Prescription Drug Guide Comprehensive list of covered drugs

testosterone cypionate ...................100testosterone enanthate ...................100testred ............................................100tetanus toxoid adsorbed.................113tetanus/diphtheria toxoids-adsorbedadult...........................................113tetracycline hcl ................................20tev-tropin .......................................100thalitone...........................................79thalomid...........................................38theophylline cr...............................121theophylline er...............................121thermazene ......................................13thioridazine hcl..........................45, 46thiothixene.......................................46tiagabine hydrochloride...................22ticlopidine hcl..................................64tikosyn .............................................68timolol maleate................36, 117, 118timolol maleate ophthalmic gelforming..............................117, 118tinidazole .........................................41tirosint............................................107tizanidine hcl ...........................49, 124tobi...................................................11tobradex...................................11, 115tobradex st .....................................115tobramycin sulfate...........................11tobramycin/dexamethasone...........115tobrex...............................................11tolazamide .......................................58tolbutamide......................................58tolmetin sodium.................................6tolterodine tartrate ...........................93topiramate........................................23torsemide .........................................78toviaz ...............................................93tracleer...........................................122tradjenta...........................................58tramadol hcl...................................8, 9tramadol hcl er...................................8tramadolhydrochloride/acetaminophen .......3trandolapril ......................................67tranexamic acid ...............................63transderm-scop ................................32tranylcypromine sulfate...................27travasol ..........................................134travatan z .......................................118trazodone hcl ...................................27treanda .............................................39trelstar depot mixject .................... 109trelstar la mixject .......................... 109tretinoin..................................... 40, 41trexall ............................................ 111triamcinolone acetonide.... 98, 99, 119triamcinolone in orabase................. 86triamterene/hydrochlorothiazide..... 77tribenzor.......................................... 77trifluoperazine hcl........................... 46trifluridine ....................................... 53trihexyphenidyl hcl ......................... 42tri-legest fe .................................... 104trileptal............................................ 24trilipix ............................................. 79trilyte............................................... 90trimethobenzamide hcl.................... 32trimethoprim ........................... 13, 116trimethoprim sulfate/polymyxin bsulfate........................................ 116trimipramine maleate ...................... 31trinessa .......................................... 104tri-previfem ................................... 104tri-sprintec..................................... 104trivora-28 ...................................... 104trizivir ............................................. 50trospium chloride ............................ 93trospium chloride er........................ 93truvada ............................................ 50tudorza pressair............................. 120twinject ......................................... 122twinrix........................................... 113twynsta............................................ 77tygacil ............................................. 13tykerb .............................................. 40typhim vi....................................... 113tysabri ............................................. 86tyzeka.............................................. 53tyzine............................................. 123tyzine pediatric nasal drops .......... 123Uu-cort............................................... 99uloric ............................................... 35unithroid........................................ 107ursodiol ........................................... 90Vvagifem ......................................... 102valacyclovir hcl............................... 53valcyte............................................. 49valproate sodium............................. 22valproic acid ....................................22valsartan/hydrochlorothiazide ...65, 66vancomycin hcl ...............................13vandazole.........................................13vaqta ..............................................113varivax...........................................113vectibix............................................39vectical ............................................88velcade.............................................39velivet............................................104venlafaxine hcl ..........................29, 55venlafaxine hcl er ......................29, 55ventavis..........................................122ventolin hfa....................................122veramyst ........................................119verapamil hcl...................................72verapamil hcl er...............................72veregen ............................................88vesicare............................................93vestura ...........................................104vexol..............................................117vfend iv............................................35viagra...............................................94victoza .............................................58victrelis............................................53vidaza ..............................................39videx pediatric.................................50vigamox...........................................19viibryd .............................................27vimpat........................................24, 25vincasar pfs......................................39viokace ............................................89viracept............................................52viramune..........................................50viramune xr .....................................50virazole............................................53viread.........................................50, 51vivelle-dot......................................102voltaren............................................88voriconazole ....................................35votrient ............................................40vytorin .............................................77Wwarfarin sodium...............................62welchol ............................................58Xxalkori..............................................40xarelto..............................................62xeljanz ...........................................111Page 115