L.A. Care Covered Drug Formulary (pdf)

Commercial FormularyT1 budesonide PULMICORT(AMPUL- QLNEB)(0.5 MG/2ML)T2 budesonidePULMICORT(AMPUL- QLNEB)(1 MG/2 ML)T3 ciclesonide ALVESCO QLT3 flunisolide/menthol AEROBID-MT2 fluticasone propionate FLOVENTQLDISKUS(DISKW/DEV)(100 MCG)T2 fluticasone propionate FLOVENTQLDISKUS(DISKW/DEV)(250 MCG)T2 fluticasone propionate FLOVENTQLDISKUS(DISKW/DEV)(50 MCG)T2 fluticasone propionate FLOVENT HFA(AER QLW/ADAP)(110MCG)T2 fluticasone propionate FLOVENT HFA(AER QLW/ADAP)(220 MCG)T2 fluticasone propionate FLOVENT HFA(AER QLW/ADAP)(44MCG)T2 mometasone furoate ASMANEX QLT2 triamcinoloneacetonideAZMACORT QLLeukotriene Receptor AntagonistsT1 montelukast sodium SINGULAIRT1 zafirlukastACCOLATEMast Cell StabilizersT1 cromolyn sodiumT1 cromolyn sodiumT2 cromolyn sodiumCROMOLYN SODIUMGASTROCROMINTALPhosphodiesterase-4 (pde4) InhibitorsT2 roflumilast DALIRESP QL, STXanthinesT1 aminophylline AMINOPHYLLINET1 caffeine citrated CAFCITT3 dyphyllineDYLIXT3 dyphyllineLUFYLLINT3 dyphyllineLUFYLLIN-400T1 theophyll/ephed THEOTALhcl/phenobarbT2 theophylline anhydrousTHEO-24T1 theophylline THEOCHRONanhydrousT1 theophyllineanhydrousTHEOPHYLLINEANHYDROUSAUTONOMIC NERVOUS SYSTEMDISORDERSAlzheimer's Therapy, Nmda ReceptorAntagonistsT2 memantine hclCholinesterase InhibitorsNAMENDAT3 ambenonium chloride MYTELASET1 donepezil hcl ARICEPT ODTT1 donepezil hcl ARICEPT(TAB)(10MG)T2 donepezil hcl ARICEPT(TAB)(23MG)T1 donepezil hcl ARICEPT(TAB)(5 MG)T1 galantamine hbr RAZADYNET1 galantamine hbr RAZADYNE ERT2 neostigmine bromide PROSTIGMINT2 pyridostigmine MESTINON(SYRUP)bromideT2 pyridostigmine MESTINON(TAB ER)bromideT1 pyridostigmine MESTINON(TAB)bromideT3 rivastigmine EXELON(PATCHTD24)(13.3MG/24H)T2 rivastigmine EXELON(PATCHTD24)(4.6MG/24HR)T2 rivastigmine EXELON(PATCHTD24)(9.5MG/24HR)T1 rivastigmine tartrate EXELON(CAP)T2 rivastigmine tartrate EXELON(SOLUTION)T3 tacrine hclCOGNEXBEHAVIORAL HEALTH -ANTIDEPRESSANTSAlpha-2 Receptor AntagonistAntidepressantsT1 mirtazapineT1 mirtazapineMIRTAZAPINEREMERONMaois - Non-selective & IrreversibleT3 isocarboxazidT1 phenelzine sulfateT1 tranylcyprominesulfateMARPLANNARDILPARNATENorepinephrine And Dopamine ReuptakeInhibT3 bupropion hbr APLENZIN QL, STT3 bupropion hcl FORFIVO XL QL, STT1 bupropion hcl WELLBUTRIN SRSelective Serotonin Reuptake InhibitorT1 citalopramCELEXAhydrobromideT1 escitalopram oxalate LEXAPROT1 fluoxetine hcl FLUOXETINE HCLT1 fluoxetine hcl PROZACT1 fluoxetine hcl RAPIFLUXT3 fluoxetine hcl SARAFEMT1 fluvoxamine maleate FLUVOXAMINEMALEATET1 fluvoxamine maleate LUVOX CRT1 paroxetine hcl PAROXETINE HCLT1 paroxetine hcl PAXIL CRT2 paroxetine hcl PAXIL(ORAL SUSP)QL, STPage 7 of 91

Commercial FormularyT2 aripiprazole ABILIFY(SOLUTION) QL, STT2 aripiprazole ABILIFY(TAB) QL, STAntipsychotics, Dopamine & SerotoninAntagonistsT1 loxapine succinateLOXITANEAntipsychotics,atypical,dopamine,&Serotonin AntagT3 asenapine maleate SAPHRIS QL, STT4 clozapine CLOZARIL QLT4 clozapine FAZACLO QL, STT3 iloperidoneFANAPT(TAB DS PK) QL, STT3 iloperidone FANAPT(TAB) QL, STT3 lurasidone hcl LATUDA QL, STT1 olanzapine ZYPREXA QLT3 paliperidone INVEGA(TAB ER QL, ST24H)(1.5 MG)T3 paliperidone INVEGA(TAB ER QL, ST24H)(3 MG)T3 paliperidone INVEGA(TAB ER QL, ST24H)(6 MG)T3 paliperidone INVEGA(TAB ER QL, ST24H)(9 MG)T1 quetiapine fumarate SEROQUEL QLT2 quetiapine fumarate SEROQUEL XR QLT1 risperidone RISPERDAL(SOLUTI QLON)T1 risperidone RISPERDAL(TAB) QLT1 ziprasidone hcl GEODON QLAntipsychotics,dopamine Antagonists,ThioxanthenesT1 thiothixeneT1 thiothixeneT2 thiothixeneT1 thiothixeneT1 thiothixeneAntipsychotics,dopamineAntagonists,butyrophenonesT1 haloperidolT1 haloperidol lactateAntipsychotics,dopamineNAVANE(CAP)(10MG)NAVANE(CAP)(2 MG)NAVANE(CAP)(20MG)NAVANE(CAP)(5 MG)THIOTHIXENEHALOPERIDOLHALOPERIDOLLACTATEAntagonst,dihydroindolonesT3 molindone hclMOBANAnti-psychotics,phenothiazinesT1 chlorpromazine hclT1 fluphenazine hclT1 perphenazineCHLORPROMAZINEHCLFLUPHENAZINE HCLPERPHENAZINE(TAB)(16 MG)T1 perphenazineT1 perphenazineT1 perphenazineT2 perphenazineT1 thioridazine hclT1 trifluoperazine hclBarbituratesT3 butabarbital sodiumT1 phenobarbitalT3 secobarbital sodiumPERPHENAZINE(TAB)(16MG)PERPHENAZINE(TAB)(2 MG)PERPHENAZINE(TAB)(4 MG)PERPHENAZINE(TAB)(8 MG)THIORIDAZINE HCLTRIFLUOPERAZINEHCLBUTISOL SODIUMPHENOBARBITALSECONAL SODIUMHypnotics, Melatonin Mt1/mt2 ReceptorAgonistsT3 ramelteon ROZEREM QL, STMonoamine Oxidase(mao) InhibitorsT3 selegiline EMSAM QLNarcolepsy And Sleep Disorder TherapyAgentsT3 armodafinil NUVIGIL PAT1 modafinil PROVIGIL PANarcotic AntagonistsT1 naltrexone hclREVIASedative-hypnotics,non-barbiturateT1 chloral hydrate SOMNOTET3 doxepin hcl SILENOR QL, STT1 estazolamESTAZOLAMT3 eszopiclone LUNESTA QL, STT3 ethchlorvynol PLACIDYLT1 flurazepam hcl FLURAZEPAM HCLT1 glutethimide GLUTETHIMIDET1 midazolam hcl MIDAZOLAM HCLT3 quazepamDORALT1 temazepam RESTORILT1 temazepam TEMAZEPAMT1 triazolamHALCIONT1 triazolamTRIAZOLAMT1 zaleplon SONATA QLT1 zolpidem tartrate AMBIEN QLT3 zolpidem tartrate EDLUAR QL, STT3 zolpidem tartrate INTERMEZZO QL, STT1 zolpidem tartrate ZOLPIDEMQLTARTRATET3 zolpidem tartrate ZOLPIMIST QL, STSsri &antipsych,atyp,dopamine&serotoninAntag CombT1 olanzapine/fluoxetine SYMBYAXhclQLPage 9 of 91

Commercial FormularyT3 triamcinolone/emollientPEDIADERM TAcmb#45Topical Anti-inflammatory, NsaidsT3 diclofenac epolamineT3 diclofenac sodiumT2 diclofenac sodiumFLECTORPENNSAIDVOLTARENDERMATOLOGY - ANTIPRURITICDRUGSAntipruritics,topicalT3 doxepin hclT3 doxepin hclPRUDOXINZONALONDERMATOLOGY - MISCELLANEOUSAntiperspirantsT1 aluminum chlorideT3 aluminum chlorideAntiseborrheic AgentsDRYSOLXERAC ACT3 emollient #43/skin PROMISEBcleanser#27 COMPLETET3 emollient combination PROMISEBno.43T1 selenium sulfide SELENIUM SULFIDET3 selenium sulfide TERSI FOAMT3 sulfacetamide sodium OVACET3 sulfacetamide sodium OVACE PLUS WASHT3 sulfacetamide sodium OVACEPLUS(CLEANSR ER)T3 sulfacetamide sodium OVACE PLUS(CRMER)T2 sulfacetamide sodium OVACEPLUS(SHAMPOO)T1 sulfacetamide SODIUMsodiumSULFACETAMIDE(CLT2 sulfacetamidesodiumT3 sulfacetamidesodium/ureaT1 sulfacetamidesodium/ureaEANSER)SODIUMSULFACETAMIDE(SHAMPOO)CARMOL SCALPROSULA NSAntiseptics,miscellaneousT3 guaiacolT1 phenolEmollientsGUAIACOLPHENOLT3 alc/isopropanol/prop VEHICLE-Ngly/waterT3 alc/isopropanol/prop VEHICLE-N MILDgly/waterT1 ammonium lactate AMMONIUM LACTATET1 ammonium lactate LAC-HYDRINT1 emol53/namgfs/ha/na AURSTAThypochloritT1 emollientPRUVELcombination no. 25T1 emollientPRUTECTcombination no.10T3 emollient combination SONAFINEno.10T1 emollientEMULSION SBcombination no.32T1 emollientPRUMYXcombination no.35T3 emollient combination NEOSALUSno.38T3 emollient combination HPRno.44T3 emollient combination HYLATOPICno.44T3 emollient combination NEOSALUSno.47T3 emollient combination NEOSALUS CPno.47T3 emollient combination TROPAZONEno.48T3 emollient combination HPR PLUSno.53T3 emollient combination HYLATOPIC PLUSno.53T3 emollient combination TROPAZONEno.57T3 emollient combination ATRAPROno.60HYDROGELT3 emollient combo no.47 ATRAPRO CP& no.60T3 emollient no.35/skin ZENIEVAclnsrno.7T3 hyaluro/dl-eXCLAIRac/e12/allan/sheaT1 lactic acidLACTINOLT1 lactic acidLACTINOL-ET3 petrolatum,white VASELINE WHITEPETROLEUMT1 vitePRUCLAIRac/grape/hyaluronicacidIrrigantsT1 acetic acidACETIC ACIDT1 mannitol/sorbitol SORBITOLsolutionMANNITOLT1 neomyNEOSPORIN G.U.sulf/polymyxin b IRRIGANTsulfateT1 ringers solution RINGERSIRRIGATIONT3 ringersLACTATED RINGERSsolution,lactatedT1 sod chloride 0.45% SODIUM CHLORIDEirrig. solnT1 sodium chloride irrig SODIUM CHLORIDEsolutionT1 sorbitol solution SORBITOLT1 water forWATERirrigation,sterilePage 20 of 91

Commercial FormularyIrritants/counter-irritantsT3 capsaicinCAPSICUMT3 capsaicin/skin cleanserQUTENZAT3 coal tarTAR DISTILLATET3 menthol/bandages, ICY HOT(OTC)tubularT1 methyl salicylate METHYLSALICYLATET3 oxalic acidOXALISKeratolyticsT1 benz perox/hc/skin BENCORTclnsr no.14T1 benzoyl peroxide BENZAC W 10T1 benzoyl peroxide BENZAC W 5T1 benzoyl peroxide BENZAC W WASHT2 benzoyl peroxide BENZASHAVET1 benzoyl peroxide BENZEFOAMT1 benzoyl peroxide BENZEFOAM ULTRAT1 benzoyl peroxide BENZOYL PEROXIDET2 benzoyl peroxide BP WASHT2 benzoyl peroxide CLINAC BPOT3 benzoyl peroxide DELOST3 benzoyl peroxide PACNEX HPT3 benzoyl peroxide PACNEX LPT1 benzoyl peroxide PACNEX MXT1 benzoyl peroxide PANOXYL AQ 2.5T3 benzoyl peroxide SOLUCLENZ RXT3 benzoyl peroxide BENZOYL PEROXIDEmicrospheresT1 benzoyl peroxide NEOBENZmicrospheres MICRO(CREAM)T3 benzoyl peroxide NEOBENZmicrospheres MICRO(KIT CL&CRM)T3 benzoyl peroxide NEOBENZmicrospheres MICRO(KIT)T1 benzoylBENZOYL PEROXIDEperoxide&skincleansr5T1 benzoylBENPROXperoxide/aloe veraT3 benzoyl peroxide/aloe BENZIQveraT3 benzoyl peroxide/aloe BENZIQ LSveraT3 benzoylBREZEperoxide/blemish cnclrT3 benzoylZACAREperoxide/hyaluront sodT1 benzoylBPSperoxide/sulfurT3 benzoyl peroxide/sulfurNUOXT1 benzoylBENZOYL PEROXIDEperoxide/ureaT1 benzoylZODERM(CLEANSEperoxide/urea R)T3 benzoyl peroxide/urea ZODERM(CREAM)T3 benzoyl peroxide/urea ZODERM(GEL)T3 benzoyl peroxide/urea ZODERM(MEDPAD)(4.5%-10%)PAT1 benzoylperoxide/ureaZODERM(MEDPAD)(6.5%-10%)T1 benzoylperoxide/ureaZODERM(MEDPAD)(8.5%-10%)T3 benzoyl peroxide/vit e INOVAmixT3 dichloroacetic acid BICHLORACETICACIDT2 podofiloxCONDYLOX(GEL)T1 podofiloxCONDYLOX(SOLUTION)T1 podophyllum resin PODOCON-25T1 potassium hydroxide POTASSIUMHYDROXIDET3 sal acid/benz per/emol CLEANSE & TREATcmb#47PLUST3 salicylic ac/benzoyl INOVA 4-1per/vit eT3 salicylic ac/benzoyl INOVA 8-2per/vit eT1 salicylic acid AKURZAT1 salicylic acid DURASALT1 salicylic acid KERALYTT3 salicylic acid KERALYT SCALPT1 salicylic acid SALACYNT1 salicylic acid SALEXT1 salicylic acid SALICYLIC ACIDT1 salicylic acid VIRASALT1 salicylic acid/ammon SALICYLIC ACIDlact/aloeT3 salicylicEMERSALacid/ammoniated hgT3 salicylic acid/benz per CLEANSE ANDTREATT1 salicylicSALEXacid/ceramide cmb#1T3 salicylic acid/urea SALVAX DUOT3 salicylic acid/urea SALVAX DUO PLUST1 silver nitrate SILVER NITRATET1 silver nitrateapplicatorSILVER NITRATEAPPLICATORT3 ureaALUVEAT3 ureaGORDO-UREAT3 urea HYDRO 35T3 ureaKERAFOAMT3 ureaKEROLT3 ureaUMECTAT3 ureaUMECTA PDT3 ureaURAMAXINT3 urea/emol/bak RINNOVIcl/pvp/grp sd xtT3 urea/emollient URAMAXIN GTcombination #65T1 urea/hyaluronate UREAsodiumT1 urea/lactic ac/zn BP-50% UREAundecylenateT1 urea/lacticUREAacid/salicyl acidPage 21 of 91

Commercial FormularyOxidizing AgentsT3 elect wtr/sod ch/sodhy/hyp acT1 hydrogen peroxideProtectivesT3 carbit/equisxt/ethan/chit/msmT3 hyaluronsod/allantoin/aloe xtT3 hyaluronate sodiumT1 hyaluronate sodiumT3 hyaluronatesodium/he-cell/pegT3 naph,mb-db/kph,mbdb/zinc/ureaT3 poly-ureaurethaneT1 protectcmb2/ceramide 1,3,6-11Surface Active AgentsT1 benzalkoniumchlorideATRAPRO DERMALSPRAYHYDROGENPEROXIDEGENADURRADIAPLEXRXBIONECTSODIUMHYALURONATEHYLASECONSTANT CLENSNUVAILPR CREAMBENZALKONIUMCHLORIDETopical Anti-inflammatory Steroid-localAnestheticT3 hydrocortisone LIDAMANTLEac/lidocaineHC(CREAM)T1 hydrocortisone LIDAMANTLEac/lidocaine HC(LOTION)T3 hydrocortisone LIDAMANTLEac/lidocaineHC(MED PAD)T1 hydrocortisone LIDOCAINEac/lidocaineHYDROCORTISONET3 hydrocortisone/lidocainXYRALIDe/clns6T3 hydrocortisone/lidocainXYRALID LPe/clns6T3 hydrocortisone/pramox EPIFOAMineT1 hydrocortisone/pram PRAMOSONE(CREAoxineM)T2 hydrocortisone/pramox PRAMOSONE(LOTIOineN)T2 hydrocortisone/pramox PRAMOSONE(OINT)ineT3 hydrocortisone/pramox NOVACORTine/aloeT2 hydrocortisone/pramox PRAMOSONE Eine/emollTopical Antineoplastic & PremalignantLesion AgntsT4 alitretinoinPANRETINT4 bexarotene TARGRETIN PAT3 diclofenac sodium SOLARAZE PAT3 fluorouracilT1 fluorouracilT3 fluorouracilT1 fluorouracilT2 ingenol mebutateTopical Local AnestheticsCARACEFUDEXFLUOROPLEXFLUOROURACILPICATOT3 benzocaineAMERICAINET3 benzocaineANACAINET1 cocaine hcl COCAINE HCLT3 dichlorotetrafluoroetha GEBAUER'S 114neT1 ethyl chloride ETHYL CHLORIDET1 lidocaineLIDOCAINET3 lidocaineLIDODERMT1 lidocaine hcl LIDAMANTLET1 lidocaine/prilocaine EMLAT3 lidocaine/tetracaine PLIAGLIST3 lidocaine/tetracaine SYNERAT3 norflurane/hfc 245fa PAIN EASET3 norflurane/hfc 245fa SPRAY ANDSTRETCHT1 pramoxine hcl PRAMOXT3 tetracaine hcl PONTOCAINET3 tetracaine/benzocaine/ CETACAINEbutambenT3 tetracaine/benzocaine/ CETACAINEbutambenANESTHETICT3 tetracaine/benzocaine/ CETACAINEbutambenMEDICAL KIT ET3 tetracaine/benzocain EXACTACAINe/butambenT3 vit e/lidocain/alo REGENECAREver/colagnTopical/mucous Membr./subcut. EnzymesT3 collagenaseclostridium hist.T3 trypsin/balsamperu/castor oilT1 trypsin/balsamperu/castor oilSANTYLOPTASEXENADERMDERMATOLOGY - PIGMENTATIONDISORDERSHypopigmentation AgentsT3 dioxybenzone/hydroquiNUQUIN HPnoneT1 dioxybenzone/pdo/hyNUQUIN HPdroquinoneT3 fluocinolone/tretinoin/h TRI-LUMA-quinT1 hydroquinone HYDROQUINONET3 hydroquinone REMERGENT HQT3 hydroquinone EPIQUIN MICROmicrospheresT1 hydroquinone HYDROQUINONEmicrospheresT3 hydroquinone/ascorbic C-CLARIFYINGacidSERUMPage 22 of 91

Commercial FormularyAntihyperglycemic, Dpp-4 InhibitorsT3 alogliptin benzoate NESINA STT2 linagliptinTRADJENTAT3 saxagliptin hcl ONGLYZA STT2 sitagliptin phosphate JANUVIAAntihyperglycemic, Insulin-release StimulantTypeT1 chlorpropamide CHLORPROPAMIDET1 glimepiride AMARYLT1 glipizideGLUCOTROLT2 glyburideDIABETAT1 glyburideGLYBURIDET1 glyburide,micronized GLYNASET1 nateglinideSTARLIXT2 repaglinide PRANDINT1 tolazamideTOLAZAMIDET1 tolbutamide TOLBUTAMIDEAntihyperglycemic, Insulin-responseEnhancerT1 pioglitazone hcl ACTOST3 rosiglitazone maleate AVANDIA STAntihyperglycemic,biguanide TypeT1 metformin hcl GLUCOPHAGET3 metformin hcl GLUMETZA STT2 metformin hcl RIOMETAntihyperglycemic,insulin-rel Stim.&Biguanide CmbT1 glipizide/metformin METAGLIPhclT1 glyburide/metformin GLUCOVANCEhclT2 repaglinide/metformin PRANDIMEThclAntihyperglycemic,insulin-response &Release Comb.T1 pioglitazone DUETACThcl/glimepirideT3 rosiglitazone/glimepirid AVANDARYLeSTSTAntihyperglycemic-glucocorticoid ReceptorBlockerT4 mifepristone KORLYM PAAntihyperglycm,insul-resp.enhancer &Biguanide CmbT1 pioglitazonehcl/metformin hclT2 pioglitazonehcl/metformin hclACTOPLUS METACTOPLUS MET XRSTSTT3 rosiglitazone/metformin hclBlood Sugar DiagnosticsAVANDAMETT3 blood sugar diagnostic ALL ABBOTTPRODUCTS(FREESTYLE ANDPRECISION TESTSTRIPS)T3 blood sugar diagnostic ALL BAYERPRODUCTS(CONTOUR ANDBREEZE TESTSTRIPS)Diabetic SuppliesT2 blood glucose cntl hi & 2TEK(OTC)normalT2 blood glucose cntl hi & AGAMATRIXnormalCONTROL(OTC)T2 blood glucose cntl hi & ASSURE DOSE(OTC)normalT2 blood glucose cntl hi & BLOOD GLUCOSEnormalCONTROL(OTC)T2 blood glucose cntl hi & ON CALL PLUSnormalCONTROL(OTC)T2 blood glucose cntl hi & ON CALL VIVIDnormalCONTROL(OTC)T2 blood glucose cntl hi & OPTUMRX(OTC)normalT2 blood glucose control ACCU-CHEK(OTC)high&lowT2 blood glucose control ACCUTRENDhigh&lowGLUCOSE(OTC)T2 blood glucose control ASCENSIAhigh&lowAUTODISC(OTC)T2 blood glucose control ASCENSIAhigh&lowELITE(OTC)T2 blood glucose control ASSURE 3(OTC)high&lowT2 blood glucose control ASSURE PRO(OTC)high&lowT2 blood glucose control EASY TOUCH(OTC)high&lowT2 blood glucose control EVENCARE G2(OTC)high&lowT2 blood glucose control EVENCARE G3(OTC)high&lowT2 blood glucose control EVENCARE(OTC)high&lowT2 blood glucose control FREESTYLEhigh&lowCONTROLSOLUTION(OTC)T2 blood glucose control MICRODOT(OTC)high&lowT2 blood glucose controlhigh&lowT2 blood glucose controlhigh&lowT2 blood glucose controlhigh&lowSURESTEPCONTROLSOLUTION(OTC)TELCARE CONTROLSOLUTION(OTC)ULTRATRAKPRO(OTC)STPage 24 of 91

Commercial FormularyT2 blood glucose controlhigh&lowT2 blood glucose controlhigh&lowT2 blood glucose controlhigh&lowT2 blooddiabeticsupplies,miscellT2 blooddiabeticsupplies,miscellT2 blood-glucose calib.controlT2 blood-glucose calib.controlT2 blood-glucose calib.controlT2 blood-glucose calib.controlT2 blood-glucose calib.controlT2 blood-glucose calib.controlT2 blood-glucose calib.controlT2 blood-glucose calib.controlULTRATRAKULTIMATE(OTC)ULTRATRAK(OTC)VICTORY(OTC)AT LAST(OTC)TRACER(OTC)ACCU-CHEK(OTC)ASSURE 4(OTC)MEDISENSECONTROL(OTC)MEDISENSEGLUCOSEKETONE(OTC)MEDISENSE(OTC)PRECISIONGLUCOSECONTROL(OTC)PRECISION(OTC)SURESTEPCONTROLSOLUTION(OTC)ACURA CONTROLT2 blood-glucose control,highSOLUTION(OTC)T2 blood-glucose control, ADVOCATEhighCONTROLT2 blood-glucose control,highSOLUTION(OTC)ADVOCATE REDI-CODE+ CTRLSOLN(OTC)T2 blood-glucose control, AGAMATRIXhighCONTROL(OTC)T2 blood-glucose control, BREEZE 2(OTC)highT2 blood-glucose control, CLEVER CHOICEhighCONTROLSOLUTION(OTC)T2 blood-glucose control, CONTOUR(OTC)highT2 blood-glucose control, CONTROLhighSOLUTION(OTC)T2 blood-glucose control, EASY CHECKhighCONTROLSOLUTION(OTC)T2 blood-glucose control, EASY STEP(OTC)highT2 blood-glucose control, EASY TALK(OTC)highT2 blood-glucose control, EASY TRAK(OTC)highT2 blood-glucose control, EASYMAX(OTC)highT2 blood-glucose control, ECLIPSE CONTROLhighSOLUTION(OTC)T2 blood-glucose control,highELEMENT COMPACTCONTROLSOLN(OTC)ELEMENT CONTROLT2 blood-glucose control,highSOLUTION(OTC)T2 blood-glucose control, ELEMENT PLUShighCONTROLSOLUTION(OTC)T2 blood-glucose control, ENVISION(OTC)highT2 blood-glucose control, EZ SMART(OTC)highT2 blood-glucose control, GLUCOCOMhighCONTROLSOLUTION(OTC)T2 blood-glucose control, GLUCOLABhighCONTROL(OTC)T2 blood-glucose control, GMATE CONTROLhighSOLUTION(OTC)T2 blood-glucose control, INFINITY CONTROLhighSOLUTION(OTC)T2 blood-glucose control, LIBERTY CONTROLhighSOLUTION(OTC)T2 blood-glucose control, ONE TOUCHhighVERIO(OTC)T2 blood-glucose control, PRESTIGE(OTC)highT2 blood-glucose control, REFUAH PLUShighGLUCOSECONTROL(OTC)T2 blood-glucose control, RIGHTEST CONTROLhighSOLUTION(OTC)T2 blood-glucose control, SOLUS V2 CONTROLhighSOLUTION(OTC)T2 blood-glucose control, SURE EDGEhighGLUCOSE CONTROLT2 blood-glucose control,highSOLN(OTC)SURECHEKGLUCOSECONTROL(OTC)T2 blood-glucose control, SURESTEPhighPRO(OTC)T2 blood-glucose control, TRUECONTROL(OThighC)T2 blood-glucose control, TRUETESThighGLUCOSECONTROL(OTC)T2 blood-glucose control, TRUETRACK(OTC)highT2 blood-glucose control, VOCAL POINThighGLUCOSET2 blood-glucose control,lowT2 blood-glucose control,lowT2 blood-glucose control,lowCONTROL(OTC)ACURA CONTROLSOLUTIONLOW(OTC)ADVOCATECONTROLSOLUTION(OTC)ADVOCATE REDI-CODE+ CTRLSOLN(OTC)Page 25 of 91

Commercial FormularyT2 blood-glucose control,normalEVOLUTIONCONTROLSOLUTION(OTC)T2 blood-glucose control, EZ SMART(OTC)normalT2 blood-glucose control, FREESTYLEnormalCONTROLT2 blood-glucose control,normalSOLUTION(OTC)GE100 CONTROLSOLUTIONNORMAL(OTC)T2 blood-glucose control, GLUCOCARD 01normalCONTROL(OTC)T2 blood-glucose control, GLUCOCARDnormalEXPRESSION(OTC)T2 blood-glucose control, GLUCOCARD X-normalMETERT2 blood-glucose control,normalCONTROL(OTC)GLUCOCOMCONTROLSOLUTION(OTC)T2 blood-glucose control, GLUCOLABnormalCONTROL(OTC)T2 blood-glucose control, GLUCOLEADER(OTnormalC)T2 blood-glucose control, GLUCOSE CONTROLnormalSOLUTION(OTC)T2 blood-glucose control, GLUCOSEnormalCONTROL(OTC)T2 blood-glucose control, GMATE CONTROLnormalSOLUTION(OTC)T2 blood-glucose control, INFINITY CONTROLnormalSOLUTION(OTC)T2 blood-glucose control, LIBERTY CONTROLnormalSOLUTION(OTC)T2 blood-glucose control, LIBERTY LEV 2normalGLUCOSET2 blood-glucose control,normalCONTROL(OTC)MEDISENSEGLUCOSE KETONECONTR(OTC)T2 blood-glucose control, MEDISENSE(OTC)normalT2 blood-glucose control, METER-CHECK(OTC)normalT2 blood-glucose control, MICRODOT(OTC)normalT2 blood-glucose control, NOVA MAXnormalGLUCOSE CONTROLT2 blood-glucose control,normalT2 blood-glucose control,normalSOLN(OTC)ONE TOUCHGLUCOSE CONTROLSOLN(OTC)ONE TOUCH ULTRACONTROLSOLN(OTC)T2 blood-glucose control, ONE TOUCHnormalULTRA(OTC)T2 blood-glucose control, ONE TOUCHnormalVERIO(OTC)T2 blood-glucose control, QUICKTEK(OTC)normalT2 blood-glucose control, RIGHTEST CONTROLnormalSOLUTION(OTC)T2 blood-glucose control, SMARTEST(OTC)normalT2 blood-glucose control, SMS GLUCOSEnormalCONTROL(OTC)T2 blood-glucose control, SURE EDGEnormalGLUCOSE CONTROLSOLN(OTC)T2 blood-glucose control, SURESTEPnormalCONTROLSOLUTION(OTC)T2 blood-glucose control, SURESTEPnormalT2 blood-glucose control,normalPRO(OTC)SURE-TESTEASYPLUSMINI(OTC)T2 blood-glucose control, TRACER(OTC)normalT2 blood-glucose control, TRUETESTnormalGLUCOSECONTROL(OTC)T2 blood-glucose control, ULTRATRAK(OTC)normalT2 blood-glucose control, WAVESENSEnormalCONTROLSOLUTION(OTC)T2 blood-glucose control, XPRES(OTC)normalT2 blood-glucose meter CARESENSN(EACH)(OTC)T2 diabeticAUTOsupplies,miscell INJECTOR(OTC)T2 diabeticCHEMSTRIP BGsupplies,miscell DIARY(OTC)T2 diabeticMAGNI-GUIDEsupplies,miscell MAGNIFIER(OTC)T2 diabeticSOFT TOUCH II(OTC)supplies,miscellT2 lancing device ADJUSTABLELANCINGDEVICE(OTC)T2 lancing deviceT2 lancing deviceT2 lancing deviceT2 lancing deviceT2 lancing deviceT2 lancing deviceT2 lancing deviceT2 lancing deviceT2 lancing deviceT2 lancing deviceADVOCATE LANCINGDEVICE(OTC)ALTERNATE SITELANCINGDEVICE(OTC)AQUA LANCELANCINGDEVICE(OTC)AUTO-LANCETMINI(OTC)AUTO-LANCET(OTC)AUTOLET LANCINGDEVICE(OTC)AUTOLET LITECLINISAFE(OTC)AUTOLET LITE(OTC)AUTOLET MKIICLINISAFE(OTC)CAREONE(OTC)Page 27 of 91

Commercial FormularyT2 insulinLANTUS SOLOSTARglargine,hum.rec.anlogT3 insulin glulisine APIDRAT3 insulin glulisine APIDRA SOLOSTART2 insulin lispro HUMALOGT2 insulin npl/insulin lisproHUMALOG MIX 50-50T2 insulin npl/insulin lisproHUMALOG MIX 75-25T2 insulin regular, human HUMULIN RT2 insulin regular, human HUMULIN R(OTC)T2 insulin regular, human NOVOLIN R(OTC)T2 insuln asp prt/insulin NOVOLOG MIX 70-30aspartT2 insuln asp prt/insulin NOVOLOG MIX 70-30aspartFLEXPENT2 nph, human insulin HUMULIN N(OTC)isophaneT2 nph, human insulin NOVOLIN NisophaneINNOLET(OTC)T2 nph, human insulin NOVOLIN N(OTC)isophaneUrine Glucose/acetone Test Aids,stripsT3 urine gluc-acetcomb.tst,stripT3 urine gluc-acetcomb.tst,stripT3 urine gluc-acetcomb.tst,stripT3 urine gluc-acetcomb.tst,stripT3 urine gluc-acetcomb.tst,stripT3 urine gluc-acetcomb.tst,stripT3 urine gluc-acetcomb.tst,stripT3 urine gluc-acetcomb.tst,stripT3 urine gluc-acetcomb.tst,stripT3 urine gluc-acetcomb.tst,stripT3 urine gluc-acetcomb.tst,stripCHEMSTRIPUGK(OTC)DIASCREEN 10(OTC)DIASCREEN 2GKREAGENT(OTC)DIASCREEN 3REAGENT(OTC)DIASCREEN4OBL(OTC)DIASCREEN 5(OTC)DIASCREEN 6(OTC)DIASCREEN 7(OTC)DIASCREEN 8(OTC)DIASCREEN 9(OTC)KETO-DIASTIXREAGENT(OTC)EAR - GENERAL DISORDERSEar Preparations Anti-inflammatoryT1 fluocinolone DERMOTICacetonide oilT1 hc/pramoxine/chloro HYDROxylenol/bakEar Preparations, Misc. Anti-infectivesT1 acetic acidVOSOLT1 acetic acid/aluminum ACETIC ACIDacetateALUMINUMT1 aceticHYDROCORTISONEacid/hydrocortisoneACETIC ACIDT1 cresyl ace/ben CRESYLATEalc/butanol/ipaPRAMOXINE-HCCORTANE-BOTO-END 10Ear Preparations,antibioticsEar Preparations,local AnestheticsT1 hc/pramox hcl/clxylenol/waterT3 hc/pramoxinehcl/chloroxylenolT1 hc/pramoxinehcl/chloroxylenolT1 ciprofloxacin hcl CETRAXALT3 neo sul/plymx b PEDIOTICsu/buffers/hcT3 neomy sulf/colist COLY-MYCIN Ssul/hc/thonzT3 neomy sulf/colist CORTISPORIN-TCsul/hc/thonzT1 neomycin/polymyxin NEOMYCINbsulf/hcPOLYMYXIN-HCT3 ofloxacinFLOXINT1 aa/antipyrn/bcaine/poAURALGANlico#1/alT1 aa/antpy/bcaine/polic AABPo/al acetT3 antipy/benzocaine/poli OTIC CAREcos no.1T3 antipyrine/benzocain/glNEOTICy/zincT3 antipyrine/benzocain/glOTOZINy/zincT3 antipyrine/benzocaine AURALGANT1 antipyrine/benzocain AURAXeT1 antipyrine/benzocain ANTIPYRINEe/glycerinBENZOCAINET1 benzocaine BENZOTICT1 phenylephrine/antipy OTOGESIC/b-caineT2 ciprofloxacin CIPRODEXhcl/dexamethT3 ciprofloxacin/hydrocortiCIPRO HCsoneOtic,antiinfective-local AnestheticCombinationsOtic Preparations,anti-inflammatoryantibioticsT3 chloroxylenol/glyc/pra ZINOTICmox/zincT3 chloroxylenol/glyc/pra ZINOTIC ESmox/zincT1 chloroxylenol/pramo CHLOROXYLENOLxinehclPRAMOXINE HCLT3 chloroxylenol/pramoxinOTICINe hclPage 29 of 91

Commercial FormularyOtic-antiinfective, Local Anesth & Anti-inflamCmbT1 chloroxylenol/benzocTRIOXIN/hydrocortELECTROLYTE REGULATIONArginine Vasopressin (avp) ReceptorAntagonistsT3 tolvaptan SAMSCA QLElectrolyte DepletersT1 calcium acetateT1 calcium acetateT3 calcium acetateT1 calciumcarbonate/magcarb/faT3 lanthanum carbonateT3 sevelamer carbonateT2 sevelamer carbonateT2 sevelamer hclT1 sodium polystyrenesulfonatePotassium ReplacementCALCIUM ACETATEPHOSLOPHOSLYRAMAGNEBIND 400 RXFOSRENOLRENVELA(POWDPACK)RENVELA(TAB)RENAGELSPST1 pot chloride/pot POTASSIUMbicarb/cit ac CHLORIDET3 potassium bicarbonate QUIC-KT3 potassiumEFFER-Kbicarbonate/cit acT1 potassiumKLOR-CON-EFbicarbonate/cit acT1 potassium chloride KAOCHLORT1 potassium chloride K-TABT1 potassium chloride MICRO-KT1 potassium chloride POTASSIUMCHLORIDET3 potassium chloride/pot KAOCHLOR-EFFbicarbT1 potassium gluconate POTASSIUMGLUCONATESodium/saline PreparationsT1 0.5 normal saline SODIUM CHLORIDET1 0.9 % sodium NORMAL SALINEchlorideFLUSHT1 normal saline SODIUM CHLORIDET1 sodium chloride 0.45 SODIUM CHLORIDE%ENDOCRINE DISORDER - FERTILITYDrugs To Treat ImpotencyT3 alprostadil CAVERJECT QLT3 alprostadil EDEX QLT3 alprostadil MUSE QLT2 sildenafil citrate VIAGRA G, QLT2 tadalafil CIALIS(TAB)(10 MG) G, QLT2 tadalafilCIALIS(TAB)(2.5 MG) G, QLT2 tadalafil CIALIS(TAB)(20 MG) G, QLT2 tadalafil CIALIS(TAB)(5 MG) G, QLT2 vardenafil hcl LEVITRA G, QLT2 vardenafil hcl STAXYN G, QLT1 yohimbine hcl YOHIMBINE HCLT1 yohimbine hcl/zincsulfateYOHIMARFertility Stimulating Preparations,non-fshT1 clomiphene citrateSEROPHENEFollicle Stim./luteinizing HormonesT4 menotropinsT4 menotropinsMENOPURREPRONEXFollicle-stimulating HormoneT4 follitropin alfa, recomb GONAL-FT4 follitropin alfa, recomb GONAL-F RFFT4 follitropin beta,recomb FOLLISTIM AQT4 urofollitropin BRAVELLEHuman Chorionic GonadotropinT2 chorionicCHORIONICgonadotropin, human GONADOTROPINT2 chorionicNOVARELgonadotropin, humanT2 chorionicPREGNYLgonadotropin, humanT2 hcg alpha,recombinant OVIDRELLuteinizing HormonesT3 lutropin alfaLUVERISPregnancy Facilitating/maintainingAgent,hormonalT3 progesterone FIRST-PROGESTERONEVGS 100T3 progesterone FIRST-PROGESTERONEVGS 200T3 progesterone FIRST-PROGESTERONEVGS 25T3 progesterone FIRST-PROGESTERONEVGS 400T3 progesterone FIRST-PROGESTERONEVGS 50T2 progesterone,microniz CRINONEedT2 progesterone,microniz ENDOMETRINedT2 progesterone,microniz PROCHIEVEedPage 30 of 91

Commercial FormularyENDOCRINE DISORDER - OTHERAntidiuretic And Vasopressor HormonesT1 desmopressin DDAVP(nonrefrigerated)T3 desmopressin acetate DDAVP(AMPUL)(15MCG/ML)T1 desmopressin DDAVP(AMPUL)acetate(4MCG/ML)T2 desmopressin acetate DDAVP(SOLUTION)T1 desmopressin DDAVP(TAB)acetateT1 desmopressin DESMOPRESSINacetateACETATET3 desmopressin acetate STIMATEAntineoplastic Lhrh(gnrh) Agonist,pituitarySuppr.T4 leuprolide acetateT4 leuprolide acetateELIGARDLEUPROLIDEACETATEBone Formation Stim. Agents - ParathyroidHormoneT4 teriparatide FORTEO QLBone Resorption Inhibitor & CalciumCombinationsT2 risedronatesod/calcium carbACTONEL WITHCALCIUMBone Resorption Inhibitor & Vitamin DCombinationsT2 alendronatesodium/vitamin d3Bone Resorption InhibitorsFOSAMAX PLUS DQL, STT3 alendronate sodium BINOSTO QL, STT2 alendronate sodium FOSAMAX(SOLUTIO QLN)T1 alendronate sodium FOSAMAX(TAB)T3 calcitonin,salmon,synt FORTICALheticT1 calcitonin,salmon,sy MIACALCIN(SPRAY/PntheticUMP)T3 calcitonin,salmon,synt MIACALCIN(VIAL)heticT1 etidronate disodium DIDRONELT1 ibandronate sodium BONIVA(TAB)(150MG)T3 ibandronate sodium BONIVA(TAB)(2.5 MG)QL, STT2 raloxifene hcl EVISTA QLT3 risedronate sodium ACTONEL(TAB)(150 QL, STMG)T3 risedronate sodium ACTONEL(TAB)(30MG)QL, STT3 risedronate sodium ACTONEL(TAB)(35 QL, STMG)T3 risedronate sodium ACTONEL(TAB)(5 QL, STMG)T2 risedronate sodium ACTONEL(TAB)(75 STMG)T3 risedronate sodium ATELVIA QL, STT3 tiludronate disodium SKELIDCalcimimetic,parathyroid Calcium EnhancerT4 cinacalcet hclSENSIPARGrowth Hormone Receptor AntagonistsT4 pegvisomantSOMAVERTGrowth Hormone Releasing Hormone (ghrh)& AnalogsT4 tesamorelin acetate EGRIFTA PAGrowth HormonesT4 somatropin GENOTROPIN PAT4 somatropin HUMATROPE PAT4 somatropin NORDITROPIN PAT4 somatropinNORDITROPIN PAFLEXPROT4 somatropinNORDITROPIN PANORDIFLEXT4 somatropin NUTROPIN PAT4 somatropin NUTROPIN AQ PAT4 somatropinNUTROPIN AQ PANUSPINT4 somatropin OMNITROPE PAT4 somatropin SAIZEN PAT4 somatropin SEROSTIM PAT4 somatropin TEV-TROPIN PAT4 somatropin ZORBTIVE PAHyperparathyroid Tx Agents - Vitamin DAnalog-typeT3 doxercalciferolT2 paricalcitolHECTOROLZEMPLARInsulin-like Growth Factor-1 (igf-1)HormonesT4 mecasermin INCRELEX PALhrh(gnrh) Agonist Analog PituitarySuppressantsT3 histrelin acT4 histrelin acT4 nafarelin acetateSUPPRELINVANTASSYNARELLhrh(gnrh) Antagonist,pituitary SuppressantAgentsT4 cetrorelix acetateT4 ganirelix acetateCETROTIDEGANIRELIX ACETATEPage 31 of 91

Commercial FormularyLhrh(gnrh)agnst Pit.sup-central PrecociousPubertyT4 histrelin acSUPPRELIN LALuteinizing Hormone Releasing Hormone-lhrhT2 gonadorelin acetateLUTREPULSEPituitary Suppressive AgentsT1 cabergolineT1 danazolCABERGOLINEDANAZOLENDOCRINE DISORDER - THYROIDAntithyroid PreparationsT1 methimazoleT1 propylthiouracilIodine Containing AgentsT1 potassium iodideT1 potassiumiodide/iodineThyroid HormonesMETHIMAZOLEPROPYLTHIOURACILSSKISTRONG IODINET3 levothyroxine sodium TIROSINTT1 levothyroxine UNITHROIDsodiumT1 liothyronine sodium CYTOMELT3 liotrixTHYROLAR-1T3 liotrixTHYROLAR-1/2T3 liotrixTHYROLAR-1/4T3 liotrixTHYROLAR-2T3 liotrixTHYROLAR-3T1 thyroidTHYROIDT2 thyroid,porkARMOUR THYROIDT1 thyroid,pork NP THYROIDEYE - GENERAL DISORDERSEye Antibiotic-corticoid CombinationsT3 gentamicin/prednisolacT1 neo/polymyx bsulf/dexamethT1 neo/polymyx bsulf/dexamethT1 neomy sulf/bacitraczn/poly/hcPRED-GMAXITROLNEOMYCIN-POLYMYXIN-DEXAMETHNEOMYCIN-BACITRACIN-POLY-HCPOLY-PREDT2 neomy sulf/polymyx bsulf/predT1 neomycin sulfate/dex NEOMYCINna phW/DEXAMETHASONET3 tobramycin/dexametha TOBRADEX STsoneT1 tobramycin/dexamet TOBRADEX(DROPShasoneSUSP)T2 tobramycin/dexametha TOBRADEX(OINT)soneT2 tobramycin/lotepred ZYLETetabEye AntihistaminesT3 alcaftadineLASTACAFTT1 azelastine hcl OPTIVART3 bepotastine besilate BEPREVET3 emedastine difumarate EMADINET1 epinastine hcl ELESTATT2 olopatadine hcl PATADAYT2 olopatadine hcl PATANOLEye Anti-infectivesT3 povidone-iodineBETADINEEye Antiinflammatory AgentsT3 bromfenac sodium BROMDAYT1 bromfenac sodium BROMFENACSODIUMT3 bromfenac sodium XIBROMT3 dexamethasone MAXIDEXT3 dexamethasone sod DECADRONphosphateT1 dexamethasone sod DEXASOLphosphateT1 diclofenac sodium VOLTARENT2 difluprednate DUREZOLT1 fluorometholone FLUOROMETHOLONET2 fluorometholone FMLT2 fluorometholone FML FORTET2 fluorometholone FML S.O.P.T2 fluorometholone FLAREXacetateT1 flurbiprofen sodium OCUFENT1 ketorolacACULARtromethamineT1 ketorolacACULAR LStromethamineT3 ketorolacACUVAILtromethamine/pfT2 loteprednol etabonate ALREXT2 loteprednol etabonate LOTEMAXT2 nepafenacILEVROT2 nepafenacNEVANACT1 prednisolone acetate OMNIPREDT2 prednisolone acetate PRED MILDT1 prednisolone sod PREDNISOLphosphateT3 rimexoloneVEXOLEye AntiviralsT2 ganciclovirT1 trifluridineEye Local AnestheticsT1 benoxinatehcl/fluorescein naT3 lidocaine hcl/pfT1 proparacaine hclZIRGANVIROPTICFLURESSAKTENPROPARACAINE HCLPage 32 of 91

Commercial FormularyEye SulfonamidesT1 proparacaine/fluores FLUORESCEINceinsodPROPARACAINET3 proparacaine/fluoresce FLUORESCEINinsodPROPARACAINE HCLT1 tetracaine hcl TETCAINET3 tetracaine hcl TETRAVISCT3 tetracaine hcl TETRAVISC FORTET1 tetracaine hcl/pf TETRACAINE HCLT3 na sulfacetm/prednis OPTIMYDspT1 na sulfacetm/prednis SULFALONEspT1 sulfacetamide SULFACsodiumT1 sulfacetamide SULFACETAMIDEsodiumSODIUMT1 sulfacetamide/predni SULFACETAMIDEsolonespPREDNISOLONET2 sulfacetm na/prednisol BLEPHAMIDEacT2 sulfacetm na/prednisol BLEPHAMIDE S.O.P.acEye VasoconstrictorsT1 naphazoline hclT1 naphazolinehcl/antazolineT1 phenylephrine hclOphthalmic AntibioticsALBALONNAPHAZOLINE HCLW/ANTAZOLINEPHENYLEPHRINEHCLT3 azithromycin AZASITET1 bacitracinBACITRACINT1 bacitracin/polymyxin POLYCIN-Bb sulfateT2 besifloxacin hcl BESIVANCET1 ciprofloxacin hcl CILOXAN(DROPS)T2 ciprofloxacin hcl CILOXAN(OINT)T1 erythromycin base ROMYCINT2 gatifloxacinZYMART2 gatifloxacinZYMAXIDT1 gentamicin sulfate GARAMYCINT3 levofloxacinIQUIXT1 levofloxacin QUIXINT2 moxifloxacin hcl MOXEZAT2 moxifloxacin hcl VIGAMOXT3 natamycinNATACYNT1 neomyNEO-POLYCINsulf/bacitra/polymyxin bT1 neomycin/polymyxn NEOSPORINb/gramicidinT1 ofloxacinOCUFLOXT3 oxy-tcn hcl/polymyx b TERAKsulfT3 oxytetracycline/polymy TERRAMYCIN WITHx b sulfPOLYMYXINT1 polymyxin b POLYTRIMsulf/trimethoprimT1 tobramycin TOBRAMYCINT2 tobramycinTOBREXOphthalmic Anti-inflammatoryImmunomodulator-typeT2 cyclosporineRESTASISOphthalmic Mast Cell StabilizersT1 cromolyn sodiumT2 lodoxamidetromethamineT2 nedocromil sodiumT2 pemirolast potassiumCROMOLYN SODIUMALOMIDEALOCRILALAMASTOphthalmic Preparations, MiscellaneousT3 doxycycline/eyelid clns ALODOXno.2&3EYE - GLAUCOMACarbonic Anhydrase InhibitorsT1 acetazolamideT1 acetazolamideT1 methazolamideACETAZOLAMIDEDIAMOX SEQUELSNEPTAZANEMiotics/other Intraoc. Pressure ReducersT3 apraclonidine hcl IOPIDINE(DROPERETTE)T1 apraclonidine hcl IOPIDINE(DROPS)T1 betaxolol hcl BETAXOLOL HCLT2 betaxolol hcl BETOPTIC ST2 bimatoprost LUMIGAN QLT2 brimonidine tartrate ALPHAGANP(DROPS)(0.1 %)T1 brimonidine tartrate ALPHAGANP(DROPS)(0.15 %)T1 brimonidine tartrate BRIMONIDINETARTRATET3 brimonidineCOMBIGANtartrate/timololT2 brinzolamide AZOPTT2 carbacholISOPTO CARBACHOLT1 carteolol hcl CARTEOLOL HCLT3 demecarium bromide HUMORSOLT1 dorzolamide hcl TRUSOPTT1 dorzolamide COSOPThcl/timolol maleatT3 echothiophate iodide PHOSPHOLINEIODIDET1 latanoprost XALATANT1 levobunolol hcl BETAGANT1 metipranolol OPTIPRANOLOLT1 pilocarpine hcl ISOPTOCARPINE(DROPS)(1%)T1 pilocarpine hcl ISOPTOCARPINE(DROPS)(2%)T1 pilocarpine hcl ISOPTOCARPINE(DROPS)(4%)Page 33 of 91

Commercial FormularyT3 pilocarpine hcl ISOPTOCARPINE(DROPS)(8%)T1 pilocarpine hcl PILOCARPINE HCLT3 pilocarpine hcl PILOPINE HST3 tafluprost/pf ZIOPTAN QL, STT2 timololBETIMOLT3 timolol maleate ISTALOLT1 timolol maleate TIMOPTICT1 timolol maleate TIMOPTIC-XET2 travoprost TRAVATAN Z QLT3 unoprostone isopropyl RESCULAQL, STMydriaticsT1 atropine sulfate ATROPINE SULFATET1 atropine sulfate ISOPTO ATROPINET1 atropine sulfate/pf ATROPINE SULFATET2 cyclopentolate hcl CYCLOGYL(DROPS)(0.5 %)T1 cyclopentolate hcl CYCLOGYL(DROPS)(1 %)T1 cyclopentolate hcl CYCLOGYL(DROPS)(2 %)T3 cyclopentolate/phenyle CYCLOMYDRILphrineT2 dipivefrin hcl PROPINET1 homatropine hbr HOMATROPAIRET2 homatropine hbr ISOPTOHOMATROPINET3 hydroxyamphetamine/t PAREMYDropicamideT3 phenylephrine MUROCOLL-2hcl/scopol hbT3 scopolamine ISOPTO HYOSCINEhydrobromideT1 tropicamide MYDRALOphthalmic Antifibrotic AgentsT3 mitomycinMITOSOLEYE - MISCELLANEOUSArtificial TearsT3 hydroxypropylcelluloseEye Diagnostic AgentsT1 fluorescein sodiumT3 fluorescein sodiumT3 fluorescein sodiumT3 fluorescein sodiumT1 lissamine greenT3 oftasceindisod/benoxinate hclT1 rose bengal sodiumLACRISERTBIO GLOFLUORETSFLUOR-I-STRIP ATFUL-GLOLISSAMINEFLURA-SAFEROSE BENGALEye Preparations, MiscellaneousT3 gelatinT3 homeopathic drugsGELFILMCINERARIA 3XTopical Hypertrichotic Agents, EyelashesT3 bimatoprostLATISSEGOUT AND RELATED DISEASESColchicineT1 colchicineCOLCHICINET2 colchicineCOLCRYST1 colchicine/probeneci PROBENECIDdCOLCHICINEHyperuricemia Tx - Purine InhibitorsT1 allopurinolT2 febuxostatUricosuric AgentsT1 probenecidZYLOPRIMULORICPROBENECIDHEMATOLOGICAL DISORDERSAnticoagulants,coumarin TypeT1 warfarin sodiumAntifibrinolytic AgentsT1 aminocaproic acidT3 aminocaproic acidT1 aminocaproic acidT1 aminocaproic acidT1 tranexamic acidAntihemophilic FactorsT4 antihemoph.fviiiplas/alb freeT4 antihemoph.fviiiplas/alb freeT4 antihemoph.fviiiplas/alb freeT4 antihemoph.fviiiplas/alb freeT4 antihemoph.fviiiplas/alb freeT4 antihemoph.fviiiplas/alb freeT4 antihemoph.fviiiplas/alb freeT4 antihemoph.fviiiplas/alb freeT4 antihemophilic factor,hum recT4 antihemophilic factor,hum recT4 antihemophilic factor,hum recT4 antihemophilic factor,hum recT4 antihemophilic factor,hum recT3 antihemophilic factor,humanT4 antihemophilic factor,humanCOUMADINAMICAR(SOLUTION)AMICAR(TAB)(1000MG)AMICAR(TAB)(500MG)AMINOCAPROICACIDLYSTEDAADVATEADVATE HADVATE LADVATE MADVATE SHADVATE UHXYNTHAXYNTHA SOLOFUSEBIOCLATEHELIXATE FSKOGENATE FSRECOMBINATEREFACTOALPHANATEHEMOFIL MPage 34 of 91

Commercial FormularyT4 antihemophilic factor, KOATE-DVIhumanT4 antihemophilic factor, MONOCLATE-PhumanT4 antihemophilic ALPHANATEfactor/vwfT4 antihemophilic HUMATE-Pfactor/vwfT4 antihemophilic WILATEfactor/vwfT4 anti-inhibitor coagulant FEIBA NFcomp.T4 anti-inhibitor coagulant FEIBA VH IMMUNOcomp.T4 coagulation factor NOVOSEVENviia,recombT4 coagulation factor NOVOSEVEN RTviia,recombBlood Factors,miscellaneousT4 factor xiiiCORIFACTCitrates As AnticoagulantsT1 citrate-phos-dexsolutionT1 sodium citrateDirect Factor Xa InhibitorsCITRATEPHOSPHATEDEXTROSESODIUM CITRATET3 apixaban ELIQUIS PA, QLT2 rivaroxabanXARELTO(TAB)(10 QLMG)T2 rivaroxabanXARELTO(TAB)(15 QLMG)T2 rivaroxabanXARELTO(TAB)(20MG)QLFactor Ix PreparationsT4 factor ixT4 factor ixT4 factor ix complexhumanT4 factor ix complexhumanT4 factor ix complexhumanT4 factor ix humanrecombinantHematinics,otherALPHANINE SDMONONINEBEBULINBEBULIN VHIMMUNOPROFILNINE SDBENEFIXT4 darbepoetin alfa in ARANESPPApolysorbatT4 epoetin alfa EPOGEN PAT4 epoetin alfa PROCRIT PAT4 peginesatide OMONTYS PAHemorrheologic AgentsT1 pentoxifyllinePENTOXIFYLLINEHeparin And Related PreparationsT4 dalteparinsodium,porcineFRAGMIN(DISPSYRINGE)T2 dalteparinFRAGMIN(VIAL)sodium,porcine (10000/ML)T4 dalteparinFRAGMIN(VIAL)sodium,porcine (25000/ML)T4 enoxaparin sodium LOVENOXT4 fondaparinux sodium ARIXTRAT1 heparin sod,porcine- HEPARIN FLUSH0.9 % naclT1 heparinHEPARIN SODIUMsodium,porcineT1 heparinHEPARIN SODIUM INsodium,porcine/d5w 5% DEXTROSET1 heparinHEP-PAK CVCsodium,porcine/nsT1 heparinHEPARIN SODIUMsodium,porcine/ns/pfNST1 heparinHEPARIN FLUSHsodium,porcine/pfT1 heparinHEP-LOCKsodium,porcine/pfT3 tinzaparinINNOHEPsodium,porcineLeukocyte (wbc) StimulantsT4 filgrastim NEUPOGEN PAT4 pegfilgrastim NEULASTA PAT4 sargramostim LEUKINE PAPlatelet Aggregation InhibitorsT3 aspirin/dipyridamole AGGRENOXT1 cilostazolPLETALT1 clopidogrel bisulfate PLAVIXT1 dipyridamole DIPYRIDAMOLET1 dipyridamole PERSANTINET2 prasugrel hcl EFFIENT QLT2 ticagrelor BRILINTA QLT1 ticlopidine hcl TICLOPIDINE HCLPlatelet Proliferation StimulantsT4 oprelvekinPlatelet Reducing AgentsT1 anagrelide hclT1 anagrelide hclNEUMEGASickle Cell Anemia AgentsT3 hydroxyureaAGRYLINANAGRELIDE HCLDROXIAThrombin Inhibitors,sel.,direct,&rev.-hirudinTypeT4 desirudin IPRIVASK PA, QLThrombin Inhibitors,selective,direct, &ReversibleT3 dabigatran etexilatemesylatePRADAXAThrombopoietin Receptor AgonistsT4 eltrombopag olamine PROMACTA PAPA, QLPage 35 of 91

Commercial FormularyTopical HemostaticsT3 cellulose,oxidized OXYCELT3 cellulose,oxidized SURGICELT3 ferric subsulfate ASTRINGYNT3 fibrinogen/thrombin TACHOSIL(hum plas)T3 gelatinGELFOAMsponge,absorbableT3 gelatinGELFOAM PACKSsponge,absorbableT3 gelatinSURGIFOAMsponge,absorbableT3 microfibrillar collagen AVITENET3 microfibrillar collagen ENDO-AVITENET3 microfibrillar collagen HELITENET3 microfibrillar collagen ULTRAFOAMT1 thrombin (bovine) THROMBIN-JMIT3 thrombinRECOTHROM(recombinant)T3 thrombin(hum TISSEEL VHSDplas)/fib/apro/caT3 thrombin(hum EVICELplas)/fibrinog/caT1 thrombin/fibrinogen/apro/calHEMASEELAPR(KIT)(1 ML)T3 thrombin/fibrinogen/aprHEMASEELo/calAPR(KIT)(2 ML)T1 thrombin/fibrinogen/apro/calHEMASEELAPR(KIT)(5ML)Vitamin K PreparationsT1 phytonadioneT2 phytonadioneAQUA-MEPHYTONMEPHYTONHORMONAL DEFICIENCYAndrogenic AgentsT1 fluoxymesterone ANDROXYT2 methyltestosterone ANDROIDT2 methyltestosterone METHITESTT2 methyltestosterone TESTREDT1 oxandrolone OXANDRINT3 oxymetholone ANADROL-50T3 testosterone ANDRODERM(PATCHTD24)(2 MG/24 HR)T2 testosterone ANDRODERM(PATCH PATD24)(2.5MG/24HR)T3 testosterone ANDRODERM(PATCH PATD24)(4 MG/24 HR)T2 testosterone ANDRODERM(PATCH PATD24)(5 MG/24 HR)T2 testosterone ANDROGEL PAT2 testosterone AXIRON PAT3 testosterone FORTESTA PAT3 testosterone STRIANT PAT3 testosterone TESTIM PATESTOSTERONE(VIAL)(100 MG/ML)PAT2 testosterone cypionate DEPO-T1 testosterone DEPO-PAcypionateTESTOSTERONE(VIAL)(200 MG/ML)T1 testosterone TESTOSTERONE PAcypionateCYPIONATET2 testosterone enanthateDELATESTRYL PAT1 testosterone TESTOSTERONE PAenanthateENANTHATET3 testosteronepropionateFIRST-TESTOSTERONET3 testosteronepropionateFIRST-TESTOSTERONE MCEstrogen & Progestin WithAntimineralocorticoid CbT3 drospirenone/estradiol ANGELIQEstrogen/androgen CombinationsT1 estrogen,ester/metestosteroneT1 estrogen,ester/metestosteroneEstrogenic AgentsESTRATESTESTROGEN &METHYLTESTOSTERONET2 estradiol ALORA QLT1 estradiol CLIMARA QLT3 estradiolDIVIGELT3 estradiolELESTRINT1 estradiolESTRACET2 estradiol ESTRADERM QLT3 estradiolESTRASORBT3 estradiolESTROGELT3 estradiolEVAMISTT3 estradiol MENOSTAR QLT2 estradiol MINIVELLE QLT2 estradiol VIVELLE QLT2 estradiol VIVELLE-DOT QLT3 estradiol acetate FEMTRACET3 estradiol/levonorgestre CLIMARA PRO QLlT1 estradiol/norethindro ACTIVELLAne acetT2 estradiol/norethindroneCOMBIPATCHQLacetT1 estradiol/norethindro ESTRADIOLneacetNORETHINDRONEACETATT3 estradiol/norgestimate PREFESTT2 estrogen,con/mprogestPREMPHASEacetT2 estrogen,con/mprogestPREMPROacetT2 estrogens, conjugated PREMARINT3 estrogens,conj.,synthetCENESTINic aT3 estrogens,conj.,synthetENJUVIAic bT2 estrogens,esterified MENESTT1 estropipate OGENPage 36 of 91

Commercial FormularyT2 norethind ac/ethinylestradiolT1 norethind ac/ethinylestradiolProgestational AgentsFEMHRT(TAB)(0.5MG-2.5)FEMHRT(TAB)(1MG-5MCG)T1 medroxyprogesterone acetMEDROXYPROGESTERONE ACETATET1 medroxyprogesteron PROVERAe acetateT1 norethindrone AYGESTINacetateT3 progesterone PROGESTERONET1 progesterone,micronizedPROMETRIUMIMMUNIZATIONAntiseraT4 immune glob,gamcaprylate(igg)T4 immune glob,gamcaprylate(igg)T4 immuneglobulin,gamma(igg)T3 immuneglobulin,gamma(igg)GAMMAKEDGAMUNEX-CHIZENTRAVIVAGLOBINIMMUNOSUPPRESSION/MODULATIONImmunomodulatorsT1 imiquimod ALDARA PAT3 imiquimod ZYCLARA PAT2 interferon alfa- INTRON A(PEN INJ PA2b,recomb.KIT)(10MM/0.2ML)T4 interferon alfa-2b,recomb.INTRON A(PEN INJKIT)(3MM/0.2 ML)PAPAPAPAT2 interferon alfa-2b,recomb.INTRON A(PEN INJKIT)(5MM/0.2ML)T4 interferon alfa- INTRON A(VIAL)2b,recomb.T4 interferon alfa-n3 ALFERON NT4 interferon gamma- ACTIMMUNE1b,recomb.ImmunosuppressivesT3 azathioprine AZASANT1 azathioprine IMURANT4 cyclosporine CYCLOSPORINET4 cyclosporine SANDIMMUNET4 cyclosporine,NEORALmodifiedT4 everolimus ZORTRESST1 mycophenolate CELLCEPT(CAP)mofetilT2 mycophenolate mofetil CELLCEPT(SUSPRECON)T1 mycophenolate CELLCEPT(TAB)mofetilT3 mycophenolate sodium MYFORTICT4 sirolimus RAPAMUNET4 tacrolimus HECORIAINFECTIOUS DISEASE - BACTERIALAbsorbable SulfonamidesT1 sulfamethoxazole/tri BACTRIMmethoprimT1 sulfamethoxazole/trimethoprimSULFAMETHOXAZOLE-TRIMETHOPRIMT2 sulfisoxazole acetyl GANTRISINBetalactamsT4 aztreonam lysine CAYSTON PACephalosporins - 1st GenerationT1 cefadroxil hydrate CEFADROXILT1 cephalexin CEPHALEXINT1 cephalexin KEFLEX(CAP)(250MG)T1 cephalexin KEFLEX(CAP)(500MG)T3 cephalexin KEFLEX(CAP)(750MG)Cephalosporins - 2nd GenerationT1 cefaclor CEFACLORT3 cefaclor RANICLORT1 cefprozil CEFPROZILT2 cefuroxime axetil CEFTIN(SUSPRECON)T1 cefuroxime axetil CEFTIN(TAB)Cephalosporins - 3rd GenerationT1 cefdinir OMNICEFT1 cefditoren pivoxil SPECTRACEFT2 cefixime SUPRAXT1 cefpodoxime proxetil CEFPODOXIMEPROXETILPAPAPage 37 of 91

Commercial FormularyT3 ceftibuten dihydrateCEDAXChemotherapeutics, Antibacterial, Misc.T3 fosfomycinMONUROLtromethamineT3 methen/m-blue/sal/na URELLEphos/hyosT1 methen/m-blue/sal/naUTAphos/hyosT1 methen/sod URYLphos/meth blue/hyosT1 methenam/me HYOPHENblue/ba/salicy/hyoT2 methenam/me PROSED-DSblue/ba/salicy/hyoT3 methenamine UREXhippurateT1 methenamine METHENAMINEmandelateMANDELATET2 mth/me blue/sod PHOSPHASALphos/phen/hyosT1 mth/me blue/sod UR N-Cphos/phen/hyosT2 mth/me blue/sod URETRON D-Sphos/phen/hyosT3 mth/me blue/sod URIBELphos/phen/hyosT2 mth/me blue/sod URIN D.S.phos/phen/hyosT2 trimethoprim PRIMSOLT1 trimethoprim TRIMETHOPRIMKetolidesT2 telithromycinMacrolidesT1 azithromycinT1 azithromycinT2 azithromycinT2 azithromycinT1 clarithromycinT1 ery e-succ/sulfisoxazoleT2 erythromycin baseT1 erythromycin baseT2 erythromycin baseT2 erythromycinethylsuccinateT2 erythromycinethylsuccinateT2 erythromycinethylsuccinateT2 erythromycinethylsuccinateT1 erythromycinethylsuccinateKETEKZITHROMAXZITHROMAX TRI-PAKZMAXZMAX PEDIATRICBIAXINERYTHROMYCIN-SULFISOXAZOLEERY-TABERYTHROMYCINPCEE.E.S. 200ERYPED 200ERYPED 400ERYTHROMYCINETHYLSUCCINATE(SUSP RECON)ERYTHROMYCINETHYLSUCCINATE(TAB)T1 erythromycinstearateERYTHROCINSTEARATET2 fidaxomicin DIFICID QL, STNitrofuran DerivativesT2 furazolidoneT1 nitrofurantoinT1 nitrofurantoinmacrocrystalT2 nitrofurantoinmacrocrystalT1 nitrofurantoinmacrocrystalT2 nitrofurantoinmonohyd/m-crystOxazolidinonesFUROXONEFURADANTINMACRODANTIN(CAP)(100 MG)MACRODANTIN(CAP)(25 MG)MACRODANTIN(CAP)(50 MG)MACROBIDT2 linezolid ZYVOX PAPenicillinsT1 amoxicillinAMOXICILLINT1 amoxicillinAMOXILT3 amoxicillinMOXATAGT1 amoxicillin trihydrate AMOXICILLINT1 amoxicillin/potassiu AMOX TRmclavPOTASSIUMCLAVULANATET1 amoxicillin/potassiu AUGMENTIN ES-600m clavT2 amoxicillin/potassium AUGMENTIN(SUSPclavRECON)(125-31.25/)T1 amoxicillin/potassiu AUGMENTIN(SUSPm clavRECON)(250-62.5/5)T1 amoxicillin/potassiu AUGMENTIN(SUSPm clavRECON)(400-57MG/5)T2 amoxicillin/potassium AUGMENTIN(TABclavCHEW)T1 amoxicillin/potassiu AUGMENTIN(TAB)m clavT1 ampicillin trihydrateAMPICILLINTRIHYDRATET1 dicloxacillin sodium DICLOXACILLINT3 oxacillin sodiumT1 penicillin vpotassiumQuinolonesSODIUMBACTOCILLPENICILLIN VPOTASSIUMT2 ciprofloxacin CIPROT1 ciprofloxacin hcl CIPROT1 ciprofloxacin hcl CIPROFLOXACINHCLT3 ciprofloxacin hcl PROQUIN XRT1 ciprofloxacin/ciproflo CIPRO XRxa hclT3 gemifloxacin mesylate FACTIVET1 levofloxacin LEVAQUINT1 levofloxacin LEVOFLOXACINT3 lomefloxacin hcl MAXAQUINT2 moxifloxacin hcl AVELOXT2 moxifloxacin hcl AVELOX ABC PACKT1 nalidixic acid NALIDIXIC ACIDT3 nalidixic acid NEGGRAMT3 norfloxacinNOROXINT1 ofloxacinOFLOXACINPage 38 of 91

Commercial FormularyTetracyclinesT1 demeclocycline hcl DECLOMYCINT2 doxycycline calcium VIBRAMYCINT1 doxycycline hyclate DORYXT1 doxycycline hyclate DOXYCYCLINEHYCLATET1 doxycycline hyclate MORGIDOXT1 doxycycline hyclate VIBRAMYCINT3 doxycyclineADOXA CKmonohy/skin clnsr9T3 doxycyclineADOXA TTmonohy/skin clnsr9T1 doxycycline ADOXAmonohydrateT1 doxycycline ADOXA PAK QL, STmonohydrateT1 doxycycline AVIDOXYmonohydrateT3 doxycyclinemonohydrateMONODOX(CAP)(100MG)T3 doxycyclinemonohydrateMONODOX(CAP)(50MG)T1 doxycyclinemonohydrateMONODOX(CAP)(75MG)T3 doxycyclinemonohydrateORACEAAGE,QL, STT1 doxycycline VIBRAMYCINmonohydrateT3 doxycycline/omega-3 NUTRIDOX#1/eye mskT3 doxycycline/salicy/oct/ AVIDOXY DKzinc oxT3 doxycycline/skin MORGIDOXcleanser #19T1 minocycline hcl DYNACINT1 minocycline hcl MINOCINT3 minocycline hcl SOLODYN(TAB ER24H)(105 MG)AGE,QL, STT3 minocycline hcl SOLODYN(TAB ER24H)(115MG)AGE,QL, STT1 minocycline hcl SOLODYN(TAB ER24H)(135 MG)AGE,QLT1 minocycline hcl SOLODYN(TAB ER24H)(45 MG)AGE,QLT3 minocycline hcl SOLODYN(TAB ER24H)(55 MG)AGE,QL, STT3 minocycline hcl SOLODYN(TAB ER24H)(65 MG)AGE,QL, STT3 minocycline hcl SOLODYN(TAB ER24H)(80 MG)AGE,QL, STT1 minocycline hcl SOLODYN(TAB ER24H)(90 MG)AGE,QLT3 minocycline hcl/skin cl MINOCINno.4T1 tetracycline hcl ALA-TETT1 tetracycline hcl TETRACYCLINE HCLINFECTIOUS DISEASE - FUNGALAntifungal AgentsT1 clotrimazoleCLOTRIMAZOLET1 fluconazoleT1 flucytosineT3 itraconazoleT1 itraconazoleT2 itraconazoleT1 ketoconazoleT3 miconazoleT3 posaconazoleT2 terbinafine hclT1 terbinafine hclT3 terbinafine/hydroxychitosanT1 triacetinT2 voriconazoleT1 voriconazoleAntifungal AntibioticsDIFLUCANANCOBONONMELSPORANOX(CAP)SPORANOX(SOLUTION)KETOCONAZOLEORAVIGNOXAFILLAMISIL(GRANPACK)LAMISIL(TAB)TERBINEXTRIACETINVFEND(SUSPRECON)VFEND(TAB)T1 griseofulvin GRIS-PEGultramicrosizeT3 griseofulvin,microsize FULVICIN U/FT1 griseofulvin,microsiz GRIFULVIN VeT1 nystatinMYCOSTATINT1 nystatinNYSTATINAntifungal-antibiotic-steroid-antihistamineCombT3 nystatin/tcn/hc/diphenhFIRST-MARY'SydraminAntifungal-anti-inflammatory SteroidantihistamineT3 nystatin/hydrocortisoneFIRST-DUKE'S/diphenAntifungal-local Anesthetic-antihistamineCombT3 nystatin/lidocaine/diphenhydFIRST-BXNINFECTIOUS DISEASE -MISCELLANEOUSAminoglycosidesT1 neomycin sulfateT4 tobramycin in 0.225%naclNEOMYCIN SULFATETOBIPAAntibacterial Agents,miscellaneousT3 glycineT3 urologic solution-gT3 urologic solution-gGLYCINEIRRIGATINGSOLUTION GUROLOGICSOLUTION GPage 39 of 91

Commercial FormularyAntileproticsT1 dapsoneDAPSONET4 thalidomide THALOMID PAAnti-mycobacterium AgentsT3 aminosalicylic acidT1 ethambutol hclT3 ethionamideT1 isoniazidT1 pyrazinamideT3 rifabutinAntitubercular AntibioticsPASERMYAMBUTOLTRECATORISONIAZIDPYRAZINAMIDEMYCOBUTINT1 cycloserine SEROMYCINT1 rifampinRIFADINT1 rifampin/isoniazid ISONARIFT2 rifampin/isoniazid RIFAMATET3 rifampin/isoniazid/pyra RIFATERzinamidT3 rifapentinePRIFTINLincosamidesT1 clindamycin hclT1 clindamycinpalmitate hclCLEOCIN HCLCLINDAMYCINPALMITATE HCLRifamycins And Related DerivativeAntibioticsT3 rifaximinT2 rifaximinXIFAXAN(TAB)(200MG)XIFAXAN(TAB)(550MG)Vancomycin And DerivativesT1 vancomycin hcl VANCOCIN HCL QLINFECTIOUS DISEASE - PARASITIC2nd Gen. Anaerobic AntiprotozoalantibacterialT1 tinidazoleAmebacidesTINDAMAXT2 iodoquinolYODOXINT1 paromomycin sulfate PAROMOMYCINSULFATEAnaerobic Antiprotozoal-antibacterialAgentsT2 metronidazoleT2 metronidazoleT1 metronidazoleAnthelminticsT3 albendazoleT3 ivermectinT1 mebendazoleT2 praziquantelFLAGYLFLAGYL ERMETRONIDAZOLEALBENZASTROMECTOLMEBENDAZOLEBILTRICIDEQL, STAntimalarial DrugsT3 artemether/lumefantrin COARTEMeT1 atovaquone/proguani MALARONEl hclT1 chloroquine ARALENphosphatePHOSPHATET1 chloroquine CHLOROQUINEphosphatePHOSPHATET3 halofantrine hcl HALFANT1 hydroxychloroquine PLAQUENILsulfateT1 mefloquine hcl MEFLOQUINE HCLT2 primaquine phosphate PRIMAQUINET2 pyrimethamine DARAPRIMT2 pyrimethamine/sulfado FANSIDARxineT1 quinine sulfate QUALAQUINT1 quinine sulfate QUININE SULFATEAntiprotozoal Drugs,miscellaneousT3 atovaquoneT2 pentamidineisethionateMEPRONNEBUPENTINFECTIOUS DISEASE - VIRALAntivirals, GeneralT1 acyclovirZOVIRAXT1 famciclovirFAMVIRT1 ganciclovirGANCICLOVIRT2 oseltamivir phosphate TAMIFLUT2 ribavirinVIRAZOLET1 rimantadine hcl FLUMADINET1 valacyclovir hcl VALTREXT3 valganciclovir hcl VALCYTET3 zanamivirRELENZAAntivirals, Hiv-spec, Non-peptidic ProteaseInhibT4 darunavir ethanolateT4 darunavir ethanolateT2 darunavir ethanolateT4 darunavir ethanolateT4 darunavir ethanolateT4 darunavir ethanolateT4 darunavir ethanolateT4 tipranavirT4 tipranavir/vitamin etpgsPREZISTA(ORALSUSP)PREZISTA(TAB)(150MG)PREZISTA(TAB)(300MG)PREZISTA(TAB)(400MG)PREZISTA(TAB)(600MG)PREZISTA(TAB)(75MG)PREZISTA(TAB)(800MG)APTIVUSAPTIVUSPage 40 of 91

Commercial FormularyAntivirals, Hiv-spec, Nucleoside-nucleotideAnalogT4 emtricitabine/tenofovir TRUVADAAntivirals, Hiv-spec., Nucleoside Analog, RtiCombT4 abacavirEPZICOMsulfate/lamivudineT4 abacavir/lamivudine/zi TRIZIVIRdovudineT4 lamivudine/zidovudin COMBIVIReAntivirals, Hiv-specific, Ccr5 Co-receptorAntag.T4 maravirocSELZENTRYAntivirals, Hiv-specific, Fusion InhibitorsT4 enfuvirtideFUZEONAntivirals, Hiv-specific, Non-nucleoside, RtiT2 delavirdine mesylateT4 efavirenzT4 etravirineT1 nevirapineT2 nevirapineT4 nevirapineT4 rilpivirine hclRESCRIPTORSUSTIVAINTELENCEVIRAMUNEVIRAMUNE XR(TABER 24H)(100 MG)VIRAMUNE XR(TABER 24H)(400 MG)EDURANTAntivirals, Hiv-specific, Nucleoside Analog,RtiT4 abacavir sulfateT2 didanosineT1 didanosineT2 emtricitabineT2 lamivudineT1 lamivudineT1 stavudineT1 zidovudineZIAGENVIDEXVIDEX ECEMTRIVAEPIVIR(SOLUTION)EPIVIR(TAB)ZERITRETROVIRAntivirals, Hiv-specific, Nucleotide Analog,RtiT4 tenofovir disoproxilfumarateVIREADAntivirals, Hiv-specific, Protease InhibitorCombT4 lopinavir/ritonavirKALETRAAntivirals, Hiv-specific, Protease InhibitorsT4 atazanavir sulfate REYATAZT4 fosamprenavir calcium LEXIVAT2 indinavir sulfate CRIXIVANT2 nelfinavir mesylateT4 nelfinavir mesylateT4 ritonavirT2 ritonavirT4 ritonavirT4 saquinavir mesylateVIRACEPT(POWDER)VIRACEPT(TAB)NORVIR(CAP)NORVIR(SOLUTION)NORVIR(TAB)INVIRASEAntivirals,hiv-1 Integrase Strand TransferInhibtrT4 raltegravir potassiumISENTRESSArtv Cmb Nucleoside,nucleotide,&nonnucleosideRtiT4 efavirenz/emtricitab/te ATRIPLAnofovirT4 emtricitab/rilpivirine/tenCOMPLERAofovArv Cmb-nrti,n(t)rti, Integrase InhibitorT4 elvitegr/cobicist/emtric/ STRIBILDtenofHepatitis B Treatment AgentsT4 adefovir dipivoxilT4 entecavirT2 lamivudineT4 telbivudineHEPSERABARACLUDEEPIVIR HBVTYZEKAHepatitis C Treatment AgentsT4 interferon alfacon-1 INFERGEN PAT4 peginterferon alfa-2a PEGASYS PAT4 peginterferon alfa-2a PEGASYS PROCLICK PAT4 peginterferon alfa-2b PEGINTRON PAT4 peginterferon alfa-2b PEGINTRON PAREDIPENT1 ribavirinCOPEGUST1 ribavirinREBETOL(CAP)T2 ribavirinREBETOL(SOLUTION)T1 ribavirin RIBATAB STHepatitis C Virus Ns3/4a Serine ProteaseInhib.T4 boceprevir VICTRELIS PAT4 telaprevir INCIVEK PAINFLAMMATORY DISEASEAnti-arthritic And Chelating AgentsT2 penicillamineT2 penicillamineCUPRIMINEDEPENAnti-arthritic, Folate Antagonist AgentsT2 methotrexate sodium METHOTREXATEAnti-flam. Interleukin-1 Receptor AntagonistT4 anakinra KINERET PAT4 rilonaceptARCALYSTPage 41 of 91

Commercial FormularyAnti-inflammatory Tumor Necrosis FactorInhibitorT4 adalimumab HUMIRA PAT4 etanercept ENBREL PAT4 golimumab SIMPONI PAAnti-inflammatory, Pyrimidine SynthesisInhibitorT1 leflunomideARAVAAntinflammatory, Sel.costim.mod.,t-cellInhibitorT4 abatacept ORENCIA PABradykinin B2 Receptor AntagonistsT4 icatibant acetate FIRAZYR PAC1 Esterase InhibitorsT4 c1 esterase inhibitor BERINERT PAT4 c1 esterase inhibitor CINRYZEGlucocorticoidsT3 betamethasone CELESTONET1 budesonide ENTOCORT ECT3 budesonide UCERIS STT1 cortisone acetate CORTISONEACETATET1 dexamethasone DEXAMETHASONET3 dexamethasone DEXAMETHASONEINTENSOLT3 dexamethasone DEXPAKT1 hydrocortisone CORTEFT1 methylprednisolone MEDROL(TAB DS PK)T1 methylprednisolone MEDROL(TAB)(16MG)T2 methylprednisolone MEDROL(TAB)(2 MG)T1 methylprednisolone MEDROL(TAB)(32MG)T1 methylprednisolone MEDROL(TAB)(4 MG)T1 methylprednisolone MEDROL(TAB)(8 MG)T1 methylprednisolone METHYLPREDNISOLONET2 prednisolone MILLIPREDT2 prednisolone MILLIPRED DPT1 prednisolone PREDNISOLONET3 prednisolone acetate FLO-PREDT3 prednisolone sod ASMALPREDph/peak flowT3 prednisolone sod ASMALPRED PLUSph/peak flowT3 prednisolone sod MILLIPREDphosphateT1 prednisolone sod ORAPREDphosphateT3 prednisolone sod ORAPRED ODTphosphateT1 prednisolone sodphosphatePEDIAPREDT1 prednisolone sodphosphateT3 prednisolone sodphosphateT1 prednisoneT2 prednisonePREDNISOLONESODIUMPHOSPHATEVERIPRED 20PREDNISONEPREDNISONEINTENSOLT3 prednisone RAYOS STT3 triamcinolone diacetateARISTOCORTGold SaltsT3 auranofinRIDAURAJanus Kinase (jak) InhibitorsT4 tofacitinib citrate XELJANZ PAMineralocorticoidsT1 fludrocortisoneacetateFLUDROCORTISONEACETATEMonoclonal Antibody-human Interleukin12/23 InhibT4 ustekinumabSTELARANasal Nsaids, Cox Non-selective,systemicAnalgesicT3 ketorolactromethamineSPRIXQLNsaid & Histamine H2 Receptor AntagonistComb.T3 ibuprofen/famotidine DUEXIS QL, STNsaid, Cox Inhibitor-type & Proton PumpInhib CombT2 naproxen/esomeprazol VIMOVOe magNsaids (cox Non-specific Inhib)&Prostaglandin CmbT1 diclofenacARTHROTEC 50sodium/misoprostolT1 diclofenacARTHROTEC 75sodium/misoprostolSTNsaids, Cyclooxygenase 2 Inhibitor - TypeT2 celecoxib CELEBREX AGE,STNsaids, Cyclooxygenase Inhibitor-typeT1 diclofenac potassiumCATAFLAMT3 diclofenac potassium ZIPSORT1 diclofenac sodium DICLOFENACSODIUMT1 diclofenac sodium VOLTARENT1 diclofenac sodium VOLTAREN-XRPage 42 of 91

Commercial FormularyT1 etodolacT1 fenoprofen calciumT2 fenoprofen calciumT1 flurbiprofenT1 flurbiprofenT1 ibuprofenT2 indomethacinT1 indomethacinT1 indomethacinT1 ketoprofenT1 ketorolactromethamineT1 ketorolactromethamineT3 ketorolactromethamineT3 ketorolactromethamineT1 meclofenamatesodiumT1 mefenamic acidT3 mefenamic acidT1 meloxicamT1 nabumetoneT1 naproxenT1 naproxenT1 naproxenT1 naproxen sodiumT1 naproxen sodiumT3 naproxen sodiumT3 naproxen sodiumT1 oxaprozinT1 phenylbutazoneT1 piroxicamT1 piroxicamT1 sulindacT1 sulindacT1 tolmetin sodiumUnknownT3 ibuprofen/irr cnt-irritcmb #2T3 meloxicam/irr cntr-irrcmb #2T3 naproxen/irr cntr-irritcmb #2LOCAL ANESTHESIALocal AnestheticsT3 b-caine/zinccl/pine/cpyrdT3 benzocaine/tanac/menth/cpyrdT1 lidocaine hclETODOLACFENOPROFENCALCIUMNALFONANSAIDFLURBIPROFENIBUPROFENINDOCININDOCIN SRINDOMETHACINKETOPROFENKETOROLACTROMETHAMINETORADOL(CARTRIDGE)(15 MG/ML)TORADOL(CARTRIDGE)(15 MG/ML)TORADOL(CARTRIDGE)(30 MG/ML)MECLOFENAMATESODIUMPONSTEL(CAP)(250MG)PONSTEL(CAP)(250MG)MOBICNABUMETONEEC-NAPROSYNNAPROSYNNAPROXENANAPROXANAPROX DSNAPRELANNAPRELAN CR DOSECARDDAYPROPHENYLBUTAZONEFELDENEPIROXICAMCLINORILSULINDACTOLMETIN SODIUMCOMFORT PAC-IBUPROFENCOMFORT PAC-MELOXICAMCOMFORT PAC-NAPROXENBUCALSEPORASEPLIDOCAINE HCLVISCOUSLOWER GASTROINTESTINALDISORDERS - BOWEL INFLAMMATBowel Antiinflamatory AgentsT1 sulfadiazineT1 sulfasalazineSULFADIAZINESULFASALAZINEChronic Inflam. Colon Dx, 5-a-salicylat,rectalTxT2 mesalamineT1 mesalaminew/cleansing wipesCANASAROWASAaminosalicylatT1 balsalazide disodium COLAZALT3 balsalazide disodium GIAZO STT2 mesalamine APRISOT2 mesalamine ASACOLT3 mesalamine ASACOL HD STT3 mesalamine DELZICOL STT3 mesalamine LIALDA STT3 mesalamine PENTASA STT3 olsalazine sodium DIPENTUM STDrugs To Tx Chronic Inflamm. Disease OfColonT4 certolizumab pegol CIMZIA PAHemorrhoidal Prep, Anti-infam Steroid/localAnesthDrug Tx-chronic Inflam. Colon Dx,5-T3 hydrocort/pramoxin/eANALPRAM Emol/pram#1T1 hydrocort/pramoxin/eHYDROCORTISONE-mol/pram#1 PRAMOXINET3 hydrocort/pramoxn/skn PRAM-HCAclnsr#16T1 hydrocort/pramoxn/s ZYPRAMkn clnsr#16T3 hydrocortisone ANAMANTLE HCac/lidocaineT1 hydrocortisone ANAMANTLE HCac/lidocaine FORTET1 hydrocortisone LIDOCAINEac/lidocaineHYDROCORTISONET3 hydrocortisone PERANEX HCac/lidocaineT1 hydrocortisone/lidoc LIDOCAINEaine/aloeHYDROCORTISONET1 hydrocortisone/lidoc PERANEX HCaine/aloeT1 hydrocortisone/lidoc RECTAGEL HCaine/aloeT2 hydrocortisone/pramox ANALPRAM HCinePage 43 of 91

Commercial FormularyIrritable Bowel Agents,guanylate Cylase-cAgonistT2 linaclotide LINZESS QLLocal Anorectal Nitrate PreparationsT3 nitroglycerinRectal PreparationsT3 homeopathic drugsT1 hydrocortisoneT1 hydrocortisoneacetateT1 hydrocortisoneacetateRECTIVCHILDRENS FEVERPROCTOSOL-HCHYDROCORTISONEACETATEPROCTOCORTRectal/lower Bowel Prep.,glucocort.T1 hydrocortisone CORTENEMAT3 hydrocortisone acetate CORTIFOAMUnknownT3 hydrocortisoneac/lidocaineANAMANTLE HCLOWER GASTROINTESTINALDISORDERS - OTHERAmmonia InhibitorsT3 acetohydroxamic acid LITHOSTATT4 carglumic acid CARBAGLUT4 glycerol phenylbutyrateRAVICTIT1 lactuloseGENERLACT3 sodium benzoate/na UCEPHANph-acetateT4 sodium phenylbutyrate BUPHENYLAntidiarrheal - G.i. Chloride ChannelInhibitorsT3 crofelemer FULYZAQ QL, STAntidiarrhealsT3 difenoxin hcl/atropinesulfateT1 diphenoxylatehcl/atropineT1 loperamide hclT1 opium tinctureT1 paregoricMOTOFENPABile SaltsT3 chenodiolT1 ursodiolT1 ursodiolT1 ursodiolCHENODALACTIGALLURSOURSO FORTEIrritable Bowel Synd. Agent,5ht-3Antagonist-typeT3 alosetron hclLaxatives And CatharticsLOTRONEXT1 hydrocortisone/pram HYDROCORTISONEoxinePRAMOXINET1 hydrocortisone/pram PRAMCORToxineT3 hydrocortisone/pramox PROCORTineT2 hydrocortisone/pramox PROCTOFOAM-HCineT3 lidocaine/hydrocort/psyXYRALID RClliumDIPHENOXYLATE-ATROPINELOPERAMIDEOPIUM TINCTUREPAREGORICT3 bisac/nacl/nahco3/kcl/peg 3350HALFLYTELY-BISACODYLT2 lactuloseKRISTALOSET1 lactuloseLACTULOSET2 lubiprostone AMITIZA QLT3 na phosVISICOLmono&dibasic/celluloseT3 naphos m-b m-h/na OSMOPREPphos,di-baT1 peg 3350/na GAVILYTE-Csulf,bicarb,cl/kclT2 peg 3350/na GOLYTELYsulf,bicarb,cl/kclT3 peg3350/sod MOVIPREPsul/nacl/asb/c/kclT1 polyethylene glycol3350POLYETHYLENEGLYCOL 3350T3 sod picosulf/mag PREPOPIKox/citric acT2 sodOCLsulf/sodium/nahco3/kcl/pegT1 sodiumNULYTELY WITHchloride/nahco3/kcl/pFLAVOR PACKSegT3 sodium,potassium,&m SUPREPag sulfatesNarcotic Antagonists, Peripherally-actingT3 alvimopanT2 methylnaltrexonebromideENTEREGRELISTORSbs - Glucagon-like Peptide-2 (glp-2)AnalogsPAT4 teduglutide GATTEX PAMISCELLANEOUS AGENTSAnaphylaxis Therapy AgentsT1 epinephrine ADRENACLICK(AUTOINJECT)(0.15/0.15)T2 epinephrine ADRENACLICK(AUTOINJECT)(0.3MG/0.3)T3 epinephrine AUVI-Q STT2 epinephrineEPIPENT2 epinephrineEPIPEN 2-PAKPage 44 of 91

Commercial FormularyT2 epinephrineEPIPEN JRT2 epinephrineEPIPEN JR 2-PAKT2 epinephrineTWINJECTMiscellaneous AgentsT3 liver extract (non-vit) NEXAVIRParasympathetic AgentsT1 bethanechol chloride URECHOLINET1 cevimeline hcl EVOXACT1 guanidine hcl GUANIDINE HCLT1 pilocarpine hcl SALAGENNEOPLASTIC DISEASEAlkylating AgentsT4 altretamineHEXALENT4 busulfanMYLERANT4 carmustine in GLIADELpolifeprosan 20T4 chlorambucil LEUKERANT4 cyclophosphamide CYCLOPHOSPHAMIDET1 hydroxyurea HYDREAT2 lomustineCEENUT2 melphalanALKERANT4 temozolomide TEMODAR PAAntiandrogenic AgentsT4 abiraterone acetate ZYTIGA PAT1 bicalutamide BICALUTAMIDET1 bicalutamide CASODEXT4 enzalutamide XTANDI PAT1 flutamideFLUTAMIDET4 nilutamideNILANDRONAntimetabolitesT4 capecitabine XELODA PAT4 fludarabine phosphate OFORTAT1 mercaptopurine PURINETHOLT1 methotrexate sodium METHOTREXATET2 methotrexate sodium TREXALLT1 methotrexate METHOTREXATEsodium/pfT4 thioguanineTABLOIDAntineoplastic Aromatase InhibitorsT1 anastrozole ARIMIDEXT1 exemestane AROMASINT1 letrozoleFEMARAAntineoplastic - Hedgehog Pathway InhibitorT4 vismodegib ERIVEDGE PAAntineoplastic - Janus Kinase (jak) InhibitorsT4 ruxolitinib phosphate JAKAFI PAAntineoplastic - Mtor Kinase InhibitorsT4 everolimus AFINITOR PAAntineoplastic - Topoisomerase I InhibitorsT4 topotecan hcl HYCAMTINAntineoplastic Immunomodulator AgentsT4 lenalidomide REVLIMID PAT4 peginterferon alfa-2b SYLATRON PAT4 peginterferon alfa-2b SYLATRON 4-PACK PAT4 pomalidomide POMALYST(CAP)(1 PAMG)T2 pomalidomide POMALYST(CAP)(2 PAMG)T2 pomalidomide POMALYST(CAP)(3 PAMG)T2 pomalidomide POMALYST(CAP)(4MG)PAAntineoplastic Lhrh(gnrh)Antagonist,pituit.supprsT4 degarelix acetateFIRMAGONAntineoplastic Systemic Enzyme InhibitorsT4 axitinib INLYTA PAT4 bosutinib BOSULIF PAT4 cabozantinib s-malate COMETRIQ PAT4 crizotinib XALKORI PAT4 dasatinib SPRYCEL PAT4 erlotinib hcl TARCEVA PAT2 gefitinib IRESSA PAT4 imatinib mesylate GLEEVEC PAT4 lapatinib ditosylate TYKERBT4 nilotinib hcl TASIGNA PAT4 pazopanib hcl VOTRIENT PAT4 ponatinib hcl ICLUSIG PAT4 regorafenib STIVARGA PAT4 sorafenib tosylate NEXAVAR PAT4 sunitinib malate SUTENT PAT4 vandetanib CAPRELSA PAT4 vandetanib VANDETANIB PAT4 vemurafenib ZELBORAF PAAntineoplastic,histone DeacetylaseInhibitors,hdisT4 vorinostatZOLINZAAntineoplastics,miscellaneousT1 etoposideT4 mitotaneT4 procarbazine hclT4 tretinoinT4 tretinoinETOPOSIDELYSODRENMATULANETRETINOINVESANOIDChemotherapy Rescue/antidote AgentsT1 leucovorin calciumT3 mesnaLEUCOVORINCALCIUMMESNEXIntrapleural Sclerosing Agents, Antineoplast.Adj.T3 talcT1 talcSCLEROSOLSTERILE TALCPage 45 of 91

Commercial FormularyPhotoactivated, Antineopls. & PremalignantLesionsT3 aminolevulinic acid hcl LEVULANT3 methyl aminolevulinate METVIXIAhclSelective Estrogen Receptor ModulatorsT2 tamoxifen citrateT1 tamoxifen citrateT4 toremifene citrateSOLTAMOXTAMOXIFEN CITRATEFARESTONSelective Retinoid X Receptor AgonistsT4 bexarotene TARGRETIN PASteroid AntineoplasticsT4 estramustinephosphate sodiumT1 megestrol acetateEMCYTMEGESTROLACETATENEUROLOGICAL DISEASE -MISCELLANEOUSAgents To Treat Multiple SclerosisT4 fingolimod hcl GILENYA PAT4 glatiramer acetate COPAXONET4 interferon beta-1a AVONEX STT4 interferon beta- AVONEXST1a/albuminADMINISTRATIONPACKT4 interferon beta- REBIF1a/albuminT4 interferon beta-1b BETASERON STT4 interferon beta-1b EXTAVIA STT4 teriflunomide AUBAGIO PAAgts Tx Neuromusc Transmission Dis,potchanBlkrT4 dalfampridine AMPYRA PAAmyotrophic Lateral Sclerosis AgentsT4 riluzoleRILUTEKFibromyalgia Agents,serotonin-norepinephRu InhibT2 milnacipran hclMovement DisordersSAVELLAT3 gabapentin enacarbil HORIZANT QL, STT4 tetrabenazine XENAZINEPostherpetic Neuralgia AgentsT3 gabapentinT3 gabapentinGRALISE(TAB ER24H)(300 MG)GRALISE(TAB ER24H)(300-600 MG)QL, STQL, STT3 gabapentinGRALISE(TAB ER24H)(600 MG)Pseudobulbar Affect (pba) Agents, NmdaAntagonistsT3 dextromethorphanhbr/quinidineNUEDEXTAORAL/PHARYNGEAL DISORDERSDental Aids And PreparationsT1 chlorhexidinegluconateT3 potassium oxalateT1 triamcinoloneacetonideT3 zinc cl/bcaine/cetylpyrdclPERISOLREMESENSETRIAMCINOLONEACETONIDEBUCALCIDENose Preparations AntibioticsT2 mupirocin calciumBACTROBAN NASALNose Preparations, MiscellaneousT1 ipratropium bromide ATROVENTPeriodontal Collagenase InhibitorsT3 doxycycline hyclateORAXYLQL, STPeriodontal Tetracycline Antiinfective, LocalT3 doxycycline hyclateT3 minocycline hclmicrospheresATRIDOXARESTINPAOTHER RESPIRATORY DISORDERSCystic Fib.transmembConduct.reg.(cftr)potentiatorT4 ivacaftor KALYDECO PALung SurfactantsT3 beractantT3 calfactantT3 lucinactantT3 poractant alfaMucolyticsSURVANTAINFASURFSURFAXINCUROSURFT1 acetylcysteine ACETYLCYSTEINET4 dornase alfa PULMOZYME PAPAIN MANAGEMENT - ANALGESICSAnalgesic, Non-salicylate & BarbiturateComb.T3 butalbital/acetaminoph BUPAPenT3 butalbital/acetaminoph ORBIVAN CFenPage 46 of 91

Commercial FormularyT2 butalbital/acetaminoph PHRENILIN FORTEenAnalgesic, Salicylate, Barbiturate,& XanthineCmbT1 butalbital/aspirin/caff BUTALBITALeineASPIRIN-CAFFEINEAnalgesic,nonsalicylate,barbiturate,&xanthineCmbT1 acetaminophen/caffeiAMERICETne/butalbT1 butalb/acetaminophe BUTALBITALn/caffeineACETAMINOPHEN-CAFFET3 butalb/acetaminophen/ DOLGIC PLUScaffeineT3 butalb/acetaminophen/ ESGIC-PLUS(CAP)caffeineT1 butalb/acetaminophe ESGIC-PLUS(TAB)n/caffeineT3 butalb/acetaminophen/ FIORICETcaffeineT3 butalb/acetaminophen/ ORBIVANcaffeineT3 butalb/acetaminophen/ ZEBUTALcaffeineAnalgesic/antipyretics, SalicylatesT3 asa/salicylam/acetami LEVACETnoph/caffT1 aspirinEASPRINT3 aspirinZORPRINT3 aspirin/meprobamate EQUAGESICT1 choline sal/mag CHOLINE MAGsalicylateTRISALICYLATET1 diflunisalDIFLUNISALT3 magnesium salicylate MAGANT1 magnesium MST 600salicylateT1 sal-DURABACamide/acetamin/p-tlox/caffT1 salamide/acetaminophn/DURAXINp-tloxT1 salicylamide/acetami FRENADOLnophenT1 salsalateSALSALATEAnalgesic/antipyretics,non-salicylateT3 acetaminophen/phenyl FLEXTRA PLUStolox/caffAnalgesics, Narcotic Agonist And NsaidCombinationT1 hydrocodone/ibuprof HYDROCODONE BITenIBUPROFENT1 ibuprofen/oxycodone COMBUNOXhclAnalgesics, Non-narcoticsT1 clonidine hcl/pfAnalgesics,narcoticsCLONIDINE HCLT3 buprenorphine BUTRANS QLT1 butorphanol tartrate BUTORPHANOLTARTRATET1 codeine phosphate CODEINEPHOSPHATET1 codeine sulfate CODEINE SULFATET1 codeine/carisoprodol CARISOPRODOL/aspirinCOMPOUND-CODEINET1 dhcodeineACETAMINOPHbt/acetaminophn/caffCAFF-DIHYDROCODEINT3 dihydrocodeine/aspir SYNALGOS-DCin/caffeinT1 fentanyl DURAGESIC QLT3 fentanyl SUBSYS PAT3 fentanyl citrate ABSTRAL PAT1 fentanyl citrate ACTIQ PAT3 fentanyl citrate FENTORA PAT3 fentanyl citrate LAZANDA PAT3 fentanyl citrate ONSOLIS PAT1 hydrocodone HYCETQLbit/acetaminophenT1 hydrocodonebit/acetaminophenHYDROCODONE-ACETAMINOPHEN(CQLT1 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenAP)HYDROCODONE-ACETAMINOPHEN(SOLUTION)(10-325/CUP)HYDROCODONE-ACETAMINOPHEN(SOLUTION)(2.5-167/5)HYDROCODONE-ACETAMINOPHEN(SOLUTION)(5-163/7.5)QLQLQLQLQLHYDROCODONE-ACETAMINOPHEN(SOLUTION)(5-334MG/10)HYDROCODONE-ACETAMINOPHEN(SOLUTION)(7.5-500/CP)HYDROCODONE- QLACETAMINOPHEN(TAB)(10MG-300MG)HYDROCODONE-ACETAMINOPHEN(TAB)(2.5-325MG)HYDROCODONE-ACETAMINOPHEN(TAB)(2.5-500 MG)QLPage 47 of 91

Commercial FormularyT1 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenT2 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenT1 hydrocodonebit/acetaminophenT3 hydrocodonebit/acetaminophenT2 hydrocodonebit/acetaminophenT1 hydromorphone hclT3 hydromorphone hclT1 hydromorphone hclT3 hydromorphonehcl/pfT3 hydromorphonehcl/pfT1 hydromorphonehcl/pfT3 hydromorphonehcl/pfT1 hydromorphonehcl/pfT1 levorphanol tartrateT3 meperidine hcl/pfT1 meperidine hcl/pfT1 methadone hclT1 methadone hclT2 morphine sulfateT3 morphine sulfateT1 morphine sulfateT3 morphine sulfateT3 morphine sulfateT1 morphine sulfateT3 morphine sulfateLORCET PLUSQLLORTAB(SOLUTION) QLLORTAB(TAB)MAXIDONENORCOSTAGESIC-10VICODIN ESVICODIN HPZAMICETZYDONEDILAUDIDEXALGOHYDROMORPHONEHCLDILAUDID(AMPUL)(1MG/ML)DILAUDID(AMPUL)(2MG/ML)DILAUDID(AMPUL)(4MG/ML)DILAUDID-HPHYDROMORPHONEHCLLEVORPHANOLTARTRATEDEMEROLMEPERIDINE HCLDOLOPHINE HCLMETHADONE HCLAVINZAKADIAN(CAP ERPEL)(10 MG)KADIAN(CAP ERPEL)(100 MG)KADIAN(CAP ERPEL)(130 MG)KADIAN(CAP ERPEL)(150 MG)KADIAN(CAP ERPEL)(20 MG)KADIAN(CAP ERPEL)(200 MG)QLQLQLQLQLQLQLQLHYDROCODONE- QLACETAMINOPHEN(TAB)(5MG-300MG)HYDROCODONE- QLACETAMINOPHEN(TAB)(7.5-300MG)LORCET 10-650 QLT1 morphine sulfate KADIAN(CAP ERPEL)(30 MG)T3 morphine sulfate KADIAN(CAP ERPEL)(40 MG)T1 morphine sulfate KADIAN(CAP ERPEL)(50 MG)T1 morphine sulfate KADIAN(CAP ERPEL)(60 MG)T3 morphine sulfate KADIAN(CAP ERPEL)(70 MG)T1 morphine sulfate KADIAN(CAP ERPEL)(80 MG)T3 morphine sulfate MORPHINE SULFATEERT1 morphine sulfate MS CONTINT2 morphine sulfate ORAMORPH SRT3 morphine sulfate DEPODURliposomal/pfT3 morphineEMBEDAsulfate/naltrexoneT3 morphine sulfate/pf DURAMORPHT1 morphine sulfate/pf MORPHINESULFATE(PCASYRINGE)T3 morphine sulfate/pf MORPHINESULFATE(PCA VIAL)T1 morphine sulfate/pf MORPHINESULFATE(VIAL)T1 nalbuphine hcl NALBUPHINE HCLT1 opium/belladonnaalkaloidsBELLADONNA-OPIUMT1 oxycodone hcl DAZIDOXT3 oxycodone hcl OXECTAT1 oxycodone hcl OXYCODONE HCLT2 oxycodone hcl OXYCONTINT1 oxycodone hcl OXYIRT1 oxycodone hcl ROXICODONEINTENSOLT2 oxycodone hcl ROXICODONE(SOLUTION)T1 oxycodone hcl ROXICODONE(TAB)T3 oxycodoneMAGNACET QLhcl/acetaminophenT1 oxycodonePERCOCET QLhcl/acetaminophenT3 oxycodonePRIMALEVQLhcl/acetaminophenT3 oxycodonePRIMLEVQLhcl/acetaminophenT1 oxycodoneTYLOXQLhcl/acetaminophenT1 oxycodonePERCODANhcl/aspirinT1 oxycodoneOXYCODONEhcl/oxycodonter/asa ASPIRINT3 oxymorphone hcl NUMORPHANT3 oxymorphone hcl OPANA ERT3 oxymorphone hcl OPANA(AMPUL)T1 oxymorphone hcl OPANA(TAB)T1 pentazocine TALACENhcl/acetaminophenPage 48 of 91

Commercial FormularyT1 pentazocinehcl/naloxone hclT3 pentazocine lactateT1 propoxyphene hclT1 propoxyphenehcl/acetaminophenTALWIN NXT1 propoxypheneQLnap/acetaminophenT1 propoxyphene DARVOCET A500 QLnap/acetaminophenT1 propoxyphene DARVOCET-N 100 QLnap/acetaminophenT1 propoxyphene DARVOCET-N 50 QLnap/acetaminophenT3 propoxyphene DARVON-NnapsylateT2 tapentadol hcl NUCYNTA QLT2 tapentadol hcl NUCYNTA ER QLT3 tramadol hcl CONZIP QL, STT3 tramadol hclT3 tramadol hclT1 tramadol hclT1 tramadol hclT1 tramadol hclT1 tramadolhcl/acetaminophenAntimigraine PreparationsRYBIX ODTRYZOLTTRAMADOL QL, STHCL(CPMP 25-75)TRAMADOL HCL(TABER 24H)ULTRAMULTRACETT1 sumatriptansuccinateT2 sumatriptansuccinateT1 sumatriptansuccinateT1 sumatriptansuccinateT1 sumatriptansuccinateT1 sumatriptansuccinateT2 sumatriptansuccinateT1 sumatriptansuccinateIMITREX(CARTRIDG QLE)IMITREX(PEN QLINJCTR)(4 MG/0.5ML)IMITREX(PEN QLINJCTR)(6 MG/0.5ML)IMITREX(TAB) QLIMITREX(VIAL)SUMATRIPTANSUCCINATE(CARTRIDGE)SUMATRIPTANSUCCINATE(DISPSYRINGE)(4MG/0.5ML)SUMATRIPTANSUCCINATE(DISPSYRINGE)(6MG/0.5ML)QLQLQLQLT3 sumatriptan succinate SUMAVEL DOSEPRO QL, STT2 zolmitriptan ZOMIG(SPRAY) QL, STT2 zolmitriptan ZOMIG(TAB) QL, STNarc.& Non-sal.analgesic,barbiturate&xanthine CmbT1 butalbit/acetamin/caffFIORICET WITH/codeineCODEINENarcotic & Salicylate Analgesics, Barb.&XanthineT1 codeine/butalbital/asa/caffeinFIORINAL WITHCODEINE #3Narcotic Analgesic & Non-salicylateAnalgesic CombT1 acetaminophen withcodeineT2 acetaminophen withcodeineT1 acetaminophen withcodeineT1 acetaminophen withcodeineT1 codeinephos/acetaminophenTALWINDARVONPROPOXYPHENEHCL-ACETAMINOPHENBALACET 325T3 almotriptan malate AXERT QL, STT3 diclofenac potassium CAMBIA QLT1 dihydroergotamine D.H.E.45QLmesylateT3 dihydroergotamine MIGRANALQLmesylateT3 eletriptan hbr RELPAX QL, STT3 ergotamine tartrate ERGOMAR QLT2 ergotamineCAFERGOT QLtartrate/caffeineT1 ergotamine MIGERGOT QLtartrate/caffeineT3 frovatriptan succinate FROVA QL, STT1 isomethept/dichlphn/ ISOMETHEPTacetaminopDICHLORALP-ACETAMINT1 isometheptene MIGRALmucateT3 isometheptene/acetam MIGRALAMinoph/caffT3 isometheptene/acetam MIGRATENinoph/caffT1 isometheptene/aceta PRODRINminoph/caffT1 naratriptan hcl AMERGE QLT1 rizatriptan benzoate MAXALT QLT1 rizatriptan benzoate MAXALT MLT QLT1 sumatriptan IMITREX QLT3 sumatriptanTREXIMETQL, STsucc/naproxen sodT3 sumatriptan succinate ALSUMAQLACETAMINOPHEN-CODEINECAPITAL W-CODEINETYLENOL-CODEINENO.3TYLENOL-CODEINENO.4ACETAMINOPHENW/CODEINENarcotic Withdrawal Therapy AgentsT3 buprenorphine hcl BUPRENEXT1 buprenorphine hcl BUPRENORPHINEHCLT1 buprenorphine hcl SUBUTEX PAT2 buprenorphine SUBOXONE(FILM)hcl/naloxone hclT1 buprenorphinehcl/naloxone hclSUBOXONE(TABSUBL)PAPage 49 of 91

Commercial FormularyPARKINSONS DISEASEAntiparkinsonism Drugs,anticholinergicT1 benztropine mesylateBENZTROPINEMESYLATET1 trihexyphenidyl hcl TRIHEXYPHENIDYLHCLAntiparkinsonism Drugs,otherT1 amantadine hcl AMANTADINET4 apomorphine hcl APOKYN PA, QLT1 bromocriptine PARLODELmesylateT1 carbidopa/levodopa PARCOPAT1 carbidopa/levodopa SINEMET 10-100T1 carbidopa/levodopa SINEMET 25-100T1 carbidopa/levodopa SINEMET 25-250T1 carbidopa/levodopa SINEMET CRT1 carbidopa/levodopa/eSTALEVO 100ntacaponeT1 carbidopa/levodopa/eSTALEVO 125ntacaponeT1 carbidopa/levodopa/eSTALEVO 150ntacaponeT1 carbidopa/levodopa/eSTALEVO 200ntacaponeT1 carbidopa/levodopa/eSTALEVO 50ntacaponeT1 carbidopa/levodopa/eSTALEVO 75ntacaponeT1 entacapone COMTANT1 pramipexole di-hcl MIRAPEXT3 pramipexole di-hcl MIRAPEX ER QL, STT2 rasagiline mesylate AZILECT QLT1 ropinirole hcl REQUIPT1 ropinirole hcl REQUIP XL QL, STT2 rotigotine NEUPRO QL, STT1 selegiline hcl ELDEPRYLT1 selegiline hcl SELEGILINE HCLT3 selegiline hcl ZELAPAR QLT3 tolcapone TASMAR QL, STDecarboxylase InhibitorsT2 carbidopaSEIZURE DISORDERAnticonvulsantsLODOSYNT1 carbamazepine CARBAMAZEPINET1 carbamazepine CARBATROLT1 carbamazepine TEGRETOLT2 carbamazepine TEGRETOL XRT3 clobazam ONFI QL, STT1 clonazepam KLONOPINT1 diazepam DIASTAT QLT2 diazepamDIASTATQLACUDIAL(KIT)(12.5-15-20)T1 diazepamDIASTATACUDIAL(KIT)(5-7.5-10MG)QLT1 diazepamDIAZEPAMT1 divalproex sodium DEPAKOTE ERT1 ethosuximide ZARONTINT3 ethotoinPEGANONET3 ezogabinePOTIGA(TAB)(200 QL, STMG)T3 ezogabinePOTIGA(TAB)(300 QL, STMG)T3 ezogabinePOTIGA(TAB)(400 QL, STMG)T3 ezogabinePOTIGA(TAB)(50 MG) QL, STT1 felbamateFELBATOL(ORAL QL, STSUSP)T1 felbamateFELBATOL(TAB)(400 QL, STMG)T1 felbamateFELBATOL(TAB)(600 QL, STMG)T3 gabapentinFANATREXT1 gabapentin NEURONTINT3 lacosamideVIMPAT(SOLUTION)T3 lacosamide VIMPAT(TAB) QL, STT1 lamotrigine LAMICTALT1 lamotrigine LAMICTAL (BLUE)T1 lamotrigine LAMICTAL(GREEN)(TAB DSPK)(25(84)-100)T2 lamotrigineLAMICTAL(GREEN)(TAB DSPK)(25(84)-100)T2 lamotrigineLAMICTAL (ORANGE)T3 lamotrigineLAMICTAL ODT ST(BLUE)T3 lamotrigineLAMICTAL ODT ST(GREEN)T3 lamotrigineLAMICTAL ODT ST(ORANGE)T3 lamotrigineLAMICTAL ODT(TAB QL, STRDP DIS)(100 MG)T3 lamotrigineLAMICTAL ODT(TAB QL, STRDP DIS)(200 MG)T3 lamotrigineLAMICTAL ODT(TAB QL, STRDP DIS)(25 MG)T3 lamotrigineLAMICTAL ODT(TAB QL, STRDP DIS)(50 MG)T3 lamotrigineLAMICTAL XR (BLUE) STT3 lamotrigineLAMICTAL XR ST(GREEN)T3 lamotrigineLAMICTAL XR ST(ORANGE)T1 lamotrigine LAMICTAL XR(TAB QL, STER 24H)(100 MG)T1 lamotrigine LAMICTAL XR(TAB QL, STER 24H)(200 MG)T1 lamotrigine LAMICTAL XR(TAB QL, STER 24H)(25 MG)T1 lamotrigine LAMICTAL XR(TAB QL, STER 24H)(250 MG)T1 lamotrigine LAMICTAL XR(TAB QL, STER 24H)(300 MG)T1 lamotrigine LAMICTAL XR(TAB QL, STER 24H)(50 MG)T1 lamotrigine LAMOTRIGINEPage 50 of 91

Commercial FormularyT1 levetiracetam KEPPRAT1 levetiracetam KEPPRA XRT1 levetiracetam LEVETIRACETAMT3 mephobarbital MEBARALT1 mephobarbital MEPHOBARBITALT3 methsuximide CELONTINT1 oxcarbazepine OXCARBAZEPINET3 oxcarbazepine OXTELLAR XR(TAB QL, STER 24H)(150 MG)T3 oxcarbazepine OXTELLAR XR(TAB QL, STER 24H)(300 MG)T3 oxcarbazepine OXTELLAR XR(TAB QL, STER 24H)(600 MG)T2 oxcarbazepine TRILEPTAL(ORALSUSP)T1 oxcarbazepine TRILEPTAL(TAB)T1 phenytoinDILANTINT1 phenytoinDILANTIN-125T1 phenytoinPHENYTOINT1 phenytoin sodiumextendedDILANTIN(CAP)(100MG)T2 phenytoin sodiumextendedDILANTIN(CAP)(30MG)T2 phenytoin sodium PHENYTEKextendedT1 phenytoin sodiumextendedPHENYTOIN SODIUMEXTENDEDT2 pregabalinLYRICAT1 primidoneMYSOLINET3 rufinamideBANZEL(ORAL SUSP)QL, STT3 rufinamideBANZEL(TAB)(200 QL, STMG)T3 rufinamideBANZEL(TAB)(400 QL, STMG)T3 tiagabine hcl GABITRIL(TAB)(12 QL, STMG)T3 tiagabine hcl GABITRIL(TAB)(16 QL, STMG)T1 tiagabine hcl GABITRIL(TAB)(2 MG)QL, STT1 tiagabine hcl GABITRIL(TAB)(4 MG)QL, STT1 topiramateTOPAMAXT1 valproate sodium DEPAKENET1 valproate sodium VALPROIC ACIDT1 valproic acid DEPAKENET3 valproic acid STAVZOR STT1 valproic acid VALPROIC ACIDT3 vigabatrin SABRIL QLT1 zonisamide ZONEGRANT1 zonisamide ZONISAMIDESKELETAL MUSCLE DISORDERSkeletal Muscle RelaxantsT1 baclofenBACLOFENT1 carisoprodol SOMAT1 carisoprodol/aspirin CARISOPRODOLCOMPOUNDT1 chlorzoxazone CHLORZOXAZONET3 chlorzoxazone LORZONET1 chlorzoxazone PARAFON FORTEDSCT1 chlorzoxazone/aceta CHLORZOXAZONEminophenW/ACETAMINOPHENT3 cyclobenzaprine hcl AMRIXT1 cyclobenzaprine hcl CYCLOBENZAPRINEHCLT1 cyclobenzaprine hcl FEXMIDT1 cyclobenzaprine hcl FLEXERILT1 dantrolene sodium DANTRIUMT1 metaxalone SKELAXINT1 methocarbamol ROBAXINT1 methocarbamol ROBAXIN-750T1 orphenadrine citrate ORPHENADRINECITRATET1 orphenadrine/aspirin/ ORPHENADRINEcaffeineCOMPOUND FORTET1 tizanidine hcl ZANAFLEXUnknownT3 cyclobenz hcl/irr cntrirrcb2T3 tizanidine/irr cntr-irrcmb #2SMOKING CESSATIONSmoking Deterrent AgentsCOMFORT PAC-CYCLOBENZAPRINECOMFORT PAC-TIZANIDINET3 nicotine NICOTROL QLT3 nicotine NICOTROL NS QLSmoking Deterrent-nicotinic Recept.partialAgonistT3 varenicline tartrate CHANTIX QLSmoking Deterrents, OtherT1 bupropion hclBUPROBANUPPER GASTROINTESTINALDISORDERS - DIGESTIVEGastric EnzymesT4 sacrosidase SUCRAID PAPancreatic EnzymesT2 lipase/protease/amylasCREONeT2 lipase/protease/amylasCREON 10eT2 lipase/protease/amylasCREON 20eT2 lipase/protease/amylasCREON 5eT2 lipase/protease/amylasDYGASEeT2 lipase/protease/amylasLAPASEeT2 lipase/protease/amylasPANCREASE MT-10eT2 lipase/protease/amylasPANCREASE MT-16ePage 51 of 91

Commercial FormularyT2 lipase/protease/amylasPANCREASE MT-20eT2 lipase/protease/amylasPANCREASE MT-4eT3 lipase/protease/amylasPANCREAZEeT3 lipase/protease/amylasPANCRECARB MS-16eT2 lipase/protease/amylasPANCRECARB MS-4eT2 lipase/protease/amylasPANCRECARB MS-8eT2 lipase/protease/amylasPANCRELIPASE ECeT2 lipase/protease/amylasPANGESTYME CN 10eT2 lipase/protease/amylasPANGESTYME CN 20eT2 lipase/protease/amylasPANGESTYME ECeT2 lipase/protease/amylasPANGESTYME MT 16eT2 lipase/protease/amylasPANGESTYME UL 12eT2 lipase/protease/amylasPANGESTYME UL 18eT2 lipase/protease/amylasPANGESTYME UL 20eT3 lipase/protease/amylasPERTZYEeT2 lipase/protease/amylasPLARETASE 8000eT2 lipase/protease/amylasULTRASEeT2 lipase/protease/amylasULTRASE MT 12eT2 lipase/protease/amylasULTRASE MT 18eT2 lipase/protease/amylasULTRASE MT 20eT3 lipase/protease/amylasULTRESAeT3 lipase/protease/amylasVIOKACEeT2 lipase/protease/amylasVIOKASEeT2 lipase/protease/amylasZENPEP(CAP DR)(10-e34-55K)T2 lipase/protease/amylasZENPEP(CAP DR)(15-e51-82K)T2 lipase/protease/amylasZENPEP(CAP DR)(20-e68-109K)T2 lipase/protease/amylasZENPEP(CAP DR)(25-e85-136K)T2 lipase/protease/amylasZENPEP(CAPeDR)(3K-10K-16K)T1 lipase/protease/amyl ZENPEP(CAPaseDR)(5K-17K-27K)T3 pancreatinENZYMAXUPPER GASTROINTESTINALDISORDERS - SPASTIC DISEASEAnticholinergics/antispasmodicsT1 dicyclomine hclT1 dicyclomine hclBENTYLDICYCLOMINE HCLAnticholinergics/microorganismsCombinationsT3 methscpbr/la/s.thm/l.para/bifBelladonna AlkaloidsPAMINE FQT1 atropine sulfate SAL-TROPINET3 belladonna alkaloids SPACOLT3 belladonnaBARBIDONNAalkaloids/phenobarbT1 belladonnaSPASMOLINalkaloids/phenobarbT3 hyoscDIGEX NFsul/phenyltoloxaminecitT3 hyoscGASTRINEX NFsul/phenyltoloxaminecitT1 hyoscyamine HYOSCYAMINET2 hyoscyamine sulfate CYSTOSPAZ-MT2 hyoscyamine sulfate HYOSCYAMINESULFATE(CAP ER12H)T1 hyoscyamine sulfate HYOSCYAMINESULFATE(DROPS)T1 hyoscyamine sulfate HYOSCYAMINESULFATE(ELIXIR)T1 hyoscyamine sulfate HYOSCYAMINESULFATE(TAB ER12H)T1 hyoscyamine sulfate HYOSCYAMINESULFATE(TABMPHASE)T1 hyoscyamine sulfate HYOSCYAMINESULFATE(TAB RDPDIS)T1 hyoscyamine sulfate HYOSCYAMINESULFATE(TAB SUBL)T1 hyoscyamine sulfate HYOSCYAMINESULFATE(TAB)T3 hyoscyamine sulfate SYMAX DUOTABT1 methscopolamine PAMINEbromideT1 methscopolamine PAMINE FORTEbromideT1 phenobarb/hyoscy/at BELLADONNAropine/scopPHENOBARBITALT2 phenobarb/hyoscy/atro DONNATALpine/scopEmeticsT1 ipecacIPECACPage 52 of 91

Commercial FormularyUPPER GASTROINTESTINALDISORDERS - ULCER DISEASEAnticholinergics,quaternary AmmoniumT1 chlordiazepoxide/clid LIBRAXinium brT3 glycopyrrolate CUVPOSAT1 glycopyrrolate ROBINULT1 glycopyrrolate ROBINUL FORTET1 isopropamide/prochl PROCHLORPERAZINorperazineE/ISOPROPAMIDET3 mepenzolate bromide CANTILT3 propantheline bromide PRO-BANTHINET1 propantheline PROPANTHELINEbromideBROMIDET1 propantheline/pheno PROBANTHELINEbarbitalW/PHENOBARBITALAnti-ulcer PreparationsT1 misoprostolT2 sucralfateT1 sucralfateT1 sucralfateAnti-ulcer-h.pylori AgentsCYTOTECCARAFATE(ORALSUSP)CARAFATE(TAB)SUCRALFATET3 bismuthHELIDACsal/metronid/tetracycT3 bismuth/metronid/tetra PYLERAcyclineT2 lansoprazole/amoxici PREVPACln/clarithT3 omeprazole/clarith/am OMECLAMOX-PAKoxicillinHistamine H2-receptor InhibitorsT1 cimetidineCIMETIDINET1 cimetidineTAGAMETT1 cimetidine hcl CIMETIDINET1 famotidinePEPCIDT2 famotidinePEPCID RPDT1 nizatidineAXIDT1 nizatidineNIZATIDINET1 ranitidineRANITIDINE 150MGT3 ranitidine hcl DEPRIZINET1 ranitidine hcl TALADINET1 ranitidine hcl ZANTACT2 ranitidine hcl ZANTAC 25Intestinal Motility StimulantsT1 metoclopramide hclT2 metoclopramide hclT3 metoclopramide hclT1 metoclopramide hclProton-pump InhibitorsMETOCLOPRAMIDEHCLMETOCLOPRAMIDEHCL INTENSOLMETOZOLV ODTREGLANQLT2 dexlansoprazole DEXILANT QL, STT2 dexlansoprazole KAPIDEX QL, STT3 esomeprazolemagnesiumT3 lansoprazoleT1 lansoprazoleT1 lansoprazoleT2 lansoprazoleT3 omeprazoleT1 omeprazoleT1 omeprazoleT3 omeprazolemagnesiumT1 omeprazole/sodiumbicarbonateT3 omeprazole/sodiumbicarbonateT3 pantoprazole sodiumNEXIUMFIRST-LANSOPRAZOLELANSOPRAZOLEPREVACID(CAP DR)PREVACID(TAB RAPDR)FIRST-OMEPRAZOLEOMEPRAZOLEPRILOSECPRILOSECZEGERID(CAP)ZEGERID(PACKET)QL, STQL, STQL, STPROTONIX(GRANPK STT DR)T1 pantoprazole sodium PROTONIX(TAB DR)T3 rabeprazole sodium ACIPHEX QL, STURINARY TRACT - FUNCTIONALDISORDERSBenign Prostatic Hypertrophy/micturitionAgentsT1 alfuzosin hcl UROXATRALT2 dutasteride AVODART G, STT1 finasteride PROSCAR GT3 silodosin RAPAFLO G, STT1 tamsulosin hcl FLOMAXBph Agents,5-alpha-red Inh & Alpha-1-adrAntg CmbT2 dutasteride/tamsulosinhclKidney Stone AgentsT3 cysteamine bitartrateT3 tioproninJALYNCYSTAGONTHIOLAOveractive Bladder Agents, Beta-3Adrenergic RecepG, STT3 mirabegron MYRBETRIQ QL, STUrinary Ph ModifiersT3 citric acid/glactone/magcarbRENACIDINT1 citric acid/sodium CYTRA-2citrateT3 citric acid/sodium ORACITcitrateT3 methen mand/naphos UROQID-ACID NO.2m-b m-hT1 methenUTACmand/naphos m-b m-hPage 53 of 91

Commercial FormularyT3 na phos,m-b/k K-PHOS M.F.phos,monobT3 na phos,m-b/k K-PHOS NO.2phos,monobT1 phosphorus #1 PHOSPHA 250NEUTRALT1 potassium citrate UROCIT-K(TABER)(10 MEQ)T3 potassium citrate UROCIT-K(TABER)(15 MEQ)T1 potassium citrate UROCIT-K(TAB ER)(5MEQ)T1 potassiumCYTRA-Kcitrate/citric acidT3 potassiumK-PHOS ORIGINALphosphate,monobasicT1 sod/pot/k & sod cit/c TRICITRATESac/sucroT1 sod/pot/k cit/sod CYTRA-3cit/cit acidUrinary Tract Analgesic AgentsT2 pentosan polysulfatesodiumELMIRONUrinary Tract Anesthetic/analgesic AgntT1 phenazopyPYRELLE HBhcl/hyoscy/butabarbT1 phenazopyridine hcl PHENAZOPYRIDINEHCLT1 phenazopyridine hcl PYRIDIUMT1 phenazopyridine hcl URODOLUrinary Tract Antispasmodic, M(3) SelectiveAntag.T3 darifenacinENABLEXSThydrobromideT2 solifenacin succinate VESICARE STUrinary TractAntispasmodic/antiincontinence AgentT2 fesoterodine fumarate TOVIAZSTT1 flavoxate hcl FLAVOXATE HCLT3 oxybutynin GELNIQUE STT3 oxybutynin OXYTROL STT3 oxybutynin chloride GELNIQUE STT1 oxybutynin chloride OXYBUTYNINCHLORIDET1 tolterodine tartrate DETROL STT2 tolterodine tartrate DETROL LA STT1 trospium chloride SANCTURA STT1 trospium chloride SANCTURA XR STVAGINAL DISORDERSVaginal AntibioticsT1 clindamycin CLEOCIN(CREAM/APphosphatePL)T3 clindamycin phosphate CLEOCIN(SUPP VAG)T3 clindamycin phosphate CLINDESSET1 metronidazoleT2 metronidazoleVaginal AntifungalsMETROGEL-VAGINALVANDAZOLET2 butoconazole nitrate GYNAZOLE-1T1 miconazole nitrate MICONAZOLE 3T1 terconazole TERCONAZOLEVaginal AntisepticsT1 aceticACID JELLYac/ricinoleic/oxyquinolVaginal Estrogen PreparationsT2 estradiolESTRACET3 estradiol ESTRING QLT2 estradiolVAGIFEMT3 estradiol acetate FEMRING QLT2 estrogens, conjugated PREMARINVaginal SulfonamidesT2 sulfanilamideAVCVaginal/cervical Care And Treatment AgentsT1 sodAMINO ACIDpropion/inositol/aa14 CERVICAL/ureaVITAMIN AND/OR MINERALDEFICIENCYAntioxidant Multivitamin CombinationsT1 vita,c,e/zinc/copper/lut/zeaxCalcium ReplacementMACUTEKT1 calFOLGARD OScarb/mgox/d3/b12/fa/b6/borFluoride PreparationsT3 sodium fluoride CLINPRO 5000T1 sodium fluoride FLUORIDE(TABCHEW)(0.25(0.55))T3 sodium fluoride FLUORIDE(TABCHEW)(1MG(2.2MG))T3 sodium fluoride NAFRINSE DAILY-NEUTRALT1 sodium fluoride/pot FLUORIDEXnitrateSENSITIVITY RELIEFT3 sodium fluoride/pot PREVIDENT 5000nitrateENAMEL PROTECTT3 sodium fluoride/pot PREVIDENT 5000nitrateSENSITIVET1 stannous fluoride GEL-KAMFolic Acid PreparationsT1 folic acidFOLIC ACIDPage 54 of 91

Commercial FormularyGeriatric Vitamin PreparationsT3 multivitamins, min UDAMIN#28/fa/lycoT3 mv, minREQ49+cmb#16/fa/lutein/lycopIron ReplacementT3 fe bisgly/feNIFEREX GOLDp/doss/c/fa/mv 14T1 fe fum/doss FERRO-PLEXna/c/e/b12-if/fa HEMATINICT1 feVITAFOLfumarate/cal/e/fa/multivitT1 feNEPHRON FAfumarate/doss/fa/bcomp&cT1 fe fumarate/fa/mv, HEMOCYTE PLUSmin comb#15T1 fe fumarate/fe ps DUALVIT Fcmplx/faT3 fe fumarate/fe ps TANDEM Fcmplx/faT1 fe fumarate/vit HEMATOGENc/b12/stomcT1 fe fumarate/vit c/b12- FEROCONif/faT3 fe hemePROFERRIN-FORTEpolypeptide/folic acidT3 ferricHEMATRONamcit/cyanocobalamin/faT3 ferric amcit/lys/vit b HEMATRONcomp/faT1 ferrous fumarate/folicHEMOCYTE-FacidT3 ferrous fumarate/vit FETRINc/b12-ifT3 ferrous fumarate/vit FUMATINICc/b12-ifT3 ferrous fumarate/vit CEVI-FERc/faT3 ferrous sulf/fa/vit b & c I-FOL PLUSno.8T1 ferrous sulfate/fa/vit MULTI-RET FOLICbcomp&c500T1 ferrous sulfate/vit TL-FOL 500c/faT3 ferumoxytolFERAHEMET3 iron &iron asp CORVITE FEgly/fa/mv,min27T1 iron &iron asp IRONgly/fa/mv,min38T1 iron ag&fum/c/fa/mv FERREX 28cmb11/ca-tT3 iron ag&fum/c/fa/mv REPLIVA 21-7cmb11/ca-tT1 ironMULTIGENag/c/b12/ca/suc.acid/stomT1 iron aspgly&pscmplx/c/sucacT1 ironaspgly&ps/c/b12/fa/ca/sucT1 ironaspgly/c/b12/fa/cath/sucREXAVITE 150FERREX 150 FORTEPLUSCHROMAGEN FAT1 iron bg&ps/vit TARON FORTEc/b12/fa/ca thrT3 iron bisgly & IROSPANps/fa/b&c#12/sucT1 iron fum &MULTIGEN PLUSag/c/b12/fa/ca/succT3 iron fum &NIRON KOMPLETEbisgly/fa/c/e/b12T1 iron fum & p/fa/vit b INTEGRA PLUS& c no.9T1 iron fum & ps INTEGRA Fcmp/fa/vit c/b3T1 ironSE-TAN PLUSfum&polysac#1/fa/mvno.18T1 iron fumarate/vit c/vit FERROGELS FORTEb12/faT3 iron gly&fum/c/b12/me-MAXAROthfolate FORTET3 iron ps cmplx/folic NOVAFERRUMacid/vit cT3 iron ps cmplx/vit b12/faHEMOCYTE-FT1 iron ps cmplx/vit POLY-IRON 150b12/faFORTET1 iron ps/iron hem BIFERA RXpoly/fa/b12T1 ironVITAFOLpyrophos/b12/fa/niac/b-6T1 iron, carb & FERRALET 90 DUALgluc/fa/b12/c/dssIRONT1 iron, carbonyl/fa/c/b- CORVITE 1506/b12/znT1 iron,carb/dss/b12if/fa HEMATRON-AF/mv-mnT3 iron,fum&ps/fa/vit FUSION PLUSb&c#18/l.caT1 iron/fa/b12/c/docusat FERRAPLUS 90e sodiumT1 iron/fa/vitamin b HEMATINIC PLUScomp w-c/minT3 iron/folic acid IROFOLT3 iron/folicFERIVAacid/c/b12/biotinT1 iron/liver ext/vit SIDEROLbcomp&c/minMineral Replacement,miscellaneousT3 docusateGLUTOFAC-MXsodium/fa/mv&iron/minMultivitamin PreparationsT3 amino ac/fa/mvmn/dietary2PROTECT PLUS NRPage 55 of 91

Commercial FormularyT3 aminoPROTECT PLUSacids/mv,fe,other minT1 b complex with SUPPORT-500vitamin cT3 b complex with vitamin VI-CERT C1000 WITHcB12T1 e ac succ/fa/vit RENAXbcomp&c/zn/seT3 fa/multivits-min/min aa UDAMINchelT3 fa/mu-vits-min CORVITAth/lycopene/lutT3 fa/mu-vits-min CORVITEth/lycopene/lutT3 fa/niacinamide/cupric NICOMIDEox/zn oxT1 fa/niacinamide/cupricNICOTINAMIDEox/zn oxT1 fe fumarate/fa/vit DIALYVITE 800 WITHbcomp&cIRONT3 folic acid/multivits-min FEMTABST1 folic acid/mu-vits-minVITE CON FORTEthT3 folic acid/mv,fe,other NUTRICAPminT3 m-NICOMIDEtetrahyrofolate/niacin/cu/znT3 multivit, iron, min #4, faMULTICHEWT1 multivit, iron, min #5, STROVITE FORTEfaT1 multivit, iron, min #6, STROVITE PLUSfaT1 multivit, iron, min no. STROVITE FORTE9, faT1 multivit, min BACMINcmb#20/iron/faT3 multivit, min no.21/folic SUPERVITE ECacidT3 multivit, min no.23/folic PROTECT BONEacidT3 multivitamin w/iron, HEMOCYTEmineralsT1 multivitamins with V-C FORTEmin no.7/faT1 multivit-min #14/folic STROVITE ADVANCEacidT1 multivitmin12/fa/lycopene/lutFAC-XT1 multivits w- PROMARiron,hematinicT1 multivits,therap w- THEROBEC PLUSfe,hematinT3 mv, min cmb CORVITE FREE#6/fa/lut/lyco/q10T3 mv, min cmb#24/iron PROTECT IRONps cmp/faT3 mv, min cmb#8/fa/co PROTECT CARDIOq10/omega3T3 mv, min cmb#9/fa/saw UDAMIN SPpalmet xtT3 mv,min #10/fa/d3/alip STROVITE ADVANCEacid/lut+ DT1 mv,min #10/fa/d3/alip STROVITE ONEacid/lutT3 mv/dietary 4/dna/rna FORTAVITT1 om-3/caENCORAcarb/d3/fa/mv cmb 13T1 om-ANIMI-33/dha/epa/b12/fa/b6/phytostT3 om-ANIMI-33/dha/epa/d3/b12/fa/b-6/phyT3 om-ANIMI-3 WITH3/dha/epa/d3/b12/fa/b- VITAMIN D6/phyT1 vitamin b comp and STROVITEvit c no.6Pediatric Vitamin PreparationsT1 fluoride/iron/vit a,c&dTRI-VIT WITHFLUORIDE-IRONT1 multivitamins with MULTIVITAMIN ANDfluorideFLUORIDET1 multivits with iron & POLYVITAMIN WITHfluorideIRON-FLUORIDET1 pedi m.vit no.17 with MULTIVITAMINSfluorideWITH FLUORIDET1 pedi mvi no.16 with MULTIVITAMINSfluorideWITH FLUORIDET1 pediatric multivit VITAMAX#6/vit kPrenatal Vitamin PreparationsT3 pnv withNATALCARE PLUSca,no.71/iron/faT1 pnv,ca42/iron/fa/lmef PNV-DHA PLUSol ca/dhaT1 pnv80/ironPRENAISSANCEfumarate/fa/dss/dhaT3 prenatal vit/iron PRENATAL FORMULAfumarate/faVitamin B PreparationsT1 b cmplx 4/vit VITAL-D RXd3/c/fa/zinc oxT1 b1/b2/b3/b5/b6/b12/ir SENILEZOLonT1 b1/b2/b3/b5/b6/b12/vi THEROBECt c/faT1 b12/levomefolate FOLBIC RFcalcium/b-6T3 ca carb/d3/b- CALAFOL RX12/fa/b6/policosT1 cyanocobalamin/fa/p FOLBICyridoxineT3 cyanocobalamin/fa/pyriMYO VYTdoxineT3 cyanocobalamin/fa/pyriVITA-RESPAdoxinePage 56 of 91

Commercial FormularyT1 fa/vitbcomp&c/se/minaa/znT1 folic acid/b complex& c no.17T1 folic acid/vitbcomp&c/cu/znoxT1 folic acid/vitamin bcomp w-cT3 folic acid/vitamin b6/vitb12T3 lysine hcl/vit bcomp/fa/zincT3 lysine/vitamin bcomplex/fa/znT1 mecobalamin/lmefolate/b6phosT3 mgox/e ac succ/b-12/fa/b6T3 multivit,mincmb#11/folic acidT3 multivitamin, mincmb#25/fa/d3T3 mv, mincmb#26/fa/ala/luteinT1 potassiumaminobenzoateT3 potassiumaminobenzoateT1 potassiumaminobenzoateT1 vit b cmplx #9/fa/vitc/vit eT1 vit b cmplx#9/iron/fa/vit c&eT1 vit b cmplx 3/fa/vitc/biotinT1 vit b cmplxno3/fa/c/biot/zincT3 vit b complex & cno.13/fa/d3T1 vit b cplx#11/fa/c/biot/zn oxT1 vitamin b complexT1 vitaminsb1,b2,b3,b5,& b6Vitamin B1 PreparationsT1 thiamine hclDIALYVITE 3000VIRT-VITE PLUSDIATX ZNRENAL CAPSCENFOLSUPERVITELYSIPLEXFOLASTVitamin B12 PreparationsFOLPACE RXDIALYVITE 5000DIALYVITE SUPREMEDSYNAGEXAMINOBENZOATEPOTASSIUMPOTABAPOTABA ENVULERENATABSRENATABS WITHIRONRENA-VITE RXNEPHPLEX RXNEPHROCAPS QTDIALYVITE ZINCVITAMIN B COMPLEXB-COMPLEXTHIAMINE HCLT1 cyanocobalamin VITMAIN B-12T3 cyanocobalamin CALOMIST(vitamin b-12)T1 cyanocobalamin CYANOCOBALAMIN(vitamin b-12) INJECTIONT3 cyanocobalamin NASCOBAL(vitamin b-12)T1 cyanocobalamin/mec NEURIN-SLobalaminT3 cyanocobalamin/thiami NERVIDOXneT1 cyanocobalamin/thia TIA DOCEmineT3 cyanocobalamin/vit VITAJECTbcomp&cT1 hydroxocobalamin HYDROXOCOBALAMINT1 vitamin b12-intrinsic MARTINICfactorVitamin B6 PreparationsT1 pyridoxine hclVitamin C PreparationsT3 ascorbate sodiumT1 ascorbic acidVitamin D PreparationsT1 calcitriolT2 dihydrotachysterolT1 ergocalciferol(vitamin d2)Zinc ReplacementT1 zinc sulfateWEIGHT REDUCTIONAnorexic AgentsPYRIDOXINE HCLCENOLATEASCORBIC ACIDROCALTROLDHTDRISDOLZINC SULFATET1 benzphetamine hcl DIDREXT3 benzphetamine hcl REGIMEXT1 diethylpropion hcl DIETHYLPROPIONHCLT1 phendimetrazine BONTRIL PDMtartrateT1 phendimetrazinetartrateBONTRIL SLOW-RELEASET1 phentermine hcl ADIPEX-PT1 phentermine hcl PHENTERMINE HCLT3 phentermine hcl SUPRENZA ODT QL, STT3 phentermine resin IONAMINT3 phentermine/topiramat QSYMIAPAeT3 sibutramine hcl m- MERIDIAhydrateFat Absorption Decreasing AgentsT3 orlistatXENICALPage 57 of 91

• ATRALIN= 2 years• CELEBREX>= 60 years• CONCERTA(TAB ER 24H)(18 MG)

Preferred Drug List Medication Prescribing LimitationsQUANTITY RESTRICTIONS• ABILIFY DISCMELT(TAB RDPDIS)(10 MG)3 tab per 1 days• ABILIFY DISCMELT(TAB RDPDIS)(15 MG)2 tab per 1 days• ABILIFY(SOLUTION)30 ml per 1 days• ABILIFY(TAB)1 tab per 1 days• ACIPHEX1 tab per 1 days• ACTONEL WITH CALCIUM 28 tab per 28 days• ACTONEL(TAB)(150 MG) 1 tab per 30 days• ACTONEL(TAB)(30 MG) 1 tab per 1 days• ACTONEL(TAB)(35 MG) 1 tab per 7 days• ACTONEL(TAB)(5 MG) 1 tab per 1 days• ADDERALL2 tab per 1 days• ADOXA PAK2 tab per 1 days• ADVAIR DISKUS 60 inhalations per 30days• ADVAIR HFA12 gm per 30 days• ADVICOR(TBMP 24HR)(1000-20MG)2 tab per 1 days• ADVICOR(TBMP 24HR)(1000-40MG)1 tab per 1 days• ADVICOR(TBMP 24HR)(500MG-20MG)1 tab per 1 days• ADVICOR(TBMP 24HR)(750MG-20MG)2 tab per 1 days• ALORA2 patch per 7 days• ALSUMA1 ml per 14 days• ALTOPREV1 tab per 1 days• ALVESCO12.2 gm per 25 days• AMBIEN1 tab per 1 days• AMERGE3 tab per 5 days• AMITIZA2 cap per 1 days• ANZEMET(TAB)(100 MG) 4 tab per fill• ANZEMET(TAB)(50 MG) 8 tab per fill• APLENZIN1 tab per 1 days• APOKYN2 ml per 1 days• ARCAPTA NEOHALER 1 inhalation cap per 1days• ASMANEX1 unit per 30 days• ASTELIN60 ml per 30 days• ASTEPRO60 ml per 30 days• ATELVIA1 tab per 7 days• ATROVENT HFA25.8 gm per 28 days• AXERT2 tab per 5 days• AZILECT1 tab per 1 days• AZMACORT20 gm per 30 days• BALACET 32512 tab per 1 days• BANZEL(ORAL SUSP) 80 ml per 1 days• BANZEL(TAB)(200 MG) 16 tab per 1 days• BANZEL(TAB)(400 MG) 8 tab per 1 days• BECONASE AQ25 ml per 30 days• BINOSTO1 tab per 7 days• BONIVA(TAB)(2.5 MG) 1 tab per 1 days• BRILINTA2 tab per 1 days• BROVANA60 ml per 15 days• BUTRANS1 patch per 7 days• BYDUREON1 vial per 7 days• BYETTA(PENINJCTR)(10MCG/0.04)2.4 ml per 30 days• BYETTA(PENINJCTR)(5MCG/0.02)1.2 ml per 30 days• CADUET1 tab per 1 days• CAFERGOT10 tab per 7 days• CAMBIA3 packets per 10 days• CAVERJECT1 unit per 5 days• CESAMET6 cap per 1 days• CHANTIX2 tab per 1 days• CIALIS(TAB)(10 MG)1 tab per 5 days• CIALIS(TAB)(2.5 MG)1 tab per 1 days• CIALIS(TAB)(20 MG)1 tab per 5 days• CIALIS(TAB)(5 MG)1 tab per 1 days• CLARINEX(SYRUP)10 ml per 1 days• CLARINEX(TAB RDP DIS) 1 tab per 1 days• CLARINEX(TAB)1 tab per 1 days• CLARINEX-D 12 HOUR 2 tab per 1 days• CLARINEX-D 24 HOUR 1 tab per 1 days• CLIMARA1 patch per 7 days• CLIMARA PRO1 patch per 7 days• CLOZARIL3 tab per 1 days• COMBIPATCH2 patch per 7 days• CONCERTA(TAB ER 24H)(18 MG)1 tab per 1 days• CONCERTA(TAB ER 24H)(27 MG)1 tab per 1 days• CONCERTA(TAB ER 24H)(36 MG)2 tab per 1 days• CONCERTA(TAB ER 24H)(54 MG)1 tab per 1 days• CONZIP1 cap per 1 days• CRESTOR(TAB)(10 MG) 1 tab per 1 days• CRESTOR(TAB)(20 MG) 1 tab per 1 days• CRESTOR(TAB)(40 MG) 1 tab per 1 days• CRESTOR(TAB)(5 MG) 1 tab per 1 days• CYMBALTA2 cap per 1 days• D.H.E.4515 ml per 14 days• DALIRESP1 tab per 1 days• DARVOCET A5008 tab per 1 days• DARVOCET-N 1006 tab per 1 days• DARVOCET-N 5012 tab per 1 days• DAYTRANA1 patch per 1 days• DESOXYN1 tab per 1 days• DEXEDRINE1 cap per 1 days• DEXILANT1 cap per 1 days• DIASTAT1 unit per 30 days• DIASTAT ACUDIAL(KIT)(12.5-15-20) 1 unit per 30 days• DIASTAT ACUDIAL(KIT)(5-7.5-10MG)1 unit per 30 days• DIFICID20 tab per fill• DUEXIS3 tab per 1 days• DULERA13 gm per 30 days• DURAGESIC1 patch per 3 days• DYMISTA23 ml per 30 days• EDEX1 unit per 5 days• EDLUAR1 tab per 1 days• EFFIENT1 tab per 1 days• ELIQUIS2 tab per 1 days• EMEND(CAP DS PK)3 cap per fill• EMEND(CAP)(125 MG) 1 cap per fill• EMEND(CAP)(40 MG)4 cap per fill• EMEND(CAP)(80 MG)2 cap per fill• EMSAM1 patch per 1 days• ERGOMAR10 tab per 7 days• ESTRADERM2 patch per 7 days• ESTRING1 unit per 90 days• EVISTA1 tab per 1 days• FANAPT(TAB DS PK)2 tab per 1 days• FANAPT(TAB)2 tab per 1 days• FAZACLO3 tab per 1 days• FELBATOL(ORAL SUSP) 30 ml per 1 daysPage 59 of 91

Preferred Drug List Medication Prescribing Limitations• FELBATOL(TAB)(400 MG) 9 tab per 1 days• FELBATOL(TAB)(600 MG) 6 tab per 1 days• FEMRING1 unit per 84 days• FLONASE16 ml per 30 days• FLOVENT DISKUS(DISKW/DEV)(100 MCG)2 inhalations per 1 days• FLOVENT DISKUS(DISKW/DEV)(250 MCG)4 inhalations per 1 days• FLOVENT DISKUS(DISKW/DEV)(50 MCG)2 inhalations per 1 days• FLOVENT HFA(AERW/ADAP)(110MCG)12 gm per 30 days• FLOVENT HFA(AERW/ADAP)(220 MCG)24 gm per 30 days• FLOVENT HFA(AERW/ADAP)(44MCG)21.2 gm per 30 days• FLUNISOLIDE25 ml per 30 days• FOCALIN2 tab per 1 days• FOCALIN XR1 cap per 1 days• FORADIL 60 inhalations per 30days• FORFIVO XL1 tab per 1 days• FORTEO2.4 ml per 28 days• FOSAMAX(SOLUTION) 75 ml per 7 days• FROVA3 tab per 5 days• FULYZAQ2 tab per 1 days• GABITRIL(TAB)(12 MG) 4 tab per 1 days• GABITRIL(TAB)(16 MG) 3 tab per 1 days• GABITRIL(TAB)(2 MG) 4 tab per 1 days• GABITRIL(TAB)(4 MG) 4 tab per 1 days• GEODON2 cap per 1 days• GRALISE(TAB ER 24H)(300 MG) 3 tab per 1 days• GRALISE(TAB ER 24H)(300-600MG)39 tab per 15 days• GRALISE(TAB ER 24H)(600 MG) 3 tab per 1 days• HORIZANT2 tab per 1 days• HYCET184 ml per 1 days• HYDROCODONE-ACETAMINOPHEN(CAP) 8 cap per 1 days• HYDROCODONE-ACETAMINOPHEN(SOLUTION)(10-325/CUP)184 ml per 1 days• HYDROCODONE-ACETAMINOPHEN(SOLUTION)(2.5-167/5) 120 ml per 1 days• HYDROCODONE-ACETAMINOPHEN(SOLUTION)(5-163/7.5) 184 ml per 1 days• HYDROCODONE-ACETAMINOPHEN(SOLUTION)(5-334MG/10)120 ml per 1 days• HYDROCODONE-ACETAMINOPHEN(SOLUTION)(7.5-500/CP)120 ml per 1 days• HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-300MG)13 tab per 1 days• HYDROCODONE-ACETAMINOPHEN(TAB)(2.5-500MG)8 tab per 1 days• HYDROCODONE-ACETAMINOPHEN(TAB)(5MG-300MG)13 tab per 1 days• HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-300MG)• IMITREX• IMITREX(CARTRIDGE)• IMITREX(PEN INJCTR)(4MG/0.5ML)• IMITREX(PEN INJCTR)(6MG/0.5ML)• IMITREX(TAB)• IMITREX(VIAL)• INTERMEZZO• INTUNIV• INVEGA(TAB ER 24H)(1.5 MG)• INVEGA(TAB ER 24H)(3 MG)• INVEGA(TAB ER 24H)(6 MG)• INVEGA(TAB ER 24H)(9 MG)• IPRIVASK• KAPIDEX• KYTRIL• LAMICTAL ODT(TAB RDPDIS)(100 MG)• LAMICTAL ODT(TAB RDPDIS)(200 MG)• LAMICTAL ODT(TAB RDPDIS)(25 MG)• LAMICTAL ODT(TAB RDPDIS)(50 MG)• LAMICTAL XR(TAB ER 24H)(100MG)• LAMICTAL XR(TAB ER 24H)(200MG)• LAMICTAL XR(TAB ER 24H)(25MG)• LAMICTAL XR(TAB ER 24H)(250MG)• LAMICTAL XR(TAB ER 24H)(300MG)• LAMICTAL XR(TAB ER 24H)(50MG)• LATUDA• LESCOL• LESCOL XL• LEVITRA• LINZESS• LIVALO• LORCET 10-650• LORCET PLUS• LORTAB(SOLUTION)• LORTAB(TAB)• LOVAZA• LUMIGAN• LUNESTA• LUVOX CR• MAGNACET• MARINOL• MAXALT• MAXALT MLT• MAXIDONE13 tab per 1 days6 spray per 15 days1 ml per 14 days1 ml per 14 days1 ml per 14 days3 tab per 5 days1 ml per 14 days1 tab per 1 days1 tab per 1 days1 tab per 1 days1 tab per 1 days2 tab per 1 days1 tab per 1 days6 vials per fill1 cap per 1 days8 tab per 30 days3 tab per 1 days2 tab per 1 days6 tab per 1 days6 tab per 1 days3 tab per 1 days2 tab per 1 days6 tab per 1 days2 tab per 1 days2 tab per 1 days6 tab per 1 days1 tab per 1 days2 cap per 1 days1 tab per 1 days1 tab per 5 days1 cap per 1 days1 tab per 1 days6 tab per 1 days6 tab per 1 days120 ml per 1 days8 tab per 1 days4 cap per 1 days1 ml per 12 days1 tab per 1 days2 cap per 1 days10 tab per 1 days2 cap per 1 days3 tab per 5 days3 tab per 5 days5 tab per 1 days• MENOSTAR1 patch per 7 days• METHYLPHENIDATE ER(CPMP50-50)(20 MG) 1 cap per 1 days• METHYLPHENIDATE ER(CPMP50-50)(30 MG) 2 cap per 1 daysPage 60 of 91

Preferred Drug List Medication Prescribing Limitations• MIGERGOT 5 suppositories per 7days• MIGRANAL8 ml per 7 days• MINIVELLE2 patch per 7 days• MIRAPEX ER1 tab per 1 days• MUSE1 unit per 5 days• MYRBETRIQ30 tab per 30 days• NASACORT AQ11 ml per 20 days• NASAREL25 ml per 30 days• NASONEX17 ml per 30 days• NEUPRO1 patch per 1 days• NEXIUM1 cap per 1 days• NICOTROL2016 units per 365 days• NICOTROL NS480 ml per 365 days• NORCO12 tab per 1 days• NUCYNTA6 tab per 1 days• NUCYNTA ER2 tab per 1 days• OLEPTRO ER3 tab per 2 days• OMNARIS5 ml per 12 days• ONFI2 tab per 1 days• ORACEA1 cap per 1 days• OXTELLAR XR(TAB ER 24H)(150MG)1 tab per 1 days• OXTELLAR XR(TAB ER 24H)(300MG)1 tab per 1 days• OXTELLAR XR(TAB ER 24H)(600MG)4 tab per 1 days• PERCOCET12 tab per 1 days• PERFOROMIST120 ml per 30 days• PEXEVA1 tab per 1 days• POTIGA(TAB)(200 MG) 3 tab per 1 days• POTIGA(TAB)(300 MG) 3 tab per 1 days• POTIGA(TAB)(400 MG) 3 tab per 1 days• POTIGA(TAB)(50 MG)9 tab per 1 days• PRADAXA2 cap per 1 days• PREVPAC112 units per 10 days• PRIMALEV13 tab per 1 days• PRIMLEV13 tab per 1 days• PRISTIQ ER1 tab per 1 days• PULMICORT FLEXHALER 1 unit per 30 days• PULMICORT(AMPUL-NEB)(0.25MG/2ML)60 ampul-neb per 15days• PULMICORT(AMPUL-NEB)(0.5MG/2ML)60 ampul-neb per 15days• PULMICORT(AMPUL-NEB)(1MG/2 ML)60 ampul-neb per 15days• QNASL8.7 gm per 30 days• QUILLIVANT XR2 ml per 1 days• QVAR174 gm per 300 days• RELPAX2 tab per 5 days• REQUIP XL1 tab per 1 days• RESCULA1 ml per 3 days• REVATIO3 tab per 1 days• RHINOCORT AQUA43 ml per 75 days• RISPERDAL(SOLUTION) 2 ml per 1 days• RISPERDAL(TAB)2 tab per 1 days• RITALIN LA1 cap per 1 days• ROZEREM1 tab per 1 days• SABRIL6 units per 1 days• SAMSCA30 tab per 365 days• SANCUSO1 patch 7 days• SAPHRIS2 tab per 1 days• SEREVENT DISKUS 60 inhalations per 30days• SEROQUEL3 tab per 1 days• SEROQUEL XR1 tab per 1 days• SILENOR1 tab per 1 days• SIMCOR(TBMP 24HR)(1000-20MG)2 tab per 1 days• SIMCOR(TBMP 24HR)(1000-40MG)1 tab per 1 days• SIMCOR(TBMP 24HR)(500MG-20MG)1 tab per 1 days• SIMCOR(TBMP 24HR)(500MG-40MG)1 tab per 1 days• SIMCOR(TBMP 24HR)(750MG-20MG)2 tab per 1 days• SOLODYN(TAB ER 24H)(105 MG)1 tab per 1 days• SOLODYN(TAB ER 24H)(115MG) 1 tab per 1 days• SOLODYN(TAB ER 24H)(135 MG)1 tab per 1 days• SOLODYN(TAB ER 24H)(45 MG) 1 tab per 1 days• SOLODYN(TAB ER 24H)(55 MG) 1 tab per 1 days• SOLODYN(TAB ER 24H)(65 MG) 1 tab per 1 days• SOLODYN(TAB ER 24H)(80 MG) 1 tab per 1 days• SOLODYN(TAB ER 24H)(90 MG) 1 tab per 1 days• SONATA1 cap per 1 days• SPIRIVA 1 inhalation cap per 1days• SPRIX1 unit per 6 days• STAGESIC-1016 tab per 1 days• STAXYN1 tab per 5 days• STRATTERA1 cap per 1 days• SUMATRIPTANSUCCINATE(CARTRIDGE) 1 ml per 14 days• SUMATRIPTANSUCCINATE(DISP SYRINGE)(4MG/0.5ML)1 ml per 14 days• SUMATRIPTANSUCCINATE(DISP SYRINGE)(6MG/0.5ML)1 ml per 14 days• SUMAVEL DOSEPRO1 ml per 14 days• SUPRENZA ODT1 tab per 1 days• SYMBICORT10.2 gm per 30 days• SYMBYAX1 cap per 1 days• TASMAR3 tab per 1 days• TRAMADOL HCL(CPMP 25-75) 1 cap per 1 days• TRAVATAN Z1 ml per 12 days• TREXIMET1 tab per 3 days• TUDORZA PRESSAIR1 unit per 30 days• TYLOX8 cap per 1 days• VANCOCIN HCL40 cap per fill• VASCEPA4 cap per 1 days• VERAMYST10 ml per 30 days• VIAGRA1 tab per 5 days• VICODIN ES5 tab per 1 days• VICODIN HP6 tab per 1 days• VICTOZA 2-PAK9 ml per 30 days• VICTOZA 3-PAK9 ml per 30 days• VIIBRYD(TAB)1 tab per 1 days• VIMPAT(TAB)2 tab per 1 days• VIVELLE2 patch per 7 days• VIVELLE-DOT2 patch per 7 days• VYTORIN(TAB)(10 MG-10MG) 1 tab per 1 days• VYTORIN(TAB)(10 MG-20MG) 1 tab per 1 days• VYTORIN(TAB)(10 MG-40MG) 1 tab per 1 days• VYTORIN(TAB)(10 MG-80MG) 1 tab per 1 days• VYVANSE1 cap per 1 days• XARELTO(TAB)(10 MG) 1 tab per 1 daysPage 61 of 91

• XARELTO(TAB)(15 MG) 42 tabs for the first 21days, followed by 1 tabper 1 days• XARELTO(TAB)(20 MG) 1 tab per 1 days• XIFAXAN(TAB)(550 MG) 2 tab per 1 days• XYZAL(SOLUTION)10 ml per 1 days• ZAMICET184 ml per 1 days• ZEGERID(CAP)1 cap per 1 days• ZEGERID(PACKET)1 packet per 1 days• ZELAPAR2 tab per 1 days• ZETIA1 tab per 1 days• ZETONNA6.1 gm per 30 days• ZIOPTAN1 unit per 1 days• ZOFRAN(SOLUTION)50 ml per 15 days• ZOLPIDEM TARTRATE 1 tab per 1 days• ZOLPIMIST77 ml per 30 days• ZOMIG(SPRAY)6 spray per 15 days• ZOMIG(TAB)2 tab per 5 days• ZUPLENZ(FILM)(4 MG) 2 film per 3 days• ZUPLENZ(FILM)(8 MG) 1 film per 3 days• ZYDONE10 tab per 1 days• ZYPREXA1 tab per 1 daysPreferred Drug List Medication Prescribing LimitationsPage 62 of 91

Preferred Drug List Medication Prescribing LimitationsPage 63 of 91

• ABILIFY DISCMELT(TAB RDP DIS)(10MG)• ABILIFY DISCMELT(TAB RDP DIS)(15MG)• ABILIFY(SOLUTION)• ABILIFY(TAB)• ACIPHEX• ACTONEL WITH CALCIUM• ACTONEL(TAB)(150 MG)• ACTONEL(TAB)(30 MG)• ACTONEL(TAB)(35 MG)• ACTONEL(TAB)(5 MG)• ACTONEL(TAB)(75 MG)• ACTOPLUS MET• ACTOPLUS MET XR• ADCIRCA• ADOXA PAK• ADVAIR DISKUS• ADVAIR HFA• ADVICOR(TBMP 24HR)(1000-20MG)• ADVICOR(TBMP 24HR)(1000-40 MG)STEP THERAPY EDITSAt least 2 of Prior prescription for Abilify in 365 days or Citalopram Hbr in 365 daysor Paxil Cr in 365 days or Risperidone Odt in 365 days or Risperidone in 365 days orSelfemra in 365 days or Seroquel in 365 days or Venlafaxine Hcl Er in 365 days orZiprasidone Hcl in 365 days or Zoloft in 365 days or Zyprexa in 365 daysAt least 2 of Prior prescription for Abilify in 365 days or Citalopram Hbr in 365 daysor Paxil Cr in 365 days or Risperidone Odt in 365 days or Risperidone in 365 days orSelfemra in 365 days or Seroquel in 365 days or Venlafaxine Hcl Er in 365 days orZiprasidone Hcl in 365 days or Zoloft in 365 days or Zyprexa in 365 daysAt least 2 of Prior prescription for Abilify in 365 days or Citalopram Hbr in 365 daysor Paxil Cr in 365 days or Risperidone Odt in 365 days or Risperidone in 365 days orSelfemra in 365 days or Seroquel in 365 days or Venlafaxine Hcl Er in 365 days orZiprasidone Hcl in 365 days or Zoloft in 365 days or Zyprexa in 365 daysAt least 2 of Prior prescription for Abilify in 365 days or Citalopram Hbr in 365 daysor Paxil Cr in 365 days or Risperidone Odt in 365 days or Risperidone in 365 days orSelfemra in 365 days or Seroquel in 365 days or Venlafaxine Hcl Er in 365 days orZiprasidone Hcl in 365 days or Zoloft in 365 days or Zyprexa in 365 daysPrior prescription for Omeprazole in 120 days or Prevacid 24hr in 120 days orPrevacid in 120 days or Prilosec Otc in 120 days or Prilosec in 120 days or Protonixin 120 days or Zantac-ppi in 120 daysPrior prescription for Fosamax in 120 days or Ibandronate Sodium in 120 daysAt least 2 of Prior prescription for Actonel in 365 days or Fosamax in 365 days orIbandronate Sodium in 365 daysAt least 2 of Prior prescription for Actonel in 365 days or Fosamax in 365 days orIbandronate Sodium in 365 daysAt least 2 of Prior prescription for Actonel in 365 days or Fosamax in 365 days orIbandronate Sodium in 365 daysAt least 2 of Prior prescription for Actonel in 365 days or Fosamax in 365 days orIbandronate Sodium in 365 daysPrior prescription for Ibandronate Sodium in 120 daysPrior prescription for Avandamet in 120 days or Avandaryl in 120 days or Avandia in120 days or Chlorpropamide in 120 days or Glimepiride in 120 days or Glucotrol Xlin 120 days or Glyburide-metformin Hcl in 120 days or Metaglip in 120 days orMicronase in 120 days or Riomet in 120 days or Tolazamide in 120 days orTolbutamide in 120 daysPrior prescription for Avandamet in 120 days or Avandaryl in 120 days or Avandia in120 days or Chlorpropamide in 120 days or Glimepiride in 120 days or Glucotrol Xlin 120 days or Glyburide-metformin Hcl in 120 days or Metaglip in 120 days orMicronase in 120 days or Riomet in 120 days or Tolazamide in 120 days orTolbutamide in 120 daysPrior prescription for Revatio in 120 days or Sildenafil in 120 daysPrior prescription for Vibramycin in 120 daysPrior prescription for Advair Diskus in 120 days or Dulera in 120 daysPrior prescription for Advair Hfa in 120 days or Dulera in 120 daysAt least 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Zocor in 365 daysAt least 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Zocor in 365 days• ADVICOR(TBMP 24HR)(500MG-20MG) At least 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Zocor in 365 days• ADVICOR(TBMP 24HR)(750MG-20MG) At least 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Zocor in 365 days• ALTOPREV• AMETHYST• ANZEMET(TAB)(100 MG)• ANZEMET(TAB)(50 MG)• APLENZIN• ARCAPTA NEOHALER• ASACOL HDPreferred Drug List Medication Prescribing LimitationsAt least 2 of Prior prescription for Altoprev in 365 days or Lipitor in 365 days orMevacor in 365 days or Pravastatin Sodium in 365 days or Zocor in 365 daysPrior prescription for Norgestimate-ethinyl Estradiol in 120 daysPrior prescription for Anzemet in 120 days or Ondansetron Hcl in 120 days or ZofranOdt in 120 days or Zofran in 120 daysPrior prescription for Anzemet in 120 days or Ondansetron Hcl in 120 days or ZofranOdt in 120 days or Zofran in 120 daysPrior prescription for Zyban in 120 daysPrior prescription for Serevent in 120 daysPrior prescription for Apriso in 120 days or Colazal in 120 daysPage 64 of 91

• ASTELIN Prior prescription for Astepro in 180 days or Patanase in 180 days or Wal-itin D 12Hour in 180 days or Wal-vert in 180 days or Zyrtec in 180 days or Zyrtec-d in 180days• ASTEPROPrior prescription for Azelastine Hcl in 180 days or Patanase in 180 days or Wal-itinD 12 Hour in 180 days or Wal-vert in 180 days or Zyrtec in 180 days or Zyrtec-d in180 days• ATACANDPrior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days• ATACAND HCTPrior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days• ATELVIAAt least 2 of Prior prescription for Fosamax in 365 days or Ibandronate Sodium in365 days• AUVI-QPrior prescription for Auvi-q in 120 days or Twinject in 120 days• AVANDAMETAt least 2 of Prior prescription for Pioglitazone Hcl in 120 days or Tolbutamide in120 days• AVANDARYLAt least 2 of Prior prescription for Pioglitazone Hcl in 120 days or Tolbutamide in120 days• AVANDIAAt least 2 of Prior prescription for Pioglitazone Hcl in 120 days or Tolbutamide in120 days• AVODARTPrior prescription for Doxazosin Mesylate in 120 days or Prazosin Hcl in 120 days orProscar in 120 days or Rapaflo in 120 days or Tamsulosin Hcl in 120 days orTerazosin Hcl in 120 days or Uroxatral in 120 days• AVONEXAt least 2 of Prior prescription for Copaxone in 365 days or Rebif in 365 days• AVONEX ADMINISTRATION PACK At least 2 of Prior prescription for Copaxone in 365 days or Rebif in 365 days• AXERTPrior prescription for Rizatriptan in 180 days or Sumatriptan Succinate in 180 days• AZORPrior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days• BANZEL(ORAL SUSP)Prior prescription for Divalproex Sodium Er in 120 days or Lamotrigine in 120 daysor Trokendi Xr in 120 days or Valproic Acid in 120 days• BANZEL(TAB)(200 MG)Prior prescription for Divalproex Sodium Er in 120 days or Lamotrigine in 120 daysor Trokendi Xr in 120 days or Valproic Acid in 120 days• BANZEL(TAB)(400 MG)Prior prescription for Divalproex Sodium Er in 120 days or Lamotrigine in 120 daysor Trokendi Xr in 120 days or Valproic Acid in 120 days• BECONASE AQPrior prescription for Flunisolide in 365 days or Fluticasone Propionate in 365 daysor Nasarel in 365 days• BENICARPrior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days• BENICAR HCTPrior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days• BETASERON• BEYAZ• BINOSTO• BONIVA(TAB)(2.5 MG)• BYETTA(PEN INJCTR)(10MCG/0.04)• BYETTA(PEN INJCTR)(5MCG/0.02)• CALCIPOTRIENE• CELEBREXPreferred Drug List Medication Prescribing LimitationsAt least 2 of Prior prescription for Copaxone in 365 days or Rebif in 365 daysPrior prescription for in 365 days and Lo Loestrin Fe in 365 days and Loestrin 24 Fein 365 days and Microgestin Fe in 365 days and Microgestin in 365 days and Neconin 365 days and Ortho Micronor in 365 days and Ovcon-50 in 365 days and Pirmellain 365 days and Seasonique in 365 days and Sronyx in 365 days and Tri-legest Fe in365 days and Trinessa in 365 days and Viorele in 365 days and Zeosa in 365 daysAt least 2 of Prior prescription for Fosamax in 365 days or Ibandronate Sodium in365 daysPrior prescription for Fosamax in 120 days or Ibandronate Sodium in 120 daysPrior prescription for Chlorpropamide in 120 days or Glimepiride in 120 days orGlucotrol Xl in 120 days or Glyburide-metformin Hcl in 120 days or Glynase in 120days or Metaglip in 120 days or Micronase in 120 days or Pioglitazone Hcl in 120days or Pioglitazone-glimepiride in 120 days or Pioglitazone-metformin in 120 daysor Riomet in 120 days or Tolazamide in 120 days or Tolbutamide in 120 daysPrior prescription for Chlorpropamide in 120 days or Glimepiride in 120 days orGlucotrol Xl in 120 days or Glyburide-metformin Hcl in 120 days or Glynase in 120days or Metaglip in 120 days or Micronase in 120 days or Pioglitazone Hcl in 120days or Pioglitazone-glimepiride in 120 days or Pioglitazone-metformin in 120 daysor Riomet in 120 days or Tolazamide in 120 days or Tolbutamide in 120 daysPrior prescription for Topical Anti-inflammatory Steroidal in 120 daysAt least 2 of Prior prescription for in 120 days or Actron in 120 days or DiclofenacSodium in 120 days or Diclofenac Sodium-misoprostol in 120 days or Etodolac in120 days or Fenoprofen Calcium in 120 days or Flurbiprofen in 120 days orIbuprofen in 120 days or Ibuprohm in 120 days or Indocin in 120 days orIndomethacin in 120 days or Infants' Motrin in 120 days or Ketoprofen in 120 daysor Ketorolac Tromethamine in 120 days or Meclofenamate Sodium in 120 days orPage 65 of 91

Preferred Drug List Medication Prescribing Limitations• CESAMET• CLARINEX(SYRUP)• CLARINEX(TAB RDP DIS)• CLARINEX(TAB)• CLARINEX-D 12 HOUR• CLARINEX-D 24 HOUR• CONZIP• CRESTOR(TAB)(10 MG)• CRESTOR(TAB)(20 MG)• CRESTOR(TAB)(40 MG)• CRESTOR(TAB)(5 MG)• CYCLOSET• DALIRESP• DELZICOL• DETROL• DETROL LA• DEXILANT• DIFICID• DIOVAN• DIPENTUM• DOVONEX• DRITHOCREME HP• DUETACT• DUEXIS• DYMISTA• EDARBI• EDARBYCLOR• EDLUAR• ELIDEL• ENABLEXMobic in 120 days or Motrin in 120 days or Nalfon in 120 days or Naprelan in 120days or Naproxen Sodium in 120 days or Naproxen in 120 days or Oxaprozin in 120days or Phenylbutazone in 120 days or Piroxicam in 120 days or Ponstel in 120 daysor Relafen in 120 days or Sulindac in 120 days or Tolmetin Sodium in 120 days orToradol in 120 days or Voltaren in 120 days or Voltaren-xr in 120 days or Wal-profenin 120 days or Wal-proxen in 120 days or Zipsor in 120 daysPrior prescription for Ondansetron Hcl in 120 days or Zofran Odt in 120 days orZofran in 120 daysPrior prescription for Wal-itin D 12 Hour in 180 days or Wal-vert in 180 days orXyzal in 180 days or Zyrtec in 180 days or Zyrtec-d in 180 daysPrior prescription for Wal-itin D 12 Hour in 180 days or Wal-vert in 180 days orXyzal in 180 days or Zyrtec in 180 days or Zyrtec-d in 180 daysPrior prescription for Wal-itin D 12 Hour in 180 days or Wal-vert in 180 days orXyzal in 180 days or Zyrtec in 180 days or Zyrtec-d in 180 daysPrior prescription for Wal-itin D 12 Hour in 180 days or Wal-vert in 180 days orXyzal in 180 days or Zyrtec in 180 days or Zyrtec-d in 180 daysPrior prescription for Wal-itin D 12 Hour in 180 days or Wal-vert in 180 days orXyzal in 180 days or Zyrtec in 180 days or Zyrtec-d in 180 daysPrior prescription for Conzip in 120 days or Tramadol Hcl in 120 days or Ultram Erin 120 daysPrior prescription for Crestor in 120 days or Lipitor in 120 daysPrior prescription for Crestor in 120 days or Lipitor in 120 daysPrior prescription for Crestor in 120 days or Lipitor in 120 daysAt least 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Zocor in 365 daysPrior prescription for Glyburide-metformin Hcl in 180 days or Metaglip in 180 daysor Riomet in 180 daysPrior prescription for Arcapta Neohaler in 120 days or Atrovent Hfa in 120 days orCombivent in 120 days or Foradil in 120 days or Serevent Diskus in 120 days orSpiriva in 120 daysPrior prescription for Apriso in 120 days or Colazal in 120 daysPrior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in120 daysPrior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in120 daysPrior prescription for Omeprazole in 120 days or Prevacid 24hr in 120 days orPrevacid in 120 days or Prilosec Otc in 120 days or Prilosec in 120 days or Protonixin 120 days or Zantac-ppi in 120 daysPrior prescription for Vancomycin HCl in 120 daysPrior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 daysPrior prescription for Apriso in 120 days or Colazal in 120 daysPrior prescription for Topical Anti-inflammatory Steroidal in 120 daysPrior prescription for Topical Anti-inflammatory Steroidal in 120 daysPrior prescription for Avandamet in 120 days or Avandaryl in 120 days or Avandia in120 days or Chlorpropamide in 120 days or Glimepiride in 120 days or Glucotrol Xlin 120 days or Glyburide-metformin Hcl in 120 days or Metaglip in 120 days orMicronase in 120 days or Riomet in 120 days or Tolazamide in 120 days orTolbutamide in 120 daysPrior prescription for Etodolac in 120 days or Flurbiprofen in 120 days orIndomethacin in 120 days or Ketoprofen in 120 days or Meclofenamate Sodium in120 days or Mobic in 120 days or Nalfon in 120 days or Oxaprozin in 120 days orPiroxicam in 120 days or Relafen in 120 days or Sulindac in 120 days or TolmetinSodium in 120 days or Toradol in 120 days or Voltaren-xr in 120 days or Wal-profenin 120 days or Wal-proxen in 120 daysPrior prescription for Flunisolide in 365 days or Fluticasone Propionate in 365 daysor Nasarel in 365 daysPrior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 daysPrior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 daysPrior prescription for Zolpidem Tartrate in 180 daysPrior prescription for Topical Anti-inflammatory Steroidal in 120 daysPrior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in120 daysPage 66 of 91

Preferred Drug List Medication Prescribing Limitations• EXFORGEPrior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days• EXFORGE HCTPrior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days• EXTAVIAAt least 2 of Prior prescription for Copaxone in 365 days or Rebif in 365 days• FANAPT(TAB DS PK) At least 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• FANAPT(TAB) At least 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• FAZACLO At least 2 of Prior prescription for Fazaclo in 365 days or Risperidone Odt in 365days or Risperidone in 365 days or Seroquel in 365 days or Ziprasidone Hcl in 365days or Zyprexa in 365 days• FELBATOL(ORAL SUSP)Prior prescription for Lamotrigine in 120 days or Trokendi Xr in 120 days• FELBATOL(TAB)(400 MG)Prior prescription for Lamotrigine in 120 days or Trokendi Xr in 120 days• FELBATOL(TAB)(600 MG)Prior prescription for Lamotrigine in 120 days or Trokendi Xr in 120 days• FENOGLIDEPrior prescription for Lofibra in 120 days or Lopid in 120 days or Tricor in 120 days• FORADILPrior prescription for Serevent in 120 days• FORFIVO XLPrior prescription for Wellbutrin Sr in 120 days or Wellbutrin Xl in 120 days orWellbutrin in 120 days or Zyban in 120 days• FROVAPrior prescription for Rizatriptan in 180 days or Sumatriptan Succinate in 180 days• FULYZAQPrior prescription for Antiretrovirals in 120 days• GABITRIL(TAB)(12 MG)At least 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine in 365 days or Levetiracetam in 365 days or Neurontin in 365 days orTegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 days orValproic Acid in 365 days• GABITRIL(TAB)(16 MG)At least 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine in 365 days or Levetiracetam in 365 days or Neurontin in 365 days orTegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 days orValproic Acid in 365 days• GABITRIL(TAB)(2 MG)At least 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine in 365 days or Levetiracetam in 365 days or Neurontin in 365 days orTegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 days orValproic Acid in 365 days• GABITRIL(TAB)(4 MG)At least 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine in 365 days or Levetiracetam in 365 days or Neurontin in 365 days orTegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 days orValproic Acid in 365 days• GELNIQUEPrior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in120 days• GIANVIPrior prescription for Generess Fe in 365 days and Lo Loestrin Fe in 365 days andLoestrin 24 Fe in 365 days and Lybrel in 365 days and Microgestin in 365 days andNecon in 365 days and Ortho-novum in 365 days and Pirmella in 365 days andSeasonique in 365 days and Sronyx in 365 days and Trivora-28 in 365 days andVelivet in 365 days and Wera in 365 days and Zovia 1-50e in 365 days• GIAZOPrior prescription for Apriso in 120 days or Colazal in 120 days• GLUMETZAPrior prescription for Glumetza in 120 days or Metformin Hcl Er in 120 days• GRALISE(TAB ER 24H)(300 MG) Prior prescription for in 120 days or Gralise in 120 days or Neurontin in 120 days• GRALISE(TAB ER 24H)(300-600 MG) Prior prescription for in 120 days or Gralise in 120 days or Neurontin in 120 days• GRALISE(TAB ER 24H)(600 MG) Prior prescription for in 120 days or Gralise in 120 days or Neurontin in 120 days• HORIZANT Prior prescription for Neurontin in 120 days or Pramipexole Dihydrochloride in 120days or Ropinirole Hcl in 120 days• INTERMEZZOPrior prescription for Intermezzo in 120 days or Zolpidem Tartrate in 120 days• INVEGA(TAB ER 24H)(1.5 MG) At least 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• INVEGA(TAB ER 24H)(3 MG) At least 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• INVEGA(TAB ER 24H)(6 MG) At least 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• INVEGA(TAB ER 24H)(9 MG) At least 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• JALYNPrior prescription for in 120 days or Doxazosin Mesylate in 120 days or Prazosin Hclin 120 days or Proscar in 120 days or Rapaflo in 120 days or Tamsulosin Hcl in 120days or Terazosin Hcl in 120 days or Uroxatral in 120 daysPage 67 of 91

• KAPIDEX• KAZANO• KOMBIGLYZE XR• KYTRILPrior prescription for Omeprazole in 120 days or Prevacid 24hr in 120 days orPrevacid in 120 days or Prilosec Otc in 120 days or Prilosec in 120 days or Protonixin 120 days or Zantac-ppi in 120 daysPrior prescription for Janumet Xr in 120 days or Jentadueto in 120 days or Juvisyncin 120 days or Tradjenta in 120 daysPrior prescription for Januvia in 120 days or Jentadueto in 120 daysPrior prescription for Ondansetron Hcl in 120 days or Zofran Odt in 120 days orZofran in 120 daysPrior prescription for Lamictal Odt in 120 days or Lamotrigine in 120 daysPrior prescription for Lamictal Odt in 120 days or Lamotrigine in 120 daysPrior prescription for Lamictal Odt in 120 days or Lamotrigine in 120 days• LAMICTAL ODT (BLUE)• LAMICTAL ODT (GREEN)• LAMICTAL ODT (ORANGE)• LAMICTAL ODT(TAB RDP DIS)(100MG)Prior prescription for Lamictal Odt in 120 days or Lamotrigine in 120 days• LAMICTAL ODT(TAB RDP DIS)(200MG)Prior prescription for Lamictal Odt in 120 days or Lamotrigine in 120 days• LAMICTAL ODT(TAB RDP DIS)(25 MG) Prior prescription for Lamictal Odt in 120 days or Lamotrigine in 120 days• LAMICTAL ODT(TAB RDP DIS)(50 MG) Prior prescription for Lamictal Odt in 120 days or Lamotrigine in 120 days• LAMICTAL XR (BLUE)Prior prescription for Lamotrigine in 120 days• LAMICTAL XR (GREEN)Prior prescription for Lamotrigine in 120 days• LAMICTAL XR (ORANGE)Prior prescription for Lamotrigine in 120 days• LAMICTAL XR(TAB ER 24H)(100 MG) Prior prescription for Lamotrigine in 120 days• LAMICTAL XR(TAB ER 24H)(200 MG) Prior prescription for Lamotrigine in 120 days• LAMICTAL XR(TAB ER 24H)(25 MG) Prior prescription for Lamotrigine in 120 days• LAMICTAL XR(TAB ER 24H)(250 MG) Prior prescription for Lamotrigine in 120 days• LAMICTAL XR(TAB ER 24H)(300 MG) Prior prescription for Lamotrigine in 120 days• LAMICTAL XR(TAB ER 24H)(50 MG) Prior prescription for Lamotrigine in 120 days• LATUDA At least 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• LESCOLAt least 2 of Prior prescription for Lescol in 365 days or Lipitor in 365 days orMevacor in 365 days or Pravastatin Sodium in 365 days or Zocor in 365 days• LESCOL XLAt least 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Zocor in 365 days• LEVEMIRPrior prescription for Lantus Solostar in 120 days• LEVEMIR FLEXPENPrior prescription for Lantus Solostar in 120 days• LIALDAPrior prescription for Apriso in 120 days or Colazal in 120 days• LIPOFENPrior prescription for Lofibra in 120 days or Lopid in 120 days or Tricor in 120 days• LIVALOAt least 2 of Prior prescription for Lipitor in 365 days or Livalo in 3650 days orMevacor in 365 days or Pravastatin Sodium in 365 days or Zocor in 365 days• LO LOESTRIN FEPrior prescription for Norgestimate-ethinyl Estradiol in 120 days• LOESTRIN 24 FEPrior prescription for Norgestimate-ethinyl Estradiol in 120 days• LUNESTAPrior prescription for Zolpidem Tartrate in 180 days• LUVOX CRPrior prescription for Citalopram Hbr in 120 days or Lexapro in 120 days or LuvoxCr in 120 days or Paxil Cr in 120 days or Prozac in 120 days or Remeron in 120 daysor Sarafem in 120 days or Selfemra in 120 days or Zoloft in 120 days or Zyban in120 days• LYBRELPrior prescription for Norgestimate-ethinyl Estradiol in 120 days• MARINOLAt least 3 of Prior prescription for Emend in 365 days or Marinol in 365 days orMethylprednisolone in 365 days or Zofran in 365 days• MICARDISPrior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days• MICARDIS HCTPrior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days• MIRAPEX ER Prior prescription for Mirapex Er in 120 days or Pramipexole Dihydrochloride in 120• MYRBETRIQ• NATAZIA• NESINAPreferred Drug List Medication Prescribing Limitationsdays or Ropinirole Hcl in 120 daysAt least 2 of Prior prescription for Enablex in 365 days or Gelnique in 365 days orOxybutynin Chloride in 365 days or Oxytrol in 365 days or Tolterodine Tartrate in365 days or Toviaz in 365 days or Trospium Chloride in 365 days or Vesicare in 365daysPrior prescription for Microgestin in 120 days or Ortho Micronor in 120 days orOrtho-novum in 120 days or Ovral-28 in 120 days or Seasonique in 120 days orSkyla in 120 days or Tri-legest Fe in 120 days or Trinessa in 120 days or Trivora-28in 120 days or Velivet in 120 days or Viorele in 120 days or Zarah in 120 days orZenchent in 120 days or Zeosa in 120 days or Zovia 1-50e in 120 daysPrior prescription for Janumet Xr in 120 days or Jentadueto in 120 days or Juvisyncin 120 days or Tradjenta in 120 daysPage 68 of 91

Preferred Drug List Medication Prescribing Limitations• NEUPRO Prior prescription for Neupro in 120 days or Pramipexole Dihydrochloride in 120days or Ropinirole Hcl in 120 days• NEXIUMPrior prescription for Omeprazole in 120 days or Prevacid 24hr in 120 days orPrevacid in 120 days or Prilosec Otc in 120 days or Prilosec in 120 days or Protonixin 120 days or Zantac-ppi in 120 days• NUVARINGPrior prescription for Norgestimate-ethinyl Estradiol in 120 days• OLEPTRO ERPrior prescription for Oleptro Er in 120 days or Trazodone Hcl in 120 days• OMNARISPrior prescription for Flunisolide in 365 days or Fluticasone Propionate in 365 daysor Nasarel in 365 days• ONFIPrior prescription for Lamotrigine in 120 days or Trokendi Xr in 120 days• ONGLYZAPrior prescription for Januvia in 120 days or Jentadueto in 120 days• ORACEAPrior prescription for Vibramycin in 120 days• ORTHO EVRAPrior prescription for Norgestimate-ethinyl Estradiol in 120 days• ORTHO TRI-CYCLEN LOPrior prescription for Norgestimate-ethinyl Estradiol in 120 days• OSENIPrior prescription for Janumet Xr in 120 days or Jentadueto in 120 days or Juvisyncin 120 days or Tradjenta in 120 days• OVCON-50Prior prescription for Norgestimate-ethinyl Estradiol in 120 days• OXTELLAR XR(TAB ER 24H)(150 MG) At least 2 of Prior prescription for Divalproex Sodium Er in 365 days or Lamotriginein 365 days or Levetiracetam in 365 days or Neurontin in 365 days or Oxtellar Xr in365 days or Tegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365days or Valproic Acid in 365 days or Zonisamide in 365 days• OXTELLAR XR(TAB ER 24H)(300 MG) At least 2 of Prior prescription for Divalproex Sodium Er in 365 days or Lamotriginein 365 days or Levetiracetam in 365 days or Neurontin in 365 days or Oxtellar Xr in365 days or Tegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365days or Valproic Acid in 365 days or Zonisamide in 365 days• OXTELLAR XR(TAB ER 24H)(600 MG) At least 2 of Prior prescription for Divalproex Sodium Er in 365 days or Lamotriginein 365 days or Levetiracetam in 365 days or Neurontin in 365 days or Oxtellar Xr in365 days or Tegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365days or Valproic Acid in 365 days or Zonisamide in 365 days• OXYTROLPrior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in120 days• PATANASEPrior prescription for Astepro in 180 days or Azelastine Hcl in 180 days or Wal-itinD 12 Hour in 180 days or Wal-vert in 180 days or Zyrtec in 180 days or Zyrtec-d in180 days• PENTASA Prior prescription for Apriso in 120 days or Colazal in 120 days or Pentasa in 120days• PEXEVAPrior prescription for Paxil in 120 days• POTIGA(TAB)(200 MG)At least 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine in 365 days or Levetiracetam in 365 days or Neurontin in 365 days orTegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 days orValproic Acid in 365 days• POTIGA(TAB)(300 MG)At least 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine in 365 days or Levetiracetam in 365 days or Neurontin in 365 days orTegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 days orValproic Acid in 365 days• POTIGA(TAB)(400 MG)At least 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine in 365 days or Levetiracetam in 365 days or Neurontin in 365 days orTegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 days orValproic Acid in 365 days• POTIGA(TAB)(50 MG)At least 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine in 365 days or Levetiracetam in 365 days or Neurontin in 365 days orTegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 days orValproic Acid in 365 days• PRISTIQ ERPrior prescription for Citalopram Hbr in 120 days or Lexapro in 120 days or Paxil Crin 120 days or Prozac in 120 days or Remeron in 120 days or Sarafem in 120 days orSelfemra in 120 days or Zoloft in 120 days or Zyban in 120 days• PROTONIX(GRANPKT DR) Prior prescription for Omeprazole Magnesium in 120 days or Omeprazole in 120days or Prilosec Otc in 120 days or Prilosec in 120 days or Protonix in 120 days orZantac-ppi in 120 days• PROTOPICPrior prescription for Protopic in 120 days or Topical Anti-inflammatory Steroidal in120 days• PSORIATECPrior prescription for Topical Anti-inflammatory Steroidal in 120 days• QNASLPrior prescription for Flunisolide in 365 days or Fluticasone Propionate in 365 daysor Nasarel in 365 days• QUILLIVANT XRPrior prescription for Methylphenidate Hcl Cd in 120 days or Ritalin La in 120 daysPage 69 of 91

• RAPAFLO• RAYOS• RELPAX• REQUIP XL• RESCULA• RHINOCORT AQUAPreferred Drug List Medication Prescribing LimitationsPrior prescription for Doxazosin Mesylate in 120 days or Prazosin Hcl in 120 days orProscar in 120 days or Tamsulosin Hcl in 120 days or Terazosin Hcl in 120 days orUroxatral in 120 daysPrior prescription for Prednisone in 120 days or Rayos in 120 daysPrior prescription for Rizatriptan in 180 days or Sumatriptan Succinate in 180 daysPrior prescription for Pramipexole Dihydrochloride in 120 days or Ropinirole Hcl in120 daysAt least 2 of Prior prescription for Travatan Z in 365 days or Xalatan in 365 daysPrior prescription for Flunisolide in 365 days or Fluticasone Propionate in 365 daysor Nasarel in 365 daysPrior prescription for Ribavirin in 120 days• RIBATAB• ROZEREMPrior prescription for Zaleplon in 120 days or Zolpidem Tartrate in 120 days• SAFYRAL Prior prescription for in 365 days and Beyaz in 365 days and Generess Fe in 365days and Lo Loestrin Fe in 365 days and Loestrin 24 Fe in 365 days and Necon in365 days and Ortho-novum in 365 days and Ovcon-50 in 365 days and Portia in 365days and Sronyx in 365 days and Tri-lo-sprintec in 365 days and Trinessa in 365days and Trivora-28 in 365 days and Zenchent in 365 days and Zeosa in 365 days• SANCTURAPrior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in120 days• SANCTURA XRPrior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in120 days• SANCUSOPrior prescription for Ondansetron Hcl in 120 days or Zofran Odt in 120 days orZofran in 120 days• SAPHRIS At least 2 of Prior prescription for Risperidone Odt in 365 days or Risperidone in 365days or Seroquel in 365 days or Ziprasidone Hcl in 365 days or Zyprexa in 365 days• SILENORPrior prescription for Zaleplon in 120 days or Zolpidem Tartrate in 120 days• SIMCOR(TBMP 24HR)(1000-20MG) At least 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Simcor in 365 days or Zocor in 365 days• SIMCOR(TBMP 24HR)(1000-40 MG) At least 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Simcor in 365 days or Zocor in 365 days• SIMCOR(TBMP 24HR)(500MG-20MG) At least 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Simcor in 365 days or Zocor in 365 days• SIMCOR(TBMP 24HR)(500MG-40MG) At least 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Simcor in 365 days or Zocor in 365 days• SIMCOR(TBMP 24HR)(750MG-20MG) At least 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Simcor in 365 days or Zocor in 365 days• SOLODYN(TAB ER 24H)(105 MG) Prior prescription for Minocycline Hcl in 120 days or Solodyn in 120 days• SOLODYN(TAB ER 24H)(115MG) Prior prescription for Minocycline Hcl in 120 days or Solodyn in 120 days• SOLODYN(TAB ER 24H)(55 MG) Prior prescription for Minocycline Hcl in 120 days or Solodyn in 120 days• SOLODYN(TAB ER 24H)(65 MG) Prior prescription for Minocycline Hcl in 120 days or Solodyn in 120 days• SOLODYN(TAB ER 24H)(80 MG) Prior prescription for Minocycline Hcl in 120 days or Solodyn in 120 days• SORILUXPrior prescription for Topical Anti-inflammatory Steroidal in 120 days• STAVZOR Prior prescription for in 120 days or Stavzor in 120 days or Valproic Acid in 120days• SUMAVEL DOSEPROPrior prescription for Sumatriptan Succinate in 180 days or Sumatriptan in 180 days• SUPRENZA ODTPrior prescription for Phentermine Hcl in 120 days or Suprenza Odt in 120 days• SYMBICORTPrior prescription for Dulera in 120 days• TACLONEXPrior prescription for Topical Anti-inflammatory Steroidal in 120 days• TACLONEX SCALPPrior prescription for Topical Anti-inflammatory Steroidal in 120 days• TASMARPrior prescription for Entacapone in 120 days• TEVETEN HCTPrior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days• TEVETEN(TAB)(400 MG)Prior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days• TEVETEN(TAB)(600 MG)Prior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days• TOVIAZPrior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in120 days• TRAMADOL HCL(CPMP 25-75) Prior prescription for Conzip in 120 days or Tramadol Hcl in 120 days• TREXIMETPrior prescription for Sumatriptan in 180 days or Sumavel Dosepro in 180 days orZomig Zmt in 180 days• TRIBENZORPrior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 days• TRIGLIDEPrior prescription for Lofibra in 120 days or Lopid in 120 days or Tricor in 120 days• TUDORZA PRESSAIRPrior prescription for Spiriva in 120 daysPage 70 of 91

Preferred Drug List Medication Prescribing Limitations• TWYNSTA• UCERIS• VECTICAL• VERAMYST• VESICARE• VICTOZA 2-PAK• VICTOZA 3-PAK• VIIBRYD(TAB DS PK)• VIIBRYD(TAB)• VIMOVO• VIMPAT(TAB)• VYTORIN(TAB)(10 MG-10MG)• VYTORIN(TAB)(10 MG-20MG)• VYTORIN(TAB)(10 MG-40MG)• VYVANSE• XIFAXAN(TAB)(550 MG)• XYZAL(SOLUTION)• ZEGERID(CAP)• ZEGERID(PACKET)• ZETONNA• ZIOPTAN• ZITHRANOL• ZITHRANOL-RR• ZOLPIMIST• ZOMIG(SPRAY)• ZOMIG(TAB)• ZUPLENZ(FILM)(4 MG)• ZUPLENZ(FILM)(8 MG)Prior prescription for Captopril-hydrochlorothiazide in 120 days or LosartanPotassium in 120 daysPrior prescription for Colazal in 120 daysPrior prescription for Topical Anti-inflammatory Steroidal in 120 daysPrior prescription for Flunisolide in 365 days or Fluticasone Propionate in 365 daysor Nasarel in 365 daysPrior prescription for Oxybutynin Chloride Er in 120 days or Oxybutynin Chloride in120 daysAt least 2 of Prior prescription for Bydureon in 365 days or Tolbutamide in 365 daysAt least 2 of Prior prescription for Bydureon in 365 days or Tolbutamide in 365 daysPrior prescription for Citalopram Hbr in 120 days or Lexapro in 120 days or Paxil Crin 120 days or Prozac in 120 days or Remeron in 120 days or Sarafem in 120 days orSelfemra in 120 days or Zoloft in 120 days or Zyban in 120 daysPrior prescription for Citalopram Hbr in 120 days or Lexapro in 120 days or Paxil Crin 120 days or Prozac in 120 days or Remeron in 120 days or Sarafem in 120 days orSelfemra in 120 days or Zoloft in 120 days or Zyban in 120 daysPrior prescription for Naproxen in 120 days or Wal-proxen in 120 daysAt least 2 of Prior prescription for in 365 days or Divalproex Sodium Er in 365 daysor Lamotrigine in 365 days or Levetiracetam in 365 days or Neurontin in 365 days orTegretol Xr in 365 days or Trileptal in 365 days or Trokendi Xr in 365 days orValproic Acid in 365 days or Vimpat in 365 daysAt least 2 of Prior prescription for Lipitor in 365 days or Mevacor in 365 days orPravastatin Sodium in 365 days or Zocor in 365 daysPrior prescription for Lipitor in 120 days or Vytorin in 120 daysPrior prescription for Lipitor in 120 days or Vytorin in 120 daysPrior prescription for Amphetamine Salt Combo in 120 days or Ritalin in 120 daysPrior prescription for Lactulose in 120 daysPrior prescription for Wal-itin D 12 Hour in 180 days or Wal-vert in 180 days orXyzal in 180 days or Zyrtec in 180 days or Zyrtec-d in 180 daysPrior prescription for Omeprazole in 120 days or Prevacid 24hr in 120 days orPrevacid in 120 days or Prilosec Otc in 120 days or Prilosec in 120 days or Protonixin 120 days or Zantac-ppi in 120 daysPrior prescription for Omeprazole in 120 days or Prevacid 24hr in 120 days orPrevacid in 120 days or Prilosec Otc in 120 days or Prilosec in 120 days or Protonixin 120 days or Zantac-ppi in 120 daysPrior prescription for Flunisolide in 365 days or Fluticasone Propionate in 365 daysor Nasarel in 365 daysAt least 2 of Prior prescription for Travatan Z in 365 days or Xalatan in 365 daysPrior prescription for Topical Anti-inflammatory Steroidal in 120 daysPrior prescription for Topical Anti-inflammatory Steroidal in 120 daysPrior prescription for Zolpidem Tartrate in 120 daysPrior prescription for Rizatriptan in 180 days or Sumatriptan Succinate in 180 daysPrior prescription for Rizatriptan in 180 days or Sumatriptan Succinate in 180 daysPrior prescription for Ondansetron Hcl in 120 days or Zofran Odt in 120 days orZofran in 120 days or Zuplenz in 120 daysPrior prescription for Ondansetron Hcl in 120 days or Zofran Odt in 120 days orZofran in 120 days or Zuplenz in 120 daysPage 71 of 91

Preferred Drug List Medication Prescribing LimitationsPage 72 of 91

Preferred Drug List Medication Prescribing LimitationsPRIOR AUTHORIZATION RESRICTION• ABSTRAL• ACTIQ• ADCIRCA• AFINITOR• ALDARA• AMPYRA• AMTURNIDE• ANDRODERM(PATCH TD24)(2.5MG/24HR)• ANDRODERM(PATCH TD24)(4 MG/24 HR)• ANDRODERM(PATCH TD24)(5 MG/24 HR)• ANDROGEL• APOKYN• ARANESP• AUBAGIO• AXIRON• BERINERT• BOSULIF• CAPRELSA• CAYSTON• CIMZIA• COMETRIQ• DELATESTRYL• DEPO-TESTOSTERONE(VIAL)(100 MG/ML)• DEPO-TESTOSTERONE(VIAL)(200 MG/ML)• EGRIFTA• ELIQUIS• ENBREL• EPOGEN• ERIVEDGE• FENTORA• FIRAZYR• FORTESTA• GAMMAKED• GAMUNEX-C• GATTEX• GENOTROPIN• GILENYA• GLEEVEC• HIZENTRA• HUMATROPE• HUMIRA• ICLUSIG• INCIVEK• INCRELEX• INFERGEN• INLYTA• INTRON A(PEN INJ KIT)(10MM/0.2ML)• INTRON A(PEN INJ KIT)(3MM/0.2 ML)• INTRON A(PEN INJ KIT)(5MM/0.2ML)• INTRON A(VIAL)• INVERSINE• IPRIVASK• IRESSA• JAKAFI• JUXTAPID• KALYDECO• KINERET• KORLYM• KYNAMRO• LAZANDA• LETAIRIS• LEUKINE• NEULASTA• NEUPOGEN• NEXAVAR• NORDITROPIN• NORDITROPIN FLEXPRO• NORDITROPIN NORDIFLEX• NUEDEXTA• NUTROPIN• NUTROPIN AQ• NUTROPIN AQ NUSPIN• NUVIGIL• OMNITROPE• OMONTYS• ONSOLIS• ORENCIA• PEGASYS• PEGASYS PROCLICK• PEGINTRON• PEGINTRON REDIPEN• POMALYST(CAP)(1 MG)• POMALYST(CAP)(2 MG)• POMALYST(CAP)(3 MG)• POMALYST(CAP)(4 MG)• PRADAXA• PROCRIT• PROMACTA• PROVIGIL• PULMOZYME• QSYMIA• QUTENZA• RAVICTI• RELISTOR• REMODULIN• REVLIMID• SAIZEN• SEROSTIM• SIMPONI• SOLARAZE• SPRYCEL• STIVARGA• STRIANT• SUBOXONE(TAB SUBL)• SUBSYS• SUBUTEX• SUCRAID• SUTENT• SYLATRON• SYLATRON 4-PACK• TARCEVA• TARGRETIN• TASIGNA• TEKAMLO• TEKTURNA• TEKTURNA HCT• TEMODAR• TESTIM• TESTOSTERONE CYPIONATE• TESTOSTERONE ENANTHATE• TEV-TROPIN• THALOMID• TOBI• TRACLEER• TYVASO• VALTURNAPage 73 of 91

Preferred Drug List Medication Prescribing Limitations• VANDETANIB• VECAMYL• VENTAVIS• VICTRELIS• VOTRIENT• XALKORI• XELJANZ• XELODA• XTANDI• ZELBORAF• ZORBTIVE• ZYCLARA• ZYTIGA• ZYVOXPage 74 of 91

Index- # -0.5 NORMAL SALINE.............................................. 300.9 % SODIUM CHLORIDE......................................301 + 1-F...................................................................... 172TEK(OTC)...............................................................248-MOP...................................................................... 23- A -AA/ANTIPYRN/BCAINE/POLICO#1/AL................... 29AA/ANTPY/BCAINE/POLICO/AL ACET...................29AABP........................................................................ 29ABACAVIR SULFATE............................................... 41ABACAVIR SULFATE/LAMIVUDINE........................ 41ABACAVIR/LAMIVUDINE/ZIDOVUDINE..................41ABATACEPT.............................................................42ABILIFY DISCMELT(TAB RDP DIS)(10 MG)......8, 59,6 4ABILIFY DISCMELT(TAB RDP DIS)(15 MG)......8, 59,6 4ABILIFY(SOLUTION)..................................... 9, 59, 64ABILIFY(TAB)................................................. 9, 59, 64ABIRATERONE ACETATE....................................... 45ABSORICA............................................................... 16ABSTRAL........................................................... 47, 73ACAMPROSATE CALCIUM....................................... 8ACANYA................................................................... 16ACARBOSE..............................................................23ACCOLATE.................................................................7ACCU-CHEK FASTCLIX(OTC)................................ 28ACCU-CHEK SMARTVIEW(OTC)............................26ACCU-CHEK SOFTCLIX(OTC)................................28ACCU-CHEK(OTC)...................................... 24, 25, 28ACCUNEB.................................................................. 6ACCUPRIL................................................................11ACCUTREND GLUCOSE(OTC)...............................24ACEBUTOLOL HCL..................................................11ACEON..................................................................... 11ACETAMINOPH-CAFF-DIHYDROCODEIN............. 47ACETAMINOPHEN W/CODEINE.............................49ACETAMINOPHEN WITH CODEINE....................... 49ACETAMINOPHEN/CAFFEINE/BUTALB................. 47ACETAMINOPHEN/PHENYLTOLOX/CAFF.............47ACETAMINOPHEN-CODEINE................................. 49ACETAZOLAMIDE....................................................33ACETIC AC/RICINOLEIC/OXYQUINOL...................54ACETIC ACID.....................................................20, 29ACETIC ACID/ALUMINUM ACETATE......................29ACETIC ACID/HYDROCORTISONE........................29ACETIC ACID-ALUMINUM.......................................29ACETOHYDROXAMIC ACID................................... 44ACETYLCYSTEINE..................................................46ACID JELLY..............................................................54ACIPHEX......................................................53, 59, 64ACITRETIN...............................................................23ACLARO...................................................................23ACLARO PD.............................................................23ACLIDINIUM BROMIDE............................................. 6ACLOVATE............................................................... 18ACTIGALL................................................................ 44ACTIMMUNE............................................................37ACTIQ.................................................................47, 73ACTIVELLA.............................................................. 36ACTONEL WITH CALCIUM......................... 31, 59, 64ACTONEL(TAB)(150 MG)............................ 31, 59, 64ACTONEL(TAB)(30 MG).............................. 31, 59, 64ACTONEL(TAB)(35 MG).............................. 31, 59, 64ACTONEL(TAB)(5 MG)................................ 31, 59, 64ACTONEL(TAB)(75 MG).................................... 31, 64ACTOPLUS MET................................................24, 64ACTOPLUS MET XR..........................................24, 64ACTOS..................................................................... 24ACULAR................................................................... 32ACULAR LS..............................................................32ACURA CONTROL SOLUTION LOW(OTC)............25ACURA CONTROL SOLUTION NORMAL(OTC)......2 6ACURA CONTROL SOLUTION(OTC)..................... 25ACUVAIL...................................................................32ACYCLOVIR.......................................................18, 40ACYCLOVIR/HYDROCORTISONE..........................18ACYCLOVIR/LIDOCAINE HCL................................ 18ACZONE...................................................................16ADALAT CC..............................................................12ADALIMUMAB..........................................................42ADAPALENE............................................................ 17ADAPALENE/BENZOYL PEROXIDE....................... 16ADCIRCA..................................................... 12, 64, 73ADDERALL...........................................................8, 59ADEFOVIR DIPIVOXIL.............................................41ADIPEX-P.................................................................57ADJUSTABLE LANCING DEVICE(OTC)................. 27ADOXA..................................................................... 39ADOXA CK............................................................... 39ADOXA PAK................................................. 39, 59, 64ADOXA TT................................................................39ADRENACLICK(AUTO INJECT)(0.15/0.15).............44ADRENACLICK(AUTO INJECT)(0.3MG/0.3)........... 44ADVAIR DISKUS............................................ 6, 59, 64ADVAIR HFA...................................................6, 59, 64ADVANCE INTUITION(OTC)....................................26ADVANCE(OTC).......................................................26ADVANCED LANCING DEVICE(OTC).....................28ADVATE....................................................................34ADVATE H................................................................ 34ADVATE L.................................................................34ADVATE M................................................................34ADVATE SH..............................................................34ADVATE UH..............................................................34ADVICOR(TBMP 24HR)(1000-20MG)......... 13, 59, 64ADVICOR(TBMP 24HR)(1000-40 MG)........ 13, 59, 64ADVICOR(TBMP 24HR)(500MG-20MG)......13, 59,6 4ADVICOR(TBMP 24HR)(750MG-20MG)......13, 59,6 4ADVOCATE CONTROL SOLUTION(OTC).............. 25ADVOCATE LANCING DEVICE(OTC).....................27ADVOCATE REDI-CODE+ CTRL SOLN(OTC)........25AEROBID-M............................................................... 7AFINITOR........................................................... 45, 73AGAMATRIX CONTROL(OTC).......................... 24, 25AGGRENOX.............................................................35AGRYLIN.................................................................. 35AHIST......................................................................... 5AKNE-MYCIN........................................................... 17AKTEN......................................................................32AKURZA................................................................... 21ALA-HIST....................................................................5ALAMAST.................................................................33ALA-QUIN.................................................................16ALA-TET...................................................................39ALBALON................................................................. 33ALBENDAZOLE....................................................... 40ALBENZA................................................................. 40ALBUTEROL SULFATE..............................................6ALC/ISOPROPANOL/PROP GLY/WATER............... 20ALCAFTADINE......................................................... 32ALCLOMETASONE DIPROPIONATE...................... 18ALCORTIN A............................................................ 17ALDACTAZIDE(TAB)(25 MG-25MG)........................12ALDACTAZIDE(TAB)(50 MG-50MG)........................12ALDACTONE............................................................12ALDARA............................................................. 37, 73ALDEX AN..................................................................5ALDOMET.................................................................11ALDORIL-D50...........................................................11ALENDRONATE SODIUM........................................31ALENDRONATE SODIUM/VITAMIN D3...................31ALFERON N............................................................. 37ALFUZOSIN HCL..................................................... 53ALINIA...................................................................... 17ALISKIREN HEMIFUMARATE................................. 13ALISKIREN/AMLODIPIN/HCTHIAZIDE....................12ALISKIREN/AMLODIPINE BESYLATE.................... 13ALISKIREN/HYDROCHLOROTHIAZIDE................. 13ALISKIREN/VALSARTAN......................................... 13ALITRETINOIN.........................................................22ALKERAN.................................................................45ALL ABBOTT PRODUCTS (FREESTYLE ANDPRECISION TEST STRIPS).....................................24ALL BAYER PRODUCTS (CONTOUR AND BREEZETEST STRIPS)......................................................... 24ALLEGRA................................................................... 5ALLEGRA-D 12 HOUR...............................................5ALLEGRA-D 24 HOUR...............................................5ALLERX....................................................................15ALLFEN CD..............................................................16ALLFEN CDX........................................................... 16ALLOPURINOL........................................................ 34ALMOTRIPTAN MALATE......................................... 49ALOCRIL.................................................................. 33ALODOX...................................................................33ALOGLIPTIN BENZ/METFORMIN HCL...................23ALOGLIPTIN BENZ/PIOGLITZONE.........................23ALOGLIPTIN BENZOATE........................................ 24ALOMIDE..................................................................33ALOQUIN..................................................................17ALORA............................................................... 36, 59ALOSETRON HCL................................................... 44ALPHAGAN P(DROPS)(0.1 %)................................33ALPHAGAN P(DROPS)(0.15 %)..............................33ALPHANATE.......................................................34, 35ALPHANINE SD....................................................... 35ALPHAQUIN HP.......................................................23ALPRAZOLAM............................................................8ALPRAZOLAM INTENSOL.........................................8ALPROSTADIL......................................................... 30ALREX......................................................................32ALSUMA.............................................................49, 59ALTABAX.................................................................. 18ALTACE(CAP)...........................................................11ALTACE(TAB)........................................................... 11ALTERNATE SITE LANCING DEVICE(OTC)...........27ALTOPREV...................................................13, 59, 64ALTRETAMINE......................................................... 45ALUMINUM ACETATE............................................. 16ALUMINUM CHLORIDE...........................................20ALUVEA................................................................... 21ALVESCO............................................................. 7, 59ALVIMOPAN............................................................. 44AMANTADINE.......................................................... 50AMANTADINE HCL.................................................. 50AMARYL................................................................... 24AMBENONIUM CHLORIDE....................................... 7AMBIEN................................................................9, 59AMBIFED..................................................................15AMBIFED DM........................................................... 16AMBIFED-G..............................................................15AMBIFED-G DM....................................................... 16AMBRISENTAN........................................................ 12AMCINONIDE...........................................................18AMERGE............................................................ 49, 59AMERICAINE........................................................... 22AMERICET............................................................... 47AMETHYST........................................................ 14, 64AMICAR(SOLUTION)...............................................34AMICAR(TAB)(1000 MG)......................................... 34AMICAR(TAB)(500 MG)........................................... 34AMILORIDE HCL......................................................12AMILORIDE/HYDROCHLOROTHIAZIDE................ 12AMILORIDE-HYDROCHLOROTHIAZIDE................12AMINO AC/FA/MV-MN/DIETARY 2.......................... 55AMINO ACID CERVICAL......................................... 54AMINO ACIDS/MV,FE,OTHER MIN......................... 56AMINOBENZOATE POTASSIUM.............................57AMINOCAPROIC ACID............................................34AMINOLEVULINIC ACID HCL..................................46AMINOPHYLLINE.......................................................7AMINOSALICYLIC ACID..........................................40AMIODARONE HCL.................................................10AMITIZA..............................................................44, 59AMITRIP HCL/CHLORDIAZEPOXIDE....................... 8AMITRIPTYLINE HCL................................................ 8AMLODIPINE BES/OLMESARTAN MED................. 11AMLODIPINE BESYLATE........................................ 12AMLODIPINE BESYLATE/BENAZEPRIL.................10AMLODIPINE/ATORVASTATIN................................ 14AMLODIPINE/VALSARTAN...................................... 11AMLODIPINE/VALSARTAN/HCTHIAZID..................11AMMONIUM LACTATE.............................................20AMOX TR-POTASSIUM CLAVULANATE.................38AMOXAPINE.............................................................. 8AMOXICILLIN...........................................................38AMOXICILLIN TRIHYDRATE................................... 38AMOXICILLIN/POTASSIUM CLAV...........................38AMOXIL.................................................................... 38AMPICILLIN TRIHYDRATE...................................... 38AMPYRA............................................................ 46, 73AMRIX...................................................................... 51AMTURNIDE...................................................... 12, 73AMYL NITRITE.........................................................14ANACAINE............................................................... 22ANADROL-50........................................................... 36ANAFRANIL................................................................8ANAGRELIDE HCL.................................................. 35ANAKINRA............................................................... 41ANALPRAM E.......................................................... 43ANALPRAM HC........................................................43ANAMANTLE HC............................................... 43, 44ANAMANTLE HC FORTE........................................ 43ANAPROX................................................................ 43ANAPROX DS.......................................................... 43ANASTROZOLE.......................................................45ANCOBON................................................................39ANDRODERM(PATCH TD24)(2 MG/24 HR)............36ANDRODERM(PATCH TD24)(2.5MG/24HR)......36,7 3ANDRODERM(PATCH TD24)(4 MG/24 HR)......36, 73ANDRODERM(PATCH TD24)(5 MG/24 HR)......36, 73Page 75 of 91

IndexANDROGEL....................................................... 36, 73ANDROID................................................................. 36ANDROXY................................................................36ANGELIQ..................................................................36ANIMI-3.....................................................................56ANIMI-3 WITH VITAMIN D....................................... 56ANSAID.................................................................... 43ANTABUSE.................................................................8ANTARA................................................................... 14ANTHRALIN............................................................. 23ANTHRALIN MICRONIZED......................................23ANTIHEMOPH.FVIII PLAS/ALB FREE.................... 34ANTIHEMOPHILIC FACTOR, HUM REC.................34ANTIHEMOPHILIC FACTOR, HUMAN.............. 34, 35ANTIHEMOPHILIC FACTOR/VWF...........................35ANTI-INHIBITOR COAGULANT COMP................... 35ANTIPY/BENZOCAINE/POLICOS NO.1..................29ANTIPYRINE/BENZOCAIN/GLY/ZINC.....................29ANTIPYRINE/BENZOCAINE....................................29ANTIPYRINE/BENZOCAINE/GLYCERIN.................29ANTIPYRINE-BENZOCAINE....................................29ANTIVERT(TAB)(12.5 MG).........................................6ANTIVERT(TAB)(25 MG)............................................6ANTIVERT(TAB)(50 MG)............................................6ANZEMET(TAB)(100 MG).............................. 6, 59, 64ANZEMET(TAB)(50 MG)................................ 6, 59, 64APEXICON............................................................... 19APEXICON E............................................................19APIDRA.................................................................... 29APIDRA SOLOSTAR................................................ 29APIXABAN................................................................35APLENZIN...................................................... 7, 59, 64APOKYN.......................................................50, 59, 73APOMORPHINE HCL...............................................50APRACLONIDINE HCL............................................ 33APREPITANT......................................................... 5, 6APRI......................................................................... 14APRISO.................................................................... 43APTIVUS.................................................................. 40AQUA GLYCOLIC HC.............................................. 19AQUA LANCE LANCING DEVICE(OTC)................. 27AQUA-MEPHYTON.................................................. 36AQUAPHILIC W/TAC + CARBAMIDE...................... 19AQUAPHILIC W/TRIAMCINOLONE.........................19ARALEN PHOSPHATE............................................ 40ARANESP.......................................................... 35, 73ARAVA...................................................................... 42ARCALYST............................................................... 41ARCAPTA NEOHALER.................................. 6, 59, 64ARESTIN.................................................................. 46ARFORMOTEROL TARTRATE..................................6ARICEPT ODT............................................................7ARICEPT(TAB)(10 MG)..............................................7ARICEPT(TAB)(23 MG)..............................................7ARICEPT(TAB)(5 MG)................................................7ARIMIDEX................................................................ 45ARIPIPRAZOLE..................................................... 8, 9ARISTOCORT.......................................................... 42ARIXTRA.................................................................. 35ARMODAFINIL........................................................... 9ARMOUR THYROID.................................................32AROMASIN...............................................................45ARTEMETHER/LUMEFANTRINE............................ 40ARTHROTEC 50...................................................... 42ARTHROTEC 75...................................................... 42ASA/SALICYLAM/ACETAMINOPH/CAFF................47ASACOL................................................................... 43ASACOL HD.......................................................43, 64ASCENSIA AUTODISC(OTC).................................. 24ASCENSIA ELITE(OTC).................................... 24, 26ASCORBATE SODIUM............................................ 57ASCORBIC ACID..................................................... 57ASENAPINE MALEATE..............................................9ASMALPRED........................................................... 42ASMALPRED PLUS................................................. 42ASMANEX............................................................ 7, 59ASPIRIN................................................................... 47ASPIRIN/DIPYRIDAMOLE....................................... 35ASPIRIN/MEPROBAMATE.......................................47ASSURE 3(OTC)......................................................24ASSURE 4(OTC)......................................................25ASSURE DOSE(OTC)........................................24, 26ASSURE PRO(OTC)................................................ 24ASTELIN.........................................................5, 59, 65ASTEPRO...................................................... 5, 59, 65ASTRINGYN.............................................................36AT LAST(OTC)......................................................... 25ATACAND........................................................... 11, 65ATACAND HCT...................................................11, 65ATAZANAVIR SULFATE........................................... 41ATELVIA....................................................... 31, 59, 65ATENOLOL............................................................... 11ATENOLOL/CHLORTHALIDONE.............................12ATIVAN....................................................................... 8ATOMOXETINE HCL................................................10ATORVASTATIN CALCIUM...................................... 13ATOVAQUONE.........................................................40ATOVAQUONE/PROGUANIL HCL...........................40ATRALIN.............................................................17, 58ATRAPRO CP...........................................................20ATRAPRO DERMAL SPRAY....................................22ATRAPRO HYDROGEL........................................... 20ATRIDOX.................................................................. 46ATRIPLA................................................................... 41ATROPINE SULFATE.........................................34, 52ATROPINE SULFATE/PF......................................... 34ATROVENT.............................................................. 46ATROVENT HFA.................................................. 6, 59AUBAGIO........................................................... 46, 73AUGMENTIN ES-600............................................... 38AUGMENTIN(SUSP RECON)(125-31.25/).............. 38AUGMENTIN(SUSP RECON)(250-62.5/5).............. 38AUGMENTIN(SUSP RECON)(400-57MG/5)............38AUGMENTIN(TAB CHEW)....................................... 38AUGMENTIN(TAB)................................................... 38AURALGAN..............................................................29AURANOFIN.............................................................42AURAX..................................................................... 29AURSTAT................................................................. 20AUTO INJECTOR(OTC)...........................................27AUTODISC NORMAL(OTC).....................................26AUTO-LANCET MINI(OTC)......................................27AUTO-LANCET(OTC).............................................. 27AUTOLET IMPRESSION(OTC)................................28AUTOLET LANCING DEVICE(OTC)........................27AUTOLET LITE CLINISAFE(OTC)........................... 27AUTOLET LITE(OTC)...............................................27AUTOLET MINI(OTC)...............................................28AUTOLET MKII CLINISAFE(OTC)........................... 27AUVI-Q............................................................... 44, 65AVAGE......................................................................17AVALIDE(TAB)(150-12.5MG)....................................11AVALIDE(TAB)(300-12.5MG)....................................11AVALIDE(TAB)(300MG-25MG)................................. 11AVANDAMET......................................................24, 65AVANDARYL...................................................... 24, 65AVANDIA............................................................ 24, 65AVAPRO....................................................................11AVAR LS................................................................... 18AVAR-E LS............................................................... 18AVAR-E LS CREAM................................................. 18AVC...........................................................................54AVELOX....................................................................38AVELOX ABC PACK.................................................38AVIDOXY.................................................................. 39AVIDOXY DK............................................................ 39AVINZA..................................................................... 48AVITENE...................................................................36AVODART...........................................................53, 65AVONEX............................................................. 46, 65AVONEX ADMINISTRATION PACK...................46, 65AXERT..........................................................49, 59, 65AXID......................................................................... 53AXIRON..............................................................36, 73AXITINIB...................................................................45AYGESTIN................................................................37AZASAN................................................................... 37AZASITE...................................................................33AZATHIOPRINE....................................................... 37AZELAIC ACID......................................................... 16AZELAIC ACID/CERAMIDE 1,3,6-11....................... 16AZELASTINE HCL............................................... 5, 32AZELASTINE/FLUTICASONE....................................5AZELEX....................................................................16AZILECT.............................................................50, 59AZILSARTAN MED/CHLORTHALIDONE................. 11AZILSARTAN MEDOXOMIL..................................... 11AZITHROMYCIN................................................ 33, 38AZMACORT..........................................................7, 59AZOPT......................................................................33AZOR.................................................................. 11, 65AZTREONAM LYSINE..............................................37- B -B CMPLX 4/VIT D3/C/FA/ZINC OX.......................... 56B COMPLEX WITH VITAMIN C................................56B1/B2/B3/B5/B6/B12/IRON...................................... 56B1/B2/B3/B5/B6/B12/VIT C/FA.................................56B12/LEVOMEFOLATE CALCIUM/B-6......................56BACITRACIN............................................................33BACITRACIN/POLYMYXIN B SULFATE.................. 33BACLOFEN.............................................................. 51BACMIN....................................................................56BACTOCILL..............................................................38BACTRIM..................................................................37BACTROBAN........................................................... 17BACTROBAN NASAL.............................................. 46BALACET 325.................................................... 49, 59BALSALAZIDE DISODIUM...................................... 43BANZEL(ORAL SUSP).................................51, 59, 65BANZEL(TAB)(200 MG)............................... 51, 59, 65BANZEL(TAB)(400 MG)............................... 51, 59, 65BARACLUDE............................................................41BARBIDONNA..........................................................52B-CAINE/ZINC CL/PINE/CPYRD............................. 43B-COMPLEX.............................................................57BEBULIN.................................................................. 35BEBULIN VH IMMUNO............................................ 35BECAPLERMIN........................................................28BECLOMETHASONE DIPROPIONATE.................5, 6BECONASE AQ............................................. 5, 59, 65BELLADONNA ALKALOIDS.................................... 52BELLADONNA ALKALOIDS/PHENOBARB.............52BELLADONNA-OPIUM.............................................48BELLADONNA-PHENOBARBITAL.......................... 52BENAZEPRIL HCL................................................... 11BENAZEPRIL/HYDROCHLOROTHIAZIDE..............10BENCORT.......................................................... 16, 21BENDROFLUMETHIAZIDE......................................13BENEFIX.................................................................. 35BENICAR............................................................ 11, 65BENICAR HCT....................................................11, 65BENOXINATE HCL/FLUORESCEIN NA.................. 32BENPROX................................................................ 21BENSAL HP............................................................. 17BENTYL....................................................................52BENZ PEROX/HC/SKIN CLNSR NO.14.................. 21BENZAC W 10..........................................................21BENZAC W 5............................................................21BENZAC W WASH................................................... 21BENZACLIN..............................................................16BENZALKONIUM CHLORIDE..................................22BENZAMYCIN.......................................................... 17BENZASHAVE..........................................................21BENZEFOAM........................................................... 21BENZEFOAM ULTRA...............................................21BENZIQ.................................................................... 21BENZIQ LS...............................................................21BENZOCAINE.................................................... 22, 29BENZOCAINE/TAN AC/MENTH/CPYRD................. 43BENZOIC ACID/SALICYLIC ACID........................... 17BENZONATATE........................................................15BENZOTIC................................................................29BENZOYL PEROXIDE............................................. 21BENZOYL PEROXIDE MICROSPHERES............... 21BENZOYL PEROXIDE&SKIN CLEANSR5.............. 21BENZOYL PEROXIDE/ALOE VERA........................21BENZOYL PEROXIDE/BLEMISH CNCLR............... 21BENZOYL PEROXIDE/HYALURONT SOD..............21BENZOYL PEROXIDE/HYDROCORTISON............ 16BENZOYL PEROXIDE/SULFUR..............................21BENZOYL PEROXIDE/UREA.................................. 21BENZOYL PEROXIDE/VIT E MIX............................21BENZPHETAMINE HCL........................................... 57BENZTROPINE MESYLATE.................................... 50BENZYL ALCOHOL................................................. 18BEPOTASTINE BESILATE.......................................32BEPREVE.................................................................32BERACTANT............................................................ 46BERINERT..........................................................42, 73BESIFLOXACIN HCL............................................... 33BESIVANCE............................................................. 33BETADINE................................................................ 32BETAGAN.................................................................33BETAMETHASONE..................................................42BETAMETHASONE DIPROPIONATE......................18BETAMETHASONE DIPROPIONATE(CREAM)...... 18BETAMETHASONE DIPROPIONATE(GEL)............ 18BETAMETHASONE DIPROPIONATE(LOTION)...... 18BETAMETHASONE DIPROPIONATE(OINT)...........18BETAMETHASONE VALERATE...............................18BETAMETHASONE/PROPYLENE GLYC................ 19BETAPACE............................................................... 12BETASERON......................................................46, 65BETAXOLOL HCL...............................................11, 33BETHANECHOL CHLORIDE................................... 45BETIMOL..................................................................34BETOPTIC S............................................................ 33Page 76 of 91

IndexBEXAROTENE................................................... 22, 46BEYAZ................................................................ 14, 65BIAXIN......................................................................38BICALUTAMIDE....................................................... 45BICHLORACETIC ACID...........................................21BIDIL.........................................................................13BIFERA RX...............................................................55BILTRICIDE.............................................................. 40BIMATOPROST..................................................33, 34BINOSTO......................................................31, 59, 65BIO GLO...................................................................34BIOCLATE................................................................ 34BIONECT..................................................................22BISAC/NACL/NAHCO3/KCL/PEG 3350...................44BISMUTH SAL/METRONID/TETRACYC................. 53BISMUTH/METRONID/TETRACYCLINE.................53BISOPROLOL FUMARATE...................................... 11BISOPROLOL FUMARATE/HCTZ........................... 12BLEPHAMIDE.......................................................... 33BLEPHAMIDE S.O.P................................................ 33BLOOD GLUCOSE CNTL HI & NORMAL................24BLOOD GLUCOSE CONTROL HIGH&LOW......24,2 5BLOOD GLUCOSE CONTROL(OTC)......................24BLOOD SUGAR DIAGNOSTIC................................24BLOODDIABETIC SUPPLIES,MISCELL................. 25BLOOD-GLUCOSE CALIB. CONTROL................... 25BLOOD-GLUCOSE CONTROL(OTC)......................26BLOOD-GLUCOSE CONTROL, HIGH.....................25BLOOD-GLUCOSE CONTROL, LOW................25, 26BLOOD-GLUCOSE CONTROL, NORMAL........ 26, 27BLOOD-GLUCOSE METER.....................................27BOCEPREVIR.......................................................... 41BONIVA(TAB)(150 MG)............................................ 31BONIVA(TAB)(2.5 MG)................................. 31, 59, 65BONTRIL PDM......................................................... 57BONTRIL SLOW-RELEASE.....................................57BOSENTAN.............................................................. 12BOSULIF............................................................ 45, 73BOSUTINIB.............................................................. 45BP WASH................................................................. 21BP-50% UREA......................................................... 21BPM............................................................................5BPM PSEUDO..........................................................15BPS.......................................................................... 21BRAVELLE............................................................... 30BREEZE 2(OTC)................................................ 25, 26BREZE......................................................................21BRILINTA............................................................35, 59BRIMONIDINE TARTRATE...................................... 33BRIMONIDINE TARTRATE/TIMOLOL......................33BRINZOLAMIDE.......................................................33BROMDAY................................................................32BROMFED DM......................................................... 16BROMFENAC SODIUM........................................... 32BROMOCRIPTINE MESYLATE......................... 23, 50BROMPHENIRA/PSEUDOEPHED/CODEIN........... 15BROMPHENIRAM/PE/DIHYDROCODEINE............ 15BROMPHENIRAMIN/PE/CODEINE......................... 15BROMPHENIRAMINE MALEATE.............................. 5BROMPHENIRAMINE TANNATE...............................5BROMPHENIRAMINE/DIPHENHYDRAM..................5BRONCOMAR GG..................................................... 6BRONCOMAR-1.........................................................6BRONCOTRON-D....................................................16BROVANA............................................................ 6, 59BROVEX.....................................................................5BROVEX CT...............................................................5BROVEX PB C......................................................... 15BROVEX PB CX.......................................................15BROVEX SR.............................................................15BUCALCIDE............................................................. 46BUCALSEP.............................................................. 43BUDESONIDE...................................................5-7, 42BUDESONIDE/FORMOTEROL FUMARATE............. 6BUMETANIDE.......................................................... 12BUPAP......................................................................46BUPHENYL.............................................................. 44BUPRENEX..............................................................49BUPRENORPHINE.................................................. 47BUPRENORPHINE HCL.......................................... 49BUPRENORPHINE HCL/NALOXONE HCL.............49BUPROBAN..............................................................51BUPROPION HBR......................................................7BUPROPION HCL................................................7, 51BUSPAR..................................................................... 8BUSPIRONE HCL...................................................... 8BUSULFAN...............................................................45BUTABARBITAL SODIUM..........................................9BUTALB/ACETAMINOPHEN/CAFFEINE................. 47BUTALBIT/ACETAMIN/CAFF/CODEINE..................49BUTALBITAL/ACETAMINOPHEN...................... 46, 47BUTALBITAL/ASPIRIN/CAFFEINE.......................... 47BUTALBITAL-ACETAMINOPHEN-CAFFE............... 47BUTALBITAL-ASPIRIN-CAFFEINE.......................... 47BUTENAFINE HCL...................................................17BUTISOL SODIUM.....................................................9BUTOCONAZOLE NITRATE....................................54BUTORPHANOL TARTRATE................................... 47BUTRANS.......................................................... 47, 59BUTYLATED HYDROXYTOLUENE......................... 16BUTYLATED HYDROXYTOLUENE(BHT)............... 16BYDUREON....................................................... 23, 59BYETTA(PEN INJCTR)(10MCG/0.04)..........23, 59, 65BYETTA(PEN INJCTR)(5MCG/0.02)............23, 59, 65BYSTOLIC................................................................ 12- C -C1 ESTERASE INHIBITOR......................................42CA CARB/D3/B-12/FA/B6/POLICOS........................56CABERGOLINE........................................................32CABOZANTINIB S-MALATE.................................... 45CADEXOMER IODINE............................................. 16CADUET.............................................................14, 59CAFCIT.......................................................................7CAFERGOT........................................................49, 59CAFFEINE CITRATED............................................... 7CAL CARB/MGOX/D3/B12/FA/B6/BOR................... 54CALAFOL RX........................................................... 56CALCIPOTRIENE...............................................23, 65CALCIPOTRIENE/BETAMETHASONE....................23CALCITONIN,SALMON,SYNTHETIC...................... 31CALCITRIOL...................................................... 23, 57CALCIUM ACETATE................................................ 30CALCIUM CARBONATE/MAG CARB/FA.................30CALFACTANT...........................................................46CALOMIST............................................................... 57CAMBIA..............................................................49, 59CAMILA.................................................................... 15CAMPRAL.................................................................. 8CAMRESE................................................................14CANASA...................................................................43CANDESARTAN CILEXETIL.................................... 11CANDESARTAN/HYDROCHLOROTHIAZID............11CANTIL.....................................................................53CAPECITABINE........................................................45CAPEX SHAMPOO.................................................. 19CAPITAL W-CODEINE............................................. 49CAPOTEN.................................................................11CAPRELSA........................................................ 45, 73CAPSAICIN.............................................................. 21CAPSAICIN/SKIN CLEANSER................................ 21CAPSICUM...............................................................21CAPTOPRIL..............................................................11CAPTOPRIL/HYDROCHLOROTHIAZIDE................10CAPTOPRIL-HYDROCHLOROTHIAZIDE............... 10CARAC..................................................................... 22CARAFATE(ORAL SUSP)........................................ 53CARAFATE(TAB)......................................................53CARBACHOL........................................................... 33CARBAGLU..............................................................44CARBAMAZEPINE...............................................8, 50CARBATROL............................................................ 50CARBIDOPA.............................................................50CARBIDOPA/LEVODOPA........................................ 50CARBIDOPA/LEVODOPA/ENTACAPONE...............50CARBINOXAMINE MALEATE.............................. 5, 58CARBIT/EQUIS XT/ETHAN/CHIT/MSM...................22CARDENE SR.......................................................... 12CARDIZEM CD.........................................................12CARDIZEM LA..........................................................12CARDURA................................................................10CARDURA XL...........................................................11CAREONE(OTC)......................................................27CARESENS N(EACH)(OTC)....................................27CARESENS(OTC)....................................................26CARGLUMIC ACID...................................................44CARISOPRODOL.....................................................51CARISOPRODOL COMPOUND.............................. 51CARISOPRODOL COMPOUND-CODEINE.............47CARISOPRODOL/ASPIRIN..................................... 51CARMOL HC............................................................ 19CARMOL SCALP..................................................... 20CARMUSTINE IN POLIFEPROSAN 20................... 45CARTEOLOL HCL....................................................33CARVEDILOL........................................................... 10CARVEDILOL PHOSPHATE.................................... 10CASODEX................................................................ 45CATAFLAM............................................................... 42CATAPRES............................................................... 11CATAPRES-TTS 1.................................................... 11CATAPRES-TTS 2.................................................... 11CATAPRES-TTS 3.................................................... 11CAVERJECT.......................................................30, 59CAYSTON...........................................................37, 73C-CLARIFYING SERUM.......................................... 22CEDAX..................................................................... 38CEENU..................................................................... 45CEFACLOR.............................................................. 37CEFADROXIL...........................................................37CEFADROXIL HYDRATE......................................... 37CEFDINIR.................................................................37CEFDITOREN PIVOXIL........................................... 37CEFIXIME.................................................................37CEFPODOXIME PROXETIL.................................... 37CEFPROZIL..............................................................37CEFTIBUTEN DIHYDRATE......................................38CEFTIN(SUSP RECON)...........................................37CEFTIN(TAB)............................................................37CEFUROXIME AXETIL............................................ 37CELEBREX.................................................. 42, 58, 65CELECOXIB............................................................. 42CELESTONE............................................................ 42CELEXA..................................................................... 7CELLCEPT(CAP)..................................................... 37CELLCEPT(SUSP RECON).....................................37CELLCEPT(TAB)...................................................... 37CELLULOSE,OXIDIZED.......................................... 36CELONTIN................................................................51CENESTIN................................................................36CENFOL................................................................... 57CENOLATE...............................................................57CENTANY AT........................................................... 17CEPHALEXIN...........................................................37CERON-DM..............................................................16CERTOLIZUMAB PEGOL........................................ 43CERVIDIL................................................................. 15CESAMET...................................................... 6, 59, 66CETACAINE............................................................. 22CETACAINE ANESTHETIC......................................22CETACAINE MEDICAL KIT E.................................. 22CETIRIZINE HCL........................................................5CETRAXAL...............................................................29CETRORELIX ACETATE..........................................31CETROTIDE.............................................................31CEVI-FER.................................................................55CEVIMELINE HCL....................................................45CHANTIX............................................................51, 59CHEMSTRIP BG DIARY(OTC)................................ 27CHEMSTRIP UGK(OTC)..........................................29CHENODAL..............................................................44CHENODIOL............................................................ 44CHILDRENS FEVER................................................44CHLORAL HYDRATE.................................................9CHLORAMBUCIL..................................................... 45CHLORDIAZEPOXIDE...............................................8CHLORDIAZEPOXIDE HCL.......................................8CHLORDIAZEPOXIDE/CLIDINIUM BR....................53CHLORDIAZEPOXIDE-AMITRIPTYLINE...................8CHLORHEXIDINE GLUCONATE............................. 46CHLOROQUINE PHOSPHATE................................ 40CHLOROTHIAZIDE..................................................13CHLOROXYLENOL/BENZOC/HYDROCORT..........30CHLOROXYLENOL/GLYC/PRAMOX/ZINC............. 29CHLOROXYLENOL/PRAMOXINE HCL...................29CHLOROXYLENOL-PRAMOXINE HCL...................29CHLORPHENIRAMINE MALEATE.............................5CHLORPHENIRAMINE TANNATE.............................5CHLORPHENIRAMINE/CODEINE PHOS..........15, 16CHLORPROMAZINE HCL..........................................9CHLORPROPAMIDE................................................24CHLORTHALIDONE.................................................13CHLORZOXAZONE................................................. 51CHLORZOXAZONE W/ACETAMINOPHEN.............51CHLORZOXAZONE/ACETAMINOPHEN................. 51CHOICEDM CLARUS CONTROL SOLN(OTC)....... 26CHOLESTYRAMINE (WITH SUGAR)......................13CHOLESTYRAMINE/ASPARTAME..........................13CHOLINE MAG TRISALICYLATE............................ 47CHOLINE SAL/MAG SALICYLATE.......................... 47CHORIONIC GONADOTROPIN...............................30CHORIONIC GONADOTROPIN, HUMAN............... 30CHROMAGEN FA.....................................................55CIALIS(TAB)(10 MG).......................................... 30, 59CIALIS(TAB)(2.5 MG)......................................... 30, 59CIALIS(TAB)(20 MG).......................................... 30, 59CIALIS(TAB)(5 MG)............................................ 30, 59CICLESONIDE....................................................... 5, 7Page 77 of 91

IndexCICLODAN............................................................... 17CICLOPIROX............................................................17CICLOPIROX OLAMINE.......................................... 17CICLOPIROX/NAIL LACQ/FT DEOD#4...................17CICLOPIROX/SKIN CLEANSER NO.28.................. 17CICLOPIROX/URE/CAMPH/MENTH/EUC...............17CICLOPIROX/VITE/NAIL LACQ REMO...................17CILOSTAZOL............................................................35CILOXAN(DROPS)...................................................33CILOXAN(OINT).......................................................33CIMETIDINE.............................................................53CIMETIDINE HCL.....................................................53CIMZIA................................................................43, 73CINACALCET HCL...................................................31CINERARIA 3X.........................................................34CINRYZE.................................................................. 42CIPRO...................................................................... 38CIPRO HC................................................................ 29CIPRO XR................................................................ 38CIPRODEX...............................................................29CIPROFLOXACIN.................................................... 38CIPROFLOXACIN HCL................................ 29, 33, 38CIPROFLOXACIN HCL/DEXAMETH....................... 29CIPROFLOXACIN/CIPROFLOXA HCL....................38CIPROFLOXACIN/HYDROCORTISONE................. 29CITALOPRAM HYDROBROMIDE..............................7CITRATE PHOSPHATE DEXTROSE.......................35CITRATE-PHOS-DEX SOLUTION........................... 35CITRIC ACID/G-LACTONE/MAG CARB.................. 53CITRIC ACID/SODIUM CITRATE.............................53CITRIC/CITRONELLYL/HYDROX/METH.................18CLARAVIS................................................................ 16CLARINEX(SYRUP).......................................5, 59, 66CLARINEX(TAB RDP DIS)............................. 5, 59, 66CLARINEX(TAB).............................................5, 59, 66CLARINEX-D 12 HOUR................................. 5, 59, 66CLARINEX-D 24 HOUR................................. 5, 59, 66CLARITHROMYCIN................................................. 38CLEANSE & TREAT PLUS.......................................21CLEANSE AND TREAT............................................21CLEMASTINE FUMARATE........................................ 5CLEOCIN HCL..........................................................40CLEOCIN T...............................................................17CLEOCIN(CREAM/APPL)........................................ 54CLEOCIN(SUPP VAG)............................................. 54CLEVER CHOICE CONTROL SOLUTION(OTC)......25, 26CLIMARA............................................................36, 59CLIMARA PRO...................................................36, 59CLINAC BPO............................................................21CLINDACIN ETZ.......................................................17CLINDACIN PAC...................................................... 17CLINDAGEL............................................................. 17CLINDAMYCIN HCL.................................................40CLINDAMYCIN PALMITATE HCL.............................40CLINDAMYCIN PHOS/BENZOYL PEROX.............. 16CLINDAMYCIN PHOS/SKIN CLNSR 19.................. 17CLINDAMYCIN PHOSPHATE............................ 17, 54CLINDAMYCIN/BENZ PER/HYALUR NA.................16CLINDAMYCIN/TRETINOIN.....................................16CLINDAMYCIN-BENZOYL PEROXIDE................... 16CLINDAREACH........................................................17CLINDESSE............................................................. 54CLINORIL................................................................. 43CLINPRO 5000.........................................................54CLIOQUINOL/HYDROCORTISONE........................ 16CLIOQUINOL/HYDROCORTISONE/PRAM.............17CLOBAZAM..............................................................50CLOBETA................................................................. 23CLOBETA + PLUS....................................................23CLOBETASOL EMOLLIENT.....................................19CLOBETASOL PROPIONATE..................................19CLOBETASOL PROPIONATE/COAL TAR...............23CLOBETASOL PROPIONATE/EMOLL.................... 19CLOBEX(LOTION)................................................... 19CLOBEX(SHAMPOO).............................................. 19CLOBEX(SPRAY).....................................................19CLOCORTOLONE PIVALATE.................................. 19CLODERM................................................................19CLOMIPHENE CITRATE..........................................30CLOMIPRAMINE HCL................................................8CLONAZEPAM......................................................... 50CLONIDINE.............................................................. 11CLONIDINE HCL.......................................... 10, 11, 47CLONIDINE HCL/CHLORTHALIDONE.................... 11CLONIDINE HCL/PF................................................ 47CLOPIDOGREL BISULFATE....................................35CLORAZEPATE DIPOTASSIUM................................ 8CLORPRES.............................................................. 11CLOTRIMAZOLE................................................17, 39CLOTRIMAZOLE/BETAMETHASONE DIP..............17CLOZAPINE............................................................... 9CLOZARIL............................................................ 9, 59COAGULATION FACTOR VIIA,RECOMB................35COAL TAR................................................................ 21COARTEM................................................................40COCAINE HCL......................................................... 22CODEINE PHOS/ACETAMINOPHEN...................... 49CODEINE PHOSPHATE.......................................... 47CODEINE SULFATE.................................................47CODEINE/BUTALBITAL/ASA/CAFFEIN...................49CODEINE/CARISOPRODOL/ASPIRIN....................47COGNEX.................................................................... 7COLAZAL................................................................. 43COLCHICINE............................................................34COLCHICINE/PROBENECID...................................34COLCRYS................................................................ 34COLESEVELAM HCL...............................................13COLESTID................................................................13COLESTIPOL HCL...................................................13COLLAGEN.............................................................. 23COLLAGENASE CLOSTRIDIUM HIST.................... 22COLY-MYCIN S........................................................ 29COMBIGAN.............................................................. 33COMBIPATCH.................................................... 36, 59COMBIVENT.............................................................. 6COMBIVENT RESPIMAT........................................... 6COMBIVIR................................................................41COMBUNOX.............................................................47COMETRIQ........................................................ 45, 73COMFORT PAC-CYCLOBENZAPRINE...................51COMFORT PAC-IBUPROFEN................................. 43COMFORT PAC-MELOXICAM.................................43COMFORT PAC-NAPROXEN.................................. 43COMFORT PAC-TIZANIDINE.................................. 51COMPAZINE...............................................................6COMPLERA..............................................................41COMTAN.................................................................. 50CONCERTA(TAB ER 24H)(18 MG)..............10, 58, 59CONCERTA(TAB ER 24H)(27 MG)..............10, 58, 59CONCERTA(TAB ER 24H)(36 MG)..............10, 58, 59CONCERTA(TAB ER 24H)(54 MG)..............10, 58, 59CONDYLOX(GEL)....................................................21CONDYLOX(SOLUTION).........................................21CONSTANT CLENS................................................. 22CONTOUR NEXT CONTROL SOLUTION(OTC)......2 6CONTOUR(OTC)................................................25, 26CONTROL SOLUTION(OTC).............................25, 26CONZIP........................................................ 49, 59, 66COPAXONE..............................................................46COPEGUS................................................................41CORAZ..................................................................... 19CORDRAN................................................................19CORDRAN SP..........................................................19COREG.....................................................................10COREG CR.............................................................. 10CORGARD............................................................... 12CORIFACT................................................................35CORTANE-B.............................................................29CORTEF................................................................... 42CORTENEMA...........................................................44CORTIFOAM............................................................ 44CORTISONE ACETATE........................................... 42CORTISPORIN.........................................................18CORTISPORIN-TC...................................................29CORVITA.................................................................. 56CORVITE..................................................................56CORVITE 150...........................................................55CORVITE FE............................................................ 55CORVITE FREE....................................................... 56CORZIDE..................................................................12COSOPT...................................................................33COTAB A.................................................................. 15COTAB AX................................................................15COUMADIN.............................................................. 34COVERA-HS............................................................ 12COZAAR................................................................... 11CPM 12.......................................................................5CREON.....................................................................51CREON 10................................................................51CREON 20................................................................51CREON 5..................................................................51CRESTOR(TAB)(10 MG)..............................13, 59, 66CRESTOR(TAB)(20 MG)..............................13, 59, 66CRESTOR(TAB)(40 MG)..............................13, 59, 66CRESTOR(TAB)(5 MG)................................13, 59, 66CRESYL ACE/BEN ALC/BUTANOL/IPA.................. 29CRESYLATE.............................................................29CRINONE................................................................. 30CRIXIVAN................................................................. 41CRIZOTINIB............................................................. 45CROFELEMER.........................................................44CROMOLYN SODIUM..........................................7, 33CROTAMITON..........................................................18C-THERAPY NIGHT CREAM...................................23CUPRIMINE..............................................................41CUROSURF............................................................. 46CUTIVATE................................................................ 19CUVPOSA................................................................ 53CYANOCOBALAMIN................................................ 57CYANOCOBALAMIN (VITAMIN B-12)......................57CYANOCOBALAMIN INJECTION............................ 57CYANOCOBALAMIN/FA/PYRIDOXINE................... 56CYANOCOBALAMIN/MECOBALAMIN.................... 57CYANOCOBALAMIN/THIAMINE..............................57CYANOCOBALAMIN/VIT BCOMP&C...................... 57CYCLOBENZ HCL/IRR CNTR-IRR CB2..................51CYCLOBENZAPRINE HCL...................................... 51CYCLOGYL(DROPS)(0.5 %)................................... 34CYCLOGYL(DROPS)(1 %)...................................... 34CYCLOGYL(DROPS)(2 %)...................................... 34CYCLOMYDRIL........................................................34CYCLOPENTOLATE HCL........................................ 34CYCLOPENTOLATE/PHENYLEPHRINE.................34CYCLOPHOSPHAMIDE...........................................45CYCLOSERINE........................................................40CYCLOSET........................................................ 23, 66CYCLOSPORINE............................................... 33, 37CYCLOSPORINE, MODIFIED..................................37CYMBALTA...........................................................8, 59CYPROHEPTADINE HCL.......................................... 5CYSTAGON..............................................................53CYSTEAMINE BITARTRATE....................................53CYSTOSPAZ-M........................................................ 52CYTOMEL................................................................ 32CYTOTEC.................................................................53CYTRA-2.................................................................. 53CYTRA-3.................................................................. 54CYTRA-K..................................................................54- D -D.H.E.45............................................................. 49, 59DABIGATRAN ETEXILATE MESYLATE.................. 35DALFAMPRIDINE.....................................................46DALIRESP......................................................7, 59, 66DALLERGY-JR......................................................... 15DALTEPARIN SODIUM,PORCINE...........................35DANAZOL.................................................................32DANTRIUM...............................................................51DANTROLENE SODIUM..........................................51DAPSONE.......................................................... 16, 40DARAPRIM...............................................................40DARBEPOETIN ALFA IN POLYSORBAT.................35DARIFENACIN HYDROBROMIDE...........................54DARUNAVIR ETHANOLATE.................................... 40DARVOCET A500.............................................. 49, 59DARVOCET-N 100............................................. 49, 59DARVOCET-N 50............................................... 49, 59DARVON.................................................................. 49DARVON-N...............................................................49DASATINIB............................................................... 45DAYPRO...................................................................43DAYTRANA........................................................ 10, 59DAZIDOX..................................................................48DDAVP......................................................................31DDAVP(AMPUL)(15 MCG/ML)................................. 31DDAVP(AMPUL)(4MCG/ML).................................... 31DDAVP(SOLUTION).................................................31DDAVP(TAB)............................................................ 31DECADRON............................................................. 32DECLOMYCIN..........................................................39DEGARELIX ACETATE............................................ 45DELATESTRYL.................................................. 36, 73DELAVIRDINE MESYLATE...................................... 41DELOS..................................................................... 21DELTUSS DMX........................................................ 16DELZICOL.......................................................... 43, 66DEMADEX................................................................12DEMECARIUM BROMIDE....................................... 33DEMECLOCYCLINE HCL........................................ 39DEMEROL................................................................48DEMSER...................................................................11DENAVIR.................................................................. 18DEPAKENE.............................................................. 51DEPAKOTE ER........................................................ 50DEPEN..................................................................... 41DEPODUR................................................................48Page 78 of 91

IndexDEPO-PROVERA.....................................................14DEPO-SUBQ PROVERA 104.................................. 14DEPO-TESTOSTERONE(VIAL)(100 MG/ML)......36,7 3DEPO-TESTOSTERONE(VIAL)(200 MG/ML)......36,7 3DEPRIZINE...............................................................53DERMA-SMOOTHE-FS............................................19DERMATOP..............................................................19DERMOTIC...............................................................29DESIPRAMINE HCL...................................................8DESIRUDIN..............................................................35DESLORATADINE......................................................5DESLORATADINE/PSEUDOEPHEDRINE.................5DESMOPRESSIN (NONREFRIGERATED)............. 31DESMOPRESSIN ACETATE....................................31DESOGESTREL-ETHINYL ESTRADIOL.................14DESOG-ET ESTRA/ETHIN ESTRA......................... 14DESONATE.............................................................. 19DESONIDE...............................................................19DESONIDE/EMOLLIENT COMBO NO.3..................19DESONIDE/EMOLLIENT COMBO.NO 28................19DESONIDE/EMOLLIENT COMBO.NO 30................19DESONIL..................................................................19DESONIL + PLUS.................................................... 19DESOWEN............................................................... 19DESOXIMETASONE................................................ 19DESOXYN............................................................ 8, 59DESVENLAFAXINE SUCCINATE.............................. 8DETROL............................................................. 54, 66DETROL LA........................................................54, 66DEXAMETHASONE........................................... 32, 42DEXAMETHASONE INTENSOL.............................. 42DEXAMETHASONE SOD PHOSPHATE................. 32DEXASOL.................................................................32DEXCHLORPHENIRAMINE MALEATE..................... 5DEXEDRINE.........................................................8, 59DEXILANT.................................................... 53, 59, 66DEXLANSOPRAZOLE............................................. 53DEXMETHYLPHENIDATE HCL............................... 10DEXPAK................................................................... 42DEXTROAMPHETAMINE SULFATE..........................8DEXTROAMPHETAMINE/AMPHETAMINE............... 8DEXTROMETHORPHAN HBR/QUINIDINE.............46DHCODEINE BT/ACETAMINOPHN/CAFF.............. 47DHT.......................................................................... 57DIABETA...................................................................24DIABETIC SUPPLIES,MISCELL.............................. 27DIALYVITE 3000.......................................................57DIALYVITE 5000.......................................................57DIALYVITE 800 WITH IRON.................................... 56DIALYVITE SUPREME D......................................... 57DIALYVITE ZINC...................................................... 57DIAMOX SEQUELS................................................. 33DIAPHRAGM FITTING SET,ARCSPRNG................15DIAPHRAGMS, ARC-SPRING.................................15DIAPHRAGMS, COIL SPRING................................ 15DIAPHRAGMS, FLAT SPRING................................ 15DIAPHRAGMS, WIDE SEAL....................................15DIASCREEN 10(OTC)..............................................29DIASCREEN 2GK REAGENT(OTC)........................ 29DIASCREEN 3 REAGENT(OTC)............................. 29DIASCREEN 4OBL(OTC).........................................29DIASCREEN 5(OTC)................................................29DIASCREEN 6(OTC)................................................29DIASCREEN 7(OTC)................................................29DIASCREEN 8(OTC)................................................29DIASCREEN 9(OTC)................................................29DIASTAT............................................................. 50, 59DIASTAT ACUDIAL(KIT)(12.5-15-20).................50, 59DIASTAT ACUDIAL(KIT)(5-7.5-10MG)...............50, 59DIATX ZN..................................................................57DIAZEPAM............................................................8, 50DIAZOXIDE.............................................................. 28DIBENZYLINE.......................................................... 11DICHLOROACETIC ACID........................................21DICHLOROTETRAFLUOROETHANE..................... 22DICLOFENAC EPOLAMINE.....................................20DICLOFENAC POTASSIUM...............................42, 49DICLOFENAC SODIUM......................... 20, 22, 32, 42DICLOFENAC SODIUM/MISOPROSTOL................42DICLOXACILLIN SODIUM....................................... 38DICOPANOL...............................................................5DICYCLOMINE HCL.................................................52DIDANOSINE........................................................... 41DIDREX.................................................................... 57DIDRONEL............................................................... 31DIETHYLPROPION HCL..........................................57DIFENOXIN HCL/ATROPINE SULFATE.................. 44DIFFERIN(CREAM)............................................17, 58DIFFERIN(GEL W/PUMP)..................................17, 58DIFFERIN(GEL)(0.1 %)......................................17, 58DIFFERIN(GEL)(0.3 %)......................................17, 58DIFFERIN(LOTION)........................................... 17, 58DIFFERIN(MED SWAB)..................................... 17, 58DIFICID.........................................................38, 59, 66DIFIL-G FORTE..........................................................6DIFLORASONE DIACETATE................................... 19DIFLORASONE DIACETATE/EMOLL...................... 19DIFLUCAN................................................................39DIFLUNISAL.............................................................47DIFLUPREDNATE.................................................... 32DIGEX NF.................................................................52DIGOXIN...................................................................10DIHYDROCODEINE/ASPIRIN/CAFFEIN.................47DIHYDROCODEINE-BPM-PE..................................15DIHYDROERGOTAMINE MESYLATE..................... 49DIHYDROTACHYSTEROL.......................................57DILANTIN................................................................. 51DILANTIN(CAP)(100 MG)........................................ 51DILANTIN(CAP)(30 MG).......................................... 51DILANTIN-125.......................................................... 51DILATRATE-SR........................................................ 14DILAUDID.................................................................48DILAUDID(AMPUL)(1 MG/ML).................................48DILAUDID(AMPUL)(2 MG/ML).................................48DILAUDID(AMPUL)(4 MG/ML).................................48DILAUDID-HP...........................................................48DILEX-G 200.............................................................. 6DILEX-G(LIQUID).......................................................6DILEX-G(TAB)............................................................ 6DILTIAZEM 24HR ER............................................... 12DILTIAZEM HCL....................................................... 12DINOPROSTONE.....................................................15DIOVAN.............................................................. 11, 66DIOVAN HCT............................................................ 11DIOXYBENZONE/HYDROQUINONE...................... 22DIOXYBENZONE/PDO/HYDROQUINONE..............22DIPENTUM.........................................................43, 66DIPHENHYDRAMINE HCL........................................ 5DIPHENHYDRAMINE TANNATE............................... 5DIPHENOXYLATE HCL/ATROPINE........................ 44DIPHENOXYLATE-ATROPINE................................ 44DIPIVEFRIN HCL..................................................... 34DIPROLENE.............................................................19DIPROLENE AF....................................................... 19DIPYRIDAMOLE.......................................................35DISOPYRAMIDE PHOSPHATE............................... 10DISULFIRAM..............................................................8DIURIL......................................................................13DIVALPROEX SODIUM............................................50DIVIGEL................................................................... 36DM/PHENYLEPH/CHLORPHENIRAMINE...............16D-METHORPHAN HB/P-EPD HCL/BPM................. 16D-METHORPHAN HB/PROMETH HCL................... 16DOCUSATE SODIUM/FA/MV&IRON/MIN................55DOFETILIDE.............................................................10DOLASETRON MESYLATE....................................... 6DOLGIC PLUS......................................................... 47DOLOPHINE HCL.................................................... 48DONATUSS XP........................................................ 16DONEPEZIL HCL....................................................... 7DONNATAL...............................................................52DORAL....................................................................... 9DORNASE ALFA...................................................... 46DORYX..................................................................... 39DORZOLAMIDE HCL............................................... 33DORZOLAMIDE HCL/TIMOLOL MALEAT............... 33DOVONEX..........................................................23, 66DOXAZOSIN MESYLATE...................................10, 11DOXEPIN HCL................................................. 8, 9, 20DOXERCALCIFEROL.............................................. 31DOXYCYCLINE CALCIUM.......................................39DOXYCYCLINE HYCLATE.................................39, 46DOXYCYCLINE MONOHY/SKIN CLNSR9.............. 39DOXYCYCLINE MONOHYDRATE...........................39DOXYCYCLINE/EYELID CLNS NO.2&3..................33DOXYCYCLINE/OMEGA-3 #1/EYE MSK................ 39DOXYCYCLINE/SALICY/OCT/ZINC OX..................39DOXYCYCLINE/SKIN CLEANSER #19................... 39DOXYLAMINE SUCCINATE.......................................5DRISDOL..................................................................57DRITHOCREME HP...........................................23, 66DRITHO-SCALP.......................................................23DRONABINOL............................................................6DRONEDARONE HCL............................................. 10DROPLET LANCING DEVICE(OTC)....................... 28DROSPIR/ETH ESTRA/LEVOMEFOL CA............... 14DROSPIRENONE/ESTRADIOL............................... 36DROXIA....................................................................35DRYSOL................................................................... 20DUALVIT F................................................................55DUETACT........................................................... 24, 66DUEXIS........................................................ 42, 59, 66DULERA............................................................... 6, 59DULOXETINE HCL.....................................................8DUONEB.................................................................... 6DURABAC................................................................ 47DURAGESIC...................................................... 47, 59DURAMORPH.......................................................... 48DURASAL.................................................................21DURAXIN..................................................................47DUREZOL.................................................................32DUTASTERIDE.........................................................53DUTASTERIDE/TAMSULOSIN HCL........................ 53DUTOPROL..............................................................12DYAZIDE.................................................................. 12DYGASE...................................................................51DYLIX......................................................................... 7DYMISTA........................................................ 5, 59, 66DYNACIN..................................................................39DYNACIRC CR.........................................................12DYPHYLLINE............................................................. 7DYRENIUM...............................................................12DYTAN........................................................................5- E -E AC SUCC/FA/VIT BCOMP&C/ZN/SE................... 56E.E.S. 200................................................................ 38EASPRIN..................................................................47EASY CHECK CONTROL SOLUTION(OTC)......25,2 6EASY CHECK(OTC).................................................26EASY CLICK(OTC)...................................................28EASY STEP(OTC)..............................................25, 26EASY TALK(OTC).................................................... 25EASY TOUCH LANCING DEVICE(OTC)................. 28EASY TOUCH(OTC)................................................ 24EASY TRAK(OTC)..............................................25, 26EASYGLUCO PLUS CONTROL NORMAL(OTC)......2 6EASYMAX SPEAKING(OTC)...................................26EASYMAX(OTC)................................................ 25, 26ECHOTHIOPHATE IODIDE......................................33ECLIPSE CONTROL SOLUTION(OTC).............25, 26ECLIPSE(OTC).........................................................26EC-NAPROSYN....................................................... 43ECONAZOLE NITRATE........................................... 17EDARBI...............................................................11, 66EDARBYCLOR................................................... 11, 66EDECRIN..................................................................12EDEX..................................................................30, 59EDLUAR......................................................... 9, 59, 66EDURANT................................................................ 41EFALIZUMAB........................................................... 23EFAVIRENZ.............................................................. 41EFAVIRENZ/EMTRICITAB/TENOFOVIR................. 41EFFER-K.................................................................. 30EFFIENT.............................................................35, 59EFLORNITHINE HCL............................................... 23EFUDEX................................................................... 22EGRIFTA............................................................ 31, 73ELDEPRYL............................................................... 50ELDOPAQUE FORTE.............................................. 23ELECT WTR/SOD CH/SOD HY/HYP AC.................22ELEMENT COMPACT CONTROL SOLN(OTC)......25, 26ELEMENT CONTROL SOLUTION(OTC)...........25, 26ELEMENT PLUS CONTROL SOLUTION(OTC)......25, 26ELESTAT.................................................................. 32ELESTRIN................................................................ 36ELETRIPTAN HBR................................................... 49ELIDEL......................................................... 23, 58, 66ELIGARD..................................................................31ELIMITE....................................................................18ELIQUIS....................................................... 35, 59, 73ELLA.........................................................................15ELMIRON................................................................. 54ELOCON...................................................................19ELTROMBOPAG OLAMINE..................................... 35ELVITEGR/COBICIST/EMTRIC/TENOF.................. 41EMADINE................................................................. 32EMBEDA...................................................................48EMBRACE GLUCOSE CONTROL SOLN(OTC)......26EMCYT..................................................................... 46EMEDASTINE DIFUMARATE.................................. 32EMEND(CAP DS PK)........................................... 5, 59Page 79 of 91

IndexEMEND(CAP)(125 MG)........................................6, 59EMEND(CAP)(40 MG)..........................................6, 59EMEND(CAP)(80 MG)..........................................6, 59EMERSAL................................................................ 21EMGEL..................................................................... 17EMLA........................................................................22EMOL53/NAMGFS/HA/NAHYPOCHLORIT............. 20EMOLLIENT #43/SKIN CLEANSER#27.................. 20EMOLLIENT COMBINATION NO. 25.......................20EMOLLIENT COMBINATION NO.10........................20EMOLLIENT COMBINATION NO.32........................20EMOLLIENT COMBINATION NO.35........................20EMOLLIENT COMBINATION NO.38........................20EMOLLIENT COMBINATION NO.43........................20EMOLLIENT COMBINATION NO.44........................20EMOLLIENT COMBINATION NO.47........................20EMOLLIENT COMBINATION NO.48........................20EMOLLIENT COMBINATION NO.53........................20EMOLLIENT COMBINATION NO.57........................20EMOLLIENT COMBINATION NO.60........................20EMOLLIENT COMBO NO.47 & NO.60.................... 20EMOLLIENT NO.35/SKIN CLNSRNO.7...................20EMSAM.................................................................9, 59EMTRICITAB/RILPIVIRINE/TENOFOV....................41EMTRICITABINE...................................................... 41EMTRICITABINE/TENOFOVIR................................ 41EMTRIVA.................................................................. 41EMULSION SB......................................................... 20ENABLEX........................................................... 54, 66ENALAPRIL MALEATE.............................................11ENALAPRIL/HYDROCHLOROTHIAZIDE................ 10ENALAPRIL-HYDROCHLOROTHIAZIDE................10ENBREL............................................................. 42, 73ENCORA.................................................................. 56ENDACOF-C............................................................ 15ENDO-AVITENE....................................................... 36ENDOMETRIN..........................................................30ENFUVIRTIDE..........................................................41ENJUVIA...................................................................36ENOXAPARIN SODIUM........................................... 35ENTACAPONE......................................................... 50ENTECAVIR............................................................. 41ENTEREG................................................................ 44ENTOCORT EC........................................................42ENVISION(OTC).................................................25, 26ENZALUTAMIDE...................................................... 45ENZYMAX................................................................ 52EPIDUO....................................................................16EPIFOAM..................................................................22EPINASTINE HCL.................................................... 32EPINEPHRINE............................................... 6, 44, 45EPIPEN.................................................................... 44EPIPEN 2-PAK......................................................... 44EPIPEN JR............................................................... 45EPIPEN JR 2-PAK.................................................... 45EPIQUIN MICRO......................................................22EPIVIR HBV............................................................. 41EPIVIR(SOLUTION)................................................. 41EPIVIR(TAB).............................................................41EPLERENONE......................................................... 12EPOETIN ALFA........................................................ 35EPOGEN............................................................ 35, 73EPROSARTAN MESYLATE......................................11EPROSARTAN/HYDROCHLOROTHIAZIDE............11EPZICOM................................................................. 41EQUAGESIC............................................................ 47EQUETRO..................................................................8ERGOCALCIFEROL (VITAMIN D2)......................... 57ERGOLOID MESYLATES........................................ 14ERGOMAR......................................................... 49, 59ERGONOVINE MALEATE........................................15ERGOTAMINE TARTRATE...................................... 49ERGOTAMINE TARTRATE/CAFFEINE....................49ERGOTRATE............................................................15ERIVEDGE......................................................... 45, 73ERLOTINIB HCL.......................................................45ERTACZO.................................................................18ERY E-SUCC/SULFISOXAZOLE............................. 38ERYPED 200............................................................ 38ERYPED 400............................................................ 38ERY-TAB...................................................................38ERYTHROCIN STEARATE...................................... 38ERYTHROMYCIN...............................................17, 38ERYTHROMYCIN BASE.............................. 17, 33, 38ERYTHROMYCIN BASE/ETHANOL........................ 17ERYTHROMYCIN ETHYLSUCCINATE................... 38ERYTHROMYCIN ETHYLSUCCINATE(SUSPRECON)....................................................................38ERYTHROMYCIN ETHYLSUCCINATE(TAB).......... 38ERYTHROMYCIN STEARATE.................................38ERYTHROMYCIN/BENZOYL PEROXIDE............... 17ERYTHROMYCIN-SULFISOXAZOLE......................38ESCITALOPRAM OXALATE...................................... 7ESGIC-PLUS(CAP).................................................. 47ESGIC-PLUS(TAB)...................................................47ESKALITH.................................................................. 8ESOMEPRAZOLE MAGNESIUM.............................53ESTAZOLAM.............................................................. 9ESTRACE...........................................................36, 54ESTRADERM..................................................... 36, 59ESTRADIOL....................................................... 36, 54ESTRADIOL ACETATE...................................... 36, 54ESTRADIOL VALERATE/DIENOGEST....................14ESTRADIOL/LEVONORGESTREL..........................36ESTRADIOL/NORETHINDRONE ACET..................36ESTRADIOL/NORGESTIMATE................................36ESTRADIOL-NORETHINDRONE ACETAT..............36ESTRAMUSTINE PHOSPHATE SODIUM............... 46ESTRASORB............................................................36ESTRATEST.............................................................36ESTRING............................................................54, 59ESTROGEL.............................................................. 36ESTROGEN & METHYLTESTOSTERONE............. 36ESTROGEN,CON/M-PROGEST ACET................... 36ESTROGEN,ESTER/ME-TESTOSTERONE............36ESTROGENS, CONJUGATED...........................36, 54ESTROGENS,CONJ.,SYNTHETIC A.......................36ESTROGENS,CONJ.,SYNTHETIC B.......................36ESTROGENS,ESTERIFIED.....................................36ESTROPIPATE......................................................... 36ESZOPICLONE.......................................................... 9ETANERCEPT..........................................................42ETHACRYNIC ACID.................................................12ETHAMBUTOL HCL................................................. 40ETHAVERINE HCL...................................................14ETHCHLORVYNOL....................................................9ETHINYL ESTRADIOL/DROSPIRENONE...............14ETHIONAMIDE.........................................................40ETHOSUXIMIDE...................................................... 50ETHOTOIN............................................................... 50ETHYL CHLORIDE...................................................22ETHYNODIOL D-ETHINYL ESTRADIOL.................14ETIDRONATE DISODIUM........................................31ETODOLAC.............................................................. 43ETONOGESTREL/ETHINYL ESTRADIOL...............14ETOPOSIDE.............................................................45ETRAVIRINE............................................................ 41EURAX..................................................................... 18EVAMIST.................................................................. 36EVENCARE G2(OTC).............................................. 24EVENCARE G3(OTC).............................................. 24EVENCARE(OTC)....................................................24EVEROLIMUS.................................................... 37, 45EVICEL.....................................................................36EVISTA............................................................... 31, 59EVOCLIN..................................................................17EVOLUTION CONTROL SOLUTION(OTC).............27EVOXAC...................................................................45EXACTACAIN........................................................... 22EXALGO...................................................................48EXELDERM..............................................................18EXELON(CAP)........................................................... 7EXELON(PATCH TD24)(13.3MG/24H)...................... 7EXELON(PATCH TD24)(4.6MG/24HR)......................7EXELON(PATCH TD24)(9.5MG/24HR)......................7EXELON(SOLUTION)................................................ 7EXEMESTANE......................................................... 45EXENATIDE..............................................................23EXENATIDE MICROSPHERES............................... 23EXFORGE.......................................................... 11, 67EXFORGE HCT.................................................. 11, 67EXODERM................................................................18EXTAVIA............................................................. 46, 67EZ SMART(OTC)................................................ 25-27EZETIMIBE...............................................................13EZETIMIBE/SIMVASTATIN.......................................13EZOGABINE.............................................................50- F -FA/MULTIVITS-MIN/MIN AA CHEL.......................... 56FA/MU-VITS-MIN TH/LYCOPENE/LUT....................56FA/NIACINAMIDE/CUPRIC OX/ZN OX....................56FA/VIT BCOMP&C/SE/MIN AA/ZN...........................57FACTIVE...................................................................38FACTOR IX...............................................................35FACTOR IX COMPLEX HUMAN.............................. 35FACTOR IX HUMAN RECOMBINANT..................... 35FACTOR XIII.............................................................35FAC-X....................................................................... 56FAMCICLOVIR......................................................... 40FAMOTIDINE............................................................53FAMVIR.................................................................... 40FANAPT(TAB DS PK).....................................9, 59, 67FANAPT(TAB).................................................9, 59, 67FANATREX............................................................... 50FANSIDAR................................................................40FARESTON.............................................................. 46FAZACLO....................................................... 9, 59, 67FE BISGLY/FE P/DOSS/C/FA/MV 14.......................55FE FUM/DOSS NA/C/E/B12-IF/FA...........................55FE FUMARATE/CAL/E/FA/MULTIVIT.......................55FE FUMARATE/DOSS/FA/BCOMP&C.....................55FE FUMARATE/FA/MV, MIN COMB#15...................55FE FUMARATE/FA/VIT BCOMP&C......................... 56FE FUMARATE/FE PS CMPLX/FA.......................... 55FE FUMARATE/VIT C/B12/STOMC......................... 55FE FUMARATE/VIT C/B12-IF/FA............................. 55FE HEME POLYPEPTIDE/FOLIC ACID...................55FEBUXOSTAT.......................................................... 34FEIBA NF..................................................................35FEIBA VH IMMUNO................................................. 35FELBAMATE.............................................................50FELBATOL(ORAL SUSP).............................50, 59, 67FELBATOL(TAB)(400 MG)........................... 50, 60, 67FELBATOL(TAB)(600 MG)........................... 50, 60, 67FELDENE................................................................. 43FELODIPINE............................................................ 12FELODIPINE ER...................................................... 12FEMARA...................................................................45FEMHRT(TAB)(0.5MG-2.5)...................................... 37FEMHRT(TAB)(1MG-5MCG)....................................37FEMRING........................................................... 54, 60FEMTABS................................................................. 56FEMTRACE..............................................................36FENOFIBRATE.........................................................13FENOFIBRATE NANOCRYSTALLIZED.............13, 14FENOFIBRATE,MICRONIZED................................. 14FENOFIBRIC ACID.................................................. 14FENOFIBRIC ACID (CHOLINE)...............................14FENOGLIDE.......................................................13, 67FENOPROFEN CALCIUM........................................43FENTANYL............................................................... 47FENTANYL CITRATE............................................... 47FENTORA...........................................................47, 73FERAHEME..............................................................55FERIVA..................................................................... 55FEROCON................................................................55FERRALET 90 DUAL-IRON..................................... 55FERRAPLUS 90....................................................... 55FERREX 150 FORTE PLUS.....................................55FERREX 28.............................................................. 55FERRIC AMCIT/CYANOCOBALAMIN/FA................ 55FERRIC AMCIT/LYS/VIT B COMP/FA..................... 55FERRIC SUBSULFATE............................................ 36FERROGELS FORTE.............................................. 55FERRO-PLEX HEMATINIC...................................... 55FERROUS FUMARATE/FOLIC ACID...................... 55FERROUS FUMARATE/VIT C/B12-IF......................55FERROUS FUMARATE/VIT C/FA............................ 55FERROUS SULF/FA/VIT B & C NO.8...................... 55FERROUS SULFATE/FA/VIT BCOMP&C................ 55FERROUS SULFATE/VIT C/FA................................55FERUMOXYTOL...................................................... 55FESOTERODINE FUMARATE.................................54FETRIN.....................................................................55FEXMID.................................................................... 51FEXOFENADINE HCL................................................5FEXOFENADINE/PSEUDOEPHEDRINE...................5FIBRICOR.................................................................14FIBRINOGEN/THROMBIN (HUM PLAS)................. 36FIDAXOMICIN.......................................................... 38FILGRASTIM............................................................ 35FINACEA.................................................................. 16FINACEA PLUS........................................................16FINASTERIDE..........................................................53FINGOLIMOD HCL...................................................46FIORICET.................................................................47FIORICET WITH CODEINE..................................... 49FIORINAL WITH CODEINE #3.................................49FIRAZYR............................................................ 42, 73FIRMAGON.............................................................. 45FIRST-BXN...............................................................39FIRST-DUKE'S......................................................... 39FIRST-HYDROCORTISONE.................................... 19FIRST-LANSOPRAZOLE......................................... 53FIRST-MARY'S.........................................................39FIRST-OMEPRAZOLE............................................. 53FIRST-PROGESTERONE VGS 100........................ 30Page 80 of 91

IndexFIRST-PROGESTERONE VGS 200........................ 30FIRST-PROGESTERONE VGS 25.......................... 30FIRST-PROGESTERONE VGS 400........................ 30FIRST-PROGESTERONE VGS 50.......................... 30FIRST-TESTOSTERONE......................................... 36FIRST-TESTOSTERONE MC.................................. 36FLAGYL....................................................................40FLAGYL ER..............................................................40FLAREX....................................................................32FLAVOXATE HCL.....................................................54FLECAINIDE ACETATE........................................... 10FLECTOR................................................................. 20FLEXERIL.................................................................51FLEXTRA PLUS....................................................... 47FLOMAX...................................................................53FLONASE.............................................................5, 60FLO-PRED................................................................42FLOVENT DISKUS(DISK W/DEV)(100 MCG)......7,6 0FLOVENT DISKUS(DISK W/DEV)(250 MCG)......7,6 0FLOVENT DISKUS(DISK W/DEV)(50 MCG)....... 7, 60FLOVENT HFA(AER W/ADAP)(110MCG)............7, 60FLOVENT HFA(AER W/ADAP)(220 MCG).......... 7, 60FLOVENT HFA(AER W/ADAP)(44MCG)............. 7, 60FLOXIN.....................................................................29FLU VACCINE 2012 (2-49YRS)............................... 37FLUCONAZOLE....................................................... 39FLUCYTOSINE.........................................................39FLUDARABINE PHOSPHATE..................................45FLUDROCORTISONE ACETATE.............................42FLUMADINE.............................................................40FLUMIST.................................................................. 37FLUNISOLIDE...................................................... 5, 60FLUNISOLIDE/MENTHOL..........................................7FLUOCINOLONE ACETONIDE............................... 19FLUOCINOLONE ACETONIDE OIL.........................29FLUOCINOLONE/EMOL CMB#65........................... 19FLUOCINOLONE/SHOWER CAP............................19FLUOCINOLONE/SKIN CLNSR28...........................19FLUOCINOLONE/TRETINOIN/H-QUIN................... 22FLUOCINONIDE.......................................................19FLUORESCEIN SODIUM.........................................34FLUORESCEIN-PROPARACAINE...........................33FLUORESCEIN-PROPARACAINE HCL.................. 33FLUORETS...............................................................34FLUORIDE(TAB CHEW)(0.25(0.55))........................54FLUORIDE(TAB CHEW)(1MG(2.2MG))................... 54FLUORIDE/IRON/VIT A,C&D...................................56FLUORIDEX SENSITIVITY RELIEF.........................54FLUOR-I-STRIP AT.................................................. 34FLUOROMETHOLONE............................................32FLUOROMETHOLONE ACETATE...........................32FLUOROPLEX......................................................... 22FLUOROURACIL......................................................22FLUOXETINE HCL.....................................................7FLUOXYMESTERONE.............................................36FLUPHENAZINE HCL................................................ 9FLURANDRENOLIDE.............................................. 19FLURA-SAFE........................................................... 34FLURAZEPAM HCL....................................................9FLURBIPROFEN......................................................43FLURBIPROFEN SODIUM.......................................32FLURESS................................................................. 32FLUTAMIDE..............................................................45FLUTICASONE FUROATE.........................................5FLUTICASONE PROPIONATE........................ 5, 7, 19FLUTICASONE/SALMETEROL................................. 6FLUVASTATIN SODIUM...........................................13FLUVOXAMINE MALEATE........................................ 7FML...........................................................................32FML FORTE............................................................. 32FML S.O.P................................................................ 32FOCALIN............................................................ 10, 60FOCALIN XR................................................ 10, 58, 60FOLAST....................................................................57FOLBIC.....................................................................56FOLBIC RF...............................................................56FOLGARD OS.......................................................... 54FOLIC ACID..............................................................54FOLIC ACID/B COMPLEX & C NO.17..................... 57FOLIC ACID/MULTIVITS-MIN.................................. 56FOLIC ACID/MU-VITS-MIN TH................................ 56FOLIC ACID/MV,FE,OTHER MIN.............................56FOLIC ACID/VIT BCOMP&C/CU/ZNOX...................57FOLIC ACID/VITAMIN B COMP W-C.......................57FOLIC ACID/VITAMIN B6/VIT B12...........................57FOLLISTIM AQ.........................................................30FOLLITROPIN ALFA, RECOMB...............................30FOLLITROPIN BETA,RECOMB............................... 30FOLPACE RX........................................................... 57FONDAPARINUX SODIUM...................................... 35FORA LANCING DEVICE(OTC).............................. 28FORADIL........................................................ 6, 60, 67FORFIVO XL.................................................. 7, 60, 67FORMOTEROL FUMARATE......................................6FORTAVIT.................................................................56FORTEO.............................................................31, 60FORTESTA.........................................................36, 73FORTICAL................................................................ 31FOSAMAX PLUS D.................................................. 31FOSAMAX(SOLUTION)..................................... 31, 60FOSAMAX(TAB)....................................................... 31FOSAMPRENAVIR CALCIUM..................................41FOSFOMYCIN TROMETHAMINE............................38FOSINOPRIL SODIUM.............................................11FOSINOPRIL/HYDROCHLOROTHIAZIDE.............. 10FOSINOPRIL-HYDROCHLOROTHIAZIDE..............10FOSRENOL..............................................................30FRAGMIN(DISP SYRINGE)..................................... 35FRAGMIN(VIAL)(10000/ML).................................... 35FRAGMIN(VIAL)(25000/ML).................................... 35FREESTYLE CONTROL SOLUTION(OTC).......24, 27FRENADOL.............................................................. 47FROVA..........................................................49, 60, 67FROVATRIPTAN SUCCINATE................................. 49FUL-GLO.................................................................. 34FULVICIN U/F...........................................................39FULYZAQ..................................................... 44, 60, 67FUMATINIC.............................................................. 55FUNGOID & HC........................................................17FURACIN..................................................................17FURADANTIN...........................................................38FURAZOLIDONE......................................................38FUROSEMIDE..........................................................12FUROXONE............................................................. 38FUSION PLUS..........................................................55FUZEON...................................................................41- G -GABAPENTIN.................................................... 46, 50GABAPENTIN ENACARBIL..................................... 46GABITRIL(TAB)(12 MG)............................... 51, 60, 67GABITRIL(TAB)(16 MG)............................... 51, 60, 67GABITRIL(TAB)(2 MG)................................. 51, 60, 67GABITRIL(TAB)(4 MG)................................. 51, 60, 67GALANTAMINE HBR..................................................7GAMMAKED.......................................................37, 73GAMUNEX-C......................................................37, 73GANCICLOVIR...................................................32, 40GANIRELIX ACETATE............................................. 31GANTRISIN.............................................................. 37GARAMYCIN............................................................33GASTRINEX NF....................................................... 52GASTROCROM..........................................................7GATIFLOXACIN........................................................33GATTEX..............................................................44, 73GAVILYTE-C.............................................................44GE100 CONTROL SOLUTION NORMAL(OTC)...... 27GEBAUER'S 114...................................................... 22GEFITINIB................................................................ 45GELATIN...................................................................34GELATIN SPONGE,ABSORBABLE......................... 36GELFILM.................................................................. 34GELFOAM................................................................ 36GELFOAM PACKS................................................... 36GEL-KAM..................................................................54GELNIQUE......................................................... 54, 67GEMFIBROZIL......................................................... 14GEMIFLOXACIN MESYLATE...................................38GENADUR................................................................22GENERESS FE........................................................ 15GENERLAC..............................................................44GENOTROPIN....................................................31, 73GENT VIOLET/BRLNT GRN/PROFLAV...................17GENTAMICIN SULFATE.....................................17, 33GENTAMICIN/PREDNISOL AC................................32GENTLE DRAW(OTC)............................................. 28GEODON..............................................................9, 60GIANVI............................................................... 14, 67GIAZO................................................................ 43, 67GILENYA............................................................ 46, 73GLATIRAMER ACETATE..........................................46GLEEVEC...........................................................45, 73GLIADEL.................................................................. 45GLIMEPIRIDE...........................................................24GLIPIZIDE................................................................ 24GLIPIZIDE/METFORMIN HCL................................. 24GLUCAGEN..............................................................28GLUCAGON EMERGENCY KIT.............................. 28GLUCAGON,HUMAN RECOMBINANT................... 28GLUCOCARD 01 CONTROL(OTC)......................... 27GLUCOCARD EXPRESSION(OTC)........................ 27GLUCOCARD X-METER CONTROL(OTC).............27GLUCOCOM CONTROL SOLUTION(OTC).......25, 27GLUCOLAB CONTROL(OTC)............................ 25-27GLUCOLEADER(OTC).......................................27, 28GLUCOLET 2(OTC)................................................. 28GLUCOPHAGE........................................................ 24GLUCOSE CONTROL SOLUTION(OTC)................ 27GLUCOSE CONTROL(OTC)....................................27GLUCOSOURCE(OTC)............................................28GLUCOTROL........................................................... 24GLUCOVANCE.........................................................24GLUMETZA........................................................ 24, 67GLUTETHIMIDE.........................................................9GLUTOFAC-MX........................................................55GLYBURIDE............................................................. 24GLYBURIDE,MICRONIZED..................................... 24GLYBURIDE/METFORMIN HCL.............................. 24GLYCERIN................................................................12GLYCEROL PHENYLBUTYRATE............................ 44GLYCINE.................................................................. 39GLYCOPYRROLATE................................................53GLYNASE................................................................. 24GLYSET....................................................................23GMATE CONTROL SOLUTION(OTC)............... 25, 27GOLIMUMAB............................................................42GOLYTELY............................................................... 44GONADORELIN ACETATE...................................... 32GONAL-F..................................................................30GONAL-F RFF..........................................................30GORDO-UREA...................................................21, 23GRALISE(TAB ER 24H)(300 MG)................ 46, 60, 67GRALISE(TAB ER 24H)(300-600 MG)......... 46, 60, 67GRALISE(TAB ER 24H)(600 MG)................ 46, 60, 67GRANISETRON......................................................... 6GRANISETRON HCL................................................. 6GRIFULVIN V........................................................... 39GRISEOFULVIN ULTRAMICROSIZE.......................39GRISEOFULVIN,MICROSIZE.................................. 39GRIS-PEG................................................................ 39GUAIACOL............................................................... 20GUAIFEN/THEOP ANHYD/P-EPHED........................6GUAIFENESIN/CODEINE PHOSPHATE................. 16GUAIFENESIN/DM/PSEUDOEPHEDRINE..............16GUAIFENESIN/DYPHYLLINE....................................6GUAIFENESIN/PSEUDOEPHEDRNE HCL.............15GUAIFENESIN/THEOPHYLLINE...............................6GUAIFENESIN-CODEINE........................................16GUANABENZ ACETATE...........................................11GUANFACINE HCL............................................ 10, 11GUANIDINE HCL......................................................45GYNAZOLE-1...........................................................54- H -HALCINONIDE......................................................... 19HALCION....................................................................9HALFAN....................................................................40HALFLYTELY-BISACODYL...................................... 44HALOBETASOL PROPIONATE............................... 19HALOBETASOL/AMMONIUM LACTATE..................19HALOBETASOL/LACTIC ACID................................ 19HALOFANTRINE HCL..............................................40HALOG..................................................................... 19HALONATE...............................................................19HALOPERIDOL.......................................................... 9HALOPERIDOL LACTATE......................................... 9HALOPROGIN..........................................................17HALOTIN.................................................................. 17HC/PRAMOX HCL/CL-XYLENOL/WATER...............29HC/PRAMOXINE HCL/CHLOROXYLENOL.............29HC/PRAMOXINE/CHLOROXYLENOL/BAK.............29HCG ALPHA,RECOMBINANT................................. 30HCTZ/RESERPINE/HYDRALAZINE........................ 11HEALTHY ACCENTS AUTOLET(OTC)....................28HECORIA................................................................. 37HECTOROL..............................................................31HELIDAC.................................................................. 53HELISTAT................................................................. 23HELITENE................................................................ 36HELIXATE FS........................................................... 34HEMASEEL APR(KIT)(1 ML)................................... 36HEMASEEL APR(KIT)(2 ML)................................... 36HEMASEEL APR(KIT)(5ML).................................... 36HEMATINIC PLUS....................................................55HEMATOGEN...........................................................55HEMATRON............................................................. 55HEMATRON-AF........................................................55Page 81 of 91

IndexHEMOCYTE............................................................. 56HEMOCYTE PLUS...................................................55HEMOCYTE-F..........................................................55HEMOFIL M..............................................................34HEPARIN FLUSH..................................................... 35HEPARIN SOD,PORCINE-0.9 % NACL...................35HEPARIN SODIUM...................................................35HEPARIN SODIUM IN 5% DEXTROSE................... 35HEPARIN SODIUM,PORCINE................................. 35HEPARIN SODIUM,PORCINE/D5W........................ 35HEPARIN SODIUM,PORCINE/NS........................... 35HEPARIN SODIUM,PORCINE/NS/PF......................35HEPARIN SODIUM,PORCINE/PF............................35HEPARIN SODIUM-NS............................................ 35HEP-LOCK............................................................... 35HEP-PAK CVC..........................................................35HEPSERA................................................................ 41HEXACHLOROPHENE............................................ 17HEXALEN.................................................................45HISTEX SR...............................................................15HISTRELIN AC...................................................31, 32HIZENTRA..........................................................37, 73HOMATROPAIRE..................................................... 34HOMATROPINE HBR...............................................34HOMEOPATHIC DRUGS................................... 34, 44HORIZANT................................................... 46, 60, 67HPR.......................................................................... 20HPR PLUS................................................................20HUM INSULIN NPH/REG INSULIN HM................... 28HUMALOG................................................................29HUMALOG MIX 50-50..............................................29HUMALOG MIX 75-25..............................................29HUMATE-P............................................................... 35HUMATROPE..................................................... 31, 73HUMIRA..............................................................42, 73HUMORSOL.............................................................33HUMULIN 50-50(OTC)............................................. 28HUMULIN 70-30(OTC)............................................. 28HUMULIN N(OTC)....................................................29HUMULIN R..............................................................29HUMULIN R(OTC)....................................................29HYALURO/DL-E AC/E12/ALLAN/SHEA...................20HYALURON SOD/ALLANTOIN/ALOE XT................ 22HYALURONATE SODIUM........................................22HYALURONATE SODIUM/HE-CELL/PEG............... 22HYCAMTIN...............................................................45HYCET............................................................... 47, 60HYDRALAZINE HCL.................................................11HYDRALAZINE/HYDROCHLOROTHIAZID............. 11HYDRALAZINE/RESERPIN/HCTZ...........................11HYDRA-ZIDE............................................................ 11HYDREA...................................................................45HYDRO.....................................................................29HYDRO 35................................................................21HYDROCHLOROTHIAZIDE.....................................13HYDROCHLOROTHIAZIDE/RESERPINE............... 11HYDROCODONE BIT/ACETAMINOPHEN........ 47, 48HYDROCODONE BIT/HOMATROP ME-BR............ 16HYDROCODONE BIT-IBUPROFEN........................ 47HYDROCODONE/CHLORPHEN POLIS..................16HYDROCODONE/IBUPROFEN...............................47HYDROCODONE-ACETAMINOPHEN(CAP)......47,6 0HYDROCODONE-ACETAMINOPHEN(SOLUTION)(10-325/CUP)......47,6 0HYDROCODONE-ACETAMINOPHEN(SOLUTION)(2.5-167/5)...... 47, 60HYDROCODONE-ACETAMINOPHEN(SOLUTION)(5-163/7.5)...... 47, 60HYDROCODONE-ACETAMINOPHEN(SOLUTION)(5-334MG/10)......47,6 0HYDROCODONE-ACETAMINOPHEN(SOLUTION)(7.5-500/CP)......47,6 0HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-300MG)...............................................................47, 60HYDROCODONE-ACETAMINOPHEN(TAB)(2.5-325MG).....................................................................47HYDROCODONE-ACETAMINOPHEN(TAB)(2.5-500MG).....................................................................47, 60HYDROCODONE-ACETAMINOPHEN(TAB)(5MG-300MG)...............................................................48, 60HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-300MG)...............................................................48, 60HYDROCODONE-HOMATROPINE MBR................ 16HYDROCORT/PRAMOXIN/EMOL/PRAM#1............43HYDROCORT/PRAMOXN/SKN CLNSR#16............43HYDROCORT/SAL ACID/SULF/SHMP#1................19HYDROCORTISONE................................... 19, 42, 44HYDROCORTISONE AC/LIDOCAINE......... 22, 43, 44HYDROCORTISONE ACETATE.............................. 44HYDROCORTISONE ACETATE/ALOE V................ 19HYDROCORTISONE ACETATE/UREA................... 19HYDROCORTISONE BUTYRATE........................... 19HYDROCORTISONE BUTYRATE/EMOLL.............. 19HYDROCORTISONE PROBUTATE.........................19HYDROCORTISONE VALERATE............................ 19HYDROCORTISONE/ALOE POL/IODOQU............. 17HYDROCORTISONE/EMOL NO.45.........................19HYDROCORTISONE/IODOQUIN/ALOE#2..............17HYDROCORTISONE/IODOQUINOL....................... 17HYDROCORTISONE/LIDOCAINE/ALOE................ 43HYDROCORTISONE/LIDOCAINE/CLNS6.............. 22HYDROCORTISONE/PRAMOXINE.............22, 43, 44HYDROCORTISONE/PRAMOXINE/ALOE.............. 22HYDROCORTISONE/PRAMOXINE/EMOLL............22HYDROCORTISONE/SAL ACID/SULFUR...............19HYDROCORTISONE/SKIN CLNSR #25..................19HYDROCORTISONE-ACETIC ACID....................... 29HYDROCORTISONE-IODOQUINOL....................... 17HYDROCORTISONE-PRAMOXINE...................43, 44HYDROFLUMETHIAZIDE........................................ 13HYDROGEN PEROXIDE......................................... 22HYDRO-IODOQUINOL 2-1...................................... 17HYDROMORPHONE HCL....................................... 48HYDROMORPHONE HCL/PF..................................48HYDROQUINONE..............................................22, 23HYDROQUINONE MICROSPHERES......................22HYDROQUINONE/ASCORBIC ACID.......................22HYDROQUINONE/AVOBENZ/OCTINOX.................23HYDROQUINONE/FERRIC OXIDE......................... 23HYDROQUINONE/VIT C/VIT E ACET..................... 23HYDROXOCOBALAMIN.......................................... 57HYDROXYAMPHETAMINE/TROPICAMIDE............ 34HYDROXYCHLOROQUINE SULFATE.................... 40HYDROXYPROPYL CELLULOSE........................... 34HYDROXYUREA................................................35, 45HYDROXYZINE HCL..................................................5HYDROXYZINE PAMOATE........................................5HYLASE................................................................... 22HYLATOPIC..............................................................20HYLATOPIC PLUS................................................... 20HYOPHEN................................................................38HYOSC SUL/PHENYLTOLOXAMINE CIT............... 52HYOSCYAMINE....................................................... 52HYOSCYAMINE SULFATE.......................................52HYOSCYAMINE SULFATE(CAP ER 12H)............... 52HYOSCYAMINE SULFATE(DROPS)....................... 52HYOSCYAMINE SULFATE(ELIXIR).........................52HYOSCYAMINE SULFATE(TAB ER 12H)................52HYOSCYAMINE SULFATE(TAB MPHASE)............. 52HYOSCYAMINE SULFATE(TAB RDP DIS)..............52HYOSCYAMINE SULFATE(TAB SUBL)................... 52HYOSCYAMINE SULFATE(TAB)..............................52HYPOLANCE(OTC)..................................................28HYZAAR................................................................... 11- I -IBANDRONATE SODIUM.........................................31IBUPROFEN.............................................................43IBUPROFEN/FAMOTIDINE......................................42IBUPROFEN/IRR CNT-IRRIT CMB #2.....................43IBUPROFEN/OXYCODONE HCL............................ 47ICATIBANT ACETATE.............................................. 42ICLUSIG............................................................. 45, 73ICOSAPENT ETHYL................................................ 14ICY HOT(OTC)......................................................... 21I-FOL PLUS.............................................................. 55ILEVRO.................................................................... 32ILOPERIDONE........................................................... 9ILOPROST................................................................12IMATINIB MESYLATE.............................................. 45IMDUR......................................................................14IMIPRAMINE HCL...................................................... 8IMIPRAMINE PAMOATE............................................ 8IMIQUIMOD..............................................................37IMITREX............................................................. 49, 60IMITREX(CARTRIDGE)......................................49, 60IMITREX(PEN INJCTR)(4 MG/0.5ML)............... 49, 60IMITREX(PEN INJCTR)(6 MG/0.5ML)............... 49, 60IMITREX(TAB).................................................... 49, 60IMITREX(VIAL)...................................................49, 60IMMUNE GLOB,GAM CAPRYLATE(IGG)................37IMMUNE GLOBULIN,GAMMA(IGG)........................ 37IMURAN....................................................................37INCIVEK............................................................. 41, 73INCONTROL LANCING DEVICE(OTC)................... 28INCRELEX..........................................................31, 73INDACATEROL MALEATE.........................................6INDAPAMIDE............................................................13INDERAL LA.............................................................12INDINAVIR SULFATE............................................... 41INDOCIN...................................................................43INDOCIN SR.............................................................43INDOMETHACIN......................................................43INFASURF................................................................46INFERGEN......................................................... 41, 73INFINITY CONTROL SOLUTION(OTC)..............25-27INFLUENZA A (H1N1) 2009.....................................37INFLUENZA A(H1N1)VAC 2009 LIVE......................37INFLUENZA VACC,TRI 2008(LIVE)......................... 37INFLUENZA VACC,TRI 2009 (LIVE)........................ 37INFLUENZA VACC,TRI 2010 (LIVE)........................ 37INFLUENZA VACC,TRI 2011 (LIVE)........................ 37INGENOL MEBUTATE............................................. 22INLYTA................................................................45, 73INNOHEP................................................................. 35INNOPRAN XL......................................................... 12INOMAX....................................................................12INOVA.......................................................................21INOVA 4-1.................................................................21INOVA 8-2.................................................................21INSPRA.................................................................... 12INSULIN ASPART.................................................... 28INSULIN DETEMIR.................................................. 28INSULIN GLARGINE,HUM.REC.ANLOG.......... 28, 29INSULIN GLULISINE................................................29INSULIN LISPRO..................................................... 29INSULIN NPL/INSULIN LISPRO.............................. 29INSULIN REGULAR, HUMAN..................................29INSULN ASP PRT/INSULIN ASPART......................29INTAL..........................................................................7INTEGRA F...............................................................55INTEGRA PLUS....................................................... 55INTELENCE..............................................................41INTERFERON ALFA-2B,RECOMB.......................... 37INTERFERON ALFACON-1..................................... 41INTERFERON ALFA-N3...........................................37INTERFERON BETA-1A...........................................46INTERFERON BETA-1A/ALBUMIN..........................46INTERFERON BETA-1B...........................................46INTERFERON GAMMA-1B,RECOMB..................... 37INTERMEZZO................................................ 9, 60, 67INTROL.....................................................................12INTRON A(PEN INJ KIT)(10MM/0.2ML)............ 37, 73INTRON A(PEN INJ KIT)(3MM/0.2 ML)............. 37, 73INTRON A(PEN INJ KIT)(5MM/0.2ML).............. 37, 73INTRON A(VIAL)................................................ 37, 73INTUNIV............................................................. 10, 60INVEGA(TAB ER 24H)(1.5 MG)..................... 9, 60, 67INVEGA(TAB ER 24H)(3 MG)........................ 9, 60, 67INVEGA(TAB ER 24H)(6 MG)........................ 9, 60, 67INVEGA(TAB ER 24H)(9 MG)........................ 9, 60, 67INVERSINE.........................................................11, 73INVIRASE.................................................................41IODINE/POTASSIUM IODIDE.................................. 17IODOFLEX................................................................16IODOQUINOL...........................................................40IODOQUINOL/ALOE POLYSACCHAR #1............... 17IODOSORB.............................................................. 16IONAMIN.................................................................. 57IOPIDINE(DROPERETTE).......................................33IOPIDINE(DROPS)...................................................33IPECAC.................................................................... 52IPRATROPIUM BROMIDE................................... 6, 46IPRATROPIUM/ALBUTEROL SULFATE....................6IPRIVASK..................................................... 35, 60, 73IQUIX........................................................................33IRBESARTAN........................................................... 11IRBESARTAN/HYDROCHLOROTHIAZIDE..............11IRESSA.............................................................. 45, 73IROFOL.................................................................... 55IRON.........................................................................55IRON &IRON ASP GLY/FA/MV,MIN27..................... 55IRON &IRON ASP GLY/FA/MV,MIN38..................... 55IRON AG&FUM/C/FA/MV CMB11/CA-T...................55IRON AG/C/B12/CA/SUC.ACID/STOM.................... 55IRON ASPGLY&PS CMPLX/C/SUCAC....................55IRON ASPGLY&PS/C/B12/FA/CA/SUC................... 55IRON ASPGLY/C/B12/FA/CA-TH/SUC.....................55IRON BG&PS/VIT C/B12/FA/CA THR......................55IRON BISGLY & PS/FA/B&C#12/SUC..................... 55IRON FUM & AG/C/B12/FA/CA/SUCC.....................55IRON FUM & BISGLY/FA/C/E/B12........................... 55IRON FUM & P/FA/VIT B & C NO.9......................... 55IRON FUM & PS CMP/FA/VIT C/B3.........................55Page 82 of 91

IndexIRON FUM&POLYSAC#1/FA/MV NO.18..................55IRON FUMARATE/VIT C/VIT B12/FA.......................55IRON GLY&FUM/C/B12/ME-THFOLATE................. 55IRON PS CMPLX/FOLIC ACID/VIT C...................... 55IRON PS CMPLX/VIT B12/FA.................................. 55IRON PS/IRON HEM POLY/FA/B12.........................55IRON PYROPHOS/B12/FA/NIAC/B-6...................... 55IRON, CARB & GLUC/FA/B12/C/DSS..................... 55IRON, CARBONYL/FA/C/B-6/B12/ZN...................... 55IRON,CARB/DSS/B12IF/FA/MV-MN........................ 55IRON,FUM&PS/FA/VIT B&C#18/L.CA..................... 55IRON/FA/B12/C/DOCUSATE SODIUM.................... 55IRON/FA/VITAMIN B COMP W-C/MIN..................... 55IRON/FOLIC ACID....................................................55IRON/FOLIC ACID/C/B12/BIOTIN............................55IRON/LIVER EXT/VIT BCOMP&C/MIN....................55IROSPAN..................................................................55IRRIGATING SOLUTION G......................................39ISENTRESS............................................................. 41ISOCARBOXAZID...................................................... 7ISOCHRON.............................................................. 14ISOETHARINE HCL................................................... 6ISOMETHEPT/DICHLPHN/ACETAMINOP.............. 49ISOMETHEPT-DICHLORALP-ACETAMIN...............49ISOMETHEPTENE MUCATE................................... 49ISOMETHEPTENE/ACETAMINOPH/CAFF............. 49ISONARIF.................................................................40ISONIAZID................................................................40ISOPROPAMIDE/PROCHLORPERAZINE...............53ISOPTO ATROPINE................................................. 34ISOPTO CARBACHOL.............................................33ISOPTO CARPINE(DROPS)(1 %)........................... 33ISOPTO CARPINE(DROPS)(2 %)........................... 33ISOPTO CARPINE(DROPS)(4 %)........................... 33ISOPTO CARPINE(DROPS)(8 %)........................... 34ISOPTO HOMATROPINE.........................................34ISOPTO HYOSCINE................................................ 34ISORDIL................................................................... 14ISORDIL TITRADOSE..............................................14ISOSORB DINIT/HYDRALAZINE HCL.....................13ISOSORBIDE DINITRATE........................................14ISOSORBIDE MONONITRATE................................ 14ISOTRETINOIN........................................................ 16ISOVEX.................................................................... 14ISOXSUPRINE HCL.................................................14ISRADIPINE............................................................. 12ISTALOL................................................................... 34ITRACONAZOLE......................................................39IVACAFTOR............................................................. 46IVERMECTIN......................................................18, 40- J -JAKAFI............................................................... 45, 73JALYN.................................................................53, 67JANUMET.................................................................23JANUMET XR...........................................................23JANUVIA...................................................................24JENTADUETO.......................................................... 23JUVISYNC................................................................14JUXTAPID...........................................................13, 73- K -KADIAN(CAP ER PEL)(10 MG)................................48KADIAN(CAP ER PEL)(100 MG)............................. 48KADIAN(CAP ER PEL)(130 MG)............................. 48KADIAN(CAP ER PEL)(150 MG)............................. 48KADIAN(CAP ER PEL)(20 MG)................................48KADIAN(CAP ER PEL)(200 MG)............................. 48KADIAN(CAP ER PEL)(30 MG)................................48KADIAN(CAP ER PEL)(40 MG)................................48KADIAN(CAP ER PEL)(50 MG)................................48KADIAN(CAP ER PEL)(60 MG)................................48KADIAN(CAP ER PEL)(70 MG)................................48KADIAN(CAP ER PEL)(80 MG)................................48KALETRA................................................................. 41KALYDECO........................................................ 46, 73KAOCHLOR..............................................................30KAOCHLOR-EFF......................................................30KAPIDEX...................................................... 53, 60, 68KAPVAY....................................................................10KAZANO.............................................................23, 68KEFLEX(CAP)(250 MG)...........................................37KEFLEX(CAP)(500 MG)...........................................37KEFLEX(CAP)(750 MG)...........................................37KENALOG(AEROSOL)............................................ 19KENALOG(LOTION).................................................19KEPPRA................................................................... 51KEPPRA XR............................................................. 51KERA1/OXBN/AVOBNZ/O-CRL/H-QUIN................. 23KERAFOAM..............................................................21KERALYT..................................................................21KERALYT SCALP.....................................................21KERLONE.................................................................11KEROL..................................................................... 21KETEK......................................................................38KETOCON................................................................ 17KETOCON + PLUS.................................................. 17KETOCONAZOLE.............................................. 17, 39KETOCONAZOLE/HYDROCORTISONE.................17KETOCONAZOLE/SKIN CLEANSER #28............... 17KETODAN................................................................ 17KETO-DIASTIX REAGENT(OTC)............................ 29KETOPROFEN......................................................... 43KETOROLAC TROMETHAMINE................. 32, 42, 43KETOROLAC TROMETHAMINE/PF........................32KINERET............................................................ 41, 73KLARON...................................................................16KLONOPIN............................................................... 50KLOR-CON-EF.........................................................30KOATE-DVI...............................................................35KOGENATE FS........................................................ 34KOMBIGLYZE XR...............................................23, 68KORLYM.............................................................24, 73K-PHOS M.F............................................................. 54K-PHOS NO.2...........................................................54K-PHOS ORIGINAL..................................................54KRISTALOSE........................................................... 44K-TAB....................................................................... 30KURIC.......................................................................17KYNAMRO......................................................... 13, 73KYTRIL........................................................... 6, 60, 68- L -LABETALOL HCL..................................................... 10LAC-HYDRIN............................................................20LACOSAMIDE.......................................................... 50LACRISERT..............................................................34LACTATED RINGERS.............................................. 20LACTIC ACID........................................................... 20LACTICARE-HC....................................................... 19LACTINOL................................................................ 20LACTINOL-E.............................................................20LACTULOSE............................................................ 44LAMICTAL................................................................ 50LAMICTAL (BLUE)....................................................50LAMICTAL (GREEN)(TAB DS PK)(25(84)-100)....... 50LAMICTAL (ORANGE)............................................. 50LAMICTAL ODT (BLUE)..................................... 50, 68LAMICTAL ODT (GREEN)..................................50, 68LAMICTAL ODT (ORANGE)...............................50, 68LAMICTAL ODT(TAB RDP DIS)(100 MG)......50, 60,6 8LAMICTAL ODT(TAB RDP DIS)(200 MG)......50, 60,6 8LAMICTAL ODT(TAB RDP DIS)(25 MG)......50, 60, 68LAMICTAL ODT(TAB RDP DIS)(50 MG)......50, 60, 68LAMICTAL XR (BLUE)........................................50, 68LAMICTAL XR (GREEN).................................... 50, 68LAMICTAL XR (ORANGE)................................. 50, 68LAMICTAL XR(TAB ER 24H)(100 MG)........ 50, 60, 68LAMICTAL XR(TAB ER 24H)(200 MG)........ 50, 60, 68LAMICTAL XR(TAB ER 24H)(25 MG).......... 50, 60, 68LAMICTAL XR(TAB ER 24H)(250 MG)........ 50, 60, 68LAMICTAL XR(TAB ER 24H)(300 MG)........ 50, 60, 68LAMICTAL XR(TAB ER 24H)(50 MG).......... 50, 60, 68LAMISIL....................................................................18LAMISIL(GRAN PACK).............................................39LAMISIL(TAB)...........................................................39LAMIVUDINE............................................................41LAMIVUDINE/ZIDOVUDINE.....................................41LAMOTRIGINE.........................................................50LANCET DEVICE(OTC)........................................... 28LANCING DEVICE............................................. 27, 28LANCING DEVICE(OTC)......................................... 28LANCING DEVICE/LANCETS..................................28LANCING SYSTEM(OTC)........................................28LANOXIN..................................................................10LANSOPRAZOLE.....................................................53LANSOPRAZOLE/AMOXICILN/CLARITH............... 53LANTHANUM CARBONATE.................................... 30LANTUS....................................................................28LANTUS SOLOSTAR............................................... 29LAPASE.................................................................... 51LAPATINIB DITOSYLATE.........................................45LASIX....................................................................... 12LASTACAFT............................................................. 32LATANOPROST....................................................... 33LATISSE................................................................... 34LATUDA..........................................................9, 60, 68LAZANDA........................................................... 47, 73LEFLUNOMIDE........................................................ 42LENALIDOMIDE.......................................................45LESCOL....................................................... 13, 60, 68LESCOL XL.................................................. 13, 60, 68LETAIRIS............................................................ 12, 73LETROZOLE............................................................ 45LEUCOVORIN CALCIUM.........................................45LEUKERAN.............................................................. 45LEUKINE............................................................ 35, 73LEUPROLIDE ACETATE..........................................31LEVACET..................................................................47LEVALBUTEROL HCL................................................6LEVALBUTEROL TARTRATE.................................... 6LEVAQUIN................................................................38LEVATOL.................................................................. 12LEVEMIR............................................................28, 68LEVEMIR FLEXPEN.......................................... 28, 68LEVETIRACETAM.................................................... 51LEVITRA.............................................................30, 60LEVOBUNOLOL HCL...............................................33LEVOCETIRIZINE DIHYDROCHLORIDE..................5LEVOFLOXACIN................................................ 33, 38LEVONORGESTREL............................................... 14LEVONORGESTREL-ETH ESTRADIOL..................14LEVORPHANOL TARTRATE................................... 48LEVOTHYROXINE SODIUM....................................32LEVULAN................................................................. 46LEXAPRO...................................................................7LEXIVA..................................................................... 41LIALDA............................................................... 43, 68LIBERTY CONTROL SOLUTION(OTC).............25, 27LIBERTY LEV 1 GLUCOSE CONTROL(OTC).........26LIBERTY LEV 2 GLUCOSE CONTROL(OTC).........27LIBRAX.....................................................................53LIBRITABS..................................................................8LIBRIUM..................................................................... 8LIDAMANTLE........................................................... 22LIDAMANTLE HC(CREAM)......................................22LIDAMANTLE HC(LOTION)..................................... 22LIDAMANTLE HC(MED PAD).................................. 22LIDOCAINE.............................................................. 22LIDOCAINE HCL................................................ 22, 43LIDOCAINE HCL VISCOUS.....................................43LIDOCAINE HCL/PF.................................................32LIDOCAINE/HYDROCORT/PSYLLIUM................... 44LIDOCAINE/PRILOCAINE....................................... 22LIDOCAINE/TETRACAINE.......................................22LIDOCAINE-HYDROCORTISONE.....................22, 43LIDODERM...............................................................22LIDOVIR................................................................... 18LIMBITROL.................................................................8LINACLOTIDE.......................................................... 44LINAGLIPTIN............................................................24LINAGLIPTIN/METFORMIN HCL.............................23LINDANE.................................................................. 18LINEZOLID............................................................... 38LINZESS.............................................................44, 60LIOTHYRONINE SODIUM....................................... 32LIOTRIX....................................................................32LIPASE/PROTEASE/AMYLASE.........................51, 52LIPITOR....................................................................13LIPOCHOL PLUS..................................................... 14LIPOFEN............................................................ 13, 68LIRAGLUTIDE.......................................................... 23LISDEXAMFETAMINE DIMESYLATE........................ 8LISINOPRIL.............................................................. 11LISINOPRIL/HYDROCHLOROTHIAZIDE................ 10LISSAMINE.............................................................. 34LISSAMINE GREEN.................................................34LITE TOUCH(OTC).................................................. 28LITHIUM..................................................................... 8LITHIUM CARBONATE.............................................. 8LITHIUM CITRATE..................................................... 8LITHOBID................................................................... 8LITHOSTAT.............................................................. 44LIVALO......................................................... 13, 60, 68LIVER EXTRACT (NON-VIT)................................... 45L-NORGEST-ETH ESTR/ETHIN ESTRA................. 14LO LOESTRIN FE.............................................. 14, 68LOCOID LIPOCREAM..............................................19LOCOID(CREAM).....................................................19LOCOID(LOTION).................................................... 19LOCOID(OINT).........................................................19LOCOID(SOLUTION)............................................... 19LODOSYN................................................................ 50LODOXAMIDE TROMETHAMINE............................33LODRANE 24............................................................. 5LODRANE 24D.........................................................15LOESTRIN 24 FE............................................... 14, 68LOFIBRA............................................................ 13, 14Page 83 of 91

IndexLOMEFLOXACIN HCL............................................. 38LOMITAPIDE MESYLATE........................................ 13LOMUSTINE.............................................................45LO-OVRAL-28.......................................................... 15LOPERAMIDE.......................................................... 44LOPERAMIDE HCL..................................................44LOPID.......................................................................14LOPINAVIR/RITONAVIR...........................................41LOPRESSOR........................................................... 12LOPRESSOR HCT...................................................12LOPROX...................................................................17LORAZEPAM..............................................................8LORCET 10-650.................................................48, 60LORCET PLUS...................................................48, 60LORTAB(SOLUTION).........................................48, 60LORTAB(TAB).................................................... 48, 60LORZONE................................................................ 51LOSARTAN POTASSIUM......................................... 11LOSARTAN/HYDROCHLOROTHIAZIDE................. 11LOTEMAX.................................................................32LOTENSIN................................................................ 11LOTENSIN HCT....................................................... 10LOTEPREDNOL ETABONATE.................................32LOTREL....................................................................10LOTRISONE.............................................................17LOTRONEX..............................................................44LOVASTATIN............................................................ 13LOVAZA..............................................................14, 60LOVENOX................................................................ 35LOXAPINE SUCCINATE............................................ 9LOXITANE.................................................................. 9LUBIPROSTONE......................................................44LUCINACTANT.........................................................46LUFYLLIN...................................................................7LUFYLLIN-400............................................................7LUFYLLIN-GG............................................................ 6LUGOL'S.................................................................. 17LUMIGAN........................................................... 33, 60LUNESTA....................................................... 9, 60, 68LURASIDONE HCL.................................................... 9LUTREPULSE.......................................................... 32LUTROPIN ALFA......................................................30LUVERIS.................................................................. 30LUVOX CR..................................................... 7, 60, 68LUXIQ.......................................................................18LYBREL.............................................................. 14, 68LYCELLE.................................................................. 18LYRICA..................................................................... 51LYSINE HCL/VIT B COMP/FA/ZINC........................ 57LYSINE/VITAMIN B COMPLEX/FA/ZN.....................57LYSIPLEX................................................................. 57LYSODREN.............................................................. 45LYSTEDA..................................................................34- M -MACROBID.............................................................. 38MACRODANTIN(CAP)(100 MG)..............................38MACRODANTIN(CAP)(25 MG)................................38MACRODANTIN(CAP)(50 MG)................................38MACUTEK................................................................ 54MAFENIDE ACETATE.............................................. 18MAGAN.....................................................................47MAGNACET....................................................... 48, 60MAGNEBIND 400 RX...............................................30MAGNESIUM SALICYLATE..................................... 47MAGNI-GUIDE MAGNIFIER(OTC).......................... 27MALARONE..............................................................40MALATHION............................................................. 18MANNITOL............................................................... 12MANNITOL/SORBITOL SOLUTION.........................20MAPROTILINE HCL................................................... 8MARAVIROC............................................................ 41MARINOL....................................................... 6, 60, 68MARPLAN.................................................................. 7MARTINIC................................................................ 57MATULANE.............................................................. 45MAVIK....................................................................... 11MAXAIR AUTOHALER............................................... 6MAXALT..............................................................49, 60MAXALT MLT......................................................49, 60MAXAQUIN...............................................................38MAXARON FORTE.................................................. 55MAXIDEX..................................................................32MAXIDONE........................................................ 48, 60MAXIFED..................................................................15MAXIFED DMX.........................................................16MAXITROL............................................................... 32MAXZIDE..................................................................12MAXZIDE-25 MG......................................................12MEBARAL................................................................ 51MEBENDAZOLE.......................................................40MECAMYLAMINE HCL.............................................11MECASERMIN......................................................... 31MECLIZINE HCL........................................................ 6MECLOFENAMATE SODIUM.................................. 43MECOBALAMIN/L-MEFOLATE/B6 PHOS............... 57MEDISENSE CONTROL(OTC)................................25MEDISENSE GLUCOSE KETONE CONTR(OTC)......2 7MEDISENSE GLUCOSE KETONE(OTC)................ 25MEDISENSE(OTC).............................................25, 27MEDROL(TAB DS PK)............................................. 42MEDROL(TAB)(16 MG)............................................ 42MEDROL(TAB)(2 MG).............................................. 42MEDROL(TAB)(32 MG)............................................ 42MEDROL(TAB)(4 MG).............................................. 42MEDROL(TAB)(8 MG).............................................. 42MEDROXYPROGESTERONE ACET.......................37MEDROXYPROGESTERONE ACETATE.......... 14, 37MEFENAMIC ACID...................................................43MEFLOQUINE HCL..................................................40MEGESTROL ACETATE.......................................... 46MELOXICAM............................................................ 43MELOXICAM/IRR CNTR-IRR CMB #2.....................43MELPHALAN............................................................45MEMANTINE HCL......................................................7M-END PE................................................................ 15M-END WC...............................................................15MENEST...................................................................36MENOPUR............................................................... 30MENOSTAR........................................................36, 60MENOTROPINS.......................................................30MENTAX................................................................... 17MENTHOL/BANDAGES, TUBULAR........................ 21MEPENZOLATE BROMIDE..................................... 53MEPERIDINE HCL................................................... 48MEPERIDINE HCL/PF..............................................48MEPHOBARBITAL................................................... 51MEPHYTON............................................................. 36MEPROBAMATE........................................................ 8MEPRON..................................................................40MERCAPTOPURINE................................................45MERIDIA...................................................................57MESALAMINE.......................................................... 43MESALAMINE W/CLEANSING WIPES................... 43MESEHIST WC........................................................ 15MESNA.....................................................................45MESNEX...................................................................45MESTINON(SYRUP)..................................................7MESTINON(TAB ER)..................................................7MESTINON(TAB)........................................................7METADATE ER.........................................................10METAGLIP................................................................24METAPROTERENOL SULFATE................................ 6METAXALONE......................................................... 51METER-CHECK(OTC)............................................. 27METFORMIN HCL....................................................24METHADONE HCL...................................................48METHAMPHETAMINE HCL....................................... 8METHAZOLAMIDE...................................................33METHEN MAND/NAPHOS M-B M-H....................... 53METHEN/M-BLUE/SAL/NA PHOS/HYOS................38METHEN/SOD PHOS/METH BLUE/HYOS..............38METHENAM/ME BLUE/BA/SALICY/HYO................38METHENAMINE HIPPURATE..................................38METHENAMINE MANDELATE................................ 38METHERGINE..........................................................15METHIMAZOLE........................................................32METHIONINE/INOSITOL/CHOLINE/FA................... 14METHITEST............................................................. 36METHOCARBAMOL.................................................51METHOTREXATE.............................................. 41, 45METHOTREXATE SODIUM............................... 41, 45METHOTREXATE SODIUM/PF............................... 45METHOXSALEN.......................................................23METHOXSALEN, RAPID..........................................23METHSCOPOLAMINE BROMIDE........................... 52METHSCP BR/LA/S.THM/L.PARA/BIF.................... 52METHSUXIMIDE...................................................... 51METHYCLOTHIAZIDE............................................. 13METHYL AMINOLEVULINATE HCL........................ 46METHYL SALICYLATE.............................................21METHYLDOPA......................................................... 11METHYLDOPA/HYDROCHLOROTHIAZIDE............11METHYLDOPA-HYDROCHLOROTHIAZIDE........... 11METHYLERGONOVINE MALEATE......................... 15METHYLIN................................................................10METHYLNALTREXONE BROMIDE......................... 44METHYLPHENIDATE...............................................10METHYLPHENIDATE ER(CPMP 50-50)(20 MG)......10, 58, 60METHYLPHENIDATE ER(CPMP 50-50)(30 MG)......10, 58, 60METHYLPHENIDATE ER(CPMP 50-50)(40 MG)......1 0METHYLPHENIDATE ER(TAB ER)..........................10METHYLPHENIDATE HCL.......................................10METHYLPREDNISOLONE.......................................42METHYLTESTOSTERONE...................................... 36METIPRANOLOL......................................................33METOCLOPRAMIDE HCL....................................... 53METOCLOPRAMIDE HCL INTENSOL.................... 53METOLAZONE......................................................... 13METOPROLOL SUCCINATE................................... 12METOPROLOL SUCCINATE/HCTZ.........................12METOPROLOL TARTRATE..................................... 12METOPROLOL/HYDROCHLOROTHIAZIDE........... 12METOPROLOL-HYDROCHLOROTHIAZIDE...........12METOZOLV ODT......................................................53METROGEL..............................................................16METROGEL-VAGINAL............................................. 54METROLOTION....................................................... 16METRONIDAZOLE.......................................16, 40, 54METRONIDAZOLE/SKIN CLEANSR #23................ 16METVIXIA.................................................................46METYROSINE.......................................................... 11MEVACOR................................................................13MEXILETINE HCL.................................................... 10MGOX/E AC SUCC/B-12/FA/B6...............................57MIACALCIN(SPRAY/PUMP).................................... 31MIACALCIN(VIAL)....................................................31MICARDIS.......................................................... 11, 68MICARDIS HCT.................................................. 11, 68MICONAZOLE..........................................................39MICONAZOLE 3.......................................................54MICONAZOLE NITRATE..........................................54MICONAZOLE NITRATE/HC....................................17MICONAZOLE NITRATE/ZINC OX/PET.................. 17MICRODOT(OTC).............................................. 24, 27MICROFIBRILLAR COLLAGEN...............................36MICROGESTIN........................................................ 15MICROGESTIN FE...................................................14MICRO-K.................................................................. 30MICROLET 2(OTC).................................................. 28MICROLET VACULANCE(OTC).............................. 28MICROZIDE..............................................................13MIDAMOR................................................................ 12MIDAZOLAM HCL...................................................... 9MIDODRINE HCL.....................................................14MIFEPRISTONE.......................................................24MIGERGOT........................................................ 49, 61MIGLITOL................................................................. 23MIGRAL....................................................................49MIGRALAM...............................................................49MIGRANAL.........................................................49, 61MIGRATEN............................................................... 49MILLIPRED...............................................................42MILLIPRED DP.........................................................42MILNACIPRAN HCL.................................................46MILTOWN................................................................... 8MINI LANCING DEVICE(OTC).................................28MINIPRESS.............................................................. 11MINIVELLE.........................................................36, 61MINOCIN.................................................................. 39MINOCYCLINE HCL.................................................39MINOCYCLINE HCL MICROSPHERES.................. 46MINOCYCLINE HCL/SKIN CL NO.4........................ 39MINOXIDIL................................................................11MIPOMERSEN SODIUM..........................................13MIRABEGRON......................................................... 53MIRAPEX..................................................................50MIRAPEX ER............................................... 50, 61, 68MIRCETTE............................................................... 14MIRTAZAPINE............................................................7MISOPROSTOL....................................................... 53MITOMYCIN............................................................. 34MITOSOL..................................................................34MITOTANE............................................................... 45MOBAN.......................................................................9MOBIC......................................................................43MODAFINIL................................................................ 9MOEXIPRIL HCL...................................................... 11MOEXIPRIL/HYDROCHLOROTHIAZIDE................ 10MOLINDONE HCL......................................................9MOMETASONE FUROAT/AMMONIUM LAC........... 19MOMETASONE FUROATE.............................. 5, 7, 19MOMETASONE/FORMOTEROL................................6MOMEXIN.................................................................19Page 84 of 91

IndexMONOCLATE-P........................................................35MONODOX(CAP)(100 MG)......................................39MONODOX(CAP)(50 MG)........................................39MONODOX(CAP)(75 MG)........................................39MONOJECTOR LANCET DEVICE(OTC).................28MONONINE..............................................................35MONOPRIL...............................................................11MONTELUKAST SODIUM......................................... 7MONUROL............................................................... 38MORGIDOX..............................................................39MORPHINE SULFATE..............................................48MORPHINE SULFATE ER........................................48MORPHINE SULFATE LIPOSOMAL/PF.................. 48MORPHINE SULFATE(PCA SYRINGE)...................48MORPHINE SULFATE(PCA VIAL)........................... 48MORPHINE SULFATE(VIAL)................................... 48MORPHINE SULFATE/NALTREXONE.................... 48MORPHINE SULFATE/PF........................................ 48MOTOFEN................................................................44MOVIPREP...............................................................44MOXATAG................................................................ 38MOXEZA...................................................................33MOXIFLOXACIN HCL........................................ 33, 38MS CONTIN..............................................................48MST 600................................................................... 47M-TETRAHYROFOLATE/NIACIN/CU/ZN................ 56MTH/ME BLUE/SOD PHOS/PHEN/HYOS...............38MULTAQ................................................................... 10MULTICHEW............................................................ 56MULTIGEN............................................................... 55MULTIGEN PLUS..................................................... 55MULTI-LANCET DEVICE(OTC)............................... 28MULTI-RET FOLIC 500............................................ 55MULTIVIT, IRON, MIN #4, FA................................... 56MULTIVIT, IRON, MIN #5, FA................................... 56MULTIVIT, IRON, MIN #6, FA................................... 56MULTIVIT, IRON, MIN NO. 9, FA..............................56MULTIVIT, MIN CMB#20/IRON/FA........................... 56MULTIVIT, MIN NO.21/FOLIC ACID.........................56MULTIVIT, MIN NO.23/FOLIC ACID.........................56MULTIVIT, MINCMB#11/FOLIC ACID...................... 57MULTIVITAMIN AND FLUORIDE............................. 56MULTIVITAMIN W/IRON, MINERALS...................... 56MULTIVITAMIN, MIN CMB#25/FA/D3...................... 57MULTIVITAMINS WITH FLUORIDE......................... 56MULTIVITAMINS WITH MIN NO.7/FA......................56MULTIVITAMINS, MIN #28/FA/LYCO.......................55MULTIVIT-MIN #14/FOLIC ACID..............................56MULTIVIT-MIN12/FA/LYCOPENE/LUT.................... 56MULTIVITS W-IRON,HEMATINIC............................ 56MULTIVITS WITH IRON & FLUORIDE.................... 56MULTIVITS,THERAP W-FE,HEMATIN.....................56MUPIROCIN............................................................. 17MUPIROCIN CALCIUM......................................17, 46MUROCOLL-2.......................................................... 34MUSE................................................................. 30, 61MV, MIN CMB #6/FA/LUT/LYCO/Q10...................... 56MV, MIN CMB#16/FA/LUTEIN/LYCOP.....................55MV, MIN CMB#24/IRON PS CMP/FA.......................56MV, MIN CMB#26/FA/ALA/LUTEIN.......................... 57MV, MIN CMB#8/FA/CO Q10/OMEGA3................... 56MV, MIN CMB#9/FA/SAW PALMET XT....................56MV,MIN #10/FA/D3/ALIP ACID/LUT.........................56MV/DIETARY 4/DNA/RNA........................................56MYAMBUTOL........................................................... 40MYCI CHLOR-TAN..................................................... 5MYCOBUTIN............................................................ 40MYCOPHENOLATE MOFETIL.................................37MYCOPHENOLATE SODIUM.................................. 37MYCOSTATIN...........................................................39MYDRAL...................................................................34MYFORTIC............................................................... 37MYLERAN................................................................ 45MYO VYT..................................................................56MYRBETRIQ................................................ 53, 61, 68MYSOLINE............................................................... 51MYTELASE.................................................................7- N -NA PHOS MONO&DIBASIC/CELLULOSE.............. 44NA PHOS,M-B/K PHOS,MONOB.............................54NA SULFACETM/PREDNIS SP............................... 33NABILONE..................................................................6NABUMETONE........................................................ 43NADOLOL................................................................ 12NADOLOL/BENDROFLUMETHIAZIDE....................12NAFARELIN ACETATE.............................................31NAFRINSE DAILY-NEUTRAL...................................54NAFTIFINE HCL.......................................................18NAFTIN.....................................................................18NALBUPHINE HCL.................................................. 48NALEX JR................................................................ 15NALFON................................................................... 43NALIDIXIC ACID.......................................................38NALTREXONE HCL................................................... 9NAMENDA..................................................................7NAPH,MB-DB/K PH,MBDB/ZINC/UREA..................22NAPHAZOLINE HCL................................................ 33NAPHAZOLINE HCL W/ANTAZOLINE.................... 33NAPHAZOLINE HCL/ANTAZOLINE.........................33NAPHOS M-B M-H/NA PHOS,DI-BA....................... 44NAPRELAN.............................................................. 43NAPRELAN CR DOSE CARD..................................43NAPROSYN..............................................................43NAPROXEN..............................................................43NAPROXEN SODIUM.............................................. 43NAPROXEN/ESOMEPRAZOLE MAG......................42NAPROXEN/IRR CNTR-IRRIT CMB #2...................43NARATRIPTAN HCL.................................................49NARDIL.......................................................................7NASACORT AQ....................................................5, 61NASAREL.............................................................5, 61NASCOBAL.............................................................. 57NASONEX............................................................ 5, 61NATACYN................................................................. 33NATALCARE PLUS.................................................. 56NATAMYCIN............................................................. 33NATAZIA............................................................. 14, 68NATEGLINIDE.......................................................... 24NATROBA.................................................................18NATURETIN-5.......................................................... 13NAVANE(CAP)(10 MG).............................................. 9NAVANE(CAP)(2 MG)................................................ 9NAVANE(CAP)(20 MG).............................................. 9NAVANE(CAP)(5 MG)................................................ 9NEBIVOLOL HCL..................................................... 12NEBUPENT.............................................................. 40NECON.....................................................................15NEDOCROMIL SODIUM..........................................33NEFAZODONE HCL...................................................8NEGGRAM............................................................... 38NELFINAVIR MESYLATE.........................................41NEO SUL/PLYMX B SU/BUFFERS/HC....................29NEO/POLYMYX B SULF/DEXAMETH..................... 32NEOBENZ MICRO(CREAM)....................................21NEOBENZ MICRO(KIT CL&CRM)........................... 21NEOBENZ MICRO(KIT)........................................... 21NEOMY SULF/BACITRA/POLYMYXIN B.................33NEOMY SULF/BACITRAC ZN/POLY/HC.................32NEOMY SULF/COLIST SUL/HC/THONZ.................29NEOMY SULF/POLYMYX B SULF/PRED................32NEOMY SULF/POLYMYXIN B SULFATE................ 20NEOMYCIN SULFATE..............................................39NEOMYCIN SULFATE/DEX NA PH......................... 32NEOMYCIN W/DEXAMETHASONE........................ 32NEOMYCIN/BACITRA/POLYMYXIN/HC..................18NEOMYCIN/POLYMYXIN B SULF/HC...............18, 29NEOMYCIN/POLYMYXN B/GRAMICIDIN................33NEOMYCIN-BACITRACIN-POLY-HC.......................32NEOMYCIN-POLYMYXIN-DEXAMETH................... 32NEOMYCIN-POLYMYXIN-HC.................................. 29NEO-POLYCIN......................................................... 33NEORAL...................................................................37NEOSALUS.............................................................. 20NEOSALUS CP........................................................ 20NEOSPORIN............................................................ 33NEOSPORIN G.U. IRRIGANT..................................20NEOSTIGMINE BROMIDE.........................................7NEOTIC.................................................................... 29NEPAFENAC............................................................ 32NEPHPLEX RX........................................................ 57NEPHROCAPS QT...................................................57NEPHRON FA.......................................................... 55NEPTAZANE............................................................ 33NERVIDOX............................................................... 57NESINA.............................................................. 24, 68NEULASTA......................................................... 35, 73NEUMEGA................................................................35NEUPOGEN....................................................... 35, 73NEUPRO...................................................... 50, 61, 69NEURIN-SL.............................................................. 57NEURONTIN............................................................ 50NEVANAC.................................................................32NEVIRAPINE............................................................41NEXAVAR........................................................... 45, 73NEXAVIR.................................................................. 45NEXICLON XR(SUS ER 24H).................................. 11NEXICLON XR(TAB ER 24H)...................................11NEXIUM........................................................53, 61, 69NIACIN......................................................................14NIACIN SR 250MG...................................................14NIACIN/LOVASTATIN...............................................13NIACIN/SIMVASTATIN............................................. 13NIACOR....................................................................14NICARDIPINE HCL.................................................. 12NICOMIDE................................................................56NICOTINAMIDE........................................................56NICOTINE.................................................................51NICOTROL......................................................... 51, 61NICOTROL NS................................................... 51, 61NIFEDIPINE..............................................................12NIFEDIPINE ER........................................................12NIFEREX GOLD.......................................................55NILANDRON.............................................................45NILOTINIB HCL........................................................45NILUTAMIDE............................................................ 45NIMODIPINE............................................................ 12NIMOTOP................................................................. 12NIRON KOMPLETE..................................................55NISOLDIPINE...........................................................12NITAZOXANIDE....................................................... 17NITRIC OXIDE..........................................................12NITRO-BID............................................................... 14NITRO-DUR(PATCH TD24)(0.1MG/HR).................. 14NITRO-DUR(PATCH TD24)(0.2MG/HR).................. 14NITRO-DUR(PATCH TD24)(0.3 MG/HR)................. 14NITRO-DUR(PATCH TD24)(0.4MG/HR).................. 14NITRO-DUR(PATCH TD24)(0.6MG/HR).................. 14NITRO-DUR(PATCH TD24)(0.8MG/HR).................. 14NITROFURANTOIN..................................................38NITROFURANTOIN MACROCRYSTAL...................38NITROFURANTOIN MONOHYD/M-CRYST............ 38NITROFURAZONE...................................................17NITROGLYCERIN.............................................. 14, 44NITROSTAT..............................................................14NIZATIDINE.............................................................. 53NIZORAL.................................................................. 17NORCO.............................................................. 48, 61NORDETTE-28.........................................................14NORDITROPIN...................................................31, 73NORDITROPIN FLEXPRO.................................31, 73NORDITROPIN NORDIFLEX.............................31, 73NORELGESTROMIN/ETHIN.ESTRADIOL.............. 15NORETH A-ET ESTRA/FE FUMARATE.................. 14NORETH-ETHINYL ESTRADIOL/IRON...................15NORETHIND AC/ETHINYL ESTRADIOL.................37NORETHINDRONE..................................................15NORETHINDRONE ACETATE.................................37NORETHINDRONE A-E ESTRADIOL......................15NORETHINDRONE-ETHIN ESTRADIOL.................15NORETHINDRONE-ETHINYL ESTRAD..................15NORETHINDRONE-MESTRANOL.......................... 15NORFLOXACIN........................................................38NORFLURANE/HFC 245FA..................................... 22NORGESTIMATE-ETHINYL ESTRADIOL............... 15NORGESTREL-ETHINYL ESTRADIOL................... 15NORITATE................................................................ 16NORMAL SALINE.................................................... 30NORMAL SALINE FLUSH........................................30NORMLGEL AG....................................................... 17NOROXIN.................................................................38NORPACE................................................................ 10NORPACE CR.......................................................... 10NORPRAMIN..............................................................8NORTRIPTYLINE HCL...............................................8NORVASC................................................................ 12NORVIR(CAP).......................................................... 41NORVIR(SOLUTION)............................................... 41NORVIR(TAB)...........................................................41NOVA MAX GLUCOSE CONTROL SOLN(OTC)......2 7NOVACORT..............................................................22NOVAFERRUM........................................................ 55NOVAREL.................................................................30NOVOLIN 70-30 INNOLET(OTC).............................28NOVOLIN 70-30(OTC)............................................. 28NOVOLIN N INNOLET(OTC)................................... 29NOVOLIN N(OTC)....................................................29NOVOLIN R(OTC)....................................................29NOVOLOG................................................................28NOVOLOG FLEXPEN.............................................. 28NOVOLOG MIX 70-30..............................................29NOVOLOG MIX 70-30 FLEXPEN............................ 29NOVOSEVEN...........................................................35NOVOSEVEN RT..................................................... 35NOXAFIL.................................................................. 39NP THYROID............................................................32NPH, HUMAN INSULIN ISOPHANE........................ 29Page 85 of 91

IndexNUCORT.................................................................. 19NUCYNTA...........................................................49, 61NUCYNTA ER.....................................................49, 61NU-DERM SUNFADER............................................ 23NUEDEXTA........................................................ 46, 73NULYTELY WITH FLAVOR PACKS......................... 44NUMORPHAN.......................................................... 48NUOX....................................................................... 21NUQUIN HP..............................................................22NUTRICAP............................................................... 56NUTRIDOX...............................................................39NUTROPIN.........................................................31, 73NUTROPIN AQ...................................................31, 73NUTROPIN AQ NUSPIN.................................... 31, 73NUVAIL..................................................................... 22NUVARING......................................................... 14, 69NUVIGIL............................................................... 9, 73NUZON.....................................................................19NYLIDRIN HCL.........................................................14NYSTATIN.......................................................... 18, 39NYSTATIN/EMOLLIENT COMBO NO.54................. 18NYSTATIN/HYDROCORTISONE/DIPHEN...............39NYSTATIN/LIDOCAINE/DIPHENHYD......................39NYSTATIN/TCN/HC/DIPHENHYDRAMIN................ 39NYSTATIN/TRIAMCIN.............................................. 18NYSTATIN-TRIAMCINOLONE................................. 18- O -OCL.......................................................................... 44OCUFEN...................................................................32OCUFLOX................................................................ 33OFLOXACIN.................................................29, 33, 38OFORTA................................................................... 45OFTASCEIN DISOD/BENOXINATE HCL.................34OGEN....................................................................... 36OLANZAPINE.............................................................9OLANZAPINE/FLUOXETINE HCL............................. 9OLEPTRO ER................................................ 8, 61, 69OLMESARTAN MEDOXOMIL...................................11OLMESARTAN/AMLODIPIN/HCTHIAZID.................11OLMESARTAN/HYDROCHLOROTHIAZIDE............11OLOPATADINE HCL.............................................5, 32OLSALAZINE SODIUM............................................ 43OM-3/CA CARB/D3/FA/MV CMB 13........................ 56OM-3/DHA/EPA/B12/FA/B6/PHYTOST.................... 56OM-3/DHA/EPA/D3/B12/FA/B-6/PHY.......................56OMECLAMOX-PAK.................................................. 53OMEGA-3 ACID ETHYL ESTERS............................14OMEPRAZOLE.........................................................53OMEPRAZOLE MAGNESIUM..................................53OMEPRAZOLE/CLARITH/AMOXICILLIN.................53OMEPRAZOLE/SODIUM BICARBONATE...............53OMNARIS.......................................................5, 61, 69OMNICEF................................................................. 37OMNIPRED.............................................................. 32OMNITROPE......................................................31, 73OMONTYS..........................................................35, 73ON CALL LANCING DEVICE(OTC).........................28ON CALL PLUS CONTROL(OTC)........................... 24ON CALL PLUS LANCING DEVICE(OTC)...............28ON CALL VIVID CONTROL(OTC)........................... 24ONDANSETRON........................................................6ONDANSETRON HCL................................................6ONE TOUCH DELICA(OTC).................................... 28ONE TOUCH GLUCOSE CONTROL SOLN(OTC)......2 7ONE TOUCH SURESOFT(OTC)..............................28ONE TOUCH ULTRA CONTROL SOLN(OTC)........ 27ONE TOUCH ULTRA(OTC)......................................27ONE TOUCH VERIO(OTC)................................ 25, 27ONFI............................................................. 50, 61, 69ONGLYZA...........................................................24, 69ONMEL.....................................................................39ONSOLIS............................................................47, 73OPANA ER............................................................... 48OPANA(AMPUL).......................................................48OPANA(TAB)............................................................ 48OPIUM TINCTURE...................................................44OPIUM/BELLADONNA ALKALOIDS........................48OPRELVEKIN........................................................... 35OPTASE................................................................... 22OPTIMYD................................................................. 33OPTIPRANOLOL......................................................33OPTIVAR.................................................................. 32OPTUMRX(OTC)......................................................24ORACEA................................................ 39, 58, 61, 69ORACIT.................................................................... 53ORAMORPH SR.......................................................48ORAP..........................................................................8ORAPRED................................................................42ORAPRED ODT....................................................... 42ORASEP...................................................................43ORAVIG.................................................................... 39ORAXYL................................................................... 46ORBIVAN..................................................................47ORBIVAN CF............................................................ 46ORENCIA........................................................... 42, 73ORLISTAT.................................................................57ORPHENADRINE CITRATE.....................................51ORPHENADRINE COMPOUND FORTE................. 51ORPHENADRINE/ASPIRIN/CAFFEINE...................51ORTHO ALL-FLEX................................................... 15ORTHO EVRA.................................................... 15, 69ORTHO TRI-CYCLEN.............................................. 15ORTHO TRI-CYCLEN LO.................................. 15, 69ORTHO-DIAPHRAGM..............................................15ORTHO-NOVUM...................................................... 15OSELTAMIVIR PHOSPHATE................................... 40OSENI................................................................ 23, 69OSMOPREP.............................................................44OTIC CARE.............................................................. 29OTICIN......................................................................29OTO-END 10............................................................ 29OTOGESIC...............................................................29OTOZIN.................................................................... 29OVACE..................................................................... 20OVACE PLUS WASH............................................... 20OVACE PLUS(CLEANSR ER)..................................20OVACE PLUS(CRM ER).......................................... 20OVACE PLUS(SHAMPOO)...................................... 20OVCON-50......................................................... 15, 69OVIDE.......................................................................18OVIDREL..................................................................30OXACILLIN SODIUM................................................38OXALIC ACID...........................................................21OXALIS.....................................................................21OXANDRIN...............................................................36OXANDROLONE......................................................36OXAPROZIN.............................................................43OXAZEPAM................................................................ 8OXCARBAZEPINE................................................... 51OXECTA................................................................... 48OXICONAZOLE NITRATE........................................18OXISTAT...................................................................18OXSORALEN........................................................... 23OXSORALEN-ULTRA...............................................23OXTELLAR XR(TAB ER 24H)(150 MG)....... 51, 61, 69OXTELLAR XR(TAB ER 24H)(300 MG)....... 51, 61, 69OXTELLAR XR(TAB ER 24H)(600 MG)....... 51, 61, 69OXYBEN/PDO/OCTINOX/H-QUINONE...................23OXYBENZONE/OCTINOX/H-QUINONE..................23OXYBUTYNIN.......................................................... 54OXYBUTYNIN CHLORIDE.......................................54OXYCEL................................................................... 36OXYCODONE HCL.................................................. 48OXYCODONE HCL/ACETAMINOPHEN.................. 48OXYCODONE HCL/ASPIRIN...................................48OXYCODONE HCL/OXYCODON TER/ASA............48OXYCODONE-ASPIRIN...........................................48OXYCONTIN............................................................ 48OXYIR.......................................................................48OXYMETHOLONE................................................... 36OXYMORPHONE HCL.............................................48OXY-TCN HCL/POLYMYX B SULF..........................33OXYTETRACYCLINE/POLYMYX B SULF............... 33OXYTROL.......................................................... 54, 69- P -PACNEX HP............................................................. 21PACNEX LP..............................................................21PACNEX MX.............................................................21PAIN EASE............................................................... 22PALGIC.................................................................5, 58PALIPERIDONE......................................................... 9PAMELOR.................................................................. 8PAMINE.................................................................... 52PAMINE FORTE....................................................... 52PAMINE FQ.............................................................. 52PANCREASE MT-10.................................................51PANCREASE MT-16.................................................51PANCREASE MT-20.................................................52PANCREASE MT-4...................................................52PANCREATIN........................................................... 52PANCREAZE............................................................ 52PANCRECARB MS-16............................................. 52PANCRECARB MS-4............................................... 52PANCRECARB MS-8............................................... 52PANCRELIPASE EC.................................................52PANDEL....................................................................19PANGESTYME CN 10..............................................52PANGESTYME CN 20..............................................52PANGESTYME EC................................................... 52PANGESTYME MT 16..............................................52PANGESTYME UL 12.............................................. 52PANGESTYME UL 18.............................................. 52PANGESTYME UL 20.............................................. 52PANOXYL AQ 2.5.....................................................21PANRETIN................................................................22PANTOPRAZOLE SODIUM..................................... 53PAPAVERINE HCL................................................... 14PARAFON FORTE DSC...........................................51PARCOPA.................................................................50PAREGORIC............................................................ 44PAREMYD................................................................ 34PARICALCITOL........................................................ 31PARLODEL...............................................................50PARNATE................................................................... 7PAROMOMYCIN SULFATE......................................40PAROXETINE HCL.................................................7, 8PAROXETINE MESYLATE.........................................8PASER......................................................................40PATADAY.................................................................. 32PATANASE........................................................... 5, 69PATANOL..................................................................32PAXIL CR....................................................................7PAXIL(ORAL SUSP)...................................................7PAXIL(TAB).................................................................8PAZOPANIB HCL..................................................... 45PCE.......................................................................... 38PEDI M.VIT NO.17 WITH FLUORIDE......................56PEDI MVI NO.16 WITH FLUORIDE......................... 56PEDIADERM AF.......................................................18PEDIADERM HC...................................................... 19PEDIADERM TA....................................................... 20PEDIAPRED.............................................................42PEDIATRIC MULTIVIT #6/VIT K...............................56PEDIOTIC.................................................................29PEDIPIROX-4...........................................................17PEG 3350/NA SULF,BICARB,CL/KCL..................... 44PEG3350/SOD SUL/NACL/ASB/C/KCL...................44PEGANONE............................................................. 50PEGASYS.......................................................... 41, 73PEGASYS PROCLICK....................................... 41, 73PEGFILGRASTIM.....................................................35PEGINESATIDE....................................................... 35PEGINTERFERON ALFA-2A................................... 41PEGINTERFERON ALFA-2B............................. 41, 45PEGINTRON...................................................... 41, 73PEGINTRON REDIPEN..................................... 41, 73PEGVISOMANT....................................................... 31PEMIROLAST POTASSIUM.....................................33PENBUTOLOL SULFATE.........................................12PENCICLOVIR......................................................... 18PENICILLAMINE...................................................... 41PENICILLIN V POTASSIUM.....................................38PENLAC................................................................... 17PENLET PLUS BLOOD SAMPLER(OTC)............... 28PENNSAID............................................................... 20PENTAMIDINE ISETHIONATE.................................40PENTASA........................................................... 43, 69PENTAZOCINE HCL/ACETAMINOPHEN................ 48PENTAZOCINE HCL/NALOXONE HCL................... 49PENTAZOCINE LACTATE........................................49PENTOSAN POLYSULFATE SODIUM.................... 54PENTOXIFYLLINE................................................... 35PEPCID.................................................................... 53PEPCID RPD............................................................53P-EPHED HCL/HYDROCODONE BIT..................... 16PERANEX HC.......................................................... 43PERCOCET........................................................48, 61PERCODAN............................................................. 48PERFOROMIST................................................... 6, 61PERINDOPRIL ERBUMINE......................................11PERISOL.................................................................. 46PERMETHRIN..........................................................18PERPHENAZINE........................................................9PERPHENAZINE(TAB)(16 MG)................................. 9PERPHENAZINE(TAB)(16MG).................................. 9PERPHENAZINE(TAB)(2 MG)................................... 9PERPHENAZINE(TAB)(4 MG)................................... 9PERPHENAZINE(TAB)(8 MG)................................... 9PERPHENAZINE/AMITRIPTYLINE HCL................... 8PERPHENAZINE-AMITRIPTYLINE........................... 8PERSANTINE...........................................................35PERTZYE................................................................. 52PETROLATUM,WHITE.............................................20PEXEVA..........................................................8, 61, 69PHENAZOPY HCL/HYOSCY/BUTABARB............... 54PHENAZOPYRIDINE HCL....................................... 54Page 86 of 91

IndexPHENDIMETRAZINE TARTRATE............................57PHENELZINE SULFATE............................................ 7PHENERGAN(AMPUL)(25 MG/ML)...........................5PHENERGAN(AMPUL)(50 MG/ML)...........................5PHENOBARB/HYOSCY/ATROPINE/SCOP.............52PHENOBARBITAL......................................................9PHENOL...................................................................20PHENOXYBENZAMINE HCL................................... 11PHENTERMINE HCL............................................... 57PHENTERMINE RESIN............................................57PHENTERMINE/TOPIRAMATE............................... 57PHENYLBUTAZONE................................................ 43PHENYLEPHRINE HCL........................................... 33PHENYLEPHRINE HCL/PROMETH HCL................15PHENYLEPHRINE HCL/SCOPOL HB..................... 34PHENYLEPHRINE/ANTIPY/B-CAINE......................29PHENYLEPHRINE/CHLOR-TAN..............................15PHENYTEK.............................................................. 51PHENYTOIN.............................................................51PHENYTOIN SODIUM EXTENDED.........................51PHISOHEX............................................................... 17PHOSLO...................................................................30PHOSLYRA.............................................................. 30PHOSPHA 250 NEUTRAL....................................... 54PHOSPHASAL......................................................... 38PHOSPHOLINE IODIDE.......................................... 33PHOSPHORUS #1................................................... 54PHRENILIN FORTE................................................. 47PHYTONADIONE..................................................... 36PICATO.....................................................................22PILOCARPINE HCL..................................... 33, 34, 45PILOPINE HS........................................................... 34PIMECROLIMUS......................................................23PIMOZIDE.................................................................. 8PINDOLOL............................................................... 12PIOGLITAZONE HCL............................................... 24PIOGLITAZONE HCL/GLIMEPIRIDE....................... 24PIOGLITAZONE HCL/METFORMIN HCL................ 24PIRBUTEROL ACETATE............................................6PIROXICAM..............................................................43PITAVASTATIN CALCIUM........................................ 13PLACIDYL.................................................................. 9PLAN B...............................................................14, 58PLAQUENIL............................................................. 40PLARETASE 8000....................................................52PLAVIX..................................................................... 35PLETAL.....................................................................35PLEXION.................................................................. 18PLIAGLIS..................................................................22PNV WITH CA,NO.71/IRON/FA............................... 56PNV,CA42/IRON/FA/LMEFOL CA/DHA................... 56PNV80/IRON FUMARATE/FA/DSS/DHA................. 56PNV-DHA PLUS....................................................... 56POCKETCHEM EZ(OTC).........................................26PODOCON-25..........................................................21PODOFILOX.............................................................21PODOPHYLLUM RESIN.......................................... 21POLY TAN.................................................................. 5POLYCIN-B...............................................................33POLYETHYLENE GLYCOL 3350............................. 44POLY-IRON 150 FORTE.......................................... 55POLYMYXIN B SULF/TRIMETHOPRIM...................33POLY-PRED............................................................. 32POLYTRIM................................................................33POLY-TUSSIN DHC..................................................15POLY-UREAURETHANE..........................................22POLYVITAMIN WITH IRON-FLUORIDE.................. 56POMALIDOMIDE......................................................45POMALYST(CAP)(1 MG)................................... 45, 73POMALYST(CAP)(2 MG)................................... 45, 73POMALYST(CAP)(3 MG)................................... 45, 73POMALYST(CAP)(4 MG)................................... 45, 73PONATINIB HCL...................................................... 45PONSTEL(CAP)(250 MG)........................................43PONTOCAINE.......................................................... 22PORACTANT ALFA.................................................. 46POSACONAZOLE....................................................39POT CHLORIDE/POT BICARB/CIT AC................... 30POTABA................................................................... 57POTABA ENVULE.................................................... 57POTASSIUM AMINOBENZOATE.............................57POTASSIUM BICARBONATE.................................. 30POTASSIUM BICARBONATE/CIT AC..................... 30POTASSIUM CHLORIDE......................................... 30POTASSIUM CHLORIDE/POT BICARB.................. 30POTASSIUM CITRATE.............................................54POTASSIUM CITRATE/CITRIC ACID...................... 54POTASSIUM GLUCONATE......................................30POTASSIUM HYDROXIDE...................................... 21POTASSIUM IODIDE............................................... 32POTASSIUM IODIDE/IODINE.................................. 32POTASSIUM OXALATE........................................... 46POTASSIUM PHOSPHATE,MONOBASIC...............54POTIGA(TAB)(200 MG)................................50, 61, 69POTIGA(TAB)(300 MG)................................50, 61, 69POTIGA(TAB)(400 MG)................................50, 61, 69POTIGA(TAB)(50 MG)..................................50, 61, 69POVIDONE-IODINE................................................. 32PR CREAM...............................................................22PRADAXA.................................................... 35, 61, 73PRAMCORT............................................................. 44PRAM-HCA...............................................................43PRAMIPEXOLE DI-HCL...........................................50PRAMLINTIDE ACETATE........................................ 23PRAMOSONE E.......................................................22PRAMOSONE(CREAM)...........................................22PRAMOSONE(LOTION)...........................................22PRAMOSONE(OINT)............................................... 22PRAMOX.................................................................. 22PRAMOXINE HCL....................................................22PRAMOXINE-HC......................................................29PRANDIMET.............................................................24PRANDIN..................................................................24PRASCION RA.........................................................18PRASUGREL HCL................................................... 35PRAVACHOL............................................................ 13PRAVASTATIN SODIUM.......................................... 13PRAZIQUANTEL...................................................... 40PRAZOSIN HCL....................................................... 11PRECISION GLUCOSE CONTROL(OTC)...............25PRECISION(OTC)....................................................25PRECOSE................................................................ 23PRED MILD.............................................................. 32PRED-G....................................................................32PREDNICARBATE................................................... 19PREDNISOL.............................................................32PREDNISOLONE..................................................... 42PREDNISOLONE ACETATE.............................. 32, 42PREDNISOLONE SOD PH/PEAK FLOW................ 42PREDNISOLONE SOD PHOSPHATE............... 32, 42PREDNISOLONE SODIUM PHOSPHATE...............42PREDNISONE..........................................................42PREDNISONE INTENSOL.......................................42PREFEST................................................................. 36PREGABALIN...........................................................51PREGNYL................................................................ 30PREMARIN.........................................................36, 54PREMPHASE........................................................... 36PREMPRO................................................................36PRENAISSANCE..................................................... 56PRENATAL FORMULA.............................................56PRENATAL VIT/IRON FUMARATE/FA.....................56PREPIDIL................................................................. 15PREPOPIK............................................................... 44PRESTIGE(OTC)......................................................25PREVACID(CAP DR)................................................53PREVACID(TAB RAP DR)........................................53PREVALITE.............................................................. 13PREVIDENT 5000 ENAMEL PROTECT.................. 54PREVIDENT 5000 SENSITIVE................................ 54PREVPAC...........................................................53, 61PREZISTA(ORAL SUSP)......................................... 40PREZISTA(TAB)(150 MG)........................................ 40PREZISTA(TAB)(300 MG)........................................ 40PREZISTA(TAB)(400 MG)........................................ 40PREZISTA(TAB)(600 MG)........................................ 40PREZISTA(TAB)(75 MG).......................................... 40PREZISTA(TAB)(800 MG)........................................ 40PRIFTIN....................................................................40PRILOSEC............................................................... 53PRIMALEV......................................................... 48, 61PRIMAQUINE...........................................................40PRIMAQUINE PHOSPHATE.................................... 40PRIMIDONE............................................................. 51PRIMLEV............................................................48, 61PRIMSOL..................................................................38PRINZIDE.................................................................10PRISTIQ ER................................................... 8, 61, 69PROAIR HFA..............................................................6PROAMATINE.......................................................... 14PROBANTHELINE W/PHENOBARBITAL................ 53PRO-BANTHINE.......................................................53PROBENECID..........................................................34PROBENECID-COLCHICINE...................................34PROCAINAMIDE HCL..............................................10PROCARBAZINE HCL............................................. 45PROCARDIA XL.......................................................12PROCENTRA............................................................. 8PROCHIEVE.............................................................30PROCHLORPERAZINE EDISYLATE.........................6PROCHLORPERAZINE MALEATE............................6PROCHLORPERAZINE/ISOPROPAMIDE...............53PROCORT................................................................44PROCRIT............................................................35, 73PROCTOCORT........................................................ 44PROCTOFOAM-HC..................................................44PROCTOSOL-HC.....................................................44PRODIGY CONTROL SOLUTION(OTC)................. 26PRODIGY LANCING DEVICE(OTC)........................28PRODRIN................................................................. 49PROFERRIN-FORTE............................................... 55PROFILNINE SD...................................................... 35PROGESTERONE............................................. 30, 37PROGESTERONE,MICRONIZED......................30, 37PROGLYCEM........................................................... 28PROMACTA........................................................35, 73PROMAR..................................................................56PROMETHAZINE HCL...........................................5, 6PROMETHAZINE HCL/CODEINE............................16PROMETHAZINE VC............................................... 15PROMETHAZINE VC-CODEINE..............................15PROMETHAZINE/PHENYLEPH/CODEINE.............15PROMETHAZINE-CODEINE....................................16PROMETHAZINE-DM.............................................. 16PROMETHEGAN........................................................6PROMETRIUM......................................................... 37PROMISEB...............................................................20PROMISEB COMPLETE..........................................20PRONESTYL............................................................10PROPAFENONE HCL.............................................. 10PROPANTHELINE BROMIDE..................................53PROPANTHELINE/PHENOBARBITAL.....................53PROPARACAINE HCL............................................. 32PROPARACAINE/FLUORESCEIN SOD.................. 33PROPINE..................................................................34PROPOXYPHENE HCL........................................... 49PROPOXYPHENE HCL/ACETAMINOPHEN........... 49PROPOXYPHENE HCL-ACETAMINOPHEN........... 49PROPOXYPHENE NAP/ACETAMINOPHEN........... 49PROPOXYPHENE NAPSYLATE..............................49PROPRANOLOL HCL.............................................. 12PROPRANOLOL/HYDROCHLOROTHIAZID...........12PROPRANOLOL-HYDROCHLOROTHIAZID...........12PROPYLTHIOURACIL..............................................32PROQUIN XR...........................................................38PROSCAR................................................................53PROSED-DS............................................................ 38PROSTIGMIN.............................................................7PROSTIN E2 VAGINAL SUPPOSITORY................. 15PROTECT BONE..................................................... 56PROTECT CARDIO..................................................56PROTECT CMB2/CERAMIDE 1,3,6-11....................22PROTECT IRON.......................................................56PROTECT PLUS...................................................... 56PROTECT PLUS NR................................................55PROTONIX(GRANPKT DR)............................... 53, 69PROTONIX(TAB DR)................................................53PROTOPIC................................................... 23, 58, 69PROTRIPTYLINE HCL...............................................8PROVENTIL HFA....................................................... 6PROVERA................................................................ 37PROVIGIL.............................................................9, 73PROZAC.....................................................................7PRUCLAIR................................................................20PRUDOXIN...............................................................20PRUMYX.................................................................. 20PRUTECT.................................................................20PRUVEL................................................................... 20PSEUDOEPHED/HYDROCODONE/CPM............... 15PSEUDOEPHEDRINE GG.......................................15PSEUDOEPHEDRINE HCL/ACRIVAS.......................5PSEUDOEPHEDRINE/BROMPHENIRAMIN........... 15PSORIATEC....................................................... 23, 69P-TEX......................................................................... 5PULMICORT FLEXHALER...................................6, 61PULMICORT(AMPUL-NEB)(0.25MG/2ML).......... 6, 61PULMICORT(AMPUL-NEB)(0.5 MG/2ML)........... 7, 61PULMICORT(AMPUL-NEB)(1 MG/2 ML)............. 7, 61PULMOZYME.....................................................46, 73PURINETHOL...........................................................45PYLERA................................................................... 53PYRAZINAMIDE.......................................................40PYRELLE HB........................................................... 54PYRIDIUM................................................................ 54PYRIDOSTIGMINE BROMIDE...................................7PYRIDOXINE HCL................................................... 57PYRILAMINE MAL/DEXBROMPHEN TAN................ 5Page 87 of 91

IndexPYRILAMINE TANNATE.............................................5PYRIMETHAMINE....................................................40PYRIMETHAMINE/SULFADOXINE..........................40PYRLEX..................................................................... 5PYROGALLIC ACID................................................. 23PYROGALLOL......................................................... 23- Q -QNASL........................................................... 5, 61, 69QSYMIA..............................................................57, 73QUALAQUIN.............................................................40QUAZEPAM................................................................9QUESTRAN..............................................................13QUETIAPINE FUMARATE......................................... 9QUIBRON...................................................................6QUIC-K..................................................................... 30QUICKTEK(OTC)..................................................... 27QUILLIVANT XR........................................... 10, 61, 69QUINAPRIL HCL...................................................... 11QUINAPRIL/HYDROCHLOROTHIAZIDE.................10QUINAPRIL-HYDROCHLOROTHIAZIDE................ 10QUINIDINE GLUCONATE........................................ 10QUINIDINE SULFATE.............................................. 10QUININE SULFATE.................................................. 40QUIXIN..................................................................... 33QUTENZA...........................................................21, 73QVAR....................................................................6, 61- R -RABEPRAZOLE SODIUM........................................53RADIAPLEXRX........................................................ 22RALOXIFENE HCL...................................................31RALTEGRAVIR POTASSIUM...................................41RAMELTEON..............................................................9RAMIPRIL................................................................. 11RANEXA...................................................................14RANICLOR............................................................... 37RANITIDINE............................................................. 53RANITIDINE 150MG.................................................53RANITIDINE HCL..................................................... 53RANOLAZINE...........................................................14RAPAFLO........................................................... 53, 70RAPAMUNE..............................................................37RAPIFLUX.................................................................. 7RAPTIVA...................................................................23RASAGILINE MESYLATE........................................ 50RAVICTI..............................................................44, 73RAYOS............................................................... 42, 70RAZADYNE................................................................ 7RAZADYNE ER.......................................................... 7REBETOL(CAP)....................................................... 41REBETOL(SOLUTION)............................................ 41REBIF....................................................................... 46RECOMBINATE........................................................34RECOTHROM.......................................................... 36RECTAGEL HC........................................................ 43RECTIV.....................................................................44REDERM.................................................................. 19REFACTO.................................................................34REFUAH PLUS GLUCOSE CONTROL(OTC)......... 25REGENECARE.........................................................22REGIMEX................................................................. 57REGLAN...................................................................53REGORAFENIB........................................................45REGRANEX..............................................................28RELENZA................................................................. 40RELIAMED MINI LANCING DEVICE(OTC)............. 28RELISTOR..........................................................44, 73RELPAX........................................................49, 61, 70REMERGENT HQ.................................................... 22REMERON................................................................. 7REMESENSE........................................................... 46REMODULIN...................................................... 12, 73RENACIDIN..............................................................53RENAGEL................................................................ 30RENAL CAPS...........................................................57RENATABS...............................................................57RENATABS WITH IRON...........................................57RENA-VITE RX.........................................................57RENAX..................................................................... 56RENEW ADVANCED LANCING SYSTEM(OTC)......2 8RENOVA...................................................................17RENOVA PUMP....................................................... 17RENVELA(POWD PACK).........................................30RENVELA(TAB)........................................................30REPAGLINIDE..........................................................24REPAGLINIDE/METFORMIN HCL...........................24REPLIVA 21-7...........................................................55REPRONEX..............................................................30REQ49+....................................................................55REQUIP....................................................................50REQUIP XL.................................................. 50, 61, 70RESCRIPTOR.......................................................... 41RESCULA.....................................................34, 61, 70RESECTISOL...........................................................12RESERPINE............................................................. 11RESERPINE/HYDROCHLOROTHIAZIDE............... 11RESTASIS................................................................ 33RESTORIL..................................................................9RETAPAMULIN.........................................................18RETIN-A............................................................. 17, 58RETIN-A MICRO................................................ 17, 58RETROVIR............................................................... 41REVATIO............................................................ 12, 61REVIA.........................................................................9REVLIMID...........................................................45, 73REXAVITE 150......................................................... 55REYATAZ..................................................................41REZIRA.....................................................................16RHINOCORT AQUA.......................................5, 61, 70RIBATAB.............................................................41, 70RIBAVIRIN.......................................................... 40, 41RICOBID...................................................................15RICOBID-H.................................................................5RIDAURA..................................................................42RIFABUTIN...............................................................40RIFADIN....................................................................40RIFAMATE................................................................ 40RIFAMPIN.................................................................40RIFAMPIN/ISONIAZID..............................................40RIFAMPIN/ISONIAZID/PYRAZINAMID.................... 40RIFAPENTINE.......................................................... 40RIFATER...................................................................40RIFAXIMIN................................................................40RIGHTEST CONTROL SOLUTION(OTC)..........25, 27RIGHTEST GD500(OTC)......................................... 28RILONACEPT...........................................................41RILPIVIRINE HCL.................................................... 41RILUTEK...................................................................46RILUZOLE................................................................ 46RIMANTADINE HCL................................................. 40RIMEXOLONE..........................................................32RINGERS IRRIGATION............................................20RINGERS SOLUTION..............................................20RINGERS SOLUTION,LACTATED...........................20RINNOVI...................................................................21RIOMET....................................................................24RISEDRONATE SOD/CALCIUM CARB................... 31RISEDRONATE SODIUM.........................................31RISPERDAL(SOLUTION).....................................9, 61RISPERDAL(TAB)................................................ 9, 61RISPERIDONE...........................................................9RITALIN LA...................................................10, 58, 61RITONAVIR.............................................................. 41RIVAROXABAN........................................................ 35RIVASTIGMINE.......................................................... 7RIVASTIGMINE TARTRATE.......................................7RIZATRIPTAN BENZOATE.......................................49ROBAXIN..................................................................51ROBAXIN-750.......................................................... 51ROBINUL..................................................................53ROBINUL FORTE.....................................................53ROCALTROL............................................................ 57ROFLUMILAST...........................................................7ROMYCIN.................................................................33RONDEC-DM........................................................... 16ROPINIROLE HCL................................................... 50ROSADAN................................................................16ROSADERM.............................................................18ROSANIL..................................................................18ROSE BENGAL........................................................34ROSE BENGAL SODIUM.........................................34ROSIGLITAZONE MALEATE................................... 24ROSIGLITAZONE/GLIMEPIRIDE.............................24ROSIGLITAZONE/METFORMIN HCL......................24ROSULA...................................................................18ROSULA CLK...........................................................18ROSULA NS.............................................................20ROSUVASTATIN CALCIUM..................................... 13ROTARIX.................................................................. 37ROTATEQ.................................................................37ROTAVIRUS VAC,LIVE ATT, 89-12.......................... 37ROTAVIRUS VAC,LIVE PENTAV............................. 37ROTIGOTINE........................................................... 50ROWASA..................................................................43ROXICODONE INTENSOL...................................... 48ROXICODONE(SOLUTION).................................... 48ROXICODONE(TAB)................................................ 48ROZEREM......................................................9, 61, 70R-TANNA.................................................................. 15RUFINAMIDE........................................................... 51RU-TUSS DM........................................................... 16RUXOLITINIB PHOSPHATE.................................... 45RYBIX ODT.............................................................. 49RYNATAN PEDIATRIC............................................. 15RYTHMOL................................................................ 10RYTHMOL SR.......................................................... 10RYZOLT....................................................................49- S -SABRIL...............................................................51, 61SACROSIDASE........................................................51SAFYRAL........................................................... 14, 70SAIZEN...............................................................31, 73SAL ACID/BENZ PER/EMOL CMB#47.................... 21SALACYN.................................................................21SALAGEN.................................................................45SAL-AMIDE/ACETAMIN/P-TLOX/CAFF...................47SAL-AMIDE/ACETAMINOPHN/P-TLOX...................47SALEX...................................................................... 21SALICYLAMIDE/ACETAMINOPHEN....................... 47SALICYLIC AC/BENZOYL PER/VIT E..................... 21SALICYLIC ACID......................................................21SALICYLIC ACID/AMMON LACT/ALOE.................. 21SALICYLIC ACID/AMMONIATED HG...................... 21SALICYLIC ACID/BENZ PER...................................21SALICYLIC ACID/CERAMIDE CMB #1....................21SALICYLIC ACID/UREA...........................................21SALMETEROL XINAFOATE...................................... 6SALSALATE............................................................. 47SAL-TROPINE..........................................................52SALURON................................................................ 13SALVAX DUO........................................................... 21SALVAX DUO PLUS.................................................21SAMSCA............................................................ 30, 61SANCTURA........................................................54, 70SANCTURA XR..................................................54, 70SANCUSO......................................................6, 61, 70SANDIMMUNE......................................................... 37SANTYL....................................................................22SAPHRIS........................................................9, 61, 70SAQUINAVIR MESYLATE........................................41SARAFEM.................................................................. 7SARGRAMOSTIM.................................................... 35SAVELLA.................................................................. 46SAXAGLIPTIN HCL..................................................24SAXAGLIPTIN HCL/METFORMIN HCL...................23SCALACORT DK......................................................19SCLEROSOL............................................................45SCOPACE.................................................................. 6SCOPOLAMINE......................................................... 6SCOPOLAMINE HYDROBROMIDE.....................6, 34SE 10-5 SS...............................................................18SECOBARBITAL SODIUM......................................... 9SECONAL SODIUM................................................... 9SECTRAL................................................................. 11SELECT-LITE(OTC)................................................. 28SELEGILINE...............................................................9SELEGILINE HCL.................................................... 50SELENIUM SULFIDE............................................... 20SELZENTRY.............................................................41SEMPREX-D.............................................................. 5SENILEZOL..............................................................56SENSIPAR................................................................31SEREVENT DISKUS............................................6, 61SEROMYCIN............................................................40SEROPHENE........................................................... 30SEROQUEL..........................................................9, 61SEROQUEL XR....................................................9, 61SEROSTIM.........................................................31, 73SERTACONAZOLE NITRATE.................................. 18SERTRALINE HCL..................................................... 8SE-TAN PLUS.......................................................... 55SEVELAMER CARBONATE.....................................30SEVELAMER HCL................................................... 30SIBUTRAMINE HCL M-HYDRATE...........................57SIDEROL..................................................................55SILDENAFIL CITRATE....................................... 12, 30SILENOR........................................................9, 61, 70SILODOSIN.............................................................. 53SILVER..................................................................... 17SILVER CARBONATE.............................................. 17SILVER NITRATE............................................... 17, 21SILVER NITRATE APPLICATOR..............................21SILVER SULFADIAZINE...........................................18SILVRSTAT...............................................................17SIMCOR(TBMP 24HR)(1000-20MG)........... 13, 61, 70SIMCOR(TBMP 24HR)(1000-40 MG).......... 13, 61, 70SIMCOR(TBMP 24HR)(500MG-20MG)....... 13, 61, 70Page 88 of 91

IndexSIMCOR(TBMP 24HR)(500MG-40MG)....... 13, 61, 70SIMCOR(TBMP 24HR)(750MG-20MG)....... 13, 61, 70SIMPONI............................................................ 42, 73SIMVASTATIN...........................................................13SINECATECHINS.....................................................18SINEMET 10-100..................................................... 50SINEMET 25-100..................................................... 50SINEMET 25-250..................................................... 50SINEMET CR............................................................50SINGULAIR................................................................ 7SIROLIMUS..............................................................37SITAGLIPTIN PHOS/METFORMIN HCL..................23SITAGLIPTIN PHOSPHATE..................................... 24SITAGLIPTIN/SIMVASTATIN....................................14SKELAXIN................................................................ 51SKELID.....................................................................31SKLICE.....................................................................18SMARTDIABETES VANTAGE(OTC)........................28SMARTEST(OTC).................................................... 27SMS GLUCOSE CONTROL(OTC)...........................27SOD CHLORIDE 0.45% IRRIG. SOLN.................... 20SOD PICOSULF/MAG OX/CITRIC AC.....................44SOD PROPION/INOSITOL/AA14/UREA..................54SOD SULF/SODIUM/NAHCO3/KCL/PEG................44SOD/POT/K & SOD CIT/C AC/SUCRO....................54SOD/POT/K CIT/SOD CIT/CIT ACID....................... 54SODIUM BENZOATE/NA PH-ACETATE..................44SODIUM BISULFITE................................................ 16SODIUM CHLORIDE..........................................20, 30SODIUM CHLORIDE 0.45 %................................... 30SODIUM CHLORIDE IRRIG SOLUTION................. 20SODIUM CHLORIDE/NAHCO3/KCL/PEG............... 44SODIUM CITRATE................................................... 35SODIUM FLUORIDE................................................ 54SODIUM FLUORIDE/POT NITRATE........................54SODIUM HYALURONATE........................................22SODIUM OXYBATE....................................................8SODIUM PHENYLBUTYRATE................................. 44SODIUM POLYSTYRENE SULFONATE..................30SODIUM SULFACETAMIDE(CLEANSER)...............20SODIUM SULFACETAMIDE(SHAMPOO)................20SODIUM SULFACETAMIDE-SULFUR..................... 18SODIUM THIOSULFATE/SAL ACID.........................18SODIUM,POTASSIUM,&MAG SULFATES...............44SOFT TOUCH II(OTC)............................................. 27SOFT TOUCH(OTC)................................................ 28SOFTCLIX(OTC)...................................................... 28SOLAGE...................................................................23SOLARAZE........................................................ 22, 73SOLIFENACIN SUCCINATE.................................... 54SOLODYN(TAB ER 24H)(105 MG)........ 39, 58, 61, 70SOLODYN(TAB ER 24H)(115MG)......... 39, 58, 61, 70SOLODYN(TAB ER 24H)(135 MG).............. 39, 58, 61SOLODYN(TAB ER 24H)(45 MG)................ 39, 58, 61SOLODYN(TAB ER 24H)(55 MG).......... 39, 58, 61, 70SOLODYN(TAB ER 24H)(65 MG).......... 39, 58, 61, 70SOLODYN(TAB ER 24H)(80 MG).......... 39, 58, 61, 70SOLODYN(TAB ER 24H)(90 MG)................ 39, 58, 61SOLTAMOX.............................................................. 46SOLUCLENZ RX...................................................... 21SOLUS V2 CONTROL SOLUTION(OTC).......... 25, 26SOLUS V2 LANCING DEVICE(OTC).......................28SOMA....................................................................... 51SOMATROPIN..........................................................31SOMAVERT..............................................................31SOMNOTE..................................................................9SONAFINE............................................................... 20SONATA............................................................... 9, 61SORAFENIB TOSYLATE......................................... 45SORBITOL................................................................20SORBITOL SOLUTION............................................ 20SORBITOL-MANNITOL............................................20SORIATANE(CAP)(10 MG)...................................... 23SORIATANE(CAP)(17.5 MG)................................... 23SORIATANE(CAP)(22.5 MG)................................... 23SORIATANE(CAP)(25 MG)...................................... 23SORILUX............................................................23, 70SOTALOL................................................................. 12SOTALOL HCL......................................................... 12SPACOL................................................................... 52SPASMOLIN............................................................. 52SPECTRACEF..........................................................37SPINOSAD............................................................... 18SPIRIVA................................................................6, 61SPIRONOLACT/HYDROCHLOROTHIAZID.............12SPIRONOLACTONE................................................ 12SPORANOX(CAP)....................................................39SPORANOX(SOLUTION).........................................39SPRAY AND STRETCH........................................... 22SPRIX.................................................................42, 61SPRYCEL........................................................... 45, 73SPS.......................................................................... 30SSKI......................................................................... 32STAGESIC-10.....................................................48, 61STALEVO 100.......................................................... 50STALEVO 125.......................................................... 50STALEVO 150.......................................................... 50STALEVO 200.......................................................... 50STALEVO 50............................................................ 50STALEVO 75............................................................ 50STANNOUS FLUORIDE...........................................54STARLIX................................................................... 24STAVUDINE..............................................................41STAVZOR........................................................... 51, 70STAXYN..............................................................30, 61STELARA................................................................. 42STERILE TALC.........................................................45STIMATE.................................................................. 31STIVARGA..........................................................45, 73STRATTERA.......................................................10, 61STRIANT............................................................ 36, 73STRIBILD..................................................................41STROMECTOL.........................................................40STRONG IODINE.....................................................32STROVITE................................................................56STROVITE ADVANCE..............................................56STROVITE ADVANCE + D.......................................56STROVITE FORTE...................................................56STROVITE ONE.......................................................56STROVITE PLUS..................................................... 56SUBOXONE(FILM)...................................................49SUBOXONE(TAB SUBL)....................................49, 73SUBSYS............................................................. 47, 73SUBUTEX...........................................................49, 73SUCRAID........................................................... 51, 73SUCRALFATE.......................................................... 53SULAR......................................................................12SULCONAZOLE NITRATE.......................................18SULFAC....................................................................33SULFACET SOD/SULF/UREA/MERA/TI..................18SULFACET SOD/SULFUR/WITCH HAZ..................18SULFACETAMD/SULFR/SKNCLNSR10.................. 18SULFACETAMIDE SOD/SULFUR/UREA.................18SULFACETAMIDE SODIUM.........................16, 20, 33SULFACETAMIDE SODIUM/SULFUR..................... 18SULFACETAMIDE SODIUM/UREA..........................20SULFACETAMIDE/PREDNISOLONE SP.................33SULFACETAMIDE/SULFUR/CLEANSR23...............18SULFACETAMIDE-PREDNISOLONE...................... 33SULFACETM NA/AVOBENZONE/SULFUR............. 18SULFACETM NA/PREDNISOL AC.......................... 33SULFADIAZINE........................................................ 43SULFALONE............................................................ 33SULFAMETHOXAZOLE/TRIMETHOPRIM.............. 37SULFAMETHOXAZOLE-TRIMETHOPRIM.............. 37SULFAMYLON(CREAM).......................................... 18SULFAMYLON(PACKET)......................................... 18SULFANILAMIDE..................................................... 54SULFASALAZINE.....................................................43SULFISOXAZOLE ACETYL..................................... 37SULINDAC................................................................43SUMADAN................................................................18SUMATRIPTAN........................................................ 49SUMATRIPTAN SUCC/NAPROXEN SOD............... 49SUMATRIPTAN SUCCINATE...................................49SUMATRIPTAN SUCCINATE(CARTRIDGE)......49,6 1SUMATRIPTAN SUCCINATE(DISP SYRINGE)(4MG/0.5ML)..........................................................49, 61SUMATRIPTAN SUCCINATE(DISP SYRINGE)(6MG/0.5ML)..........................................................49, 61SUMAVEL DOSEPRO..................................49, 61, 70SUMAXIN................................................................. 18SUMAXIN CP........................................................... 18SUNITINIB MALATE.................................................45SUPERVITE............................................................. 57SUPERVITE EC....................................................... 56SUPPORT-500......................................................... 56SUPPRELIN............................................................. 31SUPPRELIN LA........................................................32SUPRAX...................................................................37SUPRENZA ODT......................................... 57, 61, 70SUPREP...................................................................44SURE COMFORT LANCING PEN(OTC)................. 28SURE EDGE GLUCOSE CONTROL SOLN(OTC)......2 5 - 2 7SURECHEK GLUCOSE CONTROL(OTC)...............25SUREFLEX(OTC).....................................................28SURE-PEN(OTC)..................................................... 28SURESTEP CONTROL SOLUTION(OTC)......24, 25,2 7SURESTEP PRO(OTC)...................................... 25-27SURE-TEST EASYPLUS MINI(OTC).......................27SURFAXIN................................................................46SURGICEL............................................................... 36SURGIFOAM............................................................36SURMONTIL...............................................................8SURVANTA...............................................................46SUSTIVA...................................................................41SUTENT............................................................. 45, 73SYLATRON.........................................................45, 73SYLATRON 4-PACK...........................................45, 73SYMAX DUOTAB..................................................... 52SYMBICORT.................................................. 6, 61, 70SYMBYAX.............................................................9, 61SYMLIN.................................................................... 23SYMLINPEN 120......................................................23SYMLINPEN 60........................................................23SYNAGEX................................................................ 57SYNALAR.................................................................19SYNALAR TS........................................................... 19SYNALGOS-DC........................................................47SYNAREL.................................................................31SYNERA...................................................................22- T -TABLOID...................................................................45TACHOSIL................................................................ 36TACLONEX.........................................................23, 70TACLONEX SCALP............................................23, 70TACRINE HCL............................................................ 7TACROLIMUS.................................................... 23, 37TADALAFIL.........................................................12, 30TAFLUPROST/PF.....................................................34TAGAMET.................................................................53TALACEN................................................................. 48TALADINE................................................................ 53TALC.........................................................................45TALWIN.....................................................................49TALWIN NX...............................................................49TAMBOCOR............................................................. 10TAMIFLU...................................................................40TAMOXIFEN CITRATE.............................................46TAMSULOSIN HCL.................................................. 53TANDEM F................................................................55TAPENTADOL HCL.................................................. 49TAR DISTILLATE......................................................21TARCEVA........................................................... 45, 73TARGRETIN................................................. 22, 46, 73TARKA...................................................................... 10TARON FORTE........................................................ 55TASIGNA............................................................ 45, 73TASMAR....................................................... 50, 61, 70TAZAROTENE....................................................17, 23TAZORAC.................................................................23TEDUGLUTIDE........................................................ 44TEGRETOL.............................................................. 50TEGRETOL XR........................................................ 50TEKAMLO.......................................................... 13, 73TEKTURNA........................................................ 13, 73TEKTURNA HCT................................................13, 73TELAPREVIR........................................................... 41TELBIVUDINE.......................................................... 41TELCARE CONTROL SOLUTION(OTC)................. 24TELITHROMYCIN.................................................... 38TELMISARTAN......................................................... 11TELMISARTAN/AMLODIPINE..................................11TELMISARTAN/HYDROCHLOROTHIAZID..............11TEMAZEPAM..............................................................9TEMODAR..........................................................45, 73TEMOVATE.............................................................. 19TEMOZOLOMIDE.....................................................45TENEX...................................................................... 11TENOFOVIR DISOPROXIL FUMARATE................. 41TENORETIC 100......................................................12TENORETIC 50........................................................12TENORMIN...............................................................11TERAK......................................................................33TERAZOSIN HCL..................................................... 11TERBINAFINE HCL............................................18, 39TERBINAFINE/HYDROXY CHITOSAN....................39TERBINEX................................................................39TERBUTALINE SULFATE.......................................... 6TERCONAZOLE.......................................................54TERIFLUNOMIDE.................................................... 46TERIPARATIDE........................................................ 31TERRAMYCIN WITH POLYMYXIN.......................... 33TERSI FOAM............................................................20Page 89 of 91

IndexTESAMORELIN ACETATE.......................................31TESSALON.............................................................. 15TESSALON PERLE..................................................15TESTIM...............................................................36, 73TESTOSTERONE.................................................... 36TESTOSTERONE CYPIONATE.........................36, 73TESTOSTERONE ENANTHATE........................36, 73TESTOSTERONE PROPIONATE............................ 36TESTRED.................................................................36TETCAINE................................................................33TETRABENAZINE....................................................46TETRACAINE HCL.............................................22, 33TETRACAINE HCL/PF............................................. 33TETRACAINE/BENZOCAINE/BUTAMBEN..............22TETRACYCLINE HCL.............................................. 39TETRAVISC..............................................................33TETRAVISC FORTE.................................................33TEVETEN HCT................................................... 11, 70TEVETEN(TAB)(400 MG)................................... 11, 70TEVETEN(TAB)(600 MG)................................... 11, 70TEV-TROPIN...................................................... 31, 73TEXACORT.............................................................. 19THALIDOMIDE......................................................... 40THALITONE..............................................................13THALOMID......................................................... 40, 73THEO-24.....................................................................7THEOCHRON.............................................................7THEOPHYLL/EPHED HCL/PHENOBARB................. 7THEOPHYLLINE ANHYDROUS................................ 7THEOTAL................................................................... 7THERMAZENE.........................................................18THEROBEC..............................................................56THEROBEC PLUS................................................... 56THIAMINE HCL........................................................ 57THIOGUANINE.........................................................45THIOLA.....................................................................53THIORIDAZINE HCL.................................................. 9THIOTHIXENE............................................................9THROMBIN (BOVINE)..............................................36THROMBIN (RECOMBINANT).................................36THROMBIN(HUM PLAS)/FIB/APRO/CA..................36THROMBIN(HUM PLAS)/FIBRINOG/CA................. 36THROMBIN/FIBRINOGEN/APRO/CAL....................36THROMBIN-JMI........................................................36THYROID..................................................................32THYROID,PORK...................................................... 32THYROLAR-1...........................................................32THYROLAR-1/2........................................................32THYROLAR-1/4........................................................32THYROLAR-2...........................................................32THYROLAR-3...........................................................32TIA DOCE.................................................................57TIAGABINE HCL...................................................... 51TICAGRELOR.......................................................... 35TICLOPIDINE HCL...................................................35TIGAN.........................................................................6TIKOSYN..................................................................10TILUDRONATE DISODIUM......................................31TIMOLOL..................................................................34TIMOLOL MALEATE.......................................... 12, 34TIMOPTIC.................................................................34TIMOPTIC-XE...........................................................34TINDAMAX............................................................... 40TINIDAZOLE.............................................................40TINZAPARIN SODIUM,PORCINE............................35TIOPRONIN..............................................................53TIOTROPIUM BROMIDE........................................... 6TIPRANAVIR............................................................ 40TIPRANAVIR/VITAMIN E TPGS...............................40TIROSINT.................................................................32TISSEEL VHSD........................................................36TIZANIDINE HCL......................................................51TIZANIDINE/IRR CNTR-IRR CMB #2...................... 51TL-FOL 500.............................................................. 55TL-HIST CD..............................................................15TOBI................................................................... 39, 73TOBRADEX ST........................................................ 32TOBRADEX(DROPS SUSP).................................... 32TOBRADEX(OINT)................................................... 32TOBRAMYCIN..........................................................33TOBRAMYCIN IN 0.225% NACL............................. 39TOBRAMYCIN/DEXAMETHASONE........................ 32TOBRAMYCIN/LOTEPRED ETAB........................... 32TOBREX................................................................... 33TOFACITINIB CITRATE........................................... 42TOFRANIL.................................................................. 8TOFRANIL-PM........................................................... 8TOLAZAMIDE...........................................................24TOLBUTAMIDE........................................................ 24TOLCAPONE............................................................50TOLMETIN SODIUM................................................ 43TOLTERODINE TARTRATE..................................... 54TOLVAPTAN............................................................. 30TOPAMAX................................................................ 51TOPICORT............................................................... 19TOPIRAMATE...........................................................51TOPOTECAN HCL................................................... 45TOPROL XL..............................................................12TORADOL(CARTRIDGE)(15 MG/ML)......................43TORADOL(CARTRIDGE)(30 MG/ML)......................43TOREMIFENE CITRATE.......................................... 46TORSEMIDE............................................................ 12TOURO ALLERGY................................................... 15TOVIAZ...............................................................54, 70TRACER(OTC)...................................................25, 27TRACLEER........................................................ 12, 73TRADJENTA.............................................................24TRAMADOL HCL......................................................49TRAMADOL HCL(CPMP 25-75).................. 49, 61, 70TRAMADOL HCL(TAB ER 24H)...............................49TRAMADOL HCL/ACETAMINOPHEN..................... 49TRANDATE...............................................................10TRANDOLAPRIL...................................................... 11TRANDOLAPRIL/VERAPAMIL HCL.........................10TRANDOLAPRIL-VERAPAMIL.................................10TRANEXAMIC ACID.................................................34TRANSDERM-SCOP..................................................6TRANXENE SD.......................................................... 8TRANXENE T-TAB..................................................... 8TRANYLCYPROMINE SULFATE............................... 7TRAVATAN Z...................................................... 34, 61TRAVOPROST......................................................... 34TRAZODONE HCL.....................................................8TRECATOR.............................................................. 40TREPROSTINIL SODIUM........................................ 12TREPROSTINIL/NEBULIZER/ACCESOR................12TRETINOIN........................................................ 17, 45TRETINOIN MICROSPHERE(GEL W/PUMP)......... 17TRETINOIN MICROSPHERE(GEL)...................17, 58TRETINOIN MICROSPHERES................................ 17TRETINOIN/EMOL 9/SKIN CLN1/GEL.................... 17TRETINOIN/EMOL CMB9/SKIN CLN1.....................17TRETINOIN/EMOLLIENT.........................................17TRETINOIN/MEQUINOL.......................................... 23TRETIN-X........................................................... 17, 58TREXALL..................................................................45TREXIMET................................................... 49, 61, 70TRIACETIN...............................................................39TRIAMCIN/HYDROPHILIC OINTMENT...................19TRIAMCIN/SKIN CLNSR 6/EMOLL 27.................... 19TRIAMCIN/UREA/HYDRO OINT..............................19TRIAMCINOLONE ACETONIDE................5, 7, 19, 46TRIAMCINOLONE DIACETATE............................... 42TRIAMCINOLONE/EMOLLIENT CMB#45............... 20TRIAMTERENE........................................................12TRIAMTERENE/HYDROCHLOROTHIAZID.............12TRIAMTERENE-HCTZ............................................. 12TRIAZOLAM............................................................... 9TRIBENZOR....................................................... 11, 70TRICITRATES.......................................................... 54TRICOR....................................................................13TRIDERM................................................................. 19TRIDESILON............................................................ 19TRIFLUOPERAZINE HCL.......................................... 9TRIFLURIDINE.........................................................32TRIGLIDE........................................................... 14, 70TRIHEXYPHENIDYL HCL........................................50TRILEPTAL(ORAL SUSP)........................................51TRILEPTAL(TAB)......................................................51TRILIPIX................................................................... 14TRI-LUMA.................................................................22TRIMETHOBENZAMIDE HCL....................................6TRIMETHOBENZAMIDE HCL/B-CAINE.................... 6TRIMETHOPRIM......................................................38TRIMIPRAMINE MALEATE........................................ 8TRIOXIN................................................................... 30TRIPELENNAMINE HCL............................................5TRIPLE DYE.............................................................17TRIPOHIST.................................................................5TRIPROLIDINE HCL.................................................. 5TRIPROLIDINE TANNATE......................................... 5TRISPEC PSE..........................................................16TRI-VIT WITH FLUORIDE-IRON..............................56TRIZIVIR...................................................................41TROPAZONE............................................................20TROPICAMIDE.........................................................34TROSPIUM CHLORIDE........................................... 54TRUECONTROL(OTC)...................................... 25, 26TRUETEST GLUCOSE CONTROL(OTC).......... 25-27TRUETRACK(OTC)............................................25, 26TRUSOPT.................................................................33TRUVADA.................................................................41TRYPSIN/BALSAM PERU/CASTOR OIL.................22TUDORZA PRESSAIR................................... 6, 61, 70TUSSICAPS............................................................. 16TUSSIONEX.............................................................16TUSSI-ORGANIDIN NR........................................... 16TWINJECT................................................................45TWYNSTA...........................................................11, 71TYKERB................................................................... 45TYLENOL-CODEINE NO.3...................................... 49TYLENOL-CODEINE NO.4...................................... 49TYLOX................................................................48, 61TYPHOID VACC,LIVE,ATTENUATED......................37TYVASO............................................................. 12, 73TYZEKA....................................................................41- U -UCEPHAN................................................................ 44UCERIS.............................................................. 42, 71UDAMIN..............................................................55, 56UDAMIN SP..............................................................56ULESFIA...................................................................18ULIPRISTAL ACETATE............................................ 15ULORIC.................................................................... 34ULTI-LANCE(OTC)................................................... 28ULTRACET............................................................... 49ULTRAFOAM............................................................36ULTRAM................................................................... 49ULTRASE................................................................. 52ULTRASE MT 12...................................................... 52ULTRASE MT 18...................................................... 52ULTRASE MT 20...................................................... 52ULTRATRAK PRO(OTC).......................................... 24ULTRATRAK ULTIMATE(OTC).................................25ULTRATRAK(OTC).............................................25, 27ULTRAVATE..............................................................19ULTRAVATE PAC(CMB CRM LT).............................19ULTRAVATE PAC(CMB ONT LT)..............................19ULTRAVATE X.......................................................... 19ULTRESA................................................................. 52UMECTA...................................................................21UMECTA PD.............................................................21UNIRETIC.................................................................10UNISTIK 2 EXTRA(OTC)..........................................28UNISTIK 2 NORMAL................................................ 28UNISTIK 2 NORMAL(OTC)...................................... 28UNISTIK 2(OTC).......................................................28UNISTIK 3 COMFORT(OTC)................................... 28UNISTIK 3 NEONATAL(OTC)...................................28UNISTIK 3(OTC).......................................................28UNISTIK(OTC)..........................................................28UNITHROID..............................................................32UNIVASC.................................................................. 11UNOPROSTONE ISOPROPYL................................34UR N-C..................................................................... 38URAMAXIN...............................................................21URAMAXIN GT.........................................................21UREA..................................................................21, 23UREA/EMOL/BAK CL/PVP/GRP SD XT.................. 21UREA/EMOLLIENT COMBINATION #65................. 21UREA/HYALURONATE SODIUM.............................21UREA/LACTIC AC/ZN UNDECYLENATE................ 21UREA/LACTIC ACID/SALICYL ACID.......................21URECHOLINE.......................................................... 45URELLE....................................................................38URETRON D-S.........................................................38UREX........................................................................38URIBEL.....................................................................38URIN D.S..................................................................38URINE GLUC-ACET COMB.TST,STRIP..................29UROCIT-K(TAB ER)(10 MEQ)..................................54UROCIT-K(TAB ER)(15 MEQ)..................................54UROCIT-K(TAB ER)(5 MEQ)....................................54URODOL.................................................................. 54UROFOLLITROPIN.................................................. 30UROLOGIC SOLUTION G....................................... 39UROLOGIC SOLUTION-G....................................... 39UROQID-ACID NO.2................................................ 53UROXATRAL............................................................ 53URSO....................................................................... 44URSO FORTE.......................................................... 44URSODIOL...............................................................44URYL........................................................................ 38USTEKINUMAB........................................................42UTA...........................................................................38UTAC........................................................................ 53- V -Page 90 of 91

IndexVAGIFEM..................................................................54VALACYCLOVIR HCL.............................................. 40VALCYTE..................................................................40VALGANCICLOVIR HCL.......................................... 40VALIUM.......................................................................8VALPROATE SODIUM............................................. 51VALPROIC ACID...................................................... 51VALSARTAN............................................................. 11VALSARTAN/HYDROCHLOROTHIAZIDE............... 11VALTREX..................................................................40VALTURNA......................................................... 13, 73VANCOCIN HCL.................................................40, 61VANCOMYCIN HCL................................................. 40VANDAZOLE............................................................ 54VANDETANIB..................................................... 45, 74VANIQA.................................................................... 23VANOS..................................................................... 19VANOXIDE-HC......................................................... 16VANSPAR................................................................... 8VANTAS....................................................................31VARDENAFIL HCL................................................... 30VARENICLINE TARTRATE.......................................51VASCEPA........................................................... 14, 61VASELINE WHITE PETROLEUM............................ 20VASERETIC..............................................................10VASOTEC................................................................. 11V-C FORTE...............................................................56VECAMYL...........................................................11, 74VECTICAL.......................................................... 23, 71VEHICLE-N...............................................................20VEHICLE-N MILD.....................................................20VELTIN..................................................................... 16VEMURAFENIB........................................................45VENLAFAXINE HCL...................................................8VENLAFAXINE HCL ER.............................................8VENTAVIS.......................................................... 12, 74VENTOLIN HFA..........................................................6VERAMYST....................................................5, 61, 71VERAPAMIL ER....................................................... 12VERAPAMIL HCL..................................................... 12VERDESO................................................................ 19VEREGEN................................................................ 18VERELAN.................................................................12VERIPRED 20.......................................................... 42VESANOID............................................................... 45VESICARE......................................................... 54, 71VEXOL......................................................................32VFEND(SUSP RECON)........................................... 39VFEND(TAB)............................................................ 39VIAGRA.............................................................. 30, 61VIBRAMYCIN........................................................... 39VI-CERT C1000 WITH B12...................................... 56VICODIN ES.......................................................48, 61VICODIN HP.......................................................48, 61VICTORY(OTC)........................................................25VICTOZA 2-PAK........................................... 23, 61, 71VICTOZA 3-PAK........................................... 23, 61, 71VICTRELIS......................................................... 41, 74VIDEX.......................................................................41VIDEX EC.................................................................41VIGABATRIN............................................................ 51VIGAMOX.................................................................33VIIBRYD(TAB DS PK).......................................... 8, 71VIIBRYD(TAB)................................................ 8, 61, 71VILAZODONE HYDROCHLORIDE............................8VIMOVO............................................................. 42, 71VIMPAT(SOLUTION)................................................ 50VIMPAT(TAB)................................................50, 61, 71VIOKACE..................................................................52VIOKASE..................................................................52VIRACEPT(POWDER)............................................. 41VIRACEPT(TAB).......................................................41VIRAMUNE...............................................................41VIRAMUNE XR(TAB ER 24H)(100 MG)...................41VIRAMUNE XR(TAB ER 24H)(400 MG)...................41VIRASAL.................................................................. 21VIRAZOLE................................................................40VIREAD.................................................................... 41VIROPTIC.................................................................32VIRT-VITE PLUS...................................................... 57VISICOL................................................................... 44VISMODEGIB...........................................................45VISTARIL.................................................................... 5VIT A,C,E/ZINC/COPPER/LUT/ZEAX......................54VIT B CMPLX #9/FA/VIT C/VIT E.............................57VIT B CMPLX #9/IRON/FA/VIT C&E........................57VIT B CMPLX 3/FA/VIT C/BIOTIN............................57VIT B CMPLX NO3/FA/C/BIOT/ZINC....................... 57VIT B COMPLEX & C NO.13/FA/D3.........................57VIT B CPLX #11/FA/C/BIOT/ZN OX......................... 57VIT E/LIDOCAIN/ALO VER/COLAGN......................22VITAFOL................................................................... 55VITAJECT................................................................. 57VITAL-D RX.............................................................. 56VITAMAX.................................................................. 56VITAMIN B COMP AND VIT C NO.6........................ 56VITAMIN B COMPLEX............................................. 57VITAMIN B12-INTRINSIC FACTOR......................... 57VITAMINS B1,B2,B3,B5,& B6...................................57VITA-RESPA.............................................................56VITE AC/GRAPE/HYALURONIC ACID.................... 20VITE CON FORTE....................................................56VITMAIN B-12...........................................................57VIVACTIL.................................................................... 8VIVAGLOBIN............................................................ 37VIVELLE............................................................. 36, 61VIVELLE-DOT.................................................... 36, 61VIVOTIF BERNA...................................................... 37VOCAL POINT GLUCOSE CONTROL(OTC).......... 25VOCALPOINT GLUCOSE CONTROL(OTC)........... 26VOLTAREN...................................................20, 32, 42VOLTAREN-XR.........................................................42VORICONAZOLE..................................................... 39VORINOSTAT...........................................................45VOSOL..................................................................... 29VOSPIRE ER..............................................................6VOTRIENT..........................................................45, 74VUSION....................................................................17VYTORIN(TAB)(10 MG-10MG).................... 13, 61, 71VYTORIN(TAB)(10 MG-20MG).................... 13, 61, 71VYTORIN(TAB)(10 MG-40MG).................... 13, 61, 71VYTORIN(TAB)(10 MG-80MG).......................... 13, 61VYVANSE....................................................... 8, 61, 71- W -WARFARIN SODIUM............................................... 34WATER..................................................................... 20WATER FOR IRRIGATION,STERILE.......................20WAVESENSE CONTROL SOLUTION(OTC)........... 27WELCHOL................................................................13WELLBUTRIN SR.......................................................7WESTCORT............................................................. 19WIDE SEAL DIAPHRAGM....................................... 15WILATE.....................................................................35- X -XALATAN..................................................................33XALKORI............................................................ 45, 74XANAX........................................................................8XARELTO(TAB)(10 MG).....................................35, 61XARELTO(TAB)(15 MG).....................................35, 62XARELTO(TAB)(20 MG).....................................35, 62XCLAIR.....................................................................20XELJANZ............................................................42, 74XELODA............................................................. 45, 74XENADERM............................................................. 22XENAZINE................................................................46XENICAL.................................................................. 57XERAC AC............................................................... 20XERESE................................................................... 18XIBROM....................................................................32XIFAXAN(TAB)(200 MG).......................................... 40XIFAXAN(TAB)(550 MG).............................. 40, 62, 71XOLEGEL.................................................................17XOPENEX HFA.......................................................... 6XOPENEX(VIAL-NEB)(0.31MG/3ML)........................ 6XOPENEX(VIAL-NEB)(0.63MG/3ML)........................ 6XOPENEX(VIAL-NEB)(1.25MG/3ML)........................ 6XPRES(OTC)............................................................27XTANDI...............................................................45, 74XYNTHA................................................................... 34XYNTHA SOLOFUSE...............................................34XYRALID.................................................................. 22XYRALID LP.............................................................22XYRALID RC............................................................ 44XYREM.......................................................................8XYZAL(SOLUTION)....................................... 5, 62, 71XYZAL(TAB)............................................................... 5- Y -YODOXIN................................................................. 40YOHIMAR.................................................................30YOHIMBINE HCL..................................................... 30YOHIMBINE HCL/ZINC SULFATE........................... 30- Z -ZACARE................................................................... 21ZAFIRLUKAST........................................................... 7ZALEPLON.................................................................9ZAMICET............................................................48, 62ZANAFLEX............................................................... 51ZANAMIVIR.............................................................. 40ZANTAC....................................................................53ZANTAC 25...............................................................53ZARONTIN............................................................... 50ZAROXOLYN............................................................13ZEBETA.................................................................... 11ZEBUTAL..................................................................47ZEGERID(CAP)............................................53, 62, 71ZEGERID(PACKET)..................................... 53, 62, 71ZELAPAR............................................................50, 62ZELBORAF.........................................................45, 74ZEMPLAR.................................................................31ZENCIA.....................................................................18ZENIEVA...................................................................20ZENPEP(CAP DR)(10-34-55K)................................ 52ZENPEP(CAP DR)(15-51-82K)................................ 52ZENPEP(CAP DR)(20-68-109K).............................. 52ZENPEP(CAP DR)(25-85-136K).............................. 52ZENPEP(CAP DR)(3K-10K-16K)............................. 52ZENPEP(CAP DR)(5K-17K-27K)............................. 52ZERIT....................................................................... 41ZESTORETIC........................................................... 10ZESTRIL................................................................... 11ZETACET..................................................................18ZETIA................................................................. 13, 62ZETONNA.......................................................5, 62, 71ZIAC..........................................................................12ZIAGEN.................................................................... 41ZIANA....................................................................... 16ZIDOVUDINE............................................................41ZILEUTON.................................................................. 6ZINC CL/B-CAINE/CETYLPYRD CL........................46ZINC SULFATE.........................................................57ZINOTIC................................................................... 29ZINOTIC ES..............................................................29ZIOPTAN...................................................... 34, 62, 71ZIPRASIDONE HCL................................................... 9ZIPSOR.................................................................... 42ZIRGAN.................................................................... 32ZITHRANOL....................................................... 23, 71ZITHRANOL-RR.................................................23, 71ZITHROMAX.............................................................38ZITHROMAX TRI-PAK..............................................38ZMAX........................................................................38ZMAX PEDIATRIC....................................................38ZOCOR.....................................................................13ZODERM(CLEANSER)............................................ 21ZODERM(CREAM)...................................................21ZODERM(GEL).........................................................21ZODERM(MED PAD)(4.5%-10%).............................21ZODERM(MED PAD)(6.5%-10%).............................21ZODERM(MED PAD)(8.5%-10%).............................21ZOFRAN ODT............................................................ 6ZOFRAN(SOLUTION).......................................... 6, 62ZOFRAN(TAB)............................................................6ZOLINZA...................................................................45ZOLMITRIPTAN........................................................49ZOLOFT......................................................................8ZOLPIDEM TARTRATE........................................9, 62ZOLPIMIST.....................................................9, 62, 71ZOMIG(SPRAY)............................................49, 62, 71ZOMIG(TAB).................................................49, 62, 71ZONALON................................................................ 20ZONATUSS.............................................................. 15ZONEGRAN............................................................. 51ZONISAMIDE........................................................... 51ZORBTIVE..........................................................31, 74ZORPRIN..................................................................47ZORTRESS.............................................................. 37ZOVIA 1-35E............................................................ 14ZOVIRAX............................................................18, 40Z-TUSS AC...............................................................16ZUPLENZ(FILM)(4 MG)..................................6, 62, 71ZUPLENZ(FILM)(8 MG)..................................6, 62, 71ZUTRIPRO............................................................... 15ZYCLARA........................................................... 37, 74ZYDONE.............................................................48, 62ZYFLO........................................................................ 6ZYFLO CR..................................................................6ZYLET.......................................................................32ZYLOPRIM............................................................... 34ZYMAR..................................................................... 33ZYMAXID..................................................................33ZYMINE XR................................................................ 5ZYPRAM...................................................................43ZYPREXA.............................................................9, 62ZYTIGA...............................................................45, 74ZYTOPIC.................................................................. 19ZYVOX............................................................... 38, 74Page 91 of 91