Your SutterSelect Formulary Please read: This document ...mp.medimpact.com/brandcontentprovider/SSP/...brm/vilanterol tr anoro ellipta ql beta-adrenergic and glucocorticoid combinations

Your SutterSelect FormularyPlease read: This document contains information about your

SutterSelect pharmacy benefit.Administered by MedImpact

Effective October 2018

SutterSelect FormularyThis document is the SutterSelect Formulary, a list of generic and brand name drugs covered by SutterSelect under your outpatient prescription drug benefit. The formulary helps you and your doctor determine the right drug to prescribe to treat your needs. The drugs on the formulary are selected by the MedImpact Pharmacy and Therapeutics (P & T) and Formulary Committees. The committees are made up of doctors and pharmacists who meet regularly to decide which drugs should be included. Drugs on the formulary are chosen for their safety, effectiveness and value. MedImpact updates the formulary on a quarterly basis and its contents may change. You can get the most current formulary on the MedImpact website for SutterSelect members at mp.medimpact.com/ssp.

How to Use the Formulary

The formulary is a list of preferred drugs available to SutterSelect members under their outpatient pharmacy benefit. All drugs on the formulary are listed by their generic names and most common brand name. The formulary may be accessed by using the index, either by generic or brand name (in capital letters) and by therapeutic drug category. In situations where a Food and Drug Administration (FDA) approved generic drug is available, brand names are listed for reference purposes only, and do not indicate coverage for the brand, unless specifically noted. All drugs are listed in each category in alphabetical order by generic name. All drugs have a generic name. If the generic drug is FDA approved it will appear bolded in the formulary listing. Some drugs on the formulary have certain process requirements or limitations for coverage. These are identified by the letters listed and explained below:

AG Age Edit Drug may not be recommended for some patients based on age

PA Prior Authorization Requires your doctor to request prior authorization to support use of this drug

QL Quantity Limit Coverage may be limited to specific quantities per prescription and/or time period

ST Step Therapy Coverage may depend on previous use of another drug

SutterSelect Page 1 of 129

Please refer to the prescribing guideline appendix within this document for details.

Benefit Coverage and Limitations

This printed formulary does not provide information regarding the specific coverage and limitations an individual member may have. Many members have specific benefit inclusions, exclusions, copays, or a lack of coverage, which are not reflected in the formulary. The formulary applies only to outpatient drugs provided to members, and does not apply to drugs used in inpatient settings or administered by a health care provider in a clinic or office setting. If you have any specific questions regarding your prescription coverage, refer to your Summary Plan Description (SPD) or contact MedImpact at 1-844-599-4064.

Depending on a member’s specific benefit, the following may apply:

1. Generic Substitution

When available, FDA approved generic drugs are to be used in all situations, regardless of the brand name indicated.

If a member or doctor requests a brand name drug instead of an approved generic, the member, based on their coverage, is typically required to pay the difference in cost between the brand and the generic, and does not count toward the member annual out-of-pocket maximum amount. Refer to your Summary Plan Description (SPD) for details. Doctors can request coverage if they determine that there is a documented medical need for the brand name drug through the medication request process.

2. Tier Benefit Design

The formulary is a three tier benefit design. Tiers are the different cost levels you pay for a drug. Each tier is assigned a member cost share. This is how much you pay when you fill a prescription.

$0 Essential Health Benefits, some Insulins and some Generic Therapeutic Benefit Drugs

(Diabetes, Hypertension and Cholesterol)Tier 1 Lowest Cost Share Level; Mostly Generic Drugs and some Low Cost Preferred BrandsTier 2 Moderate Cost Share Level; Mostly Preferred Brands and some High Cost Generics

Tier 3 High Cost Share Level; Non-Preferred Brands, High Cost Generics

SP Specialty drugs, Brand and Generic, have Higher Cost Share Level and must be obtained at a Specialty Pharmacy

F 50% copay for Fertility drugs

3. Medication Request Process (Drug Prior Authorization Process)

Depending upon plan benefit design, a medication prior authorization request process may apply as follows:

A. Coverage Exceptions

Drugs that are listed in the Formulary with associated Prior Authorization (PA) require evaluation, per MedImpact P&T Committee Prior Authorization guidelines, prior to dispensing at a pharmacy. Each request will be reviewed on an individual patient need basis. If the request does not meet the guidelines established by the P&T Committee, the request will not be approved and alternative therapy may be recommended.


B. Obtaining Coverage

Coverage, questions or information regarding the medication request or formulary process may be obtained by:

1. Fax a completed Medication Request Form to MedImpact at 1-858-790-7100.

2. Call MedImpact at 1-844-599-4064 and provide all necessary information requested. MedImpact will provide an authorization number, specific for the medical need, for all approved requests. Non-approved requests may be appealed. The prescriber must provide information to support the appeal on the basis of medical necessity. Prior Authorization is generally not available for drugs that are specifically excluded by benefit design.

4. General Exclusions

Refer to the Summary Plan Description (SPD) for details.

A. Over the Counter (OTC) medications or their equivalents, unless the member’s pharmacy benefit offers coverage of OTC medications.

B. Drugs specifically listed as not covered.C. Any drug products used for cosmetic purposes.D. Compounded MedicationsE. Experimental drug products or any drug product used in an experimental manner.F. Replacement of lost or stolen medication.G. Non self-administered injectable drug products unless otherwise specified in the formulary listing. H. Foreign sourced drugs or drugs not approved by the United States Food & Drug Administration, except in

certain cases of drug shortage, when allowed under the member’s pharmacy benefit.

New Medications

As new drugs become available, they will be considered for coverage under the MedPerform SutterSelect formulary. The plan administrator has the right to decide what drugs are covered and to what extent, as well as the right to modify coverage including the exclusion of any prescription drugs. Please note that prescribing guidelines such as Prior Authorization, Step Therapy, Quantity Limit, etc. may still apply to Formulary Therapeutic Alternatives. The P&T and Formulary Committees recognize that not all medical needs can be met with this document and encourage inquiries about alternative therapies.

Pharmacist and Physician Communication

The formulary is a tool to promote cost-effective prescription drug use. The P&T and Formulary Committees have made every attempt to create a document that meets all therapeutic needs; however, the art of medicine makes this a formidable task. MedImpact welcomes the participation of physicians, pharmacists, and ancillary medical providers, in this dynamic process. Physicians and pharmacists are highly encouraged to direct any suggestions, comments or formulary additions to MedImpact at the following address:

Chairperson, Pharmacy & Therapeutic CommitteeMedImpact Healthcare Systems, Inc. 101 Scripps Gateway Court San Diego, CA 92131



SutterSelect Excluded Drug List October 2018

Page 1

DRUG CATEGORY EXCLUDED DRUGS (SELECTED) PREFERRED ALTERNATIVES

ALLERGY

NASAL CORTICOSTEROIDS Beconase AQ, Omnaris, Ticanase, Ticaspray, Zetonna, Xhance

OTC budesonide, flunisolide, RX/OTC fluticasone, mometasone, OTC triamcinolone, Qnasl

OPHTHALMIC ANTIHISTAMINES Bepreve, Emadine, Lastacaft, Pazeo azelastine, olopatadine

NASAL CORTICOSTEROID AND ANTIHISTAMINE COMBINATIONS

Ticalast azelastine, fluticasone

BEHAVIORAL HEALTH

ADHD AGENTS Adzenys ER, Adzenys XR-ODT, Mydayis Adderall XR, dextroamphetamine/amphetamine, dextroamphetamine

Aptensio XR, Cotempla XR-ODT methylphenidate, dexmethylphenidate

ANTIDEPRESSANTS Aplenzin, Forfivo XL bupropion extended release

Khedezla desvenlafaxine succinate extended release, desvenlafaxine extended release (Ranbaxy)

Pexeva paroxetine

DERMATOLOGY

ACNE AGENTS (TOPICAL) Veltin clindamycin, Ziana

DIABETES

BIGUANIDES Glumetza generic Glucophage XR

DPP-4 INHIBITORS Kazano, Kombiglyze XR, Nesina, Onglyza, Oseni, Qtern

Januvia, Janumet, Janumet XR, Jentadueto, Jentadueto XR, Tradjenta

GLP-1 AGONISTS Adlyxin, Ozempic Trulicity, Bydureon, Bydureon BCise, Byetta

SGLT-2 INHIBITORS Qtern, Segluromet, Steglatro, Steglujan, Invokana, Invokamet, Invokamet XR

Jardiance, Synjardy, Synjardy XR, Farxiga, Xigduo XR, Glyxambi

INSULINS, RAPID-ACTING Admelog, Apidra, Novolog Humalog

INSULINS, SHORT-ACTING Novolin Humulin

INSULINS, LONG-ACTING Basaglar Lantus, Toujeo, Tresiba, Levemir

DIABETIC SUPPLIES All non-Abbott manufacturers of diabetic test strips and meters

Abbott (Precision, Freestyle, Freestyle Neo)

ENDOCRINE

ANDROGENS Fortesta, Natesto, Testim, Vogelxo Androgel

ESTROGENS Estrogel Divigel

OSTEOPOROSIS Binosto alendronate, ibandronate

THYROID Tirosint levothyroxine

WEIGHT REDUCTION Qsymia phentermine, phendimetrazine, diethylpropion, topiramate

GASTROINTESTINAL

CONSTIPATION AGENTS Symproic, Trulance Linzess, Movantik

INFLAMMATORY BOWEL DISEASE AGENTS

Delzicol, Dipentum Apriso, balsalazide disodium, Lialda, Pentasa, sulfasalazine

PANCREATIC ENZYMES Pancreaze, Pertzye Creon, Zenpep

GENITOURINARY

DRUGS TO TREAT IMPOTENCY Levitra, Staxyn, Stendra Viagra, sildenafil

HEMATOLOGIC

PLATELET AGGREGATION INHIBITORS

Durlaza, Yosprala aspirin, omeprazole

NEUROLOGY & PAIN MANAGEMENT

HYPNOTICS Edluar, Intermezzo, Rozerem, Zolpimist eszopiclone, zaleplon, zolpidem

MIGRAINE AGENTS Onzetra, Treximet, Zembrace Symtouch sumatriptan

NEURALGIA AGENTS Gralise, Horizant, Lyrica CR gabapentin immediate-release

NSAIDS Capxib celecoxib & capsaicin/menthol

Duexis famotidine & ibuprofen

Indocin suppository indomethacin oral capsules

Naprelan naproxen


SutterSelect Excluded Drug List October 2018

Page 2

DRUG CATEGORY EXCLUDED DRUGS (SELECTED) PREFERRED ALTERNATIVES

Sprix ibuprofen, naproxen

Tivorbex indomethacin

Vimovo naproxen & esomeprazole

Vivlodex meloxicam

Pennsaid, Zipsor, Zorvolex diclofenac

OPIOIDS – FENTANYL Abstral, Fentora, Lazanda, Onsolis, Subsys fentanyl citrate lozenge

OPIOIDS – MORPHINE Kadian morphine sulfate extended release

OPIOID DEPENDENCY AGENTS Belbuca Butrans

OPIOID REVERSAL AGENT Evzio Narcan

RESPIRATORY

BETA-AGONISTS, SHORT-ACTING (SABA)

Proventil HFA, Xopenex HFA, levalbuterol tartrate ProAir HFA, ProAir RespiClick, Ventolin HFA

INHALED CORTICOSTEROIDS (ICS) Aerospan, Alvesco, Armonair RespiClick Arnuity Ellipta, Flovent Diskus/HFA, Qvar, Qvar Redihaler

INHALED CORTICOSTEROID/LONG-ACTING BETA AGONIST (ICS/LABA) COMBINATIONS

Airduo RespiClick (brand and authorized generic) Advair Diskus/HFA, Breo Ellipta, Dulera, Symbicort

INHALED LONG-ACTING MUSCARINIC ANTAGONISTS (LAMA)

Seebri Neohaler, Tudorza Pressair

Spiriva Handihaler, Spiriva Respimat

INHALED LONG-ACTING MUSCARINIC ANTAGONISTS AND LONG-ACTING BETA AGONIST (LAMA/LABA) COMBINATIONS

Bevespi Aerosphere, Utibron Neohaler Anoro Ellipta, Stiolto Respimat

ANTI-LEUKOTRIENES Zyflo, Zyflo CR montelukast, zafirlukast

SPECIALTY DRUGS

AUTOIMMUNE AGENTS Cimzia, Kevzara, Olumiant, Simponi 50mg, Taltz Cosentyx, Enbrel, Humira, Otezla, Stelara

GROWTH HORMONES Genotropin, Humatrope, Nutropin, Nutropin AQ, Saizen, Zomacton

Omnitrope, Norditropin

HEPATITIS C AGENTS Technivie, Viekira Pak, Viekira XR, Zepatier Harvoni, Epclusa, Vosevi, Mavyret

MULTIPLE SCLEROSIS AGENTS Extavia Aubagio, Avonex, Copaxone, Gilenya, Glatopa, Plegridy, Rebif, Tecfidera

ALLERGY2ND GEN ANTIHISTAMINE & DECONGESTANTCOMBINATIONST3 DESLORATADINE/PSEUD

OEPHEDRINECLARINEX-D 12HOUR

ST, QL

T1 FEXOFENADINE/PSEUDOEPHEDRINE

ALLEGRA-D 24HOUR (180-240MG)(TAB ER 24H)

T3 PSEUDOEPHEDRINEHCL/ACRIVAS

SEMPREX-D

ALLERGENIC EXTRACTS, THERAPEUTICST2 GR POL-ORC/SW

VER/RYE/KENT/TIMORALAIR (100 IR)(TAB SUBL)

PA

T3 GR POL-ORC/SWVER/RYE/KENT/TIM

ORALAIR (100-300IR) (TAB SUBL)

PA

T2 GR POL-ORC/SWVER/RYE/KENT/TIM

ORALAIR (300 IR)(TAB SUBL)

PA

T2 GRASS POLLEN-TIMOTHY, STANDARD

GRASTEK PA

T2 MITE,D.FARINAE-D.PTERONYSSINUS

ODACTRA PA

T2 WEED POLLEN-SHORTRAGWEED

RAGWITEK PA

ANTIHISTAMINES - 1ST GENERATIONT1 CARBINOXAMINE

MALEATECLISTIN

T3 CARBINOXAMINEMALEATE

KARBINAL ER ST, QL

T1 CARBINOXAMINEMALEATE

PALGIC

T1 CLEMASTINEFUMARATE

TAVIST

T1 CYPROHEPTADINE HCL PERIACTINT1 HYDROXYZINE HCL ATARAXT1 HYDROXYZINE

PAMOATEVISTARIL

T1 PROMETHAZINE HCL PHENERGANT1 PROMETHAZINE HCL PHENERGAN VC

ANTIHISTAMINES - 2ND GENERATIONT1 CETIRIZINE HCL ZYRTEC (1 MG/ML)

(SOLUTION)T1 DESLORATADINE CLARINEX (2.5 MG)

(TAB RAPDIS)ST, QL

T3 DESLORATADINE CLARINEX (2.5MG/5ML) (SYRUP)

ST, QL

T1 DESLORATADINE CLARINEX (5 MG)(TAB RAPDIS)

ST, QL

T1 DESLORATADINE CLARINEX (5 MG)(TABLET)

QL

T1 LEVOCETIRIZINEDIHYDROCHLORIDE

XYZAL (2.5MG/5ML)(SOLUTION)

ST, QL

T1 LEVOCETIRIZINEDIHYDROCHLORIDE

XYZAL (5 MG)(TABLET)

NASAL ANTIHISTAMINET1 AZELASTINE HCL ASTELIN QLT1 AZELASTINE HCL ASTEPRO ST, QLT1 OLOPATADINE HCL PATANASE ST, QL

NASAL ANTIHISTAMINE & ANTI-INFLAM. STEROIDCOMB.T3 AZELASTINE/FLUTICAS

ONEDYMISTA ST, QL

NASAL ANTI-INFLAMMATORY STEROIDST2 BECLOMETHASONE

DIPROPIONATEQNASL ST, QL

T2 BECLOMETHASONEDIPROPIONATE

QNASL CHILDREN ST, QL

T1 FLUNISOLIDE NASALIDE QLT1 FLUTICASONE

PROPIONATEFLONASE QL

T1 MOMETASONE FUROATE NASONEX QLT3 MOMETASONE FUROATE SINUVA PA

ANTIEMESIS/ANTIVERTIGOANTIEMETIC/ANTIVERTIGO AGENTST1 APREPITANT EMEND (125 MG)

(CAPSULE)QL

T2 APREPITANT EMEND (125 MG)(SUSP RECON)

QL

T1 APREPITANT EMEND (125MG-80MG) (CAP DS PK)

QL

T1 APREPITANT EMEND (40 MG)(CAPSULE)

QL

T1 APREPITANT EMEND (80 MG)(CAPSULE)

QL

T3 DOLASETRONMESYLATE

ANZEMET (100 MG)(TABLET)

ST, QL

T3 DOLASETRONMESYLATE

ANZEMET (50 MG)(TABLET)

ST, QL

T3 DOXYLAMINESUCCINATE/VIT B6

DICLEGIS QL

T1 DRONABINOL MARINOL ST, QLT3 DRONABINOL SYNDROS ST, QLT3 GRANISETRON SANCUSO ST, QLT1 GRANISETRON HCL KYTRIL ST, QLT1 MECLIZINE HCL MECLIZINE HCL

(12.5 MG) (TABLET)T1 MECLIZINE HCL MECLIZINE HCL (25

MG) (TABLET)T3 NABILONE CESAMET ST, QLT2 NETUPITANT/PALONOSE

TRON HCLAKYNZEO QL

T1 ONDANSETRON ZOFRAN ODTT1 ONDANSETRON HCL ONDANSETRON

HCL (24 MG)(TABLET)

T1 ONDANSETRON HCL ONDANSETRONHCL (4 MG)(TABLET)

T1 ONDANSETRON HCL ONDANSETRONHCL (4 MG/5 ML)(SOLUTION)

QL

T1 ONDANSETRON HCL ONDANSETRONHCL (8 MG)(TABLET)

T1 PROCHLORPERAZINE COMPAZINET1 PROCHLORPERAZINE

MALEATECOMPAZINE

T1 PROMETHAZINE HCL PHENERGAN


T3 ROLAPITANT HCL VARUBI QLT1 SCOPOLAMINE TRANSDERM-SCOP

(1 MG/3 DAY)(PATCH TD 3)

T3 SCOPOLAMINE TRANSDERM-SCOP(1 MG/3 DAY)(PATCH TD 3)

T1 TRIMETHOBENZAMIDEHCL

TIGAN

ASTHMA AND COPDANTICHOLINERGIC, ORALLY INHALED SHORTACTINGT1 IPRATROPIUM BROMIDE ATROVENTT2 IPRATROPIUM BROMIDE ATROVENT HFA QL

ANTICHOLINERGICS, ORALLY INHALED LONGACTINGT3 GLYCOPYRROL/NEBULIZ

ER/ACCESSORLONHALAMAGNAIR STARTER

QL

T3 GLYCOPYRROLATE/NEB.ACCESSORIES

LONHALAMAGNAIR REFILL

QL

T2 TIOTROPIUM BROMIDE SPIRIVA QLT2 TIOTROPIUM BROMIDE SPIRIVA RESPIMAT QLT3 UMECLIDINIUM

BROMIDEINCRUSE ELLIPTA ST, QL

BETA-ADRENERGIC AGENTST1 ALBUTEROL SULFATE ALBUTEROL

SULFATET1 METAPROTERENOL

SULFATEALUPENT

T1 TERBUTALINE SULFATE TERBUTALINESULFATE

BETA-ADRENERGIC AGENTS, INHALED, SHORTACTINGT1 ALBUTEROL SULFATE ALBUTEROL

SULFATET2 ALBUTEROL SULFATE PROAIR HFAT2 ALBUTEROL SULFATE PROAIR

RESPICLICKT2 ALBUTEROL SULFATE VENTOLIN HFAT1 LEVALBUTEROL HCL XOPENEXT1 LEVALBUTEROL HCL XOPENEX

CONCENTRATE

BETA-ADRENERGIC AGENTS, INHALED, ULTRA-LONG ACTINGT3 INDACATEROL MALEATEARCAPTA

NEOHALERST, QL

T2 OLODATEROL HCL STRIVERDIRESPIMAT

QL

BETA-ADRENERGIC AGENTS, ORALLYINHALED,LONG ACTINGT3 ARFORMOTEROL

TARTRATEBROVANA QL

T2 FORMOTEROLFUMARATE

PERFOROMIST QL

T2 SALMETEROLXINAFOATE

SEREVENT DISKUS QL

BETA-ADRENERGIC AND ANTICHOLINERGICCOMBINATIONST2 IPRATROPIUM/ALBUTER

OL SULFATECOMBIVENTRESPIMAT

T1 IPRATROPIUM/ALBUTEROL SULFATE

DUONEB

T2 TIOTROPIUMBR/OLODATEROL HCL

STIOLTO RESPIMAT QL

T2 UMECLIDINIUMBRM/VILANTEROL TR

ANORO ELLIPTA QL

BETA-ADRENERGIC AND GLUCOCORTICOIDCOMBINATIONST2 BUDESONIDE/FORMOTE

ROL FUMARATESYMBICORT QL

T2 FLUTICASONE/SALMETEROL

ADVAIR DISKUS QL

T2 FLUTICASONE/SALMETEROL

ADVAIR HFA QL

T2 FLUTICASONE/VILANTEROL

BREO ELLIPTA QL

T2 MOMETASONE/FORMOTEROL

DULERA QL

BETA-ADRENERGIC-ANTICHOLINERGIC-GLUCOCORT, INHALEDT2 FLUTICASONE/UMECLID

IN/VILANTERTRELEGY ELLIPTA QL

GLUCOCORTICOIDS, ORALLY INHALEDT2 BECLOMETHASONE

DIPROPIONATEQVAR REDIHALER QL

T1 BUDESONIDE PULMICORT(0.25MG/2ML)(AMPUL-NEB)

QL

T1 BUDESONIDE PULMICORT (0.5MG/2ML) (AMPUL-NEB)

QL

T1 BUDESONIDE PULMICORT (1MG/2 ML) (AMPUL-NEB)

QL

T3 BUDESONIDE PULMICORTFLEXHALER

ST, QL

T2 FLUTICASONE FUROATE ARNUITY ELLIPTA QLT2 FLUTICASONE

PROPIONATEFLOVENT DISKUS(100 MCG) (BLSTW/DEV)

QL

T2 FLUTICASONEPROPIONATE

FLOVENT DISKUS(250 MCG) (BLSTW/DEV)

QL


FLOVENT DISKUS(50 MCG) (BLSTW/DEV)

QL


FLOVENT HFA (110MCG) (AERW/ADAP)

QL



QL



QL

T3 MOMETASONE FUROATE ASMANEX ST, QL


T3 MOMETASONE FUROATE ASMANEX HFA ST, QL

LEUKOTRIENE RECEPTOR ANTAGONISTST1 MONTELUKAST SODIUM SINGULAIRT1 ZAFIRLUKAST ACCOLATE

MAST CELL STABILIZERST1 CROMOLYN SODIUM GASTROCROM

MAST CELL STABILIZERS, ORALLY INHALEDT1 CROMOLYN SODIUM CROMOLYN

SODIUM

PHOSPHODIESTERASE-4 (PDE4) INHIBITORST2 ROFLUMILAST DALIRESP ST, QL

RESPIRATORY AIDS,DEVICES,EQUIPMENTT3 INHALER, ASSIST

DEVICESACE AEROSOLCLOUD ENHANCER

T3 INHALER, ASSISTDEVICES

AEROCHAMBERMINI


AEROCHAMBERMV


AEROCHAMBERPLUS FLOW-VU


AEROCHAMBERWITHFLOWSIGNAL


AEROCHAMBER Z-STAT PLUS


AEROTRACH PLUS


AEROVENT PLUS


BREATHERITE


BREATHRITE


COMPACT SPACECHAMBER


COMPACT SPACECHAMBER PLUS


EASIVENT


E-Z SPACER


FLEXICHAMBER


INSPIRACHAMBER


LITEAIRE


MICROCHAMBER


MICROSPACER


OPTICHAMBERDIAMOND


POCKET CHAMBER


PRIMEAIRE


PROCHAMBER


RITEFLO


SPACE CHAMBERPLUS


VORTEX

T3 INHALER,ASSISTDEV,SMALL MASK





BREATHERITESPACER-INFANTMASK


BREATHERITESPACER-NEONATEMSK


BREATHERITESPACER-SM CHLDMSK


CLEVER CHOICEHOLDINGCHAMBER




INSPIRACHAMBER


OPTICHAMBERDIAMOND


VORTEX HOLDINGCHAMBER-TODDLER


VORTEX VHCLADYBUG MASK

T3 INHALER,ASSISTDEVICE,ACCESORY

EASIVENT


FLEXICHAMBERMASK


LITETOUCH


MOUTHPIECE


OPTICHAMBER


PANDA MASK


PEDIATRIC MASK


PEDIATRIC PANDAMASK


SIDESTREAMPEDIATRIC


VORTEX


VORTEX FROGMASK


VORTEX LADYBUGMASK

T3 INHALER,ASSISTDEVICE,LG MASK






BREATHERITESPACER-ADULTMASK






INSPIRACHAMBER


OPTICHAMBERDIAMOND

T3 INHALER,ASSISTDEVICE,MED MASK





BREATHERITESPACER-LG CHLDMSK






INSPIRACHAMBER


OPTICHAMBERDIAMOND


VORTEX HOLDINGCHAMBER-CHILD


VORTEX VHC FROGMASK

T3 SPIROMETERS ANDACCESSORIES

PFLEX TRAINER


THRESHOLD IMT


THRESHOLD PEP

XANTHINEST1 CAFFEINE CITRATE CAFCITT1 THEOPHYLLINE

ANHYDROUSELIXOPHYLLIN

T1 THEOPHYLLINEANHYDROUS

SLO-PHYLLIN


THEO-24


THEO-DUR


UNIPHYL

AUTONOMIC NERVOUS SYSTEMDISORDERS

ALZHEIMER'S THERAPY, NMDA RECEPTORANTAGONISTST1 MEMANTINE HCL NAMENDA (10 MG)

(TABLET)QL

T1 MEMANTINE HCL NAMENDA (2MG/ML)(SOLUTION)

QL

T1 MEMANTINE HCL NAMENDA (5 MG)(TABLET)

QL

T1 MEMANTINE HCL NAMENDA (5 MG-10 MG) (TAB DS PK)

QL

T1 MEMANTINE HCL NAMENDA XR (14MG) (CAP SPR 24)

QL


QL


QL


QL

T2 MEMANTINE HCL NAMENDA XR (7-14-21-28) (CAP24DSPK)

QL

ALZHEIMER'S THX,NMDA RECEPT ANTAG &CHOLINES INHIBT2 MEMANTINE

HCL/DONEPEZIL HCLNAMZARIC (14MG-10MG) (CAP SPR 24)

ST, QL

T2 MEMANTINEHCL/DONEPEZIL HCL

NAMZARIC (21 MG-10MG) (CAP SPR 24)

ST, QL


NAMZARIC (28 MG-10MG) (CAP SPR 24)

ST, QL


NAMZARIC (7 MG-10 MG) (CAP SPR24)

ST, QL


NAMZARIC (7-10/14-10) (CAP24DSPK)

ST, QL

CHOLINESTERASE INHIBITORST1 DONEPEZIL HCL ARICEPTT1 DONEPEZIL HCL ARICEPT ODTT1 GALANTAMINE HBR RAZADYNE (12 MG)

(TABLET)QL

T1 GALANTAMINE HBR RAZADYNE (4 MG)(TABLET)

QL

T1 GALANTAMINE HBR RAZADYNE (4MG/ML)(SOLUTION)

QL

T1 GALANTAMINE HBR RAZADYNE (8 MG)(TABLET)

QL

T1 GALANTAMINE HBR RAZADYNE ER QLT1 PYRIDOSTIGMINE

BROMIDEMESTINON (180MG) (TABLET ER)

T1 PYRIDOSTIGMINEBROMIDE

MESTINON (60 MG)(TABLET)

T2 PYRIDOSTIGMINEBROMIDE

MESTINON (60MG/5 ML) (SYRUP)

T1 RIVASTIGMINE EXELON QLT1 RIVASTIGMINE

TARTRATEEXELON

BEHAVIORAL HEALTH -ANTIDEPRESSANTS

ALPHA-2 RECEPTOR ANTAGONISTANTIDEPRESSANTST1 MIRTAZAPINE MIRTAZAPINE

MAOIS - NON-SELECTIVE & IRREVERSIBLET3 ISOCARBOXAZID MARPLAN


T1 PHENELZINE SULFATE NARDILT1 TRANYLCYPROMINE

SULFATEPARNATE

NOREPINEPHRINE AND DOPAMINE REUPTAKEINHIB (NDRIS)T1 BUPROPION HCL WELLBUTRINT1 BUPROPION HCL WELLBUTRIN SRT1 BUPROPION HCL WELLBUTRIN XL

SELECTIVE SEROTONIN REUPTAKE INHIBITOR(SSRIS)T1 CITALOPRAM

HYDROBROMIDECELEXA

T1 ESCITALOPRAMOXALATE

LEXAPRO

T1 FLUOXETINE HCL FLUOXETINE HCLT1 FLUOXETINE HCL PROZACT1 FLUOXETINE HCL PROZAC WEEKLYT3 FLUOXETINE HCL SARAFEMT1 FLUVOXAMINE

MALEATELUVOX

T1 FLUVOXAMINEMALEATE

LUVOX CR ST, QL

T1 PAROXETINE HCL PAXIL (10 MG)(TABLET)

T2 PAROXETINE HCL PAXIL (10 MG/5 ML)(ORAL SUSP)




T1 PAROXETINE HCL PAXIL CRT1 PAROXETINE MESYLATE BRISDELLE ST, QLT1 SERTRALINE HCL ZOLOFT

SEROTONIN-2 ANTAGONIST/REUPTAKE INHIBITORS(SARIS)T1 NEFAZODONE HCL SERZONET1 TRAZODONE HCL DESYREL

SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB(SNRIS)T2 DESVENLAFAXINE DESVENLAFAXINE

ERST, QL

T3 DESVENLAFAXINEFUMARATE

DESVENLAFAXINEFUMARATE ER

ST, QL

T1 DESVENLAFAXINESUCCINATE

PRISTIQ QL

T1 DULOXETINE HCL DULOXETINE HCL(20 MG) (CAPSULEDR)

QL


QL


QL

T2 LEVOMILNACIPRAN HCLFETZIMA ST, QLT1 VENLAFAXINE HCL EFFEXORT1 VENLAFAXINE HCL EFFEXOR XR

T1 VENLAFAXINE HCL VENLAFAXINE HCLER

SSRI & 5HT1A PARTIAL AGONIST ANTIDEPRESSANTT2 VILAZODONE HCL VIIBRYD ST, QL

SSRI & SEROTONIN RECEPTOR MODULATORANTIDEPRESSANTT2 VORTIOXETINE

HYDROBROMIDETRINTELLIX ST, QL

TRICYCLIC ANTIDEPRESSANT/BENZODIAZEPINECOMBINATNST1 AMITRIPTYLINE/CHLOR

DIAZEPOXIDELIMBITROL

T1 AMITRIPTYLINE/CHLORDIAZEPOXIDE

LIMBITROL DS

TRICYCLIC ANTIDEPRESSANT/PHENOTHIAZINECOMBINATNST1 PERPHENAZINE/AMITRIP

TYLINE HCLETRAFON-A

T1 PERPHENAZINE/AMITRIPTYLINE HCL

TRIAVIL 2-10


TRIAVIL 2-25


TRIAVIL 4-25


TRIAVIL 4-50

TRICYCLIC ANTIDEPRESSANTS & REL. NON-SEL.RU-INHIBT1 AMITRIPTYLINE HCL ELAVILT1 AMOXAPINE ASENDINT1 CLOMIPRAMINE HCL ANAFRANILT1 DESIPRAMINE HCL NORPRAMINT1 DOXEPIN HCL SINEQUANT1 IMIPRAMINE HCL TOFRANILT1 IMIPRAMINE PAMOATE TOFRANIL-PMT1 MAPROTILINE HCL LUDIOMILT1 NORTRIPTYLINE HCL PAMELORT1 PROTRIPTYLINE HCL VIVACTILT1 TRIMIPRAMINE

MALEATESURMONTIL

BEHAVIORAL HEALTH - OTHERADRENERGICS, AROMATIC, NON-CATECHOLAMINET3 AMPHETAMINE DYANAVEL XR ST, QLT3 AMPHETAMINE SULFATEEVEKEO PAT1 DEXTROAMPHETAMINE

SULFATEDEXEDRINE (10MG) (CAPSULE ER)

QL

T1 DEXTROAMPHETAMINESULFATE

DEXEDRINE (10MG) (TABLET)

QL


DEXEDRINE (15MG) (CAPSULE ER)

QL


DEXEDRINE (5 MG)(CAPSULE ER)

QL


DEXEDRINE (5 MG)(TABLET)

QL


PROCENTRA QL



ZENZEDI (15 MG)(TABLET)

ST, QL


ZENZEDI (2.5 MG)(TABLET)

ST, QL



ST, QL



ST, QL


ZENZEDI (7.5 MG)(TABLET)

ST, QL

T1 DEXTROAMPHETAMINE/AMPHETAMINE

ADDERALL QL


ADDERALL XR (10MG) (CAP ER 24H)

QL



QL



QL



QL



QL



QL

T2 LISDEXAMFETAMINEDIMESYLATE

VYVANSE ST, QL

T1 METHAMPHETAMINEHCL

DESOXYN QL

ANTI-ALCOHOLIC PREPARATIONST1 ACAMPROSATE

CALCIUMCAMPRAL

T1 DISULFIRAM ANTABUSE

ANTI-ANXIETY - BENZODIAZEPINEST1 ALPRAZOLAM ALPRAZOLAMT2 ALPRAZOLAM ALPRAZOLAM

INTENSOLT1 CHLORDIAZEPOXIDE

HCLCHLORDIAZEPOXIDE HCL

T1 CLORAZEPATEDIPOTASSIUM

CLORAZEPATEDIPOTASSIUM

T1 DIAZEPAM DIAZEPAMT1 LORAZEPAM LORAZEPAMT1 OXAZEPAM OXAZEPAM

ANTI-ANXIETY DRUGST1 BUSPIRONE HCL BUSPART1 MEPROBAMATE MEPROBAMATE

ANTI-MANIA DRUGST3 CARBAMAZEPINE EQUETROT1 LITHIUM CARBONATE LITHIUM

CARBONATET2 LITHIUM CARBONATE LITHOBIDT1 LITHIUM CITRATE LITHIUM CITRATE

ANTI-NARCOLEPSY & ANTI-CATAPLEXY,SEDATIVE-TYPE AGTSP SODIUM OXYBATE XYREM PA

ANTIPSYCH,DOPAMINEANTAG.,DIPHENYLBUTYLPIPERIDINEST1 PIMOZIDE ORAP

ANTIPSYCHOTIC-ATYPICAL,D3/D2 PARTIAL AG-5HTMIXEDT2 CARIPRAZINE HCL VRAYLAR (1.5 MG)

(CAPSULE)ST, QL

T2 CARIPRAZINE HCL VRAYLAR (1.5 MG-3MG) (CAP DS PK)

ST, QL

T2 CARIPRAZINE HCL VRAYLAR (3 MG)(CAPSULE)

ST, QL

T2 CARIPRAZINE HCL VRAYLAR (4.5 MG)(CAPSULE)

ST, QL

T2 CARIPRAZINE HCL VRAYLAR (6 MG)(CAPSULE)

ST, QL

ANTIPSYCHOTICS, ATYP, D2 PARTIAL AGONIST/5HTMIXEDT1 ARIPIPRAZOLE ABILIFY (1 MG/ML)

(SOLUTION)ST, QL

T1 ARIPIPRAZOLE ABILIFY (10 MG)(TABLET)

QL


QL


QL


QL


QL


QL

T1 ARIPIPRAZOLE ABILIFY DISCMELT(10 MG) (TABRAPDIS)

ST, QL

T1 ARIPIPRAZOLE ABILIFY DISCMELT(15 MG) (TABRAPDIS)

ST, QL

T2 BREXPIPRAZOLE REXULTI ST, QL

ANTIPSYCHOTICS, DOPAMINE & SEROTONINANTAGONISTSSP LOXAPINE ADASUVET1 LOXAPINE SUCCINATE LOXITANE

ANTIPSYCHOTICS,ATYPICAL,DOPAMINE,&SEROTONIN ANTAGT2 ASENAPINE MALEATE SAPHRIS ST, QLT1 CLOZAPINE CLOZAPINE QLT1 CLOZAPINE CLOZARIL QLT1 CLOZAPINE FAZACLO ST, QLT3 CLOZAPINE VERSACLOZ ST, QLT3 ILOPERIDONE FANAPT (1 MG)

(TABLET)ST, QL

T3 ILOPERIDONE FANAPT (10 MG)(TABLET)

ST, QL


ST, QL

T3 ILOPERIDONE FANAPT (1-2-4-6MG) (TAB DS PK)

ST, QL


ST, QL


ST, QL


ST, QL



ST, QL

T2 LURASIDONE HCL LATUDA (120 MG)(TABLET)

ST, QL


ST, QL


ST, QL


ST, QL


ST, QL

T1 OLANZAPINE ZYPREXA QLT1 OLANZAPINE ZYPREXA ZYDIS QLT1 PALIPERIDONE INVEGA (1.5 MG)

(TAB ER 24)ST, QL

T1 PALIPERIDONE INVEGA (3 MG)(TAB ER 24)

ST, QL


ST, QL


ST, QL

T1 QUETIAPINE FUMARATE SEROQUEL QLT1 QUETIAPINE FUMARATE SEROQUEL XR (150

MG) (TAB ER 24H)QL

T1 QUETIAPINE FUMARATE SEROQUEL XR (200MG) (TAB ER 24H)

QL


QL


QL


QL

T3 QUETIAPINE FUMARATE SEROQUEL XR (50-200-300)(TAB24HDSPK)

T1 RISPERIDONE RISPERIDONE (0.25MG) (TAB RAPDIS)

QL

T1 RISPERIDONE RISPERIDONE (0.25MG) (TABLET)

QL

T1 RISPERIDONE RISPERIDONE (0.5MG) (TAB RAPDIS)

QL

T1 RISPERIDONE RISPERIDONE (0.5MG) (TABLET)

QL

T1 RISPERIDONE RISPERIDONE (1MG) (TAB RAPDIS)

QL

T1 RISPERIDONE RISPERIDONE (1MG) (TABLET)

QL

T1 RISPERIDONE RISPERIDONE (1MG/ML)(SOLUTION)

QL


QL


QL


QL


QL


QL


QL

T1 ZIPRASIDONE HCL GEODON QL

ANTIPSYCHOTICS,DOPAMINE ANTAGONISTS,THIOXANTHENEST1 THIOTHIXENE NAVANE

ANTIPSYCHOTICS,DOPAMINEANTAGONISTS,BUTYROPHENONEST1 HALOPERIDOL HALDOLT1 HALOPERIDOL LACTATE HALOPERIDOL

LACTATE

ANTI-PSYCHOTICS,PHENOTHIAZINEST1 CHLORPROMAZINE HCL THORAZINET1 FLUPHENAZINE HCL PROLIXINT1 PERPHENAZINE TRILAFONT1 THIORIDAZINE HCL MELLARILT1 TRIFLUOPERAZINE HCL STELAZINE

BARBITURATEST3 BUTABARBITAL SODIUM BUTISOL SODIUMT1 PHENOBARBITAL PHENOBARBITALT3 SECOBARBITAL SODIUM SECONAL SODIUM

HSDD AGENTS-MIXED SEROTONINAGONIST/ANTAGONISTST3 FLIBANSERIN ADDYI PA

HYPNOTICS, MELATONIN MT1/MT2 RECEPTORAGONISTSSP TASIMELTEON HETLIOZ PA

MONOAMINE OXIDASE(MAO) INHIBITORST3 SELEGILINE EMSAM QL

NARCOLEPSY AND SLEEP DISORDER THERAPYAGENTST1 ARMODAFINIL NUVIGIL (150 MG)

(TABLET)QL

T1 ARMODAFINIL NUVIGIL (200 MG)(TABLET)

QL


QL


QL

T1 MODAFINIL PROVIGIL QL

NARCOTIC ANTAGONISTST1 NALOXONE HCL NARCAN (0.4

MG/ML) (SYRINGE)T1 NALOXONE HCL NARCAN (1 MG/ML)

(SYRINGE)T2 NALOXONE HCL NARCAN (4 MG)

(SPRAY)QL

T1 NALTREXONE HCL REVIA

SEDATIVE-HYPNOTICS - BENZODIAZEPINEST1 ESTAZOLAM ESTAZOLAMT1 FLURAZEPAM HCL FLURAZEPAM HCLT1 MIDAZOLAM HCL MIDAZOLAM HCLT1 QUAZEPAM DORALT1 TEMAZEPAM RESTORILT1 TRIAZOLAM TRIAZOLAM


SEDATIVE-HYPNOTICS,NON-BARBITURATET2 DOXEPIN HCL SILENOR ST, QLT1 ESZOPICLONE LUNESTA QLT1 MIDAZOLAM/KETAMINE

/ONDANSETRONMIDAZOLAM/KETAMINE/ONDANSETRON

T2 SUVOREXANT BELSOMRA ST, QLT1 ZALEPLON SONATA QLT1 ZOLPIDEM TARTRATE AMBIEN QLT1 ZOLPIDEM TARTRATE AMBIEN CR QL

SELECTIVE SEROTONIN 5-HT2A INVERSE AGONISTS(SSIA)SP PIMAVANSERIN

TARTRATENUPLAZID PA

SSRI &ANTIPSYCH,ATYP,DOPAMINE&SEROTONINANTAG COMBT1 OLANZAPINE/FLUOXETI

NE HCLSYMBYAX QL

TX FOR ADHD - SELECTIVE ALPHA-2A RECEPTORAGONISTT1 CLONIDINE HCL KAPVAY QLT1 GUANFACINE HCL INTUNIV QL

TX FOR ATTENTION DEFICIT-HYPERACT(ADHD)/NARCOLEPSYT1 DEXMETHYLPHENIDATE

HCLFOCALIN QL

T1 DEXMETHYLPHENIDATEHCL

FOCALIN XR AGE,QL

T3 METHYLPHENIDATE DAYTRANA ST, QLT1 METHYLPHENIDATE

HCLCONCERTA (18 MG)(TAB ER 24)

AGE,QL

T1 METHYLPHENIDATEHCL

CONCERTA (27 MG)(TAB ER 24)

AGE,QL



AGE,QL



AGE,QL


METHYLPHENIDATE HCL (10 MG)(CPBP 30-70)

AGE,QL



AGE,QL


METHYLPHENIDATE HCL (10 MG) (TABCHEW)

QL


METHYLPHENIDATE HCL (10 MG)(TABLET ER)


METHYLPHENIDATE HCL (10 MG)(TABLET)

QL


METHYLPHENIDATE HCL (10 MG/5 ML)(SOLUTION)


METHYLPHENIDATE HCL (18 MG) (TABER 24)

AGE,QL


METHYLPHENIDATE HCL (2.5 MG)(TAB CHEW)

QL



AGE,QL



AGE,QL


METHYLPHENIDATE HCL (20 MG)(TABLET ER)

AGE,QL



QL



AGE,QL



AGE,QL



AGE,QL



AGE,QL



AGE,QL



AGE,QL


METHYLPHENIDATE HCL (5 MG) (TABCHEW)

QL



QL


METHYLPHENIDATE HCL (5 MG/5 ML)(SOLUTION)



AGE,QL



AGE,QL



AGE,QL



AGE,QL



AGE,QL


QUILLICHEW ER(20 MG) (TABCBP24H)

ST, QL



ST, QL




ST, QL


QUILLIVANT XR (5MG/ML) (SU ERRC24)

ST, QL,AI



ST, QL,AI



ST, QL,AI



ST, QL,AI


RELEXXII AGE,QL

TX FOR ATTENTION DEFICIT-HYPERACT.(ADHD),NRI-TYPET1 ATOMOXETINE HCL STRATTERA (10

MG) (CAPSULE)QL

T1 ATOMOXETINE HCL STRATTERA (100MG) (CAPSULE)

QL


QL


QL


QL


QL


QL

CARDIOVASCULAR DISEASE -ARRHYTHMIA

ANTIARRHYTHMICST1 AMIODARONE HCL CORDARONET1 DISOPYRAMIDE

PHOSPHATENORPACE

T2 DISOPYRAMIDEPHOSPHATE

NORPACE CR

T1 DOFETILIDE TIKOSYNT2 DRONEDARONE HCL MULTAQT1 FLECAINIDE ACETATE TAMBOCORT1 MEXILETINE HCL MEXITILT1 PROPAFENONE HCL RYTHMOLT1 PROPAFENONE HCL RYTHMOL SRT1 QUINIDINE GLUCONATE QUINIDINE

GLUCONATET1 QUINIDINE SULFATE QUINIDINE

SULFATE

CARDIOVASCULAR DISEASE -CARDIAC STIMULANT

ADRENERGIC AGENTS,CATECHOLAMINEST1 EPINEPHRINE EPINEPHRINE

DIGITALIS GLYCOSIDEST1 DIGOXIN DIGOXINT1 DIGOXIN DIGOXINT2 DIGOXIN LANOXIN (125

MCG) (TABLET)T3 DIGOXIN LANOXIN (187.5

MCG) (TABLET)T2 DIGOXIN LANOXIN (250

MCG) (TABLET)T3 DIGOXIN LANOXIN (62.5

MCG) (TABLET)

CARDIOVASCULAR DISEASE -HYPERTENSION

ACE INHIBITOR/CALCIUM CHANNEL BLOCKERCOMBINATION$0 AMLODIPINE

BESYLATE/BENAZEPRILLOTREL

$0 TRANDOLAPRIL/VERAPAMIL HCL

TRANDOLAPRIL/VERAPAMIL HCL

ACE INHIBITOR/THIAZIDE & THIAZIDE-LIKEDIURETIC$0 BENAZEPRIL/HYDROCH

LOROTHIAZIDELOTENSIN HCT

$0 CAPTOPRIL/HYDROCHLOROTHIAZIDE

CAPOZIDE

$0 ENALAPRIL/HYDROCHLOROTHIAZIDE

VASERETIC

$0 FOSINOPRIL/HYDROCHLOROTHIAZIDE

MONOPRIL-HCT

$0 LISINOPRIL/HYDROCHLOROTHIAZIDE

ZESTORETIC

$0 MOEXIPRIL/HYDROCHLOROTHIAZIDE

UNIRETIC

$0 QUINAPRIL/HYDROCHLOROTHIAZIDE

ACCURETIC

ALPHA/BETA-ADRENERGIC BLOCKING AGENTS$0 CARVEDILOL COREG$0 CARVEDILOL

PHOSPHATECOREG CR

$0 LABETALOL HCL TRANDATE

ALPHA-ADRENERGIC BLOCKING AGENTS$0 DOXAZOSIN MESYLATE CARDURAT1 DOXAZOSIN MESYLATE CARDURA XLSP PHENOXYBENZAMINE

HCLDIBENZYLINE PA

$0 PRAZOSIN HCL MINIPRESS$0 TERAZOSIN HCL HYTRIN

ANGIOTEN.RECEPTR ANTAG./CAL.CHANLBLKR/THIAZIDE CB$0 AMLODIPINE/VALSARTA

N/HCTHIAZIDEXFORGE HCT

$0 OLMESARTAN/AMLODIPIN/HCTHIAZID

TRIBENZOR

ANGIOTENSIN II RECEPTOR BLOCKER-BETABLOCKER COMB.T1 NEBIVOLOL

HCL/VALSARTANBYVALSON


ANGIOTENSIN RECEPTOR ANTAG./THIAZIDEDIURETIC COMBT1 AZILSARTAN

MED/CHLORTHALIDONEEDARBYCLOR ST

$0 CANDESARTAN/HYDROCHLOROTHIAZID

ATACAND HCT

$0 IRBESARTAN/HYDROCHLOROTHIAZIDE

AVALIDE

$0 LOSARTAN/HYDROCHLOROTHIAZIDE

HYZAAR

$0 OLMESARTAN/HYDROCHLOROTHIAZIDE

BENICAR HCT

$0 TELMISARTAN/HYDROCHLOROTHIAZID

MICARDIS HCT

T1 VALSARTAN/HYDROCHLOROTHIAZIDE

DIOVAN HCT

$0 VALSARTAN/HYDROCHLOROTHIAZIDE

VALSARTAN/HYDROCHLOROTHIAZIDE

ANGIOTENSIN RECEPTOR ANTGNST &CALC.CHANNEL BLOCKR$0 AMLODIPINE

BES/OLMESARTAN MEDAZOR

$0 AMLODIPINEBESYLATE/VALSARTAN

EXFORGE

$0 TELMISARTAN/AMLODIPINE

TWYNSTA

ANTIHYPERTENSIVES, ACE INHIBITORS$0 BENAZEPRIL HCL LOTENSIN$0 CAPTOPRIL CAPOTENT1 ENALAPRIL MALEATE EPANED ST,

AGE,QL

$0 ENALAPRIL MALEATE VASOTEC$0 FOSINOPRIL SODIUM MONOPRIL$0 LISINOPRIL PRINIVILT1 LISINOPRIL QBRELIS ST,

AGE,QL

$0 LISINOPRIL ZESTRIL$0 MOEXIPRIL HCL UNIVASC$0 PERINDOPRIL

ERBUMINEACEON

$0 QUINAPRIL HCL ACCUPRIL$0 RAMIPRIL ALTACE$0 TRANDOLAPRIL MAVIK

ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTORANTAGONISTT1 AZILSARTAN

MEDOXOMILEDARBI ST

$0 CANDESARTANCILEXETIL

ATACAND

$0 EPROSARTAN MESYLATETEVETEN$0 IRBESARTAN AVAPRO$0 LOSARTAN POTASSIUM COZAAR$0 OLMESARTAN

MEDOXOMILBENICAR

$0 TELMISARTAN MICARDIST1 VALSARTAN DIOVAN$0 VALSARTAN VALSARTAN

ANTIHYPERTENSIVES, GANGLIONIC BLOCKERST3 MECAMYLAMINE HCL VECAMYL PA

ANTIHYPERTENSIVES, MISCELLANEOUST3 METYROSINE DEMSER

ANTIHYPERTENSIVES, SYMPATHOLYTIC$0 CLONIDINE CATAPRES-TTS 1$0 CLONIDINE CATAPRES-TTS 2$0 CLONIDINE CATAPRES-TTS 3$0 CLONIDINE HCL CATAPRES$0 CLONIDINE

HCL/CHLORTHALIDONECOMBIPRES

$0 GUANFACINE HCL TENEX$0 METHYLDOPA ALDOMET$0 METHYLDOPA/HYDROC

HLOROTHIAZIDEALDORIL 15

$0 METHYLDOPA/HYDROCHLOROTHIAZIDE

ALDORIL 25

ANTIHYPERTENSIVES, VASODILATORS$0 HYDRALAZINE HCL APRESOLINE$0 MINOXIDIL LONITEN

BETA-ADRENERGIC BLOCKING AGENTS$0 ACEBUTOLOL HCL SECTRAL$0 ATENOLOL TENORMIN$0 BETAXOLOL HCL KERLONE$0 BISOPROLOL FUMARATEZEBETAT1 METOPROLOL

SUCCINATEKAPSPARGOSPRINKLE

$0 METOPROLOLSUCCINATE

TOPROL XL

$0 METOPROLOLTARTRATE

METOPROLOLTARTRATE

$0 NADOLOL CORGARDT1 NEBIVOLOL HCL BYSTOLICT3 PENBUTOLOL SULFATE LEVATOL$0 PINDOLOL VISKENT1 PROPRANOLOL HCL HEMANGEOL ST,

AGE,QL

$0 PROPRANOLOL HCL INDERAL$0 PROPRANOLOL HCL INDERAL LAT1 SOTALOL HCL SOTALOL HCLT3 SOTALOL HCL SOTYLIZE (5

MG/ML)(SOLUTION)

ST, QL

$0 TIMOLOL MALEATE BLOCADREN

BETA-ADRENERGIC BLOCKING AGENTS/THIAZIDE& RELATED$0 ATENOLOL/CHLORTHALI

DONETENORETIC 100

$0 ATENOLOL/CHLORTHALIDONE

TENORETIC 50

$0 BISOPROLOL/HYDROCHLOROTHIAZIDE

ZIAC

$0 METOPROLOL/HYDROCHLOROTHIAZIDE

LOPRESSOR HCT

$0 NADOLOL/BENDROFLUMETHIAZIDE

CORZIDE


$0 PROPRANOLOL/HYDROCHLOROTHIAZID

INDERIDE-40/25

$0 PROPRANOLOL/HYDROCHLOROTHIAZID

INDERIDE-80/25

CALCIUM CHANNEL BLOCKING AGENTS$0 AMLODIPINE BESYLATE NORVASC$0 DILTIAZEM HCL CARDIZEM$0 DILTIAZEM HCL CARDIZEM CDT1 DILTIAZEM HCL CARDIZEM LA (120

MG) (TAB ER 24H)$0 DILTIAZEM HCL CARDIZEM LA (180





MG) (TAB ER 24H)$0 DILTIAZEM HCL CARDIZEM SR$0 DILTIAZEM HCL DILACOR XR$0 DILTIAZEM HCL TIAZAC$0 FELODIPINE PLENDIL$0 ISRADIPINE DYNACIRC$0 NICARDIPINE HCL NICARDIPINE HCL$0 NIFEDIPINE ADALAT CC$0 NIFEDIPINE PROCARDIA$0 NIFEDIPINE PROCARDIA XLT1 NIMODIPINE NIMOTOPSP NIMODIPINE NYMALIZE PA$0 NISOLDIPINE SULAR$0 VERAPAMIL HCL CALAN$0 VERAPAMIL HCL CALAN SR$0 VERAPAMIL HCL VERELAN$0 VERAPAMIL HCL VERELAN PM

LOOP DIURETICS$0 BUMETANIDE BUMEX$0 ETHACRYNIC ACID EDECRIN$0 FUROSEMIDE LASIX$0 TORSEMIDE DEMADEX

OSMOTIC DIURETICST3 MANNITOL RESECTISOL

POTASSIUM SPARING DIURETICS$0 AMILORIDE HCL MIDAMOR$0 EPLERENONE INSPRA$0 SPIRONOLACTONE ALDACTONET3 TRIAMTERENE DYRENIUM

POTASSIUM SPARING DIURETICS IN COMBINATION$0 AMILORIDE/HYDROCHL

OROTHIAZIDEMODURETIC 5-50

$0 SPIRONOLACT/HYDROCHLOROTHIAZID

ALDACTAZIDE (25MG-25MG)(TABLET)

T3 SPIRONOLACT/HYDROCHLOROTHIAZID

ALDACTAZIDE (50MG-50MG)(TABLET)

$0 TRIAMTERENE/HYDROCHLOROTHIAZID

DYAZIDE


MAXZIDE


MAXZIDE-25 MG

PULM ANTI-HTN,SOLUBLE GUANYLATE CYCLASESTIMULATORSP RIOCIGUAT ADEMPAS PA

PULM.ANTI-HTN,SEL.C-GMP PHOSPHODIESTERASET5 INHIBSP SILDENAFIL CITRATE REVATIO (10

MG/ML) (SUSPRECON)

PA

T1 SILDENAFIL CITRATE REVATIO (20 MG)(TABLET)

PA

SP TADALAFIL ADCIRCA PA

PULMONARY ANTI-HTN, ENDOTHELIN RECEPTORANTAGONISTSP AMBRISENTAN LETAIRIS PASP BOSENTAN TRACLEER PASP MACITENTAN OPSUMIT PA

PULMONARY ANTIHYPERTENSIVES,PROSTACYCLIN-TYPESP ILOPROST

TROMETHAMINEVENTAVIS PA

SP SELEXIPAG UPTRAVI PASP TREPROSTINIL TYVASO PASP TREPROSTINIL

DIOLAMINEORENITRAM ER PA

SP TREPROSTINIL SODIUM REMODULIN PASP TREPROSTINIL/NEB

ACCESSORIESTYVASO REFILLKIT

PA

SP TREPROSTINIL/NEBULIZER/ACCESOR

TYVASOINSTITUTIONALSTART KIT

PA

SP TREPROSTINIL/NEBULIZER/ACCESOR

TYVASO STARTERKIT

PA

RENIN INHIBITOR, DIRECTT1 ALISKIREN

HEMIFUMARATETEKTURNA PA

RENIN INHIBITOR, DIRECT/THIAZIDE DIURETICCOMBT3 ALISKIREN/HYDROCHLO

ROTHIAZIDETEKTURNA HCT PA

THIAZIDE AND RELATED DIURETICS$0 CHLOROTHIAZIDE DIURIL (250 MG)

(TABLET)T3 CHLOROTHIAZIDE DIURIL (250

MG/5ML) (ORALSUSP)

$0 CHLOROTHIAZIDE DIURIL (500 MG)(TABLET)

$0 CHLORTHALIDONE HYGROTON$0 HYDROCHLOROTHIAZID

EHYDROCHLOROTHIAZIDE

$0 INDAPAMIDE LOZOL


$0 METHYCLOTHIAZIDE METHYCLOTHIAZIDE

$0 METOLAZONE ZAROXOLYN

VASODILATORS, COMBINATIONT1 ISOSORBIDE

DINIT/HYDRALAZINEBIDIL

CARDIOVASCULAR DISEASE - LIPIDIRREGULARITY

ANTIHYPERLIP.HMG COA REDUCTINHIB&CHOLEST.AB.INHIB$0 EZETIMIBE/SIMVASTATI

NVYTORIN (10 MG-10MG) (TABLET)

QL

$0 EZETIMIBE/SIMVASTATIN

VYTORIN (10 MG-20MG) (TABLET)

QL



QL



ST, QL

ANTIHYPERLIPIDEMIC - APO B-100 SYNTHESISINHIBITORSP MIPOMERSEN SODIUM KYNAMRO PA

ANTIHYPERLIPIDEMIC - HMG COA REDUCTASEINHIBITORS$0 ATORVASTATIN

CALCIUMLIPITOR (10 MG)(TABLET)

AGE,QL

$0 ATORVASTATINCALCIUM

LIPITOR (20 MG)(TABLET)

AGE,QL



QL



QL

$0 FLUVASTATIN SODIUM LESCOL ST,AGE,QL

$0 FLUVASTATIN SODIUM LESCOL XL ST,AGE,QL

T1 LOVASTATIN ALTOPREV ST,AGE,QL

$0 LOVASTATIN MEVACOR AGE,QL

T1 PITAVASTATIN CALCIUM LIVALO AGE,QL

T3 PITAVASTATINMAGNESIUM

ZYPITAMAG ST,AGE,QL

$0 PRAVASTATIN SODIUM PRAVACHOL AGE,QL

$0 ROSUVASTATINCALCIUM

CRESTOR (10 MG)(TABLET)

AGE,QL



QL



QL



AGE,QL

T1 SIMVASTATIN FLOLIPID PA,AGE

$0 SIMVASTATIN SIMVASTATIN (10MG) (TABLET)

AGE,QL


AGE,QL


AGE,QL


AGE,QL


ST, QL

ANTIHYPERLIPIDEMIC - MTP INHIBITORSP LOMITAPIDE MESYLATE JUXTAPID PA

ANTIHYPERLIPIDEMIC - PCSK9 INHIBITORSSP ALIROCUMAB PRALUENT PEN PASP EVOLOCUMAB REPATHA

PUSHTRONEXPA

SP EVOLOCUMAB REPATHASURECLICK

PA

SP EVOLOCUMAB REPATHA SYRINGE PA

BILE SALT SEQUESTRANTS$0 CHOLESTYRAMINE

(WITH SUGAR)QUESTRAN

$0 CHOLESTYRAMINE/ASPARTAME

QUESTRAN LIGHT

$0 COLESEVELAM HCL WELCHOL (3.75 G)(POWD PACK)

T1 COLESEVELAM HCL WELCHOL (625 MG)(TABLET)

$0 COLESTIPOL HCL COLESTID (1 G)(TABLET)

$0 COLESTIPOL HCL COLESTID (5 G)(GRANULES)

$0 COLESTIPOL HCL COLESTID (5 G)(PACKET)

T1 COLESTIPOL HCL COLESTID (7.5 G)(PACKET)

LIPOTROPICS$0 EZETIMIBE ZETIA QL$0 FENOFIBRATE FENOGLIDE$0 FENOFIBRATE LIPOFEN$0 FENOFIBRATE LOFIBRA$0 FENOFIBRATE

NANOCRYSTALLIZEDTRICOR

T1 FENOFIBRATENANOCRYSTALLIZED

TRIGLIDE ST

$0 FENOFIBRATE,MICRONIZED

LOFIBRA

$0 FENOFIBRIC ACID FIBRICOR$0 FENOFIBRIC ACID

(CHOLINE)TRILIPIX

$0 GEMFIBROZIL LOPIDT1 ICOSAPENT ETHYL VASCEPA (0.5

GRAM) (CAPSULE)QL

T1 ICOSAPENT ETHYL VASCEPA (1 G)(CAPSULE)

QL

T3 METHIONINE/INOSI/CHOL/FOLIC AC

LIPOCHOL PLUS


$0 NIACIN NIACOR$0 NIACIN NIASPAN ST$0 OMEGA-3 ACID ETHYL

ESTERSLOVAZA QL

CARDIOVASCULAR DISEASE -MISCELLANEOUS AGENTS

ADRENERGIC VASOPRESSOR AGENTSSP DROXIDOPA NORTHERA PAT1 MIDODRINE HCL PROAMATINE

ANGIOTENSIN RECEPT-NEPRILYSIN INHIBITORCOMB(ARNI)T1 SACUBITRIL/VALSARTA

NENTRESTO QL

ANTIANGINAL & ANTI-ISCHEMIC AGENTS,NON-HEMODYNAMICT2 RANOLAZINE RANEXA (1000 MG)

(TAB ER 12H)QL

T2 RANOLAZINE RANEXA (500 MG)(TAB ER 12H)

QL

ANTIANGINAL, HEART RATE REDUCING, I(F)INHIBITORT2 IVABRADINE HCL CORLANOR PA, QL

ANTIHYPERLIP - HMG-COA&CALCIUM CHANNELBLOCKER CB$0 AMLODIPINE/ATORVAST

ATINCADUET QL

CARDIOVASCULAR DISEASE -VASODILATION

VASODILATORS,CORONARYT1 AMYL NITRITE AMYL NITRITET3 ISOSORBIDE DINITRATE DILATRATE-SRT1 ISOSORBIDE DINITRATE ISOCHRONT1 ISOSORBIDE DINITRATE ISORDIL (10 MG)

(TABLET)T1 ISOSORBIDE DINITRATE ISORDIL (20 MG)



(TABLET)T1 ISOSORBIDE DINITRATE ISORDIL

TITRADOSET1 ISOSORBIDE

MONONITRATEIMDUR

T1 ISOSORBIDEMONONITRATE

MONOKET

T2 NITROGLYCERIN NITRO-BIDT1 NITROGLYCERIN NITRO-DUR

(0.1MG/HR) (PATCHTD24)

T1 NITROGLYCERIN NITRO-DUR(0.2MG/HR) (PATCHTD24)

T2 NITROGLYCERIN NITRO-DUR (0.3MG/HR) (PATCHTD24)




T1 NITROGLYCERIN NITROLINGUALT3 NITROGLYCERIN NITROMISTT1 NITROGLYCERIN NITROSTATT1 NITROGLYCERIN NITRO-TIME

VASODILATORS,PERIPHERALT1 ERGOLOID MESYLATES HYDERGINET1 ISOXSUPRINE HCL ISOXSUPRINE HCLT1 PAPAVERINE HCL PAPAVERINE HCLT1 PAPAVERINE/PHENTOLA

MINE/WATERPAPAVERINE/PHENTOLAMINE/WATER

CONTRACEPTION/OXYTOCICSCONTRACEPTIVES, INTRAVAGINAL, SYSTEMIC$0 ETONOGESTREL/ETHINY

L ESTRADIOLNUVARING QL

CONTRACEPTIVES,INTRAVAGINAL$0 NONOXYNOL 9 CONCEPTROL$0 NONOXYNOL 9 DELFEN$0 NONOXYNOL 9 GYNOL II$0 NONOXYNOL 9 TODAY

CONTRACEPTIVESPONGE

$0 NONOXYNOL 9 VCF

CONTRACEPTIVES,ORAL$0 DESOG-

E.ESTRADIOL/E.ESTRADIOL

MIRCETTE

$0 DESOGESTREL-ETHINYLESTRADIOL

CYCLESSA


DESOGEN


ORTHO-CEPT

$0 DROSPIR/ETHESTRA/LEVOMEFOL CA

BEYAZ ST

$0 DROSPIR/ETHESTRA/LEVOMEFOL CA

SAFYRAL ST

$0 ESTRADIOLVALERATE/DIENOGEST

NATAZIA ST

$0 ETHINYLESTRADIOL/DROSPIRENONE

YASMIN 28 ST

$0 ETHINYLESTRADIOL/DROSPIRENONE

YAZ ST

$0 ETHYNODIOL D-ETHINYL ESTRADIOL

DEMULEN


$0 ETHYNODIOL D-ETHINYL ESTRADIOL

DEMULEN 1-50-21

$0 LEVONORGEST/ETH.ESTRADIOL/IRON

BALCOLTRA ST, QL

$0 LEVONORGESTREL PLAN B ONE-STEP$0 LEVONORGESTREL TAKE ACTION$0 LEVONORGESTREL-

ETHIN ESTRADIOLLEVONORGESTREL-ETHIN ESTRADIOL(0.1-0.02MG)(TABLET)

$0 LEVONORGESTREL-ETHIN ESTRADIOL

LEVONORGESTREL-ETHIN ESTRADIOL(0.15-0.03) (TABLET)


LEVONORGESTREL-ETHIN ESTRADIOL(0.15-0.03) (TBDSPK3MO)

QL


LEVONORGESTREL-ETHIN ESTRADIOL(6-5-10) (TABLET)


LEVONORGESTREL-ETHIN ESTRADIOL(90-20 MCG)(TABLET)

$0 L-NORGEST/E.ESTRADIOL-E.ESTRAD

LOSEASONIQUE QL


QUARTETTE


SEASONIQUE QL

$0 NORETH-ETHINYLESTRADIOL/IRON

FEMCON FE

$0 NORETH-ETHINYLESTRADIOL/IRON

GENERESS FE

$0 NORETHINDRONE NOR-Q-D$0 NORETHINDRONE ORTHO MICRONOR$0 NORETHINDRONE AC-

ETH ESTRADIOLLOESTRIN

$0 NORETHINDRONE-E.ESTRADIOL-IRON

ESTROSTEP FE


LO LOESTRIN FE ST


LOESTRIN 24 FE


LOESTRIN FE


MINASTRIN 24 FE


TAYTULLA ST

$0 NORETHINDRONE-ETHINYL ESTRAD

MODICON


ORTHO-NOVUM


OVCON-35


TRI-NORINYL

$0 NORGESTIMATE-ETHINYL ESTRADIOL

ORTHO TRI-CYCLEN


ORTHO TRI-CYCLEN LO


ORTHO-CYCLEN

$0 NORGESTREL-ETHINYLESTRADIOL

LO-OVRAL-28


LO-OVRAL-8


OVRAL

$0 ULIPRISTAL ACETATE ELLA

CONTRACEPTIVES,TRANSDERMAL$0 NORELGESTROMIN/ETHI

N.ESTRADIOLORTHO EVRA QL

DIAPHRAGMS/CERVICAL CAP$0 CERVICAL CAP FEMCAP$0 DIAPHRAGMS,

CONTOUREDCAYA CONTOURED

$0 DIAPHRAGMS, WIDESEAL

WIDE SEALDIAPHRAGM

OXYTOCICST3 DINOPROSTONE CERVIDILT3 DINOPROSTONE PREPIDILT3 DINOPROSTONE PROSTIN E2

VAGINALSUPPOSITORY

T1 METHYLERGONOVINEMALEATE

METHYLERGONOVINE MALEATE

COUGH AND COLD1ST GEN ANTIHISTAMINE & DECONGESTANTCOMBINATIONST1 CHLORPHENIRAMINE/PH

ENYLEPHRINECHLORPHENIRAMINE/PHENYLEPHRINE (1MG-2MG/ML)(DROPS)

T1 PHENYLEPHRINEHCL/PROMETH HCL

PHENERGAN VC

T1 PHENYLEPHRINEHCL/PROMETH HCL

PHEN-TUSS AD

1ST GEN ANTIHIST-DECONGEST-ANTICHOLINERGIC COMBT1 PSEUDOEPHED/CHLOR-

MAL/BELL ALKPSEUDOEPHED/CHLOR-MAL/BELLALK

ANTITUSSIVES,NON-NARCOTICT1 BENZONATATE TESSALONT1 BENZONATATE TESSALON PERLET1 BENZONATATE ZONATUSS (150

MG) (CAPSULE)

NARCOTIC ANTITUSS-1ST GEN. ANTIHISTAMINE-DECONGESTT1 HYDROCODONE/CPM/PS

EUDOEPHEDHYDROCODONE/CPM/PSEUDOEPHED

AGE


T1 PROMETHAZINE/PHENYLEPH/CODEINE

PENTAZINE VCWITH CODEINE

AGE

T1 PROMETHAZINE/PHENYLEPH/CODEINE

PHENERGAN VCWITH CODEINE

AGE

NARCOTIC ANTITUSSIVE-1ST GENERATIONANTIHISTAMINET3 CODEINE

POLI/CHLORPHENIRPOLIS

TUZISTRA XR ST,AGE,QL

T3 HYDROCODONE/CHLORPHEN P-STIREX

TUSSICAPS AGE

T1 HYDROCODONE/CHLORPHEN P-STIREX

TUSSIONEX AGE

T3 HYDROCODONE/CHLORPHENIRAMINE

VITUZ AGE

T1 PROMETHAZINEHCL/CODEINE

PHENERGAN WITHCODEINE

AGE

NARCOTIC ANTITUSSIVE-ANTICHOLINERGICCOMB.T1 HYDROCODONE

BIT/HOMATROP ME-BRHYDROCODONEBIT/HOMATROPME-BR

AGE

NARCOTIC ANTITUSSIVE-EXPECTORANTCOMBINATIONT1 CODEINE

PHOSPHATE/GUAIFENESIN

CODEINEPHOSPHATE/GUAIFENESIN

AGE

T3 GUAIFENESIN/HYDROCODONE

OBREDON ST,AGE,QL

NON-NARC ANTITUSS-1ST GEN. ANTIHISTAMINE-DECONGESTT1 BROMPHENIRAMINE/PSE

UDOEPHED/DMBROMPHENIRAMINE/PSEUDOEPHED/DM (2-30-10/5)(SYRUP)

T1 CHLORPHENIRAMINE/PHENYLEPH/DM

CHLORPHENIRAMINE/PHENYLEPH/DM (1-2-3MG/ML)(DROPS)

NON-NARC ANTITUSSIVE-1ST GEN ANTIHISTAMINECOMB.T1 PROMETHAZINE/DEXTR

OMETHORPHANPHEN TUSS DM

NOSE PREPARATIONS, VASOCONSTRICTORS (RX)T3 EPINEPHRINE HCL ADRENALIN

CHLORIDET3 TETRAHYDROZOLINE

HCLTYZINE

DERMATOLOGY - ACNEACNE AGENTS,SYSTEMICT1 ISOTRETINOIN ISOTRETINOIN

ACNE AGENTS,TOPICALT1 ADAPALENE/BENZOYL

PEROXIDEEPIDUO ST,

AGE

T2 ADAPALENE/BENZOYLPEROXIDE

EPIDUO FORTE ST,AGE

T3 AZELAIC ACID AZELEXT1 CLINDAMYCIN

PHOS/BENZOYL PEROXACANYA ST

T1 CLINDAMYCINPHOS/BENZOYL PEROX

BENZACLIN (1 %-5%) (GEL (GRAM))


DUAC


ONEXTON ST

T1 CLINDAMYCIN/TRETINOIN

VELTIN

T1 CLINDAMYCIN/TRETINOIN

ZIANA

T1 DAPSONE ACZONE (5 %) (GEL(GRAM))

T3 DAPSONE ACZONE (7.5 %)(GEL W/PUMP)

T1 SULFACETAMIDESODIUM

KLARON

ANTICORROSIVE AGENTST3 BUTYLATED

HYDROXYTOLUENEBUTYLATEDHYDROXYTOLUENE(BHT) (POWDER)

KERATOLYTIC-GLUCOCORTICOID COMBINATIONST2 BENZOYL

PEROXIDE/HYDROCORTISON

VANOXIDE-HC

ROSACEA AGENTS, TOPICALT2 AZELAIC ACID FINACEAT3 BRIMONIDINE

TARTRATEMIRVASO

T3 IVERMECTIN SOOLANTRA STT1 METRONIDAZOLE METROCREAMT1 METRONIDAZOLE METROGELT1 METRONIDAZOLE METROLOTIONT1 METRONIDAZOLE ROSADANT3 OXYMETAZOLINE HCL RHOFADE

TOPICAL PREPARATIONS,ANTIBACTERIALST3 CADEXOMER IODINE IODOFLEXT3 CADEXOMER IODINE IODOSORBT3 CLIOQUINOL/HYDROCO

RTISONEALA-QUIN

T1 HYDROCORTISONE/IODOQUINOL

DERMAZENE

T1 HYDROCORTISONE/IODOQUINOL/ALOE

VYTONE

T1 IODINE/POTASSIUMIODIDE

IODINE/POTASSIUMIODIDE (5%-10%)(SOLUTION)

T1 SILVER NITRATE SILVER NITRATE

VITAMIN A DERIVATIVEST2 ADAPALENE ADAPALENE AGET1 ADAPALENE DIFFERIN AGET1 TRETINOIN ATRALIN AGET1 TRETINOIN RETIN-A AGET3 TRETINOIN TRETIN-X AGE


T1 TRETINOINMICROSPHERES

RETIN-A MICRO AGE


RETIN-A MICROPUMP (0.04 %) (GELW/PUMP)

AGE



ST,AGE



ST,AGE



AGE

T3 TRETINOIN/EMOL 9/SKINCLEANSR1

TRETIN-X AGE

VITAMIN A DERIVATIVES, TOPICAL ACNE AGENTST2 TAZAROTENE FABIOR AGE

DERMATOLOGY - ANTIINFECTIVETOPICAL ANTIBIOTICST1 CLINDAMYCIN

PHOSPHATECLEOCIN T

T1 CLINDAMYCINPHOSPHATE

CLINDACIN ETZ


CLINDACIN P


CLINDAGEL ST


EVOCLIN

T1 ERYTHROMYCIN BASEIN ETHANOL

ERYTHROMYCINBASE IN ETHANOL

T2 ERYTHROMYCIN/BENZOYL PEROXIDE

AKTIPAK

T1 ERYTHROMYCIN/BENZOYL PEROXIDE

BENZAMYCIN

T1 GENTAMICIN SULFATE GENTAMICINSULFATE

T1 MUPIROCIN BACTROBANT1 MUPIROCIN CENTANYT3 MUPIROCIN CENTANY ATT1 MUPIROCIN CALCIUM BACTROBAN

TOPICALANTIFUNGAL/ANTIINFLAMMATORY,STERIODAGENTT1 CLOTRIMAZOLE/BETAM

ETHASONE DIPLOTRISONE

TOPICAL ANTIFUNGALST3 BUTENAFINE HCL MENTAXT1 CICLOPIROX CICLODANT1 CICLOPIROX LOPROXT1 CICLOPIROX PENLACT1 CICLOPIROX OLAMINE CICLODANT1 CICLOPIROX OLAMINE LOPROXT3 CICLOPIROX/SKIN

CLEANSER NO.28CICLODAN

T1 CICLOPIROX/UREA/CAMPH/MEN/EUC

CICLODAN

T1 CLOTRIMAZOLE CLOTRIMAZOLE (1%) (CREAM (G))

T1 CLOTRIMAZOLE CLOTRIMAZOLE (1%) (SOLUTION)

T3 ECONAZOLE NITRATE ECOZAT1 ECONAZOLE NITRATE SPECTAZOLET3 EFINACONAZOLE JUBLIA PAT1 GENTIAN

VIOLET/BRGREEN/PROFLAV

GENTIANVIOLET/BRGREEN/PROFLAV

T1 KETOCONAZOLE NIZORALT1 LULICONAZOLE LUZU ST, QLT3 MICONAZOLE

NITRATE/ZINC OX/PETVUSION

T1 NAFTIFINE HCL NAFTIN (1 %)(CREAM (G))

T2 NAFTIFINE HCL NAFTIN (1 %) (GEL(GRAM))

T1 NAFTIFINE HCL NAFTIN (2 %)(CREAM (G))

T2 NAFTIFINE HCL NAFTIN (2 %) (GEL(GRAM))

T1 NYSTATIN MYCOSTATINT1 NYSTATIN NYAMYCT1 NYSTATIN NYSTEXT1 NYSTATIN NYSTOPT1 NYSTATIN/TRIAMCIN NYSTATIN/TRIAMC

INT1 OXICONAZOLE NITRATE OXISTAT (1 %)

(CREAM (G))T3 OXICONAZOLE NITRATE OXISTAT (1 %)

(LOTION)T1 SODIUM

THIOSULFATE/SAL ACIDVERSICLEAR

T2 SULCONAZOLE NITRATE EXELDERMT3 TAVABOROLE KERYDIN PA

TOPICAL ANTIPARASITICST3 BENZYL ALCOHOL ULESFIAT3 IVERMECTIN SKLICET1 LINDANE KWELLT1 MALATHION OVIDET1 PERMETHRIN PERMETHRIN (5 %)

(CREAM (G))T1 SPINOSAD NATROBA

TOPICAL ANTIVIRALST2 ACYCLOVIR ZOVIRAX (5 %)

(CREAM (G))T1 ACYCLOVIR ZOVIRAX (5 %)

(OINT. (G))T3 PENCICLOVIR DENAVIR

TOPICAL PLEUROMUTILIN DERIVATIVEST3 RETAPAMULIN ALTABAX

TOPICAL SULFONAMIDEST1 MAFENIDE ACETATE SULFAMYLON (50

G) (PACKET)T3 MAFENIDE ACETATE SULFAMYLON (8.5

%) (CREAM (G))T1 SILVER SULFADIAZINE SILVADENET1 SILVER SULFADIAZINE THERMAZENE


T1 SULFACETAMIDESOD/SULFUR/UREA

SULFACETAMIDESOD/SULFUR/UREA

T1 SULFACETAMIDESODIUM/SULFUR

AVAR (10-5%(W/W))(CLEANSER)


AVAR (9.5 %-5 %)(FOAM)


AVAR (9.5 %-5 %)(MED. PAD)


AVAR LS (10 %-2 %)(CLEANSER)


AVAR LS (10 %-2 %)(FOAM)


AVAR LS (10 %-2 %)(MED. PAD)


AVAR-E


AVAR-E GREEN


AVAR-E LS


BP 10-1


CLARIFOAM EF


PLEXION (10-5%(W/W)) (LOTION)


PLEXION (9.8%-4.8%) (CLEANSER)


PLEXION (9.8%-4.8%) (CREAM (G))


PLEXION (9.8%-4.8%) (LOTION)


PLEXION (9.8%-4.8%) (MED. PAD)


PLEXION TS


ROSANIL


ROSULA (10 %-4.5%) (CLEANSER)


ROSULA (10 %-5 %)(MED. PAD)


SODIUMSULFACETAMIDE-SULFUR


SULFACET-R


SUMADAN


SUMAXIN


SUMAXIN TS


ZENCIA

T1 SULFACETAMIDE/SULFUR/CLEANSR23

PLEXION

T1 SULFACTSOD/SULUR/AVOB/OTN/OCT

SUMADAN XLT

DERMATOLOGY -ANTIINFLAMMATORY

TOP. ANTI-INFLAM.,PHOSPHODIESTERASE-4 (PDE4)INHIBT2 CRISABOROLE EUCRISA ST

TOPICALANTIBIOTICS/ANTIINFLAMMATORY,STEROIDALT2 NEOMYC/BACIT/POLYM

YX/HYDROCORTCORTISPORIN

T3 NEOMYCINSULFATE/FLUOCINOLONE

NEO-SYNALAR ST

T3 NEOMYCIN/FLUOCINOLONE/EMOLL 65

NEO-SYNALAR ST

T2 NEOMYCIN/POLYMYXINB/HYDROCORT

CORTISPORIN

TOPICAL ANTI-INFLAMMATORY STEROIDALT1 ALCLOMETASONE

DIPROPIONATEACLOVATE

T1 AMCINONIDE CYCLOCORTT1 BETAMETHASONE

DIPROPIONATEDIPROLENE

T3 BETAMETHASONEDIPROPIONATE

SERNIVO ST

T1 BETAMETHASONEVALERATE

LUXIQ

T1 BETAMETHASONEVALERATE

VALISONE

T1 BETAMETHASONE/PROPYLENE GLYC

DIPROLENE

T1 BETAMETHASONE/PROPYLENE GLYC

DIPROLENE AF

T1 CLOBETASOLPROPIONATE

CLOBEX


CLODAN


OLUX


TEMOVATE

T1 CLOBETASOLPROPIONATE/EMOLL

OLUX-E


TEMOVATE E


TEMOVATEEMOLLIENT

T3 CLOBETASOL/SKINCLEANSER NO.28

CLODAN

T1 CLOCORTOLONEPIVALATE

CLODERM

T3 DESONIDE DESONATET1 DESONIDE DESONIDET1 DESONIDE DESOWENT1 DESOXIMETASONE TOPICORT (0.05 %)

(CREAM (G))T1 DESOXIMETASONE TOPICORT (0.05 %)

(GEL (GRAM))T1 DESOXIMETASONE TOPICORT (0.05 %)

(OINT. (G))


T1 DESOXIMETASONE TOPICORT (0.25 %)(CREAM (G))

T1 DESOXIMETASONE TOPICORT (0.25 %)(OINT. (G))

T1 DESOXIMETASONE TOPICORT (0.25 %)(SPRAY)

ST

T1 DIFLORASONEDIACETATE

APEXICON

T1 DIFLORASONEDIACETATE

PSORCON

T2 DIFLORASONEDIACETATE/EMOLL

APEXICON E

T3 FLUOCINOLONEACETONIDE

CAPEX SHAMPOO


DERMA-SMOOTHE-FS


SYNALAR

T3 FLUOCINOLONE/EMOLCOMB NO.65

SYNALAR

T1 FLUOCINOLONE/SHOWER CAP

DERMA-SMOOTHE-FS

T3 FLUOCINOLONE/SKINCLNSR28

SYNALAR TS

T1 FLUOCINONIDE LIDEXT1 FLUOCINONIDE VANOST1 FLUOCINONIDE/EMOLLI

ENT BASELIDEX-E

T2 FLURANDRENOLIDE CORDRAN (0.025 %)(CREAM (G))

T1 FLURANDRENOLIDE CORDRAN (0.05 %)(CREAM (G))

T1 FLURANDRENOLIDE CORDRAN (0.05 %)(LOTION)

T1 FLURANDRENOLIDE CORDRAN (0.05 %)(OINT. (G))

T3 FLURANDRENOLIDE CORDRAN(4MCG/SQ CM)(MED. TAPE)

ST, QL

T1 FLURANDRENOLIDE NOLIXT1 FLUTICASONE

PROPIONATECUTIVATE

T3 HALCINONIDE HALOGT1 HALOBETASOL

PROPIONATEULTRAVATE (0.05%) (CREAM (G))

T3 HALOBETASOLPROPIONATE

ULTRAVATE (0.05%) (LOTION)

T1 HALOBETASOLPROPIONATE

ULTRAVATE (0.05%) (OINT. (G))

T2 HYDROCORT/SALACID/SULF/SHAMP1

SCALACORT DK

T1 HYDROCORTISONE HYDROCORTISONE(1 %) (CREAM (G))

T1 HYDROCORTISONE HYDROCORTISONE(1 %) (CRM/PE APP)

T1 HYDROCORTISONE HYDROCORTISONE(1 %) (OINT. (G))

T1 HYDROCORTISONE HYDROCORTISONE(2 %) (LOTION)

T1 HYDROCORTISONE HYDROCORTISONE(2.5 %) (CREAM (G))

T1 HYDROCORTISONE HYDROCORTISONE(2.5 %) (CRM/PEAPP)

T1 HYDROCORTISONE HYDROCORTISONE(2.5 %) (KIT)

T1 HYDROCORTISONE HYDROCORTISONE(2.5 %) (LOTION)

T1 HYDROCORTISONE HYDROCORTISONE(2.5 %) (OINT. (G))

T2 HYDROCORTISONE TEXACORTT3 HYDROCORTISONE

ACET/ALOE VERANUCORT

T3 HYDROCORTISONEACETATE

MICORT-HC

T1 HYDROCORTISONEBUTYRATE

LOCOID

T1 HYDROCORTISONEBUTYRATE/EMOLL

LOCOIDLIPOCREAM

T2 HYDROCORTISONEPROBUTATE

PANDEL

T1 HYDROCORTISONEVALERATE

HYDROCORTISONEVALERATE

T3 HYDROCORTISONE/SKINCLEANSER25

AQUA GLYCOLICHC

T1 MOMETASONE FUROATE ELOCONT1 PREDNICARBATE DERMATOPT1 TRIAMCINOLONE

ACETONIDETRIAMCINOLONEACETONIDE (0.025%) (CREAM (G))

T1 TRIAMCINOLONEACETONIDE

TRIAMCINOLONEACETONIDE (0.025%) (LOTION)


TRIAMCINOLONEACETONIDE (0.025%) (OINT. (G))


TRIAMCINOLONEACETONIDE (0.1 %)(CREAM (G))


TRIAMCINOLONEACETONIDE (0.1 %)(LOTION)


TRIAMCINOLONEACETONIDE (0.1 %)(OINT. (G))


TRIAMCINOLONEACETONIDE(0.147MG/G)(AEROSOL)


TRIAMCINOLONEACETONIDE (0.5 %)(CREAM (G))


TRIAMCINOLONEACETONIDE (0.5 %)(OINT. (G))

TOPICAL ANTI-INFLAMMATORY, NSAIDST3 DICLOFENAC

EPOLAMINEFLECTOR

T1 DICLOFENAC SODIUM VOLTAREN


DERMATOLOGY - MISCELLANEOUSANTIPERSPIRANTST2 ALUMINUM CHLORIDE DRYSOL

ANTISEBORRHEIC AGENTST3 HYDROGEN PEROXIDE ESKATAT1 SELENIUM SULFIDE SELENIUM

SULFIDE (2.25 %)(SHAMPOO)

T1 SELENIUM SULFIDE SELENIUMSULFIDE (2.3 %)(SHAMPOO)

T1 SELENIUM SULFIDE SELENIUMSULFIDE (2.5 %)(LOTION)

T3 SELENIUM SULFIDE TERSI FOAMT3 SULFACETAMIDE

SODIUMOVACE PLUS (10 %)(CREAM (G))


OVACE PLUS (10 %)(SHAMPOO)


OVACE PLUS (9.8 %)(FOAM)


OVACE PLUS (9.8 %)(LOTION)

ST


SULFACETAMIDESODIUM

ANTISEPTICS,MISCELLANEOUST3 GUAIACOL GUAIACOL

EMOLLIENTST1 AMMONIUM LACTATE AMMONIUM

LACTATE (12 %)(CREAM (G))

T1 AMMONIUM LACTATE AMMONIUMLACTATE (12 %)(LOTION)

T3 EMOLLIENTCOMBINATION NO.10

LUXAMEND


CERACADE


DEXERYL


NUTRASEB


CELACYN


LEVICYNANTIPRURITIC SG


RESTIZAN


SP SCARMANAGEMENT

IODINE ANTISEPTICST1 POVIDONE-IODINE POVIDONE-IODINE

(5 %) (SOLUTION)

IRRIGANTST1 ACETIC ACID ACETIC ACIDT1 MANNITOL/SORBITOL

SOLUTIONMANNITOL/SORBITOL SOLUTION

T1 NEOMYCINSULF/POLYMYXIN BSULF

NEOMYCINSULF/POLYMYXINB SULF

T3 PHYSIOLOGICAL IRRIGSOLN NO.1

PHYSIOLYTE

T3 PHYSIOLOGICAL IRRIGSOLN NO.1

PHYSIOSOL

T1 RINGER'S SOLUTION RINGER'SSOLUTION

T3 RINGER'SSOLUTION,LACTATED

LACTATEDRINGERS

T3 SOD,POTCHLOR/MAG/SOD,POTPHOS

TIS-U-SOLPENTALYTE

T1 SODIUM CHLORIDEIRRIG SOLUTION

SODIUM CHLORIDEIRRIG SOLUTION(0.9 %) (IRRIGSOLN)

T1 SORBITOL SOLUTION SORBITOLSOLUTION

T1 WATER FORIRRIGATION,STERILE

WATER FORIRRIGATION,STERILE (IRRIG SOLN)

IRRITANTS/COUNTER-IRRITANTST3 CAPSAICIN/SKIN

CLEANSERQUTENZA PA

KERATOLYTICST1 BENZOYL PEROXIDE BENZOYL

PEROXIDE (4 %)(GEL (GRAM))

T1 BENZOYL PEROXIDE BENZOYLPEROXIDE (5.3%)(FOAM)

T1 BENZOYL PEROXIDE BENZOYLPEROXIDE (6 %)(TOWELETTE)

T1 BENZOYL PEROXIDE BENZOYLPEROXIDE (7 %)(CLEANSER)

T1 BENZOYL PEROXIDE BENZOYLPEROXIDE (8 %)(GEL (GRAM))

T1 BENZOYL PEROXIDE BENZOYLPEROXIDE (9.8 %)(FOAM)

T3 BENZOYL PEROXIDE PACNEX HPT3 BENZOYL PEROXIDE PACNEX LPT1 BENZOYL PEROXIDE

MICROSPHERESBENZOYLPEROXIDEMICROSPHERES

T3 BENZOYLPEROXIDE/SULFUR

NUOX

T3 BENZOYL PEROXIDE/VITE MIX

INOVA

T3 PODOFILOX CONDYLOX (0.5 %)(GEL (GRAM))

ST

T1 PODOFILOX CONDYLOX (0.5 %)(SOLUTION)

T1 PODOPHYLLUM RESIN PODOPHYLLUMRESIN


T3 SALICYLIC AC/BENZOYLPER/VIT E

INOVA 4-1

T3 SALICYLIC AC/BENZOYLPER/VIT E

INOVA 8-2

T3 SALICYLIC ACID KERALYT SCALPT1 SALICYLIC ACID SALICYLIC ACID

(26 %) (LIQUID)T1 SALICYLIC ACID SALICYLIC ACID

(27.5 %) (LIQ-FILM)T1 SALICYLIC ACID SALICYLIC ACID

(28.5 %) (SOL-FILMER)

T1 SALICYLIC ACID SALICYLIC ACID (6%) (CREAM (G))

T1 SALICYLIC ACID SALICYLIC ACID (6%) (CRM ER (G))

T1 SALICYLIC ACID SALICYLIC ACID (6%) (FOAM)

T1 SALICYLIC ACID SALICYLIC ACID (6%) (LOTION ER)

T1 SALICYLIC ACID SALICYLIC ACID (6%) (LOTION)

T1 SALICYLIC ACID SALICYLIC ACID (6%) (SHAMPOO)

T3 SALICYLIC ACID SALIMEZ FORTET3 SALICYLIC ACID ULTRASAL-ERT1 SALICYLIC

ACID/AMMONLACT/ALOE

SALKERA

T3 SALICYLIC ACID/UREA SALVAX DUO PLUST1 SILVER NITRATE SILVER NITRATET1 SILVER NITRATE

APPLICATORSILVER NITRATEAPPLICATOR

T3 UREA HYDRO 35T3 UREA KERAFOAMT3 UREA URAMAXINT1 UREA UREA (35 %)

(FOAM)T1 UREA UREA (39 %)

(CREAM (G))T1 UREA UREA (40 %)


(FOAM)T1 UREA UREA (40 %)

(LOTION)T1 UREA UREA (45 %)

(CREAM (G))T1 UREA UREA (45 %) (GEL

(ML))T1 UREA UREA (45 %)

(GEL/PF APP)T1 UREA UREA (45 %)

(LOTION)T1 UREA UREA (47 %)



(SOL/PF APP)T3 UREA/EMOLLIENT

COMBINATION 65URAMAXIN GT

PROTECTIVEST1 PETROLATUM,WHITE PETROLATUM,WHI

TE (OINT PACK)T3 PROTECTIVES

COMBINATION NO.2TETRIX

TOPICAL ANTI-INFLAMMATORY STEROID-LOCALANESTHETICT2 HYDROCORTISONE/PRA

MOXINEANALPRAM HC

T3 HYDROCORTISONE/PRAMOXINE

EPIFOAM


PRAMOSONE (1 %-1%) (CREAM (G))


PRAMOSONE (1 %-1%) (LOTION)


PRAMOSONE (1 %-1%) (OINT. (G))


PRAMOSONE (2.5%-1 %) (CREAM (G))


PRAMOSONE (2.5%-1 %) (LOTION)


PRAMOSONE (2.5%-1 %) (OINT. (G))

T3 HYDROCORTISONE/PRAMOXINE/EMOLL

PRAMOSONE E

T1 LIDOCAINE/HYDROCORTISONE AC

LIDAMANTLE HC

TOPICAL ANTINEOPLASTIC & PREMALIGNANTLESION AGNTSSP ALITRETINOIN PANRETINSP BEXAROTENE TARGRETIN PAT1 DICLOFENAC SODIUM SOLARAZE QLT1 FLUOROURACIL CARAC PAT1 FLUOROURACIL EFUDEXT3 FLUOROURACIL FLUOROPLEXT3 FLUOROURACIL TOLAKT2 INGENOL MEBUTATE PICATO (0.015 %)

(GEL (EA))QL

T2 INGENOL MEBUTATE PICATO (0.05 %)(GEL (EA))

QL

SP MECHLORETHAMINEHCL

VALCHLOR PA

TOPICAL LOCAL ANESTHETICST3 BENZOCAINE ANACAINET1 COCAINE HCL COCAINE HCLT1 ETHYL CHLORIDE ETHYL CHLORIDET1 LIDOCAINE LIDOCAINE (5 %)

(ADH. PATCH)T1 LIDOCAINE LIDOCAINE (5 %)

(OINT. (G))ST, QL

T3 LIDOCAINE TRANZARELT3 LIDOCAINE HCL ANASTIAT1 LIDOCAINE HCL LIDOCAINE HCL (3

%) (CREAM (G))T1 LIDOCAINE HCL LIDOCAINE HCL (4

%) (SOLUTION)T3 LIDOCAINE HCL LIDOPINT3 LIDOCAINE HCL NUMBONEXT1 LIDOCAINE/PRILOCAINE AGONEAZE


T1 LIDOCAINE/PRILOCAINE DERMACINRXEMPRICAINE

T1 LIDOCAINE/PRILOCAINE DERMACINRXPRIZOPAK

T1 LIDOCAINE/PRILOCAINE EMLAT1 LIDOCAINE/PRILOCAINE LEVA SETT1 LIDOCAINE/PRILOCAINE LIDOPRILT1 LIDOCAINE/PRILOCAINE LIDOPRIL XRT1 LIDOCAINE/PRILOCAINE LIDO-PRILO CAINE

PACKT1 LIDOCAINE/PRILOCAINE LIPROZONEPAKT1 LIDOCAINE/PRILOCAINE LIVIXIL PAKT1 LIDOCAINE/PRILOCAINE MEDOLOR PAKT1 LIDOCAINE/PRILOCAINE PRILOLIDT1 LIDOCAINE/PRILOCAINE PRILOVIXT1 LIDOCAINE/PRILOCAINE RELADOR PAKT1 LIDOCAINE/PRILOCAINE RELADOR PAK

PLUST1 LIDOCAINE/RACEPINEP/

TETRACAINELIDOCAINE/RACEPINEP/TETRACAINE

T1 LIDOCAINE/TETRACAINE

PLIAGLIS

T3 LIDOCAINE/TETRACAINE

SYNERA

T3 TETRACAINE HCL PONTOCAINET3 TETRACAINE/BENZOCAI

NE/BUTAMBENCETACAINE

T3 TETRACAINE/BENZOCAINE/BUTAMBEN

CETACAINEANESTHETIC

TOPICAL/MUCOUS MEMBR./SUBCUT. ENZYMEST3 COLLAGENASE

CLOSTRIDIUM HIST.SANTYL

T3 HYALURONIDASE,HUMAN RECOMB.

HYQVIA HYCOMPONENT

DERMATOLOGY -PSORIASIS/ECZEMA

ANTIPSORIATIC AGENTS,SYSTEMICSP ACITRETIN SORIATANESP BRODALUMAB SILIQ PASP GUSELKUMAB TREMFYA PAT1 METHOXSALEN METHOXSALENSP SECUKINUMAB COSENTYX (2

SYRINGES)PA

SP SECUKINUMAB COSENTYX PEN PASP SECUKINUMAB COSENTYX PEN (2

PENS)PA

SP SECUKINUMAB COSENTYXSYRINGE

PA

ANTIPSORIATICS AGENTST2 ANTHRALIN DRITHOCREME HP STT3 ANTHRALIN

MICRONIZEDZITHRANOL ST

T1 CALCIPOTRIENE DOVONEX STT3 CALCIPOTRIENE SORILUX STT1 CALCITRIOL VECTICAL STT2 TAZAROTENE TAZORAC (0.05 %)

(CREAM (G))

T2 TAZAROTENE TAZORAC (0.05 %)(GEL (GRAM))

T1 TAZAROTENE TAZORAC (0.1 %)(CREAM (G))

T2 TAZAROTENE TAZORAC (0.1 %)(GEL (GRAM))

ECZEMA AGENTS,SYSTEMIC,INTERLEUKIN-4REC.ANTAG MABSP DUPILUMAB DUPIXENT PA

TOPICAL AGENTS,MISCELLANEOUST3 UREA GORDON'S UREA

TOPICAL IMMUNOSUPPRESSIVE AGENTST2 PIMECROLIMUS ELIDEL STT1 TACROLIMUS PROTOPIC

TOPICAL VIT D ANALOG/ANTIINFLAMMATORY,STEROIDALT3 CALCIPOTRIENE/BETAM

ETHASONEENSTILAR ST

T1 CALCIPOTRIENE/BETAMETHASONE

TACLONEX (0.005-.064) (OINT. (G))

ST

T3 CALCIPOTRIENE/BETAMETHASONE

TACLONEX (0.005-.064) (SUSPENSION)

ST

DIABETESANTIHYPERGLY, (DPP-4) INHIBITOR & BIGUANIDECOMB.T1 LINAGLIPTIN/METFORMI

N HCLJENTADUETO QL

T1 LINAGLIPTIN/METFORMIN HCL

JENTADUETO XR(2.5-1000MG) (TABBP 24H)

QL

T1 LINAGLIPTIN/METFORMIN HCL

JENTADUETO XR(5MG-1000MG) (TABBP 24H)

QL

T1 SITAGLIPTINPHOS/METFORMIN HCL

JANUMET QL


JANUMET XR (100-1000MG) (TBMP24HR)

QL


JANUMET XR (50-1000 MG) (TBMP24HR)

QL


JANUMET XR(50MG-500MG)(TBMP 24HR)

QL

ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1RECEP.AGONIST)T1 DULAGLUTIDE TRULICITY ST, QLT1 EXENATIDE BYETTA

(10MCG/0.04) (PENINJCTR)

ST, QL

T1 EXENATIDE BYETTA(5MCG/0.02) (PENINJCTR)

ST, QL

T1 EXENATIDEMICROSPHERES

BYDUREON ST, QL


BYDUREON BCISE ST, QL



BYDUREON PEN ST, QL

T1 LIRAGLUTIDE VICTOZA 2-PAK ST, QLT1 LIRAGLUTIDE VICTOZA 3-PAK ST, QL

ANTIHYPERGLYCEMC-SOD/GLUCCOTRANSPORT2(SGLT2)INHIBT2 DAPAGLIFLOZIN

PROPANEDIOLFARXIGA ST, QL

T1 EMPAGLIFLOZIN JARDIANCE ST, QL

ANTIHYPERGLYCEMIC - DOPAMINE RECEPTORAGONISTST3 BROMOCRIPTINE

MESYLATECYCLOSET ST

ANTIHYPERGLYCEMIC, ALPHA-GLUCOSIDASEINHIB (N-S)$0 ACARBOSE PRECOSE$0 MIGLITOL GLYSET

ANTIHYPERGLYCEMIC, AMYLIN ANALOG-TYPET1 PRAMLINTIDE ACETATE SYMLINPEN 120T1 PRAMLINTIDE ACETATE SYMLINPEN 60

ANTIHYPERGLYCEMIC, DPP-4 INHIBITORST1 LINAGLIPTIN TRADJENTA QLT1 SITAGLIPTIN

PHOSPHATEJANUVIA QL

ANTIHYPERGLYCEMIC, INSULIN-RELEASESTIMULANT TYPE$0 CHLORPROPAMIDE DIABINESE$0 GLIMEPIRIDE AMARYL$0 GLIPIZIDE GLUCOTROL$0 GLIPIZIDE GLUCOTROL XL$0 GLYBURIDE GLYBURIDE$0 GLYBURIDE,MICRONIZE

DGLYNASE

$0 NATEGLINIDE STARLIX$0 REPAGLINIDE PRANDIN$0 TOLAZAMIDE TOLINASE$0 TOLBUTAMIDE ORINASE

ANTIHYPERGLYCEMIC, INSULIN-RESPONSEENHANCER (N-S)$0 PIOGLITAZONE HCL ACTOST1 ROSIGLITAZONE

MALEATEAVANDIA ST

ANTIHYPERGLYCEMIC, SGLT-2 & DPP-4 INHIBITORCOMB.T1 EMPAGLIFLOZIN/LINAGL

IPTINGLYXAMBI ST, QL

ANTIHYPERGLYCEMIC,BIGUANIDE TYPE(NON-SULFONYLUREA)$0 METFORMIN HCL FORTAMET ST$0 METFORMIN HCL GLUCOPHAGE$0 METFORMIN HCL GLUCOPHAGE XR$0 METFORMIN HCL RIOMET

ANTIHYPERGLYCEMIC,INSULIN & GLP-1RECEPTOR AGONISTT1 INSULIN

DEGLUDEC/LIRAGLUTIDE

XULTOPHY 100-3.6 ST, QL

T1 INSULINGLARGINE/LIXISENATIDE

SOLIQUA 100-33 ST, QL

ANTIHYPERGLYCEMIC,INSULIN-REL STIM.&BIGUANIDE CMB$0 GLIPIZIDE/METFORMIN

HCLMETAGLIP

$0 GLYBURIDE/METFORMIN HCL

GLYBURIDE/METFORMIN HCL

$0 REPAGLINIDE/METFORMIN HCL

PRANDIMET

ANTIHYPERGLYCEMIC,INSULIN-RESPONSE &RELEASE COMB.$0 PIOGLITAZONE

HCL/GLIMEPIRIDEDUETACT ST

ANTIHYPERGLYCEMIC-GLUCOCORTICOIDRECEPTOR BLOCKERSP MIFEPRISTONE KORLYM PA

ANTIHYPERGLYCEMIC-SGLT2 INHIBITOR &BIGUANIDE COMBT2 DAPAGLIFLOZIN/METFO

RMIN HCLXIGDUO XR (10-1000 MG) (TAB BP24H)

ST, QL

T2 DAPAGLIFLOZIN/METFORMIN HCL

XIGDUO XR (10MG-500MG) (TAB BP24H)

ST, QL


XIGDUO XR (2.5-1000MG) (TAB BP24H)

ST, QL


XIGDUO XR (5 MG-500MG) (TAB BP24H)

ST, QL


XIGDUO XR (5MG-1000MG) (TAB BP24H)

ST, QL

T1 EMPAGLIFLOZIN/METFORMIN HCL

SYNJARDY ST, QL


SYNJARDY XR (10-1000 MG) (TAB BP24H)

ST, QL


SYNJARDY XR(12.5-1000) (TAB BP24H)

ST, QL


SYNJARDY XR (25-1000 MG) (TAB BP24H)

ST, QL


SYNJARDY XR(5MG-1000MG) (TABBP 24H)

ST, QL

ANTIHYPERGLYCM,INSUL-RESP.ENHANCER &BIGUANIDE CMB$0 PIOGLITAZONE

HCL/METFORMIN HCLACTOPLUS MET ST


T1 PIOGLITAZONEHCL/METFORMIN HCL

ACTOPLUS MET XR ST

BLOOD SUGAR DIAGNOSTICST1 BLOOD SUGAR

DIAGNOSTICFREESTYLEINSULINX (STRIP)(OTC)

QL

T1 BLOOD SUGARDIAGNOSTIC

FREESTYLEINSULINX TESTSTRIPS

QL


FREESTYLE LITESTRIPS (STRIP)(OTC)

QL


FREESTYLEPRECISION NEO(STRIP) (OTC)

QL


FREESTYLE TESTSTRIPS (STRIP)(OTC)

QL


PRECISION XTRA(STRIP) (OTC)

QL

DIABETIC SUPPLIEST1 BLOOD-GLUCOSE

CONTROL, NORMALMEDISENSE (EACH)(OTC)

QL

T3 BLOOD-GLUCOSEMETER,CONTINUOUS

DEXCOM PA


DEXCOM G4 PA


DEXCOM G6 PA

T1 DIABETICSUPPLIES,MISCELL

MINIMED QUICK-SERTER (MISCELL)(OTC)

QL

T1 DIABETICSUPPLIES,MISCELL

OVAL TAPE QL

T3 INSULIN ADMIN.SUPPLIES

AUTOJECT 2


AUTOPEN


HUMAPENLUXURA HD


INPEN (FORHUMALOG)


INPEN (FORNOVOLOG)


NOVOPEN ECHO

T1 LANCETS ONETOUCHSURESOFT

T1 LANCING DEVICE ADJUSTABLELANCING DEVICE

QL

T1 LANCING DEVICE ADVOCATELANCING DEVICE

QL

T1 LANCING DEVICE ADVOCATE RAPID-SAFE

QL

T1 LANCING DEVICE ALTERNATE SITELANCING DEVICE

QL

T1 LANCING DEVICE AQUA LANCELANCING DEVICE

QL

T1 LANCING DEVICE AUTO-LANCETMINI

QL

T1 LANCING DEVICE AUTOLETLANCING DEVICE

QL

T1 LANCING DEVICE AUTOLET PLUS QLT1 LANCING DEVICE CARELANCE ULT

LANCING DEVICEQL

T1 LANCING DEVICE CAREONE QLT1 LANCING DEVICE CARESENS PREM

LANCING DEVICEQL

T1 LANCING DEVICE CARETOUCHLANCING DEVICE

QL

T1 LANCING DEVICE DROPLET LANCINGDEVICE

QL

T1 LANCING DEVICE EASY CLICK QLT1 LANCING DEVICE EASY MINI EJECT

LANCING DEVICEQL

T1 LANCING DEVICE EASY TOUCHLANCING DEVICE

QL

T1 LANCING DEVICE FORA LANCINGDEVICE

QL

T1 LANCING DEVICE HEALTHYACCENTSAUTOLET

QL

T1 LANCING DEVICE INCONTROLLANCING DEVICE

QL

T1 LANCING DEVICE LANCING DEVICE QLT1 LANCING DEVICE LANCING SYSTEM QLT1 LANCING DEVICE LITE TOUCH QLT1 LANCING DEVICE MINI LANCING

DEVICEQL

T1 LANCING DEVICE ON CALL LANCINGDEVICE

QL

T1 LANCING DEVICE ON CALL PLUSLANCING DEVICE

QL

T1 LANCING DEVICE PRODIGY LANCINGDEVICE

QL

T1 LANCING DEVICE RELIAMED MINILANCING DEVICE

QL

T1 LANCING DEVICE RIGHTEST GD500 QLT1 LANCING DEVICE SMARTDIABETES

VANTAGEQL

T1 LANCING DEVICE SURE COMFORTLANCING PEN

QL

T1 LANCING DEVICE SUREFLEX QLT1 LANCING DEVICE SURE-PEN QLT1 LANCING DEVICE TRUEDRAW QLT1 LANCING DEVICE ULTI-LANCE QLT1 LANCING

DEVICE/LANCETSACCU-CHEK QL

T1 LANCINGDEVICE/LANCETS

ACCU-CHEKFASTCLIXLANCING DEV

QL


ACCU-CHEKSOFTCLIX

QL


ADVANCEDLANCING DEVICE

QL


AUTOLETIMPRESSION

QL


HYPOLANCE QL


LANCING DEVICE QL



LANZO QL


MICROLET 2 QL


MICROLET NEXTLANCING DEVICE

QL


MULTI-LANCET QL


ONETOUCHDELICA

QL


SOLUS V2LANCING DEVICE

QL


SUREFLEX QL


ULTI-LANCE


UNISTIK 2 QL


UNISTIK 2 EXTRA QL


UNISTIK 2NORMAL

QL


UNISTIK 3 QL


UNISTIK 3COMFORT

QL


UNISTIK 3NEONATAL

QL

DIABETIC ULCER PREPARATIONS,TOPICALT1 BECAPLERMIN REGRANEX

HYPERGLYCEMICST3 DIAZOXIDE PROGLYCEMT1 GLUCAGON,HUMAN

RECOMBINANTGLUCAGEN

T1 GLUCAGON,HUMANRECOMBINANT

GLUCAGONEMERGENCY KIT

INSULINST3 INSULIN ASPART

(NIACINAMIDE)FIASP ST, QL

T3 INSULIN ASPART(NIACINAMIDE)

FIASP FLEXTOUCH ST, QL

T2 INSULIN DEGLUDEC TRESIBAFLEXTOUCH U-100

QL

T2 INSULIN DEGLUDEC TRESIBAFLEXTOUCH U-200

QL

T1 INSULIN DETEMIR LEVEMIR QLT1 INSULIN DETEMIR LEVEMIR

FLEXTOUCHQL

T1 INSULINGLARGINE,HUM.REC.ANLOG

LANTUS QL


LANTUS SOLOSTARQL


TOUJEO MAXSOLOSTAR

QL


TOUJEO SOLOSTAR QL

T1 INSULIN LISPRO HUMALOG(100/ML)(CARTRIDGE)

QL

$0 INSULIN LISPRO HUMALOG(100/ML) (VIAL)

QL

T1 INSULIN LISPRO HUMALOG JUNIORKWIKPEN

QL

T1 INSULIN LISPRO HUMALOGKWIKPEN U-100

QL

T1 INSULIN LISPRO HUMALOGKWIKPEN U-200

QL

$0 INSULIN LISPROPROTAMIN/LISPRO

HUMALOG MIX 50-50

QL

T1 INSULIN LISPROPROTAMIN/LISPRO

HUMALOG MIX 50-50 KWIKPEN

QL

$0 INSULIN LISPROPROTAMIN/LISPRO

HUMALOG MIX 75-25

QL

T1 INSULIN LISPROPROTAMIN/LISPRO

HUMALOG MIX 75-25 KWIKPEN

QL

T1 INSULIN NPH HUM/REGINSULIN HM

HUMULIN 70/30KWIKPEN

QL

$0 INSULIN NPH HUM/REGINSULIN HM

HUMULIN 70-30 QL

$0 INSULIN NPH HUMANISOPHANE

HUMULIN N QL

T1 INSULIN NPH HUMANISOPHANE

HUMULIN NKWIKPEN

QL

T1 INSULIN REGULAR,HUMAN

AFREZZA (12 UNIT)(CART INHAL)

PA


AFREZZA (4UNIT(60)) (CARTINHAL)

PA, QL


AFREZZA (4UNIT(90)) (CARTINHAL)

PA, QL



PA, QL


AFREZZA (4-8-12(60)) (CARTINHAL)

PA, QL



PA

$0 INSULIN REGULAR,HUMAN

HUMULIN R QL


HUMULIN R U-500 QL


HUMULIN R U-500KWIKPEN

QL

SELECTIVE SEROTONIN REUPTAKE INHIBITOR(SSRIS)T1 METFORMIN HCL METFORMIN HCL

URINE GLUCOSE TEST AIDST1 URINE GLUCOSE TEST

STRIPDIASTIX REAGENT

T1 URINE GLUCOSE TESTSTRIP

NO-STICKGLUCOSE

URINE GLUCOSE/ACETO

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