Prescription Drug Guide Comprehensive list of covered drugs

faslodex ...........................................39fazaclo .............................................49felbamate .........................................22felodipine er.....................................71femhrt low dose.............................103femring ..........................................101femtrace.........................................101fenofibrate .......................................79fenofibrate micronized ....................79fenoglide..........................................79fenoprofen calcium............................4fentanyl..............................................6fentanyl citrate oral transmucosal .....6fentora................................................7finacea .............................................87finasteride........................................93firmagon ........................................108flarex..............................................116flavoxate hcl ....................................92flecainide acetate.............................67flector ................................................4flovent diskus ................................119flovent hfa .....................................119fluconazole ......................................34fluconazole in dextrose....................34flucytosine .......................................34fludrocortisone acetate ....................96flunisolide......................................119fluocinolone acetonide ....................96fluocinonide.....................................96fluocinonide-e..................................96fluoroplex ........................................87fluorouracil......................................87fluoxetine hcl...................................28fluphenazine decanoate ...................45fluphenazine hcl ..............................45flurbiprofen................................4, 116flurbiprofen sodium.......................116flutamide........................................110fluticasone propionate .......96, 97, 119fluvastatin........................................79fluvoxamine maleate .......................28fml .................................................116fml forte.........................................116focalin xr .........................................84folic acid........................................135fondaparinux sodium.................61, 62foradil aerolizer .............................121forfivo xl..........................................26forteo .............................................114fortical ...........................................114fosamax plus d .............................. 114foscarnet sodium............................. 49fosinopril sodium...................... 66, 75fosinopril sodium/hydrochlorothiazide.................................................... 75fosrenol ........................................... 94fragmin............................................ 62freamine iii 3% ............................. 132frova................................................ 36furosemide ...................................... 78fuzeon ............................................. 51Ggabapentin....................................... 22gabitril............................................. 22galantamine hydrobromide ............. 25gamastan s/d.................................. 111gammagard liquid ......................... 111ganciclovir ...................................... 49gardasil.......................................... 112gavilyte-c ........................................ 90gavilyte-g ........................................ 90gavilyte-n/flavor pack..................... 90gelnique........................................... 93gemcitabine hcl............................... 38gemfibrozil...................................... 79generlac........................................... 91gengraf .......................................... 110genotropin ....................................... 99genotropin miniquick...................... 99gentak.............................................. 10gentamicin sulfate........................... 11gentamicin sulfate/0.9% sodiumchloride ....................................... 11geodon............................................. 46gianvi ............................................ 103gilenya............................................. 85gleevec ............................................ 40glimepiride...................................... 57glipizide .................................... 57, 58glipizide er ...................................... 57glipizide/metformin hcl .................. 58glucagen hypokit............................. 59glucagon emergency kit.................. 59glyburide ............................. 57, 58, 59glyburide micronized ...................... 57glyburide/metformin hcl ........... 58, 59glycopyrrolate ................................. 89glyset............................................... 57golytely ........................................... 91granisetron hcl ................................ 33griseofulvin microsize.....................34griseofulvin ultramicrosize..............34gris-peg............................................34guanfacine hcl .................................64Hhalflytely bowel prep/flavor packs..91halobetasol propionate.....................97halog................................................97haloperidol.......................................45haloperidol decanoate......................45haloperidol lactate ...........................45havrix.............................................112hectorol..........................................114helidac .............................................90heparin sodium ................................62heparin sodium/nacl 0.45%.............62hepatasol........................................132hepsera.............................................52herceptin..........................................39hexalen ............................................37humalog...........................................60humalog kwikpen ............................60humalog mix 50/50..........................60humalog mix 50/50 kwikpen...........60humalog mix 75/25..........................60humalog mix 75/25 kwikpen...........60humatrope........................................99humira............................................110humulin 70/30 .................................60humulin 70/30 pen...........................60humulin n.........................................60humulin n u-100 pen .......................60humulin r .........................................60humulin r u-500 (concentrated).......60hydralazine hcl ................................82hydrochlorothiazide.........................78hydrocodone bitartrate/acetaminophen.......................................................2hydrocodone bitartrate/homatropinemethylbromide ..........................123hydrocodone/acetaminophen.............2hydrocodone/ibuprofen .....................3hydrocortisone.................97, 107, 113hydrocortisone butyrate.................107hydrocortisone valerate ...................97hydromorphone hcl ...........................9hydroxychloroquine sulfate.............41hydroxyurea.....................................38hydroxyzine hcl...............................31hydroxyzine pamoate ......................31Page 109