LA Care Formulary

LA Care FormularyMarch 2014

INTRODUCTION

ForewordThis document represents the efforts of L.A. Care Health Plan’s Pharmacy Therapeutics and New TechnologyCommittee (PT&T) to provide physicians and pharmacists with a method to begin to evaluate the various drug productsavailable. The medical treatment of patients is frequently relative to the practical application of drug therapy. Due to thevast availability of medication therapy and treatment modalities, a reasonable program of drug product selection anddrug usage must be developed. The goal of the L.A. Care Formulary is to enhance the physician and pharmacist’sabilities to provide optimal cost effective drug therapy for patients. The development, maintenance, and improvement of this process are evolutionary and require constant attention. Thisis accomplished by the L.A. Care PT&T Committee. The Formulary is a continually reviewed and revised list of drugs,which mirror the prevailing clinical opinion of the PT&T Committee. Unfortunately, this dynamic process does not allowthis document to be completely accurate at all times. To accommodate the necessary changes of this document,updates are available online at: http://www.lacare.org. As you use this Formulary, you are encouraged to review theinformation and provide your input and comments to the L.A. Care PT&T Committee. The L.A. Care PT&T Committee uses the following criteria in the evaluation of drug selection for the L.A. CareFormulary:

• Drug safety profile• Drug efficacy• Comparison of relevant drug benefits to current formulary agents of similar use, while minimizing duplications• Equitable cost and outcomes of the total cost of drug and medical care

How to Use the FormularyThe Formulary is a list of covered and preferred drug agents for L.A. Care members. All drugs are listed by theirgeneric names and most common proprietary (branded) name. The Formulary may be accessed by using the index,either by generic or proprietary name (in small capital letters) and by therapeutic drug category. Any non-genericallyavailable drug not found in this Formulary listing, or any Formulary updates published by L.A. Care shall be considereda Non-Formulary drug. All drugs are listed in each category in alphabetical order by generic name. Where an FDA approved generic isavailable for the listed generic name, the generic name is bolded. For certain agents within the Drug Formulary, a recommended prescribing guideline may apply. These are denotedthroughout the document using the following symbols: Symbol Restriction Description

AGE Age Edit Coverage may depend on patient age

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Symbol Restriction Description

COM Carve Out Edit Carve out for Medi-Cal members (covered by Medi-Cal fee-for-service), no restrictions for Healthy Kids and Healthy Families

COM/MD Carve Out / Physician SpecialtyEdit

Carve out for Medi-Cal members (covered by Medi-Cal fee-for-service) / Coverage may depend on prescribing physician’sspecialty or board certification for Healthy Kids and HealthyFamilies

COM/PA Carve Out / Prior Authorization Carve out for Medi-Cal members (covered by Medi-Cal fee-for-service) / Prior Authorization required for Healthy Kids andHealthy Families

G Gender Edit Coverage may depend on patient gender

MD Physician Specialty Edit Coverage may depend on prescribing physician’s specialty orboard certification

PA Prior Authorization Requires specific physician request process

QL Quantity Limit Coverage may be limited to specific quantities per prescriptionand/or time period

ST Step Therapy Coverage may depend on previous use of another drug

OTC Over the Counter Coverage of OTC medication for all lines of businesses,including Healthy Families and Healthy Kids.

Please refer to the prescribing guideline appendix within this document for details regarding specific agents.

Benefit Coverage and LimitationsThis printed Formulary does not provide information regarding the specific coverage and limitations an individualmember may have. Many members have specific benefit inclusions, exclusions, copays, or a lack of coverage, whichare not reflected in the Formulary. The Formulary applies only to outpatient drugs provided to members, and does not apply to medications used ininpatient settings. If a member has any specific questions regarding their coverage, they should contact their L.A. CareHealth Plan Member Services department at 1-888-839-9909 (TTY 1-866-522-2731).

Depending upon a member’s specific benefit parameters, the following topicsmay apply: 1. Generic Substitution

• When available, FDA approved generic drugs are to be used in all situations, regardless of the brand nameindicated. The generic names are bolded in the formulary listing wherever an FDA approved generic drugproduct is available. Greater economy is realized through the use of generic equivalents. This policy is notmeant to preclude or supplant any state statutes that may exist. All drugs that are or become availablegenerically are subject to review by L.A. Care’s PT&T Committee.

• Drug product will be approved for generic substitution by the L.A. Care PT&T Committee. This list is reviewed and updated periodically based on the clinical literature and available pharmacokineticprinciples of the drug products. If a member or physician requests a brand name product in lieu of an approved generic, the member and thephysician determines that there is a documented medical need for the brand equivalent, a request for coveragemay be made using the medication request process.

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2. Step TherapyL.A. Care uses Step Therapy to promote cost-effective pharmaceutical management when there are multipleeffective drugs to treat a condition. Drugs that are listed in the Formulary as Step Therapy (ST) require one ormore “prerequisite” first step drugs to be tried before progressing to the second step drug. If medically necessary,a second step medication can be obtained without first trying a first step medication by submitting a completedMedication Request Form. Each request will be reviewed on an individual patient need. Approval will be given if adocumented medical need exists. The following basic guidelines are used:• The use of the first step drug is contraindicated in the patient.• The first step drug is not suited for the present patient care need, and the drug selected is required for patient

safety.• The use of the first step drug may provoke an underlying condition, which would be detrimental to patient care.

3. Medication Request Process

Depending upon plan benefit design, a medication request process may apply as follows:A. Formulary Agents

Drugs that are listed in the Formulary as Prior Authorization (PA) require evaluation, per L.A. Care PT&TCommittee Prior Authorization guidelines prior to dispensing at a network pharmacy. Each request will bereviewed on individual patient need. If the request does not meet the guidelines established by the PT&TCommittee, the request will not be approved and alternative therapy may be recommended.

B. Non-Formulary AgentsAny non-generically available drug not found in the Formulary listing, or any Formulary updates published byL.A. Care, shall be considered a Non-Formulary drug. Coverage for non-formulary agents may be applied forin advance by the physician. Each request will be reviewed on individual patient need. Approval will be given ifa documented medical need exists. The following basic guidelines are used:• The use of Formulary Drugs is contraindicated in the patient.• The patient has failed an appropriate trial of Formulary or related agents.• The choices available in the Formulary are not suited for the present patient care need, and the drug

selected is required for patient safety.• The use of a Formulary drug may provoke an underlying condition, which would be detrimental to patient

care.C. Obtaining Coverage

Coverage, questions or information regarding the medication request or formulary process may be obtainedby:1. Faxing a fully completed and signed Medication Request Form to MedImpact at (800) 681-7651.2. Contacting MedImpact at (800) 788-2949 and providing all necessary information requested. MedImpact will provide an authorization number, specific for the medical need, for all approved requests. Non-approved requests may be appealed. The prescriber must provide information to support the appeal on thebasis of medical necessity. Prior Authorization is generally not available for drugs that are specificallyexcluded by benefit design.

4. Therapeutic InterchangeL.A. Care may use Therapeutic Interchange to promote rational pharmaceutical therapy when evidence suggeststhat outcomes can be improved by substituting a drug that is therapeutically equivalent but chemically differentfrom the prescribed drug. Improved outcomes include, but are not limited to, enhanced compliance, superior side-effect or risk profile, clinically superior results, and equivalent clinical results at a reduced cost. TherapeuticInterchange protocols are never automatic; a dispensing provider may not substitute an alternate, therapeuticallyequivalent, drug for a prescribed drug without the knowledge and authorization of the prescribing practitioner. Drugs may be considered for Therapeutic Interchange if they are:1. High risk2. High volume3. High cost4. Overused in routine conditions.

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In designing Therapeutic Interchange protocols, drug characteristics are considered including:1. Efficacy2. Effectiveness3. Dosage Formulation4. Safety5. Cost6. Pharmacoeconomic variables

5. General ExclusionsA. Over the Counter (OTC) medications or their equivalents are not covered for Healthy Families or Healthy Kids

members, unless otherwise specified in the Formulary listing. OTC medications are available for Medi-Calmembers subject to formulary coverage of these agents.

B. Drugs specifically listed as not covered are not covered.C. Any drug products used for cosmetic purposes are not covered.D. Infertility AgentsE. Experimental drug products, or any drug product used in an experimental manner, are not covered.F. Non self-administered injectable drug products are not covered unless otherwise specified in the Formulary

listing.G. Foreign drugs or drugs not approved by the United States Food & Drug Administration are not covered. The PT&T Committee recognizes that not all medical needs can be met with this document and encourageinquiries about alternative therapies.

Pharmacist and Physician CommunicationThe Formulary is a tool to promote cost-effective prescription drug use. The PT&T Committee has made every attemptto create a document that meets all therapeutic needs; however, the art of medicine makes this a formidable task. L.A.Care welcomes the participation of physicians, pharmacists, and ancillary medical providers, in this dynamic process.Physicians and pharmacists are highly encouraged to direct any suggestions, comments or formulary additions to L.A.Care via e-mail to [email protected] or by mail at the following address:

Chairperson, Pharmacy & Therapeutics CommitteeL.A. Care Health Plan1055 W 7th Street, 9th FloorLos Angeles, CA 90017

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ALLERGY2nd Gen Antihistamine & Decongestant

CombinationsT1 cetirizine

hcl/pseudoephedrineCETIRIZINE-PSEUDOEPHEDRINE(OTC)

QL

T1 fexofenadine/pseudoephedrine

ALLERGY RELIEFD(OTC)

ST

T1 loratadine/pseudoephedrine

LORATADINE-D(TABER 12H)(OTC)

QL

T1 loratadine/pseudoephedrine

LORATADINE-D(TABER 24H)(OTC)

QL

T1 p-ephedsul/loratadine

ALLERGY RELIEF D-24(OTC)

QL

Antihistamines - 1st GenerationT1 chlorpheniramine

maleateALLERGY(OTC)

T1 chlorpheniraminemaleate

DIABETICTUSSIN(OTC)

T1 clemastine fumarate CLEMASTINEFUMARATE

T1 clemastine fumarate CLEMASTINEFUMARATE(OTC)

T1 cyproheptadine hcl CYPROHEPTADINEHCL

T1 dexchlorpheniraminemaleate

DEXCHLORPHENIRAMINE MALEATE

T1 diphenhydramine hcl DIPHENHYDRAMINEHCL

T1 diphenhydramine hcl DIPHENHYDRAMINEHCL(OTC)

T1 hydroxyzine hcl HYDROXYZINE HCLT1 hydroxyzine pamoateHYDROXYZINE

PAMOATET1 promethazine hcl PROMETHAZINE HCLAGE

Antihistamines - 2nd GenerationT1 cetirizine hcl CETIRIZINE HCLT1 cetirizine hcl CETIRIZINE

HCL(SOLUTION)(OTC)

T1 cetirizine hcl CETIRIZINE HCL(TABCHEW)(OTC)

PA, QL

T1 cetirizine hcl CETIRIZINEHCL(TAB)(OTC)

QL

T1 fexofenadine hcl FEXOFENADINE HCL STT1 fexofenadine hcl FEXOFENADINE

HCL(OTC)ST

T1 loratadine CHILDREN'SCLARITIN(OTC)

PA, QL

T1 loratadine LORATADINE(SOLUTION)(OTC)

AGE,QL

T1 loratadine LORATADINE(TABRDP DIS)(OTC)

AGE,QL

T1 loratadine LORATADINE(TAB)(OTC)

QL

Nasal AntihistamineT1 azelastine hcl ASTEPROT1 azelastine hcl AZELASTINE HCL

Nasal Anti-inflammatory SteroidsT1 budesonide RHINOCORT AQUA PAT1 flunisolide FLUNISOLIDET1 fluticasone furoate VERAMYST PA, QLT1 fluticasone

propionateFLUTICASONEPROPIONATE

QL

T1 mometasone furoate NASONEX PA, QLT1 triamcinolone

acetonideTRIAMCINOLONEACETONIDE

Nasal Mast Cell Stabilizers AgentsT1 cromolyn sodium CROMOLYN

SODIUM(OTC)

ANTIEMESIS/ANTIVERTIGOAntiemetic/antivertigo AgentsT1 aprepitant EMENDT1 dimenhydrinate DRIMINATE(OTC)T1 doxylamine/pyridoxine

hclDICLEGIS PA

T1 dronabinol DRONABINOL PAT1 granisetron hcl GRANISETRON HCL QLT1 meclizine hcl MECLIZINE HCLT1 meclizine hcl MECLIZINE

HCL(OTC)T1 ondansetron ONDANSETRON

ODT(TAB RDP DIS)(4MG)

QL

T1 ondansetron ONDANSETRONODT(TAB RDP DIS)(8MG)

QL

T1 ondansetron hcl ONDANSETRON HCLT1 phosp

acid/dextrose/fructose

ANTI-NAUSEA(OTC)

T1 prochlorperazineedisylate

COMPAZINE

T1 prochlorperazinemaleate

PROCHLORPERAZINE MALEATE

T1 promethazine hcl PROMETHEGAN AGET1 trimethobenzamide

hclTRIMETHOBENZAMIDE HCL

ASTHMABeta-adrenergic AgentsT1 albuterol sulfate ALBUTEROL

SULFATET1 albuterol sulfate VENTOLIN HFA QLT1 arformoterol tartrate BROVANA STT1 formoterol fumarate FORADIL PAT1 levalbuterol hcl LEVALBUTEROL HCL STT1 metaproterenol

sulfateMETAPROTERENOLSULFATE

T1 salmeterol xinafoate SEREVENT DISKUS PA

Commercial Formulary

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T1 terbutaline sulfate TERBUTALINESULFATE

Beta-adrenergic And Anticholinergic

CombinationsT1 ipratropium/albuterol

sulfateCOMBIVENT

T1 ipratropium/albuterolsulfate

COMBIVENTRESPIMAT

T1 ipratropium/albuterolsulfate

IPRATROPIUM-ALBUTEROL

Beta-adrenergic And Glucocorticoid

CombinationsT1 budesonide/formoterol

fumarateSYMBICORT PA

T1 fluticasone/salmeterol ADVAIR DISKUS PAT1 fluticasone/salmeterol ADVAIR HFA PAT1 fluticasone/vilanterol BREO ELLIPTA PAT1 mometasone/formoter

olDULERA

General Bronchodilator AgentsT1 ipratropium bromide ATROVENT HFAT1 ipratropium bromide IPRATROPIUM

BROMIDET1 tiotropium bromide SPIRIVA

Glucocorticoids, Orally InhaledT1 beclomethasone

dipropionateQVAR

T1 budesonide BUDESONIDE AGET1 budesonide PULMICORT AGET1 budesonide PULMICORT

FLEXHALERST

T1 fluticasone propionate FLOVENT DISKUST1 fluticasone propionate FLOVENT HFAT1 mometasone furoate ASMANEX(AER POW

BA)(110MCG(30))ST

T1 mometasone furoate ASMANEX(AER POWBA)(220MCG 120)

ST

T1 mometasone furoate ASMANEX(AER POWBA)(220MCG(14))

PA


PA


ST

Leukotriene Receptor AntagonistsT1 montelukast sodium MONTELUKAST

SODIUMT1 zafirlukast ZAFIRLUKAST PA

Mast Cell StabilizersT1 cromolyn sodium CROMOLYN SODIUM

Respiratory Aids,devices,equipmentT1 inhaler, assist devices ACE AEROSOL

CLOUD ENHANCERAGE,QL

T1 inhaler, assist devices AEROCHAMBER MINIAGE,QL

T1 inhaler, assist devices AEROCHAMBERPLUS FLOW-VU

AGE,QL

T1 inhaler, assist devices AEROCHAMBERPLUS Z STAT

AGE,QL

T1 inhaler, assist devices BREATHERITE AGE,QL

T1 inhaler, assist devices BREATHRITE AGE,QL

T1 inhaler, assist devices EASIVENT AGE,QL

T1 inhaler, assist devices E-Z SPACER AGE,QL

T1 inhaler, assist devices LITEAIRE AGE,QL

T1 inhaler, assist devices MICROCHAMBER AGE,QL

T1 inhaler, assist devices MICROSPACER AGE,QL

T1 inhaler, assist devices MONAGHAN Z STAT AGE,QL

T1 inhaler, assist devices POCKET CHAMBER AGE,QL

T1 inhaler, assist devices PRIMEAIRE AGE,QL

T1 inhaler, assist devices PROCHAMBER AGE,QL

T1 inhaler, assist devices RITEFLO AGE,QL

T1 inhaler, assist devices VORTEX AGE,QL

T1 inhaler, assist devices VORTEX VHC FROGMASK

AGE,QL

T1 inhaler, assist devices VORTEX VHCLADYBUG MASK

AGE,QL

T1 inhaler, assist devices WATCHHALER AGE,QL

T1 inhaler, assist devices WINDMILLTRAINER(OTC)

AGE,QL

T1 inhaler,assistdevice,accesory

EASIVENT AGE,QL


LITETOUCH AGE,QL


MOUTHPIECE(OTC) AGE,QL


ONE WAYMOUTHPIECE(OTC)

AGE,QL


OPTICHAMBER AGE,QL


OPTICHAMBERDIAMOND

AGE,QL


PANDA MASK(OTC) AGE,QL


PEDIATRICMASK(OTC)

AGE,QL


PEDIATRIC PANDAMASK(OTC)

AGE,QL


SIDESTREAMMASK(OTC)

AGE,QL


SIDESTREAMPEDIATRIC(OTC)

AGE,QL


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SILICONE MASK AGE,QL


SILICONEMASK(OTC)

AGE,QL


VORTEX FROGMASK(OTC)

AGE,QL


VORTEX LADYBUGMASK(OTC)

AGE,QL


VORTEX(OTC) AGE,QL

T1 peak flow meter AIRZONE PEAKFLOW METER(OTC)

T1 peak flow meter AIRZONE(OTC)T1 peak flow meter ASSESS(OTC)T1 peak flow meter ASTHMA

CHECK(OTC)T1 peak flow meter ASTHMAMENTOR(OT

C)T1 peak flow meter IN-CHECK NASAL

WITH MASK(OTC)T1 peak flow meter IN-CHECK

ORAL(OTC)T1 peak flow meter INCHECK(OTC)T1 peak flow meter MICROLIFE PEAK

FLOW(OTC)T1 peak flow meter MINI-WRIGHT PEAK

FLOW METERT1 peak flow meter PEAK FLOW

METER(OTC)T1 peak flow meter PEAK-AIR(OTC)T1 peak flow meter PERSONAL

BEST(OTC)T1 peak flow meter PIKO 1(OTC)T1 peak flow meter POCKET PEAK(OTC)T1 peak flow meter POCKETPEAK(OTC)T1 peak flow meter TRUZONE PEAK

FLOW METERT1 peak flow meter/inh

asst devAEROGEAR ASTHMAACTION KIT

T1 peak flow meter/inhasst dev

ASTHMAPACKCHILDREN'S

T1 spirometers andaccessories

IN-CHECK DIAL(OTC) AGE,QL


PFLEX TRAINER AGE,QL


THRESHOLD IMT AGE,QL


THRESHOLD PEP AGE,QL


WINDMILLTRAINER(OTC)

AGE,QL

XanthinesT1 aminophylline AMINOPHYLLINET1 caffeine citrated CAFFEINE CITRATE QLT1 theophylline anhydrousTHEO-24T1 theophylline

anhydrousTHEOPHYLLINEANHYDROUS

AUTONOMIC NERVOUS SYSTEM

DISORDERSAlzheimer's Therapy, Nmda Receptor

AntagonistsT1 memantine hcl NAMENDA STT1 memantine hcl NAMENDA XR ST

Cholinesterase InhibitorsT1 donepezil hcl DONEPEZIL HCLT1 galantamine hbr GALANTAMINE HBRT1 neostigmine bromide PROSTIGMINT1 pyridostigmine

bromideMESTINON

T1 pyridostigminebromide

PYRIDOSTIGMINEBROMIDE

T1 rivastigmine EXELONT1 rivastigmine tartrate EXELONT1 rivastigmine tartrate RIVASTIGMINE

BEHAVIORAL HEALTH -

ANTIDEPRESSANTSAlpha-2 Receptor Antagonist

AntidepressantsT1 mirtazapine MIRTAZAPINE

Norepinephrine And Dopamine Reuptake

InhibT1 bupropion hcl BUPROPION XL(TAB

ER 24H)(150 MG)QL

T1 bupropion hcl BUPROPION XL(TABER 24H)(300 MG)

Selective Serotonin Reuptake InhibitorT1 citalopram

hydrobromideCITALOPRAMHBR(SOLUTION)

AGE,QL

T1 citalopramhydrobromide

CITALOPRAMHBR(TAB)(10 MG)

AGE,QL



AGE,QL



AGE,QL

T1 escitalopram oxalate ESCITALOPRAMOXALATE

T1 fluoxetine hcl FLUOXETINE HCLT1 fluvoxamine maleate FLUVOXAMINE

MALEATE(CAP ER24H)

ST

T1 fluvoxamine maleate FLUVOXAMINEMALEATE(TAB)

T1 paroxetine hcl PAROXETINEHCL(TAB ER 24H)

AGE,QL, ST

T1 paroxetine hcl PAROXETINEHCL(TAB)

AGE


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T1 paroxetine hcl PAXIL AGET1 sertraline hcl SERTRALINE HCL

Serotonin-2 Antagonist/reuptake InhibitorsT1 nefazodone hcl NEFAZODONE HCLT1 trazodone hcl TRAZODONE HCL

Serotonin-norepinephrine Reuptake-inhibT1 venlafaxine hcl VENLAFAXINE HCL

ER

Ssri & 5ht1a Partial Agonist AntidepressantT1 vilazodone

hydrochlorideVIIBRYD PA

Tricyclic Antidepressant/benzodiazepine

CombinatnsT1 amitrip

hcl/chlordiazepoxideCHLORDIAZEPOXIDE-AMITRIPTYLINE

Tricyclic Antidepressant/phenothiazine

CombinatnsT1 perphenazine/amitrip

tyline hclPERPHENAZINE-AMITRIPTYLINE

Tricyclic Antidepressants & Rel. Non-sel. Ru-

inhibT1 amitriptyline hcl AMITRIPTYLINE HCLT1 amoxapine AMOXAPINET1 clomipramine hcl CLOMIPRAMINE HCLT1 desipramine hcl DESIPRAMINE HCLT1 doxepin hcl DOXEPIN HCLT1 imipramine hcl IMIPRAMINE HCLT1 imipramine pamoate IMIPRAMINE

PAMOATET1 maprotiline hcl MAPROTILINE HCLT1 nortriptyline hcl NORTRIPTYLINE HCLT1 protriptyline hcl PROTRIPTYLINE HCL

BEHAVIORAL HEALTH - OTHERAdrenergics, Aromatic, Non-catecholamineT1 amphet

asp/amphet/d-amphet

AMPHETAMINE SALTCOMBO

AGE,QL

T1 dextroamphetaminesulfate

DEXTROAMPHETAMINE SULFATE

T1 dextroamphetamine/amphetamine

AMPHETAMINE SALTCOMBO

AGE,QL

Anti-alcoholic PreparationsT1 disulfiram DISULFIRAM

Anti-anxiety DrugsT1 alprazolam ALPRAZOLAMT1 alprazolam ALPRAZOLAM

INTENSOLT1 buspirone hcl BUSPIRONE HCL

T1 chlordiazepoxide hcl CHLORDIAZEPOXIDEHCL

T1 clorazepatedipotassium

CLORAZEPATEDIPOTASSIUM

T1 diazepam DIAZEPAMT1 lorazepam LORAZEPAMT1 meprobamate MEPROBAMATET1 oxazepam OXAZEPAM

Antipsychotics,atypical,dopamine,&

Serotonin AntagT1 olanzapine OLANZAPINET1 risperidone

microspheresRISPERDAL CONSTA

T1 ziprasidone mesylate GEODON

BarbituratesT1 phenobarbital PHENOBARBITAL

Hypnotics, Melatonin Mt1/mt2 Receptor

AgonistsT1 ramelteon ROZEREM QL, ST

Narcolepsy And Sleep Disorder Therapy

AgentsT1 modafinil MODAFINIL PA, QL

Sedative-hypnotics,non-barbiturateT1 diphenhydramine hcl SLEEP TABS(OTC)T1 diphenhydramine hcl ZZZQUIL(OTC)T1 doxepin hcl SILENOR QL, STT1 doxylamine

succinateUNISOM SLEEPAID(OTC)

T1 estazolam ESTAZOLAMT1 eszopiclone LUNESTA QL, STT1 flurazepam hcl FLURAZEPAM HCLT1 temazepam TEMAZEPAMT1 triazolam TRIAZOLAMT1 zaleplon ZALEPLON QLT1 zolpidem tartrate EDLUAR QL, STT1 zolpidem tartrate INTERMEZZO QL, STT1 zolpidem tartrate ZOLPIDEM

TARTRATEQL

T1 zolpidem tartrate ZOLPIMIST QL, ST

Tx For Attention Deficit-

hyperact(adhd)/narcolepsyT1 methylphenidate hcl METHYLPHENIDATE

ER(TAB ER 24H)(18MG)

AGE,QL

T1 methylphenidate hcl METHYLPHENIDATEER(TAB ER 24H)(27MG)

AGE,QL


AGE,QL


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AGE,QL

CARDIOVASCULAR DISEASE -

ARRHYTHMIAAntiarrhythmicsT1 amiodarone hcl AMIODARONE HCLT1 disopyramide

phosphateDISOPYRAMIDEPHOSPHATE

T1 disopyramidephosphate

NORPACE CR

T1 dofetilide TIKOSYNT1 flecainide acetate FLECAINIDE

ACETATET1 mexiletine hcl MEXILETINE HCLT1 procainamide hcl PROCAINAMIDE HCLT1 procainamide hcl PRONESTYLT1 propafenone hcl PROPAFENONE HCLT1 quinidine gluconate QUINIDINE

GLUCONATET1 quinidine sulfate QUINIDINE SULFATE


CARDIAC STIMULANTDigitalis GlycosidesT1 digoxin DIGOXT1 digoxin DIGOXIN


HYPERTENSIONAce Inhibitor/calcium Channel Blocker

CombinationT1 amlodipine

besylate/benazeprilAMLODIPINEBESYLATE-BENAZEPRIL

Ace Inhibitor/thiazide & Thiazide-like DiureticT1 benazepril/hydrochlo

rothiazideBENAZEPRIL-HYDROCHLOROTHIAZIDE

T1 captopril/hydrochlorothiazide

CAPTOPRIL-HYDROCHLOROTHIAZIDE

T1 enalapril/hydrochlorothiazide

ENALAPRIL-HYDROCHLOROTHIAZIDE

T1 fosinopril/hydrochlorothiazide

FOSINOPRIL-HYDROCHLOROTHIAZIDE

T1 lisinopril/hydrochlorothiazide

LISINOPRIL-HYDROCHLOROTHIAZIDE

T1 moexipril/hydrochlorothiazide

MOEXIPRIL-HYDROCHLOROTHIAZIDE

T1 quinapril/hydrochlorothiazide

QUINAPRIL-HYDROCHLOROTHIAZIDE

Alpha/beta-adrenergic Blocking AgentsT1 carvedilol CARVEDILOLT1 labetalol hcl LABETALOL HCL

Alpha-adrenergic Blocking AgentsT1 doxazosin mesylate DOXAZOSIN

MESYLATET1 phenoxybenzamine hclDIBENZYLINET1 prazosin hcl PRAZOSIN HCLT1 terazosin hcl TERAZOSIN HCL

Angioten.receptr Antag./cal.chanl

Blkr/thiazide CbT1 amlodipine/valsartan/h

cthiazidEXFORGE HCT ST

Angiotensin Receptor Antag./thiazide

Diuretic CombT1 azilsartan

med/chlorthalidoneEDARBYCLOR ST

T1 candesartan/hydrochlorothiazid

CANDESARTAN-HYDROCHLOROTHIAZID

T1 eprosartan/hydrochlorothiazide

TEVETEN HCT

T1 irbesartan/hydrochlorothiazide

IRBESARTAN-HYDROCHLOROTHIAZIDE

T1 losartan/hydrochlorothiazide

LOSARTAN-HYDROCHLOROTHIAZIDE

T1 olmesartan/hydrochlorothiazide

BENICAR HCT

T1 valsartan/hydrochlorothiazide

VALSARTAN-HYDROCHLOROTHIAZIDE

ST

Angiotensin Receptor Antgnst &

Calc.channel BlockrT1 amlodipine

bes/olmesartan medAZOR ST

T1 amlodipine/valsartan EXFORGE ST

Antihypertensives, Ace InhibitorsT1 benazepril hcl BENAZEPRIL HCLT1 captopril CAPTOPRILT1 enalapril maleate ENALAPRIL

MALEATET1 fosinopril sodium FOSINOPRIL

SODIUMT1 lisinopril LISINOPRILT1 moexipril hcl MOEXIPRIL HCL


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T1 quinapril hcl QUINAPRIL HCLT1 ramipril RAMIPRILT1 trandolapril TRANDOLAPRIL

Antihypertensives, Angiotensin Receptor

AntagonistT1 azilsartan medoxomil EDARBI STT1 candesartan cilexetil CANDESARTAN

CILEXETILT1 eprosartan mesylate EPROSARTAN

MESYLATET1 irbesartan IRBESARTANT1 losartan potassium LOSARTAN

POTASSIUMT1 olmesartan medoxomil BENICART1 telmisartan TELMISARTANT1 valsartan DIOVAN ST

Antihypertensives, SympatholyticT1 clonidine CLONIDINE QLT1 clonidine hcl CLONIDINE HCLT1 guanfacine hcl GUANFACINE HCLT1 methyldopa ALDOMETT1 methyldopa METHYLDOPAT1 reserpine RESERPINE

Antihypertensives, VasodilatorsT1 hydralazine hcl HYDRALAZINE HCLT1 minoxidil MINOXIDIL

Beta-adrenergic Blocking AgentsT1 acebutolol hcl ACEBUTOLOL HCLT1 atenolol ATENOLOLT1 bisoprolol fumarate BISOPROLOL

FUMARATET1 metoprolol succinate METOPROLOL

SUCCINATET1 metoprolol tartrate METOPROLOL

TARTRATET1 nadolol NADOLOLT1 nebivolol hcl BYSTOLIC STT1 pindolol PINDOLOLT1 propranolol hcl PROPRANOLOL HCLT1 sotalol hcl SOTALOLT1 timolol maleate TIMOLOL MALEATE

Beta-adrenergic Blocking Agents/thiazide &

RelatedT1 atenolol/chlorthalido

neATENOLOL-CHLORTHALIDONE

T1 bisoprololfumarate/hctz

BISOPROLOL-HYDROCHLOROTHIAZIDE

T1 metoprolol/hydrochlorothiazide

METOPROLOL-HYDROCHLOROTHIAZIDE

Calcium Channel Blocking AgentsT1 amlodipine besylate AMLODIPINE

BESYLATE

T1 diltiazem hcl DILTIAZEM 24HR ERT1 felodipine FELODIPINE ERT1 nicardipine hcl NICARDIPINE HCLT1 nifedipine NIFEDIPINE ERT1 verapamil hcl VERAPAMIL ER

Loop DiureticsT1 bumetanide BUMETANIDET1 furosemide FUROSEMIDE

Potassium Sparing DiureticsT1 eplerenone EPLERENONE STT1 spironolactone SPIRONOLACTONE

Potassium Sparing Diuretics In CombinationT1 spironolact/hydrochl

orothiazidSPIRONOLACTONE-HCTZ

T1 triamterene/hydrochlorothiazid

TRIAMTERENE-HCTZ

Pulm.anti-htn,sel.c-gmp Phosphodiesterase

T5 InhibT1 sildenafil citrate SILDENAFIL PA

Pulmonary Anti-htn, Endothelin Receptor

AntagonistT1 ambrisentan LETAIRIS PAT1 bosentan TRACLEER PA

Renin Inhib, Direct/calc. Channel

Blkr/thiazide CbT1 aliskiren/amlodipin/hct

hiazideAMTURNIDE PA

Renin Inhibitor, DirectT1 aliskiren hemifumarate TEKTURNA PA

Renin Inhibitor, Direct & Calcium Channel

BlockerT1 aliskiren/amlodipine

besylateTEKAMLO PA

Renin Inhibitor, Direct/thiazide Diuretic

CombT1 aliskiren/hydrochlorothi

azideTEKTURNA HCT PA, ST

Thiazide And Related DiureticsT1 chlorthalidone CHLORTHALIDONET1 hydrochlorothiazide HYDROCHLOROTHIA

ZIDET1 indapamide INDAPAMIDET1 metolazone METOLAZONE


LA Care of 59

CARDIOVASCULAR DISEASE - LIPID

IRREGULARITYAntihyperlip.hmg Coa Reduct

Inhib&cholest.ab.inhibT1 ezetimibe/simvastatin VYTORIN(TAB)(10

MG-10MG)ST

T1 ezetimibe/simvastatin VYTORIN(TAB)(10MG-20MG)

ST


ST


Antihyperlipidemic - Apo B-100 Synthesis

InhibitorT1 mipomersen sodium KYNAMRO PA

Antihyperlipidemic - Hmg Coa Reductase

InhibitorsT1 atorvastatin calcium ATORVASTATIN

CALCIUMT1 fluvastatin sodium FLUVASTATIN

SODIUMST

T1 lovastatin LOVASTATINT1 pitavastatin calcium LIVALO PAT1 pravastatin sodium PRAVASTATIN

SODIUMT1 simvastatin SIMVASTATIN(TAB)

(10 MG)T1 simvastatin SIMVASTATIN(TAB)

(20 MG)T1 simvastatin SIMVASTATIN(TAB)

(40 MG)T1 simvastatin SIMVASTATIN(TAB)(5

MG)T1 simvastatin SIMVASTATIN(TAB)

(80 MG)ST

Bile Salt SequestrantsT1 cholestyramine (with

sugar)CHOLESTYRAMINE

T1 cholestyramine/aspartame

CHOLESTYRAMINELIGHT

T1 colesevelam hcl WELCHOL STT1 colestipol hcl COLESTIPOL HCL

LipotropicsT1 ezetimibe ZETIA STT1 fenofibrate FENOFIBRATET1 fenofibrate FENOGLIDE STT1 fenofibrate LIPOFEN STT1 fenofibrate

nanocrystallizedFENOFIBRATE

T1 fenofibrate,micronized

FENOFIBRATE

T1 fenofibric acid FENOFIBRIC ACID

T1 gemfibrozil GEMFIBROZILT1 niacin NIACIN ER PAT1 omega-3 acid ethyl

estersLOVAZA PA

Niacin PreparationsT1 niacin NIACIN(OTC)T1 niacinamide NIACINAMIDE(OTC)


MISCELLANEOUS AGENTSAdrenergic Vasopressor AgentsT1 midodrine hcl MIDODRINE HCL


VASODILATIONVasodilators,coronaryT1 isosorbide dinitrate ISORDILT1 isosorbide dinitrate ISOSORBIDE

DINITRATET1 isosorbide

mononitrateISOSORBIDEMONONITRATE ER

T1 nitroglycerin NITRO-BIDT1 nitroglycerin NITRO-DURT1 nitroglycerin NITROGLYCERIN

PATCHT1 nitroglycerin NITROSTAT

CONTRACEPTION/OXYTOCICSContraceptives, Intravaginal, SystemicT1 etonogestrel/ethinyl

estradiolNUVARING G

Contraceptives,injectableT1 medroxyprogesteron

e acetateMEDROXYPROGESTERONE ACETATE

Contraceptives,intravaginalT1 nonoxynol 9 CONCEPTROL(OTC)T1 nonoxynol 9 GYNOL II(OTC)T1 nonoxynol 9 VCF(OTC)

Contraceptives,oralT1 desogestrel-ethinyl

estradiolAPRI G

T1 desog-et estra/ethinestra

VIORELE G

T1 drospir/ethestra/levomefol ca

BEYAZ G, ST

T1 drospir/ethestra/levomefol ca

SAFYRAL G, ST

T1 estradiolvalerate/dienogest

NATAZIA G, ST

T1 ethinylestradiol/drospirenone

OCELLA G, ST


LA Care of 59

T1 ethynodiol d-ethinylestradiol

ZOVIA 1-35E G

T1 levonorgestrel NEXT CHOICE ONEDOSE

G, QL

T1 levonorgestrel-ethestradiol

AMETHYST G

T1 levonorgestrel-ethestradiol

LEVORA-28 G

T1 l-norgest-ethestr/ethin estra

CAMRESE G

T1 noreth a-et estra/fefumarate

LO LOESTRIN FE G, ST

T1 noreth a-et estra/fefumarate

MICROGESTIN FE G

T1 noreth-ethinylestradiol/iron

ZENCHENT FE G

T1 norethindrone NORA-BE GT1 norethindrone a-e

estradiolMICROGESTIN G

T1 norethindrone-ethinyl estrad

NECON G

T1 norethindrone-mestranol

NECON G

T1 norgestimate-ethinylestradiol

ORTHO TRI-CYCLENLO

G, ST

T1 norgestimate-ethinylestradiol

SPRINTEC G

T1 norgestrel-ethinylestradiol

CRYSELLE G

T1 ulipristal acetate ELLA G

Contraceptives,transdermalT1 norelgestromin/ethin.e

stradiolORTHO EVRA G

Diaphragms/cervical CapT1 diaphragm fitting

set,arcsprngORTHO ALL-FLEX

T1 diaphragms, arc-springORTHO ALL-FLEXT1 diaphragms, wide seal WIDE SEAL

DIAPHRAGM

OxytocicsT1 methylergonovine

maleateMETHYLERGONOVINE MALEATE

COUGH AND COLD1st Gen Antihistamine & Decongestant

CombinationsT1 phenylephrine

hcl/prometh hclPROMETHAZINE VC AGE

T1 pseudoephedrine/brompheniramin

Q-TAPP(OTC) AGE

T1 pseudoephedrine/triprolidine

APRODINE(OTC) AGE

Analgesic, Non-sal.- 1st Generation

AntihistamineT1 acetaminophen/diphe

nhydramineMAPAP PM(OTC) AGE

Antitussives,non-narcoticT1 benzonatate BENZONATATE

ExpectorantsT1 guaifenesin MUCINEX(OTC) AGET1 guaifenesin Q-TUSSIN(OTC) AGE

Narcotic Antituss-1st Gen. Antihistamine-

decongestT1 promethazine/phenyl

eph/codeinePROMETHAZINE VC-CODEINE

AGE

Narcotic Antituss-decongestant-expectorant

CombT1 p-ephed

hcl/codeine/guaifenCHERATUSSINDAC(OTC)

AGE

Narcotic Antitussive-1st Generation

AntihistamineT1 hydrocodone/chlorph

en polisHYDROCODONE-CHLORPHENIRAMINE

AGE

T1 hydrocodone/chlorphen polis

TUSSICAPS AGE

T1 promethazinehcl/codeine

PROMETHAZINE-CODEINE

AGE

Narcotic Antitussive-anticholinergic Comb.T1 hydrocodone

bit/homatrop me-brHYDROCODONE-HOMATROPINE MBR

AGE,QL

Narcotic Antitussive-expectorant

CombinationT1 guaifenesin/codeine

phosphateCHERATUSSINAC(OTC)

AGE

Non-narc Antituss-1st Gen. Antihistamine-

decongestT1 brompheniram/pheny

lephrine/dmDIMAPHEN DM(OTC) AGE

T1 brompheniram/phenylephrine/dm

TUSSI PRES-B(OTC) AGE

T1 d-methorphan hb/p-epd hcl/bpm

BROMFED DM AGE

T1 d-methorphan hb/p-ephed hcl/cp

KIDKARE(OTC) AGE

T1 d-methorphan hb/p-ephed hcl/cp

RESCON-DM(OTC) AGE


LA Care of 59

Non-narc Antitussive-1st Gen Antihistamine

Comb.T1 d-methorphan

hb/prometh hclPROMETHAZINE-DM AGE

Non-narcotic Antituss-decongestant-

expectorant CmbT1 guaifenesin/d-

methorphan hb/peROBITUSSIN COUGH& COLD CF(OTC)

AGE

T1 guaifenesin/d-methorphan hb/pe

TUSSIN CF(OTC) AGE

Non-narcotic Antitussive And Expectorant

Comb.T1 guaifenesin/dextromet

horphanFENESIN DM IR(OTC)AGE

T1 guaifenesin/dextromethorphan

MUCINEXCOUGH(OTC)

AGE


MUCINEX DM(OTC) AGE


Q-TUSSIN DM(OTC) AGE


SCOT-TUSSINSENIOR(OTC)

AGE


VICKS 44E COUGH &CHEST(OTC)

AGE

Nose Preparations, VasoconstrictorsT1 oxymetazoline hcl NASAL

DECONGESTANT(OTC)

AGE

Sympathomimetic AgentsT1 pseudoephedrine hcl NEXAFED(OTC) AGE,

QLT1 pseudoephedrine hcl SUDAFED 24-

HOUR(OTC)AGE,QL

T1 pseudoephedrine hcl SUDOGEST(TABER)(OTC)

AGE,QL

T1 pseudoephedrine hcl SUDOGEST(TAB)(30MG)(OTC)

AGE,QL

T1 pseudoephedrine hcl SUDOGEST(TAB)(60MG)(OTC)

AGE,QL

DERMATOLOGY - ACNEAcne Agents,systemicT1 isotretinoin ABSORICA STT1 isotretinoin CLARAVIS ST

Acne Agents,topicalT1 clindamycin

phos/benzoyl peroxCLINDAMYCIN-BENZOYL PEROXIDE

T1 sulfacetamidesodium

SULFACETAMIDESODIUM

Keratolytic-glucocorticoid CombinationsT1 benzoyl

peroxide/hydrocortisonVANOXIDE-HC

Rosacea Agents, TopicalT1 metronidazole METRONIDAZOLE

Topical Preparations,antibacterialsT1 hydrocortisone/iodoq

uinolHYDROCORTISONE-IODOQUINOL

T1 povidone-iodine FIRST AIDANTISEPTIC(OTC)

Vitamin A DerivativesT1 tretinoin TRETINOIN AGET1 tretinoin

microspheresTRETINOINMICROSPHERE

AGE

Vitamin A Derivatives, Topical Cosmetic

AgentsT1 tazarotene AVAGE PAT1 tretinoin/emollient

baseREFISSA

DERMATOLOGY - ANTIINFECTIVEAntiparasiticsT1 nitazoxanide ALINIA PA

Topical AntibioticsT1 bacitracin BACITRACIN(OTC)T1 bacitracin zinc BACITRACIN

ZINC(OTC)T1 bacitracin/polymyxin

b sulfateBACITRACIN-POLYMYXIN(OTC)

T1 bacitracin/polymyxin bsulfate

POLYSPORIN(OTC)

T1 clindamycinphosphate

CLINDAMYCINPHOSPHATE

T1 erythromycinbase/ethanol

ERYTHROMYCIN

T1 erythromycin/benzoylperoxide

BENZAMYCINPAK

T1 erythromycin/benzoyl peroxide

ERYTHROMYCIN-BENZOYL PEROXIDE

T1 gentamicin sulfate GENTAMICINSULFATE

T1 mupirocin MUPIROCINT1 neomy

sulf/bacitra/polymyxin b

TRIPLEANTIBIOTIC(OTC)

T1 neomy sulf/bacitraczn/poly

TRIPLEANTIBIOTIC(OTC)

T1 neomy sulf/polymyxb sulf/pram

NEOSPORIN + PAINRELIEF(OTC)

T1 neomycin/bacitraczn/polymyxin

FIRST AID(OTC)

T1 neomycn/bacizn/pmyx bs/pramox

TRIPLE ANTIBIOTICPLUS(OTC)


LA Care of 59

Topical Antifungal/antiinflammatory,steriod

AgentT1 clotrimazole/betamet

hasone dipCLOTRIMAZOLE-BETAMETHASONE

Topical AntifungalsT1 ciclopirox CICLOPIROX(GEL)T1 ciclopirox CICLOPIROX(SHAMP

OO)T1 ciclopirox CICLOPIROX(SOLUTI

ON)AGE

T1 ciclopirox olamine CICLOPIROXT1 clotrimazole CLOTRIMAZOLET1 clotrimazole CLOTRIMAZOLE(OT

C)T1 econazole nitrate ECONAZOLE

NITRATET1 ketoconazole KETOCONAZOLET1 miconazole nitrate FUNGOID

TINCTURE(OTC)T1 miconazole nitrate LOTRIMIN AF(OTC)T1 miconazole nitrate MICONAZOLE

NITRATE(OTC)T1 naftifine hcl NAFTINT1 nystatin NYSTATINT1 nystatin/triamcin NYSTATIN-

TRIAMCINOLONET1 sulconazole nitrate EXELDERMT1 terbinafine hcl LAMISIL(OTC) PAT1 terbinafine hcl TERBINAFINE(OTC) AGE,

QLT1 tolnaftate TINACTIN(OTC)T1 tolnaftate TOLNAFTATE(OTC)

Topical AntiparasiticsT1 crotamiton EURAXT1 lindane LINDANET1 malathion MALATHION STT1 permethrin PERMETHRINT1 permethrin PERMETHRIN(OTC)T1 pip

butox/pyrethrins/permeth

RID(OTC)

T1 pipbutox/pyrethrins/resmeth

LICETREATMENT(OTC)

T1 piperonylbutoxide/pyrethrins

LICE KILLING(OTC)

T1 piperonylbutoxide/pyrethrins

TRIPLE X(OTC)

T1 potasshyd/glyco/pq10/he-cell

LICE EGGREMOVER(OTC)

Topical AntiviralsT1 acyclovir ACYCLOVIR PAT1 acyclovir ZOVIRAX PAT1 penciclovir DENAVIR PA

Topical Pleuromutilin DerivativesT1 retapamulin ALTABAX ST

Topical SulfonamidesT1 silver sulfadiazine SILVER

SULFADIAZINET1 sulfacetamide

sod/sulfur/ureaSODIUMSULFACETAMIDE-SULFUR

T1 sulfacetamidesodium/sulfur

SODIUMSULFACETAMIDE-SULFUR

DERMATOLOGY -

ANTIINFLAMMATORYTopical

Antibiotics/antiinflammatory,steroidalT1 neomycin/bacitra/poly

myxin/hcCORTISPORIN

T1 neomycin/polymyxin bsulf/hc

CORTISPORIN

Topical Anti-inflammatory SteroidalT1 alclometasone

dipropionateALCLOMETASONEDIPROPIONATE

T1 amcinonide AMCINONIDET1 betamethasone

dipropionateBETAMETHASONEDIPROPIONATE

T1 betamethasonevalerate

BETAMETHASONEVALERATE

T1 betamethasone/propylene glyc

BETAMETHASONEDIPROPIONATE

T1 clobetasolpropionate

CLOBETASOLPROPIONATE

T1 clobetasol propionate CLOBEXT1 clobetasol

propionate/emollCLOBETASOLEMOLLIENT

T1 desonide DESONIDET1 desoximetasone DESOXIMETASONET1 diflorasone diacetate DIFLORASONE

DIACETATET1 diflorasone

diacetate/emollAPEXICON E

T1 fluocinoloneacetonide

FLUOCINOLONEACETONIDE

T1 fluocinonide FLUOCINONIDET1 fluocinonide/emollien

t baseFLUOCINONIDE-E

T1 fluticasonepropionate

FLUTICASONEPROPIONATE

T1 halobetasolpropionate

HALOBETASOLPROPIONATE

T1 hydrocortisone CORTAID(OTC)T1 hydrocortisone FIRST-

HYDROCORTISONET1 hydrocortisone HYDROCORTISONET1 hydrocortisone HYDROCORTISONE

(OTC)


LA Care of 59

T1 hydrocortisone TEXACORTT1 hydrocortisone

acetateANTI-ITCH(OTC)

T1 hydrocortisoneacetate/alo ver

HYDROCORTISONEW/ALOE(OTC)

T1 hydrocortisoneacetate/urea

U-CORT

T1 hydrocortisonebutyrate

HYDROCORTISONEBUTYRATE

T1 hydrocortisonebutyrate

LOCOID

T1 hydrocortisonebutyrate/emoll

HYDROCORTISONEBUTYRATE

T1 hydrocortisonebutyrate/emoll

LOCOID LIPOCREAM

T1 hydrocortisoneprobutate

PANDEL

T1 hydrocortisonevalerate

HYDROCORTISONEVALERATE

T1 hydrocortisone/aloevera

HYDROCORTISONE-ALOE(OTC)

T1 mometasone furoate MOMETASONEFUROATE

T1 prednicarbate PREDNICARBATET1 triamcinolone

acetonideKENALOG

T1 triamcinoloneacetonide

TRIAMCINOLONEACETONIDE

Topical Anti-inflammatory, NsaidsT1 diclofenac sodium VOLTAREN ST

DERMATOLOGY - ANTIPRURITIC

DRUGSAntipruritics,topicalT1 diphenhydramine hcl ANTI-ITCH(OTC)T1 diphenhydramine hcl DERMA-PAX(OTC)T1 diphenhydramine

hcl/zinc acetANTI-ITCH(OTC)

DERMATOLOGY - MISCELLANEOUSAntiseborrheic AgentsT1 selenium sulfide SELENIUM SULFIDET1 sulfacetamide sodium OVACE PLUST1 sulfacetamide

sodiumSODIUMSULFACETAMIDE

Antiseptics,generalT1 alcohol antiseptic pads ALCOHOL

PADS(OTC)T1 alcohol antiseptic pads ALCOHOL PREP

PADS(OTC)T1 alcohol antiseptic pads ALCOHOL PREP

SWABS(OTC)T1 alcohol antiseptic pads ALCOHOL

SWAB(OTC)T1 alcohol antiseptic pads ALCOHOL

SWABS(OTC)

T1 alcohol antiseptic pads ALCOHOLWIPES(OTC)

T1 alcohol antiseptic pads B-D SINGLE USEALCOHOLSWAB(OTC)

T1 alcohol antiseptic pads CURITY ALCOHOLPREPS(OTC)

T1 alcohol antiseptic pads EASY TOUCHALCOHOL PREPPADS(OTC)

T1 alcohol antiseptic pads IV ANTISEPTICWIPES(OTC)

T1 alcohol antiseptic pads IV PREP WIPES(OTC)T1 alcohol antiseptic pads SINGLE USE

SWAB(OTC)T1 alcohol antiseptic pads SURE COMFORT

ALCOHOL(OTC)T1 alcohol antiseptic pads SURE-PREP

ALCOHOL PREPPADS(OTC)

T1 alcohol antiseptic pads ULTILET ALCOHOLSWAB(OTC)

T1 alcohol antisepticpads

WEBCOL ALCOHOLPREPSMEDIUM(OTC)

T1 alcohol antiseptic pads WEBCOL(OTC)

EmollientsT1 ammonium lactate AMMONIUM LACTATET1 ammonium lactate AMMONIUM

LACTATE(OTC)T1 glycerin GLYCERIN(OTC)T1 lanolin LAN-O-

SOOTHE(OTC)T1 lanolin

alcohol/mo/w.pet/ceres

DRY SKINTHERAPY(OTC)

T1 mineral oil NUTRADERM(OTC)T1 mineral oil/i-prop

myr/waterMINERINLOTION(OTC)

T1 mineraloil/petrolatum,white

HYDROCERIN(OTC)

T1 petrolatum,white HYDROLATUM(OTC)T1 petrolatum,white VASELINE WHITE

PETROLEUMQL

T1 vitamins a and d VITAMIN A & D(OTC)T1 vits a & d/white

pet/lanolinVITAMIN A & D(OTC)

IrrigantsT1 nacl irrigat/decyl

glucosideSEA-CLENS(OTC)

T1 sodium chloride irrigsolution

SODIUM CHLORIDE

Irritants/counter-irritantsT1 capsaicin CAPSAICIN(OTC)T1 capsaicin MEDI-GEN(OTC)

KeratolyticsT1 benzoyl peroxide BENZOYL

PEROXIDE(OTC)QL


LA Care of 59

T1 benzoyl peroxide BP WASH QLT1 podofilox CONDYLOXT1 podofilox PODOFILOXT1 salicylic acid DUOFILM(OTC)T1 salicylic

acid/collodion, flexSALACTIC FILM(OTC)

T1 silver nitrate SILVER NITRATE

Oxidizing AgentsT1 hydrogen peroxide HYDROGEN

PEROXIDE(OTC)

ProtectivesT1 calamine CALAMINE(OTC)T1 calamine/zinc oxide CALAMINE(OTC)T1 petrolatum,white AMERICERIN(OTC)T1 vit a/vitamin

d3/e/aloe v/znoxPERIGUARD(OTC)

T1 zinc oxide BOUDREAUXS(OTC)T1 zinc oxide ZINC OXIDE(OTC)

Shampoos/lotionT1 glycerin AQUA

GLYCOLIC(OTC)

Topical Anti-inflammatory Steroid-local

AnestheticT1 hydrocortisone/pram

oxineHYDROCORTISONE-PRAMOXINE HCL

T1 hydrocortisone/pramoxine

PRAMOSONE

T1 hydrocortisone/pramoxine/emoll

PRAMOSONE E

Topical Antineoplastic & Premalignant

Lesion AgntsT1 bexarotene TARGRETIN PAT1 fluorouracil FLUOROURACILT1 ingenol mebutate PICATO PA

Topical Local AnestheticsT1 lidocaine LIDOCAINE PAT1 lidocaine/prilocaine LIDOCAINE-

PRILOCAINE

Topical Preparations,miscellaneousT1 calcium

acetate/aluminumsulf

ASTRINGENTSOLUTION(OTC)

T1 chlorhexgl/glycerin/he-cell

LUBRICATINGJELLY(OTC)

T1 povidone-iodine POVIDONE-IODINE(OTC)

T1 sodium chloride NORMLGEL(OTC)T1 sodium chloride WOUND WASH

SALINE(OTC)T1 surgical lubricant SURGILUBE(OTC)

DERMATOLOGY - PIGMENTATION

DISORDERSTopical Hyperpigmentation AgentsT1 methoxsalen OXSORALEN

DERMATOLOGY -

PSORIASIS/ECZEMAAntipsoriatic Agents,systemicT1 acitretin ACITRETINT1 methoxsalen 8-MOPT1 methoxsalen, rapid OXSORALEN-ULTRA

Antipsoriatics AgentsT1 calcipotriene CALCIPOTRIENE STT1 calcipotriene DOVONEXT1 tazarotene TAZORAC PA

Topical Agents,miscellaneousT1 skin cleanser comb

no.15AQUANIL(OTC)

Topical Immunosuppressive AgentsT1 pimecrolimus ELIDEL STT1 tacrolimus PROTOPIC ST

DIABETESAntihypergly, (dpp-4) Inhibitor & Biguanide

Comb.T1 linagliptin/metformin

hclJENTADUETO QL, ST

T1 saxagliptinhcl/metformin hcl

KOMBIGLYZE XR PA

T1 sitagliptinphos/metformin hcl

JANUMET QL, ST

T1 sitagliptinphos/metformin hcl

JANUMET XR QL, ST

Antihypergly,incretin MimeticT1 exenatide

microspheresBYDUREON PA

T1 liraglutide VICTOZA 2-PAK PAT1 liraglutide VICTOZA 3-PAK PA

Antihyperglycemc-sod/gluc

Cotransport2(sglt2)inhibT1 canagliflozin INVOKANA PA

Antihyperglycemic, Alpha-glucosidase InhibT1 acarbose ACARBOSE

Antihyperglycemic, Dpp-4 InhibitorsT1 linagliptin TRADJENTA QL, STT1 saxagliptin hcl ONGLYZA PA


LA Care of 59

T1 sitagliptin phosphate JANUVIA QL, ST

Antihyperglycemic, Insulin-release Stimulant

TypeT1 chlorpropamide CHLORPROPAMIDET1 glimepiride GLIMEPIRIDET1 glipizide GLIPIZIDET1 glyburide DIABETAT1 glyburide GLYBURIDET1 nateglinide NATEGLINIDET1 tolazamide TOLAZAMIDET1 tolbutamide TOLBUTAMIDE

Antihyperglycemic, Insulin-response

EnhancerT1 pioglitazone hcl PIOGLITAZONE HCL ST

Antihyperglycemic,biguanide TypeT1 metformin hcl METFORMIN

HCL(TAB)(1000 MG)QL

T1 metformin hcl METFORMINHCL(TAB)(500 MG)

QL

T1 metformin hcl METFORMINHCL(TAB)(850 MG)

T1 metformin hcl RIOMET AGE

Antihyperglycemic,insulin-rel Stim.&

Biguanide CmbT1 glipizide/metformin

hclGLIPIZIDE-METFORMIN

ST

T1 glyburide/metforminhcl

GLYBURIDE-METFORMIN HCL

Antihyperglycemic,insulin-response &

Release Comb.T1 pioglitazone

hcl/glimepiridePIOGLITAZONE-GLIMEPIRIDE

ST

Antihyperglycemic-glucocorticoid Receptor

BlockerT1 mifepristone KORLYM PA

Antihyperglycm,insul-resp.enhancer &

Biguanide CmbT1 pioglitazone

hcl/metformin hclACTOPLUS MET XR ST

T1 pioglitazonehcl/metformin hcl

PIOGLITAZONE-METFORMIN

ST

Blood Sugar DiagnosticsT1 blood sugar diagnostic FREESTYLE

INSULINX(OTC)QL

T1 blood sugar diagnostic FREESTYLELITE(OTC)

QL

T1 blood sugar diagnostic FREESTYLE(OTC) QLT1 blood sugar diagnostic OPTIUM EZ(OTC) QL

T1 blood sugar diagnostic OPTIUM(OTC) QLT1 blood sugar diagnostic PRECISION PCX

PLUS(OTC)QL

T1 blood sugar diagnostic PRECISIONPCX(OTC)

QL

T1 blood sugar diagnostic PRECISION POINTOF CARE(OTC)

QL

T1 blood sugar diagnostic PRECISION Q-I-D(OTC)

QL

T1 blood sugar diagnostic PRECISIONXTRA(OTC)

QL

T1 blood sugar diagnostic ULTIMA(OTC) QL

Diabetic SuppliesT1 blood-glucose meter FREESTYLE FLASH

SYSTEM(OTC)QL

T1 blood-glucose meter FREESTYLEFREEDOM LITE(OTC)

QL

T1 blood-glucose meter FREESTYLEFREEDOM(OTC)

QL

T1 blood-glucose meter FREESTYLEINSULINX(OTC)

QL

T1 blood-glucose meter FREESTYLE LITEMETER(OTC)

QL

T1 blood-glucose meter FREESTYLESIDEKICK II(OTC)

QL

T1 blood-glucose meter FREESTYLESYSTEM(OTC)

QL

T1 blood-glucose meter PRECISIONXTRA(OTC)

QL

T1 blood-glucose meter PRECISION(OTC) QLT1 lancing device/lancets ONE TOUCH

SURESOFT(OTC)

Diabetic Ulcer Preparations,topicalT1 becaplermin REGRANEX PA

HyperglycemicsT1 dextrose DEX4

GLUCOSE(OTC)

InsulinsT1 hum insulin nph/reg

insulin hmHUMULIN 70/30KWIKPEN(OTC)

T1 hum insulin nph/reginsulin hm

HUMULIN 70-30(OTC)

T1 hum insulin nph/reginsulin hm

NOVOLIN 70-30(OTC)

T1 insulin aspart NOVOLOGT1 insulin aspart NOVOLOG FLEXPENT1 insulin detemir LEVEMIR STT1 insulin

glargine,hum.rec.anlogLANTUS

T1 insulinglargine,hum.rec.anlog

LANTUS SOLOSTAR

T1 insulin glulisine APIDRA STT1 insulin glulisine APIDRA SOLOSTART1 insulin lispro HUMALOGT1 insulin npl/insulin lisproHUMALOG MIX 50-50T1 insulin npl/insulin lisproHUMALOG MIX 75-25T1 insulin regular, human HUMULIN R(OTC)T1 insulin regular, human NOVOLIN R(OTC)


LA Care of 59

T1 insuln asp prt/insulinaspart

NOVOLOG MIX 70-30

T1 insuln asp prt/insulinaspart

NOVOLOG MIX 70-30FLEXPEN

T1 nph, human insulinisophane

HUMULIN N(OTC)


NOVOLIN NINNOLET(OTC)


NOVOLIN N(OTC)

EAR - GENERAL DISORDERSEar Preparations, Misc. Anti-infectivesT1 acetic acid ACETIC ACIDT1 acetic acid/aluminum

acetateACETIC ACID-ALUMINUM

T1 aceticacid/hydrocortisone

HYDROCORTISONE-ACETIC ACID

Ear Preparations,antibioticsT1 neomycin/polymyxin

b sulf/hcNEOMYCIN-POLYMYXIN-HC

Ear Preparations,ear Wax RemoversT1 carbamide peroxide EAR DROPS(OTC)

Ear Preparations,local AnestheticsT1 antipyrine/benzocain

e/glycerinANTIPYRINE-BENZOCAINE

Otic Preparations,anti-inflammatory-

antibioticsT1 ciprofloxacin

hcl/dexamethCIPRODEX

ELECTROLYTE REGULATIONElectrolyte DepletersT1 calcium acetate CALCIUM ACETATE QLT1 lanthanum carbonate FOSRENOL PAT1 sevelamer carbonate RENVELA PAT1 sevelamer hcl RENAGEL PAT1 sodium polystyrene

sulfonateSPS

Electrolyte MaintenanceT1 electrolyte,oral PEDIATRIC

ELECTROLYTE(OTC)

Potassium ReplacementT1 pot chloride/pot

bicarb/cit acPOTASSIUMCHLORIDE

T1 potassiumbicarbonate/cit ac

KLOR-CON-EF

T1 potassium chloride POTASSIUMCHLORIDE

Sodium/saline PreparationsT1 sodium chloride SODIUM

CHLORIDE(OTC)

ENDOCRINE DISORDER - FERTILITYFollicle-stimulating HormoneT1 follitropin beta,recomb FOLLISTIM AQT1 urofollitropin BRAVELLE

Human Chorionic GonadotropinT1 chorionic

gonadotropin, humanCHORIONICGONADOTROPIN

T1 chorionicgonadotropin, human

NOVAREL

T1 chorionicgonadotropin, human

PREGNYL

ENDOCRINE DISORDER - OTHERAdrenocorticotrophic HormonesT1 corticotropin H.P. ACTHAR PA

Antidiuretic And Vasopressor HormonesT1 desmopressin

(nonrefrigerated)DESMOPRESSINACETATE

T1 desmopressin acetate DDAVPT1 desmopressin

acetateDESMOPRESSINACETATE

T1 desmopressin acetate STIMATE

Antineoplastic Lhrh(gnrh) Agonist,pituitary

Suppr.T1 leuprolide acetate ELIGARD PA

Bone Resorption InhibitorsT1 alendronate sodium ALENDRONATE

SODIUM(SOLUTION)QL

T1 alendronate sodium ALENDRONATESODIUM(TAB)(10 MG)

QL


QL


QL


QL


QL

T1 calcitonin,salmon,synthetic

CALCITONIN-SALMON

T1 denosumab PROLIA PAT1 denosumab XGEVA PAT1 ibandronate sodium IBANDRONATE

SODIUMQL, ST

T1 raloxifene hcl EVISTA QLT1 risedronate sodium ACTONEL(TAB)(150

MG)PA

T1 risedronate sodium ACTONEL(TAB)(30MG)

PA, QL


PA, QL


PA, QL

T1 risedronate sodium ATELVIA PA


LA Care of 59

Growth HormonesT1 somatropin GENOTROPINT1 somatropin HUMATROPE PAT1 somatropin NORDITROPIN

FLEXPROPA

T1 somatropin NORDITROPINNORDIFLEX

PA

T1 somatropin OMNITROPET1 somatropin SAIZEN PAT1 somatropin SEROSTIM PAT1 somatropin TEV-TROPIN PAT1 somatropin ZORBTIVE PA

Hyperparathyroid Tx Agents - Vitamin D

Analog-typeT1 doxercalciferol DOXERCALCIFEROLT1 doxercalciferol HECTOROLT1 paricalcitol PARICALCITOL PA

Insulin-like Growth Factor-1 (igf-1)

HormonesT1 mecasermin INCRELEX PA

Lhrh(gnrh) Antagonist,pituitary Suppressant

AgentsT1 ganirelix acetate GANIRELIX ACETATE

Luteinizing Hormone Releasing Hormone

-lhrhT1 gonadorelin acetate LUTREPULSE PA

Pituitary Suppressive AgentsT1 cabergoline CABERGOLINE QLT1 danazol DANAZOL

ENDOCRINE DISORDER - THYROIDAntithyroid PreparationsT1 methimazole METHIMAZOLET1 propylthiouracil PROPYLTHIOURACIL

Iodine Containing AgentsT1 potassium iodide SSKI

Thyroid HormonesT1 levothyroxine

sodiumLEVOTHYROXINESODIUM

T1 liothyronine sodium LIOTHYRONINESODIUM

T1 thyroid,pork ARMOUR THYROIDT1 thyroid,pork NP THYROID

EYE - GENERAL DISORDERSEye Antibiotic-corticoid CombinationsT1 neo/polymyx b

sulf/dexamethNEOMYCIN-POLYMYXIN-DEXAMETH

T1 neomy sulf/bacitraczn/poly/hc

NEOMYCIN-BACITRACIN-POLY-HC

T1 neomycin sulfate/dexna ph

NEOMYCINW/DEXAMETHASONE

T1 tobramycin/dexamethasone

TOBRADEX

T1 tobramycin/dexamethasone

TOBRAMYCIN-DEXAMETHASONE

Eye AntihistaminesT1 alcaftadine LASTACAFT AGE,

QL, STT1 azelastine hcl AZELASTINE HCL STT1 ketotifen fumarate KETOTIFEN

FUMARATE(OTC)T1 olopatadine hcl PATADAY QL, STT1 olopatadine hcl PATANOL AGE,

QL, ST

Eye Antihistamine-vasoconstrictor

CombinationsT1 naphazoline

hcl/pheniramineVISINE-A(OTC)

Eye Antiinflammatory AgentsT1 dexamethasone sod

phosphateDEXAMETHASONESODIUMPHOSPHATE

T1 diclofenac sodium DICLOFENACSODIUM

T1 fluorometholone FLUOROMETHOLONE

T1 fluorometholone FML FORTET1 fluorometholone FML S.O.P.T1 fluorometholone

acetateFLAREX

T1 flurbiprofen sodium FLURBIPROFENSODIUM

T1 ketorolactromethamine

KETOROLACTROMETHAMINE

T1 prednisolone acetate PRED MILDT1 prednisolone acetate PREDNISOLONE

ACETATET1 prednisolone sod

phosphatePREDNISOLONESODIUMPHOSPHATE

Eye AntiviralsT1 trifluridine TRIFLURIDINE

Eye SulfonamidesT1 na sulfacetm/prednis

spSULFALONE


LA Care of 59


T1 sulfacetamidesodium

SULFACETAMIDESODIUM

T1 sulfacetamide/prednisolone sp

SULFACETAMIDE-PREDNISOLONE

T1 sulfacetm na/prednisolac

BLEPHAMIDE

T1 sulfacetm na/prednisolac

BLEPHAMIDE S.O.P.

Eye VasoconstrictorsT1 naphazoline hcl NAPHAZOLINE HCLT1 naphazoline hcl/peg

300REDNESSRELIEF(OTC)

T1 naphazolinehcl/pheniramine

EYE ALLERGYRELIEF(OTC)

T1 tetrahydrozoline hcl EYE DROPS(OTC)T1 tetrahydrz/dext

70/peg 400/pvpADVANCEDFORMULA EYEDROPS(OTC)

Ophthalmic AntibioticsT1 bacitracin/polymyxin

b sulfateAK-POLY-BAC

T1 ciprofloxacin hcl CIPROFLOXACINHCL

T1 erythromycin base ERYTHROMYCINT1 gentamicin sulfate GENTAMICIN

SULFATET1 levofloxacin LEVOFLOXACINT1 neomy

sulf/bacitra/polymyxin b

NEOMYCIN-BACITRACIN-POLYMYXIN

T1 neomycin/polymyxnb/gramicidin

NEOMYCIN-POLYMYXIN-GRAMICIDIN

T1 ofloxacin OFLOXACINT1 polymyxin b

sulf/trimethoprimPOLYMYXIN B SUL-TRIMETHOPRIM

Ophthalmic Anti-inflammatory

Immunomodulator-typeT1 cyclosporine RESTASIS PA

Ophthalmic Mast Cell StabilizersT1 cromolyn sodium CROMOLYN SODIUMT1 lodoxamide

tromethamineALOMIDE PA

T1 nedocromil sodium ALOCRIL PA

Ophthalmic Preparations, MiscellaneousT1 sodium chloride SODIUM

CHLORIDE(OTC)

EYE - GLAUCOMACarbonic Anhydrase InhibitorsT1 acetazolamide ACETAZOLAMIDET1 methazolamide METHAZOLAMIDE

Miotics/other Intraoc. Pressure ReducersT1 apraclonidine hcl APRACLONIDINE

HCLT1 betaxolol hcl BETAXOLOL HCLT1 betaxolol hcl BETOPTIC ST1 bimatoprost LUMIGAN PAT1 brimonidine tartrate ALPHAGAN PT1 brimonidine tartrate BRIMONIDINE

TARTRATET1 brimonidine

tartrate/timololCOMBIGAN ST

T1 brinzolamide/brimonidtart

SIMBRINZA ST

T1 carbachol ISOPTO CARBACHOLT1 carteolol hcl CARTEOLOL HCLT1 dorzolamide hcl DORZOLAMIDE HCLT1 dorzolamide

hcl/timolol maleatDORZOLAMIDE-TIMOLOL

T1 latanoprost LATANOPROSTT1 levobunolol hcl LEVOBUNOLOL HCLT1 metipranolol METIPRANOLOLT1 pilocarpine hcl PILOCARPINE HCLT1 timolol BETIMOLT1 timolol maleate TIMOLOL MALEATET1 travoprost TRAVATAN Z PAT1 unoprostone isopropyl RESCULA PA

MydriaticsT1 atropine sulfate ATROPINE SULFATET1 cyclopentolate hcl CYCLOGYLT1 cyclopentolate hcl CYCLOPENTOLATE

HCLT1 homatropine hbr HOMATROPAIRET1 homatropine hbr ISOPTO

HOMATROPINET1 tropicamide TROPICAMIDE

EYE - MISCELLANEOUSArtificial TearsT1 dextran

70/hypromelloseARTIFICIALTEARS(OTC)

T1 dextran70/hypromellose/pf

BION TEARS(OTC)

T1 dextran70/hypromellose/pf

TEARS NATURALEFREE(OTC)

T1 glycerin/propyleneglycol

ARTIFICIALTEARS(OTC)

T1 hypromellose NATURE'STEARS(OTC)

T1 polyvinyl alcohol ARTIFICIALTEARS(OTC)

T1 polyvinylalcohol/povidone


Contact Lens PreparationsT1 sodium chloride SALINE(OTC)

Eye IrrigationsT1 sod borate/boric

ac/water/naclEYE IRRIGATINGSOLUTION(OTC)


LA Care of 59

T1 sodium/potassium/sod chl

EYE WASH(OTC)

Eye Preparations, MiscellaneousT1 lanolin/min

oil/petrolat,whtAKWA TEARS(OTC)




REFRESH LACRI-LUBE(OTC)

Ophth Vasc. Endothelial Growth Factor

AntagonistsT1 aflibercept EYLEA PA

Ophthalmic Cystine Depleting AgentsT1 cysteamine hcl CYSTARAN PA

Topical Hypertrichotic Agents, EyelashesT1 bimatoprost LATISSE PA

GOUT AND RELATED DISEASESColchicineT1 colchicine COLCHICINET1 colchicine COLCRYST1 colchicine/probeneci

dPROBENECID-COLCHICINE

Hyperuricemia Tx - Purine InhibitorsT1 allopurinol ALLOPURINOLT1 febuxostat ULORIC PA

Uricosuric AgentsT1 probenecid PROBENECID

HEMATOLOGICAL DISORDERSAnticoagulants,coumarin TypeT1 warfarin sodium WARFARIN SODIUM

Antifibrinolytic AgentsT1 aminocaproic acid AMINOCAPROIC

ACID

Antihemophilic FactorsT1 antihemoph.fviii

plas/alb freeADVATE PA

T1 antihemoph.fviiiplas/alb free

ADVATE H PA


ADVATE L PA


ADVATE M PA


ADVATE SH PA


ADVATE UH PA


XYNTHA PA

T1 antihemophilic factor,hum rec

BIOCLATE PA


HELIXATE FS PA


KOGENATE FS(KIT) PA


KOGENATE FS(VIAL) PA


RECOMBINATE(VIAL)(1000 (+/-))

PA



PA



PA



PA



PA

T1 antihemophilic factor,human

HEMOFIL M PA


KOATE-DVI(VIAL)(1000 (+/-))

PA


KOATE-DVI(VIAL)(250(+/-))

PA


KOATE-DVI(VIAL)(500(+/-))

PA


MONOCLATE-P PA

T1 antihemophilicfactor/vwf

ALPHANATE PA


HUMATE-P PA


WILATE PA

T1 anti-inhibitor coagulantcomp.

FEIBA NF PA

T1 anti-inhibitor coagulantcomp.

FEIBA VH IMMUNO PA

T1 coagulation factorviia,recomb

NOVOSEVEN PA

T1 coagulation factorviia,recomb

NOVOSEVEN RT PA

Direct Factor Xa InhibitorsT1 rivaroxaban XARELTO PA

Factor Ix PreparationsT1 factor ix ALPHANINE SD PAT1 factor ix MONONINE PAT1 factor ix complex

humanBEBULIN PA

T1 factor ix complexhuman

BEBULIN VHIMMUNO

PA

T1 factor ix complexhuman

PROFILNINE SD PA

T1 factor ix humanrecombinant

BENEFIX PA

T1 factor ix humanrecombinant

RIXUBIS PA

Hematinics,otherT1 epoetin alfa EPOGEN PA


LA Care of 59

T1 epoetin alfa PROCRIT PA

Hemorrheologic AgentsT1 pentoxifylline PENTOXIFYLLINE

Heparin And Related PreparationsT1 enoxaparin sodium ENOXAPARIN

SODIUMT1 enoxaparin sodium ENOXAPARIN

SODIUM(SYRINGE)QL

T1 enoxaparin sodium ENOXAPARINSODIUM(VIAL)

PA

Leukocyte (wbc) StimulantsT1 filgrastim NEUPOGEN PAT1 pegfilgrastim NEULASTA PAT1 sargramostim LEUKINE PA

Platelet Aggregation InhibitorsT1 aspirin/dipyridamole AGGRENOX PAT1 cilostazol CILOSTAZOLT1 clopidogrel bisulfate CLOPIDOGRELT1 dipyridamole DIPYRIDAMOLET1 prasugrel hcl EFFIENT AGE,

STT1 ticagrelor BRILINTA STT1 ticlopidine hcl TICLOPIDINE HCL

Platelet Reducing AgentsT1 anagrelide hcl ANAGRELIDE HCL

Thrombin Inhibitors,selective,direct, &

ReversibleT1 dabigatran etexilate

mesylatePRADAXA PA

Vitamin K PreparationsT1 phytonadione MEPHYTON

HORMONAL DEFICIENCYAndrogenic AgentsT1 fluoxymesterone ANDROXY QLT1 methyltestosterone ANDROIDT1 methyltestosterone METHITESTT1 methyltestosterone TESTREDT1 testosterone ANDRODERM QLT1 testosterone ANDROGEL(GEL MD

PMP)(1.25G (1%))PA, QL

T1 testosterone ANDROGEL(GEL MDPMP)(20.25/1.25)

QL

T1 testosterone ANDROGEL(GELPACKET)(25MG(1%))

PA, QL

T1 testosterone ANDROGEL(GELPACKET)(50 MG(1%))

PA, QL

T1 testosterone AXIRON QLT1 testosterone FORTESTA PA, QLT1 testosterone STRIANT QLT1 testosterone TESTIM PA, QLT1 testosterone TESTOPEL QL

Estrogen/androgen CombinationsT1 estrogen,ester/me-

testosteroneESTROGEN &METHYLTESTOSTERONE

Estrogenic AgentsT1 estradiol ALORA QLT1 estradiol DIVIGEL QLT1 estradiol ELESTRIN QLT1 estradiol ESTRADIOL(PATCH

TDWK)QL

T1 estradiol ESTRADIOL(TAB) QLT1 estradiol ESTRASORB QLT1 estradiol ESTROGEL QLT1 estradiol EVAMIST QLT1 estradiol MENOSTAR QLT1 estradiol MINIVELLE QLT1 estradiol VIVELLE-DOT QLT1 estradiol/levonorgestre

lCLIMARA PRO QL

T1 estradiol/norethindroneacet

COMBIPATCH QL

T1 estradiol/norethindrone acet

ESTRADIOL-NORETHINDRONEACETAT

QL

T1 estradiol/norgestimate PREFEST QLT1 estrogen,con/m-

progest acetPREMPHASE

T1 estrogen,con/m-progest acet

PREMPRO QL

T1 estrogens, conjugated PREMARIN(TAB)(0.3MG)

QL


QL

T1 estrogens, conjugated PREMARIN(TAB)(0.625 MG)

QL



QL

T1 estrogens,conj.,synthetic a

CENESTIN QL

T1 estrogens,conj.,synthetic b

ENJUVIA QL

T1 estrogens,esterified MENEST QLT1 estropipate ESTROPIPATE QLT1 norethind ac/ethinyl

estradiolFEMHRT QL

Progestational AgentsT1 hydroxyprogesterone

caproateMAKENA PA

T1 medroxyprogesterone acet

MEDROXYPROGESTERONE ACETATE

T1 medroxyprogesterone acetate

MEDROXYPROGESTERONE ACETATE

T1 norethindroneacetate

NORETHINDRONEACETATE

T1 progesterone,micronized

PROGESTERONE


LA Care of 59

IMMUNOSUPPRESSION/MODULATIONImmunomodulatorsT1 imiquimod IMIQUIMOD PAT1 imiquimod ZYCLARA PAT1 interferon alfa-

2b,recomb.INTRON A PA

T1 interferon alfa-n3 ALFERON N PAT1 interferon gamma-

1b,recomb.ACTIMMUNE PA

ImmunosuppressivesT1 azathioprine AZASANT1 azathioprine AZATHIOPRINET1 cyclosporine CYCLOSPORINET1 cyclosporine SANDIMMUNET1 cyclosporine,

modifiedCYCLOSPORINEMODIFIED

T1 everolimus ZORTRESST1 mycophenolate mofetil CELLCEPTT1 mycophenolate

mofetilMYCOPHENOLATEMOFETIL

T1 sirolimus RAPAMUNET1 sirolimus SIROLIMUST1 tacrolimus PROGRAFT1 tacrolimus TACROLIMUS

INFECTIOUS DISEASE - BACTERIALAbsorbable SulfonamidesT1 sulfamethoxazole/tri

methoprimSULFAMETHOXAZOLE-TRIMETHOPRIM

BetalactamsT1 aztreonam lysine CAYSTON PA

CephalosporinsT1 cephalexin

monohydrateCEPHALEXIN

Cephalosporins - 1st GenerationT1 cefadroxil hydrate CEFADROXILT1 cephalexin CEPHALEXIN

Cephalosporins - 2nd GenerationT1 cefaclor CEFACLORT1 cefprozil CEFPROZILT1 cefuroxime axetil CEFTINT1 cefuroxime axetil CEFUROXIME

Cephalosporins - 3rd GenerationT1 cefdinir CEFDINIRT1 cefixime SUPRAX QLT1 cefpodoxime proxetil CEFPODOXIME

PROXETIL(SUSPRECON)

AGE

T1 cefpodoxime proxetil CEFPODOXIMEPROXETIL(TAB)

Chemotherapeutics, Antibacterial, Misc.T1 trimethoprim TRIMETHOPRIM

KetolidesT1 telithromycin KETEK QL, ST

MacrolidesT1 azithromycin AZITHROMYCINT1 azithromycin ZMAXT1 clarithromycin CLARITHROMYCINT1 ery e-

succ/sulfisoxazoleERYTHROMYCIN-SULFISOXAZOLE

T1 erythromycin base ERY-TABT1 erythromycin base ERYTHROMYCINT1 erythromycin

ethylsuccinateE.E.S. 200

T1 erythromycinethylsuccinate

ERYPED 200


ERYPED 400


ERYTHROMYCINETHYLSUCCINATE

T1 erythromycinstearate

ERYTHROCINSTEARATE

T1 fidaxomicin DIFICID PA

Nitrofuran DerivativesT1 nitrofurantoin NITROFURANTOIN AGET1 nitrofurantoin

macrocrystalMACRODANTIN

T1 nitrofurantoinmacrocrystal

NITROFURANTOIN

T1 nitrofurantoinmonohyd/m-cryst

NITROFURANTOINMONO-MACRO

OxazolidinonesT1 linezolid ZYVOX PA

PenicillinsT1 amoxicillin AMOXICILLINT1 amoxicillin trihydrate AMOXICILLINT1 amoxicillin/potassiu

m clavAMOX TR-POTASSIUMCLAVULANATE

T1 amoxicillin/potassiumclav

AUGMENTIN

T1 ampicillin trihydrate AMPICILLINTRIHYDRATE

T1 dicloxacillin sodium DICLOXACILLINSODIUM

T1 oxacillin sodium BACTOCILL AGET1 penicillin v

potassiumPENICILLIN VPOTASSIUM

QuinolonesT1 ciprofloxacin CIPROT1 ciprofloxacin hcl CIPROFLOXACIN

HCLT1 ciprofloxacin/ciproflo

xa hclCIPROFLOXACINER(TBMP 24HR)(1000MG)

AGE

T1 ciprofloxacin/ciprofloxa hcl

CIPROFLOXACINER(TBMP 24HR)(500MG)


LA Care of 59

T1 levofloxacin LEVOFLOXACIN(SOLUTION)

QL

T1 levofloxacin LEVOFLOXACIN(TAB)(250 MG)



QL

T1 levofloxacin LEVOFLOXACIN(TAB)(750MG)

QL

T1 nalidixic acid NALIDIXIC ACID AGE

TetracyclinesT1 demeclocycline hcl DEMECLOCYCLINE

HCLT1 doxycycline hyclate DOXYCYCLINE

HYCLATET1 doxycycline

monohydrateDOXYCYCLINEMONOHYDRATE(CAP)

T1 doxycyclinemonohydrate

DOXYCYCLINEMONOHYDRATE(SUSP RECON)

T1 doxycyclinemonohydrate

DOXYCYCLINEMONOHYDRATE(TAB)

AGE

T1 minocycline hcl MINOCYCLINE HCLT1 tetracycline hcl TETRACYCLINE HCL

INFECTIOUS DISEASE - FUNGALAntifungal AgentsT1 clotrimazole CLOTRIMAZOLET1 fluconazole FLUCONAZOLET1 itraconazole SPORANOX PAT1 ketoconazole KETOCONAZOLET1 terbinafine hcl TERBINAFINE HCL QL

Antifungal AntibioticsT1 griseofulvin

ultramicrosizeGRISEOFULVINULTRAMICROSIZE

T1 griseofulvin,microsize

GRISEOFULVIN

T1 nystatin NYSTATIN

INFECTIOUS DISEASE -

MISCELLANEOUSAminoglycosidesT1 neomycin sulfate NEOMYCIN SULFATET1 tobramycin TOBI PODHALER PAT1 tobramycin in 0.225%

naclTOBRAMYCIN PA

AntileproticsT1 dapsone DAPSONET1 thalidomide THALOMID

Anti-mycobacterium AgentsT1 ethambutol hcl ETHAMBUTOL HCL

T1 isoniazid ISONIAZIDT1 pyrazinamide PYRAZINAMIDET1 rifabutin MYCOBUTIN PA

Antitubercular AntibioticsT1 rifampin RIFAMPIN

LincosamidesT1 clindamycin hcl CLINDAMYCIN

HCL(CAP)(150 MG)T1 clindamycin hcl CLINDAMYCIN

HCL(CAP)(300 MG)T1 clindamycin hcl CLINDAMYCIN

HCL(CAP)(75 MG)AGE

T1 clindamycinpalmitate hcl

CLINDAMYCINPALMITATE HCL

AGE

Rifamycins And Related Derivative

AntibioticsT1 rifaximin XIFAXAN PA

Vancomycin And DerivativesT1 vancomycin hcl VANCOMYCIN HCL PA

INFECTIOUS DISEASE - PARASITIC2nd Gen. Anaerobic Antiprotozoal-

antibacterialT1 tinidazole TINIDAZOLE PA

AmebacidesT1 iodoquinol YODOXINT1 paromomycin sulfate PAROMOMYCIN

SULFATE

Anaerobic Antiprotozoal-antibacterial

AgentsT1 metronidazole FLAGYL ERT1 metronidazole METRONIDAZOLE

AnthelminticsT1 praziquantel BILTRICIDE

Antimalarial DrugsT1 chloroquine

phosphateCHLOROQUINEPHOSPHATE

T1 hydroxychloroquinesulfate

HYDROXYCHLOROQUINE SULFATE

T1 mefloquine hcl MEFLOQUINE HCLT1 primaquine phosphate PRIMAQUINET1 pyrimethamine DARAPRIMT1 quinine sulfate QUININE SULFATE

Antiprotozoal Drugs,miscellaneousT1 pentamidine

isethionateNEBUPENT PA

T1 pentamidineisethionate

PENTAMIDINEISETHIONATE

PA


LA Care of 59

INFECTIOUS DISEASE - VIRALAntiviral Monoclonal AntibodiesT1 palivizumab SYNAGIS PA

Antivirals, GeneralT1 acyclovir ACYCLOVIRT1 cidofovir CIDOFOVIR PAT1 famciclovir FAMCICLOVIRT1 oseltamivir phosphate TAMIFLU(CAP)(30

MG)QL

T1 oseltamivir phosphate TAMIFLU(CAP)(45MG)

QL

T1 oseltamivir phosphate TAMIFLU(CAP)(75MG)

QL

T1 oseltamivir phosphate TAMIFLU(SUSPRECON)

AGE,QL

T1 ribavirin VIRAZOLE PAT1 rimantadine hcl RIMANTADINE HCLT1 valacyclovir hcl VALACYCLOVIRT1 valganciclovir hcl VALCYTE PA

Antivirals, Hiv-spec, Non-peptidic Protease

InhibT1 darunavir ethanolate PREZISTA PAT1 tipranavir APTIVUS PAT1 tipranavir/vitamin e

tpgsAPTIVUS PA

Antivirals, Hiv-spec, Nucleoside-nucleotide

AnalogT1 emtricitabine/tenofovir TRUVADA PA

Antivirals, Hiv-spec., Nucleoside Analog, Rti

CombT1 abacavir

sulfate/lamivudineEPZICOM PA

T1 abacavir/lamivudine/zidovudine

ABACAVIR-LAMIVUDINE-ZIDOVUDINE

PA

T1 lamivudine/zidovudine

COMBIVIR PA

Antivirals, Hiv-specific, Ccr5 Co-receptor

Antag.T1 maraviroc SELZENTRY PA

Antivirals, Hiv-specific, Fusion InhibitorsT1 enfuvirtide FUZEON PA

Antivirals, Hiv-specific, Non-nucleoside, RtiT1 delavirdine mesylate RESCRIPTOR PAT1 efavirenz SUSTIVA PAT1 etravirine INTELENCE PAT1 nevirapine NEVIRAPINE PAT1 nevirapine VIRAMUNE XR PAT1 rilpivirine hcl EDURANT PA

Antivirals, Hiv-specific, Nucleoside Analog,

RtiT1 abacavir sulfate ABACAVIR PAT1 abacavir sulfate ZIAGEN PAT1 didanosine DIDANOSINET1 emtricitabine EMTRIVA PAT1 lamivudine EPIVIR PAT1 lamivudine LAMIVUDINE PAT1 stavudine STAVUDINE PA

Antivirals, Hiv-specific, Nucleotide Analog,

RtiT1 tenofovir disoproxil

fumarateVIREAD

Antivirals, Hiv-specific, Protease Inhibitor

CombT1 lopinavir/ritonavir KALETRA

Antivirals, Hiv-specific, Protease InhibitorsT1 atazanavir sulfate REYATAZ PAT1 fosamprenavir calcium LEXIVA PAT1 indinavir sulfate CRIXIVAN PAT1 nelfinavir mesylate VIRACEPTT1 ritonavir NORVIR PAT1 saquinavir mesylate INVIRASE PA

Antivirals,hiv-1 Integrase Strand Transfer

InhibtrT1 raltegravir potassium ISENTRESS PA

Artv Cmb Nucleoside,nucleotide,&non-

nucleoside RtiT1 efavirenz/emtricitab/te

nofovirATRIPLA PA

T1 emtricitab/rilpivirine/tenofov

COMPLERA PA

Hepatitis C Treatment AgentsT1 peginterferon alfa-2a PEGASYS PAT1 peginterferon alfa-2a PEGASYS PROCLICK PAT1 peginterferon alfa-2b PEGINTRON PAT1 peginterferon alfa-2b PEGINTRON

REDIPENPA

T1 ribavirin REBETOL PAT1 ribavirin RIBAVIRIN

Hepatitis C Virus Ns3/4a Serine Protease

Inhib.T1 boceprevir VICTRELIST1 telaprevir INCIVEK


LA Care of 59

INFLAMMATORY DISEASEAnti-arthritic And Chelating AgentsT1 penicillamine CUPRIMINET1 penicillamine DEPEN

Anti-arthritic, Folate Antagonist AgentsT1 methotrexate sodium METHOTREXATE

Anti-flam. Interleukin-1 Receptor AntagonistT1 anakinra KINERET PA

Anti-inflammatory Tumor Necrosis Factor

InhibitorT1 adalimumab HUMIRA PAT1 etanercept ENBREL PAT1 golimumab SIMPONI PA

Anti-inflammatory, Pyrimidine Synthesis

InhibitorT1 leflunomide LEFLUNOMIDE ST

Antinflammatory, Sel.costim.mod.,t-cell

InhibitorT1 abatacept ORENCIA PA

Bradykinin B2 Receptor AntagonistsT1 icatibant acetate FIRAZYR PA

GlucocorticoidsT1 budesonide BUDESONIDE EC STT1 budesonide UCERIS PAT1 cortisone acetate CORTISONE

ACETATET1 dexamethasone DEXAMETHASONET1 hydrocortisone HYDROCORTISONET1 methylprednisolone MEDROLT1 methylprednisolone METHYLPREDNISOL

ONET1 methylprednisolone

acetateDEPO-MEDROL PA

T1 methylprednisoloneacetate

METHYLPREDNISOLONE ACETATE

PA

T1 methylprednisolonesod succ

METHYLPREDNISOLONE SOD SUCC

PA

T1 methylprednisolonesod succ

SOLU-MEDROL PA

T1 methylprednisolonesod succ/pf

SOLU-MEDROL PA

T1 prednisolone MILLIPREDT1 prednisolone MILLIPRED DPT1 prednisolone PREDNISOLONET1 prednisolone sod

phosphatePREDNISOLONESODIUMPHOSPHATE

T1 prednisone PREDNISONET1 prednisone PREDNISONE

INTENSOL

Janus Kinase (jak) InhibitorsT1 tofacitinib citrate XELJANZ PA

MineralocorticoidsT1 fludrocortisone

acetateFLUDROCORTISONEACETATE

Monoclonal Antibody-human Interleukin

12/23 InhibT1 ustekinumab STELARA

Nsaids (cox Non-specific Inhib)&

Prostaglandin CmbT1 diclofenac

sodium/misoprostolDICLOFENACSODIUM-MISOPROSTOL

Nsaids, Cyclooxygenase 2 Inhibitor - TypeT1 celecoxib CELEBREX(CAP)(100

MG)AGE,QL, ST

T1 celecoxib CELEBREX(CAP)(200MG)

AGE,QL, ST


AGE,QL, ST


AGE,QL, ST

Nsaids, Cyclooxygenase Inhibitor-typeT1 diclofenac potassiumDICLOFENAC

POTASSIUMT1 diclofenac sodium DICLOFENAC

SODIUMT1 etodolac ETODOLACT1 fenoprofen calcium FENOPROFEN

CALCIUMST

T1 flurbiprofen FLURBIPROFENT1 ibuprofen IBUPROFENT1 ibuprofen IBUPROFEN(OTC)T1 indomethacin INDOCINT1 indomethacin INDOMETHACINT1 ketoprofen KETOPROFENT1 ketorolac

tromethamineKETOROLACTROMETHAMINE

QL

T1 meclofenamatesodium

MECLOFENAMATESODIUM

T1 meloxicam MELOXICAM QLT1 nabumetone NABUMETONET1 naproxen NAPROXENT1 naproxen sodium NAPROXEN SODIUMT1 oxaprozin OXAPROZINT1 piroxicam PIROXICAMT1 sulindac SULINDAC

LOCAL ANESTHESIALocal AnestheticsT1 lidocaine hcl LIDOCAINE HCL

VISCOUS


LA Care of 59

LOWER GASTROINTESTINAL

DISORDERS - BOWEL INFLAMMATBowel Antiinflamatory AgentsT1 sulfadiazine SULFADIAZINET1 sulfamethoxazole/tri

methoprimSULFATRIM

T1 sulfasalazine SULFASALAZINE

Chronic Inflam. Colon Dx, 5-a-salicylat,rectal

TxT1 mesalamine MESALAMINE

Drug Tx-chronic Inflam. Colon Dx,5-

aminosalicylatT1 balsalazide disodium BALSALAZIDE

DISODIUMT1 mesalamine APRISO STT1 mesalamine DELZICOL ST

Hemorrhoidal Prep, Anti-infam Steroid/local

AnesthT1 hydrocortisone/pramox

ineANALPRAM HC

T1 hydrocortisone/pramoxine

HYDROCORTISONE-PRAMOXINE

Irritable Bowel Agents,guanylate Cylase-c

AgonistT1 linaclotide LINZESS PA

Rectal PreparationsT1 hydrocortisone PROCTOZONE-HCT1 hydrocortisone

acetateHYDROCORTISONEACETATE

Rectal/lower Bowel Prep.,glucocort.T1 hydrocortisone HYDROCORTISONE

LOWER GASTROINTESTINAL

DISORDERS - OTHERAmmonia InhibitorsT1 glycerol phenylbutyrateRAVICTI PAT1 lactulose GENERLAC

Antidiarrheal - G.i. Chloride Channel

InhibitorsT1 crofelemer FULYZAQ PA

AntidiarrhealsT1 bismuth

subsalicylateBISMATROL(OTC)

T1 bismuth subsalicylate CHILDREN'SKAOPECTATE(OTC)

T1 diphenoxylatehcl/atropine

DIPHENOXYLATE-ATROPINE

T1 loperamide hcl LOPERAMIDET1 loperamide hcl LOPERAMIDE(OTC)

Bile SaltsT1 ursodiol URSODIOL

Calcium ReplacementT1 sennosides SENNA

LAXATIVE(OTC)

Intestinal Adsorbents And ProtectivesT1 attapulgite KA-PEC(OTC)

Laxatives And CatharticsT1 bisacodyl BISACODYL(OTC)T1 docusate calcium DOCUSATE

CALCIUM(OTC)T1 docusate sodium DOC-Q-LACE(OTC)T1 fructooligosaccharid

es/polydexHYFIBER(OTC) PA

T1 lactulose LACTULOSET1 magnesium citrate MAGNESIUM

CITRATE(OTC)T1 magnesium

hydroxideMILK OFMAGNESIA(OTC)

T1 mineral oil MINERAL OIL(OTC)T1 na phos,m-b/na

phos,di-baORAL SALINELAXATIVE(OTC)

T1 peg 3350/nasulf,bicarb,cl/kcl

GAVILYTE-C

T1 peg 3350/nasulf,bicarb,cl/kcl

GOLYTELY

T1 polyethylene glycol3350

POLYETHYLENEGLYCOL 3350

T1 polyethylene glycol3350

POLYETHYLENEGLYCOL 3350(OTC)

T1 sennosides/docusatesodium

SENNA-DOCUSATESODIUM(OTC)

T1 sodiumchloride/nahco3/kcl/peg

GAVILYTE-N

Laxatives, Local/rectalT1 bisacodyl BISAC-EVAC(OTC)T1 bisacodyl BISACODYL(OTC)T1 docusate sodium COLACE(OTC)T1 docusate sodium ENEMEEZ(OTC)T1 glycerin PEDIA-LAX(OTC)T1 glycerin SANI-SUPP(OTC)T1 mineral oil MINERAL OIL(OTC)T1 na phos,m-b/na

phos,di-baENEMADISPOSABLE(OTC)

MISCELLANEOUS AGENTSAnaphylaxis Therapy AgentsT1 epinephrine AUVI-Q STT1 epinephrine EPIPEN 2-PAK


LA Care of 59

T1 epinephrine EPIPEN JR 2-PAK QL

Parasympathetic AgentsT1 bethanechol chloride BETHANECHOL

CHLORIDET1 cevimeline hcl CEVIMELINE HCLT1 pilocarpine hcl PILOCARPINE HCL

NEOPLASTIC DISEASEAlkylating AgentsT1 altretamine HEXALENT1 busulfan MYLERANT1 chlorambucil LEUKERANT1 cyclophosphamide CYCLOPHOSPHAMID

ET1 hydroxyurea HYDROXYUREAT1 lomustine LOMUSTINET1 melphalan ALKERANT1 temozolomide TEMOZOLOMIDE

Antiandrogenic AgentsT1 bicalutamide BICALUTAMIDET1 enzalutamide XTANDIT1 flutamide FLUTAMIDET1 nilutamide NILANDRON

Antibiotic AntineoplasticsT1 doxorubicin hcl peg-

liposomalLIPODOX PA

AntimetabolitesT1 capecitabine XELODA PAT1 mercaptopurine MERCAPTOPURINET1 methotrexate sodium METHOTREXATET1 methotrexate sodium TREXALLT1 thioguanine TABLOID

Antineoplast Egf Receptor Blocker Rcmb Mc

AntibodyT1 cetuximab ERBITUX PAT1 panitumumab VECTIBIX PA

Antineoplast Hum Vegf Inhibitor Recomb Mc

AntibodyT1 bevacizumab AVASTIN PA

Antineoplastic Aromatase InhibitorsT1 anastrozole ANASTROZOLE QLT1 exemestane EXEMESTANE QLT1 letrozole LETROZOLE QL

Antineoplastic - Hedgehog Pathway InhibitorT1 vismodegib ERIVEDGE PA

Antineoplastic - Mtor Kinase InhibitorsT1 everolimus AFINITOR

Antineoplastic - Topoisomerase I InhibitorsT1 topotecan hcl HYCAMTIN

Antineoplastic - Vegf-a,b & P1gf InhibitorT1 ziv-aflibercept ZALTRAP PA

Antineoplastic Immunomodulator AgentsT1 lenalidomide REVLIMIDT1 peginterferon alfa-2b SYLATRON PAT1 peginterferon alfa-2b SYLATRON 4-PACK PAT1 pomalidomide POMALYST PA

Antineoplastic Systemic Enzyme InhibitorsT1 axitinib INLYTAT1 bortezomib VELCADE PAT1 bosutinib BOSULIFT1 bosutinib BOSULIF(TAB)(100

MG)PA, QL

T1 bosutinib BOSULIF(TAB)(500MG)

PA, QL

T1 crizotinib XALKORI PAT1 dasatinib SPRYCEL PAT1 dasatinib SPRYCEL(TAB)(100

MG)PA, QL

T1 dasatinib SPRYCEL(TAB)(140MG)

PA, QL


PA, QL


PA, QL


PA, QL


PA, QL

T1 erlotinib hcl TARCEVA PAT1 imatinib mesylate GLEEVEC PAT1 lapatinib ditosylate TYKERB PAT1 nilotinib hcl TASIGNA PAT1 pazopanib hcl VOTRIENT PAT1 ponatinib hcl ICLUSIG(TAB)(15 MG)PA, QLT1 ponatinib hcl ICLUSIG(TAB)(45 MG)PA, QLT1 regorafenib STIVARGA PAT1 sorafenib tosylate NEXAVAR PAT1 sunitinib malate SUTENT PAT1 vandetanib CAPRELSA PA

Antineoplastic,histone Deacetylase

Inhibitors,hdisT1 vorinostat ZOLINZA PA

Antineoplastics Antibody/antibody-drug

ComplexesT1 ado-trastuzumab

emtansineKADCYLA PA

Antineoplastics,miscellaneousT1 etoposide ETOPOSIDET1 mitotane LYSODRENT1 procarbazine hcl MATULANET1 tretinoin TRETINOIN


LA Care of 59

Chemotherapy Rescue/antidote AgentsT1 leucovorin calcium LEUCOVORIN

CALCIUM

Selective Estrogen Receptor ModulatorsT1 tamoxifen citrate SOLTAMOXT1 tamoxifen citrate TAMOXIFEN CITRATET1 toremifene citrate FARESTON PA

Selective Retinoid X Receptor AgonistsT1 bexarotene TARGRETIN PA

Steroid AntineoplasticsT1 estramustine

phosphate sodiumEMCYT

T1 megestrol acetate MEGESTROLACETATE

NEUROLOGICAL DISEASE -

MISCELLANEOUSAgents To Treat Multiple SclerosisT1 fingolimod hcl GILENYA PAT1 glatiramer acetate COPAXONET1 interferon beta-1a AVONEX PAT1 interferon beta-1a AVONEX PEN PAT1 interferon beta-

1a/albuminREBIF

T1 interferon beta-1a/albumin

REBIF(SYRINGE)(22MCG/.5ML)

PA

T1 interferon beta-1a/albumin

REBIF(SYRINGE)(44MCG/.5ML)

PA

T1 interferon beta-1b BETASERON PAT1 interferon beta-1b EXTAVIA PAT1 teriflunomide AUBAGIO PA

Agts Tx Neuromusc Transmission Dis,pot-

chan BlkrT1 dalfampridine AMPYRA PA

Fibromyalgia Agents,serotonin-norepineph

Ru InhibT1 milnacipran hcl SAVELLA PA

Leukocyte Adhesion Inhib,alpha4-mediat

Igg4k Mc AbT1 natalizumab TYSABRI PA

ORAL/PHARYNGEAL DISORDERSDental Aids And PreparationsT1 chlorhexidine

gluconateCHLORHEXIDINEGLUCONATE

T1 triamcinoloneacetonide

TRIAMCINOLONEACETONIDE

Nose Preparations AntibioticsT1 mupirocin calcium BACTROBAN NASAL

Nose Preparations, MiscellaneousT1 ipratropium bromide IPRATROPIUM

BROMIDE

OTHER RESPIRATORY DISORDERSCystic Fib.transmemb

Conduct.reg.(cftr)potentiatorT1 ivacaftor KALYDECO PA

MucolyticsT1 acetylcysteine ACETYLCYSTEINET1 dornase alfa PULMOZYME PA

PAIN MANAGEMENT - ANALGESICSAnalgesic, Salicylate, Barbiturate,& Xanthine

CmbT1 butalbital/aspirin/caff

eineBUTALBITAL-ASPIRIN-CAFFEINE

Analgesic,non-

salicylate,barbiturate,&xanthine CmbT1 acetaminophen/caffei

ne/butalbAMERICET

T1 butalb/acetaminophen/caffeine

BUTALBITAL-ACETAMINOPHEN-CAFFE

Analgesic/antipyretics, SalicylatesT1 aspirin ASPIRIN EC(OTC)T1 diflunisal DIFLUNISALT1 salsalate SALSALATE

Analgesic/antipyretics,non-salicylateT1 acetaminophen FEVERALL(OTC)T1 acetaminophen Q-PAP(OTC)T1 acetaminophen/pyrila

m/pamabromPRE-MENSTRUALRELIEF(OTC)

AGE

Analgesics, Narcotic Agonist And Nsaid

CombinationT1 hydrocodone/ibuprof

enHYDROCODONE BIT-IBUPROFEN

QL

Analgesics,narcoticsT1 codeine sulfate CODEINE SULFATE QLT1 codeine/carisoprodol

/aspirinCARISOPRODOL-ASPIRIN-CODEINE

T1 fentanyl FENTANYL PAT1 fentanyl SUBSYS PAT1 fentanyl citrate ABSTRAL(TAB

SUBL)(100 MCG)PA, QL


LA Care of 59

T1 fentanyl citrate ABSTRAL(TABSUBL)(200 MCG)

PA


PA


PA


PA


PA

T1 fentanyl citrate FENTANYL CITRATE PAT1 fentanyl citrate FENTORA PAT1 fentanyl citrate LAZANDA PAT1 fentanyl citrate ONSOLIS PAT1 hydrocodone/acetam

inophenHYDROCODONE-ACETAMINOPHEN(SOLUTION)(2.5-167/5)

QL

T1 hydrocodone/acetaminophen

HYDROCODONE-ACETAMINOPHEN(SOLUTION)(5-334MG/10)

QL


HYDROCODONE-ACETAMINOPHEN(SOLUTION)(7.5-325/15)

QL


HYDROCODONE-ACETAMINOPHEN(SOLUTION)(7.5-500/15)

QL


HYDROCODONE-ACETAMINOPHEN(TAB)(10-660MG)

QL


HYDROCODONE-ACETAMINOPHEN(TAB)(10-750MG)

QL


HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-300MG)

QL



QL



QL



QL


HYDROCODONE-ACETAMINOPHEN(TAB)(2.5-500 MG)

QL


HYDROCODONE-ACETAMINOPHEN(TAB)(5 MG-500MG)

QL



QL



QL


HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-300MG)

QL



QL



QL


HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-650 MG)

QL



QL

T1 hydromorphone hcl HYDROMORPHONEHCL(LIQUID)

T1 hydromorphone hcl HYDROMORPHONEHCL(SUPP)

QL

T1 hydromorphone hcl HYDROMORPHONEHCL(TAB)

QL

T1 meperidine hcl MEPERIDINE HCLT1 methadone hcl METHADONE

HCL(ORAL CONC)QL

T1 methadone hcl METHADONEHCL(TAB)(10 MG)

QL

T1 methadone hcl METHADONEHCL(TAB)(5 MG)

QL

T1 morphine sulfate KADIANT1 morphine sulfate MORPHINE SULFATE QLT1 morphine sulfate MORPHINE SULFATE

ER(CAP ER PEL)(20MG)

QL, ST

T1 morphine sulfate MORPHINE SULFATEER(CAP ER PEL)(30MG)

QL


QL, ST


QL, ST


QL, ST

T1 morphine sulfate MORPHINE SULFATEER(CPMP 24HR)

PA

T1 morphine sulfate MORPHINE SULFATEER(TAB ER)(100 MG)

QL


QL



QL


QL

T1 oxycodone hcl OXYCODONEHCL(CAP)

QL

T1 oxycodone hcl OXYCODONEHCL(SOLUTION)

T1 oxycodone hcl OXYCODONEHCL(TAB)(10 MG)

QL


QL


LA Care of 59


QL


QL


QL

T1 oxycodone hcl OXYCONTIN PAT1 oxycodone

hcl/acetaminophenOXYCODONE-ACETAMINOPHEN(CAP)

QL

T1 oxycodonehcl/acetaminophen

OXYCODONE-ACETAMINOPHEN(TAB)(2.5-325MG)


OXYCODONE-ACETAMINOPHEN(TAB)(5MG-325MG)

QL


OXYCODONE-ACETAMINOPHEN(TAB)(7.5-325MG)

QL

T1 oxycodonehcl/aspirin

OXYCODONE HCL-ASPIRIN

QL

T1 oxymorphone hcl NUMORPHAN PAT1 oxymorphone hcl OPANA PAT1 oxymorphone hcl OPANA ER PAT1 oxymorphone hcl OXYMORPHONE HCLPAT1 pentazocine

hcl/naloxone hclPENTAZOCINE-NALOXONE HCL

QL

T1 tapentadol hcl NUCYNTA PAT1 tapentadol hcl NUCYNTA ER PAT1 tramadol hcl TRAMADOL HCL QLT1 tramadol

hcl/acetaminophenTRAMADOL HCL-ACETAMINOPHEN

QL

Antimigraine PreparationsT1 almotriptan malate AXERT PA, QLT1 ergotamine tartrate ERGOMAR QL, STT1 ergotamine

tartrate/caffeineCAFERGOT QL

T1 ergotaminetartrate/caffeine

MIGERGOT QL

T1 isomethept/dichlphn/acetaminop

ISOMETHEPT-DICHLORALP-ACETAMIN

T1 naratriptan hcl NARATRIPTAN HCL QLT1 rizatriptan benzoate RIZATRIPTAN QLT1 sumatriptan SUMATRIPTAN PA, QLT1 sumatriptan

succ/naproxen sodTREXIMET PA, QL

T1 sumatriptan succinate ALSUMA QL, STT1 sumatriptan

succinateSUMATRIPTANSUCCINATE(CARTRIDGE)(4 MG/0.5ML)

QL, ST

T1 sumatriptansuccinate

SUMATRIPTANSUCCINATE(CARTRIDGE)(6 MG/0.5ML)

QL


SUMATRIPTANSUCCINATE(PENINJCTR)(4 MG/0.5ML)

QL, ST


SUMATRIPTANSUCCINATE(PENINJCTR)(6 MG/0.5ML)

QL


SUMATRIPTANSUCCINATE(TAB)

QL

T1 sumatriptan succinate SUMAVEL DOSEPRO QL, STT1 zolmitriptan ZOLMITRIPTAN QLT1 zolmitriptan ZOMIG QL, ST

Narc.& Non-sal.analgesic,barbiturate

&xanthine CmbT1 butalbit/acetamin/caff

/codeineBUTALB-CAFF-ACETAMINOPH-CODEIN

Narcotic & Salicylate Analgesics, Barb.&

XanthineT1 codeine/butalbital/as

a/caffeinBUTALBITALCOMPOUND-CODEINE

Narcotic Analgesic & Non-salicylate

Analgesic CombT1 acetaminophen with

codeineACETAMINOPHEN-CODEINE(SOLUTION)

QL

T1 acetaminophen withcodeine

ACETAMINOPHEN-CODEINE(TAB)(300MG-15MG)

QL



QL



QL


CAPITAL W-CODEINE

T1 codeinephos/acetaminophen

ACETAMINOPHENW/CODEINE(ELIXIR)

QL

T1 codeinephos/acetaminophen

ACETAMINOPHENW/CODEINE(TAB)

QL

PARKINSONS DISEASEAntiparkinsonism Drugs,otherT1 bromocriptine

mesylateBROMOCRIPTINEMESYLATE

T1 carbidopa/levodopa CARBIDOPA-LEVODOPA

T1 carbidopa/levodopa/entacapone

CARBIDOPA-LEVODOPA-ENTACAPONE

ST

T1 entacapone ENTACAPONET1 pramipexole di-hcl MIRAPEX ER QL, STT1 pramipexole di-hcl PRAMIPEXOLE

DIHYDROCHLORIDET1 ropinirole hcl ROPINIROLE

HCL(TAB ER 24H)QL, ST

T1 ropinirole hcl ROPINIROLEHCL(TAB)

T1 rotigotine NEUPRO QLT1 selegiline hcl SELEGILINE HCL


LA Care of 59

Decarboxylase InhibitorsT1 carbidopa LODOSYN

SEIZURE DISORDERAnticonvulsantsT1 carbamazepine CARBAMAZEPINET1 clobazam ONFIT1 clonazepam CLONAZEPAMT1 diazepam DIASTAT ACUDIAL PA, QLT1 diazepam DIAZEPAM PA, QLT1 divalproex sodium DIVALPROEX

SODIUM ERT1 ethosuximide ETHOSUXIMIDET1 ezogabine POTIGA PAT1 felbamate FELBAMATET1 gabapentin GABAPENTINT1 lamotrigine LAMOTRIGINET1 levetiracetam LEVETIRACETAM(SO

LUTION)T1 levetiracetam LEVETIRACETAM(TA

B ER 24H)(500 MG)QL

T1 levetiracetam LEVETIRACETAM(TAB ER 24H)(750 MG)

QL

T1 levetiracetam LEVETIRACETAM(TAB)

T1 oxcarbazepine OXCARBAZEPINET1 oxcarbazepine OXTELLAR XR STT1 oxcarbazepine TRILEPTALT1 phenytoin PHENYTOINT1 phenytoin sodium

extendedDILANTIN

T1 phenytoin sodiumextended

PHENYTEK

T1 phenytoin sodiumextended

PHENYTOIN SODIUMEXTENDED

T1 primidone PRIMIDONET1 tiagabine hcl GABITRILT1 tiagabine hcl TIAGABINE HCLT1 topiramate TOPIRAMATET1 valproic acid VALPROIC ACIDT1 valproic acid (as

sodium salt)VALPROIC ACID

T1 vigabatrin SABRIL PAT1 zonisamide ZONISAMIDE

SKELETAL MUSCLE DISORDERSkeletal Muscle RelaxantsT1 baclofen BACLOFENT1 carisoprodol CARISOPRODOLT1 carisoprodol/aspirin CARISOPRODOL-

ASPIRINT1 chlorzoxazone CHLORZOXAZONET1 cyclobenzaprine hcl CYCLOBENZAPRINE

HCLT1 dantrolene sodium DANTROLENE

SODIUMT1 metaxalone METAXALONET1 methocarbamol METHOCARBAMOL

T1 orphenadrine citrate ORPHENADRINECITRATE

T1 orphenadrine/aspirin/caffeine

ORPHENADRINECOMPOUND FORTE

T1 tizanidine hcl TIZANIDINE HCL

SMOKING CESSATIONSmoking Deterrent AgentsT1 nicotine NICOTINE

PATCH(OTC)AGE

T1 nicotine polacrilex NICOTINE GUM(OTC) AGE

Smoking Deterrent-nicotinic Recept.partial

AgonistT1 varenicline tartrate CHANTIX PA

Smoking Deterrents, OtherT1 bupropion hcl BUPROBAN

UPPER GASTROINTESTINAL

DISORDERS - DIGESTIVEAntiflatulentsT1 simethicone GAS FREE(OTC)T1 simethicone GAS-X(OTC)

Pancreatic EnzymesT1 lipase/protease/amylas

eCREON

T1 lipase/protease/amylase

ULTRASE


ULTRASE MT 12


ULTRASE MT 18


ULTRASE MT 20


DISORDERS - SPASTIC DISEASEAnticholinergics/antispasmodicsT1 dicyclomine hcl DICYCLOMINE HCL

Belladonna AlkaloidsT1 belladonna

alkaloids/phenobarbSPASMOLIN

T1 hyoscyamine sulfate CYSTOSPAZ-MT1 hyoscyamine sulfate HYOSCYAMINE

SULFATET1 phenobarb/hyoscy/at

ropine/scopANTISPASMODIC

T1 phenobarb/hyoscy/atropine/scop

DONNATAL


LA Care of 59


DISORDERS - ULCER DISEASEAntacidsT1 calcium carbonate CALCIUM

ANTACID(OTC)T1 mag hydrox/al

hydrox/simethMINTOX PLUS(OTC)

T1 magnesiumhydroxide

MAGNESIA(OTC)

T1 magnesiumhydroxide/al hydrox

ANTACID(OTC)

T1 mgtrisilicate/alh/nahco3/aa

FOAMINGANTACID(OTC)

T1 sodium bicarbonate SODIUMBICARBONATE(OTC)

Anticholinergics,quaternary AmmoniumT1 chlordiazepoxide/clid

inium brCHLORDIAZEPOXIDE-CLIDINIUM

T1 glycopyrrolate GLYCOPYRROLATET1 propantheline

bromidePROPANTHELINEBROMIDE

Anti-ulcer PreparationsT1 misoprostol MISOPROSTOLT1 sucralfate CARAFATET1 sucralfate SUCRALFATE

Histamine H2-receptor InhibitorsT1 cimetidine CIMETIDINET1 cimetidine hcl CIMETIDINET1 famotidine FAMOTIDINET1 famotidine FAMOTIDINE(OTC)T1 famotidine PEPCID RPDT1 nizatidine NIZATIDINET1 ranitidine RANITIDINE 150MGT1 ranitidine hcl RANITIDINE HCLT1 ranitidine hcl RANITIDINE

HCL(OTC)

Intestinal Motility StimulantsT1 metoclopramide hcl METOCLOPRAMIDE

HCL INTENSOLQL

T1 metoclopramide hcl METOCLOPRAMIDEHCL(SOLUTION)

QL

T1 metoclopramide hcl METOCLOPRAMIDEHCL(TAB)

QL

Proton-pump InhibitorsT1 dexlansoprazole DEXILANT STT1 lansoprazole FIRST-

LANSOPRAZOLEPA

T1 lansoprazole PREVACID AGET1 lansoprazole PREVACID

24HR(OTC)QL, ST

T1 omeprazole FIRST-OMEPRAZOLE PAT1 omeprazole OMEPRAZOLET1 omeprazole OMEPRAZOLE(OTC) QL

T1 omeprazolemagnesium

OMEPRAZOLEMAGNESIUM(OTC)

PA


PRILOSEC PA


PRILOSEC OTC(OTC)PA, QL

T1 omeprazole/sodiumbicarbonate

OMEPRAZOLE-SODIUMBICARBONATE

QL, ST


OMEPRAZOLE-SODIUMBICARBONATE(OTC)

QL, ST


ZEGERID QL, ST

T1 pantoprazole sodium PANTOPRAZOLESODIUM

QL

URINARY TRACT - FUNCTIONAL

DISORDERSBenign Prostatic Hypertrophy/micturition

AgentsT1 alfuzosin hcl ALFUZOSIN HCLT1 finasteride FINASTERIDET1 tamsulosin hcl TAMSULOSIN HCL

Bph Agents,5-alpha-red Inh & Alpha-1-adr

Antg CmbT1 dutasteride/tamsulosin

hclJALYN PA

Urinary Ph ModifiersT1 citric acid/sodium

citrateCYTRA-2

T1 phosphorus #1 PHOSPHA 250NEUTRAL

T1 potassium citrate POTASSIUM CITRATET1 potassium

citrate/citric acidCYTRA-K

T1 sod/pot/k cit/sodcit/cit acid

CYTRA-3

Urinary Tract Analgesic AgentsT1 pentosan polysulfate

sodiumELMIRON

Urinary Tract Anesthetic/analgesic AgntT1 phenazopyridine hcl PHENAZOPYRIDINE

HCL

Urinary Tract Antispasmodic, M(3) Selective

Antag.T1 darifenacin

hydrobromideENABLEX PA


LA Care of 59

Urinary Tract

Antispasmodic/antiincontinence AgentT1 oxybutynin chloride OXYBUTYNIN

CHLORIDET1 tolterodine tartrate TOLTERODINE

TARTRATEST

T1 trospium chloride TROSPIUMCHLORIDE

ST

VAGINAL DISORDERSVaginal AntibioticsT1 clindamycin

phosphateCLINDAMYCINPHOSPHATE

T1 metronidazole METRONIDAZOLET1 metronidazole VANDAZOLE

Vaginal AntifungalsT1 butoconazole nitrate MYCELEX-3(OTC)T1 clotrimazole CLOTRIMAZOLE(OT

C)T1 miconazole nitrate MICONAZOLE

NITRATE(OTC)T1 miconazole nitrate MONISTAT 3(OTC)T1 terconazole TERCONAZOLET1 tioconazole TIOCONAZOLE

1(OTC)

Vaginal Estrogen PreparationsT1 estradiol ESTRACET1 estradiol ESTRING QLT1 estrogens, conjugated PREMARIN

Vaginal SulfonamidesT1 sulfanilamide AVC

VITAMIN AND/OR MINERAL

DEFICIENCYCalcium ReplacementT1 calcium carb

&gluconate/vit d2PARVA-CAL 500(OTC)QL

T1 calcium carbonate OYSTER SHELLCALCIUM(OTC)

QL

T1 calciumcarbonate/vitamin d2

OYSTER SHELLCALCIUM W-VITD(OTC)

QL

T1 calciumcarbonate/vitamin d3

OYSTER SHELLCALCIUM W-VITD(OTC)

QL

T1 calcium citrate CALCIUMCITRATE(OTC)

QL

T1 calcium citrate/vitamind3

CITRACAL + DMAXIMUM(OTC)

QL

T1 calciumcitrate/vitamin d3

CITRUS CALCIUM +D(OTC)

QL

T1 calcium gluconate CALCIUMGLUCONATE(OTC)

QL

T1 calcium lactate CALCIUMLACTATE(OTC)

QL

Fluoride PreparationsT1 sodium fluoride FLUORIDE QLT1 sodium fluoride FLUORITAB QLT1 sodium fluoride FLURA-DROPS QL

Folic Acid PreparationsT1 folic acid FOLIC ACID QLT1 folic acid FOLIC ACID(OTC) QL

Iron ReplacementT1 ferrous gluconate FERROUS

GLUCONATE(OTC)QL

T1 ferrous sulfate FERROUSSULFATE(OTC)

QL

Magnesium Salts ReplacementT1 magnesium oxide MAGNESIUM

OXIDE(OTC)QL

T1 magnesium oxide MAGOX 400(OTC) QL

Multivitamin PreparationsT1 folic acid/mu-vits-min

thVITE CON FORTE QL

T1 multivitamin CHEWABLE-VITE(OTC)

QL

T1 multivitamins MULTIVITAMIN(OTC) QLT1 multivitamins with

min no.7/faV-C FORTE QL

Pediatric Vitamin PreparationsT1 fluoride

ion/multivitaminsMULTIVITAMINSW/FLUORIDE

QL

T1 fluoride/iron/vit a,c&dTRI-VIT WITHFLUORIDE-IRON

QL

T1 multivitamin CHILD CHEWVITAMIN(OTC)

QL

T1 multivitamin w/iron,minerals

CEROVITE JR(OTC) QL

T1 multivitamins CHILDRENSCHEWABLE(OTC)

QL

T1 multivitamins w-iron CHILDRENSCHEWABLE +IRON(OTC)

QL

T1 multivitamins withfluoride

MULTIVITAMINSWITH FLUORIDE

QL

T1 multivitamins withiron

CHILD CHEW +IRON(OTC)

QL

T1 multivits with iron &fluoride

MULTIVITAMINS W-FLUORIDE-IRON

QL

T1 ped multivit #17/ironfumarate

FLINTSTONES WITHIRON(OTC)

QL

T1 ped multivit #46/ironsulfate

POLYVITAMIN WITHIRON(OTC)

QL

T1 ped mv a,c,d3 #21 w-fluoride

TRI-VITAMIN WITHFLUORIDE

QL

T1 pedi m.vit no.17 withfluoride

MULTIVITAMIN WITHFLUORIDE

QL

T1 pedi multivit 9/iron/fa KIDS VITAMINSCOMPLETE(OTC)

QL


LA Care of 59

T1 pedi multivits a,c,&d3no.21

TRI-VITAMIN(OTC) QL

T1 pedi mvi no.16 withfluoride

MULTIVITAMINSWITH FLUORIDE

QL

T1 pediatric multivit#36/iron

VITALETS(OTC) QL

T1 pediatric multivitcomb 8/fa

KIDS VITAMINS(OTC) QL

T1 pediatric multivitcomb no.20

POLY-VITAMIN(OTC) QL

Prenatal Vitamin PreparationsT1 pnv #14/ferrous

fum/folic acidCOMPLETENATE QL

T1 pnvcomb.no.44/iron/folicacid

VITASPIRE QL

T1 pnvcombo#47/iron/fa#1/dha

ZATEAN-PN DHA QL

T1 pnv no.118/ironfumarate/fa

PRENATAL 19(OTC) QL

T1 pnv no.22/ironcbn&gluc/fa/dss

VINACAL QL

T1 pnv w-ca #40/ironfum/fa cmb#1

PNV-SELECT QL

T1 pnv w-cano.37/iron/fa/omega-3

ULTIMATECARE ONE QL

T1 pnv with cano.36/iron/fa

PERRYPRENATAL(OTC)

QL

T1 pnv withca,no.71/iron/fa

PRENAPLUS QL

T1 pnv withca,no.72/iron,carb/fa

PRENATAL PLUS QL

T1 pnv withca,no.72/iron/fa

PRENATAL PLUS QL

T1 pnv/iron,carbonyl/docusate/fa

MYNATAL QL

T1 pnv119/ironfumarate/fa/dss

SE-NATAL 19 QL

T1 pnv19/iron bghc&succ-p/fa/om3

PR NATAL 400 EC QL

T1 pnv22/ironcbn&gluc/fa/dss/dha

PRENAISSANCE DHAQL

T1 pnv39/ironfumarate/fa/dss/dha

FOLIVANE-PRX DHANF

QL

T1 pnv53/iron b-g hcl-p/fa/omega3

PR NATAL 400 QL

T1 pnv7/fe aspgly/docusate/fa

VINATE PN CARE QL

T1 pnv95/ferrousfumarate/fa

PRENATAL(OTC) QL

T1 prenatal #103/ironfumarate/fa

TRICARE QL

T1 prenatal vit#76/iron,carb/fa

PRENATABS RX QL

T1 prenatal vit 15/ironcb/fa/dss

PRENATAL AD QL


VINATE GT QL


VINATE ULTRA QL

T1 prenatal vitno.78/iron/fa

PRENATABS FA QL

T1 prenatalvit#96/ferrous fum/fa

PRENATAL(OTC) QL

T1 prenatal vit/fefumarate/fa

PRENATAL VITAMINFORMULA(OTC)

QL

T1 prenatal vit/ironfumarate/fa

PRENATALVITAMINS(OTC)

QL

T1 prenatalvit27&calcium/iron/fa

VINATE ONE QL

T1 prenatal vits w-ca,fe,fa(<1mg)

PRENATALVITAMINS(OTC)

QL

Vitamin B1 PreparationsT1 thiamine hcl VITAMIN B-1(OTC) QLT1 thiamine mononitrate VITAMIN B-1(OTC) QL

Vitamin B12 PreparationsT1 cyanocobalamin VITAMIN B-12(OTC) QLT1 cyanocobalamin

(vitamin b-12)CYANOCOBALAMININJECTION

QL

T1 cyanocobalamin(vitamin b-12)

VITAMIN B-12(OTC) QL

Vitamin B6 PreparationsT1 pyridoxine hcl VITAMIN B-6(OTC) QLT1 pyridoxine/chromium

picolinateCHROMIUMPICOLINATEKLB6(OTC)

QL

Vitamin C PreparationsT1 ascorbic acid PROTEXIN(OTC) QLT1 ascorbic acid VITAMIN C(OTC) QLT1 ascorbic

acid/ascorbatesodium

ACEROLA C(OTC) QL

Vitamin D PreparationsT1 calcitriol CALCITRIOL QLT1 cholecalciferol VITAMIN D(OTC) QLT1 cholecalciferol

(vitamin d3)VITAMIN D3(OTC) QL

T1 dihydrotachysterol DHT QLT1 ergocalciferol

(vitamin d2)VITAMIN D2 QL

T1 ergocalciferol(vitamin d2)

VITAMIN D2(OTC) QL

WEIGHT REDUCTIONAnorexic AgentsT1 phendimetrazine

tartratePHENDIMETRAZINETARTRATE

PA

T1 phentermine hcl ADIPEX-P PAT1 phentermine hcl PHENTERMINE HCL PAT1 phentermine hcl SUPRENZA ODT PAT1 phentermine resin IONAMIN PAT1 phentermine/topiramat

eQSYMIA PA


LA Care of 59

Fat Absorption Decreasing AgentsT1 orlistat ALLI(OTC) PAT1 orlistat XENICAL PA


LA Care of 59

AGE RESTRICTIONS - FORMULARY • ACE AEROSOL CLOUDENHANCER <= 18 years• AEROCHAMBER MINI <= 18 years• AEROCHAMBER PLUS FLOW-VU <= 18 years• AEROCHAMBER PLUS Z STAT <= 18 years• AMPHETAMINE SALT COMBO >= 3 years• APRODINE(OTC) >= 4 years• BACTOCILL <= 12 years• BREATHERITE <= 18 years• BREATHRITE <= 18 years• BROMFED DM >= 2 years• BUDESONIDE < 9 years• CEFPODOXIME PROXETIL(SUSPRECON) <= 12 years• CELEBREX(CAP)(100 MG) >= 60 years• CELEBREX(CAP)(200 MG) >= 60 years• CELEBREX(CAP)(400 MG) >= 60 years• CELEBREX(CAP)(50 MG) < 18 years• CHERATUSSIN AC(OTC) >= 4 years;>= 6 years• CHERATUSSIN DAC(OTC) >= 4 years;>= 6 years• CICLOPIROX(SOLUTION) <= 18 years• CIPROFLOXACIN ER(TBMP24HR)(1000 MG) <= 12 years• CITALOPRAM HBR(SOLUTION) >= 18 years• CITALOPRAM HBR(TAB)(10 MG)>= 18 years• CITALOPRAM HBR(TAB)(20 MG)>= 18 years• CITALOPRAM HBR(TAB)(40 MG)>= 18 years• CLINDAMYCIN HCL(CAP)(75MG) <= 12 years• CLINDAMYCIN PALMITATEHCL <= 12 years• DIMAPHEN DM(OTC) >= 4 years• DOXYCYCLINEMONOHYDRATE(TAB) <= 12 years• EASIVENT <= 18 years• EFFIENT < 75 years• E-Z SPACER <= 18 years• FENESIN DM IR(OTC) >= 4 years• HYDROCODONE-CHLORPHENIRAMINE >= 6 years• HYDROCODONE-HOMATROPINE MBR >= 6 years• IN-CHECK DIAL(OTC) <= 18 years• KIDKARE(OTC) >= 4 years• LASTACAFT <= 12 years• LITEAIRE <= 18 years• LITETOUCH <= 18 years• LORATADINE(SOLUTION)(OTC) <= 5 years• LORATADINE(TAB RDPDIS)(OTC) <= 12 years• MAPAP PM(OTC) >= 4 years• METHYLPHENIDATE ER(TABER 24H)(18 MG) >= 6 years• METHYLPHENIDATE ER(TABER 24H)(27 MG) >= 6 years• METHYLPHENIDATE ER(TABER 24H)(36 MG) >= 6 years• METHYLPHENIDATE ER(TABER 24H)(54 MG) >= 6 years• MICROCHAMBER <= 18 years• MICROSPACER <= 18 years• MONAGHAN Z STAT <= 18 years

• MOUTHPIECE(OTC) <= 18 years• MUCINEX COUGH(OTC) >= 4 years• MUCINEX DM(OTC) >= 4 years• MUCINEX(OTC) >= 4 years• NALIDIXIC ACID <= 12 years• NASAL DECONGESTANT(OTC) >= 4 years• NEXAFED(OTC) >= 4 years• NICOTINE GUM(OTC) >= 18 years• NICOTINE PATCH(OTC) >= 18 years• NITROFURANTOIN <= 4 years• ONE WAY MOUTHPIECE(OTC) <= 18 years• OPTICHAMBER <= 18 years• OPTICHAMBER DIAMOND <= 18 years• PANDA MASK(OTC) <= 18 years• PAROXETINE HCL(TAB ER 24H) >= 18 years• PAROXETINE HCL(TAB) >= 18 years• PATANOL <= 12 years• PAXIL >= 18 years• PEDIATRIC MASK(OTC) <= 18 years• PEDIATRIC PANDA MASK(OTC) <= 18 years• PFLEX TRAINER <= 18 years• POCKET CHAMBER <= 18 years• PRE-MENSTRUAL RELIEF(OTC) >= 4 years• PREVACID <= 12 years• PRIMEAIRE <= 18 years• PROCHAMBER <= 18 years• PROMETHAZINE HCL >= 2 years• PROMETHAZINE VC >= 2 years• PROMETHAZINE VC-CODEINE >= 2 years;>= 6 years• PROMETHAZINE-CODEINE >= 2 years;>= 6 years• PROMETHAZINE-DM >= 2 years• PROMETHEGAN >= 2 years• PULMICORT < 9 years• Q-TAPP(OTC) >= 4 years• Q-TUSSIN DM(OTC) >= 4 years• Q-TUSSIN(OTC) >= 4 years• RESCON-DM(OTC) >= 4 years• RIOMET <= 12 years;>= 10 years• RITEFLO <= 18 years• ROBITUSSIN COUGH & COLDCF(OTC) >= 4 years• SCOT-TUSSIN SENIOR(OTC) >= 4 years• SIDESTREAM MASK(OTC) <= 18 years• SIDESTREAM PEDIATRIC(OTC) <= 18 years• SILICONE MASK <= 18 years• SILICONE MASK(OTC) <= 18 years• SUDAFED 24-HOUR(OTC) >= 4 years• SUDOGEST(TAB ER)(OTC) >= 4 years• SUDOGEST(TAB)(30 MG)(OTC) >= 4 years• SUDOGEST(TAB)(60 MG)(OTC) >= 4 years• TAMIFLU(SUSP RECON) >= 1 years• TERBINAFINE(OTC) >= 12 years• THRESHOLD IMT <= 18 years• THRESHOLD PEP <= 18 years• TRETINOIN < 25 years• TRETINOIN MICROSPHERE < 25 years• TUSSI PRES-B(OTC) >= 4 years• TUSSICAPS >= 6 years• TUSSIN CF(OTC) >= 4 years• VICKS 44E COUGH &CHEST(OTC) >= 4 years• VORTEX <= 18 years• VORTEX FROG MASK(OTC) <= 18 years

Preferred Drug List Medication Prescribing Limitations

LA Care of 59

• VORTEX LADYBUG MASK(OTC)<= 18 years• VORTEX VHC FROG MASK <= 18 years• VORTEX VHC LADYBUG MASK <= 18 years• VORTEX(OTC) <= 18 years• WATCHHALER <= 18 years• WINDMILL TRAINER(OTC) <= 18 years


LA Care of 59

QUANTITY RESTRICTIONS - FORMULARY • ABSTRAL(TAB SUBL)(100 MCG) 4 units per 1 days• ACE AEROSOL CLOUDENHANCER 2 units per 365 days• ACEROLA C(OTC) 100 days• ACETAMINOPHENW/CODEINE(ELIXIR) 1800 ml per 23 days• ACETAMINOPHENW/CODEINE(TAB) 360 units per 23 days• ACETAMINOPHEN-CODEINE(SOLUTION) 1800 ml per 23 days• ACETAMINOPHEN-CODEINE(TAB)(300MG-15MG) 13 units per 1 days• ACETAMINOPHEN-CODEINE(TAB)(300MG-30MG) 360 units per 23 days• ACETAMINOPHEN-CODEINE(TAB)(300MG-60MG) 360 units per 23 days• ACTONEL(TAB)(30 MG) 1 units per 1 days• ACTONEL(TAB)(35 MG) 4 units per 28 days• ACTONEL(TAB)(5 MG) 1 units per 1 days• AEROCHAMBER MINI 2 units per 365 days• AEROCHAMBER PLUS FLOW-VU 2 units per 365 days• AEROCHAMBER PLUS Z STAT 2 units per 365 days• ALENDRONATESODIUM(SOLUTION) 300 ml per 28 days• ALENDRONATESODIUM(TAB)(10 MG) 1 units per 1 days• ALENDRONATESODIUM(TAB)(35 MG) 4 units per 28 days• ALENDRONATESODIUM(TAB)(40 MG) 1 units per 1 days• ALENDRONATESODIUM(TAB)(5 MG) 1 units per 1 days• ALENDRONATESODIUM(TAB)(70 MG) 4 units per 28 days• ALLERGY RELIEF D-24(OTC) 1 units per 1 days• ALORA 2 units per 7 days• ALSUMA 2 ml per 23 days;4 ml per

21 days• AMPHETAMINE SALT COMBO 2 units per 1 days• ANASTROZOLE 1 units per 1 days• ANDRODERM 1 units per 1 days• ANDROGEL(GEL MDPMP)(1.25G (1%)) 10 gm per 1 days• ANDROGEL(GEL MDPMP)(20.25/1.25) 5 gm per 1 days• ANDROGEL(GELPACKET)(25MG(1%)) 5 gm per 1 days• ANDROGEL(GEL PACKET)(50MG (1%)) 10 gm per 1 days• ANDROXY 4 units per 1 days• AXERT 12 units per 30 days• AXIRON 6 ml per 1 days• BENZOYL PEROXIDE(OTC) 1 gm per 23 days• BOSULIF(TAB)(100 MG) 4 units per 1 days• BOSULIF(TAB)(500 MG) 1 units per 1 days• BP WASH 1 gm per 23 days• BREATHERITE 2 units per 365 days• BREATHRITE 2 units per 365 days• BUPROPION XL(TAB ER24H)(150 MG) 2 units per 1 days• CABERGOLINE 8 units per fill• CAFERGOT 40 units per 28 days

• CAFFEINE CITRATE 60 ml per 365 days• CALCITRIOL 100 days• CALCIUM ACETATE 9 units per 1 days• CALCIUM CITRATE(OTC) 100 days• CALCIUM GLUCONATE(OTC) 100 days• CALCIUM LACTATE(OTC) 100 days• CELEBREX(CAP)(100 MG) 2 units per 1 days• CELEBREX(CAP)(200 MG) 2 units per 1 days• CELEBREX(CAP)(400 MG) 1 units per 1 days• CELEBREX(CAP)(50 MG) 2 units per 1 days• CENESTIN 1 units per 1 days• CEROVITE JR(OTC) 100 days• CETIRIZINE HCL(TABCHEW)(OTC) 1 units per 1 days• CETIRIZINE HCL(TAB)(OTC) 1 units per 1 days• CETIRIZINE-PSEUDOEPHEDRINE(OTC) 1 units per 1 days• CHEWABLE-VITE(OTC) 100 days• CHILD CHEW + IRON(OTC) 100 days• CHILD CHEW VITAMIN(OTC) 100 days• CHILDRENS CHEWABLE +IRON(OTC) 100 days• CHILDRENS CHEWABLE(OTC) 100 days• CHILDREN'S CLARITIN(OTC) 1 units per 1 days• CHROMIUM PICOLINATEKLB6(OTC) 100 days• CITALOPRAM HBR(SOLUTION) 600 ml per 30 days• CITALOPRAM HBR(TAB)(10 MG)4 units per 1 days• CITALOPRAM HBR(TAB)(20 MG)2 units per 1 days• CITALOPRAM HBR(TAB)(40 MG)1 units per 1 days• CITRACAL + D MAXIMUM(OTC)100 days• CITRUS CALCIUM + D(OTC) 100 days• CLIMARA PRO 1 units per 7 days• CLONIDINE 4 units per 21 days• CODEINE SULFATE 12 units per 1 days• COMBIPATCH 2 units per 7 days• COMPLETENATE 100 days• CYANOCOBALAMIN INJECTION100 days• DHT 100 days• DIASTAT ACUDIAL 1 units per 180 days• DIAZEPAM 1 units per 180 days• DIVIGEL 15 units per 14 days• EASIVENT 2 units per 365 days• EDLUAR 1 units per 1 days• ELESTRIN 26 gm per 28 days• ENJUVIA 1 units per 1 days• ENOXAPARINSODIUM(SYRINGE) 10 ml per fill;5 days• EPIPEN JR 2-PAK 2 units per 180 days• ERGOMAR 40 units per 28 days• ESTRADIOL(PATCH TDWK) 1 units per 7 days• ESTRADIOL(TAB) 1 units per 1 days• ESTRADIOL-NORETHINDRONEACETAT 1 units per 1 days• ESTRASORB 97.44 gm per 28 days• ESTRING 1 units per 90 days• ESTROGEL 50 gm per 28 days• ESTROPIPATE 1 units per 1 days• EVAMIST 16.2 ml per 28 days• EVISTA 1 units per 1 days• EXEMESTANE 1 units per 1 days• E-Z SPACER 2 units per 365 days• FEMHRT 1 units per 1 days


LA Care of 59

• FERROUS GLUCONATE(OTC) 100 days• FERROUS SULFATE(OTC) 100 days• FLINTSTONES WITH IRON(OTC) 100 days• FLUORIDE 100 days• FLUORITAB 100 days• FLURA-DROPS 100 days• FLUTICASONE PROPIONATE 16 gm per 23 days• FOLIC ACID 100 days• FOLIC ACID(OTC) 100 days• FOLIVANE-PRX DHA NF 100 days• FORTESTA 4 gm per 1 days• FREESTYLE FLASHSYSTEM(OTC) 1 units per 365 days• FREESTYLE FREEDOMLITE(OTC) 1 units per 365 days• FREESTYLE FREEDOM(OTC) 1 units per 365 days• FREESTYLE INSULINX(OTC) 1 units per 365 days• FREESTYLE INSULINX(OTC) 150 units per 23 days• FREESTYLE LITE METER(OTC) 1 units per 365 days• FREESTYLE LITE(OTC) 150 units per 23 days• FREESTYLE SIDEKICK II(OTC) 1 units per 365 days• FREESTYLE SYSTEM(OTC) 1 units per 365 days• FREESTYLE(OTC) 150 units per 23 days• GRANISETRON HCL 2 units per 1 days• HYDROCODONE BIT-IBUPROFEN 5 units per 1 days• HYDROCODONE-ACETAMINOPHEN(SOLUTION)(2.5-167/5) 3600 ml per 30 days• HYDROCODONE-ACETAMINOPHEN(SOLUTION)(5-334MG/10) 3600 ml per 30 days• HYDROCODONE-ACETAMINOPHEN(SOLUTION)(7.5-325/15) 5400 ml per 30 days• HYDROCODONE-ACETAMINOPHEN(SOLUTION)(7.5-500/15) 3600 ml per 30 days• HYDROCODONE-ACETAMINOPHEN(TAB)(10-660MG) 180 units per 30 days• HYDROCODONE-ACETAMINOPHEN(TAB)(10-750MG) 150 units per 30 days• HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-300MG) 390 units per 30 days• HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-325MG) 360 units per 30 days• HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-500MG) 240 units per 30 days• HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-650MG) 180 units per 30 days• HYDROCODONE-ACETAMINOPHEN(TAB)(2.5-500MG) 240 units per 30 days• HYDROCODONE-ACETAMINOPHEN(TAB)(5 MG-500MG) 240 units per 30 days• HYDROCODONE-ACETAMINOPHEN(TAB)(5MG-300MG) 390 units per 30 days

• HYDROCODONE-ACETAMINOPHEN(TAB)(5MG-325MG) 360 units per 30 days• HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-300MG) 390 units per 30 days• HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-325MG) 360 units per 30 days• HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-500MG) 240 units per 30 days• HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-650MG) 180 units per 30 days• HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-750MG) 150 units per 30 days• HYDROCODONE-HOMATROPINE MBR 30 ml per 1 days• HYDROMORPHONE HCL(SUPP) 60 units per 30 days• HYDROMORPHONE HCL(TAB) 6 units per 1 days• IBANDRONATE SODIUM 1 units per 30 days• ICLUSIG(TAB)(15 MG) 2 units per 1 days• ICLUSIG(TAB)(45 MG) 1 units per 1 days• IN-CHECK DIAL(OTC) 2 units per 365 days• INTERMEZZO 1 units per 1 days• JANUMET 2 units per 1 days• JANUMET XR 1 units per 1 days• JANUVIA 1 units per 1 days• JENTADUETO 2 units per 1 days• KETEK 20 units per 30 days• KETOROLAC TROMETHAMINE 20 units per fill• KIDS VITAMINSCOMPLETE(OTC) 100 days• KIDS VITAMINS(OTC) 100 days• LASTACAFT 1 ml per 23 days• LETROZOLE 1 units per 1 days• LEVETIRACETAM(TAB ER24H)(500 MG) 6 units per 1 days• LEVETIRACETAM(TAB ER24H)(750 MG) 4 units per 1 days• LEVOFLOXACIN(SOLUTION) 30 ml per 1 days• LEVOFLOXACIN(TAB)(750 MG) 1 units per 1 days• LEVOFLOXACIN(TAB)(750MG) 1 units per 1 days• LITEAIRE 2 units per 365 days• LITETOUCH 2 units per 365 days• LORATADINE(SOLUTION)(OTC) 240 ml per 23 days• LORATADINE(TAB RDPDIS)(OTC) 1 units per 1 days• LORATADINE(TAB)(OTC) 1 units per 1 days• LORATADINE-D(TAB ER12H)(OTC) 2 units per 1 days• LORATADINE-D(TAB ER24H)(OTC) 1 units per 1 days• LUNESTA 1 units per 1 days• MAGNESIUM OXIDE(OTC) 100 days• MAGOX 400(OTC) 100 days• MELOXICAM 1 units per 1 days• MENEST 1 units per 1 days• MENOSTAR 1 units per 7 days• METFORMIN HCL(TAB)(1000MG) 2 units per 1 days• METFORMIN HCL(TAB)(500MG) 5 units per 1 days


LA Care of 59

• METHADONE HCL(ORALCONC) 120 ml per 30 days• METHADONE HCL(TAB)(10 MG) 120 units per 30 days• METHADONE HCL(TAB)(5 MG) 240 units per 30 days• METHYLPHENIDATE ER(TABER 24H)(18 MG)

1 units per 1 days;18units after 90 days;2units per 1 days

• METHYLPHENIDATE ER(TABER 24H)(27 MG)

1 units per 1 days;2 unitsper 1 days;27 units after90 days

• METHYLPHENIDATE ER(TABER 24H)(36 MG) 2 units per 1 days• METHYLPHENIDATE ER(TABER 24H)(54 MG)

1 units per 1 days;2 unitsper 1 days;54 units after90 days

• METOCLOPRAMIDE HCLINTENSOL 1200 ml per 23 days• METOCLOPRAMIDEHCL(SOLUTION) 1200 ml per 23 days• METOCLOPRAMIDE HCL(TAB) 4 units per 1 days• MICROCHAMBER 2 units per 365 days• MICROSPACER 2 units per 365 days• MIGERGOT 20 units per 28 days• MINIVELLE 2 units per 7 days• MIRAPEX ER 1 units per 1 days• MODAFINIL 2 units per 1 days• MONAGHAN Z STAT 2 units per 365 days• MORPHINE SULFATE 120 units per 30 days• MORPHINE SULFATE ER(CAPER PEL)(20 MG) 90 units per 30 days• MORPHINE SULFATE ER(CAPER PEL)(30 MG) 90 units per 30 days• MORPHINE SULFATE ER(CAPER PEL)(50 MG) 90 units per 30 days• MORPHINE SULFATE ER(CAPER PEL)(60 MG) 90 units per 30 days• MORPHINE SULFATE ER(CAPER PEL)(80 MG) 90 units per 30 days• MORPHINE SULFATE ER(TABER)(100 MG) 90 units per 30 days• MORPHINE SULFATE ER(TABER)(15 MG) 90 units per 30 days• MORPHINE SULFATE ER(TABER)(30 MG) 90 units per 30 days• MORPHINE SULFATE ER(TABER)(60 MG) 90 units per 30 days• MOUTHPIECE(OTC) 2 units per 365 days• MULTIVITAMIN WITHFLUORIDE 100 days• MULTIVITAMIN(OTC) 100 days• MULTIVITAMINS W/FLUORIDE 100 days• MULTIVITAMINS W-FLUORIDE-IRON 100 days• MULTIVITAMINS WITHFLUORIDE 100 days• MYNATAL 100 days• NARATRIPTAN HCL 18 units per 30 days• NASONEX 17 gm per 23 days• NEUPRO 1 units per 1 days• NEXAFED(OTC) 8 units per 1 days• NEXT CHOICE ONE DOSE 2 units per 23 days• OMEPRAZOLE(OTC) 2 units per 1 days• OMEPRAZOLE-SODIUMBICARBONATE 60 units per 30 days

• OMEPRAZOLE-SODIUMBICARBONATE(OTC) 60 units per 30 days• ONDANSETRON ODT(TAB RDPDIS)(4 MG) 6 units per 1 days• ONDANSETRON ODT(TAB RDPDIS)(8 MG) 3 units per 1 days• ONE WAY MOUTHPIECE(OTC) 2 units per 365 days• OPTICHAMBER 2 units per 365 days• OPTICHAMBER DIAMOND 2 units per 365 days• OPTIUM EZ(OTC) 150 units per 23 days• OPTIUM(OTC) 150 units per 23 days• OXYCODONE HCL(CAP) 120 units per 23 days• OXYCODONE HCL(TAB)(10 MG) 120 units per 23 days• OXYCODONE HCL(TAB)(15 MG) 12 units per 1 days• OXYCODONE HCL(TAB)(20 MG) 120 units per 23 days• OXYCODONE HCL(TAB)(30 MG) 120 units per 23 days• OXYCODONE HCL(TAB)(5 MG) 12 units per 1 days• OXYCODONE HCL-ASPIRIN 360 units per 23 days• OXYCODONE-ACETAMINOPHEN(CAP) 240 units per 30 days• OXYCODONE-ACETAMINOPHEN(TAB)(5MG-325MG) 360 units per 30 days• OXYCODONE-ACETAMINOPHEN(TAB)(7.5-325MG) 360 units per 30 days• OYSTER SHELL CALCIUM W-VIT D(OTC) 100 days• OYSTER SHELL CALCIUM(OTC) 100 days• PANDA MASK(OTC) 2 units per 365 days• PANTOPRAZOLE SODIUM 2 units per 1 days• PAROXETINE HCL(TAB ER 24H) 1 units per 1 days• PARVA-CAL 500(OTC) 100 days• PATADAY 1 ml per 23 days• PATANOL 1 ml per 23 days• PEDIATRIC MASK(OTC) 2 units per 365 days• PEDIATRIC PANDA MASK(OTC) 2 units per 365 days• PENTAZOCINE-NALOXONEHCL 12 units per 1 days• PERRY PRENATAL(OTC) 100 days• PFLEX TRAINER 2 units per 365 days• PNV-SELECT 100 days• POCKET CHAMBER 2 units per 365 days• POLYVITAMIN WITHIRON(OTC) 100 days• POLY-VITAMIN(OTC) 100 days• PR NATAL 400 100 days• PR NATAL 400 EC 100 days• PRECISION PCX PLUS(OTC) 150 units per 23 days• PRECISION PCX(OTC) 150 units per 23 days• PRECISION POINT OFCARE(OTC) 150 units per 23 days• PRECISION Q-I-D(OTC) 150 units per 23 days• PRECISION XTRA(OTC) 1 units per 365 days• PRECISION XTRA(OTC) 150 units per 23 days• PRECISION(OTC) 1 units per 365 days• PREFEST 1 units per 1 days• PREMARIN(TAB)(0.3 MG) 1 units per 1 days• PREMARIN(TAB)(0.45MG) 1 units per 1 days• PREMARIN(TAB)(0.625 MG) 1 units per 1 days• PREMARIN(TAB)(1.25 MG) 1 units per 1 days• PREMPRO 1 units per 1 days• PRENAISSANCE DHA 100 days• PRENAPLUS 100 days• PRENATABS FA 100 days


LA Care of 59

• PRENATABS RX 100 days• PRENATAL 19(OTC) 100 days• PRENATAL AD 100 days• PRENATAL PLUS 100 days• PRENATAL VITAMINFORMULA(OTC) 100 days• PRENATAL VITAMINS(OTC) 100 days• PRENATAL(OTC) 100 days• PREVACID 24HR(OTC) 56 units per 21 days• PRILOSEC OTC(OTC) 56 units per 28 days• PRIMEAIRE 2 units per 365 days• PROCHAMBER 2 units per 365 days• PROTEXIN(OTC) 100 days• RITEFLO 2 units per 365 days• RIZATRIPTAN 18 units per 30 days• ROPINIROLE HCL(TAB ER 24H) 1 units per 1 days• ROZEREM 1 units per 1 days• SE-NATAL 19 100 days• SIDESTREAM MASK(OTC) 2 units per 365 days• SIDESTREAM PEDIATRIC(OTC) 2 units per 365 days• SILENOR 1 units per 1 days• SILICONE MASK 2 units per 365 days• SILICONE MASK(OTC) 2 units per 365 days• SPRYCEL(TAB)(100 MG) 1 units per 1 days• SPRYCEL(TAB)(140 MG) 1 units per 1 days• SPRYCEL(TAB)(20 MG) 2 units per 1 days• SPRYCEL(TAB)(50 MG) 1 units per 1 days• SPRYCEL(TAB)(70 MG) 1 units per 1 days• SPRYCEL(TAB)(80 MG) 1 units per 1 days• STRIANT 2 units per 1 days• SUDAFED 24-HOUR(OTC) 1 units per 1 days• SUDOGEST(TAB ER)(OTC) 2 units per 1 days• SUDOGEST(TAB)(30 MG)(OTC) 8 units per 1 days• SUDOGEST(TAB)(60 MG)(OTC) 4 units per 1 days• SUMATRIPTAN 12 units per 30 days• SUMATRIPTANSUCCINATE(CARTRIDGE)(4MG/0.5ML) 2 ml per 23 days• SUMATRIPTANSUCCINATE(CARTRIDGE)(6MG/0.5ML) 2 ml per 23 days• SUMATRIPTAN SUCCINATE(PENINJCTR)(4 MG/0.5ML) 2 ml per 23 days• SUMATRIPTAN SUCCINATE(PENINJCTR)(6 MG/0.5ML) 2 ml per 23 days• SUMATRIPTANSUCCINATE(TAB) 18 units per 30 days• SUMAVEL DOSEPRO 4 ml per 21 days• SUPRAX 2 units per 365 days• TAMIFLU(CAP)(30 MG) 20 units per 365 days• TAMIFLU(CAP)(45 MG) 10 units per 365 days• TAMIFLU(CAP)(75 MG) 10 units per 365 days• TAMIFLU(SUSP RECON) 10 days• TERBINAFINE HCL 90 units per 365 days• TERBINAFINE(OTC) 1 gm per 23 days• TESTIM 10 gm per 1 days• TESTOPEL 6 units per 90 days• THRESHOLD IMT 2 units per 365 days• THRESHOLD PEP 2 units per 365 days• TRADJENTA 2 units per 1 days• TRAMADOL HCL 8 units per 1 days• TRAMADOL HCL-ACETAMINOPHEN 8 units per 1 days• TREXIMET 9 units per 30 days• TRICARE 100 days

• TRI-VIT WITH FLUORIDE-IRON 100 days• TRI-VITAMIN WITH FLUORIDE 100 days• TRI-VITAMIN(OTC) 100 days• ULTIMA(OTC) 150 units per 23 days• ULTIMATECARE ONE 100 days• VASELINE WHITE PETROLEUM 2 gm per 23 days• V-C FORTE 100 days• VENTOLIN HFA 36 gm per 23 days < 18

years• VERAMYST 1 gm per 23 days• VINACAL 100 days• VINATE GT 100 days• VINATE ONE 100 days• VINATE PN CARE 100 days• VINATE ULTRA 100 days• VITALETS(OTC) 100 days• VITAMIN B-1(OTC) 100 days• VITAMIN B-12(OTC) 100 days• VITAMIN B-6(OTC) 100 days• VITAMIN C(OTC) 100 days• VITAMIN D(OTC) 100 days• VITAMIN D2 100 days• VITAMIN D2(OTC) 100 days• VITAMIN D3(OTC) 100 days• VITASPIRE 100 days• VITE CON FORTE 100 days• VIVELLE-DOT 2 units per 7 days• VORTEX 2 units per 365 days• VORTEX FROG MASK(OTC) 2 units per 365 days• VORTEX LADYBUG MASK(OTC)2 units per 365 days• VORTEX VHC FROG MASK 2 units per 365 days• VORTEX VHC LADYBUG MASK 2 units per 365 days• VORTEX(OTC) 2 units per 365 days• WATCHHALER 2 units per 365 days• WINDMILL TRAINER(OTC) 2 units per 365 days• ZALEPLON 1 units per 1 days• ZATEAN-PN DHA 100 days• ZEGERID 60 units per 30 days• ZOLMITRIPTAN 12 units per 30 days• ZOLPIDEM TARTRATE 1 units per 1 days• ZOLPIMIST 7.7 ml per 23 days• ZOMIG 12 units per 30 days


LA Care of 59

STEP THERAPY EDITS - FORMULARY • ABSORICA Prior prescription for Benzamycinpak in 90 days• ACTOPLUS MET XR Prior prescription for Tolbutamide in 90 days• ALLERGY RELIEF D(OTC) Prior prescription for Wal-itin D 12 Hour in 90 days or Zyrtec-d in 90 days• ALSUMA Atleast 2 of Prior prescription for Sumatriptan Succinate in 180 days or Zolmitriptan

in 180 days• ALTABAX Prior prescription for Mupirocin in 90 days• APIDRA Prior prescription for Apidra in 90 days or Humalog in 90 days or Novolog Mix 70-

30 in 90 days• APRISO Atleast 3 of Prior prescription for Colazal in 90 days or Delzicol in 90 days or

Sulfazine in 90 days• ASMANEX(AER POW BA)(110MCG(30))Prior prescription for Flovent Hfa in 90 days or Qvar in 90 days• ASMANEX(AER POW BA)(220MCG120)

Prior prescription for Asmanex in 90 days or Flovent Diskus in 90 days or FloventHfa in 90 days or Qvar in 90 days

• ASMANEX(AER POW BA)(220MCG(60))Prior prescription for Asmanex in 90 days or Flovent Diskus in 90 days or FloventHfa in 90 days or Qvar in 90 days

• AUVI-Q Prior prescription for Auvi-q in 120 days or Twinject in 120 days• AZELASTINE HCL Prior prescription for Zyrtec Itchy Eye in 90 days• AZOR Prior prescription for Antihypertensives, Angiotensin Receptor Antagonist in 90 days• BEYAZ Atleast 3 of Prior prescription for Generess Fe in 365 days or Loseasonique in 365

days or Lybrel in 365 days or Microgestin Fe in 365 days or Microgestin in 365 daysor Necon in 365 days or Ortho Micronor in 365 days or Ortho-novum in 365 days orPirmella in 365 days or Portia in 365 days or Seasonale in 365 days or Seasonique in365 days or Sprintec in 365 days or Sronyx in 365 days or Tri-legest Fe in 365 daysor Tri-norinyl in 365 days or Trinessa in 365 days or Trivora-28 in 365 days or Werain 365 days or Yaz in 365 days or Zarah in 365 days or Zenchent in 365 days orZeosa in 365 days

• BRILINTA Prior prescription for Plavix in 120 days• BROVANA Prior prescription for in 90 days or Albuterol Sulfate in 90 days or Ventolin in 90

days or Xopenex Concentrate in 90 days or Xopenex in 90 days• BUDESONIDE EC Prior prescription for Glucocorticoids in 90 days• BYSTOLIC Atleast 2 of Prior prescription for Kerlone in 90 days or Levatol in 90 days or

Metoprolol Tartrate in 90 days or Nadolol in 90 days or Pindolol in 90 days orPropranolol Hcl in 90 days or Sectral in 90 days or Sotalol Hcl in 90 days orTenormin in 90 days or Timolol Maleate in 90 days or Toprol Xl in 90 days or Zebetain 90 days

• CALCIPOTRIENE Prior prescription for Dovonex in 90 days• CARBIDOPA-LEVODOPA-ENTACAPONE Prior prescription for Sinemet Cr in 90 days• CELEBREX(CAP)(100 MG) Atleast 2 of Prior prescription for in 90 days or Actron in 90 days or Diclofenac

Sodium in 90 days or Diclofenac Sodium-misoprostol in 90 days or Etodolac in 90days or Fenoprofen Calcium in 90 days or Flurbiprofen in 90 days or Ibuprofen in 90days or Ibuprohm in 90 days or Indocin in 90 days or Indomethacin in 90 days orInfants' Motrin in 90 days or Ketoprofen in 90 days or Ketorolac Tromethamine in 90days or Meclofenamate Sodium in 90 days or Mobic in 90 days or Motrin in 90 daysor Nalfon in 90 days or Naprelan in 90 days or Naproxen Sodium in 90 days orNaproxen in 90 days or Oxaprozin in 90 days or Piroxicam in 90 days or Ponstel in90 days or Relafen in 90 days or Sulindac in 90 days or Tolmetin Sodium in 90 daysor Toradol in 90 days or Voltaren in 90 days or Voltaren-xr in 90 days or Wal-profenin 90 days or Wal-proxen in 90 days or Zipsor in 90 days

• CELEBREX(CAP)(200 MG) Atleast 2 of Prior prescription for in 90 days or Actron in 90 days or DiclofenacSodium in 90 days or Diclofenac Sodium-misoprostol in 90 days or Etodolac in 90days or Fenoprofen Calcium in 90 days or Flurbiprofen in 90 days or Ibuprofen in 90days or Ibuprohm in 90 days or Indocin in 90 days or Indomethacin in 90 days orInfants' Motrin in 90 days or Ketoprofen in 90 days or Ketorolac Tromethamine in 90days or Meclofenamate Sodium in 90 days or Mobic in 90 days or Motrin in 90 daysor Nalfon in 90 days or Naprelan in 90 days or Naproxen Sodium in 90 days orNaproxen in 90 days or Oxaprozin in 90 days or Piroxicam in 90 days or Ponstel in90 days or Relafen in 90 days or Sulindac in 90 days or Tolmetin Sodium in 90 daysor Toradol in 90 days or Voltaren in 90 days or Voltaren-xr in 90 days or Wal-profenin 90 days or Wal-proxen in 90 days or Zipsor in 90 days

• CELEBREX(CAP)(400 MG) Atleast 2 of Prior prescription for in 90 days or Actron in 90 days or DiclofenacSodium in 90 days or Diclofenac Sodium-misoprostol in 90 days or Etodolac in 90days or Fenoprofen Calcium in 90 days or Flurbiprofen in 90 days or Ibuprofen in 90


LA Care of 59

days or Ibuprohm in 90 days or Indocin in 90 days or Indomethacin in 90 days orInfants' Motrin in 90 days or Ketoprofen in 90 days or Ketorolac Tromethamine in 90days or Meclofenamate Sodium in 90 days or Mobic in 90 days or Motrin in 90 daysor Nalfon in 90 days or Naprelan in 90 days or Naproxen Sodium in 90 days orNaproxen in 90 days or Oxaprozin in 90 days or Piroxicam in 90 days or Ponstel in90 days or Relafen in 90 days or Sulindac in 90 days or Tolmetin Sodium in 90 daysor Toradol in 90 days or Voltaren in 90 days or Voltaren-xr in 90 days or Wal-profenin 90 days or Wal-proxen in 90 days or Zipsor in 90 days

• CELEBREX(CAP)(50 MG) Atleast 2 of Prior prescription for in 90 days or Actron in 90 days or DiclofenacSodium in 90 days or Diclofenac Sodium-misoprostol in 90 days or Etodolac in 90days or Fenoprofen Calcium in 90 days or Flurbiprofen in 90 days or Ibuprofen in 90days or Ibuprohm in 90 days or Indocin in 90 days or Indomethacin in 90 days orInfants' Motrin in 90 days or Ketoprofen in 90 days or Ketorolac Tromethamine in 90days or Meclofenamate Sodium in 90 days or Mobic in 90 days or Motrin in 90 daysor Nalfon in 90 days or Naprelan in 90 days or Naproxen Sodium in 90 days orNaproxen in 90 days or Oxaprozin in 90 days or Piroxicam in 90 days or Ponstel in90 days or Relafen in 90 days or Sulindac in 90 days or Tolmetin Sodium in 90 daysor Toradol in 90 days or Voltaren in 90 days or Voltaren-xr in 90 days or Wal-profenin 90 days or Wal-proxen in 90 days or Zipsor in 90 days

• CLARAVIS Prior prescription for Benzamycinpak in 90 days• COMBIGAN Atleast 2 of Prior prescription for Dorzolamide-timolol in 120 days or Trusopt in 120

days• DELZICOL Atleast 2 of Prior prescription for Colazal in 90 days or Sulfazine in 90 days• DEXILANT Atleast 3 of Prior prescription for Prevacid Iv in 90 days or Protonix Iv in 90 days or

Zantac-ppi in 90 days• DIOVAN Atleast 2 of Prior prescription for Edarbi in 90 days or Edarbyclor in 90 days or

Irbesartan in 90 days or Irbesartan-hydrochlorothiazide in 90 days or LosartanPotassium in 90 days or Losartan-hydrochlorothiazide in 90 days

• EDARBI Atleast 3 of Prior prescription for Candesartan Cilexetil in 90 days or Irbesartan in 90days or Losartan Potassium in 90 days

• EDARBYCLOR Atleast 3 of Prior prescription for Candesartan-hydrochlorothiazid in 90 days orIrbesartan-hydrochlorothiazide in 90 days or Losartan-hydrochlorothiazide in 90days

• EDLUAR Atleast 5 of Prior prescription for Edluar in 120 days or Flurazepam Hcl in 120 daysor Prosom in 120 days or Temazepam in 120 days or Zaleplon in 120 days orZolpimist in 120 days

• EFFIENT Prior prescription for in 120 days or Plavix in 120 days• ELIDEL Prior prescription for Topical Anti-inflammatory Steroidal in 90 days• EPLERENONE Prior prescription for Spironolactone in 90 days• ERGOMAR Atleast 2 of Prior prescription for Ergotrate in 180 days or Zolmitriptan in 180 days• EXFORGE Prior prescription for Antihypertensives, Angiotensin Receptor Antagonist in 90 days• EXFORGE HCT Prior prescription for Antihypertensives, Angiotensin Receptor Antagonist in 90 days

or Exforge in 90 days• FENOGLIDE Atleast 2 of Prior prescription for Lopid in 120 days or Triglide in 120 days• FENOPROFEN CALCIUM Prior prescription for Wal-profen in 90 days• FEXOFENADINE HCL Prior prescription for Wal-vert in 90 days or Zyrtec in 90 days• FEXOFENADINE HCL(OTC) Prior prescription for Wal-vert in 90 days or Zyrtec in 90 days• FLUVASTATIN SODIUM Prior prescription for Fluvastatin Sodium in 90 days or Pravastatin Sodium in 90

days• FLUVOXAMINE MALEATE(CAP ER24H)

Prior prescription for Citalopram Hbr in 120 days or Lexapro in 120 days or LuvoxCr in 120 days or Paxil Cr in 120 days or Remeron in 120 days or Selfemra in 120days or Zoloft in 120 days or Zyban in 120 days

• GLIPIZIDE-METFORMIN Atleast 2 of Prior prescription for Glucotrol Xl in 90 days or Riomet in 90 days• IBANDRONATE SODIUM Prior prescription for Alendronate Sodium in 365 days or Alendronate

Sodium/vitamin D3 in 365 days• INTERMEZZO Atleast 5 of Prior prescription for Flurazepam Hcl in 120 days or Intermezzo in 120

days or Prosom in 120 days or Temazepam in 120 days or Zaleplon in 120 days orZolpimist in 120 days

• JANUMET Prior prescription for Riomet in 120 days• JANUMET XR Prior prescription for Riomet in 120 days• JANUVIA Prior prescription for Riomet in 120 days• JENTADUETO Prior prescription for Riomet in 120 days• KETEK Prior prescription for Macrolides in 120 days• LASTACAFT Atleast 2 of Prior prescription for Optivar in 90 days or Zyrtec Itchy Eye in 90 days• LEFLUNOMIDE Prior prescription for Trexall in 90 days


LA Care of 59

• LEVALBUTEROL HCL Prior prescription for Albuterol Sulfate in 90 days• LEVEMIR Prior prescription for Lantus Solostar in 90 days• LIPOFEN Atleast 2 of Prior prescription for Lopid in 120 days or Triglide in 120 days• LO LOESTRIN FE Atleast 3 of Prior prescription for Generess Fe in 365 days or Loseasonique in 365


• LUNESTA Atleast 5 of Prior prescription for Flurazepam Hcl in 120 days or Lunesta in 120 daysor Prosom in 120 days or Temazepam in 120 days or Zaleplon in 120 days orZolpimist in 120 days

• MALATHION Atleast 4 of Prior prescription for Eurax in 365 days or Lindane in 365 days or Rid in365 days or Triple X in 365 days

• MIRAPEX ER Prior prescription for Pramipexole Dihydrochloride in 120 days or Ropinirole Hcl in120 days

• MORPHINE SULFATE ER(CAP ERPEL)(20 MG) Prior prescription for Msir in 120 days• MORPHINE SULFATE ER(CAP ERPEL)(50 MG) Prior prescription for Msir in 120 days• MORPHINE SULFATE ER(CAP ERPEL)(60 MG) Prior prescription for Msir in 120 days• MORPHINE SULFATE ER(CAP ERPEL)(80 MG) Prior prescription for Msir in 120 days• NAMENDA Prior prescription for Donepezil Hcl Odt in 120 days or Exelon in 90 days or

Razadyne Er in 90 days or Rivastigmine in 90 days• NAMENDA XR Prior prescription for Donepezil Hcl Odt in 120 days or Exelon in 90 days or

Razadyne Er in 90 days or Rivastigmine in 90 days• NATAZIA Atleast 3 of Prior prescription for Generess Fe in 365 days or Loseasonique in 365


• OCELLA Atleast 3 of Prior prescription for Generess Fe in 365 days or Lo Loestrin Fe in 365days or Lomedia 24 Fe in 365 days or Loseasonique in 365 days or Lybrel in 365days or Microgestin Fe in 365 days or Microgestin in 365 days or Necon in 365 daysor Ortho Micronor in 365 days or Ortho-novum in 365 days or Ovcon-50 in 365 daysor Ovral-28 in 365 days or Pirmella in 365 days or Portia in 365 days or Seasonale in365 days or Seasonique in 365 days or Sprintec in 365 days or Sronyx in 365 days orTri-legest Fe in 365 days or Tri-lo-sprintec in 365 days or Tri-norinyl in 365 days orTrinessa in 365 days or Trivora-28 in 365 days or Velivet in 365 days or Viorele in365 days or Wera in 365 days or Zenchent in 365 days or Zeosa in 365 days or Zovia1-50e in 365 days

• OMEPRAZOLE-SODIUMBICARBONATE Prior prescription for Prilosec Otc in 180 days• OMEPRAZOLE-SODIUMBICARBONATE(OTC) Prior prescription for Prilosec Otc in 180 days• ORTHO TRI-CYCLEN LO Atleast 3 of Prior prescription for Generess Fe in 365 days or Loseasonique in 365


• OXTELLAR XR Prior prescription for Trileptal in 120 days• PAROXETINE HCL(TAB ER 24H) Prior prescription for Paxil Cr in 90 days or Paxil in 90 days• PATADAY Atleast 2 of Prior prescription for Optivar in 90 days or Zyrtec Itchy Eye in 90 days• PATANOL Atleast 2 of Prior prescription for Optivar in 90 days or Zyrtec Itchy Eye in 90 days• PIOGLITAZONE HCL Prior prescription for Tolbutamide in 90 days


LA Care of 59

• PIOGLITAZONE-GLIMEPIRIDE Prior prescription for Glimepiride in 90 days or Pioglitazone Hcl in 90 days• PIOGLITAZONE-METFORMIN Prior prescription for Tolbutamide in 90 days• PREVACID 24HR(OTC) Prior prescription for Zantac-ppi in 90 days• PROTOPIC Prior prescription for Elidel in 90 days or Protopic in 90 days• PULMICORT FLEXHALER Prior prescription for Flovent Diskus in 90 days or Flovent Hfa in 90 days or

Pulmicort Flexhaler in 90 days or Qvar in 90 days• ROPINIROLE HCL(TAB ER 24H) Prior prescription for Pramipexole Dihydrochloride in 120 days or Ropinirole Hcl in

120 days• ROZEREM Atleast 5 of Prior prescription for Flurazepam Hcl in 120 days or Prosom in 120 days

or Temazepam in 120 days or Zaleplon in 120 days or Zolpimist in 120 days• SAFYRAL Atleast 3 of Prior prescription for Generess Fe in 365 days or Lo Loestrin Fe in 365

days or Lomedia 24 Fe in 365 days or Loseasonique in 365 days or Lybrel in 365days or Microgestin Fe in 365 days or Microgestin in 365 days or Necon in 365 daysor Ortho Micronor in 365 days or Ortho-novum in 365 days or Ovcon-50 in 365 daysor Ovral-28 in 365 days or Pirmella in 365 days or Portia in 365 days or Seasonale in365 days or Seasonique in 365 days or Sprintec in 365 days or Sronyx in 365 days orTri-legest Fe in 365 days or Tri-lo-sprintec in 365 days or Tri-norinyl in 365 days orTrinessa in 365 days or Trivora-28 in 365 days or Velivet in 365 days or Viorele in365 days or Wera in 365 days or Yaz in 365 days or Zarah in 365 days or Zenchent in365 days or Zeosa in 365 days or Zovia 1-50e in 365 days

• SILENOR Atleast 5 of Prior prescription for Flurazepam Hcl in 120 days or Prosom in 120 daysor Temazepam in 120 days or Zaleplon in 120 days or Zolpimist in 120 days

• SIMBRINZA Atleast 2 of Prior prescription for Dorzolamide-timolol in 120 days or Trusopt in 120days

• SIMVASTATIN(TAB)(80 MG) Prior prescription for Vytorin in 365 days• SUMATRIPTANSUCCINATE(CARTRIDGE)(4 MG/0.5ML) Prior prescription for Sumatriptan Succinate in 90 days• SUMATRIPTAN SUCCINATE(PENINJCTR)(4 MG/0.5ML) Prior prescription for Sumatriptan Succinate in 90 days• SUMAVEL DOSEPRO Prior prescription for Sumatriptan Succinate in 180 days• TEKTURNA HCT Prior prescription for Tekturna in 90 days• TOLTERODINE TARTRATE Prior prescription for Oxybutynin Chloride Er in 90 days• TRADJENTA Prior prescription for Riomet in 120 days• TROSPIUM CHLORIDE Prior prescription for Oxybutynin Chloride Er in 90 days• VALSARTAN-HYDROCHLOROTHIAZIDE

Atleast 2 of Prior prescription for Edarbi in 90 days or Edarbyclor in 90 days orIrbesartan in 90 days or Irbesartan-hydrochlorothiazide in 90 days or LosartanPotassium in 90 days or Losartan-hydrochlorothiazide in 90 days

• VOLTAREN Prior prescription for Voltaren-xr in 90 days• VYTORIN(TAB)(10 MG-10MG) Prior prescription for Advicor in 90 days and Crestor in 90 days and Lescol Xl in 90

days and Lipitor in 90 days and Mevacor in 90 days and Pravastatin Sodium in 90days and Vytorin in 90 days and Zetia in 90 days and Zocor in 90 days

• VYTORIN(TAB)(10 MG-20MG) Prior prescription for Advicor in 90 days and Crestor in 90 days and Lescol Xl in 90days and Lipitor in 90 days and Mevacor in 90 days and Pravastatin Sodium in 90days and Vytorin in 90 days and Zetia in 90 days and Zocor in 90 days

• VYTORIN(TAB)(10 MG-40MG) Prior prescription for Advicor in 90 days and Crestor in 90 days and Lescol Xl in 90days and Lipitor in 90 days and Mevacor in 90 days and Pravastatin Sodium in 90days and Vytorin in 90 days and Zetia in 90 days and Zocor in 90 days

• WELCHOL Prior prescription for Questran Light in 90 days or Questran in 90 days• ZEGERID Prior prescription for Prilosec Otc in 180 days• ZETIA Prior prescription for Advicor in 90 days or Crestor in 90 days or Lescol Xl in 90

days or Lipitor in 90 days or Mevacor in 90 days or Pravastatin Sodium in 90 days orVytorin in 90 days or Zocor in 90 days

• ZOLPIMIST Atleast 5 of Prior prescription for Flurazepam Hcl in 120 days or Prosom in 120 daysor Temazepam in 120 days or Zaleplon in 120 days or Zolpimist in 120 days

• ZOMIG Prior prescription for Zomig Zmt in 180 days


LA Care of 59

PRIOR AUTHORIZATION RESRICTION - FORMULARY • ABACAVIR• ABACAVIR-LAMIVUDINE-ZIDOVUDINE• ABSTRAL(TAB SUBL)(100 MCG)• ABSTRAL(TAB SUBL)(200 MCG)• ABSTRAL(TAB SUBL)(300 MCG)• ABSTRAL(TAB SUBL)(400 MCG)• ABSTRAL(TAB SUBL)(600 MCG)• ABSTRAL(TAB SUBL)(800 MCG)• ACTIMMUNE• ACTONEL(TAB)(150 MG)• ACTONEL(TAB)(30 MG)• ACTONEL(TAB)(35 MG)• ACTONEL(TAB)(5 MG)• ACYCLOVIR• ADIPEX-P• ADVAIR DISKUS• ADVAIR HFA• ADVATE• ADVATE H• ADVATE L• ADVATE M• ADVATE SH• ADVATE UH• AGGRENOX• ALFERON N• ALINIA• ALLI(OTC)• ALOCRIL• ALOMIDE• ALPHANATE• ALPHANINE SD• AMPYRA• AMTURNIDE• ANDROGEL(GEL MD PMP)(1.25G (1%))• ANDROGEL(GEL PACKET)(25MG(1%))• ANDROGEL(GEL PACKET)(50 MG (1%))• APTIVUS• ASMANEX(AER POW BA)(220MCG(14))• ASMANEX(AER POW BA)(220MCG(30))• ATELVIA• ATRIPLA• AUBAGIO• AVAGE• AVASTIN• AVONEX• AVONEX PEN• AXERT• BEBULIN• BEBULIN VH IMMUNO• BENEFIX• BETASERON• BIOCLATE• BOSULIF(TAB)(100 MG)• BOSULIF(TAB)(500 MG)• BREO ELLIPTA• BYDUREON• CAPRELSA• CAYSTON• CETIRIZINE HCL(TAB CHEW)(OTC)• CHANTIX• CHILDREN'S CLARITIN(OTC)• CIDOFOVIR• COMBIVIR

• COMPLERA• CRIXIVAN• CYSTARAN• DENAVIR• DEPO-MEDROL• DIASTAT ACUDIAL• DIAZEPAM• DICLEGIS• DIFICID• DRONABINOL• EDURANT• ELIGARD• EMTRIVA• ENABLEX• ENBREL• ENOXAPARIN SODIUM(VIAL)• EPIVIR• EPOGEN• EPZICOM• ERBITUX• ERIVEDGE• EXTAVIA• EYLEA• FARESTON• FEIBA NF• FEIBA VH IMMUNO• FENTANYL• FENTANYL CITRATE• FENTORA• FIRAZYR• FIRST-LANSOPRAZOLE• FIRST-OMEPRAZOLE• FORADIL• FORTESTA• FOSRENOL• FULYZAQ• FUZEON• GILENYA• GLEEVEC• H.P. ACTHAR• HELIXATE FS• HEMOFIL M• HUMATE-P• HUMATROPE• HUMIRA• HYFIBER(OTC)• ICLUSIG(TAB)(15 MG)• ICLUSIG(TAB)(45 MG)• IMIQUIMOD• INCRELEX• INTELENCE• INTRON A• INVIRASE• INVOKANA• IONAMIN• ISENTRESS• JALYN• KADCYLA• KALYDECO• KINERET• KOATE-DVI(VIAL)(1000 (+/-))• KOATE-DVI(VIAL)(250 (+/-))• KOATE-DVI(VIAL)(500 (+/-))


LA Care of 59

• KOGENATE FS(KIT)• KOGENATE FS(VIAL)• KOMBIGLYZE XR• KORLYM• KYNAMRO• LAMISIL(OTC)• LAMIVUDINE• LATISSE• LAZANDA• LETAIRIS• LEUKINE• LEXIVA• LIDOCAINE• LINZESS• LIPODOX• LIVALO• LOVAZA• LUMIGAN• LUTREPULSE• MAKENA• METHYLPREDNISOLONE ACETATE• METHYLPREDNISOLONE SOD SUCC• MODAFINIL• MONOCLATE-P• MONONINE• MORPHINE SULFATE ER(CPMP 24HR)• MYCOBUTIN• NASONEX• NEBUPENT• NEULASTA• NEUPOGEN• NEVIRAPINE• NEXAVAR• NIACIN ER• NORDITROPIN FLEXPRO• NORDITROPIN NORDIFLEX• NORVIR• NOVOSEVEN• NOVOSEVEN RT• NUCYNTA• NUCYNTA ER• NUMORPHAN• OMEPRAZOLE MAGNESIUM(OTC)• ONGLYZA• ONSOLIS• OPANA• OPANA ER• ORENCIA• OXYCONTIN• OXYMORPHONE HCL• PARICALCITOL• PEGASYS• PEGASYS PROCLICK• PEGINTRON• PEGINTRON REDIPEN• PENTAMIDINE ISETHIONATE• PHENDIMETRAZINE TARTRATE• PHENTERMINE HCL• PICATO• POMALYST• POTIGA• PRADAXA• PREZISTA• PRILOSEC• PRILOSEC OTC(OTC)

• PROCRIT• PROFILNINE SD• PROLIA• PULMOZYME• QSYMIA• RAVICTI• REBETOL• REBIF(SYRINGE)(22MCG/.5ML)• REBIF(SYRINGE)(44MCG/.5ML)• RECOMBINATE(VIAL)(1000 (+/-))• RECOMBINATE(VIAL)(1500 (+/-))• RECOMBINATE(VIAL)(2000 (+/-))• RECOMBINATE(VIAL)(250 (+/-))• RECOMBINATE(VIAL)(500 (+/-))• REGRANEX• RENAGEL• RENVELA• RESCRIPTOR• RESCULA• RESTASIS• REYATAZ• RHINOCORT AQUA• RIXUBIS• SABRIL• SAIZEN• SAVELLA• SELZENTRY• SEREVENT DISKUS• SEROSTIM• SILDENAFIL• SIMPONI• SOLU-MEDROL• SPORANOX• SPRYCEL• SPRYCEL(TAB)(100 MG)• SPRYCEL(TAB)(140 MG)• SPRYCEL(TAB)(20 MG)• SPRYCEL(TAB)(50 MG)• SPRYCEL(TAB)(70 MG)• SPRYCEL(TAB)(80 MG)• STAVUDINE• STIVARGA• SUBSYS• SUMATRIPTAN• SUPRENZA ODT• SUSTIVA• SUTENT• SYLATRON• SYLATRON 4-PACK• SYMBICORT• SYNAGIS• TARCEVA• TARGRETIN• TASIGNA• TAZORAC• TEKAMLO• TEKTURNA• TEKTURNA HCT• TESTIM• TEV-TROPIN• TINIDAZOLE• TOBI PODHALER• TOBRAMYCIN• TRACLEER• TRAVATAN Z


LA Care of 59

• TREXIMET• TRUVADA• TYKERB• TYSABRI• UCERIS• ULORIC• VALCYTE• VANCOMYCIN HCL• VECTIBIX• VELCADE• VERAMYST• VICTOZA 2-PAK• VICTOZA 3-PAK• VIIBRYD• VIRAMUNE XR• VIRAZOLE• VOTRIENT• WILATE• XALKORI• XARELTO• XELJANZ• XELODA• XENICAL• XGEVA• XIFAXAN• XYNTHA• ZAFIRLUKAST• ZALTRAP• ZIAGEN• ZOLINZA• ZORBTIVE• ZOVIRAX• ZYCLARA• ZYVOX


LA Care of 59

GENDER LIMITS - FORMULARY • AMETHYST Female Only• APRI Female Only• BEYAZ Female Only• CAMRESE Female Only• CRYSELLE Female Only• ELLA Female Only• LEVORA-28 Female Only• LO LOESTRIN FE Female Only• MICROGESTIN Female Only• MICROGESTIN FE Female Only• NATAZIA Female Only• NECON Female Only• NEXT CHOICE ONE DOSE Female Only• NORA-BE Female Only• NUVARING Female Only• OCELLA Female Only• ORTHO EVRA Female Only• ORTHO TRI-CYCLEN LO Female Only• SAFYRAL Female Only• SPRINTEC Female Only• VIORELE Female Only• ZENCHENT FE Female Only• ZOVIA 1-35E Female Only


LA Care of 59

- # -8-MOP...................................................................... 16- A -ABACAVIR..........................................................25, 47ABACAVIR SULFATE............................................... 25ABACAVIR SULFATE/LAMIVUDINE........................ 25ABACAVIR/LAMIVUDINE/ZIDOVUDINE..................25ABACAVIR-LAMIVUDINE-ZIDOVUDINE........... 25, 47ABATACEPT.............................................................26ABSORICA......................................................... 13, 43ABSTRAL(TAB SUBL)(100 MCG)................ 29, 39, 47ABSTRAL(TAB SUBL)(200 MCG)...................... 30, 47ABSTRAL(TAB SUBL)(300 MCG)...................... 30, 47ABSTRAL(TAB SUBL)(400 MCG)...................... 30, 47ABSTRAL(TAB SUBL)(600 MCG)...................... 30, 47ABSTRAL(TAB SUBL)(800 MCG)...................... 30, 47ACARBOSE..............................................................16ACE AEROSOL CLOUD ENHANCER........... 6, 37, 39ACEBUTOLOL HCL................................................. 10ACEROLA C(OTC).............................................35, 39ACETAMINOPHEN...................................................29ACETAMINOPHEN W/CODEINE(ELIXIR)......... 31, 39ACETAMINOPHEN W/CODEINE(TAB)..............31, 39ACETAMINOPHEN WITH CODEINE....................... 31ACETAMINOPHEN/CAFFEINE/BUTALB................. 29ACETAMINOPHEN/DIPHENHYDRAMINE.............. 12ACETAMINOPHEN/PYRILAM/PAMABROM............ 29ACETAMINOPHEN-CODEINE(SOLUTION)...... 31, 39ACETAMINOPHEN-CODEINE(TAB)(300MG-15MG)............................................................................31, 39ACETAMINOPHEN-CODEINE(TAB)(300MG-30MG)............................................................................31, 39ACETAMINOPHEN-CODEINE(TAB)(300MG-60MG)............................................................................31, 39ACETAZOLAMIDE....................................................20ACETIC ACID...........................................................18ACETIC ACID/ALUMINUM ACETATE......................18ACETIC ACID/HYDROCORTISONE........................18ACETIC ACID-ALUMINUM.......................................18ACETYLCYSTEINE..................................................29ACITRETIN...............................................................16ACTIMMUNE......................................................23, 47ACTONEL(TAB)(150 MG).................................. 18, 47ACTONEL(TAB)(30 MG).............................. 18, 39, 47ACTONEL(TAB)(35 MG).............................. 18, 39, 47ACTONEL(TAB)(5 MG)................................ 18, 39, 47ACTOPLUS MET XR..........................................17, 43ACYCLOVIR.................................................14, 25, 47ADALIMUMAB..........................................................26ADIPEX-P...........................................................35, 47ADO-TRASTUZUMAB EMTANSINE........................ 28ADVAIR DISKUS.................................................. 6, 47ADVAIR HFA.........................................................6, 47ADVANCED FORMULA EYE DROPS(OTC)........... 20ADVATE..............................................................21, 47ADVATE H.......................................................... 21, 47ADVATE L...........................................................21, 47ADVATE M..........................................................21, 47ADVATE SH........................................................21, 47ADVATE UH........................................................21, 47AEROCHAMBER MINI...................................6, 37, 39AEROCHAMBER PLUS FLOW-VU................6, 37, 39AEROCHAMBER PLUS Z STAT.................... 6, 37, 39AEROGEAR ASTHMA ACTION KIT.......................... 7AFINITOR................................................................. 28AFLIBERCEPT......................................................... 21AGGRENOX.......................................................22, 47AIRZONE PEAK FLOW METER(OTC)...................... 7AIRZONE(OTC)..........................................................7AK-POLY-BAC.......................................................... 20AKWA TEARS(OTC)................................................ 21ALBUTEROL SULFATE..............................................5ALCAFTADINE......................................................... 19ALCLOMETASONE DIPROPIONATE...................... 14ALCOHOL ANTISEPTIC PADS................................15ALCOHOL PADS(OTC)............................................ 15ALCOHOL PREP PADS(OTC)................................. 15ALCOHOL PREP SWABS(OTC)..............................15ALCOHOL SWAB(OTC)........................................... 15ALCOHOL SWABS(OTC).........................................15ALCOHOL WIPES(OTC)..........................................15ALDOMET................................................................ 10ALENDRONATE SODIUM........................................18ALENDRONATE SODIUM(SOLUTION).............18, 39ALENDRONATE SODIUM(TAB)(10 MG)........... 18, 39ALENDRONATE SODIUM(TAB)(35 MG)........... 18, 39ALENDRONATE SODIUM(TAB)(40 MG)........... 18, 39ALENDRONATE SODIUM(TAB)(5 MG)............. 18, 39ALENDRONATE SODIUM(TAB)(70 MG)........... 18, 39

ALFERON N....................................................... 23, 47ALFUZOSIN HCL..................................................... 33ALINIA................................................................ 13, 47ALISKIREN HEMIFUMARATE................................. 10ALISKIREN/AMLODIPIN/HCTHIAZIDE....................10ALISKIREN/AMLODIPINE BESYLATE.................... 10ALISKIREN/HYDROCHLOROTHIAZIDE................. 10ALKERAN.................................................................28ALLERGY RELIEF D(OTC)..................................5, 43ALLERGY RELIEF D-24(OTC).............................5, 39ALLERGY(OTC)......................................................... 5ALLI(OTC).......................................................... 36, 47ALLOPURINOL........................................................ 21ALMOTRIPTAN MALATE......................................... 31ALOCRIL............................................................ 20, 47ALOMIDE........................................................... 20, 47ALORA............................................................... 22, 39ALPHAGAN P...........................................................20ALPHANATE.......................................................21, 47ALPHANINE SD................................................. 21, 47ALPRAZOLAM............................................................8ALPRAZOLAM INTENSOL.........................................8ALSUMA.......................................................31, 39, 43ALTABAX............................................................ 14, 43ALTRETAMINE......................................................... 28AMBRISENTAN........................................................ 10AMCINONIDE...........................................................14AMERICERIN(OTC)................................................. 16AMERICET............................................................... 29AMETHYST........................................................ 12, 50AMINOCAPROIC ACID............................................21AMINOPHYLLINE.......................................................7AMIODARONE HCL...................................................9AMITRIP HCL/CHLORDIAZEPOXIDE....................... 8AMITRIPTYLINE HCL................................................ 8AMLODIPINE BES/OLMESARTAN MED...................9AMLODIPINE BESYLATE........................................ 10AMLODIPINE BESYLATE/BENAZEPRIL...................9AMLODIPINE BESYLATE-BENAZEPRIL...................9AMLODIPINE/VALSARTAN........................................9AMLODIPINE/VALSARTAN/HCTHIAZID....................9AMMONIUM LACTATE.............................................15AMMONIUM LACTATE(OTC)...................................15AMOX TR-POTASSIUM CLAVULANATE.................23AMOXAPINE.............................................................. 8AMOXICILLIN...........................................................23AMOXICILLIN TRIHYDRATE................................... 23AMOXICILLIN/POTASSIUM CLAV...........................23AMPHET ASP/AMPHET/D-AMPHET.........................8AMPHETAMINE SALT COMBO..................... 8, 37, 39AMPICILLIN TRIHYDRATE...................................... 23AMPYRA............................................................ 29, 47AMTURNIDE...................................................... 10, 47ANAGRELIDE HCL.................................................. 22ANAKINRA............................................................... 26ANALPRAM HC........................................................27ANASTROZOLE.................................................28, 39ANDRODERM.................................................... 22, 39ANDROGEL(GEL MD PMP)(1.25G (1%))......22, 39,4 7ANDROGEL(GEL MD PMP)(20.25/1.25)........... 22, 39ANDROGEL(GEL PACKET)(25MG(1%))......22, 39,4 7ANDROGEL(GEL PACKET)(50 MG (1%))......22, 39,4 7ANDROID................................................................. 22ANDROXY..........................................................22, 39ANTACID(OTC)........................................................ 33ANTIHEMOPH.FVIII PLAS/ALB FREE.................... 21ANTIHEMOPHILIC FACTOR, HUM REC.................21ANTIHEMOPHILIC FACTOR, HUMAN.................... 21ANTIHEMOPHILIC FACTOR/VWF...........................21ANTI-INHIBITOR COAGULANT COMP................... 21ANTI-ITCH(OTC)......................................................15ANTI-NAUSEA(OTC)..................................................5ANTIPYRINE/BENZOCAINE/GLYCERIN.................18ANTIPYRINE-BENZOCAINE....................................18ANTISPASMODIC.................................................... 32APEXICON E............................................................14APIDRA.............................................................. 17, 43APIDRA SOLOSTAR................................................ 17APRACLONIDINE HCL............................................ 20APREPITANT............................................................. 5APRI....................................................................11, 50APRISO.............................................................. 27, 43APRODINE(OTC)...............................................12, 37APTIVUS............................................................ 25, 47AQUA GLYCOLIC(OTC)...........................................16AQUANIL(OTC)........................................................16

ARFORMOTEROL TARTRATE..................................5ARMOUR THYROID.................................................19ARTIFICIAL TEARS(OTC)................................. 20, 21ASCORBIC ACID..................................................... 35ASCORBIC ACID/ASCORBATE SODIUM............... 35ASMANEX(AER POW BA)(110MCG(30))............ 6, 43ASMANEX(AER POW BA)(220MCG 120)........... 6, 43ASMANEX(AER POW BA)(220MCG(14))............6, 47ASMANEX(AER POW BA)(220MCG(30))............6, 47ASMANEX(AER POW BA)(220MCG(60))............6, 43ASPIRIN................................................................... 29ASPIRIN EC(OTC)................................................... 29ASPIRIN/DIPYRIDAMOLE....................................... 22ASSESS(OTC)........................................................... 7ASTEPRO...................................................................5ASTHMA CHECK(OTC)............................................. 7ASTHMAMENTOR(OTC)........................................... 7ASTHMAPACK CHILDREN'S.....................................7ASTRINGENT SOLUTION(OTC)............................. 16ATAZANAVIR SULFATE........................................... 25ATELVIA............................................................. 18, 47ATENOLOL...............................................................10ATENOLOL/CHLORTHALIDONE.............................10ATENOLOL-CHLORTHALIDONE............................ 10ATORVASTATIN CALCIUM...................................... 11ATRIPLA............................................................. 25, 47ATROPINE SULFATE...............................................20ATROVENT HFA........................................................ 6ATTAPULGITE..........................................................27AUBAGIO........................................................... 29, 47AUGMENTIN............................................................ 23AUVI-Q............................................................... 27, 43AVAGE................................................................13, 47AVASTIN.............................................................28, 47AVC...........................................................................34AVONEX............................................................. 29, 47AVONEX PEN.....................................................29, 47AXERT..........................................................31, 39, 47AXIRON..............................................................22, 39AXITINIB...................................................................28AZASAN................................................................... 23AZATHIOPRINE....................................................... 23AZELASTINE HCL......................................... 5, 19, 43AZILSARTAN MED/CHLORTHALIDONE...................9AZILSARTAN MEDOXOMIL.....................................10AZITHROMYCIN...................................................... 23AZOR....................................................................9, 43AZTREONAM LYSINE..............................................23- B -BACITRACIN............................................................13BACITRACIN ZINC...................................................13BACITRACIN ZINC(OTC).........................................13BACITRACIN(OTC)..................................................13BACITRACIN/POLYMYXIN B SULFATE............ 13, 20BACITRACIN-POLYMYXIN(OTC)............................ 13BACLOFEN.............................................................. 32BACTOCILL........................................................23, 37BACTROBAN NASAL.............................................. 29BALSALAZIDE DISODIUM...................................... 27B-D SINGLE USE ALCOHOL SWAB(OTC)............. 15BEBULIN............................................................ 21, 47BEBULIN VH IMMUNO...................................... 21, 47BECAPLERMIN........................................................17BECLOMETHASONE DIPROPIONATE.....................6BELLADONNA ALKALOIDS/PHENOBARB.............32BENAZEPRIL HCL..................................................... 9BENAZEPRIL/HYDROCHLOROTHIAZIDE................9BENAZEPRIL-HYDROCHLOROTHIAZIDE............... 9BENEFIX............................................................ 21, 47BENICAR..................................................................10BENICAR HCT........................................................... 9BENZAMYCINPAK................................................... 13BENZONATATE........................................................12BENZOYL PEROXIDE....................................... 15, 16BENZOYL PEROXIDE(OTC)............................. 15, 39BENZOYL PEROXIDE/HYDROCORTISON............ 13BETAMETHASONE DIPROPIONATE......................14BETAMETHASONE VALERATE...............................14BETAMETHASONE/PROPYLENE GLYC................ 14BETASERON......................................................29, 47BETAXOLOL HCL.................................................... 20BETHANECHOL CHLORIDE................................... 28BETIMOL..................................................................20BETOPTIC S............................................................ 20BEVACIZUMAB........................................................ 28BEXAROTENE................................................... 16, 29BEYAZ.......................................................... 11, 43, 50BICALUTAMIDE....................................................... 28BILTRICIDE.............................................................. 24

LA Care of 59

Index

BIMATOPROST..................................................20, 21BIOCLATE.......................................................... 21, 47BION TEARS(OTC)..................................................20BISAC-EVAC(OTC).................................................. 27BISACODYL............................................................. 27BISACODYL(OTC)................................................... 27BISMATROL(OTC)................................................... 27BISMUTH SUBSALICYLATE....................................27BISOPROLOL FUMARATE...................................... 10BISOPROLOL FUMARATE/HCTZ........................... 10BISOPROLOL-HYDROCHLOROTHIAZIDE.............10BLEPHAMIDE.......................................................... 20BLEPHAMIDE S.O.P................................................ 20BLOOD SUGAR DIAGNOSTIC................................17BLOOD-GLUCOSE METER.....................................17BOCEPREVIR.......................................................... 25BORTEZOMIB.......................................................... 28BOSENTAN.............................................................. 10BOSULIF.................................................................. 28BOSULIF(TAB)(100 MG).............................. 28, 39, 47BOSULIF(TAB)(500 MG).............................. 28, 39, 47BOSUTINIB.............................................................. 28BOUDREAUXS(OTC)...............................................16BP WASH........................................................... 16, 39BRAVELLE............................................................... 18BREATHERITE...............................................6, 37, 39BREATHRITE................................................. 6, 37, 39BREO ELLIPTA.................................................... 6, 47BRILINTA............................................................22, 43BRIMONIDINE TARTRATE...................................... 20BRIMONIDINE TARTRATE/TIMOLOL......................20BRINZOLAMIDE/BRIMONID TART..........................20BROMFED DM................................................... 12, 37BROMOCRIPTINE MESYLATE............................... 31BROMPHENIRAM/PHENYLEPHRINE/DM..............12BROVANA............................................................ 5, 43BUDESONIDE............................................5, 6, 26, 37BUDESONIDE EC..............................................26, 43BUDESONIDE/FORMOTEROL FUMARATE............. 6BUMETANIDE.......................................................... 10BUPROBAN..............................................................32BUPROPION HCL................................................7, 32BUPROPION XL(TAB ER 24H)(150 MG).............7, 39BUPROPION XL(TAB ER 24H)(300 MG)...................7BUSPIRONE HCL...................................................... 8BUSULFAN...............................................................28BUTALB/ACETAMINOPHEN/CAFFEINE................. 29BUTALB-CAFF-ACETAMINOPH-CODEIN...............31BUTALBIT/ACETAMIN/CAFF/CODEINE..................31BUTALBITAL COMPOUND-CODEINE.....................31BUTALBITAL/ASPIRIN/CAFFEINE.......................... 29BUTALBITAL-ACETAMINOPHEN-CAFFE............... 29BUTALBITAL-ASPIRIN-CAFFEINE.......................... 29BUTOCONAZOLE NITRATE....................................34BYDUREON....................................................... 16, 47BYSTOLIC.......................................................... 10, 43- C -CABERGOLINE..................................................19, 39CAFERGOT........................................................31, 39CAFFEINE CITRATE............................................7, 39CAFFEINE CITRATED............................................... 7CALAMINE............................................................... 16CALAMINE(OTC)..................................................... 16CALAMINE/ZINC OXIDE..........................................16CALCIPOTRIENE...............................................16, 43CALCITONIN,SALMON,SYNTHETIC...................... 18CALCITONIN-SALMON............................................18CALCITRIOL...................................................... 35, 39CALCIUM ACETATE.......................................... 18, 39CALCIUM ACETATE/ALUMINUM SULF.................. 16CALCIUM ANTACID(OTC)....................................... 33CALCIUM CARB &GLUCONATE/VIT D2.................34CALCIUM CARBONATE.................................... 33, 34CALCIUM CARBONATE/VITAMIN D2..................... 34CALCIUM CARBONATE/VITAMIN D3..................... 34CALCIUM CITRATE................................................. 34CALCIUM CITRATE(OTC)................................. 34, 39CALCIUM CITRATE/VITAMIN D3............................ 34CALCIUM GLUCONATE.......................................... 34CALCIUM GLUCONATE(OTC).......................... 34, 39CALCIUM LACTATE.................................................34CALCIUM LACTATE(OTC).................................34, 39CAMRESE..........................................................12, 50CANAGLIFLOZIN..................................................... 16CANDESARTAN CILEXETIL....................................10CANDESARTAN/HYDROCHLOROTHIAZID............. 9CANDESARTAN-HYDROCHLOROTHIAZID............. 9CAPECITABINE........................................................28CAPITAL W-CODEINE............................................. 31

CAPRELSA........................................................ 28, 47CAPSAICIN.............................................................. 15CAPSAICIN(OTC).................................................... 15CAPTOPRIL............................................................... 9CAPTOPRIL/HYDROCHLOROTHIAZIDE..................9CAPTOPRIL-HYDROCHLOROTHIAZIDE................. 9CARAFATE............................................................... 33CARBACHOL........................................................... 20CARBAMAZEPINE...................................................32CARBAMIDE PEROXIDE.........................................18CARBIDOPA.............................................................32CARBIDOPA/LEVODOPA........................................ 31CARBIDOPA/LEVODOPA/ENTACAPONE...............31CARBIDOPA-LEVODOPA........................................ 31CARBIDOPA-LEVODOPA-ENTACAPONE........ 31, 43CARISOPRODOL.....................................................32CARISOPRODOL/ASPIRIN..................................... 32CARISOPRODOL-ASPIRIN..................................... 32CARISOPRODOL-ASPIRIN-CODEINE....................29CARTEOLOL HCL....................................................20CARVEDILOL............................................................. 9CAYSTON...........................................................23, 47CEFACLOR.............................................................. 23CEFADROXIL...........................................................23CEFADROXIL HYDRATE......................................... 23CEFDINIR.................................................................23CEFIXIME.................................................................23CEFPODOXIME PROXETIL.................................... 23CEFPODOXIME PROXETIL(SUSP RECON)......23,3 7CEFPODOXIME PROXETIL(TAB)........................... 23CEFPROZIL..............................................................23CEFTIN.....................................................................23CEFUROXIME..........................................................23CEFUROXIME AXETIL............................................ 23CELEBREX(CAP)(100 MG)................... 26, 37, 39, 43CELEBREX(CAP)(200 MG)................... 26, 37, 39, 43CELEBREX(CAP)(400 MG)................... 26, 37, 39, 43CELEBREX(CAP)(50 MG)..................... 26, 37, 39, 44CELECOXIB............................................................. 26CELLCEPT............................................................... 23CENESTIN......................................................... 22, 39CEPHALEXIN...........................................................23CEPHALEXIN MONOHYDRATE..............................23CEROVITE JR(OTC)..........................................34, 39CETIRIZINE HCL........................................................5CETIRIZINE HCL(SOLUTION)(OTC).........................5CETIRIZINE HCL(TAB CHEW)(OTC)............ 5, 39, 47CETIRIZINE HCL(TAB)(OTC).............................. 5, 39CETIRIZINE HCL/PSEUDOEPHEDRINE.................. 5CETIRIZINE-PSEUDOEPHEDRINE(OTC).......... 5, 39CETUXIMAB.............................................................28CEVIMELINE HCL....................................................28CHANTIX............................................................32, 47CHERATUSSIN AC(OTC).................................. 12, 37CHERATUSSIN DAC(OTC)................................12, 37CHEWABLE-VITE(OTC).................................... 34, 39CHILD CHEW + IRON(OTC)..............................34, 39CHILD CHEW VITAMIN(OTC)............................34, 39CHILDRENS CHEWABLE + IRON(OTC)...........34, 39CHILDRENS CHEWABLE(OTC)........................34, 39CHILDREN'S CLARITIN(OTC).......................5, 39, 47CHILDREN'S KAOPECTATE(OTC)..........................27CHLORAMBUCIL..................................................... 28CHLORDIAZEPOXIDE HCL.......................................8CHLORDIAZEPOXIDE/CLIDINIUM BR....................33CHLORDIAZEPOXIDE-AMITRIPTYLINE...................8CHLORDIAZEPOXIDE-CLIDINIUM......................... 33CHLORHEX GL/GLYCERIN/HE-CELL.....................16CHLORHEXIDINE GLUCONATE............................. 29CHLOROQUINE PHOSPHATE................................ 24CHLORPHENIRAMINE MALEATE.............................5CHLORPROPAMIDE................................................17CHLORTHALIDONE.................................................10CHLORZOXAZONE................................................. 32CHOLECALCIFEROL...............................................35CHOLECALCIFEROL (VITAMIN D3)....................... 35CHOLESTYRAMINE.................................................11CHOLESTYRAMINE (WITH SUGAR)...................... 11CHOLESTYRAMINE LIGHT..................................... 11CHOLESTYRAMINE/ASPARTAME.......................... 11CHORIONIC GONADOTROPIN...............................18CHORIONIC GONADOTROPIN, HUMAN............... 18CHROMIUM PICOLINATE KLB6(OTC)..............35, 39CICLOPIROX............................................................14CICLOPIROX OLAMINE.......................................... 14CICLOPIROX(GEL)..................................................14CICLOPIROX(SHAMPOO).......................................14CICLOPIROX(SOLUTION).................................14, 37

CIDOFOVIR........................................................25, 47CILOSTAZOL............................................................22CIMETIDINE.............................................................33CIMETIDINE HCL.....................................................33CIPRO...................................................................... 23CIPRODEX...............................................................18CIPROFLOXACIN.................................................... 23CIPROFLOXACIN ER(TBMP 24HR)(1000 MG)......23, 37CIPROFLOXACIN ER(TBMP 24HR)(500 MG).........23CIPROFLOXACIN HCL...................................... 20, 23CIPROFLOXACIN HCL/DEXAMETH....................... 18CIPROFLOXACIN/CIPROFLOXA HCL....................23CITALOPRAM HBR(SOLUTION)................... 7, 37, 39CITALOPRAM HBR(TAB)(10 MG)..................7, 37, 39CITALOPRAM HBR(TAB)(20 MG)..................7, 37, 39CITALOPRAM HBR(TAB)(40 MG)..................7, 37, 39CITALOPRAM HYDROBROMIDE..............................7CITRACAL + D MAXIMUM(OTC).......................34, 39CITRIC ACID/SODIUM CITRATE.............................33CITRUS CALCIUM + D(OTC)............................ 34, 39CLARAVIS.......................................................... 13, 44CLARITHROMYCIN................................................. 23CLEMASTINE FUMARATE........................................ 5CLEMASTINE FUMARATE(OTC).............................. 5CLIMARA PRO...................................................22, 39CLINDAMYCIN HCL.................................................24CLINDAMYCIN HCL(CAP)(150 MG)........................24CLINDAMYCIN HCL(CAP)(300 MG)........................24CLINDAMYCIN HCL(CAP)(75 MG)....................24, 37CLINDAMYCIN PALMITATE HCL.......................24, 37CLINDAMYCIN PHOS/BENZOYL PEROX.............. 13CLINDAMYCIN PHOSPHATE............................ 13, 34CLINDAMYCIN-BENZOYL PEROXIDE................... 13CLOBAZAM..............................................................32CLOBETASOL EMOLLIENT.....................................14CLOBETASOL PROPIONATE..................................14CLOBETASOL PROPIONATE/EMOLL.................... 14CLOBEX................................................................... 14CLOMIPRAMINE HCL................................................8CLONAZEPAM......................................................... 32CLONIDINE........................................................ 10, 39CLONIDINE HCL......................................................10CLOPIDOGREL........................................................22CLOPIDOGREL BISULFATE....................................22CLORAZEPATE DIPOTASSIUM................................ 8CLOTRIMAZOLE..........................................14, 24, 34CLOTRIMAZOLE(OTC)......................................14, 34CLOTRIMAZOLE/BETAMETHASONE DIP..............14CLOTRIMAZOLE-BETAMETHASONE.....................14COAGULATION FACTOR VIIA,RECOMB................21CODEINE PHOS/ACETAMINOPHEN...................... 31CODEINE SULFATE...........................................29, 39CODEINE/BUTALBITAL/ASA/CAFFEIN...................31CODEINE/CARISOPRODOL/ASPIRIN....................29COLACE(OTC).........................................................27COLCHICINE............................................................21COLCHICINE/PROBENECID...................................21COLCRYS................................................................ 21COLESEVELAM HCL............................................... 11COLESTIPOL HCL................................................... 11COMBIGAN........................................................ 20, 44COMBIPATCH.................................................... 22, 39COMBIVENT.............................................................. 6COMBIVENT RESPIMAT........................................... 6COMBIVIR..........................................................25, 47COMPAZINE...............................................................5COMPLERA....................................................... 25, 47COMPLETENATE...............................................35, 39CONCEPTROL(OTC)............................................... 11CONDYLOX..............................................................16COPAXONE..............................................................29CORTAID(OTC)........................................................14CORTICOTROPIN....................................................18CORTISONE ACETATE........................................... 26CORTISPORIN.........................................................14CREON.....................................................................32CRIXIVAN........................................................... 25, 47CRIZOTINIB............................................................. 28CROFELEMER.........................................................27CROMOLYN SODIUM......................................5, 6, 20CROMOLYN SODIUM(OTC)......................................5CROTAMITON..........................................................14CRYSELLE......................................................... 12, 50CUPRIMINE..............................................................26CURITY ALCOHOL PREPS(OTC)...........................15CYANOCOBALAMIN................................................ 35CYANOCOBALAMIN (VITAMIN B-12)......................35CYANOCOBALAMIN INJECTION...................... 35, 39

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Index

CYCLOBENZAPRINE HCL...................................... 32CYCLOGYL.............................................................. 20CYCLOPENTOLATE HCL........................................ 20CYCLOPHOSPHAMIDE...........................................28CYCLOSPORINE............................................... 20, 23CYCLOSPORINE MODIFIED...................................23CYCLOSPORINE, MODIFIED..................................23CYPROHEPTADINE HCL.......................................... 5CYSTARAN........................................................ 21, 47CYSTEAMINE HCL.................................................. 21CYSTOSPAZ-M........................................................ 32CYTRA-2.................................................................. 33CYTRA-3.................................................................. 33CYTRA-K..................................................................33- D -DABIGATRAN ETEXILATE MESYLATE.................. 22DALFAMPRIDINE.....................................................29DANAZOL.................................................................19DANTROLENE SODIUM..........................................32DAPSONE................................................................ 24DARAPRIM...............................................................24DARIFENACIN HYDROBROMIDE...........................33DARUNAVIR ETHANOLATE.................................... 25DASATINIB............................................................... 28DDAVP......................................................................18DELAVIRDINE MESYLATE...................................... 25DELZICOL.......................................................... 27, 44DEMECLOCYCLINE HCL........................................ 24DENAVIR............................................................ 14, 47DENOSUMAB...........................................................18DEPEN..................................................................... 26DEPO-MEDROL.................................................26, 47DERMA-PAX(OTC)...................................................15DESIPRAMINE HCL...................................................8DESMOPRESSIN (NONREFRIGERATED)............. 18DESMOPRESSIN ACETATE....................................18DESOGESTREL-ETHINYL ESTRADIOL................. 11DESOG-ET ESTRA/ETHIN ESTRA......................... 11DESONIDE...............................................................14DESOXIMETASONE................................................ 14DEX4 GLUCOSE(OTC)............................................17DEXAMETHASONE................................................. 26DEXAMETHASONE SOD PHOSPHATE................. 19DEXAMETHASONE SODIUM PHOSPHATE...........19DEXCHLORPHENIRAMINE MALEATE..................... 5DEXILANT.......................................................... 33, 44DEXLANSOPRAZOLE............................................. 33DEXTRAN 70/HYPROMELLOSE.............................20DEXTRAN 70/HYPROMELLOSE/PF....................... 20DEXTROAMPHETAMINE SULFATE..........................8DEXTROAMPHETAMINE/AMPHETAMINE............... 8DEXTROSE..............................................................17DHT.................................................................... 35, 39DIABETA...................................................................17DIABETIC TUSSIN(OTC)...........................................5DIAPHRAGM FITTING SET,ARCSPRNG................12DIAPHRAGMS, ARC-SPRING.................................12DIAPHRAGMS, WIDE SEAL....................................12DIASTAT ACUDIAL...................................... 32, 39, 47DIAZEPAM................................................8, 32, 39, 47DIBENZYLINE............................................................ 9DICLEGIS.............................................................5, 47DICLOFENAC POTASSIUM.....................................26DICLOFENAC SODIUM............................... 15, 19, 26DICLOFENAC SODIUM/MISOPROSTOL................26DICLOFENAC SODIUM-MISOPROSTOL................26DICLOXACILLIN SODIUM....................................... 23DICYCLOMINE HCL.................................................32DIDANOSINE........................................................... 25DIFICID...............................................................23, 47DIFLORASONE DIACETATE................................... 14DIFLORASONE DIACETATE/EMOLL...................... 14DIFLUNISAL.............................................................29DIGOX........................................................................ 9DIGOXIN.....................................................................9DIHYDROTACHYSTEROL.......................................35DILANTIN................................................................. 32DILTIAZEM 24HR ER............................................... 10DILTIAZEM HCL....................................................... 10DIMAPHEN DM(OTC)........................................ 12, 37DIMENHYDRINATE....................................................5DIOVAN.............................................................. 10, 44DIPHENHYDRAMINE HCL.............................. 5, 8, 15DIPHENHYDRAMINE HCL(OTC).............................. 5DIPHENHYDRAMINE HCL/ZINC ACET.................. 15DIPHENOXYLATE HCL/ATROPINE........................ 27DIPHENOXYLATE-ATROPINE................................ 27DIPYRIDAMOLE.......................................................22DISOPYRAMIDE PHOSPHATE................................. 9

DISULFIRAM..............................................................8DIVALPROEX SODIUM............................................32DIVALPROEX SODIUM ER......................................32DIVIGEL............................................................. 22, 39D-METHORPHAN HB/P-EPD HCL/BPM................. 12D-METHORPHAN HB/P-EPHED HCL/CP............... 12D-METHORPHAN HB/PROMETH HCL................... 13DOC-Q-LACE(OTC)................................................. 27DOCUSATE CALCIUM.............................................27DOCUSATE CALCIUM(OTC)...................................27DOCUSATE SODIUM...............................................27DOFETILIDE...............................................................9DONEPEZIL HCL....................................................... 7DONNATAL...............................................................32DORNASE ALFA...................................................... 29DORZOLAMIDE HCL............................................... 20DORZOLAMIDE HCL/TIMOLOL MALEAT............... 20DORZOLAMIDE-TIMOLOL...................................... 20DOVONEX................................................................16DOXAZOSIN MESYLATE...........................................9DOXEPIN HCL........................................................... 8DOXERCALCIFEROL.............................................. 19DOXORUBICIN HCL PEG-LIPOSOMAL..................28DOXYCYCLINE HYCLATE.......................................24DOXYCYCLINE MONOHYDRATE...........................24DOXYCYCLINE MONOHYDRATE(CAP)................. 24DOXYCYCLINE MONOHYDRATE(SUSP RECON)..................................................................................24DOXYCYCLINE MONOHYDRATE(TAB)............24, 37DOXYLAMINE SUCCINATE.......................................8DOXYLAMINE/PYRIDOXINE HCL.............................5DRIMINATE(OTC)...................................................... 5DRONABINOL......................................................5, 47DROSPIR/ETH ESTRA/LEVOMEFOL CA............... 11DRY SKIN THERAPY(OTC).....................................15DULERA..................................................................... 6DUOFILM(OTC)........................................................16DUTASTERIDE/TAMSULOSIN HCL........................ 33- E -E.E.S. 200................................................................ 23EAR DROPS(OTC)...................................................18EASIVENT......................................................6, 37, 39EASY TOUCH ALCOHOL PREP PADS(OTC).........15ECONAZOLE NITRATE........................................... 14EDARBI.............................................................. 10, 44EDARBYCLOR.....................................................9, 44EDLUAR......................................................... 8, 39, 44EDURANT.......................................................... 25, 47EFAVIRENZ.............................................................. 25EFAVIRENZ/EMTRICITAB/TENOFOVIR................. 25EFFIENT.......................................................22, 37, 44ELECTROLYTE,ORAL............................................. 18ELESTRIN.......................................................... 22, 39ELIDEL............................................................... 16, 44ELIGARD............................................................18, 47ELLA...................................................................12, 50ELMIRON................................................................. 33EMCYT..................................................................... 29EMEND.......................................................................5EMTRICITAB/RILPIVIRINE/TENOFOV....................25EMTRICITABINE...................................................... 25EMTRICITABINE/TENOFOVIR................................ 25EMTRIVA............................................................ 25, 47ENABLEX........................................................... 33, 47ENALAPRIL MALEATE.............................................. 9ENALAPRIL/HYDROCHLOROTHIAZIDE.................. 9ENALAPRIL-HYDROCHLOROTHIAZIDE..................9ENBREL............................................................. 26, 47ENEMA DISPOSABLE(OTC)................................... 27ENEMEEZ(OTC)...................................................... 27ENFUVIRTIDE..........................................................25ENJUVIA............................................................ 22, 39ENOXAPARIN SODIUM........................................... 22ENOXAPARIN SODIUM(SYRINGE).................. 22, 39ENOXAPARIN SODIUM(VIAL)...........................22, 47ENTACAPONE......................................................... 31ENZALUTAMIDE...................................................... 28EPINEPHRINE................................................... 27, 28EPIPEN 2-PAK......................................................... 27EPIPEN JR 2-PAK.............................................. 28, 39EPIVIR................................................................25, 47EPLERENONE................................................... 10, 44EPOETIN ALFA.................................................. 21, 22EPOGEN............................................................ 21, 47EPROSARTAN MESYLATE..................................... 10EPROSARTAN/HYDROCHLOROTHIAZIDE............. 9EPZICOM........................................................... 25, 47ERBITUX............................................................ 28, 47ERGOCALCIFEROL (VITAMIN D2)......................... 35

ERGOMAR................................................... 31, 39, 44ERGOTAMINE TARTRATE...................................... 31ERGOTAMINE TARTRATE/CAFFEINE....................31ERIVEDGE......................................................... 28, 47ERLOTINIB HCL.......................................................28ERY E-SUCC/SULFISOXAZOLE............................. 23ERYPED 200............................................................ 23ERYPED 400............................................................ 23ERY-TAB...................................................................23ERYTHROCIN STEARATE...................................... 23ERYTHROMYCIN.........................................13, 20, 23ERYTHROMYCIN BASE.................................... 20, 23ERYTHROMYCIN BASE/ETHANOL........................ 13ERYTHROMYCIN ETHYLSUCCINATE................... 23ERYTHROMYCIN STEARATE.................................23ERYTHROMYCIN/BENZOYL PEROXIDE............... 13ERYTHROMYCIN-BENZOYL PEROXIDE............... 13ERYTHROMYCIN-SULFISOXAZOLE......................23ESCITALOPRAM OXALATE...................................... 7ESTAZOLAM.............................................................. 8ESTRACE.................................................................34ESTRADIOL....................................................... 22, 34ESTRADIOL VALERATE/DIENOGEST.................... 11ESTRADIOL(PATCH TDWK)..............................22, 39ESTRADIOL(TAB).............................................. 22, 39ESTRADIOL/LEVONORGESTREL..........................22ESTRADIOL/NORETHINDRONE ACET..................22ESTRADIOL/NORGESTIMATE................................22ESTRADIOL-NORETHINDRONE ACETAT........22, 39ESTRAMUSTINE PHOSPHATE SODIUM............... 29ESTRASORB..................................................... 22, 39ESTRING............................................................34, 39ESTROGEL........................................................ 22, 39ESTROGEN & METHYLTESTOSTERONE............. 22ESTROGEN,CON/M-PROGEST ACET................... 22ESTROGEN,ESTER/ME-TESTOSTERONE............22ESTROGENS, CONJUGATED...........................22, 34ESTROGENS,CONJ.,SYNTHETIC A.......................22ESTROGENS,CONJ.,SYNTHETIC B.......................22ESTROGENS,ESTERIFIED.....................................22ESTROPIPATE................................................... 22, 39ESZOPICLONE.......................................................... 8ETANERCEPT..........................................................26ETHAMBUTOL HCL................................................. 24ETHINYL ESTRADIOL/DROSPIRENONE............... 11ETHOSUXIMIDE...................................................... 32ETHYNODIOL D-ETHINYL ESTRADIOL.................12ETODOLAC.............................................................. 26ETONOGESTREL/ETHINYL ESTRADIOL...............11ETOPOSIDE.............................................................28ETRAVIRINE............................................................ 25EURAX..................................................................... 14EVAMIST............................................................ 22, 39EVEROLIMUS.................................................... 23, 28EVISTA............................................................... 18, 39EXELDERM..............................................................14EXELON..................................................................... 7EXEMESTANE................................................... 28, 39EXENATIDE MICROSPHERES............................... 16EXFORGE............................................................ 9, 44EXFORGE HCT....................................................9, 44EXTAVIA............................................................. 29, 47EYE ALLERGY RELIEF(OTC)................................. 20EYE DROPS(OTC)...................................................20EYE IRRIGATING SOLUTION(OTC)....................... 20EYE WASH(OTC).....................................................21EYLEA................................................................ 21, 47E-Z SPACER.................................................. 6, 37, 39EZETIMIBE............................................................... 11EZETIMIBE/SIMVASTATIN.......................................11EZOGABINE.............................................................32- F -FACTOR IX...............................................................21FACTOR IX COMPLEX HUMAN.............................. 21FACTOR IX HUMAN RECOMBINANT..................... 21FAMCICLOVIR......................................................... 25FAMOTIDINE............................................................33FAMOTIDINE(OTC)..................................................33FARESTON........................................................ 29, 47FEBUXOSTAT.......................................................... 21FEIBA NF........................................................... 21, 47FEIBA VH IMMUNO........................................... 21, 47FELBAMATE.............................................................32FELODIPINE............................................................ 10FELODIPINE ER...................................................... 10FEMHRT.............................................................22, 39FENESIN DM IR(OTC).......................................13, 37FENOFIBRATE......................................................... 11FENOFIBRATE NANOCRYSTALLIZED................... 11

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Index

FENOFIBRATE,MICRONIZED................................. 11FENOFIBRIC ACID...................................................11FENOGLIDE....................................................... 11, 44FENOPROFEN CALCIUM..................................26, 44FENTANYL......................................................... 29, 47FENTANYL CITRATE................................... 29, 30, 47FENTORA...........................................................30, 47FERROUS GLUCONATE......................................... 34FERROUS GLUCONATE(OTC)......................... 34, 40FERROUS SULFATE............................................... 34FERROUS SULFATE(OTC)............................... 34, 40FEVERALL(OTC)..................................................... 29FEXOFENADINE HCL..........................................5, 44FEXOFENADINE HCL(OTC)................................5, 44FEXOFENADINE/PSEUDOEPHEDRINE...................5FIDAXOMICIN.......................................................... 23FILGRASTIM............................................................ 22FINASTERIDE..........................................................33FINGOLIMOD HCL...................................................29FIRAZYR............................................................ 26, 47FIRST AID ANTISEPTIC(OTC)................................ 13FIRST AID(OTC)...................................................... 13FIRST-HYDROCORTISONE.................................... 14FIRST-LANSOPRAZOLE................................... 33, 47FIRST-OMEPRAZOLE....................................... 33, 47FLAGYL ER..............................................................24FLAREX....................................................................19FLECAINIDE ACETATE............................................. 9FLINTSTONES WITH IRON(OTC).....................34, 40FLOVENT DISKUS.....................................................6FLOVENT HFA........................................................... 6FLUCONAZOLE....................................................... 24FLUDROCORTISONE ACETATE.............................26FLUNISOLIDE............................................................ 5FLUOCINOLONE ACETONIDE............................... 14FLUOCINONIDE.......................................................14FLUOCINONIDE/EMOLLIENT BASE.......................14FLUOCINONIDE-E...................................................14FLUORIDE......................................................... 34, 40FLUORIDE ION/MULTIVITAMINS............................34FLUORIDE/IRON/VIT A,C&D...................................34FLUORITAB........................................................34, 40FLUOROMETHOLONE............................................19FLUOROMETHOLONE ACETATE...........................19FLUOROURACIL......................................................16FLUOXETINE HCL.....................................................7FLUOXYMESTERONE.............................................22FLURA-DROPS..................................................34, 40FLURAZEPAM HCL....................................................8FLURBIPROFEN......................................................26FLURBIPROFEN SODIUM.......................................19FLUTAMIDE..............................................................28FLUTICASONE FUROATE.........................................5FLUTICASONE PROPIONATE.................. 5, 6, 14, 40FLUTICASONE/SALMETEROL................................. 6FLUTICASONE/VILANTEROL................................... 6FLUVASTATIN SODIUM..................................... 11, 44FLUVOXAMINE MALEATE........................................ 7FLUVOXAMINE MALEATE(CAP ER 24H)........... 7, 44FLUVOXAMINE MALEATE(TAB)............................... 7FML FORTE............................................................. 19FML S.O.P................................................................ 19FOAMING ANTACID(OTC)...................................... 33FOLIC ACID....................................................... 34, 40FOLIC ACID(OTC)..............................................34, 40FOLIC ACID/MU-VITS-MIN TH................................ 34FOLIVANE-PRX DHA NF................................... 35, 40FOLLISTIM AQ.........................................................18FOLLITROPIN BETA,RECOMB............................... 18FORADIL.............................................................. 5, 47FORMOTEROL FUMARATE......................................5FORTESTA...................................................22, 40, 47FOSAMPRENAVIR CALCIUM..................................25FOSINOPRIL SODIUM...............................................9FOSINOPRIL/HYDROCHLOROTHIAZIDE................ 9FOSINOPRIL-HYDROCHLOROTHIAZIDE................9FOSRENOL........................................................18, 47FREESTYLE FLASH SYSTEM(OTC)................ 17, 40FREESTYLE FREEDOM LITE(OTC)................. 17, 40FREESTYLE FREEDOM(OTC)..........................17, 40FREESTYLE INSULINX(OTC)........................... 17, 40FREESTYLE LITE METER(OTC).......................17, 40FREESTYLE LITE(OTC).................................... 17, 40FREESTYLE SIDEKICK II(OTC)........................17, 40FREESTYLE SYSTEM(OTC).............................17, 40FREESTYLE(OTC).............................................17, 40FRUCTOOLIGOSACCHARIDES/POLYDEX............27FULYZAQ........................................................... 27, 47FUNGOID TINCTURE(OTC)....................................14

FUROSEMIDE..........................................................10FUZEON.............................................................25, 47- G -GABAPENTIN...........................................................32GABITRIL................................................................. 32GALANTAMINE HBR..................................................7GANIRELIX ACETATE............................................. 19GAS FREE(OTC)......................................................32GAS-X(OTC).............................................................32GAVILYTE-C.............................................................27GAVILYTE-N.............................................................27GEMFIBROZIL..........................................................11GENERLAC..............................................................27GENOTROPIN..........................................................19GENTAMICIN SULFATE.....................................13, 20GEODON....................................................................8GILENYA............................................................ 29, 47GLATIRAMER ACETATE..........................................29GLEEVEC...........................................................28, 47GLIMEPIRIDE...........................................................17GLIPIZIDE................................................................ 17GLIPIZIDE/METFORMIN HCL................................. 17GLIPIZIDE-METFORMIN................................... 17, 44GLYBURIDE............................................................. 17GLYBURIDE/METFORMIN HCL.............................. 17GLYBURIDE-METFORMIN HCL.............................. 17GLYCERIN....................................................15, 16, 27GLYCERIN(OTC)......................................................15GLYCERIN/PROPYLENE GLYCOL......................... 20GLYCEROL PHENYLBUTYRATE............................ 27GLYCOPYRROLATE................................................33GOLIMUMAB............................................................26GOLYTELY............................................................... 27GONADORELIN ACETATE...................................... 19GRANISETRON HCL........................................... 5, 40GRISEOFULVIN....................................................... 24GRISEOFULVIN ULTRAMICROSIZE.......................24GRISEOFULVIN, MICROSIZE................................. 24GUAIFENESIN......................................................... 12GUAIFENESIN/CODEINE PHOSPHATE................. 12GUAIFENESIN/DEXTROMETHORPHAN................13GUAIFENESIN/D-METHORPHAN HB/PE............... 13GUANFACINE HCL.................................................. 10GYNOL II(OTC)........................................................ 11- H -H.P. ACTHAR..................................................... 18, 47HALOBETASOL PROPIONATE............................... 14HECTOROL..............................................................19HELIXATE FS..................................................... 21, 47HEMOFIL M........................................................21, 47HEXALEN.................................................................28HOMATROPAIRE..................................................... 20HOMATROPINE HBR...............................................20HUM INSULIN NPH/REG INSULIN HM................... 17HUMALOG................................................................17HUMALOG MIX 50-50..............................................17HUMALOG MIX 75-25..............................................17HUMATE-P......................................................... 21, 47HUMATROPE..................................................... 19, 47HUMIRA..............................................................26, 47HUMULIN 70/30 KWIKPEN(OTC)............................17HUMULIN 70-30(OTC)............................................. 17HUMULIN N(OTC)....................................................18HUMULIN R(OTC)....................................................17HYCAMTIN...............................................................28HYDRALAZINE HCL................................................ 10HYDROCERIN(OTC)................................................15HYDROCHLOROTHIAZIDE.....................................10HYDROCODONE BIT/HOMATROP ME-BR............ 12HYDROCODONE BIT-IBUPROFEN.................. 29, 40HYDROCODONE/ACETAMINOPHEN.....................30HYDROCODONE/CHLORPHEN POLIS..................12HYDROCODONE/IBUPROFEN...............................29HYDROCODONE-ACETAMINOPHEN(SOLUTION)(2.5-167/5)...... 30, 40HYDROCODONE-ACETAMINOPHEN(SOLUTION)(5-334MG/10)......30,4 0HYDROCODONE-ACETAMINOPHEN(SOLUTION)(7.5-325/15)......30,4 0HYDROCODONE-ACETAMINOPHEN(SOLUTION)(7.5-500/15)......30,4 0HYDROCODONE-ACETAMINOPHEN(TAB)(10-660MG)...............................................................30, 40HYDROCODONE-ACETAMINOPHEN(TAB)(10-750MG)...............................................................30, 40

HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-300MG)...............................................................30, 40HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-325MG)...............................................................30, 40HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-500MG)...............................................................30, 40HYDROCODONE-ACETAMINOPHEN(TAB)(10MG-650MG)...............................................................30, 40HYDROCODONE-ACETAMINOPHEN(TAB)(2.5-500MG).....................................................................30, 40HYDROCODONE-ACETAMINOPHEN(TAB)(5 MG-500MG)...............................................................30, 40HYDROCODONE-ACETAMINOPHEN(TAB)(5MG-300MG)...............................................................30, 40HYDROCODONE-ACETAMINOPHEN(TAB)(5MG-325MG)...............................................................30, 40HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-300MG)...............................................................30, 40HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-325MG)...............................................................30, 40HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-500MG)...............................................................30, 40HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-650MG).....................................................................30, 40HYDROCODONE-ACETAMINOPHEN(TAB)(7.5-750MG)...............................................................30, 40HYDROCODONE-CHLORPHENIRAMINE........ 12, 37HYDROCODONE-HOMATROPINE MBR......12, 37,4 0HYDROCORTISONE............................. 14, 15, 26, 27HYDROCORTISONE ACETATE........................ 15, 27HYDROCORTISONE ACETATE/ALO VER..............15HYDROCORTISONE ACETATE/UREA................... 15HYDROCORTISONE BUTYRATE........................... 15HYDROCORTISONE BUTYRATE/EMOLL.............. 15HYDROCORTISONE PROBUTATE.........................15HYDROCORTISONE VALERATE............................ 15HYDROCORTISONE W/ALOE(OTC)...................... 15HYDROCORTISONE(OTC)..................................... 14HYDROCORTISONE/ALOE VERA.......................... 15HYDROCORTISONE/IODOQUINOL....................... 13HYDROCORTISONE/PRAMOXINE...................16, 27HYDROCORTISONE/PRAMOXINE/EMOLL............16HYDROCORTISONE-ACETIC ACID....................... 18HYDROCORTISONE-ALOE(OTC)...........................15HYDROCORTISONE-IODOQUINOL....................... 13HYDROCORTISONE-PRAMOXINE.........................27HYDROCORTISONE-PRAMOXINE HCL................ 16HYDROGEN PEROXIDE......................................... 16HYDROGEN PEROXIDE(OTC)............................... 16HYDROLATUM(OTC)...............................................15HYDROMORPHONE HCL....................................... 30HYDROMORPHONE HCL(LIQUID).........................30HYDROMORPHONE HCL(SUPP)..................... 30, 40HYDROMORPHONE HCL(TAB)........................ 30, 40HYDROXYCHLOROQUINE SULFATE.................... 24HYDROXYPROGESTERONE CAPROATE............. 22HYDROXYUREA......................................................28HYDROXYZINE HCL..................................................5HYDROXYZINE PAMOATE........................................5HYFIBER(OTC).................................................. 27, 47HYOSCYAMINE SULFATE.......................................32HYPROMELLOSE....................................................20- I -IBANDRONATE SODIUM.............................18, 40, 44IBUPROFEN.............................................................26IBUPROFEN(OTC)...................................................26ICATIBANT ACETATE.............................................. 26ICLUSIG(TAB)(15 MG)................................. 28, 40, 47ICLUSIG(TAB)(45 MG)................................. 28, 40, 47IMATINIB MESYLATE.............................................. 28IMIPRAMINE HCL...................................................... 8IMIPRAMINE PAMOATE............................................ 8IMIQUIMOD........................................................23, 47IN-CHECK DIAL(OTC)................................... 7, 37, 40IN-CHECK NASAL WITH MASK(OTC)...................... 7IN-CHECK ORAL(OTC)..............................................7INCHECK(OTC)..........................................................7INCIVEK................................................................... 25INCRELEX..........................................................19, 47INDAPAMIDE............................................................10INDINAVIR SULFATE............................................... 25INDOCIN...................................................................26INDOMETHACIN......................................................26INGENOL MEBUTATE............................................. 16INHALER, ASSIST DEVICES.................................... 6INHALER,ASSIST DEVICE,ACCESORY...............6, 7INLYTA......................................................................28INSULIN ASPART.................................................... 17

LA Care of 59

Index

INSULIN DETEMIR.................................................. 17INSULIN GLARGINE,HUM.REC.ANLOG.................17INSULIN GLULISINE................................................17INSULIN LISPRO..................................................... 17INSULIN NPL/INSULIN LISPRO.............................. 17INSULIN REGULAR, HUMAN..................................17INSULN ASP PRT/INSULIN ASPART......................18INTELENCE....................................................... 25, 47INTERFERON ALFA-2B,RECOMB.......................... 23INTERFERON ALFA-N3...........................................23INTERFERON BETA-1A...........................................29INTERFERON BETA-1A/ALBUMIN..........................29INTERFERON BETA-1B...........................................29INTERFERON GAMMA-1B,RECOMB..................... 23INTERMEZZO................................................ 8, 40, 44INTRON A...........................................................23, 47INVIRASE...........................................................25, 47INVOKANA......................................................... 16, 47IODOQUINOL...........................................................24IONAMIN............................................................ 35, 47IPRATROPIUM BROMIDE................................... 6, 29IPRATROPIUM/ALBUTEROL SULFATE....................6IPRATROPIUM-ALBUTEROL.................................... 6IRBESARTAN........................................................... 10IRBESARTAN/HYDROCHLOROTHIAZIDE............... 9IRBESARTAN-HYDROCHLOROTHIAZIDE............... 9ISENTRESS....................................................... 25, 47ISOMETHEPT/DICHLPHN/ACETAMINOP.............. 31ISOMETHEPT-DICHLORALP-ACETAMIN...............31ISONIAZID................................................................24ISOPTO CARBACHOL.............................................20ISOPTO HOMATROPINE.........................................20ISORDIL....................................................................11ISOSORBIDE DINITRATE........................................11ISOSORBIDE MONONITRATE................................ 11ISOSORBIDE MONONITRATE ER.......................... 11ISOTRETINOIN........................................................ 13ITRACONAZOLE......................................................24IV ANTISEPTIC WIPES(OTC)..................................15IV PREP WIPES(OTC).............................................15IVACAFTOR............................................................. 29- J -JALYN.................................................................33, 47JANUMET.....................................................16, 40, 44JANUMET XR...............................................16, 40, 44JANUVIA...................................................... 17, 40, 44JENTADUETO.............................................. 16, 40, 44- K -KADCYLA...........................................................28, 47KADIAN.................................................................... 30KALETRA................................................................. 25KALYDECO........................................................ 29, 47KA-PEC(OTC).......................................................... 27KENALOG................................................................ 15KETEK..........................................................23, 40, 44KETOCONAZOLE.............................................. 14, 24KETOPROFEN......................................................... 26KETOROLAC TROMETHAMINE................. 19, 26, 40KETOTIFEN FUMARATE......................................... 19KETOTIFEN FUMARATE(OTC)............................... 19KIDKARE(OTC)..................................................12, 37KIDS VITAMINS COMPLETE(OTC)...................34, 40KIDS VITAMINS(OTC)........................................35, 40KINERET............................................................ 26, 47KLOR-CON-EF.........................................................18KOATE-DVI(VIAL)(1000 (+/-))............................ 21, 47KOATE-DVI(VIAL)(250 (+/-)).............................. 21, 47KOATE-DVI(VIAL)(500 (+/-)).............................. 21, 47KOGENATE FS(KIT).......................................... 21, 48KOGENATE FS(VIAL)........................................ 21, 48KOMBIGLYZE XR...............................................16, 48KORLYM.............................................................17, 48KYNAMRO..........................................................11, 48- L -LABETALOL HCL....................................................... 9LACTULOSE............................................................ 27LAMISIL(OTC)....................................................14, 48LAMIVUDINE......................................................25, 48LAMIVUDINE/ZIDOVUDINE.....................................25LAMOTRIGINE.........................................................32LANCING DEVICE/LANCETS..................................17LANOLIN.................................................................. 15LANOLIN ALCOHOL/MO/W.PET/CERES................15LANOLIN/MIN OIL/PETROLAT,WHT....................... 21LAN-O-SOOTHE(OTC)............................................ 15LANSOPRAZOLE.....................................................33LANTHANUM CARBONATE.................................... 18LANTUS....................................................................17LANTUS SOLOSTAR............................................... 17

LAPATINIB DITOSYLATE.........................................28LASTACAFT........................................... 19, 37, 40, 44LATANOPROST....................................................... 20LATISSE............................................................. 21, 48LAZANDA........................................................... 30, 48LEFLUNOMIDE.................................................. 26, 44LENALIDOMIDE.......................................................28LETAIRIS............................................................ 10, 48LETROZOLE...................................................... 28, 40LEUCOVORIN CALCIUM.........................................29LEUKERAN.............................................................. 28LEUKINE............................................................ 22, 48LEUPROLIDE ACETATE..........................................18LEVALBUTEROL HCL..........................................5, 45LEVEMIR............................................................17, 45LEVETIRACETAM.................................................... 32LEVETIRACETAM(SOLUTION)............................... 32LEVETIRACETAM(TAB ER 24H)(500 MG)........ 32, 40LEVETIRACETAM(TAB ER 24H)(750 MG)........ 32, 40LEVETIRACETAM(TAB)...........................................32LEVOBUNOLOL HCL...............................................20LEVOFLOXACIN................................................ 20, 24LEVOFLOXACIN(SOLUTION)........................... 24, 40LEVOFLOXACIN(TAB)(250 MG)..............................24LEVOFLOXACIN(TAB)(500 MG)..............................24LEVOFLOXACIN(TAB)(750 MG)........................24, 40LEVOFLOXACIN(TAB)(750MG).........................24, 40LEVONORGESTREL............................................... 12LEVONORGESTREL-ETH ESTRADIOL..................12LEVORA-28........................................................12, 50LEVOTHYROXINE SODIUM....................................19LEXIVA............................................................... 25, 48LICE EGG REMOVER(OTC)....................................14LICE KILLING(OTC).................................................14LICE TREATMENT(OTC)......................................... 14LIDOCAINE........................................................ 16, 48LIDOCAINE HCL...................................................... 26LIDOCAINE HCL VISCOUS.....................................26LIDOCAINE/PRILOCAINE....................................... 16LIDOCAINE-PRILOCAINE....................................... 16LINACLOTIDE.......................................................... 27LINAGLIPTIN............................................................16LINAGLIPTIN/METFORMIN HCL.............................16LINDANE.................................................................. 14LINEZOLID............................................................... 23LINZESS.............................................................27, 48LIOTHYRONINE SODIUM....................................... 19LIPASE/PROTEASE/AMYLASE...............................32LIPODOX............................................................28, 48LIPOFEN.............................................................11, 45LIRAGLUTIDE.......................................................... 16LISINOPRIL................................................................9LISINOPRIL/HYDROCHLOROTHIAZIDE.................. 9LISINOPRIL-HYDROCHLOROTHIAZIDE..................9LITEAIRE........................................................6, 37, 40LITETOUCH................................................... 6, 37, 40LIVALO................................................................11, 48L-NORGEST-ETH ESTR/ETHIN ESTRA................. 12LO LOESTRIN FE........................................ 12, 45, 50LOCOID....................................................................15LOCOID LIPOCREAM..............................................15LODOSYN................................................................ 32LODOXAMIDE TROMETHAMINE............................20LOMUSTINE.............................................................28LOPERAMIDE.......................................................... 27LOPERAMIDE HCL..................................................27LOPERAMIDE(OTC)................................................ 27LOPINAVIR/RITONAVIR...........................................25LORATADINE............................................................. 5LORATADINE(SOLUTION)(OTC).................. 5, 37, 40LORATADINE(TAB RDP DIS)(OTC)...............5, 37, 40LORATADINE(TAB)(OTC).................................... 5, 40LORATADINE/PSEUDOEPHEDRINE........................ 5LORATADINE-D(TAB ER 12H)(OTC)...................5, 40LORATADINE-D(TAB ER 24H)(OTC)...................5, 40LORAZEPAM..............................................................8LOSARTAN POTASSIUM.........................................10LOSARTAN/HYDROCHLOROTHIAZIDE...................9LOSARTAN-HYDROCHLOROTHIAZIDE...................9LOTRIMIN AF(OTC).................................................14LOVASTATIN............................................................ 11LOVAZA.............................................................. 11, 48LUBRICATING JELLY(OTC).................................... 16LUMIGAN........................................................... 20, 48LUNESTA....................................................... 8, 40, 45LUTREPULSE.................................................... 19, 48LYSODREN.............................................................. 28- M -MACRODANTIN.......................................................23

MAG HYDROX/AL HYDROX/SIMETH.....................33MAGNESIA(OTC).....................................................33MAGNESIUM CITRATE........................................... 27MAGNESIUM CITRATE(OTC)................................. 27MAGNESIUM HYDROXIDE............................... 27, 33MAGNESIUM HYDROXIDE/AL HYDROX............... 33MAGNESIUM OXIDE............................................... 34MAGNESIUM OXIDE(OTC)............................... 34, 40MAGOX 400(OTC)............................................. 34, 40MAKENA............................................................ 22, 48MALATHION....................................................... 14, 45MAPAP PM(OTC)............................................... 12, 37MAPROTILINE HCL................................................... 8MARAVIROC............................................................ 25MATULANE.............................................................. 28MECASERMIN......................................................... 19MECLIZINE HCL........................................................ 5MECLIZINE HCL(OTC).............................................. 5MECLOFENAMATE SODIUM.................................. 26MEDI-GEN(OTC)......................................................15MEDROL.................................................................. 26MEDROXYPROGESTERONE ACET.......................22MEDROXYPROGESTERONE ACETATE.......... 11, 22MEFLOQUINE HCL..................................................24MEGESTROL ACETATE.......................................... 29MELOXICAM...................................................... 26, 40MELPHALAN............................................................28MEMANTINE HCL......................................................7MENEST.............................................................22, 40MENOSTAR........................................................22, 40MEPERIDINE HCL................................................... 30MEPHYTON............................................................. 22MEPROBAMATE........................................................ 8MERCAPTOPURINE................................................28MESALAMINE.......................................................... 27MESTINON.................................................................7METAPROTERENOL SULFATE................................ 5METAXALONE......................................................... 32METFORMIN HCL....................................................17METFORMIN HCL(TAB)(1000 MG)................... 17, 40METFORMIN HCL(TAB)(500 MG)..................... 17, 40METFORMIN HCL(TAB)(850 MG)........................... 17METHADONE HCL...................................................30METHADONE HCL(ORAL CONC).....................30, 41METHADONE HCL(TAB)(10 MG)...................... 30, 41METHADONE HCL(TAB)(5 MG)........................ 30, 41METHAZOLAMIDE...................................................20METHIMAZOLE........................................................19METHITEST............................................................. 22METHOCARBAMOL.................................................32METHOTREXATE.............................................. 26, 28METHOTREXATE SODIUM............................... 26, 28METHOXSALEN.......................................................16METHOXSALEN, RAPID..........................................16METHYLDOPA......................................................... 10METHYLERGONOVINE MALEATE......................... 12METHYLPHENIDATE ER(TAB ER 24H)(18 MG)......8,37, 41METHYLPHENIDATE ER(TAB ER 24H)(27 MG)......8,37, 41METHYLPHENIDATE ER(TAB ER 24H)(36 MG)......8,37, 41METHYLPHENIDATE ER(TAB ER 24H)(54 MG)......9,37, 41METHYLPHENIDATE HCL.....................................8, 9METHYLPREDNISOLONE.......................................26METHYLPREDNISOLONE ACETATE............... 26, 48METHYLPREDNISOLONE SOD SUCC............ 26, 48METHYLPREDNISOLONE SOD SUCC/PF.............26METHYLTESTOSTERONE...................................... 22METIPRANOLOL......................................................20METOCLOPRAMIDE HCL....................................... 33METOCLOPRAMIDE HCL INTENSOL.............. 33, 41METOCLOPRAMIDE HCL(SOLUTION).............33, 41METOCLOPRAMIDE HCL(TAB)........................ 33, 41METOLAZONE......................................................... 10METOPROLOL SUCCINATE................................... 10METOPROLOL TARTRATE..................................... 10METOPROLOL/HYDROCHLOROTHIAZIDE........... 10METOPROLOL-HYDROCHLOROTHIAZIDE...........10METRONIDAZOLE.......................................13, 24, 34MEXILETINE HCL...................................................... 9MG TRISILICATE/ALH/NAHCO3/AA........................33MICONAZOLE NITRATE....................................14, 34MICONAZOLE NITRATE(OTC)..........................14, 34MICROCHAMBER..........................................6, 37, 41MICROGESTIN.................................................. 12, 50MICROGESTIN FE.............................................12, 50MICROLIFE PEAK FLOW(OTC)................................ 7

LA Care of 59

Index

MICROSPACER............................................. 6, 37, 41MIDODRINE HCL..................................................... 11MIFEPRISTONE.......................................................17MIGERGOT........................................................ 31, 41MILK OF MAGNESIA(OTC)..................................... 27MILLIPRED...............................................................26MILLIPRED DP.........................................................26MILNACIPRAN HCL.................................................29MINERAL OIL.....................................................15, 27MINERAL OIL(OTC).................................................27MINERAL OIL/I-PROP MYR/WATER.......................15MINERAL OIL/PETROLATUM,WHITE............... 15, 21MINERIN LOTION(OTC).......................................... 15MINIVELLE.........................................................22, 41MINI-WRIGHT PEAK FLOW METER.........................7MINOCYCLINE HCL.................................................24MINOXIDIL............................................................... 10MINTOX PLUS(OTC)............................................... 33MIPOMERSEN SODIUM.......................................... 11MIRAPEX ER............................................... 31, 41, 45MIRTAZAPINE............................................................7MISOPROSTOL....................................................... 33MITOTANE............................................................... 28MODAFINIL.................................................... 8, 41, 48MOEXIPRIL HCL........................................................9MOEXIPRIL/HYDROCHLOROTHIAZIDE.................. 9MOEXIPRIL-HYDROCHLOROTHIAZIDE.................. 9MOMETASONE FUROATE.............................. 5, 6, 15MOMETASONE/FORMOTEROL................................6MONAGHAN Z STAT......................................6, 37, 41MONISTAT 3(OTC)...................................................34MONOCLATE-P..................................................21, 48MONONINE........................................................21, 48MONTELUKAST SODIUM......................................... 6MORPHINE SULFATE........................................30, 41MORPHINE SULFATE ER(CAP ER PEL)(20 MG)......30, 41, 45MORPHINE SULFATE ER(CAP ER PEL)(30 MG)......30, 41MORPHINE SULFATE ER(CAP ER PEL)(50 MG)......30, 41, 45MORPHINE SULFATE ER(CAP ER PEL)(60 MG)......30, 41, 45MORPHINE SULFATE ER(CAP ER PEL)(80 MG)......30, 41, 45MORPHINE SULFATE ER(CPMP 24HR)...........30, 48MORPHINE SULFATE ER(TAB ER)(100 MG)......30,4 1MORPHINE SULFATE ER(TAB ER)(15 MG)......30,4 1MORPHINE SULFATE ER(TAB ER)(200 MG)......... 30MORPHINE SULFATE ER(TAB ER)(30 MG)......30,4 1MORPHINE SULFATE ER(TAB ER)(60 MG)......30,4 1MOUTHPIECE(OTC)......................................6, 37, 41MUCINEX COUGH(OTC)...................................13, 37MUCINEX DM(OTC)...........................................13, 37MUCINEX(OTC)................................................. 12, 37MULTIVITAMIN.........................................................34MULTIVITAMIN W/IRON, MINERALS...................... 34MULTIVITAMIN WITH FLUORIDE..................... 34, 41MULTIVITAMIN(OTC).........................................34, 41MULTIVITAMINS...................................................... 34MULTIVITAMINS W/FLUORIDE.........................34, 41MULTIVITAMINS W-FLUORIDE-IRON...............34, 41MULTIVITAMINS W-IRON........................................34MULTIVITAMINS WITH FLUORIDE............. 34, 35, 41MULTIVITAMINS WITH IRON.................................. 34MULTIVITAMINS WITH MIN NO.7/FA......................34MULTIVITS WITH IRON & FLUORIDE.................... 34MUPIROCIN............................................................. 13MUPIROCIN CALCIUM............................................29MYCELEX-3(OTC)................................................... 34MYCOBUTIN...................................................... 24, 48MYCOPHENOLATE MOFETIL.................................23MYLERAN................................................................ 28MYNATAL........................................................... 35, 41- N -NA PHOS,M-B/NA PHOS,DI-BA.............................. 27NA SULFACETM/PREDNIS SP............................... 19NABUMETONE........................................................ 26NACL IRRIGAT/DECYL GLUCOSIDE......................15NADOLOL................................................................ 10NAFTIFINE HCL.......................................................14NAFTIN.....................................................................14NALIDIXIC ACID................................................ 24, 37NAMENDA............................................................7, 45NAMENDA XR......................................................7, 45

NAPHAZOLINE HCL................................................ 20NAPHAZOLINE HCL/PEG 300................................ 20NAPHAZOLINE HCL/PHENIRAMINE................ 19, 20NAPROXEN..............................................................26NAPROXEN SODIUM.............................................. 26NARATRIPTAN HCL...........................................31, 41NASAL DECONGESTANT(OTC)....................... 13, 37NASONEX...................................................... 5, 41, 48NATALIZUMAB......................................................... 29NATAZIA....................................................... 11, 45, 50NATEGLINIDE.......................................................... 17NATURE'S TEARS(OTC)......................................... 20NEBIVOLOL HCL..................................................... 10NEBUPENT........................................................ 24, 48NECON...............................................................12, 50NEDOCROMIL SODIUM..........................................20NEFAZODONE HCL...................................................8NELFINAVIR MESYLATE.........................................25NEO/POLYMYX B SULF/DEXAMETH..................... 19NEOMY SULF/BACITRA/POLYMYXIN B...........13, 20NEOMY SULF/BACITRAC ZN/POLY....................... 13NEOMY SULF/BACITRAC ZN/POLY/HC.................19NEOMY SULF/POLYMYX B SULF/PRAM............... 13NEOMYCIN SULFATE..............................................24NEOMYCIN SULFATE/DEX NA PH......................... 19NEOMYCIN W/DEXAMETHASONE........................ 19NEOMYCIN/BACITRA/POLYMYXIN/HC..................14NEOMYCIN/BACITRAC ZN/POLYMYXIN................13NEOMYCIN/POLYMYXIN B SULF/HC...............14, 18NEOMYCIN/POLYMYXN B/GRAMICIDIN................20NEOMYCIN-BACITRACIN-POLY-HC.......................19NEOMYCIN-BACITRACIN-POLYMYXIN................. 20NEOMYCIN-POLYMYXIN-DEXAMETH................... 19NEOMYCIN-POLYMYXIN-GRAMICIDIN..................20NEOMYCIN-POLYMYXIN-HC.................................. 18NEOMYCN/BACI ZN/PMYX BS/PRAMOX...............13NEOSPORIN + PAIN RELIEF(OTC)........................ 13NEOSTIGMINE BROMIDE.........................................7NEULASTA......................................................... 22, 48NEUPOGEN....................................................... 22, 48NEUPRO............................................................ 31, 41NEVIRAPINE......................................................25, 48NEXAFED(OTC)...........................................13, 37, 41NEXAVAR........................................................... 28, 48NEXT CHOICE ONE DOSE......................... 12, 41, 50NIACIN......................................................................11NIACIN ER..........................................................11, 48NIACIN(OTC)............................................................11NIACINAMIDE.......................................................... 11NIACINAMIDE(OTC)................................................ 11NICARDIPINE HCL.................................................. 10NICOTINE.................................................................32NICOTINE GUM(OTC)....................................... 32, 37NICOTINE PATCH(OTC)....................................32, 37NICOTINE POLACRILEX.........................................32NIFEDIPINE..............................................................10NIFEDIPINE ER........................................................10NILANDRON.............................................................28NILOTINIB HCL........................................................28NILUTAMIDE............................................................ 28NITAZOXANIDE....................................................... 13NITRO-BID................................................................11NITRO-DUR..............................................................11NITROFURANTOIN............................................23, 37NITROFURANTOIN MACROCRYSTAL...................23NITROFURANTOIN MONOHYD/M-CRYST............ 23NITROFURANTOIN MONO-MACRO.......................23NITROGLYCERIN.....................................................11NITROGLYCERIN PATCH........................................ 11NITROSTAT.............................................................. 11NIZATIDINE.............................................................. 33NONOXYNOL 9........................................................ 11NORA-BE........................................................... 12, 50NORDITROPIN FLEXPRO.................................19, 48NORDITROPIN NORDIFLEX.............................19, 48NORELGESTROMIN/ETHIN.ESTRADIOL.............. 12NORETH A-ET ESTRA/FE FUMARATE.................. 12NORETH-ETHINYL ESTRADIOL/IRON...................12NORETHIND AC/ETHINYL ESTRADIOL.................22NORETHINDRONE..................................................12NORETHINDRONE ACETATE.................................22NORETHINDRONE A-E ESTRADIOL......................12NORETHINDRONE-ETHINYL ESTRAD..................12NORETHINDRONE-MESTRANOL.......................... 12NORGESTIMATE-ETHINYL ESTRADIOL............... 12NORGESTREL-ETHINYL ESTRADIOL................... 12NORMLGEL(OTC)....................................................16NORPACE CR............................................................ 9NORTRIPTYLINE HCL...............................................8

NORVIR..............................................................25, 48NOVAREL.................................................................18NOVOLIN 70-30(OTC)............................................. 17NOVOLIN N INNOLET(OTC)................................... 18NOVOLIN N(OTC)....................................................18NOVOLIN R(OTC)....................................................17NOVOLOG................................................................17NOVOLOG FLEXPEN.............................................. 17NOVOLOG MIX 70-30..............................................18NOVOLOG MIX 70-30 FLEXPEN............................ 18NOVOSEVEN.....................................................21, 48NOVOSEVEN RT............................................... 21, 48NP THYROID............................................................19NPH, HUMAN INSULIN ISOPHANE........................ 18NUCYNTA...........................................................31, 48NUCYNTA ER.....................................................31, 48NUMORPHAN.................................................... 31, 48NUTRADERM(OTC).................................................15NUVARING......................................................... 11, 50NYSTATIN.......................................................... 14, 24NYSTATIN/TRIAMCIN.............................................. 14NYSTATIN-TRIAMCINOLONE................................. 14- O -OCELLA........................................................11, 45, 50OFLOXACIN.............................................................20OLANZAPINE.............................................................8OLMESARTAN MEDOXOMIL.................................. 10OLMESARTAN/HYDROCHLOROTHIAZIDE............. 9OLOPATADINE HCL.................................................19OMEGA-3 ACID ETHYL ESTERS............................11OMEPRAZOLE.........................................................33OMEPRAZOLE MAGNESIUM..................................33OMEPRAZOLE MAGNESIUM(OTC)..................33, 48OMEPRAZOLE(OTC).........................................33, 41OMEPRAZOLE/SODIUM BICARBONATE...............33OMEPRAZOLE-SODIUM BICARBONATE......33, 41,4 5OMEPRAZOLE-SODIUM BICARBONATE(OTC)......33, 41, 45OMNITROPE............................................................19ONDANSETRON........................................................5ONDANSETRON HCL................................................5ONDANSETRON ODT(TAB RDP DIS)(4 MG)......5,4 1ONDANSETRON ODT(TAB RDP DIS)(8 MG)......5,4 1ONE TOUCH SURESOFT(OTC)..............................17ONE WAY MOUTHPIECE(OTC).................... 6, 37, 41ONFI......................................................................... 32ONGLYZA...........................................................16, 48ONSOLIS............................................................30, 48OPANA............................................................... 31, 48OPANA ER......................................................... 31, 48OPTICHAMBER............................................. 6, 37, 41OPTICHAMBER DIAMOND........................... 6, 37, 41OPTIUM EZ(OTC).............................................. 17, 41OPTIUM(OTC)....................................................17, 41ORAL SALINE LAXATIVE(OTC).............................. 27ORENCIA........................................................... 26, 48ORLISTAT.................................................................36ORPHENADRINE CITRATE.....................................32ORPHENADRINE COMPOUND FORTE................. 32ORPHENADRINE/ASPIRIN/CAFFEINE...................32ORTHO ALL-FLEX................................................... 12ORTHO EVRA.................................................... 12, 50ORTHO TRI-CYCLEN LO............................ 12, 45, 50OSELTAMIVIR PHOSPHATE................................... 25OVACE PLUS........................................................... 15OXACILLIN SODIUM................................................23OXAPROZIN.............................................................26OXAZEPAM................................................................ 8OXCARBAZEPINE................................................... 32OXSORALEN........................................................... 16OXSORALEN-ULTRA...............................................16OXTELLAR XR...................................................32, 45OXYBUTYNIN CHLORIDE.......................................34OXYCODONE HCL............................................ 30, 31OXYCODONE HCL(CAP).................................. 30, 41OXYCODONE HCL(SOLUTION)............................. 30OXYCODONE HCL(TAB)(10 MG)......................30, 41OXYCODONE HCL(TAB)(15 MG)......................30, 41OXYCODONE HCL(TAB)(20 MG)......................31, 41OXYCODONE HCL(TAB)(30 MG)......................31, 41OXYCODONE HCL(TAB)(5 MG)........................31, 41OXYCODONE HCL/ACETAMINOPHEN.................. 31OXYCODONE HCL/ASPIRIN...................................31OXYCODONE HCL-ASPIRIN............................ 31, 41OXYCODONE-ACETAMINOPHEN(CAP).......... 31, 41

LA Care of 59

Index

OXYCODONE-ACETAMINOPHEN(TAB)(2.5-325MG)..................................................................................31OXYCODONE-ACETAMINOPHEN(TAB)(5MG-325MG)...............................................................31, 41OXYCODONE-ACETAMINOPHEN(TAB)(7.5-325MG)............................................................................31, 41OXYCONTIN...................................................... 31, 48OXYMETAZOLINE HCL........................................... 13OXYMORPHONE HCL.......................................31, 48OYSTER SHELL CALCIUM W-VIT D(OTC).......34, 41OYSTER SHELL CALCIUM(OTC)..................... 34, 41- P -PALIVIZUMAB.......................................................... 25PANDA MASK(OTC)...................................... 6, 37, 41PANDEL....................................................................15PANITUMUMAB....................................................... 28PANTOPRAZOLE SODIUM............................... 33, 41PARICALCITOL.................................................. 19, 48PAROMOMYCIN SULFATE......................................24PAROXETINE HCL.................................................7, 8PAROXETINE HCL(TAB ER 24H)............7, 37, 41, 45PAROXETINE HCL(TAB)..................................... 7, 37PARVA-CAL 500(OTC).......................................34, 41PATADAY...................................................... 19, 41, 45PATANOL................................................19, 37, 41, 45PAXIL....................................................................8, 37PAZOPANIB HCL..................................................... 28PEAK FLOW METER................................................. 7PEAK FLOW METER(OTC)....................................... 7PEAK FLOW METER/INH ASST DEV....................... 7PEAK-AIR(OTC).........................................................7PED MULTIVIT #17/IRON FUMARATE....................34PED MULTIVIT #46/IRON SULFATE....................... 34PED MV A,C,D3 #21 W-FLUORIDE.........................34PEDI M.VIT NO.17 WITH FLUORIDE......................34PEDI MULTIVIT 9/IRON/FA......................................34PEDI MULTIVITS A,C,&D3 NO.21........................... 35PEDI MVI NO.16 WITH FLUORIDE......................... 35PEDIA-LAX(OTC).....................................................27PEDIATRIC ELECTROLYTE(OTC).......................... 18PEDIATRIC MASK(OTC)................................6, 37, 41PEDIATRIC MULTIVIT #36/IRON.............................35PEDIATRIC MULTIVIT COMB 8/FA......................... 35PEDIATRIC MULTIVIT COMB NO.20...................... 35PEDIATRIC PANDA MASK(OTC).................. 6, 37, 41PEG 3350/NA SULF,BICARB,CL/KCL..................... 27PEGASYS.......................................................... 25, 48PEGASYS PROCLICK....................................... 25, 48PEGFILGRASTIM.....................................................22PEGINTERFERON ALFA-2A................................... 25PEGINTERFERON ALFA-2B............................. 25, 28PEGINTRON...................................................... 25, 48PEGINTRON REDIPEN..................................... 25, 48PENCICLOVIR......................................................... 14PENICILLAMINE...................................................... 26PENICILLIN V POTASSIUM.....................................23PENTAMIDINE ISETHIONATE...........................24, 48PENTAZOCINE HCL/NALOXONE HCL................... 31PENTAZOCINE-NALOXONE HCL..................... 31, 41PENTOSAN POLYSULFATE SODIUM.................... 33PENTOXIFYLLINE................................................... 22PEPCID RPD............................................................33P-EPHED HCL/CODEINE/GUAIFEN....................... 12P-EPHED SUL/LORATADINE.................................... 5PERIGUARD(OTC).................................................. 16PERMETHRIN..........................................................14PERMETHRIN(OTC)................................................14PERPHENAZINE/AMITRIPTYLINE HCL................... 8PERPHENAZINE-AMITRIPTYLINE........................... 8PERRY PRENATAL(OTC)..................................35, 41PERSONAL BEST(OTC)............................................7PETROLATUM,WHITE.......................................15, 16PFLEX TRAINER........................................... 7, 37, 41PHENAZOPYRIDINE HCL....................................... 33PHENDIMETRAZINE TARTRATE......................35, 48PHENOBARB/HYOSCY/ATROPINE/SCOP.............32PHENOBARBITAL......................................................8PHENOXYBENZAMINE HCL.....................................9PHENTERMINE HCL......................................... 35, 48PHENTERMINE RESIN............................................35PHENTERMINE/TOPIRAMATE............................... 35PHENYLEPHRINE HCL/PROMETH HCL................12PHENYTEK.............................................................. 32PHENYTOIN.............................................................32PHENYTOIN SODIUM EXTENDED.........................32PHOSP ACID/DEXTROSE/FRUCTOSE.................... 5PHOSPHA 250 NEUTRAL....................................... 33PHOSPHORUS #1................................................... 33PHYTONADIONE..................................................... 22

PICATO...............................................................16, 48PIKO 1(OTC).............................................................. 7PILOCARPINE HCL........................................... 20, 28PIMECROLIMUS......................................................16PINDOLOL............................................................... 10PIOGLITAZONE HCL......................................... 17, 45PIOGLITAZONE HCL/GLIMEPIRIDE....................... 17PIOGLITAZONE HCL/METFORMIN HCL................ 17PIOGLITAZONE-GLIMEPIRIDE......................... 17, 46PIOGLITAZONE-METFORMIN.......................... 17, 46PIP BUTOX/PYRETHRINS/PERMETH....................14PIP BUTOX/PYRETHRINS/RESMETH....................14PIPERONYL BUTOXIDE/PYRETHRINS..................14PIROXICAM..............................................................26PITAVASTATIN CALCIUM.........................................11PNV #14/FERROUS FUM/FOLIC ACID...................35PNV COMB.NO.44/IRON/FOLIC ACID....................35PNV COMBO#47/IRON/FA #1/DHA.........................35PNV NO.118/IRON FUMARATE/FA......................... 35PNV NO.22/IRON CBN&GLUC/FA/DSS.................. 35PNV W-CA #40/IRON FUM/FA CMB#1....................35PNV W-CA NO.37/IRON/FA/OMEGA-3................... 35PNV WITH CA NO.36/IRON/FA............................... 35PNV WITH CA,NO.71/IRON/FA............................... 35PNV WITH CA,NO.72/IRON,CARB/FA.................... 35PNV WITH CA,NO.72/IRON/FA............................... 35PNV/IRON,CARBONYL/DOCUSATE/FA................. 35PNV119/IRON FUMARATE/FA/DSS........................ 35PNV19/IRON BG HC&SUCC-P/FA/OM3..................35PNV22/IRON CBN&GLUC/FA/DSS/DHA.................35PNV39/IRON FUMARATE/FA/DSS/DHA................. 35PNV53/IRON B-G HCL-P/FA/OMEGA3................... 35PNV7/FE ASP GLY/DOCUSATE/FA........................ 35PNV95/FERROUS FUMARATE/FA..........................35PNV-SELECT..................................................... 35, 41POCKET CHAMBER......................................6, 37, 41POCKET PEAK(OTC)................................................ 7POCKETPEAK(OTC)................................................. 7PODOFILOX.............................................................16POLYETHYLENE GLYCOL 3350............................. 27POLYETHYLENE GLYCOL 3350(OTC)................... 27POLYMYXIN B SULF/TRIMETHOPRIM...................20POLYMYXIN B SUL-TRIMETHOPRIM.....................20POLYSPORIN(OTC).................................................13POLYVINYL ALCOHOL............................................20POLYVINYL ALCOHOL/POVIDONE........................20POLYVITAMIN WITH IRON(OTC)......................34, 41POLY-VITAMIN(OTC)......................................... 35, 41POMALIDOMIDE......................................................28POMALYST........................................................ 28, 48PONATINIB HCL...................................................... 28POT CHLORIDE/POT BICARB/CIT AC................... 18POTASS HYD/GLYCO/PQ10/HE-CELL................... 14POTASSIUM BICARBONATE/CIT AC..................... 18POTASSIUM CHLORIDE......................................... 18POTASSIUM CITRATE.............................................33POTASSIUM CITRATE/CITRIC ACID...................... 33POTASSIUM IODIDE............................................... 19POTIGA.............................................................. 32, 48POVIDONE-IODINE........................................... 13, 16POVIDONE-IODINE(OTC)....................................... 16PR NATAL 400....................................................35, 41PR NATAL 400 EC..............................................35, 41PRADAXA.......................................................... 22, 48PRAMIPEXOLE DI-HCL...........................................31PRAMIPEXOLE DIHYDROCHLORIDE....................31PRAMOSONE.......................................................... 16PRAMOSONE E.......................................................16PRASUGREL HCL................................................... 22PRAVASTATIN SODIUM...........................................11PRAZIQUANTEL...................................................... 24PRAZOSIN HCL......................................................... 9PRECISION PCX PLUS(OTC)........................... 17, 41PRECISION PCX(OTC)......................................17, 41PRECISION POINT OF CARE(OTC).................17, 41PRECISION Q-I-D(OTC).................................... 17, 41PRECISION XTRA(OTC)................................... 17, 41PRECISION(OTC)..............................................17, 41PRED MILD.............................................................. 19PREDNICARBATE................................................... 15PREDNISOLONE..................................................... 26PREDNISOLONE ACETATE.................................... 19PREDNISOLONE SOD PHOSPHATE............... 19, 26PREDNISOLONE SODIUM PHOSPHATE.........19, 26PREDNISONE..........................................................26PREDNISONE INTENSOL.......................................26PREFEST........................................................... 22, 41PREGNYL................................................................ 18PREMARIN...............................................................34

PREMARIN(TAB)(0.3 MG)................................. 22, 41PREMARIN(TAB)(0.45MG)................................ 22, 41PREMARIN(TAB)(0.625 MG)............................. 22, 41PREMARIN(TAB)(0.9 MG)....................................... 22PREMARIN(TAB)(1.25 MG)............................... 22, 41PRE-MENSTRUAL RELIEF(OTC)..................... 29, 37PREMPHASE........................................................... 22PREMPRO......................................................... 22, 41PRENAISSANCE DHA.......................................35, 41PRENAPLUS......................................................35, 41PRENATABS FA................................................. 35, 41PRENATABS RX................................................ 35, 42PRENATAL #103/IRON FUMARATE/FA.................. 35PRENATAL 19(OTC).......................................... 35, 42PRENATAL AD................................................... 35, 42PRENATAL PLUS...............................................35, 42PRENATAL VIT #76/IRON,CARB/FA....................... 35PRENATAL VIT 15/IRON CB/FA/DSS......................35PRENATAL VIT 16/IRON CB/FA/DSS......................35PRENATAL VIT 18/IRON CB/FA/DSS......................35PRENATAL VIT NO.78/IRON/FA..............................35PRENATAL VIT#96/FERROUS FUM/FA..................35PRENATAL VIT/FE FUMARATE/FA......................... 35PRENATAL VIT/IRON FUMARATE/FA.....................35PRENATAL VIT27&CALCIUM/IRON/FA...................35PRENATAL VITAMIN FORMULA(OTC)............. 35, 42PRENATAL VITAMINS(OTC)..............................35, 42PRENATAL VITS W-CA,FE,FA(<1MG).................... 35PRENATAL(OTC)............................................... 35, 42PREVACID..........................................................33, 37PREVACID 24HR(OTC)............................... 33, 42, 46PREZISTA.......................................................... 25, 48PRILOSEC......................................................... 33, 48PRILOSEC OTC(OTC).................................33, 42, 48PRIMAQUINE...........................................................24PRIMAQUINE PHOSPHATE.................................... 24PRIMEAIRE....................................................6, 37, 42PRIMIDONE............................................................. 32PROBENECID..........................................................21PROBENECID-COLCHICINE...................................21PROCAINAMIDE HCL................................................9PROCARBAZINE HCL............................................. 28PROCHAMBER..............................................6, 37, 42PROCHLORPERAZINE EDISYLATE.........................5PROCHLORPERAZINE MALEATE............................5PROCRIT............................................................22, 48PROCTOZONE-HC.................................................. 27PROFILNINE SD................................................ 21, 48PROGESTERONE................................................... 22PROGESTERONE,MICRONIZED............................22PROGRAF................................................................23PROLIA.............................................................. 18, 48PROMETHAZINE HCL.........................................5, 37PROMETHAZINE HCL/CODEINE............................12PROMETHAZINE VC......................................... 12, 37PROMETHAZINE VC-CODEINE........................12, 37PROMETHAZINE/PHENYLEPH/CODEINE.............12PROMETHAZINE-CODEINE..............................12, 37PROMETHAZINE-DM........................................ 13, 37PROMETHEGAN..................................................5, 37PRONESTYL..............................................................9PROPAFENONE HCL................................................ 9PROPANTHELINE BROMIDE..................................33PROPRANOLOL HCL.............................................. 10PROPYLTHIOURACIL..............................................19PROSTIGMIN.............................................................7PROTEXIN(OTC)............................................... 35, 42PROTOPIC......................................................... 16, 46PROTRIPTYLINE HCL...............................................8PSEUDOEPHEDRINE HCL..................................... 13PSEUDOEPHEDRINE/BROMPHENIRAMIN........... 12PSEUDOEPHEDRINE/TRIPROLIDINE................... 12PULMICORT.........................................................6, 37PULMICORT FLEXHALER...................................6, 46PULMOZYME.....................................................29, 48PYRAZINAMIDE.......................................................24PYRIDOSTIGMINE BROMIDE...................................7PYRIDOXINE HCL................................................... 35PYRIDOXINE/CHROMIUM PICOLINATE................ 35PYRIMETHAMINE....................................................24- Q -Q-PAP(OTC).............................................................29QSYMIA..............................................................35, 48Q-TAPP(OTC).....................................................12, 37Q-TUSSIN DM(OTC)..........................................13, 37Q-TUSSIN(OTC).................................................12, 37QUINAPRIL HCL...................................................... 10QUINAPRIL/HYDROCHLOROTHIAZIDE...................9QUINAPRIL-HYDROCHLOROTHIAZIDE.................. 9

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Index

QUINIDINE GLUCONATE.......................................... 9QUINIDINE SULFATE................................................ 9QUININE SULFATE.................................................. 24QVAR..........................................................................6- R -RALOXIFENE HCL...................................................18RALTEGRAVIR POTASSIUM...................................25RAMELTEON..............................................................8RAMIPRIL.................................................................10RANITIDINE............................................................. 33RANITIDINE 150MG.................................................33RANITIDINE HCL..................................................... 33RANITIDINE HCL(OTC)........................................... 33RAPAMUNE..............................................................23RAVICTI..............................................................27, 48REBETOL........................................................... 25, 48REBIF....................................................................... 29REBIF(SYRINGE)(22MCG/.5ML).......................29, 48REBIF(SYRINGE)(44MCG/.5ML).......................29, 48RECOMBINATE(VIAL)(1000 (+/-))..................... 21, 48RECOMBINATE(VIAL)(1500 (+/-))..................... 21, 48RECOMBINATE(VIAL)(2000 (+/-))..................... 21, 48RECOMBINATE(VIAL)(250 (+/-))....................... 21, 48RECOMBINATE(VIAL)(500 (+/-))....................... 21, 48REDNESS RELIEF(OTC).........................................20REFISSA.................................................................. 13REFRESH LACRI-LUBE(OTC)................................ 21REGORAFENIB........................................................28REGRANEX....................................................... 17, 48RENAGEL.......................................................... 18, 48RENVELA...........................................................18, 48RESCON-DM(OTC)............................................12, 37RESCRIPTOR.................................................... 25, 48RESCULA...........................................................20, 48RESERPINE.............................................................10RESTASIS.......................................................... 20, 48RETAPAMULIN.........................................................14REVLIMID.................................................................28REYATAZ............................................................25, 48RHINOCORT AQUA.............................................5, 48RIBAVIRIN................................................................ 25RID(OTC)..................................................................14RIFABUTIN...............................................................24RIFAMPIN.................................................................24RIFAXIMIN................................................................24RILPIVIRINE HCL.................................................... 25RIMANTADINE HCL................................................. 25RIOMET..............................................................17, 37RISEDRONATE SODIUM.........................................18RISPERDAL CONSTA................................................8RISPERIDONE MICROSPHERES.............................8RITEFLO........................................................ 6, 37, 42RITONAVIR.............................................................. 25RIVAROXABAN........................................................ 21RIVASTIGMINE.......................................................... 7RIVASTIGMINE TARTRATE.......................................7RIXUBIS............................................................. 21, 48RIZATRIPTAN.....................................................31, 42RIZATRIPTAN BENZOATE.......................................31ROBITUSSIN COUGH & COLD CF(OTC)......... 13, 37ROPINIROLE HCL................................................... 31ROPINIROLE HCL(TAB ER 24H).................31, 42, 46ROPINIROLE HCL(TAB).......................................... 31ROTIGOTINE........................................................... 31ROZEREM......................................................8, 42, 46- S -SABRIL...............................................................32, 48SAFYRAL......................................................11, 46, 50SAIZEN...............................................................19, 48SALACTIC FILM(OTC).............................................16SALICYLIC ACID......................................................16SALICYLIC ACID/COLLODION, FLEX.................... 16SALINE(OTC)...........................................................20SALMETEROL XINAFOATE...................................... 5SALSALATE............................................................. 29SANDIMMUNE......................................................... 23SANI-SUPP(OTC).................................................... 27SAQUINAVIR MESYLATE........................................25SARGRAMOSTIM.................................................... 22SAVELLA............................................................ 29, 48SAXAGLIPTIN HCL..................................................16SAXAGLIPTIN HCL/METFORMIN HCL...................16SCOT-TUSSIN SENIOR(OTC)...........................13, 37SEA-CLENS(OTC)................................................... 15SELEGILINE HCL.................................................... 31SELENIUM SULFIDE............................................... 15SELZENTRY.......................................................25, 48SE-NATAL 19......................................................35, 42SENNA LAXATIVE(OTC)......................................... 27

SENNA-DOCUSATE SODIUM(OTC)....................... 27SENNOSIDES.......................................................... 27SENNOSIDES/DOCUSATE SODIUM...................... 27SEREVENT DISKUS............................................5, 48SEROSTIM.........................................................19, 48SERTRALINE HCL..................................................... 8SEVELAMER CARBONATE.....................................18SEVELAMER HCL................................................... 18SIDESTREAM MASK(OTC)........................... 6, 37, 42SIDESTREAM PEDIATRIC(OTC).................. 6, 37, 42SILDENAFIL....................................................... 10, 48SILDENAFIL CITRATE............................................. 10SILENOR........................................................8, 42, 46SILICONE MASK............................................7, 37, 42SILICONE MASK(OTC)..................................7, 37, 42SILVER NITRATE..................................................... 16SILVER SULFADIAZINE...........................................14SIMBRINZA........................................................ 20, 46SIMETHICONE.........................................................32SIMPONI............................................................ 26, 48SIMVASTATIN...........................................................11SIMVASTATIN(TAB)(10 MG).................................... 11SIMVASTATIN(TAB)(20 MG).................................... 11SIMVASTATIN(TAB)(40 MG).................................... 11SIMVASTATIN(TAB)(5 MG)...................................... 11SIMVASTATIN(TAB)(80 MG).............................. 11, 46SINGLE USE SWAB(OTC).......................................15SIROLIMUS..............................................................23SITAGLIPTIN PHOS/METFORMIN HCL..................16SITAGLIPTIN PHOSPHATE..................................... 17SKIN CLEANSER COMB NO.15..............................16SLEEP TABS(OTC).................................................... 8SOD BORATE/BORIC AC/WATER/NACL................20SOD/POT/K CIT/SOD CIT/CIT ACID....................... 33SODIUM BICARBONATE.........................................33SODIUM BICARBONATE(OTC)...............................33SODIUM CHLORIDE..............................15, 16, 18, 20SODIUM CHLORIDE IRRIG SOLUTION................. 15SODIUM CHLORIDE(OTC)................................18, 20SODIUM CHLORIDE/NAHCO3/KCL/PEG............... 27SODIUM FLUORIDE................................................ 34SODIUM POLYSTYRENE SULFONATE..................18SODIUM SULFACETAMIDE.....................................15SODIUM SULFACETAMIDE-SULFUR..................... 14SODIUM/POTASSIUM/SOD CHL............................ 21SOLTAMOX.............................................................. 29SOLU-MEDROL................................................. 26, 48SOMATROPIN..........................................................19SORAFENIB TOSYLATE......................................... 28SOTALOL................................................................. 10SOTALOL HCL......................................................... 10SPASMOLIN............................................................. 32SPIRIVA......................................................................6SPIROMETERS AND ACCESSORIES......................7SPIRONOLACT/HYDROCHLOROTHIAZID.............10SPIRONOLACTONE................................................ 10SPIRONOLACTONE-HCTZ..................................... 10SPORANOX....................................................... 24, 48SPRINTEC......................................................... 12, 50SPRYCEL........................................................... 28, 48SPRYCEL(TAB)(100 MG).............................28, 42, 48SPRYCEL(TAB)(140 MG).............................28, 42, 48SPRYCEL(TAB)(20 MG)...............................28, 42, 48SPRYCEL(TAB)(50 MG)...............................28, 42, 48SPRYCEL(TAB)(70 MG)...............................28, 42, 48SPRYCEL(TAB)(80 MG)...............................28, 42, 48SPS.......................................................................... 18SSKI......................................................................... 19STAVUDINE........................................................25, 48STELARA................................................................. 26STIMATE.................................................................. 18STIVARGA..........................................................28, 48STRIANT............................................................ 22, 42SUBSYS............................................................. 29, 48SUCRALFATE.......................................................... 33SUDAFED 24-HOUR(OTC)..........................13, 37, 42SUDOGEST(TAB ER)(OTC)........................ 13, 37, 42SUDOGEST(TAB)(30 MG)(OTC)................. 13, 37, 42SUDOGEST(TAB)(60 MG)(OTC)................. 13, 37, 42SULCONAZOLE NITRATE.......................................14SULFACETAMIDE SOD/SULFUR/UREA.................14SULFACETAMIDE SODIUM.........................13, 15, 20SULFACETAMIDE SODIUM/SULFUR..................... 14SULFACETAMIDE/PREDNISOLONE SP.................20SULFACETAMIDE-PREDNISOLONE...................... 20SULFACETM NA/PREDNISOL AC.......................... 20SULFADIAZINE........................................................ 27SULFALONE............................................................ 19SULFAMETHOXAZOLE/TRIMETHOPRIM........ 23, 27

SULFAMETHOXAZOLE-TRIMETHOPRIM.............. 23SULFANILAMIDE..................................................... 34SULFASALAZINE.....................................................27SULFATRIM..............................................................27SULINDAC................................................................26SUMATRIPTAN............................................ 31, 42, 48SUMATRIPTAN SUCC/NAPROXEN SOD............... 31SUMATRIPTAN SUCCINATE...................................31SUMATRIPTAN SUCCINATE(CARTRIDGE)(4MG/0.5ML)....................................................31, 42, 46SUMATRIPTAN SUCCINATE(CARTRIDGE)(6MG/0.5ML)..........................................................31, 42SUMATRIPTAN SUCCINATE(PEN INJCTR)(4MG/0.5ML)....................................................31, 42, 46SUMATRIPTAN SUCCINATE(PEN INJCTR)(6MG/0.5ML)..........................................................31, 42SUMATRIPTAN SUCCINATE(TAB)....................31, 42SUMAVEL DOSEPRO..................................31, 42, 46SUNITINIB MALATE.................................................28SUPRAX.............................................................23, 42SUPRENZA ODT................................................35, 48SURE COMFORT ALCOHOL(OTC)........................ 15SURE-PREP ALCOHOL PREP PADS(OTC)........... 15SURGICAL LUBRICANT..........................................16SURGILUBE(OTC)...................................................16SUSTIVA.............................................................25, 48SUTENT............................................................. 28, 48SYLATRON.........................................................28, 48SYLATRON 4-PACK...........................................28, 48SYMBICORT........................................................ 6, 48SYNAGIS............................................................25, 48- T -TABLOID...................................................................28TACROLIMUS.................................................... 16, 23TAMIFLU(CAP)(30 MG)......................................25, 42TAMIFLU(CAP)(45 MG)......................................25, 42TAMIFLU(CAP)(75 MG)......................................25, 42TAMIFLU(SUSP RECON)............................ 25, 37, 42TAMOXIFEN CITRATE.............................................29TAMSULOSIN HCL.................................................. 33TAPENTADOL HCL.................................................. 31TARCEVA........................................................... 28, 48TARGRETIN................................................. 16, 29, 48TASIGNA............................................................ 28, 48TAZAROTENE....................................................13, 16TAZORAC...........................................................16, 48TEARS NATURALE FREE(OTC)............................. 20TEKAMLO.......................................................... 10, 48TEKTURNA........................................................ 10, 48TEKTURNA HCT..........................................10, 46, 48TELAPREVIR........................................................... 25TELITHROMYCIN.................................................... 23TELMISARTAN.........................................................10TEMAZEPAM..............................................................8TEMOZOLOMIDE.....................................................28TENOFOVIR DISOPROXIL FUMARATE................. 25TERAZOSIN HCL.......................................................9TERBINAFINE HCL......................................14, 24, 42TERBINAFINE(OTC)....................................14, 37, 42TERBUTALINE SULFATE.......................................... 6TERCONAZOLE.......................................................34TERIFLUNOMIDE.................................................... 29TESTIM........................................................ 22, 42, 48TESTOPEL......................................................... 22, 42TESTOSTERONE.................................................... 22TESTRED.................................................................22TETRACYCLINE HCL.............................................. 24TETRAHYDROZOLINE HCL....................................20TETRAHYDRZ/DEXT 70/PEG 400/PVP.................. 20TEVETEN HCT...........................................................9TEV-TROPIN...................................................... 19, 48TEXACORT.............................................................. 15THALIDOMIDE......................................................... 24THALOMID............................................................... 24THEO-24.....................................................................7THEOPHYLLINE ANHYDROUS................................ 7THIAMINE HCL........................................................ 35THIAMINE MONONITRATE..................................... 35THIOGUANINE.........................................................28THRESHOLD IMT.......................................... 7, 37, 42THRESHOLD PEP......................................... 7, 37, 42THYROID,PORK...................................................... 19TIAGABINE HCL...................................................... 32TICAGRELOR.......................................................... 22TICLOPIDINE HCL...................................................22TIKOSYN....................................................................9TIMOLOL..................................................................20TIMOLOL MALEATE.......................................... 10, 20TINACTIN(OTC)....................................................... 14

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Index

TINIDAZOLE...................................................... 24, 48TIOCONAZOLE........................................................34TIOCONAZOLE 1(OTC)...........................................34TIOTROPIUM BROMIDE........................................... 6TIPRANAVIR............................................................ 25TIPRANAVIR/VITAMIN E TPGS...............................25TIZANIDINE HCL......................................................32TOBI PODHALER...............................................24, 48TOBRADEX.............................................................. 19TOBRAMYCIN....................................................24, 48TOBRAMYCIN IN 0.225% NACL............................. 24TOBRAMYCIN/DEXAMETHASONE........................ 19TOBRAMYCIN-DEXAMETHASONE........................ 19TOFACITINIB CITRATE........................................... 26TOLAZAMIDE...........................................................17TOLBUTAMIDE........................................................ 17TOLNAFTATE...........................................................14TOLNAFTATE(OTC).................................................14TOLTERODINE TARTRATE............................... 34, 46TOPIRAMATE...........................................................32TOPOTECAN HCL................................................... 28TOREMIFENE CITRATE.......................................... 29TRACLEER........................................................ 10, 48TRADJENTA.................................................16, 42, 46TRAMADOL HCL............................................... 31, 42TRAMADOL HCL/ACETAMINOPHEN..................... 31TRAMADOL HCL-ACETAMINOPHEN............... 31, 42TRANDOLAPRIL...................................................... 10TRAVATAN Z...................................................... 20, 48TRAVOPROST......................................................... 20TRAZODONE HCL.....................................................8TRETINOIN.................................................. 13, 28, 37TRETINOIN MICROSPHERE.............................13, 37TRETINOIN MICROSPHERES................................ 13TRETINOIN/EMOLLIENT BASE.............................. 13TREXALL..................................................................28TREXIMET................................................... 31, 42, 49TRIAMCINOLONE ACETONIDE....................5, 15, 29TRIAMTERENE/HYDROCHLOROTHIAZID.............10TRIAMTERENE-HCTZ............................................. 10TRIAZOLAM............................................................... 8TRICARE............................................................35, 42TRIFLURIDINE.........................................................19TRILEPTAL...............................................................32TRIMETHOBENZAMIDE HCL....................................5TRIMETHOPRIM......................................................23TRIPLE ANTIBIOTIC PLUS(OTC)............................13TRIPLE ANTIBIOTIC(OTC)......................................13TRIPLE X(OTC)........................................................14TRI-VIT WITH FLUORIDE-IRON........................34, 42TRI-VITAMIN WITH FLUORIDE......................... 34, 42TRI-VITAMIN(OTC)............................................ 35, 42TROPICAMIDE.........................................................20TROSPIUM CHLORIDE..................................... 34, 46TRUVADA...........................................................25, 49TRUZONE PEAK FLOW METER...............................7TUSSI PRES-B(OTC).........................................12, 37TUSSICAPS....................................................... 12, 37TUSSIN CF(OTC)...............................................13, 37TYKERB............................................................. 28, 49TYSABRI............................................................ 29, 49- U -UCERIS.............................................................. 26, 49U-CORT....................................................................15ULIPRISTAL ACETATE............................................ 12ULORIC.............................................................. 21, 49ULTILET ALCOHOL SWAB(OTC)............................15ULTIMA(OTC).....................................................17, 42ULTIMATECARE ONE........................................35, 42ULTRASE................................................................. 32ULTRASE MT 12...................................................... 32ULTRASE MT 18...................................................... 32ULTRASE MT 20...................................................... 32UNISOM SLEEP AID(OTC)........................................8UNOPROSTONE ISOPROPYL................................20UROFOLLITROPIN.................................................. 18URSODIOL...............................................................27USTEKINUMAB........................................................26- V -VALACYCLOVIR...................................................... 25VALACYCLOVIR HCL.............................................. 25VALCYTE............................................................25, 49VALGANCICLOVIR HCL.......................................... 25VALPROIC ACID...................................................... 32VALPROIC ACID (AS SODIUM SALT).....................32VALSARTAN.............................................................10VALSARTAN/HYDROCHLOROTHIAZIDE................. 9VALSARTAN-HYDROCHLOROTHIAZIDE...........9, 46VANCOMYCIN HCL........................................... 24, 49

VANDAZOLE............................................................ 34VANDETANIB........................................................... 28VANOXIDE-HC......................................................... 13VARENICLINE TARTRATE.......................................32VASELINE WHITE PETROLEUM...................... 15, 42V-C FORTE.........................................................34, 42VCF(OTC).................................................................11VECTIBIX........................................................... 28, 49VELCADE...........................................................28, 49VENLAFAXINE HCL...................................................8VENLAFAXINE HCL ER.............................................8VENTOLIN HFA....................................................5, 42VERAMYST....................................................5, 42, 49VERAPAMIL ER....................................................... 10VERAPAMIL HCL..................................................... 10VICKS 44E COUGH & CHEST(OTC).................13, 37VICTOZA 2-PAK................................................. 16, 49VICTOZA 3-PAK................................................. 16, 49VICTRELIS............................................................... 25VIGABATRIN............................................................ 32VIIBRYD............................................................... 8, 49VILAZODONE HYDROCHLORIDE............................8VINACAL............................................................ 35, 42VINATE GT......................................................... 35, 42VINATE ONE...................................................... 35, 42VINATE PN CARE.............................................. 35, 42VINATE ULTRA.................................................. 35, 42VIORELE............................................................ 11, 50VIRACEPT................................................................25VIRAMUNE XR...................................................25, 49VIRAZOLE..........................................................25, 49VIREAD.................................................................... 25VISINE-A(OTC)........................................................ 19VISMODEGIB...........................................................28VIT A/VITAMIN D3/E/ALOE V/ZNOX....................... 16VITALETS(OTC)................................................. 35, 42VITAMIN A & D(OTC)............................................... 15VITAMIN B-1(OTC).............................................35, 42VITAMIN B-12(OTC)...........................................35, 42VITAMIN B-6(OTC).............................................35, 42VITAMIN C(OTC)................................................35, 42VITAMIN D(OTC)................................................35, 42VITAMIN D2........................................................35, 42VITAMIN D2(OTC)..............................................35, 42VITAMIN D3(OTC)..............................................35, 42VITAMINS A AND D................................................. 15VITASPIRE......................................................... 35, 42VITE CON FORTE..............................................34, 42VITS A & D/WHITE PET/LANOLIN.......................... 15VIVELLE-DOT.................................................... 22, 42VOLTAREN.........................................................15, 46VORINOSTAT...........................................................28VORTEX......................................................... 6, 37, 42VORTEX FROG MASK(OTC)........................ 7, 37, 42VORTEX LADYBUG MASK(OTC)..................7, 38, 42VORTEX VHC FROG MASK..........................6, 38, 42VORTEX VHC LADYBUG MASK................... 6, 38, 42VORTEX(OTC)............................................... 7, 38, 42VOTRIENT..........................................................28, 49VYTORIN(TAB)(10 MG-10MG)...........................11, 46VYTORIN(TAB)(10 MG-20MG)...........................11, 46VYTORIN(TAB)(10 MG-40MG)...........................11, 46VYTORIN(TAB)(10 MG-80MG).................................11- W -WARFARIN SODIUM............................................... 21WATCHHALER...............................................6, 38, 42WEBCOL ALCOHOL PREPS MEDIUM(OTC)......... 15WEBCOL(OTC)........................................................ 15WELCHOL.......................................................... 11, 46WIDE SEAL DIAPHRAGM....................................... 12WILATE...............................................................21, 49WINDMILL TRAINER(OTC)....................... 6, 7, 38, 42WOUND WASH SALINE(OTC)................................ 16- X -XALKORI............................................................ 28, 49XARELTO........................................................... 21, 49XELJANZ............................................................26, 49XELODA............................................................. 28, 49XENICAL............................................................ 36, 49XGEVA................................................................18, 49XIFAXAN............................................................ 24, 49XTANDI.....................................................................28XYNTHA............................................................. 21, 49- Y -YODOXIN................................................................. 24- Z -ZAFIRLUKAST..................................................... 6, 49ZALEPLON...........................................................8, 42ZALTRAP............................................................28, 49

ZATEAN-PN DHA............................................... 35, 42ZEGERID......................................................33, 42, 46ZENCHENT FE...................................................12, 50ZETIA..................................................................11, 46ZIAGEN.............................................................. 25, 49ZINC OXIDE............................................................. 16ZINC OXIDE(OTC)................................................... 16ZIPRASIDONE MESYLATE....................................... 8ZIV-AFLIBERCEPT...................................................28ZMAX........................................................................23ZOLINZA............................................................ 28, 49ZOLMITRIPTAN..................................................31, 42ZOLPIDEM TARTRATE........................................8, 42ZOLPIMIST.....................................................8, 42, 46ZOMIG..........................................................31, 42, 46ZONISAMIDE........................................................... 32ZORBTIVE..........................................................19, 49ZORTRESS.............................................................. 23ZOVIA 1-35E...................................................... 12, 50ZOVIRAX............................................................14, 49ZYCLARA........................................................... 23, 49ZYVOX............................................................... 23, 49ZZZQUIL(OTC)...........................................................8

LA Care of 59

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LA Care Formulary

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