EOCCO Pharmacy Formulary · EOCCO Pharmacy Formulary Effective 10/1/2019 Medications that are new...

EOCCO Pharmacy Formulary Effective 1/1/2020

Medications that are new to the market are not included within your pharmacy benefit until reviewed by the Pharmacy and Therapeutics Committee. Please contact Moda Health Customer Service if you are taking a medication that is new to the market. Please note that this list is subject to change at any time.

Questions?

Call Pharmacy Customer Service at 888-474-8539.

2

How to read your pharmacy formulary

Refer to the chart below for a list of prescription medications covered by Moda Health. Medications that are new to the market are subject to a review period. Please contact us if you are taking a medication that is new to the market.

To find out more information about the restrictions below, please refer to “Medications requiring authorization” at eocco.com/members/pharmacy.shtml.

This document is provided for informational purposes only and is intended as a quick reference. For cost and further details of the coverage, including exclusions, prior authorization requirements, any reduction or limitations and the terms under which the policy may be continued in force, contact your producer or Moda Health.

Key

Bold Italic Font

Brand name medications

Regular Font

Generic medications

SP

Speciality medications – Certain prescription medications are defined as specialty products. Specialty medications are often used to treat complex chronic health conditions. Specialty treatments often require special handling techniques, careful administration and a unique ordering process. You must access specialty medications through the exclusive specialty pharmacy. All specialty medications require a prior authorization before they can be dispensed. To enroll with Ardon Health Specialty Pharmacy, call toll-free at 855-425-4085.

PA Prior authorization required – Your healthcare provider must work directly with Moda Health to obtain approval before we can process payment for a specific medication.

ST Step therapy required – You must try one or more “first line” medications before you can get this step therapy medication.

QL Quantity limits – Some medications have limits to how much you can get per prescription or refill.

A Age limits – Some medications are limited to certain ages based on FDA recommendation or plan benefit limitations.

http://eocco.com/members/pharmacy.shtml

Bold Italic = Brand name; Regular Font = Generic; SP = Specialty medications; PA = Prior authorization required; ST = Step therapy required; QL = Quantity limits; A = Age limits

2020.1 (1/1/2020).

For prior effective dates, please contact EOCCO. 3 eocco.com

Medication Name Dosage Form SP PA ST QL A

12 Hour Cold Relief (NDC 50428-4658-05) Tablet ER

12 Hour Decongestant Tablet ER

1st Choice Lancets Each

1st Tier Unifine Pentips Dis Needle

1st Tier Unifine Pentips Plus Dis Needle

1st Tier Unilet Comfortouch (Lancets) Each

24hour Allergy Tablet

2tek (Control Solution) Each

8 Hour Tablet ER

8 Hour Pain Relief Tablet ER

8 Hour Pain Reliever Tablet ER

Abacavir Tablet

Abacavir Solution

Abacavir-Lamivudine Tablet

Abacavir-Lamivudine-Zidovudine Tablet

Acarbose Tablet

Abiraterone Acetate Tablet

Accu-Chek (Lancets) Each

Accu-Chek (Lancing Device/Lancets) Kit

Accu-Chek Compact Plus Control Each

Accu-Chek Fastclix (Lancets) Each

Accu-Chek Fastclix (Lancing Device/Lancets Kit

Accu-Chek Guide Control Soln Each

Accu-Chek Safe-T-Pro (Lancets) Each

Accu-Chek Safe-T-Pro Plus (Lancets) Each

Accu-Chek Smartview (Control Solution) Each

Accu-Chek Softclix (Lancets) Each

Accu-Chek Softclix (Lancing Device/Lancets) Kit

Accutrend Glucose (Control Solution) Each

Acebutolol HCl Capsule

Acephen (325mg) Supp.Rect

Acerola C Tab Chew

Acerola C (NDC 43292-0555-74) Wafer

Acetadryl Tablet

Acetaminophen Solution

Acetaminophen Elixir

Acetaminophen Oral Susp

Acetaminophen Liquid

Acetaminophen Tab Chew

Acetaminophen Tablet

Acetaminophen 8 Hour Tablet ER

Acetaminophen ER Tablet ER

Acetaminophen Extra Strength Tablet


2020.1 (1/1/2020).



Acetaminophen PM Tablet

Acetaminophen PM Xtra Strength Tablet

Acetaminophen-Codeine Tablet

Acetaminophen-Codeine Solution

Acetaminophen-Diphenhydramine Tablet

Acetasol HC Drops

Acetazolamide Tablet

Acetazolamide Capsule ER

Acetic Acid Solution

Acetylcysteine Vial

Acid Controller (10mg) Tablet

Acid Reducer (Famotidine 10mg) Tablet

Acitretin Capsule

Acti-Lance (Lancets) Each

Actimmune Vial

Actoplus Met XR Tbmp 24hr

Acyclovir Capsule

Acyclovir Tablet

Acyclovir Oint. (G)

Acyclovir Oral Susp

Adacel Tdap Vial

Adacel Tdap Syringe

Added Strength Headache Tablet

Added Strength Pain Reliever Tablet

Adefovir Dipivoxil Tablet

Adjustable Lancing Device Each

Admelog Vial

Admelog Solostar Insuln Pen

Adult Low Dose Aspirin EC Tablet Dr

Adult Robitussin Peak Cold Dm Liquid

Adult Tussin Cough Congest Dm Liquid

Adult Tussin Dm Syrup

Adult Wal-Tussin Dm Syrup

Advair HFA HFA Aer Ad

Advanced Antacid Oral Susp

Advanced Antacid-Antigas Oral Susp

Advanced Lancing Device Kit

Advanced Travel Lancets Each

Advate Vial

Advocate Control Solution Each

Advocate Lancet Each

Advocate Lancets Each

Advocate Pen Needles Dis Needle


2020.1 (1/1/2020).



Advocate Rapid-Safe (Lancing Device) Each

Advocate Redi-Code+ Ctrl Soln Each

Advocate Syringes Disp Syrin

Afeditab CR Tablet ER

Afluria 2018-2019 Syringe

Afluria 2018-2019 Vial

Afluria Quad 2018-2019 Syringe

Afluria Quad 2018-2019 Vial

Afstyla Vial

Aftera Tablet

Agamatrix Control (Control Solution) Each

Ak-Poly-Bac Oint. (G)

Ala-Cort Cream (G)

Ala-Scalp Lotion

Alavert Tab Rapdis

Albendazole Tablet

Albuterol Sulfate Syrup

Albuterol Sulfate Tablet

Albuterol Sulfate Tab ER 12h

Albuterol Sulfate Vial-Neb

Albuterol Sulfate Solution

Albuterol Sulfate HFA Hfa Aer Ad

Albuterol Sulfate HFA Inh

Alclometasone Dipropionate Cream (G)

Alclometasone Dipropionate Oint. (G)

Alecensa Capsule

Alendronate Sodium Tablet

Alendronate Sodium Solution

Aler-Caps Capsule

Aleve Tablet

Alferon N Vial

Alfuzosin HCl ER Tab ER 24h

Algal Omega-3 DHA Capsule

Alka-Seltzer Plus Allergy Tablet

All Day Allergy Tablet

All Day Allergy Relief Tablet

All Day Pain Relief Tablet

All Day Relief Tablet

Aller-Chlor Tablet

Aller-Chlor Syrup

Allerclear Tablet

Aller-G-Time Tablet

Allergy Tablet


2020.1 (1/1/2020).



Allergy Capsule

Allergy Liquid

Allergy 4-Hour Tablet

Allergy Medication Tablet

Allergy Medication Capsule

Allergy Medicine Tablet

Allergy Medicine Capsule

Allergy Medicine Liquid

Allergy Relief Liquid

Allergy Relief Tab Rapdis

Allergy Relief (Diphenhydramine HCl 25mg) Capsule

Allergy Relief (Loratadine 10mg) Tablet

Allergy Relief (Loratadine 5 mg/5ml) Solution

Allergy-Time Tablet

Aller-Tec Tablet

Allopurinol Tablet

Almacone Oral Susp

Almacone-2 Oral Susp

Alophen Pills Tablet Dr

Alosetron HCl Tablet

Alphagan P (0.10%) Drops

Alrex Drops Susp

Altabax Oint. (G)

Altachlore Drops

Altachlore Oint. (G)

Altamist Spray

Altavera Tablet

Alternate Site Lancets Each

Alternate Site Lancing Device Each

Alunbrig Tablet

Alyacen Tablet

Amabelz Tablet

Amantadine Solution

Amantadine Tablet

Amantadine Capsule

Ambrisentan Tablet

Amcinonide Cream (G)

Amcinonide Oint. (G)

Amcinonide Lotion

Amethia Tbdspk 3mo

Amethia Lo Tbdspk 3mo

Aminocaproic Acid Solution

Aminocaproic Acid Tablet


2020.1 (1/1/2020).



Amiloride HCl Tablet

Amiloride-Hydrochlorothiazide Tablet

Amiodarone HCl Tablet

Amitiza Capsule

Amlodipine Besylate Tablet

Amlodipine Besylate-Benazepril Capsule

Ammonium Lactate Cream (G)

Amoxicillin Tablet

Amoxicillin Tab Chew

Amoxicillin Capsule

Amoxicillin Susp Recon

Amoxicillin ER Tbmp 24hr

Amoxicillin-Clavulanate Pot ER Tab ER 12h

Amoxicillin-Clavulanate Potass Tab Chew

Amoxicillin-Clavulanate Potass Tablet

Amoxicillin-Clavulanate Potass Susp Recon

Ampicillin Trihydrate Capsule

Ampicillin Trihydrate Susp Recon

Amyl Nitrite Ampul

Anacaine Oint. (G)

Anadrol-50 Tablet

Analpram HC Lotion

Anastrozole Tablet

Androxy Tablet

Annovera Vag Ring

Anodyne Lpt Kit

Antacid & Antigas Oral Susp

Antacid & Gas Relief Oral Susp

Antacid (Calcium Carbonate) Tab Chew

Antacid (Mag Hydrox/Aluminum Hyd/Simeth) Oral Susp

Antacid Anti-Gas Double Str Oral Susp

Antacid Calcium Tab Chew

Antacid Extra Strength Oral Susp

Antacid Extra Strength (300mg (750) & 400(1000)) Tab Chew

Antacid M Oral Susp

Antacid Maximum Strength Oral Susp

Antacid Plus Anti-Gas Oral Susp

Antacid Ultra Strength Tab Chew

Antacid With Simethicone Oral Susp

Antacid-Antigas (400-400-20 & 400-400-40) Oral Susp

Antibiotic Oint. (G)

Anti-Diarrheal Oral Susp

Anti-Diarrheal Liquid


2020.1 (1/1/2020).



Antifungal Cream Cream (G)

Anti-Fungal Cream Cream (G)

Antihist Elixir

Antihistamine Capsule

Antihistamine Tablet

Anti-Itch (Hydrocortisone) Cream (G)

Antipyrine-Benzocaine Drops

Antitussive Dm Syrup

Anzemet Tablet

Apidra Vial

Apidra Solostar Insuln Pen

Apokyn Cartridge

Apraclonidine HCl Drops

Aprepitant Cap Ds Pk

Aprepitant (80 mg) Capsule

Apri Tablet

Apriso Cap ER 24h

Aptivus Solution

Aptivus Capsule

Aqua Lance Lancing Device Each

Aralast Np Vial

Aranelle Tablet

Aranesp Vial

Aranesp Syringe

Arbinoxa Tablet

Arbinoxa Liquid

Arcalyst Vial

Arnuity Ellipta Blst W/Dev

Arthritis Pain Tablet ER

Arthritis Pain Relief Tablet ER

Arthritis Pain Reliever Tablet ER

Artificial Tears Drops

Asa-Butalb-Caffeine-Codeine Capsule

Ascomp With Codeine Capsule

Ascorbic Acid Tablet

Ascorbic Acid With Rh Tablet

Ashlyna Tbdspk 3mo

Aspir 81 Tablet Dr

Aspirin Tab Chew

Aspirin (325mg) Tablet

Aspirin Buffered Tablet

Aspirin EC (81mg & 325mg) Tablet Dr

Aspirin-Caffeine-Dihydrocodein Capsule


2020.1 (1/1/2020).



Aspirin-Dipyridamole ER Cpmp 12hr

Aspir-Low Tablet Dr

Aspir-Trin Tablet Dr

Assure 4 (Control Solution) Combo. Pkg

Assure Dose (Control Solution) Each

Assure Haemolance Plus (Lancets) Each

Assure Id Insulin Safety Disp Syrin

Assure Lance (Lancets) Each

Assure Lance Plus (Lancets) Each

Assure Prism (Control Solution) Each

Atabex DHA 200 Capsule

Atazanavir Sulfate Capsule

Atenolol Tablet

Atenolol-Chlorthalidone Tablet

Athenol Tablet

Athlete's Foot (Tolnaftate) Cream (G)

Athlete's Foot Cream Cream (G)

Atorvastatin Calcium Tablet

Atovaquone Oral Susp

Atovaquone-Proguanil HCl Tablet

Atripla Tablet

Atropine Sulfate Drops

Atropine Sulfate Oint. (G)

Atrovent HFA HFA Aer Ad

Aubagio Tablet

Aubra Tablet

Augmentin (125-31.25/) Susp Recon

Auro Drops

Auroguard Drops

Austedo Tablet

Autoject 2 Insuln Pen

Auto-Lancet Mini (Lancing Device/Lancets) Each

Autolet Impression (Lancing Device/Lancets) Kit

Autolet Lancing Device Each

Autolet Plus (Lancing Device) Each

Autopen Insuln Pen

Autoshield Duo Pen Needle Dis Needle

Autoshield Pen Needle Dis Needle

Avc Cream/Appl

Aviane Tablet

Avonex Kit

Avonex Syringekit

Avonex Syringe


2020.1 (1/1/2020).



Avonex Pen Pen Injctr

Avonex Pen Pen Ij Kit

Ayr Saline Spray

Azasan Tablet

Azasite Drops

Azathioprine Tablet

Azelastine HCl Drops

Azithromycin Susp Recon

Azithromycin Tablet

Azithromycin Packet

Azopt Drops Susp

Azurette Tablet

B-12 (500 mcg) Tablet

B-12 Dots Tablet

Bacitracin Oint. (G)

Bacitracin Zinc Oint. (G)

Bacitracin-Polymyxin (NDC 24208-0555-55) Oint. (G)

Bacitraycin Plus Oint. (G)

Baclofen Tablet

Balsalazide Disodium Capsule

Balziva Tablet

Ban-Acid Tab Chew

Banophen Liquid

Banophen Capsule

Banophen Tablet

Baqsimi Spray

Baraclude Solution

Basaglar Kwikpen Insuln Pen

Bayer Migraine Tablet

Baza Antifungal Cream (G)

Bd Microtainer Lancets Each

Bd Ultra-Fine (Lancets) Each

Bd Ultra-Fine II (Lancets) Each

Bd Ultra-Fine Pen Needle Dis Needle

Bee-Zee Tablet

Bekyree Tablet

Belladonna-Opium Supp.Rect

Belladonna-Phenobarbital (NDC 00143-1140-01) Tablet

Benadryl Allergy Tablet

Benazepril HCl Tablet

Benazepril-Hydrochlorothiazide Tablet

Benznidazole Tablet

Benzonatate (100mg & 200mg) Capsule


2020.1 (1/1/2020).



Benztropine Mesylate Tablet

Betamethasone Dipropionate Cream (G)

Betamethasone Dipropionate Oint. (G)

Betamethasone Dipropionate Lotion

Betamethasone Dipropionate Gel (Gram)

Betamethasone Valerate Oint. (G)

Betamethasone Valerate Cream (G)

Betamethasone Valerate Lotion

Betatemp Oral Susp

Betaxolol HCl Tablet

Betaxolol HCl Drops

Bethanechol Chloride Tablet

Bethkis Ampul-Neb

Betimol Drops

Betoptic S Drops Susp

Bexsero Syringe

Bicalutamide Tablet

Biktarvy Tablet

Bimatoprost Drops

Biocotron Liquid

Bisac-Evac Supp.Rect

Bisacodyl Tablet Dr

Bisacodyl Supp.Rect

Bisa-Lax Tablet Dr

Biscolax Supp.Rect

Bismatrol Tab Chew

Bismatrol (262mg/15ml) Oral Susp

Bismuth Tab Chew

Bismuth Oral Susp

Bisoprolol Fumarate Tablet

Bisoprolol-Hydrochlorothiazide Tablet

Bivigam Vial

Bleph-10 Drops

Blephamide Drops Susp

Blephamide S.O.P. Oint. (G)

Blisovi 24 Fe Tablet

Blisovi Fe Tablet

Blood Glucose Control (Control Solution) Each

Blood Lancets Each

Blood-Glucose Control (Control Solution) Each

Boostrix Tdap Vial

Boostrix Tdap Syringe

Bosentan Tablet


2020.1 (1/1/2020).



Bosulif Tablet

Breeze 2 (Control Solution) Each

Brevicon Tablet

Briellyn Tablet

Brimonidine Tartrate Drops

Briviact Tablet

Bromocriptine Mesylate Tablet

Bromocriptine Mesylate Capsule

Budesonide Ampul-Neb

Budesonide EC Capdr - ER

Budesonide ER Tabdr – ER

Buffered Aspirin Tablet

Bufferin Tablet

Bullseye Mini Safety Lancets Each

Bumetanide Tablet

Bunavail Film

Buphenyl Tablet

Buprenorphine HCl Tab Subl

Buprenorphine-Naloxone Film

Buprenorphine-Naloxone Tab Subl

Buproban Tab ER 12h

Bupropion HCl Sr (Zyban) Tab ER 12h

Butalb-Acetaminoph-Caff-Codein Capsule

Butalb-Caff-Acetaminoph-Codein Capsule

Butalbital Compound-Codeine Capsule

Butalbital-Acetaminophen (50mg-325mg) Tablet

Butalbital-Acetaminophen-Caffe Tablet

Butalbital-Acetaminophen-Caffe (50-300-40) Capsule

Butalbital-Acetaminophen-Caffe (50-325-40) Capsule

Butalbital-Aspirin-Caffeine Capsule

Bystolic (2.5mg, 5mg, & 10mg) Tablet

C-500 Tablet

C-500 Tab Chew

Cabergoline Tablet

Caffeine Citrate Solution

Calcipotriene Solution

Calcipotriene Cream (G)

Calcipotriene Oint. (G)

Calcitonin-Salmon Spray/Pump

Calcitrene Oint. (G)

Calcitriol Capsule

Calcium (600 mg) Tablet

Calcium 600-Vit D3 Tablet


2020.1 (1/1/2020).



Calcium Acetate Capsule

Calcium Acetate (667mg) Tablet

Calcium Antacid (200(500)mg, 215(500)mg, 300mg (750), 320mg(750),& 400(1000))

Tab Chew

Calcium Carbonate (200(500)mg, 300mg(750), & 400(1000))

Tab Chew

Calcium Carbonate (260mg(648) & 600 mg) Tablet

Calcium Citrate Tablet

Calcium Citrate - Vitamin D Tablet

Calcium Citrate - Vitamin D3 Tablet

Calcium Citrate-D Tablet

Calcium Citrate-Vit D Tablet

Calcium Citrate-Vitamin D (NDC 50428-0280-46) Tablet

Calcium Citrate-Vitamin D3 Tablet

Calcium Polycarbophil Tablet

Cal-Gest Tab Chew

Calquence Capsule

Camila Tablet

Camrese Tbdspk 3mo

Camrese Lo Tbdspk 3mo

Canasa Supp.Rect

Candesartan Cilexetil Tablet

Candesartan-Hydrochlorothiazid Tablet

Cantil Tablet

Capacet Capsule

Capecitabine Tablet

Capex Shampoo Shampoo

Capital W-Codeine Oral Susp

Capsaicin (0.03%) Cream (G)

Captopril Tablet

Captopril-Hydrochlorothiazide Tablet

Carafate Oral Susp

Carbamazepine Tablet

Carbamazepine Tab Chew

Carbamazepine Oral Susp

Carbamazepine ER Cpmp 12hr

Carbamazepine ER Tab ER 12h

Carbamoxide Drops

Carbidopa Tablet

Carbidopa-Levodopa Tablet

Carbidopa-Levodopa Tab Rapdis

Carbidopa-Levodopa ER Tablet ER

Carbidopa-Levodopa-Entacapone Tablet

Carbinoxamine Maleate Tablet


2020.1 (1/1/2020).



Carbinoxamine Maleate Liquid

Cardura Xl Tab ER 24

Careone (Lancing Device) Each

Caresens (Control Solution) Each

Caretouch Twist Lancet Each

Carisoprodol-Aspirin Tablet

Carisoprodol-Aspirin-Codeine Tablet

Carteolol HCl Drops

Cartia XT Cap ER 24h

Carvedilol Tablet

Caya Contoured Diaphragm

Caziant Tablet

Cefaclor Capsule

Cefaclor Susp Recon

Cefaclor ER Tab ER 12h

Cefadroxil Capsule

Cefadroxil Tablet

Cefadroxil Susp Recon

Cefdinir Capsule

Cefdinir Susp Recon

Cefditoren Pivoxil (200 mg) Tablet

Cefixime Capsule

Cefixime Susp Recon

Cefpodoxime Proxetil Tablet

Cefpodoxime Proxetil Susp Recon

Cefprozil Susp Recon

Cefprozil Tablet

Ceftibuten Susp Recon

Ceftibuten Capsule

Ceftin Susp Recon

Cefuroxime Tablet

Celecoxib Capsule

Celecoxib (400mg) Capsule

Celontin Capsule

Centamin Liquid

Central Vite For Seniors Tablet

Centravites 50 Plus Tablet

Cephalexin Tablet

Cephalexin Capsule

Cephalexin Susp Recon

Cerovite Liquid

Cerovite Advanced Formula Tablet

Cerovite Senior Tablet


2020.1 (1/1/2020).



Certavite-Antioxidant Liquid

Cervarix Syringe

Cesamet Capsule

Cetacaine Anesthetic Liquid

Cetirizine HCl (1 mg/Ml) Solution

Cetirizine HCl (10mg) Tablet

Cevimeline HCl Capsule

Chantix Tablet

Chantix Tab Ds Pk

Chateal Tablet

Child Ibuprofen Oral Susp

Children's Acetaminophen Tab Chew

Children's Acetaminophen Oral Susp

Children's Allergy Liquid

Children's Allergy Tab Rapdis

Children's Allergy Elixir

Children's Allergy (Loratadine) Solution

Children's Allergy Rapid Melts Tab Chew

Children's Allergy Relief Liquid

Children's Allergy Relief Tab Rapdis

Children's Allergy Relief (Loratadine) Solution

Children's Aspirin Tab Chew

Children's Complete Allergy Tab Rapdis

Children's Ferrous Sulfate Drops

Children's Ibuprofen Oral Susp

Children's Iron Drops

Children's Loratadine Solution

Children's Non-Aspirin Oral Susp

Children's Non-Aspirin Tab Chew

Children's Non-Aspirin Elixir

Children's Non-Aspirin Drops

Children's Pain & Fever Tab Chew

Children's Pain And Fever Liquid

Children's Pain Relief Oral Susp

Children's Pain Relief Liquid

Children's Pain Reliever Tab Chew

Children's Pain Reliever Oral Susp

Children's Pain-Fever Oral Susp

Children's Profen Ib Oral Susp

Children's Profenib Oral Susp

Children's Q-Pap Oral Susp

Children's Saline Nasal Spray Spray

Children's Silapap Liquid


2020.1 (1/1/2020).



Children's Tactinal Tab Chew

Children's Wal-Dryl Allergy Liquid

Children's Wal-Dryl Allergy Tab Rapdis

Chlordiazepoxide-Clidinium Capsule

Chlorhexidine Gluconate Mouthwash

Chlorhist Tablet

Chloroquine Phosphate Tablet

Chlorothiazide Tablet

Chlorpheniramine Maleate Tablet

Chlorpropamide Tablet

Chlortabs Tablet

Chlorthalidone Tablet

Chlorzoxazone Tablet

Choicedm Clarus Control Soln Each

Cholbam Capsule

Cholestyramine Powder

Cholestyramine Powd Pack

Cholestyramine Light Powder

Cholestyramine Light Powd Pack

Ciclopirox Suspension

Ciclopirox Gel (Gram)

Ciclopirox Cream (G)

Ciclopirox Solution

Cilostazol Tablet

Ciloxan Oint. (G)

Cimduo Tablet

Cimetidine Solution

Cimetidine Tablet

Cipro HC Drops Susp

Ciprodex Drops Susp

Ciprofloxacin Sus Mc Rec

Ciprofloxacin ER Tbmp 24hr

Ciprofloxacin HCl Tablet

Ciprofloxacin HCl Drops

Ciprofloxacin HCl Droperette

Citracal + D Maximum Tablet

Citrate Of Magnesia Solution

Citroma Solution

Citrus Calcium + D Tablet

Clarithromycin Tablet

Clarithromycin Susp Recon

Clarithromycin ER Tab ER 24h

Claritin Tablet


2020.1 (1/1/2020).



Clemastine Fumarate Tablet

Clemastine Fumarate Syrup

Cleocin Supp.Vag

Clever Chek Lancets Each

Clever Choice Control Solution Each

Clickfine Dis Needle

Climara Pro Patch Tdwk

Clindamycin HCl Capsule

Clindamycin Palmitate HCl Soln Recon

Clindamycin Pediatric Soln Recon

Clindamycin Phosphate Solution

Clindamycin Phosphate Gel (Gram)

Clindamycin Phosphate Lotion

Clindamycin Phosphate Cream/Appl

Clindamycin Phosphate Med. Swab

Clindesse Crm ER (G)

Clobetasol Emollient Cream (G)

Clobetasol Emollient Foam

Clobetasol Propionate Oint. (G)

Clobetasol Propionate Cream (G)

Clobetasol Propionate Solution

Clobetasol Propionate Gel (Gram)

Clobetasol Propionate Shampoo

Clobetasol Propionate Lotion

Clobetasol Propionate Spray

Clobetasol Propionate Foam

Clocortolone Pivalate Cream (G)

Clonazepam Tablet

Clonazepam Tab Rapdis

Clonidine Patch Tdwk

Clonidine HCl Tablet

Clopidogrel Tablet

Clorpres Tablet

Clotrimazole Troche

Clotrimazole Cream/Appl

Clotrimazole Solution

Clotrimazole Cream (G)

Clotrimazole 3 Cream/Appl

Clotrimazole-7 Cream/Appl

Clotrimazole-Betamethasone Cream (G)

Clotrimazole-Betamethasone Lotion

C-Nate DHA Capsule

Coaguchek (Lancets) Each


2020.1 (1/1/2020).



Cocaine HCl Solution

Codeine Sulfate Tablet

Colchicine Capsule

Colchicine Tablet

Colesevelam HCl Tablet

Colestipol HCl Tablet

Colestipol HCl Packet

Colestipol HCl Granules

Colocort Enema

Color Lancets Each

Col-Rite (100mg & 250mg) Capsule

Combigan Drops

Combipatch Patch Tdsw

Combivent Respimat Mist Inhal

Comfort EZ Disp Syrin

Comfort EZ (Lancets) Each

Comfort EZ Dis Needle

Comfort Gel Oral Susp

Comfort Lancets Each

Complera Tablet

Complete Allergy Capsule

Complete Allergy Tablet

Complete Allergy Liquid

Complete Natal DHA Combo. Pkg

Complete Senior Tablet

Completenate Tab Chew

Compoz Tablet

Compro Supp.Rect

Constulose Solution

Contour (Control Solution) Each

Contour Next Control Solution Each

Control Solution Each

Cool Control Solution Each

Cordran Med. Tape

Corlanor Tablet

Cormax Solution

Cortaid Cream (G)

Cortifoam Foam/Appl

Cortisone Cream (G)

Cortisone Acetate Tablet

Cortisporin Oint. (G)

Cortisporin Cream (G)

Cortizone-10 Cream (G)


2020.1 (1/1/2020).



Cortizone-10 Plus Cream (G)

Cosentyx Pen Ij Kit

Cough Syrup

Cough Control Dm Liquid

Cough Control Dm Syrup

Cough Syrup Dm Syrup

Creon Capsule Dr

Cresemba Capsule

Crinone (4%) Gel/Pf App

Crixivan Capsule

Cromolyn Sodium Ampul-Neb

Cryselle Tablet

Cuvitru Vial

Cyclafem Tablet

Cyclobenzaprine HCl (5mg & 10mg) Tablet

Cyclomydril Drops

Cyclopentolate HCl Drops

Cyclophosphamide Capsule

Cycloserine Capsule

Cyclosporine Solution

Cyclosporine Capsule

Cyclosporine Modified Capsule

Cyproheptadine HCl Tablet

Cyproheptadine HCl Syrup

Cyred Tablet

Cystadane Powder

Cystagon Capsule

Cytra-2 Solution

Cytra-3 Solution

Cytra-K Solution

Daily Fiber Powder

Daily Fiber Capsule

Daily Multiple Vitamin Tablet

Daily Multivitamin With Iron Tablet

Daily Value Tablet

Daily Vitamin + Iron Tablet

Daily Vitamin Formula Tablet

Daily Vitamin Formula-Minerals Tablet

Daily Vite Tablet

Daily Vite With Iron Tablet

Daklinza Tablet

Danazol Capsule

Dapsone Tablet


2020.1 (1/1/2020).



Daraprim Tablet

Dasetta Tablet

Daysee Tbdspk 3mo

Deblitane Tablet

Debrox Drops

Deep Sea Spray

Delstrigo Tablet

Deltasone Tablet

Delyla Tablet

Delzicol Cap(Drtab)

Delzicol Capsule Dr

Demeclocycline HCl Tablet

Demser Capsule

Denta 5000 Plus Cream (G)

Dentagel Gel (Gram)

Depen Tablet

Depo-Provera Vial

Depo-Subq Provera 104 Syringe

Descovy Tablet

Desloratadine Tablet

Desogestrel-Ethinyl Estradiol Tablet

Desogestr-Eth Estrad Eth Estra Tablet

Desonate Gel (Gram)

Desonide Oint. (G)

Desonide Lotion

Desonide Cream (G)

Desoximetasone Cream (G)

Desoximetasone Gel (Gram)

Desoximetasone Spray

Desoximetasone (0.25%) Oint. (G)

Dex4 Glucose Gel (Gram)

Dexamethasone Solution

Dexamethasone Tablet

Dexamethasone Elixir

Dexamethasone Intensol Drops

Dexamethasone Sodium Phosphate Drops

Dexcom G6 Receiver Kit (NDC 08627-0091-11) Kit

Dexcom G6 Transmitter Kit (NDC 08627-0016-01) Kit

Dexcom G6 Sensor Kit (NDC 08627-0053-03) Sensor

Dexmethylphenidate HCl Tablet

Dextroamphetamine Sulfate Tablet

Dextroamphetamine Sulfate Solution

Dextroamphetamine Sulfate ER Capsule ER


2020.1 (1/1/2020).



Dextroamphetamine-Amphet ER Cap ER 24h

Dextroamphetamine-Amphetamine Tablet

Diabetic Siltussin-Dm Liquid

Diabetic Tussin Dm (100-10mg/5) Liquid

Diarrhea Relief Oral Susp

Diatrue (Control Solution) Each

Diazepam (2.5mg & 5-7.5-10mg) Kit

Diclofenac Potassium Tablet

Diclofenac Sodium Tablet Dr

Diclofenac Sodium (0.10%) Drops

Diclofenac Sodium (1%) Gel (Gram)

Diclofenac Sodium ER Tab ER 24h

Dicloxacillin Sodium Capsule

Dicyclomine HCl Capsule

Dicyclomine HCl Tablet

Dicyclomine HCl Solution

Didanosine Capsule Dr

Diflorasone Diacetate Oint. (G)

Diflorasone Diacetate Cream (G)

Diflunisal Tablet

Digestive Relief Oral Susp

Digestive Relief Tab Chew

Digitek Tablet

Digox Tablet

Digoxin Solution

Digoxin Tablet

Dilantin (30mg) Capsule

Diltiazem 12hr ER Cap ER 12h

Diltiazem 24hr Cd Cap ER 24h

Diltiazem 24hr ER Cap ER 24h

Diltiazem 24hr ER Capsule ER

Diltiazem 24hr ER Tab ER 24h

Diltiazem ER Cap ER Deg

Diltiazem HCl Tablet

Dilt-XR Cap ER Deg

Diocto Liquid

Diocto Syrup

Dioctyl Syrup

Diotame Tab Chew

Dipentum Capsule

Diphedryl Liquid

Diphedryl Capsule

Diphedryl Tablet


2020.1 (1/1/2020).



Diphedryl Allergy Liquid

Diphen Tablet

Diphenhist Liquid

Diphenhist Capsule

Diphenhist Tablet

Diphenhydramine HCl Capsule

Diphenhydramine HCl Tablet

Diphenhydramine HCl Elixir

Diphenhydramine HCl Syrup

Diphenhydramine HCl Liquid

Diphenoxylate-Atropine Liquid

Diphenoxylate-Atropine Tablet

Diphtheria-Tetanus Toxoids-Ped Vial

Dipyridamole Tablet

Disopyramide Phosphate Capsule

Disulfiram Tablet

Diuril Oral Susp

Divigel Gel Packet

Doc-Q-Lace Capsule

Doc-Q-Lax Tablet

Docu Liquid Liquid

Docusate Calcium Capsule

Docusate Sodium Liquid

Docusate Sodium Capsule

Docusate Sodium Syrup

Docusate Sodium-Senna Tablet

Docusil Capsule

Dofetilide Capsule

Dok Capsule

Dok Plus Tablet

Donepezil HCl (5 mg & 10mg) Tablet

Donepezil HCl Odt Tab Rapdis

Dorzolamide HCl Drops

Dorzolamide-Timolol Drops

Dorzolamide-Timolol Droperette

Doxazosin Mesylate Tablet

Doxycycline Monohydrate Tablet

Doxycycline Monohydrate Susp Recon

Doxycycline Monohydrate (50mg, 100mg & 150mg) Capsule

Drithocreme Hp Cream (G)

Dronabinol Capsule

Droplet Lancets Each

Droplet Lancing Device Each


2020.1 (1/1/2020).



Drospirenone-Ethinyl Estradiol Tablet

Droxia Capsule

Dss Capsule

Ducodyl Tablet Dr

Dulcolax Stool Softener Capsule

Dulera HFA Aer Ad

Dupixent Syringe

Durezol Drops

Dutasteride Capsule

Dyrenium Capsule

E.E.S. 200 Susp Recon

E.E.S. 400 Tablet

Ear Drops (Carbamide Peroxide) Drops

Ear System Drops

Ear Wax Removal Drops

Earwax Treatment Drops

Easy Click (Lancing Device) Each

Easy Comfort (Lancets) Each

Easy Comfort Insulin Syringe Disp Syrin

Easy Comfort Pen Needles Dis Needle

Easy Plus Ii (Control) Each

Easy Step (Control) Each

Easy Talk (Control) Each

Easy Touch (Lancets) Each

Easy Touch Disp Syrin

Easy Touch Control Solution Each

Easy Touch Insulin Safety Disp Syrin

Easy Touch Insulin Syringe Disp Syrin

Easy Touch Lancets Each

Easy Touch Lancing Device Each

Easy Touch Pen Needle Dis Needle

Easy Trak (Control Solution) Each

Easy Twist & Cap Lancets Each

Easygluco Plus Control Normal (Control Solution) Each

Easymax (Control Solution) Each

Easymax 15 (Control Solution) Each

Easy-Touch Insulin Syringe Disp Syrin

Eazzze The Pain Tablet

Eclipse Syringe Disp Syrin

Econazole Nitrate Cream (G)

Econtra EZ Tablet

Ecotrin (325mg) Tablet Dr

Ecpirin Tablet Dr


2020.1 (1/1/2020).



Eczema Anti-Itch Cream (G)

Ed Chlorped Jr Syrup

Ed-Apap Liquid

Ed-Chlortan Tablet

Ed-Spaz Tab Rapdis

Edurant Tablet

Efavirenz Capsule

Efavirenz Tablet

Effer-K (25 Meq) Tablet Eff

Egaten Tablet

Element Compact Control Soln Each

Element Control Solution Each

Elestrin Gel Md Pmp

Elinest Tablet

Eliphos Tablet

Eliquis Tab Ds Pk

Eliquis Tablet

Elite Ob DHA Capsule

Elixophyllin Elixir

Ella Tablet

Elmiron Capsule

Embrace (Lancets & Control) Each

Embrace Evo (Control Solution) Each

Embrace Glucose Control Soln Each

Embrace Pro (Control Solution) Each

Emcyt Capsule

Emend (40mg & 125mg) Capsule

Emoquette Tablet

Emtriva Capsule

Emtriva Solution

Enalapril Maleate Tablet

Enalapril-Hydrochlorothiazide Tablet

Enbrel Cartridge

Enbrel Vial

Enbrel Syringe

Enbrel Pen Injctr

Endocet Tablet

Endur-Acin Tablet ER

Enema (19g-7g/118) Enema

Enema Disposable Enema

Engerix-B Adult Vial

Engerix-B Adult Syringe

Engerix-B Pediatric-Adolescent Vial


2020.1 (1/1/2020).



Engerix-B Pediatric-Adolescent Syringe

Enjuvia Tablet

Enoxaparin Sodium Syringe

Enoxaparin Sodium Vial

Enpresse Tablet

Enskyce Tablet

Entacapone Tablet

Entecavir Tablet

Entresto Tablet

Enulose Solution

Epifoam Foam

Epinephrine Auto Injct

Epitol Tablet

Epivir Hbv Solution

Eplerenone Tablet

Epogen Vial

Eprosartan Mesylate Tablet

Erleada Tablet

Erlotinib HCl Tablet

Errin Tablet

Ery Med. Swab

Ery-Tab Tablet Dr

Erythrocin Stearate Tablet

Erythromycin Solution

Erythromycin Gel (Gram)

Erythromycin Oint. (G)

Erythromycin Tablet

Erythromycin Capsule Dr

Erythromycin Med. Swab

Erythromycin Ethylsuccinate Tablet

Erythromycin Ethylsuccinate Susp Recon

Estarylla Tablet

Estradiol Cream/Appl

Estradiol Tablet

Estradiol Patch Tdwk

Estradiol Patch Tdsw

Estradiol-Norethindrone Acetat Tablet

Estrogel Gel Md Pmp

Estropipate Tablet

Ethambutol HCl Tablet

Ethosuximide Solution

Ethosuximide Capsule

Ethynodiol-Ethinyl Estradiol Tablet


2020.1 (1/1/2020).



Etidronate Disodium Tablet

Etodolac Tablet

Etodolac Capsule

Etodolac ER Tab ER 24h

Etoposide Capsule

Eurax Cream (G)

Evac-U-Gen Tablet

Evamist Spray

Evencare (Lancets) Each

Evencare G2 (Control Solution) Each

Evencare G3 (Control Solution) Each

Evencare Mini Glucose Control Each

Evolution Control Solution Each

Evotaz Tablet

Excedrin Migraine Tablet

Exemestane Tablet

Exjade Tab Disper

Exoderm Lotion

Expectorant Dm Syrup

Extra Action Cough Syrup

Extra Pain Relief Tablet

Extra Strength Non-Aspirin Tablet

Extraprin Tablet

E-Z Ject Lancets Each

Ezetimibe Tablet

EZ Flu 2018-2019 (Flucelvax) Syringekit

EZ Nite Sleep Capsule

EZ Smart (Control Solution) Each

EZ Smart Lancets Each

E-Zject Lancets Each

Factive Tablet

Fallback Solo Tablet

Falmina Tablet

Famciclovir Tablet

Famotidine Oral Susp

Famotidine Tablet

Farydak Capsule

Fast Relief Laxative Supp.Rect

Fayosim Tbdspk 3mo

Fe C Plus Tablet

Feiba NF Vial

Felbamate Tablet

Felbamate Oral Susp


2020.1 (1/1/2020).



Felodipine ER Tab ER 24h

Femcap Each

Femynor Tablet

Fenofibrate Tablet

Fenofibrate Capsule

Fenofibric Acid Tablet

Fenoprofen Calcium Tablet

Fenoprofen Calcium (200 mg) Capsule

Fentanyl Patch Td72

Feosol (325(65) mg) Tablet

Fer-Iron Drops

Ferosul Elixir

Ferosul Tablet

Ferrex 150 Capsule

Ferro-Time Tablet

Ferrous Sulfate Tablet

Ferrous Sulfate Solution

Ferrous Sulfate Elixir

Ferrous Sulfate Drops

Ferrousul Tablet

Fever Reducer-Pain Reliever Oral Susp

Feverall (80mg & 325mg) Supp.Rect

Fiasp Vial

Fiasp Penfill Cartridge

Fiber Powder

Fiber (0.52g) Capsule

Fiber (625mg) Tablet

Fiber Lax Tablet

Fiber Laxative Capsule

Fiber Laxative Powder

Fiber Laxative (625mg) Tablet

Fiber Smooth Powder

Fiber Tabs Tablet

Fiber Therapy Capsule

Fiber Therapy Powder

Fiber Therapy (625mg) Tablet

Fiber-Lax Tablet

Fiber-Tabs Tablet

Fifty50 Safety Seal Lancets Each

Finasteride (5mg) Tablet

Fine 30 Universal Lancets Each

Fingerstix (Lancets) Each

First Aid Antibiotic (3.5-400-5k) Oint. (G)


2020.1 (1/1/2020).



Fish Oil Capsule

Fish Oil (60 mg-90mg) Capsule Dr

Fish Oil Concentrate Capsule

Fish Oil Omega-3 (300-1000mg) Capsule

Flanax Oral Susp

Flanax Tablet

Flarex Drops Susp

Flavor Chews Antacid Tab Chew

Flavoxate HCl Tablet

Flecainide Acetate Tablet

Flovent Diskus Blst W/Dev

Flovent HFA Aer W/Adap

Fluconazole Susp Recon

Fluconazole Tablet

Flucytosine Capsule

Fludrocortisone Acetate Tablet

Fluocinolone Acetonide Cream (G)

Fluocinolone Acetonide Solution

Fluocinolone Acetonide Oint. (G)

Fluocinonide Cream (G)

Fluocinonide Oint. (G)

Fluocinonide Solution

Fluocinonide Gel (Gram)

Fluocinonide-E Cream (G)

Fluorabon Drops

Fluor-A-Day Drops

Fluoride Tab Chew

Fluoridex Daily Defense Gel (Gram)

Fluoridex Sensitivity Relief Gel (Gram)

Fluorometholone Drops Susp

Fluoroplex Cream (G)

Fluorouracil Cream (G)

Fluorouracil Solution

Flura-Drops Drops

Flurandrenolide Lotion

Flurbiprofen Tablet

Flurbiprofen Sodium Drops

Flutamide Capsule

Fluticasone Propionate Cream (G)

Fluticasone Propionate Lotion

Fluticasone Propionate Oint. (G)

Fluticasone Propionate Spray Susp

Fml Forte Drops Susp


2020.1 (1/1/2020).



Fml S.O.P. Oint. (G)

Folbecal Tbmp 24hr

Folic Acid (0.8mg & 1mg) Tablet

Folinatal Plus B Tbmp 24hr

Fondaparinux Sodium Syringe

Fora Control Solution Each

Fora Lancets Each

Fora Lancing Device Each

Foracare Gdh (Control Solution) Each

Foracare Lancets Each

Forteo Pen Injctr

Fortiscare (Control Solution) Each

Fosamprenavir Calcium Tablet

Fosinopril Sodium Tablet

Fosinopril-Hydrochlorothiazide Tablet

Fosrenol Tab Chew

Fosrenol Powd Pack

Freestyle Control Solution Each

Freestyle Freedom Lite Kit

Freestyle Insulinx (Meter) Each

Freestyle Insulinx Strip

Freestyle Insulinx Test Strips Strip

Freestyle Lancets Each

Freestyle Libre 14 Day Reader (NDC 57599-0002-00) Reader

Freestyle Libre 14 Day Sensor (NDC 57599-0020-00) Sensor

Freestyle Lite Meter Kit

Freestyle Lite Strips Strip

Freestyle Precision Disp Syrin

Freestyle Precision Neo Strip

Freestyle Test Strips Strip

Freestyle Unistik 2 (Lancets) Each

Fruit C-500 Tab Chew

Fulphila Syringe

Fulyzaq Tablet Dr

Fungoid-D Cream (G)

Furosemide Solution

Furosemide Tablet

Fyavolv Tablet

Gabapentin Tablet

Gabapentin Capsule

Gabapentin Solution

Galantamine ER Cap24h Pel

Galantamine Hbr Tablet


2020.1 (1/1/2020).



Galantamine Hydrobromide Solution

Gardasil Vial

Gardasil Syringe

Gardasil 9 Vial

Gardasil 9 Syringe

Gas Relief Tab Chew

Gas Relief Drops Susp

Gas Relief 80 Tab Chew

Gatifloxacin Drops

Gavilyte-C Soln Recon

Gavilyte-G Soln Recon

Gavilyte-N Soln Recon

Ge100 Control Solution Normal Each

Gelusil Oral Susp

Gemfibrozil Tablet

Generlac Solution

Gengraf Capsule

Gengraf Solution

Genotropin Cartridge

Genotropin Syringe

Gentak Oint. (G)

Gentamicin Sulfate Oint. (G)

Gentamicin Sulfate Cream (G)

Gentamicin Sulfate Drops

Genteal Tears (0.1%-0.3%) Drops

Gentle Laxative Supp.Rect

Gentle Laxative Tablet Dr

Genvoya Tablet

Geri-Dryl Tablet

Geri-Dryl Capsule

Geri-Hydrolac Cream (G)

Geri-Kot Tablet

Geri-Lanta Oral Susp

Geri-Mucil Powder

Geri-Pectate Oral Susp

Geri-Tussin Dm Syrup

Gianvi Tablet

Gildagia Tablet

Gildess Tablet

Gildess 24 Fe Tablet

Gildess Fe Tablet

Gilenya Capsule

Glatiramer Acetate Syringe


2020.1 (1/1/2020).



Glatopa Syringe

Gleostine Capsule

Glimepiride Tablet

Glipizide Tablet

Glipizide ER Tab ER 24

Glipizide Xl Tab ER 24

Glipizide-Metformin Tablet

Glucagon Emergency Kit Kit

Gluco Burst Gel (Gram)

Glucocard 01 Control (Control Solution) Each

Glucocard Expression (Control Solution) Each

Glucocard Shine (Control Solution) Each

Glucocom (Lancets) Each

Glucocom Control Solution Each

Glucocom Lancets Each

Glucolet 2 (Lancing Device) Each

Glucolet 2 (Lancing Device/Lancing) Kit

Glucose Tab Chew

Glucose Control Each

Glucose Control Solution Each

Glucose Gel Gel (Gram)

Glutose 15 Gel (Gram)

Glutose 45 Gel (Gram)

Glyburide Tablet

Glyburide Micronized Tablet

Glyburide-Metformin HCl Tablet

Glycerin (Pediatric) Supp.Rect

Glycopyrrolate Tablet

Gmate (Lancets) Each

Gmate Control Solution Each

Gmate Lancing Device Each

Golytely Powd Pack

Goody's Extra Strength Tablet

Goody's Migraine Relief Tablet

Granisetron HCl Tablet

Granix Vial

Griseofulvin Oral Susp

Grx Hicort 25 Supp.Rect

G-Tron Liquid

Guaiasorb DM Liquid

Guaifenesin-Dextromethorphan Syrup

Guanfacine HCl Tablet

Guanidine HCl Tablet


2020.1 (1/1/2020).



Hair Vitamin Tablet

Hair, Skin & Nails Tablet

Hair, Skin And Nails (3.3 mg-25) Tablet

Halobetasol Propionate Cream (G)

Halobetasol Propionate Oint. (G)

Halog Cream (G)

Halog Oint. (G)

Havrix Vial

Havrix Syringe

Headache Formula Tablet

Headache Pain Tablet

Headache PM Tablet

Headache PM Formula Tablet

Headache Relief Tablet

Healthpro Glucose Control Soln Each

Healthy Accents Autolet (Lancing Device) Each

Healthy Accents Unifine Pentip Dis Needle

Healthy Accents Unilet Lancet Each

Heartburn Prevention (10mg) Tablet

Heartburn Relief (Famotidine 10mg) Tablet

Heather Tablet

Helixate Fs Vial

Hemlibra Vial

Heparin Sodium Syringe

Heplisav-B Syringe

Heplisav-B Vial

Hexalen Capsule

Homatropaire Drops

Homatropine Hydrobromide Drops

Humalog Cartridge

Humalog Kwikpen U-200 Insuln Pen

Humalog Mix 50-50 Vial

Humalog Mix 50-50 Kwikpen Insuln Pen

Humalog Mix 75-25 Vial

Humalog Mix 75-25 Kwikpen Insuln Pen

Humapen Luxura Hd Insuln Pen

Humatrope Vial

Humatrope Cartridge

Humira Syringekit

Humira Pediatric Crohn's Syringekit

Humira Pen Pen Ij Kit

Humira Pen Crohn-Uc-Hs Starter Pen Ij Kit

Humira Pen Psoriasis-Uveitis Pen Ij Kit


2020.1 (1/1/2020).



Humulin 70/30 Kwikpen Insuln Pen

Humulin 70-30 Vial

Humulin N Vial

Humulin N Kwikpen Insuln Pen

Humulin R Vial

Humulin R U-500 Vial

Humulin R U-500 Kwikpen Insuln Pen

Hycamtin Capsule

Hydralazine HCl Tablet

Hydrochlorothiazide Tablet

Hydrochlorothiazide Capsule

Hydrocil Instant Powder

Hydrocodone-Acetaminophen Solution

Hydrocodone-Acetaminophen Tablet

Hydrocodone-Guaifenesin Solution

Hydrocodone-Ibuprofen Tablet

Hydrocortisone Tablet

Hydrocortisone Enema

Hydrocortisone Crm/Pe App

Hydrocortisone Cream (G)

Hydrocortisone Oint. (G)

Hydrocortisone (2.50%) Lotion

Hydrocortisone Acetate Supp.Rect

Hydrocortisone Butyrate Cream (G)

Hydrocortisone Butyrate Oint. (G)

Hydrocortisone Butyrate Solution

Hydrocortisone Valerate Cream (G)

Hydrocortisone Valerate Oint. (G)

Hydrocortisone-Acetic Acid Drops

Hydrocream Cream (G)

Hydromorphone HCl Tablet

Hydromorphone HCl Liquid

Hydromorphone HCl Supp.Rect

Hydroxychloroquine Sulfate Tablet

Hydroxyprogesterone Caproate Vial

Hydroxyurea Capsule

Hydroxyzine HCl Tablet

Hydroxyzine HCl Solution

Hydroxyzine Pamoate Capsule

Hyoscyamine Sulfate Tablet

Hyoscyamine Sulfate Tab Rapdis

Hyoscyamine Sulfate Tab Subl

Hyoscyamine Sulfate Drops


2020.1 (1/1/2020).



Hyoscyamine Sulfate Elixir

Hyoscyamine Sulfate ER Tab ER 12h

Hyoscyamine Sulfate SR Tab ER 12h

Hypolance (Lancing Device/Lancets) Kit

Ibandronate Sodium Tablet

Ibrance Capsule

Ibuprofen Oral Susp

Ibuprofen (200mg, 400mg, 600mg, & 800mg) Tablet

Ibuprofen Ib Tablet

Icaps Plus Tablet

Icar-C Plus Tablet

Icatibant Syringe

Idelvion Vial

Iferex 150 Capsule

Imatinib Mesylate Tablet

Imbruvica Capsule

Imbruvica Tablet

Imiquimod Cream Pack

Impavido Capsule

Inatal Advance Tablet

Inatal Ultra Tablet

Incontrol Lancing Device Each

Incontrol Pen Needle Dis Needle

Incontrol Super Thin Lancets Each

Incontrol Ultra Thin Lancets Each

Increlex Vial

Incruse Ellipta Blst W/Dev

Indapamide Tablet

Indocin Oral Susp

Indocin Supp.Rect

Indomethacin Capsule

Indomethacin ER Capsule ER

Infant Fever-Pain Reliever Oral Susp

Infant Gas Relief Drops Susp

Infant Pain Relief Oral Susp

Infant Pain-Fever Oral Susp

Infants' Acetaminophen Oral Susp

Infants' Gas Relief Drops Susp

Infants' Pain Relief Oral Susp

Infant's Pain Relief Oral Susp

Infant's Pain Relief Drops Susp

Infants' Pain Reliever Oral Susp

Infants' Pain-Fever Oral Susp


2020.1 (1/1/2020).



Infinity Control Solution Each

Ingrezza Capsule

Inject Ease Lancets Each

Innopran XL Cap ER 24h

Insta-Glucose Gel (Gram)

Insulin Lispro Vial

Insulin Lispro Kwikpen U-100 Insuln Pen

Insulin Pen Needle Dis Needle

Insulin Syringe Disp Syrin

Insupen Dis Needle

Integra Syringe Disp Syrin

Intelence Tablet

Intron A Vial

Introvale Tbdspk 3mo

Invacare Lancets Each

Invirase Tablet

Invirase Capsule

Inzo Antifungal Cream (G)

Iophen DM-NR Liquid

Iopidine Droperette

Ipol Vial

Ipol Syringe

Ipratropium Bromide Solution

Ipratropium-Albuterol Ampul-Neb

I-Prin Tablet

Irbesartan Tablet

Irbesartan-Hydrochlorothiazide Tablet

Iressa Tablet

Iron Drops

Iron (325(65) mg) Tablet

Iron Supplement Tablet

Isentress Tablet

Isentress Tab Chew

Isentress Powd Pack

Isentress HD Tablet

Isibloom Tablet

Isomethept-Dichloralp-Acetamin Capsule

Isoniazid Tablet

Isoniazid Solution

Isordil Tablet

Isosorbide Dinitrate Tablet

Isosorbide Dinitrate Tablet ER

Isosorbide Mononitrate Tablet


2020.1 (1/1/2020).



Isosorbide Mononitrate ER Tab ER 24h

Isradipine Capsule

Istalol Drop Daily

Itraconazole Capsule

Itraconazole Solution

Ivermectin Tablet

I-Vite (1000-60-2) Tablet

Jadenu Tablet

Jantoven Tablet

Janumet Tablet

Janumet XR Tbmp 24hr

Januvia Tablet

Jardiance Tablet

Jencycla Tablet

Jinteli Tablet

Jivi Vial

Jolessa Tbdspk 3mo

Jolivette Tablet

Juleber Tablet

Juluca Tablet

Junel Tablet

Junel Fe Tablet

Junel Fe 24 Tablet

Jynarque Tablet

Jynarque Tablet Seq

K Effervescent Tablet Eff

Kadian (200mg) Cap ER Pel

Kaletra Tablet

Kalydeco Gran Pack

Kaopectate (262mg/15ml) Oral Susp

Kao-Tin Oral Susp

Kao-Tin Capsule

Kariva Tablet

Kelnor 1-35 Tablet

Ketek Tablet

Ketoconazole Cream (G)

Ketoconazole Tablet

Ketoconazole Shampoo

Ketoprofen Capsule

Ketoprofen Cap24h Pel

Ketorolac Tromethamine Tablet

Ketorolac Tromethamine Drops

Keveyis Tablet


2020.1 (1/1/2020).



Kevzara Pen Injctr

Kimidess Tablet

Kineret Syringe

Kinney Brand Lancets Each

Kionex Oral Susp

Kionex Powder

Kisqali Tablet

Kisqali Femara Co-Pack Tablet

Kitabis Pak Ampul-Neb

Klor-Con (25 Meq) Packet

Klor-Con M10 Tab ER Prt



Klor-Con Sprinkle Capsule ER

Kogenate Fs Vial

Kombiglyze XR Tbmp 24hr

Konsyl Capsule

Konsyl Powder

Konsyl Fiber Tablet

Kovaltry Vial

K-Pec Oral Susp

K-Phos No.2 Tablet

K-Phos Original Tablet Sol

Krintafel Tablet

Kurvelo Tablet

Kuvan Tablet Sol

Kuvan Powd Pack

Kynamro Syringe

Labetalol HCl Tablet

Lactulose Packet

Lactulose Solution

Lamisil Gran Pack

Lamivudine Solution

Lamivudine (100mg) Tablet

Lamivudine (150mg & 300mg) Tablet

Lamivudine Hbv Tablet

Lamivudine-Zidovudine Tablet

Lancet Device Each

Lancets Each

Lancets Thin Each

Lancets Ultra Thin Each

Lancing Device Each

Lancing Device Kit


2020.1 (1/1/2020).



Lancing System Each

Lanoxin (62.5 mcg & 187.5 mcg) Tablet

Lansoprazol-Amoxicil-Clarithro Combo. Pkg

Lanthanum Carbonate Tab Chew

Larin Tablet

Larin 24 Fe Tablet

Larin Fe Tablet

Larissia Tablet

Latanoprost Drops

Lax Stool Softener With Senna Tablet

Laxacin Tablet

Laxative Tablet Dr

Laxative Suppository Supp.Rect

Leena Tablet

Leflunomide Tablet

Lenvima Capsule

Lessina Tablet

Letrozole Tablet

Leucovorin Calcium Tablet

Leukeran Tablet

Leuprolide Acetate Vial

Leuprolide Acetate Kit

Levalbuterol Concentrate Vial-Neb

Levalbuterol HCl Vial-Neb

Levalbuterol Tartrate HFA HFA Aer Ad

Levatol Tablet

Levetiracetam Solution

Levetiracetam Tablet

Levetiracetam ER Tab ER 24h

Levobunolol HCl Drops

Levocarnitine Solution

Levocarnitine Tablet

Levocetirizine Dihydrochloride Solution

Levofloxacin Tablet

Levofloxacin Drops

Levofloxacin Solution

Levonest Tablet

Levonorgestrel Tablet

Levonorgestrel-Eth Estradiol Tablet

Levonorgestrel-Eth Estradiol Tbdspk 3mo

Levonorg-Eth Estrad Eth Estrad Tbdspk 3mo

Levora-28 Tablet

Levorphanol Tartrate Tablet


2020.1 (1/1/2020).



Levothyroxine Sodium Tablet

Levulan Sol W/Appl

Lexiva Oral Susp

Liberty Lev 1 Glucose Control (Control Solution) Each

Liberty Lev 2 Glucose Control (Control Solution) Each

Lice Cream Rinse Liquid

Lice Killing Liquid

Lice Treatment Liquid

Lidocaine HCl Jelly(Ml)

Lidocaine HCl (40 mg/Ml) Solution

Lidocaine-Hydrocortisone Cream (G)

Lidocaine-Prilocaine Cream (G)

Lidocaine-Prilocaine Kit

Lindane Lotion

Lindane Shampoo

Linzess Capsule

Liothyronine Sodium Tablet

Liquid Antacid Oral Susp

Liquitears Drops

Lisinopril Tablet

Lisinopril-Hydrochlorothiazide Tablet

Lite Coat Aspirin Tablet

Lite Touch (Lancing Device) Each

Lite Touch Disp Syrin

Lite Touch Dis Needle

Lithostat Tablet

Little Remedies Fever-Pain Oral Susp

Little Remedies Stuffy Nose Spray

Locoid Lotion

Lo-Dose Aspirin EC Tablet Dr

Lomedia 24 FE Tablet

Long Acting Nasal Decongestant Tablet ER

Lonsurf Tablet

Loperamide Capsule

Loperamide (1 mg/5 Ml) Liquid

Lopinavir-Ritonavir Solution

Lopreeza Tablet

Loradamed Tablet

Loratadine Tablet

Loratadine Solution

Loratadine Tab Rapdis

Loratadine Allergy Solution

Loratadine Hives Relief Solution


2020.1 (1/1/2020).



Lorcet Tablet

Lorcet HD Tablet

Lorcet Plus Tablet

Loryna Tablet

Losartan Potassium Tablet

Losartan-Hydrochlorothiazide Tablet

Lotemax Drops Susp

Lotemax Drops Gel

Lotemax SM Drops Gel

Lovastatin Tablet

Low Dose Aspirin EC Tablet Dr

Low-Ogestrel Tablet

Lubricant Eye (1.40%) Drops

Lucemyra Tablet

Lucentis Vial

Ludent Fluoride (0.5(1.1)mg) Tab Chew

Luer-Lok Syringe Disp Syrin

Lumigan Drops

Lupron Depot Syringekit

Lupron Depot (Lupaneta) Syringekit

Lupron Depot-Ped Kit

Lutera Tablet

Lyrica Capsule

Lyrica Solution

Lysodren Tablet

Lyza Tablet

Maalox Advanced Oral Susp

Macugen Syringe

Mag Delay Tablet Dr

Mag64 Tablet Dr

Mag-Al Plus Oral Susp

Mag-Al Plus Xs Oral Susp

Magellan Insulin Safety Syrng Disp Syrin

Magellan Insulin Syringe Disp Syrin

Magic Bullet Supp.Rect

Maglox Oral Susp

Magnesium (400mg) Tablet

Magnesium Citrate Solution

Magnesium Oxide (400 mg) Tablet

Makena Auto Injt

Malathion Lotion

Mapap Tablet

Mapap Tab Chew


2020.1 (1/1/2020).



Mapap Oral Susp

Mapap (160 mg/5ml) Liquid

Mapap Arthritis Pain Tablet ER

Mapap PM Tablet

Margesic Capsule

Marlissa Tablet

Marten-Tab Tablet

Masanti Oral Susp

Masophen Tablet

Matulane Capsule

Matzim La Tab ER 24h

Mavyret Tablet

Maxepa Capsule

Maxi-Comfort Disp Syrin

Maxidex Drops Susp

Maxinate Tablet

Meclizine HCl Tablet

Meclofenamate Sodium Capsule

Medi-Laxx Tablet

Mediproxen Tablet

Medisense (Control Solution) Combo. Pkg

Medisense (Control Solution) Each

Medisense Control (Control Solution) Combo. Pkg

Medisense Glucose Ketone (Control Solution) Combo. Pkg

Medisense Glucose Ketone Contr (Control Solution) Each

Medisense Thin Lancets Each

Medlance Plus (Lancets) Each

Medlance Plus Special Blade Each

Medrol (2mg) Tablet

Medroxyprogesterone Acetate Tablet

Medroxyprogesterone Acetate Vial

Medroxyprogesterone Acetate Syringe

Mefenamic Acid Capsule

Mefloquine HCl Tablet

Mega Multi W-Chelated Minerals Tablet

Mega Multivitamin With Mineral Tablet

Megestrol Acetate Tablet

Megestrol Acetate (400mg/10ml) Oral Susp

Melatin Tablet

Melatonin (3mg) Tab Rapdis

Melatonin (3mg, 3mg-500mcg, & 3 mg-10 mg) Tablet

Meloxicam Oral Susp

Meloxicam Tablet


2020.1 (1/1/2020).



Melphalan Tablet

Memantine HCl Solution

Menactra Vial

Menest Tablet

Menomune-A-C-Y-W-135 Vial

Menostar Patch Tdwk

Men's Multi-Vitamin Tablet

Men's One Daily Tablet

Menveo A-C-Y-W-135-Dip Kit

Meperidine HCl Solution

Meperidine HCl Tablet

Mercaptopurine Tablet

Mesalamine Cap(Drtab)

Mesalamine Enema

Mesalamine Tablet Dr

Mesnex Tablet

Metadate ER Tablet ER

Metamucil (3.4g/5.8g) Powder

Metaproterenol Sulfate Syrup

Meter-Check (Control Solution) Each

Metformin HCl Tablet

Metformin HCl ER Tab ER 24h

Metformin HCl ER (500mg) Tab ER 24

Methadone HCl Oral Conc

Methadone HCl Solution

Methadone HCl Tablet

Methadone HCl Tablet Sol

Methadone Intensol Oral Conc

Methadose Tablet Sol

Methazolamide Tablet

Methimazole Tablet

Methitest Tablet

Methocarbamol Tablet

Methotrexate Tablet

Methoxsalen Cap Lq Rap

Methscopolamine Bromide Tablet

Methyclothiazide Tablet

Methyldopa Tablet

Methyldopa-Hydrochlorothiazide Tablet

Methylergonovine Maleate Tablet

Methylphenidate ER Cpbp 50-50

Methylphenidate ER Tab ER 24

Methylphenidate ER Tablet ER


2020.1 (1/1/2020).



Methylphenidate HCl Tablet

Methylphenidate HCl Solution

Methylphenidate HCl Tab Chew

Methylphenidate HCl CD (10mg, 20mg, 30mg & 40mg) Cpbp 30-70

Methylphenidate HCl CD (50mg & 60mg) Cpbp 30-70

Methylphenidate HCl ER (10mg, 20mg, 30mg & 40mg) Cpbp 30-70

Methylphenidate HCl ER (50mg & 60mg) Cpbp 30-70

Methylphenidate LA (10mg, 20mg, 30mg, & 40mg) Cpbp 50-50

Methylprednisolone Tablet

Methylprednisolone Tab Ds Pk

Methyltestosterone Capsule

Metipranolol Drops

Metoclopramide HCl Tablet

Metoclopramide HCl Solution

Metolazone Tablet

Metoprolol Succinate Tab ER 24h

Metoprolol Tartrate Tablet

Metoprolol-Hydrochlorothiazide Tablet

Metronidazole Tablet

Metronidazole Gel W/Appl

Metronidazole Capsule

Mexiletine HCl Capsule

Mgo Tablet

Mi Acid Oral Susp

Mi-Acid Oral Susp

Mi-Acid Tab Chew

Mibelas 24 FE Tab Chew

Micatin Cream (G)

Miconazole 3 Supp.Vag

Miconazole 3 Cmb Pf Crm

Miconazole 3 Kit

Miconazole 7 Cream/Appl

Miconazole 7 Supp.Vag

Miconazole Nitrate Cream (G)

Miconazole Nitrate Cream/Appl

Miconazole Nitrate Supp.Vag

Micro Thin Lancets Each

Microdot (Control Solution) Each

Microgestin Tablet

Microgestin 24 Fe Tablet

Microgestin Fe Tablet

Microlet (Lancets) Each

Microlet 2 (Lancing Device/Lancets) Kit


2020.1 (1/1/2020).



Microtainer Lancets Each

Midazolam Vials

Migergot Supp.Rect

Miglitol Tablet

Migragesic Ida Capsule

Migraine Formula Tablet

Migraine Pain-Reliever Tablet

Migraine Relief Tablet

Milk Of Magnesia (400 mg/5ml) Oral Susp

Millipred Tablet

Millipred Dp Tab Ds Pk

Mimvey Tablet

Mimvey Lo Tablet

Mini Lancing Device Each

Mini Ultra-Thin II Dis Needle

Minitran Patch Td24

Minocycline HCl Capsule

Minocycline HCl Tablet

Minocycline HCl ER Tab ER 24h

Minoxidil Tablet

Mintox Oral Susp

Mintox Maximum Strength Oral Susp

Mircera Syringe

Misoprostol Tablet

M-M-R Ii Vaccine Vial

Moexipril HCl Tablet

Moexipril-Hydrochlorothiazide Tablet

Mometasone Furoate Oint. (G)

Mometasone Furoate Cream (G)

Mometasone Furoate Solution

Monistat 7 Cream/Appl

Monoject Disp Syrin

Monoject Insulin Safety Syrng Disp Syrin

Monoject Insulin Syringe Disp Syrin

Monolet Lancets Each

Monolet Thin Lancets Each

Mono-Linyah Tablet

Mononessa Tablet

Montelukast Sodium Tablet

Montelukast Sodium Tab Chew

Morphine Sulfate Tablet

Morphine Sulfate Solution

Morphine Sulfate Supp.Rect


2020.1 (1/1/2020).



Morphine Sulfate ER Cpmp 24hr

Morphine Sulfate ER Tablet ER

Morphine Sulfate ER (10mg & 40mg) Cap ER Pel

Moviprep Powd Pack

Moxifloxacin Drops

Moxifloxacin HCl Tablet

Mulpleta Tablet

Multi-Day Plus Iron Tablet

Multiple Vitamin Tablet

Multiple Vitamins Tablet

Multivitamin And Fluoride Drops

Multi-Vitamin Daily Tablet

Multi-Vitamin W-Fluoride Drops

Multi-Vitamin W-Fluoride-Iron Drops

Multivitamin With Fluoride Tab Chew

Multivitamin With Fluoride Drops

Multi-Vitamin With Fluoride Tab Chew

Multi-Vitamin-Fluor-Iron Drops

Multivitamin-Iron-Fluoride Drops

Multivitamins Tablet

Multivitamins W-Fluoride-Iron Drops

Multivitamins With Fluoride Drops

Multivitamins With Fluoride Tab Chew

Multivitamins With Iron Tablet

Multivitamins With Minerals Tablet

Multivitamins-A,B,D,E,K,Zn Drops

Multivitamins-A,B,D,E,K,Zn Tab Chew

Multivitamins-A,B,D,E,K,Zn Capsule

Mupirocin Oint. (G)

Mupirocin Cream (G)

Murine Ear Drops Drops

Murine Ear Wax Removal System Drops

Muro-128 Oint. (G)

Muro-128 (5%) Drops

Mvc-Fluoride Tab Chew

M-Vit Tablet

Mvw Complete Formultn Multivit Capsule

My Way Tablet

Mycophenolate Mofetil Capsule

Mycophenolate Mofetil Tablet

Mycophenolate Mofetil Susp Recon

Mycophenolic Acid Tablet Dr

Myferon 150 Capsule


2020.1 (1/1/2020).



Myglucohealth Control Solution Each

Myglucohealth Lancets Each

Mykidz Iron Fl Oral Susp

Myleran Tablet

Mynatal Capsule

Mynatal Tablet

Mynatal Advance Tablet

Mynatal Plus Tablet

Mynatal-Z Tablet

Mynate 90 Plus Tablet ER

Mytab Gas Tab Chew

Mytab Gas Maximum Strength Tab Chew

Mytesi Tablet Dr

Myzilra Tablet

Nabumetone Tablet

Nadolol Tablet

Nadolol-Bendroflumethiazide Tablet

Naloxone HCl Vial

Naloxone HCl Syringe

Naltrexone Tablet

Naphazoline HCl Drops

Naprelan (750mg) Tbmp 24hr

Naproxen Tablet

Naproxen Tablet Dr

Naproxen Oral Susp

Naproxen Sodium Tablet

Naproxen Sodium Ds Tablet

Naratriptan Tablet

Naratriptan HCl Tablet

Narcan Spray

Nasal & Sinus Decongestant Tablet

Nasal Decon (Pseudoephedrine) Liquid

Nasal Decongestant Tablet ER

Nasal Decongestant (30mg) Tablet

Nasal Moisturizing Spray

Nasal Spray (Sodium Chloride 0.65%) Spray

Natacyn Drops Susp

Nateglinide Tablet

Natpara Cartridge

Natural Balance Tears (0.1%-0.3%) Drops

Natural Daily Fiber Powder

Natural Fiber Capsule

Natural Fiber Powder


2020.1 (1/1/2020).



Natural Fiber Laxative (3.4 G/12 G) Powder

Natural Fiber Powder Powder

Natural Laxative (8.6mg) Tablet

Natural Psyllium Fiber Powder

Natural Senna Laxative Tablet

Natural Vegetable Laxative (8.6mg) Tablet

Natural Vegetable Powder Powder

Nature's Tears Drops

Nebupent Vial-Neb

Necon Tablet

Needles Dis Needle

Neomycin Sulfate Tablet

Neomycin-Bacitracin-Poly-HC Oint. (G)

Neomycin-Bacitracin-Polymyxin Oint. (G)

Neomycin-Polymyxin-Dexameth Drops Susp

Neomycin-Polymyxin-Dexameth Oint. (G)

Neomycin-Polymyxin-Gramicidin Drops

Neomycin-Polymyxin-HC Drops Susp

Neomycin-Polymyxin-Hydrocort Solution

Neo-Polycin Oint. (G)

Neo-Polycin HC Oint. (G)

Neosporin Oint. (G)

Neosporin Cream (G)

Neo-Tuss Liquid

Neulasta Syringe

Neulasta Syr W/ Inj

Neumega Vial

Neupro (2 mg/24 Hr, 4 mg/24 Hr, & 6 mg/24 Hr) Patch Td24

Nevanac Drops Susp

Nevirapine Oral Susp

Nevirapine Tablet

Nevirapine ER Tab ER 24h

Nexavar Tablet

Nexplanon Implant

Next Choice One Dose Tablet

Niacin (250mg, 500mg & 750mg) Tablet ER

Niacor Tablet

Nicardipine HCl Capsule

Nicoderm Cq (21 mg/24hr) Patch Td24

Nicorelief Gum

Nicotine Gum Gum

Nicotine Lozenge Lozenge

Nicotine Lozenge Lozng Mini


2020.1 (1/1/2020).



Nicotine Patch Patch Td24

Nicotrol Cartridge

Nicotrol Ns Spray

Nifedical Xl Tab ER 24

Nifedipine Capsule

Nifedipine ER Tab ER 24

Nifedipine ER Tablet ER

Night Time Pain Medicine Tablet

Nighttime Allergy Relief Tablet

Nighttime Sleep Aid Tablet

Nighttime Sleep Aid Capsule

Nighttime Sleep Gel Capsule

Nikki Tablet

Nilutamide Tablet

Nimodipine Capsule

Nisoldipine Tab ER 24h

Nitisinone Capsule

Nitro-Bid Oint. (G)

Nitrofurantoin Capsule

Nitrofurantoin Oral Susp

Nitrofurantoin Mono-Macro Capsule

Nitroglycerin Capsule ER

Nitroglycerin Tab Subl

Nitroglycerin Patch Patch Td24

Nivestym Syringe

Nizatidine Capsule

Nizatidine Solution

Noble Formula HC Cream (G)

Non-Aspirin Tab Chew

Non-Aspirin Tablet

Non-Aspirin Elixir

Non-Aspirin Oral Susp

Non-Aspirin 8 Hour Tablet ER

Non-Aspirin Extra Strength Tablet

Non-Aspirin Pain Relief Tablet

Non-Aspirin PM Tablet

Non-Aspirin PM Ex-Strength Tablet

Non-Aspirin Sleep Aid Tablet

Non-Drowsy Allergy Tablet

Nora-Be Tablet

Norditropin Flexpro Pen Injctr

Norethindrone Tablet

Norethindrone Ac (Lupaneta) Tablet


2020.1 (1/1/2020).



Norethindrone Acetate Tablet

Norethindron-Ethinyl Estradiol Tablet

Norethin-Eth Estra-Ferrous Fum Tablet

Norethin-Eth Estra-Ferrous Fum (1mg-20(24)) Tab Chew

Norgestimate-Ethinyl Estradiol Tablet

Norinyl 1-35 Tablet

Norlyda Tablet

Norlyroc Tablet

Norpace CR (100mg) Capsule ER

Nortemp Oral Susp

Nortrel Tablet

Norvir Capsule

Norvir Powd Pack

Norvir Solution

Nova Max Glucose Control Soln Each

Nova Safety Lancets Each

Nova Sureflex Each

Novamax Plus Glu-Ket Each

Novofine Dis Needle

Novofine 32 Dis Needle

Novofine Autocover Dis Needle

Novolin 70-30 Vial

Novolin 70-30 Flexpen Insuln Pen

Novolin N Vial

Novolin R Vial

Novolog Cartridge

Novolog Vial

Novolog Flexpen Insuln Pen

Novolog Mix 70-30 Vial

Novolog Mix 70-30 Flexpen Insuln Pen

Novopen Echo Insuln Pen

Novotwist Dis Needle

Noxafil Oral Susp

Noxafil Tablet Dr

Nts Patch Td24

Nu-Iron 150 Capsule

Nu-Mag Tablet Dr

Nuplazid Tablet

Nutropin Aq Cartridge

Nutropin Aq Nuspin Pen Injctr

Nuvaring Vag Ring

Nuwiq Vial

Nyamyc Powder


2020.1 (1/1/2020).



Nyata Powder

Nystatin Tablet

Nystatin Oral Susp

Nystatin Oint. (G)

Nystatin Cream (G)

Nystatin Powder(Ea)

Nystatin Powder

Nystatin-Triamcinolone Cream (G)

Nystatin-Triamcinolone Oint. (G)

Nystop Powder

Nytol Quickcaps Tablet

Nyt-Time Sleep Tablet

Obstetrix DHA Cmbpkgdrcp

Obstetrix EC Tablet Dr

O-Cal Fa Tablet

O-Cal Prenatal Tablet

Ocaliva Tablet

Ocean Spray

Ocella Tablet

Octreotide Acetate Vial

Octreotide Acetate Ampul

Octreotide Acetate Syringe

Odefsey Tablet

Ofloxacin Drops

Ofloxacin Tablet

Ogestrel Tablet

Omega 3 Capsule

Omega-3 Fish Oil (300-1000mg) Capsule

Omeprazole Tablet Dr

Omeprazole (10mg) Capsule Dr

Omeprazole (20mg & 40mg) Capsule Dr

Omeprazole Magnesium Capsule Dr

Omeprazole-Sodium Bicarbonate Packet

Omeprazole-Sodium Bicarbonate Capsule

Omnitrope Cartridge

Omnitrope Vial

On Call Express Control Soln Each

On Call Lancet Each

On Call Lancing Device Each

On Call Plus Control (Control Solution) Each

On Call Plus Lancet Each

On Call Plus Lancing Device Each

On Call Vivid Control (Control Solution) Each


2020.1 (1/1/2020).



Onccor Tablet

Once Daily Tablet

Oncovite Tablet

Ondansetron HCl Solution

Ondansetron HCl Tablet

Ondansetron ODT Tab Rapdis

One Daily Tablet

One Daily Complete Tablet

One Daily Energy Tablet

One Daily Essential Tablet

One Daily Multivitamin Tablet

One Daily Plus Iron Tablet

One Daily Plus Minerals Tablet

One Daily With Iron Tablet

One Touch Delica (Lancets) Each

One-A-Day Essential Tablet

One-A-Day Maximum Formula Tablet

One-A-Day Men's Tablet

One-A-Day Teen Advantage Tablet

One-Piece Sharps Collectors Each

Onetouch Delica (Lancets) Each

Onetouch Delica (Lancing Device/Lancets) Kit

Onetouch Finepoint Lancets Each

Onetouch Lancets Each

Onetouch Suresoft (Lancing Device/Lancets) Kit

Onetouch Suresoft (Lancets) Each

Onetouch Ultra Control Soln Each

Onetouch Verio (Control Solution) Each

On-The-Go (Lancets) Each

Opcicon One-Step Tablet

Opium Tincture Tincture

Opsumit Tablet

Option 2 Tablet

Opti-Vitamin Tablet

Optumrx (Control Solutions) Each

Opurity Multivitamin Tab Chew

Oracit Solution

Oralone Paste (G)

Oralyte Solution

Orencia Syringe

Orencia Clickject Auto Injct

Orkambi Gran Pack

Orkambi Tablet


2020.1 (1/1/2020).



Ormir Capsule

Orphenadrine Citrate Tablet ER

Orsythia Tablet

Oscimin Tablet

Oscimin Tab Rapdis

Oscimin Sl Tab Subl

Oscimin Sr Tab ER 12h

Oseltamivir Phosphate Capsule

Oseltamivir Phosphate Susp Recon

Osmoprep Tablet

Oticin Drops

Oxandrolone Tablet

Oxaprozin Tablet

Oxcarbazepine Tablet

Oxcarbazepine Oral Susp

Oxtellar XR Tab ER 24h

Oxybutynin Chloride Syrup

Oxybutynin Chloride Tablet

Oxybutynin Chloride ER (15mg) Tab ER 24

Oxybutynin Chloride ER (5mg & 10mg) Tab ER 24

Oxycodone HCl Solution

Oxycodone HCl Oral Conc

Oxycodone HCl Tablet

Oxycodone HCl Capsule

Oxycodone HCl Syringe

Oxycodone HCl ER Tab ER 12h

Oxycodone HCl-Aspirin Tablet

Oxycodone HCl-Ibuprofen Tablet

Oxycodone-Acetaminophen Tablet

Oxycodone-Acetaminophen Solution

Oxycontin (15mg, 30mg & 60mg) Tab ER 12h

Oxymorphone HCl Tablet

Oxymorphone HCl ER Tab ER 12h

Oxytrol Patch Tdsw

Pacerone Tablet

Pain & Fever Tablet

Pain & Sleep Tablet

Pain Ease Spray

Pain Relief Tablet ER

Pain Relief Liquid

Pain Relief (325mg & 500mg) Tablet

Pain Relief Extra Strength Tablet

Pain Relief PM Tablet


2020.1 (1/1/2020).



Pain Reliever (325mg, 500mg & 250-250-65) Tablet

Pain Reliever Plus Tablet

Pain Reliever PM Tablet

Pain-Off Tablet

Pamprin Max Tablet

Pancrelipase 5,000 Capsule Dr

Pandel Cream (G)

Panretin Gel (Gram)

Pantoprazole Sodium Tablet Dr

Paragard T 380-A Iud

Paregoric Liquid

Paremyd Drops

Paricalcitol Capsule

Paroex Mouthwash

Paromomycin Sulfate Capsule

Paser Granpkt Dr

Pce Tab Part

P-Col Rite Tablet

Pediacare Fever Reducer Oral Susp

Pedia-Lax Supp.Rect

Pediatric Electrolyte Solution

Pediatric Enema Enema

Pediatric Freezer Pops Solution

Peg 3350-Electrolyte Soln Recon

Peg-3350 And Electrolytes Soln Recon

Peganone Tablet

Pegasys Vial

Pegasys Syringe

Pegintron Kit

Pegintron Redipen Pen Ij Kit

Pen Needle Dis Needle

Pen Needles Dis Needle

Penicillin V Potassium Tablet

Penicillin V Potassium Soln Recon

Penlet Plus Blood Sampler (Lancing Device/Lancets) Kit

Pentacel Dtap-Ipv Component Vial

Pentasa Capsule ER

Pentazocine-Naloxone HCl Tablet

Pentoxifylline Tablet ER

Peptic Relief Tab Chew

Peptic Relief Oral Susp

Pep-T-Med Tab Chew

Peri-Colace Tablet


2020.1 (1/1/2020).



Periogard Mouthwash

Permethrin Cream (G)

Permethrin Liquid

Pharbechlor Tablet

Pharbedryl Capsule

Pharbetol Tablet

Pharmacist Favorite Multi-Vite Tablet

Phenadoz Supp.Rect

Phenazopyridine HCl Tablet

Phenobarbital Tablet

Phenylephrine HCl Drops

Phenytoin Tab Chew

Phenytoin Oral Susp

Phenytoin Sodium Extended Capsule

Philith Tablet

Phillips' Laxative Capsule

Phospha 250 Neutral Tablet

Phosphate Enema Enema

Phospholine Iodide Drops

Phytonadione Tablet

Pifeltro Tablet

Pilocarpine HCl Tablet

Pilocarpine HCl Drops

Pimtrea Tablet

Pindolol Tablet

Pink Bismuth Tab Chew

Pink Bismuth (262mg/15ml) Oral Susp

Pinnacaine Drops

Pioglitazone HCl Tablet

Pioglitazone-Glimepiride Tablet

Pioglitazone-Metformin Tablet

Pirmella Tablet

Piroxicam Capsule

Plenvu Powd Pk Sq

Pneumovax 23 Syringe

Pneumovax 23 Vial

Pnv-Vp-U Capsule

Polycin Oint. (G)

Polyethylene Glycol 3350 Powder

Polyethylene Glycol 3350 Powd Pack

Poly-Iron Capsule

Polymyxin B Sul-Trimethoprim Drops

Polyvinyl Alcohol Drops


2020.1 (1/1/2020).



Poly-Vita Drops

Poly-Vita With Iron Drops

Poly-Vitamin Drops

Polyvitamin With Iron Drops

Pomalyst Capsule

Portia Tablet

Potass Cit-Sod Cit-Citric Acid Solution

Potassium Bicarbonate Tablet Eff

Potassium Chloride Liquid

Potassium Chloride Tablet ER

Potassium Chloride Capsule ER

Potassium Chloride Packet

Potassium Chloride Tablet Eff

Potassium Chloride Tab ER Prt

Potassium Citrate ER Tablet ER

Potassium Citrate-Citric Acid Solution

Pr Natal 400 Combo. Pkg

Pr Natal 400 EC Cmbpkgdrcp

Pr Natal 430 Combo. Pkg

Pr Natal 430 EC Cmbpkgdrcp

Pradaxa Capsule

Praluent Pen Pen Injctr

Praluent Syringe Syringe

Pramipexole Dihydrochloride Tablet

Pramosone Lotion

Pramosone (1 %-1 %) Oint. (G)

Prasugrel Tablet

Pravastatin Sodium Tablet

Praziquantel Tablet

Prazosin HCl Capsule

Precision (Control Solution) Combo. Pkg

Precision Glucose Control (Control Solution) Combo. Pkg

Precision Xtra Strip

Precision Xtra (Meter) Each

Pred Mild Drops Susp

Pred-G Oint. (G)

Pred-G Drops Susp

Prednicarbate Oint. (G)

Prednicarbate Cream (G)

Prednisolone Solution

Prednisolone Acetate Drops Susp

Prednisolone Sodium Phos Odt Tab Rapdis

Prednisolone Sodium Phosphate Drops


2020.1 (1/1/2020).



Prednisolone Sodium Phosphate (5 mg/5 Ml, 15 mg/5 Ml, & 25 mg/5 Ml)

Solution

Prednisone Tablet

Prednisone Solution

Prednisone Tab Ds Pk

Prednisone Intensol Oral Conc

Prefest Tablet

Pregabalin Capsule

Pregabalin Solution

Premarin Tablet

Premphase Tablet

Prempro Tablet

Prenatabs Rx Tablet

Prenatal DHA Capsule

Prenatal Plus Tablet

Prenatal Vitamin Plus Low Iron Tablet

Prenatal-U Capsule

Preparation H Cream (G)

Preplus Tablet

Preservision Areds Capsule

Pressure Activated Lancets Each

Prevalite Powder

Prevalite Powd Pack

Prevident Paste (Ml)

Prevident 5000 Gel (Ml)

Prevident 5000 Enamel Protect Paste (Ml)

Prevident 5000 Sensitive Paste (Ml)

Previfem Tablet

Prevnar 13 Syringe

Prezcobix Tablet

Prezista Oral Susp

Prezista (75mg, 150mg, 400mg & 600mg) Tablet

Prezista (800mg) Tablet

Prialt Vial

Priftin Tablet

Prilosec Suspdr Pkt

Prilosec Otc Tablet Dr

Primaquine Tablet

Primidone Tablet

Pro Comfort Lancet Each

Pro Comfort Lancets Each

Probenecid Tablet

Probenecid-Colchicine Tablet


2020.1 (1/1/2020).



Prochlorperazine Supp.Rect

Prochlorperazine Maleate Tablet

Procrit Vial

Proctofoam-HC Foam

Procto-Med HC Crm/Pe App

Procto-Pak Crm/Pe App

Proctosol-HC Crm/Pe App

Proctozone-HC Crm/Pe App

Prodigy Control Solution Each

Prodigy Insulin Syringe Disp Syrin

Prodigy Lancets Each

Prodigy Lancing Device Each

Prodigy Twist Top Lancet Each

Progesterone Capsule

Proglycem Oral Susp

Prolastin C Vial

Promethazine HCl Tablet

Promethazine HCl Syrup

Promethazine HCl Supp.Rect

Promethegan Supp.Rect

Propafenone HCl Tablet

Propafenone HCl ER Cap ER 12h

Propantheline Bromide Tablet

Propranolol HCl Solution

Propranolol HCl Tablet

Propranolol HCl ER Cap Sa 24h

Propranolol-Hydrochlorothiazid Tablet

Propylthiouracil Tablet

Proquad Vial

Prosight Tablet

Provil Tablet

Pseudoephedrine ER Tablet ER

Pseudoephedrine HCl Tablet

Pseudoephedrine HCl Liquid

Psyllium Fiber Capsule

Pulmicort Flexhaler Aer Pow Ba

Pulmozyme Solution

Pure & Gentle Saline Enema Enema

Purixan Oral Susp

Push Button Safety Lancets Each

Pyrazinamide Tablet

Pyridostigmine Bromide Tablet

Pyridostigmine Bromide ER Tablet ER


2020.1 (1/1/2020).



Pyridoxine HCl (25mg, 50mg & 100mg) Tablet

Q-Dryl Capsule

Q-Dryl Liquid

Q-Pap Tablet

Q-Pap Drops

Q-Pap Liquid

Q-Pap Extra Strength Tablet

Q-Tussin Dm Syrup

Quadracel Dtap-Ipv Vial

Quasense Tbdspk 3mo

Quenalin Syrup

Quillichew ER Tab Cbp24h

Quillivant XR Su ER Rc24

Quinapril HCl Tablet

Quinapril-Hydrochlorothiazide Tablet

Quinidine Gluconate Tablet ER

Quinidine Sulfate Tablet ER

Quinidine Sulfate Tablet

Quinine Sulfate Capsule

Quit 2 Gum

Quit 2 Lozenge

Quit 4 Gum

Quit 4 Lozenge

Qvar Aer W/Adap

Qvar Redihaler Hfa Aeroba

Raloxifene HCl Tablet

Ramipril Capsule

Ranitidine HCl Syrup

Ranitidine HCl Capsule

Ranitidine HCl Tablet

Rasagiline Mesylate Tablet

React Tablet

Readylance Safety Lancets Each

Rebif Syringe

Rebif Rebidose Pen Injctr

Reclipsen Tablet

Recombinate Vial

Recombivax Hb Syringe

Recombivax Hb Vial

Recort Plus Cream (G)

Refresh Classic Droperette

Refresh Lacri-Lube Oint. (G)

Refresh Liquigel Drp Lq Gel


2020.1 (1/1/2020).



Refuah Plus Glucose Control (Control Solution) Each

Reguloid Powder

Reguloid (0.52g) Capsule

Relenza Blst W/Dev

Reliamed (Lancets) Each

Reliamed Mini Lancing Device Each

Reliamed Safety Seal Lancets Each

Relion Pen Needles Dis Needle

Relion Thin (Lancets) Each

Relnate DHA Capsule

Remedy Antifungal Cream(Ml)

Remodulin Vial

Repaglinide Tablet

Repaglinide-Metformin HCl Tablet

Repatha Pushtronex Wear Injct

Repatha Sureclick Pen Injctr

Repatha Syringe Syringe

Reprexain (5mg-200mg & 10mg-200mg) Tablet

Rescriptor Tab Disper

Rescriptor Tablet

Reserpine Tablet

Rest Simply Tablet

Restfully Sleep Tablet

Retacrit Vial

Revlimid Capsule

Reyataz Capsule

Reyataz Powd Pack

Ribasphere Capsule

Ribasphere Tablet

Ribavirin Tablet

Ribavirin Capsule

Ribavirin Vial-Neb

Ridaura Capsule

Rifabutin Capsule

Rifampin Capsule

Rifater Tablet

Ri-Gel Oral Susp

Ri-Gel Ii Oral Susp

Rightest Control Solution Each

Rightest Gc250s Control Soln Each

Rightest Gd500 (Lancing Device) Each

Rightest Gl300 Lancets Each

Riluzole Tablet


2020.1 (1/1/2020).



Rimantadine HCl Tablet

Ritalin LA (10mg) Cpbp 50-50

Ritonavir Tablet

Ri-Tussin Dm Syrup

Rivastigmine Capsule

Rivastigmine Patch Td24

Rizatriptan Tablet

Rizatriptan Tab Rapdis

Robafen Dm Cough Liquid

Robafen Dm Cough-Chest Congest Syrup

Robafen-Dm Syrup

Ropinirole ER (2mg, 4mg, 8mg & 12mg) Tab ER 24h

Ropinirole HCl Tablet

Rosuvastatin Tablet

Rubraca Tablet

Rydapt Capsule

Safesnap Insulin Syringe Disp Syrin

Safetussin Dm Liquid

Safety Lancets Each

Safety Seal Lancets Each

Safetyglide Insulin Syringe Disp Syrin

Safetyglide Syringe Disp Syrin

Safety-Let (Lancets) Each

Saizen Vial

Saizen Cartridge

Saizen-Saizenprep Cartridge

Saline Enema Enema

Saline Mist Spray

Saline Nasal Spray Spray

Saline Nose Spray Spray

Salmon Oil-1000 Capsule

Salsalate Tablet

Sani-Supp (Pediatric) Supp.Rect

Savaysa Tablet

Scopolamine Patch Td 3

Sea Soft Spray

Sea-Omega Capsule

Sea-Omega 30 Capsule

Secura Antifungal Cream (G)

Seebri Neohaler Cap W/Dev

Select-Ob Tab Chew

Selegiline HCl Tablet

Selegiline HCl Capsule


2020.1 (1/1/2020).



Selzentry Tablet

Selzentry Solution

Se-Natal 19 Tablet

Se-Natal 19 Tab Chew

Senexon Tablet

Senexon-S Tablet

Senna Tablet

Senna Lax Tablet

Senna Laxative (8.6mg & 8.6mg-50mg) Tablet

Senna Plus Tablet

Senna S Tablet

Sennalax-S Tablet

Senna-S Tablet

Senna-Time S Tablet

Senno Tablet

Sennosides-Docusate Sodium Tablet

Senokot-S Tablet

Sen-O-Tab Tablet

Sentry (18mg-0.4mg) Tablet

Serevent Diskus Blst W/Dev

Serostim Vial

Setlakin Tbdspk 3mo

Sevelamer HCl Tablet

Sf Gel (Gram)

Sf 5000 Plus Cream (G)

Shake That Ache Tablet

Sharobel Tablet

Sharps Collector Each

Sharps Container Each

Shingrix Kit

Shingrix Ge Antigen Component Vial

Shingrix Adjuvant Component Vial

Shohl's Modified Solution

Silace Syrup

Silace Liquid

Siladryl Liquid

Silapap Drops

Sildenafil (20mg) Tablet

Silphen Syrup

Siltussin Dm Syrup

Siltussin Dm Das Cough Formula Liquid

Silver Sulfadiazine Cream (G)

Simethicone Drops Susp


2020.1 (1/1/2020).



Simethicone Tab Chew

Simponi Syringe

Simponi Pen Injctr

Simvastatin (40mg) Tablet

Simvastatin (5mg, 10mg, & 20mg) Tablet

Simvastatin (80mg) Tablet

Single-Let (Lancets) Each

Sinus & Allergy Tablet ER

Sinus 12 Hour Tablet ER

Sinus 12-Hour Tablet ER

Sirolimus Solution

Sirolimus Tablet

Skyla Iud

Skyrizi Syringekit

Sleep Aid Capsule

Sleep Aid (Diphenhydramine HCl) Tablet

Sleep Ii Tablet

Sleep Tablet Tablet

Sleep Tabs Tablet

Sleep-Aid Capsule

Sleepgels Capsule

Sleeping Capsule

Smart Sense (Lancets) Each

Smart Sense Lancets Each

Smartdiabetes Vantage (Lancing Device) Each

Smartest (Control Solution) Each

Smartest Lancet Each

Smooth Antacid Tab Chew

Smooth Dissolving Antacid Tab Chew

Sochlor Drops

Sochlor Oint. (G)

Sodium Bicarbonate Tablet

Sodium Chloride Drops

Sodium Chloride Oint. (G)

Sodium Chloride Vial-Neb

Sodium Citrate-Citric Acid Solution

Sodium Fluoride Drops

Sodium Fluoride Solution

Sodium Fluoride Tab Chew

Sodium Polystyrene Sulfonate Enema

Sodium Polystyrene Sulfonate Oral Susp

Sodium Polystyrene Sulfonate Powder

Sofosbuvir-Velpatasvir Tablet


2020.1 (1/1/2020).



Soft Touch (Lancets) Each

Soltamox Solution

Solus V2 (Lancets) Each

Solus V2 Control Solution Each

Solus V2 Lancets Each

Solus V2 Lancing Device Kit

Somatuline Depot Syringe

Somavert Vial

Soothe Oral Susp

Soothe Tab Chew

Soothing Care Cream (G)

Soothing Pureway-C Tablet

Sorbugen NR Liquid

Sorine Tablet

Sotalol Tablet

Sotalol AF Tablet

Sovaldi Tablet

Spectravite Adult 50+ Tablet

Spectravite Advanced Formula Tablet

Spectravite Senior Tablet

Spinosad Suspension

Spiriva Cap W/Dev

Spiriva Respimat Mist Inhal

Spironolactone Tablet

Spironolactone-HCTZ Tablet

Spray And Stretch Spray

Sprintec Tablet

Sprycel Tablet

Sps Oral Susp

Sronyx Tablet

SSD Cream (G)

SSKI Solution

St. Joseph Aspirin Tab Chew

St. Joseph Aspirin Tablet Dr

Stavudine Capsule

Stavudine Soln Recon

Stelara Syringe

Sterilance TL (Lancets) Each

Stimate Spray/Pump

Stimulant Laxative Plus Tablet

Stivarga Tablet

Stomach Relief Tab Chew

Stomach Relief (262mg/15ml) Oral Susp


2020.1 (1/1/2020).



Stomach Relief Original Oral Susp

Stool Softener Tablet

Stool Softener Liquid

Stool Softener Syrup

Stool Softener (8.6mg-50mg, 100mg, 240mg & 250mg) Capsule

Stool Softener-Laxative Tablet

Stool Softener-Stimulant Lax Tablet

Stop Smoking Aid Lozenge

Strensiq Vial

Stribild Tablet

Strong Iodine Solution

Suboxone Film

Sucralfate Tablet

Sudafed Tablet

Sudafed 12-Hour Tablet ER

Sudogest Tablet

Sudogest Tablet ER

Sulfacetamide Sodium Oint. (G)

Sulfacetamide Sodium Drops

Sulfacetamide-Prednisolone Drops

Sulfadiazine Tablet

Sulfamethoxazole-Trimethoprim Tablet

Sulfamethoxazole-Trimethoprim Oral Susp

Sulfasalazine Tablet

Sulfasalazine DR Tablet Dr

Sulfatrim Oral Susp

Sulindac Tablet

Sumatriptan Spray

Sumatriptan Succinate Tablet

Super B-50 Complex Capsule

Super Calcium Tablet

Super Multivitamin Tablet

Super Pain Relief Tablet

Super Thin Lancets Each

Suphedrin Tablet

Suphedrin Liquid

Suphedrin 12-Hour Tablet ER

Suphedrine Tablet

Suphedrine 12-Hour Tablet ER

Suphedrine Sinus Congestion Tablet

Suprax Tab Chew

Suprax Capsule

Suprax (500 mg/5ml) Susp Recon


2020.1 (1/1/2020).



Sure Comfort Disp Syrin

Sure Comfort Dis Needle

Sure Comfort Lancets Each

Sure Comfort Lancing Pen Each

Sure-Fine Pen Needles Dis Needle

Sureflex (Lancing Device) Each

Sureflex (Lancing Device/Lancets) Kit

Sure-Ject Insulin Syringe Disp Syrin

Sure-Lance (Lancets) Each

Sure-Pen (Lancing Device) Each

Sure-Test Easyplus Mini (Control Solution) Each

Sure-Touch (Lancets) Each

Sutent Capsule

Syeda Tablet

Sylatron Kit

Symbicort HFA Aer Ad

Symdeko Tablet Seq

Symfi Tablet

Symfi Lo Tablet

Symjepi Syringe

Symlinpen 120 Pen Injctr

Symlinpen 60 Pen Injctr

Symtuza Tablet

Synagis Vial

Synarel Spray

Synera M.Ht Patch

Synjardy Tablet

Synribo Vial

Tab-A-Vite Tablet

Tab-A-Vite With Iron Tablet

Tab-A-Vite-Minerals Tablet

Tabloid Tablet

Tacrolimus Capsule

Tactinal Tablet

Tadalafil Tablet

Taltz Autoinjector Auto Injct

Taltz Autoinjector (2 Pack) Auto Injct

Taltz Autoinjector (3 Pack) Auto Injct

Taltz Syringe Syringe

Taltz Syringe (2 Pack) Syringe

Taltz Syringe (3 Pack) Syringe

Tamoxifen Citrate Tablet

Tamsulosin HCl Cap ER 24h


2020.1 (1/1/2020).



Targretin Gel (Gram)

Tarina Fe Tablet

Taron-Prex Prenatal Capsule

Tasigna Capsule

Tazarotene Cream (G)

Tazorac Gel (Gram)

Tazorac Cream (G)

Taztia Xt Capsule ER

Td Gold Level 1 Control Sol Each



Tears Again Drops

Tears Pure Drops

Tecfidera Capsule Dr

Techlite Lancets Each

Telcare (Lancets) Each

Telcare Control Solution Each

Temazepam (15mg & 30mg) Capsule

Temixys Tablet

Temozolomide Capsule

Tencon Tablet

Tenivac Vial

Tenivac Syringe

Tenofovir Disoproxil Fumarate Tablet

Terazosin HCl Capsule

Terbinafine HCl Tablet

Terbutaline Sulfate Tablet

Terconazole Cream/Appl

Terconazole Supp.Vag

Terumo Insulin Syringe Disp Syrin

Testosterone Cypionate Vial

Testosterone Enanthate Vial

Tetanus Diphtheria Toxoids Vial

Tetracycline HCl Capsule

Texacort Solution

Thalomid Capsule

Theo-24 Cap ER 24h

Theochron Tab ER 12h

Theophylline Solution

Theophylline Tab ER 24h

Theophylline Anhydrous Tab ER 12h

Thera Tablet

Thera M Plus Tablet


2020.1 (1/1/2020).



Theradex M Tablet

Thera-M Tablet

Therapeutic M (27mg-0.4mg) Tablet

Thera-Tabs Tablet

Thera-Tabs M Tablet

Theratrum Complete 50 Plus Tablet

Therems Tablet

Therems-M Tablet

Thin Lancets Each

Thinpro Insulin Syringe Disp Syrin

Thiola Tablet

Thrivite 19 Tablet

Thyrolar-1 Tablet

Thyrolar-1/2 Tablet

Thyrolar-1/4 Tablet

Thyrolar-2 Tablet

Thyrolar-3 Tablet

Tiagabine HCl Tablet

Ticlopidine HCl Tablet

Tilia Fe Tablet

Timolol Maleate Tablet

Timolol Maleate Drops

Timolol Maleate Sol-Gel

Timoptic Ocudose Droperette

Tinidazole Tablet

Tivicay (50mg) Tablet

Tizanidine HCl Tablet

Tobi Podhaler Capsule

Tobi Podhaler Cap W/Dev

Tobradex Oint. (G)

Tobramycin Drops

Tobramycin Ampul-Neb

Tobramycin-Dexamethasone Drops Susp

Tobrex Oint. (G)

Tolazamide Tablet

Tolbutamide Tablet

Tolcapone Tablet

Tolmetin Sodium Capsule

Tolmetin Sodium Tablet

Tolnaftate Cream (G)

Tolterodine Tartrate Tablet

Topcare Clickfine Dis Needle

Topcare Ultra Comfort Disp Syrin


2020.1 (1/1/2020).



Topcare Universal1 Lancet Each

Topcare Universal1 Thin Lancet Each

Topiramate Tablet

Topiramate Cap Sprink

Toremifene Citrate Tablet

Torsemide Tablet

Total Allergy Tablet

Tracleer Tablet

Tradjenta Tablet

Tramadol HCl Tablet

Tramadol HCl ER Tab ER 24h

Tramadol HCl-Acetaminophen Tablet

Trandolapril Tablet

Trandolapril-Verapamil ER Tab Bp 24h

Tranexamic Acid Tablet

Travoprost Drops

Trecator Tablet

Trelegy Ellipta Blst W/Dev

Tremfya Auto Injct

Tretinoin Capsule

Trexall Tablet

Tri Femynor Tablet

Triadvance Tablet

Triamcinolone Acetonide Cream (G)

Triamcinolone Acetonide Oint. (G)

Triamcinolone Acetonide Lotion

Triamcinolone Acetonide Paste (G)

Triamcinolone Acetonide Aerosol

Triamterene-Hydrochlorothiazid Tablet

Triamterene-Hydrochlorothiazid Capsule

Trianex Oint. (G)

Tri-Buffered Aspirin Tablet

Tricitrates Solution

Triderm Cream (G)

Tridesilon Cream (G)

Tri-Estarylla Tablet

Trifluridine Drops

Trihexyphenidyl HCl Elixir

Trihexyphenidyl HCl Tablet

Tri-Legest Fe Tablet

Tri-Linyah Tablet

Tri-Lo-Estarylla Tablet

Tri-Lo-Marzia Tablet


2020.1 (1/1/2020).



Tri-Lo-Sprintec Tablet

Trilyte With Flavor Packets Soln Recon

Trimethobenzamide HCl Capsule

Trinatal Gt Tablet

Trinessa Tablet

Trinessa Lo Tablet

Triple Antibiotic Oint. (G)

Triple Antibiotic Oint Pack

Triple Antibiotic Plus Oint. (G)

Triple Dye Med. Swab

Triple-Vitamin W-Fluoride Drops

Tri-Previfem Tablet

Tri-Sprintec Tablet

Triumeq Tablet

Triveen-Duo DHA Combo. Pkg

Tri-Vi-Sol Drops

Tri-Vit With Fluoride-Iron Drops

Tri-Vitamin Drops

Tri-Vitamin With Fluoride Drops

Trivora-28 Tablet

Trixaicin Cream (G)

Tropicamide Drops

Trospium Chloride Tablet

Trospium Chloride ER Cap ER 24h

True Metrix (Control Solution) Each

Truecontrol (Control Solution) Each

Truedraw (Lancing Device) Each

Trueplus Insulin Syringe Disp Syrin

Trueplus Lancets Each

Truetest Glucose Control Each

Trulicity Pen Injctr

Trumenba Syringe

Trust Natal DHA Combo. Pkg

Truvada Tablet

Tudorza Pressair Aer Pow Ba

Tusnel Diabetic Liquid

Tussin Cough (100-10mg/5) Liquid

Tussin Cough Dm Liquid

Tussin Cough-Chest Congestion Liquid

Tussin Dm Liquid

Tussin Dm (100-10mg/5) Syrup

Tussin Dm Clear Syrup

Tussin Dm Cough Syrup


2020.1 (1/1/2020).



Tussin Dm Cough & Chest Syrup

Tussin Dm Cough-Chest Congest Syrup

Tussin Dm Cough-Chest Congest Liquid

Tussin Dm Max (100-10mg/5) Liquid

Twinrix Vial

Twinrix Syringe

Tybost Tablet

Tydemy Tablet

Tykerb Tablet

Tylenol PM Extra Strength Tablet

Tymlos Pen Injctr

Tyzeka Tablet

U-Cort Cream (G)

Udenyca Syringe

Ulticare Syringe

Ulticare Disp Syrin

Ulticare Pen Needle Dis Needle

Ulti-Lance (Lancing Device/Lancets) Kit

Ulti-Lance (Lancing Device) Each

Ultilet Basic (Lancets) Each

Ultilet Classic (Lancets) Each

Ultilet Insulin Syringe Disp Syrin

Ultilet Lancets Each

Ultilet Pen Needle Dis Needle

Ultilet Safety (Lancets) Each

Ultimatecare One Capsule

Ultimatecare One NF Capsule

Ultra Comfort Disp Syrin

Ultra Dm Free & Clear Liquid

Ultra Omega-3 Capsule

Ultra Saline Spray

Ultra Strength Antacid Tab Chew

Ultra Thin Lancets Each

Ultra Thin Plus Each

Ultra Thin Plus Lancets Each

Ultra Tuss Syrup

Ultralance Each

Ultra-Thin Ii Disp Syrin

Ultra-Thin Ii Dis Needle

Ultra-Thin Ii Each

Ultratlc Lancets Each

Ultratrak (Control) Each

Ultratrak Ultimate (Control) Each


2020.1 (1/1/2020).



Unifine Pentips Dis Needle

Unifine Pentips Plus Dis Needle

Unilet Comfortouch (Lancets) Each

Unilet Excelite (Lancets) Each

Unilet Excelite II (Lancets) Each

Unilet Gp Lancet Each

Unilet Lancet Each

Unilet Lancets Each

Unisom Capsule

Unistik 2 (Lancing Device/Lancets) Kit

Unistik 2 Extra (Lancing Device/Lancets) Kit

Unistik 2 Normal (Lancing Device/Lancets) Kit

Unistik 3 (Lancing Device/Lancets) Kit

Unistik 3 (Lancing Device/Lancets) Each

Unistik 3 Comfort (Lancing Device/Lancets) Kit

Unistik 3 Extra (Lancets) Each

Unistik 3 Neonatal (Lancing Device/Lancets) Kit

Unistik CZT (Lancets) Each

Unistik Safety (Lancets) Each

Unistik Touch (Lancets) Each

Unistrip (Control Solution) Each

Universal 1 (Lancets) Each

Uptravi Tablet

Uptravi Tab Ds Pk

Uroqid-Acid No.2 Tablet

Ursodiol Tablet

Ursodiol Capsule

Utibron Neohaler Cap W/Dev

Vagistat-3 Kit

Valacyclovir Tablet

Valganciclovir HCl Tablet

Valsartan Tablet

Valsartan-Hydrochlorothiazide Tablet

Valu-Dryl Tab Chew

Valu-Dryl Elixir

Valu-Dryl Allergy Medicine Tablet

Vancomycin HCl Vial

Vancomycin HCl Vial Port

Vancomycin HCl Capsule

Vancomycin HCl Soln Recon

Vanishpoint Disp Syrin

Vaqta Syringe

Vaqta Vial


2020.1 (1/1/2020).



Varivax Vaccine Vial

V-C Forte Capsule

Vegetable Laxative Tablet

Velivet Tablet

Velphoro Tab Chew

Veltassa Powd Pack

Vemlidy Tablet

Venclexta Tablet

Venclexta Starting Pack Tab Ds Pk

Verapamil ER Tablet ER

Verapamil ER Cap24h Pel

Verapamil ER PM Cap24h Pct

Verapamil HCl Tablet

Verapamil HCl Cap24h Pel

Verapamil Sr Cap24h Pel

Verdeso Foam

Veregen Oint. (G)

Verzenio Tablet

Vestura Tablet

Vexol Drops Susp

Viberzi Tablet

Vibramycin Syrup

Vic-Forte Capsule

Vicks Qlearquil Allergy Tablet

Vicks Qlearquil Nighttime Tablet

Vicodin Tablet

Vicodin ES Tablet

Vicodin HP Tablet

Victoza 2-Pak Pen Injctr

Victoza 3-Pak Pen Injctr

Videx Soln Recon

Vienva Tablet

Vinacal Tablet

Vinate Care Tab Chew

Vinate GT Tablet

Vinate II Tablet

Vinate One Tablet

Vinate PN Care Tablet

Vinate Ultra Tablet

Vinate-M Tablet

Viorele Tablet

Viracept Tablet

Viread Powder


2020.1 (1/1/2020).



Virt-Advance Tablet

Virt-Nate DHA Capsule

Virt-Phos 250 Neutral Tablet

Virtrate-2 Solution

Virtrate-3 Solution

Virtrate-K Solution

Virt-Vite GT Tablet

Vistogard Gran Pack

Vitafol-Ob+DHA Combo. Pkg

Vitamin B Complex Capsule

Vitamin B-12 (500 mcg & 1000mcg) Tablet

Vitamin B-6 (25mg, 50mg & 100mg) Tablet

Vitamin C Wafer

Vitamin C (250mg & 500mg) Tablet

Vitamin C (500mg) Tab Chew

Vitamin C With Rose Hips (500mg) Tablet

Vitamin D2 Capsule

Vitamin E (200 Unit & 400 Unit) Capsule

Vitamins A,C,D And Fluoride Drops

Vitamins For Hair Tablet

Vitekta Tablet

Viva DHA Capsule

Vivitrol Sus ER Rec

Vocal Point Glucose Control (Control Solution) Each

Vocalpoint Glucose Control (Control Solution) Each

Vonvendi Vial

Voriconazole Tablet

Voriconazole Susp Recon

Vosevi Tablet

Vyfemla Tablet

Vyvanse Capsule

Vyvanse Tab Chew

Wal-Dryl Capsule

Wal-Dryl Tablet

Wal-Dryl Allergy Liquid

Wal-Dryl Allergy Tablet

Wal-Finate Tablet

Wal-Itin Solution

Wal-Itin Tablet

Wal-Itin Tab Rapdis

Wal-Mucil Capsule

Wal-Mucil (3.4g/5.8g) Powder

Wal-Mucil Natural Fiber Lax Powder


2020.1 (1/1/2020).



Wal-Nadol PM Tablet

Wal-Phed (30mg) Tablet

Wal-Phed 12 Hour Tablet ER

Wal-Phed D Tablet ER

Wal-Profen (200mg) Tablet

Wal-Proxen Tablet

Wal-Sleep Z Capsule

Wal-Sleep Z Tab Rapdis

Wal-Som Capsule

Wal-Som Tab Rapdis

Wal-Tussin Dm Syrup

Wal-Zan 75 Tablet

Wal-Zyr Tablet

Warfarin Sodium Tablet

Wavesense Control Solution Each

Wera Tablet

Wide Seal Diaphragm Diaphragm

Wixela Inhub Blst W/Dev

Woman's Laxative Tablet Dr

Women's Gentle Laxative Tablet Dr

Women's Laxative Tablet Dr

Womens Stool Softener Capsule

Xarelto Tablet

Xarelto Tab Ds Pk

Xeljanz Tablet

Xeljanz XR Tab ER 24h

Xifaxan Tablet

Xolair Syringe

Xolair Vial

Xtandi Capsule

Xulane Patch Tdwk

Xuriden Gran Pack

Xylon 10 Tablet

Xyrem Solution

Zaleplon Capsule

Zantac 75 Tablet

Zarah Tablet

Zarxio Syringe

Zavesca Capsule

Zebutal Capsule

Zelapar Tab Rapdis

Zemaira Vial

Zenchent Tablet


2020.1 (1/1/2020).



Zenpep (40k-136k, 10-34-55k, 15-51-82k, 40-126-168, 20-63-84K, 5K-17K-24K, 25-79-105K, 10-32-42k, 15-47-63K, 3-10-14k and 20-68-109k)

Capsule DR

Zenzedi (5mg and 10mg) Tablet

Zepatier Tablet

Zephrex-D Tablet

Zidovudine Tablet

Zidovudine Capsule

Zidovudine Syrup

Zinbryta Syringe

Zinc Oxide (20%) Oint. (G)

Zinc Sulfate Capsule

Zinc-220 Capsule

Zmax Sus ER Rec

Zoladex Implant

Zolinza Capsule

Zolmitriptan Tablet

Zolmitriptan ODT Tab Rapdis

Zolpidem Tablet

Zolpidem Tartrate Tablet

Zolpidem Tartrate ER Tab Mphase

Zomacton Vial

Zonisamide Capsule

Zontivity Tablet

Zorbtive Vial

Zostavax Vial

Zostrix Cream (G)

Zovia 1-35e Tablet

Zovia 1-50e Tablet

Z-Sleep Capsule

Zurampic Tablet

Zykadia Capsule

Zykadia Tablet

Zylet Drops Susp

Health plans in Oregon provided by Moda Health Plan, Inc. Dental plans in Oregon provided by Oregon Dental Service, dba Delta Dental Plan of Oregon.

Nondiscrimination notice

3996952 (12/19)

We follow state and federal civil rights laws. We cannot treat people unfairly in any of our services or programs because of a person’s age, color, disability, gender identity, marital status, national origin, race, religion, sex or sexual orientation.

Everyone has the right to know about our programs and services. All members have a right to use our programs and services. We give free help when you need it. Some examples of free help we can give are:

If you need any of the above, call Customer Service at:888-788-9821 (TDD/TTY 711)

If you think we did not offer these services or discriminated, you can file a written complaint. Please mail or fax it to:EOCCO Attention: Appeal Unit 601 SW Second Ave. Portland, OR 97204 Fax: 503-412-4003

If you need help filing a complaint, please call Customer Service.You can also file a civil rights complaint with the U.S. Department of Health and Human Services Office for Civil Rights at ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone:U.S. Department of Health and Human Services 200 Independence Ave. SW, Room 509F HHH Building, Washington, DC 20201800-368-1019, 800-537-7697 (TDD)You can get Office for Civil Rights complaint forms at hhs.gov/ocr/office/file/index.html.

Nick Gross coordinates our nondiscrimination work:Nick Gross, Chief Compliance Office 601 SW Second Ave. Portland, OR 97204 503-952-5033 [email protected]

• Sign language interpreters• Spoken language interpreters for

other languages• Written material in other languages

• Braille• Large print• Audio and other formats

eocco.com

ATENCIÓN: Si habla español, hay disponibles servicios de ayuda con el idioma sin costo alguno para usted. Llame al 1-877-605-3229 (TTY: 711).

CHÚ Ý: Nếu bạn nói tiếng Việt, có dịch vụ hổ trợ ngôn ngữ miễn phí cho bạn. Gọi 1-877-605-3229 (TTY:711)

注意：如果您說中文，可得到免費語言幫助服務。請致電1-877-605-3229（聾啞人專用：711）

주의: 한국어로 무료 언어 지원 서비스를 이용하시려면 다음 연락처로 연락해주시기 바랍니다. 전화 1-877-605-3229 (TTY: 711)

PAUNAWA: Kung nagsasalita ka ng Tagalog, ang mga serbisyong tulong sa wika, ay walang bayad, at magagamit mo. Tumawag sa numerong 1-877-605-3229 (TTY: 711)

تنبيه: إذا كنت تتحدث العربية، فهناك خدمات مساعدة لغوية متاحة لك مجانًا. اتصل برقم

3229-605-877-1 )الهاتف النصي: 711(

اردو آپ : ارگ د�ی اسلین (URDU) وتہج وت ی �ہ وبےتل ےہ۔ اب ی

تدس اعموہض الب لی ےک آپ ت ن

ااع� 1-877-605-3229 (TTY: 711) رک�ی اکل رپ

ВНИМАНИЕ! Если Вы говорите по-русски, воспользуйтесь бесплатной языковой поддержкой. Позвоните по тел. 1-877-605-3229 (текстовый телефон: 711).

ATTENTION : si vous êtes locuteurs francophones, le service d’assistance linguistique gratuit est disponible. Appelez au 1-877-605-3229 (TTY : 711)

توجه: در صورتی که به فارسی صحبت می کنيد، خدمات ترجمه به صورت رايگان برای شما موجود است. با

1-877-605-3229 (TTY: 711) تماس بگيريد.

ध्यान दें: यदद आप दिदंी बोलत ेिैं, तो आपको भयाषयाई सियायतया बबनया कोई पैसया ददए उपलब्ध ि।ै 1-877-605-3229 पर कॉल करें (TTY: 711)

Achtung: Falls Sie Deutsch sprechen, stehen Ihnen kostenlos Sprachassistenzdienste zur Verfügung. Rufen sie 1-877-605-3229 (TTY: 711)

注意：日本語をご希望の方には、日本語サービスを無料で提供しております。 1-877-605-3229（TYY、テレタイプライターをご利用の方は711）までお電話ください。

અગત્યનું: જો તમે (ભાષાંતર કરેલ ભાષા અહીં દરાર્વો) બોલો છો તો તે ભાષામાં તમારે માટે વવના મૂલ્યે સહાય ઉપલબ્ધ છે. 1-877-605-3229 (TTY: 711) પર કૉલ કરો

ໂປດຊາບ: ຖ້າທ່ານເວົ້າພາສາລາວ, ການຊ່ວຍເຫຼືອດ້ານພາສາແມ່ນມີໃຫ້ທ່ານໂດຍບໍ່ເສັຍຄ່າ. ໂທ 1-877-605-3229 (TTY: 711)

УВАГА! Якщо ви говорите українською, для вас доступні безкоштовні консультації рідною мовою. Зателефонуйте 1-877-605-3229 (TTY: 711)

ATENȚIE: Dacă vorbiți limba română, vă punem la dispoziție serviciul de asistență lingvistică în mod gratuit. Sunați la 1-877-605-3229 (TTY 711)

THOV CEEB TOOM: Yog hais tias koj hais lus Hmoob, muaj cov kev pab cuam txhais lus, pub dawb rau koj. Hu rau 1-877-605-3229 (TTY: 711)

ត្រូវចងចំា៖ ប�ើអ្នកនិយាយភាសាខ្មែរ ប�ើយត្រូវការបេវាកមមែជំនួយខ្្នកភាសាបោយឥ្គិ្ថ្លៃ គឺមាន្្ដល់ជូនបោកអ្នក។ េូមទូរេ័ព្ទបៅកាន់បល្ 1-877-605-3229 (TTY: 711)

HUBACHIISA: Yoo afaan Kshtik kan dubbattan ta’e tajaajiloonni gargaarsaa isiniif jira 1-877-605-3229 (TTY:711) tiin bilbilaa.

โปรดทราบ: หากคุณพูดภาษาไทย คุณสามารถใช้บริการช่วยเหลือด้านภาษาได้ฟรี โทร 1-877-605-3229 (TTY: 711)

FA’AUTAGIA: Afai e te tautala i le gagana Samoa, o loo avanoa fesoasoani tau gagana mo oe e le totogia. Vala’au i le 1-877-605-3229 (TTY: 711)

IPANGAG: Nu agsasaoka iti Ilocano, sidadaan ti tulong iti lengguahe para kenka nga awan bayadna. Umawag iti 1-877-605-3229 (TTY: 711)

UWAGA: Dla osób mówiących po polsku dostępna jest bezpłatna pomoc językowa. Zadzwoń: 1-877-605-3229 (obsługa TTY: 711)

39969752 (12/19)

EOCCO Pharmacy Formulary · EOCCO Pharmacy Formulary Effective 10/1/2019 Medications that are new...

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