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Informed Rx Full Formulary - The University of Toledo

Informed Rx Full Formulary - The University of Toledo

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catamaranTM


INTRODUCTION<br />

catamaran<br />

Catamaran utilizes a Pharmacy and <strong>The</strong>rapeutics Committee (P & T Committee), made up <strong>of</strong> practicing<br />

physicians, pharmacists, and nurses to help ensure that our formulary is medically sound and that it supports<br />

patient health. This committee reviews and evaluates medications on the formulary based on safety and<br />

efficacy to help maintain clinical integrity in all therapeutic categories.<br />

FORMULARY DESIGN<br />

<strong>The</strong>re are numerous formulary designs that can be used by a pharmacy benefits administrator. Catamaran has<br />

chosen a formulary structure which is open and incentive based.<br />

Open <strong>Formulary</strong>: features uniform co-payments for medications that are preferred and non-<br />

preferred brands, plus lower co-payments for generic drugs.<br />

Incentive Based: features different co-payments for medications that are on or <strong>of</strong>f the formulary.<br />

In this type <strong>of</strong> formulary, the patient cost structure may be either a two-tier or three-tier design.<br />

USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS<br />

Many benefit sponsors use the Catamaran formulary to help manage the overall cost <strong>of</strong> providing<br />

prescription drug benefits. This formulary <strong>of</strong>fers a wide range <strong>of</strong> medications from which to choose. We<br />

realize that this formulary reference guide may not include every drug from every manufacturer. However,<br />

choosing a preferred drug when it is appropriate can provide access to the necessary medications to<br />

stay healthy, at a cost that is more affordable.<br />

KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED<br />

<strong>The</strong> following formulary reference guide is designed so that generic products are listed first in each drug<br />

category. <strong>The</strong> preferred brand name products are listed next, and non-preferred brand products are listed last.<br />

PLEASE NOTE: If a generic product is listed in the "generics" section and its corresponding brandname<br />

product is not listed in the "preferred brand-name" section, then only the generic product is on<br />

the formulary. If a brand name product is listed in the "preferred brand-name" section and its<br />

corresponding generic product is not listed in the "generics" section, then a generic version <strong>of</strong> the<br />

medication is not available.


CONSIDERING PREFERRED ALTERNATIVES<br />

catamaran<br />

Catamaran realizes that the medications on the formulary may not always be appropriate for all patients.<br />

However, by referring to this formulary reference guide, one can help ensure the full advantage <strong>of</strong> the<br />

coverage provided by the prescription drug plan. Possible preferred alternatives are listed/br commonly<br />

prescribed non-preferred medications.<br />

Pharmacies cannot substitute a preferred brand-name drug without the prescriber's approval. <strong>The</strong>refore, a<br />

pharmacist may contact the prescriber to obtain authorization to dispense an alternative preferred product<br />

when a non-preferl'ed product is prescribed.<br />

SAVING ON OUT-OF-POCKET COSTS<br />

<strong>The</strong> prescription drug plan determines the cost for generic, preferred brand-name, and on-prefen'ed brandname<br />

medications. Benefit providers <strong>of</strong>ten design prescription drug plans to encourage the use <strong>of</strong> generic<br />

and preferred brand-name drugs. Choosing non-preferred drugs may mean paying higher out-<strong>of</strong>-pocket<br />

expenses (such as coinsurance, co-payments, and deductible amounts) or not receiving coverage at all.<br />

Patients may also pay less for generic drugs, or they may be asked to pay the cost difference between brandname<br />

drugs and their generic alternatives, which are preferred by the plan.<br />

CONSULTING THE PRESCRIBER'S OFFICE WHEN APPROPRIATE<br />

When employers and other benefit sponsors design their prescription drug plans, they may choose to<br />

provide coverage only for certain medications or for particular uses, time periods, doses, or quantities (e.g.<br />

they may exclude coverage for medications for unapproved, unproven, or cosmetic indications, as well as<br />

over-the-counter medications). When coverage for medications is provided based on use or quantity,<br />

Catamaran may contact your prescriber's <strong>of</strong>fice for additional information to determine whether coverage is<br />

available under your plan. Patients who are unsure whether these coverage rules apply for a particular<br />

medication can consult their prescription drug benefit manual or contact a Catamaran Member Services<br />

representative to determine specific coverage requirements.<br />

*<strong>Formulary</strong> Disclaimer: Coverage lbr some drugs may be limited to specific dosage lbrms and/or strengths. <strong>The</strong> benefit design determines what<br />

is covered and the applicable co-payment. <strong>The</strong> medications listed on this lbmmlary are subject to change pursuant to the ÿbrmulary management<br />

activities <strong>of</strong> catamaran. <strong>The</strong> presence <strong>of</strong> a medication on this formulary list does not guarantee coverage.


Table <strong>of</strong> Contents<br />

ANTI-INFECTIVES ........................................................................<br />

PENICILLINS .........................................................................<br />

CEPHALOSPORIN .....................................................................<br />

FIRST GENERATION ........................................................................<br />

SECOND GENERATION .....................................................................<br />

THIRD GENERATION .......................................................................<br />

FOURTH GENERATION .....................................................................<br />

MACROLIDES ........................................................................<br />

TETRACYCLINES .....................................................................<br />

QUINOLONES ........................................................................<br />

AMINOGLYCOSlDES ...................................................................<br />

SULFONAMIDES ......................................................................<br />

ANTIMYCOBACTERIAL AGENTS .........................................................<br />

ANTIFUNGALS ........................................................................<br />

ANTIVIRALS ..........................................................................<br />

ANTIMALARIALS ......................................................................<br />

AMEBICIDES .........................................................................<br />

ANTHELMINTICS ......................................................................<br />

MISC. ANTI-INFECTIVES ...............................................................<br />

ANTINEOPLASTIOS, ETC ..................................................................<br />

ALKYLATI NG AGENTS .................................................................<br />

ANTIBIOTICS .........................................................................<br />

ANTINEOPLASTIC ENZYMES ............................................................<br />

ANTIMETABOLITES ....................................................................<br />

HORMONAL AGENTS ..................................................................<br />

IMMUNOMODULATORS ................................................................<br />

MITOTIC INHIBITORS ..................................................................<br />

ENZYME INHIBITORS ..................................................................<br />

TOPOISOMERASE I INHIBITOR ..........................................................<br />

ANTINEOPLASTICS MISC ...............................................................<br />

CHEMOTHERAPY RESCUE .............................................................<br />

CARDIOVASCULAR DRUGS ...............................................................<br />

CARDIAC GLYCOSIDES ................................................................<br />

ANTIANGINAL AGENTS ................................................................<br />

BETA BLOCKERS .....................................................................<br />

CALCIUM CHANNEL BLOCKERS .........................................................<br />

ANTIARRHYTHMICS ...................................................................<br />

1<br />

1<br />

1<br />

1<br />

1<br />

1<br />

1<br />

1<br />

1<br />

1<br />

2<br />

2<br />

2<br />

2<br />

2<br />

3<br />

3<br />

3<br />

3<br />

3<br />

3<br />

3<br />

3<br />

3<br />

3<br />

4<br />

4<br />

4<br />

4<br />

4<br />

4<br />

4<br />

4<br />

4<br />

5<br />

5<br />

5


ACE INHIBITORS ...................................................................... 5<br />

ANGIOTENSIN RCPTR BLOCKER ........................................................ 6<br />

DIRECT RENIN INHIBITORS ............................................................. 6<br />

ANTIHYPERTENSIVES MISC ............................................................. 6<br />

ANTIHYPERTENSlVE COMBO ........................................................... 6<br />

DIURETICS ........................................................................... 6<br />

VASOPRESSORS ..................................................................... 7<br />

ANTIHYPERLIPIDEMICS ................................................................ 7<br />

CARDIOVASCULAR - MISC .............................................................. 7<br />

DERMATOLOGICALS ..................................................................... 7<br />

ACNE PRODUCTS ..................................................................... 7<br />

ROSACEA AGENTS .................................................................... 8<br />

ANTIBIOTICS - TOPICAL ................................................................ 8<br />

ANTIFUNGALS - TOPICAL .............................................................. 8<br />

ANTIVIRALS - TOPICAL ................................................................ 9<br />

ANTI-INFLAMMATORY AGENTS ......................................................... 9<br />

ANTIPRURITICS ...................................................................... 9<br />

ANTIPSORIATICS ..................................................................... 9<br />

ANTISEBORRHEIC AGENTS ............................................................ 9<br />

CORTICOSTEROIDS - TOPICAL ......................................................... 9<br />

IMMUNOMODULATING AGENTS ......................................................... 10<br />

DERMATOLOGICALS - MISC ............................................................. 10<br />

ENDOCRINE AND METABOLIC ............................................................. 1 1<br />

CORTICOSTEROIDS ................................................................... 11<br />

ANDROGENS-ANABOLIC ............................................................... 12<br />

ESTROGENS ......................................................................... 12<br />

PROGESTINS ........................................................................ 12<br />

ANTIDIABETIC AGENTS ................................................................ 12<br />

INSULIN .................................................................................. 12<br />

AMYLIN ANALOGS ......................................................................... 12<br />

INCRETIN MIMETIC AGENTS ................................................................. 12<br />

SULFONYLUREAS ......................................................................... 12<br />

BIGUANIDES .............................................................................. 13<br />

MEGLITINIDE ANALOGUES .................................................................. 13<br />

DIABETIC OTHER .......................................................................... 13<br />

ALPHA-GLUCOSIDASE INHIBIT ............................................................... 13<br />

DPP-4 INHIBITORS ......................................................................... 13<br />

INSULIN SENSITIZING AGENT ................................................................ 13<br />

ANTIDIABETIC COMBINATIONS .............................................................. 13


BISPHOSPHONATES ..................................................................<br />

CALCITONINS ........................................................................<br />

PARATHYROID HORMONE .............................................................<br />

RANK LIGAND INHIBITORS .............................................................<br />

HORMONE RECEPTOR MDLTR ..........................................................<br />

GaRB ...............................................................................<br />

SOMATOMEDI NS .....................................................................<br />

SOMATOSTATIC AGENTS ..............................................................<br />

GH RECEPTOR ANTAGONISTS ..........................................................<br />

POSTERIOR PITUITARY ................................................................<br />

CORTICOTROPIN .....................................................................<br />

PROLACTIN INHIBITORS ...............................................................<br />

VASOPRESSIN ANTAGONISTS ..........................................................<br />

PROGESTERONE ANTAGONISTS ........................................................<br />

METABOLIC MODIFIERS ...............................................................<br />

THYROID AGENTS ....................................................................<br />

GASTROINTESTINAL .....................................................................<br />

LAXATIVES ..........................................................................<br />

ANTIDIARRHEALS .....................................................................<br />

ANTACIDS ...........................................................................<br />

ULCER DRUGS .......................................................................<br />

ANTIEMETICS ........................................................................<br />

DIGESTIVE AIDS ......................................................................<br />

GASTROINTESTINAL - MISC .............................................................<br />

GENITOURINARY ........................................................................<br />

URINARY ANTI-INFECTIVES ............................................................<br />

URINARY ANTISPASMODICS ............................................................<br />

VAGINAL PRODUCTS ..................................................................<br />

GENITOURINARY - MISC ................................................................<br />

HEMATOLOGICAL AGENTS ................................................................<br />

HEMATOPOIETIC AGENTS .............................................................<br />

ANTICOAGULANTS ....................................................................<br />

HEMOSTATICS .......................................................................<br />

HEMATOLOGICAL - MISC ...............................................................<br />

MOUTH/THROAT/DENTAL AGENT ..........................................................<br />

13<br />

13<br />

13<br />

13<br />

13<br />

14<br />

14<br />

14<br />

14<br />

14<br />

14<br />

14<br />

14<br />

14<br />

14<br />

14<br />

14<br />

14<br />

14<br />

15<br />

15<br />

15<br />

15<br />

16<br />

16<br />

16<br />

16<br />

16<br />

17<br />

17<br />

17<br />

18<br />

18<br />

18<br />

18


NEUROLOGY, CNS, PSYCH ................................................................ 19<br />

ANTIANXIETY AGENTS ................................................................. 19<br />

ANTIDEPRESSANTS ................................................................... 19<br />

ANTIPSYCHOTICS .................................................................... 19<br />

HYPNOTICS .......................................................................... 20<br />

ADHD, NARCOLEPSY, ETC .............................................................. 20<br />

ANTICONVULSANTS ................................................................... 20<br />

ANTIPARKINSON AGENTS .............................................................. 21<br />

NEUROLOGY, PSYCH - MISC ............................................................ 21<br />

NEUROMUSCULAR AGENTS ............................................................ 22<br />

MUSCULOSKELETAL AGENTS .......................................................... 22<br />

ANTIMYASTHENIC AGENTS ............................................................ 22<br />

OPHTHALMOLOGY AND OTIC .............................................................. 22<br />

ANTI-INFECTIVES ..................................................................... 22<br />

ARTIFICIAL TEAR/LUBRICANT ........................................................... 22<br />

BETA-BLOCKERS ..................................................................... 22<br />

OPHTHALMIC STEROIDS ............................................................... 23<br />

PROSTAGLANDINS .................................................................... 23<br />

CYCLOPLEGIC MYDRIATICS ............................................................ 23<br />

DECONGESTANTS .................................................................... 23<br />

MIOTICS ............................................................................. 23<br />

ADRENERGIC AGENTS ................................................................ 23<br />

IMMUNOMODULATORS ................................................................ 23<br />

LOCAL ANESTHETICS ................................................................. 23<br />

OPHTHALMICS - MISC .................................................................. 23<br />

OTIC AGENTS ........................................................................ 24<br />

OXYTOClCS ............................................................................. 24<br />

PAIN MANAGEMENT ...................................................................... 24<br />

ANALGESICS - NONNARCOTIC .......................................................... 24<br />

ANALGESICS - OPIOID ................................................................. 25<br />

ANTI-INFLAMMATORY ................................................................. 26<br />

MIGRAINE PRODUCTS ................................................................. 26<br />

GOUT AGENTS ....................................................................... 26<br />

LOCAL ANESTHETICS-INJ .............................................................. 26<br />

RESPIRATORY, ALLERGY, ETC ............................................................ 27<br />

ANTIHISTAMINES ..................................................................... 27<br />

NASAL AGENTS ...................................................................... 27<br />

COUGH/COLD/ALLERGY ............................................................... 27


ANTIASTHMATIC/COPD AGENTS ........................................................<br />

RESPIRATORY AGENTS - MISC .........................................................<br />

TOXOIDS ...............................................................................<br />

VACCINES ..............................................................................<br />

VITAMINS ...............................................................................<br />

VITAMINS ............................................................................<br />

MULTIVITAMINS ......................................................................<br />

MEDICAL DEVICES .......................................................................<br />

DIABETIC SUPPLIES ...................................................................<br />

MISCELLANEOUS AGENTS ................................................................<br />

29<br />

30<br />

30<br />

30<br />

31<br />

31<br />

31<br />

33<br />

33<br />

36


PENIClLLINS<br />

January 2013<br />

GENERIC<br />

amoxicillin<br />

amoxicillin/clavulanate potassium<br />

amoxicillin/clavulanate potassium er<br />

amoxicillin/potassium clavulanate<br />

ampicillin<br />

ampicillin sodium<br />

ampicillin-sulbactam<br />

dicloxacillin sodium<br />

nafcillin sodium<br />

oxacillin sodium<br />

penicillin g potassium<br />

penicillin g procaine<br />

penicillin g sodium<br />

penicillin v potassium<br />

pfizerpen-g<br />

PREFERRED BRAND<br />

Augmentin<br />

NON PREFERRED<br />

Augmentin Es-600<br />

Augmentin Xr<br />

Bicillin C-r<br />

Bicillin L-a<br />

Moxatag<br />

Unasyn<br />

Unasyn Bulk Pack<br />

CEPHALOSPORIN<br />

FIRS T GENERA TION<br />

GENERIC<br />

cefadroxil<br />

cefazolin sodium<br />

cephalexin<br />

NON PREFERRED<br />

Kefiex<br />

SECOND GENERA TION<br />

GENERIC<br />

cefaclor<br />

cefaclor er<br />

cefotetan<br />

cefoxitin sodium<br />

cefprozil<br />

cefuroxime axetil<br />

cefuroxime sodium<br />

NON PREFERRED<br />

Ceftin<br />

Zinacef<br />

THIRD GENERA TION<br />

GENERIC<br />

cefdinir<br />

Cefditoren Pivoxil<br />

cefotaxime sodium<br />

cefpodoxime proxetil<br />

ceftazidime<br />

ceftriaxone sodium<br />

tazicef<br />

NON PREFERRED<br />

Cedax<br />

Claforan<br />

Fortaz<br />

Effective January l, 2013<br />

Rocephin<br />

Spectracef<br />

Suprax<br />

FOURTH GENERA TION<br />

GENERIC<br />

cefepime<br />

MACROLIDES<br />

GENERIC<br />

azithromycin<br />

clarithromycin<br />

clarithromycin er<br />

e.e,s. 400<br />

erythrocin stearate<br />

erythromycin<br />

erythromycin base<br />

erythromycin ethylsuccinate<br />

PREFERRED BRAND<br />

Dificid<br />

NON PREFERRED<br />

Biaxin<br />

Biaxin XI<br />

Biaxin Xl Pac<br />

E,e.s. Granules<br />

Ery-tab<br />

Eryped 200<br />

Eryped 400<br />

Pce<br />

Zithromax<br />

Zithromax Tri-pak<br />

Zithromax Z-pak<br />

Zmax<br />

TETRACYCLINES<br />

GENERIC<br />

avidoxy<br />

demeclocycline hcl<br />

doxycycline<br />

doxycycline hyclate<br />

doxycycline monohydrate<br />

minocycline hcl<br />

minocycline hcl er<br />

morgidox lxl 00rag<br />

morgidox 2xl 00rag<br />

tetracycline hcl<br />

NON PREFERRED<br />

Adoxa<br />

Adoxa Pak 1/100<br />

Adoxa Pak 1/150<br />

Adoxa Pak 2/100<br />

Alodox Convenience Kit<br />

Avidoxy Dk<br />

Doryx<br />

Dynacin<br />

Minocin<br />

Minocin Kit<br />

Monodox<br />

Nutridox<br />

Ocudox<br />

Oraxyl<br />

Solodyn<br />

Vibramycin<br />

QUINOLONES GENERIC<br />

cipr<strong>of</strong>loxacin er<br />

cipr<strong>of</strong>loxacin hcl<br />

lev<strong>of</strong>loxacin<br />

<strong>of</strong>loxacin


PREFERRED BRAND<br />

Avelox<br />

Avelox Abc Pack<br />

NON PREFERRED<br />

Cipro<br />

Cipro Xr<br />

Factive<br />

Levaquin<br />

Noroxin<br />

AMINOGLYCOSIDES<br />

GENERIC<br />

amikacin sulfate<br />

gentamicin sulfate<br />

kanamycin sulfate<br />

neomycin sulfate<br />

paromomycin sulfate<br />

streptomycin sulfate<br />

tobramycin sulfate<br />

PREFERRED BRAND<br />

Tobi<br />

NON PREFERRED<br />

Neo-fradin<br />

SULFONAMIDES<br />

GENERIC<br />

sulfadiazine<br />

ANTIMYCOBACTERIAL AGENTS<br />

GENERIC<br />

cycloserine<br />

ethambutol hcl<br />

isonarif<br />

isoniazid<br />

pyrazinamide<br />

rifampin<br />

PREFERRED BRAND<br />

Mycobutin<br />

seromycin<br />

NON PREFERRED<br />

Capastat Sulfate<br />

Myambutol<br />

Paser<br />

Priftin<br />

Rifadin<br />

Rifamate<br />

Rifater<br />

Trecator<br />

ANTIFUNGALS GENERIC<br />

amphotericin b<br />

fluconazole<br />

flucytosine<br />

grise<strong>of</strong>ulvin microsize<br />

grise<strong>of</strong>ulvin ultramicrosize<br />

itraconazole<br />

ketoconazole<br />

nystatin<br />

terbinafine hcl<br />

voriconazole<br />

PREFERRED BRAND<br />

Noxafil<br />

NON PREFERRED<br />

Ancobon<br />

Bio-statin<br />

Diflucan<br />

Grifulvin V<br />

Gris-peg<br />

Effective January 1, 2013<br />

ANTIVIRALS<br />

Lamisil<br />

Onmel<br />

Sporanox<br />

Sporanox Pulsepak<br />

Terbinex<br />

Vfend<br />

GENERIC<br />

abacavir<br />

acyclovir<br />

didanosine<br />

famciclovir<br />

lamivudine<br />

lamivudine/zidovudine<br />

Nevirapine<br />

ribapak<br />

ribasphere<br />

ribatab<br />

ribavirin<br />

rimantadine hcl<br />

stavudine<br />

valacyclovir hcl<br />

zidovudine<br />

PREFERRED BRAND<br />

Aptivus<br />

Atripla<br />

Baraclude<br />

Complera<br />

Crixivan<br />

Edurant<br />

Emtriva<br />

Epivir Hbv<br />

Epzicom<br />

Fuzeon<br />

Hepsera<br />

Incivek<br />

Intelence<br />

Invirase<br />

Isentress<br />

Kaletra<br />

Lexiva<br />

Norvir<br />

Peg-intron<br />

Peg-intron Redipen<br />

Peg-intron Redipen Pak 4<br />

Pegasys<br />

Pegasys Proclick<br />

Prezista<br />

Relenza Diskhaler<br />

Rescriptor<br />

Reyataz<br />

Selzentry<br />

Stribild<br />

Sustiva<br />

Tamiflu<br />

Trizivir<br />

Truvada<br />

Valcyte<br />

Victrelis<br />

Videx Pediatric<br />

Viracept<br />

Viramune Xr<br />

Viread<br />

NON PREFERRED<br />

Combivir<br />

Copegus<br />

Epivir<br />

Famvir


Flumadine<br />

Infergen<br />

Rebetol<br />

Retrovir<br />

Rimantalist<br />

Tyzeka<br />

Valtrex<br />

Videx Ec<br />

Viramune<br />

Virazole<br />

Zerit<br />

Ziagen<br />

Zovirax<br />

ANTIMALARIALS<br />

GENERIC<br />

Atovaquone/proguanil Hcl<br />

chloroquine phosphate<br />

hydroxychloroquine sulfate<br />

mefloquine hcl<br />

Primaquine Phosphate<br />

Qualaquin<br />

quinine sulfate<br />

PREFERRED BRAND<br />

Coartem<br />

Daraprim<br />

NON PREFERRED<br />

Aralen<br />

Malarone<br />

PlaquenJl<br />

AMEBICIDES PREFERRED BRAND<br />

Yodoxin<br />

ANTHELMINTICS<br />

GENERIC<br />

mebendazole<br />

PREFERRED BRAND<br />

Albenza<br />

Biltricide<br />

Stromectol<br />

MISC. ANTI-INFECTIVES<br />

GENERIC<br />

aztreonam<br />

baciim<br />

bacitracin<br />

clindamycin hcl<br />

clindamycin patmitate hcl<br />

clindamycin phosphate<br />

clindamycin phosphate pharmacy bulk package<br />

colistimethate sodium<br />

dapsone<br />

Effective January 1, 2013<br />

e.s.p.<br />

eryth romycin/sulfisoxazole<br />

metronidazole<br />

polymyxin b sulfate<br />

sulfamethoxazole/trimethoprim<br />

Sulfamethoxazole/trimethoprim Ds<br />

tinidazole<br />

Trimethoprim<br />

vancomycin<br />

vancomycin hcl<br />

PREFERRED BRAND<br />

Alinia<br />

Cayston<br />

Mepron<br />

Nebupent<br />

Zyvox<br />

NON PREFERRED<br />

Azactam<br />

Bactrim<br />

Bactrim Ds<br />

Cleocin<br />

Cleocin Pediatric Granules<br />

Cleocin Phosphate<br />

Coly-mycin M<br />

Flagyl<br />

Flagyl Er<br />

Invanz<br />

Ketek<br />

Lincocin<br />

Pentam 300<br />

Primsol<br />

Septra Ds<br />

Tindamax<br />

Vancocin Hcl<br />

Xifaxan<br />

ALKYLATING AGENTS<br />

GENERIC<br />

cyclophosphamide<br />

thiotepa<br />

PREFERRED BRAND<br />

Alkeran<br />

Ceenu<br />

Hexalen<br />

Leukeran<br />

Myleran<br />

Temodar<br />

NON PREFERRED<br />

Gliadel Wafer<br />

Mustargen<br />

ANTIBIOTICS GENERIC<br />

bleomycin sulfate<br />

ANTINEOPLASTIC ENZYMES<br />

NON PREFERRED<br />

Elspar<br />

Erwinaze<br />

Oncaspar<br />

ANTIMETABOLITES<br />

GENERIC<br />

cytarabine<br />

cytarabine aqueous<br />

floxuridine<br />

mercaptopurine<br />

methotrexate<br />

methotrexate sodium<br />

PREFERRED BRAND<br />

Oforta<br />

Tabloid<br />

Trexall<br />

Vidaza<br />

Xeloda<br />

NON PREFERRED<br />

Purinethol<br />

HORMONAL AGENTS<br />

GENERIC<br />

anastrozole<br />

bicalutamide<br />

exemestane


Firmagon<br />

flutamide<br />

letrozole<br />

leuprolide acetate<br />

megestrol acetate<br />

tamoxifen citrate<br />

PREFERRED BRAND<br />

Depo-provera<br />

Emcyt<br />

Lupron Depot<br />

Lysodren<br />

Vantas<br />

Xtandi<br />

Zoladex<br />

Zytiga<br />

NON PREFERRED<br />

Arimidex<br />

Aromasin<br />

Casodex<br />

Eligard<br />

Fareston<br />

Faslodex<br />

Femara<br />

Megace Oral<br />

Nilandron<br />

Soltamox<br />

Trelstar Depot<br />

Trelstar Depot Mixject<br />

Trelstar La<br />

Trelstar La Mixject<br />

Trelstar Mixject<br />

IMMUNOMODULATORS<br />

GENERIC<br />

azathioprine<br />

azathioprine sodium<br />

cyclosporine<br />

cyclosporine modified<br />

gengraf<br />

hecoria<br />

mycophenolate m<strong>of</strong>etil<br />

tacrolimus<br />

PREFERRED BRAND<br />

Azasan<br />

Rapamune<br />

Revlimid<br />

Sandimmune<br />

Thalomid<br />

NON PREFERRED<br />

Cellcept<br />

Imuran<br />

Myfortic<br />

Neoral<br />

Prograf<br />

Zortress<br />

MITOTIC INHIBITORS<br />

GENERIC<br />

etoposide<br />

ENZYME INHIBITORS<br />

GENERIC<br />

Vandetanib<br />

PREFERRED BRAND<br />

Afinitor<br />

Bosulif<br />

Caprelsa<br />

Gleevec<br />

Jakafi<br />

Effective January 1,2013<br />

Nexavar<br />

Sprycel<br />

Sutent<br />

Tarceva<br />

Tasigna<br />

Tykerb<br />

Votrient<br />

Xalkori<br />

Zelboraf<br />

NON PREFERRED<br />

Inlyta<br />

Iressa<br />

Stivarga<br />

Zolinza<br />

TOPOISOMERASE I INHIBITOR<br />

PREFERRED BRAND<br />

Hycamtin<br />

ANTINEOPLASTICS MISC.<br />

GENERIC<br />

hydroxyurea<br />

tretinoin<br />

PREFERRED BRAND<br />

Actimmune<br />

Intron-a<br />

Intron-a W/diluent<br />

Matulane<br />

NON PREFERRED<br />

Alferon N<br />

Hydrea<br />

Sylatron<br />

Synribo<br />

Targretin<br />

Uvadex<br />

CHEMOTHERAPY RESCUE<br />

GENERIC<br />

calcium folinate<br />

leucovorin calcium<br />

PREFERRED BRAND<br />

Mesnex<br />

CARDIAC GLYCOSIDES<br />

GENERIC<br />

Digoxin<br />

NON PREFERRED<br />

Lanoxin<br />

ANTIANGINAL AGENTS<br />

GENERIC<br />

amyl nitrite<br />

isochron<br />

isoditrate er<br />

isosorbide dinitrate<br />

isosorbide dinitrate er<br />

isosorbide mononitrate<br />

isosorbide mononitrate er<br />

minitran<br />

nitroglycerin<br />

Nitroglycerin Lingual<br />

nitroglycerin transdermal<br />

PREFERRED BRAND<br />

Dilatrate Sr<br />

Nitro-bid<br />

Nitro-dur<br />

Nitrolingual Pumpspray<br />

Nitrostat<br />

4


Ranexa<br />

NON PREFERRED<br />

Imdur<br />

Isordil Titradose<br />

Monoket<br />

Nitromist<br />

BETA BLOCKERS<br />

GENERIC<br />

acebutolol hcl<br />

atenolol<br />

betaxolol hcl<br />

bisoprolol fumarate<br />

carvedilol<br />

labetalol hcl<br />

metoprolol succinate er<br />

metoprolol tartrate<br />

nadolol<br />

pindolol<br />

propranolol hcl<br />

propranolol hcl er<br />

sorine<br />

sotalol hcl<br />

sotalol hcl (af)<br />

timolol maleate<br />

PREFERRED BRAND<br />

Bystolic<br />

Coreg Cr<br />

NON PREFERRED<br />

Betapace<br />

Betapace Af<br />

Coreg<br />

Corgard<br />

Hypertenevide-12.5<br />

Inderal La<br />

Innopran XI<br />

Kerlone<br />

Levatol<br />

Lopressor<br />

Metoprolol<br />

Sectral<br />

Tenormin<br />

Toprol XI<br />

Trandate<br />

Zebeta<br />

CALCIUM CHANNEL BLOCKERS<br />

GENERIC<br />

afeditab cr<br />

amlodipine besylate<br />

cartia xt<br />

dilt-cd<br />

dilt-xr<br />

diltiazem cd<br />

diltiazem hcl<br />

Diltiazem Hcl Cd<br />

diltiazem hcl er<br />

diltzac<br />

felodipine er<br />

isradipine<br />

matzim la<br />

nicardipine hcl<br />

nifediac cc<br />

nifedical xl<br />

nifedipine<br />

nifedipine er<br />

nimodipine<br />

nisoldipine<br />

nisoldipine er<br />

Effective January 1, 2013<br />

taztia xt<br />

verapamil hcl<br />

verapamil hcl er<br />

Verapamil Hcl Sr<br />

PREFERRED BRAND<br />

Cardizem La<br />

NON PREFERRED<br />

Adalat Cc<br />

Calan<br />

Calan Sr<br />

Cardene Sr<br />

Cardizem<br />

Cardizem Cd<br />

Covera-hs<br />

Dilacor Xr<br />

Dynacirc Cr<br />

Hypertenipine-2.5<br />

Isoptin Sr<br />

Nimotop<br />

Norvasc<br />

Procardia<br />

Procardia Xl<br />

Sular<br />

Tiazac<br />

Verelan<br />

Verelan Pm<br />

ANTIARRHYTHMICS<br />

GENERIC<br />

amiodarone hcl<br />

disopyramide phosphate<br />

flecainide acetate<br />

mexiletine hcl<br />

procainamide hcl<br />

propafenone hcl<br />

propafenone hcl er<br />

Quinidine Gluconate<br />

quinidine gluconate cr<br />

quinidine gluconate er<br />

quinidine sulfate<br />

quinidine sulfate er<br />

PREFERRED BRAND<br />

Pacerone<br />

Tikosyn<br />

NON PREFERRED<br />

Cordarone<br />

Multaq<br />

Norpace<br />

Norpace Cr<br />

Rythmol<br />

Rythmol Sr<br />

Tambocor<br />

ACE INHIBITORS<br />

GENERIC<br />

benazepril hcl<br />

captopril<br />

enalapril maleate<br />

fosinopril sodium<br />

lisinopril<br />

moexipril hcl<br />

perindopril erbumine<br />

quinapril hcl<br />

ramipril<br />

trandolapril<br />

NON PREFERRED<br />

Accupril<br />

Aceon<br />

Altace


Lotensin<br />

Mavik<br />

Prinivil<br />

Univasc<br />

Vasotec<br />

Zestril<br />

ANGIOTENSIN RCPTR BLOCKER<br />

GENERIC<br />

eprosartan mesylate<br />

irbesartan<br />

Iosartan potassium<br />

PREFERRED BRAND<br />

Atacand<br />

Benicar<br />

Diovan<br />

Micardis<br />

NON PREFERRED<br />

Avapro<br />

Cozaar<br />

Edarbi<br />

Teveten<br />

DIRECT RENIN INHIBITORS<br />

PREFERRED BRAND<br />

Tekturna<br />

ANTIHYPERTENSIVES MISC.<br />

GENERIC<br />

clonidine hcl<br />

doxazosin mesylate<br />

eplerenone<br />

guanabenz acetate<br />

guanfacine hcl<br />

hydralazine hcl<br />

methyldopa<br />

minoxidil<br />

phentolamine mesylate<br />

prazosin hcl<br />

Reserpine<br />

terazosin hcl<br />

PREFERRED BRAND<br />

Demser<br />

Dibenzyline<br />

NON PREFERRED<br />

Cardura<br />

Catapres<br />

Catapres-tts-1<br />

Catapres-tts-2<br />

Catapres-tts-3<br />

Inspra<br />

Minipress<br />

Nexiclon Xr<br />

Tenex<br />

ANTIHYPERTENSIVE COMBO<br />

GENERIC<br />

amlodipine besylate/benazepril hcl<br />

amlodipine besylate/benazepril hydrochloride<br />

atenolol/chlorthalidone<br />

benazepril hcl/hydrochlorothiazide<br />

bisoprolol fumarate/hydrochlorothiazide<br />

candesartan cilexetil/hyd rochlorothiazide<br />

captopril/hydrochlorothiazide<br />

enalapril maleate/hydrochlorothiazide<br />

fosinopril sodium/hydrochlorothiazide<br />

irbesartan/hydrochlorothiazide<br />

lisinopril/hydrochlorothiazide<br />

Iosartan potassium/hyd rochlorothiazide<br />

Effective January 1,2013<br />

DIURETICS<br />

methyldopa/hyd rochlorothiazide<br />

metoprolol/hydrochlorothiazide<br />

moexipril/hydrochlorothiazide<br />

nadolol/bendr<strong>of</strong>lumethiazide<br />

propranolol/hydrochlorothiazide<br />

q uinapril/hydrochlorothiazide<br />

valsartan/hydrochlorothiazide<br />

PREFERRED BRAND<br />

Amtumide<br />

Azor<br />

Benicar Hct<br />

Exforge<br />

Exforge Hct<br />

Micardis Hct<br />

Tarka<br />

Tekamlo<br />

Tekturna Hct<br />

Tribenzor<br />

Twynsta<br />

Valturna<br />

NON PREFERRED<br />

Accuretic<br />

Atacand Hct<br />

Avalide<br />

Clorpres<br />

Corzide<br />

Diovan Hct<br />

Dutoprol<br />

Edarbyclor<br />

Hypertensolol<br />

Hyzaar<br />

Lopressor Hct<br />

Lotensin Hct<br />

Lotrel<br />

Lytensopril<br />

Lytensopril-90<br />

Prinzide<br />

Tenoretic 100<br />

Tenoretic 50<br />

Teveten Hct<br />

Uniretic<br />

Vaseretic<br />

Zestoretic<br />

Ziac<br />

GENERIC<br />

acetazolamide<br />

Acetazolamide Er<br />

acetazolamide sodium<br />

Amiloride Hcl<br />

amiloride/hydrochlorothiazide<br />

bumetanide<br />

chlorothiazide<br />

chlorthalidone<br />

furosemide<br />

hydrochlorothiazide<br />

indapamide<br />

methazolamide<br />

methyclothiazide<br />

metolazone<br />

spironolactone<br />

spironolactone/hydrochlorothiazide<br />

torsemide<br />

Triamterene/hydrochlorothiazide<br />

NON PREFERRED<br />

Aldactazide<br />

Aldactone<br />

Demadex<br />

6


Diamox<br />

Diuril<br />

Dyazide<br />

Dyrenium<br />

Edecrin<br />

Introl<br />

Lasix<br />

Maxzide<br />

Maxzide-25<br />

Microzide<br />

Midamor<br />

Neptazane<br />

Thalitone<br />

Zaroxolyn<br />

VASOPRESSORS<br />

GENERIC<br />

ephedrine sulfate<br />

Epinephrine<br />

midodrine hcl<br />

norepinephrine bitartrate<br />

phenylephrine hcl<br />

PREFERRED BRAND<br />

Epipen<br />

Epipen 2-pak<br />

Epipen-jr<br />

Epipen-jr 2-pak<br />

NON PREFERRED<br />

Levophed<br />

Neo-synephrine<br />

Twinject<br />

ANTIHYPERLIPIDEMICS<br />

GENERIC<br />

atorvastatin calcium<br />

cholestyramine<br />

cholestyramine light<br />

colestipol hcl<br />

colestipol hcl for oral suspension<br />

Fen<strong>of</strong>ibrate<br />

fen<strong>of</strong>ibrate micronized<br />

Fen<strong>of</strong>ibric Acid<br />

fluvastatin<br />

gemfibrozil<br />

Iovastatin<br />

Micronized Colestipol Hcl<br />

pravastatin sodium<br />

prevalite<br />

simvastatin<br />

PREFERRED BRAND<br />

Altoprev<br />

Antara<br />

Crestor<br />

Fenoglide<br />

Lip<strong>of</strong>en<br />

Lovaza<br />

Niaspan<br />

Simcor<br />

Triglide<br />

Trilipix<br />

Vytorin<br />

Welchol<br />

Zetia<br />

NON PREFERRED<br />

Advicor<br />

Colestid<br />

Colestid Flavored<br />

Fibricor<br />

Lescol<br />

Effective January 1, 2013<br />

Lescol XI<br />

Lipitor<br />

Livalo<br />

L<strong>of</strong>ibra<br />

Lopid<br />

Mevacor<br />

Pravachol<br />

Questran<br />

Questran Light<br />

Tricor<br />

Vascepa<br />

Zocor<br />

CARDIOVASCULAR - MISC.<br />

GENERIC<br />

Amlodipine Besylate/atorvastatin Calcium<br />

papaverine hcl<br />

sildenafil citrate<br />

PREFERRED BRAND<br />

Adcirca<br />

Bidil<br />

Letairis<br />

Remodulin<br />

Tracleer<br />

Tyvaso<br />

Tyvaso Refill<br />

Tyvaso Starter<br />

Ventavis<br />

NON PREFERRED<br />

Caduel<br />

Revatio<br />

ACNE PRODUCTS<br />

GENERIC<br />

adapalene<br />

amnesteem<br />

avar cleanser<br />

avar-e emollient<br />

avar-e green<br />

Avita<br />

benzepro<br />

benzepro short contact<br />

benziq wash<br />

benzoyl aeroxide<br />

benzoyl aeroxide cleanser<br />

benzoyl ÿeroxide cleansing<br />

benzoyl ÿeroxide short contact<br />

benzoyl ÿeroxide wash<br />

benzoyl ÿeroxide wash acne treatment pack<br />

bp cleanser<br />

bp cleansing wash<br />

bp wash<br />

bp 10-1<br />

bpo<br />

bpo creamy wash complete pack<br />

bpo 3% foaming cloths<br />

bpo 6% foaming cloths<br />

bpo 9% foaming cloths<br />

cerisa wash<br />

claravis<br />

claris clarifying wash<br />

clearplex x<br />

clenia<br />

clenia foaming wash<br />

clindacin-p<br />

clindamax<br />

clindamycin phosphate<br />

clindamycin/benzoyl peroxide


Effective January 1, 2013<br />

clindareach<br />

ery<br />

erythromycin<br />

erythromycin/benzoyl peroxide<br />

lavoclen-4 ache wash kit<br />

lavoclen-4 creamy wash<br />

lavoclen-8 acne wash kit<br />

lavoclen-8 creamy wash<br />

myorisan<br />

oscion cleanser<br />

pacnex wash<br />

pr benzoyl peroxide wash<br />

prascion<br />

prascion fc<br />

prascion ra with sunscreens<br />

ra renewal medicated acne treatment maximum strength<br />

rosanil cleanser<br />

se bpo wash<br />

se bpo 3% foaming cloths<br />

se bpo 6% foaming cloths<br />

se bpo 7-5.5 wash kit<br />

se bpo 9% foaming cloths<br />

se 10-5 ss<br />

Sodium Sulfacetamide<br />

sodium sulfacetamide/sulfur<br />

sodium sulfacetamide/sulfur cleanser<br />

sodium sulfacetamide/sulfur cleanser in urea<br />

sodium sulfacetamide/sulfur cleansing cloths<br />

sodium sulfacetamide/sulfur green<br />

sodium sulfacetamide/sulfur in urea<br />

sodium sulfacetamide/sulfur wash<br />

sotret<br />

sulfacetamide sodium<br />

sulfacetamide sodium/sulfur cleanser<br />

sulfacleanse 8/4<br />

suphera<br />

tl bpo mx cleanser<br />

Tretinoin<br />

virti-sulf<br />

zaclir cleansing<br />

zencia<br />

PREFERRED BRAND<br />

Acanya<br />

Aczone<br />

Atralin<br />

Azelex<br />

Epiduo<br />

Veltin<br />

NON PREFERRED<br />

Absorica<br />

Akne-mycin<br />

Avar Ls Cleanser<br />

Avar-e Ls<br />

Benzac Ac Wash<br />

Benzac W Wash<br />

Benzaclin<br />

Benzaclin With Pump<br />

Benzamycin<br />

Benzamycinpak<br />

Benzefoam<br />

Benzefoamultra<br />

Benziq<br />

Benziq Ls<br />

Clarifoam Ef<br />

Cleocin-t<br />

Clindacin Pac<br />

Clindagel<br />

Delos<br />

Desquam-x Wash<br />

Differin<br />

Duac<br />

Evoclin<br />

I nova<br />

Inova 4/1 Acne Control <strong>The</strong>rapy<br />

Inova 8/2 Acne Control <strong>The</strong>rapy<br />

Klaron<br />

Neobenz Micro<br />

Neobenz Micro Plus Pack<br />

Neobenz Micro Sd<br />

Neobenz Micro Wash<br />

Neobenz Micro Wash Plus Pack<br />

Nuox<br />

Pacnex Hp<br />

Pacnex Lp<br />

Pacnex Mx<br />

Plexion Cleanser<br />

Plexion Cleansing Cloth<br />

Plexion Sct<br />

Retin-a<br />

Retin-a Micro<br />

Retin-a Micro Pump<br />

Rosanil<br />

Sss 10-4<br />

Sulfoam<br />

Sumadan Kit<br />

Sumadan Wash<br />

Sumaxin<br />

Sumaxin Cp Kit<br />

Sumaxin Ts<br />

Sumaxin Wash<br />

Tretin-x<br />

Triaz<br />

Triaz Cleanser<br />

Triaz Foaming Cloths<br />

Vanoxide Hc<br />

Vanoxide-hc<br />

Zacare 4% Kit<br />

Zacare 8% Kit<br />

Ziana<br />

ROSACEA AGENTS<br />

GENERIC<br />

metronidazote<br />

rosadan<br />

vitazol<br />

PREFERRED BRAND<br />

Finacea<br />

Metrogel<br />

Oracea<br />

NON PREFERRED<br />

Finacea Plus<br />

Metrocream<br />

Metrolotion<br />

Noritate<br />

Rosadan Kit<br />

ANTIBIOTICS - TOPICAL<br />

GENERIC<br />

Centany<br />

gentamicin sulfate<br />

mupirocin<br />

NON PREFERRED<br />

Altabax<br />

Bactroban<br />

Centany At<br />

Cortisporin<br />

ANTIFUNGALS - TOPICAL


GENERIC<br />

ciclodan<br />

ciclopirox<br />

ciclopirox nail lacquer<br />

ciclopirox olamine<br />

ciclopirox topical solution kit<br />

ciclopirox treatment<br />

clotrimazole<br />

clotrimazole/betamethasone dipropionate<br />

econazole nitrate<br />

exoderm<br />

ketoconazole<br />

ketodan<br />

nuzole<br />

nyamyc<br />

nystatin<br />

nystatin/triamcinolone<br />

nystop<br />

pedi-dri<br />

versiclear<br />

PREFERRED BRAND<br />

Exelderm<br />

Mentax<br />

NON PREFERRED<br />

Aloquin<br />

Ciclodan Cream Kit<br />

Ciclodan Solution Kit<br />

Cnl8 Nail Kit<br />

Ertaczo<br />

Extina<br />

Halotin<br />

Ketocon<br />

Ketodan Kit<br />

Lamisil<br />

Loprox<br />

Loprox Shampoo<br />

Lotrisone<br />

Naftin<br />

Nizoral<br />

Oxistat<br />

Pediaderm Af Complete Kit<br />

Pedipirox-4 Nail<br />

Penlac Nail Lacquer<br />

Vusion<br />

Xolegel<br />

Xolegel Corepak<br />

Xolegel Duo/head & Shoulders<br />

Xolegel Duo/xolex<br />

ANTIVIRALS - TOPICAL<br />

PREFERRED BRAND<br />

Zovirax<br />

NON PREFERRED<br />

Denavir<br />

Lidovir<br />

Xerese<br />

ANTI-INFLAMMATORY AGENTS<br />

PREFERRED BRAND<br />

Flector<br />

Voltaren<br />

NON PREFERRED<br />

Napro 15% Compounding Kit<br />

Naproderm Compounding Kit<br />

Pennsaid<br />

ANTIPRURITICS GENERIC<br />

Prudoxin<br />

Effective January 1, 2013<br />

NON PREFERRED<br />

Zonalon<br />

ANTIPSORIATICS<br />

GENERIC<br />

calcipotriene<br />

Calcitriol<br />

dritho-creme hp<br />

PREFERRED BRAND<br />

Dritho-scalp<br />

Oxsoralen Ultra<br />

Soriatane<br />

Tazorac<br />

Vectical<br />

NON PREFERRED<br />

Amevive<br />

Calcitrene<br />

Dovonex<br />

Dovonex Scalp<br />

Sorilux<br />

Stelara<br />

Zithranol<br />

Zithranol-rr<br />

8-mop<br />

ANTISEBORRHEIC AGENTS<br />

GENERIC<br />

glycolic acid<br />

glycolic acid 70% high purity<br />

mexar wash<br />

seb-prev<br />

seb-prev wash<br />

selenium sulfide<br />

sodium sulfacetamide wash<br />

sodium sulfacetamide/urea<br />

PREFERRED BRAND<br />

Ovace Plus<br />

NON PREFERRED<br />

Ovace Plus Wash<br />

Ovace Wash<br />

Promiseb<br />

Promiseb Complete<br />

Selsun Shampoo<br />

Tersi Foam<br />

CORTICOSTEROIDS - TOPICAL<br />

GENERIC<br />

ala cort<br />

alclometasone dipropionate<br />

alphatrex<br />

amcinonide<br />

apexicon<br />

apexicon e<br />

augmented betamethasone dipropionate<br />

betamethasone dipropionate<br />

betamethasone valerate<br />

clobetasol propionate<br />

clobetasol propionate e<br />

clobetasol propionate emollient<br />

cormax<br />

cormax scalp application<br />

cortalo<br />

desonide<br />

desoximetasone<br />

diflorasone diacetate<br />

fluocinolone acetonide<br />

fluocinolone acetonide body<br />

fluocinolone acetonide scalp<br />

fluocinonide


fluocinonide emollient base<br />

fluocinonide-e<br />

fluticasone propionate<br />

halac<br />

halobetasol propionate<br />

halonate pac<br />

hydrocortisone<br />

hydrocortisone acetate/aloe<br />

hydrocortisone butyrate<br />

hydrocortisone in absorbase<br />

hydrocortisone valerate<br />

Lokara<br />

mometasone furoate<br />

pramcort<br />

prednicarbate<br />

scalacort<br />

synalar<br />

triamcinolone acetonide<br />

triamcinolone acetonide in absorbase<br />

trianex<br />

triderm<br />

u-cort<br />

PREFERRED BRAND<br />

Capex<br />

Cordran Tape<br />

Halog<br />

Kenalog<br />

Locoid Lipocream<br />

Taclonex<br />

NON PREFERRED<br />

Aclovate<br />

Ala Scalp<br />

Aqua Glycolic Hc Scalp & Body<br />

Carmol-hc<br />

Clobeta Cream<br />

Clobeta Ointment<br />

CIobex<br />

Cloderm<br />

Cloderm Pump<br />

Cordran<br />

Cordran Sp<br />

Cutivate<br />

Derma-smoothe/fs Body Oil<br />

Derma-smoothe/fs Scalp Oil<br />

Dermatop<br />

Desonate<br />

Desonil<br />

Desowen<br />

Desowen Cream/cetaphil Lotion<br />

Desowen Lotion/cetaphil Cream<br />

Desowen Ointment/cetaphil Lotion<br />

Diprolene<br />

Diprolene Af<br />

Elocon<br />

Epifoam<br />

First-hydrocortisone<br />

Halonate<br />

Lidamantle Hc<br />

Locoid<br />

Luxiq<br />

Momexin<br />

Nucort<br />

Nuzon<br />

Olux<br />

Olux-e<br />

Pandel<br />

Pediaderm Hc<br />

Pediaderm Ta<br />

Pramosone<br />

Scalacort Dk<br />

Effective January 1, 2013<br />

Synalar Cream Kit<br />

Synalar Ointment Kit<br />

Synalar Ts<br />

Temovate<br />

Temovate E<br />

Texacort<br />

Topicort<br />

Ultravate<br />

Ultravate Pac<br />

Ultravate X<br />

Vanos<br />

Verdeso<br />

Westcort<br />

IMMUNOMODULATING AGENTS<br />

GENERIC<br />

imiquimod<br />

PREFERRED BRAND<br />

Elidel<br />

Protopic<br />

NON PREFERRED<br />

Aldara<br />

Zyclara<br />

Zyclara Pump<br />

DERMATOLOGICALS - MISC.<br />

GENERIC<br />

acticin<br />

aliclen<br />

aluminum acetate<br />

ammonium lactate<br />

arnica flower<br />

benzoin compound tincture<br />

benzoin tincture<br />

boric acid<br />

capsaicin<br />

cem-urea<br />

cerovel<br />

coal tar<br />

coal tar base<br />

cocaine hcl<br />

durasal<br />

ethyl chloride<br />

ethyl chloride/fine pinpoint<br />

ethyl chloride/fine stream<br />

ethyl chloride/medium jet stream<br />

ethyl chloride/medium stream<br />

ethyl chloride/mist<br />

green soap<br />

hygel<br />

hypercare<br />

laclotion<br />

lactic acid<br />

lactic acid e<br />

lactic acid w/vitamin e<br />

latrix<br />

latrix xm<br />

lidocaine<br />

lidocaine hcl<br />

lidocaine hcl jelly<br />

lidocaine/prilocaine<br />

lindane<br />

malathion<br />

permethrin<br />

podocon 25 in benzoin tincture<br />

pod<strong>of</strong>ilox<br />

pramox gel<br />

pyrogallic acid<br />

remeven<br />

10


salacyn<br />

salicylic acid<br />

salicylic acid cream<br />

salicylic acid in ammonium lactate vehicle<br />

salicylic acid lotion<br />

salicylic acid wart remover<br />

sodium hyaluronate<br />

Spinosad<br />

sulfurated lime<br />

tl urea<br />

u-kera e<br />

Effective January 1, 2013<br />

umecta mousse<br />

urea<br />

urea hydrating<br />

urea in zinc undecylenate/lactic acid vehicle<br />

urea nail<br />

urea nail kit<br />

urea topical<br />

urea 40% nail film<br />

urea-c40<br />

witch hazel<br />

x-viate<br />

xclair<br />

PREFERRED BRAND<br />

Condylox<br />

Eurax<br />

Lidoderm<br />

Ulesfia<br />

NON PREFERRED<br />

Aluvea<br />

Anacaine<br />

Atopiclair<br />

Aurstat<br />

Bensal Hp<br />

Drysol<br />

Eletone<br />

Elimite<br />

Emla<br />

Emulsion Sb<br />

Epiceram<br />

Gebauers Pain Ease<br />

Gebauers Spray And Stretch<br />

Genadur<br />

Gord<strong>of</strong>ilm<br />

Gordons Urea<br />

Hpr<br />

Hpr Plus<br />

Hpr Plus/mb Hydrogel<br />

Hydro 35<br />

Hydro 40 Foam<br />

Hylatopic<br />

Hylatopic Plus<br />

Hylatopic Plus/aurstat<br />

Hylira<br />

Kerafoam<br />

Kerafoam 42<br />

Keralyt<br />

Keralyt Scalp<br />

Kerol<br />

Kerol Ad<br />

Lac-hydrin<br />

Lamb Gel<br />

Lycelle<br />

Mb Hydrogel<br />

Mimyx<br />

Natroba<br />

Neosalus<br />

Neosalus 180 Pack<br />

Nuvail<br />

Ovide<br />

Pliaglis<br />

Pontocaine<br />

Pr Cream<br />

Pruclair<br />

Prumyx<br />

Qutenza<br />

Radigel<br />

Rinnovi Nail System<br />

Salex<br />

Salex Cream<br />

Salex Lotion<br />

salkera<br />

Salvax<br />

Salvax Duo Plus<br />

Sklice<br />

Synera<br />

Tetrix<br />

TI-cermide<br />

Tropazone<br />

Umecta<br />

Umecta Nail Film<br />

Umecta Pd<br />

Uramaxin<br />

Uramaxin Gt<br />

Uramaxin Gt Kit<br />

Veregen<br />

Virasal<br />

Xerac Ac<br />

Xylocaine<br />

Xylocaine Jelly<br />

Zenieva<br />

CORTICOSTEROIDS<br />

GENERIC<br />

a-hydrocort<br />

a-methapred<br />

asmalpred<br />

asmalpred plus<br />

baycadron<br />

betamethasone sodium phosphate/betamethasone<br />

acetate<br />

budesonide<br />

cortisone acetate<br />

dexamethasone<br />

dexamethasone sodium phosphate<br />

fludrocortisone acetate<br />

hydrocortisone<br />

methylprednisolone<br />

methylprednisolone acetate<br />

methylprednisolone dose pack<br />

methylprednisolone sodiumsuccinate<br />

prednisolone<br />

prednisolone sodium phosphate<br />

prednisone<br />

zema-pak 10 day<br />

zema-pak 13 day<br />

zema-pak 6 day<br />

NON PREFERRED<br />

Aristospan Intra-articular<br />

Aristospan Intralesional<br />

Celestone<br />

Celestone-soluspan<br />

Cortef<br />

Depo-medrol<br />

Dexamethasone Intensol<br />

Dexpak 10 Day<br />

Dexpak 13 Day<br />

11


Dexpak 6 Day<br />

Entocort Ec<br />

FIo-pred<br />

Kenalog-10<br />

Kenalog-40<br />

Medrol<br />

Medrol Dosepak<br />

Millipred<br />

Millipred Dp<br />

Orapred<br />

Orapred Odt<br />

Pediapred<br />

Prednisone Intensol<br />

Prelone<br />

Rayos<br />

Solu-cortef<br />

Solu-medrol<br />

Veripred 20<br />

ANDROGENS-ANABOLIC<br />

_GENERIC<br />

danazol<br />

oxandrolone<br />

testosterone cypionate<br />

testosterone enanthate<br />

PREFERRED BRAND<br />

Androderm<br />

Androgel<br />

Androgel Pump<br />

Androxy<br />

Axiron<br />

Fortesta<br />

Methitest<br />

NON PREFERRED<br />

Anadrol-50<br />

android<br />

Delatestryl<br />

Depo-testosterone<br />

First-testosterone<br />

First-testosterone Mc Compounding Kit<br />

Oxandrin<br />

Striant<br />

Testim<br />

Testopel<br />

testred<br />

ESTROGENS<br />

Effective January l, 2013<br />

GENERIC<br />

estradiol<br />

estradiol valerate<br />

estradiol/norethindrone acetate<br />

estropipate<br />

Jevantique<br />

jinteli<br />

mimvey<br />

ortho-est<br />

PREFERRED BRAND<br />

Cenestin<br />

Combipatch<br />

Enjuvia<br />

Evamist<br />

Premphase<br />

Prempro<br />

Vivelle-dot<br />

NON PREFERRED<br />

Activella<br />

Alora<br />

Angeliq<br />

Climara<br />

PROGESTINS<br />

Climara Pro<br />

Delestrogen<br />

Depo-estradiol<br />

Divigel<br />

Elestrin<br />

Estrace<br />

Estraderm<br />

Estrasorb<br />

Estrogel<br />

Femhrt Low Dose<br />

Femhrt 1/5<br />

Femtrace<br />

Menest<br />

Menostar<br />

Minivelle<br />

Prefest<br />

Premarin<br />

GENERIC<br />

medroxyprogesterone acetate<br />

norethindrone acetate<br />

progesterone<br />

PREFERRED BRAND<br />

Makena<br />

NON PREFERRED<br />

Aygestin<br />

Megace Es<br />

Prometrium<br />

Provera<br />

ANTIDIABETIC AGENTS<br />

INSULIN<br />

PREFERRED BRAND<br />

Apidra<br />

Apidra Solostar<br />

Humalog<br />

Humalog Kwikpen<br />

Humalog Mix 50/50<br />

Humalog Mix 50/50 Kwikpen<br />

Humalog Mix 75/25<br />

Humalog Mix 75/25 Kwikpen<br />

Humulin R U-500 (concentrated)<br />

Lantus<br />

Lantus Solostar<br />

Levemir<br />

Levemir Flexpen<br />

Novolog<br />

Novolog Flexpen<br />

Novolog Mix 70/30<br />

Novolog Mix 70/30 Prefilled Flexpen<br />

Novolog Penfill<br />

AMYLIN ANALOGS<br />

PREFERRED BRAND<br />

Symlin<br />

Symlinpen 120<br />

Symlinpen 60<br />

INCRETIN MIMETIC A GENTS<br />

PREFERRED BRAND<br />

Bydureon<br />

Byetta<br />

Victoza<br />

SULFONYLUREAS<br />

GENERIC<br />

chlorpropamide<br />

glimepiride<br />

glipizide<br />

glipizide er<br />

Glipizide XI<br />

glyburide<br />

12


glyburide micronized<br />

tolazamide<br />

tolbutamide<br />

NON PREFERRED<br />

Amaryl<br />

Diabeta<br />

Glucotrol<br />

Glucotrol Xl<br />

Glynase<br />

BIGUANIDES GENERIC<br />

metformin hcl<br />

metformin hcl er<br />

PREFERRED BRAND<br />

Riomet<br />

NON PREFERRED<br />

Fortamet<br />

Glucophage<br />

Glucophage Xr<br />

Glumetza<br />

MEGLITINIDE ANALOGUES<br />

GENERIC<br />

nateglinide<br />

PREFERRED BRAND<br />

Prandin<br />

NON PREFERRED<br />

Starlix<br />

DIABETIC OTHER PREFERRED BRAND<br />

Glucagon Emergency Kit<br />

NON PREFERRED<br />

Glucagen<br />

Glucagen Hypokit<br />

Korlym<br />

Proglycem<br />

ALPHA-GLUCOSlDASE INHIBIT<br />

GENERIC<br />

acarbose<br />

NON PREFERRED<br />

Glyset<br />

Precose<br />

DPP-4 INHIBITORS<br />

PREFERRED BRAND<br />

Januvia<br />

Onglyza<br />

Tradjenta<br />

INSULIN SENSITIZING A GENT<br />

GENERIC<br />

Pioglitazone Hcl<br />

NON PREFERRED<br />

Actos<br />

Avandia<br />

ANTIDIABETIC COMBINATIONS<br />

GENERIC_<br />

glipizide/metformin hcl<br />

glyburide/metformin hcl<br />

Pioglitazone Hcl/metformin Hcl<br />

PREFERRED BRAND<br />

Actoplus Met Xr<br />

Duetact<br />

Janumet<br />

Janumet Xr<br />

Jentadueto<br />

Juvisync<br />

Kombiglyze Xr<br />

Prandimet<br />

NON PREFERRED<br />

Actoplus Met<br />

Appformin<br />

Appformin-d<br />

Effective January 1, 2013<br />

Avandamet<br />

Avandaryl<br />

Glucovance<br />

Metaglip<br />

BISPHOSPHONATES<br />

GENERIC<br />

alendronate sodium<br />

etidronate disodium<br />

ibandronate sodium<br />

PREFERRED BRAND<br />

Actonel<br />

Atelvia<br />

NON PREFERRED<br />

Binosto<br />

Boniva<br />

Didronel<br />

Fosamax<br />

Fosamax Plus D<br />

Skelid<br />

CALClTONINS GENERIC<br />

Calcitonin-salmon<br />

Fortical<br />

NON PREFERRED<br />

Miacalcin<br />

PARATHYROID HORMONE<br />

PREFERRED BRAND<br />

Forteo<br />

RANK LIGAND INHIBITORS<br />

PREFERRED BRAND<br />

Xgeva<br />

NON PREFERRED<br />

Prolia<br />

HORMONE RECEPTOR MDLTR<br />

PREFERRED BRAND<br />

Evista<br />

13


SOMATOSTATIC AGENTS<br />

GENERIC<br />

octreotide acetate<br />

PREFERRED BRAND<br />

Sandostatin Lar Depot<br />

Somatuline Depot<br />

NON PREFERRED<br />

Sandostatin<br />

GH RECEPTOR ANTAGONISTS<br />

PREFERRED BRAND<br />

Somavert<br />

POSTERIOR PITUITARY<br />

GENERIC<br />

desmopressin acetate<br />

minirin<br />

vasopressin<br />

PREFERRED BRAND<br />

Stimate<br />

NON PREFERRED<br />

Ddavp<br />

Pitressin Synthetic<br />

CORTICOTROPIN<br />

PREFERRED BRAND<br />

Acthar Hp<br />

PROLACTIN INHIBITORS<br />

GENERIC<br />

cabergoline<br />

VASOPRESSIN ANTAGONISTS<br />

PREFERRED BRAND<br />

Samsca<br />

PROGESTERONE ANTAGONISTS<br />

NON PREFERRED<br />

Mifeprex<br />

METABOLIC MODIFIERS<br />

GENERIC<br />

calcitriol<br />

levocarnitine<br />

PREFERRED BRAND<br />

Buphenyl<br />

Carbaglu<br />

Cystadane<br />

Hectorol<br />

Kuvan<br />

Orfadin<br />

Sensipar<br />

Effective January l, 2013<br />

Zemplar<br />

NON PREFERRED<br />

Carnitor<br />

Carnitor Sf<br />

Rocaltrol<br />

THYROID AGENTS<br />

GENERIC<br />

Levothroid<br />

levothyroxine sodium<br />

levothyroxine sodium tab 0.075mg<br />

Levoxyl<br />

liothyronine sodium<br />

methimazole<br />

nature-throid<br />

np thyroid 30<br />

np thyroid 60<br />

np thyroid 90<br />

propylthiouracil<br />

Unithroid<br />

unithroid direct<br />

NON PREFERRED<br />

Armour Thyroid<br />

Cytomel<br />

Nature-throid Nt-2.5<br />

Synthroid<br />

Tapazole<br />

Thyrolar-1<br />

Thyrolar-1/2<br />

Thyrolar-114<br />

Thyrolar-2<br />

Thyrolar-3<br />

Tirosint<br />

Westhroid<br />

LAXATIVES GENERIC<br />

cascara sagrada<br />

cascara sagrada aromatic<br />

constulose<br />

gavilyte-c<br />

gavilyte-g<br />

gavilyte-n/flavor pack<br />

lactulose<br />

mineral oil heavy<br />

Peg 3350/electrolytes<br />

peg-3350/electrolytes<br />

peg-3350/nacl/na bicarbonate/kcl<br />

polyethylene glycol 3350<br />

senna<br />

senna leaves<br />

senna plus<br />

trilyte<br />

PREFERRED BRAND<br />

Halflytely Bowel Prep/flavor Packs<br />

Kristalose<br />

Suprep Bowel Prep<br />

NON PREFERRED<br />

Colyte-flavor Packs<br />

Golytely<br />

Moviprep<br />

Nulytely/flavor Packs<br />

Osmoprep<br />

Prepopik<br />

Visicol<br />

ANTIDIARRHEALS<br />

14


ANTACIDS<br />

GENERIC<br />

diphenoxylate/atropine<br />

I<strong>of</strong>ene<br />

Ionox<br />

Ioperamide hcl<br />

opium<br />

opium tincture<br />

paregoric<br />

PREFERRED BRAND<br />

Motefen<br />

NON PREFERRED<br />

Lomotil<br />

Rezyst Im<br />

Rezyst Sb<br />

Vsl#3 Ds<br />

GENERIC<br />

sodium bicarbonate<br />

ULCER DRUGS GENERIC<br />

Atropine Sulfate<br />

belladonna & opium<br />

belladonna alkaloids<br />

belladonna alkaloids & opium<br />

cimetidine<br />

cimetidine hcl<br />

colidrops pediatric<br />

dicyclomine hcl<br />

EffEctive January 1,2013<br />

ed-spaz<br />

famotidine<br />

gastrinex nf<br />

glycopyrrolate<br />

hyomax -dr<br />

hyomax-sl<br />

hyomax-sr<br />

hyoscyamine sulfate<br />

hyoscyamine sulfate er<br />

hyoscyamine sulfate odt<br />

hyoscyamine sulfate sr<br />

hyosyne<br />

lansoprazole<br />

Lansoprazole Odt<br />

Methscopolamine Bromide<br />

misoprostol<br />

nizatidine<br />

nulev<br />

omeprazole<br />

omeprazole/sodium bicarbonate<br />

oscimin<br />

oscimin sr<br />

Pantoprazole Sodium<br />

propantheline bromide<br />

ranitidine hcl<br />

scopolamine hydrobromide<br />

sucralfate<br />

symax fastabs<br />

symax-sl<br />

symax-sr<br />

PREFERRED BRAND<br />

Carafate<br />

Nexium<br />

Pylera<br />

NON PREFERRED<br />

Aciphex<br />

Anaspaz<br />

Atropen<br />

Axid<br />

Bentyl<br />

Cantil<br />

Cuvposa<br />

Cytotec<br />

Dexilant<br />

Digex Nf<br />

First-lansoprazole<br />

First-omeprazole<br />

Gabitidine<br />

Glycopyrroate<br />

Helidac<br />

Levbid<br />

Levsin<br />

Levsin/sl<br />

Omeclamox-pak<br />

Pamine<br />

Pamine Forte<br />

Pamine Fq<br />

Pepcid<br />

Prevacid<br />

Prevacid Solutab<br />

Prevpac<br />

Prilosec<br />

Protonix<br />

Robinul<br />

Robinul Forte<br />

Sentradine<br />

Symax Duotab<br />

Zantac<br />

Zegerid<br />

ANTIEMETICS GENERIC.<br />

dimenhydrinate<br />

dronabinol<br />

granisetron hcl<br />

meclizine hcl<br />

ondansetron hcl<br />

ondansetron odt<br />

trimethobenzamide hcl<br />

univert<br />

PREFERRED BRAND<br />

Anzemet<br />

Emend<br />

Sancuso<br />

Transderm-scop<br />

NON PREFERRED<br />

Antivert<br />

Cesamet<br />

Coca Cola Syurp<br />

Granisol<br />

Marinol<br />

Tigan<br />

Z<strong>of</strong>ran<br />

Z<strong>of</strong>ran Odt<br />

Zuplenz<br />

DIGESTIVE AIDS<br />

GENERIC<br />

Pancrelipase<br />

PREFERRED BRAND<br />

Creon<br />

Zenpep<br />

NON PREFERRED<br />

Pancreaze<br />

Pertzye<br />

Sucraid<br />

Ultresa<br />

Viokace<br />

15


GASTROINTESTINAL - MISC.<br />

GENERIC<br />

balsalazide disodium<br />

calcium acetate<br />

colocort<br />

cromolyn sodium<br />

dexpanthenol<br />

enulose<br />

generlac<br />

Hydrocortisone<br />

hydrocortisone acetate/pramoxine<br />

lactulose<br />

lidazone hc<br />

lidocaine hcl-hydrocortisone acetate with aloe<br />

lidocaine hc!/hydrocortisone acetate<br />

mesalamine<br />

metoc!opramide hcl<br />

pram-hca<br />

procto-pak<br />

proctocream hc<br />

proctosol hc<br />

proctozone-hc<br />

sulfasalazine<br />

sulfazine<br />

sulfazine ec<br />

ursodiol<br />

Effective January 1, 2013<br />

z-pram<br />

PREFERRED BRAND<br />

Amitiza<br />

Analpram Advanced<br />

Apriso<br />

Asacol<br />

Asacol Hd<br />

Canasa<br />

Cortifoam<br />

Fosrenol<br />

Lotronex<br />

Pentasa<br />

Proct<strong>of</strong>oam Hc<br />

Relistor<br />

Renvela<br />

NON PREFERRED<br />

Actigall<br />

Analpram-hc<br />

Analpram-hc Singles<br />

Anamantle Hc<br />

Anusol-hc<br />

Azulfidine<br />

Azulfidine En-tabs<br />

Chenodal<br />

Cimzia<br />

Cimzia Starter Kit<br />

Colazal<br />

Cortenema<br />

Dipentum<br />

Eliphos<br />

Entereg<br />

Gastrocrom<br />

Lialda<br />

Linzess<br />

Metozolv Odt<br />

Phoslo<br />

Phoslyra<br />

Procort<br />

Proctocort<br />

Rectiv<br />

Reglan<br />

Renagel<br />

aowasa<br />

Sfrowasa<br />

Urso Forte<br />

Urso 250<br />

Zypram<br />

URINARY ANTI-INFECTIVES<br />

GENERIC<br />

hyophen<br />

Methenamine Hippurate<br />

methenamine mandelate<br />

nitr<strong>of</strong>urantoin<br />

Nitr<strong>of</strong>urantoin Macrocrystal<br />

nitr<strong>of</strong>urantoin macrocrystalline<br />

nitr<strong>of</strong>urantoin monohydrate<br />

Nitr<strong>of</strong>urantoin Monohyd rate/macrocrystals<br />

phosphasal<br />

ur n-c<br />

urin dis<br />

uryl<br />

ustell<br />

uta<br />

uticap<br />

utira-c<br />

utrona-c<br />

NON PREFERRED<br />

Furadantin<br />

Hiprex<br />

Macrobid<br />

Macrodantin<br />

Monurol<br />

Prosed/ds<br />

Urelle<br />

Uretron Dis<br />

Urex<br />

Uribel<br />

Urogesic-blue<br />

Uroqid #2<br />

URINARY ANTISPASMODICS<br />

GENERIC<br />

bethanechol chloride<br />

flavoxate hcl<br />

oxybutynin chloride<br />

oxybutynin chloride er<br />

Tolterodine Tartrate<br />

trospium chloride<br />

trospium chloride er<br />

PREFERRED BRAND<br />

Detrol La<br />

Enablex<br />

Gelnique<br />

Oxytrol<br />

Toviaz<br />

Vesicare<br />

NON PREFERRED<br />

Detrol<br />

Ditropan XI<br />

Myrbetriq<br />

Sanctura<br />

Sanctura Xr<br />

Urecholine<br />

VAGINAL PRODUCTS<br />

GENERIC<br />

acid jelly<br />

clindamycin phosphate<br />

metronidazole vaginal<br />

miconazole 3<br />

16


miconazole 3 combo pack<br />

nystatin vaginal<br />

terconazole<br />

Vandazole<br />

zazole<br />

PREFERRED BRAND<br />

Avc<br />

Crinone<br />

Estrace<br />

Estring<br />

Gynazole-1<br />

Vagifem<br />

NON PREFERRED<br />

Cleocin<br />

fem ph<br />

Femring<br />

First-progesterone Vgs 100 Compounding Kit<br />

First-progesterone Vgs 200 Compounding Kit<br />

First-progesterone Vgs 25 Compounding Kit<br />

First-progesterone Vgs 400 Compounding Kit<br />

First-progesterone Vgs 50 Compounding Kit<br />

Metrogel-vaginal<br />

Premarin<br />

relagard<br />

Terazol 3<br />

Terazol 7<br />

GENITOURINARY - MISC.<br />

GENERIC<br />

alfuzosin hcl er<br />

citric acid/sodium citrate<br />

cytra k crystals<br />

cytra-k<br />

cytra-2<br />

cytra-3<br />

finasteride<br />

phenazo<br />

phenazopyridine hcl<br />

Potassium Citrate<br />

potassium citrate/citric acid<br />

sodium citrate<br />

tamsulosin hcl<br />

taron-crystals<br />

tricitrates<br />

PREFERRED BRAND<br />

Cystagon<br />

Elmiron<br />

Rapaflo<br />

U rocit-k 15<br />

NON PREFERRED<br />

Avodart<br />

Cardura Xl<br />

Citrolith<br />

Flomax<br />

Jalyn<br />

K-phos Mf<br />

K-phos No 2<br />

Lithostat<br />

Oracit<br />

Polycitra-k Crystals<br />

Proscar<br />

Pyridium<br />

Shohls Solution Modified<br />

Thiola<br />

Urocit-k 10<br />

Urocit-k 5<br />

Uroxatral<br />

Effective January l, 2013<br />

HEMATOPOIETIC AGENTS<br />

GENERIC<br />

airavite<br />

b-6 folic acid<br />

bp vit 3<br />

corvita 150<br />

cyanocobalamin<br />

Dexferrum<br />

ed cyte f<br />

fabb<br />

fe c plus<br />

ferocon<br />

ferotrin<br />

ferotrinsic<br />

ferraplus 90<br />

ferrex 150 forte<br />

ferrex 150 forte plus<br />

ferrex 28<br />

ferrogels forte<br />

folbee<br />

folcaps<br />

folic acid<br />

folic acid/vitamin b-6/vitamin b-12<br />

folitab<br />

folplex 2.2<br />

foltrin<br />

hematinic/folic acid<br />

hematogen<br />

hematogen fa<br />

hematogen forte<br />

hemocyte-f<br />

hydroxocobalamin<br />

iferex 150 forte<br />

Infed<br />

martinic<br />

mi-omega nf<br />

multigen<br />

multigen folic<br />

multigen plus<br />

myferon 150 forte<br />

nufol<br />

poly-iron 150 forte<br />

polysaccharide iron forte<br />

purevit dualfe plus<br />

se-tan plus<br />

senilezol<br />

tandem f<br />

tl gard rx<br />

tl icon<br />

tl-fol 500<br />

tl-hem 150<br />

tricon<br />

trigels-f forte<br />

PREFERRED BRAND<br />

Aranesp Albumin Free<br />

Droxia<br />

Foltrate<br />

Leukine<br />

Mozobil<br />

Neulasta<br />

Neumega<br />

Neupogen<br />

Nplate<br />

procrit<br />

Promacta<br />

NON PREFERRED<br />

Albafort<br />

Animi-3<br />

Animi-3/vitamin D<br />

17


Biferarx<br />

Cardiotek-rx<br />

Cenfol<br />

Centratex<br />

Corvite Fe<br />

Corvite 150<br />

Divista<br />

epogen<br />

Feriva<br />

Ferralet 90<br />

Ferro-plex Hematinic<br />

Ferrotrin<br />

Fetrin<br />

Folbee Ar<br />

Folgard <strong>Rx</strong><br />

Folivane-f<br />

Folivane-plus<br />

Folpace <strong>Rx</strong><br />

Fumatinic<br />

Hematron-af<br />

Hemetab<br />

Icar-c Plus<br />

Integra F<br />

Integra Plus<br />

Irospan 24/6<br />

Maxaron Forte<br />

Nascobal<br />

Nephron Fa<br />

Neurin-sl<br />

Niron Komplete<br />

Novaferrum<br />

Omontys<br />

Pre-folic<br />

Pr<strong>of</strong>errin-forte<br />

Purefe Plus<br />

Tandem Plus<br />

Taron Forte<br />

Zavesca<br />

ANTICOAGULANTS<br />

GENERIC<br />

enoxaparin sodium<br />

fondaparinux sodium<br />

Heparin Sodium<br />

Heparin Sodium Dcu<br />

Heparin Sodium/nacl 0.45%<br />

Heparin Sodium/nacl 0.9%<br />

Heparin Sodium/sodium Chloride 0.9%<br />

Heparin Sodium/sodium Chloride 0.9% Premix<br />

jantoven<br />

warfarin sodium<br />

PREFERRED BRAND<br />

Pradaxa<br />

Xarelto<br />

NON PREFERRED<br />

Arixtra<br />

Coumadin<br />

Fragmin<br />

Iprivask<br />

Lovenox<br />

HEMOSTATICS GENERIC<br />

aminocaproic acid<br />

PREFERRED BRAND<br />

Lysteda<br />

NON PREFERRED<br />

Amicar<br />

Artiss<br />

Effective January 1, 2013<br />

Astringyn<br />

Evicel<br />

Evithrom<br />

Recothrom<br />

Recothrom Spray Kit<br />

Thrombin-jmi Diluent<br />

Thrombin-jmi Epistaxis<br />

Thrombin-jmi Syringe Spray Kit<br />

Thrombin-jmi W/dil Spray Pump Actuator<br />

Thrombogen<br />

Tisseel<br />

HEMATOLOGICAL - MISC.<br />

GENERIC<br />

anagrelide hydrochloride<br />

cilostazol<br />

clopidogrel<br />

dextran hm<br />

dextran 70<br />

Dipyridamole<br />

pentoxifylline er<br />

ticlopidine hcl<br />

PREFERRED BRAND<br />

Aggrenox<br />

Brilinta<br />

Effient<br />

NON PREFERRED<br />

Agrylin<br />

Cathflo Activase<br />

Firazyr<br />

Kalbitor<br />

Kinlytic<br />

Persantine<br />

Plavix<br />

Pletal<br />

Trental<br />

GENERIC<br />

aquoral<br />

cavirinse<br />

cevimeline hcl<br />

chlorhexadine gluconate oral rinse<br />

chlorhexidine gluconate<br />

chlorhexidine gluconate oral rinse<br />

clotrimazole<br />

dobells solution<br />

easygel<br />

lidocaine hcl<br />

lidocaine viscous<br />

neutral sodium fluoride<br />

numoisyn<br />

nystatin<br />

oralone<br />

perio med<br />

periogard<br />

pilocarpine hcl<br />

pilocarpine hydrochloride<br />

stannous fluoride oral rinse<br />

topex topical anesthetic<br />

triamcinolone acetonide<br />

triamcinolone in orabase<br />

NON PREFERRED<br />

Aphthasol<br />

Caphosol<br />

Debacterol<br />

Evoxac<br />

First-bxn Mouthwash<br />

18


First-dukes Mouthwash<br />

First-marys Mouthwash<br />

First-mouthwash BIm<br />

Gel-kam Oral Care Rinse<br />

Gelclair<br />

Lta 360 Kit<br />

Miracle Mouthwash<br />

Mucotrol<br />

Nafrinse Daily/acidulated<br />

Nafrinse Daily/neutral<br />

Nafrinse Weekly<br />

Neutrasal<br />

Oramagicrx<br />

Oravig<br />

Peridex<br />

Prevident<br />

Salagen<br />

Salicept<br />

ANTIANXlETY AGENTS<br />

GENERIC<br />

alprazolam<br />

alprazolam er<br />

alprazolam odt<br />

AIprazolam Xr<br />

buspirone hcl<br />

chlordiazepoxide hcl<br />

clorazepate dipotassium<br />

diazepam<br />

droperidol<br />

hydroxyzine hcl<br />

hydroxyzine pamoate<br />

Iorazepam<br />

meprobamate<br />

oxazepam<br />

NON PREFERRED<br />

Alprazolam Intensol<br />

Ativan<br />

Diazepam Intensol<br />

Gabavale-5<br />

Gabazolamine<br />

Gabazolamine-0.5<br />

Lorazepam Intensol<br />

Niravam<br />

Sentrazolam Am 0.25<br />

Tranxene T<br />

Valium<br />

Vistaril<br />

Xanax<br />

Xanax Xr<br />

ANTIDEPRESSANTS<br />

GENERIC<br />

amitriptyline hcl<br />

amoxapine<br />

budeprion sr<br />

budeprion xl<br />

bupropion hcl<br />

bupropion hcl er<br />

bupropion hcl sr<br />

bupropion hcl xl<br />

citalopram hydrobromide<br />

clomipramine hcl<br />

desipramine hcl<br />

doxepin hcl<br />

escitalopram oxalate<br />

fluoxetine dr<br />

fluoxetine hcl<br />

Effective January 1, 2013<br />

fluvoxamine maleate<br />

imipramine hcl<br />

imipramine pamoate<br />

maprotiline hcl<br />

mirtazapine<br />

mirtazapine odt<br />

nefazodone hcl<br />

nortriptyline hcl<br />

paroxetine hcl<br />

paroxetine hcl er<br />

phenelzine sulfate<br />

protriptyline hcl<br />

sertraline hcl<br />

tranylcypromine sulfate<br />

trazodone hcl<br />

trimipramine maleate<br />

venlafaxine hcl<br />

venlafaxine hcl er<br />

PREFERRED BRAND<br />

Cymbalta<br />

Paxil<br />

Pristiq<br />

Viibryd<br />

NON PREFERRED<br />

Amitriptyline<br />

Anafranil<br />

Aplenzin<br />

Appbutamone<br />

Appbutamone-d<br />

Celexa<br />

Effexor Xr<br />

Emsam<br />

Forfivo Xl<br />

Gaboxetine<br />

Lexapro<br />

Luvox Cr<br />

Marplan<br />

Nardil<br />

Norpramin<br />

Oleptro<br />

Pamelor<br />

Parnate<br />

Paxil Cr<br />

Pexeva<br />

Prozac<br />

Prozac Weekly<br />

Remeron<br />

Remeron Soltab<br />

Sentraflox Am-10<br />

Sentralopram Am-10<br />

Sentravil Pm-25<br />

Sentroxatine<br />

Surmontil<br />

T<strong>of</strong>ranil<br />

T<strong>of</strong>ranil-pm<br />

Trazamine<br />

Trazodone<br />

Vivactil<br />

Wellbutrin<br />

Wellbutrin Sr<br />

Wellbutrin XI<br />

Zol<strong>of</strong>t<br />

ANTIPSYCHOTICS<br />

GENERIC<br />

chlorpromazine hcl<br />

clozapine<br />

Clozapine Odt<br />

compro<br />

19


HYPNOTICS<br />

Effective January 1, 2013<br />

fluphenazine decanoate<br />

fluphenazine hcl<br />

haloperidol<br />

haloperidol decanoate<br />

haloperidol lactate<br />

Lithium Carbonate<br />

lithium carbonate er<br />

Lithium Citrate<br />

ioxapine<br />

Ioxapine succinate<br />

olanzapine<br />

olanzapine odt<br />

perphenazine<br />

prochlorperazine<br />

prochlorperazine edisylate<br />

prochlorperazine maleate<br />

quetiapine fumarate<br />

risperidone<br />

Risperidone M-tab<br />

risperidone odt<br />

thioridazine hcl<br />

thiothixene<br />

trifluoperazine hcl<br />

ziprasidone hcl<br />

PREFERRED BRAND<br />

Abilify<br />

Abilify Discmelt<br />

Latuda<br />

Seroquel Xr<br />

NON PREFERRED<br />

Clozaril<br />

Equetro<br />

Fanapt<br />

Fanapt Titration Pack<br />

Fazaclo<br />

Geodon<br />

Haldol<br />

Haldol Decanoate 100<br />

Haldol Decanoate 50<br />

Invega<br />

Invega Sustenna<br />

Lithobid<br />

Loxitane<br />

Navane<br />

Risperdal<br />

Risperdal Consta<br />

Risperdal M-tab<br />

Saphris<br />

Seroquel<br />

Zyprexa<br />

Zyprexa Relprevv<br />

Zyprexa Zydis<br />

GENERIC<br />

chloral hydrate<br />

estazolam<br />

flurazepam hcl<br />

phenobarbital<br />

phenobarbital sodium<br />

temazepam<br />

triazolam<br />

zaleplon<br />

zolpidem tartrate<br />

zolpidem tartrate er<br />

PREFERRED BRAND<br />

Lunesta<br />

Silenor<br />

NON PREFERRED<br />

Ambien<br />

Ambien Cr<br />

Amytal Sodium<br />

Butisol Sodium<br />

Doral<br />

Edluar<br />

Gabazolpidem-5<br />

Halcion<br />

Intermezzo<br />

Luminal<br />

Nembutal<br />

Nembutal Sodium<br />

Restoril<br />

Rozerem<br />

Seconal<br />

Sentrazolpidem Pm-5<br />

Somnote<br />

Sonata<br />

Strazepam<br />

Zolpimist<br />

ADHD, NARCOLEPSY, ETC.<br />

GENERIC<br />

Amphetamine/dextroamphetamine<br />

caffeine citrate<br />

caffeine/sodium benzoate<br />

dexmethylphenidate hcl<br />

dextroamphetamine sulfate<br />

dextroamphetamine sulfate er<br />

metadate er<br />

methamphetamine hcl<br />

methylin<br />

methylin er<br />

methylphenidate hcl<br />

methylphenidate hcl cd<br />

methylphenidate hcl er<br />

Methylphenidate Hcl Sr<br />

methylphenidate hydrochloride<br />

modafinil<br />

PREFERRED BRAND<br />

Daytrana<br />

Intuniv<br />

Strattera<br />

Vyvanse<br />

NON PREFERRED<br />

Adderall<br />

Adderall Xr<br />

Cafcit<br />

Concerta<br />

Desoxyn<br />

Dexedrine<br />

Focalin<br />

Focalin Xr<br />

Kapvay<br />

Kapvay Dose Pack<br />

Metadate Cd<br />

Nuvigil<br />

Procentra<br />

Provigil<br />

Quillivant Xr<br />

Ritalin<br />

Ritalin La<br />

Ritalin Sr<br />

Sentramodafin Am-100<br />

ANTICONVULSANTS<br />

GENERIC.<br />

carbamazepine<br />

20


Effective January 1, 2013<br />

Carbamazepine Er<br />

clonazepam<br />

clonazepam odt<br />

Diazepam<br />

divalproex sodium<br />

divalproex sodium dr<br />

divalproex sodium er<br />

epitol<br />

ethosuximide<br />

Felbamate<br />

fosphenytoin sodium<br />

gabapentin<br />

lamotrigine<br />

levetiracetam<br />

levetiracetam er<br />

oxcarbazepine<br />

phenytoin<br />

phenytoin sodium<br />

phenytoin sodium extended<br />

primidone<br />

tiagabine hydrochloride<br />

topiragen<br />

topiramate<br />

valproic acid<br />

zonisamide<br />

PREFERRED BRAND<br />

Banzel<br />

Celontin<br />

diastat pediatric<br />

Dilantin Infatabs<br />

Lamictal Odt<br />

Lamictal Xr<br />

Lyrica<br />

Peganone<br />

Potiga<br />

Tegretol-xr<br />

Vimpat<br />

NON PREFERRED<br />

Carbatrol<br />

Depakene<br />

Depakote<br />

Depakote Er<br />

Depakote Sprinkles<br />

diastat acudial<br />

Dilantin<br />

Felbatol<br />

Gabitril<br />

Keppra<br />

Keppra Xr<br />

Klonopin<br />

Lamictal<br />

Lamictal Chewable Dispersible<br />

Lamictal Starter/not Taking Carbamazepine<br />

Lamictal Starter/taking Carbamazepine/not Taking<br />

Valproate<br />

Lamictal Starter/taking Valproate<br />

Mysoline<br />

Neurontin<br />

Onfi<br />

Phenytek<br />

Sabril<br />

Stavzor<br />

Tegretol<br />

<strong>The</strong>rapentin-60<br />

<strong>The</strong>rapentin-90<br />

Topamax<br />

Topamax Sprinkle<br />

Trileptal<br />

Zarontin<br />

Zonegran<br />

ANTIPARKINSON AGENTS<br />

GENERIC<br />

amantadine hcl<br />

benztropine mesylate<br />

bromocriptine mesylate<br />

carbidopa/levodopa<br />

carbidopa/levodopa cr<br />

carbidopa/levodopa er<br />

carbidopa/levodopa odt<br />

carbidopa/levodopa sr<br />

Carbidopa/levodopa/entacapone<br />

Entacapone<br />

pramipexole dihydrochloride<br />

ropinirole er<br />

ropinirole hcl<br />

selegiline hcl<br />

trihexyphenidyl hcl<br />

PREFERRED BRAND<br />

Apokyn<br />

Azilect<br />

Lodosyn<br />

Mirapex Er<br />

NON PREFERRED<br />

Cogentin<br />

Comtan<br />

Eldepryl<br />

Mirapex<br />

Neupro<br />

Parcopa<br />

Parlodel<br />

Requip<br />

Requip ×1<br />

Sinemet<br />

Sinemet Cr<br />

Stalevo 100<br />

Stalevo 125<br />

Stalevo 150<br />

Stalevo 200<br />

Stalevo 50<br />

Stalevo 75<br />

Tasmar<br />

Zelapar<br />

NEUROLOGY, PSYCH - MISC.<br />

GENERIC<br />

chlordiazepoxide/amitriptyline<br />

disulfiram<br />

donepezil hcl<br />

ergoloid mesylates<br />

fluoxetine<br />

galantamine<br />

galantamine hydrobromide<br />

olanzapine/fluoxetine<br />

perphenazine/amitriptyline<br />

rivastigmine tartrate<br />

PREFERRED BRAND<br />

Ampyra<br />

Avonex<br />

Avonex Pen<br />

Copaxone<br />

Namenda<br />

Namenda Titration Pak<br />

Nuedexta<br />

Orap<br />

Rebif<br />

Rebif Titration Pack<br />

Savella<br />

Xenazine<br />

Xyrem<br />

2l


NON PREFERRED<br />

Antabuse<br />

Aricept<br />

Aricept Odt<br />

Aubagio<br />

Betaseron<br />

Campral<br />

Exelon<br />

Extavia<br />

Gilenya<br />

Gralise<br />

Gralise Starter<br />

Horizant<br />

Razadyne<br />

Razadyne Er<br />

Sarafem<br />

Savella Titration Pack<br />

Symbyax<br />

NEUROMUSCULAR AGENTS<br />

PREFERRED BRAND<br />

Rilutek<br />

NON PREFERRED<br />

Anectine<br />

Botox<br />

Dysport<br />

Myobloc<br />

Quelicin<br />

Quelicin 1000<br />

Xeomin<br />

MUSCULOSKELETAL AGENTS<br />

GENERIC<br />

bacl<strong>of</strong>en<br />

carisoprodol<br />

carisoprodol/aspirin<br />

carisoprodol/aspirin/codeine<br />

chlorzoxazone<br />

cyclobenzaprine hcl<br />

cyclobenzaprine hcl er<br />

dantrolene sodium<br />

ed bacl<strong>of</strong>en<br />

Metaxalone<br />

methocarbamol<br />

orphenadrine citrate<br />

orphenadrine citrate er<br />

orphenadrine compound ds<br />

orphenadrine/asa/caffeine<br />

tizanidine hcl<br />

NON PREFERRED<br />

Amrix<br />

Cyclobenzaprine Comfort Pac<br />

Dantrium<br />

Fexmid<br />

Flexeril<br />

Lorzone<br />

Norflex<br />

Parafon Forte Dsc<br />

Prazolamine<br />

Robaxin<br />

Robaxin-750<br />

Skelaxin<br />

Soma<br />

<strong>The</strong>rabenzaprine-60<br />

<strong>The</strong>rabenzaprine-90<br />

<strong>The</strong>rabenzaprine-90-5<br />

Tizanidine Comfort Pac<br />

Zanaflex<br />

Effective January 1, 2013<br />

ANTIMYASTHENIC AGENTS<br />

GENERIC<br />

Guanidine Hcl<br />

neostigmine methylsulfate<br />

pyridostigmine bromide<br />

PREFERRED BRAND<br />

Mestinon Timespan<br />

Prostigmin<br />

NON PREFERRED<br />

Enlon<br />

Mestinon<br />

Mytelase<br />

Regonol<br />

ANTI-INFECTIVES<br />

GENERIC.<br />

ak-poly-bac<br />

bacitracin<br />

bacitracin/polymyxin b<br />

cipr<strong>of</strong>loxacin hcl<br />

erythromycin<br />

garamycin<br />

gentak<br />

gentamicin sulfate<br />

ilotycin<br />

lev<strong>of</strong>loxacin<br />

neo-polycin<br />

neomycin/bacitracin/polymyxin<br />

neomycin/polymyxin/bacitracin zinc<br />

neomycin/polymyxin/gramicidin<br />

<strong>of</strong>loxacin<br />

polycin b<br />

Polymyxin B Sulfate/trimethoprim Sulfate<br />

romycin<br />

sodium sulfacetamide<br />

sulfacetamide sodium<br />

tobramycin sulfate<br />

tobrasol<br />

Trifluridine<br />

trimethoprim sulfate/polymyxin b sulfate<br />

PREFERRED BRAND<br />

Besivance<br />

Ciloxan<br />

Moxeza<br />

Natacyn<br />

Vigamox<br />

Zymaxid<br />

NON PREFERRED<br />

Azasite<br />

Betadine Ophthalmic Prep<br />

Bleph-10<br />

Iquix<br />

Mitosol<br />

Neosporin<br />

Ocuflox<br />

Polytrim<br />

Quixin<br />

Tobrex<br />

Viroptic<br />

Zirgan<br />

ARTIFICIAL TEAR/LUBRICANT<br />

PREFERRED BRAND<br />

Lacrisert<br />

BETA-BLOCKERS<br />

GENERIC<br />

betaxolol hcl<br />

22


carteolol hcl<br />

dorzolamide hcl/timolol maleate<br />

levobunolol hcl<br />

Metipranolol<br />

timolol maleate<br />

Timolol Maleate Ophthalmic Gel Forming<br />

PREFERRED BRAND<br />

Betoptic-s<br />

Combigan<br />

NON PREFERRED<br />

Betagan<br />

Betimol<br />

Cosopt<br />

Cosopt Pf<br />

Istalol<br />

Optipranolol<br />

Timoptic<br />

Timoptic Ocudose<br />

Timoptic-xe<br />

OPHTHALMIC STEROIDS<br />

GENERIC<br />

dexamethasone sodium phosphate<br />

fluor-op<br />

Fluorometholone<br />

neomycin/polymyxin/bacitracin/hyd rocortisone<br />

neomycin/polymyxin/dexamethasone<br />

neomycin/polymyxin/hydrocortisone<br />

poly-dex<br />

Prednisolone Acetate<br />

prednisolone sodium phosphate<br />

sulfacetamide sodium/prednisolone sodium phosphate<br />

tobramycin/dexamethasone<br />

PREFERRED BRAND<br />

Alrex<br />

Blephamide S.o.p.<br />

Durezol<br />

Fml<br />

Lotemax<br />

Pred Mild<br />

Tobradex St<br />

Zylet<br />

NON PREFERRED<br />

Blephamide<br />

Flarex<br />

Fml Forte<br />

Fml Liquifilm<br />

Maxidex<br />

Maxitrol<br />

Omnipred<br />

Poly-pred<br />

Pred Forte<br />

Pred-g<br />

Pred-g S.o.p.<br />

Tobradex<br />

Vexol<br />

PROSTAGLANDINS<br />

GENERIC<br />

latanoprost<br />

PREFERRED BRAND<br />

Lumigan<br />

Travatan Z<br />

NON PREFERRED<br />

Xalatan<br />

Zioptan<br />

CYCLOPLEGIC MYDRIATICS<br />

Effective January 1, 2013<br />

GENERIC<br />

ak-pentolate<br />

atropine sulfate<br />

atropine-care<br />

cyclopentolate hcl<br />

cylate<br />

homatropaire<br />

homatropine hbr<br />

mydral<br />

tropicamide<br />

NON PREFERRED<br />

Cyclogyl<br />

Cyclomydril<br />

Isopto Atropine<br />

Isopto Homatropine<br />

Isopto Hyoscine<br />

Mydriacyl<br />

DECONGESTANTS<br />

GENERIC<br />

MIOTICS<br />

ak-con<br />

altafrin<br />

ne<strong>of</strong>rin<br />

phenylephrine hcl<br />

NON PREFERRED<br />

Mydfrin<br />

GENERIC<br />

pilocarpine hcl<br />

PREFERRED BRAND<br />

Isopto Carbachol<br />

Phospholine Iodide<br />

Pilopine Hs<br />

NON PREFERRED<br />

Isopto Carpine<br />

ADRENERGIC AGENTS<br />

GENERIC<br />

apraclonidine<br />

brimonidine tartrate<br />

NON PREFERRED<br />

Alphagan P<br />

Iopidine<br />

IMMUNOMODULATORS<br />

PREFERRED BRAND<br />

Restasis<br />

LOCAL ANESTHETICS<br />

GENERIC<br />

altacaine<br />

parcaine<br />

proparacaine hcl<br />

tetcaine<br />

tetracaine hcl<br />

tetravisc<br />

tetravisc forte<br />

NON PREFERRED<br />

Akten<br />

Alcaine<br />

OPHTHALMICS - MISC.<br />

GENERIC<br />

akorn balanced salt solution<br />

azelastine hcl<br />

balanced salt solution<br />

bromfenac<br />

cromoiyn sodium<br />

23


dicl<strong>of</strong>enac sodium<br />

dorzolamide hcl<br />

epinastine hcl<br />

flurbipr<strong>of</strong>en sodium<br />

ketorolac tromethamine<br />

PREFERRED BRAND<br />

Acuvail<br />

Azopt<br />

Bromday<br />

Nevanac<br />

Pataday<br />

Patanol<br />

NON PREFERRED<br />

Acular<br />

Acular Ls<br />

Alamast<br />

Alocril<br />

Alomide<br />

Bepreve<br />

Elestat<br />

Emadine<br />

Ilevro<br />

Lastacaft<br />

Ocufen<br />

Optivar<br />

Trusopt<br />

Voltaren<br />

OTIC AGENTS GENERIC<br />

acetasol hc<br />

acetic acid<br />

acetic acid/aluminum acetate<br />

antipyrine/benzocaine<br />

aurax<br />

aurodex<br />

Cipr<strong>of</strong>loxacin<br />

fluocinolone acetonide<br />

hyd rocortisone/acetic acid<br />

myoxin<br />

neomycin/polymyxin/hc<br />

neomycin/polymyxin/hydrocortisone<br />

<strong>of</strong>loxacin<br />

otic care<br />

oticin<br />

otozin<br />

PREFERRED BRAND<br />

Ciprodex<br />

NON PREFERRED<br />

Auralgan<br />

cetraxal<br />

Cipro Hc<br />

Coly-mycin S<br />

Cortisporin<br />

Cortisporin-tc<br />

Cresylate<br />

Dermotic<br />

Neotic<br />

Pinnacaine Otic<br />

Pramotic<br />

Treagan Otic<br />

Trioxin<br />

Vosol<br />

Vosol Hc<br />

Zinotic<br />

Zinotic Es<br />

Effective January 1,2013<br />

ANALGESICS<br />

GENERIC<br />

methylergonovine maleate<br />

Oxytocin<br />

NON PREFERRED<br />

Cervidil<br />

Hemabate<br />

Methergine<br />

Pitocin<br />

Prepidil<br />

Prostin E2<br />

- NONNARCOTIC<br />

GENERIC<br />

all-flex<br />

alpain<br />

anabar<br />

anolor 300<br />

biogesic<br />

bp poly-650<br />

bupap<br />

butal/asa/caff<br />

butalbital compound<br />

butalbital/acetaminophen<br />

butalbital/acetaminophen/caffeine<br />

Butalbital/asa/caffeine<br />

butalbital/aspirin/caffeine<br />

cafgesic forte<br />

capacet<br />

cephadyn<br />

choline magnesium trisalicylate<br />

diflunisal<br />

dologesic<br />

dolorex<br />

duraxin<br />

ed-flex<br />

frenadol<br />

margesic<br />

marten-tab<br />

mst 600<br />

novagesic<br />

promacet<br />

repan<br />

rhin<strong>of</strong>lex<br />

rhin<strong>of</strong>lex-650<br />

salsalate<br />

tencon<br />

zebutal<br />

zflex<br />

zgesic<br />

NON PREFERRED<br />

Acuflex<br />

Alagesic Lq<br />

Bioregesic<br />

Dolgic Plus<br />

Durabac<br />

Durabac Forte<br />

Equagesic<br />

Esgic<br />

Esgic-plus<br />

Fioricet<br />

Fiorinal<br />

Flextra<br />

Flextra Ds<br />

Flextra-650<br />

Lagesic<br />

Levacet<br />

Orbivan<br />

24


Orbivan Cf<br />

Phrenilin Forte<br />

Relagesic<br />

Sedapap<br />

Staflex<br />

ANALGESICS - OPIOID<br />

GENERIC<br />

acetaminophen/caffeine/dihyd rocodeine bitartrate<br />

acetaminophen/codeine<br />

acetaminophen/codeine #2<br />

acetaminophen/codeine #3<br />

acetaminophen/codeine #4<br />

acetaminophen/codeine phosphate<br />

alfentanil<br />

ascomp/codeine<br />

astramorph<br />

buprenorphine hcl<br />

butalbitallacetaminophenlcaffeinelcodeine<br />

butalbital/aspirn/caffeine/codeine<br />

butorphanol tartrate<br />

co-gesic<br />

codeine phosphate<br />

Codeine Sulfate<br />

Duramorph<br />

endocet<br />

Endodan<br />

fentanyl<br />

fentanyl citrate oral transmucosal<br />

hydrocodone bitartrate/acetaminophen<br />

hydrocodone/acetaminophen<br />

hydrocodone/ibupr<strong>of</strong>en<br />

hydrogesic<br />

hydromorphone hcl<br />

hydromorphone hcl dosette<br />

ibudone<br />

levorphanol tartrate<br />

meperidine hcl<br />

meperitab<br />

methadone hcl<br />

Methadose<br />

Methadose Sugar-free<br />

Morphine Sulfate<br />

Morphine Sulfate Er<br />

nalbuphine hcl<br />

oxycodone hcl<br />

oxycodone/acetaminophen<br />

oxycodone/aspirin<br />

oxycodone/ibupr<strong>of</strong>en<br />

oxymorphone hydrochloride<br />

oxymorphone hydrochloride er<br />

pentazocine/acetaminophen<br />

pentazocine/naloxone hcl<br />

stagesic<br />

tramadol hcl<br />

Tramadol Hcl Er<br />

Tramadol Hydrochloride/acetaminophen<br />

trezix<br />

vicodin hp<br />

PREFERRED BRAND<br />

Abstral<br />

Avinza<br />

Butrans<br />

Fentora<br />

Nucynta<br />

Nucynta Er<br />

Opana Er<br />

Opana Er (crush Resistant)<br />

Oxycontin<br />

Effective January l, 2013<br />

Suboxone<br />

NON PREFERRED<br />

Actiq<br />

Alfenta<br />

Buprenex<br />

Capital/codeine<br />

Cocet<br />

Cocet Plus<br />

Conzip<br />

Demerol<br />

Dilaudid<br />

Dilaudid-hp<br />

Dilaudid-5<br />

Dolophine<br />

Dolophine Hcl<br />

Duragesic<br />

Exalgo<br />

Fioricet/codeine<br />

Fiorinal/codeine #3<br />

Hycet<br />

hydrocodone-acetaminophen tab 7.5-750 mg<br />

Hydromorphone<br />

Infumorph 200<br />

Infumorph 500<br />

Kadian<br />

Lazanda<br />

Liquicet<br />

Lorcet Plus<br />

Lorcet 10/650<br />

Lortab<br />

Magnacet<br />

Maxidone<br />

Methadone Hcl Intensol<br />

Morphine<br />

morphine sulfate powder<br />

Morphine/saline<br />

Ms Contin<br />

Ms/hydrogel<br />

Norco<br />

Onsolis<br />

Opana<br />

Oramorph Sr<br />

Oxecta<br />

oxycodone<br />

Percocet<br />

Percodan<br />

Primlev<br />

Reprexain<br />

Roxicet<br />

Roxicodone<br />

Rybix Odt<br />

Ryzolt<br />

Subsys<br />

Subutex<br />

Synalgos-dc<br />

Talwin<br />

<strong>The</strong>racodeine-300<br />

<strong>The</strong>racodophen-low-90<br />

<strong>The</strong>racodophen-325<br />

<strong>The</strong>racodophen-650<br />

<strong>The</strong>racodophen-750<br />

<strong>The</strong>ratramadol-60<br />

<strong>The</strong>ratramadol-90<br />

Tyleno!/codeine #3<br />

Tylenol/codeine #4<br />

Tylox<br />

Ultracet<br />

Ultram<br />

Ultram Er<br />

Vicodin<br />

25


Vicodin Es<br />

Vicopr<strong>of</strong>en<br />

Xodol<br />

Xolox<br />

Zamicet<br />

Zolvit<br />

Zydone<br />

ANTI-INFLAMMATORY<br />

GENERIC<br />

dicl<strong>of</strong>enac potassium<br />

dicl<strong>of</strong>enac sodium dr<br />

dicl<strong>of</strong>enac sodium er<br />

Dicl<strong>of</strong>enac Sodium Xr<br />

dicl<strong>of</strong>enac sodium/misoprostol<br />

etodolac<br />

etodolac er<br />

fenopr<strong>of</strong>en calcium<br />

flurbipr<strong>of</strong>en<br />

ibupr<strong>of</strong>en<br />

indomethacin<br />

indomethacin er<br />

ketopr<strong>of</strong>en<br />

ketopr<strong>of</strong>en er<br />

ketorolac tromethamine<br />

leflunomide<br />

mecl<strong>of</strong>enamate sodium<br />

mefenamic acid<br />

Meloxicam<br />

nabumetone<br />

naproxen<br />

naproxen dr<br />

naproxen sodium<br />

oxaprozin<br />

piroxicam<br />

sulindac<br />

tolmetin sodium<br />

PREFERRED BRAND<br />

Arcalyst<br />

Celebrex<br />

Enbrel<br />

Enbrel Sureclick<br />

Humira<br />

Humira Pen<br />

Humira Pen-crohns Diseasestarter<br />

Humira Pen-psoriasis Starter<br />

Ridaura<br />

Vimovo<br />

NON PREFERRED<br />

Anaprox<br />

Anaprox Ds<br />

Arava<br />

Arthrotec 50<br />

Arthrotec 75<br />

Cataflam<br />

Clinoril<br />

Daypro<br />

Duexis<br />

Ec-naprosyn<br />

Feldene<br />

Ibupr<strong>of</strong>en Comfort Pac<br />

Ic 400<br />

Ic 800<br />

Ilaris<br />

Indocin<br />

Kineret<br />

Meloxicam Comfort Pac<br />

Mobic<br />

Myochrysine<br />

Effective January l, 2013<br />

Nalfon<br />

Naprelan<br />

Naprosyn<br />

Naproxen Comfort Pac<br />

Orencia<br />

Ponstel<br />

Rheumatrex<br />

Simponi<br />

Sprix<br />

<strong>The</strong>rafeldamine<br />

<strong>The</strong>rapr<strong>of</strong>en-60<br />

<strong>The</strong>rapr<strong>of</strong>en-800<br />

<strong>The</strong>rapr<strong>of</strong>en-90<br />

<strong>The</strong>raproxen<br />

<strong>The</strong>raproxen-500<br />

<strong>The</strong>raproxen-60<br />

<strong>The</strong>raproxen-90<br />

Trepadicl<strong>of</strong>en-25<br />

Trepoxen-250<br />

Trepoxicam-7.5<br />

Voltaren-xr<br />

Wound Gel<br />

Xeljanz<br />

Zipsor<br />

MIGRAINE PRODUCTS<br />

GENERIC<br />

dihydroergotamine mesylate<br />

naratriptan hcl<br />

Sumatriptan<br />

sumatriptan succinate<br />

Sumatriptan Succinate Refill<br />

PREFERRED BRAND<br />

Cafergot<br />

Ergomar<br />

Maxalt<br />

Maxalt-mlt<br />

Relpax<br />

Treximet<br />

Zomig<br />

Zomig Zmt<br />

NON PREFERRED<br />

Alsuma<br />

Amerge<br />

Axert<br />

Cambia<br />

D.h.e. 45<br />

Frova<br />

Imitrex<br />

Imitrex Statdose Refill<br />

Imitrex Statdose System<br />

Migergot<br />

Migral<br />

Migrana!<br />

Sumavel Dosepro<br />

GOUT AGENTS GENERIC<br />

AIIopurinol<br />

probenecid<br />

probenecid/colchicine<br />

PREFERRED BRAND<br />

Colcrys<br />

Uloric<br />

NON PREFERRED<br />

Zyloprim<br />

LOCAL ANESTHETICS-INJ<br />

26


GENERIC<br />

bd pudendal/local block tray 1% lidocaine<br />

bupivacaine hcl<br />

Bupivacaine/epinephrine<br />

chloroprocaine hcl<br />

lidocaine hcl<br />

lidocaine/epinephrine<br />

mepivacaine hcl<br />

polocaine<br />

polocaine-mpf<br />

sensorcaine<br />

sensorcaine-mpf<br />

sensorcaine/epinephrine<br />

tetracaine hcl<br />

NON PREFERRED<br />

Argyle Pneumothorax Procedure Tray/8fr<br />

Carbocaine<br />

Duocaine<br />

Durasafe Spinal/epidural Tray/1% Xylocaine/19gx36"close<br />

Cath<br />

Durasafe Spinal/epidural Tray/l% Xylocaine/19gx36"open<br />

Cath<br />

Durasafe Spinal/epidural Tray/1% Xylocaine/20gx36"close<br />

Cath<br />

Durasafe Spinal/epidural Tray/1% Xylocaine/20gx36"open<br />

Cath<br />

Exparel<br />

Lets Kit<br />

Marcaine<br />

Marcaine W/o Epi<br />

Marcaine/epinephrine<br />

Monoject Basic Biopsy Tray Without Biopsy Needle 20gx 1-<br />

1/2"<br />

Monoject Bone Marrow Aspiration Tray/iliac Needle 16g<br />

Monoject Bone Marrow Aspiration Tray/rosenthal Needle<br />

16gx2"<br />

Monoject Bone Marrow Biopsy Tray/biop Aspir Needle<br />

11 gx4"<br />

Monoject Bone Marrow Biopsy Tray/biop Aspir Needle<br />

8gx4"<br />

Monoject Bone Marrow Biopsy Tray/biop Aspir/iliac Aspir<br />

Ndle<br />

Naropin<br />

Nesacaine<br />

Nesacaine-mpf<br />

Pontocaine<br />

Pontocaine Niphanoid<br />

Sensorcaine-mpf/epinephrine<br />

Xylocaine<br />

Xylocaine-mpf<br />

Xylocaine-mpf/epinephrine<br />

Xylocaine/epinephrine<br />

ANTIHISTAMINES<br />

GENERIC<br />

arbinoxa<br />

bpm<br />

bromax<br />

brompheniramine tannate<br />

bromspiro<br />

carbinoxamine maleate<br />

cetirizine hcl<br />

clemastine fumarate<br />

cyproheptadine hcl<br />

desloratadine<br />

dexchlorpheniramine maleate<br />

dexchlorpheniramine maleate cr<br />

diphenhydramine hcl<br />

dytuss<br />

fex<strong>of</strong>enadine hcl<br />

Effective January l, 2013<br />

levocetirizine dihydrochloride<br />

Iohist-12<br />

phenadoz<br />

promethazine hcl<br />

promethazine hcl plain<br />

promethegan<br />

respa-br<br />

respivent df<br />

respivent df 30<br />

PREFERRED BRAND<br />

Clarinex Reditabs<br />

NON PREFERRED<br />

Aerohist<br />

Ahist<br />

Ala-hist<br />

Allerx Df<br />

Allerx Df 30<br />

Clarinex<br />

Doxytex<br />

Ed Chlorped<br />

Ed-chlor-tan<br />

Lodrane 24<br />

Palgic<br />

Phenergan<br />

Phenergan For[is<br />

Ryneze<br />

Vazol<br />

Xyzal<br />

NASAL AGENTS GENERIC<br />

azelastine hcl<br />

flunisolide<br />

fluticasone propionate<br />

ipratropium bromide<br />

triamcinolone acetonide<br />

PREFERRED BRAND<br />

Astepro<br />

Nasonex<br />

Qnasl<br />

Rhinocort Aqua<br />

Veramyst<br />

NON PREFERRED<br />

Adrenalin<br />

Astelin<br />

Atrovent<br />

Bactroban Nasal<br />

Beconase Aq<br />

Dymista<br />

Flonase<br />

Lusonal<br />

Nasacort Aq<br />

Omnaris<br />

Patanase<br />

Tyzine<br />

Tyzine Pediatric Nasal Drops<br />

Zetonna<br />

COUGH/COLD/ALLERGY<br />

GENERIC<br />

acetylcysteine<br />

airac<strong>of</strong><br />

albatussin nn<br />

alenaze-d<br />

alenaze-d nr<br />

balacall dm<br />

benzonatate<br />

bidhist-d<br />

biotuss<br />

27


iotuss pediatric<br />

bpm pseudo<br />

bromatan plus<br />

bromfed dm<br />

centergy<br />

centergy dm<br />

ceron-dm<br />

chlor-mes d<br />

chlor-mes jr<br />

coldec dm<br />

dacex-dm<br />

de-chlor dm<br />

de-chlor dr<br />

dehistine<br />

despec-exp<br />

dex-tuss<br />

dextromethorphan hbr/chlorpheniramine/phenylephrine hcl<br />

dextromethorphan hbr/phenylephrine hcl/chlorpheniramine<br />

dihydro-cp<br />

dihydro-pe<br />

dm-pe-chlor<br />

ed-a-hist dm<br />

entre-b<br />

exefen-ir<br />

expectuss<br />

g/P<br />

gani-tuss dm nr<br />

gani-tuss nr<br />

ganidin-nr<br />

genexa la<br />

gentex Iq<br />

gfn 1200/dm 60<br />

gfn 550/pse 60<br />

guaifenesin/phenylephrinehcl<br />

hdc dm<br />

hydrocodone bitartrate/homatropine methylbromide<br />

hydrocodone polistirex and chlorpheniramine polistirex<br />

hydrocodone/homatropine<br />

hydromet<br />

indamix dm<br />

kgs-pe<br />

Iohist-12d<br />

myci-gc<br />

myhist-pd<br />

mytussin ac<br />

nasohist<br />

neutrahist<br />

nohist<br />

nohist dmx<br />

nortuss-de<br />

nortuss-ex<br />

p chlor dm<br />

pe-guai<br />

phenylephrine/guaifenesin<br />

promethazine vc<br />

promethazine vc plain<br />

promethazine vc/codeine<br />

promethazine-dm<br />

promethazine/codeine<br />

promethazine/dextromethorphan<br />

protid<br />

pulmari-gp<br />

r-tanna<br />

r-tanna pediatric<br />

relacon-dm nr<br />

relasin dm<br />

relc<strong>of</strong> pse<br />

relera<br />

resperal-dm<br />

respivent-d<br />

Effective January 1, 2013<br />

rinate pediatric<br />

robafen ac<br />

romilar ac<br />

ru-hist forte<br />

ru-tuss<br />

simuc-gp<br />

sodium chloride<br />

sudahist<br />

sudatex-dm<br />

sutan-dm<br />

tannihist-12 rf<br />

tgq 15dm/5peh/2cpm<br />

tgq 30pse/150gfn/15dm<br />

tgq 30pse/3brm/15dm<br />

tgq 50pse/3brm/30dm<br />

tgq 7.5peh/4brm/15din<br />

tl-dex dm<br />

tl-hist cd<br />

tl-hist cm<br />

trexbrom<br />

tussafed ex<br />

tussigon<br />

v-c<strong>of</strong><br />

v-hist<br />

vazotab<br />

z-dex<br />

z-dex 12d<br />

z-tuss dm<br />

zotex-pe<br />

zotex-12d<br />

PREFERRED BRAND<br />

Clarinex-d 12 Hour<br />

Clarinex-d 24 Hour<br />

Rezira<br />

Tussicaps<br />

Zutripro<br />

NON PREFERRED<br />

Aerokid<br />

Ala-hist D<br />

Alahist Ac<br />

Alahist Dhc<br />

Allerscript<br />

Allerx Dose Pack<br />

Allerx Pe<br />

Allerx-d<br />

AIIfen Cd<br />

AIIfen Cdx<br />

Ambifed Cd<br />

Ambifed Cdx<br />

Ambifed-g Cd<br />

Ambifed-g Cdx<br />

Atuss Ds<br />

C-tan D Plus<br />

Carba-xp<br />

Carbaphen 12<br />

Carbaphen 12 Ped<br />

Carbatuss<br />

Carbatuss-cl<br />

Carbatuss-12<br />

Cenhist<br />

Cgu Wc<br />

Corzall<br />

Corzall Plus<br />

Corzall-pe<br />

Cotab A<br />

Cotab Ax<br />

Cotabflu<br />

Cpb Wc<br />

Dallergy<br />

Dallergy Dm<br />

28


Dallergy Jr<br />

Da!lergy Pe<br />

Dallergy Pse<br />

Dallergy-jr<br />

Decon-a<br />

Deltuss Dmx<br />

Despec-pdc<br />

Donatuss Dc<br />

Donatuss Xp<br />

Donatussin Dm<br />

Drymax<br />

Duraflu<br />

Ed Chlorped D<br />

Ed Dm<br />

Exactuss<br />

Exall<br />

Exall-d<br />

Gentex 30<br />

Gilphex Tr<br />

Giltuss<br />

Giltuss Ped-c<br />

Giltuss Pediatric<br />

Giltuss Tr<br />

Hydroc/apap<br />

hydrocodone 10mg<br />

Hyper-sal<br />

Hypersal<br />

J-col Dhc<br />

J-max Dhc<br />

J-tan D<br />

J-tan D Sr<br />

Lodrane 12d<br />

Lodrane 24d<br />

Maxifed Cd<br />

Maxifed Cdx<br />

Maxifed-g Cd<br />

Maxifed-g Cdx<br />

Maxiflu Cd<br />

Maxiflu Cdx<br />

Maxiphen Cd<br />

Maxiphen Cdx<br />

Nariz<br />

Nasohist Dm<br />

Nasotuss<br />

Nebusal<br />

Neo Dm<br />

Neotuss Plus<br />

Norel Sr<br />

Notuss-ac<br />

Panatuss Dxp<br />

Pediatex Td<br />

Pediatex Tdm<br />

Phena-plus<br />

Phena-s<br />

Phenflu Cd<br />

Phenflu Cdx<br />

Poly Hist Dhc<br />

Poly Hist Nc<br />

Poly Hist Pd<br />

Poly-tussin Dhc<br />

Poly-tussin Ex<br />

Pro-clear<br />

Prohist Cd<br />

Prohist Cf<br />

Prohist Lq<br />

Relhist<br />

Rescon<br />

Rescon-jr<br />

Rescon-mx<br />

Respa-a.r.<br />

Effective January l, 2013<br />

Ru-tuss Dm<br />

Semprex-d<br />

Seradex<br />

Stahist<br />

Suttar-sf<br />

Suttar-2<br />

Tekral<br />

Tessalon<br />

Tessalon Perles<br />

Trispec Dmx<br />

Trispec Dmx Pediatric<br />

Trispec Pse<br />

Trispec Pse Pediatric<br />

Trituss<br />

Tusnel Ped-c<br />

Tussionex Pennkinetic Extended Release<br />

Tusso-c<br />

Tusso-dmr<br />

Tusso-zmr<br />

Vazobid<br />

Vazotan<br />

Z-c<strong>of</strong> I<br />

Zonatuss<br />

Zotex<br />

Zotex -gp<br />

Zotex Pe<br />

Zotex Pediatric<br />

Zotex-c<br />

Zotex-d<br />

Zotex-dm<br />

Zotex-ex<br />

Zotex-g<br />

ANTIASTHMATIC/COPD AGENTS<br />

GENERIC<br />

albuterol sulfate<br />

albuterol sulfate er<br />

aminophylline<br />

budesonide<br />

copd<br />

cromolyn sodium<br />

dg 200<br />

difil-g forte<br />

difil-g 400<br />

dy-g<br />

dyflex-g<br />

dylix<br />

dyphylline gg<br />

dyphylline-gg<br />

epinephrine hcl<br />

ipratropium bromide<br />

ipratropium bromide/albuterol sulfate<br />

jay-phyl<br />

levalbuterol<br />

Levalbuterol Hcl<br />

metaproterenol sulfate<br />

montelukast sodium<br />

terbutaline sulfate<br />

theochron<br />

theophylline<br />

theophylline cr<br />

theophylline er<br />

Zafirlukast<br />

PREFERRED BRAND<br />

Advair Diskus<br />

Advair Hfa<br />

Alvesco<br />

Asmanex 120 Metered Doses<br />

Asmanex 14 Metered Doses<br />

29


Asmanex 30 Metered Doses<br />

Asmanex 60 Metered Doses<br />

Asmanex 7 Metered Doses<br />

Atrovent Hfa<br />

Combivent<br />

Combivent Respimat<br />

Daliresp<br />

Dulera<br />

Elixophyllin<br />

Foradil Aerolizer<br />

Perforomist<br />

Proair Hfa<br />

Pulmicort Flexhaler<br />

Qvar<br />

Serevent Diskus<br />

Spiriva Handihaler<br />

Symbicort<br />

Tudorza Pressair<br />

Ventolin Hfa<br />

NON PREFERRED<br />

Accolate<br />

Accuneb<br />

Adrenalin<br />

Arcapta Neohaler<br />

Broncomar-1<br />

Brondil<br />

Brovana<br />

Dilex-g 200<br />

Dilex-g 400<br />

Duoneb<br />

Ed-bron G<br />

FIovent Diskus<br />

Flovent Hfa<br />

Isuprel<br />

Lufyllin<br />

Maxair Autohaler<br />

Proventil Hfa<br />

Pulmicort<br />

Pulmophylline<br />

Senophylline<br />

Singulair<br />

<strong>The</strong>o-24<br />

Vospire Er<br />

Xolair<br />

Xopenex<br />

Xopenex Concentrate<br />

Xopenex Hfa<br />

Zyflo<br />

Zyflo Cr<br />

RESPIRATORY AGENTS - MISC<br />

PREFERRED BRAND<br />

Kalydeco<br />

Pulmozyme<br />

NON PREFERRED<br />

Curosurf<br />

Infasurf<br />

Survanta Intratracheal<br />

Effective January 1,2013<br />

oÿo]lÿ-ÿJ<br />

GENERIC<br />

decavac<br />

diphtheria/tetanus toxoid pediatric<br />

diphtheria/tetanus toxoids adsorbed pediatric<br />

tetanus toxoid adsorbed<br />

tetanus/diphtheria toxoids-adsorbed adult<br />

PREFERRED BRAND<br />

Adacel<br />

Boostrix<br />

Daptacel<br />

Infanrix<br />

Kinrix<br />

Pediarix<br />

Pentacel<br />

Tenivac<br />

Trihibit<br />

Tripedia<br />

GENERIC<br />

influenza a (hlnl) monovalent 2009<br />

influenza a (hlnl) monovalent 2009 pf<br />

pneumovax 23/1 dose<br />

pneumovax 23/5 dose<br />

yf-vax<br />

PREFERRED BRAND<br />

Acthib<br />

Afluria Pf 2010-2011<br />

Afluria Pf 2011-2012<br />

Afluria Pf 2012-2013<br />

Afluria 2009-2010<br />

Afluria 2011-2012<br />

Afluria 2012-2013<br />

Agriflu 2010-2011<br />

Biothrax<br />

Cervarix<br />

Comvax<br />

Engerix-b<br />

Fluarix 2010-2011<br />

Fluarix 2011-2012<br />

Fluarix 2012-2013<br />

Flucelvax 2012-2013<br />

Flulaval 2010-2011<br />

Flulaval 2011-2012<br />

Flulaval 2012-2013<br />

Flumist Nasal Vaccine 2010-2011<br />

Flumist Nasal Vaccine 2011-2012<br />

Flumist Nasal Vaccine 2012-2013<br />

Fluvirin Pf 2011-2012<br />

Fluvirin Pf 2012-2013<br />

Fluvirin 2010-2011<br />

Fluvirin 2011-2012<br />

Fluvirin 2012-2013<br />

Fluzone High-dose Pf 2010-2011<br />

Fluzone High-dose Pf 2011-2012<br />

Fluzone High-dose Pf 2012-2013<br />

Fluzone Pediatric Pf 2010-2011<br />

Fluzone Pediatric Pf 2011-2012<br />

Fluzone Pediatric Pf 2012-2013<br />

Fluzone Pf 2010-2011<br />

Fluzone Pf 2011-2012<br />

Fluzone Pf 2012-2013<br />

Fluzone Split 2010-2011<br />

Fluzone Split 2011-2012<br />

Fluzone Split 2012-2013<br />

Gardasil<br />

Havrix<br />

Hiberix<br />

Imovax Rabies (h.d.c.v.)<br />

Influenza Vaccine For Safeway Dependants<br />

Ipol Inactivated Ipv<br />

Ixiaro<br />

Je-vax<br />

M-m-r li W/diluent 10 Dose<br />

Menactra<br />

Menhibrix<br />

3O


VITAMINS<br />

Menomune-alclylw-135<br />

Menveo<br />

Pedvax Hib<br />

Prevnar 13<br />

Proquad<br />

Rabavert<br />

Recombivax Hb<br />

Rotarix<br />

Rotateq<br />

Twinrix<br />

Typhim Vi<br />

Vaqta<br />

Varivax<br />

Vivotif Berna<br />

Zostavax<br />

GENERIC<br />

ascor I nc<br />

ascor I 500<br />

ascorbic acid<br />

cenolate<br />

Ergocalciferol<br />

mega-c/a plus<br />

niacin<br />

niacor<br />

ortho-cs 250<br />

phytonadione<br />

pyridoxine hcl<br />

thiamine hcl<br />

vitamin c 222mg<br />

vitamin d<br />

vitamin kl<br />

wheat germ<br />

PREFERRED BRAND<br />

Mephyton<br />

NON PREFERRED<br />

Aquasol A Parenteral<br />

Decara<br />

Drisdol<br />

MULTIVITAMINS GENERIC<br />

b-complex<br />

b-complex 100<br />

b-plex<br />

b-plex plus<br />

biocel<br />

bp folinatal plus b<br />

bp multinatal plus<br />

cavan one omega<br />

cavan prenatal/ec calcium<br />

cavan-ec sod dha<br />

co-natal fa<br />

cod liver oi!<br />

complete natal dha<br />

completenate<br />

corvita<br />

corvite free<br />

dialyvite<br />

elite ob with dha<br />

elite-ob<br />

ferrocite plus<br />

folbecal<br />

folbee plus<br />

folbee plus cz<br />

gentex ade<br />

hematinic plus vitamins/minerals<br />

Effective January 1, 2013<br />

hemocyte-plus<br />

inatal advance<br />

inatal gt<br />

inatal ultra<br />

lysiplex plus<br />

m-vit<br />

macnatal cn dha<br />

m ult-vitamin/fluoride<br />

multi vitamin/fluoride<br />

multi-vit/fluoride<br />

m ulti-vit/iron/fluoride<br />

multi-vitamin/fluoride<br />

multi-vitamin/fluoride/iron<br />

multivitamin with fluoride<br />

m ultivitamin/fluoride<br />

multivitamins/fluoride<br />

mvc-fluoride<br />

mynatal advance<br />

mynatal plus<br />

mynatal ultracaplet<br />

mynatal-z<br />

mynate 90 plus<br />

mynephrocaps<br />

nephronex<br />

neurodep<br />

nicotinamide w/zinc oxide/cupric oxide/folic acid<br />

nicotinamide/zinc oxide/cupric oxide/folic acid<br />

nicotinamide/zinc/copperlfa<br />

nutricap<br />

nutrifac zx<br />

ob-natal one<br />

obstetrix ec<br />

pnv-dha<br />

pnv-select<br />

poly-vitamin/fluoride<br />

poly-vitamin/iron/fluoride<br />

polyvitamin/fluoride<br />

pr natal 400<br />

pr natal 400 ec<br />

pr natal 430<br />

pr natal 430 ec<br />

prenafirst<br />

prenaissance plus<br />

prenaplus<br />

prenatabs fa<br />

prenatabs obn<br />

prenatabs rx<br />

prenatal ad<br />

prenatal low iron<br />

prenatal plus/iron<br />

prenatal 19<br />

prenatal-u<br />

rena-vite rx<br />

renal<br />

renalpren<br />

reno caps<br />

se-care<br />

se-care conceive<br />

se-natal one<br />

se-natal 19<br />

se-natal 90<br />

se-plete dha<br />

se-tan dha<br />

seton et-ec<br />

setonet<br />

siderol<br />

strovite plus<br />

taron ec calcium<br />

taron-ec cal<br />

taron-prex<br />

31


therobec<br />

tl nicotinamide<br />

tri rx<br />

tri-vit/fluoride<br />

tri-vit/fluoride/iron<br />

tri-vitamin/fluoride<br />

tri-vitamin/iron/fluoride<br />

triadvance<br />

tricare<br />

trimesis rx<br />

trinatal rx 1<br />

trinate<br />

triphrocaps<br />

triple-vitamin/fluoride<br />

trust natal dha<br />

ultimatecare one<br />

ultimatecare one nf<br />

ultra tabs<br />

urosex<br />

v-c forte<br />

vic-forte<br />

vinate az<br />

vinate c<br />

vinate care<br />

vinate gt<br />

vinate ic<br />

vinate ii<br />

vinate m<br />

vinate one<br />

vinate pn care<br />

vinate ultra<br />

vita s forte<br />

vita-min<br />

vitacel<br />

vitafol-ob<br />

vitamin b-complex 100<br />

vitamin forte<br />

vitamins a/c/d/fluoride<br />

vitaspire<br />

vol-care rx<br />

Effective January 1,2013<br />

vp-zel<br />

PREFERRED BRAND<br />

Neevo<br />

Neevo Dha<br />

Prefera Ob<br />

Prefera Ob + Dha<br />

Preferaob One<br />

NON PREFERRED<br />

Adrenal C Formula<br />

Advanced Am/pm<br />

Albafort<br />

Ap-zel<br />

Atabex Ec<br />

Atabex Prenatal<br />

B-nexa<br />

Bacmin<br />

Bal-care Dha<br />

Bal-care Dha Essential<br />

Caromega<br />

Cavan-alpha Kit<br />

Cavan-folate Dha<br />

Cavan-folate Ob<br />

Citranatal Assure<br />

Citranatal B-calm<br />

Citranatal Dha<br />

Citranatal Harmony<br />

Citranatal <strong>Rx</strong><br />

Citranata190 Dha<br />

Complete-rf Prenatal<br />

Concept Dha<br />

Concept Ob<br />

Corenate-dha<br />

Corvite<br />

Crnatal<br />

Dialyvite Supreme D<br />

Dialyvite 3000<br />

Dialyvite 5000<br />

Dialyvite/zinc<br />

Diatx Zn<br />

Duet Dha<br />

Duet Dha Balanced<br />

Duet Dha Ec<br />

Elite-ob 400<br />

Escavite<br />

Folcal Dha<br />

Folcaps Omega 3<br />

Folgard Os<br />

Folivane-ec Calcium Dha Nf<br />

Folivane-ob<br />

Folivane-prx Dha Nf<br />

Fortavit<br />

Gesticare Dha<br />

Hemenatal Ob<br />

Hemenatal Ob + Dha<br />

Hemocyte Plus<br />

L-methyifolate Pnv Dha<br />

Lactocal-f<br />

Levomefolate Dha<br />

Levomefolate Pnv<br />

Marnatal-f<br />

Marnatal-f Plus Duo Pack<br />

Maxinate<br />

Multichew<br />

Mykidz Iron FI<br />

Mynatal<br />

Nata Komplete<br />

Natachew<br />

Natafort<br />

Natalvit<br />

Natelle One<br />

Natelle-ez<br />

Nephplex <strong>Rx</strong><br />

Nephro-vite <strong>Rx</strong><br />

Nephrocaps<br />

Nephrocaps Qt<br />

Nestabs<br />

Nestabs Dha<br />

Nexa Plus<br />

Nexa Select<br />

Nicazel<br />

Nicomide<br />

Nutri-tab Ob<br />

Nutri-tab Ob + Dha<br />

Nutrivit<br />

O-cal Fa<br />

O-cal Prenatal<br />

Ob Complete<br />

Ob Complete One<br />

Ob Complete Petite<br />

Ob Complete Premier<br />

Ob Complete With Dha<br />

Ob Complete 400<br />

Ob Complete/dha<br />

Obstetrix Dha<br />

Paire Ob<br />

Pnv Ob+dha<br />

Pnv-dha+docusate<br />

Pnv-omega<br />

Pnv-total<br />

Poly-vi-flor<br />

32


VITAMINS<br />

Menomune-a/c/y/w-135<br />

Menveo<br />

Pedvax Hib<br />

Prevnar 13<br />

Proquad<br />

Rabavert<br />

Recombivax Hb<br />

Rotarix<br />

Rotateq<br />

Twinrix<br />

Typhim Vi<br />

Vaqta<br />

Varivax<br />

Vivotif Berna<br />

Zostavax<br />

GENERIC<br />

ascor I nc<br />

ascor I 500<br />

ascorbic acid<br />

cenolate<br />

Ergocalciferol<br />

mega-c/a plus<br />

niacin<br />

niacor<br />

ortho-cs 250<br />

phytonadione<br />

pyridoxine hcl<br />

thiamine hcl<br />

vitamin c 222mg<br />

vitamin d<br />

vitamin kl<br />

wheat germ<br />

PREFERRED BRAND<br />

Mephyton<br />

NON PREFERRED<br />

Aquasol A Parenteral<br />

Decara<br />

Drisdol<br />

MULTIVITAMINS GENERIC<br />

b-complex<br />

b-complex 100<br />

b-plex<br />

b-plex plus<br />

biocel<br />

bp folinatal plus b<br />

bp multinatal plus<br />

cavan one omega<br />

cavan prenatal/ec calcium<br />

cavan-ec sod dha<br />

co-natal fa<br />

cod liver oil<br />

complete natal dha<br />

completenate<br />

corvita<br />

corvite free<br />

dialyvite<br />

elite ob with dha<br />

elite-ob<br />

ferrocite plus<br />

folbecal<br />

folbee plus<br />

folbee plus cz<br />

gentex ade<br />

hematinic plus vitamins/minerals<br />

Effective January 1, 2013<br />

hemocyte-plus<br />

inatal advance<br />

inatal gt<br />

inatal ultra<br />

lysiplex plus<br />

m-vit<br />

macnatal cn dha<br />

m ult-vitamin/fluoride<br />

multi vitamin/fluoride<br />

multi-vit/fluoride<br />

m ulti-vit/iron/fluoride<br />

m ulti-vitamin/fluoride<br />

m ulti-vitamin/fluoride/iron<br />

multivitamin with fluoride<br />

m ultivitamin/fluoride<br />

multivitamins/fluoride<br />

mvc-fluoride<br />

mynatal advance<br />

mynatal plus<br />

mynatal ultracaplet<br />

mynatal-z<br />

mynate 90 plus<br />

mynephrocaps<br />

nephronex<br />

neurodep<br />

nicotinamide w/zinc oxide/cupric oxide/folic acid<br />

nicotinamide/zinc oxide/cupric oxide/folic acid<br />

nicotinamide/zinc/copper/fa<br />

nutricap<br />

nutrifac zx<br />

ob-natal one<br />

obstetrix ec<br />

pnv-dha<br />

pnv-select<br />

poly-vitamin/fluoride<br />

poly-vitamin/iron/fluoride<br />

polyvitamin/fluoride<br />

pr natal 400<br />

pr natal 400 ec<br />

pr natal 430<br />

pr natal 430 ec<br />

prenafirst<br />

prenaissance plus<br />

prenaplus<br />

prenatabs fa<br />

prenatabs obn<br />

prenatabs rx<br />

prenatal ad<br />

prenatal low iron<br />

prenatal plus/iron<br />

prenatal 19<br />

prenatal-u<br />

rena-vite rx<br />

renal<br />

renalpren<br />

reno caps<br />

se-care<br />

se-care conceive<br />

se-natal one<br />

se-natal 19<br />

se-natal 90<br />

se-plete dha<br />

se-tan dha<br />

seton et-ec<br />

setonet<br />

siderol<br />

strovite plus<br />

taron ec calcium<br />

taron-ec cal<br />

taron-prex<br />

31


therobec<br />

tl nicotinamide<br />

tri rx<br />

tri-vit/fluoride<br />

tri-vit/fluoride/iron<br />

tri-vitamin/fluoride<br />

tri-vitamin/iron/fluoride<br />

triadvance<br />

tricare<br />

trimesis rx<br />

trinatal rx 1<br />

trinate<br />

triphrocaps<br />

triple-vitamin/fluoride<br />

trust natal dha<br />

ultimatecare one<br />

ultimatecare one nf<br />

ultra tabs<br />

urosex<br />

v-c forte<br />

vic-forte<br />

vinate az<br />

vlnate c<br />

vlnate care<br />

vinate gt<br />

wnate ic<br />

vmate ii<br />

vinate m<br />

vinate one<br />

vinate pn care<br />

vinate ultra<br />

vita s forte<br />

vita-min<br />

vitacel<br />

vitafol-ob<br />

vitamin b-complex 100<br />

vitamin forte<br />

vitamins alcldlfluoride<br />

vitaspire<br />

vol-care rx<br />

Effective January 1, 2013<br />

vp-zel<br />

PREFERRED BRAND<br />

Neevo<br />

Neevo Dha<br />

Prefera Ob<br />

Prefera Ob + Dha<br />

Preferaob One<br />

NON PREFERRED<br />

Adrenal C Formula<br />

Advanced Am/pm<br />

Albafort<br />

Ap-zel<br />

Atabex Ec<br />

Atabex Prenatal<br />

B-nexa<br />

Bacmin<br />

Bal-care Dha<br />

Bal-care Dha Essential<br />

Caromega<br />

Cavan-alpha Kit<br />

Cavan-folate Dha<br />

Cavan-folate Ob<br />

Citranatal Assure<br />

Citranatal B-calm<br />

Citranatal Dha<br />

Citranatal Harmony<br />

Citranatal <strong>Rx</strong><br />

Citranatal 90 Dha<br />

Complete-rf Prenatal<br />

Concept Dha<br />

Concept Ob<br />

Corenate-dha<br />

Corvite<br />

Crnatal<br />

Dialyvite Supreme D<br />

Dialyvite 3000<br />

Dialyvite 5000<br />

Dialyvite/zinc<br />

Diatx Zn<br />

Duet Dha<br />

Duet Dha Balanced<br />

Duet Dha Ec<br />

Elite-ob 400<br />

Escavite<br />

Folcal Dha<br />

Folcaps Omega 3<br />

Folgard Os<br />

Folivane-ec Calcium Dha Nf<br />

Folivane-ob<br />

Folivane-prx Dha Nf<br />

Fortavit<br />

Gesticare Dha<br />

Hemenatal Ob<br />

Hemenatal Ob + Dha<br />

Hemocyte Plus<br />

L-methylfolate Pnv Dha<br />

Lactocal-f<br />

Levomefolate Dha<br />

Levomefolate Pnv<br />

Marnatal-f<br />

Marnatal-f Plus Duo Pack<br />

Maxinate<br />

Multichew<br />

Mykidz Iron FI<br />

Mynatal<br />

Nata Komplete<br />

Natachew<br />

Natafort<br />

Natalvit<br />

Natelle One<br />

Natelle-ez<br />

Nephplex <strong>Rx</strong><br />

Nephro-vite <strong>Rx</strong><br />

Nephrocaps<br />

Nephrocaps Qt<br />

Nestabs<br />

Nestabs Dha<br />

Nexa Plus<br />

Nexa Select<br />

Nicazel<br />

Nicomide<br />

Nutri-tab Ob<br />

Nutri-tab Ob + Dha<br />

Nutrivit<br />

O-cal Fa<br />

O-cal Prenatal<br />

Ob Complete<br />

Ob Complete One<br />

Ob Complete Petite<br />

Ob Complete Premier<br />

Ob Complete With Dha<br />

Ob Complete 400<br />

Ob Complete/dha<br />

Obstetrix Dha<br />

Paire Ob<br />

Pnv Ob+dha<br />

Pnv-dha+docusate<br />

Pnv-omega<br />

Pnv-total<br />

Poly-vi-flor<br />

32


Poly-vMIor/iron<br />

Prenaissance<br />

Prenaissance Balance<br />

Prenaissance Harmony Dha<br />

Prenaissance Next<br />

Prenata<br />

Prenatal Mv & Min/fe-fa-dha<br />

Prenatal Plus<br />

Prenatal Plus Iron<br />

Prenatal Vitamins Plus<br />

Prenate Dha<br />

Prenate Elite<br />

Prenate Essential<br />

Prenate Mini<br />

Prenal Chew/quatrefolic<br />

Prenal Plus/quatrefolic<br />

Prenal/quatrefolic<br />

Prenexa<br />

Preque 10<br />

Promar<br />

Protect Cardio<br />

Protect Plus<br />

Protect Plus Nr<br />

Protectbone<br />

Protectiron<br />

Protectnatal<br />

Purefe Ob Plus<br />

Reaphirm<br />

Relnate Dha<br />

Renatabs<br />

Renatabs With Iron<br />

Renax<br />

Renax 5.5<br />

Req 49+<br />

Select-ob<br />

Select-ob+dha<br />

Senetonic<br />

Strovite<br />

Strovite Advance<br />

Strovite Forte<br />

Strovite One<br />

Supervite<br />

Supervite Ec<br />

Support<br />

Support-500<br />

Synagex<br />

Synatek<br />

Tandem Dha<br />

Tandem Ob<br />

Taron-bc<br />

Taron-c Dha<br />

Taron-duo Ec<br />

TI G-fol Os<br />

TI-assure One<br />

TI-assure+dha<br />

TI-fluorivite<br />

TI-select<br />

TI-select Dha<br />

Tri-vi-flor<br />

Tri-vi-floro<br />

Tri-zel<br />

Tricare Dha 301<br />

Tricare Prenatal Dha One<br />

Trinatal Gt<br />

Trinatal Ultra<br />

Triveen-duo Dha<br />

Triveen-one<br />

Triveen-prx Rnf<br />

Triveen-ten<br />

Triveen-u<br />

Effective January 1, 2013<br />

Udamin<br />

Udamin Sp<br />

Ultimate Ob Dha<br />

Ultimatecare Advantage<br />

Ultimatecare Combo<br />

V-natal<br />

V-natal Dha<br />

Vemavite-prx 2<br />

Vena-bal Dha<br />

Venatal Complete Dha<br />

Venatal-fa<br />

Vinacal<br />

Vinate Az Extra<br />

Vinate Calcium<br />

Vinate Dha<br />

Virt-bal Dha<br />

Virt-bal Dha Plus<br />

Virt-pn<br />

Virt-pn Dha<br />

Virt-select<br />

Vita-pren<br />

Vitafol<br />

Vitafol-ob+dha<br />

Vitafol-one<br />

Vitafol-plus<br />

Vitafol-pn<br />

Vitaject<br />

Vital-d <strong>Rx</strong><br />

Vitamax Pediatric<br />

Vitamedmd One <strong>Rx</strong>/quatrefolic<br />

Vitamedmd Plus <strong>Rx</strong>/quatre Folic<br />

Vitamedmd Redichew <strong>Rx</strong>/quatrefolic<br />

Vitaroca Plus<br />

Viva Ct Prenatal<br />

Viva Dha<br />

Vol-nate<br />

Vol-plus<br />

Vol-tab <strong>Rx</strong><br />

Vp-ch-pnv<br />

Vp-era Ob Plus<br />

Vp-ggr-b6 Prenatal<br />

Vp-pnv-dha<br />

Zatean-ch<br />

Zatean-pn<br />

Zatean-pn Dha<br />

Zatean-pn Plus<br />

Zingiber<br />

DIABETIC SUPPLIES<br />

PREFERRED BRAND<br />

Accu-chek Active Strips<br />

Accu-chek Advantage Diabetes Care Kit<br />

Accu-chek Aviva<br />

Accu-chek Aviva Plus<br />

Accu-chek Comfort Curve Test Strips<br />

Accu-chek Compact Plus Care Kit<br />

Accu-chek Compact Strips<br />

Accu-chek Compact Test Drum<br />

Accu-chek Fastclix Lancets<br />

Accu-chek Multiclix Lancets<br />

Accu-chek Nano Smartview<br />

Accu-chek Safe-t-pro Lancets<br />

Accu-chek Safe-t-pro Pluslancets<br />

Accu-chek Smartview Strips<br />

Accu-chek S<strong>of</strong>t Touch Lancets<br />

Accu-chek S<strong>of</strong>tclix Lancets<br />

Acti-lance Lancets 28g<br />

Acti-lance Lite Safety Lancets 28g<br />

33


Effective January l, 2013<br />

Acti-lance Special Safety Lancets 17g<br />

Acti-lance Special Safetylancets 17g<br />

Acti-lance Universal Safety Lancets 23g<br />

Advocate Lancets<br />

Advocate Safety Lancets<br />

Af Lancets Super Thin<br />

Agamatrix Ultra-thin Lancets 33g<br />

Assure Haemolance Plus High Flow 18g<br />

Assure Haemolance Plus Low Flow 25g<br />

Assure Haemolance Plus Micro Flow 28g<br />

Assure Haemolance Plus Normal Flow 21g<br />

Assure Haemolance Plus Pediatric Blade<br />

Assure Lance Lancets<br />

Assure Lancets<br />

At Last Lancets<br />

Aurora Healthcare Lancets<br />

Aurora Lancet Super Thin 30g<br />

Aurora Lancet Thin 23g<br />

Bayer Microlet Lancets<br />

Bd Insulin Syringe Luer-loldu-100/1 ml<br />

Bd Insulin Syringe Micr<strong>of</strong>ine Iv/u-100/0.3ml/28g X 1/2"<br />

Bd Insulin Syringe Micr<strong>of</strong>ine Iv/u-100/0.5ml/28g X 1/2"<br />

Bd Insulin Syringe Micr<strong>of</strong>ine Iv/u-100/1 ml/27g X 5/8"<br />

Bd Insulin Syringe Micr<strong>of</strong>ine Iv/u-100/1 ml/28g X 1/2"<br />

Bd Insulin Syringe Micr<strong>of</strong>ine/u-100/0.3ml/28g X 1/2"<br />

Bd Insulin Syringe Micr<strong>of</strong>ine/u-100/0.5ml/28g X 1/2"<br />

Bd Insulin Syringe Micr<strong>of</strong>ine/u-100/1ml/27g X 5/8"<br />

Bd Insulin Syringe Micr<strong>of</strong>ine/u-100/1 m!/28g X 1/2"<br />

Bd Insulin Syringe Safetyglide/u-100/0.3ml/31g X 5/16"<br />

Bd Insulin Syringe Safetyglide/0.5ml/29g X 1/2"<br />

Bd Insulin Syringe Safetyglide/1 ml/29g X 1/2"<br />

Bd Insulin Syringe Slip Tip/u-100/1 ml<br />

Bd Insulin Syringe U-40/1ml/25g X 5/8"<br />

Bd Insulin Syringe Ultrafine Half-unit/0.3ml/31g X 5/16"<br />

Bd Insulin Syringe Ultrafine lilshortJO.5ml/31g X 5/16"<br />

Bd Insulin Syringe Ultrafine li/short/1ml/31g X 5/16"<br />

Bd Insulin Syringe Ultrafine/u-100/0.3ml/29g X 1/2"<br />

Bd Insulin Syringe Ultrafine/u-100/0.5ml/29g X 1/2"<br />

Bd Insulin Syringe Ultrafine/u-100/1 ml/29g X 1/2"<br />

Bd Insulin Syringe Ultrafine/u-100/1 ml/30g X 1/2"<br />

Bd Insulin Syringe Ultrafine/0.3ml/30g X 1/2"<br />

Bd Insulin Syringe Ultrafine/0.3ml/31g X 5/16"<br />

Bd Insulin Syringe Ultrafine/0.5ml/30g X 1/2"<br />

Bd Insulin Syringe Ultrafine/0.5ml/31g X 5/16"<br />

Bd Insulin Syringe Ultrafine/lml/30g X 1/2"<br />

Bd Insulin Syringe Ultrafine/1 ml/31g X 5/16"<br />

Bd Insulin Syringe/detachable Needle/u-100/1 m!/25g X 1"<br />

Bd Insulin Syringe/detachable Needle/u-100/1 ml/25g X<br />

5/8"<br />

Bd Insulin Syringe/detachable Needle/u-100/1 ml/26g X<br />

1/2"<br />

Bd Insulin Syringe/u-100/0.5ml/30g X 1/2"<br />

Bd Insulin Syringe/u-100/1ml/27g X 1/2"<br />

Bd Insulin Syringe/u-100/1ml/28g X 1/2"<br />

Bd Insulin Syringe/u-100/2ml/27.5g X 5/8"<br />

Bd Insulin Syringe/u-100/2ml/29g X 1/2"<br />

Bd Lancet Ultrafine 30g<br />

Bd Lancet Ultrafine 33g<br />

Bd Microtainer Lancets<br />

Bullseye Mini Safety Lancets<br />

Bullseye Safety Lancets<br />

Careone Lancet Thin<br />

Careone Lancet Ultra Thin<br />

Cleanlet Lancets 28g<br />

Clever Chek Lancets Ultrathin<br />

Clever Chek Lancets Uitrathin 30g<br />

Coaguchek Lancets<br />

Comfort Assured Lancets Micro Thin 33g<br />

Comfort Assured Lancets Super Thin 28g<br />

Comfort Lancets<br />

Cvs Lancets Micro Thin 33g<br />

Cvs Lancets Original<br />

Cvs Lancets Thin<br />

Cvs Lancets Thin 26g<br />

Cvs Lancets Ultra Thin 30g<br />

Cvs Lancets 21g<br />

Cvs Ultra Thin Lancets<br />

Diastar Easy Test li Lancets 30g<br />

Diastar Easy Test Lancets30g<br />

Droplet Lancets Ultra Thin 30g<br />

Drug Mart Lancets Thin<br />

Drug Mart Lancets Ultra Thin<br />

Drug Mart Unilet Lancets Super Thin 30g<br />

Drug Mart Unilet Lancets Ultra Thin 28g<br />

Duane Reade Lancet Alternate Site 26g<br />

Duane Reade Lancet Super Thin 30g<br />

Duane Reade Lancet Ultra Thin 28g<br />

E-z Ject Lancets<br />

E-z Ject Lancets Color<br />

E-z Ject Lancets Super Thin<br />

E-z Ject Lancets Super Thin 30g<br />

E-z Ject Lancets Thin 26g<br />

E-z Ject Lancets 21g<br />

E-zject Lancets Micro-thin 33g<br />

Easy Comfort Lancets<br />

Easy Touch Lancets<br />

Easytest li Lancets<br />

Easytest Lancets<br />

Eql Color Lancets 21g<br />

Eql Super Thin Lancets 30g<br />

Eql Thin Lancets 26g<br />

Ez Smart Blood Glucose Lancets<br />

Ez-lets Lancets 21g<br />

Ez-lets Lancets 23g<br />

Ez-lets Lancets 26g Super-s<strong>of</strong>t<br />

Ez-lets Lancets 28g Ultra-s<strong>of</strong>t<br />

Ez-lets Lancets 30g<br />

Fasttake Test Strips<br />

Fifty50 Safety Seal Lancets 30g<br />

Fifty50 Safety Seat Lancets 32g<br />

Fine 30<br />

Fingerstix Lancets<br />

Fora Lancets<br />

Freestyle Lancets<br />

Freestyle Unistick li Lancets<br />

Gentle-let Gp Lancets<br />

Gentle-let Lancets General Purpose Style/fine Point<br />

Gentle-let Lancets General Purpose Style/medium Point<br />

Gentle-let Lancets Safety Style/fine Point<br />

Gentle-let Lancets Safety Style/medium Point<br />

Global Inject Ease Lancets 28g<br />

Global Inject Ease Lancets 30g<br />

Glucocom Lancets 28g<br />

Glucocom Lancets 30g<br />

Glucocom Lancets 33g<br />

Glucosource Lancets<br />

Gnp Lancets<br />

Gnp Lancets Micro Thin 33g<br />

Gnp Lancets Super Thin 30g<br />

Gnp Lancets Thin<br />

Gnp Lancets Thin 26g<br />

Gnp Lancets 21g<br />

Gnp Micro Thin Lancets 33g<br />

Gnp Super Thin Lancets/30g<br />

H&h Thinlet Lancets 26g<br />

H&h Thinlet Super Thin Lancets 30g<br />

H-e-b Incontrol Lancets Super Thin 30g<br />

H-e-b Incontrol Lancets Ultra Thin 28g<br />

Haemolance<br />

Haemolance Low Flow Lancets<br />

Haemolance Plus<br />

34


Effective January 1,2013<br />

Haemolance Plus High Flow<br />

Haemolance Plus Low Flow<br />

Haemolance Plus Max Flow<br />

Haemolance Plus Pediatric Flow<br />

Healthwise Lancets 30g<br />

Healthy Accents Unilet Lancets Super Thin 30g<br />

Hm Lancets Micro Thin 33g<br />

Hm Lancets Ultra Thin 30g<br />

Hy-vee Lancets<br />

Hy-vee Thin Lancets<br />

Keep Fit Lancets 28g/twist<br />

Keep Fit Lancets 30g/twist<br />

Keep Fit Lancets 32g/twist<br />

Keep Fit Lancets 33g/twist<br />

Keep Fit Safety Lancets 21g/pressure Activated<br />

Keep Fit Safety Lancets 23g/pressure Activated<br />

Keep Fit Safety Lancets 26g/button Activated<br />

Keep Fit Safety Lancets 26g/pressure Activated<br />

Keep Fit Safety Lancets 28g/button Activated<br />

Keep Fit Safety Lancets 28g/pressure Activated<br />

Kinney Lancets<br />

Kinney Thin Lancets<br />

Kroger Lancets<br />

Kroger Lancets Micro Thin33g<br />

Kroger Lancets Super Thin<br />

Kroger Lancets Thin<br />

Kroger Lancets Thin 26g<br />

Kroger Lancets Ultrathin 30g<br />

Kroger Lancets 21g<br />

Lady Lite Lancets<br />

Lancets Thin<br />

Lancets Ultra Thin<br />

Lancets Ultra Thin 30g<br />

Leader Lancets Colored<br />

Leader Super Thin Lancet<br />

Leader Thin Lancets<br />

Lifescan Unistik li Lancets<br />

Lifescan Unistik 2 Deep Penetration<br />

Lite Touch Lancets<br />

Live Better Lancet Super Thin 30g<br />

Live Better Lancet Ultra Thin 28g<br />

Longs Lancets Standard<br />

Longs Lancets Thin<br />

Longs Lancets Ultra Thin<br />

Major Comfort Lancets<br />

Medi-lance Lancets<br />

Medichoice Pre-set Safety Lancet Dual Use<br />

Medichoice Pre-set Safety Lancet Low Flow<br />

Medichoice Pre-set Safety Lancet Medium Flow<br />

Medichoice Pre-set Safety Lancet Moderate Flow<br />

Medichoice Safety Lancet Extra<br />

Medichoice Safety Lancet Normal<br />

Medicine Shoppe Lancets<br />

Medicine Shoppe Lancets Thin<br />

Medisense Thin Lancets<br />

Medlance Plus Lancets<br />

Medlance Plus Lancets Lite 25g<br />

Medlance Plus Superlite 30g<br />

Medlance Plus Universal Lancets 21g<br />

Medlance Plus/lite 25g<br />

Medlance/extra<br />

Medlance/lite<br />

Medlance/universal<br />

Meijer Color Lancets Universal 33g<br />

Meijer Lancets<br />

Meijer Lancets Thin<br />

Meijer Lancets Universal 33g<br />

Meijer Super Thin Lancets<br />

Microlet Lancets<br />

Microtainer Safety Flow Lancet/sterile/single-use<br />

Monolet Lancets<br />

Monolet Opd Lancets<br />

Monolettor Safety Lancets<br />

Myglucohealth Mgh S<strong>of</strong>tlance Lancets 30g<br />

Netgroup Lancets<br />

Nova Safety Lancets 23g<br />

Nova Safety Lancets 28g<br />

Nova Sureflex Lancets<br />

Nov<strong>of</strong>ine Autocover 30gx8mm<br />

Nov<strong>of</strong>ine 30gx8mm<br />

Nov<strong>of</strong>ine 32gx6mm<br />

Novotwist 30gx8mm<br />

Novotwist 32gx5mm<br />

On Call Lancets<br />

On Call Plus Lancets<br />

Onetouch Basic System<br />

Onetouch Basic/pr<strong>of</strong>ile Test Strips<br />

Onetouch Basic/pr<strong>of</strong>ile/one Touch li Test Strips<br />

Onetouch Club Lancets Fine Point<br />

Onetouch Combo Pack<br />

Onetouch Delica Lancets<br />

Onetouch Delica Lancets Fine 30g<br />

Onetouch Finepoint Lancets<br />

Onetouch Lancets<br />

Onetouch Pr<strong>of</strong>ile System<br />

Onetouch Ultra Blue<br />

Onetouch Ultra Mini<br />

Onetouch Ultra System Kit<br />

Onetouch Ultra Test Strips<br />

Onetouch Ultra 2<br />

Onetouch Ultras<strong>of</strong>t Lancets<br />

Onetouch Verio Control Solution High<br />

Onetouch Verio Iq Blood Glucose Monitoring System<br />

Onetouch Verio Iq Test Strips<br />

Onetouch Verio Mid Control Solution<br />

Onetouch Verio Test Strips<br />

Perfect Lancets 30g<br />

Perfect Pressure Activated Safety Lancets 28g<br />

Pharmacist Choice Ultra Thin Lancets<br />

Pharmacist Choice Ultra Thin Lancets 28g<br />

Pharmacist Choice Ultra Thin Lancets 30g<br />

Pharmacist Choice Ultra Thin Lancets 31g<br />

Pharmacy Counter Lancets<br />

Precision Thin Lancets<br />

Precision Thins Gp Lancet<br />

Precision Ultra Lancet<br />

Preferred Plus Lancets Colored 21g<br />

Preferred Plus Lancets Super Thin 30g<br />

Preferred Plus Lancets Thin 26g<br />

Prodigy Pressure Activated Safety Lancets<br />

Prodigy Safety Lancets<br />

Prodigy Twist Top Lancets<br />

Pss Select Gp Lancets<br />

Pss Select Safety Lancets<br />

Px Lancets<br />

Px Lancets Ultra Thin<br />

Qc Lancets Super Thin<br />

Qc Lancets Ultra Thin<br />

Ra E-zject Color Lancets Micro-thin 33g<br />

Ra E-zject Lancets Thin 26g<br />

Ra E-zject Lancets Thin 28g<br />

Ra E-zject Lancets Ultra Thin 30g<br />

Ra E-zject Lancets 28g<br />

Reality Lancets<br />

Reality Trigger Lancets<br />

Relion Lancets<br />

Relion Lancets Standard 21g<br />

Relion Lancets Thin 26g<br />

Relion Lancets Ultra-thin30g<br />

Relion Thin Lancets<br />

35


Effective Januau¢ 1, 2013<br />

Relion Ultra Thin Lancets<br />

Relion Ultra Thin Lancets30g<br />

Relion Ultra Thin Plus Lancets 32g<br />

Relion Ultra Thin Plus Lancets 33g<br />

Renew Advanced Lancing Cartridge Refills<br />

Rightest GI300 Lancets<br />

Safe-t-lance Low Flow 25g<br />

Safe-t-lance Normal Flow 21g<br />

Safe-t-lance Plus Safety Lancet High Flow<br />

Safe-t-lance Plus Safety Lancet Low Flow<br />

Safe-t-lance Plus Safety Lancet Normal Flow<br />

Safety Lancet 2mm<br />

Safety Lancets<br />

Safety Lancets 21g<br />

Safety Let Lancets<br />

Safety Seal Lancets 28g<br />

Safety Seal Lancets 30g<br />

Sb Lancets Thin<br />

Sb Lancets Ultra Thin<br />

Single-let<br />

Sm Lancets 21g<br />

Sm Micro Thin Lancets 33g<br />

Sm Super Thin Lancets 30g<br />

Sm Thin Lancets 26g<br />

Smart Diabetes Vantage Universal Lancets 30g<br />

Smart Sense Color Lancets Universal 33g<br />

Smart Sense Standard Lancets Universal 21g<br />

Smart Sense Super Thin Lancets Universal 30g<br />

Smart Sense Thin Lancets Universal 26g<br />

Smartest Lancets 28g<br />

Solo V2 Twist Lancets<br />

Sterilance TI<br />

Sure Comfort Lancets 28g<br />

Sure Comfort Lancets 30g<br />

Sure-lance Flat Lancets<br />

Sure-lance Lancets 26g<br />

Sure-lance Thin Lancets 28g<br />

Sure-lance Ultra Thin Lancets<br />

Sure-touch Lancets Universal<br />

Surelite Lancets<br />

Surestep Pro Test Strips<br />

Surestep Test Strips<br />

Techlite Ast Lancets<br />

Techlite Lancets<br />

Tgt Lancet Alternate Site<br />

Tgt Lancet Super Thin 30g<br />

Tgt Lancet Thin 23g<br />

Tgt Lancet Ultra Thin 28g<br />

Thinlets Gp Lancets<br />

Thinlets Lancet<br />

Todays Health Super Thin Lancets 30g<br />

Todays Health Ultra Thin Lancets 28g<br />

Trueplus Lancets 28g<br />

Trueplus Lancets 28g Super Thin<br />

Trueplus Lancets 30g<br />

Trueplus Lancets 30g Ultra Thin<br />

Trueplus Lancets 33g<br />

Trueplus Lancets 33g Micro Thin<br />

Trueplus Safety Lancets 28g<br />

Ulticare Thin Lancets 30g<br />

Ultilet Basic Lancets 30g<br />

Ultilet Classic Lancets<br />

Ultilet Lancets<br />

Ultilet Safety Lancets 23g<br />

Ultra Thin Lancets 28g<br />

Ultra Thin Lancets 30g<br />

Ultra-thin li Auto Lancet<br />

Ultra-thin li Lancets 28g<br />

Ultra-thin li Lancets 30g<br />

Ultra-thin li Lancets/28g X 1/8"<br />

Ultra-thin li Lancets/30g X 1/8"<br />

Ultra-thin li Safety Autolancets 26g<br />

Unilet Comfortouch Lancet<br />

Unilet Excelite<br />

Unilet Excelite li<br />

Unilet G.p. Lancet<br />

Unilet G.p. Superlite Lancet<br />

Unilet Gp 28 Ultra Thin<br />

Unilet Lancet<br />

Unilet Superlite Lancet<br />

Universal 1 Lancets Thin 26g<br />

Universal 1 Lancets Ultra Thin 30g<br />

Value Plus Lancets Standard 21g<br />

Value Plus Lancets Super Thin 30g<br />

Value Plus Lancets Thin 26g<br />

Valumark Lancet Super Thin 30g<br />

Valumark Lancet Ultra Thin 28g<br />

Vida Mia Unilet Lancets Super Thin 30g<br />

Vida Mia Unilet Lancets Ultra Thin 28g<br />

Vitalet Pro Lancets<br />

Vitalet Pro Plus Lancets<br />

W&f Lancets Colored 21g<br />

W&f Lancets 26g<br />

Walgreens Advanced Travellancets 28g<br />

Walgreens Comfort Assuredlancets Micro Thin/33g<br />

Walgreens Comfort Assuredlancets Super Thin/28g<br />

Walgreens Lancets<br />

Walgreens Thin Lancets<br />

Walgreens Ultra Thin Lancets<br />

1st Choice Lancets Super Thin<br />

1 st Choice Lancets Thin<br />

1st Choice Lancets Ultra Thin<br />

1st Tier Unilet Comfortouch Lancets 28g<br />

1st Tier Unilet Comfortouch Lancets 30g<br />

GENERIC<br />

pentetate calcium trisodium<br />

pentetate zinc trisodium<br />

PREFERRED BRAND<br />

Chemet<br />

Exjade<br />

NON PREFERRED<br />

Ferriprox<br />

36


Index<br />

A<br />

a-hydrocort, 11<br />

a-methapred, 11<br />

abacavir, 2<br />

Abilify, 20<br />

Abilify Discmelt, 20<br />

Absorica, 8<br />

Abstral, 25<br />

Acanya, 8<br />

acarbose, 13<br />

Accolate, 30<br />

Accu-chek Active Strips, 33<br />

Accu-chek Advantage Diabetes Care Kit,<br />

33<br />

Accu-chek Aviva, 33<br />

Accu-chek Aviva Plus, 33<br />

Accu-chek Comfort Curve Test Strips, 33<br />

Accu-chek Compact Plus Care Kit, 33<br />

Accu-chek Compact Strips, 33<br />

Accu-chek Compact Test Drum, 33<br />

Accu-chek Fastclix Lancets, 33<br />

Accu-chek Multiclix Lancets, 33<br />

Accu-chek Nano Smartview, 33<br />

Accu-chek Safe-t-pro Lancets, 33<br />

Accu-chek Safe-t-pro Pluslancets, 33<br />

Accu-chek Smartview Strips, 33<br />

Accu-chek S<strong>of</strong>t Touch Lancets, 33<br />

Accu-chek S<strong>of</strong>tclix Lancets, 33<br />

Accuneb, 30<br />

Accupril, 5<br />

Accuretic, 6<br />

acebutolol hcl, 5<br />

Aceon, 5<br />

acetaminophen/caffeine/dihydrocodeine<br />

bitartrate, 25<br />

acetaminophen/codeine, 25<br />

acetaminophen/codeine #2, 25<br />

acetaminophen/codeine #3, 25<br />

acetaminophen/codeine #4, 25<br />

acetaminophen/codeine phosphate, 25<br />

acetasol hc, 24<br />

acetazolamide, 6<br />

Acetazolamide Er, 6<br />

acetazolamide sodium, 6<br />

acetic acid, 24<br />

acetic acid/aluminum acetate, 24<br />

acetylcysteine, 27<br />

acid jelly, 16<br />

Aciphex, 15<br />

Aclovate, 10<br />

Acthar Hp, 14<br />

Acthib, 30<br />

Acti-lance Lancets 28g, 33<br />

Acti-lance Lite Safety Lancets 28g, 33<br />

Acti-lance Special Safety Lancets 17g,<br />

34<br />

Acti-lance Special Safetylancets 17g, 34<br />

Acti-lance Universal Safety Lancets 23g,<br />

34<br />

acticin, 10<br />

Actigall, 16<br />

Actimmune, 4<br />

Actiq, 25<br />

Activella, 12<br />

Actonel, 13<br />

Actoplus Met, 13<br />

Actoplus Met Xr, 13<br />

Actos, 13<br />

Acuflex, 24<br />

Acular, 24<br />

Acular Ls, 24<br />

Acuvail, 24<br />

acyclovir, 2<br />

Aczone, 8<br />

Adacel, 30<br />

Adalat Cc, 5<br />

adapalene, 7<br />

Adcirca, 7<br />

Adderall, 20<br />

Adderall Xr, 20<br />

Adoxa, 1<br />

Adoxa Pak 1/100, 1<br />

Adoxa Pak 1/150, 1<br />

Adoxa Pak 2/100, 1<br />

Adrenal C Formula, 32<br />

Adrenalin, 27, 30<br />

Advair Diskus, 29<br />

Advair Hfa, 29<br />

Advanced Am/pm, 32<br />

Advicor, 7<br />

Advocate Lancets, 34<br />

Advocate Safety Lancets, 34<br />

Aerohist, 27<br />

Aerokid, 28<br />

Af Lancets Super Thin, 34<br />

afeditab cr, 5<br />

Afinitor, 4<br />

Afluria 2009-2010, 30<br />

Afluria 2011-2012, 30<br />

Afluria 2012-2013, 30<br />

Afluria Pf 2010-2011, 30<br />

Afluria Pf 2011-2012, 30<br />

Afluria Pf 2012-2013, 30<br />

Agamatrix Ultra-thin Lancets 33g,<br />

Aggrenox, 18<br />

Agriflu 2010-2011, 30<br />

Agrylin, 18<br />

Ahist, 27<br />

airac<strong>of</strong>, 27<br />

airavite, 17<br />

ak-con, 23<br />

ak-pentolate, 23<br />

ak-poly-bac, 22<br />

Akne-mycin, 8<br />

akorn balanced salt solution, 23<br />

Akten, 23<br />

ala cort, 9<br />

Ala Scalp, 10<br />

Ala-hist, 27<br />

Ala-hist D, 28<br />

Alagesic Lq, 24<br />

Alahist Ac, 28<br />

Alahist Dhc, 28<br />

Alamast, 24<br />

Albafort, 17, 32<br />

albatussin nn, 27<br />

Albenza, 3<br />

albuterol sulfate, 29<br />

albuterol sulfate er, 29<br />

Alcaine, 23<br />

34<br />

alclometasone dipropionate, 9<br />

Aldactazide, 6<br />

Aldactone, 6<br />

Aldara, 10<br />

alenaze-d, 27<br />

alenaze-d nr, 27<br />

alendronate sodium, 13<br />

Alfenta, 25<br />

alfentanil, 25<br />

Aileron N, 4<br />

alfuzosin hcl er, 17<br />

all-flex, 24<br />

aliclen, 10<br />

Alinia, 3<br />

Alkeran, 3<br />

AIlerscript, 28<br />

Allerx Df, 27<br />

Allerx Df 30, 27<br />

Allerx Dose Pack, 28<br />

Allerx Pe, 28<br />

Allerx-d, 28<br />

AIIfen Cd, 28<br />

AIIfen Cdx, 28<br />

AIIopurinol, 26<br />

Alocrii, 24<br />

Alodox Convenience Kit, 1<br />

Alomide, 24<br />

Aloquin, 9<br />

Alora, 12<br />

alpain, 24<br />

Alphagan P, 23<br />

alphatrex, 9<br />

alprazolam, 19<br />

alprazolam er, 19<br />

AIprazolam Intensol, 19<br />

alprazolam odt, 19<br />

Alprazolam Xr, 19<br />

Alrex, 23<br />

Alsuma, 26<br />

Altabax, 8<br />

altacaine, 23<br />

Altace, 5<br />

altafrin, 23<br />

Altoprev, 7<br />

aluminum acetate, 10<br />

Aluvea, 11<br />

Alvesco, 29<br />

amantadine hcl, 21<br />

Amaryl, 13<br />

Ambien, 20<br />

Ambien Cr, 20<br />

Ambifed Cd, 28<br />

Ambifed Cdx, 28<br />

Ambifed-g Cd, 28<br />

Ambifed-g Cdx, 28<br />

amcinonide, 9<br />

Amerge, 26<br />

Amevive, 9<br />

Amicar, 18<br />

amikacin sulfate, 2<br />

Amiloride Hcl, 6<br />

amiloride/hydrochlorothiazide, 6<br />

aminocaproic acid, 18<br />

aminophylline, 29<br />

amiodarone hcl, 5


Amitiza, 16<br />

Amitriptyline, 19<br />

amitriptyline hcl, 19<br />

amlodipine besylate, 5<br />

Amlodipine Besylate/atorvastatin<br />

Calcium, 7<br />

amlodipine besylate/benazepril hcl, 6<br />

amlodipine besylate/benazepril<br />

hydrochloride, 6<br />

ammonium lactate, 10<br />

amnesteem, 7<br />

amoxapine, 19<br />

amoxicillin, 1<br />

amoxicillin/clavulanate potassium, 1<br />

amoxicillin/clavulanate potassium er, 1<br />

amoxicillin/potassium clavulanate, 1<br />

Amphetamine/dextroamphetamine, 20<br />

amphotericin b, 2<br />

ampicillin, 1<br />

ampicillin sodium, 1<br />

ampicillin-sulbactam, 1<br />

Ampyra, 21<br />

Amrix, 22<br />

Amturnide, 6<br />

amyl nitrite, 4<br />

Amytal Sodium, 20<br />

anabar, 24<br />

Anacaine, 11<br />

Anadrol-50, 12<br />

Anafranil, 19<br />

anagrelide hydrochloride, 18<br />

Analpram Advanced, 16<br />

Analpram-hc, 16<br />

Analpram-hc Singles, 16<br />

Anamantle Hc, 16<br />

Anaprox, 26<br />

Anaprox Ds, 26<br />

Anaspaz, 15<br />

anastrozole, 3<br />

Ancobon, 2<br />

Androderm, 12<br />

Androgel, 12<br />

Androgel Pump, 12<br />

android, 12<br />

Androxy, 12<br />

Anectine, 22<br />

Angeliq, 12<br />

Animi-3, 17<br />

Animi-3/vitamin D, 17<br />

anolor 300, 24<br />

Antabuse, 22<br />

Antara, 7<br />

antipyrine/benzocaine, 24<br />

Antivert, 15<br />

Anusol-hc, 16<br />

Anzemet, 15<br />

Ap-zel, 32<br />

apexicon, 9<br />

apexicon e, 9<br />

Aphthasol, 18<br />

Apidra, 12<br />

Apidra Solostar, 12<br />

Aplenzin, 19<br />

Apokyn, 21<br />

Appbutamone, 19<br />

Appbutamone-d, 19<br />

Appformin, 13<br />

Appformin-d, 13<br />

apraclonidine, 23<br />

Apriso, 16<br />

Aptivus, 2<br />

Aqua Glycolic Hc Scalp & Body, 10<br />

Aquasol A Parenteral, 31<br />

aquoral, 18<br />

Aralen, 3<br />

Aranesp Albumin Free, 17<br />

Arava, 26<br />

arbinoxa, 27<br />

Arcalyst, 26<br />

Arcapta Neohaler, 30<br />

Atripla, 2<br />

Atropen, 15<br />

Atropine Sulfate, 15<br />

atropine sulfate, 23<br />

atropine-care, 23<br />

Atrovent, 27<br />

Atrovent Hfa, 30<br />

Atuss Ds, 28<br />

Aubagio, 22<br />

augmented betamethasone dipropionate,<br />

9<br />

Augmentin, 1<br />

Argyle Pneumothorax Procedure Tray/afr, Augmentin Es-600, 1<br />

27<br />

Aricept, 22<br />

Aricept Odt, 22<br />

Arimidex, 4<br />

Aristospan Intra-articular, 11<br />

Aristospan Intralesional, 11<br />

Arixtra, 18<br />

Armour Thyroid, 14<br />

arnica flower, 10<br />

Aromasin, 4<br />

Arthrotec 50, 26<br />

Arthrotec 75, 26<br />

Artiss, 18<br />

Asacol, 16<br />

Asacol Hd, 16<br />

ascomp/codeine, 25<br />

ascor I 500, 31<br />

ascor I nc, 31<br />

ascorbic acid, 31<br />

asmalpred, 11<br />

asmalpred plus, 11<br />

Asmanex 120 Metered Doses, 29<br />

Asmanex 14 Metered Doses, 29<br />

Asmanex 30 Metered Doses, 30<br />

Asmanex 60 Metered Doses, 30<br />

Asmanex 7 Metered Doses, 30<br />

Assure Haemolance Plus High Flow 18g,<br />

34<br />

Assure Haemolance Plus Low Flow 25g,<br />

34<br />

Assure Haemolance Plus Micro Flow 28g, Axiron, 12<br />

34 Aygestin, 12<br />

Assure Haemolance Plus Normal Flow Azactam, 3<br />

21.q, 34 Azasan, 4<br />

Assure Haemolance Plus Pediatric Blade, Azasite, 22<br />

34<br />

Assure Lance Lancets, 34<br />

Assure Lancets, 34<br />

Astelin, 27<br />

Astepro, 27<br />

astramorph, 25<br />

Astringyn, 18<br />

At Last Lancets, 34<br />

Atabex Ec, 32<br />

Atabex Prenatal, 32<br />

Atacand, 6<br />

Atacand Hct, 6<br />

Atelvia, 13<br />

atenolol, 5<br />

atenolol/chlorthalidone, 6<br />

Ativan, 19<br />

Atopiclair, 11<br />

atorvastatin calcium, 7<br />

Atovaquone/proguanil Hcl, 3<br />

Atralin, 8<br />

Augmentin Xr, 1<br />

Auralgan, 24<br />

aurax, 24<br />

aurodex, 24<br />

Aurora Healthcare Lancets, 34<br />

Aurora Lancet Super Thin 30g, 34<br />

Aurora Lancet Thin 23g, 34<br />

Aurstat, 11<br />

Avalide, 6<br />

Avandamet, 13<br />

Avandaryl, 13<br />

Avandia, 13<br />

Avapro, 6<br />

avar cleanser, 7<br />

Avar Ls Cleanser, 8<br />

avar-e emollient, 7<br />

avar-e green, 7<br />

Avar-e Ls, 8<br />

Avc, 17<br />

Avelox, 2<br />

Avelox Abc Pack, 2<br />

avidoxy, 1<br />

Avidoxy Dk, 1<br />

Avinza, 25<br />

Avita, 7<br />

Avodart, 17<br />

Avonex, 21<br />

Avonex Pen, 21<br />

Axert, 26<br />

Axid, 15<br />

azathioprine, 4<br />

azathioprine sodium, 4<br />

azelastine hcl, 23, 27<br />

Azelex, 8<br />

Azilect, 21<br />

azithromycin, 1<br />

Azopt, 24<br />

Azor, 6<br />

aztreonam, 3<br />

Azulfidine, 16<br />

Azulfidine En-tabs, 16<br />

B<br />

b-6 folic acid, 17<br />

b-complex, 31<br />

b-complex 100, 31<br />

B-nexa, 32<br />

b-plex, 31<br />

b-plex plus, 31<br />

baciim, 3<br />

bacitracin, 3, 22


acitracin/polymyxin b, 22<br />

bacl<strong>of</strong>en, 22<br />

Bacmin, 32<br />

Bactrim, 3<br />

Bactrim Ds, 3<br />

Bactroban, 8<br />

Bactroban Nasal, 27<br />

Bal-care Dha, 32<br />

Bal-care Dha Essential, 32<br />

balacall dm, 27<br />

balanced salt solution, 23<br />

balsalazide disodium, 16<br />

Banzel, 21<br />

Baraclude, 2<br />

baycadron, 11<br />

Bayer Microlet Lancets, 34<br />

Bd Insulin Syringe Luer-lok/u-100/lml,<br />

34<br />

Bd Insulin Syringe Micr<strong>of</strong>ine Iv/u-<br />

100/0.3ml/28q X 1/2", 34<br />

Bd Insulin Syringe Micr<strong>of</strong>ine Iv/u-<br />

100/0.5ml/28g X 1/2", 34<br />

Bd Insulin Syringe Micr<strong>of</strong>ine Iv/u-<br />

100/1ml/27g X 5/8", 34<br />

Bd Insulin Syringe Micr<strong>of</strong>ine Iv/u-<br />

100/1ml/28fl X 1/2", 34<br />

Bd Insulin Syringe Micr<strong>of</strong>ine/u-<br />

100/0.3ml/28g X 1/2", 34<br />

Bd Insulin Syringe Micr<strong>of</strong>ine/u-<br />

100/0.5ml/28fl X 1/2", 34<br />

Bd Insulin Syringe Micr<strong>of</strong>ine/u-<br />

100/1ml/27q X 5/8", 34<br />

Bd Insulin Syringe Micr<strong>of</strong>ine/u-<br />

100/lml/28g X 1/2", 34<br />

Bd Insulin Syringe Safetyglide/0.5ml/29g<br />

X 1/2", 34<br />

Bd Insulin Syringe Safetyglide/1ml/29g X<br />

1/2", 34<br />

Bd Insulin Syringe Safetyglide/u-<br />

100/0.3ml/31g X 5/16", 34<br />

Bd Insulin Syringe Slip Tip/u-100/lml, 34<br />

Bd Insulin Syringe U-40/1ml/25g X 5/8",<br />

34<br />

Bd Insulin Syringe Ultrafine Halfunit/0.3ml/31g<br />

X 5/16", 34<br />

Bd Insulin Syringe Ultrafine<br />

li/shortlO.5ml131g X 5/16", 34<br />

Bd Insulin Syringe Ultrafine<br />

lilshort/1ml131q X 5!16", 34<br />

Bd Insulin Syringe Ultrafine/O.3ml/30g X<br />

1/2", 34<br />

Bd Insulin Syringe Ultrafine/O.3ml/31g X<br />

5/16", 34<br />

Bd Insulin Syringe Ultrafine/O.5ml/30g X<br />

1/2", 34<br />

Bd Insulin Syringe Ultrafine/O.5ml/31g X<br />

5/16", 34<br />

Bd Insulin Syringe Ultrafine/lml/30g X<br />

1/2", 34<br />

Bd Insulin Syringe Ultrafine/lml/31g X<br />

5/16", 34<br />

Bd Insulin Syringe Ultrafine/ulO0/O.3ml/29g<br />

X 1/2", 34<br />

Bd Insulin Syringe Ultrafine/u-<br />

100/O.5ml/29.q X 1/2", 34<br />

Bd Insulin Syringe Ultrafine/u-<br />

100/lml/29g X 1/2", 34<br />

Bd Insulin Syringe UItrafine/u-<br />

100/1ml/30g X 1/2", 34<br />

Bd Insulin Syringe/detachable Needle/u-<br />

100/1ml/25g X 1", 34<br />

Bd Insulin Syringe/detachable Needle/u-<br />

100/1ml/25q X 5/8", 34<br />

Bd Insulin Syringe/detachable Needle/u-<br />

100/lml/26g X 1/2", 34<br />

Bd Insulin Syringe/u-100/0.5ml/30g X<br />

1/2", 34<br />

Bd Insulin Syringe/u-100/1ml/27g X 1/2",<br />

34<br />

Bd Insulin Syringe/u-100/1ml/28g X 1/2",<br />

34<br />

Bd Insulin Syringe/u-100/2ml/27.5g X<br />

5/8", 34<br />

Bd Insulin Syringe/u-100/2ml/29g X 1/2",<br />

34<br />

Bd Lancet Ultrafine 30g, 34<br />

Bd Lancet Ultrafine 33g, 34<br />

Bd Microtainer Lancets, 34<br />

bd pudendal/local block tray 1%<br />

lidocaine, 27<br />

Beconase Aq, 27<br />

belladonna & opium, 15<br />

belladonna alkaloids, 15<br />

belladonna alkaloids & opium, 15<br />

benazepril hcl, 5<br />

benazepril hcl/hydrochlorothiazide, 6<br />

Benicar, 6<br />

Benicar Hct, 6<br />

Bensal Hp, 11<br />

Bentyl, 15<br />

Benzac Ac Wash, 8<br />

Benzac W Wash, 8<br />

Benzaclin, 8<br />

Benzaclin With Pump, 8<br />

Benzamycin, 8<br />

Benzamycinpak, 8<br />

Benzefoam, 8<br />

Benzefoamultra, 8<br />

benzepro, 7<br />

benzepro short contact, 7<br />

Benziq, 8<br />

Benziq Ls, 8<br />

benziq wash, 7<br />

benzoin compound tincture, 10<br />

benzoin tincture, 10<br />

benzonatate, 27<br />

benzoyl )eroxide, 7<br />

benzoyl )eroxide cleanser, 7<br />

benzoyl )eroxide cleansing, 7<br />

benzoyl )eroxide short contact, 7<br />

benzoyl )eroxide wash, 7<br />

benzoyl )eroxide wash acne treatment<br />

pack, 7<br />

benztropine mesylate, 21<br />

Bepreve, 24<br />

Besivance, 22<br />

Betadine Ophthalmic Prep, 22<br />

Betagan, 23<br />

betamethasone dipropionate, 9<br />

betamethasone sodium<br />

phosphate/betamethasone acetate, 11<br />

betamethasone valerate, 9<br />

Betapace, 5<br />

Betapace Af, 5<br />

Betaseron, 22<br />

betaxolol hcl, 5, 22<br />

bethanechol chloride, 16<br />

Betimol, 23<br />

Betoptic-s, 23<br />

Biaxin, 1<br />

Biaxin XI, 1<br />

Biaxin XI Pac, 1<br />

bicalutamide, 3<br />

Bicillin C-r, 1<br />

Bicillin L-a, 1<br />

bidhist-d, 27<br />

Bidil, 7<br />

Biferarx, 18<br />

Biltricide, 3<br />

Binosto, 13<br />

Bio-statin, 2<br />

biocel, 31<br />

biogesic, 24<br />

Bioregesic, 24<br />

Biothrax, 30<br />

biotuss, 27<br />

biotuss pediatric, 28<br />

bisoprolol fumarate, 5<br />

bisoprolol fumarate/hydrochlorothiazide,<br />

6<br />

bleomycin sulfate, 3<br />

Bleph-10, 22<br />

Blephamide, 23<br />

Blephamide S.o.p., 23<br />

Boniva, 13<br />

Boostrix, 30<br />

boric acid, 10<br />

Bosulif, 4<br />

Botox, 22<br />

bp 10-1, 7<br />

bp cleanser, 7<br />

bp cleansing wash, 7<br />

bp folinatal plus b, 31<br />

bp multinatal plus, 31<br />

bp poly-650, 24<br />

bp vit 3, 17<br />

bp wash, 7<br />

bpm, 27<br />

bpm pseudo, 28<br />

bpo, 7<br />

bpo 3% foaming cloths, 7<br />

bpo 6% foaming cloths, 7<br />

bpo 9% foaming cloths, 7<br />

bpo creamy wash complete pack, 7<br />

Brilinta, 18<br />

brimonidine tartrate, 23<br />

bromatan plus, 28<br />

bromax, 27<br />

Bromday, 24<br />

bromfed dm, 28<br />

bromfenac, 23<br />

bromocriptine mesylate, 21<br />

brompheniramine tannate, 27<br />

bromspiro, 27<br />

Broncomar-1, 30<br />

Brondil, 30<br />

Brovana, 30<br />

budeprion sr, 19<br />

budeprion xl, 19<br />

budesonide, 11, 29<br />

Bullseye Mini Safety Lancets, 34<br />

Bullseye Safety Lancets, 34<br />

bumetanide, 6<br />

bupap, 24


Buphenyl, 14<br />

bupivacaine hcl, 27<br />

Bupivacaine/epinephrine, 27<br />

Buprenex, 25<br />

buprenorphine hcl, 25<br />

bupropion hcl, 19<br />

bupropion hcl er, 19<br />

bupropion hcl sr, 19<br />

bupropion hcl xl, 19<br />

buspirone hcl, 19<br />

butal/asa/caff, 24<br />

butalbital compound, 24<br />

butalbital/acetaminophen, 24<br />

butalbital/acetaminophen/caffeine, 24<br />

butalbital/acetaminophen/caffeine/codein<br />

e, 25<br />

Butalbital/asa/caffeine, 24<br />

butalbital/aspirin/caffeine, 24<br />

butalbital/aspirn/caffeine/codeine, 25<br />

Butisol Sodium, 20<br />

butorphanol tartrate, 25<br />

Butrans, 25<br />

Bydureon, 12<br />

Byetta, 12<br />

Bystolic, 5<br />

C<br />

C-tan D Plus, 28<br />

cabergoline, 14<br />

Caduet, 7<br />

Cafcit, 20<br />

Cafergot, 26<br />

caffeine citrate, 20<br />

caffeine/sodium benzoate, 20<br />

cafgesic forte, 24<br />

Calan, 5<br />

Calan Sr, 5<br />

calcipotriene, 9<br />

Calcitonin-salmon, 13<br />

Calcitrene, 9<br />

Calcitriol, 9<br />

calcitriol, 14<br />

calcium acetate, 16<br />

calcium folinate, 4<br />

Cambia, 26<br />

Campral, 22<br />

Canasa, 16<br />

candesartan cilexetil/hydrochlorothiazide,<br />

6<br />

Cantil, 15<br />

capacet, 24<br />

Capastat Sulfate, 2<br />

Capex, 10<br />

Caphosol, 18<br />

Capital/codeine, 25<br />

Caprelsa, 4<br />

capsaicin, 10<br />

captopril, 5<br />

captopril/hydrochlorothiazide, 6<br />

Carafate, 15<br />

Carba-xp, 28<br />

Carbaglu, 14<br />

carbamazepine, 20<br />

Carbamazepine Er, 21<br />

Carbaphen 12, 28<br />

Carbaphen 12 Ped, 28<br />

Carbatrol, 21<br />

Carbatuss, 28<br />

Carbatuss-12, 28<br />

Carbatuss-cl, 28<br />

carbidopa/levodopa, 21<br />

carbidopa/levodopa cr, 21<br />

carbidopa/levodopa er, 21<br />

carbidopa/levodopa odt, 21<br />

carbidopa/levodopa sr, 21<br />

Carbidopa/levodopa/entacapone, 21<br />

carbinoxamine maleate, 27<br />

Carbocaine, 27<br />

Cardene St, 5<br />

Cardiotek-rx, 18<br />

Cardizem, 5<br />

Cardizem Cd, 5<br />

Cardizem La, 5<br />

Cardura, 6<br />

Cardura XI, 17<br />

Careone Lancet Thin, 34<br />

Careone Lancet Ultra Thin, 34<br />

carisoprodol, 22<br />

carisoprodol/aspirin, 22<br />

carisoprodol/aspirin/codeine, 22<br />

Carmol-hc, 10<br />

Carnitor, 14<br />

Carnitor Sf, 14<br />

Caromega, 32<br />

carteolol hcl, 23<br />

cartia xt, 5<br />

carvedilol, 5<br />

cascara sagrada, 14<br />

cascara sagrada aromatic, 14<br />

Casodex, 4<br />

Cataflam, 26<br />

Catapres, 6<br />

Catapres-tts-1, 6<br />

Catapres-tts-2, 6<br />

Catapres-tts-3, 6<br />

Cathflo Activase, 18<br />

cavan one omega, 31<br />

cavan prenatal/ec calcium, 31<br />

Cavan-alpha Kit, 32<br />

cavan-ec sod dha, 31<br />

Cavan-folate Dha, 32<br />

Cavan-folate Ob, 32<br />

cavirinse, 18<br />

Cayston, 3<br />

Cedax, 1<br />

Ceenu, 3<br />

cefaclor, 1<br />

cefaclor er, 1<br />

cefadroxil, 1<br />

cefazolin sodium, 1<br />

cefdinir, 1<br />

Cefditoren Pivoxil, 1<br />

cefepime, 1<br />

cefotaxime sodium, 1<br />

cefotetan, 1<br />

cefoxitin sodium, 1<br />

cefpodoxime proxetil, 1<br />

cefprozil, 1<br />

ceftazidime, 1<br />

Ceftin, 1<br />

ceftriaxone sodium, 1<br />

cefuroxime axetil, 1<br />

cefuroxime sodium, 1<br />

Celebrex, 26<br />

Celestone, 11<br />

Celestone-soluspan, 11<br />

Celexa, 19<br />

Cellcept, 4<br />

Celontin, 21<br />

cem-urea, 10<br />

Cenestin, 12<br />

Cenfol, 18<br />

Cenhist, 28<br />

cenolate, 31<br />

Centany, 8<br />

Centany At, 8<br />

centergy, 28<br />

centergy dm, 28<br />

Centratex, 18<br />

cephadyn, 24<br />

cephalexin, 1<br />

cerisa wash, 7<br />

ceron-dm, 28<br />

cerovel, 10<br />

Cervarix, 30<br />

Cervidil, 24<br />

Cesamet, 15<br />

cetirizine hcl, 27<br />

cetraxal, 24<br />

cevimeline hcl, 18<br />

Cgu Wc, 28<br />

Chemet, 36<br />

Chenodal, 16<br />

chlor-mes d, 28<br />

chlor-mes jr, 28<br />

chloral hydrate, 20<br />

chlordiazepoxide hcl, 19<br />

chlordiazepoxide/amitriptyline, 21<br />

chlorhexadine gluconate oral rinse, 18<br />

chlorhexidine gluconate, 18<br />

chlorhexidine gluconate oral rinse, 18<br />

chloroprocaine hcl, 27<br />

chloroquine phosphate, 3<br />

chlorothiazide, 6<br />

chlorpromazine hcl, 19<br />

chlorpropamide, 12<br />

chlorthalidone, 6<br />

chlorzoxazone, 22<br />

cholestyramine, 7<br />

cholestyramine light, 7<br />

choline magnesium trisalicylate, 24<br />

Chorionic Gonadotropin, 13<br />

ciclodan, 9<br />

Ciclodan Cream Kit, 9<br />

Ciclodan Solution Kit, 9<br />

ciclopirox, 9<br />

ciclopirox nail lacquer, 9<br />

ciclopirox olamine, 9<br />

ciclopirox topical solution kit, 9<br />

ciclopirox treatment, 9<br />

cilostazol, 18<br />

Ciloxan, 22<br />

cimetidine, 15<br />

cimetidine hcl, 15<br />

Cimzia, 16<br />

Cimzia Starter Kit, 16<br />

Cipro, 2<br />

Cipro Hc, 24<br />

Cipro Xr, 2<br />

Ciprodex, 24<br />

Cipr<strong>of</strong>loxacin, 24<br />

cipr<strong>of</strong>loxacin er, 1<br />

cipr<strong>of</strong>loxacin hcl, 1, 22<br />

citalopram hydrobromide, 19<br />

Citranatal 90 Dha, 32


Citranatal Assure, 32<br />

Citranatal B-calm, 32<br />

Citranatal Dha, 32<br />

Citranatal Harmony, 32<br />

Citranatal <strong>Rx</strong>, 32<br />

citric acid/sodium citrate, 17<br />

Citrolith, 17<br />

Claforan, 1<br />

claravis, 7<br />

Clarifoam Ef, 8<br />

Clarinex, 27<br />

Clarinex Reditabs, 27<br />

Clarinex-d 12 Hour, 28<br />

Clarinex-d 24 Hour, 28<br />

claris clarifying wash, 7<br />

clarithromycin, 1<br />

clarithromycin er, 1<br />

Cleanlet Lancets 28g, 34<br />

clearplex x, 7<br />

clemastine fumarate, 27<br />

clenia, 7<br />

clenia foaming wash, 7<br />

Cleocin, 3, 17<br />

Cleocin Pediatric Granules, 3<br />

Cleocin Phosphate, 3<br />

Cleocin-t, 8<br />

Clever Chek Lancets Ultrathin, 34<br />

Clever Chek Lancets Ultrathin 30g, 34<br />

Climara, 12<br />

Climara Pro, 12<br />

Clindacin Pac, 8<br />

clindacin-p, 7<br />

Clindagel, 8<br />

clindamax, 7<br />

clindamycin hcl, 3<br />

clindamycin palmitate hcl, 3<br />

clindamycin phosphate, 3, 7, 16<br />

clindamycin phosphate pharmacy bulk<br />

package, 3<br />

clindamycin/benzoyl peroxide, 7<br />

clindareach, 8<br />

Clinoril, 26<br />

Clobeta Cream, 10<br />

Clobeta Ointment, 10<br />

clobetasol propionate, 9<br />

clobetasol propionate e, 9<br />

clobetasol propionate emollient, 9<br />

Clobex, 10<br />

Cloderm, 10<br />

CIoderm Pump, 10<br />

clomipramine hcl, 19<br />

clonazepam, 21<br />

clonazepam odt, 21<br />

clonidine hcl, 6<br />

clopidogrel, 18<br />

clorazepate dipotassium, 19<br />

Clorpres, 6<br />

clotrimazole, 9, 18<br />

clotrimazole/betamethasone dipropionate,<br />

9<br />

clozapine, 19<br />

Clozapine Odt, 19<br />

CIozaril, 20<br />

Cnl8 Nail Kit, 9<br />

co-gesic, 25<br />

co-natal fa, 31<br />

Coaguchek Lancets, 34<br />

coal tar, 10<br />

coal tar base, 10<br />

Coartem, 3<br />

Coca Cola Syurp, 15<br />

cocaine hcl, 10<br />

Cocet, 25<br />

Cocet Plus, 25<br />

cod liver oil, 31<br />

codeine phosphate, 25<br />

Codeine Sulfate, 25<br />

Cogentin, 21<br />

Colazal, 16<br />

Colcrys, 26<br />

coldec dm, 28<br />

Colestid, 7<br />

Colestid Flavored, 7<br />

colestipol hcl, 7<br />

colestipol hcl for oral suspension, 7<br />

colidrops pediatric, 15<br />

colistimethate sodium, 3<br />

colocort, 16<br />

Coly-mycin M, 3<br />

Coly-mycin S, 24<br />

Colyte-flavor Packs, 14<br />

Combigan, 23<br />

Combipatch, 12<br />

Combivent, 30<br />

Combivent Respimat, 30<br />

Combivir, 2<br />

Comfort Assured Lancets Micro Thin 33g,<br />

34<br />

Comfort Assured Lancets Super Thin<br />

28.q, 34<br />

Comfort Lancets, 34<br />

Complera, 2<br />

complete natal dha, 31<br />

Complete-rf Prenatal, 32<br />

completenate, 31<br />

compro, 19<br />

Comtan, 21<br />

Comvax, 30<br />

Concept Dha, 32<br />

Concept Ob, 32<br />

Concerta, 20<br />

Condylox, 11<br />

constulose, 14<br />

Conzip, 25<br />

Copaxone, 21<br />

copd, 29<br />

Copegus, 2<br />

Cordarone, 5<br />

Cordran, 10<br />

Cordran Sp, 10<br />

Cordran Tape, 10<br />

Coreg, 5<br />

Coreg Cr, 5<br />

Corenate-dha, 32<br />

Corgard, 5<br />

cormax, 9<br />

cormax scalp application, 9<br />

cortalo, 9<br />

Cortef, 11<br />

Cortenema, 16<br />

Cortifoam, 16<br />

cortisone acetate, 11<br />

Cortisporin, 8, 24<br />

Cortisporin-tc, 24<br />

corvita, 31<br />

corvita 150, 17<br />

Corvite, 32<br />

Corvite 150, 18<br />

Corvite Fe, 18<br />

corvite free, 31<br />

Corzall, 28<br />

Corzall Plus, 28<br />

Corzall-pe, 28<br />

Corzide, 6<br />

Cosopt, 23<br />

Cosopt Pf, 23<br />

Cotab A, 28<br />

Cotab Ax, 28<br />

Cotabflu, 28<br />

Coumadin, 18<br />

Covera-hs, 5<br />

Cozaar, 6<br />

Cpb Wc, 28<br />

Creon, 15<br />

Crestor, 7<br />

Cresylate, 24<br />

Crinone, 17<br />

Crixivan, 2<br />

Crnatal, 32<br />

cromolyn sodium, 16, 23, 29<br />

Curosurf, 30<br />

Cutivate, 10<br />

Cuvposa, 15<br />

Cvs Lancets 21g, 34<br />

Cvs Lancets Micro Thin 33g, 34<br />

Cvs Lancets Original, 34<br />

Cvs Lancets Thin, 34<br />

Cvs Lancets Thin 26g, 34<br />

Cvs Lancets Ultra Thin 30g, 34<br />

Cvs Ultra Thin Lancets, 34<br />

cyanocobalamin, 17<br />

Cyclobenzaprine Comfort Pac, 22<br />

cyclobenzaprine hcl, 22<br />

cyclobenzaprine hcl er, 22<br />

Cyclogyl, 23<br />

Cyclomydril, 23<br />

cyclopentolate hcl, 23<br />

cyclophosphamide, 3<br />

cycloserine, 2<br />

cyclosporine, 4<br />

cyclosporine modified, 4<br />

cylate, 23<br />

Cymbalta, 19<br />

cyproheptadine hcl, 27<br />

Cystadane, 14<br />

Cystagon, 17<br />

cytarabine, 3<br />

cytarabine aqueous, 3<br />

Cytomel, 14<br />

Cytotec, 15<br />

cytra k crystals, 17<br />

cytra-2, 17<br />

cytra-3, 17<br />

cytra-k, 17<br />

D<br />

D.h.e. 45, 26<br />

dacex-dm, 28<br />

Daliresp, 30<br />

Dallergy, 28<br />

Dallergy Dm, 28<br />

Dallergy Jr, 29<br />

Dallergy Pe, 29<br />

Dallergy Pse, 29<br />

Dallergy-jr, 29


danazol, 12<br />

Dantrium, 22<br />

dantrolene sodium, 22<br />

dapsone, 3<br />

Daptacel, 30<br />

Daraprim, 3<br />

Daypro, 26<br />

Daytrana, 20<br />

Ddavp, 14<br />

de-chlor dm, 28<br />

de-chlor dr, 28<br />

Debacterol, 18<br />

Decara, 31<br />

decavac, 30<br />

Decon-a, 29<br />

dehistine, 28<br />

Delatestryl, 12<br />

Delestrogen, 12<br />

Delos, 8<br />

Deltuss Dmx, 29<br />

Demadex, 6<br />

demeclocycline hcl, 1<br />

Demerol, 25<br />

Demser, 6<br />

Denavir, 9<br />

Depakene, 21<br />

Depakote, 21<br />

Depakote Er, 21<br />

Depakote Sprinkles, 21<br />

Depo-estradiol, 12<br />

Depo-medrol, 11<br />

Depo-provera, 4<br />

Depo-testosterone, 12<br />

Derma-smoothe/fs Body Oil, 10<br />

Derma-smoothe/fs Scalp Oil, 10<br />

Dermatop, 10<br />

Dermotic, 24<br />

desipramine hcl, 19<br />

desloratadine, 27<br />

desmopressin acetate, 14<br />

Desonate, 10<br />

desonide, 9<br />

Desonil, 10<br />

Desowen, 10<br />

Desowen Cream/cetaphil Lotion, 10<br />

Desowen Lotion/cetaphil Cream, 10<br />

Desowen Ointment/cetaphil Lotion, 10<br />

desoximetasone, 9<br />

Desoxyn, 20<br />

despec-exp, 28<br />

Despec-pdc, 29<br />

Desquam-x Wash, 8<br />

Detrol, 16<br />

Detrol La, 16<br />

dex-tuss, 28<br />

dexamethasone, 11<br />

Dexamethasone Intensol, 11<br />

dexamethasone sodium phosphate, 11,<br />

23<br />

dexchlorpheniramine maleate, 27<br />

dexchlorpheniramine maleate cr, 27<br />

Dexedrine, 20<br />

Dexferrum, 17<br />

Dexilant, 15<br />

dexmethylphenidate hcl, 20<br />

Dexpak 10 Day, 11<br />

Dexpak 13 Day, 11<br />

Dexpak 6 Day, 12<br />

dexpanthenol, 16<br />

dextran 70, 18<br />

dextran hm, 18<br />

dextroamphetamine sulfate, 20<br />

dextroamphetamine sulfate er, 20<br />

dextromethorphan<br />

hbr/chlorpheniramine/phenylephrine hcl,<br />

28<br />

dextromethorphan hbr/phenylephrine<br />

hcl/chlorpheniramine, 28<br />

dg 200, 29<br />

Diabeta, 13<br />

dialyvite, 31<br />

Dialyvite 3000, 32<br />

Dialyvite 5000, 32<br />

Dialyvite Supreme D, 32<br />

Dialyvite/zinc, 32<br />

Diamox, 7<br />

Diastar Easy Test li Lancets 30g, 34<br />

Diastar Easy Test Lancets30g, 34<br />

diastat acudial, 21<br />

diastat pediatric, 21<br />

Diatx Zn, 32<br />

diazepam, 19<br />

Diazepam, 21<br />

Diazepam Intensol, 19<br />

Dibenzyline, 6<br />

dicl<strong>of</strong>enac potassium, 26<br />

dicl<strong>of</strong>enac sodium, 24<br />

dicl<strong>of</strong>enac sodium dr, 26<br />

dicl<strong>of</strong>enac sodium er, 26<br />

Dicl<strong>of</strong>enac Sodium Xr, 26<br />

dicl<strong>of</strong>enac sodium/misoprostol, 26<br />

dicloxacillin sodium, 1<br />

dicyclomine hcl, 15<br />

didanosine, 2<br />

Didronel, 13<br />

Differin, 8<br />

Dificid, 1<br />

difil-g 400, 29<br />

difil-g forte, 29<br />

diflorasone diacetate, 9<br />

Diflucan, 2<br />

diflunisal, 24<br />

Digex Nf, 15<br />

Digoxin, 4<br />

dihydro-cp, 28<br />

dihydro-pe, 28<br />

dihydroergotamine mesylate, 26<br />

Dilacor Xr, 5<br />

Dilantin, 21<br />

Dilantin Infatabs, 21<br />

Dilatrate Sr, 4<br />

Dilaudid, 25<br />

Dilaudid-5, 25<br />

Dilaudid-hp, 25<br />

Dilex-g 200, 30<br />

Dilex-g 400, 30<br />

dilt-cd, 5<br />

dilt-xr, 5<br />

diltiazem cd, 5<br />

diltiazem hcl, 5<br />

Diltiazem Hcl Cd, 5<br />

diltiazem hcl er, 5<br />

diltzac, 5<br />

dimenhydrinate, 15<br />

Diovan, 6<br />

Diovan Hct, 6<br />

Dipentum, 16<br />

diphenhydramine hcl, 27<br />

diphenoxylate/atropine, 15<br />

diphtheria/tetanus toxoid pediatric, 30<br />

diphtheria/tetanus toxoids adsorbed<br />

pediatric, 30<br />

Diprolene, 10<br />

Diprolene Af, 10<br />

Dipyridamole, 18<br />

disopyramide phosphate, 5<br />

disulfiram, 21<br />

Ditropan XI, 16<br />

Diuril, 7<br />

divalproex sodium, 21<br />

divalproex sodium dr, 21<br />

divalproex sodium er, 21<br />

Divigel, 12<br />

Divista, 18<br />

dm-pe-chlor, 28<br />

dobells solution, 18<br />

Dolgic Plus, 24<br />

dologesic, 24<br />

Dolophine, 25<br />

Dolophine Hcl, 25<br />

dolorex, 24<br />

Donatuss Dc, 29<br />

Donatuss Xp, 29<br />

Donatussin Dm, 29<br />

donepezil hcl, 21<br />

Doral, 20<br />

Doryx, 1<br />

dorzolamide hcl, 24<br />

dorzolamide hcl/timolol maleate, 23<br />

Dovonex, 9<br />

Dovonex Scalp, 9<br />

doxazosin mesylate, 6<br />

doxepin hcl, 19<br />

doxycycline, 1<br />

doxycycline hyclate, 1<br />

doxycycline monohydrate, 1<br />

Doxytex, 27<br />

Drisdol, 31<br />

dritho-creme hp, 9<br />

Dritho-scalp, 9<br />

dronabinol, 15<br />

droperidol, 19<br />

Droplet Lancets Ultra Thin 30g, 34<br />

Droxia, 17<br />

Drug Mart Lancets Thin, 34<br />

Drug Mart Lancets Ultra Thin, 34<br />

Drug Mart Unilet Lancets Super Thin 30g,<br />

34<br />

Drug Mart Unilet Lancets Ultra Thin 28g,<br />

34<br />

Drymax, 29<br />

Drysol, 11<br />

Duac, 8<br />

Duane Reade Lancet Alternate Site 26g,<br />

34<br />

Duane Reade Lancet Super Thin 30g, 34<br />

Duane Reade Lancet Ultra Thin 28g, 34<br />

Duet Dha, 32<br />

Duet Dha Balanced, 32<br />

Duet Dha Ec, 32<br />

Duetact, 13<br />

Duexis, 26<br />

Dulera, 30<br />

Duocaine, 27


Duoneb, 30<br />

Durabac, 24<br />

Durabac Forte, 24<br />

Duraflu, 29<br />

Duragesic, 25<br />

Duramorph, 25<br />

Durasafe Spinal/epidural Tray/l%<br />

Xvlocaine/19qx36"close Cath, 27<br />

Durasafe Spinal/epidural Tray/l%<br />

Xvlocaine/19qx36"open Cath, 27<br />

Durasafe Spinal/epidural Tray/l%<br />

Xylocaine/20gx36"close Cath, 27<br />

Durasafe Spinal/epidural Tray/l%<br />

Xvlocaine/20qx36"open Cath, 27<br />

durasal, 10<br />

duraxin, 24<br />

Durezol, 23<br />

Dutoprol, 6<br />

dy-g, 29<br />

Dyazide, 7<br />

dyflex-g, 29<br />

dylix, 29<br />

Dymista, 27<br />

Dynacin, 1<br />

Dynacirc Cr, 5<br />

dyphylline gg, 29<br />

dyphylline-gg, 29<br />

Dyrenium, 7<br />

Dysport, 22<br />

dytuss, 27<br />

E<br />

E-z Ject Lancets, 34<br />

E-z Ject Lancets 21g, 34<br />

E-z Ject Lancets Color, 34<br />

E-z Ject Lancets Super Thin, 34<br />

E-z Ject Lancets Super Thin 30g, 34<br />

E-z Ject Lancets Thin 26g, 34<br />

E-zject Lancets Micro-thin 33g, 34<br />

e.e.s. 400, 1<br />

E.e.s. Granules, 1<br />

e.s.p., 3<br />

Easy Comfort Lancets, 34<br />

Easy Touch Lancets, 34<br />

easygel, 18<br />

Easytest li Lancets, 34<br />

Easytest Lancets, 34<br />

Ec-naprosyn, 26<br />

econazole nitrate, 9<br />

ed bacl<strong>of</strong>en, 22<br />

Ed Chlorped, 27<br />

Ed Chlorped D, 29<br />

ed cyte f, 17<br />

Ed Dm, 29<br />

ed-a-hist dm, 28<br />

Ed-bron G, 30<br />

Ed-chlor-tan, 27<br />

ed-flex, 24<br />

ed-spaz, 15<br />

Edarbi, 6<br />

Edarbyclor, 6<br />

Edecrin, 7<br />

Edluar, 20<br />

Edurant, 2<br />

Effexor Xr, 19<br />

Effient, 18<br />

Egrifta, 14<br />

Eldepryl, 21<br />

Elestat, 24<br />

Elestrin, 12<br />

Eletone, 11<br />

Elidel, 10<br />

Eligard, 4<br />

Elimite, 11<br />

Eliphos, 16<br />

elite ob with dha, 31<br />

elite-ob, 31<br />

Elite-ob 400, 32<br />

Elixophyllin, 30<br />

Elmiron, 17<br />

Elocon, 10<br />

Elspar, 3<br />

Emadine, 24<br />

Emcyt, 4<br />

Emend, 15<br />

Emla, 11<br />

Emsam, 19<br />

Emtriva, 2<br />

Emulsion Sb, 11<br />

Enablex, 16<br />

enalapril maleate, 5<br />

enalapril maleate/hydrochlorothiazide, 6<br />

Enbrel, 26<br />

Enbrel Sureclick, 26<br />

endocet, 25<br />

Endodan, 25<br />

Engerix-b, 30<br />

Enjuvia, 12<br />

Enlon, 22<br />

enoxaparin sodium, 18<br />

Entacapone, 21<br />

Entereg, 16<br />

Entocort Ec, 12<br />

entre-b, 28<br />

enulose, 16<br />

ephedrine sulfate, 7<br />

Epiceram, 11<br />

Epiduo, 8<br />

Epifoam, 10<br />

epinastine hcl, 24<br />

Epinephrine, 7<br />

epinephrine hcl, 29<br />

Epipen, 7<br />

Epipen 2-pak, 7<br />

Epipen-jr, 7<br />

Epipen-jr 2-pak, 7<br />

epitol, 21<br />

Epivir, 2<br />

Epivir Hbv, 2<br />

eplerenone, 6<br />

epogen, 18<br />

eprosartan mesylate, 6<br />

Epzicom, 2<br />

Eql Color Lancets 21g, 34<br />

Eql Super Thin Lancets 30g, 34<br />

Eql Thin Lancets 26g, 34<br />

Equagesic, 24<br />

Equetro, 20<br />

Ergocalciferol, 31<br />

ergoloid mesylates, 21<br />

Ergomar, 26<br />

Ertaczo, 9<br />

Erwinaze, 3<br />

ery, 8<br />

Ery-tab, 1<br />

Eryped 200, 1<br />

Eryped 400, 1<br />

erythrocin stearate, 1<br />

erythromycin, 1, 8, 22<br />

erythromycin base, 1<br />

erythromycin ethylsuccinate, 1<br />

erythromycin/benzoyl peroxide, 8<br />

erythromycin/sulfisoxazole, 3<br />

Escavite, 32<br />

escitalopram oxalate, 19<br />

Esgic, 24<br />

Esgic-plus, 24<br />

estazolam, 20<br />

Estrace, 12, 17<br />

Estraderm, 12<br />

estradiol, 12<br />

estradiol valerate, 12<br />

estradiol/norethindrone acetate, 12<br />

Estrasorb, 12<br />

Estring, 17<br />

Estrogel, 12<br />

estropipate, 12<br />

ethambutol hcl, 2<br />

ethosuximide, 21<br />

ethyl chloride, 10<br />

ethyl chloride/fine pinpoint, 10<br />

ethyl chloride/fine stream, 10<br />

ethyl chloride/medium jet stream, 10<br />

ethyl chloride/medium stream, 10<br />

ethyl chloride/mist, 10<br />

etidronate disodium, 13<br />

etodolac, 26<br />

etodolac er, 26<br />

etoposide, 4<br />

Eurax, 11<br />

Evamist, 12<br />

Evicel, 18<br />

Evista, 13<br />

Evithrom, 18<br />

Evoclin, 8<br />

Evoxac, 18<br />

Exactuss, 29<br />

Exalgo, 25<br />

Exall, 29<br />

Exall-d, 29<br />

exefen-ir, 28<br />

Exelderm, 9<br />

Exelon, 22<br />

exemestane, 3<br />

Exforge, 6<br />

Exforge Hct, 6<br />

Exjade, 36<br />

exoderm, 9<br />

Exparel, 27<br />

expectuss, 28<br />

Extavia, 22<br />

Extina, 9<br />

Ez Smart Blood Glucose Lancets, 34<br />

Ez-lets Lancets 21g, 34<br />

Ez-lets Lancets 23g, 34<br />

Ez-lets Lancets 26g Super-s<strong>of</strong>t, 34<br />

Ez-lets Lancets 28g Ultra-s<strong>of</strong>t, 34<br />

Ez-lets Lancets 30g, 34<br />

F<br />

fabb, 17<br />

Factive, 2<br />

famciclovir, 2<br />

famotidine, 15<br />

Famvir, 2<br />

Fanapt, 20


Fanapt Titration Pack, 20<br />

Fareston, 4<br />

Faslodex, 4<br />

Fasttake Test Strips, 34<br />

Fazaclo, 20<br />

fecplus, 17<br />

Felbamate, 21<br />

Felbatol, 21<br />

Feldene, 26<br />

felodipine er, 5<br />

fem ph, 17<br />

Femara, 4<br />

Femhrt 1/5, 12<br />

Femhrt Low Dose, 12<br />

Femring, 17<br />

Femtrace, 12<br />

Fen<strong>of</strong>ibrate, 7<br />

fen<strong>of</strong>ibrate micronized, 7<br />

Fen<strong>of</strong>ibric Acid, 7<br />

Fenoglide, 7<br />

fenopr<strong>of</strong>en calcium, 26<br />

fentanyl, 25<br />

fentanyl citrate oral transmucosal, 25<br />

Fentora, 25<br />

Feriva, 18<br />

ferocon, 17<br />

ferotrin, 17<br />

ferotrinsic, 17<br />

Ferralet 90, 18<br />

ferraplus 90, 17<br />

ferrex 150 forte, 17<br />

ferrex 150 forte plus, 17<br />

ferrex 28, 17<br />

Ferriprox, 36<br />

Ferro-plex Hematinic, 18<br />

ferrocite plus, 31<br />

ferrogels forte, 17<br />

Ferrotrin, 18<br />

Fetrin, 18<br />

Fexmid, 22<br />

fex<strong>of</strong>enadine hcl, 27<br />

Fibricor, 7<br />

Fifty50 Safety Seal Lancets 30g, 34<br />

Fifty50 Safety Seal Lancets 32g, 34<br />

Finacea, 8<br />

Finacea Plus, 8<br />

finasteride, 17<br />

Fine 30, 34<br />

Fingerstix Lancets, 34<br />

Fioricet, 24<br />

Fioricet/codeine, 25<br />

Fiorinal, 24<br />

Fiorinal/codeine #3, 25<br />

Firazyr, 18<br />

Firmagon, 4<br />

First-bxn Mouthwash, 18<br />

First-dukes Mouthwash, 19<br />

First-hydrocortisone, 10<br />

First-lansoprazole, 15<br />

First-marys Mouthwash, 19<br />

First-mouthwash BIm, 19<br />

First-omeprazole, 15<br />

First-progesterone Vgs 100<br />

Compoundinq Kit, 17<br />

First-progesterone Vgs 200<br />

Compounding Kit, 17<br />

First-progesterone Vgs 25 Compounding<br />

Kit, 17<br />

First-progesterone Vgs 400<br />

Compoundinq Kit, 17<br />

First-progesterone Vgs 50 Compounding<br />

Kit, 17<br />

First-testosterone, 12<br />

First-testosterone Mc Compounding Kit,<br />

12<br />

Flagyl, 3<br />

Flagyl Er, 3<br />

Flarex, 23<br />

flavoxate hcl, 16<br />

flecainide acetate, 5<br />

Flector, 9<br />

Flexeril, 22<br />

Flextra, 24<br />

Flextra Ds, 24<br />

Flextra-650, 24<br />

FIo-pred, 12<br />

Flomax, 17<br />

Flonase, 27<br />

Flovent Diskus, 30<br />

Flovent Hfa, 30<br />

floxuridine, 3<br />

Fluarix 2010-2011, 30<br />

Fluarix 2011-2012, 30<br />

Fluarix 2012-2013, 30<br />

Flucelvax 2012-2013, 30<br />

fluconazole, 2<br />

flucytosine, 2<br />

fludrocortisone acetate, 11<br />

Flulaval 2010-2011, 30<br />

Flulaval 2011-2012, 30<br />

Flulaval 2012-2013, 30<br />

Flumadine, 3<br />

Flumist Nasal Vaccine 2010-2011, 30<br />

Flumist Nasal Vaccine 2011-2012, 30<br />

Flumist Nasal Vaccine 2012-2013, 30<br />

flunisolide, 27<br />

fluocinolone acetonide, 9, 24<br />

fluocinolone acetonide body, 9<br />

fluocinolone acetonide scalp, 9<br />

fluocinonide, 9<br />

fluocinonide emollient base, 10<br />

fluocinonide-e, 10<br />

fluor-op, 23<br />

Fluorometholone, 23<br />

fluoxetine, 21<br />

fluoxetine dr, 19<br />

fluoxetine hcl, 19<br />

fluphenazine decanoate, 20<br />

fluphenazine hcl, 20<br />

flurazepam hcl, 20<br />

flurbipr<strong>of</strong>en, 26<br />

flurbipr<strong>of</strong>en sodium, 24<br />

flutamide, 4<br />

fluticasone propionate, 10, 27<br />

fluvastatin, 7<br />

Fluvirin 2010-2011, 30<br />

Fluvirin 2011-2012, 30<br />

Fluvirin 2012-2013, 30<br />

Fluvirin Pf 2011-2012, 30<br />

Fluvirin Pf 2012-2013, 30<br />

fluvoxamine maleate, 19<br />

Fluzone High-dose Pf 2010-2011, 30<br />

Fluzone High-dose Pf 2011-2012, 30<br />

Fluzone High-dose Pf 2012-2013, 30<br />

Fluzone Pediatric Pf 2010-2011, 30<br />

Fluzone Pediatric Pf 2011-2012, 30<br />

Fluzone Pediatric Pf 2012-2013, 30<br />

Fluzone Pf 2010-2011, 30<br />

Fluzone Pf 2011-2012, 30<br />

Fluzone Pf 2012-2013, 30<br />

Fluzone Split 2010-2011, 30<br />

Fluzone Split 2011-2012, 30<br />

Fluzone Split 2012-2013, 30<br />

Fml, 23<br />

Fml Forte, 23<br />

Fml Liquifilm, 23<br />

Focalin, 20<br />

Focalin Xr, 20<br />

folbecal, 31<br />

folbee, 17<br />

Folbee Ar, 18<br />

folbee plus, 31<br />

folbee plus cz, 31<br />

Folcal Dha, 32<br />

folcaps, 17<br />

Folcaps Omega 3, 32<br />

Folgard Os, 32<br />

Folgard <strong>Rx</strong>, 18<br />

folic acid, 17<br />

folic acid/vitamin b-6/vitamin b-12, 17<br />

folitab, 17<br />

Folivane-ec Calcium Dha Nf, 32<br />

Folivane-f, 18<br />

Folivane-ob, 32<br />

Folivane-plus, 18<br />

Folivane-prx Dha Nf, 32<br />

Folpace <strong>Rx</strong>, 18<br />

folplex 2.2, 17<br />

Foltrate, 17<br />

foltrin, 17<br />

fondaparinux sodium, 18<br />

Fora Lancets, 34<br />

Foradil Aerolizer, 30<br />

Forfivo XI, 19<br />

Fortamet, 13<br />

Fortavit, 32<br />

Fortaz, 1<br />

Forteo, 13<br />

Fortesta, 12<br />

Fortical, 13<br />

Fosamax, 13<br />

Fosamax Plus D, 13<br />

fosinopril sodium, 5<br />

fosinopril sodium/hydrochlorothiazide,<br />

fosphenytoin sodium, 21<br />

Fosrenol, 16<br />

Fragmin, 18<br />

Freestyle Lancets, 34<br />

Freestyle Unistick li Lancets, 34<br />

frenadol, 24<br />

Frova, 26<br />

Fumatinic, 18<br />

Furadantin, 16<br />

furosemide, 6<br />

Fuzeon, 2<br />

G<br />

g/p, 28<br />

gabapentin, 21<br />

Gabavale-5, 19<br />

Gabazolamine, 19<br />

Gabazolamine-0.5, 19<br />

Gabazolpidem-5, 20<br />

Gabitidine, 15<br />

Gabitril, 21


Gaboxetine, 19<br />

galantamine, 21<br />

galantamine hydrobromide, 21<br />

gani-tuss dm nr, 28<br />

gani-tuss nr, 28<br />

ganidin-nr, 28<br />

garamycin, 22<br />

Gardasil, 30<br />

gastrinex nf, 15<br />

Gastrocrom, 16<br />

gavilyte-c, 14<br />

gavilyte-g, 14<br />

gavilyte-n/flavor pack, 14<br />

Gebauers Pain Ease, 11<br />

Gebauers Spray And Stretch, 11<br />

Gel-kam Oral Care Rinse, 19<br />

Gelclair, 19<br />

Gelnique, 16<br />

gemfibrozil, 7<br />

Genadur, 11<br />

generlac, 16<br />

genexa la, 28<br />

gengraf, 4<br />

Genotropin, 13<br />

Genotropin Miniquick, 13<br />

gentak, 22<br />

gentamicin sulfate, 2, 8, 22<br />

Gentex 30, 29<br />

gentex ade, 31<br />

gentex Iq, 28<br />

Gentle-let Gp Lancets, 34<br />

Gentle-let Lancets General Purpose<br />

Style/fine Point, 34<br />

Gentle-let Lancets General Purpose<br />

Style/medium Point, 34<br />

Gentle-let Lancets Safety Style/fine Point,<br />

34<br />

Gentle-let Lancets Safety Style/medium<br />

Point, 34<br />

Geodon, 20<br />

Gesticare Dha, 32<br />

gfn 1200/dm 60, 28<br />

gfn 550/pse 60, 28<br />

Gilenya, 22<br />

Gilphex Tr, 29<br />

Giltuss, 29<br />

Giltuss Ped-c, 29<br />

Giltuss Pediatric, 29<br />

Giltuss Tr, 29<br />

Gleevec, 4<br />

Gliadel Wafer, 3<br />

glimepiride, 12<br />

glipizide, 12<br />

glipizide er, 12<br />

Glipizide XI, 12<br />

glipizide/metformin hcl, 13<br />

Global Inject Ease Lancets 28g, 34<br />

Global Inject Ease Lancets 30g, 34<br />

Glucagen, 13<br />

Glucagen Hypokit, 13<br />

Glucagon Emergency Kit, 13<br />

Glucocom Lancets 28g, 34<br />

Glucocom Lancets 30g, 34<br />

Glucocom Lancets 33g, 34<br />

Glucophage, 13<br />

Glucophage Xr, 13<br />

Glucosource Lancets, 34<br />

Glucotrol, 13<br />

Glucotrol XI, 13<br />

Glucovance, 13<br />

Glumetza, 13<br />

glyburide, 12<br />

glyburide micronized, 13<br />

glyburide/metformin hcl, 13<br />

glycolic acid, 9<br />

glycolic acid 70% high purity, 9<br />

Glycopyrroate, 15<br />

glycopyrrolate, 15<br />

Glynase, 13<br />

Glyset, 13<br />

Gnp Lancets, 34<br />

Gnp Lancets 21g, 34<br />

Gnp Lancets Micro Thin 33g, 34<br />

Gnp Lancets Super Thin 30g, 34<br />

Gnp Lancets Thin, 34<br />

Gnp Lancets Thin 26g, 34<br />

Gnp Micro Thin Lancets 33g, 34<br />

Gnp Super Thin Lancets/30g, 34<br />

Golytely, 14<br />

Gord<strong>of</strong>ilm, 11<br />

Gordons Urea, 11<br />

Gralise, 22<br />

Gralise Starter, 22<br />

granisetron hcl, 15<br />

Granisol, 15<br />

green soap, 10<br />

Grifulvin V, 2<br />

Gris-peg, 2<br />

grise<strong>of</strong>ulvin microsize, 2<br />

grise<strong>of</strong>ulvin ultramicrosize, 2<br />

guaifenesin/phenylephrinehcl, 28<br />

guanabenz acetate, 6<br />

guanfacine hcl, 6<br />

Guanidine Hcl, 22<br />

Gynazole-1, 17<br />

H<br />

H&h Thinlet Lancets 26g, 34<br />

H&h Thinlet Super Thin Lancets 30g, 34<br />

H-e-b Incontrol Lancets Super Thin 30g,<br />

34<br />

H-e-b Incontrol Lancets Ultra Thin 28g,<br />

34<br />

Haemolance, 34<br />

Haemolance Low Flow Lancets, 34<br />

Haemolance Plus, 34<br />

Haemolance Plus High Flow, 35<br />

Haemolance Plus Low Flow, 35<br />

Haemolance Plus Max Flow, 35<br />

Haemolance Plus Pediatric Flow, 35<br />

halac, 10<br />

Halcion, 20<br />

Haldol, 20<br />

Haldol Decanoate 100, 20<br />

Haldol Decanoate 50, 20<br />

Halflytely Bowel Prep/flavor Packs, 14<br />

halobetasol propionate, 10<br />

Halog, 10<br />

Halonate, 10<br />

halonate pac, 10<br />

haloperidol, 20<br />

haloperidol decanoate, 20<br />

haloperidol lactate, 20<br />

Halotin, 9<br />

Havrix, 30<br />

hdc dm, 28<br />

Healthwise Lancets 30g, 35<br />

Healthy Accents Unilet Lancets Super<br />

Thin 30q, 35<br />

hecoria, 4<br />

Hectorol, 14<br />

Helidac, 15<br />

Hemabate, 24<br />

hematinic plus vitamins/minerals, 31<br />

hematinic/folic acid, 17<br />

hematogen, 17<br />

hematogen fa, 17<br />

hematogen forte, 17<br />

Hematron-af, 18<br />

Hemenatal Ob, 32<br />

Hemenatal Ob + Dha, 32<br />

Hemetab, 18<br />

Hemocyte Plus, 32<br />

hemocyte-f, 17<br />

hemocyte-plus, 31<br />

Heparin Sodium, 18<br />

Heparin Sodium Dcu, 18<br />

Heparin Sodium/nacl 0.45%, 18<br />

Heparin Sodium/nacl 0.9%, 18<br />

Heparin Sodium/sodium Chloride 0.9%,<br />

18<br />

Heparin Sodium/sodium Chloride 0.9%<br />

Premix, 18<br />

Hepsera, 2<br />

Hexalen, 3<br />

Hiberix, 30<br />

Hiprex, 16<br />

Hm Lancets Micro Thin 33g, 35<br />

Hm Lancets Ultra Thin 30g, 35<br />

homatropaire, 23<br />

homatropine hbr, 23<br />

Horizant, 22<br />

Hpr, 11<br />

Hpr Plus, 11<br />

Hpr Plus/mb Hydrogel, 11<br />

Humaloc 12<br />

Humaloc Kwikpen, 12<br />

Humaloc Mix 50/50, 12<br />

Humaloc Mix 50/50 Kwikpen, 12<br />

Humaloc Mix 75/25, 12<br />

Humaloc Mix 75/25 Kwikpen, 12<br />

Humatrooe, 13<br />

Humatro )e Combo Pack, 14<br />

Humira, 26<br />

Humira Pen, 26<br />

Humira Pen-crohns Diseasestarter, 26<br />

Humira Pen-psoriasis Starter, 26<br />

Humulin R U-500 (concentrated), 12<br />

Hy-vee Lancets, 35<br />

Hy-vee Thin Lancets, 35<br />

Hycamtin, 4<br />

Hycet, 25<br />

hydralazine hcl, 6<br />

Hydrea, 4<br />

Hydro 35, 11<br />

Hydro 40 Foam, 11<br />

Hydroc/apap, 29<br />

hydrochlorothiazide, 6<br />

hydrocodone 10mg, 29<br />

hydrocodone bitartrate/acetaminophen,<br />

25<br />

hydrocodone bitartrate/homatropine<br />

methylbromide, 28<br />

hydrocodone polistirex and<br />

chlorpheniramine polistirex, 28


hydrocodone-acetaminophen tab 7.5-750<br />

m.q, 25<br />

hydrocodone/acetaminophen, 25<br />

hydrocodone/homatropine, 28<br />

hydrocodone/ibupr<strong>of</strong>en, 25<br />

hydrocortisone, 10, 11<br />

Hydrocortisone, 16<br />

hydrocortisone acetate/aloe, 10<br />

hydrocortisone acetate/pramoxine, 16<br />

hydrocortisone butyrate, 10<br />

hydrocortisone in absorbase, 10<br />

hydrocortisone valerate, 10<br />

hydrocortisone/acetic acid, 24<br />

hydrogesic, 25<br />

hydromet, 28<br />

Hydromorphone, 25<br />

hydromorphone hcl, 25<br />

hydromorphone hcl dosette, 25<br />

hydroxocobalamin, 17<br />

hydroxychloroquine sulfate, 3<br />

hydroxyurea, 4<br />

hydroxyzine hcl, 19<br />

hydroxyzine pamoate, 19<br />

hygel, 10<br />

Hylatopic, 11<br />

Hylatopic Plus, 11<br />

Hylatopic Plus/aurstat, 11<br />

Hylira, 11<br />

hyomax -dt, 15<br />

hyomax-sl, 15<br />

hyomax-sr, 15<br />

hyophen, 16<br />

hyoscyamine sulfate, 15<br />

hyoscyamine sulfate er, 15<br />

hyoscyamine sulfate odt, 15<br />

hyoscyamine sulfate sr, 15<br />

hyosyne, 15<br />

Hyper-sal, 29<br />

hypercare, 10<br />

Hypersal, 29<br />

Hypertenevide-12.5, 5<br />

Hypertenipine-2.5, 5<br />

Hypertensolol, 6<br />

Hyzaar, 6<br />

I<br />

ibandronate sodium, 13<br />

ibudone, 25<br />

ibupr<strong>of</strong>en, 26<br />

Ibupr<strong>of</strong>en Comfort Pac, 26<br />

Ic 400, 26<br />

Ic 800, 26<br />

Icar-c Plus, 18<br />

iferex 150 forte, 17<br />

Ilaris, 26<br />

Ilevro, 24<br />

ilotycin, 22<br />

Imdur, 5<br />

imipramine hcl, 19<br />

imipramine pamoate, 19<br />

imiquimod, 10<br />

Imitrex, 26<br />

Imitrex Statdose Refill, 26<br />

Imitrex Statdose System, 26<br />

Imovax Rabies (h.d.c.v.), 30<br />

Imuran, 4<br />

inatal advance, 31<br />

inatal gt, 31<br />

inatal ultra, 31<br />

Incivek, 2<br />

Increlex, 14<br />

indamix dm, 28<br />

indapamide, 6<br />

Inderal La, 5<br />

Indocin, 26<br />

indomethacin, 26<br />

indomethacin er, 26<br />

Infanrix, 30<br />

Infasurf, 30<br />

Infed, 17<br />

Infergen, 3<br />

influenza a (hlnl) monovalent 2009, 30<br />

influenza a (hlnl) monovalent 2009 pf,<br />

30<br />

Influenza Vaccine For Safeway<br />

Dependants, 30<br />

Infumorph 200, 25<br />

Infumorph 500, 25<br />

Inlyta, 4<br />

Innopran XI, 5<br />

Inova, 8<br />

Inova 4/1 Ache Control <strong>The</strong>rapy, 8<br />

Inova 8/2 Acne Control <strong>The</strong>rapy, 8<br />

Inspra, 6<br />

Integra F, 18<br />

Integra Plus, 18<br />

Intelence, 2<br />

Intermezzo, 20<br />

Introl, 7<br />

Intron-a, 4<br />

Intron-a W/diluent, 4<br />

Intuniv, 20<br />

Invanz, 3<br />

Invega, 20<br />

Invega Sustenna, 20<br />

Invirase, 2<br />

Iopidine, 23<br />

Ipol Inactivated Ipv, 30<br />

ipratropium bromide, 27, 29<br />

ipratropium bromide/albuterol sulfate, 29<br />

Iprivask, 18<br />

Iquix, 22<br />

irbesartan, 6<br />

irbesartan/hydrochlorothiazide, 6<br />

Iressa, 4<br />

Irospan 24/6, 18<br />

Isentress, 2<br />

isochron, 4<br />

isoditrate er, 4<br />

isonarif, 2<br />

isoniazid, 2<br />

Isoptin Sr, 5<br />

Isopto Atropine, 23<br />

Isopto Carbachol, 23<br />

Isopto Carpine, 23<br />

Isopto Homatropine, 23<br />

Isopto Hyoscine, 23<br />

Isordil Titradose, 5<br />

isosorbide dinitrate, 4<br />

isosorbide dinitrate er, 4<br />

isosorbide mononitrate, 4<br />

isosorbide mononitrate er, 4<br />

isradipine, 5<br />

Istalol, 23<br />

Isuprel, 30<br />

itraconazole, 2<br />

Ixiaro, 30<br />

J<br />

J-c<strong>of</strong> Dhc, 29<br />

J-max Dhc, 29<br />

J-tan D, 29<br />

J-tan D Sr, 29<br />

Jakafi, 4<br />

Jalyn, 17<br />

jantoven, 18<br />

Janumet, 13<br />

Janumet Xr, 13<br />

Januvia, 13<br />

jay-phyl, 29<br />

Je-vax, 30<br />

Jentadueto, 13<br />

Jevantique, 12<br />

jinteli, 12<br />

Juvisync, 13<br />

K<br />

K-phos Mf, 17<br />

K-phos No 2, 17<br />

Kadian, 25<br />

Kalbitor, 18<br />

Kaletra, 2<br />

Kalydeco, 30<br />

kanamycin sulfate, 2<br />

Kapvay, 20<br />

Kapvay Dose Pack, 20<br />

Keep Fit Lancets 28g/twist, 35<br />

Keep Fit Lancets 30g/twist, 35<br />

Keep Fit Lancets 32g/twist, 35<br />

Keep Fit Lancets 33g/twist, 35<br />

Keep Fit Safety Lancets 21g/pressure<br />

Activated 35<br />

Keep Fit Safety Lancets 23g/pressure<br />

Activated 35<br />

Keep Fit Safety Lancets 26g/button<br />

Activated 35<br />

Keep Fit Safety Lancets 26g/pressure<br />

Activated 35<br />

Keep Fit Safety Lancets 28g/button<br />

Activated 35<br />

Keep Fit Safety Lancets 28g/pressure<br />

Activated 35<br />

Keflex,<br />

Kenalog, 10<br />

Kenalog-10, 12<br />

Kenalog-40, 12<br />

Keppra, 21<br />

Keppra Xr, 21<br />

Kerafoam, 11<br />

Kerafoam 42, 11<br />

Keralyt, 11<br />

Keralyt Scalp, 11<br />

Kerlone, 5<br />

Kerol, 11<br />

Kerol Ad, 11<br />

Ketek, 3<br />

Ketocon, 9<br />

ketoconazole, 2, 9<br />

ketodan, 9<br />

Ketodan Kit, 9<br />

ketopr<strong>of</strong>en, 26<br />

ketopr<strong>of</strong>en er, 26<br />

ketorolac tromethamine, 24, 26<br />

kgs-pe, 28<br />

Kineret, 26<br />

Kinlytic, 18


Kinney Lancets, 35<br />

Kinney Thin Lancets, 35<br />

Kinrix, 30<br />

Klaron, 8<br />

Klonopin, 21<br />

Kombiglyze Xr, 13<br />

Korlym, 13<br />

Kristalose, 14<br />

Kroger Lancets, 35<br />

Kroger Lancets 21g, 35<br />

Kroger Lancets Micro Thin33g,<br />

Kroger Lancets Super Thin, 35<br />

Kroger Lancets Thin, 35<br />

Kroger Lancets Thin 26g, 35<br />

Kroger Lancets Ultrathin 30g, 35<br />

Kuvan, 14<br />

L<br />

35<br />

L-methylfolate Pnv Dha, 32<br />

labetalol hcl, 5<br />

Lac-hydrin, 11<br />

laclotion, 10<br />

Lacrisert, 22<br />

lactic acid, 10<br />

lactic acid e, 10<br />

lactic acid w/vitamin e, 10<br />

Lactocal-f, 32<br />

lactulose, 14, 16<br />

Lady Lite Lancets, 35<br />

Lagesic, 24<br />

Lamb Gel, 11<br />

Lamictal, 21<br />

Lamictal Chewable Dispersible, 21<br />

Lamictal Odt, 21<br />

Lamictal Starter/not Taking<br />

Carbamazepine, 21<br />

Lamictal Starter/taking<br />

Carbamazepine/not Taking Valproate, 21<br />

Lamictal Starter/taking Valproate, 21<br />

Lamictal Xr, 21<br />

Lamisil, 2, 9<br />

lamivudine, 2<br />

lamivudine/zidovudine, 2<br />

lamotrigine, 21<br />

Lancets Thin, 35<br />

Lancets Ultra Thin, 35<br />

Lancets Ultra Thin 30g, 35<br />

Lanoxin, 4<br />

lansoprazole, 15<br />

Lansoprazole Odt, 15<br />

Lantus, 12<br />

Lantus Solostar, 12<br />

Lasix, 7<br />

Lastacaft, 24<br />

latanoprost, 23<br />

latrix, 10<br />

latrix xm, 10<br />

Latuda, 20<br />

lavoclen-4 acne wash kit, 8<br />

lavoclen-4 creamy wash, 8<br />

lavoclen-8 acne wash kit, 8<br />

lavoclen-8 creamy wash, 8<br />

Lazanda, 25<br />

Leader Lancets Colored, 35<br />

Leader Super Thin Lancet, 35<br />

Leader Thin Lancets, 35<br />

leflunomide, 26<br />

Lescol, 7<br />

Lescol XI, 7<br />

Letairis, 7<br />

letrozole, 4<br />

Lets Kit, 27<br />

leucovorin calcium, 4<br />

Leukeran, 3<br />

Leukine, 17<br />

leuprolide acetate, 4<br />

Levacet, 24<br />

levalbuterol, 29<br />

Levalbuterol Hcl, 29<br />

Levaquin, 2<br />

Levatol, 5<br />

Levbid, 15<br />

Levemir, 12<br />

Levemir Flexpen, 12<br />

levetiracetam, 21<br />

levetiracetam er, 21<br />

levobunolol hcl, 23<br />

levocarnitine, 14<br />

levocetirizine dihydrochloride, 27<br />

lev<strong>of</strong>loxacin, 1, 22<br />

Levomefolate Dha, 32<br />

Levomefolate Pnv, 32<br />

Levophed, 7<br />

levorphanol tartrate, 25<br />

Levothroid, 14<br />

levothyroxine sodium, 14<br />

levothyroxine sodium tab 0.075mg, 14<br />

Levoxyl, 14<br />

Levsin, 15<br />

Levsin/sl, 15<br />

Lexapro, 19<br />

Lexiva, 2<br />

Lialda, 16<br />

Lidamantle Hc, 10<br />

lidazone hc, 16<br />

lidocaine, 10<br />

lidocaine hcl, 10, 18, 27<br />

lidocaine hcl jelly, 10<br />

lidocaine hcl-hydrocortisone acetate with<br />

aloe, 16<br />

lidocaine hcl/hydrocortisone acetate, 16<br />

lidocaine viscous, 18<br />

lidocaine/epinephrine, 27<br />

lidocaine/prilocaine, 10<br />

Lidoderm, 11<br />

Lidovir, 9<br />

Lifescan Unistik 2 Deep Penetration, 35<br />

Lifescan Unistik li Lancets, 35<br />

Lincocin, 3<br />

lindane, 10<br />

Linzess, 16<br />

liothyronine sodium, 14<br />

Lipitor, 7<br />

Lip<strong>of</strong>en, 7<br />

Liquicet, 25<br />

lisinopril, 5<br />

lisinopril/hydrochlorothiazide, 6<br />

Lite Touch Lancets, 35<br />

Lithium Carbonate, 20<br />

lithium carbonate er, 20<br />

Lithium Citrate, 20<br />

Lithobid, 20<br />

Lithostat, 17<br />

Livalo, 7<br />

Live Better Lancet Super Thin 30g, 35<br />

Live Better Lancet Ultra Thin 28g, 35<br />

Locoid, 10<br />

Locoid Lipocream, 10<br />

Lodosyn, 21<br />

Lodrane 12d, 29<br />

Lodrane 24, 27<br />

Lodrane 24d, 29<br />

I<strong>of</strong>ene, 15<br />

L<strong>of</strong>ibra, 7<br />

Iohist-12, 27<br />

Iohist-12d, 28<br />

Lokara, 10<br />

Lomotil, 15<br />

Longs Lancets Standard, 35<br />

Longs Lancets Thin, 35<br />

Longs Lancets Ultra Thin, 35<br />

Ionox, 15<br />

Ioperamide hcl, 15<br />

Lopid, 7<br />

Lopressor, 5<br />

Lopressor Hct, 6<br />

Loprox, 9<br />

Loprox Shampoo, 9<br />

Iorazepam, 19<br />

Lorazepam Intensol, 19<br />

Lorcet 10/650, 25<br />

Lorcet Plus, 25<br />

Lortab, 25<br />

Lorzone, 22<br />

Iosartan potassium, 6<br />

Iosartan potassium/hydrochlorothiazide,<br />

6 Lotemax, 23<br />

Lotensin, 6<br />

Lotensin Hct, 6<br />

Lotrel, 6<br />

Lotrisone, 9<br />

Lotronex, 16<br />

Iovastatin, 7<br />

Lovaza, 7<br />

Lovenox, 18<br />

Ioxapine, 20<br />

Ioxapine succinate, 20<br />

Loxitane, 20<br />

Lta 360 Kit, 19<br />

Lufyllin, 30<br />

Lumigan, 23<br />

Luminal, 20<br />

Lunesta, 20<br />

Lupron Depot, 4<br />

Lupron Depot-ped, 13<br />

Lusonal, 27<br />

Luvox Cr, 19<br />

Luxiq, 10<br />

Lycelle, 11<br />

Lyrica, 21<br />

lysiplex plus, 31<br />

Lysodren, 4<br />

Lysteda, 18<br />

Lytensopril, 6<br />

Lytensopril-90, 6<br />

M<br />

M-m-r li W/diluent 10 Dose, 30<br />

m-vit, 31<br />

macnatal cn dha, 31<br />

Macrobid, 16<br />

Macrodantin, 16<br />

Magnacet, 25<br />

Major Comfort Lancets, 35<br />

Makena, 12


Malarone, 3<br />

malathion, 10<br />

maprotiline hcl, 19<br />

Marcaine, 27<br />

Marcaine W/o Epi, 27<br />

Marcaine/epinephrine, 27<br />

margesic, 24<br />

Marinol, 15<br />

Marnatal-f, 32<br />

Marnatal-f Plus Duo Pack, 32<br />

Marplan, 19<br />

marten-tab, 24<br />

martinic, 17<br />

Matulane, 4<br />

matzim la, 5<br />

Mavik, 6<br />

Maxair Autohaler, 30<br />

Maxalt, 26<br />

Maxalt-mlt, 26<br />

Maxaron Forte, 18<br />

Maxidex, 23<br />

Maxidone, 25<br />

Maxifed Cd, 29<br />

Maxifed Cdx, 29<br />

Maxifed-g Cd, 29<br />

Maxifed-g Cdx, 29<br />

Maxiflu Cd, 29<br />

Maxiflu Cdx, 29<br />

Maxinate, 32<br />

Maxiphen Cd, 29<br />

Maxiphen Cdx, 29<br />

Maxitrol, 23<br />

Maxzide, 7<br />

Maxzide-25, 7<br />

Mb Hydrogel, 11<br />

mebendazole, 3<br />

meclizine hcl, 15<br />

mecl<strong>of</strong>enamate sodium, 26<br />

Medi-lance Lancets, 35<br />

Medichoice Pre-set Safety Lancet Dual<br />

Use, 35<br />

Medichoice Pre-set Safety Lancet Low<br />

Flow, 35<br />

Medichoice Pre-set Safety Lancet<br />

Medium Flow, 35<br />

Medichoice Pre-set Safety Lancet<br />

Moderate Flow, 35<br />

Medichoice Safety Lancet Extra, 35<br />

Medichoice Safety Lancet Normal, 35<br />

Medicine Shoppe Lancets, 35<br />

Medicine Shoppe Lancets Thin, 35<br />

Medisense Thin Lancets, 35<br />

Medlance Plus Lancets, 35<br />

Medlance Plus Lancets Lite 25g, 35<br />

Medlance Plus Superlite 30g, 35<br />

Medlance Plus Universal Lancets 21g,<br />

35<br />

Medlance Plus/lite 25g, 35<br />

Medlance/extra, 35<br />

Medlance/lite, 35<br />

Medlance/universal, 35<br />

Medrol, 12<br />

Medrol Dosepak, 12<br />

medroxyprogesterone acetate, 12<br />

mefenamic acid, 26<br />

mefloquine hcl, 3<br />

mega-c/a plus, 31<br />

Megace Es, 12<br />

Megace Oral, 4<br />

megestrol acetate, 4<br />

Meijer Color Lancets Universal 33g, 35<br />

Meijer Lancets, 35<br />

Meijer Lancets Thin, 35<br />

Meijer Lancets Universal 33g, 35<br />

Meijer Super Thin Lancets, 35<br />

Meloxicam, 26<br />

Meloxicam Comfort Pac, 26<br />

Menactra, 30<br />

Menest, 12<br />

Menhibrix, 30<br />

Menomune-a/c/y/w-135, 31<br />

Menostar, 12<br />

Mentax, 9<br />

Menveo, 31<br />

meperidine hcl, 25<br />

meperitab, 25<br />

Mephyton, 31<br />

mepivacaine hcl, 27<br />

meprobamate, 19<br />

Mepron, 3<br />

mercaptopurine, 3<br />

mesalamine, 16<br />

Mesnex, 4<br />

Mestinon, 22<br />

Mestinon Timespan, 22<br />

Metadate Cd, 20<br />

metadate er, 20<br />

Metaglip, 13<br />

metaproterenol sulfate, 29<br />

Metaxalone, 22<br />

metformin hcl, 13<br />

metformin hcl er, 13<br />

methadone hcl, 25<br />

Methadone Hcl Intensol, 25<br />

Methadose, 25<br />

Methadose Sugar-free, 25<br />

methamphetamine hcl, 20<br />

methazolamide, 6<br />

Methenamine Hippurate, 16<br />

methenamine mandelate, 16<br />

Methergine, 24<br />

methimazole, 14<br />

Methitest, 12<br />

methocarbamol, 22<br />

methotrexate, 3<br />

methotrexate sodium, 3<br />

Methscopolamine Bromide, 15<br />

methyclothiazide, 6<br />

methyldopa, 6<br />

methyldopa/hydrochlorothiazide, 6<br />

methylergonovine maleate, 24<br />

methylin, 20<br />

methylin er, 20<br />

methylphenidate hcl, 20<br />

methylphenidate hcl cd, 20<br />

methylphenidate hcl er, 20<br />

Methylphenidate Hcl Sr, 20<br />

methylphenidate hydrochloride, 20<br />

methylprednisolone, 11<br />

methylprednisolone acetate, 11<br />

methylprednisolone dose pack, 11<br />

methylprednisolone sodiumsuccinate, 11<br />

Metipranolol, 23<br />

metoclopramide hcl, 16<br />

metolazone, 6<br />

Metoprolol, 5<br />

metoprolol succinate er, 5<br />

metoprolol tartrate, 5<br />

metoprolol/hydrochlorothiazide, 6<br />

Metozolv Odt, 16<br />

Metrocream, 8<br />

Metrogel, 8<br />

Metrogel-vaginal, 17<br />

Metrolotion, 8<br />

metronidazole, 3, 8<br />

metronidazole vaginal, 16<br />

Mevacor, 7<br />

mexar wash, 9<br />

mexiletine hcl, 5<br />

mi-omega nf, 17<br />

Miacalcin, 13<br />

Micardis, 6<br />

Micardis Hct, 6<br />

miconazole 3, 16<br />

miconazole 3 combo pack, 17<br />

Microlet Lancets, 35<br />

Micronized Colestipol Hcl, 7<br />

Microtainer Safety Flow<br />

Lancet/sterile/sinqle-use, 35<br />

Microzide, 7<br />

Midamor, 7<br />

midodrine hcl, 7<br />

Mifeprex, 14<br />

Migergot, 26<br />

Migral, 26<br />

Migranal, 26<br />

Millipred, 12<br />

Millipred Dp, 12<br />

mimvey, 12<br />

Mimyx, 11<br />

mineral oil heavy, 14<br />

Minipress, 6<br />

minirin, 14<br />

minitran, 4<br />

Minivelle, 12<br />

Minocin, 1<br />

Minocin Kit, 1<br />

minocycline hcl, 1<br />

minocycline hcl er, 1<br />

minoxidil, 6<br />

Miracle Mouthwash, 19<br />

Mirapex, 21<br />

Mirapex Er, 21<br />

mirtazapine, 19<br />

mirtazapine odt, 19<br />

misoprostol, 15<br />

Mitosol, 22<br />

Mobic, 26<br />

modafinil, 20<br />

moexipril hcl, 5<br />

moexipril/hydrochlorothiazide, 6<br />

mometasone furoate, 10<br />

Momexin, 10<br />

Monodox, 1<br />

Monoject Basic Biopsy Tray Without<br />

Biopsy Needle 20.qx 1-1/2", 27<br />

Monoject Bone Marrow Aspiration<br />

Tray/iliac Needle 16.q, 27<br />

Monoject Bone Marrow Aspiration<br />

Tray/rosenthal Needle 16qx2", 27<br />

Monoject Bone Marrow Biopsy Tray/biop<br />

Aspir Needle 11qx4", 27<br />

Monoject Bone Marrow Biopsy Tray/biop<br />

Aspir Needle 8qx4", 27


Monoject Bone Marrow Biopsy Tray/biop<br />

Aspir/iliac Aspir Ndle, 27<br />

Monoket, 5<br />

Monolet Lancets, 35<br />

Monolet Opd Lancets, 35<br />

Monolettor Safety Lancets, 35<br />

montelukast sodium, 29<br />

Monurol, 16<br />

morgidox lxl00mg, 1<br />

morgidox 2xl00mg, 1<br />

Morphine, 25<br />

Morphine Sulfate, 25<br />

Morphine Sulfate Er, 25<br />

morphine sulfate powder, 25<br />

Morphine/saline, 25<br />

Mot<strong>of</strong>en, 15<br />

Moviprep, 14<br />

Moxatag, 1<br />

Moxeza, 22<br />

Mozobil, 17<br />

Ms Contin, 25<br />

Ms/hydrogel, 25<br />

mst 600, 24<br />

Mucotrol, 19<br />

mult-vitamin/fluoride, 31<br />

Multaq, 5<br />

multi vitamin/fluoride, 31<br />

multi-vit/fluoride, 31<br />

multi-vit/iron/fluoride, 31<br />

multi-vitamin/fluoride, 31<br />

multi-vitamin/fluoride/iron, 31<br />

Multichew, 32<br />

multigen, 17<br />

multigen folic, 17<br />

multigen plus, 17<br />

multivitamin with fluoride, 31<br />

multivitamin/fluoride, 31<br />

multivitamins/fluoride, 31<br />

mupirocin, 8<br />

Mustargen, 3<br />

mvc-fluoride, 31<br />

Myambutol, 2<br />

myci-gc, 28<br />

Mycobutin, 2<br />

mycophenolate m<strong>of</strong>etil, 4<br />

Mydfrin, 23<br />

mydral, 23<br />

Mydriacyl, 23<br />

myferon 150 forte, 17<br />

Myfortic, 4<br />

Myglucohealth Mgh S<strong>of</strong>tlance Lancets<br />

30g, 35<br />

myhist-pd, 28<br />

Mykidz Iron FI, 32<br />

Myleran, 3<br />

Mynatal, 32<br />

mynatal advance, 31<br />

mynatal plus, 31<br />

mynatal ultracaplet, 31<br />

mynatal-z, 31<br />

mynate 90 plus, 31<br />

mynephrocaps, 31<br />

Myobloc, 22<br />

Myochrysine, 26<br />

myorisan, 8<br />

myoxin, 24<br />

Myrbetriq, 16<br />

Mysoline, 21<br />

Mytelase, 22<br />

mytussin ac, 28<br />

N<br />

nabumetone, 26<br />

nadolol, 5<br />

nadolol/bendr<strong>of</strong>lumethiazide, 6<br />

nafcillin sodium, 1<br />

Nafrinse Daily/acidulated, 19<br />

Nafrinse Daily/neutral, 19<br />

Nafrinse Weekly, 19<br />

Naftin, 9<br />

nalbuphine hcl, 25<br />

Nalfon, 26<br />

Namenda, 21<br />

Namenda Titration Pak, 21<br />

Naprelan, 26<br />

Napro 15% Compounding Kit, 9<br />

Naproderm Compounding Kit, 9<br />

Naprosyn, 26<br />

naproxen, 26<br />

Naproxen Comfort Pac, 26<br />

naproxen dr, 26<br />

naproxen sodium, 26<br />

naratriptan hcl, 26<br />

Nardil, 19<br />

Nariz, 29<br />

Naropin, 27<br />

Nasacort Aq, 27<br />

Nascobal, 18<br />

nasohist, 28<br />

Nasohist Dm, 29<br />

Nasonex, 27<br />

Nasotuss, 29<br />

Nata Komplete, 32<br />

Natachew, 32<br />

Natacyn, 22<br />

Natafort, 32<br />

Natalvit, 32<br />

nateglinide, 13<br />

Natelle One, 32<br />

Natelle-ez, 32<br />

Natroba, 11<br />

nature-throid, 14<br />

Nature-throid Nt-2.5, 14<br />

Navane, 20<br />

Nebupent, 3<br />

Nebusal, 29<br />

Neevo, 32<br />

Neevo Dha, 32<br />

nefazodone hcl, 19<br />

Nembutal, 20<br />

Nembutal Sodium, 20<br />

Neo Dm, 29<br />

Neo-fradin, 2<br />

neo-polycin, 22<br />

Neo-synephrine, 7<br />

Neobenz Micro, 8<br />

Neobenz Micro Plus Pack, 8<br />

Neobenz Micro Sd, 8<br />

Neobenz Micro Wash, 8<br />

Neobenz Micro Wash Plus Pack, 8<br />

ne<strong>of</strong>rin, 23<br />

neomycin sulfate, 2<br />

neomycin/bacitracin/polymyxin, 22<br />

neomycin/polymyxin/bacitracin zinc, 22<br />

neomycin/polymyxin/bacitracin/hydrocorti<br />

sone, 23<br />

neomycin/polymyxin/dexamethasone, 23<br />

neomycin/polymyxin/gramicidin, 22<br />

neomycin/polymyxin/hc, 24<br />

neomycin/polymyxin/hydrocortisone, 23,<br />

24<br />

Neoral, 4<br />

Neosalus, 11<br />

Neosalus 180 Pack, 11<br />

Neosporin, 22<br />

neostigmine methylsulfate, 22<br />

Neotic, 24<br />

Neotuss Plus, 29<br />

Nephplex <strong>Rx</strong>, 32<br />

Nephro-vite <strong>Rx</strong>, 32<br />

Nephrocaps, 32<br />

Nephrocaps Qt, 32<br />

Nephron Fa, 18<br />

nephronex, 31<br />

Neptazane, 7<br />

Nesacaine, 27<br />

Nesacaine-mpf, 27<br />

Nestabs, 32<br />

Nestabs Dha, 32<br />

Netgroup Lancets, 35<br />

Neulasta, 17<br />

Neumega, 17<br />

Neupogen, 17<br />

Neupro, 21<br />

Neurin-sl, 18<br />

neurodep, 31<br />

Neurontin, 21<br />

neutrahist, 28<br />

neutral sodium fluoride, 18<br />

Neutrasal, 19<br />

Nevanac, 24<br />

Nevirapine, 2<br />

Nexa Plus, 32<br />

Nexa Select, 32<br />

Nexavar, 4<br />

Nexiclon Xr, 6<br />

Nexium, 15<br />

niacin, 31<br />

niacor, 31<br />

Niaspan, 7<br />

nicardipine hcl, 5<br />

Nicazel, 32<br />

Nicomide, 32<br />

nicotinamide w/zinc oxide/cupric<br />

oxide/folic acid, 31<br />

nicotinamide/zinc oxide/cupric oxide/folic<br />

acid, 31<br />

nicotinamidelzinclcopperlfa, 31<br />

nifediac cc, 5<br />

nifedical xl, 5<br />

nifedipine, 5<br />

nifedipine er, 5<br />

Nilandron, 4<br />

nimodipine, 5<br />

Nimotop, 5<br />

Niravam, 19<br />

Niron Komplete, 18<br />

nisoldipine, 5<br />

nisoldipine er, 5<br />

Nitro-bid, 4<br />

Nitro-dur, 4<br />

nitr<strong>of</strong>urantoin, 16<br />

Nitr<strong>of</strong>urantoin Macrocrystal, 16<br />

nitr<strong>of</strong>urantoin macrocrystalline, 16<br />

nitr<strong>of</strong>urantoin monohydrate, 16


Nitr<strong>of</strong>urantoin<br />

Monohydrate/macrocrvstals, 16<br />

nitroglycerin, 4<br />

Nitroglycerin Lingual, 4<br />

nitroglycerin transdermal, 4<br />

Nitrolingual Pumpspray, 4<br />

Nitromist, 5<br />

Nitrostat, 4<br />

nizatidine, 15<br />

Nizoral, 9<br />

nohist, 28<br />

nohist dmx, 28<br />

Norco, 25<br />

Norditropin Cartridge, 13<br />

Norditropin Flexpro, 13<br />

Norditropin Nordiflex Pen, 13<br />

Norel Sr, 29<br />

norepinephrine bitartrate, 7<br />

norethindrone acetate, 12<br />

Norflex, 22<br />

Noritate, 8<br />

Noroxin, 2<br />

Norpace, 5<br />

Norpace Cr, 5<br />

Norpramin, 19<br />

nortriptyline hcl, 19<br />

nortuss-de, 28<br />

nortuss-ex, 28<br />

Norvasc, 5<br />

Norvir, 2<br />

Notuss-ac, 29<br />

Nova Safety Lancets 23g, 35<br />

Nova Safety Lancets 28g, 35<br />

Nova Sureflex Lancets, 35<br />

Novaferrum, 18<br />

novagesic, 24<br />

Novarel, 13<br />

Nov<strong>of</strong>ine 30gx8mm, 35<br />

Nov<strong>of</strong>ine 32gx6mm, 35<br />

Nov<strong>of</strong>ine Autocover 30gx8mm, 35<br />

Novolog, 12<br />

Novolog Flexpen, 12<br />

Novolog Mix 70/30, 12<br />

Novolog Mix 70/30 Prefilled Flexpen,<br />

Novolog Penfill, 12<br />

Novotwist 30gx8mm, 35<br />

Novotwist 32gx5mm, 35<br />

Noxafil, 2<br />

np thyroid 30, 14<br />

np thyroid 60, 14<br />

np thyroid 90, 14<br />

Nplate, 17<br />

Nucort, 10<br />

Nucynta, 25<br />

Nucynta Er, 25<br />

Nuedexta, 21<br />

nufol, 17<br />

nulev, 15<br />

Nulytely/flavor Packs, 14<br />

numoisyn, 18<br />

Nuox, 8<br />

Nutri-tab Ob, 32<br />

Nutri-tab Ob + Dha, 32<br />

nutricap, 31<br />

Nutridox, 1<br />

nutrifac zx, 31<br />

Nutrivit, 32<br />

Nutropin, 13<br />

12<br />

Nutropin Aq, 13<br />

Nutropin Aq Nuspin 10,<br />

Nutropin Aq Nuspin 20,<br />

Nutropin Aq Nuspin 5,<br />

Nutropin Aq Pen, 13<br />

Nuvail, 11<br />

Nuvigil, 20<br />

nuzole, 9<br />

Nuzon, 10<br />

nyamyc, 9<br />

nystatin, 2, 9, 18<br />

nystatin vaginal, 17<br />

nystatin/triamcinolone, 9<br />

nystop, 9<br />

O<br />

13<br />

13<br />

13<br />

O-cal Fa, 32<br />

O-cal Prenatal, 32<br />

Ob Com31ete, 32<br />

Ob Com 31ete 400, 32<br />

Ob Com 3lete One, 32<br />

Ob Com3lete Petite, 32<br />

Ob Com31ete Premier, 32<br />

Ob Com 31ete With Dha, 32<br />

Ob Com31ete/dha, 32<br />

ob-natal one, 31<br />

Obstetrix Dha, 32<br />

obstetrix ec, 31<br />

octreotide acetate, 14<br />

Ocudox, 1<br />

Ocufen, 24<br />

Ocufiox, 22<br />

<strong>of</strong>loxacin, 1, 22, 24<br />

Oforta, 3<br />

olanzapine, 20<br />

olanzapine odt, 20<br />

olanzapine/fluoxetine, 21<br />

Oleptro, 19<br />

Olux, 10<br />

Olux-e, 10<br />

Omeclamox-pak, 15<br />

omeprazole, 15<br />

omeprazole/sodium bicarbonate, 15<br />

Omnaris, 27<br />

Omnipred, 23<br />

Omnitrope, 14<br />

Omontys, 18<br />

On Call Lancets, 35<br />

On Call Plus Lancets, 35<br />

Oncaspar, 3<br />

ondansetron hcl, 15<br />

ondansetron odt, 15<br />

Onetouch Basic System, 35<br />

Onetouch Basic/pr<strong>of</strong>ile Test Strips, 35<br />

Onetouch Basic/pr<strong>of</strong>ile/one Touch li Test<br />

Strips, 35<br />

Onetouch Club Lancets Fine Point, 35<br />

Onetouch Combo Pack, 35<br />

Onetouch Delica Lancets, 35<br />

Onetouch Delica Lancets Fine 30g, 35<br />

Onetouch Finepoint Lancets, 35<br />

Onetouch Lancets, 35<br />

Onetouch Pr<strong>of</strong>ile System, 35<br />

Onetouch Ultra 2, 35<br />

Onetouch Ultra Blue, 35<br />

Onetouch Ultra Mini, 35<br />

Onetouch Ultra System Kit, 35<br />

Onetouch Ultra Test Strips, 35<br />

Onetouch Ultras<strong>of</strong>t Lancets, 35<br />

Onetouch Verio Control Solution High,<br />

35<br />

Onetouch Verio Iq Blood Glucose<br />

Monitoring System, 35<br />

Onetouch Verio Iq Test Strips, 35<br />

Onetouch Verio Mid Control Solution, 35<br />

Onetouch Verio Test Strips, 35<br />

Onfi, 21<br />

Onglyza, 13<br />

Onmel, 2<br />

Onsolis, 25<br />

Opana, 25<br />

Opana Er, 25<br />

Opana Er (crush Resistant), 25<br />

opium, 15<br />

opium tincture, 15<br />

Optipranolol, 23<br />

Optivar, 24<br />

Oracea, 8<br />

Oracit, 17<br />

oralone, 18<br />

Oramagicrx, 19<br />

Oramorph Sr, 25<br />

Orap, 21<br />

Orapred, 12<br />

Orapred Odt, 12<br />

Oravig, 19<br />

Oraxyl, 1<br />

Orbivan, 24<br />

Orbivan Cf, 25<br />

Orencia, 26<br />

Orfadin, 14<br />

orphenadrine citrate, 22<br />

orphenadrine citrate er, 22<br />

orphenadrine compound ds, 22<br />

orphenadrine/asa/caffeine, 22<br />

ortho-cs 250, 31<br />

ortho-est, 12<br />

oscimin, 15<br />

oscimin sr, 15<br />

oscion cleanser, 8<br />

Osmoprep, 14<br />

otic care, 24<br />

oticin, 24<br />

otozin, 24<br />

Ovace Plus, 9<br />

Ovace Plus Wash, 9<br />

Ovace Wash, 9<br />

Ovide, 11<br />

oxacillin sodium, 1<br />

Oxandrin, 12<br />

oxandrolone, 12<br />

oxaprozin, 26<br />

oxazepam, 19<br />

oxcarbazepine, 21<br />

Oxecta, 25<br />

Oxistat, 9<br />

Oxsoralen Ultra, 9<br />

oxybutynin chloride, 16<br />

oxybutynin chloride er, 16<br />

oxycodone, 25<br />

oxycodone hcl, 25<br />

oxycodone/acetaminophen, 25<br />

oxycodone/aspirin, 25<br />

oxycodone/ibupr<strong>of</strong>en, 25<br />

Oxycontin, 25<br />

oxymorphone hydrochloride, 25<br />

oxymorphone hydrochloride er, 25


Oxytocin, 24<br />

Oxytrol, 16<br />

P<br />

p chlor dm, 28<br />

Pacerone, 5<br />

Pacnex Hp, 8<br />

Pacnex Lp, 8<br />

Pacnex Mx, 8<br />

pacnex wash, 8<br />

Paire Ob, 32<br />

Palgic, 27<br />

Pamelor, 19<br />

Pamine, 15<br />

Pamine Forte, 15<br />

Pamine Fq, 15<br />

Panatuss Dxp, 29<br />

Pancreaze, 15<br />

Pancrelipase, 15<br />

Pandel, 10<br />

Pantoprazole Sodium, 15<br />

papaverine hcl, 7<br />

Parafon Forte Dsc, 22<br />

parcaine, 23<br />

Parcopa, 21<br />

paregoric, 15<br />

Parlodel, 21<br />

Parnate, 19<br />

paromomycin sulfate, 2<br />

paroxetine hcl, 19<br />

paroxetine hcl er, 19<br />

Paser, 2<br />

Pataday, 24<br />

Patanase, 27<br />

Patanol, 24<br />

Paxil, 19<br />

Paxil Cr, 19<br />

Pce, 1<br />

pe-guai, 28<br />

pedi-dri, 9<br />

Pediaderm Af Complete Kit, 9<br />

Pediaderm Hc, 10<br />

Pediaderm Ta, 10<br />

Pediapred, 12<br />

Pediarix, 30<br />

Pediatex Td, 29<br />

Pediatex Tdm, 29<br />

Pedipirox-4 Nail, 9<br />

Pedvax Hib, 31<br />

Peg 3350/electrolytes, 14<br />

peg-3350/electrolytes, 14<br />

peg-3350/nacl/na bicarbonate/kcl,<br />

Peg-intron, 2<br />

Peg-intron Redipen, 2<br />

Peg-intron Redipen Pak 4, 2<br />

Peganone, 21<br />

Pegasys, 2<br />

Pegasys Proclick, 2<br />

penicillin g potassium, 1<br />

penicillin g procaine, 1<br />

penicillin g sodium, 1<br />

penicillin v potassium, 1<br />

Penlac Nail Lacquer, 9<br />

Pennsaid, 9<br />

Pentacel, 30<br />

Pentam 300, 3<br />

Pentasa, 16<br />

pentazocine/acetaminophen, 25<br />

pentazocine/naloxone hcl, 25<br />

14<br />

pentetate calcium trisodium, 36<br />

pentetate zinc trisodium, 36<br />

pentoxifylline er, 18<br />

Pepcid, 15<br />

Percocet, 25<br />

Percodan, 25<br />

Perfect Lancets 30g, 35<br />

Perfect Pressure Activated Safety<br />

Lancets 28q, 35<br />

Perforomist, 30<br />

Peridex, 19<br />

perindopril erbumine, 5<br />

perio med, 18<br />

periogard, 18<br />

permethrin, 10<br />

perphenazine, 20<br />

perphenazine/amitriptyline, 21<br />

Persantine, 18<br />

Pertzye, 15<br />

Pexeva, 19<br />

pfizerpen-g, 1<br />

Pharmacist Choice Ultra Thin Lancets,<br />

35<br />

Pharmacist Choice Ultra Thin Lancets<br />

28g, 35<br />

Pharmacist Choice Ultra Thin Lancets<br />

30g, 35<br />

Pharmacist Choice Ultra Thin Lancets<br />

31q, 35<br />

Pharmacy Counter Lancets, 35<br />

Phena-plus, 29<br />

Phena-s, 29<br />

phenadoz, 27<br />

phenazo, 17<br />

phenazopyridine hcl, 17<br />

phenelzine sulfate, 19<br />

Phenergan, 27<br />

Phenergan Fortis, 27<br />

Phenflu Cd, 29<br />

Phenflu Cdx, 29<br />

phenobarbital, 20<br />

phenobarbital sodium, 20<br />

phentolamine mesylate, 6<br />

phenylephrine hcl, 7, 23<br />

phenylephrine/guaifenesin, 28<br />

Phenytek, 21<br />

phenytoin, 21<br />

phenytoin sodium, 21<br />

phenytoin sodium extended, 21<br />

Phoslo, 16<br />

Phoslyra, 16<br />

phosphasal, 16<br />

Phospholine Iodide, 23<br />

Phrenilin Forte, 25<br />

phytonadione, 31<br />

pilocarpine hcl, 18, 23<br />

pilocarpine hydrochloride, 18<br />

Pilopine Hs, 23<br />

pindolol, 5<br />

Pinnacaine Otic, 24<br />

Pioglitazone Hcl, 13<br />

Pioglitazone Hcl/metformin Hcl, 13<br />

piroxicam, 26<br />

Pitocin, 24<br />

Pitressin Synthetic, 14<br />

Plaquenil, 3<br />

Plavix, 18<br />

Pletal, 18<br />

Plexion Cleanser, 8<br />

Plexion Cleansing Cloth, 8<br />

Plexion Sct, 8<br />

Pliaglis, 11<br />

pneumovax 23/1 dose, 30<br />

pneumovax 23/5 dose, 30<br />

Pnv Ob+dha, 32<br />

pnv-dha, 31<br />

Pnv-dha+docusate, 32<br />

Pnv-omega, 32<br />

pnv-select, 31<br />

Pnv-total, 32<br />

podocon 25 in benzoin tincture, 10<br />

pod<strong>of</strong>ilox, 10<br />

polocaine, 27<br />

polocaine-mpf, 27<br />

Poly Hist Dhc, 29<br />

Poly Hist Nc, 29<br />

Poly Hist Pd, 29<br />

poly-dex, 23<br />

poly-iron 150 forte, 17<br />

Poly-pred, 23<br />

Poly-tussin Dhc, 29<br />

Poly-tussin Ex, 29<br />

Poly-vi-flor, 32<br />

Poly-vi-flor/iron, 33<br />

poly-vitamin/fluoride, 31<br />

poly-vitamin/iron/fluoride, 31<br />

polycin b, 22<br />

Polycitra-k Crystals, 17<br />

polyethylene glycol 3350, 14<br />

polymyxin b sulfate, 3<br />

Polymyxin B Sulfate/trimethoprim Sulfate,<br />

22<br />

polysaccharide iron forte, 17<br />

Polytrim, 22<br />

polyvitamin/fluoride, 31<br />

Ponstel, 26<br />

Pontocaine, 11, 27<br />

Pontocaine Niphanoid, 27<br />

Potassium Citrate, 17<br />

potassium citrate/citric acid, 17<br />

Potiga, 21<br />

pr benzoyl peroxide wash, 8<br />

Pr Cream, 11<br />

pr natal 400, 31<br />

pr natal 400 ec, 31<br />

pr natal 430, 31<br />

pr natal 430 ec, 31<br />

Pradaxa, 18<br />

pram-hca, 16<br />

pramcort, 10<br />

pramipexole dihydrochloride, 21<br />

Pramosone, 10<br />

Pramotic, 24<br />

pramox gel, 10<br />

Prandimet, 13<br />

Prandin, 13<br />

prascion, 8<br />

prascion fc, 8<br />

prascion ra with sunscreens, 8<br />

Pravachol, 7<br />

pravastatin sodium, 7<br />

Prazolamine, 22<br />

prazosin hcl, 6<br />

Pre-folic, 18<br />

Precision Thin Lancets, 35<br />

Precision Thins Gp Lancet, 35


Precision Ultra Lancet, 35<br />

Precose, 13<br />

Pred Forte, 23<br />

Pred Mild, 23<br />

Pred-g, 23<br />

Pred-g S.o.p., 23<br />

prednicarbate, 10<br />

prednisolone, 11<br />

Prednisolone Acetate, 23<br />

prednisolone sodium phosphate, 11,23<br />

prednisone, 11<br />

Prednisone Intensol, 12<br />

Prefera Ob, 32<br />

Prefera Ob + Dha, 32<br />

Preferaob One, 32<br />

Preferred Plus Lancets Colored 21g, 35<br />

Preferred Plus Lancets Super Thin 30g,<br />

35<br />

Preferred Plus Lancets Thin 26g, 35<br />

Prefest, 12<br />

Pregnyl W/diluent Benzyl Alcohol/nacl,<br />

13<br />

Prelone, 12<br />

Premarin, 12, 17<br />

Premphase, 12<br />

Prempro, 12<br />

Prenal Chew/quatrefolic, 33<br />

Prenal Plus/quatrefolic, 33<br />

Prenal/quatrefolic, 33<br />

prenafirst, 31<br />

Prenaissance, 33<br />

Prenaissance Balance, 33<br />

Prenaissance Harmony Dha, 33<br />

Prenaissance Next, 33<br />

prenaissance plus, 31<br />

prenaplus, 31<br />

Prenata, 33<br />

)renatabs fa, 31<br />

)renatabs obn, 31<br />

)renatabs rx, 31<br />

)renatal 19, 31<br />

)renatal ad, 31<br />

)renatal low iron, 31<br />

Prenatal Mv & Min/fe-fa-dha, 33<br />

Prenatal Plus, 33<br />

Prenatal Plus Iron, 33<br />

prenatal plus/iron, 31<br />

Prenatal Vitamins Plus, 33<br />

prenatal-u, 31<br />

Prenate Dha, 33<br />

Prenate Elite, 33<br />

Prenate Essential, 33<br />

Prenate Mini, 33<br />

Prenexa, 33<br />

Prepidil, 24<br />

Prepopik, 14<br />

Preque 10, 33<br />

Prevacid, 15<br />

Prevacid Solutab, 15<br />

prevalite, 7<br />

Prevident, 19<br />

Prevnar 13, 31<br />

Prevpac, 15<br />

Prezista, 2<br />

Priftin, 2<br />

Prilosec, 15<br />

Primaquine Phosphate, 3<br />

primidone, 21<br />

Primlev, 25<br />

Primsol, 3<br />

Prinivil, 6<br />

Prinzide, 6<br />

Pristiq, 19<br />

Pro-clear, 29<br />

Proair Hfa, 30<br />

probenecid, 26<br />

probenecid/colchicine, 26<br />

procainamide hcl, 5<br />

Procardia, 5<br />

Procardia XI, 5<br />

Procentra, 20<br />

prochlorperazine, 20<br />

prochlorperazine edisylate, 20<br />

prochlorperazine maleate, 20<br />

Procort, 16<br />

procrit, 17<br />

procto-pak, 16<br />

Proctocort, 16<br />

proctocream hc, 16<br />

Proct<strong>of</strong>oam Hc, 16<br />

proctosol hc, 16<br />

proctozone-hc, 16<br />

Prodigy Pressure Activated Safety<br />

Lancets, 35<br />

Prodigy Safety Lancets, 35<br />

Prodigy Twist Top Lancets, 35<br />

Pr<strong>of</strong>errin-forte, 18<br />

progesterone, 12<br />

Proglycem, 13<br />

Prograf, 4<br />

Prohist Cd, 29<br />

Prohist Cf, 29<br />

Prohist Lq, 29<br />

Prolia, 13<br />

promacet, 24<br />

Promacta, 17<br />

Promar, 33<br />

3romethazine hcl, 27<br />

3romethazine hcl plain, 27<br />

3romethazine vc, 28<br />

3romethazine vc plain, 28<br />

3romethazine vc/codeine, 28<br />

3romethazine-dm, 28<br />

3romethazine/codeine, 28<br />

3romethazine/dextromethorphan, 28<br />

3romethegan, 27<br />

Prometrium, 12<br />

Promiseb, 9<br />

Promiseb Complete, 9<br />

propafenone hcl, 5<br />

propafenone hcl er, 5<br />

propantheline bromide, 15<br />

proparacaine hcl, 23<br />

propranolol hcl, 5<br />

propranolol hcl er, 5<br />

propranolol/hydrochlorothiazide, 6<br />

propylthiouracil, 14<br />

Proquad, 31<br />

Proscar, 17<br />

Prosed/ds, 16<br />

Prostigmin, 22<br />

Prostin E2, 24<br />

Protect Cardio, 33<br />

Protect Plus, 33<br />

Protect Plus Nr, 33<br />

Protectbone, 33<br />

Protectiron, 33<br />

Protectnatal, 33<br />

protid, 28<br />

Protonix, 15<br />

Protopic, 10<br />

protriptyline hcl, 19<br />

Proventil Hfa, 30<br />

Provera, 12<br />

Provigil, 20<br />

Prozac, 19<br />

Prozac Weekly, 19<br />

Pruclair, 11<br />

Prudoxin, 9<br />

Prumyx, 11<br />

Pss Select Gp Lancets, 35<br />

Pss Select Safety Lancets, 35<br />

pulmari-gp, 28<br />

Pulmicort, 30<br />

Pulmicort Flexhaler, 30<br />

Pulmophylline, 30<br />

Pulmozyme, 30<br />

Purefe Ob Plus, 33<br />

Purefe Plus, 18<br />

purevit dualfe plus, 17<br />

Purinethol, 3<br />

Px Lancets, 35<br />

Px Lancets Ultra Thin, 35<br />

Pylera, 15<br />

pyrazinamide, 2<br />

Pyridium, 17<br />

pyridostigmine bromide, 22<br />

pyridoxine hcl, 31<br />

pyrogallic acid, 10<br />

Q<br />

Qc Lancets Super Thin, 35<br />

Qc Lancets Ultra Thin, 35<br />

Qnasl, 27<br />

Qualaquin, 3<br />

Quelicin, 22<br />

Quelicin 1000, 22<br />

Questran, 7<br />

Questran Light, 7<br />

quetiapine fumarate, 20<br />

Quillivant Xr, 20<br />

quinapril hcl, 5<br />

quinapril/hydrochlorothiazide, 6<br />

Quinidine Gluconate, 5<br />

quinidine gluconate cr, 5<br />

quinidine gluconate er, 5<br />

quinidine sulfate, 5<br />

quinidine sulfate er, 5<br />

quinine sulfate, 3<br />

Quixin, 22<br />

Qutenza, 11<br />

Qvar, 30<br />

R<br />

r-tanna, 28<br />

r-tanna pediatric, 28<br />

Ra E-zject Color Lancets Micro-thin 33g,<br />

35<br />

Ra E-zject Lancets 28g, 35<br />

Ra E-zject Lancets Thin 26g, 35<br />

Ra E-zject Lancets Thin 28g, 35<br />

Ra E-zject Lancets Ultra Thin 30g, 35<br />

ra renewal medicated ache treatment<br />

maximum strength, 8<br />

Rabavert, 31


Radigel, 11<br />

ramipril, 5<br />

Ranexa, 5<br />

ranitidine hcl, 15<br />

Rapaflo, 17<br />

Rapamune, 4<br />

Rayos, 12<br />

Razadyne, 22<br />

Razadyne Er, 22<br />

Reality Lancets, 35<br />

Reality Trigger Lancets, 35<br />

Reaphirm, 33<br />

Rebetol, 3<br />

Rebif, 21<br />

Rebif Titration Pack, 21<br />

Recombivax Hb, 31<br />

Recothrom, 18<br />

Recothrom Spray Kit, 18<br />

Rectiv, 16<br />

Reglan, 16<br />

Regonol, 22<br />

relacon-dm nr, 28<br />

relagard, 17<br />

Relagesic, 25<br />

relasin dm, 28<br />

relc<strong>of</strong> pse, 28<br />

Relenza Diskhaler, 2<br />

relera, 28<br />

Relhist, 29<br />

Relion Lancets, 35<br />

Relion Lancets Standard 21g, 35<br />

Relion Lancets Thin 26g, 35<br />

Relion Lancets Ultra-thin30g, 35<br />

Relion Thin Lancets, 35<br />

Relion Ultra Thin Lancets, 36<br />

Relion Ultra Thin Lancets30g, 36<br />

Relion Ultra Thin Plus Lancets 32g, 36<br />

Relion Ultra Thin Plus Lancets 33g, 36<br />

Relistor, 16<br />

Relnate Dha, 33<br />

Relpax, 26<br />

Remeron, 19<br />

Remeron Soltab, 19<br />

remeven, 10<br />

Remodulin, 7<br />

rena-vite rx, 31<br />

Renagel, 16<br />

renal, 31<br />

renalpren, 31<br />

Renatabs, 33<br />

Renatabs With Iron, 33<br />

Renax, 33<br />

Renax 5.5, 33<br />

Renew Advanced Lancing Cartridge<br />

Refills, 36<br />

reno caps, 31<br />

Renvela, 16<br />

repan, 24<br />

Reprexain, 25<br />

Req 49+, 33<br />

Requip, 21<br />

Requip XI, 21<br />

Rescon, 29<br />

Rescon-jr, 29<br />

Rescon-mx, 29<br />

Rescriptor, 2<br />

Reserpine, 6<br />

Respa-a.r., 29<br />

respa-br, 27<br />

resperal-dm, 28<br />

respivent dr, 27<br />

respivent df 30, 27<br />

respivent-d, 28<br />

Restasis, 23<br />

Restoril, 20<br />

Retin-a, 8<br />

Retin-a Micro, 8<br />

Retin-a Micro Pump, 8<br />

Retrovir, 3<br />

Revatio, 7<br />

Revlimid, 4<br />

Reyataz, 2<br />

Rezira, 28<br />

Rezyst Im, 15<br />

Rezyst Sb, 15<br />

Rheumatrex, 26<br />

Rhinocort Aqua, 27<br />

rhin<strong>of</strong>lex, 24<br />

rhin<strong>of</strong>iex-650, 24<br />

ribapak, 2<br />

ribasphere, 2<br />

ribatab, 2<br />

ribavirin, 2<br />

Ridaura, 26<br />

Rifadin, 2<br />

Rifamate, 2<br />

rifampin, 2<br />

Rifater, 2<br />

Rightest GI300 Lancets, 36<br />

Rilutek, 22<br />

rimantadine hcl, 2<br />

Rimantalist, 3<br />

rinate pediatric, 28<br />

Rinnovi Nail System, 11<br />

Riomet, 13<br />

Risperdal, 20<br />

Risperdal Consta, 20<br />

Risperdal M-tab, 20<br />

risperidone, 20<br />

Risperidone M-tab, 20<br />

risperidone odt, 20<br />

Ritalin, 20<br />

Ritalin La, 20<br />

Ritalin Sr, 20<br />

rivastigmine tartrate, 21<br />

robafen ac, 28<br />

Robaxin, 22<br />

Robaxin-750, 22<br />

Robinul, 15<br />

Robinul Forte, 15<br />

Rocaltrol, 14<br />

Rocephin, 1<br />

romilar ac, 28<br />

romycin, 22<br />

ropinirole er, 21<br />

ropinirole hcl, 21<br />

rosadan, 8<br />

Rosadan Kit, 8<br />

Rosanil, 8<br />

rosanil cleanser, 8<br />

Rotarix, 31<br />

Rotateq, 31<br />

Rowasa, 16<br />

Roxicet, 25<br />

Roxicodone, 25<br />

Rozerem, 20<br />

ru-hist forte, 28<br />

ru-tuss, 28<br />

Ru-tuss Dm, 29<br />

Rybix Odt, 25<br />

Ryneze, 27<br />

Rythmol, 5<br />

Rythmol Sr, 5<br />

Ryzolt, 25<br />

S<br />

Sabril, 21<br />

Safe-t-lance Low Flow 25g, 36<br />

Safe-t-lance Normal Flow 21g, 36<br />

Safe-t-lance Plus Safety Lancet High<br />

Flow, 36<br />

Safe-t-lance Plus Safety Lancet Low<br />

Flow, 36<br />

Safe-t-lance Plus Safety Lancet Normal<br />

Flow, 36<br />

Safety Lancet 2mm, 36<br />

Safety Lancets, 36<br />

Safety Lancets 21g, 36<br />

Safety Let Lancets, 36<br />

Safety Seal Lancets 28g, 36<br />

Safety Seal Lancets 30g, 36<br />

Saizen, 14<br />

Saizen Click.easy, 14<br />

salacyn, 11<br />

Salagen, 19<br />

Salex, 11<br />

Salex Cream, 11<br />

Salex Lotion, 11<br />

Salicept, 19<br />

salicylic acid, 11<br />

salicylic acid cream, 11<br />

salicylic acid in ammonium lactate<br />

vehicle, 11<br />

salicylic acid lotion, 11<br />

salicylic acid wart remover, 11<br />

salkera, 11<br />

salsalate, 24<br />

Salvax, 11<br />

Salvax Duo Plus, 11<br />

Samsca, 14<br />

Sanctura, 16<br />

Sanctura Xr, 16<br />

Sancuso, 15<br />

Sandimmune, 4<br />

Sandostatin, 14<br />

Sandostatin Lar Depot, 14<br />

Saphris, 20<br />

Sarafem, 22<br />

Savella, 21<br />

Savella Titration Pack, 22<br />

Sb Lancets Thin, 36<br />

Sb Lancets Ultra Thin, 36<br />

scalacort, 10<br />

Scalacort Dk, 10<br />

scopolamine hydrobromide, 15<br />

se10-5ss, 8<br />

se bpo 3% foaming cloths, 8<br />

se bpo 6% foaming cloths, 8<br />

se bpo 7-5.5 wash kit, 8<br />

se bpo 9% foaming cloths, 8<br />

se bpo wash, 8<br />

se-care, 31<br />

se-care conceive, 31<br />

se-nata119, 31<br />

se-natal 90, 31


se-natal one, 31<br />

se-plete dha, 31<br />

se-tan dha, 31<br />

se-tan plus, 17<br />

seb-prev, 9<br />

seb-prev wash, 9<br />

Seconal, 20<br />

Sectral, 5<br />

Sedapap, 25<br />

Select-ob, 33<br />

Select-ob+dha, 33<br />

selegiline hcl, 21<br />

selenium sulfide, 9<br />

Selsun Shampoo, 9<br />

Selzentry, 2<br />

Semprex-d, 29<br />

Senetonic, 33<br />

senilezol, 17<br />

senna, 14<br />

senna leaves, 14<br />

senna plus, 14<br />

Senophylline, 30<br />

Sensipar, 14<br />

sensorcaine, 27<br />

sensorcaine-mpf, 27<br />

Sensorcaine-mpf/epinephrine, 27<br />

sensorcaine/epinephrine, 27<br />

Sentradine, 15<br />

Sentraflox Am-10, 19<br />

Sentralopram Am-10, 19<br />

Sentramodafin Am-100, 20<br />

Sentravil Pm-25, 19<br />

Sentrazolam Am 0.25, 19<br />

Sentrazolpidem Pm-5, 20<br />

Sentroxatine, 19<br />

Septra Ds, 3<br />

Seradex, 29<br />

Serevent Diskus, 30<br />

seromycin, 2<br />

Seroquel, 20<br />

Seroquel Xr, 20<br />

Serostim, 14<br />

sertraline hcl, 19<br />

seton et-ec, 31<br />

setonet, 31<br />

Sfrowasa, 16<br />

Shohls Solution Modified, 17<br />

siderol, 31<br />

sildenafil citrate, 7<br />

Silenor, 20<br />

Simcor, 7<br />

Simponi, 26<br />

simuc-gp, 28<br />

simvastatin, 7<br />

Sinemet, 21<br />

Sinemet Cr, 21<br />

Single-let, 36<br />

Singulair, 30<br />

Skelaxin, 22<br />

Skelid, 13<br />

Sklice, 11<br />

Sm Lancets 21g, 36<br />

Sm Micro Thin Lancets 33g, 36<br />

Sm Super Thin Lancets 30g, 36<br />

Sm Thin Lancets 26g, 36<br />

Smart Diabetes Vantage Universal<br />

Lancets 30.q, 36<br />

Smart Sense Color Lancets Universal<br />

33g, 36<br />

Smart Sense Standard Lancets Universal<br />

21g, 36<br />

Smart Sense Super Thin Lancets<br />

Universal 30g, 36<br />

Smart Sense Thin Lancets Universal 26g,<br />

36<br />

Smartest Lancets 28g, 36<br />

sodium bicarbonate, 15<br />

sodium chloride, 28<br />

sodium citrate, 17<br />

sodium hyaluronate, 11<br />

Sodium Sulfacetamide, 8<br />

sodium sulfacetamide, 22<br />

sodium sulfacetamide wash, 9<br />

sodium sulfacetamide/sulfur, 8<br />

sodium sulfacetamide/sulfur cleanser, 8<br />

sodium sulfacetamide/sulfur cleanser in<br />

urea, 8<br />

sodium sulfacetamide/sulfur cleansing<br />

cloths, 8<br />

sodium sulfacetamide/sulfur green, 8<br />

sodium sulfacetamide/sulfur in urea, 8<br />

sodium sulfacetamide/sulfur wash, 8<br />

sodium sulfacetamide/urea, 9<br />

Solo V2 Twist Lancets, 36<br />

Solodyn, 1<br />

Soltamox, 4<br />

Solu-cortef, 12<br />

Solu-medrol, 12<br />

Soma, 22<br />

Somatuline Depot, 14<br />

Somavert, 14<br />

Somnote, 20<br />

Sonata, 20<br />

Soriatane, 9<br />

Sorilux, 9<br />

sorine, 5<br />

sotalol hcl, 5<br />

sotalol hcl (af), 5<br />

sotret, 8<br />

Spectracef, 1<br />

Spinosad, 11<br />

Spiriva Handihaler, 30<br />

spironolactone, 6<br />

spironolactone/hydrochlorothiazide, 6<br />

Sporanox, 2<br />

Sporanox Pulsepak, 2<br />

Sprix, 26<br />

Sprycel, 4<br />

Sss 10-4, 8<br />

Staflex, 25<br />

stagesic, 25<br />

Stahist, 29<br />

Stalevo 100, 21<br />

Stalevo 125, 21<br />

Stalevo 150, 21<br />

Stalevo 200, 21<br />

Stalevo 50, 21<br />

Stalevo 75, 21<br />

stannous fluoride oral rinse, 18<br />

Starlix, 13<br />

stavudine, 2<br />

Stavzor, 21<br />

Stelara, 9<br />

Sterilance TI, 36<br />

Stimate, 14<br />

Stivarga, 4<br />

Strattera, 20<br />

Strazepam, 20<br />

streptomycin sulfate, 2<br />

Striant, 12<br />

Stribild, 2<br />

Stromectol, 3<br />

Strovite, 33<br />

Strovite Advance, 33<br />

Strovite Forte, 33<br />

Strovite One, 33<br />

strovite plus, 31<br />

Suboxone, 25<br />

Subsys, 25<br />

Subutex, 25<br />

Sucraid, 15<br />

sucralfate, 15<br />

sudahist, 28<br />

sudatex-dm, 28<br />

Sular, 5<br />

sulfacetamide sodium, 8, 22<br />

sulfacetamide sodium/prednisolone<br />

sodium phosphate, 23<br />

sulfacetamide sodium/sulfur cleanser,<br />

sulfacleanse 8/4, 8<br />

sulfadiazine, 2<br />

sulfamethoxazole/trimethoprim, 3<br />

Sulfamethoxazole/trimethoprim Ds, 3<br />

sulfasalazine, 16<br />

sulfazine, 16<br />

sulfazine ec, 16<br />

Sulfoam, 8<br />

sulfurated lime, 11<br />

sulindac, 26<br />

Sumadan Kit, 8<br />

Sumadan Wash, 8<br />

Sumatriptan, 26<br />

sumatriptan succinate, 26<br />

Sumatriptan Succinate Refill, 26<br />

Sumavel Dosepro, 26<br />

Sumaxin, 8<br />

Sumaxin Cp Kit, 8<br />

Sumaxin Ts, 8<br />

Sumaxin Wash, 8<br />

Supervite, 33<br />

Supervite Ec, 33<br />

suphera, 8<br />

Support, 33<br />

Support-500, 33<br />

Supprelin La, 13<br />

Suprax, 1<br />

Suprep Bowel Prep, 14<br />

Sure Comfort Lancets 28g, 36<br />

Sure Comfort Lancets 30g, 36<br />

Sure-lance Flat Lancets, 36<br />

Sure-lance Lancets 26g, 36<br />

Sure-lance Thin Lancets 28g, 36<br />

Sure-lance Ultra Thin Lancets, 36<br />

Sure-touch Lancets Universal, 36<br />

Surelite Lancets, 36<br />

Surestep Pro Test Strips, 36<br />

Surestep Test Strips, 36<br />

Surmontil, 19<br />

Survanta Intratracheal, 30<br />

Sustiva, 2<br />

sutan-dm, 28<br />

Sutent, 4<br />

Suttar-2, 29<br />

Suttar-sf, 29


Sylatron, 4<br />

Symax Duotab, 15<br />

symax fastabs, 15<br />

symax-sl, 15<br />

symax-sr, 15<br />

Symbicort, 30<br />

Symbyax, 22<br />

Symlin, 12<br />

Symlinpen 120, 12<br />

Symlinpen 60, 12<br />

Synagex, 33<br />

synalar, 10<br />

Synalar Cream Kit, 10<br />

Synalar Ointment Kit, 10<br />

Synalar Ts, 10<br />

Synalgos-dc, 25<br />

Synarel, 13<br />

Synatek, 33<br />

Synera, 11<br />

Synribo, 4<br />

Synthroid, 14<br />

T<br />

Tabloid, 3<br />

Taclonex, 10<br />

tacrolimus, 4<br />

Talwin, 25<br />

Tambocor, 5<br />

Tamiflu, 2<br />

tamoxifen citrate, 4<br />

tamsulosin hcl, 17<br />

Tandem Dha, 33<br />

tandem f, 17<br />

Tandem Ob, 33<br />

Tandem Plus, 18<br />

tannihist-12 rf, 28<br />

Tapazole, 14<br />

Tarceva, 4<br />

Targretin, 4<br />

Tarka, 6<br />

taron ec calcium, 31<br />

Taron Forte, 18<br />

Taron-bc, 33<br />

Taron-c Dha, 33<br />

taron-crystals, 17<br />

Taron-duo Ec, 33<br />

taron-ec cal, 31<br />

taron-prex, 31<br />

Tasigna, 4<br />

Tasmar, 21<br />

tazicef, 1<br />

Tazorac, 9<br />

taztia xt, 5<br />

Techlite Ast Lancets, 36<br />

Techlite Lancets, 36<br />

Tegretol, 21<br />

Tegretol-xr, 21<br />

Tekamlo, 6<br />

Tekral, 29<br />

Tekturna, 6<br />

Tekturna Hct, 6<br />

temazepam, 20<br />

Temodar, 3<br />

Temovate, 10<br />

Temovate E, 10<br />

tencon, 24<br />

Tenex, 6<br />

Tenivac, 30<br />

Tenoretic 100, 6<br />

Tenoretic 50, 6<br />

Tenormin, 5<br />

Terazol 3, 17<br />

Terazol 7, 17<br />

terazosin hcl, 6<br />

terbinafine hcl, 2<br />

Terbinex, 2<br />

terbutaline sulfate, 29<br />

terconazole, 17<br />

Tersi Foam, 9<br />

Tessalon, 29<br />

Tessalon Perles, 29<br />

Testim, 12<br />

Testopel, 12<br />

testosterone cypionate, 12<br />

testosterone enanthate, 12<br />

testred, 12<br />

tetanus toxoid adsorbed, 30<br />

tetanus/diphtheria toxoids-adsorbed<br />

adult, 30<br />

tetcaine, 23<br />

tetracaine hcl, 23, 27<br />

tetracycline hcl, 1<br />

tetravisc, 23<br />

tetravisc forte, 23<br />

Tetrix, 11<br />

Tev-tropin, 14<br />

Teveten, 6<br />

Teveten Hct, 6<br />

Texacort, 10<br />

tgq 15dm/5peh/2cpm, 28<br />

tgq 30pse/150gfn/15dm, 28<br />

tgq 30pse/3brm/15dm, 28<br />

tgq 50pse/3brm/30dm, 28<br />

tgq 7.5peh/4brm/15dm, 28<br />

Tgt Lancet Alternate Site, 36<br />

Tgt Lancet Super Thin 30g, 36<br />

Tgt Lancet Thin 23g, 36<br />

Tgt Lancet Ultra Thin 28g, 36<br />

Thalitone, 7<br />

Thalomid, 4<br />

<strong>The</strong>o-24, 30<br />

theochron, 29<br />

theophylline, 29<br />

theophylline cr, 29<br />

theophylline er, 29<br />

<strong>The</strong>rabenzaprine-60, 22<br />

<strong>The</strong>rabenzaprine-90, 22<br />

<strong>The</strong>rabenzaprine-90-5, 22<br />

<strong>The</strong>racodeine-300, 25<br />

<strong>The</strong>racodophen-325, 25<br />

<strong>The</strong>racodophen-650, 25<br />

<strong>The</strong>racodophen-750, 25<br />

<strong>The</strong>racodophen-low-90, 25<br />

<strong>The</strong>rafeldamine, 26<br />

<strong>The</strong>rapentin-60, 21<br />

<strong>The</strong>rapentin-90, 21<br />

<strong>The</strong>rapr<strong>of</strong>en-60, 26<br />

<strong>The</strong>rapr<strong>of</strong>en-800, 26<br />

<strong>The</strong>rapr<strong>of</strong>en-90, 26<br />

<strong>The</strong>raproxen, 26<br />

<strong>The</strong>raproxen-500, 26<br />

<strong>The</strong>raproxen-60, 26<br />

<strong>The</strong>raproxen-90, 26<br />

<strong>The</strong>ratramadol-60, 25<br />

<strong>The</strong>ratramadol-90, 25<br />

therobec, 32<br />

thiamine hcl, 31<br />

Thinlets Gp Lancets, 36<br />

Thinlets Lancet, 36<br />

Thiola, 17<br />

thioridazine hcl, 20<br />

thiotepa, 3<br />

thiothixene, 20<br />

Thrombin-jmi Diluent, 18<br />

Thrombin-jmi Epistaxis, 18<br />

Thrombin-jmi Syringe Spray Kit, 18<br />

Thrombin-jmi W/dil Spray Pump Actuator,<br />

18<br />

Thrombogen, 18<br />

Thyrolar-1, 14<br />

Thyrolar-l/2, 14<br />

Thyrolar-l/4, 14<br />

Thyrolar-2, 14<br />

Thyrolar-3, 14<br />

tiagabine hydrochloride, 21<br />

Tiazac, 5<br />

ticlopidine hcl, 18<br />

Tigan, 15<br />

Tikosyn, 5<br />

timolol maleate, 5, 23<br />

Timolol Maleate Ophthalmic Gel Forming,<br />

23<br />

Timoptic, 23<br />

Timoptic Ocudose, 23<br />

Timoptic-xe, 23<br />

Tindamax, 3<br />

tinidazole, 3<br />

Tirosint, 14<br />

Tisseel, 18<br />

Tizanidine Comfort Pac, 22<br />

tizanidine hcl, 22<br />

tl bpo mx cleanser, 8<br />

TI G-fol Os, 33<br />

tl gard rx, 17<br />

tl icon, 17<br />

tl nicotinamide 32<br />

tl urea, 11<br />

TI-assure One, 33<br />

TI-assure+dha, 33<br />

TI-cermide, 11<br />

tl-dex dm, 28<br />

TI-fluorivite, 33<br />

tl-fol 500, 17<br />

tl-hem 150, 17<br />

tl-hist cd, 28<br />

tl-hist cm, 28<br />

TI-select, 33<br />

TI-select Dha, 33<br />

Tobi, 2<br />

Tobradex, 23<br />

Tobradex St, 23<br />

tobramycin sulfate, 2, 22<br />

tobramycin/dexamethasone, 23<br />

tobrasol, 22<br />

Tobrex, 22<br />

Todays Health Super Thin Lancets 30g,<br />

36<br />

Todays Health Ultra Thin Lancets 28g,<br />

36<br />

T<strong>of</strong>ranil, 19<br />

T<strong>of</strong>ranil-pm, 19<br />

tolazamide, 13<br />

tolbutamide, 13<br />

tolmetin sodium, 26<br />

Tolterodine Tartrate, 16


Topamax, 21<br />

Topamax Sprinkle, 21<br />

topex topical anesthetic, 18<br />

Topicort, 10<br />

topiragen, 21<br />

topiramate, 21<br />

Toprol XI, 5<br />

torsemide, 6<br />

Toviaz, 16<br />

Tracleer, 7<br />

Tradjenta, 13<br />

tramadol hcl, 25<br />

Tramadol Hcl Er, 25<br />

Tramadol Hydrochloride/acetaminophen,<br />

25<br />

Trandate, 5<br />

trandolapril, 5<br />

Transderm-scop, 15<br />

Tranxene T, 19<br />

tranylcypromine sulfate, 19<br />

Travatan Z, 23<br />

Trazamine, 19<br />

Trazodone, 19<br />

trazodone hcl, 19<br />

Treagan Otic, 24<br />

Trecator, 2<br />

Trelstar Depot, 4<br />

Trelstar Depot Mixject, 4<br />

Trelstar La, 4<br />

Trelstar La Mixject, 4<br />

Trelstar Mixject, 4<br />

Trental, 18<br />

Trepadicl<strong>of</strong>en-25, 26<br />

Trepoxen-250, 26<br />

Trepoxicam-7.5, 26<br />

Tretin-x, 8<br />

tretinoin, 4<br />

Tretinoin, 8<br />

Trexall, 3<br />

trexbrom, 28<br />

Treximet, 26<br />

trezix, 25<br />

tri rx, 32<br />

Tri-vi-flor, 33<br />

Tri-vi-floro, 33<br />

tri-vit/fluoride, 32<br />

tri-vit/fluoride/iron, 32<br />

tri-vitamin/fluoride, 32<br />

tri-vitamin/iron/fluoride, 32<br />

Tri-zel, 33<br />

triadvance, 32<br />

triamcinolone acetonide, 10, 18, 27<br />

triamcinolone acetonide in absorbase, 10<br />

triamcinolone in orabase, 18<br />

Triamterene/hyd rochlorothiazide, 6<br />

trianex, 10<br />

Triaz, 8<br />

Triaz Cleanser, 8<br />

Triaz Foaming Cloths, 8<br />

triazolam, 20<br />

Tribenzor, 6<br />

tricare, 32<br />

Tricare Dha 301, 33<br />

Tricare Prenatal Dha One, 33<br />

tricitrates, 17<br />

tricon, 17<br />

Tricot, 7<br />

triderm, 10<br />

trifluoperazine hcl, 20<br />

Trifluridine, 22<br />

trigels-f forte, 17<br />

Triglide, 7<br />

trihexyphenidyl hcl, 21<br />

Trihibit, 30<br />

Trileptal, 21<br />

Trilipix, 7<br />

trilyte, 14<br />

trimesis rx, 32<br />

trimethobenzamide hcl, 15<br />

Trimethoprim, 3<br />

trimethoprim sulfate/polymyxin b sulfate,<br />

22<br />

trimipramine maleate, 19<br />

Trinatal Gt, 33<br />

trinatal rx 1, 32<br />

Trinatal Ultra, 33<br />

trinate, 32<br />

Trioxin, 24<br />

Tripedia, 30<br />

triphrocaps, 32<br />

triple-vitamin/fluoride, 32<br />

Trispec Dmx, 29<br />

Trispec Dmx Pediatric, 29<br />

Trispec Pse, 29<br />

Trispec Pse Pediatric, 29<br />

Trituss, 29<br />

Triveen-duo Dha, 33<br />

Triveen-one, 33<br />

Triveen-prx Rnf, 33<br />

Triveen-ten, 33<br />

Triveen-u, 33<br />

Trizivir, 2<br />

Tropazone, 11<br />

tropicamide, 23<br />

tros)lum chloride, 16<br />

tros)ium chloride er, 16<br />

True)lus Lancets 28g, 36<br />

True)lus Lancets 28g Super Thin, 36<br />

True)lus Lancets 30g, 36<br />

True)lus Lancets 30g Ultra Thin, 36<br />

True)lus Lancets 33g, 36<br />

True)lus Lancets 33g Micro Thin, 36<br />

True)lus Safety Lancets 28g, 36<br />

Trusopt, 24<br />

trust natal dha, 32<br />

Truvada, 2<br />

Tudorza Pressair, 30<br />

Tusnel Ped-c, 29<br />

tussafed ex, 28<br />

Tussicaps, 28<br />

tussigon, 28<br />

Tussionex Pennkinetic Extended<br />

Release, 29<br />

Tusso-c, 29<br />

Tusso-dmr, 29<br />

Tusso-zmr, 29<br />

Twinject, 7<br />

Twinrix, 31<br />

Twynsta, 6<br />

Tykerb, 4<br />

Tylenol/codeine #3, 25<br />

Tylenol/codeine #4, 25<br />

Tylox, 25<br />

Typhim Vi, 31<br />

Tyvaso, 7<br />

Tyvaso Refill, 7<br />

Tyvaso Starter, 7<br />

Tyzeka, 3<br />

Tyzine, 27<br />

Tyzine Pediatric Nasal Drops,<br />

U<br />

27<br />

u-cort, 10<br />

u-kera e, 11<br />

Udamin, 33<br />

Udamin Sp, 33<br />

Ulesfia, 11<br />

Uloric, 26<br />

Ulticare Thin Lancets 30g, 36<br />

Ultilet Basic Lancets 30g, 36<br />

Ultilet Classic Lancets, 36<br />

Ultilet Lancets, 36<br />

Ultilet Safety Lancets 23g, 36<br />

Ultimate Ob Dha, 33<br />

Ultimatecare Advantage, 33<br />

Ultimatecare Combo, 33<br />

ultimatecare one, 32<br />

ultimatecare one nf, 32<br />

ultra tabs, 32<br />

Ultra Thin Lancets 28g, 36<br />

Ultra Thin Lancets 30g, 36<br />

Ultra-thin li Auto Lancet, 36<br />

Ultra-thin li Lancets 28g, 36<br />

Ultra-thin li Lancets 30g, 36<br />

Ultra-thin li Lancets/28g X 1/8", 36<br />

Ultra-thin li Lancets/30g X 1/8", 36<br />

Ultra-thin li Safety Autolancets 26g, 36<br />

Ultracet, 25<br />

Ultram, 25<br />

Ultram Er, 25<br />

Ultravate, 10<br />

Ultravate Pac, 10<br />

Ultravate X, 10<br />

Ultresa, 15<br />

Umecta, 11<br />

umecta mousse, 11<br />

Umecta Nail Film, 11<br />

Umecta Pd, 11<br />

Unasyn, 1<br />

Unasyn Bulk Pack, 1<br />

Unilet Comfortouch Lancet, 36<br />

Unilet Excelite, 36<br />

Unilet Excelite li, 36<br />

Unilet G.p. Lancet, 36<br />

Unilet G.p. Superlite Lancet, 36<br />

Unilet Gp 28 Ultra Thin, 36<br />

Unilet Lancet, 36<br />

Unilet Superlite Lancet, 36<br />

Uniretic, 6<br />

Unithroid, 14<br />

unithroid direct, 14<br />

Univasc, 6<br />

Universal 1 Lancets Thin 26g, 36<br />

Universal 1 Lancets Ultra Thin 30g, 36<br />

univert, 15<br />

ur n-c, 16<br />

Uramaxin, 11<br />

Uramaxin Gt, 11<br />

Uramaxin Gt Kit, 11<br />

urea, 11<br />

urea 40% nail film, 11<br />

urea hydrating, 11<br />

urea in zinc undecylenate/lactic acid<br />

vehicle, 11<br />

urea nail, 11


urea nail kit, 11<br />

urea topical, 11<br />

urea-c40, 11<br />

Urecholine, 16<br />

Urelle, 16<br />

Uretron D/s, 16<br />

Urex, 16<br />

Uribel, 16<br />

urin d/s, 16<br />

Urocit-k 10, 17<br />

Urocit-k 15, 17<br />

Urocit-k 5, 17<br />

Urogesic-blue, 16<br />

Uroqid #2, 16<br />

urosex, 32<br />

Uroxatral, 17<br />

Urso 250, 16<br />

Urso Forte, 16<br />

ursodiol, 16<br />

uryl, 16<br />

ustell, 16<br />

uta, 16<br />

uticap, 16<br />

utira-c, 16<br />

utrona-c, 16<br />

Uvadex, 4<br />

V<br />

v-c forte, 32<br />

v-col, 28<br />

v-hist, 28<br />

V-natal, 33<br />

V-natal Dha, 33<br />

Vagifem, 17<br />

valacyclovir hcl, 2<br />

Valcyte, 2<br />

Valium, 19<br />

valproic acid, 21<br />

vaisartan/hydrochlorothiazide, 6<br />

Valtrex, 3<br />

Valturna, 6<br />

Value Plus Lancets Standard 21g, 36<br />

Value Plus Lancets Super Thin 30g, 36<br />

Value Plus Lancets Thin 26g, 36<br />

Valumark Lancet Super Thin 30g, 36<br />

Valumark Lancet Ultra Thin 28g, 36<br />

Vancocin Hcl, 3<br />

vancomycin, 3<br />

vancomycin hcl, 3<br />

Vandazole, 17<br />

Vandetanib, 4<br />

Vanos, 10<br />

Vanoxide Hc, 8<br />

Vanoxide-hc, 8<br />

Vantas, 4<br />

Vaqta, 31<br />

Varivax, 31<br />

Vascepa, 7<br />

Vaseretic, 6<br />

vasopressin, 14<br />

Vasotec, 6<br />

Vazobid, 29<br />

Vazol, 27<br />

vazotab, 28<br />

Vazotan, 29<br />

Vectical, 9<br />

Veltin, 8<br />

Vemavite-prx 2, 33<br />

Vena-bal Dha, 33<br />

Venatal Complete Dha, 33<br />

Venatal-fa, 33<br />

venlafaxine hcl, 19<br />

venlafaxine hcl er, 19<br />

Ventavis, 7<br />

Ventolin Hfa, 30<br />

Veramyst, 27<br />

verapamil hcl, 5<br />

verapamil hcl er, 5<br />

Verapamil Hcl Sr, 5<br />

Verdeso, 10<br />

Veregen, 11<br />

Verelan, 5<br />

Verelan Pm, 5<br />

Veripred 20, 12<br />

versiclear, 9<br />

Vesicare, 16<br />

Vexol, 23<br />

Vfend, 2<br />

Vibramycin, 1<br />

vic-forte, 32<br />

Vicodin, 25<br />

Vicodin Es, 26<br />

vicodin hp, 25<br />

Vicopr<strong>of</strong>en, 26<br />

Victoza, 12<br />

Victrelis, 2<br />

Vida Mia Unilet Lancets Super Thin 30g,<br />

36<br />

Vida Mia Unilet Lancets Ultra Thin 28g,<br />

36<br />

Vidaza, 3<br />

Videx Pediatric, 2<br />

Videx Ec, 3<br />

Vigamox, 22<br />

Viibryd, 19<br />

Vimovo, 26<br />

Vimpat, 21<br />

Vinacal, 33<br />

vinate az, 32<br />

Vinate Az Extra, 33<br />

vinate c, 32<br />

Vinate Calcium, 33<br />

vinate care, 32<br />

Vinate Dha, 33<br />

vinate gt, 32<br />

vinate ic, 32<br />

vinate ii, 32<br />

vinate m, 32<br />

vinate one, 32<br />

vinate pn care, 32<br />

vinate ultra, 32<br />

Viokace, 15<br />

Viracept, 2<br />

Viramune, 3<br />

Viramune Xr, 2<br />

Virasal, 11<br />

Virazole, 3<br />

Viread, 2<br />

Viroptic, 22<br />

Virt-bal Dha, 33<br />

Virt-bal Dha Plus, 33<br />

Virt-pn, 33<br />

Virt-pn Dha, 33<br />

Virt-select, 33<br />

virti-sulf, 8<br />

Visicol, 14<br />

Vistaril, 19<br />

vita s forte, 32<br />

vita-min, 32<br />

Vita-pren, 33<br />

vitacel, 32<br />

Vitafol, 33<br />

vitafol-ob, 32<br />

Vitafol-ob+dha, 33<br />

Vitafol-one, 33<br />

Vitafol-plus, 33<br />

Vitafol-pn, 33<br />

Vitaject, 33<br />

Vital-d <strong>Rx</strong>, 33<br />

Vitalet Pro Lancets, 36<br />

Vitalet Pro Plus Lancets, 36<br />

Vitamax Pediatric, 33<br />

Vitamedmd One <strong>Rx</strong>/quatrefolic, 33<br />

Vitamedmd Plus <strong>Rx</strong>/quatre Folic, 33<br />

Vitamedmd Redichew <strong>Rx</strong>/quatrefolic,<br />

vitamin b-complex 100, 32<br />

vitamin c 222mg, 31<br />

vitamin d, 31<br />

vitamin forte, 32<br />

vitamin kl, 31<br />

vitamins a/c/d/fluoride, 32<br />

Vitaroca Plus, 33<br />

vitaspire, 32<br />

vitazol, 8<br />

Viva Ct Prenatal, 33<br />

Viva Dha, 33<br />

Vivactil, 19<br />

Vivelle-dot, 12<br />

Vivotif Berna, 31<br />

vol-care rx, 32<br />

Vol-nate, 33<br />

Vol-plus, 33<br />

Vol-tab <strong>Rx</strong>, 33<br />

Voltaren, 9, 24<br />

Voltaren-xr, 26<br />

voriconazole, 2<br />

Vosol, 24<br />

Vosol Hc, 24<br />

Vospire Er, 30<br />

Votrient, 4<br />

Vp-ch-pnv, 33<br />

Vp-era Ob Plus, 33<br />

Vp-ggr-b6 Prenatal, 33<br />

Vp-pnv-dha, 33<br />

vp-zel, 32<br />

Vsl#3 Ds, 15<br />

Vusion, 9<br />

Vytorin, 7<br />

Vyvanse, 20<br />

W<br />

33<br />

W&f Lancets 26g, 36<br />

W&f Lancets Colored 21g, 36<br />

Walgreens Advanced Travellancets 28g,<br />

36<br />

Walgreens Comfort Assuredlancets Micro<br />

Thin/33.q, 36<br />

Walgreens Comfort Assuredlancets<br />

Super Thin/28q, 36<br />

Walgreens Lancets, 36<br />

Walgreens Thin Lancets, 36<br />

Walgreens Ultra Thin Lancets, 36<br />

warfarin sodium, 18<br />

Welchol, 7<br />

Wellbutrin, 19<br />

Wellbutrin Sr, 19


Wellbutrin XI, 19<br />

Westcort, 10<br />

Westhroid, 14<br />

wheat germ, 31<br />

witch hazel, 11<br />

Wound Gel, 26<br />

X<br />

x-viate, 11<br />

Xalatan, 23<br />

Xalkori, 4<br />

Xanax, 19<br />

Xanax Xr, 19<br />

Xarelto, 18<br />

xclair, 11<br />

Xeljanz, 26<br />

Xeloda, 3<br />

Xenazine, 21<br />

Xeomin, 22<br />

Xerac Ac, 11<br />

Xerese, 9<br />

Xgeva, 13<br />

Xifaxan, 3<br />

Xodol, 26<br />

Xolair, 30<br />

Xolegel, 9<br />

Xolegel Corepak, 9<br />

Xolegel Duo/head & Shoulders, 9<br />

Xolegel Duo/xolex, 9<br />

Xolox, 26<br />

Xopenex, 30<br />

Xopenex Concentrate, 30<br />

Xopenex Hfa, 30<br />

Xtandi, 4<br />

Xylocaine, 11, 27<br />

Xylocaine Jelly, 11<br />

Xylocaine-mpf, 27<br />

Xylocaine-mpf/epinephrine, 27<br />

Xylocaine/epinephrine, 27<br />

Xyrem, 21<br />

Xyzal, 27<br />

Y<br />

yf-vax, 30<br />

Yodoxin, 3<br />

Z<br />

Z-c<strong>of</strong> I, 29<br />

z-dex, 28<br />

z-dex 12d, 28<br />

z-pram, 16<br />

z-tuss dm, 28<br />

Zacare 4% Kit, 8<br />

Zacare 8% Kit, 8<br />

zaclir cleansing, 8<br />

Zafirlukast, 29<br />

zaleplon, 20<br />

Zamicet, 26<br />

Zanaflex, 22<br />

Zantac, 15<br />

Zarontin, 21<br />

Zaroxolyn, 7<br />

Zatean-ch, 33<br />

Zatean-pn, 33<br />

Zatean-pn Dha, 33<br />

Zatean-pn Plus, 33<br />

Zavesca, 18<br />

zazole, 17<br />

Zebeta, 5<br />

zebutal, 24<br />

Zegerid, 15<br />

Zelapar, 21<br />

Zelboraf, 4<br />

zema-pak 10 day, 11<br />

zema-pak 13 day, 11<br />

zema-pak 6 day, 11<br />

Zemplar, 14<br />

zencia, 8<br />

Zenieva, 11<br />

Zenpep, 15<br />

Zerit, 3<br />

Zestoretic, 6<br />

Zestril, 6<br />

Zetia, 7<br />

Zetonna, 27<br />

zflex, 24<br />

zgesic, 24<br />

Ziac, 6<br />

Ziagen, 3<br />

Ziana, 8<br />

zidovudine, 2<br />

Zinacef, 1<br />

Zingiber, 33<br />

Zinotic, 24<br />

Zinotic Es, 24<br />

Zioptan, 23<br />

ziprasidone hcl, 20<br />

Zipsor, 26<br />

Zirgan, 22<br />

Zithranol, 9<br />

Zithranol-rr, 9<br />

Zithromax, 1<br />

Zithromax Tri-pak, 1<br />

Zithromax Z-pak, 1<br />

Zmax, 1<br />

Zocor, 7<br />

Z<strong>of</strong>ran, 15<br />

Z<strong>of</strong>ran Odt, 15<br />

Zoladex, 4<br />

Zolinza, 4<br />

Zol<strong>of</strong>t, 19<br />

zolpidem tartrate, 20<br />

zolpidem tartrate er, 20<br />

Zolpimist, 20<br />

Zolvit, 26<br />

Zomig, 26<br />

Zomig Zmt, 26<br />

Zonalon, 9<br />

Zonatuss, 29<br />

Zonegran, 21<br />

zonisamide, 21<br />

Zorbtive, 14<br />

Zortress, 4<br />

Zostavax, 31<br />

Zotex, 29<br />

Zotex-gp, 29<br />

Zotex Pe, 29<br />

Zotex Pediatric, 29<br />

zotex-12d, 28<br />

Zotex-c, 29<br />

Zotex-d, 29<br />

Zotex-dm, 29<br />

Zotex-ex, 29<br />

Zotex-g, 29<br />

zotex-pe, 28<br />

Zovirax, 3, 9<br />

Zuplenz, 15<br />

Zutripro, 28<br />

Zyclara, 10<br />

Zyclara Pump, 10<br />

Zydone, 26<br />

Zyflo, 30<br />

Zyflo Cr, 30<br />

Zylet, 23<br />

Zyloprim, 26<br />

Zymaxid, 22<br />

Zypram, 16<br />

Zyprexa, 20<br />

Zyprexa Relprevv, 20<br />

Zyprexa Zydis, 20<br />

Zytiga, 4<br />

Zyvox, 3<br />

1<br />

1st Choice Lancets Super Thin, 36<br />

1st Choice Lancets Thin, 36<br />

1st Choice Lancets Ultra Thin, 36<br />

1st Tier Unilet Comfortouch Lancets 28g,<br />

36<br />

1st Tier Unilet Comfortouch Lancets 30g,<br />

36<br />

8<br />

8-mop, 9

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