLSURA................................. 32tolterodine tartrate...................116tolterodine tartrate er...............116TOLVAPTAN...........................107tolvaptan................................. 107TOPAMAX................................ 26TOPAMAX SPRINKLE..............26TOPEX TOPICAL ANESTHETIC........................... 74TOPICORT............................... 86TOPICORT SPRAY.................. 86TOPIDEX................................ 120topiramate................................. 26topiramate er.............................26toposar...................................... 43topotecan hcl.............................43TOPROL XL..............................67toremifene citrate...................... 43TORISEL.................................136TORONOVA II SUIK................... 9TORONOVA SUIK...................... 9

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torsemide.................................. 67TOSYMRA................................ 34TOTECT....................................43TOUJEO MAX SOLOSTAR...... 97TOUJEO SOLOSTAR...............97tovet.......................................... 86TOVET...................................... 86TOVIAZ................................... 116TRACE ELEMENTS 4/PEDIATRIC..........................107TRACLEER.............................164TRADJENTA.............................90TRALEMENT.......................... 107tramadol hcl er............................ 6tramadol hcl er (biphasic)............6tramadol hcl ir ............................. 6tramadol-acetaminophen............ 6trandolapril ................................ 67trandolapril-verapamil hcl er......67tranexamic acid.........................55TRANEXAMIC ACID-NACL...... 55TRANSDERM SCOP (1.5 MG).30TRANSDERM-SCOP (1.5 MG).30TRANXENE-T........................... 53tranylcypromine sulfate............. 28TRAVASOL.............................107TRAVATAN Z..........................155travoprost (bak free)................155TRAZIMERA............................. 43trazodone hcl............................ 28TREANDA.................................43TRECATOR.............................. 35TRELEGY ELLIPTA................163TRELSTAR MIXJECT.............124TREMFYA...............................136treprostinil ............................... 164TRESIBA...................................97TRESIBA FLEXTOUCH............97tretinoin............................... 43, 87tretinoin microsphere................ 87tretinoin microsphere pump...... 87TRETTEN................................. 55TREXALL................................ 136TREXIMET................................34TREZIX....................................... 6tri femynor............................... 131triamcinolone acetonide.................................... 74, 87, 121TRIAMCINOLONE ACETONIDE........................... 121TRIAMCINOLONE DIACETATE............................121

TRIAMCINOLONE DIACETATE PF...................... 121TRIAMCINOLONE-BUPIVACAINE........................121TRIAMCINOLONE-MOXIFLOXACIN.....................157TRI-AMINO............................. 107triamterene................................67triamterene-hctz........................ 67TRIANEX.................................. 87triazolam................................... 53TRIBENZOR............................. 68TRICARE PRENATAL DHA ONE........................................ 107TRI-CHLOR.............................. 87TRICHOPHYTON................... 150TRICHOPHYTON MENTAGROPHYTES.............150TRICITRASOL.......................... 24tricitrates................................. 107TRICON.................................. 107TRICOR.................................... 68triderm.......................................87TRIDESILON............................ 87trientine hcl..............................107TRIESENCE........................... 153tri-estarylla.............................. 131TRIFERIC............................... 107trifluoperazine hcl......................48trifluridine................................ 153trihexyphenidyl hcl.................... 46TRIJARDY XR.......................... 90TRIKAFTA...............................164tri-legest fe.............................. 131TRILEPTAL...............................26tri-linyah.................................. 131TRILIPIX................................... 68TRILOAN II SUIK.................... 121TRILOAN SUIK....................... 121TRILOCICLO............................ 87tri-lo-estarylla.......................... 131tri-lo-marzia............................. 131tri-lo-mili .................................. 131tri-lo-sprintec........................... 131TRILURON..............................150trimethobenzamide hcl..............30trimethoprim.............................. 21tri-mili ...................................... 131trimipramine maleate................ 28TRINATE.................................107TRINAZ................................... 107TRINTELLIX..............................28tri-nymyo................................. 131

TRIOSTAT.............................. 132tri-previfem.............................. 131TRIPTODUR........................... 124TRISENOX................................43TRISODIUM CITRATE/CRRT 107tri-sprintec............................... 131TRISTART DHA......................107TRISTART FREE....................107TRISTART ONE......................107TRIUMEQ................................. 51TRI-VI-FLOR...........................107TRI-VI-FLORO........................ 108TRIVISC..................................150tri-vite/fluoride......................... 108TRIVIX...................................... 87trivora (28)...............................131tri-vylibra................................. 131tri-vylibra lo..............................131TRIZIVIR................................... 51TRODELVY...............................43TROGARZO..............................51TROKENDI XR......................... 26TRONVITE..............................108TROPHAMINE........................ 108TROPICAMIDE-CYCLOPENTOLATE-PE........ 157TROPICAMIDE-PHENYLEPHRINE..................157TROPIC-CYCLOPENT-PE-KETOROLAC..........................157TROPIC-CYCLOP-PE-KETO-PROPAR.................................157TROPIC-PROPARACA-PE-KETOROLAC..........................157trospium chloride.....................116trospium chloride er................ 116TRUE COMFORT PRO ALCOHOL PREP.................... 150TRUE COMFORT PRO INSULIN SYR........................... 97TRUE COMFORT PRO PEN NEEDLES................................. 97TRUE FOCUS BLOOD GLUCOSE METER...................94TRUE METRIX BLOOD GLUCOSE TEST...................... 94TRUE METRIX PRO BLOOD GLUCOSE................................ 94TRULANCE.............................113TRULICITY............................... 90TRUMENBA............................138TRUSOPT...............................155TRUSTEEL INFUSION SET... 150

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TRUVADA.................................51TRUXIMA..................................43tryptophan............................... 108TUDORZA PRESSAIR........... 163TUKYSA....................................43tulana...................................... 131TURALIO.................................. 43turpentine.................................. 87TUSSICAPS............................160TUXARIN ER.......................... 160TUZISTRA XR........................ 160TWINRIX.................................138TWIRLA.................................. 131TWYNSTA................................ 68tyblume................................... 131TYBOST....................................51tydemy.................................... 131TYGACIL...................................21TYKERB....................................43TYLACTIN BUILD 20PE TYR. 150TYLACTIN RESTORE 10....... 150TYLACTIN RESTORE 5PE.... 150TYLACTIN RTD 15................. 150TYMLOS................................. 140TYPHIM VI.............................. 138TYR EASY.............................. 150TYSABRI...................................70TYVASO................................. 164TYVASO REFILL.................... 164TYVASO STARTER................164UBRELVY................................. 34UCERIS.................................. 139UDENYCA................................ 55ULORIC.................................... 33ULTIGUARD SAFEPACK SYR/NEEDLE........................... 97ULTIVA....................................... 6ULTOMIRIS.............................. 55ULTRACET................................. 6ULTRAM..................................... 6ULTRASAL-ER......................... 87ULTRAVATE.............................87UMECTA MOUSSE.................. 87UNASYN................................... 21UNISTRIP CONTROL...............94unithroid.................................. 132UNITUXIN................................. 43UPLIZNA.................................136UPNEEQ.................................153UPTRAVI................................ 164URAMAXIN............................... 87urea...........................................87UREA........................................ 87

urea hydrating........................... 87urea nail .................................... 87uredeb.......................................87UREMEZ-40..............................87URESOL................................... 87uretron d/s...............................116UREVAZ................................... 87URIBEL................................... 116URIMAR-T.............................. 116urin ds..................................... 116URO-458.................................116UROCIT-K 10..........................108UROCIT-K 15..........................108UROCIT-K 5............................108UROGESIC-BLUE.................. 116uro-mp.....................................116URSO 250...............................113URSO FORTE........................ 113ursodiol................................... 113USTELL.................................. 116UTIBRON NEOHALER........... 163UTIRA-C................................. 117UTOPIC.................................... 87VABOMERE..............................21VAGIFEM................................131valacyclovir hcl..........................51VALCHLOR...............................43valganciclovir hcl.......................51VALIUM.....................................53valproate sodium.......................26valproic acid.............................. 26valrubicin...................................43valsartan................................... 68valsartan-hydrochlorothiazide... 68VALSTAR..................................43VALTOCO.................................26VALTREX..................................51VANADOM..............................165VANCOCIN............................... 21VANCOCIN HCL.......................21vancomycin hcl......................... 22VANCOMYCIN HCL............... 153VANCOMYCIN HCL IN DEXTROSE.............................. 21vancomycin hcl in dextrose.......21VANCOMYCIN HCL IN NACL............................................ 21, 22vancomycin hcl in nacl........ 21, 22vandazole..................................22VANOXIDE-HC......................... 87VANTAS..................................124VAPRISOL.............................. 124VAQTA....................................138

VARDIMAXIA............................87VARISOFT INFUSION SET....150VARITHENA............................. 68VARIVAX................................ 138VARIZIG..................................136VAROPHEN................................9VAROXIA.................................. 87VARUBI (180 MG DOSE)......... 30VASCEPA................................. 68VASERETIC..............................68VASHE CLEANSING................ 87VASOSTRICT......................... 124VAXCHORA............................138VAXELIS................................. 138VAZCULEP............................... 68VECAMYL.................................68VECTIBIX..................................43VECTICAL................................ 87VECURONIUM BROMIDE........72vecuronium bromide................. 72VELCADE................................. 43VELETRI................................. 164velivet......................................131VELPHORO............................ 117VELTASSA............................. 108VELTIN..................................... 87VEMLIDY.................................. 51VENCLEXTA.............................43VENCLEXTA STARTING PACK........................................ 43VENELEX................................. 87VENEXA................................. 108VENIPUNCTURE PX1 PHLEBOTOMY......................... 14venlafaxine hcl.......................... 28venlafaxine hcl er................ 28, 29VENNGEL ONE.......................... 9VENOFER...............................108VENOMIL HONEY BEE VENOM...................................150VENOMIL MIXED VESPID VENOM...................................150VENOMIL WASP VENOM...... 150VENOMIL WHITE FACED HORNET.................................150VENOMIL YELLOW HORNET VENOM...................................150VENOMIL YELLOW JACKET VENOM...................................150VENTAVIS.............................. 165VENTOLIN HFA......................163verapamil hcl.............................68verapamil hcl er.........................68

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VERDESO................................ 88VEREGEN................................ 88VERELAN................................. 68VERELAN PM...........................68VERSACLOZ............................ 48VERZENIO................................43VESICARE..............................117vestura.................................... 131VEXASYN................................. 88VEXATROL...............................14VFEND......................................32VFEND IV................................. 32V-GO 20....................................94V-GO 30....................................94V-GO 40....................................94VIBATIV.................................... 22VIBERZI.................................. 113VIBRAMYCIN............................22VICTOZA.................................. 90VIDAZA..................................... 43VIEKIRA PAK............................51vienva......................................131vigabatrin.................................. 26vigadrone.................................. 26VIGAMOX............................... 153VIIBRYD....................................29VIIBRYD STARTER PACK....... 29VILACTIN AA PLUS................150VILAMIT MB............................117VILEVEV MB...........................117VILTEPSO.............................. 150VIMIZIM.................................. 115VIMOVO......................................9VIMPAT.....................................26VINATE ONE.......................... 108vinblastine sulfate..................... 43vincristine sulfate...................... 43vinorelbine tartrate.................... 43VIOKACE................................ 115viorele..................................... 131VIRACEPT................................ 51VIRAMUNE............................... 52VIRAMUNE XR......................... 52VIRASAL...................................88VIRAZOLE................................ 52VIREAD.....................................52VIRT-FEFA PLUS................... 108virt-phos 250 neutral............... 108VISCO-3..................................150VISIONBLUE.......................... 157VISTARIL.................................. 53VISTOGARD...........................150VISUDYNE..............................157

VITAFOL................................. 108VITAFOL FE+......................... 108VITAFOL-OB+DHA.................108vitamin d (ergocalciferol).........108VITAMIN DEFICIENCY SYSTEM-B12..........................108vitamin k1................................108vitamins acd-fluoride............... 108VITASURE.............................. 108VITATHELY WITH GINGER... 108VITRAKVI..................................43VITRANOL FE........................ 108VITRASE.................................150VITREXATE............................ 108VITREXATE FE...................... 108VITREXYL...............................108VITREXYL + IRON..................108VIVAGUARD INO CONTROL SOLUTION................................94VIVAGUARD INO GLUCOSE METER..................................... 94VIVAGUARD INO TEST STRIPS..................................... 94VIVAGUARD LANCING DEVICE.....................................94VIVELLE-DOT.........................131VIVITROL..................................15VIVOTIF.................................. 138VIZIMPRO.................................43VOGELXO.............................. 122VOGELXO PUMP................... 122volnea..................................... 131VOLTAREN.................................9VONVENDI............................... 55VORAXAZE.............................. 43voriconazole..............................32VOSEVI.....................................52VOTRIENT................................43vp-pnv-dha.............................. 108VPRIV..................................... 115VRAYLAR................................. 48VTOL LQ.....................................6VUMERITY............................... 70VUSION.................................... 32VYEPTI..................................... 34vyfemla....................................131vylibra......................................132VYNDAMAX..............................68VYNDAQEL.............................. 68VYONDYS 53......................... 115VYTORIN.................................. 68VYVANSE................................. 69VYXEOS................................... 43

VYZULTA................................155WAKIX.................................... 166warfarin sodium.........................24WASP VENOM PROTEIN...... 150water for irrigation, sterile........108WELCHOL................................ 68WELLBUTRIN SR.....................29WELLBUTRIN XL..................... 29wera........................................ 132WESTAB PLUS...................... 108WESTERN JUNIPER..............150WESTGEL DHA......................108WESTHROID.......................... 132wheat germ oil .........................108WHITE BIRCH........................ 150WHITE FACED HORNET VENOM...................................150WHITE MULBERRY............... 150WHITE OAK............................150WHITE PINE........................... 150WHITE-FACED HORNET VENOM...................................150WIDE-SEAL DIAPHRAGM 60 151WIDE-SEAL DIAPHRAGM 65 151WIDE-SEAL DIAPHRAGM 70 151WIDE-SEAL DIAPHRAGM 75 151WIDE-SEAL DIAPHRAGM 80 151WIDE-SEAL DIAPHRAGM 85 151WIDE-SEAL DIAPHRAGM 90 151WIDE-SEAL DIAPHRAGM 95 151WILATE.....................................55WILZIN....................................108WINLEVI................................... 88WINRHO SDF.........................136wixela inhub............................ 163WP THYROID......................... 132wymzya fe............................... 132WYNZORA................................88XADAGO...................................46XALATAN................................155XALIX........................................88XALKORI.................................. 43XANAX......................................53XANAX XR................................53XARACOLL...............................14XARELTO................................. 24XARELTO STARTER PACK.....24XATMEP................................. 136XCOPRI.................................... 26XELJANZ................................ 136XELJANZ XR.......................... 136XELPROS............................... 155XEMBIFY................................ 136

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XENICAL...................................72XENLETA..................................22XEOMIN..................................151XEPI..........................................22XERAC AC................................88XERALUX................................. 88XERAVA................................... 22XERESE................................... 52XERMELO.............................. 113XEROFORM OIL EMULSION 2"X2"......................................... 88XEROFORM OIL EMULSION GAUZE......................................88XEROFORM OIL EMULSION STRIP....................................... 88XEROFORM OIL ROLL 4"X9'...88XEROFORM PETROLAT GAUZE 1"X8"............................88XEROFORM PETROLAT GAUZE 5"X9"............................88XEROFORM PETROLAT PATCH 2"X2"............................88XEROFORM PETROLAT PATCH 4"X4"............................88XEROFORM PETROLATUM ROLL 4"X9'............................... 88XEROSTOMIA RELIEF SPRAY......................................74XGEVA....................................140XHANCE................................. 160XIAFLEX................................. 151XIFAXAN...................................22XIGDUO XR..............................90XIIDRA.................................... 158XIMINO..................................... 22XOFIGO.................................... 43XOFLUZA (40 MG DOSE)........ 52XOFLUZA (80 MG DOSE)........ 52XOLAIR...................................160XOLEGEL................................. 32XOLEGEL COREPAK...............32XOLEGEL DUO/HEAD & SHOULDERS............................32XOLEGEL DUO/XOLEX........... 33XOPENEX CONCENTRATE.. 163XOPENEX HFA...................... 163XOPENEX NEB...................... 163XOSPATA................................. 43XPOVIO (100 MG ONCE WEEKLY)..................................43XPOVIO (40 MG ONCE WEEKLY)..................................43

XPOVIO (40 MG TWICE WEEKLY)..................................44XPOVIO (60 MG ONCE WEEKLY)..................................44XPOVIO (60 MG TWICE WEEKLY)..................................44XPOVIO (80 MG ONCE WEEKLY)..................................44XPOVIO (80 MG TWICE WEEKLY)..................................44XTAMPZA ER............................. 6XTANDI.....................................44xulane..................................... 132XULTOPHY...............................90xurea......................................... 88XURIDEN................................115XVITE......................................108XYLOCAINE............................. 14xylocaine dental........................ 14XYLOCAINE/EPINEPHRINE.... 14XYLOCAINE-MPF.....................14XYLOCAINE-MPF/EPINEPHRINE................. 14XYNTHA................................... 55XYNTHA SOLOFUSE...............55XYOSTED...............................122XYREM................................... 166XYWAV................................... 166YASMIN 28............................. 132YAZ......................................... 132YELLOW DOCK......................151YELLOW HORNET VENOM PROTEIN................................ 151YELLOW JACKET VENOM PROTEIN................................ 151YERVOY................................... 44YESCARTA...............................44YF-VAX................................... 138YONDELIS................................44YONSA..................................... 44YOSPRALA...............................47YUPELRI.................................163YUTIQ..................................... 153yuvafem.................................. 132ZACARE................................... 88zaclir cleansing......................... 88zafemy.................................... 132zafirlukast................................163zaleplon...................................166ZALTRAP..................................44ZALVIT....................................108ZANAFLEX............................. 165ZANOSAR.................................44

zarah....................................... 132ZARONTIN................................26ZARXIO.....................................55ZAVESCA............................... 115ZCORT 7-DAY........................ 121ZEBUTAL....................................6ZEGERID................................ 110ZEJULA.....................................44ZELAC.................................... 114ZELAPAR..................................46ZELBORAF............................... 44ZELNORM.............................. 114ZEMAIRA................................ 163ZEMBRACE SYMTOUCH........ 34ZEMDRI.................................... 22ZEMPLAR............................... 140zenatane................................... 88ZENPEP..................................115ZENZEDI...................................69ZEPATIER................................ 52ZEPOSIA.................................. 70ZEPOSIA 7-DAY STARTER PACK........................................ 70ZEPOSIA STARTER KIT.......... 70ZEPZELCA............................... 44ZERBAXA................................. 22ZERUVIA.................................. 14ZERVIATE.............................. 153ZESTRIL................................... 68ZETIA........................................68ZETONNA...............................160ZEVALIN Y-90.......................... 44ZIAC..........................................68ZIAGEN.....................................52ZIANA....................................... 88zidovudine.................................52ZIEXTENZO..............................55zileuton er............................... 163ZILRETTA............................... 121ZILXI......................................... 88ZINC CHLORIDE.................... 108ZINC SULFATE...................... 109ZINPLAVA...............................136ZIONODIL................................. 14ZIONODIL 100.......................... 14ZIOPTAN................................ 155ziprasidone hcl.......................... 48ziprasidone mesylate................ 48ZIPSOR.......................................9ZIRABEV...................................44ZIRGAN.................................. 153ZITHRANOL..............................88ZITHROMAX.............................22

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ZITHROMAX TRI-PAK..............22ZITHROMAX Z-PAK................. 22ZOCOR..................................... 68ZOHYDRO ER............................ 6ZOKINVY................................ 151ZOLADEX............................... 124zoledronic acid........................ 140ZOLGENSMA......................... 115ZOLINZA...................................44ZOLMITRIPTAN........................34zolmitriptan................................34ZOLOFT....................................29ZOLPAK....................................33zolpidem tartrate..................... 166zolpidem tartrate er................. 166ZOLPIMIST............................. 166ZOMACTON........................... 124ZOMACTON (FOR ZOMA-JET 10)...........................................124ZOMIG...................................... 34ZOMIG ZMT..............................34ZONEGRAN..............................26zonisamide................................26ZONTIVITY............................... 47ZORBTIVE.............................. 114ZORTRESS............................ 136ZORVOLEX................................ 9ZOSYN......................................22zovia 1/35 (28)........................ 132zovia 1/35e (28)...................... 132ZOVIRAX.................................. 52ZTLIDO..................................... 14ZUBSOLV................................. 15ZULRESSO...............................29zumandimine...........................132ZUPLENZ..................................30ZYCLARA................................. 88ZYCLARA PUMP...................... 88ZYDELIG...................................44ZYFLO.................................... 163ZYKADIA...................................44ZYLET.....................................158ZYLOPRIM................................33ZYMAXID................................ 153ZYPITAMAG............................. 68ZYPREXA................................. 48ZYPREXA RELPREVV............. 48ZYPREXA ZYDIS......................48ZYTIGA..................................... 44ZYVANA..................................109ZYVOX......................................22

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