Prescription Drug Guide Comprehensive list of covered drugs

Dental and Oral Agents ............36depen titratabs...........................40depo-estradiol ...........................43depo-provera.............................46depo-subq provera 104 .............46derma-smoothe/fs body oil .......41Dermatological Agents.............37dermotic....................................52desipramine hcl.........................13desloratadine.............................53desloratadine odt.......................53desmopressin acetate ................42desonate ....................................41desonide crea ............................41desonide lotn, oint.....................41desowen ....................................41desoximetasone crea, gel ..........41desoximetasone oint 0.05% ......41desoximetasone oint 0.25% ......41detrol.........................................40detrol la.....................................40dexamethasone....................41, 51dexamethasone intensol............41dexamethasone sodium phosphate41,51dexilant .....................................39dexmethylphenidate hcl............35dexrazoxane inj 500mg.............17dextroamphetamine sulfate.......35dextroamphetamine sulfate er...35dextrose 10% flex container .....57dextrose 10%/nacl 0.2% ...........57dextrose 2.5%/sodium chloride 0.45%..............................................57dextrose 5% ..............................57dextrose 5%/lactated ringers.....57dextrose 5%/nacl 0.2% .............57dextrose 5%/nacl 0.33% ...........57dextrose 5%/nacl 0.45% ...........57dextrose 5%/nacl 0.9% .............57dextrose 5%/potassium chloride 0.15%..............................................57diazepam gel.............................25diazepam soln ...........................25diazepam tabs 10mg .................25diazepam tabs 2mg, 5mg ..........25dibenzyline ...............................29diclofenac potassium ..................2diclofenac sodium.................2, 51diclofenac sodium dr ..................2diclofenac sodium er...................2diclofenac sodium/misoprostol...2dicloxacillin sodium ...................7dicyclomine hcl.........................38didanosine.................................22dificid..........................................8diflorasone diacetate.................41diflunisal.....................................2digoxin soln, tabs......................32dihydroergotamine mesylate.....15dilantin................................10, 11dilantin infatabs ........................11dilatrate sr .................................35dilaudid-5....................................4dilt-cd cp24 120mg, 300mg......31diltiazem cd cp24 120mg, 240mg,300mg...................................31diltiazem hcl er cp12.................31diltiazem hcl er cp24 180mg, 360mg..............................................31diltiazem hcl tabs......................31dilt-xr cp24 180mg, 240mg ......31diovan .......................................30dipentum...................................49diphenhydramine hcl caps 50mg13diphenoxylate/atropine .............38dipyridamole.............................29disopyramide phosphate ...........30disulfiram....................................4Diuretics, Carbonic AnhydraseInhibitors ..............................33Diuretics, Loop .........................33Diuretics, Potassium-sparing ....33Diuretics, Thiazide....................33divalproex sodium ....................10divalproex sodium dr................10divalproex sodium er ................10divigel.......................................43docetaxel inj 80mg/8ml ............17donepezil hcl.............................11Dopamine Agonists ..................20Dopamine Precursors/ L-Amino AcidDecarboxylase Inhibitors......20doribax inj 500mg.......................7dorzolamide hcl ........................52dorzolamide hcl/timolol maleate52dovonex ....................................37doxazosin mesylate...................29doxepin hcl ...............................13doxil..........................................18doxycycline caps 75mg ..............9doxycycline hyclate caps............9doxycycline hyclate inj...............9doxycycline hyclate tabs 100mg.9doxycycline hyclate tabs 20mg...9doxycycline hyclate tbec 150mg 9doxycycline monohydrate tabs 150mg,50mg.......................................9dronabinol caps 10mg...............13dronabinol caps 2.5mg, 5mg.....14droxia caps 300mg....................17dulera ........................................54durezol ......................................51dynacirc cr tb24 10mg ..............31dynacirc cr tb24 5mg ................31dyrenium...................................33Dyslipidemics, Fibric Acid Derivatives..............................................34Dyslipidemics, HMG CoA ReductaseInhibitors ..............................34Dyslipidemics, Other................34Ee.e.s. 400.....................................8e.e.s. granules .............................8econazole nitrate.......................14edarbi ........................................30edecrin ......................................33edurant ......................................22effient tabs 10mg ......................29effient tabs 5mg ........................29Electrolyte/ Mineral Modifiers .56Electrolyte/ Mineral Replacement56elestat........................................51elestrin ......................................43elidel .........................................37eligard inj 22.5mg, 30mg, 7.5mg47eligard inj 45mg........................47eliphos.......................................40elixophyllin...............................54elmiron......................................40eloxatin inj 100mg/20ml...........18emadine.....................................51emcyt ........................................17emend caps 0 ............................14emend caps 125mg, 40mg ........14emend caps 80mg .....................14Emetogenic Therapy Adjuncts .13emoquette .................................44emsam pt24 12mg/24hr ............12emsam pt24 6mg/24hr, 9mg/24hr12emtriva......................................22enablex......................................40enalapril maleate.................30, 32enalapril maleate/hydrochlorothiazide..............................................32enbrel inj 25mg...................47, 48enbrel inj 25mg/0.5ml...............48enbrel inj 50mg/ml ...................47endocet tabs 325mg, 10mg, 325mg,7.5mg......................................1endocet tabs 325mg, 5mg ...........1endocet tabs 500mg, 7.5mg ........1endocet tabs 650mg, 10mg .........1endodan.......................................163