HometownRx Formulary - September 2021

For plan specific information, call (844) 373-0970, or visit us at: www.hometownhealth.com 5

This formulary is intended to assist you to better understand your pharmacy coverage.

Knowing your pharmacy benefit and effective use of the formulary (drug list) will help you be engaged in

your treatment options and health. This document will help you get the answers to these questions:

What medications are covered?

What are my lower cost medication options?

How is this formulary developed to ensure I have the best products?

What can I do if the medication I need is not covered?

Why do I need to obtain an approval (prior authorization) to get what my provider ordered?

What is a Formulary?

The formulary is a list of preferred brand and generic drug products for HometownRx members. The drug

list includes drugs used to treat common diseases or health problems. A team of doctors and pharmacists

(Pharmacy and Therapeutics (P&T) Committee) meet to decide which drugs should be on the drug list. The

P&T Committee reviews new and existing drugs and chooses drugs that work best and are proven to be

safe. Consequently, the formulary is updated regularly and subject to change without notice. The

formulary is a good source for you and your provider to determine the best drug for your condition, at the

lowest out-of-pocket expense to you. Ultimately, specific drug product selection for an individual member

is dependent on your prescriber.

How to Search For Drugs

This document provides an alphabetical listing of medications covered on the HometownRx formulary.

Inclusion on this list does not guarantee coverage and individual plans may vary. Agents listed are

primarily oral, self-injected, inhaled or topical pharmaceutical formulations. Drugs requiring provider

administration are generally covered under the medical benefit and may not appear on this list.

PLEASE NOTE:

Certain specialty medications may only be available through your plan’s preferred specialty

pharmacy.

Some medications may be subject to the Affordable Care Act (ACA) provisions or your plan's

preventive benefit and covered by your plan at 100%.

HometownRx Formulary - September 2021

http://www.hometownhealth.com/


Individual plans may vary.

For questions regarding plan-specific restrictions, coverage criteria, and cost sharing information,

please log into your member portal and use the “What’s my Cost” feature or call the phone

number printed on your member ID card.

Each medication may have specific coverage requirements not reflected in this document. The key

below explains common coverage indicators present on this file. Drugs shown in lower-case are

generically available and typically covered at the lowest member cost share.

T1 Tier 1 medication, typically generics or drugs available at lowest member cost share.

T2 Tier 2 medication, typically preferred or formulary brand drugs.

T3 Tier 3 medication, typically non-preferred or non-formulary drugs.

T4 Tier 4 medication, typically specialty medications.

PA Drug requires prior authorization to confirm medical necessity prior to coverage.

QL Quantity limits may apply.

BP Brand Penalty: Member may be responsible for the cost difference between brand and generic

SP

pharmacy.

Specialty Medication: This drug may only be available at the plan's preferred specialty

used in inpatient settings.

The formulary applies only to outpatient drugs provided to members, and does not apply to medications

meeting your annual deductible or out-of-pocket maximums.

medication and the generic medication (ancillary charge). Ancillary charges do not accumulate towards member may be responsible for their copay/coinsurance plus the cost difference between the brand generic is available. If a member or provider chooses a brand medication over the generic medication, the An ancillary charge (as know as a Brand Penalty [BP]) may apply to brand medications when an equivalent

diagnostic agents, cosmetic medications, and compounded medications.

disposable syringes, ostomy supplies, infant formulas, dietary supplements, hypopigmentation agents, treat impotency or sexual disorders, fertility agents, weight loss drugs, hematinics, reusable needles, to may include but are not limited to: non-FDA approved drugs, over the counter (OTC) medications, drugs

Certain classes of medication are not covered under your pharmacy benefit. These medication classes

accumulate towards meeting your annual deductible or out-of-pocket maximums.

the cost. Furthermore, if you choose to use a drug that is not on formulary or excluded, the cost, does not product HometownRx may not reimburse for these drug products and may require you to pay 100% of

Certain drug products have been excluded from this formulary. If you choose to use an excluded drug

Benefit Coverage and Limitations



What if my drug is not listed on the formulary?

To avoid delays in access to your treatment, your provider may check the formulary to prescribe a

covered drug that is best for you. The HometownRx formulary offers a wide coverage of available drugs.

However, in instances where the drug is rejected due to “Drug Not Covered”, you may either:

Ask your pharmacy to contact your provider to change the prescription to a covered formulary

alternative.

If your provider believes the non-covered product is “medically necessary” for your condition, your

provider may request an “Exception” for coverage. See the next section for information on how to

request an exception.

How do I request an exception?

Members or providers can ask HometownRx to make an exception to our coverage rules. Exceptions are

reviewed for medical necessity, your inability to use covered drugs (e.g., side effects, contraindications,

allergies), current covered products may not be effective for you, and new drug entrants that have not yet

been reviewed and placed on the formulary. Reviews will consider superiority of the request over current

covered options.

Exception requests can be submitted by making the request to HometownRx:

You or your provider can call us at 1-844-373-0970, or submit a written request for prior

authorization review via fax at 1-866-521-9916.

Why do some drugs require prior authorization?

Drug coverage review is used to encourage appropriate and cost-effective use of prescription drugs by

allowing coverage only when certain conditions are met. Some reasons for pre-authorization may include:

Compliance with dosing guidelines

Avoid duplicate therapies

Help health care providers check medically accepted criteria that helps ensure high efficacy and

low side effects

HometownRx implements prior authorization criteria based on the Food and Drug Administration (FDA)

approved labelling, evidence-based national best-practice guidelines, and peer-reviewed journals.



What can I expect to pay?

What you expect to pay depends on the type of drugs your provider ordered for you. Each drug is placed

in a tier level; different tiers represent the different levels of payment for covered medications. Tier

structures are developed to encourage you to use quality products at the most cost-effective option to

you. The lower cost option does not represent a lower quality product. Rather it is the best cost option

considering covered products within that treatment category. You can be assured that drugs provided

through your pharmacy benefit has been through rigorous processes to be approved by the FDA.

How can I save on prescriptions?

Here are some other tips to pay less out of pocket for your prescription drugs:

Ask your provider to consider prescribing generic drugs instead of brand-name drugs, and

whether the generic drug is right for you.

Ask your provider to consider prescribing drugs that are on the HometownRx Formulary.

Check to see if your plan includes our mail-order pharmacy service. Depending upon your plan,

mail order may save you money.

What if I have additional questions?

Please contact us:

Phone: 1-844-373-0970

If you have impaired hearing, dial TTY # 711

E-mail: [email protected]

Web site: www.hometownhealth.com


mailto:[email protected]

https://www.hometownhealth.com/

Aabacavir solution T1

abacavir sulfate tablet T1 abacavir tablet T1 abacavir-lamivudine tablet T1 abacavir-lamivudine-zidovudine tablet

T1

ABILIFY MYCITE TABLET T3 PAABIRATERONE TABLET T4 PA, SPABSORICA CAPSULE T3 ABSORICA LD CAPSULE T3 acamprosate calcium dr tablet T1 acarbose tablet T1 ACCOLATE TABLET T3 BPACCU-CHEK FASTCLIX KIT T2 ACCU-CHEK FASTCLIX MISC T2 ACCU-CHEK MISC T2 ACCU-CHEK SOFTCLIX KIT T2 ACCU-CHEK SOFTCLIX MISC T2 ACCUPRIL TABLET T3 BPACCURETIC TABLET T3 BPaccutane capsule T1 ACD FORMULA A SOLUTION T2 ACD-A NOCLOT-50 SOLUTION T2 acebutolol capsule T1 acetaminophen w/codeine tablet T1 acetaminophen/codeine solution T1 acetaminophen/codeine tablet T1 acetazolamide er capsule T1 acetazolamide tablet T1 acetic acid 0.25% solution T1 acetic acid solution T1 acetic acid/hydrocortisone solution T1 acetylcysteine solution T1 acitretin capsule T1 ACTEMRA ACTPEN INJECTION T4 PA, SPACTEMRA INJECTION T4 PA, SPACTHIB SOLUTION T2 ACTICLATE TABLET T3 BPACTI-LANCE MISC T2 ACTIMMUNE SOLUTION T4 PA, SP

ACTIQ LOLLIPOP T3 BP, PA, QLACTIVE FE TABLET T3 ACTIVELLA TABLET T3 BPACTONEL TABLET T3 BP, QLACTOPLUS MET TABLET T3 BPACTOS TABLET T3 BPACULAR LS SOLUTION T3 BPACULAR SOLUTION T3 BPacyclovir capsule T1 acyclovir ointment T1 QLacyclovir suspension T1 acyclovir tablet T1 ACYCLOVIX T3 ACZONE GEL T3 BPADACEL SUSPENSION T2 ADAINZDE GEL T3 adapalene cream T1 adapalene gel T1 ADAPALENE PADS T2 adapalene pump gel T1 ADAPALENE SOLUTION T2 adapalene-benzoyl peroxide gel T1 ADASUVE AEROSOL T3 PAadc/fluoride solution T1 ADDERALL XR 24 HOUR CAP T3 BP, QLADEFOVIR DIPIVOXIL TABLET T4 PA, SPADEMPAS TABLET T4 PA, SPADJUSTABLE LANCING DEVICE MISC T2 ADRENALIN SOLUTION T2 QLADVAIR DISKUS AEROSOL T3 BP, QLADVAIR HFA AEROSOL T2 QLADVANCED LANCING DEVICE MISC T2 ADVOCATE LANCING DEVICE MISC T2 ADVOCATE RAPID-SAFE MISC T2 ADVOCATE SYRINGES MISC T3 AEMCOLO TABLET T3 AFINITOR DISPERZ TABLET T4 PA, SPAFINITOR TABLET T4 PA, SPafirmelle tablet T1 AFLURIA QUAD 2021-2022 SUSPENSION

T2 QL

AFLURIA QUAD 2021-22 (3YR UP) INJECTION

T2 QL

AFLURIA QUAD 2021-22 (6-35MO) INJECTION

T2 QL

AGRYLIN CAPSULE T3 BPAIMOVIG INJECTION T2 PAAJOVY INJECTION T2 PAAKLIEF CREAM T3 PAAKTEN GEL T3 ala-scalp lotion T1 albendazole tablet T1 ALBENZA TABLET T3 BPalbuterol sulfate hfa aerosol T1 QLalbuterol sulfate nebulized T1 albuterol sulfate syrup T1 albuterol sulfate tablet T1 alclometasone dipropionate cream T1 alclometasone dipropionate ointment

T1

ALDACTAZIDE TABLET T3 BPALDACTONE TABLET T3 BPALDARA CREAM T3 BPALECENSA CAPSULE T4 PA, SPalendronate sodium solution T1 QLalendronate sodium tablet T1 QLalfuzosin er 24 hr tab T1 ALINIA SUSPENSION T2 ALINIA TABLET T2 BPaliskiren tablet T1 ALKERAN TABLET T4 BP, PA, SPallopurinol tablet T1 almotriptan malate tablet T1 QLalmotriptan tablet T1 QLALORA PATCH T3 QLalosetron tablet T1 ALPHAGAN P SOLUTION T2 BPalprazolam er 24 hr tab T1 ALPRAZOLAM INTENSOL T2 alprazolam odt tablet T1 alprazolam tablet T1 alprazolam xr 24 hr tab T1 ALREX SUSPENSION T3 altacaine solution T1

For plan specific information, call (844) 373-0970, or visit us at: www.hometownhealth.com Page: 1 of 31

HometownRx Formulary - September 2021

ALTACE CAPSULE T3 BPaltafluor benox solution T1 altavera tablet T1 ALTRENO LOTION T3 ALUNBRIG TABLET T4 PA, SPALVESCO AEROSOL T3 QLALVIMOPAN CAPSULE T4 PA, SPalyacen 1/35 tablet T1 alyacen 7/7/7 tablet T1 alyq tablet T1 PAamabelz tablet T1 amantadine capsule T1 amantadine syrup T1 amantadine tablet T1 AMARYL TABLET T3 BPAMBRISENTAN TABLET T4 PA, SPAMELUZ GEL T3 AMERGE TABLET T3 BP, QLamethia tablet T1 amethyst tablet T1 AMICAR SOLUTION T3 BPAMICAR TABLET T3 BPamiloride tablet T1 amiloride w/hctz tablet T1 aminocaproic acid solution T1 aminocaproic acid tablet T1 amiodarone tablet T1 amitriptyline tablet T1 amitriptyline/chlordiazepoxide tablet T1 amitriptyline-perphenazine tablet T1 amlodipine besylate tablet T1 amlodipine besylate-benazepril capsule

T1

amlodipine-atorvastatin tablet T1 QLamlodipine-olmesartan tablet T1 amlodipine-valsartan tablet T1 amlodipine-valsartan-hctz tablet T1 amnesteem capsule T1 amoxapine tablet T1 amoxicillin capsule T1 amoxicillin chew tab T1

amoxicillin suspension T1 amoxicillin tablet T1 amoxicillin-clavulanate pot er 12 hr tab

T1

amoxicillin-clavulanate potass chew tab

T1

amoxicillin-clavulanate potass suspension

T1

amoxicillin-clavulanate potass tablet T1 ampicillin capsule T1 ANACAINE OINTMENT T3 anagrelide capsule T1 ANASPAZ TABLET T2 anastrozole tablet T1 ANCOBON CAPSULE T3 BPANGELIQ TABLET T3 ANHYDROUS BASE OINTMENT T2 ANHYDROUS CREAM BASE T2 ANNOVERA T3 QLANORO ELLIPTA AEROSOL T2 QLANTICOAGULANT SODIUM SOLUTION

T3

ANTIVERT TABLET T3 apap-caffeine-dihydrocodeine capsule

T1

APOKYN INJECTION T4 PA, SPAPO-VARENICLINE TABLET T2 QLapraclonidine solution T1 aprepitant capsule T1 QLaprepitant misc T1 QLapri tablet T1 APRISO 24 HOUR CAP T3 BPAPTIVUS CAPSULE T2 aqua care sterile water irrig solution T1 ARAKODA TABLET T3 aranelle tablet T1 ARAVA TABLET T3 BPARAZLO LOTION T3 PAARCALYST SOLUTION T4 PA, SParformoterol tartrate nebulized T1 argyle sterile saline solution T1 ARICEPT TABLET T3 BPARIKAYCE SUSPENSION T4 PA, SParipiprazole odt tablet T1 aripiprazole solution T1

aripiprazole tablet T1 ARIXTRA SOLUTION T3 BParmodafinil tablet T1 QLARMOUR THYROID TABLET T2 ARNICA FLOWER TINCTURE T2 ARNICA LG LIQUID T3 ARNUITY ELLIPTA AEROSOL T2 QLAROMASIN TABLET T3 BPARTHROTEC 50 TABLET T3 BPARTHROTEC 75 TABLET T3 BPasa-butalb-caff-cod capsule T1 ascomp/codeine capsule T1 asenapine maleate sl T1 QLashlyna tablet T1 ASMANEX AEROSOL T2 QLASMANEX HFA AEROSOL T2 QLaspirin/dipyridamole capsule T1 aspirin/dipyridamole er capsule T1 ASSURE HAEMOLANCE PLUS MISC T2 ASSURE ID INSULIN SAFETY MISC T3 atazanavir capsule T1 atazanavir sulfate capsule T1 ATELVIA TABLET T3 BP, QLatenolol tablet T1 atenolol/chlorthalidone tablet T1 ATIVAN TABLET T3 BPatomoxetine capsule T1 ATOPICLAIR CREAM T3 atorvastatin calcium tablet T1 QLatovaquone suspension T1 atovaquone/proguanil tablet T1 atropine sulfate solution T1 ATROVENT HFA AEROSOL T3 QLAUBAGIO TABLET T4 PA, SPaubra eq tablet T1 aubra tablet T1 AUGMENTIN ES-600 SUSPENSION T3 BPAUGMENTIN SUSPENSION T2 BPAUGMENTIN TABLET T3 aurovela 1.5/30 tablet T1


aurovela 1/20 tablet T1 aurovela 24 fe tablet T1 aurovela fe 1.5/30 tablet T1 aurovela fe 1/20 tablet T1 AURYXIA TABLET T3 AUSTEDO TABLET T4 PA, SPAUTO-LANCET MINI MISC T2 AUTOLET IMPRESSION MISC T2 AUTOLET LANCING DEVICE MISC T2 AUTOLET PLUS MISC T2 aviane tablet T1 avidoxy tablet T1 avita cream T1 avita gel T1 AVONEX INJECTION T4 PA, SPAVONEX PEN INJECTION T4 PA, SPAYGESTIN TABLET T3 BPayuna tablet T1 AYVAKIT TABLET T4 PA, SPAZACITIDINE SUSPENSION T4 PA, SPAZASITE SOLUTION T2 azathioprine tablet T1 azelaic acid gel T1 azelastine solution T1 QLazelastine-fluticasone suspension T1 QLAZELEX CREAM T3 AZILECT TABLET T3 BPazithromycin packet T1 azithromycin suspension T1 azithromycin tablet T1 AZOPT SUSPENSION T2 BPAZULFIDINE EN-TABS TABLET T3 BPAZULFIDINE TABLET T3 BPazurette tablet T1

Bbacitracin ointment T1

bacitracin/polymyxin b ointment T1 baclofen tablet T1 BACTRIM DS TABLET T3 BPBACTRIM TABLET T3 BPBAFIERTAM CAPSULE (DELAYED RELEASE)

T4 PA, SP

balsalazide disodium capsule T1 BALVERSA TABLET T4 PA, SPbalziva tablet T1 BANZEL SUSPENSION T3 BPBANZEL TABLET T2 BPBAQSIMI ONE PACK POWDER T2 BAQSIMI TWO PACK POWDER T2 BARACLUDE SOLUTION T4 PA, SPBASAGLAR KWIKPEN INJECTION T3 QLBAXDELA TABLET T2 PABCG VACCINE INJECTION T2 B-D INSULIN SYRINGE MISC T2 BD INSULIN SYRINGE ULTRA MISC T2 BD LO-DOSE INSULIN SYRIN MISC T2 BD MAGNI-GUIDE MAGNIFIER MISC T2 QLB-D SAFETYGLIDE MISC T2 BD SAFETYGLIDESYRINGE MISC T2 BELBUCA FILM T2 BP, QLBELSOMRA TABLET T3 QLbenazepril tablet T1 benazepril-hctz tablet T1 BENLYSTA INJECTION T4 PA, SPBENZACLIN GEL T3 BPBENZACLIN WITH PUMP GEL T3 BPBENZALKONIUM CHLORIDE SOLUTION

T2

BENZAMYCIN GEL T3 BPBENZEPRO FOAM T3 BENZEPRO MISC T3 BENZNIDAZOLE TABLET T2 benzonatate capsule T1 benztropine mesylate tablet T1 bepotastine besilate solution T1 BEPREVE SOLUTION T3 BPBESIVANCE SUSPENSION T3 betamethasone dipropionate cream T1 betamethasone dipropionate gel T1 betamethasone dipropionate lotion T1 betamethasone dipropionate ointment

T1

betamethasone dp augmented ointment

T1

betamethasone valerate cream T1

betamethasone valerate lotion T1 betamethasone valerate ointment T1 BETAPACE AF TABLET T3 BPBETAPACE TABLET T3 BPBETASERON KIT T4 PA, SPbetaxolol solution T1 betaxolol tablet T1 bethanechol chloride tablet T1 BETHKIS NEBULIZED T4 BP, PA, SPBETIMOL SOLUTION T3 BETOPTIC-S SUSPENSION T3 BEVESPI AEROSPHERE AEROSOL T2 QLBEXAROTENE CAPSULE T4 PA, SPBEXSERO INJECTION T2 bicalutamide tablet T1 BIDIL TABLET T3 BIKTARVY TABLET T2 QLBILTRICIDE TABLET T3 BPbimatoprost solution T1 bisacodyl suppository T1 bisoprolol fumarate tablet T1 bisoprolol fumarate/hctz tablet T1 BLEPH-10 SOLUTION T3 BPBLEPHAMIDE S.O.P. OINTMENT T3 BLEPHAMIDE SUSPENSION T3 blisovi 24 fe tablet T1 blisovi fe 1.5/30 tablet T1 blisovi fe 1/20 tablet T1 BONIVA TABLET T3 BP, QLBOOSTRIX SUSPENSION T2 BOSENTAN TABLET T4 PA, SPBOSULIF TABLET T4 PA, SPbp wash liquid T1 BRAFTOVI CAPSULE T4 PA, SPBREO ELLIPTA AEROSOL T2 QLBREZTRI AEROSPHERE AEROSOL T2 QLbriellyn tablet T1 BRILINTA TABLET T2 brimonidine tartrate solution T1 BRIMONIDINE-DORZOLAMIDE SOLUTION

T3


BRINEURA KIT T4 PA, SPbrinzolamide suspension T1 BRIVIACT SOLUTION T3 BRIVIACT TABLET T3 bromfenac solution T1 bromocriptine mesylate capsule T1 bromocriptine mesylate tablet T1 bromphen/pseudoephedrine syrup T1 BROMSITE SOLUTION T3 BRONCHITOL CAPSULE T4 PA, SPBROVANA NEBULIZED T3 BPBRUKINSA CAPSULE T4 PA, SPbudesonide capsule T1 budesonide er 24 hr tab T1 budesonide suspension T1 bumetanide tablet T1 BUPHENYL POWDER T4 BP, PA, SPBUPHENYL TABLET T4 BP, PA, SPbuprenorphine buccal film T1 QLbuprenorphine patch T1 QLbuprenorphine sl T1 QLbuprenorphine-naloxone film T1 QLbuprenorphine-naloxone sl T1 QLbupropion sr 12 hr tab T1 QLbupropion tablet T1 bupropion xl 24 hr tab T1 QLbuspirone tablet T1 butalbital compound capsule T1 butalbital compound w/codeine capsule

T1

butalbital/acetaminophen tablet T1 butalbital/apap/caffeine tablet T1 butalbital/caff/apap/codeine capsule T1 butalbital-asp-caffeine capsule T1 butorphanol tartrate solution T1 QLBYDUREON BCISE INJECTION T2 QLBYETTA INJECTION T2 QLBYSTOLIC TABLET T2

Ccabergoline tablet T1

CABOMETYX TABLET T4 PA, SPCADUET TABLET T3 BP, QL

CAFERGOT TABLET T3 BPcaffeine solution T1 CALAN SR TABLET T3 BPcalcipotriene cream T1 calcipotriene ointment T1 calcipotriene solution T1 calcitonin salmon solution T1 calcitonin-salmon solution T1 calcitrene ointment T1 calcitriol capsule T1 calcitriol ointment T1 calcitriol solution T1 calcium capsule T1 camila tablet T1 camrese lo tablet T1 camrese tablet T1 CANASA SUPPOSITORY T3 BPcandesartan cilexetil tablet T1 candesartan-hydrochlorothiazid tablet

T1

CAPCOF SYRUP T3 CAPECITABINE TABLET T4 PA, SPCAPRELSA TABLET T4 PA, SPcaptopril tablet T1 CARAFATE SUSPENSION T3 BPCARAFATE TABLET T3 BPCARBAGLU TABLET T4 PA, SPcarbamazepine chew tab T1 carbamazepine er 12 hr tab T1 carbamazepine er capsule T1 carbamazepine suspension T1 carbamazepine tablet T1 CARBATROL CAPSULE T3 BPcarbidopa tablet T1 carbidopa/levodopa er tablet T1 carbidopa/levodopa odt tablet T1 carbidopa/levodopa tablet T1 carbidopa-levodopa-entacapone tablet

T1

carbinoxamine maleate solution T1 carbinoxamine maleate tablet T1 CARDIZEM CD 24 HOUR CAP T3

CARDIZEM LA 24 HR TAB T3 BPCARDIZEM TABLET T3 BPCARDURA TABLET T3 BPCAREONE ADVANCED LANCING MISC

T2

CAREONE MISC T2 CARETOUCH INSULIN SYRINGE MISCT3

CARETOUCH LANCING DEVICE MISC T2 carisoprodol tablet T1 carisoprodol-aspirin-codeine tablet T1 CARNITOR SF SOLUTION T3 BPCARNITOR SOLUTION T3 BPCARNITOR TABLET T3 BPCAROSPIR SUSPENSION T3 PAcarteolol solution T1 cartia xt 24 hour cap T1 carvedilol phosphate 24 hour cap T1 carvedilol phosphate er 24 hour cap T1 carvedilol tablet T1 CASCARA SAGRADA T3 CASODEX TABLET T3 BPcataflam tablet T1 CATAPRES-TTS-1 PATCH T3 BPCATAPRES-TTS-2 PATCH T3 BPCATAPRES-TTS-3 PATCH T3 BPCAYSTON SOLUTION T4 PA, SPcaziant tablet T1 cefaclor capsule T1 CEFACLOR ER 12 HR TAB T2 CEFACLOR SUSPENSION T2 cefadroxil capsule T1 cefadroxil suspension T1 cefadroxil tablet T1 cefdinir capsule T1 cefdinir suspension T1 cefixime capsule T1 cefixime suspension T1 cefpodoxime proxetil suspension T1 cefpodoxime proxetil tablet T1 cefprozil suspension T1 cefprozil tablet T1


ceftriaxone sodium solution T1 PAcefuroxime axetil tablet T1 celecoxib capsule T1 QLCELLCEPT CAPSULE T3 BPCELLCEPT SUSPENSION T3 BPCELLCEPT TABLET T3 BPCELONTIN CAPSULE T2 CENTANY OINTMENT T3 cephalexin capsule T1 cephalexin suspension T1 CEPHALEXIN TABLET T2 CEQUA SOLUTION T3 QLCEQUR SIMPLICITY INSERTER MISC T3 ceramax cream T1 ceramax lotion T1 CERDELGA CAPSULE T4 PA, SPCERVIDIL T3 CETRAXAL SOLUTION T3 cevimeline capsule T1 CHANTIX CONTINUING MONTH TABLET

T2 QL

CHANTIX TABLET T2 QLchateal eq tablet T1 chateal tablet T1 CHEMET CAPSULE T2 CHEMSTRIP BG LOG BOOK MISC T3 QLCHENODAL TABLET T4 PA, SPchlordiazepoxide capsule T1 chlorhexidine gluconate solution T1 chloroquine phosphate tablet T1 chlorpromazine tablet T1 chlorthalidone tablet T1 chlorzoxazone tablet T1 CHOLBAM CAPSULE T4 PA, SPcholestyramine light packet T1 cholestyramine light powder T1 cholestyramine packet T1 cholestyramine powder T1 CHONDROITIN SULFATE SOLUTION T3 ciclodan solution T1 ciclopirox gel T1

ciclopirox nail lacquer solution T1 ciclopirox olamine cream T1 ciclopirox shampoo T1 ciclopirox suspension T1 cilostazol tablet T1 CILOXAN SOLUTION T3 BPCIMDUO TABLET T2 QLcimetidine solution T1 cimetidine tablet T1 CINACALCET TABLET T4 PA, SPCIPRO HC SUSPENSION T3 CIPRO SUSPENSION T3 CIPRO TABLET T3 BPCIPRODEX SUSPENSION T3 BPciprofloxacin solution T1 ciprofloxacin tablet T1 ciprofloxacin-dexamethasone suspension

T1

citalopram solution T1 citalopram tablet T1 CITRANATAL 90 DHA MISC T3 CITRANATAL ASSURE MISC T3 CITRANATAL B-CALM MISC T3 CITRANATAL BLOOM TABLET T3 CITRANATAL DHA MISC T3 CITRANATAL HARMONY CAPSULE T3 CITRANATAL RX TABLET T3 claravis capsule T1 CLARINEX TABLET T3 BPCLARINEX-D 12 HOUR TAB T3 clarithromycin er 24 hr tab T1 clarithromycin suspension T1 clarithromycin tablet T1 CLASSIC PRENATAL TABLET T2 CLEMASTINE FUMARATE SYRUP T2 clemastine fumarate tablet T1 CLENPIQ SOLUTION T2 CLEOCIN CAPSULE T3 BPCLEOCIN CREAM T3 BPCLEOCIN PALMITATE SOLUTION T3 BPCLEOCIN SUPPOSITORY T3

CLEOCIN-T LOTION T3 BPCLEVER CHOICE COMFORT EZ MISC T2 CLICKFINE MISC T3 clidinium w/chlordiazepoxide capsule

T1

CLIMARA PATCH T3 QLCLINDACIN ETZ KIT T3 CLINDACIN PAC KIT T3 clindamycin capsule T1 clindamycin palmitate solution T1 clindamycin pediatric solution T1 clindamycin phosphate cream T1 clindamycin phosphate foam T1 clindamycin phosphate gel T1 clindamycin phosphate lotion T1 clindamycin phosphate solution T1 clindamycin phos-tretinoin gel T1 clindamycin-benzoyl peroxide gel T1 CLINDESSE CREAM T3 clobazam suspension T1 clobazam tablet T1 clobetasol cream T1 clobetasol ointment T1 clobetasol solution T1 clonazepam odt tablet T1 clonazepam tablet T1 clonidine patch T1 clonidine tablet T1 clopidogrel tablet T1 clorazepate dipotassium tablet T1 clotrimazole lozenge T1 clotrimazole/betamethasone cream T1 clotrimazole/betamethasone lotion T1 CLOVIQUE CAPSULE T4 PA, SPclozapine odt tablet T1 clozapine tablet T1 CLOZARIL TABLET T3 BPC-NATE DHA CAPSULE T2 COAL TAR SOLUTION T2 COARTEM TABLET T2 COCAINE SOLUTION T3


codeine sulfate tablet T1 BPcodeine/guaifenesin solution T1 COLAZAL CAPSULE T3 BPcolchicine tablet T1 COLCRYS TABLET T3 BPcolesevelam packet T1 colesevelam tablet T1 COLESTID FLAVORED GRANULES T3 COLESTID FLAVORED PACKET T3 COLESTID GRANULES T3 BPCOLESTID PACKET T3 BPCOLESTID TABLET T3 BPcolestipol granules T1 colestipol packet T1 colestipol tablet T1 COMBIGAN SOLUTION T2 COMBIPATCH PATCH T2 COMBIVENT RESPIMAT AEROSOL T2 QLCOMBIVIR TABLET T3 BPCOMETRIQ KIT T4 PA, SPCOMFORT EZ MISC T3 COMFORT EZ/31G X 5MM MISC T3 COMFORT EZ/31G X 6MM MISC T3 COMPLETE NATAL DHA MISC T2 COMPLETENATE CHEW TAB T2 compro suppository T1 COMTAN TABLET T3 BPCONCEPT DHA CAPSULE T3 CONCEPT OB CAPSULE T3 CONDYLOX GEL T3 constulose solution T1 COPAXONE INJECTION T4 BP, PA, SPCOPIKTRA CAPSULE T4 PA, SPCORDRAN CREAM T3 COREG CR 24 HOUR CAP T3 BPCORGARD TABLET T3 BPCORLANOR SOLUTION T2 QLCORLANOR TABLET T2 QLCORTEF TABLET T3 BPCORTENEMA ENEMA T3 BP

CORTISPORIN-TC SUSPENSION T3 corvita 150 tablet T1 CORVITE 150 TABLET T3 CORVITE FE TABLET T3 COSOPT PF SOLUTION T3 BPCOTELLIC TABLET T4 PA, SPcovaryx hs tablet T1 covaryx tablet T1 CREON CAPSULE T2 CRESEMBA CAPSULE T2 PACRIXIVAN CAPSULE T2 cromolyn sodium T1 cromolyn sodium nebulized T1 cromolyn sodium solution T1 crotan lotion T1 cryselle-28 tablet T1 curity solution T1 CUROSURF SUSPENSION T3 CUVPOSA SOLUTION T3 CVS KETONE CARE STRIP T2 QLCVS LANCING DEVICE MISC T2 cvs senna tablet T1 cyanocobalamin solution T1 cyclafem 1/35 tablet T1 cyclafem 7/7/7 tablet T1 cyclobenzaprine tablet T1 CYCLOGYL SOLUTION T3 BPCYCLOMYDRIL SOLUTION T3 cyclopentolate solution T1 CYCLOPENTOLATE-TROPICAMIDE-PE SOLUTION

T3

cyclophosphamide capsule T1 BPCYCLOPHOSPHAMIDE TABLET T3 cycloserine capsule T1 cyclosporine capsule T1 cyclosporine modified capsule T1 cyclosporine modified solution T1 cyproheptadine syrup T1 cyproheptadine tablet T1 cyred eq tablet T1 cyred tablet T1

CYSTADANE POWDER T4 PA, SPCYSTAGON CAPSULE T4 PA, SPCYSTARAN SOLUTION T4 PA, SPCYTOTEC TABLET T3 BP

DD.H.E. 45 SOLUTION T3 BP, QL

DALFAMPRIDINE ER 12 HR TAB T4 PA, SPDALIRESP TABLET T2 danazol capsule T1 DANTRIUM CAPSULE T3 BPdantrolene sodium capsule T1 dapsone gel T1 dapsone tablet T1 DAPTACEL SUSPENSION T2 DARAPRIM TABLET T4 BP, PA, SPdarifenacin 24 hr tab T1 dasetta 1/35 tablet T1 dasetta 7/7/7 tablet T1 DAURISMO TABLET T4 PA, SPDAYPRO TABLET T3 BPdaysee tablet T1 DAYTRANA PATCH T2 QLDAYVIGO TABLET T3 QLDDAVP SOLUTION T3 BPDDAVP TABLET T3 BPdeblitane tablet T1 decadron tablet T1 DEFERASIROX PACKET T4 PA, SPDEFERASIROX TABLET T4 PA, SPDEFERIPRONE TABLET T4 PA, SPdemeclocycline tablet T1 DEMSER CAPSULE T4 BP, PA, SPDENAVIR CREAM T3 PADEPAKOTE ER 24 HR TAB T3 BPDEPAKOTE SPRINKLES CAPSULE T3 BPDEPAKOTE TABLET T3 BPDEPEN TITRATABS TABLET T4 BP, PA, SPDEPO-PROVERA INJECTION T3 BPDEPO-PROVERA SUSPENSION T3 BPDEPO-SUBQ PROVERA 104 INJECTION

T3

DEPO-TESTOSTERONE SOLUTION T3 BP


DERMA-SMOOTHE/FS BODY OIL T3 BPDERMA-SMOOTHE/FS SCALP OIL T3 BPDERMOTIC OIL T3 BPDESCOVY TABLET T2 QLdesipramine tablet T1 desloratadine odt tablet T1 desloratadine tablet T1 desmopressin solution T1 desmopressin tablet T1 desogestrel-ethinyl estradiol tablet T1 desogestr-eth estrad eth estra tablet T1 desonide cream T1 desonide ointment T1 DESOWEN CREAM T3 BPdesoximetasone cream T1 desoximetasone ointment T1 DESOXYN TABLET T3 BPdesvenlafaxine er 24 hr tab T1 dexamethasone elixir T1 DEXAMETHASONE INTENSOL T2 dexamethasone sodium phosphate solution

T1

dexamethasone solution T1 dexamethasone tablet T1 DEXEDRINE 24 HOUR CAP T3 BPDEXERYL CREAM T3 dexmethylphenidate er 24 hour cap T1 QLdexmethylphenidate tablet T1 DEXONTO 0.4% SOLUTION T3 DEXTENZA T3 PAdextroamphetamine sulfate er 24 hour cap

T1

dextroamphetamine sulfate solution T1 dextroamphetamine sulfate tablet T1 dextroamphetamine-amphet er 24 hour cap

T1 QL

dextroamphetamine-amphetamine tablet

T1

DIACOMIT CAPSULE T4 PA, SPDIACOMIT PACKET T4 PA, SPDIASTAT ACUDIAL GEL T3 DIASTAT PEDIATRIC GEL T3 DIASTIX STRIP T2 QLdiazepam T1

diazepam intensol T1 DIAZEPAM RECTAL T2 diazepam solution T1 diazepam tablet T1 diazoxide suspension T1 DIBENZYLINE CAPSULE T4 BP, PA, SPdiclofenac potassium tablet T1 diclofenac sodium dr tablet T1 diclofenac sodium er 24 hr tab T1 diclofenac sodium gel T1 PAdiclofenac sodium solution T1 diclofenac sodium-misoprostol tablet

T1

DICLOFONO GEL T3 dicloxacillin sodium capsule T1 dicyclomine capsule T1 dicyclomine solution T1 dicyclomine tablet T1 DIFFERIN CREAM T3 BPDIFFERIN GEL T3 BPDIFFERIN LOTION T3 DIFICID SUSPENSION T3 QLDIFICID TABLET T3 QLDIFLUCAN SUSPENSION T3 BPDIFLUCAN TABLET T3 BPdiflunisal tablet T1 digitek tablet T1 digox tablet T1 digoxin solution T1 digoxin tablet T1 dihydroergotamine mesylate solution

T1 QL

DILANTIN CAPSULE T2 BPDILANTIN INFATABS CHEW TAB T3 BPDILANTIN-125 SUSPENSION T3 BPDILAUDID LIQUID T3 BPDILAUDID TABLET T3 BPdiltiazem 24hr er (cd) 24 hour cap T1 diltiazem 24hr er (xr) 24 hour cap T1 diltiazem cd 24 hour cap T1 diltiazem er 24 hour cap T1 diltiazem er 24 hr tab T1

diltiazem er capsule T1 diltiazem tablet T1 dilt-xr 24 hour cap T1 DIMETHYL FUMARATE CAPSULE (DELAYED RELEASE)

T4 PA, SP

DIMETHYL FUMARATE MISC T4 PA, SPDIOCHLOY SOLUTION T3 diphenhydramine solution T1 PAdiphenoxylate w/atropine tablet T1 DIPHENOXYLATE/ATROPINE LIQUID T2 diphenoxylate/atropine tablet T1 DIPHTHERIA-TETANUS TOXOIDS-PED SUSPENSION

T2

DIPROLENE OINTMENT T3 BPdipyridamole tablet T1 disopyramide phosphate capsule T1 disulfiram tablet T1 DITROPAN XL 24 HR TAB T3 BPDIURIL SUSPENSION T3 divalproex sodium capsule T1 divalproex sodium dr tablet T1 divalproex sodium er 24 hr tab T1 dofetilide capsule T1 dolishale tablet T1 donepezil tablet T1 DOPTELET TABLET T4 PA, SPDORYX TABLET T3 BPdorzolamide solution T1 dorzolamide-timolol solution T1 dotti patch T1 QLDOVATO TABLET T2 QLDOVONEX CREAM T3 BPdoxazosin mesylate tablet T1 doxazosin tablet T1 doxepin T1 doxepin capsule T1 DOXEPIN CREAM T2 QLdoxepin tablet T1 doxercalciferol capsule T1 doxycycline hyclate capsule T1 doxycycline hyclate dr tablet T1 doxycycline hyclate tablet T1


doxycycline monohydrate capsule T1 doxycycline monohydrate tablet T1 doxycycline suspension T1 dronabinol capsule T1 QLDROPLET GENTEEL LANCING DEVICE MISC

T2

DROPLET INSULIN SYRINGE MISC T3 DROPLET LANCING DEVICE MISC T2 drospirenone-ethinyl estradiol tablet T1 DROXIA CAPSULE T2 DROXIDOPA CAPSULE T4 PA, SPDRYSOL SOLUTION T3 DUAVEE TABLET T2 DUET DHA 400 MISC T3 DUET DHA BALANCED MISC T3 DUETACT TABLET T3 BPDULERA AEROSOL T2 QLduloxetine capsule T1 DUOPA SUSPENSION T3 DUPIXENT INJECTION T4 PA, SPDUREZOL EMULSION T3 dutasteride capsule T1 dutasteride-tamsulosin capsule T1 DYMISTA SUSPENSION T3 BP, QLDYRENIUM CAPSULE T3 BP

EE.E.S. 400 TABLET T2

E.E.S. GRANULES SUSPENSION T3 BPEASY COMFORT INSULIN SYRINGE MISC

T3

EASY COMFORT MISC T2 EASY GLIDE INSULIN SYRINGE MISC T3 EASY MINI EJECT LANCING DEVICE MISC

T2

EASY MINI LANCING DEVICE MISC T2 EASY TOUCH 32GX5MM MISC T3 EASY TOUCH 32GX6MM MISC T3 EASY TOUCH FLIPLOCK INSULIN MISC

T3

EASY TOUCH INSULIN SAFETY MISC T3 EASY TOUCH LANCING DEVICE MISCT2 EASY TOUCH MISC T2 EASY TOUCH SHEATHLOCK INSULIN MISC

T3

EC-NAPROSYN TABLET T3 BPec-naproxen tablet T1

econazole nitrate cream T1 EDARBI TABLET T2 EDECRIN TABLET T3 BPed-spaz tablet T1 EDURANT TABLET T2 eemt hs tablet T1 eemt tablet T1 efavirenz capsule T1 efavirenz tablet T1 efavirenz-emtric-tenofov disop tablet

T1 QL

efavirenz-lamivu-tenofov disop tablet

T1 QL

EFFER-K TABLET (EFF) T3 EFFIENT TABLET T3 BPEFUDEX CREAM T3 BPeletriptan tablet T1 QLelinest tablet T1 ELIQUIS STARTER PACK TABLET T2 ELIQUIS TABLET T2 ELITE-OB TABLET T2 ELIXOPHYLLIN ELIXIR T3 ELLA TABLET T3 ELMIRON CAPSULE T2 eluryng T1 QLEMBRACE LANCING DEVICE MISC T2 EMBRACE MISC T2 EMCYT CAPSULE T4 PA, SPEMGALITY INJECTION T2 PAemoquette tablet T1 EMSAM PATCH T3 QLemtricitabine capsule T1 emtricitabine-tenofovir disop tablet T1 QLEMTRIVA CAPSULE T3 BPEMTRIVA SOLUTION T2 EMVERM CHEW TAB T2 PAenalapril maleate tablet T1 enalapril maleate/hctz tablet T1 ENBRACE HR CAPSULE T3 ENBREL INJECTION T4 PA, SPENBREL MINI INJECTION T4 PA, SPENBREL SOLUTION T4 PA, SP

ENBREL SURECLICK INJECTION T4 PA, SPENDARI PACKET T4 PA, SPendocet tablet T1 ENGERIX-B SUSPENSION T2 enoxaparin sodium solution T1 enpresse-28 tablet T1 enskyce tablet T1 ENSPRYNG INJECTION T4 PA, SPentacapone tablet T1 ENTECAVIR TABLET T4 PA, SPENTEREG CAPSULE T4 BP, PA, SPENTOCORT EC CAPSULE T3 BPENTRESTO TABLET T2 QLenulose solution T1 EPCLUSA TABLET T4 PA, SPEPICYN SOLUTION T3 EPIDIOLEX SOLUTION T4 PA, SPEPIFOAM FOAM T3 epinastine solution T1 epinephrine injection T1 QLepinephrine solution T1 QLEPIPEN 2-PAK INJECTION T2 BP, QLEPIPEN-JR 2-PAK INJECTION T2 BP, QLepitol tablet T1 EPIVIR HBV SOLUTION T4 PA, SPEPIVIR HBV TABLET T4 BP, PA, SPEPIVIR SOLUTION T3 BPEPIVIR TABLET T3 BPeplerenone tablet T1 EPZICOM TABLET T3 BPergoloid mesylates tablet T1 ERGOMAR SL T3 ergotamine-caffeine tablet T1 ERIVEDGE CAPSULE T4 PA, SPERLEADA TABLET T4 PA, SPERLOTINIB TABLET T4 PA, SPerrin tablet T1 ERTACZO CREAM T3 ery pads T1 ERYGEL GEL T2 BP


ERYPED 200 SUSPENSION T3 BPERYPED 400 SUSPENSION T3 BPery-tab tablet T1 ERYTHROCIN STEARATE TABLET T2 erythromycin base tablet T1 erythromycin capsule T1 erythromycin dr tablet T1 erythromycin ethylsuccinate suspension

T1

ERYTHROMYCIN ETHYLSUCCINATE TABLET

T2

erythromycin gel T1 erythromycin ointment T1 erythromycin solution T1 erythromycin tablet T1 erythromycin-benzoyl peroxide gel T1 ESBRIET CAPSULE T4 PA, SPESBRIET TABLET T4 PA, SPescitalopram oxalate solution T1 escitalopram oxalate tablet T1 ESGIC TABLET T3 BPesomeprazole magnesium capsule (delayed release)

T1

esomeprazole magnesium packet T1 ESPUMIL FOAM T2 estarylla tablet T1 estazolam tablet T1 ESTRACE TABLET T3 BPestradiol cream T1 estradiol patch T1 QLestradiol tablet T1 estradiol-norethindrone acetat tabletT1 ESTRING T2 QLestrogen & methyltestosterone tablet

T1

eszopiclone tablet T1 QLethacrynic acid tablet T1 ethambutol tablet T1 ethosuximide capsule T1 ethosuximide solution T1 ETHOXIA CREAM T3 ETHYL CHLORIDE AEROSOL T2 ETHYL CHLORIDE/MIST AEROSOL T2 ethynodiol-ethinyl estradiol tablet T1

etodolac capsule T1 etodolac er 24 hr tab T1 etodolac tablet T1 etonogestrelethinyl estradiol T1 QLETOPOSIDE CAPSULE T4 PA, SPetravirine tablet T1 EUCRISA OINTMENT T3 euthyrox tablet T1 everolimus tablet T1 PA, SPEVISTA TABLET T3 BPEVOCLIN FOAM T3 BPEVOTAZ TABLET T3 EVOXAC CAPSULE T3 BPEVRYSDI SOLUTION T4 PA, SPEXELDERM CREAM T3 EXELDERM SOLUTION T3 EXELON PATCH T3 BPexemestane tablet T1 EXSERVAN FILM T4 PA, SPEYSUVIS SUSPENSION T3 QLezetimibe tablet T1 QLezetimibe/simvastatin tablet T1 QLEZ-LETS MISC T2

Ffabb tablet T1

falmina tablet T1 famciclovir tablet T1 famotidine suspension T1 famotidine tablet T1 FANAPT TABLET T3 QLFANAPT TITRATION PACK TABLET T3 QLFARESTON TABLET T3 BPFARXIGA TABLET T2 QLFARYDAK CAPSULE T4 PA, SPFASENRA PEN INJECTION T4 PA, SPfayosim tablet T1 febuxostat tablet T1 felbamate suspension T1 felbamate tablet T1 FELBATOL SUSPENSION T3 BPFELBATOL TABLET T3 BP

FELDENE CAPSULE T3 BPfelodipine er 24 hr tab T1 FEMARA TABLET T3 BPFEMHRT TABLET T3 BPfemynor tablet T1 fenofibrate capsule T1 fenofibrate micronized capsule T1 fenofibrate tablet T1 fenofibric acid dr capsule (delayed release)

T1

FENOFIBRIC ACID TABLET T2 fenoprofen calcium tablet T1 fentanyl lollipop T1 PA, QLfentanyl patch T1 QLferocon capsule T1 FERRAPLUS 90 TABLET T2 FERRIPROX SOLUTION T4 PA, SPFERRIPROX TWICE-A-DAY TABLET T4 PA, SPferrocite plus tablet T1 FETZIMA 24 HOUR CAP T2 QLFETZIMA TITRATION PACK CAPSULE T2 QLFIBRICOR TABLET T3 FIFTY50 SUPERIOR COMFORT MISC T3 FINACEA FOAM T2 FINACEA GEL T3 BPfinasteride tablet T1 FINE 30 MISC T2 FIORICET/CODEINE CAPSULE T3 FIRST-LANSOPRAZOLE SUSPENSION T3 FIRST-MOUTHWASH BLM SUSPENSION

T3

FIRST-OMEPRAZOLE SUSPENSION T3 flac oil T1 FLAGYL CAPSULE T3 BPFLAREX SUSPENSION T3 flavoxate tablet T1 flecainide tablet T1 FLECTOR PATCH T2 FLOMAX CAPSULE T3 BPFLORIVA CHEW TAB T3 FLORIVA LIQUID T3 FLORIVA PLUS SOLUTION T3


FLOVENT DISKUS AEROSOL T2 QLFLOVENT HFA AEROSOL T2 QLFLUAD QUAD 2021-2022 INJECTION T2 QLFLUARIX QUAD 2021-2022 INJECTION

T2 QL

FLUBLOK QUAD 2021-2022 INJECTION

T2 QL

FLUCELVAX QUAD 2021-2022 INJECTION

T2 QL

FLUCELVAX QUAD 2021-2022 SUSPENSION

T2 QL

fluconazole suspension T1 fluconazole tablet T1 flucytosine capsule T1 fludrocortisone tablet T1 FLULAVAL QUAD 2021-2022 INJECTION

T2 QL

FLUMIST QUADRIVALENT SUSPENSION

T3 QL

flunisolide solution T1 QLfluocinolone acetonide cream T1 fluocinolone acetonide oil T1 fluocinolone acetonide oil T1 fluocinolone acetonide ointment T1 fluocinolone acetonide solution T1 fluocinonide cream T1 QLfluocinonide gel T1 fluocinonide ointment T1 fluocinonide solution T1 fluocinonide-e cream T1 FLUORESCEIN-BENOXINATE SOLUTION

T3

fluoride chew tab T1 fluorometholone suspension T1 FLUOROPLEX CREAM T3 fluorouracil cream T1 fluorouracil solution T1 fluoxetine capsule T1 fluoxetine solution T1 fluoxetine tablet T1 FLUPHENAZINE T2 FLUPHENAZINE ELIXIR T2 fluphenazine tablet T1 flurazepam capsule T1 flurbiprofen sodium solution T1 flurbiprofen tablet T1 flutamide capsule T1

fluticasone cream T1 fluticasone ointment T1 fluticasone-salmeterol aerosol T1 QLfluvastatin capsule T1 QLfluvoxamine maleate tablet T1 FLUZONE HIGH-DOSE QUAD 2021-22 INJECTION

T2 QL

FLUZONE QUAD 2021-2022 INJECTION

T2 QL

FLUZONE QUAD 2021-2022 SUSPENSION

T2 QL

FML LIQUIFILM SUSPENSION T3 folbee tablet T1 folic acid tablet T1 FOLIVANE-F CAPSULE T2 FOLIVANE-OB CAPSULE T2 FOLIVANE-PLUS CAPSULE T2 folplex 2.2 tablet T1 fondaparinux sodium solution T1 FOOD COLOR BLUE LIQUID T2 FORA GTEL KETONE TEST STRIP T3 QLFORA GTEL MULTIFUNCTN MONITOR

T3 QL

FORA LANCING DEVICE MISC T2 formaldehyde solution T1 formoterol fumarate nebulized T1 FORTEO INJECTION T4 PA, SPFOSAMAX TABLET T3 BP, QLfosamprenavir calcium tablet T1 fosfomycin tromethamine packet T1 fosinopril sodium tablet T1 fosinopril-hydrochlorothiazide tablet T1 FRAGMIN SOLUTION T2 FREESTYLE FREEDOM KIT T2 QLFREESTYLE FREEDOM LITE KIT T2 QLFREESTYLE INSULINX BLOOD KIT T2 QLFREESTYLE INSULINX BLOOD STRIP T2 QLFREESTYLE LIBRE 2 READER T2 PAFREESTYLE LIBRE 2 SENSOR MISC T2 PAFREESTYLE LIBRE READER T2 PAFREESTYLE LIBRE SENSOR MISC T2 PAFREESTYLE LITE METER T2 QLFREESTYLE LITE STRIPS T2 QLFREESTYLE LITE TEST STRIPS T2 QL

FREESTYLE PRECISION MISC T3 FREESTYLE TEST STRIPS T2 QLFREESTYLE UNISTIK 2 MISC T2 FROVA TABLET T3 BP, QLfrovatriptan tablet T1 QLFULPHILA INJECTION T4 PA, SPfurosemide solution T1 furosemide tablet T1 FUSION PLUS CAPSULE T3 FUZEON SOLUTION T4 PA, SPfyavolv tablet T1 FYCOMPA SUSPENSION T2 FYCOMPA TABLET T2

Ggabapentin capsule T1

gabapentin solution T1 gabapentin tablet T1 GABITRIL TABLET T3 BPGALAFOLD CAPSULE T4 PA, SPgalantamine 24 hour cap T1 GALANTAMINE SOLUTION T2 galantamine tablet T1 GALZIN CAPSULE T3 GARDASIL 9 INJECTION T2 GARDASIL 9 SUSPENSION T2 GASTROCROM T3 BPgatifloxacin solution T1 GATTEX KIT T4 PA, SPgavilyte-c solution T1 gavilyte-g solution T1 gavilyte-n/flavor pack solution T1 GAVRETO CAPSULE T4 PA, SPGELFILM OP FILM T3 GELNIQUE GEL T2 gemfibrozil tablet T1 GEMTESA TABLET T3 PAgenerlac solution T1 gengraf capsule T1 gengraf solution T1 GENOTROPIN MINIQUICK SOLUTION

T4 PA, SP

GENOTROPIN SOLUTION T4 PA, SP


gentak ointment T1 gentamicin sulfate cream T1 gentamicin sulfate ointment T1 gentamicin sulfate solution T1 GENTEEL VACUUM LANCING DEVICE KIT

T3

GENTEEL VACUUM LANCING DEVICE MISC

T3

GENVOYA TABLET T2 QLGEODON CAPSULE T3 BPgeri-kot tablet T1 GILENYA CAPSULE T4 PA, SPGILOTRIF TABLET T4 PA, SPGLATIRAMER INJECTION T4 PA, SPGLATOPA INJECTION T4 PA, SPGLEOSTINE CAPSULE T4 PA, SPglimepiride tablet T1 glipizide er 24 hr tab T1 glipizide tablet T1 glipizide xl 24 hr tab T1 glipizide-metformin tablet T1 GLOBAL LANCING DEVICE MISC T2 GLOPERBA SOLUTION T3 PAGLUCAGEN DIAGNOSTIC SOLUTION T2 GLUCAGEN HYPOKIT SOLUTION T2 glucagon emergency kit T1 BPGLUCOCOM AUTOLINK MISC T3 QLGLUCOTROL XL 24 HR TAB T3 BPGLUTARALDEHYDE SOLUTION T2 glyburide micronized tablet T1 glyburide tablet T1 glyburide-metformin tablet T1 glycine solution T1 glycopyrrolate tablet T1 glydo injection T1 GLYNASE TABLET T3 BPGLYXAMBI TABLET T2 QLGOJJI BLOOD KETONE TEST STRIP T3 QLGOJJI LANCING DEVICE MISC T2 GOLYTELY SOLUTION T3 BPGONITRO PACKET T3 GOPRELTO SOLUTION T3

GORDOFILM SOLUTION T3 granisetron tablet T1 QLgriseofulvin microsize suspension T1 griseofulvin microsize tablet T1 griseofulvin ultramicrosize tablet T1 guaiatussin ac syrup T1 guaifenesin/codeine solution T1 guanfacine 24 hr tab T1 QLguanfacine er 24 hr tab T1 QLguanfacine tablet T1 GVOKE HYPOPEN 1-PACK INJECTION

T2

GVOKE HYPOPEN 2-PACK INJECTION

T2

GVOKE PFS INJECTION T2 GYNAZOLE-1 CREAM T3

HHAEGARDA SOLUTION T4 PA, SP

hailey 1.5/30 tablet T1 hailey 24 fe tablet T1 hailey fe 1.5/30 tablet T1 hailey fe 1/20 tablet T1 HALCION TABLET T3 BPHALOG SOLUTION T3 haloperidol T1 haloperidol tablet T1 HALUCORT GEL T3 HARVONI PACKET T4 PA, SPHARVONI TABLET T4 PA, SPHAVRIX SUSPENSION T2 hc pramoxine cream T1 HEALTHWISE INSULIN SYRINGE MISC

T3

HEALTHY ACCENTS AUTOLET MISC T2 HEALTHY ACCENTS UNIFINE PENTIP MISC

T3

heather tablet T1 H-E-B IN CONTROL UNIFINE MISC T3 H-E-B INCONTROL ADVANCED MISCT2 HEMANGEOL SOLUTION T4 PA, SPhematinic plus tablet T1 hematinic/folic acid tablet T1 HEMATRON-AF TABLET T3 HEMOCYTE PLUS CAPSULE T3 hemocyte-f tablet T1

HEPARIN SODIUM INJECTION T3 heparin sodium solution T1 HEPLISAV-B INJECTION T3 HEPSERA TABLET T4 BP, PA, SPHETLIOZ CAPSULE T4 PA, SPHETLIOZ LQ SUSPENSION T4 PA, SPHIBERIX SOLUTION T2 HIPREX TABLET T3 BPHUMALOG INJECTION T2 QLHUMALOG JUNIOR KWIKPEN INJECTION

T2 QL

HUMALOG KWIKPEN INJECTION T2 QLHUMALOG MIX 50/50 SUSPENSION T2 QLHUMALOG MIX 50-50 SUSPENSION T2 QLHUMALOG MIX 75/25 SUSPENSION T2 QLHUMALOG MIX 75-25 SUSPENSION T2 QLHUMALOG SOLUTION T2 QLHUMATIN CAPSULE T3 BPHUMIRA INJECTION T4 PA, SPHUMIRA PEDIATRIC INJECTION T4 PA, SPHUMIRA PEN INJECTION T4 PA, SPHUMIRA PEN-PS/UV STARTER INJECTION

T4 PA, SP

HUMULIN 70/30 KWIKPEN SUSPENSION

T2 QL

HUMULIN 70/30 SUSPENSION T2 QLHUMULIN N KWIKPEN SUSPENSION T2 QLHUMULIN N SUSPENSION T2 QLHUMULIN R SOLUTION T2 QLHUMULIN R U-500 KWIKPEN INJECTION

T2 QL

HYCAMTIN CAPSULE T4 PA, SPHYCLODEX SOLUTION T3 hycodan syrup T1 BPhydralazine tablet T1 HYDREA CAPSULE T3 BPHYDRO 40 FOAM T3 hydrochlorothiazide capsule T1 hydrochlorothiazide tablet T1 hydrocodone bitartrate capsule T1 QLhydrocodone w/acetaminophen solution

T1

hydrocodone w/acetaminophen tablet

T1

hydrocodone/homatropine syrup T1 hydrocodone/homatropine tablet T1


hydrocodone/ibuprofen tablet T1 hydrocodone-chlorpheniramine suspension

T1 QL

hydrocortisone butyrate cream T1 hydrocortisone cream T1 hydrocortisone enema T1 hydrocortisone lotion T1 hydrocortisone ointment T1 hydrocortisone tablet T1 hydrocortisone valerate cream T1 HYDROGEN PEROXIDE SOLUTION T2 hydromet syrup T1 hydromorphone er 24 hr tab T1 PA, QLhydromorphone liquid T1 hydromorphone tablet T1 hydroxychloroquine sulfate tablet T1 hydroxyurea capsule T1 hydroxyzine pamoate capsule T1 hydroxyzine syrup T1 hydroxyzine tablet T1 HYLAGUARD CREAM T3 HYLATOPIC PLUS CREAM T3 HYLATOPIC PLUS LOTION T3 hyoscyamine sulfate elixir T1 hyoscyamine sulfate er 12 hr tab T1 hyoscyamine sulfate odt tablet T1 hyoscyamine sulfate sl T1 hyoscyamine sulfate solution T1 hyoscyamine sulfate sr 12 hr tab T1 hyoscyamine sulfate tablet T1 HYPERSAL NEBULIZED T3 HYPOLANCE KIT T2

Iibandronate sodium tablet T1 QL

IBRANCE CAPSULE T4 PA, SPIBRANCE TABLET T4 PA, SPibu tablet T1 ibuprofen tablet T1 ICAR-C PLUS TABLET T3 ICATIBANT SOLUTION T4 PA, SPiclevia tablet T1 ICLUSIG TABLET T4 PA, SP

icosapent ethyl capsule T1 QLIDHIFA TABLET T4 PA, SPiferex 150 forte capsule T1 ILEVRO SUSPENSION T3 IMATINIB MESYLATE TABLET T4 PA, SPIMBRUVICA CAPSULE T4 PA, SPIMBRUVICA TABLET T4 PA, SPimipramine pamoate capsule T1 imipramine tablet T1 imiquimod cream T1 IMPAVIDO CAPSULE T2 PAIMURAN TABLET T3 BPIMVEXXY MAINTENANCE PACK T3 IMVEXXY STARTER PACK T3 INBRIJA CAPSULE T4 PA, SPincassia tablet T1 INCRELEX SOLUTION T4 PA, SPINCRUSE ELLIPTA AEROSOL T2 QLindapamide tablet T1 INDOCIN SUSPENSION T3 indomethacin capsule T1 indomethacin er capsule T1 INFANRIX SUSPENSION T2 INFASURF SUSPENSION T3 INGREZZA CAPSULE T4 PA, SPINLYTA TABLET T4 PA, SPINSPRA TABLET T3 BPINSULIN- SYRINGE MISC T3 INSUPEN 29G X 12MM MISC T3 INSUPEN 31G X 5MM MISC T3 INSUPEN 31G X 8MM MISC T3 INSUPEN 32G X 4MM MISC T3 INSUPEN 33GX4MM MISC T3 INSUPEN MISC T3 INSUPEN ULTRAFIN 30GX8MM MISCT3 INSUPEN ULTRAFIN 31GX6MM MISCT3 INSUPEN ULTRAFIN 31GX8MM MISCT3 INTEGRA F CAPSULE T3 INTEGRA PLUS CAPSULE T3 INTELENCE TABLET T2 BP

INTRAROSA T3 PAINTRON A SOLUTION T4 PA, SPintrovale tablet T1 INVEGA 24 HR TAB T3 BPINVIRASE TABLET T2 INVOKAMET TABLET T2 QLINVOKAMET XR 24 HR TAB T2 QLINVOKANA TABLET T2 QLIODOFLEX PADS T3 IODOSORB GEL T3 IOPIDINE SOLUTION T3 IPOL INACTIVATED IPV INJECTION T2 ipratropium bromide solution T1 QLipratropium-albuterol solution T1 irbesartan tablet T1 irbesartan-hydrochlorothiazide tablet

T1

IRESSA TABLET T4 PA, SPISENTRESS CHEW TAB T2 ISENTRESS HD TABLET T2 ISENTRESS PACKET T2 ISENTRESS TABLET T2 isibloom tablet T1 ISONIAZID SYRUP T2 isoniazid tablet T1 ISOPTO ATROPINE SOLUTION T3 ISOPTO CARPINE SOLUTION T3 BPISORDIL TITRADOSE TABLET T3 BPisosorbide dinitrate tablet T1 isosorbide mononitrate 24 hr tab T1 isosorbide mononitrate tablet T1 isotretinoin capsule T1 isradipine capsule T1 ITHOXIA CREAM T3 itraconazole capsule T1 itraconazole solution T1 ivermectin lotion T1 QLivermectin tablet T1

Jjaimiess tablet T1

JAKAFI TABLET T4 PA, SPjantoven tablet T1


JANUMET TABLET T2 QLJANUMET XR 24 HR TAB T2 QLJANUVIA TABLET T2 QLJARDIANCE TABLET T2 QLjasmiel tablet T1 JATENZO CAPSULE T3 PAJELMYTO SOLUTION T4 PA, SPjencycla tablet T1 jinteli tablet T1 jolessa tablet T1 juleber tablet T1 JULUCA TABLET T2 junel 1.5/30 tablet T1 junel 1/20 tablet T1 junel fe 1.5/30 tablet T1 junel fe 1/20 tablet T1 junel fe 24 tablet T1 JUXTAPID CAPSULE T4 PA, SPJYNARQUE TABLET T4 PA, SP

KKALETRA SOLUTION T3 BP

KALETRA TABLET T2 BPkalliga tablet T1 KALYDECO PACKET T4 PA, SPKALYDECO TABLET T4 PA, SPKARBINAL ER SUSPENSION T3 kariva tablet T1 kelnor 1/35 tablet T1 kelnor 1/50 tablet T1 KERYDIN SOLUTION T3 BP, PAKESIMPTA INJECTION T4 PA, SPketoconazole cream T1 ketoconazole shampoo T1 ketoconazole tablet T1 KETO-DIASTIX STRIP T2 QLKETONE STRIP T2 QLKETONE TEST STRIPS T2 QLKETOPROFEN CAPSULE T2 ketoprofen er 24 hour cap T1 ketorolac tromethamine solution T1 ketorolac tromethamine tablet T1 QL

KETOSTIX STRIP T2 QLKEVEYIS TABLET T4 PA, SPKEVZARA INJECTION T4 PA, SPKINRIX SUSPENSION T3 KITABIS PAK NEBULIZED T4 PA, SPKLARITY-A SOLUTION T3 KLARON LOTION T3 BPKLONOPIN TABLET T3 BPklor-con 10 tablet T1 klor-con 8 tablet T1 klor-con m10 tablet T1 klor-con m15 tablet T1 klor-con m20 tablet T1 klor-con packet T1 KOSELUGO CAPSULE T4 PA, SPKOSHER PRENATAL PLUS IRON TABLET

T3

KRINTAFEL TABLET T3 KRISGEL 100 GEL T2 kristalose packet T1 KROGER LANCING DEVICE MISC T2 K-TAB TABLET T2 kurvelo tablet T1 KUVAN PACKET T4 BP, PA, SPKUVAN TABLET T4 BP, PA, SPKYNMOBI FILM T4 PA, SP

Llabetalol tablet T1

LACRISERT T3 PAlactated ringers solution T1 lactulose packet T1 lactulose solution T1 LAMICTAL XR KIT T3 QLlamivudine solution T1 lamivudine tablet T1 PA, SPlamivudine/zidovudine tablet T1 lamotrigine (blue) kit T1 QLlamotrigine (green) kit T1 QLlamotrigine (orange) kit T1 QLlamotrigine chew tab T1 lamotrigine er 24 hr tab T1 lamotrigine odt tablet T1 PA

lamotrigine tablet T1 LANCET MISC T2 LANCETS 30G MISC T2 LANCETS 30G TWIST TOP MISC T2 LANCETS 30G/TWIST TOP MISC T2 LANCETS MICRO THIN 33G MISC T2 LANCETS MISC T2 LANCETS SUPER THIN 28G MISC T2 LANCETS THIN MISC T2 LANCETS ULTRA THIN 30G MISC T2 LANCETS ULTRA THIN MISC T2 LANCING DEVICE MISC T2 LANOLIN OIL T2 lanoxin tablet T1 BPlansoprazole capsule (delayed release)

T1

lanthanum carbonate chew tab T1 LANTUS SOLOSTAR INJECTION T2 QLLANTUS SOLUTION T2 QLLANZO MISC T2 LAPATINIB DITOSYLATE TABLET T4 PA, SPlarin 1.5/30 tablet T1 larin 1/20 tablet T1 larin 24 fe tablet T1 larin fe 1.5/30 tablet T1 larin fe 1/20 tablet T1 larissia tablet T1 LASIX TABLET T3 BPlatanoprost solution T1 LATUDA TABLET T2 QLLECITHIN ORGANOGEL GEL T2 leena tablet T1 leflunomide tablet T1 LENVIMA 10 MG DAILY DOSE CAPSULE

T4 PA, SP

LENVIMA 12MG DAILY DOSE CAPSULE

T4 PA, SP

LENVIMA 14 MG DAILY DOSE CAPSULE

T4 PA, SP


T4 PA, SP


T4 PA, SP


T4 PA, SP


T4 PA, SP


T4 PA, SP


lessina tablet T1 letrozole tablet T1 leucovorin calcium tablet T1 LEUKERAN TABLET T2 LEUPROLIDE KIT T4 PA, SPlevalbuterol nebulized T1 LEVBID 12 HR TAB T3 LEVEMIR FLEXTOUCH INJECTION T2 QLLEVEMIR SOLUTION T2 QLlevetiracetam er 24 hr tab T1 levetiracetam solution T1 levetiracetam tablet T1 LEVICYN GEL T3 levobunolol solution T1 levocarnitine sf solution T1 levocarnitine solution T1 levocarnitine tablet T1 levofloxacin solution T1 levofloxacin tablet T1 levonest tablet T1 levonorgestrel-eth estradiol tablet T1 levonorg-eth estrad eth estrad tablet T1 levora 0.15/30-28 tablet T1 levo-t tablet T1 levothyroxine sodium tablet T1 levoxyl tablet T1 LEVSIN TABLET T3 LEVSIN/SL SL T3 LEVULAN KERASTICK SOLUTION T4 PA, SPLEXIVA SUSPENSION T2 LEXIVA TABLET T3 BPLICART PATCH T2 lidocaine injection T1 lidocaine jelly gel T1 lidocaine jelly injection T1 lidocaine ointment T1 QLlidocaine patch T1 lidocaine patch 5% T1 lidocaine solution T1 lidocaine viscous solution T1

LIDOCAINE/DEXTROSE SOLUTION T2 lidocaine/prilocaine cream T1 lillow tablet T1 lindane shampoo T1 linezolid suspension T1 linezolid tablet T1 LINZESS CAPSULE T2 QLliothyronine sodium tablet T1 LIPOFEN CAPSULE T2 lisinopril tablet T1 lisinopril-hctz tablet T1 LITE TOUCH LANCING PEN MISC T2 LITE TOUCH MISC T2 lithium carbonate capsule T1 BPlithium carbonate er tablet T1 lithium carbonate tablet T1 LITHOBID TABLET T3 BPLITHOSTAT TABLET T3 LO LOESTRIN FE TABLET T2 LODINE TABLET T3 BPLODOSYN TABLET T3 BPlojaimiess tablet T1 LOKELMA PACKET T2 LOMOTIL TABLET T3 BPLONHALA MAGNAIR REFILL SOLUTION

T3

LONHALA MAGNAIR STARTER SOLUTION

T3

LONSURF TABLET T4 PA, SPLOPID TABLET T3 BPlopinavir/ritonavir solution T1 lopinavir/ritonavir tablet T1 LOPRESSOR TABLET T3 BPLOPROX T3 BPLOPROX CREAM T3 BPLOPROX SUSPENSION T3 BPlorazepam T1 lorazepam intensol T1 lorazepam tablet T1 LORBRENA TABLET T4 PA, SPloryna tablet T1 losartan potassium tablet T1

losartan-hydrochlorothiazide tablet T1 LOTEMAX GEL T2 BPLOTEMAX OINTMENT T2 LOTEMAX SM GEL T2 LOTEMAX SUSPENSION T3 BPLOTENSIN HCT TABLET T3 BPLOTENSIN TABLET T3 BPloteprednol etabonate gel T1 loteprednol etabonate suspension T1 lovastatin tablet T1 QLLOVAZA CAPSULE T3 BP, QLlow-ogestrel tablet T1 loxapine capsule T1 lo-zumandimine tablet T1 LUBIPROSTONE CAPSULE T3 QLLUER-LOK SYRINGE MISC T2 LUMIGAN SOLUTION T2 lutera tablet T1 LUZU CREAM T3 lyleq tablet T1 lyllana patch T1 QLLYNPARZA TABLET T4 PA, SPLYSODREN TABLET T4 PA, SPLYSTEDA TABLET T3 BPLYUMJEV KWIKPEN INJECTION T2 QLLYUMJEV SOLUTION T2 QLlyza tablet T1

MMACROBID CAPSULE T3 BP

MACRODANTIN CAPSULE T3 BPmafenide packet T1 MAGELLAN INSULIN SAFETY SYRNG MISC

T3

MAGELLAN INSULIN SYRINGE MISC T3 MALARONE TABLET T3 BPmalathion lotion T1 QLMARATHON MEDICAL PENTIPS MISC

T3

MARINOL CAPSULE T3 BP, QLmarlissa tablet T1 MARPLAN TABLET T3 MATULANE CAPSULE T4 PA, SPmatzim la 24 hr tab T1


MAVENCLAD TABLET T4 PA, SPMAX BLOOD GLUCOSE METER T3 QLMAX BLOOD GLUCOSE METER KIT T3 QLMAXICOMFORT INSULIN SYRINGE MISC

T3

MAXITROL OINTMENT T3 BPMAXITROL SUSPENSION T3 BPMAXZIDE TABLET T3 BPMAXZIDE-25 TABLET T3 BPMAYZENT STARTER PACK TABLET T4 PA, SPMAYZENT TABLET T4 PA, SPmeclizine tablet T1 MECLOFENAMATE SODIUM CAPSULE

T2

MEDIHOL BASE GEL T2 MEDLANCE PLUS MISC T2 MEDLANCE PLUS SPECIAL BLADE MISC

T2

MEDLANCE PLUS/LITE 25G MISC T2 MEDLANCE/LITE MISC T2 MEDLANCE/UNIVERSAL MISC T2 MEDROL DOSEPAK TABLET T3 BPMEDROL TABLET T3 BPmedroxyprogesterone injection T1 medroxyprogesterone suspension T1 medroxyprogesterone tablet T1 mefenamic acid capsule T1 mefloquine tablet T1 QLmegestrol suspension T1 megestrol tablet T1 MEKINIST TABLET T4 PA, SPMEKTOVI TABLET T4 PA, SPmeloxicam tablet T1 MELPHALAN TABLET T4 PA, SPmemantine er 24 hour cap T1 memantine solution T1 memantine tablet T1 MEMBRANEBLUE SOLUTION T3 MENACTRA INJECTION T2 MENEST TABLET T3 MENOSTAR PATCH T3 QLMENQUADFI INJECTION T3 MENVEO SOLUTION T3

MEPERIDINE SOLUTION T3 MEPERIDINE TABLET T3 meprobamate tablet T1 MEPRON SUSPENSION T3 BPmercaptopurine tablet T1 mesalamine dr capsule (delayed release)

T1

mesalamine dr tablet T1 mesalamine enema T1 mesalamine er 24 hour cap T1 mesalamine kit T1 mesalamine suppository T1 MESNEX TABLET T4 PA, SPmetaxalone tablet T1 metformin er 24 hr tab T1 metformin tablet T1 methadone T1 methadone solution T1 BPmethadone tablet T1 METHADOSE T2 BPMETHADOSE SUGARFREE T2 BPmethadose tablet T1 methamphetamine tablet T1 methazolamide tablet T1 methenamine hippurate tablet T1 methergine tablet T1 methimazole tablet T1 METHITEST TABLET T2 methocarbamol tablet T1 methotrexate sodium solution T1 methotrexate sodium tablet T1 methotrexate solution T1 methotrexate tablet T1 methoxsalen capsule T1 methscopolamine bromide tablet T1 methyldopa tablet T1 methylergonovine maleate tablet T1 METHYLIN SOLUTION T3 BPmethylphenidate cd capsule T1 QLmethylphenidate chew tab T1 methylphenidate er 24 hour cap T1 QL

methylphenidate er 24 hr tab T1 QLmethylphenidate er capsule T1 QLmethylphenidate er tablet T1 QLmethylphenidate la 24 hour cap T1 QLmethylphenidate solution T1 methylphenidate tablet T1 methylprednisolone tablet T1 methyltestosterone capsule T1 metoclopramide solution T1 metoclopramide tablet T1 metolazone tablet T1 metoprolol er 24 hr tab T1 metoprolol tartrate tablet T1 metoprolol-hydrochlorothiazide tablet

T1

METROCREAM CREAM T3 BPMETROGEL GEL T3 BPMETROLOTION LOTION T3 BPmetronidazole capsule T1 metronidazole cream T1 metronidazole gel T1 metronidazole lotion T1 metronidazole tablet T1 metronidazole vaginal gel T1 METYROSINE CAPSULE T4 PA, SPmexiletine capsule T1 MICONAZOLE 3 SUPPOSITORY T2 MICONAZOLE-ZINC OXIDE-PETROLTM OINTMENT

T3

microgestin 1.5/30 tablet T1 microgestin 1/20 tablet T1 microgestin 24 fe tablet T1 microgestin fe 1.5/30 tablet T1 microgestin fe 1/20 tablet T1 MICROLET NEXT MISC T2 midazolam syrup T1 midodrine tablet T1 MIFEPREX TABLET T3 BPmifepristone tablet T1 MIGERGOT SUPPOSITORY T2 miglitol tablet T1 MIGLUSTAT CAPSULE T4 PA, SP


mili tablet T1 mimvey tablet T1 MIMYX CREAM T3 MINI LANCING DEVICE MISC T2 MINIPRESS CAPSULE T3 BPminitran patch T1 minocycline capsule T1 minocycline tablet T1 minoxidil tablet T1 MIRAPEX ER 24 HR TAB T3 BPMIRAPEX TABLET T3 BPmirtazapine odt tablet T1 mirtazapine tablet T1 MIRVASO GEL T2 misoprostol tablet T1 MITIGARE CAPSULE T2 MITOSOL KIT T3 MM LANCING DEVICE MISC T2 M-M-R II SOLUTION T2 M-NATAL PLUS TABLET T2 MOBIC TABLET T3 BPmodafinil tablet T1 QLMODERNA COVID-19 VACCINE SUSPENSION

T2

moexipril tablet T1 MOLINDONE TABLET T2 mometasone furoate cream T1 mometasone furoate ointment T1 mometasone furoate solution T1 mometasone furoate suspension T1 QLmondoxyne nl capsule T1 MONOJECT INSULIN SYRINGE MISC T3 MONOJECT MISC T3 mono-linyah tablet T1 montelukast sodium chew tab T1 montelukast sodium packet T1 montelukast sodium tablet T1 MONUROL PACKET T3 BPmorgidox 1x100mg capsule T1 morgidox 2x100mg capsule T1 MORPHINE SULFATE ER 24 HOUR CAP

T2 QL

morphine sulfate er tablet T1 QLmorphine sulfate solution T1 morphine sulfate tablet T1 BPMOTEGRITY TABLET T3 PAMOVANTIK TABLET T2 QLmoxifloxacin solution T1 moxifloxacin tablet T1 MS CONTIN TABLET T3 BP, QLMULTAQ TABLET T3 MULTIGEN FOLIC TABLET T2 MULTIGEN PLUS TABLET T2 MULTIGEN TABLET T2 MULTI-LANCET DEVICE 2 KIT T2 multivit w/fluoride & iron solution T1 multivitamin with fluoride solution T1 multivitamin/fluoride chew tab T1 mupirocin cream T1 mupirocin ointment T1 MYAMBUTOL TABLET T3 BPMYCAPSSA CAPSULE (DELAYED RELEASE)

T4 PA, SP

MYCOBUTIN CAPSULE T3 BPmycophenolate mofetil capsule T1 mycophenolate mofetil suspension T1 mycophenolate mofetil tablet T1 mycophenolic acid dr tablet T1 MYDRIACYL SOLUTION T3 BPMYFORTIC TABLET T3 BPMYLERAN TABLET T4 PA, SPMYNATAL CAPSULE T2 MYNATAL PLUS TABLET T2 MYNATAL-Z TABLET T2 myorisan capsule T1 MYRBETRIQ 24 HR TAB T2 MYSOLINE TABLET T3 BPMYXREDLIN SOLUTION T3

Nnabumetone tablet T1

nadolol tablet T1 NALFON TABLET T3 naltrexone tablet T1 NAMENDA TITRATION PAK TABLET T3 BP

NAMZARIC 24 HOUR CAP T2 NAMZARIC CAPSULE T2 NAPROSYN SUSPENSION T3 BPnaproxen sodium tablet T1 naproxen suspension T1 naproxen tablet T1 naratriptan tablet T1 QLNARCAN LIQUID T2 NARDIL TABLET T3 BPNATACHEW CHEW TAB T3 NATACYN SUSPENSION T2 NATAZIA TABLET T3 nateglinide tablet T1 NATPARA INJECTION T4 PA, SPNATURE-THROID NT-2.5 TABLET T2 NATURE-THROID TABLET T2 NAYZILAM SOLUTION T2 QLNEBUPENT SOLUTION T4 BP, PA, SPnecon 0.5/35-28 tablet T1 NEEDLES MISC T3 NEEVO DHA CAPSULE T3 nefazodone tablet T1 neo/polymyxin/dexamethasone ointment

T1

neo/polymyxin/dexamethasone suspension

T1

neomycin sulfate tablet T1 neomycin/bacitracin/poly/hc ointment

T1

neomycin/bacitracin/polymyxin ointment

T1

neomycin/polymyxin/gramicidin solution

T1

neomycin/polymyxin/hc solution T1 neomycin/polymyxin/hc suspension T1 neomycin-polymyxin b solution T1 neomycin-polymyxin-dexamethaso ointment

T1

NEONATAL COMPLETE TABLET T3 NEONATAL FE TABLET T3 NEONATAL/DHA MISC T3 neo-polycin hc ointment T1 neo-polycin ointment T1 NEORAL CAPSULE T3 NEORAL SOLUTION T3 NERLYNX TABLET T4 PA, SP


NESTABS DHA MISC T3 NESTABS ONE CAPSULE T3 NESTABS TABLET T3 neuac gel T1 NEUPRO PATCH T3 NEVANAC SUSPENSION T3 PAnevirapine er 24 hr tab T1 nevirapine suspension T1 nevirapine tablet T1 NEXAVAR TABLET T4 PA, SPNEXLETOL TABLET T2 PANEXLIZET TABLET T2 PAniacin er tablet T1 NIACIN TABLET T2 NIACOR TABLET T3 NIASPAN TABLET T3 BPnicardipine capsule T1 NICODERM CQ PATCH T2 QLNICORETTE GUM T2 QLNICORETTE MINI LOZENGE T2 QLNICOTROL INHALER T3 QLNICOTROL NS SOLUTION T3 QLnifedipine capsule T1 nifedipine er 24 hr tab T1 nikki tablet T1 NILANDRON TABLET T4 BP, PA, SPNILUTAMIDE TABLET T4 PA, SPnimodipine capsule T1 NINLARO CAPSULE T4 PA, SPnisoldipine er 24 hr tab T1 nitazoxanide tablet T1 NITRO-BID OINTMENT T2 NITRO-DUR PATCH T3 nitrofurantoin capsule T1 nitrofurantoin mono-macro capsule T1 nitrofurantoin suspension T1 nitroglycerin lingual solution T1 nitroglycerin patch T1 nitroglycerin sl T1 NITROLINGUAL PUMPSPRAY SOLUTION

T3 BP

NITROMIST AEROSOL T3 NITROSTAT SL T3 BPNITYR TABLET T4 PA, SPNIVA-PLUS TABLET T3 NIVESTYM INJECTION T4 PA, SPNIVESTYM SOLUTION T4 PA, SPnizatidine capsule T1 nizatidine solution T1 nora-be tablet T1 NORDITROPIN FLEXPRO INJECTION T4 PA, SPnorethindrone tablet T1 norethindrone-e.estradiol-iron chew tab

T1

norethindrone-e.estradiol-iron tablet T1 norethindrone-ethin estradiol tablet T1 NORGESIC FORTE TABLET T3 BPnorgestimate-ethinyl estradiol tablet T1 norlyda tablet T1 NORPACE CAPSULE T3 BPNORPACE CR CAPSULE T3 NORPRAMIN TABLET T3 BPNORTHERA CAPSULE T4 BP, PA, SPnortrel 0.5/35 (28) tablet T1 nortrel 1/35 tablet T1 nortrel 7/7/7 tablet T1 nortriptyline capsule T1 nortriptyline solution T1 NORVIR PACKET T2 NORVIR SOLUTION T2 NORVIR TABLET T3 BPNOURIANZ TABLET T4 PA, SPNOVA MAX BLOOD GLUCOSE METER KIT

T3 QL

NOVAMAX PLUS STRIP T2 QLNOVOFINE AUTOCOVER MISC T2 NOVOFINE MISC T2 NOVOPEN ECHO T3 NOXAFIL SUSPENSION T2 PA, SPnp thyroid 120 tablet T1 np thyroid 15 tablet T1 np thyroid 30 tablet T1 np thyroid 60 tablet T1

np thyroid 90 tablet T1 NUBEQA TABLET T4 PA, SPNUCALA INJECTION T4 PA, SPNUCYNTA ER 12 HR TAB T2 QLNUCYNTA TABLET T2 NUEDEXTA CAPSULE T2 NUFERA TABLET T3 nulev tablet T1 NULYTELY SOLUTION T3 BPNUMBRINO SOLUTION T3 NUPLAZID CAPSULE T4 PA, SPNUPLAZID TABLET T4 PA, SPNURTEC TABLET T3 PA, QLNUVARING T3 BP, QLNUZYRA TABLET T4 PA, SPnyamyc powder T1 nylia 7/7/7 tablet T1 NYMALIZE SOLUTION T3 nymyo tablet T1 nystatin cream T1 nystatin ointment T1 nystatin powder T1 nystatin suspension T1 nystatin tablet T1 nystatin w/triamcinolone cream T1 nystatin w/triamcinolone ointment T1 nystatin/triamcinolone cream T1 nystatin/triamcinolone ointment T1 nystop powder T1 NYVEPRIA INJECTION T4 PA, SP

OOB COMPLETE ONE CAPSULE T3

OB COMPLETE PETITE CAPSULE T3 OB COMPLETE PREMIER TABLET T3 OB COMPLETE TABLET T3 OB COMPLETE/DHA CAPSULE T3 OBSTETRIX DHA MISC T2 OBSTETRIX EC TABLET T3 OBSTETRIX ONE CAPSULE T3 O-CAL PRENATAL TABLET T3 OCALIVA TABLET T4 PA, SP


ocella tablet T1 OCTREOTIDE SOLUTION T4 PA, SPOCUFLOX SOLUTION T3 BPODEFSEY TABLET T2 QLODOMZO CAPSULE T4 PA, SPOFEV CAPSULE T4 PA, SPofloxacin solution T1 ofloxacin tablet T1 olanzapine odt tablet T1 olanzapine tablet T1 olanzapine/fluoxetine capsule T1 olmesartan medoxomil tablet T1 olmesartan-amlodipine-hctz tablet T1 olmesartan-hydrochlorothiazide tablet

T1

olopatadine solution T1 QLomega-3 acid ethyl esters capsule T1 QLomeprazole capsule (delayed release)

T1

omeprazole dr capsule (delayed release)

T1

ondansetron odt tablet T1 QLondansetron solution T1 ondansetron tablet T1 QLONE TOUCH DELICA MISC T2 ONE TOUCH SURESOFT MISC T2 ONE TOUCH VERIO IQ KIT T2 QLONE TOUCH VERIO STRIP T2 QLONETOUCH DELICA PLUS LANC DEV MISC

T2

ONETOUCH ULTRA 2 KIT T2 QLONETOUCH ULTRA MINI KIT T2 QLONETOUCH ULTRA STRIP T2 QLONETOUCH VERIO FLEX KIT T2 QLONETOUCH VERIO KIT T2 QLONETOUCH VERIO REFLECT KIT T2 QLONEXTON GEL T2 ONFI SUSPENSION T3 BPONFI TABLET T3 BPON-THE-GO MISC T2 OPSUMIT TABLET T4 PA, SPORACEA CAPSULE (DELAYED RELEASE)

T3

oralone dental paste T1 ORAVIG TABLET T3

ORENITRAM TABLET T4 PA, SPORFADIN SUSPENSION T4 PA, SPORGOVYX TABLET T4 PA, SPORIAHNN CAPSULE T2 PAORILISSA TABLET T2 PAORKAMBI PACKET T4 PA, SPORKAMBI TABLET T4 PA, SPORLADEYO CAPSULE T4 PA, SPorphenadrine er 12 hr tab T1 orphenadrine-aspirin-caffeine tablet T1 orphengesic forte tablet T1 orsythia tablet T1 ORTIKOS 24 HOUR CAP T3 oscimin sl T1 oscimin sr 12 hr tab T1 oscimin tablet T1 oseltamivir phosphate capsule T1 QLoseltamivir phosphate suspension T1 OSENI TABLET T3 QLOTEZLA TABLET T4 PA, SPOTIPRIO SUSPENSION T3 PAOVIDE LOTION T3 QLoxandrolone tablet T1 oxaprozin tablet T1 OXAYDO TABLET T3 oxazepam capsule T1 oxcarbazepine suspension T1 oxcarbazepine tablet T1 OXERVATE SOLUTION T4 PA, SPoxiconazole nitrate cream T1 OXISTAT CREAM T3 BPOXISTAT LOTION T3 OXTELLAR XR 24 HR TAB T3 oxybutynin chloride er 24 hr tab T1 oxybutynin chloride syrup T1 oxybutynin chloride tablet T1 oxycodone T1 oxycodone capsule T1 oxycodone solution T1 oxycodone tablet T1

oxycodone/acetaminophen tablet T1 OXYCONTIN 12 HR TAB T2 QLoxymorphone er 12 hr tab T1 QLoxymorphone tablet T1 OZEMPIC INJECTION T2 QL

Ppacerone tablet T1

paliperidone er 24 hr tab T1 PALYNZIQ INJECTION T4 PA, SPPAMELOR CAPSULE T3 BPPANCREAZE CAPSULE T2 PANRETIN GEL T3 pantoprazole sodium dr tablet T1 pantoprazole sodium tablet T1 PAREMYD SOLUTION T3 paricalcitol capsule T1 PARLODEL CAPSULE T3 BPPARLODEL TABLET T3 BPPARNATE TABLET T3 BPparomomycin sulfate capsule T1 paroxetine 24 hr tab T1 QLparoxetine er 24 hr tab T1 QLparoxetine tablet T1 PASER PACKET T3 PATANASE SOLUTION T3 BP, QLPAXIL CR 24 HR TAB T3 BP, QLPAXIL SUSPENSION T3 PAXIL TABLET T3 BPPC UNIFINE PENTIPS 29G X MISC T3 PCCA ACACIA SYRUP BASE T2 PCCA ANHYDROUS BASE OINTMENT

T2

PCCA COBASE #1 OINTMENT T2 PEDIAPRED SOLUTION T3 BPPEDIARIX SUSPENSION T2 PEDVAX HIB SUSPENSION T2 peg 3350-electrolyte solution T1 peg-3350/electrolytes solution T1 peg3350-sod sul-nacl-kcl-asb-c solution

T1

PEGASYS SOLUTION T4 PA, SPpeg-prep kit T1 PEMAZYRE TABLET T4 PA, SP


PENICILLAMINE TABLET T4 PA, SPpenicillin v potassium solution T1 penicillin v potassium tablet T1 PENTACEL SUSPENSION T2 PENTAMIDINE ISETHIONATE SOLUTION

T4 PA, SP

PENTASA CAPSULE T2 pentazocine/naloxone tablet T1 PENTETATE CALCIUM TRISODIUM SOLUTION

T3

PENTETATE ZINC TRISODIUM SOLUTION

T3

PENTIPS 29G X 12MM MISC T3 PENTIPS 29GX12MM MISC T3 PENTIPS 31G X 5MM MISC T3 PENTIPS 31G X 8MM MISC T3 PENTIPS 31GX5MM MISC T3 PENTIPS 31GX6MM MISC T3 PENTIPS 31GX8MM MISC T3 PENTIPS 32G X 4MM MISC T3 PENTIPS 32GX4MM MISC T3 pentoxifylline er tablet T1 PEPCID TABLET T3 BPPERFOROMIST NEBULIZED T2 BPPERIDEX SOLUTION T3 BPperindopril erbumine tablet T1 periogard solution T1 permethrin cream T1 perphenazine tablet T1 PFIZER-BIONTECH COVID-19 SUSPENSION

T2

phenazopyridine tablet T1 phenelzine sulfate tablet T1 phenobarbital elixir T1 phenobarbital tablet T1 PHENOXYBENZAMINE CAPSULE T4 PA, SPphenylephrine solution T1 PHENYTEK CAPSULE T3 BPphenytoin chew tab T1 phenytoin infatabs chew tab T1 phenytoin sodium capsule T1 phenytoin suspension T1 philith tablet T1 PHOSLYRA SOLUTION T2

phosphorous tablet T1 phospho-trin 250 neutral tablet T1 PHOTREXA VISCOUS INJECTION T3 physiolyte solution T1 physiosol irrigation solution T1 pilocarpine solution T1 pilocarpine tablet T1 pimecrolimus cream T1 pimozide tablet T1 pimtrea tablet T1 pindolol tablet T1 pioglitazone tablet T1 pioglitazone-glimepiride tablet T1 pioglitazone-metformin tablet T1 pirmella 1/35 tablet T1 pirmella 7/7/7 tablet T1 piroxicam capsule T1 PLAN B ONE-STEP TABLET T2 PLEGRIDY INJECTION T4 PA, SPPLEGRIDY STARTER PACK INJECTIONT4 PA, SPPLENVU SOLUTION T3 PLO - MEDIFLO KIT T2 PLO MEDIFLO PRE-MIXED T2 PLO TRANSDERMAL CREAM T2 PLO20 FLOWABLE GEL T2 PNEUMOVAX 23 INJECTION T2 PNEUMOVAX 23/1 DOSE INJECTION T2 PNV TABS 29-1 TABLET T2 PNV-DHA CAPSULE T2 PNV-DHA+DOCUSATE CAPSULE T2 PNV-OMEGA CAPSULE T2 PNV-SELECT TABLET T2 podofilox solution T1 polycin ointment T1 POLYETHYLENE GLYCOL 8000 OINTMENT

T2

poly-iron 150 forte capsule T1 polymyxin b sul-trimethoprim solution

T1

POLYTRIM SOLUTION T3 BPPOLY-VI-FLOR CHEW TAB T3 POLY-VI-FLOR SUSPENSION T3

POLY-VI-FLOR/IRON CHEW TAB T3 POLY-VI-FLOR/IRON SUSPENSION T3 POMALYST CAPSULE T4 PA, SPportia-28 tablet T1 posaconazole dr tablet T1 PA, SPposaconazole tablet T1 PA, SPpotassium chloride cr tablet T1 potassium chloride er capsule T1 potassium chloride er tablet T1 potassium chloride packet T1 potassium chloride solution T1 potassium chloride sr tablet T1 potassium er tablet T1 pr benzoyl peroxide wash liquid T1 pramipexole di-hcl tablet T1 pramipexole er 24 hr tab T1 prasugrel tablet T1 pravastatin sodium tablet T1 QLpraziquantel tablet T1 prazosin capsule T1 PRECISION XTRA T2 QLPRECISION XTRA KIT T2 QLPRECISION XTRA STRIP T2 QLPRECOSE TABLET T3 BPPRED FORTE SUSPENSION T3 PRED-G S.O.P. OINTMENT T3 PRED-G SUSPENSION T3 prednicarbate ointment T1 PREDNISOLONE AC-MOXIFLOX-BROMF SUSPENSION

T3

PREDNISOLONE P-F SUSPENSION T3 prednisolone sodium phosphate solution

T1

prednisolone solution T1 prednisolone suspension T1 PREDNISOLONE-GATIFLOXACIN SUSPENSION

T3

PREDNISOLONE-GATIFLOX-BROMFENC SUSPENSION

T3

PREDNISONE INTENSOL T2 PREDNISONE SOLUTION T2 prednisone tablet T1 PREFEST TABLET T3 pregabalin capsule T1 QL


pregabalin solution T1 QLPREMARIN CREAM T2 PREMARIN TABLET T2 PREMPHASE TABLET T2 PREMPRO TABLET T2 PRENA 1 TRUE MISC T2 PRENA1 CHEW CHEW TAB T2 PRENA1 PEARL CAPSULE T2 PRENAISSANCE CAPSULE T2 PRENAISSANCE PLUS CAPSULE T2 PRENATABS RX TABLET T2 PRENATAL 19 CHEW TAB T2 PRENATAL PLUS IRON TABLET T2 PRENATAL TABLET T2 PRENATAL VITAMIN PLUS LOW IRON TABLET

T2

PRENATAL VITAMINS TABLET T2 PRENATAL-U CAPSULE T2 PRENATE AM TABLET T3 PRENATE CHEW TAB T3 PRENATE DHA CAPSULE T3 PRENATE ELITE TABLET T3 PRENATE ENHANCE CAPSULE T3 PRENATE ESSENTIAL CAPSULE T3 PRENATE MINI CAPSULE T3 PRENATE PIXIE CAPSULE T3 PRENATE RESTORE CAPSULE T3 PREPIDIL GEL T3 PREPLUS TABLET T2 PRETAB TABLET T2 PRETOMANID TABLET T3 PAprevalite packet T1 prevalite powder T1 previfem tablet T1 PREVNAR 13 SUSPENSION T2 PREVYMIS TABLET T4 PA, SPPREZISTA SUSPENSION T2 PREZISTA TABLET T2 PRIFTIN TABLET T2 PRIMACARE CAPSULE T3 primaquine phosphate tablet T1 BP

primidone tablet T1 PRIMSOL SOLUTION T3 PRINIVIL TABLET T3 BPPRO COMFORT INSULIN SYRINGE MISC

T3

probenecid tablet T1 probenecid/colchicine tablet T1 PROCARDIA XL 24 HR TAB T3 procentra solution T1 prochlorperazine maleate tablet T1 prochlorperazine suppository T1 PROCRIT SOLUTION T4 SPprocto-med hc cream T1 proctozone-hc cream T1 PRODIGY INSULIN SYRINGE MISC T3 PRODIGY LANCING DEVICE MISC T2 progesterone capsule T1 progesterone oil T1 PROGLYCEM SUSPENSION T3 BPPROGRAF CAPSULE T3 BPPROGRAF PACKET T2 PAPROLENSA SOLUTION T3 PROMACTA PACKET T4 PA, SPPROMACTA TABLET T4 PA, SPpromethazine dm syrup T1 promethazine plain syrup T1 promethazine solution T1 promethazine suppository T1 promethazine syrup T1 promethazine tablet T1 promethazine vc syrup T1 promethazine vc w/codeine syrup T1 promethazine vc/codeine syrup T1 promethazine w/dm syrup T1 promethazine/codeine solution T1 promethazine/codeine syrup T1 promethegan suppository T1 PROMETRIUM CAPSULE T3 BPpropafenone er capsule T1 propafenone tablet T1 proparacaine solution T1

propranolol er 24 hour cap T1 propranolol solution T1 propranolol tablet T1 PROPYLENE GLYCOL SOLUTION T2 propylthiouracil tablet T1 PROQUAD SUSPENSION T2 PROSCAR TABLET T3 BPPROTOPIC OINTMENT T3 BPprotriptyline tablet T1 PROVERA TABLET T3 BPPROVIDA OB CAPSULE T3 PRUCLAIR CREAM T2 PRUDOXIN CREAM T2 QLPULMICORT FLEXHALER AEROSOL T2 QLPULMOZYME SOLUTION T4 PA, SPPURIXAN SUSPENSION T4 PA, SPpyrazinamide tablet T1 PYRIDIUM TABLET T3 pyridostigmine bromide er tablet T1 pyridostigmine bromide solution T1 pyridostigmine bromide tablet T1 PYRIMETHAMINE TABLET T4 PA, SP

QQBREXZA PADS T3

QNASL AEROSOL T2 QNASL CHILDRENS AEROSOL T2 QUADRACEL SUSPENSION T2 QUALAQUIN CAPSULE T3 BP, QLQUESTRAN LIGHT POWDER T3 BPQUESTRAN PACKET T3 BPQUESTRAN POWDER T3 BPquetiapine fumarate er 24 hr tab T1 quetiapine fumarate tablet T1 QUFLORA FE CHEW TAB T3 QUFLORA FE PEDIATRIC LIQUID T3 QUFLORA GUMMIES CHEW TAB T3 QUFLORA PEDIATRIC CHEW TAB T3 quflora pediatric solution T1 QUILLIVANT XR INJECTION T2 QLquinapril tablet T1 quinapril-hydrochlorothiazide tablet T1


quinidine gluconate cr tablet T1 quinidine gluconate er tablet T1 quinidine sulfate tablet T1 quinine sulfate capsule T1 QLQVAR REDIHALER INHALER T2 QL

Rrabeprazole sodium tablet T1

RADIOGARDASE CAPSULE T3 raloxifene tablet T1 ramelteon tablet T1 QLramipril capsule T1 ranolazine er 12 hr tab T1 RAPAMUNE SOLUTION T3 BPRAPAMUNE TABLET T3 BPrasagiline mesylate tablet T1 RAVICTI LIQUID T4 PA, SPRAZADYNE ER 24 HOUR CAP T3 BPREBIF INJECTION T4 PA, SPREBIF REBIDOSE INJECTION T4 PA, SPREBIF REBIDOSE TITRATION INJECTION

T4 PA, SP

REBIF TITRATION PACK INJECTION T4 PA, SPreclipsen tablet T1 RECOMBIVAX HB SUSPENSION T2 RECTIV OINTMENT T2 REGLAN TABLET T3 BPrelafen tablet T1 RELENZA DISKHALER AEROSOL T3 QLRELION LANCING DEVICE KIT T2 RELION LANCING DEVICE MISC T2 RELION ULTRA THIN PLUS MISC T2 RELISTOR SOLUTION T4 PA, SPRELISTOR TABLET T4 PA, SPRELPAX TABLET T3 BP, QLREMERON SOLTAB TABLET T3 BPREMERON TABLET T3 BPRENACIDIN SOLUTION T2 RENVELA PACKET T3 BPRENVELA TABLET T3 BPrepaglinide tablet T1 REPATHA INJECTION T4 PA, SPREPATHA PUSHTRONEX INJECTION T4 PA, SP

REPATHA SURECLICK INJECTION T4 PA, SPRESTASIS EMULSION T2 QLRESTASIS MULTIDOSE EMULSION T2 QLRESTORA RX CAPSULE T3 RESTORIL CAPSULE T3 BPRETACRIT SOLUTION T4 PA, SPRETEVMO CAPSULE T4 PA, SPRETIN-A CREAM T3 BPRETIN-A GEL T3 BPRETIN-A MICRO GEL T3 BPRETIN-A MICRO PUMP GEL T3 BPRETROVIR CAPSULE T3 BPRETROVIR SYRUP T3 BPREVATIO SUSPENSION T3 BP, PAREVATIO TABLET T3 BP, PAREVLIMID CAPSULE T4 PA, SPREXULTI TABLET T3 QLREYATAZ CAPSULE T3 BPREYATAZ PACKET T2 REYVOW TABLET T3 PA, QLRHOFADE CREAM T3 RHOPRESSA SOLUTION T2 RIBAVIRIN CAPSULE T4 PA, SPRIBAVIRIN SOLUTION T4 PA, SPRIBAVIRIN TABLET T4 PA, SPRIDAURA CAPSULE T2 rifabutin capsule T1 rifampin capsule T1 RIGHTEST GD500 MISC T2 RILUTEK TABLET T3 BPriluzole tablet T1 rimantadine tablet T1 ringers irrigation solution T1 RINVOQ 24 HR TAB T4 PA, SPrisedronate sodium dr tablet T1 QLrisedronate sodium tablet T1 QLRISPERDAL SOLUTION T3 BPRISPERDAL TABLET T3 BPrisperidone odt tablet T1 risperidone solution T1

risperidone tablet T1 RITALIN LA 24 HOUR CAP T3 QLRITALIN TABLET T3 BPritonavir tablet T1 rivastigmine tartrate capsule T1 rivastigmine transdermal patch T1 rivelsa tablet T1 rizatriptan benzoate odt tablet T1 QLrizatriptan benzoate tablet T1 QLROCALTROL CAPSULE T3 BPROCALTROL SOLUTION T3 BPROCKLATAN SOLUTION T3 ropinirole er 24 hr tab T1 ropinirole tablet T1 rosadan cream T1 rosadan gel T1 rosuvastatin calcium tablet T1 QLROTARIX SUSPENSION T3 ROTATEQ SOLUTION T2 ROWASA KIT T3 BProweepra tablet T1 ROXICODONE TABLET T3 BPROZLYTREK CAPSULE T4 PA, SPRUBRACA TABLET T4 PA, SPrufinamide suspension T1 rufinamide tablet T1 RUZURGI TABLET T4 PA, SPRYBELSUS TABLET T2 QLRYDAPT CAPSULE T4 PA, SPRYTHMOL SR CAPSULE T3 BP

SSABRIL PACKET T4 BP, PA, SP

SABRIL TABLET T4 BP, PA, SPSAJAZIR SOLUTION T4 PA, SPSALAGEN TABLET T3 BPsalimez cream T1 salsalate tablet T1 SAMSCA TABLET T4 PA, SPSANCUSO PATCH T3 QLSANDIMMUNE CAPSULE T3 SANDIMMUNE SOLUTION T2


SANDOSTATIN SOLUTION T4 BP, PA, SPSANTYL OINTMENT T2 SAPHRIS SL T3 BP, QLSAPROPTERIN DIHYDROCHLORIDE PACKET

T4 PA, SP

SAPROPTERIN DIHYDROCHLORIDE TABLET

T4 PA, SP

SAVELLA TABLET T2 SAVELLA TITRATION PACK MISC T2 scopolamine patch T1 SECUADO PATCH T3 PA, QLSEGLUROMET TABLET T2 QLSELECT-OB CHEW TAB T3 SELECT-OB+DHA MISC T3 selegiline capsule T1 selegiline tablet T1 selenium sulfide lotion T1 SELZENTRY SOLUTION T2 SELZENTRY TABLET T2 SE-NATAL 19 CHEW TAB T2 SE-NATAL 19 TABLET T2 senna syrup T1 senna tablet T1 SERAQUA LIQUID T3 SEREVENT DISKUS AEROSOL T2 QLSEROSTIM SOLUTION T4 PA, SPsertraline T1 sertraline tablet T1 setlakin tablet T1 sevelamer carbonate packet T1 sevelamer carbonate tablet T1 sevelamer tablet T1 SFROWASA ENEMA T3 sharobel tablet T1 SHINGRIX SUSPENSION T2 SHOPKO ON-THE-GO COMFORT MISC

T2

SIGNIFOR SOLUTION T4 PA, SPsildenafil suspension T1 PAsildenafil tablet T1 PASILENOR TABLET T3 BPsilodosin capsule T1 SILVADENE CREAM T3 BP

silver sulfadiazine cream T1 SIMBRINZA SUSPENSION T3 simliya tablet T1 simpesse tablet T1 SIMPONI INJECTION T4 SP, PAsimvastatin tablet T1 QLSINEMET TABLET T3 BPSINGLE-LET MISC T2 sirolimus solution T1 sirolimus tablet T1 SIRTURO TABLET T4 PA, SPSIVEXTRO TABLET T3 PASKELAXIN TABLET T3 BPSKYRIZI INJECTION T4 PA, SPSKYRIZI PEN INJECTION T4 PA, SPSLYND TABLET T3 SMART SENSE MISC T2 SMARTDIABETES VANTAGE MISC T2 sodium chloride 0.9% solution T1 sodium chloride nebulized T1 sodium fluoride chew tab T1 sodium fluoride solution T1 SODIUM PHENYLBUTYRATE POWDER

T4 PA, SP

SODIUM PHENYLBUTYRATE TABLET T4 PA, SPsodium polystyrene sulfonate powder

T1

SODIUM SOLUTION T3 SODIUM SULFACETAMIDE LIQUID T2 sodium sulfacetamide lotion T1 sodium sulfacetamide solution T1 sodium sulfacetamide/sulfur pads T1 SOFT TOUCH MISC T2 solifenacin tablet T1 SOLIQUA 100/33 INJECTION T2 QLSOLOSEC PACKET T2 SOLTAMOX SOLUTION T3 SOLUS V2 LANCING DEVICE MISC T2 SOLUS V2 MISC T2 SOLYDRA LIQUID T3 SOMA TABLET T3 BPSOMAVERT SOLUTION T4 PA, SP

SORBITOL SOLUTION T3 SORBITOL-MANNITOL SOLUTION T3 SORIATANE CAPSULE T3 BPsorine tablet T1 sotalol (af) tablet T1 sotalol af tablet T1 sotalol tablet T1 SOTYLIZE SOLUTION T2 SOVALDI PACKET T4 PA, SPSOVALDI TABLET T4 PA, SPSPINOSAD SUSPENSION T2 SPIRIVA HANDIHALER CAPSULE T2 QLSPIRIVA RESPIMAT AEROSOL T2 QLspironolactone tablet T1 spironolactone w/hctz tablet T1 SPORANOX CAPSULE T3 BPSPORANOX PULSEPAK CAPSULE T3 BPSPORANOX SOLUTION T3 BPsprintec 28 tablet T1 SPRYCEL TABLET T4 PA, SPsps suspension T1 sronyx tablet T1 ssd cream T1 STALEVO 100 TABLET T3 STALEVO 125 TABLET T3 STALEVO 150 TABLET T3 STALEVO 200 TABLET T3 STALEVO 50 TABLET T3 STALEVO 75 TABLET T3 stavudine capsule T1 STEGLATRO TABLET T2 QLSTEGLUJAN TABLET T2 QLSTELARA INJECTION T4 PA, SPSTELARA SOLUTION T4 PA, SPSTERILANCE PA MISC T2 STERILANCE TL MISC T2 STIMATE SOLUTION T4 PA, SPSTIOLTO RESPIMAT AEROSOL T2 QLSTIVARGA TABLET T4 PA, SPSTRATA CTX GEL T3


STRATA MARK GEL T3 STRATA XRT GEL T3 STRENSIQ SOLUTION T4 PA, SPSTROMECTOL TABLET T3 BPSUBOXONE FILM T3 BP, QLsubvenite kit T1 QLsubvenite tablet T1 SUCRAID SOLUTION T4 PA, SPsucralfate suspension T1 sucralfate tablet T1 SULAR 24 HR TAB T3 BPsulfacetamide sodium lotion T1 SULFACETAMIDE SODIUM OINTMENT

T2

sulfacetamide sodium solution T1 sulfacetamide w/prednisolone solution

T1

sulfadiazine tablet T1 sulfamethoxazole-trimethoprim suspension

T1

sulfamethoxazole-trimethoprim tablet

T1

SULFAMYLON CREAM T2 SULFAMYLON PACKET T3 BPsulfasalazine tablet T1 sulfatrim pediatric suspension T1 sulindac tablet T1 sumatriptan injection T1 QLsumatriptan solution T1 QLsumatriptan tablet T1 QLSUNITINIB MALATE CAPSULE T4 PA, SPSUNOSI TABLET T2 PA, QLSUPRAX CAPSULE T3 SUPRAX SUSPENSION T3 BPSUPREP BOWEL PREP KIT SOLUTION T2 SURE COMFORT INSULIN SYRINGE MISC

T3

SURE COMFORT LANCING PEN MISCT2 SURE COMFORT MISC T3 SUREFLEX MISC T2 SURE-JECT INSULIN SYRINGE MISC T3 SURE-LANCE MISC T2 SURE-TOUCH MISC T2 SURVANTA INTRATRACHEAL SUSPENSION

T3

SUSTIVA CAPSULE T3 BP

SUSTIVA TABLET T3 BPSUTENT CAPSULE T4 PA, SPsyeda tablet T1 SYMAX DUOTAB TABLET T3 symax-sr 12 hr tab T1 SYMBICORT AEROSOL T2 QLSYMBYAX CAPSULE T3 BPSYMDEKO TABLET T4 PA, SPSYMFI LO TABLET T2 BP, QLSYMFI TABLET T2 BP, QLSYMJEPI INJECTION T2 QLSYMLINPEN 120 INJECTION T2 QLSYMLINPEN 60 INJECTION T2 QLSYMPROIC TABLET T2 QLSYMTUZA TABLET T2 QLSYNALAR OINTMENT T3 BPSYNALAR SOLUTION T3 BPSYNAREL SOLUTION T4 PA, SPSYNERA PATCH T3 SYNJARDY TABLET T2 QLSYNJARDY XR 24 HR TAB T2 QLSYNTHROID TABLET T3 BPSYPRINE CAPSULE T4 BP, PA, SP

TTABLOID TABLET T3

TABRECTA TABLET T4 PA, SPtacrolimus capsule T1 tacrolimus ointment T1 tadalafil tablet T1 PA, QLTAFINLAR CAPSULE T4 PA, SPTAGRISSO TABLET T4 PA, SPTAKHZYRO SOLUTION T4 PA, SPTALICIA CAPSULE (DELAYED RELEASE)

T2

TALTZ INJECTION T4 PA, SPTALZENNA CAPSULE T4 PA, SPTAMIFLU CAPSULE T3 BP, QLTAMIFLU SUSPENSION T3 BPtamoxifen tablet T1 tamsulosin capsule T1 TAPAZOLE TABLET T3 BPTAPERDEX 12-DAY TABLET T3

TARCEVA TABLET T4 BP, PA, SPTARGRETIN GEL T4 PA, SPtarina 24 fe tablet T1 tarina fe 1/20 eq tablet T1 tarina fe 1/20 tablet T1 TARKA TABLET T3 BPTARON FORTE CAPSULE T2 TARON-C DHA CAPSULE T2 TARON-PREX CAPSULE T2 TASIGNA CAPSULE T4 PA, SPTASMAR TABLET T3 BPtavaborole solution T1 PATAVALISSE TABLET T4 PA, SPtazarotene cream T1 TAZORAC CREAM T2 BPTAZORAC GEL T2 taztia xt 24 hour cap T1 TAZVERIK TABLET T4 PA, SPTDVAX SUSPENSION T2 TECFIDERA CAPSULE (DELAYED RELEASE)

T4 BP, PA, SP

TECFIDERA STARTER PACK MISC T4 BP, PA, SPTECHLITE INSULIN SYRINGE MISC T3 TEGRETOL SUSPENSION T3 BPTEGRETOL TABLET T3 BPTEGRETOL-XR 12 HR TAB T3 BPTEGSEDI INJECTION T4 PA, SPTEKTURNA HCT TABLET T2 telmisartan tablet T1 telmisartan/amlodipine tablet T1 telmisartan-hydrochlorothiazid tablet

T1

temazepam capsule T1 TEMIXYS TABLET T2 QLTEMODAR CAPSULE T4 BP, PA, SPTEMOVATE CREAM T3 TEMOVATE OINTMENT T3 BPTEMOZOLOMIDE CAPSULE T4 PA, SPtencon tablet T1 TENIVAC INJECTION T3 tenofovir disoproxil fumarate tablet T1 TENORETIC 100 TABLET T3 BP


TENORETIC 50 TABLET T3 BPTENORMIN TABLET T3 BPterazosin capsule T1 terbinafine tablet T1 terbutaline sulfate solution T1 terbutaline sulfate tablet T1 terconazole cream T1 terconazole suppository T1 TERIPARATIDE INJECTION T4 PA, SPTESSALON PERLES CAPSULE T3 BPtestosterone cypionate solution T1 testosterone enanthate solution T1 testosterone gel T1 QLtestosterone pump gel T1 QLtestosterone solution T1 QLTETANUS DIPHTHERIA TOXOIDS SUSPENSION

T2

TETRABENAZINE TABLET T4 PA, SPtetracaine solution T1 tetracycline capsule T1 TETRIX CREAM T3 TGT LANCING DEVICE MISC T2 THALOMID CAPSULE T4 PA, SPTHEO-24 24 HOUR CAP T3 theophylline er 12 hr tab T1 theophylline er 24 hr tab T1 theophylline solution T1 THIOLA EC TABLET T4 PA, SPTHIOLA TABLET T4 BP, PA, SPthioridazine tablet T1 thiothixene capsule T1 THRIVITE RX TABLET T3 THYROGEN SOLUTION T4 PA, SPtiadylt er 24 hour cap T1 tiagabine tablet T1 TIAZAC 24 HOUR CAP T3 TIBSOVO TABLET T4 PA, SPtilia fe tablet T1 timolol maleate solution T1 timolol maleate tablet T1 TIMOLOL/LATANOPROST SOLUTIONT3

TIMOLOL-BRIMONIDIN-DORZOLAMIDE SOLUTION

T3

TIMOLOL-BRIMONI-DORZOL-LATANOP SOLUTION

T3

TIMOLOL-DORZOLAMIDE-LATANOPRST SOLUTION

T3

TIMOPTIC SOLUTION T3 BPTIMOPTIC-XE SOLUTION T3 BPtinidazole tablet T1 TIOPRONIN TABLET T4 PA, SPTIROSINT-SOL SOLUTION T3 tis-u-sol solution T1 TIVICAY PD TABLET T2 TIVICAY TABLET T2 tizanidine capsule T1 tizanidine tablet T1 tl-hem 150 tablet T1 TOBI PODHALER CAPSULE T4 PA, SPTOBRADEX OINTMENT T2 TOBRADEX ST SUSPENSION T2 TOBRADEX SUSPENSION T3 BPTOBRAMYCIN NEBULIZED T4 PA, SPtobramycin solution T1 tobramycin sulfate solution T1 tobramycin/dexamethasone suspension

T1

TOBREX OINTMENT T3 TOBREX SOLUTION T3 BPTOLBUTAMIDE TABLET T2 tolcapone tablet T1 tolterodine tartrate er 24 hour cap T1 tolterodine tartrate tablet T1 TOLVAPTAN TABLET T4 PA, SPTOPCARE ULTRA COMFORT MISC T3 TOPICORT CREAM T3 BPTOPICORT OINTMENT T3 BPtopiramate capsule T1 topiramate tablet T1 toremifene tablet T1 torsemide tablet T1 TOUJEO MAX SOLOSTAR INJECTION T2 QLTOUJEO SOLOSTAR INJECTION T2 QLTOVIAZ 24 HR TAB T2 TRACLEER TABLET T4 PA, SP

tramadol er 24 hr tab T1 tramadol tablet T1 tramadol-acetaminophen tablet T1 trandolapril tablet T1 trandolapril-verapamil tablet T1 tranexamic acid tablet T1 TRANSDERMAL PAIN BASE CREAM T2 TRANXENE T TABLET T3 tranylcypromine sulfate tablet T1 travoprost solution T1 trazodone tablet T1 TRECATOR TABLET T3 TRELEGY ELLIPTA AEROSOL T2 QLTREMFYA INJECTION T4 PA, SPTRESIBA FLEXTOUCH INJECTION T2 QLTRESIBA SOLUTION T2 QLTRETINOIN CAPSULE T4 PA, SPtretinoin cream T1 tretinoin gel T1 tretinoin microsphere gel T1 TREXALL TABLET T3 TREZIX CAPSULE T3 tri femynor tablet T1 triamcinolone acetonide cream T1 triamcinolone acetonide lotion T1 triamcinolone acetonide ointment T1 triamcinolone acetonide paste T1 triamterene capsule T1 triamterene w/hctz capsule T1 triamterene w/hctz tablet T1 triazolam tablet T1 TRICARE TABLET T3 TRICITRASOL T2 triderm cream T1 tridesilon cream T1 TRIENTINE CAPSULE T4 PA, SPtri-estarylla tablet T1 TRIFERIC PACKET T3 TRIFERIC SOLUTION T3 trifluoperazine tablet T1


trifluridine solution T1 trigels-f forte capsule T1 trihexyphenidyl solution T1 trihexyphenidyl tablet T1 TRIJARDY XR 24 HR TAB T2 QLTRIKAFTA TABLET T4 PA, SPtri-legest fe tablet T1 tri-linyah tablet T1 TRILIPIX CAPSULE (DELAYED RELEASE)

T3 BP

tri-lo-estarylla tablet T1 tri-lo-marzia tablet T1 tri-lo-mili tablet T1 tri-lo-sprintec tablet T1 trimethobenzamide capsule T1 trimethoprim tablet T1 tri-mili tablet T1 trimipramine maleate capsule T1 TRINATAL RX 1 TABLET T2 TRINATE TABLET T2 TRINTELLIX TABLET T3 QLtri-nymyo tablet T1 tri-previfem tablet T1 tri-sprintec tablet T1 TRISTART DHA CAPSULE T3 TRIUMEQ TABLET T2 QLTRIVEEN-DUO DHA MISC T2 TRI-VI-FLOR SUSPENSION T3 tri-vite/fluoride solution T1 trivora-28 tablet T1 tri-vylibra lo tablet T1 tri-vylibra tablet T1 TRIZIVIR TABLET T3 BPtropicamide solution T1 trospium chloride er 24 hour cap T1 trospium chloride tablet T1 TRUE COMFORT INSULIN SYRINGE MISC

T3

TRUE COMFORT PRO INSULIN MISC T3 TRUEDRAW LANCING DEVICE MISC T2 TRUEPLUS INSULIN SYRINGE MISC T3 TRULANCE TABLET T2 QL

TRULICITY INJECTION T2 QLTRUMENBA INJECTION T2 TRUSOPT SOLUTION T3 BPTRUVADA TABLET T2 BP, QLTUKYSA TABLET T4 PA, SPtulana tablet T1 TURALIO CAPSULE T4 PA, SPTURPENTINE SPIRITS T2 TUSSICAPS CAPSULE T3 TUZISTRA XR SUSPENSION T3 TWINRIX INJECTION T2 TWYNSTA TABLET T3 BPtyblume chew tab T1 TYBOST TABLET T3 TYKERB TABLET T4 BP, PA, SPTYMLOS INJECTION T4 PA, SPTYVASO REFILL SOLUTION T4 PA, SPTYVASO SOLUTION T4 PA, SPTYVASO STARTER SOLUTION T4 PA, SP

UUBRELVY TABLET T3 PA, QL

UCERIS 24 HR TAB T3 BPUCERIS FOAM T2 UKONIQ TABLET T4 PA, SPULTICARE INSULIN SYRINGE MISC T3 ULTICARE MINI SAFETY PEN MISC T3 ULTICARE MISC T3 ULTIGUARD SAFEPACK/MICRO MISC T3 ULTIGUARD SAFEPACK/SHORT MISC T3 ULTIGUARD SAFEPACK-INSULIN SYR MISC

T3

ULTI-LANCE MISC T2 ULTILET SAFETY MISC T2 ULTRA COMFORT MISC T3 ULTRA FLO INSULIN SYRINGE MISC T3 ULTRA THIN MISC T3 ULTRACARE INSULIN SYRINGE MISC T3 ULTRACET TABLET T3 BPULTRAM TABLET T3 BPULTRA-THIN II MISC T3 UNIFINE PENTIPS 29GX12MM MISC T3 UNIFINE PENTIPS 31GX5MM MISC T3

UNIFINE PENTIPS 31GX6MM MISC T3 UNIFINE PENTIPS 31GX8MM MISC T3 UNIFINE PENTIPS 32GX4MM MISC T3 UNIFINE PENTIPS 32GX6MM MISC T3 UNIFINE PENTIPS 33GX4MM MISC T3 UNIFINE PENTIPS MAXFLOW MISC T3 UNIFINE PENTIPS MISC T3 UNIFINE PENTIPS PLUS 33G MISC T3 UNIFINE PENTIPS PLUS MISC T3 UNIFINE PENTIPS PLUS/30G MISC T3 UNIFINE SAFECONTROL MISC T3 UNILET COMFORTOUCH MISC T2 UNILET EXCELITE II MISC T2 UNILET EXCELITE MISC T2 UNILET GP 28 ULTRA THIN MISC T2 UNISTIK 2 COMFORT MISC T2 UNISTIK 2 EXTRA MISC T2 UNISTIK 2 MISC T2 UNISTIK 2 NORMAL MISC T2 UNISTIK 2 SUPER MISC T2 UNISTIK 3 COMFORT MISC T2 UNISTIK 3 EXTRA MISC T2 UNISTIK 3 GENTLE MISC T2 UNISTIK 3 NEONATAL MISC T2 UNISTIK 3 NORMAL MISC T2 UNISTIK CZT COMFORT MISC T2 UNISTIK CZT NORMAL MISC T2 UNISTIK NORMAL MISC T2 UNISTIK PRO MISC T2 UNISTIK SAFETY MISC T2 UNISTIK TOUCH MISC T2 unithroid tablet T1 UNIVERSAL 1 MISC T2 UNIVERSAL WATER T2 UPTRAVI TABLET T4 PA, SPURAMAXIN GEL T3 UROCIT-K 10 TABLET T3 BPUROCIT-K 15 TABLET T3 BPUROCIT-K 5 TABLET T3 BPURSO 250 TABLET T3 BP


URSO FORTE TABLET T3 BPursodiol capsule T1 ursodiol tablet T1

Vvalacyclovir tablet T1

VALCHLOR GEL T4 PA, SPVALCYTE SOLUTION T3 BPVALCYTE TABLET T3 BPvalganciclovir solution T1 valganciclovir tablet T1 valproic acid capsule T1 valproic acid solution T1 valsartan tablet T1 valsartan-hydrochlorothiazide tablet T1 VALTOCO LIQUID T3 QLvanadom tablet T1 VANCOCIN CAPSULE T3 BPvancomycin capsule T1 VANCOMYCIN SOLUTION T2 vandazole gel T1 VANISHPOINT MISC T3 VANISHPOINT SYRINGE MISC T3 VAQTA SUSPENSION T3 VARIVAX INJECTION T2 VARUBI TABLET T4 PA, SPVASCEPA CAPSULE T2 QLVASERETIC TABLET T3 BPVASOTEC TABLET T3 BPVAXCHORA SUSPENSION T2 VECAMYL TABLET T3 VECTICAL OINTMENT T3 VECURONIUM BROMIDE POWDER T3 velivet tablet T1 VELPHORO CHEW TAB T2 VEMLIDY TABLET T4 PA, SPVENCLEXTA STARTING PACK TABLET T4 PA, SPVENCLEXTA TABLET T4 PA, SPvenlafaxine er 24 hour cap T1 venlafaxine tablet T1 VENTAVIS SOLUTION T4 PA, SPverapamil er 24 hour cap T1

verapamil er pm 24 hour cap T1 verapamil er tablet T1 verapamil sr 24 hour cap T1 verapamil tablet T1 VEREGEN OINTMENT T3 VERELAN 24 HOUR CAP T3 BPVERELAN PM 24 HOUR CAP T3 VERQUVO TABLET T2 QLVERSACLOZ SUSPENSION T3 VERZENIO TABLET T4 PA, SPVESICARE LS SUSPENSION T3 vestura tablet T1 VFEND SUSPENSION T3 BPVFEND TABLET T3 BPVIBERZI TABLET T2 PAVIBRAMYCIN CAPSULE T3 BPVIBRAMYCIN SUSPENSION T3 BPVIBRAMYCIN SYRUP T3 VIDA MIA AUTOLET LANCING MISC T2 VIDA MIA UNIFINE PENTIPS MISC T3 VIDAZA SUSPENSION T4 BP, PA, SPvienva tablet T1 VIGABATRIN PACKET T4 PA, SPVIGABATRIN TABLET T4 PA, SPVIGADRONE PACKET T4 PA, SPVIGAMOX SOLUTION T3 VIIBRYD STARTER PACK KIT T2 QLVIIBRYD TABLET T2 QLVIMPAT SOLUTION T2 VIMPAT TABLET T2 VINATE ONE TABLET T2 VIOKACE TABLET T2 viorele tablet T1 VIRACEPT TABLET T2 VIRAMUNE SUSPENSION T3 BPVIRAMUNE XR 24 HR TAB T3 BPVIRAZOLE SOLUTION T4 BP, PA, SPVIREAD POWDER T2 VIREAD TABLET T2 BPVIRT-C DHA CAPSULE T2

VIRT-FEFA PLUS CAPSULE T2 virt-gard tablet T1 VIRT-NATE DHA CAPSULE T2 virt-phos 250 neutral tablet T1 VIRT-PN DHA CAPSULE T2 VIRT-PN PLUS CAPSULE T2 virtussin a/c solution T1 virtussin ac/alc liquid T1 VISIONBLUE SOLUTION T3 VISTARIL CAPSULE T3 BPVISTOGARD PACKET T4 PA, SPVITAFOL FE+ CAPSULE T3 VITAFOL GUMMIES CHEW TAB T3 VITAFOL ULTRA CAPSULE T3 VITAFOL-OB TABLET T3 VITAFOL-OB+DHA MISC T3 VITAFOL-ONE CAPSULE T3 VITAMED MD ONE RX CAPSULE T3 VITAMEDMD REDICHEW RX CHEW TAB

T3

vitamins a/c/d/fluoride solution T1 VITAPEARL CAPSULE T3 VITATRUE MISC T3 VITRAKVI CAPSULE T4 PA, SPVITRAKVI SOLUTION T4 PA, SPVIVAGUARD LANCING DEVICE MISC T2 VIZIMPRO TABLET T4 PA, SPVOGELXO GEL T3 QLvolnea tablet T1 voriconazole suspension T1 voriconazole tablet T1 VOSEVI TABLET T4 PA, SPVOTRIENT TABLET T4 PA, SPVP-PNV-DHA CAPSULE T3 VRAYLAR CAPSULE T3 QLVUMERITY CAPSULE (DELAYED RELEASE)

T4 PA, SP

VUSION OINTMENT T3 vyfemla tablet T1 vylibra tablet T1 VYNDAMAX CAPSULE T4 PA, SPVYNDAQEL CAPSULE T4 PA, SP


VYVANSE CAPSULE T2 QLVYVANSE CHEW TAB T2 QLVYZULTA SOLUTION T3

WWAKIX TABLET T4 PA, SP

warfarin sodium tablet T1 water solution T1 WELCHOL TABLET T3 BPwera tablet T1 westab mini tablet T1 westab one tablet T1 WESTAB PLUS TABLET T2 WESTGEL DHA CAPSULE T2 WESTHROID TABLET T2 wixela inhub aerosol T1 QLWP THYROID TABLET T3 wymzya fe chew tab T1

XXALKORI CAPSULE T4 PA, SP

XARELTO STARTER PACK TABLET T2 XARELTO TABLET T2 XCOPRI TABLET T3 PAXELJANZ SOLUTION T4 PA, SPXELJANZ TABLET T4 PA, SPXELJANZ XR 24 HR TAB T4 PA, SPXELODA TABLET T4 BP, PA, SPXENLETA TABLET T3 PAXEPI CREAM T3 XERAC AC SOLUTION T3 XERMELO TABLET T4 PA, SPXHANCE T3 PA, QLXIFAXAN TABLET T2 PAXIGDUO XR 24 HR TAB T2 QLXIIDRA SOLUTION T2 QLXOFLUZA TABLET T3 QLXOPENEX CONCENTRATE NEBULIZED

T3 BP

XOPENEX NEBULIZED T3 BPXOSPATA TABLET T4 PA, SPXTANDI CAPSULE T4 PA, SPXTANDI TABLET T4 PA, SPxulane patch T1 QLXULTOPHY 100/3.6 INJECTION T2 QL

XURIDEN PACKET T4 PA, SPXYREM SOLUTION T4 PA, SPXYWAV SOLUTION T4 PA, SP

YYAZ TABLET T3 BP

YONSA TABLET T4 PA, SPYUPELRI SOLUTION T2 PAyuvafem tablet T1

Zzafemy patch T1 QL

zafirlukast tablet T1 zaleplon capsule T1 QLZANAFLEX CAPSULE T3 BPZANAFLEX TABLET T3 BPzarah tablet T1 ZARONTIN CAPSULE T3 BPZARONTIN SOLUTION T3 BPZARXIO INJECTION T4 SPZATEAN-PN DHA CAPSULE T2 ZATEAN-PN PLUS CAPSULE T2 ZCORT 7-DAY TABLET T3 ZEJULA CAPSULE T4 PA, SPZELBORAF TABLET T4 PA, SPZELNORM TABLET T3 ZEMPLAR CAPSULE T3 BPzenatane capsule T1 ZENPEP CAPSULE T2 zenzedi tablet T1 ZEPOSIA CAPSULE T4 PA, SPZEPOSIA STARTER KIT CAPSULE T4 PA, SPZERVIATE SOLUTION T2 ZESTORETIC TABLET T3 BPZESTRIL TABLET T3 BPZIAC TABLET T3 BPZIAGEN SOLUTION T3 BPZIAGEN TABLET T3 BPZIANA GEL T3 BPzidovudine capsule T1 zidovudine syrup T1 zidovudine tablet T1 ZIEXTENZO INJECTION T4 PA, SPzileuton er 12 hr tab T1

ZILXI FOAM T3 ZIOPTAN SOLUTION T2 ziprasidone capsule T1 ZIRGAN GEL T3 ZITHROMAX PACKET T3 ZITHROMAX SUSPENSION T3 BPZITHROMAX TABLET T3 BPZITHROMAX TRI-PAK TABLET T3 BPZITHROMAX Z-PAK TABLET T3 BPZOFRAN TABLET T3 BP, QLZOKINVY CAPSULE T4 PA, SPZOLINZA CAPSULE T4 PA, SPzolmitriptan odt tablet T1 QLZOLMITRIPTAN SOLUTION T3 QLzolmitriptan tablet T1 QLzolpidem tartrate er tablet T1 QLzolpidem tartrate tablet T1 QLZOMIG SOLUTION T2 QLZONALON CREAM T3 QLzonisamide capsule T1 ZONTIVITY TABLET T3 ZORBTIVE SOLUTION T4 PA, SPZORTRESS TABLET T2 BPzovia 1/35 tablet T1 zovia 1/35e tablet T1 ZOVIRAX SUSPENSION T3 BPzumandimine tablet T1 ZYDELIG TABLET T4 PA, SPZYFLO TABLET T3 ZYKADIA TABLET T4 PA, SPZYLOPRIM TABLET T3 BPZYMAXID SOLUTION T3 BPZYPITAMAG TABLET T3 ZYPREXA TABLET T3 BPZYPREXA ZYDIS TABLET T3 BPZYTIGA TABLET T4 BP, SP, PAZYVOX SUSPENSION T3 BPZYVOX TABLET T3 BP


Medications Excluded from Coverage with Covered Alternatives

Excluded Drug Alternative Covered OptionsACCU-CHEK AVIVA PLUS One Touch Ultra Meters/Strips, One Touch Verio Meters/StripsACCU-CHEK GUIDE One Touch Ultra Meters/Strips, One Touch Verio Meters/StripsACCU-CHEK GUIDE ME Onetouch Ultra Meters/Strips, Onetouch Verio Meters/StripsACCU-CHEK SMARTVIEW One Touch Ultra Meters/Strips, One Touch Verio Meters/StripsADMELOG SOLOSTAR HumalogALBUTEROL SULFATE HFA Albuterol Sulfate Hfa (Generic For Proair By Cipla, Par, Perrigo, Proficient Rx, Or Teva)ALOGLIPTIN JanuviaAMBIEN Zolpidem (Generic For Ambien)AMITIZA Linzess, TrulanceAMPYRA Dalfampridine Er (Generic For Ampyra)APIDRA SOLOSTAR HumalogAPTIOM Carbamazepine (Generic For Tegretol), Oxcarbazepine (Generic For Trileptal), Topiramate (Generic For Topamax)ARANESP ALBUMIN FREE ProcritATRIPLA Biktarvy, Genvoya, Odefsey, Efavirenz-Lamivudine-Tenofovir Df (Generic For Symfi/Symfi Lo), TriumeqBUDESONIDE-FORMOTEROL FUMARATE

Symbicort

CALQUENCE Imbruvica, VenclextaCELEBREX Celecoxib (Generic For Celebrex)CIALIS Tadalafil (Generic For Cialis)CILOXAN Ciprofloxacin Hcl (Generic For Ciloxan)CIMZIA Humira, Enbrel, Skyrizi, Otezla, Xeljanz, Xeljanz XrCIMZIA STARTER KIT Humira, Enbrel, Skyrizi, Otezla, Xeljanz, Xeljanz XrCLIMARA PRO CombipatchCOLCHICINE Colchicine Tablet (Generic For Colcrys)CONCERTA Methylphenidate (Generic For Concerta)CONTOUR One Touch Ultra Test Strips, One Touch Verio Test StripsCONTOUR NEXT One Touch Ultramini, One Touch Verio, One Touch Verio Flex, One Touch Verio Iq, One Touch Verio SyncCONTOUR NEXT EZ One Touch Ultra Test Strips, One Touch Verio Test StripsCONTOUR NEXT EZ One Touch Ultramini, One Touch Verio, One Touch Verio Flex, One Touch Verio Iq, One Touch Verio SyncCONTOUR NEXT ONE One Touch Ultramini, One Touch Verio, One Touch Verio Flex, One Touch Verio Iq, One Touch Verio SyncCOSENTYX Humira, Enbrel, Skyrizi, Otezla, Xeljanz/XrCOSENTYX SENSOREADY PEN Humira, Enbrel, Skyrizi, Otezla, Xeljanz/XrCRESTOR Rosuvastatin Calcium (Generic For Crestor)CYTOMEL Liothyronine Sodium (Generic For Cytomel)DICLOFENAC EPOLAMINE Flector Patch, Diclofenac Sodium (Generic For Voltaren Rx)ELIDEL Pimecrolimus (Generic For Elidel)EMFLAZA Prednisone (Generic For Deltasone)EPIDUO FORTE Adapalene/Benzoyl Peroxide (Generic For Epiduo)EPINEPHRINE Epinephrine (Generic For Epipen) By Mylan, Epipen, Epipen Jr.EPOGEN ProcritESTROGEL Estradiol Products (Generic For Estrace, Climara, Or Depo-Estradiol)EXJADE Deferasirox (Generic For Exjade)FIASP Humalog


Excluded Drug Alternative Covered OptionsFIASP FLEXTOUCH HumalogFIRAZYR Icatibant Acetate (Generic For Firazyr)FIRVANQ Vancomycin (Generic For Vancocin)FLUTICASONE-SALMETEROL Fluticasone-Salmeterol, Wixela (Generic For Advair), Advair Hfa, Breo Ellipta, SymbicortFOCALIN XR Dexmethylphenidate Er (Generic For Focalin Xr)FREESTYLE PRECISION NEO One Touch Ultra Test Strips, One Touch Verio Test StripsGLEEVEC Imatinib Mesylate (Generic For Gleevec)GRANIX Nivestym, ZarxioHUMATROPE NorditropinINQOVI Decitabine (Generic For Dacogen)INREBIC JakafiINSULIN ASPART HumalogINSULIN ASPART FLEXPEN HumalogINSULIN LISPRO HumalogINSULIN LISPRO KWIKPEN HumalogISTURISA Ketoconazole (Generic For Nizoral)JADENU Deferasirox (Generic For Exjade)JENTADUETO Janumet, Janumet XrKINERET Actemra, Enbrel, Humira, Remicade, Xeljanz, Xeljanz XrKISQALI Ibrance, VerzenioKISQALI FEMARA 600 DOSE Ibrance, VerzenioKOMBIGLYZE XR Janumet, Janumet XrKORLYM Ketoconazole (Generic For Nizoral), SigniforLAMICTAL Lamotrigine (Generic For Lamictal)LASTACAFT Azelastine (Generic For Optivar), Olopatadine (Generic For Pataday)LEDIPASVIR/SOFOSBUVIR HarvoniLETAIRIS Ambrisentan (Generic For Letairis)LEVALBUTEROL TARTRATE HFA Albuterol Sulfate Hfa (Generic For Proair By Cipla, Par, Perrigo, Proficient Rx, Or Teva)LEXAPRO Escitalopram Oxalate (Generic For Lexapro)LIALDA Mesalamine (Generic For Lialda)LIDODERM Lidocaine Patch (Generic For Lidoderm)LYRICA Pregabalin (Generic For Lyrica)MAVYRET Epclusa, Harvoni, Vosevi, SovaldiMOVIPREP Peg 3350-Electrolyte Solution (Generic For Gavilyte)NATROBA Spinosad (Generic For Natroba)NEULASTA Fulphila, Ziextenzo (Biosimilar For Neulasta)NEUPOGEN ZarxioNEXIUM Esomeprazole (Generic Nexium Rx)NOVOLIN 70/30 Humulin 70-30NOVOLIN 70/30 FLEXPEN Humulin 70-30NOVOLIN 70/30 RELION Humulin 70-30NOVOLIN 70-30 FLEXPEN Humulin 70-30NOVOLIN N Humulin NNOVOLIN N FLEXPEN Humulin N KwikpenNOVOLIN N FLEXPEN RELION Humulin N Kwikpen


Excluded Drug Alternative Covered OptionsNOVOLIN N RELION Humulin NNOVOLIN R Humulin RNOVOLIN R RELION Humulin RNOVOLOG HumalogNOVOLOG FLEXPEN HumalogNOVOLOG FLEXPEN RELION Humalog MixNOVOLOG MIX 70/30 Humalog MixNOVOLOG MIX 70-30 Humalog MixNOVOLOG PENFILL HumalogNOXAFIL Posaconazole (Generic For Noxafil)NUTROPIN AQ NUSPIN 10 NorditropinNUTROPIN AQ NUSPIN 5 NorditropinOLUMIANT Actemra, Enbrel, Humira, Xeljanz, Xeljanz XrOMNITROPE NorditropinONGLYZA JanuviaORENCIA Actemra, Enbrel, Humira, Remicade, Xeljanz, Xeljanz XrORENCIA CLICKJECT Actemra, Enbrel, Humira, Remicade, Xeljanz, Xeljanz XrOXBRYTA Hydroxyurea (Generic For Hydrea), DroxiaPAZEO Azelastine (Generic For Optivar), Olopatadine (Generic For Pataday)PHEXXI Eluryng (Generic For Nuvaring)PIQRAY 200MG DAILY DOSE IbrancePIQRAY 250MG DAILY DOSE IbrancePIQRAY 300MG DAILY DOSE IbrancePRADAXA Eliquis, XareltoPRALUENT RepathaPREZCOBIX Ritonavir (Generic For Norvir), PrezistaPROAIR HFA Albuterol Sulfate Hfa (Generic For Proair, By Cipla, Par, Perrigo, Proficient Rx, Or Teva)PROAIR RESPICLICK Albuterol Sulfate Hfa (Generic For Proair, By Cipla, Par, Perrigo, Proficient Rx, Or Teva)PROCTOFOAM HC Pramoxine/Hydrocortisone (Generic For Analpram-Hc)PROVENTIL HFA Albuterol Sulfate Hfa (Generic For Proair By Cipla, Par, Perrigo, Proficient Rx, Or Teva)SANDOSTATIN LAR DEPOT Somatuline DepotSENSIPAR Cinacalcet Hcl (Generic For Sensipar)SILIQ Humira, Enbrel, Skyrizi, Otezla, Xeljanz, Xeljanz XrSIMPONI Humira, Enbrel, Skyrizi, Otezla, Xeljanz, Xeljanz XrSOFOSBUVIR/VELPATASVIR EpclusaSPRAVATO 56MG DOSE Olanzapine-Fluoxetine (Generic For Symbyax), Bupropion (Generic For Wellbutrin)SPRAVATO 84MG DOSE Olanzapine-Fluoxetine (Generic For Symbyax), Bupropion (Generic For Wellbutrin)STRIBILD GenvoyaSUTAB Peg 3350-Electrolyte (Generic For Gavilyte)TOBI Tobramycin Sulfate (Generic For Tobi)TOPROL XL Metoprolol Succinate (Generic For Toprol Xl)TRADJENTA JanuviaTRANSDERM-SCOP Scopolamine (Generic For Transderm-Scop)TRAVATAN Z Travoprost (Generic For Travatan Z)TRUE METRIX BLOOD GLUCOSE MTR One Touch Ultramini, One Touch Verio, One Touch Verio Flex, One Touch Verio Iq, One Touch Verio Sync


Excluded Drug Alternative Covered OptionsTRUE METRIX GLUCOSE TEST STRIP One Touch Ultra Test Strips, One Touch Verio Test StripsTUDORZA PRESSAIR Incruse ElliptaUDENYCA Fulphila, Ziextenzo (Biosimilar For Neulasta)VAGIFEM Estradiol (Generic For Vagifem), Yuvafem (Generic For Vagifem)VELTASSA LokelmaVENTOLIN HFA Albuterol Sulfate Hfa (Generic For Proair, By Cipla, Par, Perrigo, Proficient Rx, Or Teva)VICTOZA Bydureon, Bydureon Bcise, Byetta, Ozempic, TrulicityVIVELLE-DOT Estradiol Patch (Generic For Vivelle-Dot)WELLBUTRIN XL Bupropion Xl (Generic For Wellbutrin Xl)XOPENEX HFA Albuterol Sulfate Hfa (Generic For Proair By Cipla, Par, Perrigo, Proficient Rx, Or Teva)XPOVIO RevlimidYASMIN 28 Ocella (Generic For Yasmin), Syeda (Generic For Yasmin), Zarah (Generic For Yasmin)ZOLOFT Sertraline Hcl (Generic For Zoloft)ZOMACTON Norditropin


HometownRx Formulary - September 2021

Documents

Transcript of HometownRx Formulary - September 2021